MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Iowa Edition  •  September 2016
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1-855-856-6262
 
Welcome to MCNA!
Welcome to MCNA!

MCNA is proud to be a dental benefits carrier for the Dental Wellness Plan, and we are glad you have chosen to join us by becoming a dental provider for our statewide network. MCNA is a provider-friendly program, founded and run by dentists who seek to provide access to high quality dental care for those who need it most. This monthly provider newsletter is one way we reach out to your office with the important tips, operational information, and program announcements that will help you provide the best care and services to our members.

The relationships we build with the dental providers who choose to participate in our network are the key to our success. Without you, we could not provide the dental care and services our communities need. Thank you for partnering with MCNA, and for utilizing your professional skills and knowledge to treat our Dental Wellness Plan members!

Your Practice
Welcome to MCNA!

MCNA is proud to be a dental benefits carrier for the Dental Wellness Plan, and we are glad you have chosen to join us by becoming a dental provider for our statewide network. MCNA is a provider-friendly program, founded and run by dentists who seek to provide access to high quality dental care for those who need it most. This monthly provider newsletter is one way we reach out to your office with the important tips, operational information, and program announcements that will help you provide the best care and services to our members.

The relationships we build with the dental providers who choose to participate in our network are the key to our success. Without you, we could not provide the dental care and services our communities need. Thank you for partnering with MCNA, and for utilizing your professional skills and knowledge to treat our Dental Wellness Plan members!

Discover the Power of MCNA's Provider Portal
Discover the Power of MCNA's Provider Portal

MCNA's free online Provider Portal presents you with secure access to all of the most important information you need, when you need it. Our Provider Portal puts easy-to-use, effective patient and practice management tools at your fingertips.

Your Practice
Discover the Power of MCNA's Provider Portal

MCNA's free online Provider Portal presents you with secure access to all of the most important information you need, when you need it. Our Provider Portal puts easy-to-use, effective patient and practice management tools at your fingertips.

Vigilant Verification: Check Member Eligibility at Every Appointment
Vigilant Verification: Check Member Eligibility at Every Appointment

Member eligibility varies daily. It is important for your office staff to verify an MCNA member's eligibility not only when scheduling an appointment but also on the day of the ...

Your Practice
Vigilant Verification: Check Member Eligibility at Every Appointment

Member eligibility varies daily. It is important for your office staff to verify an MCNA member's eligibility not only when scheduling an appointment but also on the day of the ...

Dental Wellness Plan Benefit Tiers
Dental Wellness Plan Benefit Tiers

The Dental Wellness Plan (DWP) is designed to encourage all members to return frequently to their Primary Care Dentist for routine exams. Once enrolled, member participation in recall visits establishes a member's eligibility for benefits based on the DWP benefits tiers:

  1. Core Benefits - All DWP members ages 19 through 64 are eligible for the Core Benefits tier.
  2. Enhanced Benefits - DWP members ages 19 and 20 have access to benefits included in the Enhanced Benefits tier at all times with no tiered limitations. DWP members ages 21 through 64 have a tiered benefit structure. Members are eligible for the Enhanced Benefit once they complete a periodic exam within six (6) to 12 months of the initial exam. For the DWP, any oral exam conducted more than 12 months from the last oral exam is considered an initial exam for the purpose of determining benefits.
  3. Enhanced Benefits Plus - DWP members ages 19 and 20 have access to benefits included in the Enhanced Benefits Plus tier at all times with no tiered limitations. DWP members ages 21 through 64 have a tiered benefit structure. Members are eligible for the Enhanced Plus Benefit once they ...
Utilization Management
Dental Wellness Plan Benefit Tiers

The Dental Wellness Plan (DWP) is designed to encourage all members to return frequently to their Primary Care Dentist for routine exams. Once enrolled, member participation in recall visits establishes a member's eligibility for benefits based on the DWP benefits tiers:

  1. Core Benefits - All DWP members ages 19 through 64 are eligible for the Core Benefits tier.
  2. Enhanced Benefits - DWP members ages 19 and 20 have access to benefits included in the Enhanced Benefits tier at all times with no tiered limitations. DWP members ages 21 through 64 have a tiered benefit structure. Members are eligible for the Enhanced Benefit once they complete a periodic exam within six (6) to 12 months of the initial exam. For the DWP, any oral exam conducted more than 12 months from the last oral exam is considered an initial exam for the purpose of determining benefits.
  3. Enhanced Benefits Plus - DWP members ages 19 and 20 have access to benefits included in the Enhanced Benefits Plus tier at all times with no tiered limitations. DWP members ages 21 through 64 have a tiered benefit structure. Members are eligible for the Enhanced Plus Benefit once they ...
Helpful Tips for Your Claims
Helpful Tips for Your Claims

We have assembled the following collection of tips to help your office avoid some of the most common submission errors that can cause delays in the prompt processing of your claims.

When preparing and submitting a claim:

  • Submit the correct member information (e.g., correct spelling of name and member ID).
    • It is important to verify member eligibility and benefit history prior to ...
MCNA Updates
Helpful Tips for Your Claims

We have assembled the following collection of tips to help your office avoid some of the most common submission errors that can cause delays in the prompt processing of your claims.

When preparing and submitting a claim:

  • Submit the correct member information (e.g., correct spelling of name and member ID).
    • It is important to verify member eligibility and benefit history prior to ...
UM QuickTip: Resubmitting Services for Pre-Authorization
UM QuickTip: Resubmitting Services for Pre-Authorization

MCNA wants you to avoid unnecessary resubmission of previously approved services. If you receive notification that one of your ...

Utilization Management
UM QuickTip: Resubmitting Services for Pre-Authorization

MCNA wants you to avoid unnecessary resubmission of previously approved services. If you receive notification that one of your ...

World Smile Day - October 7
World Smile Day - October 7

The iconic yellow Smiley Face was created by Harvey Ball, a graphic artist from Worcester, Massachusetts, in 1963. Designed to boost flagging employee morale at life insurance company, the image of the Smiley Face reproduced on ...

Upcoming Events
World Smile Day - October 7

The iconic yellow Smiley Face was created by Harvey Ball, a graphic artist from Worcester, Massachusetts, in 1963. Designed to boost flagging employee morale at life insurance company, the image of the Smiley Face reproduced on ...