| January 28, 2008 | Damar Software/Claims Midwest *** DENTAL PAYER LIST *** |
12:14:23 PM | 592 Payers On-Line |
| Payer Name | Payer Id |
Card Type |
Additional Enrollment |
|---|---|---|---|
|
(NLH) Netcare Life and Health Insurance PAR/CLAIMS/COMMERCIAL |
66055 | Y | No |
|
3P ADMIN PAR/CLAIMS/COMMERCIAL |
20413 | Y | No |
|
A & I BENEFIT PLAN ADMINISTRATORS PAR/CLAIMS/COMMERCIAL |
93044 | Y | No |
|
A & I Benefit Plan Administrators PAR/CLAIMS/COMMERCIAL |
CX044 | Y | No |
|
AAG Benefit Plan Administrators, Inc. PAR/CLAIMS/COMMERCIAL |
75240 | Y | No |
|
AAG-American Administrative Group (Formerly Gallagher Benefit Admin) PAR/CLAIMS/COMMERCIAL |
37283 | Y | No |
|
AARP PAR/CLAIMS/COMMERCIAL AARP claims with a mailing address of PO Box 2059, Mechanicsburg, PA |
AARP1 | Y | No |
|
AARP (administrated by Delta Dental of Washington DC) PAR/CLAIMS/DELTA DENT Used for claims with a mailing address of 1 Delta Drive, Mechanicsburg, PA. |
52147 | Y | No |
|
ACS Benefit Services Inc. PAR/CLAIMS/COMMERCIAL |
72468 | Y | No |
|
ACS Benefit Services a.k.a NC BCBSNC - DBS PAR/CLAIMS/COMMERCIAL |
61474 | N | No |
|
ACS Benefit Solutions PAR/CLAIMS/BCBS |
61473 | Y | No |
|
AFLAC PAR/CLAIMS/COMMERCIAL |
58066 | Y | No |
|
APA Partners, Inc. PAR/CLAIMS/COMMERCIAL |
16140 | Y | No |
|
ASR Corporation PAR/CLAIMS/COMMERCIAL |
38265 | Y | No |
|
Acceptius (Benefit Management Inc of MO (BMI) PAR/CLAIMS/COMMERCIAL |
43178 | Y | No |
|
Acclaim PAR/CLAIMS/COMMERCIAL |
64071 | Y | No |
|
Activa Benefit Services, LLC/Dental PAR/CLAIMS/COMMERCIAL (Formerly Amway Corporation/Dental) |
38255 | Y | No |
|
Adminstrative Services Only NON/CLAIMS/COMMERCIAL Addt'l enrollment is not required by the payer. Providers wishing to submit claims electronically must be credentialed with the payer. Please ensure you have successfully processed one paper claim prior to submitting your first electronic claim. |
CX076 | N | No |
|
Advantage Dental Plan, Inc. PAR/CLAIMS/COMMERCIAL |
93524 | N | No |
|
Adventist Health System West - Roseville, CA PAR/CLAIMS/COMMERCIAL |
95340 | Y | No |
|
Aetna PAR/CLAIMS/COMMERCIAL |
60054 | Y | No |
|
Aetna PAR/ENCOUNTERS/COMMERCIAL Use this Payer ID for submitting DMO services only. |
68246 | Y | No |
|
Aetna Affordable Health Choices (SM) - SRC PAR/CLAIMS/COMMERCIAL |
57604 | Y | No |
|
Alaska Children's Services, Inc. PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
Alaska Electrical Health & Welfare Fund PAR/CLAIMS/COMMERCIAL |
92600 | Y | No |
|
Alaska Laborers Construction Industry Trust PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
Alaska Medicaid NON/CLAIMS/MEDICAID |
CKAK1 | Y | Yes |
|
Alaska Pipe Trades Local 375 PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
Alaska United Food & Commercial Workers Health & Welfare Trust PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
Allen Medical Claims Administrator NON/CLAIMS/COMMERCIAL |
CX016 | Y | No |
|
Allied Administrators (San Francisco, CA) PAR/CLAIMS/COMMERCIAL |
94177 | Y | No |
|
Allied Benefit Systems PAR/CLAIMS/COMMERCIAL |
37308 | Y | No |
|
Altus PAR/CLAIMS/DELTA DENT |
50503 | Y | No |
|
Amalgamated Life - PA / Alicare PAR/CLAIMS/COMMERCIAL |
13343 | Y | No |
|
American Administrative Group, Inc (AAG) PAR/CLAIMS/COMMERCIAL |
74223 | Y | No |
|
American Benefits Management (North Canton, OH) PAR/CLAIMS/COMMERCIAL |
34187 | N | No |
|
American Medical Security PAR/CLAIMS/COMMERCIAL |
CX001 | Y | No |
|
American Postal Workers Union Health Plan PAR/CLAIMS/COMMERCIAL |
44444 | Y | No |
|
Ameritas Life Insurance Corp. PAR/CLAIMS/COMMERCIAL |
47009 | Y | No |
|
Amway Corporation PAR/CLAIMS/COMMERCIAL (Formerly Amway Corporation/Dental) |
38255 | Y | No |
|
Anchor Benefit Consulting, Inc. PAR/CLAIMS/COMMERCIAL |
53085 | Y | No |
|
Antares Management Solutions PAR/CLAIMS/COMMERCIAL |
34192 | N | No |
|
Anthem Blue Cross Blue Shield Connecticut PAR/CLAIMS/BCBS No FEP Claims. Please send FEP on paper or use Payer ID 06126. |
84105 | Y | No |
|
Arkansas Best Corporation - Choice Benefits PAR/CLAIMS/COMMERCIAL |
75278 | Y | No |
|
Ascent Benefits PAR/CLAIMS/COMMERCIAL |
CX072 | Y | No |
|
Assurant Employee Benefits PAR/CLAIMS/COMMERCIAL |
70408 | Y | No |
|
Assurant Health PAR/CLAIMS/COMMERCIAL f.k.a Protective Health |
39065 | Y | No |
|
Assurant, Inc PAR/CLAIMS/COMMERCIAL f.k.a. First Fortis Life Insurance |
70408 | Y | No |
|
Athens Area Health Plan Select PAR/CLAIMS/COMMERCIAL |
95691 | Y | No |
|
Atlantic Dental Inc. PAR/CLAIMS/COMMERCIAL |
CX052 | Y | Yes |
|
Avesis PAR/CLAIMS/COMMERCIAL |
86098 | Y | No |
|
BCBS of Rochester New York NON/CLAIMS/BCBS |
CBNYR | N | No |
|
BCI Administrators, Inc. PAR/CLAIMS/COMMERCIAL |
49153 | Y | No |
|
Bell Atlantic PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Bencomp National Corporation PAR/CLAIMS/COMMERCIAL |
33192 | Y | No |
|
BeneCare Dental Plans PAR/CLAIMS/COMMERCIAL |
23210 | Y | No |
|
Benefit Administrative Systems PAR/CLAIMS/COMMERCIAL |
36149 | Y | No |
|
Benefit Coordinators Corporation (Pittsburgh, PA) PAR/CLAIMS/COMMERCIAL Payer ID valid only for claims with a submission address of 111 Ryan Court, Suite 300, Pittsburgh, PA 15205. |
25145 | Y | No |
|
Benefit Management Services, Inc PAR/CLAIMS/COMMERCIAL |
56139 | N | No |
|
Benefit Plan Administrators Co. (Eau Claire, WI) PAR/CLAIMS/COMMERCIAL Payer ID valid only for claims with a billing submission address of P.O. Box 1128, Eau Claire, WI 54702-1128. |
39081 | Y | No |
|
Benefit Planners, Inc. PAR/CLAIMS/COMMERCIAL |
74223 | Y | No |
|
Benefit Systems & Services, Inc. (BSSI) PAR/CLAIMS/COMMERCIAL |
36342 | Y | No |
|
Benesys, Inc. PAR/CLAIMS/COMMERCIAL |
58102 | Y | No |
|
Best Life & Health Insurance Co. PAR/CLAIMS/COMMERCIAL |
95604 | Y | No |
|
Better Health Plans of South Carolina PAR/CLAIMS/COMMERCIAL |
32006 | Y | No |
|
Big Lots Associate Benefit Plan (EBMC) PAR/CLAIMS/COMMERCIAL |
CX025 | Y | No |
|
Blue Care Family Plan PAR/CLAIMS/COMMERCIAL Administered by Golden West (Well point) |
GWD01 | N | No |
|
Blue Care Family Plan (BCBS of CT) PAR/CLAIMS/BCBS Administered by Anthem of CT |
700 | Y | No |
|
Blue Cross of North Dakota (ND Dental Services) NON/CLAIMS/BCBS |
CX004 | Y | Yes |
|
Blue Cross Blue Shield of Michigan NON/CLAIMS/BCBS |
CBMI1 | Y | No |
|
Blue Cross Blue Shield of Montana PAR/CLAIMS/COMMERCIAL |
CBMT1 | Y | No |
|
Blue Cross Blue Shield of North Carolina PAR/CLAIMS/BCBS |
