J430 Dental Claims Forms

J430 Dental Claims Form
J430 Dental Claims Form

The ADA Dental Claim Form has been revised to incorporate key changes to the HIPAA standard electronic dental claim transaction. Changes to the form include the reporting of diagnosis codes and diagnosis code pointers, place of service codes, and other medical and dental coverage. Every dentist should be using the 2012 version of the ADA Dental Claim Form to avoid delayed payment and claims processing problems.

Perform all of your claims processing faster, with less errors and less effort
in one easy-to-use, affordable application.

The cutting-edge technology of our software
streamlines the processing of healthcare claims to offer
the leading innovative data management solution.

  1. Once the form is imported (copied or scanned) into our system, recognition begins:
    Once the form is scanned, our software uses Optical Character Recognition (OCR) to recognize machine printed data from scanned images, as well as Intelligent Character Recognition (ICR) that can read hand printed data to electronically isolate and record information provided in the different fields, transferring and filling that information. This includes all information on the form, such as:
  • Patient information
  • Insurance information
  • Each line of the services provided
  • Account information
  • Billing information
  • Patient signatures
  • Injury related dates
  • Diagnosis codes
  • Submission data

Streamline operations for the processing of healthcare claims using our automated processing systemCMS 1500.

Contact us now! Get a free no obligation quote and schedule your free demo today!

2.  Our software checks for errors, then flags and prioritizes those errors.
Our software checks for errors, then flags and prioritizes those errors by low confidence fields for easy verification or correction. Low confidence areas are highlighted for fast review.

3.  Edit or verify the recorded information.
You can review and edit all the data automatically recorded from the form.

4.  The proper organization and format of the form is automatically generated
using a set of standards to meet the requirements mandated by the HIPAA Transactions and Code Set Rule (TCS) to allow for accurate claim submissions.

5.  Export and store your claim.
When verification is complete, all the data is automatically exported to your claims processing system and stored in a database.

Does your organization enter data from healthcare claim forms?

law_post_13 You can benefit from our advanced automated processing system with its superior service-oriented architecture:

  • Savings in time and labor
  • Less errors caused by manual data entry
  • Expedite claim processing and collection of payment
  • Eliminate slow, inaccurate manual processes
  • Easily meet changing healthcare industry standards
  • Increase accuracy, productivity, and profitability


Discover how quickly and easily you can scan, index, and sort claims forms.  Our predefined templates eliminate the extra headaches of data capture.

Be a leader in the competitive healthcare industry with optimized healthcare claims management using our automated processing system.