Dental claims source scope
DentaQuest’s current provider resources concern dental benefits and state/product-specific administration. Verify the applicable dental plan, manual and submission channel separately from medical benefits.
Check the dental claims and pretreatment source · Partial source comparison 2026-09-26; not whole-record approval.
Other historical registry details below are not certified by this source-scoped comparison. Confirm the issuing company, applicable product and current instructions.
DentaQuest at a glance
| Legal name | DentaQuest, LLC |
|---|---|
| Also known as | DentaQuest USA |
| Category | Commercial |
| Parent organization | Sun Life Financial |
| Dental claims (source-scoped) | DentaQuest’s current provider resources concern dental benefits and state/product-specific administration. Verify the applicable dental plan, manual and submission channel separately from medical benefits. |
| Eligibility (270/271) payer ID | CX014 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | CX014 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Members covered | ~33 million members |
| Provider resource entry point | https://www.dentaquest.com/en/providers |
| Provider phone | 1-800-508-1205 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for DentaQuest
This registry lists 180 days as an initial-claim reference for DentaQuest. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 180 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for DentaQuest. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: DentaQuest provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Dental pretreatment estimates with DentaQuest
Confirm the specific benefit, responsible plan and applicable authorization or pretreatment instructions. This source comparison does not establish a medical prior-authorization clock.
Dental pretreatment and appeal source
DentaQuest’s current provider resources concern dental benefits and state/product-specific administration. Verify the applicable dental plan, manual and submission channel separately from medical benefits. Verify eligibility (270/271), remittance (835) and any authorization transaction (278) separately for the issuing company, product and clearinghouse. Dental claim submission and pretreatment estimates do not certify those transactions. Registry flags are not current transaction-complete approval; an unverified field is not a finding that a service is unavailable.
Top denial reasons for DentaQuest
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient DentaQuest volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| Dental claims (source-scoped) | Listed in registry; verify current scope | DentaQuest’s current provider resources concern dental benefits and state/product-specific administration. Verify the applicable dental plan, manual and submission channel separately from medical benefits. |
| 270 / 271 eligibility | Listed in registry; verify current scope | CX014 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | CX014 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
record_scope
Source comparison: 2026-09-26
The current landing describes dental-benefits administration, with product/state resources. It does not establish generic medical claims routing.
Primary source for record_scopeportal_url
Source comparison: 2026-09-26
Current public provider resource is /en/providers, which offers dental claim options and state resources.
Primary source for portal_urlelectronic_claims_supported / supports_279_271 / supports_278
Source comparison: 2026-09-26
The page describes dental claim submission options. This does not independently approve all transaction flags, IDs or live connectivity; trading-partner detail retrieval failed.
Primary source for electronic_claims_supported / supports_279_271 / supports_278
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; payer_ids.claims: Stored CX014 was not verified for every current product or transaction. Search-discovered state manuals are separate evidence leads.; provider_phone: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization.; timely_filing_days: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization.; payer_ids.eligibility / payer_ids.era / era_payer_id: No current transaction-specific eligibility/ERA identifier evidence was verified; do not reuse claim identifiers.; appeal_levels / prior_auth_required_codes_sample / qi_module_coverage: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization..
Sources used for this guide
Evaluate QuickIntell workflow fit for DentaQuest
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for DentaQuest; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for DentaQuest; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for DentaQuest before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about DentaQuest
Where is the DentaQuest provider portal?
Use https://www.dentaquest.com/en/providers as a starting point for DentaQuest provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for DentaQuest?
This registry lists 180 days as an initial-claim reference for DentaQuest. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
What is the DentaQuest payer ID?
Claims: DentaQuest’s current provider resources concern dental benefits and state/product-specific administration. Verify the applicable dental plan, manual and submission channel separately from medical benefits.. Eligibility (270/271): CX014 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): CX014 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does DentaQuest accept electronic claims?
DentaQuest’s current provider resources concern dental benefits and state/product-specific administration. Verify the applicable dental plan, manual and submission channel separately from medical benefits. Verify eligibility (270/271), remittance (835) and any authorization transaction (278) separately for the issuing company, product and clearinghouse. Dental claim submission and pretreatment estimates do not certify those transactions. Registry flags are not current transaction-complete approval; an unverified field is not a finding that a service is unavailable.
How do I appeal a DentaQuest denial?
This registry has not established a payer-specific appeal ladder for DentaQuest. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Is a dental pretreatment estimate from DentaQuest a prior authorization?
Confirm the specific benefit, responsible plan and applicable authorization or pretreatment instructions. This source comparison does not establish a medical prior-authorization clock.
What is the DentaQuest provider phone number?
This registry lists 1-800-508-1205 as a contact reference for DentaQuest. Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around DentaQuest requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against DentaQuest's current published documents before submission. CPT® is a registered trademark of the American Medical Association.