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Engagement: Supported Payers for Eligibility
Engagement: Supported Payers for Eligibility
Erika Gardner avatar
Written by Erika Gardner
Updated this week

Below, you'll find a list of Engagement Eligibility supported payer IDs, insurance companies, and any associated alternate IDs.

This list is current as of April 9, 2024 and is updated regularly.

Payer ID

Insurance Company Name

Alternate IDs

32_BJ

32 BJ

11198

DD NEW YORK

3M

3M Dental Services

DD NORTH DAKOTA

07000

07029

CDND1

0700

DDMN

DDND

7000

TFZ37

TFZ08

07000 D

R7005

26004

MHP01

TLZ37

DDMN1

CDMN1

DD MINNESOTA

AARP

AARP Dental Insurance Plan

AARP1

ADMINISTRATIVE_SERVICES_ONLY

Administrative Services Only (ASO)

P SID

TPC16

TPC18

TPC19 TCP100

TPC68

TPC67

TPC69

TPC66

TPC64

TPC63

TPC62

TPC61

TPC60

TPC59

TPC58

TPC57

TPC56

TPC55

TPC54

TPC53

TPC52

TPC51

TPC50

TPC49

TPC48

TPC47

TPC46

TPC45

TPC44

TPC43

TPC42

TPC41

TPC40

TPC39

TPC38

TPC37

TPC36

TPC35

TPC34

TPC33

TPC32

TPC31

TPC30

TPC29

TPC28

TPC27

TPC26

TPC25

TPC24

TPC23

TPC22

TPC21

TPC20

TPC19

TPC100

TPC99

TPC98

TPC97

TPC96

TPC95

TPC94

TPC93

TPC92

TPC91

TPC90

TPC89

TPC88

TPC87

TPC86

TPC85

TPC84

TPC83

TPC82

TPC81

TPC80

TPC79

TPC78

TPC77

TPC76

TPC75

TPC74

TPC73

TPC72

TPC71

TPC70

TPC65

CX076

ADVANTICA

Advantica

CX028

43168

AETNA_DENTAL_PLANS

Aetna Dental Plans

68246

6005

68241

57604

6824

60054 T2

60054 T1

60054 T17

60054 T10

60054 T9

60054 T8

60054 T7

60054 T6

60054 T5

60054 T4

60054 T3

60054 T16

60054 T15

60054 T14

60054 T13

60054 T12

60054 T11

60054

AFFINITY_HEALTH

Affinity Health Plan

CX014

CKOH2

AFLAC_GA

AFLAC OF GA

58066

AFLAC_NY

AFLAC OF NY

52080

ALIERA

Aliera Health Care

ALH01

ALLEGIANCE

Allegiance Benefit Plan Management, Inc.

81040

TLU11

ALTUS

Altus Dental

50503

AMERIGROUP_GA

Amerigroup of Georgia

CX014

CKOH2

AMERIGROUP_WA_MEDICARE

Amerigroup - WA Medicare

CX014

CKOH2

AMERITAS

Ameritas Life Insurance Corp.

