All News & Announcements
Florida Dental Convention
The 2023 Florida Dental Convention (FDC2023) is right around the corner. We hope you’ll join us in celebrating this year’s theme, Launching Dentistry Forward. The convention runs from June 29-July 1 at the Gaylord Palms Resort & Convention Center in Orlando. The event offers the perfect mix of education, networking, and relaxation in a
…Dental Records Request
As part of our Quality Assurance and Utilization Management program, we conduct periodic audits of dental records to assess the delivery of necessary and appropriate care. As a result, you may receive an encrypted email from our clinical operations team requesting specific patient records. It will be sent from clinicalreviews@lsvusa.com. These
…2023 Fee Schedules Are Now in Effect
The 2023 fee schedules for all BlueDental plans are now in effect. You’ll be prompted to log in to a secure site by using your Type 1 national provider identifier (NPI) number to access the schedules.…
New Claims Submission Mailing Address
Please note that we have a new claims submission mailing address. Claims for all BlueDental plans (except FEP, GRID, and prepaid plans) submitted by mail should be sent to:
FCL Dental
P.O. Box 69436
Harrisburg, PA 17106-9436
Claims that have already been mailed to the previous address in Elk Grove Village, IL, will be forwarded to the new mailbox.
…Is Your Practice's Info Up to Date?
Our online provider directory helps our members locate participating providers. Please visit the directory web page and verify that the information listed regarding your practice is current. Up-to-date information also ensures fast and accurate claim processing.
If there have been any changes, please complete a change document, which can be found
…Our Medicare Advantage Network Has Launched
If you’re a participating provider in our BlueDental Copayment network, you’re also an in-network provider in our new Medicare Advantage network, which launched on January 1. The network offers the opportunity to provide essential dental care to more than 100,000 Florida Blue Medicare Advantage members.
Please note:
- Members will
CMS Rules for Opting Out of Medicare Advantage Plans
Until this year, CMS rules stipulated that if a provider opted out of Medicare, neither the patient nor the provider would get paid by a Medicare Advantage (MA) plan except for emergency or urgently needed services. However, as of January 1, 2022, the Medicare opt-out status no longer applies to supplemental dental services covered by dental
…Medical-dental Integration Symposium Attracts Record Audience
The second annual Florida Blue Foundation-Florida Combined Life (FCL) Symposium, held virtually August 24, was attended by hundreds of health care professionals, educators, state and county health officials, and nonprofit community organizations. Attendance was more than triple that of last year’s event. This year’s theme was “Integrated Health
…Oral Health for Overall Health Adds Conditions and Updates Covered Services
Effective January 1, 2023, we’re adding three more conditions to our Oral Health for Overall HealthSM program so that more of your patients can take advantage of this unique program. The new conditions are end-stage renal disease (ESRD), chronic obstructive pulmonary disease (COPD), and metabolic syndrome (MetS).
Members enrolled in the program
…CDT 2023 Annual Code Review
The American Dental Association’s (ADA’s) Code Review committee has made the most recent updates available to the dental community for inclusion in the CDT 2023 Dental Procedure Codes.
We will review and revise the Schedule of Allowances and the CDT 2023 Dental Procedure Guidelines and Submission Requirements to reflect the ADA’s most recent
…Meet Our Dental Network Managers
We’ve realigned our dental network management team to better serve you. This means you may have a new network manager assigned to your practice. As such, we ask that you please review the new map below (dental network managers are assigned to specific counties). If you have any questions, please email us at dentalproviderrelations@fclife.com and…
Virtual Dental Care
Real-time teledentistry encounters through phone or video chat are covered for your patients of record on all our commercial dental plans. When billing for telephonic real-time emergency services, please submit two CDT codes:
D0140: Limited oral evaluation: problem-focused
D9995: Synchronous teledentistry
There’s little or no cost to members for
…Important Deadline: 2022 License Renewal
Please remember to renew your license with the Florida Board of Dentistry no later than midnight, EST, on Feb. 28, 2022. Registering early is strongly encouraged to avoid termination of your network contract with Florida Combined Life. If you have not renewed your license by Feb. 28, your license will be considered delinquent, and your contract
…Expanded Member Access
One of the many advantages of being a participating provider in our BlueDental Choice PPO network is having access to many potential patients. That advantage just got that much better. We’re pleased to announce that United Concordia now allows commercial and FED VIP members to receive care from providers in the Choice PPO network. There’s no change…
Teledentistry Remains a Permanent Benefit
Teledentistry remains an option for dentists to provide emergency services to our members. Real-time teledentistry encounters through phone or video chat are covered for your patients of record on all our commercial dental plans. When billing for telephonic real-time emergency services, you’ll need to submit two CDT codes:
D0140: Limited oral
…Medicare Advantage Can Grow Your Practice
If you are a BlueDental Copayment network provider, you are in-network for Florida Blue’s Medicare Advantage plans, giving you access to the additional 35,000 Florida seniors enrolling in Florida Blue Medicare Advantage plans this year. Our BlueDental Copayment network supports Florida Blue Medicare and FHCP Medicare HMO and PPO plans, most of
…Verifying Your Patients’ Oral Health for Overall Health Eligibility and Enrollment Status
We’re committed to providing you with the best opportunities to promote the health and wellness of your patients. The Evidence-based Dental Benefits available to your patients enrolled in our Oral Health for Total Health (OHOH) program help improve their overall health outcomes.
