Dental Claims Process
How to submit covered dental claims electronically:
- Utilize clearinghouse software to submit a covered claim electronically.
a. No additional documentation is required if submitting only covered claim codes. - If claim includes possibly covered claim codes, review the next section.
How to submit possibly covered dental claims:
- Review the possibly covered claim code list.
- Dental claims that include possibly covered codes may be submitted using clearinghouse software, fax, or direct mail. Claims or possibly covered codes cannot be submitted via email at this time.
- Important note to avoid delays: Any claim that includes possibly covered codes, regardless of the submission method, must include necessary documentation such as x-rays, perio charts, and/or chart notes. These documents may be mailed, emailed, or faxed (see below).
To submit dental claims by mail:
- Print ADA claim form from clearinghouse system.
- Include necessary documentation if submitting any possibly covered codes.
Submission information:
Electronic submissions: Use clearinghouse software
Faxed submissions: 801-442-6580
Mailed submissions:
- Select Health Dental Claims Processing (commercial or CHIP claims)
P.O. Box 30192 Salt Lake City, UT 84130 - Select Health Dental Claims Processing (Medicare claims only)
P.O. Box 30196 Salt Lake City, UT 84130 - Note: Medicaid dental claims are not covered at this time.
Dental Fee Schedules
Select Health dental fee schedules can be obtained from the secure Provider Portal. If you need to sign up to access the portal, see the instructions below.
Dental Fee Schedules
Dental Provider Tools
- Dental ID Card Guide
- Dental Provider Reference Manual
- Dental Payment Summary Key
- Dental Claims History Key
- Provider/Dental Appeal Form
- Medicare: Request for Redetermination of Prescription Drug Denial
- Notice of Medicare Non-Coverage (NOMNC)