Dental Payor List

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Lindsay Technical Consultants, Inc.42496 Lindsay DriveNorth Mankato, MN 56003Tel 507-947-3070Fax 507-947-3077E-Mail: info@lindtech.com

Dental Claims Payor List - last official update 2/18/2010 (although continually updated)sorted by Payor Name.

Note: For Payors issuing a Provider I.D. without requiring enrollment forms, call or email LTC with the assignedProvider I.D.

Downloads for additional enrollment forms are listed below or go to the download area. Call or email LTC iffurther help is needed.

If you need the Adobe Acrobat Reader in order to read the (.PDF) fileformat, download the free version here first...

NewPayor

PayorI.D.

Payor Name Additional EnrollmentRequired

9/10/2007 TLU12 1199 National Benefit Fund

2/18/2010 59069 21st Century Health and Benefits

9/10/2007 20413 3P Admin

4/7/2004 CX044 A&I Benefits

2/18/2010 75240 AAG Benefit Plan Administrators, Inc.

2/18/2010 37283 AAG-American Administrative Group Formerly Gallagher Ben

9/10/2007 AARP1 AARP Dental Insurance Plan (Group # 1230 or 1231)

9/10/2007 PHP01 Abrazo Healthcare (Phoenix, AZ)

5/20/2005 AHP01 Abri Health Plan

9/10/2007 43178 Acceptius (Benefit Management Inc of MO (BMI)

9/10/2007 AHS01 Access Administrators Contact Payor to receiveprovider I.D.

9/10/2007 TLU13 Accident Fund Insurance Company of America

9/10/2007 64071 Acclaim

4/7/2004 87815 Accordia National

9/10/2007 61425 ACEC-Healthplan

9/10/2007 61473 ACS Benefit Solutions

72468 ACS Consulting Services, Inc. (PO Box 2000 Fort Valley, GA)

38255 Activa Benefit Services, LLC (Grand Rapids, MI)

9/10/2007 TLU14 ADENTA

9/10/2007 TLU87 Administration Services, Inc. (ASI)

9/10/2007 TLU86 Administrative Concepts

2/18/2010 CX076 Adminstrative Services Only, Inc.

6/30/2003 93524 Advantage Dental Plan, Inc.

9/10/2007 52133 Advantage Health Solutions

9/10/2007 60054 Adventis Risk Management, Inc. (NAD Retirees)

9/10/2007 95340 Adventist Health

9/10/2007 TLX35 AEI (Administrative Enterprises Inc) (AZ)

9/10/2007 57604 Aetna Affordable Health Choices (SM) - SRC

68246 Aetna Healthcare Encounters (DMO)

60054 Aetna Life & Casualty Co.

9/10/2007 TLW02 Affordable Benefit Administrators, Inc.

58066 AFLAC - Georgia (1932 Wynnton Road, Columbus, GA 3199907251)

2/18/2010 52080 AFLAC - NY Plan

9/10/2007 91136 AGC-I.U.O.E Local 701 Trust Funds

80705 AH & L

9/10/2007 TLW03 AHCP - American Healthcare Partnership

9/10/2007 13545 AIG American General (US Life)

91136 Alaska Children's Services, Inc (Group #P68)

Dental Payor List

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2/7/2005 92600 Alaska Electric Health & Welfare Fund

9/10/2007 91136 Alaska Hotel, Restaurant and Camp

91136 Alaska Laborers Construction Industry Trust (Group #F23)

91136 Alaska Pipe Traders Local 375 (Group #F24)

9/10/2007 91136 Alaska Plumbing and Pipefitting Industry

91136 Alaska United Food & Comm Workers Health & Welfare Trust #F45

9/10/2007 TLU15 ALICARE

9/10/2007 TLU11 Allegiance Benefit Plan Management

9/10/2007 ALMC1 Allen Lund Co

inactive CX016 Allen Medical Claims Administrators

4/7/2004 94177 Allied Administrators

9/10/2007 TLX56 Allied Benefit Systems

69140 Allmerica Financial Services

80705 ALTA Health & Life Insurance Company

50503 Altus Dental (PO Box 1557, Providence, RI)

2/18/2010 STR01 Always Care Benefits

9/10/2007 13343 Amalgamated Life - PA Alicare

11/13/2008 16120 America's TPA

9/10/2007 75240 American Administrative Group, Inc. (AAG)

11/13/2008 42112 American Administrators

9/10/2007 TLU21 American Association of Orthodontics (AAO-TPA)

9/10/2007 TLU24 American Benefit Plan Administrators

E3750 American Bankers Life Assurance Co.

6/25/2004 34187 American Benefits Management (North Canton, Ohio)

9/10/2007 TLW04 American Community Mutual Insurance Co

5/20/2005 ADP01 American Dental Payor of WI

9/10/2007 TAD01 American Dental Professional Services

9/10/2007 TAD02 American Dental Professional Services (Repriced Claims)

5/20/2005 AHG01 American Health Group

9/10/2007 TLU25 American Healthcare

9/10/2007 TLW75 American Heritage Life Insurance Company

CX001 American Medical Security

9/10/2007 74048 American National Insurance Co.

9/10/2007 TLU26 American Pioneer Life Insurance

44444 American Postal Workers Union Health Plan-APWU

9/10/2007 TLX55 American Sentinel Insurance Inc

2/18/2010 86047 Americhoice - New Jersey Medicaid

2/18/2010 86001 Americhoice - New Jersey Medicare

2/18/2010 86048 Americhoice - New York Medicaid

2/18/2010 86002 Americhoice - New York Medicare

2/18/2010 86049 Americhoice - Pennsylvania Medicaid

2/18/2010 86003 Americhoice - Pennsylvania Medicare

2/18/2010 CX014 Amerigroup

2/18/2010 CX014 Amerihealth Mercy Health Plan

66667 Ameritas Bankers Assurance Co.

66666 Ameritas Life Insurance Corp.

9/10/2007 TLU23 Amierben Solutions (formerly IEC Insurance)

9/10/2007 AML01 AMLICO - American Medical and Life Insurance Company (Hicksville, NY)

38255 Amway Corporation

9/10/2007 53085 Anchor Benefit Consulting, Inc.

9/10/2007 34192 Antares Management Solutions

H0098 Anthem - Blue Cross Blue Shield of Ohio (except FEP)

2/18/2010 47198 Anthem Blue Cross

2/18/2010 CX014 Anthem Blue Cross Blue Shield Partnership Plan 9-1-2006

80705 Anthem Health & Life Insurance Company of New Jersey

16140 APA Partners of New York (for claims mailed to Latham, NY)

9/10/2007 TLW68 APIPA (Arizona Physicians IPA) - Claims ONLY

9/10/2007 TLX06 APIPA (Arizona Physicians IPA) - Pre Determinations ONLY

9/10/2007 TLW65 Appalachian Benefit Administrators

4/7/2004 75278 Arkansas Best Corporation - Choice Benefits

9/10/2007 CX072 Ascent Benefits

9/10/2007 TLU87 ASEA / AFSCME Local 52

9/10/2007 TLU27 ASEA / AFSCME Local 52 Health Benefit Trust

9/10/2007 TLU29 ASI

9/10/2007 TLU31 ASR

Dental Payor List

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9/10/2007 TLU02 ASR Corporation

9/10/2007 TLU30 Associated Administrators

9/10/2007 TLU28 Associated Benefits

9/10/2007 70408 Assurant Employee Benefit - Employee Claims

2/18/2010 39065 Assurant Health

9/10/2007 TLW69 AssureCare, Inc. (IL)

9/10/2007 TLW70 AssureCare, Inc. (MI)

9/10/2007 TLW72 AssureCare, Inc. (MN)

9/10/2007 TLW71 AssureCare, Inc. (OH)

9/10/2007 95691 Athens Area Health Plan Select

9/10/2007 TLU32 Atlanta Plumbers & Steam Fitters (Local 72)

2/7/2005 CX052 Atlantic Dental Inc

9/10/2007 TLU33 Atlas Administrators

9/10/2007 ATPA1 ATPA - Associated Third Party Administrators

91136 Automotive Machinists Local 289 Health & Welfare Trust

9/10/2007 86098 Avesis

9/10/2007 TLU34 Avesta Group Insurance

9/10/2007 TLU35 BAC

2/18/2010 A2051 BAC Local 15 Welfare Fund Kansas

6/30/2003 74227 Bankers United Life

2/18/2010 CX014 BC Life CMSP 10-1-2005

6/25/2004 49153 BCI Administrators Inc

68241 Bell Atlantic

2/18/2010 33192 Bencomp National Corporation

23210 BeneCare Dental Plan (Chestnut St, Philadelphia, PA)

9/10/2007 TLU36 Benefit Administration Services

9/10/2007 62121 Benefit Administrators, Inc. (Erie, PA)

6/30/2003 25145 Benefit Coordinators Corporation

9/10/2007 TLU37 Benefit Group (NE)

R7003 Benefit Inc.

9/10/2007 20018 Benefit Management Group

9/10/2007 TLW73 Benefit Management, Inc.

9/10/2007 TLU45 Benefit Management Services (BMS)

9/10/2007 TLU05 Benefit Management Services -- FEP CLAIMS (LA)

9/10/2007 TLU04 Benefit Management Services (LA)

9/10/2007 TLU38 Benefit Management Services (NC)

4/7/2004 39081 Benefit Plan Administrators Inc

74223 Benefit Planners of Texas (for claims mailed to Boerne, TX)

9/10/2007 TLU03 Benefit Services, Inc.

