Provider FAQ's
| • What is the effective date of this acquisition? |
| 1/1/2023 |
| • How does this affect my monthly payment (capitation)? |
| DENCAP will honor all contracted payment arrangements made previously with Golden. |
| • Does the acquisition mean that providers can now treat both Golden and DENCAP members? |
| Yes, however, providers will need to be contracted and credentialed with DENCAP. Contact providers@dencap.com and ask for a credentialing application. |
| • Can I opt out of seeing DENCAP members and only see my current patients from Golden? |
| Golden Dental Plans is now a DENCAP Dental Plans company, and as such, we request that providers who contract/credential with DENCAP are open to accepting all DENCAP members. |
| • Will my monthly Golden and DENCAP capitation payment be combined? |
| Initially you should expect to receive separate payments from DENCAP; as we integrate our internal systems, that payment will be combined. |
| • Where can I send 2023 claims information? |
| Please submit claims by mail to DENCAP Dental Plans, 45 E. Milwaukee, Detroit, MI 48202 or email claims@dencap.com or e-fax (844) 919-1601. |
| •Where can I send 2022 & 2023 claims? |
| Claims for dates of services in 2022 and going forward can be sent by mail to DENCAP Dental Plans, 45 E. Milwaukee, Detroit, MI 48202 or email claims@dencap.com or e-fax (844) 919-1601. |
| •Will patients remain in their current provider’s office? |
| Yes, to ensure member and provider ease and continuity, members will remain with their chosen office. |
| • Are former Golden members now eligible to select my office as an option for their dental services? |
| Yes. |
| • Will Golden provider locations be able to confirm member eligibility by calling DENCAP customer service? |
| To confirm Golden membership, offices should contact (800) 451-5918. To confirm DENCAP membership, offices should contact (313) 972-1400. |
| • Will Golden members be receiving new DENCAP ID cards? |
| Not at this time. Please accept both DENCAP and Golden member identification cards throughout 2023. |
| •Will I still have access to the provider portal on the Golden website? |
| Yes, while we are planning to integrate the Golden and DENCAP websites, in the interim, the provider portal on the Golden site will remain active and available for your use. |
| • How can Golden network locations receive support as needed? |
| All provider inquiries may be directed to DENCAP Dental Plans Provider Relations at providers@dencap.com or by calling Jennifer at 313-972-1400, Ext. 235. |
| • Where should I direct former Golden members who have questions? |
| We appreciate your patience during this transition and invite you to direct those members to phone 800-451-5918. |