AmeriHealth Caritas Pennsylvania & Keystone First Provider Portal Alerts
- Effective Immediately, Z98.818 is no longer required for BLE submissions
- FQHCs – Please be advised that DentaQuest has encountered a technical issue that is affecting claims submitted by FQHCs for dual-eligible members. This issue is preventing the creation of the corresponding Medicaid claims and as a result, you may have noticed a recoupment of payments relating to claims for dual-eligible members.
Our team is actively working to resolve this matter and implement a solution. We are conducting a thorough review of all dual FQHC claims to identify those that require the creation of a Medicaid claim and committed to ensuring that all claims are processed efficiently. Please be assured that there is no need for you to resubmit any claims for review at this time.
We will provide another update once the final solution is determined.
Portal Assistance:
- Keystone First CHC: If you are having difficulty checking Participant eligibility, please contact Provider Services at 1-800-521-6007.
- Keystone First (HealthChoices): If you are having difficulty checking member eligibility, please contact Provider Services at 1-800-521-6007.
- ACPA CHC: If you are having difficulty checking Participant eligibility, please contact Provider Services at 1-800-521-6007.
- ACPA (HealthChoices): If you are having difficulty checking member eligibility, please contact Provider Services at 1-800-521-6007.
- Keystone First VIP Choice: If you are having difficulty checking member eligibility, please contact Provider Services at 1-800-521-6007.
- AmeriHealth Caritas VIP Care: If you are having difficulty checking member eligibility, please contact Provider Services at 1-800-521-6007.
Serving Patients Across Pennsylvania
Pennsylvania dental providers enrolled in the DentaQuest network serve members of the following health plans and government programs in Pennsylvania.
- Dental Care Plus Group HMO
- Dental Care Plus Group PPO
- PA Personal Dental Plan - EPO
- CIGNA+OSCAR
- DentaQuest Marketplace Family High
- DentaQuest Marketplace Family Low
- DentaQuest Marketplace Pediatric High
- AmeriHealth Caritas Pennsylvania
- Keystone First
- AmeriHealth Caritas VIP Care
- Clover Medicare
- Keystone First VIP Choice
- Pennsylvania Wellcare Medicare Advantage
- AmeriHealth Caritas Pennsylvania Community HealthChoices
- Keystone First Community HealthChoices
Contact Details
DentaQuest Provider Services: (877) 468-5581
Wellcare Provider Services: (855) 343-7401
Recruitment: (855) 873-1283, NetworkDevelopment@dentaquest.com
Required Training
DentaQuest’s robust training empowers you to make a positive impact on the oral health of your community while benefitting your practice.
Important Documents and Links
Join our provider network.
We keep it simple. From credentialing, authorizations and claims processing, to network training and patient engagement, we are committed to driving value for your dental practice and alleviating administrative hassle so you can focus on treating patients.
Get Paid Faster with Direct Deposit
Electronic Funds Transfer (EFT) which is commonly referred to as direct deposit, is the fastest, easiest and safest way to receive your claim payments. After a claim is successfully submitted, funds will be deposited within 3 business days. Your remittance will be available online in the Provider Web Portal and no longer mailed to you.
How to Enroll: Click here to access the EFT form. Print out the form and fill it out and submit per the instructions on page 2 of the form.
Improving the oral health of all
Good oral health is a human right. With prevention and regular access to quality dental care DentaQuest is helping patients live healthier lives, one smile at a time. Watch the video to learn more about our mission.
Oral Health News & Resources
PREVENTISTRY PULSE
The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities.