Claims processing change to match NPI numbers begins Oct. 5
Starting Monday, Oct. 5, 2020, DDSD will match claims using the billing and treating NPI numbers in addition to the tax identification number (TIN) and license number.
Including a billing and treating NPI number will be required to process any claim submitted. A claim submitted without a billing and treating NPI number, or if an NPI number on the claim does not match the corresponding number in the DDSD claims system, will not be processed. A Professional Relations Representative will contact the office to resolve the issue for the claim.
Providers enrolled with SD Medicaid must have the same billing and treating NPI numbers on file in the SD Medicaid SDMEDX system as are on file with Delta Dental of South Dakota.
To prevent delays in claims processing, please ensure the correct billing and treating NPI numbers are included on each claim. Contact us at email@example.com or 877-841-1478 if you have any questions. We're happy to help!
Starting July 1, 2020, our Prevention Pays feature will be included in our fully insured plans. That means 75% of our members will have expanded benefits that encourage preventive dental care.
Our new series of videos will help your office get started as a Health through Oral Wellness provider. Learn how to set up and use the PreViser risk assessment tool to help your patients unlock benefits to improve their oral health.
The South Dakota Medicaid program is implementing a new review process for orthodontic benefits on July 1, 2020.
Check benefits, eligibility and claims information for patients covered by Delta Dental of South Dakota.
View benefits, eligibility and claims for patients covered by Delta Dental companies outside of South Dakota.
Manually submit claims to Delta Dental of South Dakota using an online tool (not compatible with practice management software).
Get paid faster with secure electronic funds transfer (EFT) payments. Available free to Delta Dental participating dentists.
Initial guidance regarding the use of teledentistry in the delivery of limited, problem-focused examinations. Guidance and coverage is effective March 16, 2020.