Please note, not all dentists in the office may be participating. Provider information contained in this directory is updated when we receive new information from providers, and can change at any time. When a provider no longer participates in the network, or has changed participation status, additional costs may be incurred.
For members outside of California – Please check with our Member Services Department, or your Provider to verify that they are currently participating in the network prior to seeking care.
Please note: Providers are located in every Colorado county except Baca, Bent, Cheyenne, Crowley, Gilpin, Grand,Hinsdale, Jackson, Kiowa, Lake,Mineral, Moffat, Phillips, Pitkin, Rio Blanco, Saguache, San Juan, San Miguel, Sedgwick and Yuma.
Timely Access to Care
Providers in our network are required to have appointment availability within specified time frames: Emergency – 24 hours, Urgent - 72 hours, Non-urgent - within 14 business days, Preventive - within 14 business days
Your Dental Plan may require an authorization or referral to see a specialist. Please refer to your enrollment information for specific plan details for specialty coverage.
Interpreter services will be coordinated with scheduled appointments for Covered Health Services in a manner that ensures the provision of interpreter services at the time of the appointment.
You may submit a complaint If you believe that you have reasonably relied upon materially inaccurate, incomplete, or misleading directory information.
Networks must provide access to medically appropriate care from a qualified provider. If medically appropriate care cannot be provided within the network, the insurer shall arrange for the required care with available and accessible providers outside the network, with the patient responsible for paying only for the in-network cost-sharing in an amount equal to the cost-sharing they would have paid for the provision of that or a similar service in-network. In addition to in-network copayments and coinsurance, in-network cost sharing includes applicability of the in-network deductible and accrual of cost-sharing to the in-network out-of-pocket maximum.
All practitioners and hospitals who are part of our network must meet credentialing requirements. We review credentialing information provided by practitioners and hospitals before they become part of our network. Every three years, our providers must supply updated information which is reviewed again. We verify the information that is supplied, such as where a provider received training and if the provider has a current license to practice. We instruct providers to notify us with updates at any time.
If you have any questions about your participating providers, please feel free to contact our Member Services or the provider directly.
Important Notice:
Any provider included in this directory is listed for outpatient services. In addition, the directory includes information regarding whether the provider is currently accepting new patients.