Billing, Insurance and Reimbursement · CDA

What is the purpose of pre-treatment estimate (pre-authorization) in dental insurance?

  1. To formally guarantee the patient's comfort during the procedure
  2. To estimate the insurer's payment and the patient's share
  3. To schedule future maintenance and recall visits in advance
  4. To serve as a legal replacement for the standard claim form
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Correct answer: To estimate the insurer's payment and the patient's share

Pre-authorization gives a projected cost breakdown. This helps patients understand their financial responsibility before treatment.

Difficulty: Medium Question 15 of 20

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