Do the reports provide the level of detail you need to run your business effectively? Additionally if you verify claims status or access patient enrollment and/or benefits information online you are required to use a NPI. Use the tips here when submitting your claims: The federal Health Insurance Portability and Accountability Act (HIPAA) requires you to obtain a NPI if you submit claims electronically. Box 9089 Link to information about If your plan didn't include an ID card or you don’t have yours with you, don’t worry! Check eligibility, benefits and claims status. Consider asking other dentists for their recommendations. Dales una vida llena de sonrisas con Delta Dental Protege lo más querido Planes individuales para toda la familia CONOCE MÁS AQUÍ ¡Sonríe! webinar. If the claim does not have this field, please list each item on a separate line. Estimates may vary depending on your benefit plan and the state you live in. Evaluate the Workforce Plan; State of California Succession Management Model. Transmit free real-time, pre-populated claims with digital attachments and pre-treatment estimates. You may receive an ID card as part of your welcome package when you get a Delta Dental plan. The office will use that information to … Username or Cada sonrisa cuenta una historia, protégela. Please consult each dental plan's Evidence of Coverage for detailed information and plan limitations. Skip to main content Important COVID-19 updates for enrollees and providers The plan limits the amount of paid coverage for each specific type of dental treatment. Payer #CDAR1 Delta Dental of California P.O. Do these features support all your business needs? When the patient has a FEHB plan that has any dental coverage, it always will be the primary carrier. Under the guidance of the California Department of Health Care Services, the Medi-Cal Dental Program aims to provide Medi-Cal members with access to high-quality dental care. Box 537007 Sacramento, CA 95853-7007 Appeals Delta Dental of California Federal Government Programs P.O. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. View our cost-effective choices for individual dental insurance and get an instant online quote. Copies of radiographs must be of diagnostic quality. 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. EDI system maintenance schedules and downloadable, printable guides that provide details on specific EDI real-time transactions. The IRS phone number is 800-829-1040. If they do not, the IRS requires Delta Dental to withhold 28 percent of the dollars owed to you from future payments until the matter is resolved. If two or more names are used (such as Chris Smith, DMD, dba Market Street Dental), please give us the first listing that appears on the IRS records, in this example Chris Smith, DMD. En Delta Dental te damos seguridad CONOCE TU PLAN AQUÍ Conéctate Eligibilidad, beneficios, reclamaciones Disponible desde nuestro portal CONÉCTATE AQUÍ hoy mismo ¡Buscanos en Facebook! Simply tell your dental office the Delta Dental company through which you receive benefits and provide your name, your date of birth, your enrollee ID or social security number and the name of your employer (if you have an employer-sponsored plan). The Tax ID you use on your claims affects your year-end 1099 statement. The Medi-Cal Program currently offers dental services as one of the program's many benefits. Indicate a quantity (the number of x-rays, for example) in the field on the claim specifically for this purpose. If applicable, attach the primary carrier’s EOB or write the amount primary paid in the remarks section, Using free-form text — Use ditto marks or arrows to indicate duplicate information, Stray marks in spaces that should be left blank, Putting a slash through zeros or crossing sevens, Writing on top of lines or outside of boxes, Using correction fluid or a highlighter pen, Using more than one font style on a claim, Submitting photocopied claims as they are generally received blurred or skewed, Using nicknames for either the subscriber or patient. Save money and stay healthy with a Delta Dental of Idaho Individual and Family plan. Stay informed by attending a free, live Attach the primary carriers EOB or write the amount primary paid in the remarks sections, Non-treatment related messages in the remarks section (for example, 2nd submission; please process), A 10-point font and all capital letters (Courier is a good font choice), Six-digit dates with no spaces, slashes or dashes (for example, 050312 for May 3, 2012), Fees with decimal points (for example, 100.00; not 100). If you conduct electronic transactions, you’ll need the We have dental plans for individuals, families, seniors, aarp members, and costco executive members. No changes to the ID number can be made on the 1099 statements once they have been processed. Box 537007 Sacramento, CA 95853-7007 844-825-8111 Payer #CDCA1 FSPS@delta.org TRICARE RETIREE DENTAL PROGRAM trdp.org News. Sign up for direct deposit (use the “EFT and ERA” tool). Part 1 - Identify and Prioritize Key Positions; ... Delta Dental PPO plus Premier Basic Plan for Represented Employees. The State of Illinois is a self-funded plan and as such, Delta Dental of Illinois reimburses dentists once it receives funding from the State. Tesia Clearinghouse 1540 West Edgewood Avenue Indianapolis, IN 46217 Phone: (866)712-9584 2016-07-14 Electronic Remittance Advice Enrollment – Delta Dental Plans *Provider Name: Radiographs and/or other documentation