Electronic Attachment Dental Payer List Payer Name NEA Payer ID
NEA. Payer ID. Administrative Services Only Inc. 089002. BCBS of Texas. 034004. AETNA. 037001. BCBS of Wisconsin. 026022. Aetna DMO. 037018. Bell Atlantic.
Sandata Electronic Visit Verification
25 июн. 2020 г. CLIENT PAYER ID. Displays the client payer id. PAYER. Displays the ... 6/25/2020. Page 38 of 213. Sandata Electronic Visit Verification Manual ...
LIST OF PAYORS
18 февр. 2020 г. Payor ID 91131. Submit claims to: Submit claim appeals to: PO Box ... 02/04/2020. LIST OF PAYORS. Website: FCH. Page 23 of 23.
Institutional Claim Payers List (01/16/2020)
16 янв. 2020 г. MVP - Ohio (Previous payer ID MHP77; Use payer ID 38224 for claims with a date of service. 07-01-19 and greater). 38224. Y. MVP OHIO. FALSE. G.
Aetna Payer Sheet D.0 COM
4 авг. 2020 г. Your Software. Vendor/Certification ID is 1Ш bytes and should begin with the letter “D”. 08/04/2020. Page 5 of 24. Page 6. Insurance Segment: ...
Claims Payer List for UnitedHealthcare Affiliates and Strategic
effective 3/1/2020. Commercial. UnitedHealthcare West / UnitedHealthcare of CA Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB ...
2020 Payer Sheet
1 янв. 2020 г. PCN List for BIN 610241 ... OTHER PAYER ID QUALIFIER. RW. Required when secondary coverage is ...
Electronic Billing
15 December 2020 1100 – 1200 EST. 17 December 2020 1600 – 1700 EST Medical Payer – HIC ID list. • Log in to ABACUS. • Go to Master Tables→ Insurance ...
Harvard Pilgrim
payer ID is appropriate. Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. If you have any ...
CLAIMS & ERA PAYER LIST October 27 2023
27 окт. 2023 г. ... 2020. Claims with DOS. 5/1/20 and after use payer code CAPMN. Experian ... ID 45276 West Virginia Family. Health Plan will remain active only ...
CLAIMS & ERA PAYER LIST September 9 2022
9 de set. 2022 Experian Health Payer List. Page 1 of 139 ... For DOS Prior to 5/1/2020. ... Effective 3/27/19 the new payer ID is ALTAM. AltaMed.
Claims Payer List for UnitedHealthcare Affiliates and Strategic
Claims Payer List for UnitedHealthcare Brand Name / Plan Name or Region. Medical. Payer ID. Dental. Payer ID ... effective 3/1/2020. Commercial.
OptumInsight Medical Payer List (08/29/2022)
29 d’ag. 2022 2020 may continue to use the following until Dec. 31
Blue Cross Blue Shield of Michigan Electronic Interchange Group
18 de nov. 2021 Blue Cross Blue Shield of Michigan Electronic Interchange Group Professional Commercial Payer List. Payer ID. Claim. Office # Type. Name.
Electronic Attachment Dental Payer List Payer Name NEA Payer ID
NEA. Payer ID. Administrative Services Only Inc. 089002. BCBS of Texas. 034004. AETNA. 037001. BCBS of Wisconsin. 026022. Aetna DMO. 037018. Bell Atlantic.
Harvard Pilgrim
Reference Guide for Payer ID Numbers. If you work with a clearinghouse to submit claims it's important to include the correct payer ID on your submitted
List of Automatic Crossover Trading Partner (Insurers) In Production
Supplemental Payers and Insurers (Trading Partners). Updated: 09/30/2018. Trading Partner. Identification Number(s) Customer Contact. Contact Number.
eClaims Dental Payer List Information
eClaims Dental Payer List. April 2020. State. Payer. ID. Group # Enroll. Real Time Claims. *. Real Time Pre. Estimates*. Additional Info.
