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COMMERCIAL PAYERSPayer Name1 Point SolutionsPayer IDTFQ321199 National Benefit Fund (NY)TLU1221st Century Health & Benefits Inc.590693P Admin20413AAG - American Administrative Group (Formerly GBA)37283AAG - Benefit Plan Administrators Inc (UICI)75240AARP (Mechanicsburg, PA)AARP1A & I Benefit Plan Administrators93044A & I Benefit Plan Administrators (Portland, OR)CX044Abrazo Healthcare (Phoenix, AZ)PHP01Abri Health PlanAHP01Access Administrators (El Paso, TX)AHS01Access Administrators (CA ONLY)TLZ17Accident Fund Insurance Company of AmericaTLU13Acclaim64071Accordia National (Charleston, WV)87815Acceptius (Benefit Management Inc. of MO) (BMI)43178ACEC Health PlansTLX81ACMG of South CarolinaTLX92ACS Benefit Services (f.k.a. ACS Consulting Services)72468ACS Benefit Services (Winston- Salem, NC)61474ACS Benefit Solutions (NC)61473Activa Benefit Services LLC/Dental38255ADENTATLU14Americhoice**52133Admin One CorporationTLX93Administration Services (ASI)Administration Systems Research Corporation (Grand Rapids, MI)TLU87Administrative ityEligibilityX **TLU02Administrative Enterprises Inc.TLX82Administrative Services Only Inc. (Lynbrook, NY)CX076Administrative Solutions Inc. (GA)TLX94Administrative Solutions Inc. (CA)TLZ40Administrators West (OR)TLX95Administrators West (WA)TLX96ADN Administrators (MI)TLX97Advanced Benefit Administrators (OR)TLX98Advanced Benefit Resources (NY)TLY02Advanced Benefit Solutions (AZ)TLY01Advanced Insurance (AR)TLY04Advantage Dental Plan93524XPaper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameAdvantage Health SolutionsAdventis Health (CA)Payer ity52133TLY05Adventis Health Claims Central (Roseville, CA)95340Adventist Health System West (Roseville, CA)95340AEBSTLY07Aetna Affordable Health Choices (SM)- SRC57604Aetna DMO68246XAetna Life & Casualty60054XXAetna Health Plans60054XXAetna Select60054XXAffordable Benefit Administrators Inc.TLW02AFLAC (of Georgia)58066AFLAC - NY Plan52080AHCP-American Healthcare PartnershipTLW03AIG (American General US Life)13545Alaska Laborers Construction Industry (Grp#F23)91136Alaska Children's Services Inc. (Grp#P68)91136Alaska Electrical Health & Welfare Fund92600Alaska Pipe Trades Local 375 (Grp#F24)91136Alaska Teamster Employer Welfare Plan (ATEWE)TLY08Alaska United Food & Commercial Workers Health & Welfare Trust (Grp#F45)91136Alaska UFCWTLX15ALICARETLU15Allegiance Benefit Plan ManagementTLU11Allen Lund Co. (La Canada, CA)ALMC1Allen Medical Claims AdministratorCX016Allied Administrators (San Francisco, CA)94177Allied Benefit SystemsTLX56Allied Benefit Systems (Chicago, IL)37308Allied Building Inspectors (NY)TFQ23Altus (RI)50503Always Care BenefitsSTR01Amalgamated Life / Alicare (King of Prussia, PA)13343Amalgamated Life Ins. (NY)TLY53Ameriben Solutions (formerly IEC Insurance)TLU23American Administrators (West Des Moines, IA)42112American Administrators/dba Select Benefit Admin. (W. Des Moines, IA)42137American Administrative Group Inc. (AAG)74223American Association of Orthodontics (AAO-TPA)TLU21American Benefit Corporation (Huntington, WV)CX084American Benefits Management (North Canton, OH)34187American Benefit Plan AdministratorsTLU24American Community Mutual InsuranceTLW04American Dental PlanCX021XAmerican Dental Plan of GA Inc.CX021XPaper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameAmerican Dental Plan of NC Inc.Payer IDEnrollmentRequiredCX021American Dental Payer of WIADP01American Dental Professional Services (Milwaukee, WI)American Dental Professional Services (Milwaukee, WI)TAD01American Dental Providers