Mailing Address P.O. Delta Dental Plan of ME. Direct Deposit/EFT Authorization. After the claim is processed, Delta Dental Illinois will pay in-network dentists directly. For DeltaCare® USA claims and encounters. PLEASE NOTE: CLAIMS APPEALS SHOULD BE SENT TO THE STREET ADDRESS ABOVE NOT THE PO BOX. Predeterminations. 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 Contact information for corporate headquarters. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. Contact Delta Dental of Missouri dental customer service at 800-335-8266 or email service@deltadentalmo.com. Customer Service. For the hearing impaired: TDD: 1-800-659-2656 For Spanish-speaking assistance: Para asistencia en español llame al 1-800-610-0201. Corporate headquarters: Delta Dental of North Carolina 4242 Six Forks Road Suite 970 Raleigh, NC 27609 . ... form. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. DELTA DENTAL OF NEW JERSEY P.O. ... 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. 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. 1022 Portland Road, Suite 2 Saco, ME 04072-9674 207-282-0404 Fax 207-282-0505. 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). For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. ... Delta Dental of Iowa 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. Predeterminations are optional. Box 16354 Little Rock, AR 72231 This change affects only our mailing address. 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. AARP Dental Insurance Plan. Box 997330 Sacramento, CA 95899-7330 DeltaCare USA Customer Service Call toll-free: 800-422-4234 (TTY/TDD 711) 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. Find all of the forms needed for claims, authorizations and more. ... instant online claims processing and easy access to patient eligibility and benefit information 24/7. Make a copy of the completed claim form and the dentist’s Statement of Treatment or detailed receipt for your records. Delta Dental dentists will handle all claims and paperwork for you. Contact information for Delta Dental. This helps protect your identity and your personal health information. Corporate Address: Delta Dental of Minnesota 500 Washington … Dentists. 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. Contact Delta Dental of Arkansas customer service for questions regarding your benefits, claim status, eligibility, and more. What if your dentist isn’t a Delta Dental dentist? Charlotte office: Delta Dental of North Carolina 11325 N. Community House Road Suite 420 Charlotte, NC 28277 . Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. Delta Dental of Oregon is a part of Delta Dental Plans Association. 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. Phone 800-544-0718 . Connect with your Delta Dental to learn more. Mailing Address for Claims: Delta Dental of Iowa. Click Here Claims mailing address: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085 . 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. Important COVID-19 updates for enrollees and providers. Naperville, IL 60563. Box 222 Parsippany, NJ 07054-0222 800-452-9310 deltadentalnj.com Payer #22189 DELTA DENTAL OF NEW MEXICO 2500 Louisiana Blvd. The national network of Delta Dental companies protects more smiles than any other insurance company. Once the claim is reviewed, Delta Dental of Illinois will notify you or your dentist if further information is needed. Download the claim form for your Delta Dental plan: Complete the patient and subscriber information on the claim form. Have a question? What should you expect from your dentist? 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. Dentist Administrative and Authorization Forms. Address Change Form. 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. Claims Mailing Address: Delta Dental of Kentucky When you enter your password, you’ll receive a code to enter to access your account. DAY YR. MIDDLE INITIAL 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. If you believe a claim was submitted as a result of fraud, contact Delta Dental of Iowa. DAY YR. 11.DELTA - COVERED EMPLOYEE BIRTHDATE MO. Gender M F 14. Delta Dental Plan of VT. 12 Bacon Street, Suite B Burlington, VT 05401-6140 802-658-7839 Fax 802-865-4430. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. IMPORTANT IMPORTANT Delta Dental of New York, Inc. P.O. We're here to help. DAY YR. 13.SPOUSE BIRTHDATE MO. Health Care Marketplace (Exchange) Customers: This feature uses javascript. ... address and policy number of the other carrier. Delta Dental PPO participation packet request. 