Prevention and detection of fraud and abuse is in everyone's best interest. Preventing fraudulent activities can help lower costs, form a better dental network and create higher overall satisfaction for providers, their patients and employers. Dental plans benefit from having an active fraud and abuse program associated with them.
We have an electronic mailbox to which either grievances or matters of suspected dental fraud and abuse can be forwarded. Please email us at email@example.com. If you have any questions about our fraud and abuse program or about submitting claims correctly, please feel free to call us at 800-443-2995.
Frequently Asked Questions:
Current Dental Terminology © American Dental Association.
Understanding what constitutes fraud, changing perceptions about the "victimless nature" of the act, and increasing the perception that detection (and the professional consequences of detection) is possible are all factors that may significantly diminish dental fraud.
We have developed a program designed to significantly raise the awareness of our members, employers, brokers and network providers concerning dental fraud.
We are currently confronting suspected acts of fraud through our grievance resolution process. We take corrective action to prevent repeat violations and to protect our members. This is an important feature for our company.
We have an electronic mailbox to which either grievances or matters of suspected dental fraud and abuse can be forwarded. Upon receiving this information, we will evaluate the matter to determine if any errors, acts of potential fraud or communication mistakes have occurred. We contact the dentist concerning the matter and attempt to address and resolve the concern as quickly as possible.
Please email us at firstname.lastname@example.org.
Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York. In New York group insurance policies are issued by Sun Life and Health Insurance Company (U.S.) (Lansing, MI). Product offerings may not be available in all states and may vary depending on state laws and regulations.