Member FAQs
What is a PPO plan?
A “PPO” is a Preferred Provider Organization. It is a benefits plan where members have the flexibility of visiting any licensed dentist, but typically save more by visiting a dentist who participates in the PPO network.
What is an Indemnity plan?
An Indemnity plan is a more traditional insurance plan where you have the flexibility to visit any licensed dentist. There is no dental network. Typically your costs in an Indemnity plan will be more than in a PPO plan.
What is DenteMax?
Since 1985, DenteMax has been building and managing a quality, national, credentialed dental PPO network which today has more than 105,000 access points. DenteMax provides the network of dentists for Coventry Dental PPO plans.
When will I receive my Dental ID card?
Your ID card will be mailed to your home approximately 7 – 10 business days after Coventry Dental receives your enrollment.
What if I lost my ID card?
You do not need an ID card in order to visit a dentist. However, if you need a replacement card, you can contact Member Services.
How do I log into my member account?
If you are enrolled in a Coventry Dental plan, please select the Member Log in and enter the Group Number and Member ID located on your ID card. You will need to select a username and password. You will be able to:
• Update your name, address, and other coverage information
• Check on your claim status
• Download your Certificate of Coverage
Note: Your group’s plan administrator must register before the group’s members will be able to log in to manage their accounts.
What do I do if I forgot my password?
Please contact Member Services and a Customer Service Representative will reset your password.
Where should I submit claims?
Please submit claims to:
Coventry Dental
PO Box 7402
London, KY 40742
Providers can submit claims electronically using EMDEON. Our Payor ID is CX049.
Who will receive payment for the claims?
Payment will be sent to the provider or member based on the assignment of benefits listed on the submitted claim form.
How long does it take to have a claim processed?
Most claims will be processed within 10 business days.
Return to top