Read Microsoft Word - payer_list_for_website.doc text version

Electronic Claims Payer List

Available through: Kodak SoftDent practice management software Kodak PracticeWorks practice management software Kodak OrthoTrac practice management software A A and I Benefit Plan Administrators of Oregon ACS Benefit Services, Inc. Aetna Advantage Dental AFLAC (Ga Address Only) Alabama Medicaid (+) Alaska Medicaid (+) Alta Health & Life Insurance Co.(AH&L) Altus Dental American Medical Securities Ameritas Life Insurance Company Amway Corporation/Dental Anthem BCBS (IN, OH, KY, ME & NH) Anthem Health & Life Ins. Co.of N.J. APA Partners APWU - Amer. Postal Workers Union Health Plan Arkansas Medicaid Atlantic Dental B Bankers United Life Assurance - Student Insurance Bell Atlantic Benecare Dental Plans Benecare Dental Plans (MEDICAID) Benefit Coordinators Corp. (Pittsburgh, PA) Benefit Planners(BOERNE,TX) Benefit Systems & Services(WESTMONT,IL) Blue Cross Blue Shield of Alabama (+) Blue Cross Blue Shield of Arkansas (+) Blue Cross Blue Shield of Colorado (Anthem) Blue Cross Blue Shield of Delaware Blue Cross Blue Shield of Georgia (+) Blue Cross Blue Shield of Illinois Blue Cross Blue Shield of Indiana (Anthem) Blue Cross Blue Shield of Kansas (+) Blue Cross Blue Shield of Kentucky (Anthem) Blue Cross Blue Shield of Louisiana (+) Blue Cross Blue Shield of Maine (Anthem) Blue Cross Blue Shield of Massachus.(+) Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of New Hampshire (Anthem) Blue Cross Blue Shield of New Jersey(+) Blue Cross Blue Shield of New York (Rochester) Blue Cross Blue Shield of Nebraska (+) Blue Cross Blue Shield of Nevada (Anthem) Blue Cross Blue Shield of Nth.Dakota(+) Blue Cross Blue Shield of Ohio (Anthem) Blue Cross Blue Shield of Oregon (Regence) (+) Blue Cross Blue Shield of Tennessee(ID) Blue Cross Blue Shield of Texas Blue Cross Blue Shield of Utah (Regence) (ID) Blue Cross Blue Shield of Virginia (Anthem)(ID) Blue Cross Blue Shield of West Virginia (+) Blue Cross Blue Shield of Wisconsin(ID) Blue Cross Dental(Rhode Island ONLY)(+) Blue Cross of California Blue Cross of Connecticut (Anthem) Blue Cross of Idaho (ID) Blue Cross of Washington & Alaska (Premera) BlueDental(Wellmark BCBSIowa) (+) Blue Plus(MINNESOTA ONLY) Blue Shield of Idaho (Regence) (+) Blue Shield of Washington (Regence) Businessmen's Assurance(BMA) Bridgeport LLC Brokers National CAC Mailhandlers Benefit Plan Canada Life Assurance(Atlanta,GA) Cannon Cochran Management Service, Inc. CareSource(OHIO ONLY) (+) Caterpillar (Bethesda, MD addr. only) Choice Plus(TRW) Christian Brother Services CIGNA Claims Management Services (BCBS WI) Clallam County Physicians Service Colorado Medicaid (+) CompDent (Chicago, IL addr. only) CompDent (MEDICAID Chicago, IL addr. only) Community Health Electronic Clear(CHEC) ConcordiaPlus (+) Connecticut General Connecticut Medicaid (+) Consolidated Group Claims (CGC) Cooperative Benefit Administrators Coresource (Lancaster, PA addr. only) CoreStar

C Corporate Benefit Services of America Covenant Administrators, Inc (Atlanta, GA) Cowlitz Blue Shield CNA Health Partners D DC-37 Health & Security Plan of New York Delaware Medicaid (+) Delta Dental Plan of Alabama (DDIC) Delta Dental Plan of Alaska (DDIC) Delta Dental Plan of Arkansas Delta Dental Plan of Arizona Delta Dental Plan of California Delta Dental Plan of Colorado Delta Dental Plan of Delaware Delta Dental Plan of Florida (DDIC) Delta Dental Plan of Georgia (DDIC) Delta Dental Plan of Idaho Delta Dental Plan of Illinois Delta Dental Plan of Indiana Delta Dental Plan of Iowa Delta Dental Plan of Kansas Delta Dental Plan of Kentucky Delta Dental Plan of Louisiana (DDIC) Delta Dental Plan of Maine (Northeast) Delta Dental Plan of Maryland Delta Dental Plan of Massachusetts Delta Dental Plan of Michigan Delta Dental Plan of Minnesota Delta Dental Plan of Mississippi (DDIC) Delta Dental Plan of Missouri Delta Dental Plan of Montana (DDIC) Delta Dental Plan of Nebraska Delta Dental Plan of Nevada (DDIC) Delta Dental Plan of New Hampshire (Northeast) Delta Dental Plan of New Jersey Delta Dental Plan of New Mexico Delta Dental Plan of New York Delta Dental Plan of North Carolina Delta Dental Plan of North Dakota Delta Dental Plan of Ohio Delta Dental Plan of Oklahoma Delta Dental Plan of Oregon Delta Dental Plan of Pennsylvania Delta Dental Plan of Rhode Island Delta Dental Plan of South Carolina

