Dentaquest dental claims mailing address. , excluding holidays, by email to claims@masshealth-dental.

Dentaquest dental claims mailing address. The DHS caseworker may contact DentaQuest or refer the Beneficiary to a dentist enrolled in the Dental Program to determine whether the necessary dental services are covered under the HFS Dental Program. The Member Services Department is available 8:00 a. Jun 5, 2025 · DentaQuest is a leading dental insurance provider in Oklahoma, serving members of various Medicaid and Medicare Advantage plans. Please sign into your account using the "Patterson Employee Sign In" link within the header of this page. To submit the Clover Health Dental Reimbursement Form, ensure all sections are correctly filled out. Email us General Member Services 888-278-7310 Dental Care Plus Group Member Services 800-367-9466 Hearing Impaired Line 800-466-7566 Dental providers should contact DentaQuest with any questions. Registration to this portal will be available on October 28, 2019, the portal will go live November 1, 2019. Appeals Banner Health Plans Claims submission tips for dentists and dental offices accepting Sun Life dental insurance. –6:00 p. For the fastest service, please give us a call. If a Primary Care Dentist is not chosen, one will be selected for you. Provides contact information for HUSKY Health dental providers, community partners, medical partners and HUSKY Health Members here. Aug 30, 2024 · Dental Claims DentalClaims of Arizona, LLC Attn: DentaQuest of Arizona, LLC - Claims Office: 800-440-3408 P. • Do not use this form for prescription drug claim reimbursements. Access to this portal will be available on January 1, 2018. m. If you don’t know Sun Life Dental, here’s what you’ve been missing. O Box 3236 Scranton, PA 18505 You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. DentaQuest’s mailing address is: DentaQuest PO Box 2906 Milwaukee, WI 53201-2906 DentaQuest will be conducting a pre-payment review for other codes that OHCA has historically DentaQuest is a leading dental insurance provider in Minnesota, serving members across Medicaid, Medicare Advantage and Marketplace. In this section, documentation may be requested to be sent prior to beginning treatment or “with claim” after completion of You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. Claims Dental providers should submit claims with a date of service of January 1, 2025, or later to DentaQuest. Your software vendor will be able to provide you with any information you may need to ensure that submitted claims are forwarded to DentaQuest. Medical Paper Claim Guidelines Paper Submissions | Molina Healthcare of New York, Inc. Feb 27, 2025 · BeneCare will assume all administrative responsibilities on April 1, 2025. to 5:00 p. The Recipient Eligibility Verification (REV) System, the Automated Voice Response System (AVRS) at 1-800-842-1461, and the Medical Electronic Data Interchange (MEDI) systems are available. Paper Claims: DentaQuest Claims PO Box 2906 Milwaukee, WI 53201 Fax: 1-262-834-3589 Electronic Claims: Via Clearinghouse Payer What is the mailing address for Dentaquest and Mass Health? eServices - Review the information below for the mailing addresses for Dentaquest and Mass Health. Simple and complex surgical extractions, fillings, X-rays, oral surgeries Members should contact DentaQuest® at 1-844-876-7919 for a listing of participating dentists or for additional information. To verify the status of your claims, please call our Provider Claims Representatives at the numbers listed below. A grievance is an action you take when you want to submit a complaint about your dental provider, the care they provided, DentaQuest, or other dental care concerns. A copy of DentaQuest’s QI Program is available upon request by calling DentaQuest’s Customer Service Department at 1-800-936-0978 or via e-mail at denelig. All Rights Reserved. Claims Address: DentaQuest-Claims PO Box 2906 Milwaukee, WI 53201-2906 Dental Services DBM: DentaQuest Submit claims via the DentaQuest web portal 855-398-8411 Vision Services VBM: EyeMed For Medicaid Members: 844-961-2057 Medicare/Duals: 888-289-0595 Mailing Address for Claims: Clover Health P. We can't fulfill our mission to improve the oral health of all without our provider partners. Electronic Claims should be sent: Direct entry on the web – www. Q: Can volunteer dentists providing care to adults at dental clinics be credentialed? A: Yes, volunteer dentists can be credentialed. DentaQuest provides vision benefits to members of many health plans in multiple states across the country. Dental Claims Administration How do I find out about coverage, deductibles, co-pays and maximums for your patients? Please contact Client Services at the number indicated on the patient's ID card or you can utilize one of our self-service options. Contact DentaQuest at 888. Contact Dominion National through our secure online form. com Resubmissions Be sure to clearly mark "Resubmission" on