Dental Documents / Guides
Current Matrices
Archived Matrices
- 2024 Dental Matrix – Over 21
- 2024 Dental Matrix – Under 21
- 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
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:
Blue Cross Blue Shield of Arizona Health Choice
Attn: HC Dental Prior Authorization
8220 N. 23rd Ave.
Phoenix, AZ 85021