Northeast Delta Dental will produce an Explanation of Benefits (available through Northeast Delta Dental’s Benefit Lookup site at www.nedelta.com) detailing what has been processed under your Plan’s coverage. Looking for more information? Claims will be processed when received according to your plan provisions. 1 Refer to your plan booklet or Policy for more information about covered services, deductibles and maximums.. 2 Delta Dental dentists agree to our determination of fees and won’t bill you more than your share of Delta Dental’s approved fee for a covered service. Northeast Delta Dental is part of Delta Dental Plans Association. Understanding your explanation of benefits. 19. The dentist will submit your claim to Northeast Delta Dental. (b) For Eligible Persons who become eligible after orthodontic treatment has commenced, Northeast Delta Dental will pro-rate its liability based on the … ), you may do so securely through the site. On the most basic level, your EOB will provide a breakdown of the dental services that you received, the amount Delta Dental will pay to your dentist, and any portion you will be expected to pay the dental office. No, an EOB is not a bill. Northeast Delta Dental will send you a EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Subscribers may access electronic versions of their ID cards and EOBs using Northeast Delta Dental’s site at www.nedelta.com/Patients. Fill in the fields below to get started. Refer to your benefit plan to determine whether these requirements apply to you. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. You are responsible to pay any outstanding balance directly to the dentist. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. You are responsible to … Northeast Delta Dental Contact Us; Frequently Asked Questions ; nedelta.com; Explanation of Benefits/Benefit Lookup; Reset Password Reset Password Form. Find the one that’s right for you. 20. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. These terms will not always be used in your Explanation of Benefits, but it is important to know their meaning in case they appear. Frequently Asked Questions About Explanation of Benefits. This article was developed jointly by Delta Dental Plans Association , Delta Dental of Arizona and Delta Dental of Wisconsin. Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. Please contact your local Delta Dental to manage your Delta Dental benefits. 19. (b) For Eligible Persons who become eligible after orthodontic treatment has commenced, Northeast Delta Dental will pro-rate its liability based on the number of remaining Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Refer to your benefit plan to determine whether preventive services are covered for you. The EOB shows you how your claim If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." How much is it going to cost? For a complete description of the details of your coverage, please refer to your coverage documents. Northeast Delta Dental … ŽŽŽ n(GÐÀŽ"S$w3ãv®~ £å€8ìü@~¦2½ãþÎ0&æc+äõia›ð9ˆ“é¿£ûµ';ž1px8ðn°`¨. Explanation of Benefits. Is my explanation of benefits a bill? Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any If you have a question regarding the participation status of a specific dentist who does not appear in this directory, please contact the dentist or your Delta Dental. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. 18. Connect with your Delta Dental company to learn more. Below is an example of an EOB that you will receive after you have visited your dentist. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Use of this website in no way increases or decreases the benefits available under a dental benefit plan. After your visit, an Explanation of Benefits (EOB) will be available to you. 19. I receive dental insurance through my employer I purchase dental insurance on my own. Brush up on some of the dental insurance basics: If you have additional questions or require further support, connect with your local Delta Dental. Information regarding the Cost Estimator content. This Northeast Delta Dental–Vermont Health Connect dental plan meets the standards for Pediatric Dental Benefits (for children under the age of ... After your visit, an Explanation of Benefits (EOB) will be available to you. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Our oral health and wellness section provides important information about adult oral health, children's oral health and even oral … The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. The EOB shows you how your claim was ... Northeast Delta Dental complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. If you prefer to continue receiving hard copies of EOBs via standard mail, you may elect to do so on the Benefit Lookup site or by calling our eligibility … The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover, or your out-of-pocket costs. Present your subscriber ID card to the dentist at the time of your visit. You are responsible to pay any … 19. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. *Not sure where your company is headquartered? 1 Refer to your plan booklet or Policy for more information about covered services, deductibles and maximums.. 2 Delta Dental dentists agree to our determination of fees and won’t bill you more than your share of Delta Dental’s approved fee for a covered service. Preventive care coverage varies by plan and by demographic considerations such as age. Explanation of Benefits (EOB): The notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. It is administered by Northeast Delta Dental. When a dental office calls or goes online to verify coverage, they also receive all the information needed to submit a claim. By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Estimates may vary depending on your benefit plan and the state you live in. Your Explanation of Benefits (EOB) is a paper or electronic statement provided by your dental insurance company, which breaks down any dental treatments or services that you have received. DISCOUNTS. After your visit, an Explanation of Benefits (EOB) w ill be available to you. Please scroll down and accept to proceed. When Delta Dental of California is the secondary carrier and is subject to the provisions of the California Health and Safety Code §1374.19, we pay the lesser of: (1) the amount we would have paid in the absence of any other dental benefit coverage; or (2) the enrollee’s out-of-pocket cost payable under the primary plan … Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. Want to know before you set foot in the dentist’s office? © Copyright 2020 Delta Dental Plans Association. Preventive / Diagnostic services include: oral exams (two per calendar year); cleanings (two per calendar year); bitewing x-rays (two sets per calendar year); full mouth x-rays (one set every 36 months); fluoride treatments (to age 19); space maintainers (to age 19); and sealants (to age 14). None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. General information regarding your health care. Subscribers who … At Northeast Delta Dental, we are passionate about oral health and its importance to families. Northeast Delta Dental will issue EOBs electronically via our Benefit Lookup site. Delta Dental has the largest network of dentists nationwide. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. You can make an electronic payment from your bank account (ACH) on this site. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy- IENT-P-CORE-DC-REV2018), FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA — Delta Dental of California; PA, MD — Delta Dental of Pennsylvania; NY — Delta Dental of New York, Inc.; DE — Delta Dental of Delaware, Inc.; WV — Delta Dental … Find a … 20. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover, or your out-of-pocket costs. Northeast Delta Dental will complete payment of its liability (up to the orthodontic Maximum specified in the Outline of Benefits) in accordance with paragraph 3 below. Once registered, you will no longer receive a paper bill in the mail. Have a question about coverage or looking for dental insurance? Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. When you visit a non-Delta Dental … The Content on this website is not medical advice. Connect with your Delta Dental company to learn more. Do not avoid getting dental care based on the cost information provided on this website. Northeast Delta Dental will produce an Explanation of Benefits (available through our Benefit Lookup site at nedelta.com) detailing what has been processed under your plan’s coverage. Dentists should submit their reconsideration/appeal request to: Dental Director Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 An EOB from Delta Dental will typically include the following information: Other Terms That Your EOB Might Reference. The data is based on actual, non-discounted charges that providers have billed. To find out if your dentist is within the network, … Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. The information and content (collectively, "Content") on this website is for your general educational information only. What Is an Explanation of Benefits (EOB) statement? Delta Dental's vision discount program is available free to all Northeast Delta Dental subscribers and … It is sent to you after your dentist visit, and outlines your costs, the treatments that were covered under your dental plan, and treatments that may not have been covered and why. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Explanation of Benefits (EOB) Delta Dental of Nebraska Learn more about how your oral health connects to your overall health at: DeltaDentalNE.org DDNE.8.2.18 After a trip to the dentist’s o˚ce, you’ll likely receive an EOB from Delta Dental of Nebraska explaining the procedures performed and what is covered by your dental plan. Vision discounts - Northeast Delta Dental offers vision discounts to employees and their family members that are enrolled in a Dartmouth plan.. PPO Network - When your dentist falls within the Delta Dental PPO network, you will receive additional discounts. All of those matters are things that you should decide, in consultation with your dental care professionals. 18. You are responsible to pay any remaining balance directly to the dentist. Then, the secondary policy will ask for a copy of the payment information (referred to as an explanation of benefits, or EOB) from the primary insurer. Non-Delta Dental dentists have no fee restrictions. The national network of Delta Dental companies protects more smiles than any other insurance company. You are responsible to pay any remaining balance directly to the dentist. For additional savings, PPO network providers offer deeper discounts. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. To begin using the Dental Care Cost Estimator tool, click the Agree button below. The notification will be sent to the email address we have on record for your account, and will be available from the electronic billing site as well. 18. Predetermination of Benefits HealthTrust and Northeast Delta Dental strongly encourage You may be responsible for the cost of procedures or services not covered by your plan. Address 3400 Squalicum Pkwy #103 Bellingham, WA 98225-1933 . It is important to note that while not every EOB will be formatted the same, this example contains many of the sections and terms you will find on a typical EOB. For almost 50 years, we have worked to improve oral health and hygiene by emphasizing preventative care. Explanation of Benefits (EOB): the notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. Northeast Delta Dental will produce an Explanation of Benefits (available through our Benefit Lookup site at nedelta.com) detailing what has been processed under your plan’s coverage. Fill in the fields below to get started. It's a quick authentication process. Welcome to Northeast Delta Dental's eBill Document Center. Have a question about coverage or looking for dental insurance? Claims for Delta Dental Dentists: Show your ID card to your dentist and he or she will send your claim to Delta Dental for you and any of your covered family members under the ID number on your ID card. An EOB presents the opportunity to make sure you are being billed for a service or treatment you actually received, and that the amounts listed are within your expectations. This Northeast Delta Dental–Vermont Health Connect dental plan meets the standards for Pediatric Dental Benefits (for children under the age of ... After your visit, an Explanation of Benefits (EOB) will be available to you. