Say "claim details" for the amount Delta Dental paid per procedure.Say "claim status" for the amount Delta Dental paid on a specific claim.You don't need to wait until all options are offered. As soon as you know your response choice to the automated question, you may say or enter it. Return to the main menu any time by pressing "9".Your fax number, if you will be requesting a faxed summary.The subscriber's ID number and date of birth and the patient's date of birth (the ID may be the subscriber's social security number or another number, such as an employee ID or alternate ID assigned by the subscriber's employer).Your tax ID number (TIN) that is on file with Delta Dental.Before you call, have all of the following items ready:.Use the service during business hours, as well as extended hours during the week and on weekends.Our automated voice response telephone service is a convenient way to obtain eligibility and benefits information and more for your Delta Dental PPO™, Delta Dental Premier® and DeltaCare® USA patients. Eligibility and benefits information is also available by using our automated telephone service. Or use another great tool: My Patients. This tool lists your existing patients and their eligibility status. Select under Actions at the end of a row to open that patient’s Eligibility & Benefits Summary.Treatment History - review benefit limitations and dates of service from claims we’ve paid from any dentist.Benefit Search - enter up to 10 procedure codes, a keyword or a tooth number for more specific information.Benefit Details: get benefit levels for procedures by category, such as Preventive, Restorative, Endodontics, etc.Link to more details. Use the links in the sidebar to quickly access:.Finally, you can find "other provisions" details for missing tooth clause, COB rules and more at the end of the page. For existing patients: You'll see the Eligibility & Benefits Summary first, followed by benefit and covered services, maximum and deductible amounts.For new patients: Enter the first and last name and date of birth. Then, select "Find Patient" for eligibility status and benefit details.Log in and select Eligibility & Benefits. Enter the patient’s name and select Existing or New.Use Provider Tools for up-to-date, unlimited eligibility and benefits information, including remaining maximums and deductibles. Be sure to verify patient eligibility before providing services to make sure you’ll receive the appropriate compensation.
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