05/04/2023

Damar Software/Claims Midwest

*** DENTAL PAYER LIST ***

1,297 Payers

 11:22:31 AM
Payer Name Payer ID Additional Enrollment Also Known As

3P Administrators (Onalaska, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 20413

6 Degrees Health Inc. (Beaverton, OR)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 20446

A a I Benefit Plan Admin, Portland Oregon

PARTICIPATING PAYER / CLAIMS		 CX044

A-G Adminstrators (Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 11370

A.D.N. Administrators (Southfield, MI)

PARTICIPATING PAYER / CLAIMS		 CXADN

AAG Benefit Plan Administrators (Dallas, TX)

PARTICIPATING PAYER / CLAIMS		 75240 American Admin Group (AAG)(Dallas, TX)

AARP Dental Insurance Plan (Mechanicsburg, PA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 AARP1 ERA

ACS Benefit Service (PO Box 2400 Winston, NC only)

PARTICIPATING PAYER / CLAIMS		 61474 Blue Cross of NC (PO Box 2400 Winston, NC only)

ACS Consulting, Salem Winston, NC

PARTICIPATING PAYER / CLAIMS, ERA		 72468 ACS Benefit Services (Salem Winston, NC)

ACS Hawaii (Honolulu, HI)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 10003 CLAIM ,

ADN (Southfield, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX036

AFLAC of GA (Columbus, GA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 58066

AFLAC of NY (1932 Wynnton Road, Columbus GA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 52080

AFS Insurance Service (PO Box 30430 SLC, UT

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 AFSDC Associated Foods Service (AFS)(PO Box 30430, SLC, UT)

AHL (Richardson TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX122

APA Partners, Inc. - Latham, NY

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 16140

ARC Administrators (Lexington, KY)

PARTICIPATING PAYER / CLAIMS		 CXARC

ASEA (AFSCME) Local 52 (Spokane, WA)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 TLX61

ASR Corporation (Grand Rapids, MI)

PARTICIPATING PAYER / CLAIMS, ERA		 38265 Physicians Care (Grand Rapids, MI)
Administration Systems Research Corp. (Grand Rapids, MI)
ASR Health Benefits (Grand Rapids, MI)

ASRM (Moorestown, NJ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 ASRM1 Reliance Standard (ARMS) (Moorestown, NJ)

AaD Charitable Foundations (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 39640 GreatLakes PACE (Eden Prairie, MN)
PACE - Great Lakes

Abatement Workers Regional Local 207 Welfare Fund (Troy, MI)

NON-PARTICIPATING PAYER / CLAIMS		 BK400

Abri Health Plan (Thiensville, WI)

PARTICIPATING PAYER / CLAIMS		 AHP01

Acceptius (Benefit Management Inc of MO, Joplin, MO)

PARTICIPATING PAYER / CLAIMS, ERA		 43178 Benefit Management Inc of MO (Joplin, MO)

Access Dental (Salem, OR)

PARTICIPATING PAYER / CLAIMS		 CX097

Access Dental Plan (Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS		 91185

Acclaim (Tupelo, MS)

PARTICIPATING PAYER / CLAIMS, ERA		 64071

Accordia National (Charleston, WV)

PARTICIPATING PAYER / CLAIMS, ERA		 87815 ERA Wells Fargo (Charleston, WV)
Wells Fargo (Anchorage, AK)
HealthSmart Benefits(Charleston, WV)
HealthSmart (PO Box 91608, Lubbock, TX)

Activa Benefit Services, LLC - Grand Rapids, MI

PARTICIPATING PAYER / CLAIMS, ERA		 38255 Amway Corporation (East Ada, MI)

Administrative Concepts (Wayne, PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 22384 DentexMax (Wayne, PA)

Administrative Services Only (PO Box 9005,9007,9010 Lynbrook, NY)

PARTICIPATING PAYER / CLAIMS		 CX076 Self Insured Dental Services (PO Box 9005,9007,9010 Lynbrock, NY)

Advanced Rehab Network

NON-PARTICIPATING PAYER / CLAIMS		 41961

Advantage Dental Plan - Roseburg, OR

PARTICIPATING PAYER / CLAIMS, ERA, CLAIM STATUS INQUIRY		 93524

Advantage by Superior (PO Box 537030, Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CPPSA

Advantek Benefit Admin (Fresno, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 83077

Adventist Health Claims (Roseville, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 95340

Aetna

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 60054 ERA TRW
Adventis Risk Management Inc
Prudential
Foreign Service Benefit(Washgington, WA)

Aetna (SRC)(Blue Bell, PA a Columbia, SC)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 57604 Aetna Affordable Health Choices (SRC)(Columbia, SC)

Aetna Better Health of WV (Phoenix, AZ)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 128WV ERA

Aetna Medicare

NON-PARTICIPATING PAYER / CLAIMS, ERA		 18014 ERA

Aetna US Healthcare Encounters (PO Box 14530, Lexington, KY)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 68246 ERA

Affordable Benefits Admin (Burbank, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 95426

Aflac Benefit Solutions Inc

NON-PARTICIPATING PAYER / CLAIMS		 ABS01

Alaska Children's Services, Inc.

PARTICIPATING PAYER / CLAIMS, ERA		 91136 ERA Alaska Laborers Construction Industry Trust (Seattle, WA)
Alaska Pipe Trades Local 375 (Seattle, WA)
Alaska United Food & Comm. Workers Health & Welfare Grp#F45(Seattle, WA)
Automotive Machinists Local 289 Health & Welfare Trust
Cement Masons & Plasters Health & Welfare Trust (Seattle, WA)
Enstar Natural Gas (Detroit, MI)
Hotel Employees & Restraunt Employess Health Trust(Seattle, WA)
University of Washington Students & Graduate Appts.(Seattl, WA)
Washington State Council of County & City Employees Dental Trust
West Coast Stationary Engineers health & Security Trust Fund( Seattle, WA)
Glassworkers Health & Welfare Fund (Seattle, WA)
N.W. Int Assoc of machinists & Aerospace Eng Benefits Trust (Seattle, WA)
N.W. Iron Workers Health & Security Trust Fund (Seattle, WA)
N.W. Roofers & Employers Health & Security Trust Fund (Seattle, WA)
N.W. Textile Processors (Seattle, WA)
Operating Engineers Locals 302 & 612 Health & Security Fund (Seattle, WA)
Puget Sound Benefits Trust (Seattle, WA)
AGC- I.U.O.E Local 701 trust Funds
Locals 302 and 612 of the I.U.O.E
Machinists Health
South Bay H.E.R.E. Funds
NW Plumbing and Pipfitting Industry
Idaho Pipe Trades
Nothwest I.A.M. Benefit Trust
Alaska Hotel Restaurant and camp
FBX North Star Borough/ School District
NW Benefit ( Po Box 34176)
Northwest Iron Workers (PO box 34464) Seattle,WA

Alaska Electric Health a Welfare Fund (Anchorage, AK)

PARTICIPATING PAYER / CLAIMS		 92600

AlaskaCare (Anchorage, AK)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX201

Alexian Brothers Community Services of TN (Chattanooga, TN)

PARTICIPATING PAYER / CLAIMS		 44423

AllCare CCO Dental (Salem, OR)

PARTICIPATING PAYER / CLAIMS, ERA		 CXALC

Allegiance Benefit Plan (Missoula, MT)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 81040

Allen Medical Claims Administrator (Fort Valley, GA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX016

Alliance Coal Health Plan (PO Box 211577, Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 93658

Alliant (Chesire, CT)

PARTICIPATING PAYER / CLAIMS		 LX139 Voluntary Benefits Plan (Chesire, CT)

Alliant Health Plans

NON-PARTICIPATING PAYER / CLAIMS		 58234 Alliance Health

Allied Administrators (San Francisco, CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 94177

Allied Benefit Systems (Chicago, IL)

PARTICIPATING PAYER / CLAIMS, ERA		 37308 ERA

Allied National (Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 22155

Allina Health (Aetna)

PARTICIPATING PAYER / CLAIMS		 54398

Alternative Risk Management (ARM) Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 63240 ARM (Alternative Risk Management (Eagan, MN)

Altus Dental - Providence, RI

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, CLAIM STATUS INQUIRY		 50503

Amalgamated Life - PA Alicare (New York, NY) (King of Prussia, PA)

PARTICIPATING PAYER / CLAIMS, ERA		 13343 AliCare (Amalgamated Life (New York, NY)

Ameraplan (Troy, MI)

PARTICIPATING PAYER / CLAIMS, ERA		 38219 ClaimChoice Administrators (Troy, MI)

AmeriChoice - New York Medicaid (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS, ERA		 86048 Medicaid of New York (Administrated by AmeriChoice)

AmeriChoice - New York Medicare (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS, ERA		 86002

AmeriChoice - Pennsylvania Medicare (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS		 86003

AmeriChoice of NJ Medicaid (salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 86047 Medicaid of New Jersey (Admin by Americhoice)(Salt Lake City, UT)

AmeriHealth Mercy Health Plan

NON-PARTICIPATING PAYER / CLAIMS		 Call

Ameriben Solutions (Boise, ID)

PARTICIPATING PAYER / CLAIMS, ERA		 75137

American Admin (West Des Moines, IA)

PARTICIPATING PAYER / CLAIMS		 42112

American Benefit Corporation (Huntington, WV)

PARTICIPATING PAYER / CLAIMS		 CX084

American Benefits Management of (N Canton, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 34187

American Dental Payers of WI

PARTICIPATING PAYER / CLAIMS		 ADP01

American Health (Maumee, OH)

PARTICIPATING PAYER / CLAIMS		 AHG01

American Health Medicare

NON-PARTICIPATING PAYER / CLAIMS		 66065

American Medical Security (Green Bay, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 CX001

American Postal Workers Union Health Plan (Silver Springs, MD)

PARTICIPATING PAYER / CLAIMS, ERA		 44444 APWU (American Postal Workers (Silver Springs, MD)

American Progressive (Pensacola, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX185

Americas Choice (Houston, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 20029

Americas TPA (Minneapolis, MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 41178 Health EZ (Americas TPA)(Minneapolis, MN)

Americhoice - New Jersey Medicare (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS		 86001

Americhoice NJ(Thiensville, Milwaukee WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 GP133 ERA Optum Specialty Svcs (Thiensville, Milwaukee WI)
Dental Benefit Providers (PO Box 427 Thiensville, Milwaukee, WI)
United Health Care (Milwaukee, WI)
UHC (United HealthCare)(Milwaukee, WI)

Amerihealth Administrators (Horsham, PA)

PARTICIPATING PAYER / CLAIMS		 54763 Adventist Risk Management (Horsham, PA) Old PO Box 4759, Silver Springs, MD)
Blue Cross (Po box 1002, Horsham PA)

Amerihealth Caritas PA (PO Box 7118 London, KY)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 SCNAC

Ameritas Life Insurance Corp. (Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 47009 ERA Paul Revere / Provident
Sun Life Canada
Businessmen Assurance (NE)
Sun Life Financial
Employee Benefits Services (Lincoln, NE)
Health Plan Services (Lincoln, NE)
Unifi Companies (Lincoln, NE)
Physicians Mutual (Lincoln, NE)

Amwins Connect Adminstrator

NON-PARTICIPATING PAYER / CLAIMS		 41201

Anchor Benefit Consulting (Maitland, FL a Davenport, LA)

PARTICIPATING PAYER / CLAIMS		 53085

Antares Management Solutions (Westlake, OH)

PARTICIPATING PAYER / CLAIMS, ERA		 34192 Mututal Health Services (Antares Mgmt)(Westlake, OH)

Apex Benefits (Akron, OH)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 34196 ERA

Araz Group

PARTICIPATING PAYER / CLAIMS		 16120

Archbold Medical Center Dental Plan (Thomasville, GA)

NON-PARTICIPATING PAYER / CLAIMS		 58155

Argus (Tampa Fl)

PARTICIPATING PAYER / CLAIMS		 LX074

Argus (Tampa, FL a Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 ARGUS

Arkansas Best Corp-Choice Benefits-Fort Smith, AR

PARTICIPATING PAYER / CLAIMS, ERA		 75278

Arkansas Municipal Health Benefit (N Little Rock AR)

PARTICIPATING PAYER / CLAIMS, ERA		 81883 ERA Municpal Health

Arkansas Superior Select (Little Rock, AR)

PARTICIPATING PAYER / CLAIMS		 61184

Arm LTD Midwest (Brookfield, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX035

Arrow Benefits Group (Petaluma, CA)

PARTICIPATING PAYER / CLAIMS		 90475

Ascent Benefits (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX072

Aspen (Redwood City, CA)

PARTICIPATING PAYER / CLAIMS		 16180

Associated Benefits (Des Moines, IA)

PARTICIPATING PAYER / CLAIMS		 50266

Associated Third Party Admin (ATPA)(San Diego, CA)

PARTICIPATING PAYER / CLAIMS		 ATPA1 Associated Third Party Admin (ATPA)(Tualatin, OR)
ATPA (Associated Third Party Admin)
ATPA (San Diego, CA & Tualatin, OR)

Assurant Health (Fort Mill SC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX088

Assurant Health Self Funded (Chicago, IL)

PARTICIPATING PAYER / CLAIMS		 75068

Assurant Supplemental (PO Box 2829 Clinton, IA)

PARTICIPATING PAYER / CLAIMS		 ASHC1 Time Ins (Milwaukee, WI)

Assured Benefits Administrators (El Paso, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 74240

Asuris Northwest Health(PO Box 30271 SLC, UT)

PARTICIPATING PAYER / CLAIMS, ERA		 93221

Athens Area Health Plan Select (Athens, GA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 95691

Atlantic Dental Inc - PPO (ADI) (Coral Gables, FL)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 CX085 ADI (Atlantic Dental) PPO (Coral Gables, FL

Atlantic Dental Inc-Medicaid (Coral Gables, FL)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CX052 ERA ADI -Medicaid (Atlantic Dental, Inc)(Coral Gables, FL
AD-Medicaid (Atlantic Dental, Inc)(Mequon, WI)

Aultra ( Canton, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX081

Automated Benefit Services (Oak Park, MI)

PARTICIPATING PAYER / CLAIMS, ERA		 38259

Automated Group Admin (Fort Wayne, IN)

PARTICIPATING PAYER / CLAIMS, ERA		 37280 AGA (Automated Group Admin (Fort Wayne, IN)

Avesis (PO Box 7777 Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 86098 ERA Molina Medicare
Geisinger Health Plan

BAC Local 15 (Overland, KS)

NON-PARTICIPATING PAYER / CLAIMS		 A2051

BAS Benefits (PO Box 156, Hyde Park, UT)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX205 Town and Country (PO Box 156, Hyde Park, UT)

BAnner - Medisun (Mesa, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 77078 ERA

BCBS KS (Tokepa, KS)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX070

BCBS of WA - FEP (Po Box 31207,SLC, UT)

PARTICIPATING PAYER / CLAIMS		 LX108

BCI Administrators Inc (West Bloomfield, MI)

PARTICIPATING PAYER / CLAIMS		 49153

BEAM Dental (Columbus, OH)

PARTICIPATING PAYER / CLAIMS		 CXBMD

BEAM Insurance Adminsitrators (Burlington, KY)

PARTICIPATING PAYER / CLAIMS		 BEAM1

BHP Unity (PO Box 456, Arnold, MD)

PARTICIPATING PAYER / CLAIMS		 44219

BPS First Health

NON-PARTICIPATING PAYER / CLAIMS		 67707

BSI Companies (Greenville, SC)

NON-PARTICIPATING PAYER / CLAIMS		 25916 Hewitt, Coleman & Associates Inc.

Bankers United Life/Student Insurance (Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 74227 ERA Student Insurance (Lincoln, NE)
Mid-West National Life Ins. Co. of TN-Student Ins
The MEGA Life & Health Ins. Co.-Student Ins.
The Chesapeake Life Insurance Co.-Student Ins.

Banner Health Systems (Mesa, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 SX145

Barinet (Arnold, MD)

PARTICIPATING PAYER / CLAIMS		 CB369

Bay Area Automotive Group (Livermore, CA)

PARTICIPATING PAYER / CLAIMS		 CHSBA

Bay Area Delivery Drivers (Livermore, CA)

PARTICIPATING PAYER / CLAIMS		 CHSBD

Ben-e-lect (Visalia, CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX154

BenMark (Mississippi)

PARTICIPATING PAYER / CLAIMS		 BNMK1

BeneCare Dental Plan - Philadelphia, PA

PARTICIPATING PAYER / CLAIMS, ERA		 23210

Benecomp National Corporation (St. Petersburg, FL)

PARTICIPATING PAYER / CLAIMS		 33192 Cadent Underwriters (St. Petersburg, FL)
Cadent Administrators (St. Petersburg, FL)
Clarendon's Healthy Kids (St. Petersburg, FL)
Direct Assignment Benefit Plan (St. Petersburg, FL)

Benefit Admin Systems(BAS) (Homewood, IL)

PARTICIPATING PAYER / CLAIMS, ERA		 36149 Benefit Admin Systems (BAS) (PO Box 2920 Milwaukee, WI)
BAS (Benefit Admin Systems (Milwaukee, WI)
BAS (Benefit Admin Systems (Homeward, IL)
BAS (Benefit Admin Systems (Farmington Hill, MI)
Benefit Admin Systems (BAS)(Farmington Hill, MNI)
Benefit Admin Systems (BAS)(St. Louis, MO)
BAS (Benefit Admin Systems)(St. Louis, MO)

Benefit Administration Services (Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 41205

Benefit Management (San Antonio TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX087

Benefit Management Services (PO Box 1178, Matthews, NC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX012

Benefit Management Services, Inc (Charlotte, NC)

PARTICIPATING PAYER / CLAIMS		 56139 Benefit Management (Matthews, NC)

Benefit Management Systems (Madison, MS)

PARTICIPATING PAYER / CLAIMS, ERA		 37212

Benefit Management, Inc. (Great Bend, KS)

PARTICIPATING PAYER / CLAIMS, ERA		 48611

Benefit Mangement Group NV (Las Vegas, NV)

PARTICIPATING PAYER / CLAIMS		 36459

Benefit Plan Adm (Fargo ND)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX086

Benefit Plan Admin (Roanoke, VA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 37118

Benefit Plan Administrators Co. Eau Claire, WI

PARTICIPATING PAYER / CLAIMS, ERA		 39081 ERA

Benefit Planners, Inc )San Antonio, TX)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, CLAIM STATUS INQUIRY		 74223 UICI - Administrators - State of Nevada (San Antonio, TX)
American Administrative Group, Inc (AAG)(San Antonio, TX)
Fiserv (Benefit Planners) (San Antonio, TX)
UMR-San Antonio (San Antonio, TX)
UMR (PO Box 2838 Clinton, IA)

Benefit Support, Inc

NON-PARTICIPATING PAYER / CLAIMS		 40459

Benefit Systems a Services, Inc. (Westmont, IN)

PARTICIPATING PAYER / CLAIMS, ERA		 36342 BSSI (Benefit System & Services (Westmont, IN)

Benefit a Risk Mgmt Services - BRMS (Folsom, CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX165

Benefit, Inc. (Roseville, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 R7003 ERA Sturm & Associates (Edina, MN)

Benefits (PO Box 1175, Maple Grove, MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX022

Benemax (Medfield, MA)

PARTICIPATING PAYER / CLAIMS		 BMX01

Benesys, Inc (LaFayette, LA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 37248

Benicomp, Inc. (Fort Wayne, IN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX152

Best Life a Health Ins Co. - (Irvine CA)

PARTICIPATING PAYER / CLAIMS		 95604 Best Life & Health Ins. Co (Overland Park, KS)

