Eaglesoft - Insurance Companies by Payer ID, How To Find an eClaim Payer ID List - Webinar, Claim Information not Sent, Payer ID Invalid. About us Dental plans. Contact Us | Providers | Delta Dental of Illinois Group Plans P.O. Email: customersupport@deltadentalcoversme.com. 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. Have a question about coverage or looking for dental insurance? P.O. Box 103 Stevens Point, WI 54481 855-335-8267 www.deltadentalil.com Payer ID: WDENC Delta Dental of Indiana If questions regarding benefits arise, the policy document is the master resource. Delta Dental of Idaho P.O. call toll-free 877-277-7073. This means fewer information requests or other holdups in the processing of your claims. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. What is the turnaround time for claims processing? Delta Dental has the largest network of dentists nationwide. Delta Dental has a Dental Advisory Committee, which includes licensed dentists in private practice. Please scroll down and accept to proceed. You may be responsible for the cost of procedures or services not covered by your plan. Do not avoid getting dental care based on the cost information provided on this website. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. You will also need to select a clearinghouse. Solution: Many Delta Dental companies fall under a general Delta (DDIC) umbrella. Box 5402 Lisle, IL 60532 800-323-1743 www.deltadentalil.com Payer# 05030 IL Individual Plans P.O. The data is based on actual, non-discounted charges that providers have billed. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Access Dental of Oregon: 91185: Access Dental Plan: DX346: ACG - International Union of Operating Engineers Local 701 Trust Funds: 72468: ACS Benefit Services, Inc. CX076: Administrative Services Only (ASO) CPPSA: Advantage by Superior Health Plan: 93524: Advantage Dental Plan, Inc. 60601: Advantage Health Solutions (Careington Benefit . Please call Customer Service at 888-217-2365. Alaska. Before you start submitting your claims electronically, inform your software vendor. Electronic Attachment Dental Payer List Payer Name NEA Payer ID - Yumpu Electronic Claims Submission | Delta Dental of Michigan Delta Dental PPO Plus Premier Group Plan Members: Dentist Connection or IVR/Faxback at 800-323-1743. Note: If the Payer ID is not found in the hyperlink, it may be typed into the field. Delta Dental Payment: Delta Dental's payment for the services provided. P.O. Payer ID Payer Name CX036 Group Dental Services(Houston, TX & Rockville, MD) . Farmington Hills, MI 48333 -9085 . Our dental benefit plans come in multiple sizes and shapes to fit any Idaho family at any budget. If questions regarding benefits arise, the policy document is the master resource. Any pending input will be lost. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. 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. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. For inquiries that cannot be served by Availity Essentials, our Provider Contact Center is available to help you. Once logged in to your Member Dashboard, access Dental Tools to help you manage additional dental health needs including a cost calculator, risk assessments and more. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Please call Customer Service at 888-217-2365. call toll-free 888-217-2365. If you are interested in electronic claims submission, we encourage you to take a look at ourlist of clearinghouses. When claims are processed, you will receive a Claim Payment Statement. TTY users, please call 711. Box 5402 Lisle, IL 60532 800-323-1743 deltadentalil.com Payer #47598 DELTA DENTAL OF INDIANA P.O. Our Self-Service Tool includes answers to frequently asked questions and helps you quickly navigate our website resources. PDF Delta Dental Contact Information As a Delta Dental of Idaho network member, you gain access to significant savings on office supplies, business and dental related equipment and services that you likely use every day! To begin using the Dental Care Cost Estimator tool, click the Agree button below. I receive dental insurance through my employer. Want to know before you set foot in the dentists office? Language Assistance: | | | | Franais | Deutsch | u | | | | | | Espaol | Tagalog | Ting Vit. Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 deltadentalin.com Payer #DDPIN DELTA DENTAL OF IOWA Provider reimbursement schedules and other pricing documents are available on Availity Essentials: Claims & Payments>Fee Schedule Listing. Learn More Premier Participation FAQs | Delta Dental of Michigan 056001 Medicaid of Texas Payer ID: CKTX1. Have a question about coverage or looking for dental insurance? Login to Live Conference800.328.2925 or 763.479.6166, Electronic Claim Processing & Claim Status, Real-Time Eligibility & Benefits Verification, Payer Updates for Claims and Claim Attachments, International Benefit Administrator (Payer ID 11329), Moonlight Graham Dental Benefits Plan (Payer ID MGDBP), Premier Access Government (Utah Chips) (Payer ID CX110), Blue Cross Blue Shield of Idaho (Payer ID CBID1), Meritain Health Minneapolis (Payer ID 41124), Health Partners - Medicaid (Payer ID CX010), Health Partners - Commercial (Payer ID CX009), Blue Cross Blue Shield of Mass (Payer ID CBMA1), Anthem BCBS Maine Dental (Payer ID 84105), Anthem BCBS Kentucky Dental (Payer ID 84105), Anthem BCBS Indiana Dental (Payer ID 84105), Anthem BCBS Connecticut Dental (Payer ID 00700), Anthem BCBS Colorado Dental (Payer ID 84099), Anthem BCBS New Hampshire Dental (Payer ID 84105), Anthem BCBS Missouri Dental (Payer ID 84105), Anthem BCBS Nevada Dental (Payer ID 84101), Anthem BCBS Virginia Dental (Payer ID CB923), Anthem BCBS Wisconsin Dental (Payer ID CB950), Direct to Consumer (Premier) (Payer ID CX078), California State Government (Payer ID CPPCA), DeCare Dental Health Ins (Payer ID 07035), Empire BCBS NY/Empire Dental (Payer ID CBNY1), BCBS Association FEP Dental (Payer ID BCAFD). Find out how to file fees as a participating provider. The national network of Delta Dental companies protects more smiles than any other insurance company. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. f.k.a. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Box 997330 Sacramento, CA 95899-7330 888-335-8227 www.deltadentalins.com Payer #77777 Delta Dental of California Federal Government Programs P.O. Medicaid of Pennsylvania Payer ID: CKPA1. Currently, Delta Dental processes all claims in less than three (3) business days on average from the date the claim is received. Brush up on some of the dental insurance basics: If you have additional questions or require further support, connect withyour local Delta Dental. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Make sure the dentists business name and address on your electronically submitted claims is exactly the same as you have registered with your software vendor, the clearinghouse and Delta Dental. Delta Dental of Oregon is a part of Delta Dental Plans Association. Our coverage makes it easy and affordable to protect your smile. For a complete description of the details of your coverage, please refer to your coverage documents. PDF Contact Information for - Delta Dental Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Frequently Asked Questions About Explanation of Benefits. Medicaid of Vermont Medicaid of South Dakota Payer ID: CKSD1. Delta Dental of Alaska | Provider home This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Close. TTY users, please call 711. LifeWise Healthplan of Oregon 93093 COMMERCIAL Lincoln Financial Group CX061 COMMERCIAL MCNA Dental 65030 COMMERCIAL Maestro health Plan 56139 COMMERCIAL . Electronic Claims Submission | Delta Dental of North Carolina Payer #DDPIN . Boise, ID 83701 . Provider Home | Delta Dental Of Washington I am a Patient Provider Producer Employer Online tools Our plans Dental health Have Reimbursement Questions? Where are you (or your employer) located? What does this mean for your practice? Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Payer #05030 . PDF Delta Dental Contact Information 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). As your established dental practice continues to grow, you need a practice management system that will grow with you. Therefore, it is always best to confirm information with yourhealth careprofessionals. Lisle, IL 60532 . For Customer Service, Find the one thats right for you. Refer to your benefit plan to determine whether preventive services are covered for you. Box 173803Denver, CO 80217-3803800-610-0201deltadentalco.comPayer #84056 Delaware Delta Dental of Delaware, Inc. Payer #51022See Delta Dental of Pennsylvania District of Columbia Delta Dental of the District of Columbia Payer #52147See Delta Dental of Pennsylvania Hawaii Hawaii Dental Service Use Online Chat to support your practice and patientsall without picking up the phone. Payer #NIS01 DELTA DENTAL OF IDAHO P.O. 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. Delta Dental (DDIC) Payer IDs To avoid delays, send X-rays and reports only for the procedures that require them. I receive dental insurance through my employer. 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. Delta Dental requires x-rays for the following reasons: Delta Dental requires perio charting for the following procedure codes: Standard processing provides for an initial payment and periodic payments for orthodontic treatment. On your local Delta Dental web portal, you can view plan information, download forms, view claims, track dental activity and go paperless! Find an in-network dentist for services you don't provide. Even if you aren't currently set up for electronic claims submission, mail costs savings alone should nearly pay for a computer system in just one year. PDF PAYER ID PAYER NAME Requires Enrollment Line of Business - MacPractice Box 9085 . This website shows estimates of certain dental care costs. How does a dentist become a Participating