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UNINSURED HEALTH BENEFITS (NIB) DENTAL PROVIDER TRAVEL ACTIVITY REPORT NR DCI Number/Fiscal Year: HCP073 (20222023) NOTE: This document is a representation of the reporting requirements for DCI HCP073.

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How to fill out nihb dental provider travel

01

Obtain the necessary forms from the NIHB website or your local health authority.

02

Fill out the provider information section including your name, contact information, and provider number.

03

Complete the travel details section including the destination, dates of travel, and purpose of the trip.

04

Attach any supporting documentation such as conference invitations or clinic schedules.

05

Submit the completed form to the appropriate NIHB office for approval.

Who needs nihb dental provider travel?

01

Dental providers who are participating in the Non-Insured Health Benefits (NIHB) program and need to travel for professional development, conferences, or to provide services in remote communities.

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What is nihb dental provider travel?

NIHB dental provider travel is a form that dental providers must fill out when traveling for business related to NIHB services.

Who is required to file nihb dental provider travel?

All dental providers who are traveling for business related to NIHB services are required to file the form.

How to fill out nihb dental provider travel?

The form can be filled out online on the NIHB website or submitted by mail. All required fields must be completed accurately.

What is the purpose of nihb dental provider travel?

The purpose is to track and approve dental provider travel expenses related to NIHB services.

What information must be reported on nihb dental provider travel?

Information such as travel dates, destination, purpose of travel, mode of transportation, and estimated expenses must be reported.

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