Better health Plans of South Carolina

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 32006

Blackhawk

NON-PARTICIPATING PAYER / CLAIMS		 CB987

Blue Care Network (BCBSM MA/BNCA - Medicare Advantage)(Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 BBMDQ Blue Cross of MI - Medicare Advantage(Milwaukee, WI)

Blue Cross Blue Shield of Wyoming

NON-PARTICIPATING PAYER / CLAIMS		 53767

Blue Cross Maryland - CareFirst Federal

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 UNCFA

Blue Cross of AZ (Phoenix, AZ)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 53589 ERA

Blue Cross of Alabama (Birmingham, AL)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CBAL1 ERA

Blue Cross of Arkansas (PO Box 1206 Elk Grove Village, IL)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 83470 Blue Cross of AR (Harrisburg, PA)
Blue Advantage (BCBS of AR)(Harrisburg, PA)

Blue Cross of CA (Fed Only)(PO Box 272510 Chico, CA)

NON-PARTICIPATING PAYER / CLAIMS, CLAIM STATUS INQUIRY		 BSCA2

Blue Cross of CA (Oxnard, CA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 47198 ERA Wellpoint (CA) (Oxnard, CA)
Blue Cross/Trust Fund (San Antonio, TX)

Blue Cross of Colorado/Anthem - Colorado Springs, CO

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 84099 ERA

Blue Cross of Connecticut (Blue Care Family Plan) (North Haven, CT)

PARTICIPATING PAYER / CLAIMS, ERA		 00700 ERA Blue Care Family Plan Blue Cross of CT (North Haven, CT)

Blue Cross of Delaware (Wilmington, DE)

PARTICIPATING PAYER / CLAIMS, ERA		 53287 ERA

Blue Cross of Deleware - FEP (PO Box 1991, Wilmington, DE)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX204

Blue Cross of FL (Jacksonville, FL)

PARTICIPATING PAYER / CLAIMS, ERA		 FX046

Blue Cross of Florida (Florida Combined Life)(PO Box 100135, Columbia, SC)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 76031 Florida Combined Life(Blue Cross of FL)(PO Box 100135, Columbia, SC)
Florida Blue

Blue Cross of GA (Columbus, GA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CBGA1 ERA

Blue Cross of ID - FEP (PO Box 7408, Boise, ID)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX138

Blue Cross of Idaho (PO Box 7408, Boise, ID)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CBID1

Blue Cross of Illinois (Belleville, IL)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CB621 ERA

Blue Cross of Iowa (FEP claims only) (Des Moines)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CBIA1 ERA

Blue Cross of Iowa (Po Box 935 Des Moines, IA)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CBIA2 ERA

Blue Cross of Kansas (Topeka, KS)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CBKS1 ERA

Blue Cross of Kansas City (MO)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 47171 ERA

Blue Cross of Kentucky/Indiana/Ohio Anthem - Louisville, KY

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 84105 ERA Blue Cross of Connecticut (PO Box 547 North Haven, CT)
Blue Cross of Indiana Anthem (Louisville, KY)
Blue Cross of Ohio Anthem (Louisville, KY)
Anthem of CT (PO Box 547 North Haven, CT)
Anthem of CT (PO Box 9274, Oxnard, CA)
Anthem of TX (Po box 659444, texas)
Blue Cross of IN (PO Box 188, Mpls., MN)
WI Electrical Employees ( PO Box 659444, San Antonio, TX)
Wisconsin Electrical Employees (PO Box 659444, San Antonio, TX)

Blue Cross of Louisiana (Baton Rouge, LA)

PARTICIPATING PAYER / CLAIMS, ERA		 23739 ERA

Blue Cross of MN (PO Box 64338, St. Paul, MN)

PARTICIPATING PAYER / CLAIMS		 FX017

Blue Cross of MN (PO Box 75, Minneapolis, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 BCAFD

Blue Cross of Maine

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 BME01

Blue Cross of Massachusettes (North Quincy, MA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CBMA1 ERA

Blue Cross of Michigan (Detroit, MI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CBMI1 ERA

Blue Cross of Mississippi (Jackson, MS)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CBMS1 CLAIM , ERA

Blue Cross of Montana (Helena, MT)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CBMT1 ERA

Blue Cross of NE Nork York (Buffalo, NY)

PARTICIPATING PAYER / CLAIMS, ERA		 00800 CLAIM , ERA

Blue Cross of NY (Empire) Claims sent to MN

PARTICIPATING PAYER / CLAIMS, ERA		 55093 ERA Empire BCBS of NY (Minneapolis, MN)

Blue Cross of Nebraska (Omaha, NE)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CBNE1 ERA

Blue Cross of Nevada - Colorado Springs, CO

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 84101 ERA

Blue Cross of New Hampshire

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 BNH01

Blue Cross of New Jersey (Horizon) (Newark, NJ)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 22099 ERA Horizon (Blue Cross of New Jersey) (Indianapolis, IN)
Horizon NJ Health (PO Box 299, Milwaukee, WI)
Horizon BCBS NJ ( Po box 1311, MPLS)

Blue Cross of New Mexico (Belleville, IL)

NON-PARTICIPATING PAYER / CLAIMS		 CBNM1

Blue Cross of New Mexico Dental

NON-PARTICIPATING PAYER / CLAIMS, ERA		 84100 ERA

Blue Cross of New York (1901 Main St. Buffalo, NY)

PARTICIPATING PAYER / CLAIMS		 CBNYW

Blue Cross of New York - Par (PO Box 22999, Rochester, NY only)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CBNYR Excellus (PO Box 22999, Rochester, NY)

Blue Cross of North Carlonia (Winston Salem, NC)

PARTICIPATING PAYER / CLAIMS		 61473 ACS Benefit Solutions

Blue Cross of North Carolina Federal Employee Claims (Durham, NC)

PARTICIPATING PAYER / CLAIMS		 61472 North Carolina Health Choice for Children

Blue Cross of North Carolinia Medicare

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 56152

Blue Cross of OK (PO Box 23100 Belleville, IL)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 00840 ERA

Blue Cross of OK (Tulsa OK)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX097

Blue Cross of Oregon (Portland, OR a SLC, UT)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CB850

Blue Cross of Oregon - FEP (Po Box 31105, SLC, UT)

NON-PARTICIPATING PAYER / CLAIMS		 LX052

Blue Cross of PA - Highmark

PARTICIPATING PAYER / CLAIMS, ERA		 54771 ERA

Blue Cross of Rhode Island (providence, RI)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CB870 ERA

Blue Cross of SC (Columbia/Charleston SC)(PO Box 10030, Columb SC)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 38520 ERA

Blue Cross of SC (FEP) (PO Box 600601, Columbia, SC)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ELIBILITY INQUIRY		 LX197

Blue Cross of SD (Sioux Falls, SD)

NON-PARTICIPATING PAYER / CLAIMS		 CBSD1 Blue Cross of SD (PO Box 9291 Des Moines, IA)

Blue Cross of Tennessee (Chattanooga, TN)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CBTN1 CLAIM ,

Blue Cross of Texas (Dallas, TX)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CB900 ERA

Blue Cross of UT BCBS (PO Box 30270, Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS, ERA		 CBUT1 ERA

Blue Cross of UT-FEP (PO Box 30272, Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS, ERA		 CBUTF ERA

Blue Cross of VA - Trigon (Colorado Springs, CO)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 84103 ERA Trigon - Blue Cross and Blue Shield (Colorado Springs, CO)
Anthem (PO Box 1115, Minneapolis, MN)

Blue Cross of VA / Anthem (Richmond, VA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CB923 ERA Anthem of Virginia (Richmond, VA)
Trigon Blue Cross of Virginia (Now Anthem BCBS of Virginia)

Blue Cross of WA (550 12th St, Washington DC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX090

Blue Cross of WA and AK (MCDN-Manage Dental Care)(PO Box 327, Seattle, WA)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 84097

Blue Cross of WI (United)

PARTICIPATING PAYER / CLAIMS, ERA		 CB950 ERA

Blue Cross of Washington a Alaska(Anchorage, AK)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 47570 ERA Blue Cross of Alaska & Washington (Anchorage, AK)
North Star Administrators
Premera Blue Cross (Seattle, WA)

Blue Plus - MN (PO Box 64033, St. Paul, MN)

NON-PARTICIPATING PAYER / CLAIMS		 BLRDE

Blue Shield CA

PARTICIPATING PAYER / CLAIMS		 BSCA1

Blue Shield CA - NON-FEP (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS		 94036

Blue Shield of Idaho(PO Box 31603 Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS, ERA		 CBID2

Boilermakers Natl Health a Welfare Fund/International Brotherhood(Kansas City,

PARTICIPATING PAYER / CLAIMS, ERA		 36609 International Brotherhood of Boilermakers (Kansas City, KS)

Bollinger Insurance (PO Box 804, Short Hills, NJ)

NON-PARTICIPATING PAYER / CLAIMS		 TLX71

Boon Chapman Benefit Administrators (Austin, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 74237 CLAIM , Paid Dental (PO Box 9150, Austin, TX)
32 Dental (PO Box 9150, Austin, TX)

Boston Mutual Life Ins Co. (80 East Concord St., Boston, MA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 04210 Boston University Dental Health Plans (80 East Concord St. Boston, MA)

Boulder Admin Services (Boulder, MT)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 20381

Breckpoint (Las Vegas, NV)

NON-PARTICIPATING PAYER / CLAIMS		 BRKPN BreckPoint (PO Box 211055, Eagan MN)

Bridgeport LLC of Missouri - St Charles, MO

PARTICIPATING PAYER / CLAIMS, CLAIM STATUS INQUIRY		 CX028

Bridgespan (Lewiston, ID)

PARTICIPATING PAYER / CLAIMS, ERA		 BRIDG

Bright Benefits (PO Box 497 and PO Box 631 Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 SDCOM Direct Dental Administrators (PO Box 497 Milwaukee, WI)

Brighter Administrators

PARTICIPATING PAYER / CLAIMS		 B2129

Brokerage Concepts (King of Prussia, PA)

PARTICIPATING PAYER / CLAIMS, ERA		 51037 Health Now (Eagan, MN)
HNAS (Eagan, MN)
Allied Administrators (Eagan, MN)

Brokers National (Houston TX)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CX032 ERA

Brown a Brown United Benefits Fringe (PO Box 2480, Daytona Beach, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 59069 United Benefits (Ormond Beach, FL)
Fringe Benefit Management (Fl)
MedsavUSA (Fringe Benefit)(FL)
21st Century Health (MedsavUSA)(NJ)

Buisness Administrators a Consultants

NON-PARTICIPATING PAYER / CLAIMS		 49984 BAC

Businessmen's Assurance

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 61492

Butler Benefits (Davenport, IA, Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 42150

Butler Company

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX124

CA Health Families (Sacramento, CA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CPPCA ERA Delta Dental-Healthy Families (Sacramento, CA)
Healthy Families (Sacramento, CA)
California State Gov. Programs

CAS Benefits Plans (PO Box 3070, Bellingham, WA)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CAS89 Coastal Admin Serv (CAS) (PO Box 3070, Bellingham, WA)

CBCA Administrators (TX,NY,KY,GA,MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 55438

CBSA (Mpls, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 41124 Corporate Benefit Services - Meritan Health (Mpls, MN)
IBI ( Minneapolis, MN)
Iowa Benefits, Inc( Minneapolis, MN)
Meritain Health (Formerly CBSA) (Minneapolis, MN)

CCEA Teachers Health Trust (Las Vegas, NV)

PARTICIPATING PAYER / CLAIMS		 88019 Teachers Health Trust (CCEA)(Las Vegas, NV)

CCPOA Benefit Trust Fund (2515 Venture Oaks, Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX170

CDS Group Health (Sparks, NV)

PARTICIPATING PAYER / CLAIMS, ERA		 88022

CHAMPVA - HAC - Denver, CO

PARTICIPATING PAYER / CLAIMS, ERA		 84147 ERA Spina Bifida - VA HAC
Children of Women Vietnam Veterans

CIGNA (DHMO) (PO Box 188046, Chattanooga, TN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 10000 ERA

CIGNA (Heritage Consultant) (Lake Alfred, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX182

CIGNA Flex Care/Lovelace (New Mexico Only)

PARTICIPATING PAYER / CLAIMS		 62310 Lovelace Insurance
Lovelace Senior Options(LSO) and Lovelace Senior Plan(LSP)

CL Frates (Oklahoma City, OK)

PARTICIPATING PAYER / CLAIMS, ERA		 CX075 OSMA (OK State Medical Assoc)(Oklahoma City, OK)
OK State Medical Assoc. (OSMA)(Oklahoma City, OK

CLTE Health Welfare Plan (10334 Ellison Circle, Omaha, NE)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX199 Contractors LaborerTeamster (CLTE) (10334 Ellison Circle, Omaha, NE)

CNA Health Partners of Arkansas

PARTICIPATING PAYER / CLAIMS, ERA		 71063 ERA HealthSCOPE Benefits, Inc (Little Rock, AR)
HealthScope Benefits (Po Box 619055, Dallas, TX)

CNIC Healthcare Services (Englewood/Colorado Springs, CO)

PARTICIPATING PAYER / CLAIMS, ERA		 37227 ERA

CORE Administrative Services (Macon, GA)

PARTICIPATING PAYER / CLAIMS		 58231

CPP Texas Chip (PO Box 537014 Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS		 CPPTX Texas-CHIP Dental Services (Sacramento, CA)

CTI Administrators (Des Moines, IA)

PARTICIPATING PAYER / CLAIMS, ERA		 42141 ERA

CWI Benefits (Greenville, SC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX167

California Water Service (San Jose CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX131

Calvos Selectcare

NON-PARTICIPATING PAYER / CLAIMS		 CALSC

Canada Life Assurance Company(Atlanta, GA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CX061 ERA Jefferson Pilot (Omaha, NE)
Guarantee Life Insurance
Lincoln National (Omaho, NE & Orlando, FL)

Cannon Cochran Mgmt Services, Inc. (Metairie, LA)

PARTICIPATING PAYER / CLAIMS, ERA		 71057 ERA

Cannon Cochran Mngmt Services, Inc - Danville, IL

PARTICIPATING PAYER / CLAIMS		 37105 Sage Technologies (Cannon Cochran)(Danville, IL)
CCMSI (Cannon Cochran Mngmt Serv)(Danville, IL)

Capital Blue Cross

NON-PARTICIPATING PAYER / CLAIMS		 24705

Capital Blue Cross (Harrisburg, PA)

PARTICIPATING PAYER / CLAIMS		 CBC01 Blue Cross Dental (Po Box 1126, Elk Grove IL)

Capital Dental - Houston, TX

PARTICIPATING PAYER / CLAIMS		 CX037 EPSI Dental II (Capital Dental)

Capitol Administrators (Rancho Cordova, CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 68011

Capitol Dental (Performance Health Tech) (Salem, OR)

PARTICIPATING PAYER / CLAIMS		 CX095

Caprock Health Plans (Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 CAPHP

Care Plus Health Plans (Milwaukee, WI)

NON-PARTICIPATING PAYER / CLAIMS		 61604 Iron Workers Local 8 (Wauwautosa, WI)

CareFirst (PO Box 14111 - 14116) (Lexington, KY))

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 FX136 ERA Blue Cross of MD (14111-14116, Lexington, KY)

CareOregon (Portland, OR)

PARTICIPATING PAYER / CLAIMS		 93975

CareSource West Virginia (Dayton, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 WVCS1

CareSource of IN (JustME)(Dayton, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 INCS1

Caresource GA (Dayton, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 GACS1

Caresource KY (Dayton, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 KYCS1

Caresource- Dayton OH

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKOH2 Medicaid of Ohio: Caresource (Dayton, OH)

Carolina SeniorCare

NON-PARTICIPATING PAYER / CLAIMS		 71499

Carolina Summit HealthCare (Cincinnati, OH)

PARTICIPATING PAYER / CLAIMS		 56195

Carpenters Health Welfare (St. Louis, Hazelwood, MO)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 25125 HealthLink (St. Louis)

Carpenters Health a Welfare of PA (Philadelphia, PA)

PARTICIPATING PAYER / CLAIMS		 CX101

Carpenters Welfare Fund (Chicago IL)

NON-PARTICIPATING PAYER / CLAIMS		 LX091

CarringtonWellMed (Kansas City MO)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX118

Cascade Comprehensive Care, Inc. (Klamath Falls, OR)

PARTICIPATING PAYER / CLAIMS		 CHA01 Cascade Health Alliance (Klamath Falls, OR)

Caterpillar Inc.

PARTICIPATING PAYER / CLAIMS, ERA		 37060

Cement Masons Union Local 502

NON-PARTICIPATING PAYER / CLAIMS		 34643

Center for Elders Independence

NON-PARTICIPATING PAYER / CLAIMS		 94312

Central Data Services Downtown (Pittsburgh, PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX150 WPEE Insurance Trust Fund (Pittsburgh, PA)
Western Pennsylvania Electric (Pittsburgh, PA)

Central Reserve Life (Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 34097 ERA

Central Reserve Life (Winston Salem NC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX103

Central States (Rosemont, IL a PO Box 5104 Des Plaines, IL)

PARTICIPATING PAYER / CLAIMS		 36215

Centraol Susquehanna HealthCare (PO Box 668, Arnold, MD)

PARTICIPATING PAYER / CLAIMS		 55731

Chesterfield Resources (Akron, OH)

PARTICIPATING PAYER / CLAIMS, ERA		 34154

Childrens Medical Services (CMS) Po Box 917833 El Paso

PARTICIPATING PAYER / CLAIMS, ERA		 EM205 Med3000 CMS Title 21

Christian Brothers Services (Romeoville, IL)

PARTICIPATING PAYER / CLAIMS		 38308

Cigna

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 62308 ERA EQUICOR
Connecticut General (Bloomfield, CT)
Continental Dental (Plantation, FL)
UFT Welfare Fund

Cigna International (PO Box 15050, Wilminton, DE)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 LX208 ERA

Citizens Security Life Ins. (Louisville, KY)

PARTICIPATING PAYER / CLAIMS, ERA		 CX071

Civil Service Employees Association (CSEA) (Latham, NY)

PARTICIPATING PAYER / CLAIMS		 CX054 CSEA (Civil Service Employes Assoc.) (Latham, NY)

Claims Management Services (Greenbay, WI)

PARTICIPATING PAYER / CLAIMS		 CMS01 Blue Cross of WI (PO Box 10888, Greenbay, WI)
Three Rivers Health Plan, Inc. (WI

ClaimsBridge HPN (Arnold, MD)

PARTICIPATING PAYER / CLAIMS		 11752

Clayton County Self Funded Dental Plan (Jonesboro, GA)

PARTICIPATING PAYER / CLAIMS		 CCS01

Co-Ordinated Benefit Plans (Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 14829

Coast Hotels and Casinos, Inc./DBA Coast Benefits (Las Vegas, NV)

PARTICIPATING PAYER / CLAIMS		 37310 Coast Benefits/Coast Hotels and Casinos (Las Vegas, NV)

Coastal Admin Services (Salinas, CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 77052

Combined Insurance (Ocala, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX073

Commenwealth Admin, LLC (Lexington, KY)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, CLAIM STATUS INQUIRY		 37237 UMR - Lexington (Lexington, KY)

Commerce Benefits Group (Elyria, OH)

PARTICIPATING PAYER / CLAIMS, ERA		 34181

Commercial Travelers (Utica, NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX166

Community Choice Health Plan of Westchester (Yonkers, NY)

PARTICIPATING PAYER / CLAIMS		 61948

Community Claims Administration (Orange, CA)

PARTICIPATING PAYER / CLAIMS		 26231

Community Connection (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 PHP01 Phoenix Health Plan (PHP) (AZ) (Richardson, TX)
Abrazo HealthCare (Phoenix, AZ)

Community Health Alliance (Knoxville, TN)

PARTICIPATING PAYER / CLAIMS, ERA		 27905

Community Health Electronic Claims

PARTICIPATING PAYER / CLAIMS, ERA		 75261 ERA WebTPA/Community Health Electronic Claims/CHEC (Grand Prairie, TX)
Adventist Risk Management (Grapevine, TX) Old PO Box 4088 Silver Springs, MD
AXA (Web-TPA) Grapevine, TX
Equitable Employee Medicare

Community Health Plan of WA

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CHPWA

Comp - Ohio - 33 Fitch Blvd., Austintown OH

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 34177 Compensation Programs of Ohio, Inc.

