Welcome, DentaQuest Dentist

 

Join Our Network:

Enroll by Mail:

We encourage you to complete your credentialing application online.  However, we understand an online solution is not everyone’s preference. you prefer to complete a paper application, please call your provider relations representative.
 

CAQH Sign Up

Important Information about BlueCross BlueShield of Michigan

2019 Benefit Changes to Blue Cross Blue Shield of MI (BCBSM) Medicare Advantage Plan
The BCBSM Medicare Advantage Office Reference Manual has been updated with benefit changes, effective 1/1/2019. Changes include added sub-groups, increased annual maximums, benefit enhancements, and co-insurance member responsibility changes. Be sure your office is verifying current covered benefits for this plan. Please refer to the health plan's Office Reference Manual (ORM) for the most current covered benefits (CDT codes) to ensure that you will receive allowable reimbursement for rendered services. A copy of the ORM is available on this page in the Provider Resources section.

Blue Cross Blue Shield of Michigan to Administer the Healthy Kids Dental program beginning October 1, 2018.
The Michigan Department of Health and Human Services chose Blue Cross Blue Shield of Michigan as one of two organizations to administer the Healthy Kids Dental (HKD) program to an underserved population beginning 10/1/2018. Blue Cross selected DentaQuest as its network vendor.
  • DentaQuest will handle all issues relating to general provider inquiries, provider education, portal training, claims, claims payments, electronic fund transfer and provider complaints and appeals.
  • DentaQuest will host provider orientation webinars that will include how to access resource tools, web portal access and features, checking eligibility, claims submission, appeals process, EDI related services etc.

Please refer to the BCBSM Healthy Kids Dental Office Reference Manual for covered benefits and important information about this plan. This manual has been updated effective 1/17/2019.
 

Electronic Claim Submission!
DentaQuest has launched a dental provider portal for electronic claims submission and eligibility verification for members with Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage, and BCBSM Healthy Kids Dental members.

BCBSM Payer ID:
  • To submit electronic claims for BCBSM Medicare Advantage and BCBSM Healthy Kids Dental members via a clearinghouse or directly to DentaQuest via our Trading Partner Portal, you must use Payer ID: BBMDQ
 

Important Notice to All Michigan Providers:

Aetna Better Health Office Reference Manual has been updated 4/1/2018. Subgroup was added. 
 
Attention Providers! MI Meridian Office Reference Manual 2019 is now live!
The MI Meridian Health Plan Office Reference manual has been updated, effective 01/01/2019, with benefit changes. DentaQuest has added new Medicare plans and coverage enhancements with updated allowances for this calendar year. Please visit the “Provider Resources” section to review the new ORM in detail. Should there be further inquiries, please contact the Provider Services customer line at (844)870-3977.

Be sure your office is verifying current covered benefits for each plan.

Please remember to refer to the health plan's Office Reference Manual (ORM) for the most current covered benefits (CDT codes) to ensure that you will receive allowable reimbursement for rendered services. A copy of the ORM is available on this page in the Provider Resources section.
 
 

News & Updates

As of January 1, 2018, DentaQuest began administering dental benefits for Blue Cross Blue Shield of Michigan and Blue Care Network Medicare Advantage programs.

If you have questions, you may contact Provider Services at 1-844-876-7917.

Effective January 1, 2018, DentaQuest will be administering the dental benefits for Dental Care Plus Plans in Michigan: DentaTrust (High or Low option) and DentaSpan (High or Low option).

Important Note:  Class IV  Orthodontics (under age 19) is NOT a covered benefit in the Low Option or High Option plans.  Refer to ORM for current covered benefits


 

Contact Information:

DentaQuest Customer Service: 844-870-3977
DentaQuest Credentialing Help Desk: 800-233-1468
DentaQuest Provider Services (BCBSM): 844-876-7917