Delta Dental Dentist? Delta Dental of Oregonis a part of Delta Dental Plans Association. This website shows estimates of certain dental care costs. PDF Payer Names PayerId Models Additional Information AARP AARP1 COMMERCIAL GrinWell For You Senior Program Application, Spanish GrinWell For You Senior Program Application, Spanish GrinWell For You Senior Program Brochure. Please update your system to take advantage of these new connections. Please call Delta Dental Provider Services at 800-356-7586. Including a payer ID on electronic claims allows them to be routed correctly and quickly. Get more contact details. Delta Dental of Idaho has teamed up with SelectHealth to offer dental benefits to Medicare Advantage beneficiaries. Axle | Payments Please click the button below to log in and have instant access to all participating Delta Dental websites. Here are the answers to common questions about EOBs. Delta Dental of Oregon | Provider home What can we collect from the patient at the time of service? Your actual cost may be higher or lower than the estimate for various reasons. PDF Delta Dental Contact Information Your actual cost may be higher or lower than the estimate for various reasons. Medicaid of Oregon Payer ID: CKOR1. deltadentalin.com . PDF eServices Dental eClaims Payer List - Carestream Dental An EOB from Delta Dental will typically include the following information: Other Terms That Your EOB Might Reference. Together we can promote healthy smiles and improve overall health across the state of Idaho. Box 2870 Boise, ID 83701 800-356-7586 www.deltadentalid.com Payer #82029 Delta Dental of Illinois P.O. However, we do suggest that you refer your patients to a Delta Dental Premier participating specialist to minimize your patients' out-of-pocket costs. Copyright 2023 Moda Partners, Inc. All rights reserved. The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. When it comes to payer ID's, these Delta companies have their own, unique payer ID for eClaims but also can be sent under a universal 94276 payer ID, which will work as well. eClaims Dental Payer List April 2020 State Payer ID Group # Enroll Real Time Claims * Real Time Pre Estimates* Additional Info A & I Benefit Plan Administrators 93044 Yes No A.D.N. DDID invested over $2 million in 2019 to provide valuable outreach programs for Idaho students and aging adults. What Is an Explanation of Benefits (EOB) statement? eServices Dental eClaims Payer List eServices Dental eClaims Payer List and I Benefit Plan Administrators of Oregon PAPER CLAIM - BC/BS PAPER CLAIM - COMMERCIAL PAPER CLAIM - DELTA DENTAL PAPER CLAIM - MEDICAID D.N. Delta Dental of Alaska is a part of Delta Dental Plans Association . Box 9085 . The dentist will bill your dental insurance company after youve received dental treatment, and then you will receive an EOB, typically before you receive a bill from the dental office for any amount you may owe. Below is an example of an EOB that you will receive after you have visited your dentist. Estimates may vary depending on your benefit plan and the state you live in. Delta Dental of Oregon | Contact us for members This statement explains how the services were processed. Understanding your explanation of benefits. Administrators, Inc. D.N. Please scroll down and accept to proceed. Delta Dental of Washington 91062 No Detailed Benefits. Payer ID Payer Name NEA Payer ID Administrative Services Only, Inc 089002 Blue Cross of California- Anthem 026010 . It is sent to you after your dentist visit, and outlines your costs, the treatments that were covered under your dental plan, and treatments that may not have been covered and why. Box 242810 Louisville, KY 40224-2810 800-955-2030 www.deltadentalky.com Payer #54674 Below is a list of DDIC payers, their unique payer ID, and the DDIC payer ID that must be used. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. GrinWell for You program provides free preventive and restorative dental procedures to low-income Idaho adults over age 60 and helps them establish a dental home. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." For our Sales Team, call toll-free 877-277-7073. Delta Dental of Alaska | Employer home What is the value added orthodontic discount program? Contact your company's human resources department. 2023 Regence health plans are Independent Licensees of the Blue Cross and Blue Shield Association serving members in Idaho, Oregon, Utah and select counties of Washington. This site is meant to help you learn about our dental plans and other benefits and services. PAYER ID PAYER NAME Requires Enrollment Line of Business 02027 Northeast Delta Dental (ME NH VT) ERAs LX062 Northern Minnesota Dental eClaims 93525 Northwest Dental Services eClaims 14142 NYC Department of Health eClaims 14142 NYC Department of Health ERAs 37299 Nyhart eClaims GP133 OH Dental / UHC Dental GOV eClaims GP133 OH Dental / UHC Dental. Even if you aren't currently set up for electronic claims submission, mail costs savings alone should nearly pay for a computer system in just one year. To get a list of participating specialists in your patients' area, call DASI at 800-524-0149, or use our online dentist directory. deltadentalid.com . Broker Working with DDKS My Clients Community Involvement Applying for Grants Applying for Smile Kits Matching Gift Program for Dentists Dentist Accessing Patient Information Claims Preventive care coverage varies by plan and by demographic considerations such as age. 800-524-0149 . 