TOOTH CODE DENTIST'S FEE LABORATORY CHARGE SIGNATURE OF PATIENT (PARENT/GUARDIAN) ... Manulife Financial with a completed claim form and a copy of the settlement provided by the other carrier. %PDF-1.3 %����

0000071475 00000 n You can find an approved provider or check to make sure we cover your provider. This means that the patient can go to either their dental or medical office to receive the same treatment, but different insurance companies would be billed. 0000001144 00000 n

Claims for dependant(s) must first be yr. code dentist's fee total charges laboratory charge when a proposed course of treatment is expected to cost more than $500, a treatment plan must be filed with manulife financial group benefits.
0000004040 00000 n the Community Dental Partners Program, access to an additional $1000 of basic dental services is available. What is a procedure code and why don’t orthodontists use them? Your dentist knows what we need. 0000031228 00000 n 0000000816 00000 n procedure code intl. Go to the plan member site for your group benefits and sign in. 0000008254 00000 n 0000002148 00000 n 0000003414 00000 n

0000004987 00000 n Dental procedure codes are intended for use by dental hygienists who wish to bill their clients directly for services and provincial/territorial dental hygiene associations who publish suggested fees (if applicable) in their dental hygiene service guides.

0000000016 00000 n 0000010663 00000 n Alberta Dental Association and College Dental Fee Guide Effective: September 1, 2017 0000007589 00000 n xref 0000064134 00000 n 0000010681 00000 n 0000007940 00000 n 0000001408 00000 n

0000003234 00000 n ectopically erupting teeth, correction of isolated dental crossbite or recovery of recent minor space loss ... Used for procedure that is not adequately described by a code. 0000009660 00000 n 0000007918 00000 n

0000001207 00000 n X-Rays D0210, D0220, D0230, D0240, D0250, D0260, D0270, D0272, D0273, D0274, D0277 0000004966 00000 n

Major dental treatment over $1,000.00 -- preauthorization recommended. <

%PDF-1.6 %���� POSTAL CODE ... PROCEDURE CODE INTL. ... manulife financial group benefits dental claims p.o. Box 1602 Del Stn 500-4-A, Waterloo, Ontario N2J 4C6. 0000004773 00000 n you will be advised of the benefits payable under the group plan before treatment begins. 0000002715 00000 n Manulife. 3 0 obj << /Linearized 1 /O 7 /H [ 1270 181 ] /L 14364 /E 14036 /N 1 /T 14187 >> endobj xref 3 32 0000000016 00000 n Buttons are only visible to users with the Setup permission.

0000010486 00000 n Want to submit your claim right from your doctor’s office? 0000012560 00000 n
0000045125 00000 n 0000008095 00000 n 0000002929 00000 n TOOTH CODE DENTIST'S FEE LABORATORY CHARGE SIGNATURE OF PATIENT (PARENT/GUARDIAN) ... Manulife Financial with a completed claim form and a copy of the settlement provided by the other carrier. 0000006595 00000 n 0000001451 00000 n date of service procedure code intl. 0000011464 00000 n

You can find an approved provider or check to make sure we cover your provider.Depending on your claim, you may need to send us more information when you send in your claim. 0000011485 00000 n 0000009034 00000 n 0000013438 00000 n

0000001007 00000 n date of service procedure code intl. 0000044882 00000 n 0000001270 00000 n box 5000, station b, montreal, qc h3b 4b5: 26 0 obj << /Linearized 1 /O 29 /H [ 1358 237 ] /L 87509 /E 81444 /N 2 /T 86871 >> endobj xref 26 37 0000000016 00000 n %PDF-1.3 %���� 0000001210 00000 n

0000001000 00000 n Group Benefits Dental Care Expense D E N T I S T LAST NAME CITY PROV. 0000002473 00000 n Maximum Payable per Calendar year is $3,750.00. 0000001431 00000 n 0000003414 00000 n CODING Commercial The following dental codes are covered for the treatments mentioned above. 0000001358 00000 n tooth day mo. 0000001104 00000 n Tools: Launch Procedure Code Tools to remove temporary codes, update CDT codes, add missing D or N codes, and/or reset default auto codes, procedure buttons, appt proc quick adds or recall types.

New: Add Procedure Code (e.g non-CDT codes or codes used in another country).


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