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Careington Benefit Solutions takes care of all your dental claims needs.

Careington houses an in-house claims unit dedicated to full claims administration for any dental products. All claims are processed in accordance with each unique client's requirements, and audited monthly in accordance with agreed-upon client-specific Service Level Agreements.

We can support indemnity plans without a dental network as well as plans that utilize more than one proprietary network. Additionally, claims funding accounts are segregated so that each carrier has its own carrier-funded account in order to pay dental claims.

Our Claims Administration team also processes claims for vision, hearing and other ancillary products, and we are structured with the ability to onboard additional supplemental products based on client request.

Claims-Paying Capabilities

  • Collection of claims funds from carriers
  • Comprehensive monthly reporting that can also accommodate other frequencies
  • Customer service to support member claim inquiries
  • Secure processing and payment of insured and self-funded dental claims
  • EDI 837 processing
  • EOB, EOP and payment processing
  • HIPAA-compliant, PCI Level 1 Entity
  • SSAE SOC 1 Type 2 Certified

Our Custom Administration Solutions

We continue seeing an increased interest in our dental claims administration services, especially when coupled with access to our industry-leading PPO dental networks. In fact, coupling a dental network lease with our ability to process dental claims in-house has been one of our most successful business models.

Beyond providing affordable access to the Careington network, one of the nation's largest independent dental networks, we are also able to provide a comprehensive in-house dental claims solution for added administrative efficiency and savings. Additionally, our web-based claims platform allows us the flexibility to provide custom plan designs to meet all of your indemnity, fully insured or self-funded claims administration needs.