There are a few essential terms that you should be familiar with before verification of dental insurance:
Eligibility: The process of determining whether or not an individual is qualified to receive benefits under an insurance policy. Eligibility is usually determined by age, status (e.g., employee or dependent), and length of time with the company.
Benefit: A feature of an insurance policy that provides coverage for a specified loss, service, or treatment.
Coverage: The amount of money that an insurer agrees to pay for a covered event.
Exclusions: Services or treatments that are not covered by an insurance policy. Exclusions are typically listed in the policy contract.
Pre-existing condition: A medical condition before an individual applies for insurance coverage. Pre-existing conditions are often excluded from coverage.