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Third Party Issue Tracker

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With many patients using dental benefit plans, the American Dental Association (ADA) Third Party Issue Tracker provides an explanation of common third-party payer terms, information on what you can do when encountering these situations, and what to do if a claim is rejected by a dental plan. FeaturesThe ADA Third Party Issue Tracker covers the following dental benefits topics: Assignment of Benefits, Bundling of Procedures, Changed Codes, Coordination of Benefits, Delayed Claim Payments, Downcoding, Least Expensive Alternative Treatment (LEAT) Clauses, Non-Covered Services, Predetermination, and Utilization Review. In addition, the ADA Third Party Issue Tracker presents supplementary material that identifies states with laws related to assignment of benefits, non-covered services, and prompt-payment of claims. This practice resource also features recommendations on how to file an appeal.

Resource

  • Downloadable PDF

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