News and Views

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Summer 2024 Newsletter

Tuesday, July 23, 2024 | Posted in GEHA Connection Dental Network Provider Newsletter

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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 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?

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.

GEHA Code of Ethical Business Conduct

As part of our GEHA Compliance Program, all contracted entities that perform administrative or health care services must review the GEHA Code of Ethical Business Conduct. This review is mandatory and must be completed when the partnership with GEHA starts during the initial application process — and annually independently thereafter. Please visit our website at connectiondental.com and select Resource Center. Under Resource Links, select GEHA Code Of Ethical Business Conduct and read the documents. No other action is needed. If you have any questions regarding this request, contact GEHA Connection Dental Network at 800.505.8880, option 4. We appreciate your participation in the GEHA Connection Dental Network.

Dominion National has contracted with AmeriHealth

We are pleased to announce Dominion National has contracted with AmeriHealth Insurance Company of New Jersey to administer embedded comprehensive dental plans for its new Medicare Advantage suite of products.

As a participating GEHA Connection Dental Network provider, you are receiving this notice because your office is contracted to see members of AmeriHealth Medicare Advantage plans. Claims will be processed according to your GEHA Connection Dental fee schedule.

The network partnership is effective as of January 1, 2024, and is a strategic step in ensuring AmeriHealth’s Medicare Advantage membership has wide access to quality participating dental providers in New Jersey and the surrounding areas.

The new Medicare Advantage dental PPO plans offer comprehensive benefits with no deductibles or waiting periods. Diagnostic and preventive services are covered in full by the plan, with select basic restorative, endodontic, periodontic services offering 80% coverage. The plan also offers coverage for major services, such as dentures, implants and oral surgery at the 60% coinsurance level. Depending on the Medicare Advantage plan in which the member is enrolled, non-preventive annual maximums range from $1,000 to $2,000.

Members will present their AmeriHealth Medicare Advantage medical card in the office. Your office will use the 10-digit AmeriHealth ID number to verify eligibility and benefits and file claims. Claims can be submitted either by mail or electronically by using the following information:

Claims can be sent to:

P.O. Box 211424
Eagan, MN 55121
Dominion Electronic Payor ID: DOM01

For inquiries about your participation with the GEHA Connection Dental Network, including fee schedule requests, please visit the GEHA Connection Dental Network portal or call 800.505.8880.

For inquiries about plan administration, please contact Customer Service at 833.567.0364 or email ProviderRelations@dominionnational.com. Your office can also reach us online at DominionProvider.com.

We appreciate and greatly value your continued partnership.

Sincerely,
Andy Tate
Vice President, Operations Dominion National

UnitedHealthcare Alterwood Advantage

Thank you for participating in the UnitedHealthcare National Medicare Dental network. We’d like to highlight Alterwood Advantage plans as you might have started to see patients with these plans with an effective date of January 1, 2024.

The new Alterwood Advantage plans are offered by Alterwood Health Management Company, Inc., and are consistent with other UnitedHealthcare National Medicare plans.

WHAT THIS MEANS FOR YOU

Covered services are paid in accordance with your contracted fee agreement. Non-covered services are paid by the member at your usual and customary fees.

Dental claims can be sent to:

Alterwood Advantage Dental Claims
P.O. Box 30567
Salt Lake City, UT 84130-0567
uhcdental.com

WE’RE HERE TO HELP

If you have questions or need contact information, please contact Provider Services at 866.274.3265.

For the most up to date info about impacts of the Change Healthcare cyberattack, please see our resource page at geha.com/CHC.

Provider education: Equitable claims

We would like to notify you of an upcoming change to Equitable’s claims submission information that took place on May 1, 2024. Equitable provides access to over 250,000 members nationwide.

For Equitable members with dates of service prior to May 1, 2024, please continue to send claims here:

Payor ID: 75261
Paper claims submission:
Dental Claims
P.O. Box 2107
Grapevine, TX 76099-2107

Pre-determination approvals received prior to May 1, must be submitted along with corresponding claims.