of AR erican DentiCare (AR)TLY03American HealthcareTLU25American Health GroupAHG01American Heritage Life Insurance Co.TLW75American Insurance Administrators (AIA)- Alumni Dent Program ONLYTFQ43American Medical SecuritiesCX001American National Insurance Co.74048American Pioneer Life InsuranceTLU26XAmerican Postal Workers Union Health Plan (APWU)44444American Prepaid Dental Plan of OH IncCX021XAmerican Prepaid Professional Services. IncCX021XAmerican Sentinel Insurance Inc.TLX55America's Choice Health plans LLCTLX65Ameritas Life Insurance Corp.AMLICO- American Medical & Life Insurance Co. (Hicksville, NY)AML0147009Amway Corporation38255Anchor Benefit Consulting Inc. (Maitland, FL)53085Antares Management Solutions (Westlake, OH)34192APA Partners of NY16140Apex Benefit Services34196APIPA (Arizona Physicians IPA)TLW68Appalachian Benefit Administrators (ABA)TLW65Arizona Physician Individual Physician Association52133Arizona Pipe Trades Trust FundTLY85Arkansas Best Corp- Choice Benefits75278ARM LTDTLY52Ascent Benefits (Phoenix, AZ)CX072ASEA/ AFSCME Local 52 Health Benefit TrustTLX61ASITLU29ASR Corporation38265ASR Health Benefits (Grand Rapids, MI)TLU02Associated Administrators TPA (AAI)TLU30Associated Benefits (IA)TLU28Assure Care (IL)TLW69Assure Care (MI)TLW70Assure Care (MN)TLW72Assure Care (OH)TLW71XXXXAssurant Employee Benefits70408XAssurant Health (f.k.a Protective Health)39065XAssurant Inc. (f.k.a First Fortis Life Insurance)70408XAssured Benefit AdministratorsTLX83Paper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameAsurisPayer ity93221ASW / Lifewise37294Athens Area Health Plan Select (Athens, GA)95691Atlanta Plumbers & Steam Fitters Local 72TLU32Atlantic Dental Inc. / ADI (Medicaid Claims) (Coral Gables, FL)CX052Atlantic Dental Inc. / ADI (Commercial Claims) (Coral Gables, FL)CX085Atlanticare22304Atlas AdministratorsTLU33Alternative Risk Management (IL)TLY90Alternative Risk Management (OR)TLY89ATPA (Associated Third Party Administrators) (Pasadena, CA)ATPA1ATPA (Associated Third Party Administrators) (OR)TFQ47AultCare Dental (Canton, OH)AULTCAutomated Benefits Services (ABS)TLX91Automotive Machinists Local 289 (Grp#F32)91136AuxiantTLY51Avesta Group InsuranceTLU34Avesis86098AZ Dept. of Health ServicesTLX87BAC Local 15 Welfare Fund (Kansas)A2051Bankers United Life74227Banner Health (AZ)TLY50BCI Administrators Inc.49153Bell Atlantic60054Bencomp National Corporation33192BeneCare Dental Plans23210BenefirstTLY88BeneMaxBMX01Benefit & Risk Management Services Inc.TLY45Benefit Administration Services (Jackson, MS)TLU36Benefit Administrators Inc. (Erie, PA)62121Benefit Administrative Systems (Homewood, IL)36149Benefit Coordinators Corporation (Pittsburgh, PA)25145Benefit Concepts- EBD & A (RI)TFQ22Benefit Group (NE)TLU37Benefits Management Inc.TLW73Benefit Management Services (NC)56139Benefit Management Services (LA)TLU04Benefit Management Services- FEP Claims ( Baton Rouge, LA)TLU05Benefit Management Systems (Madison. MS)37212Benefit Plan Administrators Co. (Eau Claire WI)39081Benefit Planners (TX)74223Benefit Services Inc.TLU03Benefit Services of HawaiiTLZ27Benefit Source (MI)TLU39Benefit Systems (IN)TLU40XXXXXPaper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameBenefit Systems & Services Inc. (BSSI)Benefits Inc. (Construction Suppliers Group Only) (Minneapolis, MN)Benemark (Mississippi)Payer ity3634207000BNMK1Benesight87265Benesys Inc. (Lafayette, LA)37248Benesys Inc. (GA)58102Benicorp Insurance (IN)TLY48Benicorp Insurance (MS)TLY49Best Life & Health Insurance Company (Irvine, CA)95604Better Health Plans of South California (Monroeville, PA)32006Big Lots Associate Benefit Plan (EBMC) (OH)CX025Blue Bell Benefit TrustTLU42Blue Care Dental TraditionalTBT01Blue Care Family PlanGWD01Bollinger Insurance (Short Hills, NJ)TLX71Boilermakers National Health & Welfare Fund36609Boon Chapman (Benefit Administrators)74237Boston University Dental Health Plan (Boston, MA)04210Bridgeport LLC of Missouri (St. Charles, MO)CX028Brokerage Concepts51037Brokerage Concepts Inc. (PA)TFQ18XBrokers NationalCX032XBrokers National Life Assurance CompanyCX032XBroward Health37314Businessmen's Assurance (BMA) (NE)47009Butler Benefits (Davenport, LA)42150Cadent Administrators33192Cadent Underwriters33192CAI InsuranceTLY06Canada Life Assurance Company (Atlanta, GA)80659Cannon Cochran Management Services (Metairie, LA)71057Capital Administrators (Rancho Cordova, CA)68011Capital Dental of Houston, TXCX037Caprock Health PlanTLU47Careington CorporationTLY44Carolina SummitTLU48Carpenters Combined Funds (PA)TFQ25Carpenters Health & Welfare (Los Angeles, CA)TLU49Carpenters Health & Welfare (Philadelphia, PA)TLW16Carpenters Health & Welfare Trust Fund of St. Louis25125Caterpillar Inc.**37060CBCA Administrators (Fort Worth, TX)55438CBCA Administrators (Formerly HRM)41170CBCA- Comprehensive Benefit & Claims AdministratorsTLW14CBSA-Corporate Benefit Services of America (Minneapolis, MN)41124CCEA Welfare Benefit Trust (Las Vegas, NV)88019XX **Paper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameCCPOAPayer ityTLZ03CDO Technologies87065CDPHP- Capitol District Physicians Health Plan (NY)TLW07CDS Group Health (Sparks, NV)88022Cement Mason's Union Local 502TLW85Cement Masons & Plasterers Health (Grp#F16)91136Cement Masons & Plasterers Local 518 (Kansas)A2005Central Laborers Local 703 (FL)TLZ15Central PA Teamsters Health & Welfare FundTLU51Central Reserve (Latham, NY)TLZ08Central Reserve Life Insurance CompanyTLW76Central States Health & Welfare Fund (IL)36215Central United Life InsuranceTLY42Century PlannersTLY39Champva-HAC84147CHEC (Subsidiary of Sprint)TLX40Cherokee Insurance Co. (MI)TLY41Chesterfield Companies (OH)TLA11Chesterfield Resources Inc (Akron, OH)TLU92Chesterfield Resources Inc (Uniontown, OH) (a.k.a. Salvation Army)34154Chicago Regional Council of CarpentersTLY40Children of Women Vietnam Veterans - VA HAC84147Choice Plus (TRW)60054XChristian Brothers Services61271XCIGNA (Connecticut General)62308XXCIGNA Dental Health (CDH DMO)10050XXCIGNA Flex Care (NM Only) (Phoenix, AZ)TLX70Citizens Security Life InsuranceCX071Citizens Security Life Insurance (Louisville, KY)TLU52City of BlairTLW99City of Crown PointTFQ07City of LafayetteTFQ06City of MesaTLW43Civil Service Employees Association (CSEA)CX054CL Frates and Company - OSMA HealthCX075Claim Management Services (WI)CMS01Clarendon's Healthy Kids33192Claredons Kids CHIP Program (EPO)TLX41Clayton County Self Funded Dental PlanCCS01CNA Health Partners of Arkansas71063CNIC Health Solutions (Colorado Springs, CO)TLZ05CNIC Health Solutions (Englewood, CO)Coast Hotels & Casino Inc. / DBA Coast Benefits (Las Vegas, NV)TLZ06Columbian Life Insurance CompanyTLX77X37310Columbian Mutual Insurance CompanyTLX77Combined Insurance Claims (FL)TLU53Paper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameCombined Insurance Services (Ocala, FL)Payer ityTCC01Commonwealth Admin LLC37237Community Connection (Phoenix, AZ)PHP01Community Health ChoiceTLX42Community Health Electronic Claims/CHEC/Web Tap75261Comp Benefits Dental & Vision CompanyCX021XComp Benefits Direct IncCX021XComp Benefits of AL Inc.CX021XComp Benefits of GA IncCX021XCOMP- Ohio (Austintown, OH)34177Comp Dent USA/ Comp benefits (Chicago, IL)CX021Comp Dent of AL IncCX021XComp Dent of GA IncCX021XComp Dent of IL IncCX021XComp Dent Preferred Networks IncCX021XCompanion Life (Columbia, SC)77828Complete Benefit Solutions (SC)TSCS1Comprehensive Benefits Administrator Inc.03036Compensation Programs of Ohio34177Compton Inc.TLX25XCommunity Claims Administration26231Concordia PlusCX007XXConcordia PreferredCX007XXConexis (CA)TFQ13CONN EN Life Insurance Co.TLX09Connecticut Carpenters Health Fund (Hamden, CT)37307Connecticut General (see CIGNA)62308XXContinental Dental62308XContinental General (Latham, NY)TLZ07Consolidated Group Dental61305Cook Group Health Plan35149Cooperative Benefit Administrators (CBA)52132CORE Administrative ServicesTLX80Core Management Resources Group (Macon, GA)58231Core Source (Little Rock, AR)75136Core Source (AZ, MN)41045Core Source (IA)TFQ37XCore Source (NC, IN)35180Core Source (OH)35183XCore source (PA, MD, IL)35182XCorestar41045Corporate Benefit Services of America (CBSA)41124Corporate Benefit Services Inc. (Charlotte, NC)56116Countrywide Info ServicesTFQ35Covenant Administrators (Atlanta, GA)58102Coventry Health Care National Network (f.k.a First Health)87043Paper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameCoventry Health Care of GeorgiaPayer ity25148Creative Plan Administrators37320Crescent DentalTLU54Crescent Dental- Meritain HealthCX074CT Carpenters Health FundTLU56CT Pipe Trades Health Fund Local 77TLU55Custom Benefit Administrators (La Crosse, WI)39170Custom Care (Southwestern Bell-Exec)60054Custom Design Benefits Inc of OH82056D Edward Wright TPADEW01Dakota CareTFQ60Dart Container CorporationTLX43Dart Management Corporation (Madison, MI)06172Delta Claim Payers (NY)TFQ14Delta Health Systems94235Denex Dental/SgCX049Denta BenefitsCX007XXXXDentaQuest (DC&MD)04356XDental Benefit Providers**52133X **Dental CPMTLU57Delta Care USACDCAPDelta Premier (MA)TLZ37Dental Care Plus Management Corp.CX035Dental Comp Inc (WI)TLX01Dental CompCX017Dental Guard Preferred64246Dental Health Associates (N. Hollywood, CA)DHA01Dental Management Inc.CX035XXXCX034XDental Network of America (DNOA)CX034XDental Pay Inc. / The Dental ShopTLW24Dental Select**DSL01Denti-Cal94146DentiCare IncCX021XDentiLeaseCX021XDesert Mutual Benefit AdministratorsTFQ56Destiny Health PlanTLX84A1004DC37HSP01DDS insuranceTLW96DH EvansCX065DHS (A MN Medical Assistance Plan) (St. Paul, MN)DHS01Diamond Dental of Arkansas IncCX021Direct Reimbursement Plan (Newman, GA)TLX69District 1199 Health & WelfareTLW78District Council 37 Health & Welfare FundHSP01XXDental Network (MD)Detroit Laborers (Metropolitan)XX **XXXPaper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameDistrict Council 57 Benefit FundPayer ityTLW34Diversified Administration Corp (Maryland)CX040Diversified Group AdministratorsTLW78Dominion Dental (DHMO & Commercial)DOM01DSCC (Div. of Special Care Children)TLX44Dunn & Associate Benefits Administrators (Columbus, IN)35186Dutcher InsuranceTLZ04E3 Health Inc.75232Eastern Life & Health**TLZ28EBC Mid America Inc (KY)TLZ42EBS Benefit SolutionsCX043ECIT Dental PlansTLU58Educators Life Ins. / Educators Mutual (UT)**TLU59Educators Mutual Insurance Assoc. (EMIA)CX079EHI/ EMPHESYS/ Employers Health**73288Electrical Workers Benefit Fund #369/ IBEW Local 369TLW28Electrical Workers Benefit Fund #369/ IBEW Local 481EWF01Elder Health52192Elmco InsuranceTLW86Employee Benefit Administrators (Pembroke, MA)CX012Employee Benefits Claims of Wisconsin Inc.TLW29Employee Benefit Concepts (Farmington Hills, MI)38241Employee Benefit Consultants