Notice

Saturday, 10/17 through Sunday, 10/18, due to system maintenance, the following services Claims Submissions, Eligibility Updates, and Procedure Code Lookup will be current as of Friday 10/16 and updated once maintenance is complete. 

 

To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at (800-452-9310).

Welcome Xerox Members

Welcome Xerox Members

If you are in the middle of treatment or have a prior authorization with your current insurance carrier but will finish treatment in 2027, here are some things you need to know:

  • New Treatment:  You should have your dentist submit the prior approval along with a claim for the date(s) the service(s) were performed, and Delta Dental will honor your prior carrier’s approval determination (subject to Delta Dental allowed/approved charges).
  • In-Process Treatment:  Delta Dental will allow benefits for the remaining amounts due once a claim is submitted. You should have your dentist submit the claim for service performed on the date actual service(s) is/are completed. This amount is still subject to plan deductibles and maximums and/or any plan limitations or exclusions that exist.
     
    Example: you started work for a root canal and crown in 2026 with the crown to be completed in January 2027. The root canal claim was processed and paid under your current carrier, but the remaining crown procedure will be processed under Delta Dental of CT. Have your provider submit the crown claim to Delta Dental and the crown will be processed by Delta Dental (subject to plan deductibles and maximums).

  • Orthodontia:  Your treatment will continue under your new Delta Dental plan but remember to tell your orthodontist that your carrier has changed. Have your Orthodontist submit a claim to Delta Dental of CT (either electronic or paper form). Delta Dental will work with your Orthodontist to obtain additional information about your treatment plan. Once Delta Dental receives the requested information, your claim will be processed and paid based on a prorated length of treatment.