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  • Pehp Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under 2016

Get Pehp Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under 2016

PRIOR AUTHORIZATION for GENERAL ANESTHESIA for DENTAL SERVICES UNDER MEDICAL For authorization, please complete this form, include patient chart notes to document information and FAX to the PEHP Prior Authorization Department at (801) 366-7449 or mail to: 560 East 200 South Salt Lake City, UT 84102. If you have prior authorization or benefit questions, please call PEHP Customer Service at (801) 366-7555 or toll free at (800) 753-7490. Section I: PATIENT INFORMATION Name (Last, First MI): DOB:.

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How to fill out the PEHP Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under online

Filling out the PEHP Health & Benefits Prior Authorization for Anesthesia Services for Dental Procedures can be straightforward when you have the right guidance. This comprehensive guide will help you complete the form accurately and efficiently, ensuring that all necessary information is provided.

Follow the steps to complete the form accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred document editor.
  2. In Section I, enter the patient information. Provide the patient's full name, date of birth, age, and PEHP ID number.
  3. Move to Section II to fill in the provider information. Include the date requested, service provider name, NPI number, tax ID number, contact person's name, and relevant contact details.
  4. In Section III, specify the type of anesthesia being requested. Select from general, intravenous sedation, local, or nitrous oxide. Fill out the anticipated date of service and include any requested CPT/HCPCS codes.
  5. Identify the place of service by checking the appropriate box, and provide the facility name, NPI number, tax ID number, address, and phone number.
  6. Document the primary medical diagnosis using the corresponding ICD-10 code, and repeat for secondary medical diagnosis, as well as primary and secondary treatment diagnoses.
  7. Respond to the questions regarding the patient's condition by selecting 'Yes' or 'No' for each of the provided queries. This helps assess the necessity for anesthesia.
  8. If applicable, provide additional comments to clarify any specifics about the patient's conditions or needs.
  9. After you have completed all sections, review the form for accuracy. Save your changes, then you can choose to download, print, or share the completed form as necessary.

Complete your documents online today to ensure timely authorization for dental services.

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The CPT code for anesthesia services falls within the range of 00100 to 01999, which comprises various codes tailored for specific types of anesthesia used in dental and surgical procedures. These codes are critical for accurate billing and insurance claims. For anyone seeking to understand their coverage better, PEHP Health & Benefits Prior Authorization for Anesthesia Services For Dental Procedures Under provides essential clarity.

Anesthesia services encompass the entire process of pain management during a procedure. This includes the preparation prior to the administration of anesthesia, the monitoring during the procedure, and the post-operative care required for recovery. Engaging with tools like USLegalForms can guide you through the requirements for PEHP Health & Benefits Prior Authorization for Anesthesia Services for Dental Procedures Under.

Anesthesia services under codes 00100 to 01999 include the delivery of anesthesia, patient monitoring, and any necessary medications provided during the procedure. These services ensure patient comfort and safety, which are key in dental treatments. Utilizing the PEHP Health & Benefits Prior Authorization for Anesthesia Services for Dental Procedures Under can help clarify what to expect.

CPT codes 00100 to 01999 cover a range of anesthesia services. This range includes various types of anesthesia procedures and their associated costs for dental and surgical interventions. Knowing these codes aids in accurate billing and in understanding the PEHP Health & Benefits Prior Authorization for Anesthesia Services for Dental Procedures Under.

The anesthesia package typically includes the administration of anesthesia, monitoring of the patient's vital signs, and recovery time. It ensures that patients are comfortable and safe throughout their dental procedures. Familiarizing yourself with the specifics of the PEHP Health & Benefits Prior Authorization for Anesthesia Services for Dental Procedures Under helps streamline the approval process.

Procedure code 00100 refers to the anesthesia provided for a dental procedure. This code specifically applies when a patient receives general anesthesia or sedation for dental work. Understanding this code is crucial for navigating the claims process, especially when dealing with PEHP Health & Benefits Prior Authorization for Anesthesia Services for Dental Procedures Under.

The dental code 9222 is often used to signify sedation services provided during dental services. This code helps practitioners document the anesthesia level necessary for certain procedures. Highlighting such services is vital when seeking PEHP Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under. Utilizing the correct code supports effective communication with insurance providers, leading to timely authorizations.

CPT code 00170 denotes anesthesia services for dental procedures, especially important when providing sedation for extensive treatments. On the other hand, code 41899 is a generic code for dental procedures not otherwise specified. When pursuing PEHP Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under, using the correct codes is vital to reflecting the services rendered accurately. This approach minimizes the potential for claims rejection.

The codes ranging from 00100 to 01999 encompass a variety of anesthesia services, spanning from common surgical procedures to specialized needs in dentistry. Each code corresponds to specific anesthesia techniques and scenarios. When you seek PEHP Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under, knowing these codes improves your chances of a quick approval process. This knowledge enables dental professionals to optimize their service offerings and billing.

CPT codes for dental anesthesia include codes such as 00170 and 01922, specifying the types of anesthesia applied. These codes are pivotal for obtaining PEHP Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under efficiently. Accurately using these codes ensures your practice receives proper compensation for anesthesia services. Knowing the right codes enhances billing and reduces claim denials.

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Get PEHP Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under
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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
PEHP Health & Benefits Prior Authorization For Anesthesia Services For Dental Procedures Under
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