Institutional Claim Payers List (08/29/2022)
Institutional Claim Payers List. (08/29/2022). Payer. ID. Reports. Enter As Name 2020E. N. 2020 EYECARE. FALSE. G. 360 Alliance Gilsbar ##.
Payer ID Tech ID OI Code Coverage Type Payer Phone Street City
Payer ID. Tech ID. OI Code. Coverage. Type. Payer Phone Street. City. State Payer Name. 00029005 (800) 685-2020 PO BOX 950.
Claims Payer List for UnitedHealthcare Affiliates and
Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claimsCOB = Coordination of Benefits; indicates secondary/COB claims accepted electronicallySmart Edits = Apply to electronic claims submissions; Not applicable to DSNP lines of business 2023 UnitedHealthcarePage 2 of 23/2/2023
Payer ID grids now available for 2022 - IBX
Institutional Claim Payers List (05/08/2023) Payer ID Reports Enter As Name Additional Info Enrollment Payer Type Highlighted payers are new or have been altered in the last 90 days Please verify that your system is setup correctly for these payers
Search Payer List by Name ID & Transaction Type Office Ally
Feb 27 2018 · Search Payer List by Name ID & Transaction Type Office Ally Quickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process Use this banner to inform your visitors of something important
Commercial Payer List - BCBSM
11/18/2021Blue Cross Blue Shield of Michigan Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type Name Address City St 36273E AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES 38265 E ADMIN SYSTEMS RESEARCH ASR ALL CLAIM OFFICE ADDRESSES 22384 E
Searches related to payer id list 2020 filetype:pdf
Payer Identification Information Claims Processing Eligibility and Benefits Information Remittance Information To submit to Payors not on this list use Payor ID "06126" and be sure to submit all required fields including Payor Name and Complete Address (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v09 10 20) xlsx 1 of 15
What's new in the payer ID grids?
- The payer ID grids have been updated with routine maintenance and to reflect product changes for 2022. The professional and facility payer ID grids contain valuable information to assist you in claims submission, including prefixes, payer information, and claims mailing addresses by product.
How has payer ID changed in 2021?
- The first half of 2021 has seen a lot of Payer ID and/or claims address changes. Making sure claims are submitted to the correct Payer ID will prevent delays in payments and an increased amount of denials. Below are some payer ID updates to make note of and update. Effective June 9, 2021, MPS-MVH is no longer accepting new claims.
What is a payer ID?
- Payer ID is for Workers Compensation claims for all states. 2293 J1205 Amerisure Mutual Insurance WORKERS COMPENSATION The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php 2294 12287 Amica Mutual Insurance Company
What payer ID should I use to submit claims for 2022?
- Effective 1/1/2022 please use Payer ID BRGHT for all submissions for 2022 services (excluding CA Medicare Advantage and TrueHealth NM). To avoid rejected claims, please have your IT department update EDI, clearinghouse, and other software processes.
