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ANSI/ADA 1120-2-2026

Dentistry – Data Content Standard - Part 2: Dental Coordination of Benefits

The document defines the structured data required for coordination of benefits for dental claims, ensuring efficient communication between dental providers, payers and intermediaries. It specifies the essential data elements including but not limited to, patient demographics, provider information, interoperability requirements for data exchange between primary and secondary payers, claim level details, and adjudication data for dental claim coordination of benefits.  This document does not prescribe or endorse any specific implementation methodology, implementation guide, or technology standard for its adoption. In addition, this standard does not define or reference any operating rules associated with dental claim status inquiries, including patient, provider, claim, and procedure details.

CONTENT PROVIDER
American Dental Association [ada]

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