In fulfillment of Medi-Cal Dental’s commitment to providers and members in our Looking Ahead: Reaffirming Our Commitment to Medi-Cal Dental Members and Providers provider bulletin, we are excited to announce provider payment milestones for Medi-Cal Dental. Medi-Cal Dental has processed claims consistently exceeding the calendar year 2023 provider payment averages of $42.28 million since provider payment week June 10, 2024. Last week, July 20, 2024, the weekly provider payments totaled $54,368,778.20. This past weekend, July 27, 2024, Medi-Cal Dental achieved the highest checkwrite in recorded history, which totaled $56,198,722.82. These significant milestones highlight our improved claims processing for our valued Medi-Cal Dental providers and members. We are committed to prioritizing excellent service levels for claims adjudication and provider payments, empowering Medi-Cal Dental providers to continue delivering exceptional care. You can find more information in Provider Bulletin Volume 40 Number 32.
Medi-Cal members and providers are the heart of Medi-Cal, and DHCS is working to ensure an environment that demonstrates that. As we progress through the transition with our new Dental Business Operation (DBO) contractor and continue to mitigate the impact of the Change Healthcare (CHC) cyber incident , we want to update you on where we are going and how we are addressing your feedback to deliver a provider-centric experience that best equips you to care for our members. You can find more information in Provider Bulletin Volume 40 Number 25.
Medi-Cal Dental is currently receiving a significant volume of incomplete document submissions. This issue slows down processing times and necessitates the return of the document to the provider via a Resubmission Turnaround Document (RTD), leading to delays in TAR processing, claims processing, and payment. To avoid these delays and ensure the most prompt processing and payment of claims, it is crucial to provide all required claim fields like the correct National Provider Identifier (NPI) number, Member information, date(s) of service, and supporting documentation. You can find more information in Provider Bulletin Volume 40 Number 24.