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Industry Representation 

Through the Standards and Transaction Initiative (STI), NADP strengthens its advocacy program by holding a voting seat and representing members on numerous national and international standard-setting organizations that impact key business operations of dental plans. NADP coordinates a unified, industry response and provides the unique views of our diverse membership on procedure and diagnostic codes, standards for electronic transactions, quality measures, utilization data and more.

NADP speaks with knowledge and authority when representing your interests to the following groups:

  • X12 – responsible for the development and maintenance of electronic transactions; i.e. eligibility, claims, enrollment and payment.
  • American Dental Association (ADA)
  • Code Maintenance Committee (CMC) -responsible for modification and maintenance of Current Dental Terminology (CDT).
  • Dental Caucus– dental industry focused committee related to X12 with NADP holding the chair position.
  • Dental Claim Form Advisory Committee (DeCFAC) – responsible for reviewing and suggesting changes to the American Dental Association Dental Claims Form
  • Dental Content Committee (DeCC) – responsible for review of changes to electronic data interchange (EDI) standards under HIPAA.
  • Standards Committee on Dental Informatics (SCDI) – responsible for the development of model policies relating to HIPAA standards and EDI.
  • SNODENT (Systemized Nomenclature of Dentistry) Maintenance Committee
  • Claim Adjustment Reason Codes Committee (CARC) - responsible for maintaining the quality and business applicability of Health Care
  • Industry Code lists for use in an electronic data interchange (EDI) environment.
  • Dental Quality Alliance (DQA) – responsible for development and implementation of dental specific quality measures.
  • Health Level 7 (HL7) – responsible for development and maintenance of attachments for electronic transactions.
  • SNOMED (formerly International Health Terminology Standards Development Organization or IHTSDO)
NADP STI and Advocacy staff also attend other industry or organizational events where standard-setting or regulatory activities are discussed. As well they reach out and/or collaborate with organizations whose members have dental interests including:
  • American Association of Dental Consultants (AADC)
  • American Council of Life Insurance (ACLI)
  • America’s Health Insurance Plans (AHIP)
  • Alliance of Maryland and Virginia Dental Plans
  • California Association of Dental Plans (CADP)
  • Delta Dental Plan Association (DDPA)
  • FAIR Health
  • LIMRA International
  • National Association of Insurance Commissioners (NAIC)
  • National Committee on Vital Health Statistics (NCVHS)
  • National Conference of Insurance Legislators (NCOIL)
  • National Conference of State Legislatures (NCSL)

If you would like information on these activities, please contact NADP Deputy Executive Director Timothy L. Brown.