News
PBAS changing network providers
August 7, 2026
Effective August 23, 2026, PBAS (carrier ID 610256) will transition from the instream network to the TELUS network. Please ensure to update the PBAS carrier record in your practice management system (PMS) to avoid claims being rejected.
If you require assistance updating the carrier details, please contact your PMS vendor.
Apexification and Apexogenesis Procedure Codes for CDCP and NIHB Claims
June 23, 2026
In the 2026 Uniform System of Coding & List of Services (USC&LS), the Canadian Dental Association (CDA) and the USC&LS Committee implemented changes to apexification and apexogenesis services to better reflect their distinct clinical complexity and treatment requirements.
The federal government has advised the CDA that the Canadian Dental Care Plan (CDCP) and Non-Insured Health Benefits (NIHB) programs are unable to implement the apexification or apexogenesis changes until their 2027 fee grids are released.
What this means for dentists
CDCP or NIHB programs
When submitting predeterminations or claims for apexification or apexogenesis services to the CDCP or NIHB programs, dentists must use the procedure codes listed in the applicable 2026 CDCP and NIHB fee grids for their province or territory. CDCP and NIHB Fee Grids currently include:
33600 Apexification/Apexogenesis
33601 — One canal
33602 — Two canals
33603 — Three canals
33604 — Four canals or more
33605 — Difficult access in addition to 33601 – 33604
All other insurers or programs
Use the apexification or apexogenesis codes included in your 2026 provincial or territorial fee guides:
- Apexification: Codes 33631 to 33635 (Service Title 33630)
- Apexogenesis: Codes 33641 to 33642 (Service Title 33640)
The CDA, together with provincial and territorial dental associations, will continue to work with Health Canada to support a coordinated implementation approach that meets the needs of dentists across Canada.
Reminder: SSQ Insurance rebranded to Beneva
June 12, 2026
This is a reminder that SSQ Financial Group rebranded to Beneva/SSQ, and their CDAnet carrier listing is Beneva/SSQ, carrier ID 000079.
All CDAnet claims for patients covered by this insurer must be submitted to the carrier name, Beneva/SSQ (Carrier ID: 000079).
Here are some key points regarding the benefit card (as shown):
- Patients’ benefit cards will display SSQ Insurance as the adjudicator.
- The insurer number listed on the card is 79.
- Before their rebranding, this carrier name was listed as SSQ Financial Group.
Please ensure that the following updates are made to the SSQ carrier record in your practice manage system:
Carrier Name – Beneva/SSQ?
- Policy number: 5 digits
- Certificate number: 7 digits[DC1.1]
- Mailing address[DC2.1]:
- Beneva Inc.
C.P. 11051, Succ.
Sainte-Foy, QC G1V 0K1 - Note: The Calgary and Quebec City addresses are no longer valid.
- Beneva Inc.
To ensure accurate and efficient CDAnet claims processing, please verify whether the carrier listing in your practice management software should be updated to Beneva/SSQ.
This update will help ensure the carrier is correctly identified when patients present a Beneva benefit card, reducing the risk of errors or processing delays.
- If you have any questions, please contact Beneva Customer Service at 1-800-463-6262.
Read the full communication here.
Reports of Suspicious Phone Calls Targeting Dental Offices
June 12, 2026
Following our previous advisory, we have received reports of suspicious phone calls targeting dental offices from multiple phone numbers. In these calls, individuals may request information about the office’s practice management software or claim to represent a software vendor, with the apparent goal of gaining remote access to office computers.
To help protect your practice, consider the following security precautions:
- Never grant remote access to your computer unless you initiated the support request and have verified the caller's identity through an official company contact number.
- Be cautious of unsolicited calls requesting information about your software, network, passwords, or system configuration.
- Verify any support request by hanging up and contacting the vendor directly.
- Do not install software, run programs, or click links at the direction of an unexpected caller.
If you believe remote access may have been granted before the threat was recognized, immediately disconnect the affected computer from the internet and contact your IT provider, prompt action can help limit potential damage and prevent further unauthorized access.
