Specifications include, but are not limited to: • Provision of a comprehensive national provider network with uniform quality. • Provision of cost-effective contracting arrangements that can be demonstrated to represent direct savings to the State and plan participants. • Effective, efficient, and accurate claim processing. • Payment of claims on a scheduled basis including issuance of reimbursement checks. • Provision of a comprehensive set of dental benefit services. • Provision of best-in-class member services and customer support. • Accessible resources. • Superior level of account management and service. • Sophisticated web and mobile services for plan participants. • Commitment to successful implementation. • Commitment to both oral and general health. • Participant and provider education. • Distribution of physical ID cards and benefit summaries. • Utilization data reporting (standard and ad-hoc reporting).
