-
Let a patient convince you to
submit an inaccurate date of service on a claim
form for any reason.
-
Let a patient convince you to
submit an inaccurate procedure on a claim form.
-
Let a patient convince you to
omit reporting other insurance carrier coverage
or payments on a claim form.
-
Waive a patient's copayment responsibility
without legibly and conspicuously disclosing
that intention on the face of the claim.
-
Fail to reflect any discounts
or coupon use on the face of the claim.
-
Fail to correctly
identify both
the billing dentist and the treating dentist's
name and license number.
-
Submit for services performed
by non-licensed individuals.
-
Submit claims for services performed
by non-par dentists in your practice under
your par license number.
Any of the above
improprieties will result in a violation of the
Delta Dental of New Jersey Participation Agreement
and may also result in the violation of:
