04/24/2019

Damar Software/Claims Midwest

*** DENTAL PAYER LIST ***

1,150 Payers

10:43:56 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.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
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
AFSDC Associated Foods Service (AFS)(PO Box 30430, SLC, UT)

AHCCCS (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX140

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
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

AaD Charitable Foundations (Eden Prairie, MN)

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

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

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)

Advantage Dental Plan - Roseburg, OR

PARTICIPATING PAYER / CLAIMS, CLAIM STATUS INQUIRY
93524

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

NON-PARTICIPATING PAYER / CLAIMS
CPPSA CLAIM ,

Advantek Benefit Admin (Fresno, CA)

PARTICIPATING PAYER / CLAIMS, ERA
83077

Adventist Health Claims (Roseville, CA)

PARTICIPATING PAYER / CLAIMS, ERA
95340 ERA

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
128WV

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

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

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, 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)

Allied Administrators (San Francisco, CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
94177

Allied Benefit Systems (Chicago, IL)

PARTICIPATING PAYER / CLAIMS, ERA
37308

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 (PAPER ONLY), ERA
38219

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 Network (ADN)(PO Box 610, Southfield, MI)

PARTICIPATING PAYER / CLAIMS
LX016

American Dental Payers of WI

PARTICIPATING PAYER / CLAIMS
ADP01

American Health (Maumee, OH)

PARTICIPATING PAYER / CLAIMS
AHG01

American Health Medicare

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
66065

American Medical Security (Green Bay, WI)

PARTICIPATING PAYER / CLAIMS
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
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 (720 Blair, Horsham, PA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX010

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)

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)

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

PARTICIPATING PAYER / CLAIMS
53085

Antares Management Solutions (Westlake, OH)

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

Apex Benefits (Akron, OH)

NON-PARTICIPATING PAYER / CLAIMS
34196

Araz Group

PARTICIPATING PAYER / CLAIMS
16120

Argus (Tampa Fl)

PARTICIPATING PAYER / CLAIMS
LX074

Argus (Tampa, FL a Eagan, MN)

PARTICIPATING PAYER / CLAIMS
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

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
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)
LX081

Automated Benefit Services (Oak Park, MI)

PARTICIPATING PAYER / CLAIMS, ERA
38259

Automated Group Admin (Fort Wayne, IN)

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

Auxiant (PO Box 90991, Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX019 Medical Benefit Admin (PO Box 90991, Milwaukee, WI)

Avesis (PO Box 7777 Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS
86098 Molina Medicare

BAC (PO Box 107, Reynoldsburg, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX169 Business Admin Consultants(BAC)(PO Box 107, Rynoldsburg, OH)

BAC Local 15 (Overland, KS)

NON-PARTICIPATING PAYER / CLAIMS
A2051

BAnner - Medisun (Mesa, AZ)

PARTICIPATING PAYER / CLAIMS
77078

BCBS KS (Tokepa, KS)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX070

BCBS of LA AdvantagePlans Network

PARTICIPATING PAYER / CLAIMS
53021

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

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
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
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

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 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

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

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

Blue Cross of AZ (Phoenix, AZ)

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

Blue Cross of CA (Fed Only)(Chico, CA)

NON-PARTICIPATING PAYER / CLAIMS
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)
Anthem CA (Po Box 1115, MPLS MN)

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, ELIBILITY INQUIRY, ERA
00700 ERA

Blue Cross of Delaware (Wilmington, DE)

PARTICIPATING PAYER / CLAIMS
53287

Blue Cross of FL (Jacksonville, FL)

PARTICIPATING PAYER / CLAIMS
FX046

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

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

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
CBID1 CLAIM ,

Blue Cross of Illinois (Oak Brooke Terrace, IL)

PARTICIPATING PAYER / CLAIMS, ERA
CB621 ERA

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

NON-PARTICIPATING PAYER / CLAIMS, ERA
CBIA1 CLAIM , ERA

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

NON-PARTICIPATING PAYER / CLAIMS
CBIA2 CLAIM ,

Blue Cross of Kansas (Topeka, KS)

NON-PARTICIPATING PAYER / CLAIMS, 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, 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)

Blue Cross of Louisiana (Baton Rouge, LA)

PARTICIPATING PAYER / CLAIMS, ERA
23739 CLAIM , 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
BCAFD

Blue Cross of MS (Po box 1043, Jackson MS)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX021

