Question

When there is insurance coverage for orthodontic treatment, it is the responsibility of the ______________ to submit periodic progress claims for reimbursement.

A. subscriber
B. insurance company
C. orthodontic office
D. general dental office

Answer 1

The orthodontic office is generally responsible for submitting claims for reimbursement to the insurance company when there is coverage for orthodontic treatment. They manage the patient's treatment details and communicate with the insurance company.

Step-by-step explanation:

When there is insurance coverage for orthodontic treatment, the responsibility for submitting periodic progress claims for reimbursement typically falls on the orthodontic office. It is this office that oversees and tracks the patient's treatment progress, and they have the necessary information and documentation to submit claims for the procedures that have been performed. They are also usually in regular communication with the insurance company to ensure that payments are being processed correctly. The orthodontic office staff ensures that proper coding and treatment details are included to facilitate the reimbursement process.