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Premiere Blue Cross Provider Reference Manual Chapter 7: Claims & Payments Coding Types and Sources Procedure Coding: Procedure coding used for the submission of a healthcare services claim consists

How to fill out dental claims and paymentsproviderpremera

How to fill out dental claims and payments with Premera:

1. Gather all necessary information: Before filling out the dental claims and payments, it is essential to collect all the required information. This may include the patient's personal details, insurance information, treatment codes, dates of service, and any supporting documentation such as X-rays or referrals.
2. Complete the patient information section: Start by filling out the patient's name, address, contact information, and date of birth. Ensure that all details are accurate and up to date to prevent any processing delays or complications.
3. Provide insurance details: Include the insurance information of the patient, such as the policy number, group number, and the name of the dental insurance provider (in this case, Premera). Make sure to double-check the accuracy of these details to avoid any billing issues.
4. Indicate the treatment details: The dental claims form will require you to enter the procedure codes associated with the treatments provided. These codes specify the type of treatment or service rendered, and each code corresponds to a specific fee. Make sure to use the correct codes depending on the dental procedure performed.
5. Include relevant supporting documentation: Certain dental treatments may require additional supporting documentation, such as X-rays, referral letters, or medical records. Ensure all necessary documents are attached to the claims form to support the provided treatment and facilitate the claims process.
6. Verify the accuracy of the claim: Before submitting the dental claim, review all the information entered on the form. Check for any errors, missing information, or inconsistencies that could potentially cause claim denial or delays in payment.
7. Submit the claim to Premera: Once you have verified the accuracy and completeness of the dental claim form, submit it to Premera along with any supporting documentation required. Be aware of any specific submission guidelines or deadlines provided by Premera to ensure a smooth claims process.

Who needs dental claims and payments with Premera?

1. Individuals with Premera dental insurance: People who have dental insurance coverage with Premera or are enrolled in a Premera health plan that includes dental benefits will need to complete dental claims and payments through Premera's processes.
2. Dental providers: Dentists, dental hygienists, orthodontists, oral surgeons, and other dental professionals who offer services covered by Premera dental insurance may need to complete dental claims and payments to receive reimbursement for the treatments provided to patients.
3. Dental administrative staff: Dental practices or clinics employ administrative staff members who typically handle the billing and claims process. These individuals need to be familiar with filling out dental claims and payments and working with Premera to ensure accurate and timely reimbursement for the dental services rendered.

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What is dental claims and paymentsproviderpremera?

Dental claims and paymentsproviderpremera is a service provider that processes dental insurance claims and payments for Premera Blue Cross.

Who is required to file dental claims and paymentsproviderpremera?

Dentists and dental service providers who are affiliated with Premera Blue Cross are required to file dental claims through paymentsproviderpremera.

How to fill out dental claims and paymentsproviderpremera?

To fill out dental claims on paymentsproviderpremera, providers need to enter patient information, treatment details, codes, and other relevant billing information as per the guidelines provided by Premera Blue Cross.

What is the purpose of dental claims and paymentsproviderpremera?

The purpose of dental claims and paymentsproviderpremera is to streamline the process of submitting and processing dental insurance claims for services rendered by providers affiliated with Premera Blue Cross.

What information must be reported on dental claims and paymentsproviderpremera?

Information such as patient details, service provided, codes, dates, fees, and any other relevant billing information must be reported on dental claims submitted through paymentsproviderpremera.