e-mail Print Share

2012 ADA Dental Claim Form available

April 09, 2012

Editor’s note: This information has been updated to correct an error that appeared in the original April 9 posting of the article online and in the April 9 print ADA News.

The 2012 ADA Dental Claim Form is now available in the Spring 2012 ADA Catalog.

The form was revised to allow dentists to include a diagnosis code when the specific diagnosis may have an impact on the adjudication of the claim in cases where specific dental procedures may minimize the risks associated with the connection between the patient’s oral and systemic health conditions.

Payers will be accepting the 2012 version of the ADA form by mid-year.

The form is available in a variety of formats. For more information or to order a pad or pack of claim forms, visit ADA Catalog or call 1-800-947-4746.