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Crown #8: incisal third lost in a fall, with photo

Claim 36000 · Bluebird Dental Benefits · Date of service 05/19/2026 · Source: synthetic case hand-06-anterior-fall · Generated 2026-10-12 07:09 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/36001
{
  "ClaimNote": "Crown #8: narrative and radiograph attached"
}
  • Open Dental API call
    POST /documents/Upload
{
  "PatNum": 36000,
  "rawBase64": "<PDF, 1393 bytes>",
  "extension": ".pdf",
  "Description": "ClaimClear narrative - claim 36000",
  "ImgType": "Document",
  "ToothNumbers": "8"
}
  • Open Dental API call
    POST /claimtrackings
{
  "ClaimNum": 36000,
  "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 #8 · 05/19/2026

Ready to submit

Narrative Every sentence checked against the chart

#8 Class IV fractured, incisal third gone after fall. Periapical radiograph of #8 taken 05/05/2026. Treatment: D2740 crown on tooth #8, date of service 05/19/2026.
163 characters

Claim note

Crown #8: narrative and radiograph attached

Would strengthen the claim

Attachments

ItemStatusDetail
RadiographIn Open DentalPeriapical radiograph of #8 taken 05/05/2026. Source: Open Dental Imaging: "PA #8" (X-Rays), DocNum 36201.
Intraoral photoOptionalIntraoral photograph of #8 taken 05/05/2026. Source: Open Dental Imaging: "Intraoral photo #8" (Photos), DocNum 36202.

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

CheckStatusDetail
Radiograph of tooth #8 within 12 monthsMetPeriapical radiograph of #8 taken 05/05/2026 (0.5 months before the date of service).
Clinical reason for the crown documentedMet#8 Class IV fractured, incisal third gone after fall.
Extent of tooth structure loss documented (recommended)Not documentedNo note describes how much tooth structure on tooth #8 is missing or undermined.
Replacement interval (5+ years since prior crown)N/ANo prior crown on tooth #8 in the chart.
Initial/replacement flag matches chart historyMetFlagged as initial placement; no prior crown on tooth #8 in the chart.
Intraoral photo (recommended)MetIntraoral photograph of #8 taken 05/05/2026.
Evidence used (5 facts)
IDFactWhere it comes from
C1D2740 crown on tooth #8, date of service 05/19/2026.Procedure D2740 (ProcNum 36001)
C2Periapical radiograph of #8 taken 05/05/2026.Open Dental Imaging: "PA #8" (X-Rays), DocNum 36201
C3Intraoral photograph of #8 taken 05/05/2026.Open Dental Imaging: "Intraoral photo #8" (Photos), DocNum 36202
C4Recorded as the initial crown placement on #8.Procedure D2740: Prosthesis = Initial
N1#8 Class IV fractured, incisal third gone after fall.
"#8 Class IV fx, incisal third gone after fall"
Clinical note: D2740 #8 on 05/19/2026 (this procedure)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D2740 #8 on 05/19/2026 (this procedure)

#8 Class IV fx, incisal third gone after fall. Endo eval neg. Pt wants esthetic crown.

Engine: extractor heuristic, narrator template, reviewer none.