For your convenience, we’ve posted forms and documents that you and your staff commonly use in your day-to-day transactions with us. Simply click on the link to open the PDF and download the form.
The Altus Dental payer ID number is 50503
This list details all the forms you need to submit your application package.
To add or change a dentist at a location, complete and return a Change/Add Location Form.
Change/Add Location Form
Use this form if your practice has had a change in address.
Address Change Form
To remove a dentist from a location, return a completed Remove Dentist from Location Form.
Remove Dentist from Location
To inform us of the Sale of a dental practice, complete and return a Sale of Dentist Practice Form.
Sale of Dentist Practice Form
Return a completed W-9 form along with the appropriate forms.
View our check processing dates.
Check Run Schedule