Articles
Participating Dentist Handbook Mailed
Soon
Forms Available for Dentists Online
New Jersey Tax on Certain Cosmetic Procedures
Calling All Dentists!
Office Managers Council Promotes Communication
Between Dental Offices, Delta Dental
Golf Outing Raises $62,000 for Special Olympics
What Do You Get When You Call Customer Service?
A Friendly Voice, Empathy and Answers
Changes Announced to DeltaCare Plan
Tech-niques: Can Your Practice Continue in the Face of an Emergency? What you
should know about disaster recovery
What Dental Offices Need to Know About Upcoming HIPAA Security Rule
Did You Know That... Claim Forms Must Reflect All Discounts
COB FAQs
DeltaUSA
Participating Dentist Handbook
Mailed Soon
A completely updated Participating Dentist Handbook
will be mailed this fall to all participating dentists
in New Jersey and Connecticut.
The new Handbook includes everything offices need
to know about participating with Delta Dental, including:
- Updated sections on new Department of Labor and
privacy laws
- CDT-4 codes
- Processing policies
- Diagnostic requirements
- Instructions for verifying patient eligibility
online and by phone
- Claim submission procedures for online, electronic
and paper claims
- Benefits of the In-Net discount program, which
is available only to participating dentists
- And more!
The Handbook is being distributed on CD, and launches
automatically when inserted in your computer's CD
drive. If you do not have a computer with a CD drive,
please complete the postcard enclosed with the CD
to request a printed copy of the Participating Dentist
Handbook.
If you do not receive the CD by November 1,
please call your dental network coordinator at
(888) 396-6641.
Sidebar: Fraud Placard Included in Mailing
Patients do not always understand why dental offices
cannot make seemingly minor changes to claims in
order to maximize their benefits. It can create an
uncomfortable situation when a patient asks you to
do so. To help you inform patients, Delta Dental
created a fraud placard for posting in your office.
The placard reads, "It is a federal and state crime
to intentionally give false information to any insurance
company. Please do not ask us to do so. Proud to
participate with Delta Dental Plan of New Jersey."
The fraud placard is enclosed with the Participating
Dentist Handbook CD, which is being mailed to dental
offices shortly.
Forms Available for Dentists
Online
For your convenience, the following forms are now
available online:
- Fee filing
- Substitute W9
- Change of practice address
These forms are available in the Benefits Connection
area of our Web site, which is a secure, password-protected
area. To access the forms, please visit our Web site
at www.deltadentalnj.com, click "Dentists," then
logon to Benefits Connection. If you haven't yet
registered for Benefits Connection, click "Register
Now" in the Benefits Connection box.
New Jersey Tax on Certain Cosmetic
Procedures
As you may know, there is a new New Jersey tax on
the gross receipts from certain cosmetic procedures.
Any dentist who submits a claim to us for any such
procedure should separate the fee for the procedure
from the tax. The fee for the procedure should be
reported with the applicable CDT code. The tax itself
should be reported as CDT code 9999.
Calling All Dentists!
Delta Dental Plan of New Jersey frequently contacts
reporters with important facts and information about
oral health. Oftentimes, they will ask us to help "localize" a
story by providing them with a dentist in their area
who can comment on a procedure or condition.
We are currently building a roster of participating
Delta Dental dentists who are willing to be interviewed.
Those who agree to be on the list may be approached
with opportunities to participate in stories, which
can be accepted or declined. This is great promotion
for your practice!
For more information or to be added to the list,
please contact the editor, Diane Belle, at (973)
285-4058 or dbelle@deltadentalnj.com.
Office Managers Council Promotes
Communication Between Dental Offices, Delta Dental
Dental office managers from throughout northern
New Jersey recently participated in our new Office
Managers Advisory Council. The Council brings dental
office managers and people from various Delta Dental
departments to discuss issues, procedures and policies.
An Office Managers Advisory Council is being established
in southern New Jersey and has already been established
in Connecticut.