47009

CX092

TLZ28

TLX77

AMERITAS_NEW_YORK

Ameritas Life Insurance Corp. of New York

72630

60033

ANTHEM

Anthem

AD060

84105

65358

ANTHEM_BCBS_CALIFORNIA

Blue Cross of California - Anthem

CB923

AD423

84103

ANTHEM BCBS VIRGINIA

47198

ANTHEM_BCBS_COLORADO

Blue Cross Blue Shield of Colorado - Anthem

AD050

84099

ANTHEM_BCBS_CONNECTICUT

Blue Cross Blue Shield of Connecticut - Anthem

AD060

700

00700

ANTHEM_BCBS_GEORGIA

Blue Cross Blue Shield of Georgia - Anthem

CBGA1

54000

SB601

ANTHEM_BCBS_INDIANA

Blue Cross Blue Shield of Indiana - Anthem

AD060

84105

65358

AD130

ANTHEM_BCBS_KENTUCKY

Blue Cross Blue Shield of Kentucky - Anthem

AD060

84105

65358

AD160

ANTHEM_BCBS_MAINE

Blue Cross Blue Shield of Maine - Anthem

AD060

84105

65358

BME01

AD180

ANTHEM_BCBS_NEVADA

Blue Cross Blue Shield of Nevada - Anthem

AD265

84101

ANTHEM_BCBS_NEW_HAMPSHIRE

Blue Cross Blue Shield of New Hampshire - Anthem

AD060

84105

65358

BNH01

AD270

ANTHEM_BCBS_OHIO

Blue Cross Blue Shield of Ohio - Anthem

AD060

84105

65358

AD332

ANTHEM_BCBS_VIRGINIA

Blue Cross Blue Shield of Virginia - Anthem

CB923

AD423

84103

ANTHEM_BCBS_WISCONSIN_FEP

Blue Cross Blue Shield of Wisconsin FEP - Anthem

P DBC

BWI01

00950

TCX01

CB950

AD450

00450

39141

BCBS WISCONSIN

ASURIS

ASURIS NORTHWEST HEALTH

93221

BCBS_ALABAMA

Blue Cross Blue Shield of Alabama

ALBLS

07600

CBAL1

BCBS_ALASKA

BCBS - Alaska

BCBS WASHINGTON

47570 T3

47570 T2

47570 T1

00430

DX102

47570

BCBS_ARIZONA

Blue Cross Blue Shield of Arizona

53589

TLZ14

TBX01

BCBS_ARKANSAS

Blue Cross Blue Shield of Arkansas

BLUE ADVANTAGE

CBAR1

CBAR5

P US

TLY26

83470

BCBS_DE

BCBS OF DE

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

BCBS_ILLINOIS

Blue Cross Blue Shield of Illinois

GOO62

G0062

G0621

CBIL1

TLW12

CB621

23004

00621

BCBS_KANSAS

Blue Cross Blue Shield of Kansas

CBKS1

47163

BCBS_KANSAS_CITY_MO

Blue Cross Blue Shield of Kansas City (MO)

DX067

47171

BCBS_LOUISIANA

Blue Cross Blue Shield of Louisiana Advantage Plus Network

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

BCBS_MARYLAND

BCBS - Maryland / CareFirst

CX034

TDN02

TLY47

FX136

TLX87

TLZ09

TLX86

TLX85

TLU18

TLX88

TDN01

00580

BCBS_MASSACHUSETTS

Blue Cross Blue Shield of Massachusetts

38004

04210

CBMA1

BCBS_MICHIGAN

Blue Cross Blue Shield of Michigan

BCBSM

BBMDQ

BCBS_MO

BCBS OF MO

Z0001

AD241

TLX52

BCBS_MONTANA

Blue Cross Blue Shield of Montana

CBMT1

00751

TLU06

BCBS_ND

Blue Cross Blue Shield of North Dakota

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

BCBS_NEW_MEXICO

Blue Cross Blue Shield of New Mexico

CBNM1

G0079

00790

84100

BCBS_OKLAHOMA

Blue Cross Blue Shield of Oklahoma

12 B25

BCSOK

SB840

TBOK1

00840

BCBS_OREGON

Blue Cross Blue Shield of Oregon/ Regence

00850

85100

TLW13

CB850

REGENCE BCBS OREGON OUT

00851

BCBS_RHODE_ISLAND

Blue Cross Blue Shield of Rhode Island

53473

CB870

BCBS_SOUTH_CAROLINA

Blue Cross Blue Shield of South Carolina

BSC01

TLW74

BCSSC

DXSCF

BCBS SOUTH CAROLINA FEP

38520

BCBS_SOUTH_CAROLINA_FEP

Blue Cross Blue Shield of South Carolina (FEP)

