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FREQUENTLY ASKED QUESTIONS
Find answers to frequently asked questions concerning benefits, claims, our Participating Provider Organization (PPO) network, and electronic claims by clicking on the questions below.

Who do I contact for customer service?

Benefits
Can your insured members receive services from any provider or must I be in the Participating Provider Organization (PPO)?
Will you send benefit payments directly to the provider?
Am I a participating provider in the PPO network?
My patient needs a referral to another dentist/specialist. Any suggestions?
How do I obtain patient benefit information?
Do you require preauthorizations or pretreatment estimates?

Claims
How do I obtain claims status information or a copy of an Explanation of Payment (EOP)?
Do you accept electronic claims submission and NEA attachments?
What is your Payor ID number for electronic claims submission?
What is your fax number for claims submission?
What is your mailing address for claims submission?
Do you accept standard ADA claim forms?
When should I submit x-ray films, charting, and other supporting documentation?
Who do I contact about a tax statement, withholding or B-notice?

Participating Provider Organization (PPO) Network
What is the First Ameritas Participating Provider Organization Program?
Does First Ameritas lease its PPO network?
Is this a capitation/dental DHMO program?
How can I find out benefit information for a patient and/or if the patient has the First Ameritas PPO benefit?
How will I get paid for my services?
Am I expected to accept assignment of benefits?
How will insured members know I participate on the First Ameritas PPO network?
How often is the directory updated?
Can your insured members receive benefits from any provider or must they see a PPO provider?
What should be done if an insured member needs a specialist?
Who do I contact about becoming a member of the First Ameritas PPO network?
Am I automatically accepted onto the network after completing the appropriate paperwork?
How will I know if I am a Participating Provider?
How do I obtain a current list of network fees?
How often are fees reviewed?
What types of benefit programs do you offer participating providers?
Who can I contact with questions about the PPO program?

Electronic Claims
What are the advantages of electronic claims submission?
What do I need to submit electronic claims?
Who do I contact with questions about electronic claims submission?

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