Buildup + crown: insufficient structure documented

Claim 14000 · Harborview Dental Plan · Date of service 05/27/2026 · Source: synthetic case buildup-01-complete · Generated 2026-10-12 07:06 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.

Claim note on D2950 tooth #15
(empty) -> "Buildup #15: narrative and radiograph attached"
Open Dental API call
```
PUT /procedurelogs/14001
{
  "ClaimNote": "Buildup #15: narrative and radiograph attached"
}
```
Claim note on D2790 tooth #15
(empty) -> "Crown #15: narrative and radiograph attached"
Open Dental API call
```
PUT /procedurelogs/14002
{
  "ClaimNote": "Crown #15: narrative and radiograph attached"
}
```

Narrative PDF in the patient's imaging

"ClaimClear narrative - claim 14000" (2 KB), ready to attach to the claim.

Open Dental API call

POST /documents/Upload
{
  "PatNum": 14000,
  "rawBase64": "<PDF, 2046 bytes>",
  "extension": ".pdf",
  "Description": "ClaimClear narrative - claim 14000",
  "ImgType": "Document",
  "ToothNumbers": "15"
}

Claim tracking status

ClaimClear: notes and narrative prepared

Open Dental API call

POST /claimtrackings
{
  "ClaimNum": 14000,
  "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.

D2950 core buildup · tooth #15 · 05/27/2026

Ready to submit

Narrative Every sentence checked against the chart

Insufficient tooth structure remaining to retain crown. Approximately 70% of coronal structure missing after caries removal. A crown (D2790) on #15 is recorded for 05/27/2026, the same visit. Periapical radiograph of #15 taken 04/09/2026. Treatment: D2950 core buildup on tooth #15, date of service 05/27/2026.

310 characters

Claim note

Buildup #15: narrative and radiograph attached

Attachments

Item	Status	Detail
Radiograph	In Open Dental	Periapical radiograph of #15 taken 04/09/2026. Source: Open Dental Imaging: "Periapical 15" (Radiographs), DocNum 14201.

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

Check	Status	Detail
Radiograph of tooth #15 within 12 months	Met	Periapical radiograph of #15 taken 04/09/2026 (1.6 months before the date of service).
Insufficient remaining structure to retain a crown documented	Met	Insufficient tooth structure remaining to retain crown.
Extent of tooth structure loss documented (recommended)	Met	Approximately 70% of coronal structure missing after caries removal.
Crown on the same tooth	Met	A crown (D2790) on #15 is recorded for 05/27/2026, the same visit.

Evidence used (5 facts)

ID	Fact	Where it comes from
C1	D2950 core buildup on tooth #15, date of service 05/27/2026.	Procedure D2950 (ProcNum 14001)
C2	Periapical radiograph of #15 taken 04/09/2026.	Open Dental Imaging: "Periapical 15" (Radiographs), DocNum 14201
C3	A crown (D2790) on #15 is recorded for 05/27/2026, the same visit.	Procedure D2790 completed 05/27/2026 (ProcNum 14002)
N1	Insufficient tooth structure remaining to retain crown. "Insufficient tooth structure remaining to retain crown"	Clinical note: D2950 #15 on 05/27/2026 (this procedure)
N2	Approximately 70% of coronal structure missing after caries removal. "Approx 70% of coronal structure missing after caries removal"	Clinical note: D2950 #15 on 05/27/2026 (this procedure)

Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (2, names redacted)

D2950 #15 on 05/27/2026 (this procedure)

Insufficient tooth structure remaining to retain crown; core buildup placed w/ Fluorocore. Approx 70% of coronal structure missing after caries removal.

D2790 #15 on 05/27/2026 (same visit)

Recurrent decay under existing MOD amalgam on #15. Discussed tx options; pt elected full cast gold crown. Local anesthetic administered. Prepped #15, final impression taken, temp cemented w/ TempBond.

Engine: extractor heuristic, narrator template, reviewer none.

D2790 crown · tooth #15 · 05/27/2026

Ready to submit

Narrative Every sentence checked against the chart

Recurrent decay under existing MOD amalgam on #15. Approximately 70% of coronal structure missing after caries removal. Periapical radiograph of #15 taken 04/09/2026. Treatment: D2790 crown on tooth #15, date of service 05/27/2026.

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