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eClaims Dental Payer List Information
Payer IDs are required to send your claims electronically. When you add a new insurance company in your system,
Payer IDs can be entered by going to List|In
surance Companies|Edit the Insurance Company and enter the payer
If you are working with Blue Cross/Blue Shield or Medicaid you will also need to update the payment source
accordingly
Payer List Includes: Commercial Payers ± Pages 1-15 Blue Cross Blue Shield Payers ± Pages 15-17
Delta Dental Payers ± Page 17-18
Medicaid Payers ± Pages 18
-19 Payer ID 06126: Use this eClaims payer id for those insurance companies that are not listed on this eClaims Payer List Group Number Column: Yes = the payer requires the group number
No = the group number is optional
Enroll Column: This column indicates whether or not the payer requires enrollment prior to accepting your claims electronically Yes = Payer requires enrollment please do the following for these payers:
1. Within EagleSoft go to Online|FAQ 2. Under the Search by Keyword field type 4400
3. Click on the eClaims Additional Enrollment Paperwork
No = No paperwork is required
Real Time Claims: Y = Payer participates in Real Time Claims Know what insurance companies will pay on the rendered services within seconds and know the patient portion while the patient is still at the office. Real Time Pre Estimates: Y = Payer participates in Real Time Pre Estimates Additional Information Column: This column includes important information specific to the insurance companies. Obtaining Current Payer List: Recommended every 2-3 months
1. Go to Online|FAQ or pattfaq.com
2. Under the Search by Keyword field type 2453
3. Click on eClaims Payer List and Payer List Changes
For additional questions, please contact the eServices Support Team by using Live Chat, Help|Live Help,
or calling 800-475-5036. eClaims Dental Payer List
April 2020
StatePayerIDGroup #EnrollReal Time Claims
Real Time Pre
Estimates* Additional Info
A & I Benefit Plan Administrators93044YesNo
A.D.N. Administrators, Inc.CXADNYesNo
AARPAARP1YesNoAARP Claims with a mailing address of PO Box
2059, Mechanicsburg, PA
Acceptius (Benefit Management Inc of
MO (BMI)43178YesNo
Access DentalCX097YesNovia Performance Health Technology
Acclaims64071YesNo
ACS Benefit Services Inc.72468YesNof.k.a. ACS Consulting Services, Inc. Activa Benefit Services, LLC/Dental38255YesNo(Formerly Amway Corporation/Dental)
Administrative Services, Inc.59141YesNo
Administrative Services Only, Inc.CX076YesNo
Additional enrollment is not required by the payer, however, providers wishing to submit Claims electronically must be credentialed with the payer.
Please ensure you have successfully process one
paper Claims with the payer prior to submitting your first electronic Claims.
Advantage by SuperiorCPPSAYesYes
Effective only for Dates of Service prior to 2-01-
13. Call DentaQuest at 800-896-2374 and MCNA
Dental at 855-776-6262 for Dates of Service 2-1-
13 and greater.
Advantage Dental Plan, Inc.93524NoNo
Advantek Benefit Administrators83077YesNo
Advantica Benefits 43168YesNoYY
Aetna60054YesNo
Aetna Affordable Health Choices (SM) -
SRC57604YesNo
Aetna Medicare EPO/PPO Dental18014YesNo
Affordable Benefits Admin.95426YesNo
AFLAC GA - GRP58066YesNoGroup Plan coverage please refer to your ID card for group coverage/number verification.
AFLAC NY52080YesNo
This plan also shares the same mailing address
as payer ID 58066 and the only difference between the plans is that the insured ID for the
NY based plan begins with "PN" as "PNxxxxxx"
(followed by 6+ digits) AFLAC NY - GRP52080YesNoGroup Plan Coverage please refer to your ID card for group coverage/number verification.
AGC International Union of Operating
Engineers Local 70191136YesNo
Please enter group # F07 when submitting claims.
A Welfare and Pension Administration Services
payer
AK United Food and Commercial
Workers (AK UFCW)91136YesNo
Please enter group # F45 when submitting claims.
A Welfare and Pension Administration Services
payer
Alask Carpenters91136YesNo
Please enter group # F40 when submitting claims.
A Welfare and Pension Administration Services
payer
Alaska Electrical Health & Welfare
Fund92600YesNo
Alaska Hotel Employees, Restaurant &
Camp Employees (AK HERE)91136YesNo
Please enter group # F41 when submitting claims.
