Important COVID-19 updates for enrollees and providers. When you enter your password, you’ll receive a code to enter to access your account. Corporate Address: Delta Dental of Minnesota 500 Washington … Contact information for Delta Dental. Customer Service. ... 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. Dentist Administrative and Authorization Forms. Delta Dental of Oregon and Alaska providers and office staff, ... For help with claims from other Delta Dental providers, please contact the provider directly. A dental office staff member can provide you with the dentist and treatment information. For the state of California DELTA DENTAL OF ILLINOIS Attn: Re-Evaluation Committee 111 Shuman Blvd. Contact Delta Dental of Missouri dental customer service at 800-335-8266 or email service@deltadentalmo.com. Claims Appeals Mailing Address. Delta Dental of Oklahoma Attn: Provider Relations Department P.O. Box 2907 Milwaukee, WI 53201-2907 Fax: 617-886-1199 Download the claim form for your Delta Dental plan: Complete the patient and subscriber information on the claim form. THE PO BOX IS FOR CLAIMS ONLY. After the claim is processed, Delta Dental Illinois will pay in-network dentists directly. This helps protect your identity and your personal health information. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Locum Tenens Provider Form. PLEASE NOTE: CLAIMS APPEALS SHOULD BE SENT TO THE STREET ADDRESS ABOVE NOT THE PO BOX. Health Care Marketplace (Exchange) Customers: This feature uses javascript. DAY YR. MIDDLE INITIAL Address Change Form. 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 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 DAY YR. 11.DELTA - COVERED EMPLOYEE BIRTHDATE MO. Box 54709 Physical Address: Delta Dental of Kentucky 10100 Linn Station Rd. Hearing Impaired (line available 7:30 am - 5:00 pm CST) 888-287-7312. Need More Help? 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. ... form. AARP Dental Insurance Plan. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. 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. 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. 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. Predeterminations. Naperville, IL 60563. Delta Dental of California. Box 997330 Sacramento, CA 95899-7330 DeltaCare USA Customer Service Call toll-free: 800-422-4234 (TTY/TDD 711) For DeltaCare® USA claims and encounters. Skip to main content. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Box 43026 Phoenix, AZ 85080-3026 Want to send an email message? The national network of Delta Dental companies protects more smiles than any other insurance company. Dental Wellness Plan. © Delta Dental. Find all of the forms needed for claims, authorizations and more. Your dentist can look you up with other identifying information, such as your name, address and date of birth. 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. Need an address? One Delta Drive 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. We're here to help. Delta Dental claim form. 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. Connect with your Delta Dental to learn more. Box 9030. Open your browser settings and turn on javascript to start finding a dentist. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. CLAIMS APPEALS SENT TO THE PO BOX WILL BE DELAYED. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. 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. 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. 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). P.O. Box 2002 Concord, NH … Predeterminations are optional. 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. However, if you visit a non-Delta Dental dentist, you may need to file the claim yourself. Once the claim is reviewed, Delta Dental of Illinois will notify you or your dentist if further information is needed. If not, claims are typically processed within three business days, depending on your specific dental plan. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. ... address and policy number of the other carrier. Box 16354 Little Rock, AR 72231 This change affects only our mailing address. Contact Delta Dental of Arkansas customer service for questions regarding your benefits, claim status, eligibility, and more. Delta Dental Plan of VT. 12 Bacon Street, Suite B Burlington, VT 05401-6140 802-658-7839 Fax 802-865-4430. 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 Oregon is a part of Delta Dental Plans Association. Johnston, IA 50131-9030. 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. DAY YR. 13.SPOUSE BIRTHDATE MO. ... Delta Dental of Iowa is a part of Delta Dental Plans Association. For Delta Dental PPO™, DPO and Delta Dental Premier® claims. If you need further assistance, please visit the contact us section for help on ways get the information you need. © Delta Dental. 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. Mailing addresses for your Delta Dental Premier and Delta Dental PPO claims. Mailing Address P.O. IMPORTANT IMPORTANT Delta Dental of New York, Inc. P.O. What if your dentist isn’t a Delta Dental dentist? Email or give us a call at 1-888-338-0172! If you already have coverage through Delta Dental of Colorado, please use the contact information below. For AARP Dental Insurance Plan claims. 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. If you believe a claim was submitted as a result of fraud, contact Delta Dental of Iowa. Make a copy of the completed claim form and the dentist’s Statement of Treatment or detailed receipt for your records. Phone 800-544-0718 . Delta Dental Plan of ME. Contact information for corporate headquarters. For the hearing impaired: TDD: 1-800-659-2656 For Spanish-speaking assistance: Para asistencia en español llame al 1-800-610-0201. Have a question? 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. Box 54709 Oklahoma City, OK 73154 Call: 800-522-0188, Ext. Click Here 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. Direct Deposit/EFT Authorization. Delta Dental is America's largest and most trusted dental benefits carrier. What should you expect from your dentist? 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. Mailing Address for Claims: Delta Dental of Iowa. Gender M F M F U Delta Dental of Michigan PO Box 9085 Farmington Hills, MI 48333-9085 Gender U 22. Dentists. 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. For Delta Dental PPO ™, DPO and Delta Dental Premier ® claims. 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. Back To FAQs. Delta Dental dentists will handle all claims and paperwork for you. N.E. We usually process claims within two weeks unless additional information is required from you or the dentist. Gender M F 14. 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. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. Delta Dental of New Jersey P.O. Provider Enrollment; Provider Credentialing; Provider Recredentialing; To update your practice address or information, please fill out the change of address online form. 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