How do I find out about coverage, deductibles, co-pays and maximums for your patients? Please consult your merchant processor or financial institution for specific rates Standard credit card processing charges will apply. If you have any comments or problems, please call Provider Relations at 80.Īre there fees assessed for payments by Virtual Credit Card? We encourage you to refer to this information for any questions you may have.
Visit to review The Dentist Guide for guidelines around handling our patients seen in your practice and their claims. Who do I contact if I have questions regarding my responsibilities with your PPO Networks?Īs part of your welcome notification, you were provided a copy of your Participating Dentist Agreement and your Personal Fee Profile. You can call Provider Relations at 80 with questions, or to obtain your network fee for any procedure not listed in your Personal Fee Profile. Who do I call if I have questions regarding my Personal Fee Profile? You can call Provider Relations at 80 from 7:00 a.m.
Who do I call with questions about my network participation? We also direct patients to participating providers via telephone referrals through our Client Services lines. Your practice information is included in our directory of participating providers and on our website. How do patients find out that I am a participating dentist? The program addresses areas of credentialing, utilization reviews, professional standards, the monitoring and resolution of member complaints and appeals, and the assessment of the satisfaction of our providers and eligible members through surveys and evaluations. We adhere to quality standards encompassing a broad range of care and service issues that are the cornerstone of our Quality Assurance Program (QAP). How is the quality of the network assured? There is no fee to join our PPO networks. Is there a fee to join your PPO networks? The credentialing process is based on standards developed by the National Committee for Quality Assurance (NCQA) and our provider network. All general dentists and specialists must be credentialed before being accepted as a participating provider. To receive information and forms to join our PPO networks, call Provider Relations at 80, email complete this online form.
How will I know when a patient participates in one of your PPO networks?Īll eligible members will receive an identification card listing their PPO network. Our PPO networks include dentists contracted with Dental Health Alliance, L.L.C.® (DHA®) and dentists under access arrangements with other dental networks. We offer the Sun Life Dental Network® and Sun Life Focus Network®. What Preferred Provider Organization (PPO) Networks do you offer?
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