A Welfare and Pension Administration Services
payer
Alaska Laborers Construction Industry
Health & Security Trust91136YesNo
Please enter group # F23 when submitting claims.
A Welfare and Pension Administration Services
payer
Alaska Machinists Health and Welfare
Trust91136YesNo
Please enter group # F21 when submitting claims.
A Welfare and Pension Administration Services
payer
Alaska Pipe Trades U A Local 37591136YesNo
Please enter group # F24 when submitting claims.
A Welfare and Pension Administration Services
payer
Alaska Public Employees Association
(APEA/JESS Health & WelfareTrust)91136YesNo
Please enter group # F60 when submitting claims.
A Welfare and Pension Administration Services
payer For an updated payer list please visit our website www.eaglesoft.net
Page 1
eClaims Dental Payer List
April 2020
StatePayerIDGroup #EnrollReal Time Claims
Real Time Pre
Estimates* Additional Info
Alexian Brothers Community Services
of TN44423YesNo AllCare CCO DentalCXALCYesNovia Performance Health Technology
Allegeant52193YesNof.k.a. LBA Health Plans
Allegiance Benefit Plan81040YesNo
Alliant Services70106YesNoClaims mailing address of PO Box 12009,
Cheshire, CT
Allied Benefit Systems37308YesNo
Allied Metal Crafts Security Plan Trust
Fund91136YesNo
Please enter group # F18 when submitting claims.
A Welfare and Pension Administration Services
payer
Allina Health Plan54398No
AlwaysCare BenefitSTR01No
Amalgamated Life - PA Alicare13343YesNo
Ameraplan38219YesNo
Ameriben Solutions75137YesNo
American Administrators dba Select
Benefit Administrators (West Des
Moines, IA)
42137YesNo
Please check the Insured ID card to verify the
Payer ID before submitting claims. If you have
questions, please contact Provider Relations at
800-456-4584.
American Benefit CorporationCX084YesNo
Only limited plans may be sent electronically.
Group name is required with one of the following
plan names: Sheet Metal, Berekely, Boone,
Carpenter, Cabell, Clarksbur, Doodridge,
Hancock, Harrison, Marion, Monongalia, Mingo,
Mineral, Morgan, Nicholas, Putnam, Taylor, Tyler,
Wetzel.
American Medical SecurityCX001YesNoA United Healthcare Payer
American Postal Workers Union Health
Plan44444YesNo
Americas TPA41178YesNo
Amerihealth Administrators54763YesNo
Ameritas Life Insurance Corp.47009YesNo
Ameritas Life insurance Corp. of New
York72630YesNo
Amway Corporation38255YesNo(Formerly Amway Corporation/Dental)
Anchor Benefit53085YesNo
Antares Management Solutions34192NoNo
Apostrophe, Inc.81312YesNo
ARC AdministratorsCXARCYesNo
Argus Dental Plans, Inc.ARGUSYesNo
Arkansas Superior Direct61184YesNo
ASR Corporation38265YesNo
Association Benefit Plan25133YesNo
Formerly payer ID 62413. Now part of Coventry
Consolidate payer ID. Including Combined
Government Health Plan & Contract Health
Insurance Plan.
Assurant Employee Benefits70408YesNoPO Box 2877, Clinton, IA 52733 Assurant, Inc,70408YesNoPO Box 2877, Clinton, IA 52733
Asuris93221YesNo
Atlantic Dental Inc. (ADI) - CommercialCX085YesNo
Automated Benefit Services38259YesNo
Automated Group Administration, Inc.
(AGA)37280YesNo
Avesis86098YesNo
Banner Health SystemsSX145YesNo
Banner Plan Administration77078YesNo
BARINetCB369YesNo
BCI Administrators, Inc.49153YesNo
BeamBEAM1YesNo
BeamCXBMDYesNo
Beam Dental CXBMDYesNo
Beam Ins AdminBEAM1YesNo
Beam Ins AdminCXBMDYesNo
Beam Ins.BEAM1YesNo
Beam Ins.CXBMDYesNo
Beam InsuranceBEAM1YesNo
Beam InsuranceCXBMDYesNo
Beam Insurance Ad BEAM1YesNo
For an updated payer list please visit our website www.eaglesoft.net
Page 2
eClaims Dental Payer List
April 2020
StatePayerIDGroup #EnrollReal Time Claims
Real Time Pre
Estimates* Additional Info
Beam Insurance Ad CXBMDYesNo
Beam Insurance AdminBEAM1YesNo
Beam Insurance AdminCXBMDYesNo
Beam Insurance Administrator BEAM1YesNo
Beam Insurance Administrator CXBMDYesNo
BEAM Insurance administratorsBEAM1YesNo
Beam Insurance AdministratorsBEAM1YesNo
Bell Atlantic68241YesNo
BeneCare Dental Plans23210YesNo
Benefit Administrative Systems36149YesNo
Benefit Coordinators Corporation
(Pittsburgh, PA)25145YesNo
Payer ID valid only for Claims with a submission
address of 111 Ryan Court, Suite 300, Pittsburgh,
PA 15205.
