Electronic Attachment Dental Payer List October 2020 ... Liberty Plan 451003 BCBS of North Carolina - Dental Blue Select 078002 American Dental Plan of NC, Inc. 017007 Argus - Master Plan 451002 BCBS of North Dakota ... AmeriHealth DC Medicaid 059012 Assurant Health 009005 BCI SNP ID Medicare 006242 … Dental Plans . Dental. Crystal Run Health Plans. In order for this to be submitted as a Dental Claim, select . Box 491 Milwaukee, WI 53201-0491 Electronic claims: Payor ID … Vision plans are underwritten by Avalon Insurance Company, and administered by DDSUSA, in DC, DE, MD, PA and VA. Our payer ID # for Delta Dental Medicare Advantage is … Schedule Demo. PacificSource (Includes Payer ID 20416) 39069. Student accident and special risk … Planstin administers self-funded Dental Plans which are designed to provide care for your regular dental needs. Payer Information. November 2020 2 Prefix Product name Payer information for electronic claims Emdeon payer information* Paper claim mailing address Billing provider ISA-08 GS-03 Personal Choice® (continued) Independence Valid and registered NPI is required. Crystal Run Health Plans. This number is not the same as the 5-digit Payer ID; rather, the Payer Reference Number is usually the longest string of numbers displayed on the EOB or ERA, and in some cases may be alpha numeric. Select Health Payer ID: SX107; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Non Prime: Electronic Remittance (ERA) YES: former payer ids 31107, 33108, 74223, 75196, 75243 Other OptumHealth Physical Health (includes Oxford) 41161 former payer ids 41159, 41160 Other Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) 41194 former payer id 52190 Other OneNet PPO … Select a payer. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI). 46120. Passport Advantage. 4. 72126. 5. Additionally, the specialty claim payer name and ID for DeltaCare has not … (Enroll w/ID 93029) 64246. Payer ID provider number reference — Professional Rev. Vision. You will need to complete this step for all your Billing TIN/ NPIs . Learn More. Select Ins. Corp. of N.Y. 72630 Dental Network of America 00948 First Continental Life & Accident Insurance 01074 Dental Select (UT) 00904 First Dental Health 01081 DentalComp (paper) 00886 First Health 87043 (+)/(ID) = Additional special enrollment required for payer 3469164. MEDICAID OF CALIFORN IA/DENTI-CAL (PAYER ID 94146) DENTAL CONNECT PORTA L GUIDE • Go to Administration and select Manage Practice Setup. 522. Box 69429 Harrisburg, PA 17106-9429. Dental Blue ® Plus is a Health Insurance Marketplace plan. Physicians Health Plan of MI … Click anywhere to close. All We Do Is Dental For more than 20 years, we have been dedicated to delivering on our mission of improving the quality, cost effectiveness and accessibility of dental care for our customers. Enter the payer ID into the Payer ID field. DeltaCare USA has a different payer name and ID for ECS. We hope you enjoy our new look! 66008. If you have questions, please contact … 521. You can search by payor ID or Payor Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. Get Started Questions regarding medical, dental, and pharmacy bills or reimbursements Medical, dental, and pharmacy providers in Minnesota and New Jersey may contact Sentry Insurance at 800-4SENTRY (800-473-6879), ext. To enter an insurance company's Payer ID used for electronic claims submission, perform the following steps. eClaims Dental Payer List March 2010 St Payer ID Group # Enroll Service Additional Info American Administrators dba Select Benefit Administrators (West Des Moines, IA) 42137 Y N Claims Please check the Insured ID card to verify the Payer ID before submitting claims. Schedule Demo. But, if you're authorized to visit a non-network dentist, you may have to submit your own claims. There … Co. 3. The payor search tool helps you identify the insurance companies you work with that offer electronic connectivity. Electronic claims submission tips. Learn More. PAYER ID PAYER NAME ENROLLMENT REQUIRED 13199 AFLAC – Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental 13198 All Savers Life Insurance 10965 Allegiance Benefit Plan Management Inc. 10971 Alliant Health Plans of Georgia 13443 Allianz Life Insurance … Use the Delta Dental provider search tool at www.deltadentalins.com to search for a dentist within the Delta Dental NY Select or Delta Dental PPO networks by area, language, and specialty. COMMERCIAL. We also pride ourselves in providing outstanding service and support to our participating network dentists. Click OK to save the changes. 