Reminder: La Capitale rebranded to Beneva
April 22, 2026
This is a reminder that La Capitale rebranded to Beneva, and their CDAnet carrier listing is Beneva/La Capitale, carrier ID 600502.
All CDAnet claims for patients covered by this insurer must be submitted to the carrier name, Beneva/La Capitale (Carrier ID: 600502).
Here are some key points regarding the benefit card (as shown):
- Patients’ benefit cards will display Beneva as the insurer.
- The insurer number listed on the card is 62.
- Before their rebranding, this carrier ID 600502 was listed as La Capitale.
To ensure accurate and efficient processing of CDAnet claims, please verify if the carrier listing in your practice management software needs to be updated to Beneva/La Capitale.
This update will make it easier to correctly identify the carrier when patients present a Beneva benefit card and will prevent any errors or delays.
If you have any questions, please contact TELUS Health at 1-866-272-2204.
CDCP Coverage Renewals
April 22, 2026
The Government of Canada has started its annual reassessment of individuals covered under the Canadian Dental Care Plan (CDCP) to confirm that they continue to meet all eligibility requirements.
CDCP patients (or delegate) must complete the renewal process prior to June 1, 2026. Reminding any current patients covered under the plan to renew, may avoid a gap in their coverage. Patients will receive a letter from the Government of Canada informing them that they must renew, with instructions on how.
Patients who are no longer eligible for the CDCP or do not renew will have their CDCP coverage end on June 30, 2026. Please remember to always verify the patient’s eligibility with the CDCP program!
Reminder: Update on the adjudication service for AGA Financial Group Inc.
April 22, 2026
In June2025, AGA Financial Group Inc. issued new benefit cards that included a new ID number. please ask your patients for to confirm their AGA Financial Group ID number and ensure that their plan information is updated. Claims submitted with the old ID number will be rejected.
Read the full communication here.
CDAnet version 2 claims will no longer be accepted as of March 31st
March 18, 2026
CDAnet Version 2 was officially retired in February 2024, please be aware that after March 31, 2026, Version 2 claims will no longer be accepted.
If you have already updated your carrier configurations to CDAnet Version 4 but are still receiving notices, it may indicate that your office is still sending version 2 transactions. Consider checking the following possible causes:
- One or more office computers may not have been updated. For example, a new or rarely used computer may still contain outdated carrier settings.
- A specific carrier record may have been missed,
- A rarely used carrier may still be set to Version 2.
- Duplicate carrier records may exist in your software. Ensure all carrier records are updated to Version 4, as an outdated duplicate record could still be submitting Version 2 claims.
What you need to do:
Update the affected carrier settings in your practice management software to CDAnet Version 4 and ensure all supported transactions are enabled. These may include Coordination of Benefits (COB), Attachments, and Predeterminations (PRED and PRED Multipage), which will be listed next to each carrier name on the office notice.
You can also refer to the CDAnet Carrier List on our website to confirm the transactions supported by each carrier.
Industrial Alliance Claim System Now Supports PreDetermination EOBs
March 18, 2026
Industrial Alliance (carrier ID 000060), Industrial Alliance Pacific Life Insurance Co. (carrier ID 000024) and National Life of Canada (carrier ID 000021) will start supporting PreDetermination EOBs. For dental offices to receive PreDetermination EOB’s from these carriers, it is essential to update the carrier records for all three carrier IDs in the office practice management software.
Effective March 18, 2026, please enable the PreDetermination EOB (23) transaction for the following carrier IDs: 000060, 000024 and 000021.
If you are unsure how to make these carrier setting changes, please contact your software vendor for assistance. For a complete list of supported transactions for all three carrier IDs, please visit the CDAnet Carrier page.
