Contracting Dentist definition

Contracting Dentist means a dentist who has signed a contract with the Company to provide Covered Services. The Company will pay a Contracting Dentist directly. Covered Services provided by a Contracting Dentist are subject to the In-Network Coinsurance as specified in the Schedule of Benefits.
Contracting Dentist means a Dentist who has entered into a written agreement with the Claim Administrator to participate as a dental Provider.
Contracting Dentist. ("You") means a person who is a Dentist or a person who is a legal representative of a group dental practice or corporation with the authority to bind such group dental practice or corporation to the terms of this Agreement.

Examples of Contracting Dentist in a sentence

  • A Contracting Dentist cannot balance bill for charges in excess of the Allowable Amount.

  • If benefits are denied because a Contracting Dentist fails to submit a claim on time, you will not be responsible for paying the dentist for the portion of the dentist’s charge that would have been a benefit under the dental plan.

  • The Contracting Dentist will provide orthodontic treatment begun when coverage was in effect, at the rates set forth in the Contracting Dentist Agreement.

  • WHEN YOUR CONTRACTING DENTIST IS TERMINATED If the Contracting Dentist is terminated for any reason other than fraud, patient abuse, incompetency or loss of license status, he/she shall continue to provide dental services to complete the procedure(s) in progress for at least ninety (90) days from the date of notice of termination, as if his/her Contracting Dentist Agreement with the Plan was still in effect.

  • The Plan will compensate the dentist for such services in accordance to the terms set forth in the Contracting Dentist Agreement.

  • If the Contracting Dentist terminates the Contracting Dentist Agreement, the Contracting Dentist shall continue to provide, for at least ninety (90) days after the date of notice of termination to the Plan, dental care services to a covered individual of the Plan for whom the Contracting Dentist was responsible for the delivery of dental care services prior to the notice of termination.

  • This applies only if the covered individual properly informed the Contracting Dentist that he or she was a covered individual by presenting his or her dental plan identification card.

  • Contracting Dentist: a licensed dentist who has entered into an agreement with the Plan to furnish services to its covered individuals.

  • The decision about whether to use a PPO Dentist or Contracting Dentist is the sole responsibility of the Covered Person.

  • In-Network Services—Covered Services provided by a Contracting Dentist.


More Definitions of Contracting Dentist

Contracting Dentist means a Dentist who has entered into a written agreement with BCBSTX, who has contracted directly with any division or subsidiary of Health Care Service Corporation (HCSC) and/or who has entered into an agreement with another entity with which HCSC or any of its subsidiaries has contracted. Coinsurance Amount means the dollar amount (expressed as a percentage) of Eligible Dental Expenses incurred by a Participant during a Calendar Year that exceeds benefits provided under the Plan. Course of Treatment means any number of dental procedures or treatments performed by a Dentist in a planned series resulting from a dental examination concurrently revealing the need for such procedures or treatments. Dentally Necessary or Dental Necessity means those services, supplies, or appliances covered under the Plan which are:
Contracting Dentist. Name: Warrxx X. Xxxxxxx XXX Date 3-19-97 By: /s/ WARRXX X. XXXXXXX XXX -------------------------------- Group Dental Practice or Corporation Name Monarch Dental Associates Witness: /s/ Russ Xxxx PRUDENTIAL DENTAL MAINTENANCE ORGANIZATION, INC. Date: By: ------------- -------------------------------------------- Witness ---------------------- 12 Effective Date: April 1, 1997 PRIMARY CARE DENTIST AGREEMENT
Contracting Dentist means a Dentist who has entered into a written agreement with BCBSTX, who has contracted directly with any division or subsidiary of Health Care Service Corporation (HCSC) and/or who has entered into an agreement with another entity with which HCSC or any of its subsidiaries has contracted. Course of Treatment means any number of dental procedures or treatments performed by a Dentist in a planned series resulting from a dental examination concurrently revealing the need for such procedures or treatments. Dentally Necessary or Dental Necessity means those services, supplies, or appliances covered under the Plan which are:
Contracting Dentist. Name: Xxxx Xxxxxx, DDS Date:__________________ By:_______________________________ Group Dental Practice or Corporation Name Perfect Teeth-East Cornell Witness :______________________ THE PRUDENTIAL INSURANCE COMPANY OF AMERICA: Date:________________ By:__________________________________ Witness:_______________________ Ed 05/95 PCDA ATTACHMENT A ------------ As used in this Agreement, each of the following terms shall have the meaning set forth herein:

Related to Contracting Dentist

  • Contracting Department any contracting authority as defined in Regulation 5(2) of the Public Contracts (Works, Services and Supply) (Amendment) Regulations 2000 other than the Department; "Contractor Personnel" all employees, agents, consultants and contractors of the Contractor and/or of any Sub-contractor; "Contractor Software" software which is proprietary to the Contractor, including software which is or will be used by the Contractor for the purposes of providing the Services; "Crown Body" any department, office or agency of the Crown;

  • Contracting Parties has the meaning set forth in Section 9.14.

