Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. Fill in the fields below to get started. How much is it going to cost? Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. What Is an Explanation of Benefits (EOB) statement? After your visit, an Explanation of Benefits (EOB) w ill be available to you. The national network of Delta Dental companies protects more smiles than any other insurance company. An Explanation of Benefits (EOB) is a document that Delta Dental may send you after you receive dental treatment. Looking for more information? ” ... New: Explanation of Benefits (EOB) Select Print EOB button to view the EOB. No, an EOB is not a bill. Estimates should not be construed as financial or medical advice. 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. Want to know before you set foot in the dentist’s office? Predetermination of Benefits HealthTrust and Northeast Delta Dental strongly encourage Refer to your benefit plan to determine whether preventive services are covered for you. 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. 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 … 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. 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 … Fill in the fields below to get started. To find out if your dentist is within the network, … 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. The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. Find a Vision Provider DeltaVision Provider Search To begin using the Dental Care Cost Estimator tool, click the Agree button below. At Northeast Delta Dental, we are passionate about oral health and its importance to families. Welcome to Northeast Delta Dental's eBill Document Center. Present your subscriber ID card to the dentist at the time of your visit. 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. 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. Vision Discounts. 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. 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. All of those matters are things that you should decide, in consultation with your dental care professionals. The Content on this website is not medical advice. 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. Have a question about coverage or looking for dental insurance? Reconsideration/appeal requests must be submitted within six (6) months of the date of the original explanation of benefits/payment remittance advice. For additional savings, PPO network providers offer deeper discounts. Refer to your benefit plan to determine whether these requirements apply to you. 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. These terms will not always be used in your Explanation of Benefits, but it is important to know their meaning in case they appear. 20. You are responsible to pay any remaining balance directly to the dentist. Here are the benefits of creating an account. Non-Delta Dental dentists have no fee restrictions. Please contact your local Delta Dental to manage your Delta Dental benefits. 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. Information regarding the Cost Estimator content. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. I receive dental insurance through my employer I purchase dental insurance on my own. Find a … It is administered by Northeast Delta Dental. 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. Address 3400 Squalicum Pkwy #103 Bellingham, WA 98225-1933 . 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. 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. 19. Is my explanation of benefits 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. If you wish to view or print EOBs (as far back as six years! 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. 18. Our oral health and wellness section provides important information about adult oral health, children's oral health and even oral … 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. Frequently Asked Questions About Explanation of Benefits. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. 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 … Explanation of Benefits. 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. 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. 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. This article was developed jointly by Delta Dental Plans Association , Delta Dental of Arizona and Delta Dental of Wisconsin. 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. 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. 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. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Find the one that’s right for you. I receive dental insurance through my employer. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. 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. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. *Not sure where your company is headquartered? Please contact the dental practice directly to learn more about treatment, payment and dental benefits, or to schedule an appointment. It's a quick authentication process. A bill for any amounts you may owe will come separately. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. After you receive your EOB, you will know what, if anything, you owe to your dentist. When a dental office calls or goes online to verify coverage, they also receive all the information needed to submit a claim. The EOB shows you how your claim to the dentist. 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. Please scroll down and accept to proceed. If you are a first time visitor, click here to create a new account to register for eBilling. 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. 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 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. Subscribers who … 20. 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. Northeast Delta Dental uses a national network of providers. 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 … Do not avoid getting dental care based on the cost information provided on this website. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. After your visit, an Explanation of Benefits (EOB) will be available to you. No, an EOB is not a bill. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. 19. Subscribers may access electronic versions of their ID cards and EOBs using Northeast Delta Dental’s site at www.nedelta.com/Patients. Contact your company's human resources department. Brush up on some of the dental insurance basics: If you have additional questions or require further support, connect with your local Delta Dental. Connect with your Delta Dental company to learn more. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. Northeast Delta Dental is part of Delta Dental Plans Association. For almost 50 years, we have worked to improve oral health and hygiene by emphasizing preventative care. 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). 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). This website shows estimates of certain dental care costs. 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. You may be responsible for the cost of procedures or services not covered by your plan. Author: (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 Claims will be processed when received according to your plan provisions. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Dentists should submit their reconsideration/appeal request to: Dental Director Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 Have a question about coverage or looking for dental insurance? 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. © Copyright 2020 Delta Dental Plans Association. You are responsible to pay any remaining balance directly to the dentist. The information and content (collectively, "Content") on this website is for your general educational information only. 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. When you visit a non-Delta Dental … Northeast Delta Dental will issue EOBs electronically via our Benefit Lookup site. 18. 18. For more detailed information on your actual dental care costs, please consult your dentist or your 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. The data is based on actual, non-discounted charges that providers have billed. Understanding your explanation of benefits. The Dartmouth plan offers providers in both the PPO and Premier networks. On your local Delta Dental web portal, you can view plan information, download forms, view claims, track dental activity and go paperless! All Rights Reserved. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Get started here. An EOB from Delta Dental will typically include the following information: Other Terms That Your EOB Might Reference. 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. 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. 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 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 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. 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. 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. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any 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. ), you may do so securely through the site. Northeast Delta Dental … Connect with your Delta Dental company to learn more. DISCOUNTS. It's a quick authentication process. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any (b) For Eligible Persons who become eligible after orthodontic treatment has commenced, Northeast Delta Dental will pro-rate its liability based on the … Delta Dental of Washington is a part of Delta Dental Plans Association. Therefore, understanding the different parts of an EOB is critical to finding and avoiding billing errors. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. 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. Health information changes quickly. Northeast Delta Dental is part of Delta Dental Plans Association. The EOB is different from a bill. Below is an example of an EOB that you will receive after you have visited your dentist. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. 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. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. You are responsible to … Go Please enter the e-mail address associated with your user account on this system; Do you have questions? 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. Delta Dental's vision discount program is available free to all Northeast Delta Dental subscribers and … See current career opportunities that are available at Northeast Delta Dental Here are the answers to common questions about EOBs. 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. You are responsible to pay any … Explanation of Benefit (EOB) Forms. Your actual cost may be higher or lower than the estimate for various reasons. You can make an electronic payment from your bank account (ACH) on this site. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Subscriber must register in order to procure an EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. Maximum: the dollar amount Northeast Delta Dental will … General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Estimates may vary depending on your benefit plan and the state you live in. Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. The notification will be sent to the email address we have on record for your account, and will be available from the electronic billing site as well. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Preventive services are included in this tool. Northeast Delta Dental will complete payment of its liability (up to the orthodontic Maximum specified in the Outline of Benefits) in accordance with paragraph 3 below. Preventive care coverage varies by plan and by demographic considerations such as age. The dentist will submit your claim to Northeast Delta Dental. For a complete description of the details of your coverage, please refer to your coverage documents. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any ŽŽŽ n(GÐÀŽ"S$w3ãv®~ £å€8ìü@~¦2½ãþÎ0&æc+äõia›ð9ˆ“é¿£ûµ';ž1px8ðn°`¨. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental has the largest network of dentists nationwide. 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. Estimates should not be construed as financial or medical advice. 19. Estimates should not … Therefore, it is always best to confirm information with your health care professionals. 19. It is administered by Northeast Delta Dental. A bill for any amounts you may owe will come separately. You are responsible to pay any outstanding balance directly to the dentist. Northeast Delta Dental Contact Us; Frequently Asked Questions ; nedelta.com; Explanation of Benefits/Benefit Lookup; Reset Password Reset Password Form. 19. 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. 19. Non-Delta Dental dentists have no fee restrictions. Once registered, you will no longer receive a paper bill in the mail. 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. 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