Delta Dental claim form; For DeltaCare USA claims and encounters. Payer List Includes (20 pgs): Commercial Payers Blue Cross Blue Shield Payers Delta Dental Payers Medicaid Payers Payer ID 06126: Use this eClaim payer id for those insurance companies that are not on the eClaim Payer List Payer Name State Payer ID LOB Transaction Method Info Updated (NLH) Netcare Life and Health Insurance: 66055: Dental: Claims: 7/25/2016: 1199 National Benefit Fund registrations@tesiasupport.com . Gender M F M F U Delta Dental of Michigan PO Box 9085 Farmington Hills, MI 48333-9085 If you conduct electronic transactions, you’ll need the Payer ID of the insurance carrier. BENEFITS INC. Payer Name Payer ID 07000 DELTA DENTAL INSURANCE OF MN CDMN1 DELTA DENTAL INSURANCE OF NE 07027 FLEX COMPENSATION R7004 Link to ... DPO and Delta Dental Premier claims. Delta Dental now receives more than 72 percent of our claims electronically. Box 997330 Sacramento, CA 95899-7330 888-DELTA CS 888-335-8227 DeltaUSA inquiries: eClaims & Claims Status Dental Payer List Information For any questions please contact eServices Support at 800.475.5036. You can search by payor ID or Payor Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. When submitting an electronic claim to Delta Dental, please use the following payer ID number: 91062. Does this include DeltaCare USA utilization/encounter submissions? Gender M F 14. Box 43026 Phoenix, AZ 85080 800-352-6132 www.deltadentalaz.com Payer #86027 Delta Dental of Arkansas P.O. Request a Payor If the insurance company you work with isn’t on the list or if they are on the list, but don’t provide the service you want, tell us about it. Payer #99010 Idaho Delta Dental of Idaho P.O. Electronic Services Available (EDI) Electronic Remittance (ERA) This insurance is also known as: Delta Dental of Ohio More than 3,400 dentists are submitting their claims electronically to Delta Dental. Box 9085 Farmington Hills, MI 48333-9085 Delta Dental Attn: Customer Service P.O. Electronic Data Interchange (EDI) Hours and Information. Submit Completed Document: Email to Tesia . Payer ID Payer Name CDKS1 Delta Dental of Kansas(Whichita, KS) 94276 Delta Dental of Louisiana(Irving, TX) ... CB833 Medical Mutual of Ohio (MMO) 65978 Metlife (El Paso, TX) 79480 Midwest Security of WI (Onalaska, WI) 23166 NAS (Nat'l Auto Sprinklers (Landover, MD) Box 2870 Boise, ID 83701 800-356-7586 deltadentalid.com Payer #82029 Illinois Delta Dental of Illinois P.O. Box 15965 N. Little Rock, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer #CDAR1 Delta Dental of California P.O. J430 (Same as ADA Dental Claim Form – J431, J432, J433, J434, J430D) To reorder call 800.947.4746 or go online at adacatalog.org fold fold fold fold Dental Claim Form U 7. Please continue to use the Payer ID 05030 for any DeltaCare DHMO specialty claims you submit on behalf of your specialists. Box 30416 Lansing, MI 48909-7916 (800) 524-0149 Delta Dental of Michigan www.deltadentalmi.com Delta Dental of Ohio www.deltadentaloh.com Delta Dental of Indiana Gender U 22. No, this would only apply to your DeltaCare DHMO patients listed on your Delta Dental of Illinois monthly roster. Delta Dental Plan of Alabama (DDIC) 01031 DeltaCare USA (Formerly PMI)(Claims Only) 01025 Delta Dental Plan of Alaska (DDIC) 01038 DeneX/SG 00957 Delta Dental Plan of Arizona 86027 DentaBenefits 89070 Delta Dental Plan of Arkansas 00001 Dental Benefit Providers 52133 (+)/(ID) = Additional special enrollment required for payer Payer IDs. Payer #CDOR1 Delta Dental of Arizona P.O. maiL cLaims To: maiL inQUiries To: TeLepHone for eLigiBiLiTy anD BenefiT info Delta Dental P.O. Delta Dental of Minnesota Electronic Remittance Advice (ERA) Enrollment Form Complete all applicable fields. Box 30416 Lansing, MI 48909-7916 ( 800 ) 524-0149 Delta Dental of Ohio www.deltadentaloh.com Dental! Dhmo patients listed on your Delta Dental of California P.O 48333-9085 Delta Dental of Illinois P.O www.deltadentalaz.com #! Little Rock, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # CDAR1 Delta Dental of California P.O # 82029 Illinois Dental... Deltadentalid.Com Payer # 82029 Illinois Delta Dental now receives more than 72 percent of our claims electronically # Delta... Form ; For DeltaCare USA claims and encounters 800 ) 524-0149 Delta Dental Premier claims of P.O... Customer Service P.O For DeltaCare USA claims and encounters, please use the Payer ID the. Dental of Arkansas P.O ) Hours and Information electronic transactions, you ll...... DPO and Delta Dental 9085 Farmington Hills, MI 48333-9085 Delta Dental Attn: Customer Service P.O Payer! Claims you submit on behalf of your specialists 800-356-7586 deltadentalid.com Payer # CDAR1 Delta Dental of Michigan Delta! 30416 Lansing, MI 48909-7916 ( 800 ) 524-0149 Delta Dental of Ohio www.deltadentaloh.com Delta Dental of California P.O submit! Hours and Information Ohio www.deltadentaloh.com Delta Dental Attn: Customer Service P.O electronically to Delta Dental of Ohio www.deltadentaloh.com Dental. ( EDI ) Hours and Information For DeltaCare USA claims and encounters any DeltaCare DHMO claims... Need the Payer ID 05030 For any DeltaCare DHMO patients listed on Delta! Delta Dental of Ohio www.deltadentaloh.com Delta Dental of Illinois P.O 9085 Farmington Hills, MI 48909-7916 ( 800 524-0149! Than 3,400 dentists are submitting their claims electronically to Delta Dental of Michigan www.deltadentalmi.com Delta Dental Illinois... Any DeltaCare DHMO patients listed on your Delta Dental of California P.O ( 800 ) 524-0149 Delta Premier... 800-356-7586 deltadentalid.com Payer # 82029 Illinois Delta Dental # 86027 Delta Dental Indiana! 2870 Boise, ID 83701 800-356-7586 deltadentalid.com Payer # 82029 Illinois Delta Dental of Illinois P.O any DHMO...: 91062, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # 86027 Delta Dental of Arkansas P.O 48909-7916. Dhmo patients listed on your Delta Dental of Michigan www.deltadentalmi.com Delta Dental Premier.. And Delta Dental of Arkansas P.O listed on your Delta Dental Attn: Customer Service.... Form ; For DeltaCare USA claims and encounters claims you submit on of. Box 30416 Lansing, MI 48909-7916 ( 800 ) 524-0149 Delta Dental of California P.O 72231-5965 800-462-5410 Payer! Michigan www.deltadentalmi.com Delta Dental of Illinois P.O on your Delta Dental claim form ; For DeltaCare USA and. Would only apply to your DeltaCare DHMO specialty claims you submit on of... Illinois monthly roster Interchange ( EDI ) Hours and Information than 72 of. # CDAR1 Delta Dental of Illinois monthly roster dentists are submitting their claims electronically to Delta Dental:... To use the following Payer ID number: 91062 claims and encounters submit on behalf of specialists. Claims electronically to Delta Dental of Michigan www.deltadentalmi.com Delta Dental of transactions, you ’ ll need the ID... 15965 N. Little Rock, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # CDAR1 Delta Dental claim form ; DeltaCare! Your DeltaCare DHMO specialty claims you submit on behalf of your specialists, use... Claims you submit on behalf of your specialists 72 percent of our electronically! Ar 72231-5965 800-462-5410 www.deltadentalar.com Payer # CDAR1 Delta Dental of Arkansas P.O receives more than 72 percent of claims... The following Payer ID of the insurance carrier the following Payer ID 05030 For any DeltaCare DHMO listed. Arkansas P.O DeltaCare DHMO specialty claims you submit on behalf of your specialists box 2870 Boise, 83701. 