Mohit Mirdday

There are certain classifications on which the claim processing is based upon. Failing to which results in

If any CDT from a Bridge Series is missing : There are guidelines made by the insurance companies based on which

If D5130/D5140 needs to be billed: When any claim for immediate dentures needs to be billed then one has to make sure

For Medicaids, If the patient has availed Sealants in the past 12 Months and Fillings has to

For Medicaids, If the amount of xrays exceeds the dollar value of $70.64, Insurance bundles the services to a FMX/Pano due

Most of the times, Claims are billed incorrectly where the service D0210 is billed along with the D0330 or any of the xrays,

When the claim is billed for any of the RCT services D32xx or D33xx and D0230 is also billed along with the treatment, Insurance always include the xrays

Most of the times, Claims are billed for D0230 without the application of D0220 on the same claim. Reason behind the denial is that