The
Dental Plan group of applications
holds information about the dental plans offered and administered by healthcare
payers. Each application in this group holds details of an integral dental plan
component. The applications available in this group are:
1.
Administrative Information
2.
Administrative Rules, Dental
3. Area
& Industry Rate Factors
4.
Alternate Funding Rules
5.
Automatic Action Criteria
6.
Benefit Summary
7.
Billing Component
8.
Class/Plan Definition
9. COB
Rules
10.
Component Prefix Descriptions
11.
Conversion Factor Definition, Dental
12.
Covering Provider Set application
13.
Deductible Rules
14.
Dental Category Payment
15.
Dental Category Related Parameters
16.
Dental Category Rule Definition
17.
Dental Category Waiting Period
18.
Dental Procedure/Category Conversion
19.
Dental Utilization Edits
20.
Duplicate Claim Rules, Dental
21. EOB
Information
22. Group
Administration Rules
23. In
Area ZIP Codes
24. Limit
Rules
25.
Network Set
26. Other
Party Liability
27. Plan
Descriptions
28.
Premium Rate Table
29.
Procedure Definition, Dental
30.
Procedure Payment, Dental
31.
Procedure Pricing, Dental
32.
Processing Control Agent
33.
Product
34.
R&C/Schedule, Dental
35. Trend
Rate Factors
36. Unit
Value Pricing Definition, Dental
37. User
Warning Messages
38.
Volume Calculation
39.
Volume Reduction Calculation
40.
Warning Messages
41. Zip
Code Area Definition
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