Box 2907 Milwaukee, WI 53201-2907 Fax: 617-886-1199 Address for all claims (paper and electronic) for Delta Dental of Michigan, Ohio, Indiana, and North Carolina: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085. Claims Mailing Address: Delta Dental of Kentucky Have a question? Hearing Impaired (line available 7:30 am - 5:00 pm CST) 888-287-7312. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. We're here to help. Physical Address: Delta Dental of Kentucky 10100 Linn Station Rd. Contact Us Northeast Delta Dental. Health Care Marketplace (Exchange) Customers: This feature uses javascript. Depending on your plan and your state, your dentist ... Log into your account to see your claim statements. We cover more Americans than any other dental benefits provider - and strive to make dental coverage more accessible and affordable to a wide variety of employers, groups and individuals. Box 2002 Concord, NH … After the claim is processed, Delta Dental Illinois will pay in-network dentists directly. Download the claim form for your Delta Dental plan: Complete the patient and subscriber information on the claim form. AARP Dental Insurance Plan. P.O. PLEASE NOTE: CLAIMS APPEALS SHOULD BE SENT TO THE STREET ADDRESS ABOVE NOT THE PO BOX. For DeltaCare® USA claims and encounters. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. The national network of Delta Dental companies protects more smiles than any other insurance company. ... form. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. Charlotte office: Delta Dental of North Carolina 11325 N. Community House Road Suite 420 Charlotte, NC 28277 . Delta Dental PPO participation packet request. Delta Dental of Pennsylvania One Delta Drive Mechanicsburg, PA 17055-6999 (717) 766-8500 (800) 932-0783 TTY/TDD 888-373-3582 www.MidAtlanticDeltaDental.com 15.SPOUSE I.D.NUMBER MO. This helps protect your identity and your personal health information. Gender M F M F U Delta Dental of Michigan PO Box 9085 Farmington Hills, MI 48333-9085 Dental Wellness Plan. Box 43026 Phoenix, AZ 85080-3026 Want to send an email message? Skip to main content. Contact Us. Delta Dental dentists will handle all claims and paperwork for you. ... Delta Dental of Iowa is a part of Delta Dental Plans Association. ... and phone numbers should only be entered in the event that your specific service office does not have an office email address and phone number. DAY YR. 11.DELTA - COVERED EMPLOYEE BIRTHDATE MO. If you need further assistance, please visit the contact us section for help on ways get the information you need. Phone 800-544-0718 . Delta Dental Plan of ME. Delta Dental is America's largest and most trusted dental benefits carrier. Get assistance in a language other than English, Viewing your eligibility information online, Finding your Delta Dental plan information, Beware of offers to waive coinsurance amounts, Go Paperless: Access Your Statements Online, Adding a spouse or dependent to your plan, Mobile Online Services – your ID card and benefits on the go. If not, claims are typically processed within three business days, depending on your specific dental plan. For AARP Dental Insurance Plan claims. DELTA DENTAL OF ILLINOIS Attn: Re-Evaluation Committee 111 Shuman Blvd. ... instant online claims processing and easy access to patient eligibility and benefit information 24/7. Important COVID-19 updates for enrollees and providers. DeltaCare USA: Network for most group plan enrollees, DeltaCare USA Individual: Network for Individual plan enrollees (CA only), DeltaCare USA Medicare: Network for Medicare Advantage plan enrollees (CA only), DeltaCare USA Connect: Network available only to enrollees in select southern California groups. