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
TRIPLE S CBPR1 States unavailable for TRIPLE S
MAPFRE PRFRE States unavailable for MAPFRE
HEALTH PARTNERS CX009 States unavailable for HEALTH PARTNERS
FLORIDA MEDICAID CKFL1 States unavailable for FLORIDA MEDICAID
CALIFORNIA MEDICAID 94146 States unavailable for CALIFORNIA MEDICAID
MEDICAL CARD SYSTEM PRMCS States unavailable for MEDICAL CARD SYSTEM
TRIPLE S MEDICARE ADVANTAGE PRADV States unavailable for TRIPLE S MEDICARE ADVANTAGE