61473 | Y | No |
|
Blue Cross Blue of Louisiana PAR/CLAIMS/BCBS |
23739 | Y | Yes |
|
Blue Cross of Alabama NON/CLAIMS/BCBS |
CBAL1 | Y | Yes |
|
Blue Cross of Alaska and Washington PAR/CLAIMS/BCBS |
47570 | Y | No |
|
Blue Cross of Arkansas NON/CLAIMS/BCBS |
CBAR1 | Y | Yes |
|
Blue Cross of California PAR/CLAIMS/BCBS |
47198 | Y | No |
|
Blue Cross of Colorado PAR/CLAIMS/BCBS No FEP Claims. Please send FEP claims on paper or use Payer ID 06126. |
84099 | Y | No |
|
Blue Cross of Delaware PAR/CLAIMS/BCBS |
53287 | Y | No |
|
Blue Cross of Georgia PAR/CLAIMS/BCBS |
CBGA1 | Y | Yes |
|
Blue Cross of Idaho NON/CLAIMS/BCBS |
CBID1 | Y | Yes |
|
Blue Cross of Illinois NON/CLAIMS/BCBS |
CB621 | Y | No |
|
Blue Cross of Indiana Anthem PAR/CLAIMS/BCBS No FEP Claims. Please send FEP on paper or use Payer ID 06126. |
84105 | Y | No |
|
Blue Cross of Iowa NON/CLAIMS/BCBS |
CBIA2 | Y | Yes |
|
Blue Cross of Iowa (FEP Claims Only) NON/CLAIMS/BCBS |
CBIA1 | Y | Yes |
|
Blue Cross of Kansas NON/CLAIMS/BCBS |
CBKS1 | Y | Yes |
|
Blue Cross of Kentucky Anthem PAR/CLAIMS/BCBS No FEP Claims. Please send FEP on paper or use Payer ID 06126. |
84105 | Y | No |
|
Blue Cross of Massachusetts PAR/CLAIMS/BCBS |
CBMA1 | Y | Yes |
|
Blue Cross of Nebraska NON/CLAIMS/BCBS |
CBNE1 | N | No |
|
Blue Cross of Nevada PAR/CLAIMS/BCBS No FEP claims. Please send FEP claims on paper or use Payer ID 06126. |
84101 | Y | No |
|
Blue Cross of New Jersey PAR/CLAIMS/BCBS |
22099 | Y | Yes |
|
Blue Cross of New Mexico NON/CLAIMS/BCBS |
CBNM1 | N | No |
|
Blue Cross of North Carolina Federal Employee Claims PAR/CLAIMS/BCBS |
61472 | Y | No |
|
Blue Cross of Ohio Anthem PAR/CLAIMS/BCBS No FEP Claims. Please send FEP on paper or use Payer ID 06126. |
84105 | Y | No |
|
Blue Cross of Oregon NON/CLAIMS/BCBS |
CB850 | Y | Yes |
|
Blue Cross of Rhode Island NON/CLAIMS/BCBS |
CB870 | Y | Yes |
|
Blue Cross of Tennessee NON/CLAIMS/BCBS |
CBTN1 | Y | Yes |
|
Blue Cross of Texas NON/CLAIMS/BCBS |
CB900 | Y | Yes |
|
Blue Cross of Wisconsin PAR/CLAIMS/BCBS |
CB950 | Y | Yes |
|
Blue Shield of Idaho NON/CLAIMS/BCBS |
CBID2 | Y | Yes |
|
Blue Shield of Pennsylvania Dental Plus NON/CLAIMS/BCBS Please contact Dental Electronic Services at (800) 633-5430 to register to send electronic claims. |
CBPA2 | Y | Yes |
|
Boilermakers National Health & Welfare Fund PAR/CLAIMS/COMMERCIAL |
36609 | Y | No |
|
Boon-Chapman Benefit Administrators, Inc. PAR/CLAIMS/COMMERCIAL |
74237 | Y | No |
|
Boston University Dental Health Plan (Boston, MA) PAR/CLAIMS/COMMERCIAL |
4210 | Y | No |
|
Bridgeport LLC PAR/CLAIMS/COMMERCIAL Provider ID numbers must be 9 digits and is generally the Providers SSN or TIN. The recipient's ID number is 8 digits in length. Maximum of 13 procedure lines per claim. Pre-determination claims cannot be sent electronically. Claims where Bridgeport LLC |
CX028 | Y | No |
|
Brokers National PAR/CLAIMS/COMMERCIAL |
CX032 | Y | No |
|
Businessmen's Assurance (BMA) PAR/CLAIMS/COMMERCIAL |
47009 | Y | No |
|
Butler Benefit PAR/CLAIMS/COMMERCIAL |
42150 | Y | Yes |
|
C. L. Frates and Company - OSMA Health PAR/CLAIMS/COMMERCIAL |
CX075 | Y | No |
|
CBCA Administrators PAR/CLAIMS/COMMERCIAL |
55438 | Y | No |
|
CBCA Administrators (HRM) PAR/CLAIMS/COMMERCIAL [Formerly Health Risk Management (HRM) |
41170 | Y | No |
|
CBSA PAR/CLAIMS/COMMERCIAL |
41124 | Y | No |
|
CDH (Cigna Dental Health) PAR/ENCOUNTERS/COMMERCIAL |
10050 | Y | Yes |
|
CDO Technologies PAR/CLAIMS/COMMERCIAL |
87065 | Y | No |
|
CDS Group Health PAR/CLAIMS/COMMERCIAL |
88022 | Y | No |
|
CHAMPVA - HAC PAR/CLAIMS/COMMERCIAL CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS) |
84147 | Y | No |
|
CIGNA PAR/CLAIMS/COMMERCIAL |
62308 | Y | No |
|
Cadent Administrators PAR/CLAIMS/COMMERCIAL |
33192 | Y | No |
|
Cadent Underwriters PAR/CLAIMS/COMMERCIAL |
33192 | Y | No |
|
Cannon Cochran Management Services, Inc. Danville, IL PAR/CLAIMS/COMMERCIAL Payer ID for claims with a mailing address of PO Box 1430, Danville, IL 61834 |
37105 | Y | No |
|
Cannon Cochran Management Services, Inc. Metairie, LA PAR/CLAIMS/COMMERCIAL Payer ID for claims with a mailing address of PO Box 6794, Metairie, LA 70009 |
71057 | Y | No |
|
Capital Dental PAR/CLAIMS/COMMERCIAL |
CX037 | Y | No |
|
CareSource NON/CLAIMS/MEDICAID |
CKOH2 | Y | No |
|
Carpenter's Health and Welfare Trust Fund of St. Louis PAR/CLAIMS/COMMERCIAL |
25125 | Y | No |
|
Caterpillar Inc. PAR/CLAIMS/COMMERCIAL |
37060 | Y | No |
|
Cement Masons & Plasterers Health & Welfare Trust PAR/CLAIMS/COMMERCIAL |
91136 | Y | No |
|
Central States Health & Welfare Funds PAR/CLAIMS/COMMERCIAL |
36215 | Y | No |
|
Choice Plus (TRW) PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Christian Brothers Services PAR/CLAIMS/COMMERCIAL |
61271 | Y | No |
|
Citizens Security Life Insurance PAR/CLAIMS/COMMERCIAL |
CX071 | Y | No |
|
Civil Service Employees Association (CSEA) PAR/CLAIMS/COMMERCIAL Provider ID number required. Max of 50 procedure lines per claim. ID number must be 5 characters in lenght, numbers 6 in lenght & ending with a '1' are accepted when '1' is removed. Numbers with leading zeros will have leading zeros omitted. ID numbers c |
CX054 | Y | No |
|
Clarendon's Healthy Kids PAR/CLAIMS/COMMERCIAL |
33192 | Y | No |
|
CommonWealth Administrative Group PAR/CLAIMS/COMMERCIAL |
37237 | Y | No |
|
Community Choice Health Plan of Westchester PAR/CLAIMS/COMMERCIAL |
61948 | Y | No |
|
Community Health Electronic Claims/CHEC/webTPA PAR/CLAIMS/COMMERCIAL |
75261 | Y | No |
|
Comp - Ohio (Austintown, OH) PAR/CLAIMS/COMMERCIAL |
34177 | Y | No |
|
CompBenefits PAR/CLAIMS/COMMERCIAL |
CX021 | Y | No |
|
Companion Life NON/CLAIMS/COMMERCIAL |
77828 | Y | Yes |
|
Comprehensive Benefits Administrator, Inc. PAR/CLAIMS/COMMERCIAL |
3036 | Y | No |
|
Connecticut Carpenters Health Fund PAR/CLAIMS/COMMERCIAL |
37307 | Y | No |
|
Connecticut General (CIGNA) PAR/CLAIMS/COMMERCIAL |
62308 | Y | No |
|
Consolidated Group Dental PAR/CLAIMS/COMMERCIAL |
61305 | Y | No |
|
Cook Children's Health Plan PAR/CLAIMS/COMMERCIAL |
CPPCH | Y | Yes |
|
Cooperative Benefit Administrators (CBA) PAR/CLAIMS/COMMERCIAL |
52132 | Y | No |
|
CoreSource AZ MN PAR/CLAIMS/COMMERCIAL 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 | Y | No |
|
CoreSource Little Rock PAR/CLAIMS/COMMERCIAL |
75136 | Y | No |
|
