Dental Benefits Administrator definition

Dental Benefits Administrator. (DBA) means Dominion Dental Services USA, Inc., the independent company that administers dental benefits for BCBSAZ. The DBA processes dental claims, determines dental necessity and handles utilization management, grievances and appeals related to dental services.

Examples of Dental Benefits Administrator in a sentence

  • This 1915(b) Waiver allows a Prepaid Ambulatory Health Plan (PAHP), Dental Benefits Administrator (DBA) to administer/deliver dental services to Medicaid recipients residing in urban Clark and urban Washoe Counties in Nevada.

  • With the goal of increasing dental provider enrollment, the Department outlined pay-for-performance standards in the February 2015 Maryland Medicaid Dental Benefits Administrator Request for Proposals.

  • You must submit the following information to receive reimbursement: Participant's Name Participant's identification number or Social Security Number Participant's Address Copy of Itemized Dental claim reflecting ADA procedure codes Copy of receipt showing your payment to the Dental provider for the services Be sure to write "Colorado Pipe Dental Benefits" on the Claim and ReceiptThe Dental Benefits Administrator will also accept electronic submission of dental claims.

  • Contact the Dental Benefits Administrator to obtain additional information including a schedule of benefits and applicable cost-sharing, limitations, and exclusions.SUBMITTING YOUR DENTAL BILL FOR REIMBURSEMENTTo be reimbursed for the Dental Benefits, you must submit the itemized bill reflecting the Dental services and provider's fees to the Dental Benefits Administrator whose contact information is provided in the Quick Reference Chart in this SPD.

  • DENTAL BENEFITSThe Dental Benefits provided under the Plan are described in Article VII: Dental Benefits are administered by the Dental Benefits Administrator identified in the Quick Reference Chart in this SPD and are considered excepted benefits under the Affordable Care Act.

  • The internal rate of return for an equity investor over the 20-year life of the project is estimated at 13.7 percent.

  • If you go to a non-network dentist, 100% of the Dental Benefits Administrator rate may not cover that dentist's full charge for Type A services.Before benefits are available for other dental expenses, an individual Deductible must be satisfied each calendar year.

  • With the goal of increasing dental provider enrollment, the Department outlined pay-for- performance standards in February 2015 in the Maryland Medicaid Dental Benefits Administrator Request for Proposals.

  • Upon implementation of the new waiver benefit, enrollees identified as eligible for the new adult dental benefit would be provided notice from the Dental Benefits Administrator or state (depending on whether the enrollee receives services through fee-for-service or the PAHP system).

  • Costs for procedures, services or supplies, including retreatment, that exceed the frequency limits established by the Dental Benefits Administrator.

Related to Dental Benefits Administrator

  • Claims Administrator means the firm proposed by Class Counsel and appointed by the Courts to administer the Settlement Amount in accordance with the provisions of this Settlement Agreement and the Distribution Protocol, and any employees of such firm.

  • Pharmacy benefits manager means a person that performs pharmacy benefits management.

  • Medical Benefits means medical, optical, or dental benefits, including, but not limited to, hospital and physician services, prescription drugs, and related benefits.

  • Societal benefits charge means a charge imposed by an electric

  • Pharmacy benefit manager means a person, business or other

  • County Administrator means the Greenville County Administrator, or the person holding any successor office of the County.

  • Plan Administrator means the person, persons, and/or third-party administrator designated by the Company to administer the day to day operations of the Plan and the Company’s other equity incentive programs.

  • Change in Control Benefit means the benefit described in Section 2.4.

  • Designated Retirement Account means any retirement plan or account described or qualified under the Internal Revenue Code of 1986, as amended, or a subaccount thereof.

  • Accrued Benefit means the amount standing in a Participant's Account(s) as of any date derived from both Employer contributions and Employee contributions, if any.

  • Retirement Account means any retirement or pension fund or account, listed in Iowa Code section 627.6(8)“f” as exempt from execution, regardless of the amount of contribution, the interest generated, or the total amount in the fund or account.