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Search results for ‘dental’

22 results found

ACC2458 Dental implant criteria

Criteria that must be met before we consider paying towards the cost
of dental implants.
pdf 207 KB
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ACC2303 Request for more information on dental claim

We send this to dentists when we need more information for an ACC42 claim.
pdf 186 KB | Published August 2019
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ACC7672 A guide to ACC and your dental injury

Information about cover and support for dental injuries. Includes a glossary of dental terms.
pdf 404 KB | Published May 2017
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ACC4231 Request for prior approval of orthodontic dental treatment

Request prior approval from us for your patient's orthodontic dental treatment
pdf 273 KB
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ACC1345 Request for prior approval of simple dental treatment

Get prior approval from us for your patient's simple dental treatment.
doc 112 KB
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ACC899 Dental implant assessment treatment plan

Use this form to request prior approval from us to cover the cost of dental implant surgery.
doc 270 KB
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ACC8270 Dental implant patient selection criteria

Criteria that must be met for ACC to consider contributing towards the cost of dental implants
pdf 4.4 MB | Published September 2021
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ACC8298 Dental assessment report and treatment plan

Request to ACC for prior approval for dental treatment
doc 158 KB | Published September 2021
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ACC8297 Dental assessment and report treatment plan - example

Example of how to complete a request to ACC for prior approval for dental treatment
pdf 208 KB | Published September 2021
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ACC8271 Dental implant patient selection criteria summary

Summary of criteria that must be met for ACC to consider contributing towards the cost of dental implants
pdf 160 KB | Published September 2021
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