BSC01

TLW74

BCSSC

DXSCF

38520

BCBS SOUTH CAROLINA

BCBS_TENNESSEE

Blue Cross Blue Shield of Tennessee

00390

00890

67004

CBTN1

BCBS_TEXAS

Blue Cross Blue Shield of Texas

CB900

31004

84980

BCBS_WASHINGTON

BCBS - Washington

47570 T3

47570 T2

47570 T1

00430

DX102

47570

BCBS ALASKA

BCBS_WASHINGTON_DC

BCBS - Washington DC

CX034

TDN02

TLY47

FX136

TLX87

TLZ09

TLX86

TLX85

TLU18

TLX88

TDN01

00580

BCBS_WISCONSIN

Blue Cross Blue Shield of Wisconsin

ANTHEM BCBS WISCONSIN FEP

P DBC

BWI01

00950

TCX01

CB950

AD450

00450

39141

BCBS_WY

Blue Cross Blue Shield of Wyoming

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

CBWY1

53767

BENEFIT_INC

Benefit Inc

R7003

BLUE_ADVANTAGE

Blue Advantage

CBAR1

CBAR5

P US

TLY26

83470

BCBS ARKANSAS

BLUE_CARE

Blue Care Family Plan

AD060

700

00700

ANTHEM BCBS CONNECTICUT

BLUE_SHIELD_CALIFORNIA

Blue Shield of California

PACIFICARE

CX060

CX053

BSCA1

5213

CX056

CX057

37060

94036

CX001

UHC01

52133 T1

52133 T3

52133 T2

TPC06

TLW58

TLX81

TLW59

TLW68

TLX06

TBS03

TLW57

87726

TLU44

52133

UNITED HEALTHCARE

BLUE_SHIELD_CALIFORNIA_FEDERAL

Blue Shield of California Federal Plan

WT002

BSCA2

BLUE_SHIELD_IDAHO

Blue Shield of Idaho / Regence

CBID2

00611

BLUE_SHIELD_PENNSYLVANNIA

Blue Shield of Pennsylvania

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

BLUE_SHIELD_WASHINGTON

Blue Shield of Washington / Regence of Washington Health

93200

00932

CIGNA

CIGNA

UFT WELFARE FUND

HEALTHSOURCE PROVIDENT

CONNECTICUT GENERAL CIGNA

80840

TLX70

62308 T2

62308 T1

10050

CIGN1

TLX24

TLU64

71056

68195

62308

CIGNA_INTERNATIONAL

CIGNA International

UFT WELFARE FUND

HEALTHSOURCE PROVIDENT

CONNECTICUT GENERAL CIGNA

80840

TLX70

62308 T2

62308 T1

10050

CIGN1

TLX24

TLU64

71056

68195

62308

CIGNA

CIGNA_SELECT

Cigna Select (Formerly known as Great West)

63665

66893

80705

COMMUNITY_UNITED_HEALTHCARE

United Healthcare Community Plan

86001 86003

86047 86049

WT004 WT006

WT006

WT005

WT004

86049

86048

86047

86003

86002

86001

GP133

COMPBENEFITS_AND_HUMANA_SPECIALTY_BENEFITS

CompBenefits and Humana Specialty Benefits

HUMANA SPECIALTY BENEFITS STATE FLORIDA DENTAL

HUMANA SPECIALTY BENEFITS FLORIDA HEALTHY KIDS DENTAL

HUMANA COMPBENEFITS FEDERAL PLAN DENTAL

CX021

CONNECTICUT_GENERAL_CIGNA

Connecticut General (CIGNA)

