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Dental Dental Xray denied Claim

Dental Dental Xray denied Claim

How to claim delta dental x ray? I just claimed New exam 0150 and FMX, they denied for FMX service.

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Posted by Anonymous

Asked on October 3, 2022 1:29 pm

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Segment your X-rays based on those taken in the series. It is important o understand the CARC or RARC on the RA. Unfortunately, some benefit plans consider an FMX the came and a Pano, although they are for different purposes.

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Posted by LiftRCM

Answered on October 9, 2022 11:51 am

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you need to know why this was denied- this could be because an D0330 was billed/paid within the last 5 yrs from this one

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Posted by Oanh Phan

Answered on October 4, 2022 1:34 pm

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Full Mouth X Rays, are limited to one set every sixty (60) consecutive months. You will need to check if this patient had taken somewhere else within this period.

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Posted by Ana

Answered on October 4, 2022 4:34 am

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Rebill as a recall set (4BWS + 3Pas) and see if they'll pay for that.
Patient probably has hx of Pano or FMX

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Posted by Admin

Answered on October 3, 2022 3:09 pm

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You are presuming. It should tell you why it’s denied. Many reasons. You cannot bill for something else. Only what you have done or it is considered fraud. You need to be very careful especially if you are an in network provider

(Admin at October 9, 2022 11:03 am)

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This will just be denied as it is considered an fmx and they share frequency

(Dana at October 10, 2022 4:09 am)

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