Tip: Tooth Number Assignment in Dental Claim Records for 67369D

Number	0120
Submitting Entity (SE)	67369D
Add Date	Aug 17, 2022
Update Date
Update	Included in Feb 2024 data tips email
Description	Dental procedures often involve more than one tooth. Teeth are identified by number. All tooth numbers involved in a procedure should be listed together on the claim line in the Tooth Number (DC047) field, separated by commas. Cigna 67369D does not include all tooth numbers on a single claim line but provides a claim line for each tooth number. See this example: Row Number (DC999) - 342 Claim Number (DC004) - E55775410P001 Claim Line (DC005) - 1 Tooth Number (DC047) - NULL Row Number (DC999) - 309 Claim Number (DC004) - E55775410P001 Claim Line (DC005) - 1 Tooth Number (DC047) - 3 Row Number (DC999) - 320 Claim Number (DC004) - E55775410P001 Claim Line (DC005) - 1 Tooth Number (DC047) - 5
Active/Resolved	Active
Action / Resolution
Category 1	Dental
Category 2	ToothNubmer
Tip / Issue	Tip