by Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
This information can be found on Regence/Blue Cross Dental procedures explaining additional benefits for dental procedures. Regence currently does not offer dental benefits, however, there are times a patient can receive treatment with a Blue Cross provider and qualify under their medical benefits. In addition, Regence informs the providers to file these claims electronically in the same format used for medical claims. Most other payers offer the same access to treatment. Remember to always verify benefits and coverage prior to any treatment.
"Dental services are excluded from the BlueCard Program.
However, there are times when a procedure performed in a dental office qualifies for payment under the patient's medical plan.
Some common medical billing scenarios include:
- Traumatic injuries
- Sleep apnea appliances
- Biopsies of suspicious lesions
- Temporomandibular joint dysfunction (TMD) orthotics
- Extraction of third molars (not a medical benefit for all Blue Plans)"