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Dentists Government

United Concordia is dedicated to helping our TDP enrollees throughout the country who have been impacted by a disasters. We realize you are wrestling with many issues and concerns in light of the current situation - your dental care shouldn’t be one of them. 

If your dental treatment has been impacted by a recent disaster, please contact United Concordia’s disaster line at 1-800-858-0051 to locate a dentist, coordinate benefits, and answer any questions regarding dental coverage. Please let us know you’ve been affected by the disasters when you call.

NATIONAL PROVIDER IDENTIFIER (NPI)

Simplifying administration and protecting patients' privacy

Get an NPI to submit electronic claims

A National Provider Identifier (NPI) is a unique, 10-digit number provided by the National Plan and Provider Enumeration System (NPPES) assigned to providers to simplify health care administration. NPIs must be included when submitting claims electronically, which ensures secure transactions and is in compliance with HIPAA regulations. In addition, individual states may require use of the NPI for paper claims.

To minimize potential claim processing errors and delays in payment, United Concordia encourages all dentists to obtain NPIs.

There are three basic types of NPIs available:

  • Individual (entity type 1)
    Includes sole proprietors providing health care services. An application for an Entity Type 1 NPI is completed using the individual dentist's social security number. Only one NPI will be allowed for an individual dentist.
  • Organizations (entity type 2)
    Includes group practices, professional corporations, clinics and incorporated individuals. Application for an Entity Type 2 NPI is completed using the organization's Employer Identification Number. A dental practice that is incorporated is considered an Entity Type 2, even if it employs only one dentist.
  • Subpart
    Subpart NPIs are given to components of organizations, such as affiliated sites that operate independently from the "parent organization", conduct their own HIPAA standard transactions, are certified by the State separately from the "parent" organization and must be uniquely identified in HIPAA standard transactions.
Three simple and free ways to apply for your NPI:
  1. Follow the online process at www.nppes.cms.hhs.gov
  2. Download the paper application from our website at www.UnitedConcordia.com
  3. Contact the NPI enumerator at:
    (800) 465-3203 or customerservice@npienumerator.com

Submit your NPI to United Concordia Dental

As soon as you receive your NPI, please submit it along with your entity type (1 or 2), National Plan and Provider Enumeration System (NPPES) confirmation, your address and United Concordia Provider Number to our Provider Data Management Department.

Submit online when you Update Your Profile with your NPI Or Complete the NPI Submission Form and:

Just send your updated provider information via fax or email.
Update Information
Email: providerrequests@ucci.com
Fax: 1-844-235-7261

Need additional information on NPIs?

See our Guide to NPIs

Visit the Centers for Medicare & Medicaid Services website

 
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