Title: Fill out insurance forms in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Course: Dental Careers II (14054-II) > Section: Performing Administrative Functions

Filling out insurance forms should include

- information about the beneficiary and subscriber
- use of standard American Dental Association (ADA) procedure codes for treatment rendered by the provider
- signatures of the subscriber and provider
- the carrier's dental coverage plan, including the following:
  - Unified Carrier Registration (UCR) fees
  - Schedule of benefits
  - Deductibles
  - Exclusions
  - Limitations
  - Maximums
  - Predetermination of benefits
- provider fee schedule
- submission of completed paper claim forms
- use of the superbill
- electronic submission of claims.

Process/Skill Questions:

- When might a patient be covered under two insurance policies?
- How is an insurance claim submitted?
- What is the goal of HIPAA?