NADP Knowledge Center
*FREE* Simplifying Credentialing for Dentists and Dental Plans (2018)
Recorded On: 01/23/2018
The American Dental Association (ADA) and the non-profit CAQH are working together to make it easier for dentists to enter and share their professional and practice data with multiple dental plans. They formed an alliance to create the ADA® credentialing service, powered by CAQH ProView®. Dental plans can eliminate the resource-intensive process of accepting this data manually and entering it into their own systems. Dentists complete one, online profile that can be shared with participating plans for credentialing, provider directories and other business uses. In fact, more than 1.4 million healthcare providers already use CAQH ProView to share their professional and practice information.
Select data elements from a dentist's ADA profile pre-populates their CAQH ProView application, making it easier to complete. ADA is widely promoting this service to all U.S. practicing dentists, including its membership of 161,000 dentists. This webinar will review why ADA chose to team with CAQH, information on CAQH ProView and its benefits for dental plans, and a walk-through demo of the solution.
Managing Director, Industry Relations, CAQH
Sorin Davis is the Managing Director of Industry Relations at CAQH. A non-profit alliance, CAQH is the leader in creating shared initiatives to streamline the business of healthcare. With more than 40 years of experience in health insurance, healthcare management, benefits administration, sales and marketing, Sorin has served the healthcare industry from many perspectives. During his tenure with CAQH, he was responsible for the national launch of the CAQH Universal Provider Datasource initiative, now CAQH ProView. Previously, Sorin was executive vice president of MultiPlan, and CEO of its subsidiary, CareAway USA. He was director of labor sales and account management at Empire Blue Cross, and director of claims administration for the Amalgamated Life Insurance Company. Sorin holds a master’s degree in public administration from New York University, specializing in health services management.
Senior Product Manager, CAQH
Ron Urwongse provides product leadership for healthcare administration solutions at CAQH. His former roles include Vice President at Tyrula, Vice President of Operations at Vecna, Product Manager at Vecna, Consultant at American Management Systems, and Founder at InternReview.com.
Specialties: product management, health care market analysis, software development life cycle, entrepreneurship, cross-functional team leadership, partnerships and channel management.
Ron is committed to solving big problems in healthcare by bringing together the right people, methods, and technologies. Experienced in building and marketing solutions to payers and providers.
Dr. Krishna Aravamudhan
American Dental Association
Dr. Krishna Aravamudhan directs the work of the ADA’s Center for Dental Benefits, Coding and Quality and the Council on Dental Benefit Programs. It is in this position that she oversees the development of the CDT and related products including the Code Maintenance Committee; the development of quality/performance measures including the work of the Dental Quality Alliance and ADA’s policies regarding third-party payer issues for both commercial and public programs. Oversight of the ADA’s Credentialing Service was recently included within the Center’s portfolio.
In the past Dr. Aravamudhan has also served as the Associate Director of the ADA’s Center for Evidence Based Dentistry where she led the development of clinical guidelines and managed the EBD Website and critical summaries. Dr. Aravamudhan graduated from the Bangalore University, India with her dental degree and followed it with a Master of Science from the University of Alabama at Birmingham School of Dentistry. She has been with the ADA for more than 15 years.