Payer ID

Insurance Company

Alternate IDs

0000D

United Concordia

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

0000E

Metropolitan Life Insurance Company

65978

TLZ16

TES01

00580

Blue Cross Blue Shield of Maryland / CAREFIRST

CX034

TDN02

TLY47

FX136

TLX87

TLZ09

TLX86

TLX85

TLU18

TLX88

TDN01

00611

Regence Blue Shield of Idaho

CBID2

00621

Blue Cross Blue Shield of Illinois

GOO62

G0062

G0621

CBIL1

TLW12

CB621

23004

00700

Blue Cross Blue Shield of Connecticut- Family Plan

AD060

700

00840

Blue Cross Blue Shield of Oklahoma

12 B25

BCSOK

SB840

TBOK1

00851

Blue Cross Blue Shield of Oregon (Regence)

00850

85100

TLW13

CB850

REGENCE BCBS OREGON OUT

00932

Blue Cross Blue Shield of Washington (Regence)

93200

02027

Delta Dental of Northeast (ME NH VT)

2027

02027 T3

02027 T2

02027 T1

04356

Dentaquest - Commercial

04614

Delta Dental of Massachusetts

4614

05029

Delta Dental of Rhode Island

5029

07027

Delta Dental of Nebraska

CDNE1

DDNE

11198

Delta Dental of New York

32 BJ

22099

Blue Cross Blue Shield of NJ (Horizon)

22099 T1

22189

Delta Dental of New Jersey

DD CONNECTICUT

37307

DDNJ1

22189 T1

TLU56

23166

Delta Dental of Pennsylvania

DDPA1

23166 T1

TLU51

TLX23

00008

29076

Medical Mutual of Ohio (MMO)

CB833

TLU03

31096

Delta Dental of West Virginia

34192

Mutual Health Services

36088

Reliance Standard Life

37242

Aultra Administrative Group

DX231

39026

UMR

UNITED MEDICAL RESOURCES

UMR SAN ANTONIO

UMR HARRINGTON

33108

74223

95266

75196

75245

87265

52132

39069

Delta Dental of Wisconsin

39033

39141

Blue Cross Blue Shield of Wisconsin

ANTHEM BCBS WISCONSIN FEP

P DBC

BWI01

00950

TCX01

CB950

AD450

00450

43090

Delta Dental of Missouri

25125

TFQ69

TLW06

43091

Delta Dental of South Carolina

43471

Benefit Management / Inetico

44054

GEHA Employee Program

46278

Envolve Dental

47009

Ameritas Life Insurance Company

CX032

CX047

61492

61301

47163

Blue Cross Blue Shield of Kansas

CBKS1

47171

Blue Cross Blue Shield of Kansas City

DX067

47198

Blue Cross of California (Wellpoint)

TRIGON BCBS VIRGINIA

TRIGON BCBS COLORADO

84103

47570

Blue Cross Blue Shield of Alaska (Premera)

BCBS WASHINGTON

47570 T3

47570 T2

47570 T1

00430

DX102

47598

Delta Dental of Illinois Group Plans

05030

MW150

P MOE

TLY40

PIP02

PIP01

50503

Altus Dental

51022

Delta Dental of Delaware

52080

AFLAC of New York

52133

United Healthcare Dental

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

UHC API

52147

Delta Dental of District of Columbia (DC)

55093

Blue Cross Blue Shield of New York (Empire)

CBNY1

56101

Delta Dental of North Carolina

56010

DDPNC

DDNC

DDNC1

58066

AFLAC of Georgia

60033

FIRST AMERITAS LIFE INSURANCE CORPORATION OF NY

72630

60054

AETNA

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

953402799

18014

61271

Principal Financial Group

61271 T1

62308

Cigna

UFT WELFARE FUND

HEALTHSOURCE PROVIDENT

CONNECTICUT GENERAL CIGNA

80840

TLX70

62308 T2

62308 T1

10050

CIGN1

TLX24

TLU64

71056

68195

CHLIC

CGHMO

64246

Guardian Life Insurance Co

DENTAL GUARD PREFERRED

TLZ41

65030

Managed Care of North America (MCNA)

MCNA2

CKLA1

CKLA2

65358

Blue Cross Blue Shield of Connecticut

AD060

66043

Delta Dental of Puerto Rico

69019

Standard Insurance Company of New York

93024

70123

WV PEIA

71005

First Reliance Standard Life - New York

13317

71064

HealthChoice

73288

Humana Dental

61101

10841

73288 T2

73288 T1

73288 T6

73288 T5

73288 T4

73288 T3

76031

Florida Combined Life (BCBS OF FL)

