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Our Services ...

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• Claims Processing
  • Dental and vision claims processed weekly
  • Automated adjudication to reduce errors
  • Easy-to-read explanations of benefits paid and copayments owed
• Patient Help Desk
  • Explanations of benefits paid or denied
  • Inquiries about the status of specific claims or predeterminations of benefits
  • Referrals to PPO dentists and optometrists
• Provider Services
  • Benefits paid or denied clearly explained
  • Prompt return of Xrays and other documentation submitted with claims or predetermination of benefits
  • Help desk for inquiries about the status of specific claims
  • Assistance with applying for PPO status
  • Directing patients to PPO offices
• Predetermination of Benefits
  • Determines what patients' dental plans will and won't cover
  • Avoids unexpected surprises with respect to patients' copayments
• Utilization Review
  • Review by certified dental consultants who are also practicing dentists
  • Insures appropriateness of treatment and billing
  • Maintains compliance with plan benefits, limitations, and exclusions

 

 

555 W. Shaw Ave., Suite C-1 Fresno, CA 93704

(866) 777-1320 (559) 256-1320 559.256.1321 fax