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Managing patient care
for select Medicare Advantage groups

Here’s what you need to know.

  • Delta Dental is partnering with SKYGEN, an expert in Medicare benefits administration, to help manage some Medicare Advantage groups. This partnership will help us streamline the overall patient experience.

What you need to know

As part of this partnership, there are new processes that affect patient and benefit administration for the following groups. Providers who treat patients from these plans need to take action. Visit these websites for more detailed information about the groups and their dental benefits.

California:

Nevada:

What’s new

  • You can now view patient eligibility, patient rosters, benefit details, processed claims and claims adjustments for these groups in Provider Tools. We are working on integrating claim submission into Provider Tools toward the end of 2026. Until then, you can use your clearinghouse or the Dental Hub, SKYGEN’s provider portal, to submit claims digitally for these groups. Find information on how to register in the Resources section on this page.
  • We’ve made updates to select sections of the Delta Dental PPO™ and DeltaCare USA provider handbooks.
  • For support or questions about any of these Medicare Advantage groups, call 844-760-2538.


Submitting claims

  • Submit claims via your clearinghouse, the Dental Hub or via mail.
DeltaCare USA Medicare Advantage claims:

DeltaCare USA
P.O. Box 1810
Alpharetta, GA 30023

Electronic claim payer ID: #DDCA2 (Claims) and #DDCA3 (Encounters)

Delta Dental PPO Medicare Advantage claims:

California: Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-7330

Electronic claim payer ID: #77777



Nevada: Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA 30023-1809

Electronic claim payer ID: #94276

Payment delivery

  • You’ll receive a notice with your paper check payment that outlines the available payment methods, giving you time to review your options. You’ll need to select how you would like to receive future payments. Please review these options carefully, as some payment methods include fees if you are currently enrolled with Zelis, a payment solutions company used by SKYGEN.
  • The payment method you select will apply to all future payments for these groups, including capitation (DeltaCare USA) and claims.
  • Patient rosters for DeltaCare USA providers will be sent monthly via mail and accessible digitally via Provider Tools.

What stays the same

  • Your Delta Dental PPO and DeltaCare USA compensation won’t change.
  • Use Provider Tools or call Delta Dental for any demographic changes for your practice.
  • Delta Dental will continue to manage your credentialing and recredentialing.

Resources

You can view patient eligibility, patient rosters, benefit details, processed claims and claims adjustments for these groups in Provider Tools. While we integrate claim submissions for these groups into Provider Tools, you can submit claims electronically via your clearinghouse or on SKYGEN’s Dental Hub. To register for the Dental Hub, review the Quick Start Guide or call 866-760-2538.

Check out these helpful resources to learn more about the partnership:

Frequently asked questions (Updated May 2026)

DeltaCare USA supplemental handbook (Updated May 2026)

Delta Dental PPO supplemental handbook (Updated May 2026)

Contact us

For patient administration support:
Call 866-760-2538

For Delta Hub support:
Call 855-609-5156

For any questions, feedback or comments on this program:
yourvoicemedicarepilot@delta.org

Delta Dental PPO is underwritten by Delta Dental Insurance Company in AL, DC, FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA – Delta Dental of California; PA, MD – Delta Dental of Pennsylvania; NY – Delta Dental of New York, Inc.; DE – Delta Dental of Delaware, Inc.; WV – Delta Dental of West Virginia, Inc. In TX, Delta Dental Insurance Company provides a dental provider organization (DPO) plan.

DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; AZ — Alpha Dental of Arizona, Inc.; CA — Delta Dental of California; AR, CO, IA, MA, ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VA, VT, WA, WI, WY — Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV — Delta Dental Insurance Company; HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NM — Alpha Dental of New Mexico, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.