Insurance Resources

Resources


ADA Contract Analysis Service
As a service to PDA members, ADA's Contract Analysis Department will review and comment on insurance contracts. 

Aetna Claim Tips
Helpful Claim Processing Tips for Aetna Particiapting Providers.

Insurance Company Contact Information
This section provides the contact information for the major third party insurers in Pennsylvania. Also provided are links to downloadable claim forms. 

Insurance Claim Processing Manual (PDF file)

National Provider Identifier
Dentists can apply for a National Provider Identifier (NPI), which was mandated by HIPAA and will replace other identification numbers issued by health plans and will be required for electronic transactions. 

Enrollment Requirements for Writing Prescriptions for Medicare Part D Drugs (PDF file)
Federal government issues new provider enrollment requirements for writing prescriptions for Medicare Part D Drugs. Dentists who write these prescriptions must decide whether or not to opt in as a Medicare provider. 

United Concordia Dental’s Tools and Resources Guide for Dental Offices.

PDA Meeting with United Concordia Dental, August 2018.