Mid and Large Group Services
A World-Class Approach to Service
Our client-focused approach addresses every aspect of the customer experience.
Easy Administration
For benefits administrators:
- Designated account manager.
- Cost analysis on new business and renewals.
- Comprehensive utilization reporting.
- Open enrollment and health fair support.
- Online tools such as real-time eligibility maintenance, electronic billing, dental fee finder, eligibility status and online forms.
- Online resources including electronic newsletters.
For enrollees:
- Knowledgeable and well-trained customer service representatives.
- Toll-free customer service with language assistance available.
- Easy online services, e-mail inquiry, eligibility and benefits lookup, print ID card.
- Online dentist directories with maps and driving directions.
- Delta Dental dentists handle all paperwork and claims at no cost to the patient.
- Delta Dental pays dentists directly – patients don’t wait for reimbursement from us.
Professional Treatment Standards
- All network dentists are recruited following an exacting national standard that incorporates strict credentialing procedures, and are monitored to meet ongoing quality assessment and re-credentialing standards.
- Our fraud and abuse system calculates normative behavior within dentist peer groups and creates utilization report cards for dentists whose utilization vary from our statistical norms.
Reporting
- With our extensive internal database, we can create a range of reports from simple group activity summaries to detailed, customized cost containment analyses.
- Several reports include normative data from our historical database of claims that can help groups analyze and confirm that their programs are efficient and effective.
