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:
Q: Where can I go for additional information on electronic claims submission?
A: NDEDIC - email firstname.lastname@example.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.