Get the free Dental Out of State Verification. A two page form that Applicants complete when they...
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Dental Quality Assurance
Commission Credentialing
PO Box 47877
Olympia, WA 985047877
3602364700OutOfState
Credential Verification
To Applicant:
Please complete this side of form and send it to the
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How to fill out dental out of state
How to fill out dental out of state
01
Contact your dental insurance provider to see if they offer out-of-state coverage.
02
Research dental providers in the state you will be visiting.
03
Contact the dental provider's office to verify they accept out-of-state insurance.
04
Obtain any necessary documentation or pre-authorization forms from your dental insurance provider.
05
Schedule an appointment with the dental provider.
06
Fill out any required paperwork at the dental office, including providing your dental insurance information.
07
Receive dental treatment as needed.
08
Pay any required out-of-pocket expenses or copayments.
09
Obtain a detailed receipt or invoice from the dental provider.
10
Submit the receipt or invoice to your dental insurance provider for reimbursement, if applicable.
Who needs dental out of state?
01
Anyone who has dental insurance coverage and needs dental treatment while traveling or temporarily residing out of state may need dental out of state.
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What is dental out of state?
Dental out of state refers to the process of reporting dental services provided by a dentist outside of the state where they are licensed.
Who is required to file dental out of state?
Dentists who provide dental services in a state where they are not licensed are required to file dental out of state.
How to fill out dental out of state?
Dental out of state can be filled out by providing information on the dentist's license, the services provided, and the state where the services were rendered.
What is the purpose of dental out of state?
The purpose of dental out of state is to ensure that dentists are properly licensed and following regulations when providing services in a state where they are not licensed.
What information must be reported on dental out of state?
Information such as the dentist's license number, the services provided, the state where the services were rendered, and any relevant patient information must be reported on dental out of state.
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