In every issue of our newsletter, we include utilization management tips that alert you to program information that is important to your office. Please read below for this helpful information.
Acceptable substitute for x-rays
If a member receives treatment in a hospital that does not have the capability to complete dental x-rays, the office may submit photographs in place of the x-rays as documentation. Please indicate that the hospital does not offer dental x-rays when submitting photographs in their place. MCNA does not reimburse for photographs in this circumstance.
Please don't hesitate to contact our Provider Hotline at 1-855-698-6262 regarding the information provided above. We are here to help!