Crown: no radiograph anywhere

Claim 3000 · Bluebird Dental Benefits · Date of service 03/28/2026 · Source: synthetic case crown-03-no-radiograph · Generated 2026-10-12 07:04 UTC

Prepare in Open Dental

Needs documentation

Not ready: 1 item to fix in the chart before this claim goes out. Re-run ClaimClear afterwards.

To-do list as an Open Dental task

ClaimClear: claim 3000 (date of service 03/28/2026), documentation is missing.

D2740 crown, tooth #12:
- Attach a pre-operative radiograph of tooth #12 (periapical preferred). If it lives in your imaging software, export it.

Open Dental API call

POST /tasks
{
  "TaskListNum": 1,
  "UserNum": 1,
  "Descript": "ClaimClear: claim 3000 (date of service 03/28/2026), documentation is missing.\n\nD2740 crown, tooth #12:\n- Attach a pre-operative radiograph of tooth #12 (periapical preferred). If it lives in your imaging software, export it.",
  "KeyNum": 3000,
  "ObjectType": "Patient"
}

Claim tracking status

ClaimClear: documentation missing, see task

Open Dental API call

POST /claimtrackings
{
  "ClaimNum": 3000,
  "TrackingDefNum": 2,
  "Note": "ClaimClear: documentation missing, see task"
}

ClaimClear never sends claims. After approving, staff attach the narrative PDF and radiographs to the claim in Open Dental and send it as usual.

D2740 crown · tooth #12 · 03/28/2026

Needs documentation

Do this before submitting

Attach a pre-operative radiograph of tooth #12 (periapical preferred). If it lives in your imaging software, export it.

Narrative Every sentence checked against the chart

Recurrent decay under existing MOD amalgam on #12. More than half of the remaining tooth structure is lost. Patient reports pain on biting. Treatment: D2740 crown on tooth #12, date of service 03/28/2026.

204 characters

Claim note

Crown #12: narrative attached

Would strengthen the claim

Attach an intraoral photo; photos make fracture and decay findings easier for reviewers to accept.

Attachments

Item	Status	Detail
Radiograph	Missing	No radiograph of tooth #12 was found in Open Dental Imaging or in completed radiograph procedures.

Documentation checks (Default (common plan guidelines - verify per carrier))

Check	Status	Detail
Radiograph of tooth #12 within 12 months	Missing	No radiograph of tooth #12 was found in Open Dental Imaging or in completed radiograph procedures.
Clinical reason for the crown documented	Met	Recurrent decay under existing MOD amalgam on #12.
Extent of tooth structure loss documented (recommended)	Met	More than half of the remaining tooth structure is lost.
Replacement interval (5+ years since prior crown)	N/A	No prior crown on tooth #12 in the chart.
Initial/replacement flag matches chart history	Met	Flagged as initial placement; no prior crown on tooth #12 in the chart.
Intraoral photo (recommended)	Not documented	No intraoral photo of tooth #12 in Open Dental Imaging.

Evidence used (5 facts)

ID	Fact	Where it comes from
C1	D2740 crown on tooth #12, date of service 03/28/2026.	Procedure D2740 (ProcNum 3001)
C2	Recorded as the initial crown placement on #12.	Procedure D2740: Prosthesis = Initial
N1	Recurrent decay under existing MOD amalgam on #12. "Recurrent decay under existing MOD amalgam on #12"	Clinical note: D2740 #12 on 03/28/2026 (this procedure)
N2	More than half of the remaining tooth structure is lost. "More than half of the remaining tooth structure is lost"	Clinical note: D2740 #12 on 03/28/2026 (this procedure)
N3	Patient reports pain on biting. "Pt reports pain on biting"	Clinical note: D2740 #12 on 03/28/2026 (this procedure)

Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D2740 #12 on 03/28/2026 (this procedure)

Recurrent decay under existing MOD amalgam on #12. More than half of the remaining tooth structure is lost. Pt reports pain on biting. Discussed tx options; pt elected e.max crown. Local anesthetic administered. Prepped #12, final impression taken, temp cemented w/ TempBond.

Engine: extractor heuristic, narrator template, reviewer none.