Provider Services
Referral Guidelines
| Referrals
are required for services considered to be specialty treatments.
The following is a brief explaination of specialty guidelines
of the Access Dental Plan. The Primary Care Dentist requesting
the referral must submit an Access specialty referral form. You
can obtain this form under Provider
Forms.
Decisions authorizing referrals for specialty services are based on information provided by your office to Access Dental Plan. Access' Dental Consultants make the final decisions regarding authorization for specialty services. The Dental Consultant or his/her designee, who is a California licensed dentist, reviews all referral decisions requiring professional judgment, including all potential denials. Referrals are valid for 60 days from the date of approval by Access. You can review details of the specialty referral guidelines below: ·
Regular Specialty Referrals If
you need further information regarding the referral guidelines,
please Contact Us by phone or email
and we will be glad to assist you. |