CoreSource MD PA IL PAR/CLAIMS/COMMERCIAL 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 | Y | No |
|
CoreSource NC IN PAR/CLAIMS/COMMERCIAL 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 | Y | No |
|
CoreSource OH PAR/CLAIMS/COMMERCIAL |
35183 | Y | No |
|
CoreStar PAR/CLAIMS/COMMERCIAL 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 | Y | No |
|
Corporate Benefit Services of America PAR/CLAIMS/COMMERCIAL Payer ID valid only for claims with a billing submission address of P.O. Box 27267, Minneapolis, MN 55427-0267. |
41124 | Y | No |
|
Corporate Benefits Service, Inc. (NC) PAR/CLAIMS/COMMERCIAL |
56116 | Y | No |
|
Covenant Administrators, Inc. (Atlanta, GA) PAR/CLAIMS/COMMERCIAL |
58102 | Y | No |
|
Coventry Health Care National Network (f.k.a. First Health) PAR/CLAIMS/COMMERCIAL |
87043 | Y | No |
|
Coventry Health Care of Georgia PAR/CLAIMS/COMMERCIAL |
25148 | Y | No |
|
Creative Plan Administrators PAR/CLAIMS/COMMERCIAL |
37320 | N | No |
|
Crescent Dental - Meritain Health PAR/CLAIMS/COMMERCIAL |
CX074 | Y | No |
|
Custom Benefit Administrators PAR/CLAIMS/COMMERCIAL |
39170 | Y | No |
|
CustomCare PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
DART MANAGEMENT CORPORATION PAR/CLAIMS/COMMERCIAL |
6172 | Y | No |
|
DH Evans PAR/CLAIMS/COMMERCIAL |
CX065 | Y | No |
|
Delaware Medicaid NON/CLAIMS/MEDICAID |
CKDE1 | Y | Yes |
|
Delta Dental Insurance Co. (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Alabama (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Alabama (DDIC) NON/CLAIMS/DELTA DENT |
DDAL1 | N | No |
|
Delta Dental of Alaska (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Alaska (DDIC) PAR/CLAIMS/DELTA DENT |
DDAK1 | N | No |
|
Delta Dental of Arizona PAR/CLAIMS/DELTA DENT |
86027 | Y | No |
|
Delta Dental of Arkansas NON/CLAIMS/DELTA DENT |
CDAR1 | Y | No |
|
Delta Dental of California - CA00 Claim Office PAR/CLAIMS/DELTA DENT |
77777 | Y | No |
|
Delta Dental of California/Tricare Retiree Dental PAR/CLAIMS/DELTA DENT |
CDCA1 | Y | No |
|
Delta Dental of Colorado PAR/CLAIMS/DELTA DENT |
84056 | Y | No |
|
Delta Dental of Delaware PAR/CLAIMS/DELTA DENT |
51022 | Y | No |
|
Delta Dental of Florida (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Florida (DDIC) PAR/CLAIMS/DELTA DENT |
DDFL1 | N | No |
|
Delta Dental of Georgia (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Georgia (DDIC) PAR/CLAIMS/DELTA DENT |
DDGA1 | N | No |
|
Delta Dental of Idaho PAR/CLAIMS/DELTA DENT |
82029 | Y | No |
|
Delta Dental of Illinois PAR/CLAIMS/DELTA DENT |
5030 | Y | No |
|
Delta Dental of Indiana NON/CLAIMS/DELTA DENT |
CDIN1 | Y | No |
|
Delta Dental of Iowa NON/CLAIMS/DELTA DENT |
CDIA1 | Y | No |
|
Delta Dental of Kansas PAR/CLAIMS/DELTA DENT |
CDKS1 | Y | No |
|
Delta Dental of Kentucky PAR/CLAIMS/DELTA DENT |
CDKY1 | Y | No |
|
Delta Dental of Louisiana (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Louisiana (DDIC) PAR/CLAIMS/DELTA DENT |
DDLA1 | N | No |
|
Delta Dental of Maryland (Pennsylvania) PAR/CLAIMS/DELTA DENT |
23166 | Y | No |
|
Delta Dental of Massachusetts PAR/CLAIMS/DELTA DENT |
4614 | Y | No |
|
Delta Dental of Michigan NON/CLAIMS/DELTA DENT |
CDMI0 | Y | No |
|
Delta Dental of Minnesota NON/CLAIMS/DELTA DENT |
CDMN1 | Y | No |
|
Delta Dental of Mississippi (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Mississippi (DDIC) PAR/CLAIMS/DELTA DENT |
DDMS1 | N | No |
|
Delta Dental of Missouri PAR/CLAIMS/DELTA DENT |
43090 | Y | No |
|
Delta Dental of Montana (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Montana (DDIC) PAR/CLAIMS/DELTA DENT |
DDMT1 | N | No |
|
Delta Dental of Nebraska NON/CLAIMS/DELTA DENT |
CDNE1 | Y | No |
|
Delta Dental of Nevada (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Nevada (DDIC) PAR/CLAIMS/DELTA DENT |
DDNV1 | N | No |
|
Delta Dental of New Jersey PAR/CLAIMS/DELTA DENT |
22189 | Y | No |
|
Delta Dental of New Mexico PAR/CLAIMS/DELTA DENT |
85022 | Y | No |
|
Delta Dental of New York PAR/CLAIMS/DELTA DENT |
11198 | Y | No |
|
Delta Dental of North Carolina PAR/CLAIMS/DELTA DENT |
56101 | Y | No |
|
Delta Dental of North Dakota NON/CLAIMS/DELTA DENT |
CDND1 | Y | No |
|
Delta Dental of Ohio NON/CLAIMS/DELTA DENT |
CDOH1 | Y | No |
|
Delta Dental of Oklahoma NON/CLAIMS/DELTA DENT |
CDOK1 | Y | No |
|
Delta Dental of Oregon (Oregon Dental Service) NON/CLAIMS/DELTA DENT |
CDOR1 | Y | No |
|
Delta Dental of Pennsylvania PAR/CLAIMS/DELTA DENT Incl. Maryland |
23166 | Y | No |
|
Delta Dental of Rhode Island PAR/CLAIMS/DELTA DENT |
5029 | Y | No |
|
Delta Dental of South Carolina PAR/CLAIMS/DELTA DENT |
43091 | Y | No |
|
Delta Dental of South Dakota PAR/CLAIMS/DELTA DENT |
54097 | Y | No |
|
Delta Dental of Tennessee PAR/CLAIMS/DELTA DENT |
CDTN1 | Y | No |
|
Delta Dental of Texas (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Texas (DDIC) PAR/CLAIMS/DELTA DENT |
DDTX1 | N | No |
|
Delta Dental of Utah (DDIC) PAR/CLAIMS/DELTA DENT |
94276 | N | No |
|
Delta Dental of Virginia NON/CLAIMS/DELTA DENT Effective 1-16-07: electronic payer ID for claims printed and mailed to Delta Dental Virginia |
CDVA1 | N | No |
|
Delta Dental of Washington DC PAR/CLAIMS/DELTA DENT |
52147 | Y | No |
|
Delta Dental of West Virginia PAR/CLAIMS/DELTA DENT |
31096 | Y | No |
|
Delta Dental of Wisconsin PAR/CLAIMS/DELTA DENT |
39069 | Y | No |
|
Delta Dental of Wyoming NON/CLAIMS/DELTA DENT |
CDWY1 | Y | No |
|
Delta Dentoal of Utah (DDIC) PAR/CLAIMS/DELTA DENT |
DDUT1 | N | No |
|
Delta Health Systems PAR/CLAIMS/DELTA DENT |
94235 | Y | No |
|
DeltaCare USA PAR/CLAIMS/COMMERCIAL f.k.a. PMI |
CDCAP | Y | Yes |
|
DentaQuest PAR/CLAIMS/DELTA DENT |
4356 | Y | No |
|
Dental Benefit Providers PAR/CLAIMS/COMMERCIAL |
52133 | Y | No |
|
Dental Care Plus PAR/CLAIMS/COMMERCIAL |
CX035 | Y | No |
|
Dental Network NON/CLAIMS/COMMERCIAL |
CX034 | Y | No |
|
DentalComp NON/CLAIMS/COMMERCIAL |
CX017 | Y | No |
|
Denti-Cal NON/CLAIMS/MEDICAID Denti-Cal requires provider enrollment and has special data requirements. Contact Denti-Cal EDI Support at (916) 853-7373. |
94146 | Y | Yes |
|
Diversified Administration Corporation PAR/CLAIMS/COMMERCIAL |
CX040 | Y | No |
|
Doral Dental Plan of Wisconsin PAR/CLAIMS/MEDICAID ADMINISTERED BY DORAL DENTAL. PLEASE SEE DORAL ON THE PAYER ENROLLMENT FORMS LIST. |
CX014 | Y | Yes |
|
Dunn and Associates Benefits Administrators, Inc. PAR/CLAIMS/COMMERCIAL |
35186 | Y | No |
|
