Electronic Claims and Electronic Attachments
Q. Does Delta Dental of South Dakota accept electronic claims?
A. Yes, Delta Dental of South Dakota accepts electronic claims through Emdeon and EDI Healthcare.
Q. What if I use a clearinghouse other than those accepted by DDSD?
A. Some clearinghouses forward claims to other clearinghouses, and some don't. If they don't forward electronically, the clearinghouse you use will forward us a paper claim for processing. We plan to accept electronic claims from all clearinghouses in the very near future.
Q. Does Delta Dental of South Dakota accept electronic attachments?
A. Yes, Delta Dental of South Dakota accepts electronic attachments through National Electronic Attachments (NEA) and National Information Systems (NIS). Please note the attachment must be sent with an electronic claim. If you receive a "Request for Additional Information" from DDSD, you may submit an electronic attachment without a claim, if you submit the claim number with the attachment. Please do not send an electronic attachment without a claim, or without reference to a Delta Dental claim number, otherwise we will not be able to match the attachment with the claim.
Q. How do I find out more about filing electronic claims from my office?
A. If you are interested in submitting claims directly through our web site, contact our Professional Services Department at 1-800-627-3961 or, if you choose to go through a clearinghouse, contact your software vendor.
Q. How do I find out more about filing electronic attachments from my office?
A. In order to submit electronic attachments, you will need equipment that produces an electronic copy of a document or image. The type of equipment and other requirements depends on which vendor you choose to support this capability. Two notable vendors are NEA and NIS.
NEA www.Fast-Attach.com 1-800-782-5150
NIS www.nationalinfo.com 1-800-734-5561
Q. Should I also send a paper claim to Delta Dental of South Dakota if I have sent one electronically?
A. No, sending a paper copy or duplicate electronic claim only serves to slow down the processing of claims. You may check the claim status on our website or feel free to contact our Professional Services Department to confirm receipt of your claim. Your software vendor should also be able to assist you with questions on the transmission of your claim
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