Determination of Benefits. When the total cost of eligible dental expenses is expected to exceed the Pre- determination Limit as shown in the Schedule of Dental Benefits (Appendix E), the Dentist’s treatment plan should be sent to the Contract Administrator before the first date of treatment. Based on the treatment plan, the Contract Administrator will estimate the amount of the benefit available if treatment is performed and inform the Dentist of the determination. The treatment plan should:
Appears in 6 contracts
Samples: Master Agreement, Master Agreement, Master Agreement
