Dentegra offers a comprehensive provider portal designed to streamline administrative processes and enhance communication between dental providers and the insurance network. This portal aims to simplify provider interactions, reduce paperwork, and improve overall efficiency for dental practices.
Official Links
- Provider Portal: https://www.dentegra.com/for-providers.html
- Dentegra Website: https://www.dentegra.com/
What Providers Can Do in the Portal
The Dentegra Provider Portal offers several key functionalities for healthcare professionals:
Key Features
- Verify patient eligibility
- Check benefits for different plan types
- Submit electronic claims
- Access provider tools
- Review patient claims
Plan Types Supported
Dentegra’s provider portal supports multiple plan types:
- Network access plans
- Health Care Exchange (Marketplace) plans
- Group plans
- Dental savings plans
Accessing the Portal
Login Process
Providers can access the portal by:
- Logging in through the Dentegra website
- Using online Provider Tools
- Contacting customer support for assistance
Contact Information
Provider Support
- Email: [email protected]
- Phone: 866-238-1580
Customer Service Numbers
- PPO Plans: 888-857-0328
- Smile Club: 877-280-4204
Credentialing and Administrative Forms
The portal provides access to essential administrative documents:
- Standard credentialing forms
- State-specific credentialing forms (Colorado, DC, Maryland, Ohio, Vermont, Louisiana, North Carolina, West Virginia)
- Administrative forms like:
- Handicapping Labiolingual Index Report
- Provider Inquiry Form
- Salzmann Index Evaluation Form
Language Assistance
Dentegra offers language interpretation services at no additional cost for providers supporting diverse patient populations.
Network Participation Benefits
Providers joining the Dentegra network can enjoy:
- Effortless marketing through provider directory listings
- Low-maintenance dental plans
- Dedicated support teams
- Potential access to over 3.5 million patients
Privacy and Security
While specific portal security details are not explicitly mentioned in the source documents, Dentegra emphasizes professional and confidential interactions.
Unprovided Information
The following details were not specifically addressed in the source documents:
- Exact login credentials process
- Detailed security protocols
- Comprehensive step-by-step portal navigation instructions
Joining the Network
Providers interested in joining can:
- Email [email protected]
- Call 866-238-1580
- Complete and return provided forms
- Await welcome message with contract effective date
The Dentegra Provider Portal represents a valuable tool for dental healthcare professionals, offering streamlined administrative processes, easy patient verification, and comprehensive support services.
Disclaimer: Information based on Dentegra’s official website as of the current date. Providers should always confirm current details directly with Dentegra.
FAQ
Is Dentegra owned by Delta Dental?Delta Dental Plans Officially Become Dentegra Group Inc. – California Healthline.
Is Dentegra part of Medicare?The Dentegra contracted fee (the “Dentegra discount”) that AARP Medicare Supplement plan holders pay you is not dental insurance. That means you don’t need to research benefits, submit claims or wait to be paid. Here’s all you need to do.
How do you use Dentegra?
- Provide the dental office staff with your membership ID card, or log in to your DentalPlans account and show them your ID card on your mobile device.
- Pay the discounted fee at the time of service.
- Visit as often as you need to, receive the discount for qualifying procedures.
What is the Dentegra network?Founded in 2004, Dentegra began building a nationwide network of providers and established dental savings plans (also called discount plans or network access plans) to help individuals access affordable dental care. In 2014, we began offering dental plans through the Health Care Exchange (Marketplace).
https://www.dentegra.com/for-providers.html
To verify eligibility, check benefits or review claims for a patient with a Dentegra PPO plan, log in to the online Provider Tools, or contact us at 888-857-
https://www.dentegra.com/
Welcome to Dentegra’s flexible dental plans that support oral health for members and ease the burden on providers.