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Estimates should not be construed as financial or medical advice. 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 … (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 Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. The information and content (collectively, "Content") on this website is for your general educational information only. 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. 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. You can make an electronic payment from your bank account (ACH) on this site. ), you may do so securely through the site. 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. The dentist will submit your claim to Northeast Delta Dental. 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. Explanation of Benefits. The EOB is different from a bill. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. 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. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 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. Northeast Delta Dental will issue EOBs electronically via our Benefit Lookup site. Delta Dental has the largest network of dentists nationwide. 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. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. For additional savings, PPO network providers offer deeper discounts. 20. 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. 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. Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. 1 Refer to your plan booklet or Policy for more information about covered services, deductibles and maximums.. 2 Delta Dental dentists agree to our determination of fees and won’t bill you more than your share of Delta Dental’s approved fee for a covered service. Understanding your explanation of benefits. Therefore, it is always best to confirm information with your health care professionals. Explanation of Benefits (EOB) Delta Dental of Nebraska Learn more about how your oral health connects to your overall health at: DeltaDentalNE.org DDNE.8.2.18 After a trip to the dentist’s o˚ce, you’ll likely receive an EOB from Delta Dental of Nebraska explaining the procedures performed and what is covered by your dental plan. Connect with your Delta Dental company to learn more. 18. Contact your company's human resources department. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. To find out if your dentist is within the network, … Delta Dental of Washington is a part of Delta Dental Plans Association. By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Preventive / Diagnostic services include: oral exams (two per calendar year); cleanings (two per calendar year); bitewing x-rays (two sets per calendar year); full mouth x-rays (one set every 36 months); fluoride treatments (to age 19); space maintainers (to age 19); and … 19. If you wish to view or print EOBs (as far back as six years! © Copyright 2020 Delta Dental Plans Association. ŽŽŽ n(GÐÀŽ"S$w3ãv®~ £å€8ìü@~¦2½ãþÎ0&æc+äõia›ð9ˆ“é¿£ûµ';ž1px8ðn°`¨. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Please scroll down and accept to proceed. For almost 50 years, we have worked to improve oral health and hygiene by emphasizing preventative care. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. The data is based on actual, non-discounted charges that providers have billed. To begin using the Dental Care Cost Estimator tool, click the Agree button below. You may be responsible for the cost of procedures or services not covered by your plan. What Is an Explanation of Benefits (EOB) statement? 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. 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. 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. Information regarding the Cost Estimator content. ” ... New: Explanation of Benefits (EOB) Select Print EOB button to view the EOB. It is administered by Northeast Delta Dental. 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? You are responsible to pay 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. Non-Delta Dental dentists have no fee restrictions. Please enter the e-mail address associated with your user account on this system; Do you have questions? Your actual cost may be higher or lower than the estimate for various reasons. An Explanation of Benefits (EOB) is a document that Delta Dental may send you after you receive dental treatment. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. See current career opportunities that are available at Northeast Delta Dental I receive dental insurance through my employer. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Refer to your benefit plan to determine whether these requirements apply to you. A bill for any amounts you may owe will come separately. 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. Address 3400 Squalicum Pkwy #103 Bellingham, WA 98225-1933 . Go Therefore, understanding the different parts of an EOB is critical to finding and avoiding billing errors. Find a … 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 … Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Refer to your benefit plan to determine whether preventive services are covered for you. 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). Please contact the dental practice directly to learn more about treatment, payment and dental benefits, or to schedule an appointment. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Have a question about coverage or looking for dental insurance? 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. 20. Northeast Delta Dental is part of Delta Dental Plans Association. Fill in the fields below to get started. The national network of Delta Dental companies protects more smiles than any other insurance company. Northeast Delta Dental will send you a EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. 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. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. 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. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Subscribers who … The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. 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. 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. Here are the answers to common questions about EOBs. You are responsible to … Fill in the fields below to get started. 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. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. When a dental office calls or goes online to verify coverage, they also receive all the information needed to submit a claim. The Dartmouth plan offers providers in both the PPO and Premier networks. Find the one that’s right for you. If you are a first time visitor, click here to create a new account to register for eBilling. Claims will be processed when received according to your plan provisions. Preventive care coverage varies by plan and by demographic considerations such as age. Estimates should not be construed as financial or medical advice. 