Dental insurance eligibility determination and utilization recordation system

摘要

A system for determining benefit eligibility of a patient/participant in a dental plan by a dental care provider, for determining plan design by a dental care provider and for recording benefit utilization by a dental care provider for a patient/participant. The system comprises one or more computers, an eligibility determining member and a service performance member. Each such computer includes at least one data storage member, at least one input member, and least one output member. Where multiple computers are utilized the computers are linked to define a network. At least one of the computers includes participant data stored on the data storage means pertaining to a participant. The eligibility determining member determining the eligibility of a participant relative to a contemplated dental procedure. The benefits utilization recordation member capable of accepting the entry by the dental care provider of information pertaining to the utilization of benefits by way of a procedure by the dental care provider.