Our plan includes both medical as well as limited dental coverage. We do not do any predetermination of benefits today. If a provider calls in we tell them we don't predetermine benefits. If they send in a paper form we respond with a form letter telling them we don't predetermine benefits. If they ask specific questions on the phone, they may get some additional information, but nothing that should be close to an actual predetermination.
The 837 Dental Claim transaction allows for a predetermination request. The 835 Remittance Advice allows for a response. However, I don't see a way to indicate that we don't perform predeterminations. Is there a way to do this in the 835, or is there another way to respond to this? Jim Griffin Business Systems Analyst CNA ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
