2 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. 1-859-389-6505. 4. var dayNames = new Array("Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"); There’s an online repository to store documents. 1 You can choose from thousands of participating general dentists and specialists nationwide. Fax form to MetLife: 1-859-259-1425 . UCD Credentialing Application_FINAL_10/15/18 Page 1 of 4 . You can also contact MetLife Customer Service by … The estimate helps you prepare for the cost of dental services. VerifPoint offers easy and customizable credentialing solutions to dental, vision, medical and therapy professionals. 4Certainfeatures of the MetLife Mobile App are not available for all MetLife Dental Plans. Home » Credentialing and Recredentialing Credentialing and Re-Credentialing The process through which an organization (e.g., a hospital, insurance network, clinical practice, or physician group) decides whether a candidate is qualified to render acceptable quality of care to patients. Referral services are not available in all locations. This reduces your out-of-pocket cost. // Array of month Names to earn CE credits without leaving the office. Find a Dental Provider in the MetLife Dental Network. You can e-sign your credentialing documents, too. Please be advised MetLife has contracted VerifPoint to provide credentialing and recredentialing services on MetLife's behalf. research. It is important that you respond to VerifPoint to ensure your continued relationship with MetLife. Access to the ADA credentialing service is limited to dentists and currently enrolled dental students only. With MetLife's Preferred Dentist Program, a dental preferred provider organization (DPPO) plan, you can choose from thousands of participating general dentists and specialists nationwide. You and your dentist will receive a benefit estimate for most procedures while you are still in the office. Thousands of CE credits awarded online. Medical and Mental/Behavioral Health providers outside of Utah and Southeast Idaho should contact United Healthcare Options PPO Network at 1-888-830-0179 for contracting inquiries. Dental providers outside of Utah and Idaho should contact MetLife at 1-800-942-0854 for contracting inquiries. document.write(dayNames[now.getDay()] + ", " + monthNames[now.getMonth()] + " " + now.getDate() + ", " + year); User name: meet MetLife’s credentialing standards. // Array of day names Based on internal analysis by MetLife. Please contact MetLife or your plan adminstrator for costs and complete details. 4 International Dental Travel Assistance services are administered by AXA Assistance USA, Inc. Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. You have the flexibility to visit your dentist or any licensed dentist, in or out of the network. He or she hasn't agreed to accept negotiated fees. It is important that you respond to VerifPoint to ensure your continued relationship with MetLife. We still recredential dentists … Negotiated fees may even extend to services provided after you_ve reached the plan maximum. Access the Provider Portal to upload the requested documents, and check the status of any pending items. You can find the names, addresses, specialties, languages spoken and telephone numbers of participating dentists in a given area by searching our online directory - Find a Dentist. It's good to know that all participating dentists must meet rigorous selection standards. Our credentialing services are in compliance with JCAHO, NCQA and AAAHC regulations. Negotiated fees typically range from 15-45% less than the average charges in a dentist's community for similar services. PPO: 800-541-7846; DHMO: 888-618-2016; California DHMO: 800-273-3330; FCW DHMO: 866-494-4542; Grow with us. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife's. Learn how to get one now. © 2020 MetLife Services and Solutions, LLC. Did you receive a letter requesting credentialing from Verifpiont on behalf of insurance Plan? So you may be responsible for the difference in cost between the dentist's fee and your plan's benefit payment. Please sign in to view patient eligibility, Credentialing policies and procedures Providers must complete an initial application providing general information and submit supplemental information. Dental Insurance from Principal ® is issued by Principal Life Insurance Company, Des Moines, IA 50392. Consult your dental certificate of insurance―it includes details concerning coverage, limitations, exclusions and reductions. Go Paperless! dentist is a participating PDP dentist. Fully certified by NCQA (The National Committee for Quality Assurance) and accredited by URAC, VerifPoint provides primary source verification that meets industry and regulatory standards such as NCQA, TJC, URAC, CMS, and AAAHC. You can ask for a pretreatment estimate. Please answer all questions completely and fully. Simply have your dentist submit a request online at www.metdental.com or call 1-877-MET-DDS9. Traveling abroad and have a dental emergency? Are you an incorporated individual dentist or associated with a