will not be returned. NOTE: TRDP, provided by Delta Dental, ended in 2018. Provider Tools also gives you a list of your Delta Dental patients, claim status, treatment history and a reference library. Preventive services such as cleanings and X-rays are covered at 100% and you'll have access to … Delta Dental of Illinois does not control the timing or funding of claims payments to State of Illinois dental members or the dentists who treat them. The following chart provides a comparison of costs for certain procedures covered by the state-sponsored dental plans. If you are unsure of how your practice name and the associated ID number are recorded with the IRS, check what is printed on the mailing labels that are supplied by the IRS for quarterly tax payments. There are two types of NPIs: Type 1, for individual health care providers, such as dentists and hygienists, and Type 2 for incorporated businesses, such as group practices and clinics. The Dental Plan outlined in this Certificate is administered by Delta Dental Plan of Michigan, Inc., under an agreement with the Office of Retirement Services for Michigan Public School Employees’ Retirement System, Client Number 3250. Important information for dentists with patients covered by the State of Illinois Dental Plan. Box 173803 Denver, CO 80217-3803 800-610-0201 www.deltadentalco.com Payer #84056 Delta Dental of Connecticut (See Delta Dental of New Jersey) Payer #22189 If you need to file a claim with Delta Dental for care received before Jan. 1, 2019: Download the TRDP Claim Form Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Forgot Start by registering for an Online Services account and logging in to use Provider Tools. Send TRICARE Dental Program Claims Prior to May 1st, 2017 to: Metlife Claims, P.O. Delta Dental PPO plus Premier - Group #9949 An indemnity plan allows enrollees to select a dentist of their choice throughout the United States and worldwide without using a provider network. Delta Dental -the largest dental network in the US. The following may cause delays, inaccurate processing and possible denials: If you have submitted a pre-treatment estimate, once services are provided use the notification of pre-treatment estimate form. When there is other coverage and it is not FEHB, please indicate that coverage by checking the “Other Coverage” box and be sure to complete all the other information fields in this same area on the claim form. TRICARE Retiree Dental Program. We’ll help you simplify your administrative processes with Provider Tools demonstrations and other new ideas for increasing efficiency. © Delta Dental. If you have questions regarding errors or to request an “Electronic Claims Submission” guide, contact Delta Dental… If you conduct electronic transactions, you’ll need the Payer ID of the insurance carrier. Box 997330 Sacramento, CA 95899-7330 888-DELTA CS 888-335-8227 www.deltadentalca.org Payer #77777 Delta Dental of Colorado P.O. Appointment tracking, recall and billing features. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Claims will be processed when received according to your plan provisions. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Indicate a quantity (the number of x-rays, for example) in the field on the claim specifically for this purpose. Any changes to this ID number during the year should be verified through your local Delta Dental Member Company no later than the end of each year. Payer ID of the insurance carrier. Delta Dental’s Federal Employees Dental Program is administered by the Federal Government Programs division of Delta Dental of California through its subsidiary Delta Dental Insurance Company (DDIC). The address for our administrative office is: Delta Dental of California Federal Employees Dental Program PO Box 537009 Sacramento , CA 95853-7009 If they do not, the IRS requires Delta Dental to withhold 28 percent of the dollars owed to you from future payments until the matter is resolved. Get started by calling your practice management software vendor’s support center for details about how to submit claims and attachments, check benefits and eligibility, and accomplish other activities electronically. The tax identification number and practice name on file with Delta Dental must match the IRS records exactly. You may be responsible for the cost of procedures or services not covered by your plan. All individual health care providers (including dentists) and organizations such as clinics and group practices are eligible to obtain an NPI. View (or download and print) benefits details, per procedure, per network. The form is designed so that the name and address (Item 3) of the third-party payer receiving the claim (insurance company/dental benefit plan) is visible in a standard #10 window envelope. Estimates may vary depending on your benefit plan and the state you live in. Payer #CDAR1 California Delta Dental of California P.O. Delta Dental offers individual and family dental insurance plans. Submit the correct ID number as printed on the ID card and the subscriber’s date of birth. In these instances, please simply indicate the amount paid by the FEHB carrier on the claim in the “Other Coverage” area. Locate a network dentist for your Delta Dental plan in FEDVIP and save on your out-of-pocket costs. In all cases when Delta Dental is the secondary carrier the primary carrier’s Explanation of Benefits or remittance advice is not required; please just indicate the amount paid by the primary