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Premolar III

'Oral Cavity field' error message when submitting biopsy claim to Delta of Colorado

Charge code D7410 with quadrant/arch LA selected.  Delta rejected the claim saying 'oral cavity field' should be blank.

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Community Manager
Community Manager

Re: 'Oral Cavity field' error message when submitting biopsy claim to Delta of Colorado

@cromfs thank you for the post. @stu or @paula1 have you seen this before?

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CS Dental Employee
CS Dental Employee

Re: 'Oral Cavity field' error message when submitting biopsy claim to Delta of Colorado

More info is needed , what box on the claim form, was this electronic or paper claim?

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Premolar III

Re: 'Oral Cavity field' error message when submitting biopsy claim to Delta of Colorado

This was electronic pretreatment estimate.  When I swapped it to paper it printed this:

claim form .jpg

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CS Dental Employee
CS Dental Employee

Re: 'Oral Cavity field' error message when submitting biopsy claim to Delta of Colorado

I would recommend contacting the payer for more info. The payer rejected the claim because Box 25 has 02 in it when it should be blank. They may have been expecting a tooth number because of the JP code in Box 26 or info in Box 28 (Tooth Surface).

 

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