When giving dental co-insurance percents for benefits, our plans are set up by
preventive, basic, major, and ortho categories. The EB03 segment in this loop does not
list these values. Instead it lists the CDT-3 categories. Unfortunately we have plans
that do not follow these completely. For example, our plans list some CDT-3
Periodontic services as basic and others as major. I am looking for suggestions on how
to respond on the 271 for these.
Also, how do you report a deductible that applies to basic and major only?
****************************************************************
Please Note
The information in this E-mail message is legally privileged
and confidential information intended only for the use of the
individual(s) named above. If you, the reader of this message,
are not the intended recipient, you are hereby notified that
you should not further disseminate, distribute, or forward this
E-mail message. If you have received this E-mail in error,
please notify the sender. Thank you
*****************************************************************
**********************************************************************
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.
=====================================================
The WEDI SNIP listserv to which you are subscribed is not moderated. The
discussions on this listserv therefore represent the views of the individual
participants, and do not necessarily represent the views of the WEDI Board of
Directors nor WEDI SNIP. If you wish to receive an official opinion, post
your question to the WEDI SNIP Issues Database at
http://snip.wedi.org/tracking/.
Posting of advertisements or other commercial use of this listserv is
specifically prohibited.
