Make sure that tooth surfaces correspond with submitted CDT code. Include tooth surfaces for all restorative treatment. Also, remember to include the number(s) of other missing teeth in the same arch when submitting claims for Prosthodontics. When submitting a claim for a periodontal procedure that does not include a full quadrant, include specific tooth numbers. Include tooth number for the teeth involved in the procedure. Use the most current American Dental Association (ADA) publication. Invalid or incorrect codes may cause a delay in your claim payment. Visit your Sun Life account to view the online services available to you. Whether you submitted your original claim electronically or through the mail, you can check the status 24 hours a day, 7 days a week. There is no need to submit a claim more than once. Dental consultants, during professional claim review process, have difficulty in making an accurate benefit determination with duplicate x-rays of poor diagnostic quality.

Make sure x-rays are of good diagnostic qualityĭuplicate x-rays must be of good diagnostic quality.

The label on the x-ray should include the patient's name, date the x-ray was taken, tooth number(s) and the complete name and address of the treating dentist or dental practice. For more information, visit Clearly label all submitted x-rays

You can submit attachments to us electronically through National Electronic Attachment (NEA). The following fields should be completed on your claim form: Double check identification informationĬertain information is needed to identify your patient.Review the Guidelines to determine which attachments, if any, are required. Verify claims address or Electronic Payer IDĬlaim attachments are not always necessary.

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