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Newsletters - October 2004
 

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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