Updated Frequently
Download the CDAnet Dental Office User Guide for use and training of dental office staff.
For a list of insurance carriers accepting CDAnet e-claims go to cda-adc.ca/carriers
Canada Life will no longer accept dental claims submitted with Public Service Health Care Plan (PSHCP) plan numbers
March 18, 2024
Effective March 19, 2024, Canada Life the administrator of Public Service Dental Care Plan (PSDCP) will no longer accept dental claims submitted with Public Service Health Care Plan (PSHCP) plan numbers 52111, 52112, 52113, 52114, and 52115. Instead, dental offices can expect to receive an Acknowledgment response with the error message:
Incorrect plan#. Confirm plan & ID and resubmit to correct carrier.
If you receive this response, please ask the patient to provide you with the correct plan and certificate number. Update your records and resubmit the claim to Canada Life.
The Public Service Dental Care Plan (PSDCP) and the Public Service Health Care Plan (PSHCP) are both administered by Canada Life. These plans have unique plan and certificate ID numbers, however, Canada Life continues to receive dental benefit claims from dental offices with the PSHCP plan numbers causing delays with claim adjudication and the communication of benefit reimbursement. To ensure proper claim submission, Canada Life will provide an Acknowledgement response with the referenced error message.
For more information, including FAQ’s please read Canada Life’s communication.
Industrial Alliance has upgraded its dental claim system to CDAnet v4
January 31, 2024
Industrial Alliance, (carrier ID 00060) and Industrial Alliance Pacific Life Insurance Co. (carrier ID 00024) have upgraded to CDAnet version 4. The upgrade requires dental offices to update both carrier records in the office practice management software. Also included are some carrier claim detail changes.
Effective January 31st - Industrial Alliance Pacific Life Insurance Co. Carrier ID 000024
CDAnet version – change from 2 to 4
Multipart Predeterminations – change to Y (supported)
Request for Outstanding Transaction (04) – change from Y (supported) to N (not supported)
Outstanding Transaction Response (14) – change from Y (supported) to N (not supported)
Claims Processor help desk - 1-877-422-6487
Effective January 31st Industrial Alliance Carrier ID 000060
CDAnet version – change from 2 to 4
Multipart Predeterminations – change to Y (supported)
Request for Outstanding Transaction (04) – change from Y (supported) to N (not supported)
Outstanding Transaction Response (14) – change from Y (supported) to N (not supported)
Claims Processor help desk - 1-877-422-6487
Manulife Financial, Affinity Markets will be processing CDAnet version 4 claims.
January 31, 2024
Effective January 31, 2024, Manulife Financial, Affinity Markets will be processing CDAnet version 4 claims! All offices must update their practice management software to change their carrier ID. 311113 CDAnet version setting from 2 to 4.
If you require assistance updating the carrier details, please contact your practice management software vendor.
The Benefits Trust will be processing CDAnet version 4 claims.
January 31, 2024
Effective January 31, 2024, Benefits Trust will be processing CDAnet version 4 claims! All offices must update their practice management software to change the Benefits Trust (carrier ID 610146) CDAnet version from 2 to 4.
The Benefits Trust is also working on moving from batch processing mode to real-time. We will communicate more on this when it is available.
If you require assistance updating the carrier details, please contact your practice management software vendor.
Manulife Financial has upgraded its dental claim system to CDAnet v4
January 22, 2024
Effective January 22, 2024, Manulife will be processing claims using CDAnet version 4! All offices must update their practice management software to change the Manulife (carrier ID 610059) CDAnet version from 2 to 4.
A key benefit to their upgrade is the v4 explanation of benefit response will now allow offices to send more coordination of benefits claims with CDAnet.
When Manulife is the primary carrier, now you can send a coordination of benefits claim (COB 07) to carriers who support the COB 07 transaction (see the list here). Their carrier record must be set to version 4 in your software for this to be available.
Manulife is working on supporting the COB 07 and Attachment transactions, although these will still take some time before being ready for you. We will let you know when these transactions are available.
