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Fall 2023 Newsletter

Friday, November 10, 2023 | Posted in GEHA Connection Dental Network Provider Newsletter

Join the Key Influencer Panel and put your ideas into action

You are invited to participate in a unique opportunity to directly influence the evolution of policy, procedures and interactions for the GEHA Connection Dental Network. We hope you recognize how important you are to us and consider joining this elite panel group of highly qualified professionals who will help shape how we can work together to improve the GEHA Connection Dental Network provider experience.

Interested in joining? Visit geha.com/Panel

Complete your fraud, waste and abuse training by December 31, 2023

All offices need to complete the annual General Compliance and Fraud, Waste and Abuse training by December 31, 2023. All tasks can be completed within the Provider Portal at connectiondental.com. Once you’ve logged into the portal, you will receive a prompt to complete your required training.

Importance of provider scheduling

Having access to care is crucial not only for member satisfaction, but to help prevent serious oral diseases. Please consider holding space for new patient appointments within 30 days and same-day appointments for those in need.

Features of the IVR (Interactive Voice Response) system

The Connection Dental Network has automated features to make verifying your provider information quick and easy over the phone. You may access the following through our IVR system, after following the requested phone prompts:

  • Fee schedule fax back
  • Location effective date
  • Initial application status

The IVR system is available 24/7 days a week, by calling 800.505.8880 and following the provider validation prompt.

Partnership with NetCE

GEHA Connection Dental Network has a new partnership with NetCE. They provide access to more than 90 courses and over 430 hours of continuing education content to meet state mandates and promote professional development for Dentists, Dental Hygienists, and Dental Assistants. NetCE also identifies new regulatory requirements, and is designed to help health care professionals earn, track, and submit CE/CME with ease.

Take advantage of an exclusive discount available to GEHA Connection Dental Network providers with their All Access annual subscription at netce.com/geha23

Cigna Dental joins the GEHA Connection Dental Network

Cigna Dental joined the list of payors in the GEHA Connection Dental Network effective August 1, 2023. Cigna Dental provides access to 15.5 million members to our nationwide network.

CLAIMS MAY BE SENT TO:

Cigna Dental
PO Box 188037
Chattanooga, TN 37422-8037

It is crucial to verify benefits and eligibility with the Payor. By contacting the Payor, a provider can identify which network fee schedule is being utilized for claim reimbursement and verify participation status with the plan.

Dental Select

Effective July 1, 2023, Dental Select members will now have access to GEHA Connection Dental Network providers through their relationship with Ameritas (except in the state of Utah). This change is the result of Ameritas acquiring Dental Select. Please see the updated member ID cards that were mailed to Members.

For questions about access, benefits, and eligibility, please contact 800.999.9789 or visit them online at Ameritas.com

CLAIMS MAY BE SENT TO:

Group Claims
PO Box 82520
Lincoln, NE 68501-2520
Fax: 402.467.7336
Electronic Submittal: Payor #47009

What’s New

Be sure to check out the “What’s New References” category in the Resources section of the Resource Center at connectiondental.com to keep up-to-date on new and revised payor notices, provider manuals and state-specific policies and procedures. We encourage you to check out the Resource Center on a regular basis to see updates as they occur. Here is a recap of the new or updated documents important to you as a GEHA Connection Dental Network provider:

New provider document Date posted What's new
MN St. Specific Policy and Procedure 06.08.2023Updated document
Humana CarePlus Dental Network Transition FAQ-2023 06.27.2023 New document added

Stay informed with News & Views

News & Views is the place to find the latest news and information in the world of dentistry. Check out these recent articles:

  • How we eat may be the underlying cause of tooth decay
  • Health literacy plays a key role in a patient-centered approach to care
  • Methods for treating acute postoperative pain due to dental extraction

For these stories and more, visit connectiondental.com/News

GEHA claims address

Please ensure you have GEHA’s current claims submission address. A delay in processing may occur if claims are not sent to:

GEHA
PO Box 21542
Eagan, MN 55121
Electronic Submittal: Payor #: 44054

Directory requirements and importance of updating your information

Connection Dental Network has policies and procedures in place to ensure we have the most current directory information available for our providers. However, we need your help. The importance of keeping this information up to date is so patients have access to accurate information. This will also ensure that new patients are able to locate participating providers. In addition, when our providers complete directory updates in a timely manner and submit address change forms, this helps payors identify the correct claim payment mailing address. For more information about directory updates, please contact us at 1.800.505.8880 option 4, or visit our website at connectiondental.com

Medicare Advantage Payor announcement

Did you know that some GEHA Connection Dental Network payors offer Medicare Advantage plans in addition to commercial plans? Please contact the payor directly for benefits. Currently, Medicare Advantage plans are offered by:

  • Aetna
  • CCA Health RI
  • Dominion National
  • Humana
  • Paramount Dental
  • UnitedHealthcare/Dental Benefit Providers
  • United Concordia Inc.

Pro Benefits Administrators

Effective June 1, 2023, your office has access to Pro Benefits Administrators through the DenteMax Plus Network, which uses both the DenteMax and GEHA Connection Dental Networks to service these members. Claims will be processed according to your Connection Dental Network fee schedule, unless you are also contracted with DenteMax, as they serve as the primary network in this arrangement. Pro Benefits Administrators has 8,383 subscribers you will be able to have access to. NO action will be required by your office to provide care to these members.

CLAIMS MAY BE SENT TO:
Pro Benefits Administrators
100 Corporate Parkway, Ste 334
Amherst, NY 14426

 


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