DeltaCare Electronic Claim Submission

Electronic Claim Submission (ECS) is now available for your monthly Delta Care utilization/encounter submissions!*   

To submit your DeltaCare utilization/encounter information via ECS, use the payer information below. If you use ECS, you can send utilization/encounter information daily rather than batching monthly.

Payer Name: DeltaCare IL DHMO Encounters

Payer ID: DCILD

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DeltaCare Electronic Claim Submission FAQs

• What is required to begin?

  You must update your practice management system to use this new connection. Please contact your Practice Management System Vendor or Clearinghouse for the appropriate setup and dental EDI connectivity information.

• If I use ECS, do I still have to batch my monthly encounters at the end of each month?

  No. With ECS, you can send utilization/encounter submissions daily.

• Does this apply to specialty claims that are submitted by our specialist?

  No, this payer number is exclusive to utilization/encounters only. Please continue to use Payer ID 05030 for any DeltaCare DHMO specialty claims you submit on behalf of your specialists.

• Does this include DeltaCare USA utilization/encounter submissions?

  No, this would only apply to your DeltaCare DHMO patients listed on your Delta Dental of Illinois monthly roster. DeltaCare USA does have ECS availability. However, you will need to use their Payer ID DDCA3 for your Delta Care USA patients listed on the Delta Care USA monthly roster.

• Do I still have the option to mail my batched utilization/encounter submissions at the end of the month?

  Yes, batched utilization/encounter submissions can be mailed at the end of the month to:

  DeltaCare IL DHMO Encounters

  PO Box 3178

  Lisle, IL 60532

• If I have additional questions who do I contact?

  Please contact DeltaCare Customer Service support at 1-800-942-3772.

*Please note: ECS is available for utilization/encounter submissions by general dentists for Illinois DeltaCare members who appear on your DeltaCare monthly rosters. DeltaCare USA has a different payer name and ID for ECS. Additionally, the specialty claim payer name and ID for DeltaCare has not changed.