"We wanted to create an environment where office managers could talk freely
to us and share what they think," says Beth DeCapio, dental network coordinator,
northern New Jersey. "The Council is also beneficial to us because we get to
hear first-hand what is going on out in the dental offices. It gives us the
opportunity to identify any misconceptions, which we can clarify for them,
and then for the dental community through Dental News and Delta Dental Days."
"I think that the council is very happy to contribute their feelings and thoughts
on the issues discussed," says Kim Alberico, dental network coordinator, Connecticut. "I
also think they appreciate the opportunity to share different ideas and concerns
that the offices may have."
Some important topics that were discussed were fee
filing form updates, DeltaUSA, Participating Dentist
Handbook revisions, CDT-4 coding (and now CDT-5 new
codes for 2005) and key processing codes, as well
as some of our benefits such as online Benefits Connection
and In-Net values.
Linda Cloonan, office manager at Dentistry for Children
in Bloomfield, New Jersey, says, "I joined the Council
because it's a way to maintain open communication
with Delta Dental. It's a way to put faces to the
people I talk to on the phone regularly."
Cloonan also appreciates the opportunity to meet
with other dental office managers, and share best
practices. "I get a feel for what other practices
are doing. It's a networking tool."
The northern New Jersey Office Managers Advisory
Council meets at Delta Dental's headquarters in Parsippany,
New Jersey. The southern New Jersey council will
meet in southern New Jersey, and the Connecticut
council meets in Connecticut.
If you are interested in joining the Office Managers
Advisory Council, please call your dental network
coordinator at (888) 396-6641.
Golf Outing Raises $62,000 for
Special Olympics
The Fourteenth Annual Delta Dental Classic, which
took place in June at Fiddler's Elbow Country Club,
raised $62,000 for Special Olympics New Jersey (SONJ).
The Delta Dental Classic, which began in 1991, has
raised more than $472,000 for SONJ.
SONJ is dedicated to empowering individuals with
mental disabilities to become physically fit, productive
and respected members of society through sports training
and competition.
Contest winners include:
1st Place Low Gross (Women): Cathy Easton
1st Place Low Gross (Men): Jim Schulz
1st Place Gross Team: Dr. A. Pellegrini, Jim Schulz,
Dr. Tom Morgenstern, Dr. Joel Leizer
Special thanks to all of our participants and sponsors.
Sidebar: Mark that Date!
The Fifteenth Annual Delta Dental Golf Classic will
take place on June 22, 2005, at Fiddler's Elbow Country
Club in Bedminster, New Jersey. The golf classic
benefits Special Olympics New Jersey. More details
will follow shortly.
What Do You Get When You Call
Customer Service? A Friendly Voice, Empathy and
Answers
For dental offices and subscribers, our Customer
Service agents are the voice of Delta Dental. "We're
often the first contact people have with Delta Dental," says
Lori Acker, assistant vice president, Customer Service. "We
want it to be a great experience."
Thousands of calls come into Delta Dental's call
center each weekday. Despite the volume, agents work
hard to treat each call as if it were the day's first
and only one. "We believe it's more important to
make sure people get the attention and information
they need than to rush them off the phone," says
Acker.
Most Customer Service agents join Delta Dental with
previous call center and insurance experience. During
their five-week training, they learn about dental
benefits, and Delta Dental's philosophy of customer
service. "Our role is to be here to answer customer
questions," says Acker. "We've got to make sure our
agents have the right stuff and the right training
so callers don't wait to get their questions answered." New
agent training includes "double-jacking," where trainer-trainee
pairs answer customer calls together. Trainees test
their skills in real-life situations, while having
experienced agents ready to jump in if necessary.
Once Customer Service agents start on the floor,
a veteran agent shadows them to help them navigate
around stumbling blocks.
Training is ongoing. After six months, every agent
receives another 25 hours of side-by-side training.
Agents also receive training in claims processing
and adjustments, which minimizes the need to transfer
callers to other departments.
