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National Dental Electronic Data Interchange Council

Phoenix, AZ · EIN 860703348 · Form 990EZ · FY2022 · Small ($100K-$1M) · ndedic.org

revenue

$130K

expenses

$158K

net assets

$120K

employees

—

mission · from form 990

Educate, support, and streamline the dental industry

profile · synthesized from sources

The National Dental Electronic Data Interchange Council (NDEDIC) is a nonprofit association of dental industry stakeholders working to standardize and promote electronic data interchange (EDI) for dental transactions. It brings together payers, providers, vendors, and other entities to develop best practices, improve efficiency, and reduce administrative costs in eligibility, claims, and remittance processes. The organization operates through member-driven work groups and task forces, focusing on advancing EDI adoption across the dental sector.

named programs · 6 · from sources

what they call their work

EDI Summit

Annual conference featuring educational sessions, networking, and in-person work group meetings focused on dental EDI advancements

Public Forums and Task Groups

Open forums and specialized task groups that allow stakeholders to collaborate on solving industry-specific EDI challenges

Uniting the Industry Forum (UIF)

In-person event combining work group meetings with educational components to advance collaboration on dental EDI solutions

Work Group 1 - Eligibility and Benefits

Develops guidance for the ASC X12 270/271 transactions to improve electronic eligibility and benefits inquiries and responses in dentistry

Work Group 2 - Remittance

Focuses on standardizing electronic remittance advice, including Claim Adjustment Reason Codes and Remittance Advice Remark Codes specific to dental needs

Work Group 3 - A.I. Processes in Claim Review

Explores the use of artificial intelligence in dental claim review processes to improve efficiency and accuracy

activities · 2 clusters

what they do

Dental Electronic Data Interchange (EDI) Standards Development 16 activities
- Develop Resources for Standardized Data Exchange
  
  Develops resources such as the Top Dental Eligibility and Benefits Questions Response Guide and identifies key data elements required for efficient electronic transactions in dental care.
- Develop and Promote Dental EDI Standards and Best Practices
  
  Facilitates collaboration among dental industry stakeholders to develop cost-efficient business solutions, best practice guidance, and new standards for dental information exchange, including recommending modifications to existing transactions and code sets.
- Develop and Promote Dental EDI Standards and Best Practices
  
  Facilitates collaboration among dental industry stakeholders to develop cost-efficient business solutions, best practice guidance, and new standards for dental information exchange, including recommending modifications to existing transactions and code sets.
- Development and dissemination of implementation guidance and tools
  
  Creates and distributes practical resources such as the Top Dental Eligibility and Benefits Questions Response Guide and implementation guidance for HIPAA-compliant Electronic Remittance Advice, including standardized transaction codes (CARCS and RARCS) tailored to dental needs.
- Development and standardization of dental electronic data interchange standards
  
  Leads the development, recommendation, and implementation of dental electronic data interchange (EDI) standards and transaction code sets, including modifications to existing healthcare transactions for dental use, and publishes best practices and implementation guidance. Works with Standards Development Organizations to advance standardized dental information exchange.
- Development of dental EDI standards and best practices
  
  Leads the creation and recommendation of dental electronic data interchange (EDI) standards, transaction modifications, and code sets through work group initiatives, publishing best practices and implementation guidance for the dental community. These efforts are directed to Standards Development Organizations and aim to adapt existing healthcare transactions for dental use.
- Development of implementation tools and guidance
  
  Creates practical resources for the dental community, including the Top Dental Eligibility and Benefits Questions Response Guide and implementation guidance for HIPAA-compliant Electronic Remittance Advice, with standardized transaction codes (CARCS and RARCS) tailored to dental needs.
- Educate on Dental Electronic Data Interchange (EDI)
  
  Provides live and online educational programs, including an annual EDI Summit and webinars, focused on dental electronic data interchange standards, implementation, and regulatory requirements.
- Education and training on dental EDI
  
  Hosts an annual EDI Summit, the Uniting the Industry Forum, live and online educational programs, and ongoing webinars to train dental professionals on EDI standards, implementation, and regulatory requirements.
- Education and training on dental electronic data interchange
  
  Offers live, online, and annual educational programs—including the EDI Summit, Uniting the Industry Forum, and webinars—focused on dental EDI standards, regulatory requirements, and implementation strategies to build capacity across the dental community.
- Facilitation of stakeholder collaboration and work groups
  
  Provides a collaborative forum for dental industry stakeholders to develop cost-efficient solutions and advance dental information exchange, hosting monthly conference calls, three in-person meetings annually, and ongoing work groups that have historically educated professionals and promoted EDI adoption.
- Facilitation of stakeholder collaboration through structured work groups and meetings
  
  Provides a collaborative forum for dental industry stakeholders to develop cost-efficient solutions and best practices for dental information exchange, hosting monthly conference calls, three in-person meetings annually, and ongoing work groups focused on EDI implementation and innovation.
- Provide Educational Programs and Forums
  
  Hosts live and online educational programs, including an annual EDI Summit, forums, and webinars, focused on dental electronic data interchange standards, implementation, and regulatory requirements.
- Research to identify core data elements for dental eligibility and benefits transactions
  
