This article is for dentists and oral surgeons caring for our members
We know that a pain point for dental offices and their billing agencies is spending time calling us to find out our procedure guidelines and submission requirements. We’re proud to launch a simple, online CDT look-up tool to make this task less time-consuming!
While our phone representatives currently provide procedure guidelines for up to 10 codes each time you call, you can use the online tool for as many codes as needed, saving you time. You can access the tool 24/7 from Provider Central by going to: Office Resources > Billing & Reimbursement > CDT Dental Procedure Code Lookup.
Using the tool is as simple as 1-2-3!
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Step |
Use Dental Connect to find the name of the member’s plan. This may be different than what’s shown on the member’s ID card. This will ensure that you get the most accurate information. |
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Step |
Use the pull-down menu to enter the plan name from Step 1. The plan name determines whether the member’s plan uses our standard CDT guide or our Pediatric Essential CDT Guide. For a small number of plans, you’ll need to call Dental Provider Services to find out which guide to use. |
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Step |
Enter the CDT code starting with the letter “D.” As you type more digits, you’ll narrow your results. If you want to see all the codes in a range of services, just type “D” plus the first 2 or three digits of the code. |
For members covered under our standard dental plans, your results will look like this:
For members covered under our Pediatric Essential dental plans, your results will look like this:
MPC_011223-2K-2-ART