Provider Training & Support
DentaQuest hosted virtual training sessions and office hours to prepare MassHealth dental providers for administrative and operational transition changes. For training materials and support, please visit masshealth-dental.org.
Post-Transition Claims Remediation
Current Status
- MassHealth remains fully committed to the accurate processing of historical claims.
- BeneCare completed as much claims remediation as they could before the final claims processing for their final payment cycle on February 16, 2026 (Run 100873). Some issues could not be resolved prior to their final processing.
- BeneCare added two new claims reports on their portal to assist providers in claims reconciliation: 1) Unpaid Claims; and 2) Claims Listing. For more information, go to Using the BeneCare Claims Reports.
- Please note that member name and date of birth were added to the reports on Friday, February 20, 2026.
- Use of these reports is optional. Providers may use their discretion in determining whether they are helpful for their reconciliation process.
- We recommend that providers download these reports from the BeneCare portal as soon as possible.
- Providers should resubmit missing, unpaid, and incomplete claims to DentaQuest, as described under Claims that can be resubmitted to DentaQuest.
- Eligible claims can be resubmitted without individual timely filing reconsideration requests if resubmitted by March 31, 2027 (see Timely Filing Extension below).
DentaQuest completed the loading of all paid claims processed by BeneCare. Only claims that were successfully paid in the MassHealth payment system were transferred to DentaQuest.
To prevent duplicate payments, paid claims should not be resubmitted to DentaQuest. If a previously paid claim is accidentally resubmitted to DentaQuest, it should deny as a duplicate.
Claims that can be resubmitted to DentaQuest
Providers may resubmit the following claims (or claim lines).
- Missing – Claims that were sent to BeneCare but were never received or processed.
- Missing claims do not appear on the BeneCare portal "Claim Status" look-up or in the "Claims Listing" report.
- Unpaid – Claims approved for payment in the BeneCare system but that were never paid through the MassHealth payment system.
- These include claims marked "Pending payment," but no payment was received.
- The BeneCare “Unpaid Claims” report can be used as a guide to identify unpaid claims that should be resubmitted to DentaQuest. For more information, go to Using the BeneCare Claims Reports.
- Incomplete - Claims requiring manual adjudication that could not be completed within the shortened processing time for the final BeneCare-processed payment cycle (Run 100873).
- The BeneCare “Claims Listing” report can be used as a guide to identify incomplete claims marked “Denied, Resubmit to DentaQuest” that should be resubmitted to DentaQuest. For more information, go to Using the BeneCare Claims Reports.
- Previously unresolved DQ claims – Unresolved claims that were originally submitted to DentaQuest before the April 2025 transition to BeneCare.
Notes about resubmission
- Individual timely filing reconsideration is not required if an eligible claim is resubmitted by March 31, 2027 (see Timely Filing Extension below).
- If the claim requires supporting documentation, that documentation must also be resubmitted to DentaQuest.
- If a previously paid claim is accidentally resubmitted to DentaQuest, it should deny as a duplicate.
Using the BeneCare Claims Reports
BeneCare added two new claim reports on their portal to assist providers in claims reconciliation: 1) Unpaid Claims; and 2) Claims Listing. Member name and date of birth were added to the reports on February 20, 2026.
Use of these reports is optional, and providers may determine whether they are helpful for their reconciliation process. Providers are encouraged to download the reports from the BeneCare portal as soon as possible.
Guidance on how to use each report for claims reconciliation is provided below.
Unpaid Claims –The purpose of the report is to identify claims that BeneCare processed to be paid, but that could not be successfully loaded into the MassHealth payment system. As a result, these claims have not been paid.
How to use this Unpaid Claims report:
- Use this report as a guide to identify unpaid claims that should be resubmitted to DentaQuest.
- Check whether any listed claims were actually paid but were inadvertently included in the report.
- If you know a claim was paid, do not resubmit.
- If a claim is unpaid or you are unsure of its payment status, resubmit it to DentaQuest.
Claims Listing – The purpose of the report is to display a final status for all claims received by BeneCare.
How to use this Claims Listing report:
- Claims are organized into monthly reports based on the month and year they were received by BeneCare.
- Use this report as a guide to understand the final status of each claim line.
- Identify claims marked “Denied, Resubmit to DentaQuest.” These are incomplete claims that could not be finalized during the shortened processing time for the last BeneCare-processed payment cycle (Run 100873). They should be resubmitted to DentaQuest.
- Any missing claims or claim lines that do not appear on the report should be resubmitted to DentaQuest.
- Review claims with a status of “In process” or “Pending payment.”
- If the claim is unpaid or you are unsure of its payment status, resubmit to DentaQuest.
- If you know a claim was paid, do not resubmit.
- Use this report as a guide to understand the final status of each claim line.
For more information on how to use these reports, refer to the BeneCare Claims Reports Provider Job Aid.
Timely Filing Extension
MassHealth has extended timely filing to support providers in resolving these claims.
