October 02, 2017 Damar Software/Claims Midwest

*** DENTAL PAYER LIST ***
12:42:46 PM
1,397 Payers On-Line

Payer Name Payer
Id
Card
Type
Additional
Enrollment
3P Admin
PARTICIPATING PAYER / CLAIMS
20413 No
A & I Benefit Plan Administrators
PARTICIPATING PAYER / CLAIMS, EFT
93044 No
A&D Charitable Foundation, Inc. (dba GreatLakes PACE)
PARTICIPATING PAYER / CLAIMS
39640 No
A.D.N. Administrators, Inc.
PARTICIPATING PAYER / CLAIMS
CXADN No
AARP
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
AARP Claims with a mailing address of PO Box 2059, Mechanicsburg, PA
AARP1 No
ACS Benefit Services Inc
NON-PARTICIPATING PAYER / ERA
58379 No
ACS Benefit Services Inc.
PARTICIPATING PAYER / CLAIMS
f.k.a. ACS Consulting Services, Inc.
72468 No
ACS Benefit Services, Inc.
PARTICIPATING PAYER / CLAIMS
ACS Branded Dental Product
61474 No
AFLAC GA
NON-PARTICIPATING PAYER / ELIGIBILITY INQUIRY
Detailed Benefits
58066 No
AFLAC GA - GRP
PARTICIPATING PAYER / CLAIMS
Group Plan coverage please refer to your ID card for group coverage/number verification.
58066 No
AFLAC NY
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
This plan also shares the same mailing address as payer ID 58066 and the only difference between the plans is that the insured ID for the NY based plan begins with "PN" as "PNxxxxxx" (followed by 6+ digits)
52080 No
AFLAC NY - GRP
PARTICIPATING PAYER / CLAIMS
Group Plan Coverage please refer to your ID card for group coverage/number verification.
52080 No
AGC International Union of Operating Engineers Local 701
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F07 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
AIAPT insured by Trustmark Insurance
NON-PARTICIPATING PAYER / ERA
58379 No
AK United Food and Commercial Workers (AK UFCW)
PARTICIPATING PAYER / CLAIMS, ERA
Please enter group # F45 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
ARC Administrators
PARTICIPATING PAYER / CLAIMS
CXARC No
ASAMT Insurance by Trustmark Insurance
NON-PARTICIPATING PAYER / ERA
58379 No
ASR Corporation
PARTICIPATING PAYER / CLAIMS
38265 No
Acceptius (Benefit Management Inc of MO (BMI)
PARTICIPATING PAYER / CLAIMS
43178 No
Access Dental
PARTICIPATING PAYER / CLAIMS, EFT
via Performance Health Technology
CX097 No
Access Health
NON-PARTICIPATING PAYER / ERA
58379 No
Acclaims
PARTICIPATING PAYER / CLAIMS
64071 No
Activa Benefit Services, LLC/Dental
PARTICIPATING PAYER / CLAIMS
(Formerly Amway Corporation/Dental)
38255 No
Administrative Concepts, Inc.
NON-PARTICIPATING PAYER / EFT
22384 No
Administrative Services Only, Inc.
PARTICIPATING PAYER / CLAIMS
Additional enrollment is not required by the payer, however, providers wishing to submit Claims electronically must be credentialed with the payer. Please ensure you have successfully process one paper Claims with the payer prior to submitting your firs
CX076 No
Advantage Dental Plan, Inc.
PARTICIPATING PAYER / CLAIMS
93524 No
Advantage by Superior
PARTICIPATING PAYER / CLAIMS
Effective only for Dates of Service prior to 2-01-13. Call DentaQuest at 800-896-2374 and MCNA Dental at 855-776-6262 for Dates of Service 2-1-13 and greater.
CPPSA No
Advantek Benefit Administrators
PARTICIPATING PAYER / CLAIMS
83077 No
Advantica Benefits
PARTICIPATING PAYER / CLAIMS, ERA, EFT, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
43168 No
Adventist Health System West - Roseville, CA
PARTICIPATING PAYER / CLAIMS, ERA, EFT
95340 No
Aetna
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
60054 No
Aetna
PARTICIPATING PAYER / ENCOUNTERS
Use this Payer ID for submitting DMO services only.
68246 No
Aetna Affordable Health Choices (SM) - SRC
PARTICIPATING PAYER /
57604 No
Aetna Better Health Plan of Lousiana
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
128LA No
Aetna Better Health Plan of Missouri
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
128MO No
Aetna Better Health Plan of New Jersey
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
46320 No
Aetna Better Health of Illinois
NON-PARTICIPATING PAYER / ERA, EFT
26337 No
Aetna Better Health of Kentucky
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
128KY No
Aetna Better Health of Michigan
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
128MI No
Aetna Better Health of Nebraska
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
42130 No
Aetna Better Health of New York
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
34734 No
Aetna Better Health of Ohio
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
50023 No
Aetna Better Health of Virginia
NON-PARTICIPATING PAYER / ERA, EFT
Enroll with Payer
128VA No
Aetna Better Health of West Virginia
NON-PARTICIPATING PAYER / ERA, EFT
128WV No
Aetna Medicare EPO/PPO Dental
PARTICIPATING PAYER / CLAIMS, ERA, EFT
18014 No
Affordable Benefits Admin.
PARTICIPATING PAYER / CLAIMS
95426 No
Alameda Alliance
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Alask Carpenters
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F40 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Alaska Care Retiree LTC Plan
NON-PARTICIPATING PAYER / ERA
58379 No
Alaska Electrical Health & Welfare Fund
PARTICIPATING PAYER / CLAIMS
92600 No
Alaska Hotel Employees, Restaurant & Camp Employees (AK HERE)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F41 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Alaska Laborers Construction Industry Health & Security Trust
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F23 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Alaska Machinists Health and Welfare Trust
PARTICIPATING PAYER / CLAIMS, ERA
Please enter group # F21 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Alaska Pipe Trades U A Local 375
PARTICIPATING PAYER / CLAIMS, ERA
Please enter group # F24 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F60 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Alexian Brothers Community Services of TN
PARTICIPATING PAYER / CLAIMS
44423 No
AllCare CCO Dental
PARTICIPATING PAYER / CLAIMS
via Performance Health Technology
CXALC No
Allegeant
PARTICIPATING PAYER / CLAIMS, EFT
f.k.a. LBA Health Plans
52193 No
Allegiance Benefit Plan
PARTICIPATING PAYER / CLAIMS
81040 No
Alliant Services
PARTICIPATING PAYER / CLAIMS
Claims mailing address of PO Box 12009, Cheshire, CT
70106 No
Allied Benefit Systems
PARTICIPATING PAYER / CLAIMS, EFT
37308 No
Allied Metal Crafts Security Plan Trust Fund
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F18 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Altus
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
50503 No
AlwaysCare Benefit
NON-PARTICIPATING PAYER / CLAIMS
STR01 No
AmFirst Insurance Company
NON-PARTICIPATING PAYER / ERA
58379 No
Amalgamated Life - PA Alicare
PARTICIPATING PAYER / CLAIMS
13343 No
AmeraPlan
NON-PARTICIPATING PAYER / ERA
58379 No
Ameraplan
PARTICIPATING PAYER / CLAIMS
38219 No
Ameriben Solutions
PARTICIPATING PAYER / CLAIMS
75137 No
American Administrators dba Select Benefit Administrators (West Des Moines, IA)
PARTICIPATING PAYER / CLAIMS
Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions, please contact Provider Relations at 800-456-4584.
42137 No
American Benefit Corporation
PARTICIPATING PAYER / CLAIMS
Only limited plans may be sent electronically. Group name is required with one of the following plan names: Sheet Metal, Berekely, Boone, Carpenter, Cabell, Clarksbur, Doodridge, Hancock, Harrison, Marion, Monongalia, Mingo, Mineral, Morgan, Nicholas,
CX084 No
American Medical Security
PARTICIPATING PAYER / CLAIMS
A United Healthcare Payer
CX001 No
American National Life Insurance
NON-PARTICIPATING PAYER / ERA
58379 No
American Postal Workers Union Health Plan
PARTICIPATING PAYER / CLAIMS
44444 No
American Progressive Insurance
NON-PARTICIPATING PAYER / ERA
58379 No
Americas Choice Healthplans LLC
NON-PARTICIPATING PAYER / ERA
58379 No
Americas TPA
PARTICIPATING PAYER / CLAIMS, EFT
41178 No
Amerihealth Administrators
PARTICIPATING PAYER / CLAIMS
54763 No
Ameritas Life Insurance Corp.
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
47009 No
Ameritas Life insurance Corp. of New York
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
72630 No
Amway Corporation
PARTICIPATING PAYER / CLAIMS
(Formerly Amway Corporation/Dental)
38255 No
Anchor Benefit
PARTICIPATING PAYER / CLAIMS
53085 No
Antares Management Solutions
PARTICIPATING PAYER / CLAIMS
34192 No
Anthem Blue Cross
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
f.k.a. Blue Cross of California; Wellpoint
47198 No
Anthem HMO Colorado - HMO-B
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Anthem Health Plans - HMOD & HMOG
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Anthem Health Plans of Kentucky - OSB High & Low
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Anthem Health Plans of Kentucky - PPOB & PPOD
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Anthem Health Plans of Virginia - OSB High & Low
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Anthem Health Plans of Virginia - PPOB & PPOD
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Anthem Insurance - OSB High & Low
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Anthem Insurance - PPOB & PPOD
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Argus Dental Plans, Inc.
PARTICIPATING PAYER / CLAIMS
ARGUS No
Arizona Blue Cross Blue Shield
NON-PARTICIPATING PAYER / CLAIMS, ERA
53589 No
Arizona Medicaid
NON-PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
Please visit http://www.azahcccs.gov/commercial/ProviderRegistration/registration.aspx for provider registration information prior to submitting claims.
CKAZ1 No
Arkansas Best Corporation - Choice Benefits
PARTICIPATING PAYER / CLAIMS
75278 No
Aspen
PARTICIPATING PAYER / CLAIMS
16180 No
Association Benefit Plan
PARTICIPATING PAYER / CLAIMS, ERA
Formerly payer ID 62413. Now part of Coventry Consolidate payer ID. Including Combined Government Health Plan & Contract Health Insurance Plan.
25133 No
Assurant Employee Benefits
PARTICIPATING PAYER / CLAIMS
PO Box 2877, Clinton, IA 52733
70408 No
Assurant Health (IM & GROUP FULLY - INSURED )
PARTICIPATING PAYER / CLAIMS, ERA, EFT
PO Box 2806, Clinton, IA 52733
39065 No
Assurant, Inc,
PARTICIPATING PAYER / CLAIMS
PO Box 2877, Clinton, IA 52733
70408 No
Assured Benefits Administrators
PARTICIPATING PAYER / CLAIMS
74240 No
Asuris
NON-PARTICIPATING PAYER / CLAIMS
93221 No
Atlantic Dental Inc. (ADI) - Commercial
PARTICIPATING PAYER / CLAIMS
CX085 No
Automated Group Administration, Inc. (AGA)
PARTICIPATING PAYER / CLAIMS
37280 No
Avesis
PARTICIPATING PAYER / CLAIMS
86098 No
BCBS of Rochester New York
NON-PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
CBNYR No
BCBS of Western NY
PARTICIPATING PAYER / CLAIMS
CBNYW No
BCI Administrators, Inc.
PARTICIPATING PAYER / CLAIMS
49153 No
BEAM Insurance administrators
PARTICIPATING PAYER / CLAIMS
BEAM1 No
BHP-Unity
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer. a.k.a. Reading Hospital Employer Group
44219 No
BIA
PARTICIPATING PAYER / CLAIMS
CXBMD No
BIA / Beam
PARTICIPATING PAYER / CLAIMS
CXBMD No
BS of Northeastern NY
PARTICIPATING PAYER / CLAIMS
EDI enrollment is no longer required by ASK however the payer requires each provider register with them.
CBNYE No
Banner Health Systems
PARTICIPATING PAYER / CLAIMS
SX145 No
Banner Plan Administration
PARTICIPATING PAYER / CLAIMS, EFT
77078 No
Bay Area Automotive Group
PARTICIPATING PAYER / CLAIMS
Administered by Health Services Benefit Administrators, Inc. (HSBA)
CHSBA No
Bay Area Delivery Drivers
PARTICIPATING PAYER / CLAIMS
Administered by Health Services Benefit Administrators, Inc. (HSBA)
CHSBD No
Beam
PARTICIPATING PAYER / CLAIMS
BEAM1 No
Beam
PARTICIPATING PAYER / CLAIMS
CXBMD No
Beam Dental
PARTICIPATING PAYER / CLAIMS
CXBMD No
Beam Ins Admin
PARTICIPATING PAYER / CLAIMS
BEAM1 No
Beam Ins Admin
PARTICIPATING PAYER / CLAIMS
CXBMD No
Beam Ins.
PARTICIPATING PAYER / CLAIMS
BEAM1 No
Beam Ins.
