FYI

Adhering to record submission requests from Delta Dental might not be the first thing that pops into your mind when you’re thinking of ways to improve patient experience. But, it’s an important one.

Speedy resolution of grievances and appeals boosts practice efficiency, as dentists and their teams spend less time on administrative tasks and more time focusing on patients. For example, when a dentist can quickly resolve issues related to care and billing, it prevents delays in treatment, ensuring that patients remain satisfied and continue to seek care at their practice.
 

Why should you keep your practice’s contact information with Delta Dental updated

Keeping contact information such as phone numbers, emails and fax numbers up to date is crucial for several reasons, especially for Delta Dental and the grievances and appeals process:
 

• Effective communication: Accurate contact information ensures that important updates, notifications and reminders reach your practice promptly. This facilitates smooth communication between your practice, patients and other healthcare providers.
• Operational efficiency: Correct contact details streamline administrative processes, reducing the likelihood of missed communications, scheduling errors and delays in receiving important documents or information.
• Shorter resolution process: Updated contact information ensures that Delta Dental can quickly reach out to your practice for any necessary records or information.
• Efficient case management: It allows for efficient handling of grievances and appeals, reducing administrative delays and improving satisfaction for both providers and patients.
  
  

Help speed up the grievances and appeals process

Contracted dentists are required to cooperate with and comply with all guidelines and requirements set forth by Delta Dental, as well as any relevant partnership entities including Medicare Advantage Organizations and CMS, regarding enrollment and dis-enrollment determinations. This includes the obligation to provide information (including medical records and other pertinent information) to Delta Dental within 7 calendar days of the first request.

Prompt submission of requested records is crucial for complying with regulations and ensuring quick resolutions for patients. When providers quickly submit records for grievances and appeals, it allows us to conduct a fair review. This process is essential for several reasons:
 

• Ensuring compliance: Timely submissions help us meet regulatory requirements, ensuring all cases are handled within mandated time frames.
• Facilitating thorough review: Having all necessary documentation allows our team to thoroughly review each case, considering all relevant information to make informed and fair decisions. Failure to submit records can impact the overall determination of a grievance or appeal.
• Supporting patient care: Quick access to complete records ensures that any issues affecting patient care are resolved promptly, maintaining the quality and continuity of care for patients.
• Enhancing efficiency: Reduce administrative delays through efficient handling of grievances and appeals, leading to quicker resolutions and improved satisfaction for both providers and patients.
   

By regularly updating your contact information, your practice can ensure the best possible care and maintain efficient operations, while also supporting Delta Dental in managing grievances and appeals effectively.

Update your information at any time through Provider Tools or or get information on how to request an update to your information by calling us at 1-800-592-0156.