See dental benefit organization: third-party administrator.Īllowable charge: The maximum dollar amount on which benefit payment is based for each dental procedure as calculated by the third-party payer.Īlternate benefit: A provision in a dental plan contract that allows the third-party payer to determine the benefit based on an alternative procedure that is generally less expensive than the one provided or proposed.ĪNSI/ADA/ISO: Acronyms for organizations that administer or develop national and international standards. This frequently includes all insurance company services (actuarial services, underwriting, benefit description, etc.) except assumption of risk.Īdministrator: One who manages or directs a dental benefit program on behalf of the program’s sponsor. Click a letter to jump to that section.)Ī | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z AĪdministrative costs: Overhead expenses incurred in the operation of a dental benefit program, exclusive of costs of dental services provided.Īdministrative services only (ASO): An arrangement under which a third party, for a fee, processes claims and handles paperwork for a self-funded group. (Words and terms in bold are defined within this glossary. New dentists and staff, however, may not be as familiar – and over time new terms come into use and old terms are revised for clarity. Many terms are familiar, especially to experienced individuals. There are many terms used daily by dentists and their staff in the course of delivering care to patients, maintaining patient records and preparing claims.
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