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Notice of Privacy Practices

 

GRIEVANCE FORM

California Dental Network is a dental managed care organization with over 30,000 members. Our members have a variety of different types of dental plan benefits. Some have traditional indemnity dental insurance, others have group or Individual dental managed care plans and other have discounted fee for service plans. If you like PPO plans, we have some co-payment-based plan where the members pays you directly, on a fee-for-service bases, amounts that will rival some of your best PPO Plans.

We do not require that our participating providers accept all our plans in order to get patients from the plans you like. You are free to accept patients only from the plans that work for you and your practice.

If you wish to participate in our network, simply following the check list for your appropriate type of dentistry, General dentists, Orthodontist or Dental Specialist. You will find most of the forms on line. A schedule of dental capitation rates is available from our Provider Relations Department.

Send these forms, along with the signed agreement and the items contained on the enclosed checklist to our corporate office at:

California Dental Network, Inc
1971 East Fourth Street, Suite 184
Santa Ana, California 92705

If you have any questions, please feel free to call our Provider Relations Department, toll free at (877) 4-DENTAL that's (877) 433-6825.

 

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Copyright © 2002 California Dental Network
Last modified: January 21, 2004