the claim form or select the appropriate box on the claim form if sending electronically. Our PPO networks were created by dentists for dentists and have become some of the nation's largest national preferred provider organizations. You 1. Providers in our vision network enjoy: Streamlined claims and authorization entry Quick and easy member benefits and eligibility lookup Up-to-date payment status information Joining our network means more patients for your practice and more members of your community gain access to high quality vision care. Environment: eClaims with Eaglesoft Answer: Please be aware payer IDs CX014 and CKMA1 share a common PO Box for the submission of paper dental claims. Relevant lab or radiology results to support the request (including previous MRI, CT, Lab, or X-ray report/results). DentaQuest is one of the largest dental benefits administrators in the United States and the largest public dental benefits administrator in the nation (Medicare/Medicaid) DentaQuest serves more than 30 million members in 30 states through partnerships with 100 health plans and 9 state agencies Millions of members across the country are enrolled in an EyeQuest vision plan. com Or, Via Clearinghouse – Payer ID CX014 Include address on electronic claims – DentalQuest, LLC 12121 N Corporate Parkway Mequon, WI 53092 A: Electronic Claims should be sent online at https://govservices. We employ these tools to promote an efficient dental program that will give Dental Provider Summary GuideW009280 *If you are unable to complete the ADA Dental Claim Form, you can contact DentaQuest’s customer service department at 1-800-466-7566 and they will be able to assist you. We are committed to establishing and maintaining an excellent dental provider network. Please submit these items to: DentaQuest Claims PO Box 2906 Milwaukee, WI 53201-2906 Fax: 1-262-834-3589 DentaTrust Dental Plans Frequently Asked Questions The DentaTrust dental plans were designed by The Dental Care Plus Group as economical, low-cost dental plans to be offered on the Ohio state-based exchange. You can rely on us for a network that's easy to work with, simplifies administration and gets claims paid fast. , but our innovative products, long-earned expertise and consumer-focused experiences deliver value across the board. You will also need to include the DentaQuest address on all electronic claims: DentaQuest PO Box 2906 Milwaukee, WI 53201-2906 Q: How can Dental Providers request authorization? DentaQuest will be launching a new provider portal specifically designated to support Blue Cross Commercial, Healthy Kids and Medicare Advantage dental plans. For vision services, please submit the following: Mailing Address for Claims: Clover Health P. DentaQuest’s last day of administering the MassHealth Dental Program is March 31, 2025. Member Services provides help and information on eligibility, Referrals or Authorizations, Claims, service locations, interpretation services, PCP assignment or changes, benefits or other inquires. When a SoonerSelect member needs care and cannot easily find an in-network Member Services Department The Member Services Department can assist both Members and providers. To receive reimbursement, submit this form along with your itemized receipt and proof of payment to: DentaQuest Claims PO Box 2906 Milwaukee, WI 53201-2906 Fax: 1-262 You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. If you have questions about your statement, call Blue Cross Dental Provider Servicing at 1-888-826-8152. | P. If you’re sending claims through a Clearinghouse, please use payer ID CX014. Providers can check member eligibility, submit& status claims and view payments on the portal. DentaQuest is a leading dental insurance provider in Colorado, providing dental coverage to eligible members of various Medicaid, CHIP and Medicare Advantage plans. Dental Provider Summary GuideW009280 Dental providers should contact DentaQuest with any questions. (DentaQuest) administers the STAR+PLUS, STAR and MMP (Duals) programs for Superior HealthPlan. CX014: Dentaquest PO Box 2906 Feb 14, 2025 · DentaQuest Dental Phone: 800-936-0941 Electronic Provider Claims Submission Clearinghouse: use BBMDQ DentaQuest Provider Portal Paper Claims Submission DentaQuest, LLC PO BOX 491 Milwaukee, WI 53201-0491 Fax: 262-834-3589 You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. If you do not have your Member ID card, you can visit our Members page to find specific contact information by state and plan. Below is a list of phone numbers for DentaQuest member services by state and plan followed by contact information for health plans directly. Benefit and Eligibility Fax Provider portal Am I required to refer patients to specialists in a patient's PPO network? When specialists are required DentaQuest is a leading dental insurance provider in Pennsylvania, serving members across Medicare Advantage, marketplace and personal plans. com If you have any questions regarding