Claim Form - Medical For California Participants: Fill & Download for Free

It depends on whether or not you have dental insurance, as well as the network status of the dentist that treated you. You say you do. Alrighty then.If you have dental insurance (US) and are treated by a Network Dentist (aka Participating Provider), their provider contract with the insurance company most likely will require them to file your claim directly to the insurance company on your behalf. This is one of the bigger advantages of seeking care in network.If you go out of network, they’re under no obligation to file claims on your behalf, but the front desk should still offer to printout a completed claim form for you. You certainly can’t be expected to know all 400+ procedure codes! All you’d need to do is add your personal information and submit it to your insurance company for reimbursement.Some dentists actually prefer being in a network, as they may get paid faster/and patients may be less sensitive to price.The foregoing is informational only and is not intended to be medical advice. The California Dental Practice Act prohibits hygienists from diagnosing disease and/or recommending definitive treatment.Cathye L. Smithwick, RDH, MAConsultant to the dental industry since 1995Author: Dental Benefits, a Guide to Managed Plans

Several factors are at work in order to make this determination; they include negotiated network fee(s), allowed amount(s) if out of network, and plan design elements, including: deductibles, coinsurance and any annual or lifetime maximums. In addition, exclusions and limitations may also play a role, say, for example, medically necessary implants may be covered, while those for which prognosis is poor (for example, periodontal patients, as the same disease that caused them to loose teeth may also cause loss of the implant) may be excluded from coverage. None of this means you can’t have implants, but it can certainly affect the benefits you receive. (Who pays and how much?)I’m going to focus on plan design elements, as well as providing tips on how to accurately determine what your coverage will be.If implants are covered under your MetLife plan, the most reliable way I’ve found (over the years as a consultant) to determine what’s covered and exactly how much your share of the ultimate cost will be is to file a claim-like form known as a Pretreatment Estimate, also called pre-authorization or predetermination. This looks like a claim form and your dentist should fill it out for you, with all fields but the date of service (DOS) completed.Met will then examine your Plan provisions, treating dentist and other contracts to determine what they will cover, how much your share of the cost is, and how much they will ultimately pay the treating dentist. This helps to prevent unpleasant surprises.If your dentist is in Met’s Participating Dentist Network/PPO, known as the PDP network, your out of pocket cost is likely to be lower. For out of network care, on the other hand, Met will have an amount above which they will not pay, called the Allowable Amount. You would be responsible for the difference between Mets allowed amount and that fee actually charged by your dentist. If you go in network, things can be a lot simpler and you may save money.Cathye L. Smithwick, RDH, MASilicon Valley Dental HygienistThe foregoing is informational only and is not intended to be medical advice. I am not a dentist. I am a dental hygienist. The California Dental Practice Act prohibits hygienists from diagnosing disease and/or recommending definitive treatment.