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). 19. You are responsible to pay any remaining balance directly to the dentist. For a complete description of the details of your coverage, please refer to your coverage documents. 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. Here are the benefits of creating an account. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. The national network of Delta Dental companies protects more smiles than any other insurance company. 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 EOB shows you how your claim Is my explanation of benefits a bill? Estimates may vary depending on your benefit plan and the state you live in. 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. (b) For Eligible Persons who become eligible after orthodontic treatment has commenced, Northeast Delta Dental will pro-rate its liability based on the … 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. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. 19. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any *Not sure where your company is headquartered? 19. 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. 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. 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. Frequently Asked Questions About Explanation of Benefits. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. Preventive services are included in this tool. This website shows estimates of certain dental care costs. How much is it going to cost? Explanation of Benefit (EOB) Forms. Delta Dental's vision discount program is available free to all Northeast Delta Dental subscribers and … Looking for more information? The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. It's a quick authentication process. On your local Delta Dental web portal, you can view plan information, download forms, view claims, track dental activity and go paperless! 18. 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. This cost estimator is intended for use in the 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. 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. Northeast Delta Dental Contact Us; Frequently Asked Questions ; nedelta.com; Explanation of Benefits/Benefit Lookup; Reset Password Reset Password Form. 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. All Rights Reserved. Do not avoid getting dental care based on the cost information provided on this website. Subscribers may access electronic versions of their ID cards and EOBs using Northeast Delta Dental’s site at www.nedelta.com/Patients. Non-Delta Dental dentists have no fee restrictions. The Content on this website is not medical advice. No, an EOB is not a bill. 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 … After your visit, an Explanation of Benefits (EOB) w ill be available to you. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Subscriber must register in order to procure an EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. Please contact your local Delta Dental to manage your Delta Dental benefits. Present your subscriber ID card to the dentist at the time of your visit. At Northeast Delta Dental, we are passionate about oral health and its importance to families. When you visit a non-Delta Dental … Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Brush up on some of the dental insurance basics: If you have additional questions or require further support, connect with your local Delta Dental. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Want to know before you set foot in the dentist’s office? Our oral health and wellness section provides important information about adult oral health, children's oral health and even oral … Predetermination of Benefits HealthTrust and Northeast Delta Dental strongly encourage After your visit, an Explanation of Benefits (EOB) will be available to you. Find a Vision Provider DeltaVision Provider Search You are responsible to pay any remaining balance directly to the dentist. Northeast Delta Dental uses a national network of providers. A bill for any amounts you may owe will come separately. 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. Health information changes quickly. You are responsible to pay any outstanding balance directly to the dentist. Northeast Delta Dental … 19. After you receive your EOB, you will know what, if anything, you owe to your dentist. An EOB from Delta Dental will typically include the following information: Other Terms That Your EOB Might Reference. No, an EOB is not a bill. 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. 19. Maximum: the dollar amount Northeast Delta Dental will … I receive dental insurance through my employer I purchase dental insurance on my own. This article was developed jointly by Delta Dental Plans Association , Delta Dental of Arizona and Delta Dental of Wisconsin. It is administered by Northeast Delta Dental. 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. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. Get started here. to the dentist. It's a quick authentication process. These terms will not always be used in your Explanation of Benefits, but it is important to know their meaning in case they appear. Below is an example of an EOB that you will receive after you have visited your dentist. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Welcome to Northeast Delta Dental's eBill Document Center. 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. 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. 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. Reconsideration/appeal requests must be submitted within six (6) months of the date of the original explanation of benefits/payment remittance advice. DISCOUNTS. 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. 18. 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. 20. Northeast Delta Dental is part of Delta Dental Plans Association. 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. Estimates should not … Once registered, you will no longer receive a paper bill in the mail. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. 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. Author: Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any 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. 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. Dentists should submit their reconsideration/appeal request to: Dental Director Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 General information regarding your health care. Connect with your Delta Dental company to learn more. Whether preventive services are covered for you at Northeast Delta Dental’s site www.nedelta.com/Patients! 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