Tesia Clearinghouse
www.Tesia.com1540 W Edgewood Drive
Indianapolis, IN 46217
Tel: (800) 724-7240
Clearinghouse Payer List
Payer IDPayer NameAdditional InfoStatus
Enrollment
RequiredType
270sAvailable
Enrollment
RequiredTypeProcessor
Level of
ResponseEligibility Notes
835sAvailable
Enrollment
Required
Paper EOBs
Shutoff
whenEnrolledERA Notes
CX044A & I Benefit Plan AdministratorsNon ParBatch39640A&D Charitable Foundation Inca Mediture Payer, dba GreatLakes PACESNon ParBatch
AARP1AARP DENTAL INSURANCE PLANParBatchTRUESTRUE
43178Acceptiusaka Benefit Management Inc of MONon ParBatch
TLZ17Access Administrators (CA ONLY)ParBatch
CX097ACCESS DENTALNon ParBatch
64071ACCLAIMNon ParBatch
TLX81ACEC Health Plans (Salt Lake City, UT)ParBatchTRUERTTesiaDetailedTRUESTRUEMust Enroll in EFT First
72468ACS BENEFIT SERVICES INCNon ParBatch
61474ACS BENEFIT SOLUTIONSNon ParBatch
38255Activa Benefit Services LLC Non ParBatch
TLU02Administration Systems Research CorporationNon ParBatchCX076ADMINISTRATIVE SERVICES ONLY (ASO)ParRT
TLX97ADN AdministratorsParBatch
93524ADVANTAGE DENTALPlatinumRTTRUEO
In-State, Credentialed Providers
Only83077ADVANTEK BENEFIT ADMINISTRATORSNon ParBatch
43168ADVANTICAfka Essex Dental BenefitsParRT
95340ADVENTIST HEALTHNon ParBatch
60054Aetna ParBatchTRUERTTesiaDetailedTRUEWTRUE
57604Aetna Affordable Health Choices (SM) - SRCParBatchTRUERTTesiaDetailedTRUEWTRUE
128WVAETNA BETTER LIFE AND HEALTH OF WVNon ParBatch
68246Aetna DMOParBatchTRUERTTesiaDetailedTRUEWTRUE
18014AETNA MEDICARENon ParBatch
TLW02Affordable Benefit Administrators IncNon ParBatch58066AFLAC OF GANon ParBatch
52080AFLAC OF NYNon ParBatch
91136AGC International Union of Operating Engineers Local 701 (F07)Non ParBatch
91136AK United Food and Commercial Workers (AK UFCW) (F45)Non ParBatch
CX083Alameda Alliance (Admin by LIBERTY Dental Plan)ParBatch91136Alaska Carpenters (F40)Non ParBatch
AKEF1Alaska Electrical Health & Welfare FundNon ParBatch91136Alaska Hotel Employees, Restaurant & Camp Employees (AK HERE) (F41)Non ParBatch
91136Alaska Laborers Construction Industry Health & Security Trust (F23)Non ParBatch
91136Alaska Machinists Health and Welfare Trust (F21)Non ParBatch
91136Alaska Pipe Trades U A Local 375 (F24)Non ParBatch
91136Alaska Public Employees Association (APEA/JESS Health & Welfare Trust) (F60)Non ParBatch
44423Alexian Brothers Community Services of TNa Mediture PayerNon ParBatch
ALH01ALIERA HEALTHCARENon ParBatch
CXALCALLCARE CCO DENTALA Performance Health Technology PayerNon ParBatch TLU11Allegiance Benefit Plan ManagementNon ParBatch93658ALLIANCE COAL DIRECTNon ParBatch
70106Alliant Servicesaka Voluntary Benefits Plan and US Life Ins CoNon ParBatch
TLX56Allied Benefit SystemsNon ParBatch
91136Allied Metal Crafts Security Plan Trust Fund (F18)Non ParBatch
50503ALTUS DENTALParBatch
STR01Always Care BenefitsParBatch
13343Amalgamated Life / AliCareParBatch