UFT WELFARE FUND

HEALTHSOURCE PROVIDENT

80840

TLX70

62308 T2

62308 T1

10050

CIGN1

TLX24

TLU64

71056

68195

62308

CIGNA

COUNCIL_CARPENTERS_WELFARE_FUND

Indiana/Kentucky/Ohio Regional Council of Carpenters Welfare Fund

ICW01

CDIN1

DDPIN

DDPI

DELTI

DD INDIANA

CX083

Liberty Dental Plan

DDIC

DDIC

DD UTAH

DD TEXAS

DD NEVADA

DD MONTANA

DD MISSISSIPPI

DD LOUISIANA

DD GEORGIA

DD FLORIDA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DD_ALABAMA

Delta Dental Ins. Co. - Alabama

DD UTAH

DD TEXAS

DD NEVADA

DD MONTANA

DD MISSISSIPPI

DD LOUISIANA

DD GEORGIA

DD FLORIDA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_AR

DELTA DENTAL OF AR

DDPAR

CDAR1

DEPAR

00001

DELAR

DD_AZ

DELTA DENTAL OF AZ

DDAZ1

86207

86027

DD_CALIFORNIA

Delta Dental of California

TLW42

CX099

77777

DD_COLORADO

Delta Dental of Colorado

DDPCO

84056

DD_CONNECTICUT

Delta Dental of Connecticut

37307

DDNJ1

22189 T1

TLU56

22189

DD NEW JERSEY

DD_DELAWARE

Delta Dental of Delaware

51022

DD_FLORIDA

Delta Dental Ins. Co. - Florida

DD UTAH

DD TEXAS

DD NEVADA

DD MONTANA

DD MISSISSIPPI

DD LOUISIANA

DD GEORGIA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_GEORGIA

Delta Dental Ins. Co. - Georgia

DD UTAH

DD TEXAS

DD NEVADA

DD MONTANA

DD MISSISSIPPI

DD LOUISIANA

DD FLORIDA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_ID

DELTA DENTAL OF ID

82029

DD_ILLINOIS_GROUP_PLANS

Delta Dental of Illinois Group Plans

05030

MW150

P MOE

TLY40

PIP02

PIP01

47598

DD_INDIANA

Delta Dental of Indiana

COUNCIL CARPENTERS WELFARE FUND

ICW01

CDIN1

DDPIN

DDPI

DELTI

DD_IOWA

DELTA DENTAL OF IA

CDIA1

DD_IOWA_GOVERNMENT

Delta Dental of Iowa - Government Programs

CDIAM

DD_KS

DELTA DENTAL OF KS

DDPKS

E3960

CDKS1

DD_KY

Delta Dental of Kentucky

DDKY

17004

CDKY1

DD_LOUISIANA

Delta Dental Ins. Co. - Louisiana

DD UTAH

DD TEXAS

DD NEVADA

DD MONTANA

DD MISSISSIPPI

DD GEORGIA

DD FLORIDA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_MA

DELTA DENTAL OF MA

4614

04614

DD_MARYLAND

Delta Dental of Maryland

DDMD1

DDPA1

23166 T1

TLU51

TLX23

00008

23166

DD PENNSYLVANIA

DD_MICHIGAN

Delta Dental of Michigan

DELTU

CDMI0

DDPM

DDPMI

CBMIO

DTPMI

CDMIO

97276

A1432

10004

UFC01

DELTA

DD_MINNESOTA

Delta Dental of Minnesota

DD NORTH DAKOTA

3 M

07000

07029

CDND1

0700

DDMN

DDND

7000

TFZ37

TFZ08

07000 D

R7005

26004

MHP01

TLZ37

DDMN1

CDMN1

DD_MISSISSIPPI

Delta Dental Ins. Co. - Mississippi

DD UTAH

DD TEXAS

DD NEVADA

DD MONTANA

DD LOUISIANA

DD GEORGIA

DD FLORIDA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_MISSOURI

Delta Dental of Missouri

25125

TFQ69

TLW06

43090

DD_MONTANA

Delta Dental Ins. Co. - Montana

DD UTAH

DD TEXAS

DD NEVADA

DD MISSISSIPPI

DD LOUISIANA

DD GEORGIA

DD FLORIDA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_NEBRASKA

Delta Dental of Nebraska

CDNE1

DDNE

07027

DD_NEVADA

Delta Dental Ins. Co. - Nevada

DD UTAH

DD TEXAS

DD MONTANA

DD MISSISSIPPI

DD LOUISIANA

DD GEORGIA

DD FLORIDA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_NEW_JERSEY

Delta Dental of New Jersey

DD CONNECTICUT

37307

DDNJ1

22189 T1

TLU56

22189

DD_NEW_MEXICO

Delta Dental of New Mexico

85022

DDPNM

DELTM

DD_NEW_YORK

Delta Dental of New York

32 BJ

11198

DD_NORTHEAST

Delta Dental (Northeast - ME, NH, and VT)

