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This document provides a directory of dentists participating in the State of Connecticut Basic Dental Plan, specifically tailored for employees and retirees, along with relevant details about dental
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How to fill out State of Connecticut Basic Dental Plan Provider Listing
01
Gather all necessary provider information, including name, address, phone number, and NPI.
02
Access the State of Connecticut Basic Dental Plan Provider Listing form online or obtain a physical copy.
03
Fill in the provider's name accurately in the designated field.
04
Provide the complete mailing address, ensuring it matches official records.
05
Enter the phone number, verifying that it's a functioning point of contact.
06
Include the National Provider Identifier (NPI) number, if applicable.
07
Review all entered information for accuracy and completeness before submission.
08
Submit the completed form as per the instructions provided on the form (online or mail).
Who needs State of Connecticut Basic Dental Plan Provider Listing?
01
Dental providers who wish to participate in the State of Connecticut Basic Dental Plan.
02
Healthcare administrators managing patient referrals within the dental network.
03
Insurance companies collaborating with dental providers in the state.
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What is State of Connecticut Basic Dental Plan Provider Listing?
The State of Connecticut Basic Dental Plan Provider Listing is a directory that includes information on dental providers who are participating in the state-sponsored basic dental insurance plan for eligible individuals.
Who is required to file State of Connecticut Basic Dental Plan Provider Listing?
Dental providers who wish to participate in the State of Connecticut Basic Dental Plan are required to file the provider listing.
How to fill out State of Connecticut Basic Dental Plan Provider Listing?
To fill out the State of Connecticut Basic Dental Plan Provider Listing, providers must complete the forms provided by the state, ensuring all necessary information is accurate and submitted by the required deadlines.
What is the purpose of State of Connecticut Basic Dental Plan Provider Listing?
The purpose of the State of Connecticut Basic Dental Plan Provider Listing is to ensure that eligible individuals have access to a network of dental providers who can provide necessary services under the plan.
What information must be reported on State of Connecticut Basic Dental Plan Provider Listing?
The information that must be reported includes the provider's name, contact information, practice location, and any specialties or services offered.
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