Dental offices need the right plan administrator for benefits, claims, predeterminations and appeals. Confirm PPO, DHMO, Medicaid or discount-plan routing.
MHCP fee-for-service dental authorization contact at Acentra. Acentra Health is the MHCP fee-for-service medical review (authorization) agent; this is its MHCP-specific site. Managed care (PMAP/MinnesotaCare health plan) members follow their health plan's authorization process.
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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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