Medical Clearance for General Anesthesia or IV Sedation for Dental Procedures
Dental providers can use this form to obtain feedback from an Alliance member’s primary care provider (PCP) regarding the use of general anesthesia or IV sedation for dental procedures.
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Contact Provider Services
General | 831-430-5504 |
Reclamos Billing questions, claims status, general claims information |
831-430-5503 |
Authorizations General authorization information or questions |
831-430-5506 |
Authorization Status Checking the status of submitted authorizations |
831-430-5511 |
Farmacia Authorizations, general pharmacy information or questions |
831-430-5507 |