By default, you can bill all procedures entered into Dentrix to dental insurance. However, if you want to bill a procedure to a patient's medical insurance, you must cross code the ADA code with an associated AMA code and then create a medical claim. The procedures you flagged for cross coding are indicated by a triangle to the right of the procedure description in the Ledger transaction log.
A gray triangle in the transaction log indicates that you flagged a procedure for cross coding but did not assign medical insurance to the patient in the Family File. A blue triangle indicates that you flagged a procedure for cross-coding and assigned medical insurance to the patient in the Family File.
Note: When you first install Dentrix, dental procedures are not flagged for cross coding with medical codes.
To cross-code a procedure
1. Post the procedure that you want to bill to medical insurance to the Ledger transaction log.
2. Double-click the procedure that you want to bill to medical insurance.
Note: A triangle to the right of the procedure description indicates that you flagged a procedure to be billed to medical insurance.
The Edit or Delete Procedure dialog box appears.
3. Click the Medical Claim Information search button.
The Medical Claim Information for ADA-CDT dialog box appears.
4. Click the AMA CPT search button.
The AMA-CPT Codes dialog box appears.
a. Select Cross Coded or All.
b. Click the appropriate code, and then click OK.
Note: If the AMA code you are looking for does not appear in the Cross Coded list, you have not linked it to the ADA code.
5. Click the Place of Service search button.
The Select Place of Service Codes dialog box appears.
6. Select the appropriate code from the list, and then click OK.
Notes:
· You must first create a Place of Service Code in order for it to appear in the list.
· The Modifier Codes and Type of Service are optional. You do not have to provide them to submit a medical insurance claim.
7. To close the Edit or Delete Procedure dialog box, click OK.
The triangle to the right of the procedure description in the transaction log turns solid blue.