Dental Real-Time Enrollment Forms

Participation in Dental Real Time Eligibility Inquiry (RTE) is limited to those providers whose practice management software vendor is participating in RTE with Change Healthcare or to those providers who have a Dental Connect (DC) account. Please contact your software vendor to verify participation or register for a DC account at https://dental.changehealthcare.com/.


All Dental Real-time Enrollment Forms

Title Payer ID States
QC Test Claims Enrollment QC123 Illinois
MEDICAL CARD SYSTEM PRMCS States unavailable for MEDICAL CARD SYSTEM
TRIPLE S MEDICARE ADVANTAGE PRADV States unavailable for TRIPLE S MEDICARE ADVANTAGE
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA 38520 States unavailable for BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA