Menu
Menu

Dental Benefit Plans

Use our resources to navigate the requirements of provider agreements, file dental claims and better understand your appeal rights as a dentist. If you experience challenges, you can submit your dental benefit plan issues online for review.

Dental Benefits Issue Submission

Dental Benefits issues? Share issues and get support. 

Start Here

Resources by Topic

CDA members already have access to Practice Support’s full resource library. See dental benefits resources listed by topic below for help navigating common dental benefit plan challenges. 

These are member-only resources and you will need to log in to view or download.

Audits

Resources and information on dental plan audits; understanding the audit authority of third party payers and requirements; and best practices for patient records.

View Audit Resources

Billing

Resources and information on laws related to dental benefits; eligibility verification; proper coding; understanding how to properly bill for treating providers; and navigating the payment dispute process.

View Billing Resources

Carrier-Specific

Resources and information to help dentists navigate a rapidly-shifting marketplace and sustain systems in which dentists can most effectively provide quality oral health care to their patients.

View Carrier-Specific Resources

Claims

Resources and information on provider rights; navigating claim denials, the payment dispute process and appeals; and understanding the role of the plan regulators.

View Claims Resources

Contracting

Information and tools to help dentists evaluate dental plan provider agreements; establish fee schedules; and understand the impact to a dental practice.

View Contracting Resources

Coordination of Benefits

Information and tools for billing for patients who have coverage through more than one plan, including California's coordination of benefits law and when non-duplication of benefits is applicable.

View COB Resources

Resource Library

Log in to access an online library of downloadable articles, guides, templates, checklists and forms.

Join our online community

Dental Benefit Plan News

Questions about coordination of benefits? CDA Practice Support has answers Questions about coordination of benefits? CDA Practice Support has answers CDA Practice Support receives hundreds of calls each year concerning the coordination of benefits when a patient has more than one dental plan for coverage. Standard COB...
Dentists encouraged to respond to Delta Dental recoupment demand Dentists encouraged to respond to Delta Dental recoupment demand CDA has learned that due to a Delta Dental of California system error, crown procedure claims were erroneously processed and paid for, affecting approximately 350...
Auto-adjudication can expedite claims processing, but it can also confuse dentists Auto-adjudication can expedite claims processing, but it can also confuse dentists Today, many dental benefit plans use auto-adjudication to process a high number of their claims. While auto-adjudication can speed up claim processing, if an office is not...

Theme picker