EFT
When did the EFT mandate go into effect?
Effective date: July 1, 2026, EFT is the only accepted method of payment
Why is Legion Out of Scope for the EFT Mandate?
Legion is excluded as DDMI processes the claims.
What is the preferred method for providers to sign up for EFT?
sign up for EFT through Provider Tools
When is the effective date of the upcoming Check Processing Fee?
Beginning Jan. 1, 2027, providers who do not elect to transition to EFT will be subject to a weekly check processing fee
If a caller asks for a specific senior or supervisor I should reach out to them?
Proper call handling:
If you receive a call from an office and they are asking to speak to a specific senior agent or supervisor regarding an escalation, please review the case notes and try and assist to the best of your ability.
What lines of business are included in the EFT mandate?
This includes PPO and Premier, PPO CMS (Medicare Advantage), and NY Select
Are non-enterprise fee-for- service providers part of the EFT Mandate?
All non-enterprise fee-for- service providers are excluded.
Is there a fee to enroll in EFT?
EFT is a fee-free payment method from Delta Dental.
How much is the Check Processing Fee
$15 per week
Who is our new manager?
Lauren Catalano
Who is Chalece?
EFT Expert!!
Which States are Out of Scope?
Contracting new TIN fee-for-service providers in FL, GA, LA, PA, UT.
How many days should a new to Delta Dental provider wait before signing up for provider tools once a non par is created for them?
Providers should wait the requisite 3 business days (excluding weekends) after submitting a contract before creating a Provider Tools account and enrolling in EFT.
If no checks are issued during the week will an office still be charged a Check Processing Fee?
If no checks are issued during the week, no fee will be charged
If you receive a call from an office checking status on an escalation you should put "are there any updates?" in chat
If the request has not been completed and/or there are no notes on the case regarding an update, please follow the escalation flow and request the case to be re-escalated.
What does In-Scope mean?
In -Scope means its effected and will be under the EFT mandate
What does Out of Scope mean?
Out Of Scope means it is not part of the EFT Mandate
Does enrolling in EFT through Provider Tools require providers to enroll in services with any other third-party vendors?
No. Through Provider Tools, you can check benefit eligibility, submit claims, enroll in EFT, and view your ERAs fee free.
How many checks does the Check Processing Fee cover per week?
The Check Processing Fee is $15 per week, no matter how many checks are issued that week.
Where can MFA letters be found?
In Teams under MARKET FEE ALIGNMENT LETTERS & LOYALTY INFO
Which Enterprise States are in-Scope for EFT Mandate?
Contracting new TIN fee-for-service providers in the following Enterprise states:
• AL, CA, DC, DE, MD, MS, MT, NV, NY, TX, WV
Which Lines of Business are Excluded from the EFT Mandate?
DHMO, CMS DHMO, Medicaid, Legion and Dentegra are all excluded.
What % of S-cases from your calls should contain an S case sub type?
close to 90%
What is the Check Processing Fee?
An Administrative Fee - not a penalty
Should non enterprise providers use Provider Tools to enroll in EFT if they want to Opt in National Sharing?
No, Provider Tools only enrolls EFT for Delta Dental of California and Affiliated Companies.
If a provider mistakenly uses Provider Tools, National Sharing option will not be established.