Dental Reference Guides & State-Specific Information

Important Program Details for Participating Dental Offices

 

Dental Reference Guides

Locked files require signing in to your dentist account for review.

PPO Dental Reference Guide

• PPO Dental Reference Guide

DHMO Dental Reference Guides

• CA DHMO Primary Dental Office Reference Guide
• DC, MD and VA DHMO Dental Reference Guide for Primary Dental Offices
• NJ, OH and PA DHMO Dental Reference Guide for Primary Dental Offices
• TX DHMO Dental Reference Guide

Miscellaneous Dental Reference Guides

• Auto Dental Reference Guide

 

Flyers

United Concordia has developed several helpful flyers for your reference, including a key contacts quick reference, claims and customer service contact information, online tools and networks, discounted services, diagnostic materials requirements and more. Click here to access the flyers.

 

State-specific Information

California

• CA DHMO Participating Offices – Language Assistance Program
• CA PPO Participating Offices – Language Assistance Program

New Jersey

• NJ Appeals

New York

United Concordia Dental does not discriminate against our members who are victims of abuse or domestic violence. It is recommended that participating dentists in New York print the following flyer and post it in their office.

• NYS Domestic Abuse Office Flyer

Virginia

• VA MCHIP Statement

 

Delaware Medicaid

Benefits Overview

• Delaware Medicaid Adult Benefits

Dental Reference Guides

• Highmark Health Options Delaware Medical Assistance Program DRG

 

PA CHIP

Reference Documents

• CHIP PROMISe ID Requirement

Benefit Overviews

• PA CHIP Benefit Overview - Highmark
• PA CHIP Benefit Overview - IBC

 

Gateway Health

Webinar Series

• Webinar 1 - The Gateway to Practitioner Excellence (GPE®) Program and HEDIS
• Webinar 2 - Routine Dental Care & Childhood Caries, GPE Program and Opioid Epidemic
• Webinar 3 - Benefit Limit Exception (BLE)
• Webinar 4 - Orthodontics: Prior Authorization Review

Dental Reference Guides

• Gateway Health Medicare Assured
• Gateway Health Medicaid

Benefit Grids

• Gateway Health Medicaid
• Gateway Health Medicare Assured^SM Diamond Plan for Pennsylvania
• Gateway Health Medicare Assured^SM Ruby Plan for Pennsylvania

Oral Health and Pregnancy

• Oral Health Pregnancy Consensus

Reference Documents

• Gateway PROMISe ID Requirement
• Benefit Limit Exception (BLE) Form
• Short Procedure Unit (SPU) Form
• Gateway Language Translation Services

 

Webinars

• Webinar 1 - The PA Coalition for Oral Health (PCOH) Special Needs Modules

 

Other useful information

Sealants to Prevent Pit and Fissure Occlusal Caries Continuing Education Article

Read about tools that make patient care even easier

See how easy it is to file claims electronically

Find out how simple managing your business can be

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