Spend less time searching files, and more time making smiles
Our Provider Portal makes your job easier by giving you fast and easy access to the information you need for Guardian members.
Learn more about joining our network.
Know what you’re looking for
Benefits of working with Guardian
Grow your dental practice
With more than 7 million policyholders across the country, our members live and work in your area. We provide them with the tools they need to find your practice directly through our website and app.
Plus, our plans encourage in-network and preventive care, meaning you’ll see a steady flow of patients.
Sources:
https://www.guardianlife.com/news/release/guardian-life-and-virtudent-announce-teledentistry-partnership
Easy benefits administration
Spend more time helping your patients and less time on paperwork. Our online portal is designed to help you get what you need online, fast. And when you can’t find it, we have provider service specialists available to help.
Fast and Accurate Payments
We treat our providers as partners, and ensure fast and accurate payments. After all, your practice isn’t just a service for your patients, it’s your livelihood.
Have a question?
Take a peek at some of our FAQs. Don't see what you're looking for? We're here to help! Give us a call at 844-561-5600.
Why am I not finding a DHMO member on my roster?
The member may be assigned to your office and simply not on the same roster as your group DHMO clients. A copy of your roster for members with individual (non-group) coverage, should be mailed to you, but can also be generated online by logging into the Provider Portal and selecting “Rosters” or by calling 1-844-561-5600.
How/where can I file claims?
Claims can be submitted electronically, mailed or faxed. Electronic payments can be submitted through Emdeon, Tesia, or Dental Exchange.
Payer ID: (Electronic Submission): GI813
Mailing Address:
Managed DentalGuard
PO Box 981587
El Paso, TX 79998-1587
Fax Number: (916) 679-7197
Note: Only claims that do NOT require x-rays can be faxed.Where can I look up the status of a claim?
The status of claims can be found online by logging into the Provider Portal; then by selecting “Claims”. You may also call 1-844-561-5600 to receive a claim status.
Can I check a member's eligibility online?
Yes, you can view the eligibility of a member online by logging into the Provider Portal and then selecting “Member Look-up”.
Where can I find a DHMO co-pay list?
A Co – Pay list can be generated online by logging into the Provider Portal and hovering over the “fees & Copays” tab and select co-pay. You may also call 1-844-561-5600 to request a co-pay list be sent.
Where can I find a fee schedule?
Fee schedules must be requested by calling 1-844-561-5600.
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