Home > Providers > Frequently Asked Questions

Frequently Asked Questions.

How do I verify a member's eligibility?

Up-to-the-minute eligibility verification through www.anslink.net. ANSLink is the most accurate and expedient way to verify the eligibility status of a member.

How do I verify a member's eligibility if my office does not have Internet access?

Member eligibility can be verified using either of the two monthly reports sent to your office.

• The Eligibility Report is sent between the 1st and 5th of each month
• The Capitation Report is sent to your office between the 15th and the 20th of the month
• You can also call our Client Services Department to check the member's eligibility.

Do your plan members carry cards for identification?

Yes. Cards show the member's name, plan type, membership number, and effective date. However, the card does not guarantee eligibility, since the member may have left the group or cancelled his or her coverage.

How do I know which fee schedule to follow?

• The easiest way is to use www.anslink.net.
• You can also use the current Capitation/Eligibility Reports because they show the plan each patient has
• You can also call our Client Services Department to check the member's fee schedule

What should I do when members ask me about their benefits?

Members receive benefit information when they enroll. That information includes a summary of covered dental benefits and the associated copays. The summaries and fee schedules are online for members and you can also direct them to the Client Services Department at 410-847-9060 or 888-833-8464.

What should I do if a member comes to my office on evenings or weekends and claims to be a TDN member but has no card and is not on my eligibility report?

This situation can be handled in three ways:

• Use ANSLink, www.anslink.net to verify patient information.
• If you know the patient and/or feel comfortable with giving the patient the benefit of the doubt, you may see the patient and charge him/her the appropriate copayment according to the schedule of benefits. Have the patient sign a "Letter of Waiver" just in case they are no longer covered.