Tuesday, April 4, 2017

Avoid Claim Denials by Including Remarks for Unusual Services


By including a brief narrative on insurance claims that describes unusual procedures or services that you have performed or provides clarification about the necessity of certain procedures, you can avoid costly claim denials or delays.

For example, insurance companies often deny crown buildups. When you complete a crown and crown buildup, you can add the following clarifying remarks to a patient's claim so that the insurance company is less likely to deny the buildup: "Previous endo on #21. Insufficient tooth strength and retention for crown."


To enter a claim remark:

  1. From the claim, select Remarks from the menu bar or double-click the Remarks for Unusual Services block.


  2. Enter a claim remark.
    • Type the claim remark in the text box. Click the Check Spelling button to perform a spell check, and click OK.
    • If you have previously set up custom claim remarks, insert the custom remark template by clicking the Claim Remarks button, clicking the appropriate remark description, and clicking OK. Make changes to the template to fit the situation as needed.
    • Click Notes from Procedures to copy the text from the procedure notes into the claim remark. Delete the unnecessary portions of the procedure note text as needed.


  3. Click OK to save the remark.

Additional Information
  • When entering Remarks for Unusual Services, be aware that only 101 characters will print on the insurance claim, and only 125 characters will be sent on an electronic claim.
  • You can remove claim remarks by clicking the Clear button.
Learning to use claim remarks is part of the new course called 12 Ways to Prevent Claim Delays and Denials with Dentrix, which will be offered at this year's Business of Dentistry Conference. Click the link to view conference details and to register.

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