TLU15Amalgamated Life / AliCareParBatch
TLY53Amalgamated Life / AliCareParBatch
58155AMC CLAIMSaka Archbold Medical CenterNon ParBatch
TLU23Ameriben Solutionsfka IEC InsuranceParBatch
75240AMERICAN ADMINISTRATIVE GROUP (AAG)Non ParBatch
42112American Administrators (IA)aka TRISTAR Benefit AdministratorsNon ParBatch
CX084AMERICAN BENEFITS CORPORATIONParBatch
CX001American Medical SecurityParBatchTRUERTTesiaDetailedTRUESTRUEMust Enroll in EFT First TLU48American Trust Administrators Incaka Carolina Summit Health Care IncNon ParBatch16120AMERICAS TPANon ParBatch
54763AMERIHEALTH ADMINISTRATORSpreviously listed as Independence AdministratorsNon ParBatch
47009Ameritas Life Insurance CompanyParBatchTRUERTTesiaDetailedTRUE
53085ANCHOR BENEFIT CONSULTING INCNon ParBatch
84105ANTHEM BCBSincludes Ohio, Indiana and Kentucky
Non ParBatchTRUEOTRUE
CX083Anthem Health Plans - HMOD & HMOG (Admin by LIBERTY Dental Plan) ParBatch CX083Anthem Health Plans of Kentucky - OSB High & Low (Admin by LIBERTY Dental Plan)ParBatch CX083Anthem Health Plans of Kentucky - PPOB & PPOD (Admin by LIBERTY Dental Plan) ParBatch CX083Anthem Health Plans of Virginia - OSB High & Low (Admin by LIBERTY Dental Plan) ParBatch CX083Anthem Health Plans of Virginia - PPOB & PPOD (Admin by LIBERTY Dental Plan) ParBatch CX083Anthem HMO Colorado - HMO-B (Admin by LIBERTY Dental Plan) ParBatch CX083Anthem Insurance - OSB High & Low (Admin by LIBERTY Dental Plan) ParBatch CX083Anthem Insurance - PPOB & PPOD (Admin by LIBERTY Dental Plan) ParBatch34196Apex Benefit ServicesNon ParBatchTRUEWTRUE
Payer Identification InformationClaims ProcessingEligibility and Benefits InformationRemittance InformationTo submit to Payors not on this list, use Payor ID "06126"
and be sure to submit all required fields, including Payor Name and Complete Address.(C) 2014 Tesia Clearinghouse
Tesia Dental Payer Listing - Website (v09.10.20).xlsx1 of 15
Tesia Clearinghouse
www.Tesia.com1540 W Edgewood Drive
Indianapolis, IN 46217
Tel: (800) 724-7240
Clearinghouse Payer List
Payer IDPayer NameAdditional InfoStatus
Enrollment
RequiredType
270sAvailable
Enrollment
RequiredTypeProcessor
Level of
ResponseEligibility Notes
835sAvailable
Enrollment
Required
Paper EOBs
Shutoff
whenEnrolledERA Notes
Payer Identification InformationClaims ProcessingEligibility and Benefits InformationRemittance Information
TLW68APIPA (Arizona Physicians IPA) - Claims ONLYParBatchTRUERTTesiaDetailedTRUESTRUEMust Enroll in EFT First
TLX06APIPA (Arizona Physicians IPA) - Pre Determinations ONLYParBatchTRUERTTesiaDetailedTRUESTRUEMust Enroll in EFT First
44444APWU HEALTH PLANNon ParBatch
ARCMSAR MEDICARE ADVANTAGEParBatchTRUERTTesiaDetailedTRUESCXARCARC ADMINISTRATORSNon ParBatch
ARGUSARGUS DENTAL PLANNon ParBatch
63240ARM LTDNon ParBatch
90475ARROW BENEFITS GROUPNon ParBatch
TLX61ASEA / AFSCME Local 52ParBatchTRUE
