Want to speed up your claims fulfillment? Of course you do! Here are some submission tips to help move the process along:
Include on all claims:
Member name and I.D. number.
Treating dentists name, license number, and tax I.D. or social security number.
Address where services were rendered.
Date of service.
Procedure codes and description.
Tooth number, surfaces, quadrants, locations, or arch and clinical diagnosis if needed.
Claim submission limitation is one year from date of service.
All radiographs should be:
Current and of diagnostic quality.
Dated, mounted, and labeled right and left.
Labeled with patients name and providers name and address.
Charting must be:
Comprehensive full mouth.
Legible and dated.
Documented with probing depths (six per tooth).
Recorded in millimeters per tooth.
Labeled right and left, mandibular and maxillarywith classified furcation defects, tooth mobility, BOP (bleeding upon probing) and CAL (clinical attachment loss) noted.
Support need for procedure.
Describe specific conditions addressed by procedure.
Questions? Call Solstices customer service department at 877-760-2247.