Practice Edge Blog

PPO Provider Verification

Everything You Need to Know About Provider Directory Verification Notices

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 and ADA Code Changes

Tricare Changes United Concordia has been awarded the Tricare Dental Plan (TDP) five year contract which will take effect early 2017. TDP offers comprehensive dental coverage to Uniformed Service active duty family members, National Guard, and Reserve members and their … 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

Important Changes for Maverest Basic Providers

As of May 1st, 2016, Maverest is phasing out their Basic plan. As a result, claims submitted by Basic Only providers will not be processed with Maverest fees. The Basic plan previously allowed dentists to be contracted at 75% of … Read More

3 Tips for Keeping Your Fee Schedules Updated in Dentrix

Updating and using fee schedules as a contracted PPO provider can produce huge benefits to your patients and your practice.  It can assist you in giving more accurate accounting of production, help your front office collect more accurately, and give … Read More

How Long Should You Keep A Patient Record?

Familiarity with the complexities of record keeping is crucial to each dental office and small business. The dental record, sometimes referred to as the patient chart, is the official document that records diagnostic information, clinical notes, treatment performed, and patient … Read More