Delta Dental Provider Credentialing Process Credentialing is the process of verifying credentials (i.e. Aetna Dental Encounters P.O. Mid-Atlantic Region. We give you exposure to the nation’s largest dental insurance customer base, provide easy administration, pay you directly when treating Delta Dental patients and provide quick, accurate claims processing—so you’ll be paid promptly and easily. How can I request an extension or confirm that Delta Dental has received my submission? Fax: 617-886-1414. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental Foundation opens $500,000 COVID-19 Emergency Assistance Fund to address needs of dental clinics and nonprofits in Michigan, Ohio and Indiana. For your convenience, … CLAIMS/PAYMENTS . Important telephone numbers and addresses . If you have the required materials ready, you can complete the process in about 5 minutes! Refer to your benefit plan to determine whether these requirements apply to you. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Contact your company's human resources department. LIBERTY Dental Plan conducts all verifications, background, malpractice, government sanction checks and a Credentialing Committee review on each network provider prior to approval. These individuals have purchased a Delta Dental plan for themselves and/or their families through Connect for Health Colorado. Oral Health Articles ; Teaching Tools; Delta Dental Kids Club; Recommended Resources; Oral Health Rack Cards; LifeSmile Score; LifeSmile Wellness TM. There are other choices out there for dental insurance, but 50+ years of experience and the largest network in Wyoming and nationwide help us stand out from the crowd. Dentist Hotline. Claims will be processed when received according to your plan provisions. Activities for Kids; Recommended Resources ; Teaching Tools; Oral Health Articles; Oral Health Rack Cards; LifeSmile Score; LifeSmile Wellness. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. You can expect to receive a participation packet within 10 business days. Participating Provider Manual; Provider Association Form: Active Delta Dental Participating Providers can use this form to add a new office location without needing to fill out the full Provider Credentialing Profile. Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health. Plans with the most dentists in the networks, great savings, easy to join and easy to use - no wonder Delta Dental has the most members. This electronic enrollment and credentialing tool allows you to complete required documentation, receive real-time application status updates and view archived submissions throughout the application process. Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna). This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. Representatives are available Monday through Friday from 7 am to 5 pm, Central Time. Missing documents will delay processing. All Rights Reserved. Resource page for Delta Dental of Nebraska providers. Dental Customer Service: 888-217-2365 | Dental Professional Relations: 888-873-1393 Get more contact details. Delta Dental has the largest network of dentists in Iowa and nationwide — just one of many reasons to choose Delta Dental of Iowa. 800-524-0149 (TTY users call 711) Medicare Advantage member customer service It is wholly-owned by DDPNJ Corporation, which is owned by Delta Dental of New Jersey, Inc., New Jersey's leading dental benefits company, providing or administering coverage to more than 1.6 million people through contracts with groups in New Jersey and Connecticut. Note: A W-9 form must be submitted for each location. The dental office needs the subscriber/member ID number, their full name and date of birth, group number, and the subscriber's mailing address. Submit application with all applicable sections completed. General information regarding your health care. Completed Credentialing Profile Completed and Signed Delta Dental Premier/Delta Dental PPO (PPO) Specialist Agreement W-9 Form – completed and signed indicating the Tax Identification Number (TIN) you report to the Internal Revenue Service. Delta Dental strives to maintain an accurate and up-to-date dentist directory, but it is always useful to verify the participation status of the particular dentist. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Once you have received the packet and reviewed the PPO fee schedule, you must agree to accept payment according to the lesser of the fee you submit on claims or the fee shown on the schedule. Delta Dental of Tennessee 240 Venture Circle Nashville, TN 37228. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Our mission is to improve lives by promoting optimal oral health. You can apply to re-join under the terms of the current dentist agreement and you must meet all the credentialing criteria. 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. © Delta Dental. Dental Benefit Plans for Employers and Groups. Have a question about coverage or looking for dental insurance? Use of this website in no way increases or decreases the benefits available under a dental benefit plan. … These plans make it easy to receive Delta Dental coverage and protect your health. Four out of five dentists nationwide participate in one of our networks, and for good reason—we help them attract and keep high-value patients. Contact Delta Dental of Missouri at 800-335-8266 or email Delta Dental will verify your credentials every three years — please use the recredentialing form after your first filing. For billing and eligibility questions, please use the contact information below. Preventive care coverage varies by plan and by demographic considerations such as age., DE, DC, MD, NY, PA, and WV: email to DDPDentist_Services@ Contact us by phone or mail, or fill out the form below and we’ll reach out to you! These plans make it easy to receive Delta Dental coverage and protect your health. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). If you haven’t already, register an account with us to begin accessing plan information and coverage details- wherever, whenever! To accomplish this, we credential new Delta Dental dentists and conduct re-credentialing of contracted dentists at least once every three years. Through our national network of Delta Dental companies, we offer dental coverage in … Delta Dental of Oregon is a part of Delta Dental Plans Association. Delta Dental has affordable individual dental plans available for you. Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health. Specialists must include a copy of their residency/specialty certificate during the initial credentialing process. It may take 90 days to complete the credentialing process, however many providers can … Contact us. If something does not pertain, indicate N/A. Your actual cost may be higher or lower than the estimate for various reasons. Important COVID-19 updates for enrollees and providers. Delta Dental is committed to completing its credentialing process within 7 business days of having all the information we need in order to evaluate the application. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Email to: AL, FL, GA, MS, LA, and TX: email to professionalservices@ Delta Dental of Oregon is a part of Delta Dental Plans Association. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Missing documents will delay processing. Competitive compensation includes capitation payments for each enrollee assigned to your office, encounter fees and procedural guarantees. Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 Phone – 603-223-1000 Fax – 603-223-1033 Email – Northeast Delta Dental Re-Credentialing Application Instructions: 1. Welcome to Delta Dental of Oklahoma . Customer Service. Provider Services. Complete, sign and email the Participating Dentist Agreement, amendment and accompanying forms to the address contained in the information packet. Delta Dental's Customer Service Department (group) P.O. mal-practice insurance). Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Connect with your Delta Dental company to learn more. Estimates may vary depending on your benefit plan and the state you live in. To begin using the Dental Care Cost Estimator tool, click the Agree button below. I receive dental insurance through my employer, I receive dental insurance via my employer. Delta Dental Patient Direct coverage is not available in all 50 states. Sign in to review your dental plan information including claims history, eligibility, and additional member tools. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." 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 … We offer two plan types for employer groups. A Message About Delta Dental of Missouri’s Coronavirus Preparedness . Refer to your benefit plan to determine whether preventive services are covered for you. In Texas, Delta Dental offers dental provider organization (DPO) plans. To start the process of becoming a new member dentist with Delta Dental of Washington, please complete the forms located here.These forms provide us with the information we need to start the credentialing process and have your information updated in our system. If you need more information, you will need to provide a benefit verification number (provided by Dentist Connection or Faxback). If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Provider Credentialing; Provider Recredentialing; To update your practice address or information, please fill out the change of address online form. Monday – Friday, 8:30 a.m. to 4:30 p.m. EST. Health information changes quickly. Oral Health Grin! For Delta Dental Customer Service, click here. Dentist Contracting Hotline: For PPO contract information, call the Dentist Contracting Hotline at 1-800-776-0537. Individuals & Families Members Dentists Brokers Employers. Automated system is available 24/7. Contact us. We have discount and fully insured plans to fit your needs. If you already have coverage through Delta Dental of Colorado, please use the contact information below.

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