PARTICIPATING PAYER / CLAIMS
CXBMD No
Beam Insurance
PARTICIPATING PAYER / CLAIMS
BEAM1 No
Beam Insurance
PARTICIPATING PAYER / CLAIMS
CXBMD No
Beam Insurance Ad
PARTICIPATING PAYER / CLAIMS
BEAM1 No
Beam Insurance Ad
PARTICIPATING PAYER / CLAIMS
CXBMD No
Beam Insurance Admin
PARTICIPATING PAYER / CLAIMS
BEAM1 No
Beam Insurance Admin
PARTICIPATING PAYER / CLAIMS
CXBMD No
Beam Insurance Administrator
PARTICIPATING PAYER / CLAIMS
BEAM1 No
Beam Insurance Administrator
PARTICIPATING PAYER / CLAIMS
CXBMD No
Beam Insurance Administrators
PARTICIPATING PAYER / CLAIMS
BEAM1 No
Bell Atlantic
PARTICIPATING PAYER / CLAIMS
68241 No
BeneCare Dental Plans
PARTICIPATING PAYER / CLAIMS
23210 No
Benefit Administrative Systems
PARTICIPATING PAYER / CLAIMS
36149 No
Benefit Coordinators Corporation (Pittsburgh, PA)
PARTICIPATING PAYER / CLAIMS
Payer ID valid only for Claims with a submission address of 111 Ryan Court, Suite 300, Pittsburgh, PA 15205.
25145 No
Benefit Inc.
NON-PARTICIPATING PAYER / CLAIMS, ERA
R7003 No
Benefit Management Administrators Inc.
NON-PARTICIPATING PAYER / ERA
58379 No
Benefit Management Group NV
PARTICIPATING PAYER / CLAIMS
36459 No
Benefit Management Services of MS
PARTICIPATING PAYER / CLAIMS
37212 No
Benefit Management Services, Inc.
PARTICIPATING PAYER / CLAIMS
56139 No
Benefit Management, Inc. of KS
PARTICIPATING PAYER / CLAIMS
48611 No
Benefit Plan Administrators
NON-PARTICIPATING PAYER / ERA
58379 No
Benefit Plan Administrators Co. (Eau Claire, WI)
PARTICIPATING PAYER / CLAIMS
Payer ID valid for Benefit Plan Administrators (Eau Claire, WI submission address only) and Custom Benefit Administrators
39081 No
Benefit Plan Services Inc
NON-PARTICIPATING PAYER / ERA
58379 No
Benefit Systems & Services, Inc. (BSSI)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
36342 No
Benefits Administration Corporation, Inc.
PARTICIPATING PAYER / ERA, EFT
44357 No
Best Life & Health Insurance Co.
PARTICIPATING PAYER / CLAIMS
95604 No
Blue BeneFit Administrators of MA
PARTICIPATING PAYER / CLAIMS
a.k.a. CBA Blue
03036 No
Blue Care Family Plan
PARTICIPATING PAYER / CLAIMS, ERA
Administered by Golden West (Well point)
GWD01 No
Blue Care Family Plan (BCBS of CT)
PARTICIPATING PAYER / CLAIMS, ERA
00700 No
Blue Cross of North Dakota (ND Dental Services)
NON-PARTICIPATING PAYER / CLAIMS, ERA
CX004 No
Blue Cross Blue Shield Association - FEP Dental
PARTICIPATING PAYER / CLAIMS
BCAFD No
Blue Cross Blue Shield Delaware Fully - Insured Dental Group Business
NON-PARTICIPATING PAYER / CLAIMS, ERA
Effective 5-18-13 FEP claims must be mailed to PO Box 1991, Wilmington, DE 19899
53287 No
Blue Cross Blue Shield OH/KY (Anthem)
PARTICIPATING PAYER / CLAIMS, ERA
84105 No
Blue Cross Blue Shield of Kansas City MO
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
EDI enrollment is no longer required by ASK however the payer requires each provider register with them.
47171 No
Blue Cross Blue Shield of Louisiana
PARTICIPATING PAYER / CLAIMS, ERA
Payer requires providers be tied to our submitter ID of P0003784
23739 No
Blue Cross Blue Shield of Michigan
NON-PARTICIPATING PAYER / CLAIMS, ERA, EFT
CBMI1 No
Blue Cross Blue Shield of Minnesota
NON-PARTICIPATING PAYER / CLAIMS
Use for claims mailed to PO Box 64338, St. Paul, MN 55164-0338
CBMN1 No
Blue Cross Blue Shield of Montana
PARTICIPATING PAYER / CLAIMS, ERA, EFT
CBMT1 No
Blue Cross Blue Shield of North Carolina
PARTICIPATING PAYER / CLAIMS
Dental Blue Select Product
61474 No
Blue Cross Blue Shield of North Carolina
PARTICIPATING PAYER / CLAIMS
Dental Blue Product
61473 No
Blue Cross Blue Shield of North Carolina
PARTICIPATING PAYER / CLAIMS
EHB Pediatric Dental Claims
61472 No
Blue Cross Blue Shield of Oregon
NON-PARTICIPATING PAYER / CLAIMS
CB850 No
Blue Cross Blue Shield of South Dakota
NON-PARTICIPATING PAYER / CLAIMS
CBSD1 No
Blue Cross Blue Shield of Wisconsin - PPOD
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Blue Cross Dental
PARTICIPATING PAYER / CLAIMS
Non FEP claims
CBMNU No
Blue Cross blue Shield of Oklahoma
NON-PARTICIPATING PAYER / CLAIMS, ERA, EFT
SB840 No
Blue Cross blue Shield of Oregon
NON-PARTICIPATING PAYER / ERA
Effective May 1, 2013, Regence requires all claim payments to be received via EFT. If not already receiving payments from Regence via EFT, please register using the automatic Deposit (EFT/ACH Credits) authorization agreement enrollment and / or update
CB850 No
Blue Cross of Alabama
NON-PARTICIPATING PAYER / CLAIMS, ERA
CBAL1 No
Blue Cross of Alaska and Washington
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
47570 No
Blue Cross of Arkansas
NON-PARTICIPATING PAYER / CLAIMS, ERA
Mailing address for claims: Dental Claims Administrator PO Box 1206 Elk Grove Village IL 60009-1206.
CBAR1 No
Blue Cross of California - OSB High & Low
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Blue Cross of California - PPOA
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Blue Cross of California - Plan SS10 & SS20
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Blue Cross of Colorado
PARTICIPATING PAYER / CLAIMS, ERA
84099 No
Blue Cross of Idaho
NON-PARTICIPATING PAYER / CLAIMS
CBID1 No
Blue Cross of Illinois
NON-PARTICIPATING PAYER / CLAIMS, ERA, EFT
CB621 No
Blue Cross of Iowa
NON-PARTICIPATING PAYER / CLAIMS, ERA
CBIA2 No
Blue Cross of Iowa
NON-PARTICIPATING PAYER / ERA
CBIA1 No
Blue Cross of Iowa (FEP Claims Only)
NON-PARTICIPATING PAYER / CLAIMS
FEP Claims only
CBIA1 No
Blue Cross of Kansas
NON-PARTICIPATING PAYER / CLAIMS, ERA
EDI enrollment is no longer required by ASK however the payer requires each provider register with them.
CBKS1 No
Blue Cross of Massachusetts
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CBMA1 No
Blue Cross of Mississippi
NON-PARTICIPATING PAYER / CLAIMS, ERA
CBMS1 No
Blue Cross of Nebraska
PARTICIPATING PAYER / CLAIMS, ERA
CBNE1 No
Blue Cross of Nevada
PARTICIPATING PAYER / CLAIMS, ERA
No FEP Claims. Please send FEP Claims on paper or use Payer ID 06126.
84101 No
Blue Cross of New Mexico
NON-PARTICIPATING PAYER / CLAIMS
CBNM1 No
Blue Cross of New Mexico
NON-PARTICIPATING PAYER / ERA, EFT
All enrollments for payer IDs CB621, CB900, SB840, SB790, 36123, CBMI1 and CBMT1 must be completed using Change Healthcare’s Dental Connect for Provider’s portal. Please log into your DC-p account or register for one at https://www.emdeondental.com/dps/
SB790 No
Blue Cross of Rhode Island
NON-PARTICIPATING PAYER / CLAIMS, ERA
CB870 No
Blue Cross of Tennessee
NON-PARTICIPATING PAYER / CLAIMS
CBTN1 No
Blue Cross of Texas
NON-PARTICIPATING PAYER / CLAIMS, ERA, EFT
CB900 No
Blue Shield of Idaho
NON-PARTICIPATING PAYER / ERA, CLAIMS
Effective May 1, 2013, Regence requires all claim payments to be received via EFT. If not already receiving payments from Regence via EFT, please register using the automatic Deposit (EFT/ACH Credits) authorization agreement enrollment and / or update
CBID2 No
Boilermakers National Health & Welfare Fund
PARTICIPATING PAYER / CLAIMS
36609 No
Boon Administrative Services, Inc.
PARTICIPATING PAYER / CLAIMS, ERA, EFT
BOONG No
Boon Chapman Benefit Administrators
PARTICIPATING PAYER / CLAIMS
74237 No
Boulder Administration Services
NON-PARTICIPATING PAYER / ERA
58379 No
BridgeSpan Health (Regence Group)
NON-PARTICIPATING PAYER / CLAIMS
BRIDG No
Brokers National
PARTICIPATING PAYER / CLAIMS
CX032 No
Broward Health
PARTICIPATING PAYER / CLAIMS
37314 No
Butler Benefits
PARTICIPATING PAYER / CLAIMS
42150 No
C. L. Frates
PARTICIPATING PAYER / CLAIMS
CX075 No
C.A.S.
NON-PARTICIPATING PAYER / ERA
58379 No
CA Blue Shield
PARTICIPATING PAYER / CLAIMS
Non FEP Claims Only
94036 No
CBA Blue
PARTICIPATING PAYER / CLAIMS
f.k.a. Comprehensive Benefits Administrators, Inc.
03036 No
CBCA Administrators Inc
NON-PARTICIPATING PAYER / ERA
58379 No
CCEA Teachers Health Trust
PARTICIPATING PAYER / CLAIMS
88019 No
CDO Technologies
PARTICIPATING PAYER / CLAIMS
83028 No
CDS Group Health
PARTICIPATING PAYER / CLAIMS
88022 No
CHAMPVA - HAC
PARTICIPATING PAYER / CLAIMS, ERA
CHAMPVA - HAC is not associated with and does not process Claims for TRICARE (formerly CHAMPUS)
84147 No
CIGNA
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
62308 No
CNIC Health Solutions Inc.
PARTICIPATING PAYER / CLAIMS, ERA, EFT
37227 No
CTI Administrators
PARTICIPATING PAYER / CLAIMS, ERA, EFT
42141 No
Cal Optimal -OneCare
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
California State Government Programs
PARTICIPATING PAYER / CLAIMS, ERA
CPPCA No
Cannon Cochran Management Services, Inc. Metairie, LA
PARTICIPATING PAYER / CLAIMS, EFT
Payer ID for claims with a mailing address of PO Box 6794, Metairie, LA 70009
71057 No
Capitol Administrators
NON-PARTICIPATING PAYER / ERA
58379 No
Capitol Dental
PARTICIPATING PAYER / CLAIMS
via Performance Health Technology
CX095 No
Caprock Health Plans
NON-PARTICIPATING PAYER / ERA
58379 No
Care 1st Health Plan Medicare Advantage
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Care 1st PHP LA & San Bernadino County
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Care Source
NON-PARTICIPATING PAYER / ERA
58379 No
CareFirst, Inc. Maryland BCBS
NON-PARTICIPATING PAYER / CLAIMS, ERA, EFT, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
00580 No
CareOregon
PARTICIPATING PAYER / CLAIMS
93975 No
CareSource
NON-PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
CKOH2 No
Careington Benefit Solutions
PARTICIPATING PAYER / CLAIMS
60601 No
Caresource GA
PARTICIPATING PAYER / CLAIMS
GACS1 No
Caresource IN
PARTICIPATING PAYER / CLAIMS
INCS1 No
Caresource KY
PARTICIPATING PAYER / CLAIMS
KYCS1 No
Caresource WV
PARTICIPATING PAYER / CLAIMS
WVCS1 No
Carolina Summit Healthcare
PARTICIPATING PAYER / CLAIMS
56195 No
Carpenters Health and Welfare Fund of Philadelphia
PARTICIPATING PAYER / CLAIMS
CX101 No
Caterpillar Inc.
NON-PARTICIPATING PAYER / CLAIMS
A United Healthcare Payer
37060 No
Cement Masons and Plasterers Health & Welfare Trust
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F16 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Central Reserve Life
PARTICIPATING PAYER / CLAIMS, ERA
Only Non Medicare Supplement and Dental lines of business administered under this payer ID.
