Delta Dental will verify your credentials every three years — please use the recredentialing form after your first filing. Please contact MetLife or your plan adminstrator for costs and complete details. 3 The Dental Procedure Fee Tool application is provided by Verifpoint, an independent vendor. Credentialing policies and procedures Providers must complete an initial application providing general information and submit supplemental information. Delta Dental maintains a file of your credentialing information. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife’s. VerifPoint Services is a nationally recognized credentialing verification organization that offers nationwide medical, dental, vision and other healthcare credentialing related services. The services covered under your dental plan are those defined under your group dental benefits plan. SIGN PO Box 981282 Did you receive a letter requesting credentialing from Verifpiont on behalf of insurance Plan? Enroll in eDelivery and get your documents faster. We carry out primary source verification of … UCD Credentialing Application_FINAL_10/15/18 Page 1 of 4 . The following information covers some of the basic questions you may have regarding the dental PPO plan. MetLife will mail you a concise explanation of benefits (EOB) statement after each claim submission. Access the Provider Portal to upload the requested documents, and check the status of any pending items. About VerifPoint/Credentialing Solutions. Contact BENEFEDS: 1-877-888-FEDS (3337) BENEFEDS manages FEDVIP enrollment, eligibility and billing for all carriers. The MetLife … About VerifPoint/Credentialing Solutions. Dr. Daniel Boston, DDS is a Dentistry Practitioner in Logan, UT and has over 45 years of experience in the medical field. Simply have your dentist submit a request online at www.metdental.com or call 1-877-MET-DDS9. Can I find out how much services will cost and obtain an estimate of what will be covered prior to treatment? Prior to receiving services, pretreatment estimates through your dentist will provide the most accurate fee and payment information. // Array of month Names Yes. Get the latest news and information about the Dental HMO/Managed Care Network^ and Products. It is important that you respond to VerifPoint to ensure your continued relationship with MetLife. How to Join a Cigna Dental Network. Provider Portal. 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. Which services are covered under my dental plan. 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. But with one of the largest dental networks in the industry, there's a good chance your dentist is in the network. Learn more about oral health, watch educational videos, take risk assessments and more—visit. Dental Advisory Council (DAC) - Learn who is on the Advisory Council that oversees MetLife’s Quality Initiatives Programs Quality Resource Guides / Continuing Education - As an ADA approved provider under its Continuing Education Recognition Program (CERP), see what educational opportunities MetLife can make available to you. It's simple, secure and green. Important: Please provide your National Provider Identifier (NPI) when prompted. LIBERTY Dental Plan conducts all verifications, background, malpractice, government sanction checks and a Credentialing Committee review on each network provider prior to approval. Just log in to your account, go to Profile and click Communication Preferences to update your preferences. INSTRUCTIONS FOR COMPLETING THE APPLICATION Once completed, please fax this application and supporting documentation to (877) 601-9994 or to (844) 788-3054 if located in AZ, RI, MO or NM. Join Guardian's dental network today. The website and phone number are for use by dental professionals only. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife's. The credentialing form must be filled out and returned to Delta Dental as a part of your participating agreement. 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. Negotiated fees may even extend to services provided after you_ve reached the plan maximum. Find out how to apply for the Preferred Dentist Program, Find out how to apply for Dental HMO/Managed Care Plan^, MetLife Dental Health Maintenance Organization (DHMO)/Managed Care Network^. Forgot The estimate helps you prepare for the cost of dental services. The company currently credentials in all 50 states and all healthcare disciplines. Learn more about the Preferred DentistProgram and MetLife Dental Health Maintenance Organization (DHMO)/Managed Care Network^ and benefits like an increased patient base, continuing education at NO CHARGE, and more. Based on internal analysis by MetLife. Contact our Customer Response Unit with any questions. Enroll. Providers available through a vendor are subject to the vendor's credentialing process and requirements, not MetLife's. Dental providers outside of Utah and Idaho should contact MetLife at 1-800-942-0854 for contracting inquiries. Our credentialing services are in compliance with JCAHO, NCQA and AAAHC regulations. Just ask your dentist to complete a MetLife PDP nomination card or visit the dentist directory online at www.metlife.com/dental and MetLife will send him or her information on how to apply. Our certified credentialing specialists handle all your MetLife initial credentialing, re-credentialing, dynamic credentialing and contracting requirements. Careington Dental Network. However, if you choose a non-participating dentist, your out-of-pocket costs may be higher. Consult your dental certificate of insurance―it includes details concerning coverage, limitations, exclusions and reductions. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife’s. Credentials Verification Organization. You are always free to select the dentist of your choice. 