Federal law (HIPAA) requires all health care providers and organizations to use a standard identifier on all electronic transmissions that include patients' health information, such as electronically submitted claims. This standard identifier is the National Provider Identifier (NPI), and it is assigned by a federal government agency.
Any dentist can get an NPI and use it on both electronic and paper claims; however, as of May 23, 2008, all heath care providers and organizations that meet the HIPAA definition of a covered entity are required to use an NPI to identify themselves in HIPAA standard transactions.
All e-claims sent to Delta Dental must include:
Note: The Type 2 NPI may be entered in addition to the Type 1 NPI to identify the billing provider (such as a group practice).
Dentists must register their NPI with Delta Dental by sending a copy of the document assigning their number to our provider records department:
Attention: Provider Records
PO Box 30416
Lansing, MI 48909-7916