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.