E-V Benefits Management, Inc (Columbus, OH) PAR/CLAIMS/COMMERCIAL Now known as Meritain Health. |
34159 | Y | No |
|
EBC, Inc. PAR/CLAIMS/COMMERCIAL Payer Id valid only for claims with a billing submission address of Employee Benefit Consultants, located in Broadview Hts, OH, Appleton, WI, Albuquergue, NM, Findlay, OH, Louisville, KY and Milwaukee, WI |
37257 | N | No |
|
EBMS (Employee Benefit Management Services, Inc.) PAR/CLAIMS/COMMERCIAL |
81039 | Y | No |
|
EBS Benefit Solutions NON/CLAIMS/COMMERCIAL |
CX043 | N | No |
|
EHI PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
EMPHESYS PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
ENH Medical Group IPA PAR/CLAIMS/COMMERCIAL |
36364 | Y | No |
|
EQUICOR PAR/CLAIMS/COMMERCIAL |
62308 | Y | No |
|
ES Beveridge and Associates PAR/CLAIMS/COMMERCIAL |
34108 | Y | No |
|
Empire Blue Cross Blue Shield NON/CLAIMS/BCBS |
CBNY1 | N | No |
|
Employee Benefit Administrators NON/CLAIMS/COMMERCIAL |
CX012 | Y | No |
|
Employee Benefit Concepts (Farmington Hills, MI) PAR/CLAIMS/COMMERCIAL |
38241 | Y | No |
|
Employee Benefit Consultants PAR/CLAIMS/COMMERCIAL Payer Id valid only for claims with a billing submission address of Employee Benefit Consultants, located in Broadview Hts, OH, Appleton, WI, Albuquergue, NM, Findlay, OH, Louisville, KY and Milwaukee, WI |
37257 | N | No |
|
Employee Benefit Management Corporation of Ohio PAR/CLAIMS/COMMERCIAL |
CX025 | Y | No |
|
Employee Benefit Services of Louisiana, Inc (EBS) PAR/CLAIMS/COMMERCIAL |
41198 | Y | No |
|
Employee Benefits Plan Administration, Inc. (E.B.P.A.) PAR/CLAIMS/COMMERCIAL |
3036 | Y | No |
|
Employee Group Services NON/CLAIMS/COMMERCIAL |
CX022 | Y | No |
|
Employee Plans, LLC PAR/CLAIMS/COMMERCIAL |
35112 | Y | No |
|
Employer Plan Services, Inc. PAR/CLAIMS/COMMERCIAL |
CX031 | Y | No |
|
Employers Direct Health PAR/CLAIMS/COMMERCIAL |
75232 | Y | No |
|
Employers Health PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
Employers Health Insurance PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
Employers Mutual, Inc. PAR/CLAIMS/COMMERCIAL |
59297 | Y | No |
|
Enstar Natural Gas PAR/CLAIMS/COMMERCIAL |
91136 | Y | No |
|
Equitable Plan Services (Oklahoma City, OK) PAR/CLAIMS/COMMERCIAL Payer ID valid only for claims with a billing submission address of P.O. Box 720460, Oklahoma City, OK 73172. |
73126 | Y | No |
|
Erin Group Administrators PAR/CLAIMS/COMMERCIAL |
CX046 | Y | No |
|
Essex Dental Benefits PAR/CLAIMS/COMMERCIAL |
43168 | Y | No |
|
ExclusiCare PAR/CLAIMS/COMMERCIAL |
71412 | Y | No |
|
FMH Benefit Services, Inc. PAR/CLAIMS/COMMERCIAL |
48117 | Y | No |
|
Fed Ex Freight East, Inc. PAR/CLAIMS/COMMERCIAL |
71056 | Y | No |
|
Federated Mutual Insurance PAR/CLAIMS/COMMERCIAL |
41041 | Y | No |
|
First Ameritas Life Insurance Corporation of New York PAR/CLAIMS/COMMERCIAL |
72630 | Y | No |
|
First Care/Southwest Life & Health PAR/CLAIMS/COMMERCIAL |
CX050 | Y | Yes |
|
First Health PAR/CLAIMS/COMMERCIAL |
87043 | Y | No |
|
First Reliance Standard (NY Business) PAR/CLAIMS/COMMERCIAL |
13317 | Y | No |
|
Fiserv Health - Wausau Benefits/Benesight PAR/CLAIMS/COMMERCIAL |
39026 | Y | No |
|
Fitzharris & Company, Inc. PAR/CLAIMS/COMMERCIAL |
11244 | Y | No |
|
FlexCare PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Florida Power & Light PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Foundation Benefit Admin (FBA) - Boon Group PAR/CLAIMS/COMMERCIAL |
BOONG | Y | No |
|
Fraternal Order of Police - Dental Division (Philadelphia, PA) PAR/CLAIMS/COMMERCIAL |
CX041 | N | No |
|
Fringe Benefit Management PAR/CLAIMS/COMMERCIAL |
59069 | Y | No |
|
GHI - New York (Group Health Inc.) PAR/CLAIMS/COMMERCIAL |
13551 | Y | No |
|
GIC Indemnity Plan PAR/CLAIMS/COMMERCIAL |
80314 | Y | No |
|
Genworth Life and Health Insurance Company (GLHIC) (Formerly GEGLAC) PAR/CLAIMS/COMMERCIAL |
67814 | Y | No |
|
Gettysburg PAR/CLAIMS/COMMERCIAL |
CX064 | Y | No |
|
Gilsbar, Inc. PAR/CLAIMS/COMMERCIAL |
7205 | Y | No |
|
Golden West Dental PAR/CLAIMS/COMMERCIAL |
GWD01 | N | No |
|
Government Employees Hospital Association (GEHA) PAR/CLAIMS/COMMERCIAL |
44054 | Y | No |
|
Great-West Healthcare PAR/CLAIMS/COMMERCIAL |
80705 | Y | No |
|
Great-West Healthcare (formerly American General) PAR/CLAIMS/COMMERCIAL |
63665 | Y | No |
|
Group Administrators Ltd. PAR/CLAIMS/COMMERCIAL |
36338 | Y | No |
|
Group Benefit Administrators (Hendersonville, TN) PAR/CLAIMS/COMMERCIAL |
72153 | Y | No |
|
Group Benefit Services NON/CLAIMS/COMMERCIAL |
CX011 | Y | No |
|
Group Dental Services PAR/CLAIMS/COMMERCIAL |
CX036 | Y | No |
|
Group Health Managers PAR/CLAIMS/COMMERCIAL |
38194 | Y | No |
|
Group Insurance Service Center, Inc. PAR/CLAIMS/COMMERCIAL |
37276 | Y | No |
|
Group Link of Indiana NON/CLAIMS/COMMERCIAL |
CX015 | Y | No |
|
Guardian Life Insurance Company of America PAR/CLAIMS/COMMERCIAL |
64246 | Y | No |
|
HCS - Health Claims Service (Boise, ID) PAR/CLAIMS/COMMERCIAL |
82018 | Y | No |
|
HRM Claim Management PAR/CLAIMS/COMMERCIAL [Formerly Health Risk Management (HRM) |
41170 | Y | No |
|
Harrington Benefit Services (Columbus, OH) PAR/CLAIMS/COMMERCIAL |
95266 | Y | No |
|
Harrington Benefit Services (Westerville, OH) PAR/CLAIMS/COMMERCIAL |
75196 | Y | No |
|
Harrington Benefit Services, Inc. (Oklahoma) PAR/CLAIMS/COMMERCIAL |
59142 | Y | No |
|
Health Economics Group, Inc. NON/CLAIMS/COMMERCIAL |
CX039 | N | No |
|
Health Future, LLC. PAR/CLAIMS/COMMERCIAL |
30946 | Y | No |
|
Health Network America PAR/CLAIMS/COMMERCIAL |
20199 | Y | No |
|
Health Partners - Jackson, TN PAR/CLAIMS/COMMERCIAL |
62157 | Y | No |
|
Health Partners of Minnesota - Commercial NON/CLAIMS/COMMERCIAL |
CX009 | Y | No |
|
Health Partners of Minnesota - Medicaid NON/CLAIMS/MEDICAID |
CX010 | Y | Yes |
|
Health Plan Services PAR/CLAIMS/COMMERCIAL |
59140 | Y | No |
|
Health Plan Services of OK PAR/CLAIMS/COMMERCIAL |
59142 | Y | No |
|
Health Plans Inc. PAR/CLAIMS/COMMERCIAL |
CX055 | Y | No |
|
Health Resources Incorporated (HRI) PAR/CLAIMS/COMMERCIAL |
CX019 | Y | No |
|
Health Risk Management PAR/CLAIMS/COMMERCIAL [Formerly Health Risk Management (HRM) |
41170 | Y | No |
|
HealthSCOPE Benefits, Inc. (Formerly CNA Health Partners of Arkansas) PAR/CLAIMS/COMMERCIAL |
71063 | Y | No |
|
