Q. I have a claim section error. What do I do?

A. Scroll down the claim form to the Claim Information section and click the Edit Claim button just below the Claim Details section. Read the specific errors listed at the top of the page and scroll down to edit them in the form below.

Q. I have a claim section error that states: Claim Item 1: Field "Tooth" - cannot be blank. How do I fix this?

A. The most current ADA CDT-3 code manual requires that a tooth number be provided for this procedure code. Add the correct tooth number to the Tooth field for the indicated item/procedure and click Continue.

Q. I have a claim section error that states: Claim Item 1: Invalid Tooth value entered for charge line. How do I fix this?

A. Only specific tooth numbers may be used for this procedure code, as specified by the ADA CDT-3 code manual. Common errors include the use of an anterior tooth number with a posterior procedure code or vice versa. Also, check to make sure that the procedure code or tooth number is not specific to primary dentition. Hint: To add or replace a procedure code, search by code or category in the Looking for a procedure code? box to the left of Claim Details.

Q. I have a claim section error that states: Date for item "1" must be in this format: mm/dd/yyyy and the year must be greater than 1800. How do I fix this?

A. Dates must be entered in the following standard date format: mm/dd/yyyy, including slashes (Example: 07/23/2002).

Q. I have a claim section error that states: Claim Item 1: Required Field "Fee" - cannot be blank. How do I fix this?

A. Some offices like to include $0.00 procedures (such as patient education) on the claim form to reflect the total patient visit. However, the claim form isn't the proper place to track such information. Industry standards for electronic claims require that a dollar amount be submitted for each line item on the claim. If you want to track $0.00 procedures, call a customer service representative for your practice management system (or read the user manual) to determine where such information should be entered.

Q. I have a claim section error that states: Claim Item 1: Field "Quadrant" - must be blank. How do I fix this?

A. You have specified that this procedure code pertains to a specific a quadrant or arch. The most current ADA CDT-3 code manual requires that no quadrant be submitted with this procedure code. Remove the quadrant or the arch from the specified field and click Continue.

Q. I have a claim section error that states: Claim Item 2: For a claim defined as an Actual Claim, there must be assigned dates of service for every charge line.

A. If this claim is a statement of services rendered, then you must include a properly formatted dated for each line item. Dates must be entered in the following standard date format: mm/dd/yyyy, including slashes (Example: 07/23/2002). If this claim is a pre-treatment estimate (also known as a predetermination), make sure that you have selected Pre-treatment Estimate at the top of the Claim Information section and leave the date fields for each proposed item/procedure blank.

Q. I have a claim section error that states: Claim Item 6: For a Prosthesis code, Initial or Replacement must be selected. How do I fix this?

A. All procedure codes for prostheses must be marked either as an initial placement or as a replacement with the original placement date. To do so, select Initial or Replacement in the Prosthesis? field. For replacements, make sure that the replacement date is in the standard date format: mm/dd/yyyy, including slashes (Example: 07/23/2002).

Q. I have a claim section error that states: Claim Item 1: The code you entered was not found. Please correct the code # or search for it through the categories on the left side of the claim form. How do I fix this?

A. There are many procedure codes that are specific to individual insurance companies. ClaimConnect allows you to submit only standard industry codes. This creates a cleaner claim with fewer denials. If the procedure code you are entering is not recognized, search for an equivalent by entering a code or category in the Looking for a procedure code? box to the left of Claim Details.