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UHIN's Payer List

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Professional

Payer Name Payer Id Line of Business
(NLH) Netcare Life and Health Insurance
Netcare Life and Health Insurance (Hagatna Guam)
66055
Professional
1199 National Benefit Fund
13162
Professional
1st Auto and Casualty
J1585
Professional
1ST MEDICAL NETWORK (MEDICAL RESOURCES)
Medical Resource Network (MRN
INC)
58203
Professional
21st Century Insurance and Financial Services
51028
Professional
21st Century Insurance
YMCA
41556
Professional
888-OhioComp
26300
Professional
A & I Benefit Plan Administrators
93044
Professional
A.G.I.A. Inc.
95241
Professional
A.W.Holdings LLC dba Benchmark
J1976
Professional
AAG-American Admin Group ( Formerly Icon Benefit Admin)
75185
Professional
AARP-UnitedHealthcare Ins Co
AARP Medicare Supplement Plans
AARP Medicare Supplement Plans insured
36273
Professional
Abilene ISD Self-Insured
J1121
Professional
Abrazo Advantage Health Plan
03443
Professional
Acceptius (Benefit Management Inc of MO (BMI)
Joplin Claims / Benefit Management Inc
43178
Professional
Access Administrators
AHS01
Professional
Access Administrators
TH067
Professional
Access Medical Group
95424
AMG01
Professional
Accident Fund insurance Co of America
J1790
Professional
Acclaim
64071
Professional
Accountable HC IPA claims w/DOS prior to 5/1/15
AHIPA
Professional
Accountable Healthcare IPA
MPM23
Professional
Accuride Corporation
J1024
Professional
Ace USA
J2285
Professional
Ace USA (Rocklin Office)
J2226
Professional
ACIG Insurance Company
J1578
Professional
ACS Benefit Services Inc.
72468
Professional
ACS Benefit Services Inc.
72467
Professional
ACS Benefits Payer Compass
PA331
Professional
ActivHealthcare
AHC01
Professional
Acuity A Mutual Insurance Company
J1240
Professional
ACWA JPI
J2286
Professional
AD-COMP
J1667
Professional
Adaptis
91173
Professional
Adelanto Correctional Facility (CA)
J1798
Professional
Administaff
J1241
Professional
Administrative Concepts
ADMINISTRATIVE CONCEP
Adminstrative Concepts
Inc.
22384
Professional
Administrative Service Professionals
20405
Professional
Administrative Services Inc
59141
Professional
Adminsure
J2292
Professional
Admiral Linen & Uniform Service
J2144
Professional
Advance America Cash Advance Centers
J1843
Professional
Advance Services Inc.
J1608
Professional
Advantage Care IPA
ACIPA
Professional
Advantage Health Solutions
35209
Professional
Advantage Preferred Plans
Advantage Preferred Plus (old payer ID of 77070 valid limit
35219
Professional
Advantek Benefit Administrators
83077
Professional
Advantica Benefits
59374
Professional
Advanzeon Solutions
59314
Professional
Adventist Health System West - Roseville CA
95340
Professional
Advocare MCO Inc
J1896
Professional
Advocate Medical Group - AMG (Legacy AHC)
36320
Professional
Aegis Administrative Services
CB637
Professional
Aetna - IL Medicaid
26337
Professional
Aetna Affordable Health Choices (SM) - SRC
57604
Professional
Aetna Better Health - PA Medicaid
23228
Professional
Aetna Better Health California
128CA
Professional
Aetna Better Health Nevada
128NV
Professional
Aetna Better Health of Florida
128FL
Professional
Aetna Better Health of Kansas
128KS
Professional
Aetna Better Health of Kentucky
128KY
Professional
Aetna Better Health of Louisiana
128LA
Professional
Aetna Better Health of Maryland
128MD
Professional
Aetna Better Health of Michigan
128MI
Professional
Aetna Better Health of Missouri
128MO
Professional
Aetna Better Health of New Jersey
46320
Professional
Aetna Better Health of NY
34734
Professional
Aetna Better Health of Ohio
50023
Professional
Aetna Better Health of Virginia
128VA
Professional
Aetna Better Health of West Virginia
128WV
Professional
Aetna Better Health Premier Plan JVHL
72700
Professional
Aetna Better Health Texas
Midwest Insurance
10895
Professional
Aetna Encounters
60055
Professional
Aetna Senior Supplemental Insurance (Aetna SSI)
62118
Professional
Aetna TX Medicaid & CHIP
38692
Professional
Aetna US Healthcare - JVHL
27600
Professional
Affiliated Doctors of Orange County
27344
Professional
Affiliated Doctors of Orange County (ADOC)
ADOCS
Professional
Affiliated Foods Inc.
J1977
Professional
Affiliated Physicians Group
APG01
Professional
Affiliated Physicians IPA
POP06
Professional
Affinity Essentials
AffinityAccess
23334
Professional
Affinity Health Plan
13334
Professional
AFFINITY MEDICAL GROUP
46594
Professional
Affinity Medicare Advantage
13333
Professional
Affordable Benefit Administrators Inc.
95426
Professional
AFL-CIO Food & Beverage Dealer's Trust Fund (Toledo OH)
34444
Professional
AFTRA Health Fund
13346
Professional
AgeRight Advantage
ARA01
Professional
AgeWell New York
AWNY6
Professional
Agua Caliente
AGUA1
Professional
AHPO (Cleveland OH)
31138
Professional
AIG Educational Markets
22195
Professional
AIG-Chartis
19402
Professional
AL MEDICARE B (MAC JJ)
SMAL0
Professional
Alabama Blue Shield (Professional)
Blue Shield of Alabama
Blue Cross of Alabama
ALBLS
Professional
Alabama Medicaid
SKAL0
Professional
Alameda Alliance for Health
95327
Professional
Alamitos IPA (Customer Service 562-602-1563)
AIPAZ
Professional
Alaska Medicaid
SKAK0
Professional
Alaska National Insurance
J1577
Professional
Albertsons Inc.
J2376
Professional
Albuquerque Public Schools
85600
Professional
Alcoa Fasteners Systems
J1244
Professional
Alexian Brothers Community Services of TN
44423
Professional
Aliera Health Care
ALH01
Professional
Alignment Healthcare
AHCA1
CCHPC
Professional
Allcare IPA
24333
Professional
AllCare PEBB
26158
Professional
Allegeant
52193
Professional
Allegian Advantage
82238
Professional
Allegian Health Plan
82420
Professional
Allegiance Benefit Plan
Allegiance Benefit Plan Management Inc.
81040
Professional
Allen Canning
J1740
Professional
Allergan W.C. Holding Inc.
J2341
Professional
Alliance Behavioral Health (NC)
23071
Professional
Alliance Coal Health Plan
93658
Professional
Alliance Physicians High Desestt
22417
Professional
Alliant Energy
J1619
Professional
Alliant Health Plans of Georgia
58234
Professional
Allianz
J1452
Professional
Allianz Global Assistance
50749
Professional
Allianz Global Corporate & Specialty (AGCS)
J2332
Professional
Allianz Resolution Management (ARM)
J2326
Professional
Allied Benefit Systems
37308
Professional
Allied Claims Administration Inc.
J1733
Professional
Allied Health Systems Chiropractic
SX156
Professional
Allied Insurance Companies
Depositors Ins Co
J1550
Professional
Allina Health | Aetna
54398
Professional
Allmerica Financial Benefits Insurance Company
J1589
Professional
Allstate - Except New Jersey
C1037
Professional
ALLWays Health Partners
04293
Professional
Alohacare
ALOHA
Professional
Alpha Care Medical Group
ACMG1
Professional
Alpha Care Medical Group
Alphacare Medical Group
MPM32
Professional
Alpha Data
TH085
Professional
AlphaCare
ALPHA
Professional
Alta Bates Medical Group
A0701
Professional
Alternative Opportunities
16089
Professional
Alternative Service Concepts (ASC)
J2149
Professional
Alvey Systems (AON Risk)
J1025
Professional
AM-First Insurance Morgan White
01757
Professional
Amalgamated Life
13550
Professional
Amalgamated Life - PA / Alicare
13343
Professional
Ambay Health Network
AMBHN
Professional
AmeraPlan
38219
Professional
AmeriBen Solutions Inc.
75137
Professional
America First
J1427
Professional
America's Choice NMA
America's Choice Health
20029
Professional
America's Health Choice
21810
Professional
Americaid Community Care (Houston)
27515
Professional
Americaid Community Care (Maryland)
27517
Professional
Americaid Community Care (New Jersey)
27516
Professional
American Administrative Group - AAG Form known as UICI Admin
UICI - Administrators
75240
Professional
American Administrative Group AAG (Gallagher Benefits)
HealthSmart (EDI #37283)
HealthSmart Benefit Solutions
37283
Professional
American Airlines
J2000
Professional
American Behavioral
63103
Professional
American Claims Management (ACM)
J1236
Professional
American Coin Merchandising Inc
J1026
Professional
American Cyanamid
J1027
Professional
American Family (administered by American Republic)
American Republic Insurance Company
American Family Insurance (Administered by American Republic
56071
Professional
American Family Insurance
TH095
Professional
American Family Mutual Insurance Company
C1055
J2134
Professional
American Fidelity Assurance Company
60801
Professional
American General
62030
Professional
American Health Medicare
L0220
Professional
American Healthcare Alliance
01066
Professional
American Home Craft
J1250
Professional
American Insurance Administrators (AIA)
26119
Professional
American Medical Security (AMS)
UnitedHealthOne / UnitedHealthcare Life Insurance Company
UnitedHealthcare / All Savers Insurance
UnitedHealthcare Life Insurance Company
81400
Professional
American Mining Insurance Group LLC
J1524
Professional
American National Auto
J2295
Professional
American National Insurance CO (ANICO)
American National Ins. Co. (ANICO)
74048
Professional
American Postal Workers Union Health Plan
44444
Professional
American Republic Insurance
American Republic Insurance Company
42011
Professional
American Specialty Companies
J1028
Professional
American Specialty Health
43146
Professional
American Specialty Ins. / MIB
J1029
Professional
American Therapy Administrators ATA Wisconsin
ATHAL
Professional
American Trust Administrators Inc.
56195
Professional
American Whole Health Networks
TH117
Professional
Americas 1st Choice Health Plans of South Carolina
20553
Professional
Americas 1st Choice of South Carolina Inc
55349
Professional
AmeriChoice - Community and State
UnitedHealthcare Community Plan/NJ form Americhoice NJ Medic
UnitedHealthcare Comm Plan/NJ (form Americhoice NJ Medicaid)
86047
Professional
Amerigroup - Illlinois
Amerigroup
28804
Professional
Amerigroup - Maryland and District of Columbia
28807
Professional
Amerigroup / Americaid - Houston
28805
Professional
Amerigroup Multiple States (Claims and Encounters)
Amerigroup Multiple States
26378
Professional
Amerigroup of Florida
28809
Professional
Amerigroup Ohio (Claims and Encounters
Amerigroup Ohio
27518
Professional
AmeriGroup
Amerigroup - New Jersey
28806
Professional
Amerigroup
Amerivantage
Amerigroup Vantage
26375
Professional
AmeriHealth - Delaware (Non-HMO Claims)
SX074
Professional
AmeriHealth Administrators
Inter County Health Plan
AmeriHealth Administrators (835s returned under PAKEY)
54763
Professional
AmeriHealth Caritas Delaware
77799
Professional
Amerihealth Caritas District of Columbia
77002
Professional
AmeriHealth Caritas Iowa
77075
Professional
AmeriHealth Caritas Louisiana
27357
Professional
AmeriHealth Caritas NorthEast
77001
Professional
AmeriHealth Caritas Pennsylvania
22248
Professional
AmeriHealth Caritas VIP Care Plus (Michigan)
77013
Professional
AmeriHealth Caritas VIP Care
AmeriHealth Caritas PA Community HealthChoices
77062
Professional
Amerihealth HMO of Delaware and New Jersey
Amerihealth HMO NJ and Delaware
Amerihealth HMO NJ and DE
95044
Professional
Amerihealth HMO
AmeriHealth HMO New Jersey and Delaware
23037
Professional
Amerihealth-NJ (Non-HMO Claims)
AmeriHealth - New Jersey (Non-HMO Claims)
SX075
Professional
Amerikids-Dallas/Ft. Worth
Amerigroup Houston
26374
Professional
Ameriprise Auto & Home Ins.
C1004
Professional
Ameriprise Auto & Home Insurance
12504
Professional
Amerisafe Risk Services
J1447
Professional
Amerisure Insurance
J1206
Professional
Amerisure Mutual Insurance
J1205
Professional
AmFirst Insurance Company
64090
Professional
Amica Mutual Insurance Company
12287
Professional
Amida Care
24818
Professional
Amida Care Medicare
79966
Professional
Amtrust North America
J1868
Professional
Anchor Benefit Consulting Inc.
53085
Professional
Anchor Claims Management
J1919
Professional
Anchor Glass Container Corporation
J2136
Professional
Angeles IPA (SynerMed)
75299
Professional
Anheuser Busch
J1620
Professional
Anthem BCBS of Indiana
Med-Pay
Anthem IN
00130
Professional
Anthem BCBS of Virginia
Anthem BCBS Virginia
BCBS of Alabama - Medicare Part B
00423
Professional
Anthem Blue Cross
47198
Professional
Anthem Blue Cross and Blue Shield - Indiana
SB630
Professional
Anthem Blue Cross and Blue Shield - Kentucky
SB660
Professional
Anthem Blue Cross and Blue Shield (Virginia)
SB923
Professional
Anthem Blue Cross and Blue Shield of Ohio
SB338
Professional
Anthem Blue Cross Blue Shield of Connecticut
SB560
Professional
Apex Benefit Services
34196
Professional
APEX Healthcare
51909
Professional
Apostrophe
81312
Professional
Applied Underwriters
J1775
Professional
AR Medicare Part B (J7)
SMAR0
Professional
Aramark
J1502
Professional
Arbor Health
52312
Professional
ARC Administrators
CXARC
Professional
Arcadian Management Services Inc
77045
Professional
Archer Daniels Midland Company
J1735
Professional
Ardagh Group
J2344
Professional
Areas USA Inc
J1944
Professional
Argent (Subsidiary of West Bend)
J1420
Professional
Argonaut Insurance Company (ARGO)
19801
Professional
Argus Dental Plans
ARGUS
Professional
ARISE
39185
Professional
Arizona Blue Cross Blue Shield
Blue Shield of Arizona
AZBLS
Professional
Arizona Medicaid
SKAZ0
Professional
Arizona Physicians IPA - Community and State
UnitedHealthcare Community Plan/AZ form AZ Phy IPA APIPA
03432
Professional
Arizona Priority Care Plus
27154
Professional
Arkansas Best
J2142
Professional
Arkansas Blue Cross and Blue Shield
SB520
Professional
Arkansas Blue Cross Blue Shield
Blue Advantage of Arkansas
Health Advantage of Arkansas
ARBLS
Professional
Arkansas Managed Care Organization (AMCO)
62176
Professional
Arkansas Medicaid
SKAR0
Professional
Arkansas Superior Select
61184
Professional
ARM Grp
88035
Professional
Armour Risk
J2245
Professional
Arrowpoint
J1564
Professional
Arta Health Network
WMM01
Professional
ASAGEHA
06603
Professional
Asian American Medical Group
AAMG1
Professional
Aspen Insurance
Aspen
16180
Professional
Aspire Health Plan
46156
Professional
ASRM LLC
ASRM Corporation
ASRM1
Professional
Associated Administrators LLC.
13788
Professional
Associated Industries Of Massachusetts
J2268
Professional
Associates for Health Care Inc. (AHC)
36326
Professional
Association Casualty Insurance Company
J1254
Professional
Association County Commissioners of Georgia (ACCG)
J1869
Professional
Association de Maestros ((PROSSAM)
L0150
Professional
Association Of Ca Water Agencies JPA
J2230
Professional
Association Services of WA
37294
Professional
Assurance Resources Inc.
J2150
Professional
Assurant Health Self Funded
75068
Professional
Assured Benefits Administrators
74240
Professional
Asuris Northwest
93221
Professional
Asuris Northwest/MedAdvantage
SX179
Professional
Athens
J1914
Professional
Athens - Bal Seal Engineering
J2249
Professional
Athens - Bridgepoint Educational
J2240
Professional
Athens - Community Hospital Of Monterey Peninsula
J2218
Professional
Athens - Diocese Of San Jose
J2241
Professional
Athens - Episcopal Senior Communities
J2242
Professional
Athens - Gar Laboratories Inc
J2250
Professional
Athens - Hiig-Ca Imperium
J2256
Professional
Athens - Imperium Insurance Company
J2247
Professional
Athens - NAHCI And Clients
J2251
Professional
Athens - Palomar Health
J2253
Professional
Athens H&S Venture
J2335
Professional
Atlantic American Independent Insurance
J2009
Professional
Atlantic Medical Insurance
22285
Professional
Atlantic PPO to 21st Century Insurance
J2005
Professional
Atlantic PPO to AAA Mid
J2006
Professional
Atlantic PPO to Allstate Insurance
J2007
Professional
Atlantic PPO to American Commerce Insurance
J2008
Professional
Atlantic PPO to Ameriprise
J2010
Professional
Atlantic PPO to Amica Insurance
J2011
Professional
Atlantic PPO to AutoOne Insurance
J2014
Professional
Atlantic PPO to BMI Benefits LLC
J2015
Professional
Atlantic PPO to Bristol West Insurance Group
J2016
Professional
Atlantic PPO to Bunch CareSolutions
J2017
Professional
Atlantic PPO to Citizens United Reciprocal Exch. (NJCURE)
J2018
Professional
Atlantic PPO to Clarendon Insurance
J2019
Professional
Atlantic PPO to Concord Group
J2020
Professional
Atlantic PPO to County Way/Agway
J2021
Professional
Atlantic PPO to Electric Insurance Company
J2023
Professional
Atlantic PPO to Encompass Property Casualty
J2024
Professional
Atlantic PPO to Esurance Insurance
J2025
Professional
Atlantic PPO to Farm Family Insurance
J2026
Professional
Atlantic PPO to Farmers National Insurance
J2027
Professional
Atlantic PPO to Fireman's Fund/Parkway Insurance
J2028
Professional
Atlantic PPO to Flco Administrative Services
J2022
Professional
Atlantic PPO to Foremost Insurance Group
J2029
Professional
Atlantic PPO to GEICO
J2030
Professional
Atlantic PPO to Hanover Insurance
J2031
Professional
Atlantic PPO to Harford Mutual Insurance
J2032
Professional
Atlantic PPO to Harleysville Insurance
J2033
Professional
Atlantic PPO to Hartford Insurance
J2034
J2035
Professional
Atlantic PPO to Highpoint Insurance/Plymouth Rock
J2036
Professional
Atlantic PPO to Hortica Insurance
J2037
Professional
Atlantic PPO to IDS Property Casualty
J2038
Professional
Atlantic PPO to IFA Insurance Company
J2039
Professional
Atlantic PPO to Infinity Insurance Company
J2040
Professional
Atlantic PPO to Kemper Services Group
J2041
Professional
Atlantic PPO to Lancer Insurance
J2042
Professional
Atlantic PPO to Liberty Mutual Insurance
J2043
Professional
Atlantic PPO to Mapfre
J2044
Professional
Atlantic PPO to Merchants Mutual
J2045
Professional
Atlantic PPO to Merchants Mutual WC
J2046
Professional
Atlantic PPO to Mercury Insurance
J2047
Professional
Atlantic PPO to MetLife
J2048
Professional
Atlantic PPO to National Liability & Fire Insurance Co
J2050
Professional
Atlantic PPO to Nationwide
J2051
Professional
Atlantic PPO to New Jersey Skylands
J2052
Professional
Atlantic PPO to New York City Law Department
J2053
Professional
Atlantic PPO to NJ-PLIGA
J2054
Professional
Atlantic PPO to NY City Transit
J2055
Professional
Atlantic PPO to NYC Dept. of Sanitation
J2056
Professional
Atlantic PPO to NYSIF
J2057
Professional
Atlantic PPO to Ohio Casualty Group
J2058
Professional
Atlantic PPO to Palisades Insurance
J2059
Professional
Atlantic PPO to Peerless Insurance
J2060
Professional
Atlantic PPO to Personal Service Insurance
J2061
Professional
Atlantic PPO to Plymouth Rock
J2062
Professional
Atlantic PPO to Praetorian Insurance Company
J2063
Professional
Atlantic PPO to Preserver Insurance Company
J2064
Professional
Atlantic PPO to Progressive Insurance
J2065
Professional
Atlantic PPO to Pure
J2066
Professional
Atlantic PPO to QBE Insurance
J2067
Professional
Atlantic PPO to Rider Insurance
J2068
Professional
Atlantic PPO to Safeco Insurance
J2069
Professional
Atlantic PPO to Sedgwick Auto Insurance
J2070
Professional
Atlantic PPO to Sedgwick WC Insurance
J2071
Professional
Atlantic PPO to Selective Insurance
J2072
Professional
Atlantic PPO to Sentry Insurance
J2073
J2074
Professional
Atlantic PPO to State Farm Insurance
J2075
Professional
Atlantic PPO to Teachers Insurance Plan of NJ
J2076
Professional
Atlantic PPO to Tower National/Tower Group Companies
J2077
Professional
Atlantic PPO to Travelers
J2078
J2079
Professional
Atlantic PPO to Twin Lights
J2080
Professional
Atlantic PPO to U.S. Department of Labor
J2081
Professional
Atlantic PPO to Universal Underwriters Insurance
J2082
Professional
Atlantic PPO to US DOL NJ Claims
J2083
Professional
Atlantic PPO to US DOL NY Claims
J2084
Professional
Atlantic PPO to USAA
J2085
Professional
Atlantic PPO to Utica National Insurance
J2086
Professional
Atlantis Eye Care
AEC01
Professional
Atlas Administrators
TH004
Professional
Atrio fka Marion Polk
MPCHA
Professional
Aultcare
MNAUL
Professional
Aultra Administrative Group
37242
Professional
Austin Mutual Ins
J1682
Professional
Auto-Owners (Home-Owners Insurance Company)
J1580
Professional
Auto-Owners (Owners Insurance Company)
J1583
Professional
Auto-Owners (Property-Owners Insurance Co)
J1699
Professional
Auto-Owners (Southern-Owners Company)
J1688
Professional
Auto-Owners Insurance Company
J1556
Professional
Auto-Owners Life Insurance Company
J1596
Professional
Automated Benefit Services
38259
Professional
Automated Group Administration Inc.
Automated Group Administration Inc. (AGA)
37280
Professional
Automobile Dealers Insurance Company Inc
J1861
Professional
Auxiant
26202
Professional
Avalon Administrative Services - BCBSNC
AVA02
Professional
Avalon Administrative Services - BCBSSC
AVA01
Professional
Avalon Administrative Services - Capital Blue Cross
AVA03
Professional
Avante Health (Customer Service 559-261-9060)
AH001
Professional
Avectus Healthcare Solutions
47410
Professional
Avectus Healthcare Solutions (Call 855-AVECTUS)
Avectus Healthcare Solutions
MP001
Professional
Avera Health Plans
46045
Professional
Avesis Third Party Administrators
87098
Professional
Avizent
J1415
Professional
AVMED INC
59275
Professional
AvMed Inc.
59274
Professional
Ayers Trucking
J1018
Professional
Bakersfield Family Medical Center
BKRFM
Professional
Bakersfield Family Medical Group
77005
Professional
Bakery & Confectionery Union & Industry International Health
BCTF1
Professional
Bank of America
J1729
Professional
Bankers Life & Casualty
36066
Professional
Banner Health and Aetna Health Insurance Company
67895
Professional
Banner Health
Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS
SX145
Professional
Banner Plan Administration - Choice Plus and Select 500
12X42
Professional
Banner- University Family Care (University of AZ Health Plans)
66901
Professional
Baptist Health Plan
61124
Professional
Baptist Health Plan Advantage
BHPMA
Professional
Baptist Health South Florida
65026
Professional
Bardavon Health Innovations
J2334
Professional
BARInet
CB369
Professional
Barnes
J1503
Professional
Barrett Business Services Inc (BBSI)
J1686
Professional
Bart - San Francisco Bay Area Rapid Transit
J1770
Professional
Bass Pro Group LLC
J1958
Professional
Bay District Schools (Fl)
J1978
Professional
Baycare Life Management
59279
Professional
BayCare Select Health Plans Inc
81079
Professional
Bb and T Corporation (Branch Banking & Trust)
J1995
Professional
BCBS North Dakota Vision
SB821
Professional
BCBS Of Michigan (Dental Claims Only)
BCBS MI Medicare Advantage
BBMDQ
Professional
BCBS Western NY Medicaid
WNYMD
Professional
BCBSM Medicare Plus Blue PPL JVHL
52730
Professional
BCBSPA - BlueCard Par Point of Service (POS)
SX168
Professional
BCBSTX Medicaid STAR/CHIP
BCBSTX Medicaid STAR Kids
66001
Professional
BCI Administrators Inc.
49153
Professional
BCN - NON JVHL Network - JVHL
22770
Professional
Beacon Health Strategies
43324
Professional
Beacon Mutual
J1234
Professional
Beall's Inc / Midwest Employers
J1030
Professional
Beaver Medical Group
45967
Professional
Behavioral Health Systems
63100
Professional
Bella Vista Med Group
MPM10
Professional
Benefit Administration Services
41205
Professional
Benefit Administration Services
32748
Professional
Benefit Administrative Systems
36149
Professional
Benefit Assistance Corp.
81140
Professional
Benefit Coordinators Corporation (Pittsburgh PA)
25145
Professional
Benefit Management Administrators LLC
27172
Professional
Benefit Management LLC
48611
Professional
Benefit Management LLC/VBA
88092
Professional
Benefit Management Systems Inc
37212
Professional
Benefit Plan Administrators
88052
Professional
Benefit Plan Administrators Company (Eau Claire Wisconsin)
Benefit Plan Administrators Co. (Eau Claire WI)
39081
Professional
Benefit Plan Administrators Inc. (Roanoke VA)
37118
Professional
Benefits Administration Corporation
44357
Professional
Benesight (formerly The TPA)
Benesight (Formerly TPA)
87265
Professional
Benmark
BNMK1
Professional
Berkeley Unified School District
J2203
Professional
Berkley Net Underwriters LLC
J1523
Professional
Berkley Risk Administrators Company LLC
J1526
Professional
Berkley Southeast Insurance Group (BSIG)
J2145
Professional
Berkley Specialty Underwriters
TP019
Professional
Berkshire Hathaway Direct Insurance Company
J1975
Professional
Berkshire Health Partners - PPO Wyomissing PA IHS Gateway Pa
23243
Professional
Berkshire Lehigh Partners
95606
Professional
Berwind Corporation
J1031
Professional
BEST LIFE & HEALTH CO
Best Life & Health Insurance Co.
95604
Professional
Better Health Plan of Florida
20488
Professional
Beverly Alianza IPA
POP05
Professional
BHSF International
67668
Professional
BI Mart
J2349
Professional
Big 5 Corp
J1738
Professional
Big Spring ISD
J2262
Professional
BIND
25463
Professional
Bituminous Fire and Marine
J1691
Professional
Bituminous Insurance Company
J1579
Professional
Block Vision
BLOCK
Professional
Block Vision - Eye Specialist of Arizona
BVES1
Professional
Block Vision of Texas
BVTX1
Professional
Block Vision
Inc.
BV001
Professional
Blue Care Family/Anthem Medicaid
SB562
Professional
BLUE CARE NETWORK (BLUE CROSS BLUE SHIELD OF MICHIGAN)
SB711
Professional
Blue Chip of Rhode Island
RICHP
Professional
Blue CHiP of Rhode Island
SB871
Professional
Blue Choice Medicaid Managed Care
00403
Professional
Blue Choice of Rochester NY
N6BLS
Professional
Blue Choice of South Carolina
00922
Professional
Blue Cross and Blue Shield of Vermont
77307
Professional
Blue Cross and Blue Shield United of Wisconsin/Comp Care
Blue Cross Blue Shield of Wisconsin
SB950
Professional
Blue Cross Blue Shield - Montana
SB751
Professional
Blue Cross Blue Shield Minnesota Health Care Program
Minnesota Blue Cross Blue Shield Blue Plus Medicaid
00562
Professional
Blue Cross Blue Shield Mississippi State & Teacher Employees
SB731
Professional
Blue Cross Blue Shield of Alabama
SB510
Professional
Blue Cross Blue Shield of Arizona
SB530
Professional
Blue Cross Blue Shield of Arizona Advantage
77078
Professional
Blue Cross Blue Shield of Colorado
SB550
Professional
Blue Cross Blue Shield of Connecticut
SB563
Professional
Blue Cross Blue Shield of Delaware
SB570
Professional
Blue Cross Blue Shield of Florida
SB590
Professional
Blue Cross Blue Shield of Georgia (Atlanta)
SB600
Professional
Blue Cross Blue Shield of Illinois
SB621
Professional
Blue Cross Blue Shield of Kansas
SB650
Professional
Blue Cross Blue Shield of Kansas City
SB740
Professional
Blue Cross Blue Shield of Kansas HMO FEP
SB651
Professional
Blue Cross Blue Shield of Kansas HMO Regular
SB652
Professional
Blue Cross Blue Shield of Kansas HMO Senior Plan
SB653
Professional
Blue Cross Blue Shield of Louisiana
23738
Professional
Blue Cross Blue Shield of Maine
SB680
Professional
Blue Cross Blue Shield of Massachusetts
SB700
Professional
Blue Cross Blue Shield of Minnesota
SB720
Professional
Blue Cross Blue Shield of Mississippi
SB730
Professional
Blue Cross Blue Shield of Missouri (Blue Choice)
SB742
Professional
Blue Cross Blue Shield of Missouri (Blue Choice)
Blue Cross Blue Shield of Missouri
SB741
Professional
Blue Cross Blue Shield of Nebraska
SB760
Professional
Blue Cross Blue Shield of Nevada
SB765
Professional
Blue Cross Blue Shield of New Hampshire
SB770
Professional
Blue Cross Blue Shield of New Mexico
Blue Cross Community Centennial
SB790
Professional
Blue Cross Blue Shield of North Carolina
SB810
Professional
Blue Cross Blue Shield of North Dakota
SB820
Professional
Blue Cross Blue Shield of Oklahoma
SB840
Professional
Blue Cross Blue Shield of Rhode Island
SB870
Professional
Blue Cross Blue Shield of SC -Companion Tech
SB880
Professional
Blue Cross Blue Shield of SC -Planned Admin Inc
SX104
Professional
Blue Cross Blue Shield of South Carolina - State Health Plan
SX103
Professional
Blue Cross Blue Shield of South Carolina-Companion Healthcar
SX085
Professional
Blue Cross Blue Shield of South Carolina-Fed Empl Prog (FEP)
SX084
Professional
Blue Cross Blue Shield of South Dakota (Sioux Falls)
SB889
Professional
Blue Cross Blue Shield of Tennessee (Chattanooga HMO Plans)
SB891
Professional
Blue Cross Blue Shield of Tennessee (Chattanooga)
SB890
Professional
Blue Cross Blue Shield of Tennessee (Memphis)
SB892
Professional
Blue Cross Blue Shield of Vermont
SB915
Professional
Blue Cross Blue Shield Wyoming
SB960
Professional
Blue Cross Community Health Plans
66005
Professional
Blue Cross Community Options
Blue Cross Community Solutions Effect 12-14-14 payer ID00621
MCDIL
Professional
Blue Cross Complete JVHL
12550
Professional
Blue Cross Complete of Michigan LLC
32002
Professional
Blue Cross Medicare Advantage
66006
Professional
Blue Cross of Arizona
Blue Cross and Blue Shield of Arizona
53589
Professional
Blue Cross of Idaho Health Services Inc
SB612
Professional
Blue Cross of Idaho
Idaho Blue Cross
IDBLC
Professional
Blue Cross of Oklahoma
12B59
Professional
Blue Grass Family Health (SRRIPA)
15754
Professional
Blue Lake Rancheria
IP061
Professional
Blue Shield of Alaska
AKBLS
Professional
Blue Shield of California
94036
Professional
Blue Shield of California - Medicare Advantage Encounters
99105
Professional
Blue Shield of California - Commercial Encounters
94032
Professional
Blue Shield of California Promise Health Plan
57115
Professional
Blue Shield of Central NY HMO/PPO
N2BLS
Professional
Blue Shield of Delaware
Delaware Blue Cross Blue Shield
DEBLS
Professional
Blue Shield of Florida
Florida Blue Cross Blue Shield
Blue Cross Blue Shield of Florida
Florida Blue Shield
FLBLS
Professional
Blue Shield of Georgia
Georgia Anthem Blue Cross Blue Shield
State Merit GA
GABLS
Professional
Blue Shield of Hawaii
Hawaii Blue Cross Blue Shield
HIBLS
Professional
Blue Shield of IA 2nd claim only Medicare is primary
IABLM
Professional
Blue Shield of Idaho
Idaho Blue Shield (Regence)
Blue Shield of Idaho (Per Provider Testing)
IDBLS
Professional
Blue Shield of Illinois
Illinois Blue Cross Blue Shield
ILBLS
Professional
Blue Shield of Indiana
Indiana Anthem Blue Cross Blue Shield
Indiana Anthem Blue Cross and Blue Shield
INBLS
Professional
Blue Shield of Iowa
Iowa Blue Cross Blue Shield
IABLS
Professional
Blue Shield of Kansas City
Blue Cross of Kansas City
Kansas City Blue Cross Blue Shield
KCBLS
Professional
Blue Shield of Kansas
Blue Cross of Kansas
Kansas Blue Cross Blue Shield
KSBLS
Professional
Blue Shield of Kentucky
Kentucky Anthem Blue Cross Blue Shield
KYBLS
Professional
Blue Shield of Lousiana
State Employees Group Benefits
Louisiana Blue Cross Blue Shield
LABLS
Professional
Blue Shield of Maine
Maine Anthem Blue Cross and Blue Shield
Maine Anthem Blue Cross Blue Shield
MEBLS
Professional
Blue Shield of Massachusetts
MABLS
Professional
Blue Shield of Michigan
Michigan Blue Cross Blue Shield
MIBLS
Professional
Blue Shield of Minnesota
CCS (aka Comprehensive Care Systems)
Minnesota Blue Cross Blue Shield
MNBLS
Professional
Blue Shield of Mississippi
Mississippi Blue Cross Blue Shield
MSBLS
Professional
Blue Shield of Missouri
Missouri Anthem Blue Cross and Blue Shield
Missouri Anthem Blue Cross Blue Shield
MOBLS
Professional
Blue Shield of New York
Western
Blue Cross Blue Shield Of Western New York
Blue Shield of Western New York
N1BLS
Professional
Blue Shield of Northeast NY
N5BLS
Professional
Blue Shield of Rochester NY
N7BLS
Professional
Blue Shield of Utica NY
N4BLS
Professional
Blue Shield of Vermont
VTBLS
Professional
BlueCross BlueShield of National Capital Area (CareFirst)
SB580
Professional
BlueCross BlueShield of Western New York Medicaid/CHP
44911
Professional
BMC HealthNet Plan
Boston Medical Center HealthNet Plan
Well Sense Health Plan
13337
Professional
BMI Health Plans
73139
Professional
BMW Manufacturing Corp.
J1258
Professional
BMW North America
J1259
Professional
Boeing Company
J1964
Professional
Boeing Company
C1054
Professional
Boise Cascade Company
J1801
Professional
Boler Company
J1870
Professional
Bollinger
INC.
BOLL1
Professional
BookMD Inc
47405
Professional
Boon-Chapman Benefit Administrators
Inc.
BoonChapman
74238
Professional
BPS Inc
48964
Professional
Brain and Spine Network
BSN01
Professional
Brand New Day (Encounters)
Brand New Day (FFS)
UC002
Professional
Brand New Day (FFS)
Brand New Day (Encounters)
UC001
Professional
Brickstreet
J1761
Professional
BridgeSpan
BRIDG
Professional
Bridgeview
FS802
Professional
Bright Health - Medicare Advantage
BRT01
Professional
Bright Health Plan
CB186
Professional
Bristol West
J1764
Professional
BritCay
22286
Professional
Britton Benefit Services LLC
BBS19
Professional
Broadspire
C1056
TP021
Professional
Brokerage Concepts
Health Now Administrative Services
51037
Professional
Brookshire Grocery Company
J2222
Professional
Brookshire IPA
BIPAZ
Professional
Brotherhood Mutual Insurance
J1445
Professional
Brown & Toland Medical Group
94316
Professional
Brown & Toland Medical Group
BTSS1
Professional
Brown and Toland Health Services
BTHS1
Professional
Brownfield ISD
J1123
Professional
Brownyard Group Inc. (Arch Insurance)
Selman & Company
11150
Professional
Brunswick Corporation
J1032
Professional
Buffets Inc
J1501
Professional
Builders Group of MN
J1391
Professional
Builders Mutual Insurance
J1968
Professional
Bunch and Associates
J1435
Professional
Burlington Coat Factory Wareho
J1033
Professional
Butler Benefit
42150
Professional
C & S Wholesale Grocers
J2095
Professional
C&O Employees Hospital Association
23708
Professional
C3 Health (fka Access Health Inc.)
A1680
Professional
Caliber Holdings Corporation
J1979
Professional
California Agricultural Network Sig
J2227
Professional
California Eye Care - New Century Health
NCH05
Professional
California Fair Services Authority
J1535
Professional
California Health & Wellness
68047
Professional
California Healthcare Industry Program
J2228
Professional
California IPA
AMM14
Professional
California Medicaid
SKCA3
Professional
California Medicaid - Medi-Cal
SKCA0
Professional
California Pacific Medical Center
94056
Professional
California Water Services
CWS99
Professional
Caloptima
Cal-Optima Direct
CALOPTIMA DIRECT
CALOP
Professional
CAM Administrative Services
38247
Professional
Cambridge Integrated Services
J1819
Professional
Can Select Personal
J2224
Professional
Can Summit Logistics
J2225
Professional
Cannon Cochran Management Services Inc. Metairie LA
71057
Professional
CAP Management Systems
95399
Professional
Capistrano Unified School District (CA)
J1637
Professional
Capital Blue Cross - Facility
24705
Professional
Capital Blue Cross/CAIC
23045
Professional
Capital District Physician's Health Plan
SX065
Professional
Capital Health Plan
95112
Professional
Capital Insurance Companies
J1809
Professional
Capital Insurance Group Wc
J1980
Professional
Capital International Management Services
65067
Professional
Capitol Administrators
68011
Professional
Capitol Indemnity
J1262
Professional
Caprock Health Plan
CapRock Health Plans
CAPHP
Professional
Cardinal Innovations Healthcare Solutions
06607
Professional
Cardiovascular Care Providers
GCVCP
Professional
Care Access PSN
65063
Professional
Care Around the Clock
57721
Professional
Care Choices HMO
HM037
Professional
Care Improvement Plus (CIP)
77082
Professional
Care To Care
41222
Professional
Care Wisconsin FIrst Inc
27004
Professional
CareCentrix
11345
Professional
Carecentrix Cigna
11346
Professional
Carecentrix Florida Blue
11347
Professional
Carecentrix Horizon
11348
Professional
CareConnect Insurance Company Inc
CareConnect Insurance Company
46227
Professional
CareCore National
14182
Professional
CareCore National LLC (Aetna Radiology Claims)
14179
Professional
CareCore Oxford Radiology
CareCore National LLC (Oxford Radiology Claims)
14180
Professional
CareCore/WCNY RAD
14188
Professional
CareFirst Administrators/NCAS
75191
Professional
CareFirst Administrators/NCAS
75190
Professional
Carefirst of Maryland Inc.
SB690
Professional
Carelink Medicaid
25140
Professional
Caremore
CARMO
Professional
CareMore
CM001
Professional
Carenet of VA (use consolidated Coventry payerID of 25133)
25142
Professional
CareOregon Inc.
93975
Professional
CarePlus Cardiology - New Century Health
NCH04
Professional
CarePlus Health Plans Inc.
65031
Professional
CarePlus Oncology - New Century Infusion Solutions
NCH07
Professional
CarePlus Urology - New Century Health
NCH03
Professional
CareSource
26160
Professional
Caresource Georgia
Caresource of Georgia
GACS1
Professional
Caresource Humana
CareSource KY
CareSource of Kentucky
KYCS1
Professional
Caresource Indiana
CareSource Marketplace
Caresource Indiana Inc
INCS1
Professional
Caresource Ohio
CareSource OH
CareSource of Ohio
31114
Professional
Caresource West Virginia
WVCS1
Professional
CareWest
J2258
Professional
Careworks
10010
Professional
Careworks Consultants Inc(aka Careworks USA & CCI) Ohio Only
J1866
Professional
Carhartt
J1931
Professional
Carolina Behavioral Health Alliance
CBHA Carolina Behavioral Health Alliance
56215
Professional
Carpenters Health and Welfare Fund of Philadelphia
CX101
Professional
Carrollton Farmers Branch ISD
J2255
Professional
Casitas Municipal Water District (CA)
J1630
Professional
CC-Development Group Inc.
J1900
Professional
CCMC - Comprehensive Care Management Corp
CCMC1
Professional
CCMSI
J1010
Professional
CDO Technologies
63028
Professional
CDS Group Health
88022
Professional
Cedars Sinai Medical
95164
Professional
Cedars-Sinai Medical Network Services
95166
95167
Professional
Celtic Insurance
68063
Professional
Celtic Insurance
CELTC
Professional
Cencal Health
99111
Professional
CenCal Health
95386
Professional
Cendant Corporation
J1034
Professional
Cenpatico Behavioral Health
MS - Cenpatico Mississippi
68068
Professional
Cenpatico TPA
42138
Professional
Centene Health
Superior Health Plan Texas
Ambetter from Coordinated Care
Coordinated Care
Western Sky Community Care
68069
Professional
Centene TPA
42139
Professional
Center for Elders Independence
94312
Professional
Center IPA
POP01
Professional
CenterCare
13357
Professional
Centers Plan for Healthy Living
CPHL1
Professional
Centinela IPA
MPM03
Professional
CentraCare
66698
Professional
Central California Alliance for Health
SX169
Professional
Central California Women's Health
Central California Womens Health
WH001
Professional
Central Contra Costa Transit Authority
J1605
Professional
Central Health Medicare
CHCPI
Professional
Central Hockey League
J1035
Professional
Central Ohio Primary Care Senior Care Advantage
AGL02
Professional
Central Pennsylvania Teamsters Fund
23626
Professional
Central Senior Care
62218
Professional
Central States Health & Welfare Funds
Teamcare
36215
Professional
Central States Joint Board Health and Welfare Fund
37214
Professional
Central States of Omaha - Medicare
30181
Professional
Central Susquehanna Healthcare Providers (CSHP)
55731
Professional
Central Texas Iron Works
J2293
Professional
Central Valley Medical Group
77035
Professional
Centurion
42140
Professional
Century PHO
36393
Professional
Cerner Health Plan Services
20356
Professional
CHA - Commonwealth Health Alliance
23171
Professional
Chaffey Joint Union H. S. District (CA)
J1646
Professional
ChampVA HAC Medicare Crossover
80214
Professional
CHAMPVA - HAC
CHAMPVA
84146
Professional
Change Healthcare Comp Billing
57570
Professional
Charming Shoppes Inc.
J1036
Professional
Chautauqua County Healthcare Plan (Mayville NY)
16600
Professional
CHCS Services Inc.
75895
Professional
CHCS Services
CHCS Services Incorporated
59295
Professional
Cherokee Insurance
J1970
Professional
Cherokee Nation Comprehensive Care Agency
CHERO
Professional
Chesapeake Insurance
J1908
Professional
Chesterfield Resources Inc.
Chesterfield Resources
Salvation Army
34154
Professional
Chesterfield Services Inc.
J1479
Professional
Chicago Regional Council of Carpenters Welfare Fund
36222
Professional
Chico's Fas Inc
J2315
Professional
Children First Medical Group
94321
Professional
Children's Specialists of San Diego
Childrens Specialist of San Diego
CSSD2
Professional
Childrens Medical Center Health Plan
CMCHP
Professional
Childrens Physician Medical Group
CPMG1
Professional
Chinese Community Health Plan
94302
Professional
CHIPA - College Health IPA
CHIPA
Professional
ChiroMetrics Inc
33070
Professional
Chiropractic Association of South Dakota
CASD1
Professional
Choice Physicians Net First Choice
CPNFC
Professional
ChoiceOne IPA
POP03
Professional
Christian Brothers Services
38308
Professional
Christie Student Health Plans
Christie Student Helath Plan
75544
Professional
Christus Health Medicare Advantage
Gateway Health Plan
10629
Professional
Christus Health New Mexico HIX
21062
Professional
CHRISTUS Health Plan TX HIX
52106
Professional
Christus Spohn Health Network
Spohn Health
SPOHN
Professional
Christus Texas Medicaid
45210
Professional
Chubb (legacy Chubb & Son)
C1052
Professional
Chubb (legacy Chubb & Son) WC
J1554
Professional
Church Mutual Insurance Company - (AUTO ONLY)
J1264
Professional
Church Mutual Insurance Company - (LIAB ONLY)
J1266
Professional
Church Mutual Insurance Company - (WC ONLY)
J1265
Professional
Church Mutual Insurance Company (WC ONLY)
J1725
Professional
CIGA
J1532
Professional
Cigna - NON-HAP Members Only - JVHL
58580
Professional
CIGNA Behavioral Health
SX071
Professional
CIGNA Medicare Advantage
86033
Professional
CIGNA
Cigna Healthcare (Medical)
62308
Professional
Cincinnati Financial Corporation
46871
Professional
Cincinnati Insurance
J1562
Professional
Citizens Insurance Company of America
J1582
Professional
Citizens Security Life Insurance
61064
Professional
Citrus Health
TH130
Professional
Citrus Valley Health Partners
J1613
Professional
Citrus Valley Physician's Group
IP055
Professional
Citrus Valley Physicians Medical Group
CVPG1
Professional
Citrus World Inc
J1945
Professional
City and County of San Francisco (CCSF)
J1885
Professional
City of Amarillo
TH107
Professional
City Of Arlington
A0033
Professional
City of Banning (CA)
J1792
Professional
City of Barstow (CA)
J1793
Professional
City of Birmingham
J2359
Professional
City of Blythe (CA)
J1794
Professional
City of Brea
J1880
Professional
City of Chino
J2306
Professional
City of Compton
J2202
Professional
City of Costa Mesa
J2343
Professional
City of Dallas
J1441
Professional
City of Desert Hot Springs (CA)
J1799
Professional
City Of El Paso
A0046
Professional
City of Fort Collins (CO)
J2272
Professional
City of Fort Lauderdale
J2266
Professional
City of Fort Worth (TX)
J1680
Professional
City of Fountain Valley (CA)
J1632
Professional
City of Fresno FPOA ADR1
J2337
Professional
City of Gardena (CA)
J1634
Professional
City of Glendale (AZ)
J1800
Professional
City of Hayward
J2248
Professional
City of Huntsville
J2340
Professional
City of Jacksonville
J1504
Professional
City of Kansas City MO
J2389
Professional
City of La Mesa 11 (CA)
J1711
Professional
City of Laguna Hills (CA)
J1653
Professional
City of Lake Charles (La)
J1981
Professional
City of Lakeland
J2347
Professional
City of Los Angeles
J1536
Professional
City of Miami Beach (FL)
J1946
Professional
City of Minneapolis
J1269
Professional
City of Montebello (CA)
J1640
Professional
City of Napa
J2217
Professional
City of New Orleans (LA)
J2309
Professional
City of Omaha (NE)
J1721
Professional
City of Orange
J1881
Professional
City of Pasadena (CA)
J1657
Professional
City of Perris (CA)
J1795
Professional
City of Pompano Beach (FL)
J1947
Professional
City of Redding (CA)
J1617
Professional
City of Rialto CA
J1901
Professional
City of Riverside
J2377
Professional
City of Salinas
J1849
Professional
City of San Diego
J1497
Professional
City of San Jacinto (CA)
J1796
Professional
City of San Mateo (CA)
J1727
Professional
City Of Santa Ana
J2155
Professional
City of St. Paul (MN)
J1602
Professional
City of Stanton (CA)
J1636
Professional
City of Stockton (CA)
J1664
Professional
City of Topeka (KS)
J1607
Professional
City of Tucson
J1982
Professional
City of Upland (CA)
J1645
Professional
City of West Covina (CA)
J1649
Professional
City of West Palm Beach (FL)
J1948
Professional
City of Yorba Linda (CA)
J1708
Professional
CL Frates
CLFR2
Professional
Clackamas County Mental Health (Administered by PH Tech)
CCMMH
Professional
Claims Administrative Services (CAS)
J1271
Professional
Claims Development Corporation
43056
Professional
ClaimsBridge HPN
11752
Professional
ClaimsWare Inc. dba ManageMed
57080
Professional
Classic Residence By Hyatt
J1037
Professional
Clear Health Alliance
CLEAR
Professional
Clear Spring Health of Illinois
66009
Professional
Clearchoice Health Plan / COIHS
77201
Professional
Client First
41201
Professional
Clifton Health Systems D/B/A Actin Care Groups
24585
Professional
Clinical Resource Group
CRGMN
Professional
Clougherty Packing LLC
J1739
Professional
Clover Health
77023
Professional
CMS MMA Specialty Plan
EM843
Professional
CNA Insurance
20443
Professional
CNA Insurance (AUTO Only)
C1035
Professional
Coach USA
J1272
Professional
Coachella Valley Water District (CA)
J1902
Professional
Coastal Administrative Services
77052
Professional
Coastal Care
43141
Professional
Coastal Care Services Inc
47394
Professional
Coastal Communities Physician Network
51579
Professional
Coastal Communities Physician Network (CCPN)
CCPN1
Professional
Coastal Healthcare Management
LIPAZ
Professional
Coca-Cola Enterprises Inc.
J1038
Professional
COIT
J2259
Professional
Colonial Life
37077
Professional
Colonial Medical
22284
Professional
Colonial Medical Insurance Company
22287
Professional
Colorado Access
84129
Professional
Colorado Anthem Blue Cross Blue Shield
Blue Shield of Colorado
Colorado Anthem Blue Cross and Blue Shield
COBLS
Professional
Colorado Casualty
J1428
Professional
Colorado Choice Health Plans
H0657
Professional
Colorado Community Health Alliance
COCHA
Professional
Colorado Health OP
49718
Professional
Colorado Medicaid
SKCO0
Professional
Columbia Sussex Corporation
J1039
Professional
Columbine Health Plan
CHP02
Professional
COMMERCE BENEFITS GRP
Commerce Benefits Group
34181
Professional
Commercial Travelers/PHX
88091
Professional
Common Ground Health Cooperative
Common Ground Healthcare Cooperative
77170
Professional
Commonwealth Care Alliance
Community Care Alliance
14315
Professional
Community Care Associates
17902
Professional
Community Care Behavioral Health Organization
Community Care Behavioral Health Org (service prior to 10-1-2007)
25179
Professional
Community Care BHO
23282
Professional
Community Care Inc. - Family Care (Wisconsin)
60995
Professional
Community Care Inc. (Wisconsin)
39126
Professional
Community Care IPA
CCI01
Professional
Community Care Managed Health Care Plans of Oklahoma
73143
Professional
Community Development Commission (CA)
J1655
Professional
Community Eye Care
CECVP
Professional
Community First
TH005
Professional
Community First Health Plan
42723
Professional
Community First I Par Plus
Community First Health Plans
Community First Health Plan
Inc.
COMMF
Professional
Community Health Alliance
35193
Professional
Community Health Center Network
CHCN1
Professional
Community Health Choice
48145
Professional
Community Health Choice Texas HIM
60495
Professional
Community Health Group
66170
Professional
Community Health Plan of Washington
CHPWA
Professional
Community Health Plan Washington
Community Health Plan Of Washington
SB613
Professional
Community IPA
AMM12
Professional
Community Medical Group of the West Valley
CMGWV
Professional
Community Medical Group of the West Valley Inc.
66121
Professional
Comp - Ohio (Austintown OH)
34177
Professional
Comp West
J1925
Professional
Companion Life / KHP
American Worker Health Plan
37322
Professional
Compass Group Usa Inc.
J1040
Professional
CompFirst
LLC
23296
Professional
Complementary HealthCare Plans
93101
Professional
CompManagment Health
15243
Professional
Comprehensive Care Services (BCBSMN)
00720
Professional
Comprehensive Medical and Dental Program
86600
Professional
Comprehensive Medical/Vision Program AZ
M0166
Professional
Compsych
37363
Professional
CompuSys / Erisa Group Inc.
Utah Pipe Trades
74234
Professional
Con-Way Inc.
J1844
Professional
Concentrix Insurance Solutions
19028
Professional
Concordia Care Inc
Concordia Care Inc.
33632
Professional
Conifer
J1774
Professional
Conifer (formerly InforMed)
52196
Professional
Connecticare - Medicare
78375
Professional
ConnectiCare Inc
Connecticut General Life
06105
Professional
Connecticut Anthem Blue Cross Blue Shield
Blue Shield of Connecticut
Connecticut Anthem Blue Cross and Blue Shield
CTBLS
Professional
Connecticut Carpenters Health Fund
37307
Professional
Connecticut Medicaid
SKCT0
Professional
Conseco Services LLC
11285
Professional
Consociate Group
37135
Professional
Consolidated Associates Railroad
75284
Professional
Consolidated Health Plans
87843
Professional
Constellation Health
L0260
Professional
Contech Construction Products
J1041
Professional
Contessa Health
CH102
Professional
Contessa Health Security Health Plan
CH101
Professional
Continental Airlines
J1042
Professional
Continental Benefits
WellSystems LLC
35245
Professional
Continuum Health Solutions LLC
46478
Professional
Contra Coastal County Schools Insurance Group (CCCSIG)
J1715
Professional
Contra Costa County Health Plan
CNTRA
Professional
Convergys Corporation
J1043
Professional
Conversion Plan-APWU
55544
Professional
Cook Children Star Plan
THCP9
Professional
Cook Children's Health Group
TH104
Professional
Cook Childrens Health Plan CHIP
Cook Children's Health Plan
Cook Childrens Health Plan
CCHP1
Professional
Cook Childrens Health Plan Star
Cook Children's Star Plan
CCHP9
Professional
Cook Group Health Plan
35149
Professional
Cook Medical Group
60065
Professional
Cooperative Managed Care Services Repricing
99227
Professional
Coordinated Benefit Plan
Coordinated Benefit Plans
14829
Professional
Copperpoint Mutual Insurance Company
J2093
Professional
Core Administrative Services
58231
Professional
CoreSource Detroit
38225
Professional
CoreSource KC
48117
Professional
CoreSource Little Rock
75136
Professional
CoreSource NC IN
CoreSource MD PA IL
35182
Professional
CoreSource of NC (Start PayerID of 35182 Old payerID reject
35180
Professional
CoreSource OH
35183
Professional
CoreSource-Internal
Core Source
35187
Professional
Corinthian Colleges
J1517
Professional
Corizon Health Inc.
CORIZ
Professional
Corizon Inc.
43160
Professional
Cornerstone Preferred Resources
CB268
Professional
Corporate Plan Management Inc
64270
Professional
CorrectCare Integrated Health
LADOC
Professional
CorrectCare Integrated Health
CCIHC
Professional
Correction Health Partners
Physician Health Partners
PHPMC
Professional
Correctional Management Service
J1044
Professional
Corrections Corp of America
J1045
Professional
Corrections Corporation of America (CCA)
J1942
Professional
Cottingham & Butler Claim Services Inc.
J1683
Professional
Cottingham and Butler
J2089
Professional
Country Casualty Insurance Company
J1684
Professional
Country Insurance / Modern Service Casualty Insurance Co
J1712
Professional
Country Insurance / Mountain States Insurance
J1572
Professional
Country Insurance \ MSI Preferred Insurance Company
J1591
Professional
Country Mutual Insurance Company
J1702
Professional
Country Preferred Insurance Company
J1705
Professional
County of Chesterfield VA
J1525
Professional
County of Humboldt (CA)
J1603
Professional
County of Imperial
J1961
Professional
County of Kern
J1935
Professional
County of Los Angeles (3000)
J1967
Professional
County of Los Angeles (AIMS Santa Clarita)
J1723
Professional
County of Los Angeles (CA)
J1625
Professional
County of Los Angeles (Tristar Santa Ana)
J1722
Professional
County of Monterey
J2229
Professional
County of Riverside
EC999
Professional
County of Sacramento
J2290
Professional
County of San Diego
J1513
Professional
County of Santa Barbara-Non-CSAC (CA)
J1631
Professional
County of Shasta (CA)
J1616
Professional
County of Sonoma (CA)
J1662
Professional
County of Tulare (CA)
J1666
Professional
County of Ventura
J2204
Professional
County Services Medical Program
CMSP1
Professional
CountyCare
County Care
06541
Professional
Covenant Administrators Inc. (Atlanta GA)
Covenant Administrators Incorporated (Atlanta
Georgia)
58102
Professional
Covenant Management System Employee Benefit I Par Plus
Covenant Management Systems Employee Benefit plan
CMSEB
Professional
Covenant Management Systems
TH108
Professional
Coventry Health Care of Kansas (Kansas City & Wichita)
University of Missouri
25133
Professional
COVID19 HRSA Uninsured Testing and Treatment Fund
95964
Professional
Coworx Staffing LLC
J1046
Professional
Cox Health Plan
00019
Professional
Create
CREA8
Professional
Creative Plan Administrators
37320
Professional
Creative Risk Solutions
J1455
Professional
Crescent Crown Distributing
J1965
Professional
Crescent Health Solutions
56213
Professional
Crosby ISD
J2263
Professional
Crystal Run Health Plans
46430
Professional
Crystal Run Health Plans
46120
Professional
CSI Network Services
34186
Professional
CT Medicare Part B (J13 - NGS)
SMCT0
Professional
CTI Administrators Inc.
42141
Professional
Custom Benefit Administrators
39170
Professional
Custom Design Benefits Inc.
Custom Design Benefits
Inc.
82056
Professional
Cypress Benefit Administrators
39199
Professional
D H Evans & Associates reg required call 410-349-3222
25172
Professional
DakotaCare
DAK01
Professional
Dallas Independent School District
J1494
Professional
Danaher Corporation
J1051
Professional
Darigold
J1936
Professional
Dart Member Care
CB987
Professional
Davis Vision
00157
V0QJA
Professional
DC Medicare Part B (MAC JL)
SMDC0
Professional
DCHS Medical Foundation
DCHSF
Professional
De Bartolos Inc
J1058
Professional
DE Medicare Part B (MAC JL)
SMDE0
Professional
Dean Health Plan
39113
Professional
Dean Health Plan
DEAN1
Professional
Definiti
J2336
Professional
Del Mar Administrators LLC.
83224
Professional
Del Taco LLC
J1681
Professional
DELANO IPA
77124
Professional
Delaware Medicaid
SKDE0
Professional
Delaware Medicaid
Medicaid of Delaware
Medicaid of Delaware
DEMCD
Professional
Dell Children's Health Plan
74272
Professional
Dell Inc
J1983
Professional
Delos
J1955
Professional
Delta Dental of Maryland and Pennsylvania
23166
Professional
Delta Health Systems
DHS01
Professional
Denver City ISD
J1124
Professional
Denver Health and Hospital Authority
84133
Professional
Denver Health and Hospital Authority - Indigent Care
84134
Professional
Denver Health Medical Plan
84135
Professional
Denver Health Medical Plan Inc. - Medicare Choice
84131
Professional
Department of Energy
J1449
Professional
Department of Labor (including Postal Employees)
J1438
Professional
Department of Labor Black Lung
J1448
Professional
Department of Water & Power of the City of Los Angeles LADWP
J1514
Professional
Desert Oasis HealthCare
44006
Professional
Desert Valley Medical Group
DVMC1
Professional
Devoted Health
DEVOT
Professional
Devoted Health
Total Senior Care
12268
Professional
Dialysis TPA
82435
Professional
Diamond Insurance Group LTD
J2140
Professional
Dignity Global
MPM27
Professional
Dignity HCLA
MPM28
Professional
DIRECT CARE ADMINISTRATORS
DCA62
Professional
Directors Guild of America
BC001
Professional
Directory Distributing Assoc.
J1059
Professional
Discount Tire
J1611
Professional
Discover Re (Burger King)
J1060
Professional
Disneyland Resorts (Bunch)
J1933
Professional
District No. 9. I. A. of M. & A.W. Welfare Trust
District No. 9 I. A. of M. & A. W. Welfare Trust
MWELT
Professional
District of Columbia Medicaid
SKDC0
Professional
Diversified Administration Corporation - CT
06102
Professional
DMBA
SX105
Professional
DME Region D (DMERC D)
SDMED
Professional
DME Region D
DMERC Region D Testing is required for claims requiring CMNs
DMERD
Professional
DMERC Region A Testing is required for claims requiring CMNs
DME Region A
DMERA
Professional
DMERC Region B Testing is required for claims requiring CMNs
DME Region B
DMERB
Professional
DMERC Region C Testing is required for claims requiring CMNs
DME Region C
DMERC
Professional
Doctors Healthcare Plan
DRHCP
Professional
Dolton Medical Group
DOLMG
Professional
Dreyer Health
DREYR
Professional
Driscoll Children's Health Plan
74284
Professional
DSW Inc.
J2273
Professional
Duke University
J2212
Professional
Dunn and Associates Benefits Administrators Inc.
35186
Professional
Dunn-Edwards Corporation
J1061
Professional
Durham County NC
J1994
Professional
Duty Free Stores
J2252
Professional
Dynamex Inc.
J1062
Professional
E.S. BEVERIDGE & ASSOCIATES
34108
Professional
Early Intervention Central
TH084
Professional
Early Intervention Central Billing
36434
Professional
East Boston Neighborhood PACE
25849
Professional
East Carolina Behavioral Health
56089
Professional
East Pointe Behavioral Health
08044
Professional
Eastern Alliance (EA)
J2143
Professional
Eastland Medical Group
66122
Professional
Eastland Medical Group
EMG11
Professional
Eastman Kodak Company
J1903
Professional
Easy Choice Health Plan of California
20532
Professional
Easy Choice Health Plan of NY
24770
Professional
Eberle Vivian
EV001
Professional
Eberle Vivian
J2135
Professional
EBMS
SX182
Professional
EBS OF OHIO
34166
Professional
Eddy SeniorCare
08754
Professional
EDIC
J1289
Professional
El Centro Regional Medical Center
J2362
Professional
El Paso Community College (Tx Jur)
A0106
Professional
El Paso First - Chip
TH090
Professional
El Paso First Health Plans - CHIP
El Paso First - CHIP
El Paso First - CHIP I Par Plus
EPF03
Professional
El Paso Water Util TX Jur
J1017
Professional
El Pollo Loco
J1737
Professional
El Proyecto De Barrio
MPM04
Professional
ElderPlan Inc.
31625
Professional
Elderwood Health
03964
Professional
ELECTRICAL INDUSTRY SERVICE BUREAU
94606
Professional
Element Care Inc
04326
Professional
Ellis Consultants
INC.
ECISF
Professional
Elmcare L.L.C.
NAELM
Professional
Elmco
37253
Professional
Emblem Health (GHI - New York Group Health Inc.)
13551
Professional
EMCASCO Insurance Co. - WC Only
21407
Professional
Emergency Medical Services Fund - Orange County CA
95600
Professional
Emeritus Corporation
J1679
Professional
EMHS Employee Health Plan
16565
Professional
EMI HEALTH
SX110
Professional
EMI-KP Ambulance Claims
59299
Professional
Empire Blue Cross Blue Shield HealthPlus
27514
Professional
Empire Physician's Medical Group
EMP01
Professional
Employee Benefit Administration & Management (EBA&M)
95288
Professional
Employee Benefit Concepts (Farmington Hills MI)
38241
Professional
Employee Benefit Services (Ft. Mill SC)
37216
Professional
Employee Benefit Services of San Antonio
TH109
Professional
Employee Benefit Svcs (EBS) of San Antonio
EBSSA
Professional
Employee Benefit Systems
42149
Professional
Employee Benefits Plan Administration Inc. (E.B.P.A.)
03036
Professional
Employee Logistics
92135
Professional
Employee Plans LLC
35112
Professional
Employer Plan Services Inc.
CX031
Professional
Employer Plan Services
Inc.
74212
Professional
Employer's Direct Health - Employee Plan
75236
Professional
Employer's Direct Health - FI
75235
Professional
Employer's Direct Health - SF
75233
Professional
Employers Direct Health
75232
Professional
Employers General Insurance Group
J1696
Professional
Employers Health Cooperative (EHC)
Claimshop- Employers Coalition on Health
27008
Professional
Employers Mutual Inc (Jacksonville Florida)
59298
Professional
Employers Mutual Inc. (Stuart Florida)
59331
Professional
Employers Preferred Insurance Company
J1232
J1912
Professional
Employers Preferred Insurance Company (RX ONLY)
J1864
Professional
EMPOWER Arkansas
12956
Professional
EnableComp LLC
L0240
Professional
Entertainment Employees WC Program
J2265
Professional
Entrust
36878
Professional
Envirosource
J1063
Professional
EON Health
73780
Professional
EPN - Seton Health Plan Exclusive (Provider ID required)
EPN (Seton Health Plan Exclusive PR I Par Plus)
EPNSH
Professional
EPSI Dental II
Capital Dental
CX037
Professional
Equian
J2090
Professional
Ergon Inc
J1952
Professional
ERISA
TH110
Professional
ERMC
J1022
Professional
ESIS
TP043
Professional
ESIS - Kelly Services
J1451
Professional
ESIS - Lockheed Martin Corporation
J1454
Professional
ESIS (First American Insurance Co)
J1064
Professional
Essence Healthcare
20818
Professional
Essence Healthcare
57082
Professional
Esurance Inc.
30210
Professional
Esurance Insurance Company
25712
Professional
Everence
35605
Professional
Evergreen Health Coop check the member ID Card for Payer ID
Evergreen Health Cooperative
93240
Professional
Everpointe
32052
Professional
eviCore
62160
Professional
Evolution Insurance Company
J1065
Professional
Evolutions Healthcare Systems (New Port Richey FL)
59313
Professional
Exceedent LLC
22344
Professional
Excellus - BCBS Utica Watertown
BCBS Utica Watertown / RMSCO Inc. Claims
SB806
Professional
Excellus - Blue Cross Blue Shield of Central New York
Blue Cross Blue Shield of Central New York
SB805
Professional
Excellus - Blue Cross/Blue Shield Rochester Area
Excellus BCBS New York Rochester Area
SB804
Professional
Extended Care MTC
46166
Professional
Exxon Mobil Corporation
J1606
Professional
EyeMed
31165
Professional
EyeMed Vision Care
85431
Professional
EyeQuest
63740
Professional
F.A. Richard & Associates (FARA)
TP044
Professional
Fabcon
J2209
Professional
Facey Medical Foundation
95432
Professional
Factory 2 U
J1019
Professional
Fairchild Fasteners
J1624
Professional
Fairfax County Government
J1884
Professional
Fairmont Specialty Insurance Company - TX
J1697
Professional
Fairview Health Services
J1618
Professional
Falling Colors
FCC20
Professional
Fallon (Transplant claims)
Fallon Transplant
FT254
Professional
Fallon Community Health
Fallon Community Health Plan
22254
Professional
Family Care CCO
93121
Professional
Family Care Specialists IPA
FCS01
Professional
Family Health Network
Community Care Alliance of IL
85468
Professional
FAMSA INC.
J1807
Professional
FARA Benefit Services Inc.
37289
Professional
Farm Bureau Mutual Insurance Company (MN Only)
J1853
Professional
Farm Family Life
14140
Professional
Farmers (Mid-Century Insurance Company)
J1710
Professional
Farmers (Civic Property and Casualty Company )
J1687
Professional
Farmers (Exact Property and Casualty Company)
J1703
Professional
Farmers (Fire Insurance Exchange)
J1706
Professional
Farmers (Neighborhood Spirit Property and Casualty Company)
J1701
Professional
Farmers (Truck Insurance Exchange)
J1713
Professional
Farmers Insurance (AUTO Only)
C1025
Professional
Farmers Insurance Exchange
J1563
Professional
FCCI
J1830
Professional
FCE Benefit Administrators
33033
Professional
Federal Employee Program (Connecticut)
CT Federal Employee Program (835s returned under CTBLS)
C2BLS
Professional
Federal Mogul
J2361
Professional
Federated Department Stores Inc
J1297
Professional
Federated HR Services
37300
Professional
Federated Mutual Insurance
41041
Professional
Federated Rural Electric (TX)
11118
Professional
Federated Services Insurance Company
13935
28304
Professional
FFVA Mutual Insurance
J1909
Professional
Fidelis Care New York
11315
Professional
Fincor
J2200
Professional
Fire Department Cityof New York World Trade Center Health
FDNYP
Professional
Fireman's Fund Insurance Company
21873
Professional
FIRST ADMINISTRATORS INC
FAMR1
Professional
First Agency
88055
Professional
First Carolina Care
56196
Professional
First Choice Health Network
Sound Health (now known as First Choice Health Network)
91131
Professional
First Choice Medical Group
FCMG1
Professional
First Choice of Midwest (PPO)
First Choice of Midwest PPO
75138
Professional
First Choice VIP Care Plus - SC
77009
Professional
First Health | The Lewer Agency
96708
Professional
First Health Network (fka CCN Managed Care Inc & PPO OK
73159
Professional
First Managed Care Options Inc.
40270
Professional
FirstCare
94999
Professional
FirstCare
TH003
Professional
FirstCare Health Plans
49096
Professional
FirstCare Medicaid
FirstCare Star Medicaid
94998
Professional
Firstcomp
J1011
Professional
Fitzharris & Company
11244
Professional
FKI Industries Inc.
