Submitting claims made easy using Provider Dashboard
The easiest and fastest way to submit claims is through the Provider Dashboard. Using the Provider Dashboard is the quickest route to getting your claims paid as most claims submitted this way are processed the same day! Once you searched your patient's account, click submit claim and follow the claim prompts.
Additional claim submission options are:
- Electronic Claim Submission: submit claims electronically through your practice management system using payer ID LEVEL
- Email: If you are unable to submit your claim via Provider Dashboard or electronically, please email a claim to support@level.com.
- Mail: If you find it necessary to mail in a claim, please send it to: LEVEL- Claims Dept - PO BOX 176, NY NY 10013. Please be aware that mailed claims might be subject to delays in processing. To avoid any potential holdups and to expedite your claim, we strongly recommend utilizing our electronic submission options.
- Member Reimbursement: Should your office require payment upfront, be sure to provide them with an itemized statement of services to assist with maximum reimbursement. Document should also include the Tax ID, address and treating provider along with service lines and authorizations.
Payment and Explanation of Benefits
Once the claim is processed, Level will send a payment directly to the billing address provided in the claim. Providers will receive an explanation of payment (EOP), while members can view their explanation of benefits (EOB) in the Level App.
Claim filing period
The members benefit is an ERISA self-funded dental plan sponsored by their employer. It is not a fully-insured product. According to the terms of Level’s dental plan booklet, claims must be submitted within 180 days of the date of service.
Checking Claim Status
The Provider Dashboard provides real-time updates on claim status, notifying you once a claim is processed and paid.
Coordination of Benefits
If a member has coverage through another dental plan, be sure to submit an explanation of benefits from that plan along with your claim. Unless we’re notified otherwise, Level will act as primary payer. Level doesn't require submission to the member's medical plan for extractions, implants, and other standard dental services. Medically related dental procedures, like those performed by an oral surgeon, should be billed to medical first. If a medical payer provides coverage on one of these procedures, Level may provide secondary coverage with proof of payment (EOB) from the medical payer.
Work In Progress
Level covers ongoing treatments (subject to annual maximum):
- Orthodontic Work in progress claims (D8670) Include banding date, treatment length, total cost, and previous carrier EOB.
- Ongoing root canal treatment that began before a member’s effective date with Level is eligible for work in progress coverage.
Crowns, bridges, and dentures with impressions completed prior to Level, with cementation to follow, are also eligible.