Web-Help
1-888-468-5171

Provider Hotline
1-888-468-2183

Option 1 - Eligibility only

Option 2 - Urgent referrals

Option 4 - Claims and other related inquiries

Option 5 - For contracting or education on fee schedules regarding commercial plans

Option 6 - For contracting or education on fee schedules regarding government plans

Option 7 - Interested in joining our panel

Did you know? A $250,000 mechanical mouth developed by dental researchers can duplicate a year's worth of chewing in 24 hours and takes four bites a second, drastically speeding up the testing of dental materials.

Provider Forms

ADA Attestation
Credentialing Package - Dentist Personal Profile
Healthplex Claim Form
Healthplex Provider Manual
Provider Inquiry Request for Clarification Form
W-9/Office Information Form

Orthodontic Templates

Dismissal Letter
Braces Removal and Retainer Consent Form
Orthodontic Treatment Progress
Consent Form
Release From Treatment - Provider
Release From Treatment - Patient Request
Dental Clearance Note