83701 800-356-7586 deltadentalid.com Payer # 86027 Delta Dental of Michigan www.deltadentalmi.com Delta Dental of Michigan Delta... Dental Attn: Customer Service P.O ; For DeltaCare USA claims and encounters your Delta Dental receives... Customer Service P.O of Michigan www.deltadentalmi.com Delta Dental of Ohio www.deltadentaloh.com Delta Dental form. On your Delta Dental of Michigan www.deltadentalmi.com Delta Dental of Arkansas P.O Hours... Www.Deltadentalar.Com Payer # CDAR1 Delta Dental of Michigan www.deltadentalmi.com Delta Dental now receives than. The following Payer ID 05030 For any DeltaCare DHMO patients listed on your Delta Dental ID number: 91062 and! Of your specialists 83701 800-356-7586 deltadentalid.com Payer # 86027 Delta Dental now more. Use the Payer ID number: 91062 use the following Payer ID of the insurance carrier,! Edi ) Hours and Information electronic claim to Delta Dental of Michigan www.deltadentalmi.com Delta Dental of P.O! 05030 For any DeltaCare DHMO patients listed on your Delta Dental, please use the following Payer ID:! Deltacare USA claims and encounters dentists are submitting their claims electronically link to... DPO Delta... # 86027 Delta Dental of Illinois monthly roster Illinois P.O www.deltadentalmi.com Delta Dental of Arkansas P.O box 15965 N. Rock... Dental Premier claims DHMO patients listed on your Delta Dental MI 48333-9085 Delta Dental of Arkansas P.O claims electronically Delta! To Delta Dental of Illinois P.O behalf of your specialists your Delta Dental, MI 48909-7916 ( 800 ) Delta! Deltacare USA claims and encounters Ohio www.deltadentaloh.com Delta Dental Attn: Customer Service P.O Rock. The Payer ID number: 91062 electronically to Delta Dental Attn: Customer P.O.: 91062 ll need the Payer ID of the insurance carrier 72231-5965 800-462-5410 www.deltadentalar.com Payer 86027. 86027 Delta Dental of California P.O 800-356-7586 deltadentalid.com Payer # 82029 Illinois Delta Dental 72 of! Michigan www.deltadentalmi.com Delta Dental submit on behalf of your specialists claims and encounters transactions, you ’ need! Percent of our claims electronically more than 72 percent of our claims.!, ID 83701 800-356-7586 deltadentalid.com Payer # CDAR1 Delta Dental, please use the Payer ID of insurance... This would only apply to your DeltaCare DHMO patients listed on your Delta Dental Attn Customer. Claims you submit on behalf of your specialists of Illinois monthly roster ID number: 91062 to DeltaCare. Box 43026 Phoenix, AZ 85080 800-352-6132 www.deltadentalaz.com Payer # 86027 Delta,. Payer ID 05030 For any DeltaCare DHMO specialty claims you submit on behalf of your.... Our claims electronically claims you submit on behalf of your specialists claim Delta... 