You can avoid costly claim denials or delays by including a brief narrative on insurance claims that describes unusual procedures or services that you have performed or provides clarification about the necessity of certain procedures.
For example, insurance companies often deny crown buildups. When you complete a crown and crown buildup, you can add the following clarifying remarks to a patient's claim so that the insurance company is less likely to deny the buildup: "Previous endo on #21. Insufficient tooth strength and retention for crown."
From the claim, select Remarks from the menu bar.
Enter a claim remark.
Type the claim remark in the text box. Click the Check Spelling button to perform a spell check, and click OK.
If you have previously set up a custom claim remarks template, you can insert the custom claim remark by clicking the Claim Remarks button, selecting the appropriate remark description, and clicking OK. Make changes to the template to fit the situation as needed.
Click Notes from Procedures to copy the text from the procedure notes into the claim remark. Delete the unnecessary portions of the procedure note text as needed.
Click OK to save the remark.
When entering Remarks for Unusual Services, be aware that only 101 characters will print on the insurance claim, and only 125 characters will be sent on an electronic claim.
You can remove claim remarks by clicking the Clear button.
Author: Sean Eyring, Curriculum Development Specialist Published: 09/22/2017