Payer List - Enrollments Required

Find by: Payer: and/or Transaction: GO
 
Payer ID Payer Name Transaction Type Description Enrollment Forms
68246 Aetna DMO 835 ERA Aetna DMO ERA Application
60054 Aetna Dental Plans 835 ERA Aetna ERA Enrollment
BCBSM Blue Cross/Blue Shield of Michigan 835 ERA ERA Enrollment
CBAL1 Blue Cross/Blue Shield of Alabama 837 Claims Provider Instructions 10.27.09
CBID1 Blue Cross of Idaho 837 Claims Provider Instructions 10.5.09
CBKS1 Blue Cross/Blue Shield of Kansas 837 Claims Provider Instructions "In State Providers Only" 10.5.09
CBMA1 Blue Cross/Blue Shield of Massachusetts 837 Claims Provider Instructions 10.14.09
CBTN1 Blue Cross/Blue Shield of Tennessee 837 Claims Provider Instructions 11.12.09
22099 Blue Cross/Blue Shield of New Jersey - Horizon 837 Claims Provider Instructions 10.5.09
94146 Denti-Cal 837 Claims Enrollment Application 8.20.08
CKCT1 Medicaid of Connecticut 837 Claims Provider Instructions 10.5.09
CKDE1 Medicaid of Delaware 837 Claims Provider Instructions 11.5.09
CKFL1 Medicaid of Florida 837 Claims Provider Instructions 10.5.09
CKGA1 Medicaid of Georgia 837 Claims Provider Instructions 10.5.09
CKID1 Medicaid of Idaho 837 Claims Provider Instructions 10.5.09
CKIA1 Medicaid of Iowa 837 Claims Provider Instructions 10.5.09
CKKY1 Medicaid of Kentucky 837 Claims Provider Instructions 10.5.09
CKME1 Medicaid of Maine (MaineCare) 837 Claims Enrollment Application
CKMI1 Medicaid of Michigan 837 Claims Provider Instructions 10.5.09
CKMN1 Medicaid of Minnesota 837 Claims Provider Instructions 10.5.09
CKMT1 Medicaid of Montana 837 Claims Enrollment Application 6-18-08
CKNJ1 Medicaid of New Jersey 837 Claims Provider Instructions 10.5.09
CKNY1 Medicaid of New York 837 Claims Provider Instructions 10.5.09
CKOH1 Medicaid of Ohio (Medicaid claims administered by Quadax) 837 Claims Provider Instructions 10.5.09
CKPA1 Medicaid of Pennsylvania 837 Claims Provider Instructions 10.27.09
CKUT1 Medicaid of Utah 837 Claims Provider Instructions 11.13.08
CKUT1 Medicaid of Utah 837 Claims Provider Instructions 10.27.09
CKWA1 Medicaid of Washington 837 Claims Provider Instructions 10.5.09
99994 United Concordia - Fee-For-Service (UCCI) 837 Claims Provider Instructions 10.5.09
99995 United Concordia - FMDP (Champus) 837 Claims Provider Instructions 10.5.09
99995 United Concordia - FMDP (Champus) 837 Claims Enrollment Instructions for UCCI
99996 United Concordia - Dental - PA Blue Shield 837 Claims Provider Instructions 10.5.09
99997 United Concordia - Dental Plus - PA Blue Shield 837 Claims Provider Instructions 10.5.09
99996 Blue Shield of Pennsylvania (Camp Hill) 837 Claims Provider Instructions 10.23.09
94146 Medicaid of California 837 Claims DentiCal Enrollment
BCSSC Blue Cross/Blue Shield of South Carolina 835 ERA ERA Enrollment
BCSSC Blue Cross/Blue Shield of South Carolina 837 Claims Enrollment Application
DX004 Florida Combined Life (Dental) 835 ERA ERA Enrollment
DX014 Companion Life (SC) 835 ERA ERA Enrollment
CBNE1 Blue Cross/Blue Shield of Nebraska 837 Claims Provider Instructions "In State Providers Only" 10.5.09
CBNE1 Blue Cross/Blue Shield of Nebraska 837 Claims Provider Instructions for "OUT OF STATE PROVIDERS"
CKNV1 Medicaid of Nevada 837 Claims Provider Instructions 10.5.09
DX088 Blue Cross/Blue Shield of Utah - Regence 837 Claims Provider Enrollment Instructions 11.17.08
CBMS1 Blue Cross/Blue Shield of Mississippi 837 Claims Provider Instructions "In State Providers Only" 10.5.09
CBMS1 Blue Cross/Blue Shield of Mississippi 837 Claims Provider Instructions "Out of State Providers" 11.17.09

Get Acrobat Reader
Note: Some of the content on this page are available only in Adobe Acrobat - Portable Document Format (PDF). To view PDF files, you must have Adobe Acrobat Reader (minimum version 7, version 8 suggested). If you do not already have Acrobat Reader installed, please go to Adobe's Acrobat download page to get it for free.