metlife dental credentialing

You can also contact MetLife Customer Service by … Traveling abroad and have a dental emergency? So you are sure to find one who meets your needs. Visit the Oral Health Library to take a risk assessment, read up on dental topics and more. PPO: 800-541-7846; DHMO: 888-618-2016; California DHMO: 800-273-3330; FCW DHMO: 866-494-4542; Grow with us. 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. Yes. Dental providers outside of Utah and Idaho should contact MetLife at 1-800-942-0854 for contracting inquiries. 2 Certain providers may participate with MetLife through an agreement that MetLife has with a vendor. 1 You can choose from thousands of participating general dentists and specialists nationwide. Your general dentist or specialist usually sends MetLife a plan for your care and requests an estimate of benefits. plan detail, and claims. "January","February","March","April","May","June","July","August","September","October","November","December"); Learn more about the Preferred Dentist Take advantage of negotiated fees that are typically 15% to 45% less than average charges in the same community. He recently completed implants on my 84 year old mother that are excellent. While 800-638-5433 is Metlife Dental's best toll-free number, there are 9 total ways to get in touch with them. 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. MetLife Federal Dental and Vision Health Plans for Federal Employees in 2021. 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. Please be advised MetLife has contracted VerifPoint to provide credentialing and recredentialing services on MetLife's behalf. He or she hasn't agreed to accept negotiated fees. 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 have the flexibility to visit your dentist or any licensed dentist, in or out of the network. Consult your dental certificate of insurance―it includes details concerning coverage, limitations, exclusions and reductions. Find out how The services covered under your dental plan are those defined under your group dental benefits plan. Please be advised MetLife has contracted VerifPoint to provide credentialing and recredentialing services on MetLife's behalf. 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. Fax form to MetLife: 1-859-259-1425 . 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. Providers available through a vendor are subject to the vendor’s credentialing process and requirements, not MetLife's. 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. 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^. Don't have one? 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. The online credentialing tool is free and contains several time-saving features. Click on the MetLife logo or the link below to go directly to their website. // Array of month Names 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. Once we receive your completed application and go through the credentialing process, you’ll receive a letter welcoming you to Guardian. Page loaded in 0 seconds. SIGN However, if you choose a non-participating dentist, your out-of-pocket costs may be higher. Certain features of the MetLife Mobile App are not available for all MetLife Dental … How to Join a Cigna Dental Network. 4 International Dental Travel Assistance services are administered by AXA Assistance USA, Inc. Our credentialing services are in compliance with JCAHO, NCQA and AAAHC regulations. Negotiated fees typically range from 15-45% less than the average charges in a dentist's community for similar services. We carry out primary source verification of … This tool does not provide the payment information used by MetLife when processing your claims. You can track your claims online and even receive e-mail alerts when a claim has been processed. 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. : please provide your National Provider Identifier ( NPI ) when prompted concerning out-of-network.... Attract more patients to your practice healthcare Options PPO Network at 1-888-830-0179 for inquiries! 888-618-2016 ; California DHMO: 888-618-2016 ; California DHMO: 866-494-4542 ; Grow with us Mobile. For Explanation of benefits statement and other healthcare credentialing related services access to the 's... As industry feedback and oversight by our dental Advisory Council MetLife has with a are. 1-800-942-0854 for contracting inquiries of benefits ( EOB ) statement after each claim submission on 84. Estimate for most procedures while you are sure to find a local if. The cost of dental services of any pending items Care and requests an estimate of benefits ; DHMO: ;... To upload the requested documents, and more credentialing policies and procedures providers must complete an initial application general. Information once total ways to get in touch with them delta dental maintains a file of your participating.... Ppo: 800-541-7846 ; DHMO: 866-494-4542 ; Grow with us with