The department recently restructured to make it
easier to provide professional development. Several
team leaders now provide ongoing agent coaching,
to help agents achieve higher levels on key performance
indicators (KPIs). KPIs are skills on which agents
are routinely measured and impact customer performance.
They include customer service skills, schedule adherence
(the amount of time an agent is available to take
calls), and claims accuracy, among others. Agents
who receive one-on-one coaching have boosted their
KPI scores significantly, says Acker.
Delta Dental's retention rate for Customer Service
agents is higher than the industry average. The agents
combine their training knowledge with experience
to help customers. In Delta Dental's annual surveys
of benefits administrators and subscribers, Customer
Service receives consistently high satisfaction scores.
Acker says agents constantly strive to improve their
scores. One important measurement is the average
speed of answer (ASA). The department has exceeded
its ASA goal of 45 seconds in 2004. Year to date
through mid July the department achieved 36 seconds.
Another measure is the abandon rate - the percentage
of callers that hang up before an agent can answer.
Delta Dental's goal is to keep the abandon rate less
than 3% of call volume. Year to date through mid
July, Customer Service achieved a 1.8% abandon rate.
Acker often receives letters from subscribers who
describe how Customer Service agents helped them.
Agents take responsibility for finding a solution
for callers. It's not unusual for agents to walk
over to the Enrollment area, call a dentist's office,
or make a special check request to help resolve an
issue.
"We go the extra mile for customers," says Acker. "Our
agents care about what they do."
Sidebar: How Delta Dental Provides 24/7 Service
Delta Dental's Customer Service agents answer calls
Monday through Thursday from 8 a.m. to 7 p.m. EST,
and 8 a.m. to 5 p.m. on Friday. In addition, our
Voice Response System (VRS) and online Benefits Connection
provide self-service answers to most questions 24
hours a day, seven days a week. The VRS, which is
accessed by calling Customer Service, provides automated
answers to many subscriber and dentist questions,
including claims payment information such as deductible,
payment made by subscriber, Delta Dental payment,
check number, coordination of benefits and whether
the maximum has been reached. The online Benefits
Connection, which is accessed through our Web site
at www.deltadentalnj.com, has everything that the
VRS includes, plus tooth number, approved amount,
allowed amount, co-pay percentages and processing
policies used.
Changes Announced to DeltaCare
Plan
Flagship Dental Plans has enhanced the local DeltaCare
plan design in response to subscriber and dentist
feedback. DeltaCare is a managed care dental HMO-type
program administered by Flagship, a wholly owned
subsidiary of Delta Dental Plan of New Jersey, Inc.
The enhanced plan covers additional dental procedures.
The copayments have also been updated to reflect
additional component costs of providing dental services,
such as dental materials and laboratory costs.
Benefit Enhancements
The following enhancements represent major additions
to covered services. These enhancements become effective
on the renewal date of each group's contract, subject
to the plan limitations and any applicable patient
copayment listed in the Schedule of Dental Benefits
and Copayments:
- Dental exams and x-rays performed by a specialist
(endodontist, periodontist, or oral surgeon)
- Bacteriologic studies for the determination of
pathologic agents
- Dental sealants - per tooth
- Resin based posterior composite filling - one
surface
- Resin based posterior composite filling - two
surfaces
- Resin based posterior composite filling - three
surfaces
- Resin based posterior composite filling - four
or more surfaces
- Core buildup including any pins
- Pin retention per tooth in addition to restorations
- Cast post and core in addition to crown (individual
crowns and fixed prosthetics)
- Each additional cast post, same tooth (individual
crowns and fixed prosthetics)
- Prefabricated post and core in addition to crown
(individual crowns and fixed prosthetics)
- Each additional fabricated post - same cost (individual
crowns and fixed prosthetics)
- Full mouth debridement to enable comprehensive
evaluation
- Emergency care allowance increased from $50 to
$100
Changes to Patient Copayments
Patient copayments for dental procedures requiring
cost sharing have been increased to reflect the
trends in dental treatment costs. This enables
Flagship to maintain competitive premiums, offer
comprehensive, high value plan designs with copayments
at significant discounts from average dental charges,
and continue to attract and retain participating
dentists who meet Flagship's extensive credentialing
and facility evaluation requirements.
