Payer List Includes (20 pgs): Commercial Payers Blue Cross Blue Shield Payers Delta Dental Payers Medicaid Payers Payer ID 06126: Use this eClaim payer id for those insurance companies that are not on the eClaim Payer List Payer #54084 Washington Dental Service P.O. of Washington . Delta Dental of Washington P.O. Submit the correct ID number as printed on the ID card and the subscriber’s date of birth. EDI Enrollment Instructions: • Please save this document to your computer. Delta Dental . Electronic Data Interchange (EDI) Hours and Information Link to information about EDI system maintenance schedules and downloadable, printable guides that provide details on specific EDI real-time transactions. Delta Dental uses this information to ensure the claim is processed under the correct member. eServices Dental eClaims Payer List ... D. Edward Wright TPA 00966 Delta Dental Plan of Washington DC 52147 Dart Management Corporation (Mason, MI) 06172 Delta Dental Plan of West Virginia 31096 ... Delta Dental Plan of Arkansas 00001 Dental Benefit Providers 52133 (+)/(ID) = Additional special enrollment required for payer Dental Payer List Information For any questions please contact eServices Support at 800.475.5036. We accept electronic claims for payment, pre-determination, coordination of benefits, and orthodontia. Box 29 Payer ID: 91062 www.esolutionsinc.com 2020-01-28 . Box 828 Stevens Point, WI 54481 800-236-3712 www.deltadentalwi.com Payer #39069 Delta Dental of Wyoming P.O. Electronic Attachment Dental Payer List March 2010 Payer Name NEA Payer IDPayer Name NEA CompDent Preferred Networks, Inc. 017025 Dental Network of America (DNOA) 034002 Concordia Plus 022007 Dental Select - Utah 061001 ... Delta Dental Plan of Washington 048002 Golden West Dental & Vison Plan 026038 Everyone will need to re-enroll with our new online payment portal. Box 75983 Seattle, WA 98175 800-554-1907 www.deltadentalwa.com Payer #91062 Delta Dental of West Virginia (See Delta Dental of Pennsylvania) Payer #31096 Delta Dental of Wisconsin P.O. Our payer ID # for Delta Dental Medicare Advantage is ARCMS. Eclaims.com provides a searchable payer id code list, spanning all states for BCBS, MDCR and MDCD. 835 . PAYER ID PAYER NAME ENROLLMENT REQUIRED 10896 1199 National Benefit Fund 10001 AARP 10916 ACS Benefit Services, Inc. 10923 Administrative Services, Inc. ... 13484 Delta Dental of Washington DC 13485 Delta Dental of Washington State 13486 Delta Dental of West Virginia 13431 DeltaCare USA – Claims For more information, please contact the Delta Dental of Arkansas Professional Relations department at 501-992-1710. Call Delta Dental Customer Service at (800)554-1907. Effective November 1, 2019 Delta Dental of Washington is moving online banking services to Alacriti Payments LLC, a service provided by Bank of America. 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