Examples of Contracting Dentist in a sentence
Covered Services performed by a PPO Dentist or Contracting Dentist are subject to the In-Network Coinsurance percentage of the Charge for the Covered Service stated in the Schedule of Benefits.
Contracting Dentist: A dentist who has signed a contract to provide services to LIBERTY Members in accordance with LIBERTY’s rules and regulations.
A Contracting Dentist cannot balance bill for charges in excess of the Allowable Amount.
For any questions or concerns regarding dental care or treatment, Members are encouraged to discuss the matter with their primary Contracting Dentist.
Unless stated otherwise, if Dental Covered Services are rendered by a Dentist outside the state of Idaho, BCI will provide the same benefits as described for an in-state Contracting Dentist.
The portion of the charges by your Dentist that exceeds the Allowable Amount of BCBSTX will be your responsibility to pay to your Dentist, except when you have used a Contracting Dentist.
In this instance, Participants are responsible for any difference between the amount charged by the Contracting Dentist and the Maximum Allowance.
A Contracting Dentist shall accept the Maximum Allowance for Covered Services regardless of whether the service is contractually limited by a waiting period, Benefit Period or lifetime maximum, frequency limitation and/or alternative benefit payment.
Benefits for Orthodontia Treatment are provided only if a Contracting Dentist prepares the treatment plan prior to rendering services.
A Contracting Dentist rendering Covered Services as provided in this section shall not make an additional charge to a Participant for amounts in excess of the Maximum Allowance except for Deductible, Cost Sharing, and charges for noncovered services, if any.