Healthcare Management Administrators, Inc. PAR/CLAIMS/COMMERCIAL The insured ID number is required. Maximum of 25 procedure lines per claim. Secondary claims cannot be sent electronically. Claim remarks exceeding 80 bytes in length cannot besent electronically. |
HMA01 | Y | No |
|
Healthcomp Inc. PAR/CLAIMS/COMMERCIAL |
85729 | N | No |
|
Healthplex, Inc. PAR/CLAIMS/COMMERCIAL |
11271 | Y | No |
|
Healthsource Provident PAR/CLAIMS/COMMERCIAL Claims are edited under CIGNA's payer specific edits, Payer ID 62308. |
68195 | Y | No |
|
Hometown Health Plan Nevada PAR/CLAIMS/COMMERCIAL |
88023 | Y | No |
|
Hoosier Dental (in Indianapolis, Indiana) NON/CLAIMS/COMMERCIAL |
CX015 | Y | No |
|
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) PAR/CLAIMS/BCBS |
22099 | Y | Yes |
|
Horizon Healthcare of NY PAR/CLAIMS/BCBS |
22099 | Y | Yes |
|
Hotel Employees & Restaurant Employees Health Trust PAR/CLAIMS/COMMERCIAL |
91136 | Y | No |
|
Humana PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
I. E. Shaffer (West Trenton, NJ) PAR/CLAIMS/COMMERCIAL |
22175 | Y | No |
|
IBI PAR/CLAIMS/COMMERCIAL |
41124 | Y | No |
|
Illinois Medicaid PAR/CLAIMS/MEDICAID ADMINISTERED BY DORAL DENTAL. PLEASE SEE DORAL ON THE PAYER ENROLLMENT FORMS LIST. |
CKIL1 | Y | Yes |
|
Indiana Children's Special Healthcare NON/CLAIMS/MEDICAID |
CX070 | Y | Yes |
|
Indiana Teamsters Health Benefits Fund (Indianapolis, IN) PAR/CLAIMS/COMMERCIAL Formerly known as Local 135 Health Benefits Fund (Indianapolis, IN) |
35107 | Y | No |
|
Insurance Design Administrators PAR/CLAIMS/COMMERCIAL |
13315 | Y | No |
|
Insurance Management Services (Elko, NV) PAR/CLAIMS/COMMERCIAL |
88006 | Y | No |
|
Insurers Administrative Corp. PAR/CLAIMS/COMMERCIAL Please visit website prior to submitting claims: edihelp.iacusa.com |
86304 | Y | No |
|
Integra Administrative Group (Seaford, DE) PAR/CLAIMS/COMMERCIAL Payer ID valid only for claims with a billing submission address of 110 S. Shipley Street, Seaford, DE 19973. |
51020 | Y | No |
|
International Brotherhood of Boilermakers PAR/CLAIMS/COMMERCIAL |
36609 | Y | No |
|
Iowa Benefits Inc. PAR/CLAIMS/COMMERCIAL |
41124 | Y | No |
|
JLT Services Corporation PAR/CLAIMS/COMMERCIAL |
14168 | Y | No |
|
JP Farley Corporation PAR/CLAIMS/COMMERCIAL Payer ID valid only for claims with a billing submission address of PO Box 458022, Westlake, OH 44145 |
34136 | Y | No |
|
John Alden Life Insurance Co. PAR/CLAIMS/COMMERCIAL |
41099 | Y | No |
|
Kaiser Permanente Dental Choice PAR/CLAIMS/COMMERCIAL Address is P.O. Box 4360, Rockville, MD |
CX073 | N | No |
|
Kanawha Insurance Co. PAR/CLAIMS/COMMERCIAL |
57038 | Y | No |
|
Kansas City Life PAR/CLAIMS/COMMERCIAL |
CX058 | N | No |
|
Kansas Medicaid NON/CLAIMS/MEDICAID |
CKKS1 | Y | Yes |
|
Kempton Company PAR/CLAIMS/COMMERCIAL |
73100 | Y | No |
|
Kempton Group Administrators PAR/CLAIMS/COMMERCIAL |
73100 | Y | No |
|
Kentucky Medicaid NON/CLAIMS/MEDICAID |
CKKY1 | Y | Yes |
|
LBA Health Plans PAR/CLAIMS/COMMERCIAL |
52193 | N | No |
|
Life Insurance Company of Boston & New York PAR/CLAIMS/COMMERCIAL |
78140 | Y | No |
|
LifeRe PAR/CLAIMS/COMMERCIAL The Insured ID number is required. A maximum of 20 procedure lines per claim. |
CX047 | Y | No |
|
Lincoln Financial Group PAR/CLAIMS/COMMERCIAL |
CX061 | Y | No |
|
Lincoln National (WI) PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
Line Construction Benefit Fund PAR/CLAIMS/COMMERCIAL |
LCB01 | Y | No |
|
Local 135 Health Benefits Fund (Indianapolis, IN) PAR/CLAIMS/COMMERCIAL |
35107 | Y | No |
|
Louisiana Medicaid (Adult Dental) NON/CLAIMS/MEDICAID |
CKLA2 | Y | Yes |
|
Louisiana Medicaid (EPSDT) NON/CLAIMS/MEDICAID |
CKLA1 | Y | Yes |
|
Lovelace Sandia Health Plan PAR/CLAIMS/COMMERCIAL |
90328 | Y | No |
|
MAMSI NON/CLAIMS/COMMERCIAL |
CX033 | N | No |
|
MBA Benefit Administrators, Inc. (Salt Lake City, UT) PAR/CLAIMS/COMMERCIAL |
87065 | Y | No |
|
MBA of Wyoming (Worland, WY) PAR/CLAIMS/COMMERCIAL |
87065 | Y | No |
|
MBS PAR/CLAIMS/COMMERCIAL Formerly MedCost Benefit Services. |
56205 | Y | No |
|
MEDICA of Minnesota NON/CLAIMS/COMMERCIAL |
CX026 | Y | No |
|
MPEEBT/ MPE Services, Inc. PAR/CLAIMS/COMMERCIAL |
37233 | Y | No |
|
Machigonne Benefit Administrators PAR/CLAIMS/COMMERCIAL Please include the rendering provider information or the name of the dentist in RTE6. Payer will reject the claims without this information. |
10317 | Y | No |
|
Mail Handlers Benefit Plan PAR/CLAIMS/COMMERCIAL Also known as Mailhandlers/CAC. |
62413 | Y | No |
|
Managed Health Services - WI State Employees PAR/CLAIMS/MEDICAID ADMINISTERED BY DORAL DENTAL. PLEASE SEE DORAL ON THE PAYER ENROLLMENT FORMS LIST. |
CX014 | Y | Yes |
|
Manulife W. J. Sutton Company PAR/CLAIMS/COMMERCIAL |
98010 | Y | No |
|
Marsh Advantage PAR/CLAIMS/COMMERCIAL |
CX023 | Y | No |
|
MedBen (Newark, OH) PAR/CLAIMS/COMMERCIAL |
74323 | Y | No |
|
Medicaid of Alabama NON/CLAIMS/MEDICAID |
CKAL1 | Y | Yes |
|
Medicaid of Arkansas NON/CLAIMS/MEDICAID |
CKAR1 | Y | Yes |
|
Medicaid of California NON/CLAIMS/MEDICAID Denti-Cal requires provider enrollment and has special data requirements. Contact Denti-Cal EDI Support at (916) 853-7373. |
94146 | Y | Yes |
|
Medicaid of Colorado NON/CLAIMS/MEDICAID |
CKCO1 | Y | Yes |
|
Medicaid of Connecticut NON/CLAIMS/MEDICAID |
CKCT1 | Y | Yes |
|
Medicaid of Florida (FL) NON/CLAIMS/MEDICAID |
CKFL1 | Y | Yes |
|
Medicaid of Georgia (GA) NON/CLAIMS/MEDICAID |
CKGA1 | Y | Yes |
|
Medicaid of Idaho NON/CLAIMS/MEDICAID |
CKID1 | Y | Yes |
|
Medicaid of Indiana NON/CLAIMS/MEDICAID |
CKIN1 | Y | Yes |
|
Medicaid of Iowa NON/CLAIMS/MEDICAID |
CKIA1 | Y | Yes |
|
Medicaid of Kentucky Region #3 (Doral Dental Services) PAR/CLAIMS/MEDICAID ADMINISTERED BY DORAL DENTAL. PLEASE SEE DORAL ON THE PAYER ENROLLMENT FORMS LIST. |
CKKY3 | Y | Yes |
|
Medicaid of Maine NON/CLAIMS/MEDICAID |
CKME1 | Y | Yes |
|
Medicaid of Maryland, Department of Health and Mental Hygiene NON/CLAIMS/MEDICAID |
CKMD1 | N | Yes |
|
Medicaid of Massachusetts PAR/CLAIMS/MEDICAID ADMINISTERED BY DORAL DENTAL. PLEASE SEE DORAL ON THE PAYER ENROLLMENT FORMS LIST. |
CKMA1 | Y | Yes |
|
Medicaid of Minnesota NON/CLAIMS/MEDICAID |
CKMN1 | Y | Yes |
|
Medicaid of Missouri NON/CLAIMS/MEDICAID |
CKMO1 | Y | Yes |
|
Medicaid of Nevada NON/CLAIMS/MEDICAID |
CKNV1 | Y | Yes |
|
Medicaid of New Hampshire NON/CLAIMS/MEDICAID |
CKNH1 | Y | Yes |
|
Medicaid of New Jersey NON/CLAIMS/MEDICAID |
CKNJ1 | Y | Yes |
|
Medicaid of New York (Dental Clinics Only) NON/CLAIMS/MEDICAID |
