Frequently Asked Questions
Is it difficult to work with DenteMax?
DenteMax strives to make partnership easy and hassle-free. You simply operate
as usual, verifying eligibility and submitting claims through the patient’s
insurance company or administrator.
While DenteMax provides the network for a large number of major insurers,
the patients in your area will come from just a few of these companies.
Most likely, these are companies that you are already working with.
Regardless of the patient or who his or her insurance company is, you have
just one fee schedule. You can submit claims using your customary fees and
the insurance company or administrator will adjust them according to the DenteMax
fee schedule.
Regular communications with dental offices include yearly fee updates,
a quarterly newsletter and a secure web portal through which you can access
up-to-date network information.
Upon acceptance into the network, you will receive a Welcome Kit and Reference
Guide that will provide you with all the information you need to work with DenteMax.
Need Assistance?
DenteMax is committed to providing you with excellent service.
Simply call 800.752.1547 during regular business hours and you will be
connected to a live Customer Service Representative ready to assist you.
Is DenteMax Insurance?
DenteMax is not an insurance plan. The DenteMax network is a network of
participating dentists who have agreed to a fee schedule. The network is
leased to insurance companies, third-party administrators and Taft-Hartley
Trust Funds to enhance their dental benefits programs.
How Will Patients Know My Office Participates?
Your practice information will be included in the printed and online directories
of DenteMax’s payor partners as well as the DenteMax website. The DenteMax
website alone receives nearly 5 million visits from members each year who are
looking for a quality network dentist.
Where Do I Send Claims?
All payments are made to you by the patient’s insurance company or administrator.
Claims are sent to the patient’s benefits administrator who will send the payment
to you.
How Do I Verify Eligibility?
DenteMax does not have access to eligibility information. In order to verify
eligibility, please contact the plan administrator by using the number listed on
the back of the patient’s insurance identification card.
Can I Bill the Patient?
Patients are responsible for any coinsurance or deductibles. You cannot bill the
patient for the difference between the DenteMax fee and your customary fee, if
there is a difference.
What if I Wish to Terminate Participation?
Very few dentists choose to leave the DenteMax network. Requests must be submitted
in writing and are effective in approximately 30 days.
Are There Any Charges to Participate?
Participation is free. There are no annual dues and you are not required to
perform any free services for patients.