J1047
Professional
FL Medicare Part B (J9 First Coast)
SMFL0
Professional
Florida 1st - Winterhaven
Florida
59276
Professional
Florida Combined Life
Administrative Services Inc.
CBFLU
Professional
Florida Community Care
FLCCR
Professional
Florida Fruit and Vegetable Association
J1910
Professional
Florida Health Care Plan
59322
Professional
Florida Hospital VBR
VB001
Professional
Florida Hospital Waterman
48116
Professional
Florida Medicaid
SKFL0
Professional
Florida Pace Centers
FLPAC
Professional
Fnd For Medicare of Tulare & Kings Counties Inc
85362
Professional
FOJP Service Corporation
J2269
Professional
Foremost
11185
Professional
Forest County Potawatomi Ins Dept
25059
Professional
Forestry Mutual Insurance Company
J2153
Professional
Forge Industrial Staffing
J1529
Professional
Foundation Benefit Admin. (FBA) - Boon Group
Foundation Benefit Admin /Contractor Employee Benefits Admin
BOONG
Professional
Foundation Health of CA
FH001
Professional
Foundation Health of Florida-Encounters
FHFLE
Professional
Fox Valley Medicine
FVMCH
Professional
Fox Valley Medicine Site 451
FVMC1
Professional
Fox-Everett
Inc. (10-1-15 Re-enrollment needed.)
Fox-Everett Inc.
64069
Professional
Franciscan Alliance
J1883
Professional
Frankenmuth Mutual
J1440
Professional
Freedom Health Plan
41212
Professional
Freedom Life Insurance Company
Freedom Life
62324
Professional
Frenship ISD
J1125
Professional
Fresenius Health Partners
43197
Professional
Fresenius Medical Care
TH118
Professional
Fresno PACE
99660
Professional
Fresno Unified School District
J2357
Professional
Friedkin Companies Inc
J1984
Professional
Fringe Benefit Services
84068
Professional
Fringe Benefits Coordinators
59204
Professional
FrontPath Health Coalition
34171
Professional
Fullerton Union High School District (CA)
J1633
Professional
G.M.P. Employers Retiree Trust
23641
Professional
G&A Partners
J2288
Professional
GA MEDICARE B (MAC JJ)
SMGA0
Professional
GAB Robbins
TP117
Professional
Gallagher Bassett
TP057
Professional
Gallagher Bassett - Former Chubb Services Claims
J1561
Professional
Gallo
J2257
Professional
Garden Grove Unified School District
J1519
Professional
Gates Corp Dba Gates Rubber Co
J1066
Professional
Gateway
SX078
Professional
Gateway Health Plan - Medicare Assured
60550
Professional
Gateway Health Plan Medicaid PA
25169
Professional
Gateway Health Plan of Ohio
Inc.
76028
Professional
Gateway Health Plan OH- Medicare Assured
91741
Professional
Gateway to Better Health
4317M
Professional
GBS Group Benefit Services
80241
Professional
GE Auto
J1557
Professional
GEHA Group Health Nevada Medicaid
GEHA9
Professional
GEICO
J1747
Professional
Geisinger Health Plan
75273
Professional
Gemcare Health Plan
20376
MCS03
Professional
General Parts International
J1678
Professional
Generations Healthcare
46050
Professional
Generations-Hillcrest
46051
Professional
Genesis Health Care
IP105
Professional
Genesys PACE
38237
Professional
Genex Care for Ohio
J1895
Professional
GEO
J1461
Professional
Georgia Medicaid
SKGA0
Professional
Georgie's Inc.
J2137
Professional
GHI HMO
25531
Professional
GHI Medicare Part B of New York
Medicare Part B GHI
GHMCR
Professional
GHP (Group Health Plan)
25141
Professional
Gillette Children's Specialty Healthcare
J1927
Professional
Gilsbar Inc.
07205
Professional
Global Care Incorporated
Global Care Inc.
07689
Professional
Global Care Medical Group
Global Care Med Grp IPA
MPM05
Professional
Global Excel Management
GEM01
Professional
Global Health
GHOKC
Professional
GMS Inc.
47083
Professional
Gold Coast Health Plan
77160
Professional
Golden Corral Corporation
J1067
Professional
Golden Eagle
J1430
Professional
Golden Shore Medical Group (GSMG)
NMM03
Professional
Golden State Medical Group
Sierra Nevada Medical Association
MBA01
Professional
Golden Triangle Physician Alliance SE
72189
Professional
Good Samaritan Medical Practice Association (GSMPA)
IP086
Professional
Goodrich
J1462
Professional
Goodwill Industries
J1621
Professional
Government Employees Health Association (GEHA PHCS)
45235
Professional
Government Employees Health Association (GEHA-PHCS-45275)
45275
Professional
Government Employees Health Association (GEHA)
44054
Professional
Grand River Insurance
C1038
J1566
Professional
Grange WC
14060
Professional
Graphic Arts Mutual
25984
Professional
Great American Alliance Ins Co.
26832
Professional
Great American Assurance Company
26344
Professional
Great American Ins. Co.
16691
Professional
Great American Ins. Co. of N.Y.
22136
Professional
Great Central
J1308
Professional
Great Divide Insurance
25224
Professional
Great Lakes PACE
39640
Professional
Great Plains Medicare Advantage of Nebraska
GPNE1
Professional
Great Plains Medicare Advantage of North Dakota
GPND1
Professional
Great Plains Medicare Advantage of South Dakota
GPSD1
Professional
Great-West Healthcare
Great West
80705
Professional
Great-West Healthcare
Great-West Healthcare (formerly American General)
63665
Professional
Greater Covina Medical Group
99284
Professional
Greater Covina Medical Group
GCMG1
Professional
Greater Newport IPA
GNPMG
Professional
Greater Newport Physicians Medical Group
33010
Professional
Greater Oregon Behavioral Health
GOBHI
Professional
Green Diamond WA
J1642
Professional
Grinnell
J1541
Professional
Grinnell Reinsurance Company
J1571
Professional
Group Administrators Ltd.
36338
Professional
Group Administrators Self-Funded Alternative
GASA1
Professional
Group and Pension Administrators
Group Plan Administrators
48143
Professional
Group Health Alliance
82058
Professional
Group Health Coop of South Central Wisconsin Encounters
39168
Professional
Group Health Cooperative of Eau Claire
95192
Professional
Group Health Cooperative of South Central Wisconsin
39167
Professional
Group Health Cooperative of Washington State
Kaiser Foundation Health Plan of Washington Options Inc
91051
Professional
Group Insurance Service Center Inc.
37276
Professional
Group Resources Inc
58142
Professional
Group Resources PHCS
28680
Professional
Gse Lining Technology Inc.
J1068
Professional
Guardian Life Insurance Company of America
64246
Professional
GuideOne Elite Insurance
J1590
Professional
GuideOne Mutual Insurance
J1574
Professional
Guidewell Mutual Holding
J2345
Professional
Guildnet
36057
Professional
Guildnet
GLDNT
Professional
Gulf South Risk Services
60652
Professional
Gulf Stream-General Dynamics
CB624
Professional
Gundersen Lutheran Health Plan Inc.
39180
Professional
H & R Block
J1672
Professional
H.E.R.E.I.U Welfare Pension Funds
37114
Professional
HAA Preferred Partners
65101
Professional
Habit Restaurants LLC
J2363
Professional
Halcyon Behavioral Health
HALCY
Professional
Hamaspik Choice
47738
Professional
Hammerman & Gainer
97258
Professional
Hannaford
J1463
Professional
Hanover Insurance Company
J1693
Professional
Hanover Lloyd's Insurance Company
J1588
Professional
Harbor Advantage
58305
Professional
Harbor Health Plan
70259
Professional
Harbor Health Plan - JVHL
74080
Professional
Harken Health Insurance
Harken Health
43313
Professional
Harken Health
Nevada Medicaid
10152
Professional
Harleysville Insurance Company
J1595
Professional
Harmony Health Plan
61067
Professional
Harmony Health Plan of Illinios
Harmony Health Plan of IL 837pRemits returned under 14163
Harmony Health Plan of IL(Wellcare Prov ID 800 960 2530 2 5
36406
Professional
Harmony Health Plan of Indiana
Harmony Health Plan of IN (837p) Remits returned under 14163
Harmony Health Plan of IA ( claims for Hoosier Healthwise me
36405
Professional
Harrington Health Colonial Dental
Harrington Health Non-EPO
59143
Professional
Harrington Health-Kansas (form known as Fiserv Health-Kansas
62061
Professional
Hartford Accident and Indemnity Company
C1046
Professional
Hartford Casualty Insurance Company
C1041
Professional
Hartford Insurance Company of the Midwest
C1043
Professional
Hartford Life and Accident Insurance Company
C1044
Professional
Hartford Life and Annuity Insurance Company
C1047
Professional
Hartford Life Insurance Company
C1045
Professional
Hartford Underwriters Insurance Company
C1042
Professional
Harvard Community Health Plan
04245
Professional
Harvard Maintenance
J2388
Professional
Harvard Pilgrim Healthcare
Harvard Pilgrim Health Care
04271
Professional
Hawaii 835 (ERA/EFT) line of business
40523
Professional
Hawaii Management Alliance Association (HMAA)
48330
Professional
Hawaii Medicaid
SKHI0
Professional
Hawaii Medical Assurance Association (HMAA)
Hawaii Western Management (HWMG)
99208
Professional
Hawaii Medical Service Association (HMSA)
SB971
Professional
Hawkeye
J1426
Professional
HCA-Hosptial Corporation of America
J1450
Professional
HCC Life Insurance
HCCMI
Professional
HCH Administration (Illinois)
37111
Professional
HCH Administration Inc.
37215
Professional
HCH Administration
Encompass
37110
Professional
HCS - Health Claims Service (Boise ID)
82018
Professional
HCSC Insurance Services Company
Blue Cross of Texas
84980
Professional
HDM Benefit Solutions
HDMCO
Professional
HDPC - Premier Healthcare
90023
Professional
Health Alliance Medical Plans
77950
Professional
Health Care District of Palm Beach
HCDPB
Professional
Health Care LA IPA (HCLA)
Health Care LA
MPM06
Professional
Health Care Network of Wisconsin (HCN)
42102
Professional
Health Care Partners AZ
Health Care Partners of AZ
Health Care Partners -AZ (Dates of Service of 5-01-13&later)
HCP02
Professional
Health Choice Arizona
62179
Professional
Health Choice Generations
62180
Professional
Health Choice Insurance Co
46221
Professional
Health Choice Integrated Care
22100
Professional
Health Choice of Oklahoma
HealthChoice Oklahoma
71064
Professional
Health Choice Utah
45399
Professional
Health Cost Solutions
62111
Professional
Health Design Plus (Hudson OH)
34158
Professional
Health First - Tyler
TX
Health First TPA Tyler
Healthfirst TPA
75234
Professional
Health First Health Plan Inc.
15064
Professional
Health First
Matrix - Health First Health Plan
95019
Professional
Health Management Administrators (HMA)
TH049
Professional
Health Net - California (Professional Encounters ONLY)
95570
Professional
Health Net of Arizona
38309
Professional
Health Net of Arizona
AZHNT
Professional
Health Net of California and Oregon
Health Net of California
95567
Professional
Health Net Oregon
22340
Professional
Health Network One
65062
Professional
Health New England
04286
Professional
Health Options of FL(Blue Shield HMO) ENCOUNTERS ONLY!!
FLENC
Professional
Health Options of Florida
SX030
Professional
Health Options of Florida (Blue Shield HMO)
FLHLT
Professional
Health Options of Illinois I Par Plus
Health Options of Illinois
NAHOI
Professional
Health Partners - Jackson TN
62157
Professional
Health Partners of PA
Health Partners PA
80142
Professional
Health Payment Systems
Health Payment Systems Inc.
20270
Professional
Health Plan of Michigan - JVHL
32130
Professional
Health Plan of San Joaquin
San Joaquin Health Administrators
68035
Professional
Health Plan of San Mateo
SX174
Professional
Health Plan San Mateo
Health Plan of San Mateo
HPSM1
Professional
Health Plans Inc.
44273
Professional
Health Plus PHSP (Brooklyn NY)
11324
Professional
Health Plus Physicians Organization
63363
Professional
Health Safety Network - MASS. Health Medicaid
SKMA2
Professional
Health Select IPA (Enrollment required Contact 866-703-1444)
M3IL1
Professional
Health Services for Children with Special Needs
37290
Professional
Health Services Management
41150
Professional
Health Services Management (HSM)
San Judas Medical Group IPA
HSM01
Professional
Health Services Review
11072
Professional
Health Share of Oregon CCO-Mental Health
77120
Professional
Health Systems Inc
11889
Professional
Health Texas Medical Group
HTHTX
Professional
Health Traditions
Health Tradition Health Plan
HLTHT
Professional
HEALTH WEST ADMINISTRATORS
U7876
Professional
Healthcare Highways
HCH01
Professional
Healthcare Management Administrator
Healthcare Management Administrators
Inc. (also known as HMA
servicing Western Region)
Healthcare Management Administrators Inc.
HMA01
Professional
HealthCare Partners IPA
11328
Professional
Healthcare Partners of Nevada
20501
Professional
Healthcare Resources NW
56731
Professional
Healthcare Solutions Group
73147
Professional
Healthcomp Incorporated
Healthcomp Inc.
85729
Professional
HealthEdge Admin-claims PO Box 11210
Bakersfield
CA 93389
95213
Professional
Healthfirst TPA - Austin
Healthfirst of Austin TPA
75289
Professional
Healthgram Inc (formerly known as Primary Physician Care)
Healthgram Inc
Healthgram Inc.
56144
Professional
HealthGroup Limited
23274
Professional
Healthlink HMO
96475
Professional
HealthNow - BCBS Northeastern NY
SB800
Professional
HealthNow - Blue Cross Blue Shield of Western NY
SB801
Professional
Healthnow Division
55204
Professional
HealthPartners
44547
Professional
HealthPartners MN
SX009
Professional
Healthpartners of MN
HealthPartners of Minnesota
55764
Professional
HealthPlan Services
Mutual Group (The) (US)
59140
Professional
HealthScope Benefits
71084
Professional
Healthscope Benefits - EHC Repricing
52429
Professional
HealthSCOPE Benefits Inc.
HealthSCOPE Benefits Inc (Formerly CNA Health Partners of AR
71063
Professional
Healthsmart
J1481
Professional
HealthSmart (EDI #14966)
14966
Professional
HealthSmart (EDI #31172)
Innovante Benefit Administrators
31172
Professional
HealthSmart (EDI #34145)
34145
Professional
HealthSmart (EDI #37224)
37224
Professional
HealthSmart (EDI #37256)
37256
Professional
HealthSmart (EDI #76870)
76870
Professional
HealthSmart (EDI #76923)
76923
Professional
HealthSmart Accel (EDI #75237)
75237
Professional
HealthSmart Benefit Solutions
37272
Professional
Healthsmart Management Services Organization Inc
Healthsmart Mgmt Services Org Inc
A0067
Professional
HealthSmart MyDecision (EDI #18840)
18840
Professional
HealthSmart Preferred Care (EDI #75250)
75250
Professional
Healthsource AR (Med) (CIGNA)
71075
Professional
Healthsource AR-Claims cont Healthsource spec VendID&Rend Pr
71074
Professional
Healthsource GA (CIGNA)
58210
Professional
Healthsource KY
61127
Professional
Healthsource Massachusetts Inc.
02041
Professional
Healthsource ME
01041
Professional
Healthsource N. TX (CIGNA)
75255
Professional
Healthsource NC (CIGNA)
56147
Professional
Healthsource NH
02038
Professional
Healthsource OH
31141
Professional
Healthsource Provident
68195
Professional
Healthsource SC
06119
Professional
Healthsource SC
Pilot
Professional
Healthsource TN (CIGNA)
62129
Professional
HealthSpan Integrated Care accept claims DOS to 1-31-2017
HealthSpan Integrated Care
RH007
Professional
Healthspan
aka Kaiser of Ohio
NG007
Professional
HealthSpring
HT001
Professional
HealthSpring - STAR+PLUS Only
Texas Healthspring
52192
Professional
HealthSpring HMO/HealthSpring Medicare+Choice
63092
Professional
Healthsun Health Plans
HESUN
Professional
Healthteam Advantage
88250
Professional
Healthways WholeHealth Networks
58213
Professional
Healthy Blue Louisiana
58532
Professional
HEALTHY BLUE NEBRASKA
00544
Professional
Healthy Palm Beaches
95827
Professional
Healthy Texas
68064
Professional
Healthy York Network
22251
Professional
HealthyCT Inc - Brokers
66866
Professional
HealthyCT Inc
77180
Professional
Heartland Express
J1677
Professional
HEB Grocery Company LP
J2223
Professional
Help At Home Holding
J1985
Professional
Helpside Inc.
J2378
Professional
Hemet Community Med Group ( 951-791-1111 prior to submitting
Hemet Community Medical Group
HCMG1
Professional
Hemet Unified School District (CA)
J1654
Professional
Hennepin Health
60058
Professional
Hennepin Health
Benefit & Risk Management Services
99320
Professional
Hereford ISD
J2342
Professional
Heritage Consultants
59230
Professional
Heritage Group
J1069
Professional
Heritage IPA
HER01
Professional
Heritage Victor Valley Medical Group
30862
Professional
Hernando Pasco Hospice
17929
Professional
Hewitt Coleman
57029
Professional
HFN Inc.
36335
Professional
High Desert Medical Group
95393
Professional
High Desert Medical Group (Lancaster
California)
HDMDG
Professional
Highmark BCBSD Health Options
47181
Professional
Highmark Blue Cross & Blue Shield of Pennsylvania
SB865
Professional
Highmark Senior Health
95462
Professional
Highmark Senior Health Company (PA Blue Shield Medicare Plan)
Highmark Senior Health Co (PA Blue Shield Medicare Plan
15460
Professional
Highmark Senior Solutions
95461
Professional
Highmark Senior Solutions Co (WV Blue Shield Medicare Plan
Highmark Senior Solution Co (a WV Blue Shield Medicare
15459
Professional
Hill Physicians Blue Shield PPO
HLPBS
Professional
Hill Physicians Health Net PPO
HLPHN
Professional
Hill Physicians Medical Group
00046
Professional
Hill Physicians Medical Group
HIL01
Professional
Hill Physicians United Healthcare PPO
HLPUH
Professional
Hill UHC PPO
HPU22
Professional
Hillshire Brands
J1959
Professional
Hilmar Cheese Company
J1833
Professional
HIP - Health Insurance Plan of Greater New York
55247
Professional
Hispanic Physicians IPA
HPFFS
HPIPA
Professional
HMA Hawaii
86066
Professional
HMC HealthWorks aka Health Management Co
75318
Professional
HMO Louisiana Inc
84555
Professional
HMS Host
J1612
Professional
HMSO-Highline Medical Service Organization
91164
Professional
Hockenberg's Equipment (UCS)
59573
Professional
Holly Farms Corp.
J1070
Professional
Holy Cross Health Partners
NAHLX
Professional
Homelink
30750
Professional
Homelink Healthpartners
55744
Professional
Hometown Health Plan Nevada
88023
Professional
Hoosier Care
Anthem BCBS Indiana
00630
Professional
Hoover
J2214
Professional
Hopkins Health Advantage
66003
Professional
Horace Mann Life Insurance
HMLIC
Professional
Horizon Healthcare Dental Services
New Jersey Blue Cross Blue Shield (Horizon)
Horizon Healthcare of NY
22099
Professional
Horizon NJ Health
22326
Professional
Horizon Valley Medical Group
HVMG1
Professional
Hospital Houskeeping Systems (HHS)
J2274
Professional
Household Merch Nni
J1071
Professional
Housing Authority El Paso (TX)
A0107
Professional
Houston Hunters Patrol Inc
J1020
Professional
Houston ISD
J1999
Professional
Howard County Government (MD)
J1888
Professional
HP Administrative Services LLC DOS prior to 01/01/2018)
22521
Professional
HPMC - Alta Med Clinics (HPMC - AMC)
38828
Professional
HPMC - Preferred IPA (HPMC - PMG)
10910
Professional
HPMC - San Judas IPA (HPMC - SJM)
73331
Professional
HPMS Send claims to payerID listed on patient's ins card)
HPMS Send claims to payerID listed on patient's ins card)d.)
0CARD
Professional
HSB.NHP.
45321
Professional
HSHS Medical Group IPA
37137
Professional
Hughes Tool Company
J1072
Professional
Human ARC
34818
Professional
Humana - JVHL
67300
Professional
Humana Inc. Encounters
61102
Professional
Humana Insurance Company Choice Care Network
Humana Inc.
Humana
61101
Professional
Humana Long Term Care
61115
Professional
Humana PR
L0200
Professional
Humana Veterans Healthcare Services
61120
Professional
Humboldt-Del Norte Foundation for Medical Care
94154
Professional
Huron PACE
54750
Professional
Hutchinson Technology
J1626
Professional
Hylton Payroll (Benefit Plan Administrators)
19753
Professional
I. E. Shaffer (West Trenton NJ)
22175
Professional
IA Medicare Part B (J5 - WPS)
SMIA0
Professional
IA Teamsters Health Ben Fund Local 135 Health Benefits Fund
Local 135 Health Benefits Fund (Indianapolis IN)
Indiana Teamsters Health Benefits Fund
35107
Professional
IBA Self Funded Group
38234
Professional
IBC Personal Choice
SX083
Professional
IBG Administrators LLC
81810
Professional
ICARE (Independent Care Health Plan)
Independent Care Health Plan
11695
Professional
iCare Health Solutions
26054
Professional
iCircle Care
42660
Professional
iCircle Care of New York
33884
Professional
ICW (Insurance Co of the West)
27847
Professional
IDA
Insurance Design Administrators
13315
Professional
Idaho Medicaid
SKID0
Professional
Idaho Medicaid
Molina Healthcare of Virginia Encounters
10101
Professional
Idaho True Blue
TRUEB
Professional
IdealCare by Sendero
SCS17
Professional
IEC Group - AmeriBen
97661
Professional
Iheart Media Inc.
J2360
Professional
IHG Direct
75274
Professional
IL Medicare Part B (J6)
SMIL0
Professional
Illinois Casualty
J1575
Professional
Illinois EMCASCO
21415
Professional
Illinois Health Plan (IHP)
Boncura Health Solutions (Dupage Medical Group)
DMG01
Professional
Illinois Health Solutions ( ProviderID Required)
86069
Professional
Illinois Medicaid
SKIL0
Professional
Illinois Physicians Alliance IPA
IPA99
Professional
Imagework Technolgies Corp.
40043
Professional
Imagine Health
43123
Professional
IMCare
41600
Professional
Immigration Services
VAICE
Professional
Imperial Health Holdings
78448
Professional
Imperial Health Holdings Medical Group
IHHMG
Professional
IMS Management Services
TH099
Professional
IMX Easy
86070
Professional
IN Medicare Part B (J8)
SMIN0
Professional
INDECS Corporation
40585
Professional
Independence Administrators
TA720
Professional
Independence American Ins. Co
CB231
Professional
Independence Medical Group
MHM01
Professional
Independence Medical Group of Kern County
IMG01
Professional
Independence Medical Group Tulare County
IMG02
Professional
Independent Health
SX073
Professional
Independent Living Systems
45048
Professional
Independent Physicians at Mercy
INDPM
Professional
Indian Health Services
SX171
Professional
Indian Health Services
UnitedHealthcare StudentResources
00290
Professional
Indiana Department of Health - Children's Health - Claims
35600
Professional
Indiana Insurance
J1425
Professional
Indiana Medicaid
SKIN0
Professional
Indiana ProHealth Network
35161
Professional
Indiana University
IUHPL
Professional
Indiana University Health Plan (Commercial IUHPLNS)
26212
Professional
Indiana University Health Plan (Medicare)
95444
Professional
Individual Assurance Company
30360
Professional
Inetico Inc.
43471
Professional
Ingalls Provider Group
85578
Professional
Ingalls Provider Group (New PID for DOS 1-1-19 & after only)
Ingalls Provider Group
66727
Professional
Ingham Health Plan Corporation
38343
Professional
Ingles Markets
J1907
Professional
Inland Empire Health Plan
IEHP1
Professional
Inland Faculty Medical Group
MVMM1
Professional
Innovation Health
40025
Professional
Innovative Claim Solutions (ICS) - Rancho Cordova
J1599
Professional
Innovative Claim Solutions (ICS) - San Ramon
J1601
Professional
Innovative Health Plan
CB951
Professional
Innovative Physician Associates
80087
Professional
Innovative Risk Management (IRM)
J2152
Professional
Insight Benefit Administrators
38254
Professional
Insilco Corp
J1073
Professional
Insurance Administrators of America Inc.
IAA
37279
Professional
Insurance Management Administrators
72091
Professional
Insurance Management Services (Amarillo TX)
15688
Professional
Insurance Management Services of Texas
IMSMS
Professional
Insurance Program Managers Group
Benefit Systems and Services
Inc.
Benefit Systems & Services
Inc. (BSSI)
36342
Professional
Insurance Service of Lubbock
ISL11
Professional
Insurance Services of Lubbock
TH012
Professional
Insurance Systems Inc
13784
Professional
InsuranceTPA.com
39182
Professional
Insurer's Administration Corporation
IAC01
Professional
Insurers Administrative Corp.
86304
Professional
Integra Administrative Group (Seaford DE)
51020
Professional
Integra Group
31127
Professional
Integra Group-CHA
31129
Professional
Integra Managed Long Term Care
45302
Professional
Integral Quality Care
23229
Professional
Integrated Care Network (ICN) by Emerald Health
34167
Professional
Integrated Medical Solutions LLC
20050
Professional
Integrity Administrators (Champion Chevrolet)
99795
Professional
Integrity Mutual Insurance Company (WC Only)
14303
Professional
Integrity Mutual Insurance Company
BCBS of Missouri (Anthem)
10322
Professional
Inter-County Health Plan
SX079
Professional
Interactive Medical Systems
56132
Professional
Intercare - Sussex
J1542
Professional
Intercare Holdings Insurance Services Inc.
J1957
Professional
Intercommunity Health Net
INCHN
Professional
Interface EAP (IEAP)
60280
Professional
Intergroup Services Corporation
23287
Professional
Interinsurance Exchange of the Automobile Club
J1810
Professional
Intermountain Healthcare
J2243
Professional
International Benefit Administrator
11329
Professional
International Brotherhood of Boilermakers
36609
Professional
International Medical Group
TH105
Professional
International Medical Group
INC
International Medical Group
Inc. I Par Plus
IMGIN
Professional
International Union Operating Engineers
INTER UNION OF OPER15
37269
Professional
InterWest Health PPO (Montana)
84137
Professional
Intl Brotherhood Boilermakers EMPL Health Care Plan IBBEHC
48603
Professional
INTotal Health LLC
35115
Professional
Iowa Medicaid
SKIA0
Professional
Iowa Select Farms
J2364
Professional
IPMG Claims Mngmt Services (Insurance Program Managers Group
J1887
Professional
Irex Corporation
J1074
Professional
IRM - Signal State Act VIA ASG
J2287
Professional
Ironworking Contract I.P.
J1075
Professional
Island Home Insurance Company
85502
Professional
ISS Facility Services
J2276
Professional
iSURITY
J1911
Professional
IU Health Transplant Evaluation Program
47262
Professional
IU Medical Group Primary Care
SX172
Professional
IUOE LOCAL 4 HEALTH & WELFARE
04604
Professional
J B Hunt Transport Inc.
A0138
Professional
Jai Medical Systems
JAI Medical
JAI01
Professional
JAS Inc
37453
37543
Professional
Jencare Medical
JCARE
Professional
JI Specialties
TH033
Professional
JI Specialty Service
J1005
Professional
JI Specialty Services
J1006
Professional
JLS Family Enterprises
JLSFE
Professional
JOHN MORRELL COMPANY CO. - AHPBA
38310
Professional
John Muir Health Network
JMH01
Professional
John Muir Mt. Diablo Health System
John Muir Physician Network
68036
Professional
Johns Hopkins Healthcare (EHP/PP)
52189
Professional
Johns Hopkins Healthcare (USFHP)
52123
Professional
Joint Powers Insurance Authority (JPIA)
J2291
Professional
Jones Truck LinesInc.
J1076
Professional
JP Farley Corporation
34136
Professional
JPS Preferred Care
MWP01
Professional
Juvenile Jail Facility Managem
J1077
Professional
JW Terrill
43183
Professional
Kaiser CSI California Select For Individuals
Kaiser Self Funded
94320
Professional
Kaiser Foundation Health Plan of Colorado
91617
Professional
Kaiser Foundation Health Plan of Mid-Atlantic St(835 KAISR
Kaiser Foundation Health Plan of the Mid-Atlantic
Kaiser Foundation Health Plan of the Mid Atlantic
NG008
Professional
Kaiser Foundation Health Plan of Northern CA Region
94135
Professional
Kaiser Foundation Health Plan of Southern CA Region
94134
Professional
Kaiser Foundation Health Plan of Southern California
Kaiser Permanente Southern CA
KS001
Professional
Kaiser Foundation Health Plan of the Mid-Atlantic States Inc
52095
Professional
Kaiser Foundation of Northern California
Kaiser Foundation Health Plan of Northern California
Kaiser Permanente Northern CA
KS003
Professional
Kaiser Foundation of the Northwest
93079
Professional
Kaiser Permanente Hawaii
RH011
Professional
Kaiser Permanente Health Plan of Hawaii
94123
Professional
Kaiser Permanente Insurance Co
KPIC-Kaiser Permanente (CA
CO
DC
GA
HI
MD
OH & OR)
KPIC1
Professional
Kaiser Permanente of Georgia
21313
Professional
Kalos Gold Health Plan
61185
Professional
Kalos Health
40137
Professional
Kane County BCBS
KCIPA
Professional
Kane county Harmony Medicaid
IPAK1
Professional
Kansas Medicaid
SKKS0
Professional
Kansas Superior Select
71066
Professional
Katy Medical Claims
81812
Professional
KCI Holdings USA
J1078
Professional
Keenan & Associates
KEE01
Professional
Keenan and Associates
J1498
Professional
Keenan Associates (CA)
95279
Professional
Kellogg Companies
J1803
Professional
Kelseycare
KELSE
Professional
Kemberton Healthcare Services
62480
Professional
Kemper Benefits
61453
Professional
Kempton Group Administrators
Kempton Company
73100
Professional
Ken Davis Industries Inc.
J1079
Professional
Kent Health Plan
KENT1
Professional
Kentucky Health Administrators Inc.
27215
Professional
Kentucky Medicaid
SKKY0
Professional
Kentucky Passport
Passport Health Plan
61325
Professional
Kern County CDCR
28021
Professional
Kern Health Care Network (Valid DOS prior to 01-01-2016)
22149
Professional
Kern Health Systems
77039
Professional
Kern Legacy Health Plan
89890
Professional
Kerry Holding Co.
J2275
Professional
Key Benefit Administrators (Indianapolis IN)
37217
Professional
Key Gap
35317
Professional
Key Health Medical Solutions Inc
95460
Professional
Key Medical Group
IP082
Professional
Key Medical Group - Medicare Advantage
IP083
Professional
Key Risk Management Services LLC
J1521
Professional
Key Select
Fidelity / Key Select
37321
Professional
Key Solution
37323
Professional
Keystone First
23284
Professional
Keystone First Community HealthChoices
42344
Professional
Keystone First VIP Choice
77741
Professional
Keystone Health Plan West
SX056
Professional
Kipp & Company
93063
Professional
Klais and Company
31147
Professional
Klais and Company Repriced HealthSpan
3414A
Professional
Koch Foods
J1986
Professional
Kova Healthcare Incorporated
KOVA1
Professional
KPS-Kitsap Physician Services
KPS01
Professional
Kroger Co.
J2327
Professional
KS Medicare Part B (J5 - WPS)
SMKS0
Professional
KY MEDICARE B (MAC J15) CGS
SMKY0
Professional
LA Care Health Plan
LACAR
Professional
LA Medicare Part B (J7)
SMLA0
Professional
LA Metro
J2374
Professional
La Salle Medical Associates IPA
Network Medical Management
NMM01
Professional
LACH HealthNet by MedPoint
MPM19
Professional
Lake County Physicians Association
37116
Professional
Lakeside Comprehensive Healthcare
66127
Professional
Lakeside Health Services
LMG11
Professional
LakeSide Medical Group
66125
Professional
Lancaster General Health Group - Preferred Health Care (IHS
16109
Professional
Landmark Healthcare Inc
LNDMK
Professional
Landry's
J1889
Professional
Landstar Bco Wc Program
J1080
Professional
Lane County (OR)
J1987
Professional
LaSalle Medical Group
NMM02
Professional
Lawndale Christian Health Center
36333
LAWND
Professional
LCTA Workers' Comp
J1998
Professional
League of Minnesota Cities Insurance Trust
J1527
Professional
Leisure World Managed Care
LWMC1
Professional
Leon Medical Center Health Plan
37316
Professional
Leon Medical Centers Health Plan Inc
LMCHP
Professional
Levelland ISD
J1126
Professional
Lewisville ISD Self-Insured
J1122
Professional
LFP Corporation
J1650
Professional
Liberty Advantage LLC
LIB01
Professional
Liberty Health Advantage
87071
Professional
Liberty Mutual
C1058
Professional
Liberty Wausau
33600
Professional
Life Gift Cards
33LGC
Professional
Life Investors Ins Co of America (Spec claims
LIICA
Professional
Life Investors Insurance
TH120
Professional
Life Investors of America - Long Term Care
TH093
Professional
LIFE Pittsburgh
25181
Professional
Life Re Insuracne Company
74228
Professional
LIFE St. Joseph of The Pines
59847
Professional
LIFE St.Mary
76184
Professional
Life Trac
41136
Professional
LifeCare Assurance Co
25850
Professional
LifeCircles PACE
71498
Professional
Lifestyle Health Plans
27005
Professional
Lifetime Benefit Solutions
16117
Professional
Lifetime Benefit Solutions
EBSRM
Professional
Lifewise Health Plan WA Premier Health Plan835 return AC032
Lifewise Health Plan of Washington A Premier Health Plan
91049
Professional
LifeWise Healthplan of Oregon
Lifewise Health Plan OR Premier Health Plan (835s ret AC032)
93093
Professional
LifeWise Healthplan of Oregon
WA - Premera Blue Cross
SB930
Professional
LifeWorks Advantage
LWA01
Professional
Lighthouse Health Plan
31828
Professional
Line Construction Benefit Fund
LCB01
Professional
Link Snacks (Jacks Links)
J2133
Professional
Lipa/Agate Resources
LIPA1
TH106
Professional
Little Caesars of San Antonio Inc
J2221
Professional
Little Company of Mary
LCM10
Professional
Little Company of Mary Health
4725P
Professional
Local 137 Operating Engineers Welfare Fund
84041
Professional
Lockard & Williams
CB752
Professional
Lockard & Williams Insurance Services Inc.
22577
Professional
Loma Linda University
J2211
Professional
Loma Linda University Health Care Managed Care Dept
33036
Professional
Loma Linda University Student Health Plan
37267
Professional
London Health Administrators
37226
Professional
Lone Star TPA
45289
Professional
Long Beach Unified School District
J1515
Professional
Longevity Health Plan of Illinois
LIL01
Professional
Longevity Health Plan of New York
LNY01
Professional
Longs Drugs
J1464
Professional
Louisiana Medicaid
SKLA0
Professional
Louisiana Medicaid - Ambulance claims
SKLA2
Professional
Louisiana Medicaid - DME Claims
SKLA1
Professional
Louisiana Medicaid - KidMed Claims
SKLA3
Professional
Louisiana Medicaid - Rehab
SKLA4
Professional
Louisiana State University
J1953
Professional
Louisiana Workers Compensation Corporation
J1547
Professional
Lovelace Sandia Health Plan
90328
Professional
Lowe's (Bunch CareSolutions)
J1465
Professional
Lsg Sky Chefs International
J1081
Professional
Luba Casualty Insurance Company
J1341
Professional
Lubbock County / Hammerman & Gainer
J2151
Professional
Lumbermen's Underwriting Alliance
J1899
Professional
Luther Care
CB212
Professional
Lutheran Preferred
39198
Professional
Lynwood Unified School District (CA)
J1669
Professional
LYNX
J1949
Professional
MA Medicare Part B (JK - NGS)
SMMA0
Professional
Mabuhay Medical Group
CAPMN
Professional
Mackinaw Administrators
J1343
Professional
MacNeal Health Providers- CHS
36334
Professional
Macys (Daly City)
J1345
Professional
Macys (Newport Beach)
J1346
Professional
Macys Department Stores
J1347
Professional
Maestro health Plan
56139
Professional
Magellan Complete Care
MCC01
Professional
Magellan Complete Care of Virginia
MCCVA
Professional
Magellan Health Services
01260
Professional
Magnacare Administrative Services
11303
Professional
Maine Community Health Options
45341
Professional
Maine Medicaid
SKME0
Professional
Major League Baseball 8
J1082
Professional
Managed Care Services LLC
35162
Professional
Managed Care Systems
27133
Professional
Managed Care Systems (Delano Regional Medical Group)
MCS02
Professional
Managed Care Systems (Gemcare)
MCS01
Professional
Managed Care Systems CDCR (Customer Service: (800) 494-4662)
MCS04
Professional
Managed Health Care Administration EPS
MHCA1
Professional
MANAGED HEALTH CARE ASSOCIATES
36312
Professional
Managed Health Network
22771
Professional
Manulife W. J. Sutton Company
William J Sutton & Co. Ltd.
98010
Professional
Mapfre (Canada Life)
L0160
Professional
Mapfre Life Commercial
46012
Professional
March Vision Care Inc.
March Vision Care
52461
Professional
Marrick Medical Finance
20805
Professional
Marriott
J1431
Professional
Martin's Point Health Care
53275
Professional
Martin's Point Health Care USFHP/Generations Advantage
MPHC2
Professional
Maryland Medicaid
SKMD0
Professional
Maryland Physicians Care
22348
Professional
Maryland PMHS ValueOptions (Use for ALL Dates of Service)
77063
Professional
Maryland Public Mental Health
SX069
Professional
Massachusetts Bay Insurance Company
J1689
Professional
Massachusetts Medicaid
SKMA0
Professional
Master Mates & Pilots Program
TH111
Professional
Masters
Mates and Pilots Plan
Masters
Mates and Pilots Program
MMPHB
Professional
Matheson Trucking
J1736
Professional
Matrix Absence Management
TP075
Professional
Max Specialty Benefits
27320
Professional
MaxCare (Universal Fidelity Administrators Company)
93220
Professional
Maxim Crane Works
J1083
Professional
Maxor
92805
Professional
May Trucking
J2348
Professional
Mayo Clinic FL/GA
88090
Professional
Mayo Clinic Health Solutions
41154
Professional
Mayo Clinic/Recovery and Claims Services
41193
Professional
MBA Benefit Administrators Inc (Salt Lake UT)
83028
Professional
MBA Of Wyoming Inc
87065
Professional
MCA Administrators Inc.
25160
Professional
McDonald's - Mcopco
J1084
Professional
McGregor PACE
31149
Professional
McKinley Medical Group
MHM02
Professional
McLaren Health Plan
38338
Professional
MCS
6197P
Professional
MCS Life
66039
Professional
MD CARE HEALTH PLAN
MDC01
Professional
MD Medicare Part B (MAC JL)
SMMD0
Professional
MDwise Healthy Indiana Plan
31354
3135M
Professional
MDwise Hoosier Care Connect
MDwise Hoosier Care Connect (For DOS on or after 1-01-2017)
91313
Professional
MDwise Hoosier Healthwise
35191
Professional
MDwise Hoosier Healthwise Hospital
3519M
Professional
MDX Hawaii
MDXHI
Professional
ME Medicare Part B (JK - NGS)
SMME0
Professional
Meadowbrook Insurance Group
J1478
Professional
MED PAY
88058
Professional
MED3000
EM216
Professional
MED3000 CMS SAFETY NET
EM284
Professional
MED3000 CMS Title 21
EM205
Professional
Med3000 Early Steps
Med3000 CMS Early Steps
EM350
Professional
MedAdmin Solutions
58202
Professional
MedAdmin Solutions
Podi Care Managed Care
58204
Professional
MedCom
59231
Professional
MedCost Benefit Services
56205
Professional
MedCost Inc.
56162
Professional
Medfocus
95321
Professional
Medi-Cal (Vision)
SKCA1
Professional
Medi-Cal by MedPoint
MPM18
Professional
Medi-Share
59355
Professional
Medica (UHC)
Medica Health Plans
94265
Professional
Medica Health Care Plan - Florida
Medica Health Care Plan (Florida)
78857
Professional
Medica Health Plan Solutions
71890
Professional
Medica2
12422
Professional
Medicaid - TX Premier Plan I Par Plus
Medicaid - TX Premier Plan (enroll at (915)-532-3778 x1507)
EPF02
Professional
Medicaid Hawaii Waivers
77059
Professional
Medicaid New York (eMedNY Test System)
SKNYT
Professional
Medicaid of Alabama
Alabama Medicaid
Medicaid of Alabama (for 837P & 837I claims)
ALMCD
Professional
Medicaid of Alaska
Alaska Medicaid
AKMCD
Professional
Medicaid of Arizona (AHCCCS)
Arizona Medicaid (AHCCCS)
Medicaid of Arizona (AHCCCS)
Medicaid of Arizona (AHCCCS)(837I & 837P)
AZMCD
Professional
Medicaid of Arkansas
Arkansas Medicaid
ARMCD
Professional
Medicaid of California (MediCal)
MediCal of California
MDCAL
Professional
Medicaid of Colorado
Colorado Medicaid
COMCD
Professional
Medicaid of Connecticut
Connecticut Medicaid
Medicaid of Connecticut (for 837P & 837I claims)
CTMCD
Professional
Medicaid of Florida
Florida Medicaid
Medicaid of Florida (for 837P & 837I claims)
FLMCD
Professional
Medicaid of GA
Georgia Medicaid
Medicaid of Georgia (for 837P & 837I claims).
GAMCD
Professional
Medicaid of Idaho
Idaho Medicaid
IDMCD
Professional
Medicaid of Illinois
Illinois Medicaid
ILMCD
Professional
Medicaid of Indiana
Indiana Medicaid
INMCD
Professional
Medicaid of Iowa
Iowa Medicaid
IAMCD
Professional
Medicaid of Kansas
Kansas Medicaid
KSMCD
Professional
Medicaid of Kentucky
Kentucky Medicaid
KYMCD
Professional
Medicaid of Louisiana (Includes KidMed claims.)
Medicaid of Louisiana (837P
837I & 837D)
Louisiana Medicaid
LAMCD
Professional
Medicaid of Maine
Maine Medicaid
MEMCD
Professional
Medicaid of Maryland
Maryland Medicaid
MDMCD
Professional
Medicaid of Massachusetts (Mass Health)
Medicaid of Massachusetts
Massachusetts Medicaid
MAMCD
Professional
Medicaid of Michigan
Michigan Medicaid
MIMCD
Professional
Medicaid of Minnesota
Minnesota Medicaid
MNMCD
Professional
Medicaid of Mississippi
Medicaid of Mississippi (for 837P & 837I claims)
Mississippi Medicaid
MSMCD
Professional
Medicaid of Nevada
Nevada Medicaid
NVMCD
Professional
Medicaid of New Hampshire
New Hampshire Medicaid
NHMCD
Professional
Medicaid of New Jersey
New Jersey Medicaid
NJMCD
Professional
Medicaid of New Mexico
New Mexico Medicaid
NMMCD
Professional
Medicaid of New York
New York Medicaid
NYMCD
Professional
Medicaid of North Carolina
North Carolina Medicaid
Medicaid of North Carolina (for 837P and 837I claims)
NCMCD
Professional
Medicaid of North Dakota
North Dakota Medicaid
NDMCD
Professional
Medicaid of Ohio
Ohio Medicaid
OHMCD
Professional
Medicaid of Oklahoma
OKMCD
Professional
Medicaid of Oregon
Oregon Medicaid
ORMCD
Professional
Medicaid of Pennsylvania
Pennsylvania Medicaid
Medicaid of Pennsylvania (837P
835s returned under SKPA0)
PAMCD
Professional
Medicaid of Rhode Island
RIMCD
Professional
Medicaid of South Carolina
South Carolina Medicaid
SCMCD
Professional
Medicaid of South Dakota
South Dakota Medicaid
SDMCD
Professional
Medicaid of Texas
Texas Medicaid
TXMCD
Professional
Medicaid of Vermont
Vermont Medicaid
VTMCD
Professional
Medicaid of Virginia
Virginia Medicaid
VAMCD
Professional
Medicaid of Washington DC
District of Columbia Medicaid
Medicaid of DC
DCMCD
Professional
Medicaid of Washington State
Washington Medicaid
Medicaid of Washington
WAMCD
Professional
Medicaid of West Virginia
West Virginia Medicaid
WVMCD
Professional
Medicaid of Wisconsin
Wisconsin Medicaid
WIMCD
Professional
Medicaid of Wyoming
Wyoming Medicaid
WYMCD
Professional
Medical Associates Health Plan
MAHP1
Professional
Medical Associates Health Plan/Health Choices
MAHC1
Professional
Medical Benefit Administration
Inc.
68041
Professional
Medical Benefits Mutual / MedBen
Medical Benefits Mutual Life Insurance Co.
74323
Professional
Medical Card System ( MCS )
L0170
Professional
Medical Eye Services
24245
Professional
Medical Mutual of Ohio
Premier Health Systems Inc.
29076
Professional
Medical Reimbursements of America
62177
Professional
Medical Services for Indigents
Glendale Physician's Alliance
AMM02
Professional
Medical Services Initiative
12057
Professional
Medical Value Plan - Ohio (MVP)
HAP/AHL/Curanet
38224
Professional
Medicare & Much More Florida Incorporated (Effective 1/1/19)
MMM of Florida
MMMFL
Professional
Medicare Blue
SX263
Professional
Medicare Blue Private
SX262
Professional
Medicare DME Jurisdiction A - Noridian
SDMEA
Professional
Medicare DME Jurisdiction B - CGS
SDMEB
Professional
Medicare DME Jurisdiction C - CGS
SDMEC
Professional
Medicare DME MAC Jurisdiction C
18003
Professional
Medicare of MO (For pre-existing providers) Eastern & Wests
Medicare Part B of Kansas City (ASK)
KCMCR
Professional
MEDICARE PART B Alaska
02102
Professional
MEDICARE PART B Arizona
03102
Professional
MEDICARE PART B HI
American Samoa
Guam
Northern Marianas
01212
Professional
MEDICARE PART B Idaho
02202
Professional
MEDICARE PART B Montana
03202
Professional
MEDICARE PART B Nevada
01312
Professional
MEDICARE PART B North Dakota
03302
Professional
MEDICARE PART B Northern California
01112
Professional
Medicare Part B of Alabama
ALMCR
Professional
Medicare Part B of Arkansas
ARMCR
Professional
Medicare Part B of Colorado
CO Medicare Part B
SMCO0
Professional
Medicare Part B of Connecticut
CTMCR
Professional
Medicare Part B of Delaware
00902
Professional
Medicare Part B of Florida
FLMCR
Professional
Medicare Part B of Georgia
GAMCR
Professional
Medicare Part B of Illinois
ILMCR
Professional
Medicare Part B of Indiana
INMCR
Professional
Medicare Part B of Iowa
IAMCR
Professional
Medicare Part B of Kansas
KSMCR
Professional
Medicare Part B of Kentucky
KYMCR
Professional
Medicare Part B of Louisiana
LAMCR
Professional
Medicare Part B of Maine
MEMCR
Professional
Medicare Part B of Maryland
00901
Professional
Medicare Part B of Massachusetts
MAMCR
Professional
Medicare Part B of Michigan
MIMCR
Professional
Medicare Part B of Minnesota
MNMCR
Professional
Medicare Part B of Mississippi
MSMCR
Professional
Medicare Part B of Missouri
Medicare Part B of MO (Eastern) (Specialty testing required)
MOMCR
Professional
Medicare Part B of Nebraska
NEMCR
Professional
Medicare Part B of New Hampshire
NHMCR
Professional
Medicare Part B of New Jersey
Medicare Part B of NJ (Specialty testing required)
NJMCR
Professional
Medicare Part B of New Mexico
NMMCR
Professional
Medicare Part B of New York (Empire)
NYMCR
Professional
Medicare Part B of North Carolina
NCMCR
Professional
Medicare Part B of Northern Mariana Islands
HIMCR
Professional
Medicare Part B of Ohio
OHMCR
Professional
Medicare Part B of Oklahoma
OKMCR
Professional
Medicare Part B of Pennsylvania
PAMCR
Professional
Medicare Part B of Rhode Island
RIMCR
Professional
Medicare Part B of South Carolina
SCMCR
Professional
Medicare Part B of Tennessee
TNMCR
Professional
Medicare Part B of Texas
TXMCR
Professional
Medicare Part B of Upstate NY
N1MCR
Professional
Medicare Part B of Vermont
VTMCR
Professional
Medicare Part B of Virginia
VAMCR
Professional
Medicare Part B of West Virginia
WVMCR
Professional
Medicare Part B of Western MO ( pre-existing providers only)
MWMCR
Professional
Medicare Part B of Wisconsin
WIMCR
Professional
MEDICARE PART B Oregon
02302
Professional
MEDICARE PART B South Dakota
03402
Professional
MEDICARE PART B Southern California
01182
Professional
MEDICARE PART B Utah
03502
Professional
MEDICARE PART B Washington
02402
Professional
MEDICARE PART B Wyoming
03602
Professional
Medicare Part B- N VA Prin George MontFairfax Arlington Cou
Medicare Part B of DC
00903
Professional
Medicare Plus Blue
SB710
Professional
Medicare Plus Blue
SX170
Professional
Medicare Railroad * (MetraHealth Medicare)
Medicare Railroad (MetraHealth Medicare)
RRWMC
Professional
Medicare y Mucho Mas ( MMM )
L0210
Professional
Medico Insurance Co
47012
Professional
Medico Insurance Company
Medico Insurance
23160
Professional
Medidian Management Services LLC.
J2379
Professional
Mediture
20039
Professional
Mediture IPA
AMM11
Professional
MedPartners (PHCS Repricing)
MedPartners (PHCS RepricingPO Box 10240 Fort Wayne
In 46857
441MP
Professional
MedPartners Administrative Services
35205
Professional
Medpartners
MedPartners Admin Services
412MP
Professional
Medrisk
J1956
Professional
MedSettlements LLC
21547
Professional
MedStar Family Choice
39190
Professional
Medstar Physician Partners
00243
Professional
Medstar Select/Medstar Medicare Choice
251MS
Professional
Mega Life Oklahoma City
59227
Professional
Meijer Stores
J1930
Professional
Memorial Care Medical Foundation
26080
Professional
Memorial Clinical Associates
MCA11
Professional
Memorial Clinical Associates SelectCare of Texas (MCA)
62181
Professional
Memorial Herman Health Network Providers
TH092
Professional
Memorial Hermann Health Network I Par Plus
Memorial Hermann Health Network
MHHNP
Professional
Memorial Integrated Healthcare
South Florida Community Care Network Commercial
59064
Professional
Memorial Medical Center - AllCare
85461
Professional
MemorialCare Medical Foundation
MMFMC
Professional
Mendota Insurance Company
33650
Professional
Mental Health Consultants Inc.
37050
Professional
Merchants Benefit Administration
86087
Professional
Mercury General Corporation
J2277
Professional
Mercy Care Plan (AHCCCS)
Mercy Care Plan of Arizona
86052
Professional
Mercy LIFE of Alabama
63002
Professional
Mercy Maricopa Integrated Care
33628
Professional
Mercy Provider Network
43185
Professional
MercyCare
39114
Professional
Meridian Health Plan Michigan
52563
Professional
Meridian Health Plan of Illinois Inc
13189
Professional
Meridian Health Plan of Michigan Inc.
83253
Professional
Meritage Medical Network
IP097
Professional
Meritain Health
64157
Professional
Meritain Health / Agency Services
64158
Professional
Meritain Health Minneapolis
41124
Professional
MetroPlus Health Plan
13265
Professional
Metropolitan Council
J1355
Professional
Metropolitan Property and Casualty Insurance Company
Metlife Auto & Home
C1011
Professional
Metropolitan Transit Athority
J1238
Professional
Metrowest HealthPlan
TH068
Professional
Metrowest Star Medicaid
TH069
Professional
Mettler-Tole
J3315
Professional
MFC & HealthPlus Peoria
23550
Professional
MHNET
74289
Professional
MI Blue Care HMO (BCN of MI-835s returned MIBLS)
Michigan Blue Care HMO (BCN of Michigan)
MIBCN
Professional
MI Medicare Part B (J8)
SMMI0
Professional
Miami Behavioral Health
92579
Professional
Miami Children's Health Plan
82832
Professional
Michael Kors
J2280
Professional
Michigan Education Special
381640
Professional
Michigan Employee Benefit
15529
Professional
Michigan Medicaid
SKMI0
Professional
Michigan Medicaid - Add Michigan Medicaid - BCCP as Alias
SKMI1
Professional
Michigan Medicare PlusBlue (835s returned under MIBLS)
Michigan Medicare PlusBlue
MIMPB
Professional
Michigan Millers Mutual
J1988
Professional
Micron Tech
96598
Professional
MID Rogue Oregon Health Plan
MD Rogue Oregon Health Plan
MRIPA
Professional
Mid-America Associates
Mid-America Associates Inc.
37281
Professional
Mid-American Benefits
22823
Professional
Mid-West Behavioral Health Network
MVBCN
Professional
MidCoast IPA
77012
Professional
Midlands Choice Inc.
47080
Professional
Midwest Drywall (via EMC Risk Services)
J1119
Professional
Midwest Family Mutual
C1051
Professional
Midwest Family Mutual Insurance Co
J1685
Professional
Midwest Group Administrators
61144
Professional
Midwest Group Benefits
61146
Professional
Midwest Health Partners
76079
Professional
Midwest Health Plan
Midwest Health Plans
INC.
MHP77
Professional
Midwest Health Plans Inc.
TH074
Professional
Midwest Physicians Administrative Services
TH088
Professional
Millard Refrigerated
J1482
Professional
Millennium Risk Services
J2324
Professional
Mills Peninsula Medical Group
MPMG1
Professional
Minnesota Counties Ins Trust (MCIT)
J1351
Professional
MINNESOTA DEPARTMENT OF HEALTH- SAGE PROGRAMS
MNDH1
Professional
Minnesota Insurance Guaranty Association
J2094
Professional
Minnesota Medicaid
SKMN0
Professional
Minuteman Health Inc
01776
Professional
MISS SELECT HLTH CARE/SELECT ADMN SERVICE
MS Select Healthcare (Mississippi Select Health Care)
64088
Professional
Mission Community IPA Med Grp
MPM07
Professional
Mississippi Department of Public Safety
J2371
Professional
Mississippi Department of Transportation
J2372
Professional
Mississippi Health Partners
64068
Professional
Mississippi Medicaid
SKMS0
Professional
Mississippi Physicians Care Network
64084
Professional
Mississippi Public Entity Employee Benefit Trust
MPEEBT/ MPE Services Inc.
37233
Professional
Mississippi School Boards WC Trust
J2373
Professional
Missoula County Medical Benefits
37275
Professional
Missouri Medicaid
SKMO0
Professional
Missouri Medicaid
Medicaid of Missouri
MOMCD
Professional
Missouri Medicare Select
MMS01
Professional
Mitchell Energy & Devel
J1085
Professional
Mitsui Sumitomo Insurance Group
J1692
Professional
Mitsui Sumitomo Insurance USA Inc.
J1694
Professional
ML Healthcare
26097
Professional
MMIC
J1622
Professional
MMM - Medicare y mucho Mas
88600
Professional
MN Medicare Part B (J6)
SMMN0
Professional
MN-Depart of Labor & Industry-Claim Services & Investigation
J1436
Professional
MO Medicare Part B East (J5 - WPS)
SMMO0
Professional
Moda Health
ODS Health Plan
13350
Professional
Molina Advantage
Molina Healthcare of California (Claims only)
38333
Professional
Molina Health Care of Illinois
Molina Healthcare of Illinois (Claims Only)
20934
Professional
Molina Health Care of Michigan
Molina Healthcare of Michigan (Claims Only)
38334
Professional
Molina Health Care of Texas
Molina Healthcare of Texas (Claims Only)
20554
Professional
Molina Healthcare of California (Encounters Only)
33373
Professional
Molina Healthcare of Florida (Encounters Only)
00513
Professional
Molina Healthcare of Florida
Molina Healthcare of Florida (Claims Only)
51062
Professional
Molina Healthcare of Idaho
61799
Professional
Molina Healthcare of Michigan PAR
22710
Professional
Molina Healthcare of Mississippi
77010
Professional
Molina Healthcare of New Mexico
NM505
Professional
Molina Healthcare of New Mexico - SCI
Molina Healcare of New Mexico - SCI
04423
Professional
Molina Healthcare of New Mexico (Claims Only)
09824
Professional
Molina Healthcare of Ohio
20149
Professional
Molina Healthcare of Puerto Rico (Claims Only)
81794
Professional
Molina Healthcare of South Carolina
Molina Healthcare South Carolina (Claims Only)
46299
Professional
MOLINA HEALTHCARE OF UTAH
SX109
Professional
Molina Healthcare of Virginia
26176
Professional
Molina Healthcare of Washington (Encounters Only)
43174
Professional
Molina Healthcare of Washington
Molina Healthcare of Washington (Claims Only)
38336
Professional
Molina Healthcare of Wisconsin
Molina Healthcare of Wisconsin (Claims Only)
ABRI1
Professional
Monarch IPA
IP095
Professional
Monitor Life Insurance Company
16098
Professional
Monitor Life
Monitor Life (secondary claims only
Medicare cannot be prim
01759
Professional
Montana Medicaid
SKMT0
Professional
Montana Medicaid
Medicaid of Montana
MTMCD
Professional
Montefiore Contract Management Organization
13174
Professional
Montefiore HMO
46161
Professional
Monterey Bay Area Self Insurance Authority
J2219
Professional
Monterey Bay IPA
MBIPA
Professional
Montgomery
J1424
Professional
Montgomery County Self-Insurance Program (MD)
J1890
Professional
Montgomery County Texas
A0179
Professional
Monument Administrators - Victory Comp
J1530
Professional
Monumental Life
Monumental Life Ins Co.
MMLIC
Professional
Morongo Basin Transit Authority (CA)
J1651
Professional
Morris Associates
35092
Professional
Morris Material Handling
J1086
Professional
Morrison Health Care Inc.
J1087
Professional
Morton ISD
J1127
Professional
Motion Picture Ind Health Plan ( processed by Anthem BC CA)
MPI01
Professional
MotivHealth Insurance Company
U7632
Professional
Mountain State Blue Cross and Blue Shield
SB941
Professional
Mountain State
Mountain States Administrators (COLORADO ONLY)
MTNST
Professional
MRIPA AllCare CCO
26161
Professional
MS Medicare Part B (J7)
SMMS0
Professional
MSA Care Guard
MSA CareGuard
20572
Professional
MSH REIMBURS
26227
Professional
Mt. Carmel Health
95655
Professional
MTS
J1641
Professional
Muleshoe ISD
J1128
Professional
Multnomah County
MLTOT
Professional
Munford Inc.
J1088
Professional
Municipal Health Benefit Fund
81883
Professional
Municipal Pooling Authority
J2141
Professional
Murphy and Bean
J2380
Professional
Muskegon Care
A1681
Professional
Mutual Health Services
34192
Professional
Mutual of Omaha Medicare Advantage
82275
Professional
Mutual of Omaha
United of Omaha
71412
Professional
MVP Health Plan of New York
14165
Professional
My Family Medical Group
33020
Professional
myNEXUS Anthem
34009
Professional
MyNexus
Inc.
32043
Professional
NAA (North America Administrators L.P.) (Nashville TN)
65085
Professional
NAHGA Inc.
67788
Professional
NAMCI/Global Care
L0110
Professional
Nap Tools (via EMC Risk Services)
J1120
Professional
NAPHCARE INC.
58182
Professional
Nascentia Health
31626
Professional
National Allied Workers Union Local 831
CB148
Professional
National American Insurance Co (NAICO)
J1695
Professional
National Association of Letter Carriers (NALC)
National Rural Letter Carrier Association (NALC)
National Association of Letter Carriers/NALC
53011
Professional
National Capital Area
NCABS
Professional
National Capital Preferred Provider Organization (NCPPO)
90001
Professional
National Elevator
National Elevator Industry Benefit Plan (NEIB)
CX045
Professional
National General
ASHC1
Professional
National Health Benefit
88057
Professional
National Health Insurance Company
75275
Professional
National Imaging Associates
SX190
Professional
National Interstate
32620
Professional
National Interstate (TX) 32620
13978
Professional
National Loss Prevention Inc
J1021
Professional
National Rural Electric
52132
Professional
National Teachers Association (NTA)
NTA11
Professional
National Telecommunications Cooperative Assoc (NTCA - Staff)
52104
Professional
National Telecommunications Cooperative Association
52120
Professional
National Telecommunications Cooperative Association (NTCA)
52103
Professional
National Vision
NVADM
Professional
Nationwide Agribusiness Ins Co
J1551
Professional
Nationwide Mutual Insurance Company
Nationwide Property And Casualty Ins Co
J1552
Professional
Navistar Inc
J1558
Professional
NBC Universal
J1359
Professional
NC Medicare Part B (J11)
SMNC0
Professional
NE Medicare Part B (J5 - WPS)
SMNE0
Professional
Nebraska Blue Cross Blue Shield
Blue Shield of Nebraska
NEBLS
Professional
Nebraska Medicaid
SKNE0
Professional
Nebraska Medicaid
Medicaid of Nebraska
NEMCD
Professional
Neighborhood Health Partnership (NHP)
96107
Professional
Neighborhood Health Plan of RI - Commercial Products & INTEG
96240
Professional
Neighborhood Health Plan of RI - Medicaid and UNITY
05047
Professional
Network Health Insurance Corp-Medicare
77076
Professional
Network Health Massachusetts (TUFTS)
Tufts Health Plan Public Plans
Network Health
04332
Professional
Network Health Plan
39144
Professional
Network Health PPO
AMS01
Professional
Network Solutions IPA
NSIPA
Professional
Nevada Anthem Blue Cross Blue Shield
Blue Shield of Nevada
Nevada Anthem Blue Cross and Blue Shield
NVBLS
Professional
Nevada Medicaid - First Health Services Corp
SKNV0
Professional
NevadaCare Kids (Provider ID Required)
86067
Professional
New Avenues Inc.
95998
Professional
New Century Health
NCHCA
Professional
New Century Health - Arizona Integra
NCHON
Professional
New Century Health - IEHP Oncology
NCH11
Professional
New Century Health - Vista Cardiology
NCH09
Professional
New Century Health Arizona Integrated Physicians
NCHOR
Professional
New Hampshire Anthem Blue Cross Blue Shield
Blue Shield of New Hampshire
New Hampshire Anthem Blue Cross and Blue Shield
NHBLS
Professional
New Hampshire Medicaid
SKNH0
Professional
New Jersey Manufacturing - Auto Only
C1048
Professional
New Jersey Manufacturing (NJM)
12122
Professional
New Jersey Medicaid
SKNJ0
Professional
New Koosharem Corp/Select Staffing (DOI after 7/31/2014)
J1875
Professional
New Mexico Blue Cross Blue Shield
Blue Shield of New Mexico
Lovelace Sandia Health Plan (Acquired by Blue Shield of NM)
NMBLS
Professional
New Mexico Health Connections
45129
Professional
New Mexico Medicaid
SKNM0
Professional
New Mexico Mutual
J2147
Professional
New Mexico Public Schools Insurance Authority
85036
Professional
New South Insurance Co.
C1028
Professional
New West Health Services
SX164
Professional
New York Blue Cross Blue Shield (Empire)
Blue Shield of New York (Empire)
NYBLS
Professional
New York Hotel Trade Council
New York Hotel Fund
7707C
Professional
New York Life
TH122
Professional
New York Life - Long Term Care I Par Plus
New York Life - Long Term Care
NYL11
Professional
New York Medicaid
SKNY0
Professional
New York Network Management
11334
Professional
New York State Insurance Fund (NYSIF)
45052
Professional
Next Level Administration
J2331
Professional
Next Level Health Partners
69821
Professional
NH Medicare Part B (JK - NGS)
SMNH0
Professional
NHBCAUX
88050
Professional
NHC Advantage
NHC01
Professional
nHealth
58379
Professional
Niagara Bottling LLC
J2261
Professional
Nippon Life Insurance (Principal Financial Group)
Nippon Life Insurance Company of America
81264
Professional
NJ Carpenters Health Fund
22603
Professional
NJ Medicare Part B (MAC JL)
SMNJ0
Professional
NM Medicare Part B J4
SMNM0
Professional
No Fault Service Corp
J2087
Professional
NonProfit insurance Trust
J1845
Professional
Nordstrom Inc.
J1360
Professional
North American Benefits Network ((Cleveland OH)
North American Benefits Network (Cleveland OH)
34159
Professional
NORTH AMERICAN INSURANCE COMPANY d/b/a Oxford Life
76112
Professional
North American Medical Management (NAMM) - Southern CA
North American Medical Management (NAMM) - Northern CA
E3510
Professional
North Bay Schools Insurance Authority
J1549
Professional
North Carolina Blue Cross Blue Shield
Blue Shield of North Carolina
NCBLS
Professional
North Carolina Department of Public Safety (NC DPS)
74256
Professional
North Carolina Farm Bureau
J1825
Professional
North Carolina League of Municipalities
J1772
Professional
North Carolina Medicaid
SKNC0
Professional
North Dakota Blue Cross Blue Shield
Blue Shield of North Dakota
NDBLS
Professional
North Dakota Medicaid
SKND0
Professional
North East Independent School District (NEISD)
J1872
Professional
North Forest IDS
J2238
Professional
North Shore - LIJ (Healthfirst)
17516
Professional
North Star Mutual Insurance Co.
J2356
Professional
North Texas Healthcare Network
35212
Professional
Northeast Georgia Health Services
58169
Professional
Northern California Advantage Medical Group
NCA01
Professional
Northern Claims Management
J1923
Professional
Northern Illinois Health Plan
36347
Professional
Northern Kentucky University
J1943
Professional
Northern Nevada Trust Fund
88027
Professional
Northland Auto
C1031
Professional
Northridge Medical Group
NMG01
Professional
NorthShore Physician Associates
48026
Professional
NorthStar Advantage
NSA01
Professional
Northwest Administrators Inc.
91068
Professional
Northwest Diagnostic Clinic/SelectCare of Texas (NWDC)
62119
Professional
Northwest Physicians Network
NPN11
Professional
Northwest Suburban IPA (Illinois)
36346
Professional
Northwood
Northwood Healthcare
NWOOD
Professional
Norwood
J1089
Professional
Nova Healthcare Administrators
Inc. (Grand Island
NY)
Niagara County Health Plan (administered by Nova)
NOVA Healthcare Administrators NY
16644
Professional
Novare
J2254
Professional
Novasys Health Network
71080
Professional
NPS
22262
Professional
NY Central FEP (Federal Employee Program) Blue Shield
N2FEP
Professional
NY Medicare Part B Downstate (J13 - NGS)
SMNY0
Professional
NY Medicare Part B Queens (J13 - NGS)
SMNY2
Professional
NY Medicare Part B Upstate (J13 - NGS)
SMNY1
Professional
Nyhart
37299
Professional
NYS DOH UCP
14142
Professional
O'Reilly Auto Parts
J1670
Professional
Oak Street Health
OAKST
Professional
Oak West Physician Association
36400
Professional
Oak West Primary Physician Association
NAOAK
Professional
Oasis IPA
DESRT
Professional
Occusystems
J2294
Professional
Ocular Benefits
L0140
Professional
OH MEDICARE B (MAC J15) CGS
SMOH0
Professional
Ohio Anthem Blue Cross Blue Shield
Blue Shield of Ohio
Ohio Anthem Blue Cross and Blue Shield
OHBLS
Professional
Ohio Benefit Administrators
R0755
Professional
Ohio Casualty Group
24074
Professional
Ohio Health Choice PPO
34189
Professional
Ohio Medicaid
SKOH0
Professional
Ohio PPO Connect
Ohio Connect (837I & 827P)
74431
Professional
OK Medicare Part B
SMOK0
Professional
Oklahoma Blue Cross Blue Shield
Blue Shield of Oklahoma
OKBLS
Professional
Oklahoma DRS DOC
71065
Professional
Oklahoma Medicaid
SKOK0
Professional
Old Republic Insurance Co
24147
Professional
Old Surety Life Insurance Company
29237
Professional
OLOLRMC Uninsured Patient Services Program
OLRMC
Professional
Olympus Managed Health Care
65074
Professional
OMNI Ad/CHP Chiro claims only Enroll required 801-352-7270
Chiropractic Health Plans (CHP)
U1439
Professional
OMNI/Medicore HP
68037
Professional
Omnicare - JVHL
27590
Professional
OmniCare (For claims with Dates of Service after 10/01/04)
OMNICARE- Coventry Health Plan of MI
25150
Professional
Omnicare IPA
OMN02
Professional
Oncology Network of Orange County.
ONOCI
Professional
One Beacon
20621
Professional
One Beacon Insurance - Auto
C1026
Professional
One Call Diagnostics (formerly known as One Call Medical)
One Call Medical
22321
Professional
One Call Equipment and Devices (formerly known as MSC)
80019
Professional
One Call Physical Therapy
J1716
Professional
OneCare
57116
Professional
OPEIU Locals 30 & 537
BPA01
Professional
Operating Engineers Local 428
86602
Professional
Opticare Eye Health Network
Envolve Benefit Options (formerly OptiCare Managed Vision)
56190
Professional
Optimum Choice of the Carolinas Inc. (OCCI)
52152
Professional
Optimum Healthcare Inc.
