Common use of Predetermination of Benefits Clause in Contracts

Predetermination of Benefits. If charges for a planned course of treatment by a licensed practitioner would exceed proposed details and x-rays should be submitted to Excelsior Life for approval. Failure to do so may result in payment of a lesser benefit amount because of the difficulty in determining the need for such treatment after it has been provided. Dental x-rays will be promptly returned to the dentist. Course of treatment means one or more services rendered by one or more dentists for the correction of a dental condition diagnosed as a result of an oral starting on the date the first service to correct such condition is rendered.

Predetermination of Benefits. If charges for a planned course of treatment by a licensed practitioner dentist would exceed proposed details and x-rays should be submitted to Excelsior Life for approval. Failure to do so may result in payment of a lesser benefit amount because of the difficulty in determining the need for such treatment after it has been provided. Dental x-rays will be promptly returned to the dentist. Course of treatment Treatment means one or more services rendered by one or more dentists for the correction of a dental condition diagnosed as a result of an oral exam starting on the date the first service to correct such condition is rendered.

Predetermination of Benefits. If charges for a planned course of treatment by a licensed practitioner dentist would exceed proposed details and x-rays should be submitted to Excelsior Life the Plan Administrator for approval. , Failure to do so may result in a payment of a lesser benefit amount because of the difficulty in determining the need for such treatment after it has been provided. Dental x-rays will be promptly returned to the dentist. Course of treatment means one or more services rendered by one or more dentists for the correction of a dental condition diagnosed as a result of an oral starting on the date the first service to correct such condition is rendered.

Predetermination of Benefits. If charges for a planned course of treatment by a licensed practitioner dentist would exceed proposed details and x-rays should be submitted to Excelsior Life for approval. Failure to do so may result in payment of a lesser benefit amount because of the difficulty in determining the need for such treatment after it has been provided. Dental x-rays will be promptly returned to the dentist. Course of treatment means one or more services rendered by one or more dentists for the correction of a dental condition diagnosed as a result of an oral starting on the date the first service to correct such condition is rendered.