Working With Us

Eligibility and benefits

Patient benefits may vary, so please confirm each patient’s eligibility for coverage and specific benefits.

Log in to get patient information

You can quickly see if your patients are covered by group dental insurance from Principal. On the Provider Service Center, you and your staff can:

Get benefits, eligibility and effective dates

  • Check patient eligibility and coverage, including coinsurance, deductibles, benefit maximums, tooth history, network membership and benefits in effect on a given date.

Determine service eligibility

  • See if your patient is eligible for exams, cleanings, X-rays and other major services. This feature isn’t yet available for all patients but we’re adding more every day.

View, request and print benefit summaries

  • Get your patient’s benefit summary online. Or you can request to receive it by fax or email. Need a copy for your records? Save or print it from our website.

Check claim status

  • See if a claim has been received and if it’s in process. Get information about claims processed and paid, including submitted charge amounts, check issue dates and payment amounts.

Not finding what you need online? Call us at 800-247-4695.

Predetermination

Before treatment begins for services such as inlays, onlays, crowns, prosthetics, periodontics and oral surgery, you may file a dental treatment plan with us. And within 10 days, you’ll receive a written response indicating benefits that are payable for the proposed treatment.

Submit the dental treatment plan electronically or to the claim center listed on your patient’s dental ID card. Be sure to include:

  • Procedure(s) using current ADA codes
  • Billed charge
  • Supporting X-rays/information

Check these general guidelines (PDF) for supporting claim information and documentation needed to process frequently submitted claims. In some cases, we may ask you for more information.

Filing claims

You can submit claims to us electronically or by mail using the ADA standard form. Either way, please use the privacy ID only. Claims submitted with a Social Security Number won’t be accepted.

File claims and attachments electronically

Save time, increase claim accuracy and get paid faster by filing your claims and/or claim attachments electronically. You have several clearinghouse options: 

Change Healthcare:
dental.changehealthcare.com, 888-255-7293 or dentalsupport@changehealthcare.com

Tesia Clearinghouse, LLC:
tesia.com, 800-724-7240 or info@tesia.com

Renaissance Electronic Services (RES) (parent company of Tesia):
dentalhero.com, 866-712-9584 or info@dentalhero.com

DentalXChange:
dentalxchange.com, 877-932-2567 ext. 452 or support@dentalxchange.com

When you register with any of these companies, enter our payer number, 61271.

Claim attachments only

NEA’s FastAttach™ system:
nea-fast.com or 800-782-5150, option 2

File claims by mail

To file claims by mail, send information to:
Principal
PO Box 10357
Des Moines, IA 50306-0357

Payments

Get paid faster through electronic payments*

Use PaySpan Health for electronic fund transfers (EFTs) and electronic remittance advices (ERAs). With this service, you can:

  • View summary of electronic payment online
  • See patients’ Explanation of Benefits (EOB) anytime
  • Be confident transactions are HIPAA-compliant

Register with PaySpan Health

Please have your National Provider Identifier (NPI) or Tax Identification Number (TIN), bank routing number and account information handy. Then follow these 3 steps:

  1. Visit payspanhealth.com, and select Register.
  2. After completing all required information, check your bank account a few days later for receipt of a small test deposit.
  3. Finish activation of your account on payspanhealth.com.

Questions about registration? Call the PaySpan client support center at 877-331-7154.

View Explanation of Benefits (EOB)

EOBs are always available on the Providers Service Center. If you receive claim payment by mail, it’s included with your check.

The EOB shows:

  • Adjustments to charges you need to make to your records. 
  • Amount due from the patient, such as coinsurance and deductibles, if any.
Extra dental benefits

Members with certain conditions that put them at risk for dental problems or those who need a second opinion, get extra benefits.

Have questions? 

Reach us by phone Monday-Thursday, 7:30 a.m. to 6:30 p.m. (CST), Friday 7:30 a.m. to 6:00 p.m. (CST).

  • Office changes: 800-832-4450
  • Benefit verification: 800-247-4695
Send us something by mail

Principal Plan Dental Network
Attn. Provider Relations
711 High Street
Des Moines, IA  50392-2556

*Most claim payments are eligible for electronic payments. However, some may be made via check.