TLU02ASR CorporationNon ParBatch
TLU02ASR Health BenefitsNon ParBatch
TLX83Assured Benefit AdministratorsNon ParBatch
93221ASURIS NORTHWEST HEALTHNon ParBatchTRUE
ADN01Atlantic Dental (ADI)Non ParBatch
ATPA1ATPA - Associated Third Party AdministratorsNon ParBatchAULTCAultCare DentalNon ParBatch
37242AULTRA ADMINISTRATIVE GROUPNon ParBatch
38259AUTOMATED BENEFIT SERVICESNon ParBatch
37280AUTOMATED GROUP ADMINISTRATIONNon ParBatch
86098Avesis ParBatch
A2051BAC Local 15 Welfare FundNon ParBatch
TLY50BANNER HEALTH AND DENTAL PLANNon ParBatch
U8053BAS BENEFITS / MATRIX HCNon ParBatch
CBID1BC - IDAHONon ParWBatchTRUEW
CBMI1BC BS OF MI - FEDERALNon ParBatch
47198BC OF CA (WELLPOINT)Non ParBatchTRUEOTRUE
CX004BC OF ND (NORTH DAKOTA DENTAL SERVICE)Non ParOBatch47570BCBS - AlaskaParBatchTRUERTTesiaDetailed
TBX01BCBS - ArizonaNon ParBatchTRUEWTRUE
83470BCBS - ArkansasParBatch TRUE RTTesiaDetailedTRUES
TFQ45BCBS - ARKANSAS (FEDERAL ONLY)Non ParOBatch
65358BCBS - CONNECTICUTNon ParBatchTRUEOTRUE
SB601BCBS - GeorgiaNon ParBatchTRUEOTRUE
CB621BCBS - Illinois
Includes BCBS Illinois FEP Claims Previously SubmittedUnder Payer ID TLW12Non ParBatch
TLU89BCBS - Indiana (FEP)Non ParBatchTRUEOTRUE
84105BCBS - Indiana (Anthem)Non ParBatchTRUEOTRUE
CBIA1BCBS - IOWA (FEP AND FARM BUREAU)Non ParWBatchCBIA2BCBS - IOWA (WELLMARK)Non ParWBatch
TLU90BCBS - Kentucky (FEP)Non ParBatchTRUEOTRUE
84105BCBS - Kentucky (Anthem) Non ParBatchTRUEOTRUE
BME01 BCBS - MAINENon ParBatchTRUEOTRUE
00580BCBS - Maryland / CareFirst
Includes Claims for BCBS MD CareFirst Previously
Submitted under Payer IDs TLX85 and TLX86Non ParBatchTRUERTTesiaDetailedCan also use Payer ID TLX85CBMA1BCBS - MassachusettsNon ParBatch
BCBSMBCBS - MIGHIGANNon ParBatch
BXMN1BCBS - MINNESOTANon ParBatch
TLU22BCBS - Minnesota - Federal Employee Program (FEP)Non ParBatchTBS03BCBS - Mississippi (CHIP Claims ONLY)ParBatchTRUERTTesiaDetailedTRUESTRUEMust Enroll in EFT First
TBS04BCBS - Mississippi (SPECIAL)Non ParSBatchTRUESTLX52BCBS - MISSOURINon ParBatchTRUEOTRUE
TLU06BCBS - MontanaNon ParBatch
BNH01BCBS - NEW HAMPSHIRENon ParBatchTRUEOTRUE
84100BCBS - New Mexico Non ParBatch
52133BCBS - North Carolina (Salt Lake City, UT ONLY)ParBatchTRUERTTesiaDetailedTRUESTRUEMust Enroll in EFT First
84105BCBS - Ohio (Anthem)Non ParBatchTRUEOTRUE
TLU91BCBS - Ohio (FEP)Non ParBatchTRUEOTRUE
TBOK1BCBS - OklahomaNon ParBatch
CB870BCBS - RHODE ISLAND
FEP claims should NOT be submitter under this Payer ID - Please use Payer ID RIFEPParBatchTRUERTTesiaDetailedTRUESRIFEPBCBS - RHODE ISLAND (FEDERAL)
Only FEP claims should be submitted under this PayerIDNon ParBatch
TRUEWOnly in-state providers may
enroll for ERA.TLY09BCBS - SOUTH DAKOTANon ParWBatchCBTN1BCBS - TennesseeNon ParWBatchTRUEWL
84980BCBS - Texas Non ParBatch
84103BCBS - Virginia (Trigon)Non ParBatchTRUEOTRUE
47570BCBS - WashingtonParBatchTRUERTTesiaDetailed
