31.10.11.04

.04 Requirements for Use of J512 Form.

A. Third-party payors shall accept the J512 Form, or its equivalent, and most recent version of the instructions provided by the American Dental Association CDT-1 for use of the J512 Form, or its equivalent, as the sole instrument for filing claims with third-party payors for dental services.

B. A third-party payor may not require a dentist to use any code other than the CDT-1 codes for the initial filing of claims for dental care services.