Skip to main content
Menu

Resources

Dental Benefits

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 aware that this type of technology is being used, the office can be confused and frustrated by processing errors as the result of manual claims submission. The following three examples illustrate how a plan might use auto-adjudication and how that process might affect dental reimbursement.

Billing medical plans for dental treatment

There is an ongoing trend within health care toward integration and consolidation of health care delivery systems. This trend is reflected in provisions of the federal Affordable Care Act, such as the envisioned coordination of care provided under a single entity, the "Accountable Care Organization." The objective of such integration and consolidation is to provide better management of care, create greater efficiencies in the provision of care and improve patient outcomes.

Congress is pursuing a Medicare dental benefit: Here's what to know

A significant amount of activity is underway in the U.S. Congress focused on adding dental, vision and hearing benefits to the Medicare program, and the proposals are moving quickly. This communication from CDA supplements what the ADA, media and other sources have shared to give members background and context for the current activity and clarify some common misunderstandings.

Congressional spending deal nears: Medicare dental benefit unlikely to be included

The U.S. Congress is working to finalize the details of President Joe Biden’s Build Back Better Act, and the framework of a final deal is near. While the details of the negotiated agreement have not been made public or acted on by Congress, it appears unlikely that a Medicare dental benefit will be included in the final legislation. 

Deadline to cash Delta Dental settlement checks approaching

Delta Premier Providers who are class members of the Delta Dental class action lawsuit have until June 14, 2019, to cash their settlement checks. The $65 million settlement is the result of legal action CDA filed against Delta on behalf of members. Most settlement checks sent to approximately 14,000 class members have been cashed, but the class action settlement administrator reports that more than 500 settlement checks have yet to be cashed.

123