On Feb. 21, Change Healthcare experienced a cybersecurity incident that has resulted in nationwide product outages. Electronic data interchange (EDI) claims and prior authorization receipts, check payments and explanation of payments (EOP) are impacted by the outage. Click here for more information on claim and prior authorization submission and claim payment impacts.

Where We Serve

At Envolve Dental, we appreciate the positive impact our network providers make. We want to make it as simple as possible for you to participate in our programs at the state level and transform healthcare—One Smile at a Time. 

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.

Medicare Providers: Excluding MA, ME, MO, NC, NE, and NH, effective Jan. 1, 2024, dental administration for Medicare Advantage plans transitioned to a new administrator.

* No 2024 benefit administration

Join us in serving our members

Complete the credentialing application to get started today.