Mailing Addresses for Claims Processing Delta Dental Premier ® and Delta Dental PPO ™ Claims. 1022 Portland Road, Suite 2 Saco, ME 04072-9674 207-282-0404 Fax 207-282-0505. Louisville, KY 40223. Gender M F M F U Delta Dental of Michigan PO Box 9085 Farmington Hills, MI 48333-9085 Download the claim form for your Delta Dental plan: Complete the patient and subscriber information on the claim form. Physical Address: Delta Dental of Kentucky 10100 Linn Station Rd. Phone 800-544-0718 . However, if you visit a non-Delta Dental dentist, you may need to file the claim yourself. If you need further assistance, please visit the contact us section for help on ways get the information you need. After the claim is processed, Delta Dental Illinois will pay in-network dentists directly. When you enter your password, you’ll receive a code to enter to access your account. Box 9030. Once the claim is reviewed, Delta Dental of Illinois will notify you or your dentist if further information is needed. If you already have coverage through Delta Dental of Colorado, please use the contact information below. For the state of California 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. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. Dental staff training; Provider Operations 800-451-1249 x1160. Mailing Address for Claims: Delta Dental of Iowa. Contact Us Northeast Delta Dental. Make a copy of the completed claim form and the dentist’s Statement of Treatment or detailed receipt for your records. 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. For the hearing impaired: TDD: 1-800-659-2656 For Spanish-speaking assistance: Para asistencia en español llame al 1-800-610-0201. 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. Phone: 1-877-268-3384. Email or give us a call at 1-888-338-0172! If you believe a claim was submitted as a result of fraud, contact Delta Dental of Iowa. Have a question? What should you expect from your dentist? Hearing Impaired (line available 7:30 am - 5:00 pm CST) 888-287-7312. For Delta Dental PPO ™, DPO and Delta Dental Premier ® claims. What if your dentist isn’t a Delta Dental dentist? Health Care Marketplace (Exchange) Customers: This feature uses javascript. Box 54709 Oklahoma City, OK 73154 Call: 800-522-0188, Ext. 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. Direct Deposit/EFT Authorization. Mailing Address P.O. Back To FAQs. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 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. 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. Contact Delta Dental of Arkansas customer service for questions regarding your benefits, claim status, eligibility, and more. Predeterminations. A dental office staff member can provide you with the dentist and treatment information. 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. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. DELTA DENTAL OF ILLINOIS Attn: Re-Evaluation Committee 111 Shuman Blvd. 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 usually process claims within two weeks unless additional information is required from you or the dentist. Locum Tenens Provider Form. For DeltaCare® USA claims and encounters. 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 Delta Dental dentists will handle all claims and paperwork for you. Delta Dental of California. Open your browser settings and turn on javascript to start finding a dentist. Box 2907 Milwaukee, WI 53201-2907 Fax: 617-886-1199 DAY YR. MIDDLE INITIAL 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. P.O. 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. Dentist Administrative and Authorization Forms. DAY YR. 11.DELTA - COVERED EMPLOYEE BIRTHDATE MO. ... 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. 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. Box 54709 Blog; Contact; Need More Help? PLEASE NOTE: CLAIMS APPEALS SHOULD BE SENT TO THE STREET ADDRESS ABOVE NOT THE PO BOX. Naperville, IL 60563. For Delta Dental PPO™, DPO and Delta Dental Premier® claims. Depending on your plan and your state, your dentist ... Log into your account to see your claim statements. Address Change Form. Delta Dental is America's largest and most trusted dental benefits carrier. Corporate headquarters: Delta Dental of North Carolina 4242 Six Forks Road Suite 970 Raleigh, NC 27609 . Box 997330 Sacramento, CA 95899-7330 DeltaCare USA Customer Service Call toll-free: 800-422-4234 (TTY/TDD 711) Dental Wellness Plan. Skip to main content. Contact Delta Dental of Missouri dental customer service at 800-335-8266 or email service@deltadentalmo.com. Box 16354 Little Rock, AR 72231 This change affects only our mailing address. Charlotte office: Delta Dental of North Carolina 11325 N. Community House Road Suite 420 Charlotte, NC 28277 . 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. Connect with your Delta Dental to learn more. We usually process claims within two weeks unless additional information is required from you or the dentist. 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. Box 2002 Concord, NH … AARP Dental Insurance Plan. Box 222 Parsippany, NJ 07054-0222 800-452-9310 deltadentalnj.com Payer #22189 DELTA DENTAL OF NEW MEXICO 2500 Louisiana Blvd. Claims Mailing Address: Delta Dental of Kentucky We're here to help. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental of Oklahoma Attn: Provider Relations Department P.O. Dentists. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Johnston, IA 50131-9030. Delta Dental of Oregon is a part of Delta Dental Plans Association. Your dentist can look you up with other identifying information, such as your name, address and date of birth. THE PO BOX IS FOR CLAIMS ONLY. Delta Dental of Oregon and Alaska providers and office staff, ... For help with claims from other Delta Dental providers, please contact the provider directly. 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 addresses for your Delta Dental Premier and Delta Dental PPO claims. ... form. 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. ... instant online claims processing and easy access to patient eligibility and benefit information 24/7. Gender M F 14. © Delta Dental. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. Contact Us. For any claims or eligibility questions, fill out the customer service online form or call 800-872-0500. ... address and policy number of the other carrier. Delta Dental Plan of ME. © Delta Dental. Need an address? Click Here DELTA DENTAL OF NEW JERSEY P.O. Important COVID-19 updates for enrollees and providers. 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. Claims mailing address: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085 . Delta Dental of New Jersey P.O. Contact information for Delta Dental. 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. 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). 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. ... Delta Dental of Iowa is a part of Delta Dental Plans Association. 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 AARP Dental Insurance Plan claims. CLAIMS APPEALS SENT TO THE PO BOX WILL BE DELAYED. Claims Appeals Mailing Address. Corporate Address: Delta Dental of Minnesota 500 Washington … Delta Dental PPO participation packet request. This helps protect your identity and your personal health information. 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. Predeterminations are optional. Find all of the forms needed for claims, authorizations and more. If not, claims are typically processed within three business days, depending on your specific dental plan. DAY YR. 13.SPOUSE BIRTHDATE MO. One Delta Drive P.O. 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. DeltaCare Phone: 617-886-1300 Toll free: 800-327-6277 Fax: 617-886-1199 Claims Delta Dental of MA P.O. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Provider Enrollment; Provider Credentialing; Provider Recredentialing; To update your practice address or information, please fill out the change of address online form. Contact information for corporate headquarters. Customer Service. N.E. 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. IMPORTANT IMPORTANT Delta Dental of New York, Inc. P.O. Box 43026 Phoenix, AZ 85080-3026 Want to send an email message? 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. Delta Dental Plan of VT. 12 Bacon Street, Suite B Burlington, VT 05401-6140 802-658-7839 Fax 802-865-4430. 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. Delta Dental claim form. A code to enter to access your account box 2105 Mechanicsburg, PA 17055-2105 717! Service for questions regarding your benefits, claim status, eligibility, and more Dental service ( ). 4242 Six Forks Road Suite 970 Raleigh, NC 28277 speaking members dba Dental! Dental dentist, you ’ ll receive a code to enter to access your account to see your statements. 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