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December 2008 Provider Bulletin Number 8171 Dental Providers Healthcare Common Procedure Coding System Revisions Effective with dates of service on and after January 1, 2009, the following Current
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How to fill out 8171 - dental
How to fill out 8171 - dental:
01
Start by obtaining the form 8171 - dental from the appropriate source, such as your dentist or dental insurance provider.
02
Carefully read the form and instructions to understand the requirements and information needed.
03
Begin by providing your personal information, including your name, address, and contact details.
04
If applicable, provide any dental insurance information, including policy number and coverage details.
05
Fill in the date of the dental service or treatment for which the form is being filled out.
06
Specify the name and contact information of your dentist or dental provider.
07
Provide a detailed description of the dental service or treatment received, including any diagnoses, procedures, or medications involved.
08
Include any relevant supporting documents, such as dental bills or receipts, if required by the form.
09
Review the form for accuracy and completeness before submitting it.
Who needs 8171 - dental:
01
Individuals who have undergone dental treatment or received dental services and need to report it to their dental insurance provider.
02
Patients who are required to submit dental claims for reimbursement from their dental insurance company.
03
Dentists or dental providers who need to document and submit details of the dental services provided to their patients.
Note: The specific requirement for form 8171 - dental may vary depending on the insurance provider or dental organization. It is important to refer to the instructions provided with the form or seek guidance from the relevant authority for accurate and up-to-date information.
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What is 8171 - dental?
8171 - dental is the code for a specific type of dental procedure.
Who is required to file 8171 - dental?
Dental providers or dentists who perform the specific procedure under code 8171 are required to file it.
How to fill out 8171 - dental?
To fill out form 8171 - dental, the provider must include specific information about the procedure and patient.
What is the purpose of 8171 - dental?
The purpose of form 8171 - dental is to report and document the specific dental procedure performed.
What information must be reported on 8171 - dental?
Information such as the patient's name, date of procedure, specific tooth involved, and details about the procedure must be reported on form 8171 - dental.
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