Tech-niques: Can Your Practice
Continue in the Face of an Emergency? What you
should know about disaster recovery
By Linda Hetcher, Vice President Professional
Services, Concurrent Technologies
When it comes to protecting computer systems from
disaster, many organizations hope for the best. This
is penny-wise-and extremely pound-foolish. Consider
the risk of not having a plan in place. What is the
potential revenue loss? What is the potential impact
on your patients?
Disaster recovery addresses what organizations should
do to safeguard their information systems. Information
systems include hardware, software, data, and connectivity/networks.
Potential threats may be external to the business,
such as terrorism, misdirected ex-employees and natural
disasters, or internal, such as PC malfunctioning,
power outages and data problems.
A disaster recovery plan is a written document that
outlines the steps necessary to restore an organization's
systems as quickly as possible with minimal disruption
following a disaster. Disaster recovery is a critical
component of a company's overall plan for business
continuity.
Who should think about disaster recovery?
Disaster recovery is an issue that should be considered
by all organizations, large and small. Recently, Disaster
Recovery Journal cited a frightening statistic:
More than 40% of the companies that suffer a massive
data loss due to a crisis and that lack a workable
disaster recovery plan go out of business within
two years of the destructive event.
Depending on the type of disaster, you may be unable
to access your office or computers, or part of your
facilities may be damaged or inaccessible. Your disaster
recovery plan should focus on eliminating confusion
and establishing operations as soon as possible.
From an information/patient data management perspective,
you will want to restore the computer systems as
quickly and efficiently as possible. You may want
to assign someone within your practice to be responsible
for uploading back-ups at your current site or at
an alternative site in event of a disaster. Another
option is making someone responsible for activating
the services of your organization's external backup
partner in event of an emergency (see the June 2004 Dental
News Tech-niques article, "Calling for Backup").
Building a disaster recovery plan involves examining
the current environment and documenting vulnerabilities
regarding hardware, software, and data systems within
the business. To eliminate exposure, your plan should
focus on mitigating system failures, ensuring that
file back-ups and restoration are reliable, and that
data are replicated, distributed and accessible using
secure remote locations. Finally, all resources and
activities to execute the plan, manage the system
recovery and support a testing strategy need to be
included in the investment a company makes in case
of an extended business interruption.
Disaster recovery planning with outsourcing
Additionally, disaster recovery plans are required
by the Security Rules and Regulations of the Health
Insurance Portability and Accountability Act (HIPAA).
There are some best practices if you outsource any
of your operations or are considering doing so:
- Patient information should be encrypted if it
passes across the Internet or public network between
your offices and the outsourcing partner (see the
April 2004 Dental News Tech-niques article "Protecting
Sensitive Patient Information Online").
- The outsourcer's data recovery center must provide
the appropriate level of security to protect against
viruses, hackers and other security threats (see
the February 2004 Dental News Tech-niques
article "How Anti-virus Software, Firewalls Protect
Your System").
- The outsourcer needs to understand the special
requirements of HIPAA in protecting health information.
Ideally, outsourcers should have Business Associate
status (requires signed agreements/contracts between
clients and vendors), which ensures they know how
to handle patient information properly.
- The recovery tests performed with the outsourcer
should follow HIPAA guidelines for storage, access
and transfer and disposal of data and the associated
media.
A disaster recovery plan and the commitment to test
it periodically as well as keep it current is a wise
investment by any practice. It is a small price to
pay to ensure that your practice remains viable for
the long term.
Sidebar: 10 Considerations to Help Develop Your
Disaster Recovery Plan
Ask yourself these questions:
1) Do you back up changes to your systems at least
every 24 hours?
