Avoid these common billing errors and receive your claims payment sooner

• The following combinations of x-rays are considered a complete series of films when taken on the same date and will be processed as a complete series, Procedure D0210.
  
  
  • 14 periapical radiographs plus bitewings, or
  • Panographic radiograph plus bitewings, or
  • Panographic radiograph plus periapical radiographs.
  
  The fee for any of the above combinations shall not exceed the fee for Procedure D0210.
  
  
• Restored surfaces on a single tooth are considered connected if the restorations are all performed on the same date. Payment may be made for a single surface on the same tooth only once in each episode of treatment, regardless of the number or combinations of restorations.
  
  
• For quicker processing of your claim form, be sure to include the tooth number/arch and surface on all claims.
  
  
• All treating providers in an office must be enrolled with Delta Dental to provide services to Texas CHIP members.
  
  
• If a claim is denied, do not send another claim form. Fill out a Claim Inquiry Form (CIF) including the Document Control Number of the previously denied document. You can also use a CIF to check on the status of documents you have already sent to us. This form is available in “Forms and materials” section of this web site.
  
  
• X-rays and/or documentation are required when submitting claims for certain services that are covered benefits of the Texas CHIP. The chart below can provide a quick reference for common procedures.