TLY47BCBS - Washington DCNon ParBatchTRUERTTesiaDetailed39141BCBS - Wisconsin
Includes BCBS WI Claims Previously Submitted UnderPayer ID CB950Non ParBatchTRUEOTRUE
To submit to Payors not on this list, use Payor ID "06126"and be sure to submit all required fields, including Payor Name and Complete Address.(C) 2014 Tesia Clearinghouse
Tesia Dental Payer Listing - Website (v09.10.20).xlsx2 of 15
Tesia Clearinghouse
www.Tesia.com1540 W Edgewood Drive
Indianapolis, IN 46217
Tel: (800) 724-7240
Clearinghouse Payer List
Payer IDPayer NameAdditional InfoStatus
Enrollment
RequiredType
270sAvailable
Enrollment
RequiredTypeProcessor
Level of
ResponseEligibility Notes
835sAvailable
Enrollment
Required
Paper EOBs
Shutoff
whenEnrolledERA Notes
Payer Identification InformationClaims ProcessingEligibility and Benefits InformationRemittance Information
TLX12BCBS - WyomingParBatchTRUERTTesiaDetailedTRUES BBMDQBCBS MI / BCBS MI MEDICARE ADVANTAGENon ParBatch CBAL1BCBS OF ALNon ParBatchTRUERTTesiaGeneralTRUEWTRUE77078BCBS OF AZ - ADVANTAGEaka Banner Plan AdministrationNon ParBatch
84099BCBS OF CONon ParBatchTRUEOTRUE
00700BCBS OF CT - FAMILY PLANNon ParBatchTRUEOTRUE
53287BCBS OF DENon ParBatch
00590BCBS OF FL - FEDERALNon ParBatch
47171BCBS OF KANSAS CITYNon ParBatchTRUEW
47163BCBS OF KSNon ParBatchTRUEW
23739BCBS OF LANon ParSBatchTRUEW
TBS01BCBS OF MSNon ParSBatchTRUES
61473BCBS OF NCNon ParBatch
61472BCBS OF NC - FEDERALNon ParBatch
CBNE1BCBS OF NENon ParBatch
84101BCBS OF NVNon ParBatchTRUEOTRUE
38520BCBS OF SCNon ParBatch
00301BCBS OF WNYParBatchTRUEW
49153BCI ADMINISTRATORS INCParBatch
BEAM1BEAM DENTALParBatch
60054Bell AtlanticParBatchTRUERTTesiaDetailedTRUEWTRUE
23210BENECARE DENTAL PLANParBatch
TFQ64BENEFIT ADMINISTRATIVE SYSTEMSNon ParBatch
41205BENEFIT ADMINISTRATIVE SYSTEMS - MSNon ParBatch
25145BENEFIT COORDINATORS CORPORATIONNon ParBatch
R7003Benefit IncParBatchTRUERTTesiaDetailedTRUES
43471BENEFIT MANAGEMENT / INETCOParBatch
36459Benefit Management Group (NV)Non ParBatch
48611BENEFIT MANAGEMENT INCNon ParBatch
37212BENEFIT MANAGEMENT SYSTEMSNon ParBatch
19753BENEFIT PLAN ADMINISTRATORS INCNon ParBatch
20413Benefit Plan Administrators Incfka 3P AdministratorsParBatch
39081Benefit Plan Administrators Inc
Includes Custom Benefit Administrators Claims
Previously Submitted Under Payer ID 39170ParBatch
07000Benefits Inc (Construction Suppliers Group only)ParBatchTRUERTTesiaDetailedTRUES
BMX01BENEMAXNon ParBatch
95604BEST LIFE AND HEALTH INSURANCE COMPANYNon ParBatch
TLY26Blue Advantage (BCBS of AR)ParBatchTRUES
CX083Blue Cross Blue Shield of Wisconsin - PPOD (Admin by LIBERTY Dental Plan) ParBatchBCD01Blue Cross DentalParBatch
CX083Blue Cross of California - OSB High & Low (Admin by LIBERTY Dental)ParBatch CX083Blue Cross of California - Plan SS10 & SS20 (Admin by LIBERTY Dental Plan) ParBatch CX083Blue Cross of California - PPOA (Admin by LIBERTY Dental Plan) ParBatch52133Blue Shield of California ParBatchTRUERTTesiaDetailedTRUESTRUEMust Enroll in EFT First
