Common use of Basic Restorative Benefits - Exclusions and Limitations Clause in Contracts

Basic Restorative Benefits - Exclusions and Limitations. If the fee for a procedure or service is “Disallowed”, it is not payable by Delta Dental, nor collectable from the patient by a Participating Dentist. Participating Dentists agree not to charge a separate fee. • If the fee for a procedure or service is “Denied”, it is not payable by Delta Dental, but is chargeable to the patient as the procedure or service is not a benefit of the patient’s plan.

Appears in 3 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

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Basic Restorative Benefits - Exclusions and Limitations. If the fee for a procedure or service is “DisallowedNot Billable to the Patient”, it is not payable by Delta Dental, nor collectable from the patient by a Participating Dentist. Participating Dentists agree not to charge a separate fee. • If the fee for a procedure or service is “Denied”, it is not payable by Delta Dental, but is chargeable to the patient as the procedure or service is not a benefit of the patient’s plan.

Appears in 1 contract

Samples: Member Benefit Agreement

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Basic Restorative Benefits - Exclusions and Limitations. If the fee for a procedure or service is “DisallowedNot Billable to the Patient”, it is not payable by Delta Dental, nor collectable from the patient by a Participating Dentist. Participating Dentists agree not to charge a separate fee. If the fee for a procedure or service is “Denied”, it is not payable by Delta Dental, but is chargeable to the patient as the procedure or service is not a benefit of the patient’s plan.

Appears in 1 contract

Samples: Member Benefit Agreement

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