George
Koumaras, DDS, AHFI
George Koumaras, DDS, AHFI
Dental Analytics Director
Anthem, Inc.
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Dr. George Koumaras is the National Dental Director at Anthem Inc. and is primarily responsible for assisting with the integration of dental with medical benefits as well as other responsibilities related to clinical policy and fraud, waste and abuse. Prior to joining Anthem, he was the Dental Director at Delta Dental of Virginia responsible for Provider Relations, Professional Review, Clinical Appeal Review and Fraud and Abuse. He joined Delta Dental of Virginia in August 2006. As the head of Provider Relations, he was accountable for network development, adequacy and maintenance. As head of the Professional Review team, he supervised the department developing clinical criteria and dental policy. He was also responsible for developing fraud guidelines and workflow as well as supervising the dental fraud unit. Prior to joining Delta Dental of Virginia, Dr. Koumaras worked for Aetna in various capacities. As the National Director for Oral and Maxillofacial Surgery Patient Management, he was responsible to manage the pre-certification department of Oral and Maxillofacial surgical procedures, development of clinical policy, appeal review and participated as a member of the external review oversight committee. Dr. Koumaras is located in the clinical professional services area in Roanoke, Virginia.
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