Welcome to dental logo

We are located at:  6950 146th Street W
Suite 114
Apple Valley, MN 55124
Phone:  (952) 432-4033 
Get information about DCUE Dental below. You may also email: dental@dcue.org with any questions.

 

Office closes at 12:00 pm on Thursday, October 18th

Office will open at 10:00 am on Friday, October 19th

Office Hours:

Monday-Thursday: 8:00 am - 3:00 pm

Friday: 8:00 am - 11:30 am 

 

 We do have flexible schedules based on work flow, so please call ahead of time if you are planning to stop in with a question.

 


Plan Year 2017-2018 Ends August 31st.

2017-18 Claim Deadline is Noon on Wednesday, October 31, 2018.

Dental claims with date of treatment and/or Orthodontic payments made from September 1, 2017, through August 31, 2018; need to be in the DCUE office by noon on Wednesday, October 31, 2018.

Due to auditing, this is an ABSOLUTE DEADLINE. Even if you have primary insurance involved with your claims you must meet the deadline listed above. We cannot process 2017-18 Plan Year claims after this date. ANY claims received after processing on October 31st will be denied and returned.

 

 

2018-2019 Annual Enrollment is STILL AVAILABLE 

  

Please log into the Dental Members page to complete your enrollment. Annual enrollment is required for claim processing. We are not able to process your claim until we have received a current enrollment form.

 

-EVERY ACTIVE MEMBER NEEDS TO ENROLL FOR THE NEW PLAN YEAR-

 Instructions can be found under the Dental Tab

Please disregard enrollment IF you are a former Retiree (before end of 17-18 school year)/on COBRA/not returning to work during the 18-19 plan year.

 

 

COBRA/Continuation of Coverage Members- Premium Information:

Starting September 1, 2018 the new premium amounts are as follows:

 

Premium Payment Changes for 2018-2019 Plan Year

 

Plan Year

2017-2018

 2018-2019

Premium from DO:

$68.52

$69.89

Leave of Absence:

$68.52

$69.89

Job Share:

$34.26

$34.95

COBRA:

$69.89

$72.00

Retiree w/ Dependents:

$69.89

$72.00

Single Retiree:

$34.95

$36.00

 

The premium cost is pre-negotiated in your contract if you are an Active, Qualifying Member. There is no premium out of pocket expense for Active Members and their dependents who qualify for the DCUE Dental Plan.

 

 

 


 

Online Claim Filing

  The online Claim Filing system will be closed September 1st - October 31st.

The system will open again November 1st.

 

During the months of September and October send your paper claim form and supporting documentation to our office. 

 

You can send your claims via District Mail, USPS or drop off. There is a drop box outside our office door if you come after hours.

  

During these two months we are processing both 2017-18 and 2018-19 plan year claims. In order for us to process your claims in a timely manner and ensure accuracy the online claim filing will not be available.

2018-19 plan year claims can be submitted online once the system re-opens on November 1st. See below for plan year dates.

 

 

Change to online Claim Filing starting November 1st: Supporting documentation can only be attached as a PDF document. Attaching a jpeg file will no longer be available.

After one year of testing the online claim filing system the necessary decision to remove the option to upload jpeg files has been decided. We have made many updates through out to last year and will continue to do as much as needed to make this online system as seamless as possible.

 

Not only do we want your expierence to be easy and quick we also want to improve the amount of online claim returns and keep up the speed on issuing reimbursement checks.

 

To help adjust to this change ask your dental office if they have the capability to email you your itemized statement. Or you can scan and save your documents as a PDF.

 

We are sorry for any inconvenience.

 

  

 


 

Double Spouse Members

Double Spouse: Both parties are ISD 196 employees AND eligible for coverage in the ISD 196 DCUE collective bargaining unit. (Eligible members are teachers, nurses and counselors with .75FTE or greater; managed by DCUE as stated in bargaining agreement.)

 

The necessary changes to the online system were made in February 2018.

-Employee #2’s online account has been removed from the online system.

-Employee #1 will be the member whose online account will be used for Online Enrollment and can be used for Online Claim Submission. (Emp #1's account includes both Emp #1 & Emp#2 information for enrolling and filing claims.)

 

Employee #1 is determined by whose birthday falls first in a calendar year.

 

This change affects every Double Spouse Member, even if you do not choose to submit claims online you will still need to complete your annual enrollment online through Employee #1’s account. Call DCUE Dental with questions/issues.

