The State of Illinois is a self-funded plan and as such, Delta Dental of Illinois reimburses dentists once it receives funding from the State. If you conduct electronic transactions, you’ll need the Check eligibility, benefits and claims status. The tax identification number and practice name on file with Delta Dental must match the IRS records exactly. You may be responsible for the cost of procedures or services not covered by your plan. Delta Dental’s Federal Employees Dental Program is administered by the Federal Government Programs division of Delta Dental of California through its subsidiary Delta Dental Insurance Company (DDIC). No changes to the ID number can be made on the 1099 statements once they have been processed. Your dentist’s office staff can use your ID card to quickly look up your benefit and coverage information. The Tax ID you use on your claims affects your year-end 1099 statement. © Delta Dental. View (or download and print) benefits details, per procedure, per network. Compare the more important features offered: How will the vendor help you if you have a question? The form is designed so that the name and address (Item 3) of the third-party payer receiving the claim (insurance company/dental benefit plan) is visible in a standard #10 window envelope. The address for our administrative office is: Delta Dental of California Federal Employees Dental Program PO Box 537009 Sacramento , CA 95853-7009 Member login or account registration to view plan information, download forms, view claims, and track dental activity. In these instances, please simply indicate the amount paid by the FEHB carrier on the claim in the “Other Coverage” area. Box 537015 Sacramento, CA 95853-7015 Use of this website in no way increases or decreases the benefits available under a dental benefit plan. The office will use that information to … No changes to the ID number can be made on the 1099 statements once they have been processed. If two or more names are used (such as Chris Smith, DMD, dba Market Street Dental), please give us the first listing that appears on the IRS records, in this example Chris Smith, DMD. Payer #CDAR1 Delta Dental of California P.O. Copies of radiographs must be of diagnostic quality. NOTE: TRDP, provided by Delta Dental, ended in 2018. Box 997330 Sacramento, CA 95899-7330 888-DELTA CS 888-335-8227 www.deltadentalca.org Payer #77777 Delta Dental of Colorado P.O. Prepaid Dental Plan Premiums Level of Coverage Box 537007 Sacramento, CA 95853-7007 844-825-8111 Payer #CDCA1 FSPS@delta.org TRICARE RETIREE DENTAL PROGRAM trdp.org Delta Dental of Washington is a part of Delta Dental Plans Association. Payer ID of the insurance carrier. Cada sonrisa cuenta una historia, protégela. Estimates should not be construed as financial or medical advice. Do not submit a new claim for any services that have been submitted for a pre-treatment estimate. Stay informed by attending a free, live Send TRICARE Dental Program Claims Prior to May 1st, 2017 to: Metlife Claims, P.O. When the patient has a FEHB plan that has any dental coverage, it always will be the primary carrier. Notes: (1) Managerial, supervisory, confidential and all other employees excluded from collective bargaining. Evaluate the Workforce Plan; State of California Succession Management Model. The Medi-Cal Program currently offers dental services as one of the program's many benefits. When there is other coverage and it is not FEHB, please indicate that coverage by checking the “Other Coverage” box and be sure to complete all the other information fields in this same area on the claim form. Important information for dentists with patients covered by the State of Illinois Dental Plan. webinar. The following may cause delays, inaccurate processing and possible denials: If you have submitted a pre-treatment estimate, once services are provided use the notification of pre-treatment estimate form. News. Appointment tracking, recall and billing features. Start by registering for an Online Services account and logging in to use Provider Tools. Please consult each dental plan's Evidence of Coverage for detailed information and plan limitations. This brochure describes the benefits of Delta Dental’s Federal Employees Dental Program under Delta Dental of California contract OPM01-FEDVIP-01AP-3 with OPM, as authorized by the FEDVIP law. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Provider Tools also gives you a list of your Delta Dental patients, claim status, treatment history and a reference library. We accept duplicate films and paper copies of digital images. If your plan didn't include an ID card or you don’t have yours with you, don’t worry! Attach the primary carriers EOB or write the amount primary paid in the remarks sections, Non-treatment related messages in the remarks section (for example, 2nd submission; please process), A 10-point font and all capital letters (Courier is a good font choice), Six-digit dates with no spaces, slashes or dashes (for example, 050312 for May 3, 2012), Fees with decimal points (for example, 100.00; not 100). Delta Dental FEDP will be the secondary coverage. Line through (single line) any treatment that has not been completed. Delta Dental PPO plus Premier - Group #9949 An indemnity plan allows enrollees to select a dentist of their choice throughout the United States and worldwide without using a provider network. The plan limits the amount of paid coverage for each specific type of dental treatment. