The Accident and Related Dates section displays information about the causes and dates relating to the claim. The Accident and Related Dates fields are defined by section below :
If Accident
Related Cause 1 & 2Related Cause 1 & 2
Select the related cause from the drop-down menu. Options are:
AA | Auto Accident |
EM | Employment |
OA | Other Accident |
Date of the accident related to charges or to the patient's current condition, diagnosis, or treatment referenced in the transaction.
Auto Accident
State or Province where auto accident occurred.
Country where auto accident occurred.
Related Dates
Appliance PlacementAppliance Placement
Date orthodontic appliances were placed.
Date when service was performed.
Repricer ReceivedRepricer Received
Date the claim was received by the repricer organization.
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