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What does Carve out coordination of benefits mean in dental insurance?
Wiki User
∙ 14y ago
When a patient has primary and secondary insurance plans and there is a CO Bcarve out clause on their secondary plan this is what happens. Primary pays their amount and secondary subtracts primary's payment from what they were suppose to pay and pays the difference.
Example:
Primary pays 50% of a filling which cost $100.00 and secondary pays 80%.
Primary pays $50.00, secondary would pay $80.00, therefore, secondary would only pay $30.00 of the remaining $50.00.
It is a very confusing issue and I have been in dental for over 25 years and I still have a hard time explaining this to patients.
Wiki User
∙ 14y ago
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What is Medicare carve out coordination?
Medicare carve-out coordination refers to the process of coordinating healthcare benefits and services between Medicare and other insurance plans. In a carve-out arrangement, certain specific benefits or services are excluded from the primary insurance plan and instead covered by Medicare. The coordination involves ensuring that claims, payments, and coverage for these carve-out services are properly managed and coordinated between Medicare and the primary insurance plan.
What is a dental hollenback?
It is an instrument used to carve anatomy into silver dental fillings.
Meaning of carve back in liability insurance?
an exception
What is Medicare carve out?
A Medicare carve out is the use of private insurance to enhance the coverage of Medicare insurance. There are several different plans to choose from that work along with Medicare to give the best coverage possible at the least amount of cost to the patient.
What is Spousal carve out?
Spousal carve out is when an employer has a provision in their health insurance plan by which they deny coverage of an employee's spouse if he/she qualifies for, whether declined by him/her or not, coverage under another plan.
What does Non Duplication clause mean on dental policy?
With my dental...delta dental...it meant that even though I have dual coverage and have been paying for both dental plans...it was a waste of money because they would not pay anything over what my primary insurance would pay. That they would not pick up the difference (my copay) for my dental work. They would only pay up to the amount my primary would have paid.
Can you carve quartz?
yes you can carve quartz
What is a 5 letter word for carve?
Carve is the answer because it is a 5 lettered word and means carve
What is the past tense of carve?
The past tense of carve is carved.
A sentence with carve?
My dad likes to carve the Sunday roast.
What is the past participle of carve?
Carved is the past participle of carve.
How do you used the word carve in a sentence?
i decided to carve a pumpkin for Halloween