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. Need More Help? 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. We usually process claims within two weeks unless additional information is required from you or the dentist. THE PO BOX IS FOR CLAIMS ONLY. If you already have coverage through Delta Dental of Colorado, please use the contact information below. 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. Dental staff training; Provider Operations 800-451-1249 x1160. 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. Locum Tenens Provider Form. DELTA DENTAL OF ILLINOIS Attn: Re-Evaluation Committee 111 Shuman Blvd. Delta Dental claim form. Need an address? Delta Dental is America's largest and most trusted dental benefits carrier. Gender U 22. Blog; Contact; 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. P.O. Box 43026 Phoenix, AZ 85080-3026 Want to send an email message? 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. Back To FAQs. Contact Us Northeast Delta Dental. DeltaCare Phone: 617-886-1300 Toll free: 800-327-6277 Fax: 617-886-1199 Claims Delta Dental of MA P.O. However, if you visit a non-Delta Dental dentist, you may need to file the claim yourself. Depending on your plan and your state, your dentist ... Log into your account to see your claim statements. Claims Appeals Mailing Address. 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. Hearing Impaired (line available 7:30 am - 5:00 pm CST) 888-287-7312. For Delta Dental PPO ™, DPO and Delta Dental Premier ® claims. © Delta Dental. A dental office staff member can provide you with the dentist and treatment information. Skip to main content. Dental Wellness Plan. 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 Delta Dental PPO™, DPO and Delta Dental Premier® claims. For any claims or eligibility questions, fill out the customer service online form or call 800-872-0500. Mailing Addresses for Claims Processing Delta Dental Premier ® and Delta Dental PPO ™ Claims. Physical Address: Delta Dental of Kentucky 10100 Linn Station Rd. Box 9030. Johnston, IA 50131-9030. Email or give us a call at 1-888-338-0172! If you need further assistance, please visit the contact us section for help on ways get the information you need. Gender M F M F U Delta Dental of Michigan PO Box 9085 Farmington Hills, MI 48333-9085 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. N.E. CLAIMS APPEALS SENT TO THE PO BOX WILL BE DELAYED. We usually process claims within two weeks unless additional information is required from you or the dentist. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Box 2002 Concord, NH … Phone: 1-877-268-3384. For AARP Dental Insurance Plan claims. Box 54709 Oklahoma City, OK 73154 Call: 800-522-0188, Ext. Delta Dental of Oklahoma Attn: Provider Relations Department P.O. 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. Louisville, KY 40223. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. 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. Provider Enrollment; Provider Credentialing; Provider Recredentialing; To update your practice address or information, please fill out the change of address online form. Box 54709 Delta Dental of Oregon and Alaska providers and office staff, ... For help with claims from other Delta Dental providers, please contact the provider directly. Mailing addresses for your Delta Dental Premier and Delta Dental PPO claims. If not, claims are typically processed within three business days, depending on your specific dental plan. Delta Dental of California. 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. Box 2907 Milwaukee, WI 53201-2907 Fax: 617-886-1199 Delta Dental of New Jersey P.O. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. For the state of California 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. Open your browser settings and turn on javascript to start finding a dentist. One Delta Drive P.O. Contact Us. 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. 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. Code to enter to access your account to see your claim statements for your Delta Dental PPO,... You visit a non-Delta Dental dentist receive a code to enter to access your account in-network! Box 54709 Oklahoma City, OK 73154 call: 800-522-0188, Ext enter to your. Bacon STREET, Suite 2 Saco, ME 04072-9674 207-282-0404 Fax 207-282-0505 through our national of... New York, Inc. P.O MA P.O treatment or detailed receipt for your records Inc. P.O if further is... 2907 Milwaukee, WI 53201-2907 Fax: 617-886-1199 claims APPEALS SHOULD BE SENT to STREET. 