Extension through March 31, 2026
- MassHealth has extended timely filing to 345 days, through March 31, 2026.
Resubmission without individual reconsideration (through March 31, 2027)
- Certain claims that were timely filed by March 31, 2026, may be resubmitted through March 31, 2027, without submitting proof of timely filing for each individual claim.
- Providers must maintain documentation of the original submission and provide it if requested.
Eligible claims for resubmission without individual reconsideration Primary Claims with Dates of Service 12/15/2024 – 1/31/2026
Eligible if:
- Initially submitted with required explanation of benefit documentation by March 31, 2026, as allowed by Dental Bulletin 56; and
- Documentation of the initial claim submission is maintained.
Third-Party Liability (TPL) Claims with Dates of Service 9/15/2023 – 1/31/2026
Eligible if:
- Initially submitted by March 31, 2026, as allowed by Dental Bulletin 56; and
- Documentation of the initial claim submission is maintained.
Claims resubmitted on or after April 1, 2027, will follow the standard reconsideration process and require proof of timely filing.
For full details, including claim submission documentation requirements, please refer to Dental Bulletin 57.
Issues Pending Final Guidance
MassHealth is actively working to finalize resolution plans for outstanding issues.
Please do not submit the following to DentaQuest.
- Void requests for BeneCare claims
- Claims paid incorrectly or with incorrect payment amounts
- Duplicate payments
We will provide guidance on next steps as soon as the resolution approach is finalized.
If there are unresolved claim issues you’re concerned we may not be aware of, please use the Post-Transition Claims Remediation Input Form to let us know so we can work to address them.
Frequently Asked Questions (Updated March 20, 2026)
What does this transition mean, and when is it happening?
MassHealth’s Dental Third-Party Administrator transitioned from BeneCare to DentaQuest February 1, 2026. There are no changes to MassHealth dental benefits or eligibility.
As of February 1, 2026, please visit masshealth-dental.org or call 866-616-2699 for MassHealth Dental Customer Service, supported by DentaQuest.
Please note: BeneCare customer service remains available through March 31, 2026, only to provide the final status for claims, prior authorization requests, or reconsiderations submitted to BeneCare on or before the transition deadline on Friday, January 30. Call 844-MH-DENTL (844-643-3685) and listen carefully to the prompts to select the correct option.
What should I do about outstanding or unresolved claims?
MassHealth remains fully committed to the accurate processing of historical claims and is actively finalizing resolution plans for outstanding issues.
BeneCare's final claims processing—both regular and remediation—is reflected in the February 16 claims payment (Run 100873). BeneCare has posted final claim status information and remittance advice on their portal.
We recommend that providers download two new claims reports from the BeneCare portal as soon as possible: 1) Unpaid Claims; and 2) Claims Listing. Please note that member name and date of birth were added to the reports on Friday, February 20, 2026. These reports are intended to assist providers in claims reconciliation. Use of these reposrts is optional. For more information, go to Using the BeneCare Claims Reports.
Providers should resubmit missing, unpaid, and incomplete claims to DentaQuest as outlined in Claims that can be resubmitted to DentaQuest.
Eligible claims can be resubmitted without individual timely filing reconsideration requests if resubmitted by March 31, 2027 (see Timely Filing Extension above).
Please do not submit the following to DentaQuest.
- Void requests for BeneCare claims
- Claims paid incorrectly or with incorrect payment amounts
- Duplicate payments
MassHealth will provide additional guidance on next steps as soon as the resolution approach is finalized. To stay informed about post-transition final claims remediation, please check this website for updates and sign up for the TPA Transition email list.
If there are unresolved claim issues you’re concerned we may not be aware of, please use the Post-Transition Claims Remediation Input Form to let us know so we can work to address them.
How should MassHealth dental providers submit claims, prior authorization requests, and other routine operational tasks?
As of February 1, 2026, please visit masshealth-dental.org to access the DentaQuest provider portal to submit credentialing and re-credentialing paperwork; claims and prior authorization requests; and reconsiderations, inquiries, and voids.
Providers should resubmit missing, unpaid, and incomplete claims to DentaQuest as outlined in Claims that can be resubmitted to DentaQuest.
Please do not submit the following to DentaQuest.
- Void requests for BeneCare claims
- Claims paid incorrectly or with incorrect payment amounts
- Duplicate payments
MassHealth will provide additional guidance on next steps as soon as the resolution approach is finalized. To stay informed about post-transition final claims remediation, please check this website for updates and sign up for the TPA Transition email list.
What are the support measures in place for the transition?
Timely Filing Extension:
- Timely filing is temporarily extended to 345 days, through March 31, 2026, per Dental Bulletin 56.
- Certain claims that were timely filed by March 31, 2026, may be resubmitted through March 31, 2027, without submitting proof of timely filing for each individual claim, per Dental Bulletin 57 (see Timely Filing Extension above).
Prior Authorization Approvals from BeneCare:
- DentaQuest received open, approved prior authorizations from BeneCare along with each member’s treatment history.
