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    Title Category
    PDF
    The State of Dental Insurance (presentation)
    Practice Resources | Insurance Issues Login to Download
    The presentation provides information on dental insurance issues and regulations.
    PDF
    ADA sample Medicare opt out affidavit
    Practice Resources | Insurance Issues Login to Download
    This sample affidavit from the ADA can be used by providers who would like to opt out of Medicare and return it to CGS Administrators, LLC, Provider Enrollment Department, P.O. Box 20017, Nashville, TN 37202-0013. Dentists should provide CGS with additional information, e.g. Social Security Number, if requested after submitting this affidavit.
    PDF
    Medicaid Fee Schedule
    Practice Resources | Insurance Issues Login to Download
    The above is a link to the current fee schedule and benefit package for Medicaid's fee-for-service program. The document explains what the procedures are, who is covered and what is covered.
    PDF
    ADA sample Medicare opt out private contract
    Practice Resources | Insurance Issues Login to Download
    Dentists who opt out of Medicare must provide their Medicare-eligible patients appropriate notice, via a private contract, before providing them with Medicare covered services in order for the contract to apply. This document is a sample contract.
    PDF
    Medicare Enrollment Application
    Practice Resources | Insurance Issues Login to Download
    Dentists should use this application to enroll as a Medicare provider and return it to CGS Administrators, LLC, Provider Enrollment Department, P.O. Box 20017, Nashville, TN 37202-0013.
    PDF
    Medicare Ordering/Referring Provider Entrollment Application
    Practice Resources | Insurance Issues Login to Download
    Dentists should use this application to enroll as an ordering/referring Medicare provider and return it to CGS Administrators, LLC, Provider Enrollment Department, P.O. Box 20017, Nashville, TN 37202-0013.