Dental Network of America, LLC.

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Electronic Services
 

Electronic Services

FIVE REASONS TO FILE YOUR CLAIMS ELECTRONICALLY:

  • Maximize Cash Flow
  • Prompt Claim Turnaround
  • Faster Reimbursements
  • Save on Labor, Time and Postage
  • Reduced Risk

Filing Claims

Claims can be filed electronically to reduce your administrative costs, improve accuracy and expedite payment. We accept electronic claims from all major vendors and clearinghouses that agree to forward claims to Availity, our centralized clearinghouse. We have contractual agreements with:

When submitting electronic claims, please be sure to use your National Provider Identifier (NPI). An NPI is required for all electronic transactions.

Please contact customer service for a list of other available clearinghouses we work with on a daily basis.

We strongly recommend electronic submission of attachments and x-rays. To enroll in our e-attachment program and submit x-rays electronically, please visit the web site at www.nea-fast.com or call National Electronic Attachments (NEA) at (800)782-5150, Option 2.

We support the recommendation that original documentation should never leave your office. We encourage you to submit copied radiographs or send your dental claim and radiographs electronically. Radiographs submitted with a paper claim will no longer be returned to your office unless accompanied by a self-addressed envelope.

When submitting electronic claims, please be sure to use your National Provider Identifier (NPI). An NPI is required for all electronic transactions.

Provide Link for NPI Usage

National Provider Identifier (NPI) numbers

NPIs are 10-digit numbers that are unique to each provider and group practice or organization, and are required by HIPAA for electronic claims transactions. There are two types of NPIs:

  • Type 1 NPI is for individual healthcare providers, such as dentists and hygienists. This is the only type of NPI you will need if you receive payments in your name or under your social security number as a solo practitioner. For practices with multiple dentists, a Type 1 NPI should be obtained for each dentist.
  • Type 2 NPI is for incorporated businesses, such as group practices and clinics that are paid in their business or corporate name, or under their employer identification number (EIN).

When submitting claims, the Type 2 NPI identifies the payee, and may be submitted in conjunction with a Type 1 NPI to identify the dentist who provided the treatment. For example, on a standard ADA Dental Claim Form (#J400), the treating dentist’s NPI is entered in field 54 and the billing entity’s NPI is entered in field 49.

Don’t have an NPI number? You can apply using one of the following options:

Email:  customerservice@npienumerator.com
Telephone:  800-465-3203
800-692-2326 (NPI TTY)
Mail:  NPI Enumerator
PO Box 6059
Fargo, ND 58108-6059
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