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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.
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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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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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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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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