Dental offices that face claim denials and rejections due to coding errors, missing patient details or documentation mistakes can go for the appeal process.

1. 8596 E. 101st Street, Suite H Tulsa, OK 74133
www.outsourcestrategies.com
918-221-7769918-221-7769
How to Appeal Denied

2. 8596 E. 101st Street, Suite H Tulsa, OK 74133
www.outsourcestrategies.com
918-221-7769
Often dental claims get rejected due to missing patient details, errors
in submitted codes, and failure to verify patient’s dental eligibility
among other reasons. If there is no error in the claim, you can prepare
an appeal.
Include additional documentation of why the
treatment is recommended
Provide the dentist consultant as much
information as possible
Follow specific instructions provided by the
particular carrier
Send appeal letter to the specified
department of the carrier
Include the word “appeal” in the title and the
text of the document

3. 918-221-77698596 E. 101st Street, Suite H Tulsa, OK 74133
www.outsourcestrategies.com
Patient ineligible for the procedure
For all new patients, insurance details must be
verified before visit
Coverage on periodontal scaling and root
planing (SRP)
Patients and dentists must be clear
about SRP coverage
Limited benefits for periodontal
maintenance
Dentists must make patients aware about
procedures not covered
Core buildup procedure
Make patients understand the limitations of the plan prior to
treatment

4. 918-221-77698596 E. 101st Street, Suite H Tulsa, OK 74133
www.outsourcestrategies.com
Using the right CDT codes without errors
Providing a clear narrative in the document
Determining the date of service
Experienced medical billing companies can help
dental practices meet their medical billing and claim
submission requirements.

5. 918-221-77698596 E. 101st Street, Suite H Tulsa, OK 74133
www.outsourcestrategies.com
Headquarters:
8596 E. 101st Street, Suite H
Tulsa, OK 74133
Main: (800) 670 2809
Fax: (877) 835-5442
E-mail: info@managedoutsource.com
URL: www.outsourcestrategies.com