Envolve Dental ( Envolve ) is proud to support 100,000 members in Pennsylvania enrolled in Pennsylvania Health and Wellness , Ambetter and Allwell . We look forward to seeing membership grow through Wellcare in January 2022 .
Supported by the United Concordia National Medicare Advantage Network
Supported by the United Concordia Advantage Plus Network
In January 2022 , Envolve will continue as the dental administrator for the newly rebranded Wellcare by Allwell ( formerly Allwell ).
Envolve Dental will continue to serve Pennsylvania Health and Wellness Medicaid and Ambetter membership .
The Envolve Dental Difference
> PPO vs HMO – Envolve contracting remains the same regardless of whether the medical plan is an HMO or PPO . Envolve administers dental benefits under a single fee-for-service model without additional mandates or administrative burdens . The only exception is that members with an HMO medical benefit do not receive dental benefits when receiving care from out of network providers .
> Reduced Administrative Burden – Envolve limits administrative burden by reducing the number of services that require prior authorization through Medicaid , and minimizing prior authorization requirements for both Medicare Advantage and Health Insurance Marketplace products .
> Robust Provider Web Portal – Envolve ’ s provider web portal is designed to be a one-stop shop for submitting claims , corrected claims , appeals , and prior authorization requests . The portal can also be used to check claim status , update practice information and verify member eligibility .
High volume of members
Innovative client solutions
EnvolveDental . com
© 2021 Envolve , Inc . All rights reserved .
Selective participation
Partnership approach
Call To Join :
( 833 ) 274-1222 or email
ProviderContracts @ EnvolveHealth . com
10 NOVEMBER / DECEMBER 2021 | PENNSYLVANIA DENTAL JOURNAL