AmeriHealth Caritas PA & Keystone First Provider Portal Alerts
- Effective Immediately, Z98.818 is no longer required for BLE submissions
- FQHCs please submit T code claims via paper or clearinghouse
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
- Go to the self registration page and create a Provider User Account.
- Next, log in to, or register for the provider portal at govservices.dentaquest.com
- From the main menu, select administration → Electronic Funds Transfer. Fill out the form, upload a copy of a voided check with your banking information and submit.
You will receive a confirmation notification with a Request Number after successfully completing the form. Please allow up to five business days for processing.
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.