34097 No
Central States Health and Welfare Fund
PARTICIPATING PAYER / CLAIMS
36215 No
Central Susquehanna Healthcare Providers (CSHP)
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
55731 No
Chesterfield Resources, Inc. (Uniontown, OH)
PARTICIPATING PAYER / CLAIMS
a.k.a. Salvation Army
34154 No
Chewsi First Circle Solution / DD RI
PARTICIPATING PAYER / REAL TIME CLAIMS
RICHW No
Choice Plus (TRW)
PARTICIPATING PAYER / CLAIMS
68241 No
Christian Brothers Services
PARTICIPATING PAYER / CLAIMS
38308 No
Citizens Security Life
PARTICIPATING PAYER / CLAIMS
CX071 No
Civil Service Employees Association (CSEA)
PARTICIPATING PAYER / CLAIMS
Provider ID number required. Max of 50 procedure lines per Claims. ID number must be 5 characters in length, numbers 6 in length & ending with a '1' are accepted when '1' is removed. Numbers with leading zeros will have leading zeros omitted. ID numbers
CX054 No
ClaimsBridge HPN
PARTICIPATING PAYER / CLAIMS
11752 No
Coastal TPA Inc
NON-PARTICIPATING PAYER / ERA
58379 No
Community Health Alliance
NON-PARTICIPATING PAYER / ERA
58379 No
Community Health Alliance of TN
PARTICIPATING PAYER / CLAIMS
27905 No
Community Health Electronic Claims/CHEC/webTPA
PARTICIPATING PAYER / CLAIMS, ERA, EFT
75261 No
Community Insurance - HMOA & PPOB
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Community Insurance - PPOD & PPOF
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
CompBenefits
PARTICIPATING PAYER / CLAIMS
CX021 No
Companion Life
NON-PARTICIPATING PAYER / CLAIMS
77828 No
Companion Life
NON-PARTICIPATING PAYER / ERA
58379 No
Companion Life / KHP
PARTICIPATING PAYER / CLAIMS
37322 No
Complete Benefits Solutions
NON-PARTICIPATING PAYER / ERA
58379 No
Comprehensive Healthcare Options.com Inc.
PARTICIPATING PAYER / CLAIMS
CHCP1 No
CompuSys / Erisa Group, Inc.
PARTICIPATING PAYER / CLAIMS
74234 No
Comsumers Choice Health Plan - State of SC
PARTICIPATING PAYER / CLAIMS
45321 No
Conifer (Adventist)
NON-PARTICIPATING PAYER / ERA
58379 No
Connecticut Carpenters Health Fund
PARTICIPATING PAYER / CLAIMS
37307 No
Connecticut General (CIGNA)
PARTICIPATING PAYER / CLAIMS, ERA
62308 No
Consolidated Group Dental
PARTICIPATING PAYER / CLAIMS
61305 No
Constitution Life Insurance Company
NON-PARTICIPATING PAYER / ERA
58379 No
Consumers' Choice Health Plan
NON-PARTICIPATING PAYER / ERA
58379 No
Continental Benefits
PARTICIPATING PAYER / CLAIMS
35245 No
Continuum Health Solutions
NON-PARTICIPATING PAYER / ERA
58379 No
Cook Children's Dental
PARTICIPATING PAYER / CLAIMS
CPPCC No
Cooperative Benefit Administrators (CBA)
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
Administered by UMR Wausau
52132 No
Core Benefits Inc.
NON-PARTICIPATING PAYER / ERA
58379 No
Core Management Resources Group
PARTICIPATING PAYER / CLAIMS, EFT
58231 No
Core V
PARTICIPATING PAYER / CLAIMS
60601 No
CoreSource
NON-PARTICIPATING PAYER / ERA
58379 No
CoreSource AZ MN
PARTICIPATING PAYER / CLAIMS
Only for Claims where the "submit Claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesota. For assistance call 800-698-0106.
41045 No
CoreSource Detroit
PARTICIPATING PAYER / CLAIMS
38225 No
CoreSource KC
PARTICIPATING PAYER / CLAIMS
f.k.a. FMH Benefit Services, Inc.
48117 No
CoreSource Little Rock
PARTICIPATING PAYER / CLAIMS, ERA
75136 No
CoreSource MD PA IL
PARTICIPATING PAYER / CLAIMS, ERA
Only for Claims where the "submit Claims to address" on the medical ID card is a CoreSource address in the states of Maryland, Pennsylvania or Illinois. For assistance call 800-689-0106.
35182 No
CoreSource NC IN
PARTICIPATING PAYER / CLAIMS, ERA
Only for Claims where the "submit Claims to address" on the medical ID card is a CoreSource address in the states of North Carolina or Indiana. For assistance call 800-689-0106.
35180 No
CoreSource OH
PARTICIPATING PAYER / CLAIMS
35183 No
CoreStar
PARTICIPATING PAYER / CLAIMS
Only for Claims where the "submit Claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesota. For assistance call 800-698-0106.
41045 No
Corporate Plan Management
NON-PARTICIPATING PAYER / ERA
58379 No
Correct Care Solutions - FBOP
NON-PARTICIPATING PAYER / ERA
58379 No
Covenant Administrators Inc
NON-PARTICIPATING PAYER / ERA
58379 No
Covenant Administrators, Inc. (Atlanta, GA)
PARTICIPATING PAYER / CLAIMS
f.k.a. Benesys, Inc.
58102 No
Coventry Dental
PARTICIPATING PAYER / CLAIMS, ERA, EFT, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX049 No
Coventry Health Care
PARTICIPATING PAYER / CLAIMS
West Virginia Only
25133 No
Coventry Health Care Carelink
PARTICIPATING PAYER / CLAIMS, ERA
West Virginia Only
25133 No
Coventry Health Care Carelink Medicaid
PARTICIPATING PAYER / CLAIMS, ERA
West Virginia Only
25133 No
Coventry Health Care National Network
PARTICIPATING PAYER / CLAIMS, ERA
Formerly payer ID 87043. Now part of Coventry Consolidated payer ID.
25133 No
Coventry Health Care of Georgia
PARTICIPATING PAYER / CLAIMS
25148 No
Coventry Healthcare of Georgia
NON-PARTICIPATING PAYER / ERA
Enroll with Payer
128FL No
Coventry Missouri
PARTICIPATING PAYER / CLAIMS, ERA
Formerly payer ID 87043. Now part of Coventry Consolidated payer ID.
25133 No
CoventryCares
PARTICIPATING PAYER / CLAIMS
Kentucky Medicaid CoventryCares administered by Avesis
86098 No
Creative Plan Administrators
PARTICIPATING PAYER / CLAIMS
37320 No
Crescent Dental - Meritain Health
PARTICIPATING PAYER / CLAIMS
CX074 No
Crescent Health Solution
PARTICIPATING PAYER / CLAIMS
56213 No
Custom Benefit Administrators
NON-PARTICIPATING PAYER / ERA
58379 No
Custom Design Benefits
NON-PARTICIPATING PAYER / ERA
58379 No
CustomCare
PARTICIPATING PAYER / CLAIMS
68241 No
DH Evans
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
CX065 No
DQ/Emblem (Emblem Health Medicaid)
PARTICIPATING PAYER / CLAIMS, ERA
EMBDQ No
Dart Management Corp.
PARTICIPATING PAYER / CLAIMS, ERA
06172 No
DeCare Dental Health Insurance
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
07035 No
Dearborn National
NON-PARTICIPATING PAYER / CLAIMS, ERA, EFT
36123 No
Delano Medical Group
NON-PARTICIPATING PAYER / ERA
58379 No
Delaware Medicaid
NON-PARTICIPATING PAYER / CLAIMS, ERA
CKDE1 No
Delhaize
NON-PARTICIPATING PAYER / ERA
58379 No
Delta Dental Insurance Co. (DDIC) - All Payers
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
94276 No
Delta Dental Massachusetts
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
04614 No
Delta Dental Puerto Rico
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
66043 No
Delta Dental of Arizona
PARTICIPATING PAYER / CLAIMS, ERA, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
86027 No
Delta Dental of Arkansas
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDAR1 No
Delta Dental of California - CA00 Claims Office
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
77777 No
Delta Dental of California/Tricare Retiree Dental
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDCA1 No
Delta Dental of Colorado
PARTICIPATING PAYER / CLAIMS
84056 No
Delta Dental of Delaware
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
51022 No
Delta Dental of Florida (DDIC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
DDFL1 No
Delta Dental of Georgia (DDIC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
DDGA1 No
Delta Dental of Idaho
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
82029 No
Delta Dental of Illinois Group Plans
PARTICIPATING PAYER / CLAIMS, ERA, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
05030 No
Delta Dental of Illinois Individual Plan
PARTICIPATING PAYER / CLAIMS
IDIND No
Delta Dental of Indiana
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDIN1 No
Delta Dental of Iowa
PARTICIPATING PAYER / CLAIMS, ERA, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDIA1 No
Delta Dental of Iowa Medicaid Program
NON-PARTICIPATING PAYER / CLAIMS, ERA, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDIAM No
Delta Dental of Kansas
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDKS1 No
Delta Dental of Kentucky
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDKY1 No
Delta Dental of Louisiana (DDIC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
DDLA1 No
Delta Dental of Maryland and Pennsylvania
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
23166 No
Delta Dental of Michigan
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDMI0 No
Delta Dental of Minnesota
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDMN1 No
Delta Dental of Mississippi (DDIC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
DDMS1 No
Delta Dental of Missouri
PARTICIPATING PAYER / CLAIMS, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
43090 No
Delta Dental of Montana (DDIC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
DDMT1 No
Delta Dental of Nebraska
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDNE1 No
Delta Dental of Nevada (DDIC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
DDNV1 No
Delta Dental of New Jersey
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
22189 No
Delta Dental of New Mexico
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
85022 No
Delta Dental of New York
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
11198 No
Delta Dental of North Carolina
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
56101 No
Delta Dental of North Dakota
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDND1 No
Delta Dental of Ohio
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDOH1 No
Delta Dental of Oklahoma
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDOK1 No
Delta Dental of Oregon (Oregon Dental Service)
NON-PARTICIPATING PAYER / CLAIMS
CDOR1 No
Delta Dental of Rhode Island
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
05029 No
Delta Dental of South Carolina
PARTICIPATING PAYER / CLAIMS, REAL TIME CLAIMS, ELIGIBILITY INQUIRY
43091 No
Delta Dental of South Dakota
PARTICIPATING PAYER / CLAIMS
54097 No
Delta Dental of Tennessee
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CDTN1 No
Delta Dental of Texas (DDIC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
DDTX1 No
Delta Dental of Utah (DDIC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
DDUT1 No
Delta Dental of Virginia
NON-PARTICIPATING PAYER / CLAIMS
CDVA1 No
Delta Dental of Washington
PARTICIPATING PAYER / CLAIMS, ERA, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. Washington Dental Service
91062 No
Delta Dental of Washington DC
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
52147 No
Delta Dental of West Virginia
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
31096 No
Delta Dental of Wisconsin
PARTICIPATING PAYER / CLAIMS, ERA, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
39069 No
Delta Dental of Wyoming
PARTICIPATING PAYER / CLAIMS
CDWY1 No
Delta Health Systems
PARTICIPATING PAYER / CLAIMS
94235 No
DeltaCare USA Claims
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. PMI
DDCA2 No
DeltaCare USA Encounters
PARTICIPATING PAYER / ENCOUNTERS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. PMI
DDCA3 No
Denex Dental
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX049 No
DentaQuest - Government Plans
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX014 No
DentaQuest - Government Plans (FL)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX052 No
DentaQuest - Government Plans (ID)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CKID1 No
DentaQuest - Government Plans (IL)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CKIL1 No
DentaQuest - Government Plans (KY)
NON-PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CKKY3 No
DentaQuest - Government Plans (MD)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
CKMD1 No
DentaQuest - Government Plans (SC)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CKSC1 No
DentaQuest - Government Plans (TN)
NON-PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
62154 No
DentaQuest - Government Plans (VA)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CKVA1 No
Dental Blue
NON-PARTICIPATING PAYER / ERA
58379 No
Dental Blue Select
NON-PARTICIPATING PAYER / ERA
58379 No
Dental Care Plus
PARTICIPATING PAYER / CLAIMS, EFT
CX035 No
Dental Health Services of America
PARTICIPATING PAYER / CLAIMS
CX094 No
Dental Network of MD
NON-PARTICIPATING PAYER / CLAIMS
CX034 No
Dental Professionals of Wisconsin
PARTICIPATING PAYER / CLAIMS
f.k.a. Southeast Dental Associates. Effective 7-1-14 payer name must be listed as DPOW-CCHP OR DPOW-ANTHEM OR DPOW-ICA
39148 No
Dental Select
NON-PARTICIPATING PAYER / CLAIMS, ERA, EFT
CX093 No
Dental Transformation Initiative (DTI)
NON-PARTICIPATING PAYER / CLAIMS
There is no enrollment for claims submission. To become a participating provider an office must fill out a form (http://www.dhcs.ca.gov/provgovpart/denti-cal/Documents/Safety%20Net%20Clinic%20Opt-In%20Form(fin)Edits.docx) and email it to DTI@dhcs.ca.gov
DTCA7 No
Dentaquest Commercial Plans (Group and Individual)
PARTICIPATING PAYER / CLAIMS
04356 No
Dentegra
PARTICIPATING PAYER / CLAIMS, ERA
88888 No
Denti-Cal / Medicaid of California
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
94146 No
Department of Economic Security
NON-PARTICIPATING PAYER / CLAIMS
DESAZ No
Deseret Mutual Benefit Administrators
NON-PARTICIPATING PAYER / CLAIMS, ERA
CX089 No
Dignity Health
NON-PARTICIPATING PAYER / ERA
58379 No
District 9 Machinists Welfare Trust
NON-PARTICIPATING PAYER / ERA, EFT
MWELT No
District of Columbia Medicaid
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKDC1 No
Diversified Administration Corporation
PARTICIPATING PAYER / CLAIMS
CX040 No
Downstream Casino
PARTICIPATING PAYER / CLAIMS
19191 No
Dunn & Associates Benefits Administrators, Inc.
