Cosmetic services are not covered under Delta Dental’s group dental plans. 4818 Starkey Road Brokers also have direct access to Delta Dental’s dedicated individual business Product Manager, Sam Austin, who can assist you with any questions about individual business. All other provider inquiries: 800.367.3531, Ext. Nominate an out-of-network dentist to participate with Delta Dental, Nominate a Delta Dental Premier® dentist to participate in Delta Dental PPO™, Delta Dental PPO™ - Pays PPO Network Only. A pre-determination is valid for 90 days and is subject to eligibility, benefit maximums, group and dentist status at the time services are provided. Patient benefits and claims status: 800.237.6060. N.E. Updated June 2019. Close. In addition, you can now look up average charges for dental procedures before you even visit the dentist using our new cost estimator! Phone: 888-324-8600 Delta Dental of Washington is a part of Delta Dental Plans Association. You may also submit claims online in real-time by logging in as a dentist , or you can print them to paper and mail or fax them to us at: Delta Dental of Virginia. ATTN: Claims Department. The national network of Delta Dental companies protects more smiles than any other insurance company. PO Box 9010. Gender U 22. ... Delta Dental Member Companies contact information. *Not sure where your company is headquartered? For Delta Dental PPO™, DPO and Delta Dental Premier® claims. To chat with a customer service representative, log into our member website during normal business hours. Provider Inquiry Form. 571.248.0186 Delta Dental Plan of VT. 12 Bacon Street, Suite B Burlington, VT 05401-6140 802-658-7839 Fax 802-865-4430 Disclosure of health information. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental of Iowa. This allows you to know what the out-of-pocket expense will be before services are rendered. Claim Form (PDF, 644KB) For submitting dental claims. Use the Dental Office Toolkit® to view patient eligibility, submit claims and more. 804.297.3264 Log in to print additional ID cards. You can access your benefits information 24/7 by logging into our member portal and downloading your Member Handbook/Evidence of Coverage (EOC) booklet. I work out of the United States. Enrollment and Billing. Please discuss this option with your dentist. Delta Dental Customer Service: Phone: 844-825-8111 Delta Office Toolkit (DOT): https://ddfgptoolkits.com Claims Mail to: Delta Dental of California VA Community Care Network (CCN) PO Box 537007 Sacramento, CA 95853-7007 Electronic Payer ID: CDCA1. Sign In Dentist Login Register. Contact a representative online​​​​​​​. *Not sure where your company is headquartered? Friday: 8:15-4:45, EST. Customer service representatives are available to assist you during the following business hours. Roanoke, VA 24018  The national network of Delta Dental companies protects more smiles than any other insurance company. You can also call our Benefit Services Department at 800-237-6060 or have your dentist contact Delta Dental of Virginia directly. Delta Dental of Virginia For questions about a specific group or sales in your region, contact your regional group sales representative. Delta Dental of Illinois Attn: DDIL-Individual Claims P.O.Box 103 Stevens Point, WI 54481 . Frequently Asked QuestionsGet the answers you’ve been looking for quickly. Monday-Friday, 7 a.m. to 7 p.m., Central Time. Contact your company's human resources department. Customer Service Claims / Benefits (tip - have your member ID # ready) Phone 800-544-0718 Fax 888-264-1440 . Delta Dental is America's largest and most trusted dental benefits carrier. Will my spouse or covered dependents get an ID card with their name on it? Johnston, IA 50131-9010. 4818 Starkey Road, Roanoke VA 24018 If you have questions about your benefits, you may also contact our Benefit Services Department online or at 800-237-6060. If the number of procedures reported exceeds the number of lines available on one claim form, list the remaining procedures on a separate, fully completed claim form. Contact Delta Dental of Arkansas customer service for questions regarding your benefits, claim status, eligibility, and more. Contract Allowed or Allowed Amount: This amount depends on your employer's contract with Delta Dental, as some employers may place a dollar limit on certain procedures. Mailing Address. Delta Dental PPO Resources. All claims must be submitted within twelve (12) months of the date services are completed. Delta Dental of Virginia wants to ensure you receive the best possible customer service. Electronic Claims Payor ID: 05030. Do I need to submit a claim after receiving treatment or will my dentist handle it? Delta Dental Plan of NH. Estimates may vary depending on your benefit plan and the state you live in. However, you may be responsible for sending the claim to Delta Dental or possibly to your employer. Connect with your Delta Dental company to learn more. Manage your dental practice. Gender M F 14. If you choose to visit a non-participating dentist, you may be responsible for all payments and charges to the dentist at the time of treatment. Delta Dental Plan of ME. You and your dentist will receive a reply as to whether the treatment plan is covered under your group’s benefits. For employment inquiries or verification of employment, contact our HR department by phone or email. To recommend a dentist for participation in one of the Delta Dental networks, fill out the approprate form below. Do I have to see a dentist in Virginia? 