Northeast Delta Dental Credentialing and Re-Credentialing Application Instructions: 1. Complete, sign and email the Participating Dentist Agreement, amendment and accompanying forms to the address contained in the information packet. Delta Dental of Rhode Island ( Select another state) Home; Members; Dentists; Employers; Brokers; Dental Health; Welcome to Delta Dental of Rhode Island More for Members Manage your dental benefits using our secure online tools. Contact us. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Required Documents- Check that all the information you provide is current (e.x. This is a Delta Dental National Directory to assist your office in servicing your DeltaUSA patients in other states. You can expect to receive a participation packet within 10 business days. All dental benefit carriers are required to use and accept the CAQH form for credentialing Ohio dentists. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Delta Dental maintains a file of your credentialing information. Find a dental plan. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental will send a packet of information, including this form, to dentists who are setting up an initial participation agreement or who are due for recredentialing. Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health. Contact your company's human resources department. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. It may take 90 days to complete the credentialing process, however many providers can … This site is meant to help you learn about plans and healthcare for you and your family. A copy of current valid anesthesia license (if applicable). It is for precisely this reason that DenteMax requires credentialing before a dentist is accepted into the network, and then requires re-credentialing … 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. Specialists must include a copy of their residency/specialty certificate during the initial credentialing process. Missing documents will delay processing. 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). To begin using the Dental Care Cost Estimator tool, click the Agree button below. COVID-19 Announcement. Work with us About us At Delta Dental of Wyoming, we can customize or match a dental plan to meet your group’s needs. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Connect with your Delta Dental company to learn more. Learn More About Members … Automated system is available 24/7. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Email to: pr-dcusa-west@delta.org. 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. Resource page for Delta Dental of Nebraska providers. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. The Content on this website is not medical advice. Delta Dental PPO. For small group sales (up to 50 eligible employees), contact Delta Dental Connect SM: Phone: 1-800-906-5250 or locally at 651-406-5920 Email: [email protected] Group Enrollment Form Submissions: Email: [email protected] Attention: Eligibility Department PO Box 30416 Lansing, MI 48909-7916. We have discount and fully insured plans to fit your needs. Missing documents will delay processing. Denti-Cal Customer Service for Beneficiaries and Providers. Call the Credential Department toll-free at 888-858-5252, ext. Additional Websites and Services. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Health information changes quickly. Dental Customer Service: 888-217-2365 | Dental Professional Relations: 888-873-1393 Get more contact details. Delta Dental of New Jersey is a part of Delta Dental Plans Association. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Are preauthorizations mandatory? This document supplements the Delta Dental Premier program Participating Dentist Agreement between Delta Dental of Tennessee (DDTN) and the Dentist and states the terms of the Dentist’s participation in DDTN’s Delta Delta Dental's Customer Service Department (group) P.O. Keeping your smile healthy is an important part of keeping your body healthy. Delta Dental Plan Addresses and Phone Numbers. Delta Dental has the largest network of dentists nationwide. A copy of current professional liability insurance policy that indicates carrier name, policy number, expiration date, and policy limits. State of Illinois Plan Members (other than member benefit rundowns): 800-323-1743, press 5. Phone: 617-886-1300 Toll free: 800-327-6277 Fax: 617-886-1199 Claims Delta Dental of MA P.O. Delta Dental of Illinois will not provide benefit rundown information through a live representative by phone. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. You may be responsible for the cost of procedures or services not covered by your plan. LIBERTY Dental Plan conducts all verifications, background, malpractice, government sanction checks and a Credentialing Committee review on each network provider prior to approval. Northeast Delta Dental administers dental benefits to more than 880,000 people in Maine, New Hampshire, and Vermont and designs programs for organizations of all sizes and people with no access to employer–sponsored dental insurance programs. Oral Health Grin! 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. 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. Check out our Website FAQs to get some answers. DeltaCare Plan Members: 800-942-3772. Members have peace of mind when choosing a DenteMax dentist because the DenteMax network is made up of the best dentists in the nation. Please keep this information close by so you can refer to it when necessary. Call the National Dentist Line at 1-800-451-7715. 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. or family dental plan? Provider Credentialing; Provider Recredentialing; To update your practice address or information, please fill out the change of address online form. Please respond quickly. Refer to your benefit plan to determine whether preventive services are covered for you. If you have a question regarding the participation status of a specific dentist who does not appear in this directory, please contact the dentist or your Delta Dental. Call (toll free) 800-328-1188 x4170 Notice of Applicant’s Right Representatives are available Monday through Friday from 7 am to 5 pm, Central Time. LifeSmile Wellness. Delta Dental of Oregon is a part of Delta Dental Plans Association. Keep your oral … 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 … 240 Venture Circle Nashville TN 37228 Fax: 615-742-6940 © Copyright 2020 Delta Dental Plans Association. These plans make it easy to receive Delta Dental coverage and protect your health. Through our national network of Delta Dental companies, we offer dental coverage in … National Dentist Line: Have a question? Find the one that’s right for you. Dentist Contracting Hotline: For PPO contract information, call the Dentist Contracting Hotline at 1-800-776-0537. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Helping You Keep Your Employees Smiling. Throughout the process, we will be contacting you. Have a question about coverage or looking for dental insurance? 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. LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. Group Plans. E-mail: DeltaDentalCredentialingUpdates@greatdentalplans.com. Preventive services are included in this tool. 800-423-0507. http://www.denti-cal.ca.gov. ©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona. deltadentalpa.org, CA, MT, NV, and UT: email to Dservices@delta.org, AL, FL, GA, MS, LA, and TX: email to professionalservices@ddic.delta.org, DE, DC, MD, NY, PA, and WV: email to DDPDentist_Services@deltadentalpa.org. If you have individual insurance, select the state you live in. 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. If you have the required materials ready, you can complete the process in about 5 minutes! Delta Dental is America's largest and most trusted dental benefits carrier. Do not avoid getting dental care based on the cost information provided on this website. Phone: 617-886-1160. What's my ID number and where can I find it? Credentialing Requirements . How much is it going to cost? This website shows estimates of certain dental care costs. 3. Customer service representatives are available nationwide to answer questions about your dental insurance, claims submissions, payment procedures, changes in your contact information or other concerns. To accomplish this, we credential new Delta Dental dentists and conduct re-credentialing of contracted dentists at least once every three years. Important telephone numbers and addresses . Delta Dental has affordable individual dental plans available for you. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. Delta Dental works to ensure you receive the best possible service. 11. 2. Each dentist also agrees to pre-file their fees and accept direct reimbursement from Delta Dental. Box … 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. 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). The following documents are required for credentialing as a Delta Dental Participating Provider: Completed Participating Dentist Credentialing Agreement that is signed and dated. Delta Dental of North Carolina is a part of Delta Dental Plans Association. 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. All of those matters are things that you should decide, in consultation with your dental care professionals. About Us Foundation Press Hours of Operation. All Rights Reserved. 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. If you haven’t already, register an account with us to begin accessing plan information and coverage details- wherever, whenever! Our mission is to improve lives by promoting optimal oral health. Best of all, the process is quick and easy! Monday – Friday, 8:30 a.m. to 4:30 p.m. EST. Claims will be processed when received according to your plan provisions. If you need more information, you will need to provide a benefit verification number (provided by Dentist Connection or Faxback). Please note that you must submit a separate application for each state in Northeast Delta Dental’s territory in which you practice. Includes Delta Dental of Pennsylvania (Pennsylvania and Maryland), Delta Dental of Delaware, Inc., Delta Dental of the District of Columbia, Delta Dental of New York, Inc., and Delta Dental of West Virginia, Inc. Want to know before you set foot in the dentist’s office? In order to apply for participation in the Delta Dental Medicare Advantage provider network, please send an email to medadv@delta.org and we will reply with an application and contract. 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. Activities for Kids; Recommended Resources ; Teaching Tools; Oral Health Articles; Oral Health Rack Cards; LifeSmile Score; LifeSmile Wellness. For example, if you were last credentialed in 2017, you’ll be recredentialed again in 2020, using DentalXChange. Credentialing Contact Information – Name, phone number, email address. The dental office needs the subscriber/member ID number, their full name and date of birth, group number, and the subscriber's mailing address. Delta Dental Patient Direct coverage is not available in all 50 states. AppCentral gives providers the ability to easily and efficiently complete credentialing and recredentialing applications and sign network participation agreements. *Not sure where your company is headquartered? Some dental procedures require preauthorization, for example, … During the current coronavirus (COVID-19) situation, please be assured that Delta Dental of Missouri is continuing to deliver uninterrupted service to our members, clients, network dentists and producers. Delta Dental has the largest network of dentists in Iowa and nationwide — just one of many reasons to choose Delta Dental of Iowa. Delta Dental has affordable dental plans and options to keep you and your family healthy and happy. Delta Dental of Minnesota has moved to an electronic credentialing system. Delta Dental of Connecticut, Inc. is a licensed insurer that writes dental coverage on an insured basis. Preventive care coverage varies by plan and by demographic considerations such as age. Delta Dental of Tennessee 240 Venture Circle Nashville, TN 37228. Customer Service. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! The information and content (collectively, "Content") on this website is for your general educational information only. training, licensing, Office of Inspector General (OIG) exclusions, National PractitionerData Bank (NPDB), hospital affiliations, etc.) Delta Dental has affordable individual dental plan options available for you. You can apply to re-join under the terms of the current dentist agreement and you must meet all the credentialing criteria. Box 14530 Lexington, KY 40512. Find the one that’s right for you. Beneficiary Services. For any claims or eligibility questions, fill out the customer service online form or call 800-872-0500. Each dentist participating with Northeast Delta Dental needs to complete this application in its entirety at least once every three (3) years. Contact us online Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). Delta Dental has partnered with DentalXChange to bring you online recredentialing Your entire recredentialing process with Delta Dental of New Jersey & Connecticut will now take place online . You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Therefore, it is always best to confirm information with your health care professionals. Dentist Membership and Participation Agreement (Delta Dental Premier) Delta Dental PPO MAIL CREDENTIALING APPLICATION TO: Delta Dental of Nebraska Attn: Credentialing P.O. Information regarding the Cost Estimator content. 