PARTICIPATING PAYER / CLAIMS
35186 No
E-V Benefits Management, Inc (Columbus, OH)
PARTICIPATING PAYER / CLAIMS
34159 No
EBC, Inc.
PARTICIPATING PAYER / CLAIMS
Payer Id valid only for Claims with a billing submission address of Employee Benefit Consultants, located in Broadview Hts, OH, Appleton, WI, Albuquerque, NM, Findlay, OH, Louisville, KY and Milwaukee, WI
37257 No
EBMC
PARTICIPATING PAYER / CLAIMS
CX025 No
EBMS (Employee Benefit Management Services, Inc.)
PARTICIPATING PAYER / CLAIMS
81039 No
EBS - RMSCO
PARTICIPATING PAYER / CLAIMS
EBSRM No
EBS Benefit Solutions
NON-PARTICIPATING PAYER / CLAIMS
CX043 No
EBSO
NON-PARTICIPATING PAYER / ERA
58379 No
EHI
PARTICIPATING PAYER / CLAIMS
73288 No
ELMCO
NON-PARTICIPATING PAYER / ERA
58379 No
EMI Health
NON-PARTICIPATING PAYER / ERA, CLAIMS
f.k.a. Educators Mutual Insurance Association
CX079 No
EMPHESYS
PARTICIPATING PAYER / CLAIMS
73288 No
EPSI Dental II
PARTICIPATING PAYER / CLAIMS
f.k.a. Capital Dental
CX037 No
EQUICOR
PARTICIPATING PAYER / CLAIMS, ERA
62308 No
ES Beveridge and Associates
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
34108 No
EasyChoice Health Plan
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Echo Health, Inc
NON-PARTICIPATING PAYER / ERA
58379 No
Eddy SeniorCare
PARTICIPATING PAYER / CLAIMS
08754 No
Elderwood Health
PARTICIPATING PAYER / CLAIMS
03964 No
Electrical Workers Welfare Trust
NON-PARTICIPATING PAYER / ERA, EFT
52611 No
Emblem Health (GHI - New York Group Health Inc.)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
13551 No
Empire Blue Cross Blue Shield
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
FEP claims may not be sent electronically.
CBNY1 No
EmpireHealthChoice Assurance - OSB Low & PPOB
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
EmpireHealthChoice HMO
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Employee Benefit Concepts (Farmington Hills, MI)
PARTICIPATING PAYER / CLAIMS
38241 No
Employee Benefit Consultants
PARTICIPATING PAYER / CLAIMS
Payer Id valid only for Claims with a billing submission address of Employee Benefit Consultants, located in Broadview Hts, OH, Appleton, WI, Albuquerque, NM, Findlay, OH, Louisville, KY and Milwaukee, WI
37257 No
Employee Benefit Management Corp (EBMC)
PARTICIPATING PAYER / CLAIMS
CX025 No
Employee Benefits Corporation
NON-PARTICIPATING PAYER / ERA
58379 No
Employee Benefits Plan Administration, Inc. (E.B.P.A.)
PARTICIPATING PAYER / CLAIMS
a.k.a. CBA Blue
03036 No
Employee Benefits Systems of IA
PARTICIPATING PAYER / CLAIMS
42149 No
Employee Plans, LLC
PARTICIPATING PAYER / CLAIMS, EFT
35112 No
Employer Plan Services, Inc.
PARTICIPATING PAYER / CLAIMS
CX031 No
Employers Direct Health
PARTICIPATING PAYER / CLAIMS
75232 No
Employers Health
PARTICIPATING PAYER / CLAIMS
73288 No
Employers Health Insurance
PARTICIPATING PAYER / CLAIMS
73288 No
Employers Mutual, Inc.
PARTICIPATING PAYER / CLAIMS, ERA
59297 No
Encara
PARTICIPATING PAYER / CLAIMS
WDENC No
Envolve Health
PARTICIPATING PAYER / CLAIMS
f.k.a. Dental Health & Wellness
46278 No
Everence
PARTICIPATING PAYER / CLAIMS, EFT, ELIGIBILITY INQUIRY
35605 No
Evergreen
NON-PARTICIPATING PAYER / ERA
58379 No
Evergreen Health Co-Op
PARTICIPATING PAYER / CLAIMS, ERA
93240 No
ExclusiCare
PARTICIPATING PAYER / CLAIMS, ERA
71412 No
FL MCO PHC/PHP
PARTICIPATING PAYER / CLAIMS
95411 No
Fairbanks North Star Borough
PARTICIPATING PAYER / CLAIMS, ERA
Please enter group # F62 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Fairbanks North Star Borough School District Plan A (FNSBSD)
PARTICIPATING PAYER / CLAIMS, ERA
Please enter group # F62 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Fairbanks North Star Borough School District Plan B (FNSBSD)
PARTICIPATING PAYER / CLAIMS, ERA
Please enter group # F62 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Family Dental
PARTICIPATING PAYER / CLAIMS
via Performance Health Technology
CX096 No
Family Health Network
NON-PARTICIPATING PAYER / ERA
58379 No
FamilyCare CCO
PARTICIPATING PAYER / CLAIMS
via Performance Health Technology
CXFMC No
Federated Mutual Insurance
PARTICIPATING PAYER / CLAIMS
41041 No
Fidelio Dental Insurance Company
PARTICIPATING PAYER / CLAIMS
FDIC1 No
First Administrators
NON-PARTICIPATING PAYER / EFT
You must enroll with your TIN and Sub TIN. To obtain your Sub TIN call 1-800-206-0827.
FAMR1 No
First Care/Southwest Life & Health
PARTICIPATING PAYER / CLAIMS
To obtain EFTs please enroll using payer ID 49096.
CX050 No
First Continental Life & Accident Insurance
PARTICIPATING PAYER / CLAIMS
CX090 No
First Dental Health / BIA
PARTICIPATING PAYER / CLAIMS
CXBMD No
First Dental Health of CA
PARTICIPATING PAYER / CLAIMS
CX086 No
First Reliance Standard Life Ins. Co. (NY Business)
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
13317 No
FirstCare Health Plans
NON-PARTICIPATING PAYER / EFT
49096 No
Fitzharris & Company, Inc.
PARTICIPATING PAYER / CLAIMS
11244 No
Flex Compensation
NON-PARTICIPATING PAYER / CLAIMS, ERA
R7004 No
FlexCare
PARTICIPATING PAYER / CLAIMS
68241 No
Florida Blue FEP
NON-PARTICIPATING PAYER / CLAIMS
Only FEP claims
CBFLF No
Florida Combined Life
PARTICIPATING PAYER / CLAIMS, ERA
CBFLU No
Florida Health Administrators Inc
NON-PARTICIPATING PAYER / ERA
58379 No
Florida Medicaid
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CKFL1 No
Florida Power & Light
PARTICIPATING PAYER / CLAIMS
68241 No
Foreign Service Benefit Plan
PARTICIPATING PAYER / CLAIMS, ERA
Formerly payer ID 62413. Now part of Coventry Consolidated payer ID. Including AFSPA Staff Plan.
25133 No
Formula Card Dental
NON-PARTICIPATING PAYER / CLAIMS
LX050 No
Foundation Benefit Admin (FBA) - Boon Group
PARTICIPATING PAYER / CLAIMS, ERA, EFT
BOONG No
Fox Everett, Inc.
PARTICIPATING PAYER / CLAIMS
64069 No
Fraternal Order of Police - Dental Division (Philadelphia, PA)
PARTICIPATING PAYER / CLAIMS
CX041 No
Fresenius Health Plans
NON-PARTICIPATING PAYER / ERA
58379 No
Fresno PACE
PARTICIPATING PAYER / CLAIMS
99660 No
Fringe Benefits Coordinators
PARTICIPATING PAYER / CLAIMS
59204 No
GDS
PARTICIPATING PAYER / CLAIMS, ERA, EFT, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX036 No
GEMCare
NON-PARTICIPATING PAYER / ERA
58379 No
GGMIT insured by Trustmark Insurance
NON-PARTICIPATING PAYER / ERA
58379 No
GIC Indemnity Plan
PARTICIPATING PAYER / CLAIMS, ERA
80314 No
Georgia BCBS
PARTICIPATING PAYER / CLAIMS, ERA
CBGA1 No
Gerber
NON-PARTICIPATING PAYER / ERA
58379 No
Gettysburg
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
CX064 No
Gilsbar, Inc.
PARTICIPATING PAYER / CLAIMS
07205 No
Golden State Health Plan
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Golden West Dental
PARTICIPATING PAYER / CLAIMS, ERA
GWD01 No
Government Employees Hospital Association (GEHA)
PARTICIPATING PAYER / CLAIMS, ERA, EFT, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
44054 No
Government Employees Hospital Association (GEHA)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
57254 No
Great-West Healthcare
PARTICIPATING PAYER / CLAIMS, ERA, CLAIM STATUS INQUIRY
80705 No
Great-West Healthcare
PARTICIPATING PAYER / CLAIMS, CLAIM STATUS INQUIRY
f.k.a. General American
63665 No
Grimmway Enterprises
NON-PARTICIPATING PAYER / ERA
58379 No
Group Administrators Ltd.
PARTICIPATING PAYER / CLAIMS
36338 No
Group Benefit Administrators
NON-PARTICIPATING PAYER / CLAIMS, ERA
72153 No
Group Health Coop (Individual & Family, and Small Business Groups)
PARTICIPATING PAYER / CLAIMS
Administered by United Concordia
89070 No
Group Insurance Service Center, Inc
PARTICIPATING PAYER / CLAIMS
37276 No
Group Link of Indiana
NON-PARTICIPATING PAYER / CLAIMS
CX015 No
Group Management Services (GMS)
NON-PARTICIPATING PAYER / ERA
58379 No
Group and Pension Administrators
PARTICIPATING PAYER / CLAIMS
48143 No
Guaranty (DINA)
PARTICIPATING PAYER / CLAIMS
CX090 No
Guardian Life Insurance Company of America
PARTICIPATING PAYER / CLAIMS, ERA, EFT, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
64246 No
Gulf Guaranty Employee Benefit Services Inc.
NON-PARTICIPATING PAYER / ERA
58379 No
HCS - Health Claims Service (Boise, ID)
PARTICIPATING PAYER / CLAIMS
82018 No
HSBS Memphis
PARTICIPATING PAYER / CLAIMS, ERA
f.k.a. Pittman & Associates
37224 No
HSBS Oklahoma City
PARTICIPATING PAYER / CLAIMS
f.k.a. Mutual Assurance Administrators
37256 No
HSHS Medical Group IPA
PARTICIPATING PAYER / CLAIMS
Hospital Sisters Health System Medical Group IPA
37137 No
HSR Administrators Inc.
NON-PARTICIPATING PAYER / ERA
58379 No
Hamaspik Choice
PARTICIPATING PAYER / CLAIMS
47738 No
Harrington Health Colonial Dental
PARTICIPATING PAYER / CLAIMS
59143 No
Hawaii - Mainland Administrators
PARTICIPATING PAYER / CLAIMS, ERA, EFT
86066 No
Hawaii Medical Service Association (HMSA)
PARTICIPATING PAYER / CLAIMS, ERA
Federal Employee claims cannot be sent electronically
HMSA1 No
Health Choice Arizona
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
62179 No
Health Choice Generations
NON-PARTICIPATING PAYER / ERA
62180 No
Health Choice Insurance
PARTICIPATING PAYER / CLAIMS, ERA
46221 No
Health Choice Integrated Care
PARTICIPATING PAYER / CLAIMS, ERA
22100 No
Health Choice Utah
NON-PARTICIPATING PAYER / ERA
45399 No
Health Cost Solutions
NON-PARTICIPATING PAYER / ERA
58379 No
Health Economics Group, Inc.
NON-PARTICIPATING PAYER / CLAIMS
CX039 No
Health Net 21 - LA & Sacramento
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Health Net Healthy Families A, B & C
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Health Net Los Angeles PHP
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Health Net Sacramento GMC
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Health Partners - Jackson, TN
PARTICIPATING PAYER / CLAIMS
62157 No
Health Partners Plans
NON-PARTICIPATING PAYER / ERA
58379 No
Health Plan Services
PARTICIPATING PAYER / CLAIMS
59140 No
Health Plans Inc.
PARTICIPATING PAYER / CLAIMS
CX055 No
Health Resources Incorporated (HRI)
PARTICIPATING PAYER / CLAIMS
CX019 No
Health Safety Net
PARTICIPATING PAYER / CLAIMS, ERA
CKHSN No
Health Services for Children with Special Needs
NON-PARTICIPATING PAYER / EFT
37290 No
HealthE Exchange Inc.
