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The 2012 edition of the Dental Claim Form includes fields for diagnosis codes and instructions covering the use of the ICD-9-CM and ICD-10-CM coding systems. In addition to ICD-9-CM and ICD-10-CM there are other dental diagnostic coding systems under consideration, including SNODENT and EZCODES. [7]
Unlike denied claims, rejected claims must be corrected and resubmitted. Failure to address rejected claims can lead to significant revenue loss, making timely rework essential. Step 7: Creating Patient Statements [4] After the payor processes the claim and pays their portion, any remaining balance is billed to the patient in a separate statement.
GEHA Solutions f/k/a PPO USA was formed in 1997 to market the following products outside federal markets: Connection Dental Network, Connection Vision powered by EyeMed, and Connection Hearing by HearPO. GEHA acquired Surety Life in 2012, giving GEHA flexibility to offer additional products to existing and new customers. [citation needed] [1]
An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:
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About 97% of dental benefits in the United States is provided through separate policies from carriers—both stand-alone and medical affiliates—that specialize in this coverage. Typically, these dental plans offer comprehensive preventive benefits. However, major dental expenses, such as crowns and root canals, are just partially covered.
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Guardian acquired Reed Group in 2012 and through it, provides human resources to companies dealing with employees on absence due to disability. It helps manage and administer claims related to employee absences, offers "LeavePro", a software to manage absences, and offers "MDGuidelines", a web-based tool to manage employee's return to work. [15]