New Insurance Payor Connections


Electronic claims: You can now send electronic claims to the following payors.
Payor ID Payor Name
TLY60 SIHO
TLY91 Painters Trust Association
TLY99 Summit Administration Services Inc. (f.k.a. SRT Administrators)
33628 Mercy Maricopa Integrated Care
CB404 Preferred Health Plan of the Carolinas
CDIAM Dental Wellness Plan- DD of IA (Medicaid Plan)
93128 Western Grocers Employee Benefit Trust
CAS89 C.A.S Benefit Plans
TLU19 Formula Dental
TLX06 APIPA (Arizona Physicians IPA) PRE Determinations ONLY


Attachments: You can now add digital X-rays, EOBs, photos and Perio charts to electronic claims sent to the following payors.
Payor ID Payor Name
CBMT1 Blue Cross Blue Shield of Montana
43168 Regence Blue Cross Blue Shield of UT-FEP
TFQ77 Regence Blue Cross Blue Shield of UT-FEP


Electronic Explanation of Benefits: You can now receive electronic explanations of benefits (eEOB/ERA) from the following payors.
Payor ID Payor Name
14142 NYS DOH UCP
14142 NYS DOH UCP- ADAP Program
14142 AIDS Drug Assistance Program
DNOA1 Dearborn National
CBNM1 Blue Cross of New Mexico
TBOK1 Blue Cross Blue Shield of Oklahoma
CX034 Dental Network of MD
52133 United Healthcare Dental
00580 Care First- Blue Cross Blue Shield of MD
91062 Delta Dental of Washington

View the entire list of electronic payor connections using the Payor Search Tool. You can search for specific payors or download the complete payor list.

Contact us at 800-734-5561 to enroll in eClaims or for assistance setting up any of these services.



Author: Damon Graves, eServices Product Marketing Manager
Published: 05/31/2014
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