20133
Professional
Optum Medical Network (previously Lifeprint)
Optum Medical Network / AZ UT (formerly Lifeprint Network)
OptumCare / AZ
UT (formerly Lifeprint Network)
LIFE1
Professional
Optumcare Network of Connecticut
E3287
Professional
OptumHealth /OptumHealth - Physical Health (includes Oxford)
OptumHealth Physical Health-includes Oxford form ACN & ACNIP
41161
Professional
OptumHealth Care Solutions formerly United Resource Networks
OptumHealth Cmplx Med Cond CMC-OptumHealth Care Sol&Utd Res
CMC
41194
Professional
OptumHealth Care Solutions formerly United Resources Network
52190
Professional
OptumHealth Physical Health-incl Oxford formerly ACN & ACNIP
41160
Professional
Orange Coast Memorial IPA
MHIPA
Professional
Orange County Fire Authority
J1876
Professional
Orange County Health Care Agency
65021
Professional
Orchard Supply Company (Bunch CareSolutions)
J1962
Professional
Oregon Blue Cross Blue Shield (Regence)
Blue Shield of Oregon
ORBLS
Professional
Oregon Health Mgmt OHMS aka Primary Health of Josephine
OHMSP
Professional
Oregon Medicaid
SKOR0
Professional
Oregon's Health CO-OP
45332
Professional
Orica Inc.
J1090
Professional
Orthonet - Uniformed Services Family Health Plan
13382
Professional
Orthonet Corporation - AETNA
13383
Professional
Oscar Health
OSCAR
Professional
OSF Healthcare Central
OSFC9
Professional
OSF Healthcare East
OSFE9
Professional
OSG-Michael Reese
37127
Professional
OSI Group LLC.
J1904
Professional
OSMA Health - C. L. Frates
73071
Professional
Outsource One Inc
41173
Professional
Oxford Health Plans
UnitedHealthcare / Oxford
UnitedHealthcare (Oxford Health Plans)
06111
Professional
P3 Health Partners -Arizona
58375
Professional
P5 Health
87068
Professional
PA Medicare Part B (MAC JL)
SMPA0
Professional
PACE Central Iowa
72436
Professional
PACE CNY
70454
Professional
PACE Greater New Orleans
21614
Professional
PACE Nebraska
35416
Professional
PACE of Southwest Michigan Inc
45114
Professional
PACE Southeast Michigan
86711
Professional
PACE SouthWest Iowa
53534
Professional
Pacific Coast Buliding Products
J1808
Professional
Pacific Compensation Insurance Company
J1913
Professional
Pacific Dental Services
J1806
Professional
Pacific Gas and Elecric - 115
J1916
Professional
Pacific IPA
PCFCI
Professional
Pacific Southwest Administrators (PSWA)
Pacific Southwest Administrators
75309
Professional
Pacific Sunwear
J1805
Professional
PacificSource Community Solutions
20416
Professional
PacificSource Health Plans
93029
Professional
PacificSource Medicare
20377
Professional
Pacificsource OHP
COIHS
Professional
Paladin ISL
J1827
Professional
Paladin Managed Care Services Inc.
J1475
Professional
Palic ( Panamerican Life Insurance Company of Puerto Rico )
L0180
Professional
Palo Alto Medical Foundation
94115
Professional
Palo Alto Medical Foundation
IP132
Professional
Pan American Life Insurance Group
04218
Professional
Papa John's International Inc
J1091
Professional
Paradigm
J1001
Professional
Paradigm Senior Care Advantage
52352
Professional
Paramount
Paramount Care
SX158
Professional
Park District Risk Management Association (PDRMA)
J1365
Professional
Parkland Community Health Plan
66917
Professional
Partners Behavioral Health Management
52613
Professional
Partners Behavioral Health
Partners Behavioral Health Management
13141
Professional
Partners in Health
PARTH
Professional
Partnership Health of California-CAPHP
SX140
Professional
Partnership Health Plan contact OptumInsight Enrollments Dep
Partnership Health Plan of CA
PHP02
Professional
Passport Advantage
66008
Professional
Passport Advantage
97652
Professional
Patient Access
PAN01
Professional
Patient Advocates LLC
10525
Professional
Patient Physician Cooperatives
20510
Professional
PATIENTPAY
26335
Professional
Payer Fusion
27048
Professional
Peak Pace Solutions LLC
27034
Professional
Pebble Beach
J2231
Professional
Pediatric Associates
20472
Professional
Pediatric Services Holding Corp - Psa Healthcare
J1989
Professional
Peerless
J1423
Professional
PEF Clinic
PEF01
Professional
Peg Discover Re
J1092
Professional
Peg Discover Re (Foood Merchant)
J1054
Professional
Pegasus Risk Management CA
J1924
Professional
Pegi-Family Dining
J1093
Professional
Pekin Life Insurance Company
37086
Professional
Penn Behavioral Health
53226
Professional
Penn Millers insurance Co
J1573
Professional
Pennsylvania Blue Cross Blue Shield (Highmark)
Blue Shield of Pennsylvania
PABLS
Professional
Pennsylvania Keystone Health Plan East (claims only)
PAKeystone Health Plan East (claims(835s returnedPAKEY)
PCBLS
Professional
Pennsylvania Keystone Health Plan East (encounters only)
PA Keystone Health Plan E(encounters only-835s return PAKEY)
PEBLS
Professional
Pennsylvania Life Insurance
23130
Professional
Pennsylvania Manufacturing Associates
J1439
Professional
Pennsylvania Medicaid
SKPA0
Professional
Pennsylvania Pace
20172
Professional
People 2.0
J1466
Professional
Peoples Health Network
72126
Professional
Pequot Plus Health Benefit Administrators
Mashantucket Pequot Tribal Nation
37121
Professional
Performance Contracting Inc
J1940
Professional
Performance Food Group
J2390
Professional
PerformCare - HealthChoices
65391
Professional
Personal Choice PPO of PA (Also know as Independent BLC)
Personal Choice PPO / Ind BLC (835s returned under PAKEY)
54704
Professional
Personal Insurance Administrators Inc. (Agoura Hills CA)
95397
Professional
Pharmacist Mutual Insurance Co.
J1570
Professional
PHC/PHP
95411
Professional
PHCS Savility (ONLY for Savility card members.)
PHCS Savility
13306
Professional
PHCS/Cigna
72099
Professional
Phh Fleetamerica
J1094
Professional
Phillips-Van heusen Corporation (PYH Corp)
J2281
Professional
Phoenix Choice
55649
Professional
Phoenix Health Plan
03440
Professional
Phy Choice Med Grp San Luis ObispoSan Luis Obispo Select IPA
SLOS1
Professional
Physicans of Southwest Washington
91171
Professional
Physician Associates of Greater San Gabriel Valley
Physician Associates of the Greater San Gabriel Valley
PA513
Professional
Physician Health Coop/SRRIPA Stones River Reg IPA Humana 837
57549
Professional
Physician Partners FHN Medicaid
PPRT1
Professional
Physicians Care Network (ASR Corporation)
38265
Professional
Physicians Care Network (Rockford IL only)
36345
Professional
Physicians Care Network/The Polyclinic
PCN12
Professional
Physicians Care of CA
30705
Professional
Physicians Choice Medical Group of Santa Maria
MCI01
Professional
Physicians Corporation of America (Florida Plan Only)
65018
Professional
Physicians Health Association of Illinois
37136
Professional
Physicians Health Choice - Encounters
TH114
Professional
Physicians Health Collaborative
20398
Professional
Physicians Health Network
MHCM2
MHM03
Professional
Physicians Health Plan (PHP-SC)
09173
Professional
Physicians Health Plan of Northern Indiana (837P and 837I)
Physicians Health Plan of Northern Indiana (Fort Wayne IN)
Physicians Health Plan of Northern Indiana Inc
12399
Professional
Physicians Health Plan PHP South Michigan
PHP of Michigan
37330
Professional
Physicians Healthways IPA
PHIPA
Professional
Physicians Medical Group of San Jose
EXC01
Professional
Physicians Medical Group of Santa Cruz County
PMGSC
Professional
Physicians Mutual Insurance Company
47027
Professional
Physicians Plus
Physicians Plus Insurance Corporation
39156
Professional
Physicians United Plan
TH131
Professional
PhysMetrics
48008
Professional
Piedmont WellStar Health Plan
251PD
Professional
Pier 1 Inc. USA
J1369
Professional
PIH Health (Formerly Bright Health Plan)
Bright Health Plan
BHP01
Professional
Pinnacle Medical Group
95271
Professional
Pinnacle Physician Management ORG
45985
Professional
Pinnacol Assurance
84109
Professional
Pioneer Medical Group
PIONR
Professional
Pioneer Provider Network
PPNZZ
Professional
Pittsburgh Care Partnership Inc.
23283
Professional
Placer County
J2232
Professional
Plan de Salud Hospital Menonita
L0190
Professional
Planned Administrators Inc.
Planned Administrators
Inc.
37287
Professional
Plano Independent School District
J2381
Professional
PMG of San Jose
PMGSJ
Professional
PODIATRY NETWORK FL
59324
Professional
Point Comfort Underwriters
PCU01
PCU02
Professional
Pokagon Health Services
78535
Professional
Polyone (Bunch Care Solutions)
J2246
Professional
POMCO (Electronic)
J2004
Professional
Pomona Valley Hospital Medical Center
95111
Professional
Port of Oakland (CA)
J1627
Professional
Ports America (National)
J2146
Professional
PPOM LLC
38335
Professional
PPOONE
UHNDC
Professional
PPOPlus LLC
72148
Professional
PR Medicare Part B (J9 - First Coast)
SMPR0
Professional
Prairie States Enterprises Inc.
36373
Professional
Preferred Administrator I Par Plus
Preferred Admin (Provider Relations @ (915)532-2778
x1068)
EPF10
Professional
PREFERRED BEN ADMIN
Preferred Health Systems Insurance Co (PPO)
61665
Professional
Preferred Benefit Administrators
53476
Professional
Preferred Care Partners – Florida
Preferred Care Partners Florida
Preferred Care Partners
65088
Professional
Preferred Community Choice/PCCSelect/CompMed
73145
Professional
Preferred Employers
J1095
Professional
Preferred Employers Group
J1096
Professional
Preferred Employers Insurance Company (PEI)
J1496
Professional
Preferred Health Plan (Louisville KY)
61106
Professional
Preferred Health Plan of the Carolinas
CB404
Professional
Preferred Health Professionals
31478
Professional
Preferred Health Professionals Kansas City
Florida Medicaid
00036
Professional
Preferred Health System
Preferred Health Systems
Inc.
60110
Professional
Preferred IPA
PFIPA
Professional
Preferred Med Grp
AKA Vantage
AmeriWest
Cal Care
LAMC
Vantage Medical Group
PPM01
Professional
Preferred Medical Claims Services
21524
Professional
Preferred Medicare
L0250
Professional
Preferred Network Access Inc.
36401
Professional
PreferredOne (MN)
41147
Professional
Premier Eye Care
65054
Professional
Premier Health Plan
251PR
Professional
Premier HealthCare Exchange
88056
Professional
Premier Healthcare Exchange Inc. (PHX)
88051
Professional
Premier Physician Network
MPM22
Professional
Presbyterian Health Plan
PREHP
Professional
Presbyterian Health Plan (NM)
05003
Professional
Presbyterian Salud
Presbyterian Salud (Please add provider number in 2010AA REF02 or 2310B REF02 Number is 11 digits or less. Contact 888-923-5757
#6
#2 to obtain ID.)
PRESA
Professional
Presence ERC
46311
Professional
Presence Health Partners/FKA Resurrection Health Care Prefer
36396
Professional
Prestige Health Choice
77003
Professional
Primaria VillageMD of Central Indiana
13027
Professional
Primary Care Assoc of CA (Customer Service877-602-1563)
PCACZ
Professional
Primary Care of Joliet
PCJOL
Professional
Primary Health Network
82048
Professional
Prime Community Care Central Valley
Prime Community Care of Central Valley(837I & 837P)
MVCV1
Professional
Prime Health Choice
81502
Professional
Prime Healthcare
J1673
Professional
PrimeCare Health Plan
IP079
Professional
PrimeSource Health Network
The Preferred Healthcare System - PPO Altoona
PA
04320
Professional
PrimeWest Health
61604
Professional
Prince George's County Government (MD)
J1891
Professional
Principal Financial Group
Principal Life (Principal Financial Group)
61271
Professional
Priority Health
38217
Professional
Prism Network Inc.
37268
Professional
Prism-Univera
37315
Professional
Prodegi
U8151
Professional
Productive Processing Inc.
13396
Professional
Productive Programming Inc.
13360
Professional
Professional Benefit Administrators Inc. (Oak Brook IL)
Professional Benefit Administrators
36331
Professional
Professional Benefits Services Inc.
38303
Professional
Professional Claims Management
J1821
Professional
Professional Claims Manangement
56001
Professional
Progessive Northern Insurance Company
J1786
Professional
Progessive Specialty Insurance Company
J1784
Professional
Progressive
J1748
Professional
Progressive Classic Insurance Company
J1788
Professional
Progressive Commercial Casualty Company
J1779
Professional
Progressive Direct Insurance Company
J1780
Professional
Progressive Max Insurance Company
J1783
Professional
Progressive Northwestern Insurance Company
J1787
Professional
Progressive Preferred Insurance Company
J1785
Professional
Progressive Premier Insurance Company
J1781
Professional
Progyny
PROGY
Professional
ProMed HealthCare Administrators
IP057
Professional
Prominence Health Plan
88029
Professional
Prominence Health Plan of Nevada
93082
Professional
Prominence Health Plan of Texas
80095
Professional
Prospect La Care - Medpoint
MPM16
Professional
Prospect Medical Holdings
J2339
Professional
Protective Insurance Co
J1568
Professional
Protective Life Insurance Company
37309
Professional
PROVIDENCE HEALTH PLAN
PHMD1
Professional
PROVIDENCE HEALTH PLAN MEDICARE
PHMD2
Professional
PROVIDENCE HEALTH PLAN OHP
PHMD3
Professional
Providence Insurance & Administrative Services
Providence Administrative Services
PAS01
Professional
Providence of Oregon Health Plan
SX133
Professional
Providence PPO
SX187
Professional
Providence Preferred (PPO) (ProviderID & Enrollment required
PHP00
Professional
ProviDRs Care Network
48100
Professional
Prudent Medical Group
MPM25
Professional
Pruitt Health Premier
PH001
Professional
PruittHealth Premier NC/SC
PHPC1
Professional
PSKW
PSKW0
Professional
PUBLIC EMPLOYEES HEALTH PROGRAM
PEHP
SX106
Professional
Publix Super Markets Inc.
J1897
Professional
QBE - General Casualty - Eden Prairie
J1485
Professional
QBE - General Casualty - Farmers Union
J1483
Professional
QBE - General Casualty - Freeport
J1486
Professional
QBE - General Casualty - Indianapolis
J1487
Professional
QBE - General Casualty - Simsbury
J1488
Professional
QBE - General Casualty - Sun Prairie
J1489
Professional
QBE - General Casualty - West Des Moines
J1490
Professional
QCPI Village MD of Georgia (GA)
42636
Professional
QPS Employment Group
J1609
Professional
Quad City Community Healthcare (QCCH)
40437
Professional
QualCare Inc.
23342
Professional
QualChoice
35174
Professional
Quality Care Partners
89461
Professional
Quality Health Plans of New York
88622
Professional
Quality Plan Administrator Inc
CX077
Professional
QuantumCare (We Care Health Plan)
QCTPA
Professional
Quartz ASO
46571
Professional
Quest Behavioral Health
44219
Professional
Questcare Medical (USC)
84562
Professional
QuikTrip
73067
Professional
QVI Risk Solutions Inc.
57117
Professional
Rady Children's Hospital
33065
Professional
Rady Children's Network
Rady Children's Health Network
RCHN1
Professional
Railroad Medicare (PGBA)
SRRGA
Professional
Raley's Family of Fine Stores
J1522
Professional
Ralph Lauren
J1938
Professional
Ram Mutual Insurance Company
J1894
Professional
Rampart Insurance Company
38512
Professional
Ramsey County (MN)
J1663
Professional
Rancho Santiago Community College District (CA)
J1635
Professional
RBMS LLC
91176
Professional
Recology
J1675
Professional
Red Oak Independent School District
A0205
Professional
Redlands IPA (Synermed)
SYMED
Professional
Redlands Yucaipa Medical Group
18247
Professional
Redwood Empire Municipal Insurance Fund (REMIF)
J2205
Professional
Redwood Empire Schools Insurance Group (RESIG)
J2208
Professional
Redwood Fire and Casualty Insurance Company (Member of BHHC)
20044
Professional
Regal Medical Group
95449
Professional
Regal Medical Group
REGAL
Professional
Regence Blue Cross Blue Shield of Oregon
SB850
Professional
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)
U1100
Professional
Regence Blue Shield of Idaho
SB611
Professional
Regence Blue Shield of Washington
SB931
Professional
Regence Group Administrators
RGA01
Professional
Regency Employee Benefits
38221
Professional
Regional Care Inc.
Regional Care Incorporated
47076
Professional
Regis Brands
J1467
Professional
Rehn and Associates
REHNA
Professional
RELIASTAR (Formerly NWNL)
PH018
Professional
ReliaStar (now known as CoreStar formerly NW National Life)
CoreStar AZ MN ( PayerID of 35182 Old ID will start reject
41045
Professional
Renaissance Physicians Organization
76066
Professional
Reny Company
J2328
Professional
Republic Franklin Insurance
12475
Professional
Republic Indemnity Company of America
J1008
Professional
Republic Western Ins. Co.
J1597
Professional
Reserve National Insurance
73066
Professional
Residential Services Group
J1097
Professional
Resolute Forest Products
J1954
Professional
Resolve Health Plan Ad (Auth # required: begins w5 &13len
20481
Professional
Resolve Health Plan Administrators LLC
RHA01
Professional
Resolve/Solarte Health Inc.
CB695
Professional
ResourceOne Administrators
20333
Professional
ResourceOne Administrators
37278
58200
Professional
Restaurant Reinsurance Limited
J1098
Professional
Resurrection Physician Provider Group
RPPG1
Professional
Retailer's First
J1437
Professional
Retiree Health Trust
26316
Professional
Return to Work (RTW)
J1202
Professional
Revclaims
RVC01
Professional
Revmed
J1848
Professional
Rhode Island Blue Cross Blue Shield
Blue Shield of Rhode Island
RIBLS
Professional
Rhode Island Inter-Local Risk Management Trust Inc.
J2239
Professional
Rhode Island Medicaid
SKRI0
Professional
Rhone-Poulenc inc
J1099
Professional
RI Medicare Part B (JK - NGS)
SMRI0
Professional
Rieth-Riley Construction Company
J1100
Professional
Right Care from Scott & White
74205
Professional
RightChoice Benefit Administrators
37331
Professional
Risk Administration Services
J1828
Professional
Risk Transfer Technologies Inc.
J1101
Professional
River City Medical Group
RCMG1
Professional
Riverport Insurance (MN School Board Association)
J1546
Professional
Riverside County Foundation For Medical Care
95211
Professional
Riverside Medical Clinic
RMC01
Professional
Riverside San Bernaardino County Indian Health Inc
50664
Professional
RiverSpring at Home
80051
Professional
RiverSpring FIDA Plan
17818
Professional
RiverSprint Star
81781
Professional
Rockford Mutual Insurance Company
27065
Professional
Rockwood Casualty Insurance
J1906
Professional
Rocky Mountain Health Plan - Grand Junction
SX141
Professional
Roth Staffing Companies
J1023
J1056
Professional
RSC Insurance Services Ltd.
J1102
Professional
Rush Prudential Health Plans (HMO Only)
36389
Professional
Ryan White Network
Custody Medical Services
AMM03
Professional
S & S Healthcare Strategies
S&S Healthcare Strategies
31441
Professional
SA Recycling LLC
J1728
Professional
Sacramento Regional Transit District-Conflict
J2233
Professional
SafeCo Insurance
24740
C1053
Professional
Safety-Kleen Corporation
J1103
Professional
Sagamore Health Network
35164
Professional
Sage Technologies
37105
Professional
SAIF (Oregon State Accident Insurance Fund)
J1720
Professional
Saint Anthony PHO
STA01
Professional
Saint Joseph PACE of IN (MEDITURE LLC)
47312
Professional
Sally Beauty Holdings Inc.
J2366
Professional
Salt Lake City Corporation
J1730
Professional
SALT LAKE COUNTY BEHAVIORAL HEALTH SERVICES
HT007488-001
Professional
Samaritan Advantage
SAMAD
Professional
Samaritan Choice Plan
SAMCP
Professional
Samaritan Employer Group Plan
SAM00
Professional
Samaritan Health Services
CP001
Professional
SAMBA
37259
Professional
SAMERA HEALTH
U8053
Professional
San Bernardino Medical Group
SBMED
Professional
San Diego Community College District (CA)
J1638
Professional
San Diego County Coverage Initiative (CI)
MSO77
Professional
San Diego County Medical Services
San Diego County Medical Services (CMS)
MSO11
Professional
San Diego County Physician Emergency Services
MSO22
Professional
San Diego County Ryan White Primary Care Program
San Diego County Ryan White Care Act
MSO33
Professional
San Diego County Sheriffs Department
MSO55
Professional
San Diego PACE
96400
Professional
San Francisco Health Plan
SFHP1
Professional
San Francisco Municipal Transportation Agency (SFMTA)
J1886
Professional
San Louis Obispo Select
33072
Professional
San Miguel Consolidated FPD
J2234
Professional
Sandhills Center
SHC30
Professional
Sanford Health Plan
91184
Professional
Sanford Health Plan
MNSHP
Professional
Santa Clara County IPA
SCACO
Professional
SANTA CLARA FAMILY HEALTH PLAN
24077
Professional
Santa Clara IPA HMO
10378
Professional
Santa Clara Valley Tansportation Authority
J1518
Professional
Sante Community Physicians Medical Group Corp
SNTMC
Professional
Sante Health System and Affiliates
77038
Professional
Satellite Health Plan Inc.
45552
Professional
Save Mart
J2346
Professional
SC BCBS Companion Health
SC922
Professional
SC BCBS Planned Administrators
SC886
Professional
SC BCBS State Employee Health Plan
SC400
Professional
SC FEP Blue Cross
SC402
Professional
SC Medicare Part B (J11)
SMSC0
Professional
Scan CA
SCAN1
Professional
Scan Encounters
99157
Professional
SCAN Health Plan
72261
Professional
Scan Health Plan Arizona
73172
Professional
SCAN Long Term Care
20460
Professional
Schaller Anderson CHOC Health Alliance
SCH01
Professional
SCHC Total Care - ClaimsNet
16146
Professional
Schlumberger Technology
J1104
Professional
Schnuck Market Inc
J1560
Professional
Schools Insurance Authority (SIA)
J2325
Professional
Scion Dental Commercial
SDCOM
Professional
Scott & White
TH002
Professional
Scott & White I Par Plus
Scott & White Health Care
88030
Professional
Scotts Miracle-Gro Company
J1049
Professional
Scripps Health Plan MSO
SHPM1
Professional
Scripps Health Plan Services
33099
SHPS1
Professional
Seabright (SBIC)
J1499
Professional
Seagraves ISD
J2264
Professional
Seaside Health Plan
46187
E4618
Professional
Seaview IPA
SVIPA
Professional
SECURA Insurance A Mutual Company
J1379
Professional
Secure Health Plans of Georgia
28530
Professional
Security Administrative Services
Cornerstone Benefit Administrators
35202
Professional
Security Health Plan
39045
Professional
Sedgwick (Cargill Inc)
J1661
Professional
Sedgwick (Hilton Worldwide LLC)
J1665
Professional
Sedgwick CMS
TP097
Professional
SeeChange HealthPlan
SCHP1
Professional
Select Advantage
SA704
Professional
Select Advantage
SX055
Professional
Select Benefit Administrators Inc.
45976
Professional
Select Benefit Administrators of America
37282
Professional
Select Benefits Administrators
Select Benefit Administrators Inc.
93031
Professional
Select Energy Services
J1937
Professional
Select Health of South Carolina
23285
Professional
Select Senior Clinic
20415
Professional
Select Staffing
J1446
Professional
SelectCare
00014
Professional
SelectCare of OK - Tribute
SCOK1
Professional
SelectCare of Texas (HPN) Heritage Physicians Network
76045
Professional
SelectCare of TX Beaumont Prov ID Req 713-843-6780 to obta
Golden Triangle Physician Alliance
GTPA1
Professional
SELECTHEALTH
SX107
Professional
Selective
12572
39926
Professional
Self Insured Benefit Administrators
59111
Professional
Self Insured Plans (Naples FL)
Self-Insured Plans LLC
36404
Professional
Self Insured Services Co (SISCO)
SISCO
Professional
Self-Funded Plans Inc.
34131
Professional
Self-Insured Schools of California (SISC)
J1520
Professional
Self-Insured Security Fund (SISF Metro)
J2382
Professional
Self-Insured Security Fund (SISF Tri-Star)
J2383
Professional
Selman and Company
52214
Professional
Selman Tricare Supp
TRSEL
Professional
Seminole Tribe of Florida
J2384
Professional
Sempra Energy/Employee Care Services
J1915
Professional
Sendero IdealCare
11440
Professional
Sendero Idealcare
UV440
Professional
Sendero IdealCare (For DOS on or after 01-01-2019)
MV440
Professional
Senior Health Partners (SHP)
Senior Health Partners
80141
Professional
Senior Network Health
15682
Professional
Senior Whole Health
83035
Professional
Sentara Health Management
54154
Professional
Sentara Mental Health Professional
5415M
Professional
Sentinel Management Services
23249
Professional
Sentinel Security Life Insurance Company
87020
Professional
Sentry Life of New York
Sentry Life Insurance Company
39033
Professional
Sentry Select Insurance Company
J1417
Professional
Seoul Medical Group
SMG01
Professional
Seoul Medical Group
AMM07
IP080
Professional
Sequoia Health IPA
54823
Professional
Sequoia Health IPA
ALG01
Professional
Service Lloyds Insurance Co
J1593
Professional
Seton CHIP (Provider ID required.)
Seton Health Plan - CHIP I Par Plus
SHPCH
Professional
Seton Employee Plan
D2308
Professional
Seton Employee Plan
Seton Employee Plan I par Plus
SHEBP
Professional
Seton Health Plan - Exclusive
TH079
Professional
Seton Insurance Company
22312
Professional
Seton MAP Program
TH081
Professional
Seton Star
STAR1
Professional
Seven Corners
25404
Professional
SFM Mutual Insurance Company
J1553
Professional
SFN Goup
J1456
Professional
SGIC
11789
Professional
Shamrock Foods
J2338
Professional
Sharp Community Medical Group
SCMG1
Professional
Sharp Health Plan
SHP01
Professional
Sharp Rees-Stealy Med Group
Sharp Rees-Stealy Medical Group
SRS83
Professional
Shasta Administrative Services
NESIKA HEALTH GROUP
75280
Professional
Shaws/Starmarket
J1468
Professional
Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA
Benesys Inc
38238
Professional
Sheltered Workshop Insurance of Missouri
J2282
Professional
Shenandoah Life Insurance Company
54307
Professional
Sieba
LTD.
03699
Professional
Sierra Family Network (Prospect Medical Group)
Good Samaritan Medical Practice Association (GSMPA)
PROSP
Professional
Sierra Health and Life (Encounters)
76343
Professional
Sierra Medical Group
30891
Professional
Signature Advantage
SA002
Professional
Significa Benefits Services Inc.
23250
Professional
Silver Cross Health Connection
65093
Professional
Silver Cross Managed Care Organization
NASCR
Professional
Silver Star PACE
97691
Professional
Silverback TPA
37228
Professional
SimplePay
27905
Professional
Simply Healthcare
27094
Professional
Simply HealthCare Plans (new payer ID SMPLY as of 12-1-2018)
Simply Healthcare
Simply HealthCare Plans (New PID SMPLY effective 12/1/18)
SMPLY
Professional
Simpra Advantage Inc
SIM01
Professional
Sinclair Health Plan
84076
Professional
SISCO (RCM&D Self Insured Services Co
Cost Containment Serv
J1898
Professional
Skechers Usa Inc
J2365
Professional
Skygen Medical: Ohio Department of Rehab/Corrections
SODRC
Professional
Sloans Lake Preferred Health Networks
84096
Professional
Smart and Final
J1824
Professional
Smith Administrators
02057
Professional
Smith Administrators
SMITH
Professional
Smoky Mountain Center
13010
Professional
Snap-On Incorporated
J1105
Professional
So CA Health Care SystCHS Alta Pod Medpoint &SCHS Alto Pod
MPM20
Professional
Society Insurance
J2139
Professional
Solano Regional Medical Group
77306
Professional
Solano Regional Medical Group
77316
Professional
Solidarity Healthshare
77721
Professional
Solis Health Plans
SOLIS
Professional
Solstice Benefits
76578
Professional
Solvay America Inc.
J1106
Professional
Sonic Automotive Inc.
J1381
Professional
Soundpath Health
42172
Professional
South Atlantic Medical Group
SAMG1
Professional
South Carolina Blue Cross Blue Shield
SC FEP Blue Cross
Medicare Blue Advantage of South Carolina
SCBLS
Professional
South Carolina Medicaid
SKSC0
Professional
South Carolina Solutions
42406
Professional
South Coast Area Transit (CA)
J1731
Professional
South Country Health Alliance
81600
Professional
South Dakota Blue Cross Blue Shield
Blue Shield of South Dakota
SDBLS
Professional
South Dakota Chiropractic (Sanford Health Plan)
Sanford Health Plan
CASD2
Professional
South Dakota Medicaid
SKSD0
Professional
South Florida Common Services
Memorial Integrated Healthcare/S FLCommunity Care Network
South Florida Community Care Network Medicaid
59065
Professional
South Florida Musculoskeletal Care
06294
Professional
South Indiana Health Options - HMO
SX142
Professional
South Point Hotel & Casino
35227
Professional
SouthCare/Healthcare Preferred
25147
Professional
Southeast Iowa Health Plan (Provider ID Required)
86068
Professional
Southeast Leasing (Packard Claims Administration Inc.)
J1865
Professional
Southeast Texas Govt Employees Benefit Pool
TH116
Professional
Southeastern Indiana Health (SIHO)
77153
Professional
Southern Benefit Administrators Inc.
38242
Professional
Southern Cal Physicians Managed Care Services
SCP01
Professional
Southern California Edison
J1817
Professional
Southern Illinois Healthcare
SIHCA
Professional
Southern Illinois Laborers
37103
Professional
Southern Textile Recycling Inc. (CA)
J1648
Professional
Southland BCBS
SIPA1
Professional
Southwest Administrators
95269
Professional
Southwest Airlines (SWA)
J1233
Professional
Southwest Health Plan (Aetna HMO)
Aetna
60054
Professional
Southwest Physicians Group
SWPG1
Professional
Southwest Service Administrators
CX100
Professional
Southwest Service Life
37266
Professional
Space Exploration Technologies Corp
J1990
Professional
Special Funds (Electronic)
J2003
Professional
Spectrum Admin
Valley Preferred - PPO Allentown PA (IHS Gateway Payer)
Populytics (formerly Spectrum Administrators)(837I & 837P)
Populytics
23253
Professional
Spencer Stuart ARM Ltd.
38416
Professional
Splashlight
J2270
Professional
Spohn Health
TH100
Professional
Sprouts Farmers Market inc.
J1850
Professional
SRT Administrators Inc.
86083
Professional
St Francis IPA
APP01
Professional
St Joseph Health
IP062
Professional
St Mary's IPA
St Mary IPA
SMIPA
Professional
St. Barnabas System Health Plan
22240
Professional
St. James PHO
Thrivent
11158
Professional
St. Joe High Desert
JOEHD
Professional
St. John's Claims Administration
St. Johns/First Health
37264
Professional
St. Joseph Heritage Healthcare
IP106
Professional
St. Joseph Heritage Healthcare
Yorba Park (St. Joseph Heritage HealthCare)
STJOE
Professional
St. Joseph HUMBOLT County
IP059
Professional
St. Margaret- CMCS
Cooperative Managed Care Services
35199
Professional
St. Marys Health Plan Encounters
Saint Mary's Health Plan (ENCOUNTERS)
88082
Professional
St.Paul Insurance
J1926
Professional
Standard Life & Accident
MWA Standard Life And Accident
Standard Life and Accident
01758
Professional
Standard Life and Accident Insurance Company
73099
Professional
Stanley Steemer International Inc
J1939
Professional
Stanley Works Inc.
J1385
Professional
Stant Corporation
J1107
Professional
Star Administrators
46307
Professional
State Auto Mutual Insurance Company
J1966
Professional
State Compensation Insurance Fund (SCIF)
35076
Professional
State Farm
J1548
Professional
State Farm Insurance Companies
31053
Professional
STATE FARM MUTUAL AUTOMOBILE INSURANCE CO
31059
Professional
State of Minnesota-Doer
J1555
Professional
State of North Carolina
J1659
Professional
State of Tennessee
J2267
Professional
State of Texas Dental Plan (835’s returned under 44054)
Government Employees Health AssociationInc. (GEHA)
Government Employees Hospital Association (GEHA)
57254
Professional
State Office of Risk Management
J1418
Professional
State Self Insurance Fund - KDHE
J2220
Professional
State Trust Group
42162
Professional
Status Inc.
J2215
Professional
Sterling Medicare Advantage
67829
Professional
Sterling Option 1
91151
Professional
Stewart Miller and Company
31522
Professional
Stone Trust
J2213
Professional
Stonebridge Life Insurance Company
Transamerica Premier Life Insurance Company
TRP1P
Professional
Stoner & Associates
31121
Professional
Stones River IPA Amerivantage
57492
Professional
Stones River Regional IPA - The Physicians ACO
28943
Professional
Stones River Regional IPA - Windsor
15752
Professional
Stones River Regional IPA/BCBST
15750
Professional
Stowe Associates
58128
Professional
Stupp Bros. Inc.
J2283
Professional
SummaCare Health Plan
95202
Professional
Summit America Insurance Services Inc.
37301
Professional
Summit Health
J1108
Professional
Sun Mar Healthcare
J1610
Professional
SunAmerica Life Ins Co (NFIC Plan only)
90956
Professional
Sunrise Health Plan of Illinois
SIL01
Professional
Sunrise Health Plan of New York
SNY01
Professional
Sunrise Health Plan of Pennsylvania
SPA01
Professional
Sunrise Health Plan of Virginia
SVA01
Professional
Superior Vision Services
13305
41352
Professional
Surgery One IPA
SOIPA
Professional
Sussex Insurance Co (form Companion Property & Casualty Ins
J1829
Professional
Sutter Conn Sutter Med SMG
SWMG
SIP)800-611-5191 setup&test
Sutter Connect Medical Group
IP092
Professional
Sutter Connect - Delta - Claims
IP100
Professional
Sutter Connect - SIP
SMG
SWMG - Encounters only
HM059
Professional
Sutter Connect - Solano Regional Medical Group - Claims
IP099
Professional
Sutter Connect - Sutter Gould Medical Foundation - Claims
Sutter Connect Gould
IP091
Professional
Sutter Connect East Bay Med Foundation
IP130
Professional
Sutter Connect East Bay Medical
HM065
Professional
Sutter Connect-Palo Alto Medical Foundation
SC050
Professional
Sutter Delta Medical Group
77318
Professional
Sutter East Bay Medical Foundation
94269
Professional
Sutter East Bay Regional Hosp-Affinity Claims
SC052
Professional
Sutter East Bay Regional Hospital
96176
Professional
Sutter East Bay Regional Hospital- Non Sutter Group
94119
Professional
Sutter Health
J1512
Professional
Sutter Health | Aetna
60624
Professional
Sutter Med of Redwoods (SMGR)
HM057
Professional
Sutter Medical Group of the Redwoods
77304
Professional
Sutter Senior Care
56621
Professional
Sutter Senior Care
SC028
Professional
Sutter Valley Medical Foundation dba Sutter Gould Medical FD
77302
Professional
Swedish Covenant Hospital
36411
Professional
Swift Glass Corporation
07040
Professional
Swift Transportation
J1109
Professional
T.H.E. Insurance
J1791
Professional
TakeCare Insurance Company
98022
Professional
Takeda America Holdings Inc
J1991
Professional
Talbert Medical Group
TALMG
Professional
TALL TREE ADMINISTRATORS
88067
Professional
Tattered Cover
Inc.
COMPU
Professional
Taylor Benefits
TAYLR
Professional
Teachers Health Trust
88019
Professional
Teachers Protective Mutual
23139
Professional
Team Choice - Alpha Care Gold I Par Plus
Nexcaliber
ADSL1
Professional
Team Choice PNS
75133
Professional
Teamsters Medicare Trust for Retired Employees
43619
Professional
Teamsters Miscellaneous Security Trust Fund
NWADM
Professional
Technology Insurance Co
J1855
Professional
Telamon
22483
Professional
TennCare (Medicaid of Tennessee)
Tennessee Medicaid (TennCare)
Medicaid of Tennessee (TennCare)
TNMCD
Professional
Tennessee Blue Cross Blue Shield
Blue Shield of Tennessee
TNBLS
Professional
Tennessee Medicaid
SKTN2
Professional
Tennessee Risk Management Trust
J2358
Professional
Tethys Health Ventures
20212
Professional
Texan Plus/Selectcare of TX (Kelsey) I Par Plus
SelectCare of TX-Kelsey-Seybold Prov Requrired 713- 843-6780
KLSY1
Professional
Texas A&M TAMU
A0235
Professional
Texas Agricultural Cooperative Trust
TXABA
Professional
Texas Association of School Boards
A0234
Professional
Texas Blue Cross Blue Shield
Blue Shield of Texas (includes Blue Cross of Texas)
Blue Shield of Texas
TXBLS
Professional
Texas Builders Insurance Co
J1581
Professional
Texas Children's Health Plan (Medicaid) - CHIP
Texas Childrens Health Plan
76048
Professional
Texas Children's Health Plan (Medicaid)-Star/Star Kids
75228
Professional
Texas First Health Plans (TIOPA)
76046
Professional
Texas First Health Plans
Texas First Health Plan
TX1ST
Professional
Texas Health Aetna
88221
Professional
Texas Health Insurance Risk Pool
Blue Cross Blue Shield of Texas (837P)
Blue Cross Blue Shield of Texas (835 I & P)
SB900
Professional
Texas HealthSpring
33104
Professional
Texas HealthSpring
Texas Healthspring I Par Plus
THS01
Professional
Texas Medicaid
SKTX0
Professional
Texas Medicaid LTC
SKTX1
Professional
Texas Municipal League (TML) - Employees of IEBP Only
A0245
Professional
Texas Mutual Insurance
22945
Professional
Texas Plus
HPN11
Professional
Texas Political Subdivisions JSIF
J1921
Professional
Texas Premier Plan
TH089
Professional
Texas Roadhouse Inc.
J1676
Professional
Texas Small Business Pool
J1110
Professional
TexasFirst Health Plan (NTX)
13185
Professional
The Allen J Flood Companies Inc
13192
Professional
The Alliance
88461
Professional
The Benefit Group
TBGNE
Professional
The Care Network/The Savannah Business Group
68423
Professional
The City of Amarillo
COA01
Professional
The City of Odessa
75600
Professional
The EPOCH Group
28777
Professional
The Gap Inc.
J1671
Professional
The General Insurance
C1050
Professional
The Hartford
J1422
Professional
The Health Plan (Form known as Hometown Health Plan of OH)
30757
Professional
The Health Plan (Massillon OH & St Clairsville Ohio only)
The Health Plan of The Upper Ohio Valley
34150
Professional
The Healthcare Group
35206
Professional
The Jones Financial Companies LLP
J1846
Professional
The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer)
23223
Professional
The Macaluso Group
82694
Professional
The Main Street America Group / Austin Mutual
J1834
Professional
The Main Street America Group / Grain Dealers Mutual
J1835
Professional
The Main Street America Group / Great Lakes Casualty
J1836
Professional
The Main Street America Group / Main St America Assurance
J1837
Professional
The Main Street America Group / MSA Insurance Protection
J1838
Professional
The Main Street America Group / MSAIC Surplus/Non-Admitted
J1839
Professional
The Main Street America Group / NGM
J1840
Professional
The Main Street America Group / Spring Valley Mutual
J1842
Professional
The Main Street America Group /Old Dominion Insurance Co
J1841
Professional
The Men's Wearhouse Inc
J1615
Professional
The Mentor Network (Bunch CareSolutions)
J1963
Professional
The National Radiology Network
59087
Professional
The Oaks PACE
57034
Professional
The Perfect Health Insurance Co.
13522
Professional
The Physicians Assurance CorpTPAC /Employee Benefit Mngmt Co
31074
Professional
The Physicians Assurance CorpTPAC /Employee Benefit Mngmt Co
EBMC
CX025
Professional
The Salvation Army
J1472
Professional
The Scotts Company
J1111
Professional
The Zenith
13269
Professional
Therapy Direct Network
J1831
Professional
Third Coast Underwriters (3CU)
J2148
Professional
Thomas Cooper (Provider must be enrolled with SC Blue Shield
SC315
Professional
Thomas Cooper & Co Inc
71032
Professional
Thomas H. Cooper
SX160
Professional
Thomas McGee
J1746
Professional
Three Rivers Preferred
MP340
Professional
Thrivent Financial
THRIV
Professional
Thrivent Financial Aid Association for Lutheran Medicare
30167
Professional
Thrivent Financial Lutheran Brotherhood Medicare
30166
Professional
TIG American Specialty Insurance Co
J1592
Professional
TIG Insurance Co
J1707
Professional
TIG Insurance Co of Texas
J1698
Professional
TIG Premier Insurance Co
J1704
Professional
Titan Indemnity Co
C1057
Professional
TLC Advantage in Sioux Falls
TLD Advantage in Sioux Falls
TLC01
Professional
TLC Benefit Solutions
TLC79
Professional
TN MEDICARE B (MAC JJ)
SMTN0
Professional
Today's Health
Today's Health I Par Plus
WITH1
Professional
Today's Options (American Progressive and Pyramid Life)
Today's Options powered by CCRX
48055
Professional
Together with CCHP
251CC
Professional
Tokio Marine Management
J2289
Professional
Tongass Timber Trust
92620
Professional
TOPA Insurance Company
J1537
Professional
Torrance Hospital IPA
THIPA
Professional
Total Care of NY (As of 4-1-18
claims use payer ID 16146)
TCARE
Professional
Total Claims Administration
37314
Professional
Total Healthcare Inc.
38201
Professional
Total Long Term Care
31182
Professional
Total Petroleum Inc
J1112
Professional
Total Plan Concepts
80900
Professional
Touchpoint Solutions CRM
TPS01
Professional
Touchstone Health PSO
23856
Professional
Touchstone Health/Health Net Smart
13402
Professional
Tower Energy Group
J1604
Professional
Town & Country
TKFMC
Professional
Town of Colma (CA)
J1668
Professional
TPA of Georgia
58167
Professional
TR Paul Inc.
37230
Professional
Tractor Supply Company
J1505
Professional
Transact RX
PARTD
Professional
TransactRX Infusion and Specialty
RX001
Professional
Transamerica Life Insurance Company
Universal Benefits - Admin For Hartford Life Insurance Co
TRP1E
Professional
Transamerica Premier Life insurance Company
TLINS
TRCLF
Professional
TransChoice-Key Benefit Administrators
37284
Professional
Transwestern Insurance Administrators
Inc.
TRAN1
Professional
Travelers
19046
Professional
Travelers Auto
C1032
Professional
Travelers Insurance (Auto Only)
WB162
Professional
Travis County MAP - Mediview
TCMAP
Professional
Trellis Health Partners
36397
Professional
Tri-City Healthcare District
J1905
Professional
Tri-State Insurance Company
J1477
Professional
Tri-Valley Medical Group
20538
Professional
TRIAD Healthcare Inc. (Plainville CT)
39181
Professional
TrialCard
56155
Professional
Triangle Insurance
J1996
Professional
Tribute /SelectCare of Oklahoma
73117
Professional
Tribute Health Plan
31118
Professional
Tricare East
68299
Professional
Tricare East Region
Tricare East (effective 01-01-2018)
Tricare East
Tricare East Effective 1-1-2018
TREST
Professional
Tricare for Life
SX176
Professional
Tricare for Life (All Regions 1-12)
Tricare for Life
TDDIR
Professional
Tricare Overseas
FOREN
Professional
Tricare Overseas
SX163
Professional
Tricare West
SCWI0
Professional
TriCities IPA
PDT01
Professional
Trigon Blue Cross and Blue Shield (Virginia)
SB924
Professional
Trihealth Physician Solutions - Concern
31143
Professional
Trillium Community Health Plan
20048
Professional
Trillium Staffing Solutions
J1674
Professional
Trilogy Health Solutions Inc.
62777
Professional
Trindel Insurance Fund
J1971
Professional
Trinet Group Inc.
J2216
Professional
Trinity Health Pace
TRNPC
Professional
Triple A
11983
Professional
Triple S
97300
Professional
Triple S Advantage
973MA
Professional
Triple-S Inc.
SB980
Professional
TRIPLEFIN LLC
64300
Professional
TRISTAR Benefit Administrators (W. DesMoines IA)
42137
Professional
Tristate Benefit Solutions (TPA)
31144
Professional
TriWest Healthcare Alliance PC3/VCP REGION 3
55912
Professional
TriWest Healthcare Alliance PC3/VCP REGION 5A
55915
Professional
TriWest Healthcare Alliance PC3/VCP REGION 5B
55916
Professional
TriWest Healthcare Alliance PC3/VCP REGION 6
55917
Professional
Triwest Region 4 CCN
TWVA4
Professional
Triwest Region 5 CCN
TWVA5
Professional
Triwest Region 6 CCN
TWVA6
Professional
Truck Insurance Exchange (Commercial Only)
C1034
Professional
True Health New Mexico
82288
Professional
TRUSTED HEALTH PLAN
L0230
Professional
Trusteed Plan Services Corporation
Trusteed Plans Service Corporation
91078
Professional
Trustmark Insurance Company
61425
Professional
Tuality Health
THA01
Professional
Tuality Health Alliance
93112
Professional
Tuality Health Select
THASC
Professional
Tufts Health Plan
Tufts Associated Health
04298
Professional
Twin Cities Fire Insurance Co
C1040
Professional
TX Childrens Star Medicaid (Enroll verif calls 800-990-TCHP
TXCSM
Professional
TX Medicare Part B and Indian Health Services J4
SMTX0
Professional
Tyson Foods Inc.
J1732
Professional
U OF U HEALTH PLANS
SX155
Professional
UC Davis Health Systems
UC Davis Health System
UCDMG
Professional
UC-Davis Health
94603
Professional
Ucare Individual and Family Plans
55413
Professional
Ucare Minnesota
SX178
Professional
Ucare of MN(Use ID 52629 DOS in 2018 UseID 55413 DOS in 2019
Ucare of Minnesota
52629
Professional
UCLA Medical Group
USMBP
Professional
UCS (Electrical Workers Insurance Fund Local 5800)
93235
Professional
UFCW
TH065
Professional
UFCW Loc 400-5205 -must reg at wwwblueshieldca.com
BS001
Professional
UFCW Local 880 Medicare
88008
Professional
UHIN Test Payer
HT000346-001
Professional
UHIN Test Payer All Transactions Good
ALLGD
Professional
UICI Administrators - State of Nevada
75245
Professional
UK University Health Service
J1941
Professional
Ullico Casualty Company
J2201
Professional
Ultimate Health Plan
77022
Professional
Ultra Benefits Inc.
Ultra Benefits
41206
Professional
UMC Health Plan
75130
Professional
Umpqua Health Alliance
77502
Professional
UMR - Harrington
UMR Westerville (formerly Harrington Health)
95266
Professional
UMR (formerly Harrington Benefit Services)
Uniform Medical Plan
75243
Professional
UMR (formerly Lexington / CommonWealth Administrative Group)
UMR - Lexington
37237
Professional
UMR (formerly UMR San Antonio Benefit Planners)
UMR - San Antonio
74223
Professional
UMWA Health & Retirement Funds
52180
Professional
Underwriters Safety & Claims
61048
Professional
Underwriters Safety and Claims
TP108
Professional
UNICARE
80314
Professional
Unified Group Services
35198
Professional
Unified Health Services
62170
Professional
Unified IPA
Healthcare Partners
HCP01
Professional
Unified Physicians Network
34638
Professional
Unigard Insurance Company - QBE DBA
J1484
Professional
Union Construction Workers' Comp Program
J1629
Professional
Union Insurance Co
J1397
Professional
Union Insurance Company
J1274
Professional
Union Insurance Company of Providence
25844
C1029
J1433
Professional
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS
Union Pacific Railroad Employes Health System
U6844
Professional
United Administrative Services Inc
94174
Professional
United Agriculture Benefit Trust
UABT1
UAGBT
Professional
United American Insurance Co.
SX175
Professional
United Benefits
Inc (a Brown & Brown Company)
Brown & Brown Benefits
59069
Professional
United Care Medical Group
ADCUC
Professional
United Claim Solutions
A0047
Professional
United Commercial Travelers
31427
Professional
United Continental
J2330
Professional
United Dominion Realty Trust
J1048
Professional
United Financial Casualty Company
J1789
Professional
United Fire
C1060
J1401
Professional
United Food & Comm. Workers Midwest Unions
United Food & Comm Workers Union & Employers Midwest Health
36659
Professional
United Food & Commercial Workers UFCW Local 1529
21850
Professional
United Group Programs Inc.
59189
Professional
UNITED HEALTHCARE SERVICES INC(Optum Salt Lake)
OptumHealth SLC
Optum Tooele
U6885
Professional
United Healthcare
Sheakley Unicomp
10002
Professional
United Healthcare
UnitedHealthcare
UnitedHealthcare River Valley
UnitedHealthcare Community Plan (PA
SC)
87726
Professional
United Heartland
J1859
Professional
United Medical Alliance
84132
Professional
United Self Insured Services - USIS
J1851
Professional
United States Cold Storage
J1113
Professional
United States Fire Insurance Company
31348
Professional
United States Virgin Islands Medicaid
SKVI0
Professional
United Teacher Assoc Ins Co- Medicare Supplement
United Teacher Assoc Ins Co-Medicare Supplement
13193
Professional
United Wisconsin Insurance Company
J1235
Professional
UnitedHealthcare / UHIS-UnitedHealth Integrated Services
UMR (formerly Harrington Benefit Services - Westerville)
UMR (formerly UMR Wausau)
UMR - Harrington
UMR Wausau
39026
Professional
UnitedHealthcare Community Plan - Tennessee
UnitedHealthcare Plan of the River Valley
95378
Professional
UnitedHealthcare Community Plan / KS (KanCare)
UnitedHealthcare Community Plan - Kansas
96385
Professional
UnitedHealthcare Community Plan / MO
Missouri (MO) Health Plan (Community & State)
86050
Professional
UnitedHealthcare Community Plan / NE
UFNEP
Professional
UnitedHealthcare Community Plan / NYU
NYU01
Professional
UnitedHealthcare Community Plan / TX
TEX01
Professional
UnitedHealthcare Community Plan / WI
WID01
Professional
UnitedHealthcare Community Plan of Pennsylvania
25175
Professional
UnitedHealthcare Community Plan of Washington
UnitedHealthcare Community Plan of Louisiana
04567
Professional
UnitedHealthcare Facets Detroit - Community and State
UnitedHealthcare Community Plan/MI (form Great Lakes Health
UnitedHealthcare Community Plan /MI(Great Lakes Health Plan)
95467
Professional
UnitedHealthcare Military & Veterans / TRICARE West
TRICARE West (UnitedHealthcare Military & Veterans)
Tricare West Effective 1-1-2018
99726
Professional
UnitedHealthcare Nevada Market
Sierra Health and Life
76342
Professional
UnitedHealthcare Student Resources
UnitedHealthcare StudentResources
74227
Professional
UnitedHealthcare Vision
UnitedHealthcare / Spectera Eyecare Networks
00773
Professional
UnitedHealthcare West (formerly PacifiCare of Colorado)
95962
Professional
UnitedHealthcare West/UnitedHealthcare of CAOKORTXWA
95959
Professional
UnitedHealthcare/UnitedHealthcare W Encounters form PacifiCa
95958
Professional
UnitedHealthOne / Golden Rule
UnitedHealthcare Life Insurance Company
Golden Rule Insurance
37602
Professional
Unitrin Direct Property & Casualty Company
16063
Professional
Unitrin Safeguard Insurance
C1030
Professional
Unity Health Insurance
66705
Professional
Univera - Health Care Plan/ChoiceCare Buffalo
Univera Healthcare
SX087
Professional
Univera - Pre Paid Health Plan of NY
SX086
Professional
Univera - Univera Health Southern Tier
SX088
Professional
Univera Healthcare - CNY
HC001
Professional
Univera SSA ENY
SX090
Professional
Univera SSA WNY
SX091
Professional
Univera Traditional PPO
UNINW
Professional
Universal Care - California
33001
Professional
University Family Care
09830
Professional
University Family Care - Healthcare Group
University Physicians Healthcare Group
07503
Professional
University Family Care - Maricopa Health Plan
09908
Professional
University Health Alliance
99026
Professional
University Health Care Advantage
46407
Professional
University Healthcare Marketplace
45437
Professional
University of IL at Chicago Div of Specialized Care for Chil
37601
Professional
University of Illinois
UIC67
Professional
University of Maryland Health Advantage
45282
Professional
University of Maryland Health Partners
45281
Professional
University of Texas at Austin (IMO)
J2387
Professional
Upland Medical Group
IP056
Professional
UPMC Health Plan
23281
Professional
UPMC Vision Advantage
25184
Professional
Upper Peninsula Health Group (TPA)
37324
Professional
Upper Peninsula Health Plan (Medicaid)
38337
Professional
US Administrators
J2244
Professional
US Benefits
93092
Professional
US Family Health Plan
90551
Professional
US Family Health Plan (USFHP)
USFHP
Professional
US Foodservice Inc.
J1114
Professional
US National Resources (Aigrm)
J1115
Professional
US Sugar Corporation
J1950
Professional
USAA (United Services Automobile Association)
74095
Professional
USFHP - St. Vincent Catholic Medical Centers of New York
13407
Professional
USS Posco
J2260
Professional
UTAH DEPARTMENT OF HEALTH
Utah Medicaid FFS
SKUT0
Professional
Utah Medicaid Atypical
U4801
Professional
Utah Medicaid Crossover
U4005
Professional
Utica
C1027
Professional
Utica Mutual Insurance Company
25976
Professional
Utica National Insurance Co of Texas
43478
Professional
Utica NY FEP (Federal Employee Program) Blue Shield
N4FEP
Professional
VA Fee Basis Programs
12115
Professional
VA Health Administration Center
Quest EAP
10956
Professional
VA Healthcare
Metropolitan Health Plan
10850
Professional
VA Medicare Part B (J11)
SMVA0
Professional
VA Patient Centered Community Care Program (VAPCCC) Region 3
VAP33
Professional
VA Patient Centered Community Care Region 6
VAPC6
Professional
VA Patient-Centered Community Care Prog (VAPCCC) Region 5A
VA Patient Centered Community Care Program Region 5A
VAPC3
Professional
Valir Pace
64009
Professional
Valley Baptist Health Plan
TH022
Professional
Valley Care IPA
VCIPA
Professional
Valley Health Administrators
VHA11
Professional
VALLEY HEALTH PLAN
VHP01
Professional
Valley Mills ISD
J1873
Professional
Valor Health Plan
43259
Professional
Value Options - Commercial
SX173
Professional
Value Options Colorado Medicaid
00815
Professional
Value Options Commercial
Value Options Commercial Claims
00813
Professional
Value Options Maryland
00823
Professional
Value Options Pennsylvania Medicaid
00817
Professional
Value Options Texas Northstar
00818
Professional
Value Options/MBHP (MA Behavioral Health Partnership)
43307
Professional
Vanliners Insurance Company
21172
Professional
Vantage Health Plan Inc.
72128
Professional
Vantage Medical Group - Encounters
PPM02
Professional
Velocity Vehicle Group (Corvel)
J1992
Professional
VENCOR
The Dental Concern
73288
Professional
Ventura County Healthcare Plan
VCHCP
Professional
VentureNet Healthcare
86062
Professional
Verdugo Hills Medical Group
66126
Professional
Verity
VMMH1
Professional
Verity Medical Foundation (DCHS Medical Foundation)
VMF01
Professional
Verity National Group
75256
Professional
Verity Plus
VMMH2
Professional
Vermont Medicaid
SKVT0
Professional
VestaCare / RH Admin
VESTA
Professional
Vestica Healthcare - Value-Based Solutions
26267
Professional
VGM Homelink
50701
Professional
VI Medicare Part B (J9 - First Coast)
SMVI0
Professional
Via Christi HOPE
48123
Professional
Vibra Health Plan
15976
Professional
Vicorp Restaurants Inc
J1116
Professional
Victor Plastics (via EMC Risk Services)
J1118
Professional
Victor Valley IPA
VVIPA
VVMG1
Professional
VieCare Life Armstrong
25922
Professional
VieCare Life Beaver and Life Lawrence Counties
25924
Professional
VieCare LIFE Butler
25923
Professional
Viking Insurance Company of Wisconsin
C1033
Professional
Village Family Practice
73743
Professional
Village MD
VLGMD
Professional
VillageCareMAX
26545
Professional
VillageMD of Chicago
75838
Professional
VillageMD of New Hampshire
75545
Professional
VillageMD of Northern Indiana
75386
Professional
VillageMD of Western Kentucky
43036
Professional
Virginia Anthem Blue Cross and Blue Shield
Virginia State Employer Funds
Virginia Anthem Blue Cross Blue Shield
VA State Employer Funds
VABLS
Professional
Virginia Coordinated Care-VCC
84806
Professional
Virginia Medicaid
SKVA0
Professional
Virginia Medicaid
CVAK1
Professional
Virginia Premier Elite Plus
MLTSS
Professional
Virginia Premier Health Plan
54176
Professional
Virginia Premier Individual Plans
251VA
Professional
Virginia Premier Medicare Advantage
VAPRM
VPMAD
Professional
Virginia Premiere Complete Care
VPCCI
Professional
Virginia Surety Company Inc.
J1404
Professional
Vision Service Plan (VSP)
94163
Professional
Vista Oncology - New Century Infusion Solutions
NCH08
Professional
Vista360Health
V360H
Professional
Viva Health Plan
63114
Professional
Vivida Health
45488
Professional
VMD of SE TX (Houston)
93170
Professional
VNS CHOICE Medicare
77073
Professional
Volusia Health Network
59266
Professional
Vons/Safeway
J1750
Professional
Vought Aircraft Industries
J1405
Professional
VT Medicare Part B (JK - NGS)
SMVT0
Professional
Vulcan Materials
J1993
Professional
Vytra Healthcare
22264
Professional
WA Blue Shield Regence
Regence Blue Shield of Washington
WA Blue Cross Regence (UMP)
00932
Professional
WA State Premera Blue Cross (835s returned under AC032)
Washington State Premera Blue Cross
WABLC
Professional
Wabash Memorial Hospital Association
85256
Professional
Wal-Mart
J1004
Professional
Warner Brothers
J2385
Professional
Washington County Health and Human Services
WCHHS
Professional
Washington Dept. of Labor & Industries
Washington State Labor and Industry
WALAI
Professional
Washington Medicaid - Provider One
SKWA0
Professional
Washington Mutual (OR)
J2210
Professional
Washington State Council of County & City Employees (WSCCCE)
Welfare and Pension Administration Services
91136
Professional
WASHINGTON State Dept of LABOR & INDUSTRY
SX063
Professional
Waterstone Benefit Administrators (Oklahoma Providers)
73155
Professional
Waterstone Benefit Administrators (Outside Oklahoma)
23051
Professional
Watts Healthcare
MPM09
Professional
Watts Healthcare Corp IPA
MPMOA
Professional
WE Energies
J1406
Professional
WEA Trust
WEA Insurance Group
39151
Professional
webTPA/Community Health Electronic Claims/CHEC
Community Health Electronic Claims/CHEC/webTPA
75261
Professional
Wei-Chuan USA Inc.
J2278
Professional
Weis Markets - Sunbury
J2206
Professional
Weiss Health Providers
36337
Professional
Wellcare Health Plan Inc. (Encounters)
Wellcare Health Plan of South Carolina (Encounters)
59354
Professional
Wellcare HMO Inc.
WellCare Health Plans
14163
Professional
Wellcare of CT
Wellcare Health Plan (Remits returned under 14163)
Wellcare of NY
14164
Professional
Wellcare of FL
Healthease (Remits returned under 14163)
Healthease
59608
Professional
WellChoice of NJ
Empire Blue Cross and Blue Shield of New York
SB803
Professional
Wellmark BCBS - Medicare COB
SB645
Professional
Wellmark Blue Cross and Blue Shield of Iowa (IASD)
SB640
Professional
WellMed
WELM2
Professional
WellMed
TH023
Professional
WellMed (Encounters)
TH040
Professional
WellNet Health Plans
Contessa Health
0Call
Professional
Wellnet Healthcare Administrators
12053
Professional
Wells Fargo TPA Inc. (Charleston WV)
HealthSmart (EDI #87815)
87815
Professional
WellSpan Employee Assistance Program
CB457
Professional
WellSpan Plus
South Central Preferred - PPO York PA (IHS Gateway Payer)
23266
Professional
Wenatchee Valley Medical Center
91064
Professional
Wesco Insurance Company
J1857
Professional
West Bend Mutual Insurance
J2088
Professional
West Coast Administrators
30460
Professional
West Covina Medical Group
66124
Professional
West Suburban Health Providers
80942
Professional
West Virginia Blue Cross Blue Shield
Blue Shield of West Virginia
WVBLS
Professional
West Virginia Family Health Plan
45276
Professional
West Virginia Medicaid
SKWV0
Professional
West Virginia Senior Advantage
WVS01
Professional
Western Benefits Inc
13787
Professional
Western Grower's Insurance Company
24735
Professional
Western Health Advantage
68039
Professional
Western Health Inc
37306
Professional
Western Life Ins. Benefit Plan (FORTIS)
39065
Professional
Western Mutual Insurance
37247
Professional
Western National
J1495
Professional
Western National Assurance
J1569
Professional
Western National Insurance (Pioneer Specialties)
J1586
Professional
Western Oregon Advanced Health
DOCSO
WOAHM
Professional
Western Reserve Life Insurance Company
TRLTC
Professional
Western Southern Financial Group (Cincinnati OH)
31048
Professional
Westfield Insurance
J1858
Professional
WestGUARD Insurance Company - Guard DBA
J1453
Professional
WestLake Financial Group
Inc.
90560
Professional
Westlake Services
J2235
Professional
Weyco Inc.
38232
Professional
WI Medicare Part B (J6)
SMWI0
Professional
Wichita and Affiliated Tribes
19191
Professional
Willamette Valley Comm Health CCO (Marion Polk Health Plan)
MPCHP
Professional
Willamette Valley Community
33711
Professional
William C. Earhart
93050
Professional
Williams and Sonoma
J1473
Professional
Willow Health
WHLTH
Professional
Wilson Mutual Insurance
J1407
Professional
Wilson Mutual Insurance (All States Except WI/MN)
J1893
Professional
Windsor Medicare Extra
62153
Professional
Winnebago
J2271
Professional
Wisconsin Anthem Blue Cross and Blue Shield
Blue Shield of Wisconsin
Blue Cross Blue Shield of Wisconsin
Wisconsin Anthem Blue Cross Blue Shield
WIBLS
Professional
Wisconsin Auto and Truck Dealers
39200
Professional
Wisconsin Chronic Disease Program (WICDP)
SKWI2
Professional
Wisconsin Department of Corrections
74101
Professional
Wisconsin Medicaid
SKWI0
Professional
Wisconsin Physicians Service - Third Party Pricing
SX162
Professional
Wisconsin Well Woman Program (WWWP)
SKWI1
Professional
Women's Integrated Network Inc. (WIN Fertility)
13413
Professional
Woodman Accident and Life Co (AICT Plans only)
81949
Professional
Woodmont Real Estate Services
J1491
Professional
Workers Comp of West Virginia
SX067
Professional
Workstar Health Services
NGS CoreSource
10074
Professional
Worldcom Inc
J1874
Professional
WPP-ElderCare Wisconsin
77080
Professional
WPPA-ProviDRs Care Network
WP481
Professional
WPPN
Multiplan Wisconsin Preferred Provider Network
34080
Professional
WPS Commercial
OOWPS
Professional
WPS Health Insurance
SX022
Professional
WV Medicare Part B (J11)
SMWV0
Professional
Wyman-Gordon Companies
J1117
Professional
Wyoming Blue Cross Blue Shield
Blue Shield of Wyoming
WYBLS
Professional
Wyoming Medicaid
SKWY0
Professional
Wyoming PACE
98543
Professional
Wyoming School Boards Association Insurance Trust
WYSCH
Professional
Xcel Energy
J1628
Professional
Xl Environmental Inc.
J1055
Professional
XL Insurance America Inc. (Aaris Captive)
J2284
Professional
Xl Specialty Insurance Company (Captive)
J2236
Professional
Xl Specialty Insurance Company (Deductible)
J2237
Professional
Yale University Heath Plan
60646
Professional
Yam Hill CCO-PHTech
YAMHL
Professional
Yamhill CCO Physical Health
77946
Professional
Yamhill County CCO (Mental Health)
77130
Professional
Yerington Paiute Tribe
51350
Professional
York Claim Services
J1421
Professional
Yorkstown ISD
Edwards Claim Administration
J1204
Professional
Yourcare Health Plan
Univera Community Health
15003
Professional
Z-Nat Insurance (Zenith National Insurance)
30120
Professional
Zachry Construction
J1409
Professional
Zebra Health HC
88858
Professional
ZeroOutofPocket
04430
Professional
ZoomCare
ZOOM1
Professional
Zurich Farmers
J1015
Professional
Zurich Insurance NA
16535
Professional

Institutional

Payer Name Payer Id Line of Business
(NLH) Netcare Life and Health Insurance
Netcare Life and Health Insurance (Hagatna Guam)
66055
Institutional
1199 National Benefit Fund
13162
Institutional
1st Auto and Casualty
J1585
Institutional
1ST MEDICAL NETWORK (MEDICAL RESOURCES)
Medical Resource Network (MRN
INC)
58203
Institutional
21st Century Insurance
YMCA
41556
Institutional
A & I Benefit Plan Administrators
93044
Institutional
A.G.I.A. Inc.
95241
Institutional
A.W.Holdings LLC dba Benchmark
J1976
Institutional
AAG-American Admin Group ( Formerly Icon Benefit Admin)
75185
Institutional
AARP-UnitedHealthcare Ins Co
AARP Medicare Supplement Plans
AARP Medicare Supplement Plans insured
36273
Institutional
Abilene ISD Self-Insured
J1121
Institutional
Abrazo Advantage Health Plan
03443
Institutional
Acceptius (Benefit Management Inc of MO (BMI)
Joplin Claims / Benefit Management Inc
43178
Institutional
Access Administrators
12T33
Institutional
Access Administrators
AHS01
Institutional
Access Medicare (Cuatro LLC)
19305
Institutional
Accident Fund insurance Co of America
J1790
Institutional
Acclaim
64071
Institutional
Accuride Corporation
J1024
Institutional
Ace USA
J2285
Institutional
Ace USA (Rocklin Office)
J2226
Institutional
ACIG Insurance Company
J1578
Institutional
ACS Benefit Services Inc.
72468
Institutional
ACS Benefit Services Inc.
72467
Institutional
ACS Benefits Payer Compass
PA331
Institutional
ACWA JPI
J2286
Institutional
AD-COMP
J1667
Institutional
Adaptis
91173
Institutional
Adelanto Correctional Facility (CA)
J1798
Institutional
Adminastar Blue Cross of Kentucky
12B11
Institutional
Administrative Concepts
ADMINISTRATIVE CONCEP
Adminstrative Concepts
Inc.
22384
Institutional
Administrative Services Inc
59141
Institutional
Adminsure
J2292
Institutional
Admiral Linen & Uniform Service
J2144
Institutional
Advance America Cash Advance Centers
J1843
Institutional
Advance Services Inc.
J1608
Institutional
Advantage Health Solutions
35209
Institutional
Advantage Preferred Plans
Advantage Preferred Plus (old payer ID of 77070 valid limit
35219
Institutional
Advantek Benefit Administrators
83077
Institutional
Advantica Benefits
59374
Institutional
Advanzeon Solutions
59314
Institutional
Adventist Health System West - Roseville CA
95340
Institutional
Advocare MCO Inc
J1896
Institutional
Advocate Medical Group - AMG (Legacy AHC)
36320
Institutional
Aegis Administrative Services
CB637
Institutional
Aetna - IL Medicaid
26337
Institutional
Aetna Affordable Health Choices (SM) - SRC
57604
Institutional
Aetna Better Health - PA Medicaid
23228
Institutional
Aetna Better Health California
128CA
Institutional
Aetna Better Health Nevada
128NV
Institutional
Aetna Better Health of Florida
128FL
Institutional
Aetna Better Health of Kansas
128KS
Institutional
Aetna Better Health of Kentucky
128KY
Institutional
Aetna Better Health of Louisiana
128LA
Institutional
Aetna Better Health of Maryland
128MD
Institutional
Aetna Better Health of Michigan
128MI
Institutional
Aetna Better Health of Missouri
128MO
Institutional
Aetna Better Health of New Jersey
46320
Institutional
Aetna Better Health of NY
34734
Institutional
Aetna Better Health of Ohio
50023
Institutional
Aetna Better Health of Virginia
128VA
Institutional
Aetna Better Health of West Virginia
128WV
Institutional
Aetna Better Health Texas
Midwest Insurance
10895
Institutional
AETNA ENCOUNTERS
99138
Institutional
Aetna Encounters
60055
Institutional
Aetna Senior Supplemental Insurance (Aetna SSI)
62118
Institutional
Aetna TX Medicaid & CHIP
38692
Institutional
Affiliated Doctors of Orange County
27344
Institutional
Affiliated Doctors of Orange County (ADOC)
ADOCS
Institutional
Affiliated Foods Inc.
