Delta Dental of New Mexico

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Employer Resources


Delta Dental has enhanced the Benefit Manager Toolkit (BMT) to give you access to more information. For help navigating the Toolkit, click here for more information.


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

Resource Description
Claim Form Dental Claim Form: To access a dental claim form, enrollees can log into Member Portal. They can also call Customer Service at (877) 395-9420 or send an email to to request a dental claim form.
Mail completed claims to:
Delta Dental of New Mexico
100 Sun Avenue NE, Suite 400
Albuquerque, NM 87109
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.
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.



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