Eligibility
This program you find the effective and term date for all dental plans
What is CSI
clause meaning teeth missing before eff date will not be covered
this benefit is commonly denied after the age of 19
what is orthodontics
Prophy
what is prophylaxis or cleaning
where do you find the date paid for a completed claim
this person tells the best dad jokes
who is Frank
where the most accurate benefit information is held
what is quick clicks
how often a procedure is allowed on a place
what is frequencies
Preventative Services are USUALLY covered at what percent under fully insured dental plans
what is 100%
DNT
what is DenteMax
a predetermination will show up in claims in what status
what is w or x
This claim is for services rendered on this date
4.18.17
tab at which you find deductibles and maxiums that have been met
what is accumulators
who is a Dance Mom
Denise is !!!!
This many people (units) need to meet their individual deductible before the family deductible is met
AED
Aetna Dental Administrations
You will need this code in order to search for dental history by procedure.
benefit code
patient responsibility
what is $898.00
who grew up in maple grove
who is Emily
time between enrollment and we start covering services
what is waiting period
this person is trying to acheive a golf course lawn
who is eric
U&C
What is Usual and Customary
if processed out of network, you will need to access this to view patient responsibility.
what is EOB
ineligible amount and why
$311, Ineligible amount for U&C, Alternate Treatment Clause, and benefits are not approved for the crown buildup. The plan allows for benefits for a crown buildup only for teeth that are non-vital (having undergone root canal therapy).
whisper tone Crescent, this is how you greet the customer
what is thanks you for calling crescent employee benefits
this is the benefit rule meaning downgrade
what is alternate treatment clause
these plans work on a fee schedule (max payment amount per code)
what is World and Liberty National policies
FMX/PANO
what is full mouth x-ray and/or panoramic x-ray
whose dog is having puppies
who is shelby
PV calling about claim, Call Log the interaction based on the above questions
VDOB/ DEP1/ CLAIM# 5Y18268 NEW 5Y58482 / RENDERED 4.18.17/ RECEIVED 5.17.17/ PROCESSED/ 5.17.17/ AMT PAID $587/ PT RES $898/ OON/ ECHODRAFT 927033349/ PAID ON 6.1.17/ CLEARED 6.5.17/ INELG AMT $311/ PAID PV
CALL TYPE 1A