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.
By legal mandate, California requires every dental plan to have a formal procedure that network providers can use to challenge adverse payment practices or specific payment decisions.
Described in regulation as the “fast, fair and cost-effective dispute resolution mechanism,” the provider dispute resolution process adopted by each plan is supposed to be just that -- fast, fair and cost-effective.
Share issues and get support from expert analysts.
Contact your dental plans to stress the importance of providing meaningful financial relief.
Access an online library of downloadable articles, guides, templates, checklists and forms.
Dental Benefits Analyst
Do you have a question about a dental benefit issue? You can receive timely assistance from a CDA Practice Support expert. Simply submit your question online using the dental submission form available within your cda.org account.
A new CDA Practice Health Check can help dental practices prepare for the American Dental Association’s CDT code changes for 2022. The ADA updates CDT codes annually, and failure to review the changes could lead to unnecessary claim denials and delays.
Every July, CDA Practice Support starts hearing from members who have received notice from a dental benefit plan about a forthcoming audit. CDA's dental benefits analyst explains the post-pay audit, when dentists must participate in the audit and dentists' right to appeal the findings.