When it's not a tooth # but a quadrant/arch, UA, UL, LL, LR etc. it's showing up when I print preview the claim but doesn't go across when submitted electronically. For UA it's showing up as '01' but Delta is saying nothing is showing up.
Solved! Go to Solution.
The ADA requires a two digit modifier for Box 25. Development did make a concession to allow Dental claims to print letters (quadrants) to show on the claim, however, electronically it will always go with the ADA requirement. View page 9.
We have not had other offices to report this concern. If you have denials due your concern, please send the rejection/EOB, the record and fields electronically the payor is requiring the two digit letter quadrant and Payor ID. Support will review and submit to Development. Thank you
Thank you for the update Tara. Let me tag our support escalations management team here and see if we can get you further assistance.
10032864 Andy, or jgoodwin are you able to assist with this?
It sounds like the previous issue with Delta wasn't corrected?
mczar are you able to work with Tara to resolve this for all payers?
Just to update you this issue has been researched with our Support team and turned into Development as a Defect and will be addressed in a future release. Thank you again for bringing this to our attention! matt.ackerman mczar