For members with dates of service May 1, 2024, and after:

Electronic claims submission:
Equitable Provider Portal:
equitabledental.com/ProviderPortal
Payor ID: 78077
Paper claims submission:
Dental Claim Administrator
P.O. Box 69421
Harrisburg, PA 17106-9421

CUSTOMER SERVICE:

For questions about access, benefits and eligibility: 866.274.9887

Hours of operation: Monday through Friday from 8 a.m.–8 p.m. Eastern time

As of May 1, 2024, Equitable’s claim payments will be administered by PNC Healthcare/ECHO Health. Your payment method preference (Virtual Credit Card, Electronic Fund Transfer or paper check) must be selected at providerpayments.com. If you’re already utilizing PNC Healthcare/ECHO Health, no action is needed.

The GEHA Connection Dental Payor list can be located at connectiondental.com under the Resource Center/Connection Dental Network Payor List Tab.

Provider education: Payor list

We would like to inform you of recent changes to our website regarding the access to the Payor List. To review the latest Payor List, you will need to log into your Provider Portal on the Connection Dental website. The Payor List is updated on a monthly basis.

HERE ARE THE STEPS TO ACCESS THE PAYOR LIST: PAYOR LIST IS UPDATED MONTHLY

Step 1: Log in to your Connection Dental website account (connectiondental.com). If you do not have an account, you will need to click on “Register” and complete the registration process. If you have previously registered but did not enter your Provider ID number, please follow these additional steps:

• Go to “Manage Account” > “Profile Information” > “Provider ID Number” (if you need yourProvider ID, please call).
• Enter your Provider ID number and click “Submit.” The dashboard should display. If it does not,click “Manage Account” again to refresh.

Step 2: Once logged in, click on “Network Information.” You will see a drop-down box with “Connection Dental Network Payor List.” Click on this option, and the Payor List will be downloaded.

If you prefer not to log in, you can call 800.505.8880, option 3, to request a copy of the latest Payor List.

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:

Alterwood Medicare Advantage Provider Education (Added April 2, 2024)

AmeriHeath Medicare Advantage Letter (Added April 22, 2024)

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

• Aetna
• Commonwealth Care Alliance of Rhode Island
• Dominion National
• Dental Network of America (DNOA)
• Humana
• Paramount Dental
• United Concordia Inc
• United Healthcare/Dental Benefit Providers

Because 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.

As we move towards more electronic correspondence, please make sure your email address is up to date! You may update your email at connectiondental.com or call 800.505.8880, option 4.

Thank you for your participation in the GEHA Connection Dental Network and the quality of care you provide to our members.

Lincoln Financial partnership announcement

As a participating GEHA Connection Dental Network dentist, you are considered in-network for Lincoln DentalConnect® dental PPO plans offered by Lincoln Financial.

EASY ACCESS TO INFORMATION YOU NEED:

Make sure you’re registered on the Lincoln DentalConnect® provider portal at

provider.mylincolnportal.com/Dental/Login for easy access to:

• Check and confirm eligibility
• View claim status
• Verify plan benefits
• Confirm your participation status with Lincoln

BENEFIT VERIFICATION:

Please visit lfg.com/DentistPortal or call 800.423.2765, option 3.

Claims information:
Mail to:
Dental Claims
P.O. Box 3464
Omaha, NE 68108-3464
Fax: 877.843.3945
Payor ID number: CX061
To check claims status, email: claims@LFG.com

Stay informed with News & Views

News & Views is the place to find the latest news and
information in the world of dentistry. For stories and more, visit
connectiondental.com/News

01 Join the Key Influencer Panel
Features of the IVR system
GEHA Code of Ethical Business Conduct
02 Dominion to AmeriHealth
03 UnitedHealthcare Alterwood Advantage
04 Provider education: Equitable claims
05 Provider education: Payor list What’s new
06 Medicare Advantage Payor announcement
07 Lincoln Financial partnership

GEHA Connection Dental Network
connectiondental.com
connection.dentalweb@geha.com
800.505.8880

Connection Dental® Plus
geha.com/CDPlus
800.793.9335

GEHA Connection Dental Federal® (FEDVIP)
geha.com
877.434.2336