  • Contracting agency means the principal departments in the Executive Branch of the State Government, and any division, board, bureau, office, commission or other instrumentality within or created by such department, or any independent State authority, commission, instrumentality or agency, or any State college or university, any county college, or any local unit; with respect to this Contract, the contracting agency shall mean the Division;

  • resident of a Contracting State means any person who, under the laws of that State, is liable to tax therein by reason of his domicile, residence, place of management or any other criterion of a similar nature, and also includes that State and any political subdivision or local authority thereof. This term, however, does not include any person who is liable to tax in that State in respect only of income from sources in that State.

  • Contracting Party shall have the meaning designated in the preamble to Section 5.2 hereof.

  • Master subcontracting plan means a subcontracting plan that contains all the required elements of an individual subcontracting plan, except goals, and may be incorporated into individual subcontracting plans, provided the master subcontracting plan has been approved.

  • Contracting Body means the Department for Work and Pensions and any contracting body described in the OJEU Notice

  • HUB Subcontracting Plan or “HSP” means written documentation regarding the use of subcontractors, which is required to be submitted with all responses to state agency contracts with an expected value of $100,000.00 or more where subcontracting opportunities have been determined by the state agency to be probable. The HUB subcontracting plan subsequently becomes a provision of the awarded Contract and shall be monitored for compliance by the state agency during the term of the Contract.

  • Contracting Bodies means bodies listed in paragraph VI.3 of the OJEU Notice and “Contracting Body” shall be construed accordingly;

  • Contracting agent means the governing body of a

  • Individual subcontracting plan means a subcontracting plan that covers the entire contract period (including option periods), applies to a specific contract, and has goals that are based on the offeror’s planned subcontracting in support of the specific contract, except that indirect costs incurred for common or joint purposes may be allocated on a prorated basis to the contract.

  • Contracting entity means any person that has a primary business purpose of contracting with participating providers for the delivery of health care services.

  • Contracting unit means a municipality or any board, commission, committee, authority or agency, and which has administrative jurisdiction over any district other than a school district, project, or facility, included or operating in whole or in part, within the territorial boundaries of any county or municipality which exercise functions which are appropriate for the exercise by one or more units of local government, and which has statutory power to make purchases and enter into contracts or agreements for the performance of any work or the furnishing or hiring of any materials or supplies usually required, the costs or contract price of which is to be paid with or out of public funds.

  • Training Contract means an agreement signed by the employer and the Apprentice or Trainee (and a parent or guardian if applicable), in accordance with the Act and Regulatory requirements.

  • Sub-contracting means the primary contractor’s assigning or leasing or making out work to, or employing another person to support such primary contractor in the execution of part of a project in terms of the contract.

  • public works contract means any agreement between any individual, firm or corporation and the State or any political subdivision of the State other than a municipality for construction, rehabilitation, conversion, extension, demolition or repair of a public building, highway or other changes or improvements in real property, or which is financed in whole or in part by the State, including, but not limited to, matching expenditures, grants, loans, insurance or guarantees.

  • Selective contracting arrangement means an arrangement in which a carrier participates in selective contracting with one or more providers, and which arrangement contains reasonable benefit differentials, including, but not limited to, predetermined fee or reimbursement rates for covered benefits applicable to participating and nonparticipating providers.

  • Residential contractor means a licensed contractor that holds an endorsement as a:

  • Procurement Contract or “Contract” means any written agreement of the Authority for the acquisition of goods or services of any kind in the actual or estimated amount of $25,000, or more.

  • State Contracting Agency means the department for which this contract is to be performed and for which the Commissioner or Authorized Designee acted in signing this contract.

  • Contracting activity for DoD also means elements designated by the director of a defense agency which has been delegated contracting authority through its agency charter. DoD contracting activities are listed at PGI 202.101.

  • Contractor means the individual or entity, that has entered into this contract with the Commonwealth.

  • Contracting State means a State party to the Treaty;

  • Personal services contract means a contract that, by its express terms or as administered, makes the contractor per- sonnel appear to be, in effect, Government employees (see 37.104).

  • Contractor/Supplier means the person or company whose tender is accepted by the Purchaser and shall be deemed to include the Contractor’s successors, heirs, executors, administrators, representatives and assigns approved by the Purchaser.

  • Contracting Government means any Government which has deposited an instrument of ratification or has given notice of adherence to this Convention.