Get the free Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration
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This document serves as an enrollment form for providers to register electronically with Washington, D.C. Medicaid and Emdeon Business Services for dental claims submissions. It outlines required
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How to fill out washington dc medicaid dental
How to fill out Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration
01
Visit the Washington, D.C. Medicaid website.
02
Download the Medicaid Dental Electronic Claims Enrollment Registration form.
03
Fill out your personal information including name, address, and contact details.
04
Provide relevant provider information, including NPI number and tax identification.
05
Specify the types of dental services you offer.
06
Review the enrollment requirements and ensure all necessary documentation is included.
07
Sign and date the application form.
08
Submit the completed form via mail or electronically as per the provided instructions.
Who needs Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration?
01
Dental providers who wish to bill Medicaid for dental services in Washington, D.C.
02
New dental practices entering the Medicaid program.
03
Existing dental providers updating their enrollment or information.
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What is Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration?
Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration is a process through which dental providers enroll to submit electronic claims for Medicaid dental services to the D.C. Medicaid program.
Who is required to file Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration?
Dental providers who wish to participate in the D.C. Medicaid program and submit electronic claims for reimbursement are required to file the Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration.
How to fill out Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration?
To fill out the registration, providers must complete the designated enrollment form, providing necessary details such as provider information, services offered, and payment preferences, then submit it to the appropriate D.C. Medicaid office.
What is the purpose of Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration?
The purpose of the enrollment registration is to streamline the process for dental providers to electronically submit claims to Medicaid, ensuring timely processing and reimbursement for dental services provided to eligible patients.
What information must be reported on Washington, D.C. Medicaid Dental Electronic Claims Enrollment Registration?
The information that must be reported includes the provider's name, National Provider Identifier (NPI), contact information, practice address, and any relevant billing information necessary for claims processing.
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