When filing dental insurance for a crown, D2751, and we are not providers with the insruance nor do we have any agreements whether to file on prep or seat date, doesn’t the ADA recommend we file our claim on the prep date?

When filing dental insurance for a crown, D2751, and we are not providers with the insruance nor do we have any agreements whether to file on prep or seat date, doesn’t the ADA recommend we file our claim on the prep date?

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Asked on August 4, 2011 7:54 am
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According to the ADA it is acceptable to submit a claim for services on the prep date, however, most carrier guidelines require the claim to be submitted on the seat date. Whether you are contracted or not has no bearing on how a carrier pays a claim, they will follow their particular guidelines on reimbursement. So the question now becomes "what are the carrier requirements and guidelines on submitting payment for crowns?"

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Answered on August 5, 2011 7:54 am
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