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Articles
One Client Tells Why They're Still with
Us 35 Years Later
2003 Client Report Card Released
2003 Annual Report Published
Golf Classic Reminder
Delta Dental Promotes Peggy Marvin to Assistant
Vice President of Claims
Claims, Customer Service Performance Quality Remain High in 2003
Delta Dental Revised EOB
Tech-Niques: Protecting Sensitive Subscriber Information Online
Subscribers Give DeltaCare Dental HMO High Ratings in Survey
Easy Way to Inform Subscribers About Online Subscriber News
One Client Tells Why They're
Still with Us 35 Years Later
Wheaton Industries chose the fledgling Delta Dental
Plan of New Jersey to provide dental benefits for
its employees in 1969. Thirty-five years later, despite
many changes to the business, their relationship
with Delta Dental endures. David Slack, director
of Health and Welfare Plans at Alcan Packaging Pharmaceuticals
and Personal Care (the new name for Wheaton Industries),
knows why.
"We've looked at other programs over time, but what has kept us with Delta
Dental is good service, good pricing, a good network, and the ability to design
the program the way we want to design it," says Slack. "You've been very flexible
and very cost effective."
Slack has administered the Delta Dental program for
the past 25 years. He thinks his predecessor, his
father Neal Slack, may have signed the original contract.
Alcan Packaging, based in Millville, New Jersey,
employs 2,200 employees. It has been acquired twice
and gone through multiple name changes in the past
six years. "Delta Dental has certainly changed as
our needs changed," says Slack.
He adds, "You keep doing things right. I'm not a
person who makes changes quickly or easily, but I
do make them when there are good reasons. I'm a very
analytical person. I've always found that Delta Dental
hasn't made mistakes that have forced me to look
elsewhere. You've always maintained a program that
is attractive both operationally and financially.
"It's been a good relationship. Nobody has given me reasons to look elsewhere,
and when I have looked to see if you're the best deal, you're still the best
deal. Congratulations for a wonderful 35 years!"
2003 Client Report Card Released
Delta Dental's "Client Report Card" identifies satisfaction
levels for five key plan attributes. We are pleased
to report that the overall satisfaction level was
95%.
This report is based on the findings of a mail survey
conducted during the fall of 2003. Surveys were distributed
to 5,800 randomly selected subscribers nationwide
who had filed a claim with Delta Dental Plan of New
Jersey within the previous 12 months.
From the pool of 5,800, 1,402 subscribers, or 24
%, responded to the survey.
SOURCE: Brownstone Information Resources (February
2004)
2003 Annual Report Published
Delta Dental's 2003 Annual Report-Touching Your
Life Every Day--is now available. The report features
photographs of the "everyday" people who are our
subscribers and perform vital services for our community-a
bus driver, health-care worker, police officer, and
many others who are among the more than 1.5 million
people covered by Delta Dental Plan of New Jersey,
Inc.
The 2003 Annual Report features:
- Performance highlights, including our 96% customer
retention rate, and high customer satisfaction
levels as measured by our annual benefits manager
and subscriber surveys.
- Financial highlights, including our "AA-" rating
from Standard & Poor's for counterparty credit
and financial strength, and subscription income
growth to $443.4 million.
- Philanthropic highlights, including our Foundation's
support of causes such as Special Olympics New
Jersey, numerous children's health and welfare
organizations, dental scholarships and oral-health
research.
To order your copy of the 2003 Annual Report, visit
our Web site at www.deltadentalnj.com, click "Our
Company" on the left navigation bar, then "Annual
Report." Complete the order form on screen. The Annual
Report will be mailed to you.
Golf Classic Reminder
The 14th annual Delta Dental Golf Classic is just
around the corner. It takes place on June 23, 2004,
at Fiddler's Elbow Country Club in Bedminster, New
Jersey. The event benefits Special Olympics New Jersey
(SONJ). SONJ is a non-profit organization that provides
athletic training and competition for children and
adults with developmental disabilities. Call (973)
285-4059 for more details. The invitation and registration
form are available online at www.deltadentalnj.com;
click "Employers," "Schedule of Events," and "Registration
Form."
Delta Dental Promotes Peggy
Marvin to Assistant Vice President of Claims
Delta Dental announces the promotion of Peggy Marvin
to assistant vice president of Claims.
Ms. Marvin began her career with Delta Dental in
June 1998 as director of Claims, responsible for
the Pre-Edit, Data Entry and Dental Audit Departments.
During her tenure, claims grew from 1.85 million
to 2.95 million claims annually, which represents
a 59 percent increase. She also assisted in the implementation
of U.S. Department of Labor regulations, American
Dental Association's CDT procedure codes and Health
Insurance Portability and Accountability Act (HIPAA)
privacy policies.
Prior to joining Delta Dental, Ms. Marvin was employed
by Chubblife America as a claims manager. Before
that, she worked for four years at Aetna in health
and dental claims processing.
