downgrade for amalgam on primary

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HI I submitted a prior auth for D2392 and D2929 for several teeth and req to please allow for alt benefit for D2930 and downgrade to amal fee. I received the preauth back with only coverage on D2331 on #R . Can I legally submit a D2930 with our fee for and perform a D2929

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Asked on May 15, 2024
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Legally, you must bill out for the procedures that were performed by the provider and the charges billed must match the clinical notes.

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Answered on April 8, 2025
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