Office Staff Receiving Insurance Card from Patient

Humana Dental Patient ID Cards & How To Read Them

You may have recently received a letter from Humana clarifying some patients’ ID cards for dental coverage. See example image below. Humana Medicare Advantage dental patients are typically on HMO medical plans. The embedded dental benefits on these plans are … Read More

Industry Game Changer: Virtual Dentistry

Virtual dentistry, or teledentistry is a combination of telecommunications and dentistry for dental consultation and treatment planning for care, education, and public awareness. “Teledentistry is a rising trend in our profession that is here to stay,” according to Dr. Ronald … Read More

A Great Solution For Verifying Patient Eligibility

How much time are you or your staff spending on the phone or searching through PPO portals verifying eligibility? With the rise of network umbrellas and PPOs sharing their networks of dentists, your in-network participation can sometimes not be as straight … Read More

PPO Provider Verification

Provider Directory Verification Notices – Do NOT ignore these!

With the Affordable Healthcare Act, there is a growing trend for legislation requiring insurance companies be held accountable for accuracy in their directories listing in-network providers. Prior to deciding on a plan, enrollees can know, with confidence, which doctors are … Read More

Metlife EFT Requirements, Do You Have To Comply?

Many offices have received notices from MetLife that they MUST sign up for Electronic Funds Transfer. Click here to review additional information, including the exception that “some offices may not yet be equipped to handle this change and those who can’t … Read More

Aetna Dental Policy Changes Effective July 17, 2017

D4355 – Debridement, full mouth to enable comprehensive periodontal evaluation and diagnosis To align with the ADA descriptor of D4355, the following changes are being made to our claim processing policies: D4355 will be denied when performed on the same … Read More

Cigna PPO Re-Credentialing Changes, Don’t Get Terminated!

Cigna is sending electronic links for re-credentialing. A provider who works at more than one location may think he/she does not need to complete the re-credentialing if they recently submitted everything to be added to another location. However, Cigna will … Read More

Zelis Purchases Maverest Dental Network

Many of you have received letters announcing that Zelis (formerly Stratose) has acquired the Maverest Dental Network.   If you are directly contracted with both companies, you will have the option to select either your existing Zelis/Stratose or Maverest fee … Read More

2017-Tricare-Dental-Changes

2017 Tricare and ADA Code Changes

Tricare Changes Instead of the military contracting its own providers, they lease providers through existing PPOs. United Concordia has been awarded the TRICARE Dental Plan (TDP) five year contract which will take effect May 1, 2017. MetLife had the contract … Read More

Why Discussing Your Fees With Other Dentists Is Illegal

Have you ever been told that you should not discuss your office fees or insurance reimbursements with other dentists? Have you ever wondered why? If so, below is a refresher on federal antitrust law that prohibits certain activities and the … Read More