PARTICIPATING PAYER / CLAIMS
20356 No
HealthEZ
PARTICIPATING PAYER / CLAIMS, EFT
41178 No
HealthPartners MN
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CX009 No
HealthPartners MN
NON-PARTICIPATING PAYER / CLAIMS, ERA
CX010 No
HealthSCOPE Benefits
NON-PARTICIPATING PAYER / ERA
58379 No
HealthSCOPE Benefits, Inc.(Formerly CNA Health Partners of Arkansas)
PARTICIPATING PAYER / CLAIMS, ERA
71063 No
HealthShare CCO
PARTICIPATING PAYER / CLAIMS
via Performance Health Technology
CXHSC No
HealthSmart Benefit Solutions
PARTICIPATING PAYER / CLAIMS
37283 No
HealthSmart Benefit Solutions
PARTICIPATING PAYER / CLAIMS, ERA, EFT
f.k.a. Wells Fargo TPA, Inc., Newnan GA and Fayetteville, NC
37272 No
HealthSmart Benefit Solutions
PARTICIPATING PAYER / CLAIMS, ERA
f.k.a. Wells Fargo, TPA, Inc., Charleston, WV
87815 No
HealthSmart Benefit Solutions
NON-PARTICIPATING PAYER / ERA
58379 No
HealthSmart Benefit Solutions Inc.
NON-PARTICIPATING PAYER / ERA
58379 No
HealthSmart formerly AAG
NON-PARTICIPATING PAYER / ERA
58379 No
HealthTrans
PARTICIPATING PAYER / CLAIMS
a.k.a. Innovante Benefit Administrators
31172 No
Healthcare Management Administrators
NON-PARTICIPATING PAYER / ERA
58379 No
Healthcare Management Administrators, Inc.
PARTICIPATING PAYER / CLAIMS
The insured ID number is required. Maximum of 25 procedure lines per Claims. Secondary Claims cannot be sent electronically. Claims remarks exceeding 80 bytes in length cannot be sent electronically.
HMA01 No
Healthcomp, Inc.
PARTICIPATING PAYER / CLAIMS
85729 No
Healthgram, Inc.
PARTICIPATING PAYER / CLAIMS
56144 No
Healthnow of Northeastern NY
PARTICIPATING PAYER / CLAIMS
CBNYE No
Healthnow of Western NY
PARTICIPATING PAYER / CLAIMS
EDI enrollment is no longer required by ASK however the payer requires each provider register with them.
CBNYW No
Healthplex, Inc.
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
11271 No
Healthways
NON-PARTICIPATING PAYER / ERA
58379 No
Healthy Alliance Life Insurance - PPOB
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Healthy Michigan Dental
NON-PARTICIPATING PAYER / CLAIMS
HMD01 No
Hometown Health Plans Nevada
PARTICIPATING PAYER / CLAIMS
88023 No
Hoosier Dental (in Indianapolis, Indiana)
NON-PARTICIPATING PAYER / CLAIMS
CX015 No
Horizon Healthcare Dental Services
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
22099 No
Hotel Employees Restaurant Employees Health Trust (HERE)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F19 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Humana
PARTICIPATING PAYER / CLAIMS
73288 No
Humana, Inc.
PARTICIPATING PAYER / CLAIMS, ERA
61101 No
I. E. Shaffer (West Trenton, NJ)
PARTICIPATING PAYER / CLAIMS
22175 No
IBT - Local 145 Health Service & Ins Plan
PARTICIPATING PAYER / CLAIMS
Only for claims with date of service prior to 1-1-16. Dates of service greater than 12-31-15 should be sent using payer ID 60054.
CXIBT No
IEHP
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
IMA Inc
NON-PARTICIPATING PAYER / ERA
58379 No
IMCare
PARTICIPATING PAYER / CLAIMS
f.k.a Itasca Medical Care
41600 No
INTEGRA Administrative Group
NON-PARTICIPATING PAYER / ERA
58379 No
InHealth
NON-PARTICIPATING PAYER / ERA
58379 No
Indiana Children's Special Healthcare
NON-PARTICIPATING PAYER / CLAIMS, ERA
CX070 No
Indiana Teamsters Health Benefits Fund (Indianapolis, IN)
PARTICIPATING PAYER / CLAIMS
Formerly known as Local 135 Health Benefits Fund (Indianapolis, IN)
35107 No
Inetico
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
43471 No
Innovante Benefit Administrators
PARTICIPATING PAYER / CLAIMS
a.k.a. HealthTrans
31172 No
Innovation Health
PARTICIPATING PAYER / CLAIMS
40025 No
Insurance Administrators of America
PARTICIPATING PAYER / CLAIMS
37279 No
Insurance Design Administrators
PARTICIPATING PAYER / CLAIMS
13315 No
Insurance Management Services
PARTICIPATING PAYER / CLAIMS
15688 No
Insurance Management Services
NON-PARTICIPATING PAYER / ERA
58379 No
Insurance Program Managers Group (IPMG)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
36342 No
Insurance Systems Inc.
PARTICIPATING PAYER / CLAIMS
74385 No
Insurers Administrative Corp.
PARTICIPATING PAYER / CLAIMS
Please visit website prior to submitting Claims: edihelp.iacusa.com
86304 No
Integra Administrative Group (Seaford, DE)
PARTICIPATING PAYER / CLAIMS
Payer ID valid only for Claims with a billing submission address of 110 S. Shipley Street, Seaford, DE 19973.
51020 No
Integrity Administrators
NON-PARTICIPATING PAYER / ERA
58379 No
International Brotherhood of Boilermakers
PARTICIPATING PAYER / CLAIMS
36609 No
JP Farley Corporation
PARTICIPATING PAYER / CLAIMS
Payer ID valid only for Claims with a billing submission address of PO Box 458022, Westlake, OH 44145
34136 No
Jensen Administrative Services, Inc.
PARTICIPATING PAYER / CLAIMS
CXJAS No
John Alden Life Insurance Co.
PARTICIPATING PAYER / CLAIMS, ERA
PO Box 2877, Clinton, IA 52733
41099 No
John Morrell Company - AHBPA
PARTICIPATING PAYER / CLAIMS
38310 No
Joint Benefit Trust
PARTICIPATING PAYER / CLAIMS
Administered by Health Services Benefit Administrators, Inc. (HSBA)
CHSJT No
KG Administrative Services
NON-PARTICIPATING PAYER / ERA
58379 No
Kaiser
PARTICIPATING PAYER / CLAIMS, EFT, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX073 No
Kalos Health
PARTICIPATING PAYER / CLAIMS
40137 No
Kanawha Insurance Co.
PARTICIPATING PAYER / CLAIMS
57038 No
Kansas City Life
PARTICIPATING PAYER / CLAIMS
CX058 No
Keenan Associates
PARTICIPATING PAYER / CLAIMS
95279 No
Kemper Benefits
PARTICIPATING PAYER / CLAIMS
61453 No
Kempton Company
PARTICIPATING PAYER / CLAIMS
73100 No
Kempton Group Administrators
PARTICIPATING PAYER / CLAIMS
73100 No
Kentucky Health Co-Op
PARTICIPATING PAYER / CLAIMS
77894 No
Kentucky Spirit
PARTICIPATING PAYER / CLAIMS
Kentucky Medicaid Kentucky Spirit administered by MCNA
65030 No
Key Family
NON-PARTICIPATING PAYER / EFT
37217 No
Key Solutions
PARTICIPATING PAYER / CLAIMS
37323 No
Klais & Company
PARTICIPATING PAYER / CLAIMS
34145 No
LA BCBS AdvantagePlus Network
PARTICIPATING PAYER / CLAIMS, ERA
Administered by United Concordia
53021 No
LA Care Health Plan
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
LIFE St Mary`
PARTICIPATING PAYER / CLAIMS
76184 No
LIFE St. Joseph of the Pines
PARTICIPATING PAYER / CLAIMS
59847 No
Lake County Physicians Association
PARTICIPATING PAYER / CLAIMS
37116 No
Land of Lincoln
PARTICIPATING PAYER / CLAIMS
90096 No
Liberty Dental Plan
PARTICIPATING PAYER / CLAIMS
CX083 No
Life Circles PACE
PARTICIPATING PAYER / CLAIMS
71498 No
Life Gift Cards
PARTICIPATING PAYER / CLAIMS
33LGC No
Life Insurance Company of Boston & New York
PARTICIPATING PAYER / CLAIMS
78140 No
LifeMap Assurance Company
NON-PARTICIPATING PAYER / CLAIMS
RLH01 No
LifeWell
NON-PARTICIPATING PAYER / ERA
58379 No
Lifestyle Dental
NON-PARTICIPATING PAYER / CLAIMS
27005 No
Lifewise Health Plan of Oregon
PARTICIPATING PAYER / CLAIMS
93093 No
Lincoln Financial Group
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. Jefferson Pilot
CX061 No
Lincoln National (WI)
PARTICIPATING PAYER / CLAIMS
73288 No
Line Construction Benefit Fund
PARTICIPATING PAYER / CLAIMS
LCB01 No
Local 135 Health Benefits Fund (Indianapolis, IN)
PARTICIPATING PAYER / CLAIMS
35107 No
Local 17 Fund - International Association of Heat and Frost Insulators
PARTICIPATING PAYER / CLAIMS
IAHFI No
Locals 302 & 612 of the Internation Union of Operating Engineers
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F12 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Lockard & Williams
PARTICIPATING PAYER / CLAIMS
CB752 No
MAMSI
NON-PARTICIPATING PAYER / CLAIMS
CX033 No
MAPFRE
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
PRFRE No
MBA Benefit Administrators, Inc. (Salt Lake City, UT)
PARTICIPATING PAYER / CLAIMS
83028 No
MBA of Wyoming (Worland, WY)
PARTICIPATING PAYER / CLAIMS
87065 No
MBS
NON-PARTICIPATING PAYER / ERA, EFT
56205 No
MCNA Dental
PARTICIPATING PAYER / CLAIMS
65030 No
MD Care Health Plan
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
MED3000 CMS Early Steps
NON-PARTICIPATING PAYER / ERA, EFT
EM350 No
MED3000 CMS Safety Net
NON-PARTICIPATING PAYER / EFT
Legacy ID Required to enroll and may be obtained by calling the payer at 800-664-0146
EM284 No
MED3000 CMS Title 21
PARTICIPATING PAYER / CLAIMS
EM205 No
MEDICA of Minnesota
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CX026 No
MGM Resorts International
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
MMA
NON-PARTICIPATING PAYER / EFT
35316 No
MPEEBT/ MPE Services, Inc.
PARTICIPATING PAYER / CLAIMS
37233 No
MSA CareGuard
PARTICIPATING PAYER / CLAIMS
20572 No
MVP Health Care
NON-PARTICIPATING PAYER / ELIGIBILITY INQUIRY
Yes/No Response
14165 No
Mail Handlers Benefit Plan
PARTICIPATING PAYER / CLAIMS, ERA
Formerly payer ID 62413. Now part of Coventry Consolidated payer ID. Including AFSPA Staff Plan.
25133 No
Maine Medicaid for FQHC
NON-PARTICIPATING PAYER / CLAIMS
CKMEH No
Managed Care Services, LLC
PARTICIPATING PAYER / CLAIMS
35162 No
Managed Care Systems
NON-PARTICIPATING PAYER / ERA
58379 No
Managed Dental Guard
PARTICIPATING PAYER / CLAIMS
Only for the individual marketplace, not for Group/SHOP business
GI813 No
ManagedCareSystems
NON-PARTICIPATING PAYER / ERA
58379 No
Manulife W. J. Sutton Company
PARTICIPATING PAYER / CLAIMS
98010 No
Marrick Medical
NON-PARTICIPATING PAYER / ERA
58379 No
Masonry Institute/Administrative D.C. No. 1 Welfare Fund
PARTICIPATING PAYER / CLAIMS
CX098 No
MasonryTrusts
NON-PARTICIPATING PAYER / ERA
58379 No
Massachusetts Health Program
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
Please place MASS Health or MA Medicaid or MASS Medicaid in the carrier name field.
