fcldental.comfcldental.com/uploads/documents/provider newsletter fall_final draf… · author:...

5
FCL DENTAL’S COMMUNI TY INVOLVEMENT SUMMER 2014 VOLUME 1, ISSUE 2 NADP: NATIONAL ASSOCIATION OF DENTAL PLANS 101 Parklane Blvd., Suite 301 Sugar Land, TX 77478 Phone: 877-493-6282 Fax: 281-313-7155 www.fcldental.com President/CEO James Taylor, COO Paul Kwauk and Provider Relations Director Donna Vogler attended the annual National Association of Dental Plans (NADP) CONVERGE 2013 conference, September 9-12 at the Bellagio in Las Vegas. CONVERGE 2013 is a nationally renowned conference that offers networking opportunities and professional development through lectures. Their partaking in the CONVERGE 2013 has lead to fruitful networking relationship and an increase in FCL Dental’s provider panel. FCL Dental is very grateful and proud of its continued success and growth. With fall upon us and the approaching Holiday Season we find it gratifying to contribute to our community. Our Corporate Counsel and V.P. of Human Resources serves on The Lamar Education Awards Fund (LEAF) Board of Directors and is a yearly participant in their annual fundraiser “Men Who Cook”. Recently, FCL Dental made a monetary contribution to LEAF’s scholarship efforts. They were also a part of the annual Deacons of Deadwood Ball. Both organizations seek to help improve children's life through education and lifestyle. SPECIAL POINTS OF INTEREST: Common Dental Patients Fears Credentialing Conference NADP Conference

Upload: others

Post on 08-Aug-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: fcldental.comfcldental.com/uploads/documents/Provider Newsletter Fall_Final Draf… · Author: fgutierrez Created Date: 10/15/2015 2:58:11 PM

F C L D E N T A L ’ S C O M M U N I T Y I N V O L V E M E N T

S U M M E R 2 0 1 4

V O L U M E 1 , I S S U E 2

N A D P : N A T I O N A L A S S O C I A T I O N O F D E N T A L P L A N S

101 Parklane Blvd.,

Suite 301

Sugar Land, TX 77478

Phone: 877-493-6282

Fax: 281-313-7155

www.fcldental.com

President/CEO James Taylor, COO Paul Kwauk and Provider

Relations Director Donna Vogler attended the annual National

Association of Dental Plans (NADP) CONVERGE 2013

conference, September 9-12 at the Bellagio in Las Vegas.

CONVERGE 2013 is a nationally renowned conference that offers

networking opportunities and professional development through

lectures. Their partaking in the CONVERGE 2013 has lead to

fruitful networking relationship and an increase in FCL Dental’s

provider panel.

FCL Dental is very grateful and proud of

its continued success and growth. With

fall upon us and the approaching

Holiday Season we find it gratifying to

contribute to our community. Our

Corporate Counsel and V.P. of Human

Resources serves on The Lamar

Education Awards Fund (LEAF) Board

of Directors and is a yearly participant in

their annual fundraiser “Men Who

Cook”. Recently, FCL Dental made a

monetary contribution to LEAF’s

scholarship efforts. They were also a part

of the annual Deacons of Deadwood Ball.

Both organizations seek to help improve

children's life through education and

lifestyle.

S P E C I A L

P O I N T S O F

I N T E R E S T :

Common

Dental Patients

Fears

Credentialing

Conference

NADP

Conference

Page 2: fcldental.comfcldental.com/uploads/documents/Provider Newsletter Fall_Final Draf… · Author: fgutierrez Created Date: 10/15/2015 2:58:11 PM

Page 2

Dental

Solutions

PLUS

V O L U M E 1 , I S S U E 2

FCL DENTAL

CREDENTIALING TEAM

CREDENTIALING UPDATES : Credentialing by definition is the process by which an organization reviews and evaluates the qualification of

licensed independent practitioners to provide services to its members. Patient Safety is our number one

concern. Our company’s mission is to provide the highest level of care to our members; therefore we strive to

accomplish this by allowing only those providers who meet high standards to treat our members.

Helpful Hints to expedite the credentialing process:

Submit a complete application; please be advised that stamp signatures are not acceptable.

Submit a work history in a month/year format.

Submit proper credentialing documents: state license, DEA, State Controlled Substance License and

liability insurance.

If applicable provide an explanation of adverse sanctions.

Standard credentialing time frame is 30-90 days depending upon the application. If it is a “clean” application

without issues, sanctions or pending information it will be processed more rapidly.

FCL Dental’s credentialing team assisted the NAMSS 37th Educational Conference & Exhibition in

Hollywood, FL on September 21-25, 2013. Their participation in various educational and training classes

facilitated our ongoing effort to have the most qualified credentialing staff.

NAMSS: NATIONAL ASSOCIATION OF MEDICAL STAFF SERVICES

Page 3: fcldental.comfcldental.com/uploads/documents/Provider Newsletter Fall_Final Draf… · Author: fgutierrez Created Date: 10/15/2015 2:58:11 PM

T E N M O S T C O M M O N R E A S O N S W H Y P E O P L E D O N ' T V I S I T T H E D E N T I S T

A N D H O W T O C O P E W I T H I T :

For many individuals going to the dentist is not a thrilling experience. There are many factors that may lead to the

patient’s dentist phobia. Although, it is impossible to compile an extensive list of all of the reasons why some people do

not like going to the dentist, here are the “Top Ten” reasons.