Simply Benefits – address update
March 18, 2026
Simply Benefits (carrier ID 610361) has notified us of a change in their address. Please ensure that the manual claim forms in your software is updated with the following mailing address
Simply Benefits
45 Stanley Street, Unit 200
Ayr, ON N0B 1E0
Bilsland Griffith Benefit Administrators rebranding to Convyta Partners
November 18, 2025
As of October 1st, 2025, Bilsland Griffith Benefit Administrators (carrier ID 000128) rebranded to Convyta Partners. Please update the carrier name in your practice management system. Plan members ID cards will remain unchanged. The CDAnet claim processing configuration details will stay the same.
Telus AdjudiCare now accepts CDAnet file attachments
November 18, 2025
Telus AdjudiCare (carrier ID 000034) is now accepting CDAnet file attachments for claims and predeterminations submitted electronically.
Please update the carrier record in your practice management 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.
If you are unsure how to make the setting changes, please contact your software vendor.
Reminder to always verify patient’s eligibility with the CDCP Program
November 18, 2025
On October 17, Health Canada announced that the Canada Revenue Agency (CRA) corrected taxpayers’ adjusted family income calculations, which will affect eligibility and co-payment levels for some Canadian Dental Care Plan (CDCP) patients. Some patients will lose eligibility, while others will see changes to their co-payments.
Dentists are advised that no repayments will be required from patients or providers, and they should verify eligibility and co-payment details at each visit. Providers are encouraged to confirm whether patients have received updated coverage information and may contact Sun Life at 1-888-888-8110 for case-by-case reviews of mid-treatments involving crowns or dentures. Dental offices should direct patient inquiries to official CDCP communications or government sources.
Multi-Factor Authentication (MFA) coming soon to PSS website
October 15, 2025
As part of CDA’s ongoing commitment to information security, Multi-Factor Authentication (MFA) will soon be implemented on the PSS website to enhance security and help safeguard your data.
MFA adds an extra layer of protection by requiring users to verify their identity through more than one method, significantly reducing the risk of unauthorized access.
All users are reminded not to share accounts; each user should have their own account if they require access to the PSS website. Sharing accounts can lead to serious security risks; it creates challenges for auditing who made changes, it increases the chance of unauthorized access, and it weakens accountability. Sharing accounts can also result in account breaches if credentials are mishandled.
Creating individual accounts ensures personalized permissions, and a safer, more reliable system. Please review your office’s current access and ensure all users have individual accounts before MFA is activated.
Canada Life introduces updates to EOB responses
October 15, 2025
Starting October 17, 2025, Canada Life (Carrier ID 000011) will introduce updates to enhance real-time Predetermination (03) Explanation of Benefits (EOB) responses, especially when Canada Life is both the primary and secondary payor.
Offices with Canada Life set to use CDAnet version 4 in their software, who submit a predetermination under the primary plan with secondary plan details will now receive a real-time EOB (instead of just an acknowledgment) when services can be assessed immediately. Providers can still submit separate secondary plan predetermination requests for full coverage confirmation.
Please contact your software company if you require assistance updating your practice management software.
Read the full communication here.
Quikcard changing network providers
June 27, 2025
Effective June 27, 2025, Quikcard (carrier ID 000103) will transition from the instream network to the TELUS network. Please ensure to update the Quikcard carrier record in your practice management system (PMS) to avoid claims being rejected.
If you require assistance updating the carrier details, please contact your PMS vendor.
Johnson Insurance rebranding to belairdirect
June 27, 2025
Effective July 1st, 2025, Johnson Insurance (carrier ID 627265) will be rebranding to belairdirect. Please update the carrier name in your practice management system. Plan members will be issued a new benefit card and note that the carrier ID 627265 will remain the same, only the name requires change.
Also, the CDA carrier record on our website has been updated to include regional mailing addresses for submitting standard dental claims when necessary.
Read the full notice here.
CDCP update
June 27, 2025
Health Canada has made an interim update to the Preauthorization Checklist for Crowns. The Periodontal Screening Record (PSR) is now accepted when a full periodontal chart isn’t available. This change hasn't yet been reflected in the Dental Benefits Guide. If providers contact Sun Life, they might still be referred to the existing documentation listed in the Guide, but section 5.1 outlines what to do when only partial documentation is submitted. You can find the updated version in the Oral Health Provider Toolkit.
