DENTAL …
Guardian, its subsidiaries, agents, and employees expressly disclaim any responsibility for and do not maintain, control, recommend, or endorse third-party sites, organizations, products, or services, and make no representation as to the completeness, suitability, or quality thereof. AL. If you need to speak with someone about a specific Guardian insurance or investment offering, we’ll help you get to the right place. Dominion Dental Services USA, Inc. (DDSUSA) is a licensed administrator of dental and vision benefits. Box 981572, El Paso, TX, 79998-1572. Box 981571, El Paso, TX 79998-1571. The new claim submission address for DHMO claims is: P.O. Contact Us I need help with a specific insurance or investment offering. It is available for qualifying dentists with $26,000 or more in paid claims from Guardian in 2019.
The application process is open through May 10, 2020. Search by carrier or state in one easy step to locate the correct payer id code, neccessary to route EDI transactions to the correct payer. Submissions to the Spokane address after Oct. 31 will be returned to sender. Payments will be equal to two weeks of historical 2019 weekly average claims data with repayment required by end of 2020. Products Underwritten by Guardian Life Insurance Company of America . Box 254888 Sacramento CA 95865 Fax Number: (877) 679-7197 or (916) 679-7197 Note: Only claims that do NOT require x-rays can be faxed.
Effective dates: June 2019 – January 2020 Dental Clinical Guidelines INTRODUCTION Guardian Clinical Policies are developed by licensed dentists and reviewed periodically. Claims can be submitted electronically, mailed or faxed.
Electronic payments can be submitted through Emdeon, Tesia, or Dental Exchange.Payer ID: (Electronic Submission): GI813 Mailing Address: Managed DentalGuard P.O. Links to external sites are provided for your convenience in locating related information and services. The new claim submission address for PPO claims is P.O. Access to Resources and Behavioral Health, Financial and Legal Specialists DENTAL HMO PLANS FLORIDA Policy Form IP-1-MDG-DHMO-FL-OFF-17 NEW YORK Policy Form IP-MDG-NY-FP-OFF-17 Products Underwritten by Managed Dental Guard, Inc. The intent is to ensure that clinical criteria are current with dental terminology, evidence-based research and clinical trends. Eclaims.com provides a searchable payer id code list, spanning all states for BCBS, MDCR and MDCD. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI). DENTAL PPO PLANS Policy Form IP-DEN-16 ET. Guardian Providers Associate Acknowledgement Form Credentialing Checklist MDG Advantages MDG Dentist Profile MDG Office Profile W9 Form Specialty Referral Form Guardian PPO ADA Claim Form Premier Access Providers General Associate Application Practice & Facility Information Form W- 9: Request for TIN and Certification Provider_ Dispute_ Resolution Claim Form Emdeon ePayment … Vision plans are underwritten by Avalon Insurance Company, and administered by DDSUSA, in DC, DE, MD, PA and VA.