2027

02027 T3

02027 T2

02027 T1

02027

DD_NORTH_CAROLINA

Delta Dental of North Carolina

56010

DDPNC

DDNC

DDNC1

56101

DD_NORTH_DAKOTA

Delta Dental of North Dakota

3 M

07000

07029

CDND1

0700

DDMN

DDND

7000

TFZ37

TFZ08

07000 D

R7005

26004

MHP01

TLZ37

DDMN1

CDMN1

DD MINNESOTA

DD_OHIO

Delta Dental of Ohio

INTERNATIONAL BROTHERHOOD ELECTRICAL WORKERS

DDPOH

CDOH1

DDPO

15004

A1317

DELTO

DD_OKLAHOMA

Delta Dental of Oklahoma

DDPOK

CDOK1

22229

DELOK

DD_PENNSYLVANIA

Delta Dental of Pennsylvania

DD MARYLAND

DDMD1

DDPA1

23166 T1

TLU51

TLX23

00008

23166

DD_PUERTO_RICO

Delta Dental of Puerto Rico

66043

DD_RHODE_ISLAND

Delta Dental of Rhode Island

5029

05029

DD_TENNESSEE

Delta Dental of Tennessee

DDPTN

CDTN1

DDPT

22004

DELTN

DD_TEXAS

Delta Dental Ins. Co. - Texas

DD UTAH

DD NEVADA

DD MONTANA

DD MISSISSIPPI

DD LOUISIANA

DD GEORGIA

DD FLORIDA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_TRICARE

Delta Dental - Tricare Retiree

37004

DDPFS

DDCA1

CDCA1

TRICARE RETIREE DENTAL PROGRAM

DD_UTAH

Delta Dental Ins. Co. - Utah

DD TEXAS

DD NEVADA

DD MONTANA

DD MISSISSIPPI

DD LOUISIANA

DD GEORGIA

DD FLORIDA

DD ALABAMA

DDAL1

DDUT1

DDTX1

DDNV1

DDMT1

DDMS1

DDLA1

DDGA1

DDFL1

01901

DDUTO

DDGAO

01033

94276

DDIC

DD_VIRGINIA

Delta Dental of Virginia

54084

CDVA1

DD_WASHINGTON

Delta Dental of Washington

90162

91062

DD_WASHINGTON_DC

Delta Dental of Washington DC

52147

DD_WEST_VIRGINIA

Delta Dental of West Virginia

31096

DD_WI

DELTA DENTAL OF WI

39033

39069

DELTACARE_CLAIMS

DeltaCare USA / Private Medical Care (Claims)

DDCA2

DDCA3

CDCA2

DELTACARE_USA_ENCOUNTERS

DeltaCare USA - Encounters

DDCA3

CDCAP

DELTA_DENTAL_SOUTH_CAROLINA

Delta Dental of South Carolina

43091

DENTAL_GUARD_PREFERRED

Dental Guard Preferred

TLZ41

64246

GUARDIAN

DENTAL_NETWORK_MARYLAND

The Dental Network of Maryland

CX034

TDN02

TLY47

FX136

TLX87

TLZ09

TLX86

TLX85

TLU18

TLX88

TDN01

00580

DENTAQUEST_GOVERNMENT

DentaQuest - Government

CX014

CKOH2

DENTIST_DIRECT

DENTIST DIRECT

UTUDD

DESERET_MUTUAL_BENEFIT_ADMINISTRATORS

Deseret Mutual Benefit Administrators (DMBA)

CX089

DX214

TFQ56

DIRECT_DENTAL

Direct Dental Administrators, Inc.

SDCOM

EVERENCE

Everence

MNM01

35605

FIRST_RELIANCE_STANDARD

First Reliance Standard

13317

71005

FLEX_COMPENSATION

FLEX COMPENSATION

R7004

FLORIDA_COMBINED_LIFE

Florida Combined Life (Dental)

BFL01

CBFLU

TLZ31

76031

GEHA

GEHA EMPLOYEE PROGRAM

44054

GOLDEN_WEST

Golden West Dental

GWD01

GROUP_DENTAL_SERVICE

GROUP DENTAL SERVICE

CX036

GUARDIAN

Guardian Life Insurance Co. of America

DENTAL GUARD PREFERRED

TLZ41

64246

HAWAII_DENTAL_SERVICE

Hawaii Dental Service

10002

99010

DEHI1

HDS_MEDICAID

HDS Medicaid

HDSMH

TMCHI

HEALTHCHOICE_OKLAHOMA

HealthChoice Oklahoma

71064

HEALTHSCOPE

HealthScope Benefits

71063

HEALTHSCOPE_MORRIS

HealthScope Benefits/ Morris Associates

35092

TLU78

HEALTHSCOPE_TRIBUTE

HealthScope Benefits (Tribute Health Plan)

31118

HEALTHSOURCE_PROVIDENT

Healthsource Provident

UFT WELFARE FUND

CONNECTICUT GENERAL CIGNA

80840

TLX70

62308 T2

62308 T1

10050

CIGN1

TLX24

TLU64

71056

68195

62308

CIGNA

HEALTH_CHOICE_AZ

HEALTH CHOICE AZ

62179

HERSHEY_HEALTHSMILE

Hershey Healthsmile

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

HMSA

HMSA (HAWAII MEDICAL SERVICES) - COMMERCIAL

99004

TLZ27

10001

HMSA1

HORIZON

Blue Cross Blue Shield of Nj (Horizon)

