Submit Guardian dental claims electronically for the fastest payment, or by mail. For PPO and indemnity plans, paper claims go to Guardian, P.O. Box 981572, El Paso, TX 79998-1572; group Managed DentalGuard (DHMO) claims go to P.O. Box 981571, El Paso, TX 79998-1571. The group dental payer ID is 64246. Here is the full reference, plus how to stop chasing Guardian claims.
Last updated October 2026 · Reviewed by the PracticeAlpha billing team · Source: Guardian dental provider materials
Get a free AR analysisAddresses and payer IDs change, so confirm the current details on Guardian's provider materials before you rely on them.
| Detail | Guardian dental |
|---|---|
| PPO / indemnity claims address | Guardian, P.O. Box 981572, El Paso, TX 79998-1572 |
| DHMO (Managed DentalGuard) address | Group DHMO and Managed Dental Care (CA): P.O. Box 981571, El Paso, TX 79998-1571 |
| Electronic payer ID | 64246 (group dental); GI813 is for Guardian Direct individual plans |
| Electronic submission | Via your clearinghouse (Vyne Dental, DentalXChange, and others) |
| Provider portal | Guardian Anytime, guardiananytime.com |
| Networks | DentalGuard Preferred (PPO) and Managed DentalGuard (DHMO) |
| Timely filing | 15 months from the date of service, for all Guardian coverage |
| Guardian Direct (individual) claims | P.O. Box 981587, El Paso, TX 79998-1587 |
| Provider phone | Group Benefit Service 800-541-7846; Network Services 800-890-4774 |
| Written reviews and appeals | Grievance Department, P.O. Box 981573, El Paso, TX 79998-1573; fax 1-509-468-6399 |
Enter the date of service to see the filing deadline and how many days are left.
Limits are the ones Guardian publishes, as summarized on this page; the patient's own plan documents win if they differ. Corrected claims and appeals have their own deadlines (see below).
Have claims close to the limit? Free AR analysisSend us your aging list. We will tell you which Guardian claims are still recoverable, what is holding each one up, and what a fix is worth. Free, no obligation.
Get a free AR analysisWe handle Guardian provider credentialing and enrollment for dental practices and new associates, from the application to the effective date, so claims stop coming back out of network.
Guardian credentialing →Electronic submission is the fastest way to get Guardian dental claims paid. Send them through your clearinghouse using payer ID 64246 for group plans (GI813 for Guardian Direct individual plans), and you get faster processing and electronic remittance. Match the mailing address to the product if you file on paper: PPO and indemnity claims go to P.O. Box 981572, El Paso, TX 79998-1572, while group Managed DentalGuard (DHMO) claims go to P.O. Box 981571, El Paso, TX 79998-1571. Guardian's manual also tells offices to mail paper claims to the address on the member's ID card. Sending a claim to the wrong Guardian box is a common cause of delay.
Check eligibility and benefits on Guardian Anytime before the visit. The portal (guardiananytime.com) shows eligibility, remaining maximum, claim status, and lets you request pre-treatment estimates. Confirming the plan and remaining maximum up front is the simplest way to avoid a denial or a bad patient estimate.
Spending your front desk's time chasing Guardian claims and eligibility across PPO and DHMO? We submit clean to the right box, verify before the visit, and work every denial to payment. See what your Guardian AR is leaking.
Get a free AR analysisThe most common Guardian routing mistake is mixing up group and individual plans. Guardian's group dental claims use payer ID 64246, with PPO and indemnity paper claims going to P.O. Box 981572 and group DHMO (Managed DentalGuard and Managed Dental Care in California) going to P.O. Box 981571, both in El Paso, TX.
Guardian Direct, Guardian's individual dental line, uses payer ID GI813 and P.O. Box 981587, El Paso, TX. Its fax channel, (916) 388-3604, only takes claims that do not need x-rays. Guardian's manual also tells offices to mail paper claims to the address on the member's ID card, so when in doubt, the card wins.
Guardian applies one rule: all dental claims for patients with Guardian coverage must be submitted within 15 months of the date of service.
Submit predeterminations through Guardian Anytime for treatment expected to cost $300 or more. Guardian says it completes them in about 5 days on average, and when the claim follows, it does not go back through clinical review. A predetermination is strongly recommended but not required.
Guardian typically sends onlays, crowns, build-ups, veneers, gingivectomy, crown lengthening, osseous surgery, bone grafts, scaling and root planing, bridges, and surgical extractions to clinical review before payment. Its manual and 2026 clinical guidelines set the standard:
To appeal a clinical decision, resend the claim or predetermination marked "Appeal" with any documentation you did not send the first time. For a written review, write to Guardian's Grievance Department, P.O. Box 981573, El Paso, TX 79998-1573, or fax 1-509-468-6399. To speak with the reviewing consultant, mark the submission "Peer to Peer Request". Review timelines follow state law.
For what makes an appeal succeed, see our dental appeals guide.
For PPO and indemnity plans, paper Guardian dental claims go to Guardian, P.O. Box 981572, El Paso, TX 79998-1572. Group Managed DentalGuard (DHMO) claims go to P.O. Box 981571, El Paso, TX 79998-1571, and Guardian Direct individual plans use P.O. Box 981587. Electronic submission is faster; confirm the current address on Guardian's provider materials, addresses change.
Guardian's group dental payer ID is 64246, per its DentalGuard Preferred network manual. GI813 is the payer ID for Guardian Direct individual plans. Submit through clearinghouses such as Vyne Dental or DentalXChange.
Guardian Anytime (guardiananytime.com) is the provider portal for checking eligibility and remaining maximums, submitting and tracking claims, and requesting pre-treatment estimates. Guardian's main PPO network is DentalGuard Preferred.
Guardian requires all dental claims for patients with Guardian coverage to be submitted within 15 months of the date of service.
64246 is the payer ID for Guardian's group dental plans, per its DentalGuard Preferred network manual. GI813 is used for Guardian Direct, its individual dental plans, which also have their own claims box, P.O. Box 981587, El Paso, TX.
Resend the claim or predetermination marked "Appeal" with any new documentation. For a written review, write to Guardian's Grievance Department, P.O. Box 981573, El Paso, TX 79998-1573, or fax 1-509-468-6399. Mark it "Peer to Peer Request" to speak with the reviewing consultant.
Guardian's Group Benefit Service line for eligibility, benefits, and claims is 800-541-7846. Network Services is 800-890-4774.