Delta Dental Plan of South Dakota Delta Dental Plan of Tennessee Delta Dental Plan of Texas (DDIC) Delta Dental Plan of Utah (DDIC) Delta Dental Plan of Vermont (Northeast) Delta Dental Plan of Virginia Delta Dental Plan of Washington Delta Dental Plan of Washington DC Delta Dental Plan of West Virginia Delta Dental Plan of Wisconsin Delta Dental Plan of Wyoming Dental Benefit Providers Dental Benefit Providers (Medicaid) Dental Care Plus DentalComp DentalPLUS/UCCI (+) Denti-Cal (+) Diversified Administration Corporation Dominion Dental Doral Dental(KY. Medicaid) (ID) Doral Dental Commercial (ID) Doral Dental Medicaid HMO (ID) E EBS Benefit Solutions EHI E-V Benefits Management, Inc. Electrical Workers Benefit Trust Fund EMPHESYS Empire Blue Cross Blue Shield of N.Y. Employee Bens.Mngt.Corp(DUBLIN,OH.ONLY) Employee Benefit Mngt. Services Inc. Employee Plans,L.L.C.(FT.WAYNE,IN.ONLY) ENCOUNTERS ONLY(Aetna/US Healthcare) ENCOUNTERS ONLY - CIGNA Dental Inc.(ID) EQUICOR Equitable Equitable Plan Services (Oklahoma City, OK Only) Erin Group Administrators in PA Exclusive Care F Federated Mutual Health Ins(Owatonna,MN adr.) First Ameritas Life ins.Corp. of N.Y. First Health First Reliance Standard(NY Business) FlexCare

Florida Power & Light Florida Medicaid (+) Fortis Benefits Insurance Co. Fortis Insurance Company (Milwaukee, WI Adr.) Fraternal Order of Police G GE Group Life Assurance Co(Was Phoenix) GEHA (Government Employees Hospital Assoc) General American Georgia Medicaid (+) GHI (Group Health Inc.) Gilsbar,INC. Golden West Dental Grays Harbor Medical (+) Great West/ONE Health Plans Group Administrators(Schaumburg,IL) Group Benefit Services(East Lansing,MI) Group Dental Services of Maryland, Inc. Group Link(Indianapolis,IN.) Guardian Life Insurance Co.of America H Health Claims Service Health Economics Group Inc. Health Plan Services(Oklahoma adr.ONLY) Health Resources Inc.(HRI) Health Risk Management, Inc.(HRM) HealthPartners of Minn.(COMMERCIAL) Healthplex, Inc. HealthSCOPE Benefits, Inc. Healthsource Provident(CIGNA) Hoosier Dental Benefit Trust HRM Claim Management Humana Employers Health Humana Military Healthcare Services I IBEW Local 369 IBEW Local 117 Health & Welfare Fund Idaho Medicaid (+) Illinois Central Hospital Association Illinois Medicaid(Doral Dental) (ID) Indiana Medicaid (+) Insurance Design Adminstrators International Brotherhood of Boilermakers Iowa Medicaid (+)

J Jardine Group Services Jefferson Pilot/Guarantee Life Insurance J.F. Molloy and Associates, Inc. JLT Services John Deere (ID) John Hancock Mutual Life Insurance Co. John Hancock Preferred Health Plan K Kanawha Insurance Co.(Lancaster,SC.ONLY) Kansas Medicaid (+) Kempton Company Kempton Group Administrators Kentucky Medicaid (+) L Lewis County Blue Shield LifeRe (San Antonio, TX ONLY) Life Insurance Co. of Boston & New York Lincoln National Louisiana Medicaid (ADULT) (+) Louisiana Medicaid (EPSDT) (+) M MAMSI (Mid-Atlantic Medical Services) Machigonne Benefit Administrators Mahoney Benefit Administration, LLC of Texas Mailhandlers Benefit Plan Maine Medicaid (+) Managed Dental Care Network(Health Care) Marriot Massachusetts Medicaid (+) Medcost of N.Carolina(POBox 25987 ONLY) Medica(COMMERCIAL ONLY)(MINN.ONLY) Medica State Health Programs(MINN.ONLY) Medical Benefits Mutual(OHIO addr ONLY) Medical Mutual (Formerly BCBS of Ohio)(+) Mega Life and Health - Student Insurance Mennonite Mutual Aid (Goshen, IN) MetLife HealthCare Network METRAHEALTH Metropolitan Life Insurance Co. MHP(MINNESOTA ONLY) Michigan Medicaid (+) Mid-West National Life - Student Insurance Minneapolis Prudential Business