 

 


 

DCUE Dental Fiscal Year

The plan year runs from September 1st – August 31st

 

Dental treatment claims are processed based on Date of Service, Orthodontic treatment claims are processed based on Date of Payment. Be sure to submit your claims within the appropriate plan year and time guidelines. For more plan details click on the link below:

https://www.dcue.org/dcue/areas/dental/downloads/Plan_at_a_Glance.pdf

  

2017-2018 Plan Year: September 1, 2017-August 31, 2018 


 

 Claim Submission

 

Paper Claim Forms

Claim forms, with supporting documentation, can be sent to the DCUE Dental office through District Mail, mailed through USPS or dropped off.

 

Claim forms should be completed in full by the member.

 

If there is a Section of your claim form that is missing or incomplete your claim will be returned with a slip requesting more information/documentation.

For claim filing directions click on the link below:

www.dcue.org/dcue/areas/dental/downloads/Claim_Filing_Information.pdf

 

Online Claim Forms

The online Claim Filing system will be closed September 1st - October 31st. 

The system will open again November 1st.

 

During these two months we are processing both 2017-18 and 2018-19 plan year claims. In order for us to process your claims in a timely manner and ensure accuracy the online claim filing will not be available. 2018-19 plan year claims can be submitted online once the system re-opens on November 1st. See below for plan year dates.

   

Starting November 1st supporting documentation for online claim submission must be in the form of a PDF document. At this time the change to PDF only is necessary, as technology changes there may be other options in the future.

 

 


Proof of Payment

To help avoid claim returns be sure you are including a payment receipt with your claim submission.

The Plan reimburses the Member directly; therefore your services need to be paid for prior to you being reimbursed.

 

Payment(s) must match up to the total charges listed for a specific date of treatment or the Patient Responsibility amount, if other insurance is involved. Services must be paid for in full prior to being reimbursed. Contact DCUE Dental for special circumstances such as payment plans for large dollar treatments.

 

Proof of Payment can be a computer statement or a separate receipt. Details of your payment should include dollar amount of payment, how payment was made, date payment was made and for which patient payment applies to. We do not accept “paid” stamped or handwritten on the statement and we do not accept a copy of your check.

 

Late Claims

To help avoid Late Penalties and Claim Denials please be sure you are submitting your claims in a timely manner.

 

Dental claims are processed based on Date of Treatment.

Orthodontic claims are processed based on Date of Payment.

 

Claims should be submitted within 60 days from the date of treatment. If claims are received after 60 days from the date of treatment they are subject to a 20% penalty. If there is primary insurance involved you have 90 days from the date of treatment to get your claims in and receive a late penalty. Orthodontic claims will not receive late penalties, but they must be received within the appropriate plan year.

 

 

Contact DCUE Dental for special circumstances such as primary insurance holding up your claim.

 


 

How you get Reimbursed

A reimbursement check is mailed to the Member after their claim is processed. 

 

You should receive check, to the address we have on file, within two weeks or less. Claims are processed 2-3 times a week so that the turnaround is quick. 

 

The check is the upper 1/3 of the sheet, the lower 2/3 of the sheet is your Explanation of Benefits (EOB). The EOB gives you your remaining Annual Benefit and remaining Lifetime Orthodontic Benefit. 

 

Your EOB should be retained for tax purposes and/or Flex Spending Accounts.


If you submitted your claim through the online system, you will be able to view/print a copy of your check/EOB the day that your claim is processed. Actual check/EOB is still sent to Member’s address on file.


If you do not receive your reimbursement check within two weeks of submitting your claim please contact DCUE Dental. We work hard to process your claims in a timely manner so please help us by cashing your checks as soon as possible.


 

 Additional Plan Information

2017-2018 Plan Year: September 1, 2017-August 31, 2018

 

DCUE Dental Fiscal Year

The plan year runs from September 1st – August 31st

 

Dental treatment claims are processed based on Date of Service, Orthodontic treatment claims are processed based on Date of Payment. Be sure to submit your claims within the appropriate plan year and time guidelines.

 

For more plan details click on the link below:

www.dcue.org/dcue/areas/dental/downloads/Plan_at_a_Glance.pdf

 

 

For more Orthodontic details click on the link below:

www.dcue.org/dcue/areas/dental/downloads/Orthodontic_Info.pdf