Request for Appt Letter Marlene - Delta Dental of Arkansas 2025

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The document outlines the process for brokers to become appointed agents for Delta Dental of Arkansas. It details the required forms, including the Request for Appointment Form, Agent Fee Agreement, Fair Credit Reporting Act Disclosure, Direct Deposit Agreement, and W-9 form. The document also provides instructions on submitting these forms and mentions that upon approval, agents will receive a confirmation packet with further information. Additionally, it includes guidelines on agent responsibilities, commission structures, and compliance with HIPAA regulations.
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Mail to: ASO / PO Box 9005 / Lynbrook, NY 11563-9005. Standard ADA Claim Forms accepted. Signature on File accepted. Images, charting and other supporting documentation can be uploaded via Vyne/NEAFast Attach, DentalXChange Attachment Service and Tesia eAttachments or directly upload to asonet.com.
After you log in to the app with your username and password, select Find a Dentist and enter your information to see scheduling options. Tap on the green Schedule Appointment button.
Add a family member to your plan If your plan is through an employer: Contact your organizations benefits administrator. If you purchased your plan through a health care exchange: Contact the exchange. If you purchased your plan directly from Delta Dental: Log in to your online account, or contact us.
In April 2024, we notified provider offices of a new payer ID for our individual members. Individual members are those who purchase dental insurance directly from Delta Dental of Arkansas. The new payer ID for individual is ARIND and replaced the former payer ID, CDAR1, for individual members only.
Arkansas law and ERISA law do not require Delta Dental of Arkansas to honor assignment of benefits. How can I update my fees with Delta Dental of Arkansas? Delta Dental of Arkansas no longer requires dentists to update their filed fees.

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People also ask

Please note that the mailing address for claims remains unchanged: P.O. Box 15965, North Little Rock, AR 72231. Our dedicated Customer Contact Center and Professional Relations team is always available to answer questions from you or your staff.
The Delta Dental Premier network offers the same ease and quality as the Delta Dental PPO network but with more limited out-of-pocket savings.
You may continue to submit claims through your preferred method, be it your practice management system, our Dental Office Toolkit, or by mail. Please note that the mailing address for claims remains unchanged: P.O. Box 15965, North Little Rock, AR 72231.

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