If you require assistance updating the carrier details, please contact your practice management software vendor. For all other inquiries, please contact CDA’s helpdesk at 1-866-788-1212
National Life of Canada is moving to CDAnet v4
January 19, 2024
National Life of Canada (carrier ID 000021) claim processing services have upgraded to CDAnet version 4 claims. The upgrade requires dental offices to update National Life’s carrier record in the office practice management software. Also included are some carrier claim detail changes.
Effective January 17, 2024 - National Life of Canada Carrier ID. 000021
CDAnet version – change from 2 to 4
Age limit days – change from 10 to 365
Multipart Predeterminations – change to Y (supported)
Request for Outstanding Transaction (04) – change from Y (supported) to N (not supported)
Outstanding Transaction Response (14) – change from Y (supported) to N (not supported)
Claims Processor help desk - 1-877-422-6487
Double check the Public Service benefit plan and certificate numbers to prevent claim assessment delays
August 4, 2023
Canada Life is the administrator of the Public Service Dental Care Plan (PSDCP) and, as of July 1, 2023, the Public Service Health Care Plan (PSHCP). The PSDCP and the PSHCP have different plan numbers and certificate numbers, making it important to use the correct plan information.
Dental claims submitted to Canada Life for reimbursement under the PSDCP must be submitted with the following plan information:
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The patient’s plan number should match one of these: |
The patient’s certificate number will usually (but not always) be alphanumeric. |
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Examples:
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There will be a delay in claim adjudication if dental claims are submitted with the health care plan and certificate numbers.
The only dental claims that can be submitted under the PSHCP are dental accident claims and some oral surgery claims only, once all dental plan payments are exhausted.
Thank you for your help in ensuring that dental claims for the PSDCP are submitted with the correct plan information so that they can be adjudicated as quickly as possible.
Note: Sun Life is the current administrator of the Pensioners’ Dental Services Plan (PDSP). All dental claims must continue to be submitted to Sun Life for patients covered under the PDSP.
CDA Secure Send Mobile App
November 17, 2022
CDA Secure Send mobile app is available to download free from the IOS & Android app stores. With only a few taps on your office device, dentists and the dental teams can send CDA Secure Send messages, send and receive referrals and patient information securely. For more information, visit the CDA Secure Send app webpage
Beneva accepts CDAnet file attachments
November 17, 2022
Effective November 10, 2022, Beneva started accepting CDAnet file attachments (patients records) for claims and predeterminations submitted electronically.
Please ensure you update the carrier record in your software to enable the attachment transaction:
- Attachment (09)
- Attachment Response (19)
The attachment option allows offices to send patient records such as x-rays, images or other documents along with the patient’s claim or predetermination. This claim feature reduces processing times as well as postage and administrative fees associated with the mailing of documents. When sending attachments to these carriers you must indicate on the initial claim or predetermination that an attachment also known as “materials will be forwarded” will be sent.
If you are unsure how to make the setting changes, please contact your software vendor.
Read Beneva’s full communication.
REMINDER - AGA Financial Group Inc. Carrier ID 610226
November 17, 2022
As a reminder, AGA Financial Group Inc/Group Financier, AGA. is a CDAnet claims processor using the carrier ID 610226. They are a claims processor for multiple third-party administrators (TPAs) and their plan member cards include the TPA name and logo with AGA Financial Group carrier ID 610226.
AGA Financial Group Inc. is likely listed as Group Financier, AGA in your practice management software. To improve your search for their carrier record in your software, we recommend you update the carrier name to AGA Financial Group Inc./Group Financier. If this is not an option in your software, please contact your software vendor.
Regardless of the listed carrier name, claims submitted with the carrier ID 610226 will be successfully routed to AGA Financial Group Inc./Group Financier, AGA.
Read the full notice and view the sample card.
REMINDER - MDM Insurance (Carrier ID 601052) updated supported transactions
November 17, 2022
Please ensure your practice management software has the updated information for MDM Insurance along with the additional claim transactions they are now accepting:
- CDAnet Version: 4
- Age Limit (days): 365
- COB Claim (07)
- Predetermination EOB (23)
Depending on your practice management software, you may need to make some setting changes for MDM Insurance. If you are unsure how to make the setting changes, please contact your software vendor.