corporation, group, or organization? MetLife is accomplishing this through dentist and patient education and communication, as well as industry feedback and oversight by our Dental Advisory Council. Prior to receiving services, pretreatment estimates through your dentist will provide the most accurate fee and payment information. The MetLife Preferred Dentist Program (MetLife PDP) is a preferred provider organization (PPO) consisting of a nationwide network of dentists and specialists who charge negotiated fees that are typically lower than the provider's normal fee. Contact our Customer Response Unit with any questions. How to Join a Cigna Dental Network. Can I find out how much services will cost and obtain an estimate of what will be covered prior to treatment? Take advantage of negotiated fees that are typically 15% to 45% less than average charges in the same community. Provider Portal. Lexington, KY 40512-4690 . 1 Savings from enrolling in a dental benefits plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. As a master AGD diplomate, Dr. B is very involved in continuing dental ed, writing AGD credentialing exam questions. The online credentialing tool is free and contains several time-saving features. Find out how to apply for Dental HMO/Managed Care Plan^. Learn more about the Preferred Dentist Find out how to apply for the Preferred Dentist Program  3. Continuing Education - ADA / CERP Recognized Continuing Education (CE) Credits are available at NO CHARGE to dentists and office staff participating in the program. If your current dentist does not participate in the network and you would like to encourage him or her to apply, ask your dentist to visit www.metdental.com, or call 1-866-PDP-NTWK for an application. Find out how Delta Dental will verify your credentials every three years — please use the recredentialing form after your first filing. Call or email Cigna To start the online application process, call at 1 (800) Cigna24 (244-6224) or 1 (800) 280-9622, or send an email with your name, office name and office address to dentistenrollment@cigna.com. We recommend that you request a pre-treatment estimate for services in excess of $300. Be sure to call ahead with Dr. Boston to book an appointment. Either you or your dentist can submit the form, and benefits are paid to you, unless you’ve arranged for them to go directly to your dentist. This tool does not provide the payment information used by MetLife when processing your claims. It's simple, secure and green. 2 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. By joining Careington's Dental Network, you'll attract more patients to your practice. 1 Savings from enrolling in a dental benefits plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife’s. He recently completed implants on my 84 year old mother that are excellent. Yes. Contacting Metlife Dental - by phone or otherwise. Certain features of the MetLife Mobile App are not available for all MetLife Dental … You or your dentist can request a pre-treatment estimate for an upcoming service while you are in the office. MetLife’s Preferred Provider Organization (PPO) plans feature the MetLife Preferred Dentist Program, which is designed to save you money on dental services. PO Box 981282  The MetLife … Please be advised MetLife has contracted VerifPoint to provide credentialing and recredentialing services on MetLife's behalf. VerifPoint Services is a nationally recognized credentialing verification organization that offers nationwide medical, dental, vision and other healthcare credentialing related services. The dentist must be logged in to their own ADA account in order to access the ADA credentialing service. 3 The Dental Procedure Fee Tool application is provided by Verifpoint, an independent vendor. He is accepting new patients. Dentists usually handle claims for you, so there's less paperwork—it's also easy to manage your plan 24/7 by phone or online. Enroll in eDelivery and get your documents faster. In fact, Dr. B treats all our family; my parents, brother, and daughters who attended USU for years. Plus, you'll enjoy: A participating dentist is a general dentist or specialist who has agreed to accept negotiated fees as payment in full for covered services provided to plan members. Contact BENEFEDS: 1-877-888-FEDS (3337) BENEFEDS manages FEDVIP enrollment, eligibility and billing for all carriers. About VerifPoint/Credentialing Solutions. Careington Dental Network. plan detail, and claims. Forgot The website and phone number are for use by dental professionals only. VerifPoint Services is a nationally recognized credentialing verification organization that offers nationwide medical, dental, vision and other healthcare credentialing related services. El Paso, TX 79998-1282, You can also fax your form to:  The services covered under your dental plan are those defined under your group dental benefits plan. Dr. Daniel Boston, DDS is a Dentistry Practitioner in Logan, UT and has over 45 years of experience in the medical field. 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