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NIHB Dental Provider Documentation

Enrolment

Instructions

To enrol in the Dental NIHB Program:

  1. Download the Dental Provider Enrolment Form:
  2. Complete the Dental Provider Enrolment Form fully for all required sections. 
    • Did you know…
    • Electronic Funds Transfer (EFT) is free and secure!
    • Sign up by completing the Payment Information section of the Dental Provider Enrolment Form and eliminate mail delivery delays of lost, misplaced, or stolen cheques! Receive your claim payments directly into your designated bank account on the day the payment is issued and still continue to receive mailed statements for reconciliation!
    • Electronic Data Interchange (EDI) is a point of service, claim submission method to submit Dental claims electronically in real time!
    • Purchasing a software compliant with CDAnet Electronic Claim Standard, Denturists Association of Canada (DACnet) or Réseau ACDQ (Association des chirurgiens dentistes du Québec) will expedite your claim submissions. Why not consider it today! For more information, contact your association to be advised of the list of certified software vendors.
  3. Sign the Dental Provider Enrolment Form (where indicated).
  4. Fax all pages (including a photo copy of a VOID cheque or official bank letter for EFT payments) of the Dental Provider Enrolment Form to Express Scripts Canada at fax number 1 (855) 622-0669.

Dental Forms

Claims, Pre-Determinations and Post-Determinations

Orthodontic

Claims Submission Kit

Dental Hygienist Provider Enrolment Form

Provider Information Changes

Dental Quick Reference Sheet

Contacts

Express Scripts Canada Provider Claims Processing Call Centre

Extended Hours of Operation:
Monday to Friday
6:30 a.m. - 8:30 p.m. ET, excluding Statutory Holidays

Telephone Inquiries:
1 (888) 511-4666

Mail dental claims to:
Express Scripts Canada
NIHB Dental Claims
3080 Yonge St., Suite 3002
Toronto, ON M4N 3N1

Or

Fax dental claims to:
Toll Free Fax No.: 1 (888) 249-6098

For all other correspondence, mail to:
Express Scripts Canada

5770 Hurontario St., 10th Floor

Mississauga, ON L5R 3G5

Health Canada
Click Health Canada Contacts to view all the NIHB Program contact numbers.


Express Scripts Canada