Dentists can bill medical insurance for medically necessary procedures, such as treatments for facial trauma, oral surgery, or infections that affect overall health. Unlike dental insurance, medical billing requires ICD-10 codes to prove medical necessity and the use of CPT codes for accurate claims. QuestDent helps gather the necessary information for medical billing and connects you with a medical billing specialist to guide you through the process.
When billing medical insurance, a procedure like D7950 (osseous surgery) is not billed as D7950. Instead, it should be billed using the appropriate medical codes, CPT codes, such as 21210 or 21215. QuestDent simplifies this process by walking you through the steps, helping you translate these codes. Ensuring you bill accurately, allowing patients to take advantage of the medical benefits they are already paying for.
ICD-10 codes are used to prove medical necessity when billing medical insurance. These codes provide specific details about a patient's diagnosis or medical condition, which is required by insurance companies to determine coverage. QuestDent helps gather and organize these ICD-10 codes through the natural flow of your practice, ensuring that you utilize the right codes for accurate billing. This simplifies the process, allowing you to demonstrate medical necessity and help your patients fully utilize their medical benefits.
When collecting medical insurance cards, it's important to understand that dental insurance sets a maximum amount they will pay, while medical insurance determines the maximum amount the patient is responsible for. Dental insurance has coverage limits for specific procedures, while medical insurance may cover more extensive services, often with a higher patient cost. QuestDent streamlines this process by capturing and linking insurance information to the patient's account, helping you navigate both dental and medical insurance coverage effectively.
