| A | B |
|---|
| Barter system | method used only in the private sector by which the dental provider and patient negotiate payment that involves exchanging goods and services without using money. |
| Capitation plan | plan in which a dental provider contracts with a third party to provide all or most of the services to a specified group of people in return for a fixed monthly payment, which is determined according to the number of individuals or families in the group |
| Copayment | portion of the cost of each service a patient pays |
| Fee-for-service | charge based on a fee scale for all covered services;bills the patient for services rendered by a dental hygienist, dentist, or denturist; most coomon payment method of the United States |
| Medicaid | Federal that traditionally distributes funds to states for medical and dental care provided to certain groups, including aged, blind, and disabled people; those with low incomes; and certain members of families with dependent children |
| Medicare | Federal medical insurance program for people age of 65 or older, people, under age 65 with certain disabilites, and people of all ages with end stage renal disease |
| Deductable | amount an individual enrolled in an insurance plan must pay for covered services before the insurance entity begins paying |
| Explanation of benefits | form sent to the patient and provider for explaining the approval or denial of payment for procedures rendered |
| PPO | Perferred provider organizations- the practioners contract with a PPO to provide dental care services for lower than average fees in order to attract patient subscribbers who are seeking lower costs |
| UCR | usual, customary, and reasonable -average dentist fee per service in the immediate local region |