Companion Life

NON-PARTICIPATING PAYER / CLAIMS, ERA		 48005

Companion Life (PO Box 100102, Columbia, SC)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 77828

Companion Life Insurance Co of CA (Dubuque, IA)

NON-PARTICIPATING PAYER / CLAIMS		 CLICA

Compdent - (Chicago, IL a Roswell, GA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX021 CompBenefits - (Chicago, IL & Roswell, GA)
Humana Speciality Benefits

Comprehensive Benefits Admin - Burlington, VT

PARTICIPATING PAYER / CLAIMS, ERA		 03036 Employee Benefit Plan Administration, Inc (PO Box 2000, Hampton, NH)
Employee Benefit Plan Admin (Burlington, VT)
CBA Blue (Comprehensive Benefits Admin (Burlington, VT)

Comprehensive Care Services (CCSTpa) PO Box 64008, 64668 St. Paul, MN

PARTICIPATING PAYER / CLAIMS		 00720 CCSTpa (Comprehensive Care Services PO Box 64008, 64668 St. Paul, MN

Comprehensive HealthCare Options (Centennial, CO)

PARTICIPATING PAYER / CLAIMS		 CHCP1

Comprehensive Senior Care Corp. (Battle Creek, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 66698 CentraCare (Battle Creek, MI)

CompuSys/Erisa Group (Austin, TX)

PARTICIPATING PAYER / CLAIMS		 74234 Erisa Group/CompuSys (Austin, TX)

Comton (PO Box 1358 Fairport, NY)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX198

Concierge

NON-PARTICIPATING PAYER / CLAIMS		 CAS01

ConnectiCare, Inc (PO Box 4000 Farmington, CT)

NON-PARTICIPATING PAYER / CLAIMS		 06105

Connecticut Carpenters Health Fund (Hamden, CT)

PARTICIPATING PAYER / CLAIMS, ERA		 37307

Consociate (Decatur, IL)

PARTICIPATING PAYER / CLAIMS, ERA		 37135

Consolidated Group Dental (Nashua, NH)

PARTICIPATING PAYER / CLAIMS		 61305

Consolidated Health Plans (Springfiled, MA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX146

Constitution Life (Pensacola, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX186

Consumers Choice Health Plan (North Charleston, SC)

PARTICIPATING PAYER / CLAIMS, ERA		 45321

Continental Benefits (Brandon, FL)

PARTICIPATING PAYER / CLAIMS		 35245

Cook Children's Dental (PO Box 537010, Sacramento, CA)

PARTICIPATING PAYER / CLAIMS		 CPPCC

Cook Children's Health Plan (PO Box 537014 Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS		 CPPCH

Cook Group Health Plan (Bloomington, IN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 35149

Cook Group Solutions (Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 82347

Cooperative Benefit Administrators (CBA) (Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 52132 ERA

CoreSource (Mailed to IA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX048

CoreSource (NC, IN) (Charlotte, NC)

PARTICIPATING PAYER / CLAIMS, ERA		 35180 ERA

CoreSource OH - mailed to OH

PARTICIPATING PAYER / CLAIMS, ERA, CLAIM STATUS INQUIRY		 35183 CoreSource (Po Box 279, SHeldon IA)

CoreSource of Little Rock (Little Rock, AR)

PARTICIPATING PAYER / CLAIMS, ERA		 75136 ERA

CoreSource of PA MD IL (Lancaster, PA)(Clinton, IA)

PARTICIPATING PAYER / CLAIMS, ERA, CLAIM STATUS INQUIRY		 35182 ERA Core Source (Po Box 2920, Clinton IA)
LifeWell (Coresource)(Clinton, IA)

CoreStar (Minneapolis,MN)

PARTICIPATING PAYER / CLAIMS		 41045 Reliastar (PO Box 1195, Mpls, MN)
Reliastar (146 Industrial Park Rd, Jackson, MN)
Reliastar (7830 East Broadway, Tucson, AZ)
NW National Life (MN, AZ)
CoreSource (AZ, MN)

Cornerstone Claims LLC

NON-PARTICIPATING PAYER / CLAIMS		 95557

Corporate Benefit Services (Charlotte, NC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 56116 Corporate Benefit Services(El Paso, TX)
Corporate Benefit Services (Eagan, MN)

Correct Health

NON-PARTICIPATING PAYER / CLAIMS		 80006

Correction Health Partners (Po Box 107 Reyboldburg)

NON-PARTICIPATING PAYER / CLAIMS		 PHPMC Correction Health Parners (Po Box 241689, Apple Valley MN)

Covenant Admin, Inc - (PO Box 105738 Atlanta, GA)

PARTICIPATING PAYER / CLAIMS, ERA		 58102 Direct Assignment Benefits (PO Box 9077 Clearwater, FL)
Simple (1745 N Brown Rd, Lawrencevill GA)
Dental Decisions (2600 McCormick) Clearwater, FL)
BenefitStream (Po Box 1990, Jasper GA)

Coventry Health Care of Georgia (PO Box 7711,7715 London, KY)

PARTICIPATING PAYER / CLAIMS		 25148

Coventry Health Care of KS

PARTICIPATING PAYER / CLAIMS, ERA		 25133 ERA Coventry Health & Life OK
Coventry Health (241508 Charlotte, NC)
Coventry Health (PO Box 8403,8400,8402, London, KY)
Coventry Health
Rural Carrier Benefit Plan (Charlotte, NC)
Mail Handlers Benefit Plan (Jacksonville, FL)
First Health (Tucson, AZ - London, KY)
Health Right of CT (Medicaid Claims)
Missouri Department of Transportation/MODot * St Louis Univ
Foreign Service Benefit Plan (London, KY)
Associated Benefit Plan (London, KY)
Coventry Health (PO box 8403,8400,8402, London, KY)
Coventry Health (PO Box 241508 Charlotte, NC)
First Health - Tucson, AZ - London, KY, Coraoplis, PA)
HealthRight of CT (Medicaid claims to First Health Stratagies)

Creative Plan Administrators (Hartford, CT)

PARTICIPATING PAYER / CLAIMS, ERA		 37320

Crescent Dental (Amherst, NY a Richardson, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 CX074 Meritain Health (Amherst, NY & Richardson, TX)

Crescent Health (Asheville, NC)

PARTICIPATING PAYER / CLAIMS		 56213

Crowe Paradis Service Corp (North Reading, MA)

PARTICIPATING PAYER / CLAIMS		 20572 MSA Careguard (North Reading, MA)

Custom Benefit Adminstrators(Lacrosse, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 39170

Custom Design Benefits (3737 West Fork Road, Cincinnati, OH)

PARTICIPATING PAYER / CLAIMS, ERA		 82056

Cypress Ancillary Benefits (Appleton WI, Milwaukee, WI, Stockton, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 LX082

Cypress Ancillary Benefits (Appleton WI, Milwaukee, WI, Stockton, CA)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 TLZ04

D. Edward Wright TPA(

PARTICIPATING PAYER / CLAIMS		 DEW01

DDCA2 Test

NON-PARTICIPATING PAYER / CLAIMS		 00001

DDS, Inc (East Meadow, NY a Westbury, NY)

PARTICIPATING PAYER / CLAIMS		 DDS01

DDSD Medicare Advantage

NON-PARTICIPATING PAYER / CLAIMS		 SDCMS

DENCAP Dental Plans (Detroit, MI)

NON-PARTICIPATING PAYER / CLAIMS		 DPLAN

DH Evans (Harrisburg, PA)

PARTICIPATING PAYER / CLAIMS		 CX065 PATH Administrators (Harrisburg, PA)

Dart Management Corp. (Mason, MI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 06172 ERA

DeCare (PO Box 1348, Mpls., MN) Northwest Employees

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 07035 ERA DeCare (Po Box 709, MPLS MN)

Dean Health Plan (Madison, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 39113

Delta Dental IA - Dental Wellness Plan (Johnston, IA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDIAM ERA Delta Dental IA - Government Programs (Johnston, IA)

Delta Dental Peurto Rico (San Juan, PR)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 66043 ERA

Delta Dental TX Medicaid-Childrens(PO Box 537014, Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS		 CPPTM TX Medicaid - Delta CA - Childrens (PO Box 537014, Sacramento, CA)

Delta Dental of Alabama ( Irving, TX)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 94276 ERA Delta Dental of Alaska (Irving, TX)
Delta Dental of Florida (Irving, TX)
Delta Dental of Georgia (Alpharetta, GA)
Delta Dental of Louisiana(Irving, TX)
Delta Dental of Mississippi (Irving, TX)
Delta Dental of Montana (Sacramento, CA)
Delta Dental of Nevada (Irving TX)
Delta Dental of Texas(Irving TX)
Delta Dental of Utah (Irving TX)
MHHNP (Po Box 742567, Houston TX)

Delta Dental of Arizona

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 86027 ERA

Delta Dental of Arkansas

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDAR1 ERA

Delta Dental of CA (Cerritos, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 DDCA2 ERA Delta Dental USA (Cerritos, CA)
DeltaCare (Cerritos, CA)

Delta Dental of CA (Encounter, CAP)(Cerritos, CA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 DDCA3 ERA

Delta Dental of California (PO Box 997330, Sacramento, CA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 77777 ERA

Delta Dental of California(Tricare) - PO Box 537007-537009, Sacramento, CA

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDCA1 ERA Tricare Retiree Dental-Delta Dental of CA - PO Box 537007-537009, Sacramento, CA

Delta Dental of Colorado (Denver, Co)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 84056 ERA

Delta Dental of Delaware (Mailed to Mechanicsburg, PA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 51022 ERA

Delta Dental of Idaho (Boise, ID)

PARTICIPATING PAYER / CLAIMS, ERA		 82029 ERA

Delta Dental of Illinois (Individual Plans Only) (PO Box 5402, Isle, IL)

PARTICIPATING PAYER / CLAIMS		 IDIND

Delta Dental of Illinois (Lisle, IL)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 05030 ERA Local 731 (Burr Ridge, IL)
Midwest Operating Engineers (MOE) Welfare Fund Local 150)(Delta of IL)

Delta Dental of Indiana (Farmington Hills, MI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CDIN1 ERA

Delta Dental of Iowa (Ankeny, IA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDIA1 ERA

Delta Dental of Kansas(Whichita, KS)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDKS1 ERA

Delta Dental of Kentucky(Lousiville, KY)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CDKY1 ERA

Delta Dental of Massachusetts (Boston, MA, Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 04614 ERA

Delta Dental of Michigan(Farmington Hills, MI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDMI0 ERA Teamsters Welfare Fund (Farmington Hills, MI)
Michigan Conference of Teamsters (Farmingotn Hills, MI)

Delta Dental of Minnesota(Minneapolis, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDMN1 ERA Delta of MN ( Po Box 9120, Farmington Hills, MI)

Delta Dental of Missouri

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 43090 ERA

Delta Dental of Nebraska(Minneapolis, MN)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDNE1 ERA Delta NE (Po Box 9120, Farmington Hills)

Delta Dental of New Jersey (Parsipanny, NJ)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 22189 ERA Delta Dental of Connecticut (Parsipanny, NJ)

Delta Dental of New Mexico(Albuquerque, NM)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 85022 ERA

Delta Dental of New York (Mechanicsburg, PA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 11198 ERA Buffalo Teachers Federation

Delta Dental of North Carolina(Farmington Hills, MI a Sacramento, CA a Mpls, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 56101 ERA

Delta Dental of North Dakota(Bismark ND)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDND1 ERA

Delta Dental of Ohio(Farmington Hills,MI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CDOH1 ERA

Delta Dental of Oklahoma(Oklahoma City, OK)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDOK1 ERA Indian Health Services (Oklahoma City, OK)

Delta Dental of Oregon (Oregon Dental Service)(Portland, OR)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CDOR1 Oregon Dental Services & ODS Healthplans (Portland, OR)
ODS Healthplans (Oregon Dental Services/Delta Dental of Oregon)

Delta Dental of Pennsylvania(Mechanicsburg, PA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 23166 ERA Delta Dental of Maryland(Mechanicsburg, PA)
NAS (Nat'l Auto Sprinklers (Landover, MD)
Nat'l Auto Sprinklers (NAS)(Landover, MD)

Delta Dental of Puerto Rico

PARTICIPATING PAYER / CLAIMS, ERA		 66043 ERA

Delta Dental of Rhode Island (Providence, RI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 05029

Delta Dental of South Carolina(Columbia SC)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 43091 ERA

Delta Dental of South Dakota( Pierre, SD)

PARTICIPATING PAYER / CLAIMS		 54097

Delta Dental of Tennesse (Nashville, TN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CDTN1 ERA

Delta Dental of Virginia

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 54084 ERA

Delta Dental of Virginia (Roanoak, VA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CDVA1 ERA

Delta Dental of Washington DC (Mechanicsburg, PA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 52147 ERA

Delta Dental of West Virginia

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 31096 ERA

Delta Dental of Wisconsin Stevens Point, WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 39069 ERA

Delta Dental of Wyoming

PARTICIPATING PAYER / CLAIMS		 CDWY1

Delta Health Systems (Stockton, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 94235

Delta of MI (PO Box 30416, Lansing, MI)

PARTICIPATING PAYER / CLAIMS, ERA		 WIMAN ERA

DeltaCare IL DHMO Encounters (PO Box 3178, Lisle, IL)

NON-PARTICIPATING PAYER / CLAIMS		 DCILD

Deltacare (Lansing MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX077

Dencap (Detroit, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX038

Denex/SG (PO Box 2767, Houston, TX)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CX049 ERA Coventry (Po Box 7402, London KY)

DentaQuest

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX014 ERA Managed Health Services - WI State Employees
Physicians Plus Insurance Co., Wisconsin State Employees (Mequon, WI)
PrimeCare, Wisconsin State and Federal Employees and Medicaid
Doral Dental of Arizona
Doral Dental of Connecticut
Doral Dental of Illinois
Doral Dental of kansas
Doral Dental of Maryland Helix
Doral Dental of Maryland Physicians Care
Doral Dental of Maryland Priority partners
Doral Dental of Minnesota
Doral Dental of Minnesota Medicare
Doral Dental of Missouri St. Louis
Doral Dental of Missouri- Kansas City
Doral Dental of Nebraska
Doral Dental of New Jersey Amerigroup
Doral Dental of New Jersey HealthNet
Doral Dental of New Mexico
Doral Dental of New York
Doral Dental of New York Non global Budget
Doral Dental of Ohio
Doral Dental of Oklahoma Community Care
Doral Dental of Oklahoma Heartland
Doral Dental of Oklahoma Non Global Budget
Doral Dental of Oklahoma Unicare
Doral Dental of Oklahoma Unicare non global
Doral Dental of Pennysylvania- AmeriHealth
Doral Dental of Pennysylvania- Healthmate
Doral Dental of Pennsylvania- Keystone
Doral Dental of Pennysylvania-Philadelphia
Doral Dental of Pennysylvania Pittsburgh
Doral Dental of Arizona--CIGNA
Doral Dental of Illinois
Doral Dental of Tennessee Tenn Care
Doral Dental of Virginia-Commercial
Doral Dental of Virginia- Commercial
Doral Dental of Virginia- Premier
Doral Dental of Virginia- Sentara
Doral Dental of Virginia- Unicare
Doral Dental of Virginia (M)
Medicaid of Georgia Grady Healthcare Inc (Doral Dental of WI)
Medicaid of Illinois (Doral Dental of WI)
Medicaid of Kentucky Region #3 (Doral Dental of WI)
Medicaid of Missouri Blue Advantage (Doral Dental of WI)
Medicaid of Missouri Community Care Plus- St Louis (Doral Dental of WI)
Medicaid of Missouri Community Health PLan (Doral Dental of WI)
Medicaid of Missouri First Guard Health Plan (Doral Dental of WI)
Medicaid of Missouri health Care USA- St.Louis (Doral Dental of WI)
Medicaid of Missouri Health Net (Doral Dental of WI)
Medicaid of Missouri Truman Care- Family Health Partners (Doral Dental of WI)
Medicaid of New Mexico Cimmaron Health Plan (Doral Dental of WI)
Medicaid of New Mexico Loveplace Community health plan (Doral Dental of WI)
Medicaid of New Mexico Presbyterian Salud (Doral Dental of WI)
Medicaid of Ohio Emerald HMO and Medicare INC. (Doral Dental of WI)
Medicaid of Ohio Personal Physicians Care Cleveland (Doral Dental of WI)
Medicaid of Ohio Health Power HMO Cincinatti (Doral Dental of WI)
Medicaid of ohio United Health Care Inc. Medicare COmplete (Doral Dental of WI)
Medicaid of Oklahoma Unicare Health PLan (Doral Dental of WI)
Medicaid of Oklahoma Heartland Health PLan (Doral Dental of WI)
Medicaid Pennysylvania Best Health Care Pittsburgh (Doral Dental of WI)
Medicaid Pennysylvania Gateway Health Plan (Doral Dental of WI)
Medicaid Pennysylvania Health Partners Pittsburgh (Doral Dental of WI)
Medicaid Pennysylvania Oaktree (Doral Dental of WI)
Medicaid of Tennessee (Doral Dental of WI)
Medicaid of Virginia HealthKeepers Plus (Doral Dental of WI)
Medicaid of Wisconsin Humana/ TDC (Doral Dental of WI)
Medicaid of Wisconsin PrimeCare (Doral Dental of WI)
Xantus Health PLan- Tennessee
Medicaid of Pennysylvania (Doral Dental of WI)
Mass Health (Doral Dental) Hingham, MA
Medicaid of Maryland-Dept of Health and Ment
DentaQuest (WI)
Doral Dental of Kentucky/ Region 3 (Mequon, WI)
Medicaid of Kentucky Region # 2 (Doral Dental Services)
Medicaid of South Carolina
Medicaid of Idaho (Boise, ID)
Medicaid of VA- Richmond VA

DentaQuest - (PO Box 502, Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS		 04356

Dental Benefit Providers\United Health - Bethesda, MD,UT(Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 52133 ERA United Health Care - MD, UT (Salt Lake City, UT)
M-Plan Dental (Salt Lake City, UT)
Blue Cross of NC (Mailed to Salt Lake City, UT)
Morgan White (Salt Lake City, UT)
Unimerica Dental (Salt Lake City, UT)
Peoples Benefit Life Ins. Co. (Salt Lake City, UT)
Unique DentaCare (Salt Lake City, UT)
Advantage Health Solutions (Salt Lake City, UT)
Dental Benefit Providers (CA) (San Fransico, CA)
Blue Cross of CA (PO Box 272590 & 272540, Chico, CA)
Dental Benefit Providers (Thiensville, WI)
American Choice (Thiensville, WI)
HealthNet (SLC, UT)
Blue Shield of CA (SLC, UT)
ACEC Health Plans (SLC, UT)
Golden Rule (SLC, UT)

Dental Care Plus - (Cincinnati, OH a Sharonville, OH)