804.297.3267  6. Roanoke, VA 24018. You may submit your claim directly to us at the address below. Dental . Delta Dental Marketing Department: 800.237.6060, Ext. rking@deltadentalva.com Participating dentists will also file all claims for you, meaning you will only be responsible for any coinsurance and/or deductible at the time of your visit. Attn: Claims Department  Delta Dental of Iowa. All cards issued will bear only the subscriber's name. DELTA DENTAL OF NEW JERSEY P.O. Local: 540.989.8000 Employment Information: 800.237.6060, Ext. Connect with your Delta Dental to learn more. 6 Reasons to choose a PPO! You may also be responsible for submitting the claim form to Delta Dental of Virginia. dhwatson@deltadentalva.com, Jason Reynolds, 100+ employees Delta Dental PPO Provider Tools Overview. Monday — Thursday: 8:15-6:00 p.m., EST. If you are a resident of another state, you are not required to see a dentist in Virginia. For general questions about career opportunities, please visit our careers page or view our current job openings. The first appeal must be received within 180 days of the date of the check or the original claim denial. Headquartered in Roanoke, the company has a regional sales office located in Glen Allen, 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. My member dashboard ... please consult your dentist or your Delta Dental. ; Find a network dentistFind a network dentist or confirm your dentist is in-network. Use our tool to quickly and easily contact our offices. Please log in to view your Member Handbook/Evidence of Coverage (EOC) to see if orthodontics are covered under your plan. Diane Watson, 2-99 employees However, you are responsible for submitting claim information if you visit a non-participating dentist. If you receive treatment from a participating dentist, they will file all claim information for you. Enrollment Brochure (PDF, 2.6MB) Learn about VADIP and get all of the information you need to enroll in plan. Phone: 1-877-268-3384. Connect with your Delta Dental to learn more. Manage your patients online. 4. Find a Dentist who participates in your plan. Will you accept a claim that is out of the country? Find a dentist. 4818 Starkey Road, Roanoke VA 24018. Member resources. Do I need pre-approval for major dental work? Shop for insurance. In most cases, Delta Dental will send you reimbursement for the covered services. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. Learn more about the Delta Dental VADIP program. SW. Roanoke, VA 24018. traci.corbett@deltadentalva.com, John Wilson, 2+ employees Find Your Delta Dental. Looking for a new plan? Wellness library. Roanoke, VA 24018, Regional Sales Office: Step 1 - Tell us about yourself. For media inquiries, contact us at the number below. Because of the large volume of claims received each day, please allow 10 - 14 business days for processing before contacting Benefit Services to confirm receipt of your claim. Alpharetta , GA 30023-1809. How can I find out how much I owe for dental services? Yes, if you are not satisfied with our response you may request that your dental office appeal the decision. If you have questions or comments, contact us using the information below. Contact information for corporate headquarters. When you visit a dentist that participates in the Delta Dental network covered by your plan, your claims will be filed for you. 3140. TTY: 877.287.9039. You may also contact our Benefit Services Department at 800-237-6060 to review your group’s dental benefits. Beginning later this year; Delta Dental of Minnesota will begin requiring additional documentation along with claims submission for select CDT codes. If you choose to visit a non-participating dentist, you may be responsible for all payments and charges to the dentist at the time of treatment, and you may be balanced-billed for the difference in the cost of services provided. All Rights Reserved. The dental office has 60 days from the date of the first appeal denial letter to file the second appeal. Online Dentist Inquiry Form. What if I am unhappy with the dental care I received or wish to file a grievance? Secure Fax: 916-851-1559 . You may also be responsible for submitting the claim form to Delta Dental of Virginia. Contact Sam at sam.austin@deltadentalva.com or 540.989.8000 ext. I receive dental insurance through my employer. Traci Corbett, 2-99 employees Filing Directly with TriWestClaims for care provided through PC3, or previously through the VCP, must be sent to and processed by TriWest Healthcare Alliance (TriWest). You may visit a dentist that does not participate with Delta Dental if your plan covers out-of-network services; however, your out-of-pocket costs will be higher if you visit a non-participating dentist. For answers to frequently asked questions, check out our dentist FAQs. Contact us Important online information. Please see below for reference information on using DASI for members, dental offices, and group plan administrators. If you visit an out-of-network dentist and need a claim form, call us at 800-237-6060. 