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My Smile Experience Fax Number — Send a Specialist Referral

A referral to My Smile Experience starts with the referring provider sending the form and the recent records ahead of the appointment. Serving northern New England, My Smile Experience in Windham, New Hampshire coordinates records, referrals, and insurance paperwork across its providers. Because the packet carries protected health information, this page covers what to send and how to get it there securely.

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My Smile Experience Fax Number

Pull the office fax from My Smile Experience's website or your intake paperwork, and verify a staff member still monitors it before you send

Hours: Incoming faxes are accepted any time, but when the group actions one depends on its appointment schedule.

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What You Can Fax to My Smile Experience

  • A pre-authorization request with a claims narrative
  • New-patient records requested from a previous dentist
  • Medical clearance requested from the patient's physician
  • X-rays, panoramic images, and imaging reports
  • A signed HIPAA authorization to release the dental record
Tip: Label each page with the patient's name and date of birth — those are what the front office uses to match a chart across the group at My Smile Experience. State the document — a records release, a referral, a treatment plan — on the cover sheet, with a number where My Smile Experience can reach you. Make sure the office still takes fax rather than a portal upload, and hold onto the confirmation in case an appointment depends on it.

Referral coordination at My Smile Experience

A specialist appointment arranged through My Smile Experience moves faster when the referral form and the relevant imaging reach the receiving provider in advance. A clear reason for referral, alongside the history, helps the group triage the case to the correct provider. Confirm with My Smile Experience whether the referral packet goes by fax or through its e-referral portal.

Treatment plans and estimates at My Smile Experience

A family group like My Smile Experience handles the everyday plan-and-approval paperwork that keeps a multi-visit case moving. Include the subscriber ID, the tooth numbers, and the procedure codes so the plan matches the pre-authorization. Confirm with the payer whether it takes the plan by fax or through a clearinghouse like DentalXChange.

Sending protected records to My Smile Experience

A dental group is a HIPAA covered entity, so a chart headed to My Smile Experience sets the bar for the channel. HIPAA's Security Rule expects protected health information to be safeguarded in transit, and that same care applies when you send it in. Send FAX Mail's flat monthly plans start at $12.99/month with no per-page fees and a 7-day free trial, and each page to My Smile Experience travels over an encrypted connection.

Faxing to My Smile Experience — FAQ

Some paperwork at My Smile Experience still goes by fax; other records now move by portal. Many claims and pre-authorizations now move through a clearinghouse such as DentalXChange rather than fax. When fax is the right channel, a secure online fax gets it there without a machine. Guessing the channel is a common reason a document has to be resent.

A number copied from a search result may be stale; My Smile Experience has the current one. Check My Smile Experience's contact or new-patient page, then verify the line by phone and confirm fax is still accepted. Keep the working number with your records for next time. That confirmation is the difference between a delivered record and a lost one.

People most often fax My Smile Experience a signed HIPAA authorization, a specialist referral, or a treatment plan with a pre-treatment estimate. A previous office might send new-patient records when a patient transfers into the group. Ask My Smile Experience which records, images, or attachments should go with it. Each document has its own destination inside the group, so confirm what the office expects.

At minimum, the patient's name and date of birth belong on each page. State which document it is and which provider it is for on the cover sheet. Send it as one combined PDF so the pages stay in order. Clear labeling is what keeps a multi-page record together across the group's providers.

Often My Smile Experience submits the pre-authorization and the supporting X-rays for you. Confirm whether My Smile Experience sends the plan by fax or through a clearinghouse such as DentalXChange. Include the member ID so the plan matches the pre-authorization to you. Keep the transmission confirmation in case you need to show it went through. The result is a clean hand-off to the right provider at My Smile Experience.

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