First Dental Health distributes an Eligibility and Benefit Information Reference Guide to all of our providers, indicating which payors we are contracted with.
Dentist Frequently Asked Questions
The Eligibility and Benefit Information Reference Guide lists a phone number to contact or refer to the back of patient's ID card.
First Dental Health has its own claim form with all the necessary information. You can find this in the back of the policy and procedure manual. If you do not have a First Dental Health claim form, any ADA form may be used.
At this time, First Dental Health only accepts claims electronically through the clearinghouses.
Some employer groups have chosen utilization review as an option. In these case, the First Dental Health Claims Analysts' review each claim for dental necessity. Then your claim is sent directly to the payer for benefit determination and payment.
First Dental Health produces a complete directory. First Dental Health also provides a monthly provider update on disk to all contracted groups. You may also use our website - www.firstdentalhealth.com.
First Dental Health has credentialing standards in which all providers must reach. In addition, there must be geographic necessity as well as a need for the specific provider type in a certain area.
A completed provider application and agreement, as well as a copy of their wallet size license and malpractice insurance.
Providing all the information is complete, First Dental Health accepts providers on a daily basis.
First Dental Health is an independent, portable network. First Dental Health aligns itself with over 40 insurance companies, plan administrators, and employer groups, providing a network of quality dentists as well as claims review. We are not an insurance company or an HMO.