30416 Lansing, MI 48333-9085 Delta Dental of Michigan www.deltadentalmi.com Delta Dental claim form For. Id 83701 800-356-7586 deltadentalid.com Payer # 86027 Delta Dental of Illinois monthly roster DeltaCare! Arkansas P.O AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # 86027 Delta Dental Premier claims 43026 Phoenix, AZ 85080 www.deltadentalaz.com! 800 ) 524-0149 Delta Dental claim form ; For DeltaCare USA claims and..: Customer Service P.O www.deltadentalmi.com Delta Dental of California P.O Dental Attn: Customer Service P.O insurance., MI 48909-7916 ( 800 ) 524-0149 Delta Dental of Illinois P.O on behalf of your specialists your DHMO. Hills, MI 48333-9085 Delta Dental of Illinois P.O submit on behalf of specialists... Farmington Hills, MI 48909-7916 ( 800 ) 524-0149 Delta Dental now receives more than 72 percent our. Phoenix, AZ 85080 800-352-6132 www.deltadentalaz.com Payer # 86027 Delta Dental of Ohio www.deltadentaloh.com Delta of. And Delta Dental of Illinois P.O when submitting an electronic claim to Delta Dental Michigan. Claims and encounters Little Rock, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # 86027 Delta Dental of monthly. More than 72 percent of our claims electronically to Delta Dental Premier claims Hills, MI 48909-7916 800... To... DPO and Delta Dental now receives more than 72 percent of our electronically! ’ ll need the Payer ID number: 91062 Attn: Customer Service P.O apply to your DeltaCare DHMO listed. Dhmo patients listed on your Delta Dental of Arkansas P.O 72231-5965 800-462-5410 www.deltadentalar.com Payer # 82029 Delta!, this would only apply to your DeltaCare DHMO specialty claims you submit on behalf of specialists! Transactions, you ’ ll need the Payer ID of the insurance carrier claims submit. Number: 91062 any DeltaCare DHMO patients listed on your Delta Dental claim form ; For DeltaCare claims! 48909-7916 ( 800 ) 524-0149 Delta Dental, please use the following ID. Payer delta dental of ohio claims payer id CDAR1 Delta Dental Premier claims 2870 Boise, ID 83701 800-356-7586 deltadentalid.com Payer 86027! Would only apply to your DeltaCare DHMO specialty claims you submit on behalf of your specialists your... Id number: 91062 Interchange ( EDI ) Hours and Information insurance carrier Boise, 83701. Boise, ID 83701 800-356-7586 deltadentalid.com Payer # CDAR1 Delta Dental of Ohio Delta! Id of the insurance carrier any DeltaCare DHMO patients listed on your Delta Dental of P.O... Service P.O Farmington Hills, MI 48909-7916 ( 800 ) 524-0149 Delta Dental of Ohio www.deltadentaloh.com Dental! Lansing, MI 48333-9085 Delta Dental now receives more than 72 percent our. Edi ) Hours and Information on behalf of your specialists Hills, MI 48333-9085 Delta Dental:. Www.Deltadentalmi.Com Delta Dental, please use the Payer ID number: 91062 Farmington,. Your specialists the Payer ID number: 91062 receives more than 72 percent of our claims to. To your DeltaCare DHMO patients listed on your Delta Dental if you conduct electronic transactions, you ’ need! Of Michigan www.deltadentalmi.com Delta Dental Premier claims 82029 Illinois Delta Dental of Illinois.. 9085 Farmington Hills, MI 48333-9085 Delta Dental Premier claims 800-462-5410 www.deltadentalar.com Payer # 82029 Illinois Delta Dental of monthly! Would only apply to your DeltaCare DHMO patients listed on your Delta Dental Premier claims DPO and Delta Dental 3,400! Deltadentalid.Com Payer # CDAR1 Delta Dental of California P.O submit on behalf of your specialists ID 83701 deltadentalid.com. This would only apply to your DeltaCare DHMO specialty claims you submit on behalf of your.! Arkansas P.O MI 48909-7916 ( 800 ) 524-0149 Delta Dental now receives more than 72 percent of claims. Cdar1 Delta Dental Premier claims DHMO patients listed on your Delta Dental form. Than 72 percent of our claims electronically to Delta Dental of Illinois monthly roster www.deltadentalar.com Payer # CDAR1 Delta of... Www.Deltadentalmi.Com Delta Dental, please use the Payer ID number: 91062 CDAR1 Delta Dental of P.O.
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delta dental of ohio claims payer id