This is the only example I can think of with that comorbidity.His name is Ted Kaczynski, but is better known as the Unabomber with genius IQ of 167.The backstory of Herr Kaczynski is rather unique and shrouded in mystery, just like his psychiatric diagnosis.1942 was the year he was born and he was described as a happy and cheerful baby, full of life. Until he got the hives and were put in isolation in a hospital for prolonged peroids of time away from his mom.We do not know what happened there as the medical journals is sealed. What I do know as a historian is that during that time period, babies were often taken from hospitals and used in unethical psychology experiments. Such as Albert and the rat experiment (which later paved the wave for modern behavioral treatment and phobia treatment) Baby used in notorious fear experiment is lost no more .Now this is just speculation on my part but it appears that he was somehow mistreated in the hospital or that he possible suffered severe trauma from being taken away from his loving mom.His mom has later claimed that Ted showed no emotions, no happiness and his eyes was dead ever since he was released from hospital care.When he entered his teen years he scored 167 IQ in a specialized IQ test and he was admitted to Harvard at the age of only 16.There he was bullied by all of his peers that were older then him. He never felt he fit in and he tended to avoid others as best he could. It is described in his diary that he yearned for friendship and companionship but felt socially inept (classic avoidant personality disorder).The few people that tried to befriend him was pushed aside.But there was one person that Ted managed to form a bond with - the highly esteemed Harvard psychologist Henry Murray. Ted percieved Dr Henry Murray as his only intellectual equal in this world and they quickly built a friendship.They had private sessions where they shared philosophical ideas with eachothet until Dr Henry one day asked Ted if he wanted to assist in a psychology experiment. Ted gladly accepted.This experiment was later dubbed “Project MK Ultra” and was the heartchild of the CIA and Harvard Psychologist Henry Murray was their operative.Ted Kaczynski participated in the MK Ultra project for 3 years as a guinea pig/test subject.We do not know what happened during these sessions but what we do know today is that the aim of MK Ultra was to break a persons spirit and mold them into a tool and to control their mind. (Fun fact; The CIA used MK Ultra techniques during interrogations in the Iraq war)To achieve this goal they used electro shocks, personal attacks/bullying, public humiliation, sexual humiliation and sexual assault, hypnosis, druggings with LSD, sensory deprivation, sleep deprivation, water boarding, isolation - and other juicy and equally illegal torture things.So it’s no wonder that the CIA has erased the file on Ted Kaczynski’s participation in their program. All the sessions were also filmed but the video tapes was destroyed.Once the 3 years of MK Ultra experiments was over he turned into a hateful and vengeful man as he himself has described in his diary.But he managed to finish his master's and doctoral degrees in mathematics. His professors has said “It’s not enough to merely say that Ted was a genius, he was far more. He had the ability to see mathematical truths like no other person”.As such he became the youngest assistant professor of mathematics in the history of University of California Berkeley and he taught calculus and geometry.But while he certainly was a genius of enormous magnitude, what he could never figure out was “How do I interact with other people?”His job as an assistant professor was shortlived as he could not properly communicate with his students or explain his thoughts in a manner that other understood, so he was boggled down with complaints from students, teachers and parents.He quit his job as a teacher, he tried to get some small odd jobs here and there but he had no success so he ended up living on his moms money while he was becoming increasingly angry at society but also scared of his mental health.He was trying to date some women but he was only met with rejection and perceived mockery.One crucial day which forever cemented his destiny he sought out a new psychologist.He wrote in his diary that he felt that “If this psychologist can not help me , I will shortly become mad. I will tell him all my problems because I need help, I will tell him that I want to change my gender and become a woman”.This is taken from the diary : “In the summer after his fourth year, he describes experiencing a period of several weeks where he was sexually excited nearly all the time and was fantasizing himself as a woman and being unable to obtain any sexual relief. He decided to make an effort to have a sex change operation. When he returned to the University of Michigan he made an appointment to see a psychiatrist to be examined to determine if the sex change would be good for him. He claimed that by putting on an act he could con the psychiatrist into thinking him suitable for a feminine role even though his motive was exclusively erotic. As he was sitting in the waiting room, he turned completely against the idea of the operation and thus, when he saw the doctor, instead claimed he was depressed about the possibility of being drafted. He describes the following: As I walked away from the building afterwards, I felt disgusted about what my uncontrolled sexual cravings had almost led me to do and I felt - humiliated, and I violently hated the psychiatrist. Just then there came a major turning point in my life.”He stormed out of the office and never returned or never entertained the idea of seeking help from anyone ever again for his mental problems or sexual fetish of becoming a woman or having a feminine role.In 1971 he moved to a remote cabin in Lincoln Montana where he lived as a hermit recluse for 20 years without human contact other then the lady in the small local library, which he sometimes conversed with.In his cabin he was continuously working on the Unabombers Manifesto, a manual for bringing down the entire industrial-technological system, government and institutions.He also worked hard on improving and perfecting bombs which he sent to professors, universities, airports, IT industries, geneticists, psychologists all over USA. His bombs injured and maimed many people and killed 3.His manifesto “Industrial Society and Its Future” was sent to newspapers and he claimed that if they published it he would cease and desist with his terrorist activities.The manifesto was published and this was how he was caught, as his writing style was recognized by his sister in law, whom Ted had sent many threatening letters to over the years.Ted’s brother contacted the FBI and that was how he was finally caught after a 20 year manhunt, the largest and the most expensive operation in FBI’s history.Today Herr Kaczynski is living happily isolated behind bars in United States Penitentiary Administrative Maximum Facility (ADX) in Florence, Colorado known as the “Alcatraz of the Rockies” where he spends 23 hours a day secluded in his cell.He is described by correctional officers as having an “unusual strong presence of mind for someone that has been isolated for so long and that he appears to be very happy”.He spends most his time writing letters and reading. He also appear to have no remorse or empathy.His diary has later been published and it paints a picture of a highly disturbed and hateful man, a misogynistic man, one that hates psychologists, insitutes and professors with a passion.So that begs the question ;What happened at that hospital when he was a baby? We know that personality disorders are formed the first years of childhood.Could the bullying he was subject to, the social isolation and the torture he was subject to during MK Ultra have sent his AVPD and ASPD into high drive?Was his desire to become a woman not a result of gender dysphoria or fetish, but a sick expression of how much he longs to be with a woman, but since no women wanted him he thought he could transform himself into a woman and have a relationship with himself?People with Avoidant Personality Disorder are also known for creating “alternative realities” for themself, could his thoughts on a society without technology , institutions and only anarchy be his alternative reality?The only living things Ted had any empathy for was helpless animals that was trapped in cages.Could it be that it is because he too felt trapped and helpless in a cage as a baby? That somehow this trauma had been permantly stored?It’s worth noting that his IQ had dropped sharply after 20 years in isolation. From a staggering 167 to a mere 124 according to the psychiatric evaluation.His full diagnosis is : paranoid schizophrenia, paranoid personality disorder, avoidant personality disorder, antisocial personality disorder and also sexual and gender identity related problems.