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.
Features
The 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
- 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
.