NON-PARTICIPATING PAYER / CLAIMS		 CX035

Dental Health Services of America (Long Beach, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 CX094

Dental Health a Wellness (St. Louis, MO a Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 46278 ERA Dental Health & Wellness (Tampa, FL)
Envolve (Dental Health & Wellness)
Centene

Dental Network - Towson, MD

NON-PARTICIPATING PAYER / CLAIMS		 CX034

Dental Network of America (IL)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 DNOA1 ERA Fort Dearborn Life Ins

Dental Select (Murray,Draper, UT)

PARTICIPATING PAYER / CLAIMS, ERA		 DSL01 ERA Dental Select (Richardson, TX)
Dental Select (SLC, UT)

Dental Transformation Initiative (DTI)

NON-PARTICIPATING PAYER / CLAIMS		 DTCA7

Dentalcomp - Harrisburg, PA

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX017

Dentegra (Alpharetta, GA)

PARTICIPATING PAYER / CLAIMS, ERA		 88888 ERA

Dentist Direct (Bountiful, UT)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, CLAIM STATUS INQUIRY		 UTUDD

Department of Economic Security (Phoenix, AZ)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 DESAZ Comprehensive Medical and Dental Program (CMDP)(Phoenix, AZ)
CMDP (Comprehensive Medical and Dental (Phoenix, AZ)

Desert Mutual Benefit Admin (Salt Lake City, UT)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CX089 CLAIM , ERA

Detego Health (Po Box 211609, Eagan)

NON-PARTICIPATING PAYER / CLAIMS		 62599

Detroit Laborers (Metropolitan) (Landing, MI)

PARTICIPATING PAYER / CLAIMS		 A1004 Metropolitan Detroit Laborers (Landing, MI)
Laborers Metropolitan Detroit HealthCare Fund (Langsing, MI)

Detroit a Vicinity Traders-Bricklayers (PO Box 99490, PO Box 1218(Troy, MI)

NON-PARTICIPATING PAYER / CLAIMS		 B1200

Detroit a Vicinity Trades-Cement Mason (PO Box 99490, 700 Tower Dr(Troy,MI)

NON-PARTICIPATING PAYER / CLAIMS		 B1100

Diego PACE (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 96400 San Diego PACE (Eden Prairie, MN)

Direct Care Administrators (PO Box 3000, Boutiful, UT)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 UTUDQ

Direct Dental (San Anselmo CA)

PARTICIPATING PAYER / CLAIMS		 LX129

District Council 37 Health a Welfare Fund

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 HSP01 ERA

Diversified Admin Corp. - Marlborough, CT

PARTICIPATING PAYER / CLAIMS, ERA		 CX040

Diversified Group (Maryland) (Harrisburg, PA)

PARTICIPATING PAYER / CLAIMS		 25160 Health Aspex (Maryland)
Manage Care of America (Pittsburgh, PA)

Dominion Dental (115 S Union Ste 300, Alexandria, VA 22314

PARTICIPATING PAYER / CLAIMS, ERA		 DOM01 Dominion Dental (PO Box 1920, Boie, MD)
Dominion Dental (Elk Grove Village, IL)
Providence (Po Box 1126)

Dominion Dental (Alexandria, VA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX002

Dominion Dental Benefit Coordinators Corp. - Pittsburgh, PA

PARTICIPATING PAYER / CLAIMS, ERA		 25145 Benefit Coordinators Corporation (Pittsburgh, PA)

Dr Admin Services (Plainview NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX067

Dunn and Associates Benefits Administrators, Inc

PARTICIPATING PAYER / CLAIMS, ERA		 35186

EBA M Corp (Westlake Village CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX112

EBC (Farmington Hills, MI)

PARTICIPATING PAYER / CLAIMS		 38241 Employee Benefit Consultants (Farmington Hills, MI)

EBMS (Emp Benefit Mngmt Serv, Inc.) Billings, MT a Salt Lake, UT

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 81039 Employee Benefit Mngmt Serv (EBMS)(Billings, MT)

EBS (San Antonio TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX107

EBS Benefit Solutions (PO Box 4863, Syracuse, NY)

NON-PARTICIPATING PAYER / CLAIMS		 CX043

EBS-RMSCO (NY)

PARTICIPATING PAYER / CLAIMS, ERA		 EBSRM LifeTime Benefits (EBS-RMSCO)(NY)

EHN Medical Group IPA (Rockford, IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 36364

EMI Health (will be mailed)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 SX110 Educators Mututal

ERISA (Austin, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX044

ES Beveridge a Associates (Mansfield, OH)

PARTICIPATING PAYER / CLAIMS, ERA		 34108

EWFT (Electrical Welfare Trust Fund) Eagan, MN

NON-PARTICIPATING PAYER / CLAIMS		 30506 Electrical Welfare Trust Fund (EWFT) Eagan, MN

Eagles Benefits by Design (Stuart, FL)

NON-PARTICIPATING PAYER / CLAIMS		 65055

East Boston Neighborhood Health

NON-PARTICIPATING PAYER / CLAIMS		 25849

Ebix Health Admin Exchange (PO Box 211288 Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 55069

Eddy SeniorCare (Newton Square, PA)

PARTICIPATING PAYER / CLAIMS		 08754

Educators Mutual Ins. Assoc. (Murray, UT)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CX079 ERA EMIA-Educators Mutual (Murray, UT)

Elderhaus Inc

NON-PARTICIPATING PAYER / CLAIMS		 64192

Elderwood Health (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 03964

Electrical (2002 London, Duluth, MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX136 Hotel Restaurant (2002 London, Duluth, MN)

Electrical Welfare Trust (Lanham, MD)

PARTICIPATING PAYER / CLAIMS		 LX168

Emblem Health Medicaid-DentaQuest(Milwaukee, WI)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 EMBDQ ERA DentaQuest-Emblem(Emblem Health)(Milwaukee, WI)

Employee Benefit Consultants(Broadview Hts, OH)

PARTICIPATING PAYER / CLAIMS, ERA		 37257 Employee Benefit Consultants(Appleton, WI)
Employee Benefit Consultants(Findlay, OH)
Employee Benefit Consultants(Louisville, KY)
Employee Benefit Consultants(Milwaukee, WI)
Employee Benefit Consultants(Albuquerque, NM)

Employee Benefit Mngmt (EBMC) - Dublin, OH

PARTICIPATING PAYER / CLAIMS		 CX025 Big Lots Associates Benefit Plan (EMBC) Dublin, OH

Employee Benefit Services of Louisiana, Inc (EBS) Shreveport, LA

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 41198 EBS (Employee Benefit Services of Lousiana, Inc) Shreveport, LA
Employee Benefit (Lubbock, TX)

Employee Benefit Systems - Pembroke, MA

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX012

Employee Benefits Systems of IA (Burlington, IA)

PARTICIPATING PAYER / CLAIMS		 42149

Employee Direct Health Plans (PO Box 211003, Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 EDHP1

Employee Group Services (EGS) PO Box 75008 Cedar Rapids, IA

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 CX022 Auxiant (Cedar Rapids, IA)

Employee Painters (PO Box 1306, San Ramon, CA)

NON-PARTICIPATING PAYER / CLAIMS		 BS500

Employee Plans, LLC - PO Box 2362, Fort Wayne, IN

PARTICIPATING PAYER / CLAIMS, ERA		 35112 ERA

Employee Resource Management (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 29979 Kempton Group (UCS) (Phoenix, AZ)

Employer Plan Services, Inc - Houston, TX

PARTICIPATING PAYER / CLAIMS		 CX031

Employers Direct Health

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX042

Employers Direct Health (Dallas, TX)

PARTICIPATING PAYER / CLAIMS		 75232

Employers Mutual, Inc (Stuart and Jacksonville, FL)

PARTICIPATING PAYER / CLAIMS, ERA		 59297 ERA

Encara (Stevens Point, WI)

PARTICIPATING PAYER / CLAIMS		 WDENC Delta of WI (PO Box 103 Stevens Point)
Clear Plan

Entrust (Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 36878

Equitable Plan Services, PO Box 720460, Oklahoma City, OK

PARTICIPATING PAYER / CLAIMS, ERA		 73126

Erin Group Administrators (Lancaster, PA)

PARTICIPATING PAYER / CLAIMS		 CX046 Significa Benefits Services

Essex Dental Benefits (St Louis, MO)

PARTICIPATING PAYER / CLAIMS, ERA, CLAIM STATUS INQUIRY		 43168 Advantica Administrative Svcs (St. Louis, MO)
Dentemax (St. Louis, MO)

Everence (Goshen, IN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 35605 MMA (Mennonite Mutual Associaton) (Goshen, IN)
Mennonite Mutual Association (MMA) (Goshen, IN)

Everence Dental

NON-PARTICIPATING PAYER / CLAIMS		 EV483

Evergreen Health Co-Op (Clinton, IA)

PARTICIPATING PAYER / CLAIMS, ERA		 93240 ERA

Exceedent (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 22344

Excellus (BCBS)(Eagan, MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX183

Excellus BCBS of Central NY

NON-PARTICIPATING PAYER / CLAIMS		 EXC02 Utica Blue Cross
Blue Cross Blue Shield of New York (Syracruse)

Excellus Blue Cross

NON-PARTICIPATING PAYER / CLAIMS		 00802 Blue Cros Blue Shield of New York (Finger Lakes Region)
Blue Cross Blue Shield of Rochester
Blue Cross Blue Shield of New York (Utica/Watertown)

Excellus Inc Federal

NON-PARTICIPATING PAYER / CLAIMS		 EXC03

FCE Benefit Administrators (Eagan, MN a San Antonio, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 33033

FL MCO PHC / PHP (La Verne, CA)

PARTICIPATING PAYER / CLAIMS		 95411

FMH Benefit Services, Inc. of KS (Overland Park, KS)

PARTICIPATING PAYER / CLAIMS, ERA		 48117 CoreSource KC(FMH Benefit)(Overland Park, KS)

FMRSD Dental Plan (Walpole NH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX120

Fair Price

PARTICIPATING PAYER / CLAIMS		 62956

Family Care CCO (Salem, OR)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CXFMC

Family Dental (Salem, OR)

PARTICIPATING PAYER / CLAIMS		 CX096

Fara Benefits (PO Box 8770, Metairie, LA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX055

Farm Bureau Health Plan (Po Box 9215 Farmington Hills, MI)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 TNCMS ERA Delta Dental of Tennessee (Po Box 9215, Farmington Hills, MI)

FedEx Freight East, Inc (Harrison, AR)

PARTICIPATING PAYER / CLAIMS, ERA		 71056 Health Benefit Claims Dept (Harrison, AR)

Federated Insurance - Owatonna, MN

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 41041

Fidelio Dental insurance (Glenside, PA)

PARTICIPATING PAYER / CLAIMS		 FDIC1

First Ameritas Life Ins Corp of New York (Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 72630 ERA

First Benefit Admin (Largo, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX162

First Care / Southwest Life and Health (Austin, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX050 Southwest Life and Health / First Care (Austin, TX)

First Choice (Beloit WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX117

First Choice of the Midwest, Inc (Sioux Falls, SD)

PARTICIPATING PAYER / CLAIMS		 75138

First Continental Life a Accident Insurance (SugarLand, TX)

PARTICIPATING PAYER / CLAIMS		 CX090 Preferred Health (PO Box 436987 Louisville, KY)

First Dental Health (San Diego, CA)

PARTICIPATING PAYER / CLAIMS		 CX086

First Plus

NON-PARTICIPATING PAYER / CLAIMS		 FP660

First Reliance Standard (Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 13317 ERA

First Service Administrators (Lakeland FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX101

First Source (Endeavor) (Lake Katrine, NY)

PARTICIPATING PAYER / CLAIMS		 ENDVR

Fiserv - Harrington (PO Box 2697, Wichita, KS)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX061 Harrington Health-Fiserv (PO Box 520, Pueblo, CO)
Fiserv-Harrington Health (PO box 30544, Salt Lake City, UT)

FitzHarris a Company, Inc(Farmingdale, NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 11244

FlagShip DeltaCare (Parsppany, NU)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX135

FlagShip Dental Care (PO Box 369) (Parsippany, NJ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX058

Flex Compensation (Mpls, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 R7004 ERA

Florida Health Administrators

NON-PARTICIPATING PAYER / CLAIMS		 61461

Florida Health Care Plan (Daytona Beach, FL)

NON-PARTICIPATING PAYER / CLAIMS		 59322

Florida Hospital Waterman (Tavares,, FL)

PARTICIPATING PAYER / CLAIMS		 48116

Florida League of Cities (Orlando FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX134

Forest County Potawatomi Ins.

PARTICIPATING PAYER / CLAIMS		 25059

Formula Corporation (3265 Northwood Circles, Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 LX050

Fortis Benefits/Protective Life - Birmingham, AL

PARTICIPATING PAYER / CLAIMS		 70408 Protective Life/Fortis (Birmingham, AL)
Assurant (PO Box 2940 Clinton, IA)
First Fortis Life Insurance (Clinton, IA)
United Dental - Texas (Clinton, IA)
Union Security (Clinton, IA)
SunRise Financial (Clinton, IA)

Fortis Insurance Company - WI

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 39065 Assurant Health (PO Box 2806, Clinton, IA)

Foundation Benefit Admin (FBA) (Austin, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 BOONG ERA

Fox Everett, Inc (Ridgeland a Jackson, MS)

PARTICIPATING PAYER / CLAIMS, ERA		 64069

Frank M Vaccaro Asso Mount Laurel NJ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX084

Fraternal Order of Police - Philadelphia, PA

PARTICIPATING PAYER / CLAIMS		 CX041 Law Enforcement Health Benefits

Freedom Claims Management (Great Bend, KS)

NON-PARTICIPATING PAYER / CLAIMS		 67136

Freedom Life (Ft Worth, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX184

Freedom Life Insurance (Fort Worth TX, Eagan MN)

NON-PARTICIPATING PAYER / CLAIMS		 62324

Fringe Benefits Coorinators of FL (Daytona Beach, Ormond Beach, FL

PARTICIPATING PAYER / CLAIMS, ERA		 59204

GBS (Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 80241 Group Benefit Services (Eagan, MN)

GCU Local 8-M a 96B Health a Welfare Fund

PARTICIPATING PAYER / CLAIMS		 GCU01 Local 8-M & 96B Health & Welfare

GEGA - GE Group Administrators, South Carolina (South Carolina, SC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 06143

GEGA - GE Group Administrators, Texas

PARTICIPATING PAYER / CLAIMS		 75238

GEHA - All Plans except PO Box 4665 (Independence, MO)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 57254 State of TX Dental Plan - All Plans except PO Box 4665 (Independence, MO)
Government Employees Health Assoc. (GEHA)(All Plans except PO Box 4665)

GEHA Only (PO Box 4665, Independence, MO)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 44054 Government Employees Hospital Assoc (GEHA) Only (PO Box 4665 Independence, MO)

GEM Group (Claymont, DE)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX071

GHI - New York (Group Health, Inc)(New York, NY)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 13551 Group Health Insurance (New York, NY)
Emblem Health (Group Health)(New York, NY)

GMS (Omaha, NE)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX187

Gallagher Benefit Administrators (Lisle, IL)

PARTICIPATING PAYER / CLAIMS, ERA		 37283 AAG-American Administrative Group (Lubbock, TX)
Health Smart Benefit (PO Box 167768, Irving TX)
Health Smart ( Po Box 93670, Lubbock TX)
American Admin Group (PO Box 93670, Lubbock, TX)

Gateway Health Plan (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS		 96938

Ge Group Life Assurance Co. Phoenix American Life (Greenfield, MA)

PARTICIPATING PAYER / CLAIMS, ERA		 67814 ERA Phoenix Home Life (Greenfield, MA)
Phoenix American (Greenfield, MA)
GEGLAC (Genworth Life & Health) GE Group
Genworth Life & Health (GEGLAC)(GE Group LIfe)
Genworth Dental (PO Box 40011, Lynchburg, VA)
Sun Life and Health (Formerly Genworth)
Sun Life (Po Box 81633, Wellesley Hills)
DenteMax (Wellesley Hills)

Geisinger Health Plan

NON-PARTICIPATING PAYER / CLAIMS		 GHP22

Gem Group (Pittsburgh, PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX161

General American Life (Kennett, MO)

PARTICIPATING PAYER / CLAIMS, CLAIM STATUS INQUIRY		 63665

Genworth (PO Box 40011, Lynchburg, VA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX047

Gettysburg (Frederick, MD)

PARTICIPATING PAYER / CLAIMS		 CX064

Gilsbar, Inc - Covington, LA a Jackson, MS (Covington, LA)

PARTICIPATING PAYER / CLAIMS, ERA		 07205

Global Benefits Group (PO Box 211008, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 68251

Golden (Warren MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX008

Golden West Dental (PO Box 5347, Oxnard, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 GWD01 ERA Golden West Dental (21555 Oxnard S, Woodhills, CA)

Great Cornerstone Life a Health (Edmond OK)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX098

Great-West Life and Annuity Ins. Co. (Kennett, MO)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 80705 ERA AH & L (Anthem Health & Life Ins of NJ)(Kennett, MO)
ALTA Health & Life Ins. Co. (Kennett, MO)
Anthem Health & Life Insurance Co of New Jersey/AH&L/ALTA Helath & Life
ONE Health Plan Inc. of Alaska
ONE Health Plan Inc. of Arizona
ONE Health Plan Inc of California
ONE Health Plan Inc of Colorado
ONE Health Plan Inc of Florida
ONE Health Plan Inc of Georgia
ONE Health Plan Inc of Idaho
ONE Health Plan Inc of Indiana
ONE Health Plan Inc of Iowa
ONE Health Plan Inc of Kentucky
ONE Health Plan Inc of Mississippi
ONE Health Plan Inc of New Jersey
ONE Health Plan Inc of New York
ONE Health Plan Inc of North Carolina
ONE Health Plan Inc of Oklahoma
ONE Health Plan Inc of Texas
ONE Health Plan Inc of The District of Columbia
ONE Health Plan Inc of Vermont
ONE Health Plan Inc of Virginia
ONE Health Plan Inc of Washington
ONE Health Plan Inc of Wisconsin
One Health Plan Inc of Wyoming

Group Admin (San Antonio, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX040

Group Administrators Ltd. - Schaumburg, IL

PARTICIPATING PAYER / CLAIMS		 36338

Group Benefit Administrators (Henderson, TN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 72153 ERA

Group Benefit Administrators (SLC, UT)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX151 Utah Idaho Teamsters (SLC, UT)

Group Benefit Services (Luterville, MD a East Lansing, MI)

PARTICIPATING PAYER / CLAIMS, ERA		 CB951

Group Dental Services(Houston, TX a Rockville, MD)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CX036 ERA Denex (Houston, TX & Rockville, MD)

Group Health (Madison, WI)

PARTICIPATING PAYER / CLAIMS		 10006

Group Health Cooperative (Eau Clairie, WI)

PARTICIPATING PAYER / CLAIMS		 95192

Group Health Managers - Redford, MI

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 38194

Group Insurance Service Center (Pembroke, MA)

PARTICIPATING PAYER / CLAIMS		 37276

Group Link of Indiana (Indianapolis, IN)

PARTICIPATING PAYER / CLAIMS		 CX015 Hoosier Dental (Indianapolis, IN)

Group Marketing Services, Inc. (PO Box 21044, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 66701 Group Marketing Services, Inc. (Kalamazoo, MI)

Group Pension Admin (PO Box 830248, Richardson, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX020

Group Resources (Dallas, Houston, Atlanta, Pheonix)

NON-PARTICIPATING PAYER / CLAIMS		 LX066

Group and Pension Admin (GPA)(Richardson, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 48143 Group Pension Admin (GPA)(Richardson, TX)
GPA (Group Pension Admin)(Richardson, TX)

