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DentaQuest - Individual

DentaQuest - Individual

This page contains information you can use to exchange healthcare transactions with DentaQuest - Individual using Stedi.
Use any of the following payer IDs to send transactions to DentaQuest - Individual using Stedi APIs or SFTP. Read the docs
Primary Payer ID
CX014
Stedi Payer ID
KZSME
Payer ID aliases
10780, 10794, 12240, CKIL1, CX014, CX052
Coverage types
Dental, Medical

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
Weeks
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.
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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
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