Attract More Patients with Delta Dental Patient Direct®

Recruitment is live, you can visit deltadentalaz.com/patientdirectnetwork to download a contract and get the latest updates and information. Please email the completed contract to patientdirectprovider@deltadentalaz.com or fax a completed copy to 602.548.5013.

By joining the Delta Dental Patient Direct network, you will have the opportunity to reach more patients and increase foot traffic to your office. The Patient Direct program is easy for you and your staff to administer. The Patient Direct program is not insurance. With the Patient Direct program, there are no claim forms to submit, and you get paid directly from the member. Also, the Patient Direct program has no fee schedule, no frequency limitations and, best of all, there are no annual maximums.

You must be a participating provider with Delta Dental of Arizona to join the Patient Direct network. Joining the Patient Direct network will not affect any existing contracts you may have in place with Delta Dental of Arizona.

There is no fee schedule for the Patient Direct program. By participating in the network, you agree to discount your prevailing rates for services performed in your office by 20%. You can then collect the balance in full at time of service. If you like, your office may also setup a payment plan with patients for the remaining balance.

Per the program agreement, prevailing rate means the full fee for a dental procedure that the Dental Entity Location or Dentist submits to Delta Dental for a particular CDT Code under a claim for payment for providing the dental service to Delta Dental members. If no claims for such dental service have been submitted to Delta Dental within the most recent 12 months, then the average of the full fee for such dental services submitted by dental entities and dentists in the Patient Direct program within the same geographical area within the past 12 months. 

As a Delta Dental Patient Direct provider, you agree to give Patient Direct members 20% off all dental treatments and services that are performed in your office. It is up to you and your office how you’d like to collect payment, but the 20% discount must be honored and taken off your prevailing rates.

Per the participating provider agreement, you do not have to give Patient Direct members 20% off products sold at your office. Products such as toothbrushes, toothpaste and electric flossers are not required to be included in the Patient Direct discount. 

The Patient Direct program is not an insurance program; therefore, there are no limitations or exclusions for participating members. Dentists are empowered to work with their patients to decide the best course of treatment for the patient’s oral health needs. 

Once we build the Patient Direct dentist network, we will begin advertising this new program to potential members. You should expect to see Patient Direct patients in your office in summer 2022. 

There are two easy ways to verify patient eligibility. First, you can ask your patient to present their active Patient Direct member ID card. If the patient does not have an ID card handy, then you may call customer service to verify their eligibility at 800.894.2961.

Yes. The Patient Direct program has no time limitations or frequencies! The dentist and patient can decide how soon the next dental visit should be.

Delta Dental is a trusted name in the dental industry and is known throughout Arizona. By purchasing the Patient Direct program, members get the convenience of having an easy-to-understand, affordable dental discount program that offers discounts on traditional dental services, as well as services that are not typically covered by traditional dental plans. The Delta Dental Patient Direct program is not insurance and therefore, it has no frequency limitations, no denied claims, and no annual maximums. 

The Patient Direct program does not coordinate benefits with any traditional insurance plans. However, the Patient Direct program can be applied to services that are not covered by the patient’s insurance plan. Dentists are required to submit a claim for all covered services for an insured patient under a traditional indemnity plan.

Only members enrolled in the Patient Direct program administered and sold by Delta Dental of Arizona can receive discounted services from participating Arizona dentists. 

We’d be sorry to see you go, but you can cancel your participation in the Patient Direct network at any time. To do so, you must submit a form asking to be removed from the network. Removing yourself from the Patient Direct network would not affect any other Delta Dental networks that you are participating in. 

The Patient Direct Program will cost less than $10 per month for an individual enrollee.