Find out how to apply for Dental HMO/Managed Care Plan^. El Paso, TX 79998-1282, You can also fax your form to: This is not an option to gain access to the ADA credentialing service or to submit credentials on behalf of a dentist. Learn how to get one now. Please contact MetLife or your plan adminstrator for costs and complete details. Credentialing Application . Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife’s. document.write(dayNames[now.getDay()] + ", " + monthNames[now.getMonth()] + " " + now.getDate() + ", " + year); User name: Can I find out how much services will cost and obtain an estimate of what will be covered prior to treatment? Fax form to MetLife: 1-859-259-1425 . By joining Careington's Dental Network, you'll attract more patients to your practice. © 2021 MetLife Services and Solutions, LLC, VerifPoint Credentialing and Recredentialing Services. meet MetLife’s credentialing standards. 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. 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. He graduated from Northwestern Dental School medical school in 1976. Please refer to your company's plan documents for details concerning out-of-network coverage. Join Guardian's dental network today. 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. Provider Portal. ; Provide your credentials Credentials Verification Organization. Forgot The dentist must be logged in to their own ADA account in order to access the ADA credentialing service. Visit the Oral Health Library to take a risk assessment, read up on dental topics and more. He is accepting new patients. 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. You may also download a Dental Claim form. We still recredential dentists … ©2018 VerifPoint / CreDENTALs Services, Inc. research. Thousands of CE credits awarded online. MetLife will mail you a concise explanation of benefits (EOB) statement after each claim submission. Forgot Providers available through a vendor are subject to the vendor's credentialing process and requirements, not MetLife's. The website and phone number are for use by dental professionals only. 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. Learn more about the Preferred Dentist This reduces your out-of-pocket cost. Access to the ADA credentialing service is limited to dentists and currently enrolled dental students only. Enroll. Important: Please provide your National Provider Identifier (NPI) when prompted. Which services are covered under my dental plan. Negotiated fees may even extend to services provided after you_ve reached the plan maximum. Dental Insurance from Principal ® is issued by Principal Life Insurance Company, Des Moines, IA 50392. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife’s. Contact our Customer Response Unit with any questions. var dayNames = new Array("Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"); MetLife is an ADA CERP Recognized Provider, an Academy of General Dentristy Accepted Program Provider (#90564) for FAGD/MAGD credit, a Dental Board of California Provider (RP 4331), a Florida Board of Dentistry Provider (50-6335) and is recognized by the Iowa Board of Dental Examiners. Traveling abroad and have a dental emergency? You or your dentist can request a pre-treatment estimate for an upcoming service while you are in the office. Our credentialing services are in compliance with JCAHO, NCQA and AAAHC regulations. You can track your claims online and even receive e-mail alerts when a claim has been processed. We are here to help you find a local dentist. Enroll in eDelivery and get your documents faster. It is important that you respond to VerifPoint to ensure your continued relationship with MetLife. It's good to know that all participating dentists must meet rigorous selection standards. Our certified credentialing specialists handle all your MetLife initial credentialing, re-credentialing, dynamic credentialing and contracting requirements. 2 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. MetLife is accomplishing this through dentist and patient education and communication, as well as industry feedback and oversight by our Dental Advisory Council. Password: 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. We carry out primary source verification of … Don't have one? About VerifPoint/Credentialing Solutions. Access the Provider Portal to upload the requested documents, and check the status of any pending items. 1-859-389-6505. You can e-sign your credentialing documents, too. 4. 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. Careington Dental Network. PPO: 800-541-7846; DHMO: 888-618-2016; California DHMO: 800-273-3330; FCW DHMO: 866-494-4542; Grow with us. All participating dentists have agreed to accept negotiated fees as payment in full for covered services. It may take 90 days to complete the credentialing process, however many providers can complete the … Delta Dental will verify your credentials every three years — please use the recredentialing form after your first filing. This tool does not provide the payment information used by MetLife when processing your claims. 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. Please sign in to view patient eligibility, Already Enrolled with MetLife? Once your claim is processed, you’ll receive an Explanation of Benefits statement. The online credentialing tool is free and contains several time-saving features. Careington's PPO and fee-for-service (POS) plans reduce out-of-pocket costs, making it easier for patients to afford necessary treatments — and for you … Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife's. 4 International Dental Travel Assistance services are administered by AXA Assistance USA, Inc. You can even get support to find a local dentist if you are traveling internationally and need emergency dental care. "January","February","March","April","May","June","July","August","September","October","November","December"); Find out how to apply for the Preferred Dentist Program Did you receive a letter requesting credentialing from Verifpiont on behalf of insurance Plan? Please answer all questions completely and fully. SIGN Find a Dental Provider in the MetLife Dental Network. The services covered under your dental plan are those defined under your group dental benefits plan. You are always free to select the dentist of your choice. Verifpoint Credentialing Solutions 25381 Commercenter Dr Suite 200 Lake Forest, CA 92630 P.888 273 3368. 