News and Views

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Fall 2022 Newsletter

Tuesday, November 1, 2022 | Posted in GEHA Connection Dental Network Provider Newsletter

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Address for GEHA claim submissions

Please review GEHA’s current claims submission address and update if needed.

GEHA
PO Box 21542
Eagan, MN 55121
Payor ID 44054

New features added to the IVR (Interactive Voice Response) system

We have added new automated features to make verifying your provider information quick and easy. You can now access the following through our IVR system, after following the requested phone prompts:

• Fee schedule fax back
• Location effective date
• Initial application status
• Post-call provider satisfaction survey

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

Medicare Advantage payors

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.

Join the Key Influencer Panel and put your ideas into action

You have the unique opportunity to directly influence the evolution of policy, procedures and interactions for the GEHA Connection Dental Network. This elite group of highly qualified professionals helps 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, 2022

Medicare Advantage dentists need to complete the annual General Compliance and Fraud, Waste and Abuse training by December 31, 2022. Because these plans follow Medicare/Medicare Advantage guidelines, dentists may also need to comply with the related requests sent by GEHA Connection Dental Network. 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.

VerifPoint is now VPoint

You may see a new name on the website and portal. Effective Aug 1, 2022, VerifPoint™ changed its name to VPoint™. While the name is new, services will remain the same. VPoint continues to provide NCQA-compliant and URAC-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 while keeping pace with ongoing changes in technology and the healthcare industry.

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	Updated document
Connecticut state specific p&p	4/8/2022	Updated document
Humana PPO website link for providers	4/14/2022	Updated documents
Washington state-specific policy and procedure	4/25/2022	Updated documents
Humana PPO website link for providers	5/31/2022	Updated documents
Virginia state-specific policy and procedure	5/18/2022	Updated documents
California state-specific policy and procedure	6/14/2022	Updated documents
Washington state-specific policy and procedure	8/28/2022	Updated documents

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:

• FDA safety recommendations about dental amalgam
• Respect patient autonomy with proper pronoun usage and gender-affirming care

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

New Mexico is the latest state to require Directory Updates

GEHA Connection Dental Network has policies and procedures in place to ensure we have the most current directory information, as required by state laws, available for enrollees. Currently, 14 states require directory updates. They are:

• California
• Colorado
• Connecticut
• Georgia
• Hawaii
• Louisiana
• Maine
• Maryland
• North Carolina
• New Hampshire
• New Jersey
• New Mexico
• Ohio
• West Virginia

We need your help to keep your information up-to-date. Giving patients accurate information will ensure they are able to locate participating providers. In addition, completing directory updates in a timely manner helps payors identify the correct claim payment mailing address. For more information about directory updates, please contact us at 1.800.505.8880 or visit our website at connectiondental.com

Epic Life Insurance no longer a GEHA Connection Dental Network payor

Epic Life Insurance terminated their participation with GEHA Connection Dental Network, effective October 1, 2022. Services rendered on or after this date will not be processed through the GEHA Connection Dental Network.

If you have questions about a claim, please contact Epic Life at 800.520.5750.