Partner with the Medicaid Leader to Achieve More
With more than 50 years of experience delivering dental plans, we have invested heavily in the staffing models and talent acquisition strategies, licenses, networks, and operational infrastructure to deliver excellence. These foundational strengths – which fuel our proprietary system edits, robust utilization management and advanced network management – position us to help you effectively control program costs while increasing member access to care.
|DentaQuest is the leading Medicaid dental administrator in the nation. We currently operate in more than 30 states serving over 25 million members, the majority of whom are in government-sponsored programs. In short, no one has more experience administering state Medicaid and CHIP programs than DentaQuest.
As a purpose-driven organization, we are uniquely structured and focused to provide the knowledge, tools and programs needed to help move the industry to more efficient and effective strategies. Through Preventistry, we are increasing access, affordability and awareness to improve the oral health of all.
Count on Our Industry-Leading Administrative Service Excellence
DentaQuest recognizes that flawless execution is fundamental to effective back-office administrative service and client satisfaction. We excel in this arena, mastering claims processing, utilization review, handling of member and provider complaints, appeals and grievances, customer service, management of 834 eligibility files, encounter reporting, office services, mail room functions, member and provider education, and reporting. Our track record and quality assurance programs ensure we meet and exceed service level metrics in every state. We have vast resources to ensure compliance, including government relations executives who watch for environment changes at the state and local level and expert liaisons who ensure operational requirements are met and exceeded.
Expect Us to Go Beyond the Expected
While a traditional third-party administrator is valuable, we strive to go beyond this transactional role to earn a spot as your valued business partner. We consider your organization an extension of our own and are deeply committed to bolstering the success of your programs in ways that drive down program costs and positively impact the oral health outcomes of your members. Our staff is deeply familiar with government program regulations across the United States, eliminating learning curves that could hinder our ability to help you achieve your goals.
Innovate with Us to Gain More Value
We have developed a suite of value-based services that will complement your existing dental and medical programs, improve patient outcomes and lower costs. These services include value-based benefit design, value-driven provider networks, person-centered engagement strategies and medical-dental integration. Pushing further onto the forefront of innovation, we invest in Centers of Excellence that deliver preventive care to improve patient outcomes at lower costs. This strategy can mean substantial savings for you. For every 10% of the population that accesses care through Centers of Excellence, program costs are reduced by 1-2% or more and patient health outcomes are improved.