Corrected Claim Submission Process

Consultant’s Corner by Ron Inge, DDS, Chief Dental Officer, Chief Operating Officer and Vice President of Professional Services

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No one is perfect. Mistakes are made by everyone. This is true for the submission of claims to Delta Dental of Missouri. The wrong tooth number is submitted. The date of service is not correct. The wrong fee was submitted for a service. The procedure code is one number off and does not correspond to the service that was rendered. These are all common mistakes that can cause a claim to be denied.

In the past, Delta Dental of Missouri has been accommodating and accepted corrections to these types of mistakes over the phone. Unfortunately, Delta Dental of Missouri has become increasingly aware of efforts to manipulate the information on claims to receive payment when payment is not available. Though, only a small number of offices have engaged in this type of behavior, it does have a significant impact on the cost of dental benefits.

As a result, Delta Dental of Missouri will no longer correct claims based on a phone call. If an office receives a denial for services and the office believes the denial is a result of a mistake in the information on the claim, the office must resubmit the claim, clearly marking the claim as a “Corrected Claim” with a copy of the patient’s chart notes to support the correct information needed to reprocess the claim. Corrected claims can be emailed, faxed, or mailed to Delta Dental of Missouri. Thank you for your cooperation.

Email address: service@deltadentalmo.com

Fax number: 314-656-2900

Mailing address: Delta Dental of Missouri, PO Box 8690, St. Louis, MO 63126

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