Q: Do
I need Electronic Claims Submission?
A: Take
this simple test:
-
Do you submit 20 or more claims per week?
-
Do you experience cash flow disruptions?
-
Are you inundated with paperwork?
-
Do you want to reduce the number of rejected
claims?
-
Do you want to spend more time on treating
your patients and less time on filling out claim
forms?
*If you answered YES to one or more of these
questions, then you are a good candidate for
electronic claim 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 at the time you submit
your claim.
Q: Can
I submit claims requiring COB (coordination
of benefits)?
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: Delta Dental receives claims from the
following clearinghouses:
EMDEON
TESIA
Q: Where
can I go for additional information on electronic
claims submission?
A: NDEDIC - e-mail ndedic@ndedic.org or
visit their website: www.ndedic.org.
In addition, Delta Dental has clearinghouse and
software vendor agreements which 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 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.
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