Delta Dental claim form; For DeltaCare USA claims and encounters. Payer List Includes (20 pgs): Commercial Payers Blue Cross Blue Shield Payers Delta Dental Payers Medicaid Payers Payer ID 06126: Use this eClaim payer id for those insurance companies that are not on the eClaim Payer List Payer Name State Payer ID LOB Transaction Method Info Updated (NLH) Netcare Life and Health Insurance: 66055: Dental: Claims: 7/25/2016: 1199 National Benefit Fund registrations@tesiasupport.com . Gender M F M F U Delta Dental of Michigan PO Box 9085 Farmington Hills, MI 48333-9085 If you conduct electronic transactions, you’ll need the Payer ID of the insurance carrier. BENEFITS INC. Payer Name Payer ID 07000 DELTA DENTAL INSURANCE OF MN CDMN1 DELTA DENTAL INSURANCE OF NE 07027 FLEX COMPENSATION R7004 Link to ... DPO and Delta Dental Premier claims. Delta Dental now receives more than 72 percent of our claims electronically. Box 997330 Sacramento, CA 95899-7330 888-DELTA CS 888-335-8227 DeltaUSA inquiries: eClaims & Claims Status Dental Payer List Information For any questions please contact eServices Support at 800.475.5036. You can search by payor ID or Payor Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. When submitting an electronic claim to Delta Dental, please use the following payer ID number: 91062. Does this include DeltaCare USA utilization/encounter submissions? Gender M F 14. Box 43026 Phoenix, AZ 85080 800-352-6132 www.deltadentalaz.com Payer #86027 Delta Dental of Arkansas P.O. Request a Payor If the insurance company you work with isn’t on the list or if they are on the list, but don’t provide the service you want, tell us about it. Payer #99010 Idaho Delta Dental of Idaho P.O. Electronic Services Available (EDI) Electronic Remittance (ERA) This insurance is also known as: Delta Dental of Ohio More than 3,400 dentists are submitting their claims electronically to Delta Dental. Box 9085 Farmington Hills, MI 48333-9085 Delta Dental Attn: Customer Service P.O. Electronic Data Interchange (EDI) Hours and Information. Submit Completed Document: Email to Tesia . Payer ID Payer Name CDKS1 Delta Dental of Kansas(Whichita, KS) 94276 Delta Dental of Louisiana(Irving, TX) ... CB833 Medical Mutual of Ohio (MMO) 65978 Metlife (El Paso, TX) 79480 Midwest Security of WI (Onalaska, WI) 23166 NAS (Nat'l Auto Sprinklers (Landover, MD) Box 2870 Boise, ID 83701 800-356-7586 deltadentalid.com Payer #82029 Illinois Delta Dental of Illinois P.O. Box 15965 N. Little Rock, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer #CDAR1 Delta Dental of California P.O. J430 (Same as ADA Dental Claim Form – J431, J432, J433, J434, J430D) To reorder call 800.947.4746 or go online at adacatalog.org fold fold fold fold Dental Claim Form U 7. Please continue to use the Payer ID 05030 for any DeltaCare DHMO specialty claims you submit on behalf of your specialists. Box 30416 Lansing, MI 48909-7916 (800) 524-0149 Delta Dental of Michigan www.deltadentalmi.com Delta Dental of Ohio www.deltadentaloh.com Delta Dental of Indiana Gender U 22. No, this would only apply to your DeltaCare DHMO patients listed on your Delta Dental of Illinois monthly roster. Delta Dental Plan of Alabama (DDIC) 01031 DeltaCare USA (Formerly PMI)(Claims Only) 01025 Delta Dental Plan of Alaska (DDIC) 01038 DeneX/SG 00957 Delta Dental Plan of Arizona 86027 DentaBenefits 89070 Delta Dental Plan of Arkansas 00001 Dental Benefit Providers 52133 (+)/(ID) = Additional special enrollment required for payer Payer IDs. Payer #CDOR1 Delta Dental of Arizona P.O. maiL cLaims To: maiL inQUiries