11 NCAC 12 .1504             REQUIREMENTS FOR USE OF THE CURRENT ADA DENTAL CLAIM FORM

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.

History Note:        Authority G.S. 58‑2‑40; 58‑3‑171;

Eff. October 1, 1994;

Amended Eff. February 1, 1995;

Readopted Eff. May 1, 2020.