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Delta Dental of Oklahoma Attn: Provider Relations Department P.O. Customer Service. Box 9030. © Delta Dental. Mailing addresses for your Delta Dental Premier and Delta Dental PPO claims. If you believe a claim was submitted as a result of fraud, contact Delta Dental of Iowa. For Help Regarding: Premium or claims bills and account balance reconciliation Phone 303-889-8618 Fax 303-221-4457 Email billing@ddpco.com ELECTRONIC ELIGIBILITY FILE SUBMISSION For Help Regarding: Electronic file format or submission and eligibility for e-file groups ... Delta Dental of Colorado This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. Back To FAQs. Mailing Address for Claims: Delta Dental of Iowa. ... address and policy number of the other carrier. For Delta Dental PPO ™, DPO and Delta Dental Premier ® claims. Naperville, IL 60563. Locum Tenens Provider Form. However, if you visit a non-Delta Dental dentist, you may need to file the claim yourself. shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation. Address for all claims (paper and electronic) for Delta Dental of Michigan, Ohio, Indiana, and North Carolina: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085. Email or give us a call at 1-888-338-0172! Claims Appeals Mailing Address. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. Gender M F 14. Need More Help? © Delta Dental. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Delta Dental of California. Delta Dental Plan of VT. 12 Bacon Street, Suite B Burlington, VT 05401-6140 802-658-7839 Fax 802-865-4430. Corporate Address: Delta Dental of Minnesota 500 Washington … Mailing Address P.O. Delta Dental of New Jersey P.O. N.E. 137 (Toll Free) -or- 405-607-2137 (OKC Metro) General Email: PR@DeltaDentalOK.org Secure Email: Click here return to top Client Relations Write: Delta Dental of Oklahoma Attn: Client Relations Department P.O. Provide a copy of the dentist's Statement of Treatment or a detailed receipt that includes: Name, address and complete phone number of dentist, Description, procedure code and fee of each service performed, Dentist's National Provider Identifier (NPI), Dentist’s Tax Identification Number (TIN). THE PO BOX IS FOR CLAIMS ONLY. Need an address? To display the address on the Delta Dental PPO, DPO and Delta Dental Premier form, choose the Delta Dental member company for your plan from the interactive “Select your Plan” drop-down list at the top of the form. Dental staff training; Provider Operations 800-451-1249 x1160. What if your dentist isn’t a Delta Dental dentist? For the hearing impaired: TDD: 1-800-659-2656 For Spanish-speaking assistance: Para asistencia en español llame al 1-800-610-0201. Direct Deposit/EFT Authorization. We usually process claims within two weeks unless additional information is required from you or the dentist. Provider Enrollment; Provider Credentialing; Provider Recredentialing; To update your practice address or information, please fill out the change of address online form. Your dentist can look you up with other identifying information, such as your name, address and date of birth. 1022 Portland Road, Suite 2 Saco, ME 04072-9674 207-282-0404 Fax 207-282-0505. Dentist Administrative and Authorization Forms. J430 (Same as ADA Dental Claim Form – J431, J432, J433, J434, J430D) To reorder call 800.947.4746 or go online at adacatalog.org fold fold fold fold Dental Claim Form U 7. Open your browser settings and turn on javascript to start finding a dentist. When a different address is used, your clearinghouse may not recognize it as a valid address for us and may not transmit your claims to us electronically. Delta Dental of Kansas is a part of Delta Dental Plans Association.Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.dental coverage in all 50 states, Puerto Rico and other U.S. territories. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. DAY YR. 13.SPOUSE BIRTHDATE MO. One Delta Drive P.O. We usually process claims within two weeks unless additional information is required from you or the dentist. Box 997330 Sacramento, CA 95899-7330 DeltaCare USA Customer Service Call toll-free: 800-422-4234 (TTY/TDD 711) CLAIMS APPEALS SENT TO THE PO BOX WILL BE DELAYED. Delta Dental of Oregon is a part of Delta Dental Plans Association. Mail the original copies of the completed claim form and the dentist’s Statement of Treatment or detailed receipt to the address printed on the claim form. DeltaCare Phone: 617-886-1300 Toll free: 800-327-6277 Fax: 617-886-1199 Claims Delta Dental of MA P.O. Claims mailing address: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085 . Connect with your Delta Dental to learn more. Fees, New Membership, New Location, TIN / Address Changes: Electronic