Chapter 15

Question 1

In the dental insurance terminology, dependents are:

Answer 1

parties covered under another person’s dental benefits policy

Question 2

Which of the following is an organization legally established by a group of dentists to enter into third-party contracts?

Answer 2

individual practice association

Question 3

When organizing insurance coverage for each patient subscription services are valuable because they:

Answer 3

provide continually up-to-date information

Question 4

What should be the first step in an insurance tracking system?

Answer 4

to place a copy of the dental claim form in a file for the month the claim was generated

Question 5

When processing a dental claim form, the administrative dental assistant should avoid:

Answer 5

writing off the patient balance

Question 6

When there is secondary coverage, the birthday rule designates primary coverage to the patient

Answer 6

whose birthday comes first in the year

Question 7

When treatment exceeds a specified dollar amount, it is wise for the dental office to:

Answer 7

submit a pretreatment form

Question 8

In procedure code D4987, which digit identifies the code as a dental service code

Answer 8

D

Question 9

What is the premise of a closed panel program

Answer 9

Dentists and dental entities agree to provide services to a group of patients

Question 10

A customary fee is one that the:

Answer 10

third-party administrator determines from actual fees