2) Do you have back-ups of the various configurations
for all your PCs/servers to re-create the current
set-up of what is deemed mission critical? Are your
back-ups stored off-site?
3) What are your data priorities? What needs to be
restored first? How quickly?
4) Do you conduct periodic restores of your data
(quarterly, bi-annually, annually)?
5) If you lose or can't get to your servers, will
you be able to acquire additional servers with enough
capacity to run your business inside of 24 hours?
6) Are any of your back-up servers at a geographically
separate location?
7) Do you have guaranteed availability for your back-up
servers?
8) Are there personnel available to install and manage
key operations at a remote site within the appropriate
time constraints?
9) Does the remote location have the pre-configured
network in place? Are you sure your primary site
and remote sites have adequate power, cooling, ventilation
and accessibility?
10) Can your plan scale with your practice?
There are activities that should be done at your
location, and others that are better served through
the use of a remote location. Both considerations
need to be included in the development of a complete,
robust disaster recovery plan.
Concurrent Technologies designs and develops Web-based interactive solutions
for a diverse clientele ranging from Fortune 500 companies to non-profit organizations.
In the business for over 18 years, Concurrent Technologies is a Total Solution
Provider (TSP) offering a range of services from e-business strategy to complete
technology outsourcing. For more information, visit them at www.concurrenttechnologies.com
or call (800) 345-3895.
What Dental Offices Need to
Know About Upcoming HIPAA Security Rule
The Security Rule of the Health Insurance Portability
and Accountability Act (HIPAA) becomes effective
for most covered entities - including dental offices
- on April 21, 2005.
The Security Rule is designed to protect the confidentiality,
integrity, and availability of protected health information
(PHI) that is stored on computer systems or removable
media, or transmitted across computer networks. To
comply, dental offices must develop physical, technical
and administrative safeguards to ensure the security
of electronic PHI.
Who must comply with the HIPAA Security Rule?
The Security Rule applies to all health care providers,
health plans, and clearinghouses that electronically
store and transmit individual health information.
This includes dental offices that are covered entities.
What types of security threats will the HIPAA Security Rule reduce?
The Security Rule helps prevent external threats
(such as viruses, e-mail attacks and hackers attempting
to steal proprietary information) and internal threats
(such as a patient's PHI inadvertently being exposed
to public view, or malicious insiders who misuse
PHI).
What must dental offices do to comply?
As covered entities, dental offices must establish
reasonable and appropriate safeguards to protect
the confidentiality, integrity, and availability
of their electronic PHI. The American Dental Association
(ADA) recommends:
- Appointing a security officer, who may also be
the privacy officer and contact person (and may
be the dentist).
- Establishing administrative safeguards. These
are documented procedures for limiting PHI access
to appropriate parties and guarding information
from all others.
- Establishing physical safeguards. These detail
how to protect computer systems and related buildings
and equipment from hazards and intrusion. Steps
may be as simple as locking doors when no one is
in the office.
- Establishing technical safeguards. These are
processes to protect and monitor information access,
both internally and while transmitting data over
networks. These may include password protections
and back-ups of patient records.
How can a dental office achieve compliance?
"Dentists who have taken steps to comply with the privacy rule may have already
taken many of the steps needed to comply with the Security Rule," Stanley Nachimson,
technical advisor in the Centers for Medicare and Medicaid Services (CMS),
the agency in charge of enforcing the rule, recently told the ADA.
Nachimson said that the size of health plans, health
care clearinghouses and providers of health care
services (such as dental offices), would be taken
into account when the CMS assesses compliance.
Where can dental offices get additional information
about how the Security Rule applies to them?
A copy of the full Security Rule is available at
http://www.cms.hhs.gov/hipaa/hipaa2/regulations/security/03-3877.pdf.
In addition, the ADA has developed a HIPAA Security
Kit for Dentists, to help dental offices comply.