CKMA1 No
Mayo Clinic Health Solutions
PARTICIPATING PAYER / CLAIMS, ERA
41154 No
McGregor PACE
PARTICIPATING PAYER / CLAIMS
31149 No
Med3000 CMS Safety Net
PARTICIPATING PAYER / CLAIMS
EM284 No
Med3000 CMS Title 19 Reform
PARTICIPATING PAYER / CLAIMS, ERA, EFT
EM843 No
Med3000 CMS Title 21
NON-PARTICIPATING PAYER / ERA, EFT
EM205 No
MedCost Benefit Services
NON-PARTICIPATING PAYER / ERA, EFT
56205 No
MedPartners Administrative Services
NON-PARTICIPATING PAYER / EFT
35205 No
Medi-Cal / Medicaid of Californai
NON-PARTICIPATING PAYER / CLAIMS
Claims sent in the instiutuional format 837I
57016 No
Medicaid of Alabama
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKAL1 No
Medicaid of Alaska
NON-PARTICIPATING PAYER / CLAIMS, ERA
CKAK1 No
Medicaid of Arkansas
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKAR1 No
Medicaid of Colorado
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
CKCO1 No
Medicaid of Connecticut
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKCT1 No
Medicaid of Florida
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CKFL1 No
Medicaid of Georgia
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKGA1 No
Medicaid of Indiana
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKIN1 No
Medicaid of Iowa
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKIA1 No
Medicaid of Kansas
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKKS1 No
Medicaid of Kentucky
NON-PARTICIPATING PAYER / ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY, CLAIMS
CKKY1 No
Medicaid of Maine
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKME1 No
Medicaid of Michigan
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKMI1 No
Medicaid of Minnesota
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKMN1 No
Medicaid of Mississippi
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKMS1 No
Medicaid of Missouri
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CKMO1 No
Medicaid of Montana
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKMT1 No
Medicaid of Nebraska
NON-PARTICIPATING PAYER / CLAIMS, ERA
CKNE1 No
Medicaid of Nevada
NON-PARTICIPATING PAYER / ELIGIBILITY INQUIRY, CLAIMS, ERA
Yes/No Response
CKNV1 No
Medicaid of New Hampshire
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKNH1 No
Medicaid of New Jersey
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKNJ1 No
Medicaid of New York
NON-PARTICIPATING PAYER / ELIGIBILITY INQUIRY, CLAIMS, ERA
Yes/No Response
CKNY1 No
Medicaid of New York (Dental Clinics Only)
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKNY2 No
Medicaid of North Carolina
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKNC1 No
Medicaid of Ohio
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKOH1 No
Medicaid of Oklahoma
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKOK1 No
Medicaid of Oregon
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKOR1 No
Medicaid of Pennsylvania
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKPA1 No
Medicaid of Rhode Island
NON-PARTICIPATING PAYER / CLAIMS, ERA
CKRI1 No
Medicaid of Texas
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKTX1 No
Medicaid of Utah
NON-PARTICIPATING PAYER / CLAIMS, ERA
CKUT1 No
Medicaid of Vermont
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKVT1 No
Medicaid of Washington
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKWA1 No
Medicaid of West Virginia
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKWV1 No
Medicaid of Wisconsin
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKWI1 No
Medicaid of Wyoming
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKWY1 No
Medical Associate Health Plan (HEALTH CHOICES)
PARTICIPATING PAYER / CLAIMS
MAHC1 No
Medical Benefits Mutual Administrators (MedBen)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
74323 No
Medical Card System (MCS)
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
PRMCS No
Medical Mutual of Ohio
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
29076 No
Medical Mutual of Ohio
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CB833 No
Medico Insurance Company
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Only for Policy Numbers that begin with 000M1D and claims mailed to PO Box 21660, Eagan, MN 55121
23160 No
Mediview Travis County
PARTICIPATING PAYER / CLAIMS
25348 No
MedsavUSA
PARTICIPATING PAYER / CLAIMS
f.k.a. Fringe Benefit Management and 21st Century Health and Benefits
59069 No
Merchants benefit Administrators
NON-PARTICIPATING PAYER / ERA
58379 No
Mercy Benefit Administrators
PARTICIPATING PAYER / CLAIMS
37264 No
Mercy Care Plan
PARTICIPATING PAYER / CLAIMS, ERA, EFT
86052 No
Mercy LIFE of Alabama
PARTICIPATING PAYER / CLAIMS
63002 No
Mercy Maricopa Integrated Care
PARTICIPATING PAYER / CLAIMS, ERA
33628 No
Meritain - SHARP
NON-PARTICIPATING PAYER / ERA
58379 No
Meritain Health
PARTICIPATING PAYER / CLAIMS
f.k.a. Weyco
38232 No
Meritain Health Minneapolis
PARTICIPATING PAYER / CLAIMS
f.k.a. CBSA
41124 No
MetLife
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
65978 No
Methodist First Choice
PARTICIPATING PAYER / CLAIMS
23550 No
Michigan Regional Council of Carpenters Employees Benefit Plan
PARTICIPATING PAYER / CLAIMS
38238 No
Michigan UFCW
PARTICIPATING PAYER / CLAIMS, ERA, EFT
27401 No
Mid-America Associates, Inc.
PARTICIPATING PAYER / CLAIMS
37281 No
Mid-American Benefits
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
22823 No
Mid-American Benefits Inc.
NON-PARTICIPATING PAYER / ERA
58379 No
Midwest Dental Benefits
PARTICIPATING PAYER / CLAIMS
41101 No
Mississippi Select Health Care
PARTICIPATING PAYER / CLAIMS
64088 No
Missoula County Medical Benefits Plan
PARTICIPATING PAYER / CLAIMS
37275 No
Molina HealthCare
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Momentum Insurance Plan
PARTICIPATING PAYER / CLAIMS
31415 No
Monarch
NON-PARTICIPATING PAYER / ERA
58379 No
Monitor Life Insurance Co of NY
NON-PARTICIPATING PAYER / ERA
58379 No
Morgan White
NON-PARTICIPATING PAYER / ERA
58379 No
Morris Associates
PARTICIPATING PAYER / CLAIMS
35092 No
Motorola
PARTICIPATING PAYER / CLAIMS
36111 No
Mountain States Administrative Services (Tucson, AZ)
PARTICIPATING PAYER / CLAIMS
86040 No
MultiFlex Dental (Merchants Benefit)
PARTICIPATING PAYER / CLAIMS
MBAAZ No
Municipal Health Benefit Fund
PARTICIPATING PAYER / CLAIMS, ERA, EFT
81883 No
Mutual Health Services
NON-PARTICIPATING PAYER / ERA
58379 No
Mutual of Omaha Commercial
NON-PARTICIPATING PAYER / CLAIMS, ERA
CX087 No
Mutual of Omaha Insurance Company
PARTICIPATING PAYER / CLAIMS, ERA
71412 No
Mutually Preferred
PARTICIPATING PAYER / CLAIMS, ERA
71412 No
Mututal Assurance Admin.
NON-PARTICIPATING PAYER / ERA
58379 No
MyDecision
PARTICIPATING PAYER / CLAIMS
18840 No
NAA (North America Administrators, L.P.) (Nashville, TN)
PARTICIPATING PAYER / CLAIMS
65085 No
NABN (Cleveland, OH)
PARTICIPATING PAYER / CLAIMS
Payer ID valid only for Claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476.
34159 No
NAPHCARE, Inc.
PARTICIPATING PAYER / CLAIMS
58182 No
NCAS - Charlotte
PARTICIPATING PAYER / CLAIMS
75191 No
NCAS - Fairfax, VA
PARTICIPATING PAYER / CLAIMS
75190 No
NNEBT (Northern New England Benefit Trust)
PARTICIPATING PAYER / CLAIMS
38238 No
NW International Association of Machinists (NW IAM)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F39 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
NW Plumbers & Pipefitters Health & Welfare Trust
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F31 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
NYS DOH UCP
PARTICIPATING PAYER / CLAIMS, ERA
Dept of Health AIDS Drug Assistance Program (ADAP) - UCP is Uninsured Care Program
14142 No
National Elevator Industry Benefit Plan (NEIB)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
CX045 No
National Pacific of TX (NCFLEX)
PARTICIPATING PAYER / CLAIMS
A United Healthcare Payer
CX057 No
National Rural Letter Carrier Association
PARTICIPATING PAYER / CLAIMS, ERA
71412 No
National Telecommunications Cooperative Association
PARTICIPATING PAYER / CLAIMS
52120 No
Nationwide Employee Benefits
PARTICIPATING PAYER / CLAIMS
314RV No
Nationwide Health Plans
PARTICIPATING PAYER / CLAIMS
31417 No
Nationwide Life Insurance Co.
NON-PARTICIPATING PAYER / ERA
58379 No
Native Care Health
PARTICIPATING PAYER / CLAIMS
19191 No
Native Care Health LLC
NON-PARTICIPATING PAYER / ERA
58379 No
Netcare Life and Health Insurance (NLH)
PARTICIPATING PAYER / CLAIMS
66055 No
Nevad Dental Benefits
PARTICIPATING PAYER / CLAIMS
NDB01 No
Nevada Health Co-Op
PARTICIPATING PAYER / CLAIMS
90091 No
New England Dental Administrators
PARTICIPATING PAYER / CLAIMS, ERA, EFT
43351 No
New Mexico Medicaid
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
CKNM1 No
Next Level Health Partners, LLC
PARTICIPATING PAYER / CLAIMS
69821 No
Nippon Life Benefits
NON-PARTICIPATING PAYER / ERA
58379 No
Nippon Life Insurance Company of America
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
81264 No
North American Benefits Network ((Cleveland, OH)
PARTICIPATING PAYER / CLAIMS
Payer ID valid only for Claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476.
34159 No
North American Co Life and Health
NON-PARTICIPATING PAYER / ERA
58379 No
North American Ins Co of NY
NON-PARTICIPATING PAYER / ERA
58379 No
North Broward Hospital District
PARTICIPATING PAYER / CLAIMS
37314 No
North Dakota Dental Service
NON-PARTICIPATING PAYER / CLAIMS
CX004 No
North Dakota Medicaid
NON-PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
Additional enrollment is not required by the payer, however, providers wishing to submit Claims electronically must submit their ND Medicaid assigned provider ID(s) within the Claims.  Provider IDs are always 5 digits long and begin with the number 4. 
CKND1 No
NorthShore University Health System Medical Group
PARTICIPATING PAYER / CLAIMS
36364 No
NorthStar Administrators
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
47570 No
Northeast Delta Dental (ME, NH, VT)
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
02027 No
Northern California Pipe Trades Trust Funds
PARTICIPATING PAYER / CLAIMS
For Dates of Service beginning 1-1-15 please use payer ID 77777.
CX099 No
Northern Illinois Health Plan
PARTICIPATING PAYER / CLAIMS
36347 No
Northern Minnesota Dental
NON-PARTICIPATING PAYER / CLAIMS
LX062 No
Northern Nevada Trust Fund
PARTICIPATING PAYER / CLAIMS
Please call (775) 826-7200 to verify if you should be sending claims to Northern Nevada Trust Fund.
88027 No
Northwest Administrators
NON-PARTICIPATING PAYER / EFT
91068 No
Northwest Dental Services
PARTICIPATING PAYER / CLAIMS
93525 No
Northwest Ironworkers Health & Security Fund
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F15 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Northwest Roofers & Employers Health & Security Trust Fund
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F26 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Northwest Suburban IPA
PARTICIPATING PAYER / CLAIMS
36346 No
Northwest Textile Processors and Service Trades
PARTICIPATING PAYER / CLAIMS, ERA
Please enter group # F14 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Nova Healthcare Administrators, Inc. (Grand Island, NY)
PARTICIPATING PAYER / CLAIMS
16644 No
Nyhart
PARTICIPATING PAYER / CLAIMS
37299 No
OH Dental / UHC Dental Government Programs
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
f.k.a. Optum Specialty Svcs / Americhoice of NJ
GP133 No
OK State Employees & Educators (EDS)
PARTICIPATING PAYER / CLAIMS, ERA
22521 No
Ohana Health Plan
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Ohio AFSCME Care Plan
NON-PARTICIPATING PAYER / CLAIMS
AFSOH No
Ohio Dept of Corrections (Careworks)
PARTICIPATING PAYER / CLAIMS, ERA
J1410 No
Olympus Managed Health Care
PARTICIPATING PAYER / CLAIMS
65074 No
OneCall Care Diagnostics
NON-PARTICIPATING PAYER / ERA
58379 No
Ownership Rewards
NON-PARTICIPATING PAYER / ERA
58379 No
Ozark Health Plan
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
PA Faculty Health & Welfare
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
CX066 No
PACE CNY
PARTICIPATING PAYER / CLAIMS
70454 No
PACE Greater New Orlean (NORLIN)
PARTICIPATING PAYER / CLAIMS
21614 No
PACE Southeast Michigan
PARTICIPATING PAYER / CLAIMS
86711 No
PALMS Casino Resort
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
PAN Foundation
NON-PARTICIPATING PAYER / ERA
58379 No
PDO
PARTICIPATING PAYER / CLAIMS
68241 No
PEHP (Public Employees Health Program)
NON-PARTICIPATING PAYER / CLAIMS, ERA
Prior to accepting claims electronically PEHP requires the provider to call EDI Support at 801-366-7544 or 800-753-7818. Providers should advise PEHP that they will be submitting their claims through Change Healthcare Business Services, Inc UHIN submitt
CX080 No
PHPCarolinas
NON-PARTICIPATING PAYER / ERA
58379 No
POMCO
PARTICIPATING PAYER / CLAIMS, ERA
16111 No
PSATS
NON-PARTICIPATING PAYER / ERA
58379 No
Pacific Union
PARTICIPATING PAYER / CLAIMS
A United Healthcare Payer
CX056 No
PacificSource Administrators
PARTICIPATING PAYER / CLAIMS, ERA
a.k.a. Select Benefit Administrators
93031 No
PacificSource Community
PARTICIPATING PAYER / CLAIMS
via Performance Health Technology
CXPSC No
PacificSource Health Plans
PARTICIPATING PAYER / CLAIMS, ERA
93029 No
Pacificare Dental and Vision HMO
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
A United Healthcare Payer
CX060 No
Pacificare Dental and Vision PPO
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
A United Healthcare Payer
CX053 No
Pan American Life Insurance Group
PARTICIPATING PAYER / CLAIMS
04218 No
Pan-American Life Insurance Company
NON-PARTICIPATING PAYER / ERA
58379 No
Partners Benefit Group
PARTICIPATING PAYER / CLAIMS
PBGSM No
Partners Health Plan
PARTICIPATING PAYER / CLAIMS
23213 No
Patient Advocates, LLC
PARTICIPATING PAYER / CLAIMS
10525 No
Penn Mutual
NON-PARTICIPATING PAYER / ERA
58379 No
Pennsylvania Blue Shield
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CB865 No
Pennsylvania Blue Shield Dental Plus
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CBPA2 No
Pequot Pharmaceutical
PARTICIPATING PAYER / CLAIMS
37121 No
Personal Insurance Administrators, Inc
PARTICIPATING PAYER / CLAIMS
95397 No
Physician Health Partners, Loc
PARTICIPATING PAYER / CLAIMS
PHPMA No
Physicians Care Network
PARTICIPATING PAYER / CLAIMS
36345 No
Physicians Health Associates of Illinois
PARTICIPATING PAYER / CLAIMS
37136 No
Physicians Health Plan of Northern Indiana, Inc.
