For Eligible Participants of the UFCW Local 1776 and Participating Employers Health and Welfare Fund PRE-AUTHORIZATION Whether you use a participating or non-participating dentist, the following procedures must be pre-authorized and the x-rays must accompany the claim form: All crown and bridgework Periodontics Orthodontics Extensive oral surgery Dentures Any other procedures that are expected to cost more than $500 The pre-authorization is reviewed by the dental consultant retained by the Fund to determine the appropriateness and quality of the care you receive. Pre-authorization also determines the eligibility of the service and states your financial liability. If pre-authorization is not obtained, the claim may be denied.