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. 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 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. Submit the correct ID number as printed on the ID card and the subscriber’s date of birth. Please visit our website at DeltaDentalWa.com and use the tools drop down to access the online payment feature. EDI Enrollment Instructions: • Please save this document to your computer. Everyone will need to re-enroll with our new online payment portal. 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 835 . If you conduct electronic transactions, you’ll need the Payer ID of the insurance carrier. Call Delta Dental Customer Service at (800)554-1907. 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 Our payer ID # for Delta Dental Medicare Advantage is ARCMS. Delta Dental of Washington P.O. of Washington . Delta Dental uses this information to ensure the claim is processed under the correct member. Box 75688 Seattle, WA 98175 Questions? 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 We accept electronic claims for payment, pre-determination, coordination of benefits, and orthodontia. If you have questions regarding errors or to request an “Electronic Claims Submission” guide, contact Delta Dental… Search by carrier or state in one easy step to locate the correct payer id code, neccessary to route EDI transactions to the correct payer. Delta Dental . Dental Payer List Information For any questions please contact eServices Support at 800.475.5036. For more information, please contact the Delta Dental of Arkansas Professional Relations department at 501-992-1710. 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