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.
Contact Details
DentaQuest Provider Services: (877) 468-5581
Wellcare Provider Services: (855) 343-7401
Recruitment: 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.
Reciba pagos más rápido con el depósito directo
La transferencia electrónica de fondos (EFT), comúnmente conocida como depósito directo, es la forma más rápida, fácil y segura de recibir los pagos de sus reclamaciones. Después de enviar correctamente una reclamación, los fondos se depositarán dentro de los 3 días hábiles. Su comprobante de pago estará disponible en línea en el Portal Web para Proveedores y ya no se le enviará por correo.
Cómo inscribirse: Haga clic aquí para acceder al formulario de Transferencia Electrónica de Fondos (EFT). Imprima el formulario, complételo y envíelo según las instrucciones que aparecen en la página 2 del formulario.
Mejorar la salud bucal de todos
La buena salud bucal es un derecho humano. Con prevención y acceso regular a un cuidado dental de calidad, DentaQuest ayuda a los pacientes a llevar una vida más sana, de una sonrisa a otra. Mire el video para conocer más sobre nuestra misión.
Oral Health News & Resources
PULSO PREVENTIVO
El boletín informativo diseñado para todos los que deseen mejorar su salud bucal para sí mismos, sus familias, clientes y comunidades.