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Dental
Specialty topics and courses dedicated to our Dental healthcare delivery partners.
Featured Course
Looking for need-to-know information about CareFirst Dental? We recommend our “Dental Insurance Plan Basics” course. Learn all about the different dental plans you may encounter, as well as answers to frequently asked questions!
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Accessing Remittance in CareFirst Direct
Interactive Guide | 5 minutes | All Dental Providers
A walk-through of remittance on CareFirst direct.
- Access requirements to view remittance/NOP
- Accessing the remittance/NOP tab
- How to search for remittance
- Viewing search results
- Viewing remittance details and claim information
CareFirst Direct for Dental Providers
Self-paced Module | 25 minutes | All Dental Providers
An in-depth look at CareFirst Direct for dental providers and their staff.
- Portal overview
- Accessing and registering
- User management
- Eligibility and benefits
- Claim status
- Fee schedules
- Remittance
Claims Inquiries in CareFirst Direct for Dental Providers
Interactive Guide | 5 minutes | All Dental Providers
Not sure how to submit a claim inquiry in the portal? Check out this guide.
- Review of claims inquiry form
- Overview of the claims inquiry process
- Explanation of timely filing and estimated time to allow for a response
Claim Status in CareFirst Direct
Interactive Guide | 5 minutes | All Dental Providers
Need help locating claim status information on CareFirst Direct? This guide is for you!
- Information to keep in mind
- How to search different date ranges
- Viewing Claim Status Results
- Viewing Claim Status Summary and Claim Lines
- How to submit a claim inquiry
Eligibility and Benefits in CareFirst Direct
Interactive Guide | 10 minutes | All Dental Providers
Need help locating eligibility and benefits information on CareFirst Direct? This guide is for you!
- Review of the Eligibility Summary screen
- Review of the Benefits tool bar
- Review benefit details
- How to add benefits to your favorites
Fee Schedules in CareFirst Direct
Interactive Guide | 5 minutes | All Dental Providers
Need to locate fee schedules? This guide is for you!
- What are fee schedules
- Access requirements to view fee schedules
- Searching fee schedules by commonly billed procedure codes
- Searching fee schedules by a procedure code search
- How to view PDF results
User Management in CareFirst Direct
Interactive Guide | 20 minutes | All Dental Providers
All you need to know about utilizing User Management in CareFirst direct.
- How to access User Management
- How to create new users
- How to terminate users
- How to manage user profiles
- How to reset user passwords
Submitting Claims for Dental Providers
Self-paced Module | 15 minutes | All Dental Providers
All about dental claims submission procedures and how to get help if you need it.
- Claim submission requirements
- Electronic and paper claim submission
- Pre-treatment estimate submissions
- How to follow up on your submissions
Self-paced Module| 25 minutes | All Dental Providers
Need an introduction to CareFirst Dental? Take this module for need-to-know information!
- Traditional (Indemnity) Products
- Preferred Provider Organization (PPO)
- Exclusive Provider Organization (EPO)
- Dental Health Maintenance Organization (DHMO)
- Medical plans with embedded dental benefits
- Dental plans using leased products
- Frequently Asked Questions
Self-paced Module | 10 minutes | All Dental Providers
Learn about the ins and outs of the CareFirst dental provider networks.
- CareFirst’s dental networks overview
- Structural design of each dental network
- Review of the national networks
- Information on network participation
How to Read ID Cards for Dental Providers
Self-paced Module | 10 minutes | All Dental Providers
What you need to know about CareFirst ID cards as a dental provider.
- Information located on ID cards
- Connecting logos with products
- National Network product information
Guide| 10 minutes | All Dental Providers
A guide to dental pre-treatment estimates: how to identify which procedures apply, how to submit for the pre-treatment estimate, and how to request payment once services have been approved and rendered.
Specialty Care: Guidelines for CareFirst Orthodontists
Guide| 10 minutes | All Dental Providers
A guide that provides best practices, billing guidelines, and resources that will help orthodontic practices do business with CareFirst efficiently.
Self-paced Module| 25 minutes | All Dental Providers
Need an introduction to CareFirst Dental? Take this module for need-to-know information!
- Traditional (Indemnity) Products
- Preferred Provider Organization (PPO)
- Exclusive Provider Organization (EPO)
- Dental Health Maintenance Organization (DHMO)
- Medical plans with embedded dental benefits
- Dental plans using leased products
- Frequently Asked Questions
Group Medicare Advantage for Dental Providers
Self-paced Module| 20 minutes | All Dental Providers
An overview of the CareFirst BlueCross BlueShield Group Medicare Advantage dental plans.
- Group Medicare Advantage (MA) service area
- Dental Group MA network information
- Product, ID card, and benefit design
- Locating benefits and eligibility in CareFirst Direct
- Claims filing process
Individual Medicare Advantage for Dental Providers
Self-paced Module | 25 minutes | All Dental Providers
Navigating dental care for patients with Individual Medicare Advantage plans.
- CareFirst’s vision
- Explanation of Medicare and Medicare Advantage
- CareFirst BlueCross BlueShield Core product
- CareFirst BlueCross BlueShield Enhanced product
- CareFirst BlueCross BlueShield Enhanced Add-On package