Dental

Specialty topics and courses dedicated to our Dental healthcare delivery partners.

Featured Course

Looking for need-to-know information about CareFirst Dental? We recommend our “Dental Insurance Plan Basics” course. Learn all about the different dental plans you may encounter, as well as answers to frequently asked questions!

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CareFirst Direct for Dental Providers

Self-paced Module | 25 minutes | All Dental Providers

An in-depth look at CareFirst Direct for dental providers and their staff.

Portal overview
Accessing and registering
User management
Eligibility and benefits
Claim status
Fee schedules
Remittance

Eligibility and Benefits in CareFirst Direct

Interactive Guide | 10 minutes | All Dental Providers

Need help locating eligibility and benefits information on CareFirst Direct? This guide is for you!

Review of the Eligibility Summary screen
Review of the Benefits tool bar
Review benefit details
How to add benefits to your favorites

Claim Status in CareFirst Direct

Interactive Guide | 5 minutes | All Dental Providers

Need help locating claim status information on CareFirst Direct? This guide is for you!

Information to keep in mind
How to search different date ranges
Viewing Claim Status Results
Viewing Claim Status Summary and Claim Lines
How to submit a claim inquiry

Accessing Remittance in CareFirst Direct

Interactive Guide | 5 minutes | All Dental Providers

A walk-through of remittance on CareFirst direct.

Access requirements to view remittance/NOP
Accessing the remittance/NOP tab
How to search for remittance
Viewing search results
Viewing remittance details and claim information

User Management in CareFirst Direct

Interactive Guide | 20 minutes | All Dental Providers

All you need to know about utilizing User Management in CareFirst direct.

How to access User Management
How to create new users
How to terminate users
How to manage user profiles
How to reset user passwords

Fee Schedules in CareFirst Direct

Interactive Guide | 5 minutes | All Dental Providers

Need to locate fee schedules? This guide is for you!

What are fee schedules
Access requirements to view fee schedules
Searching fee schedules by commonly billed procedure codes
Searching fee schedules by a procedure code search
How to view PDF results

Submitting Claims for Dental Providers

Self-paced Module | 15 minutes | All Dental Providers

All about dental claims submission procedures and how to get help if you need it.

Claim submission requirements
Electronic and paper claim submission
Pre-treatment estimate submissions
How to follow up on your submissions

How to Read ID Cards for Dental Providers

Self-paced Module | 10 minutes | All Dental Providers

What you need to know about CareFirst ID cards as a dental provider.

Information located on ID cards
Connecting logos with products
National Network product information

Dental Insurance Plan Basics

Self-paced Module| 25 minutes | All Dental Providers

Need an introduction to CareFirst Dental? Take this module for need-to-know information!

Traditional (Indemnity) Products
Preferred Provider Organization (PPO)
Exclusive Provider Organization (EPO)
Dental Health Maintenance Organization (DHMO)
Medical plans with embedded dental benefits
Dental plans using leased products
Frequently Asked Questions

Pre-Treatment Estimates

Guide| 10 minutes | All Dental Providers

A guide to dental pre-treatment estimates: how to identify which procedures apply, how to submit for the pre-treatment estimate, and how to request payment once services have been approved and rendered.

Specialty Care: Guidelines for CareFirst Orthodontists

Guide| 10 minutes | All Dental Providers

A guide that provides best practices, billing guidelines, and resources that will help orthodontic practices do business with CareFirst efficiently.

CareFirst Dental Provider Networks and Requirements

Video | 20 minutes | All Dental Providers

Learn about the ins and outs of the CareFirst dental provider networks.