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). Where are you (or your employer) located? If a claim is denied, how do I request reconsideration? Eligibility Dental Payer List April 2020 Payer ID Enroll Additional Info Medicaid of Ohio CKOH1 No Yes/No Response Medicaid of Oklahoma CKOK1 No Yes/No Response Medicaid of Oregon CKOR1 No Yes/No Response www.deltadentalin.com . P.O. Delta Dental of North Carolina is a part ofDelta Dental Plans Association. Electronic claims ensure greater accuracy, because of built-in checks on claims submission. Floss! Colorado Delta Dental of Colorado P.O. Dentist Connection and our IVR (automated phone system)/Faxback are available 24 hours a day. Delta Dental of Oregon: CDOR1 Delta Dental of Pennsylvania: 23166 Delta Dental of Puerto Rico: 66043 Delta Dental of Rhode Island: 05029 Delta Dental of South Carolina: Administrators, Inc. Box 5402 . All About Dental Explanation of Benefits | EOB | Delta Dental For a complete description of the details of your coverage, please refer to your coverage documents. The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. Include all pertinent information: subscriber ID or recipient ID (if Oregon Health Plan), patient name and date of birth, tooth number(s) or quadrant, and current ADA codes. Estimates should not be construed as financial or medical advice. All of those matters are things that you should decide, in consultation with your dental care professionals. Copyright 2023 Delta Dental Plans Association. The process to contract with Delta Dental requires a signed agreement and a credentialing process. 208.489.3580. In most instances, the employer group, who is purchasing dental benefits for their employees, is the decision-maker regarding the benefits (co-pays, deductibles and maximums) to be offered to their employees. Just log in to your Member Dashboard. PDF Payer 276 List - Dental Electronic Claims Clearinghouse Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Delta Dental of Kansas . Log in to learn more about our latest Online Chat enhancements. Health information changes quickly. It is important to note that while not every EOB will be formatted the same, this example contains many of the sections and terms you will find on a typical EOB. We even have a built-in toothbrush timer to help them keep up with their daily brushing regimen!Download the Mobile App - Apple and Android, Click here to register your free PreViser, Does your patient qualify for enhanced benefits? Who decides what the yearly maximum for services will be? All Rights Reserved. Or email us using the secure form below. PDF Payer ID Enroll Additional Info The Content on this website is not medical advice. Log in For your convenience, we now offer a single login process through the national Delta Dental website. All Rights Reserved. Get started here. How much is it going to cost? Use Availity Essentials for secure access to eligibility, benefits and claims-related information for most members. Delta Dental of Idaho . Where are you (or your employer) located? Carriers now processing dental claims and attachments can be updated as shown below with the appropriate Payer ID, Payer Office NOCD, and Submission Type. If the treating dentist is participating with both PPO and Premier plans, and the dental coverage is PPO, payment is based on PPO fees. The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. 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 each state marketplace. Delta Dental members with the value added orthodontic discount program experience substantial savings because Idaho orthodontists in the Orthodontic Discount Program agree to discounted fees. 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 each state marketplace. Delta Dental's helpful mobile app provides your customers with quick access to their claims, coverage, and ID cards. Preparing and mailing paper claims is far more costly than transmitting them electronically. By clicking, you agree that you have read the informationbelow,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. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Delta Dental of Oregon | Members home PDF Electronic Attachment Dental Payer List - Patterson Dental You may also find answers by logging in to your Member Dashboard. DENTAL SELECT (Payer ID CX093) Oregon Delta (Payer ID CDOR1) South Carolina Delta (Payer ID 43091) Carriers now processing dental claims and attachments can be updated as shown below with the appropriate Payer ID, Payer Office NOCD, and Submission Type.