Diana,
As I
understand it, Medicare will not accept the 837D, since Medicare
requires the diagnosis code.
So,
all Dental claims must be submitted on the 837P.
Keep
in mind that Medicare processes only 0.25 million Dental claims per
year.
That
really isn't very many claims by Medicare
standards. Since Medicare doesn't really cover Dental procedures, I
suspect that the majority of the claims are those things that cross over between
Dental and Medical such as high-end Oral Surgery procedures.
Hopefully someone from CMS will chip in and confirm the
above.
Tom Drinkard
EDIT, Inc.
(678) 795-1251 (voice)
(775) 458-6117 (fax)
--------Original Message-----
From: Diana Lindsley [mailto:[EMAIL PROTECTED]
Sent: Wednesday, March 12, 2003 5:04 PM
To: WEDI SNIP Transactions Workgroup List
Subject: 835D or P for Medicare dental claims?We have heard several different requirements, but have not gotten a definitive response. Hopefully, someone on this list will know. We have heard that Medicare will require the 837P transaction for dental claims, which doesn’t make much sense to us. We have also heard that the 837D can be used. Does anyone know which will be required?
Diana Lindsley
Project Manager
First Pacific Corp.
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