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Dental Insurance

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Providers Join Forces To Protect California's Health Care System

SACRAMENTO, CaliforniaCalifornia Dental Association (CDA) has joined a broad coalition of more than 100,000 California physicians, dentists, nurse practitioners, community clinics and pharmacists in a new effort to protect the gains California has made under the Affordable Care Act (ACA) and improve California's health care system.

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Medicare Made Easier: Changes To Opt-In/Opt-Out Process

BALTIMORE, Maryland — Dentists no longer need to opt in (enroll) or opt out of Medicare to continue to provide dental care, supplemental services, and prescriptions for patients on Medicare or Medicare Advantage plans.

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Washington State Dental Association Dentists File Complaint Against State Delta Dental

SEATTLE, Washington — Five provider dentists of Delta Dental of Washington who are also on the Washington State Dental Association's (WSDA) board of directors filed a complaint in early January with the Washington State Office of the Insurance Commissioner against Delta. The five allege that the third-party payer misled state regulators when it completed a corporate reorganization in 2013.

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Straighten Out Coordination Of Benefits With ADA Resources

When it comes to determining benefits, C-O-B is often not as easy as 1-2-3.

CHICAGO, Illinois — Coordination of benefits is when a patient has more than one dental plan and may be able to use both of them to cover dental procedures. When this occurs, the two plans work together to coordinate benefits to eliminate over-billing or duplication of benefits.

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Washington State Health Care Authority Provider Alert

OLYMPIA, Washington — The Washington State Health Care Authority (HCA) recently sent a provider alert regarding changes to prior authorization requests for photographs and radiographs (x-rays).

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Survey: Embedding Dental Benefits In Medical Plans Is On The Way

CHICAGO, Illinois — A new survey finds that 96 percent of health care executives believe that the embedding of dental benefits in medical plans is "already happening or will happen eventually."

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'Breaking New Ground' In Standards Development

American Dental Association helps create guide related to periodontal claim attachment in secure messaging

CHICAGO, Illinois — A guide that spells out a standard and interoperable way to send periodontal claims electronically is now in circulation due in large part to the American Dental Association's involvement in its development.

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Revisions Sought For Standard Related To Clinical Terminology

Dental professionals are invited to review and suggest revisions to a diagnostic code set developed in part by the ADA.

CHICAGO, Illinois — Revised ANSI/ADA Standard No. 2000.1 SNODENT (Systemized Nomenclature of Dentistry) was approved by the American National Standards institute as an American National Standard in November 2017. The American Dental Association (ADA) has established a maintenance process for SNODENT to revise the standard annually to ensure it is kept updated.

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Quick Reference Guide, More Details On Denti-Cal Adult Benefit Restoration In 2018

Beginning January 1, 2018, adults enrolled in the Denti-Cal program are eligible for an expanded set of dental benefits. The Department of Health Care Services (DHCS) on November 9 issued a special provider bulletin to clarify the dental services that providers may render, bill and be reimbursed for by Denti-Cal in 2018, including scaling and root planing, partial dentures and posterior root canals. The restoration of the full adult dental benefit package presents an opportunity to further improve the oral health of the 7 million adults enrolled in Denti-Cal throughout the state.

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Court Grants Preliminary Approval Of $65M Delta Dental Settlement

SAN FRANCISCO, California — In a hearing on Dec. 27, a San Francisco Superior Court judge granted preliminary approval of the amended settlement agreement between Delta Dental of California and the plaintiff class of Premier dentists. After an error in the financial calculations was discovered during the validation California Dental Association (CDA) required of the prior settlement amounts, the new settlement includes an agreement by Delta Dental to pay an unprecedented monetary award of more than $65 million and expands the number of dentists eligible for awards to more than 14,000.

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