  Conducted research to identify the top 56 data elements necessary for payers to efficiently respond to dental office inquiries about patient eligibility and benefits, forming the basis for standardized electronic transactions.
- Research to standardize dental eligibility and benefits data
  
  Conducted research to identify the top 56 data elements required by payers to efficiently respond to dental office inquiries about patient eligibility and benefits, forming the basis for standardized electronic transactions.
- Standardize Dental Eligibility and Benefits Information
  
  Develops resources like the Top Dental Eligibility and Benefits Questions Response Guide and identifies key data elements to standardize responses to common inquiries and improve efficiency in electronic transactions.
Educator and Professional Recognition Awards 4 activities
- Recognition of payer compliance with dental EDI standards
  
  Recognizes payers who implement the top 56 data elements in electronic transactions for patient eligibility and benefits, promoting adoption of standardized, efficient data exchange.
- Recognition programs for industry adoption of best practices
  
  Recognizes member contributions and payer adoption of standardized data elements (e.g., the top 56 eligibility/benefits data elements) through annual awards presented at the EDI Summit to promote widespread implementation of best practices.
- Recognize Contributions to Dental EDI
  
  Recognizes member contributions and payers who utilize identified data elements in electronic transactions through annual awards and acknowledgements.
- Recognize Contributions to Dental EDI
  
  Acknowledges member contributions through annual awards and recognizes payers who effectively utilize standardized data elements in electronic transactions.

financials · form 990EZ · fy2022

the money

revenue

Total revenue$130K

Contributions & grants——

Program service revenue$95K73%

Investment income$730%

Other revenue—

expenses

Total expenses$158K

Program expenses—

Admin / overhead—

Fundraising—

Salaries & benefits—

Grants paid out—

balance sheet

Total assets$125K

Cash—

Investments—

Liabilities—

Net assets$120K

3 years on record · 2020–2022 · YoY revenue +190.8%

leadership · form 990 part vii · fy2022

who runs it

board members · 8

Christine Ruiz — Director
Cynthia Lester-Moody — Director
Erick Joseph — Director End 4/30/2022
Erick Kirnbauer — Director
Kathy Weintraub — Director End 9/30/2022
Paul Bernard — Director 5/1/2022- 9/30/2022
Reza Nouraei — Director Start 10/1/2022
Scott Wellwood — Director

relationships · 34

who they work with

ASC X12 Government — Collaborates with ASC X12 on the use and adaptation of the 270/271 transactions for dental eligibility and benefits.
AirPay Network — Listed as a key industry stakeholder in NDEDIC's network.
Ameritas Network — Listed as a key industry stakeholder in NDEDIC's network.
Aspen Dental Management Network — Listed as a key industry stakeholder in NDEDIC's network.
Blue Cross Network — Listed as a key industry stakeholder in NDEDIC's network.
CAQH Network — Listed as a key industry stakeholder in NDEDIC's network.
Cigna Network — Listed as a key industry stakeholder in NDEDIC's network.
DCS (Dental Claim Support) Network — Listed as a key industry stakeholder in NDEDIC's network.
Delta Dental Network — Listed as a key industry stakeholder in NDEDIC's network.
Delta Dental Plans Association Network — Listed as a key industry stakeholder in NDEDIC's network.
DentalXChange Network — Listed as a key industry stakeholder in NDEDIC's network.
Henry Schein One Network — Listed as a key industry stakeholder in NDEDIC's network.
MyHhub Network — Listed as a key industry stakeholder in NDEDIC's network.
National Dental EDI Council (NDEDIC) Coalition — Members include payers, dental practices, practice management system vendors, claims processing vendors, clearinghouses, and third-party processors.
Optum Network — Listed as a key industry stakeholder in NDEDIC's network.
Pacific Dental Services Network — Listed as a key industry stakeholder in NDEDIC's network.
Payers Partner — Represented in NDEDIC membership and involved in work groups.
RMS Network — Listed as a key industry stakeholder in NDEDIC's network.
SkyGen Network — Listed as a key industry stakeholder in NDEDIC's network.
Stedi Network — Listed as a key industry stakeholder in NDEDIC's network.
United Concordia Network — Listed as a key industry stakeholder in NDEDIC's network.
Vyne Dental Network — Listed as a key industry stakeholder in NDEDIC's network.
Work Group 1 - Eligibility and Benefits Partner — Sub-group focused on eligibility and benefits transactions within NDEDIC's work structure
Work Group 2 - Remittance Partner — Sub-group focused on remittance transactions within NDEDIC's work structure
Work Group 3 - A.I. Processes in Claim Review Partner — Sub-group focused on artificial intelligence applications in dental claim review
Zelis Network — Listed as a key industry stakeholder in NDEDIC's network.
claims processing vendors Partner — Represented in NDEDIC membership and involved in work groups.
clearinghouses Partner — Represented in NDEDIC membership and involved in work groups.
consultants Partner — Represented in NDEDIC membership and involved in work groups.
dental practices Partner — Represented in NDEDIC membership and involved in work groups.

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