What is the Stedi payer ID for DentaQuest - Individual?

The Stedi payer ID for DentaQuest - Individual is KZSME.

What is the primary payer ID for DentaQuest - Individual?

The primary payer ID for DentaQuest - Individual is CX014.

What payer IDs does DentaQuest - Individual use?

In addition to its primary payer ID CX014, DentaQuest - Individual uses several other payer IDs, including 10780, 10794, 12240, CKIL1, CX014, and CX052.

What transactions does DentaQuest - Individual support?

DentaQuest - Individual supports the following transactions: 270/271 eligibility checks, 837D dental claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with DentaQuest - Individual?

DentaQuest - Individual requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. DentaQuest - Individual supports COB checks through Stedi.

What other names does DentaQuest - Individual go by?

DentaQuest - Individual is also known as DentaQuest, Dentalcare Plus - Individual, Doral Dental of Wisconsin, Medicaid Illinois Dental, and Tenn Dent.

All payers

PAYER

DentaQuest - Individual

This page contains information you can use to exchange healthcare transactions with DentaQuest - Individual using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to DentaQuest - Individual using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with DentaQuest - Individual using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to DentaQuest - Individual.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to DentaQuest - Individual to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to DentaQuest - Individual in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to DentaQuest - Individual and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to DentaQuest - Individual and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from DentaQuest - Individual to review full payment details.

Enrollment process type

One-click

Activation timeframe

Days

Supported

Dental claims

(837D)

Submit dental claims to DentaQuest - Individual and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to DentaQuest - Individual.

Get started

Use Stedi's APIs to get fast and reliable connectivity to DentaQuest - Individual and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and DentaQuest - Individual today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

DentaQuest
Dentalcare Plus - Individual
Doral Dental of Wisconsin
Medicaid Illinois Dental
Tenn Dent

Payer Network

All payers

PAYER

DentaQuest - Individual

This page contains information you can use to exchange healthcare transactions with DentaQuest - Individual using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to DentaQuest - Individual using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with DentaQuest - Individual using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to DentaQuest - Individual.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to DentaQuest - Individual to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to DentaQuest - Individual in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to DentaQuest - Individual and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to DentaQuest - Individual and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from DentaQuest - Individual to review full payment details.

Enrollment process type

One-click

Activation timeframe

Days

Supported

Dental claims

(837D)

Submit dental claims to DentaQuest - Individual and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to DentaQuest - Individual.

Get started

Use Stedi's APIs to get fast and reliable connectivity to DentaQuest - Individual and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and DentaQuest - Individual today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

DentaQuest
Dentalcare Plus - Individual
Doral Dental of Wisconsin
Medicaid Illinois Dental
Tenn Dent