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Crown: complete documentation (phrasing variant)

Claim 13000 · Bluebird Dental Benefits · Date of service 06/04/2026 · Source: synthetic case crown-13-complete · Generated 2026-10-12 07:00 UTC

Prepare in Open Dental

Ready to approve

Ready: approve to put the notes and narrative into Open Dental, then send the claim as usual.

  • Open Dental API call
    PUT /procedurelogs/13001
    {
      "ClaimNote": "Crown #21: narrative and radiograph attached"
    }
  • Open Dental API call
    POST /documents/Upload
    {
      "PatNum": 13000,
      "rawBase64": "<PDF, 1442 bytes>",
      "extension": ".pdf",
      "Description": "ClaimClear narrative - claim 13000",
      "ImgType": "Document",
      "ToothNumbers": "21"
    }
  • Open Dental API call
    POST /claimtrackings
    {
      "ClaimNum": 13000,
      "TrackingDefNum": 1,
      "Note": "ClaimClear: notes and narrative prepared"
    }

Preview the narrative PDF

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 #21 · 06/04/2026

Ready to submit

Narrative Every sentence checked against the chart

Large failing MO amalgam on #21 with open margins. More than half of the remaining tooth structure is lost. Periapical radiograph of #21 taken 04/15/2026. Treatment: D2740 crown on tooth #21, date of service 06/04/2026.
219 characters

Claim note

Crown #21: narrative and radiograph attached

Would strengthen the claim

Attachments

ItemStatusDetail
RadiographIn Open DentalPeriapical radiograph of #21 taken 04/15/2026. Source: Open Dental Imaging: "Periapical 21" (X-Rays), DocNum 13201.

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

CheckStatusDetail
Radiograph of tooth #21 within 12 monthsMetPeriapical radiograph of #21 taken 04/15/2026 (1.6 months before the date of service).
Clinical reason for the crown documentedMetLarge failing MO amalgam on #21 with open margins.
Extent of tooth structure loss documented (recommended)MetMore than half of the remaining tooth structure is lost.
Replacement interval (5+ years since prior crown)N/ANo prior crown on tooth #21 in the chart.
Initial/replacement flag matches chart historyMetFlagged as initial placement; no prior crown on tooth #21 in the chart.
Intraoral photo (recommended)Not documentedNo intraoral photo of tooth #21 in Open Dental Imaging.
Evidence used (5 facts)
IDFactWhere it comes from
C1D2740 crown on tooth #21, date of service 06/04/2026.Procedure D2740 (ProcNum 13001)
C2Periapical radiograph of #21 taken 04/15/2026.Open Dental Imaging: "Periapical 21" (X-Rays), DocNum 13201
C3Recorded as the initial crown placement on #21.Procedure D2740: Prosthesis = Initial
N1Large failing MO amalgam on #21 with open margins.
"Large failing MO amalgam on #21 with open margins"
Clinical note: D2740 #21 on 06/04/2026 (this procedure)
N2More than half of the remaining tooth structure is lost.
"More than half of the remaining tooth structure is lost"
Clinical note: D2740 #21 on 06/04/2026 (this procedure)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D2740 #21 on 06/04/2026 (this procedure)

Large failing MO amalgam on #21 with open margins. More than half of the remaining tooth structure is lost. Crown prep #21 for zirconia crown. Shade A2. Temp placed.

Engine: extractor heuristic, narrator template, reviewer none.