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The Commission on Dental Competency Assessments (formerly the North East Regional Board of Dental Examiners) is one of three examination agencies for dentists in the United States. [1] These were organized to better standardize clinical exams for licensure. Historically each state had its own independent licensing exam.
The California Department of Consumer Affairs (DCA) is a department within the California Business, Consumer Services, and Housing Agency. DCA's stated mission is to serve the interests of California's consumers by ensuring a standard of professionalism in key industries and promoting informed consumer practices.
The state submitted a plan on September 18, 2009, but the plan failed to meet requirements set by the release order. [4] On October 21, 2009, the court rejected the plan, [5] and gave the government until November 12 to submit a corrected plan [6] or it would order the attorneys for the plaintiffs to submit a plan and order it implemented. [7]
Unlike denied claims, rejected claims must be corrected and resubmitted. Failure to address rejected claims can lead to significant revenue loss, making timely rework essential. Step 7: Creating Patient Statements [4] After the payor processes the claim and pays their portion, any remaining balance is billed to the patient in a separate statement.
Qualified claims must be described in the HRA plan document at inception: before reimbursing employees for the medical expenses. Arrangements (medical services, dental services, co-pays, coinsurance, deductibles, participation) may vary from plan to plan, and an employer may have multiple plans in place, allowing much flexibility.
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With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.
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