Connecticut Dental

Medicaid of Connecticut

  • Emdeon Link
  • No enrollment forms required
  • Provider must have NPI registered with Medicaid and have NPI on claims
  • Payer ID – CKCT1

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