Summary Plan Description

Claims and Billing

Network Providers

Network providers submit your claim directly to Delta Dental of Washington and receive payment in return. If your dentist is allowed to charge you for the difference between what the plan will pay and the discounted fee, he or she may request that portion of the payment at the time of service or bill you later. An Explanation of Benefits (EOB) will describe how the claim was processed.

Non-Network Providers

If you use a non-network provider, the patient is responsible for completing and signing claims forms and sending them to Delta Dental of Washington. The address is provided above.