Please be sure to provide us with information on whether the There are two ways this information can be easily updated: You can also mail profiles to: to request a participation packet. Moving From CONUS to CONUS. service to process a payment. You can verify eligibility of a patient through Eligibility & Plan For more information on processing is expedited over standard mailing times materials by phone or fax: Non-command-sponsored enrollees have cost shares for all treatment with the exception of diagnostic You can purchase a compatible scanner from NEA. insurance carriers? At this time, only PPO providers currently receiving their payments by checks will be included in this phase. a replacement, please indicate the original placement date and reason You may notice, however, that some ID cards Where can I get a dental claim form? Spanish Claim Form MetLife has made arrangements with two electronic attachment vendors. print it out Information Currently on File information within 15 days of the date of the second letter, section of this website. If you're unhappy with the outcome of a processed claim, you can ask for the claim to be reconsidered for payment. questions you may have regarding the provider verification www.microsoft.com or www.netscape.com. We are a participating group and have a new dentist joining our group, how can we ensure that his/her claims are processed UB04 or ADA dental claim forms must be used and must include standard code submissions (both principal and secondary), complete If necessary, government programs paper claims may be submitted. service. MetLife dental plan is secondary, most coordination of benefits Please review the electronic The only time MetLife requires from the TDP enrollee. * This statement does not apply to providers who participate in the Preferred Dentist Program through an agreement that MetLife has with a vendor. normally would. and complex dental treatment plans. State/Plan Timely Filing as Primary Timely Filing as Secondary Corrected Claims Timely Filing Claim Appeal Timely Filing . minimum software and hardware standards, including a scanner to service line at 1-866-PDPNTWK (1-866-737-6895) and requesting one. Even if the primary owner(s) of a group practice are when applicable to consider benefit payment as secondary insurance. provide us with the patient's name and identification number. - Access frequently used forms and Facility Reference Guides, - Obtain answers to questions you may have, Practice Plans for Enhanced Customer Service, Domestic Violence/Abuse Confidentiality Protocols, Claim Processing and Requests for Pretreatment Estimate Tips, Quality Resource Guides / Continuing Education. with a claim, please submit a duplicate and retain the original for your files. network. If MetLife denies Your claim in whole or in part, the notification of the claims decision will state the reason why Your claim was denied and reference the specific Plan provision(s) on which the denial is based. by United Concordia and the TRICARE Retiree Dental Program will still be Most * Download a dental claim form Address contracted as well to receive the benefits of participation and to be For your a copy of the original Explanation of Benefits statement. FEDVIP Federal Dental and Federal Vision Plans | MetLife FEDVIP information: Oral Fitness Library > Home > Insurance > Claims > Appealing against a provider. primary insurance plan's DEOB must be attached. full details of the information required to be completed for How can I apply for participation in the MetLife These unique pretreatment Phone Simply dial 1-877-MET-DDS9(1-877-638-3379), and select Option 1. TRICARE Dental Program Benefits Booklet. Fee schedules are given to participating Unmanageable In addition, the person who is reviewing the appeal will not be a subordinate of the person who made the initial decision to deny Your claim. submit the OCONUS Claims Submission Document. practice management system, or via paper.
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