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COVID-19 Coding and Billing Interim Guidance : PPE

• The payment will be $ 10 regardless of the dentist ’ s network status ( Premier / PPO ) or specialty .

• Payment will not exceed $ 10 for any unique patient for services provided on the same day , and payment will be paid to the practice based on Tax Identification Number ( TIN ), not the individual dentist .

• The payment will not be made when the claims are adjudicated . Around the 15th of the following month , NEDD shall run a report identifying all the patients your office saw in the prior month , and then an administrative check will be cut outside the normal claims process

• For claims adjudicated in May , with May dates of service ( DOS ), a report will be run approximately June 15th , followed closely by the mailing of an administrative check to your office for those claims . The same process will be followed for claims adjudicated in June with June dates of service ( and any May DOS run-out ), with a check to follow in July .

• The need for any extension of this COVID-19 Interim Supplemental program will be reassessed at that time .

Delta Dental of Kansas

• From June 1 , 2020 through July 31 , 2020 , for each patient visit , Delta Dental of Kansas will provide an additional $ 10 per patient to help assist in covering increased PPE costs .

• Delta Dental of Kansas will pay participating dental practices in Kansas $ 10 per patient visit for patients that are DDKS covered members only .

• No enrollment or applications needed to receive these payments .

• Participating Dentists will submit claims as usual ( no special codes or notes needed ).

• Claims must be received within 30 days of the date of service in order for DDKS to calculate payments .

• Payments will be issued monthly as a bulk payment for the total number of DDKS patient visits for the prior month .

• Our Professional Relations team is available to help with the program and answer any questions .

Delta Dental of Colorado

• DDCO is offering a personal protective equipment ( PPE ) Reimbursement Program for Delta Dental PPO and Premier network providers in Colorado .

• From May through July 2020 , DDCO will automatically pay $ 8 per adjudicated claim for billable dates of service between May 1 and July 31 , 2020 .

• Claims must be received by DDCO on or before August 31 , 2020 .

• Dentists do not need to submit claims or procedure codes for PPE ; those will be denied as not billable to the patient and will delay payment .

• DDCO ’ s first lump-sum payment would be made in June 2020 for adjudicated claims for billable dates of service rendered from May 1 to May 31 , 2020 . A second lump-sum payment would be made in July 2020 for adjudicated claims for services rendered from May 1 to June 30 , 2020 ( excluding claims included in the first