FYI

Dentist blog from Delta Dental

Category: Provider Tools (Page 1 of 9)

Work more efficiently with Delta Dental’s Provider Tools. Find tips and tricks all about this helpful online interface, including instructional videos, webinars and promotional campaigns.

Upcoming webinars for August: Provider Tools and Community Care Network

Is your practice feeling a mid-year slump? Sign up for these free webinars to reinvigorate your practice. You’ll learn how to maximize productivity with Provider Tools and expand your business’s reach with the Veterans Affairs Community Care Network (VA CCN).

Provider Tools webinars

Delta Dental’s Provider Tools webinars give you the tools to boost your office’s productivity by submitting claims online, enrolling in direct deposit, looking up patients’ coverage information and more. There’s also a special DeltaCare® USA-focused webinar scheduled for later in the month.

Sign up for this month’s Provider Tools webinars:

If you have a specific question about Provider Tools, you can also schedule a 1:1 video call. If there are any topics you’d like to us to address, share your thoughts with us at providertools@delta.org.

Community Care Network webinars

Our VA Community Care Network introductory webinars provide an overview of the valuable resources and helpful information that will let you expand your patient base by serving America’s Veterans. You’ll learn how Delta Dental can partner with you to navigate the VA CCN.

Join this month’s webinars:

Let direct deposit work for you

Getting paid is a breeze when you take advantage of direct deposit from Delta Dental. You’ll get fast payments, safe document storage and more.

How does direct deposit work?

Getting paid electronically is simple. Once you enroll, Delta Dental electronically deposits claim payments into your bank account. Whenever a new payment has been deposited, you’ll receive an email notice from Delta Dental. We’ll also electronically send your claim payment details to your account.

Why use direct deposit?

Direct deposit is:

  • Easy. Simply enroll online to get started.
  • Fast. Payments are deposited more quickly into your bank account than with mailed checks, making funds available sooner.
  • Eco-friendly. Direct deposits cut down on the need for mailed checks and other paperwork, as well as reducing the need for bank visits.
  • Convenient. Your electronic remittance advice and pre-treatment estimates are viewable online, and they’re printable whenever you choose, reducing clutter.
  • Safe. With direct deposit, information about your claims and payments is safely stored and viewable for you online. Avoid the headache and hassle of lost, delayed or stolen paper checks.

How do I enroll?

Log in to Provider Tools and select EFT and ERA. (Electronic funds transfer (EFT) transmits funds for claims payments directly into your bank account. Electronic remittance advice (ERA) is an electronic version of the explanation of benefits (EOB) for claims payments.)

To fill out the online form for direct deposit, you will need to provide:

  • Your contact information, including your name, address, email address, contact name and phone number.
  • Your Taxpayer Identification Number (TIN). Note: If you have more than one practice location under a TIN, you’ll need to enroll separately for each location.
  • Your National Provider Identifier (NPI). Under federal HIPAA provisions, direct deposit is a transaction that requires an NPI.
  • Your bank/financial institution information, including your routing number and the account type and number (make sure your bank is a member of the Automated Clearinghouse Association – ACH).
  • Bank information confirmation, such as a copy of a voided check or a bank letter that verifies the bank routing number and account number.

Allow 15 business days for your request to be processed. You can make changes to your account information at any time, or even cancel your EFT enrollment, by using the EFT and ERA tool in Provider Tools.

Can I enroll in direct deposit with all Delta Dental companies at once?

Yes. As you fill out the direct deposit enrollment form, you’ll see a section titled Delta Dental Member Company Data Sharing Authorization for EFT. To enroll for direct deposit with all Delta Dental companies at once, simply select Opt in to National Sharing.

How often will I receive electronic payments?

Payment frequency depends on your claim activity. Delta Dental issues payments at least once a week. For the fastest claims processing, submit free real-time claims using the Submit Claim or My Patients tools. Claims are often processed within moments.

How will I receive claim payment statements (explanation of benefits/EOBs)?

Delta Dental sends details for each payment to My Documents, which is easily accessible by logging in to your account and selecting My Claim Documents. You can view all the payment details right there in your account, or you can choose to download and save them elsewhere and/or print them.

Where can I get more information?

Visit Provider Tools for additional information, videos and live webinar schedules that can help simplify reimbursements and many other aspects of your practice.

Upcoming VA Community Care Network and Provider Tools webinars

If you’re looking for a way to expand your client base while supporting your local Veteran community, look no further than our free Community Care Network webinars.

The Department of Veterans Affairs’ Community Care Network (CCN) is the new health care network for Veterans. Learn more about how you can help eligible Veterans receive timely, high-quality care by attending one of our upcoming webinars:

Wednesday, July 13, 11 am PT / 2 pm ET

Wednesday, July 27, 11 am PT / 2 pm ET

Wednesday, August 3, 11 am PT / 2 pm ET

Wednesday, August 10, 11 am PT / 2 pm ET

Provider Tools webinars on hold in July

Our Provider Tools team is taking a short break from regularly scheduled webinars in July, but in the meantime, we’re happy to address any specific questions you may have about Provider Tools. Just send us an email at providertools@delta.org or you can also schedule a video call with us.

