Dental Dental Xray denied Claim

Dental Dental Xray denied Claim

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

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Asked on October 3, 2022
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What does the EOB state?

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Answered on October 3, 2022
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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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Answered on October 3, 2022
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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)
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    This will just be denied as it is considered an fmx and they share frequency
    (Dana at October 10, 2022)
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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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      Answered on October 4, 2022
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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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      Answered on October 4, 2022
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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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      Answered on October 9, 2022
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