Skip to content
  • Members
      • Find a Network Dentist
      • ID Cards
      • Reimbursement Forms
      • Member FAQs
      • Vision Benefits
      • Orthodontic Benefits
      • Member Portal
  • Providers
      • Claim Completion Instructions
      • Preauthorizations
      • Pre-Claim Estimates
      • Join the DHA Network
      • Provider Portal
  • Administrators
      • Administrator FAQs
      • Forms & Downloads
      • Administrator Portal
  • About Us
  • Contact Us
  • Find a Dentist

Administrator Forms & Downloads

Financial

Banking Agreement
ACH Authorization Form
2025 Finance Calendar
2024 Finance Calendar

Enrollment

Enrollment Form
Enrollment Excel Template

Miscellaneous

Admin FAQs
Admin Portal Guide
Admin Contacts
Admin Elections

Member Services
855-844-0626
memberservices@directdentalplans.com

Provider Services
855-866-2615
providerservices@directdentalplans.com

Copyright © 2018 Direct Dental Administrators, LLC