Correctly and accurately report every date that a dental service was actually performed or completed. Multi-staged procedures such as crowns, bridges, dentures, and root canal treatment should be submitted upon insertion or completion. The completion date for fixed partial dentures, crowns, onlays, and inlays is the cementation date regardless of the type of cement utilized. The completion date is the date of insertion for removable prosthetic appliances. The completion date for immediate dentures is the date the remaining teeth are removed and the denture is inserted. The completion date for root canal therapy is the date the canals are permanently filled.
Correctly and accurately report each dental service or procedure that was rendered.
Coordination of benefits
Correctly and accurately report all other benefit coverage and insurance payments for the dental services.
Disclosure of waiver
Legibly and conspicuously disclose on the face of the claim any intention to waive a patient's copayment responsibility.
Disclosure of discounts
Disclosure of "free" services
Correctly and accurately reflect the fee of the services actually being charged and collected from the patient.
Services not performed
Report only services that are actually performed.
Identification of appropriate dentist
Correctly identify both the billing dentist and the treating dentist by name and license number.
Only reflect the actual amounts being collected in actual currency. Delta Dental does not make payment based on bartering services.