Additionally, Health Canada clarified timelines for denture insertions under CDCP to prevent financial hardship:
- Provisional/transitional dentures must be inserted within 7 days of extractions.
- Immediate dentures must be placed within 45 days of extractions.
- After those timeframes, other kinds of dentures would need to be requested.
- Permanent dentures can only be inserted at least 6 months after provisional/transitional ones.
Read the full notice here.
Enhanced file security with Secure Send API
June 23, 2025
The CDA has updated the CDA Secure Send service to strengthen security by restricting file uploads of potentially harmful file extensions. Specific files extensions will automatically be excluded from messages and clearly marked as removed in the final Secure Send message report PDF, attached to each message that’s sent or received. No action is required from users, as the process is handled entirely within the system.
To see a complete list of the restricted file extensions, click here
Canada Post workers could strike again soon
May 15, 2025
Last year’s Canada Post strike caused considerable disruption to Canadian businesses and consumers. Many dental offices that rely on mail delivery found themselves waiting an extended period of time to receive cheques from claims processors.
The strike ended with an extension on the existing agreement until May 22, 2025. While the Canadian Union of Postal Workers (CUPW) and Canada Post are currently continuing negotiations to avoid another strike, the May 22 date is quickly approaching.
To avoid potential delays, dental practices should consider using direct deposit with the insurance carriers. This will ensure that payments are received promptly, even in the event of a strike.
Keep up with the latest updates on negotiations:
Help us improve CDAnet claim processing!
May 15, 2025
The Canadian Dental Association is committed to continuously improving our services to better support dental practices like yours. We understand that an efficient claims process is vital for your operations, and we would greatly appreciate your insights to help us improve claims processes for all dental practices across Canada.
If you are someone who submits claims and you would like to make a difference, please provide us with your contact information by completing the details in this link.
How to Share Your Insights
You do not need to be an expert and there is plenty of flexibility to allow you to participate when it suits you. Your involvement may include responding to short surveys, or you might be invited join a focus group. We may reach out to you approximately 1-4 times a year to gather your input on key aspects of the claims process, our website or CDA Secure Send service. Participation is optional and you can request not to be contacted if you change your mind.
Thank you in advance for your time and valuable time and input. Together, we can improve claims processes for all dental practices across Canada.
Coughlin & Associates and Funds Administrative Service Inc. (FAS) have switched to TELUS Adjudicare
May 15, 2025
Coughlin & Associates (carrier ID 610105) and Funds Administrative Service Inc. (FAS) (carrier ID 610614) have started processing member claims with TELUS AdjudiCare (carrier ID 000034). They have been removed them from the list of active CDAnet carriers. By now, plan members would have received new benefit cards with new group and certificate numbers.
Please ensure you verify the patient’s benefit card to identify if the carrier information should be updated in your practice management software for CDAnet e-claims.
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 TELUS Health at 1-866-272-2204.
CDCP Audits & Clawbacks
May 15, 2025
CDA and the Provincial and Territorial Dental Associations (PTDAs) are aware of increased audits and clawbacks under the Canadian Dental Care Plan (CDCP), mainly for claims during the early implementation (May–June 2024) due to unclear guidance.
Common issues triggering audits and clawbacks include the following, but are not limited to:
- Using one dentist’s Unique Identifier Number (UIN) on claims for all dentists from the clinic. This goes against the terms of the CDA subscriber agreement and should never be followed.
- Insufficient documentation to justify treatment.
- Fluoride treatments deemed unnecessary.
- Missing “complete” in treatment records (e.g., for scaling).
- Dentists are encouraged to carefully review your documentation and the CDCP Dental Benefits Guide.
Questions? Please contact your Provincial/Territorial Dental Association for more information.
