North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 12 - LIFE AND HEALTH DIVISION
Section .1500 - UNIFORM CLAIM FORMS
Section 12 .1504 - REQUIREMENTS FOR USE OF THE CURRENT ADA DENTAL CLAIM FORM
Universal Citation: 11 NC Admin Code 12 .1504
Current through Register Vol. 39, No. 6, September 16, 2024
Dentists shall use the current ADA Dental Claim Form and instructions for all manual claims filing with payors. The ADA Dental Claim Form is hereby incorporated by reference, including subsequent amendments and additions, and is available at no cost at https://www.ada.org/en/publications/cdt/ada-dental-claim-form.
Authority
G.S.
58-2-40;
58-3-171;
Eff. October
1, 1994;
Amended Eff. February 1, 1995;
Readopted Eff.
May 1, 2020.
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