DentaQuest Authorization Process

For procedures where “Authorization Required” fields indicate “yes”.

Please review the information below on when to submit documentation to DentaQuest. The information refers to the Documentation Required” field in the Benefits Covered section (Exhibits). In this section, documentation may be requested to be sent prior to beginning treatment or “with claim” after completion of treatment.

When documentation is requested:
 

“Authorization
Required” Field
“Documentation
Required” Field
Treatment
Condition
When to Submit
Documentation
Yes Documentation Requested Non‐emergency
(routine)
Send documentation
prior to beginning
treatment
Yes Documentation Requested Emergency Send documentation with
claim after treatment









When documentation is requested “with claim:”
 
“Authorization
Required” Field
“Documentation
Required” Field
Treatment
Condition
When to Submit
Documentation
Yes Documentation Requested
with Claim
Non‐emergency
(routine) or emergency
Send documentation with
claim after treatment