Under Contract
Rental network is another name for this. Your hint will be in the first letter of an agreement ID; For example RMCSC0000004
What is a leased network?
Thank you for registering for uhcdental.com! You can find portal registration status here, in ACET.
What is provider details?
A plan guideline that requires a claim to be submitted within a certain period of time.
What is timely filing?
This can be found under the benefit summary in ACET.
When a provider requests to join the network, they can expect a credentialing packet within this time frame.
What is 7-14 days?
I'm a provider and supposed to be INN, but ACET is showing that I am OON; this type of SR will be the one to submit.
What is a credentialing inquiry?
Shhhhh! lol just kiddinggg. This section contains internal information about a provider that we would not disclose to our membership.
What is credentialing information?
Specifically, Degree School Name & Credentialing Date
What is because they are OON?
What is because they are contracted with a leased network?
When a new provider wants to be a part of alllodat that UHC has to offer, they can click on this tab from the home page of the provider portal.
What is Join Our Network?
It can take up to this many days to become fully credentialed with UHC.
What is 90 days?
I got a letter stating the fee for D2750 will increase from $250 to $400. The insurance is still paying $250. I need to get my bread. This would be the correct SR.
What is a fee schedule discrepancy?
I am an Oral Surgeon, specializing in TMJ. If I listed this in my demographic information, you can find it here, in ACET.
What is specialty; services offered?
Instead of a benefit breakdown, you can fax this to an INN provider for DHMO (managed care).
What is an assignment letter?
Just for brownie points for having a fun and informative class, here is an easy daily double. This is the payor ID.
What is 52133?
Name a document that providers may be required to include in their credentialing application.
What is Copy of State Dental License?
What is Malpractice Insurance Information?
What is work history?
Any of the above will score the points.
***DAILY DOUBLE***
Dr. Brinkerhofferton calls in stating he is thinking of terming all contracts, due to dissatisfaction with fee schedules. Provider retention is paramount to our business; we would offer to route this SR for the provider.
What is a fee schedule increase?
This is where you can find the address that provider checks should go to. A specific section in ACET.
*Providers can update this information in the self-service options in the provider portal :)
What is additional details or remittance address?
For all Healthplex plans, this is the date a crown is paid on.
What is the seat date?
Per the Healthplex Client Reference Guide on uhcdental.com, a provider calling about a commercial plan would dial this number.
What is 867530niyeeeyinnnee?
No, the correct answer is 877-363-4627
Describe my accent with one word.
Acceptable answers:
What is cornbread?
What is Country?
What is professional and should be doing TV Commercials?
What is very soothing and should have been a therapist?
Dr. Santiago called to follow up on a SR created over 30 days ago and has not had any response and nothing is notated on the account. You can use this escalated issue SR to assist provider.
What is
Provider Request Outside TAT - Request is Over 30 Days; No Notations?
Dr. French needs a copy of their September Capitation roster. You can find that here.
What is under provider documents?
If a plan has no waiting periods, it also does not have this feature?
*Hint Ho, Ho, Ho :)
What is a missing tooth clause?
A provider is calling regarding a government plan and wants the claims mailing address. You hit em with which PO Box number?
What is PO Box 30605?
***Daily Dubs***
This is the organization that verifies all credentialing information contained in a provider's application to join UHC.
What is Aperture?