Blue Cross of Maine

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
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, 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 (PAPER ONLY)
00800 CLAIM ,

Blue Cross of NY (Empire) Claims sent to MN

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

Blue Cross of NY - Empire

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
CBNY1 ERA

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
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 Dakota (ND Dental Services) (Fargo, ND)

NON-PARTICIPATING PAYER / CLAIMS, ERA
CX004 ERA Dental Service Corp (Fargo, ND)

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

NON-PARTICIPATING PAYER / CLAIMS, 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 ERA

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 SD (Sioux Falls, SD)

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

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

NON-PARTICIPATING PAYER / CLAIMS, ERA
38520 ERA

Blue Cross of Tennessee (Chattanooga, TN)

NON-PARTICIPATING PAYER / CLAIMS
CBTN1 CLAIM ,

Blue Cross of Texas (Dallas, TX)

NON-PARTICIPATING PAYER / CLAIMS, 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, 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 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 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 ERA

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

PARTICIPATING PAYER / CLAIMS
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 ,

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

Bridgeport LLC of Missouri - St Charles, MO

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
CX028

Bridgespan (Lewiston, ID)

PARTICIPATING PAYER / CLAIMS
BRIDG

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
CX032

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

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

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, 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 (Mpls, MN)
IBI ( Minneapolis, MN)
Iowa Benefits, Inc( Minneapolis, MN)
Meritain Health (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
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

CNA Health Partners of Arkansas

PARTICIPATING PAYER / CLAIMS, ERA
71063 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

Canada Life Assurance Company(Atlanta, GA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, CLAIM STATUS INQUIRY
CX061 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 (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

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
INCS1

Caresource GA (Dayton, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
GACS1

Caresource KY (Dayton, OH)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
KYCS1

Caresource- Dayton OH

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

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

Caterpillar Inc.

PARTICIPATING PAYER / CLAIMS, ERA
37060

Central Dta 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

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

Central a Southwest Services

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
75177

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

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

Comp - Ohio - 33 Fitch Blvd., Austintown OH

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

Companion Life (PO Box 100102, Columbia, SC)

NON-PARTICIPATING PAYER / CLAIMS, ERA
77828 ERA

Compdent - (Chicago, IL a Roswell, GA)

PARTICIPATING PAYER / CLAIMS
CX021 CompBenefits - (Chicago, IL & Roswell, GA)

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)

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 (Mailed to IA)

PARTICIPATING PAYER / CLAIMS, ERA, CLAIM STATUS INQUIRY
LX048 ERA

CoreSource (NC, IN) (Charlotte, NC)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
35180

CoreSource OH - mailed to OH

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

CoreSource of Little Rock (Little Rock, AR)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
75136

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

PARTICIPATING PAYER / CLAIMS, ERA, CLAIM STATUS INQUIRY
35182 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)

Corporate Benefit Services (Charlotte, NC)

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

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA
LX082

D. Edward Wright TPA(

PARTICIPATING PAYER / CLAIMS
DEW01

DDCA2 Test

NON-PARTICIPATING PAYER / CLAIMS
00001

DDS, Inc (East Meadow, NY)

PARTICIPATING PAYER / CLAIMS
DDS01

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, CLAIM STATUS INQUIRY
DDCA3

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
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, ELIBILITY INQUIRY, ERA
82029 ERA

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

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
IDIND

Delta Dental of Illinois (Lisle, IL)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY
05030 ERA Local 731 (Burr Ridge, 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, 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
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
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

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
CDOK1 ERA Indian Health Services (Oklahoma City, OK)

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

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, 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, CLAIM STATUS INQUIRY
05029

Delta Dental of South Carolina(Columbia SC)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
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 (Roanoak, VA)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
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, CLAIM STATUS INQUIRY
39069 ERA

Delta Dental of Wyoming

PARTICIPATING PAYER / CLAIMS
CDWY1

Delta Dental of Wyoming (Cheyenne, WY)

NON-PARTICIPATING PAYER / CLAIMS
07025

Delta Health Systems (Stockton, CA)

PARTICIPATING PAYER / CLAIMS, ERA
94235

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

PARTICIPATING PAYER / CLAIMS
WIMAN

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, CLAIM STATUS INQUIRY
CX049 Coventry (Po Box 7402, London KY)

