California Institute of Technology Dental Benefits

How to file a dental claim

Delta Dental dentists agree to handle all claims and paperwork for you. But, if you visit a non-Delta Dental dentist, you may need to file the claim yourself.

If you do need to file a claim form:

1. Download the claim form.
2. Complete lines 1 through 15 on the claim form.
3. Attach a copy of the dentist's Statement of Treatment, including the dentist's name, complete phone number, and a description of each service that the dentist performed.
4. Make a copy for your records.
5. Mail the original copies to:
   Delta Dental Insurance Company
   P.O. Box 1809
   Alpharetta, GA 30023-1809
   

We usually process claims within two weeks unless additional information is required from you or the dentist.