Disputes must be written and must clearly describe the basis of the dispute. If you wish to file a dispute with Delta Dental, please complete the form below, include all supporting …

Access Delta Dental's administrative forms for dentists. Simplify paperwork and streamline processes. Get the forms you need today!

Have a dispute or claim resubmission request? Fill out and submit the Provider Inquiry Form.

Have a question for Delta Dental? Use our online inquiry form to get the answers you need.. Dentists play an important role in preventing opioid abuse. Use the resources below to gain …

Have a question and don't want to make a telephone call? Use our online inquiry form. Spend less time searching for information and more time with your patients. Check out the Dental Office …

This form is to be filled out by a member if there is a request to release the member’s health information to another person or company or a request to appoint an Authorized …

Use our dentist online inquiry form. Delta Dental’s Federal Employees Dental Program. Filing a claim for FEDVIP dentists.

Designation of Representative /Authorization Form This form is to be filled out by a member if there is a request to release the member’s health information to another person or company or …

During this time, please complete the VADIP Enrollment Application. The Application can be submitted by either: Attaching the completed form to our secure Online Inquiry Tool. If you …

Inquiry form to open a dispute. You’ll be able to see the status of your disputes in real time in your dispute dashboard, and you’ll receive a response within 45 days. First, start with a claim …