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Dental (837D) Line Level COB Billing for Dental Services Revised: 04122018Review MHCP Billing Policy for general billing requirements and guidance when submitting dental claims.Refer to specific billing
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How to fill out dental 837d line level

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How to fill out dental 837d line level

01
Begin by identifying the patient and verifying their insurance information.
02
Enter the provider's National Provider Identifier (NPI) in the designated field.
03
Input the patient's information including name, date of birth, and insurance policy number.
04
Fill in the procedure code for each dental service provided using the appropriate CDT (Current Dental Terminology) code.
05
Include the date of service for each line item.
06
Enter the tooth number or surface involved for each procedure, if applicable.
07
Provide the appropriate tooth extraction code if a tooth was removed.
08
Include any relevant notes or remarks regarding the treatment for additional context.
09
Double-check all entries for accuracy to avoid claim rejections.
10
Submit the completed 837D form electronically to the relevant insurance payer.

Who needs dental 837d line level?

01
Dental practitioners and providers who file claims for dental services.
02
Dental billing specialists managing the submission process for dental claims.
03
Insurance companies that process and reimburse dental claims.
04
Patients seeking reimbursement for dental treatments via their insurance providers.

What is Dental (837D) Line Level COB - Billing for Dental Services Form?

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The dental 837D line level is a specific component of the electronic claims submission process for dental services, which provides detailed information about individual procedures performed on a patient, as part of the broader 837D claim format.
Dental providers such as dentists and dental offices are required to file the dental 837D line level to submit claims for reimbursement to insurance carriers or government programs for the dental services they have provided.
Filling out the dental 837D line level involves entering specific coding for procedures, diagnoses, and patient information in a standardized format. Providers typically use practice management software that generates the appropriate electronic claim format based on the services rendered.
The purpose of the dental 837D line level is to facilitate efficient and accurate electronic billing by dental providers, ensuring that all relevant information about the dental procedures and services performed is communicated to the insurance payer.
The information reported on dental 837D line level includes the patient's demographic data, provider details, procedure codes (CDT codes), dental diagnosis codes (ICD codes), service dates, and any relevant billing information such as charges and adjustments.
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