22099

HUMANA

Humana

61101

10841

73288 T2

73288 T1

73288 T6

73288 T5

73288 T4

73288 T3

73288

HUMANA_COMPBENEFITS_FEDERAL_PLAN_DENTAL

Humana CompBenefits Federal Plan Dental

HUMANA SPECIALTY BENEFITS STATE FLORIDA DENTAL

HUMANA SPECIALTY BENEFITS FLORIDA HEALTHY KIDS DENTAL

CX021

COMPBENEFITS AND HUMANA SPECIALTY BENEFITS

HUMANA_SPECIALTY_BENEFITS_FLORIDA_HEALTHY_KIDS_DENTAL

Humana Specialty Benefits Florida Healthy Kids Dental

HUMANA SPECIALTY BENEFITS STATE FLORIDA DENTAL

HUMANA COMPBENEFITS FEDERAL PLAN DENTAL

CX021

COMPBENEFITS AND HUMANA SPECIALTY BENEFITS

HUMANA_SPECIALTY_BENEFITS_STATE_FLORIDA_DENTAL

Humana Specialty Benefits State of Florida Dental

HUMANA SPECIALTY BENEFITS FLORIDA HEALTHY KIDS DENTAL

HUMANA COMPBENEFITS FEDERAL PLAN DENTAL

CX021

COMPBENEFITS AND HUMANA SPECIALTY BENEFITS

INTERNATIONAL_BROTHERHOOD_ELECTRICAL_WORKERS

International Brotherhood of Electrical Workers

DDPOH

CDOH1

DDPO

15004

A1317

DELTO

DD OHIO

KAISER

KAISER PERMANENTE

CX073

LINCOLN_FINANCIAL_GROUP

Lincoln Financial Group (Lincoln National Life)

CX061

JPF01

MANAGED_DENTALGUARD

Managed DentalGuard

GI813

MCNA

Managed Care of North America, Inc. (MCNA)

MCNA2

CKLA1

CKLA2

65030

MEDICA

MEDICA PUBLIC PROGRAMS

07031

MEDIC

MEPUB

CX026

MEDICAID_ALABAMA

Medicaid of Alabama

CKAL1

MEDICAID_AR

MEDICAID OF AR

CKAR1

MEDICAID_COLORADO

MEDICAID - COLORADO

CX014

CKOH2

CKCO1

MEDICAID_CONNECTICUT

Medicaid of Connecticut

CKCT1

MEDICAID_DENTAQUEST

DentaQuest - Medicaid

CX014

CKOH2

MEDICAID_FL

MEDICAID OF FL

CKFL1

MEDICAID_GEORGIA

Medicaid - Georgia (HFP)

77034

CKGA1

CKGA2

MEDICAID_IA

MEDICAID OF IA

CKIA1

MEDICAID_IDAHO

MEDICAID - IDAHO

CX014

CKOH2

CKID1

MEDICAID_ILLINOIS

Medicaid - Illinois

CX014

CKOH2

CKIL1

MEDICAID_INDIANA

Medicaid of Indiana

CKIN1

MEDICAID_KENTUKY_DORAL_DENTAL

MEDICAID - KENTUCKY (REGION 3)

CX014

CKOH2

CKKY3

MEDICAID_KENTUKY_HEALTH_CHOICE

MEDICAID - KENTUCKY (REGION 5)

CKKY1

TLU10

MEDICAID_KS

MEDICAID OF KS

CKKS1

MEDICAID_MA

MASS HEALTH (MEDICAID OF MA)