J1977
Institutional
Affiliated Physicians Group
M3CA1
Institutional
Affinity Essentials
AffinityAccess
23334
Institutional
Affinity Health Plan
13334
Institutional
AFFINITY MEDICAL GROUP
46594
Institutional
Affinity Medicare Advantage
13333
Institutional
Affordable Benefit Administrators Inc.
95426
Institutional
AFTRA Health Fund
13346
Institutional
AgeRight Advantage
ARA01
Institutional
AgeWell New York
AWNY6
Institutional
AHPO (Cleveland OH)
31138
Institutional
AHS State Network (Mississippi Blue Cross)
12B82
Institutional
AIG Educational Markets
22195
Institutional
AIG-Chartis
19402
Institutional
AK - Medicare Part A (MAC JF)
12M47
Institutional
AK and ID Medicare Part A
12M07
Institutional
AL MEDICARE A (MAC JJ)
12M01
Institutional
Alabama Blue Shield (Professional)
Blue Shield of Alabama
Blue Cross of Alabama
ALBLS
Institutional
Alabama Medicaid
12K01
Institutional
Alameda Alliance for Health
95327
Institutional
Alaska Medicaid
12K86
Institutional
Alaska Medicaid
SKAK0
Institutional
Alaska National Insurance
J1577
Institutional
Albertsons Inc.
J2376
Institutional
Albuquerque Public Schools
85600
Institutional
Alcoa Fasteners Systems
J1244
Institutional
Alexian Brothers Community Services of TN
44423
Institutional
Aliera Health Care
ALH01
Institutional
Alignment Healthcare
AHCA1
CCHPC
Institutional
AllCare PEBB
26158
Institutional
Allegeant
52193
Institutional
Allegian Advantage
82238
Institutional
Allegian Health Plan
82420
Institutional
Allegiance Benefit Plan
Allegiance Benefit Plan Management Inc.
81040
Institutional
Allen Canning
J1740
Institutional
Allergan W.C. Holding Inc.
J2341
Institutional
Alliance Behavioral Health (NC)
23071
Institutional
Alliance Coal Health Plan
93658
Institutional
Alliant Energy
J1619
Institutional
Alliant Health Plans of Georgia
58234
Institutional
Allianz
J1452
Institutional
Allianz Global Assistance
50749
Institutional
Allianz Global Corporate & Specialty (AGCS)
J2332
Institutional
Allianz Resolution Management (ARM)
J2326
Institutional
Allied Benefit Systems
37308
Institutional
Allied Claims Administration Inc.
J1733
Institutional
Allied Insurance Companies
Depositors Ins Co
J1550
Institutional
Allina Health | Aetna
54398
Institutional
Allmerica Financial Benefits Insurance Company
J1589
Institutional
Allstate - Except New Jersey
C1037
Institutional
ALLWays Health Partners
04293
Institutional
Alohacare
ALOHA
Institutional
Alpha Care Medical Group
Alphacare Medical Group
MPM32
Institutional
Alta Bates Medical Group
A0701
Institutional
Alternative Opportunities
16089
Institutional
Alternative Service Concepts (ASC)
J2149
Institutional
Alvey Systems (AON Risk)
J1025
Institutional
AM-First Insurance Morgan White
01757
Institutional
AMA Insurance Agency
Inc.
AMAIA
Institutional
Amalgamated Life
13550
Institutional
Amalgamated Life - PA / Alicare
13343
Institutional
Ambay Health Network
AMBHN
Institutional
AmeraPlan
38219
Institutional
Ameri Health PPO NJ
12X28
Institutional
AmeriBen Solutions Inc.
75137
Institutional
America First
J1427
Institutional
America's Choice NMA
America's Choice Health
20029
Institutional
America's Health Choice
21810
Institutional
Americaid CC Tampa
06161
Institutional
Americaid Community Care (Houston)
27515
Institutional
Americaid Community Care (Maryland)
27517
Institutional
Americaid Community Care (New Jersey)
27516
Institutional
American Administrative Group - AAG Form known as UICI Admin
UICI - Administrators
75240
Institutional
American Administrative Group AAG (Gallagher Benefits)
HealthSmart (EDI #37283)
HealthSmart Benefit Solutions
37283
Institutional
American Airlines
J2000
Institutional
American Behavioral
63103
Institutional
American Claims Management (ACM)
J1236
Institutional
American Coin Merchandising Inc
J1026
Institutional
American Cyanamid
J1027
Institutional
American Family (administered by American Republic)
American Republic Insurance Company
American Family Insurance (Administered by American Republic
56071
Institutional
American Family Insurance
12T31
Institutional
American Family Mutual Insurance Company
C1055
J2134
Institutional
American Fidelity Assurance Company
60801
Institutional
American General
62030
Institutional
American Health Medicare
L0220
Institutional
American Healthcare Alliance
01066
Institutional
American Home Craft
J1250
Institutional
American Insurance Administrators (AIA)
26119
Institutional
American Medical Security (AMS)
UnitedHealthOne / UnitedHealthcare Life Insurance Company
UnitedHealthcare / All Savers Insurance
UnitedHealthcare Life Insurance Company
81400
Institutional
American Mining Insurance Group LLC
J1524
Institutional
American National Auto
J2295
Institutional
American National Insurance CO (ANICO)
American National Ins. Co. (ANICO)
74048
Institutional
American Postal Workers Union Health Plan
44444
Institutional
American Republic Insurance
American Republic Insurance Company
42011
Institutional
American Specialty Companies
J1028
Institutional
American Specialty Ins. / MIB
J1029
Institutional
American Trust Administrators Inc.
56195
Institutional
Americas 1st Choice Health Plans of South Carolina
20553
Institutional
Americas 1st Choice of South Carolina Inc
55349
Institutional
AmeriChoice - Community and State
UnitedHealthcare Community Plan/NJ form Americhoice NJ Medic
UnitedHealthcare Comm Plan/NJ (form Americhoice NJ Medicaid)
86047
Institutional
Amerigroup - Illlinois
Amerigroup
28804
Institutional
Amerigroup Multiple States (Claims and Encounters)
Amerigroup Multiple States
26378
Institutional
Amerigroup Ohio (Claims and Encounters
Amerigroup Ohio
27518
Institutional
Amerigroup
Amerivantage
Amerigroup Vantage
26375
Institutional
AmeriHealth Administrators
Inter County Health Plan
AmeriHealth Administrators (835s returned under PAKEY)
54763
Institutional
AmeriHealth Caritas Delaware
77799
Institutional
Amerihealth Caritas District of Columbia
77002
Institutional
AmeriHealth Caritas Iowa
77075
Institutional
AmeriHealth Caritas Louisiana
27357
Institutional
AmeriHealth Caritas NorthEast
77001
Institutional
AmeriHealth Caritas Pennsylvania
22248
Institutional
AmeriHealth Caritas VIP Care Plus (Michigan)
77013
Institutional
AmeriHealth Caritas VIP Care
AmeriHealth Caritas PA Community HealthChoices
77062
Institutional
Amerihealth HMO of Delaware and New Jersey
Amerihealth HMO NJ and Delaware
Amerihealth HMO NJ and DE
95044
Institutional
Amerihealth HMO
AmeriHealth HMO New Jersey and Delaware
23037
Institutional
Amerikids-Dallas/Ft. Worth
Amerigroup Houston
26374
Institutional
Ameriprise Auto & Home Ins.
C1004
Institutional
Ameriprise Auto & Home Insurance
12504
Institutional
Amerisafe Risk Services
J1447
Institutional
Amerisure Insurance
J1206
Institutional
Amerisure Mutual Insurance
J1205
Institutional
AmFirst Insurance Company
64090
Institutional
Amica Mutual Insurance Company
12287
Institutional
Amida Care
24818
Institutional
Amida Care Medicare
79966
Institutional
Amtrust North America
J1868
Institutional
Anchor Benefit Consulting Inc.
53085
Institutional
Anchor Claims Management
J1919
Institutional
Anchor Glass Container Corporation
J2136
Institutional
Angeles IPA (SynerMed)
75299
Institutional
Anheuser Busch
J1620
Institutional
Anthem BCBS Colorado HMO
12B05
Institutional
Anthem BCBS of Colorado
12B03
Institutional
Anthem BCBS of Indiana
Med-Pay
Anthem IN
00130
Institutional
Anthem BCBS of Virginia
Anthem BCBS Virginia
BCBS of Alabama - Medicare Part B
00423
Institutional
Anthem BCBS Ohio
Blue Cross of Ohio
00332
Institutional
Anthem Blue Cross
47198
Institutional
Anthem Blue Cross and Blue Shield - Kentucky
SB660
Institutional
Anthem Blue Cross and Blue Shield (Virginia)
12002
Institutional
Anthem Blue Cross and Blue Shield of Ohio
SB338
Institutional
Apex Benefit Services
34196
Institutional
Apostrophe
81312
Institutional
Applied Underwriters
J1775
Institutional
AR Medicare Part A (J7)
12022
Institutional
Aramark
J1502
Institutional
Arbor Health
52312
Institutional
ARC Administrators
CXARC
Institutional
Arcadian Management Services Inc
77045
Institutional
Archer Daniels Midland Company
J1735
Institutional
Ardagh Group
J2344
Institutional
Areas USA Inc
J1944
Institutional
Argent (Subsidiary of West Bend)
J1420
Institutional
Argonaut Insurance Company (ARGO)
19801
Institutional
Argus Dental Plans
ARGUS
Institutional
ARISE
39185
Institutional
Arizona Medicaid
12K02
Institutional
Arizona Medicaid
SKAZ0
Institutional
Arizona Physicians IPA - Community and State
UnitedHealthcare Community Plan/AZ form AZ Phy IPA APIPA
03432
Institutional
Arizona Priority Care Plus
27154
Institutional
Arkansas Best
J2142
Institutional
Arkansas Medicaid
12023
Institutional
Arkansas Medicaid
SKAR0
Institutional
Arkansas Superior Select
61184
Institutional
ARM Grp
88035
Institutional
Armour Risk
J2245
Institutional
Arrowpoint
J1564
Institutional
ASAGEHA
06603
Institutional
Asian American Medical Group
AAMG1
Institutional
Aspen Insurance
Aspen
16180
Institutional
Aspire Health Plan
46156
Institutional
Associated Administrators LLC.
13788
Institutional
Associated Industries Of Massachusetts
J2268
Institutional
Associates for Health Care Inc. (AHC)
36326
Institutional
Association Casualty Insurance Company
J1254
Institutional
Association County Commissioners of Georgia (ACCG)
J1869
Institutional
Association de Maestros ((PROSSAM)
L0150
Institutional
Association Of Ca Water Agencies JPA
J2230
Institutional
Assurance Resources Inc.
J2150
Institutional
Assurant Health Self Funded
75068
Institutional
Assured Benefits Administrators
74240
Institutional
Asuris Northwest
93221
Institutional
Athens
J1914
Institutional
Athens - Bal Seal Engineering
J2249
Institutional
Athens - Bridgepoint Educational
J2240
Institutional
Athens - Community Hospital Of Monterey Peninsula
J2218
Institutional
Athens - Diocese Of San Jose
J2241
Institutional
Athens - Episcopal Senior Communities
J2242
Institutional
Athens - Gar Laboratories Inc
J2250
Institutional
Athens - Hiig-Ca Imperium
J2256
Institutional
Athens - Imperium Insurance Company
J2247
Institutional
Athens - NAHCI And Clients
J2251
Institutional
Athens - Palomar Health
J2253
Institutional
Athens H&S Venture
J2335
Institutional
Atlantic American Independent Insurance
J2009
Institutional
Atlantic Medical Insurance
22285
Institutional
Atlantic PPO to 21st Century Insurance
J2005
Institutional
Atlantic PPO to AAA Mid
J2006
Institutional
Atlantic PPO to Allstate Insurance
J2007
Institutional
Atlantic PPO to American Commerce Insurance
J2008
Institutional
Atlantic PPO to Ameriprise
J2010
Institutional
Atlantic PPO to Amica Insurance
J2011
Institutional
Atlantic PPO to AutoOne Insurance
J2014
Institutional
Atlantic PPO to BMI Benefits LLC
J2015
Institutional
Atlantic PPO to Bristol West Insurance Group
J2016
Institutional
Atlantic PPO to Bunch CareSolutions
J2017
Institutional
Atlantic PPO to Citizens United Reciprocal Exch. (NJCURE)
J2018
Institutional
Atlantic PPO to Clarendon Insurance
J2019
Institutional
Atlantic PPO to Concord Group
J2020
Institutional
Atlantic PPO to County Way/Agway
J2021
Institutional
Atlantic PPO to Electric Insurance Company
J2023
Institutional
Atlantic PPO to Encompass Property Casualty
J2024
Institutional
Atlantic PPO to Esurance Insurance
J2025
Institutional
Atlantic PPO to Farm Family Insurance
J2026
Institutional
Atlantic PPO to Farmers National Insurance
J2027
Institutional
Atlantic PPO to Fireman's Fund/Parkway Insurance
J2028
Institutional
Atlantic PPO to Flco Administrative Services
J2022
Institutional
Atlantic PPO to Foremost Insurance Group
J2029
Institutional
Atlantic PPO to GEICO
J2030
Institutional
Atlantic PPO to Hanover Insurance
J2031
Institutional
Atlantic PPO to Harford Mutual Insurance
J2032
Institutional
Atlantic PPO to Harleysville Insurance
J2033
Institutional
Atlantic PPO to Hartford Insurance
J2034
J2035
Institutional
Atlantic PPO to Highpoint Insurance/Plymouth Rock
J2036
Institutional
Atlantic PPO to Hortica Insurance
J2037
Institutional
Atlantic PPO to IDS Property Casualty
J2038
Institutional
Atlantic PPO to IFA Insurance Company
J2039
Institutional
Atlantic PPO to Infinity Insurance Company
J2040
Institutional
Atlantic PPO to Kemper Services Group
J2041
Institutional
Atlantic PPO to Lancer Insurance
J2042
Institutional
Atlantic PPO to Liberty Mutual Insurance
J2043
Institutional
Atlantic PPO to Mapfre
J2044
Institutional
Atlantic PPO to Merchants Mutual
J2045
Institutional
Atlantic PPO to Merchants Mutual WC
J2046
Institutional
Atlantic PPO to Mercury Insurance
J2047
Institutional
Atlantic PPO to MetLife
J2048
Institutional
Atlantic PPO to National Liability & Fire Insurance Co
J2050
Institutional
Atlantic PPO to Nationwide
J2051
Institutional
Atlantic PPO to New Jersey Skylands
J2052
Institutional
Atlantic PPO to New York City Law Department
J2053
Institutional
Atlantic PPO to NJ-PLIGA
J2054
Institutional
Atlantic PPO to NY City Transit
J2055
Institutional
Atlantic PPO to NYC Dept. of Sanitation
J2056
Institutional
Atlantic PPO to NYSIF
J2057
Institutional
Atlantic PPO to Ohio Casualty Group
J2058
Institutional
Atlantic PPO to Palisades Insurance
J2059
Institutional
Atlantic PPO to Peerless Insurance
J2060
Institutional
Atlantic PPO to Personal Service Insurance
J2061
Institutional
Atlantic PPO to Plymouth Rock
J2062
Institutional
Atlantic PPO to Praetorian Insurance Company
J2063
Institutional
Atlantic PPO to Preserver Insurance Company
J2064
Institutional
Atlantic PPO to Progressive Insurance
J2065
Institutional
Atlantic PPO to Pure
J2066
Institutional
Atlantic PPO to QBE Insurance
J2067
Institutional
Atlantic PPO to Rider Insurance
J2068
Institutional
Atlantic PPO to Safeco Insurance
J2069
Institutional
Atlantic PPO to Sedgwick Auto Insurance
J2070
Institutional
Atlantic PPO to Sedgwick WC Insurance
J2071
Institutional
Atlantic PPO to Selective Insurance
J2072
Institutional
Atlantic PPO to Sentry Insurance
J2073
J2074
Institutional
Atlantic PPO to State Farm Insurance
J2075
Institutional
Atlantic PPO to Teachers Insurance Plan of NJ
J2076
Institutional
Atlantic PPO to Tower National/Tower Group Companies
J2077
Institutional
Atlantic PPO to Travelers
J2078
J2079
Institutional
Atlantic PPO to Twin Lights
J2080
Institutional
Atlantic PPO to U.S. Department of Labor
J2081
Institutional
Atlantic PPO to Universal Underwriters Insurance
J2082
Institutional
Atlantic PPO to US DOL NJ Claims
J2083
Institutional
Atlantic PPO to US DOL NY Claims
J2084
Institutional
Atlantic PPO to USAA
J2085
Institutional
Atlantic PPO to Utica National Insurance
J2086
Institutional
Aultcare Corporation
34148
Institutional
Aultra Administrative Group
37242
Institutional
Austin Mutual Ins
J1682
Institutional
Auto-Owners (Home-Owners Insurance Company)
J1580
Institutional
Auto-Owners (Owners Insurance Company)
J1583
Institutional
Auto-Owners (Property-Owners Insurance Co)
J1699
Institutional
Auto-Owners (Southern-Owners Company)
J1688
Institutional
Auto-Owners Insurance Company
J1556
Institutional
Auto-Owners Life Insurance Company
J1596
Institutional
Automated Benefit Services
38259
Institutional
Automated Group Administration Inc.
Automated Group Administration Inc. (AGA)
37280
Institutional
Automobile Dealers Insurance Company Inc
J1861
Institutional
Auxiant
26202
Institutional
Avectus Healthcare Solutions
47410
Institutional
Avectus Healthcare Solutions (Call 855-AVECTUS)
Avectus Healthcare Solutions
MP001
Institutional
Avera Health Plans
46045
Institutional
Avizent
J1415
Institutional
AVMED INC
59275
Institutional
AvMed Inc.
59274
Institutional
Ayers Trucking
J1018
Institutional
Bakersfield Family Medical Group
77005
Institutional
Bakery & Confectionery Union & Industry International Health
BCTF1
Institutional
Bank of America
J1729
Institutional
Bankers Life & Casualty
36066
Institutional
Banner Health and Aetna Health Insurance Company
67895
Institutional
Banner Plan Administration - Choice Plus and Select 500
12X42
Institutional
Banner- University Family Care (University of AZ Health Plans)
66901
Institutional
Baptist Health Plan
61124
Institutional
Baptist Health Plan Advantage
BHPMA
Institutional
Bardavon Health Innovations
J2334
Institutional
BARInet
CB369
Institutional
Barnes
J1503
Institutional
Barrett Business Services Inc (BBSI)
J1686
Institutional
Bart - San Francisco Bay Area Rapid Transit
J1770
Institutional
Bass Pro Group LLC
J1958
Institutional
Bay District Schools (Fl)
J1978
Institutional
Baycare Life Management
59279
Institutional
BayCare Select Health Plans Inc
81079
Institutional
Bb and T Corporation (Branch Banking & Trust)
J1995
Institutional
BC PA Western/Highmark
12B60
Institutional
BCBS of Minnesota
12B16
Institutional
BCBS Western NY Medicaid
WNYMD
Institutional
BCBSTX Medicaid STAR/CHIP
BCBSTX Medicaid STAR Kids
66001
Institutional
BCI Administrators Inc.
49153
Institutional
Beacon Health Strategies
43324
Institutional
Beacon Mutual
J1234
Institutional
Beall's Inc / Midwest Employers
J1030
Institutional
Behavioral Health Systems
63100
Institutional
Benefit Administration Services
41205
Institutional
Benefit Administrative Systems
36149
Institutional
Benefit Coordinators Corporation (Pittsburgh PA)
25145
Institutional
Benefit Management Admin (BMA)
BMATP
Institutional
Benefit Management LLC
48611
Institutional
Benefit Management LLC/VBA
88092
Institutional
Benefit Management Systems Inc
37212
Institutional
Benefit Plan Administrators
88052
Institutional
Benefit Plan Administrators Company (Eau Claire Wisconsin)
Benefit Plan Administrators Co. (Eau Claire WI)
39081
Institutional
Benefit Plan Administrators Inc. (Roanoke VA)
37118
Institutional
Benefit Services Inc. (Akron OH)
34178
Institutional
Benefits Administration Corporation
44357
Institutional
Benesight (formerly The TPA)
Benesight (Formerly TPA)
87265
Institutional
Berkeley Unified School District
J2203
Institutional
Berkley Net Underwriters LLC
J1523
Institutional
Berkley Risk Administrators Company LLC
J1526
Institutional
Berkley Southeast Insurance Group (BSIG)
J2145
Institutional
Berkley Specialty Underwriters
TP019
Institutional
Berkshire Hathaway Direct Insurance Company
J1975
Institutional
Berkshire Health Partners - PPO Wyomissing PA IHS Gateway Pa
23243
Institutional
Berkshire Lehigh Partners
95606
Institutional
Berwind Corporation
J1031
Institutional
BEST LIFE & HEALTH CO
Best Life & Health Insurance Co.
95604
Institutional
Better Health Plan of Florida
20488
Institutional
BHSF International
67668
Institutional
BI Mart
J2349
Institutional
Bienvivir
12X40
Institutional
Big 5 Corp
J1738
Institutional
Big Spring ISD
J2262
Institutional
BIND
25463
Institutional
Bituminous Fire and Marine
J1691
Institutional
Bituminous Insurance Company
J1579
Institutional
Blue Care Family/Anthem Medicaid
SB562
Institutional
Blue Care Network/Blue Cross Blue Shield of Michigan
12B58
Institutional
Blue Choice Medicaid Managed Care
00403
Institutional
Blue Cross and Blue Shield of Vermont
77307
Institutional
Blue Cross Blue Shield Minnesota Health Care Program
Minnesota Blue Cross Blue Shield Blue Plus Medicaid
00562
Institutional
Blue Cross Blue Shield of Arizona
SB530
Institutional
Blue Cross Blue Shield of Arizona Advantage
77078
Institutional
Blue Cross Blue Shield of Arkansas
12021
Institutional
Blue Cross Blue Shield of Colorado
SB550
Institutional
Blue Cross Blue Shield of Delaware
12B76
Institutional
Blue Cross Blue Shield of Delaware
SB570
Institutional
Blue Cross Blue Shield of Florida
SB590
Institutional
Blue Cross Blue Shield of Georgia (Atlanta)
SB600
Institutional
Blue Cross Blue Shield of Illinois
SB621
Institutional
Blue Cross Blue Shield of Kansas
57325
Institutional
Blue Cross Blue Shield of Kansas City
12B66
Institutional
Blue Cross Blue Shield of Louisiana
12B12
Institutional
Blue Cross Blue Shield of Maine
12B13
Institutional
Blue Cross Blue Shield of Maine
SB680
Institutional
Blue Cross Blue Shield of Massachusetts
12B14
Institutional
Blue Cross Blue Shield of Michigan
12B18
Institutional
Blue Cross Blue Shield of Mississippi
SB730
Institutional
Blue Cross Blue Shield of Missouri (Blue Choice)
12B65
Institutional
Blue Cross Blue Shield of Missouri (Blue Choice)
Blue Cross Blue Shield of Missouri
SB741
Institutional
Blue Cross Blue Shield of Missouri (Blue Cross)
12B15
Institutional
Blue Cross Blue Shield of Montana
12B77
Institutional
Blue Cross Blue Shield of Nebraska
SB760
Institutional
Blue Cross Blue Shield of Nevada
SB765
Institutional
Blue Cross Blue Shield of New Hampshire
SB770
Institutional
Blue Cross Blue Shield of Oklahoma
SB840
Institutional
Blue Cross Blue Shield of SC -Companion Tech
SB880
Institutional
Blue Cross Blue Shield of SC -Planned Admin Inc
SX104
Institutional
Blue Cross Blue Shield of South Carolina
12B55
Institutional
Blue Cross Blue Shield of South Dakota (Sioux Falls)
SB889
Institutional
Blue Cross Blue Shield of Tennessee (Chattanooga)
SB890
Institutional
Blue Cross Blue Shield of Tennessee Network H
12B45
Institutional
Blue Cross Blue Shield of Texas (837I)
12B31
Institutional
Blue Cross Blue Shield of Vermont
12B32
Institutional
Blue Cross Blue Shield of Wisconsin
12B29
Institutional
Blue Cross Community Centennial
12B22
Institutional
Blue Cross Community Health Plans
66005
Institutional
Blue Cross Community Options
Blue Cross Community Solutions Effect 12-14-14 payer ID00621
MCDIL
Institutional
Blue Cross Complete of Michigan LLC
32002
Institutional
Blue Cross Medicare Advantage
66006
Institutional
Blue Cross of Alabama
12B54
Institutional
Blue Cross of Arizona
12B02
Institutional
Blue Cross of Arizona
Blue Cross and Blue Shield of Arizona
53589
Institutional
Blue Cross of Arkansas
00520
Institutional
Blue Cross of Colorado
15491
Institutional
Blue Cross of Connecticut
3534I
Institutional
Blue Cross of Georgia
12015
Institutional
Blue Cross of Georgia
3537I
Institutional
Blue Cross of Idaho
12B07
Institutional
Blue Cross of Idaho Health Services Inc
SB612
Institutional
Blue Cross of Illinois
12B08
Institutional
Blue Cross of Indiana (Anthem)
12B09
Institutional
Blue Cross of Iowa
12B10
Institutional
Blue Cross of Massachusetts
00200
Institutional
Blue Cross of Minnesota
00220
Institutional
Blue Cross of Missouri - Kansas City
Missouri
5569I
Institutional
Blue Cross of Nebraska
12B19
Institutional
Blue Cross of Nebraska (835s returned under NEBLS)
Blue Cross of Nebraska
00260
Institutional
Blue Cross of Nevada
00265
Institutional
Blue Cross of New Hampshire
00770
Institutional
Blue Cross of Oklahoma
12B59
Institutional
Blue Cross of Rhode Island
12B74
Institutional
Blue Cross of South Dakota
12B33
Institutional
Blue Cross of Tennessee
12B53
Institutional
Blue Cross of Washington (Premera)
00934
Institutional
Blue Cross Utica - Watertown
12B72
Institutional
Blue Shield of California
94036
Institutional
Blue Shield of California - Medicare Advantage Encounters
99105
Institutional
Blue Shield of California - Commercial Encounters
94032
Institutional
Blue Shield of California Promise Health Plan
57115
Institutional
Blue Shield of Kansas City
Blue Cross of Kansas City
Kansas City Blue Cross Blue Shield
KCBLS
Institutional
Blue Shield of Kansas
Blue Cross of Kansas
Kansas Blue Cross Blue Shield
KSBLS
Institutional
Blue Shield of New York
Western
Blue Cross Blue Shield Of Western New York
Blue Shield of Western New York
N1BLS
Institutional
Blue Shield of OK Remits will be returned with payerID OKBLS
BLUECROSS BLUESHIELD (BCBS) OK HCSC
00840
Institutional
Blue Shield of Tennessee
Blue Cross of Tennessee
5513I
Institutional
Blue Shield Washington
12B90
Institutional
BlueCross BlueShield of National Capital Area (CareFirst)
12000
Institutional
BlueCross BlueShield of National Capital Area (CareFirst)
SB580
Institutional
BlueCross BlueShield of Western New York Medicaid/CHP
44911
Institutional
BMC HealthNet Plan
Boston Medical Center HealthNet Plan
Well Sense Health Plan
13337
Institutional
BMW Manufacturing Corp.
J1258
Institutional
BMW North America
J1259
Institutional
Boeing Company
J1964
Institutional
Boeing Company
C1054
Institutional
Boise Cascade Company
J1801
Institutional
Boler Company
J1870
Institutional
BookMD Inc
47405
Institutional
Boon-Chapman Benefit Administrators
Inc.
BoonChapman
74238
Institutional
Brain and Spine Network
BSN01
Institutional
Brand New Day (Encounters)
Brand New Day (FFS)
UC002
Institutional
Brand New Day (FFS)
Brand New Day (Encounters)
UC001
Institutional
Brickstreet
J1761
Institutional
BridgeSpan
BRIDG
Institutional
Bright Health - Medicare Advantage
BRT01
Institutional
Bright Health Plan
CB186
Institutional
Bristol West
J1764
Institutional
BritCay
22286
Institutional
Britton Benefit Services LLC
BBS19
Institutional
Broadspire
C1056
TP021
Institutional
Brokerage Concepts
Health Now Administrative Services
51037
Institutional
Brookshire Grocery Company
J2222
Institutional
Brotherhood Mutual Insurance
J1445
Institutional
Brown & Toland Medical Group
94316
Institutional
Brown and Toland Health Services
BTHS1
Institutional
Brownfield ISD
J1123
Institutional
Brownyard Group Inc. (Arch Insurance)
Selman & Company
11150
Institutional
Brunswick Corporation
J1032
Institutional
Buffets Inc
J1501
Institutional
Builders Group of MN
J1391
Institutional
Builders Mutual Insurance
J1968
Institutional
Bunch and Associates
J1435
Institutional
Burlington Coat Factory Wareho
J1033
Institutional
Butler Benefit
42150
Institutional
C & S Wholesale Grocers
J2095
Institutional
C&O Employees Hospital Association
23708
Institutional
C3 Health (fka Access Health Inc.)
A1680
Institutional
CA - BLUE CROSS (ENCOUNTERS)
47200
Institutional
CA Home Health & Hospice
12M98
Institutional
Caliber Holdings Corporation
J1979
Institutional
California Agricultural Network Sig
J2227
Institutional
California Fair Services Authority
J1535
Institutional
California Health & Wellness
68047
Institutional
California Healthcare Industry Program
J2228
Institutional
California IPA
AMM14
Institutional
California Medicaid - Medi-Cal
EDS - Medi-Cal
57016
Institutional
California Pacific Medical Center
94056
Institutional
Caloptima
Cal-Optima Direct
CALOPTIMA DIRECT
CALOP
Institutional
CAM Administrative Services
38247
Institutional
Cambridge Integrated Services
J1819
Institutional
Can Select Personal
J2224
Institutional
Can Summit Logistics
J2225
Institutional
Cannon Cochran Management Services Inc. Metairie LA
71057
Institutional
CAP Management Systems
95399
Institutional
Capistrano Unified School District (CA)
J1637
Institutional
Capital Blue Cross
12B61
Institutional
Capital District Physician's Health Plan
12X03
Institutional
Capital District Physician's Health Plan
SX065
Institutional
Capital Health Plan
95112
Institutional
Capital Insurance Companies
J1809
Institutional
Capital Insurance Group Wc
J1980
Institutional
Capitol Administrators
68011
Institutional
Capitol Indemnity
J1262
Institutional
Caprock Health Plan
CapRock Health Plans
CAPHP
Institutional
Cardinal Innovations Healthcare Solutions
06607
Institutional
Cardiovascular Care Providers
GCVCP
Institutional
Care Around the Clock
57721
Institutional
Care Improvement Plus (CIP)
77082
Institutional
Care To Care
41222
Institutional
Care Wisconsin FIrst Inc
27004
Institutional
CareCentrix
11345
Institutional
Carecentrix Cigna
11346
Institutional
Carecentrix Florida Blue
11347
Institutional
Carecentrix Horizon
11348
Institutional
CareConnect Insurance Company Inc
CareConnect Insurance Company
46227
Institutional
CareCore National
14182
Institutional
CareCore National LLC (Aetna Radiology Claims)
14179
Institutional
CareCore Oxford Radiology
CareCore National LLC (Oxford Radiology Claims)
14180
Institutional
CareFirst Administrators/NCAS
75191
Institutional
CareFirst Administrators/NCAS
75190
Institutional
Carefirst of Maryland Inc.
12011
Institutional
Carefirst of Maryland Inc.
SB690
Institutional
Carelink Health Plan
Anthem BCBS Kentucky
Blue Cross of Kentucky
00160
Institutional
CareMore
CM001
Institutional
CareOregon Inc.
93975
Institutional
CarePlus Health Plan
95092
Institutional
CarePlus Health Plans Inc.
65031
Institutional
CareSource
26160
Institutional
Caresource Georgia
Caresource of Georgia
GACS1
Institutional
Caresource Humana
CareSource KY
CareSource of Kentucky
KYCS1
Institutional
Caresource Indiana
CareSource Marketplace
Caresource Indiana Inc
INCS1
Institutional
Caresource Ohio
CareSource OH
CareSource of Ohio
31114
Institutional
Caresource West Virginia
WVCS1
Institutional
CareWest
J2258
Institutional
Careworks
10010
Institutional
Careworks Consultants Inc(aka Careworks USA & CCI) Ohio Only
J1866
Institutional
Carhartt
J1931
Institutional
Cariten Commercial
Cariten Healthcare
62073
Institutional
Cariten Senior Health
62072
Institutional
Carolina Behavioral Health Alliance
CBHA Carolina Behavioral Health Alliance
56215
Institutional
Carrollton Farmers Branch ISD
J2255
Institutional
Casitas Municipal Water District (CA)
J1630
Institutional
CC-Development Group Inc.
J1900
Institutional
CCMSI
J1010
Institutional
CDS Group Health
88022
Institutional
Cedars Sinai Medical
95164
Institutional
Cedars-Sinai Medical Network Services
95166
95167
Institutional
Celtic Insurance
68063
Institutional
Cencal Health
99111
Institutional
Cendant Corporation
J1034
Institutional
Cenpatico Behavioral Health
MS - Cenpatico Mississippi
68068
Institutional
Cenpatico TPA
42138
Institutional
Centene Health
Superior Health Plan Texas
Ambetter from Coordinated Care
Coordinated Care
Western Sky Community Care
68069
Institutional
Centene TPA
42139
Institutional
Center for Elders Independence
94312
Institutional
CenterCare
13357
Institutional
CenterPoint Human Services
56122
Institutional
Centers Plan for Healthy Living
CPHL1
Institutional
CentraCare
66698
Institutional
Central California Alliance for Health
12K82
Institutional
Central Contra Costa Transit Authority
J1605
Institutional
Central Hockey League
J1035
Institutional
Central Pennsylvania Teamsters Fund
23626
Institutional
Central Senior Care
62218
Institutional
Central States Health & Welfare Funds
Teamcare
36215
Institutional
Central Susquehanna Healthcare Providers (CSHP)
55731
Institutional
Central Texas Iron Works
J2293
Institutional
Central Valley Medical Group
77035
Institutional
Centurion
42140
Institutional
Century PHO
36393
Institutional
Cerner Health Plan Services
20356
Institutional
Chaffey Joint Union H. S. District (CA)
J1646
Institutional
ChampVA HAC Medicare Crossover
80214
Institutional
CHAMPVA - HAC
CHAMPVA
84146
Institutional
Change Healthcare Comp Billing
57570
Institutional
Charming Shoppes Inc.
J1036
Institutional
Chautauqua County Healthcare Plan (Mayville NY)
16600
Institutional
CHCS Services Inc.
75895
Institutional
Cherokee Insurance
J1970
Institutional
Cherokee Nation Comprehensive Care Agency
CHERO
Institutional
Chesapeake Insurance
J1908
Institutional
Chesterfield Resources Inc.
Chesterfield Resources
Salvation Army
34154
Institutional
Chesterfield Services Inc.
J1479
Institutional
Chicago Regional Council of Carpenters Welfare Fund
36222
Institutional
Chico's Fas Inc
J2315
Institutional
Childrens Medical Center Health Plan
CMCHP
Institutional
Chinese Community Health Plan
94302
Institutional
Chino Valley Medical Group
CVMC1
Institutional
ChiroMetrics Inc
33070
Institutional
Christian Brothers Services
38308
Institutional
Christie Student Health Plans
Christie Student Helath Plan
75544
Institutional
Christus Health Medicare Advantage
Gateway Health Plan
10629
Institutional
Christus Health New Mexico HIX
21062
Institutional
CHRISTUS Health Plan TX HIX
52106
Institutional
Christus Spohn Health Network
Spohn Health
SPOHN
Institutional
Christus Texas Medicaid
45210
Institutional
Chubb (legacy Chubb & Son)
C1052
Institutional
Chubb (legacy Chubb & Son) WC
J1554
Institutional
Church Mutual Insurance Company - (AUTO ONLY)
J1264
Institutional
Church Mutual Insurance Company - (LIAB ONLY)
J1266
Institutional
Church Mutual Insurance Company - (WC ONLY)
J1265
Institutional
Church Mutual Insurance Company (WC ONLY)
J1725
Institutional
CIGA
J1532
Institutional
CIGNA ENCOUNTERS
99139
Institutional
CIGNA Medicare Advantage
86033
Institutional
CIGNA
Cigna Healthcare (Medical)
62308
Institutional
Cincinnati Financial Corporation
46871
Institutional
Cincinnati Insurance
J1562
Institutional
Citizens Insurance Company of America
J1582
Institutional
Citrus Health
TH130
Institutional
Citrus Valley Health Partners
J1613
Institutional
Citrus World Inc
J1945
Institutional
City and County of San Francisco (CCSF)
J1885
Institutional
City Of Arlington
A0033
Institutional
City of Banning (CA)
J1792
Institutional
City of Barstow (CA)
J1793
Institutional
City of Birmingham
J2359
Institutional
City of Blythe (CA)
J1794
Institutional
City of Brea
J1880
Institutional
City of Chino
J2306
Institutional
City of Compton
J2202
Institutional
City of Costa Mesa
J2343
Institutional
City of Dallas
J1441
Institutional
City of Desert Hot Springs (CA)
J1799
Institutional
City Of El Paso
A0046
Institutional
City of Fort Collins (CO)
J2272
Institutional
City of Fort Lauderdale
J2266
Institutional
City of Fort Worth (TX)
J1680
Institutional
City of Fountain Valley (CA)
J1632
Institutional
City of Fresno FPOA ADR1
J2337
Institutional
City of Gardena (CA)
J1634
Institutional
City of Glendale (AZ)
J1800
Institutional
City of Hayward
J2248
Institutional
City of Huntsville
J2340
Institutional
City of Jacksonville
J1504
Institutional
City of Kansas City MO
J2389
Institutional
City of La Mesa 11 (CA)
J1711
Institutional
City of Laguna Hills (CA)
J1653
Institutional
City of Lake Charles (La)
J1981
Institutional
City of Lakeland
J2347
Institutional
City of Los Angeles
J1536
Institutional
City of Miami Beach (FL)
J1946
Institutional
City of Minneapolis
J1269
Institutional
City of Montebello (CA)
J1640
Institutional
City of Napa
J2217
Institutional
City of New Orleans (LA)
J2309
Institutional
City of Omaha (NE)
J1721
Institutional
City of Orange
J1881
Institutional
City of Pasadena (CA)
J1657
Institutional
City of Perris (CA)
J1795
Institutional
City of Pompano Beach (FL)
J1947
Institutional
City of Redding (CA)
J1617
Institutional
City of Rialto CA
J1901
Institutional
City of Riverside
J2377
Institutional
City of Salinas
J1849
Institutional
City of San Diego
J1497
Institutional
City of San Jacinto (CA)
J1796
Institutional
City of San Mateo (CA)
J1727
Institutional
City Of Santa Ana
J2155
Institutional
City of St. Paul (MN)
J1602
Institutional
City of Stanton (CA)
J1636
Institutional
City of Stockton (CA)
J1664
Institutional
City of Topeka (KS)
J1607
Institutional
City of Tucson
J1982
Institutional
City of Upland (CA)
J1645
Institutional
City of West Covina (CA)
J1649
Institutional
City of West Palm Beach (FL)
J1948
Institutional
City of Yorba Linda (CA)
J1708
Institutional
Claims Administrative Services (CAS)
J1271
Institutional
ClaimsBridge HPN
11752
Institutional
ClaimsWare Inc. dba ManageMed
57080
Institutional
Classic Residence By Hyatt
J1037
Institutional
Clear Health Alliance
CLEAR
Institutional
Clear Spring Health of Illinois
66009
Institutional
Clougherty Packing LLC
J1739
Institutional
Clover Health
77023
Institutional
CMS MMA Specialty Plan
EM843
Institutional
CNA Insurance
20443
Institutional
CNA Insurance (AUTO Only)
C1035
Institutional
CO Medicare Part A (J4 - Trailblazer)
12M03
Institutional
CO NM OK TX - MEDICARE PART A (MAC J4) LEGACY WPS
12M88
Institutional
Coach USA
J1272
Institutional
Coachella Valley Water District (CA)
J1902
Institutional
Coastal Administrative Services
77052
Institutional
Coastal Care Services Inc
47394
Institutional
Coastal Communities Physician Network
51579
Institutional
Coca-Cola Enterprises Inc.
J1038
Institutional
COIT
J2259
Institutional
Colonial Life
37077
Institutional
Colonial Medical
22284
Institutional
Colonial Medical Insurance Company
22287
Institutional
Colorado Access
84129
Institutional
Colorado Casualty
J1428
Institutional
Colorado Community Health Alliance
COCHA
Institutional
Colorado Health OP
49718
Institutional
Colorado Medicaid
12K03
Institutional
Colorado Medicaid
SKCO0
Institutional
Columbia Sussex Corporation
J1039
Institutional
COMMERCE BENEFITS GRP
Commerce Benefits Group
34181
Institutional
Commercial Travelers/PHX
88091
Institutional
Common Ground Health Cooperative
Common Ground Healthcare Cooperative
77170
Institutional
Commonwealth Care Alliance
Community Care Alliance
14315
Institutional
Community Care Behavioral Health Organization
Community Care Behavioral Health Org (service prior to 10-1-2007)
25179
Institutional
Community Care BHO
23282
Institutional
Community Care Inc. - Family Care (Wisconsin)
60995
Institutional
Community Care Inc. (Wisconsin)
39126
Institutional
Community Care IPA
CCI01
Institutional
Community Care Managed Health Care Plans of Oklahoma
73143
Institutional
Community Development Commission (CA)
J1655
Institutional
Community First
12T02
Institutional
Community First Health Plan
42723
Institutional
Community First I Par Plus
Community First Health Plans
Community First Health Plan
Inc.
COMMF
Institutional
Community Health Alliance
35193
Institutional
Community Health Center Network
CHCN1
Institutional
Community Health Choice
48145
Institutional
Community Health Choice Texas HIM
60495
Institutional
Community Health Group
66170
Institutional
Community Health Plan of Washington
12T30
Institutional
Community Health Plan of Washington
CHPWA
Institutional
Community Medical Group of the West Valley Inc.
66121
Institutional
Comp - Ohio (Austintown OH)
34177
Institutional
Comp West
J1925
Institutional
Companion Life / KHP
American Worker Health Plan
37322
Institutional
Compass Group Usa Inc.
J1040
Institutional
CompManagment Health
15243
Institutional
ComPsych
U7363
Institutional
Compsych
37363
Institutional
Con-Way Inc.
J1844
Institutional
Concentrix Insurance Solutions
19028
Institutional
Concordia Care Inc
Concordia Care Inc.
33632
Institutional
Conifer
J1774
Institutional
Conifer (formerly InforMed)
52196
Institutional
Connecticare - Medicare
78375
Institutional
ConnectiCare Inc
Connecticut General Life
06105
Institutional
Connecticut Blue Cross (Anthem)
12B04
Institutional
Connecticut Carpenters Health Fund
37307
Institutional
Connecticut Medicaid
12K04
Institutional
Conseco Services LLC
11285
Institutional
Consociate Group
37135
Institutional
Consolidated Associates Railroad
75284
Institutional
Consolidated Health Plans
87843
Institutional
Contech Construction Products
J1041
Institutional
Contessa Health
CH201
Institutional
Contessa Health Security Health Plan
CH101
Institutional
Continental Airlines
J1042
Institutional
Continental Benefits
WellSystems LLC
35245
Institutional
Continuum Health Solutions LLC
46478
Institutional
Contra Coastal County Schools Insurance Group (CCCSIG)
J1715
Institutional
Contra Costa County Health Plan
CNTRA
Institutional
Convergys Corporation
J1043
Institutional
Conversion Plan-APWU
55544
Institutional
Cook Children Star Plan
THCP9
Institutional
Cook Children's Health Plan
12T58
Institutional
Cook Childrens Health Plan CHIP
Cook Children's Health Plan
Cook Childrens Health Plan
CCHP1
Institutional
Cook Childrens Health Plan Star
Cook Children's Star Plan
CCHP9
Institutional
Cook Group Health Plan
35149
Institutional
Cook Medical Group
60065
Institutional
Cooperative Managed Care Services Repricing
99227
Institutional
Coordinated Benefit Plan
Coordinated Benefit Plans
14829
Institutional
Copperpoint Mutual Insurance Company
J2093
Institutional
Core Administrative Services
58231
Institutional
CoreSource Detroit
38225
Institutional
CoreSource KC
48117
Institutional
CoreSource Little Rock
75136
Institutional
CoreSource NC IN
CoreSource MD PA IL
35182
Institutional
CoreSource OH
35183
Institutional
CoreSource-Internal
Core Source
35187
Institutional
Corinthian Colleges
J1517
Institutional
Corizon Health Inc.
CORIZ
Institutional
Corizon Inc.
43160
Institutional
Cornerstone Preferred Resources
CB268
Institutional
Corporate Plan Management Inc
64270
Institutional
CorrectCare Integrated Health
LADOC
Institutional
Correctcare Integrated Health (CA Prison Health Care Service
CCIH0
Institutional
Correction Health Partners
Physician Health Partners
PHPMC
Institutional
Correctional Management Service
J1044
Institutional
Corrections Corp of America
J1045
Institutional
Corrections Corporation of America (CCA)
J1942
Institutional
Cottingham & Butler Claim Services Inc.
J1683
Institutional
Cottingham and Butler
J2089
Institutional
Country Casualty Insurance Company
J1684
Institutional
Country Insurance / Modern Service Casualty Insurance Co
J1712
Institutional
Country Insurance / Mountain States Insurance
J1572
Institutional
Country Insurance \ MSI Preferred Insurance Company
J1591
Institutional
Country Mutual Insurance Company
J1702
Institutional
Country Preferred Insurance Company
J1705
Institutional
County of Chesterfield VA
J1525
Institutional
County of Humboldt (CA)
J1603
Institutional
County of Imperial
J1961
Institutional
County of Kern
J1935
Institutional
County of Los Angeles (3000)
J1967
Institutional
County of Los Angeles (AIMS Santa Clarita)
J1723
Institutional
County of Los Angeles (CA)
J1625
Institutional
County of Los Angeles (Tristar Santa Ana)
J1722
Institutional
County of Monterey
J2229
Institutional
County of Riverside
EC999
Institutional
County of Sacramento
J2290
Institutional
County of San Diego
J1513
Institutional
County of Santa Barbara-Non-CSAC (CA)
J1631
Institutional
County of Shasta (CA)
J1616
Institutional
County of Sonoma (CA)
J1662
Institutional
County of Tulare (CA)
J1666
Institutional
County of Ventura
J2204
Institutional
County Services Medical Program
CMSP1
Institutional
CountyCare
County Care
06541
Institutional
Covenant Administrators Inc. (Atlanta GA)
Covenant Administrators Incorporated (Atlanta
Georgia)
58102
Institutional
Covenant Management System Employee Benefit I Par Plus
Covenant Management Systems Employee Benefit plan
CMSEB
Institutional
Covenant Management Systems
12T60
Institutional
Coventry Health Care of Kansas (Kansas City & Wichita)
University of Missouri
25133
Institutional
Coworx Staffing LLC
J1046
Institutional
Cox Health Plan
00119
Institutional
Create
CREA8
Institutional
Creative Plan Administrators
37320
Institutional
Creative Risk Solutions
J1455
Institutional
Crescent Crown Distributing
J1965
Institutional
Crescent Health Solutions
56213
Institutional
Crosby ISD
J2263
Institutional
Crystal Run Health Plans
46430
Institutional
Crystal Run Health Plans
46120
Institutional
CSI Network Services
34186
Institutional
CT Medicare Part A (J13 - NGS)
12M04
Institutional
CTI Administrators Inc.
42141
Institutional
Custom Benefit Administrators
39170
Institutional
Custom Design Benefits Inc.
Custom Design Benefits
Inc.
82056
Institutional
Cypress Benefit Administrators
39199
Institutional
DakotaCare
DAK01
Institutional
Dallas Independent School District
J1494
Institutional
Danaher Corporation
J1051
Institutional
Darigold
J1936
Institutional
Dart Member Care
CB987
Institutional
DC Medicare Part A (MAC JL)
12M63
Institutional
DC Medicare Part A (MAC JL)
WV Medicare Part A (J11)
See Comments
Institutional
DE - MEDICARE PART A (MAC JL)
Empire Medicare Services
12M76
Institutional
De Bartolos Inc
J1058
Institutional
Dean Health Plan
39113
Institutional
Definiti
J2336
Institutional
Del Mar Administrators LLC.
83224
Institutional
Del Taco LLC
J1681
Institutional
DELANO IPA
77124
Institutional
Delaware Medicaid
12K87
Institutional
Dell Children's Health Plan
74272
Institutional
Dell Inc
J1983
Institutional
Delos
J1955
Institutional
DELTA HEALTH SYSTEMS
94235
Institutional
Denver City ISD
J1124
Institutional
Denver Health and Hospital Authority
84133
Institutional
Denver Health Medical Plan
84135
Institutional
Denver Health Medical Plan Inc. - Medicare Choice
84131
Institutional
Department of Energy
J1449
Institutional
Department of Labor (including Postal Employees)
J1438
Institutional
Department of Labor Black Lung
J1448
Institutional
Department of Water & Power of the City of Los Angeles LADWP
J1514
Institutional
Devoted Health
DEVOT
Institutional
Devoted Health
Total Senior Care
12268
Institutional
Dialysis TPA
82435
Institutional
Diamond Insurance Group LTD
J2140
Institutional
Dignity Global
MPM27
Institutional
Dignity HCLA
MPM28
Institutional
DIRECT CARE ADMINISTRATORS
DCA62
Institutional
Directory Distributing Assoc.
J1059
Institutional
Discount Tire
J1611
Institutional
Discover Re (Burger King)
J1060
Institutional
Disneyland Resorts (Bunch)
J1933
Institutional
District No. 9. I. A. of M. & A.W. Welfare Trust
District No. 9 I. A. of M. & A. W. Welfare Trust
MWELT
Institutional
District of Columbia Medicaid
12001
Institutional
Diversified Administration Corporation - CT
06102
Institutional
DMBA
SX105
Institutional
Doctors Healthcare Plan
DRHCP
Institutional
Dolton Medical Group
DOLMG
Institutional
Driscoll Children's Health Plan
74284
Institutional
DSW Inc.
J2273
Institutional
Duke University
J2212
Institutional
Dunn and Associates Benefits Administrators Inc.
35186
Institutional
Dunn-Edwards Corporation
J1061
Institutional
Durham County NC
J1994
Institutional
Duty Free Stores
J2252
Institutional
Dynamex Inc.
J1062
Institutional
E.S. BEVERIDGE & ASSOCIATES
34108
Institutional
East Boston Neighborhood PACE
25849
Institutional
East Carolina Behavioral Health
56089
Institutional
East Pointe Behavioral Health
08044
Institutional
Eastern Alliance (EA)
J2143
Institutional
Eastland Medical Group
66122
Institutional
Eastman Kodak Company
J1903
Institutional
Easy Choice Health Plan of California
20532
Institutional
Easy Choice Health Plan of NY
24770
Institutional
Eberle Vivian
EV001
Institutional
Eberle Vivian
J2135
Institutional
EBMS (Employee Benefit Management Services Inc.)
12X44
Institutional
EBS OF OHIO
34166
Institutional
Eddy SeniorCare
08754
Institutional
EDIC
J1289
Institutional
El Centro Regional Medical Center
J2362
Institutional
El Paso Community College (Tx Jur)
A0106
Institutional
El Paso First - CHIP
12T27
Institutional
El Paso First Health Plans - CHIP
El Paso First - CHIP
El Paso First - CHIP I Par Plus
EPF03
Institutional
El Paso Water Util TX Jur
J1017
Institutional
El Pollo Loco
J1737
Institutional
ElderPlan Inc.
31625
Institutional
Elderwood Health
03964
Institutional
Element Care Inc
04326
Institutional
Elmcare L.L.C.
NAELM
Institutional
Elmco
37253
Institutional
Emblem Health (GHI - New York Group Health Inc.)
13551
Institutional
EMCASCO Insurance Co. - WC Only
21407
Institutional
Emeritus Corporation
J1679
Institutional
EMHS Employee Health Plan
16565
Institutional
EMI HEALTH
SX110
Institutional
Empire Blue Cross Blue Shield HealthPlus
27514
Institutional
Empire Omnipro (BC NY City)
12B36
Institutional
Empire Omnipro (BC NY State)
12B35
Institutional
Employee Benefit Concepts (Farmington Hills MI)
38241
Institutional
Employee Benefit Services (Ft. Mill SC)
37216
Institutional
Employee Benefit Systems
42149
Institutional
Employee Benefits Plan Administration Inc. (E.B.P.A.)
03036
Institutional
Employee Logistics
92135
Institutional
Employee Plans LLC
35112
Institutional
Employer Plan Services Inc.
CX031
Institutional
Employer's Direct Health - Employee Plan
75236
Institutional
Employer's Direct Health - FI
75235
Institutional
Employer's Direct Health - SF
75233
Institutional
Employers Direct Health
75232
Institutional
Employers General Insurance Group
J1696
Institutional
Employers Health Cooperative (EHC)
Claimshop- Employers Coalition on Health
27008
Institutional
Employers Mutual Inc (Jacksonville Florida)
59298
Institutional
Employers Mutual Inc. (Stuart Florida)
59331
Institutional
Employers Preferred Insurance Company
J1232
J1912
Institutional
Employers Preferred Insurance Company (RX ONLY)
J1864
Institutional
EMPOWER Arkansas
12956
Institutional
EnableComp LLC
L0240
Institutional
Entertainment Employees WC Program
J2265
Institutional
Entrust
36878
Institutional
Envirosource
J1063
Institutional
EON Health
73780
Institutional
EPN - Seton Health Plan Exclusive (Provider ID required)
EPN (Seton Health Plan Exclusive PR I Par Plus)
EPNSH
Institutional
EPSI Dental II
Capital Dental
CX037
Institutional
Equian
J2090
Institutional
Ergon Inc
J1952
Institutional
ERMC
J1022
Institutional
ESIS
TP043
Institutional
ESIS - Kelly Services
J1451
Institutional
ESIS - Lockheed Martin Corporation
J1454
Institutional
ESIS (First American Insurance Co)
J1064
Institutional
Essence Healthcare
20818
Institutional
Esurance Inc.
30210
Institutional
Esurance Insurance Company
25712
Institutional
Everence
35605
Institutional
Everpointe
32052
Institutional
eviCore
62160
Institutional
Evolution Insurance Company
J1065
Institutional
Evolutions Healthcare Systems (New Port Richey FL)
59313
Institutional
Exceedent LLC
22344
Institutional
Excellus - BCBS Central NY-RMSCO
12B71
Institutional
Excellus - BCBS Utica Watertown
12B38
Institutional
Excellus - Blue Cross Blue Shield Central NY
12B37
Institutional
Excellus - Blue Cross Blue Shield Rochester Area
12B40
12B67
12B73
Institutional
Excellus - Blue Cross/Blue Shield Rochester Area
Excellus BCBS New York Rochester Area
SB804
Institutional
Extended Care MTC
46166
Institutional
Exxon Mobil Corporation
J1606
Institutional
EyeQuest
63740
Institutional
F.A. Richard & Associates (FARA)
TP044
Institutional
Fabcon
J2209
Institutional
Factory 2 U
J1019
Institutional
Fairchild Fasteners
J1624
Institutional
Fairfax County Government
J1884
Institutional
Fairmont Specialty Insurance Company - TX
J1697
Institutional
Fairview Health Services
J1618
Institutional
Falling Colors
FCC20
Institutional
Fallon (Transplant claims)
Fallon Transplant
FT254
Institutional
Fallon Community Health
Fallon Community Health Plan
22254
Institutional
Family Care CCO
93121
Institutional
Family Health Network
Community Care Alliance of IL
85468
Institutional
FAMSA INC.
J1807
Institutional
FARA Benefit Services Inc.
37289
Institutional
Farm Bureau Mutual Insurance Company (MN Only)
J1853
Institutional
Farm Family Life
14140
Institutional
Farmers (Mid-Century Insurance Company)
J1710
Institutional
Farmers (Civic Property and Casualty Company )
J1687
Institutional
Farmers (Exact Property and Casualty Company)
J1703
Institutional
Farmers (Fire Insurance Exchange)
J1706
Institutional
Farmers (Neighborhood Spirit Property and Casualty Company)
J1701
Institutional
Farmers (Truck Insurance Exchange)
J1713
Institutional
Farmers Insurance (AUTO Only)
C1025
Institutional
Farmers Insurance Exchange
J1563
Institutional
FCCI
J1830
Institutional
FCE Benefit Administrators
33033
Institutional
Federal Mogul
J2361
Institutional
Federal Qualified Hlthcr Cntr via UGS
Federally Qualified Healthcare Clinic
FQHC1
Institutional
Federated Department Stores Inc
J1297
Institutional
Federated HR Services
37300
Institutional
Federated Mutual Insurance
41041
Institutional
Federated Rural Electric (TX)
11118
Institutional
Federated Services Insurance Company
13935
28304
Institutional
FFVA Mutual Insurance
J1909
Institutional
Fidelis Care New York
11315
Institutional
Fincor
J2200
Institutional
Fireman's Fund Insurance Company
21873
Institutional
FIRST ADMINISTRATORS INC
FAMR1
Institutional
First Agency
88055
Institutional
First Carolina Care
56196
Institutional
First Choice Health Network
Sound Health (now known as First Choice Health Network)
91131
Institutional
First Choice of Midwest (PPO)
First Choice of Midwest PPO
75138
Institutional
First Choice VIP Care Plus - SC
77009
Institutional
First Health | The Lewer Agency
96708
Institutional
First Health Network (fka CCN Managed Care Inc & PPO OK
73159
Institutional
First Managed Care Options Inc.
40270
Institutional
First Source/Arkansas Blue Cross
12047
Institutional
FirstCare
12T03
Institutional
FirstCare
94999
Institutional
FirstCare Health Plans
49096
Institutional
FirstCare Medicaid
FirstCare Star Medicaid
94998
Institutional
Firstcomp
J1011
Institutional
FirstGuard Health Plan - Kansas
90060
Institutional
FirstGuard Missouri
90061
Institutional
FKI Industries Inc.
J1047
Institutional
FL - BCBS
12B34
Institutional
FL Medicare Part A (J9 First Coast)
12M34
Institutional
Florida Blue
00590
Institutional
Florida Combined Life
Administrative Services Inc.
CBFLU
Institutional
Florida Community Care
FLCCR
Institutional
Florida Fruit and Vegetable Association
J1910
Institutional
Florida Health Care Plan
59322
Institutional
Florida Hospital VBR
VB001
Institutional
Florida Hospital Waterman
48116
Institutional
Florida Medicaid
12K34
Institutional
Florida Medicaid
SKFL0
Institutional
Florida Pace Centers
FLPAC
Institutional
Fnd For Medicare of Tulare & Kings Counties Inc
85362
Institutional
FOJP Service Corporation
J2269
Institutional
Foremost
11185
Institutional
Forestry Mutual Insurance Company
J2153
Institutional
Forge Industrial Staffing
J1529
Institutional
Formax
Inc.
87066
Institutional
Foundation Benefit Admin. (FBA) - Boon Group
Foundation Benefit Admin /Contractor Employee Benefits Admin
BOONG
Institutional
Fox Valley Medicine
FVMCH
Institutional
Fox-Everett
Inc. (10-1-15 Re-enrollment needed.)
Fox-Everett Inc.
64069
Institutional
Franciscan Alliance
J1883
Institutional
Frankenmuth Mutual
J1440
Institutional
Freedom Health Plan
41212
Institutional
Freedom Life Insurance Company
Freedom Life
62324
Institutional
Frenship ISD
J1125
Institutional
Fresenius Health Partners
43197
Institutional
Fresno PACE
99660
Institutional
Fresno Unified School District
J2357
Institutional
Friedkin Companies Inc
J1984
Institutional
Fringe Benefits Coordinators
59204
Institutional
FrontPath Health Coalition
34171
Institutional
Fullerton Union High School District (CA)
J1633
Institutional
G&A Partners
J2288
Institutional
GA MEDICARE A (MAC JJ)
12M05
Institutional
GAB Robbins
TP117
Institutional
Gallagher Bassett
TP057
Institutional
Gallagher Bassett - Former Chubb Services Claims
J1561
Institutional
Gallo
J2257
Institutional
GALVESTON COUNTY INDIGENT HEALTHCARE
30005
Institutional
Garden Grove Unified School District
J1519
Institutional
Gates Corp Dba Gates Rubber Co
J1066
Institutional
Gateway Health Plan - Medicare Assured
60550
Institutional
Gateway Health Plan Medicaid PA
25169
Institutional
Gateway Health Plan of Ohio
Inc.
76028
Institutional
Gateway Health Plan OH- Medicare Assured
91741
Institutional
GBS Group Benefit Services
80241
Institutional
GE Auto
J1557
Institutional
GEICO
J1747
Institutional
Geisinger Health Plan
75273
Institutional
Gemcare Health Plan
20376
MCS03
Institutional
General Parts International
J1678
Institutional
Generations Healthcare
46050
Institutional
Generations-Hillcrest
46051
Institutional
Genesys PACE
38237
Institutional
Genex Care for Ohio
J1895
Institutional
GEO
J1461
Institutional
Georgia Medicaid
12K05
Institutional
Georgia Medicaid
SKGA0
Institutional
Georgie's Inc.
J2137
Institutional
GHI - Medicare PPFS (Private Fee for Service)
22937
Institutional
GHI HMO
25531
Institutional
Gillette Children's Specialty Healthcare
J1927
Institutional
Gilsbar Inc.
07205
Institutional
Global Care Incorporated
Global Care Inc.
07689
Institutional
Global Care Medical Group
Global Care Med Grp IPA
MPM05
Institutional
Global Excel Management
GEM01
Institutional
Global Health
GHOKC
Institutional
Global Healthcare Alliance
12X59
Institutional
GMS Inc.
47083
Institutional
Golden Corral Corporation
J1067
Institutional
Golden Eagle
J1430
Institutional
Golden Shore Medical Group (GSMG)
NMM03
Institutional
Golden State Medical Group
Sierra Nevada Medical Association
MBA01
Institutional
Golden Triangle Physician Alliance SE
72189
Institutional
Goodrich
J1462
Institutional
Goodwill Industries
J1621
Institutional
Government Employees Health Association (GEHA PHCS)
45235
Institutional
Government Employees Health Association (GEHA-PHCS-45275)
45275
Institutional
Government Employees Health Association (GEHA)
44054
Institutional
Grand River Insurance
C1038
J1566
Institutional
Grange WC
14060
Institutional
Graphic Arts Mutual
25984
Institutional
Great American Alliance Ins Co.
26832
Institutional
Great American Assurance Company
26344
Institutional
Great American Ins. Co.
16691
Institutional
Great American Ins. Co. of N.Y.
22136
Institutional
Great Central
J1308
Institutional
Great Divide Insurance
25224
Institutional
Great Lakes PACE
39640
Institutional
Great Plains Medicare Advantage of Nebraska
GPNE1
Institutional
Great Plains Medicare Advantage of North Dakota
GPND1
Institutional
Great Plains Medicare Advantage of South Dakota
GPSD1
Institutional
Great-West Healthcare
Great West
80705
Institutional
Great-West Healthcare
Great-West Healthcare (formerly American General)
63665
Institutional
Greater Covina Medical Group
99284
Institutional
Greater Newport Physicians Medical Group
33010
Institutional
Green Diamond WA
J1642
Institutional
Grinnell
J1541
Institutional
Grinnell Reinsurance Company
J1571
Institutional
Group Administrators Ltd.
36338
Institutional
Group and Pension Administrators
Group Plan Administrators
48143
Institutional
Group Health Alliance
82058
Institutional
Group Health Co-op
12X16
Institutional
Group Health Cooperative of Eau Claire
95192
Institutional
Group Health Cooperative of South Central Wisconsin
39167
Institutional
Group Health Cooperative of Washington State
Kaiser Foundation Health Plan of Washington Options Inc
91051
Institutional
Group Insurance Service Center Inc.
37276
Institutional
Group Resources PHCS
28680
Institutional
Gse Lining Technology Inc.
J1068
Institutional
Guardian Life Insurance Company of America
64246
Institutional
GuideOne Elite Insurance
J1590
Institutional
GuideOne Mutual Insurance
J1574
Institutional
Guidewell Mutual Holding
J2345
Institutional
Guildnet
36057
Institutional
Gulf South Risk Services
60652
Institutional
Gulf Stream-General Dynamics
CB624
Institutional
Gundersen Lutheran Health Plan Inc.
39180
Institutional
H & R Block
J1672
Institutional
H.E.R.E.I.U Welfare Pension Funds
37114
Institutional
HAA Preferred Partners
65101
Institutional
Habit Restaurants LLC
J2363
Institutional
Halcyon Behavioral Health
HALCY
Institutional
Hamaspik Choice
47738
Institutional
Hannaford
J1463
Institutional
Hanover Insurance Company
J1693
Institutional
Hanover Lloyd's Insurance Company
J1588
Institutional
Harbor Advantage
58305
Institutional
Harbor Health Plan
70259
Institutional
Harken Health Insurance
Harken Health
43313
Institutional
Harken Health
Nevada Medicaid
10152
Institutional
Harleysville Insurance Company
J1595
Institutional
Harmony Health Plan
61067
Institutional
Harmony Health Plan of Illinios
Harmony Health Plan of IL 837pRemits returned under 14163
Harmony Health Plan of IL(Wellcare Prov ID 800 960 2530 2 5
36406
Institutional
Harmony Health Plan of Indiana
Harmony Health Plan of IN (837p) Remits returned under 14163
Harmony Health Plan of IA ( claims for Hoosier Healthwise me
36405
Institutional
Harrington Health Colonial Dental
Harrington Health Non-EPO
59143
Institutional
Harrington Health-Kansas (form known as Fiserv Health-Kansas
62061
Institutional
Hartford Accident and Indemnity Company
C1046
Institutional
Hartford Casualty Insurance Company
C1041
Institutional
Hartford Insurance Company of the Midwest
C1043
Institutional
Hartford Life and Accident Insurance Company
C1044
Institutional
Hartford Life and Annuity Insurance Company
C1047
Institutional
Hartford Life Insurance Company
C1045
Institutional
Hartford Underwriters Insurance Company
C1042
Institutional
Harvard Community Health Plan
04245
Institutional
Harvard Maintenance
J2388
Institutional
Harvard Pilgrim Healthcare
Harvard Pilgrim Health Care
04271
Institutional
Hawaii 835 (ERA/EFT) line of business
40523
Institutional
Hawaii Blue Cross
12B62
Institutional
Hawaii Medical Assurance Association (HMAA)
Hawaii Western Management (HWMG)
99208
Institutional
Hawkeye
J1426
Institutional
HCA-Hosptial Corporation of America
J1450
Institutional
HCH Administration (Illinois)
37111
Institutional
HCH Administration Inc.
37215
Institutional
HCH Administration
Encompass
37110
Institutional
HCS - Health Claims Service (Boise ID)
82018
Institutional
HCSC Insurance Services Company
Blue Cross of Texas
84980
Institutional
Health Adv/US Able/First Pyramid Life/Arkansas Blue Cross
12049
Institutional
Health Alliance Medical Plans
77950
Institutional
Health Care District of Palm Beach
HCDPB
Institutional
Health Care LA IPA (HCLA)
Health Care LA
MPM06
Institutional
Health Care Network of Wisconsin (HCN)
42102
Institutional
Health Care Partners AZ
Health Care Partners of AZ
Health Care Partners -AZ (Dates of Service of 5-01-13&later)
HCP02
Institutional
Health Choice Arizona
62179
Institutional
Health Choice Generations
62180
Institutional
Health Choice Insurance Co
46221
Institutional
Health Choice Integrated Care
22100
Institutional
Health Choice of Oklahoma
HealthChoice Oklahoma
71064
Institutional
Health Choice Utah
45399
Institutional
Health Cost Solutions
62111
Institutional
Health Design Plus (Hudson OH)
34158
Institutional
Health First - Tyler
TX
Health First TPA Tyler
Healthfirst TPA
75234
Institutional
Health First Health Plan Inc.
15064
Institutional
Health First
Matrix - Health First Health Plan
95019
Institutional
Health Net - California (Institutional Encounters ONLY)
95568
Institutional
Health Net of Arizona
38309
Institutional
Health Net of California and Oregon
Health Net of California
95567
Institutional
Health Network One
12K89
Institutional
Health Network One
65062
Institutional
Health New England
04286
Institutional
Health Options Inc (FL - BCBS HMO)
12B26
Institutional
Health Options of Illinois I Par Plus
Health Options of Illinois
NAHOI
Institutional
Health Partners - Jackson TN
62157
Institutional
Health Partners of PA
Health Partners PA
80142
Institutional
Health Payment Systems
Health Payment Systems Inc.
