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Delta Dental of Delaware ATTENDING DENTIST? S STATEMENT P.O. Box 2105 Mechanicsburg, PA 17055-2105 (717) 766-8500 (800) 932-0783 TTY/TDD 888-373-3582 www.deltadentalins.com SIGN BELOW FOR PREDETERMINATION
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What is 8158 delta dental claim?
8158 delta dental claim is a form used to file dental insurance claims with Delta Dental.
Who is required to file 8158 delta dental claim?
Dental providers who are in-network with Delta Dental are required to file 8158 delta dental claims on behalf of their patients.
How to fill out 8158 delta dental claim?
To fill out the 8158 delta dental claim, the dental provider must provide patient and treatment information, including details about the dental procedures performed and the associated costs.
What is the purpose of 8158 delta dental claim?
The purpose of 8158 delta dental claim is to request reimbursement from Delta Dental for dental services rendered to an eligible patient.
What information must be reported on 8158 delta dental claim?
The 8158 delta dental claim must include patient identification information, details about the dental procedures performed, the associated costs, and any supporting documentation.
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