Illinois Administrative Code
Title 50 - INSURANCE
Part 2017 - UNIFORM MEDICAL CLAIM AND BILLING FORMS
Section 2017.60 - Requirements for Use of J510/J511/J512 Form

Universal Citation: 50 IL Admin Code ยง 2017.60

Current through Register Vol. 48, No. 12, March 22, 2024

a) Dentists shall use the J510/J511/J512 Form and instructions provided by the American Dental Association for use of the J510/J511/J512 Form for filing claims with health plans for professional services.

b) Health plans shall accept the J510/J511/J512 Form from dentists when completed in accordance with instructions provided by the American Dental Association.

c) Health plans shall not require a dentist to use any code other than the CDT codes for the filing of claims for dental care services or to routinely furnish additional information with the submission of a J510/J511/J512 Form, unless the use of supplemental codes is defined and permitted in a written contract between the issuer and dentist.

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