But with one of the largest dental networks in the industry, there's a good chance your dentist is in the network. 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. 3 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. 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. Through MetDental, participating Dentists can view rosters, search for Explanation of Payment statements, download Facility Reference Guides, and more. Simply have your dentist submit a request online at www.metdental.com or call 1-877-MET-DDS9. MetLife Federal Dental and Vision Health Plans for Federal Employees in 2021. Don't have one? Click on the MetLife logo or the link below to go directly to their website. ©2018 VerifPoint / CreDENTALs Services, Inc. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife's. Yes. You can e-sign your credentialing documents, too. Delta Dental maintains a file of your credentialing information. Join Guardian's dental network today. Our certified credentialing specialists handle all your MetLife initial credentialing, re-credentialing, dynamic credentialing and contracting requirements. Forgot research. About VerifPoint/Credentialing Solutions. Just fill out the employee portion and have your dentist complete the rest. Dentists may submit your claims for you, which means you have little or no paperwork. The credentialing form must be filled out and returned to Delta Dental as a part of your participating agreement. Credentials Verification Organization. Unknown var dayNames = new Array("Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"); VerifPoint Services is a nationally recognized credentialing verification organization that offers nationwide medical, dental, vision and other healthcare credentialing related services. 4 International Dental Travel Assistance services are administered by AXA Assistance USA, Inc. If you have a claim inquiry or benefit questions, please call MetLife’s Dental Customer Service Department at 1-800- ASK - 4 - MET after your plan’s effective date. If Password: So you are sure to find one who meets your needs. The company currently credentials in all 50 states and all healthcare disciplines. 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. 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. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife’s. 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. Provider Portal. You can even get support to find a local dentist if you are traveling internationally and need emergency dental care. We carry out primary source verification of … Thousands of CE credits awarded online. MetLife’s Preferred Provider Organization (PPO) plans feature the MetLife Preferred Dentist Program, which is designed to save you money on dental services. The following information covers some of the basic questions you may have regarding the dental PPO plan. We still recredential dentists … Can I find out how much services will cost and obtain an estimate of what will be covered prior to treatment? Consult your dental certificate of insurance―it includes details concerning coverage, limitations, exclusions and reductions. Which services are covered under my dental plan. As a master AGD diplomate, Dr. B is very involved in continuing dental ed, writing AGD credentialing exam questions. We recommend that you request a pre-treatment estimate for services in excess of $300. PO Box 981282 This tool does not provide the payment information used by MetLife when processing your claims. Referral services are not available in all locations. // Array of day names Access to the ADA credentialing service is limited to dentists and currently enrolled dental students only. Enroll. Please be advised MetLife has contracted VerifPoint to provide credentialing and recredentialing services on MetLife's behalf. Be sure to call ahead with Dr. Boston to book an appointment. Find a Dental Provider in the MetLife Dental Network. Dental providers outside of Utah and Idaho should contact MetLife at 1-800-942-0854 for contracting inquiries. You may also download a Dental Claim form. LIBERTY Dental Plan conducts all verifications, background, malpractice, government sanction checks and a Credentialing Committee review on each network provider prior to approval. Forgot © 2020 MetLife Services and Solutions, LLC. Delta Dental will verify your credentials every three years — please use the recredentialing form after your first filing. 4. Negotiated fees typically range from 15-45% less than the average charges in a dentist's community for similar services. You are always free to select the dentist of your choice. Actual payments may vary depending upon plan maximums, deductibles, frequency limits and other conditions at time of payment. However, if you choose a non-participating dentist, your out-of-pocket costs may be higher. 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. Yes. Our credentialing services are in compliance with JCAHO, NCQA and AAAHC regulations. Learn more about oral health, watch educational videos, take risk assessments and more—visit. Once we receive your completed application and go through the credentialing process, you’ll receive a letter welcoming you to Guardian. The estimate helps you prepare for the cost of dental services. We are here to help you find a local dentist. Did you receive a letter requesting credentialing from Verifpiont on behalf of insurance 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. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife’s. Please answer all questions completely and fully. By joining Careington's Dental Network, you'll attract more patients to your practice. So you may be responsible for the difference in cost between the dentist's fee and your plan's benefit payment. It is important that you respond to VerifPoint to ensure your continued relationship with MetLife. Providers available through a vendor are subject to the vendor's credentialing process and requirements, not MetLife's. It may take 90 days to complete the credentialing process, however many providers can complete the … The MetLife … He is accepting new patients. The website and phone number are for use by dental professionals only. Page loaded in 0 seconds. Please refer to your company's plan documents for details concerning out-of-network coverage. Online forms have auto-populating fields, so you only need to enter information once. Providers available through a vendor are subject to the vendor's credentialing process and requirements, not MetLife's. The online credentialing tool is free and contains several time-saving features. Find out how var monthNames = new Array( Credentialing policies and procedures Providers must complete an initial application providing general information and submit supplemental information. Verifpoint Credentialing Solutions 25381 Commercenter Dr Suite 200 Lake Forest, CA 92630 P.888 273 3368. 2 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. Learn more about the Preferred Dentist Please be advised MetLife has contracted VerifPoint to provide credentialing and recredentialing services on MetLife's behalf. It's simple, secure and green. The dentist must be logged in to their own ADA account in order to access the ADA credentialing service. 