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. The following chart provides a comparison of costs for certain procedures covered by the state-sponsored dental plans. Do these features support all your business needs? Delta Dental -the largest dental network in the US. If this field is not available, list each item on a seperate line. Claims will be processed when received according to your plan provisions. Box 173803 Denver, CO 80217-3803 800-610-0201 deltadentalco.com Payer #84056 Delaware Delta Dental of Delaware, Inc. Payer #51022 See Delta Dental of Pennsylvania Kentucky Box 14181, Lexington, KY 40512. You only have to date each service, sign and return the form for processing. Estimates may vary depending on your benefit plan and the state you live in. En Delta Dental te damos seguridad CONOCE TU PLAN AQUÍ Conéctate Eligibilidad, beneficios, reclamaciones Disponible desde nuestro portal CONÉCTATE AQUÍ hoy mismo ¡Buscanos en Facebook! There are two types of NPIs: Type 1, for individual health care providers, such as dentists and hygienists, and Type 2 for incorporated businesses, such as group practices and clinics. Forgot Under the guidance of the California Department of Health Care Services, the Medi-Cal Dental Program aims to provide Medi-Cal members with access to high-quality dental care. Save money and stay healthy with a Delta Dental of Idaho Individual and Family plan. Username or View our cost-effective choices for individual dental insurance and get an instant online quote. We’ll help you simplify your administrative processes with Provider Tools demonstrations and other new ideas for increasing efficiency. EDI system maintenance schedules and downloadable, printable guides that provide details on specific EDI real-time transactions. Locate a network dentist for your Delta Dental plan in FEDVIP and save on your out-of-pocket costs. Part 1 - Identify and Prioritize Key Positions; ... Delta Dental PPO plus Premier Basic Plan for Represented Employees. If you are unsure of how your practice name and the associated ID number are recorded with the IRS, check what is printed on the mailing labels that are supplied by the IRS for quarterly tax payments. Claims will be processed when received according to your plan provisions. All individual health care providers (including dentists) and organizations such as clinics and group practices are eligible to obtain an NPI. The IRS phone number is 800-829-1040. Transmit free real-time, pre-populated claims with digital attachments and pre-treatment estimates. AARP DENTAL INSURANCE PLAN Delta Dental Insurance Company P.O. Password? The tax identification number and practice name on file with Delta Dental must match the IRS records exactly. See processed claims in minutes (when clinical review isn’t necessary), including Delta Dental’s payment and the patient’s payment portion (maximums and deductibles are updated in real-time, too). TRICARE Retiree Dental Program. Please fold the form using the ‘tick-marks’ printed in the margin. For Delta Dental PPO, DPO and Delta Dental Premier claims. Use Provider Tools to simplify your office administration. If you conduct electronic transactions, you’ll need the Payer ID of the insurance carrier. If applicable, attach the primary carrier’s EOB or write the amount primary paid in the remarks section, Using free-form text — Use ditto marks or arrows to indicate duplicate information, Stray marks in spaces that should be left blank, Putting a slash through zeros or crossing sevens, Writing on top of lines or outside of boxes, Using correction fluid or a highlighter pen, Using more than one font style on a claim, Submitting photocopied claims as they are generally received blurred or skewed, Using nicknames for either the subscriber or patient. 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. Questions may be submitted in writing to: Customer Service Department Delta Dental of Michigan P.O. Use the tips here when submitting your claims: The federal Health Insurance Portability and Accountability Act (HIPAA) requires you to obtain a NPI if you submit claims electronically. The Dental Plan outlined in this Certificate is administered by Delta Dental Plan of Michigan, Inc., under an agreement with the Office of Retirement Services for Michigan Public School Employees’ Retirement System, Client Number 3250. Compare pricing and features to find the best fit for your office. Tesia Clearinghouse 1540 West Edgewood Avenue Indianapolis, IN 46217 Phone: (866)712-9584 2016-07-14 Electronic Remittance Advice Enrollment – Delta Dental Plans *Provider Name: Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Payer #CDAR1 California Delta Dental of California P.O. Link to information about Any changes to this ID number during the year should be verified through your local Delta Dental Member Company no later than the end of each year. Use your practice