Common Questions and Links to Additional Resources
These are common questions about provider network participation and the referral program. Please do not hesitate to contact with any additional questions about EZ’s network, program and processes.
Is there a charge to join your network?
There is no fee for participation and all licensed dentists are eligible to participate. For more information, please contact the provider relations department at EZ Dental.
If I am a participating provider with EZ Dental, does that mean all Workers’ Compensation carriers can call me directly?
No, by signing an EZ Dental Provider Agreement you are agreeing to accept referrals from EZ Dental. You will be contacted directly by an EZ Dental representative when a case presents itself in your area. If a Workers’ Comp carrier contacts you directly please complete the Provider Referral Form or call 1-855-9EZ-COMP.
How do you determine which provider gets the referral?
When a Workers’ Comp referral is received we obtain all of the patient’s demographic information and injury information. The file is then reviewed to determine which provider type is best suited for the patient. If there are multiple providers in the area then the patient will be sent to the office that is closest to their home or work.
When will I get paid?
All claims are reimbursed 30 days after receipt of a clean claim or such time as set forth by law and in accordance with Provider Reimbursement Schedule on Exhibit A. A clean claim will include proper coding, supporting chart notes, and signed authorization form.
How do I get authorization?
EZ Dental will provide you with written authorization for the initial evaluation. After the initial evaluation you will send in your treatment recommendations, after review we will send you another authorization for treatment.
How do I know EZ Dental will reimburse me?
EZ Dental guarantees 100% reimbursement on all claims that are authorized by EZ Dental. All EZ Dental authorizations will include the following
- EZ Dental name and logo
- Injured Worker’s name
- List of approved services requested with corresponding ADA and/or CPT codes