Notice

May 22 - September 4: Customer Service hours are Monday through Thursday 8:00 AM to 6:30 PM EDT and Friday 8:00 AM to 1:00 PM EDT.


To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at (800-452-9310).

Your Electronic Enrollment
Companion Guide. 


Everything your team needs to set up secure file transmission, understand processing rules, navigate Open Enrollment, and keep member enrollment running smoothly.



Download guide View FAQs

Client/vendor roles & responsibilities

🔐

SFTP contact

This contact receives login credentials via secure mail. If an SSH key is not used, they will also receive mandatory password reset notifications every 180 days.

To update the SFTP contact, email EDI@DeltaDentalNJ.com with the new contact's name, email address, and phone number.
📬

Load Status contacts

This contact receives a confirmation email with the load status after each file has been loaded.

To update this contact, email EDI@DeltaDentalNJ.com with the new contact's name, email address, and phone number.
📋

Post Load Report (PLR) contacts

This individual(s) will receive a report after the file is loaded detailing all changes made and identifying errors that require corrective action prior to your next file submission.

PLR recipients must be PHI authorized. If needed, have them complete a PHI Form.

Transmission details

📡

SFTP

All file transmissions use SFTP. Make sure you are connecting on Port 22 for all submissions.

Required
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PGP Encryption

PGP encryption is recommended for file transmission. Your PGP key can be found in your SFTP folder or provided via email upon request.

Recommended

Processing rules

 

Delta Dental will load all valid records and exclude any incomplete or improperly formatted records.

 

All effective dates will be applied within the 90-day retro limit. This applies to additions, terminations, transfers, reinstates, and coverage tier changes.

 

Dummy SSNs for family members are not accepted. If an actual SSN is unavailable, do not include the segment in the file.

 

Delta Dental will not take responsibility for any member issues reported in the PLR that are not addressed by the client.

Open enrollment tips

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Label Your File

Include "OE" in the file name to ensure it is identified and handled correctly.

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Don't Mix File Types

Do not send an ongoing file and an Open Enrollment file on the same day.

Commit to the OE File

Once the Open Enrollment file has been transmitted, we cannot accept ongoing files that do not reflect Open Enrollments.

🧪

Test Files

Open Enrollment test files are only required if structure changes are occurring.

Post Open Enrollment Load Changes

  • Post Open Enrollment load changes can be submitted to Eliginquiry@deltadentalnj.com.
  • All post-Open Enrollment load reports sent to Delta Dental must include the group/subgroup number to ensure accurate processing.
  • Any reports received without appropriate structure information will not be reviewed and will be returned to the sender.

Frequently Asked Questions

File Submission
What file format does Delta Dental accept?

Delta Dental accepts 834 5010 files; we do not accept any other layouts or lesser versions of the 834.

When can I submit a production file?

Files can be submitted 24/7.

Does Delta Dental accept off-cycle files?

Yes, Delta Dental accepts off-cycle files for urgent updates. It's not necessary to notify us prior to sending.

Can I send an email to update a member's coverage?

No. All updates should be submitted via your file. Delta Dental accepts off-cycle files if urgent updates are needed.

Processing & Timelines
What should I expect after sending a test file?

Test results will be emailed within 3–5 business days of electronic submission.

What should I expect after sending production files?
  • You can expect same day processing for files received Monday through Friday.
  • You will receive a load status email indicating if a file has been accepted, partially accepted, or rejected.
  • Designated contacts will receive Post Load Reports (PLR) detailing all changes made as well as identifying any errors that will need to be corrected for future files.
  • Reports will be received within 2 business days of file receipt.
Errors & Corrections
How do I resolve errors listed in the PLR?

All errors should be corrected in your source system prior to submission of the next file.

What should I do if my PLR flags an error?

Please make the necessary corrections to your system so that the members' information can be processed correctly when you submit your next file.

How do I correct the termination date for members who were terminated by absence?

Termination updates can be emailed to eliginquiry@deltadentalnj.com.

Your Delta Dental contacts

EDI Services Team

For general group inbox, contact updates, and SSH key submissions.

EDI@DeltaDentalNJ.com →

Eligibility

For TBA updates and post Open Enrollment load submissions.

Eliginquiry@DeltaDentalNJ.com →

PHI Authorization Forms

PLR recipients must be PHI authorized. Download the required form from the Delta Dental employer resources page.

View Forms →