Delta Dental
🏷 Delta Dental – EFT Enrollment
✅ Requirements
EFT Authorization Form (varies by region)
🧭 Steps
Visit your regional Delta Dental provider portal.
Download and complete the Electronic Funds Transfer (EFT) Authorization Agreement.
Submit the form to the appropriate Delta Dental member company (check your local Delta Dental website).
💡 Notes
Delta Dental operates as a federation of companies—forms and instructions vary by state or region.
Some regions allow online enrollment.
📞 Support
Visit deltadental.com to locate your local Delta Dental entity and support contact.
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