Prior Approval (approval ahead of time) is required for many dental procedures.
Forms
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| Form 343 |
Dental Prior Authorization - Revised 12/10/20 |
| ADA 2012 |
ADA Dental Claim Form Sample |
| ADA-I |
ADA Dental Claim Form Instructions |
| Form 404 |
Administrative Review |
| Form 471 |
Revision to Prior Authorization |