For a full list of MDM Insurance supported transactions please visit the CDAnet Carrier page
REMINDER - Check GroupHEALTH Benefits Solutions (myGroupHealth) address
November 17, 2022
GroupHEALTH Benefits Solutions (myGroupHealth) would like to ensure you have their correct claims processing mailing address on file and to make sure claims are sent to the below address and not their head office.
myGroupHEALTH Claims
626-21 Four Seasons Place
Etobicoke, ON M9B 0A6
More insurance carriers accept CDAnet file attachments
October 26, 2022
Effective September 18, 2022, the following carriers started accepting CDAnet file attachments (patient records) for claims and predeterminations submitted electronically:
- Desjardins Insurance (carrier ID 000051)
- Groupe Financier AGA Inc. (carrier ID 610226)
- UV Insurance (carrier ID 610643)
Please ensure you update the carrier records in your software to enable the attachment transaction:
- Attachment (09)
- Attachment Response (19)
The attachment option allows offices to send patient records such as x-rays, images or other documents along with the patient’s claim or predetermination. This claim feature reduces processing times as well as postage and administrative fees associated with the mailing of documents. When sending attachments to these carriers you must indicate on the initial claim or predetermination that an attachment also known as “materials will be forwarded” will be sent.
If you are unsure how to make the setting changes, please contact your software vendor.
Read Desjardins insurance full communication.
Read Group Financier’s full communication.
Read UV Insurance’s full communication
New Carrier! HPEI – Public Health Dental Programs - Carrier ID 000130
September 16, 2022
Effective September 26, 2022, HPEI – Public Health Dental Programs will start accepting CDAnet dental benefit claims with Carrier ID 000130. Please ensure you add their carrier information to your software. If adding a carrier is not an option, please contact your software company to ensure HPEI – Public Health Dental Programs is set-up for your patient’s next visit.
Practice Management Software Setup Information
- Carrier Name: HPEI-Public Health Dental Programs
- BIN/Carrier ID: 000130
- Network: instream
- CDAnet Message Version: 4
- Age limit: 90 Days
Supported CDAnet Transactions:
- Claim (01)
- Claim Acknowledgment (11)
- Claims Explanation of Benefits (21)
Access more information on the HPEI Public Health Dental programs.
Why using the correct UIN (Unique Identifier Number) on insurance claims is important
March 31, 2022
Dental benefits play an important role in contributing to patients visiting their dentist for oral health services. CDAnet was developed as an important value-added service for managing dental benefit claims. It provides nearly 90% of licensed dentists across Canada with the ability to assist patients with claiming dental benefits in an efficient and secure manner.
In Canada, our current dental benefit claim ecosystem has no contractual obligations between dentists and insurance carriers. However, it is important to closely follow the principles from the CDAnet/ITRANS subscription agreement. To help keep your practice running smoothly, here are important reminders when assisting patients with claiming dental benefits.
Never combine claims by more than one dentist under a single UIN:
Insurance carriers use the information contained in the claims they receive to establish profiles of the dentists identified in these claims. Grouping claims for work performed by more than one dentist under the UIN of just one dentist may appear to ease the administrative burden at your office; however, it distorts the profile of the dentist whose UIN appears on the claims in a way that could attract unwanted attention from insurance companies.
Serious implications of using wrong UIN on claims:
Misrepresenting the UIN of the providing dentist when using CDAnet to transmit patients’ claims is serious. Key principles of the CDAnet/ITRANS subscription agreement states:
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3.4 (f) You warrant that the electronic submission of any Dental Benefit Claim by You or any of your End Users constitutes a certification that the Claim contains an accurate and complete statement of:
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Inaccurate representation of any of the above principals could lead to the accusation of fraud and/or being subject to administrative penalties as severe being excluded from the approved provider list of one or more insurance companies.
Not registered for electronic claims? What you can do now:
Associate dentists can be easily set up to send CDAnet electronic claims in a matter of minutes. Here are two fast and easy options:
- The office can sign in to the CDA Practice Support Services (PSS) website and send an invite to the associate dentist to join the office; or
- The associate dentist sign in to the PSS website and request to join the office.
Need Assistance?
For more information, please read this FAQ on subscribing to CDAnet/ITRANS. If you have questions, please email CDA at pss@cda-adc.ca or call 1-866-788-1212, Monday to Friday, from 7:30 a.m. to 8:00 p.m. EST.
