REYES
Coverage
Fictional cases
Coverage calculator
Code or name
Type a code or all or part of a procedure name, then choose the matching code. An exact, unique name also works with Check.
Age
Check
Use fictional details only.
Use fictional details only.
More details
Optional
Situation
Routine coverage check
Treatment may be sooner or more often than allowed
Claim or authorization denied
Patient asks to self-pay
Developmental-disability program (DDA) in ProviderOne
Select an answer
Confirmed enrolled
Confirmed not enrolled
Starts at Confirmed not enrolled. Verify the ProviderOne status for this case.
Care setting
Dental office
Alternate living / skilled nursing facility
Hospital
Outpatient surgery center
Unknown
Diabetes diagnosis documented in current health history
No diabetes
Type I diabetes
Type II diabetes
Gestational diabetes
Starts at No diabetes. Change it for this case; diagnosis types require confirmation in the current health history.
Do the records confirm gum disease?
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Yes
No
Other disability or accommodation need
Related gum treatment, other care the same day, or missing treatment history
Examples
Enter a code and age, then check.