DentaQuest’s Medi-Cal Dental Members Transition of Care policy, please contact DentaQuest’s Provider Engagement Department. You can contact your software vendor to make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. All hard copy (CMS-1500, UB-04) claims must be submitted by mail to the address listed below. Monday through Friday, excluding You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. Relevant physical examination that addresses the problem. Aug 28, 2025 · Claims Department The Claims Department is located at our corporate office in Long Beach, CA. Box 2906, Milwaukee, WI 53201-2906 Phone: (844) 876-3981 Fax: (262) 241-7379 Our acknowledgement: We have 5 business days after we receive your request for Formal Appeal (“the receipt date”) to send you and your treating provider a notice that we got your request. 1. You can also submit the form via fax at 1-262-834-3589. From credentialing, authorizations and claims processing, to network training and patient engagement, we are committed to driving value for your dental practice. We rely on you to deliver quality, prevention-focused dental care. 3589 Electronic Claims: Via Clearinghouse Payer ID Your plan covers dental services from licensed dentists within your service area up to your quarterly allowance amount. , excluding holidays, by email to claims@masshealth-dental. Their hours of operation are Monday – Friday from 8 am – 6 pm Eastern Time. dentaquest. We employ these tools to promote an efficient dental program that will give You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. To make sure your child continues to get his/her current dental services, you must file your appeal on or before the later of: 10 calendar days following DentaQuest's mailing of the notice of action or the intended effective date of the proposed action. 6780 or via e-mail at denelig. When to use this form: • Fill out this form if you’re asking for a medical, dental, vision, hearing aid, or vaccine reimbursement and you paid a doctor, healthcare professional, or service provider who did not bill us directly. Jan 8, 2020 · Electronic Claims should be sent: Direct entry on the web www. Welcome to dental done better There’s a lot to smile about when it comes to our dental. Simplify office administrative tasks Keep our Quick Reference Guide nearby to make pre-visit planning and post-visit tasks quick and easy. Electronically filed claims must use EDI Claims /Payor ID number - 16146. DentaQuest administers dental insurance providers in Michigan, providing dental coverage to eligible members of Blue Cross Blue Shield of Michigan plans. Jul 20, 2023 · Claims Department The Claims Department is located at our Senior Whole Health of New York office in Brooklyn, New York. (DentaQuest) administers the STAR Health (Foster Care), STAR+PLUS, STAR and Superior HealthPlan Advantage programs for Superior HealthPlan. To submit the completed Dental Reimbursement Form, send it to DentaQuest Claims at PO Box 502, Milwaukee, WI 53201-0502. Florida dental providers enrolled in the DentaQuest network serve members of the following health plans and government programs in Florida. Complete the short form below and we will contact you as soon as possible. Dentists can participate with us by signing a contract with one of the networks in the Blue Dental PPO network or on a per-claim basis. To receive reimbursement, submit this form along with your itemized receipt and proof of payment to: You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. O. All changes should be submitted on the Standard Updates Request form available on DentaQuest. Contact credentialing services for all questions regarding credentialing and recredentialing at 800-233-1468. Note: Copies of DentaQuest’s HIPAA policies are available upon request by contacting DentaQuest’s Customer Service department at 800. DentaQuest provides dental coverage to Medicaid-eligible adults and children in New York who are members of MetroPlusHealth plans. Name: DentaQuest Title: Grievances and Complaints Department Address: P. 834. Send your completed form and itemized receipts to DentaQuest Claims via mail at PO Box 2906, Milwaukee, WI 53201-2906 or fax at 1-262-834-3589. DentaQuest will be launching a new provider portal specifically designated to support Blue Cross’ Medicare Advantage dental plans. com Or, Via Clearinghouse – Payer ID CX014 Include address on electronic claims: DentaQuest, LLC PO Box 2906 Milwaukee, WI 53201-2906 For procedures where “Authorization Required” fields indicate “yes”. As part of the Affordable Care Act (“ACA”), please see the following transparency in coverage information for individuals enrolled in dental plans purchased through HealthCare. 