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. Affiliate dental plans for membership, federal and state government programs. Dental Customer Service: 888-217-2365 | Dental Professional Relations: 888-873-1393 Get more contact details. Fax: 617-886-1414. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. These individuals have purchased a Delta Dental plan for themselves and/or their families through Connect for Health Colorado. Contact information, including phone number, email address, and mailing address for Delta Dental locations across the United States The data is based on actual, non-discounted charges that providers have billed. Delta Dental of Washington is a part of Delta Dental Plans Association. Contact us. Delta Dental of Oregon is a part of Delta Dental Plans Association. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. Please be sure to mail all requested information. LifeSmile Wellness. We offer two plan types for employer groups. ALABAMA (see DDIC - Georgia) (800) 322-7976 www.deltadentalins.com . Alternatively you may email mncredentials@mydeltadental.com to begin the electronic process. Box 9304 Minneapolis, MN 55440-9304 FAX: (toll free) 866-286-8840 QUESTIONS? The process of obtaining a Medicaid registration number through DHS can generally take up to 45 days. Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 Phone – 603-223-1000 Fax – 603-223-1033 Email – credentialing@nedelta.com Northeast Delta Dental Re-Credentialing Application Instructions: 1. © Delta Dental. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Please call 1-800-448-3815 and select credentialing from the list of options. Delta Dental has the largest network of dentists nationwide. If you have any questions, please call our Professional Relations Department at 888 … If something does not pertain, indicate N/A. Monday through Friday, 8:30 a.m. to 8 p.m. Toll free: 800-451-1249 x61160. A relationship with Delta Dental can add value to your practice and reduce work for you. 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. (This will be the TIN used when filing claim forms). Please contact the Delta Dental company below for more information. 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. Practice Information Update Form: Use this form to notify Delta Dental of New Mexico about changes to practice information, such as the street address or office hours. Estimates may vary depending on your benefit plan and the state you live in. In some states, compensation is similar to our fee-for-service network plans. Mid-Atlantic Region. I receive dental insurance through my employer, I receive dental insurance via my employer. Important COVID-19 updates for enrollees and providers. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Individuals & Families Members Dentists Brokers Employers. Phone (Monday through Friday, 7:30 a.m.–5 p.m.): 303-741-9300, Option 2 Email: individual@ddpco.com. Complete, sign and email the Participating Dentist Agreement, PPO amendment and accompanying forms to the address contained in the information packet. General customer service. of potential providers by primary sources. Dentist Name Dentist License Number State Issuing License A complete copy of this form (“Credentialing Information Form”) A copy of each dentist’s current stat e licens A copy of each dentist’s DEA certificate Return this form to: Delta Dental of Tennessee Professional Relations Dept. Competitive compensation includes capitation payments for each enrollee assigned to your office, encounter fees and procedural guarantees. Once you have received the packet and reviewed the 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. Oral Health Articles ; Teaching Tools; Delta Dental Kids Club; Recommended Resources; Oral Health Rack Cards; LifeSmile Score; LifeSmile Wellness TM. It is for precisely this reason that DenteMax requires credentialing before a dentist is accepted into the network, and then requires re-credentialing … 800-524-0149 (TTY users call 711) Medicare Advantage member customer service Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. How can I request an extension or confirm that Delta Dental has received my submission? 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. Your ID number is a 2-18 combination of letters and numbers. Members have peace of mind when choosing a DenteMax dentist because the DenteMax network is made up of the best dentists in the nation. You can find it on your ID card. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Go Need a dentist? For a complete description of the details of your coverage, please refer to your coverage documents. Refer to your benefit plan to determine whether these requirements apply to you. Delta Dental focuses on getting patients into your office as an essential part of achieving and maintaining good oral health. Work with us … Find a Dentist Giving Back Our Foundation promotes dental health, advances dentistry, helps Iowans access dental health care, and more to keep Iowans smiling. Look for an email from DentalXChange when it’s nearing time for your next recredentialing. 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 will verify your credentials every three years — please use the recredentialing form after your first filing. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Dentist Hotline. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Note: A W-9 form must be submitted for each location. … In Texas, Delta Dental offers dental provider organization (DPO) plans. 5325, during business hours. A message to the members of the Delta Dental Community: The overall health of our Delta Dental employees, members, dentists, clients and brokers is our top priority. If you already have coverage through Delta Dental of Colorado, please use the contact information below. How to become a … Return to top Delta Dental of Tennessee is a part of Delta Dental Plans Association. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. 12. Please be advised, that a site review may be required as part of the recredentialing process for the governmental sponsored programs. Delta Dental Foundation opens $500,000 COVID-19 Emergency Assistance Fund to address needs of dental clinics and nonprofits in Michigan, Ohio and Indiana. Receive payment based on the fee schedule, maximum contract allowance or amount submitted to Delta Dental, whichever is lower. 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Accept the CAQH form for credentialing as a Delta Dental of Alaska Service for Beneficiaries providers!

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