HPI administrative programs for dental providers | HealthPartners

The HPI administrative programs are used by contract administrators and other dental providers to review required HealthPartners policies and procedures. This information supports contractual agreements between providers and HealthPartners.

Advanced Notice of Non-coverage for Medicare Members (PDF)

Clinic Initiated Dismissal Policy (PDF)

Cone Beam Policy (PDF)

Continuity of Care Following Termination of a Provider Policy (PDF)

Credentialing Policy (PDF)

Medicare Appeals Policy (PDF)

Medicare Member Bill of Rights Policy (PDF)

Member Rights and Responsibilities Policy (PDF)

Orthodontics for Embedded Pediatric Dental (PDF)

Orthognathic Surgery (PDF)

Physician's Incentive Plan Policy (PDF)

Preventing, Detecting and Reporting Fraud, Waste and Abuse (PDF)

Privacy Practices Policy (PDF)

UM Dental Policy – Age Limitations (PDF)

UM Dental Policy – Attrition and Cosmetic-Related Dental Services (PDF)

UM Dental Policy – Billing for Panorex and Full-Mouth X-rays on the Same Day (PDF)

UM Dental Policy – Child Prophy (PDF)

UM Dental Policy – Codes:4240, 4241, 4260, 4261 (PDF)

UM Dental Policy – Code 4346 (PDF)

UM Dental Policy – Diagnostic Imaging (PDF)

UM Dental Policy – Miscellaneous Rules Policy (PDF)

UM Dental Policy – Payment of Orthodontic Records (PDF)

UM Dental Policy – Prior Authorization Requirements for Children and Adolescents (PDF)

UM Dental Policy – Required Attachments (PDF)

UM Dental Policy – Rework on Bridges, Crowns and Dentures Policy (PDF)

UM Dental Policy – Therapeutic Drug Injection (PDF)