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Claims Processing Updates

Page last updated: 2/10/2026

We know insurance payments are vital to your business and want to make sure you have the cash flow you need. We'll update this page regularly as we have more information about claims, eligibilities, and ERAs.

LATEST UPDATES

CLAIMS

Important Notice for Delta plans Processed by Delta Dental of Michigan

Effective 2/13/2026, the following Delta plans processed by Delta Dental of Michigan will require both tooth number and quadrant for claims submitted with the following procedure codes: D4211, D4231, D4241, D4261, D4342, D7296, D7311, and D7321.

  • Delta Dental of Michigan (Payor ID: DDPM)
  • Delta Dental of New Mexico (Payor ID: DDPNM)
  • Arkansas Medicare Advantage (Payor ID: ARCMS)
  • Clear Spring Health (Payor ID: ILCMS)
  • Delta Dental of South Dakota Medicare Advantage (Payor ID: SDCMS)
  • Farm Bureau Health Plan (Payor ID: TNCMS)
  • Sentara Health Plans (Payor ID: VACMS)
  • Delta Dental of Tennessee (Payor ID: DDPTN)
  • Delta Dental of North Carolina (Payor ID: 56101)
  • Delta Dental of Ohio (Payor ID: DDPO)
  • International Brotherhood of Electrical (Payor ID: DDPO)
  • UFCW (Payor ID: DDPO)
  • United Food and Commercial Workers (Payor ID: DDPO)
  • Renaissance Life and Health (Payor ID: RLHA1)
  • Renaissance Life and Health (New Routing) (Payor ID: RLHA2)
  • Renaissance Medicaid (formerly Tenncare) (Payor ID: TNC02)
  • Delta Dental of Indiana (Payor ID: DDPI)
  • Indiana/Kentucky/Ohio Regional Council of Carpenters Welfare Fund (Payor ID: DDPI)
  • Delta Dental Wisconsin Medicare Advantage (Payor ID: WIMAN)

Important Notice for CareSource Ohio Payors:

  • CareSource Ohio Medicaid (Delta), Payor ID: NMCD2
  • CareSource Ohio Dental FIDE (Delta), Payor ID: FIDE2

Henry Schein One and our Clearinghouse partner are aware of multiple escalations regarding missing claims associated with the new Ohio CareSource Medicaid plans (NMCD2 and FIDE2) that went into effect January 1, 2026, and are processed by Delta Dental.

Our clearinghouse partner has confirmed successful electronic delivery and receipt of all related claims. Delta Dental EDI Team has advised they are currently experiencing processing delays, which is impacting claim visibility for their customer service team.

For the most up-to-date information regarding claim or pre-determination status and processing timelines, providers should contact Delta Dental directly. 

MassHealth Dental Program (Payor ID CKMA1)
New Dental Third Party Administrator (TPA)

DentaQuest will become MassHealth’s dental processor on February 1, 2026. The current dental processor BeneCare, will continue through January 31, 2026.

Providers should not submit any claims to DentaQuest that were previously submitted to BeneCare unless instructed otherwise by MassHealth.

There is no action that your office will need to take, and you should continue to use Payor ID CKMA1. Henry Schein One and our clearinghouse partner will route to the appropriate Third Party Administrator (TPA) based on submission dates.

Delta Dental of Kentucky (Payor ID CDKY1)

Claim payments for out-of-state members had been going to the patients, regardless of the assignment of benefits status.

We have been informed that this was due to a change on the payor's side, and has now been corrected.

Payments should now be delivered to the providers as expected.

Duration of issues was March 2025-Jan 2026. 

Payor ID Change for National Elevator Industry Benefit Plan (Payor ID: CX045)

Henry Schein One has received notification that there has been a recent Payor ID change for National Elevator Industry Benefit Plans.

Effective Date of Service After 1/1/2026: Submit claims for National Elevator Industry Benefit Plans - Please send claims to Payor ID 64246.

