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2015 Dental Provider Checklist

2015 Dental Provider Checklist. 2015. Amy Reyes Dental Supervisor Direct extension 307-772-8421 Dental Services 1-888-863-5806 Mon-Fri 9-5 Amy.reyes@xerox.com. Information. Dental Provider Manual. Chapter 1. Chapters 2, 3, and 4. Chapters 5, 6, and 7. Chapters 8 and 9. Chapter 10.

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2015 Dental Provider Checklist

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  1. 2015 Dental Provider Checklist 2015

  2. Amy Reyes Dental Supervisor Direct extension 307-772-8421 Dental Services 1-888-863-5806 Mon-Fri 9-5 Amy.reyes@xerox.com Information

  3. Dental Provider Manual

  4. Chapter 1

  5. Chapters 2, 3, and 4

  6. Chapters 5, 6, and 7

  7. Chapters 8 and 9

  8. Chapter 10

  9. Chapter 11

  10. *Dental fee schedule *Billing deliverables *Web portal billing *ADA dental claim form *TPL keying *CMS re-enrollment *D9630 and D9920 *Checking eligibility *RA banners *Treating and group NPI numbers *Usual and customary charges *Remarks on the claim form Agenda

  11. Dental fee schedule http://wymedicaid.acs-inc.com/Dental.html

  12. Billing of Deliverables All dental procedures that involve delivering an item to the client can only be billed to Medicaid on the date the item is delivered to the client. This includes crowns, bridges, removable appliances, partial and complete dentures. The provider is responsible for billing these procedures only on the seat/delivery date. If a client becomes ineligible before the seat/delivery date or does not return for the seat/delivery, the provider may request, in writing, to bill the procedure out on the prep date. The provider may bill on the prep date only if they have received an approval from Wyoming Medicaid. Please send these requests to the fiscal agent for Wyoming Medicaid (Section 2.1, Quick Address and Telephone Reference). Medicaid may request records to substantiate this is being billed correctly at any time therefore client records should reflect prep and seat dates accurately. Billing of deliverables

  13. Web portal billing https://wymedicaid.acs-inc.com/wy/general/home

  14. ADA Dental Claim form

  15. TPL information on the claim form

  16. CMS re-enrollment http://wymedicaid.acs-inc.com/aca_reenrollment.html

  17. D9630 Other Drugs and Medicaments

  18. D9920 Behavior Management

  19. Verifying Eligibility prior to services rendered

  20. Importance of Reading RA Banners

  21. Treating VS Group NPI

  22. Usual and Customary Charges

  23. Remarks Box on Claim Form. Do not use.

  24. Questions?

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