GMS Insurance Inc, Group Medical Services & Groupe Premier Medical Accept Coordination of Benefits (COB) CDAnet 07 Transaction
March 28, 2025
Effective March 28th 2025, GMS Insurance Inc (carrier ID: 610218), Group Medical Services (carrier ID: 610217) and Groupe Premier Medical (carrier ID: 610266) will start accepting COB claims through CDAnet!
Whether GMS Insurance Inc, Groupe Medical Services or Groupe Premier Medical are the primary and secondary or just the secondary carrier, you can send a COB 07 claim. The benefits for the secondary claim will be processed based on the returned Explanation of Benefits (EOB) from the primary claim. There is no need to submit a paper claim form.
To make this option available in your practice management software, please update the carrier records to include the COB option. Please contact your software company if you require assistance updating your practice management software.
CDCP Updates on Preauthorization
March 28, 2025
Sun Life would like to remind all offices that they are currently experiencing a high volume of preauthorization submissions, resulting in varied turnaround times. To help minimize further delays, please ensure that preauthorizations are submitted only submitted once.
Preauthorization requests are being processed on a first-come, first-processed basis and decisions will be available once your submission is processed.
Above frequency limit preauthorization request
Health Canada and Sun Life are aware that preauthorization submissions through CDAnet for codes exceeding frequency limits are being declined. They are currently working to resolve this problem. In the meantime, dentists should submit these requests by mail.
CDCP Coverage Renewals
March 28, 2025
The Government of Canada has started its annual reassessment of individuals covered under the Canadian Dental Care Plan (CDCP) to confirm that they continue to meet all eligibility requirements.
CDCP patients (or delegate) must complete the renewal process prior to June 1, 2025. Reminding any current patients covered under the plan to renew, may avoid a gap in their coverage. Patients will receive a letter from the Government of Canada informing them that they must renew, with instructions on how.
Patients who are no longer eligible for the CDCP or do not renew will have their CDCP coverage end on June 30, 2025. Please remember to always verify the patient’s eligibility with the CDCP program!
CDCP Policy Information – Check for accuracy!
March 07, 2025
The Canadian Dental Care Program's policy number is 333333 (which consists of 6 digits). It's important to pay attention to this to avoid errors, such as mistakenly entering a policy number with 5 or 7 digits.
Starting March 9th, if a predetermination or claim is submitted to Sun Life with a policy number that has more than 6 digits or a member ID that exceeds 11 characters, the submission will be rejected, and an error message will be sent back. In such cases, please update the patient's records and resubmit the transaction to Sun Life.
Update on CDCP Dental Benefits Guide and Preauthorization requests
March 07, 2025
Health Canada has updated the Canadian Dental Care Plan (CDCP) Dental Benefits Guide, with changes marked “updated” in the related sections. These updates aim to clarify preauthorization and documentation requirements. You can access the latest version of the guide below.
Additionally, Health Canada has advised that Sun Life is managing a high volume of CDCP preauthorization requests, which are processed in the order received. To avoid unnecessary delays, dentists are encouraged to not submit the same submission or claim multiple times. Members are encouraged to review the updated guide and follow the recommended submission process to help streamline approvals.
Saskatchewan Blue Cross Updated Supported Transactions
March 07, 2025
Just a reminder that as of March 4th, 2025, Saskatchewan Blue Cross (carrier ID 000096) is now supporting many new CDAnet Transactions. Please ensure your software is updated with the following transactions:
- COB Claim (07)
- If the primary insurer is different than SBC, send the COB claim using the COB 07.
- If SBC is the primary and secondary insurer, send the claim or predetermination, SBC will automatically coordinate the benefits and return two EOB’s.