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. Yes. VerifPoint offers easy and customizable credentialing solutions to dental, vision, medical and therapy professionals. 1-859-389-6505. 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. 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. 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. In fact, Dr. B treats all our family; my parents, brother, and daughters who attended USU for years. 1 You can choose from thousands of participating general dentists and specialists nationwide. It's good to know that all participating dentists must meet rigorous selection standards. Certain features of the MetLife Mobile App are not available for all MetLife Dental … 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. var now = new Date(); Visit the Oral Health Library to take a risk assessment, read up on dental topics and more. Prior to receiving services, pretreatment estimates through your dentist will provide the most accurate fee and payment information. 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^. © 2021 MetLife Services and Solutions, LLC, VerifPoint Credentialing and Recredentialing Services. 3 The Dental Procedure Fee Tool application is provided by Verifpoint, an independent vendor. 3. IN Your completed claim form should be mailed to: MetLife Dental Claims 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 or she hasn't agreed to accept negotiated fees. 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. MetLife will mail you a concise explanation of benefits (EOB) statement after each claim submission. Fax form to MetLife: 1-859-259-1425 . The company credentials in all 50 states and all healthcare disciplines. Get the latest news and information about the Dental HMO/Managed Care Network^ and Products. 2 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. to earn CE credits without leaving the office. You or your dentist can request a pre-treatment estimate for an upcoming service while you are in the office. VerifPoint Services is a nationally recognized credentialing verification organization that offers nationwide medical, dental, vision and other healthcare credentialing related services. Credentialing Requirements . Mail NPI form to MetLife: PO Box 14690 . Contract holders outside of Utah and Idaho can visit the MetLife website to find contracted dental providers in their area. UCD Credentialing Application_FINAL_10/15/18 Page 1 of 4 . Find out how to apply for the Preferred Dentist Program You can ask for a pretreatment estimate. dentist is a participating PDP dentist. 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. document.write(dayNames[now.getDay()] + ", " + monthNames[now.getMonth()] + " " + now.getDate() + ", " + year); User name: As one of the FEDVIP dental and vision carriers, learn more about one of the Nation's largest networks of dental … Lexington, KY 40512-4690 . Please sign in to view patient eligibility, Please contact MetLife or your plan adminstrator for costs and complete details. Enroll in eDelivery and get your documents faster. El Paso, TX 79998-1282, You can also fax your form to: For Benefit and Service questions, contact MetLife: 1-888-865-6854 TDD 1-888-260-5376 Mon-Fri 8am–9pm EST. SIGN While 800-638-5433 is Metlife Dental's best toll-free number, there are 9 total ways to get in touch with them. Go Paperless! Contact BENEFEDS: 1-877-888-FEDS (3337) BENEFEDS manages FEDVIP enrollment, eligibility and billing for all carriers. How to Join a Cigna Dental Network. Your Username or Password? 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. 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. 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. He graduated from Northwestern Dental School medical school in 1976. This reduces your out-of-pocket cost. PPO: 800-541-7846; DHMO: 888-618-2016; California DHMO: 800-273-3330; FCW DHMO: 866-494-4542; Grow with us. Negotiated fees may even extend to services provided after you_ve reached the plan maximum. // patched for y2k bug! Traveling abroad and have a dental emergency? Already Enrolled with MetLife? He recently completed implants on my 84 year old mother that are excellent. Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. Based on internal analysis by MetLife. Your Username or Password? var year = now.getFullYear() Your general dentist or specialist usually sends MetLife a plan for your care and requests an estimate of benefits. Are you an incorporated individual dentist or associated with a corporation, group, or organization? Group dental insurance policies featuring the MetLife Preferred Dentist Program are underwritten by Metropolitan Life Insurance Company, New York, NY. MetLife is accomplishing this through dentist and patient education and communication, as well as industry feedback and oversight by our Dental Advisory Council. Dental Insurance from Principal ® is issued by Principal Life Insurance Company, Des Moines, IA 50392. Access the Provider Portal to upload the requested documents, and check the status of any pending items. Once your claim is processed, you’ll receive an Explanation of Benefits statement. 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. Find out how to apply for Dental HMO/Managed Care Plan^. Take advantage of negotiated fees that are typically 15% to 45% less than average charges in the same community. About VerifPoint/Credentialing Solutions. ; Provide your credentials Credentialing Application . Learn how to get one now. The services covered under your dental plan are those defined under your group dental benefits plan. You and your dentist will receive a benefit estimate for most procedures while you are still in the office. 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 … Just log in to your account, go to Profile and click Communication Preferences to update your preferences. Important: Please provide your National Provider Identifier (NPI) when prompted. You have the flexibility to visit your dentist or any licensed dentist, in or out of the network. meet MetLife’s credentialing standards. Contacting Metlife Dental - by phone or otherwise. You can also contact MetLife Customer Service by … There’s an online repository to store documents. You can track your claims online and even receive e-mail alerts when a claim has been processed. It is important that you respond to VerifPoint to ensure your continued relationship with MetLife. Careington Dental Network. 4Certainfeatures of the MetLife Mobile App are not available for all MetLife Dental Plans. Dr. Daniel Boston, DDS is a Dentistry Practitioner in Logan, UT and has over 45 years of experience in the medical field. "January","February","March","April","May","June","July","August","September","October","November","December"); 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. // Array of month Names Continuing Education - ADA / CERP Recognized Continuing Education (CE) Credits are available at NO CHARGE to dentists and office staff participating in the program. Contact our Customer Response Unit with any questions. All participating dentists have agreed to accept negotiated fees as payment in full for covered services. Yes. This is not an option to gain access to the ADA credentialing service or to submit credentials on behalf of a dentist.