20270
Institutional
Health Plan of San Joaquin
San Joaquin Health Administrators
68035
Institutional
Health Plans Inc.
44273
Institutional
Health Plus of Michigan
U8216
Institutional
Health Plus PHSP (Brooklyn NY)
11324
Institutional
Health Plus Physicians Organization
63363
Institutional
Health Safety Network - MASS. Health Medicaid
12K48
Institutional
Health Services for Children with Special Needs
37290
Institutional
Health Services Review
11072
Institutional
Health Share of Oregon CCO-Mental Health
77120
Institutional
Health Systems Inc
11889
Institutional
Health Traditions
Health Tradition Health Plan
HLTHT
Institutional
HEALTH WEST ADMINISTRATORS
U7876
Institutional
Healthcare Highways
HCH01
Institutional
Healthcare Options I Par Plus
EPF37
Institutional
HealthCare Partners IPA
11328
Institutional
Healthcare Resources NW
56731
Institutional
Healthcare Solutions Group
73147
Institutional
Healthcomp Incorporated
Healthcomp Inc.
85729
Institutional
Healthfirst TPA - Austin
Healthfirst of Austin TPA
75289
Institutional
Healthgram Inc (formerly known as Primary Physician Care)
Healthgram Inc
Healthgram Inc.
56144
Institutional
HealthGroup Limited
23274
Institutional
Healthlink HMO
96475
Institutional
HealthNow - BCBS Northeastern NY
12B68
Institutional
HealthNow - Blue Cross Blue Shield of Western NY
Blue Cross of New York
Western (835s returned under N1BLS)
12B39
Institutional
HealthPartners
44547
Institutional
HealthPartners MN
12X51
Institutional
Healthpartners of MN
HealthPartners of Minnesota
55764
Institutional
HealthPlan Services
Mutual Group (The) (US)
59140
Institutional
HealthScope Benefits
71084
Institutional
Healthscope Benefits - EHC Repricing
52429
Institutional
HealthSCOPE Benefits Inc.
HealthSCOPE Benefits Inc (Formerly CNA Health Partners of AR
71063
Institutional
Healthsmart
J1481
Institutional
HealthSmart (EDI #14966)
14966
Institutional
HealthSmart (EDI #31172)
Innovante Benefit Administrators
31172
Institutional
HealthSmart (EDI #34145)
34145
Institutional
HealthSmart (EDI #37224)
37224
Institutional
HealthSmart (EDI #37256)
37256
Institutional
HealthSmart (EDI #76870)
76870
Institutional
HealthSmart (EDI #76923)
76923
Institutional
HealthSmart Accel (EDI #75237)
75237
Institutional
HealthSmart Benefit Solutions
37272
Institutional
Healthsmart Management Services Organization Inc
Healthsmart Mgmt Services Org Inc
A0067
Institutional
HealthSmart MyDecision (EDI #18840)
18840
Institutional
HealthSmart Preferred Care (EDI #75250)
75250
Institutional
Healthsource AR (Med) (CIGNA)
71075
Institutional
Healthsource GA (CIGNA)
58210
Institutional
Healthsource KY
61127
Institutional
Healthsource Massachusetts Inc.
02041
Institutional
Healthsource ME
01041
Institutional
Healthsource N. TX (CIGNA)
75255
Institutional
Healthsource NC (CIGNA)
56147
Institutional
Healthsource OH
31141
Institutional
Healthsource Provident
68195
Institutional
Healthsource SC
06119
Institutional
Healthsource TN (CIGNA)
62129
Institutional
Healthsource
Inc
HS001
Institutional
HealthSpan Integrated Care accept claims DOS to 1-31-2017
HealthSpan Integrated Care
RH007
Institutional
HealthSpring - STAR+PLUS Only
Texas Healthspring
52192
Institutional
HealthSpring HMO/HealthSpring Medicare+Choice
63092
Institutional
Healthteam Advantage
88250
Institutional
Healthy Blue Louisiana
58532
Institutional
HEALTHY BLUE NEBRASKA
00544
Institutional
Healthy Kids I Par Plus
M3FL3
Institutional
Healthy San Francisco
HSF01
Institutional
Healthy Texas
68064
Institutional
Healthy York Network
22251
Institutional
HealthyCT Inc - Brokers
66866
Institutional
HealthyCT Inc
77180
Institutional
Heartland Express
J1677
Institutional
HEB Grocery Company LP
J2223
Institutional
Help At Home Holding
J1985
Institutional
Helpside Inc.
J2378
Institutional
Hemet Community Med Group ( 951-791-1111 prior to submitting
Hemet Community Medical Group
HCMG1
Institutional
Hemet Unified School District (CA)
J1654
Institutional
Hennepin Health
60058
Institutional
Hennepin Health
Benefit & Risk Management Services
99320
Institutional
Hereford ISD
J2342
Institutional
Heritage Group
J1069
Institutional
Heritage Victor Valley Medical Group
30862
Institutional
Hernando Pasco Hospice
17929
Institutional
Hewitt Coleman
57029
Institutional
HFN Healthease I Par Plus
M3FL5
Institutional
HFN Inc.
36335
Institutional
High Desert Medical Group
95393
Institutional
Highmark BCBSD Health Options
47181
Institutional
Highmark Senior Health
95462
Institutional
Highmark Senior Solutions
95461
Institutional
Hill Physicians Blue Shield PPO
HLPBS
Institutional
Hill Physicians Health Net PPO
HLPHN
Institutional
Hill Physicians Medical Group
00046
Institutional
Hill Physicians United Healthcare PPO
HLPUH
Institutional
Hillshire Brands
J1959
Institutional
Hilmar Cheese Company
J1833
Institutional
HIP - Health Insurance Plan of Greater New York
55247
Institutional
HMA - Health Management Admin
12T11
Institutional
HMA Hawaii
86066
Institutional
HMC HealthWorks aka Health Management Co
75318
Institutional
HMO Louisiana Inc
84555
Institutional
HMS Host
J1612
Institutional
HMSO-Highline Medical Service Organization
91164
Institutional
Holly Farms Corp.
J1070
Institutional
Holy Cross Health Partners
NAHLX
Institutional
HOME HEALTH & HOSPICE - JURISDICTION A (MAC JK - NGS)
12HHA
Institutional
HOME HEALTH & HOSPICE (MAC J15 - JURISDICTION B) CGS
12M97
Institutional
Homelink
30750
Institutional
Hometown Health Plan Nevada
88023
Institutional
Hoover
J2214
Institutional
Hopkins Health Advantage
66003
Institutional
Horizon Healthcare Dental Services
New Jersey Blue Cross Blue Shield (Horizon)
Horizon Healthcare of NY
22099
Institutional
Horizon Healthcare of New York
5526I
Institutional
Horizon NJ Health
22326
Institutional
Hospital Houskeeping Systems (HHS)
J2274
Institutional
Hospital Receivables Services
11278
Institutional
Household Merch Nni
J1071
Institutional
Housing Authority El Paso (TX)
A0107
Institutional
Houston Hunters Patrol Inc
J1020
Institutional
Houston ISD
J1999
Institutional
Howard County Government (MD)
J1888
Institutional
HPMC - Alta Med Clinics (HPMC - AMC)
38828
Institutional
HPMC - Preferred IPA (HPMC - PMG)
10910
Institutional
HPMC - San Judas IPA (HPMC - SJM)
73331
Institutional
HPMS Send claims to payerID listed on patient's ins card)
HPMS Send claims to payerID listed on patient's ins card)d.)
0CARD
Institutional
HSB.NHP.
45321
Institutional
HSHS Medical Group IPA
37137
Institutional
Hughes Tool Company
J1072
Institutional
Human ARC
34818
Institutional
Humana Insurance Company Choice Care Network
Humana Inc.
Humana
61101
Institutional
Humana Long Term Care
61115
Institutional
Humana PR
L0200
Institutional
Humana Veterans Healthcare Services
61120
Institutional
Huron PACE
54750
Institutional
Hutchinson Technology
J1626
Institutional
Hylton Payroll (Benefit Plan Administrators)
19753
Institutional
I. E. Shaffer (West Trenton NJ)
22175
Institutional
IA Medicare Part A (J5 - WPS)
12M10
Institutional
IA Teamsters Health Ben Fund Local 135 Health Benefits Fund
Local 135 Health Benefits Fund (Indianapolis IN)
Indiana Teamsters Health Benefits Fund
35107
Institutional
IBC Personal Choice
12X26
Institutional
IBG Administrators LLC
81810
Institutional
ICARE (Independent Care Health Plan)
Independent Care Health Plan
11695
Institutional
iCircle Care
42660
Institutional
iCircle Care of New York
33884
Institutional
ICW (Insurance Co of the West)
27847
Institutional
IDA
Insurance Design Administrators
13315
Institutional
Idaho Medicaid
12K07
Institutional
Idaho Medicaid
SKID0
Institutional
Idaho Medicaid
Molina Healthcare of Virginia Encounters
10101
Institutional
IdealCare by Sendero
SCS17
Institutional
IEC Group - AmeriBen
97661
Institutional
Iheart Media Inc.
J2360
Institutional
IHG Direct
75274
Institutional
IL Medicare Part A (J6)
12M08
Institutional
Illinois Casualty
J1575
Institutional
Illinois EMCASCO
21415
Institutional
Illinois Health Plan (IHP)
Boncura Health Solutions (Dupage Medical Group)
DMG01
Institutional
Illinois Medicaid
00621
Institutional
Illinois Physicians Alliance IPA
IPA99
Institutional
Imagework Technolgies Corp.
40043
Institutional
Imagine Health
43123
Institutional
IMCare
41600
Institutional
Immigration Services
VAICE
Institutional
Imperial Health Holdings
78448
Institutional
Imperial Health Holdings Medical Group
IHHMG
Institutional
IMS Management Svcs - Texas
12T64
Institutional
IMX Easy
86070
Institutional
IN Medicare Part A (J8)
12M09
Institutional
INDECS Corporation
40585
Institutional
Independence American Ins. Co
CB231
Institutional
Independent Health
12X01
Institutional
Independent Health
SX073
Institutional
Independent Living Systems
45048
Institutional
Independent Physicians at Mercy
INDPM
Institutional
Indian Health Services
12X75
Institutional
Indian Health Services
UnitedHealthcare StudentResources
00290
Institutional
Indiana Department of Health - Children's Health - Claims
35600
Institutional
Indiana Insurance
J1425
Institutional
Indiana Medicaid
12K09
Institutional
Indiana Medicaid
SKIN0
Institutional
Indiana ProHealth Network
35161
Institutional
Indiana University
IUHPL
Institutional
Indiana University Health Plan (Commercial IUHPLNS)
26212
Institutional
Indiana University Health Plan (Medicare)
95444
Institutional
Individual Assurance Company
30360
Institutional
Inetico Inc.
43471
Institutional
Ingalls Provider Group
85578
Institutional
Ingalls Provider Group (New PID for DOS 1-1-19 & after only)
Ingalls Provider Group
66727
Institutional
Ingham Health Plan Corporation
38343
Institutional
Ingles Markets
J1907
Institutional
Inland Empire Health Plan
99101
Institutional
Inland Empire Health Plan
IEHP1
Institutional
Inland Faculty Medical Group
MVMM1
Institutional
Innovation Health
40025
Institutional
Innovative Claim Solutions (ICS) - Rancho Cordova
J1599
Institutional
Innovative Claim Solutions (ICS) - San Ramon
J1601
Institutional
Innovative Health Plan
CB951
Institutional
Innovative Risk Management (IRM)
J2152
Institutional
Insight Benefit Administrators
38254
Institutional
Insilco Corp
J1073
Institutional
Insurance Administrators of America Inc.
IAA
37279
Institutional
Insurance Management Administrators
72091
Institutional
Insurance Management Services (Amarillo TX)
15688
Institutional
Insurance Program Managers Group
Benefit Systems and Services
Inc.
Benefit Systems & Services
Inc. (BSSI)
36342
Institutional
Insurance Systems Inc
13784
Institutional
InsuranceTPA.com
39182
Institutional
Insurers Administrative Corp.
86304
Institutional
Integra Administrative Group (Seaford DE)
51020
Institutional
Integra Group
31127
Institutional
INTEGRA GROUP/HOME
31128
Institutional
Integra Managed Long Term Care
45302
Institutional
Integral Quality Care
23229
Institutional
Integranet I Par Plus
INET1
Institutional
Integrated Care Network (ICN) by Emerald Health
34167
Institutional
Integrated Medical Solutions LLC
20050
Institutional
Integrity Administrators (Champion Chevrolet)
99795
Institutional
Integrity Mutual Insurance Company (WC Only)
14303
Institutional
Integrity Mutual Insurance Company
BCBS of Missouri (Anthem)
10322
Institutional
Interactive Medical Systems
56132
Institutional
Intercare - Sussex
J1542
Institutional
Intercare Holdings Insurance Services Inc.
J1957
Institutional
Interface EAP (IEAP)
60280
Institutional
Intergroup Services Corporation
23287
Institutional
Interinsurance Exchange of the Automobile Club
J1810
Institutional
Intermountain Healthcare
J2243
Institutional
International Benefit Administrator
11329
Institutional
International Brotherhood of Boilermakers
36609
Institutional
International Medical Group (IMG)
12T61
Institutional
International Medical Group
INC
International Medical Group
Inc. I Par Plus
IMGIN
Institutional
International Union Operating Engineers
INTER UNION OF OPER15
37269
Institutional
Intl Brotherhood Boilermakers EMPL Health Care Plan IBBEHC
48603
Institutional
INTotal Health LLC
35115
Institutional
Iowa Medicaid
12K10
Institutional
Iowa Select Farms
J2364
Institutional
IPMG Claims Mngmt Services (Insurance Program Managers Group
J1887
Institutional
Irex Corporation
J1074
Institutional
IRM - Signal State Act VIA ASG
J2287
Institutional
Ironworking Contract I.P.
J1075
Institutional
Island Home Insurance Company
85502
Institutional
ISS Facility Services
J2276
Institutional
iSURITY
J1911
Institutional
IU Health Transplant Evaluation Program
47262
Institutional
J B Hunt Transport Inc.
A0138
Institutional
J1 MAC Medicare Part A (CAHINV)
12M64
Institutional
Jai Medical Systems
JAI Medical
JAI01
Institutional
Jencare Medical
JCARE
Institutional
JI Sepcialty Services
Inc. I Par Plus
JISSP
Institutional
JI Specialty Service
J1005
Institutional
JI Specialty Services
J1006
Institutional
JLS Family Enterprises
JLSFE
Institutional
JOHN MORRELL COMPANY CO. - AHPBA
38310
Institutional
John Muir Mt. Diablo Health System
John Muir Physician Network
68036
Institutional
Johns Hopkins Healthcare (EHP/PP)
52189
Institutional
Johns Hopkins Healthcare (USFHP)
52123
Institutional
Joint Powers Insurance Authority (JPIA)
J2291
Institutional
Jones Truck LinesInc.
J1076
Institutional
JP Farley Corporation
34136
Institutional
JP Specialties
12T47
Institutional
Juvenile Jail Facility Managem
J1077
Institutional
Kaiser CSI California Select For Individuals
Kaiser Self Funded
94320
Institutional
Kaiser Foundation Health Plan of Colorado
91617
Institutional
Kaiser Foundation Health Plan of Mid-Atlantic St(835 KAISR
Kaiser Foundation Health Plan of the Mid-Atlantic
Kaiser Foundation Health Plan of the Mid Atlantic
NG008
Institutional
Kaiser Foundation Health Plan of Northern CA Region
94135
Institutional
Kaiser Foundation Health Plan of Southern CA Region
94134
Institutional
Kaiser Foundation Health Plan of the Mid-Atlantic States Inc
52095
Institutional
Kaiser Foundation of the Northwest
93079
Institutional
Kaiser Permanente Health Plan of Hawaii
94123
Institutional
Kaiser Permanente of Georgia
21313
Institutional
Kalos Gold Health Plan
61185
Institutional
Kalos Health
40137
Institutional
Kane County BCBS
KCIPA
Institutional
Kane county Harmony Medicaid
IPAK1
Institutional
Kansas Medicaid
47163
Institutional
Kansas Superior Select
71066
Institutional
Katy Medical Claims
81812
Institutional
KCI Holdings USA
J1078
Institutional
Keenan and Associates
J1498
Institutional
Keenan Associates (CA)
95279
Institutional
Kellogg Companies
J1803
Institutional
Kelseycare
KELSI
Institutional
Kemberton Healthcare Services
62480
Institutional
Kemper Benefits
61453
Institutional
Kempton Group Administrators
Kempton Company
73100
Institutional
Ken Davis Industries Inc.
J1079
Institutional
Kentucky Health Administrators Inc.
27215
Institutional
Kentucky Medicaid
12K11
Institutional
Kentucky Passport
Passport Health Plan
61325
Institutional
Kern County CDCR
28021
Institutional
Kern Health Systems
77039
Institutional
Kern Legacy Health Plan
89890
Institutional
Kerry Holding Co.
J2275
Institutional
Key Benefit Administrators (Indianapolis IN)
37217
Institutional
Key Gap
35317
Institutional
Key Insurance Group
KEYIP
Institutional
Key Risk Management Services LLC
J1521
Institutional
Key Select
Fidelity / Key Select
37321
Institutional
Key Solution
37323
Institutional
Keystone First
23284
Institutional
Keystone First Community HealthChoices
42344
Institutional
Keystone First VIP Choice
77741
Institutional
Keystone Health Plan East/IBC
12X25
Institutional
Kipp & Company
93063
Institutional
Koch Foods
J1986
Institutional
Kova Healthcare Incorporated
KOVA1
Institutional
KPS-Kitsap Physician Services
KPS01
Institutional
Kroger Co.
J2327
Institutional
KS Medicare Part A (J5 - WPS)
WPS Medicare KS Part A
57324
Institutional
KY MEDICARE A (MAC J15) CGS
12M11
Institutional
LA Care Health Plan
LACAR
Institutional
LA Medicare Part A (JH)
12M12
Institutional
LA Metro
J2374
Institutional
La Salle Medical Associates IPA
Network Medical Management
NMM01
Institutional
LACH HealthNet by MedPoint
MPM19
Institutional
Lake County Physicians Association
37116
Institutional
Lake Forest Managed Care Associates
37112
Institutional
Lakeside Comprehensive Healthcare
66127
Institutional
LakeSide Medical Group
66125
Institutional
Lancaster General Health Group - Preferred Health Care (IHS
16109
Institutional
Landry's
J1889
Institutional
Landstar Bco Wc Program
J1080
Institutional
Lane County (OR)
J1987
Institutional
LaSalle Medical Group
NMM02
Institutional
Lawndale Christian Health Center
36333
LAWND
Institutional
LCTA Workers' Comp
J1998
Institutional
League of Minnesota Cities Insurance Trust
J1527
Institutional
Legacy Medicare Part A - WPS (MAC J5)
52280
Institutional
Leon Medical Center Health Plan
37316
Institutional
Leon Medical Centers Health Plan Inc
LMCHP
Institutional
LEON MEDICAL CTR Health Plan I Par plus
65055
Institutional
Levelland ISD
J1126
Institutional
Lewisville ISD Self-Insured
J1122
Institutional
LFP Corporation
J1650
Institutional
Liberty Advantage LLC
LIB01
Institutional
Liberty Health Advantage
87071
Institutional
Liberty Mutual
C1058
Institutional
Liberty Wausau
33600
Institutional
Life Gift Cards
33LGC
Institutional
Life Investors Insurance
12T67
Institutional
Life Investors Insurance of America - Long Term Care
12T39
Institutional
LIFE Pittsburgh
25181
Institutional
Life Re Insuracne Company
74228
Institutional
LIFE St. Joseph of The Pines
59847
Institutional
LIFE St.Mary
76184
Institutional
Life Trac
41136
Institutional
LifeCare Assurance Co
25850
Institutional
LifeCircles PACE
71498
Institutional
Lifetime Benefit Solutions
16117
Institutional
Lifetime Benefit Solutions
EBSRM
Institutional
LifeWise Healthplan of Oregon
Lifewise Health Plan OR Premier Health Plan (835s ret AC032)
93093
Institutional
LifeWorks Advantage
LWA01
Institutional
Lighthouse Health Plan
31828
Institutional
Line Construction Benefit Fund
LCB01
Institutional
Link Snacks (Jacks Links)
J2133
Institutional
Little Caesars of San Antonio Inc
J2221
Institutional
Little Company of Mary
LCM10
Institutional
Local 137 Operating Engineers Welfare Fund
84041
Institutional
Lockard & Williams
CB752
Institutional
Lockard & Williams Insurance Services Inc.
22577
Institutional
Loma Linda
99255
Institutional
Loma Linda University
J2211
Institutional
Loma Linda University Health Care Managed Care Dept
33036
Institutional
Loma Linda University Student Health Plan
37267
Institutional
London Health Administrators
37226
Institutional
Lone Star TPA
45289
Institutional
Long Beach Unified School District
J1515
Institutional
Longevity Health Plan of Illinois
LIL01
Institutional
Longevity Health Plan of New York
LNY01
Institutional
Longs Drugs
J1464
Institutional
Louisiana Medicaid
12K12
Institutional
Louisiana Medicaid -Home Health
12K94
Institutional
Louisiana State University
J1953
Institutional
Louisiana Workers Compensation Corporation
J1547
Institutional
Lovelace Sandia
00790
Institutional
Lovelace Sandia Health Plan
90328
Institutional
Lovelace Senior Options (LSO)
62310
Institutional
Lowe's (Bunch CareSolutions)
J1465
Institutional
Lsg Sky Chefs International
J1081
Institutional
Luba Casualty Insurance Company
J1341
Institutional
Lubbock County / Hammerman & Gainer
J2151
Institutional
Lumbermen's Underwriting Alliance
J1899
Institutional
Luther Care
CB212
Institutional
Lynwood Unified School District (CA)
J1669
Institutional
LYNX
J1949
Institutional
MA Medicare Part A (JK - NGS))
12M14
Institutional
Mackinaw Administrators
J1343
Institutional
MacNeal Health Providers- CHS
36334
Institutional
Macys (Daly City)
J1345
Institutional
Macys (Newport Beach)
J1346
Institutional
Macys Department Stores
J1347
Institutional
Maestro health Plan
56139
Institutional
Magellan Complete Care
MCC01
Institutional
Magellan Complete Care of Virginia
MCCVA
Institutional
Magellan Health Services
01260
Institutional
Magnacare Administrative Services
E1303
Institutional
Magnacare Administrative Services
11303
Institutional
Magnolia
U8062
Institutional
Maine Community Health Options
45341
Institutional
Maine Medicaid
12K13
Institutional
Major League Baseball 8
J1082
Institutional
Managed Care Services LLC
35162
Institutional
Managed Care Systems
27133
Institutional
Managed Care Systems (Gemcare)
MCS01
Institutional
MANAGED HEALTH CARE ASSOCIATES
36312
Institutional
Managed Health Network
22771
Institutional
Managed Health Services Wisconsin
39187
Institutional
Manulife W. J. Sutton Company
William J Sutton & Co. Ltd.
98010
Institutional
Mapfre (Canada Life)
L0160
Institutional
Marrick Medical Finance
20805
Institutional
Marriott
J1431
Institutional
Martin's Point Health Care
53275
Institutional
Martin's Point Health Care USFHP/Generations Advantage
MPHC2
Institutional
Maryland Medicaid
12007
Institutional
Maryland Medicaid
SKMD0
Institutional
Maryland Physicians Care
22348
Institutional
Massachusetts Bay Insurance Company
J1689
Institutional
Massachusetts Medicaid
12K14
Institutional
Massachusetts Medicaid
SKMA0
Institutional
Masters Mates and Pilots Program
12T52
Institutional
Masters
Mates and Pilots Plan
Masters
Mates and Pilots Program
MMPHB
Institutional
Matheson Trucking
J1736
Institutional
Matrix Absence Management
TP075
Institutional
Maxim Crane Works
J1083
Institutional
May Trucking
J2348
Institutional
Mayo Clinic FL/GA
88090
Institutional
Mayo Clinic Health Solutions
41154
Institutional
Mayo Clinic/Recovery and Claims Services
41193
Institutional
MBA Benefit Administrators Inc (Salt Lake UT)
83028
Institutional
MBA Of Wyoming Inc
87065
Institutional
MCA Administrators Inc.
25160
Institutional
Mcare Advantage Plan
12M85
Institutional
McDonald's - Mcopco
J1084
Institutional
McGregor PACE
31149
Institutional
McLaren Health Plan
38338
Institutional
MD Medicare Part A (MAC JL)
12010
Institutional
MDwise Healthy Indiana Plan
31354
3135M
Institutional
MDwise Hoosier Care Connect
MDwise Hoosier Care Connect (For DOS on or after 1-01-2017)
91313
Institutional
MDwise Hoosier Healthwise
35191
Institutional
MDwise Hoosier Healthwise Hospital
3519M
Institutional
MDwise Select Health Network
MWSHN
Institutional
MDwise
Inc. (formerly IU Health)
12K81
Institutional
MDX Hawaii
MDXHI
Institutional
ME Medicare Part A (JK - NGS)
12M13
Institutional
Meadowbrook Insurance Group
J1478
Institutional
MED PAY
88058
Institutional
MED3000
EM216
Institutional
MED3000 CMS SAFETY NET
EM284
Institutional
MED3000 CMS Title 21
EM205
Institutional
MedAdmin Solutions
58202
Institutional
MedAdmin Solutions
Podi Care Managed Care
58204
Institutional
MedCom
59231
Institutional
MedCost Benefit Services
56205
Institutional
MedCost Inc.
56162
Institutional
Medi-Share
59355
Institutional
Medica (UHC)
Medica Health Plans
94265
Institutional
Medica Health Care Plan - Florida
Medica Health Care Plan (Florida)
78857
Institutional
Medica Health Plan Solutions
71890
Institutional
Medica2
12422
Institutional
Medicaid - TX Premier Plan I Par Plus
Medicaid - TX Premier Plan (enroll at (915)-532-3778 x1507)
EPF02
Institutional
MEDICAID HAWAII
12K62
Institutional
Medicaid of Alabama
75254
Institutional
Medicaid of Arizona (AHCCCS)
Arizona Medicaid (AHCCCS)
Medicaid of Arizona (AHCCCS)
Medicaid of Arizona (AHCCCS)(837I & 837P)
AZMCD
Institutional
Medicaid of California (MediCal)
MediCal of California
MDCAL
Institutional
Medicaid of Colorado
1548I
Institutional
Medicaid of CT
06127
Institutional
Medicaid of Florida
77027
Institutional
Medicaid of Illinois
IL621
Institutional
Medicaid of Indiana
3501I
Institutional
Medicaid of Iowa
18049
Institutional
Medicaid of Massachusetts
5529I
Institutional
Medicaid of Medicaid South Carolina
SCMED
Institutional
Medicaid of Mississippi
77032
Institutional
Medicaid of Nebraska
1520I
Institutional
Medicaid of North Dakota
North Dakota Medicaid
NDMCD
Institutional
Medicaid of Ohio
3509I
Institutional
Medicaid of Texas
86916
Institutional
Medicaid of Virginia
5538I
Institutional
Medicaid of Wisconsin
Wisconsin Medicaid
WIMCD
Institutional
Medical Associates Health Plan
MAHP1
Institutional
Medical Associates Health Plan/Health Choices
MAHC1
Institutional
Medical Benefits Mutual / MedBen
Medical Benefits Mutual Life Insurance Co.
74323
Institutional
Medical Card System ( MCS )
L0170
Institutional
Medical Mutual of Ohio
Premier Health Systems Inc.
29076
Institutional
Medical Reimbursements of America
62177
Institutional
Medical Services for Indigents
Glendale Physician's Alliance
AMM02
Institutional
Medical Services Initiative
12057
Institutional
Medical Value Plan - Ohio (MVP)
HAP/AHL/Curanet
38224
Institutional
Medicare & Much More Florida Incorporated (Effective 1/1/19)
MMM of Florida
MMMFL
Institutional
Medicare Hawaii
MEDICARE PART A HI
American Samoa
Guam
Northern Marianas
01211
Institutional
Medicare Louisiana
Medicare Part A of Louisiana
07201
Institutional
Medicare of Alaska
AKMCR
Institutional
Medicare of Arizona
12M02
Institutional
Medicare of California
MEDICARE PART A California
01111
Institutional
Medicare of Colorado
Medicare Part A of Colorado
04111
Institutional
Medicare of Connecticut
3533I
Institutional
Medicare of Florida
Medicare Part A of Florida
3518I
Institutional
Medicare of Georgia
3536I
Institutional
Medicare of Iowa
Medicare Part A of Iowa (835s returned under 05301)
05101
Institutional
Medicare of Kansas
Medicare Part A of Kansas (835s returned under 05301)
05201
Institutional
Medicare of Kentucky
Medicare Part A of Kentucky
15101
Institutional
Medicare of Maine
3547I
Institutional
Medicare of Maryland
5554I
Institutional
Medicare of Massachusetts
5527I
Institutional
Medicare of Michigan
Medicare Part A of Michigan
08201
Institutional
Medicare of Minnesota
06201
Institutional
Medicare of Missouri J5
Medicare Part A of Missouri J5
05301
Institutional
Medicare of Mutual of Omaha
05901
Institutional
Medicare of Nebraska
Medicare Part A of Nebraska (835s returned under 05301)
05401
Institutional
Medicare of New York
Medicare Part A of New York
13201
Institutional
Medicare of North Dakota
12M82
Institutional
Medicare of Ohio
15201
Institutional
Medicare of Oklahoma
Medicare Part A of Oklahoma
04311
Institutional
Medicare of Washington (Noridian)
12M45
Institutional
Medicare of Wisconsin
Medicare Part A of Wisconsin
00450
Institutional
MEDICARE PART A (CAHINV) LEGACY
12M65
Institutional
MEDICARE PART A Arizona
03101
Institutional
MEDICARE PART A LEGACY WPS (DC DE MD NJ PA) (MAC JL)
12M99
Institutional
MEDICARE PART A Montana
03201
Institutional
MEDICARE PART A Nevada
01311
Institutional
MEDICARE PART A North Dakota
03301
Institutional
MEDICARE PART A South Dakota
03401
Institutional
MEDICARE PART A Utah
03501
Institutional
MEDICARE PART A Washington
02001
Institutional
MEDICARE PART A Wyoming
03601
Institutional
Medicare Puerto Rico
12M49
Institutional
Medicare Virgin Islands
12M52
Institutional
Medicare y Mucho Mas ( MMM )
L0210
Institutional
Medico Insurance Co
47012
Institutional
Medico Insurance Company
Medico Insurance
23160
Institutional
Medidian Management Services LLC.
J2379
Institutional
Mediture
20039
Institutional
Mediture IPA
AMM11
Institutional
Medova
2700U
Institutional
MedPartners (PHCS Repricing)
MedPartners (PHCS RepricingPO Box 10240 Fort Wayne
In 46857
441MP
Institutional
MedPartners Administrative Services
35205
Institutional
Medpartners
MedPartners Admin Services
412MP
Institutional
Medrisk
J1956
Institutional
MedSettlements LLC
21547
Institutional
MedStar Family Choice
39190
Institutional
Medstar Select/Medstar Medicare Choice
251MS
Institutional
Meijer Stores
J1930
Institutional
Memorial Care Medical Foundation
26080
Institutional
Memorial Clinical Associates SelectCare of Texas (MCA)
62181
Institutional
Memorial Hermann Health Network I Par Plus
Memorial Hermann Health Network
MHHNP
Institutional
Memorial Hermann Health Network Providers
12T40
Institutional
Memorial Medical Center - AllCare
85461
Institutional
Mendota Insurance Company
33650
Institutional
Mental Health Consultants Inc.
37050
Institutional
Merchants Benefit Administration
86087
Institutional
Mercury General Corporation
J2277
Institutional
Mercy Care Plan (AHCCCS)
Mercy Care Plan of Arizona
86052
Institutional
Mercy LIFE of Alabama
63002
Institutional
Mercy Maricopa Integrated Care
33628
Institutional
Mercy Provider Network
43185
Institutional
MercyCare
39114
Institutional
Meridian Health Plan Michigan
52563
Institutional
Meridian Health Plan of Illinois Inc
13189
Institutional
Meridian Health Plan of Michigan Inc.
83253
Institutional
Meritain Health
64157
Institutional
Meritain Health / Agency Services
64158
Institutional
Meritain Health Minneapolis
41124
Institutional
Metcare Health Plan
65113
Institutional
MetroPlus Health Plan
13265
Institutional
Metropolitan Council
J1355
Institutional
Metropolitan Property and Casualty Insurance Company
Metlife Auto & Home
C1011
Institutional
Metropolitan Transit Athority
J1238
Institutional
Mettler-Tole
J3315
Institutional
MFC & HealthPlus Peoria
23550
Institutional
MHNET
74289
Institutional
MI Medicare Part A (J8)
12M18
Institutional
Miami Behavioral Health
92579
Institutional
Miami Children's Health Plan
82832
Institutional
Michael Kors
J2280
Institutional
Michigan Department of Community Health
12K38
Institutional
Michigan Education Special
381640
Institutional
Michigan Employee Benefit
15529
Institutional
Michigan Medicaid
12K37
Institutional
Michigan Medicaid
SKMI0
Institutional
Michigan Medicaid - Add Michigan Medicaid - BCCP as Alias
SKMI1
Institutional
Michigan Millers Mutual
J1988
Institutional
MID Rogue Oregon Health Plan
MD Rogue Oregon Health Plan
MRIPA
Institutional
Mid-America Associates
Mid-America Associates Inc.
37281
Institutional
Mid-American Benefits
22823
Institutional
Mid-West Nat'l Life & Health Ins. Co.
97055
Institutional
MidCoast IPA
77012
Institutional
Midlands Choice Inc.
47080
Institutional
Midwest Drywall (via EMC Risk Services)
J1119
Institutional
Midwest Family Mutual
C1051
Institutional
Midwest Family Mutual Insurance Co
J1685
Institutional
Midwest Group Administrators
61144
Institutional
Midwest Health Partners
76079
Institutional
Midwest Health Plan
Midwest Health Plans
INC.
MHP77
Institutional
Midwest Health Plans Inc.
12T54
Institutional
Midwest Physicians Administrative Services
TH088
Institutional
Millard Refrigerated
J1482
Institutional
Millennium Risk Services
J2324
Institutional
Minnesota Counties Ins Trust (MCIT)
J1351
Institutional
MINNESOTA DEPARTMENT OF HEALTH- SAGE PROGRAMS
MNDH1
Institutional
Minnesota Insurance Guaranty Association
J2094
Institutional
Minnesota Medicaid
12K16
Institutional
Minnesota Medicaid
SKMN0
Institutional
Minuteman Health Inc
01776
Institutional
MISS SELECT HLTH CARE/SELECT ADMN SERVICE
MS Select Healthcare (Mississippi Select Health Care)
64088
Institutional
Mississippi Blue Cross - Trispan
12B17
Institutional
Mississippi Department of Public Safety
J2371
Institutional
Mississippi Department of Transportation
J2372
Institutional
Mississippi Health Partners
64068
Institutional
Mississippi Medicaid
12K17
Institutional
Mississippi Medicaid
SKMS0
Institutional
Mississippi Physicians Care Network
64084
Institutional
Mississippi Public Entity Employee Benefit Trust
MPEEBT/ MPE Services Inc.
37233
Institutional
Mississippi School Boards WC Trust
J2373
Institutional
Missouri Medicaid
12K15
Institutional
Missouri Medicaid
SKMO0
Institutional
Missouri Medicare Select
MMS01
Institutional
Mitchell Energy & Devel
J1085
Institutional
Mitsui Sumitomo Insurance Group
J1692
Institutional
Mitsui Sumitomo Insurance USA Inc.
J1694
Institutional
ML Healthcare
26097
Institutional
MMIC
J1622
Institutional
MMM of Florida
UMMFL
Institutional
MN Medicare Part A (J6)
12M16
Institutional
MN-Depart of Labor & Industry-Claim Services & Investigation
J1436
Institutional
MO Medicare Part A (J5 - WPS)
12M15
Institutional
Moda Health
ODS Health Plan
13350
Institutional
Molina Advantage
Molina Healthcare of California (Claims only)
38333
Institutional
Molina Health Care of Illinois
Molina Healthcare of Illinois (Claims Only)
20934
Institutional
Molina Health Care of Michigan
Molina Healthcare of Michigan (Claims Only)
38334
Institutional
Molina Health Care of Texas
Molina Healthcare of Texas (Claims Only)
20554
Institutional
Molina Healthcare of California (Encounters Only)
33373
Institutional
Molina Healthcare of Florida
Molina Healthcare of Florida (Claims Only)
51062
Institutional
Molina Healthcare of Idaho
61799
Institutional
Molina Healthcare of Mississippi
77010
Institutional
Molina Healthcare of New Mexico - SCI
Molina Healcare of New Mexico - SCI
04423
Institutional
Molina Healthcare of New Mexico (Claims Only)
09824
Institutional
Molina Healthcare of Ohio
20149
Institutional
Molina Healthcare of Puerto Rico (Claims Only)
81794
Institutional
Molina Healthcare of South Carolina
Molina Healthcare South Carolina (Claims Only)
46299
Institutional
MOLINA HEALTHCARE OF UTAH
SX109
Institutional
Molina Healthcare of Virginia
26176
Institutional
Molina Healthcare of Washington (Encounters Only)
43174
Institutional
Molina Healthcare of Washington
Molina Healthcare of Washington (Claims Only)
38336
Institutional
Molina Healthcare of Wisconsin
Molina Healthcare of Wisconsin (Claims Only)
ABRI1
Institutional
Monarch IPA
IP095
Institutional
Monitor Life Insurance Company
16098
Institutional
Monitor Life
Monitor Life (secondary claims only
Medicare cannot be prim
01759
Institutional
Montana Medicaid
12K77
Institutional
Montana Medicaid
SKMT0
Institutional
Montefiore Contract Management Organization
13174
Institutional
Montefiore HMO
46161
Institutional
Monterey Bay Area Self Insurance Authority
J2219
Institutional
Montgomery
J1424
Institutional
Montgomery County Self-Insurance Program (MD)
J1890
Institutional
Montgomery County Texas
A0179
Institutional
Monument Administrators - Victory Comp
J1530
Institutional
Monumental Life
Monumental Life Ins Co.
MMLIC
Institutional
Morongo Basin Transit Authority (CA)
J1651
Institutional
Morris Associates
35092
Institutional
Morris Material Handling
J1086
Institutional
Morrison Health Care Inc.
J1087
Institutional
Morton ISD
J1127
Institutional
MotivHealth Insurance Company
U7632
Institutional
Mountain State Blue Cross of West Virginia
12B28
Institutional
Mountain States
86040
Institutional
MRIPA AllCare CCO
26161
Institutional
MS Medicare Part A (J7)
12M17
Institutional
MSA Care Guard
MSA CareGuard
20572
Institutional
MSH REIMBURS
26227
Institutional
Mt. Carmel Health
95655
Institutional
MTS
J1641
Institutional
Muleshoe ISD
J1128
Institutional
Munford Inc.
J1088
Institutional
Municipal Health Benefit Fund
81883
Institutional
Municipal Pooling Authority
J2141
Institutional
Murphy and Bean
J2380
Institutional
Mutual Health Services
34192
Institutional
Mutual of Omaha Medicare Advantage
82275
Institutional
Mutual of Omaha
United of Omaha
71412
Institutional
MVP Health Plan of New York
14165
Institutional
MVP Health Rochester
12X04
Institutional
My Family Medical Group
33020
Institutional
myNEXUS Anthem
34009
Institutional
MyNexus
Inc.
32043
Institutional
NAA (North America Administrators L.P.) (Nashville TN)
65085
Institutional
NAHGA Inc.
67788
Institutional
NAMCI/Global Care
L0110
Institutional
Nap Tools (via EMC Risk Services)
J1120
Institutional
NAPHCARE INC.
58182
Institutional
Nascentia Health
31626
Institutional
National Allied Workers Union Local 831
CB148
Institutional
National American Insurance Co (NAICO)
J1695
Institutional
National Association of Letter Carriers
53012
Institutional
National Association of Letter Carriers (NALC)
National Rural Letter Carrier Association (NALC)
National Association of Letter Carriers/NALC
53011
Institutional
National Capital Preferred Provider Organization (NCPPO)
90001
Institutional
National Elevator
National Elevator Industry Benefit Plan (NEIB)
CX045
Institutional
National General
ASHC1
Institutional
National Health Benefit
88057
Institutional
National Imaging Assoc Inc / Magellan Health Services
12X27
Institutional
National Imaging Associates
SX190
Institutional
National Interstate
32620
Institutional
National Interstate (TX) 32620
13978
Institutional
National Loss Prevention Inc
J1021
Institutional
National Telecommunications Cooperative Assoc (NTCA - Staff)
52104
Institutional
National Telecommunications Cooperative Association
52120
Institutional
National Telecommunications Cooperative Association (NTCA)
52103
Institutional
Nationwide Agribusiness Ins Co
J1551
Institutional
Nationwide Mutual Insurance Company
Nationwide Property And Casualty Ins Co
J1552
Institutional
Navistar Inc
J1558
Institutional
NBC Universal
J1359
Institutional
NC Medicare Part A (J11)
12M23
Institutional
NE Medicare Part A (J5 - WPS)
12M19
Institutional
Nebraska Medicaid
12K19
Institutional
Neighborhood Health Partnership (NHP)
96107
Institutional
Neighborhood Health Plan of RI - Commercial Products & INTEG
96240
Institutional
Neighborhood Health Plan of RI - Medicaid and UNITY
05047
Institutional
Network Health Insurance Corp-Medicare
77076
Institutional
Network Health Massachusetts (TUFTS)
Tufts Health Plan Public Plans
Network Health
04332
Institutional
Network Health Plan
39111
Institutional
Network Health Plan
39144
Institutional
Network Solutions IPA
NSIPA
Institutional
Nevada Blue Cross
12B20
Institutional
Nevada Medicaid
12K20
Institutional
Nevada Medicaid - First Health Services Corp
SKNV0
Institutional
New Avenues Inc.
95998
Institutional
New ERA
75281
Institutional
New Hampshire Blue Cross (Anthem)
12B21
Institutional
New Hampshire Medicaid
12K90
Institutional
New Hampshire Medicaid
SKNH0
Institutional
New Jersey Manufacturing - Auto Only
C1048
Institutional
New Jersey Manufacturing (NJM)
12122
Institutional
New Jersey Medicaid
12006
Institutional
New Koosharem Corp/Select Staffing (DOI after 7/31/2014)
J1875
Institutional
New Mexico Blue Cross Community Centennial
MC721
Institutional
New Mexico Health Connections
45129
Institutional
New Mexico Medicaid
12K22
Institutional
New Mexico Medicaid
SKNM0
Institutional
New Mexico Mutual
J2147
Institutional
New Mexico Public Schools Insurance Authority
85036
Institutional
New South Insurance Co.
C1028
Institutional
New York Hotel Trade Council
New York Hotel Fund
7707C
Institutional
New York Life
12T69
Institutional
New York Life - Long Term Care I Par Plus
New York Life - Long Term Care
NYL11
Institutional
New York Medicaid
12K35
Institutional
New York Medicaid
SKNY0
Institutional
New York State Insurance Fund (NYSIF)
45052
Institutional
Next Level Administration
J2331
Institutional
Next Level Health Partners
69821
Institutional
NH Medicare Part A (JK - NGS)
12M21
Institutional
NHBCAUX
88050
Institutional
NHC Advantage
NHC01
Institutional
nHealth
58379
Institutional
NHI Billing
14043
Institutional
Niagara Bottling LLC
J2261
Institutional
Nippon Life Insurance (Principal Financial Group)
Nippon Life Insurance Company of America
81264
Institutional
NJ Carpenters Health Fund
22603
Institutional
NJ Medicare Part A (MAC JL)
12005
Institutional
NM Medicare Part A J4
12M22
Institutional
No Fault Service Corp
J2087
Institutional
NonProfit insurance Trust
J1845
Institutional
Nordstrom Inc.
J1360
Institutional
North American Benefits Network ((Cleveland OH)
North American Benefits Network (Cleveland OH)
34159
Institutional
NORTH AMERICAN INSURANCE COMPANY d/b/a Oxford Life
76112
Institutional
North American Medical Management (NAMM) - Southern CA
North American Medical Management (NAMM) - Northern CA
E3510
Institutional
North Bay Schools Insurance Authority
J1549
Institutional
North Carolina Blue Cross
12B23
Institutional
North Carolina Department of Public Safety (NC DPS)
74256
Institutional
North Carolina Farm Bureau
J1825
Institutional
North Carolina League of Municipalities
J1772
Institutional
North Carolina Medicaid
12K23
Institutional
North Carolina Medicaid
SKNC0
Institutional
North Dakota Blue Cross Blue Shield
12B78
Institutional
North Dakota Medicaid
12K78
Institutional
North Dakota Medicaid
SKND0
Institutional
North East Independent School District (NEISD)
J1872
Institutional
North Forest IDS
J2238
Institutional
North Shore - LIJ (Healthfirst)
17516
Institutional
North Star Mutual Insurance Co.
J2356
Institutional
North Texas Healthcare Network
35212
Institutional
Northeast Georgia Health Services
58169
Institutional
Northern Claims Management
J1923
Institutional
Northern Illinois Health Plan
36347
Institutional
Northern Kentucky University
J1943
Institutional
Northern Nevada Trust Fund
88027
Institutional
Northland Auto
C1031
Institutional
NorthShore Physician Associates
48026
Institutional
Northwest Administrators Inc.
91068
Institutional
Northwest Community Health Partners
NANWC
Institutional
Northwest Diagnostic Clinic/SelectCare of Texas (NWDC)
62119
Institutional
Northwest Physicians Network
NPN11
Institutional
Northwest Suburban IPA (Illinois)
36346
Institutional
Northwood
Northwood Healthcare
NWOOD
Institutional
Norwood
J1089
Institutional
Nova Healthcare Administrators
Inc. (Grand Island
NY)
Niagara County Health Plan (administered by Nova)
NOVA Healthcare Administrators NY
16644
Institutional
Novare
J2254
Institutional
Novasys Health Network
71080
Institutional
NY Medicare Part A (J13 - NGS)
12M35
Institutional
Nyhart
37299
Institutional
NYS DOH UCP
14142
Institutional
O'Reilly Auto Parts
J1670
Institutional
Oak Street Health
OAKST
Institutional
Oak West Physician Association
36400
Institutional
Occusystems
J2294
Institutional
Ocular Benefits
L0140
Institutional
OH MEDICARE A (MAC J15) CGS
12M24
Institutional
Ohio Blue Cross (Anthem)
12B24
Institutional
Ohio Casualty Group
24074
Institutional
Ohio Health Choice PPO
34189
Institutional
Ohio Medicaid
12K24
Institutional
Ohio Medicaid
SKOH0
Institutional
Ohio PPO Connect
Ohio Connect (837I & 827P)
74431
Institutional
OK Medicare Part A
12M37
Institutional
Oklahoma DRS DOC
71065
Institutional
Oklahoma Medicaid
12K25
Institutional
Oklahoma Medicaid
SKOK0
Institutional
Old Republic Insurance Co
24147
Institutional
Old Surety Life Insurance Company
29237
Institutional
Olympus Managed Health Care
65074
Institutional
OMNI/Medicore HP
68037
Institutional
OmniCare (For claims with Dates of Service after 10/01/04)
OMNICARE- Coventry Health Plan of MI
25150
Institutional
One Beacon
20621
Institutional
One Beacon Insurance - Auto
C1026
Institutional
One Call Diagnostics (formerly known as One Call Medical)
One Call Medical
22321
Institutional
One Call Equipment and Devices (formerly known as MSC)
80019
Institutional
One Call Physical Therapy
J1716
Institutional
OneCare
57116
Institutional
Operating Engineers Local 428
86602
Institutional
Optimum Healthcare Inc.
20133
Institutional
Option Services Group
37125
Institutional
Optum Medical Network (previously Lifeprint)
Optum Medical Network / AZ UT (formerly Lifeprint Network)
OptumCare / AZ
UT (formerly Lifeprint Network)
LIFE1
Institutional
Optumcare Network of Connecticut
E3287
Institutional
OptumHealth /OptumHealth - Physical Health (includes Oxford)
OptumHealth Physical Health-includes Oxford form ACN & ACNIP
41161
Institutional
OptumHealth Care Solutions formerly United Resource Networks
OptumHealth Cmplx Med Cond CMC-OptumHealth Care Sol&Utd Res
CMC
41194
Institutional
OptumHealth Care Solutions formerly United Resources Network
52190
Institutional
OR Medicare Part A (J2 - Noridian)
12M41
Institutional
Orange County Fire Authority
J1876
Institutional
Orange County Health Care Agency
65021
Institutional
Orchard Supply Company (Bunch CareSolutions)
J1962
Institutional
Oregon Medicaid
12K41
Institutional
Oregon Medicaid
SKOR0
Institutional
Orica Inc.
J1090
Institutional
Orthonet Corporation - AETNA
13383
Institutional
Oscar Health
OSCAR
Institutional
OSF Healthcare Central
OSFC9
Institutional
OSF Healthcare East
OSFE9
Institutional
OSI Group LLC.
J1904
Institutional
OSMA Health - C. L. Frates
73071
Institutional
Outsource One Inc
41173
Institutional
Oxford Health Plans
UnitedHealthcare / Oxford
UnitedHealthcare (Oxford Health Plans)
06111
Institutional
P3 Health Partners -Arizona
58375
Institutional
P5 Health
87068
Institutional
PA Medicare Part A (MAC JL)
12M60
Institutional
PACE Central Iowa
72436
Institutional
PACE CNY
70454
Institutional
PACE Greater New Orleans
21614
Institutional
PACE Nebraska
35416
Institutional
PACE of Southwest Michigan Inc
45114
Institutional
PACE Southeast Michigan
86711
Institutional
PACE SouthWest Iowa
53534
Institutional
Pacific Coast Buliding Products
J1808
Institutional
Pacific Compensation Insurance Company
J1913
Institutional
Pacific Dental Services
J1806
Institutional
Pacific Gas and Elecric - 115
J1916
Institutional
Pacific Southwest Administrators (PSWA)
Pacific Southwest Administrators
75309
Institutional
Pacific Sunwear
J1805
Institutional
PacificSource Community Solutions
20416
Institutional
PacificSource Health Plans
93029
Institutional
PacificSource Medicare
20377
Institutional
Paladin ISL
J1827
Institutional
Paladin Managed Care Services Inc.
J1475
Institutional
Palic ( Panamerican Life Insurance Company of Puerto Rico )
L0180
Institutional
Palo Alto Medical Foundation
94115
Institutional
Pan American Life Insurance Group
04218
Institutional
Papa John's International Inc
J1091
Institutional
Paradigm
J1001
Institutional
Paradigm Senior Care Advantage
52352
Institutional
Paramount
Paramount Care
SX158
Institutional
Park District Risk Management Association (PDRMA)
J1365
Institutional
Parkland Community Health Plan
66917
Institutional
Partners Behavioral Health Management
52613
Institutional
Partners in Health
PARTH
Institutional
Partnership Health of California-CAPHP
SX140
Institutional
Partnership Health Plan Of CA
12M81
Institutional
Passport Advantage
66008
Institutional
Passport Advantage
97652
Institutional
Patient Advocates LLC
10525
Institutional
Patient Physician Cooperatives
20510
Institutional
Payer Fusion
27048
Institutional
Peak Pace Solutions LLC
27034
Institutional
Pebble Beach
J2231
Institutional
Pediatric Associates
20472
Institutional
Pediatric Services Holding Corp - Psa Healthcare
J1989
Institutional
Pedicare Title 21 I Par Plus
M3FL8
Institutional
Peerless
J1423
Institutional
PEF Clinic
PEF01
Institutional
Peg Discover Re
J1092
Institutional
Peg Discover Re (Foood Merchant)
J1054
Institutional
Pegasus Risk Management CA
J1924
Institutional
Pegi-Family Dining
J1093
Institutional
Penn Behavioral Health
53226
Institutional
Penn Millers insurance Co
J1573
Institutional
Pennsylvania Highmark Blue Shield - Central
12B81
Institutional
Pennsylvania Manufacturing Associates
J1439
Institutional
Pennsylvania Medicaid
12008
Institutional
Pennsylvania Pace
20172
Institutional
People 2.0
J1466
Institutional
Peoples Health Network
72126
Institutional
Pequot Plus Health Benefit Administrators
Mashantucket Pequot Tribal Nation
37121
Institutional
Performance Contracting Inc
J1940
Institutional
Performance Food Group
J2390
Institutional
PerformCare - HealthChoices
65391
Institutional
Personal Insurance Administrators Inc. (Agoura Hills CA)
95397
Institutional
Pharmacist Mutual Insurance Co.
J1570
Institutional
PHC/PHP
95411
Institutional
PHCS Savility (ONLY for Savility card members.)
PHCS Savility
13306
Institutional
PHCS/Cigna
72099
Institutional
Phh Fleetamerica
J1094
Institutional
Phillips-Van heusen Corporation (PYH Corp)
J2281
Institutional
Phoenix Choice
55649
Institutional
Phoenix Health Plan
03440
Institutional
Physicans of Southwest Washington
91171
Institutional
Physician Associates of Greater San Gabriel Valley
Physician Associates of the Greater San Gabriel Valley
PA513
Institutional
Physician Partners FHN Medicaid
PPRT1
Institutional
Physicians Care Network (ASR Corporation)
38265
Institutional
Physicians Care Network (Rockford IL only)
36345
Institutional
Physicians Care of CA
30705
Institutional
Physicians Choice Medical Group of Santa Maria
MCI01
Institutional
Physicians Health Association of Illinois
37136
Institutional
Physicians Health Collaborative
20398
Institutional
Physicians Health Plan of Northern Indiana (837P and 837I)
Physicians Health Plan of Northern Indiana (Fort Wayne IN)
Physicians Health Plan of Northern Indiana Inc
12399
Institutional
Physicians Medical Group of San Jose
EXC01
Institutional
Physicians Mutual Insurance Company
47027
Institutional
Physicians Plus
Physicians Plus Insurance Corporation
39156
Institutional
Physicians United Plan
TH131
Institutional
Piedmont WellStar Health Plan
251PD
Institutional
Pier 1 Inc. USA
J1369
Institutional
Pinnacle Physician Management ORG
45985
Institutional
Pinnacol Assurance
84109
Institutional
Pittsburgh Care Partnership Inc.
23283
Institutional
Placer County
J2232
Institutional
Plan de Salud Hospital Menonita
L0190
Institutional
Planned Administrators Inc.
Planned Administrators
Inc.
37287
Institutional
Plano Independent School District
J2381
Institutional
PODIATRY NETWORK FL
59324
Institutional
Point Comfort Underwriters
PCU01
PCU02
Institutional
Pokagon Health Services
78535
Institutional
Polyone (Bunch Care Solutions)
J2246
Institutional
POMCO (Electronic)
J2004
Institutional
Pomona Valley Hospital Medical Center
95111
Institutional
Port of Oakland (CA)
J1627
Institutional
Ports America (National)
J2146
Institutional
PPOM LLC
38335
Institutional
PPOPlus LLC
72148
Institutional
Prairie States Enterprises Inc.
36373
Institutional
Preferred Administrator I Par Plus
Preferred Admin (Provider Relations @ (915)532-2778
x1068)
EPF10
Institutional
PREFERRED BEN ADMIN
Preferred Health Systems Insurance Co (PPO)
61665
Institutional
Preferred Care Partners – Florida
Preferred Care Partners Florida
Preferred Care Partners
65088
Institutional
Preferred Community Choice/PCCSelect/CompMed
73145
Institutional
Preferred Employers
J1095
Institutional
Preferred Employers Group
J1096
Institutional
Preferred Employers Insurance Company (PEI)
J1496
Institutional
Preferred Health Plan (Louisville KY)
61106
Institutional
Preferred Health Plan of the Carolinas
CB404
Institutional
Preferred Health Professionals
31478
Institutional
Preferred Health System
Preferred Health Systems
Inc.
60110
Institutional
Preferred IPA
PFIPA
Institutional
Preferred Med Grp
AKA Vantage
AmeriWest
Cal Care
LAMC
Vantage Medical Group
PPM01
Institutional
Preferred Medical Claims Services
21524
Institutional
Preferred Medicare
L0250
Institutional
Preferred Network Access Inc.
36401
Institutional
PreferredOne (MN)
41147
Institutional
Premera Blue Cross
12B47
Institutional
Premera Blue Cross
12B27
Institutional
Premier Eye Care
65054
Institutional
Premier Health Plan
251PR
Institutional
Premier HealthCare Exchange
88056
Institutional
Premier Healthcare Exchange Inc. (PHX)
88051
Institutional
Presbyterian Health Plan (NM)
05003
Institutional
Presbyterian Salud
Presbyterian Salud (Please add provider number in 2010AA REF02 or 2310B REF02 Number is 11 digits or less. Contact 888-923-5757
#6
#2 to obtain ID.)
PRESA
Institutional
Presence ERC
46311
Institutional
Presence Health Partners/FKA Resurrection Health Care Prefer
36396
Institutional
Prestige Health Choice
77003
Institutional
Primary Care of Joliet
PCJOL
Institutional
Primary Health Network
82048
Institutional
Prime Community Care Central Valley
Prime Community Care of Central Valley(837I & 837P)
MVCV1
Institutional
Prime Health Choice
81502
Institutional
Prime Healthcare
J1673
Institutional
PrimeSource Health Network
The Preferred Healthcare System - PPO Altoona
PA
04320
Institutional
PrimeWest Health
61604
Institutional
Prince George's County Government (MD)
J1891
Institutional
Priority Health
38217
Institutional
Prism-Univera
37315
Institutional
Prodegi
U8151
Institutional
Productive Programming Inc.
13360
Institutional
Professional Benefit Administrators Inc. (Oak Brook IL)
Professional Benefit Administrators
36331
Institutional
Professional Benefits Services Inc.
38303
Institutional
Professional Claims Management
J1821
Institutional
Progessive Northern Insurance Company
J1786
Institutional
Progessive Specialty Insurance Company
J1784
Institutional
Progressive
J1748
Institutional
Progressive Classic Insurance Company
J1788
Institutional
Progressive Commercial Casualty Company
J1779
Institutional
Progressive Direct Insurance Company
J1780
Institutional
Progressive Max Insurance Company
J1783
Institutional
Progressive Northwestern Insurance Company
J1787
Institutional
Progressive Preferred Insurance Company
J1785
Institutional
Progressive Premier Insurance Company
J1781
Institutional
Progyny
PROGY
Institutional
Prominence Health Plan
88029
Institutional
Prominence Health Plan of Nevada
93082
Institutional
Prominence Health Plan of Texas
80095
Institutional
Prospect Medical Holdings
J2339
Institutional
Protective Insurance Co
J1568
Institutional
Providence Insurance & Administrative Services
Providence Administrative Services
PAS01
Institutional
Providence of Oregon Health Plan
SX133
Institutional
Providence PPO
SX187
Institutional
ProviDRs Care Network
48100
Institutional
Pruitt Health Premier
PH001
Institutional
PruittHealth Premier NC/SC
PHPC1
Institutional
PSKW
PSKW0
Institutional
PUBLIC EMPLOYEES HEALTH PROGRAM
PEHP
SX106
Institutional
Publix Super Markets Inc.
J1897
Institutional
QBE - General Casualty - Eden Prairie
J1485
Institutional
QBE - General Casualty - Farmers Union
J1483
Institutional
QBE - General Casualty - Freeport
J1486
Institutional
QBE - General Casualty - Indianapolis
J1487
Institutional
QBE - General Casualty - Simsbury
J1488
Institutional
QBE - General Casualty - Sun Prairie
J1489
Institutional
QBE - General Casualty - West Des Moines
J1490
Institutional
QPS Employment Group
J1609
Institutional
QualCare Inc.
23342
Institutional
QualChoice
35174
Institutional
Quality Care Partners
89461
Institutional
Quality Health Plans of New York
88622
Institutional
Quartz ASO
46571
Institutional
Quest Behavioral Health
44219
Institutional
QuikTrip
73067
Institutional
Rady Children's Hospital
33065
Institutional
Raley's Family of Fine Stores
J1522
Institutional
Ralph Lauren
J1938
Institutional
Ram Mutual Insurance Company
J1894
Institutional
Rampart Insurance Company
38512
Institutional
Ramsey County (MN)
J1663
Institutional
Rancho Santiago Community College District (CA)
J1635
Institutional
RBMS LLC
91176
Institutional
Recology
J1675
Institutional
Red Oak Independent School District
A0205
Institutional
Redwood Empire Municipal Insurance Fund (REMIF)
J2205
Institutional
Redwood Empire Schools Insurance Group (RESIG)
J2208
Institutional
Redwood Fire and Casualty Insurance Company (Member of BHHC)
20044
Institutional
Regal Medical Group
95449
Institutional
Regence BC BS Oregon
Blue Cross of Oregon Regence
00851
Institutional
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)
U1100
Institutional
Regence Blue Cross of Oregon
12B41
Institutional
Regence Blue Shield Idaho
12B88
Institutional
Regence Group Administrators
RGA01
Institutional
Regency Employee Benefits
38221
Institutional
Regional Care Inc.
Regional Care Incorporated
47076
Institutional
Regis Brands
J1467
Institutional
Renaissance Physicians Organization
76066
Institutional
Reny Company
J2328
Institutional
Republic Franklin Insurance
12475
Institutional
Republic Indemnity Company of America
J1008
Institutional
Republic Western Ins. Co.
J1597
Institutional
Reserve National Insurance
73066
Institutional
Residential Services Group
J1097
Institutional
Resolute Forest Products
J1954
Institutional
Resolve Health Plan Administrators LLC
RHA01
Institutional
Resolve/Solarte Health Inc.
CB695
Institutional
ResourceOne Administrators
20333
Institutional
ResourceOne Administrators
37278
58200
Institutional
Restaurant Reinsurance Limited
J1098
Institutional
Resurrection Physician Provider Group
RPPG1
Institutional
Retailer's First
J1437
Institutional
Return to Work (RTW)
J1202
Institutional
Revmed
J1848
Institutional
RHHI JC (MAC J11)
12M80
Institutional
Rhode Island - Blue Cross
12B75
Institutional
Rhode Island Inter-Local Risk Management Trust Inc.
J2239
Institutional
Rhode Island Medicaid
12K74
Institutional
Rhode Island Medicaid
SKRI0
Institutional
Rhone-Poulenc inc
J1099
Institutional
RI Medicare Part A (JK - NGS)
12M74
Institutional
Rieth-Riley Construction Company
J1100
Institutional
Right Care from Scott & White
74205
Institutional
RightChoice Benefit Administrators
37331
Institutional
Risk Administration Services
J1828
Institutional
Risk Transfer Technologies Inc.
J1101
Institutional
River City Medical Group
RCMG1
Institutional
Riverport Insurance (MN School Board Association)
J1546
Institutional
Riverside San Bernaardino County Indian Health Inc
50664
Institutional
RiverSpring at Home
80051
Institutional
RiverSpring FIDA Plan
17818
Institutional
RiverSprint Star
81781
Institutional
Rockford Mutual Insurance Company
27065
Institutional
Rockwood Casualty Insurance
J1906
Institutional
Rocky Mountain Health Plan - Grand Junction
SX141
Institutional
Rocky Mountain Health Plan- Grand Junction
84065
Institutional
Roth Staffing Companies
J1023
J1056
Institutional
RSC Insurance Services Ltd.
J1102
Institutional
Rush Prudential Health Plans (HMO Only)
36389
Institutional
Ryan White Network
Custody Medical Services
AMM03
Institutional
S & S Healthcare Strategies
S&S Healthcare Strategies
31441
Institutional
SA Recycling LLC
J1728
Institutional
Sacramento Regional Transit District-Conflict
J2233
Institutional
SafeCo Insurance
24740
C1053
Institutional
Safety-Kleen Corporation
J1103
Institutional
Sagamore Health Network
35164
Institutional
Sage Technologies
37105
Institutional
SAIF (Oregon State Accident Insurance Fund)
J1720
Institutional
Saint Joseph PACE of IN (MEDITURE LLC)
47312
Institutional
Sally Beauty Holdings Inc.
J2366
Institutional
Salt Lake City Corporation
J1730
Institutional
Samaritan Health Services
CP001
Institutional
SAMBA
37259
Institutional
SAMERA HEALTH
U8053
Institutional
San Diego Community College District (CA)
J1638
Institutional
San Diego County Medical Services
San Diego County Medical Services (CMS)
MSO11
Institutional
San Diego County Physician Emergency Services
MSO22
Institutional
San Diego County Ryan White Primary Care Program
San Diego County Ryan White Care Act
MSO33
Institutional
San Diego County Sheriffs Department
MSO55
Institutional
San Diego PACE
96400
Institutional
San Francisco Health Plan
SFHP1
Institutional
San Francisco Municipal Transportation Agency (SFMTA)
J1886
Institutional
San Louis Obispo Select
33072
Institutional
San Miguel Consolidated FPD
J2234
Institutional
Sanford Health Plan
91184
Institutional
Sanford Health Plan
MNSHP
Institutional
SANTA CLARA FAMILY HEALTH PLAN
24077
Institutional
Santa Clara Valley Tansportation Authority
J1518
Institutional
Sante Community Physicians Medical Group Corp
SNTMC
Institutional
Sante Health System and Affiliates
77038
Institutional
Satellite Health Plan Inc.
45552
Institutional
Save Mart
J2346
Institutional
SC Medicare Part A & SW/SE RHHI (J11)
12M55
Institutional
Scan Encounters
99157
Institutional
SCAN Health Plan
72261
Institutional
Scan Health Plan Arizona
73172
Institutional
SCAN Long Term Care
20460
Institutional
SCHC Total Care - ClaimsNet
16146
Institutional
Schlumberger Technology
J1104
Institutional
Schnuck Market Inc
J1560
Institutional
Schools Insurance Authority (SIA)
J2325
Institutional
Scott & White
TH002
Institutional
Scott & White Health Plan
12T05
Institutional
Scott & White I Par Plus
Scott & White Health Care
88030
Institutional
Scotts Miracle-Gro Company
J1049
Institutional
Scripps Health Plan MSO
SHPM1
Institutional
Scripps Health Plan Services
33099
SHPS1
Institutional
Seabright (SBIC)
J1499
Institutional
Seagraves ISD
J2264
Institutional
Seaside Health Plan
46187
E4618
Institutional
Secure Health Plans of Georgia
28530
Institutional
Security Administrative Services
Cornerstone Benefit Administrators
35202
Institutional
Security Health Plan
39045
Institutional
Sedgwick (Cargill Inc)
J1661
Institutional
Sedgwick (Hilton Worldwide LLC)
J1665
Institutional
Sedgwick CMS
TP097
Institutional
Select Advantage
SA704
Institutional
Select Advantage
SX055
Institutional
Select Benefit Administrators of America
37282
Institutional
Select Benefits Administrators
Select Benefit Administrators Inc.
93031
Institutional
Select Energy Services
J1937
Institutional
Select Health of South Carolina
23285
Institutional
Select Senior Clinic
20415
Institutional
Select Staffing
J1446
Institutional
SelectCare
00014
Institutional
SelectCare of Texas (HPN) Heritage Physicians Network
76045
Institutional
SelectCare of TX Beaumont Prov ID Req 713-843-6780 to obta
Golden Triangle Physician Alliance
GTPA1
Institutional
SELECTHEALTH
SX107
Institutional
Selective
12572
39926
Institutional
Self Insured Plans (Naples FL)
Self-Insured Plans LLC
36404
Institutional
Self Insured Services Co (SISCO)
SISCO
Institutional
Self-Funded Plans Inc.
34131
Institutional
Self-Insured Schools of California (SISC)
J1520
Institutional
Self-Insured Security Fund (SISF Metro)
J2382
Institutional
Self-Insured Security Fund (SISF Tri-Star)
J2383
Institutional
Selman and Company
52214
Institutional
Selman Tricare Supp
TRSEL
Institutional
Seminole Tribe of Florida
J2384
Institutional
Sempra Energy/Employee Care Services
J1915
Institutional
Sendero IdealCare
11440
Institutional
Sendero Idealcare
UV440
Institutional
Senior Health Partners (SHP)
Senior Health Partners
80141
Institutional
Senior Network Health
15682
Institutional
Senior Whole Health
83035
Institutional
Sentara Health Management
54154
Institutional
Sentinel Management Services
23249
Institutional
Sentinel Security Life Insurance Company
87020
Institutional
Sentry Life of New York
Sentry Life Insurance Company
39033
Institutional
Sentry Select Insurance Company
J1417
Institutional
Seoul Medical Group
SMG01
Institutional
Sequoia Health IPA
54823
Institutional
Service Lloyds Insurance Co
J1593
Institutional
Seton CHIP (Provider ID required.)
Seton Health Plan - CHIP I Par Plus
SHPCH
Institutional
Seton Employee Plan Care Program I Par Plus
SHCAR
Institutional
Seton Employee Plan
Seton Employee Plan I par Plus
SHEBP
Institutional
Seton Health Plan - Exclusive
12T55
Institutional
Seton Insurance Company
22312
Institutional
Seton Star
STAR1
Institutional
Seven Corners
25404
Institutional
SFM Mutual Insurance Company
J1553
Institutional
SFN Goup
J1456
Institutional
SGIC
11789
Institutional
Shamrock Foods
J2338
Institutional
Shasta Administrative Services
NESIKA HEALTH GROUP
75280
Institutional
Shaws/Starmarket
J1468
Institutional
Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA
Benesys Inc
38238
Institutional
Sheltered Workshop Insurance of Missouri
J2282
Institutional
Sierra Family Network (Prospect Medical Group)
Good Samaritan Medical Practice Association (GSMPA)
PROSP
Institutional
Sierra Medical Group
30891
Institutional
Signature Advantage
SA002
Institutional
Significa Benefits Services Inc.