- Claim EOB (21)
- Claim Reversal (02)
- Claim Reversal Response (12)
- Predetermination (03)
- Predetermination Acknowledgement (13)
- Predetermination EOB (23)
- Request for Outstanding transaction (04)
- Outstanding Transaction Response (14)
- Age limit – 90 days
Also, the following policy information has been updated:
- Policy Numbers: 5 digits (numeric)
- Division Numbers: N/A
- Certificate Numbers: 1-10 digits (alpha-numeric)
To ensure these transactions are available in your software for Saskatchewan Blue Cross, you will need to update the settings in your practice management software. If you are unsure how to make these changes, please contact your software vendor for assistance.
For a complete list of transactions supported by Saskatchewan Blue Cross, please visit the CDAnet Carrier page.
SFMM has changed claims processor from Express Scripts Canada to GreenShield Insurance
February 26, 2025
On January 1, 2025, Syndicate des fonctionnaires municipaux de Montréal (SFMM) began using GreenShield Insurance (carrier ID 000102) to process their CDAnet electronic claims.
SFMM plan members must provide their new plan member information. Their member card includes an 8-digit number and a 2-digit suffix identification number (see below example). For dental coverage, only the first 8 digits are required; please disregard the dash and 2-digit suffix.
GreenShield will only accept CDAnet electronic claims for services rendered on or after January 1, 2025. Claims for services prior to this date must be submitted using the manual claim form and sent directly to SFMM by March 1, 2025.
Syndicat des fonctionnaires municipaux de Montréal (SFMM)
8790, avenue du Parc
Montréal (Québec)
H2N 1Y6
New features available on the CDA Carrier List Page
February 26, 2025
You can now print and sort carriers by the “Supported Transaction Types”! These enhancements are designed to improve your user experience and easily find carriers that support the specific transaction types you need, saving you time and effort.
Try it out! Simply go to the CDAnet Carriers List page, click the “filter” icon next to the “Supported Transaction Types” label, and select one or more transaction types. The list will automatically update to display carriers that match your criteria. Also just above, is the “Print List“ option.
Ensure accurate carrier information on your patient's Explanation of Benefits
February 26, 2025
Including accurate carrier information on your patient's Explanation of Benefits (EOB) claim responses is important. The patient claim documents must correctly reflect the insurer, program name, and benefit plan information. For example, the office software should no longer have Canada Life listed as Great West Life or NIHB listed as First Canadian Health.
Ensuring carrier information is updated in your software can help prevent errors and ensure all claim information and patient EOB documents are accurate. If you require assistance, please contact your software vendor.
For a complete list of carriers, please visit the CDAnet Carrier Listing on our webpage.
Dental Benefits Education Materials for Patients and Dentists
February 26, 2025
The Canadian Dental Association (CDA) is pleased to announce the launch of new Dental Benefits Education materials, designed to help patients better understand dental benefits while also supporting dentists' understanding and discussions with patients.
Helpful resources like downloadable PDF guides, videos, and provincial/territorial public program information are available on our webpage.
Visit Understanding your Dental Benefits on CDA’s website.
Saskatchewan Blue Cross Updated Supported Transactions
February 26, 2025
Effective March 4th, 2025, Saskatchewan Blue Cross (carrier ID 000096) will start accepting the following additional CDAnet transactions:
- COB Claim (07)
- If the primary insurer is different than SBC, send the COB claim using the COB 07.
- If SBC is the primary and secondary insurer, send the claim or predetermination, SBC will automatically coordinate the benefits and return two EOB’s.
- Claim EOB (21)
- Claim Reversal (02)
- Claim Response (12)
- Predetermination (03)
- Predetermination Acknowledgement (13)
- Predetermination EOB (23)
- Request for Outstanding transaction (04)
- Outstanding Transaction Response (14)
Also, the following policy information has been updated:
- Policy Numbers: 5 digits (numeric)
- Division Numbers: N/A
- Certificate Numbers: 1-10 digits (alpha-numeric)
- Age limit – 90 days
To ensure these transactions are available in your software for Saskatchewan Blue Cross, you will need to update the settings in your practice management software. If you are unsure how to make these changes, please contact your software vendor for assistance.
For a complete list of transactions supported by Saskatchewan Blue Cross, please visit the CDAnet Carrier page.