Dental Documents / Guides

Current Matrices

• 2024 Dental Matrix – Over 21
• 2024 Dental Matrix – Under 21

Archived Matrices

• 2023 Dental Matrix – Over 21
• 2023 Dental Matrix – Under 21
• 2022 Dental Matrix – Over 21
• 2022 Dental Matrix – Under 21
• 2021 Dental Matrix – Over 21
• 2021 Dental Matrix – Under 21
• 2020 Dental Matrix – Over 21
• 2020 Dental Matrix – Under 21
• SHCA 2019 Dental Matrix – Over 21
• SHCA 2019 Dental Matrix- Under 21

Dental Prior Authorizations

Requests for dental services that require prior authorization can be submitted on our secure provider portal or complete the Dental Specialty Request Form and fax to 480-350-2217, email to: HCHdentaldeptHCA@azblue.com, or mail to:

BCBSAZ Health Choice
Attn: HC Dental Prior Authorization
8220 N. 23rd Ave.
Phoenix, AZ 85021