In formation. No plan agreement is in place yet.
One agreement for oral appliance therapy.
OAT Network is being formed as a national network of dental practices that treat obstructive sleep apnea with oral appliance therapy (OAT). It offers a health plan a single in-network agreement in place of a network exception for one member at a time.
Credentialed practices, one agreement, one standard for claims.
- 01
The states you choose.
The network asks for one agreement that its member practices join, in the states where your members need oral appliance therapy (E0486, K1027). You decide where it applies.
- 02
Credentialed members.
Each member is checked against the NPI registry and the federal exclusion lists every week and recredentialed every three years, and meets your own credentialing requirements before any claim goes in network.
- 03
A roster you can load.
Each member is listed with its practice name, NPI, office address and the treating dentist’s license. A member comes off every roster the day it no longer meets the network’s terms.
- 04
One standard for every claim.
Every member bills its claims to your plan through the network’s designated billing partner, under its own NPI and tax ID, so each in-network claim meets one standard.
- 05
You pay the practice.
Claims go out under each member’s own name, and your plan pays the member directly. The network never receives or holds a payment.
- 06
One claim per service.
A service is billed once, under the member that gave it. Money paid in error goes back to your plan within sixty days.
Your offer goes to each member, and each member decides.
- 01
Your offer, to each member.
The network presents your plan’s rate offer to each member exactly as you made it, through a messenger model.
- 02
Each member decides alone.
Each member accepts or declines on its own. Members never agree prices with one another, and the network never tells one member what another accepted.
- 03
No referral money.
Nothing is paid for a referral, for a patient sent or for a case.
Answering the network.
If the network wrote to your network development team, its letter names the states and codes it asks about and the address to answer. Answer there with your plan’s terms, your credentialing requirements, or the desk that handles it.
The network says only what is true today: it is being formed, and no agreement is in place with any plan until one is signed.