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 through our secure provider portal, by email to HCHdentaldeptHCA@azblue.com, or by mail to:
Blue Cross Blue Shield of Arizona Health Choice
Attn: HC Dental Prior Authorization
8220 N. 23rd Ave.
Phoenix, AZ 85021