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any If you are a first time visitor, click here to create a new account to register for eBilling. Northeast Delta Dental will complete payment of its liability (up to the orthodontic Maximum specified in the Outline of Benefits) in accordance with paragraph 3 below. Explanation of Benefits (EOB): The notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Estimates should not be construed as financial or medical advice. 20. Preventive services are included in this tool. Explanation of Benefits (EOB): the notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. Author: Estimates should not be construed as financial or medical advice. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. See current career opportunities that are available at Northeast Delta Dental 19. Therefore, it is always best to confirm information with your health care professionals. No, an EOB is not a bill. Navigating Northeast Delta Dental’s My Benefit Web Page ... refer to the subscriber’s Delta Dental card or contact Customer Service at 1-800-832-5700 for further information. Health information changes quickly. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. An Explanation of Benefits (EOB) is a document that Delta Dental may send you after you receive dental treatment. Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. Explanation of Benefits (EOB): the notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Please enter the e-mail address associated with your user account on this system; Do you have questions? Delta Dental strives to maintain an accurate and up-to-date dentist directory, but it is always useful to verify the participation status of the particular dentist. Contact your company's human resources department. ” ... New: Explanation of Benefits (EOB) Select Print EOB button to view the EOB. It's a quick authentication process. Subscriber must register in order to procure an EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. Delta Dental of Washington is a part of Delta Dental Plans Association. Northeast Delta Dental will produce an Explanation of Benefits (available through our Benefit Lookup site at nedelta.com) detailing what has been processed under your plan’s coverage. The EOB is different from a bill. All Rights Reserved. Please contact the dental practice directly to learn more about treatment, payment and dental benefits, or to schedule an appointment. This document will explain what procedures were covered under your benefits plan, as well as any procedures that might not have been covered, and why they were not covered. Therefore, understanding the different parts of an EOB is critical to finding and avoiding billing errors. The dentist will bill your dental insurance company after you’ve received dental treatment, and then you will receive an EOB, typically before you receive a bill from the dental office for any amount you may owe. After you receive your EOB, you will know what, if anything, you owe to your dentist. On the most basic level, your EOB will provide a breakdown of the dental services that you received, the amount Delta Dental will pay to your dentist, and any portion you will be expected to pay the dental office. Explanation of Benefit (EOB) Forms. Get started here. Here are the answers to common questions about EOBs. I receive dental insurance through my employer. Go The national network of Delta Dental companies protects more smiles than any other insurance company. This website shows estimates of certain dental care costs. An EOB provides essential information, including but not limited to, treatments performed, dentist’s fees, insurance payments, amount you may owe for deductibles, co-pays, or procedures not covered by your policy, coordination of benefits information (if applicable), the portion of your annual maximum that has been used, and the amounts you have paid toward the deductible in the current benefit year. Estimates should not … Vision Discounts. Non-Delta Dental dentists have no fee restrictions. Northeast Delta Dental uses a national network of providers. Find a Vision Provider DeltaVision Provider Search Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. On your local Delta Dental web portal, you can view plan information, download forms, view claims, track dental activity and go paperless! A bill for any amounts you may owe will come separately. If you wish to view or print EOBs (as far back as six years! Reconsideration/appeal requests must be submitted within six (6) months of the date of the original explanation of benefits/payment remittance advice. Preventive / Diagnostic services include: oral exams (two per calendar year); cleanings (two per calendar year); bitewing x-rays (two sets per calendar year); full mouth x-rays (one set every 36 months); fluoride treatments (to age 19); space maintainers (to age 19); and … You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Maximum: the dollar amount Northeast Delta Dental will … Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Explanation of Benefits (EOB): The notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. The notification will be sent to the email address we have on record for your account, and will be available from the electronic billing site as well. It is administered by Northeast Delta Dental. to the dentist. 19. A bill for any amounts you may owe will come separately. Here are the benefits of creating an account. The Dartmouth plan offers providers in both the PPO and Premier networks. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. 2 With dual coverage, your two carriers will make sure that the combined amount paid by the two plans does not exceed the total amount the dentist has agreed to accept from the primary carrier. Northeast Delta Dental is part of Delta Dental Plans Association. Your actual cost may be higher or lower than the estimate for various reasons. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). And EOBs using Northeast Delta Dental will issue EOBs electronically via our benefit Lookup.. Directly to the dentist at the time of your visit, an Explanation of (. Estimate for various reasons as age independent Delta Dental '' refers to the dentist submit! S right for you you wish to view the EOB shows you how your claim Northeast... 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