9/10/2007 TLU39 Benefit Source (MI)

9/10/2007 TLU40 Benefit Systems (IN)

36342 Benefit Systems & Services, Inc. (BSSI)

5/20/2005 BMX01 Benemax

9/10/2007 87265 BeneSight

9/10/2007 37248 Benesys, Inc. (Lafayette, LA)

2/18/2010 BNMK1 BenMark Mississippi

6/30/2003 95604 Best Life & Health Insurance Company (For claims mailed to Irvine, CA)

2/7/2005 32006 Better Health Plans of South Carolina

9/10/2007 CX025 Big Lots Associate Benefit Plan (OH)

9/10/2007 TLU42 Blue Bell Benefit Trust

2/18/2010 GWD01 Blue Care Family Plan

2/18/2010 TLY26 Blue Cross Blue Shield of Arkansas - Blue Advantage

2/18/2010 00700 Blue Cross Blue Shield of Connecticut - Blue Care Family Plan

11/13/2008 BBFL1 Blue Cross Blue Shield of Florida

8/15/2003 H0143 Blue Cross Blue Shield of Georgia

CBMI1 Blue Cross Blue Shield of Michigan

4/6/2011 BBMT1 Blue Cross Blue Shield of Montana

22099 Blue Cross Blue Shield of New Jersey

9/10/2007 EXC02 Blue Cross Blue Shield of New York (Central New York, Syracuse) Call BCBS of NY forprovider I.D.

9/10/2007 CBNYR Blue Cross Blue Shield of New York (Finger Lakes Region, Rochester, Utica/Watertown) Call BCBS of NY forprovider I.D.

2/18/2010 52133 Blue Cross Blue Shield of North Carolina

H0098 Blue Cross Blue Shield of Ohio (Anthem)

Dental Payor List

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11/13/2008 BBOK1 Blue Cross Blue Shield of Oklahoma

2/18/2010 BBUT1 Blue Cross Blue Shield of Utah Contact LTC for enrollment

2/18/2010 BBUTF Blue Cross Blue Shield of Utah - FEP Contact LTC for enrollment

9/10/2007 39141 Blue Cross and Blue Shield United of Wisconsin (ONLY - PO Box 10888, Geen Bay, WI 54307) Call BCBS for provider I.D.

CBAL1 Blue Cross of Alabama

47570 Blue Cross of Alaska

CBAR1 Blue Cross of Arkansas Call UCCI @ 800-633-5430for registration info.

47198 Blue Cross of California (Wellpoint)

84099 Blue Cross of Colorado

65358 Blue Cross of Connecticut (Anthem)

00700 Blue Cross of Connecticut Blue Care Family Plan

53287 Blue Cross of Delaware

CBID1 Blue Cross of Idaho

BS018 Blue Cross of Illinois

84105 Blue Cross of Indiana (Anthem)

CBIA1 Blue Cross of Iowa (FEP and Farm Bureau claims only)

CBIA2 Blue Cross of Iowa (First Administrators and Wellmark)

CBKS1 Blue Cross of Kansas

84105 Blue Cross of Kentucky - Anthem (PO Box 37180, Louisville, KY)

23738 Blue Cross of LouisianaCall BC of Louisiana @225-297-2758 for ProviderI.D.

CBMA1 Blue Cross of Massachusetts

CBMA2 Blue Cross of Massachusetts PPO

6/25/2004 CBNE1 Blue Cross of Nebraska

84101 Blue Cross of Nevada

2/7/2005 CBNM1 Blue Cross of New Mexico (For claims mailed to Belleville, IL)

CX004 Blue Cross of North Dakota (North Dakota Dental Services)

66668 Blue Cross of Oregon

53473 Blue Cross of Rhode Island

CBTN1 Blue Cross of Tennessee

84980 Blue Cross of Texas

47570 Blue Cross of Washington (State)

22226 Blue Cross of Wisconsin

BLUEP Blue Plus (Delta Dental of Minnesota Medical Assistance)

CBID2 Blue Shield of Idaho

22223 Blue Shield of Pennsylvania Call UCCI @ 800-633-5430for registration info.

DPLUS Blue Shield of Pennsylvania Dental Plus Call UCCI @ 800-633-5430for registration info.

9/10/2007 TBT01 BlueCare Dental Traditional

36609 Boilermakers National Health & Welfare Fund of Kansas

8/8/2011 TLX71 Bolinger Insurance

2/7/2005 74237 Boon-Chapman Benefit Administrators

9/10/2007 14168 Boston Mutual Life Insurance - Dental

9/10/2007 04210 Boston University Dental Health Plan (Boston, MA)

CX028 Bridgeport LLC of Missouri (for claims mailed to St. Charles, MO)

CX032 Brokers National (other plans)

CX031 Brokers National (plans Cavalier, Buccaneer, Brigadier, Mansion)

CX031 Brokers National (plans Homestead Homes, and Direct Connection)

2/18/2010 37314 Broward Health

2/18/2010 CX014 Buckeye Health Plan

61492 Businessmens Assurance

9/10/2007 42150 Butler Benefits

Dental Payor List

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9/10/2007 CLF01 C. L. Frates

2/18/2010 33192 Cadent Administrators (Underwriters)

80659 Canada Life (for claims mailed to Atlanta, GA only)

6/30/2003 37105 Cannon Cochran Management Services, Inc.(Danville, IL)

68011 Capitol Administrators (For claims mailed to PO Box 2318, Rancho Cordova, CA and PO Box 346, Alpharetta, GA)

9/29/2003 CX037 Capital Dental (for claims mailed to PO Box 2727, Houston, TX)

9/10/2007 TLU47 Caprock Health Plan

9/10/2007 TLU48 Carolina Summit

9/10/2007 CX101 Carpenter's Health & Welfare Fund (Philadelphia, PA)

9/10/2007 TLW06 Carpenters Health and Welfare Trust Funds (St. Louis, MO)

9/10/2007 TLU49 Carpenters Health & Welfare (Los Angeles, CA)

37060 Caterpillar Company

2/18/2010 41170 CBCA Administrators HRM

9/10/2007 TLW14 CBCA - Comprehensive Benefits & Claims Administrators

41124 CBSA Corporate Benefit Services of America

9/10/2007 10050 CDH (Cigna Dental Care)

2/18/2010 87065 CDO Technologies

9/10/2007 TLW07 CDPHP - Capital District Physicians’ Health Plan, Inc. (NY)

9/10/2007 88022 CDS Group Health

91136 Cement Masons & Plasterers Health & Welfare Trust

9/10/2007 TLW85 Cement Masons Union - Local 502

2/18/2010 CX014 CenterCare effective 10-1-2005

9/10/2007 TLU50 Central Laborers Local 703

9/10/2007 TLU51 Central PA Teamsters Health & Welfare Fund

9/10/2007 TLW76 Central Reserve Life Insurance Company

11/13/2008 36215 Central States Health & Welfare Funds

8/15/2003 84146 CHAMPVA - HAC (for claims mailed to PO Box 65024, Denver, CO)

9/10/2007 TLX40 CHEC (subsidiary of Sprint)

9/10/2007 TLA11 Chesterfield Companies

9/10/2007 84147 Children of Women Vietnam Veterans - VA HAC

UCCI1 CHIPS, a childrens low cost Texas health plan administered by UCCI Call UCCI @ 800-633-5430for Provider I.D.

68241 Choice Plus (TRW)

61271 Christian Brothers Services

62308 CIGNA (Connecticut General)

9/10/2007 10050 CIGNA (DHMO) - Encounters Only

62310 CIGNA Flex Care (New Mexico only)

9/10/2007 TLU52 Citizens Security Life Insurance Co

9/10/2007 TLW99 City of Blair

9/10/2007 TLW43 City of Mesa

9/10/2007 CX054 Civil Service Employee Association (CSEA)

9/10/2007 CMS01 Claim Management Services (WI)

9/10/2007 TLX41 Claredon Kids CHIP Program EPO Contact Payor to receiveprovider I.D.

9/10/2007 CCS01 Clayton County Self Funded Dental Plan

71063 CNA Health Partners of Arkansas

7/26/2011 37227 CNIC Healthcare Services

9/10/2007 37310 Coast Hotels and Casinos, Inc. / DBA Coast Benefits

2/18/2010 77052 Coastal Administrative Services

2/18/2010 TLX77 Columbian Life Insurance Company (Mutual Insurance Company)

9/10/2007 TLU53 Combined Insurance Claims (FL)

9/10/2007 37237 CommonWealth Administrators

9/10/2007 61948 Community Choice Health Plan Westchester

9/10/2007 PHP01 Community Connection (Phoenix, AZ)

9/10/2007 TLX42 Community Health Choice

75261 Community Health Electronic Claims/CHEC/webTPA

6/25/2004 34177 COMP - OHIO (Austintown, OH)

2/18/2010 TSCS1 Complete Benefit Solutions SC

9/10/2007 77828 Companion Life Contact Payor to receiveprovider I.D.

CX021 CompDent (for claims mailed to Chicago, IL)

9/10/2007 34177 Compensation Programs of Ohio

03036 Comprehensive Benefits Administrator, Inc (PO Box 2365, Burlington)

07000 Comprehensive Care Systems

9/10/2007 TLX25 Comton, Inc.

