Colorado Dental

Medicaid of Colorado

  • Direct Link
  • ACS
  • Payer ID – 77016

Medicaid Enrollment Form

Medicaid EDI Update Form

Medicaid ERA Form

 National Payers Requiring Enrollment

UCCI

  • Direct Link
  • Payer ID – 89070 and 54771
  • If the office does not have a provider ID:
    • The office needs to call UCCI at (800) 633-5430, option 3, and let UCCI know that they will be submitting claims through Apex EDI.   Be sure to have them acknowledge every provider in the office that submits claims to UCCI.
  • If the office knows their provider ID you can submit the online form for them:
  • To Enroll for ERA’s:

Other National Payers Enrollment Forms