La Capitale is rebranding to Beneva
January 17, 2022
As of January 17, 2022, claims submitted to La Capitale (carrier ID 600502) will be adjudicated under the insurer name La Capitale/Beneva.
What you need to know:
- As part of the transition process, their members will continue to use their La Capitale card until they receive their new Beneva card.
- Claims should continue to be submitted with the CDAnet carrier ID 600502. To avoid confusion with processing CDAnet claims, in your practice management software update the insurer name for carrier ID 600502 to La Capitale/Beneva. This will make it easier to identify the carrier when patients present the Beneva benefit card.
- Offices can search the CDA carrier list under La Capitale/Beneva or Beneva. Both carrier records will include the carrier ID 600502 with the same claim processing details.
Any question, please contact TELUS Health at 1-866-272-2204.
Read the full notice here.
Reminder to check RWAM Insurance phone numbers
January 17, 2022
RWAM (carrier ID 610616) would like to ensure that your contact records for them include the below phone listings. Their old phone listing has been reassigned and its been reported to RWAM that dental calls are still being received at their old phone listings.
Toll Free: 1-877-888-7926
Local: (519) 669-1632
The PBAS Group accepts CDAnet e-claims for additional plans
December 9, 2021
Effective January 1, 2022, The PBAS Group (carrier ID 610256) will be accepting Plan 250 – Ontario Dental Plan and Plan 810 – Calgary District Pipe Trades. When sending CDAnet e-claims for patients with these plans, ensure the following carrier information is applied:
The PBAS Group
Carrier Code: 610256
Version: 4
Read the full notice and view a list of plans currently accepting CDAnet e-claims.
COUGHLIN (carrier ID 610105) – switching to TELUS AdjudiCare (000034)
November 9, 2021
On November 1, 2021, Coughlin & Associates (carrier ID 610105) started processing a portion of their plan member claims with TELUS AdjudiCare. Coughlin plan members will receive new benefit cards with new group and certificate numbers including TELUS AdjudiCare, carrier ID “000034”, listed on the back of the card.
Please ensure you verify the patients benefit card to identify if the carrier information should be updated in your practice management software for CDAnet e-claims. If the information is not updated, the patients claim will fail and the office will receive an acknowledgement with an error and a display message to request an update to the patients benefit information.
TELUS AdjudiCare is a claims processor that provides claim processing services for many third-party administrators (TPA’s), using the carrier ID 000034.
If you have any questions, you can contact the TELUS Dental Technical Helpdesk at 1-866-272-2204.
Read the full notice and view the sample card.
November 9, 2021
Canada Life is extending claims age limit up to 90 days
Beginning November 16, 2021, Canada Life will extend their claims age limit from 31 days to 90 days.
To have this flexibility you will need to make an update to the age limit in your practice management software for Canada Life (previously Great West Life) carrier ID 000011. While you make this change ensure that you verify the Canada Life’s claim processing details are set to the following:
Age limit – 90 days
CDAnet version – 4
Coordination of Benefits (07) – yes/enabled
Attachments (09) –yes/enabled
The extended age limit will provide more flexibility, however it’s expected that all patient claims will be transmitted on the date of service. In certain situations dental offices will be able to submit their patient claims up to 90 days from the date of service. Claims older than 90 days cannot be sent with CDAnet and ITRANS.
Alberta Blue Cross migration to TELUS network
October 14, 2021
Starting Jan 1st, 2022, Alberta Blue Cross will no longer accept CDAnet claims through their Alberta Blue Cross/Claimstream network.
It is important that the settings for Alberta Blue Cross (Carrier ID 000090) is configured in your office software to use the TELUS Group B network prior to Dec 31st, 2021.
In June 2021, Alberta Blue Cross began accepting dental electronic claims from the TELUS dental network (Group B). With this change now in place, Alberta Blue Cross will no longer accept e-claims directly through their network after Dec 31st, 2021. ALL dental electronic claims to Alberta Blue Cross must be submitted through the TELUS dental network.
If you need assistance making this change to your software, please contact your vendor for assistance.