CB865Blue Shield of PennsylvaniaPlatinumRTTRUERTTesiaDetailedTRUES CBPA2Blue Shield of Pennsylvania - Dental PlusPlatinumRTTRUERTTesiaDetailedTRUES36609BOILERMAKERS NATIONAL HEALTH AND WELFARE FUNDNon ParBatch
TLX71Bollinger InsuranceParBatch
74237BOON-CHAPMAN BENEFIT ADMINISTRATORSNon ParBatch
04210Boston University Dental Health PlanNon ParBatch
CX028BRIDGEPORT LLC OF MISSOURIParRT
BRIDGBRIDGESPAN HEALTHNon ParBatchTRUE
CX032Brokers National ParBatchTRUERTTesiaDetailedTRUE00800BS - NENYParBatchTRUEW
BSCA2BS OF CA - FEDERALNon ParBatch
61301Businessmen's Assurance (NE)ParBatchTRUERTTesiaDetailedTRUE
42150BUTLER BENEFITSNon ParBatch
CX083Cal Optimal - OneCare (Admin by LIBERTY Dental Plan)ParBatch71057CANNON COCHRAN MANAGEMENT SERVICES INCNon ParBatch
CBC01Capital Blue CrossParBatch
68011CAPITOL ADMINISTRATORS OF CANon ParBatch
CX095CAPITOL DENTALNon ParBatch
CAPHPCAPROCK HEALTH PLANSNon ParBatch
CX083Care 1st Health Plan Medicare Advantage (Admin by LIBERTY Dental Plan)ParBatch CX083Care 1st PHP LA & San Bernadino County (Admin by LIBERTY Dental Plan)ParBatchTLY44Careington CorporationParBatch
93975CAREOREGONNon ParBatch
GACS1CARESOURCE - GANon ParBatch
INCS1CARESOURCE - INNon ParBatch
KYCS1CARESOURCE - KYNon ParBatch
WVCS1CARESOURCE - WVNon ParBatch
To submit to Payors not on this list, use Payor ID "06126"and be sure to submit all required fields, including Payor Name and Complete Address.(C) 2014 Tesia Clearinghouse
Tesia Dental Payer Listing - Website (v09.10.20).xlsx3 of 15
Tesia Clearinghouse
www.Tesia.com1540 W Edgewood Drive
Indianapolis, IN 46217
Tel: (800) 724-7240
Clearinghouse Payer List
Payer IDPayer NameAdditional InfoStatus
Enrollment
RequiredType
270sAvailable
Enrollment
RequiredTypeProcessor
Level of
ResponseEligibility Notes
835sAvailable
Enrollment
Required
Paper EOBs
Shutoff
whenEnrolledERA Notes
Payer Identification InformationClaims ProcessingEligibility and Benefits InformationRemittance Information
CKOH2CARESOURCE (OH)Non ParBatch
TFQ25Carpenters Combined FundsPlatinumRTTRUERTTesiaDetailedTRUES TLW16CARPENTERS HEALTH AND WELFARE - PHILADELPHIAParBatch TLW06Carpenters Health and Welfare Trust FundsParRTTRUERTTesiaDetailedCHA01CASCADE HEALTH ALLIANCENon ParBatch
37060Caterpillar IncParBatchTRUERTTesiaDetailedTRUESTRUEMust Enroll in EFT First
03036CBA BLUE DENTAL / EMP BENEFIT PLAN ADMINNon ParBatch
TLZ03CCPOA BENEFIT TRUST FUNDNon PariBatch
88022CDS GROUP HEALTHNon ParBatch
91136Cement Masons & Plasterers Health & Welfare Trust (F16)Non ParBatch
TLU51Central PA Teamsters Health & Welfare FundParBatchTRUESTRUE TLW76Central Reserve Life Insurance CompanyNon ParBatch36215CENTRAL STATES HEALTH AND WELFARE FUNDParBatch
20356Cerner Health Plan ServicesNon ParBatch