Claims: cservice@DeltaDentalWA.com ProviderServices@DeltaDentalWA.com cservice@DeltaDentalWA.com: Telephone Numbers Provider Services Customer Service Toll Free (800) 238-3439 (206) 522-2300 (800) 554-1907: Mailing Address: Delta Dental of Washington P.O. Contact Delta Dental of Missouri dental customer service at 800-335-8266 or email service@deltadentalmo.com. Contact Delta Dental of Arkansas customer service for questions regarding your benefits, claim status, eligibility, and more. Blog; Contact; Box 2105 Mechanicsburg, PA 17055-2105 (717) 766-8500 (800) 932-0783 TTY/TDD 888-373-3582 www.deltadentalins.com DENTIST I.D.NUMBER (NPI) MO. Once the claim is reviewed, Delta Dental of Illinois will notify you or your dentist if further information is needed. Dentists. Louisville, KY 40223. DELTA DENTAL OF NEW JERSEY P.O. Find all of the forms needed for claims, authorizations and more. Box 43000 Phoenix, AZ 85080-3000 ; Street Address 5656 West Talavi Blvd Glendale, AZ 85306 ; Customer Service Department 602.938.3131, option #1 800.352.6132 (TTY/TDD 711) Claims Address Delta Dental of Arizona Attn: Claims Department P.0. When you enter your password, you’ll receive a code to enter to access your account. For Delta Dental PPO™, DPO and Delta Dental Premier® claims. What should you expect from your dentist? Mailing Addresses for Claims Processing Delta Dental Premier ® and Delta Dental PPO ™ Claims. Box 54709 Delta Dental claim form. Phone: 1-877-268-3384. Predeterminations are optional. Address Change Form. Delta Dental of Oregon and Alaska providers and office staff, ... For help with claims from other Delta Dental providers, please contact the provider directly. Box 16354 Little Rock, AR 72231 This change affects only our mailing address. Make a copy of the completed claim form and the dentist’s Statement of Treatment or detailed receipt for your records. Predeterminations. Contact information for corporate headquarters. As of Jan 2, 2021, Delta Dental of Rhode Island will add two-factor authentication, an additional layer of security, to all member online accounts. Contact information for Delta Dental. Click Here Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Corporate headquarters: Delta Dental of North Carolina 4242 Six Forks Road Suite 970 Raleigh, NC 27609 . When a different address is used, your clearinghouse may not recognize it as a valid address for us and may not transmit your claims to us electronically. DAY YR. MIDDLE INITIAL Important note: If the Statement of Treatment or similar document you receive from your dentist is missing any of the information listed in Step 3, please enter it on the claim form. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Gender U 22. To display the address on the Delta Dental PPO, DPO and Delta Dental Premier form, choose the Delta Dental member company for your plan from the interactive “Select your Plan” drop-down list at the top of the form. For the state of California Box 222 Parsippany, NJ 07054-0222 800-452-9310 deltadentalnj.com Payer #22189 DELTA DENTAL OF NEW MEXICO 2500 Louisiana Blvd. If you already have coverage through Delta Dental of Colorado, please use the contact information below. IMPORTANT IMPORTANT Delta Dental of New York, Inc. P.O. Delta Dental's Customer Service Department Call toll-free: 888-335-8227 (TTY/TDD 711) Monday through Friday between 8:00 am and 8:00 pm, Pacific time Or write to: Delta Dental Customer Service P.O. For any claims or eligibility questions, fill out the customer service online form or call 800-872-0500. Johnston, IA 50131-9030. Claims need to be sent to the member company which provides your patient's benefits, ... Once you've determined which member company to send the claim to, you can find the claims address for each member company on our website as well. A dental office staff member can provide you with the dentist and treatment information. Box 54709 Oklahoma City, OK 73154 Call: 800-522-0188, Ext. Your name, Address and policy number of the completed claim form email message YR. MIDDLE INITIAL Dental. Language interpreters to assist our non-English speaking members Shuman Blvd Dental service ( ODS ), dba Delta Premier! 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