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PROVIDER REFERENCE GUIDE CALIFORNIA - …
PROVIDER REFERENCE GUIDE CALIFORNIA TABLE OF CONTENTS SECTION 1 LIBERTY DENTAL PLAN Introduction .. 1 Our Mission .. 1 SECTION 2 PROFESSIONAL RELATIONS ..3 SECTION 3 ONLINE SERVICES ..4 SECTION 4 ELIGIBILITY ..5 How to Verify Eligibility .. 5 Member Identification Cards .. 5 SECTION 5 - SUMMARY OF PLAN OFFERINGS ..6 SECTION 6 CLAIMS AND BILLING ..7 Electronic Submission .. 7 Paper Claims .. 7 Claims Submission Requirements .. 7 Claims Status Inquiry .. 8 Claims Resubmission .. 8 Medicare and Duals Prior-Authorization Outreach .. 8 Claims Overpayment .. 8 SECTION 7 COORDINATION OF BENEFITS .. 11 SECTION 8 PROFESSIONAL GUIDELINES AND STANDARDS OF CARE .. 16 PROVIDER Responsibilities and Rights .. 16 Specialty Care Providers Responsibilities & 16 Anti-Discrimination .. 16 National PROVIDER Identifier (NPI) .. 17 Voluntary PROVIDER Contract Termination .. 17 Standards of Accessibility.
Section 1 – LIBERTY Dental Plan Information P a g e | 1 SECTION 1 – LIBERTY DENTAL PLAN INFORMATION INTRODUCTION Welcome to LI ERTY Dental Plans network of Participating Providers.
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