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