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Our four dental networks consist of over 8,000 dentists and dental specialists practicing in new york and new jersey The nys department of financial services has adopted the dental fee schedule as its fees for all dental treatment provided to victims of motor vehicle accidents through its no‐fault program. Participants meet a high credentialing standard and agree to treat covered patients at the fees detailed in our fee schedules.
Your emblemhealth preferred dental plan provides for a high level of coverage through emblemhealth’s network of over 8,000 preferred dentists and specialists in new york and new jersey. If your search does not display the fee schedule or effective date (range) you enter, access the cms website to view and download national fee schedules. We publish separate fee schedule booklets for our preferred, preferred premier, preferred plus, spectrum, and the dental access program
The dollar amounts in the booklets represent the fee schedule applicable to the procedure codes and related services listed for the respective emblemhealth dental network.
Child ortho services emblem health reimburses you up too 100% of the spectrum plus fee schedule You are responsible for any dental charges that exceed this payment Emblemhealth can let you know what dental services and materials will be paid for before you start treatment You may ask your dentist to send a treatment plan to emblemhealth before you get oral surgery, prosthetics, or appliances.
For billing and reimbursement of practitioner administered drugs, refer to your provider manual procedure code and fee schedule sections for drugs, and provider communications, listed above. Learn about which spectrum services and offers are available at your home today.
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