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