Delta Dental of Kansas' quarterly newsletter highlighting current topics for Participating Dentists and Staff
PERIODONTAL MAINTENANCE CHANGES
Reduction in Documentation Requests
We have listened to your feedback, and have eased our policy on processing periodontal maintenance claims for patients who have had a lapse in treatment.
Delta Dental of Kansas (DDKS) Periodontal Maintenance Policy Changes as of 2/20/18:
If you have questions, please contact your Professional Relations Representative.
Now Valid for 6 Months!
We have listened to your suggestions and have extended the period of time that predeterminations are valid. As always, if the predetermination on file is nearing its expiration date, contact customer service at 800.234.3375 or firstname.lastname@example.org and request an extension.
Why and When are Predeterminations Mandatory?
Are you aware that predeterminations with a current "valid to" date are mandatory for some procedures under some group dental plans? When mandatory, it is usually for treatment plans that involve implants, TMJ/TMD and bruxism. Predeterminations are required by some plans in an effort to reduce surprises for your patients when it comes to out-of-pocket costs. Please verify that a valid predetermination is in your possession before beginning treatment on your patient.
A few examples of some of the group plans that require a predetermination on implants:
While the patient bears responsibility for knowing his or her dental benefits and requirements for predeterminations, many patients rely on their dental office to assist them. If you are unsure whether or not a predetermination is mandatory, please review the patient's benefits by logging into the Dental Office Services portal or by calling Customer Service at 800.234.3375.
Submitting a Predetermination
Requests for predeterminations are made by submitting a proposed treatment in the same manner as a regular claim, omitting dates of service and the dentist's signature. We strongly encourage dentists to make predeterminations a habit for all treatments with costs in excess of $250 (whether mandatory or not), except in emergency and routine situations. For additional details, please review the "What you need to know" section of the Participating Dentist Handbook by logging into the Dental Office Service portal.
2018 Annual Seminar & Meeting
When: Saturday, August 11, 2018 | 8:30 a.m. - 11:45 a.m.
Where: DoubleTree by Hilton | Overland Park, KS
$20 per attendee
Punked by Plaque, by Dr. Brian Nový
The public seems obsessed with disinfecting everything from shopping cart handles to doorknobs. However, does it make sense to try and disinfect the mouth in an attempt to restore health? New revelations in cariology research indicate a better strategy may involve nurturing the growth of biofilm. But is such a dramatic paradigm shift consistent with oral health care? and could it go wrong?
Upon completion of this seminar, you'll be able to:
Dr. Bryan Nový is the Director of Practice Improvement at the DentaQuest Institute, and an adjunct associate professor of restorative dentistry. He has served on the ADA Council on Scientific Affairs and as the Chairman of the CAMBRA coalition. The California Dental Association Foundation presented him with the Dugoni Award for "Outstanding Contributions to Dental Education", and in 2009, the American Dental Association awarded Dr. Nový and his office the title "Adult Preventive Care Practice of the Year".
NATIONAL EFT/ERA UPDATES & TIPS
Full implementation of the national EFT/ERA program is complete and all Delta Dental Member Companies currently making direct deposit payments are displaying your remittance advices on the DentalXChange (DxC) platform. You will no longer need to access separate websites to obtain ERAs!
Checking for New ERAs
Some, but not all, Delta Dental Member Companies are sending email notifications when new EFT payments are made. We recommend you log in to the Delta Dental of Kansas Dentist Portal each morning, check your local DDKS remittance and then check DxC for new ERAs for other Member Companies rather than rely on email notification.
Using the DxC Search Function
DentalXChange updated their advanced search function. Please note that currently, the process type is set to “Unprocessed”. If you are searching for a claim that has already paid, first change the processed type to “Previously Processed”, enter the identifying information in one or more of the payment or claim information boxes and then click “Search”.
Delta Dental of Massachusetts' Address
Delta Dental of Massachusetts changed their mailing address for claims and general correspondence almost two years ago, however some mail has continued to be sent to their old address. Up until this point the mail has been forwarded to the correct address, but mail will no longer be forwarded. Please compare the information you have on file for DDMA and make sure that you are using:
Delta Dental MA
P.O. Box 2907
Milwaukee, WI 53201-2907
*Seminars are available for all Dentists and staff who participate with Delta Dental of Kansas. We reserve the right to cancel or reschedule any seminar that does not meet a minimum number of attendees.
Dental Office Changes or Updates: Please Notify Us
Please contact the Professional Relations department by phone at 800.733.5823, by fax at 316.462.3317 or by email at PR@deltadentalks.com for any dentist and/or office changes or updates.
When to notify us:
To ensure proper claims payment, please notify the Professional Relations department of all changes/updates in advance and note the future effective date.
Meet Your PR Representative
Who is your Professional Relations Representative? Click here to meet your representative.
Click here to access Delta Dental of Kansas' Kids Wellness Program:
an oral wellness resource for your patients.
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