Dental to medical cross-coding is submitting dental treatments to medical payers. As the process is complex, the best option for dental practices is to rely on a company with expertise in both medical and dental billing services.

1. and
Medical Cross Coding
D E N T A L
Tips for Dental

2. For certain dental procedures that
are typically considered “medical” in
nature, dental offices may have to
bill a patient’s medical plan. Dental
to medical cross-coding is submitting
dental treatments to medical payers.
As the process is complex, the best
option for dental practices is to rely
on a company with expertise in both
medical and dental billing services.

3. Use the Right Codes
All HIPAA-covered entities are required by
law to accept CDT, CPT and ICD-10 codes.
Verify Patient Coverage
Performing dental insurance verification is
necessary to determine patient insurance
benefits and coverage.
Know the Dental or Medical Plan to Bill
First
Before billing the dental insurance, file claims
for procedures that are considered medical in
nature to the medical insurance.

4. Use the Appropriate and Current Claim Form
Dental claims are reported using the 2012
ADA Dental Claim Form.
Other tips to ensure clean submission
Ensure the highest degree of specificity in
coding
Follow claim submission instructions
Ensure proper placement of required
information
Make sure to avoid errors when filling
out the form

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