MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Texas Edition  •  December 2014
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1-855-776-6262
 
Happy Holidays from MCNA!
Happy Holidays from MCNA!

From our family to yours, we wish you all the best during this holiday season! Our sincerest thanks for your commitment to providing high quality dental care to our members. We look forward to continuing our partnership with you in the upcoming New Year.

MCNA Updates
Happy Holidays from MCNA!

From our family to yours, we wish you all the best during this holiday season! Our sincerest thanks for your commitment to providing high quality dental care to our members. We look forward to continuing our partnership with you in the upcoming New Year.

Important Operational Reminders for You
Important Operational Reminders for You

Please read below for updates on MCNA's operations and important information that could affect your practice.

Verification of Member Eligibility

MCNA continually updates eligibility based on the files we receive from the plans we serve. We encourage providers to verify eligibility on the date of service to reduce the likelihood of a claim denial due to the member not being eligible.

Avoiding Claim Denials

We have noticed an increase in claim denials due to the requested service not being covered under the member's benefit plan. Please verify that services are covered under the member's plan. You may do so by referencing your MCNA Provider Manual or by contacting our Provider Hotline at 1-855-776-6262. Please note, certain services have frequency limitations so you may also have to check the member's history in the Provider Portal to ensure he or she is within the appropriate timeframe for services.

MCNA Updates
Important Operational Reminders for You

Please read below for updates on MCNA's operations and important information that could affect your practice.

Verification of Member Eligibility

MCNA continually updates eligibility based on the files we receive from the plans we serve. We encourage providers to verify eligibility on the date of service to reduce the likelihood of a claim denial due to the member not being eligible.

Avoiding Claim Denials

We have noticed an increase in claim denials due to the requested service not being covered under the member's benefit plan. Please verify that services are covered under the member's plan. You may do so by referencing your MCNA Provider Manual or by contacting our Provider Hotline at 1-855-776-6262. Please note, certain services have frequency limitations so you may also have to check the member's history in the Provider Portal to ensure he or she is within the appropriate timeframe for services.

Review of MCNA's Re-Credentialing Process
Review of MCNA's Re-Credentialing Process

We would like to take a moment to provide you with a brief overview of our re-credentialing process. MCNA's Credentialing department initiates re-credentialing activities with a provider after 36 months of uninterrupted participation in our network. We will send you a re-credentialing application in the mail once you have been active in our network for at least three years.

When you receive it, complete the application with all pertinent information and return it to us, ensuring that all supporting documentation is included. We will handle the rest to ensure your continued participation with us! If you have questions please call our Provider Hotline at 1-855-776-6262 to be connected with our Credentialing department. We look forward to hearing from you and to your continuing partnership with us!

MCNA Updates
Review of MCNA's Re-Credentialing Process

We would like to take a moment to provide you with a brief overview of our re-credentialing process. MCNA's Credentialing department initiates re-credentialing activities with a provider after 36 months of uninterrupted participation in our network. We will send you a re-credentialing application in the mail once you have been active in our network for at least three years.

When you receive it, complete the application with all pertinent information and return it to us, ensuring that all supporting documentation is included. We will handle the rest to ensure your continued participation with us! If you have questions please call our Provider Hotline at 1-855-776-6262 to be connected with our Credentialing department. We look forward to hearing from you and to your continuing partnership with us!

Smiling Through the Stress
Smiling Through the Stress

The frenzied atmosphere that typically surrounds the holiday season can cause many people to suffer from an overload of stress, which can detract from enjoyment of this celebratory time of year and even increase the risk of illness. Taking care of shopping while fighting crowds, organizing for large events, and fulfilling various social obligations can quickly take its toll on mood, overall wellbeing, and whole body health.

If the stress of the holidays is draining you, there are several ...

Communication
Smiling Through the Stress

The frenzied atmosphere that typically surrounds the holiday season can cause many people to suffer from an overload of stress, which can detract from enjoyment of this celebratory time of year and even increase the risk of illness. Taking care of shopping while fighting crowds, organizing for large events, and fulfilling various social obligations can quickly take its toll on mood, overall wellbeing, and whole body health.

If the stress of the holidays is draining you, there are several ...

UM QuickTips
UM QuickTips

In every issue of our newsletter, we include utilization management tips that alert you to program information that is important to your office. Please click "Read More" below for this helpful information.

Utilization Management
UM QuickTips

In every issue of our newsletter, we include utilization management tips that alert you to program information that is important to your office. Please click "Read More" below for this helpful information.

Record Keeping Hit List: Top Errors to Avoid
Record Keeping Hit List: Top Errors to Avoid

A complete member dental record incorporates many pieces of information, all of which forms the basis for your lasting and successful ...

Your Practice
Record Keeping Hit List: Top Errors to Avoid

A complete member dental record incorporates many pieces of information, all of which forms the basis for your lasting and successful ...

Holiday Break is the Perfect Time for a Checkup!
Holiday Break is the Perfect Time for a Checkup!

Our Quality Improvement department would like to encourage your office to reach out to all of your MCNA members and their parents to remind them to ...

Quality Improvement
Holiday Break is the Perfect Time for a Checkup!

Our Quality Improvement department would like to encourage your office to reach out to all of your MCNA members and their parents to remind them to ...

An Apple A Day in Action!
An Apple A Day in Action!
Dental Artwork
An Apple A Day in Action!
Month of December - A celebration of foods!
Month of December - A celebration of foods!

December is a month of traditions involving religious and cultural celebrations across the world. What goes along with the spirit of celebration better than the sweet and savory treats that have become the hallmark of these celebrations? We have selected for you a few of our favorite so-called "national" days dedicated to a wide array of the foods we know and love.

  • December 2: Eat a Red Apple Day
  • December 6: National Gazpacho Day
  • December 9: National Pastry Day
  • December 15: National Cupcake Day
  • December 20: National Fried Shrimp Day
  • December 27: National Fruit Cake Day
Upcoming Events
Month of December - A celebration of foods!

December is a month of traditions involving religious and cultural celebrations across the world. What goes along with the spirit of celebration better than the sweet and savory treats that have become the hallmark of these celebrations? We have selected for you a few of our favorite so-called "national" days dedicated to a wide array of the foods we know and love.

  • December 2: Eat a Red Apple Day
  • December 6: National Gazpacho Day
  • December 9: National Pastry Day
  • December 15: National Cupcake Day
  • December 20: National Fried Shrimp Day
  • December 27: National Fruit Cake Day