CKNY2 | Y | Yes |
|
Medicaid of North Carolina NON/CLAIMS/MEDICAID |
CKNC1 | Y | Yes |
|
Medicaid of Ohio NON/CLAIMS/MEDICAID |
CKOH1 | Y | Yes |
|
Medicaid of Oklahoma NON/CLAIMS/MEDICAID |
CKOK1 | Y | Yes |
|
Medicaid of Oregon NON/CLAIMS/MEDICAID |
CKOR1 | Y | Yes |
|
Medicaid of Pennsylvania NON/CLAIMS/MEDICAID |
CKPA1 | Y | Yes |
|
Medicaid of Rhode Island NON/CLAIMS/MEDICAID |
CKRI1 | Y | Yes |
|
Medicaid of Texas NON/CLAIMS/MEDICAID |
CKTX1 | Y | Yes |
|
Medicaid of Utah NON/CLAIMS/MEDICAID |
CKUT1 | Y | Yes |
|
Medicaid of Vermont NON/CLAIMS/MEDICAID |
CKVT1 | Y | Yes |
|
Medicaid of Washington NON/CLAIMS/MEDICAID |
CKWA1 | Y | Yes |
|
Medicaid of West Virginia NON/CLAIMS/MEDICAID |
CKWV1 | Y | Yes |
|
Medicaid of Wisconsin NON/CLAIMS/MEDICAID |
CKWI1 | Y | Yes |
|
Medicaid of Wyoming NON/CLAIMS/MEDICAID |
CKWY1 | Y | Yes |
|
Medical Benefit Administrators NON/CLAIMS/COMMERCIAL |
CX024 | Y | No |
|
Medical Benefits Mutual (Newark, OH) PAR/CLAIMS/COMMERCIAL |
74323 | Y | No |
|
Medical Mutual of Ohio PAR/CLAIMS/COMMERCIAL |
29076 | Y | No |
|
Medical Mutual of Ohio (MMO) PAR/CLAIMS/COMMERCIAL |
CB833 | Y | No |
|
Mercer Administrators PAR/CLAIMS/COMMERCIAL |
CX023 | Y | No |
|
MetLife PAR/CLAIMS/COMMERCIAL (formerly Travelers) |
65978 | Y | No |
|
Methodist First Choice PAR/CLAIMS/COMMERCIAL |
23550 | Y | No |
|
Michigan Medicaid NON/CLAIMS/MEDICAID |
CKMI1 | Y | Yes |
|
Michigan Regional Council of Carpenters Employee Benefit Plan (Troy, MI) PAR/CLAIMS/COMMERCIAL |
38238 | Y | No |
|
Mid-America Associates, Inc. PAR/CLAIMS/COMMERCIAL |
37281 | Y | No |
|
Mid-West National Life Insurance Co. of Tennessee - Student Insurance PAR/CLAIMS/COMMERCIAL 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 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025. |
74227 | Y | No |
|
Midwest Dental Benefits PAR/CLAIMS/COMMERCIAL |
41101 | Y | No |
|
Mississippi Select Health Care PAR/CLAIMS/COMMERCIAL |
64088 | Y | No |
|
Missoula County Medical Benefits Plan PAR/CLAIMS/COMMERCIAL |
37275 | Y | No |
|
Montana Medicaid NON/CLAIMS/MEDICAID |
CKMT1 | Y | Yes |
|
Motorola PAR/CLAIMS/COMMERCIAL |
36111 | Y | No |
|
Mountain States Administrative Services (Tucson, AZ) PAR/CLAIMS/COMMERCIAL |
86040 | Y | No |
|
Mutual of Omaha Insurance Company PAR/CLAIMS/COMMERCIAL |
71412 | Y | No |
|
Mutually Preferred PAR/CLAIMS/COMMERCIAL |
71412 | Y | No |
|
N.W. Int Assoc of Machinists & Aerospace Eng Benefits Trust Dental Progam PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
N.W. Ironworkers Health & Security Trust Fund PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
N.W. Roofers & Employers Health & Security Trust Fund PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
N.W. Textile Processors PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
NAA (North America Administrators, L.P.) (Nashville, TN) PAR/CLAIMS/COMMERCIAL |
65085 | Y | No |
|
NABN (Cleveland, OH) PAR/CLAIMS/COMMERCIAL Now known as Meritain Health. 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 | Y | No |
|
NC BCBSNC - DBS a.k.a ACS Benefit Services PAR/CLAIMS/COMMERCIAL |
61474 | N | No |
|
NCAS - Charlotte PAR/CLAIMS/COMMERCIAL |
75191 | Y | No |
|
NCAS - Fairfax, VA PAR/CLAIMS/COMMERCIAL |
75190 | Y | No |
|
National Benefit Administrators - New Jersey PAR/CLAIMS/COMMERCIAL |
56175 | N | No |
|
National Benefit Administrators - North Carolina PAR/CLAIMS/COMMERCIAL |
56176 | Y | No |
|
National Elevator Industry Benefit Plan (NEIB) PAR/CLAIMS/COMMERCIAL |
CX045 | Y | No |
|
National Pacific of TX (NCFLEX) PAR/CLAIMS/COMMERCIAL |
CX057 | Y | No |
|
National Rural Letter Carrier Association PAR/CLAIMS/COMMERCIAL |
71412 | Y | No |
|
National Telecommunications Cooperative Association PAR/CLAIMS/COMMERCIAL |
52120 | Y | No |
|
Nationwide Health Plans PAR/CLAIMS/COMMERCIAL |
31417 | Y | No |
|
Nebraska Medicaid NON/CLAIMS/MEDICAID |
CKNE1 | Y | Yes |
|
New England Dental Administrators PAR/CLAIMS/COMMERCIAL |
43351 | Y | No |
|
New Mexico Medicaid NON/CLAIMS/MEDICAID |
CKNM1 | Y | Yes |
|
New York Medicaid NON/CLAIMS/MEDICAID |
CKNY1 | Y | Yes |
|
Nippon Life Insurance Company of America PAR/CLAIMS/COMMERCIAL |
81264 | Y | No |
|
North American Benefits Network ((Cleveland, OH) PAR/CLAIMS/COMMERCIAL Now known as Meritain Health. 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 | Y | No |
|
North Carolina Health Choice for Children PAR/CLAIMS/BCBS |
61472 | Y | No |
|
North Dakota Dental Service NON/CLAIMS/BCBS |
CX004 | Y | Yes |
|
North Dakota Medicaid NON/CLAIMS/MEDICAID 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 claim. Provider IDs are always 5 digits long and begin with the number 4. |
CKND1 | Y | No |
|
NorthStar Administrators PAR/CLAIMS/BCBS |
47570 | Y | No |
|
Northeast Delta Dental (ME, NH, VT) PAR/CLAIMS/DELTA DENT |
2027 | Y | No |
|
Northern Nevada Trust Fund PAR/CLAIMS/COMMERCIAL |
88027 | Y | No |
|
Northwest Dental Services PAR/CLAIMS/COMMERCIAL |
93525 | N | No |
|
Northwest Suburban IPA (Illinois) PAR/CLAIMS/COMMERCIAL |
36346 | Y | No |
|
Nova Healthcare Administrators, Inc. (Grand Island, NY) PAR/CLAIMS/COMMERCIAL |
16644 | Y | No |
|
Nyhart PAR/CLAIMS/COMMERCIAL |
37299 | Y | No |
|
OSMA Health - C. L. Frates and Company PAR/CLAIMS/COMMERCIAL |
CX075 | Y | No |
|
Operating Engineers Locals 302 & 612 Health & Security Fund PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
PA Faculty Health & Welfare PAR/CLAIMS/COMMERCIAL |
CX066 | Y | No |
|
PDO PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
PM Group PAR/CLAIMS/COMMERCIAL |
67466 | Y | No |
|
POMCO PAR/CLAIMS/COMMERCIAL Prior to submitting please contact Lynn Wilcox at (315) 432-9171 ext. 255 |
16111 | Y | No |
|
Pacific Life & Annuity Company PAR/CLAIMS/COMMERCIAL |
67466 | Y | No |
|
Pacific Union PAR/CLAIMS/COMMERCIAL |
CX056 | Y | No |
|
PacificSource Health Plans PAR/CLAIMS/COMMERCIAL |
93029 | Y | No |
|
Pacificare Dental and Vision HMO PAR/CLAIMS/COMMERCIAL |
CX060 | Y | No |
|
Pacificare Dental and Vision PPO PAR/CLAIMS/COMMERCIAL |
CX053 | Y | No |
|
Patient Advocates, LLC PAR/CLAIMS/COMMERCIAL |
10525 | Y | No |
|
Paul Revere/Provident PAR/CLAIMS/COMMERCIAL |
47009 | Y | No |
|
Pennsylvania Blue Shield (Camp Hill) NON/CLAIMS/BCBS Please contact Dental Electronic Services at (800) 633-5430 to register to send electronic claims. |
CB865 | Y | Yes |
|
