Insurance
Anyone other than the primary member that is covered by a dental plan.
Dependent
Treats the inside of the tooth. Also known as a root canal specialist.
Endodontist
Discipline for an employee that violates HIPAA.
Fines & termination
These teeth are in the very back on the mouth.
Molars or Wisdom teeth
Always do this before answering the phone to ensure the correct tone.
Smile
You can go to any dentist, in or out of network, without a referral. More expensive than the alternative.
PPO/DPPO
Often used interchangeably with "oral surgeon", but has a slightly broader scope of practice.
Maxillofacial surgeon
Identifying information such as full name, phone number, patient ID number, or medical records.
PHI.
Cuspids are also known as ___.
The most important things when dealing with an angry caller vs a pleasant one are to ___ and ___.
Not take it personally & show empathy.
A fixed percentage you pay for medical expenses after the deductible is met.
Coinsurance
This dentist would treat a person for gingivitis.
Periodontist.
What you can tell someone who is the spouse of the primary account holder without them being present.
Any information about themselves or dependents -17.
Mandibular Right Cuspid
"I'm sorry about that, I would be upset too," is an example of ___.
Empathy.
The amount a member is required to pay for covered services in a benefit year.
Out of Pocket Maximum (OOP)
Dentist that treats malocclusion.
Orthodontist.
Information can you give an account holder who is calling about a dependent who is 18 years or older.
EOB information
When counting primary dentition, this is G.
Left Maxillary Lateral Incisor
Must be verified every single time, even if the caller only hangs up for a moment.
PHI and PII
Document provided by your insurance company detailing dental treatment/services that were paid for on a member’s behalf. Different from a bill.
EOB
A unique identification number used to identify a health care professional as an alternative to their dental license number.
NPI
HIPAA was enacted in 1996. From this date ___, healthcare must providers comply.
April 14th, 2003
The mix of primary and permanent teeth seen in youths 6-12.
Mixed dentition.
"If there's nothing else I can help you with, thank you for calling and have a great day!" Is an example of ___.
Closing a call.