23250
Institutional
Silver Cross Health Connection
65093
Institutional
Silver Cross Managed Care Organization
NASCR
Institutional
Silver Star PACE
97691
Institutional
Silverback TPA
37228
Institutional
SimplePay
27905
Institutional
Simply Healthcare
27094
Institutional
Simply HealthCare Plans (new payer ID SMPLY as of 12-1-2018)
Simply Healthcare
Simply HealthCare Plans (New PID SMPLY effective 12/1/18)
SMPLY
Institutional
Simpra Advantage Inc
SIM01
Institutional
Sinclair Health Plan
84076
Institutional
SISCO (RCM&D Self Insured Services Co
Cost Containment Serv
J1898
Institutional
Skechers Usa Inc
J2365
Institutional
Skygen Medical: Ohio Department of Rehab/Corrections
SODRC
Institutional
Sloans Lake Preferred Health Networks
84096
Institutional
Smart and Final
J1824
Institutional
Smith Administrators
02057
Institutional
Smoky Mountain Center
13010
Institutional
Snap-On Incorporated
J1105
Institutional
So CA Health Care SystCHS Alta Pod Medpoint &SCHS Alto Pod
MPM20
Institutional
Society Insurance
J2139
Institutional
Solidarity Healthshare
77721
Institutional
Solis Health Plans
SOLIS
Institutional
Solvay America Inc.
J1106
Institutional
Sonic Automotive Inc.
J1381
Institutional
Soundpath Health
42172
Institutional
South Carolina Medicaid
12K55
Institutional
South Coast Area Transit (CA)
J1731
Institutional
South Country Health Alliance
81600
Institutional
South Dakota Medicaid
12K36
Institutional
South Florida Common Services
Memorial Integrated Healthcare/S FLCommunity Care Network
South Florida Community Care Network Medicaid
59065
Institutional
South Florida Musculoskeletal Care
06294
Institutional
South Point Hotel & Casino
35227
Institutional
SouthCare/Healthcare Preferred
25147
Institutional
Southeast Leasing (Packard Claims Administration Inc.)
J1865
Institutional
Southeastern Indiana Health (SIHO)
77153
Institutional
Southern Benefit Administrators Inc.
38242
Institutional
Southern California Edison
J1817
Institutional
Southern Illinois Healthcare
UIHCA
Institutional
Southern Textile Recycling Inc. (CA)
J1648
Institutional
Southland BCBS
SIPA1
Institutional
Southwest Administrators
95269
Institutional
Southwest Airlines (SWA)
J1233
Institutional
Southwest Health Plan (Aetna HMO)
Aetna
60054
Institutional
Southwest Physicians Group
SWPG1
Institutional
Southwest Service Administrators
CX100
Institutional
Southwest Service Life
37266
Institutional
Space Exploration Technologies Corp
J1990
Institutional
Special Funds (Electronic)
J2003
Institutional
Spectrum Admin
Valley Preferred - PPO Allentown PA (IHS Gateway Payer)
Populytics (formerly Spectrum Administrators)(837I & 837P)
Populytics
23253
Institutional
Splashlight
J2270
Institutional
Spohn Health
12T63
Institutional
Sprouts Farmers Market inc.
J1850
Institutional
SRT Administrators Inc.
86083
Institutional
St Mary's IPA
St Mary IPA
SMIPA
Institutional
St. Barnabas System Health Plan
22240
Institutional
St. James PHO
Thrivent
11158
Institutional
St. John's Claims Administration
St. Johns/First Health
37264
Institutional
St. Joseph Heritage Healthcare
Yorba Park (St. Joseph Heritage HealthCare)
STJOE
Institutional
St. Margaret- CMCS
Cooperative Managed Care Services
35199
Institutional
St. Marys Health Plan Encounters
Saint Mary's Health Plan (ENCOUNTERS)
88082
Institutional
St.Paul Insurance
J1926
Institutional
Standard Life & Accident
MWA Standard Life And Accident
Standard Life and Accident
01758
Institutional
Standard Life and Accident Insurance Company
73099
Institutional
Stanley Steemer International Inc
J1939
Institutional
Stanley Works Inc.
J1385
Institutional
Stant Corporation
J1107
Institutional
State Auto Mutual Insurance Company
J1966
Institutional
State Compensation Insurance Fund (SCIF)
35076
Institutional
State Farm
J1548
Institutional
State Farm Insurance Companies
31053
Institutional
STATE FARM MUTUAL AUTOMOBILE INSURANCE CO
31059
Institutional
State of Minnesota-Doer
J1555
Institutional
State of North Carolina
J1659
Institutional
State of Tennessee
J2267
Institutional
State of Texas Dental Plan (835’s returned under 44054)
Government Employees Health AssociationInc. (GEHA)
Government Employees Hospital Association (GEHA)
57254
Institutional
State Office of Risk Management
J1418
Institutional
State Self Insurance Fund - KDHE
J2220
Institutional
State Trust Group
42162
Institutional
Status Inc.
J2215
Institutional
Sterling Medicare Advantage
67829
Institutional
Sterling Option 1
91151
Institutional
Stewart C Miller and Company
35122
Institutional
Stewart Miller and Company
31522
Institutional
Stone Trust
J2213
Institutional
Stonebridge Life Insurance Company
Transamerica Premier Life Insurance Company
TRP1P
Institutional
Stowe Associates
58128
Institutional
Stupp Bros. Inc.
J2283
Institutional
SummaCare Health Plan
95202
Institutional
Summit America Insurance Services Inc.
37301
Institutional
Summit Health
J1108
Institutional
Summit Healthplan I Par Plus
20197
Institutional
Sun Mar Healthcare
J1610
Institutional
Sunrise Health Plan of Illinois
SIL01
Institutional
Sunrise Health Plan of New York
SNY01
Institutional
Sunrise Health Plan of Pennsylvania
SPA01
Institutional
Sunrise Health Plan of Virginia
SVA01
Institutional
Superior Health/Centene Corp I Par Plus
SHP11
Institutional
Sussex Insurance Co (form Companion Property & Casualty Ins
J1829
Institutional
Sutter Connect - Sutter Gould Medical Foundation - Claims
Sutter Connect Gould
IP091
Institutional
Sutter Connect Medical Foundation
99308
Institutional
Sutter East Bay Medical Foundation
94269
Institutional
Sutter East Bay Regional Hospital
96176
Institutional
Sutter East Bay Regional Hospital- Non Sutter Group
94119
Institutional
Sutter Health
J1512
Institutional
Sutter Health | Aetna
60624
Institutional
Sutter Medical Group of the Redwoods
77304
Institutional
Sutter Senior Care
56621
Institutional
Sutter Valley Medical Foundation dba Sutter Gould Medical FD
77302
Institutional
Swedish Covenant
U6411
Institutional
Swedish Covenant Hospital
36411
Institutional
Swift Glass Corporation
07040
Institutional
Swift Transportation
J1109
Institutional
T.H.E. Insurance
J1791
Institutional
Takeda America Holdings Inc
J1991
Institutional
TALL TREE ADMINISTRATORS
88067
Institutional
Teachers Health Trust
88019
Institutional
Teachers Protective Mutual
23139
Institutional
Team Choice - Alpha Care Gold I Par Plus
Nexcaliber
ADSL1
Institutional
Team Choice PNS
75133
Institutional
Teamsters Medicare Trust for Retired Employees
43619
Institutional
Technology Insurance Co
J1855
Institutional
Telamon
22483
Institutional
Tennessee Medicaid
12K46
Institutional
Tennessee Risk Management Trust
J2358
Institutional
Tethys Health Ventures
20212
Institutional
Texan Plus/Selectcare of TX (Kelsey) I Par Plus
SelectCare of TX-Kelsey-Seybold Prov Requrired 713- 843-6780
KLSY1
Institutional
Texas A&M TAMU
A0235
Institutional
Texas Association of School Boards
A0234
Institutional
Texas Builders Insurance Co
J1581
Institutional
Texas Children's Health Plan (Medicaid) - CHIP
Texas Childrens Health Plan
76048
Institutional
Texas Children's Health Plan (Medicaid)-Star/Star Kids
75228
Institutional
Texas First Health Plans (TIOPA)
76046
Institutional
Texas Health Aetna
88221
Institutional
Texas HealthSpring
33104
Institutional
Texas HealthSpring
Texas Healthspring I Par Plus
THS01
Institutional
Texas Medicaid
12K64
Institutional
Texas Medicaid
SKTX0
Institutional
Texas Medicaid LTC
12K96
Institutional
Texas Municipal League (TML) - Employees of IEBP Only
A0245
Institutional
Texas Mutual Insurance
22945
Institutional
Texas Plus
HPN11
Institutional
Texas Political Subdivisions JSIF
J1921
Institutional
Texas Roadhouse Inc.
J1676
Institutional
Texas Small Business Pool
J1110
Institutional
TexasFirst Health Plan (NTX)
13185
Institutional
The Alliance
88461
Institutional
The Benefit Group
TBGNE
Institutional
The Care Network/The Savannah Business Group
68423
Institutional
The City of Odessa
75600
Institutional
The EPOCH Group
28777
Institutional
The Gap Inc.
J1671
Institutional
The General Insurance
C1050
Institutional
The Hartford
J1422
Institutional
The Health Plan (Massillon OH & St Clairsville Ohio only)
The Health Plan of The Upper Ohio Valley
34150
Institutional
The Healthcare Group
35206
Institutional
The Jones Financial Companies LLP
J1846
Institutional
The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer)
23223
Institutional
The Macaluso Group
82694
Institutional
The Main Street America Group / Austin Mutual
J1834
Institutional
The Main Street America Group / Grain Dealers Mutual
J1835
Institutional
The Main Street America Group / Great Lakes Casualty
J1836
Institutional
The Main Street America Group / Main St America Assurance
J1837
Institutional
The Main Street America Group / MSA Insurance Protection
J1838
Institutional
The Main Street America Group / MSAIC Surplus/Non-Admitted
J1839
Institutional
The Main Street America Group / NGM
J1840
Institutional
The Main Street America Group / Spring Valley Mutual
J1842
Institutional
The Main Street America Group /Old Dominion Insurance Co
J1841
Institutional
The Men's Wearhouse Inc
J1615
Institutional
The Mentor Network (Bunch CareSolutions)
J1963
Institutional
The National Radiology Network
59087
Institutional
The Oaks PACE
57034
Institutional
The Perfect Health Insurance Co.
13522
Institutional
The Physicians Assurance CorpTPAC /Employee Benefit Mngmt Co
31074
Institutional
The Salvation Army
J1472
Institutional
The Scotts Company
J1111
Institutional
The Zenith
13269
Institutional
Therapy Direct Network
J1831
Institutional
Third Coast Underwriters (3CU)
J2148
Institutional
Thomas Cooper & Co Inc
71032
Institutional
Thomas McGee
J1746
Institutional
Thrivent Financial
THRIV
Institutional
Thrivent Financial Aid Association for Lutheran Medicare
30167
Institutional
Thrivent Financial Lutheran Brotherhood Medicare
30166
Institutional
TIG American Specialty Insurance Co
J1592
Institutional
TIG Insurance Co
J1707
Institutional
TIG Insurance Co of Texas
J1698
Institutional
TIG Premier Insurance Co
J1704
Institutional
Titan Indemnity Co
C1057
Institutional
TLC Advantage in Sioux Falls
TLD Advantage in Sioux Falls
TLC01
Institutional
TN MEDICARE A (MAC JJ)
12M53
Institutional
Today's Health
Today's Health I Par Plus
WITH1
Institutional
Today's Options (American Progressive and Pyramid Life)
Today's Options powered by CCRX
48055
Institutional
Together with CCHP
251CC
Institutional
Tokio Marine Management
J2289
Institutional
Tongass Timber Trust
92620
Institutional
TOPA Insurance Company
J1537
Institutional
Torrance Hospital IPA
THIPA
Institutional
Total Claims Administration
37314
Institutional
Total Healthcare Inc.
38201
Institutional
Total Long Term Care
31182
Institutional
Total Petroleum Inc
J1112
Institutional
Total Plan Concepts
80900
Institutional
Touchstone Health PSO
23856
Institutional
Tower Energy Group
J1604
Institutional
Town of Colma (CA)
J1668
Institutional
TPA of Georgia
58167
Institutional
TR Paul Inc.
37230
Institutional
Tractor Supply Company
J1505
Institutional
Transamerica Life Insurance Company
Universal Benefits - Admin For Hartford Life Insurance Co
TRP1E
Institutional
Transamerica Premier Life insurance Company
TLINS
TRCLF
Institutional
TransChoice-Key Benefit Administrators
37284
Institutional
Travelers
19046
Institutional
Travelers Auto
C1032
Institutional
Travelers Insurance (Auto Only)
WB162
Institutional
Travis County Hospital District MAP I Par Plus
TCHD1
Institutional
Travis County MAP - Mediview
UCMAP
Institutional
Trellis Health Partners
36397
Institutional
Tri-City Healthcare District
J1905
Institutional
Tri-State Insurance Company
J1477
Institutional
Tri-Valley Medical Group
20538
Institutional
TrialCard
56155
Institutional
Triangle Insurance
J1996
Institutional
Tribute /SelectCare of Oklahoma
73117
Institutional
Tribute Health Plan
31118
Institutional
Tricare East
68299
Institutional
Tricare East Region
Tricare East (effective 01-01-2018)
Tricare East
Tricare East Effective 1-1-2018
TREST
Institutional
Tricare For Life
12X43
Institutional
Tricare for Life (All Regions 1-12)
Tricare for Life
TDDIR
Institutional
Tricare for Overseas
12X46
Institutional
Tricare Overseas
FOREN
Institutional
Tricare West
12C01
Institutional
Trihealth Physician Solutions - Concern
31143
Institutional
Trillium Community Health Plan
20048
Institutional
Trillium Staffing Solutions
J1674
Institutional
Trilogy Health Solutions Inc.
62777
Institutional
Trindel Insurance Fund
J1971
Institutional
Trinet Group Inc.
J2216
Institutional
Trinity Health Pace
TRNPC
Institutional
Triple A
11983
Institutional
Triple S Advantage
973MA
Institutional
Triple-S Inc.
12B48
Institutional
TRIPLEFIN LLC
64300
Institutional
TRISTAR Benefit Administrators (W. DesMoines IA)
42137
Institutional
Tristate Benefit Solutions (TPA)
31144
Institutional
TriWest Healthcare Alliance PC3/VCP REGION 3
55912
Institutional
TriWest Healthcare Alliance PC3/VCP REGION 5A
55915
Institutional
TriWest Healthcare Alliance PC3/VCP REGION 5B
55916
Institutional
TriWest Healthcare Alliance PC3/VCP REGION 6
55917
Institutional
Triwest Region 4 CCN
TWVA4
Institutional
Triwest Region 5 CCN
TWVA5
Institutional
Triwest Region 6 CCN
TWVA6
Institutional
Truck Insurance Exchange (Commercial Only)
C1034
Institutional
True Blue / Blue Cross of Idaho
12B84
Institutional
True Choice USA - Christus Healthplan I Par Plus
TCUCH
Institutional
True Health New Mexico
82288
Institutional
TRUSTED HEALTH PLAN
L0230
Institutional
Trusteed Plan Services Corporation
Trusteed Plans Service Corporation
91078
Institutional
Trustmark Insurance Company
61425
Institutional
Tuality Health Alliance
93112
Institutional
Tufts Health Plan
Tufts Associated Health
04298
Institutional
Twin Cities Fire Insurance Co
C1040
Institutional
TX Medicare Part A and Indian Health Services J4
12M31
Institutional
TX Premier Plan - Medicaid
12T29
Institutional
Tyson Foods Inc.
J1732
Institutional
U OF U HEALTH PLANS
SX155
Institutional
UC Davis Health Systems
UC Davis Health System
UCDMG
Institutional
UC-Davis Health
94603
Institutional
Ucare Individual and Family Plans
55413
Institutional
Ucare Minnesota
12X50
Institutional
Ucare of MN(Use ID 52629 DOS in 2018 UseID 55413 DOS in 2019
Ucare of Minnesota
52629
Institutional
UCS (Electrical Workers Insurance Fund Local 5800)
93235
Institutional
UFCW Local 880 Medicare
88008
Institutional
UHIN Test Payer All Transactions Good
ALLGD
Institutional
UK University Health Service
J1941
Institutional
Ullico Casualty Company
J2201
Institutional
Ultimate Health Plan
77022
Institutional
Ultra Benefits Inc.
Ultra Benefits
41206
Institutional
UMC Health Plan
75130
Institutional
Umpqua Health Alliance
77502
Institutional
UMR - Harrington
UMR Westerville (formerly Harrington Health)
95266
Institutional
UMR (formerly Harrington Benefit Services)
Uniform Medical Plan
75243
Institutional
UMR (formerly Lexington / CommonWealth Administrative Group)
UMR - Lexington
37237
Institutional
UMR (formerly UMR San Antonio Benefit Planners)
UMR - San Antonio
74223
Institutional
UMWA Health & Retirement Funds
52180
Institutional
Underwriters Safety & Claims
61048
Institutional
Underwriters Safety and Claims
TP108
Institutional
UNICARE
80314
Institutional
Unified Group Services
35198
Institutional
Unified Health Services
62170
Institutional
Unified IPA
Healthcare Partners
HCP01
Institutional
Unified Physicians Network
34638
Institutional
Unigard Insurance Company - QBE DBA
J1484
Institutional
Union Construction Workers' Comp Program
J1629
Institutional
Union Insurance Co
J1397
Institutional
Union Insurance Company
J1274
Institutional
Union Insurance Company of Providence
25844
C1029
J1433
Institutional
Union Pacific
87042
Institutional
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS
Union Pacific Railroad Employes Health System
U6844
Institutional
United Administrative Services Inc
94174
Institutional
United American Insurance Co.
SX175
Institutional
United Benefits
Inc (a Brown & Brown Company)
Brown & Brown Benefits
59069
Institutional
United Claim Solutions
A0047
Institutional
United Commercial Travelers
31427
Institutional
United Continental
J2330
Institutional
United Dominion Realty Trust
J1048
Institutional
United Financial Casualty Company
J1789
Institutional
United Fire
C1060
J1401
Institutional
United Group Programs Inc.
59189
Institutional
UNITED HEALTHCARE SERVICES INC(Optum Salt Lake)
OptumHealth SLC
Optum Tooele
U6885
Institutional
United Healthcare
UnitedHealthcare
UnitedHealthcare River Valley
UnitedHealthcare Community Plan (PA
SC)
87726
Institutional
United Heartland
J1859
Institutional
United Medical Alliance
84132
Institutional
United Self Insured Services - USIS
J1851
Institutional
United States Cold Storage
J1113
Institutional
United States Fire Insurance Company
31348
Institutional
United States Virgin Islands Medicaid
12K39
Institutional
United Teacher Assoc Ins Co- Medicare Supplement
United Teacher Assoc Ins Co-Medicare Supplement
13193
Institutional
United Wisconsin Insurance Company
J1235
Institutional
UnitedHealthcare / UHIS-UnitedHealth Integrated Services
UMR (formerly Harrington Benefit Services - Westerville)
UMR (formerly UMR Wausau)
UMR - Harrington
UMR Wausau
39026
Institutional
UnitedHealthcare Community Plan - Tennessee
UnitedHealthcare Plan of the River Valley
95378
Institutional
UnitedHealthcare Community Plan / KS (KanCare)
UnitedHealthcare Community Plan - Kansas
96385
Institutional
UnitedHealthcare Community Plan / MO
Missouri (MO) Health Plan (Community & State)
86050
Institutional
UnitedHealthcare Community Plan / NE
UFNEP
Institutional
UnitedHealthcare Community Plan / NYU
NYU01
Institutional
UnitedHealthcare Community Plan / TX
TEX01
Institutional
UnitedHealthcare Community Plan / WI
WID01
Institutional
UnitedHealthcare Community Plan of Pennsylvania
25175
Institutional
UnitedHealthcare Community Plan of Washington
UnitedHealthcare Community Plan of Louisiana
04567
Institutional
UnitedHealthcare Facets Detroit - Community and State
UnitedHealthcare Community Plan/MI (form Great Lakes Health
UnitedHealthcare Community Plan /MI(Great Lakes Health Plan)
95467
Institutional
UnitedHealthcare Military & Veterans / TRICARE West
TRICARE West (UnitedHealthcare Military & Veterans)
Tricare West Effective 1-1-2018
99726
Institutional
UnitedHealthcare Nevada Market
Sierra Health and Life
76342
Institutional
UnitedHealthcare Student Resources
UnitedHealthcare StudentResources
74227
Institutional
UnitedHealthcare Vision
UnitedHealthcare / Spectera Eyecare Networks
00773
Institutional
UnitedHealthcare West/UnitedHealthcare of CAOKORTXWA
95959
Institutional
UnitedHealthcare/UnitedHealthcare W Encounters form PacifiCa
95958
Institutional
UnitedHealthOne / Golden Rule
UnitedHealthcare Life Insurance Company
Golden Rule Insurance
37602
Institutional
Unitrin Direct Property & Casualty Company
16063
Institutional
Unitrin Safeguard Insurance
C1030
Institutional
Unity Health Insurance
66705
Institutional
Univera Healthcare CNY
12X17
Institutional
Univera Healthcare SSA ENY
12X20
Institutional
Univera Healthcare SSA WNY PPO Traditional
12X19
Institutional
Univera Healthcare WNY
12X18
Institutional
Universal Care - California
33001
Institutional
University Family Care
09830
Institutional
University Family Care - Healthcare Group
University Physicians Healthcare Group
07503
Institutional
University Family Care - Maricopa Health Plan
09908
Institutional
University Health Alliance
99026
Institutional
University Health Care Advantage
46407
Institutional
University Healthcare Marketplace
45437
Institutional
University of Illinois
UIC67
Institutional
University of Maryland Health Advantage
45282
Institutional
University of Maryland Health Partners
45281
Institutional
University of Texas at Austin (IMO)
J2387
Institutional
UPMC Health Plan
23281
Institutional
UPMC Vision Advantage
25184
Institutional
Upper Peninsula Health Group (TPA)
37324
Institutional
Upper Peninsula Health Plan (Medicaid)
38337
Institutional
US Administrators
J2244
Institutional
US Benefits
93092
Institutional
US Department of Labor
12X31
Institutional
US Family Health Plan
90551
Institutional
US Foodservice Inc.
J1114
Institutional
US National Resources (Aigrm)
J1115
Institutional
US Sugar Corporation
J1950
Institutional
USAA (United Services Automobile Association)
74095
Institutional
USFHP - St. Vincent Catholic Medical Centers of New York
13407
Institutional
USS Posco
J2260
Institutional
UTAH DEPARTMENT OF HEALTH
Utah Medicaid FFS
SKUT0
Institutional
Utah Medicaid Crossover
U4005
Institutional
Utica
C1027
Institutional
Utica Mutual Insurance Company
25976
Institutional
Utica National Insurance Co of Texas
43478
Institutional
VA Fee Basis Programs
12115
Institutional
VA Health Administration Center
Quest EAP
10956
Institutional
VA Healthcare
Metropolitan Health Plan
10850
Institutional
VA Medicare Part A (J11)
12004
Institutional
VA Patient-Centered Community Care Prog (VAPCCC) Region 5A
VA Patient Centered Community Care Program Region 5A
VAPC3
Institutional
Valir Pace
64009
Institutional
Valley Baptist Health Plan
12T06
Institutional
VALLEY HEALTH PLAN
VHP01
Institutional
Valley Mills ISD
J1873
Institutional
Valor Health Plan
43259
Institutional
Value Options - Commercial
12X56
Institutional
Value Options (Texas Northstar)
99297
Institutional
Value Options Maryland Mental Hygiene Ad
22322
Institutional
Value Options Pennslyvania
12K1A
Institutional
Value Options/MBHP (MA Behavioral Health Partnership)
43307
Institutional
Vanliners Insurance Company
21172
Institutional
Vantage Health Plan Inc.
72128
Institutional
Velocity Vehicle Group (Corvel)
J1992
Institutional
Ventura County Healthcare Plan
VCHCP
Institutional
VentureNet Healthcare
86062
Institutional
Verdugo Hills Medical Group
66126
Institutional
Verity National Group
75256
Institutional
Vermont Medicaid
12K26
Institutional
Vermont Medicaid
SKVT0
Institutional
Vestica Healthcare - Value-Based Solutions
26267
Institutional
VGM Homelink
50701
Institutional
Via Christi HOPE
48123
Institutional
Vibra Health Plan
15976
Institutional
Vicorp Restaurants Inc
J1116
Institutional
Victor Plastics (via EMC Risk Services)
J1118
Institutional
VieCare Life Armstrong
25922
Institutional
VieCare Life Beaver and Life Lawrence Counties
25924
Institutional
VieCare LIFE Butler
25923
Institutional
Viking Insurance Company of Wisconsin
C1033
Institutional
Village Family Practice
73743
Institutional
Village MD
VLGMD
Institutional
VillageCareMAX
26545
Institutional
Virginia Medicaid
12003
Institutional
Virginia Medicaid
SKVA0
Institutional
Virginia Medicare Part A
FCE Benefit Administrators
11003
Institutional
Virginia Premier Elite Plus
MLTSS
Institutional
Virginia Premier Elite Plus
VPEP1
Institutional
Virginia Premier Health Plan
12K83
Institutional
Virginia Premier Health Plan
54176
Institutional
Virginia Premier Individual Plans
251VA
Institutional
Virginia Premier Medicare Advantage
VAPRM
VPMAD
Institutional
Virginia Premiere Complete Care
VPCCI
Institutional
Virginia Surety Company Inc.
J1404
Institutional
Vista360Health
V360H
Institutional
Viva Health Plan
63114
Institutional
Vivida Health
45488
Institutional
VNS CHOICE Medicare
77073
Institutional
Volusia Health Network
59266
Institutional
Vons/Safeway
J1750
Institutional
Vought Aircraft Industries
J1405
Institutional
VT Medicare Part A (JK - NGS)
12M26
Institutional
Vulcan Materials
J1993
Institutional
Vytra Healthcare
22264
Institutional
WA Blue Shield Regence
Regence Blue Shield of Washington
WA Blue Cross Regence (UMP)
00932
Institutional
Wabash Memorial Hospital Association
85256
Institutional
Wal-Mart
J1004
Institutional
Warner Brothers
J2385
Institutional
Washington Medicaid
12K27
Institutional
Washington Mutual (OR)
J2210
Institutional
Washington State Council of County & City Employees (WSCCCE)
Welfare and Pension Administration Services
91136
Institutional
WASHINGTON State Dept of LABOR & INDUSTRY
SX063
Institutional
Waterstone Benefit Administrators (Oklahoma Providers)
73155
Institutional
Waterstone Benefit Administrators (Outside Oklahoma)
23051
Institutional
WE Energies
J1406
Institutional
WEA Trust
WEA Insurance Group
39151
Institutional
webTPA/Community Health Electronic Claims/CHEC
Community Health Electronic Claims/CHEC/webTPA
75261
Institutional
Wei-Chuan USA Inc.
J2278
Institutional
Weis Markets - Sunbury
J2206
Institutional
Weiss Health Providers
36337
Institutional
Wellcare Choice I Par Plus
M3FL4
Institutional
Wellcare Health Plan Inc. (Encounters)
Wellcare Health Plan of South Carolina (Encounters)
59354
Institutional
Wellcare HMO Inc.
WellCare Health Plans
14163
Institutional
Wellcare of CT
Wellcare Health Plan (Remits returned under 14163)
Wellcare of NY
14164
Institutional
Wellcare of FL
Healthease (Remits returned under 14163)
Healthease
59608
Institutional
Wellmark BCBS - Medicare COB
12B92
Institutional
Wellmark Blue Cross and Blue Shield of Iowa (IASD)
SB640
Institutional
WellMed
WELM2
Institutional
WellMed
TH023
Institutional
WellNet Health Plans
Contessa Health
0Call
Institutional
Wellnet Healthcare Administrators
12053
Institutional
Wells Fargo TPA Inc. (Charleston WV)
HealthSmart (EDI #87815)
87815
Institutional
WellSpan Plus
South Central Preferred - PPO York PA (IHS Gateway Payer)
23266
Institutional
Wenatchee Valley Medical Center
91064
Institutional
Wesco Insurance Company
J1857
Institutional
West Bend Mutual Insurance
J2088
Institutional
West Coast Administrators
30460
Institutional
West Covina Medical Group
66124
Institutional
West Suburban Health Providers
80942
Institutional
West Virginia Family Health Plan
45276
Institutional
West Virginia Medicaid
12K28
Institutional
West Virginia Medicaid
SKWV0
Institutional
West Virginia Senior Advantage
WVS01
Institutional
Western Grower's Insurance Company
24735
Institutional
Western Health Advantage
68039
Institutional
Western Health Inc
37306
Institutional
Western Mutual Insurance
37247
Institutional
Western National
J1495
Institutional
Western National Assurance
J1569
Institutional
Western National Insurance (Pioneer Specialties)
J1586
Institutional
Western Oregon Advanced Health
UOCSO
Institutional
Western Reserve Life Insurance Company
TRLTC
Institutional
Western Southern Financial Group (Cincinnati OH)
31048
Institutional
Westfield Insurance
J1858
Institutional
WestGUARD Insurance Company - Guard DBA
J1453
Institutional
WestLake Financial Group
Inc.
90560
Institutional
Westlake Services
J2235
Institutional
Weyco Inc.
38232
Institutional
WHO PHO
WASH1
Institutional
WI Medicare Part A & FQHC (J6)
12M29
Institutional
Wichita and Affiliated Tribes
19191
Institutional
Willamette Valley Community
33711
Institutional
William C. Earhart
93050
Institutional
Williams and Sonoma
J1473
Institutional
Willow Health
WHLTH
Institutional
Wilson Mutual Insurance
J1407
Institutional
Wilson Mutual Insurance (All States Except WI/MN)
J1893
Institutional
Windsor Medicare Extra
62153
Institutional
Winnebago
J2271
Institutional
Wisconsin Anthem Blue Cross and Blue Shield
Blue Shield of Wisconsin
Blue Cross Blue Shield of Wisconsin
Wisconsin Anthem Blue Cross Blue Shield
WIBLS
Institutional
Wisconsin Auto and Truck Dealers
39200
Institutional
Wisconsin Chronic Disease Program (WICDP)
12K98
Institutional
Wisconsin Department of Corrections
74101
Institutional
Wisconsin Medicaid
12K29
Institutional
Wisconsin Medicaid
SKWI0
Institutional
Wisconsin Well Woman Program (WWWP)
12K97
Institutional
Woodmont Real Estate Services
J1491
Institutional
Workers Comp/Arkansas Blue Cross
12048
Institutional
Worldcom Inc
J1874
Institutional
WPP-ElderCare Wisconsin
77080
Institutional
WPPN
Multiplan Wisconsin Preferred Provider Network
34080
Institutional
WPS Health Insurance
12X29
Institutional
Wyman-Gordon Companies
J1117
Institutional
Wyoming Blue Cross
12B30
Institutional
Wyoming Medicaid
12K30
Institutional
Wyoming PACE
98543
Institutional
Xcel Energy
J1628
Institutional
Xl Environmental Inc.
J1055
Institutional
XL Insurance America Inc. (Aaris Captive)
J2284
Institutional
Xl Specialty Insurance Company (Captive)
J2236
Institutional
Xl Specialty Insurance Company (Deductible)
J2237
Institutional
Yam Hill CCO-PHTech
YAMHL
Institutional
Yamhill CCO Physical Health
77946
Institutional
Yamhill County CCO (Mental Health)
77130
Institutional
Yerington Paiute Tribe
51350
Institutional
York Claim Services
J1421
Institutional
Yorkstown ISD
Edwards Claim Administration
J1204
Institutional
Yourcare Health Plan
Univera Community Health
15003
Institutional
Z-Nat Insurance (Zenith National Insurance)
30120
Institutional
Zachry Construction
J1409
Institutional
Zebra Health HC
88858
Institutional
ZeroOutofPocket
04430
Institutional
Zurich Farmers
J1015
Institutional
Zurich Insurance NA
16535
Institutional

Dental

Payer Name Payer Id Line of Business
(NLH) Netcare Life and Health Insurance
Netcare Life and Health Insurance (Hagatna Guam)
66055
Dental
A & I Benefit Plan Administrators
93044
Dental
A BCBS FEP
TFQ45
Dental
A. D. N. Administrators Inc.
CXADN
Dental
AARP
AARP1
Dental
Acceptius (Benefit Management Inc of MO (BMI)
Joplin Claims / Benefit Management Inc
43178
Dental
Access Dental
CX097
Dental
Acclaim
64071
Dental
ACS Benefit Services Inc.
72468
Dental
Administrative Services Inc
59141
Dental
Advantage Dental Plan Inc.
93524
Dental
Advantek Benefit Administrators
83077
Dental
Advantica Benefits
43168
Dental
Adventist Health System West - Roseville CA
95340
Dental
Aetna
68246
Dental
Aetna - IL Medicaid
26337
Dental
Aetna Affordable Health Choices (SM) - SRC
57604
Dental
Aetna Better Health California
128CA
Dental
Aetna Better Health of Kansas
128KS
Dental
Aetna Better Health of Maryland
128MD
Dental
Aetna Better Health of Ohio
50023
Dental
Aetna Better Health of Virginia
128VA
Dental
Aetna Better Health of West Virginia
128WV
Dental
Aetna Medicare EPO/PPO Dental
18014
Dental
Affordable Benefit Administrators Inc.
95426
Dental
AFLAC GA - GRP
58066
Dental
AFLAC NY - GRP
52080
Dental
Alabama Medicaid
CKAL1
Dental
Alaska Electrical Health & Welfare Fund
92600
Dental
Alaska Medicaid
CKAK1
Dental
Alexian Brothers Community Services of TN
44423
Dental
AllCare CCO Dental
CXALC
Dental
Allegeant
52193
Dental
Allegiance Benefit Plan
Allegiance Benefit Plan Management Inc.
81040
Dental
Allied Benefit Systems
37308
Dental
Allina Health | Aetna
54398
Dental
Altus
50503
Dental
AlwaysCare Benefits
STR01
Dental
Amalgamated Life - PA / Alicare
13343
Dental
AmeraPlan
38219
Dental
AmeriBen Solutions Inc.
75137
Dental
American Administrative Group AAG (Gallagher Benefits)
HealthSmart (EDI #37283)
HealthSmart Benefit Solutions
37283
Dental
American Benefit Corporation
CX084
Dental
American Postal Workers Union Health Plan
44444
Dental
American Trust Administrators Inc.
56195
Dental
AmeriHealth Administrators
Inter County Health Plan
AmeriHealth Administrators (835s returned under PAKEY)
54763
Dental
Ameritas Life Insurance Corp.
47009
Dental
Ameritas Life Insurance Corp. of New York
72630
Dental
Amway Corporation
38255
Dental
Anchor Benefit Consulting Inc.
53085
Dental
Anthem Blue Cross
47198
Dental
Apostrophe
81312
Dental
ARC Administrators
CXARC
Dental
Argus Dental Plans
ARGUS
Dental
Arizona Medicaid
CKAZ1
Dental
Arkansas Medicaid
CKAR1
Dental
Arkansas Medicare Advantage
ARCMS
Dental
Arkansas Superior Select
61184
Dental
Asuris Northwest
93221
Dental
Atlantic Dental Inc. (ADI) - Commercial
CX085
Dental
Automated Benefit Services
38259
Dental
Automated Group Administration Inc.
Automated Group Administration Inc. (AGA)
37280
Dental
AZ BCBS
TBX01
Dental
Banner Health
Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS
SX145
Dental
Banner Plan Administration - Choice Plus and Select 500
12X42
Dental
Bay Area Automotive Group
CHSBA
Dental
Bay Area Delivery Drivers
CHSBD
Dental
BCBS Of Michigan (Dental Claims Only)
BCBS MI Medicare Advantage
BBMDQ
Dental
BCBS of Rochester New York
CBNYR
Dental
BCI Administrators Inc.
49153
Dental
BeneCare Dental Plans
23210
Dental
Benefit Administrative Systems
36149
Dental
Benefit Coordinators Corporation (Pittsburgh PA)
25145
Dental
Benefit Inc.
R7003
Dental
Benefit Management LLC
48611
Dental
Benefit Plan Administrators Company (Eau Claire Wisconsin)
Benefit Plan Administrators Co. (Eau Claire WI)
39081
Dental
Benefits Administration Corporation
44357
Dental
Blue Care Family Plan (BCBS of CT)
00700
Dental
Blue Cross Blue of Louisiana
23739
Dental
Blue Cross Blue Sheild DE Fully-Insured Dental Group Bus
53287
Dental
Blue Cross Blue Shield Association - FEP Dental
BCAFD
Dental
Blue Cross Blue Shield of Arizona Advantage
77078
Dental
Blue Cross Blue Shield of Kansas City MO
47171
Dental
Blue Cross Blue Shield of Michigan
CBMI1
Dental
Blue Cross Blue Shield of Montana
CBMT1
Dental
Blue Cross Blue Shield of New Mexico
Blue Cross Community Centennial
SB790
Dental
Blue Cross Blue Shield of North Carolina
61472
61473
61474
Dental
Blue Cross Blue Shield of Oklahoma
SB840
Dental
Blue Cross Blue Shield of South Carolina
38520
Dental
Blue Cross Blue Shield of South Dakota
CBSD1
Dental
Blue Cross Blue Shield OH/KY (Anthem)
84105
Dental
Blue Cross Blue Shield Wyoming
CBWY1
Dental
Blue Cross Dental
CBMNU
Dental
Blue Cross of Alabama
CBAL1
Dental
Blue Cross of Arizona
Blue Cross and Blue Shield of Arizona
53589
Dental
Blue Cross of Arkansas
CBAR1
Dental
Blue Cross of Colorado
84099
Dental
Blue Cross of Idaho
CBID1
Dental
Blue Cross of Illinois
CB621
Dental
Blue Cross of Iowa
CBIA2
Dental
Blue Cross of Iowa (FEP Claims Only)
CBIA1
Dental
Blue Cross of Kansas
CBKS1
Dental
Blue Cross of Massachusetts
CBMA1
Dental
Blue Cross of Mississippi
CBMS1
Dental
Blue Cross of Nebraska
CBNE1
Dental
Blue Cross of Nevada
84101
Dental
Blue Cross of New Mexico
CBNM1
Dental
Blue Cross of North Dakota (ND Dental Services)
CX004
Dental
Blue Cross of Rhode Island
CB870
Dental
Blue Cross of Tennessee
CBTN1
Dental
Blue Cross of Texas
CB900
Dental
Blue Shield of California
94036
Dental
Blue Shield of Pennsylvania Dental Plus
CBPA2
Dental
BlueCross Blue Shield of Minnesota
CBMN1
Dental
BlueCross BlueShield of Western New York
CBNYW
Dental
BlueShield of Northeastern New York
CBNYE
Dental
BridgeSpan
BRIDG
Dental
Brokers National
CX032
Dental
Butler Benefit
42150
Dental
California Medicaid - Medi-Cal
EDS - Medi-Cal
57016
Dental
California State Government Programs
CA Healthy Families
CPPCA
Dental
Cannon Cochran Management Services Inc. Metairie LA
71057
Dental
Capitol Administrators
68011
Dental
Capitol Dental
CX095
Dental
CareFirst Administrators/NCAS
75191
Dental
CareFirst Administrators/NCAS
75190
Dental
Carefirst of Maryland Inc.
00580
Dental
CareOregon Inc.
93975
Dental
CareSource
CKOH2
Dental
Caresource Georgia
Caresource of Georgia
GACS1
Dental
Caresource Humana
CareSource KY
CareSource of Kentucky
KYCS1
Dental
Caresource Indiana
CareSource Marketplace
Caresource Indiana Inc
INCS1
Dental
Caresource West Virginia
WVCS1
Dental
Carpenters Health and Welfare Fund of Philadelphia
CX101
Dental
Cascade Health Alliance Inc
CHA01
Dental
Caterpillar Inc.
37060
Dental
CDS Group Health
88022
Dental
Central Reserve Life
34097
Dental
Central States Health & Welfare Funds
Teamcare
36215
Dental
Central Susquehanna Healthcare Providers (CSHP)
55731
Dental
Cerner Health Plan Services
20356
Dental
Chesterfield Resources Inc.
Chesterfield Resources
Salvation Army
34154
Dental
Chewsi First Circle Solution / DD RI
RICHW
Dental
Christian Brothers Services
38308
Dental
CIGNA
Cigna Healthcare (Medical)
62308
Dental
Citizens Security Life Insurance
CX071
Dental
Civil Service Employees Association (CSEA)
CX054
Dental
ClaimsBridge HPN
11752
Dental
CMS MMA Specialty Plan
EM843
Dental
Colorado Medicaid
CKCO1
Dental
Companion Life
77828
Dental
Companion Life / KHP
American Worker Health Plan
37322
Dental
CompBenefits
CX021
Dental
Comprehensive Healthcare Options.com Inc.
CHCP1
Dental
CompuSys / Erisa Group Inc.
Utah Pipe Trades
74234
Dental
Connecticut Carpenters Health Fund
37307
Dental
Connecticut Medicaid
CKCT1
Dental
Consolidated Group Dental
61305
Dental
Continental Benefits
WellSystems LLC
35245
Dental
Cook Children's Dental
CPPCC
Dental
Core Administrative Services
58231
Dental
Core V
60601
Dental
CoreSource Detroit
38225
Dental
CoreSource KC
48117
Dental
CoreSource Little Rock
75136
Dental
CoreSource NC IN
CoreSource MD PA IL
35182
Dental
CoreSource OH
35183
Dental
Covenant Administrators Inc. (Atlanta GA)
Covenant Administrators Incorporated (Atlanta
Georgia)
58102
Dental
Coventry Health Care of Kansas (Kansas City & Wichita)
University of Missouri
25133
Dental
CoventryCares
86098
Dental
Creative Plan Administrators
37320
Dental
Crescent Dental - Meritain Health
CX074
Dental
Crescent Health Solutions
56213
Dental
CTI Administrators Inc.
42141
Dental
Cypress Ancilliary Beneefits
TLZ04
Dental
Dart Management Corporation
06172
Dental
Dearborn National
00TBA
36123
Dental
DeCare Dental Health Insurance
07035
Dental
Delta Dental (Northeast) (ME NH VT)
Northeast Delta Dental (ME NH VT)
02027
Dental
Delta Dental Insurance Co. (DDIC)
Delta Dental of Utah (DDIC)
94276
Dental
Delta Dental of Alabama (DDIC)
DDAL1
Dental
Delta Dental of Arizona
86027
Dental
Delta Dental of Arkansas
CDAR1
Dental
Delta Dental of California - CA00 Claim Office
77777
Dental
Delta Dental of California/Tricare Retiree Dental
CDCA1
Dental
Delta Dental of Colorado
84056
Dental
Delta Dental of Delaware
51022
Dental
Delta Dental of Florida (DDIC)
DDFL1
Dental
Delta Dental of Georgia (DDIC)
DDGA1
Dental
Delta Dental of Idaho
82029
Dental
Delta Dental of Illinois Group Plans
05030
Dental
Delta Dental of Illinois Individual Plan
IDIND
Dental
Delta Dental of Indiana
CDIN1
Dental
Delta Dental of Iowa
CDIA1
Dental
Delta Dental of Iowa - Dental Wellness Plan
CDIAM
Dental
Delta Dental of Kansas
CDKS1
Dental
Delta Dental of Kentucky
CDKY1
Dental
Delta Dental of Louisiana (DDIC)
CDMS1
Dental
Delta Dental of Maryland and Pennsylvania
23166
Dental
Delta Dental of Massachusetts
04614
Dental
Delta Dental of Michigan
CDMI0
Dental
Delta Dental of Minnesota
CDMN1
Dental
Delta Dental of Mississippi (DDIC)
DDMS1
Dental
Delta Dental of Missouri
43090
Dental
Delta Dental of Montana (DDIC)
DDMT1
Dental
Delta Dental of Nebraska
CDNE1
Dental
Delta Dental of Nevada (DDIC)
DDNV1
Dental
Delta Dental of New Jersey
22189
Dental
Delta Dental of New Mexico
85022
Dental
Delta Dental of North Carolina
56101
Dental
Delta Dental of North Dakota
CDND1
Dental
Delta Dental of Ohio
CDOH1
Dental
Delta Dental of Oklahoma
CDOK1
Dental
Delta Dental of Oregon (Oregon Dental Service)
CDOR1
Dental
Delta Dental of Rhode Island
05029
Dental
Delta Dental of South Carolina
43091
Dental
Delta Dental of South Dakota
54097
Dental
Delta Dental of Tennessee
CDTN1
Dental
Delta Dental of Texas (DDIC)
DDTX1
Dental
Delta Dental of Virginia
CDVA1
Dental
Delta Dental of Washington
91062
Dental
Delta Dental of Washington DC
52147
Dental
Delta Dental of West Virginia
31096
Dental
Delta Dental of Wisconsin
39069
Dental
Delta Dental of Wyoming
CDWY1
Dental
Delta Dental Puerto Rico
66043
Dental
Delta Dentoal of Utah (DDIC)
DDUT1
Dental
DeltaCare USA
CDCAP
Dental
DeltaCare USA Claims
DDCA2
Dental
DeltaCare USA Encounters
DDCA3
Dental
Denex Dental
CX049
Dental
Dental Care Plus
CX035
Dental
Dental Health Services of America
CX094
Dental
Dental Network of MD
CX034
Dental
Dental Professionals of Wisconsin
39148
Dental
Dental Select
CX093
Dental
Dental Transformation Initiative (DTI)
DTCA7
Dental
DentaQuest - Goverment Plans
CKMD1
Dental
DentaQuest - Government Plans
61254
62154
CKID1
CKIL1
CKKY3
CKVA1
Dental
DentaQuest - Government Plans
CX014
Dental
DentaQuest - Government Plans Florida
CKSC1
Dental
DentaQuest - Government Plans Florida
CX052
Dental
Dentegra
88888
Dental
Denti-Cal / Medicaid of California
94146
Dental
Dentist Direct LLC
UTUDD
Dental
Department of Economic Security
DESAZ
Dental
Devoted Health
Total Senior Care
12268
Dental
DH Evans
CX065
Dental
District No. 9. I. A. of M. & A.W. Welfare Trust
District No. 9 I. A. of M. & A. W. Welfare Trust
MWELT
Dental
District of Columbia Medicaid
CKDC1
Dental
Diversified Administration Corporation
CX040
Dental
DMBA
SX105
Dental
DQ/Emblem (Emblem Health Medicaid)
EMBDQ
Dental
Dunn and Associates Benefits Administrators Inc.
35186
Dental
E.S. BEVERIDGE & ASSOCIATES
34108
Dental
EBMS (Employee Benefit Management Services Inc.)
81039
Dental
EBS Benefit Solutions
CX043
Dental
Eddy SeniorCare
08754
Dental
Elderwood Health
03964
Dental
Electrical Welfare Trust Fund
52611
Dental
Emblem Health (GHI - New York Group Health Inc.)
13551
Dental
EMI HEALTH
SX110
Dental
EMI Health
CX079
Dental
Empire Blue Cross Blue Shield
CBNY1
Dental
Employee Benefit Concepts (Farmington Hills MI)
38241
Dental
Employee Benefit Consultants
37257
Dental
Employee Benefit Services (Ft. Mill SC)
37216
Dental
Employee Benefit Systems
42149
Dental
Employee Benefits Plan Administration Inc. (E.B.P.A.)
03036
Dental
Employee Plans LLC
35112
Dental
Employer Plan Services Inc.
CX031
Dental
Employers Direct Health
75232
Dental
Employers Mutual Inc.
59297
Dental
Employers Mutual
Web TPA Inc.of TX
59332
Dental
Encara
WDENC
Dental
Envolve Health
46278
Dental
EPSI Dental II
Capital Dental
CX037
Dental
Everence
35605
Dental
Family Dental
CX096
Dental
FamilyCare CCO
CXFMC
Dental
Fidelio Dental Insurance Company
FDIC1
Dental
FIRST ADMINISTRATORS INC
FAMR1
Dental
First Dental Health / BIA
BEAM1
CXBMD
Dental
First Dental Health of CA
CX086
Dental
First Reliance Standard (NY Business)
13317
Dental
FirstCare Health Plans
49096
Dental
Flex Compension
R7004
Dental
Florida Blue FEP
CBFLF
Dental
Florida Combined Life
Administrative Services Inc.
CBFLU
Dental
Formula Card Dental
LX050
Dental
Fortis Benefits Ins Co (known as Union Security Insurance Co
Union Security Insurance Company
70408
Dental
Foundation Benefit Admin. (FBA) - Boon Group
Foundation Benefit Admin /Contractor Employee Benefits Admin
BOONG
Dental
Fox-Everett
Inc. (10-1-15 Re-enrollment needed.)
Fox-Everett Inc.
64069
Dental
Fraternal Order of Police - Dental Div (Philadelphia PA)
CX041
Dental
Fresno PACE
99660
Dental
Fringe Benefits Coordinators
59204
Dental
GA - BCBS
CBGA1
Dental
Georgia Medicaid
CKGA1
Dental
Gettysburg
CX064
Dental
Gilsbar Inc.
07205
Dental
Golden West Dental
GWD01
Dental
Government Employees Health Association (GEHA)
44054
Dental
Great Lakes PACE
39640
Dental
Great-West Healthcare
Great West
80705
Dental
Great-West Healthcare
Great-West Healthcare (formerly American General)
63665
Dental
Group Administrators Ltd.
36338
Dental
Group and Pension Administrators
Group Plan Administrators
48143
Dental
Group Benefit Administrators (Hendersonville TN)
72153
Dental
Group Dental Services
CX036
Dental
Group Health Cooperative of Eau Claire
95192
Dental
Group Insurance Service Center Inc.
37276
Dental
Guardian Life Insurance Company of America
64246
Dental
Hamaspik Choice
47738
Dental
Harrington Health Colonial Dental
Harrington Health Non-EPO
59143
Dental
Hawaii Medical Service Association (HMSA)
HMSA1
Dental
HCS - Health Claims Service (Boise ID)
82018
Dental
Health Choice Arizona
62179
Dental
Health Choice Generations
62180
Dental
Health Choice Insurance Co
46221
Dental
Health Choice Integrated Care
22100
Dental
Health Choice of Oklahoma
HealthChoice Oklahoma
71064
Dental
Health Choice Utah
45399
Dental
Health Economics Group Inc.
CX039
Dental
Health Partners - Jackson TN
62157
Dental
Health Plans Inc.
CX055
Dental
Health Resources Incorporated (HRI)
CX019
Dental
Health Safety Net
CKHSN
Dental
Health Services for Children with Special Needs
37290
Dental
Healthcare Management Administrator
Healthcare Management Administrators
Inc. (also known as HMA
servicing Western Region)
Healthcare Management Administrators Inc.
HMA01
Dental
Healthcomp Incorporated
Healthcomp Inc.
85729
Dental
Healthgram Inc (formerly known as Primary Physician Care)
Healthgram Inc
Healthgram Inc.
56144
Dental
HealthPartners MN
CX009
CX010
Dental
HealthPlan Services
Mutual Group (The) (US)
59140
Dental
Healthplex Inc.
11271
Dental
HealthSCOPE Benefits Inc.
HealthSCOPE Benefits Inc (Formerly CNA Health Partners of AR
71063
Dental
HealthShare CCO
CXHSC
Dental
HealthSmart (EDI #31172)
Innovante Benefit Administrators
31172
Dental
HealthSmart (EDI #34145)
34145
Dental
HealthSmart (EDI #37224)
37224
Dental
HealthSmart (EDI #37256)
37256
Dental
HealthSmart Benefit Solutions
37272
Dental
HealthSmart MyDecision (EDI #18840)
18840
Dental
Healthy Michigan Dental
HMD01
Dental
HMA Hawaii
86066
Dental
Ho-Chunk Health Care Center
46251
Dental
Hometown Health Plan Nevada
88023
Dental
Hoosier Dental (in Indianapolis Indiana)
CX015
Dental
Horizon Healthcare Dental Services
New Jersey Blue Cross Blue Shield (Horizon)
Horizon Healthcare of NY
22099
Dental
HSB.NHP.
45321
Dental
Humana Insurance Company Choice Care Network
Humana Inc.
Humana
61101
Dental
I. E. Shaffer (West Trenton NJ)
22175
Dental
IA Teamsters Health Ben Fund Local 135 Health Benefits Fund
Local 135 Health Benefits Fund (Indianapolis IN)
Indiana Teamsters Health Benefits Fund
35107
Dental
IBT - Local 145 Health Service & Ins Plan
CXIBT
Dental
iCircle Care of New York
33884
Dental
IDA
Insurance Design Administrators
13315
Dental
IMCare
41600
Dental
Indiana Children's Special Healthcare
CX070
Dental
Indiana Medicaid
CKIN1
Dental
Inetico Inc.
43471
Dental
Innovation Health
40025
Dental
Innovative Health Plan
CB951
Dental
Insurance Administrators of America Inc.
IAA
37279
Dental
Insurance Management Services (Amarillo TX)
15688
Dental
Insurance Systems Inc.
74385
Dental
Insurers Administrative Corp.
86304
Dental
Integra Administrative Group (Seaford DE)
51020
Dental
International Brotherhood of Boilermakers
36609
Dental
Iowa Medicaid
CKIA1
Dental
Jensen Administrative Services Inc.
CXJAS
Dental
JOHN MORRELL COMPANY CO. - AHPBA
38310
Dental
Joint Benefit Trust
CHSJT
Dental
JP Farley Corporation
34136
Dental
Kaiser Permanente Dental Choice
CX073
Dental
Kalos Gold Health Plan
61185
Dental
Kalos Health
40137
Dental
Kansas Medicaid
CKKS1
Dental
Keenan Associates (CA)
95279
Dental
Kemper Benefits
61453
Dental
Kempton Group Administrators
Kempton Company
73100
Dental
Kentucky Medicaid
CKKY1
Dental
Key Select
Fidelity / Key Select
37321
Dental
Key Solution
37323
Dental
LA BCBS AdvantagePlus Network
53021
Dental
Life Gift Cards
33LGC
Dental
Life Insurance Company of Boston & New York
78140
Dental
LIFE St. Joseph of The Pines
59847
Dental
LIFE St.Mary
76184
Dental
LifeCircles PACE
71498
Dental
LifeMap Assurance Company
RLH01
Dental
Lifestyle Health Plans
27005
Dental
Lifetime Benefit Solutions
16117
Dental
Lifetime Benefit Solutions
EBSRM
Dental
LifeWise Healthplan of Oregon
Lifewise Health Plan OR Premier Health Plan (835s ret AC032)
93093
Dental
Lincoln Financial Group
CX061
Dental
Line Construction Benefit Fund
LCB01
Dental
Local 17 Fund - Intl Association of Heat & Frost Insulators
IAHFI
Dental
Lockard & Williams
CB752
Dental
Maestro health Plan
56139
Dental
Maine Medicaid
CKME1
Dental
Maine Medicaid for FQHC
CKMEH
Dental
MAMSI
CX033
Dental
Managed Care Services LLC
35162
Dental
Managed Dental Guard
GI813
Dental
MAPFRE
PRFRE
Dental
Masonry Institute/Administrative D. C. No. 1 Welfare Fund
CX098
Dental
Massachusetts Health Program
CKMA1
Dental
Mayo Clinic Health Solutions
41154
Dental
MBA Benefit Administrators Inc (Salt Lake UT)
83028
Dental
MBA Of Wyoming Inc
87065
Dental
McGregor PACE
31149
Dental
MCNA Dental
65030
Dental
MED3000 CMS SAFETY NET
EM284
Dental
MED3000 CMS Title 21
EM205
Dental
MedCost Benefit Services
56205
Dental
Medica of Minnesota
CX026
Dental
Medicaid of Delaware
CKDE1
Dental
Medicaid of Florida
CKFL1
Dental
Medicaid of Mississippi
CKMS1
Dental
Medicaid of New York (Dental Clinics Only)
CKNY2
Dental
Medicaid of North Carolina
CKNC1
Dental
Medical Associates Health Plan/Health Choices
MAHC1
Dental
Medical Benefit Administrators
CX024
Dental
Medical Benefits Mutual / MedBen
Medical Benefits Mutual Life Insurance Co.
74323
Dental
Medical Card System (MCS)
PRMCS
Dental
Medical Mutual of Ohio (MMO)
CB833
Dental
Medical Mutual of Ohio
Premier Health Systems Inc.
29076
Dental
MedPartners Administrative Services
35205
Dental
Mercy Care Plan (AHCCCS)
Mercy Care Plan of Arizona
86052
Dental
Mercy LIFE of Alabama
63002
Dental
Mercy Maricopa Integrated Care
33628
Dental
Meritain Health Minneapolis
41124
Dental
MFC & HealthPlus Peoria
23550
Dental
Michigan Medicaid
CKMI1
Dental
Michigan UFCW Unions & Employers Administrator LLC
27401
Dental
Mid-America Associates
Mid-America Associates Inc.
37281
Dental
Mid-American Benefits
22823
Dental
Midwest Dental Benefits
41101
Dental
Minnesota Medicaid
CKMN1
Dental
Mississippi Public Entity Employee Benefit Trust
MPEEBT/ MPE Services Inc.
37233
Dental
Missouri Medicaid
CKMO1
Dental
MOLINA HEALTHCARE OF UTAH
SX109
Dental
Momentum Insurance Plan
31415
Dental
Montana Medicaid
CKMT1
Dental
Morris Associates
35092
Dental
MotivHealth Insurance Company
U7632
Dental
Motorola
36111
Dental
MSA Care Guard
MSA CareGuard
20572
Dental
MultiFlex Dental (Merchants Benefit)
MBAAZ
Dental
Municipal Health Benefit Fund
81883
Dental
Mutual Health Services
34192
Dental
Mutual of Omaha Commercial
CX087
Dental
Mutual of Omaha
United of Omaha
71412
Dental
NAA (North America Administrators L.P.) (Nashville TN)
65085
Dental
NAPHCARE INC.
58182
Dental
National Elevator
National Elevator Industry Benefit Plan (NEIB)
CX045
Dental
National General
ASHC1
Dental
National Pacific of TX (NCFLEX)
CX057
Dental
National Telecommunications Cooperative Association
52120
Dental
Nationwide Employee Benefits
314RV
Dental
Nationwide Health Plans
31417
Dental
Nebraska Medicaid
CKNE1
Dental
Nevada Dental Benefits
NDB01
Dental
Nevada Medicaid
CKNV1
Dental
New England Dental Administrators
43351
Dental
New Hampshire Medicaid
CKNH1
Dental
New Jersey Medicaid
CKNJ1
Dental
New Mexico Medicaid
CKNM1
Dental
New York Medicaid
CKNY1
Dental
Next Level Health Partners
69821
Dental
nHealth
58379
Dental
Nippon Life Insurance (Principal Financial Group)
Nippon Life Insurance Company of America
81264
Dental
NJ Delta DHMO
22267
Dental
North American Benefits Network ((Cleveland OH)
North American Benefits Network (Cleveland OH)
34159
Dental
North Dakota Medicaid
CKND1
Dental
Northern California Pipe Trades Trust Funds
CX099
Dental
Northern Illinois Health Plan
36347
Dental
Northern Minnesota Dental
LX062
Dental
Northern Nevada Trust Fund
88027
Dental
Northwest Administrators Inc.
91068
Dental
Northwest Administrators Inc. (Dental)
91060
Dental
Northwest Dental Services
93525
Dental
Northwest Suburban IPA (Illinois)
36346
Dental
NY BCBS Central/Syracuse
EXC02
Dental
Nyhart
37299
Dental
NYS DOH UCP
14142
Dental
Ohio AFSCME Care Plan
AFSOH
Dental
Ohio Medicaid
CKOH1
Dental
Oklahoma DRS DOC
71065
Dental
Oklahoma Medicaid
CKOK1
Dental
Olympus Managed Health Care
65074
Dental
Optum Specialty Svcs / Americhoice of NJ
OH Dental / UHC Dental Government Programs
GP133
Dental
Oregon Medicaid
CKOR1
Dental
OSMA Health - C. L. Frates and Company
CX075
Dental
PA Faculty Health & Welfare
CX066
Dental
PACE Central Iowa
72436
Dental
PACE CNY
70454
Dental
PACE Greater New Orleans
21614
Dental
PACE Nebraska
35416
Dental
PACE of Southwest Michigan Inc
45114
Dental
PACE Southeast Michigan
86711
Dental
PACE SouthWest Iowa
53534
Dental
Pacific Union
CX056
Dental
Pacificare Dental and Vision HMO
CX060
Dental
Pacificare Dental and Vision PPO
CX053
Dental
PacificSource Community
CXPSC
Dental
PacificSource Health Plans
93029
Dental
Pan American Life Insurance Group
04218
Dental
Partners Benefit Group
PBGSM
Dental
Partners health Plan
23213
Dental
Patient Advocates LLC
10525
Dental
Pennsylvania Blue Shield (Camp Hill)
CB865
Dental
Pennsylvania Medicaid
CKPA1
Dental
Pequot Plus Health Benefit Administrators
Mashantucket Pequot Tribal Nation
37121
Dental
Personal Insurance Administrators Inc. (Agoura Hills CA)
95397
Dental
PHC/PHP
95411
Dental
Physicians Care Network (ASR Corporation)
38265
Dental
Physicians Health Plan of Northern Indiana (837P and 837I)
Physicians Health Plan of Northern Indiana (Fort Wayne IN)
Physicians Health Plan of Northern Indiana Inc
12399
Dental
Physicians Mutual
CX068
Dental
Planned Administrators Inc.
Planned Administrators
Inc.
37287
Dental
Prairie States Enterprises Inc.
36373
Dental
Preferred Care Partners – Florida
Preferred Care Partners Florida
Preferred Care Partners
65088
Dental
Preferred Health Plan of the Carolinas
CB404
Dental
Preferred Health Professionals
31478
Dental
PreferredOne (MN)
41147
Dental
Premera Blue Cross
47570
Dental
Premier Access Insurance Company
CX078
Dental
Premier Access UT Government
CX110
Dental
Premier Dental Plan of MN
CX029
Dental
Prime Health Choice
81502
Dental
PrimeCare Administrators (PPO)
PCA01
Dental
PrimeWest Health
LX049
Dental
Principal Financial Group
Principal Life (Principal Financial Group)
61271
Dental
Priority Health
38217
Dental
Prodegi
U8151
Dental
Professional Benefit Administrators Inc. (Oak Brook IL)
Professional Benefit Administrators
36331
Dental
Prominence Health Plan
88029
Dental
Prominence Health Plan of Nevada
Delta Dental of New York
11198
Dental
PUBLIC EMPLOYEES HEALTH PROGRAM
PEHP
SX106
Dental
Quality Care Partners
89461
Dental
Quality Plan Administrator Inc
CX077
Dental
Quartz ASO
46571
Dental
Quest Behavioral Health
44219
Dental
RBMS LLC
91176
Dental
Regence Blue Cross Blue Shield of Oregon
CB850
Dental
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)
U1100
Dental
Regence Blue Shield of Idaho
CBID2
Dental
Regence Northwest Health
93200
Dental
Regency Employee Benefits
38221
Dental
Reliance Standard Life
36088
Dental
ReliaStar (now known as CoreStar formerly NW National Life)
CoreStar AZ MN ( PayerID of 35182 Old ID will start reject
41045
Dental
Renaissance Life and Health
RLHA1
Dental
Resolve/Solarte Health Inc.
CB695
Dental
ResourceOne Administrators
20333
Dental
Rhode Island Medicaid
CKRI1
Dental
Riverside San Bernaardino County Indian Health Inc
50664
Dental
Rochester Public Schools
41625
Dental
Rocky Mountain Life Dental
84102
Dental
S & S Healthcare Strategies
S&S Healthcare Strategies
31441
Dental
Safeguard HMO
CX048
Dental
SafeGuard PPO
CX030
Dental
Sage Technologies
37105
Dental
SAMBA
37259
Dental
SAMERA HEALTH
U8053
Dental
San Diego PACE
96400
Dental
Sanford Health Plan
91184
Dental
SCION Dental
SCION
Dental
Scion Dental Commercial
SDCOM
Dental
Scion Gateway Health Plan
96938
Dental
SE Svcs Emp Int'l Union
SEI01
Dental
Secure Health Plans of Georgia
28530
Dental
SecureCare Dental
86057
Dental
Securian
93742
Dental
Security Life Insurance Co of America
CX092
Dental
Sele-Dent
CX109
Dental
Select Benefits Administrators
Select Benefit Administrators Inc.
93031
Dental
SELECTHEALTH
SX107
Dental
Self Insured Plans (Naples FL)
Self-Insured Plans LLC
36404
Dental
Self Insured Services Company (SISCO)
CX020
Dental
Self-Funded Plans Inc.
34131
Dental
Self-Insured Dental Services (SIDS)
CX076
Dental
Senior Network Health
15682
Dental
Sentry Life of New York
Sentry Life Insurance Company
39033
Dental
Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA
Benesys Inc
38238
Dental
Shelter Point Life
81434
Dental
Significa Benefits Services Inc.
CX046
Dental
SimplePay
27905
Dental
Sinclair Health Plan
84076
Dental
SingleCare
95456
Dental
SKYGEN USA
SKYGN
Dental
Solstice Benefits
76578
Dental
South Dakota Medicaid
CKSD1
Dental
South Point Hotel & Casino
35227
Dental
Southeastern Indiana Health (SIHO)
77153
Dental
Southern Benefit Administrators Inc.
38242
Dental
Southwest Administrators
95268
Dental
Southwest Health Plan (Aetna HMO)
Aetna
60054
Dental
Southwest Service Administrators
CX100
Dental
Spectrum Admin
Valley Preferred - PPO Allentown PA (IHS Gateway Payer)
Populytics (formerly Spectrum Administrators)(837I & 837P)
Populytics
23253
Dental
Spina Bifida - VA HAC
84147
Dental
Standard Insurance Company (NY)
13411
Dental
Standard Insurance Company (OR)
93024
Dental
StarDent
CX090
Dental
STATE FARM MUTUAL AUTOMOBILE INSURANCE CO
31059
Dental
State of Texas Dental Plan (835’s returned under 44054)
Government Employees Health AssociationInc. (GEHA)
Government Employees Hospital Association (GEHA)
57254
Dental
Summit America Insurance Services Inc.
37301
Dental
Sun Life and Health Insurance Company
67814
Dental
Superior Dental Care - Preferred Plan
31117
Dental
Surency Life and Health
CX088
Dental
TALL TREE ADMINISTRATORS
88067
Dental
Teachers Health Trust
88019
Dental
Texas Medicaid
CKTX1
Dental
The Dental Shop
DSHOP
Dental
The Health Plan (Massillon OH & St Clairsville Ohio only)
The Health Plan of The Upper Ohio Valley
34150
Dental
The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer)
23223
Dental
The Physicians Assurance CorpTPAC /Employee Benefit Mngmt Co
EBMC
CX025
Dental
Total Dental Administrators
CX112
Dental
TR Paul Inc.
37230
Dental
TransChoice-Key Benefit Administrators
37284
Dental
Travelers (now MetLife)
MetLife
65978
Dental
Tri-Counties Welfare Trust Fund
CHSWT
Dental
Trigon Blue Cross Blue Shield - Colorado Dental Office
84103
Dental
Trigon VA - BCBS (Dental)
CB923
Dental
Triple-S Medicare Advantage
PRADV
Dental
Triple-S Salud
CBPR1
Dental
TRISTAR Benefit Administrators (W. DesMoines IA)
42137
Dental
Tristate Benefit Solutions (TPA)
31144
Dental
TruAssure
ILDTA
Dental
Trusteed Plan Services Corporation
Trusteed Plans Service Corporation
91078
Dental
Trustmark Insurance Company
61425
Dental
U OF U HEALTH PLANS
SX155
Dental
UFCW Local 655
CX111
Dental
Ultra Benefits Inc.
Ultra Benefits
41206
Dental
UMC Health Plan
75130
Dental
UMR - Cincinnati
33108
Dental
UMR - Harrington
UMR Westerville (formerly Harrington Health)
95266
Dental
UMR (formerly Harrington Benefit Services)
Uniform Medical Plan
75243
Dental
UMR (formerly Lexington / CommonWealth Administrative Group)
UMR - Lexington
37237
Dental
UMR (formerly UMR San Antonio Benefit Planners)
UMR - San Antonio
74223
Dental
UMWA Health & Retirement Funds
52180
Dental
UNICARE
80314
Dental
Unified Group Services
35198
Dental
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS
Union Pacific Railroad Employes Health System
U6844
Dental
United Administrative Services Inc
94174
Dental
United Concordia - Fee for Service
CX007
Dental
United Concordia (Tricare Dental Plan)
CX002
Dental
United Concordia Dental Plus
CX013
Dental
United Food & Comm. Workers Midwest Unions
United Food & Comm Workers Union & Employers Midwest Health
36659
Dental
United States Life Insurance Company
13545
Dental
United States Virgin Islands Medicaid
CUSV1
CUSVI
Dental
UnitedHealthcare / UHIS-UnitedHealth Integrated Services
UMR (formerly Harrington Benefit Services - Westerville)
UMR (formerly UMR Wausau)
UMR - Harrington
UMR Wausau
39026
Dental
UnitedHealthcare Dental
52133
Dental
UnitedHealthcare Nevada Market
Sierra Health and Life
76342
Dental
UnitedHealthcare Student Resources
UnitedHealthcare StudentResources
74227
Dental
UnitedHealthOne / UnitedHealthcare Life Insurance Company
CX001
Dental
Unity Health Insurance
66705
Dental
Univeral Healthcare - NY
16105
Dental
UPMC Health Plan
23281
Dental
Upper Peninsula Health Group (TPA)
37324
Dental
US Benefits
93092
Dental
UTAH DEPARTMENT OF HEALTH
Utah Medicaid FFS
SKUT0
Dental
VA Fee Basis Programs
12116
Dental
Valir Pace
64009
Dental
Valley Baptist Health Plan
Group Health Coop (Ind & Family &Small Business Groups)
89070
Dental
VALLEY HEALTH PLAN
VHP01
Dental
Valor Health Plan
43259
Dental
Vantage Health Plan Inc.
