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richf
Canine III

ADA Insurance form 2012 - anything newer?

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richf
Canine III

Re: ADA Insurance form 2012 - anything newer?

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Is there a newer version of the ADA insurance form than 2012 that we should be using ?

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CS Dental Employee
CS Dental Employee

Re: ADA Insurance form 2012 - anything newer?

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I think this is the latest but @ayman should be able to confirm.
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richf
Canine III

Re: ADA Insurance form 2012 - anything newer?

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Ok - Thanks :-)
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Moderator
Moderator

Re: ADA Insurance form 2012 - anything newer?

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Yes , the last ADA form we have is 2012 

richf
Canine III

Re: ADA Insurance form 2012 - anything newer?

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OK - Thank you :-)
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mdunham
Premolar III

Re: ADA Insurance form 2012 - anything newer?

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There is a 2019 ADA Dental Claim form.  This claim form is noted on the bottom that the J430 (2019 claim form) is the same as J431.432.433.434 and 430D 

 

https://www.ada.org/~/media/ADA/Publications/Files/2019ADADentalClaim%20Form_2019May.pdf?la=en

cromfs
Premolar III

Re: ADA Insurance form 2012 - anything newer?

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There's now a 2019 form.  WinOMS needs to update with it.  Here's the info from 5Lakes:

 

ADA Dental Claim Form

As many of you are aware, a 2019 version of the ADA claim form was released this year. The ADA Dental Claim Form was last structurally revised in 2012 to incorporate key data content changes that enables diagnosis code reporting that was also incorporated into the now current version of the HIPAA standard (837D v5010) electronic dental claim. This version of the ADA form incorporates editorial changes to further its consistency with the 837D. 

 
cromfs
Premolar III

Re: ADA Insurance form 2012 - anything newer?

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ada form changes.jpg

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cromfs
Premolar III

Re: ADA Insurance form 2012 - anything newer?

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