Dental care organization definition

Dental care organization means a prepaid managed care health services organiza- tion, as defined in ORS 414.025, that provides dental care to members of a coordinated care organization.
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Dental care organization means a pre- paid managed care health services organization, as defined in ORS 414.025, that provides dental care to members of a coordinated care organ- ization.
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Dental care organization. (DCO) means a managed care entity that contracts, on a capitated basis, wit.¶ (14) "Dental Care Organization" (DCO) as provided for in ORS 414.025 (24) means a pre-paid managed care health services organization that provides, either by contract with a coordinated care organization or through othe Authority under ORS 414.654 or with a coordinated care organization, or both with the Authority and a coordinated care organization, to provide dental services to medical assistance recipientsr mechanisms, (i) dental services to the coordinated care organization's members, on a pre-paid capitated basis; or (ii) administrative services on behalf of the coordinated care organization as they relate to the delivery of dental services, including, without limitation: provider credentialing, prior authorization or denial of services, or encounter claims processing; or (iii) or both of the foregoing.¶
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More Definitions of Dental care organization

Dental care organization. (DCO) means a managed care entity that contracts, on a capitated basis, with the Authority under ORS 414.654 or with a coordinated care organization, or both with the Authority and a coordinated care organization, to provide dental services to medical assistance recipientshas the meaning as provided for in ORS 414.025 (24).¶
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Dental care organization means a prepaid managed care
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Related to Dental care organization

  • Health care organization ’ means any person or en-

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Managed Care Organization (MCO) means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).

  • Coordinated care organization means an organization meeting criteria adopted by the

  • Provider Organization means a group practice, facility, or organization that is:

  • Review organization means a disability insurer regulated

  • Accountable care organization or “ACO” means an organization of health care providers that has a formal legal structure, is identified by a federal Taxpayer Identification Number, and agrees to be accountable for the quality, cost, and overall care of the patients assigned to it.

  • Employee organization means any organization, union, or

  • Stewardship organization means an organization, association, or

  • Procurement organization means an eye bank, organ procurement organization, or tissue bank.

  • Member organization means any individual, corporation, limited liability company, partnership, or association that belongs to an association.

  • Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.

  • Religious organization means a church, ecclesiastical corporation, or group, not organized for pecuniary profit, that gathers for mutual support and edification in piety or worship of a supreme deity.

  • Credit union service organization means an organization, corporation, or association whose membership or ownership is primarily confined or restricted to credit unions or organizations of credit unions and whose purpose is primarily designed to provide services to credit unions, organizations of credit unions, or credit union members.

  • Educational organization means a nonprofit public or private elementary or

  • ADR Organization means The American Arbitration Association or, if The American Arbitration Association no longer exists or if its ADR Rules would no longer permit mediation or arbitration, as applicable, of the dispute, another nationally recognized mediation or arbitration organization selected by the Sponsor.

  • Utilization review organization means an entity that conducts utilization review, other than a health carrier performing a review for its own health plans.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Business organization means an individual, partnership, association, joint stock company, trust, corporation or other legal business entity or successor thereof.

  • Labor organization means any organization of any kind, or any agency or employee representation committee or plan, in which employees participate and that exists for the purpose, in whole or in part, of dealing with employers concerning grievances, labor disputes, wages, rates of pay, hours of employment, or conditions of work.

  • Foreign organization means an organization created under laws other than the laws of this state for a purpose for which an organization may be created under the laws of this state.

  • Health maintenance organization means that term as defined in section 3501 of the insurance code of 1956, 1956 PA 218, MCL 500.3501.

  • Professional employer organization means an employee leasing

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Eligible organization means a veterans, charitable, educational, religious, fraternal,

  • Indian organization means the governing body of any Indian tribe or entity established or recognized by the governing body of an Indian tribe for the purposes of 25 U.S.C., chapter 17.