BFL01

CBFLU

TLZ31

77045

Medicaid of Washington

MDWA1

CKWA1

77777

Delta Dental of California

TLW42

CX099

78077

Equitable

80314

UNICARE

80314 D

80314 T2

80314 T1

80705

Great West Healthcare

63665

66893

82029

Delta Dental of Idaho

83470

Blue Cross Blue Shield of Arkansas

BLUE ADVANTAGE

CBAR1

CBAR5

P US

TLY26

84056

Delta Dental of Colorado

DDPCO

84099

Blue Cross Blue Shield of Colorado

AD050

84100

Blue Cross Blue Shield of New Mexico

CBNM1

G0079

00790

84101

Blue Cross Blue Shield of Nevada

AD265

84103

Blue Cross Blue Shield of Virginia (Trigon)

CB923

AD423

84105

Blue Cross Blue Shield (Anthem)

ANTHEM BCBS OHIO

ANTHEM BCBS KENTUCKY

ANTHEM BCBS INDIANA

AD332

AD160

AD130

84105 T3

84105 T2

84105 T1

TLU91

TLU89

TLU90

P NYF

84980

Blue Cross Blue Shield of Texas

CB900

31004

86027

Delta Dental of Arizona

DDAZ1

86207

86098

AVESIS

CX091

TFQ19

89009

Standard Insurance Company of New York

13411

91062

Delta Dental of Washington

90162

06120

93221

Asuris Northwest Health

93524

Advantage Dental

93525

Northwest Dental Services

94276

Delta Dental - DDIC

01901

01033

DDIC

96938

Gateway Healthy Plan

AARP1

AARP Dental Insurance Plan

ALH01

Aliera Healthcare

ARIND

Delta Dental of AR Indv

AULTC

Aultcare

DX052

BBMDQ

Blue Cross Blue Shield of Michigan/ Medicare Advantage

BCBSM

BME01

Blue Cross Blue Shield of Maine

AD180

BNH01

Blue Cross Blue Shield of New Hampshire

AD270

BSCA2

Blue Shield of California - Federal

WT002

CB870

Blue Cross Blue Shield of Rhode Island

53473

CBAL1

Blue Cross Blue Shield of Alabama

ALBLS

07600

CBMA1

Blue Cross Blue Shield of Massachusetts

38004

04210

CBTN1

Blue Cross Blue Shield of Tennessee

00390

00890

67004

CDCA1

Tricare Retiree Dental

DD TRICARE

37004

DDPFS

DDCA1

CDCA2

DeltaCare USA / PMI - Claim

DDCA2

DDCA3

CDCAP

DeltaCare USA / PMI - Encounters

DDCA3

CDIA1

Delta Dental of Iowa

CDIAM

Delta Dental of Iowa - DWP

CDKS1

Delta Dental of Kansas

DDPKS

E3960

CDKY1

Delta Dental of Kentucky

DDKY

17004

CDMN1

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

CDVA1

Delta Dental of Virginia

54084

CKAL1

Medicaid of Alabama

CKCT1

Medicaid of Connecticut

CKIN1

Medicaid of Indiana

CKMA1

Medicaid of Massachusetts (Mass Health)

