May 2016

News You Can Use From Delta Dental of Ohio 

Action required: Medicare Part D registration in progress

The American Dental Association reports that the Center for Medicare and Medicaid Services (CMS) has extended the deadline for dentists to either enroll as a Medicare Part D ordering or referring provider. The deadline is February 1, 2017, but registration is available now and CMS encourages health care providers to submit their choices before August 1.


Dental Office Deals for qualifying providers

Delta Dental PPOSM and TriState Advantage providers are eligible for discounts on office supplies, dental supplies, commercial drink water services, shipping services and more through Dental Office Deals.

Dental Office Deals has 15 partners that offer discounts to providers and is in the process of adding more. It’s free to enroll and easy to participate. To get started, log in or register your practice at www.deltadental.com. Once logged in, click the Dental Office Deals tab and register your practice for free. After providing practice information such as name and address, along with a designated contact person, you’ll be able to review the partner companies Dental Office Deals participates with by viewing the participant page.

Each company page includes a description of the discount opportunity and provides instructions on how to enroll. The enrollment process and activation times vary.

If you have any questions, call the Dental Office Deals program directly at 800-768-2715 x101.


HOW TO: Claim corrections or discount billing

For claim corrections or adjustments:

If you need to request a claim correction or adjustment to a processed claim, you have three options:

  • Send a copy of the Explanation of Benefits (EOB) through NEA.
  • Mail your request and copy of the EOB to Delta Dental, PO Box 9089, Farmington Hills, MI 48333-9089.
  • Call customer service at 800-524-0149.

When sending in your request, you must identify in writing the correction or adjustment needed. For example, if the service date was incorrect, you would note “the correct date of service is...” Include this note on the EOB you submit; do not file a new claim to request a correction or adjustment.

For discounts:

When you have a discounted fee for a Delta Dental member, the lower, discounted fee (the fee the dentist intends to collect as payment in full) must be entered as the fee for the procedure on the claim. This ensures that the discount is applied to the entire charge—both the patient’s portion and the amount Delta Dental pays. It would be a violation of the participating dentist agreement to file a claim for the dentist’s usual fee, because that would indicate the whole fee is being charged instead of the actual, discounted fee.

When filing a discounted fee, no extra documentation is required on the claim form; however, the discount should be recorded in the patient’s record. Unnecessary documentation may cause the claim to be delayed for processing.


Changes to DOT

New DOT feature

When logged in to the Dental Office Toolkit® (DOT), dental offices will see a new feature on the member benefit page. By clicking on the “Print Benefits” button, you will have access to more detailed benefits information displayed in the same format as an IVR faxback. You then have the option of printing the full benefits summary.

Unlock codes for DOT

A security enhancement is being added to the Dental Office Toolkit. Beginning May 5, 2016, if you are a new registrant to the Toolkit, you must enter the unlock code that was sent to you to fully activate your account to continue using the Dental Office Toolkit.


Request Rethink Your Drink materials today

As part of our Rethink Your Drink initiative, Delta Dental has produced educational materials about the effects of sugar-sweetened beverages and healthy alternatives. Many dental offices have already ordered Rethink Your Drink posters and brochures. You can place your order or request additional materials (at no cost to you) by visiting www.deltadentaloh.com/rydorder.

You may also request a Rethink Your Drink display kit (pictured below) for your dental office or event. The display includes a variety of popular beverage choices with their sugar content, and can be set up on tables of various sizes. The kits are available to borrow for up to 30 days at no charge. You can reserve your kit by visiting www.deltadentaloh.com/rydkit.

Want a brand new kit to keep? Pre-order now!

You can have a brand new kit of your own by making a $200 donation to the Delta Dental Foundation. Email kfrankhart@deltadentalmi.com by Friday, June 24, to pre-order your kit and get information about how to send payment. Please allow four to six weeks from the deadline for your kit to arrive.


"A Network to Smile About" 

Brushing, flossing and seeing a dentist help us maintain a healthy smile, but making sure we see an in-network dentist can help keep our wallets healthy, too.

Watch and share our newest video, “A Network to Smile About.” The video follows Julie, a young professional who wants to get the most out of her dental benefits.

This video is the latest in our “Benefit from Your Benefits” video series, which explores topics that will help groups, members, providers and more understand how Delta Dental “does dental better.” To see the other videos in this series, click here.


www.deltadentaloh.com