DentaQuest

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

DentaQuest (Boston, MA)

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
CX094

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

PARTICIPATING PAYER / CLAIMS, 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 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
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

Detroit Laborers (Metropolitan) (Landing, MI)

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

Diego PACE (Eden Prairie, MN)

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

Direct Dental (San Anselmo CA)

PARTICIPATING PAYER / CLAIMS
LX129

District Council 37 Health a Welfare Fund

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
HSP01

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)

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)

Doral Dental of Kentucky / Region 3 (Mequon , WI)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY
CKKY3 ERA Medicaid of Kentucky Region #2 (Doral Dental Services)

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, 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

ERISA (Austin, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
FX044

ES Beveridge a Associates (Mansfield, OH)

PARTICIPATING PAYER / CLAIMS, ERA
34108

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 EMIA-Educators Mutual (Murray, UT)

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)
CX022 Auxiant (Cedar Rapids, IA)

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

PARTICIPATING PAYER / CLAIMS
35112

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, CLAIM STATUS INQUIRY
43168 Advantica Administrative Svcs (St. Louis, MO)
Dentemax (St. Louis, MO)

Everence (Goshen, IN)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
35605

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

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
CXFMC

Family Dental (Salem, OR)

PARTICIPATING PAYER / CLAIMS
CX096

Fara Benefits (PO Box 8770, Metairie, LA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX055

FedEx Freight East, Inc (Harrison, AR)

PARTICIPATING PAYER / CLAIMS
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

Fidelio Laborers (2826 Mt Carmel, Glenside, PA)

PARTICIPATING PAYER / CLAIMS
FX007

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, 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 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, ELIBILITY INQUIRY
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

Freedom Life (Ft Worth, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX184

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, CLAIM STATUS INQUIRY
57254 ERA 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, ERA, CLAIM STATUS INQUIRY
44054 ERA 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
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)

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

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, 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 (East Lansing, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
CX011

Group Benefit Services (Luterville, MD)

PARTICIPATING PAYER / CLAIMS, ERA
CB951

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

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

Group Health (Madison, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
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, ELIBILITY INQUIRY
CX015 Hoosier Dental (Indianapolis, IN)

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
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 (PAPER ONLY), ERA
GGE01

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 , ERA

HMSA-Hawaii Medical Services Assoc (Honolulu, HI)

NON-PARTICIPATING PAYER / CLAIMS, ERA
10001 ERA

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)

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

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 Economics Group Inc - Rochester, NY

NON-PARTICIPATING PAYER / CLAIMS
CX039

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 Plans, Inc (Westborough, MA)

PARTICIPATING PAYER / CLAIMS, ERA
CX055

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

PARTICIPATING PAYER / CLAIMS
CX019

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

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

HealthCare Payers Coalition (Toledo, OH)

NON-PARTICIPATING PAYER / CLAIMS
HCP01

HealthChoice (Lubbock, TX)

PARTICIPATING PAYER / CLAIMS
71064

HealthComp TPA (PO Box 45018, Fresno, CA)

PARTICIPATING PAYER / CLAIMS
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
HND2

HealthNow NY (PO Box 80, Buffalo, NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
55204 Blue Cross of NY(Western)(PO Box 80, Buffalo, NY)

HealthShare CCO (Salem, OR)

PARTICIPATING PAYER / CLAIMS
CXHSC

HealthSmart Accel (Lubbock a Irving, TX)

PARTICIPATING PAYER / CLAIMS
75237

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

PARTICIPATING PAYER / CLAIMS
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, ELIBILITY INQUIRY, ERA
61101 ERA

Humana/Employers Health of WI (Lexington, KY)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
73288 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
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
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

IHC Admin Services (Eagan, MN)

PARTICIPATING PAYER / CLAIMS
LX141

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
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)

Informed, LLC

NON-PARTICIPATING PAYER / CLAIMS
52196

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

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

Integra Adminstrative Group - Seaford, DE

PARTICIPATING PAYER / CLAIMS, ERA
51020

Integral Quality Care (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
23229

Integrity Admin (Sacramento, CA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA
LX189

InterWest Health (Eagan, MN)

PARTICIPATING PAYER / CLAIMS
84137

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

PARTICIPATING PAYER / CLAIMS
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)

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

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

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 Solution (Fort Mill, SC)

PARTICIPATING PAYER / CLAIMS, ERA
37323

Keystone Mercy Health Plan (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS
KEY01

