Delta Dental of New Mexico

Home / Groups / Employer Resources

Employer Resources

 

Delta Dental has enhanced the Benefit Manager Toolkit to give you access to more information. For help navigating the Toolkit, download the Quick Reference Guide or call us at (877) 998-7555.

 

Not yet registered? Learn more about the Benefit Manager Toolkit.

 

Need information fast? Download commonly used forms and materials including claim forms and more.


Resource Description
Tools and Resources for Group Plan Administrators An overview of tools and resources that Group Plan Administrators can use to administer their group dental plans.
Claim Form The most recent version of the American Dental Association (ADA) claim form. Includes electronic form fields.
Enrollment/Coverage Status Form (paper version) A printable version of Delta Dental of New Mexico’s standard form for enrolling eligible employees and dependents. Can also be used to make changes to enrollee information. This version needs to be printed and filled out by hand.
Enrollment/Coverage Status Form (electronic version) An electronic version of the enrollment/coverage status form. This version can be filled out electronically, except for the signature and date. Please print it, sign it, and then return a paper or scanned copy to Delta Dental of New Mexico.
Enrollment/Coverage Status Form (Spanish version) A Spanish version of the enrollment/coverage status form. This version needs to be printed and filled out by hand.
Request Supplies An online form for ordering materials, such as claim forms and subscriber materials, from Delta Dental of New Mexico.
DASI Easy Reference Card for Group Administrators (Automated Phone System) Instructions for Group Plan Administrators on how to use Delta Dental of New Mexico’s automated phone system.
DASI Shortcuts for Group Administrators (Automated Phone System) A list of shortcuts Group Plan Administrators can use to navigate Delta Dental of New Mexico’s automated phone system.
Instructions for Printing a Personalized ID Card from Consumer Toolkit Instructions enrollees can use to print an ID card from Consumer Toolkit.

















































Billing Assistance
For billing inquiries, please contact us at (800) 838-8863.