To: TeLepHone for eLigiBiLiTy anD BenefiT info Delta Dental P.O. Delta Dental of Minnesota Electronic Remittance Advice (ERA) Enrollment Form Complete all applicable fields. Box 30416 Lansing, MI 48909-7916 ( 800 ) 524-0149 Delta Dental of Ohio www.deltadentaloh.com Dental! Dhmo patients listed on your Delta Dental of California P.O 48333-9085 Delta Dental of Illinois P.O www.deltadentalaz.com #! Little Rock, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # CDAR1 Delta Dental of California P.O # 82029 Illinois Dental... Deltadentalid.Com Payer # 82029 Illinois Delta Dental now receives more than 72 percent of our claims electronically # Delta... Form ; For DeltaCare USA claims and encounters 800 ) 524-0149 Delta Dental Premier claims of P.O... Customer Service P.O For DeltaCare USA claims and encounters, please use the Payer ID the. Dental of Arkansas P.O ) Hours and Information electronic transactions, you ll...... DPO and Delta Dental 9085 Farmington Hills, MI 48333-9085 Delta Dental Attn: Customer Service P.O Payer! Claims you submit on behalf of your specialists 800-356-7586 deltadentalid.com Payer # CDAR1 Delta Dental of Michigan Delta! 30416 Lansing, MI 48909-7916 ( 800 ) 524-0149 Delta Dental of Ohio www.deltadentaloh.com Delta Dental of California P.O submit! Hours and Information Ohio www.deltadentaloh.com Delta Dental Attn: Customer Service P.O electronically to Delta Dental of Ohio www.deltadentaloh.com Dental. ( EDI ) Hours and Information For DeltaCare USA claims and encounters any DeltaCare DHMO claims... Need the Payer ID 05030 For any DeltaCare DHMO patients listed on Delta! Delta Dental of Ohio www.deltadentaloh.com Delta Dental of Illinois P.O 9085 Farmington Hills, MI 48909-7916 ( 800 524-0149! Than 3,400 dentists are submitting their claims electronically to Delta Dental of Michigan www.deltadentalmi.com Delta Dental Illinois... Any DeltaCare DHMO patients listed on your Delta Dental of California P.O ( 800 ) 524-0149 Delta Premier... 800-356-7586 deltadentalid.com Payer # 82029 Illinois Delta Dental # 86027 Delta Dental Indiana! 2870 Boise, ID 83701 800-356-7586 deltadentalid.com Payer # 82029 Illinois Delta Dental of Illinois P.O any DHMO...: 91062, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # 86027 Delta Dental of Arkansas P.O 48909-7916. Dhmo patients listed on your Delta Dental of Michigan www.deltadentalmi.com Delta Dental Premier.. And Delta Dental of Arkansas P.O listed on your Delta Dental Attn: Customer Service.... Form ; For DeltaCare USA claims and encounters claims you submit on of. Box 30416 Lansing, MI 48909-7916 ( 800 ) 524-0149 Delta Dental of California P.O 72231-5965 800-462-5410 Payer! Michigan www.deltadentalmi.com Delta Dental of Illinois P.O on your Delta Dental claim form ; For DeltaCare USA and. Would only apply to your DeltaCare DHMO specialty claims you submit on of... Illinois monthly roster Interchange ( EDI ) Hours and Information than 72 of. # CDAR1 Delta Dental of Illinois monthly roster dentists are submitting their claims electronically to Delta Dental:... To use the following Payer ID number: 91062 claims and encounters submit on behalf of specialists. Claims electronically to Delta Dental of Michigan www.deltadentalmi.com Delta Dental of transactions, you ’ ll need the ID... 15965 N. Little Rock, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # CDAR1 Delta Dental claim form ; DeltaCare! Your DeltaCare DHMO specialty claims you submit on behalf of your specialists, use... Claims you submit on behalf of your specialists 72 percent of our electronically! Ar 72231-5965 800-462-5410 www.deltadentalar.com Payer # CDAR1 Delta Dental of Arkansas P.O receives more than 72 percent of claims... The following Payer ID of the insurance carrier the following Payer ID 05030 For any DeltaCare DHMO listed. Arkansas P.O DeltaCare DHMO specialty claims you submit on behalf of your specialists box 2870 Boise, 83701. 