Claims will be processed when received according to your plan provisions. Our oral health and wellness section provides important information about adult oral health, children's oral health and even oral ⦠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. 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. To find out if your dentist is within the network, ⦠Go 19. 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. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Therefore, understanding the different parts of an EOB is critical to finding and avoiding billing errors. If you wish to view or print EOBs (as far back as six years! 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. It's a quick authentication process. Fill in the fields below to get started. n(GÐÀ"S$w3ãv®~ £å8ìü@~¦2½ãþÎ0&æc+äõiað9é¿£ûµ';1px8ðn°`¨. For almost 50 years, we have worked to improve oral health and hygiene by emphasizing preventative care. Subscribers who ⦠For a complete description of the details of your coverage, please refer to your coverage documents. 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. 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 wonât bill you more than your share of Delta Dentalâs approved fee for a covered service. 19. © Copyright 2020 Delta Dental Plans Association. 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 Contact Us; Frequently Asked Questions ; nedelta.com; Explanation of Benefits/Benefit Lookup; Reset Password Reset Password Form. On your local Delta Dental web portal, you can view plan information, download forms, view claims, track dental activity and go paperless! Estimates may vary depending on your benefit plan and the state you live in. 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. Estimates should not ⦠(b) For Eligible Persons who become eligible after orthodontic treatment has commenced, Northeast Delta Dental will pro-rate its liability based on the ⦠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. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Welcome to Northeast Delta Dental's eBill Document Center. Find a Vision Provider DeltaVision Provider Search Frequently Asked Questions About Explanation of Benefits. You are responsible to pay any outstanding balance directly to the dentist. Estimates should not be construed as financial or medical advice. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any 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. 20. Do not avoid getting dental care based on the cost information provided on this website. 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. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 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 planâs coverage. 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. Vision Discounts. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." This website shows estimates of certain dental care costs. Here are the benefits of creating an account. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. Subscriber must register in order to procure an EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. Northeast Delta Dental will send you a EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. Explanation of Beneï¬ts (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 dentistâs oËce, youâll likely receive an EOB from Delta Dental of Nebraska explaining the procedures performed and what is covered by your dental plan. You are responsible to pay any remaining balance directly to the dentist. 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. 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. Have a question about coverage or looking for dental insurance? After you receive your EOB, you will know what, if anything, you owe to your dentist. 18. 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 planâs coverage. You are responsible to pay any ⦠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). The information and content (collectively, "Content") on this website is for your general educational information only. 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. 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. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. 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 Please contact your local Delta Dental to manage your Delta Dental benefits. 19. 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. A bill for any amounts you may owe will come separately. The dentist will submit your claim to Northeast Delta Dental. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. You are responsible to pay any remaining balance directly to the dentist. Below is an example of an EOB that you will receive after you have visited your dentist. Health information changes quickly. The EOB is different from a bill. General information regarding your health care. The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. 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. 19. The Dartmouth plan offers providers in both the PPO and Premier networks. *Not sure where your company is headquartered? 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. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. Your actual cost may be higher or lower than the estimate for various reasons. 19. 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. When you visit a non-Delta Dental ⦠The Content on this website is not medical advice. 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 enrolleeâs out-of-pocket cost payable under the primary plan ⦠Northeast Delta Dental will issue EOBs electronically via our Benefit Lookup site. 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. Please contact the dental practice directly to learn more about treatment, payment and dental benefits, or to schedule an appointment. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. After your visit, an Explanation of Benefits (EOB) w ill be available to you. Please enter the e-mail address associated with your user account on this system; Do you have questions? Use of this website in no way increases or decreases the benefits available under a dental benefit plan. I receive dental insurance through my employer I purchase dental insurance on my own. When a dental office calls or goes online to verify coverage, they also receive all the information needed to submit a claim. Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. 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. This Northeast Delta DentalâVermont 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. How much is it going to cost? Brush up on some of the dental insurance basics: If you have additional questions or require further support, connect with your local Delta Dental. All Rights Reserved. Looking for more information? Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Contact your company's human resources department. 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. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. Northeast Delta Dental uses a national network of providers. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. 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. The EOB shows you how your claim Delta Dental of Washington is a part of Delta Dental Plans Association. Delta Dental has the largest network of dentists nationwide. Want to know before you set foot in the dentist’s office? 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. 20. 19. 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. Delta Dental's vision discount program is available free to all Northeast Delta Dental subscribers and ⦠You may be responsible for the cost of procedures or services not covered by your plan. Here are the answers to common questions about EOBs. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Information regarding the Cost Estimator content. You are responsible to ⦠â ... New: Explanation of Benefits (EOB) Select Print EOB button to view the EOB. 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. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Reconsideration/appeal requests must be submitted within six (6) months of the date of the original explanation of benefits/payment remittance advice. 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. to the dentist. Preventive services are included in this tool. Maximum: the dollar amount Northeast Delta Dental will … Connect with your Delta Dental company to learn more. You can make an electronic payment from your bank account (ACH) on this site. ), you may do so securely through the site. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. 20. A bill for any amounts you may owe will come separately. It is administered by Northeast Delta Dental. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any An Explanation of Benefits (EOB) is a document that Delta Dental may send you after you receive dental treatment. 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. For additional savings, PPO network providers offer deeper discounts. Dentists should submit their reconsideration/appeal request to: Dental Director Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 I receive dental insurance through my employer. Navigating Northeast Delta Dentalâs My Benefit Web Page ... refer to the subscriberâs Delta Dental card or contact Customer Service at 1-800-832-5700 for further information. 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 ⦠Please scroll down and accept to proceed. Northeast Delta Dental is part of Delta Dental Plans Association. See current career opportunities that are available at Northeast Delta Dental 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. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any 18. Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. Fill in the fields below to get started. Northeast Delta Dental is part of Delta Dental Plans Association. Explanation of Benefit (EOB) Forms. Once registered, you will no longer receive a paper bill in the mail. Explanation of Benefits. 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. 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). Get started here. Estimates should not be construed as financial or medical advice. DISCOUNTS. Present your subscriber ID card to the dentist at the time of your visit. What Is an Explanation of Benefits (EOB) statement? 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. 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. Connect with your Delta Dental company to learn more. 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. 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 data is based on actual, non-discounted charges that providers have billed. (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 General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. 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 â Delta Dental of California; PA, MD â Delta Dental of Pennsylvania; NY â Delta Dental of New York, Inc.; DE â Delta Dental of Delaware, Inc.; WV â Delta Dental ⦠The national network of Delta Dental companies protects more smiles than any other insurance company. Is my explanation of benefits a bill? Refer to your benefit plan to determine whether these requirements apply to you. Preventive care coverage varies by plan and by demographic considerations such as age. After your visit, an Explanation of Benefits (EOB) will be available to you. Find the one that’s right for you. The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. The national network of Delta Dental companies protects more smiles than any other insurance company. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Have a question about coverage or looking for dental insurance? 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. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. If you are a first time visitor, click here to create a new account to register for eBilling. Author: 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. No, an EOB is not a bill. Non-Delta Dental dentists have no fee restrictions. At Northeast Delta Dental, we are passionate about oral health and its importance to families. All of those matters are things that you should decide, in consultation with your dental care professionals. Refer to your benefit plan to determine whether preventive services are covered for you. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. Therefore, it is always best to confirm information with your health care professionals. Northeast Delta Dental … 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. It's a quick authentication process. 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. No, an EOB is not a bill. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 18. These terms will not always be used in your Explanation of Benefits, but it is important to know their meaning in case they appear. Address 3400 Squalicum Pkwy #103 Bellingham, WA 98225-1933 . Predetermination of Benefits HealthTrust and Northeast Delta Dental strongly encourage Subscribers may access electronic versions of their ID cards and EOBs using Northeast Delta Dentalâs site at www.nedelta.com/Patients. Find a … 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. An EOB from Delta Dental will typically include the following information: Other Terms That Your EOB Might Reference. This article was developed jointly by Delta Dental Plans Association , Delta Dental of Arizona and Delta Dental of Wisconsin. 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