Category: Insurance | Difficulty: Intermediate | Priority: Core | Subcategory: Plan Structure
A list of predetermined maximum amounts that a dental benefit plan will pay for each covered service, used to calculate the patient's out-of-pocket responsibility.
The list of set amounts your insurance plan will pay for each type of dental work.
[[allowed amount; ucr; maximum allowable charge; contracted fee]]
PPO plans use contracted fee schedules; patients pay the difference between the dentist's fee and the scheduled amount.
🗂 Front Desk