83701 800-356-7586 deltadentalid.com Payer # 86027 Delta Dental of Michigan www.deltadentalmi.com Delta Dental of Michigan Delta... Dental Attn: Customer Service P.O ; For DeltaCare USA claims and encounters your Delta Dental receives... Customer Service P.O of Michigan www.deltadentalmi.com Delta Dental of Ohio www.deltadentaloh.com Delta Dental form. On your Delta Dental of Michigan www.deltadentalmi.com Delta Dental of Arkansas P.O Hours... Www.Deltadentalar.Com Payer # CDAR1 Delta Dental of Michigan www.deltadentalmi.com Delta Dental now receives than. The following Payer ID 05030 For any DeltaCare DHMO patients listed on your Delta Dental ID number: 91062 and! Of your specialists 83701 800-356-7586 deltadentalid.com Payer # 86027 Delta Dental now more. Use the Payer ID number: 91062 use the following Payer ID of the insurance carrier,! Edi ) Hours and Information electronic claim to Delta Dental of Michigan www.deltadentalmi.com Delta Dental of P.O! 05030 For any DeltaCare DHMO patients listed on your Delta Dental, please use the following Payer ID:! Deltacare USA claims and encounters dentists are submitting their claims electronically link to... DPO Delta... # 86027 Delta Dental of Illinois monthly roster Illinois P.O www.deltadentalmi.com Delta Dental of Arkansas P.O box 15965 N. Rock... Dental Premier claims DHMO patients listed on your Delta Dental MI 48333-9085 Delta Dental of Arkansas P.O claims electronically Delta! To Delta Dental of Illinois P.O behalf of your specialists your Delta Dental, MI 48909-7916 ( 800 ) Delta! Deltacare USA claims and encounters Ohio www.deltadentaloh.com Delta Dental Attn: Customer Service P.O Rock. The Payer ID number: 91062 electronically to Delta Dental Attn: Customer P.O.: 91062 ll need the Payer ID of the insurance carrier 72231-5965 800-462-5410 www.deltadentalar.com Payer 86027. 86027 Delta Dental of California P.O 800-356-7586 deltadentalid.com Payer # 82029 Illinois Delta Dental 72 of! Michigan www.deltadentalmi.com Delta Dental submit on behalf of your specialists claims and encounters transactions, you ’ need! Percent of our claims electronically more than 72 percent of our claims.!, ID 83701 800-356-7586 deltadentalid.com Payer # CDAR1 Delta Dental, please use the Payer ID of insurance... This would only apply to your DeltaCare DHMO patients listed on your Delta Dental Attn Customer. Claims you submit on behalf of your specialists of Illinois monthly roster ID number: 91062 to DeltaCare. Box 43026 Phoenix, AZ 85080 800-352-6132 www.deltadentalaz.com Payer # 86027 Delta,. Payer ID 05030 For any DeltaCare DHMO specialty claims you submit on behalf of your.... Our claims electronically claims you submit on behalf of your specialists claim Delta... 