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  • Small Group Enrollment Application Delta Dental Of Virginia

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Delta Dental of Virginia Small Group Enrollment Application 4818 Starkey Road, Roanoke, VA 24018 (540) 9898000 (800) 2376060 Fax: (540) 7768109 (New Enrollment/Changes to Enrollment) IMPORTANT: Incomplete.

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Claim payments for the Delta Dental Basic Plan are made directly to the member even if the dentist accepts assignment of benefits. You will be responsible for payment to the dentist. If your dentist will not submit the claim for you, you will need to complete a claim form and submit it to Delta Dental of Colorado.

OIC. Office of the Insurance Commission.

There are no deductibles, no waiting periods for benefits to begin, no percentages to worry about and no annual dollar maximums.

Assignment of benefit laws empower patients to have their benefit payment sent directly to their dentist. These laws require dental plans to pay dentists directly when the enrolled patient instructs their plans to do so. The information on the following pages is current as of August 2021.

What is assignment and non-assignment of benefits? As a service to patients, a dental office may accept assignment of benefits whereby they agree to have the patient request that his or her dental plan provider pay the dental office directly for the percentage of the cost covered.

What does that mean? A. Non-duplication of benefits means that the secondary plan will not pay any benefit if the primary plan paid the same or more than what the secondary plan allows.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232