#1-The Needle!

Some adults and children never get over their fear of the needle. Patients that suffer from needle phobia struggle with

the idea of a dentist sticking a syringe in their gums or teeth. Therefore, careful handling of the needle is crucial when

dealing with fearful patients. It is preferable that the patient never sees the needle.

#2-The Pain!

Toothaches are a painful experience. Going to a place where more pain will be endured is unappealing to most. Patients

are concerned if their procedure will be painful and torturous. Proper pain management should be a vital part of any

dental procedure and readily available for the patients.

#3– The Anxiety!

The idea of going to the dentist is reason enough to increase someone’s blood pressure. The anxiety buildup is more

detrimental to the patient that the actual visit. Setting up an inviting and calming atmosphere is a great way to ease their

levels of anxiety.

#4– The Drill!

Auditory senses play an important part of a patient’s perception to dental procedures. Drills are usually loud, they vibrate

and suction all at the same time. Sounds are amplified in your mouth making them seem much worse than they actually

are.

#5– The Invasiveness!

It is never fun having another human digging around and stretching your mouth. Dentistry is invasive; dentists are

literally in your face. It is imperative for everyone in the office to establish a relationship with the patient and build trust.

This provides as a good foundation for the following visits.

#6– The Sounds & Smells!

Similar to hospitals, dental offices have a very distinctive antiseptic smell. Constant sanitation routines should help

disperse the odor and make the dental office more appealing to the patient.

#7– The Cost!

Dental work can sometimes be costly, especially if it is comprehensive procedure. Unfortunately some individuals do

not have dental insurance and it may be economically challenging to invest in oral care. Being able to offer various

payment options will increase patient retention and willingness to agree to a treatment plan.

#8– The Lectures!

The majority of dental patients go to the office for a toothache or an extraction. They already know that they won’t ace

the oral exam. It is best to omit lecturing or scolding them; there is no need to make them feel bad or guilty. Instead try

offering advice on how to improve their oral health and habits.

#9– The Poor Service!

Good service is imperative in the dental industry. Patients can feel resentful if they are treated indifferent or if they feel

they did not receive individual and personalized attention. A genuine smile can go a long way with customer service.

#10– The Bad Memories!

Who can forget bad childhood memories that haunt you endlessly? Any bad experience at the dentist can make a person

apprehensive about a future dental visit. Genuine effort to make the patients experience as enjoyable as possible is

beneficial.

Page 3

V O L U M E 1 , I S S U E 2

Page 4: fcldental.comfcldental.com/uploads/documents/Provider Newsletter Fall_Final Draf… · Author: fgutierrez Created Date: 10/15/2015 2:58:11 PM

V O L U M E 1 , I S S U E 2

It is our pleasure to announce that our PDP Network will allow you to see members in hundreds of group

plans throughout the state. All of the plans included in the PDP Network reimburse our providers on the

same PPO fee schedule.

Our OraQuest

dental plan is

based right here in

Texas and allows

Texans the opportunity to have dental

coverage through employer groups as well

as their own individual policies. As an

OraQuest plan provider, you will benefit

from monthly capitation payments and

supplemental reimbursement for preventive

and some restorative procedures.

Our Dental Solutions Plus dental plan is

based in Tennessee and allows members the

opportunity to have dental coverage through

employer groups as well as their own

individual policies. As a Dental Solutions

Plus plan provider, you will benefit from

monthly capitation payments.

Our DINA dental plan

is based right here in

Louisiana and allows

m e m b e r s t h e

opportunity to have

dental coverage through employer groups as

well as their own individual policies. As a

DINA plan provider, you will benefit from

monthly capitation payments and

supplemental reimbursement for preventive

and some restorative procedures.

Our Dental Source

PrePaid and FAD

Dental Source Network

dental plans are based

in Missouri and allow

members the opportunity to have dental

coverage through employer groups as well as

their own individual policies. As a PrePaid

Dental Source plan providers, you will

benefit from monthly capitation payments.

Dental Solutions PLUS

If you are interested in joining one of our networks or would like to add an additional network to your existing

contract please contact our Provider Relations Department through our Customer Service toll free number:

(877) 493-6282.

FCL DENTAL PLANS IN: TEXAS, LOUISIANA, TENNESSEE & MISSOURI

Page 4

Page 5: fcldental.comfcldental.com/uploads/documents/Provider Newsletter Fall_Final Draf… · Author: fgutierrez Created Date: 10/15/2015 2:58:11 PM

V O L U M E 1 , I S S U E 2

Page 5

Contact us:

First Continental Life and Accident Insurance Company

101 Parklane Boulevard, Suite 301

Sugar Land, Texas 77478

Customer Service toll free: (877) 493-6282

Faxes:

Main/Mailroom: (281) 313– 7155

Claims: (281) 313– 7154

Credentialing/Compliance/Provider Relations: (281) 313–7151