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. $�R�s�8�]$��@\1�d�*�:m ��������b``$�����;@� L- endstream endobj startxref 0 %%EOF 275 0 obj <>stream Delta Dental has the largest network of dentists nationwide. h�bbd``b`Z$���J ��H��X����8 Delta Dental works to ensure you receive the best possible service. That’s our 50-year formula! Resources. [1] The Delta Dental Plans Association is composed of 39 independent Delta Dental member companies operating in all 50 states, the District of Columbia and Puerto Rico. Policyholder Address 6. On the other hand, if you visit an out-of-network dentist, you may have to submit your own dental claim to us. Monday-Friday, 7 a.m ... All policies are administered, at least in part, by Delta Dental of Wisconsin and/or its subsidiary, Wyssta Services, Inc. Close Copyright © 2015 Delta Dental of Wisconsin. At Delta Dental of Wisconsin, we offer a wide variety of affordable dental and vision insurance plan options for individuals, families, and businesses alike. Box 5402 Lisle, IL 60532 Electronic Claims Payor ID: 05030. All policies are administered, at least in part, by Delta Dental of Wisconsin and/or its subsidiary, Wyssta Services, Inc. Corporate Address: Delta Dental of Minnesota 500 Washington Avenue … Box 2870 Boise, ID 83701 We encourage electronic submission of claims for faster turnaround time and improved provider cash flow. Claims Address Delta Dental of Arizona Attn: Claims Department P.0. Box 828 Stevens Point, WI 54481 800-236-3712 www.deltadentalwi.com Payer … affordable plan options, easy access to your dentist of choice, and hassle-free customer service. General customer service. 1 dental plan, providing dental insurance to 1.8 million subscribers and their dependents. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. 246 0 obj <> endobj 264 0 obj <>/Filter/FlateDecode/ID[<5C9C3B56A7A8589A62DB832F443894DA>]/Index[246 30]/Info 245 0 R/Length 91/Prev 29367/Root 247 0 R/Size 276/Type/XRef/W[1 2 1]>>stream Delta Dental of North Carolina is a part of Delta Dental Plans Association. Delta Dental of West Virginia (See Delta Dental of Pennsylvania) Payer #31096 Delta Dental of Wisconsin P.O. Dental and Vision Insurance for Groups, Individuals and Families Sign In: Register: ... Delta Dental of Wisconsin. Box 2002 Concord, NH 03302-2002 Phone: 603-223-1000 or 1-800-537-1715 Fax: 603-223-1199 E-mail: nedelta@nedelta.com Customer Service: 1 … General customer service. One Delta Drive P.O. Attn: Claims Department P.0. My member ... please consult your dentist or your Delta Dental. From taking time off of work to scheduling follow-up appointments, the last thing you want to worry about is the status of your claim. On the other hand, if you visit an out-of-network dentist, you may have to submit your own d Sign In Sign In. Claims Appeals Mailing Address. Sign in to save Customer Experience Specialist at Delta Dental of Wisconsin. Box 828 Stevens Point, WI 54481-0828 800-236-3712 deltadentalwi.com Payer #39069 DELTA DENTAL OF WYOMING P.O. The Delta Dental Plan Association must have a record of your dental office in order for you to register to use the deltadentalma.com website. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! With dinners, cocktail hours, company celebrations and family gatherings on the calendar this time of year, there … Read More, From steps to words, there are so many “firsts” for new parents to look forward to—including baby’s … Read More, Dual Coverage: Coverage Under More Than One Dental Plan[1] It’s not uncommon for people to have coverage … Read More. Delta Dental of Colorado wants to make it easy for you to verify benefits and eligibility, submit claims online, receive claims payments electronically, among others. Delta Dental of Oregon is a part of Delta Dental Plans Association. General customer service Monday through Friday, 8:30 a.m. to 8 p.m. Monday through Friday, 8:30 a.m. to 8 p.m. Contact Delta Dental of Arkansas customer service for questions regarding your benefits, claim status, eligibility, and more. Claims pending is a process by which claims are held (not paid) because a premium payment has not been received. Contact Us. You do not need to contact us. Trust Your Smile to Delta Dental. Delta Dental is the largest dental plan system in the United States, also known as Dental Service of Massachusetts. Box 5402 Lisle, IL 60532 Electronic Claims Payor ID: IDIND. Please see below for reference information on using DASI for members, dental offices, and group plan administrators. Delta Dental Contact Information Delta Dental Insurance Company (DDIC) – Alabama (See DDIC - Georgia) Delta Dental of Alaska Delta Dental of Oregon (Alaska) 601 SW 2nd Avenue Portland, OR 97204 888-374-8906 www.modahealth.com Payer #CDOR1 Delta Dental of Arizona P.O. Policyholder SSN/ID# 2. Is Activated Charcoal Safe for your Smile? Delta Dental Mobile App Delta Dental’s mobile app gives you access to the dentist search tool, claims and coverage, ID cards, and more, right on your mobile device. Get a Quote. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Member login or account registration to view plan information, download forms, view claims, and track dental activity. If you don’t have an account, you can also register for one. Member resources. If that is the case, please mail a copy of the itemized claim form to the following address: Delta Dental P.O. Individual Dental Policyholder Claims Attn: DDIL – Individual Claims P.O. Usually, claims can be emailed, faxed, mailed, and in some cases, submitted online. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. The Registered Agent on file for this company is National Registered Agents, Inc. and is located at 155 Federal St., Suite 700, Boston, MA 02110. Delta Dental of Wisconsin – the State's No. Find a dentist. If you visit a Delta Dental network dentist, you won’t have to submit any paperwork – your dentist will submit a claim directly to Delta Dental of Wisconsin on your behalf after your dental appointment. Tools & Resources for Providers. Electronic Claims Payor ID: 05030. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Johnston, IA 50131-9010. Contact Us Northeast Delta Dental. Automated system is available 24/7. Contact Delta Dental of Missouri dental customer service at 800-335-8266 or email service@deltadentalmo.com. Delta Dental of Illinois Attn: DDIL-Group Claims P.O.Box 5402 Lisle, IL 60532. 3�ڤ2οg xӀ���2�h�jYN��2"e`4\Sĉ�yFp��FA�k�z�O $GQ@h3~)�)Cr��j�!�����kpvߖ��ܞ�c[��1��u�k7=U`���������E��'8ʽ����|S�e*���y�~�� ���l�`��!s�َ`y���^$�E�e�Q�_�a9;����V���5|b�t��$�|�N�0����G��ԓҵC�/�j�� ���6l��É��\~xO�����o�X� ��Q��o>���. Birth Date - - 3. Sign In Dentist Login Register. 800-524-0149 (TTY users call 711) Medicare Advantage member customer service Box 43026 Phoenix, AZ 85080-3026 Use our tool to quickly and easily contact our offices. Learn more. Box 103 Stevens Point, WI 54481-0103 (Policy management and service for individual coverage is provided by Delta Log in Delta Dental works to ensure you receive the best possible service. Contact Delta Dental. (See Delta Dental of Pennsylvania) Payer #31096 DELTA DENTAL OF WISCONSIN P.O. all necessary documentation is included to process the claim (e.g., X-rays). h�b`````�� �GP#�0p4 � @1c%��uQQ�5�C�"���� What is the turnaround time for claims processing? Step 1 - Tell us about yourself. We’re headquartered at 555 E. Parkcenter Blvd., Boise, Idaho 83706. Shop for insurance. In this case, you can download a claim form and find more information about how to submit a claim by logging into your account on our Member Connection. Delta Dental of Illinois 111 Shuman Boulevard Naperville, IL 60563 Phone: (630) 718-4700 Thereafter, Delta Dental may pend claims for covered dental services rendered to the covered person during the remaining sixty (60) days of the grace period. Delta Dental guideline questions Contractual obligations Dental staff training Provider Operations 800-451-1249 x1160 Provider Enrollment Provider Credentialing Provider Recredentialing To update your practice address orchange of A Guide to Your Baby’s First Teeth [INFOGRAPHIC]. You do not need to contact us. Policyholder City, State, Zip ; 8. The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. 1 dental plan for more than 50 years Forms & Resources. Delta Dental of Colorado understands that our providers are an integral part of fulfilling our mission and doing business. Bad Taste After Brushing? DDRI offers assistance during COVID-19 crisis Read More >> DDRI Gives $1.5M to Support … Delta Dental of Washington is a part of Delta Dental Plans Association. Important COVID-19 updates for enrollees and providers. Box 1810 Alpharetta, GA 30023 866-774 … Close. Contact our customer service team at 208-489-3580. Delta Dental Claims Processing: Delta Dental of Minnesota PO Box 9120, Farmington Hills, MI 48333-9120 Phone: 1-800-448-3815 I purchased my dental insurances directly through Delta Dental … Common Explanations, Own Your Oral Health: Subscribe now for tips to ensure a bright smile, Why You Might Think Twice Before Eating Too Much Ice Cream, Free Dental Clinics Help Wisconsinites Smile, Looking for a great quote? Wellness library. Mail: You can mail paper claims to: Delta Dental of Idaho, P.O. Box 1810 Alpharetta, GA 30023 866-774-5595 Claims Payer #DDCA2 Encounter Payer #DDCA3 DELTA DENTAL UTAH MEDICAID Claims and Encounter Forms P.O. Call (844) SMILE 01 (844) 764-5301. 