Pre-treatment estimates often process within moments (when clinical review isnt required), so you can talk with your patients about treatment plans while they are still in your office. When this occurs, please submit only one claim to the Delta Dental company. Estimates may vary depending on your benefit plan and the state you live in. Delta Dental of North Carolina is a part of Delta Dental Plans Association. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. For a complete description of the details of your coverage, please refer to your coverage documents. Delta DentalPO Box 9085Farmington Hills, MI 48333-9085. Search for in-network dentists in your area using your current location or ZIP code with ourFind a Dentisttool. You can contact them directly by phone at 800-971-4108. doxo processes payments for all Delta Dental of North Carolina services, including Health Insurance and others. Patients may change their coverage, usually in the fall or spring, during their open enrollment periods. Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates, Submitting claims for dependents age 19 and over, Electronic encounter forms for DeltaCare USA. Eligibility Dental Payer List April 2020 Payer ID Enroll Additional Info AARP AARP1 Detailed Benefits Advantica Benefits 43168 Detailed Benefits . D4210-D4212, D4240-D4245, D4260-D4285, D4341-D4342, D4381, Description of service: In less common situations, a member may have two plans, such as a plan through current employment and a retiree plan. 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. Healthy Blue + Medicare payer ID: North Carolina 00602. The national network of Delta Dental companies protects more smiles than any other insurance company. If the dentist makes no effort to collect the remaining $20 from the patient, then the dentists actual fee for the service is $80, not $100. These may be different when submitting Healthy Blue + Medicare EDIs in Availity. All Rights Reserved. If a court order makes one parent more financially responsible, that parent provides primary coverage. Health information changes quickly. Have insights and reliable data into what insurance carriers are brining you the most patients. Please register your NPI with Delta Dental by providing us with a copy of the confirmation containing your NPI that you receive from the National Plan & Provider Enumeration System (NPPES). Toolkit Log In | Delta Dental of North Carolina Be sure to regularly review and update your patients dual coverage status. You may be responsible for the cost of procedures or services not covered by your plan. Save time and money while helping the environment by electronically submitting your encounter forms to DeltaCare USA. Mechanicsburg, PA 17055-2059. Asheville dentists Arden dentists Auburn dentists Cary dentists Canton dentists Chapel Hill dentists Charlotte dentists Concord dentists Durham dentists Fayetteville dentists Gastonia dentists Hampstead dentists Harrisburg dentists The NPI Enumerator will help you with your NPI application and to update your information in the NPPES. Dental office staff can sign up or log in to get fast online claims processing and easy access to information. Electronic data interchange Delta Dental uses this information to . Free mobile app available on Google Play & Apple App Store, Never miss a due date with reminders and scheduled payments, Pay thousands of billers directly from your phone. DELTA DENTAL OF IDAHO P.O. Please scroll down and accept to proceed. E-mail:[email protected], Telephone:800-465-3203 / 800-692-2326 (NPI TTY), Mail:NPI Enumerator . Speed up enrollment and payment for employer groups benefits. Please call or write to our Contact Center (and be sure to include all relevant information). Healthcare Claim: Dental (837D) Healthcare Eligibility Benefit Inquiry and Response (270/271) Healthcare Services Prior Authorization (278) . When the services are complete and a claim is received for payment, Delta Dental will calculate its payment based on the member's current eligibility, amount remaining in his/her annual maximum and any deductible requirements. It is a good idea to let us know when a patient no longer has dual coverage. Delta Dental . Mailed applications may require up to 20 days to process. With electronic claims submission, your claims are automatically edited for missing or invalid information before they are sent to carriers. When you submit claims as soon as possible after treatment is completed, you help us process claims more efficiently, using the patients most current eligibility and benefits to determine payment. Keep in mind, a pre-treatment estimate is not a guarantee of payment and it does not check the patients: At any time, you can review the patients current eligibility and benefits information, including remaining maximum and deductible amounts. Download the guide to prophylaxis/root