Information, Tips, and Support

Below is some information that may be helpful to your dental office and staff. If you have any questions, please contact us.

How to Manage Your Facility and Members

MCNA Dental offers an online Provider Portal that allows you to:

  • Verify member eligibility
  • Manage your facility
  • Edit your office fee schedules
  • View a history of your activity with MCNA Dental
  • Submit claims
  • Submit pre-authorizations
  • Submit referrals
  • Download forms and documents
  • Download your Provider Manual
  • And more!

The Provider Portal is a great all-in-one tool, and we recommend that all of our network providers take advantage of its features. Once you have received your credentialing letter from MCNA Dental, you will be able to quickly and easily create an account to access the portal at http://portal.mcna.net.

For more detailed information about using our Provider Portal, click here to download our Provider Portal User Guide.

How to Submit Claims, Pre-Authorizations, and Referrals

Claims can be submitted using any of the following three methods:

  1. Online through the Provider Portal.
  2. Electronically through a clearinghouse (MCNA Dental Payor ID: 65030).
  3. On Paper by standard mail to MCNA Dental (Use 2012 or newer ADA Claim Form). Mail to:

    MCNA Dental
    Attn: Claims
    200 West Cypress Creek Road, Suite 500
    Fort Lauderdale, Florida 33309

Please note that we do not accept faxed claims.

Pre-Authorization (Prior Authorization) requests can be submitted using any of the following three methods:

  1. Online through the Provider Portal.
  2. Electronically through a clearinghouse (MCNA Dental Payor ID: 65030).
  3. On Paper by standard mail to MCNA Dental (Use 2012 or newer ADA Claim Form and ensure the "Request for Pre-Determination" box is checked). Mail to:

    MCNA Dental
    Attn: Utilization Management
    200 West Cypress Creek Road, Suite 500
    Fort Lauderdale, Florida 33309

Referrals can be submitted using either of the following two methods:

  1. Online through the Provider Portal.
  2. On Paper by standard mail to MCNA Dental. Mail to:

    MCNA Dental
    Attn: Utilization Management
    200 West Cypress Creek Road, Suite 500
    Fort Lauderdale, Florida 33309

For more detailed information about submitting Claims, Pre-Authorizations, and Referrals, download the Provider Manual from MCNA Dental's online Provider Portal, or by clicking here.

How to Stay Current with MCNA News and Announcements

To stay up-to-date with all MCNA Dental news and announcements, you can periodically check our main news page on MCNA.net.

Important news and announcements exclusive to our network providers (including MCNA Dental procedure changes, change in Medicaid dental rules, etc.) will be posted on the main page of the Provider Portal once you log in to your account.

MCNA Dental sends monthly newsletters to all of our providers, delivered right to their email inboxes! These newsletters include the latest updates from MCNA Dental, information about upcoming changes, dental industry news, and much more. To sign up for these email newsletters, log in to the Provider Portal and add your email address to the mailing list.

Where to Submit a Complaint

You can submit a complaint by calling our Provider Hotline at 1-855-701-6262 or by sending an email to LA_PR_Dept@mcna.net.

Send a written complaint to:

MCNA Dental
Attn: Complaints Department - Louisiana Provider Relations
P.O. Box 29008
San Antonio, Texas 78229

Fax: 1-504-648-1400

If you have exhausted MCNA's complaint process and are still not happy, you may submit a complaint directly to the Louisiana Department of Health (LDH) Medicaid Management Information System (MMIS). Submit online at www.healthy.la.gov, or call 1-255-342-6908.

Issue Escalation and Resolution for Providers with MCNA

Please see the following information that outlines the path for issue escalation and resolution with MCNA, and the appropriate contact information for each step.

  • Questions and General Assistance - MCNA Provider Hotline:
    • 1-855-701-6262
  • Tier 1 Escalation - Provider Services Team:
    • By Phone: 1-855-701-6262
    • By Email: provider_hotline_leadership@mcna.net
    • By Mail: MCNA Dental, P.O. Box 29008, San Antonio, Texas 78229
    • Office Location: 3850 North Causeway, Suite 1510, Metairie, Louisiana 70002
  • Tier 2 Escalation - Provider Relations Management
  • Tier 3 Escalation - Executive Leadership
    • DeDe Davis, Vice President of Dental Management and Quality Improvement