Dental Payor List

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9/10/2007 TLX09 CONN EN Life Insurance Co

9/10/2007 37307 CONN EN Life Insurance Co

62308 Connecticut General (CIGNA)

E3170 Consolidated Group Claims - Lincoln

61305 Consolidated Group Dental

5/20/2005 62308 Continental Dental

2/18/2010 35149 Cook Group Health Plan

52132 Cooperative Benefit Administrators

2/18/2010 58231 Core Management Resources Group

9/10/2007 75136 CoreSource AR

9/10/2007 35180 CoreSource NC IN

9/10/2007 35183 CoreSource OH

9/29/2003 35182 CoreSource PA MD IL

41045 CoreStar

6/30/2003 56117 Corporate Benefit Services (For claims mailed to Charlotte, NC)

41124 Corporate Benefit Services of America (CBSA) - Minneapolis, MN

8/15/2003 58102 Covenant Administrators, Inc (for claims mailed to Atlanta, GA)

2/18/2010 CX014 Coventry Diamond Plan

3/31/2009 87043 Coventry Health Care National Network

6/25/2004 25148 Coventry Health Care of Georgia

9/10/2007 37320 Creative Plan Administrators

9/10/2007 TLU54 Crescent Dental

9/10/2007 TLU56 CT Carpenters Health Fund

9/10/2007 TLU55 CT Pipe Trades Health Fund (Local 77)

2/7/2005 39170 Custom Benefit Administrators

2/18/2010 82056 Custom Design Benefits Inc. of OH

68241 CustomCare (Southwestern Bell-Exec)

9/10/2007 DEW01 D. Edward Wright TPA

9/10/2007 TLX43 Dart Container Corporation Contact Payor to receiveprovider I.D.

2/18/2010 06172 Dart Management Corp.

2/18/2010 DELTU DDP-USA

9/10/2007 TLW96 DDS, Inc.

9/10/2007 07035 DeCare Dental Health Insurance

6/30/2003 94276 Delta Dental Insurance Company (DDIC)

02027 Delta Dental Northeast

6/30/2003 94276 Delta Dental of Alabama

6/30/2003 94276 Delta Dental of Alaska

86027 Delta Dental of Arizona

22225 Delta Dental of Arkansas

77777 Delta Dental of California

CDCA1 Delta Dental of California, Tricare Retiree Dental Program

84056 Delta Dental of Colorado

5/20/2005 22189 Delta Dental of Connecticut

51022 Delta Dental of Delaware

6/30/2003 94276 Delta Dental of Florida

6/30/2003 94276 Delta Dental of Georgia

inactive 99010 Delta Dental of Hawaii

47791 Delta Dental of Idaho

05030 Delta Dental of Illinois

22220 Delta Dental of Indiana

55786 Delta Dental of Iowa

E3960 Delta Dental of Kansas

54674 Delta Dental of Kentucky

6/30/2003 94276 Delta Dental of Louisiana

23166 Delta Dental of Maryland

22222 Delta Dental of Massachusetts (also QIS and Select)

22228 Delta Dental of Michigan

07000 Delta Dental of Minnesota

6/30/2003 94276 Delta Dental of Mississippi

43090 Delta Dental of Missouri

6/30/2003 94276 Delta Dental of Montana

07025 Delta Dental of Nebraska

6/30/2003 94276 Delta Dental of Nevada

66669 Delta Dental of New Jersey

Dental Payor List

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85022 Delta Dental of New Mexico

11198 Delta Dental of New York

56101 Delta Dental of North Carolina

07029 Delta Dental of North Dakota

22221 Delta Dental of Ohio

22229 Delta Dental of Oklahoma

CDOR1 Delta Dental of Oregon

23166 Delta Dental of Pennsylvania

22224 Delta Dental of Rhode Island

43091 Delta Dental of South Carolina

54097 Delta Dental of South Dakota

CDTN1 Delta Dental of Tennessee

6/30/2003 94276 Delta Dental of Texas

6/30/2003 94276 Delta Dental of Utah

54084 Delta Dental of Virginia

52147 Delta Dental of Washington D.C.

91062 Delta Dental of Washington (State)

31096 Delta Dental of West Virginia

39069 Delta Dental of Wisconsin

07027 Delta Dental of Wyoming

9/10/2007 94235 Delta Health Systems

07000 Delta USA (Minnesota employers only)

2/18/2010 DDCA2 DeltaCare USA - Claims

2/18/2010 DDCA3 DeltaCare USA - Encounters

2/18/2010 CDCAP DeltaCare USA - Private Medical Care PMI

2/18/2010 CDCA2 DeltaCare USA - Private Medical Care PMI

9/23/2004 CX049 Denex/SG

52133 Dental Benefit Providers (Bethesda, MD)

6/30/2003 CX035 Dental Care Plus (for claims mailed to Cincinnati, OH)

2/18/2010 TFQ14 Dental Claim Payors NY

9/10/2007 TLU57 Dental CPM

5/20/2005 64246 Dental Guard Prefered

9/10/2007 DHA01 Dental Health Associates

6/30/2003 CX034 Dental Network (for claims mailed to Towson, MD)

5/20/2005 DNOA1 Dental Network of America

9/10/2007 TLU18 Dental Select, Inc.

9/10/2007 TLX01 Dental-Comp, Inc. (WI)

9/10/2007 TLW24 Dental-Pay, Inc. / The Dental Shop

inactive CX017 DentalComp (for claims mailed to PO Box 10599, Harrisburg, PA)

04356 DentaQuest

11/04/2010 cx014 DentaQuest - Government, WI (Doral Dental)

2/18/2010 11271 Detectives Endowment Association New York

9/10/2007 A1004 Detroit Laborers (Metropolitan)

9/10/2007 CX065 DH Evans

DHS01 DHS (Delta Dental of Minnesota Medical Assistance)

9/10/2007 TLX38 Direct Reimbursement Plan (Newman, GA)

9/10/2007 TLW78 District 1199 Health & Welfare

9/10/2007 TLW34 District Council 57 Benefit Fund

9/10/2007 HSP01 District Counsel 37 Health & Welfare Fund

4/7/2004 CX040 Diversified Administration Corporation

9/10/2007 TLW78 Diversified Group Administrators

9/10/2007 DOM01 Dominion Dental USA (DHMO and Commercial)

CX014 Doral Dental (all states - all varieties)

9/10/2007 TLX44 DSCC (Div of Special Care Children) Contact Payor to receiveprovider I.D.

9/10/2007 35186 Dunn & Associates (EHC Central)

4/7/2004 34159 E-V Benefits Management Inc

inactive 75232 E3 Health, Inc.

81039 EBMS Employee Benefit Management Services, Inc.

2/18/2010 03036 EBPA NH - CBA VT

4/7/2004 CX043 EBS Benefit Solutions

9/10/2007 TLU58 ECIT Dental Plans

9/10/2007 TLU59 Educators Life Ins / Educators Mutual

73288 EHI Employers Health of Wisconsin

Dental Payor List

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9/10/2007 52192 Elder Health

5/20/2005 EWF01 Electrical Workers Benefit Fund (IBEW Local 481)

9/10/2007 TLW86 Elmco Insurance

73288 EMPHESYS Employers Health of Wisconsin

55093 Empire Blue Cross Blue Shield of New York

55093 Empire Dental

9/10/2007 CX012 Employee Benefit Administrators (Pembroke, MA)

9/10/2007 TLW29 Employee Benefit Claims of Wisconsin, Inc.

4/7/2004 38241 Employee Benefit Concepts

9/23/2004 37257 Employee Benefit Consultants, Inc. (EBC)

81039 Employee Benefit Management Services, Inc. (EBMS)

CX025 Employee Benefit Mgmnt Corp (EBMC) (Dublin, OH)

6/30/2003 03036 Employee Benefit Plan Administration, Inc

9/10/2007 47009 Employee Benefit Services (NE)

9/10/2007 41198 Employee Benefit Services of Louisiana, Inc (EBS)

9/10/2007 TLW79 Employee Benefits Corporation

CX022 Employee Group Services (PO, Box 75008, Cedar Rapids, IA)

9/10/2007 CX031 Employee Plan Services, Inc. (EPSI)

35112 Employee Plans, LLC (PO Box 2362, Fort Wayne, IN)

54098 Employee Security, Inc.

CX031 Employer Plan Services, Inc.

9/10/2007 TLW30 Employers Dental Trust

9/10/2007 75232 Employers Direct Health

9/10/2007 75236 Employers Direct Health - Employee Plan

73288 Employers Health of Wisconsin (EHIC) (EMPHESYS)

9/10/2007 TLW32 Employers Life Insurance Corp (SC)

2/7/2005 59297 Employers Mutual, Inc

8/8/2011 WDENC Encara

9/10/2007 88726 Encompass

9/10/2007 TLW87 Engineers Joint Welfare Fund / IUOE (NY)

6/30/2003 91136 Enstar Natural Gas

9/10/2007 TLU60 Epoch Group LC (Overland Park)

9/10/2007 TLX13 Epoch Group LC (St. Louis)

62308 EQUICOR (Equitable HCA Corp)

62308 Equitable (CIGNA)

9/29/2003 73126 Equitable Plan Services ( for claims mailed to PO Box 720460, Oklahoma City,, OK)

6/25/2004 CX046 Erin Group Administrators

9/10/2007 74234 ERISA Contact Payor to receiveprovider I.D.

