Georgia Dental

BCBS of Georgia

  • Emdeon Link
  • Provider needs to have their NPI registered
  • Payer ID – CBGA1

Medicaid of Georgia

  • Direct   Link (not working, use Emdeon)
  • Payer ID – GAMCD

Provider Enrollment Form (direct link)

Provider Update Form (direct link)

Emdeon Enrollment Form (use this until direct link is working)

National Payers Requiring Enrollment


  • 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