CKMN1

Medicaid of Minnesota

DHS01

MNMA1

CKMS1

Medicaid of Mississippi

E3240

CKNC1

Medicaid of North Carolina

TLY55

DNC00

CKOH1

Medicaid of Ohio

CKUT1

Medicaid of Utah

CX014

DentaQuest - Government

PRIMECARE WISCONSIN

PHOENIX HEALTH DENTAQUEST

MERCY CARE

MEDICAID WISCONSIN PRIMECARE

MEDICAID WISCONSIN HUMANA TDC

MEDICAID WISCONSIN DENTAQUEST

MEDICAID VIRGINIA HEALTHKEEPERS

MEDICAID VIRGINIA

MEDICAID TEXAS DENTAQUEST

MEDICAID TENNESSEE BLUECARE

MEDICAID SOUTH CAROLINA

MEDICAID MARYLAND

MEDICAID KENTUKY DORAL DENTAL

MEDICAID ILLINOIS

MEDICAID IDAHO

MEDICAID COLORADO

DENTAQUEST GOVERNMENT

AMERIGROUP WA MEDICARE

AMERIGROUP GA

AFFINITY HEALTH

TPC14

13357

11315

25143

23284

13265

CKO14

09824

31114

CXO14

CIMSA

CKSC1

CKKY3

CKIL1

CKID1

CKCO1

86052

CKVA1

CKMD1

CX014 T1

22348

77016

SCXIX

WT001

TPC11

TLW15

COMED

AIDID

MCMD1

CX021

CompBenefits

HUMANA SPECIALTY BENEFITS STATE FLORIDA DENTAL

HUMANA SPECIALTY BENEFITS FLORIDA HEALTHY KIDS DENTAL

HUMANA COMPBENEFITS FEDERAL PLAN DENTAL

CX026

MEDICA of Minnesota

07031

MEDIC

MEPUB

MEDICA

CX068

Physicians Mutual

CX076

Administrative Services (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

CX083

Liberty Dental Plan

CX08

WT066

WT065

WT067

WT064

WT063

WT062

WT019

WT061

WT060

WT059

WT058

WT057

WT056

WT055

WT054

WT035

WT049

WT048

WT047

WT046

WT045

WT034

WT033

WT044

WT032

WT031

WT043

WT038

WT037

WT029

WT030

WT020

WT028

WT027

WT036

WT026

WT022

WT024

WT023

WT021

WT025

WT018

TPC12

LDP02

LDP01

CX087

Mutual of Omaha

P 087

DCP01

Dental Care Plus

CX035

DDAL1

Delta Dental of Alabama

DD ALABAMA

DDFL1

Delta Dental of Florida

DD FLORIDA

DDGA1

Delta Dental of Georgia

DD GEORGIA

DDGAO

DDLA1

Delta Dental of Louisiana

DD LOUISIANA

DDMD1

Delta Dental of Maryland

DD MARYLAND

DDMS1

Delta Dental of Mississippi

DDMT1

Delta Dental of Montana

DD MONTANA

DDNV1

Delta Dental of Nevada

DD NEVADA

DDTX1

Delta Dental of Texas

DD TEXAS

DDUT1

Delta Dental of Utah

DDUTO

DD UTAH

DEHI1

Hawaii Dental Services (Delta Dental of HI)

10002

99010

DELAR

Delta Dental of Arkansas

DDPAR

CDAR1

DEPAR

00001

CDAK1

DELOK

Delta Dental of Oklahoma

DDPOK

CDOK1

22229

DELTA

Delta Dental of Michigan

DELTU

CDMI0

DDPM

DDPMI

CBMIO

DTPMI

CDMIO

97276

A1432

10004

UFC01

DELTI

Delta Dental of Indiana

COUNCIL CARPENTERS WELFARE FUND

ICW01

CDIN1

DDPIN

DDPI

DELTM

Delta Dental of New Mexico

85022

DDPNM

DELTN

Delta Dental of Tennessee

DDPTN

CDTN1

DDPT

22004

DELTO

Delta Dental of Ohio

INTERNATIONAL BROTHERHOOD ELECTRICAL WORKERS

DDPOH

CDOH1

DDPO

15004

A1317

GI813

Guardian Managed DentalGuard (Individual Market)

GP133

UHC Dental Government Programs

86001 86003

86047 86049

WT004 WT006

WT006

WT005

WT004

86049

86048

86047

86003

86002

86001

GWD01

Golden West Dental

HCH01

Healthcare Highways Health Plan

HMSA1

HMSA (Hawaii Medical Services) - Commercial

99004

TLZ27

10001

IDIND

Delta Dental of Illinois (Individual)

LX049

Primewest Health

61603

61604

R7002

Wilson Mcshane Corporation

01066

R7003

Benefit Inc

R7004

FLEX Compensation

SB601

Blue Cross Blue Shield of Georgia

CBGA1

54000

SCION

SCION Dental

GACS1

SDCOM

SCION Dental Commercial

SKYGN

Molina Healthcare

SKYGEN

TBX01

Blue Cross Blue Shield of Arizona

53589

TLZ14

TFQ56

Deseret Mutual Benefit Administrators

CX089

DX214

TLU06

Blue Cross Blue Shield of Montana

CBMT1

00751

TLU11

Allegiance Benefit Plan Management

81040

TLU78

Morris Associates

35092

TLX30

MVP Select Care

14165

P MVP

TLX52

Blue Cross Blue Shield of Missouri

Z0001

AD241

TLX77

Security Life Insurance Co of America

47009

CX092

TLZ28

TLY21

Zenith Administrators (MN)

R7001

TMCHI

Medicaid of Hawaii (Hawaii Dental Services)

HDSMH

TPC17

Select Health

CX107

SX107

VYNE1

Vyne Sample Responses

WT016

Encara

WDENC

01130

WT016

WVCS1

Caresource - West Virginia