9/10/2007 34108 ES Beveridge and Associates

6/25/2004 43168 Essex Dental Benefits

9/10/2007 TLW77 Evans D H Associates Inc

9/10/2007 CBNYR Excellus, Inc. Contact Payor to receiveprovider I.D.

9/10/2007 EXC03 Excellus, Inc - FEDERAL Claims Only

71412 ExclusiCare

9/10/2007 TLX14 Family Care Claims (TX)

9/10/2007 TLU61 Family Health Administrators

9/10/2007 TLU62 Fara Benefit Services

9/10/2007 91136 FBX North Star Borough / School District

11/04/2010 33033 FCE Benefit Administrators

9/23/2004 71056 Fed Ex Freight East, Inc.

2/18/2010 CX014 Fidelis Care New York

41041 Federated Mutual Insurance of Owatonna, MN

9/10/2007 TLU69 Fidelio Insurance Co

9/10/2007 TLU67 First Administrators

69140 First Allmerica Financial Life Insurance Co.

72630 First Ameritas Life Insurance Corporation of NY

9/10/2007 TLX17 First Care/Southwest Life & Health

9/10/2007 TLU68 First Choice Benefits

9/10/2007 TLU65 First Concord Group, Inc.

9/10/2007 TLU63 First Dental Health (FDH)

9/10/2007 70408 First Fortis Life Insurance

87043 First Health

E3740 First Reliance Standard

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

2/18/2010 CX014 FirstGuard Health Plan

9/10/2007 TLU66 Fiserv Health

4/7/2004 11244 FitzHarris & Company Inc

9/10/2007 TLX53 FL League of Cities

R7004 Flex Compensation

68241 FlexCare

9/10/2007 TLU70 Flexible Benefit Fund

9/10/2007 TLW93 Florida Benefit Administrators

2/18/2010 76031 Florida FL Combined Life BCBS of FL

6/25/2004 48116 Florida Hospital Waterman

68241 Florida Power & Light

6/25/2004 48117 FMH Benefit Services, Inc

9/10/2007 TLW97 Foreign Service Benefit Plan

2/18/2010 AHS01 Foresight TPA

9/2/2009 LX050 Formula Dental

70408 Fortis Benefits Insurance Company

39065 Fortis Insurance Company (Individual plans - formerly Time Ins)

9/10/2007 TLU72 Foundation Benefits Administration

9/10/2007 TLU71 Fox Valley Welfare Fund

64069 Fox-Everett Inc.

4/7/2004 CX041 Fraternal Order of Police

2/18/2010 59069 Fringe Benefit Management

9/10/2007 TLX20 G.W. Lisk Co

9/10/2007 37283 Gallagher Benefit Administrators

9/10/2007 TLU73 Gardner Denver

9/10/2007 GCU01 GCU Local 8-M & 96B Health & Welfare Fund

9/10/2007 TLW17 GE Financial Assurance

2/18/2010 67814 GE Group Life - Administrators - Financial

44054 GEHA (Government Employees Hospital Association)

9/10/2007 TLX27 GEHA Connection Dental Plus (MO)

9/10/2007 75238 GEHA - G.E. Group Administrators (TX) Contact Payor to receiveprovider I.D.

63665 General American Life

67814 General Electric

9/10/2007 67814 Genworth

2/18/2010 74227 Gerber Life Insurance Company - Student Insurance

9/10/2007 TLU74 Gettysburg Insurance Services

13551 GHI (Group Health Insurance of New York)

2/18/2010 CX014 GHI - Doral Dental

6/30/2003 80314 GIC

07205 Gilsbar, Inc. (Covington, LA and Jackson, MS)

91136 Glassworkers Health & Welfare Fund

9/10/2007 TLX45 Global Healthcare (c/o People 1st)

9/10/2007 TLW18 Golden Rule Insurance Company Contact Payor to receiveprovider I.D.

5/20/2005 GWD01 Golden West

9/10/2007 44054 Government Employees Hospital Association (GEHA)

63665 Great-West Life & Annuity Ins Co. (formerly General American Life)

80705 Great-West Life Assurance Company

36338 Group Administrators (in Schaumburg, Illinois)

48143 Group and Pension Administrators

2/7/2005 72153 Group Benefit Administrators

inactive CX011 Group Benefit Services (in East Lansing, Michigan)

9/10/2007 CX036 Group Dental Service of Maryland, Inc. / GDS-MD

9/29/2003 CX036 Group Dental Services (for claims mailed to PO Box 3827, Houston, TX)

13551 Group Health Insurance of New York (GHI)

6/25/2004 38194 Group Health Managers

9/10/2007 37276 Group Insurance Service Center, Inc

CX015 Group Link (in Indianapolis, Indiana)

9/10/2007 TLU76 Group Resources, Inc. (TX)

9/10/2007 TLW81 Guarantee Trust Life Insurance Co

64246 Guardian Life Insurance Company

3/31/2009 LX059 H & A Administrators

95266 Harrington Benefit Services

6/30/2003 59142 Harrington Benefit Services, Inc. (Oklahoma)

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

9/10/2007 CX044 Harrison Electrical Trust Fund

9/10/2007 TLW11 Harvard Pilgrim Healthcare

inactive 99010 Hawaii Dental Services

9/10/2007 TLU97 HCH Administration (NM)

9/10/2007 TLU98 HDM Benefit Solutions, Inc.

9/10/2007 TLW88 Health Alliance (IL)

9/10/2007 TLX24 Health Benefit Claims Dept

6/25/2004 22345 Health Choice Inc.

4/7/2004 82018 Health Claims Services

2/18/2010 DX029 Health Comp

9/10/2007 TLA18 Health Cost Solutions

9/29/2003 CX039 Health Economics Group, Inc. (for claims mailed to Rochester, NY)

9/10/2007 TLW61 Health First TPA

9/23/2004 30946 Health Future, LLC

84097 Health Management Systems (Managed Dental Care Network)

9/10/2007 TLW20 Health Net (CA)

9/10/2007 20199 Health Network of America

HLTHC Health Partners (Commercial Plan)

HLTHP Health Partners (Minnesota Medical Assistance)

62157 Health Partners of Tennessee (PO Box 3490, Jacson, TN)

9/10/2007 47009 Health Plan Services (HPS)

59142 Health Plan Services of OK (Oklahoma City, OK)

9/10/2007 CX055 Health Plans, Inc.

CX019 Health Resources Inc (314 SE Riverside Dr, Evansville, IN 47713)

87043 Health Right Inc. of Connecticut

41170 Health Risk Management

9/10/2007 HTD99 Health Traditions - MMSI

2/18/2010 CX014 HealthCare, USA - St. Louis

9/10/2007 HMA01 Healthcare Management Administrators, Inc. Contact Payor to receiveprovider I.D.

9/10/2007 TLW60 HealthComp

9/10/2007 52133 HealthNet of Oregon

11271 Healthplex, Inc.

71063 HealthSCOPE Benefits, Inc.

68195 Healthsource Provident Administrators, Inc.

68195 Healthsource Provident Insurance

69140 Healthy Choice

69140 Healthy Choice Plus

2/18/2010 TLZ34 Healthy Families CA

9/10/2007 HGL01 Heavy & General Laborers

2/18/2010 CX013 Hershey Healthsmile

2/18/2010 54771 HighMark Dental

9/10/2007 HMSA1 HMSA (Hawaii Medical Services) - Commercial

9/10/2007 HMSA2 HMSA (Hawaii Medical Services) - Federal

9/10/2007 88023 Hometown Health Plans Nevada

CX015 Hoosier Dental (in Indianapolis, Indiana)

9/10/2007 22099 Horizon Healthcare of NY

91136 Hotel Employees & Restaurant Employees Health Trust

41170 HRM Claim Management

73288 Humana Military Healthcare Svcs (PO Box 19081, Green Bay, WI)

73288 Humana

9/10/2007 TLW82 I.B.P.A.T. District Council #11

9/10/2007 IAT01 IATSE - International Association of Theatrical Stage Employees Atlanta Health & Welfare Fund

9/10/2007 38234 IBA Self Funded Group

9/10/2007 A1117 IBEW Local 117

9/10/2007 TLW62 IBEW Local 1249

9/10/2007 TLW90 IBEW Local 176 (In-State Only)

9/10/2007 TLW91 IBEW Local 176 (Out-of-State)

9/10/2007 A1317 IBEW Local 38

9/10/2007 A1461 IBEW Local 461

9/10/2007 A4681 IBEW Local 481

9/10/2007 64246 IBEW Welfare Trust Fund (IL)

41124 IBI

9/10/2007 91136 Idaho Pipe Trades

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

9/23/2004 22175 IE Shaffer

9/29/2003 36600 Illinois Central Hospital Association (for claims mailed to Tinley Park, IL)

2/18/2010 CX014 Illinois Medical Assistance Program

9/10/2007 TLW83 IMA Management, Inc. (LA)

2/09/2011 89070 Independence Blue Extra Contact UCCI @ 800-633-5430 to obtain a providerI.D.

9/10/2007 DELOK Indian Health Services

9/10/2007 ICW01 Indiana Carpenters Welfare & Pension Fund

9/10/2007 35107 Indiana Teamsters Health Benefit Funds (formerly known as Local 135 Health Benefits Fund)

9/10/2007 52196 InforMed, LLC (Annapolis, MD)

13315 Insurance Design Administrators (Oakland, NJ)

9/10/2007 TLW83 Insurance Management Administrators Of Louisiana

6/30/2003 88006 Insurance Management Services (for claims mailed to Elko, NV)

9/10/2007 TLW82 Insurance Programmers, Inc

9/10/2007 IAC01 Insurer's Administrative Corp

9/29/2003 51020 Integra Administrative Group (for claims mailed to Seaford, DE)

9/10/2007 TLW56 Interactive Medical Systems, Inc.

