Forms
Appeals & Grievances
Online Fillable Form
Dentist Forms & Documents
Browse our library of forms and documents for Delta Dental of Arizona dentists and dental offices. Additional forms and resources may be available in the Dental Office Toolkit (DOT). If you still can't find what you're looking for, please feel free to contact us.
DEA Registration Waiver
Fillable Form
Dental Office Profile Update
Online Fillable Form
Join Network
Online Fillable Form
Medicare Advantage Compliance Attestation
Downloadable Form
Medicare Advantage Network Opt-out
Downloadable Form
Offshore Subcontracting Disclosure
Downloadable Form
Request Provider Support
Online Fillable Form
Supporting Claim Documentation Upload
Online Fillable Form
Additional Resources & Documents
Claim Form Tips
Informational Flyer
COVID-19 Resources & Information for Dentists
Informational Flyer
Dental Office Deals
Informational Flyer
Dental Office Toolkit Registration Instructions
Informational Flyer
Medicare Advantage Network Compliance
Compliance Resources for Medicare Advantage Providers
Patient Direct Network Information & Contract
Information for providers joining the Patient Direct network
Processing Policy Lookup By CDT Code
Online Tool
Special Health Care Needs Instructions
Informational Flyer
On-demand Training Webinars
Fraud, Waste, Abuse & Cultural Competency
On-demand Webinar
Medicare Advantage Network Webinar
On-demand Webinar
Special Health Care Needs Benefit Webinar
On-demand Webinar
Dental Office Toolkit Demo Videos
How to Enable Google Chrome Pop Ups
Search for Member Dental History
How to Set Provider Office Details
How to View and Print Member Benefits and Procedures
How to Register for Direct Deposit
How to Search for Sealants
How to Submit a Claim
How to Search for a Claim
How to Set Up User Management
How to Submit a Pre-Treatment Estimate
First Impressions Newsletter
Each issue of our provider newsletter has info to help your dental office run more efficiently and get claims processed quickly.
