Network Dentist Credentialing Program

All network dentists must pass a qualifying (or credentialing) process before they are admitted to our network and allowed to treat patients. The following is a description of the process the dentist must complete. Once the dentist is credentialed, he/she is recredentialed every three years, based on dental industry standards.

Credentialing Requirements	Primary/Secondary Source Verification
State license	State Board of Dental Examiners (BODEX)
DEA1 certificate (except orthodontists) or controlled substance certificate (if applicable)	National Technology Information Services web site, BODEX, applicable state agency or copy of certificates
Graduation from dental school	BODEX
Specialty training verification (if applicable)	Specialty licensure or American Dental Association (ADA) Master File2 or copy of certificate
Professional liability insurance	Copy of declaration page or binder
Controlled substance certificate (if applicable)	BODEX, applicable state agency or copy of certificate
Application and contract	Both must be signed by the dentist

¹Drug Enforcement Administration

²Directory published by the ADA that shows dentists’ schools of graduation, specialties, and ADA membership

We also verify the following during the initial credentialing process.

Additional Credentialing Requirements	Checked
Malpractice coverage	√
Detailed malpractice history	√
Detailed history of disciplinary action or litigation, if any	√
Detailed history of conviction for fraud or felony, if any	√
Availability of staff certified in CPR	√
Adherence to accept and treat patients in accordance with the Americans with Disabilities Act and professionally recognized standards of dental practice	√
Emergency treatment within 24 hours	√

A dentist who does not meet these standards will not be included in the network.

CIGNAPlus Savings^® is a dental discount program that provides members access to discounted fees, pursuant to schedules negotiated by CIGNA Dental with participating providers, which members are responsible for paying in full, directly to participating providers. CIGNA Dental refers to CIGNA Dental Health, Inc. and Connecticut General Life Insurance Company.

Although all participating providers go through a credentialing process to assure that they are appropriately licensed and qualified, CIGNA Dental does not otherwise guarantee nor is it responsible for the quality of any services or products purchased by members.

CIGNA Dental, 1571 Sawgrass Corporate Parkway, suite 140, Sunrise, FL 33323-3099. Telephone: 1.877.521.0244.

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