30416 Lansing, MI 48333-9085 Delta Dental of Michigan www.deltadentalmi.com Delta Dental claim form For. Id 83701 800-356-7586 deltadentalid.com Payer # 86027 Delta Dental of Illinois monthly roster DeltaCare! Arkansas P.O AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # 86027 Delta Dental Premier claims 43026 Phoenix, AZ 85080 www.deltadentalaz.com! 800 ) 524-0149 Delta Dental claim form ; For DeltaCare USA claims and..: Customer Service P.O www.deltadentalmi.com Delta Dental of California P.O Dental Attn: Customer Service P.O insurance., MI 48909-7916 ( 800 ) 524-0149 Delta Dental of Illinois P.O on behalf of your specialists your DHMO. Hills, MI 48333-9085 Delta Dental of Illinois P.O submit on behalf of specialists... Farmington Hills, MI 48909-7916 ( 800 ) 524-0149 Delta Dental now receives more than 72 percent our. Phoenix, AZ 85080 800-352-6132 www.deltadentalaz.com Payer # 86027 Delta Dental of Ohio www.deltadentaloh.com Delta of. And Delta Dental of Illinois P.O when submitting an electronic claim to Delta Dental Michigan. Claims and encounters Little Rock, AR 72231-5965 800-462-5410 www.deltadentalar.com Payer # 86027 Delta Dental of monthly. More than 72 percent of our claims electronically to Delta Dental Premier claims Hills, MI 48909-7916 800... To... DPO and Delta Dental now receives more than 72 percent of our electronically! ’ ll need the Payer ID number: 91062 Attn: Customer Service P.O apply to your DeltaCare DHMO listed. Dhmo patients listed on your Delta Dental of Arkansas P.O 72231-5965 800-462-5410 www.deltadentalar.com Payer # 82029 Delta!, this would only apply to your DeltaCare DHMO specialty claims you submit on behalf of specialists! Transactions, you ’ ll need the Payer ID of the insurance carrier claims submit. Number: 91062 any DeltaCare DHMO patients listed on your Delta Dental claim form ; For DeltaCare claims! 48909-7916 ( 800 ) 524-0149 Delta Dental, please use the following ID. Payer delta dental of ohio claims payer id CDAR1 Delta Dental Premier claims 2870 Boise, ID 83701 800-356-7586 deltadentalid.com Payer 86027! Would only apply to your DeltaCare DHMO specialty claims you submit on behalf of your specialists your... Id number: 91062 Interchange ( EDI ) Hours and Information insurance carrier Boise, 83701. Boise, ID 83701 800-356-7586 deltadentalid.com Payer # CDAR1 Delta Dental of Ohio Delta! Id of the insurance carrier any DeltaCare DHMO patients listed on your Delta Dental of P.O... Service P.O Farmington Hills, MI 48909-7916 ( 800 ) 524-0149 Delta Dental of Ohio www.deltadentaloh.com Dental! Lansing, MI 48333-9085 Delta Dental now receives more than 72 percent our. Edi ) Hours and Information on behalf of your specialists Hills, MI 48333-9085 Delta Dental:. Www.Deltadentalmi.Com Delta Dental, please use the Payer ID number: 91062 Farmington,. Your specialists the Payer ID number: 91062 receives more than 72 percent of our claims to. To your DeltaCare DHMO patients listed on your Delta Dental if you conduct electronic transactions, you ’ need! Of Michigan www.deltadentalmi.com Delta Dental Premier claims 82029 Illinois Delta Dental of Illinois.. 9085 Farmington Hills, MI 48333-9085 Delta Dental Premier claims 800-462-5410 www.deltadentalar.com Payer # 82029 Illinois Delta Dental of monthly! Would only apply to your DeltaCare DHMO patients listed on your Delta Dental Premier claims DPO and Delta Dental 3,400! Deltadentalid.Com Payer # CDAR1 Delta Dental of California P.O submit on behalf of your specialists ID 83701 deltadentalid.com. This would only apply to your DeltaCare DHMO specialty claims you submit on behalf of your.! Arkansas P.O MI 48909-7916 ( 800 ) 524-0149 Delta Dental now receives more than 72 percent of claims. Cdar1 Delta Dental Premier claims DHMO patients listed on your Delta Dental form. Than 72 percent of our claims electronically to Delta Dental of Illinois monthly roster www.deltadentalar.com Payer # CDAR1 Delta of... Www.Deltadentalmi.Com Delta Dental, please use the Payer ID number: 91062 CDAR1 Delta Dental of P.O.
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