carrier on the claim in the “Other Coverage” area. Claims will be processed when received according to your plan provisions. Use your practice management software to do more, including to communicate with insurance carriers electronically. Estimates should not be construed as financial or medical advice. Do not submit a new claim for any services that have been submitted for a pre-treatment estimate. Your dentist’s office staff can use your ID card to quickly look up your benefit and coverage information. Box 2059 Mechanicsburg, PA 17055-2059 866-261-4275 deltadentalins.com/AARP Payer #AARP1 DELTA DENTAL FEDERAL GOVERNMENT PROGRAMS Delta Dental of California P.O. Notes: (1) Managerial, supervisory, confidential and all other employees excluded from collective bargaining. The tax identification number and practice name on file with Delta Dental must match the IRS records exactly. You only have to date each service, sign and return the form for processing. See processed claims in minutes (when clinical review isn’t necessary), including Delta Dental’s payment and the patient’s payment portion (maximums and deductibles are updated in real-time, too). Box 173803 Denver, CO 80217-3803 800-610-0201 deltadentalco.com Payer #84056 Delaware Delta Dental of Delaware, Inc. Payer #51022 See Delta Dental of Pennsylvania Kentucky EDI system maintenance schedules and downloadable, printable guides, Your Tax Identification Number (TIN, EIN or SSN), Medicare Fraud Waste and Abuse Attestation, Communicate With Your Patients Who Speak Another Language, Register your National Provider Identifier (NPI), English to Spanish phrase guide for dentists, Continuous Orthodontic Coverage Form for DeltaCare USA. Prepaid Dental Plan Premiums Level of Coverage If this field is not available, list each item on a seperate line. Save Time By Using Dental Office Toolkit (DOT), Delta Dental’s Federal Employees Dental Program, Use fees with decimal points (for example, 100.00; not 100). Or, you may contact the IRS to request a letter (#147C) that will confirm their records of your name and ID number. Get started by contacting different vendors and ask for product information and pricing. This brochure describes the benefits of Delta Dental’s Federal Employees Dental Program under Delta Dental of California contract OPM01-FEDVIP-01AP-3 with OPM, as authorized by the FEDVIP law. Box 14181, Lexington, KY 40512. Electronic Data Interchange (EDI) Hours and Information Link to information about EDI system maintenance schedules and downloadable, printable guides that provide details on specific EDI real-time transactions. Use Provider Tools to simplify your office administration. A 10-digit random number unique to each health care provider or organization, An NPI contains no coded information about the provider or organization, A permanent identifier that does not change over time or expire, Not a replacement for social security numbers, DEA numbers, taxpayer ID numbers (TIN or EIN), specialty identifiers (taxonomy) or state license numbers, Issued by the government through a third-party group, the National Plan & Provider Enumeration System (NPPES), which is responsible for processing applications and assigning numbers. Line through (single line) any treatment that has not been completed. We accept duplicate films and paper copies of digital images. Delta Dental uses this information to ensure the claim is processed under the correct member. Member login or account registration to view plan information, download forms, view claims, and track dental activity. Box 537015 Sacramento, CA 95853-7015 Delta Dental of Washington is a part of Delta Dental Plans Association. Compare the more important features offered: How will the vendor help you if you have a question? No changes to the ID number can be made on the 1099 statements once they have been processed. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. When submitting claims, the NPI-1 will always be required for the rendering/treating dentist. You may be responsible for the cost of procedures or services not covered by your plan. Box 997330 Sacramento, CA 95899-7330 888-335-8227 deltadentalins.com Payer #77777 Colorado Delta Dental of Colorado P.O. Delta Dental FEDP will be the secondary coverage. Dental Offices Online Inquiry: Email Phone: 844-825-8111 (24 hours automated) Mail Inquiries, Claims and Appeals Mail Inquiries and Claims Delta Dental of California Federal Government Programs P.O. AARP DENTAL INSURANCE PLAN Delta Dental Insurance Company P.O. Compare pricing and features to find the best fit for your office. Questions may be submitted in writing to: Customer Service Department Delta Dental of Michigan P.O. For Delta Dental PPO, DPO and Delta Dental Premier claims. Please fold the form using the ‘tick-marks’ printed in the margin. Password? Pre-Populated claims with digital attachments and pre-treatment estimates for an online services account and logging to! ’ t have yours with you, don ’ t have yours you... That provide details on specific EDI real-time transactions detail you need to run your business?... In 2018 PPO, DPO and Delta Dental plans Association website plan that has any Dental,... Practice management software to do more, including to communicate with insurance carriers electronically records exactly your! Services that have been processed: ( 1 ) Managerial, supervisory, confidential and all other employees excluded collective... 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