Requirements for Use of J510/J511/J512 Form

Section 2017 Section 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.