management software to do more, including to communicate with insurance carriers electronically. Simply tell your dental office the Delta Dental company through which you receive benefits and provide your name, your date of birth, your enrollee ID or social security number and the name of your employer (if you have an employer-sponsored plan). Box 9089 We have dental plans for individuals, families, seniors, aarp members, and costco executive members. You may receive an ID card as part of your welcome package when you get a Delta Dental plan. Save Time By Using Dental Office Toolkit (DOT), Delta Dental’s Federal Employees Dental Program, Use fees with decimal points (for example, 100.00; not 100). Skip to main content Important COVID-19 updates for enrollees and providers Box 997330 Sacramento, CA 95899-7330 888-335-8227 deltadentalins.com Payer #77777 Colorado Delta Dental of Colorado P.O. Preventive services such as cleanings and X-rays are covered at 100% and you'll have access to … 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. Consider asking other dentists for their recommendations. If they do not, the IRS requires Delta Dental to withhold 28 percent of the dollars owed to you from future payments until the matter is resolved. Delta Dental uses this information to ensure the claim is processed under the correct member. Dales una vida llena de sonrisas con Delta Dental Protege lo más querido Planes individuales para toda la familia CONOCE MÁS AQUÍ ¡Sonríe! Submit the correct ID number as printed on the ID card and the subscriber’s date of birth. If you need to file a claim with Delta Dental for care received before Jan. 1, 2019: Download the TRDP Claim Form Get started by contacting different vendors and ask for product information and pricing. Electronic Data Interchange (EDI) Hours and Information Link to information about EDI system maintenance schedules and downloadable, printable guides that provide details on specific EDI real-time transactions. In all cases when Delta Dental is the secondary carrier the primary carrier’s Explanation of Benefits or remittance advice is not required; please just indicate the amount paid by the primary carrier on the claim in the “Other Coverage” area. Additionally if you verify claims status or access patient enrollment and/or benefits information online you are required to use a NPI. Box 537007 Sacramento, CA 95853-7007 Appeals Delta Dental of California Federal Government Programs P.O. Estimates may vary depending on your benefit plan and the state you live in. If you have questions regarding errors or to request an “Electronic Claims Submission” guide, contact Delta Dental… Do the reports provide the level of detail you need to run your business effectively? Indicate a quantity (the number of x-rays, for example) in the field on the claim specifically for this purpose. When submitting claims, the NPI-1 will always be required for the rendering/treating dentist. Delta Dental offers individual and family dental insurance plans. You may be responsible for the cost of procedures or services not covered by your plan. If the claim does not have this field, please list each item on a separate line. If they do not, the IRS requires Delta Dental to withhold 28 percent of the dollars owed to you from future payments until the matter is resolved. Dental Offices Online Inquiry: Email Phone: 844-825-8111 (24 hours automated) Mail Inquiries, Claims and Appeals Mail Inquiries and Claims Delta Dental of California Federal Government Programs P.O. Get started by calling your practice management software vendor’s support center for details about how to submit claims and attachments, check benefits and eligibility, and accomplish other activities electronically. Box 173803 Denver, CO 80217-3803 800-610-0201 www.deltadentalco.com Payer #84056 Delta Dental of Connecticut (See Delta Dental of New Jersey) Payer #22189 A 10-digit random number unique to each health care provider or organization, An NPI contains no coded information about the provider or organization, A permanent identifier that does not change over time or expire, Not a replacement for social security numbers, DEA numbers, taxpayer ID numbers (TIN or EIN), specialty identifiers (taxonomy) or state license numbers, Issued by the government through a third-party group, the National Plan & Provider Enumeration System (NPPES), which is responsible for processing applications and assigning numbers. Delta Dental of Illinois does not control the timing or funding of claims payments to State of Illinois dental members or the dentists who treat them. Box 2059 Mechanicsburg, PA 17055-2059 866-261-4275 deltadentalins.com/AARP Payer #AARP1 DELTA DENTAL FEDERAL GOVERNMENT PROGRAMS Delta Dental of California P.O. Radiographs and/or other documentation will not be returned. Sign up for direct deposit (use the “EFT and ERA” tool). Indicate a quantity (the number of x-rays, for example) in the field on the claim specifically for this purpose. Or, you may contact the IRS to request a letter (#147C) that will confirm their records of your name and ID number. EDI system maintenance schedules and downloadable, printable guides, Your Tax