Delta dental coordination of benefits

What does standard coordination of benefits mean? Coordination of Benefits. The goal of coordinating benefits is to make sure the cost of the dental procedure is covered within the scope of the plans, without exceeding the amount of the actual bill.

If so, you likely have dual coverage and your dental plans need to coordinate your benefits. Note: Not all benefit carriers have the same requirements for submitting COB claims. When you are covered by two dental plans this is called dual coverage.

If you are covered by two dental plans. This does not double your coverage. However, it may reduce your out-of-pocket costs. By coordinating benefits with your other carrier, we may be able to reduce your out-of-pocket expenses for covered services.

We offer hassle-free customer service with more than of all claims processed within 10. It’s not uncommon, but it can get a little complicated. Here’s how it works: 1. Your COB is the way your two plans work together when you have dual coverage.

One area of dental benefits that can cause some confusion is coordination of benefits (COB). COB takes place when a patient has more than one dental plan and is able to use both of them to cover their dental procedures. When this occurs, the two plans work together to coordinate benefits to eliminate over-billing or duplication of benefits. Knowing how to manage the coordination of benefits can lower out-of-pocket costs for your dental care. When you take your child to the dentist for sealants, the office will send the bill to your primary dental plan first.

Use this guide to familiarize yourself with the terms that you may find in your dental plan and make the most of your benefits. Annual MaximuThe total dollar amount that a plan will pay for dental care for an individual member or family member (under a family plan) for a specified benefit perio typically a calendar year. Explanation of Benefits. When dental insurers coordinate benefits , their goal is to make sure that the combined benefits from all of your dental plans do not exceed 1 of the dentist’s charges.

Table of Contents Dental Benefits Terms. This applies to claims processed by. What happens if a patient’s coverage is terminated during. Delta Dental of New Jersey.

The goal of COB is to make sure the cost of the dental procedure is covered within the scope of the plans, without exceeding the amount of the actual bill. What is coordination of benefits or COB ? What’s the Value of Dental Benefits ? Please use the Student Documentation Verification form. Having two dental programs (called dual coverage) does not double your coverage. The Importance of Preventive Care. Online Services for Members.

Oral Health Assessment. It is a term that describes when an individual is covered by more than one dental insurance policy.