Summary
Delta Dental of Puerto Rico 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 66043, with 1 alternate ID 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, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
66043Also seen as 680652604- 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 |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Delta Dental of Puerto Rico?
- The payer ID for Delta Dental of Puerto Rico is 66043. Alternate IDs seen across clearinghouses include 680652604.
- How long does Delta Dental of Puerto Rico provider enrollment take?
- Delta Dental of Puerto Rico 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 of Puerto Rico require CAQH?
- No. Delta Dental of Puerto Rico does not use CAQH. Applications go through its own enrollment process.
- Does Delta Dental of Puerto Rico require ERA enrollment?
- Yes. Delta Dental of Puerto Rico requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Delta Dental of Puerto Rico cover?
- Delta Dental of Puerto Rico 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 Spot something out of date?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.