Pre-determinations

Pre-determinations are optional, but may be done for extensive treatment, if desired. Submit pre-determinations electronically.

The treatment form should be partially completed for pre-determination of benefits:

  • Check the block for “Dentist's pre-treatment estimate.”
  • Appointment dates should not be shown.
  • The dentist's signature is not required.
  • Please use ADA codes for all procedures.

Include any clinical information that may be helpful in determining benefits:

  • Do not submit X-rays with the pre-determination, unless requested by our dental consultant. Special handling is required for X-rays, which will slow the claims process.
  • Include complete descriptions, valid ADA codes and tooth numbers.
  • Use correct ID numbers: subscriber ID number for commercial and recipient ID number for Oregon Health Plan. Use subscriber ID number.
  • Watch for correct patient-to-subscriber relationship.

We're sorry, we don't currently offer dental plans in Washington. View our plans in Washington or use the dropdown at the top of the page to view dental plans in Oregon or Alaska.

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Hello.

We have exciting news to share. ODS is changing its name to Moda Health.

Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.

Together, we can be more, be better.

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