2026 Dental Trends Outlook: Your roadmap to smarter patient care, greater efficiency, and a more profitable practice.

Last Updated: 2/10/2026

We know insurance payments are vital to your business and want to make sure you have the cash flow you need. We'll update this page regularly as we have more information about claims, eligibilities, and ERAs.

Latest Updates

CLAIMS

Important Notice for Delta plans Processed by Delta Dental of Michigan 

Effective 2/13/2026, the following Delta plans processed by Delta Dental of Michigan will require both tooth number and quadrant for claims submitted with the following procedure codes: D4211, D4231, D4241, D4261, D4342, D7296, D7311, and D7321. 

  • Delta Dental of Michigan (Payor ID: DDPM) 
  • Delta Dental of New Mexico (Payor ID: DDPNM) 
  • Arkansas Medicare Advantage (Payor ID: ARCMS) 
  • Clear Spring Health (Payor ID: ILCMS) 
  • Delta Dental of South Dakota Medicare Advantage (Payor ID: SDCMS) 
  • Farm Bureau Health Plan (Payor ID: TNCMS) 
  • Sentara Health Plans (Payor ID: VACMS) 
  • Delta Dental of Tennessee (Payor ID: DDPTN) 
  • Delta Dental of North Carolina (Payor ID: 56101) 
  • Delta Dental of Ohio (Payor ID: DDPO) 
  • International Brotherhood of Electrical (Payor ID: DDPO) 
  • UFCW (Payor ID: DDPO) 
  • United Food and Commercial Workers (Payor ID: DDPO) 
  • Renaissance Life and Health (Payor ID: RLHA1) 
  • Renaissance Life and Health (New Routing) (Payor ID: RLHA2) 
  • Renaissance Medicaid (formerly Tenncare) (Payor ID: TNC02) 
  • Delta Dental of Indiana (Payor ID: DDPI) 
  • Indiana/Kentucky/Ohio Regional Council of Carpenters Welfare Fund (Payor ID: DDPI) 
  • Delta Dental Wisconsin Medicare Advantage (Payor ID: WIMAN) 

MassHealth Dental Program (Payor ID CKMA1) 
New Dental Third Party Administrator (TPA) 

DentaQuest will become MassHealth’s dental processor on February 1, 2026. The current dental processor BeneCare, will continue through January 31, 2026. 

Providers should not submit any claims to DentaQuest that were previously submitted to BeneCare unless instructed otherwise by MassHealth. 

There is no action that your office will need to take, and you should continue to use Payor ID CKMA1. Henry Schein One and our clearinghouse partner will route to the appropriate Third Party Administrator (TPA) based on submission dates. 


Delta Dental of Kentucky (Payor ID CDKY1) 

Claim payments for out-of-state members had been going to the patients, regardless of the assignment of benefits status. 

We have been informed that this was due to a change on the payor's side, and has now been corrected. 

Payments should now be delivered to the providers as expected. 

Duration of issues was March 2025-Jan 2026.  


Payor ID Change for National Elevator Industry Benefit Plan (Payor ID: CX045) 

Henry Schein One has received notification that there has been a recent Payor ID change for National Elevator Industry Benefit Plans. 

Effective Date of Service After 1/1/2026: Submit claims for National Elevator Industry Benefit Plans - Please send claims to Payor ID 64246. 

For Dates of Service Prior to 1/1/2026: Continue submitting claims for National Elevator Industry Benefit Plans with Payor ID CX045. 


Public Employee Health Plan (PEHP), Payor ID: CX080 

Effective January 1, 2026, PEHP will no longer accept paper Dental Claims. Beginning January 12, 2026, Offices/Providers that have not completed the Special Enrollment for this Payor will receive a claim rejection with the message similar to "Entity not approved as an electronic submitter.” 

If you have not completed the required Special Enrollment, please visit our enrollment site at https://www.dentalxchange.com/channel-partner/lp/henry-schein-one to avoid Delayed/Unprocessed claims. Note: You will need to complete this step for both Billing and Rendering Providers.  

The enrollment process takes 14-30 business days for approval. While you are awaiting the approval for electronic delivery to the payor, you can submit your claim(s) individually via the Payor Portal at: https://www.pehp.org/MyPehpProviders/Account/Logon .  


