How to submit dental claims
Vyne helps Select Health dental providers simplify administrative tasks and accelerate reimbursements through its secure platform. By submitting claims through Vyne, you can reduce errors, improve compliance, and spend more time on patient care.
To ensure smooth processing, please follow these important documentation guidelines:
Category
Requirements
Perio charts
Perio charts must include the patient's name and exam date.
Chart notes
If required, chart notes must be complete, include the patient’s name and date of service, and be signed by the provider. Screenshots or cut and pasted notes will not be accepted.
Replacement crowns
Include the date of prior crown placement on the claim or in a Vyne note.
Guided tissue regeneration codes
Product name must be documented in the legal chart note.
Bone graft codes
Review carefully to ensure correct reporting based on accompanying procedures.
Covered claims
No additional documentation is required if submitting only covered claim codes.
IMPORTANT: Some claims include codes that require additional documentation, such as x-rays, perio charts, or chart notes, regardless of the submission method. Review the claim code list for more information. This list consists of the most common codes that require additional information.
- Print ADA claim form through the clearinghouse system.
- Include necessary documentation if submitting any codes that require additional documentation.
- Send by mail to the addresses below or by fax to 801-442-6580
Commercial, CHIP claims:
Select Health Dental Claims Processing
P.O. Box 30192
Salt Lake City, UT 84130
Medicare claims:
Select Health Dental Claims Processing
P.O. Box 30196
Salt Lake City, UT 84130
Note: Medicaid dental claims are not covered at this time.
Dental Fee Schedules
Select Health dental fee schedules can be obtained from the secure Provider Portal.