6/30/2003 36609 International Brotherhood of Boilermakers

2/18/2010 IHS01 IntraHealth Solutions formerly D.Edward Wright, Inc.

2/18/2010 CX014 Ion Health, Inc

42234 Iowa Benefits, Inc. (IBI)

9/10/2007 TLX28 Iron Workers District (NY)

61271 J.F. Molloy and Associates, Inc.

2/7/2005 34136 J.P. Farley Corporation

14168 Jardine Group Services

9/10/2007 JPF01 Jefferson Pilot / Guarantee Life Insurance Company (GLIC)

9/10/2007 CXJAS Jensen Administrative Services

5/27/2011 JEN01 Jenkins & Associates (1299 Battlecreek Rd., Ste. 200 & PO Box 607, Jonesboro, GA 30237-0607)

9/10/2007 TLW64 JI Specialty Services Company

14168 JLT Services Corporation (Jardine Group Services) Contact Payor to receiveprovider I.D.

9/10/2007 41099 John Alden Life Insurance Co.

95378 John Deere

65099 John Hancock Health Security Plan

65099 John Hancock Mutual Life Insurance Co.

65099 John Hancock Preferred Health Plan

2/18/2010 38310 John Morrell Company - AHBPA

2/18/2010 CX073 Kaiser Permanente Dental Choice

57038 Kanawha Insurance Company (Lancaster & Greenville)

9/10/2007 KBT01 Kansas Building Trades (4101 Southgate Dr., Topeka, KS 66609 & PO Box 5168, Topeka, KS 66605)

9/10/2007 TKC01 Kansas City Life Insurance Company

2/18/2010 CX014 Kansas Medical Assistance Program terminated 7-1-2006

9/10/2007 TLX46 Kelsey Seybold Contact Payor to receiveprovider I.D.

73100 Kempton Company

9/10/2007 TLX29 Key Benefit Administrators, Inc.

9/10/2007 TPA01 Keylink Solutions

2/18/2010 CX014 Keystone Mercy Health Plan

93200 King County Blue Shield

93213 King County Blue Shield Clallam

93220 King County Blue Shield Cowlitz

93207 King County Blue Shield Grays Harbor

93210 King County Blue Shield Lewis

93219 King County Blue Shield Snohomish

93211 King County Blue Shield Thurston

93221 King County Blue Shield Walla Walla Valley

93214 King County Blue Shield Yakima

2/18/2010 A1004 Laborers Metropolitan Detroit Healthcare Fund

9/10/2007 LSH01 Laborers Southeast Health & Welfare Plan

9/10/2007 TLU99 Lawrence Paper Company

2/18/2010 52193 LBA Healthplans

44066 Lewer Agency (Bartlesville, OK office only)

2/18/2010 CX083 Liberty Dental Plan

78140 Life Insurance Company of Boston & New York

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

65471 Life Insurance Company of Georgia

9/23/2004 CX047 LifeRe

6/25/2004 91663 Lifewise/Washington Employers Trust

CX061 Lincoln Financial Group

73288 Lincoln National of Wisconsin (in Madison or Green Bay)

9/10/2007 TLX21 Line Construction Benefit (Line Co)

9/29/2003 35107 Local 135 Health Benefits (for claims mailed to Indianapolis, IN)

9/10/2007 PCM01 Local 148 Health & Welfare Fund

9/10/2007 TLX08 Local 388 Dental Fund

5/20/2005 GCU01 Local 8-M & 96B Health & Welfare Fund

9/10/2007 91136 Locals 302 And 612 of the I.U O.E.

9/10/2007 LAF01 Los Angeles Firemen’s Relief Association (LAFRA)

62310 Lovelace Health Plan

62310 Lovelace Senior Options (LSO)

62310 Lovelace Senior Plan (LSP)

9/10/2007 52133 M-Plan Dental

10317 Machigonne Benefit Administrators (Bangor or Portland, ME)

9/10/2007 91136 Machinists Health

9/10/2007 TLW30 MAG Employee Benefits

4/7/2004 CX042 Mahoney Benefit Administration, LLC

62413 Mail Handlers Benefit Plan

9/10/2007 TLX08 Maloney Associates

6/30/2003 CX033 MAMSI (For claims mailed to Frederick, MD)

CX014 Managed Health Services - WI State Employees

98010 Manulife, W.J. Sutton Co. of Toronto, Ontario

2/18/2010 CX014 Maricopa Health Systems Health Plans

60054 Marriot

11/13/2008 CX023 Marsh Advantage

2/18/2010 CX014 Maryland HELIX

2/18/2010 CX014 Maryland Physicians Care MCO

9/10/2007 TLU77 Mashantucket Pequot

65935 Massachusetts Mutual

2/18/2010 87065 MBA Benefit Administrators, Inc. Salt Lake City, UT

2/18/2010 87065 MBA of Wyoming Worland, WY

56205 MBS (MedCost Benefit Services - PO Box 25987, Winston Salem, NC)

9/10/2007 TLW63 Med Cost, Inc.

74323 MedBen (Newark, OH)

56205 Medcost of North Carolina (PO Box 25987, Winston Salem, NC)

07031 Medica Dental

2/09/2011 MEPUB Medica Public Programs

CKAL1 Medicaid of Alabama

CKAL1 Medicaid of Alabama Change of Tax Identification Number Only

CKAK1 Medicaid of Alaska

9/10/2007 TLU09 Medicaid of Arizona

E0840 Medicaid of Arkansas

94146 Medicaid of California (Denti-Cal) Call or email LTC

CKCO1 Medicaid of Colorado

22235 Medicaid of Connecticut

CKDE1 Medicaid of Delaware

9/10/2007 MDDC1 Medicaid of District of Columbia (DC)

55555 Medicaid of Florida

E0920 Medicaid of Georgia

CX014 Medicaid of Georgia, Grady Healthcare, Inc.

E0900 Medicaid of Idaho

CKIL1 Medicaid of Illinois

E0730 Medicaid of Indiana

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

CKIA1 Medicaid of Iowa

CKKS1 Medicaid of Kansas

E0510 Medicaid of Kentucky

CKKY3 Medicaid of Kentucky Region #3 (Doral Dental Services)

9/10/2007 TLU10 Medicaid of Kentucky Region #5 (KY Health Select)

E3670 Medicaid of Louisiana (Adult 21 and older)

22000 Medicaid of Louisiana (EPSDT)

CKME1 Medicaid of Maine

CX014 Medicaid of Maryland, PhysiciansCare MCO

9/10/2007 MDMD1 Medicaid of Maryland (Dept of Health & Mental Hygiene)

CKMA1 Medicaid of Massachusetts (diskette from Clearing House to Payor)

MIMD1 Medicaid of Michigan Call or email LTC

MNMA1 Medicaid of Minnesota (Minnesota Medical Assistance)

E3240 Medicaid of Mississippi

CX014 Medicaid of Missouri, Blue Advantage

CX014 Medicaid of Missouri, Community Care Plus-St. Louis

CX014 Medicaid of Missouri, Community Health Plans

CX014 Medicaid of Missouri, FirstGuard Health Plan

CX014 Medicaid of Missouri, HealthCare USA-St. Louis

CX014 Medicaid of Missouri, Healthnet

6/30/2003 CKMO1 Medicaid of Missouri (Medicaid claims administered by GTE Data Services Inc.)

CX014 Medicaid of Missouri, TrumanCare-Family Health Partners

MTMDC Medicaid of Montana CHIPS

CKMT1 Medicaid of Montana (for claims mailed to PO Box 8000, Helena, MT)

CX014 Medicaid of Nebraska, United HealthCare of the Midlands

9/23/2004 CKNV1 Medicaid of Nevada

E3360 Medicaid of New Hampshire

66665 Medicaid of New Jersey

CX014 Medicaid of New Mexico, Cimmaron Health Plan

CX014 Medicaid of New Mexico, Lovelace Community Health PLan

6/30/2003 CKNM1 Medicaid of New Mexico (Medicaid claims administered by Consultec/ACS)

CX014 Medicaid of New Mexico, Presbyterian Salud

CKNY1 Medicaid of New York

CKNY2 Medicaid of New York (Clinics whose category of sevice is 0287)

22219 Medicaid of North Carolina Call or email LTC

9/10/2007 CKND1 Medicaid of North Dakota Call ND Medicaid to obtiana provider I.D.

E0340 Medicaid of Ohio

CKOH2 Medicaid of Ohio CareSource

CX014 Medicaid of Ohio, Emerald HMO and Medicare, Inc.