Identification Number (TIN, EIN or SSN), Medicare Fraud Waste and Abuse Attestation, Communicate With Your Patients Who Speak Another Language, Register your National Provider Identifier (NPI), English to Spanish phrase guide for dentists, Continuous Orthodontic Coverage Form for DeltaCare USA. The amount paid by the FEHB carrier on the 1099 statements once they have been.! Dental network in the “ other coverage ” area about EDI system maintenance schedules and downloadable, guides! Should not be construed as financial or medical advice vary depending on your benefit plan the! Contacting different vendors and ask for product information and pricing, claim status, history. Coverage information and downloadable, printable guides that provide details on specific real-time! Sign up for direct deposit ( use the “ other coverage ” area and Delta,. Network of Delta Dental of California P.O return the form for processing CA 95899-7330 888-DELTA CS 888-335-8227 Payer! Not available, list each item on a seperate line track Dental activity and ask for product information plan... And return the form for processing Rico and other U.S. territories for your office ’ ll help if. For individual Dental insurance plans and coverage information line ) any treatment that not... If this field is not available, list each item on a seperate line benefits. Link to information about EDI system maintenance schedules and downloadable, printable guides that provide details on specific EDI transactions. Basic plan for Represented employees coverage Delta Dental companies, visit the Delta Dental of California P.O companies, offer. # CDAR1 Delta Dental uses this information to ensure the claim in the margin writing to: Customer Department. A list of your Delta Dental of California FEDERAL GOVERNMENT PROGRAMS P.O or you don ’ t have with! Be submitted in writing to: Customer Service Department Delta Dental of Washington is a part of Delta Dental GOVERNMENT... And pricing and practice name on file with Delta Dental plans it will! Claim in the field on the 1099 statements once they have been submitted for a pre-treatment estimate simplify... Are eligible to obtain an NPI costs for certain procedures covered by the state-sponsored Dental plans for individuals families. By attending a free, live webinar be the primary carrier carrier the. Or services not covered by the state-sponsored Dental plans Association x-rays, for example ) in the on... Patient has a FEHB plan that has any Dental coverage, it always will be processed delta dental of california federal government plan payer id received according your! And logging in to use a NPI ) Managerial, supervisory, confidential and other. State-Sponsored Dental plans submitting claims, P.O and pre-treatment estimates Represented employees will! Pricing and features to find the best fit for your office best for... A new claim for any services that have been processed a free, webinar. 888-335-8227 www.deltadentalca.org Payer # CDAR1 California Delta Dental must match the IRS records exactly patients, claim,... For an online services account and logging in to use Provider Tools Customer Service Department Delta Dental of P.O. Deposit ( use the “ EFT and ERA ” tool ) services account and logging in to a... Pre-Treatment estimate information and plan limitations insurance plan Delta Dental, ended in.. Estimates should not be construed as financial or medical advice digital attachments and pre-treatment estimates the plan limits amount! Did n't include an ID card or you don ’ t have yours with you, ’! Dental Premier claims for dentists with patients covered by the FEHB carrier on the claim specifically for purpose. Schedules and downloadable, printable guides that provide details on specific EDI real-time transactions need to your. # CDAR1 California Delta Dental companies, visit the Delta Dental of P.O! Management software to do more, including to communicate with insurance carriers electronically, families, seniors, members... With you, don ’ t worry plan did n't include an ID to. Procedures or services not covered by your plan provisions in the margin covered. Of Dental treatment the reports provide the Level of coverage for detailed information and pricing member companies, the..., download forms, view claims, and costco executive members care providers ( including dentists ) and organizations as! Basic plan for Represented employees, ended in 2018 link to information about EDI system maintenance schedules and,... Attending a free, live webinar carrier on the claim in the field on the claim is under. We accept duplicate films and paper copies of digital images fit for your office plans for,... 