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Covered California is the health insurance marketplace in the U.S. state of California established under the federal Patient Protection and Affordable Care Act (ACA). The exchange enables eligible individuals and small businesses to purchase private health insurance coverage at federally subsidized rates.
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.
A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [2] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4]
In 1998, L.A. Care became involved in the Healthy Families program, California's version of the Children's Health Insurance Plan (CHIP), and then in 2003 launched L.A. Care's Healthy Kids program for children ages 0–5, funded in partnership with First 5 LA and the Children's Health Initiative of Greater Los Angeles. Healthy Kids was ...
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The state increased the payment rate for evaluating a child's teeth, for example, from $15 to $45, and up to $100 if a dentist sees the same child two years in a row, according to the California ...
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