84147CHAMPVA
CHAMPVA-HAC is not associated with and does not
process claims for TRICARE (fka CHAMPUS)Non ParBatchTLU92Chesterfield Resources IncPaper
TLY40Chicago Regional Council of CarpentersParBatch84147Children of Women Vietnam Veterans - VA HACNon ParBatch
60054Choice Plus (TRW)ParBatchTRUERTTesiaDetailedTRUEWTRUE
38308CHRISTIAN BROTHERS SERVICESNon ParBatch
62308CIGNAParBatchTRUES
Paper remittances turned off if
enrolled in EFT.10050CIGNA (DHMO)ParBatchTRUES
Paper remittances turned off if
enrolled in EFT.CGHMOCIGNA DHMOParBatchTRUES
Paper remittances turned off if
enrolled in EFT. TLU52Citizens Security Life Insurance CoNon ParBatch38219CLAIM CHOICE ADMINISTRATORSNon ParBatch
CAS89COASTAL ADMINISTRATIVE SERVICESParBatch
TLU53COMBINED INSURANCE SERVICENon PariBatch
75261Community Health Electronic Claims (CHEC/Webta)Non ParBatch
CX083Community Insurance - HMOA & PPOB (Admin by LIBERTY Dental Plan) ParBatch CX083Community Insurance - PPOD & PPOF (Admin by LIBERTY Dental Plan) ParBatch48005COMPANION LIFENon ParBatch
77828COMPANION LIFENon ParBatch
CX021COMPBENEFITSNon ParBatch
PBGSMCOMPREHENSIVE BENEFIT ADMINISTRATORSNon ParBatch00720COMPREHENSIVE CARE SERVICE (CCSTPA)Non ParBatch
WT011Comprehensive Healthcare OptionsNon ParBatch
74234COMPUSYS - ERISA GROUPParBatch
37307Connecticut Carpenters Health FundParBatchTRUERTTesiaDetailedTRUESTRUE
62308Connecticut General (CIGNA)ParBatchTRUES
Paper remittances turned off if
enrolled in EFT.37135Consociate GroupNon ParBatch
61305Consolidated Group DentalNon ParBatch
35245CONTINENTAL BENEFITSNon ParBatch
52132Cooperative Benefit AdministratorsNon ParBatch
TLX80CORE Administrative ServicesNon ParBatch
TFQ74CoreFiveParBatch
35183CORESOURCENon ParBatch
75136CORESOURCE - ARNon ParBatch
41045CORESOURCE - AZ MNNon ParBatch
35182CORESOURCE - MD PA ILNon ParBatch
35180CORESOURCE - NCNon ParBatch
TLX31CORESOURCE DETROITfka NGS AmericanNon ParBatch48117CORESOURCE KCfka FMH Benefit Services IncNon ParBatch
58102COVENANT ADMINISTRATORSNon ParBatch
CX049COVENTRY - DENEXNon ParBatch
25148COVENTRY HEALTH CARE - GANon ParBatch
87043Coventry Healthcare National NetworkNon ParBatch
37320Creative Plan Administrators (MD)Non ParBatch
TLU54Crescent DentalNon ParBatch
56213CRESCENT HEALTH SOLUTIONSNon ParBatch
CX054CSEA EMPLOYEE BENEFIT FUNDParBatch
TLU56CT Carpenters Health FundParBatchTRUERTTesiaDetailedTRUESTRUE42141CTI AdministratorsNon ParBatch
TFQ58Custom Design BenefitsParBatch
60054CustomCare (Southwest Bell Execs)ParBatchTRUERTTesiaDetailedTRUEWTRUE
07689Cypress Benefit AdminParBatch
To submit to Payors not on this list, use Payor ID "06126"and be sure to submit all required fields, including Payor Name and Complete Address.(C) 2014 Tesia Clearinghouse
Tesia Dental Payer Listing - Website (v09.10.20).xlsx4 of 15
Tesia Clearinghouse
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