Get your claim started by submitting one of the standard forms that relates to your needs.
Coordination of Benefits Questionnaire
Use this form when coordinating dental benefits with another dental coverage provider (e.g., your spouse's coverage).
HIPAA Authorization Form
Use this form to view overage dependents information or if you're having custody issues.
Interactive ADA Dental Claim Form
Use this form to submit a claim. After filling in the Claim form, please mail it to: Delta Dental of WA PO Box 75983 Seattle WA 98175.