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Dental Service Providers
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The VOCP may pay up to $35,000 for treatment of
dental, myofacial, temporomandibular, and other conditions and injuries caused
by a crime, including but not limited to: |
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Repair or replacement of broken or damaged
teeth and dentures |
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Diagnostic x-rays |
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Prescriptions |
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Cleaning (if necessary to provide
crime-related dental procedures) |
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Dental Bills
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Dental bills should be submitted with a VOCP
Voucher and must contain:
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Patient’s name and address |
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Date(s) of service |
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Type(s) of service(s) provided (CPT
or
HCPCS codes
detailing all treatment or proposed treatment
are required) |
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HCPCS (HealthCare Common Procedure Coding
System) codes |
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Charges for each procedure |
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Total charges |
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Provider’s name, license number, federal tax
identification number (FEIN or SSN), business address, telephone number,
signature or signature stamp, and billing date. |
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Payment of any bill submitted may be subject
to verification by the victim, or other independent verification prior to
payment. |
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Dental Service Reimbursement
Rates
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The VOCP pays 75 percent of the amount billed
(subject to review of usual and customary rates).
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Pre-Authorized Approval for
Treatment
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Dentists may be able to obtain preauthorized
approval for treatment. Dentists must submit a pre-treatment estimate on an
approved American Dental Association (ADA) Claim Form to the VOCP for review.
The VOCP will review the estimate to determine if the treatment is necessary and
crime-related and may request additional information, such as dental records,
from the dentist prior to preauthorization of payment. The VOCP will only issue
payment for preauthorized treatment after the services have been provided.
Contact our vendor: Cost Containment Strategies, Inc., at (702) 433-3145 or by
e-mail at
support@voc-net.com with questions. |
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