72128
Dental
Varian Health Care Plan
68241
Dental
VENCOR
The Dental Concern
73288
Dental
Verity National Group
75256
Dental
Vermont Medicaid
CKVT1
Dental
Via Christi HOPE
48123
Dental
VieCare Life Armstrong
25922
Dental
VieCare Life Beaver and Life Lawrence Counties
25924
Dental
VieCare LIFE Butler
25923
Dental
Viva Health Plan
63114
Dental
Voluntary Benefits Plan
70106
Dental
Volusia Health Network
59266
Dental
Washington Medicaid
CKWA1
Dental
Washington State Council of County & City Employees (WSCCCE)
Welfare and Pension Administration Services
91136
Dental
Waterstone Benefit Administrators (Oklahoma Providers)
73155
Dental
webTPA/Community Health Electronic Claims/CHEC
Community Health Electronic Claims/CHEC/webTPA
75261
Dental
Wellcare
CX083
Dental
Wells Fargo TPA Inc. (Charleston WV)
HealthSmart (EDI #87815)
87815
Dental
WellSpan Plus
South Central Preferred - PPO York PA (IHS Gateway Payer)
23266
Dental
West Virginia Medicaid
CKWV1
Dental
Western Grower's Insurance Company
24735
Dental
Weyco Inc.
38232
Dental
WI- BCBS (Dental)
CB950
Dental
Wichita and Affiliated Tribes
19191
Dental
Willamette Valley
CXWVC
Dental
William C. Earhart
93050
Dental
WilsonMcShane
R7002
Dental
Wisconsin Medicaid
CKWI1
Dental
Wisconsin Medicare Advantage
WIMAN
Dental
Wyoming Medicaid
CKWY1
Dental
Wyoming PACE
98543
Dental
Zenith Administrators
R7001
Dental

Eligibility

Payer Name Payer Id Line of Business
'Ohana Health Plan (WellCare of Hawaii)
WCOHP
Eligibility
1199 National Benefit Fund
SNATB
Eligibility
1199 National Benefit Fund
13162
Eligibility
AARP
0AARP
10431
Eligibility
AARP-UnitedHealthcare Ins Co
AARP Medicare Supplement Plans
AARP Medicare Supplement Plans insured
36273
Eligibility
Absolute Total Care
CTOTL
Eligibility
ACS Benefit Services
11009
Eligibility
Administrative Services Inc
10619
Eligibility
Administrative Services Inc.
ASINC
Eligibility
Advantage by Bridgeway Health Solutions
CBRIA
Eligibility
Advantage by Bridgeway Health Solutions
10561
Eligibility
Advantage by Buckeye Community Health Plan
10562
CBUCA
Eligibility
Advantage by Managed Health Services
10563
CMHSA
Eligibility
Advantage by Superior HealthPlan
10564
Eligibility
Advantage by Superior HealthPlan Services
CSHPA
Eligibility
Aetna
AETNA
Eligibility
Aetna
10004
AETNX
Eligibility
Aetna Better Health (CA)
11224
Eligibility
Aetna Better Health (FL)
11099
Eligibility
Aetna Better Health (KS)
12267
Eligibility
Aetna Better Health (KY)
11119
Eligibility
Aetna Better Health (LA)
11008
Eligibility
Aetna Better Health (MD)
11207
Eligibility
Aetna Better Health (MI)
11026
Eligibility
Aetna Better Health (NJ)
10994
Eligibility
Aetna Better Health (NV)
11231
Eligibility
Aetna Better Health (PA)
10894
Eligibility
Aetna Better Health (VA)
10217
Eligibility
Aetna Better Health (WV)
11154
Eligibility
Aetna Better Health California
ABHCA
Eligibility
Aetna Better Health Illinois
Aetna Better Health (IL)
10892
Eligibility
Aetna Better Health Michigan
ABHMI
Eligibility
Aetna Better Health New Jersey
ABHNJ
Eligibility
Aetna Better Health of Florida
ABHFL
Eligibility
Aetna Better Health of Kansas
ABHKS
Eligibility
Aetna Better Health of Kentucky
ABHKY
Eligibility
Aetna Better Health of Louisiana
ABHLA
Eligibility
Aetna Better Health of Maryland
ABHMD
Eligibility
Aetna Better Health of New York
ABHNY
Eligibility
Aetna Better Health of Ohio - Schaller Anderson
ABHOH
Eligibility
Aetna Better Health of VA
ABHVA
Eligibility
Aetna Better Health PA
PENNS
Eligibility
Aetna Better Health Plan of Nebraska
Aetna Better Health Nebraska
42130
Eligibility
Aetna Better Health Texas CHIP
10896
Eligibility
Aetna Better Health Texas
Midwest Insurance
10895
Eligibility
Aetna Better Health West Virginia
ABHWV
Eligibility
Aetna Long Term Care
00225
10397
AETLC
Eligibility
Aetna Retiree Medical Plan - Administrator
10891
Eligibility
Aetna Retiree Medical Plan - Administrator
AEADM
Eligibility
Aetna Senior Supplemental
10897
Eligibility
Aetna Senior Supplemental Insurance
AESSI
Eligibility
Affinity Essentials
11115
AFFES
Eligibility
Affinity Health Plan
10594
AFNTY
Eligibility
Affinity Health Plan - Medicare
AFMCR
Eligibility
Affinity Health Plan Medicare
10661
Eligibility
Aflac
10955
Eligibility
AFLAC - Dental
10398
Eligibility
AFLAC - Medicare Supplemental
10663
AFMES
Eligibility
AFLAC Group
AFGRP
Eligibility
AgeWell NewYork
11225
Eligibility
AGIA Inc
AGIAI
Eligibility
AGIA. Inc.
11149
Eligibility
Alabama Blue Cross (Institutional)
Alabama Blue Shield (Institutional)
ALBLC
Eligibility
Alabama Blue Shield (Professional)
Blue Shield of Alabama
Blue Cross of Alabama
ALBLS
Eligibility
Alabama Medicaid
00072
Eligibility
Alabama Medicaid
000AL
10007
AID40
Eligibility
Alameda Alliance Health Plan
10639
Eligibility
Alan Sturm and Associates - Dental
10798
Eligibility
Alaska Medicaid
11016
Eligibility
Aliera Health Care
ALH01
Eligibility
All Savers Life Insurance
11027
Eligibility
All Savers Life Insurance Company
ALLSA
Eligibility
Allegiance Benefit Plan Management
10654
Eligibility
Alliant Health Plans
11109
ALNTH
Eligibility
Allied Benefit Systems
10898
Eligibility
Allied Benefit Systems
ABSYS
Eligibility
ALLWays Health Partners
04293
Eligibility
AlohaCare
11017
Eligibility
Alohacare
ALOHA
Eligibility
Alternative Insurance Resources
ATIRS
Eligibility
Alternative Insurance Resources
Inc
11002
Eligibility
Altus Dental
10786
Eligibility
Ambetter of Arkansas
11057
Eligibility
Ambetter Superior Health Plan (TX)
11082
Eligibility
Ameriben
10985
Eligibility
Ameriben Solutions
ABNSL
Eligibility
American Behavioral Benefit Managers
AMBBM
Eligibility
American Family Life Assurance Co. (AFLAC)
AFLAC
Eligibility
American General Life and Accident
10009
AMCAG
Eligibility
American Health Medicare
10664
ANHMD
Eligibility
American Income Life Ins.Co.
10986
Eligibility
American Income Life Insurance Company
ANCOM
Eligibility
American Medical Security (AMS)
10829
Eligibility
American Medical Security (AMS)
UnitedHealthOne / UnitedHealthcare Life Insurance Company
UnitedHealthcare / All Savers Insurance
UnitedHealthcare Life Insurance Company
81400
Eligibility
American National Insurance
10595
Eligibility
American National Insurance Company
ANICO
Eligibility
American National Life Ins Texas
10596
Eligibility
American National Life Insurance Company of Texas
ANTEX
Eligibility
American Network Ins. Medicare Supplement
10899
Eligibility
American Postal Workers Union (APWU)
10016
Eligibility
American Postal Workers Union Health Plan
AMPWS
Eligibility
American Postal Workers Union Health Plan (APWU)
0APWU
Eligibility
American Retirement Life Ins Co. Medicare Supp
10538
Eligibility
American Retirement Life Insurance Co Medicare Supplement
ARLMS
Eligibility
AmeriChoice - Community and State
UnitedHealthcare Community Plan/NJ form Americhoice NJ Medic
UnitedHealthcare Comm Plan/NJ (form Americhoice NJ Medicaid)
86047
Eligibility
AmeriChoice of New Jersey
00091
0ACNJ
Eligibility
AmeriChoice of New Jersey (Commercial)
10018
Eligibility
AmeriChoice of New Jersey (Medicaid)
12243
Eligibility
Americo Financial Life & Annuity
11085
Eligibility
AMERIGROUP
10019
Eligibility
Amerigroup Corporation
AMGRP
Eligibility
AmeriGroup
Amerigroup - New Jersey
28806
Eligibility
AmeriHealth
10974
Eligibility
AmeriHealth Administrators
10416
Eligibility
AmeriHealth Caritas DC
11193
Eligibility
AmeriHealth Caritas Delaware
77799
Eligibility
AmeriHealth Caritas Iowa
11142
Eligibility
Amerihealth Caritas Iowa
AHIWA
Eligibility
AmeriHealth Caritas Louisiana
LCARE
Eligibility
AmeriHealth Caritas Louisiana (LaCare)
10640
Eligibility
AmeriHealth Caritas Pennsylvania
10340
Eligibility
AmeriHealth Caritas VIP Care Plus
11151
Eligibility
Amerihealth Caritas VIP Care Plus
AMCVC
Eligibility
AmeriHealth District of Columbia
DCCHH
Eligibility
AmeriHealth Mercy Health Plan
AHMHP
Eligibility
AmeriHealth New Jersey
11230
Eligibility
AmeriHealth Northeast Pennsylvania
11189
Eligibility
AmeriHealth Pennsylvania
11232
Eligibility
AmeriHealth VIP Care
11152
Eligibility
Amerihealth VIP Care
AMVIP
Eligibility
Ameritas
AMTAS00425
Eligibility
Ameritas Group
AMERITAS
Eligibility
Ameritas Group - Ameritas Life Insurance Co.
10020
Eligibility
Ameritas Group - First Ameritas of New York
10232
Eligibility
Ameritas Group - First Reliance Standard Life
10233
Eligibility
Ameritas Group - Reliance Standard Life
10234
Eligibility
Ameritas Group - Standard Insurance
10236
Eligibility
Ameritas Group - Standard Insurance of New York
10237
Eligibility
Ameritas Life Insurance Company
00425
Eligibility
Anthem BCBS of Virginia
Anthem BCBS Virginia
BCBS of Alabama - Medicare Part B
00423
Eligibility
Anthem Blue Cross California
00039
BCCAC
Eligibility
Anthem Vivity
10993
Eligibility
Apex Benefits Services
10708
Eligibility
APS
ALPBS
Eligibility
APWU Health Plan
00360
Eligibility
Archbold Medical Center
ARCHB
Eligibility
Arise Health Care
11181
Eligibility
Arise Health Plan
ARISE
Eligibility
Arise Health Plan Medicare Select Policy
10868
Eligibility
Arizona Blue Cross Blue Shield
Blue Shield of Arizona
AZBLS
Eligibility
Arizona Medicaid
00069
000AZ
AID37
Eligibility
Arizona Medicaid (AHCCCS)
10021
Eligibility
Arizona Physicians IPA - Community and State
UnitedHealthcare Community Plan/AZ form AZ Phy IPA APIPA
03432
Eligibility
Arizona Physicians IPA (APIPA)
10022
Eligibility
Arkansas Blue Cross Blue Shield
Blue Advantage of Arkansas
Health Advantage of Arkansas
ARBLS
Eligibility
Arkansas Medicaid
000AR
AID26
Eligibility
Arkansas Medicaid
10023
Eligibility
Associacion De Maestros Puerto Rico
10957
Eligibility
ASSOCIATION DE MAESTROS PUERTO RICO
ADMPR
Eligibility
Asuris Northwest
93221
Eligibility
Asuris Northwest Health
10529
Eligibility
ATRIO Health Plans
12269
Eligibility
Aultcare
10472
Eligibility
Automated Benefit Services
10890
Eligibility
Auxiant
10900
Eligibility
Avalon Administrative Services
11145
Eligibility
Avera Health Plans
10869
Eligibility
AvMed
00370
Eligibility
AvMed Health Plans
10024
Eligibility
AvMed Health Plans (South Florida)
AVMED
Eligibility
Bankers Fidelity Life Insurance Company
11238
BNKFL
Eligibility
Bankers Life & Casualty
10813
Eligibility
Banner - University Family Care
BUFCR
Eligibility
Banner Health Plans
10707
Eligibility
Banner Plan Administration
BPLAD
Eligibility
Banner University Family Care
11209
Eligibility
Baycare Select Health Plans Inc.
12265
Eligibility
BayCare Select Health Plans Inc
81079
Eligibility
BC/BS Georgia
BCGAC
Eligibility
BC/BS Iowa
BCIAC
Eligibility
BC/BS Massachusetts
BCMAC
Eligibility
BC/BS Mississippi
0BCMS
Eligibility
BC/BS New Jersey Horizon
BCNJC
Eligibility
BC/BS New Mexico
BCNMC
Eligibility
BC/BS New York Empire
Blue Cross Blue Shield of New York
BCNYC
Eligibility
BC/BS South Carolina
BCSCC
Eligibility
BCBS LA Medicare Advantage
BCLAM
Eligibility
BCBS of Alabama
10025
Eligibility
BCBS of Alabama [Institutional]
10609
Eligibility
BCBS of Alaska (Premera)
10257
Eligibility
BCBS of Arizona
10027
Eligibility
BCBS of Arkansas
10028
Eligibility
BCBS of Central New York
10461
Eligibility
BCBS of Colorado (Anthem)
10029
Eligibility
BCBS of Connecticut (Anthem)
10030
Eligibility
BCBS of DE
BCDEL
Eligibility
BCBS of Delaware
10831
Eligibility
BCBS of Florida
10031
Eligibility
BCBS of Georgia (Anthem)
10032
Eligibility
BCBS of Hawaii
10530
Eligibility
BCBS of Illinois
10033
Eligibility
BCBS of Indiana (Anthem)
10258
Eligibility
BCBS of Iowa
10396
Eligibility
BCBS of Kansas
10034
Eligibility
BCBS of Kansas City
10473
Eligibility
BCBS of Kentucky (Anthem)
10259
Eligibility
BCBS of Louisiana
10035
Eligibility
BCBS of Maine (Anthem)
10036
Eligibility
BCBS of Massachusetts
10037
Eligibility
BCBS of Michigan (Institutional)
10519
Eligibility
BCBS of Michigan (Professional)
10038
Eligibility
BCBS of Minnesota
10039
Eligibility
BCBS of Mississippi
10040
Eligibility
BCBS of Montana
10516
Eligibility
BCBS of Nebraska
10384
Eligibility
BCBS of Nevada (Anthem)
10260
Eligibility
BCBS of New Hampshire (Anthem)
10261
Eligibility
BCBS of New Jersey (Horizon)
10041
Eligibility
BCBS of New Mexico
10042
Eligibility
BCBS of New York (Empire)
10043
Eligibility
BCBS of New York (Excellus)
10323
Eligibility
BCBS of North Carolina
10383
Eligibility
BCBS of North Dakota
10478
Eligibility
BCBS of Ohio (Anthem)
10044
Eligibility
BCBS of Oklahoma
10582
Eligibility
BCBS of Oregon (Regence)
10045
Eligibility
BCBS of Pennsylvania (Highmark) [Institutional]
10524
Eligibility
BCBS of Pennsylvania (Highmark) [Professional]
10046
Eligibility
BCBS of Rhode Island
10304
Eligibility
BCBS of South Carolina
10047
Eligibility
BCBS of South Dakota (Wellmark)
10395
Eligibility
BCBS of Tennessee
10430
Eligibility
BCBS of Texas
10048
Eligibility
BCBS of the Rochester Area (NY)
10469
Eligibility
BCBS of Utica-Watertown (NY)
10470
Eligibility
BCBS of Vermont
10624
Eligibility
BCBS of Virginia (Anthem)
10049
Eligibility
BCBS of West Virginia
10462
Eligibility
BCBS of Western New York
10498
Eligibility
BCBS of Wisconsin (Anthem)
10299
Eligibility
BCBS of Wyoming
10480
Eligibility
BCBS Rhode Island
BCRIC
Eligibility
BCBS Texas Medicaid STAR CHIP
11196
Eligibility
BCBSMA internal use only
XX999
Eligibility
BCBSMN Blue Plus Medicaid
12259
Eligibility
BCBSMN Blue Plus Medicaid Waiver
12262
Eligibility
Beacon Health Strategies
11058
Eligibility
Behavioral Health Systems Inc.
BHRHS
Eligibility
Behavioral Health Systems
Inc.
11227
Eligibility
Benefit Management Inc
10665
Eligibility
Benefit Management Inc - KS
BMNKS
Eligibility
Better Health Plans
BHPLS
Eligibility
Better Health Plans (Unison Health Plans)
10187
Eligibility
Better Health Plans of Florida
10999
Eligibility
Better Health Plans Of Tennessee
BHPTN
Eligibility
Blue Benefit Administrators of Mass
10803
Eligibility
Blue Choice Medicaid Managed Care
00403
Eligibility
Blue Cross Blue Shield Minnesota Health Care Program
Minnesota Blue Cross Blue Shield Blue Plus Medicaid
00562
Eligibility
Blue Cross Blue Shield of Alabama
00266
BCALC
Eligibility
Blue Cross Blue Shield of Alaska (Premera)
BCAKC
Eligibility
Blue Cross Blue Shield of Arizona
00090
BCAZC
Eligibility
Blue Cross Blue Shield of Arkansas
BCARC
Eligibility
Blue Cross Blue Shield of Colorado
BCCOC
Eligibility
Blue Cross Blue Shield of Connecticut
BCCTC
Eligibility
Blue Cross Blue Shield of Florida
00267
BCFLC
Eligibility
Blue Cross Blue Shield of Georgia
00151
Eligibility
Blue Cross Blue Shield of Illinois
00268
BCILC
Eligibility
Blue Cross Blue Shield of Indiana
BCINC
Eligibility
Blue Cross Blue Shield of Kansas
BCKSC
Eligibility
Blue Cross Blue Shield of Kansas City MO
BCKCC
Eligibility
Blue Cross Blue Shield of Kentucky
BCKYC
Eligibility
Blue Cross Blue Shield of Louisiana
00083
BCLAC
Eligibility
Blue Cross Blue Shield of Maine
BCMEC
Eligibility
Blue Cross Blue Shield of Massachusetts
00139
Eligibility
Blue Cross Blue Shield of Michigan (Dental)
BCMIC00710D
BCMID
Eligibility
Blue Cross Blue Shield of Michigan (Institutional)
BCMIC00210
BCMII
Eligibility
Blue Cross Blue Shield of Michigan (Professional)
BCMIC00710P
BCMIP
Eligibility
Blue Cross Blue Shield of Minnesota
00269
BCBSM
Eligibility
Blue Cross Blue Shield of Mississippi
00075
Eligibility
Blue Cross Blue Shield of Missouri
BCMOC
Eligibility
Blue Cross Blue Shield of Nebraska
BCBSNE
Eligibility
Blue Cross Blue Shield of Nebraska
BCNEC
Eligibility
Blue Cross Blue Shield of Nevada
BCNVC
Eligibility
Blue Cross Blue Shield of New Hampshire
BCNHC
Eligibility
Blue Cross Blue Shield of New Mexico
00270
Eligibility
Blue Cross Blue Shield of North Carolina
BCNCC
Eligibility
Blue Cross Blue Shield of North Dakota
BCNDC
Eligibility
Blue Cross Blue Shield of Ohio
BCOHC
Eligibility
Blue Cross Blue Shield of Oregon (Regence)
BCORC
Eligibility
Blue Cross Blue Shield of Pennsylvania - Highmark
00440
Eligibility
Blue Cross Blue Shield of Pennsylvania (Highmark)
BCPAC
Eligibility
Blue Cross Blue Shield of South Dakota
BCSDC
Eligibility
Blue Cross Blue Shield of Tennessee
BCTNC
Eligibility
Blue Cross Blue Shield of Texas (270/271)
Blue Cross Blue Shield of Texas (276/277)
00271
Eligibility
Blue Cross Blue Shield of Texas-Medicaid (276/277)
Blue Cross Blue Shield of Texas-Medicaid (270/271)
HCSVC
Eligibility
Blue Cross Blue Shield of Virginia
BCVAC
Eligibility
Blue Cross Blue Shield of Wisconsin (Anthem)
BCWIC
Eligibility
Blue Cross Blue Shield of Wyoming
BCWYC
Eligibility
Blue Cross Blue Shield Oklahoma
BCOKC
Eligibility
Blue Cross Community Options
11183
Eligibility
Blue Cross Community Options
Blue Cross Community Solutions Effect 12-14-14 payer ID00621
MCDIL
Eligibility
Blue Cross Complete of Michigan
BCCMI
Eligibility
Blue Cross Independence (Pennsylvania)
10262
Eligibility
Blue Cross Medicare Advantage
HMAPD
Eligibility
Blue Cross Northeastern Pennsylvania
10264
Eligibility
Blue Cross of California (Anthem)
10051
Eligibility
Blue Cross of Idaho
10638
BCIDC
Eligibility
Blue Cross of Idaho
Idaho Blue Cross
IDBLC
Eligibility
Blue Cross of Washington (Premera)
BCWAC
Eligibility
Blue Cross of Washington and Alaska (Premera)
Premera BC Alaska and Washington
10326
Eligibility
Blue Cross Pennsylvania (Capital)
10325
Eligibility
Blue Shield of California
10053
Eligibility
Blue Shield of Delaware
Delaware Blue Cross Blue Shield
DEBLS
Eligibility
Blue Shield of Florida
Florida Blue Cross Blue Shield
Blue Cross Blue Shield of Florida
Florida Blue Shield
FLBLS
Eligibility
Blue Shield of Georgia
Georgia Anthem Blue Cross Blue Shield
State Merit GA
GABLS
Eligibility
Blue Shield of Hawaii
Hawaii Blue Cross Blue Shield
HIBLS
Eligibility
Blue Shield of Idaho (Regence)
10052
Eligibility
Blue Shield of Idaho
Idaho Blue Shield (Regence)
Blue Shield of Idaho (Per Provider Testing)
IDBLS
Eligibility
Blue Shield of Illinois
Illinois Blue Cross Blue Shield
ILBLS
Eligibility
Blue Shield of Indiana
Indiana Anthem Blue Cross Blue Shield
Indiana Anthem Blue Cross and Blue Shield
INBLS
Eligibility
Blue Shield of Iowa
Iowa Blue Cross Blue Shield
IABLS
Eligibility
Blue Shield of Kansas City
Blue Cross of Kansas City
Kansas City Blue Cross Blue Shield
KCBLS
Eligibility
Blue Shield of Kansas
Blue Cross of Kansas
Kansas Blue Cross Blue Shield
KSBLS
Eligibility
Blue Shield of Kentucky
Kentucky Anthem Blue Cross Blue Shield
KYBLS
Eligibility
Blue Shield of Lousiana
State Employees Group Benefits
Louisiana Blue Cross Blue Shield
LABLS
Eligibility
Blue Shield of Maine
Maine Anthem Blue Cross and Blue Shield
Maine Anthem Blue Cross Blue Shield
MEBLS
Eligibility
Blue Shield of Michigan
Michigan Blue Cross Blue Shield
MIBLS
Eligibility
Blue Shield of Minnesota
CCS (aka Comprehensive Care Systems)
Minnesota Blue Cross Blue Shield
MNBLS
Eligibility
Blue Shield of Mississippi
Mississippi Blue Cross Blue Shield
MSBLS
Eligibility
Blue Shield of Missouri
Missouri Anthem Blue Cross and Blue Shield
Missouri Anthem Blue Cross Blue Shield
MOBLS
Eligibility
Blue Shield of North Eastern New York
10499
Eligibility
Blue Shield of Washington (Regence)
10054
Eligibility
Blue Shield of Washington Regence
BSWAC
Eligibility
BlueChoice HealthPlan of South Carolina Medicaid (HMO)
BCHSC
Eligibility
BlueChoice HealthPlan South Carolina Medicaid
10504
Eligibility
BlueCross BlueShield of National Capital Area (CareFirst)
BCDCC
Eligibility
BlueCross BlueShield of Vermont
BCVTC
Eligibility
BlueCross BlueShield of Western New York Medicaid/CHP
BBWNY
Eligibility
BlueCross Medicare Advantage
11174
Eligibility
BMC HealthNet Plan
10556
Eligibility
BMC HealthNet Plan
Boston Medical Center HealthNet Plan
Well Sense Health Plan
13337
Eligibility
Boon Administrative Services
BOONA
Eligibility
Boon Group
10821
Eligibility
Boon-Chapman Benefit Admin
10414
Eligibility
Boston Medical Center Health Plan
BMCHN
Eligibility
Bravo Health (Cigna Healthspring)
BRAVO
Eligibility
Bravo Health
Inc.
10399
Eligibility
BridgeSpan
BRIDG
Eligibility
Bridgeway Health Solutions Arizona
CBRID
Eligibility
Bright Health
11234
Eligibility
Bright Health Medicare Advantage
12266
Eligibility
Brokers National - Dental
10783
Eligibility
Brownyard Group Inc. (Arch Insurance)
Selman & Company
11150
Eligibility
Buckeye Community Health
CBUCK
Eligibility
Cal-Viva
11070
Eligibility
California Anthem Blue Cross
00540
Eligibility
California Anthem Blue Cross Dental
CABLD
Eligibility
California Blue Shield
CABLS
Eligibility
California Children Services
11059
Eligibility
California Medicaid
00025
Eligibility
California Medicaid - Medi-Cal
000CA
AID11
Eligibility
California Medicaid (Medi-Cal)
10055
CAMCD
Eligibility
CalOptima
10972
Eligibility
Caloptima
Cal-Optima Direct
CALOPTIMA DIRECT
CALOP
Eligibility
Capital Blue Cross (Pennsylvania)
BCCBC
Eligibility
Capital Blue Cross of Pennsylvania
PABLC
Eligibility
Capital District Physicians Health
CDPHP
Eligibility
Capital District Physicians’ Health Plan (CDPHP)
10458
Eligibility
Capitol Administrators
10903
Eligibility
CAPROCK
10660
Eligibility
Care Improvement Plus
10806
CIPMD
Eligibility
Care1st Health Plan Arizona
CHPLA
Eligibility
Care1st Health Plan Arizona
Care 1st Health Plan Arizona
10981
Eligibility
Care1st of California
10973
Eligibility
CareFirst Administrators
CFSAD
Eligibility
Carefirst BCBS - DC
11102
Eligibility
Carefirst Blue Cross Blue Shield - MD
10270
Eligibility
Carefirst Blue Cross Blue Shield District of Columbia
DCBLS
Eligibility
Carefirst of Maryland Inc.
BCMDC
Eligibility
Carelink Health Plan
Anthem BCBS Kentucky
Blue Cross of Kentucky
00160
Eligibility
CareMore
11080
Eligibility
Caremore
CARMO
Eligibility
CarePlus Health Plan
00324
0CPHP
10056
Eligibility
CareSource
00325
Eligibility
CareSource
0DAHP
Eligibility
Caresource Georgia
Caresource of Georgia
GACS1
Eligibility
CareSource Health
10057
Eligibility
Caresource Humana
CareSource KY
CareSource of Kentucky
KYCS1
Eligibility
Caresource Indiana
CareSource Marketplace
Caresource Indiana Inc
INCS1
Eligibility
Caresource Ohio
CareSource OH
CareSource of Ohio
31114
Eligibility
Caresource West Virginia
WVCS1
Eligibility
Cariten Commercial
Cariten Healthcare
62073
Eligibility
Carolina Care Plan
Inc. (CCP)
10762
Eligibility
Carpenters Health and Welfare Fund of Philadelphia
CHWFP
Eligibility
Carpenters Health and Welfare Trust Fund of St Louis
11161
Eligibility
Carpenters Health and Welfare Trust Fund of St. Louis
CWSTL
Eligibility
CDS Group Health
10667
CDSGH
Eligibility
Celtic Insurance
10668
CLTCN
Eligibility
CeltiCare
CELTI
Eligibility
CenCal
11106
Eligibility
Cenpatico - Arizona
10567
Eligibility
Cenpatico - Florida
10568
Eligibility
Cenpatico - Georgia
10569
Eligibility
Cenpatico - Illinois
10631
Eligibility
Cenpatico - Indiana
10570
Eligibility
Cenpatico - Kansas
10571
Eligibility
Cenpatico - Kentucky
10632
Eligibility
Cenpatico - Massachusetts
10588
Eligibility
Cenpatico - Mississippi
10769
Eligibility
Cenpatico - Missouri
10768
Eligibility
Cenpatico - New Hampshire
10770
Eligibility
Cenpatico - Ohio
10572
Eligibility
Cenpatico - South Carolina
10573
Eligibility
Cenpatico - Texas
10633
Eligibility
Cenpatico - Wisconsin
CBHWI
Eligibility
Cenpatico - Wisconsin
10634
Eligibility
Cenpatico Behavioral Health
10766
Eligibility
Cenpatico Behavioral Health - Indiana
CBHIN
Eligibility
Cenpatico Behavioral Health Illinois
CBHIL
Eligibility
Cenpatico Behavioral Health Kentucky
CBHKY
Eligibility
Cenpatico Behavioral Health Texas
10767
Eligibility
Cenpatico Behavioral Health Texas
Integrated Mental Health Services
CBHTX
Eligibility
Cenpatico Behavioral Health Wisconsin
Group Practice Affiliates
CGRPR
Eligibility
Cenpatico Behavioral Health
Cenpatico Behavioral Health Massachusetts
CBHMA
Eligibility
Cenpatico-Arizona
Cenpatico Behavioral Health Arizona
CBHAZ
Eligibility
Cenpatico-Florida
Cenpatico Behavioral Health Florida
CBHFL
Eligibility
Cenpatico-Kansas
Cenpatico Behavioral Health Kansas
CBHKS
Eligibility
Cenpatico-Ohio
Cenpatico Behavioral Health Ohio
CBHOH
Eligibility
Cenpatico-South Carolina
Cenpatico Behavioral Health South Carolina
CBHSC
Eligibility
Centene - Absolute Total Care
10560
Eligibility
Centene - Advantage by Peach State
10763
Eligibility
Centene - Advantage by Sunshine State
10764
Eligibility
Centene - Ambetter Sunshine Health
11126
Eligibility
Centene - Bridgeway Arizona
10565
Eligibility
Centene - Buckeye Community Health
10566
Eligibility
Centene - California Health & Wellness
10759
Eligibility
Centene - Celticare
10589
Eligibility
Centene - Coordinated Care
10761
Eligibility
Centene - Granite State Health Plan
10765
Eligibility
Centene - Home State Health Plan
10760
Eligibility
Centene - Kentucky Spirit Health Plan
10620
Eligibility
Centene - Magnolia Health Plan
10704
Eligibility
Centene - Managed Health Services Indiana
10586
Eligibility
Centene - Managed Health Services Wisconsin
10587
Eligibility
Centene - Michigan Fidelis Secure Care
11034
Eligibility
Centene - New Hampshire Healthy Families
10865
Eligibility
Centene - Peach State Health Plan
10590
Eligibility
Centene - Sunshine State Health Plan
10451
Eligibility
Centene - Superior Health Plan TX
10592
Eligibility
Centene - Total Care Carolina
10866
Eligibility
Centene Advantage Plans
10771
Eligibility
Centene Health
Superior Health Plan Texas
Ambetter from Coordinated Care
Coordinated Care
Western Sky Community Care
68069
Eligibility
Central California Alliance for Health
10884
Eligibility
Central Reserve Life Ins Co. Medicare Supp
10539
Eligibility
Central Reserve Life Insurance Company - Medicare Supplement
CRLMS
Eligibility
Central Senior Care
10904
Eligibility
Central States Fund
10486
Eligibility
Central States Funds
CSFND
Eligibility
Central States Indemnity
10744
Eligibility
Cerner Health Plan
11018
Eligibility
CHAMPVA - HAC
CHAMPVA
84146
Eligibility
CHAMPVA/Spina Bifida/Children of Women Vietnam Vets
10061
Eligibility
CHC - Advantra (TX
NM
AZ Only)
10447
Eligibility
CHC - Advantra Freedom
10307
Eligibility
CHC - Advantra Savings
10419
Eligibility
CHC - Altius Health Plans
10216
Eligibility
CHC - Coventry Health and Life (Oklahoma)
10212
Eligibility
CHC - Coventry Health and Life Nevada
10448
Eligibility
CHC - Coventry Health and Life Tennessee
10405
Eligibility
CHC - Coventry Health Care Federal
10481
Eligibility
CHC - Coventry Missouri
10449
Eligibility
CHC - COVENTRYCARES OF KENTUCKY
10642
Eligibility
CHC - CoventryOne
10440
Eligibility
CHC - Delaware
10076
Eligibility
CHC - Florida
10551
Eligibility
CHC - Georgia
10206
Eligibility
CHC - Group Health Plan (GHP)
10219
Eligibility
CHC - HealthCare Inc. (Promina)
10221
Eligibility
CHC - Illinois
10224
Eligibility
CHC - Iowa
10207
Eligibility
CHC - Kansas
10208
Eligibility
CHC - Louisiana
10210
Eligibility
CHC - Mail Handlers Benefit Plan
10085
Eligibility
CHC - Nebraska
10211
Eligibility
CHC - University of Missouri
10428
Eligibility
CHC - Virginia
10225
Eligibility
CHC - West Virginia
10214
Eligibility
CHC Altius Health Plan/CHC Nevada
00364
COVTY00364
Eligibility
CHC Delaware
00166
COVTY00166
Eligibility
CHC Florida
00512
COVTY00512
Eligibility
CHC Illinois
00179
COVTY00179
Eligibility
CHC Iowa
00170
COVTY00170
Eligibility
CHC Kansas / CHC Oklahoma
00172
COVTY00172
Eligibility
CHC Louisiana
00158
COVTY00158
Eligibility
CHC Nebraska
00176
COVTY00176
Eligibility
CHC of Carolinas
00164
COVTY00164
Eligibility
CHC OF MO MS AK TN
00184
COVTY00184
Eligibility
CHC of the Carolinas
10226
Eligibility
CHC Texas
00504
COVTY00504
Eligibility
CHC Virginia
00156
COVTY00156
Eligibility
CHC West Virginia
COVTY00160
Eligibility
Chesterfield Resources Inc.
Chesterfield Resources
Salvation Army
34154
Eligibility
Childrens Mercy PCN
10906
Eligibility
CHP Direct
10907
Eligibility
Christian Brothers Services
10908
Eligibility
Christian Brothers Services
CBSAB
Eligibility
Christie Student Health Plans
11113
Eligibility
Christus Health Medicare Advantage
Gateway Health Plan
10629
Eligibility
CHRISTUS Health Plan - NM -Health Insurance Exchange
CHPNM
Eligibility
CHRISTUS Health Plan Medicaid
11105
Eligibility
CHRISTUS Health Plan Medicaid
CHPMD
Eligibility
CHRISTUS Health Plan New Mexico
11006
Eligibility
CHRISTUS Health Plan NM MA
CHPMA
Eligibility
CHRISTUS Health Plan NM Medicare Advantage
11007
Eligibility
Christus Health Plan Texas HIX
10696
CHPTX
Eligibility
Cigna Voluntary Limited Medical (aka Cigna Voluntary)
00235
STRHG
Eligibility
CIGNA-GreatWest
10062
Eligibility
Cigna-HealthSpring
ELDER
Eligibility
CIGNA
Cigna Healthcare (Medical)
62308
Eligibility
CIGNA
EQUICORE- PRO
CIGNA
Eligibility
Claims Management Service Inc
11001
Eligibility
Clear Health Alliance
12261
Eligibility
Clear Health Alliance
CLEAR
Eligibility
Clear Spring Health of Illinois
66009
Eligibility
Clover Health
10822
CRPHP
Eligibility
CMFG Life Insurance
10909
Eligibility
Colonial Penn Life
10852
Eligibility
Colorado Access
00060
Eligibility
Colorado Access
10064
Eligibility
Colorado Access
Colorado Access (837P & 837)
COACC
Eligibility
Colorado Anthem Blue Cross Blue Shield Dental
Colorado Anthem Blue Cross and Blue Shield Dental
COBLD
Eligibility
Colorado Anthem Blue Cross Blue Shield
Blue Shield of Colorado
Colorado Anthem Blue Cross and Blue Shield
COBLS
Eligibility
Colorado Community Health Alliance
COCHA
Eligibility
Colorado Medicaid
00027
Eligibility
Colorado Medicaid
000CO
10065
AID14
Eligibility
Community Care of Oklahoma
00448
Eligibility
Community Care of Oklahoma
10066
CCOOK
Eligibility
Community First I Par Plus
Community First Health Plans
Community First Health Plan
Inc.
COMMF
Eligibility
Community Health Choice
11165
COMHC
Eligibility
Community Health Choice
48145
Eligibility
Community Health Group
11087
Eligibility
Community Health Group
66170
Eligibility
Community Health Plan of Washington (CHPW)
10329
Eligibility
Community HealthFirst Medicare Advantage
10421
Eligibility
Concentrix Insurance Solutions
IBMOS
Eligibility
Concentrix Insurance Solutions
10861
Eligibility
ConnectiCare
10303
Eligibility
ConnectiCare - Medicare
10517
Eligibility
Connecticare Inc
CNTCR
Eligibility
ConnectiCare Inc
Connecticut General Life
06105
Eligibility
Connecticut Anthem Blue Cross Blue Shield Dental
Connecticut Anthem Blue Cross and Blue Shield Dental
CTBLD
Eligibility
Connecticut Anthem Blue Cross Blue Shield
Blue Shield of Connecticut
Connecticut Anthem Blue Cross and Blue Shield
CTBLS
Eligibility
Connecticut Medicaid
00052
000CT
AID24
Eligibility
Connecticut Medicaid
10067
Eligibility
Consolidated Associates Railroad
10669
CARIL
Eligibility
Constellation Health
CNSTH
Eligibility
Constellation Health (INMEDIATA HEALTH GROUP)
11042
Eligibility
Consumer Mutual of Michigan
KEYMI
Eligibility
Consumers Life
10911
Eligibility
Consumers Mutual Insurance of Michigan
11051
Eligibility
Continental General Ins Co. Medicare Supp
10540
Eligibility
Continental General Insurance Company - Medicare Supplement
CGIMS
Eligibility
Cook Children’s Health Plan
10610
Eligibility
Cook Medical Group
60065
Eligibility
Cooperative Benefit Administrators
CBENA
Eligibility
Cooperative Benefit Administrators
00223
00CBA
Eligibility
Cooperative Benefit Administrators (CBA)
10068
Eligibility
Coresource - FMH
00204
CORSE00204
Eligibility
CoreSource - Little Rock
CORSE00205
Eligibility
Coresource - Maryland Pennsylvania & Illinois
00236
CRSMD
Eligibility
CoreSource (FMH)
10311
Eligibility
CoreSource (IL
IN
MD
NC & PA)
CRSC1
Eligibility
CoreSource (Little Rock)
10071
Eligibility
CoreSource (MD
PA
IL
NC
IN)
10072
Eligibility
CoreSource KC
CRSKC
Eligibility
Coresource Little Rock
00205
CRSAR
Eligibility
Corporate Benefit Service
10411
Eligibility
Country Life Insurance Company
10670
Eligibility
CountyCare
11143
Eligibility
CountyCare
CTYCR
Eligibility
Covenant Administrators (TPA)
10880
Eligibility
Coventry Advantra Savings
00456
Eligibility
Coventry Cares
00510
Eligibility
Coventry Health and Life (Nevada)
00505
Eligibility
Coventry Health and Life (Oklahoma)
00441
Eligibility
Coventry Health and Life (Tennessee)
00455
Eligibility
Coventry Health Care Inc (Promina)
Healthcare Inc.
00193
Eligibility
Coventry Health Care of Carolinas/WellPath
25129
Eligibility
Coventry Health Care of Delaware
25130
Eligibility
Coventry Health Care of Georgia
25127
Eligibility
Coventry Health Care of Iowa
25132
Eligibility
Coventry Health Care of Kansas (Kansas City & Wichita)
University of Missouri
25133
Eligibility
Coventry Health Care of Louisiana
25135
Eligibility
Coventry Health Care of Nebraska
25136
Eligibility
Coventry Health Care Southern Health Services
25128
Eligibility
Coventry Health Care TX (includes Coventry Advantra Freedom)
00453
Eligibility
Coventry Health Care USA (HCUSA)
00186
Eligibility
Coventry Healthcare Federal
00509
Eligibility
Coventry Healthcare National Network
10084
Eligibility
Coventry Missouri
00507
Eligibility
Coventry Nebraska Medicaid
00511
Eligibility
Coventry/Denex Dental
GDSCO
Eligibility
CoventryCares of Kentucky
00515
COVTY00515
Eligibility
CoventryCares of Maryland
COVTY00177
Eligibility
CoventryCares of Michigan
00413
10223
COVTY00413
Eligibility
CoventryCares of Nebraska
COVTY00511
Eligibility
CoventryCares of Pennsylvania
COVTY00510
Eligibility
CoventryCares of Virginia
00190
COVTY00190
Eligibility
CoventryCares of West Virginia
00182
10215
COVTY00182
Eligibility
Cox Health Plan
10838
Eligibility
Create
CREAT
Eligibility
Crystal Run Health Plans
CRSRN
Eligibility
Crystal Run Health Plans*
11176
Eligibility
CSA Fraternal Life - Medicare Supplement
CSAMS
Eligibility
CSI Life Insurance Company
11160
Eligibility
Culinary Health Fund
10775
Eligibility
Culinary Health Fund UNITE HERE Health
HHZCF
Eligibility
CvtyNatnlAccts/UofMO/CvtyOne
00250
COVON
COVTY00250
COVUM
Eligibility
DakotaCare
10577
DKCAS
Eligibility
Dean Health Plan
10653
DEANH
Eligibility
DeCare Dental Health Insurance
10780
Eligibility
Definity Health
10828
Eligibility
Delaware Medicaid
10293
DWMCD
Eligibility
Delaware Medicaid
Medicaid of Delaware
Medicaid of Delaware
DEMCD
Eligibility
Dell Childrens Health Plan
DELLC
Eligibility
Delta Dental Ins. Co. - Alabama
10709
Eligibility
Delta Dental Ins. Co. - Florida
10710
Eligibility
Delta Dental Ins. Co. - Georgia
10711
Eligibility
Delta Dental Ins. Co. - Louisiana
10712
Eligibility
Delta Dental Ins. Co. - Mississippi
10713
Eligibility
Delta Dental Ins. Co. - Montana
10714
Eligibility
Delta Dental Ins. Co. - Nevada
10715
Eligibility
Delta Dental Ins. Co. - Texas
10716
Eligibility
Delta Dental Ins. Co. - Utah
10717
Eligibility
Delta Dental of Arizona
11200
Eligibility
Delta Dental of California
10705
Eligibility
Delta Dental of Colorado
10718
Eligibility
Delta Dental of Connecticut
10719
Eligibility
Delta Dental of Delaware
10720
Eligibility
Delta Dental of Hawaii
10721
Eligibility
Delta Dental of Illinois
11192
Eligibility
Delta Dental of Indiana
10722
Eligibility
Delta Dental of Maryland
10723
Eligibility
Delta Dental of Michigan
10724
Eligibility
Delta Dental of Minnesota
10725
Eligibility
Delta Dental of Missouri
12254
Eligibility
Delta Dental of Nebraska
10726
Eligibility
Delta Dental of New Jersey
10727
Eligibility
Delta Dental of New Mexico
10728
Eligibility
Delta Dental of New York
10729
Eligibility
Delta Dental of North Carolina
10730
Eligibility
Delta Dental of North Dakota
10731
Eligibility
Delta Dental of Ohio
10732
Eligibility
Delta Dental of Oklahoma
11175
Eligibility
Delta Dental of Pennsylvania
10733
Eligibility
Delta Dental of Rhode Island
10734
Eligibility
Delta Dental of Tennessee
10735
Eligibility
Delta Dental of Virginia
10736
Eligibility
Delta Dental of Washington DC
10737
Eligibility
Delta Dental of Washington State
10738
Eligibility
Delta Dental of West Virginia
10739
Eligibility
Delta Dental of Wisconsin
11203
Eligibility
DeltaCare USA - Claims
10740
Eligibility
DeltaCare USA - Encounters
10741
Eligibility
Dental Benefit Providers
10787
Eligibility
DentaQuest - Government Plans Florida
CX052
Eligibility
Denver Health Medical Plan
10331
Eligibility
Devoted Health
Total Senior Care
12268
Eligibility
Director's Guild
10077
Eligibility
District No. 9
I. A. of M. & A. W. Welfare Trust
11098
Eligibility
District No. 9. I. A. of M. & A.W. Welfare Trust
District No. 9 I. A. of M. & A. W. Welfare Trust
MWELT
Eligibility
District of Columbia Medicaid
000DC
10078
AID52
Eligibility
Diversified Administration Corp
11166
Eligibility
Diversified Administration Corporation
DVRAC
Eligibility
DMBA
SX105
Eligibility
Driscoll Health Plan
11090
DRSCL
Eligibility
EBMS
10862
Eligibility
Elderplan
11010
Eligibility
ELDERPLAN INC.
ELDRP
Eligibility
Emblem Health
10616
EMBLM
Eligibility
EMHS Employee Health Plan
16565
Eligibility
EMI HEALTH
SX110
Eligibility
Empire Blue Cross and Blue Shield
Wellchoice of NJ
00044
Eligibility
Empire Blue Cross Blue Shield
CBNY1
Eligibility
Employee Benefit Management Services Inc
EBMSI
Eligibility
Employee Benefit Services - Dental
10784
Eligibility
EMPOWER Arkansas
12956
Eligibility
Enhancedcare MD
ENHDC
Eligibility
EPIC Life Insurance
10914
Eligibility
Epic Life Insurance
WPS01
Eligibility
EPSI
Inc.
11011
Eligibility
EQUICORE - PPO
00001
Eligibility
Essence Healthcare
10601
ESSNC
Eligibility
Evercare
10807
Eligibility
Everence
EVERC
Eligibility
Everence Financial
10772
Eligibility
Evergreen Health
11136
EVRGN
Eligibility
Evergreen Health Co-Op
10860
Eligibility
Evergreen Health Coop check the member ID Card for Payer ID
Evergreen Health Cooperative
93240
Eligibility
Excellus BlueCross BlueShield
ECLLS
Eligibility
Expert Benefit Solutions
11019
Eligibility
Fallon Community Health Plan
00272
Eligibility
Fallon Community Health Plan
10082
FALLN
Eligibility
Fallon Community Health Plan (Exception)
11184
Eligibility
Family Health Network
FMHNT
Eligibility
Farm Bureau Health Plans
11167
Eligibility
Farm Bureau Health Plans
TRHIC
Eligibility
Federated Insurance Company
10083
Eligibility
Federated Mutual Insurance Company
FEDMI
Eligibility
Fidelis (CenterCare)
FIDEL
Eligibility
Fidelis Care New York
FDELS
Eligibility
Fidelis Care New York
10459
Eligibility
First Ameritas of New York
00426
AMTAS00426
Eligibility
First Carolina Care
11221
FCCRT
Eligibility
First Carolina Care
56196
Eligibility
First Choice VIP Care Plus - SC
77009
Eligibility
First Community Health Plan
11222
Eligibility
First Community Health Plan
FCHRT
Eligibility
First Health Coventry Health Care National Network
87043
Eligibility
First Health Network (Coventry National)
11190
Eligibility
First Medical Network
10916
Eligibility
First Reliance Standard Life Ins Co.
First Reliance Standard Life Ins. Co. (NY Business)
00428
Eligibility
First Reliance Standard Life Insurance Co
AMTAS00428
Eligibility
First Reliance Standard Life Insurance Company
AMTAS428
Eligibility
First United American Ins.Co
10987
Eligibility
First United American Insurance Company
FUNAI
Eligibility
FirstCare
10870
Eligibility
FISERV WAUSAU
11068
Eligibility
Flex Compensation - Dental
10799
Eligibility
Florida Combined Life - DENTAL
10811
Eligibility
Florida Health Care Plan
59322
Eligibility
FLORIDA HEALTH CARE PLANS
10615
Eligibility
Florida Medicaid
00023
Eligibility
Florida Medicaid
10086
AID01
Eligibility
Food Bakery Confection Workers Fund of So Cal
HHZBW
Eligibility
Food Employers & Bakery
10776
Eligibility
Fox/Everett
10971
Eligibility
Fresenius Health Partners
11130
FRSHP
Eligibility
Fringe Benefits
11069
Eligibility
FSL Admin by KBA
11052
Eligibility
G.M.P. Employers Retiree Trust
11144
GMPER
Eligibility
Gateway Health Plan
GATHP
Eligibility
Gateway Health Plan OH- Medicare Assured
91741
Eligibility
Geisinger Health Plan
10611
Eligibility
Geisinger Health Plan Gold
10612
Eligibility
GEMcare
11065
Eligibility
Georgia Anthem Blue Cross Blue Shield Dental
GABLD
Eligibility
Georgia Medicaid
00028
000GA
AID15
Eligibility
Georgia Medicaid
10088
Eligibility
Gilsbar
10509
Eligibility
Global Health*
11146
Eligibility
Globe Life & Accident Ins.Co.
10988
Eligibility
Globe Life & Accident Insurance Company
GLOBE
Eligibility
Gold Coast Health Plan
11063
Eligibility
Golden Rule Insurance
10652
Eligibility
Government Employees Health Association (GEHA)
10394
Eligibility
Government Employees Hospital Association
0GEHA
Eligibility
Great American Life Insurance Co. Medicare Supp
10543
Eligibility
Great American Life Insurance Company - Medicare Supplement
GAIMS
Eligibility
Great-West Healthcare
00328
00GWH
Eligibility
Great-West Healthcare
Great West
80705
Eligibility
Group & Pension Administrators
10174
Eligibility
Group and Pension Administrators
GRPEN
Eligibility
Group Dental Service
11188
Eligibility
Group Dental Services
GDSMD
Eligibility
Group Health Incorporated
10808
Eligibility
Group Health Northwest
11041
Eligibility
Group Hospitalization and Medical Services
10964
Eligibility
Group Practice Affiliates
10583
Eligibility
Guardian Life Insurance Co. of America - Dental
10788
Eligibility
Harken Health
11110
Eligibility
Harken Health Insurance
Harken Health
43313
Eligibility
Harken Health
Nevada Medicaid
10152
Eligibility
Harmony Health Plan
10514
Eligibility
Harmony Health Plan (WellCare of Florida)
WCHHP
Eligibility
Harvard Pilgrim
HPHCS
Eligibility
Harvard Pilgrim HealthCare
0HPHC
Eligibility
Hawaii Medicaid
000HI
10091
AID53
HIMCD
Eligibility
Hawaii Medical Assurance Association
11125
Eligibility
Hawaii Medical Service Association
BCHIC
Eligibility
Health Alliance Medical Plan (IL)
10871
Eligibility
Health Alliance Medical Plans (HAP)
10308
Eligibility
Health Alliance of Illinois
HALLS
Eligibility
Health Alliance Plan
HAPMC
Eligibility
Health America of PA
00148
10220
COVTY00148
Eligibility
Health Choice Arizona
10092
Eligibility
Health Choice of Arizona
HECHA
Eligibility
Health Choice of Arizona
00329
HCOAZ
Eligibility
Health Choice Oklahoma
11148
Eligibility
Health Cost Solutions
11012
Eligibility
Health First Health Plan
10673
Eligibility
HEALTH FIRST HEALTH PLANS
0HFHP
Eligibility
Health First Insurance
10674
Eligibility
Health First Insurance Inc
HFRST
Eligibility
Health Net
0HNNC
Eligibility
Health Net National
10385
Eligibility
Health Net of California and Oregon
Health Net of California
95567
Eligibility
Health Net of the Northeast Inc.
00213
Eligibility
Health New England
10627
Eligibility
Health Partners of MN
10484
Eligibility
Health Partners of Philadelphia
00288
0HPPA
10098
Eligibility
Health Partners Pennsylvania
HPART
Eligibility
Health Plan of San Mateo
10362
Eligibility
Health Plan of San Mateo
SX174
Eligibility
Health Plan of Upper Ohio Valley
10657
Eligibility
HEALTH SERVICES CHILDREN SPECIAL NEEDS
10584
Eligibility
Health Services for Children with Special Needs
HSCSN
Eligibility
Health Share of Oregon
10823
Eligibility
Health Share/Care Oregon
ORHSM
Eligibility
Health Traditions
Health Tradition Health Plan
HLTHT
Eligibility
Healthcare Highways
HCH01
Eligibility
Healthcare Management Administrators
11084
Eligibility
HealthComp Administrators
11020
HCOMP
Eligibility
HEALTHe Exchange
10597
Eligibility
HEALTHe Exchange
THEXI
Eligibility
HealthEase
10510
Eligibility
HealthEase (WellCare of Florida)
WCHEA
Eligibility
HealthEase Kids
10511
Eligibility
HealthEase Kids (WellCare of Florida)
WCHEK
Eligibility
Healthfirst New York
10099
Eligibility
Healthfirst of New Jersey
0HFNJ
10438
Eligibility
Healthfirst of New York
00240
0HFNY
HF1NY
Eligibility
Healthgram (Primary PhysiciansCare)
10692
Eligibility
Healthgram Inc
PRMPC
Eligibility
Healthnow
10500
Eligibility
HealthNow - Blue Cross Blue Shield of Western NY
SB801
Eligibility
HealthPartners MN
0HPMN
Eligibility
HealthPartners of Minnesota (aka CoOportunity Health)
HealthPartners of Minnesota
94267
Eligibility
HealthPlan of Nevada
10804
Eligibility
Healthplans Incorporated
10802
Eligibility
HealthPlus of Michigan
10309
HLTPM
Eligibility
HealthScope
10621
Eligibility
HealthSCOPE Benefits Inc.
HealthSCOPE Benefits Inc (Formerly CNA Health Partners of AR
71063
Eligibility
Healthsmart Benefit Solutions
HSBES
Eligibility
HealthSmart Benefit Solutions
00320
0HSBS
11079
Eligibility
HealthSmart Benefit Solutions - West Virginia
000AN
Eligibility
HealthSmart Benefit Solutions (Wells Fargo TPA)
10003
Eligibility
Healthsource Provident - Dental
10789
Eligibility
HealthSpring
10552
Eligibility
HealthTeam Advantage
11239
Eligibility
Healthy Blue Louisiana
HBLSA
Eligibility
Healthy Texas
CHLTX
Eligibility
Hennepin Health
METHP
Eligibility
Heritage Physician Network (Houston)
10918
Eligibility
Hershey Healthsmile - Dental
10795
Eligibility
Highmark BCBSD Health Options
47181
Eligibility
Highmark Senior Solutions
11024
Eligibility
HIPNY
10406
Eligibility
HM Care Advantage Admin by KBA
11053
Eligibility
HMA
HWMLD
Eligibility
HMA (Hawaii Mainland Administrators)
11112
Eligibility
Hometown Health
10335
Eligibility
Horizon Healthcare Dental Services
New Jersey Blue Cross Blue Shield (Horizon)
Horizon Healthcare of NY
22099
Eligibility
Horizon Healthcare of NY
00087
Eligibility
Horizon New Jersey Health
0HNJH
Eligibility
Horizon NJ Health
Horizon New Jersey Health
10337
Eligibility
HSBS Memphis
00454
10408
PITMN
Eligibility
HSBS Oklahoma City
11169
HSOKC
Eligibility
Hudson Health Plan
11046
Eligibility
Humana
00HUM
10100
Eligibility
Humana CareSource (KY)
10920
Eligibility
Humana Dental
11213
Eligibility
Humana Insurance Company Choice Care Network
00041
Eligibility
iCare (Independent Care Health Plan)
11233
Eligibility
Idaho Medicaid
00067
000ID
AID35
Eligibility
Idaho Medicaid
Molina Healthcare of Virginia Encounters
10101
Eligibility
IlliniCare Health Plan
10757
CLINI
Eligibility
Illinois Medicaid
00053
000IL
AID25
Eligibility
Illinois Medicaid
10102
Eligibility
Independence Administrators
10417
Eligibility
Independence Blue Cross
BCIBC
Eligibility
Independent Health
10536
Eligibility
Indian Health Services
UnitedHealthcare StudentResources
00290
Eligibility
Indiana Anthem Blue Cross Blue Shield Dental
Indiana Anthem Blue Cross and Blue Shield Dental
INBLD
Eligibility
Indiana Medicaid
00030
000IN
AID16
Eligibility
Indiana Medicaid
10103
Eligibility
Indiana Univ. Health Plan (Medicare)
UNIND
Eligibility
Indiana University Health Plan (Medicare)
12246
Eligibility
Inland Empire Health Plan
00333
10104
Eligibility
Inland Empire Health Plan (California)
SPIEH
Eligibility
Insurers Administrative Corporation (IAC)
11021
Eligibility
INTEGRA Administrative Group
11054
Eligibility
INTEGRA Administrative Group Inc
INTAG
Eligibility
Integrated Mental Health Services
10585
Eligibility
Integrity Mutual Insurance Company
BCBS of Missouri (Anthem)
10322
Eligibility
Inter Valley Health Plan
00334
10105
Eligibility
Inter Valley Health Plan (California)
SPIVH
Eligibility
International Medical Card Inc
11028
Eligibility
International Medical Card Inc.
FMHPI
Eligibility
Iowa Medicaid
00068
000IA
AID36
Eligibility
Iowa Medicaid
10107
Eligibility
Island Home Insurance
10675
Eligibility
ISLAND HOME INSURANCE COMPANY
ISLAH
Eligibility
J.F. Malloy & Associates
PFINL00143
Eligibility
Jai Medical Systems
11147
Eligibility
Johns Hopkins Advantage MD
JNHPS
Eligibility
Johns Hopkins Health Plan
10267
JHOHP
Eligibility
Johns Hopkins Healthcare (Priority Partners & EHP plans only
0JHHC
Eligibility
Johns Hopkins HealthCare LLC
11132
Eligibility
Johns Hopkins US Family Health Plan
12258
JHFHP
Eligibility
JP Farley Corporation
00386
Eligibility
Kaiser Foundation Colorado
KSFCO
Eligibility
Kaiser Foundation Health Plan Inc. - Hawaii Region
00278
Eligibility
Kaiser Foundation Health Plan of Colorado
00277
10110
KSRCO
Eligibility
Kaiser Foundation Health Plan of Georgia
00281
Eligibility
Kaiser Foundation Health Plan of Hawaii
10111
KSRHI
Eligibility
Kaiser Foundation Health Plan of Hawaii (DHMO Choice)
10676
KSERD
Eligibility
Kaiser Foundation Health Plan of Northern CA Region
00282
Eligibility
Kaiser Foundation Health Plan of Northwest
KSRNW
Eligibility
Kaiser Foundation Health Plan of Southern CA Region
00283
Eligibility
Kaiser Foundation Health Plan of Southern California
Kaiser Permanente Southern CA
KS001
Eligibility
Kaiser Foundation Health Plan of the Mid-Atlantic
10113
Eligibility
Kaiser Foundation Health Plan of the Mid-Atlantic States
00276
0KSRA
Eligibility
Kaiser Foundation Health Plan of the Northwest
00279
10114
Eligibility
Kaiser Foundation Health Plan of Washington
Kaiser Foundation Health Plan Washington
10608
Eligibility
Kaiser Foundation Mid Atlantic
KSFMA
Eligibility
Kaiser Foundation Northwest
KSFNW
Eligibility
Kaiser Foundation of Northern California
Kaiser Foundation Health Plan of Northern California
Kaiser Permanente Northern CA
KS003
Eligibility
Kaiser Foundation Ohio
KSFOH
Eligibility
Kaiser NW Dental
GDSKP
Eligibility
Kaiser Permanente Georgia
KSPGA
Eligibility
Kaiser Permanente Insurance Co
KPIC-Kaiser Permanente (CA
CO
DC
GA
HI
MD
OH & OR)
KPIC1
Eligibility
Kaiser Permanente of Georgia
10238
KSRGA
Eligibility
Kaiser Permanente of Northern CA
10115
Eligibility
kaiser Permanente of Northern California
KSRCN
Eligibility
Kaiser Permanente of Southern CA
10239
Eligibility
Kaiser Permanente of Southern California
KSRCS
Eligibility
Kancare
KANCR
Eligibility
Kansas Medicaid
00050
000KS
10116
AID22
Eligibility
Katy Medical Group
10921
Eligibility
Kemper Benefits
11047
Eligibility
KEMPTON COMPANY
KEMCO
Eligibility
Kentucky Anthem Blue Cross Blue Shield Dental
KYBLD
Eligibility
Kentucky Medicaid
00063
Eligibility
Kentucky Medicaid
000KY
10117
AID31
Eligibility
Kentucky Passport
10368
KYPST
Eligibility
Kentucky Spirit Health Plan
CKYHP
Eligibility
Key Benefit Administrators
11067
Eligibility
Key Benefit Administrators
KBKBA
Eligibility
Key Benefits Administrators (IN)
10754
Eligibility
Key Healthy Partners
11044
Eligibility
KeySolution
11055
Eligibility
Keystone First Community HealthChoices
42344
Eligibility
Keystone First PA
Keystone Mercy Health Plan
KYMHP
Eligibility
Keystone First VIP Choice
KSVPC
Eligibility
Keystone Mercy
KEYST
Eligibility
Keystone Mercy Health
10300
Eligibility
Keystone VIP Choice
11182
Eligibility
Kitsap Physician Services
10341
Eligibility
KSKJ Life
10748
Eligibility
L.A. Care Health Plan
11060
Eligibility
LA Care Health Plan
LACAR
Eligibility
Land of Lincoln Health
KEYIN
Eligibility
Leggett & Platt
10975
Eligibility
Leggett and Platt
LEGPT
Eligibility
Leon Medical Centers Health Plan
10677
Eligibility
Leon Medical Centers Health Plan Inc
LMCHP
Eligibility
Liberty National Life Ins.Co.
10989
Eligibility
Liberty National Life Insurance Company
LTNAN
Eligibility
LifeCare Assurance Company
11170
Eligibility
LifeCare Assurance Company
LFCAC
Eligibility
Lifetime Benefit Solutions (RMSCO)
10978
Eligibility
Lifewise Arizona
10843
Eligibility
Lifewise Health Plan of Oregon
Lifewise Health Plan Oregon
10651
Eligibility
Lifewise Health Plan of Washington
10650
Eligibility
Lighthouse Health Plan
31828
Eligibility
Lincoln Financial
10678
Eligibility
Lincoln Heritage
10749
Eligibility
Local 1199
10979
Eligibility
LoneStar TPA
11013
Eligibility
Loomis Company
10755
LOOMS
Eligibility
Louisiana Health Exchange
10830
Eligibility
Louisiana Healthcare Connections
10756
CENLA
Eligibility
Louisiana Medicaid
000LA
10118
AID42
Eligibility
Loyal American Life Insurance Co. Medicare Supp
10544
Eligibility
Loyal American Life Insurance Company - Medicare Supplement
LALMS
Eligibility
Lumico Life Insurance
11236
Eligibility
Maestro health Plan
56139
Eligibility
Magellan Behavioral Health
10649
Eligibility
Magellan Complete Care of Virginia
12260
Eligibility
Magnacare
10867
MAGNA
Eligibility
Magnolia Health Plan
CMGHP
Eligibility
Mail Handlers & FEHBP
00251
COVTY00251
Eligibility
Maine Anthem Blue Cross and Blue Shield Dental
Maine Anthem Blue Cross Blue Shield Dental
MEBLD
Eligibility
Maine Community Health Options
11122
Eligibility
Maine Community Health Options
MNCHO
Eligibility
Maine Medicaid
000ME
AID54
Eligibility
Maine Medicaid
10121
Eligibility
MAMSI Health Plan
10122
Eligibility
Managed Care of America
10885
MGDCA
Eligibility
Managed Care Systems*
12263
Eligibility
Managed Health Network
HNMHN
Eligibility
Managed Health Network (MHN)
10863
Eligibility
Managed Health Services Indiana
CMHIN
Eligibility
Managed Health Services Wisconsin
CMHWI
Eligibility
MAPFRE Life Puerto Rico
10679
MAPLF
Eligibility
MAPFRE MEDICARE EXCEL
MAPMC
Eligibility
March Vision Care Inc.
March Vision Care
52461
Eligibility
Maricopa Care Advantage (Arizona)
10435
Eligibility
Maricopa Health Plan (Arizona)
0MHPA
10434
Eligibility
Martin's Point Health Care
MRTPH
Eligibility
Martins Point Health Care
11045
Eligibility
Maryland Medicaid
000MD
Eligibility
Maryland Medicaid
10289
Eligibility
Maryland Physicians Care
MDPYC
Eligibility
Massachusetts Medicaid
00145
AID45
Eligibility
Massachusetts Medicaid
000MA
10124
Eligibility
Mayo Clinic Health Solutions
0MMSI
Eligibility
Med-Pay Inc
10682
MEDPY
Eligibility
MedBen
10681
MBMLF
Eligibility
MedCost Benefit Services
10272
Eligibility
Medica
00404
10125
MEDIC
Eligibility
Medica (UHC)
Medica Health Plans
94265
Eligibility
Medica Health Care Plan - Florida
Medica Health Care Plan (Florida)
78857
Eligibility
Medica Health Plan Solutions
MHSRT
Eligibility
Medica Health Plans
11029
Eligibility
Medica Health Plans (FLORIDA)
MDHCP
Eligibility
Medica2
11171
Eligibility
Medica2
MEDCA
Eligibility
Medicaid of Alabama
Alabama Medicaid
Medicaid of Alabama (for 837P & 837I claims)
ALMCD
Eligibility
Medicaid of Alaska
Alaska Medicaid
AKMCD
Eligibility
Medicaid of Arizona (AHCCCS)
Arizona Medicaid (AHCCCS)
Medicaid of Arizona (AHCCCS)
Medicaid of Arizona (AHCCCS)(837I & 837P)
AZMCD
Eligibility
Medicaid of Arkansas
Arkansas Medicaid
ARMCD
Eligibility
Medicaid of Colorado
Colorado Medicaid
COMCD
Eligibility
Medicaid of Connecticut
Connecticut Medicaid
Medicaid of Connecticut (for 837P & 837I claims)
CTMCD
Eligibility
Medicaid of Florida
Florida Medicaid
Medicaid of Florida (for 837P & 837I claims)
FLMCD
Eligibility
Medicaid of GA
Georgia Medicaid
Medicaid of Georgia (for 837P & 837I claims).
GAMCD
Eligibility
Medicaid of Idaho
Idaho Medicaid
IDMCD
Eligibility
Medicaid of Illinois
Illinois Medicaid
ILMCD
Eligibility
Medicaid of Indiana
Indiana Medicaid
INMCD
Eligibility
Medicaid of Iowa
Iowa Medicaid
IAMCD
Eligibility
Medicaid of Kansas
Kansas Medicaid
KSMCD
Eligibility
Medicaid of Kentucky
Kentucky Medicaid
KYMCD
Eligibility
Medicaid of Louisiana (Includes KidMed claims.)
Medicaid of Louisiana (837P
837I & 837D)
Louisiana Medicaid
LAMCD
Eligibility
Medicaid of Maine
Maine Medicaid
MEMCD
Eligibility
Medicaid of Maryland
Maryland Medicaid
MDMCD
Eligibility
Medicaid of Massachusetts (Mass Health)
Medicaid of Massachusetts
Massachusetts Medicaid
MAMCD
Eligibility
Medicaid of Michigan
Michigan Medicaid
MIMCD
Eligibility
Medicaid of Minnesota
Minnesota Medicaid
MNMCD
Eligibility
Medicaid of Mississippi
Medicaid of Mississippi (for 837P & 837I claims)
Mississippi Medicaid
MSMCD
Eligibility
Medicaid of Nevada
Nevada Medicaid
NVMCD
Eligibility
Medicaid of New Hampshire
New Hampshire Medicaid
NHMCD
Eligibility
Medicaid of New Jersey
New Jersey Medicaid
NJMCD
Eligibility
Medicaid of New Mexico
New Mexico Medicaid
NMMCD
Eligibility
Medicaid of New York
New York Medicaid
NYMCD
Eligibility
Medicaid of North Carolina
North Carolina Medicaid
Medicaid of North Carolina (for 837P and 837I claims)
NCMCD
Eligibility
Medicaid of North Dakota
North Dakota Medicaid
NDMCD
Eligibility
Medicaid of Ohio
Ohio Medicaid
OHMCD
Eligibility
Medicaid of Oregon
Oregon Medicaid
ORMCD
Eligibility
Medicaid of Pennsylvania
Pennsylvania Medicaid
Medicaid of Pennsylvania (837P
835s returned under SKPA0)
PAMCD
Eligibility
Medicaid of South Carolina
South Carolina Medicaid
SCMCD
Eligibility
Medicaid of South Dakota
South Dakota Medicaid
SDMCD
Eligibility
Medicaid of Texas
Texas Medicaid
TXMCD
Eligibility
Medicaid of Vermont
Vermont Medicaid
VTMCD
Eligibility
Medicaid of Virginia
Virginia Medicaid
VAMCD
Eligibility
Medicaid of Washington DC
District of Columbia Medicaid
Medicaid of DC
DCMCD
Eligibility
Medicaid of Washington State
Washington Medicaid
Medicaid of Washington
WAMCD
Eligibility
Medicaid of West Virginia
West Virginia Medicaid
WVMCD
Eligibility
Medicaid of Wisconsin
Wisconsin Medicaid
WIMCD
Eligibility
Medicaid of Wyoming
Wyoming Medicaid
WYMCD
Eligibility
Medical Associates Health Plan/Health Choices
10683
MASHP
Eligibility
Medical Card System
10952
Eligibility
MEDICAL CARD SYSTEM (MCS)
MEDCS
Eligibility
Medical Mutual of Ohio
00211
10126
MMO00211
Eligibility
Medical Mutual of Ohio
Premier Health Systems Inc.
