New York Dental

Medicaid of New York  

  • Emdeon Link
  • Needs to do both Enrollment form and TPA Enrollment form
  • Payer ID – CKNY1 (to be used only by Dental offices whose category of service is 0200)
  • Payer ID – CKNY2 (to be used only by Dental Clinics)

Medicaid Enrollment Form

Medicaid TPA Enrollment Form

BCBS of NY Empire

  • Emdeon Link
  • No enrollment forms required
  • Payer ID – CBNY1

 

BCBS of New York Western

  • Emdeon Link
  • Payer ID – CBNYW

BCBS Enrollment Form

BCBS of New York Eastern

  • Emdeon Link
  • payer ID CBNYE

BCBS Enrollment 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