Guardian Life Insurance Company of America (Spokane, WA, El Paso, TX)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 64246 ERA Dental Guard Preferred (El Paso, TX, Spokane, WA)
Strategic Ourtsourcing Inc. (SOI) (Charolotte, NC)
IBEW Welfare Trust Fund (Decatur, IL)
First CommonWealth(Spokane, WA & Chicago, IL)
Managed Dental Guard(Woodland Hills, CA)

Gulf Coast (UCS) Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 60389

Gulf Guaranty (Jackson MS)

PARTICIPATING PAYER / CLAIMS, ERA		 GGE01

Gulf Guaranty MedPlus (Jackson, MS)

NON-PARTICIPATING PAYER / CLAIMS		 99943

Gulf South Risk Services (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 60652

H a A Administrators (Plymouth, MN)

PARTICIPATING PAYER / CLAIMS		 LX059

HCH Administration Inc (Peoria IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX093

HMAA (Hawaii)

PARTICIPATING PAYER / CLAIMS, ERA		 48330

HMSA Federal Program

NON-PARTICIPATING PAYER / CLAIMS, ERA		 10004 CLAIM ,

HMSA-Hawaii Medical Services Assoc (Honolulu, HI)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 10001

HO Chunk Health Care Center (Black River Falls, WI)

PARTICIPATING PAYER / CLAIMS		 46251

HSR (Franklin, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX188

Hamaspik Choice (Monsey, NY)

PARTICIPATING PAYER / CLAIMS		 47738

Hammerman and Gainer (Irving, TX)

PARTICIPATING PAYER / CLAIMS		 97258

Harrington Benefit Services (Columbus, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 95266 R.E. Harrington Inc (Colombus, OH)
Fiserv - Harrington Benefit (Columbus, OH)
UMR-Harrington Benefits (PO Box 30530,33,34,40, Salt Lake, UT

Harrington Benefit Services (Westerville, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, CLAIM STATUS INQUIRY		 75196 UMR-Westerville (Westerville, OH)

Harrington Benefit Services, Inc (Tampa, FL)

PARTICIPATING PAYER / CLAIMS		 06131 Third Party Claims Management (Tampa, FL)

Harrington Health Colonial Dental (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS		 59143 Colonial Dental(Harrington Health)(Salt Lake City,. UT)

Harvard Pilgrim Health (Quincy, MA)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 DX030

Hawaii Dental Service Assoc (Honululu(, HI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 10002 ERA Delta Dental of HI (Honolulu, HI)

Hawaii-Mainland Admim (Tempe, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 86066 ERA

Health Care Solutions Group (Muskogee OK)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX105

Health Choice (Medicaid) (Phoenix, Tempe, AZ)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 62179 ERA Steward Health Choice Claims (Medicaid)(Phoenix, Tempe AZ)

Health Choice Insurance (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 46221 ERA

Health Choice Integrated Care (Flagstaff, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 22100 ERA

Health Claims Services (Boise, ID)

PARTICIPATING PAYER / CLAIMS		 82018 HCS (Health Claims Services)(Boise, ID)

Health Cost Solutions (Hendersonville, TX 37077)

PARTICIPATING PAYER / CLAIMS, ERA		 62111

Health EOS by Multiplan

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX114

Health Future, LLC Medford, OR

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 30946

Health Net - Commercial (Van Nuys, CA)

PARTICIPATING PAYER / CLAIMS		 HND1

Health Network of America (Ft. Worth, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 20199

Health Partners of Minnesota (Medicaid) (Minneapolis, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX010 ERA

Health Partners of Minnesota - Commercial (Minneapolis, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX009 ERA

Health Partners of Tennessee- Jackson, TN

PARTICIPATING PAYER / CLAIMS		 62157

Health Plan Servces of OK- Oklahoma City, OK

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 59142 Harrington Benefit Services (Oklahoma City, OK)
Health Choice (Oklahoma City, OK)

Health Plan Services (Tampa, FL)

PARTICIPATING PAYER / CLAIMS		 59140 AIG (Las Vegas, NV & Seattle, WA & Tampa, FL)

Health Plan of San Mateo Dental

NON-PARTICIPATING PAYER / CLAIMS		 HPSMD

Health Plans, Inc (Westborough, MA)

PARTICIPATING PAYER / CLAIMS, ERA		 CX055

Health Resources Incorporated (HRI) - IN (Evansville, IN)

PARTICIPATING PAYER / CLAIMS		 CX019 Paramount Dental (Evansville, IN)

Health Risk Management, Inc. (HRM)(Kalamazoo, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 41170 HRM Claim Management (Kalamazoo,MI)

HealthBridge (Grand Rapids, MI)

NON-PARTICIPATING PAYER / CLAIMS		 74853

HealthCare Payers Coalition (Toledo, OH)

NON-PARTICIPATING PAYER / CLAIMS		 HCP01

HealthChoice (Lubbock, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 71064

HealthComp TPA (PO Box 45018, Fresno, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 85729

HealthE Exchange (Kansas City, MO)

PARTICIPATING PAYER / CLAIMS		 20356

HealthEdge Administrators (Bakersfield, CA)

PARTICIPATING PAYER / CLAIMS		 95213

HealthFirst Houston (Houston, TX)

PARTICIPATING PAYER / CLAIMS		 34185

HealthFirst TPA (Tyler, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 75234 HealthFirst TPA (Eagan, MN)
Health First TPA (Eagan, MN & Tyler, TX)

HealthNet - Gov't Program

PARTICIPATING PAYER / CLAIMS, ERA		 HND2 ERA

HealthNow NY (PO Box 80, Buffalo, NY)

PARTICIPATING PAYER / CLAIMS, ERA		 55204 ERA Blue Cross of NY(Western)(PO Box 80, Buffalo, NY)
HealthNow Commercial

HealthShare CCO (Salem, OR)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CXHSC

HealthSmart Accel (Lubbock a Irving, TX)

PARTICIPATING PAYER / CLAIMS		 75237

HealthTrans (Innovative Benefit Admin)(Greenwood Village, CO)

PARTICIPATING PAYER / CLAIMS, ERA		 31172 Innovative Benefit Admin (HealthTrans)(Greenwood Village, CO)

Healthcare Management Administrators, Inc (Bellevue, WA)

PARTICIPATING PAYER / CLAIMS, ERA		 HMA01 RGA (Bellevue, IL)

Healthfirst of Austin (Dallas, TX)

PARTICIPATING PAYER / CLAIMS		 75289

Healthplex, Inc. (Uniondale, NY)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 11271 ERA

Healthscape (Bend, OR)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX041

Healthsource/Provident Insurance Co.(Chattanooga, TN)

PARTICIPATING PAYER / CLAIMS, ERA		 68195 Provident\Healthsource (Memphis TN)

Healthy MI Dental (Detroit, MI)

PARTICIPATING PAYER / CLAIMS		 CARRS

Heavy and General Labors Fund of New Jersey (Newark, NJ)

PARTICIPATING PAYER / CLAIMS		 22148

Heritage Consultants (Auburndale, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX037

Hometown Health (Reno, NV)

PARTICIPATING PAYER / CLAIMS, ERA		 88023

Hometown Health Network (Saint Clairsville, OH)

PARTICIPATING PAYER / CLAIMS		 34150 The Health Plan Upper Ohio Valley (Saint Clairsville, OH)

Humana Medicare/Humana Gold

NON-PARTICIPATING PAYER / CLAIMS, ERA		 61101 ERA

Humana de Puerto Rico (SanJuan, PR)

NON-PARTICIPATING PAYER / CLAIMS		 49944

Humana/Employers Health of WI (Lexington, KY)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 73288 ERA EHI Employers Health of Wisconsin (Lexington, KY)
EMPHESYS Employers Health of Wisconsin
Employers Health of Wisconsin (EHIC) (EMPHESYS) (Lexington, KY)
Lincoln National of Wisconsin (Madison or Green Bay)
TDC (PO Box 1100 Employers Blvd, Green Bay, WI)
The Dental Companies (PO Box 1100 Employers Blvd, Green Bay, WI)
The Dental Concern (PO Box 1100 Employers Blvd, Green Bay, WI)
Tricare Active Reservists (PO Box 1100 Employers Blvd, Green Bay, WI)
TSRDP Dental Claims (PO Box 1100 Employers Blvd, Green Bay, WI)

I.E. Shaffer (West Trenton, NJ)

PARTICIPATING PAYER / CLAIMS, ERA		 22175

IAA (Mt Laurel, NJ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX145

IATSE - Atlanta Health a Welfare Fund

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 IAT01 Interantional Association of Theatrical State Employees (IATSE)

IBEW Local 117(Carmel, IN)

PARTICIPATING PAYER / CLAIMS		 A1117

IBEW Local 364 (Lansing, MI)

NON-PARTICIPATING PAYER / CLAIMS		 A1464

IBEW Local 38(Carmel, IN)

PARTICIPATING PAYER / CLAIMS, ERA		 A1317 International Brotherhood of Electrical Workers (IBEW) Local 38 Health & Welfare

IBEW Local 461(Carmel, IN)

PARTICIPATING PAYER / CLAIMS		 A1461 International Brotherhood of Electrical Workers (IBEW), Local 461 Welfare Fund

IBEW Local 481 (Carmel, IN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 A4681 International Brotherhood of Electrical Workers (IBEW), Local 481
Electrical Workers (Indianapolis, IN)
Electrical Workers (Indianpolis, IN)

IBEW Local Union 577 (Madison WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX079 Local Union 577 IBEW (Madison WI)

IBT - Local 145 Health Services a Ins Plan (Statford, CT)

PARTICIPATING PAYER / CLAIMS		 CXIBT

IMA (Bossier City LA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX111

IMS (Amarillo, TX)

PARTICIPATING PAYER / CLAIMS		 FX056

IMS TPA: Parton Lumber (UCS) (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 17882

IMS TPA: Walker White (USC)(Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 26879

INDECS Corp. (Lyndhurst, NJ)

PARTICIPATING PAYER / CLAIMS		 40585

Illinois Central Hospital Association

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 36600

Indiana Carpenters Welfare Fund( Indianapolis, IN)

PARTICIPATING PAYER / CLAIMS		 ICW01

Indiana Childrens Special HealthCare (Indianapolis, IN)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CX070 CLAIM , ERA

Inetico (Tampa, FL)

PARTICIPATING PAYER / CLAIMS		 43471 BMA (Tampa, FL)
Benefit Management Admin (BMS-Inetico)(Tampa, FL)

Infinity Risk Management and Associates

NON-PARTICIPATING PAYER / CLAIMS		 66349

Informed, LLC

NON-PARTICIPATING PAYER / CLAIMS		 52196

InnovAge

NON-PARTICIPATING PAYER / CLAIMS		 31182

Innovative Health (PO Box 14094, Lexington, KY)

PARTICIPATING PAYER / CLAIMS		 40025

Insurance Admin of America (Mount Laurel, NJ)

PARTICIPATING PAYER / CLAIMS, ERA		 37279

Insurance Design Administrators - Oakland, NJ

PARTICIPATING PAYER / CLAIMS, ERA		 13315

Insurance Management Services (Elko, NV)

PARTICIPATING PAYER / CLAIMS, ERA		 15688 Interplan Health Group (Elko, NV)

Insurance Systems (PO Box 211006, Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 11889

Insurance Systems Inc. (Monroe, LA)

PARTICIPATING PAYER / CLAIMS, ERA		 74385

Insurers Administrative Corporation (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 86304 IHC Admin Services (PO Box 21518 Eagan, MN)

Integra Adminstrative Group - Seaford, DE

PARTICIPATING PAYER / CLAIMS, ERA		 51020

Integral Quality Care (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 23229

Integrity Administrators, Inc. (IAI)

NON-PARTICIPATING PAYER / CLAIMS		 68031

InterWest Health (Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 84137

Interactive Medical Systems (PO Box 21145, Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 87765

Interactive Medical Systems (Wake Forest, NC)

PARTICIPATING PAYER / CLAIMS, ERA		 LX158

International (First Medical)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 66053 ERA First Medical (International)
IMCC

International Benefit Administrator (Arnold, MD)

NON-PARTICIPATING PAYER / CLAIMS		 11329

International Union of Painters Local 81 (PO Box 21541, Eagan)

NON-PARTICIPATING PAYER / CLAIMS		 IUP81

Interplan Health Group

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX195

Itasca Medical Care (Grand Rapids, MN a Birmingham, AL)

PARTICIPATING PAYER / CLAIMS		 41600 IMCare (Grand Rapids, MN & Birmingham, AL)

JLT Services Corporation (Latham, NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 14168 Jardine Group Services (Latham, NY)
Boston Mutual Life Ins (Latham, NY)

JP Farley Corporation(West Lake, OH)

PARTICIPATING PAYER / CLAIMS		 34136

Jefferson Federation

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX096

Jenkins a Associates (1299 BattleCreek Rd, Ste 200 a PO Box 607, Johnson, GA 302

PARTICIPATING PAYER / CLAIMS		 JEN01

Jensen Administrative Services (SLC, UT)

PARTICIPATING PAYER / CLAIMS		 CXJAS

Jericho

NON-PARTICIPATING PAYER / CLAIMS		 IHS02

Jerrys Home Improvement (Portland OR)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX119

John Alden Life Ins. (501 W Michigan, Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 41099

John Deere Health Care/Heritage National Healthpla(Moline, IL)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 95378 Heritage National Healthplan/John Deere Health Care
United Health Care of River Valley (Moline, IL)

John Morrell Co. AHBPA (Birmingham, AL)

PARTICIPATING PAYER / CLAIMS		 38310

Joint Benefit Trust (Dublin, CA)

PARTICIPATING PAYER / CLAIMS		 CHSJT

Jopari Careworks (Columbus, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 J1410

KLB

NON-PARTICIPATING PAYER / CLAIMS		 59184 Kingdom Legacy Benefits

Kaiser Foundation Health Plan of the Northwest Dental PA

NON-PARTICIPATING PAYER / CLAIMS		 RP073

Kaiser Permanente (PO Box 4360, Rockville, MD)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CX073

Kalos Gold Health Plan (Niagrara Falls, NY)

PARTICIPATING PAYER / CLAIMS		 61185

Kalos Health (Niagara Falls, NY)

PARTICIPATING PAYER / CLAIMS		 40137

Kanawha Ins Co. - Lancaster, Greenville, SC

PARTICIPATING PAYER / CLAIMS		 57038

Kansas Building Trades (Topeka, KS)

PARTICIPATING PAYER / CLAIMS		 KBT01

Kansas City Life Insurance Company (Kansas City, MO)

PARTICIPATING PAYER / CLAIMS		 CX058 Kansas City Life (PO Box 9040 Austin, TX)

Keenan Associates (Torrance, CA)

PARTICIPATING PAYER / CLAIMS		 95279

Kemper (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS		 61453

Kempton Company - OK (Oklahoma City,OK)

PARTICIPATING PAYER / CLAIMS, ERA		 73100 Kempton Group Administrators (Oklahoma City, OK)

Kentucky Health Co-Op (Fort Mill, SC)

PARTICIPATING PAYER / CLAIMS		 77894

Key Benefit Admin (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 37217 Maverist (Milwaukee, WI)

Key Healthy Partners (FortMill, SC)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 37322

Key Solution (Fort Mill, SC)

PARTICIPATING PAYER / CLAIMS, ERA		 37323

Keystone Mercy Health Plan (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 KEY01 ERA

Klais Company (Akron, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX043

Klais and Company (Fairlawn, OH)

PARTICIPATING PAYER / CLAIMS		 34145

Koan Risk Solutions (1580 Makaloa St, Honolulu)

NON-PARTICIPATING PAYER / CLAIMS		 65871

LBA HealthPlans, Inc (Timonium, MD)(El Paso, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 52193

LIFE Armstrong (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 25922

LIFE Beaver a Lawrence (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 25924

LIFE Butler (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 25923

LIFE St. Joseph of the Pines (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 59847

LIFE St. Mary (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 76184

Laborers Southeast Health a Welfare Plan

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LSH01

Land of Lincoln (Chicago, IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 90096

Las Vegas FireFighters Health a Welfare Trust (PO Box 21068, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 77684

Level (PO Box 176 New York, NY)

NON-PARTICIPATING PAYER / CLAIMS		 LEVEL

Liberty Dental Plan (Santa Ana, CA a Tampa, FL)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX083 ERA Molina HealthCare(Liberty Dental) (Santa Ana, CA & Tampa, FL)
Health Net (Liberty Dental) (Santa Ana, CA & Tamp, FL)
WellCare(Liberty Dental)(Santa Ana, CA & Tampa, FL)

Life Gift Cards (Woodland Park, CO)

PARTICIPATING PAYER / CLAIMS		 33LGC

Life Insurance Company of Boston a New York

PARTICIPATING PAYER / CLAIMS		 78140

LifeCircles PACE (Muskegon, MI)

PARTICIPATING PAYER / CLAIMS		 71498 PACE - LifeCircles (Muskegon, MI)

LifeMap (PO Box 1271, Portland, OR a Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 RLH01 Regence (PO Box 1271, Portland, OR)

LifeRe (San Antonio, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 CX047

Lifestyle Dental (Witcha, KS)

PARTICIPATING PAYER / CLAIMS		 27005

Lifewise Health Plan or Oregon (Bend, OR)

PARTICIPATING PAYER / CLAIMS, ERA		 93093

Line Construction Benefit (Lombard, IL)

PARTICIPATING PAYER / CLAIMS, ERA		 LCB01 ERA

Local 1149 Baldwinsville NY

PARTICIPATING PAYER / CLAIMS		 NYT01 New York State Teamsters Union (Syracuse, NY)
Local 118 Rochester NY
Local 182 Utica NY
Local 264 Cheektowaga NY
Local 294 Albany NY
Local 317 Syracuse NY
Local 375 Buffalo NY
Local 449 Buffalo NY
Local 529 Elmira NY
Local 669 Albany NY
Local 687 Potsdam NY
Local 693 Binghamton NY
Local 791 Rochester NY

Local 135 Health Benefits - Indianapolis, IN

PARTICIPATING PAYER / CLAIMS		 35107 Indiana Teamsters Health Benefit Funds (Indianapolis, IN)

Local 137 Operating Engineers (Hopatchung, NJ)

PARTICIPATING PAYER / CLAIMS		 84041

Local 17 Fund-Int. Assoc. of Heath a Frost(Tinley Park, IL)

PARTICIPATING PAYER / CLAIMS		 IAHFI International Assoc. of Health & Frost (Tinley Park, IL)
Heath & Frost Local 174 (PO Box 211621, Eagan, MN)

Local 174 (Joliet IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX092

Local 513 (Bridgeton MO)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX125

Lockard a Williams (Pascaqoula, MS)

PARTICIPATING PAYER / CLAIMS, ERA		 CB752

Logistics Health Inc (LaCrosse WI)

PARTICIPATING PAYER / CLAIMS		 LX100

Logistics Health Inc (LaCrosse WI)

NON-PARTICIPATING PAYER / CLAIMS		 VACCN Veteran Affairs Community Care Network (LaCrosse, WI)

LoneStar TPA via ECOM (Tyler, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 45289 LoneStar (Eagan, MN)
Fringe Benefits (Austin, TX)

Loomis (Reading, PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX045

Loomis (Reading, PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX045

Loomis Company (Wyomissing, PA)

PARTICIPATING PAYER / CLAIMS, ERA		 23223 The Loomis Company (Wyomissing, PA)

Lovelace Health Plan

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX200

Lovelace Sandia Health Plan (Westerville, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 90328 Fiserv-Lovelace Health (Westerville, OH)

