Dental benefits and specifically coordination of benefits (COB) typically generate many questions from dental offices. Which plan is primary? What fee can I charge my patient when there are two dental plans involved and I participate with both plans? The answers to these questions and more will be discussed in this informative webinar. The ADA has been, and continues to be, extremely active in advocating for dentistry and educating dental offices on COB and other dental benefits issues.
In this webinar you will gain a better understanding of why plans must coordinate benefits and basic coordination of benefits rules. You will hear from a dentist who echoes concerns of other dental offices that have had issues with coordinating benefits. You will also hear from a large carrier who will explain how coordination is handled and what dental offices must do to properly submit claims requiring coordination of benefits.
ADA leadership continues to hear your feedback on these issues and this webinar is among the many tactics we are employing as part of our coordinated communications plan on dental benefits and third party issues.
About the presenters
Christopher Williams is the Quality and Compliance Manager, Group Dental Claims for Guardian Life Insurance Company of America. He graduated from Eastern Washington University in 1992 with a bachelor’s degree in business administration/management. He has 26 years of experience in the dental benefits industry, all with Guardian Life.
Chris is responsible for Guardian’s dental claims operation which processes almost 13,000,000 claims annually. He is Chair of the National Association of Dental Plan’s (NADP) EDI volunteer workgroup (2016 – present). In addition, he is a Certified Lean Six Sigma Green Belt.
Dr. Brett Kessler
Brett Kessler, DDS has been practicing esthetic, functional and reconstructive dentistry since 1995. He has been published in 5280 magazine, Doctor of Dentistry Magazine, Catalyst Magazine, Self Magazine, More Magazine, Women’s World Magazine and the New York fashion magazine. Dr. Kessler has also been featured on local television regarding his charitable contributions to the Denver community. In 2015, Dr. Kessler was featured by the Denver Post as the top dentist in the Denver Metro area with its inaugural Strength in Health award.
Dr. Kessler serves as Past President of the Colorado Dental Association. He also serves as the chairman of the Well Being Committee for the State of Colorado and is a consultant for the American Dental Association, serving on the Dental Well Being Advisory Committee and the Council on Dental Benefit Programs. He is a Fellow in the American College of Dentists, the International College of Dentists and Pierre Fauchard Academy.
Dennis McHugh is the manager, third party payer advocacy for the American Dental Association and works in the Practice Institute’s Center for Dental Benefits, Coding and Quality (CDBCQ). CDBCQ is the ADA agency responsible for promoting resources and information on dental benefit plans to employers and member dentists. In addition, CDBCQ responds to requests and helps resolve problems from member dentists regarding concerns with third party payers and the Code. He has been with the ADA for 17 years and prior to that spent 7 years working for the American Association of Orthodontists.