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A Patient Has Insurance Coverage from July 1 of the Last

question 24

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A patient has insurance coverage from July 1 of the last year until June 30 of the current year, after which the patient no longer receives this benefit. The patient had a maximum benefit coverage of $1200. For the year-end to date, the patient used only $450 of the benefit. Toward the end of June, it is determined that the patient needs to have a bridge, but the work cannot be completed before July 1. The patient is informed of the fee for the bridge. The patient insists that since she has over $700 of unused balance from her insurance, the dentist should change the date of service to ensure insurance coverage. What would the dentist be committing if he does this?


Definitions:

Evaluation Apprehension

Anxiety about being judged or evaluated by others, known to influence behavior and performance.

Commons Dilemma

A situation in which individuals' short-term self-interest conflicts with long-term group interest and welfare, often leading to the overuse and depletion of a common resource.

Self-Interested

This describes an individual acting in a way that is beneficial primarily to themselves, often at the expense of others or the collective good.

Anonymity

A condition in which a person's identity is not revealed or recognized, making them anonymous.

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