- Prior authorizations approved by BeneCare were converted to a DentaQuest prior authorization number.
- These converted prior authorizations will be automatically consumed when a claim is received for the approved services.
To confirm if a converted prior approval is in the DentaQuest system, please call (866) 616-2699. If a converted prior approval is not in the DentaQuest system, please do the following.
- Submit a copy of the original prior authorization approval as an attachment with your electronic claim submission.
How did the transition affect the claims payment schedule?
Due to the financial cycle timeline, the claims payment for the first three weeks in February (February 1–17, 2026) were for claims received and processed by BeneCare. The claim status and remittance advice for these claims are available on the BeneCare portal.
The first MassHealth claims payments to providers for DentaQuest-processed claims was made during the week of February 23, 2026 (Run 100874). Starting with Run 100874 and after, claim status and remittance advice is available on the DentaQuest portal.
Additionally, there were slight changes to claims payment timing for Runs 100873 and 100874 due to the Office of the Comptroller system upgrade in mid-February.
The table below outlines the claims payment schedule and responsible TPA during the first five weeks after the TPA transition.
| Pay Date | Run | Responsible TPA | Claims Included in Run by Receipt and Processing Date | Notes |
|---|---|---|---|---|
| February 2, 2026 | 100871 | BeneCare | January 14–20, 2026 | Regular weekly claims processed by BeneCare |
| February 9, 2026 | 100872 | BeneCare | January 21–27, 2026 | Regular weekly claims processed by BeneCare |
| February 16, 2026 | 100873 | BeneCare | January 28–30, 2026 | LAST BeneCare-processed claims payment. Only includes three days due to the TPA transition (anticipated to be lower than normal). Due to the Comptroller’s Office system upgrade, this payment may be issued one or two days earlier than usual. |
| February 23, 2026 | 100874 | DentaQuest | February 1–10, 2026 | FIRST DentaQuest-processed claims payment. Includes three additional days due to the TPA transition (anticipated to be higher than normal). Due to the Comptroller’s Office system upgrade, this payment may be issued one or two days later than usual. |
| March 2, 2026 | 100875 | DentaQuest | February 11–17, 2026 | Regular weekly claims processed by DentaQuest |
Is the MassHealth clearinghouse payer ID still CKMA1?
The MassHealth clearinghouse payer ID is still CKMA1. The MassHealth payer ID has not changed.
However, the address needs to be updated to the following.
MassHealth Dental
PO Box 2906
Milwaukee, WI 53201-2906
When should I reach out to the DentaQuest EDI Team?
You only need to reach out to the DentaQuest EDI Team if you are a new participating MassHealth provider since April 2025 and need to set up an Electronic Remittance Advice (ERA) with DentaQuest or if you need to set up a direct EDI / trading partner agreement with DentaQuest.
If one of these situations applies to you, please email EDI@greatdentalplans.com for assistance.
When can I start using the DentaQuest provider portal again?
Providers can log in and register for the portal on or after February 1, 2026, by visiting Provider.MassHealth-Dental.org.
Logging in to the DentaQuest portal
Providers can log in using the username and password they used during DentaQuest's previous administration (March 2025).
Forgot your password?
If you do not remember your password, please follow these steps on or after February 1, 2026.
- Navigate to the Sign In page at Provider.MassHealth-Dental.org.
- Click Forgot Password?
- Enter your User ID (the email address you used to create your account)
- If your User ID clears out on the first attempt, please enter it again and click OK.
- If you receive an error message and your account is not found, try entering any other email addresses you may have used to create your account. If your account is still not found, please visit the Registration page and create a new account.
- Click Next.
- A confirmation message will appear, asking you to check your email.
- Check your email Inbox and Spam/Junk folder for the Reset Password email.
- In the email, click Reset Password to create a new password for your portal account. You will be redirected to a new browser page. Be sure to save your new password.
- After successfully creating your new password, you will be automatically logged in to your portal account.
Can I still access the BeneCare provider portal?
The BeneCare provider portal will continue to be available for read-only access through September 30, 2026, at providers.massdhp.com.
Providers are encouraged to download any necessary information for their records. Historical information (such as remittance advice and claims status) will not transfer to the DentaQuest portal.
Where can I find resources that were previously available on the BeneCare website?
Resources that were previously available on the BeneCare website can be found through the following links.
- MassHealth / BeneCare EOB Reason Code Crosswalk
- Provider Job Aid: Recoupment of Interim Payment Advances
- Provider Job Aid: BeneCare Claims Reports
- BeneCare Weekly Email Update: January 26,2026
- BeneCare Weekly Slides Update: January 29,2026
- Final BeneCare Weekly Email Update: February 2, 2026
- Final BeneCare Weekly Slides Update: February 5, 2026
How can I stay informed about this transition and claims remediation?
Please check this page for updates and sign up for future timely emails about the transition and claims remediation by completing a Dental Administrator Transition Communications request form.
| Date published: | October 1, 2025 |
|---|---|
| Last updated: | March 20, 2026 |