Inc. (EBC) (OH, WI, NM, KY))37257Employee Benefits CorporationTLW79Employee Benefits Management Corp of Ohio (EBMC)CX025Employee Benefit Management Services Inc. (EBMS)81039Employee Benefit Services of LA (EBS)41198Employee Benefit Services (NE)47009Employee Benefits Plan Administration Inc. (EBPA)03036Employee Group Services (EGS)CX022Employee Plans LLC35112Employee Security Inc. (Columbia, MD)54098Employer Plan Services Inc. (Houston, TX)CX031Employers Dental TrustTLW30Employers Direct Health75232Employers Direct Health- Employee Plan75236Employers Health Insurance**73288Employers Life Insurance Corp. (SC)TLW32Employers Mutual Inc. (Jacksonville, IL)59297Encore Health Network (IN)TLY86ENH Medical Group IPA36364Engineers Joint Welfare Fund/ IUOE (NY)TLW87Enstar Natural Gas (Grp#P61)91136EPOCH Group LC (Overland Park, KS)TLU60EPOCH Group LC (St. Louis)TLX13EQUICORE (Cigna)62308XXX **X **X **XXXX **XPaper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameEquitable Plan Services (Oklahoma City, OK)Payer IDEnrollmentRequiredAttachmentavailabilityErin Group Administrators (PA)CX046ERISA/ Compusys (Austin, TX)74234E.S. Beveridge & Associates34108Essex Dental Benefits43168E-V Benefits Management Inc. (Columbus, OH)34159Evans DH Associates Inc.25172ExclusiCare71412Family Care Claims (TX)TLX14Family Health AdministratorsTLU61Family Members Dental Plan (FMDP) (Military)CX002Fara Benefit ServicesTLU62FCE Benefit Administrators (TX)TLY84Fed Ex Freight Health BenefitTLU64Federated Mutual Insurance Company41041Fidelo Insurance Co.TLU69First Administrators (IA)TLU67First Ameritas Life Insurance Corp. of NY72630First Care Health PlansTLX17First Care/ Southwest Life & HealthCX050First Choice BenefitsTLU68First Choice Health AdministratorsTLY83First Commonwealth (IL)TLZ41First Concord Group Inc.TLU65First Dental Health (FDH)TLU63First Fortis Benefits70408XXXXXXXXXFirst Health (Downers Grove, IL)87043First Reliance Standard (NY Business)13317XFiserv Health- Wausau Benefits/ Benesight39026XFitz Harris & Company Inc. (Farmington, NY)11244FL League of CitiesTLX53Flexible Benefit FundTLU70Flex Care60054Florida Benefit AdministratorsTLW93Florida Hospital Waterman48116Florida Power & Light60054FMH Benefit Services Inc.48117Foreign Service Benefit PlanTLW97Fortis Insurance Company (Formerly Time Insurance)Foundation Benefit Admin. (FBA) - Boon GroupEligibility7312639065XXXXXXBOONGFourth District IBEWTLX90Fox Everett Inc.TLY81Fox Everett Inc. (Jackson, MS)64069Fox Valley Welfare Fund (Elgin)TLU71Fox Valley Welfare Fund (Geneva)TFQ71Fraternal Order of Police- Dental Division (Philadelphia, PA)CX041Paper Claim submission please use payer ID 06126. / ** Attachment requires additional info in notes sectionPlease contact eServices Enrollment at 800.734.5561 for enrollment required forms and questions.More On NextPage1/21/2009
COMMERCIAL PAYERSPayer NameFringe Benefit Management (Formerly United Benefits)Payer ity59069GCU Local 8-M & 96B Health & Welfare FundGCU01GE Financial AssuranceTLW17GE Group Life Assurance67814General Electrical PensionersTLX72Genworth Life & Health Insurance Co. (GLHIC)67814GettysburgCX064Gettysburg Insurance ServicesTLU74XXGHI New York (Group Health Inc.)13551XGIC Ademnity Plan80314XGilsbar INC.07205Glassworkers Health & Welfare Fund (GRP#F29)91136Global Healthcare (c/o People 1st)TLX45Golden Rul
Jan 21, 2009 · American Dental Providers of AR Inc. CX021 X American DentiCare (AR) TLY03 American Healthcare TLU25 . Atlantic Dental Inc. / ADI (Commercial Claims) (Coral Gables, FL) CX085 Atlanticare 22304 . CCPOA TLZ03 CDO Technologies 87065 CDPH
