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Washington State Dental Association

ADA Explanation of Benefits Statement

In 2014, the ADA House of Delegates adopted Resolution 103, which called for the development of a model Explanation of Benefits (EOB) statement for the reporting of dental claim adjudication that could become the industry standard. 

The model, developed by the Council on Dental Benefit Programs, was shared with the following organizations:

- Delta Dental Plans Association
- National Association of Dental Plans
- America's Health Insurance Plans
- Blue Cross Blue Shield Association

The goal of this model is to facilitate clear and accurate communication between patients, providers and dental benefit payers. 

View The EOB Model

To ask questions about dental benefits, or to express concerns about EOB language, email ADA staff at, or call (800) 621-8099

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