Benefit Inc.R7003NoNo
Benefit Management Group NV36459YesNo
Benefit Management Services of MS37212YesNo
Benefit Management Services, Inc.56139YesNo
Benefit Management, Inc. of KS48611YesNo
Benefit Plan Administrators Co. (Eau
Claire, WI)39081YesNo
Payer ID valid for Benefit Plan Administrators
(Eau Claire, WI submission address only) and
Custom Benefit Administrators
BIACXBMDYesNo
BIA / BeamCXBMDYesNo
Blue BeneFit Administrators of MA03036YesNoa.k.a. CBA Blue Blue Care Family PlanGWD01NoNoAdministered by Golden West (Well point)
Boilermakers National Health & Welfare
Fund36609YesNo
Boon Administrative Services, Inc.BOONGYesNo
BridgeSpan Health (Regence Group)BRIDGYesNo
Brokers NationalCX032YesNo
Broward Health37314YesNo
Butler Benefits42150YesNo
C. L. FratesCX075YesNo
California State Government ProgramsCPPCAYesNo
Cannon Cochran Management
Services, Inc. Metairie, LA71057YesNoPayer ID for claims with a mailing address of PO
Box 6794, Metairie, LA 70009
Capitol DentalCX095YesNovia Performance Health Technology
CareFirst, Inc. Maryland BCBS00580YesNo
Careington Benefit Solutions60601YesNo
CareOregon93975YesNo
Caresource GAGACS1YesNo
Caresource ININCS1YesNo
Caresource KYKYCS1YesNo
Caresource WVWVCS1YesNo
Carolina Summit Healthcare56195YesNo
Carpenters Health and Welfare Fund of
PhiladelphiaCX101YesNo
Cascade Health Alliance, Inc.CHA01YesNo
Caterpillar Inc.37060YesNoA United Healthcare Payer CBA Blue03036YesNof.k.a. Comprehensive Benefits Administrators, Inc.
CCEA Teachers Health Trust88019YesNo
CDO Technologies83028YesNo
CDS Group Health88022YesNo
Cement Masons and Plasterers Health
& Welfare Trust91136YesNo
Please enter group # F16 when submitting claims.
A Welfare and Pension Administration Services
payer Central Reserve Life34097YesNoOnly Non Medicare Supplement and Dental lines of business administered under this payer ID.
Central States Health and Welfare
Fund36215YesNo
Central Susquehanna Healthcare
Providers (CSHP)55731YesNoAn Innovative Healthware Services Payer. For an updated payer list please visit our website www.eaglesoft.net
Page 3
eClaims Dental Payer List
April 2020
StatePayerIDGroup #EnrollReal Time Claims
Real Time Pre
Estimates* Additional Info
CHAMPVA - HAC84147YesNo
CHAMPVA - HAC is not associated with and does
not process Claims for TRICARE (formerly
CHAMPUS)
Chesterfield Resources, Inc.
(Uniontown, OH)34154YesNoa.k.a. Salvation Army
Chewsi First Circle Solution / DD RIRICHWYesnOYY
Choice Plus (TRW)68241YesNo
Christian Brothers Services38308YesNo
CIGNA62308YesNo
Citizens Security LifeCX071YesNo
Civil Service Employees Association
(CSEA)CX054YesNo
Provider ID number required. Max of 50 procedure
lines per Claims. ID number must be 5 characters in length, numbers 6 in length & ending with a '1' are accepted when '1' is removed. Numbers with leading zeros will have leading zeros omitted. ID numbers cannot contain an "-".
ClaimsBridge HPN11752YesNo
Community Health Alliance of TN27905YesNo
Community Health Electronic
quotesdbs_dbs21.pdfusesText_27
[PDF] Claims and Remits Payer List - Experian