51³Ô¹ÏºÚÁÏ

When you have a patient with dental insurance from 51³Ô¹ÏºÚÁÏ^®, we’re here to help make that experience as easy as possible. Leverage our online  to make your job easier. And watch these  to see all the ways you can self-serve.

To access the Provider Service Center, you’ll need to  for an account. Once you have that, you can  at any time to:

• Check patient eligibility and coverage, including coinsurance, deductibles, benefit maximums, tooth history, network membership, and benefits in effect on a given date.
• Determine if your patient is eligible for an exam, cleanings, X-rays, and other major services.
• View, request, and print benefit summaries online.
• Submit a pre-determination.
• Request a copy of the fee schedule.
• View the explanation of benefits (EOB) online. 
• Submit additional information needed to complete claim processing.

Before treatment begins, you can request an optional pre-determination of payable benefits. Simply collect the following information:

•  for the procedure(s)
• Billed charge
• Supporting X-rays/information

Then submit it to us using one of the following methods:

• Log in to the .
• Email us at CSDClaims@exchange.principal.com
• Mail the information to:
  51³Ô¹ÏºÚÁÏ
  PO Box 10357
  Des Moines, IA 50306-0357

Once the pre-determination is processed, it’s viewable in the . You’ll also receive a written response within 15 business days. A pre-determination doesn’t expire if nothing has changed (i.e. plan changes, significant changes in mouth history, treatment plan changes, etc.).

You can submit the ADA standard claims form to us using one of the following methods:

• File electronically by using one of the clearinghouse options (details below):
• Email us at CSDClaims@exchange.principal.com
• Mail the information to:
  51³Ô¹ÏºÚÁÏ
  PO Box 10357
  Des Moines, IA 50306-0357

Please use the privacy ID only. Claims submitted with a Social Security Number won’t be accepted.

Once the claim is processed, the explanation of benefits (EOB) is viewable in the . The EOB shows:

• Adjustments to charges you need to make to your records.
• Amount due from the patient, such as coinsurance and deductible, if any.

Dental claims will only be considered if received within 12 months of the date of service. Orthodontia claims will only be considered if received within 36 months of the date of service.

Submit additional information needed to complete claim processing or to appeal a claim decision by logging in to the . You can also use the same email or mailing address listed above.

Leverage these clearinghouses to save time, increase claim accuracy, and get paid faster. Our payor number is 61271 for the following options:

• Vyne Dental: , 800-782-5150.
• DentalXChange: , 877-932-2567 ext. 452 or support@dentalxchange.com