45 DAY STATUS REPORT (GP)

Dentist name: DOREEN AGYEMAN
2444 Getz Road Fort Wayne, IN 46804
NPI #:1932402609 Tax ID#: 83-3422719

 

PPO INSURANCE PLANS F/S IN PROCESS EFFECTIVE DATE
AETNA–UMBRELLA ZELIS ZELIS F/S 07.05.19
AMERITAS F/S 07.05.19
ANTHEM/UNICARE PPO 100/200/300 F/S 07.05.19
ANTHEM BCBS/UNICARE/WELLPOINT F/S 07.05.19
ASSURANT/DHA/SUNLIFE F/S 05.24.19 05.24.19
CIGNA – (CORE/PLUS/DSA) F/S 07.05.19
DELTA PPO F/S 07.05.19
DELTA PREMIER F/S 07.05.19
DENTEGRA F/S 06.04.19 06.04.19
GEHA/CONNECTION DENTAL F/S 07.05.19
GUARDIAN –UMBRELLA ZELIS ZELIS F/S 07.01.19 07.01.19
HUMANA F/S 07.05.19
METLIFE F/S 05.15.19
PRINCIPAL F/S 07.05.19 05.15.19
UNITED CONCORDIA – ADDP (MILITARY) F/S 06.18.19 06.18.19
UNITED CONCORDIA – NAT ADV F/S 06.18.19 06.18.19
UNITED CONCORDIA –TRICARE F/S 06.18.19 06.18.19
UNITED HEALTHCARE –UMBRELLA ZELIS ZELIS F/S 07.05.19
ZELIS /MAVEREST F/S 06.03.19 06.03.19
15-25% OFF UCR IF NOT ON FS– NO CLAIMS FOR MOST PLANS– PT RESP TO PAY AT TIME OF TREATMENT
AON/ACCESS F/S 05.17.19 05.17.19
AMERIPLAN F/S 05.20.19 05.20.19
AVIA F/S 05.23.19 05.23.19
CAREINGTON PLATINUM F/S 07.05.19
CARE POS F/S 07.05.19
CAREINGTON 500 SERIES F/S 07.05.19
DDS F/S 05.22.19 05.22.19
SIGNATURE PLAN TEMP UNAVAILABLE F/S XXXX XXXX
UNI-CARE 100 F/S 05.29.19 05.29.19