Implant #19: extracted elsewhere, patient unsure of the date

Claim 34000 · Harborview Dental Plan · Date of service 09/02/2026 · Source: synthetic case hand-04-implant-outside-extraction · Generated 2026-10-12 07:11 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 34000 (date of service 09/02/2026), documentation is missing.

D6010 surgical placement of an endosteal implant body, tooth #19:
- Record the extraction date (or when the tooth was lost) in the chart or a clinical note.

Open Dental API call

POST /tasks
{
  "TaskListNum": 1,
  "UserNum": 1,
  "Descript": "ClaimClear: claim 34000 (date of service 09/02/2026), documentation is missing.\n\nD6010 surgical placement of an endosteal implant body, tooth #19:\n- Record the extraction date (or when the tooth was lost) in the chart or a clinical note.",
  "KeyNum": 34000,
  "ObjectType": "Patient"
}

Claim tracking status

ClaimClear: documentation missing, see task

Open Dental API call

POST /claimtrackings
{
  "ClaimNum": 34000,
  "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.

D6010 surgical placement of an endosteal implant body · tooth #19 · 09/02/2026

Needs documentation

Do this before submitting

Record the extraction date (or when the tooth was lost) in the chart or a clinical note.

Narrative Every sentence checked against the chart

Tooth #19 is charted as missing. Patient had #19 extracted approximately 2 yrs ago at outside office (patient unsure of date). Patient wants to replace missing tooth, declined bridge (doesn't want to cut down #18/#20). Cone beam CT scan taken 08/12/2026. Treatment: D6010 surgical placement of an endosteal implant body on tooth #19, date of service 09/02/2026.

361 characters

Claim note

Implant #19: narrative and radiograph attached

Attachments

Item	Status	Detail
Radiograph	In Open Dental	Cone beam CT scan taken 08/12/2026. Source: Open Dental Imaging: "CBCT lower left" (Radiographs), DocNum 34201.

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

Check	Status	Detail
Radiograph of tooth #19 within 12 months	Met	Cone beam CT scan taken 08/12/2026 (0.7 months before the date of service).
Tooth documented as missing	Met	Tooth #19 is charted as missing.
Date the tooth was lost or extracted	Missing	No extraction date for tooth #19 was found. Plans with a missing tooth clause need the date the tooth was lost.
Reason an implant is indicated documented (recommended)	Met	Patient wants to replace missing tooth, declined bridge (doesn't want to cut down #18/#20).

Evidence used (5 facts)

ID	Fact	Where it comes from
C1	D6010 surgical placement of an endosteal implant body on tooth #19, date of service 09/02/2026.	Procedure D6010 (ProcNum 34001)
C2	Cone beam CT scan taken 08/12/2026.	Open Dental Imaging: "CBCT lower left" (Radiographs), DocNum 34201
C3	Tooth #19 is charted as missing.	Chart: tooth #19 marked Missing
N1	Patient had #19 extracted approximately 2 yrs ago at outside office (patient unsure of date). "Pt had #19 extracted ~2 yrs ago at outside office (pt unsure of date)"	Clinical note: D6010 #19 on 09/02/2026 (this procedure)
N2	Patient wants to replace missing tooth, declined bridge (doesn't want to cut down #18/#20). "Pt wants to replace missing tooth, declined bridge (doesn't want to cut down #18/#20)"	Clinical note: D6010 #19 on 09/02/2026 (this procedure)

Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D6010 #19 on 09/02/2026 (this procedure)

Pt had #19 extracted ~2 yrs ago at outside office (pt unsure of date). Pt wants to replace missing tooth, declined bridge (doesn't want to cut down #18/#20). Placed 4.0x8.5mm implant #19, healing abutment.

Engine: extractor heuristic, narrator template, reviewer none.