Klais Company (Akron, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX043

Klais and Company (Fairlawn, OH)

PARTICIPATING PAYER / CLAIMS
34145

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

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

PARTICIPATING PAYER / CLAIMS, ERA
CX083 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

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

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

LifeRe (San Antonio, TX)

PARTICIPATING PAYER / CLAIMS
CX047

Lifestyle Dental (Witcha, KS)

PARTICIPATING PAYER / CLAIMS
27005

Lifewise Health Plan or Oregon (Bend, OR)

PARTICIPATING PAYER / CLAIMS
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)

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 (PAPER ONLY)
LX100

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 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)

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)

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, ELIBILITY INQUIRY, 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)

Managed Care Services (Fort Wayne, IN)

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

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

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

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, ELIBILITY INQUIRY
46000

MapFre

PARTICIPATING PAYER / CLAIMS
PRFRE

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

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

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
EM843

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 (PAPER ONLY), ERA
56205 MBS (MedCost Benefit Services(MBS))Winston Salem, NC

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

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 Idaho (Boise, ID)

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY
CKID1 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, ELIBILITY INQUIRY
CKLA2

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

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
CKLA1

Medicaid of Maine

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

Medicaid of Massachusetts

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
CKMA1

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
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, 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 South Carolina

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY
CKSC1 ERA

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 VA - Richmond, VA

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY
CKVA1 ERA

Medicaid of Vermont

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

Medicaid of Washington

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

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 ,

Medical Associate Health Plan (Dubuque, IA)

PARTICIPATING PAYER / CLAIMS
MAHC1

Medical Benefit Administrators - Madison, WI

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
CX024

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 (MMO)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA, CLAIM STATUS INQUIRY
CB833 ERA

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

Mennonite Mutual Aid (Goshen, IN)

PARTICIPATING PAYER / CLAIMS
MNM01 Everence (Mennonite Mutual Aid)(Goshen, IN)

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)

Michigan Dental Plan (Clawson MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX116

Michigan Laborers (Carmel, IN)

PARTICIPATING PAYER / CLAIMS
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)

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

Mid-American Benefits In (Omaha NE)

PARTICIPATING PAYER / CLAIMS, ERA
LX085

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

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

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
LX172

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
CX045

National Pacific of TX (TX)

PARTICIPATING PAYER / CLAIMS
CX057

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 (PAPER ONLY)
LX080

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 Dental Health Alliance (Shawnee Mission, KS)

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

NorthEast Delta Dental (ME, NH, VT)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, ERA
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 (PAPER ONLY)
91060 Western Teamsters (Seattle, WA)

Northwest Dental Services - Roseburg, OR

PARTICIPATING PAYER / CLAIMS
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

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

Optima (4417 Corporation Lane, Virignia Beach)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX023

Optima (Troy, MI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX065

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 CNY (Syracuse, NY)

PARTICIPATING PAYER / CLAIMS
70454

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

PARTICIPATING PAYER / CLAIMS
21614

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)

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
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 Central Iowa (Council Bluffs, IA)

PARTICIPATING PAYER / CLAIMS
72436

Pace Nebreska (Omaha, NE)

PARTICIPATING PAYER / CLAIMS
35416

Pace Southwest Iowa (Omahan, NE)

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
CX056

PacificSource Admin (Portland, OR)

PARTICIPATING PAYER / CLAIMS
93031

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
CX060

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

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
CX053

Paid Dental (PO Box 9150, Austin, TX)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX054

Pan American Life Ins. (El Paso, TX)

PARTICIPATING PAYER / CLAIMS, ERA
04218

Paper Claims

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
06126

Paragon Benefits, Inc. (Columbus, GA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
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
32069

Pavers and Road Builders Welfare Fund

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
PRW01

Pekin Life Insurance (Pekin, IL)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA
LX148

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, ERA
CX068 ERA

Pipe Trades Industry Health a Welfare Fund

PARTICIPATING PAYER / CLAIMS
PIP01

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

PARTICIPATING PAYER / CLAIMS
PIP02

Pipestone Industry Benefit Trust (Tulsa OK)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
LX099

Pittman a Associates (Memphis, TN)

PARTICIPATING PAYER / CLAIMS, ERA
37224 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)

