Orthodontics
Things on a WIP claim
Payment Schedule
Deltacare
Miscellaneous
100

The type of braces Delta Dental pays for that is NOT traditional braces

What is Invisalign?

100

Providers should include total ___ of treatment

What is months?

100

Two payment orthodontic pays this amount at banding

What is 50%?

100

This form must be filled out for takeover plans

What is continuous coverage form?
100

Member must be in ___ treatment

What is active?
200

Treatment that begins before the plan starts

What is work in progress?

200

Providers should include remaining ___ in treatment

What is months?

200

If no schedule is listed in EBD, Delta Dental will go by this schedule

What is two payment?

200

The continuous coverage form must be filled out within this many days

What is 30 days?
200

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?

300

This is the day the braces were put on

What is the banding date?

300

The "procedure" date should be this date as listed on the member's plan

What is the effective date?

300

Payment schedule are based on the ___ NOT the date the claim was processed

What is the banding date?

300

Members pay the ___ between regular braces and invisalign

What is the difference?
400

The orthodontic payment is found under what section in EBD?

What is other provisions?

400

This is something we need from prior insurance

What is EOB?

400

Delta Dental will only make one payment when treatment is ...

What is 12 months or less?

400

How often are DC payments made?

What is monthly?

500

These type of braces are denied

What is self-administered?

500

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?

500

Member is responsible for these co-pays for orthodontic treatment

What is retention, start-up, and banding?