Full coverage dental insurance with no waiting period is not going to be their own practice and it’s going to be an associate chip or working for a corporation and they need to know this knowledge because like I said their name their provider NPI number.
We call it the national practitioner identification number that goes on every claim with their name behind it and then they’re often are getting paid a percentage of collections and the money left on the table is their money also so it’s very important for them to know of what’s in the admin book frankly.
They ought to read it cover-to-cover so I’ll go over some things at this point that a lot of folks just really don’t don’t know about first of all when you join a PPO you sign a contract that contract is four to eight pages long but the contract here’s.
What people don’t know about full coverage dental insurance with no waiting period is that people of the contract makes reference to what’s called a processing policy manual the processing policy manual is typically pages and that contract says that the provider the doctor shall adhere to what the processing policy manual says now in that manual.
By the way every PPO has a manual every state Medicaid plan as a manual and Delta Dental insurance has two manuals there’s Delta Dental of your state so let’s say I’m a North Carolina dentist there’s North Carolina Delta Dental and that’s for any policy sold by them in the state.
But there’s also Delta USA and that’s the Delta USA is a national contract what would that be for instance coke Cola in Atlanta Walmart in Arkansas Google in California the Delta USA manual is a little different from full coverage dental insurance with no waiting period so they can go to the password-protected website and they need to download the latest processing.