October 2001: Dental Provisions #17
Processing Tips
Attention electronic-claims submitters
Effective September 10, 2001, electronically submitted
claims are no longer restricted to eight line items,
and may include up to 99 lines.
Partial claims no longer processed
If additional information or x-rays are needed to process
a portion of a claim (multiple services), we will delete
the complete claim and return it to your office for
the information needed. In order to ensure consistency,
partial services will no longer be processed.
Attention offices with multiple dentists
Please submit claims using the name of the dentist who
provided the service, rather than the name of the dentist
who owns the practice. If you are participating with
Regence BlueShield and have additional dentists in your
office who need to be paid as employees, please call
your dental relations representative. Your representative
can help you set up Regence BlueShield provider file
records to ensure correct payment for your office.
Associates of participating providers who have not
previously completed a participating provider application
and agreement will need to do so to ensure continuation
of direct reimbursement. (A Preferred Provider Agreement
must be signed to receive direct reimbursement and any
payment information from the Federal Employee Program.)
Changes to your tax ID number?
If your tax ID number changes, please notify us before
you submit claims with the new number.
We need to update our system with your new tax ID number
before you submit claims. Otherwise, we could send payment
in the wrong amounts - and to the patient instead of
to your office.
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