Resources

MedicaI Benefits Verification Form

Medical Case Submission & Pre-Authorization Form

CMS1500 Medical Claim Fillable Form

Instructions How to Fill Out The CMS1500 Form

Insurance statue regarding non-denial of TMD by State http://www.tmjoints.org/policy/TMJState.htm

Ex: fight appeals or peer to peer meetings:

NYS Office of General Counsel

A health insurance policy issued in New York State may not contain a blanket exclusion for the treatment of TMJ disorders. N.Y. Comp. Codes R. & Regs. tit. 11, § 52.16(c) of Regulation 62 prohibits an accident and health insurance policy from limiting or excluding coverage by type of illness, accident, treatment, or medical condition, except as delineated in that section. Thus, a New York authorized health insurer may not specifically exclude coverage for the non-surgical treatment of TMJ disorders.

Availity web portal for medical benefits verifications for Blue Cross, Cigna, Aetna 

United Healthcare Optum Portal for medical MEDICARE resources web portal,  Everything for Medicare billing 

Find out if your area is underserved with Medicaid, Medicare, etc- 

Medicare/Medicaid forms 

Medicare Enrollment

Letter of Medical Necessity for TMD Treatment with appliances and Botox

Frequently ICD-10 Diagnostic Codes

CPT Cross Coded CPT codes from ADA codes

Taxonomy codes
Modifiers & Qualifiers Codes

Place of Service 

Procedure Codes

Provider Qualifiers

Payor ID list

Corrected Claims and Resubmission Codes and Tipshttps://uploads.documents.cimpress.io/v1/uploads/9881b130-f58a-45ae-843c-6aa877561dd8~110/original?tenant=vbu-digital&_ga=2.100042013.2022293772.1675189629-393400259.1672416463&_gac=1.51805531.1672858026.Cj0KCQiA5NSdBhDfARIsALzs2EBtCzRjjh7uPf0hbU-dxvBVF4_X_xOMptKnJbTkk4nRI81jiBdenboaApZ0EALw_wcB" rel="noopener" target="_blank">

CPT QuickRef

ICD 10 2022

TMD

Chemdenervation