Month 10, 2023 — DentaQuest, part of Sun Life U.S., is now NCQA Accredited for two areas of distinction – utilization management and credentialing. NCQA, previously known as the National Committee for Quality Assurance, is an independent, not-for-profit organization dedicated to measuring and improving health care quality.
NCQA Utilization Management Accreditation is a quality assessment program that focuses on consumer protection and customer service improvement. DentaQuest’s achievement demonstrates a strong commitment to open access networks, service quality improvement and customized management systems. Credentialing Accreditation, meanwhile, recognizes DentaQuest’s dedication to delivering consistent, effective and diligent assessment of each dental professional’s background and legitimacy to provide care.
“Achieving NCQA Utilization Management and Credentialing Accreditations demonstrates that DentaQuest has the systems, processes and personnel in place to conduct utilization management and credentialing in accordance with the strictest quality standards,” NCQA President Margaret E. O’Kane said.
A voluntary review process, NCQA Accreditation is governed by the Standards for Accreditation in Utilization Management and the Standards for Accreditation in Credentialing, developed with the assistance of representatives from its Standards and Review Oversight Committees and input from other organizations.
“These accreditations confirm that we follow objective, evidence-based practices and meet the highest industry standards in service of our mission to improve the oral health of all,” said Steve Pollock, president of DentaQuest. “We know these regulatory duties are essential to providing our members with access to safe, quality and appropriate oral health care.”
NCQA has reviewed and accredited DentaQuest’s Credentialing and Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.
ABOUT DENTAQUEST
Sun Life U.S. Dental, which includes DentaQuest, is dedicated to improving the oral health of all through purpose-driven, outcomes-based solutions. We make dental benefits better for everyone through Preventistry® – an inclusive approach centered on preventive, quality care, expanded access and solutions built on valued relationships across the health care ecosystem. We manage dental and vision benefits for approximately 35 million Americans. For 30 years, we have delivered cost-effective benefit plans and services for employer groups, individuals, health plans, and government-sponsored dental programs. We are the largest Medicaid and CHIP dental benefits administrator in the U.S., by membership. We also support direct patient care through an expanding network of approximately 75 dental practices in underserved communities across the United States. Learn more about Sun Life U.S. Dental at Sunlife.com/dental and DentaQuest.com.
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