Great news for our Dental Offices! The following 64 dental plans are now accepting claims from DentalXChange electronically. This means that your dental practice will see a quicker turnaround time on your claims. Here’s the list of 64 dental plans that will now accept electronic dental claims from DentalXChange. If you aren’t sending claims through our clearinghouse yet, give our office a phone call at 800-576-6412 x 467 to get started! We are compatible with most dental softwares, including EagleSoft, Dentrix, EasyDental and many more!
HMAA/ Hawaii Western Management Group-
They went live with the Co-Branded “All Payer Portal” and direct for claims, October 2011.
Payer ID# 48330
Par Plus Status
No Enrollment Required
Excited to announce that Operating Engineers has gone live for the first time for dental claims!
Operating Engineers Health and Welfare
Pasadena, CA
Payer ID# OEL12
Transaction: Claims
Paper to EDI – Par Plus Status
No Enrollment
Direct, just went live hours ago, November 16th!
Providence Administrations
Payer ID# PAS01
Transaction: Claims
Payer Status PT
Claims Mailing Address for reference: 16414 San Pedro #800, San Antonio, TX 78232
Paper to EDI
No Enrollment
Benefits Administration Services
Payer ID# 41205
Transaction: Claims
Payer Status PT
Paper to EDI
No Enrollment
Claims Mailing Address for reference: P.O. Box 14208, Ridgeland, MS 39157
Brokerage Concepts
Payer ID# 51037
Transaction: Claims
Payer Status PT
Paper to EDI
No Enrollment
Claims Mailing Address for reference: P.O. Box 61553, King of Prussia, PA 19406
Cap Rock Health Plans
Payer ID# CAPHP
Transaction: Claims
Payer Status PT
Paper to EDI
No Enrollment
Claims Mailing Address for reference: 4401 82nd Street, Unit 1200, Lubbock, TX 79424
Co-Ordinated Benefit Plans
Payer ID# 14829
Transaction: Claims
Payer Status PT
Paper to EDI
No Enrollment
Claims Mailing Address for reference: P.O. Box 20594, Clearwater, Fl 33763
Hammer and Gainer
Payer ID# 97258
Transaction: Claims
Payer Status PT
Paper to EDI
No Enrollment
Claims Mailing Address for reference: 909 Lake Carolyn Parkway, Suite #1900, Irving, TX 75039
Managed Care of America
Payer ID# 56162
Transaction: Claims
Payer Status PT
Paper to EDI
No Enrollment
Claims Mailing Address for reference: P.O. Box 330, Canonsburg, PA 15317
P5 Health
Payer ID# 87068
Transaction: Claims
Payer Status PT
Paper to EDI
No Enrollment
Claims Mailing Address for reference: 860 Paris Street, Pittsburgh, PA 15220
Dental Select
Payer ID# DSL01
Transactions Claims
Paper to EDI- Par
No Enrollment
Direct, went into Production Sept. 2011
Excellus and Associated Blue Cross Blue Shield of New York Plans
Payer ID# EXC01
Transaction: Claims
Paper to EDI – Par Plus
No Enrollment
Univera of New York
Payer ID# 16105
Transaction: Claims
Paper to EDI – Par Plus
No Enrollment
Blue Cross Blue Shield of North Dakota
Payer ID# CX004
Transaction: Claims only
Paper to EDI – Non- Par
Enrollment is required and special testing. Please contact Enrollment@dentalxchange.com
Direct Connection
Associated Third Party Administrators
Payer ID# ATPA1
Current Connection, new plans, direct connection
Par Plus Status
No Enrollment Required
ATPA Supported Plan Name: Billing Address:
Automotive Industries P.O. Box 23263 Oakland 94623
California Service Employees P.O. Box 24515 Oakland 94623
Central Coast P.O. Box 24516 Oakland 94623
Laborers of Southern California P.O. Box 23812 Oakland 94623
School District No. 1 7600 SW Mohawk St Tualatin, OR 97062
Oakland Firefighters P.O. Box 24263 Oakland 94623
Portland Area UFCW local Union 555 7600 SW Mohawk St Tualatin, OR 97062
Joint Labor Management Retail 7600 SW Mohawk St Tualatin, OR 97062
Plumber and Ship fitter Union 290 7600 SW Mohawk St Tualatin, OR 97062
Southern California Local Union 831 Health & Trust Fund, P.O. Box 23015 Oakland 94623
San Diego County Teamsters Union P.O. Box 919029 San Diego 92191
Teamster Local 856 P.O. Box 24513 Oakland 94623
Heat and Frost Asbestos Workers P.O. Box 2590 Pasadena 91102
Heat and Frost Insulators Local Union 16 P.O. Box 24263 Oakland 94623
Liberty Dental Plan
Master Payer ID# CX083
Transaction: Claims, eligibility will follow in 2012
Par Plus