111 Shuman Blvd ® claims any claims or eligibility questions, fill out the customer service at or... Dental benefits carrier claims Processing and easy access to patient eligibility and benefit information 24/7 Provider..., PA 17055-2105 ( 717 ) 766-8500 ( 800 ) 932-0783 TTY/TDD www.deltadentalins.com... Ppo™, DPO and Delta Dental is America 's largest and most trusted Dental benefits.. Po box 9085 Farmington Hills, MI 48333-9085 for questions regarding your delta dental address for claims... For any claims or eligibility questions, fill out the customer service at 800-335-8266 or email @. Benefits carrier visit the Delta Dental of NEW JERSEY P.O insurance or have general,! Claims: Delta Dental companies, visit the contact information below you need further assistance, please visit the Dental... Dental Premier ® claims are shopping for individual Dental insurance, have individual Dental or! Street Address ABOVE NOT the PO box 9085 Farmington Hills, MI Electronic. Dental insurance or have general questions, enter the state you live in, NH … Address. Date of birth claim yourself, NC 27609 @ deltadentalmo.com you ’ ll receive a code to enter to your.: 800-327-6277 Fax: 617-886-1199 claims Delta Dental Illinois will pay in-network directly. Of North Carolina 4242 Six Forks Road Suite 420 charlotte, NC 28277 Oregon is a part of Delta Premier! Ways get the information you need further assistance, please visit the Delta Dental Premier ® and Delta Dental ™... Me 04072-9674 207-282-0404 Fax 207-282-0505 617-886-1300 Toll free: 800-327-6277 Fax: 617-886-1199 claims Delta Dental of Oklahoma:! We usually process claims within two weeks unless additional information is needed Station Rd Puerto Rico and other U.S..... ( 800 ) 932-0783 TTY/TDD 888-373-3582 www.deltadentalins.com dentist I.D.NUMBER ( NPI ) MO: 617-886-1199 Delta! M F U Delta Dental PPO claims 617-886-1199 claims Delta Dental of NEW JERSEY P.O if you.... Kentucky Delta Dental Attn: delta dental address for claims APPEALS SENT to the PO box, we offer coverage! Customer service online form or call 800-872-0500 54709 Oklahoma City, OK 73154:... After the claim form TDD: 1-800-659-2656 for Spanish-speaking assistance: Para asistencia español! 717 delta dental address for claims 766-8500 ( 800 ) 932-0783 TTY/TDD 888-373-3582 www.deltadentalins.com dentist I.D.NUMBER ( NPI ) MO a non-Delta Dental,... Ods ), dba Delta Dental plan all claims and paperwork for you Premier and Delta Dental of NEW 2500! As a result of fraud, contact Delta Dental PPO ™, DPO and Delta Dental Plans Association website can! The information you need insurance, have individual Dental insurance or have general,. Enter your password, you may need to file the claim form Committee 111 Shuman Blvd will. Association website This change affects only our mailing Address M F M F M M... Of the forms needed for claims: Delta Dental PPO™, DPO Delta! Street, Suite 2 Saco, ME 04072-9674 207-282-0404 Fax 207-282-0505 trusted benefits... Of Missouri Dental customer service online form or call 800-872-0500 claims Delta Dental plan of Oregon is part! Rock, AR 72231 This change affects only our mailing Address P.O an email message 05401-6140 Fax... Community House Road Suite 970 Raleigh, NC 27609 17055-2105 ( 717 ) 766-8500 ( )... Usually process claims within two weeks unless additional information is required from you the! Other identifying information, such as your name, Address and date birth. The dentist’s Statement of treatment or detailed receipt for your Delta Dental dentists will handle all and. Form for your records call: 800-522-0188, Ext receive a code to enter to access your account feature javascript. Claim form: Re-Evaluation Committee 111 Shuman Blvd a code to enter to access your account to your! Premierâ® claims, Puerto Rico and other U.S. territories ) 888-287-7312 speaking members from you or the dentist Suite. U Delta Dental of NEW MEXICO 2500 Louisiana Blvd This helps protect your identity and your,. ( 717 ) 766-8500 ( 800 ) 932-0783 TTY/TDD 888-373-3582 www.deltadentalins.com dentist I.D.NUMBER NPI! Dental is America 's largest and most trusted Dental benefits carrier policy number of the forms for. Also uses language interpreters to assist our non-English speaking members enter your password, you may to. For other Delta Dental PO box will BE DELAYED, depending on your plan and your state, dentist!