Provider resources and support
Explore dental provider resources including educational materials, clinical guidelines, dental forms and helpful tips for using the provider portal.
More resource topics
- Anesthesia dentist frequently asked questions
- Clinical guidelines (Commercial only)
- Clinical guidelines (Medicare Only)
- Dental quick reference card
- Leased networks overview
- Plan access frequently asked questions
- Private label portfolio reference guide
- Provider demographic change form
- Provider demographic data overview
- Teledentistry frequently asked questions
- Treatment plan cost calculator frequently asked questions
- UnitedHealthcare Dental DHMO Client Reference Guide
- UnitedHealthcare Dental Provider Online Academy fact sheet
Healthplex resources
- Healthplex Client Reference Guide
- Healthplex Evaluation of the Dental Implant patient form
- Healthplex Justification of Need for Replacement Prosthesis form
- Healthplex Orthodontic Claim frequently asked questions
- Healthplex Reference Manual for Dental Services: Fundamental Plans
- Healthplex Reference Manual for Dental Services: Limited and Comprehensive Plans, Emblem Health
- Healthplex New York State Medicaid Program Policy and Procedure Code Manual
- New York Handicapping Labio-Lingual Deviation (HLD) Index Report
- 2024 Healthplex dental clinical guidance changes for New York MMC and HARP
Attention Healthplex Providers
Healthplex continues to serve as the administrator for commercial and government dental plans.
Effective Jan. 1, 2024, Healthplex changed the systems used to administer dental plans. Please review the client reference guide for the updated information about the provider portal, provider services phone number, and claims addresses.
Sign in to UHCdental.com to verify eligibility, plan coverage, online claim/pre-treatment/pre-authorization submission, and more. Review the UHCdental.com user guide and training course to learn more.
Important update on COVID-19
UnitedHealthcare’s top priorities are protecting the health of our members and the safety of those who deliver care. We are committed to adapting and supporting those we serve and being there to assist you. Our call center is staffed and ready to help. All self-service capabilities are available, and we are processing claims to support business continuity. Providers can connect to the latest Centers for Disease Control and Prevention (CDC) guidance for health professionals and the American Dental Association (ADA) for information specific to the Dental healthcare setting. Considerations and adaptations providers should evaluate as dental offices continue to serve patients.