Insurance - 2019 ADA Claim Form - diagnosis code list & qualifier box 34 & 34a

Overview

The ability to add Diagnosis Codes in your claim forms in the fields 34 and 34a and sending electronically can be achieved by clicking “REFRESH PATIENT INFO” before sending the claim

Available on the 2019 ADA Claim Form in version 12.371a or higher

Detailed Instructions

  1. Post Fee
  2. Create claim
  3. Add Code to box 34, then 34a

  5. Click "Refresh Patient Info"

  6. Submit Claim

Article ID: 836
Created: July 31, 2020
Last Updated: February 26, 2026
Author: TDO KB [web_admin@tdo4endo.com]

Online URL: https://kb.tdo4endo.com/article.php?id=836