Assurant Employee Benefits

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Dental Plan FAQ's

Frequently asked questions (FAQ) for Providers:

Preferred Provider Organization (PPO) topics

Prepaid plan topics

Specialty benefits topics

Preferred Provider Organization (PPO) topics

About Dental Health Alliance (DHA)

  1. What is Dental Health Alliance, L.L.C.® (DHA®)?
  2. What is the relationship between DHA and Assurant Employee Benefits?
  3. How will I know when a patient participates with DHA?
  4. What do the DHA logos look like?
  5. How do I join the DHA network?
  6. Is there any fee to join DHA?
  7. How is the quality of the network assured?
  8. How do patients find out that I am a participating DHA dentist?
  9. May I discontinue new referrals?
  10. Who do I call with questions about my network participation?
  11. Who do I call if I have questions regarding my DHA Personal Fee Profile?

DHA Claims Administration at Assurant Employee Benefits

  1. How do I find out about coverage, deductibles, and maximums for DHA patients?
  2. Am I required to refer patients to specialists in the DHA network?
  3. How do I submit a claim for a DHA patient?
  4. What am I allowed to bill the patient when Assurant Employee Benefits applies the alternate benefit provision?
  5. Am I allowed to bill the patient if a service is not paid by Assurant Employee Benefits?
  6. Can I send electronic attachments?
  7. Can I check eligibility online?
  8. How do I sign up for electronic claims?
  9. Pre-estimate questions:
    A. How long does it take to process pre-estimates?
    B. What are the guidelines for submitting pre-estimates?
    C. Can I fax pre-estimates to Assurant Employee Benefits?
  10. If I have a problem with a claim from Assurant Employee Benefits, which number do I call?
  11. If I have a problem with a claim from another company that uses the DHA network, whom do I call?

Prepaid plan topics

General Provider Questions

  1. What is the Prepaid Dental Plan?
  2. How do I join the Prepaid Plan?
  3. What states are the Prepaid Dental Plans available in?

General Dentist Provider Questions

  1. How does the Prepaid Plan work?
  2. How do I know which plans I accept?
  3. How do I refer my patient to a specialist?
  4. How do I verify patient eligibility?
  5. Do plan members have to assign me as their Plan Dentist to receive benefits?
  6. Do I need to submit a claim?
  7. Can I file claims for the difference in copayments and costs?
  8. How do I know if I have the most current version of the plan Copayment Schedule(s)?
  9. What happens if the procedure I performed is not listed on the Copayment Schedule?
  10. How can I have a specialist, to whom I refer, added to the network?

Specialty benefits topics

Specialist Provider Questions

  1. Do I need a referral to see the patient?
  2. How do I know if a patient has the Specialty Benefit Amendment?
  3. How do I get reimbursed for services?
  4. What is the Specialty Benefit Amendment (SBA)?
  5. Do all patients have the SBA?
  6. How can I receive information about the SBA if I don't currently accept members with the SBA?
  7. If I do not wish to accept members with the SBA, what should I do?
  8. Where do I submit an SBA claim for the remaining contracted balance?

 

 

 

 

 

 

 

Dental Plan FAQ's

Frequently asked questions (FAQ) for Providers:

Preferred Provider Organization (PPO) topics

Prepaid plan topics

Specialty benefits topics

Preferred Provider Organization (PPO) topics

About Dental Health Alliance (DHA)

  1. What is Dental Health Alliance, L.L.C.® (DHA®)?
  2. What is the relationship between DHA and Assurant Employee Benefits?
  3. How will I know when a patient participates with DHA?
  4. What do the DHA logos look like?
  5. How do I join the DHA network?
  6. Is there any fee to join DHA?
  7. How is the quality of the network assured?
  8. How do patients find out that I am a participating DHA dentist?
  9. May I discontinue new referrals?
  10. Who do I call with questions about my network participation?
  11. Who do I call if I have questions regarding my DHA Personal Fee Profile?
  12. Who do I contact if I have questions regarding my responsibilities with DHA?

DHA Claims Administration at Assurant Employee Benefits

  1. How do I find out about coverage, deductibles, and maximums for DHA patients?
  2. Am I required to refer patients to specialists in the DHA network?
  3. How do I submit a claim for a DHA patient?
  4. What am I allowed to bill the patient when Assurant Employee Benefits applies the alternate benefit provision?
  5. Am I allowed to bill the patient if a service is not paid by Assurant Employee Benefits?
  6. Can I send electronic attachments?
  7. Can I check eligibility online?
  8. How do I sign up for electronic claims?
  9. Pre-estimate questions:
    A. How long does it take to process pre-estimates?
    B. What are the guidelines for submitting pre-estimates?
    C. Can I fax pre-estimates to Assurant Employee Benefits?
  10. If I have a problem with a claim from Assurant Employee Benefits, which number do I call?
  11. If I have a problem with a claim from another company that uses the DHA network, whom do I call?

Prepaid plan topics

General Provider Questions

  1. What is the Prepaid Dental Plan?
  2. How do I join the Prepaid Plan?
  3. What states are the Prepaid Dental Plans available in?

General Dentist Provider Questions

  1. How does the Prepaid Plan work?
  2. How do I know which plans I accept?
  3. How do I refer my patient to a specialist?
  4. How do I verify patient eligibility?
  5. Do plan members have to assign me as their Plan Dentist to receive benefits?
  6. Do I need to submit a claim?
  7. Can I file claims for the difference in copayments and costs?
  8. How do I know if I have the most current version of the plan Copayment Schedule(s)?
  9. What happens if the procedure I performed is not listed on the Copayment Schedule?
  10. How can I have a specialist, to whom I refer, added to the network?

Specialty benefits topics

Specialist Provider Questions

  1. Do I need a referral to see the patient?
  2. How do I know if a patient has the Specialty Benefit Amendment?
  3. How do I get reimbursed for services?
  4. What is the Specialty Benefit Amendment (SBA)?
  5. Do all patients have the SBA?
  6. How can I receive information about the SBA if I don't currently accept members with the SBA?
  7. If I do not wish to accept members with the SBA, what should I do?
  8. Where do I submit an SBA claim for the remaining contracted balance?