Navigating Your Dental Insurance with Dunivin Denture
Dunivin Denture is constantly expanding the dental insurance plans we can accommodate. We support our patients in their treatment journey and with filing out-of- network claims with their dental insurance (excluding Medicaid). Let’s explore your options together.
How We Can Assist You:
- Know Your Plan: We recommend you contact your dental insurance provider to fully understand your out-of-network benefits and what your plan covers (be aware that some plans may not include Denturist services).
- Schedule an Appointment: Call us at 360-232-8756 to book your visit. We will collect your insurance information and discuss how we can best utilize it for your care. Free consultations are available for those without insurance.
- Customized Plans and Transparent Costs: Our Denturist will develop a personalized treatment plan during your consultation. We will clearly outline your choices and help you manage your budget. Our treatment plans include all service fees upfront, ensuring you know exactly what to expect.
- Claim Filing Support: We will file insurance claims for you when possible. If you need to submit the claim yourself, we will provide the necessary paperwork and assistance.
Apple Health Accepted
We are an “in-network” provider with Washington State Insurance(s), also known as Apple Health or HCA. We are obligated as an in-network provider to adhere to and follow their rules and regulations.
We must first verify if your insurance is ACTIVE through the HCA’s online portal.
You must remain ACTIVE during the entire process of having your denture made to remain eligible for services. If your insurance becomes inactive for any reason during the process, please let us know ASAP as that can affect billing, and you may be left liable for the entire bill.
It is our responsibility through client limit inquiry to confirm the client qualifies for a denture(s) and has not previously received a denture(s) paid for by HCA.
If you have previously had any denture(s) paid for by the HCA, then replacement requires preauthorization regardless of whether 3-5 years have elapsed or not.
Your Content Goes Here
Dental Records required by WA State HCA for Authorization of Acrylic Partial Dentures
A pre-authorization is required by insurance to determine that you are eligible for Acrylic Partial Denture(s). Insurance requires these documents be submitted at the same time. The records outlined below are required to be current within the last 12 months when submitted. Records over 12 months will not be accepted.
Records to request from your referring Dentist to be sent to Dunivin Denture
The referring dentist must provide all supporting documentation to the servicing dental provider (Dunivin Denture)
- A current restorative and periodontal treatment plan indicating the client’s treatment needs; within the last 12 months
- Chart notes indicating the patient has completed a prophylaxis or nonsurgical periodontal service; within the last 12 months
- Chart notes indicating that all restorative treatment needs have been completed; within the last 12 months (fillings, crowns, extractions, etc.)
- Radiographs of all remaining teeth; within the last 12 months (Pano, FMX, or bitewings are acceptable)
- Perio-chart; within the last 12 months
These records can be sent to dunivindental@gmail.com