Fill out insurance forms in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Filling out insurance forms should include

  • information about the beneficiary and subscriber
  • use of standard American Dental Association (ADA) procedure codes for treatment rendered by the provider
  • signatures of the subscriber and provider
  • the carrier's dental coverage plan, including the following:
    • Unified Carrier Registration (UCR) fees
    • Schedule of benefits
    • Deductibles
    • Exclusions
    • Limitations
    • Maximums
    • Predetermination of benefits
  • provider fee schedule
  • submission of completed paper claim forms
  • use of the superbill
  • electronic submission of claims.

Process/Skill Questions:

  • When might a patient be covered under two insurance policies?
  • How is an insurance claim submitted?
  • What is the goal of HIPAA?