Eligibility/Benefits
If a member calls in, how many pieces of information is needed to complete verification?
Answer: 3
Full Name, DOB or Full Address, Member ID or SSN
What kind of ortho code is D8999?
Answer:
A non-payable Continuation of Care code
What report in Skygen informs you of any payment made to ADV from a group?
Answer:
Cash Receipts Report
What documentation is required for SRP, Perio Maintenance, Full Mouth Debridement?
Answer:
Pre-op x-rays, Periodontal charting, Narrative
True or False:
Novanet (Connection Dental) take precedence over Dentemax?
Answer:
False. Sequential Order of Network Precedence:
Proprietary (Aflac)
Dentemax
Novanet
OON (Out of Network)
What 2 change in residence events qualify as a life changing event?
Answer:
1. Moving to a new state
2. Moving to a different ZIP code or county