Windward: A Better Way to Process Dental Claims
DentaQuest | Oral Health Matters
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1y ago
Did you know that DentaQuest, part of Sun Life U.S., has its own proprietary dental claims adjudication system? It’s called Windward - and it allows us to efficiently manage and streamline dental benefit administration, eliminate operational pain points and decrease costs. Hundreds of state agencies and health plans in every segment use Windward to keep their programs productive and compliant. Fast, Flexible and Seamless Windward is fully automated and can auto-adjudicate a claim in less than a second, in addition to processing thousands of workflows, edits and clinical decision processes to ..read more
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The Tony Cook and DCPG Memorial Fund
DentaQuest | Oral Health Matters
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1y ago
A blood cancer diagnosis extremely stressful. But add in the costs related to care, and that stress is compounded substantially affecting the patient’s ability to receive care and properly recover. That is where the Leukemia & Lymphoma Society’s (LLS) Local Financial Assistance (LFA) Fund comes in. Funding for the LLS LFA is made possible in part by the Tony Cook and Dental Care Plus Group (DCPG) Memorial Fund. DCPG has been a DentaQuest Company since June 2021 and is now part of Sun Life U.S. The program is available to blood cancer patients who reside in designated counties in Northern ..read more
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DentaQuest Teams Up With Whiz Kids and City Care to Provide Oral Health Resources to Oklahoma City
DentaQuest | Oral Health Matters
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1y ago
As part of DentaQuest’s commitment to improving the oral health of all, we are proud to support underserved communities and address systemic inequities that exist in the health care system. In the state of Oklahoma, Brian Mayer, senior manager of provider engagement, DentaQuest, part of Sun Life U.S., has spearheaded a unique partnership with Whiz Kids and City Care in Oklahoma City, Oklahoma. Whiz Kids is an organization that works to improve opportunities for students through one-on-one mentorship and literacy support. It is a program of City Care, a non-profit organization that provides co ..read more
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Increasing Dental Member Utilization and Satisfaction with Digital Engagement
DentaQuest | Oral Health Matters
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1y ago
When a state-managed Medicaid program client approached DentaQuest looking for ways to increase utilization of dental care services among members and improve their overall health experience, we knew we needed to take a modern approach and engage with members in the same way they connect in today's digital-first world. Previously implemented traditional outreach methods such as postcards and robocalls were not meeting expectations, and the client continued to experience an increase in customer service calls from frustrated members trying to find a dentist or schedule an appointment. To meet me ..read more
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Executive Spotlight: Cheryl Polmatier  “You Have to Believe You Can, and You Will”
DentaQuest | Oral Health Matters
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1y ago
Cheryl Polmatier, assistant vice president of strategic network solutions, has more than 25 years of experience in the health care industry. Prior to working at DentaQuest, part of Sun Life U.S., where she has been for the past 17 years, she worked in health care IT and at a government health plan. Cheryl currently oversees DentaQuest’s national dental network recruitment efforts, dental home and value-based care programs, and credentialing operations. She also volunteers at TeamSmile and Missions of Mercy events with other DentaQuest employees. Cheryl is enthusiastic about mentoring and suppo ..read more
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Medicare Advantage Dental Done Better by DentaQuest
DentaQuest | Oral Health Matters
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1y ago
The Medicare Advantage market, including special needs plans, is expected to grow to 35 million seniors by 2025. With so much competition, DentaQuest’s dental and vision solutions can increase your plan value, differentiation and impact. Flexible, Cost-Effective Plan Designs Our plans can be tailored to fit your business needs and our customized benefits solutions can reduce claims costs and Risk or Risk-Share models to maximize ROI. Exceptional Senior Member Experience Our concierge-level customer service exceeds seniors’ expectations and decreases disenrollment which positively affects Star ..read more
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Expert Q&A: Oral Health’s Impact on Substance Abuse and Addiction Treatment
DentaQuest | Oral Health Matters
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1y ago
When addiction and substance abuse come to mind, most people imagine damage to the lungs, stomach, heart or brain — not injury to teeth or gums. Unfortunately, drug use damages a user’s teeth and gums, creates ulcers in the mouth, and can result in a loss of teeth or costly treatments. And while there is a heavy focus on providing health care during recovery, oral health is often overlooked. DentaQuest recently had the chance to talk to Julie Burns, the president and CEO at the RIZE Massachusetts Foundation, an independent nonprofit foundation working to end the opioid epidemic in Massachuset ..read more
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How and Why Dental is the Twinkle in Medicare Advantage Stars
DentaQuest | Oral Health Matters
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1y ago
Health systems are facing what some are calling a triple threat this winter, with cases of flu, COVID-19 and RSV on the rise. And while capacity and staffing are often the primary challenges in focus, member/patient experience cannot be overlooked. Even amid public health emergencies, patients receive surveys about their experience with plans, providers and health systems, and those responses can have a major business impact. Consider Medicare Advantage, a Medicare Part C program that allows Medicare beneficiaries to choose a plan to supplement their traditional Medicare coverage. Over the la ..read more
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Partner Spotlight — Dr. Winifred Booker on Highchair Dental Care
DentaQuest | Oral Health Matters
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1y ago
At DentaQuest, we are committed to improving oral health care for all — from infants to elders. And the best time to start teaching and promoting the importance of good oral health habits is when kids are young, because it’s never too early to learn that healthy habits equal healthy teeth. Introducing the basics of oral health care — partnered with routine dentist appointments — at an early age is important because tooth decay can begin as soon as a child’s first tooth grows in, usually around six months. If left untreated, tooth decay can cause pain and infections that can result in serious ..read more
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Five Big Preventistry Wins in 2022
DentaQuest | Oral Health Matters
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1y ago
At DentaQuest, we know that improving the oral health of all starts with providing equitable access to dental care for all. Considering that nearly 74 million Americans lack dental benefits, there is a lot of work to be done to break down barriers to care. Without access, consumers can’t get essential preventive dental care and education, which contributes to a higher risk of chronic health issues beyond the mouth. It’s why DentaQuest’s Preventistry® approach to achieving good oral health is centered on preventive education, expanding access and solutions that drive quality of care over quant ..read more
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