REMINDER – TELUS AdjudiCare Carrier ID 000034
August 26, 2021
As a reminder, TELUS AdjudiCare is a CDAnet claims processor using the carrier ID 000034. They are a claims processor for multiple third-party administrators (TPAs). Plan member benefit cards will have carrier ID “000034” and the name “TELUS AdjudiCare” in small print. TPA names/logos will also appear on the cards but can be ignored. If TELUS AdjudiCare is not listed in your practice management software, you will need to add them as a new carrier. If this option is not available in your software, please contact your software vendor.
In the interim, if you have carrier ID. 000034 set up in your system regardless of the name associated with this carrier ID, you can submit claims which will be successfully routed to the correct AdjudiCare TPA via the TELUS Dental Network (Group B).
If you have any questions, you can contact the TELUS Dental Technical Helpdesk at 1-866-272-2204.
Read the full notice and view the sample card.
Industrial Alliance Groupe Financier does not support CDAnet Claim Reversals
August 26, 2021
Industrial Alliance Group Financier (IA) carrier ID. 000060 currently does not support CDAnet claim reversals. This means that claim reversals cannot be processed electronically through your practice management software. Until further notice, dentists and office staff can call IA at 1-877-422-6487 and request a claim reversal. All claim reversal requests must be completed the same day as the claim submission. Their agents will ensure prompt processing of these requests.
To update your software, change the configuration settings for carrier ID. 000060, and disable the following transactions
- Claim Reversal (02)
- Claim Reversal Response (12)
Changes to Desjardins Insurance’s (Insurer No. 000051) adjudication service
July 19, 2021
As of January 1, 2021, Desjardins Insurance changed their claim processor from Express Scripts to TELUS Assure. On August 23, 2021, they will transition their final groups. With this milestone date, Desjardins Insurance will begin to offer new CDAnet claim process options!
Click here to read the full notice.
Empire Life Insurance updated supported transactions
August 17, 2021
Effective June 17th, 2021, Empire Life Insurance started accepting additional claim transactions:
- Claim Reversal (02)
- Claim Reversal Response (12)
- PreDetermination EOB (23)
- Claim EOB (21)
Depending on your practice management software, you may need to make some setting changes for Empire Life. If you are unsure how to make the setting changes, please contact your software vendor.
For a full list of Empire Life Insurance supported transactions please visit the CDAnet Carrier page.
New Carrier! BG Benefit Administrators - Carrier ID 000128
March 18, 2021
Effective March 1st, 2021 Bilsland Griffith Benefits Administrators (BG Benefits Administrators) started accepting CDAnet Dental benefit claims with Carrier ID 000128. Please ensure you add their carrier information to your software. If adding a carrier is not an option, please contact your software company to ensure BG Benefits is set-up for your patients next visit.
Manion, GroupHEALTH & Group Source start accepting Coordination of benefits (COB) electronically
March 15, 2021
As of Thursday, March 18, 2021, offices can send CDAnet COB claims for Manion, GroupHEALTH and Group Source with their office practice management software (PMS). To make this claim option available, offices will need to update their PMS settings for each claims processor. First verify that the CDAnet version is set to "version 4" and enable the "COB 07" claim transaction. Using the CDAnet claims processor list, you can look up a complete list of claim processor details, including additional COB claim processing instructions.
Read the full article here.
Changes to Desjardins Insurance Claim Processing
December 11, 2020
As of January 1, 2021, Desjardins Insurance will begin to transition their claim processing from Express Scripts to TELUS Health service. Continue to submit claims to Desjardins Insurance with carrier ID. 000051.
Click here to read the full statement.
Canada Life accepts file attachments
October 21, 2020
Effective Saturday, October 24th, 2020, Canada Life will accept file attachments (patient records) for claims and predetermination submitted electronically.
Click here to read the Canada Life's full communication.
Great-West Life Joins The Canada Life Assurance Company
January 8, 2019
Effective January 1 2020, Great-West Life, London Life and Canada Life have joined together as The Canada Life Assurance Company.
Click here to learn more.
Accerta Is Changing Network Providers
June 10, 2019
On June 16, 2019, Accerta will change their network provider from instream to TELUS.
Click here to learn more.
