For Orthotrac... is there a difference in how E-Claims are sent based on if you have ADA 2006 or ADA 2012 forms selected in Insurance Claim Options? I have had several insurance companies ask for ADA 2012 forms and we still have ADA 2006 marked on our claim options.
It is because the system is not updated to the new form I dont know why they dont try to change it because insurance companies are missing information like the remaining months of treatment or I think it is the total months of treatment it is one of those and so they end up calling our office asking that question and it delays claim processing
The eClaims are submitted in a HIPAA-compliant data format. The ADA form revisions only apply to physically printed claims.
We are on OrthoTrac Version 126.96.36.199 and have ADA 2019 forms selected and get insurance companies calling about missing information as well. When I print a claim on an ADA 2019 claim form, Box 42 says Months of Treatment on the actual form but it prints the Remaining Treatment Months. I am sure this is how things are also getting transferred to the companies in the HIPPA-compliant data format. Is this something that has been updated in newer versions of OT???
@tshaw, I ask because I get questions from insurance companies about info that is not sent over via e-claims, even though I complete it on my "screen". What is received does not have all of the same things, so I thought maybe it was due to the version I was completing being different than the version being received by insurance. Also, I need to use 2012 for a few printed claims, but I cannot get them lined up correctly when printing, even after running the utility for that. I have just saved a 2012 claim form on my computer and I manually input all info if I need one printed. Thank you for the information!
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