What is Maverest Dental Alliance? 

Maverest Dental Alliance is a preferred provider dental network owned and managed by a partnership of health care consultants and dentists. Maverest Dental Alliance is a network of dental providers that can be utilized by insurance companies, self-funded employers, unions, third party claim administrators (TPA’s), and medical-only PPO’s.

Why should I join the Maverest network?

Maverest builds long-term relationships with our providers, offering access to thousands of potential patients each month. Additionally, we recognize the importance of timely payment for the services you provide. We work closely with our esteemed payors who consistently pay their claims according to contract requirements and state laws.

How does Maverest steer patients (members) to my practice?

Maverest steers patients to your practice in a number of ways. Not only does our online provider search list all participating providers, it is updated automatically. Frequently, directories are distributed to employees who request them. Payroll stuffers are available to employer groups to distribute to employees to encourage them to use a MDP provider when seeking dental services. Postcards and posters are also provided to HR staff to prompt employees to visit www.maverest.com to search for a network dental provider.

How are Maverest's participating dentists reimbursed? 

They are reimbursed based on the Maverest Dentist Fee Schedule for each specified zip code area. The Fee Schedule determines the total fee that a participating Maverest Dental Alliance member (insured individual) will be obligated to pay a Maverest Dental Alliance dentist for services provided. The total fee shown on the fee schedule is the combined total of the member’s deductibles, coinsurance and/or co-payments required at the time of service, plus the benefit payment from the member’s insurance company or benefit administrator. (The amount a member is required to pay at the time of service, depends on the type of benefit plan under which the member has coverage.)

How are claims submitted for Maverest? 

Claims should never be submitted to Maverest Dental Alliance. Claims are submitted directly to the insurance company or claim administrator designated on the member’s health or dental benefit identification card. Maverest Dental Alliance's dentists are not required to provide services at the Maverest Dentist Fee Schedule if the member (patient) does not provide a current dental benefit identification card. ID cards must either have the Maverest Dental Alliance’s logo on the card or Maverest Dental Alliance has specifically identified those members to Maverest Dental Alliance dentists by ADMINISTRATIVE BULLETIN.

How much can an employer, TPA or union save by using Maverest? 

The savings experienced by an employer, a TPA or a union is determined directly by the type of dental benefit plan that is offered to their respective employees and/or members. Dental plans typically range from what is termed “passive” network access to “highly network directed.” “Passive” plans contain no additional costs to the members for using non-network dentists, but when Maverest Dental Alliance's providers are used the employer and the member save an average of 22% for each dollar of services at a participating dentist. Dental plans defined as “highly network directed” will reduce benefits if non-network dentists are used, creating a significant cost savings for the employer regardless of actual network utilization.

How much can a member (insured individual) save by using a participating Maverest dentist? 

As stated in question #4 above, the actual savings will depend on the type of dental benefit plan utilized by the employer, TPA or union. With most dental plans currently using Maverest Dental Alliance, members typically save from 18% to 35% of the members’ out-of-pockets costs for co-payments and coinsurance. The savings percentage depends on the applicable Maverest Dentist Fee Schedule for the area and the dentist’s standard full fee for the same service/s.

How will Maverest's dentists be informed about members? 

Maverest Dental Alliance has two methods of making sure that a participating dental practice knows how to recognize and service its members.

FIRST: As frequently as possible Maverest Dental Alliance will send an ADMINISTRATIVE BULLETIN to each dentist on each new network access client. The ADMINISTRATIVE BULLETIN will contain the information needed as to where to call to verify eligibility and benefits, where to submit the claims, and a high quality copy of the front and back of the group’s identification card.

SECOND: Maverest Dental Alliance is working with all network clients’ to have its logo affixed to their ID cards by mid-2001. If any participating dental practice does not have an ADMINISTRATIVE BULLETIN for the group ID card that has been presented, but the Maverest Dental Alliance logo is shown on the card, please contact us and we will assist with any questions.