planing codes. Preventive services are included in this tool. Forgot username or password? Delta Dental has the largest network of dentists nationwide. Or, you may call DASI 24/7 at 800-432-7283 to check the status of claims, including those submitted electronically. Six-digit dates with no spaces, slashes or dashes (for example, 120320 for December 3, 2020). Find the one that's right for you. Have a question about coverage or looking for dental insurance? Delta Dental of Utah (DDIC) Payer ID: 94276. Review your response reports forwarded by your clearinghouse to determine if there are any errors on claims. PDF Delta Dental Contact Information Create and send mass messages Instantly reach your whole patient base and get your announcement to them by composing a message inside Axle, select all the patients you want to receive it and click send, it's that easy. If this amount is not listed on the claim, you will receive a follow-up letter requesting this information, which will delay processing. Learn more about our non-discrimination policy and no-cost services available to you. How can I contact Delta Dental of North Carolina about my bill? Its just not a payable claim under the terms of the dental benefit contract. Key Payments Features Full white-label solution Customizable to your practice branding so your patients know and trust who is requesting a payment. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. Box 9089 Farmington Hills, MI 48333-9089 800-662-8856 deltadentalnc.org Payer #56101 DELTA DENTAL OF NORTH DAKOTA You will be notified separately when processing of secondary coverage is completed. Payer ID: 5029. doxo is the simple, protected way to pay your bills with a single account and accomplish your financial goals. P.O. Axle will proactively collect aging accounts receivable and insert into PMS. Privacy Policy Many Delta Dental companies fall under a general Delta (DDIC) umbrella. When Delta Dental of California is the secondary carrier and is subject to the provisions of the California Health and Safety Code 1374.19, we pay the lesser of: (1) the amount we would have paid in the absence of any other dental benefit coverage; or (2) the member's out-of-pocket cost payable under the primary plan for benefits that are covered by the secondary plan. Payments | Axle | Manage, Analyze & Grow Simply submit a separate Confidential Fee Filing Form for each update. New to Availity and want to submit EDI transactions? During clinical review of claims and pre-treatment estimates, Delta Dental reserves the right to request radiographic images and/or documentation for procedures that otherwise may be identied as not requiring the submission of documentation. It offers benefit plans to employer groups and individuals with the broadest access to affordable dental care in North Carolina. All of those matters are things that you should decide, in consultation with your dental care professionals. 56101 Delta Dental of North Carolina ERAs CDND1 Delta Dental of North Dakota eClaims CDND1 Delta Dental of North Dakota ERAs CDOH1 Delta Dental of Ohio eClaims Want to know before you set foot in the dentists office? doxo enables secure bill payment on your behalf and is not an affiliate of or endorsed by Delta Dental of North Carolina - Individual (Direct). ADN Administrators, Inc Advantage by Peach State Health Plan Medicare Delta Dental of Tennessee Payer ID: CDTN1. To make it easier for you, your fees for these visits are included in the total fee you submit on the claim for banding and in the periodic payments you automatically receive from Delta Dental. Once youve registered your NPI with Delta Dental, you should begin using it on claims. 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. Refer to your benefit plan to determine whether these requirements apply to you. Give patients more payment options and collect more payments. The clearinghouse may print these claims on paper and send them on to us for processing. Cut out 3rd party vendors and process unlimited verifications in house for absolutely free and 10x faster. The federal Health Insurance Portability and Accountability Act (HIPAA) requires you to obtain an NPI if you submit claims electronically or if you check claims status or access patient eligibility and benefits information online. View a patient with dual insurance coverage under 5 seconds and verify the patient within 60 seconds. PDF Dental Payer List Box 2870 Boise, ID 83701 800-356-7586 deltadentalid.com Payer #82029 DELTA DENTAL OF ILLINOIS P.O. Box 997330,Sacramento, CA 95899-7330. Reasonable efforts include: Maximum contract allowances are the total reimbursement amounts, under the member's benefit plan, on which Delta Dental calculates its payment and the patients financial obligation. Language Assistance: | | | | Franais | Deutsch | u | | | | | | Espaol | Tagalog | Ting Vit.