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Agmt98 Delta Dental
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Agmt98 Delta Dental
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Last modified
7/5/2005 2:59:37 PM
Creation date
5/20/2005 2:45:37 PM
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Template:
Agreement
Contractor Name
Delta Dental
PROJECT NAME
coverage for police officers & sergeants
RMP File Number
304
Date
2/2/1998
Reso Ref
13279
Box
5933
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<br />--- <br /> <br />7.6 <br /> <br />7.7 <br /> <br />7.8 <br /> <br />7.9 <br /> <br />-~- <br /> <br />_u_- <br /> <br />n_~_- <br />----- <br /> <br />~ ~---~ <br /> <br />- --------~ <br /> <br />---- n <br /> <br />Delta will pay a Participating Dentist directly for services provided by that <br />Dentist. CONTRACTS BETWEEN DELTA AND ITS PARTICIPATING <br />DENTISTS PROVIDE THAT, IN THE.EVENT DELTA FAILS TO PAY <br />THE DENTIST, THE ELIGIBLE PERSON WILL NOT OWE THE <br />DENTIST FOR ANY SUMS OWED BY DELTA. <br /> <br />Delta will pay an Eligible Person directly for services provided by a Dentist <br />who is not a Participating Dentist, and those payments are not assignable. <br />IN THE EVENT DELTA FAILS TO PAY THE DENTIST WHO HAS <br />NOT CONTRACTED WITH DELTA AS A P ARTICIP A TING DENTIST, <br />THE ELIGIBLE PERSON MAYBE LIABLE TO THE DENTIST FOR <br />THE COST OF SERVICE. <br /> <br />Delta is not obligated to pay claims submitted more than six months after <br />the date the service was provided. If a claim is denied because a <br />Participating Dentist failed to make timely submission, the Eligible Person <br />does not owe that Dentist the amount which would have been payable by <br />Delta, provided that the Eligible Person advised the Dentist of his or her <br />eligibility for Benefits at the time of treatment., <br /> <br />Delta will give each Participating Dentist, and any other Dentist or Eligible <br />Person on request, a standard form to make a claim for payment for <br />services covered by this Contract. In order to make a claim for payment, <br />such form, completed by the Dentist who provided the services and by the <br />Eligible Person (or the patient's parent or guardian if such patient is a <br />minor) must be submitted to Delta at the address on the form. <br /> <br />21 <br />
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