Blue Cross/ BlueShield
GEHA (800) 821-6136
-United Health Care based in SF, Claims processing in Salt Lake City
-Blue cross. Blue shield
-Google : Major dental insurance companies in Southern Cal
-Or call major employers and ask then do you offer insurance to your employees. and if yes, what insruance company do you use?
"99%" of insurance plans cover 100% preventive, 80% basic (Restorative, extractions, perio, endo, sometimes crowns), 50% major (fixed and removable prostho) bridges, dentures, partials, sometimes crown,
Implants and ortho are a completely separate benefit.
A single employer could have multiple insurance plans. for example 30 from Lockheed Martin, Northop
You don't have to be signed up with all of the insurance groups.
Unions: -UFCW. United Food and Commerical Wokers. Based in Cypress, CA.
look up SEIU
Federal Employees: Government Employee Hospital Association GEHA
-GEHA How office is in Independence, Missouri
City of Lancaster: Lincoln Financial Group
-Guardian. Send claims to Spokane, Washington
When you get the e-mail attachment, you will get an attachement.
There will be co-pay grids or an
there are about ten
Up on the spreadsheet you will see all of the different plans under
These are just all of
Within that grouping or bundle.
You can't unbundle the plans. You can't pick and choose
You will have the same application whether you sign up for PPO or HMO
Then there's an agreement for HMO and an agreement for PPO.
Offices have to pass the
Protable oxygen. Need a positive pressure valve, (but if doesn't come with a positive pressure valve, then just pruchase the ambubag)
AED is not yet required by UHC.
Only for HMOs
Pacificare dental: (888) 866-8297
That number took me to a call center
Credentialling: (877) 842-3210
To check Regular dental benefits:
DHMO insurance benefits:
Just for dental division of UHC West (not for credentialing)
Credentialing does not have its own number.
You simply call this number, leave your contact information with them. Then you wait for the UHC credentialing department to give you a call.
In total submitting a six page document.
-Submit a four page application
-Contract 1 signature page
-plan summary page.
Currently UNC dHMO networks are closed at the time
Michelle Jura : will handle my PPO innetwork credentialaing.
Contract name is United Healthcare providers.
Call the customer service number DBP ((877) 732-4337
and they will create a service ticket number.
Aetna.com Debby Palmerin Tel. (951) 687-6150 Fax (860) 754-9186
Aetna Customer Service to update info 1(800) 776-0537
Customer Service (800) 992-3522
.www.Ameritasgroup.com Provider Relations Ms. Shauna Johnson (800) 755-8844Mon-Thurs 6:30 AM -6:30 PM CSTFri 6:30 Am to 5:30 PM CSTFax (402) 309-2066 email@example.com
Anthem Blue Cross
Tel. (866) 947-9398
Fax: (877) 329-6459
Cigna Tyleen Tate
National Contracting unit Fax: (860) 781-7498
Chris Smith Tel. (800) 280-9622 ext 3614313
Fax: (860) 781-7492
Delta Ms. Linda Feil
Tel: (916) 861-2503 ext 7717
Fax: (916) 852-8995
Delta Dental of California
Cheryl Rendflesh Wisconsin
Dental Network Consultant
Tel (262) 408-4328
Fax (920) 632-9533
HealthNet Dental HealthNet is contracted with United Health Care.
1(800) 445-9090 is the best phone number to call to verify patients' insurance benefits.
If I don't get a call back from the client operations who would take care of m credentialling
process. Provider Relations number (800) 937-6824.
Premier Access Dental and Vision 1(800) 640-4466
Direct number to Provider Services 1 (800) 635-4238, Press 5 (whenever you reach Metlife Provider services press option 5)
Mon- Fri 10 AM- 8 PM EST
Closed Sat and Sun
Safeguard is a MetLife Company.
MetLife 1(877) 638-3379
-Option Tax ID #
-For preferred provider select 1
-if this is correct press 1
-press 1 for
Principal Financial Group
Nicole Brockett, Provider Relations
Tel: (800) 832-4450
Fax: (866) 592-5970
711 High Street
Des Moines, IA 50392-2557
United Health Care (877) 732-4337 is customer service number for UHC DENTAL.
Are you calling as a dental provider
Y/N? Choose Yes.
Please choose one of the following:
-For Benefits Press 1
-For Eligibility Press 2
-For Claims Press 3
-For Dentist Assignment Press 4
-For Fax Press 5
Tracey is Rep for Orange County and San Bernardino Tel: (866) 282-3296
Under the umbrella of United Health Care, UHC administers two plans which are Blue Shield and Health Net.
1) Pacificare 2) Secure Horizons 3) Dental Benefit Providers 4) Pacific Union Dental (just Dental)
5) Health Net
In California for dental services, the main name is Dental Benefit Providers.
Health Net and Blue Shield are affiliated with United Health Care.
Health Net and Blue Shield provide the dental fee schedules, but UHC administers the plans.
If you have a question regarding the plans (Explanation of Benefits, for example) and if you want to ask a question
about signing up call UHC and not Blue Shield and Health Net. Blue Shield And Health Net administer many, many plans. UHC administers only some of their plans.
Contact Blue Shield and Health Net and ask the following question:
"I contacted UHC to sign up with some of the plans that you administer. Are there any other plans (in Blue Shield & HealthNet) and through your company that I should sign up with?" For example, there may be plans that BS and HN administer that are not a
You have an application
Are there any
Health Net: Ask for Rep
Go down the rows
Service request number (like a ticket number they use to call doctor back): 1-129067235
Representative for Palmdale: Diane Johnson
(877) 732-4337 is customer service number for UHC DENTAL. They triage the calls
The Pacificare name , brand, company is now just a plan under the United Health Care.
DBP is a brand
Pacificare is just a plan. Pacificare brand and plans will eventually go away probably starting mid year when the groups go through their renewal. They will be forced to switch over.
Commercial with Humpback whale is Pacific Life ], not Pacificare.
Eric Tel: (800) 505-8880 ext 4091
Guardian. Main Headquarters are in NYC. Spokane Washington is the western regional office of the Guardian
To check benefits over the phone: (800) 541-7846. Ask for credentialing package.
Benefits are always available online: Guardiananytime.com
Provider Relations to become an in-network provider (800) 890-4774
When you become credentialled, you automatically get enrolled in the DentalGuard Preferred network. That is a middle tier.
If you wish, you can also sign up to become an Alliance Guard Provider. There's less competition for you to get those patients.
The middle tier would be
Third tier is out- of -network.
It's just simply a plan.
This will pay out more benefits.
I f you get credentialled and you opt in for Alliance you are automatically signed up for all two networks.
If you are out of network,
TVery rare. May not even exist in California:
here are plans that have Out of networ
There will be a representative inthe area.
Tax ID Number( 9 digit) :
State License #:
Work phone Number:
Cell phone number:
Work Place Address and mailing address for business correspondence:
Name of Business as it appears on you W-9 form: