Dentist FAQs

Learn more about our PPO and discount networks and how to increase patient volume and loyalty with Careington.

Top 10 Frequently Asked Questions


No, there is no cost to join!

General dentists in our network follow an assigned fee schedule. Contact a recruiter today to obtain a copy of the assigned fee schedules for your area. Specialists do not utilize a fee schedule; they will provide an assigned discount percentage rate.

No, you can choose to participate in the plans that best fit your practice. However, the more plans you participate in, the more members you will have access to.

Under normal circumstances, our in-house Credentialing Department can complete the credentialing process within 14 business days. Once completed, you will be notified in writing of the Credentialing Committee's decision.

Careington re-credentials all in-network dentists every three years.

Submit a completed re-credentialing application by mail, fax or email:

Mailing Address:

P.O. Box 2568
Frisco, Texas
75034-9929

Phone Numbers:

Phone: (800) 441-0380 (option 7)
Fax: (469) 252-5919

You can utilize our 24/7 IVR service or by speaking to a member services representative at (800) 290-0523 or visit our provider portal at https://provider.careington.com.

Please refer to the patient's membership card and contact the number on the back of their card.

Please use the claims phone number on the member's membership card if you have any questions related to how a claim is paid. The TPA will be able to analyze the claims payment in detail for you, since a patient's benefits may be involved.

If you need fee schedules, specialty rates, plan education, change of information or more, please visit our provider portal at https://provider.careington.com.

Becoming an In-Network Dentist


No, there is no cost to join!

With an in-house discount plan administered by Careington International Corporation, you can increase your treatment revenue and patient volume and loyalty.

There is no competition with your in-house discount plan because we have over 3,000 resellers selling our plans at a local and national level. We do not convert your patients to our plans. This would give your practice exposure to more patients!

Your dental office will be marketed through dentist searches on our website, our client partners' websites and printed dentist directories for members who are inquiring.

General dentists in our network follow an assigned fee schedule. Contact a recruiter today to obtain a copy of the assigned fee schedules for your area. Specialists do not utilize a fee schedule; they will provide an assigned discount percentage rate.

No, you can choose to participate in the plans that best fit your practice. However, the more plans you participate in, the more members you will have access to.

Under normal circumstances, our in-house Credentialing Department can complete the credentialing process within 14 business days. Once completed, you will be notified in writing of the Credentialing Committee's decision.

Yes, we suggest all dentists in the practice participate to avoid patient confusion and claims issues. Contact a recruiter today at (800) 441-0380 (option 6) to apply.

If you need fee schedules, specialty rates, plan education, change of information or more, please visit our provider portal at https://provider.careington.com, or contact our Provider Relations Team at (800) 441-0380 (option 8).

Credentialing


Under normal circumstances, our in-house Credentialing Department can complete the credentialing process within 14 business days. Once completed, you will be notified in writing of the Credentialing Committee's decision.

Careington re-credentials all in-network dentists every three years.

Submit a completed re-credentialing application by mail, fax or email:

Mailing Address:

P.O. Box 2568
Frisco, Texas
75034-9929

Phone Numbers:

Phone: (800) 441-0380 (option 7)
Fax: (469) 252-5919

Yes, our Credentialing Department has a live representative ready to speak with you Monday - Friday, 7 a.m. - 5 p.m. CT. Please feel free to contact the Credentialing Department at (800) 441-0380 (option 7) if you have any questions.

Next Steps After Becoming an In-Network Dentist


Please refer to the patient's membership card and contact the number on the back of their card.

Your dental office will be marketed through dentist searches on our website, our client partners' websites and printed dentist directories for members who are inquiring.

Careington's dental network offers both PPO and discount plans. We are a dental discount network, and we contract with insured partners who access Careington's PPO plans.

You can utilize our 24/7 IVR service or speak to a member services representative at (800) 290-0523, or you can visit our provider portal at https://provider.careington.com.

All demographic changes have to be submitted in writing. Please contact our Provider Relations Department at (800) 441-0380 (option 8).

If you need fee schedules, specialty rates, plan education, change of information or more, please visit our provider portal at https://provider.careington.com.

Please use the claims phone number on the member's membership card if you have any questions related to how a claim is paid. The TPA will be able to analyze the claims payment in detail for you, since a patient's benefits may be involved.

Please contact Careington's Provider Relations Department for assistance: (800) 441-0380 (option 8).

DISCLOSURES:
THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance.
This plan does not meet the minimum creditable coverage requirements under M.G.L. c.111M and 956 CMR 5.00. This plan is not a Qualified Health Plan under the Affordable Care Act. This is not a Medicare prescription drug plan. The range of discounts will vary depending on the type of provider and service. The plan does not pay providers directly. Plan members must pay for all services but will receive a discount from participating providers. The list of participating providers is at www.careington.com. A written list of participating providers is available upon request. You may cancel within the first 30 days after receipt of membership materials and receive a full refund, less a nominal processing fee (nominal fee for MD residents is $5, AR and TN residents will be refunded processing fee). Discount Medical Plan Organization and administrator: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone 800-441-0380.

This plan is not available in Vermont or Washington.

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