For Dates of Service Prior to 1/1/2026: Continue submitting claims for National Elevator Industry Benefit Plans with Payor ID CX045.

Public Employee Health Plan (PEHP), Payor ID: CX080

Effective January 1, 2026, PEHP will no longer accept paper Dental Claims. Beginning January 12, 2026, Offices/Providers that have not completed the Special Enrollment for this Payor will receive a claim rejection with the message similar to "Entity not approved as an electronic submitter.”

If you have not completed the required Special Enrollment, please visit our enrollment site at https://www.dentalxchange.com/channel-partner/lp/henry-schein-one to avoid Delayed/Unprocessed claims. Note: You will need to complete this step for both Billing and Rendering Providers. 

The enrollment process takes 14-30 business days for approval. While you are awaiting the approval for electronic delivery to the payor, you can submit your claim(s) individually via the Payor Portal at: https://www.pehp.org/MyPehpProviders/Account/Logon . 

Medicaid of Ohio (CareSource)

Henry Schein One has received notice that Delta Dental of OH will be taking over some of the Medicaid (OH) Networks from DentaQuest as of January 1, 2026. Be sure to verify your patients' insurance cards for any changes on their coverage. Please see the updates below to ensure you're sending to the correct payor ID:

  • CareSource Ohio Medicaid (Delta), Payor ID: NMCD2
    • Group # 20000
    • PO Box 2300, Farmington Hills, MI 48333-9998
    • Date of Service: 1/1/2026 and later
  • CareSource Ohio Dental FIDE (Delta), Payor ID: FIDE2
    • Group # 25000
    • PO Box 2300, Farmington Hills, MI 48333-9998
    • Date of Service: 1/1/2026 and later
  • CareSource Ohio Dental Medicaid (DentQuest), Payor ID: CKOH2
    • PO Box 2906, Milwaukee, WI 53201
    • Date of Service: 1/1/2026 and previous
  • Medicaid of Ohio, Payor ID: CKOH1
    • PO Box 7965, Akron, OH 44306
    • No changes to this payor.

Caresource Georgia (Payor ID: GACS1)

Henry Schein ONE has received notification that his payor is no longer accepting dental claims through our vendors' established connection. Our vendor will continue to work with the payor to re-establish this electronic connection. In the meantime, any dental claims and/or attachments that you submit to this payor will be printed and mailed to the payor at PO Box 803, Dayton, OH 45401, with no action being required by the provider.

Any claims that you submitted from 11/1/2025 to 12/2/2025 that received an error of "Missing or invalid information. **THE PAYOR IS NOT VALID. PLEASE CORRECT AND RESUBMIT THE FAILED TRANSACTIONS.", will be printed and mailed to the payor on your behalf. There is no action your office will need to take around these claims.

We know this is an inconvenience and will provide an update if an electronic connection is re-established.

Delta Dental of Missouri and South Carolina (Payor ID: 43091 and 43090)

Effective 12/12/2025:  Primary paid amounts will be required on all secondary and tertiary claims. If you submit a claim with out the primary paid amount, the claim will be rejected for correction and resubmission.

If you receive a rejection message such as:

  • Provider Tax ID not in system
  • Verify Provider/Location combination
  • No/Not found provider
  • No/Not found location

Please contact the payor to verify your information and or make any necessary updates.

You may also log into their Provider Portal at https://www.deltadentalmo.com to verify your information.

ATTACHMENTS

"The Payor Does Not Support Attachments" Rejection Messages

If you receive attachment rejections with a message stating, "The Payor Does Not Support Attachments", make sure to check the Payor ID you are using for the claim and compare it to the Henry Schein One Payor List:  

Payor IDs do change periodically, and several were updated as a result of the Change Healthcare Cyber Incident with the legacy Payor ID being deactivated on the Henry Schein One end. 

When a Payor ID not supported by Henry Schein One is received (either an ID that has never been supported or has been deactivated by Henry Schein One), an attempt is made to 'map' the submitted Payor ID to the Supported Payor ID. 

