Dental Benefit Plans
Coverage through dental benefit plans is one of the primary ways patient care is funded and being able to navigate the dynamic world of dental benefit plans is one key to managing a smart practice. Utilizing the resources included here, you will learn how to navigate the unique requirements of provider agreements, manage and file dental claims efficiently and effectively, improve your understanding of your appeal rights as a dentist and much more.
Dental Benefits Issue Submission
Challenges with claim delays, denials and miscommunications? You can now share your issues working with dental benefit plans through a form that’s easy, quick and secure. 

Submit a Dental Benefits Issue Submission Form online at any time for expert analysis, evaluation and next steps. This new process enables Practice Support analysts to better facilitate resolution of your specific issue, while giving CDA a better view of the type and amount of benefits plan challenges faced across the membership.

Resources by Topic

CDA members already have access to Practice Support’s full resource library. See dental benefits resources listed by topic below for help navigating common dental benefit plan challenges.

Minimize Carrier-Specific
Minimize Coordination of Benefits
Information and tools for billing for patients who have coverage through more than one plan, including California's coordination of benefits law and when non-duplication of benefits is applicable.

Dental Benefit Plan Handbook - Chapter 4 Understanding Coordination of Benefits (PDF)

In the News

See the latest posts below, and keep an eye out for the monthly dental benefits article on page 2 of each issue of the printed CDA Update.

New online form available for reporting dental benefits plan issues

04/25/2019
CDA Practice Support introduces a new, secure online submission process for dentists to use to report issues with dental benefits plans. By streamlining the intake process, this form will make it easier for practicing dentists to quickly reach out for assistance and submit issues at their own convenience. To receive assistance, simply submit your issue electronically using the new submission form available online within your cda.org account. Read more >>

 

Network leasing bill gains traction, adds protection for dentists, patients

04/16/2019
AB 954, authored by Assemblymember Jim Wood, DDS, and sponsored by CDA, unanimously passed the Assembly Health Committee April 3 with favorable amendments to further protect dentists and patients when dental provider agreements are leased by third parties. The bill was introduced to make the network leasing process more transparent. Currently, dentists are not always aware that their existing contract with a health care benefit plan will be transferred or sold as part of a leased network. Read more >>

 

Contact
Cindy Hartwell Cindy Hartwell  
Dental Benefits Analyst

916.554.5941
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Tip of the Week
Under California law, dental benefit plans can change their agreements, rules and procedures as long as they notify the contracted provider 45 days in advance of the change. Dentists should read all notifications from plans in a timely manner and if action is required on the dentist’s part, the dentists should take action by the plans’ stated deadline to avoid issues and negative consequences. For more information, please refer to the article on page 2 of the February 2018 CDA Update, Dental plan correspondence — it’s not all junk mail.