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Winter 2024 Newsletter

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

GEHA Connection Dental Network®

Q1 Provider Newsletter WINTER 2024

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

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

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).

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.

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.

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.

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.

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

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.

2024 Connection Dental fee schedule

The 2024 Connection Dental Fee Schedules are now available. You can access your fee schedule via the IVR system, by logging into your connectiondental.com provider portal or by calling 800.505.8880 option 3 and requesting a fax back or email from one of our representatives.

2024 CDT code changes

GEHA Connection Dental Network added the following CDT codes to our fee schedules

• D0396

• D1301

• D2976

• D2989

• D2991

• D6089

• D7284

• D7939

• D9938

• D9939

• D9954

• D9955

• D9956

• D9957

Please begin using the 2024 CDT codes on claims for treatment provided on and after January 1, 2024. You can go to the 2024 American Dental Association CDT Manual to view the updated procedure codes.

Dominion National

We are pleased to announce Dominion National has contracted with Blue Cross and Blue Shield of Kansas City (Blue KC). Dominion National will offer a new dental provider network for Medicare Advantage members covered under Blue KC. This new network will be effective January 1, 2024, and is a strategic step in ensuring our Medicare Advantage(MA) members receive the same great dental care as Blue KC’s other customers.

Your practice may already service Dominion National’s Commercial and Pediatric members today. We anticipate tremendous growth as we add Blue KC’s Medicare Advantage membership effective 1/1/2024.

For questions regarding member access, benefits, and eligibility, please contact ProviderRelations@dominionnational.com

Pacific Life via UHC

We would like to welcome Pacific Life who will join the list of payors in the GEHA Connection Dental Network through an agreement with Dental Benefit Providers, Inc., effective 1/1/2024. The GEHA Connection Dental Network list can be located at www.connectiondental.com under the Resource Center/Connection Dental Network Payor List tab.

Pacific Life provides access to members to our nationwide network. No action is required by your office at this time.

For questions about access, benefits and eligibility, please contact 800.822.5353.

Claims can be sent to:

Pacific Life

PO Box 2011

Milwaukee, WI 53201

Dental Network of America

Effective November 1, 2023, Dental Network of America, LLC’s Medicare Advantage enrollees have access to the GEHA Connection Dental Network. This network supports Medicare Advantage and Medicare Supplement Plans for Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas.

It is crucial to verify benefits and eligibility with the Payor.

Claims can be sent to:

Dearborn Group

PO Box 660247

Dallas, TX 75266-0247

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 Network of America, LLC (DNoA) is a wholly owned subsidiary of Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company.

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

IN THIS ISSUE

01 Join the Key Influencer Panel

Features of the IVR system

VPoint™

02 Payor List

Medicare Advantage payor

announcement

Connection Dental website

03 What’s New

2024 new benefits for GEHA members

2024 Connection Dental fee schedule

04 2024 CDT code changes