Pequot Plus Health Benefit Administrators PAR/CLAIMS/COMMERCIAL |
37121 | Y | No |
|
Physicians Care Network (Rockford, IL only) PAR/CLAIMS/COMMERCIAL |
36345 | Y | No |
|
Physicians Health Association of Illinois PAR/CLAIMS/COMMERCIAL |
37136 | Y | No |
|
Physicians Mutual PAR/CLAIMS/COMMERCIAL |
CX068 | Y | No |
|
Physicians Plus Insurance, Co., Wisconsin State Employees PAR/CLAIMS/MEDICAID ADMINISTERED BY DORAL DENTAL. PLEASE SEE DORAL ON THE PAYER ENROLLMENT FORMS LIST. |
CX014 | Y | Yes |
|
Pinnacle Claims Management, Inc. PAR/CLAIMS/COMMERCIAL |
24735 | Y | No |
|
Pittman & Associates PAR/CLAIMS/COMMERCIAL |
37224 | Y | No |
|
Poly America Medical & Dental Benefits Plan PAR/CLAIMS/COMMERCIAL |
32680 | Y | No |
|
Prairie States Enterprises, Inc. PAR/CLAIMS/COMMERCIAL |
36373 | Y | No |
|
Preferred Care FL PAR/CLAIMS/COMMERCIAL |
59291 | Y | No |
|
Preferred Care NC PAR/CLAIMS/COMMERCIAL |
56178 | Y | No |
|
Preferred Dental Organization PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Preferred Health Professionals PAR/CLAIMS/COMMERCIAL |
31478 | Y | No |
|
Premera Blue Cross PAR/CLAIMS/BCBS |
47570 | Y | No |
|
Premier Dental Plan of MN NON/CLAIMS/COMMERCIAL |
CX029 | Y | No |
|
Primary PhysicianCare, Inc. PAR/CLAIMS/COMMERCIAL |
56144 | Y | No |
|
Prime Care Wisconsin State and Federal Employees and Medicaid PAR/CLAIMS/MEDICAID ADMINISTERED BY DORAL DENTAL. PLEASE SEE DORAL ON THE PAYER ENROLLMENT FORMS LIST. |
CX014 | Y | Yes |
|
Principal Financial Group PAR/CLAIMS/COMMERCIAL |
61271 | Y | No |
|
Principal Life Insurance Co. PAR/CLAIMS/COMMERCIAL |
61271 | Y | No |
|
Professional Benefit Administrators, Inc. (Oak Brook, IL) PAR/CLAIMS/COMMERCIAL Payer ID is valid only for claims with billing submission name, city, and state of Professional Benefit Administrators, Inc., Oak Brook, IL. |
36331 | Y | No |
|
Professional Claim Administrators PAR/CLAIMS/COMMERCIAL |
41163 | Y | No |
|
Provident Life PAR/CLAIMS/COMMERCIAL Claims are edited under CIGNA's payer specific edits, Payer ID 62308. |
68195 | Y | No |
|
Prudential HealthCare & Life Ins. Co of America PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Prudential HealthCare HMO for Small Business PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Prudential HealthCare Health Maintenance Organization PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Prudential HealthCare POS for Small Business PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Prudential HealthCare PPO for Small Business PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Prudential Healthcare of America Inc. PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Prudential for Health PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Puget Sound Benefits Trust PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
Puget Sound Electrical Workers Trust PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
Quad Med LLC (Pewaukee, WI) PAR/CLAIMS/COMMERCIAL |
39197 | Y | No |
|
RBMS, LLC PAR/CLAIMS/COMMERCIAL |
91176 | Y | No |
|
RMSCO, INC. PAR/CLAIMS/COMMERCIAL |
16117 | Y | No |
|
Regence Blue Shield PAR/CLAIMS/BCBS Unique provider ID required; please call NDEX at (800) 373-1477. |
93200 | Y | Yes |
|
Regence Blue Shield FEP PAR/CLAIMS/BCBS Unique provider ID required; please call NDEX at (800) 373-1477. Participating Payer - see last page for definition. |
93200 | Y | Yes |
|
Regence Northwest Health PAR/CLAIMS/BCBS Unique provider ID required; please call NDEX at (800) 373-1477. Participating Payer - see last page for definition. |
93200 | Y | Yes |
|
Regency Employee Benefits PAR/CLAIMS/COMMERCIAL |
38221 | Y | No |
|
Regional Care, Inc. PAR/CLAIMS/COMMERCIAL |
47076 | Y | No |
|
ReliaStar (now known as CoreStar formerly NW National Life) PAR/CLAIMS/COMMERCIAL 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 | Y | No |
|
Reliance Standard Life PAR/CLAIMS/COMMERCIAL |
36088 | Y | No |
|
Reliastar PAR/CLAIMS/COMMERCIAL |
80314 | Y | No |
|
Rochester Public Schools PAR/CLAIMS/COMMERCIAL |
41625 | Y | No |
|
Rocky Mountain Life Dental PAR/CLAIMS/COMMERCIAL |
84102 | Y | No |
|
SAMBA PAR/CLAIMS/COMMERCIAL |
37259 | Y | No |
|
SC BCBS NON/CLAIMS/BCBS |
38520 | Y | Yes |
|
SCAN Long Term Care PAR/CLAIMS/COMMERCIAL |
20460 | Y | No |
|
SET SEG PAR/CLAIMS/COMMERCIAL |
38610 | Y | No |
|
SafeGuard PPO PAR/CLAIMS/COMMERCIAL |
CX030 | Y | No |
|
Safeguard HMO PAR/CLAIMS/COMMERCIAL |
CX048 | N | No |
|
Scan Health Plan Arizona PAR/CLAIMS/COMMERCIAL |
73172 | N | No |
|
Seabury & Smith PAR/CLAIMS/COMMERCIAL |
CX023 | Y | No |
|
Select Administrative Services (SAS) PAR/CLAIMS/COMMERCIAL |
64088 | Y | No |
|
SelectCare (Coca Cola) PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Self Insured Benefit Administrators (Clearwater, FL) PAR/CLAIMS/COMMERCIAL Payer ID valid only for claims with a submission address of 18167 US Highway 19 North, Suite 300, Clearwater, FL 33764. |
59111 | Y | No |
|
Self Insured Services Company (SISCO) PAR/CLAIMS/COMMERCIAL |
CX020 | Y | No |
|
Self-Funded Plans, Inc. PAR/CLAIMS/COMMERCIAL |
34131 | Y | No |
|
Self-Insured Dental Services (SIDS) NON/CLAIMS/COMMERCIAL Addt'l enrollment is not required by the payer. Providers wishing to submit claims electronically must be credentialed with the payer. Please ensure you have successfully processed one paper claim prior to submitting your first electronic claim. |
CX076 | N | No |
|
Self-Insured Plans, LLC PAR/CLAIMS/COMMERCIAL |
36404 | Y | No |
|
Sentry Life Insurance Company PAR/CLAIMS/COMMERCIAL |
39033 | Y | No |
|
Serentas Dental Care Solutions PAR/CLAIMS/COMMERCIAL |
CX038 | Y | No |
|
Shenandoah Life Insurance PAR/CLAIMS/COMMERCIAL |
CX067 | Y | No |
|
Sierra Health Services PAR/CLAIMS/COMMERCIAL |
76342 | Y | No |
|
Sinclair Health Plan PAR/CLAIMS/COMMERCIAL |
84076 | Y | No |
|
South Carolina Medicaid NON/CLAIMS/MEDICAID |
CKSC1 | Y | Yes |
|
South Central Preferred - PPO York, PA (IHS Gateway Payer) PAR/CLAIMS/COMMERCIAL |
23266 | Y | No |
|
South Point Hotel & Casino PAR/CLAIMS/COMMERCIAL |
35227 | Y | No |
|
SouthWest Benefits PAR/CLAIMS/COMMERCIAL |
CX051 | N | No |
|
Southern Benefit Services PAR/CLAIMS/COMMERCIAL |
37318 | Y | No |
|
Southern Group Administrators PAR/CLAIMS/COMMERCIAL |
56131 | Y | No |
|
