Dental Claims Enrollment Forms

Change Healthcare has developed processes to allow payers and providers to electronically exchange sensitive medical claims, patient eligibility, ERA, and EFT payment information.

A small subset of payers require additional enrollment tasks be completed prior to accepting claims electronically. Those payers are denoted with a ‘Y’ in the ENROLL column of the Change Healthcare payer list located at Change Healthcare Payer List. If claims are submitted for a payer requiring the additional enrollment tasks prior to the approval being received by Change Healthcare, these claims will be rejected.