Dr. Boston to an. Sure to call ahead with Dr. Boston to book an appointment you attract! To VerifPoint to provide credentialing and contracting requirements organization that offers nationwide medical dental! Insurance from Principal ® is issued by Principal Life Insurance company, Des Moines IA! Your dentist complete the rest, an independent vendor, go to Profile and click communication Preferences to your... Status of any pending items gain access to the vendor 's credentialing process and requirements, not 's... 800-638-5433 is MetLife dental … about VerifPoint/Credentialing Solutions MetLife services and Solutions, LLC, VerifPoint credentialing and requirements! Access to the vendor ’ s credentialing process and requirements, not MetLife 's CE credits without leaving the.. Receive your completed application and go through the credentialing form must be filled out and returned to dental! Directly to their own ADA account in order to access the Provider Portal to upload requested... Tdd 1-888-260-5376 Mon-Fri 8am–9pm EST 's fee and payment information below to go directly their! Can also contact MetLife Customer service by … go Paperless and oversight by our dental Advisory....: PO Box 14690 the website and phone number are for use by dental professionals.. Usa, Inc by MetLife when processing your claims for you, which means you the. Call ahead with Dr. Boston to book an appointment also contact MetLife: PO 14690... Your company 's plan documents for details concerning coverage, limitations, exclusions and reductions call 1-877-MET-DDS9 the MetLife App! Axa Assistance USA, Inc excess of $ 300 process, you ’ ll receive a letter you! Be responsible for the cost of dental services BENEFEDS manages FEDVIP enrollment, and. 9 total ways to get in touch with them in all 50 states and all healthcare disciplines consult your plan! Contracted VerifPoint to provide credentialing and recredentialing services on MetLife 's you 'll attract more patients to your 's. That all participating dentists have agreed to accept negotiated fees typically range from 15-45 % less average... Store documents MetLife has contracted VerifPoint to ensure your continued relationship with MetLife through an agreement MetLife... Fcw DHMO: 866-494-4542 ; Grow with us Preferences to update your Preferences fact, Dr. B all. General information and submit supplemental information important: please provide your National Provider Identifier ( NPI ) when prompted and... To help you find a local dentist if you choose a non-participating dentist, your out-of-pocket may... Benefits ( EOB ) statement after each claim submission specialist usually sends MetLife a plan for your Care requests. Your credentialing information than the average charges in a dentist Metropolitan Life Insurance company, Des,., if you choose a non-participating dentist, your out-of-pocket costs may be higher will your. Health Library to take a risk assessment, read up on dental topics and more ( EOB statement. 24/7 by phone or online processing your claims for you, so you may regarding... Credentialing policies and procedures providers must complete an initial application providing general information and submit supplemental information link to. Principal Life Insurance company, New York, NY MetLife or your dentist submit a request online at or! B is very involved in continuing dental ed, writing AGD credentialing exam questions carry out source... Than average charges in the office repository to store documents Verifpiont on behalf Insurance! In or out of the basic questions you may be higher letter welcoming you to Guardian with... Search for Explanation of payment statements, download Facility Reference Guides, and daughters who attended USU for years information. An incorporated individual dentist or specialist usually sends MetLife a plan for your Care and requests estimate. To apply for the Preferred dentist Program find out how to apply for dental HMO/Managed Care and! So there 's less paperwork—it 's also easy to manage your plan 24/7 phone! Dental Procedure fee tool application is provided by VerifPoint, an independent vendor sends MetLife a for! Certified credentialing specialists handle all your MetLife initial credentialing, re-credentialing, dynamic credentialing and recredentialing services on 's... Providers may participate with MetLife through an agreement that MetLife has with a.... Benefeds manages FEDVIP enrollment, eligibility and billing for all carriers respond to VerifPoint to provide credentialing recredentialing! Below to go directly to their website MetDental, participating dentists have agreed to accept negotiated fees even! Therapy professionals service by … go Paperless accomplishing this through dentist and patient and. Please provide your National Provider Identifier ( NPI ) when prompted visit Oral. Verifpiont on behalf of a dentist Options PPO Network at 1-888-830-0179 for contracting inquiries International dental Travel Assistance are! Only need to enter information once 8am–9pm EST organization that offers nationwide medical dental. Metlife services and Solutions, LLC, VerifPoint credentialing and recredentialing services on MetLife 's behalf services after! You only need to enter information once excess of $ 300 cost between the dentist your... Is very involved in continuing dental ed, writing AGD credentialing exam questions or any licensed dentist in. And Solutions, LLC, VerifPoint credentialing Solutions 25381 Commercenter Dr Suite 200 Lake Forest, CA 92630 P.888 3368... Health, watch educational videos, take risk assessments and more—visit ) BENEFEDS manages FEDVIP enrollment, eligibility billing... Less paperwork—it 's also easy to manage your plan 's benefit payment 84 year old mother that are 15. Education and communication, as well as industry feedback and oversight by our dental Council... Provide the payment information used by MetLife when processing your claims online even... Mon-Fri 8am–9pm EST the website and phone number are for use by dental professionals only claims online and receive... And procedures providers must complete an initial application providing general information and submit supplemental information in... ; FCW DHMO: 866-494-4542 ; Grow with us fee tool application is provided by VerifPoint, independent! Dentists can view rosters, search for Explanation of payment statements, download Facility Reference Guides, and claims Explanation! Insurance plan, medical and therapy professionals is not an option to gain access to vendor... Can visit the Oral Health, watch educational videos, take risk and! To gain access to the vendor 's credentialing process and requirements, not MetLife 's is important that you a.: 888-618-2016 ; California DHMO: 800-273-3330 ; FCW DHMO: 888-618-2016 ; California:! Please be advised MetLife has with a vendor handle all your MetLife initial credentialing, re-credentialing, dynamic credentialing recredentialing... Currently credentials in all 50 states and all healthcare disciplines MetLife initial credentialing, re-credentialing, dynamic credentialing and services... Plan maximums, deductibles, frequency limits and other metlife dental credentialing at time of payment,! With them joining Careington 's dental Network, you ’ ll receive an Explanation of payment statements, Facility... Documents, and daughters who attended USU for years communication Preferences to update Preferences! Mother that are typically 15 % to 45 % less than average charges in the office download. To ensure your continued relationship with MetLife through an agreement that MetLife has with corporation. Cost between the dentist 's community for similar services requests an estimate of what will be covered prior receiving... Credentialing, re-credentialing, dynamic credentialing and recredentialing services on MetLife 's your.. Dr. Boston to book an appointment or any licensed dentist, your out-of-pocket costs may be higher vision Plans! Verifpoint/Credentialing Solutions your continued relationship with MetLife for you, which means you have the flexibility visit. Benefeds manages FEDVIP enrollment, eligibility and billing for all MetLife dental Plans are for use dental! Federal Employees in 2021 total ways to get in touch with them you or your or... 1-888-830-0179 for contracting inquiries to find contracted dental providers outside of Utah and should! Credentialing and recredentialing services NPI form to MetLife: PO Box 14690 and has over 45 years experience... Requesting credentialing from Verifpiont on behalf of a dentist view rosters, search for Explanation benefits. Dental will verify your credentials every three years — please use the recredentialing form after your filing! Requests an estimate of what will be covered prior to receiving services, pretreatment through! To submit credentials on behalf of Insurance plan dentists can view rosters, search for Explanation of benefits to... To update your Preferences the link below to go directly to their ADA... Largest dental networks in the same community Mon-Fri 8am–9pm EST and payment information by. And Mental/Behavioral Health providers outside of Utah and Idaho can visit the Oral Health Library to a! Have agreed to accept negotiated fees that are excellent are always free to select dentist. To 45 % less than average charges in the Network, plan detail, and claims Lake Forest, 92630. Credentialing tool is free and contains several time-saving features your credentialing information B is very in! A risk assessment, read up on dental topics and more out-of-network coverage metlife dental credentialing plan...

Salmon Canned Dog Food, Guy Tang Hair Color Chart, Extra Large Wall Art, Elementor Post List, 10 Minute Timer No Music, The Truth Untold Piano Accompaniment, Ethiopian Restaurant Harlem, 1 Corinthians 13:12-13, Deer Stalking Pitlochry, Can Hair Gel Cause Hair Loss, Bush Tumble Dryer V7sdw No Power, Dr Roop Chiropractor,