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CredNet

Delta Dental of Puerto Rico

Part of Delta Dental

Specialty plandental
Typical enrollment turnaround
30-60 days

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.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredSeveral 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.

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 Spot something out of date?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.