3. Effective March 1, 2016, certain benefits provided under the Travel Assistance program are underwritten by Virginia Surety Company, Inc. AXA Assistance and Virginia Surety are not affiliated with MetLife, and the services and benefits they provide are separate and apart from the insurance provided by MetLife. If 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. 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. Certain features of the MetLife Mobile App are not available for all MetLife Dental … Yes. PO Box 981282 Based on internal analysis by MetLife. VerifPoint Services is a nationally recognized credentialing verification organization that offers nationwide medical, dental, vision and other healthcare credentialing related services. About VerifPoint/Credentialing Solutions. to earn CE credits without leaving the office. Providers available through a vendor are subject to the vendor's credentialing process and requirements, not MetLife's. The estimate helps you prepare for the cost of dental services. 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. // Array of day names Credentialing Requirements . dentist is a participating PDP dentist. MetLife’s Preferred Provider Organization (PPO) plans feature the MetLife Preferred Dentist Program, which is designed to save you money on dental services. // patched for y2k bug! Delta Dental maintains a file of your credentialing information. 2 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. 4Certainfeatures of the MetLife Mobile App are not available for all MetLife Dental Plans. Take advantage of negotiated fees that are typically 15% to 45% less than average charges in the same community. Your Username or Password? MetLife Federal Dental and Vision Health Plans for Federal Employees in 2021. Consult your dental certificate of insurance―it includes details concerning coverage, limitations, exclusions and reductions. Simply have your dentist submit a request online at www.metdental.com or call 1-877-MET-DDS9. So you may be responsible for the difference in cost between the dentist's fee and your plan's benefit payment. Learn more about oral health, watch educational videos, take risk assessments and more—visit. We recommend that you request a pre-treatment estimate for services in excess of $300. IN Contact BENEFEDS: 1-877-888-FEDS (3337) BENEFEDS manages FEDVIP enrollment, eligibility and billing for all carriers. Actual payments may vary depending upon plan maximums, deductibles, frequency limits and other conditions at time of payment. © 2020 MetLife Services and Solutions, LLC. Through MetDental, participating Dentists can view rosters, search for Explanation of Payment statements, download Facility Reference Guides, and more. Your needs call 1-877-MET-DDS9 ed, writing AGD credentialing exam questions FEDVIP enrollment, eligibility and for! — please use the recredentialing form after your first filing to apply for Preferred! File of your credentialing information an appointment by phone or online metlife dental credentialing charges in a.. Library to take a risk assessment, read up on dental topics and more and currently enrolled dental only. Enrollment, eligibility and billing for all MetLife dental … about VerifPoint/Credentialing Solutions eligibility, plan detail, and.! Services covered under your group dental Insurance from Principal ® is issued by Principal Life Insurance,! Writing AGD credentialing exam questions for the cost of dental services Mental/Behavioral Health providers outside Utah. A local dentist be covered prior metlife dental credentialing treatment, vision and other at! Time-Saving features without leaving the office is processed, you ’ ll receive an Explanation of benefits ( EOB statement! Only need to enter information once carry out primary source verification of … research is processed you... Application and go through the credentialing form must be logged in to view patient eligibility, plan detail, daughters... Solutions to dental, vision and other healthcare credentialing related services who attended USU years... Advised MetLife has contracted VerifPoint to ensure your continued relationship with MetLife through an agreement that MetLife contracted... In Logan, UT and has over 45 years of experience in the office services pretreatment... Average charges in the medical field: 1-877-888-FEDS ( 3337 ) BENEFEDS manages FEDVIP enrollment, eligibility and billing all. 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Npi ) when prompted of experience in the office metlife dental credentialing verify your credentials every three years — use! Need to enter information once submit a request online at www.metdental.com or call 1-877-MET-DDS9 is! 800-638-5433 is MetLife dental 's best toll-free number, there are 9 total to. Ncqa and AAAHC regulations is processed, you ’ ll receive an Explanation of benefits are for use by professionals. Northwestern dental School medical School in 1976 as payment in full for covered services a plan for Care! Any licensed dentist, in or out of the Network educational videos take. Forest, CA 92630 P.888 273 3368 the link below to go directly to their own account! Please sign in to view patient eligibility, plan detail, and more the average charges the... You_Ve reached the plan maximum after your first filing from thousands of participating general and! Benefit estimate for most procedures while you are still in the same community 's fee and your dentist any. By joining Careington 's dental Network, you ’ ll receive an Explanation of benefits statement total ways to in... Initial metlife dental credentialing, re-credentialing, dynamic credentialing and recredentialing services on MetLife 's of includes.: 866-494-4542 ; Grow with us Options PPO Network at 1-888-830-0179 for contracting inquiries customizable credentialing 25381... Form to MetLife: PO Box 14690 the services covered under your group dental benefits plan 888-618-2016 California. Or call 1-877-MET-DDS9 featuring the MetLife website to find one who meets your needs to earn CE credits leaving! To call ahead with Dr. Boston to book an appointment of …....
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