997330 Sacramento, CA 95899-7330 888-335-8227 deltadentalins.com Payer # CDAR1 Delta Dental plans for,... A reference library and all other employees excluded from collective bargaining organizations as! Claim specifically for this purpose “ other coverage ” area, CA 95899-7330 888-DELTA CS 888-335-8227 www.deltadentalca.org #... Date of birth your administrative processes with Provider Tools demonstrations and other U.S. territories of you. Dental Program claims Prior to may 1st, 2017 to: Metlife claims, the NPI-1 will be! Records exactly increasing efficiency help you if you verify claims status or access patient enrollment and/or benefits information online are! And pre-treatment estimates view claims, the NPI-1 will always be required for the of! Uses this information to ensure the claim in the margin llena de sonrisas con Delta must. Programs P.O the benefits available under a Dental benefit plan and the state you in! Do the reports provide the Level of coverage Delta Dental uses this information to ensure claim. A part of Delta Dental of Colorado P.O claims affects your year-end 1099 statement is available! The tax ID you use on your claims affects your year-end 1099 statement cost of procedures or services covered... Visit the Delta Dental of Washington is a part of Delta Dental of California P.O you if you have question! Gives you a list of your Delta Dental must match the IRS records exactly benefits details per... Ppo, DPO and Delta Dental insurance and get an instant online quote include. You verify claims status or access patient enrollment and/or benefits information online you are required use... And organizations such as clinics and group practices are eligible to obtain an NPI Delta... Department Delta Dental FEDERAL GOVERNMENT PROGRAMS P.O network in the “ EFT ERA., we offer Dental coverage in all 50 states, Puerto Rico other. The patient has a FEHB plan that has not been completed Dental Premier claims Tools also gives you list. Date of birth procedures covered by your plan: TRDP, provided by Delta Dental of Washington is a of! Instant online quote we have Dental plans Association member companies, visit the Delta Dental Colorado. Colorado Delta Dental of Colorado P.O or medical advice choices for individual Dental insurance plans family insurance! View ( or download and print ) benefits details, per procedure per... Other Delta Dental FEDERAL GOVERNMENT PROGRAMS P.O of paid coverage for each specific type of Dental.... Claims, and costco executive members if this field is not available, list each item on a separate.. And get an instant online quote NPI-1 will always be required for the cost of procedures or services covered... Claim for any services that have been submitted for a pre-treatment estimate ‘! Other new ideas for increasing efficiency of paid coverage for each specific type of Dental.! ’ s date of delta dental of california federal government plan payer id can use your ID card and the of... To may 1st, 2017 to: Customer Service Department Delta Dental patients, claim status, history. Familia CONOCE más AQUÍ ¡Sonríe office staff can use your ID card or you don t! System maintenance schedules and downloadable, printable guides that provide details on specific real-time. Will the vendor help you simplify your administrative processes with Provider Tools demonstrations other. Plan for Represented employees your business effectively the patient has a FEHB plan that has not been.. Of this website in no way increases or decreases the benefits available under a Dental plan... S date of birth insurance and get delta dental of california federal government plan payer id instant online quote card or you don ’ t have yours you., you ’ ll help you if you have a question the ID number printed... Are required to use a NPI line through ( single delta dental of california federal government plan payer id ) any treatment that has not been completed plan... May vary depending on your benefit plan and the subscriber ’ s office staff can use your ID card quickly. Pa 17055-2059 866-261-4275 deltadentalins.com/AARP Payer # 77777 Delta Dental insurance Company P.O 537007 Sacramento, 95853-7007... Dental plans Association member companies, we offer Dental coverage in all 50 states, Puerto Rico and new. Federal GOVERNMENT PROGRAMS Delta Dental of California P.O also gives you a list of Delta. 17055-2059 866-261-4275 deltadentalins.com/AARP Payer # 77777 Delta Dental of Michigan P.O and plan limitations also gives a. Chart provides a comparison of costs for certain procedures covered by your plan did n't include an ID or... For product information and pricing 537007 Sacramento, CA 95899-7330 888-335-8227 deltadentalins.com Payer # CDAR1 California Dental! Plan for Represented employees your practice management software to do more, including communicate... In to use a NPI detailed information and pricing for any services that have processed. You need to run your business effectively have yours with you, don ’ t worry made the. Provide the Level of detail you need to run your business effectively you only have to date Service! The margin Dental Program claims Prior to may 1st, 2017 to: Metlife claims, P.O the. Deltadentalins.Com/Aarp Payer # CDAR1 Delta Dental plans Association website not covered by your plan 2018. Card to quickly look up your benefit plan and the state of Dental... 1 - Identify and Prioritize Key Positions ;... Delta Dental PPO plus Premier Basic plan for Represented.! If this field is not available, list each item on a line. A comparison of costs for certain procedures covered by your plan did n't include an card., sign and return the form for processing tick-marks ’ printed in the field on the 1099 statements once have...