Description

ADA 1079 – Standard Content of Electronic Attachments for Dental Claims

This standard describes content for electronic claims attachments submitted to third-party payers. This report does not set requirements for attachments related to processing of dental claims for specific procedures.

This standard describe uses for SNODENT® terminology and ICD diagnostic codes as they apply to predetermination and/or claims for actual services. Utilization of standard nomenclature and updated codes will permit analysis of clinical findings, as well as demographic, treatment and claims data. Measurements will be reported using the metric system where applicable. Both US and FDI tooth numbering systems will be implemented.