If this is unsuccessful, the Payor ID will be changed from the Submitted Payor ID to our "generic" Payor ID 06126. Payor ID 06126 does not support attachments and as a result, attachments on any claim associated with Payor ID 06126 will be rejected.  

ELIGIBILITIES

Delta Dental now requires Multi-Factor Authentication (MFA) for all portal logins. To keep your eligibility verifications running smoothly, you’ll need to reconnect using the new Delta Dental Ins Co. connection group.  If you do not complete this step, your Eligibility Pro or Pro On-Demand connections to Delta Dental may stop working properly. 

Please click one of the links below to complete your setup today:

Completing this update ensures your eligibility checks remain secure, consolidated, and fully compliant with Delta Dental’s new MFA requirements.   

Resources

Frequently Asked Questions

Payor Enrollment

I've heard that some payors have special enrollment requirements. How can I find out if a payor I work with has these requirements?

If a payor you work with is not listed, they may require special enrollment. We've added a Special Enrollment Forms page to help you enroll with payors who have special requirements for claims and/or ERAs.

Please note: You must follow all the instructions on the special enrollment forms. Some payors, including Denti-Cal, require you to notify DentalXChange when you receive your payor approval. When you receive confirmation from the payor that your enrollment was received, email hs1enrollment@dentalxchange.com and include the approval message from the payor as an attachment.

I'm getting a claim status that says "Payer requests enrollment for EDI submission." What does that mean?

This error means that the payer on that claim requires special enrollment that isn't complete. This happens for one of three reasons:

  • Your practice hasn't completed the special enrollment forms.
  • The payer hasn't approved your enrollment. (Timeline for approval varies by payer from as little as 1-3 days to a maximum of 3 months.)
  • DentalXChange hasn't received your payer enrollment confirmation.

To fix this error you just need to complete the special enrollment steps for that payer.

  1. Visit the special enrollment site and click Enroll in Claims.
  2. Select the payer(s) you want to enroll with and follow the instructions.
  3. IMPORTANT: When you receive confirmation from the payer that your enrollment was received, email hs1enrollment@dentalxchange.com and include the approval message from the payer as an attachment.

Once DentalXChange has received your approval confirmation they'll be able to submit claims to that payer on your behalf.

For information about other common claims statuses and how to resolve them, read our Steps for Resolving Claims Statuses tip sheet.

ERAs (Electronic Remittance Advice)

How does the ERA enrollment process work?

We've set up a multi-payer ERA Enrollment Service powered by DentalXChange at no additional cost to you.

New to ERAs?

Dentrix users: Visit  https://www.dentrix.com/products/eservices/eclaims/eeob for information regarding the enrollment process via Henry Schein One and DentalXChange.

Dentrix Ascend users: Visit https://hsps.pro/DentrixAscend/Help/Enrolling_locations_in_the_ERA_service_for_the_first_time.htm for information regarding the enrollment process via Henry Schein One and DentalXChange.

Dentrix Enterprise users: Visit https://www.dentrixenterprise.com/products/addons/era for information regarding the enrollment process via Henry Schein One and DentalXChange.

Payor Enrollments

  • Each payor has a different turnaround time for processing ERA enrollments, which in some cases is up to 30 business days. This timeline is set by the payor. It’s important to start your enrollment as soon as possible. 
  • ERA enrollment doesn't change the way you recieve payments. You'll still need t owork with payors directly to set up EFT payments.
  • See which payors participate in the ERAs with our clearinghouse:
  • Visit the enrollment page and click Enroll in ERAs. Fill out the online form to start your ERA enrollment process.
  • Please do not select "All Payors" on the enrollment form as this will delay the enrollment steps. Only select the payors you are actually processing to and wish to receive ERAs from.
  • Once your enrollment is complete, DentalXChange will deliver ERAs to your Henry Schein One practice management system multiple times per day. You'll receive ERAs the same way you received them previously.