CKMA1

MEDICAID_MARYLAND

MEDICAID - MARYLAND

CX014

CKOH2

CKMD1

MEDICAID_ME

MEDICAID OF ME

CKME1

MEDICAID_MICHIGAN

Medicaid of Michigan

CKMI1

MEDICAID_MINNESOTA

Medicaid of Minnesota

DHS01

MNMA1

CKMN1

MEDICAID_MO

MEDICAID OF MO

CKMO1

MEDICAID_MS

MEDICAID OF MS

E3240

CKMS1

MEDICAID_MT

MEDICAID OF MT

77039

CKMT1

MEDICAID_NC

MEDICAID OF NC

TLY55

CKNC1

MEDICAID_ND

MEDICAID OF ND

CKND1

MEDICAID_NEW_YORK

Medicaid of New York

CKNY1

MEDICAID_NH

MEDICAID OF NH

CKNH1

MEDICAID_NJ

MEDICAID OF NJ

CKNJ1

MEDICAID_NM

MEDICAID OF NM

CKNM1

MEDICAID_NV

MEDICAID OF NV

CKNV1

MCNV1

MEDICAID_OH

MEDICAID OF OH

CKOH1

MEDICAID_OK

MEDICAID OF OK

CKOK1

MEDICAID_OR

MEDICAID OF OR

CKOR1

MEDICAID_PA

MEDICAID OF PA

CKPA1

MEDICAID_SOUTH_CAROLINA

MEDICAID - SOUTH CAROLINA

CX014

CKOH2

CKSC1

MEDICAID_TENNESSEE_BLUECARE

Medicaid of Tennessee, BlueCare

CX014

CKOH2

MEDICAID_TEXAS_DENTAQUEST

Medicaid of Texas - DentaQuest

CX014

CKOH2

MEDICAID_TX

MEDICAID OF TX

MDTX1

86916

CKTX1

MEDICAID_UTAH

Medicaid of Utah

CKUT1

MEDICAID_VIRGINIA

MEDICAID - VIRGINIA

CX014

CKOH2

CKVA1

MEDICAID_VIRGINIA_HEALTHKEEPERS

Medicaid of Virginia, HealthKeepers Plus

CX014

CKOH2

MEDICAID_VT

MEDICAID OF VT

CKVT1

MEDICAID_WASHINGTON

Medicaid of Washington

MDWA1

CKWA1

77045

MEDICAID_WI

MEDICAID OF WI

TXIX

CKWI1

MEDICAID_WISCONSIN_DENTAQUEST

Medicaid of Wisconsin - DentaQuest

CX014

CKOH2

MEDICAID_WISCONSIN_HUMANA_TDC

Medicaid of Wisconsin, Humana / TDC

CX014

CKOH2

MEDICAID_WISCONSIN_PRIMECARE

Medicaid of Wisconsin, PrimeCare

CX014

CKOH2

MEDICAID_WV

MEDICAID OF WV

CKWV1

MEDICAID_WY

MEDICAID OF WY

CKWY1

MERCY_CARE

Mercy Care

CX014

CKOH2

86052

METLIFE

MetLife

65978

TLZ16

TES01

0000 E

MINNESOTA_BLUE_CROSS_DENTAL_(UCCI)

Minnesota Blue Cross Dental (UCCI)

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

MMO

Medical Mutual of Ohio (MMO)

CB833

TLU03

29076

MOLINA

Molina

SKYGEN

SKYGN

MUTUAL_HEALTH_SERVICES

MUTUAL HEALTH SERVICES

34192

MVP_SELECT_CARE

MVP SELECT CARE

14165

P MVP

TLX30

NDDS

North Dakota Dental Service

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

NIPPON

NIPPON LIFE INSURANCE

81264

PACIFICARE

Pacificare Dental & Vision Plan

BLUE SHIELD CALIFORNIA

CX060

CX053

BSCA1

5213

CX056

CX057

37060

94036

CX001

UHC01

52133 T1

52133 T3

52133 T2

TPC06

TLW58

TLX81

TLW59

TLW68

TLX06

TBS03

TLW57

87726

TLU44

52133

UNITED HEALTHCARE

PERSONAL_CHOICE

Personal Choice

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

PHOENIX_HEALTH_DENTAQUEST

Phoenix Health Plans (DentaQuest)

CX014

CKOH2

PHYSICIANS_MUTUAL

Physicians Mutual (Dental)

CX068

PRIMECARE_WISCONSIN

PrimeCare Wisconsin and Fed Employees and Medicaid

CX014

CKOH2

PRIMEWEST

PrimeWest

61603

61604

LX049

PRINCIPAL

Principal

61271 T1

61271

REGENCE_BCBS_OREGON_OUT

Regence Blue Cross/Blue Shield of Oregon

00850

85100

TLW13

CB850

00851

BCBS OREGON

851

RELIANCE_STANDARD_LIFE

Reliance Standard Life

36088

SELECTHEALTH

SelectHealth

CX107

SX107

TPC17

SKYGEN

Skygen USA

SKYGN

MOLINA

STANDARD_INSURANCE

Standard Insurance

93024

69019

STANDARD_INSURANCE_NEW_YORK

Standard Insurance Co. of New York

13411

89009

TRICARE

Tricare Dental Plan (UCCI)

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

TRICARE_ACTIVE_RESERVISTS

Tricare Active Reservists

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

TRICARE_RETIREE_DENTAL_PROGRAM

Tricare Retiree Dental Program

DD TRICARE

37004

DDPFS

DDCA1

CDCA1

TRIGON_BCBS_COLORADO

Trigon - Blue Cross/Blue Shield of Colorado

CB923

AD423

84103

ANTHEM BCBS VIRGINIA

47198

TRIGON_BCBS_VIRGINIA

Trigon - Blue Cross/Blue Shield of Virginia

CB923

AD423

84103

ANTHEM BCBS VIRGINIA

47198

TRUSTMARK

TRUSTMARK

61424

TLW23

TPC02

61425

UFT_WELFARE_FUND

UFT Welfare Fund

HEALTHSOURCE PROVIDENT

CONNECTICUT GENERAL CIGNA

80840

TLX70

62308 T2

62308 T1

10050

CIGN1

TLX24

TLU64

71056

68195

62308

CIGNA

UHC_API

UHC API

UMR

UMR

TLZ36

PUMR1

79480

UMR_HARRINGTON

UMR - Harrington

UNITED MEDICAL RESOURCES

UMR SAN ANTONIO

33108

74223

95266

75196

75245

87265

52132

39026

UMR WAUSAU

UMR_LEXINGTON

UMR - LEXINGTON

37237

UMR_SAN_ANTONIO

UMR - San Antonio

UNITED MEDICAL RESOURCES

UMR HARRINGTON

33108

74223

95266

75196

75245

87265

52132

39026

UMR WAUSAU

UMR_WAUSAU

UMR - Wausau

UNITED MEDICAL RESOURCES

UMR SAN ANTONIO

UMR HARRINGTON

33108

74223

95266

75196

75245

87265

52132

39026

UNICARE

UniCare

80314 D

80314 T2

80314 T1

80314

UNITED_CONCORDIA

United Concordia Companies, Inc.

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED_CONCORDIA_ENCOUNTERS

United Concordia (Encounters)

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

UNITED_CONCORDIA_FEDERAL_EMPLOYEES_PROGRAM

United Concordia - Federal Employees Program

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

UNITED_CONCORDIA_PA_BLUE_SHIELD

United Concordia - Dental Plus - PA Blue Shield

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

UNITED_CONCORDIA_TRICARE_DENTAL_PLAN

United Concordia - Tricare Dental Plan

UNITED CONCORDIA FEDERAL EMPLOYEES PROGRAM

PERSONAL CHOICE

HERSHEY HEALTHSMILE

BLUE SHIELD PENNSYLVANNIA

UCCDP

54771

CX013

89070

CX007

CBPA2

CB865

CX002

DXTAS

18004

UCCTR

UCCMB

UCCEN

UCCDE

UCCAP

00864

TLW33

CXOO7

TLX74

CX008

TFQ25

CBMNU

CBAR2

TEMU1

99998

99994

TES03

99997

Z9901

99995

BCBS LOUISIANA

MINNESOTA BLUE CROSS DENTAL UCCI

53287

BXMN1

TLU22

00720

CX004

00301

00800

TLX78

TLX12

CBNYW

CBNYE

0000 D

UNITED CONCORDIA

UNITED_HEALTHCARE

United Healthcare

PACIFICARE

BLUE SHIELD CALIFORNIA

CX060

CX053

BSCA1

5213

CX056

CX057

37060

94036

CX001

UHC01

52133 T1

52133 T3

52133 T2

TPC06

TLW58

TLX81

TLW59

TLW68

TLX06

TBS03

TLW57

87726

TLU44

52133

UNITED_MEDICAL_RESOURCES

United Medical Resources - Cincinnati

UMR SAN ANTONIO

UMR HARRINGTON

33108

74223

95266

75196

75245

87265

52132

39026

UMR WAUSAU

WILSON_MCSHANE_CORP

WILSON MCSHANE CORPORATION

01066

R7002

ZENITH

ZENITH ADMINISTRATORS (MN)

R7001

TLY21


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