Caresource Georgia (Payor ID: GACS1) 

Henry Schein ONE has received notification that his payor is no longer accepting dental claims through our vendors' established connection. Our vendor will continue to work with the payor to re-establish this electronic connection. In the meantime, any dental claims and/or attachments that you submit to this payor will be printed and mailed to the payor at PO Box 803, Dayton, OH 45401, with no action being required by the provider. 

Any claims that you submitted from 11/1/2025 to 12/2/2025 that received an error of "Missing or invalid information. **THE PAYOR IS NOT VALID. PLEASE CORRECT AND RESUBMIT THE FAILED TRANSACTIONS.", will be printed and mailed to the payor on your behalf. There is no action your office will need to take around these claims. 

We know this is an inconvenience and will provide an update if an electronic connection is re-established. 


ERAs

Electronic remittance advice, or ERAs, are an important part of your claim cycle that we can quickly help you resume.

Insurance companies require enrollment to receive ERAs. 

Visit the enrollment page and click Enroll in ERAs. Fill out the online form to start your ERA enrollment process.

If ERA’s are missing, please log into Payer Portals and download ERA’s to post payments until EDS starts receiving ERA’s through other Trading Partners.


Frequently Asked Questions

Claims Processing

I’m getting some claim rejections? Is there anything I can do to reduce those?

We want to help you get paid as fast as possible, so we’ve developed a few claim tips you can use to help avoid rejections. The tips outlined here represent the most common reasons we’re seeing for claim rejections right now. Use the information in this document to adjust your claims to help them get to the payors faster.


My claim was rejected. What does the rejection message I received mean?

When claims are rejected, there is often a code and message given that can be difficult to interpret. Below are some common rejection messages, what they mean, and what you should do to resolve them:

  • A3:21 Dental Duplicate exact
    • The message can mean that a duplicate claim was sent. Verify whether the claim was already processed and paid. This may be why the claim was rejected. But sure and read the full rejection message as it can often give clues to why the claim was rejected.
  • A7:24 Claim connect is unable to submit claims to this payer
    • Claims with this message will need help from customer support to resolve,
  • A7:489 Claim validation failed
    • Claims with this message will need help from customer support to resolve,
  • A7:126 Please ensure that you are using a valid USPS zip code
    • Refer to this document (item #2) for additional information regarding address ZIP codes on claims.
  • A7:33 Rejected Member ID must be 9 characters (Subscriber)
    • The Subscriber ID/Member ID used on the claim is too short/invalid. Double-check the ID, re-enter it as needed, and resubmit the claim.

Why doesn’t the Insurance company see my claims on file?

Be sure you have looked up the claim in the EDS bridge or portal to see if you have missed a rejection.

If you have checked both the EDS bridge and portal and you don’t see a rejection, you will need help from customer support to resolve it.


Are my claims going through?

Check your day-end reports in the EDS bridge for confirmation your claim was received. The report will show which claims were submitted the day before and any claims that need attention. It will also show any claim rejections.

If you do not see any claim confirmations in your report, you will need help from customer support to resolve it.

Payor Enrollment

I’ve heard that some payers have special enrollment requirements. How can I find out if a payer I work with has these requirements?

It's true. Some payers do have special enrollment requirements. Please visit our website and click Payer Lists and then Claims Enrollment Forms to see a list of payers with special requirements. If you submit claims to any of these payors, download the form(s) for the payor(s) you work with and follow the instructions in each form.


How can I tell whether the payers I work with are set up with the new Trading Partners?

We have now re-established connectivity for the majority of claims by volume. We’re actively working with payers to determine what is required and have updated our website with current enrollment forms.

Insurance Eligibility Verification

When will eligibilities be available again?

Eligibilities are back online with other Trading Partners. You can check eligibilities as you normally would.

EDS has a few payers that are experiencing some issues due to the Trading Partner migration, and we are working to get this resolved.

Please note that the data displayed here provides the current status of claims submissions and does not include any historical information. Henry Schein One relies on third-party clearinghouses for processing claims. The status information reflected here is based on information from such third parties and may not reflect actual status. While we strive to provide you the latest status, delays may occur in updating this page.