News and Views

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Winter 2024 Newsletter Part 1

Wednesday, March 6, 2024 | Posted in GEHA Connection Dental Network Provider Newsletter

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GEHA Connection Dental Network®

Q1 Provider Newsletter WINTER 2024

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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 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? Scan the QR code or visit geha.com/Panel

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Features of the IVR (Interactive Voice Response) system

The Connection Dental Network has automated features to make verifying your provider information quick and easy. You 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 hours a day, 7 days a week. Call 800.505.8880 and follow the provider validation prompt

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VPoint™

VPoint is designed to provide NCQA (National Committee for Quality Assurance)-compliant and URAC (Utilization Review Accreditation Commission)-compliant credentialing and recredentialing services along with continuous monitoring. VPoint’s diligent credential verification process effectively ensures provider compliance, client protection and quality of patient care, all while keeping pace with ongoing changes in technology and the health care industry. We look forward to continuing our partnership with VPoint as we utilize them as our CVO (Credentialing Verification Organization).

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Where to locate our latest GEHA Connection Dental Network Payor List

The GEHA Connection Dental Network Payor List is updated monthly with payors that have joined and left the network. It is best practice to review the payor list monthly. To view the Connection Dental Network Payor List, go to the Resources section of the Resource Center at connectiondental.com. 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. If you have any questions, you can call 800.505.8880, option 3.

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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 and confirm participation through your Connection Dental Fee Schedule. Currently, Medicare Advantage plans are offered by:

Since these plans follow Medicare/Medicare Advantage guidelines, you will need to comply with related requests sent by GEHA Connection Dental Network, including annual fraud, waste and abuse training and quarterly directory updates. Both tasks can be completed at connectiondental.com within the Provider Portal. You will receive a prompt to complete your training when required.

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Connection Dental Website

As we move towards more electronic correspondence, please make sure your email address is up to date.

Did you know? On connectiondental.com there are other features available besides completing compliance requirements? You can access your fee schedule, manage your participating locations by adding or terming a location, update your provider information including any languages spoken or office hours for your location and more. This helps ensure our directory is current when a member is searching for a provider. Visit connectiondental.com to log in or register your account today.

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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.

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

these recent articles:

• At GEHA, we advocate for health equity

• GEHA’s partnership with the Veterans Community Project

• Use of omega-3 fatty acid dietary supplements can help improve gum health

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

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2024 new benefits for GEHA members

We added the following procedure codes:

D2929 Prefabricated porcelain/ceramic crown-primary tooth, it is limited to one per patient, per tooth, per lifetime for covered persons under 15 years of age.

D9230 Inhalations of nitrous oxide/ analgesia, anxiolysis has been expanded to members of all ages when medically and dentally necessary and performed with covered services.

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