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  2. Delta Dental - Wikipedia

    en.wikipedia.org/wiki/Delta_Dental

    The Delta Dental Plans Association, also known as simply Delta Dental, is an American network of dental insurance companies composed of 39 independent Delta Dental members operating in all 50 states, the District of Columbia and Puerto Rico. These member companies provide coverage to 85 million people, enrolled in over 157,000 groups.

  3. Dental insurance - Wikipedia

    en.wikipedia.org/wiki/Dental_insurance

    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.

  4. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...

  5. Open Referral - Wikipedia

    en.wikipedia.org/wiki/Open_Referral

    Open Referral in private medical insurance refers to the practice of a General Practitioner referring patients to any consultant with a particular speciality for treatment rather than explicitly naming a specific consultant. The insurance company will then choose a consultant that has the speciality specified from an approved list that they ...

  6. Electronic referrals - Wikipedia

    en.wikipedia.org/wiki/Electronic_Referrals

    Electronic referrals can result in considerable benefits for service providers. Firstly at the patient level, e-referrals ensure significant improvements to follow-up care coordination [4] by the creation of accurate and timely referrals. Medical decisions are enhanced as each provider involved has the full patient information available to them ...

  7. Stark Law - Wikipedia

    en.wikipedia.org/wiki/Stark_Law

    Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.

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