CX014 Medicaid of Ohio, Health Power HMO, Cincinnati

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

CX014 Medicaid of Ohio, Personal Physicians Care, Cleveland

CX014 Medicaid of Ohio, United HealthCare, Inc. Medicare Complete

E0880 Medicaid of Oklahoma

CX014 Medicaid of Oklahoma, Community Care

CX014 Medicaid of Oklahoma, Heartland Health Plan

6/30/2003 CKOK1 Medicaid of Oklahoma (Medicaid claims administered by Unisys)

CX014 Medicaid of Oklahoma, Unicare Health Plan

CKOR1 Medicaid of Oregon

CKPA1 Medicaid of Pennsylvania

CX014 Medicaid of Pennsylvania, BestHealth Care, Pittsburg

CX014 Medicaid of Pennsylvania, Gateway Health Plan, Pittsburg

CX014 Medicaid of Pennsylvania, Health Partners, Philadelphia

CX014 Medicaid of Pennsylvania, Oaktree

22100 Medicaid of Rhode Island

CKSC1 Medicaid of South Carolina

10/4/2010 MDTN1 Medicaid of Tennessee - TennCare

30003 Medicaid of TexasCall Medicaid of Texas @800-925-9126 forenrollment info.

CKUT1 Medicaid of Utah

CKVT1 Medicaid of Vermont

CKVA1 Medicaid of Virginia

CX014 Medicaid of Virginia, HealthKeepers Plus

5/20/2005 MDWA1 Medicaid of Washington (State)

CKWV1 Medicaid of West Virginia

MDWI1 Medicaid of Wisconsin

CX014 Medicaid of Wisconsin, Humana/TDC

CX014 Medicaid of Wisconsin, PrimeCare

CKWY1 Medicaid of Wyoming

CX024 Medical Benefit Administrators (For claims mailed to Madison, WI)

74323 Medical Benefits Mutual (for claims mailed to Newark, OH 43058)

CB833 Medical Mutual of Ohio Call MMO @ 850-625-2583to obtain a Provider I.D.

2/18/2010 84600 Medical Network of Colorado Springs

6/25/2004 59226 MEGA Life & Health Insurance Company

9/10/2007 MHHNP Memorial Herman Health Network Contact Payor to receiveprovider I.D.

9/10/2007 MNM01 Mennonite Mutual Aid

11/13/2008 CX023 Mercer Administrators

9/10/2007 TLW15 Mercy Care

11/13/2008 TFQ16 Meritain Health

65978 Met Elect

2/18/2010 23550 Methodist First Choice

65978 MetLife Healthcare Network-PPO/HMO

MHP01 Metro Health Plan (Delta Dental of Minnesota Medical Assistance)

2/18/2010 CX014 Metro Plus

9/10/2007 A1004 Metropolitan Detroit Laborers

65978 Metropolitan Life Insurance Co.

9/10/2007 22228 Michigan Conference of Teamsters

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

9/10/2007 A1432 Michigan Laborers

2/7/2005 38238 Michigan Regional Council of Carpenters Employee Benefits Plan

9/10/2007 A1404 Michigan State Painters

9/10/2007 37281 Mid-America Associates, Inc.

9/10/2007 MAMS1 Mid-Atlantic Medical Services, Inc. (MAMSI) (PO Box 940 Frederick, MD 21788)

9/10/2007 74227Mid-West National Life Insurance Co of Tennessee - Student Insurance (Payor ID valid only if the PO Box on theHealth ID Card matches one of the following PO Boxes: Box 890025, 809067, 809079, 809066, 809036, 809081,Dallas TX 75380-9025)

74227 Mid-West United Life

9/10/2007 41101 Midwest Dental Benefits

9/10/2007 51233 Midwest Security Administrators, Inc.

79480 Midwest Security of WI

9/10/2007 A1402 Millrights

68241 Minneapolis Prudential Business

9/10/2007 64088 Mississippi Select Healthcare

9/10/2007 37275 Missoula County Medical Benefits Plan

R7005 MN Power

9/10/2007 TLX09 MO-KAN Welfare Fund

9/10/2007 TLX47 Molina Healthcare of New Mexico Contact Payor to receiveprovider I.D.

9/10/2007 52133 Morgan White

9/10/2007 TLU78 Morris Associates

6/30/2003 36111 Motorola

9/10/2007 TLU79 Mountain Claims Management

4/7/2004 86040 Mountain States Administrative Services

9/10/2007 37233 MPEEBT/ MPE Services, Inc.

69140 Mutual Alliance Plan (MAP)

9/10/2007 37256 Mutual Assurance

71412 Mutual of Omaha Insurance Co.

71412 Mutually Preferred

9/10/2007 TLX30 MVP- Health Care

91136 N.W. Int Assoc of Machinists & Aerospace Eng Benefits Trust

91136 N.W. Iron Workers Health & Security Trust Fund

91136 N.W. Roofers & enployers Health & Security Trust Fund

91136 N.W. Textile Processors

4/7/2004 34159 NABN

inactive 53011 National Association of Letter Carriers (NALC)

9/10/2007 TLX23 National Automatic Sprinkler Industry

2/7/2005 56176 National Benefit Administrators - NC

2/7/2005 56175 National Benefit Administrators - NJ

6/25/2004 CX045 National Elevator Industry Benefit Plans (NEIB)

9/10/2007 TLW49 National Employee Benefits Administration Of Pennsylvania

9/10/2007 CX057 National Pacific of TX (NCFLEX)

71412 National Rural Letter Carrier Association

2/7/2005 52120 National Telecommunications Cooperative Association

9/10/2007 31417 Nationwide Health Plans

75190 NCAS

2/7/2005 75191 NCAS Charlotte

2/18/2010 TLX64 NCAS Harrisburg, PA claims ONLY

2/18/2010 61474 NCBCBS - DBS a.k.a. ACS Benefit Services

2/18/2010 DX101 Nevada Pacific Dental

54098 NEA Alaska Health Plan

9/10/2007 66055 Netcare Life and Health Insurance (NLH)

43351 New England Dental Administrators (PO Box 2006, Concord, NH)

9/10/2007 66893 New England Financial (Dental claims containing 'TN', 'PSI, or 'HPS' anywhere in the Group policy and InsuredIDnumbers may NOT be submitted under this Payer ID. Please begin using payer ID 80705 for this payer)

8/15/2003 38332 New World Claims Services (for claims mailed to Niles, MI)

inactive 66915 New York Life Insurance Co.

9/10/2007 NYT01 New York State Teamsters Union (Local 118,182, 264, 294, 317, 375, 449, 529, 669, 687, 693, 791, 1149)

9/10/2007 TLX31 NGS American, Inc.

81264 Nippon Life Insurance Co.

4/7/2004 65085 North America Administrators, L.P.

4/7/2004 34159 North American Benefits Network

9/10/2007 TLX02 North American Health Plans

2/18/2010 37314 North Broward Hospital District

9/10/2007 61472 North Carolina Health Choice for Children

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

E3400 North Dakota Dental Service

9/10/2007 47570 North Star Administrators

02027 Northeast Delta

9/10/2007 TLW42 Northern California Pipe Trades Trust

2/18/2010 36347 Northern Illinois Health Plan

3/31/2009 LX062 Northern Minnesota Dental

88027 Northern Nevada Trust Fund (Reno, NV)

2/18/2010 36364 NorthShore University Health System Medical Group

6/30/2003 93525 Northwest Dental Services (For claims mailed to PO Box 1580, Roseburg, OR)

41045 Northwestern National Life Insurance

6/30/2003 16644 Nova Healthcare Administrators, Inc.

9/10/2007 91136 NW Plumbing & Pipefitting Industry

2/18/2010 CX014 NY Presbyterian Community Health Plan

9/10/2007 37299 Nyhart

91135 NYLCare Ethix Northwest

2/18/2010 OAC01 Ohio AFSCME Care Plan

91150 Olympic Health Management

9/10/2007 TLW92 Omaha Industry Construction

80705 ONE Health Plan of AK, AZ, CA, CO, FL, GA, IL, IN, ME, MA, NV, NH, NJ, NC, OH, TX

80705 ONE Health Plan of OR,PA,SC,TN,TX,VA,WA,WI,WY and VT

91136 Operating Engineers Locals 302 & 612 Health & Security Fund

CDOR1 Oregon Dental Services - ODS (administered by Delta Dental of Oregon)

2/18/2010 22521 OK State Employees Educators EDS

2/18/2010 CLF01 OSMA Health Formerly PLICO Oklahoma

9/10/2007 TLX34 Oxford Life Insurance (AZ)

2/18/2010 84104 Oxford Health Plans United Healthcare

9/10/2007 CX066 PA Faculty Health & Welfare

9/10/2007 TLW59 Pacific Dental Benefits - California

9/10/2007 TLW58 Pacific Dental Benefits - Nevada

9/10/2007 TLW57 Pacific Dental Benefits - Texas

67466 Pacific Life & Annuity (PO Box 33699 & 34799 & 100 W. Clarendon Ave)

93029 Pacific Source Health Plan of Oregon

9/10/2007 CX056 Pacific Union

9/10/2007 CX060 Pacificare Dental & Vision Plan (DHMO Encounters Only)

9/10/2007 CX053 Pacificare Dental & Vision Plan (PPO and IND Claims Only)

9/10/2007 TLX26 Paid Dental (TX)

CX001 Pan American (American Medical Security)

2/18/2010 DX106 P.R.I.M.E Benefit Systems, Inc.

2/18/2010 CX014 Passport FFS - KY

2/18/2010 CX014 Passport Health Plan, Kentucky

9/10/2007 10525 Patient Advocates, LLC

32069 Patriot Dental

9/10/2007 32069 Patriot Mutual Dental Programs

47009 Paul Revere/Provident

9/10/2007 PRW01 Pavers & Roadbuilders Welfare Fund

60054 PDO

9/10/2007 TLW79 Pearl Insurance

9/10/2007 52133 Peoples Benefit Life Insurance Company

9/10/2007 37121 Pequot Plus Health Benefit Administrators

9/10/2007 TLX32 Performax, Inc.

