Employer FAQs

Employer FAQs

Member FAQs

How does an Employer get a quote?
For detailed plan designs and to obtain a quote, contact your Insurance Agent/Broker or call Employer Services.

How many dentists are in the Coventry Dental PPO network?
We have more than 170,000 dentists and dental offices in our network throughout the country.

When will an Employer Group receive the Group Policy and Certificate of Coverage?
A copy of the Group Policy and Certificate of Coverage will be included with the Administration Kit and e-mailed to the Group’s Plan Administrator within 10 business days of Coventry Dental receiving your group’s installation documents.

How does an Employer Group notify Coventry Dental of a changes to the Group’s company name or address?
Changes to the Group’s company name or address should be directed to your Coventry Account Manager or Employer Services.

How does an Employer Group submit a Broker of Record change?
The Group must send a letter to the Coventry Account Manager indicating the new broker and the effective date of the change.

How does the Employer Group manage their account online?
If you are the plan administrator of an Employer Group with a Coventry Dental plan, you should have received instructions and a customized link to register on this site. This link is sent during the initial group installation process from newgroup@cvtydental.com. After you have registered, you can log in at any time. Note: The plan administrator must register before the group’s members will be able to log in to manage their accounts.

By registering and logging in to your account, a plan administrator will have access to:
• Manage Eligibility - Submit enrollment applications; add/term dependents; terminate coverage; change personal information such as address, and change benefit plan (only during open enrollment)
• View Documents – The policy, certificate, enrollment form, claim form, and admin manual are available in the document section
• View Roster – You can view a report of all active members in the system. (Please note that this report only shows people active today. People who are active tomorrow will not show until tomorrow).

How does the Employer Group enroll a new employee or terminate/change coverage for an existing enrollee?
The plan administrator for the Employer Group can log in to their account and manage employee eligibility online.

When should an Employer Group expect to receive an invoice?
Invoices are mailed by the 15th of each month for the following month’s coverage. Payment is due by the 1st of the month of coverage.

Member FAQs

What is a PPO plan?
A “PPO” is a Preferred Provider Organization. It is a benefits plan where members have the flexibility of visiting any licensed dentist, but typically save more by visiting a dentist who participates in the PPO network.

What is an Indemnity plan?
An Indemnity plan is a more traditional insurance plan where you have the flexibility to visit any licensed dentist. There is no dental network. Typically your costs in an Indemnity plan will be more than in a PPO plan.

When will I receive my Dental ID card?
Your ID card will be mailed to your home approximately 7 – 10 business days after Coventry Dental receives your enrollment.

What if I lost my ID card?
You do not need an ID card in order to visit a dentist. However, if you need a replacement card, you can contact Member Services.

How do I log into my member account?
If you are enrolled in a Coventry Dental plan, please select the Member Log in and enter the Group Number and Member ID located on your ID card. You will need to select a username and password. You will be able to:
• Update your name, address, and other coverage information
• Check on your claim status
• Download your Certificate of Coverage

Note: Your group’s plan administrator must register before the group’s members will be able to log in to manage their accounts.

What do I do if I forgot my password?
Please contact Member Services and a Customer Service Representative will reset your password.

Where should I submit claims?
Please submit claims to:
Coventry Dental
PO Box 7402
London, KY 40742

Providers can submit claims electronically using EMDEON. Our Payor ID is CX049.

Who will receive payment for the claims?
Payment will be sent to the provider or member based on the assignment of benefits listed on the submitted claim form.

How long does it take to have a claim processed?
Most claims will be processed within 10 business days.

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Last Updated 11/11/2008

© Copyright 2008 Coventry Health Care