Skip Navigation Skip to Footer Links

Frequently Asked Questions (FAQ)

Q: Do I need Electronic Claims Submission?

A:  Take this simple test:

*If you answered, YES, to one or more of these questions, then you are a good candidate for electronic claims submission!

Q: Can I submit claims with diagnostics?

A: All claims can be sent electronically. If a claim needs diagnostics, we will request them. However, to save time, use your attachment software and send them at the time you submit your claim.

Q: Can I submit claims requiring coordination of benefits (COB)?

A: Yes. Primary carrier payment information should be provided in the appropriate field. We also accept and process prime COB claims and dual (Delta Dental primary and secondary) claims.

Q: What about Pre-Treatment Estimates?

A: Pre-Treatment Estimates can be submitted electronically.

Q: Does Delta Dental receive claims from more than one clearinghouse?

A: Yes. Delta Dental receives claims from the following clearinghouses:

EMDEON

  • (888) 416-0673

Tesia Clearinghouse, LLC

  • (800) 724-7240

Q: Where can I go for additional information on electronic claims submission?

A: NDEDIC - email ndedic@ndedic.org or visit their website: www.ndedic.org. In addition, Delta Dental has clearinghouse and software vendor agreements that can further benefit the participating dentist through discounts and other cost-savings. Ask your Dental Network Coordinator for more information (888-396-6641).

Q: Do I have to maintain a hard copy of my patient records if I’m submitting electronic claims?

A: No, as long as the licensee complies with the requirements defined in the amended rule.

Q: What if I make a mistake entering data?

A: Call Customer Service at 800-452-9310, so that the claim can be deleted. Then, resubmit the claim correctly.

Q: How often should I back up my data?

A: Back up your system nightly. Maintain quarterly back-ups, storing the last three quarters onsite, and the fourth quarter (annual) back-up offsite.

 

 
 
 
 
 

Resources