ADA resources abound when it comes to signing contracts
March 09, 2018
— In the wake of Blue Cross Blue Shield of Massachusetts’ February announcement that it has expanded its national network — making it one of the largest dental networks in the country — the ADA Council on Dental Benefit Programs is reminding dentists of the many resources the ADA has when it comes to signing network contracts.
Blue Cross Blue Shield of Massachusetts’ Dental Blue plan now includes 122,000 dentists at more than 300,000 locations across all 50 states, according to Dr. Bob Lewando, Dental Blue executive director. The plan is extended to Massachusetts-based companies and their employees, who could work across the country. According to the company, its health care plan includes more than 25,000 employers and covers 2.8 million employees.
“We know that good oral health leads to better overall health,” said Rich Greenhalgh, vice president of specialty benefits at Blue Cross Blue Shield of Massachusetts. “That’s why we’re thrilled to offer all Dental Blue members an expanded provider network, so they have an easier time finding a dentist and getting the dental care they need, no matter where they live in the country.”
The ADA has created a landing page for dental benefits resources that can help dentists address and resolve even their most vexing questions, ADA.org/dentalbenefits, part of the Center for Professional Success.
“The resources can help every dentist navigate the third-party payer environment, whether you are trying to make a decision on signing the contract, you are already participating in a plan, or you have chosen to remain out of network,” said Dr. Steven I. Snyder, chair of the ADA Council on Benefit Programs. “This is by far the most important decision for your practice.”
“Before you sign any participating provider agreement, the ADA strongly recommends you utilize the contract analysis service which will provide a plain language analysis of the proposed dental benefits plan and how it may affect your practice,” Dr. Snyder said. “In addition, you should check to determine if the plan will lease your name to other dental plan networks and find out how this may affect you.”
The ADA has a podcast on leasing networks available at Success.ADA.org/en/dental-benefits/ppos-leased-networks-and-your-practice-the-impact.
The ADA Contract Analysis Service was created in 1987 and is a part of the ADA Division of Legal Affairs. The service is available free of charge to members who request a review through their constituent dental society. For more information on the service, visit ADA.org/contractanalysis, and for more information on contracts visit ADA.org/dentalplans.
Staff from the Center for Dental Benefits, Coding and Quality can help dentists with dental benefits-related problems, questions and concerns. Call 1-800-621-8099 or email firstname.lastname@example.org.