2. The correct address for all claims, paper and electronic, for Delta Dental of Michigan, Ohio, and Indiana: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085 00773; N N * change or addition to previously published list Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claims. Delta Dental customer service representatives are available to help Monday through Friday, 8:00 am to 8:00 pm (ET) at the Delta Dental … Payer ID valid only for claims with a billing submission address of PO Box 982005 Ft. Worth TX 76182. Alpha Care Medical Group NMM04 837 Former payer code MPM32. Dental Select. When you bill an insurance company using this payor ID, the assigned ID will show on the claim. To enroll in a Dental plan, the employee must enroll in a Base Health plan. Dominion Dental Services USA, Inc. (DDSUSA) is a licensed administrator of dental and vision benefits. Details: Dental Claim Payors (NY) 01084 First Ameritas Life Ins. Participating Payor Including a payer ID on electronic claims allows them to be routed correctly and quickly. We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. Select the appropriate state’s plan for the correct payer ID. Dental Payers Last updated on 06.19.2010 www.Availity.com 1 Payer Name Payer ID Payor (Electronic) ID: The payor ID of the carrier. Click List from the main menu bar. Payer List. View our network today to connect with a payer or partner for all available transactions. 03/08/19 Version 2/Revision 3 Page 6 of 27. ePACES Dental Claim Alpha Care Medical Group NMM04 835 Alta Bates Medical Group A0701 837 AltaMed ALTAM 837 Effective 3/27/19, the new payer ID is ALTAM Corp. of N.Y. 72630 Dental Network of America 00948 First Continental Life & Accident Insurance 01074 Dental Select (UT) 00904 First Dental Health 01081 DentalComp (paper) 00886 First Health 87043 (+)/(ID) = Additional special enrollment required for payer • Select Add Tax ID-NPI and add your Billing NPIs . Box 49 Detroit, MI 48231 Healthy Kids Dental: Blue Cross Blue Shield of Michigan P.O. *To determine your premium, call us at 1-855-488-2515 or click the "Get Started" link to compare your plans today. COB = Coordination of Benefits; indicates secondary/COB claims accepted electronically DENTAL PAYER LIST Commercial Advantage by Peach State Health Plan Medicare Advantica AETNA AETNA Life and Casualty Aetna of Louisiana AETNA Select Alan Sturm & Associates Affinity Essentials Health Plan Altus Dental Insurance Company Inc. AlwaysCare Dental ... BCI SNP ID- Medicare Benefits … Payer ID: DCILD *Please note: ECS is available for utilization/encounter submissions by general dentists for Illinois DeltaCare members who appear on your DeltaCare monthly rosters. Payer ID Dental Payer ID COB Smart Edits Comments. Payer ID (auto, property, and casualty): C1033. 46430. Greater New York Dental Claim Payors (NY) 01084 First Ameritas Life Ins. DentaQuest Payor ID is BBMDQ. This payer id is only valid for claims … These include pediatric dental services and Federal Employee Health Benefit Plan (FEP) dental claims (Emdeon Payer ID #61472), Dental Blue SM (Dental Payer ID #61473), and Dental Blue Select SM (Dental Payer ID #61474). COMMERCIAL. Revenue Performance Advisor Payer List. Payor ID: Payor Name: Payor Type: Transaction Type: 06102: Illinois Medicare: Participating Payor: Professional: 72091: IMA of Louisiana, Inc. Select the Submit Solicited … … 20416. from the drop down. Payer Name LOB All Professional Institutional Dental State --Select-- AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MP MT NE NV NH NJ NM NY ND NC OH OK OR PW PA PR RI SC SD TN TX UT VT VA WA WV WI WY National The Payer uses this number to, among other things, match claims to solicited attachments. Eligibility information, benefits information, claims information, payer ID, Signature Administrators, Student Health, Voluntary, Coventry, Dental, Medicaid, Senior Supplemental Insurance Created Date: Send the Claim Form and supporting documentation to: United Concordia Claims Processing P.O. Please work with your clearinghouse to submit claims electronically Paper claims: Medicare Advantage: Blue Cross Blue Shield of Michigan P.O. Payer: PayerID: 1199 National Benefit Fund of NY (PO Box 1149) 13551 1199 S.E.I.U. ... • Professional • Professional Real Time • Institutional . Peoples Health Network. 83276. The correct address for all claims, paper and electronic, for Delta Dental of Michigan, Ohio, and Indiana: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085 Pacific Source Comm. Including a payer ID on electronic claims allows them to be routed correctly and quickly. Driscoll Children’s Health Plan. UnitedHealthcare Vision. Payer returns ERA's automatically once electronic claim submission begins. Our payer ID # for Delta Dental Premier, PPO and Delta Dental Smiles is CDAR1. Dental Claims Active Duty Dental Program. Insurance Payer Id List 2021 February 13, 2021 December 3, 2020 by medicalbillingrcm The Insurance Payer ID is a unique identification number assigned to each insurance company. Electronic claims submission tips. Dental Guard Preferred. OTHER PAYER DETAILS ... correct because you entered the wrong ID, you may change the ID and click on Go. Select “Add Claim” under “Member Information.” Delta Dental of Arkansas also accepts claims through Envoy, CPS, and Healtheon/WebMD (formerly MedeAmerica). Click Add to create a new supplemental ID. Please enter the unique policy number or ID card when submitting claims. Delta Dental of Wisconsin. This is case sensitive and must match the Electronic Payer ID list … 74284. 1. United Concordia's network dentists will file claims for you. CX093. Double-click on the desired insurance company.

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