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Dental Benefit Plans
Coverage through dental benefit plans is one of the primary ways patient care is funded and being able to navigate the dynamic world of dental benefit plans is one key to managing a smart practice. Utilizing the resources included here, you will learn how to navigate the unique requirements of provider agreements, manage and file dental claims efficiently and effectively, improve your understanding of your appeal rights as a dentist and much more.
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This guide identifies many of the key policies necessary to comply with the Denti-Cal program’s requirements. It will help dentists navigate the program and ensure prompt payment and program compliance.
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Me again, just wanted to provide you with a few updates regarding Delta that may pertain to you. Are you having any trouble with COB claims or reimbursement for items where you have made notations in the remark field (35) of your claim form? If so, these tips may help clarify things….    Read more >>
Effective May 1, 2012, Metlife will become the dental carrier for the Tricare Dental Program. The Active Duty Dental Program will still be administered by United Concordia.    Read more >>
A blog posting dated March 1 addressed numerous inquiries and complaints about Delta Dental’s claim processing problems that member dentists have brought to CDA. As a follow-up to these inquiries, we have received information on guidance that Delta’s Provider Relations department has been giving to dental offices on some of these issues.    Read more >>
We reported in an earlier blog entry about increasing issues and difficulties dentists are having with Delta Dental. Problems have stemmed from the conversion in late November to a new system at Delta related to adjudication of claims.    Read more >>
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Ann Milar Ann Milar  
Dental Benefits Analyst

916.554.4994
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Dental Benefit Plan Handbook
Tip of the Week

If a computer hard drive, laptop or other electronic media with patient information is stolen or lost, the dental practice does not need to comply with the state and HIPAA breach notification rule if those items are encrypted.