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INTEROPERABILITY

SHARE YOUR DATA FROM ANOTHER PLAN

Coming in 2027. The Payer to Payer API is a safe and simple way for you to share your health information from a previous plan with DentaQuest. It allows DentaQuest to understand your dental history and support a smooth transition of your care.

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Sharing your Data is safe and secure

How to share your information with DentaQuest

Starting January 1, 2027
 

Sharing your dental health information helps us serve you better by letting your current and past dental plans work together. This helps you get the most from your dental benefits.

 

Here are the simple steps to share your information:

 

  1. Create or log into your DentaQuest member account.
  2. Click on the Manage my Data button next to the member name.
  3. Click on the Dental Plans tab.
  4. If you select “Yes. Add sharing” next to the member’s name. The page will update. You will see the dental plans we have on file for you.
  5. You will need to set this up for each member one at a time.

 

Note: If you want DentaQuest to get information from a dental plan that is not on the list, please call Customer Service at the number on the back of your ID card. You must give permission before we ask for your data.

How to share your DentaQuest information with a new plan

Starting January 1, 2027, to share your dental history:

 

  1. Contact your new plan.
  2. Give them your DentaQuest member number.
  3. They will ask DentaQuest for your records.
  4. If we confirm your information, we will send your dental history to your new plan.

Frequently Asked Questions

No. You choose if you want to share your information. We only request your data if you tell us to ask for it.

Your old plan may share:

  • Dental claims
  • Visits and treatments
  • Other plan details

Only certain information can be shared, and there may be limits.

Yes. Your information is shared using secure systems. Only approved information is exchanged between plans.

Yes. You must give permission (opt in) before we request your information.

Yes. You can change your choice at any time. New requests will stop after you opt out.

No. This only shares information between insurance plans.

Plans may share up to a set amount of past information. Some rules limit how much history is included.

For California Residents:
California Health and Safety Code (H&S Code) § 130290 was enacted in 2021 and establishes the creation of the California Health and Human Services Data Exchange Framework (“Data Exchange Framework”), which requires certain data sharing among providers and other health care organizations.

ATTENTION: If you need help in your language, call DentaQuest member services. Aids and services for people with disabilities, like documents in braille and large print, are also available. These services are free of charge.

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PREVENTISTRY PULSE

A newsletter with tips and information to improve your oral health.