Summary
Delta Dental North Carolina is a specialty plan, part of Delta Dental Plans Association, offering dental coverage across all 50 states + DC (via 39 member companies). Claims route under payer ID 56101, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 30-60 days, with applications through State-specific Delta Dental portals, and CAQH is not used. Through clearinghouses it supports eligibility checks and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
56101Also seen as 10730, DDNC- Also known as
- Delta Dental of Minnesota - Only ERA, Delta Dental of Nebraska - Only ERA, Delta Dental of New Mexico - Only ERA, Delta Dental of Ohio - Only ERA, Delta Dental of Tennessee - Only ERA
- Uses CAQH
- NoApplication route: Payer's own application
- Service area
- All 50 states + DC (via 39 member companies)
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Delta Dental North Carolina?
- The payer ID for Delta Dental North Carolina is 56101. Alternate IDs seen across clearinghouses include 10730, DDNC.
- How long does Delta Dental North Carolina provider enrollment take?
- Delta Dental North Carolina provider enrollment typically takes 30-60 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Delta Dental North Carolina require CAQH?
- No. Delta Dental North Carolina does not use CAQH. Applications go through its own enrollment process.
- Does Delta Dental North Carolina require ERA enrollment?
- Yes. Delta Dental North Carolina requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Delta Dental North Carolina cover?
- Delta Dental North Carolina operates in All 50 states + DC (via 39 member companies). Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.