Individual Plan Brochure

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Fraud and Abuse Complaint Form

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Medically Necessary Orthodontia Guidelines

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Claim Form

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How Delta Dental Protects Your Information

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Finding a Dentist Guidelines

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If you use an in-network dentist, they will process your claims for you!

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Claim Form

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Eligibility Enrollment Form (Spanish)

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BMT Reference Card

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International Claims

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Eligibility Enrollment Form

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Client Administration Handbook

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Direct Debit Authorization

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2019 Risk Billing Calendar

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Agent Agreement Form

    

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Add Agent Form

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Remove Agent Form

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Authorization for Direct Deposit of Commissions

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Claim Form

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Addendum to Sell Individual Product

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Delta Dental Dentist Handbook

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Participating Dentist Requirements

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Delta Dental Premier Contract

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Delta Dental PPO Contract

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DASI Easy Reference Guide

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Team Contacts

Territory Map

DASI Shortcuts

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Dentist Claim Form

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DASI Assist Form

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Medically Necessary Orthodontia Guidelines

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X-Ray Procedure Codes

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Protect Your Practice from Patient Fraud

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Credentialing

Credentialing Form

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W-9 Form

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