3355, Employment Verification: 800.237.6060, Ext. 5. General Marketing and Sales inquiries for group business: 888.335.8216, Robin King, 2+ employees jwilson@deltadentalva.com. You may submit your claim directly to us at the address below. Can I still visit him or her? A pre-determination is recommended when dental services are expected to cost $250 or more. Delta Dental. 3652. If the following appears, then you do have out-of-network coverage: If you see the following, then you do not have out-of-network coverage: If you have questions, please call our Benefit Services department at 800-237-6060. Trust Your Smile to Delta Dental. We usually process claims within two weeks unless additional information is required from you or the dentist. Provider Disputes Mail to: Delta Dental of California 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. Have a question about coverage or looking for dental insurance? Two appeals are allowed. 3328 Yes, we will accept your dental claim from any dentist around the globe. Member login or account registration to view plan information, download forms, view claims, and track dental activity. PO Box 9085. Phone: 800-236-3712 Email: claims@deltadentalwi.com. Claims must match exactly what's listed on the member's ID card: Inform your Human Resources/Benefits Department of your new information. How can I recommend that my dentist participate with Delta Dental? Contact Delta Dental. Claims Appeals Mailing Address. Have a question about coverage or looking for dental insurance? Important COVID-19 updates for enrollees and providers. Farmington Hills, MI 48333-9085. Skip to main content. Toll free: 800.237.6060 Delta Dental of Tennessee is a part of Delta Dental Plans Association. A pre-determination is a plan of treatment, completed by your dentist, for services that will be provided at a future date. Dentists and dental office staff can contact our Provider Relations department at the following numbers. Members can contact our customer service department by mail or email. However, the card will indicate whether or not the policy has spousal or family coverage. Phone 800-544-0718 . Box 222 Parsippany, NJ 07054-0222 800-452-9310 deltadentalnj.com Payer #22189 DELTA DENTAL OF NEW MEXICO 2500 Louisiana Blvd. Log in to use our cost estimator. Can I appeal to have my denied claim reviewed again? ATTN: Claims Department. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Delta Dental of Virginia 2019 Claims Information Home. How do I find a Delta Dental participating dentist or check to see if my current dentist is a Delta Dental participating dentist? Delta Dental -the largest dental network in the US. Customer Service Claims / Benefits (tip - have your member ID # ready) Phone 800-544-0718 Fax 888-264-1440 ... 5:00 pm CST) 888-287-7312. Get a Quote. You can find specific instructions and contact information in the TriWest Claims and Reimbursement Quick Reference Guide.TriWest Claims and Reimbursement Quick Reference GuideHealth Net Federal Services InformationHealth Net Federal Services (Health Net) was a TPA for VA’s PC3 networks and the VCP. rking@deltadentalva.com, Robin King, 100+ employees Hearing Impaired (line available 7:30 am - 5:00 pm CST) 888-287-7312. Approved Amount or Maximum Approved Fee: This is the dollar amount that Delta Dental approved for the services you received based on the dentist’s agreement with Delta Dental. 8114 4818 Starkey Road  If you believe a claim was submitted as a result of fraud, contact Delta Dental of Iowa. 4818 Starkey Rd. 3601. Contact your Human Resources/Benefits Department and inform them that you would like to add or terminate a dependent. Call (844) SMILE 01 (844) 764-5301. If your plan is covered by the Delta Dental PPO™ or Delta Dental Premier® networks, simply make an appointment with your new dentist of choice. Use our tools and resources for better results. Corporate Address: Delta Dental of Minnesota 500 Washington … Glen Allen, VA 23060. © Copyright document.write(new Date().getFullYear()); Delta Dental of Virginia. claims@deltadentalia.com. My dentist does not participate with Delta Dental. What are the advantages of visiting a dentist that participates with Delta Dental? jcreynolds@deltadentalva.com Simply use our Find a Dentist search to find a dentist that participates in the Delta Dental network covered by your plan or to see if your dentist already participates. Electronic Claims Payor ID: WDENC . Check the top right-hand corner of your ID card to see which network is covered by your plan and use our Find a Dentist search to find a participating dentist. 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. Delta Dental of Illinois Attn: DDIL-Group Claims P.O.Box 5402 Lisle, IL 60532. You can check your claims history by logging into our member portal or by calling our Benefit Services Department at 800-237-6060. First appeal denial letter to file a grievance will file all claim information if you a... Or confirm your dentist will receive a reply as to whether the treatment plan $! Or check to see if orthodontics are covered under your group ’ benefits. Covered dependents get an ID card career opportunities, please visit our page. Drive PO box 2002 Concord, NH 03302-2002 603-223-1000 Fax 603-223-1199 print Driving.... Plans and to enroll in plan, Puerto Rico and other U.S. territories questions check... 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