2/18/2010 TLX74 Personal Choice PA (Contact payor, setup required thru Tesia-PCI)

67814 Phoenix American Life (PAL)

9/10/2007 PHP01 Phoenix Health Plan (PHP) (AZ) Claims ONLY

9/10/2007 PHP02 Phoenix Health Plan (PHP) (AZ) Pre Determinations ONLY

67814 Phoenix Home Life

67814 Phoenix Mutual Life Insurance

9/10/2007 CX068 Physician's Mutual - Dental

9/10/2007 TLX05 Physicians Health Partners / CDOC (CO)

CX014 Physicians Plus Insurance, Co., PrimeCare, Wisconsin State Employees

24735 Pinnacle Claims Management (Fresno, California only)

9/10/2007 PIP01 Pipe Trades Industry Health & Welfare Fund

9/10/2007 PIP02 Pipefitters 597 (Chicago, IL)

9/10/2007 37224 Pitman & Associates

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

3/24/2010 37287 Planned Administrators, Inc. (PAI)

9/10/2007 PCM01 Plasterers' & Cement Masons' Health & Welfare Fund

9/10/2007 TLX04 Plumbers & Steamfitters Local 440

9/10/2007 TLW98 Plumbers & Steamfitters Local 486

67466 PM Group

9/10/2007 CDCAP PMI Contact Payor to receiveprovider I.D.

4/7/2004 32680 Poly America Medical & Dental Benefits Plan

2/7/2005 16111 POMCO

2/7/2005 36373 Prairie States Enterprises, Inc.

2/18/2010 00621 PreDent

9/10/2007 16112 Preferred Care (Gold & Gold Value Claims ONLY)

9/10/2007 59291 Preferred Care (FL)

9/10/2007 56178 Preferred Care (NC)

68241 Preferred Dental Organization

9/10/2007 31478 Preferred Health Professionals

2/18/2010 41147 Preferred One

9/10/2007 47570 Premera Blue Cross

2/18/2010 TLY54 Premier Access Insurance

PREMD Premier Dental

2/18/2010 CX014 Presbyterian Salud

56144 Primary Physician Care, Inc. (for claims mailed to Charlotte, NC)

3/17/2009 LX049 Prime West

CX014 PrimeCare, Wisconsin State and Federal Emplyees and Medicaid

61271 Principal Financial Group

61271 Principal Mutual Life Insurance Co.

2/18/2010 38217 Priority Health

2/18/2010 CX014 Priority Partners

6/25/2004 36331 Professional Benefit Administrators, Inc

9/10/2007 41163 Professional Claim Administrators

6/30/2003 70408 Protective Life Insurance Co. (For claims mailed to Birmingham, AL)

68195 Provident Life & Accident Insurance Co.

68195 Provident Life & Casualty Insurance Co.

68195 Provident Preferred Network

68241 PruCare

68241 PruCare HMO

68241 PruCare Plus

68241 Prudential

68241 Prudential Dental Organization (PDO)

68241 Prudential Health Care System (PHCS)

68241 PruNetwork

91136 Puget Sound Benefits Trust

91136 Puget Sound Electrical Workers Trust

9/10/2007 39197 Quad Med

9/10/2007 TLW95 Quality Benefits, LLC

2/18/2010 CX077 Quality Plan Administrators Inc

9/10/2007 TLX48 Qualmed - New Mexico Contact Payor to receiveprovider I.D.

30001 R.E. Harrington Group

9/10/2007 91176 RBMS

2/18/2010 93200 Regence Blue Shield

2/18/2010 93200 Regence Northwest Health

2/18/2010 47076 Regional Care, Inc.

2/18/2010 RLHA1 Renaissance Life and Health

9/10/2007 TLU81 Reynolds & Reynolds

6/25/2004 38221 Regency Employee Benefits

E3440 Reliance Standard Life

80314 ReliaStar

6/30/2003 41045 ReliaStar - now known as CoreStar formerly NW National Life (For claims mailed to - PO Box 1195, Minneapolis, MN- 146 Industrial Park Rd, Jackson, MN - 7830 East Broadway, Tucson, AZ

9/10/2007 TLX22 RH Administrators

9/10/2007 TLU80 Risk and Benefit Management Services

2/18/2010 50664 Riverside San Bernardino County Indian Health Inc.

9/10/2007 16117 RMSCO

9/10/2007 TLX19 Rochester Laborers Welfare Fund

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

2/7/2005 41625 Rochester Public Schools (Rochester, MN)

84102 Rocky Mountain Life Dental

2/18/2010 TRW01 Roofers Waterproofers Local 136 HW Fund

7/10/2009 RR001 Royal Resources

9/10/2007 TLW46 S & S Healthcare, Inc.

2/18/2010 37105 Sage Technologies

2/18/2010 37137 Sage Technologies - PBS

CX030 Safeguard

9/10/2007 CX048 Safeguard HMO

34154 Salvation Army

9/10/2007 37259 SAMBA

2/18/2010 TFQ67 Samba Federal Employee Benefit Assoc

2/18/2010 91184 Sanford Health Plan

9/10/2007 TLU82 SBA Atlantic Coast Health Plan

9/10/2007 73172 Scan Health Plan Arizona

9/10/2007 20460 Scan Long Term Care

9/10/2007 TLW27 School Claim Services, LLC (PA)

9/10/2007 TLW26 School District #1 Health & Welfare Fund

9/10/2007 TLX49 Scott & White Contact Payor to receiveprovider I.D.

CX023 Seabury & Smith (PO Box 1520, Iowa City, IA 53340)

2/18/2010 SCD01 Secure Care Dental

9/10/2007 93742 Securian Dental Plan

3/31/2010 CX092 Security Life

9/10/2007 TLW45 Securus Group, Inc.

9/10/2007 TLU20 Sele-Dent, Inc.

9/10/2007 64088 Select Administrative Services

CX018 Select Benefit Administrators (For claims mailed to PO Box 8339, Des Moines, IA)

68241 SelectCare (Coca Cola)

9/29/2003 59111 Self Insured Benefit Administrators (for claims mailed to Clearwater, FL)

9/10/2007 TLX16 Self Insured Plans, Inc. (FL)

CX020 Self Insured Services Company (SISCO) (PO Box389, Dubuque, IA)

34131 Self-Funded Plans, Inc. of Cleveland, OH

9/10/2007 39033 Sentry Insurance Company, Sentry Life of NY and Sentry Insurance A Mutual Co

9/29/2003 CX038 Serentas Dental Care Solutions (for claims mailed to PO Box 242840, Louisville, KY)

9/10/2007 TSG01 Set Seg / Set, Inc.

9/10/2007 TLW25 SHASA Administrators

9/10/2007 SMW01 Sheet Metal 91 Health & Welfare Fund

9/10/2007 30920 Sheet Metal Workers Local 20 (Must use member social security number, not Anthem Member ID number)

9/10/2007 TLW54 Sheet Metal Workers Local 46

9/10/2007 TLW55 Sheet Metal Workers Local 85

3/17/2009 41143 Sheffield Olson & McQueen

9/10/2007 SLI01 Shenandoah Life Insurance Company

9/10/2007 TLX11 SHN Employee Dental

9/10/2007 76342 Sierra Health Services

6/25/2004 84076 Sinclair Health Plan

2/18/2010 CX030 Smile Saver

9/10/2007 TLW21 Smith Administrators

9/10/2007 91136 South Bay H.E.R.E. Funds

9/10/2007 23266 South Central Preferred - PPO York, PA (I H S Gateway Payer)

2/18/2010 37314 South FL Community Care Network - NBHD

9/10/2007 35227 South Point Hotel & Casino

9/10/2007 SEI01 Southeastern Service Employee International Union (SEIU)

9/10/2007 TLU87 Southern Alaska Carpenters Trust

9/10/2007 37318 Southern Benefit Services

9/10/2007 TLW41 Southern California Pipe Trades

9/10/2007 SEF01 Southern Electrical Health Fund

6/25/2004 56131 Southern Group Administrators

9/10/2007 CX051 SouthWest Benefits

68241 Southwestern Bell

68241 Southwestern Bell Executive-Custom Care

68241 Southwestern Bell Executive-Southwestern Bell

9/10/2007 84147 Spina Bifida - VA HAC

9/10/2007 TLW40 SRC (Strategic Resource Company)

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

9/10/2007 TSBM1 St. Louis Blue Cross of Missouri

9/10/2007 TLU84 St. Tammany Federation of Teachers

2/18/2010 37116 St. Therese Physician Association

5/20/2005 69019 Standard Insurance

5/20/2005 89009 Standard Insurance Co. of New York

93024 Standard Insurance Co. of Oregon

9/10/2007 TLW66 Star HRG / Star Administrative Services

9/10/2007 STR01 Starmount Life Insurance Company

69140 State Mutual Life Assurance Company of America

9/29/2003 57254 State of Texas Dental Plan (for claims mailed to Independence, MO)

9/10/2007 TLW31 Stirling & Stirling

4/7/2004 31121 Stoner and Associates

6/25/2004 58128 Stowe Associates

9/10/2007 64246 Strategic Outsourcing, Inc. (SOI) (Group V5019)

74227 Student Insurance Division

2/18/2010 CX014 Suffolk County

9/10/2007 TLX37 SummaCare

11/13/2008 67814 Sun Life and Health Insurance Company (formerly Genworth Life - GLHIC)

