Benefit Breakdown Form Form to aid dentists in verifying their patients' dental benefits in order to provide the best possible treatment estimate. View resource Benefit Breakdown Form
Billing dentists: Learn how to properly bill when another dentist performs treatment Understand the risks involved in billing improperly during practice transitions. View resource Billing dentists: Learn how to properly bill when another dentist performs treatment
Considerations When Billing for an Associate Overview of the payment arrangements to consider once an Associate begins providing treatment in a dental practice. View resource Considerations When Billing for an Associate
Current CDT code books Dentistry is an ever-evolving field, and CDT codes are critical to the everyday workings of dental practices. View resource Current CDT code books
Data Breach Notification Requirements California law requires individuals be notified when specified personal information, including health and medical insurance information, that is stored electronically is breached. View resource Data Breach Notification Requirements
Dental Benefit Plan Handbook – Chapter 01: Understanding Dental Benefit Plan Coverage Overview of the types of dental coverage and the differences between dental and medical coverage, in order to aid dentists in explaining dental coverage to patients. View resource Dental Benefit Plan Handbook – Chapter 01: Understanding Dental Benefit Plan Coverage
Dental Benefit Plan Handbook – Chapter 03: Verification and Explanation of Dental Benefit Coverage Tips for verifying coverage with a patient's plan and providing explanation to help patients interpret benefits, limitations, exclusions, financial responsibility and how to maximize coverage. View resource Dental Benefit Plan Handbook – Chapter 03: Verification and Explanation of Dental Benefit Coverage
Dental Benefit Plan Handbook – Chapter 06: Completing and Filing the Claim Form Common reasons for claim delays and denials; correct use of procedure codes, Tax Identification (TIN) and National Provider Identification (NPI); practice’s fee schedule and radiographic image attachments; electronic claim (E-Claim) filing. View resource Dental Benefit Plan Handbook – Chapter 06: Completing and Filing the Claim Form
Dental Benefit Plan Handbook – Chapter 07: Billing Medical Plans Learn cross-coding: billing medical insurance in a dental office; how to select the correct CPT code and ICD-10 codes when billing medical plans. View resource Dental Benefit Plan Handbook – Chapter 07: Billing Medical Plans
Dental Benefit Plan Handbook – Chapter 08: Explanation of Benefits Understand the elements of the Explanation of Benefits and what to look for. View resource Dental Benefit Plan Handbook – Chapter 08: Explanation of Benefits
Dental Benefit Plan Handbook – Chapter 09: Managing Payment Problems Learn about your rights and actions you must take when dealing with refund demands made by dental benefit plans. View resource Dental Benefit Plan Handbook – Chapter 09: Managing Payment Problems
Dental Plan Questions are Attempt to Ascertain Primary Payer Clarifying dual insurance and coordination of benefits "rules" when it pertains to the children of divorced parents. What questions to ask and the "rules" surrounding who is primary and secondary. View resource Dental Plan Questions are Attempt to Ascertain Primary Payer
Financial Agreement and Consent Form Tool to utilize during the patient financial discussion to document financial options presented, patient obligation and financial consent. View resource Financial Agreement and Consent Form
HIPAA and California Health Information Privacy and Protection Laws Q&A Answers to questions asked by dental offices on how to comply with HIPAA rules on privacy, security, and national provider identification (NPI). View resource HIPAA and California Health Information Privacy and Protection Laws Q&A
Is it a covered benefit? Understanding the noncovered services law Understand the CA law that regulates what dentists can charge patients for procedures that the policy does not cover AB 2275. View resource Is it a covered benefit? Understanding the noncovered services law
Professional Courtesy for Dental Treatment: An Employee Benefit Outlines sample policy language and considerations for billing when employees have dental benefit plan coverage. View resource Professional Courtesy for Dental Treatment: An Employee Benefit