Some of your patients may have eligible conditions and may already be
…Timely Responses to Record Requests
We want to remind you and your office staff of the importance of promptly completing record requests. Doing so is vital for providing your patients with exceptional dental care.
All record requests you receive will come from our Clinical Reviews department email address, clinicalreviews@lsvusa.com.
Please respond to these requests within five
…Dental License Renewals are due by Feb. 28, 2022
Please remember to renew your license with the Florida Board of Dentistry no later than midnight, Eastern Time, on Feb. 28, 2022. Registering early is strongly encouraged to avoid termination of your network contract with Florida Combined Life. If you have not renewed your license by Feb. 28, your license will be considered delinquent, and your
…Save Time and Money — Go Paperless with EFT
If you’re looking for a way to decrease your dental practice costs, consider making the move to electronic funds transfer (EFT). By transferring funds digitally, you reduce the chance of lost or stolen checks and/or the exposure of Protected Health Information (PHI). Additional benefits include:
- Improved cash flow
- Faster receipt of payment
- No
Which National Provider Identifier is Right for Your Practice?
The National Provider Identifier (NPI) is a 10-digit unique identifier that represents health care providers in HIPAA standard transactions. Dental providers are required to report an NPI number for all claims or verification of benefits, regardless of submission mode (i.e., electronic, mail, fax, etc.).
There are two types of NPIs:
1. Type 1 is
…CDT 2022 Annual Code Review
The American Dental Association’s (ADA’s) Code Review committee has updated the CDT 2022 Dental Procedure Codes.
We are reviewing and updating the Schedule of Allowances and the CDT 2022 Dental Procedure Guidelines and Submission Requirements to reflect the ADA’s most recent changes. In December, the complete list of codes with guidelines and
…Coming Soon: Provider Self-service Tools
We know your time is valuable and that it’s best spent providing your patients with the exceptional dental care they need. To help, we’re launching new, web-based self-service tools that will streamline many administrative tasks that currently can eat into your workday. You’ll have 24/7 access to helpful information about:
- Fee schedules
- My
Is Your Online Provider Directory Information Up to Date?
Have you recently moved and changed your phone number? Added or removed an associate? If so, please take a minute to review your practice’s listing on our online provider directory. This valuable tool is what our members use to find you!
If you need to make any updates, please email us at dentalproviderrelations@fclife.com. Our associates will be
…FEP Dental and GRID/GRID+
If you’re a participating provider with our Federal Employee Program® (FEP) network, you’re also an in-network provider for FEP Dental and GRID/GRID+. The Blue Cross Blue Shield Association (BCBSA), in partnership with the GRID Dental Corporation, administers FEP Dental. It’s offered to federal government employees as a supplemental dental policy
…Are You a Medicare Provider?
Are you receiving phone calls from Florida Blue Medicare Advantage members saying that you’re a participating provider? These callers may be correct. If you participate in our BlueDental Choice Copayment PPO network, you’re an in-network provider for the Medicare Advantage plans offered by Florida Blue.
These members have only one member ID card
…Upload X-rays to a Rejected Claim
To enhance the claims processing experience, we’ve recently implemented a new online feature that allows dental offices to upload attachments and/or attachment control numbers (ACNs) to claims that were rejected because of a missing X‐ray. To add x-rays to a rejected claim, log in to the My Patient’s Benefits portal:
1. After clicking on Add X-rays
…From the Desk of Linda Trotter, DMD - Spring
Spring is a time for growth and rebirth. It’s also a time to reengage after the long dormancy we’ve endured a year into the COVID-19 pandemic.
Getting the neurons firing in a dental practice is never a challenge. Each patient and the situation with which they present offers a distinct set of concerns. Through time and practice, the technical
…Teledentistry is Now a Permanent Benefit
In response to the COVID-19 pandemic, we began covering teledentistry as an option for dentists to provide emergency services to our members. Real-time teledentistry encounters through the phone or video chat have been covered for your patients of record over the course of 2020. We’ve now added teledentistry as a permanent benefit on all of our
…REMINDER: Submit Your Recredentialing Paperwork
Contracted providers must pass recredentialing every 12-36 months to maintain participation in our network. Re-credentialing is initiated six months before your recredentialing due date. You will receive a notice via email or fax from VerifPoint, a credentialing verification organization (CVO). You must submit your recredentialing paperwork as soon…
From the Desk of Linda Trotter, DMD - Crystal Ball
The COVID-19 Crisis has dramatically changed our world and, most decidedly, the profession of dentistry. We have seen opportunities born from the development of new technology and adaptive business strategies. From a clinical office perspective, we have seen innovations to serve patients safely and efficiently.
Each employee has shared in this
…New BlueDental Loyalty Program Provides PPO Members with Extra Cleanings
Florida Blue is ringing in the New Year by offering your patients the potential to improve their oral and overall health and give them a brighter smile. Effective January 1, 2021, Florida Blue is launching a new program, BlueDental Loyalty, that will provide individual PPO plan members with extra services over time, including additional cleanings,
…Medicare Advantage: What You Need to Know
If you participate in our BlueDental Choice Copayment (PPO) Network, you are considered an in-network provider for Florida Blue’s Medicare Advantage members. These members have a Medicare HMO or PPO medical plan, with an embedded dental PPO. Reimbursement is paid according to the BlueDental Choice Copayment PPO schedule of allowances, located on
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