| 60054 |
Aetna Dental Plans |
835 ERA |
ERA Application |
|
| 68246 |
Aetna DMO |
835 ERA |
ERA Application |
|
| 60054 |
Bell Atlantic |
835 ERA |
ERA Application |
|
| CBID1 |
Blue Cross of Idaho |
837 Claims |
Provider Instructions |
|
| CBAL1 |
Blue Cross/Blue Shield of Alabama |
837 Claims |
Provider Instructions |
|
| 53589 |
Blue Cross/Blue Shield of Arizona |
835 ERA |
Provider Instructions |
|
| CBKS1 |
Blue Cross/Blue Shield of Kansas |
837 Claims |
Provider Instructions " In State Providers Only " |
|
| CBMA1 |
Blue Cross/Blue Shield of Massachusetts |
837 Claims |
Provider Instructions |
|
| BCBSM |
Blue Cross/Blue Shield of Michigan |
835 ERA |
ERA Instructions |
|
| CBMS1 |
Blue Cross/Blue Shield of Mississippi |
837 Claims |
Provider Instructions " In State Providers Only " |
|
| CBMS1 |
Blue Cross/Blue Shield of Mississippi |
837 Claims |
Provider Instructions " Out of State Providers " |
|
| CBNE1 |
Blue Cross/Blue Shield of Nebraska |
837 Claims |
Provider Instructions "In State Providers Only" |
|
| CBNE1 |
Blue Cross/Blue Shield of Nebraska |
837 Claims |
Provider Instructions for "OUT OF STATE PROVIDERS" |
|
| 22099 |
Blue Cross/Blue Shield of New Jersey - Horizon |
837 Claims |
Provider Instructions |
|
| BCSSC |
Blue Cross/Blue Shield of South Carolina |
835 ERA |
ERA Application |
|
| CBTN1 |
Blue Cross/Blue Shield of Tennessee |
837 Claims |
Provider Instructions |
|
| DX088 |
Blue Cross/Blue Shield of Utah - Regence |
837 Claims |
Provider Instructions |
|
| 99996 |
Blue Shield of Pennsylvania (Camp Hill) |
837 Claims |
Provider Instructions |
|
| 60054 |
Choice Plus |
835 ERA |
ERA Application |
|
| DX014 |
Companion Life (SC) |
835 ERA |
ERA Application |
|
| 60054 |
CustomCare (Southwestern Bell - Exec) |
835 ERA |
ERA Application |
|
| 94146 |
Denti-Cal |
837 Claims |
Enrollment Application |
|
| 60054 |
FlexCare |
835 ERA |
ERA Application |
|
| DX004 |
Florida Combined Life (Dental) |
835 ERA |
ERA Application |
|
| 60054 |
Florida Power & Light |
835 ERA |
ERA Application |
|
| CX009 |
Health Partners of Minnesota |
835 ERA |
ERA Application |
|
| 60054 |
Marriott |
835 ERA |
ERA Application |
|
| CKCT1 |
Medicaid of Connecticut |
837 Claims |
Provider Instructions |
|
| CKDE1 |
Medicaid of Delaware |
837 Claims |
Provider Instructions |
|
| CKFL1 |
Medicaid of Florida |
837 Claims |
Provider Instructions |
|
| CKGA1 |
Medicaid of Georgia |
837 Claims |
Provider Instructions |
|
| CKID1 |
Medicaid of Idaho |
837 Claims |
Provider Instructions |
|
| CKIA1 |
Medicaid of Iowa |
837 Claims |
Provider Instructions |
|
| CKKY1 |
Medicaid of Kentucky |
837 Claims |
Provider Instructions |
|
| CKLA2 |
Medicaid of Louisiana ADULT |
837 Claims |
Provider Enrollment Application |
|
| CKLA1 |
Medicaid of Louisiana EPSDT |
837 Claims |
Provider Enrollment Application |
|
| CKME1 |
Medicaid of Maine (MaineCare) |
837 Claims |
Enrollment Application |
|
| CKMI1 |
Medicaid of Michigan |
837 Claims |
Provider Instructions |
|
| CKMN1 |
Medicaid of Minnesota |
837 Claims |
Provider Instructions 10.5.09 |
|
| CKMS1 |
Medicaid of Mississippi |
837 Claims |
Provider Instructions |
|
| CKMT1 |
Medicaid of Montana |
837 Claims |
Provider Instructions |
|
| CKMT1 |
Medicaid of Montana |
835 ERA |
Enrollment Application |
|
| CKMT1 |
Medicaid of Montana |
270 Eligibility Request |
Enrollment Application |
|
| CKNV1 |
Medicaid of Nevada |
837 Claims |
Provider Instructions |
|
| CKNJ1 |
Medicaid of New Jersey |
837 Claims |
Provider Instructions |
|
| CKNY1 |
Medicaid of New York |
837 Claims |
Provider Instructions |
|
| CKOH1 |
Medicaid of Ohio (Medicaid claims administered by Quadax) |
837 Claims |
Provider Instructions |
|
| CKPA1 |
Medicaid of Pennsylvania |
837 Claims |
Provider Instructions |
|
| CKUT1 |
Medicaid of Utah |
837 Claims |
Provider Instructions |
|
| CKWA1 |
Medicaid of Washington |
837 Claims |
Provider Instructions |
|
| 60054 |
Preferred Dental Organization (PDO) |
835 ERA |
ERA Application |
|
| 60054 |
Prudential |
835 ERA |
ERA Application |
|
| 60054 |
Southwestern Bell |
835 ERA |
ERA Application |
|
| 60054 |
Southwestern Bell Exec. - Custom Care |
835 ERA |
ERA Application |
|
| 60054 |
Southwestern Bell Exec. - Southwest Bell |
835 ERA |
ERA Application |
|
| DX033 |
SRC - Strategic Resource Company (SC) |
835 ERA |
ERA Application |
|
| 97300 |
Triple-S |
837 Claims |
Enrollment Application |
|
| 60054 |
TRW |
835 ERA |
ERA Application |
|
| 99996 |
United Concordia - Dental - PA Blue Shield |
837 Claims |
Provider Instructions |
|
| 99997 |
United Concordia - Dental Plus - PA Blue Shield |
837 Claims |
Provider Instructions |
|
| 99994 |
United Concordia - Fee-For-Service (UCCI) |
837 Claims |
Provider Instructions |
|
| 99995 |
United Concordia - FMDP (Champus) |
837 Claims |
Provider Instructions |
|
| 99995 |
United Concordia - FMDP (Champus) |
837 Claims |
Provider Instructions |
|
| 60054 |
Varian Health Care Plan |
835 ERA |
ERA Application |
|