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Current Location: Delta Dental Of North Carolina > Dentists > Electronic Claims
     
Delta Dental of North Carolina would like to be your partner in making the claims submission process easier and more efficient. By utilizing electronic claims submission, we can establish a two-way exchange of information. This will help us achieve our ultimate goal of processing claims correctly and in a timely manner.

To get started with electronic claims processing, contact your software vendor or practice management vendor for more information. If you would like more information from Delta Dental on processing claims and special requirements, please feel free to view or print out the Electronic Claims Submission guide. You may also call our Customer Service Center at 1-800-662-8856 and request a paper copy. 

Here are some tips for submitting electronic claims to ensure they are processed accurately and efficiently:

  1. Submit the correct ID number as printed on the ID card and the subscriber's date of birth. Delta Dental uses this information to ensure the claim is processed under the correct member.
  2. If you have questions regarding errors or to request an "Electronic Claims Submission" guide, contact Delta Dental's Customer Service Center. Review your response reports forwarded by your clearinghouse to determine if there are any errors on claims.
  3. Secondary Coordination of Benefits (COB) claims should include the primary paid amount on the electronically submitted claim. If this amount is not listed on the claim, you will receive a follow-up letter requesting this information, which will in turn delay processing. Please note: We do not need a copy of the Explanation of Benefits (EOB).
  4. To submit x-rays* or other claim related materials, use National Electronic Attachment, Inc. (NEA) for faster claim resolution. If you are unable to use NEA, you may still submit claims that require attachments electronically. Other submission methods are fax or mail. When not using NEA to submit attachments or x-rays, a Claim Attachment Cover Sheet must be used in order to match the attachments to the electronic claim. 

    * X-rays are rarely required; before sending, check your Dental Office Administrative Manual.
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