Consultations Home visits In-hospital anesthesia. Major Services Full dentures Immediate dentures Partial dentures Posts Crowns Bridges Metallic inlays. Orthodontics Diagnosis Construction and insertion of appliances Active and passive treatments. You should confirm the specific benefits applicable to a patient by calling the GHI Provider Services Department. The use of ADA codes is designed to simplify and expedite the process of pre-determination.
Emergency treatment is excluded from the pre-determination process.
To assess benefit amounts, GHI will consider whether alternate procedures could be performed. These must be ADA accepted dental procedures. Reimbursement is made according to the standard fee schedule. If a treatment plan is not sent in advance to GHI for pre-determination, benefit amounts may be paid based on alternate procedures. This amount may be less than the amount for the actual services rendered.