Request Pre-treatment Estimates
A pre-treatment estimate is a great way to confirm benefit coverage and provide accurate cost estimates to patients.
You can request a pre-treatment estimate using DOT.
For procedure codes under Focused Review, you will need to submit additional documentation, but this process can help prevent unplanned expenses for your patients.
The affiliated Delta Dental Plans of Indiana, Kentucky, Michigan, New Mexico, North Carolina, Ohio, and Tennessee have established the Focused Review program to help monitor claims and ensure accurate processing and contract fulfillment.
Of the very few providers that are placed on Focused Review, the majority are randomly selected. An even smaller number of providers may be on Focused Review because a claims analysis shows a statistical difference from their peers, or a complaint has been filed against them.
Providers selected for Focused Review will receive a packet of information, including a list of procedure codes requiring additional documentation and how to submit claims to the Focused Review Department. Review this information carefully to ensure a smooth process and timely claims payment.
Common questions and answers about Focused Review
Request pre-treatment estimates and review patient information
Helpful tips for running an organized practice all the time, not just during Focused Review
Article by Chris Smiley, DDS in the Journal of the Michigan Dental Association
All Focused Review Claims and Inquiries:
Delta Dental—Focused Review
PO Box 9116
Farmington Hills, MI 48333-9089