"Peggy has been instrumental in keeping our claims operation functioning efficiently,
which has been imperative, especially during a period of substantial growth," said
Walter VanBrunt, president and CEO. "She is integral to ensuring Delta Dental
Plan of New Jersey is current with all industry standards and regulations,
and will undoubtedly continue to contribute to the company's success in the
future."
During her career, Ms. Marvin has taken coursework
to advance her knowledge and status within the industry.
She earned professional designations such as Health
Insurance Associate (HIA), Associate Life and Health
Claims (ALHC) and Managed Health Care Professional
(MHP).
Claims, Customer Service Performance
Quality Remain High in 2003
Delta Dental processed a record number of claims,
while continuing to maintain excellent service levels
in 2003, according to the company's 2003 Operations
and Customer Service Reports. Here is a glimpse at
some of our 2003 statistics:
Number of claims processed
Nearly 3 million (nearly 4% more than last year)
Average claim cycle time
9.1 business days (7.51 business days for electronic
claims)
Customer Service call volume
Nearly 892,000 calls
- 634,000 handled by Customer Service agents
- 258,000 handled by automated voice response system
Despite growth in claims and the number of subscribers,
call volume is down 3.5%. A growing number of dentists
and subscribers use Delta Dental's Internet site
for answers to their benefits, eligibility and claims
questions.
Accuracy rates
Key accuracy measures--clerical accuracy, payment
accuracy and dollar accuracy--all 99% or higher
Dental network size-New Jersey
- 6,076 DeltaPremier participating dental office
locations
- 3,712 Delta's Advantage Program dental office
locations
- 3,023 DeltaPreferred Option dental office locations
Dental network size-Connecticut
- 2,416 DeltaPremier participating dental office
locations
- 1,077 DeltaPreferred Option dental office locations
Dental network growth-New Jersey
Added:
- 511 DeltaPremier office locations
- 394 Delta's Advantage Program office locations
- 369 DeltaPreferred Option office locations
Dental network growth-Connecticut
Added:
- 323 DeltaPremier office locations
- 199 DeltaPreferred Option office locations
Delta Dental Revises EOB
Delta Dental has recently revised its Explanation
of Benefits (EOB) form. You will see that the term "allowed
amount" has been replaced with "Amount Used for Benefit
Calculation." Our intention is to provide greater
clarity. In addition, both the "approved amount" and "Amount
Used for Benefit Calculation" are defined in the
EOB so dentists and subscribers have a clear understanding
of those terms.
Approved amount is "The total amount which the dentist
is permitted to collect as payment in full for the
specified service. It includes the dental benefit
plan's payment as well as the patient's deductible
and/or copay."
Amount Used for Benefit Calculation is "The fee amount
that the dental benefit plan provides for use in
calculating the dental benefit plan payment for the
specified service. The dental benefit plan payment
may be less than this fee amount due to patient deductible,
copay, plan limitations or exclusions."
Tech-Niques: Protecting Sensitive
Patient Information Online
By Linda Hetcher, Vice President Professional
Services, Concurrent Technologies
The Internet makes transmitting and retrieving information
easier than ever. Dental offices can use the Internet
to submit claims electronically, and find details
about their patients' dental benefits and claims
history with a few clicks of a mouse.
But how secure is your patients' protected health
information as it travels over the Internet? This
article explains how information is kept safe from
unauthorized eyes and maintains compliance with the
Health Insurance Portability and Accountability Act's
(HIPAA's) privacy rules while using the Internet.
Technology is available today to not only protect
patients' private information, but also helps dental
offices protect their own information. For example,
this technology is used in secure online purchasing.
Knowledge of this technology can help dental offices
bolster patient trust by being able to explain how
they protect patient information online. It also
helps dental offices operate more efficiently, since
they feel more confident using technology, and its
time- and cost-saving solutions, to its fullest.
How Delta Dental protects information
Delta Dental registered its Web site through a certifying
authority (CA). A CA is a third-party company that
confirms the identity of a business and supports
the secure transfer of data over the Internet. Delta
Dental uses VeriSign, but there are other CAs as
well. The popular auction site eBay uses Trust.e.
However, all CAs operate similarly.
Just below the left navigation bar on Delta Dental's
home page (at www.deltadentalnj.com) is a yellow
rectangular box that reads, "Web identity verified
by VeriSign."
Clicking on this box displays a pop-up screen from
VeriSign, which provides information about the identity
of the Delta Dental Web site, including the URL or
domain name of the site, company name, and dates
of validity of the certificate. Certificates can
be purchased for one- or two-year periods.
The pop-up screen also indicates that Delta Dental
has an SSL (secure socket layer) certificate. The
SSL certificate is an electronic file for Delta Dental's
Web server. It is an electronic credential that assures
users that its transactions are done in a secure
way.
A business' SSL certificate is a bit like the passport
a traveler presents to authorities. The SSL certificate
and passport both validate identities.
