Show Fee Discounts on Claims

Fee discounts (including waiver of copayment/coinsurance) should be reflected in the total fee that is entered on the claim.

Example: If your fee for a service is $100 and you wish to give the patient a 20 percent discount, then $80 becomes the fee that is actually charged and $80 should be entered on the claim as the total fee.

By entering $80 on the claim, you ensure that Delta Dental calculates its payment based on the fee actually charged, as required under the terms of your agreement with Delta Dental.

Always notify Delta Dental of the actual fee charged. This helps ensure that you don’t contribute to higher costs that can potentially jeopardize patients’ dental benefits plans.