Dental offices need the right plan administrator for benefits, claims, predeterminations and appeals. Confirm PPO, DHMO, Medicaid or discount-plan routing.
eligibility benefits
Dentist customer service — eligibility, benefits and claims (Idaho)
Toll-free alternate 800-356-7586 also published (same page). Page says provider services can be reached at 800-356-7586 for contracting and credentialing.
ProFax — benefits, eligibility and claims information by fax (Idaho)
Published hours
Not published in this record
Product, plan and location
dental Idaho
Mailing address
Not researched for this route
Page: obtain benefits, eligibility and claims information via your fax by calling this number or toll-free 866-452-4154. Call to request a fax-back; not a number to fax to.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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Dental offices need the right plan administrator for benefits, claims, predeterminations and appeals. Confirm PPO, DHMO, Medicaid or discount-plan routing.
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Dental plan and subscriber information
CDT codes, tooth numbers, surfaces and planned service dates
Predetermination, claim and attachment references
Questions to resolve
Which plan network and benefit limitations apply?
Are radiographs, narratives or periodontal charts required?
Is this a predetermination or a required authorization?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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