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Healthplex is known as "The Dental Plan
Specialists." The company was established in the 1970's by dentists
and other healthcare professionals who were concerned about the increasing
costs of dental care. With an understanding of dentistry as well as dental
insurance, Healthplex was able to develop benefit plans that effectively
managed the risks associated with conventional indemnity plans. One
million subscribers later, the corporation is providing dental benefits
and administrative services for insurance companies, HMOs, school
districts, municipalities, welfare funds and businesses of all sizes.
° Scheduled and UCR Based Programs ° Choice of Dentists ° Preferred Provider Organization Available
° Low Co-payment Plans ° No Deductibles or Waiting Periods ° Specialty Care Included
° No Minimum Participation Requirement ° No Exclusions for Pre-existing Conditions ° Extensive Provider Network
° Professional Review of Claims ° Correspondence with Providers ° Predetermination of Claims ° Claims Adjudication ° Coordination of Benefits ° Generation of Explanation of Benefits Forms ° Mailing of EOB's and Checks ° Maintenance of Claims History ° Utilization Review and Reporting ° Multi-lingual Customer Service Department ° Personal Identification Cards
° Primary Source Verification ° National Practitioner Databank Review ° Malpractice History Review ° Provider Site Audits |