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Billing Anesthesia Dental and Medical

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Alfreda8590:
Question: I work for a dental office. I need to know if I can bill dental procedures and medical procedures. ADA form for dental and 1500 for medical.

PMRNC:
Most policies will only consider the portion of charges under "bony impacted" as major medical. You will need to break out charges for both dental and major medical.   I would first verify benefits with carrier to make sure.

SLITTLES:
Yes, you can bill certain dental procedures to the medical carrier; when completing the CMS 1500, ensure you have the cross codes and diagnosis on the claim so that it will process properly.

Alfreda8590:
Check this out! Please be detail it helps. I just called and insurance company and found out that i have to get pre-auth for service in the office that is medical in a dental office. Everything that i have sent up to now has to have an appeal letter to pre-auth to get auth for servicedone in office. Help!!!!!!

SLITTLES:
Alfreda, I'm not sure exactly what you are asking but YES if you are billing a service that will be filed to medical that requires authorization, then you must obtain authorization regardless of if it's if done in a dental office or not.

Please be more specific and I will try my best to help you.

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