#Dental office toolkit federal manual#

If you are unsure of how your practice name and the associated ID number are recorded with the IRS, check what is printed on the mailing labels that are supplied by the IRS for quarterly tax payments.

If two or more names are used (such as Chris Smith, DMD, dba Market Street Dental), please give us the first listing that appears on the IRS records, in this example Chris Smith, DMD.Use the tips here when submitting your claims: If they do not, the IRS requires Delta Dental to withhold 28 percent of the dollars owed to you from future payments until the matter is resolved. The tax identification number and practice name on file with Delta Dental must match the IRS records exactly.

No changes to the ID number can be made on the 1099 statements once they have been processed. Any changes to this ID number during the year should be verified through your local Delta Dental Member Company no later than the end of each year.

The tax identification number you use on your claims affects your year-end 1099 statement.

Radiographs and/or other documentation will not be returned.

We accept duplicate films and paper copies of digital images.

Copies of radiographs must be of diagnostic quality.

Do not submit a new claim for any services that have been submitted for a pre-treatment estimate. Line through (single line) any treatment that has not been completed. You only have to date each service, sign and return the form for processing. If you have submitted a pre-treatment estimate, once services are provided use the notification of pre-treatment estimate form.

In all cases when Delta Dental is the secondary carrier the primary carrier’s Explanation of Benefits or remittance advice is not required please just indicate the amount paid by the primary carrier on the claim in the “Other Coverage” area.

When there is other coverage and it is not FEHB and/or FEDVIP, please indicate that coverage by checking the “Other Coverage” box and be sure to complete all the other information fields in this same area on the claim form.

In these instances, please simply indicate the amount paid by either carrier (the FEHB and/or FEDVIP) on the claim in the “Other Coverage” area. The patient’s OCC dental coverage should be submitted after one or both of the FEHB or FEDVIP coverage has been billed and payment (to include zero) made.

When the patient has either a FEHB plan or coverage under one of the FEDVIP plans that has any dental coverage, it will always be the PRIMARY carrier.

Using nicknames for either the subscriber or patient.

Submitting photocopied claims as they maybe blurred or skewed.

Using more than one font style on a claim.

Using correction fluid or a highlighter pen.

Writing on top of lines or outside of boxes.

Putting a slash through zeros or crossing sevens.

Stray marks in spaces that should be left blank.

Using free-form text - Use ditto marks or arrows to indicate duplicate information.

The following may cause delays, inaccurate processing and possible denials: If the claim does not have this field, please list each item on a separate line.

Indicate a quantity (the number of x-rays, for example) in the field on the claim specifically for this purpose.

Fees with decimal points (for example, 100.00 not 100).

Eight-digit dates with no spaces, slashes or dashes (for example, 05032012 for May 3, 2012).

A 10-point font and all capital letters (Courier is a good font choice).

#Dental office toolkit federal manual#

Use these tips to complete your manual claims and they will be processed more timely and accurately.