The kit features easy-to-follow guidelines and sample
policies and procedures on topics including appointing
a HIPAA security official among staff members, preventing
viruses from damaging computers, and developing password
management policies. For more information, go to
http://www.ada.org/prof/resources/pubs/adanews/adanewsarticle.asp?articleid=994
Did You Know That... Claim Forms
Must Reflect All Discounts
Claim forms submitted to a third-party payor must
reflect all discounts extended to the patient for
the services contained on the claim form and how
the dentist would like the discount applied.
Dentists must indicate the intention to offer any
discount for services or procedures conspicuously
on the face of the claim form, or in the notes field
of the electronic claim. Unless the dentist states
that the discount is to be taken off the submitted
fee or the dentist actually makes the reduction to
the submitted fee, Delta Dental will apply the discount
to the fee, which we would otherwise approve for
the procedure. The discount must be applied so that
the net fee submitted to Delta Dental Plan of New
Jersey, and the net fee charged to the patient, are both reduced.
If a dentist has already given a discount
for a procedure to a patient, the dentist's submitted
fee for that procedure should reflect the discounted
amount. Coupons for services or procedures can
also be used; however the claim form must reflect
the reduced (discounted) fees as well.
Delta Dental requires that the dentist's submitted
fee be the lower of the "usual" fee or the fee actually
charged to, and intended to be collected from the
patient. The definition of "usual" fee is the charge
for a specified procedure that the dentist most frequently
accepts from his or her uninsured patients as payment
in full (less any discount that is regularly offered
to patients, other than a discount that reasonably
reflects the time value of money).
Additionally, the regular application of
discounts or the use of coupons for uninsured patients
can affect a dentist's usual fee. Their use is acceptable
as long as Delta Dental Plan of New Jersey patients
receive the same discounts that the uninsured patients
receive. Where a dentist regularly offers a discount
to uninsured patients, the dentist's "usual" fee
must be reduced by that percentage.
Failure to disclose discounts or the use of coupons
is one of the unacceptable billing practices reviewed
during the Claim Verification process. The incorrect
use of discounts or coupons can result in overpayments
that are recoverable. If a claim form is intentionally
submitted with undisclosed discounts or coupon use,
it can be considered a fraudulent attempt to gain
benefits.
For more information, please refer to:
- New Jersey State Board of Dentistry, Administrative
Code [NJAC 13:30-8.10]
- The General Statutes of Connecticut [Volume 7,
Title 20, Chapter 379 Sec. 20-114]
- The Delta Dental Plan of New Jersey Participation
Agreement
- The Delta Dental Plan of New Jersey Dentist Handbook
for Participating Dentists, Chapter 2, Rules and
Regulations and Chapter 11, Claim Verifications
COB FAQs
We are frequently asked for the correct way to coordinate
benefits (when a patient is covered by two or more
dental benefits plans). Delta Dental's Claims Department
provides the following tips, which apply in the vast
majority of coordination of benefits situations:
- The benefits of the plan that covers the covered
person as an employee, member, subscriber or retiree
is determined before those of the plan that covers
the covered person as a dependent.
- Coordination of dental benefits for dependents
usually (but not always) follows the birthday rule.
This means that the dental plan for the parent
whose birthday (month and day) is earlier in the
calendar year provides the primary coverage. (Delta
Dental has a small number of groups that determine
the primary carrier by the gender rule.)
- In cases of divorce, if the responsibility is
not detailed in the divorce decree, the parent
with custody is usually primary, the stepparent
is usually secondary and the non-custodial parent
is usually tertiary (third). If the parents have
joint custody, then the parent with the birthday
earlier in the calendar year usually has primary
coverage, unless stated otherwise.
- For certain oral surgery and some periodontal
surgery procedures, the medical plan is the primary
plan when those procedures are covered under that
plan, unless otherwise agreed upon by the contract
holder.
- For coordination of benefits when there are two
medical and two dental plans (for example, an eligible
dependent): Subscriber A is the parent whose birthday
month and day is first in the calendar year. Subscriber
A's medical plan would be primary, and then Subscriber
A's dental plan would be secondary. Subscriber
B is the parent whose birthday month and day is
second in the calendar year. Subscriber B's medical
plan would be third, and Subscriber B's dental
plan would be fourth.
