Insurance Says “No Attachment, No Payment”

We are often asked, “Do you send attachments?”

Our Dental ClaimSupport team always sends attachments, when applicable, with your claims. This article will discuss why it is beneficial to send attachments electronically with the first claim submission. Claim attachments for all qualifying procedures should be included with the initial claim submission utilizing an electronic clearing house. Depending on the procedures listed, the number and type of attachments may vary. However, it is best to submit all supporting documentation upon initial submission to prevent any delay in processing the claim. When selecting attachments, it is important to select radiographs of diagnostic quality. If intraoral photos are going to be included, they should be void of saliva bubbles and clearly support the treatment rendered. The more qualifying documents submitted, the greater likelihood a claim is  approved and processed with the  initial submission. In addition to attachments, it is also important to enter all information applicable to the services rendered in Box 35 and Boxes 38-47 of the 2019 ADA dental claim form.  Submitting all pertinent information reduces the likelihood of the insurance payer requesting additional information required to process the claim.

Mailing radiographic images should be avoided unless the images are printed on high-quality photo paper using a high-quality photo printer. Reason being, once received by the insurance payer, hard copy images are scanned into their system and the quality is often compromised as a result. This will not give the dental consultant the ability to fairly approve the treatment rendered. Paper claims with attachments also create a tracking issue and can easily become lost in transit. Without proof of electronic claim submission or an NEA attachment number, it is often difficult to dispute claims that are denied due to timely filing. 

 

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