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SDC's Network Explodes to Over Half a Million Access Points Nationwide
Superior Dental Care (SDC) has announced a nationwide expansion of their dental network that gives their members a significantly larger selection of participating dentists and specialists across the country. This expansion makes SDC's original regionally based network over 40 times larger, strengthening the company's commitment to serve the community with unparalleled access to quality dental care at an affordable rate.
"SDC will continue to contract with employer groups domiciled in Ohio, Kentucky and Indiana. However, we found a growing number of regional employers with multiple locations throughout the country struggling to find one carrier to deliver the same affordable dental benefits with network access for their entire staff. SDC's new national network accomplishes this by eliminating the typical geographic limitations these employers face…and helps them provide the same coverage to all their employees regardless of where they live," said Traci Harrell, CEO at SDC.
This explosive growth in network size gives SDC members access to one of the largest concentrations of participating dentists with over half a million dental locations to choose from across the U.S. The new network will be available to all current SDC members and new enrollees as of July 1, 2016. The impact of SDC's network expansion will be immediately felt by regional-based companies with staff across the U.S. and will give business owners the leverage to offer a new level of sought-after benefits to all current and prospective employees regardless of where they reside.
"SDC is thrilled to provide all members with this immediate access to our expanded national network under their current plan and with no additional cost in rates. This is just one more way SDC keeps our members smiling for a lifetime!" said Shannon Ford, Director of Sales & Service at SDC. SDC members, employers and brokers can view the newly added participating dentists by utilizing the familiar online Find-A-Dentist search tool on SDC's website at www.superiordental.com.
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.
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.
