Sunday, June 12, 2005

ADA and electronic claims

The latest issue of the ADA newsletter features the first of a series of articles on submitting claims electronically. (Never mind that various aspects of the dental community have been promoting it for over 15 years).

The lead off article is a good intro to the series and we'll see what comes next.

There are some misleading information involved. One being that they intimate that pre-determinations can not be filed using paper. The other is that by submitting pre-determinations electronically, you will automatically receive real-time benefit estimates. Some insurance companies can provide this but make sure it is a real number and not an estimate based on the patient's plan and total year benefits, not taking into account benefits that have already been used.

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