What SSL certificates mean to Web site users
The SSL certificate ensures three things:
* Authentication. It says that the organization that
owns the Web site is a legal entity and that it has
the right to use the domain name. (In Delta Dental's
case, the domain name is www.deltadentalnj.com.)
It ensures that Web site operators are who they say
they are.
* Privacy. Data exchanged between the user and the
site is encrypted, or made unreadable, until it arrives
at its destination.
* Integrity. Information carried between the user's
desktop and a Web site such as Delta Dental's can't
be tampered with. What is sent is what is received.
Secure areas of Web sites
Certain areas of some Web sites are secure. For example,
Delta Dental's Benefits Connection area is one such
area. Only transactions that take place in secure
areas of Web sites are truly private. While e-mail
is not necessarily protected over the Internet, information
sent to Delta Dental's Customer Service Department
using the Contact Customer Service Form through Benefits
Connection (which resides in a secure area of the
Web site) is secure.
How do you know if you're in a secure area of a Web
site?
Check the URL or site address. It will begin with
https rather than http when in a secure area. In
most cases, you must provide an ID and password to
access applications and private data through a secure
area.
When in a secure area, the right hand side of the
bottom toolbar will have a lock icon. Clicking on
the lock provides information about the SSL certificate.
SSLs make secure Internet transactions possible
Internet users want to be assured that the Web sites
they visit are legitimate, and that those sites take
the proper steps to protect privacy. When you navigate
the seemingly faceless 'Net, SSLs provide third-party
verification that you're communicating with whom
you're communicating, and that any information exchanged
will travel securely. SSLs are an important component
to making Internet transactions secure.
Concurrent Technologies designs and develops
custom Web-based interactive solutions for a diverse
clientele ranging from Fortune 500 companies to
non-profit organizations. In the business for over
18 years, Concurrent Technologies is a total solution
provider (TSP) offering a range of services from
e-business strategy to complete technology outsourcing.
For more information, visit them at www.concurrenttechnologies.com
or call (800) 345-3895.
Subscribers Give DeltaCare
Dental HMO High Ratings in Survey
Nearly 9 out of 10 subscribers are "satisfied" or "highly
satisfied" overall with their dental benefits program,
according to a recent survey of Flagship Dental Plans'
DeltaCare managed dental care program.
Brownstone Information Resources of Morristown, New
Jersey, conducted the survey for Flagship Dental
Plans. Flagship Dental Plans is a wholly owned subsidiary
of Delta Dental Plan of New Jersey, and underwrites
and administers the DeltaCare product.
The high overall satisfaction rating reflects strong
subscriber satisfaction in all categories. Across
the board, subscribers said they were pleased with
DeltaCare's quality of care, specialty care, access,
information provided, and customer service.
Subscribers gave particularly high ratings to Customer
Service, with 96% being "satisfied" or "highly satisfied." Vince
Farinella, Vice President, Flagship Dental Plans,
believes subscriber satisfaction results from the
commitment Customer Service agents have to subscribers. "Service
is our essence," he says. "Customer Service is the
one and sometimes only direct point of contact between
us and our subscribers. We are fortunate to have
a team that understands that we are here first and
foremost to facilitate access to dental care for
our subscribers."
In other findings, significantly more than half the
subscribers surveyed reported that they felt their
oral health is "somewhat better" or "a great deal
better" this year. Farinella says, "This speaks to
the accessibility provided by our programs, and to
the quality provided by our participating general
dentists and specialists."
The survey, conducted in September 2003, was mailed
to a random sample of 1,400 DeltaCare subscribers.
Easy Way to Inform Subscribers
About Online Subscriber News
You already know that the online Subscriber News
is a free monthly publication for all Delta Dental
subscribers. But do your employees?
One way to get the word out is with a payroll stuffer.
Delta Dental created the layout for one, which is
on the other side of this page. Designed for easy
photocopying, the layout features three payroll stuffers
on an 8 1/2 x 11-inch page to minimize waste.
All you need to do is tear out the page, copy, cut
and attach to your employees' paychecks.
Delta Dental's Subscriber News benefits both you
and your employees. Each monthly issue features information
about how subscribers can make the most of their
Delta Dental benefits, so they don't call you as
often with questions. Subscriber News covers everything
from how to find a participating dentist, to where
to get detailed explanations about their family's
benefits, and much more. Each issue also helps familiarize
subscribers with Delta Dental's Web site. The answers
to most subscriber questions are just a click away
at www.deltadentalnj.com.
In addition, Subscriber News features the latest
news in the areas of dental health and wellness.
Readers can find out how to keep their smiles healthy
between dental visits, what to do in a dental emergency,
and what dental science has in store for the future.
Subscriber News headlines are delivered to readers'
e-mail inboxes each month. They can just click the
link to read the full story. You and your employees
will be happy to know that Delta Dental does not
sell, rent, or disclose e-mail addresses to third
parties. Subscribers will not receive unsolicited
e-mail, or "spam," as a result of their subscription.
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