Plasters a Cement mason Local 148 Health a Welfare Fund

PARTICIPATING PAYER / CLAIMS
PCM01

Plumbers Local Union 68 (Houston, TX)

PARTICIPATING PAYER / CLAIMS
PLU68

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 Care (Rochester, NY)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
16112 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

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

Prominence Health Plan (Reno a Henderson, NV)

PARTICIPATING PAYER / CLAIMS, ERA
88029

Providence Admin Services (Eagan, MN)

PARTICIPATING PAYER / CLAIMS, ERA
PAS01

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)

QuadMed (West Alis, WI)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
39197

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)

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

NON-PARTICIPATING PAYER / CLAIMS, ERA
93200 ERA 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 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, ELIBILITY INQUIRY, ERA
RLHA1 ERA

Reserve National Insurance Company

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA
73066

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

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

Resource One (Buckeystown MD)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA
LX094

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

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
SCION 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 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

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

Scion Dental (Milwaukee, WI)

PARTICIPATING PAYER / CLAIMS
SDCOM

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
CX092

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 (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
SMW01

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

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
41143

Shelte Point Life (Great Neck, NY)

PARTICIPATING PAYER / CLAIMS
81434

Shenandoah Life Insurance (Roanoke, VA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ELIBILITY INQUIRY
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
SKYGN 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

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
37318

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

Southwest Service Admin (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS
CX100

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)

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 ( Lincoln, NE)

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
69019

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

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

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)

Starmount Life Insurance Company (Baton Rouge, LA)

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

State Auto (Columbus, OH)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
46450

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
95202

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, ELIBILITY INQUIRY
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

TIC International, Inc (Carmel, IN)

PARTICIPATING PAYER / CLAIMS
TIC01

TLC Benefit Solutions (Valdosta, GA)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY), ERA
LX147

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

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
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)
LX110

The Humboldt-DelNorte (Eureka, CA)

PARTICIPATING PAYER / CLAIMS
CRIHB

Theatrical and Stage Local 16 (Dublin, CA)

PARTICIPATING PAYER / CLAIMS
CHSTS

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)

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-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 TriState Benefit Solutions (Eagan, MN)

Triple S / Medicare Optimun

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

TruAssure (Lisle, IL)

PARTICIPATING PAYER / CLAIMS
ILDTA

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

UC Health Plan Administrators (Englewood, CO)

PARTICIPATING PAYER / CLAIMS
89789

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 International Medical Group: FBOP Honolula (Phoenix, AZ)

PARTICIPATING PAYER / CLAIMS
80085

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 400-5205 (Carmel, IN)

PARTICIPATING PAYER / CLAIMS (PAPER ONLY)
A5205

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

PARTICIPATING PAYER / CLAIMS
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
52180

UNICARE Special Accounts

PARTICIPATING PAYER / CLAIMS
65099

UPMC Health Plan (Pittsburg, PA)

PARTICIPATING PAYER / CLAIMS, ERA
23281 ERA

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

UltraBenefits, Inc (Westborough, MA)

PARTICIPATING PAYER / CLAIMS, ERA
41206

Unicare

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

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)

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)

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

PARTICIPATING PAYER / CLAIMS
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, ERA
87726 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

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

Valir PACE (Oklahoma City, OK)

PARTICIPATING PAYER / CLAIMS
64009

Valley Health Plan (GreenBay, WI)

PARTICIPATING PAYER / CLAIMS
VHP01

Valor Health Plan (Little Rock, AR)

PARTICIPATING PAYER / CLAIMS
43259

Vantage Health Plan (Monroe, LA)

PARTICIPATING PAYER / CLAIMS
72128

Varipro (Eagan, MN)

PARTICIPATING PAYER / CLAIMS
72187

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 (PAPER ONLY)
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
10050 Cigna DHMO

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 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)
TLW33

Willamette Valley (Salem, OR)

PARTICIPATING PAYER / CLAIMS
CXWVC

William C Earhart (Portland, OR)

NON-PARTICIPATING PAYER / CLAIMS, ERA
93050

Wilson, McShane (Mpls, MN)

PARTICIPATING PAYER / CLAIMS, ERA
R7002 ERA

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

PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY, 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

Zelis Payments

NON-PARTICIPATING PAYER / CLAIMS, ERA
LX143 ERA

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

NON-PARTICIPATING PAYER / CLAIMS, ELIBILITY INQUIRY
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