No enrollment
This is live and direct. You are welcome to send all claims to CX083 but they have over 20 plans that are broken out by payer ID. See below:
|
Payor ID |
Payor Name |
Mailing Address |
City |
State |
ZIP |
|
CX083 |
LIBERTY Dental Plan |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP01 |
Alameda Alliance (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Rocky Mountain Hospital & Medical Service, Inc. – OSB High & LOW (Liberty Dental) |
P.O. Box 401086 |
Las Vegas |
NV |
89140 |
|
LDP02 |
Blue Cross of California – OSB High & Low ( Admin by LIBERTY Dental) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Anthem Health Plans of Kentucky – OSB High & Low ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Anthem Health Plans of Kentucky – PPOB & PPOD ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Anthem Health Plans of Virginia – OSB High & Low ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Anthem Health Plans of Virginia – PPOB & PPOD ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Anthem Health Plan – HMOD & HMOG ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Anthem Insurance – OSB High & Low ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Anthem Insurance – PPOB & PPOD ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Blue Cross Blue Shield of Wisconsin – PPOD ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Blue Cross of California – PPOA ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Blue Cross of California – Plan SS10 & SS20 ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Community Insurance Co.- HMOA & PPOB ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Community Insurance Co. – PPOD & PPOF ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
EmpireHealthChoice Assurance – OSB Low & PPOB ( Admin. by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
EmpireHealthChoice HMO – ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Healthy Alliance Life Insurance – PPOB ( Admin by LIBIRTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP02 |
Anthem HMO Colorado – HMO-B ( Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP04 |
Cal Optimal -OneCare (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP05 |
Care 1st Health Plan Medicare Advantage (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP05 |
Care 1st PHP LA & San Bernadino County (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP09 |
EasyChoice Health Plan (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP10 |
Golden State Health Plan (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP11 |
Health Net 21 – LA & Sacramento (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP11 |
Health Net Healthy Families A, B & C (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP11 |
Health Net Los Angeles PHP (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP11 |
Health Net Sacramento GMC (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP12 |
IEHP (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP13 |
LA Care Health Plan (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP14 |
MD Care Health Plan (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP15 |
MGM Resorts International (Admin by LIBERTY Dental Plan) |
P.O. Box 401086 |
Las Vegas |
NV |
89140 |
|
LDP16 |
Molina HealthCare (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP17 |
Ohana Health Plan (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP18 |
Ozark Health Plan (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP19 |
PALMS Casino Resort (Admin by LIBERTY Dental Plan) |
P.O. Box 401086 |
Las Vegas |
NV |
89140 |
|
LDP20 |
Physicians United Plan-PUP (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP21 |
Sands Bethworks Gaming (Admin by LIBERTY Dental Plan) |
P.O. Box 401086 |
Las Vegas |
NV |
89140 |
|
LDP22 |
Santa Clara Family Health Plan (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP23 |
Venetian (Admin by LIBERTY Dental Plan) |
P.O. Box 401086 |
Las Vegas |
NV |
89140 |
|
LDP24 |
Wellcare (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
|
LDP25 |
WellPoint (Admin by LIBERTY Dental Plan) |
PO Box 26110 |
Santa Ana |
CA |
92799 |