912. Dental Reimbursement Form Your plan covers dental services from licensed dentists within your service area up to your quarterly allowance amount. We recommend that you contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. com Or: Via Clearinghouse – Payer ID CX014 Include address on electronic claims – DentaQuest, LLC PO Box 2906 Milwaukee, WI 53201-2906 Overview Our payment for dental services is based on the parameters of the dental plan chosen by the group or member and by the dentist’s participation status with Blue Cross Blue Shield of Michigan. 5287. Member E-mail Form Do you have a question about dental benefits? Use this form to send DentaQuest your question. Currently viewing California. Please submit these items to: DentaQuest Claims PO Box 502 Milwaukee, WI 53201-0502 Fax: 1-262-834-3589 DentaQuest is a leading dental provider in New York, serving members across Medicaid and CHIP, Medicare Advantage, commercial, marketplace & personal plans. com Visit dentaquest. Claim Form (If provided by your dentist) Contact Information Please submit these items to DentaQuest Claims, PO Box 2906, Milwaukee, WI 53201-2906 or fax to 1-262-834-3589. Please submit these items to: DentaQuest Claims PO Box 2906 Milwaukee, WI 53201-2906 Fax: 1-262-834-3589 You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. We have built a national oral health ecosystem committed to quality patient care, efficient processes and continuous improvement on the fundamentals to help your practice perform at its best. Get in touch with a customer service representative fast. Talk to a DentaQuest sales team member to learn more about how we can put dental and vision to work to advance your plan and member goals. If providers need to contact the Department or DentaQuest, a list of contact information can be found in Attachment A. Visit the DentaQuest provider portal to file claims as well as check member eligibility. Change state → You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. Upcoming final dates to submit to DentaQuest: 1. Jun 2, 2023 · You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. O Box 3236 Scranton, PA 18505 Copyright © 2002-2024 BeyondTrust Corporation. DentaQuest can be reached at 1-888-260-5152. Contact Us California Dental Network 23291 Mill Creek Drive Suite 100 Laguna Hills, CA 92653 Phone: (877) 433-6825 Fax: (949) 830-1655 The California Department of Managed Health Care is responsible for regulating health care service plans. Accordingly, the DentaTrust plans utilize the DentaQuest dentist network in Ohio. TEXAS PROVIDERS The Network for Quality Dental Care in Texas DentaQuest is a leading dental insurance provider in Texas, providing dental coverage to eligible members of various Medicaid, CHIP and Medicare Advantage plans. If you still have a complaint after you've gone through the DentaQuest complaint process, call the Texas Department of Insurance at 1-800-252-3439 (toll-free). Your state fair hearing might not change the decision the dental plan made about your services. We employ these tools to promote an Simplify office administrative tasks Keep our Quick Reference Guide nearby to make pre-visit planning and post-visit tasks quick and easy. A: Under DentaQuest’s administration, providers can expect advantages including an easy-to-use provider portal, which is available 24/7 for your convenience, for electronic claims submissions, claims payment status and more; limited services that require a Prior Authorization Review (PAR); and availability of Pre-Payment Review (PPR), allowing you to treat members without need for a PAR. If you’re a Tier 2 Blue Par Select provider, Blue Cross Blue Shield of Michigan uses proprietary fees for adjudicating claims. 508. Either you or DentaQuest can request one, 14 calendar day extension. Ensure all required documentation, including your itemized receipt and any other necessary documents, are attached to avoid delays in processing your claim. If you’re a Tier 1 in-network provider, contact your network for a copy of your fee schedule. com. Electronically filed claims must use EDI Claims /Payer ID number - SWHNY. DentaQuest does not require PAs unless it's for an orthodontic procedure. If a provider is not yet contracted with DentaQuest and/or does not have portal access, PA requests can be sent in via clearinghouse or mail. Michigan Provider Reference GuideMICHIGAN DESK REFERENCE You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. Welcome Dental Care Plus Group (DCPG) Members. Claims/Payment Issues – Fax 262-241-7379 Claims to be Processed – Fax 262-834-3589 All Other Inquiries – Fax 262-834-3450 Claims Questions – Email denclaims@dentaquest. Mailing Address The claims mailing address and payor ID will remain the same: PO Box 8050 Farmington, MO 63640-8050 Payor ID: 68069 Nov 1, 2023 · If you ask your dental plan to continue services you already receive during your state fair hearing case, the dental plan will pay for those services if your case is decided in your favor. If you are a DentaQuest member and want to learn more about your benefits, visit our Members page and select your state to begin. You Program Background DentaQuest USA Insurance Company, Inc. Box 2906 Milwaukee, WI 53201-2906 Website: dentaquest. com on the Dentists page. You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. Not only are we the second-largest dental benefits provider 1 in the U. benefits@dentaquest. 