Q. What are the advantages of being a participating dentist with Delta Dental?
A. When you join Delta Dental of South Dakota's Premier Network, you gain access to all the advantages associated with doing business with Delta Dental:
dental coverage for more than 288,000 members.
Q. Who is eligible to become a Delta Dental participating dentist?
A. A dentist duly licensed and in good standing under the laws of South Dakota and who has completed Delta Dental's credentialing requirements can become a Delta Dental of South Dakota participating dentist.
Q. What is the purpose of a Participating Dentist Agreement?
A. Through the Participating Dentist Agreement, Delta Dental and the dentist work together to provide affordable dental care. The most common elements of the agreement are:
In other words, you agree not to balance bill patients any difference between the Delta Dental-
approved amount and your usual fee, if any.
that treatment is covered by the group contract.
(i.e. credentialing information) at least once every four years.
Q. Does Delta Dental require credentialing?
A. Delta Dental believes in nurturing long-term partnerships with highly qualified individuals and organizations who share our commitment to quality dental care and services. As part of our commitment to quality, Delta Dental of South Dakota has a formalized credentialing process through which we objectively evaluate dentists against formalized standards.
Q. How do I become a participating Delta Dental Premier dentist?
A. In order to become a participating Delta Dental Premier dentist, you must sign a Participating Dentist Agreement, a Professional Profile, a credentialing form and a W-9 form. Contact our Professional Services Department at 1-800-627-3961 to request a Delta Dental Premier participation packet.
Q. What are the advantages of participating with Delta Dental Premier?
A. Participating Delta Dental Premier dentists are guaranteed direct payment for services rendered to Delta Dental Premier patients. This will save you a significant amount of time as well as reduce your billing costs. Your name is also published as a participating Delta Dental Premier dentist in directories sent to our groups, as well as on our website. Delta Dental Premier subscribers generally have reduced out-of-pocket expenses when they visit participating Delta Dental dentists.
Q. What reimbursement will I receive as a participating Delta Dental Premier dentist?
A. Delta Dental of South Dakota's reimbursement is based on the maximum plan allowance (MPA) concept. Our MPAs are derived from current claim history and specialty training. Provisions of federal anti-trust laws prohibit DDSD from publishing MPAs.
Q. Can I choose to participate only with Delta Dental of South Dakota?
A. By signing the contract to participate with Delta Dental of South Dakota, you also agree to see patients who have coverage through other Delta Dental member companies.
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