Contracting and credentialing

We contract with providers and facilities to form networks essential for delivery of dental services to our members.

• Credentialing - All providers must be credentialed before they can participate on our networks. View our application checklist and submit an application.
• Contracting - After completing the credentialing process, you will be notified that agreement documents are available for review and signature in our eContracting Center.
• View our step-by-step guide to contracting.

Claims and payment

Learn how to identify members and verify their dental coverage, easily submit claims and receive payment for services and supplies.

• Submitting claims - All claims must be submitted electronically.
• Dental billing guidelines help ensure your dental claims are processed accurately and efficiently.
• Learn about billing medical claims.
• Receiving payment - Make this process more efficient by using our electronic options.
• Sign up for electronic funds transfer (EFT).

Library

• Access forms.
• View our Dental benefits reference guide.
• The Bulletin includes changes to our dental policies.
• View a summary of monthly changes that impact your office.
• Dental policies are used as guidelines for coverage determinations.
• Our Administrative Manual contains dental policy and procedure information.
• The Connection includes important news and changes to our dental and reimbursement policies.

Secure portal

Use the Availity Provider Portal for secure access to eligibility, benefits and claims-related information for most members. Payer Spaces also provides access to the eContracting Center for signing agreement documents and dental reimbursement schedules.

Pre-authorization

View our pre-authorization requirements for Temporomandibular Joint Surgical Interventions or other medical services that may be billed by a dental provider (such as sleep apnea).

Contact us

For inquiries that cannot be served by the Availity Portal, our Provider Contact Center is available to help you. Our Provider Relations representatives are also available.