- The benefit of the plan that covers the covered
person as an employee, member, subscriber or retiree,
or dependent of such person, shall be determined
before those of the plan that covers them under
a right of continuation (such as COBRA) pursuant
to federal or state law.
DeltaUSA
Delta Dental offers, under the DeltaUSA banner,
dental programs to national account groups with labor
forces located in more than one state. DeltaUSA currently
provides dental benefits to more than 5,000 groups
nationwide.
Listed below are the Delta Dental addresses to use
to send claims to the appropriate Control Plan for
a DeltaUSA group. If you have any questions about
a DeltaUSA group's eligibility or benefits, please
call the Control Plan listed for that group. For
Payer ID information, please check with your practice
management software or clearinghouse.
Please note: The addresses and contact information
were current as of September 1, 2004. To verify the
current contact information, please go to www.deltadental.com
and click "Where to Send Claims" in the Featured
Dentist Information section.
*Delta Dental Insurance
Company (DDIC)
P.O. Box 1809
Alpharetta, GA 30023
Phone: (800) 521-2651
**Northeast Delta Dental
P. O. Box 2002
Concord NH 03302-2002
Phone: (800) 537-1715
***Payer ID
For WebMD (Envoy)
*ALABAMA
send claims
to: Delta Dental Insurance Co.
*ALASKA
send claims to:
Delta Dental Insurance Co.
ARIZONA
Delta Dental Plan of Arizona
P.O. Box 43000
Phoenix, AZ 85080-3000
Phone: (800) 352-6132
***86027
ARKANSAS
Delta Dental Plan of Arkansas
P.O. Box 15965
N. Little Rock, AR 72231
Phone: (800) 462-5410
CALIFORNIA
Delta Dental Plan of California
P.O. Box 997330
Sacramento, CA 95899-7330
Phone: (800) 765-6003
***77777
***DentiCal 94146
COLORADO
Delta Dental Plan of Colorado
P.O. Box 173803
Denver, CO 80217
Phone: (800) 233-0860
***84056
CONNECTICUT
send claims to:
Delta Dental Plan of New Jersey
***22189
DELAWARE
send claims to:
Delta Dental of Pennsylvania
***23166
DISTRICT OF COLUMBIA
send claims to:
Delta Dental of Pennsylvania
***23166
*FLORIDA
send claims to:
Delta Dental Insurance Co.
*GEORGIA
send claims to:
Delta Dental Insurance Co.
HAWAII
Hawaii Dental Service
700 Bishop Street, Suite 700
Honolulu, HI 96813-4196
Phone: (800) 232-2533
IDAHO
Delta Dental Plan of Idaho
P.O. Box 2870
Boise, ID 83701
Phone: (800) 388-3490
***82028
ILLINOIS
Delta Dental Plan of Illinois
P.O. Box 5402
Lisle, IL 60532
Phone: (800) 323-1743
***05030
INDIANA
send claims to:
Delta Dental Plan of Michigan
IOWA
Delta Dental Plan of Iowa
P.O. Box 919
Ankeny, IA 50021
Phone: (800) 544-0718
KANSAS
Delta Dental Plan of Kansas
P.O. Box 49198
Wichita, KS 67201-9198
Phone: (800) 234-3375
KENTUCKY
Delta Dental Plan of Kentucky
P.O. Box 242810
Louisville, KY 40224-2810
Phone: (800) 955-2030
*LOUISIANA
send claims to:
Delta Dental Insurance Co.