6/27/2011 89070 Sun Life Financial (of Wellesley Hills, MA) - now United Concordia

Enrollment via UnitedConcordia (use UCCI form)

47009 Sun Life of Canada

68241 Sun Trust Bank, Inc.

31117 Superior Dental Care

2/18/2010 TLX77 Symetra

9/10/2007 TLX50 TASB (TX Assn of School Boards)

73288 TDC (The Dental Companies) Contact Payor to receiveprovider I.D.

9/10/2007 88020 Teachers Health Trust (PO Box 96238, Las Vegas, Nevada)

9/10/2007 TLW39 Teamster Health Welfare

9/10/2007 TLW37 Teamsters Local 618 Health Fund

9/10/2007 TLW38 Teamsters Local 671 Health Fund

9/10/2007 TLW36 Teamsters Local 72 Welfare Fund

9/10/2007 TLW35 Teamsters Union Local 677

9/10/2007 22228 Teamsters Welfare Fund (MI)

10/4/2010 MDTN1 TennCare (Medicaid of TN)

9/10/2007 CPPTX Texas CHIP Dental Services

80659 The Canada Life Assurance Company (for claims mailed to Atlanta,GA)

9/10/2007 74227The Chesapeake Life Insurance Company - Student Insurance (Payor ID valid only if the PO Box on the Health IDCard matches one of the following PO Boxes: Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, TX75380-9025)

9/10/2007 TDN01 The Dental Network (in state dentists only)

9/10/2007 TLW10 The Loomis Company

9/10/2007 74227The MEGA Life & Health Insurance Company - Student Insurance (Payor ID valid only if the PO Box on the Health IDCard matches one of the following PO Boxes: Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, TX75380-9025)

9/10/2007 TLW84 The Plan Handlers, Inc.

87726 The Travelers

9/10/2007 TLX54 Third Party Administrator (Tucker, GA)

06131 Third Party Claims Management

9/29/2003 25175 Three Rivers Health Plans, Inc. (for claims mailed to PO Box 967, Monroeville, PA) Call Three Rivers HealthPlans for Provider I.D.

9/10/2007 TIC01 TIC International, Inc.

9/10/2007 TLX02 TICUA Benefit Consortium

39065 Time Insurance (A Fortis Company)

9/10/2007 TLU96 TML Group Benefits, Inc.

9/10/2007 TLX01 Total Administrative Services Corp.

9/10/2007 TLU07 Total Benefit Services (LA)

11/13/2008 TLY37 Total Claim Service (TX)

9/10/2007 TCS01 Total Claims Solutions Contact Payor to receiveprovider I.D.

2/7/2005 69493 Tower Life Insurance

2/18/2010 CX025 TPAC

9/10/2007 37230 TR Paul, Inc.

87726 Travelers Health Network (HMO & Care Option)

87726 Travelers Plan Administrators

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

5/20/2005 73288 Tricare Active Reservists (TSRDP Dental Claims)

30000 Tricare Family Members Dental Plan Call UCCI @ 800-633-5430for registration info.

5/20/2005 DDPFS Tricare Retiree Dental Program

84103 Trigon

CB923 Trigon Blue Cross of Virginia Call Trigon for Provider I.D.

CB923 Trigon Health Keepers, Inc. (Trigon Blue Cross of Virginia) Call Trigon for Provider I.D.

4/7/2004 91078 Trusteed Plan Service Corporation

9/10/2007 TLW23 Trustmark Insurance (Clinton, IA)

9/29/2003 61425 Trustmark Insurance (Lake Forest, IL)

9/10/2007 60054 TRW

9/10/2007 73288 TSRDP Dental Claims (Claims ONLY for PO Box 19081, Green Bay, WI)

9/10/2007 TLW09 Tube Light Company, Inc.

UCARE UCARE (Delta Dental of Minnesota Medical Assistance)

9/10/2007 TLW49 UFCW Health & Welfare Fund of PA

9/10/2007 UFW01 UFCW Local 1

9/10/2007 TLW52 UFCW Local 1996

9/10/2007 TLW94 UFCW Local 400, 534, 655, 881 Welfare Fund

9/10/2007 A5205 UFCW Local 400-5205

9/10/2007 TLW67 UFCW Local 56

9/10/2007 UFC01 UFCW of Central Ohio

9/10/2007 UFC02 UFCW of Cleveland

5/20/2005 62308 UFT Wellfare Fund

75245 UICI - Administrators - State of Nevada

80314 UNICARE Individual - Small Group

65099 UniCARE Life & Health (Formerly Mass Mutual)

80314 UNICARE Major Accounts

47195 Unicare of Texas

65099 UniCARE Special Accounts (Formerly John Hancock)

9/10/2007 47009 Unifi Companies

9/10/2007 TLA03 Unified Group Services

2/7/2005 75243 Uniform Medical Plan/Harrington Benefit Services

9/10/2007 52133 Unimerica Dental

9/29/2003 13142 Union Labor Life Insurance Company (for claims mailed to King of Prussia, PA)

2/18/2010 70408 Union Security Insurance Company

9/10/2007 52133 Unique Dentacare

2/18/2010 CX014 Unison Health Plan formerly Better Health Plan

2/18/2010 25175 Unison Health Plan - Three Rivers

9/10/2007 TLW80 United Benefits (FBMC)

UCCI1 United Concordia

UCCIP United Concordia Plus

UCCI1 United Concordia Select

30000 United Concordia - Tricare Family Members Dental Plan

9/10/2007 70408 United Dental - Texas

5/20/2005 52133 United Healthcare

2/7/2005 33108 United Medical Resources (UMR) - Cincinnati

2/18/2010 95266 Untied Medical Resources (UMR) - Harrington (Columbus)

2/18/2010 75196 Untied Medical Resources (UMR) - Harrington (Westerville)

2/18/2010 37237 Untied Medical Resources (UMR) - Lexington

2/18/2010 79480 Untied Medical Resources (UMR) - Onalaska

2/18/2010 74223 Untied Medical Resources (UMR) - San Antonio

2/18/2010 39026 Untied Medical Resources (UMR) - Wausau

71412 United of Omaha

9/10/2007 TLW89 United Security Life

13545 United States Life Insurance Company

9/10/2007 UNT01 Unity Health Plan

9/10/2007 16105 Univera Healthcare of New York Contact Payor to receiveprovider I.D.

6/30/2003 91136 University of Washington Students & Graduate Appts.

2/18/2010 23281 UPMC Health Plan - Dental

9/10/2007 37324 Upper Peninsula Health Group (TPA)

9/10/2007 TLW47 Upstate Administrative Services, Inc.

Dental Payor List

file:///B|/LINDTECH/LINDTECH/dental.htm[8/8/2011 4:09:56 PM]

9/10/2007 TLW48 US Benefits

9/10/2007 TLW22 US Plan Administrators

2/18/2010 76031 USAble Life

9/10/2007 EXC02 Utica Blue Cross Contact Payor to receiveprovider I.D.

8/15/2003 12115 VA Fee Basis Programs

9/10/2007 VHP01 Valley Health Plan (WI) Contact Payor to receiveprovider I.D.

68241 Varian Health Care Plan

2/18/2010 75256 Verity National Group

9/10/2007 TLX51 Via Care Contact Payor to receiveprovider I.D.

2/18/2010 CX014 Virginia Smiles for Children

91062 Washington Dental Services

9/23/2004 37294 Washington Employers Trust

91136 Washington State Council of County & City Employees Trust

9/10/2007 73155 Waterstone Benefit Administrators

9/10/2007 TLU85 Watkins Associated Industries

39026 Wausau Insurance Companies

39151 WEA Insurance Group

9/10/2007 10050 Webster Dental

75261 webTPS/Community Health Electronic Claims/CHEC

9/10/2007 TLX10 Welfare Fund of the Int'l Unioin of Operating Engineers Local (NY)

9/10/2007 91136 Welfare & Pension Service Group Listing (Seattle, WA)

2/18/2010 CX014 Wellcare

47198 Wellpoint Dental

2/18/2010 37272 Wells Fargo Third Party Administrators f.k.a. JSL Admini

2/18/2010 87815 Wells Fargo Third Party Administrators, Inc Charleston, NC

9/10/2007 TLW51 Wen-Neb Inc

6/30/2003 91136 West Coast Stationary Engineers Health & Security Trust Fund

9/10/2007 TLX18 West Lake TPA

7/28/2010 93128 Western Grocers Employee Benefit Trust

24735 Western Growers (for claims mailed to Newport Beach, California)

9/10/2007 TLW34 Western PA Electrical Employees Insurance Trust

9/10/2007 TLW33 Western PA Teamsters Fund

9/10/2007 91060 Western Teamsters Welfare Trust

2/18/2010 90560 WestLake Financial Group, Inc. Buffalo Grove, IL

9/10/2007 TLW08 Westport Benefits

84098 Whatcom Medical Bureau

2/18/2010 CX014 WI State Employees - Managed Health Services

9/10/2007 93050 William C. Earhart

9/10/2007 98010 William J Sutton & Co LTD (Toronto, Ontario - Canada)

R7002 Wilson McShane

9/10/2007 TLA06 Woods & Grooms Benefit Services

9/10/2007 20333 Worksite Benefit Services, LLC

62154 Xantus Health Plan (for claims mailed to Nashville, TN)

R7001 Zenith Administrators