COVERED DENTAL CARE SERVICES means any dental service, treatment, or procedure that we have determined is eligible for reimbursement under this plan. PREDETERMINATION is a procedure whereby you or your dentist sends us your treatment plan before treatment is rendered and we review to determine if a proposed treatment is covered under your plan. A predetermination is an estimate, not a guarantee of payment, and is based on your eligibility status and benefits at the time of the request. It is subject to change. In addition, predetermination also determines if a dental service is dentally necessary, or is medically necessary for an orthodontics service.
Ambulatory surgical facility means a facility that:
Non-Administrator Ambulatory Surgical Facility means an Ambulatory Surgical Facility which does not meet the definition of an Administrator Ambulatory Surgical Facility.
Dental means of or relating to the teeth and the work of a dentist.
Dental hygienist means an individual licensed under this chapter to practice as a dental hygienist.