PARTICIPATING PAYER / CLAIMS
12399 No
Physicians Mutual
PARTICIPATING PAYER / CLAIMS, ERA
CX068 No
Physicians United Plan-PUP
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Pinnacle Claims Management, Inc.
PARTICIPATING PAYER / CLAIMS
24735 No
Pittman & Associates
NON-PARTICIPATING PAYER / ERA
58379 No
Planned Administrators, Inc.
PARTICIPATING PAYER / CLAIMS
37287 No
Prairie States Enterprises, Inc.
PARTICIPATING PAYER / CLAIMS
36373 No
Preferred Care Partners
NON-PARTICIPATING PAYER / ERA
65088 No
Preferred Dental Organization
PARTICIPATING PAYER / CLAIMS
68241 No
Preferred Health Plan of the Carolinas
PARTICIPATING PAYER / CLAIMS
CB404 No
Preferred Health Professionals
PARTICIPATING PAYER / CLAIMS
a.k.a. Freedom Network Dental
31478 No
Preferred One
PARTICIPATING PAYER / CLAIMS, ERA
41147 No
Premera Blue Cross
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
47570 No
Premier Access Insurance Company
PARTICIPATING PAYER / CLAIMS, EFT
CX078 No
Premier Access UT Government
PARTICIPATING PAYER / CLAIMS, EFT
f.k.a. UT CHIP & UT Medicaid
CX110 No
Premier Dental Plan of MN
NON-PARTICIPATING PAYER / CLAIMS
CX029 No
Premier Employee Benefit Services (PBS)
NON-PARTICIPATING PAYER / ERA
58379 No
Prime Health Choice
PARTICIPATING PAYER / CLAIMS
81502 No
PrimeCare Administrators (PPO)
PARTICIPATING PAYER / CLAIMS
PCA01 No
PrimeWest Health
NON-PARTICIPATING PAYER / CLAIMS, ERA
New providers, learn about submitting your first claim. Please visit https://www.primewest.org/new-facility-claims
LX049 No
Principal Financial Group
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
Payer Only accepts VISION and DENTAL claims.
61271 No
Priority Health
PARTICIPATING PAYER / CLAIMS, ERA
38217 No
Professional Benefit Administrators, Inc. (Oak Brook, IL)
PARTICIPATING PAYER / CLAIMS
Payer ID is valid only for Claims with billing submission name, city, and state of Professional Benefit Administrators, Inc., Oak Brook, IL.
36331 No
Prominence Health Plan
PARTICIPATING PAYER / CLAIMS
88029 No
Provident Life & Casualty
NON-PARTICIPATING PAYER / ERA
58379 No
Prudential HealthCare & Life Ins. Co of America
PARTICIPATING PAYER / CLAIMS
68241 No
Prudential HealthCare HMO for Small Business
PARTICIPATING PAYER / CLAIMS
68241 No
Prudential HealthCare Health Maintenance Organization
PARTICIPATING PAYER / CLAIMS
68241 No
Prudential HealthCare POS for Small Business
PARTICIPATING PAYER / CLAIMS
68241 No
Prudential HealthCare PPO for Small Business
PARTICIPATING PAYER / CLAIMS
68241 No
Prudential Healthcare of America Inc.
PARTICIPATING PAYER / CLAIMS
68241 No
Prudential for Health
PARTICIPATING PAYER / CLAIMS
68241 No
Puget Sound Electrical Workers Healthcare Trust (PSEW)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F33 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Quality Care Partners
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
89461 No
Quality Plan Administrators Inc
PARTICIPATING PAYER / CLAIMS
CX077 No
Quapaw Casino
PARTICIPATING PAYER / CLAIMS
19191 No
Quapaw Tribal Member Plan
PARTICIPATING PAYER / CLAIMS
19191 No
Quapaw Tribe Employee Plan
PARTICIPATING PAYER / CLAIMS
19191 No
Quartz ASO
PARTICIPATING PAYER / CLAIMS
46571 No
RBMS, LLC
PARTICIPATING PAYER / CLAIMS
91176 No
RGA
NON-PARTICIPATING PAYER / ERA
58379 No
RMSCO, INC.
PARTICIPATING PAYER / CLAIMS
16117 No
Ram Mutual Insurance
NON-PARTICIPATING PAYER / ERA
58379 No
Reading Hospital Employer Group
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer. a.k.a BHP-Unity
44219 No
Regence Blue Shield
NON-PARTICIPATING PAYER / ERA, CLAIMS
Effective May 1, 2013, Regence requires all claim payments to be received via EFT. If not already receiving payments from Regence via EFT, please register using the automatic Deposit (EFT/ACH Credits) authorization agreement enrollment and / or update
93200 No
Regence Blue Shield FEP
NON-PARTICIPATING PAYER / CLAIMS
93200 No
Regence Northwest Health
NON-PARTICIPATING PAYER / CLAIMS
93200 No
Regence UT BCBS
NON-PARTICIPATING PAYER / CLAIMS, ERA
CBUT1 No
Regence UT BCBS FEP
NON-PARTICIPATING PAYER / CLAIMS, ERA
CBUTF No
Regency Employee Benefits
PARTICIPATING PAYER / CLAIMS
38221 No
ReliaStar (now known as CoreStar formerly NW National Life)
PARTICIPATING PAYER / CLAIMS
Only for Claims where the "submit Claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesota. For assistance call 800-698-0106.
41045 No
Reliance Standard Life
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
36088 No
Reliastar
PARTICIPATING PAYER / CLAIMS, ERA
80314 No
Renaissance Life and Health
NON-PARTICIPATING PAYER / CLAIMS, ERA
RLHA1 No
Reserve National Insurance Company
NON-PARTICIPATING PAYER / ERA, EFT
73066 No
Resolve / Solarte Health, Inc
PARTICIPATING PAYER / CLAIMS
CB695 No
Resource One
NON-PARTICIPATING PAYER / ERA
58379 No
Riverside San Bernardino County Indian Health Inc.
PARTICIPATING PAYER / CLAIMS
50664 No
Rochester Public Schools
PARTICIPATING PAYER / CLAIMS
41625 No
Rocky Mountain Hospital & Medical Service - OSB High & High
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Rocky Mountain Life Dental
PARTICIPATING PAYER / CLAIMS, ERA
84102 No
Rural Carrier Benefit Plan
PARTICIPATING PAYER / CLAIMS, ERA
Formerly payer ID 62413. Now part of Coventry Consolidated payer ID. Including NRLCA Staff Plan.
25133 No
S&S Health Strategies
PARTICIPATING PAYER / CLAIMS
31441 No
SAMBA
PARTICIPATING PAYER / CLAIMS
37259 No
SCION Dental
PARTICIPATING PAYER / CLAIMS
SCION No
SKYGEN USA
PARTICIPATING PAYER / CLAIMS
SKYGN No
STAR +Plus Value Added
PARTICIPATING PAYER / CLAIMS
Effective only for Dates of Service prior to 2-01-13. Call DentaQuest at 800-896-2374 and MCNA Dental at 855-776-6262 for Dates of Service 2-1-13 and greater.
CPPSP No
SafeGuard PPO
PARTICIPATING PAYER / CLAIMS, ERA
CX030 No
Safeguard HMO
PARTICIPATING PAYER / CLAIMS
CX048 No
Sage Technologies
PARTICIPATING PAYER / CLAIMS
f.k.a. Cannon Cochran Management Services, Inc. Claims with a mailing address of PO Box 17009, Rockford, IL ONLY may be sent electronically with this payer ID.
37105 No
Salvation Army
PARTICIPATING PAYER / CLAIMS
a.k.a. Chesterfield Resource, Inc.
34154 No
San Diego PACE
PARTICIPATING PAYER / CLAIMS
96400 No
Sands Bethworks Gaming
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Sanford Health Plan
PARTICIPATING PAYER / CLAIMS
91184 No
Santa Clara Family Health Plan
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Scan Health Plan
NON-PARTICIPATING PAYER / EFT
72261 No
School Sisters of Notre Dame
NON-PARTICIPATING PAYER / ERA
58379 No
Scion Dental Commercial
PARTICIPATING PAYER / CLAIMS
SDCOM No
Scion Gateway Health Plan
PARTICIPATING PAYER / CLAIMS
96938 No
Secure Health Plan of GA
PARTICIPATING PAYER / CLAIMS, ERA, EFT
28530 No
SecureCare Dental
PARTICIPATING PAYER / CLAIMS
86057 No
Securian
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
93742 No
Security Life Insurance Co of America
PARTICIPATING PAYER / CLAIMS
CX092 No
Sele-Dent
PARTICIPATING PAYER / CLAIMS
CX109 No
Select Administrative Services (SAS)
PARTICIPATING PAYER / CLAIMS
64088 No
Select Benefit Administrators
PARTICIPATING PAYER / CLAIMS, ERA
a.k.a. PacificSource Administrators
93031 No
Select Health
NON-PARTICIPATING PAYER / CLAIMS, ERA
CX107 No
SelectCare (Coca Cola)
PARTICIPATING PAYER / CLAIMS
68241 No
Self Insured Services Company (SISCO)
PARTICIPATING PAYER / CLAIMS
CX020 No
Self-Funded Plans, Inc.
PARTICIPATING PAYER / CLAIMS
34131 No
Self-Insured Dental Services (SIDS)
PARTICIPATING PAYER / CLAIMS
Additional enrollment is not required by the payer, however, providers wishing to submit Claims electronically must be credentialed with the payer. Please ensure you have successfully process one paper Claims with the payer prior to submitting your firs
CX076 No
Self-Insured Plans, LLC
PARTICIPATING PAYER / CLAIMS
36404 No
Sendero Health Plans
PARTICIPATING PAYER / CLAIMS
36426 No
Senior Network Health - Utica
PARTICIPATING PAYER / CLAIMS
15682 No
Sentry Life Insurance Company
PARTICIPATING PAYER / CLAIMS
39033 is only to be used for Sentry employees claims with dates of service through 2010
39033 No
Sheffield, Olson and McQueen
NON-PARTICIPATING PAYER / CLAIMS, ERA
41143 No
Shelter Point Life
PARTICIPATING PAYER / CLAIMS
81434 No
Sierra Health Services
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
A United Healthcare Payer
76342 No
Significa Benefits Services, Inc.
PARTICIPATING PAYER / CLAIMS
f.k.a. Erin Group Admin.
CX046 No
Simple (part of Covenant)
NON-PARTICIPATING PAYER / ERA
58379 No
Simplifi
NON-PARTICIPATING PAYER / ERA
58379 No
Simplified Funding Concepts
NON-PARTICIPATING PAYER / ERA
58379 No
Sinclair Health Plan
PARTICIPATING PAYER / CLAIMS
84076 No
Smith Premier Solutions
NON-PARTICIPATING PAYER / ERA
58379 No
Solstice Benefits, Inc.
PARTICIPATING PAYER / CLAIMS
76578 No
South Carolina BCBS
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
38520 No
South Central Preferred - PPO York, PA (I H S Gateway Payer)
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
23266 No
South Dakota Medicaid
NON-PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
South Dakota's Meddicaid contractor is South Dekota Delta
CKSD1 No
South FL Community Care Network - NBHD
PARTICIPATING PAYER / CLAIMS
37314 No
South Point Hotel & Casino
PARTICIPATING PAYER / CLAIMS
35227 No
Southern Benefit Services
PARTICIPATING PAYER / CLAIMS
37318 No
Southern Benefits Administration Inc
NON-PARTICIPATING PAYER / ERA, EFT
38242 No
Southern Indiana Health Organization (SIHO)
PARTICIPATING PAYER / CLAIMS
77153 No
Southwest Service Administrators
PARTICIPATING PAYER / CLAIMS
CX100 No
Southwestern Bell
PARTICIPATING PAYER / CLAIMS
68241 No
Southwestern Bell Exec
PARTICIPATING PAYER / CLAIMS
68241 No
Southwestern Bell Exec. - Custom Care
PARTICIPATING PAYER / CLAIMS
68241 No
Southwestern Bell Exec. - Southwestern Bell
PARTICIPATING PAYER / CLAIMS
68241 No
Spectrum Admin.
