The type of braces Delta Dental pays for that is NOT traditional braces
What is Invisalign?
Providers should include total ___ of treatment
What is months?
Two payment orthodontic pays this amount at banding
What is 50%?
This form must be filled out for takeover plans
Member must be in ___ treatment
Treatment that begins before the plan starts
What is work in progress?
Providers should include remaining ___ in treatment
What is months?
If no schedule is listed in EBD, Delta Dental will go by this schedule
What is two payment?
The continuous coverage form must be filled out within this many days
Total cost of treatment is $4,000. The percentage is 60%. LT Max is $2,000. The previous plan paid $250. This is the amount DD will pay
What is $1,750?
This is the day the braces were put on
What is the banding date?
The "procedure" date should be this date as listed on the member's plan
What is the effective date?
Payment schedule are based on the ___ NOT the date the claim was processed
What is the banding date?
Members pay the ___ between regular braces and invisalign
The orthodontic payment is found under what section in EBD?
What is other provisions?
This is something we need from prior insurance
What is EOB?
Delta Dental will only make one payment when treatment is ...
What is 12 months or less?
How often are DC payments made?
What is monthly?
These type of braces are denied
What is self-administered?
The first payment will be the lesser of the down payment or one fourth of the total case fee in this payment schedule
What is quarterly? What is monthly?
Member is responsible for these co-pays for orthodontic treatment
What is retention, start-up, and banding?