Call us: 1-800-610-0201 (toll-free statewide) Customer service representatives are available from 8 a.m.–6 p.m., Monday – Friday. J430 (Same as ADA Dental Claim Form – J431, J432, J433, J434, J430D) To reorder call 800.947.4746 or go online at adacatalog.org fold fold fold fold Dental Claim Form U 7. We are still located in New Jersey and Connecticut, and our phone numbers and Customer Service department remain the same. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Review your response reports forwarded by your clearinghouse to determine if there are any errors on claims. Box 2870 Boise, ID 83701 800-356-7586 www.deltadentalid.com Payer #82029 Delta Dental of Illinois P.O. Contact us by phone or mail, or fill out the form below and we’ll reach out to you! Corporate headquarters: Delta Dental of North Carolina 4242 Six Forks Road Suite 970 Raleigh, NC 27609 . Box 5402 Lisle, IL 60532 Electronic Claims Payor ID: IDIND. SIGN BELOW TTY/TDD 888-373-3582 . All other provider inquiries: 800.367.3531, Ext. DELTA DENTAL OF ILLINOIS Attn: Re-Evaluation Committee 111 Shuman Blvd. DeltaCare Phone: 617-886-1300 Toll free: 800-327-6277 Fax: 617-886-1199 Claims Delta Dental of MA P.O. Contact Us; As Rhode Island's largest dental insurer, Delta Dental of Rhode Island has quality benefits and an experienced service team to support all your dental needs. Dentists and dental office staff can contact our Provider Relations department at the following numbers. When a different address is used, your clearinghouse may not recognize it as a valid address for us and may not transmit your claims … Skip Secondary Navigation. Mechanicsburg, PA 17055-2105 (717) 766-8500 (800) 932-0783 . Contact Delta Dental of Missouri dental customer service at 800-335-8266 or email service@deltadentalmo.com. Need Assistance? After your claim is received, Delta Dental of Illinois will review the paperwork to verify if: Delta Dental of Illinois Attn: DDIL-Individual Claims P.O.Box 103 Stevens Point, WI 54481 . return to top Human Resources Write: Delta Dental of Oklahoma Attn: Human Resources Department P.O. ATTENDING DENTIST’S STATEMENT . Box 5402 Lisle, IL 60532 Electronic Claims Payor ID: 05030. Box 1809 Alpharetta, GA 30023-1809 Delta Dental's toll-free phone number for questions: 866-496-2370 Monday through Friday between 5:00 a.m. and 5:30 p.m., Mountain Time 3328 Contact a representative online . Delta Dental -the largest dental network in the US. Customer Service. Delta Dental of Washington is a part of Delta Dental Plans Association. Delta Dental Medicare Advantage and Delta Dental Patient Direct coverage are not available in all 50 states. Home. Delta Dental of Oregon is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in … Contact Us. Contact Us Northeast Delta Dental. By submitting the form below, we will contact you within two business days to learn more about your needs. Corporate Address: Delta Dental of Minnesota 500 Washington … Claims Appeals Mailing Address. Group Dental Claims Attn: DDIL – Group Claims P.O. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. Claims mailing address: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085 . Naperville, IL 60563. Delta Dental works to ensure you receive the best possible service. Address for all claims (paper and electronic) for Delta Dental of Michigan, Ohio, Indiana, and North Carolina: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085. Delta Dental of Oregon is a part of Delta Dental Plans Association. Delta Dental's Automated Service Inquiry (DASI) is available 24/7 for information on eligibility, coverage, and more. LAST FIRST ZIP CODE 6. Fees, New Membership, New Location, TIN / Address Changes: Electronic Claims: cservice@DeltaDentalWA.com ProviderServices@DeltaDentalWA.com cservice@DeltaDentalWA.com: Telephone Numbers Provider Services Customer Service Toll Free (800) 238-3439 (206) 522-2300 (800) 554-1907: Mailing Address: Delta Dental of Washington P.O. 9. Monday through Friday, 8:30 a.m. to 8 p.m. Box 54709 Oklahoma City, OK 73154-1709 Call: 800-522-0188, Ext. Electronic Claims Payor ID: WDENC . Claims or Benefit Questions. One Delta Drive P.O. Email your order to Delta Dental of Oklahoma at GroupSupplies@DeltaDentalOK.org. Customer service questions should be directed to service@deltadentalmo.com. Through our national network of Delta Dental companies, we offer dental coverage in … Box 2105 . For answers to frequently asked … Box 5402 Lisle, IL 60532 800-323-1743 www.deltadentalil.com Payer #05030 (group plans) ... Delta Dental Contact Information Author: Darci Shaw Call toll-free. Automated system is available 24/7. Address for all claims (paper and electronic) for Delta Dental of Michigan, Ohio, Indiana, and North Carolina: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085. Box 16354 Little Rock, AR 72231 This change affects only our mailing address. If you are looking for a dental plan for yourself, check out the Individual and Family Plans in your area. Find Your Delta Dental. 