Common use of Approving Process for applications for Services Clause in Contracts

Approving Process for applications for Services. requiring prior approval The provider will submit a Form 497 (application for approval to provide treatment not covered by the fee schedule) outlining the treatment required and including bitewing and any other appropriate radiographs. This may be accompanied by a letter or computer-generated treatment plan. The radiographs will be returned to the Dentist. Having approved the request and assigned an ‘approval number’, the Approving Dental Officer will return the signed original and duplicate copy of the form to the provider and retain one copy for Te Whatu Xxx’s records. The provider must note the approval number on the appropriate claim form: Oral Health Services in High Caries Treatment Planning (Adolescents) Treatment Report/Claim Summary and attach the original application for approval to provide treatment not covered by the fee schedule.