MAMSI - (Frederick, MD)

NON-PARTICIPATING PAYER / CLAIMS		 CX033 Mid-Atlantic Medical Services, Inc (MAMSI) PO Box 940 Frederick MD 21788

MBA Benefit Admin (Salt Lake a Murray, UT)

PARTICIPATING PAYER / CLAIMS		 83028

MBA Benefit Administrators (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS		 87065 MBA of Wyoming (Worland, WY)

MBA TPA

NON-PARTICIPATING PAYER / CLAIMS		 52682

MCS / MCS Classic Care

NON-PARTICIPATING PAYER / CLAIMS		 66039

MEGA Life a Health Insurance Company (North Richland Hills, TX)

PARTICIPATING PAYER / CLAIMS		 59226 Mid West National Life Insurance (MEGALIFE) (N Richland Hills, TX)
The MEGA Life & Health Insurance Co. (North Richlands Hills, TX)
HealthMarkets (MEGA Life)(TX)

MHHNP (Memorial Herman Health)(PO Box 742567 Houston, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX057 Freedom of Choice (MHHNP)(PO Box 742567 Houston, TX)
Memorial Hermann (MHHNP)(PO Box 742567, Houston, TX)

MI UFCW Union (Madison Heights, MI)

PARTICIPATING PAYER / CLAIMS, ERA		 27401 ERA Michigan UFCW (Madison Heights, MI)

MMA (Goshen IN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX133 Mennonite Mutual Aid (Goshen, IN)

MMM

NON-PARTICIPATING PAYER / CLAIMS		 66058 Medicare Y Mucho Mas

MMM Reforma

NON-PARTICIPATING PAYER / CLAIMS		 66065

MMSI-Mayo Clinic Health Solutions (Rochester, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 41154 ERA Mayo Clinic Health Solutions-MMSI (Rocehster, MN)
Health Traditions (MMSI)(Rochester, MN)

MN Power (Duluth, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 R7005 ERA Minnesota Power (Duluth, MN)

MPEEBT / MPE Services, Inc (Jackson, MS)

PARTICIPATING PAYER / CLAIMS, ERA		 37233

MVP Medical (Schenectady NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX130

Machigonne Benefit Administators (Portland, ME)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 10317 MMEHT (Augusta, ME)

Mahoney Benefit Admin, LLC of TX(Ft. Lauderdale, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX042

Manage Dental Guard (El Paso, TX)

PARTICIPATING PAYER / CLAIMS		 GI813 Guardian Managed DentalGuard (El Paso, TX)
Guardian Direct

Managed Care Services (Fort Wayne, IN)

PARTICIPATING PAYER / CLAIMS		 35162 Parkview Health Plans (Fort Wayne, IN)

Managed Care of North America (MCNA) Fort Lauderdale, FL

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 65030 MCNA (Managed Care of North America) Fort Lauderdale, FL

Manhattan Life (Po Box 924408, Houston TX)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 DX924

Manhattan Life Assuarance Company of America (10777 Northwest Frwy, Houston)

NON-PARTICIPATING PAYER / CLAIMS		 86253

Manulife, W.J. Sutton Co. - Toronto Ontario, Canada

PARTICIPATING PAYER / CLAIMS		 98010 William J Sutton & Co. Ltd (Buffalo, NY & Toronto, CA)
Sutton Special Risk (Buffalo, NY)

MapFre

NON-PARTICIPATING PAYER / CLAIMS		 46000

MapFre

PARTICIPATING PAYER / CLAIMS, ERA		 PRFRE ERA

Maritime Association (Houston, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX032

Maritime Association (Houston, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX032

Marsh Advantage (po box 4542, Iowa CIty IA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX025

Masonry Institute (Des Plaines, IL)

PARTICIPATING PAYER / CLAIMS		 CX098 Administrative D.C. No 1 Welfare Fund (Des Plaines, IL)

Masonry Welfare (Portland, OR)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 60230

Mass Mutual (Springfield, MA)(Westalke, OH)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 65935

Massachusetts Benefit Admin (Boston, MA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX157

Maxor (Amarillo, TX)

PARTICIPATING PAYER / CLAIMS		 92805

McGregor PACE (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 31149 PACE - McGregor (Eden Prairie, MN)

McLaren Health Plan (Flint, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX164

McPrime West (1335 Industrial Blvd. Ste 150, Mpls, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 LX049 ERA Prime West (1335 Industrial Blvd., Ste 150, MPls, MN)

Med3000 CMS Safety Net

PARTICIPATING PAYER / CLAIMS		 EM284

Med3000 CMS Title 19

PARTICIPATING PAYER / CLAIMS, ERA		 EM843 ERA

Med3000 Pedicare Title 19

PARTICIPATING PAYER / CLAIMS		 EM039

Med3000 Pedicare Title 21

PARTICIPATING PAYER / CLAIMS		 EM522

MedCost Benefit Services (MBS)- Winston Salem, NC

PARTICIPATING PAYER / CLAIMS, ERA		 56205 ERA MBS (MedCost Benefit Services(MBS))Winston Salem, NC
Medcost of North Carolina

Medi-Cal (PO Box 15559, Sacramento, CA

PARTICIPATING PAYER / CLAIMS		 57016

Medica of MN - PO Box 1519, Mpls, MN

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX026 ERA Medica of MN - PO Box 1328, Mpls, MN

Medicaid - Maine for FQHC

NON-PARTICIPATING PAYER / CLAIMS		 CKMEH

Medicaid of AZ

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 CKAZ1 ERA AHCCCS (Medicaid of AZ) (Phoenix, AZ)

Medicaid of Alabama

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKAL1 CLAIM , ERA

Medicaid of Alaska

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CKAK1 CLAIM , ERA

Medicaid of Arkansas

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKAR1 ERA

Medicaid of California (Denti-Cal)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 94146 ERA Denti-Cal (Medicaid of California) (Sacramento, CA)

Medicaid of Colorado

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKCO1 ERA

Medicaid of Connecticut (New Britton, CT)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKCT1 ERA

Medicaid of Delaware - New Castle, DE

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CKDE1 ERA

Medicaid of Disctrict of Columbia (Washington, DC)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKDC1 CLAIM , ERA

Medicaid of Florida

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CKFL1 CLAIM , ERA

Medicaid of Georgia

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKGA1 ERA

Medicaid of IL - Doral Dental of WI (Admin by Doral)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CKIL1 ERA

Medicaid of Indiana (Boise, ID)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKIN1 ERA

Medicaid of Iowa (Des Moines, IA)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKIA1 CLAIM , ERA

Medicaid of Kansas (Mequon, WI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKKS1 ERA

Medicaid of Kentucky (Mequon , WI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CKKY1 CLAIM , ERA

Medicaid of Louisiana (Adult Dental)

PARTICIPATING PAYER / CLAIMS		 CKLA2

Medicaid of Louisiana (EPSDT) (Baton Rouge, LA)

PARTICIPATING PAYER / CLAIMS, ERA		 CKLA1

Medicaid of Maine

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKME1 CLAIM , ERA

Medicaid of Massachusetts

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKMA1 ERA MASS Health (Po Box 2906 Milwaukee, WI)

Medicaid of Michigan

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKMI1 ERA

Medicaid of Minnesota

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKMN1 CLAIM , ERA

Medicaid of Mississippi

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKMS1 CLAIM , ERA

Medicaid of Missouri (Jefferson City, MO)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CKMO1 ERA

Medicaid of Montana

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKMT1 ERA

Medicaid of Nebraska (Lincoln, NE)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CKNE1 CLAIM ,

Medicaid of Nevada (San Antonio, TX)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKNV1 CLAIM , ERA

Medicaid of New Hampshire

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKNH1 ERA

Medicaid of New Jersey (Trenton, NJ)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKNJ1 CLAIM , ERA

Medicaid of New Mexico

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKNM1 CLAIM , ERA

Medicaid of New York

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKNY1 CLAIM , ERA

Medicaid of New York (Dental Clinics Only)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKNY2 CLAIM , ERA

Medicaid of North Carolina (Raleigh, NC)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKNC1 ERA North Carolina Health Choice (Raleigh, NC)

Medicaid of North Dakota (Bismark, ND)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 CKND1

Medicaid of Ohio (Administrated by Quadax) (Columbus, OH)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKOH1 ERA

Medicaid of Oklahoma (Oklahoma City, OK)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKOK1 ERA

Medicaid of Oregon

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKOR1 CLAIM , ERA

Medicaid of Pennsylvania (Harrisburg, PA)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKPA1 ERA

Medicaid of Rhode Island

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CKRI1 CLAIM , ERA

Medicaid of SD

NON-PARTICIPATING PAYER / CLAIMS		 CKSD1

Medicaid of Texas

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKTX1 ERA NHIC (Medicaid of TX)

Medicaid of Utah

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CKUT1 CLAIM , ERA

Medicaid of Vermont

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKVT1 CLAIM , ERA

Medicaid of Virgin Islands (St. Thomas, Virgin Islands)

NON-PARTICIPATING PAYER / CLAIMS		 CUSVI

Medicaid of WA - CHC only

NON-PARTICIPATING PAYER / CLAIMS		 CKWA2

Medicaid of Washington

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKWA1

Medicaid of West Virginia (Charelston, WY)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKWV1 CLAIM , ERA

Medicaid of Wisconsin (Madison. WI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKWI1 ERA

Medicaid of Wyoming (Cheyenne, WY)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CKWY1 CLAIM , ERA

Medical Associate Health Plan (Dubuque, IA)

PARTICIPATING PAYER / CLAIMS, ERA		 MAHC1 ERA

Medical Benefit Administrators - Madison, WI

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX024 Auxiant (Madison & Milwaukee, WI)

Medical Benefits Mutual - Newark, OH

PARTICIPATING PAYER / CLAIMS, ERA		 74323 ERA MedBen (Newark, OH)

Medical Bridge and Dental Claims (Jackson, MS)

PARTICIPATING PAYER / CLAIMS		 60221

Medical Mutual of Ohio

NON-PARTICIPATING PAYER / CLAIMS, ERA		 29076

Medical Mutual of Ohio (MMO)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CB833 ERA Benefits Services
Consumers Life
Carolina Care Plan

Medical Network of Colorado Springs(Colorado Springs, CO)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 84600 Network Claims (Colorado Springs, CO)

Medicare Dental Network (MDN)

NON-PARTICIPATING PAYER / CLAIMS		 66066

Medico Insurance (IA, NE, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 23160 ERA

Mercy Benefit Admin (Springfield, MO)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 37264

Mercy Care Plan (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 86052 ERA

Mercy Life of Alabama (Livonia, MI)

PARTICIPATING PAYER / CLAIMS		 63002

Mercy Maricopa Integrated Care (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 33628 ERA

Methodist First Choice (Rockford, IL)

PARTICIPATING PAYER / CLAIMS		 23550

Metlife (El Paso, TX)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 65978 ERA Travelers (El Paso, TX)

Miccosukee Tribe

NON-PARTICIPATING PAYER / CLAIMS		 61409

Michigan Dental Plan (Clawson MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX116

Michigan Laborers (Carmel, IN)

PARTICIPATING PAYER / CLAIMS, ERA		 A1432

Michigan Regional Council of Carpenters Employee(Troy,MI)

PARTICIPATING PAYER / CLAIMS		 38238 Detroit Tower Trades( Po Box 99490, Troy MI)
Northern NE Benefit Trust NNEBT (Manchester, NH)
NNEBT Northern NE Benefit Trust (Manchester, NH)
IBEW Local 9 Health Fund

Michigan State Painters (Carmel, IN)

PARTICIPATING PAYER / CLAIMS		 A1404

Mid America Associates, Inc (Madison Heights, MI)

PARTICIPATING PAYER / CLAIMS, ERA		 37281

Mid America Benefits (Po Box 685, Arnold MD)

PARTICIPATING PAYER / CLAIMS, ERA		 22823

Mid-American AAI, Inc (UCS) Phoenix, AZ

PARTICIPATING PAYER / CLAIMS		 12251

Midwest Dental Benefits (1335 Industrial Blvd. Ste 100 St. Paul, MN)

PARTICIPATING PAYER / CLAIMS		 41101 MDB (1335 Industrial Blvd., Ste 100, St. Paul, MN)
Simple Benefits- (Duluth, GA)

Midwest Group Benefits, Inc. (Decorah, IA)

PARTICIPATING PAYER / CLAIMS, ERA		 61146

Midwest Operating Engineers HaW (6150 Juliet Rd. Countryside, IL)

PARTICIPATING PAYER / CLAIMS		 LX171

Midwest Security Administrators, Inc

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 51233

Midwest Security of WI (Onalaska, WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 79480 UMR-Onalaska (Onalaska, WI)
Texas Municipal League (TML) Austin, TX
JMS-MSA (Po Box 679, Farmington MI)
TML (Austin, TX)

Millwright Local 1102 Health a Welfare Fund (Lansing, MI)

PARTICIPATING PAYER / CLAIMS		 A1402

Mississippi Select Healthcare (Gulfport, MS)

PARTICIPATING PAYER / CLAIMS, ERA		 64088 Select Administrative Services (Gulfport, MS)

Missoula County Benefits Plan

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 37275

Momentum Ins. Plans (Madison, WI)

PARTICIPATING PAYER / CLAIMS		 31415

Moonlight Graham Dental Benefits Plan (Milwaukee, WI)

NON-PARTICIPATING PAYER / CLAIMS		 MGDBP

Morris Associates (PO Box 50440, Indianapolis, IN)

PARTICIPATING PAYER / CLAIMS		 35092 Morris Associates (PO Box 619058 Dallas, TX)

Motorola (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 36111

Mountain States Admin Services, Tucson, AZ

PARTICIPATING PAYER / CLAIMS		 86040

MultiFlex Dental (Merchants Benefit)(Scottsdale, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 MBAAZ Merchants Benefit (MultiFlex Dental)(Scottsdale, AZ)
MBA (El Paso, TX)
Nationwide (El Paso, TX)

Mutual Assurance Admin (Oklahoma City, OK a Addison, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 37256 HealthSmart (Oklahoma City, OK)
HSBS Oklahoma City (Oklahoma City, OK)

Mutual Health Services (Cleveland, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX190

Mutual of Omaha (Sherwood, AR a Indianapolis, IN)

PARTICIPATING PAYER / CLAIMS, ERA		 CX087 ERA

Mutual of Omaha/National Rural Letter Carrier (Charlotte, NC)

PARTICIPATING PAYER / CLAIMS, ERA		 71412 ERA ExclusiCare (Charlotte , NC)
National Rural Letter Carrier (Charlotte, NC)
United of Omaha (Charlotte, NC)

NAPHCARE (Birmingham, AL)

PARTICIPATING PAYER / CLAIMS		 58182

NCAS (Harrisbury, PA claims only)

NON-PARTICIPATING PAYER / CLAIMS		 LX177

NCAS - Charlotte

PARTICIPATING PAYER / CLAIMS		 75191 Carefirst Admin

NCAS - Fairfax, VA

PARTICIPATING PAYER / CLAIMS		 75190 National Claims Admin Services (NCAS))(Fairfax, VA)

NECA (Decatur IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX075 IBEW Welfare Trust NECA (Decatur IL)

NGS American (Lake Forest, IL)

PARTICIPATING PAYER / CLAIMS		 38225 NGS (St Claire Shores & Clinton Township, MI)

NY State Dept of Health (Albany, NY)

PARTICIPATING PAYER / CLAIMS, ERA		 14142 ERA

NYC PBA (New York, NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX194 PBA NYC (New York, NY)
NYC Patrolmen Benevolont Assoc.

Nathional Benefit Adminsitrators (Parsippany, NJ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 56175

Natinoal Assoc. of Letter Carriers(NALC)(Ashbury, VA)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX172

National Asbestos Workers Medical Fund

NON-PARTICIPATING PAYER / CLAIMS		 16228

National Automatic Sprinkler (Landover, MD)

NON-PARTICIPATING PAYER / CLAIMS		 LX176

National Benefit Administrators, (Charlotte, NC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 56176

National Elevator Industry Benefit Plan (NEIB) (Newtown Square, PA)

PARTICIPATING PAYER / CLAIMS, ERA		 CX045 ERA

National Foundation Life (300 Burnett Street, Fort Worth, TX)

NON-PARTICIPATING PAYER / CLAIMS		 LX202

National Pacific of TX (TX)

PARTICIPATING PAYER / CLAIMS, ERA		 CX057

National Roofers Union (Denver, CO)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 DX301

National Telecommunications Cooperative Association (Asheville, NC)

PARTICIPATING PAYER / CLAIMS		 52120

Nationwide Employee Benefits (Columbus, OH)

PARTICIPATING PAYER / CLAIMS		 314RV

Nationwide Health Plan (Dublin, OH)

PARTICIPATING PAYER / CLAIMS		 31417

Native Care Health, LLC (Quapaw, OK)

PARTICIPATING PAYER / CLAIMS, ERA		 19191

Neighborhood Health

PARTICIPATING PAYER / CLAIMS		 95123

Netcare Life and Health Insurance (NLH)

PARTICIPATING PAYER / CLAIMS		 66055 NLH (Netcare Life & Health Ins)

Nevada Health Co Op (Las Vegas, NV)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 90091

Neveda Dental Benefits (Las Vegas, NV)

PARTICIPATING PAYER / CLAIMS		 NDB01

New England Dental Administrators - Concord, NH

PARTICIPATING PAYER / CLAIMS, ERA		 43351 ERA

New England Financial (Kennet, MO)

PARTICIPATING PAYER / CLAIMS		 66893

New Era Life (Houston, TX)

PARTICIPATING PAYER / CLAIMS		 LX180

New Era Life (Valdosta, GA)

PARTICIPATING PAYER / CLAIMS		 LX181

New Southland Natl Ins Co (Tuscaloosa AL)

PARTICIPATING PAYER / CLAIMS		 LX080 Southland Benefit Solutions (Tuscaloosa, AL)

New York Patrolmans Benefit

NON-PARTICIPATING PAYER / CLAIMS		 NYPBA

New York Welfare Fun Local 1181

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 DX181

Newman Company (Franklin Square , NY)

NON-PARTICIPATING PAYER / CLAIMS		 LX174

Next Level Health Partners (Birmingham, AL)

PARTICIPATING PAYER / CLAIMS		 69821 Health Partners - Next Level (Birmingham, AL)

Nippon Life Insurance Company of America

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 81264 ERA Dental Health Alliance (Shawnee Mission, KS)
Nippon Life Benefits

North America Administrators, LP - Nashville, TN

PARTICIPATING PAYER / CLAIMS, ERA		 65085 NAA (TN) North America Administrators, LP - Nashville, TN

North American Benefits Network (NABN), Cleveland, OH

PARTICIPATING PAYER / CLAIMS		 34159 E-V Benefits Management, Inc. (Columbus, OH)
NABN (North American Benefits Network) Cleveland, OH

North American Health ( Amherst, NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX027

North Dakota Department of Human Services

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 81004

NorthEast Delta Dental (ME, NH, VT)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 02027 ERA Delta Dental of Maine (Northeast)
Delta Dental of New Hampshire (Northeast)
Delta Dental of Vermont (Northeast)

NorthEast NY Blue Shield (Albany, NY)

PARTICIPATING PAYER / CLAIMS		 CBNYE Blue Cross of New York (NorthEast)(Albany NY Only)

Northern California Pipe Trades (Concord, CA)

PARTICIPATING PAYER / CLAIMS		 CX099

Northern Illinois Health Plan (Freeport, IL)

PARTICIPATING PAYER / CLAIMS		 36347

Northern MN Dental (Duluth, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 LX062

Northern NE Benefit Trust (Manchester NH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX106

Northern Nevada Trust Fund - Reno, NV

PARTICIPATING PAYER / CLAIMS		 88027

Northwest Administrators (Seattle, WA)

PARTICIPATING PAYER / CLAIMS		 91060 Western Teamsters (Seattle, WA)

Northwest Dental Services - Roseburg, OR

PARTICIPATING PAYER / CLAIMS, ERA		 93525

Northwest Suburban IPA (Rockford, IL)

PARTICIPATING PAYER / CLAIMS		 36346

Nova Health Administrators, Inc. (Grand Island, NY)

PARTICIPATING PAYER / CLAIMS, ERA		 16644

Nyhart (Indianapolis, IN)

PARTICIPATING PAYER / CLAIMS		 37299

OCRW

NON-PARTICIPATING PAYER / CLAIMS		 69879 Orange County Health Services Dept

OK State Employees a Educators (Oklahoma City, OK)

PARTICIPATING PAYER / CLAIMS, ERA		 22521 ERA Health Plan SErvices of OK (Oklahoma City, OK
Harrington Benefit Services (Oklahoma City, OK)
Health Choice (Oklahoma City, OK)

Ohio AFSCME Care Plan

PARTICIPATING PAYER / CLAIMS		 OAC01

Ohio PPO Connect (PO Box 828, Arnold, MD)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 74431

Olympus Managed Health Care (Miami, FL)

PARTICIPATING PAYER / CLAIMS		 65074 Allianz (Miami, FL)

One Call Care (Tampa, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX191

Operating Engineers (Pewaukee, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX026

Operating Engineers Health and Welfare Local 12

NON-PARTICIPATING PAYER / CLAIMS		 OEL12

Optima (4417 Corporation Lane, Virignia Beach)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX023

Optima (Troy, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX065

Opus MedStrategies (PO Box 211064, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 94564

Oregon Alaska Industrial Hardware (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 25449

Oregon Alaska Rubber a Supply (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 27267

Oregon Construction Machinery Industrial (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 26224

Oregon Peninsula Airways (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 73624

Oregon TDX Corp. (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 83926

Oxford Health Plans

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 84104

P.R.I.M.E Benefit Systems(PO Box 2239 CedarRapids, IA)

PARTICIPATING PAYER / CLAIMS		 DX106

P5 Health Plan Solutions (Salt Lake City a West Valley, UT)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 87068

PA Faculty Health a Welfare (Arnold, MO)

PARTICIPATING PAYER / CLAIMS		 CX066

PACE - Florida Pace Centers

NON-PARTICIPATING PAYER / CLAIMS		 FLPAC Florida PACE Centers

PACE - Fresno

NON-PARTICIPATING PAYER / CLAIMS		 99660 Fresno PACE

PACE - Southwest Michigan, Inc.

