ADA Standards Program volunteers work together on documents that establish requirements for safe and effective dental products and technologies through a consensus-based process. The ADA has played a key role in the development of dental standards since 1928 and is an American National Standards Institute Accredited Standards Developer. The Working Groups that develop ADA standards are a diverse group of expert volunteers representing dental practitioners, industry, government and academia. Professionals from all areas of interest are encouraged to participate. Involvement is open to anyone who would like to contribute their expertise.
The following draft standards are available for public review and comment until the dates listed below. Please note that draft standards that are adoptions of ISO standards must be requested as indicated below due to copyright restrictions.
If you have any questions, contact standards@ada.org.
Proposed ANSI/ADA Standard No. 1120-1, Dentistry – Data Content Standard: Dental Claim Status Verification
Developed by ADA Standards Working Group 11.15: Data Content Standardization to Support Mandated Administrative Transactions
This document defines the structured data required for dental claim status inquiries, including patient, provider, claim, and procedure details. It specifies the expected response from payers, detailing claim adjudication status, reasons for pending claims, payment processing updates, and any additional required actions.
This document does not prescribe or endorse any specific implementation methodology, implementation guide, or technology standard for its adoption. In addition, this document does not define or reference any operating rules but may refer to operating rule definitions associated with dental claim status inquiries, including patient, provider, claim, and procedure details.
Download 1120-1 (PDF)
Download Comments Template (Word)
If you have comments on Proposed ANSI/ADA Standard No. 1120-1, download the corresponding comments template above, add your comments and proposed changes, and send to standards@ada.org by November 27.
Proposed ANSI/ADA Standard No. 1120-2, Dentistry – Data Content Standard: Dental Coordination of Benefits
Developed by ADA Standards Working Group 11.15: Data Content Standardization to Support Mandated Administrative Transactions
The document defines the structured data required for coordination of benefits for dental claims, ensuring efficient communication between dental providers, payers and intermediaries. It specifies the essential data elements including but not limited to, patient demographics, provider information, interoperability requirements for data exchange between primary and secondary payers, claim level details, and adjudication data for dental claim coordination of benefits.
This document does not prescribe or endorse any specific implementation methodology, implementation guide, or technology standard for its adoption. In addition, this standard does not define or reference any operating rules associated with dental claim status inquiries, including patient, provider, claim, and procedure details.
Download 1120-2 (PDF)
Download Comments Template (Word)
If you have comments on Proposed ANSI/ADA Standard No. 1120-2, download the corresponding comments template above, add your comments and proposed changes, and send to standards@ada.org by November 27.