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ABOUT US2Scion Dental RepresentativesJohn SchaakScion Dental PresidentMichelle SpencerKraig DaltonMatt MartinChief Operating OfficerProvider Relations sa.com 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARYWeb Portal Manager
ABOUT USDental Background2009Created Scion Dental2004Sold Doral Dental1994Created Doral Dental1993Created Dental Benefit Administration Software Platform 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARY3
ABOUT USMembers 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARY4
ABOUT USScion DentalFirst dental company to have been awarded fullaccreditation for Health Utilization Management andfull accreditation for Claims Processing 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARY5
ABOUT US6Scion Dental StatsOver 9 millionmembers administeredHandle over 50,000calls a monthProcessed over 6 millionclaims, so far this yearProvider Web Portalreceives over 1.5 millioninquiries a month87% of claims and 65% ofauthorizations arereceived electronically 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARY
ABOUT USThe advantages our technology offers1We own the technology, which allows us to2Faster results 3Customize and enhance it based on provider needsKeep the technology currentOffer the Provider Web Portal free of charge24/7 on-line access to real-time authorizations, claims,remittances along with member eligibility and historyA pre-claim estimate feature that alerts the providerahead of time of any issues with the claimElectronic relationships with Scion Dental results in fasterdetermination of authorizations, adjudication of claims,posting of remittances and getting paidTraining We reach out to every provider to register and trainTraining is setup at a time that works for you 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARY7
PROVIDER OUTREACHWhat changes can providers expect?8PROVIDER COMMENTS:12Minimal Disruption State of Maryland reimbursement rates and authorization requirements will be followed Authorization requests and claims will now be submitted to Scion Dental for review Provider payments will come from Scion DentalProgram Efficiency Online tools – Providers can expect to see faster turnaround times on authorizationdecisions and claims when using the Scion Dental Provider Web Portal Scion Dental partners work with providers to ensure the program remains a success 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARY“We love your web portal.The web portal is veryeasy to use!”“The portal is AWESOME!“This is the best of all theportals, thanks forinforming us.”
PROVIDER OUTREACHDedicated ResourcesProvider Field Representatives For face-to-face contactProvider Relations Service Unit Dedicated phone, email and fax lines for allprogram questionsProvider Web Portal Easy-to-use online portal for submittingclaims and authorizations, checking eligibilityand viewing remits 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARY9
PROVIDER OUTREACH10During TransitionProviderInformationMeetingsPrior to go-live, we conduct a number of inperson provider information meetings thatcover all details on the transition and toanswer any outstanding questions theprovider community may have. 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARYWrittenCorrespondenceScion Dental will send out writtencommunication to the entire providercommunity regarding the plan. Thesecommunications can include FAQdocuments, how-to documents and dentalbilling guides.TargetedOutreachIf Scion Dental needs to speak with a specificprovider or subset of providers, we will reachout directly via phone, writtencorrespondence or in person visits.
PROVIDER OUTREACH11After TransitionRoutineOffice VisitsOur Provider Field Representatives will visiteach provider office at least once a year for aroutine status check. 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARYTargeted OfficeVisitsOur Provider Field Representatives will visitthe offices of providers that may be havingissues with claims, benefits, or the ProviderWeb Portal.EventAttendanceScion Dental will work with the State ofMaryland and the provider community toensure our attendance at all key events, suchas Dental Association Meetings and DentalSociety Meetings.
IMPLEMENTATION12TimelineScion Dental combines technology with proactive training and ongoing education to support the Provider network.OctWeb Portal Outreach & TrainingProvider Welcome PacketsTargeted Provider VisitsProvider Information Meetings 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARYNovDecJanFeb
SCION DENTAL13Questions & Next StepsLocationsContactSKYGENUSA.COM KNOWLEDGE CENTER10201 N Port Washington RoadMequon, WI 53092Follow us on LinkedIn 2015 Scion Dental, Inc. CONFIDENTIAL & PROPRIETARYW140 N8981 Lilly Rd.Menomonee Falls, WI 53051N92 W14612 Anthony AvenueMenomonee Falls, WI .ocularbenefits.comhylispharmacysolutions.com
Provider payments will come from Scion Dental Program Efficiency Online tools -Providers can expect to see faster turnaround times on authorization decisions and claims when using the Scion Dental Provider Web Portal Scion Dental partners work with providers to ensure the program remains a success 1 2 What changes can providers expect?
