Medical claim submitted to an insurance company in which payment has been rejected due to a technical error or because of medical coverage policy issues. Also called denied paper claim or denied electronic claim .

1. Optional benefit offered by commercial insurance or managed care plans. Dental benefits may be combined with a health insurance plan or may be a separate policy with a different insurance company. 2. Insurance coverage for basic dental services such as cleanings, cavity repair, and necessary dental surgery including preventive care. Most dental plans do not cover the cost of orthodontia.

Outpatient facility that provides dental services by a group of dentists practicing together and assumes dental care responsibility for patients (e.g., examination of teeth and gums, cleaning of teeth, diagnostic x-rays for caries, educational services for prevention of diseases of the teeth and gums).

Organization endorsed by the American Dental Association that maintains the data content specifications for dental billing. Under the Health Insurance Portability and Accountability Act (HIPAA), this committee acts as a consultant for all transactions affecting dental health care services.