New arrangement with Cypress Dental Administrators & Direct Dental Administrators through DenteMax
Dental Health Alliance®, L.L.C. (DHA®) is pleased to share additional information regarding our expanded arrangement with DenteMax, LLC, which may increase your potential patient base. Cypress Dental Administrators (commonly referred to as Cypress Ancillary Benefits) and Cypress Dental Insurance Company of California PPO dental members will have in-network access to DHA providers through the DenteMax Plus Network as part of DHA's existing arrangement with DenteMax. This access will begin on May 1, 2020.
Direct Dental Administrators, LLC PPO dental members will continue to have access to DHA providers. However, beginning May 1, 2020, they will have access through the DenteMax Plus Network as part of DHA's arrangement with DenteMax. This may impact which network fee schedule applies to claims for Direct Dental members.
This access by Cypress and Direct Dental is in accordance with your agreement with DHA. We hope that you are excited about this opportunity, and you do not have to do anything to participate in it. However, if you choose to opt-out of seeing patients through DenteMax, please email us at ppoinforequests@sunlife.com by April 16, 2020. Keep in mind that by choosing to opt-out, you will not have access to any arrangements with DenteMax through your participation in DHA, including any arrangements in which you already participate.
If you have any questions, please contact DHA at 800-434-2638.
Important details about this new arrangement:
Which network fees will apply?
If you have an existing relationship with DenteMax or Cypress, their fee schedule may apply to members of Cypress or Direct Dental. You should contact the applicable plan administrator to determine which fee schedule applies.
Check patient eligibility/benefits and verify that the patient's plan utilizes the DenteMax Plus Network on www.cypressadmin.com or www.directdentalplans.com.
NOTE: Look for the following logo for network confirmation on all ID cards:
Sign up for the Provider Web Portal for real-time status updates!
Register for the provider web portal, where you can submit claims, receive claim payment estimates, verify member eligibility and sign up for direct deposit.
Go to www.cypressadmin.com or www.directdentalplans.com to register and find out more.
Submit Claims Using the Following Tools| Direct Dental | Cypress Dental Insurance Company of California |
| Online: www.directdentalplans.com | Online: www.cypressadmin.com |
| Mail: PO BOX 497, Milwaukee WI 53201 | Mail: PO BOX 1998, Milwaukee WI 53201 |
| Electronically: SDCOM | Electronically: TLZ04 |
Submit your usual charges when billing services for these members; the appropriate reimbursement schedule will be applied at the time of payment. If you have any questions regarding claims or payment, please refer to the patient ID card or contact the applicable company as follows:
| Direct Dental | Cypress Dental Insurance Company of California |
| Phone: 855-844-0626 | Phone: 800-350-3989 |
| Hours: 8:00-5:00 PST M-F | Hours: 8:00-5:00 PST M-F |
Below are samples of members' ID cards for Direct Dental and Cypress plans.
