New Payor Connections Added in January

Electronic Claims: Dentrix now has an eClaim connection with the following payors. If any of your patients are using these carriers, you can reduce paper claims and submit claims through Dentrix instead.

Payor ID Payor Name
EMBDQDQ/Emblem (EmblemHealth Medicaid)
37264Mercy Benefit Administrators
38219AmeraPlan
46278ENVD IN MHS Hoosier Healthwise Package A
46278ENVD IN MHS Hoosier Healthwise Package C
46278ENVD GA Peach State Medicaid CHIP
46278ENVD GA Peach State Medicaid Adult
46278ENVD GA Peach State Medicare Advantage
46278ENVD GA Peach State Ambetter
46278ENVD AR Ambetter
46278ENVD TX Superior HealthPlan Medicare Adv
46278ENVD MS Magnolia Medicare Advantage
46278ENVD WI MHS BadgerCare Plus Standard SSI
46278ENVD OH MyCare MMP Medicare Opt In
46278ENVD OH MyCare MMP Children 18+
46278ENVD OH Medicare Advantage
46278ENVD OH HIM (Ambetter)
46278ENVD OH Child and Adult CFC/ABD All Ages
46278ENVD IN MHS Hoosier Care Connect
46278ENVD IN MHS Ambetter
46278ENVD IN MHS HIP Basic, Plus, Pregnancy
46278ENVD IN MHS HP Plus
46278ENVD IN MHS HP Basic (19–20 yrs old)
46278ENVD IL Illinicare Health Ambetter
46278ENVD IL Illinicare Health MMA (Dual)
46278ENVD IL Illinicare Health Medicaid
46278ENVD AZ Health Net Medicare Advantage
46278ENVD AZ Health Net Access Medicaid Adult
46278ENVD AZ Health Net Access Medicaid Chip
46278ENVD AZ Bridgeway Health Solutions Child
46278ENVD AZ Bridgeway Health Solutions Adult
46278ENVD AZ Bridgeway Advantage
46278ENVD AZ Cenpatico Integrated Care

Attachments: You can now add digital X-rays, EOBs, photos and Perio charts to electronic claims sent to the following payors.

Payor ID Payor Name
46278ENVD IN MHS Hoosier Healthwise Package A
46278ENVD IN MHS Hoosier Healthwise Package C
46278ENVD GA Peach State Medicaid CHIP
46278ENVD GA Peach State Medicaid Adult
46278ENVD GA Peach State Medicare Advantage
46278ENVD GA Peach State Ambetter
46278ENVD AR Ambetter
46278ENVD TX Superior HealthPlan Medicare Adv
46278ENVD MS Magnolia Medicare Advantage
46278ENVD WI MHS BadgerCare Plus Standard SSI
46278ENVD OH MyCare MMP Medicare Opt In
46278ENVD OH MyCare MMP Children 18+
46278ENVD OH- Medicare Advantage
46278ENVD OH- HIM (Ambetter)
46278ENVD OH Child and Adult CFC/ABD All Ages
46278ENVD IN MHS Hoosier Care Connect
46278ENVD IN MHS Ambetter
46278ENVD IN MHS HIP Basic, Plus, Pregnancy
46278ENVD IN MHS HP Plus
46278ENVD IN MHS HP Basic (19–20 yrs old)
46278ENVD IL Illinicare Health Ambetter
46278ENVD IL Illinicare Health MMA (Dual)
46278ENVD IL Illinicare Health Medicaid
46278ENVD AZ Health Net Medicare Advantage
46278ENVD AZ Health Net Access Medicaid Adult
46278ENVD AZ Health Net Access Medicaid Chip
46278ENVD AZ Bridgeway Health Solutions Child
46278ENVD AZ Bridgeway Health Solutions Adult
46278ENVD AZ Bridgeway Advantage
46278ENVD AZ Cenpatico Integrated Care

Electronic Explanation of Benefits: You can now receive electronic explanations of benefits (eEOB/ERA) from the following payors.

Payor ID Payor Name
CKMA1Medicaid of Massachusetts (DentaQuest)
CKMA1Health Safety Net (HSN)

View the entire list of electronic payor connections using the Payor Search Tool. You can search for specific payors or view the complete payor list.

Call 800.734.5561 to enroll for eClaims or for help setting up any of these services.



Author: Bruce Herbert, eServices Product Marketing Manager
Published: 02/28/2017
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