3456 for questions related to benefits, claims and member eligibility. South Carolina dental providers enrolled in the DentaQuest network serve members of the following health plans and government programs in South Carolina. If you have questions about MassHealth dental claims, contact DentaQuest, the dental claims processor at (800) 207-5019, Monday through Friday from 8:00 a. Please review the information below on when to submit documentation to DentaQuest. DentaQuest is a leading dental insurance provider in California, serving members of Medicaid (Medi-Cal), Medicare Advantage, Marketplace and Commercial plans. Paper Claims: DentaQuest Claims PO Box 2906 Milwaukee, WI 53201 FAX: 262. DentaQuest provides dental coverage to Medicaid-eligible adults and children in New York who are members of Fidelis Care plans, including: Fidelis Care Children Medicaid Create an account on the provider portal where you can access information about plans, claims and more. The information refers to the "Documentation Required” field in the Benefits Covered section (Exhibits). We are proud to be your company’s preferred dental insurance carrier and look forward to serving you. No other dental benefits administrator has the amount of experience, the level of clinical expertise, or the range of technology possessed by DentaQuest USA. Refer to your Evidence of Coverage for more information. O Box 22615 | Long Beach, All members have a right to receive pertinent, up-to-date information about DentaQuest, the managed care services DentaQuest provides, the participating providers and dental offices, as well as member rights and responsibilities. Relevant specialty consultation notes. Select your state and plan from our member's page to get your plan's customer service phone number. Delaware dental providers enrolled in the DentaQuest network serve members of the following health plans and government programs in Delaware. Alternatively, check if there are options for online submission through your member portal for added convenience. Dental claims submitted to DentaQuest for payment by TennCareSM must be submitted to the primary dental insurance (when applicable) prior to submission to DentaQuest for payment. Redistribution Prohibited. DentaQuest provides dental coverage to adults, pregnant women and children who are eligible for Illinois Medicaid and are members of Molina Healthcare of Illinois. S. Current (up to 6 months), adequate patient history related to the requested services. Grievances are not for issues related to decisions made about services under your dental plan. OHIO PROVIDERS THE NETWORK FOR QUALITY DENTAL CARE IN OHIO DentaQuest is a leading dental insurance provider in Ohio, providing dental coverage to eligible members of various Medicaid, Medicare-Medicaid, Medicare Advantage, Marketplace and Personal plans. . Completed forms should be emailed or faxed to You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. 453. 2 Program Background DentaQuest USA Insurance Company, Inc. To receive reimbursement, submit this form along with your itemized receipt and proof of payment to: Electronic Claims should be sent: Direct entry on the web – www. This option is free of charge for in-network dentists. com Health First Colorado and CHP+ Authorization & Claim Requests Fax: 262-834-3589 Mailing Address: DentaQuest - CO PO Box 2906 Milwaukee, WI 53201-2906 You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. DentaQuest Web Portal Log-in provideraccess. DentaQuest can be reached at 855. If you want to make your complaint in writing, please send it to the following address: It is essential that DCPG is informed of all changes of address, telephone numbers, additional ofice sites, and dentists coming into or leaving established dental practices to make certain our records are accurate for payment. You can also contact us by email. The dental office asks you to pay a coinsurance amount that isn’t listed on the Coinsurance and Procedure Code List A dentist listed You can contact your software vendor and make certain that they have DentaQuest listed as the payer and claim mailing address on your electronic claim. Claims are processed and paid by DentaQuest, a third-party administrator for the DentaTrust dental plans. gov and Pennie. net. Any other information or data specific to the Dec 31, 2024 · DentaQuest provides dental coverage to eligible members of the following Oklahoma SoonerSelect plans: Oklahoma SoonerSelect - members under 21 Oklahoma SoonerSelect - members ages 21 and older Members can choose their Primary Care Dentist (PCD). Participating providers can check member eligibility, submit& status claims and view payments on the portal. benefits@DentaQuest. donkl oeyxr yqxr wjpgm ldj vzilsmms pfliqx rjyzkp aobbh agwbr