Ill. Admin. Code tit. 50, § 2017.60 - Requirements for Use of J510/J511/J512 Form
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.
Notes
Amended at 20 Ill. Reg. 8497, effective June 5, 1996
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.