Superior Direct Connect
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In addition to our own enrollment form, we accept spreadsheets, electronic data transfers and even other carriers’ forms, or you can enroll employees through Superior Direct Connect.
Once enrollment information is processed, member materials (including ID cards) are mailed directly to enrolled employees’ homes within 7-10 days.
Open enrollment is offered once per contract period and is typically the month prior to the effective/renewal date.
We ask that enrollees stay on the plan for the full contract period; however, changes due to qualifying events such as births or changes in marital status are accepted anytime. Please notify SDC within 31 days of the effective date for any such changes. Enrollment changes may be emailed to [email protected], faxed to (937) 438-1093, or made online through Superior Direct Connect.
Dependents, where applicable, will be terminated by SDC at the end of the birth month in which they meet the maximum age chosen by your group.
SDC’s fully-funded plans are pre-paid – payment is due a month in advance. Payment for self-funded administrative plans is set up through our Auto Pay process. Prior to the 10th of every month, the funds to cover the claims from the previous month plus the administrative fee for the current month will be withdrawn from your group’s account.
Paper bills are processed around the 15th of every month and mailed by the next business day.
Sign up for electronic billing through Superior Direct Connect. Once enrolled, simply log in on the 20th of each month to download your E-Bill. For your convenience, a monthly reminder email is sent when a new E-Bill is available.
Automated payments are deducted from the designated business account on the 10th of the month (or the next business day). Fill out our Auto Pay form to sign up for this convenient service.
Approved enrollment changes will be adjusted retroactively on your bill to a maximum of 60 days from the date of the qualifying event. All changes will be reflected and billed accordingly on the next statement. Refunds are given for up to two months from the receipt date.
Scheduled maintenance is currently being performed to Superior Direct Connect and the SDC Mobile App. During this time, you may experience delays in functionality. We apologize for any inconvenience. For immediate assistance during business hours (Monday-Friday, 7:30am – 5:00pm), please call (800) 762-3159.
Scheduled maintenance is currently being performed to Superior Direct Connect and the SDC Mobile App. During this time, you may experience delays in functionality. We apologize for any inconvenience. For immediate assistance during business hours (Monday-Friday, 7:30am – 5:00pm), please call (800) 762-3159.
Members receive a 15% discount on cosmetic/non-covered dental services from SDC network dentists who participate in the SmileRider program.
SDC members have the option to get a no-cost second opinion for extensive dental treatments that include numerous or costly services. To coordinate a free second opinion, members simply call SDC's Member Services Team at (800) 762-3159 (Monday - Friday, 7:30am - 5:00pm) before seeing a second dentist/specialist.
Members save up to 20% off the regular retail price of many prescription drugs at participating pharmacies. The card may be used anytime a prescription isn't covered by insurance, or as an alternative to insurance for better savings.
Provides savings on lenses and frames at participating locations. Members simply present the EyeMed Access Plan D card to receive discounts.
SDC has partnered with DDS United to offer special pricing to our participating providers on dental supplies, labs, equipment, and much more. As a group purchasing organization, DDS United brings independent practices together to create buying power for products and services. Joining DDS United is free. Members of DDS United save up to 30% on their purchases with an average savings of $50,000 per year. As a value-added benefit to our network, SDC participating providers get exclusive deeper discounts beyond the negotiated pricing! Learn more or sign up today at www.ddsunited.com. To ensure you receive the exclusive SDC network discount, be sure to enter "SDC" as the referral on the sign-up form.
In 2009, the National Health Care Anti-Fraud Association (NHCAA) estimated that 3-10% of the nation's annual benefits paid for health care were paid for fraudulent or abusive submissions. Estimations by fraud analysts indicate that there is a greater percentage of fraud in dentistry than there is in medicine. Because insurance fraud significantly impacts the cost of dental benefits, you can play a key role in identifying and reporting suspicious activity.
The NHCAA reports that the most common fraudulent acts include:
The close monitoring of processed claims via Superior Dental Care's (SDC's) secure web access (Superior Direct Connect: www.superiordental.com/directConnect.htm) is one easy way to monitor submitted and received claims. If you are aware of any false information submitted to SDC, please contact our Dentist and Member Services Team at 937.438.0283 or 800.762.3159 to report the activity. If preferred, a written complaint may be mailed to: Superior Dental Care Alliance Inc., Special Investigating Unit, 6683 Centerville Business Parkway, Centerville, OH 45459.
SDC's Special Investigating Unit handles all reports of suspected fraud expeditiously and with confidentiality. Reports are accepted anonymously; but, every report initiates an investigation. SDC takes necessary actions to report confirmed fraudulent activities to appropriate state agencies and to recover monies paid in association with misrepresented services.
ORAL HEALTH and RESOURCES (Members)
HUMAN RESOURCE ASSOCIATIONS (Employers)
INSURANCE ASSOCIATIONS (Brokers)
DENTAL ASSOCIATIONS (Dentists)
Last year, SDC completed the integration of our data systems with our parent company, Medical Mutual. This process included replacing SDC's member ID numbers (also referred to as "SDC alternate ID numbers") with new member ID numbers from Medical Mutual.
As of August 2023, all members have received a new ID card with their new member ID number. Since then, we have temporarily continued to accommodate claim submissions that included a retired SDC member ID number. Effective April 1, 2024, retired SDC alternate member ID numbers will no longer be accepted. HIPAA 277 transactions will be initiated, requiring the active member ID number for all claim submissions and member communications.
The active member ID number can be found on the member's new ID card. As a reminder, members may present an SDC ID card or a Medical Mutual ID card. Review the SDC Member ID Card Guide for Providers for reference. Participating dentists may also verify the member ID number through Superior Direct Connect. If you have questions or need assistance, please contact SDC’s Dentist and Member Services team at 1-800-801-4915.
Thank you for your attention to this critical submission requirement.
