Ever wonder why a claim was denied or the dental plan consultant asked for more documentation? Dentists want to know why the benefit for the treatment plan agreed on by their patient may be denied as many ADA member dentists have reported these concerns to us. Dentists also want to know why they have to provide so much documentation to adjudicate claims.
In this on-demand webinar session, a consultant from a major dental plan discusses claims submission expectations and the dental consultant’s responsibilities. You will hear a payer’s perspective on why the information and appropriate documentation is necessary to adjudicate claim submissions. You will also hear two representatives from the ADA Council on Dental Benefit Programs react to these requirements and present ADA views based on best practices and policy adopted by the ADA’s House of Delegates.
Dr. Marc Zweig
Dr. Marc Zweig is a dental and periodontal consultant and medical claims review advisor for Cigna Dental. Dr. Zweig has had 25 years of private general and periodontal specialty practice. He previously spent 17 years on the faculty of Fairleigh Dickenson School of Dentistry as clinical professor and Middlesex County College Department of Dental Hygiene. Prior to that he was the manager of professional review for Delta Dental of NJ/CT for 16 years, and has now been with Cigna Dental for the past 6 years. He is also a past president of the American Association of Dental Consultants.
Dr. Christopher Bulnes
Dr. Bulnes is a general dentist in Tampa, Florida. He received a Bachelor of Science degree in Chemistry from the University of South Florida in Tampa and his Doctor of Dental Medicine degree and a certificate in Advanced Education of General Dentistry from Southern Illinois University in Alton, Illinois. Chris is currently the chair of the ADA Council on Dental Benefit Programs.
Dr. Paul Calitri
Dr. Paul Calitri is a general dentist with a private practice in West Greenwich, Rhode Island. Dr. Calitri received his undergraduate degree from Boston College and his DMD from Tufts University. He has a general practice residency at the Veterans Administration Medical Center in Boston and is Past President of the Rhode Island Dental Association. Currently, Dr. Calitri is a member of the American Dental Association Council on Dental Benefit Programs.