800-524-0149 (TTY users call 711) Medicare Advantage member customer service FOR PREDETERMINATION * OR PAYMENT ** www.deltadentalins.com STAPLE X-RAYS TO FORM . Enrollment and Billing. When a different address is used, your clearinghouse may not recognize it as a valid address for us and may not transmit your claims … Contact us by phone or mail, or fill out the form below and we’ll reach out to you! When a different address is used, your clearinghouse may not recognize it as a valid address for us and may not transmit your claims … Delta Dental of South Carolina is a part of the Delta Dental Plans Association. For member eligibility, benefits and claim information, please call the number on the back of the member’s ID card or refer to the contact list below: 1-800-448-3815 for inquiries about members who have an alphanumeric ID and/or have an employer-sponsored group plan: (ex. 8. Address for all claims (paper and electronic) for Delta Dental of Michigan, Ohio, Indiana, and North Carolina: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085. Select One I purchased my own dental plan I receive my plan via my employer I administer a large group plan (> 100 employees) I'm a small business employer or administrator I'm a broker I'm a dentist 800-524-0149 (TTY users call 711) Medicare Advantage member customer service Box 1517 Providence, RI 02901-1517 Need an address? For the hearing impaired: TDD: 1-800-659-2656 For Spanish-speaking assistance: Para asistencia en español llame al 1-800-610-0201. Phone: 800-236-3712 Email: claims@deltadentalwi.com. P.O. DDRI offers assistance during COVID-19 crisis Read More >> DDRI Gives $1.5M to Support RI … Mailing address: P.O. Phone: 888-324-8600 Step 1 - Tell us about yourself. Contact information for providers. Contact Delta Dental of Arkansas customer service for questions regarding your benefits, claim status, eligibility, and more. Charlotte office: Delta Dental of North Carolina 11325 N. Community House Road Suite 420 Charlotte, NC 28277 . Use our tool to quickly and easily contact our offices. IMPORTANT: Do not include personally identifiable information or protected health information in an unsecured email. Gender M F 14. Delta Dental of Idaho P.O. Delta Dental of Kansas is a part of Delta Dental Plans Association.Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.dental coverage in all 50 states, Puerto Rico and other U.S. territories. Contact us today. Delta Dental of Kansas is a part of Delta Dental Plans Association.Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.dental coverage in all 50 states, Puerto Rico and other U.S. territories. General customer service. EMPLOYER (COMPANY) NAME AND ADDRESS 1. Phone: 1-877-268-3384. General customer service. Delta Dental works to ensure you receive the best possible service. Box 2002 Concord, NH 03302-2002 Phone: 603-223-1000 or 1-800-537-1715 Fax: 603-223-1199 E-mail: nedelta@nedelta.com Customer Service: 1 … Box 2907 Milwaukee, WI 53201-2907 Fax: 617-886-1199 Contact Us. Electronic Claims Payor ID: 05030. Patient benefits and claims status: 800.237.6060. Box 1810 Alpharetta, GA 30023 866-774-5595 If you are enrolled in an Allwell Medicare Advantage plan and have questions about your benefits or a claim, please call our Customer Service Center at (855) 253-4706. Contact Us . Through our national network of Delta Dental companies, we offer dental coverage in … Our mailing address for claims and other correspondence is changing. Sign in to your account, check your Delta Dental ID card or contact your Delta Dental Company. Delta Dental of the District of Columbia P.O. Monday through Friday, 8:30 a.m. to 8 p.m. Delta Dental uses this information to ensure the claim is processed under the correct member. Please see below for reference information on using DASI for members, dental offices, and group plan administrators. D11111111) Option 1: Claims Status Gender U 22. Our new mailing address for claims is: Delta Dental of New Jersey P.O. Mailing Address: Delta Dental Attn: Claims Processing PO Box 9120 Farmington Hills, MI 48333 Electronic Payer ID: 07000. Individual Dental Policyholder Claims Attn: DDIL – Individual Claims P.O. Contact information for corporate headquarters. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Box 2870 Boise, ID 83701 800-356-7586 deltadentalid.com ... Claims and Encounter Forms P.O. Contact Information Delta Dental Member Companies deltadentalins.com DELTA DENTAL INSURANCE COMPANY — ... DELTA DENTAL OF IDAHO P.O. Delta Dental's address for submission of claim forms: Delta Dental Insurance Company P.O. 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