You can also still attend one of our Provider Tools webinars in late June or August. Provider Tools is a fast, easy and convenient way to submit claims online, access patients’ eligibility, enroll in direct deposit and more. Here’s the schedule for upcoming Provider Tools webinars:

Thursday, August 4, 9 am PT / noon ET General overview

Wednesday, August 17, 9 am PT / noon ET General overview

Wednesday, August 31, 9 am PT / noon ET DeltaCare® USA overview

Online claim disputes are available through Provider Tools

Disputing a claim should be as easy as possible. Now instead of dealing with a complicated process, you can submit and track claim disputes online directly from your Provider Tools account. Here’s what you need to know to get started.

Claim disputes begin with claim adjustments

Before filing a dispute, you need to file a claim adjustment first. Filing an adjustment gives us the opportunity to review and correct any errors in a claim as quickly as possible. All claims submitted within the last 90 days are eligible for adjustment review, regardless of how they were submitted.

Claim adjustments can also be filed online. First, you’ll need a Provider Tools account. If you don’t already have one, it’s easy to register. Just follow the three-step process outlined on the registration page.

An adjustment didn’t solve my issue. How do I dispute a claim?

When adjustments don’t solve your issue, opening a dispute is the next step. Just log into Provider Tools then follow these steps.

  1. On the Provider Tools landing page, select My claims. This section will display all the claims you’ve submitted, regardless of the method you used to submit them.
  1. Search for a claim. You can search your patient’s name or the claim ID. Once you’ve entered the information, click Search claims.
  1. View a claim. Just click on the claim ID to view the claim.
  1. Choose a contact email address. You can choose from your practice’s email address or the email address used to create your Provider Tools account, or select Other to enter a new email address.
  1. Begin the dispute process. You’ll need to scroll to the bottom of the claim page and click the Dispute the decision link. Please note that claim disputes will only be accepted after a claim adjustment has been processed.
  1. Describe why you’re disputing the claim. After you begin the process, you’ll be directed to the claim dispute form. Here you can enter your reason for disputing the claim and attach any supporting documents.
  1. Click Submit and you’re done! Once your submission is complete, you’ll see a confirmation message and you can rest easy knowing that we’ll be in touch with the results of your dispute.

What’s the benefit of submitting disputes online?

Submitting adjustments and disputes online empowers you to take charge of the appeal process. With the addition of claim disputes to Provider Tools, you can now manage these requests from a single centralized location. The real-time dispute dashboard lets you see how many disputes have been submitted, how many are currently undergoing review and how many have been processed. After you submit your dispute, you’ll receive a written response from our Grievance and Appeals team within 45 days.


Stay tuned for more updates. If you’re interested in learning more about Provider Tools, consider attending an educational webinar.

Upcoming webinars for June: Provider Tools and Community Care Network

If you’re looking for a way to make your office even more efficient, find new patients or support your local Veterans, look no further! Our upcoming series of Provider Tools webinars can help you learn how these versatile tools can save you time and speed up your claim payments. You can also check out our Community Care Network webinars to discover how to expand your client base while supporting your local Veteran community.

Provider Tools webinars

Learn how to submit claims online, enroll in direct deposit, verify coverage and more by attending our Provider Tools webinars.

Here’s the schedule for June’s Provider Tools webinars:

Thursday, June 2, 9 am PT / noon ET (General overview)

Wednesday, June 8, 9 am PT / noon ET (Orthodontics)

Thursday, June 16, 11 am PT / 2 pm ET (General overview)

Tuesday, June 21, 9 am PT / noon ET (DeltaCare® USA)

We’re happy to address any specific topics in the webinars. Just send us an email at providertools@delta.org. And if you have a question that’s not answered in our webinar, you can schedule a video call with us.

Community Care Network webinars

The Department of Veterans Affairs’ Community Care Network (CCN) is the new health care network for Veterans. This network offers you an opportunity to find new patients and provide dental care to those who served our country.

Learn more about this network by attending one of our June webinars:

Wednesday, June 1, 11 am PT / 2 pm ET

Wednesday, June 8, 11 am PT / 2 pm ET

Wednesday, June 15, 11 am PT / 2 pm ET

Wednesday, June 22, 11 am PT / 2 pm ET

Upcoming webinars for May: Provider Tools and Community Care Network

Here’s a great way to make your office more productive and find new patients ― for free! Check out our upcoming series of webinars to learn how Provider Tools can work for you and how you can expand your client base while you support your local Veteran community with the Community Care Network.

Provider Tools webinars

You can learn how to verify coverage, submit claims online, enroll in direct deposit and more by attending our Provider Tools webinars.

Here’s the schedule for May’s Provider Tools webinars:

Tuesday, May 3, 11 a.m. PT / 2 p.m. ET

Wednesday, May 11, 9 a.m. PT / noon ET

Thursday, May 19, 9 a.m. PT / noon ET

Tuesday, May 24, 11 a.m. PT / 2 p.m. ET

If you have a question that’s not answered in our webinar, you can schedule a video call with us. And we’re happy to address any specific topics in the webinars. Just send us an email at providertools@delta.org.

Community Care Network webinars

The Department of Veterans Affairs’ Community Care Network (CCN) is the new health care network for Veterans. This network provides a terrific opportunity to attract new patients while providing dental care to those who served our country.

Learn more about this network by attending one of our webinars:

Wednesday, May 4, 11 a.m. PT / 2 p.m. ET

Wednesday, May 11, 11 a.m. PT / 2 p.m. ET

Wednesday, May 18, 11 a.m. PT / 2 p.m. ET

Wednesday, May 25, 11 a.m. PT / 2 p.m. ET

« Older posts

© 2022 FYI

Theme by Anders NorenUp ↑