3Z�����w��L7��Y��@��b&� y �4v)\C�&�*FV� -i; endstream endobj 247 0 obj <>/Metadata 6 0 R/PageLabels 242 0 R/Pages 244 0 R/StructTreeRoot 13 0 R/Type/Catalog/ViewerPreferences<>>> endobj 248 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 249 0 obj <>stream Contact us. Do Expiration Dates on Dental Products Matter? Automated Delta Dental of Illinois Attn: DDIL-Individual Claims P.O.Box 103 Stevens Point, WI 54481 . Individual Dental Policyholder Claims Attn: DDIL – Individual Claims P.O. Delta Dental works to ensure you receive the best possible service. Employee Benefits. Hearing Impaired (line available 7:30 am - 5:00 pm CST) 888-287-7312. %PDF-1.6 %���� Contact Delta Dental of Missouri dental customer service at 800-335-8266 or email service@deltadentalmo.com. Delta Dental Plan of VT 12 Bacon Street, Suite B Burlington, VT 05401-6140 802-658-7839 Fax 802-865-4430 Contact Us Northeast Delta Dental One Delta Drive P.O. Box 43026 Phoenix, AZ 85080-3026 Delta Dental has made dental benefits easy - through exceptional service, quick and accurate claims payments, providing the most in-network dentists, and by making coverage affordable for companies and their employees. Personal Representative Form › Use this form if you want another person to represent you when making oral health care decisions. Delta Dental of Wisconsin enrollment, claim and authorization forms at your fingertips. the services you received are covered by your dental plan; your dentist is in-network or out-of-network; and. Policyholder Name (Last, First, M.I., Suffix) 5. Contact our customer service team at 208-489-3580. 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. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! �l��gd'#� Delta Dental works to ensure you receive the best possible service. Box 43026 Phoenix, AZ 85080 800-352-6132 www.deltadentalaz.com Payer #86027 Contact Information Delta Dental Member Companies deltadentalins.com DELTA DENTAL ... DELTA DENTAL OF WISCONSIN P.O. Gender 4. Download the Mobile App - … Dental and Vision Insurance for Groups, Individuals and Families Currently, Delta Dental processes all claims in less than three (3) business days on average from the date the claim is received. Delta Dental's total compensation program Is impressive Delta Dental of Wisconsin is committed to providing competitive wages and salaries, and recognizes the importance of employee benefits as a component of our total compensation structure. Box 29 Cheyenne, WY 82003-0029 800-735-3379 deltadentalwy.org Payer #07027 DELTACARE® USA* Claims and Encounter Forms P.O. Delta Dental Of Wisconsin, Inc. is a Massachusetts Foreign Corporation filed on November 9, 2020. Out of state dental practices need both a Type-1 and Type-2 NPI on record. General customer service Monday through Friday, 8:30 a.m. to 8 p.m. Find a dentist in the state of Wisconsin that’s right for you. Box 2870, Boise, ID 83701. You can check the status of a claim and find information about past claims for up to 18 months by logging into your member account. Policyholder Address 6. Delta Dental of Wisconsin Policyholder Patient 1. Through our national network of Delta Dental companies, we offer dental coverage … Delta Dental of Washington is a part of Delta Dental Plans Association. Policyholder City, State, Zip 8. Welcome to Delta Dental of Rhode Island More for Members Manage your dental benefits using our secure online tools. All Rights Reserved. That’s our 50-year formula! Contact information for corporate headquarters. Skip to main content. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! Contact information, including phone number, email address, and mailing address for Delta Dental locations across the United States ��]��8-5.��^3]�� :~\kz�P}Uq�i��׻]��+g:�H�$���3�,�Q]�t�t�Ƌ�xœ��$�t��'$�18�fu����W$q��X.㕦f~16�QU�j���y��Sc������*N�Y/[��0:����>B1�"YWyA6�J.�a����bЛ$�ee��ä(��2.�6^ C�H_�…���� Group Dental Claims Attn: DDIL – Group Claims P.O. Policyholder Name (Last, First, M.I., Suffix) 5. If not, claims are typically processed within five business days, depending on your specific plan. After your claim is received, Delta Dental of Illinois will review the paperwork to verify if: Policies issued in the State of Illinois are underwritten by: Delta Dental of Illinois, 111 Shuman Boulevard, Naperville, IL 60563. Fully insured dental plans Employer-sponsored dental plans with unmatched flexibility, bench-marking data and plan reporting, with the best in-network utilization and customer service – all at affordable rates. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Mailing Address. Delta Dental of New Jersey is a part of Delta Dental Plans Association. Note: Member ID is the last four digits of your SSN or your Alt ID if one was assigned – See your dental ID card. If you submitted the claim, you will be reimbursed and will pay your dentist. Monday through Friday, 8:30 a.m. to 8 p.m. Delta Dental of Alaska members, log in to your Member Dashboard to see info about your plan, view benefits and claims, get ID cards, access health resources and find … Electronic Claims Payor ID: WDENC . affordable plan options, easy access to your dentist of choice, and hassle-free customer service. Delta Dental of Wisconsin is the state's No. Gender 4. Dental Plan Claim Form Delta Dental of Wisconsin Policyholder Patient 1. To change your address, contact both your dentist and your employer. If you visit a Delta Dental network dentist, you won’t have to submit any paperwork – your dentist will submit a claim directly to Delta Dental of Wisconsin on your behalf after your dental appointment. Wisconsin’s No. After your claim is received, we will review the paperwork to verify if: Once the claim is reviewed, we will notify you or your dentist if further information is needed. Automated 800-524-0149 (TTY users call 711) Medicare Advantage member customer service Policyholder SSN/ID# 2. Phone: 1-877-268-3384. Plan/Group # I hearby authorize and direct payment of the dental benefits otherwise payable to me, Use this form to file out-of-network vision claims. Estimates may vary depending on your benefit plan and the state you live in. 1 Dental Plan For help locating a Medicare Advantage Network provider, call 866-548-0292 Delta Dental Medicare Advantage TM Contact information, including phone number, email address, and mailing address for Delta Dental locations across the United States. Mailing addresses for your Delta Dental Premier and Delta Dental PPO claims. Through our national network of Delta Dental companies, we offer dental coverage … If you are enrolled in an Allwell Medicare Advantage plan and have questions about your benefits or a claim, please call our Customer Service Center at (855) 253-4706. Do you discuss your medications with your dentist? Delta Dental works to ensure you receive the best possible service. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. Birth Date - - 3. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! Valerie Keeble Supervisor, Consumer and Micro Group Sales Box 5402 Lisle, IL 60532 h��V�n�0�=v�.�,(�I�X����aA�DM8v`�C��#eKq.���6%ꈤ�c:"�����"\(�!�uD�� �IN �G������zG�L�����~�\��i6��I����`8�g� Aw���a�U�l�s�F�+��k B���ɴ۝��~�$.��"` Massachusetts dental practices need a Type-1 NPI number on record. We’re headquartered at 555 E. Parkcenter Blvd., Boise, Idaho 83706. claims@deltadentalia.com. Check the details, This Year’s Resolution: Plan to Use Your Dental Insurance, Beat the Thanksgiving Guilt – Healthier Thanksgiving Side Options. General customer service Monday through Friday, 8:30 a.m. to 8 p.m. Box 2907 Milwaukee, WI 53201-2907 Fax: 617-886-1199 Professional Relations Phone: 617-886-1009 Toll free: 800-451-1249 x61009 Fax: 617-886-1414 Monday – … Select One I purchased my own dental plan I receive my plan via my employer I administer a large group plan (> 100 employees) I'm a small business employer or administrator I'm a broker I'm a dentist Claims for all Delta Dental of Idaho subscribers should be mailed to: Delta Dental of Idaho P.O. Automated Customer Service Claims / Benefits (tip - have your member ID # ready) Phone 800-544-0718 Fax 888-264-1440 . Contact information for providers For member eligibility, benefits and claim information, please call the number on the back of the member’s ID card or refer to the contact list below: 1-800-448-3815 for inquiries about members who have an alphanumeric ID and/or have an employer-sponsored group plan: Automated system is available 24/7. After the claim is processed, we will pay in-network dentists directly. Claims Delta Dental of MA P.O. Delta Dental's Automated Service Inquiry (DASI) is available 24/7 for information on eligibility, coverage, and more. Delta Dental of Iowa. Delta Dental of Iowa is a part of Delta Dental Plans Association. Delta Dental mails your notice of payment (a statement explaining what services the dentist provided, the amounts Delta Dental will pay and the amount you are responsible for paying) to the primary enrollee. Navigate Your Claim in 3 Easy Steps Getting to the dentist can be hard enough. Box 828 Stevens Point, WI 54481-0828 800-236-3712 ... P.O. Check Claims News and Updates. The company's File Number is listed as 001469385. Glossary. PO Box 9010. Looking for a new plan? 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