NON-PARTICIPATING PAYER / CLAIMS		 45114

PACE - Wyoming

NON-PARTICIPATING PAYER / CLAIMS		 98543

PACE CNY (Syracuse, NY)

PARTICIPATING PAYER / CLAIMS		 70454

PACE Central Iowa(Des Moines)

PARTICIPATING PAYER / CLAIMS		 72436

PACE Greater New Orleans (Norlin)(NewOrleans, LA)

PARTICIPATING PAYER / CLAIMS		 21614

PACE Nebreska (Omaha, NE)

PARTICIPATING PAYER / CLAIMS		 35416

PACE Southest Michigan (Eden Prairie, MN)

PARTICIPATING PAYER / CLAIMS		 86711

PBS - Oregon Cascade Rubber Products (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 27277 Oregon Cascade Rubber Products (Phoenix, AZ)

PEAK INS

NON-PARTICIPATING PAYER / CLAIMS		 27034

PHP of North Indiana

NON-PARTICIPATING PAYER / CLAIMS		 30031 PHP TPA Services (PHPNI)

PLUMBERS AND PIPEFITTERS (OKLAHOMA, OK)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX030

PMI (Delta Dental of CA) (12898 Towne Center Drive Cerritos, CA)

PARTICIPATING PAYER / CLAIMS, ERA		 CDCAP Delta Dental of CA (PMI) (12898 Towne Center Drive, Cerritos, CA)
DeltaCare USA - Encounters Only (12898 Town Center, Cerritos, CA)

POMCO ( Syracuse, NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 16111

Pace IOWA (Council Bluffs)

PARTICIPATING PAYER / CLAIMS		 53534

Pacific Dental Benefits (Concord, CA)

NON-PARTICIPATING PAYER / CLAIMS		 LX175

Pacific Life a Annuity - Phoenix, AZ

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 67466 PM Group (Phoenix, AZ)

Pacific Union Dental Benefits (LasVegas, NV)

PARTICIPATING PAYER / CLAIMS, ERA		 CX056

PacificSource Admin (Portland, OR)

PARTICIPATING PAYER / CLAIMS, ERA		 93031 ERA

PacificSource Community (Salem, OR)

PARTICIPATING PAYER / CLAIMS		 CXPSC

PacificSource Health Plans - Eugene, OR

PARTICIPATING PAYER / CLAIMS, ERA		 93029 ERA

Pacificare Dental and Vision (HMO Claims Only) (PO Box 25181, Santa Anta, CA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX060

Pacificare Dental and vision (PDVA) (Santa Ana, CA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX053

Pan American Life Ins. (El Paso, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 04218

Paper Claims

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 06126

Paragon Benefits, Inc. (Columbus, GA)

PARTICIPATING PAYER / CLAIMS, ERA		 58174 Paragon Benefits, Inc. (Po Box 981600, El Paso TX)

Partners Benefit Group (Southborough, MA)

PARTICIPATING PAYER / CLAIMS		 PBGSM

Partners Health Plan (Philadelphia, PA)

PARTICIPATING PAYER / CLAIMS		 23213

Passport Health (London, KY a Fort Lauderdale, FL)

PARTICIPATING PAYER / CLAIMS		 CX091

Patient Services (Midlothian, VA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CB733

Patients Advocates, LLC (Portland a Gray, ME)

PARTICIPATING PAYER / CLAIMS, ERA		 10525

Patriot Mutual Dental Programs(PO Box 192, MPLS, MN) Delta Dental of MN

PARTICIPATING PAYER / CLAIMS, ERA		 32069

Pavers and Road Builders Welfare Fund

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 PRW01

Pebble Health (Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 24456

Pekin Life Insurance (PO Box 1587, Pekin, IL)

PARTICIPATING PAYER / CLAIMS, ERA		 LX148 Pekini Life (PO Box 21424, Eagan, MN)

Pequot Plus Health (PO Box 3559 Manshantucket, CT)

PARTICIPATING PAYER / CLAIMS, ERA		 37121

Personal Insurance Administrators (Agoura Hills, CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX163

Physicians Care Network (Rockford, IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 36345

Physicians Health Assoc. (Rockford, IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 37136

Physicians Health Plan of Northern IN(Fort Wayne, IN)

PARTICIPATING PAYER / CLAIMS, ERA		 12399

Physicians Mutual (Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 CX068 ERA

Pipe Trades Industry Health a Welfare Fund (PO Box 21577, Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 PIP01

Pipefitters 597 (45 N Ogden Ave. Chicago, IL 60607)

PARTICIPATING PAYER / CLAIMS		 PIP02

Pipeline Industry Benefit Fund (PO Box 211573, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 PIBF

Pipestone Industry Benefit Trust (Tulsa OK)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX099

Pittman a Associates (Memphis, TN)

PARTICIPATING PAYER / CLAIMS, ERA		 37224 ERA HSBS (Health Smart Benefit Solutions (Memphis, TN)
Health Smart Benefit Solutions (HSBS)(Memphis, TN)

Planned Administrators, Inc.

PARTICIPATING PAYER / CLAIMS, ERA		 37287 McCrew Care (Columbia, SC)
PAI (Columbia, SC)

Planstin (Egan, MN a St. George, UT)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 65241 Planstin Administration

Plasters a Cement mason Local 148 Health a Welfare Fund

PARTICIPATING PAYER / CLAIMS		 PCM01

Plumbers Local 98 Insurance Fund (Troy, MI)

NON-PARTICIPATING PAYER / CLAIMS		 B2200

Plumbers Local Union 68 (Houston, TX, PO Box 211042, Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 PLU68

Plumbers a Fitters Local 295

NON-PARTICIPATING PAYER / CLAIMS		 16295

Plumbers and Pipefitters Local 123 (PO Box 21021, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 33450

Plumbers and Pipefitters Local 803 (Villa Park a Jacksonville, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 33496

Point Comfort Underwriters (Indianapolis, IN)

PARTICIPATING PAYER / CLAIMS		 PCU01

Point Comfort Underwriters (PO Box 211745, Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 PCU02

Poly America Medical a Dental Benefits-Grand Prairie, TX

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 32680

Prairie States Enterprises, Inc ( Sheboygan, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 36373

Preferred (PO Box 59212) Mpls, MN

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 41147 ERA Teamsters (Po Box 7078) Duluth MN

Preferred Adminstrators Benefit Solutions

NON-PARTICIPATING PAYER / CLAIMS		 88057 Benefit Solutions

Preferred Care (Rochester, NY a Middleton, CT)

PARTICIPATING PAYER / CLAIMS, ERA		 16112 ERA Health Economics (Rochester, NY)

Preferred Care FL (Tampa, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 59291

Preferred Care NC (Tampa, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 56178

Preferred Group Plans Inc (Albany NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX083

Preferred Health Plan of the Carolinas (Charlotte, NC)

PARTICIPATING PAYER / CLAIMS, ERA		 CB404

Preferred Health Professionals (Freedom Dental)(Overland, KS)

PARTICIPATING PAYER / CLAIMS		 31478 Freedom Network (Po box 25938) Shawnee, KS)

Preferred One Auxiant (Cedar Rapids IA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX132

Premier Access Insurance (PO Box 659010 Sacramento, CA)

PARTICIPATING PAYER / CLAIMS		 CX078 Access Administrators (PO Box 659010 Sacramento, CA)

Premier Dental Group - MN (Plymouth, MN)

PARTICIPATING PAYER / CLAIMS		 CX029 Companion Permier (9201 Watson, St Louis)

Primary Physician Care, Inc. (Charlotte, NC)

PARTICIPATING PAYER / CLAIMS, ERA		 56144 Healthgram Inc. (Primary Physician)(Charlotte, NC)

PrimeCare Admin (Las Vegas, NV)

PARTICIPATING PAYER / CLAIMS		 PCA01

Principal (Coloradp Springs, COa DesMoines, IA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 61271 ERA Christian Brothers Services (Colorado Springs, CO)
J.F. Molloy and Associates, Inc.(Colorado Spring, CO)

Priority Health (Grand Rapids, MI)

PARTICIPATING PAYER / CLAIMS, ERA		 38217 ERA

Pro Claim Plus Inc (Fort Wayne IN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX095

Prodegi (PO Box 98, Worland, WY)

NON-PARTICIPATING PAYER / CLAIMS		 87605

Professional Benefit Administrators, Inc. (Oak Brook, IL)

PARTICIPATING PAYER / CLAIMS, ERA		 36331

Professional Claims (10560 Wayzata, Minnetonka, MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX001

Professional claims Administrators (Minnetonka, MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 41163

Progyny (Po Box 21691, Eagan MN)

NON-PARTICIPATING PAYER / CLAIMS		 PGNY1

Prominence Health Plan (Reno a Henderson, NV)

PARTICIPATING PAYER / CLAIMS, ERA		 88029

Providence Admin Services (Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 PAS01

Provider Partner Health Plan of Texas (PPHP)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 31405

Prudential (Blue Bell, PA)

PARTICIPATING PAYER / CLAIMS		 68241 SelectCare (Coca Cola)
Southwestern Bell Exec
Varian Health Care Plan
Bell Atlantic
Choice Plus (TRW)
Custom Care
FlexCare
Florida Power & Light
PDO
Preferred Dental Organization

Public Employees Health Program (PEHP)(Salt Lake City, UT)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CX080 ERA PEHP (Public Employees Health Program)(Salt Lake City, UT)

Purchased Preferred Care

NON-PARTICIPATING PAYER / CLAIMS		 98741

QuadMed (West Alis, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 39197

Qualexa Healthcare

NON-PARTICIPATING PAYER / CLAIMS		 86772

Quality Care Partners (PO Box 595, Arnold, MD)

PARTICIPATING PAYER / CLAIMS		 89461

Quality Plan Admin (Washington, DC)

PARTICIPATING PAYER / CLAIMS		 CX077

Quartz ASO (Sauk City, WI)

PARTICIPATING PAYER / CLAIMS		 46571

RBMS, LLC (Anchorage, AK)

PARTICIPATING PAYER / CLAIMS		 91176 Risk and Benefit Mgmt Services (Anchorage, AK)

RMSCO (Syracuse or Liverpool, NY)

PARTICIPATING PAYER / CLAIMS		 16117 EBS (RMSCO)(Syracuse or Liverpool, NY)

Redwood Health Services

NON-PARTICIPATING PAYER / CLAIMS		 54259

Regence Blue Shield (PO Box 30271 SLC UT)(PO Box 21267 Seattle, WA)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 93200 Blue Cross of Washington (PO Box 30271 SLC UT)(PO Box 21267 Seattle, WA)
Whatcom Medical Bureau (Bellingham, WA)
Regence Blue Shield WA- FEP(PO Box 30271 SLC, UT)(PO Box 21267, Seattle, WA)
Regence (FEP Po Box 857, ID)

Regency Employee Benefits - Port Huron, MI

PARTICIPATING PAYER / CLAIMS		 38221

Regional Care Inc. (Scottsbluff, NE)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 47076

Reliance Community Care Partners

NON-PARTICIPATING PAYER / CLAIMS		 79846

Reliance Standard (PO Box 82510 Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 36088 ERA

Renaissance Life and Health (Indianpolis, IN)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 RLHA1 ERA

Reserve National Insurance Company (Oklahoma City, OK)

PARTICIPATING PAYER / CLAIMS, ERA		 73066

Resolve (Solarte Health, Inc)(Arnold, MD)

PARTICIPATING PAYER / CLAIMS		 CB695 Solarte Health, Inc (Resolve)(Arnold, MN)

Resource One Administrators (Dallas, TX, Tulsa, OK, Buckeystown, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 66456

Resource One Administrators Tribal

NON-PARTICIPATING PAYER / CLAIMS		 99789

RightChoice Benefit Admin (Troy, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 37331 Epoch (St. Louis, MO)

Riverside San Bernardino Cty Indian Health, (Banning, CA)

PARTICIPATING PAYER / CLAIMS		 50664

Rochester Public Schools (Rochester, MN)

PARTICIPATING PAYER / CLAIMS		 41625

Rocky Mountain Life Dental (Colorado Springs, CO)

PARTICIPATING PAYER / CLAIMS, ERA		 84102 ERA

Rocky Mountain PACE

NON-PARTICIPATING PAYER / CLAIMS		 27033 PACE - Rocky Mountain

Royale Resources (Perham, MN)

PARTICIPATING PAYER / CLAIMS		 RR001

S a S Health (Cincinnati, OH)

PARTICIPATING PAYER / CLAIMS, ERA		 31441

SAMBA (Rockville, MD)

PARTICIPATING PAYER / CLAIMS		 37259

SCION Dental (Thiensville, WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 SCION ERA SCION Dental (Milwaukee, WI)
SCION Dental Kansas (Milwaukee, WI)

SET SEG (Lansing, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 38610

SIEBA (Endicott, NY)

PARTICIPATING PAYER / CLAIMS, ERA		 03699

SIHO Member Services (Columbus IN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX128

STAR Health (PO Box 537030, Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS		 CPPSH CLAIM ,

Safeguard (DHMO) PO Box 981987, El Paso, TX)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 LX206 ERA

Safeguard HMO (PO Box 30920 Laguna Hills, CA)

PARTICIPATING PAYER / CLAIMS		 CX048

Safeguard PPO -(PO box 30930 Laguna Hills a Aliso Viejo, CA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CX030 ERA Safeguard (Po Box 981987, El Paso, TX)

Sage Technologies (Peoria, IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 37137 Progressive Benefits Services (Peoria, IL)

Sanford Health Plan (Sioux Falls, SD)

PARTICIPATING PAYER / CLAIMS, ERA		 91184

Sanford Health Plan - Medicare Advantage

NON-PARTICIPATING PAYER / CLAIMS		 RP035 Medicare Advantage Dental Claims

Santa Barbara Cottage Hospital (Santa Barbara, CA)

PARTICIPATING PAYER / CLAIMS		 37288

Sante Health System (SeeChange)(Fresno, CA)

PARTICIPATING PAYER / CLAIMS		 77024 SeeChange (Sante Health System)(Fresno, CA)

Scan Health Plan Arizona (PO Box 61450 Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 73172

Scan Long Term Care (PO Box 61450 Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 20460

School Claims Service LLC (New Cumberland PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX089

Seabury a Smith - Iowa City, IA

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX023

Secure Care (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 86057

Secure Health Plan of GA (Macon, GA)

PARTICIPATING PAYER / CLAIMS, ERA		 28530 ERA

Securian Dental Plans (PO Box 9385, MPLS, MN) Delta of MN

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 93742 ERA

Security Adminstrative Services (Marshfield, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 35202

Security Health Fund (Marshfield WI)

PARTICIPATING PAYER / CLAIMS		 LX126

Security Life (NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX053

Security Life Insurance (Schenectady, NY)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 CX092 ERA

Sele-Dent (Lynbrook, NY)

PARTICIPATING PAYER / CLAIMS		 CX109

Select Benefit Admin (PO Box 8339, Des Moines, IA)

PARTICIPATING PAYER / CLAIMS		 42137

Select Health (Salt Lake City, UT)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 CX107 ERA

SelectCare (Frisco, TX)

PARTICIPATING PAYER / CLAIMS		 DX215 Careington Benefit Solutions (Frisco, TX)
CORE (Frisco, TX)
Chesapeake Life Ins (Frisco, TX)

Self Insured Benefit Admin - (Clearwater, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 59111

Self Insured Plans LLC (Naples, FL)

PARTICIPATING PAYER / CLAIMS, ERA		 36404

Self Insured Services Company (SISCO) - Dubuque, IA

PARTICIPATING PAYER / CLAIMS, ERA		 CX020

Self-Funded Plans of OH - Cleveland, OH

PARTICIPATING PAYER / CLAIMS		 34131 Self-Funded Plans (St. Charles, IL)

Seminole Tribe of FL (Fort Lauderdale, FL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX155

Sendero Health Plans (Austin, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 36426

Senior Network Health (Utica, NY)

PARTICIPATING PAYER / CLAIMS		 15682

Sentry Insurance (Roanoke, VA)

PARTICIPATING PAYER / CLAIMS		 LX135

Sentry Insurance Company (Stevens Point, WI)

PARTICIPATING PAYER / CLAIMS		 39033 Sentry Life of NY (Stevens Point, WI)
Sentry Insurance A Mutual Company (Stevens Point, WI)

Serentas Dental Care Solutions - Louisville, KY

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX038

Shasta Admin Services (Redmond, OR)

PARTICIPATING PAYER / CLAIMS, ERA		 75280

Sheet Metal Workers (PO Box 1449, Goodlettsville TN)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 LX024 ERA

Sheet Metal Workers (PO Box 1449, Goodlettsville, TN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX024

Sheet Metal Workers Local 265 (Carol Stream IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX127

Sheet Metal Workers Local 91 (West Burlington, IA)

PARTICIPATING PAYER / CLAIMS, ERA		 SMW01

Sheffield, Olson a McQueen (2145 Ford Pkwy, St. Paul, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 41143

Shelter Point Life (Great Neck, NY)