**MAINE
Send claims to:
Northeast Delta Dental
***02027
MARYLAND
Send claims to:
Delta Dental of Pennsylvania
***23166
MASSACHUSETTS
Delta Dental Plan of
Massachusetts
P.O. Box 9695
Boston, MA 02114-9695
Phone: (800) 872-0500
***04614
MICHIGAN
Delta Dental Plan of Michigan
P.O. Box 9085
Farmington Hills, MI 48333-9085
Phone: (800) 524-0149
MINNESOTA
Delta Dental Plan of Minnesota
DeltaUSA National Service Center
P.O. Box 59238
Minneapolis, MN 55459-0238
Phone: (800) 448-3815
*MISSISSIPPI
send claims to:
Delta Dental Insurance Co.
MISSOURI
Delta Dental Plan of Missouri
P.O. Box 8690
St. Louis, MO 63126
Phone: (800) 392-1167
***43090
*MONTANA
send claims to:
Delta Dental Insurance Co.
NEBRASKA
Sent claims to:
DeltaUSA National Service Center
P.O. Box 59238
Minneapolis, MN 55459-0238
Phone: (800) 448-3815
*NEVADA
send claims to:
Delta Dental Insurance Co.
NEW HAMPSHIRE
Send claims to:
Northeast Delta Dental
***02027
NEW JERSEY
Delta Dental Plan of New Jersey
P.O. Box 222
Parsippany, NJ 07054
Phone: (800) 452-9310
***22189
NEW MEXICO
Delta Dental Plan of New Mexico
2500 Louisiana Blvd., N.E., Suite 300
Albuquerque, NM 87110
Phone: (800) 999-0963
***85022
NEW YORK
send claims to:
Delta Dental of Pennsylvania
***11198 or 23166
NORTH CAROLINA
Delta Dental Plan of North
Carolina
333 Six Forks Road, Suite 180
Raleigh, NC 27609
Phone: (800) 662-8856
***56101
NORTH DAKOTA
send claims to:
Delta Dental Plan of Minnesota
OHIO
Delta Dental Plan of Ohio
send to:
Delta Dental Plan of Michigan
Phone: (800) 524-0149
OKLAHOMA
Delta Dental Plan of Oklahoma
P.O. Box 548809
Oklahoma City, OK 73154-8809
Phone: (800) 522-0188
OREGON
ODS Health Plan
601 SW 2nd Ave.
Portland, OR 97204-3156
Phone: (800) 452-1058
PENNSYLVANIA
Delta Dental of Pennsylvania
One Delta Drive
Mechanicsburg, PA 17055
Phone: (800) 932-0783
***23166
PUERTO RICO
send claims to:
Delta Dental Plan of Puerto Rico
P.O. Box 9020992
San Juan, PR 00902-0992
Phone: (866) 622-6120
RHODE ISLAND
Delta Dental of Rhode Island
P.O. Box 1517
Providence, RI 02901-1517
Phone: (800) 843-3582
***05029
SOUTH CAROLINA
send claims to:
Delta Dental Plan of Missouri
***43091
SOUTH DAKOTA
Delta Dental Plan of South Dakota
P.O. Box 1157
Pierre, SD 57501
Phone: (800) 627-3961
***54097
TENNESSEE
Delta Dental Plan of Tennessee
240 Venture Circle
Nashville, TN 37228
Phone: (800) 223-3104
*TEXAS
send claims to:
Delta Dental Insurance Co.
*UTAH
send claims to:
Delta Dental Insurance Co.
**VERMONT
send claims to:
Northeast Delta Dental
***02027
VIRGINIA
Delta Dental Plan of Virginia
4818 Starkey Road, S.W.
Roanoke, VA 24014
Phone: (800) 237-6060
WASHINGTON
Washington Dental Service
P.O. Box 75688
Seattle, WA 98175
Phone: (800) 554-1907
WEST VIRGINIA
send claims to:
Delta Dental of Pennsylvania
***31096 or 23166
WISCONSIN
Delta Dental Plan of Wisconsin
P.O. Box 828
Stevens Point, WI 54481
Phone: (800) 236-3712
***39069
WYOMING
Delta Dental Plan of Wyoming
P.O. Box 29
Cheyenne, WY 82203-0029
Phone: (800) 735-3379
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