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New Participating
Dentist Handbook Now Available
Our handbook is a valuable resource for
dental offices. It includes updated processing policies
and claim submission requirements as well as
CDT 2009/2010 code changes and other policies and procedures you should
know for participating with and submitting claims to Delta Dental.
To access the new Participating
Dentist Handbook,
log onto Benefits Connection and click “Participating
Handbook” on the left navigation bar.
Electronic
Funds Transfer (Direct Deposit) Now Available
to All NJ & CT Participating Dentists
Now you can receive claim payments directly into your bank account. It's secure, fast and easy! See the links below to read our announcement, get more information from our FAQs, and sign up by simply completing the Direct Deposit Authorization Agreement. Get started today!
Radiographic
Submission Requirements Revised as of October
1, 2008
Delta Dental of New Jersey will
implement new radiographic processing
procedures for claims received on or after
October 1, 2008. Whenever a participating
dentist submits a claim that includes any
combination of intraoral films whose combined
fee equals or is greater than a complete
series (D0210), the fee allowed will be
limited to that of a complete series. Also, a
panoramic film submitted together with
supplemental radiographs will be handled in
the same manner.
If a participating or non-participating
dentist submits eight or more intraoral films
and/or a panoramic radiograph with
supplemental bitewings or periapical films,
the dentist must submit a brief narrative as
to the reason for taking the radiograph and
also identify the tooth numbers of the
periapical films if the radiographs are not
part of a complete series or are not intended
to function as a complete series. Delta Dental
will consider that supplemental information in
determining whether the x-rays will be subject
to the limitations for individual x-rays
rather than for a complete series.
Participating
Dentist Appeals Rules and Forms Updated
Please note that we have updated the
appeals rules for participating dentists to
reflect changes in the fees charged by the
American Arbitration Association for their
external (non-binding) reviews. You may access
the new rules and forms or call Customer
Service at 800-452-9310 for a hard copy of the
revised rules. The revisions will take effect
on October 1, 2008.
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