System Upgrade for Dentists
Thank you for your continued patience and understanding as we continue to stabilize and refine our new platform. During this time, you may experience longer-than-usual response times as we work through an increased volume of inquiries. We remain committed to making ongoing improvements to system performance, functionality, and service reliability to provide the best experience for you and your patients.
Claims and Payment Processing
Dentists/dental offices who receive payment through direct deposit/Electronic Funds Transfer (EFT) will receive payment twice a week. Checks are being mailed once a week. You can also see current EOPs for those claims that have processed and check Delta Dental's National Electronic Remittance Advice (ERA) in the "Payments" tab in the dentist portal.
Receive your Delta Dental payments quickly, securely, and directly into your bank account twice a week by signing up for direct deposit! With direct deposit/EFT, you'll get paid more frequently without mail delays.
We appreciate your partnership and thank you for your understanding.
Educational Materials & Videos | View All>
Find a Patient
- Benefits & Eligibility
- Procedure Code Look Up
- Access a Patient's Full Benefit Information (Benefits On Demand)
- View All>
|
Claims
- Submitting a Claim
- Check Claims Status
- Submitting a Pre-Treatment Estimate
- View All>
|
Delta Dental of Illinois Upgrade FAQs for Dentists
- What has changed?
We listened and we heard you! Many of our changes are behind the scenes affecting our administrative processes, but you will notice several changes to your online dentist portal account including:
- A new look, enhanced portal functionality and better user experience.
- Ability to submit claims and treatment plans in our online portal (with attachments), allowing for more efficient claims processing and quicker payments. Plus, there is enhanced patient benefit information and history, improved procedure code look-up and more detailed payment information.
- New portal URL – make sure to update your bookmarks!
- Secure, real-time, step-by-step support through the dentist portal to assist dental office staff during their customer service interactions.
- Changes to the look and format of Explanation of Payments and other correspondence available in the dentist portal, or that you receive from Delta Dental of Illinois.
- Your Explanations of Payment (EOP) has a new look and you are be able to view, save, and download these reports. You can also see current EOPs for those claims that have processed and check Delta Dental's National Electronic Remittance Advice (ERA) in the "Payments" tab.
- You can access a Full Benefits Information Download (also known as Benefits On Demand Fax), which also has a new look. In addition to the traditional fax method, you are able to view, save, and download this report.
- What has not changed?
- The portal that you use to access information about members with individual policies is remaining the same.
- Customer service and professional relations phone numbers, emails and addresses are not changing. You are still be able to reach our customer service team and professional relations team with the same contact information you have been using.
- Your login experience and your username and password have not changed.
- You are able to do the following in the new dentist portal:
- Search for and view a patient’s benefit and eligibility information
- View current and historical payments
- Search for patients from other Delta Dental member companies on our National Benefits Inquiry & more!
- Is our data secure?
Yes, all security and privacy for your patients’ information is always prioritized by Delta Dental of Illinois. This upgrade allows us to continue to provide best-in-class service including an improved customer experience and enhanced data protection. Technology is changing quickly as are our customers’ needs. We continually seek technology tools and solutions that best serve our customers and meet market demands. We are confident this upgrade will do just that.
Our technology upgrade continues to offer more features to safeguard your information.
- How can I get more information and assistance?
- How will this impact claims processing times?
Claim processing times may continue to be longer than usual as we work through claims received during this transition. We appreciate your continued patience.
Dentists/dental offices who receive payment through direct deposit/Electronic Funds Transfer (EFT) will receive payment twice a week. (Checks are mailed once a week). Receive your Delta Dental payments quickly, securely, and directly into your bank account twice a week! With direct deposit/Electronic Funds Transfer (EFT), you'll get paid more frequently without mail delays. Learn more and sign up here. You can also see current EOPs for those claims that have processed and check Delta Dental's National Electronic Remittance Advice (ERA) in the "Payments" tab.
- Where can I access the new dentist portal?
The dentist portal has a new URL, however, the current portal URL will redirect to the new one. You are still able to access the dentist portal at deltadentalil.com on the homepage.
- What changed with member ID numbers?
Members now have a new 13-digit ID number. The new format begins with “67,” followed by the member’s existing 11-digit ID. Example: 08055555555 becomes 6708055555555.
Members will not receive new ID cards and can continue using their previous and new ID number at the dentist. You can also still search for and verify eligibility using either the previous ID number or the new ID number. Both will return the member’s information. You can also use a member's Social Security number, provided they are comfortable sharing it, along with their name and date of birth.
- Can I still look up a patient using their previous ID number?
Yes. You can search for and verify eligibility using either the previous ID number or the new ID number. Both will return the member’s information. You can also use a member's Social Security number, provided they are comfortable sharing it, along with their name and date of birth.
- How can I verify a member's eligibility if they provide an Employer Identification Number (EIN)?
If you cannot locate the member using the EIN, you may use the member’s Social Security number (SSN) as an alternative, if the member is comfortable providing it, along with their name and date of birth.
EINs must be 11 digits. If the patient provides an EIN that contains few than 11 digits, add leading zeros at the beginning until the number reaches 11 digits. For example, if the EIN provided is 12345, enter 00000012345.
You can also use the patient's updated 13-digit Member ID or their previous 11-digit Member ID plus 67 at the beginning to search for a member.