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer
23253 No
Standard Ins. Co. (OR Business)
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
93024 No
Standard Insurance Company (NY)
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
13411 No
Standard Life & Accident Insurance
NON-PARTICIPATING PAYER / ERA
58379 No
Star Health
PARTICIPATING PAYER / CLAIMS
Use this payer ID for Dates of Service prior to June 1, 2010.
CX090 No
StarDent
PARTICIPATING PAYER / CLAIMS
CX090 No
Starmark
NON-PARTICIPATING PAYER / ERA
58379 No
State of Nevada Public Employees Benefit Program
NON-PARTICIPATING PAYER / ERA
58379 No
State of Texas Dental Plan
PARTICIPATING PAYER / CLAIMS
73288 No
Stoner and Associates (Cincinnati, OH)
PARTICIPATING PAYER / CLAIMS
31121 No
Summit America Insurance Services
PARTICIPATING PAYER / CLAIMS
37301 No
Sun Life and Health Insurance Company
PARTICIPATING PAYER / CLAIMS, ERA
f.k.a Genworth Life and Health Insurance Company (GLHIC) (Formerly GEGLAC)
67814 No
Sunz Insurance Company
NON-PARTICIPATING PAYER / ERA
58379 No
Superior Dental Care
PARTICIPATING PAYER / CLAIMS
31117 No
SuperiorSTAR Pregnant Women
PARTICIPATING PAYER / CLAIMS
Effective only for Dates of Service prior to 2-01-13. Call DentaQuest at 800-896-2374 and MCNA Dental at 855-776-6262 for Dates of Service 2-1-13 and greater.
CPPSW No
Supplemental Coverage
PARTICIPATING PAYER / CLAIMS
PO Box 2829 Clinton IA 52733
ASHC1 No
Surency Life and Health
PARTICIPATING PAYER / CLAIMS, ERA
CX088 No
TDC
PARTICIPATING PAYER / CLAIMS
73288 No
TPAC/Employee Benefit Management Corp
PARTICIPATING PAYER / CLAIMS
CX025 No
TR Paul, Inc.
PARTICIPATING PAYER / CLAIMS
37230 No
TRICARE Dental Program
PARTICIPATING PAYER / CLAIMS
Administered by United Concordia effect 5-1-17
89070 No
TRISTAR
NON-PARTICIPATING PAYER / ERA
58379 No
Tall Tree Administrators
PARTICIPATING PAYER / CLAIMS
88067 No
Tall Tree Administrators
NON-PARTICIPATING PAYER / ERA
58379 No
Tennessee Medicaid
NON-PARTICIPATING PAYER / ELIGIBILITY INQUIRY
Yes/No Response
CKTN1 No
The Dental Companies
PARTICIPATING PAYER / CLAIMS
73288 No
The Dental Concern
PARTICIPATING PAYER / CLAIMS
73288 No
The Dental Shop
NON-PARTICIPATING PAYER / EFT
DSHOP No
The Hartford
NON-PARTICIPATING PAYER / ERA
58379 No
The Humboldt-DelNorte
PARTICIPATING PAYER / CLAIMS
For Select offices only. Please call 707-443-4563 for approval.
CRIHB No
The Loomis Company - TPA Wyomissing, PA (IHS Gateway Payer)
PARTICIPATING PAYER / CLAIMS
An Innovative Healthware Services Payer.
23223 No
The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBMC)
PARTICIPATING PAYER / CLAIMS
CX025 No
The health Plan of the Upper Ohio Valley
PARTICIPATING PAYER / CLAIMS
34150 No
Three Rivers Benefit Corporation
NON-PARTICIPATING PAYER / ERA
58379 No
Time Insurance Company
PARTICIPATING PAYER / CLAIMS, ERA, EFT
PO Box 2806, Clinton, IA 52733
39065 No
Total Broker Benefits
PARTICIPATING PAYER / CLAIMS, ERA, EFT
36342 No
Total Dental Administrators
PARTICIPATING PAYER / CLAIMS, ERA
CX112 No
TransChoice - Key Benefit Administrators
NON-PARTICIPATING PAYER / ERA, EFT
37284 No
Trellis health Partners
PARTICIPATING PAYER / CLAIMS
36397 No
Tri-Counties Welfare Trust Fund
PARTICIPATING PAYER / CLAIMS
Administered by Health Services Benefit Administrators, Inc. (HSBA)
CHSWT No
TriState Benefit Solutions
PARTICIPATING PAYER / CLAIMS
31144 No
Trigon Blue Cross Blue Shield - Colorado Dental Office
PARTICIPATING PAYER / CLAIMS, ERA
Claims Mailing Address: Trigon Dental Admin, 555 Middle Creek Parkway, MS 400, Colorado Springs, CO 80921.
84103 No
Trigon VA - BCBS (Dental)
PARTICIPATING PAYER / CLAIMS, ERA
CB923 No
Triple-S Medicaid Advantage
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
PRADV No
Triple-S Salud
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
Completing this enrollment request will enroll the provider(s) for 3 transactions – Electronic Claims (837D), Electric Remittance Advice (835) and Real Time Eligibility Inquiry and Response (270/271) with all 3 payers listed above. Please ensure you have
CBPR1 No
TruAssure
PARTICIPATING PAYER / CLAIMS
ILDTA No
Trusteed Plans Service Corporation
PARTICIPATING PAYER / CLAIMS
91078 No
Trustmark Insurance Company
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
61425 No
Trustmark Life Insurance Co
NON-PARTICIPATING PAYER / ERA
58379 No
Trustmark insurance Company
NON-PARTICIPATING PAYER / ERA
58379 No
U. S. Virgin Island Medicaid
NON-PARTICIPATING PAYER / CLAIMS
CUSVI No
UFCW Local 655
PARTICIPATING PAYER / CLAIMS
CX111 No
UFCW National Fund
NON-PARTICIPATING PAYER / ERA
58379 No
UMR - Cincinnati
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. United Medical Resources
33108 No
UMR - Harrington
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. Harrington Benefit Services (Westerville)
75196 No
UMR - Harrington
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. Harrington Benefit Services (Columbus)
95266 No
UMR - Lexington
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. Commonwealth Administrative Group
37237 No
UMR - Onalaska
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. Midwest Security of WI
79480 No
UMR - San Antonio
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. Benefit Planners Inc., UICI Administrators - State of Nevada
74223 No
UMR - Wausau/UHIS
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
f.k.a. Fiserv Health - Wausau Benefits/Benesight, Employers Insurance of Wisconsin
39026 No
UMWA Health & Retirement Funds
PARTICIPATING PAYER / CLAIMS, ERA
52180 No
UNICARE
PARTICIPATING PAYER / CLAIMS, ERA
80314 No
UPMC Health Plan
PARTICIPATING PAYER / CLAIMS, ERA
23281 No
US Benefits Inc.
PARTICIPATING PAYER / CLAIMS
93092 No
US Life Ins. Co.
PARTICIPATING PAYER / CLAIMS
Claims mailing address of PO Box 12009, Cheshire, CT
70106 No
USAA
NON-PARTICIPATING PAYER / ERA
58379 No
UltraBenefits, Inc.
PARTICIPATING PAYER / CLAIMS
41206 No
Unified Group Services
PARTICIPATING PAYER / CLAIMS
35198 No
Uniform Medical Plan
PARTICIPATING PAYER / CLAIMS
f.k.a. Uniform Medical Plan / Harrington Benefit Services
75243 No
Union Security Insurance Company
PARTICIPATING PAYER / CLAIMS
PO Box 2877, Clinton, IA 52733
70408 No
United Concordia - Dental Plus
NON-PARTICIPATING PAYER / CLAIMS, ERA, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX013 No
United Concordia - Fee for Service
NON-PARTICIPATING PAYER / CLAIMS, ERA, REAL TIME CLAIMS, ELIGIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX007 No
United Food & Comm Workers union & Employers Midwest Health Benefit Funds
PARTICIPATING PAYER / CLAIMS
36659 No
United HealthCare Insurance Company - Student Insurance
PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
A United Healthcare Payer. Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 809024, 809025, 809026, 809027, 809035, 809036, 809066, 809067, 809079, or 809081 Dallas, Tax 75380-9025.
74227 No
United Healthcare of River Valley
PARTICIPATING PAYER / CLAIMS, ELIGIBILITY INQUIRY
A United Healthcare Payer
95378 No
United States Life Insurance Company
PARTICIPATING PAYER / CLAIMS
f.k.a. American General
13545 No
United of Omaha
PARTICIPATING PAYER / CLAIMS, ERA
71412 No
UnitedHealthcare Dental
NON-PARTICIPATING PAYER / CLAIMS, ERA, ELIGIBILITY INQUIRY
Formerly OptumHealth Dental, Dental Benefit Providers/DBP and DBP of California
52133 No
Unity Health Insurance Corp
PARTICIPATING PAYER / CLAIMS
Only claims for Oral Surgery, TMJ or Accidents can be sent electronically to this payer ID.
66705 No
University of Missouri
PARTICIPATING PAYER / CLAIMS, ERA
Formerly payer ID 87043. Now part of Coventry Consolidated payer ID.
25133 No
Upper Peninsula Health Group (TPA)
PARTICIPATING PAYER / CLAIMS
37324 No
VA Fee Basis Programs
PARTICIPATING PAYER / CLAIMS, ERA
12116 No
Valir PACE
PARTICIPATING PAYER / CLAIMS
64009 No
Valley Baptist Health Plan
PARTICIPATING PAYER / CLAIMS
Administered by United Concordia
89070 No
Vantage Health Plan
PARTICIPATING PAYER / CLAIMS
72128 No
Varian Health Care Plan
PARTICIPATING PAYER / CLAIMS
68241 No
Venetian
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Verity National Group
PARTICIPATING PAYER / CLAIMS
75256 No
Via Christi HOPE
PARTICIPATING PAYER / CLAIMS
48123 No
VieCare - LIFE Armstrong
PARTICIPATING PAYER / CLAIMS
25922 No
VieCare - LIFE Butler
PARTICIPATING PAYER / CLAIMS
25293 No
VieCare Life Beaver and Life Lawrence Counties
PARTICIPATING PAYER / CLAIMS
25924 No
Voluntary Benefits Plan
PARTICIPATING PAYER / CLAIMS
Claims mailing address of PO Box 12009, Cheshire, CT
70106 No
Volusia Health Network
PARTICIPATING PAYER / CLAIMS, EFT
59266 No
W.C. Earhart Company
NON-PARTICIPATING PAYER / ERA
58379 No
WI - BCBS (Dental)
PARTICIPATING PAYER / CLAIMS, ERA
CB950 No
Wabash Memorial Hospital Association
NON-PARTICIPATING PAYER / ERA
58379 No
Washington State Council of County & City Employees (WSCCCE)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
Please enter group # F36 when submitting claims. A Welfare and Pension Administration Services payer
91136 No
Waterstone Benefit Administrators (Oklahoma Providers)
PARTICIPATING PAYER / CLAIMS
73155 No
Web TPA, Inc of TX
PARTICIPATING PAYER / CLAIMS, ERA
59332 No
WellPoint
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Wellcare
PARTICIPATING PAYER / CLAIMS
Admin by LIBERTY Dental Plan
CX083 No
Wellnet Healthcare Administrators
NON-PARTICIPATING PAYER / ERA
58379 No
Wells Fargo TPA, Inc (Charleston, WV)
PARTICIPATING PAYER / CLAIMS, ERA
f.k.a. Acordia National
87815 No
Wells Fargo TPA, Inc. (Newnan, GA and Fayetteville, NC)
PARTICIPATING PAYER / CLAIMS, ERA, EFT
f.k.a. JSL Administrators
37272 No
WestLake Financial Group, Inc. (Buffalo Grove, IL)
PARTICIPATING PAYER / CLAIMS
90560 No
Western Grower's Assurance Trust
PARTICIPATING PAYER / CLAIMS
24735 No
Western Grower's Insurance Company
PARTICIPATING PAYER / CLAIMS
24735 No
Wichita and Affiliated Tribes
PARTICIPATING PAYER / CLAIMS
19191 No
Willamette Valley
PARTICIPATING PAYER / CLAIMS
via Performance Health Technology
CXWVC No
William C. Earhart
PARTICIPATING PAYER / CLAIMS
93050 No
WilsonMcShane
NON-PARTICIPATING PAYER / CLAIMS, ERA
R7002 No
Worksite Benefit Services, LLC
PARTICIPATING PAYER / CLAIMS
20333 No
Zenith Administrators
NON-PARTICIPATING PAYER / CLAIMS
R7001 No
fidelity / Key Select
PARTICIPATING PAYER / CLAIMS
37321 No
iCircle Care of NY
PARTICIPATING PAYER / CLAIMS
33884 No
nHealth
NON-PARTICIPATING PAYER / ERA
58379 No