Pre-determinations
Pre-determinations are optional, but may be done for extensive treatment, if desired. Submit pre-determinations electronically.
The treatment form should be partially completed for pre-determination of benefits:
- Check the block for “Dentist's pre-treatment estimate.”
- Appointment dates should not be shown.
- The dentist's signature is not required.
- Please use ADA codes for all procedures.
Include any clinical information that may be helpful in determining benefits:
- Do not submit X-rays with the pre-determination, unless requested by our dental consultant. Special handling is required for X-rays, which will slow the claims process.
- Include complete descriptions, valid ADA codes and tooth numbers.
- Use correct ID numbers: subscriber ID number for commercial and recipient ID number for Oregon Health Plan.
- Watch for correct patient-to-subscriber relationship.
Log in to Benefit Tracker
Check benefits and eligibility
Log in to Benefit Tracker
Check benefits, eligibility, incentive and utilization
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