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Provider Notices

Dental PA Requirements

5/21/2020 8:23:09 AM
Effective July 1, 2020 Prior Authorization (PA) requirements are being set on dental codes 41899 Unlisted Proc, Dentoalveolar Structures and 00170 Anesthesia, Intraoral Proc, W/Bx; Nos.  A PA will need to be submitted along with the DCO approval letter. Without a PA and DCO approval letter the request will be subject to a denial. Please call PacificSource Community Solutions if you have any questions.

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