Check your ITRANS ICA software version —you may not be able to send CDAnet e-claims
April 30, 2019
Effective July 1, 2019, offices using Windows computers (not Mac users) will need to ensure their ITRANS Communication Application (ICA) software has been updated to version 3 or newer. The current version is 4.1. Mac users will not be affected by this software change.
Click here to learn more.
TELUS AjudiCare - New Carrier ID 000034
December 13, 2018
Effective January 1st, 2019, TELUS AdjudiCare (previously known as Symbility or AUTOBEN) will begin to use the carrier ID 000034 to process claims for their clients.
Click here to learn more.
Great-West Life is upgrading to CDAnet version 4
November 26, 2018
On Nov. 30, 2018, Great-West Life will upgrade their dental claims system and process claims with CDAnet version 4. Two important benefits of this upgrade are:
- Predeterminations will be processed immediately when possible.
- Coordination of Benefits will be accepted. This means when Great-West Life is the secondary claims processor you can send the secondary benefit claim right away.
Click here to learn more.
ESORSE will no longer be accepted on the TELUS Group B network
November 23, 2018
Effective November 25, 2018, ESORSE (carrier ID 610650) will no longer be accepted on the TELUS Group B network. This means you cannot send e-claims to ESORSE and will need to complete a paper dental claim form.
Pacific Blue Cross Accepts Coordination of Benefits! CDAnet 07 Transaction
Save time and mailing expenses by sending your Coordination of Benefits (COB) claims electronically to Pacific Blue Cross (PBC).Alberta Blue Cross now accepts patient records with CDA Secure Send
When your office submits a claim or predetermination and diagnostic records are required, you can now use CDA Secure Send to securely submit your patient records electronically to Alberta Blue Cross (ABC).
GroupHEALTH has two Carrier IDs
Verify the carrier ID number on the patient’s benefit card to avoid inaccurate claim submissions.Equitable Life of Canada is moving to real-time claim processing and CDAnet version 4
On July 21 2018, Equitable Life of Canada will be upgrading their systems to begin processing claims in real-time using CDAnet version 4. This means you will receive an immediate response for predeterminations, claims and reversals.Equitable Life claim system will be temporarily unavailable for claim processing on Saturday, July 21, 2018 and will resume on Monday, July 23, 2018.
GroupSource has a new Carrier ID.
Effective August 1, 2018, some GroupSource clients will be covered under a new Carrier ID. 605064. This change only applies to some of clients; others will remain on the existing Carrier ID. 610099.
Sun Life new monthly dental cheque payments
Starting August 2018, Sun Life Financial will begin issuing dental cheques and claim statements monthly. For daily payments, Sun Life offers Electronic Funds Transfer services.
GroupHEALTH New Carrier ID. 000125
GroupHEALTH would like to remind you that in November, 2017, they started using a new Carrier ID (000125) for a portion of their clients. This change only applies to some clients; others will remain on the existing Carrier ID., 610099.
Mandatory Consent
As we continue to move to a paperless environment, we would like to remind offices that its mandatory to obtain the patient’s consent to send their personal information to insurance companies. The signed consent form should be maintained as a record in the patient’s file.
Johnson Inc. conversion to Express Scripts
Johnson Inc. will convert their dental plans to Express Scripts Canada. All electronics claims should continue to be submitted to carrier ID. 627265.
Is it time to renew your CDA Digital ID?
The CDA Digital ID.’s are used by ITRANS Claims Service to authenticate dentists when sending e-claims or CDA Secure Send messages. The CDA Digital ID.’s was issued for a 3 year period and most dentists will be required to renew them in 2018.
RBC Insurance - Address Information to send a Claim Form
September 13, 2017
Please note, when you send your claim form to RBC Insurance via Canada Post, please use the following address:
RBC Insurance Company
Attention: Dental Department
PO Box 1614
Windsor, Ontario N9A 0B9
Change to the dentist payment process - Industrial Alliance Financial Group
June 29, 2017
Transactions relating to assigned benefit payments to dentists sent to iA Financial Group will be paid by instream DIRECT PAY, a national provider specializing in secure online services for the dental community and insurers. This new process will be effective on June 30, 2017. There is no change to the electronic claims or dentist assignment processes. Download the PDF file for more information.
