paul.snyder

Important Claim Processing Information - Denti-Cal

Discussion created by paul.snyder Employee on Apr 27, 2018

To Denti-Cal Providers: 

  

RE: Denti-Cal Bulletin April 2018, Volume 34, Number 06: https://www.denti-cal.ca.gov/DC_documents/providers/provider_bulletins/Volume_34_Number_06.pdf

  

  

Between January 29, 2018 and February 2, 2018, some claims submitted through the Electronic Data Interchange (EDI) may have been processed incorrectly. Claims containing procedure codes D0230 or D0350 with submitted procedure quantities greater than ‘01’ were potentially affected. 

  

No provider action is required. To reduce the administrative burden to providers, affected claims will be automatically reprocessed. Reprocessed claims will be identified on your Explanation of Benefits (EOBs) with Claim Correction Code ‘99’, TO CORRECT THE PROCEDURE QUANTITY, EDI CLAIM HAS BEEN SYSTEMATICALLY REPROCESSED. 

  

Please check the Denti-Cal website https://www.denti-cal.ca.gov/ for future notifications.  

   

EDI Support | denti-caledi@delta.org
office 916-853-7373 ext. 2374
or 2653  

Denti-Cal | 11155 International Drive | Rancho Cordova, CA 95670

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