Special Requirements

What are the special requirements of Focused Review?

If you are placed on Focused Review, you will receive a letter and reference sheet explaining the process. It’s very important to read through the information, which will ensure a smooth process. Here are a few items to note:

  1. You can continue using the Dental Office Toolkit® (DOT) or your electronic claim submission process to submit claims and attachments. This is the preferred method of claim submission to Focused Review.
    1. The ability to add attachments to your initial claims submissions is now available in DOT. DOT users can now submit up to ten (10) attachments with a maximum file size of 5MB each. Accepted file types include PNG, JPEG, TIFF, GIF, and PDF.
  2. Paper Claim Submissions with supporting documentation should be mailed to the Focused Review department at:

Delta Dental—Focused Review
PO Box 9116
Farmington Hills, MI 48333-9089

If information is not sent to the correct address, data may be lost and/or payment may be delayed. Claims not under Focused Review may be submitted as usual.

Delta Dental—Focused Review
PO Box 9116
Farmington Hills, MI 48333-9089

It is essential that this address is used.  Focused Review claims sent to any other address may cause delay in processing.

(3)  For questions about the Focused Review program or Focused Review claim determinations, please contact the Focused Review department at (888) 661-8553 or at focusedreview@mydeltadental.com. This email address is for inquiries only and claims cannot be accepted.

For all claims not on Focused Review, continue to call your Customer Service department.

Patient inquiries should be directed to Delta Dental’s Customer Service department. 

(4)   As long as all requested documentation is correctly submitted, claims under Focused Review will be processed according to your state's prompt payment regulations. To ensure timely payment, it is very important that instructions in the Focused Review packet are followed.

(5)  A periapical radiograph may be required along with a bitewing radiograph, which allows our dental consultants to evaluate the tooth above and below the gum line.