Volume 9 • 2022 • Issue 3

Use the Correct Unique Identifier Number (UIN) on Insurance Claims Dental benefits play an important role in contributing to patients visiting their dentist for oral health services. CDAnet was developed as an important value-added service for managing dental benefit claims. It provides nearly 90% of licensed dentists across Canada with the ability to assist patients with claiming dental benefits in an efficient and secure manner. I n Canada, our current dental benefit claim ecosystem has no contractual obligations between dentists and insurance carriers. However, it is important to closely follow the principles outlined in the CDAnet/ITRANS subscription agreement. To help keep your practice running smoothly, here are some important reminders when assisting patients with claiming dental benefits. Never combine claims by more than one dentist under a single UIN Insurance carriers use the information contained in the claims they receive to establish profiles of the dentists identified in these claims. Grouping claims for work performed by more than one dentist under the UIN of just one dentist may seem to ease the administrative burden at your office. However, it distorts the profile of the dentist whose UIN appears on the claims in a way that could attract unwanted attention from insurance companies. Implications of using wrong UIN on claims Misrepresenting the UIN of the providing dentist when using CDAnet to transmit patients’ claims is serious. Key principles of the CDAnet/ITRANS subscription agreement states: (i) the dental services performed; (ii) the date on which the services were performed; (iii) the provider who performed the services; (iv) the Office at which the services were performed; (v) all the services provided at the particular appointment; and (vi) the total fee payable, errors and omissions excepted. 3.4 (f) You warrant that the electronic submission of any Dental Benefit Claim byYou or any of your End Users constitutes a certification that the Claim contains an accurate and complete statement of: Inaccurate representation of any of the above principles could lead to an accusation of fraud and/or being subject to administrative penalties as severe as being excluded from the approved provider list of one or more insurance companies. Associate dentists can be easily set up to send CDAnet electronic claims in a matter of minutes. • The office can sign in to the Practice Support Services (PSS) website at services.cda-adc.ca and send an invite to the associate dentist to join the office; or • The associate dentist can sign in to the PSS website and request to join the office. If you need help or have any questions, email pss@cda-adc.ca or call 1-866-788-1212. 16 | 2022 | Issue 3 CDA atWork