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    Patient seen an out of network provider for exam and xray. D0150 and D0210 billed to Metlife insurance with standard fee. Received an EOB, payment is a little higher than billed amount. It is right to post what the insurance paid? Or should patient has credit from insurance payment? Please advice. Thank you.
    Admin March 4, 2016 8:37 pm
    If the insurance company has made an overpayment the over paid amount is refunded to the carrier not the patient.
    Admin
    asked 10 years ago by
    ADCA Admin
    1
    answer
    0
    Do we use 87207, 87209 for Medical code for swab biopsy of palate or buccal cavity?
    Admin July 17, 2012 9:05 am
    Your question cannot be answered with out further information: 1. What is the biopsy being done for? 2. What location in the mouth? 3. Are you the dentist or lab? Once the information is received we will be more than happy to give you a complete answer. Thank you Coding Support
    Admin
    asked 14 years ago by
    ADCA Admin
    1
    answer
    0
    Does my dentist needs to have a special ID to bill medical insurance
    Admin June 3, 2014 3:26 pm
    No any provider may bill medical, however, if they are not contracted with the carrier the claims will be processed as "out-of-network".
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    I wanted to know if you have a location where you share what documentation requirements are needed to support the billing of all new CDT 2014 codes. For example D0601-D0603?
    Admin June 18, 2014 11:39 am
    No we do not have an area for documentation requirements, however, your question has been submitted to the advisory board for consideration.
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    RE: 3D Cone Beam Scanning - Please clarify billing the following: 1. Dental billing code for 3d scan procedure 2. Can reconstruction be billed separately, if so what is the code 3. Medical billing code for 3D Scan procedure 4. Can reconstruction be medically billed separately, is so what is the code. 5. Is Reonstruction to Tomography the same as rendering? Thank you.
    Admin July 12, 2016 2:14 pm
    You will need to be more specific in your question, please resubmit your question with more specificity. 1. Pre or Post imaging 2. Image capture only, interpretation only or image and interpretation
    Admin
    asked 9 years ago by
    ADCA Admin
    1
    answer
    0
    Do you have a sample of an appeal letter for a denial for treatment that had been given prior-authorization?
    Admin October 6, 2011 5:15 am
    At this time we do not have the letter you are requesting, I will forward this request to the Director of Education for a sample letter to be created. Please check your members area within the next 3 weeks for your letter.
    shaunadasilva
    asked 14 years ago by
    Shauna DaSilva
    1
    answer
    0
    how do I sign up for the CDC exam
    Admin December 3, 2016 4:11 pm
    Go to the website and click Certification - CDC
    Admin
    asked 9 years ago by
    ADCA Admin
    1
    answer
    0
    I am looking for a diagnosis code for file tip broken off in tooth from root canal. The oral surgeon is going to preform apico with retrograde filling.
    Admin May 30, 2014 6:25 am
    Primary DX 935.0, secondary DX E915
    Admin
    asked 12 years ago by
    ADCA Admin
    1
    answer
    0
    can my dentist call our patient's previous dentist to ask for patient's information without any request form, our patient just signed the usual HIPPA form that we give during their first visit and that's all we have to have all authority to fax, email patients information with other dentist, medical doctors etc. Is that enough? I read somewhere that we cannot fax nor email patient's informations and xrays though. I need an answer ASAP. Thanks!
    Admin March 17, 2016 11:11 am
    You must have permission from the patient to send or receive any information unless the patients life is in danger...see HIPAA rules for patient privacy.
    Admin
    asked 10 years ago by
    ADCA Admin
    1
    answer
    0
    A patient was seen and the doctor gave the Nitrous Oxide D9230 and also was able to give the a local anesthetic, but then the patient became uncooperative. The patient was then referred to a specialist. Can you bill for the D9230 alone where it was given and the procedure was attempted?
    Admin July 15, 2015 12:06 pm
    Yes, you may bill for the N2O however you must have a brief explanation accompany the claim.
    Staylor2964
    asked 10 years ago by
    Shannon Taylor
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