Minnesota Medicaid (+) Minnesota Medicaid(First Health) Mississippi Medicaid (+) Missouri Medicaid (ID) Montana Medicaid (+) Motorola Inc. Mutual of Omaha Insurance Co. Mutually Preferred N National Rural Letter Carriers NCAS(FAIRFAX,VA. ADDRESS ONLY) New England Dental Admin(Concord,NH) New Hampshire Medicaid (+) New Jersey Medicaid (+) New Mexico Medicaid (+) New World Claims Services New York Medicaid (+) New York Medicaid Article 28 (+) New York State Teamsters Nippon Life Insurance Co. North American Benefits Network North Carolina Medicaid (+) Northeast Delta Dental (NH,VT,ME) NorthWest Dental Services Northwestern National Life (Oxnard CA Only) Northwestern National Life (CoreStar) Nova Dental Care Network, Inc. NYLCare Ethix Northwest NYLCare Health Plans Northwest O Ohio AFSME Care Plan Ohio Medicaid (+) Oklahoma Medicaid (+) ONE Health Plan of California,Inc. ONE Health Plan of Colorado,Inc. ONE Health Plan of Georgia,Inc,. ONE Health Plan of Illinois,Inc. ONE Health Plan of Texas,Inc. Oregon Dental Service P PM Group Pacific Life & Annuity Pacific Source Health Plans(Eugene,OR.) Patriot Mutual

Paul Revere Pennsylvania Medicaid (+) PFT/UCCI Phila.Feder. of Teachers (+) Pinnacle Claims Management Pipefitters 597 H & W Fund (Chicago, IL) Preferred Dental Organization Premier Dental Plan Primary Physician Care, INC. Principal Financial Group Principal Life Insurance Co. Prudential Insurance Co. of America R R.E. Harrington Group Regence Washington Health(Also FEP) Reliance Standard Life ReliaStar (Oxnard CA address Only) Rhode Island Medicaid (+) Rocky Mountain Life S Safeguard Health Enterprises Seabury & Smith(IOWA CITY,IA.ADDR.ONLY) SelectCare(Coca Cola) Select Benefit Administrators Self Funded Plans of Cleveland,Ohio Self Insured Services Company(SISCO) Shenandoah Life Snohomish County Physicians Corp. South Carolina Medicaid (+) Southwestern Bell(CustomCare) Standard Insurance Starmount Insurance Sun Trust Bank Superior Dental Care T TDC Texas Chip-United Concordia Cos. (+) Texas Medicaid (+) The Dental Companies The Dental Concern The Dental Network of Maryland The New England Third Party Claims Management Three Rivers Health - PA Medicaid (+) Thurston County Blue Shield

Time Insurance Company Travelers Plan Administrators Tricare Retiree Dental Trigon Ins.Co.(COLORADO addr. only)(ID) TRIGON (Virginia only) (ID) Trustmark Insurance U UCCI - BlueCHIP (+) UCCI - Tricare Active Reservists (+) UCCI - Tricare Dental Plan (+) UCCI - Line of Business (+) UCCI - Pennsylvania Blue Shield (+) UFCW of Central Ohio (Columbus, OH only) UFCW of Cleveland Ohio UFCW Local 400 (Charleston WV) UICI Administrators UniCARE Life & Health Ins. Co. UniCARE Ins.Co/Mass Mutual United Group Insurance - Student Insurance United of Omaha Insurance Co. United States Life Insurance Co. Utah Medicaid V Varian Health Care Plan Vermont Medicaid Virginia Medicaid

(+) = Special Additional enrollment form required (ID) = Provider ID is required

(+) (+)

W Walla Walla Valley Medical Service Washington Dental Service Washington Medicaid (+) Wausau Benefits WEA Insurance Group Welfare & Pension Admin. Services Wellpoint Dental Western Growers Insurance Company West Virginia Medicaid (+) Whatcom Medical Bureau Wisconsin Medicaid (+) Wyoming Medicaid (+) Y Yakima County Blue Shield


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