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. Once we receive your completed application and go through the credentialing process, you’ll receive a letter welcoming you to Guardian. 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. He graduated from Northwestern Dental School medical school in 1976. Providers available through a vendor are subject to the vendor's credentialing process and requirements, not MetLife's. Go Paperless! Don't have one? Your general dentist or specialist usually sends MetLife a plan for your care and requests an estimate of benefits. So you may be responsible for the difference in cost between the dentist's fee and your plan's benefit payment. 4. MetLife’s Preferred Provider Organization (PPO) plans feature the MetLife Preferred Dentist Program, which is designed to save you money on dental services. var dayNames = new Array("Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"); Yes. By joining Careington's Dental Network, you'll attract more patients to your practice. The company credentials in all 50 states and all healthcare disciplines. // patched for y2k bug! Just fill out the employee portion and have your dentist complete the rest. There’s an online repository to store documents. It's good to know that all participating dentists must meet rigorous selection standards. 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. Your Username or Password? Unknown Credentialing Requirements . Online forms have auto-populating fields, so you only need to enter information once. This reduces your out-of-pocket cost. Contacting Metlife Dental - by phone or otherwise. 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. Page loaded in 0 seconds. to earn CE credits without leaving the office. You can also contact MetLife Customer Service by … The dentist must be logged in to their own ADA account in order to access the ADA credentialing service. Thousands of CE credits awarded online. 1-859-389-6505. IN Yes. 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. plan detail, and claims. 3. He recently completed implants on my 84 year old mother that are excellent. We recommend that you request a pre-treatment estimate for services in excess of $300. You or your dentist can request a pre-treatment estimate for an upcoming service while you are in the office. Please refer to your company's plan documents for details concerning out-of-network coverage. Already Enrolled with MetLife? 3 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. Be sure to call ahead with Dr. Boston to book an appointment. You can e-sign your credentialing documents, too. Are you an incorporated individual dentist or associated with a corporation, group, or organization? Find out how to apply for Dental HMO/Managed Care Plan^. MetLife is accomplishing this through dentist and patient education and communication, as well as industry feedback and oversight by our Dental Advisory Council. // Array of day names Password: While 800-638-5433 is Metlife Dental's best toll-free number, there are 9 total ways to get in touch with them. research. 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. We still recredential dentists … var monthNames = new Array( "January","February","March","April","May","June","July","August","September","October","November","December"); For Benefit and Service questions, contact MetLife: 1-888-865-6854 TDD 1-888-260-5376 Mon-Fri 8am–9pm EST. You can ask for a pretreatment estimate. PPO: 800-541-7846; DHMO: 888-618-2016; California DHMO: 800-273-3330; FCW DHMO: 866-494-4542; Grow with us. Please sign in to view patient eligibility, Referral services are not available in all locations. 4Certainfeatures of the MetLife Mobile App are not available for all MetLife Dental Plans. Traveling abroad and have a dental emergency? You can even get support to find a local dentist if you are traveling internationally and need emergency dental care. Forgot You can track your claims online and even receive e-mail alerts when a claim has been processed. Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. 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. The online credentialing tool is free and contains several time-saving features. ; Provide your credentials Dentists may submit your claims for you, which means you have little or no paperwork. Please be advised MetLife has contracted VerifPoint to provide credentialing and recredentialing services on MetLife's behalf. 4 International Dental Travel Assistance services are administered by AXA Assistance USA, Inc. ©2018 VerifPoint / CreDENTALs Services, Inc. Learn how to get one now. Negotiated fees typically range from 15-45% less than the average charges in a dentist's community for similar services. We are here to help you find a local dentist. Visit the Oral Health Library to take a risk assessment, read up on dental topics and more. Find out how to apply for the Preferred Dentist Program MetLife Federal Dental and Vision Health Plans for Federal Employees in 2021. El Paso, TX 79998-1282, You can also fax your form to: It is important that you respond to VerifPoint to ensure your continued relationship with MetLife. Please be advised MetLife has contracted VerifPoint to provide credentialing and recredentialing services on MetLife's behalf. It may take 90 days to complete the credentialing process, however many providers can complete the … var now = new Date(); Find a Dental Provider in the MetLife Dental Network. 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. Program are underwritten by Metropolitan Life Insurance company, New York, NY usually... Corporation, group, or organization your participating agreement submit supplemental information ahead with Dr. Boston to book an.! 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