Delta Dental is a leading provider of dental insurance in the US, offering dental coverage to over 80 million Americans. One of the most important aspects of Delta Dental`s services is their Premier Provider Agreement. In this article, we will explore what the Delta Dental Premier Provider Agreement is, how it works, and its benefits to both patients and dentists.
What is the Delta Dental Premier Provider Agreement?
The Delta Dental Premier Provider Agreement is a contract between Delta Dental and dental practices that meet certain quality standards. These quality standards typically include having licensed dentists, providing comprehensive dental services, maintaining a clean and safe office environment, and adhering to Delta Dental`s policies and procedures.
The agreement provides a framework for how dental services are delivered to Delta Dental patients. It sets out the fees that Delta Dental will pay for various dental procedures, as well as any limitations or exclusions that may apply. Dental practices that sign the agreement agree to accept these fees as payment in full, and to submit claims for reimbursement to Delta Dental on behalf of their patients.
How does the Delta Dental Premier Provider Agreement work?
Dental practices that meet Delta Dental`s quality standards can apply to become a Premier Provider. If approved, they will sign the Premier Provider Agreement and be listed in Delta Dental`s provider directory. Patients who have Delta Dental insurance can then choose a Premier Provider for their dental care.
When a patient receives dental services from a Premier Provider, the provider submits a claim to Delta Dental for reimbursement. Delta Dental pays the provider directly at the agreed-upon fee schedule, and the patient is responsible for any remaining costs, such as deductibles or co-payments.
What are the benefits of the Delta Dental Premier Provider Agreement?
For patients, the Delta Dental Premier Provider Agreement offers several benefits. Patients can choose from a wide network of high-quality dental providers and receive discounted fees for services. The agreement also helps patients avoid unexpected out-of-pocket costs, as Premier Providers agree to accept Delta Dental`s fees as payment in full.
For dental practices, the Delta Dental Premier Provider Agreement offers several benefits as well. By becoming a Premier Provider, dental practices can increase their patient base and revenue streams. The agreement also offers a streamlined claims process, reducing administrative burdens and improving cash flow for providers.
In conclusion, the Delta Dental Premier Provider Agreement is an essential component of Delta Dental`s dental insurance services. Dental practices that meet Delta Dental`s quality standards can benefit from increased revenue and streamlined claims processes, while patients can access high-quality dental care at discounted fees. If you have Delta Dental insurance, be sure to check the provider directory for Premier Providers in your area.