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- What are the benefits of joining Olympia's network?
- Am I required to sign a contract?
- Do I need to submit claim forms?
- Do I need to submit treatment plans for routine dental care approval?
- How will I be compensated?
- If I do not want to continue working with Olympia, how can I terminate my contract?
- How do I determine if a patient is eligible under an Olympia plan?
- How do I know how much to charge the patient?
- What should I do if I need to refer the patient to a specialist?
- What should I do if I need an emergency specialist approval?
- If I am a specialist, am I required to sign a contract?
- What are the benefits of joining Olympia's network?
Some of the benefits include increased patient flow, additional revenue, patient referrals from Olympia members, monthly payments to your office regardless of patient use, and the possibility of participating in PPO and/or discount plans offered by Olympia.
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- Am I required to sign a contract?
Yes, we require all our providers to submit a signed contract. If you are interested in investigating the benefits of participating in the Olympia Dental Network as a General Practitioner or as a Specialist, please call us at 1-800-810-0051. Any Olympia representative who answers your call can help you take the next step in becoming an Olympia Dental Network participant.
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- Do I need to submit claim forms?
No, by the nature of our Dental Plans, you do not need to submit claim forms.
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- Do I need to submit treatment plans
for routine dental care approval?
No, you do not need to submit treatment plans for approval for routine dental care. If you wish to refer a patient to a Specialist for further care, a referral request must be submitted and approved by Olympia before the work can be undertaken and billed at cover plan rates. Furthermore, the Specialist recommended must be within the Olympia Dental Network.
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- How will I be compensated?
If you are a general practitioner, you will be compensated in several ways. You will receive a monthly retainer from Olympia,
and/or you will receive a monthly capitation payment based on
the number of members registered with your office. You will
also collect scheduled co-payments directly from the patients.
Additionally, cosmetic or procedures excluded from coverage
are paid by the patient at the usual and customary rates
determined by your office. If you are a specialist, you
will collect 80.0% of the usual and customary fees charged by your office for the procedures performed as payment-in-full for your dental services.
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- If I do not want to continue working with Olympia, how can I terminate my contract?
If you decide that you are not completely satisfied with our Plans, you may terminate your contract with Olympia by giving us a sixty (60) day written notice expressing your wish to discontinue your participation in Olympia's Network. During that sixty day period, you are obligated to continue servicing our members. You should not start any major work that cannot be completed before the termination date of your contract, but you should continue providing routine care and complete any work in progress until the termination date.
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- How do I determine if a patient is eligible under an Olympia plan?
Every month you will receive an Eligibility List from Olympia with the names of all members registered with your office. In case a member makes the selection after the list is printed, your staff should call us to verify the member's eligibility. If you wish, we will provide your office with a written verification. We will not register any new members after the 15th of the month.
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- How do I know how much to charge the patient?
If you are a General Practitioner, you will be provided with fee schedules for all the plans available through Olympia LHSO, Inc. You need to follow these fees. If you recommend any upgrades to the basic services that result in additional costs to the member, you must obtain written authorization from the patient to perform such upgrades. If you are a Specialist, you will charge 80.0% of your usual and customary fees for the services being provided. You will collect this payment directly from the member as payment-in-full for your Dental services.
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- What should I do if I need to refer the patient to a specialist?
You need to submit, by mail, a filled out referral form provided to you by Olympia along with appropriate X-rays for approval. Once the referral is reviewed and approved, it will be mailed back to you. Your office will then notify the patient. You must not refer patients to specialists directly. To be eligible as a Specialist, that Dentist must be a part of the Olympia Dental Network.
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- What should I do if I need an emergency specialist approval?
In case of an emergency, please contact Olympia directly by telephone, Fax, or e-Mail.
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- If I am a Specialist, am I required to sign a contract?
Yes, all of Olympia's providers, General Practitioners as well as Specialists, must sign a contract with Olympia LHSO, Inc. in order to participate in our programs.
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