
How to Refer a Patient to Enable Dental: Referral Form & Insurance Verification Guide
Getting a patient connected to the right dental care shouldn’t feel like a second job.
For facility staff, care coordinators, family members, and health plan representatives, navigating referrals and insurance verification can slow down care that patients genuinely need. Enable Dental built its Dental Referral Portal to change that. One streamlined form. All the information in one place. No phone tag. No paperwork maze.
Here’s everything you need to know about submitting a dental referral and completing insurance verification with Enable Dental.
What Is Enable Dental’s Dental Referral Portal?
Enable Dental’s Dental Referral Portal is a secure online form that allows anyone supporting a patient, family members, facility staff, health plan representatives, or patients themselves, to submit a new dental referral or update information for an existing patient.
The portal captures everything needed to get care started quickly:
- Referral source and contact details
- Patient demographics and location
- Insurance and payor information
- Reason for referral and clinical notes
- Supporting documents (facesheet, client profile, additional records)
Once submitted, Enable Dental’s team reviews the referral, verifies insurance, and coordinates scheduling, bringing dental care directly to the patient.
Who Can Submit a Dental Referral?
Enable Dental’s referral form is designed for a wide range of submitters. Anyone with a role in the patient’s care can initiate the process:
- The patient themselves
- Power of Attorney (POA), a family member or legal representative
- Community or facility staff, social workers, care coordinators, nurses, administrators
- Health plan or insurance representatives
- Other healthcare providers
If you’re unsure whether you’re the right person to submit, you almost certainly are. Enable Dental makes it easy for anyone connected to the patient’s care to get the ball rolling.
Where Does Enable Dental Provide Care?
Before submitting a referral, it helps to know that Enable Dental is a portable dental provider. The dental team comes directly to the patient, equipped with portable technology including handheld digital X-ray units, custom dental chairs, and wheeled dental units.
Enable Dental provides on-site dental care in:
- Skilled Nursing Facilities (SNF)
- Assisted Living Communities
- Memory Care Communities
- PACE Centers
- Personal Residences
- Group Homes
- Other care settings (as applicable)
If a patient cannot easily access a traditional dental office, due to mobility limitations, cognitive decline, complex medical needs, or simply the logistics of transportation, Enable Dental brings qualified, licensed dental professionals directly to them.
Step-by-Step: How to Complete the Dental Referral Form
The referral portal walks you through several clearly organized sections. Here’s what to expect:
Section 1: Referral Type
Select whether this is a:
- New Referral, first-time patient with Enable Dental
- Existing Patient, updating information or requesting a new appointment
Section 2: About the Person Submitting the Form
Provide your name, contact information, title (if applicable), and email address. This ensures Enable Dental can follow up with the right person if there are questions.
If you are submitting on behalf of a Power of Attorney, include the POA’s name, phone number, and email in the designated section.
Section 3: Patient Information
This is the core of the referral. You’ll need:
- Patient’s full name, date of birth, phone, and email
- Location where the patient needs to be seen (residence, facility, SNF, group home, etc.)
- Facility or community name and full address
Providing accurate location details ensures the Enable Dental team can coordinate logistics and confirm availability in your area.
Section 4: Insurance & Payor Verification
This is one of the most important sections, and Enable Dental has made it comprehensive so verification can happen quickly and accurately.
Primary Payor Type options include:
- Private Pay
- Medicaid
- Medicare Advantage
- Commercial Insurance
- Other
If the patient has Medicaid, you’ll be asked to specify the plan type (R13 Full Vendor, R14, or Other), who will pay for dental services (Facility or POA/Family), and financial standing with the facility.
If the patient has Medicare Advantage, the form includes a list of accepted plans.
Additional insurance-related questions include:
- Applied Income Amount (for Medicaid patients)
- Open DME status and end date
- Who manages the patient’s funds
- Hospice status (Yes/No)
Completing this section thoroughly helps Enable Dental verify coverage before the first appointment, eliminating billing surprises and unnecessary delays in care.
Section 5: Reason for Referral
Select the primary reason the patient is being referred. Options include:
- Routine dental care and evaluation
- Broken, loose, or decayed teeth
- Weight loss (often linked to untreated dental pain or denture issues)
- Broken, loose, or lost dentures
- Bleeding gums
- Pain
- Other
You can also include open-ended notes about the patient’s dental concerns, behavioral considerations, or anything else the Enable Dental team should know before the visit.
Section 6: Patient Decision-Making Capacity
The form includes two brief but important clinical questions:
- Can this patient make his or her own decisions?
- Can this patient sign for themselves?
These answers help Enable Dental’s team prepare appropriately, whether that means coordinating consent with a POA or communicating directly with the patient.
Section 7: Document Uploads
Upload any supporting documentation that helps Enable Dental provide informed, appropriate care:
- Facesheet (required), patient demographics and medical summary
- Client Profile (required), care plan, diagnoses, or community intake information
- Additional Documents (optional), any other relevant clinical or administrative records
Uploading complete documentation upfront reduces back-and-forth and accelerates the intake process significantly.
What Happens After You Submit?
Once the form is submitted, Enable Dental’s team:
- Reviews the referral and confirms all information is complete
- Verifies insurance based on the payor information provided
- Contacts the referrer or facility to confirm details and coordinate scheduling
- Dispatches a licensed dental professional to the patient’s location
The entire intake process is designed to be fast, thorough, and low-friction, because patients who need portable dental care often can’t afford to wait.
Why Mobile Dental Care Matters for Facility Residents and Homebound Seniors
Dental health is directly connected to overall health. Poor oral health has been linked to cardiovascular disease, diabetes complications, respiratory infections, and nutritional deficiencies, all of which are especially serious for older adults and medically complex patients.
Yet for many residents in skilled nursing facilities, assisted living communities, PACE Centers or memory care settings, accessing traditional dental care is a genuine barrier. Transportation is logistically difficult. Behavioral challenges may make off-site appointments impractical. Medical complexity may require care to be delivered in a familiar, controlled environment.
Enable Dental removes those barriers entirely. The team brings everything needed, digital X-ray equipment, dental chairs, full diagnostic and treatment capability, directly to the patient. No transportation. No disruption to routines. No barriers to necessary care.
Frequently Asked Questions
Is there a cost to submit a referral? No. Submitting a referral through Enable Dental’s portal is completely free. Insurance verification is completed before services are rendered.
What if I don’t have all the patient’s insurance information? Fill in what you have and note any gaps in the comments section. Enable Dental’s intake team can assist with verification if needed.
Does Enable Dental accept Medicaid and Medicare Advantage? Yes. Enable Dental works with Medicaid (including R13 Full Vendor and R14 plans) and multiple Medicare Advantage plans. See the full list in the referral form.
How quickly will a patient be seen after referral? Timing varies by location and availability, but Enable Dental works to schedule appointments as promptly as possible following intake and insurance verification.
Can I submit a referral for a patient in hospice? Yes. The referral form includes a hospice designation field, and Enable Dental’s team is experienced in providing compassionate dental care in end-of-life settings.
What areas does Enable Dental serve? Enable Dental provides portable dental care across multiple states. Contact the team directly to confirm service availability in your area.
Ready to Refer a Patient?
Submit a referral today through Enable Dental’s secure online portal:
Call: (866) 988-4504
Email: [email protected]
Visit: enabledental.com

