Contracting

By a written contract, each dentist agrees to provide quality care to DDIC members. He also agrees to prefile his fees and accept direct reimbursement from DDIC.

Rules for Participating Dentists

Participating dentists agree to abide by the following rules of DDIC, in addition to other rules established and set forth by the DDIC Board of Directors:

  1. To submit a completed ADA standard treatment form without charge to the patient.
  2. To accept DDIC benefit payments for services provided.
  3. To submit a listing of usual fees to be filed with DDIC for payment of dental services provided to DDIC covered patients. Any change in fee schedules is limited to once every six months.
  4. To keep accurate and complete financial and patient records in a manner that meets generally accepted practices.
  5. To allow DDIC access at reasonable times upon request to inspect and make copies of the books, records, and papers of a Participating Dentist relating to the dentist's fees charged to all his or her patients, to the services provided to patients, and to payments received by the dentist from such patients.
  6. To not charge a DDIC patient an amount over the co-pay, deductible, or the dentist's accepted fee.
  7. To not submit charges to DDIC for payment for treatment which is not completed.
  8. To not submit charges to DDIC for services provided to the dentist's family members or employees.
  9. To provide accurate and complete information to DDIC.

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Credentialing Requirements

DDIC maintains a file of your credentialing information. The Credentialing Form needs to be completed and returned to DDIC as a part of your participating agreement. DDIC will verify your credentials every three years. Recredentialing Form

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