PARTICIPATING PAYER / CLAIMS		 81434 First Rehab Life (Roanoke, VA)

Shenandoah Life Insurance (Roanoke, VA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX067

Sierra Health Services (Las Vegas, NV)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 76342 ERA Health Plan of NV (Las Vegas, NV)

Sinclair Health Plan (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS		 84076 Total Dental Admin (Salt Lake City, UT)

SingleCare (Columbus, OH)

PARTICIPATING PAYER / CLAIMS		 95456

Skygen USA

PARTICIPATING PAYER / CLAIMS		 SKYGE

Skygen USA (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 SKYGN ERA Molina Health Care (Milwaukee, WI)

Solstice Benefits

PARTICIPATING PAYER / CLAIMS		 76578

South Carolina Healthy Connections

PARTICIPATING PAYER / CLAIMS		 TPC11

South Central Preferred (Hingham, MA)

PARTICIPATING PAYER / CLAIMS		 23266

South Country Health Alliance ( Owatonna, MN)

NON-PARTICIPATING PAYER / CLAIMS		 LX179

South Point Hotel a Casino (LasVegas, NV)

PARTICIPATING PAYER / CLAIMS		 35227

South Tahoe Refuse

NON-PARTICIPATING PAYER / CLAIMS		 28520

SouthWest Benefits

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX051

Southeast Dental Associates (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS		 39148 Dental Professional of WI (Southeast Dental)(Milwaukee, WI)

Southeaster Service Employees International (SEIU)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 SEI01

Southern Benefits Services (Lafayette, LA)

PARTICIPATING PAYER / CLAIMS, ERA		 37318 ERA

Southern Electrical Health Fund (Chattanooga, TN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 SEF01

Southern Group Admin - Winston-Salem, NC

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 56131

Southern Indiana Health (Columbus, IN)

PARTICIPATING PAYER / CLAIMS, ERA		 77153

Southland Benefit Solutions, LLC (Canopy Vision)

NON-PARTICIPATING PAYER / CLAIMS		 V4793

Southwest Service Admin (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 CX100 UFCW Local 99

Spectrum Admin (Allentown, PA)

PARTICIPATING PAYER / CLAIMS		 23253 Populytics (Spectrum Admin (Allentown, PA)

Spencer Stuart (Arm LTD) (Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 38416 Arm, LTD (Spencer Stuart) (Eagan, MN)

Spraying Systems (PO Box 7900, Wheaton, IL)

NON-PARTICIPATING PAYER / CLAIMS		 LX203

St Therese Physician Assoc. (Rockford, IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 37116 Lake County Physicians Associaton

Standard Ins Co. of New York (PO Box 82520, Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 13411 ERA

Standard Insurance of Oregon (PO Box 82622 Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 93024 ERA

Standard Life and Accident

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX207

Star + Plus Value Added (PO Box 537014, Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS		 CPPSP CLAIM ,

StarHRG (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 59225 Cigna Voluntary (Phoeniz, AZ)

StarMed Claims

NON-PARTICIPATING PAYER / CLAIMS		 24140

Starmount Life Insurance Company (Baton Rouge, LA)

PARTICIPATING PAYER / CLAIMS		 STR01 AlwaysCare Benefits (Baton Rouge, LA)
Unum Dental (Baton Rouge, LA)

State Auto (Columbus, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 46450

Sterling Life (PO Box 5710, Scranton, PA)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX209

Stoner and Associates - Cincinnati, OH

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 31121

Stowe Associates of GA (Atlanta, GA)

PARTICIPATING PAYER / CLAIMS		 58128

Strategic Resouce (PO Box 23759, Columbia, SC)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX014

Stylmark (Mpls.-Fridley, MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX142

SummaCare (Akron, OH)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 95202 ERA

Summit Admin Services, Inc. (Scottsdale, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 86083

Summit America Insurance Services (Overland Park, KS)

PARTICIPATING PAYER / CLAIMS		 37301

Superior Dental Care

PARTICIPATING PAYER / CLAIMS		 31117

SuperiorSTAR Pregnant Women (Sacramento, CA)

NON-PARTICIPATING PAYER / CLAIMS		 CPPSW CLAIM ,

Surency Life and Health (Wichita, KS)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 CX088

TCC (Charleston, SC)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX196

TEAMCARE A Central States Health Plan

PARTICIPATING PAYER / CLAIMS		 75177

TIC International, Inc (Carmel, IN)

PARTICIPATING PAYER / CLAIMS		 TIC01

TLC Benefit Solutions (PO Box 947, Valdosta, GA)

NON-PARTICIPATING PAYER / CLAIMS		 TLC79

TR Paul (Newtown, PA)

NON-PARTICIPATING PAYER / CLAIMS		 LX178

Tall Tree Administrators (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS, ERA		 88067

Taylor Benefit Resource (Thomasville GA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX102

Teamster Local 463 (Pennsauken NJ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX113

Teamsters 301

NON-PARTICIPATING PAYER / CLAIMS		 TL301

Texas Ag Benefit Admin (PO Box 211575, Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 TXABA

Texas Municipal League (TML) (PO Box 149190, Austin, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX013

The Care Network (PO Box 788, Arnold, MD)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 68423 The Savannah Business Group (PO Box 788, Arnoold, MD)

The Dental Network (7400 York Raod, Suite 200, Towson, MD 21204)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 TDN01

The Dental Network of MD(Out of state dentists, NOT in MD or DC)

NON-PARTICIPATING PAYER / CLAIMS		 LX173

The Dental Shop (Amherst NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX110

The Humboldt-DelNorte (Eureka, CA)

PARTICIPATING PAYER / CLAIMS		 CRIHB

The Preferred Group

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 TPGXX

Theatrical and Stage Local 16 (Dublin, CA)

PARTICIPATING PAYER / CLAIMS		 CHSTS

Theramatrix-pbs

NON-PARTICIPATING PAYER / CLAIMS		 99917

Three Rivers Health Plan - (Monroeville, PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 25175 Unison - (Monroeville, PA)

Total Claims Admin. Inc/North Broward Hospital District (FL)

PARTICIPATING PAYER / CLAIMS		 37314 North Broward Hospial District (FL)

Total Claims Solutions (Green Bay, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 TCS01

Total Dental Admin (PO Box 44035 Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS, ERA		 CX112 ERA Total Dental Admin (Elk Grove, IL)
Dental Management Admin (Eagan, MN)

Total Plan Services, Inc. (Addison, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX153

Tower Life Insurance (San Antonio, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 69493

TransChoice Key Benefit Admin (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 37284 ERA

TransSmile (Sherwood, AR)

PARTICIPATING PAYER / CLAIMS		 CX069

Travis County Map (Austin, TX)

NON-PARTICIPATING PAYER / CLAIMS		 TCMAP

Travis County Map-Mediview

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 25348

Trellis Health Partners (Rolling Meadows, IL)

PARTICIPATING PAYER / CLAIMS		 36397

Tri-Counties Welfare Trust Fund (Dublin, CA)

PARTICIPATING PAYER / CLAIMS		 CHSWT

TriState Benefit Solutions (Cincinnati, OH)

PARTICIPATING PAYER / CLAIMS		 31144 TriHealth Benefit Solutions (Eagan, MN)

Trinity Health PACE

NON-PARTICIPATING PAYER / CLAIMS		 TRINP

Trinity Health Pace (Livonia, MI)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX212

Triple S / Medicare Optimun

NON-PARTICIPATING PAYER / CLAIMS, ERA		 973 ERA Medicare Optimun / Triple S

TruAssure (Lisle, IL)

PARTICIPATING PAYER / CLAIMS		 ILDTA Mutual of Omaha (Po Box 4495)
Mututal of Omaha

Trusteed Plan Service Corporation (Tacoma, WA)

PARTICIPATING PAYER / CLAIMS		 91078

Trustmark Insurance - Lake Forest, IL

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 61425 ACEC-Healthplan

Tucker Admin - Special Events Transportation

NON-PARTICIPATING PAYER / CLAIMS		 61203

Tuckpointers 52 Health a Welfare

NON-PARTICIPATING PAYER / CLAIMS		 62344

UC Health Plan Administrators (Englewood, CO)

PARTICIPATING PAYER / CLAIMS		 89789

UCCI - Duplicate - Don't use

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 CX007

UCS BASI: Consolidated Turbine

PARTICIPATING PAYER / CLAIMS		 36493

UCS BASI: Limric Plumbing Heating a Air

PARTICIPATING PAYER / CLAIMS		 31456

UCS BASI: T.W. Clark Construction

PARTICIPATING PAYER / CLAIMS		 36575

UCS E.S. Beveridge a Associates, Inc. (Phoenix, AZ)

NON-PARTICIPATING PAYER / CLAIMS		 87452

UCS International Medical Group: FBOP Honolula (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 80085

UCS PBS Oregon

NON-PARTICIPATING PAYER / CLAIMS		 56724

UFCW Dentemax (Madison Hgts MI)

PARTICIPATING PAYER / CLAIMS		 LX078 Michigan UFCW (Madsion Heights, MI)

UFCW LOCAL 56 ( PENNSAUKEN, NJ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX029

UFCW Local 1000 and Kroger Dallas Health a Welfare (Pembroke Pines, FL)

NON-PARTICIPATING PAYER / CLAIMS		 99843

UFCW Local 400-5205 (Carmel, IN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 A5205

UFCW Locals (400, 534, 655, 881)(Manchester, MO)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 CX111

UMC Dental Reimbursement Plan (Lubbock TX)

PARTICIPATING PAYER / CLAIMS, ERA		 LX104 Insurance Services of Lubbock (Lubbock, TX)

UMC Health Plan

NON-PARTICIPATING PAYER / CLAIMS		 75130

UMWA Health a Retirement (Lubbock, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 52180 ERA

UNICARE Special Accounts

PARTICIPATING PAYER / CLAIMS		 65099

UPMC Community HealthChoice (CHC) (Milwaukee, WI)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 UPMCD UPMC Health Plan (CHIP) (Milwaukee, WI)
PUMC Medicaid (Milwaukee, WI)

UPMC Health Plan (Pittsburg, PA)

PARTICIPATING PAYER / CLAIMS, ERA		 23281 ERA UPMC Dental Advantage

US Benefits, Inc. (Portland, OR)

PARTICIPATING PAYER / CLAIMS, ERA		 93092

USAA (San Antonio, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX193

UT Chips (Salt Lake City, UT)

PARTICIPATING PAYER / CLAIMS		 CX110 Premier Access UT CHIPS - Government (Salt Lake City, UT)

UltraBenefits, Inc (Westborough, MA)

PARTICIPATING PAYER / CLAIMS, ERA		 41206

Unicare

PARTICIPATING PAYER / CLAIMS, ERA		 80314 ERA ReliaStar
John Hanncock
GIC-Idemnity Plan

Unicare of WV

NON-PARTICIPATING PAYER / CLAIMS		 SCNUW

UnifiHealth (Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 21814 Poppins Health

Unified Group Services (Anderson, IN)

PARTICIPATING PAYER / CLAIMS, ERA		 35198

Uniform Medical Plan/Harrington Benefit Services (Seattle, WA)

PARTICIPATING PAYER / CLAIMS		 75243 Harrington Benefit Services (Seattle, WA)

Unify HealthCare Administrators

NON-PARTICIPATING PAYER / CLAIMS		 84962

Union Labor Life Insurance Co - King of Prussia, PA

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 13142 The Union Labor Life Insurance Co. (King of Prussia, PA)

United Ag - Superior Insurance Services (Irvine, CA)

PARTICIPATING PAYER / CLAIMS		 97802 UABT - United Ag-Superior Insurance (Irvine, CA)

United Aministrative Services (San Jose, CA)

PARTICIPATING PAYER / CLAIMS		 UAS01

United Claim Solutions (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS		 20090

United Concordia (UCCI)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 89070 ERA UCCI (United Concordia)
Family Members Dental Plan (Harrisburg, PA)
Tricare Dental Plan (UCCI) Harris burg, PA)
Mountain State BCBS (MSBCBS(PO Box 69434, Harrisburg, PA)
Highmark/HHIC (PO Box 69433 Harrisbury, PA)
MMSO (Military Medical Support) (Po Box 886999)
Military Medical Support (MMSO) (Po Box 886999)
Unum
Group Health Coop. Ind. and Family (PO box 69443)
Valley Baptist Health Plan (PO Box 69442)
Blue Cross of LA Advantage Plan (PO Box 69441)
Blue Cross of MN (Harrisburg, PA)
Dental Service Corp (Fargo, ND)
Blue Cross of ND
DE (Deleware) Adult Medicaid
Medicaid of DE - Adult
Blue Cross of DE - UCCI
Blue Cross of MN - UCCI
Highmark West Virginia - UCCI
Blue Shield of Northestern New York (UCCI)

United Food a Commerical Workers Union of Central Ohio(4150 East Main St., Col,

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 UFC01 UFCW of Central Ohio

United Food a Commerical Workers Union of Cleveland(UFCW of Cleveland)(2828 Eucl

PARTICIPATING PAYER / CLAIMS		 UFC02 UFCW of Cleveland

United Food a Commerical Workers(UFCW) (Park Ridge, IL)

PARTICIPATING PAYER / CLAIMS		 36659 UFCW (United Food & Commerical Workers)(Park Ridge, IL)
Employers Midwest Health Benefits (Park Ridge, IL)

United Group Program

PARTICIPATING PAYER / CLAIMS, ERA		 UGP19

United Health Care, GA, PA

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 87726 ERA UHC/Medica Po Box 30990 SLC UT

United Medical Alliance (Fort Collins, CO)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 84132

United Medical Resources (Cincinatti, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 33108 ERA UMR - Cincinnati (Cincinatti, OH)

United Security Life a Health (Clinton, IA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 36362

United South Central Workers (Dallas, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX028

United South Central Workers (Dallas, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX028

United States Life - Neptune, NJ

PARTICIPATING PAYER / CLAIMS		 13545 AIG American General (US Life) (Neptune, NJ & Beattyville, KY)

Unity Health Plans-Dental Health (Fairfield, NJ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 UNITY

Univera of New York (Baldwinsville, NY)

PARTICIPATING PAYER / CLAIMS		 16105

Universal Health Fellowship (Clearwater, FL a Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 53684

University of Utah Health Plans

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 SX155

Upper Peninsula Health Group (Marquette, MI)

PARTICIPATING PAYER / CLAIMS		 37324

VA Fee Basis Programs (St Paul, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 12116 ERA

Valenz (PO Box 211143, Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 94749

Valir PACE (Oklahoma City, OK)

PARTICIPATING PAYER / CLAIMS		 64009 PACE - Valir (Oklahoma City, OK)

Valley Health Plan (GreenBay, WI)

PARTICIPATING PAYER / CLAIMS		 VHP01

Valor Health Plan (Little Rock, AR)

PARTICIPATING PAYER / CLAIMS		 43259

Van Lang IPA

NON-PARTICIPATING PAYER / CLAIMS		 77036

Van Lang IPA (Eagan, MN)

NON-PARTICIPATING PAYER / CLAIMS		 TECQ

Vantage Health Plan (Monroe, LA)

PARTICIPATING PAYER / CLAIMS		 72128

Varipro (Eagan, MN)

PARTICIPATING PAYER / CLAIMS		 72187

Vault/ AMPS Admin Service or GAR (Georgia Realtors Assocation)

NON-PARTICIPATING PAYER / CLAIMS		 VS402

Verity National Group (San Antonio, TX)

PARTICIPATING PAYER / CLAIMS		 75256 Group Administrators (PO Box 780159, San Antonio, TX)

Via Christi Hope (Wichita, KS)

PARTICIPATING PAYER / CLAIMS		 48123 Christi Hope (Wichita, KS)

Volunteer Benefits (Waterbury CN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX123

Volusia Health Network (Daytona Beach, FL)

PARTICIPATING PAYER / CLAIMS, ERA		 59266

WEA Insurance Group (Madison, WI)

PARTICIPATING PAYER / CLAIMS		 39151

WMI Mutual Insurance Company (Brownville, NY)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 LX160

Washington Dental Service (Seattle, WA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 91062 ERA Delta Dental of Washington-State

Washington Employers Trust (Seattle, WA)

PARTICIPATING PAYER / CLAIMS		 37294 LifeWise/Washington Employers Trust (Seattle, WA)

Waterstone Benefit Administrators (Oklahoma City, OK)

PARTICIPATING PAYER / CLAIMS		 73155

Wausau Insurance Companies, Wausau, WI

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY		 39026 ERA Fiserv (Wausau, WI & Pueblo, CO)
UMR-Wausau (Salt Lake City, UT)
UMR-Wausau (Wausau, WI & Pueblo, Co)

Web TPA, Inc. (Grand Prairie, TX)

PARTICIPATING PAYER / CLAIMS, ERA		 59332 ERA

Webster Dental

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 10050 Cigna DHMO

WelbeHealth

NON-PARTICIPATING PAYER / CLAIMS		 WBHCA

WellCare Health Plans - Medicaid (PO Box 31224, Tampa, FL)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX211

WellCare Health Plans - Medicare (PO Box 31370, Tampa, FL)

NON-PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX210

WellPay

NON-PARTICIPATING PAYER / CLAIMS		 95729

Wellnet (MPLS, MN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX192

Wells Fargo TPA (JSL Administrators) (Newnan, GA)

PARTICIPATING PAYER / CLAIMS, ERA		 37272 ERA Direct Reimbursement Benefits (Newnan, GA)

WestLake Financial Group (Buffalo Grove, IL)

PARTICIPATING PAYER / CLAIMS		 90560

Western Dental Plan Management (Camarillo, CA)

NON-PARTICIPATING PAYER / CLAIMS		 85493

Western Grocers Employee Benefit (PO Box 22166, Portland OR)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 93128

Western Growers Insurance (Newton Beach, CA)

PARTICIPATING PAYER / CLAIMS		 24735 Pinnacle Claims Management (Fresno, CA)

Western PA Teamsters Fund (50 Penn, Pittsburgh, PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA		 TLW33

Willamette Valley (Salem, OR)

PARTICIPATING PAYER / CLAIMS		 CXWVC

William C Earhart (Portland, OR)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 93050

Willow Health (Fife, WA)

NON-PARTICIPATING PAYER / CLAIMS		 WHLTH

Wilson, McShane (Mpls, MN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA		 R7002 ERA

Wisconsin Auto a Truck (WATDA) (Madison, WI)

PARTICIPATING PAYER / CLAIMS, ERA		 R7006 ERA

Wisconsin Carpenters (Eau Claire, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 FX031

Wisconsin Electric (2730 Dairy, 2802 Coho St, Madison, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)		 LX006

Worksite Benefit Services (PO Box 707 Tifton, GA)

PARTICIPATING PAYER / CLAIMS, ERA		 20333

Xantus Health Plan (TN) (Lincoln, NE)

NON-PARTICIPATING PAYER / CLAIMS, ERA		 62154 ERA Standard Security (Parkridge, IL)

Yerington Paiute Tribe

NON-PARTICIPATING PAYER / CLAIMS		 51350

Zelis Payments

NON-PARTICIPATING PAYER / CLAIMS, ERA		 LX143 ERA

Zenith Admin (AZ,CA,CO,NV,WA)

NON-PARTICIPATING PAYER / CLAIMS		 LX063 Painters Trust Association (Spokane WA)

Zenith Admin (MD,IL,IN,KY,LA,MA,MI,MO,OK,TX,WI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY		 LX060

Zenith Administrators (Mpls, MN)

PARTICIPATING PAYER / CLAIMS, ERA		 R7001 ERA

iCircle Care of NY (Webster, NY)

PARTICIPATING PAYER / CLAIMS		 33884