Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania y afiliadas
Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania y afiliadas
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Delta Dental launched a pilot program in enero de 2025, partnering with SKYGEN®, an expert in Medicare Advantage benefits management and administration.
In 2025, we will provide DeltaCare® USA dental benefits to UCLA Health Medicare Advantage Plan members in L.A. County and the surrounding areas.
We launched this pilot with the goal of gathering information and improving processes. SKYGEN will provide a web-based portal and claims administration support, working as an extension of Delta Dental.
Lo que debes saber
This pilot only affects patient and claim administration for the UCLA Health Medicare Advantage Plan. Providers who are assigned patients from this plan to their practice will need to take action.
What’s new
- Changes to the Dentist Handbook ( Download PDF summary)
- New portal registration — You have the option to use the Dental Hub®, SKYGEN's benefit administration portal, for the most convenient and efficient way to verify coverage, view patient benefit details and submit claims digitally for this group.
- If you’re submitting paper claims, send them to:
SKYGEN c/o Delta Dental Insurance
Medicare Advantage Plan de UCLA Health
PO Box 2049
Milwaukee, WI 53201 - Updates to payment delivery options
- SKYGEN will mail you a paper check for your capitation payments along with your patient roster. An electronic option will be available in the near future.
- We’ll issue your first claims payment by check along with a notice outlining other payment methods (check, ACH or virtual card). We have worked with SKYGEN to offer many options, including free ACH. Some options have fees so please make sure to review closely.
- Once you choose your payment method, all future payments for this group will be processed that way. If you’re enrolled with Zelis and take no action, your claim payments will continue through Zelis. If you aren’t enrolled with Zelis and don’t choose any other option, you will continue to get paper checks.
Lo que permanece igual
- Your DeltaCare USA compensation won’t change.
- Use Provider Tools to manage patients for all other Medicare Advantage plans and groups.
- Use Provider Tools or call Delta Dental for any demographic changes for your practice.
- Delta Dental will continue to manage your credentialing and recredentialing.
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Register for the Dental Hub
Verify coverage, view benefit details and submit claims for UCLA Health Medicare Advantage patients on SKYGEN’s Dental Hub — not Provider Tools.
You should have received communication with instructions on how to register for the Dental Hub, along with your unique registration code. Visit the Quick Start Guide or attend a training to learn more about how to register and use the Dental Hub.
Haven't received your registration code? Call 866-760-2538 to request it.
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Recursos
Contactar
If you have any questions, feedback or comments, please let us know.
For any Dental Hub or patient administration support:
Call 866-760-2538
For any feedback on this pilot:
yourvoicemedicarepilot@delta.org
DeltaCare USA está respaldado en estos estados por las siguientes entidades: En Alabama por Alpha Dental of Alabama, Inc.; en Arizona por Alpha Dental of Arizona, Inc.; en California por Delta Dental of California; en Arkansas, Colorado, Iowa, Maine, Massachusetts, Michigan, Minnesota, North Carolina, North Dakota, Nebraska, New Hampshire, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Vermont, Virginia, Washington, Wisconsin y Wyoming por Dentegra Insurance Company; en Alaska, Connecticut, District of Columbia, Delaware, Florida, Georgia, Kansas, Louisiana, Mississippi, Montana, Tennessee y West Virginia por Delta Dental Insurance Company; en Hawaii, Idaho, Illinois, Indiana, Kentucky, Maryland, Missouri, New Jersey, Ohio y Texas por Alpha Dental Programs, Inc.; en Nevada por Alpha Dental of Nevada, Inc.; en Utah por Alpha Dental of Utah, Inc.; en New Mexico por Alpha Dental of New Mexico, Inc.; en New York por Delta Dental of New York, Inc.; en Pennsylvania por Delta Dental of Pennsylvania. Delta Dental Insurance Company opera como administradora de DeltaCare USA en todos estos estados. Estas compañías tienen la responsabilidad financiera de sus propios productos.