Southwestern Bell PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Southwestern Bell Exec PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Southwestern Bell Exec. - Custom Care PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Southwestern Bell Exec. - Southwestern Bell PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Spina Bifida - VA HAC PAR/CLAIMS/COMMERCIAL |
84147 | Y | No |
|
St. Therese Physician Association PAR/CLAIMS/COMMERCIAL |
37116 | Y | No |
|
Standard Insurance Company (NY) PAR/CLAIMS/COMMERCIAL |
13411 | Y | No |
|
Standard Insurance Company (OR) PAR/CLAIMS/COMMERCIAL |
93024 | Y | No |
|
StarHRG PAR/CLAIMS/COMMERCIAL |
59225 | Y | No |
|
State of Texas Dental Plan PAR/CLAIMS/COMMERCIAL |
57254 | Y | No |
|
Stoner and Associates (Cincinnati, OH) PAR/CLAIMS/COMMERCIAL |
31121 | Y | No |
|
Student Insurance PAR/CLAIMS/COMMERCIAL 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 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025. |
74227 | Y | No |
|
Student Insurance - Mid-West National Life Insurance Co. of Tenessee PAR/CLAIMS/COMMERCIAL 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 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025. |
74227 | Y | No |
|
Student Insurance - The MEGA Life & Health Insurance Company PAR/CLAIMS/COMMERCIAL 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 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025. |
74227 | Y | No |
|
Sun Life Financial PAR/CLAIMS/COMMERCIAL |
47009 | Y | No |
|
Superior Dental Care - Preferred Plan PAR/CLAIMS/COMMERCIAL |
31117 | Y | No |
|
TDC PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
TR Paul Inc. PAR/CLAIMS/COMMERCIAL |
37230 | Y | No |
|
Texas CHIP Dental Services PAR/CLAIMS/COMMERCIAL Providers wishing to submit claims electronically must be credentialed and register for EDI. Providers should call the Texas CHIP Provider Call Center at 866-561-5891. |
CPPTX | Y | Yes |
|
The Chesapeake Life Insurance Company - Student Insurance PAR/CLAIMS/COMMERCIAL 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 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025. |
74227 | Y | No |
|
The Dental Companies PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
The Dental Concern PAR/CLAIMS/COMMERCIAL |
73288 | Y | No |
|
The Loomis Company - TPA Wyomissing, PA (IHS Gateway Payer) PAR/CLAIMS/COMMERCIAL |
23223 | Y | No |
|
The MEGA Life & Health Insurance Company - Insurance Center PAR/CLAIMS/COMMERCIAL |
59226 | Y | No |
|
The MEGA Life & Health Insurance Company - Student Insurance PAR/CLAIMS/COMMERCIAL 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 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025. |
74227 | Y | No |
|
The Union Labor Life Insurance Company PAR/CLAIMS/COMMERCIAL Payer ID valid for claims with a submission address of P.O. Box 61593, King of Prussia, PA 19406. |
13142 | Y | No |
|
Three Rivers Health Plans, Inc PAR/CLAIMS/COMMERCIAL Now known as Unison Health Plan |
25175 | Y | Yes |
|
Time Insurance Company PAR/CLAIMS/COMMERCIAL f.k.a Fortis Insurance Company |
39065 | Y | No |
|
Total Admin. Inc. / North Broward Hospital District PAR/CLAIMS/COMMERCIAL |
37314 | Y | No |
|
Tower Life Insurance Co. PAR/CLAIMS/COMMERCIAL |
69493 | Y | No |
|
TransSmile NON/CLAIMS/COMMERCIAL |
CX069 | Y | No |
|
Travelers (now MetLife) PAR/CLAIMS/COMMERCIAL |
65978 | Y | No |
|
Trigon Blue Cross Blue Shield - Colorado Dental Office PAR/CLAIMS/BCBS Claims Mailing Address: Trigon Dental Admin, 555 Middle Creek Parkway, MS 400, Colorado Springs, CO 80921. |
84103 | Y | No |
|
Trigon Blue Cross of Virginia (Anth BCBS-VA/ BCBS Anth-VA formerly Trigon) NON/CLAIMS/BCBS |
CB923 | Y | Yes |
|
Trusteed Plans Service Corporation PAR/CLAIMS/COMMERCIAL |
91078 | Y | No |
|
Trustmark Insurance Company PAR/CLAIMS/COMMERCIAL |
61425 | Y | No |
|
UICI - Administrators - State of Nevada PAR/CLAIMS/COMMERCIAL Accepting claims only for the State of Nevada. |
74223 | Y | No |
|
UNICARE PAR/CLAIMS/COMMERCIAL |
80314 | Y | No |
|
Unified Group Services PAR/CLAIMS/COMMERCIAL |
35198 | Y | No |
|
Uniform Medical Plan/Harrington Benefit Services PAR/CLAIMS/COMMERCIAL |
75243 | Y | No |
|
Union Security Insurance Company PAR/CLAIMS/COMMERCIAL f.k.a. Fortis Benefits Insurance Company |
70408 | Y | No |
|
Unison Health Plan/Three Rivers PAR/CLAIMS/COMMERCIAL |
25175 | Y | Yes |
|
United Concordia (Tricare Dental Plan) NON/CLAIMS/COMMERCIAL For enrollment, please call United Concordia Electronic Services Division at (800) 633-5430. |
CX002 | Y | Yes |
|
United Concordia - Fee for Service NON/CLAIMS/COMMERCIAL For enrollment, please call United Concordia Electronic Services Division at (800) 633-5430. |
CX007 | Y | Yes |
|
United Concordia Dental Plus NON/CLAIMS/COMMERCIAL For enrollment, please call United Concordia Electronic Services Division at (800) 633-5430. |
CX013 | Y | Yes |
|
United Healthcare of River Valley PAR/CLAIMS/COMMERCIAL formerly John Deere Health Care/Heritage National Healthplan |
95378 | Y | Yes |
|
United Medical Resources PAR/CLAIMS/COMMERCIAL |
33108 | Y | No |
|
United States Life Insurance Company PAR/CLAIMS/COMMERCIAL |
13545 | Y | No |
|
United of Omaha PAR/CLAIMS/COMMERCIAL |
71412 | Y | No |
|
Upper Peninsula Health Group (TPA) PAR/CLAIMS/COMMERCIAL |
37324 | Y | No |
|
VA Fee Basis Programs PAR/CLAIMS/COMMERCIAL |
12116 | Y | No |
|
Varian Health Care Plan PAR/CLAIMS/COMMERCIAL |
68241 | Y | No |
|
Virginia Medicaid PAR/CLAIMS/MEDICAID ADMINISTERED BY DORAL DENTAL. PLEASE SEE DORAL ON THE PAYER ENROLLMENT FORMS LIST. |
CKVA1 | Y | Yes |
|
Washington Dental Service PAR/CLAIMS/COMMERCIAL |
91062 | Y | No |
|
Washington Employers Trust PAR/CLAIMS/COMMERCIAL |
37294 | Y | No |
|
Washington State Council of County & City Employees Dental Trust PAR/CLAIMS/COMMERCIAL Please enter Group Number when submitting claims. |
91136 | Y | No |
|
Waterstone Benefit Administrators PAR/CLAIMS/COMMERCIAL |
73155 | Y | No |
|
Wellpoint Dental PAR/CLAIMS/BCBS |
47198 | Y | No |
|
Wells Fargo Third Party Administrators, Inc. PAR/CLAIMS/COMMERCIAL |
87815 | Y | No |
|
Western Grower's Assurance Trust PAR/CLAIMS/COMMERCIAL |
24735 | Y | No |
|
Western Grower's Insurance Company PAR/CLAIMS/COMMERCIAL |
24735 | Y | No |
|
William C. Earhart PAR/CLAIMS/COMMERCIAL |
93050 | N | No |
|
Worksite Benefit Services, LLC PAR/CLAIMS/COMMERCIAL |
20333 | Y | No |
|
deneX/SG PAR/CLAIMS/COMMERCIAL |
CX049 | Y | No |
|
webTPA/Community Health Electronic Claims/CHEC PAR/CLAIMS/COMMERCIAL |
75261 | Y | No |