Prior Approval Required
A Prior Approval will be required if...
The total cost of treatment exceeds the practitioner's prior approval limit, which is currently set at £410.00
Some of the items in the Treatment Plan are set to require one. As you can see below, a triangle warning sign lets you know that an individual treatment needs prior approval.
The Prior Approval Process
Dentally lets you create and submit a prior approval request which is then validated by Practitioner Services. The validation ensures that all the information supplied is consistent.
If it is accepted by Practitioner Services, then you will see a status code that tells you what to do next. This code may be a request to upload or send supporting evidence (see below). After the evidence is uploaded in Dentally, you must update the Prior Approval and tell Practitioner Services it was sent. Once it is reviewed, the status at Practitioner Services will change to reflect this.
Dentally runs a request for updates daily. Over time, the status of the Prior Approval submission will change as the request is progressed, and as you submit information. Dentally will notify you when changes occur.
🚨 Please note, If a clinician has begun a prior approval case on a previous PMS and now wishes to continue the prior approval request on Dentally you must reach out and speak with the dental board (Practitioner Services) first. They will then advise you on how to continue, generally they will provide you with 2 options;
The board will advise you to write an observation (i.e write a note in the course of treatment)
The board will state to reapply for prior approval in Dentally.
💡 Top tip: When submitting claims with a prior approval, please ensure the prior approval date and number have been entered on the claim before submission.