Dental Sleep Medicine Insider September 2015 | Page 7
HOTTEST
DO’s & DONT’s
INSURANCE
THE TOP TEN
1
Provide a CPAP Intolerant Affidavit,
Letter of Medical Necessity (LOMN),
and all other pertinent clinical
documentation before you submit a
Verification of Benefits (VOB).
2 Have the patient's Primary
3
6
file an insurance
claim for device E0486 until
it has been delivered. Just
don't do it unless you don’t
like getting paid for your
services!
Care Provider listed in
their chart or you may
receive a rejected VOB.
7
take impressions
or deliver a device until
you have received a
completed VOB.
Send
a DS3 support ticket
as well as VOB to your billers
if you need an authorization
for any services other than
E0486, such as 21085 with
the diagnosis code.
4Check claim status notes before
contacting your billers on the
status of a claim. It will save
everyone time and effort.
5 Ensure you have your preferred
biller selected in DS3 as filing
insurance on behalf of your
patients or else your VOB or claim
may be suspended in cyberspace.
Contributed By: Lori Wallace
DS3 Member Support Expert
[email protected]
8
9
perform
services outside of
the authorization
date range.
send a support ticket
through DS3 to dispute a claim.
Dispute the claim through your
front-office with the EOB attached.
This ensures that your claim
information is all in one place
and handled in a timely manner.
10
forget to scan a copy
of the patient’s insurance card
into the “Images” section so
your billers can verify the ID#
if the insurance company claims
it's incorrect.