Participating Dentist definition

Participating Dentist means any Dentist who, at the time of rendering a Covered Dental Service to the Member, has a written agreement with CareFirst BlueChoice or the Dental Plan for the rendering of such service.

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Participating Dentist means a licensed California dentist who has contracted with CDN as a general practitioner, and shall include any hygienists and technicians recognized by the dental profession who assist and act under the supervision of the dentist, and/or a specialist to render services to Members in accordance with the provisions of the CDN Agreement under which a Member is enrolled. The names, locations, hours, services, and other information regarding CDN’s Participating Dentist facilities may be obtained by contacting CDN’s office or the individual Participating Dentist. Pediatric Dental Benefits are one of the ten Essential Health Benefits required under the Affordable Care Act (ACA). In California, pediatric dental benefits cover dental care and services such as cleanings, x-rays, and fillings for those up to age 19. Regulations means those Regulations promulgated and officially adopted by the California Department of Managed Health Care. Special enrollments are the opportunity for people who experience a qualifying event, such as the loss of a job, death of a spouse or birth of a child, to sign up immediately in a health plan, even if it is outside of Covered California’s open enrollment period. Specialist means a dentist who is responsible for the specific specialized dental care of a Member in one specific field of dentistry, such as endodontics, periodontics, pedodontics, oral surgery or orthodontics, where the Member is referred by CDN. Subscriber is the person who has entered into this Group Subscriber Agreement, Combined Evidence of Coverage and Disclosure Form and who is responsible for the premium payment to CDN.

Participating Dentist means a Dentist who has a written agreement with Blue Cross and Blue Shield of Illinois or the entity chosen by Blue Cross and Blue Shield to administer a Participating Provider Option Dental program to provide services to you at the time you receive the services.

Examples of Participating Dentist in a sentence

• In the event the enrollee and the terminated Participating Dentist qualify, the Plan will furnish the dental services on a timely and appropriate basis for up to 90-days or longer if necessary, for a safe transfer to another Participating Dentist as determined by the Plan in consultation with the terminated Participating Dentist, consistent with good professional practice.

• Should the Participating Dentist deny Member the request to add an addendum, the Member should contact CDN for assistance.

• In the event that CDN does not pay non-contracting Participating Dentists, the Member may be liable to the non-contracting Participating Dentist for costs of services rendered.

• The payment of copayments, deductibles, or other cost sharing components by the enrollee during the period of continuation of care with a terminated Participating Dentist shall be the same copayments, deductibles, or other cost sharing components that would be paid by the enrollee when receiving care from a Participating Dentist currently contracted with or employed by the Plan.

• You may select any CDN Participating Dentist for you and your family’s dental care.

More Definitions of Participating Dentist

Participating Dentist means any Dentist who is a party to a valid Delta Dental Premier and/or PPO Participating Dentist Agreement with DDKS. These Dentist agree to render services in accordance with the terms and conditions established by DDKS and have satisfied DDKS that they are in compliance with such terms and conditions.

Participating Dentist means a Dentist who has a written agreement with the Claim Administrator or the entity chosen by the Claim Administrator to administer a Participating Provider Option Dental program to provide services to you at the time you receive services.

Participating Dentist means a Dentist who is a member of Delta Dental’s PPO or Delta Dental Premier networks.

Participating Dentist means a dentist who has entered into a

Participating Dentist means a Dentist who has a written agreement with Blue Cross and Blue Shield of Illinois, or the entity chosen by the Insurer to administer a Participating Provider Option Dental program, to provide services to Covered Persons at the time they receive the services.

Participating Dentist means a dentist who has entered into a contract with a carrier to provide dental services to covered persons for a predetermined fee or set of fees.

Participating Dentist means a Dentist or service provider who has or participates under a participation agreement with a Delta Dental Plan for rendering the Dental Care provided by this Policy and who has agreed to accept payment based on the applicable Maximum Plan Allowance for a Premier Dentist or PPO Dentist.