29076
Eligibility
Medicare
0MEDX
Eligibility
Medicare (Part A & B)
10001
Eligibility
Medicare Advantage - Pennsylvania
11000
Eligibility
MEDICARE HIPAA ELIGIBILITY TRANSACTION SYSTEM (HETS)
00CMS
Eligibility
Medicare Part A & B - All States
00431
0MEDA
Eligibility
Medicare y Mucho Mas
MEDMC
Eligibility
Medicare y Mucho Mas (INMEDIATA HEALTH GRP CORP)
10960
Eligibility
Medigold Health Plans
10800
Eligibility
MedStar Family Choice
10844
Eligibility
MedStar Health Plan
10845
Eligibility
Mega Life - Oklahoma City
00365
Eligibility
Mercy Care Plan (AHCCCS)
Mercy Care Plan of Arizona
86052
Eligibility
Mercy Care Plan (Arizona)
10133
Eligibility
Meridian Health Plan of Illinois
10644
Eligibility
Meridian Health Plan of Illinois
MHPIL
Eligibility
Meritain Health
10635
MTAIN
Eligibility
Meritus Health Partners
10980
MRTHP
Eligibility
MetLife Dental Family
10134
Eligibility
MetroPlus
10846
Eligibility
MetroPlus Health Plan
MHPRT
Eligibility
MetroPlus Health Plan
13265
Eligibility
Metropolitan Health Plan (MHP)
10135
Eligibility
MHNET Behavioral Health
10659
Eligibility
MHNET Behavioral Health
00514
COVTY00514
Eligibility
Miami Children's Health Plan
82832
Eligibility
Michigan Medicaid
10136
AID55
Eligibility
Michigan Medicaid Pending Eligibility
10392
Eligibility
Michigan MIChild
0MIMC
10138
Eligibility
Michild Michigan
MICHD
Eligibility
Minnesota Medicaid
00070
000MN
10139
AID38
Eligibility
Mississippi Children's Health Insurance Program
10140
Eligibility
Mississippi Medicaid
000MS
10141
AID20
Eligibility
Mississippi SEHP (State Employee Health Plan)
0SEHP
Eligibility
Mississippi State Employees and Teachers
10142
Eligibility
Mississippi State Employees and Teachers Health Plan
00082
Eligibility
Missouri (MO) Health Plan (Community & State)
12242
Eligibility
Missouri Anthem Blue Cross and Blue Shield Dental
Missouri Anthem Blue Cross Blue Shield Dental
MOBLD
Eligibility
Missouri Care
10702
Eligibility
Missouri Medicaid
00021
Eligibility
Missouri Medicaid
000MO
10143
AID03
Eligibility
Missouri Medicaid
Medicaid of Missouri
MOMCD
Eligibility
MMM of Florida
12264
Eligibility
MMSI
00085
Eligibility
MMSI (Mayo Health)
10144
Eligibility
Moda Health
11005
Eligibility
Moda Health
ODS Health Plan
13350
Eligibility
Molina Health Care of New Mexico
00421
Eligibility
Molina Healthcare California
MOLCA
Eligibility
Molina Healthcare of California
00222
10145
MLNCA
Eligibility
Molina Healthcare of Florida
00506
10445
MLNFL
Eligibility
Molina Healthcare of Idaho
12270
Eligibility
Molina Healthcare of Illinois
10685
MLNIL
Eligibility
Molina Healthcare of Michigan
00226
10250
MLNMI
Eligibility
Molina Healthcare of New Mexico
0CIMS
Eligibility
Molina Healthcare of New Mexico
00071
10146
MLNNM
Eligibility
Molina Healthcare of Ohio
00445
10251
MLNOH
Eligibility
Molina Healthcare of Puerto Rico
11031
Eligibility
Molina Healthcare of South Carolina
10815
MLNSC
Eligibility
Molina Healthcare of Texas
00451
10391
MLNTX
Eligibility
MOLINA HEALTHCARE OF UTAH
SX109
Eligibility
Molina Healthcare of Virginia
MLNVA
Eligibility
Molina Healthcare of Washington
00228
10253
MLNWA
Eligibility
Molina Healthcare of Wisconsin
00516
10628
MLNWI
Eligibility
Molina of Puerto Rico
MLNPR
Eligibility
Montana Blue Cross Blue Shield
MTBLS
Eligibility
Montana Medicaid
000MT
10147
Eligibility
Montana Medicaid - DPHHS/Health Policy Services Division
AID57
Eligibility
Montana Medicaid
Medicaid of Montana
MTMCD
Eligibility
Montefiore CMO
11035
Eligibility
Mountain State
Mountain States Administrators (COLORADO ONLY)
MTNST
Eligibility
Municipal Health Benefit Fund
10687
Eligibility
Municpal Health Benefit Fund
MNHBF
Eligibility
Mutual Health Services
10686
ANTAR
Eligibility
Mutual of Omaha
10382
MOONE
Eligibility
Mutual of Omaha Medicare Advantage
82275
Eligibility
Mutual of Omaha
United of Omaha
71412
Eligibility
MVP Health Care (New York)
10148
Eligibility
MVP Health Plan
MVPHP
Eligibility
MVP Health Plan of New York
00432
00MVP
Eligibility
National Association of Letter Carriers
00214
0NALC
Eligibility
National Association of Letter Carriers (NALC)
10149
Eligibility
National Association of Letter Carriers (NALC)
National Rural Letter Carrier Association (NALC)
National Association of Letter Carriers/NALC
53011
Eligibility
National Claims Admin Services
CFCHL
Eligibility
National Telecommunications Cooperative Association (NTCA)
10812
Eligibility
Nebraska Blue Cross Blue Shield
Blue Shield of Nebraska
NEBLS
Eligibility
Nebraska Medicaid
10966
NEBMD
Eligibility
Nebraska Medicaid
Medicaid of Nebraska
NEMCD
Eligibility
Nebraska Total Care
11180
Eligibility
NEHEN - Harvard Pilgrim Health Care
10376
Eligibility
NEHEN - Neighborhood Health Plans
10377
Eligibility
Neighborhood Health Partnership
10151
Eligibility
Neighborhood Health Plan
NBRHP
Eligibility
Neighborhood Health Plan (RI)
10630
Eligibility
Network Health
NETWH
Eligibility
Network Health Insurance Corp
10688
Eligibility
Network Health Insurance Corp (Wisconsin)
THNHI
Eligibility
Network Health Plan (Wisconsin)
NETHP
Eligibility
Network Health Plan of WI
10706
Eligibility
Nevada Anthem Blue Cross Blue Shield Dental
Nevada Anthem Blue Cross and Blue Shield Dental
NVBLD
Eligibility
Nevada Anthem Blue Cross Blue Shield
Blue Shield of Nevada
Nevada Anthem Blue Cross and Blue Shield
NVBLS
Eligibility
Nevada Medicaid
000NV
Eligibility
Nevada Medicaid - First Health Services Corp
AID58
Eligibility
New Era Life Insurance Co.
10991
Eligibility
New ERA Life Insurance Company (270 transactions only)
New ERA Life Insurance Company (276 transactions only)
NERAL
Eligibility
New Hampshire Anthem Blue Cross Blue Shield Dental
New Hampshire Anthem Blue Cross and Blue Shield Dental
NHBLD
Eligibility
New Hampshire Anthem Blue Cross Blue Shield
Blue Shield of New Hampshire
New Hampshire Anthem Blue Cross and Blue Shield
NHBLS
Eligibility
New Hampshire Medicaid
000NH
Eligibility
New Hampshire Medicaid
10153
Eligibility
New Jersey Medicaid
00040
10154
AID19
Eligibility
New Jersy Medicaid
000NJ
Eligibility
New Mexico Blue Cross Blue Shield
Blue Shield of New Mexico
Lovelace Sandia Health Plan (Acquired by Blue Shield of NM)
NMBLS
Eligibility
New Mexico Health Connections
11123
NEMHC
Eligibility
New Mexico Medicaid
00058
Eligibility
New Mexico Medicaid
000NM
10247
AID27
Eligibility
new payer
Village Family Practice
TXNSE
Eligibility
New York Blue Cross Blue Shield (Empire)
Blue Shield of New York (Empire)
NYBLS
Eligibility
New York Medicaid
00032
000NY
10155
AID18
Eligibility
NGS CoreSource
00239
CRSOH
Eligibility
Nippon Life Benefits
NIPON
PFINL00144
Eligibility
Nippon Life Insurance (Principal Financial Group)
Nippon Life Insurance Company of America
81264
Eligibility
NMPSIA
NMPSI
Eligibility
NMRHCA
NMRHC
Eligibility
North Carolina Blue Cross Blue Shield
Blue Shield of North Carolina
NCBLS
Eligibility
North Carolina Medicaid
00047
000NC
AID21
Eligibility
North Carolina Medicaid
10156
Eligibility
North Dakota Blue Cross Blue Shield
Blue Shield of North Dakota
NDBLS
Eligibility
North Dakota Medicaid
000ND
10157
AID59
Eligibility
Northwest Administrators
11038
Eligibility
Northwest Administrators Inc.
NRWAD
Eligibility
Nova Healthcare Administrators
10537
Eligibility
NovaSys Health
10466
NOVAS
Eligibility
Ohana Health Plan
10515
Eligibility
Ohio Anthem Blue Cross Blue Shield Dental
Ohio Anthem Blue Cross and Blue Shield Dental
OHBLD
Eligibility
Ohio Anthem Blue Cross Blue Shield
Blue Shield of Ohio
Ohio Anthem Blue Cross and Blue Shield
OHBLS
Eligibility
Ohio Medicaid
000OH
AID09
WPSAR
Eligibility
Ohio Medicaid
10158
Eligibility
Oklahoma Blue Cross Blue Shield
Blue Shield of Oklahoma
OKBLS
Eligibility
Oklahoma Employees Group Insurance Division
10995
Eligibility
Oklahoma Employees Group Insurance
Oklahoma Employees Group Insurance Division
OKSTE
Eligibility
Oklahoma Medicaid
00064
000OK
10159
AID32
MC030
Eligibility
Old Surety Life Insurance Co
OSLIC
Eligibility
Omnicare Health Plan of Michigan
00284
Eligibility
Op. Eng. Local No. 428 Health & Welfare Trust Fund
HHZOE
Eligibility
Operating Engineers Local No.428
10777
Eligibility
Optima Health
OPTMA
Eligibility
Optima/Sentara
10477
Eligibility
Optum Medical Network (previously Lifeprint)
Optum Medical Network / AZ UT (formerly Lifeprint Network)
OptumCare / AZ
UT (formerly Lifeprint Network)
LIFE1
Eligibility
Orange County Fire Authority
10951
HHZOF
Eligibility
Oregon Blue Cross Blue Shield (Regence)
Blue Shield of Oregon
ORBLS
Eligibility
Oregon Health Co-op
ORHCR
Eligibility
Oregon Medicaid
00077
000OR
10160
AID44
Eligibility
Oregon’s Health CO-OP
11124
Eligibility
Oscar
10881
Eligibility
Oxford Health Plans
00016
10161
OXFRD
Eligibility
Oxford Health Plans
UnitedHealthcare / Oxford
UnitedHealthcare (Oxford Health Plans)
06111
Eligibility
Oxford Life Insurance Company
OXDLF
Eligibility
Pacific Source Health Plan
10375
Eligibility
Pacificare Arizona
PCAAZ
Eligibility
Pacificare Oklahoma
PCAOK
Eligibility
Pacificare Washington
PCAWA
Eligibility
PacificSource Administrators
11177
PSADM
Eligibility
PacificSource Community Solutions
PSCSO
Eligibility
PacificSource Community Solutions (Medicaid)
11091
Eligibility
PacificSource Health Plans
PSHPC
Eligibility
PacificSource Medicare
11178
PSMED
Eligibility
Pan American Insurance Company
PNAIC
Eligibility
Pan-American Life Insurance
11114
Eligibility
Panamerican Life Insurance Company of Puerto Rico
PAMPR
Eligibility
Panamerican Life Puerto Rico (PALIC)
10689
Eligibility
Paramount Health
10854
Eligibility
Paramount
Paramount Care
SX158
Eligibility
Parkland Community Health Plan
66917
Eligibility
Partners National Health Plans of NC
10369
Eligibility
Partnership Health Plan of CA
00343
Eligibility
Partnership Health Plan of California
SPPHP
Eligibility
Partnership Health Plan of California
PHP of California
10164
Eligibility
Passport Advantage
66008
Eligibility
Passport Health Plan
PPHPC
Eligibility
Patriot Dental
10782
Eligibility
Pekin Life Insurance
11211
PKNLF
Eligibility
Penn Treaty Network America Ins Medicare Supp
10924
Eligibility
Pennsylvania Blue Cross Blue Shield (Highmark)
Blue Shield of Pennsylvania
PABLS
Eligibility
Pennsylvania Health and Wellness
11223
Eligibility
Pennsylvania Medicaid
00061
000PA
10165
AID29
Eligibility
People First
11022
Eligibility
Peoples Health
10636
Eligibility
Peoples Health
PPLSH
Eligibility
PerformCare
PRFCR
Eligibility
Personal Insurance Administrators (PIA)
10492
PIANC
Eligibility
PHCS Savility Payers
PHCSS
Eligibility
PHP of Michigan
PHPMI
Eligibility
Physicians Health Plan Northern IN
10658
Eligibility
Physicians Health Plan of Mid-Michigan
11015
Eligibility
Physicians Health Plan PHP South Michigan
PHP of Michigan
37330
Eligibility
Physicians Mutual
00287
PHYMU
Eligibility
Physicians Mutual Insurance Company
PMICO
Eligibility
Physicians Mutual Insurance Company
10167
Eligibility
Physicians Plus Insurance
11004
Eligibility
Piedmont
10882
Eligibility
Pinnacle Claims Management
11237
Eligibility
Pinnacle Physician Management Org
10926
Eligibility
Plan de Salud Hospital Menonita
10958
PDSHM
Eligibility
Planned Administrator Inc
10886
Eligibility
Planned Administrators Inc.
PLNDA
Eligibility
Prairie States
11071
Eligibility
Preferred Care Partners
10691
PCPAR
Eligibility
Preferred Care Partners – Florida
Preferred Care Partners Florida
Preferred Care Partners
65088
Eligibility
Preferred Health Professionals Kansas City
Florida Medicaid
00036
Eligibility
Preferred Health System of Kansas
10847
Eligibility
Preferred Health Systems
PREHS
Eligibility
Preferred Medicare Choice
PREMD
Eligibility
Preferred Medicare Choice(PMC)(INMEDIATA HEALTH GRP)
10959
Eligibility
Preferred One
000PO
00371
Eligibility
PreferredOne
10169
Eligibility
Premera Blue Cross
PREMA
Eligibility
Premier Health
10848
Eligibility
Presbyterian Health Plan
10646
Eligibility
Prestige Health Choice
45056
Eligibility
Prestige Health Choice
10965
PRSHC
Eligibility
PrimeWest Health
10494
Eligibility
Principal Financial Group (Nippon Life)
10170
Eligibility
Principal Financial Group (Principal Life) - Dental & Vision
10171
Eligibility
Principal Financial Group
Principal Life (Principal Financial Group)
61271
Eligibility
Principal Life Insurance Company
00143
Eligibility
Priority Health
10490
PRHTH
Eligibility
Professional Benefits Administrators
10242
Eligibility
Prominence Health Plan (PPO & HMO)
11215
Eligibility
Prominence Health Plan of Nevada
Delta Dental of New York
11198
Eligibility
Prominence Health Plan of Texas
11199
Eligibility
Prominence Preferred Health Insurance Company
PPHIC
Eligibility
Providence Health Plan
00346
PROHP
Eligibility
Providence Health Plan
10172
Eligibility
Providence Health Plan (Oregon)
PVDNC
Eligibility
Provident American Life & Health Ins. Co. Mcare Supp
10545
Eligibility
Provident American Life & Health Insurance Co-Medicare Supp
Provident American Life & Health Insurance Co-Medicare Suppl
PRVMS
Eligibility
Provident Preferred Network - Dental
10790
Eligibility
Public Employee Benefit Authority
11043
Eligibility
PUBLIC EMPLOYEES HEALTH PROGRAM
PEHP
SX106
Eligibility
Puerto Rico Medicaid
AID60
Eligibility
Puritan Life Insurance
10743
Eligibility
Qualcare
10637
Eligibility
Qualchoice
10553
Eligibility
QualChoice
35174
Eligibility
Quartz ASO
46571
Eligibility
QuikTrip Corporation
10508
QKTRP
Eligibility
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)
U1100
Eligibility
Regence Group Administration
11056
Eligibility
Reliance Standard Life Insurance Company
00427
AMTAS00427
Eligibility
Reserve National Insurance Company
11127
Eligibility
Rhode Island Blue Cross Blue Shield
Blue Shield of Rhode Island
RIBLS
Eligibility
Rhode Island Medicaid
11140
Eligibility
RightCare from Scott and White Health Plan
11116
RTCRE
Eligibility
Riverlink Health*
11240
Eligibility
Rocky Mountain Health Plan
00347
10175
RMNHP
Eligibility
Rocky Mountain Health Plan (HMO)
0RMHP
Eligibility
Royal Neighbors of America
10751
Eligibility
S and S Healthcare Strategies
10875
Eligibility
S. USA Life Insurance Company
Inc.
11163
Eligibility
SAMBA Health Benefit Plan
SAMBA
Eligibility
San Francisco Health Plan
10849
Eligibility
San Joaquin Health Plan
00349
10177
SPSJH
Eligibility
Sanford Health Plan
10533
Eligibility
Sanford Health Plan
91184
Eligibility
Santa Clara Family Health Plan
10876
SNCLF
Eligibility
SBLI USA Life Insurance Company
Inc.
11162
Eligibility
SCAN HMO
00350
Eligibility
Schaller Anderson Aetna Better Health of New York
10816
Eligibility
Schaller Anderson Aetna Better Health OH
10887
Eligibility
Schaller Anderson Aetna IL Medicaid
ILMSA
Eligibility
Schaller Anderson Aetna TX Medicaid and CHIP
TMDSA
Eligibility
Schaller Anderson Delaware Physicians Care Inc
DPCSA
Eligibility
Schaller Anderson Delaware Physicians
Inc
10817
Eligibility
Schaller Anderson Integral Quality Care Florida
ICQFL
Eligibility
Schaller Anderson Majestacare Virginia
MACVA
Eligibility
Schaller Anderson Maryland Physicians Care
10693
MPCSA
Eligibility
Schaller Anderson Mercy Care
10694
Eligibility
Schaller Anderson Mercy Care Plan
AEMED
Eligibility
Schaller Anderson Mercy Maricopa
10996
MMICR
Eligibility
Schaller Anderson Missouri Care
MOCSA
Eligibility
Schaller Anderson Missouri Care
10695
MOSCA
Eligibility
Schaller Anderson Parkland Community Health Plan
10643
PRCHP
Eligibility
Schaller Anderson Texas Christus
TXCSA
Eligibility
Scott & White
TH002
Eligibility
Scott & White Health Plan
10360
Eligibility
Scott and White Health Care Plan
SCWHP
Eligibility
Secure Health Plans of Georgia
28530
Eligibility
Securian Dental
10792
Eligibility
Securian/Patriot Dental
10793
Eligibility
Security Health Plan
10864
SRTHP
Eligibility
Select Health of South Carolina
0SHSC
Eligibility
Select Health SC
10520
Eligibility
Select Senior Clinic
10927
Eligibility
SelectCare of Texas (Beaumont)
10928
Eligibility
SelectCare of Texas (Golden Triangle)
10929
Eligibility
SelectCare of Texas (Houston)
10930
Eligibility
SelectCare of Texas (Integranet)
10931
Eligibility
SelectCare of Texas (Kelsey-Seybold)
10932
Eligibility
SelectCare of Texas (Memorial Clinical Assoc)
10933
Eligibility
SelectCare of Texas (Northwest Diagnostic)
10934
Eligibility
SELECTHEALTH
SX107
Eligibility
Selman & Company
SLMTC
Eligibility
Selman and Company
52214
Eligibility
Sendero IdealCare
12248
Eligibility
Sendero IdealCare
11440
Eligibility
Senior Care Action Network
10178
SPSCN
Eligibility
Senior Dimensions
11023
Eligibility
Senior Health Services Center-Univ American Family Co.
10697
Eligibility
Senior Health Services Center-Universal American Family of C
SEUNL
Eligibility
Senior Whole Health
10962
SNRWH
Eligibility
Sentinel Security Life Insurance Company
87020
Eligibility
Sharp Health Plan
10967
Eligibility
Shenandoah Life Insurance
10752
Eligibility
Sierra Health Services
10282
Eligibility
Significa Benefit Services
10081
Eligibility
Significa Benefit Services Inc.
00191
0ERIN
Eligibility
Silver Summit Health Plan
11229
SILVR
Eligibility
Silverback TPA
SLVBK
Eligibility
Simply Healthcare Plans
10826
SIMPI
Eligibility
Simply HealthCare Plans (new payer ID SMPLY as of 12-1-2018)
Simply Healthcare
Simply HealthCare Plans (New PID SMPLY effective 12/1/18)
SMPLY
Eligibility
SisCo Benefits
11129
Eligibility
Soundpath Health
10935
Eligibility
South Carolina Blue Cross Blue Shield
SC FEP Blue Cross
Medicare Blue Advantage of South Carolina
SCBLS
Eligibility
South Carolina Medicaid
000SC
AID61
Eligibility
South Carolina Medicaid
10179
Eligibility
South Dakota Blue Cross Blue Shield
Blue Shield of South Dakota
SDBLS
Eligibility
South Dakota Medicaid
00059
000SD
10180
AID28
Eligibility
SouthEastern Indiana Health Organization
0SIHO
11228
Eligibility
Southwest Health Plan (Aetna HMO)
Aetna
60054
Eligibility
Special Agents Mutual Benefit Assoc (SAMBA)
10591
Eligibility
Spectrum Health
10936
Eligibility
SPJST - Medicare Supplement
SPJMS
Eligibility
SPJST Medicare Supplement
10546
Eligibility
St. James PHO
Thrivent
11158
Eligibility
St. Vincent Catholic Medical Centers of New York
SVMNY
Eligibility
Standard Insurance Company
00429
AMTAS00429
Eligibility
Standard Life and Accident Insurance
10593
Eligibility
Standard Life and Accident Insurance Company
SLAIC
Eligibility
Standard Life Insurance Company of New York
00430
AMTAS00430
Eligibility
Star HRG
STARH
Eligibility
State Farm
10645
Eligibility
STATE FARM MUTUAL AUTOMOBILE INSURANCE CO
31059
Eligibility
State Mutual (Lincoln Novation)
10982
Eligibility
State Mutual Med Supp
10750
Eligibility
StayWell
10512
WCSWA
Eligibility
Staywell Kids
10513
WCSWK
Eligibility
Stewart C Miller and Co
10937
Eligibility
Stonebridge Life Insurance Company
11032
STNEB
Eligibility
Student Insurance
10183
Eligibility
StudentResources
10938
Eligibility
Summacare Health Plan
10294
SMAHP
Eligibility
Summit America Insurance Service
11073
STAMS
Eligibility
Sun Flower State Health Plan
SUNHP
Eligibility
Sunflower State Health (Kansas)
10758
Eligibility
Sunshine State Health Plan
CSSHP
Eligibility
Superior HealthPlan
CSHPT
Eligibility
Sutter Select
10941
Eligibility
TennCare (Medicaid of Tennessee)
Tennessee Medicaid (TennCare)
Medicaid of Tennessee (TennCare)
TNMCD
Eligibility
TennDent
10794
Eligibility
Tennessee Blue Cross Blue Shield
Blue Shield of Tennessee
TNBLS
Eligibility
Tennessee Medicaid
00026
10184
Eligibility
Tennessee Medicaid - Tenncare
000TN
AID13
Eligibility
TexanPlus (Integranet)
10942
Eligibility
TexanPlus (Kelsey-Seybold)
10943
Eligibility
TexanPlus North Texas Area
10604
Eligibility
TexanPlus Southeast Texas Area
10605
Eligibility
Texas Blue Cross Blue Shield
Blue Shield of Texas (includes Blue Cross of Texas)
Blue Shield of Texas
TXBLS
Eligibility
Texas Children's Health Plan
TXCPL
Eligibility
Texas Children's Health Plan (Medicaid) - CHIP
Texas Childrens Health Plan
76048
Eligibility
Texas First Health Plan (TOPA)
10944
Eligibility
Texas First Health Plan (TOPA)
TXNNT
Eligibility
Texas Medicaid
000TX
AID05
Eligibility
Texas Medicaid
10186
Eligibility
Texas Medicaid - Long Term Care
11208
Eligibility
The Kempton Company
10698
Eligibility
The Ullico Family of Companies
0CHCS
10945
Eligibility
Three Rivers Health Plans (Unison Health Plan)
10318
Eligibility
Today's Option
10505
Eligibility
Today's Options
TDOPT
Eligibility
TransactRX Infusion and Specialty
11168
TNSAT
Eligibility
TransactRX Part D
11037
Eligibility
Transamerica Financial Life Insurance Company
TRNAF
Eligibility
Transamerica Life Insurance (KBA)
10946
Eligibility
Transamerica Life Insurance Company
11094
TNALF
Eligibility
Transamerica Premier Life Insurance Co.
11100
Eligibility
Transamerica Premier Life Insurance Company
MNTAL
Eligibility
Tribute Health Plan
31118
Eligibility
Tricare (CHAMPUS)
00080
Eligibility
TRICARE East
11218
Eligibility
Tricare East Region
Tricare East (effective 01-01-2018)
Tricare East
Tricare East Effective 1-1-2018
TREST
Eligibility
TRICARE for Life
10879
TDFIC
TRLIF
Eligibility
Tricare Overseas
10947
Eligibility
Tricare Overseas
FOREN
Eligibility
TRICARE West
10189
Eligibility
TriCare West Region
TRICE
Eligibility
Trillium Community Health Plan
11120
TMCHP
Eligibility
TRIPLE-S (BCBS PUERTO RICO)
BCPRC
Eligibility
Triple-S Salud (BCBS Puerto Rico)
10953
Eligibility
True Health New Mexico
82288
Eligibility
Trustmark
TRUST
Eligibility
Trustmark
00233
TRSMK
Eligibility
Trustmark Insurance
10190
Eligibility
Tufts Health Plan
00114
TUFTS
Eligibility
Tufts Health Plan
10379
Eligibility
Tufts Health Plan
Tufts Associated Health
04298
Eligibility
U OF U HEALTH PLANS
SX155
Eligibility
UCare Minnesota
UCARE
Eligibility
UCare of Minnesota
10352
UCARM
Eligibility
Ultimate Health Plans
10888
ULTIM
Eligibility
UMR
10501
Eligibility
UMR Wausau
00UMR
Eligibility
UMWA Health & Retirement Funds
UMWAH
Eligibility
UMWA Health and Retirements Funds
11121
Eligibility
Underwriters Safety & Claims
10246
Eligibility
UniCare
UNICR
Eligibility
UniCare
00UNI
Eligibility
UNICARE - Dental
10791
Eligibility
Unicare (Anthem)
10285
Eligibility
UniCare Dental
0UNID
Eligibility
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS
Union Pacific Railroad Employes Health System
U6844
Eligibility
Unison Health Plan / Better Health Plans
00199
Eligibility
United American Ins.Company
10990
Eligibility
United American Insurance Company
UNAMN
Eligibility
United Commercial Travelers
12249
Eligibility
United Concordia Companies
Inc. - DENTAL
10810
Eligibility
United Concordia Federal Employees Program - DENTAL
10809
Eligibility
United Health Group - Community Plan
11107
Eligibility
United Health Group - Optum Health Behavioral Solutions
11076
Eligibility
United Health Group - UHCWest
11077
Eligibility
United Healthcare Community Plan - Kansas
10835
Eligibility
United Healthcare Facets Detroit Community and State
10836
Eligibility
United Healthcare Facets Pittsburgh Community and State
10834
Eligibility
United HealthCare Life Insurance Company
UHLIC
Eligibility
United Healthcare Nevada Market
SERRA
Eligibility
United Healthcare Nevada Market
10837
Eligibility
United Healthcare Plan of River Valley
10192
Eligibility
United Healthcare SecureHorizons
10655
Eligibility
United Healthcare Securehorizons-Medicare Supplemental
UHSEC
Eligibility
United Healthcare Shared Services
0UHIS
Eligibility
United Healthcare
Sheakley Unicomp
10002
Eligibility
United Healthcare
UnitedHealthcare
UnitedHealthcare River Valley
UnitedHealthcare Community Plan (PA
SC)
87726
Eligibility
United Teacher Assoc Insurance Co. Mcare Supp
10547
Eligibility
United Teacher Associates Insurance Co-Medicare Supplement
UTAMS
Eligibility
UnitedHealthcare
00UHC
Eligibility
UnitedHealthcare / UHIS-UnitedHealth Integrated Services
UMR (formerly Harrington Benefit Services - Westerville)
UMR (formerly UMR Wausau)
UMR - Harrington
UMR Wausau
39026
Eligibility
UnitedHealthcare Community Plan - Tennessee
UnitedHealthcare Plan of the River Valley
95378
Eligibility
UnitedHealthcare Community Plan – TN
11025
Eligibility
UnitedHealthcare Community Plan (formerly Unison Ohio)
UnitedHealthcare
00112
Eligibility
UnitedHealthcare Community Plan / KS (KanCare)
UnitedHealthcare Community Plan - Kansas
96385
Eligibility
UnitedHealthcare Community Plan / MO
Missouri (MO) Health Plan (Community & State)
86050
Eligibility
UnitedHealthcare Community Plan of Pennsylvania
00198
Eligibility
UnitedHealthcare Community Plan PA
UnitedHealthcare Community Plan of PA
TRHPA
Eligibility
UnitedHealthcare Community Plan TN
000JD
00335
Eligibility
UnitedHealthcare Dental
52133
Eligibility
UnitedHealthcare Facets Detroit - Community and State
UnitedHealthcare Community Plan/MI (form Great Lakes Health
UnitedHealthcare Community Plan /MI(Great Lakes Health Plan)
95467
Eligibility
UnitedHealthcare Nevada Market
Sierra Health and Life
76342
Eligibility
UnitedHealthcare Student Resources
UnitedHealthcare StudentResources
74227
Eligibility
UnitedHealthcare StudentResources
STDNT
Eligibility
UnitedHealthcare Vision
UnitedHealthcare / Spectera Eyecare Networks
00773
Eligibility
UnitedHealthOne / Golden Rule
UnitedHealthcare Life Insurance Company
Golden Rule Insurance
37602
Eligibility
Unity Health Insurance
UNTHN
Eligibility
Unity Health Plans
10349
Eligibility
Univera
10535
Eligibility
Universal American
11216
Eligibility
Universal Benefit Corp
11033
UBNFT
Eligibility
Universal Care (California)
SPUCC
Eligibility
Universal Care of CA
00354
Eligibility
University Care Advantage Arizona
10699
UPCAA
Eligibility
University Family Care
10194
Eligibility
University Family Care (Arizona)
00353
00UFC
Eligibility
University Family Care Arizona
UFCAZ
Eligibility
University of Arizona Health Plans
UHCMP
Eligibility
University of Arizona Health Plans - UHM
10889
Eligibility
University Physicians Care Advantage (Arizona)
10433
Eligibility
UPMC Health Plan
0UPMC
Eligibility
UPMC Health Plan (Tristate)
10288
Eligibility
Upper Peninsula Health Plan
000MI
Eligibility
USAA - MEDICARE SUPPLEMENTAL
USAAM
Eligibility
USAA (United Services Automobile Association)
74095
Eligibility
USAA Life Insurance Company
10195
Eligibility
Utah Blue Cross Blue Shield (Regance)
UTBLS
Eligibility
UTAH DEPARTMENT OF HEALTH
Utah Medicaid FFS
SKUT0
Eligibility
VA Fee Basis Program
10196
Eligibility
VA Fee Basis Programs
00231
Eligibility
VA Health Administration Center
00232
Eligibility
VA Health Administration Center
Quest EAP
10956
Eligibility
VA Healthcare
Metropolitan Health Plan
10850
Eligibility
Valley Care Program
10948
Eligibility
Value Options
11061
Eligibility
Vantage Health Plan Inc.
VHPLA
Eligibility
Vantage Health Plan
Inc
10858
Eligibility
Vermont Medicaid
00062
Eligibility
Vermont Medicaid
000VT
10197
AID30
Eligibility
Veterans Affairs Fee Basis Programs
VAFEE
Eligibility
Veterans Affairs Health Admin Center
VAHAC
Eligibility
Village Family Practice
10950
Eligibility
Virginia Anthem Blue Cross and Blue Shield Dental
Virginia Anthem Blue Cross Blue Shield Dental
VABLD
Eligibility
Virginia Anthem Blue Cross and Blue Shield
Virginia State Employer Funds
Virginia Anthem Blue Cross Blue Shield
VA State Employer Funds
VABLS
Eligibility
Virginia Medicaid
000VA
AID23
Eligibility
Virginia Medicaid
10198
Eligibility
Virginia Medicare Part A
FCE Benefit Administrators
11003
Eligibility
VISTA
00508
COVTY00508
Eligibility
Viva Health
0VIVA
10468
Eligibility
Vivida Health
45488
Eligibility
VNS CHOICE
10600
Eligibility
VNS CHOICE Medicare
VNSNY
Eligibility
Vytra
10407
Eligibility
W.O. Comstock and Associates
WOCOM
Eligibility
Washington Blue Shield (Regence)
WABLS
Eligibility
Washington Medicaid
00020
000WA
10424
AID07
Eligibility
Washington National
10853
Eligibility
WEA Trust
10554
Eligibility
WEA Trust
WEA Insurance Group
39151
Eligibility
Web-TPA Employer Services LLC.
WBTPA
Eligibility
WEB-TPA
Inc
10532
Eligibility
Welfare and Pension Administration (WPAS)
WPADM
Eligibility
Wellcare Health Plans
10488
Eligibility
WellCare Health Plans (WellCare of FL GA NY CT NJ LA OH TX)
0WCHP
Eligibility
Wellcare HMO Inc.
WellCare Health Plans
14163
Eligibility
Wellsense
10814
Eligibility
West Virginia Blue Cross Blue Shield
Blue Shield of West Virginia
WVBLS
Eligibility
West Virginia Family Health Plan
45276
Eligibility
West Virginia Medicaid
00065
000WV
10200
AID33
Eligibility
Western and Southern Financial Group
11111
Eligibility
Western Health Advantage
10201
WSTHA
Eligibility
Western New York Blue Cross Blue Shield
WNYBS
Eligibility
Western Southern Financial Group
WSTSL
Eligibility
Wilson McShane - Dental
10797
Eligibility
Windsor Health Plan
WNDHP
Eligibility
Windsor Medicare Extra
10576
Eligibility
WINhealth Partners
10969
Eligibility
Wisconsin Anthem Blue Cross and Blue Shield Dental
Wisconsin Anthem Blue Cross Blue Shield Dental
WIBLD
Eligibility
Wisconsin Anthem Blue Cross and Blue Shield
Blue Shield of Wisconsin
Blue Cross Blue Shield of Wisconsin
Wisconsin Anthem Blue Cross Blue Shield
WIBLS
Eligibility
Wisconsin Chronic Disease Program (WICDP)
WICDP
Eligibility
Wisconsin Medicaid
00073
000WI
AID41
Eligibility
Wisconsin Medicaid
10202
Eligibility
Wisconsin Medicaid Chronic Disease Program
10452
Eligibility
Wisconsin Medicaid Well Woman Program
10453
Eligibility
Wisconsin Well Woman Program (WWWP)
WIWWP
Eligibility
Workstar Health Services
NGS CoreSource
10074
Eligibility
WPS Health Insurance
WPSIC
Eligibility
WPS Health Insurance
Wisconsin Physicians Service Insurance Corporation (WPS)
10878
Eligibility
Wyoming Blue Cross Blue Shield
Blue Shield of Wyoming
WYBLS
Eligibility
Wyoming Medicaid
00066
Eligibility
Wyoming Medicaid
000WY
10204
AID34
Eligibility
Wyoming Medicare
CMSEL
Eligibility
YourCare Health Plan
11089
Eligibility

835s

Payer Name Payer Id Line of Business
1199 National Benefit Fund
13162
Payment/Advice
1st Auto and Casualty
J1585
Payment/Advice
21st Century Insurance
YMCA
41556
Payment/Advice
A.G.I.A. Inc.
95241
Payment/Advice
A.W.Holdings LLC dba Benchmark
J1976
Payment/Advice
AARP
AARP1
Payment/Advice
AARP-UnitedHealthcare Ins Co
AARP Medicare Supplement Plans
AARP Medicare Supplement Plans insured
36273
Payment/Advice
Abilene ISD Self-Insured
J1121
Payment/Advice
Accident Fund insurance Co of America
J1790
Payment/Advice
Accuride Corporation
J1024
Payment/Advice
Ace USA
J2285
Payment/Advice
Ace USA (Rocklin Office)
J2226
Payment/Advice
ACIG Insurance Company
J1578
Payment/Advice
ACWA JPI
J2286
Payment/Advice
AD-COMP
J1667
Payment/Advice
Adaptis
91173
Payment/Advice
Administaff
J1241
Payment/Advice
Administrative Concepts
ADMINISTRATIVE CONCEP
Adminstrative Concepts
Inc.
22384
Payment/Advice
Adminsure
J2292
Payment/Advice
Admiral Linen & Uniform Service
J2144
Payment/Advice
Advance America Cash Advance Centers
J1843
Payment/Advice
Advance Services Inc.
J1608
Payment/Advice
Advantek Benefit Administrators
ADVTK
Payment/Advice
Adventist Health System West - Roseville CA
95340
Payment/Advice
Advocare MCO Inc
J1896
Payment/Advice
Advocate Medical Group - AMG (Legacy AHC)
36320
Payment/Advice
Aetna - IL Medicaid
26337
Payment/Advice
Aetna Better Health - PA Medicaid
23228
Payment/Advice
Aetna Better Health California
128CA
Payment/Advice
Aetna Better Health of Florida
128FL
Payment/Advice
Aetna Better Health of Kansas
128KS
Payment/Advice
Aetna Better Health of Kentucky
128KY
Payment/Advice
Aetna Better Health of Louisiana
128LA
Payment/Advice
Aetna Better Health of Maryland
128MD
Payment/Advice
Aetna Better Health of Michigan
128MI
Payment/Advice
Aetna Better Health of Missouri
128MO
Payment/Advice
Aetna Better Health of New Jersey
46320
Payment/Advice
Aetna Better Health of NY
34734
Payment/Advice
Aetna Better Health of Ohio
50023
Payment/Advice
Aetna Better Health of Virginia
128VA
Payment/Advice
Aetna Better Health of West Virginia
128WV
Payment/Advice
Aetna Better Health Plan of Nebraska
Aetna Better Health Nebraska
42130
Payment/Advice
Aetna Better Health Premier Plan JVHL
72700
Payment/Advice
Aetna Medicare EPO/PPO Dental
18014
Payment/Advice
Aetna Senior Supplemental Insurance (Aetna SSI)
62118
Payment/Advice
Aetna TX Medicaid & CHIP
38692
Payment/Advice
Aetna US Healthcare - JVHL
27600
Payment/Advice
Affiliated Foods Inc.
J1977
Payment/Advice
Affinity Essentials
AffinityAccess
23334
Payment/Advice
Affinity Health Plan
13334
Payment/Advice
Affinity Medicare Advantage
13333
Payment/Advice
AFTRA Health Fund
13346
Payment/Advice
AgeRight Advantage
ARA01
Payment/Advice
AgeWell New York
AWNY6
Payment/Advice
AK - Medicare Part A (MAC JF)
12M47
Payment/Advice
AK and ID Medicare Part A
12M07
Payment/Advice
AL MEDICARE A (MAC JJ)
12M01
Payment/Advice
AL MEDICARE B (MAC JJ)
SMAL0
Payment/Advice
Alabama Blue Shield (Professional)
Blue Shield of Alabama
Blue Cross of Alabama
ALBLS
Payment/Advice
Alabama Medicaid
CKAL1
Payment/Advice
Alabama Medicaid
12K01
Payment/Advice
Alabama Medicaid
SKAL0
Payment/Advice
Alaska Medicaid
CKAK1
Payment/Advice
Alaska Medicaid
SKAK0
Payment/Advice
Alaska National Insurance
J1577
Payment/Advice
Albertsons Inc.
J2376
Payment/Advice
Albuquerque Public Schools
85600
Payment/Advice
Alexian Brothers Community Services of TN
44423
Payment/Advice
Aliera Health Care
ALH01
Payment/Advice
Allegian Advantage
82238
Payment/Advice
Allegiance Benefit Plan
Allegiance Benefit Plan Management Inc.
81040
Payment/Advice
Allen Canning
J1740
Payment/Advice
Allergan W.C. Holding Inc.
J2341
Payment/Advice
Alliance Behavioral Health (NC)
23071
Payment/Advice
Alliant Energy
J1619
Payment/Advice
Alliant Health Plans of Georgia
58234
Payment/Advice
Allianz
J1452
Payment/Advice
Allianz Global Corporate & Specialty (AGCS)
J2332
Payment/Advice
Allianz Resolution Management (ARM)
J2326
Payment/Advice
Allied Benefit Systems
37308
Payment/Advice
Allied Claims Administration Inc.
J1733
Payment/Advice
Allied Insurance Companies
Depositors Ins Co
J1550
Payment/Advice
Allmerica Financial Benefits Insurance Company
J1589
Payment/Advice
Allstate - Except New Jersey
C1037
Payment/Advice
ALLWays Health Partners
04293
Payment/Advice
Alohacare
ALOHA
Payment/Advice
Alternative Service Concepts (ASC)
J2149
Payment/Advice
Alvey Systems (AON Risk)
J1025
Payment/Advice
Amalgamated Life
13550
Payment/Advice
AmeraPlan
38219
Payment/Advice
AmeriBen Solutions Inc.
75137
Payment/Advice
American Administrative Group AAG (Gallagher Benefits)
HealthSmart (EDI #37283)
HealthSmart Benefit Solutions
37283
Payment/Advice
American Airlines
J2000
Payment/Advice
American Coin Merchandising Inc
J1026
Payment/Advice
American Cyanamid
J1027
Payment/Advice
American Family (administered by American Republic)
American Republic Insurance Company
American Family Insurance (Administered by American Republic
56071
Payment/Advice
American Family Mutual Insurance Company
C1055
J2134
Payment/Advice
American General
62030
Payment/Advice
American Health Medicare
L0220
Payment/Advice
American Income Life Insurance Company
60577
Payment/Advice
American Insurance Administrators (AIA)
26119
Payment/Advice
American Medical Security (AMS)
UnitedHealthOne / UnitedHealthcare Life Insurance Company
UnitedHealthcare / All Savers Insurance
UnitedHealthcare Life Insurance Company
81400
Payment/Advice
American Mining Insurance Group LLC
J1524
Payment/Advice
American National Auto
J2295
Payment/Advice
American National Insurance CO (ANICO)
American National Ins. Co. (ANICO)
74048
Payment/Advice
American Postal Workers Union Health Plan
44444
Payment/Advice
American Republic Insurance
American Republic Insurance Company
42011
Payment/Advice
American Specialty Companies
J1028
Payment/Advice
American Specialty Health
43146
Payment/Advice
American Specialty Ins. / MIB
J1029
Payment/Advice
AmeriChoice - Community and State
UnitedHealthcare Community Plan/NJ form Americhoice NJ Medic
UnitedHealthcare Comm Plan/NJ (form Americhoice NJ Medicaid)
86047
Payment/Advice
Amerigroup
Amerivantage
Amerigroup Vantage
26375
Payment/Advice
AmeriHealth Administrators
Inter County Health Plan
AmeriHealth Administrators (835s returned under PAKEY)
54763
Payment/Advice
AmeriHealth Caritas Delaware
77799
Payment/Advice
Amerihealth Caritas District of Columbia
77002
Payment/Advice
AmeriHealth Caritas Iowa
77075
Payment/Advice
AmeriHealth Caritas Louisiana
27357
Payment/Advice
AmeriHealth Caritas NorthEast
77001
Payment/Advice
AmeriHealth Caritas Pennsylvania
22248
Payment/Advice
AmeriHealth Caritas VIP Care Plus (Michigan)
77013
Payment/Advice
AmeriHealth Caritas VIP Care
AmeriHealth Caritas PA Community HealthChoices
77062
Payment/Advice
Amerihealth HMO of Delaware and New Jersey
Amerihealth HMO NJ and Delaware
Amerihealth HMO NJ and DE
95044
Payment/Advice
Amerihealth HMO
AmeriHealth HMO New Jersey and Delaware
23037
Payment/Advice
Amerihealth-NJ (Non-HMO Claims)
AmeriHealth - New Jersey (Non-HMO Claims)
SX075
Payment/Advice
Ameriprise Auto & Home Ins.
C1004
Payment/Advice
Ameriprise Auto & Home Insurance
12504
Payment/Advice
Amerisafe Risk Services
J1447
Payment/Advice
Amerisure Mutual Insurance
J1205
Payment/Advice
Ameritas Life Insurance Corp.
47009
Payment/Advice
Ameritas Life Insurance Corp. of New York
72630
Payment/Advice
AmFirst Insurance Company
64090
Payment/Advice
Amica Mutual Insurance Company
12287
Payment/Advice
Anchor Claims Management
J1919
Payment/Advice
Anchor Glass Container Corporation
J2136
Payment/Advice
Anheuser Busch
J1620
Payment/Advice
Anthem BCBS of Indiana
Med-Pay
Anthem IN
00130
Payment/Advice
Anthem BCBS of Virginia
Anthem BCBS Virginia
BCBS of Alabama - Medicare Part B
00423
Payment/Advice
Anthem BCBS Ohio
Blue Cross of Ohio
00332
Payment/Advice
Anthem Blue Cross
47198
Payment/Advice
Anthem Blue Cross and Blue Shield - Indiana
SB630
Payment/Advice
Anthem Blue Cross and Blue Shield - Kentucky
SB660
Payment/Advice
Anthem Blue Cross and Blue Shield (Virginia)
12002
Payment/Advice
Anthem Blue Cross and Blue Shield (Virginia)
SB923
Payment/Advice
Anthem Blue Cross and Blue Shield of Ohio
SB338
Payment/Advice
Anthem Blue Cross Blue Shield of Connecticut
SB560
Payment/Advice
Apex Benefit Services
34196
Payment/Advice
AR Medicare Part A (J7)
12022
Payment/Advice
AR Medicare Part B (J7)
SMAR0
Payment/Advice
Aramark
J1502
Payment/Advice
Archer Daniels Midland Company
J1735
Payment/Advice
Ardagh Group
J2344
Payment/Advice
Areas USA Inc
J1944
Payment/Advice
Argent (Subsidiary of West Bend)
J1420
Payment/Advice
Argonaut Insurance Company (ARGO)
19801
Payment/Advice
ARISE
39185
Payment/Advice
Arizona Blue Cross Blue Shield
Blue Shield of Arizona
AZBLS
Payment/Advice
Arizona Medicaid
SKAZ0
Payment/Advice
Arizona Physicians IPA - Community and State
UnitedHealthcare Community Plan/AZ form AZ Phy IPA APIPA
03432
Payment/Advice
Arkansas Best
J2142
Payment/Advice
Arkansas Blue Cross and Blue Shield
SB520
Payment/Advice
Arkansas Blue Cross Blue Shield
Blue Advantage of Arkansas
Health Advantage of Arkansas
ARBLS
Payment/Advice
Arkansas Medicaid
CKAR1
Payment/Advice
Arkansas Medicaid
SKAR0
Payment/Advice
Armour Risk
J2245
Payment/Advice
Arrowpoint
J1564
Payment/Advice
Asian American Medical Group
AAMG1
Payment/Advice
ASRM LLC
ASRM Corporation
ASRM1
Payment/Advice
Associated Administrators LLC.
13788
Payment/Advice
Associated Industries Of Massachusetts
J2268
Payment/Advice
Association Casualty Insurance Company
J1254
Payment/Advice
Association de Maestros ((PROSSAM)
L0150
Payment/Advice
Association Of Ca Water Agencies JPA
J2230
Payment/Advice
Assurance Resources Inc.
J2150
Payment/Advice
Assured Benefits Administrators
74240
Payment/Advice
Athens
J1914
Payment/Advice
Athens - Bal Seal Engineering
J2249
Payment/Advice
Athens - Bridgepoint Educational
J2240
Payment/Advice
Athens - Community Hospital Of Monterey Peninsula
J2218
Payment/Advice
Athens - Diocese Of San Jose
J2241
Payment/Advice
Athens - Episcopal Senior Communities
J2242
Payment/Advice
Athens - Gar Laboratories Inc
J2250
Payment/Advice
Athens - Hiig-Ca Imperium
J2256
Payment/Advice
Athens - Imperium Insurance Company
J2247
Payment/Advice
Athens - NAHCI And Clients
J2251
Payment/Advice
Athens - Palomar Health
J2253
Payment/Advice
Athens H&S Venture
J2335
Payment/Advice
Atlantic American Independent Insurance
J2009
Payment/Advice
Atlantic PPO to 21st Century Insurance
J2005
Payment/Advice
Atlantic PPO to Allstate Insurance
J2007
Payment/Advice
Atlantic PPO to American Commerce Insurance
J2008
Payment/Advice
Atlantic PPO to Ameriprise
J2010
Payment/Advice
Atlantic PPO to Amica Insurance
J2011
Payment/Advice
Atlantic PPO to AutoOne Insurance
J2014
Payment/Advice
Atlantic PPO to BMI Benefits LLC
J2015
Payment/Advice
Atlantic PPO to Bristol West Insurance Group
J2016
Payment/Advice
Atlantic PPO to Bunch CareSolutions
J2017
Payment/Advice
Atlantic PPO to Citizens United Reciprocal Exch. (NJCURE)
J2018
Payment/Advice
Atlantic PPO to Clarendon Insurance
J2019
Payment/Advice
Atlantic PPO to Concord Group
J2020
Payment/Advice
Atlantic PPO to County Way/Agway
J2021
Payment/Advice
Atlantic PPO to Electric Insurance Company
J2023
Payment/Advice
Atlantic PPO to Encompass Property Casualty
J2024
Payment/Advice
Atlantic PPO to Esurance Insurance
J2025
Payment/Advice
Atlantic PPO to Farm Family Insurance
J2026
Payment/Advice
Atlantic PPO to Farmers National Insurance
J2027
Payment/Advice
Atlantic PPO to Fireman's Fund/Parkway Insurance
J2028
Payment/Advice
Atlantic PPO to Flco Administrative Services
J2022
Payment/Advice
Atlantic PPO to Foremost Insurance Group
J2029
Payment/Advice
Atlantic PPO to GEICO
J2030
Payment/Advice
Atlantic PPO to Hanover Insurance
J2031
Payment/Advice
Atlantic PPO to Harford Mutual Insurance
J2032
Payment/Advice
Atlantic PPO to Harleysville Insurance
J2033
Payment/Advice
Atlantic PPO to Hartford Insurance
J2034
J2035
Payment/Advice
Atlantic PPO to Highpoint Insurance/Plymouth Rock
J2036
Payment/Advice
Atlantic PPO to Hortica Insurance
J2037
Payment/Advice
Atlantic PPO to IDS Property Casualty
J2038
Payment/Advice
Atlantic PPO to IFA Insurance Company
J2039
Payment/Advice
Atlantic PPO to Infinity Insurance Company
J2040
Payment/Advice
Atlantic PPO to Kemper Services Group
J2041
Payment/Advice
Atlantic PPO to Lancer Insurance
J2042
Payment/Advice
Atlantic PPO to Liberty Mutual Insurance
J2043
Payment/Advice
Atlantic PPO to Mapfre
J2044
Payment/Advice
Atlantic PPO to Merchants Mutual
J2045
Payment/Advice
Atlantic PPO to Merchants Mutual WC
J2046
Payment/Advice
Atlantic PPO to Mercury Insurance
J2047
Payment/Advice
Atlantic PPO to MetLife
J2048
Payment/Advice
Atlantic PPO to National Liability & Fire Insurance Co
J2050
Payment/Advice
Atlantic PPO to Nationwide
J2051
Payment/Advice
Atlantic PPO to New Jersey Skylands
J2052
Payment/Advice
Atlantic PPO to New York City Law Department
J2053
Payment/Advice
Atlantic PPO to NJ-PLIGA
J2054
Payment/Advice
Atlantic PPO to NY City Transit
J2055
Payment/Advice
Atlantic PPO to NYC Dept. of Sanitation
J2056
Payment/Advice
Atlantic PPO to NYSIF
J2057
Payment/Advice
Atlantic PPO to Ohio Casualty Group
J2058
Payment/Advice
Atlantic PPO to Palisades Insurance
J2059
Payment/Advice
Atlantic PPO to Peerless Insurance
J2060
Payment/Advice
Atlantic PPO to Personal Service Insurance
J2061
Payment/Advice
Atlantic PPO to Plymouth Rock
J2062
Payment/Advice
Atlantic PPO to Praetorian Insurance Company
J2063
Payment/Advice
Atlantic PPO to Preserver Insurance Company
J2064
Payment/Advice
Atlantic PPO to Progressive Insurance
J2065
Payment/Advice
Atlantic PPO to Pure
J2066
Payment/Advice
Atlantic PPO to QBE Insurance
J2067
Payment/Advice
Atlantic PPO to Rider Insurance
J2068
Payment/Advice
Atlantic PPO to Safeco Insurance
J2069
Payment/Advice
Atlantic PPO to Sedgwick Auto Insurance
J2070
Payment/Advice
Atlantic PPO to Sedgwick WC Insurance
J2071
Payment/Advice
Atlantic PPO to Selective Insurance
J2072
Payment/Advice
Atlantic PPO to Sentry Insurance
J2073
J2074
Payment/Advice
Atlantic PPO to State Farm Insurance
J2075
Payment/Advice
Atlantic PPO to Teachers Insurance Plan of NJ
J2076
Payment/Advice
Atlantic PPO to Tower National/Tower Group Companies
J2077
Payment/Advice
Atlantic PPO to Travelers
J2078
J2079
Payment/Advice
Atlantic PPO to Twin Lights
J2080
Payment/Advice
Atlantic PPO to U.S. Department of Labor
J2081
Payment/Advice
Atlantic PPO to Universal Underwriters Insurance
J2082
Payment/Advice
Atlantic PPO to US DOL NJ Claims
J2083
Payment/Advice
Atlantic PPO to US DOL NY Claims
J2084
Payment/Advice
Atlantic PPO to USAA
J2085
Payment/Advice
Atlantic PPO to Utica National Insurance
J2086
Payment/Advice
Austin Mutual Ins
J1682
Payment/Advice
Auto-Owners (Home-Owners Insurance Company)
J1580
Payment/Advice
Auto-Owners (Owners Insurance Company)
J1583
Payment/Advice
Auto-Owners (Property-Owners Insurance Co)
J1699
Payment/Advice
Auto-Owners (Southern-Owners Company)
J1688
Payment/Advice
Auto-Owners Insurance Company
J1556
Payment/Advice
Auto-Owners Life Insurance Company
J1596
Payment/Advice
Automated Benefit Services
38259
Payment/Advice
Auxiant
AUX01
Payment/Advice
Auxiant
26202
Payment/Advice
Avalon Administrative Services - BCBSSC
AVA01
Payment/Advice
Avera Health Plans
46045
Payment/Advice
AvMed Inc.
59274
Payment/Advice
Ayers Trucking
J1018
Payment/Advice
Bank of America
J1729
Payment/Advice
Bankers Life & Casualty
36066
Payment/Advice
Banner Health
Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS
SX145
Payment/Advice
Banner Plan Administration - Choice Plus and Select 500
12X42
Payment/Advice
Banner- University Family Care (University of AZ Health Plans)
66901
Payment/Advice
Baptist Health Plan
61124
Payment/Advice
Bardavon Health Innovations
J2334
Payment/Advice
Barnes
J1503
Payment/Advice
Barrett Business Services Inc (BBSI)
J1686
Payment/Advice
Bass Pro Group LLC
J1958
Payment/Advice
Bay District Schools (Fl)
J1978
Payment/Advice
BayCare Select Health Plans Inc
81079
Payment/Advice
Bb and T Corporation (Branch Banking & Trust)
J1995
Payment/Advice
BCBSM Medicare Plus Blue PPL JVHL
52730
Payment/Advice
BCBSTX Medicaid STAR/CHIP
BCBSTX Medicaid STAR Kids
66001
Payment/Advice
BCN - NON JVHL Network - JVHL
22770
Payment/Advice
Beacon Health Strategies
43324
Payment/Advice
Beacon Mutual
J1234
Payment/Advice
Beall's Inc / Midwest Employers
J1030
Payment/Advice
Benefit Administrative Systems
36149
Payment/Advice
Benefit Inc.
R7003
Payment/Advice
Benefit Management LLC
48611
Payment/Advice
Benefit Plan Administrators Company (Eau Claire Wisconsin)
Benefit Plan Administrators Co. (Eau Claire WI)
39081
Payment/Advice
Benefits Administration Corporation
44357
Payment/Advice
BeneSys
Inc.
37248
Payment/Advice
Berkeley Unified School District
J2203
Payment/Advice
Berkley Net Underwriters LLC
J1523
Payment/Advice
Berkley Risk Administrators Company LLC
J1526
Payment/Advice
Berkley Southeast Insurance Group (BSIG)
J2145
Payment/Advice
Berkley Specialty Underwriters
TP019
Payment/Advice
Berkshire Hathaway Direct Insurance Company
J1975
Payment/Advice
Berwind Corporation
J1031
Payment/Advice
Better Health Plan of Florida
20488
Payment/Advice
BI Mart
J2349
Payment/Advice
Big 5 Corp
J1738
Payment/Advice
Big Spring ISD
J2262
Payment/Advice
BIND
25463
Payment/Advice
Bituminous Fire and Marine
J1691
Payment/Advice
Bituminous Insurance Company
J1579
Payment/Advice
Blue Care Family Plan (BCBS of CT)
00700
Payment/Advice
Blue Care Family/Anthem Medicaid
SB562
Payment/Advice
Blue Chip of Rhode Island
RICHP
Payment/Advice
Blue Choice Medicaid Managed Care
00403
Payment/Advice
Blue Cross and Blue Shield United of Wisconsin/Comp Care
Blue Cross Blue Shield of Wisconsin
SB950
Payment/Advice
Blue Cross Blue of Louisiana
23739
Payment/Advice
Blue Cross Blue Sheild DE Fully-Insured Dental Group Bus
53287
Payment/Advice
Blue Cross Blue Shield - Montana
SB751
Payment/Advice
Blue Cross Blue Shield Minnesota Health Care Program
Minnesota Blue Cross Blue Shield Blue Plus Medicaid
00562
Payment/Advice
Blue Cross Blue Shield of Alabama
SB510
Payment/Advice
Blue Cross Blue Shield of Arizona
SB530
Payment/Advice
Blue Cross Blue Shield of Arizona Advantage
77078
Payment/Advice
Blue Cross Blue Shield of Arkansas
12021
Payment/Advice
Blue Cross Blue Shield of Colorado
SB550
Payment/Advice
Blue Cross Blue Shield of Delaware
12B76
Payment/Advice
Blue Cross Blue Shield of Delaware
SB570
Payment/Advice
Blue Cross Blue Shield of Florida
SB590
Payment/Advice
Blue Cross Blue Shield of Georgia (Atlanta)
SB600
Payment/Advice
Blue Cross Blue Shield of Illinois
SB621
Payment/Advice
Blue Cross Blue Shield of Kansas
57325
Payment/Advice
Blue Cross Blue Shield of Kansas
SB650
Payment/Advice
Blue Cross Blue Shield of Kansas City
12B66
Payment/Advice
Blue Cross Blue Shield of Kansas City
SB740
Payment/Advice
Blue Cross Blue Shield of Kansas City MO
47171
Payment/Advice
Blue Cross Blue Shield of Louisiana
12B12
Payment/Advice
Blue Cross Blue Shield of Louisiana
23738
Payment/Advice
Blue Cross Blue Shield of Maine
SB680
Payment/Advice
Blue Cross Blue Shield of Massachusetts
12B14
Payment/Advice
Blue Cross Blue Shield of Massachusetts
SB700
Payment/Advice
Blue Cross Blue Shield of Michigan
12B18
Payment/Advice
Blue Cross Blue Shield of Minnesota
SB720
Payment/Advice
Blue Cross Blue Shield of Mississippi
SB730
Payment/Advice
Blue Cross Blue Shield of Missouri (Blue Choice)
Blue Cross Blue Shield of Missouri
SB741
Payment/Advice
Blue Cross Blue Shield of Montana
CBMT1
Payment/Advice
Blue Cross Blue Shield of Montana
12B77
Payment/Advice
Blue Cross Blue Shield of Nebraska
SB760
Payment/Advice
Blue Cross Blue Shield of Nevada
SB765
Payment/Advice
Blue Cross Blue Shield of New Hampshire
SB770
Payment/Advice
Blue Cross Blue Shield of New Mexico
Blue Cross Community Centennial
SB790
Payment/Advice
Blue Cross Blue Shield of North Carolina
SB810
Payment/Advice
Blue Cross Blue Shield of North Dakota
SB820
Payment/Advice
Blue Cross Blue Shield of Oklahoma
SB840
Payment/Advice
Blue Cross Blue Shield of Rhode Island
SB870
Payment/Advice
Blue Cross Blue Shield of SC -Companion Tech
SB880
Payment/Advice
Blue Cross Blue Shield of South Carolina
38520
Payment/Advice
Blue Cross Blue Shield of South Dakota (Sioux Falls)
SB889
Payment/Advice
Blue Cross Blue Shield of Tennessee (Chattanooga)
SB890
Payment/Advice
Blue Cross Blue Shield of Vermont
SB915
Payment/Advice
Blue Cross Blue Shield OH/KY (Anthem)
84105
Payment/Advice
Blue Cross Blue Shield Wyoming
CBWY1
Payment/Advice
Blue Cross Blue Shield Wyoming
SB960
Payment/Advice
Blue Cross Community Health Plans
66005
Payment/Advice
Blue Cross Community Options
Blue Cross Community Solutions Effect 12-14-14 payer ID00621
MCDIL
Payment/Advice
Blue Cross Complete JVHL
12550
Payment/Advice
Blue Cross Complete of Michigan LLC
32002
Payment/Advice
Blue Cross Medicare Advantage
66006
Payment/Advice
Blue Cross of Alabama
CBAL1
Payment/Advice
Blue Cross of Alabama
12B54
Payment/Advice
Blue Cross of Arizona
Blue Cross and Blue Shield of Arizona
53589
Payment/Advice
Blue Cross of Arkansas
CBAR1
Payment/Advice
Blue Cross of Colorado
84099
Payment/Advice
Blue Cross of Georgia
3537I
Payment/Advice
Blue Cross of Idaho Health Services Inc
SB612
Payment/Advice
Blue Cross of Idaho
Idaho Blue Cross
IDBLC
Payment/Advice
Blue Cross of Illinois
CB621
Payment/Advice
Blue Cross of Indiana (Anthem)
12B09
Payment/Advice
Blue Cross of Iowa (FEP Claims Only)
CBIA1
Payment/Advice
Blue Cross of Kansas
CBKS1
Payment/Advice
Blue Cross of Massachusetts
CBMA1
Payment/Advice
Blue Cross of Mississippi
CBMS1
Payment/Advice
Blue Cross of Nebraska
CBNE1
Payment/Advice
Blue Cross of Nebraska
12B19
Payment/Advice
Blue Cross of Nebraska (835s returned under NEBLS)
Blue Cross of Nebraska
00260
Payment/Advice
Blue Cross of Nevada
84101
Payment/Advice
Blue Cross of North Dakota (ND Dental Services)
CX004
Payment/Advice
Blue Cross of Oklahoma
12B59
Payment/Advice
Blue Cross of Rhode Island
CB870
Payment/Advice
Blue Cross of Rhode Island
12B74
Payment/Advice
Blue Cross of Texas
CB900
Payment/Advice
Blue Medicare of NC -BCBS NC Medicare Adv Plan
56152
Payment/Advice
Blue Shield of Alaska
AC032
Payment/Advice
Blue Shield of California
94036
Payment/Advice
Blue Shield of California Promise Health Plan
57115
Payment/Advice
Blue Shield of Delaware
Delaware Blue Cross Blue Shield
DEBLS
Payment/Advice
Blue Shield of Florida
Florida Blue Cross Blue Shield
Blue Cross Blue Shield of Florida
Florida Blue Shield
FLBLS
Payment/Advice
Blue Shield of Georgia
Georgia Anthem Blue Cross Blue Shield
State Merit GA
GABLS
Payment/Advice
Blue Shield of Hawaii
Hawaii Blue Cross Blue Shield
HIBLS
Payment/Advice
Blue Shield of Idaho
Idaho Blue Shield (Regence)
Blue Shield of Idaho (Per Provider Testing)
IDBLS
Payment/Advice
Blue Shield of Illinois
Illinois Blue Cross Blue Shield
ILBLS
Payment/Advice
Blue Shield of Indiana
Indiana Anthem Blue Cross Blue Shield
Indiana Anthem Blue Cross and Blue Shield
INBLS
Payment/Advice
Blue Shield of Iowa
Iowa Blue Cross Blue Shield
IABLS
Payment/Advice
Blue Shield of Kansas City
Blue Cross of Kansas City
Kansas City Blue Cross Blue Shield
KCBLS
Payment/Advice
Blue Shield of Kansas
Blue Cross of Kansas
Kansas Blue Cross Blue Shield
KSBLS
Payment/Advice
Blue Shield of Kentucky
Kentucky Anthem Blue Cross Blue Shield
KYBLS
Payment/Advice
Blue Shield of Lousiana
State Employees Group Benefits
Louisiana Blue Cross Blue Shield
LABLS
Payment/Advice
Blue Shield of Maine
Maine Anthem Blue Cross and Blue Shield
Maine Anthem Blue Cross Blue Shield
MEBLS
Payment/Advice
Blue Shield of Massachusetts
MABLS
Payment/Advice
Blue Shield of Michigan
Michigan Blue Cross Blue Shield
MIBLS
Payment/Advice
Blue Shield of Minnesota
CCS (aka Comprehensive Care Systems)
Minnesota Blue Cross Blue Shield
MNBLS
Payment/Advice
Blue Shield of Mississippi
Mississippi Blue Cross Blue Shield
MSBLS
Payment/Advice
Blue Shield of Missouri
Missouri Anthem Blue Cross and Blue Shield
Missouri Anthem Blue Cross Blue Shield
MOBLS
Payment/Advice
Blue Shield of New York
Western
Blue Cross Blue Shield Of Western New York
Blue Shield of Western New York
N1BLS
Payment/Advice
Blue Shield of OK Remits will be returned with payerID OKBLS
BLUECROSS BLUESHIELD (BCBS) OK HCSC
00840
Payment/Advice
Blue Shield of Pennsylvania Dental Plus
CBPA2
Payment/Advice
Blue Shield of Tennessee
Blue Cross of Tennessee
5513I
Payment/Advice
BlueCross BlueShield of National Capital Area (CareFirst)
SB580
Payment/Advice
BlueCross BlueShield of Western New York Medicaid/CHP
44911
Payment/Advice
BMC HealthNet Plan
Boston Medical Center HealthNet Plan
Well Sense Health Plan
13337
Payment/Advice
Boeing Company
C1054
Payment/Advice
Boler Company
J1870
Payment/Advice
Boon-Chapman Benefit Administrators
Inc.
BoonChapman
74238
Payment/Advice
Brain and Spine Network
BSN01
Payment/Advice
Brickstreet
J1761
Payment/Advice
BridgeSpan
BRIDG
Payment/Advice
Bridgeview
FS802
Payment/Advice
Bright Health - Medicare Advantage
BRT01
Payment/Advice
Broadspire
C1056
TP021
Payment/Advice
Brokerage Concepts
Health Now Administrative Services
51037
Payment/Advice
Brookshire Grocery Company
J2222
Payment/Advice
Brotherhood Mutual Insurance
J1445
Payment/Advice
Brown & Toland Medical Group
94316
Payment/Advice
Brownfield ISD
J1123
Payment/Advice
Brownyard Group Inc. (Arch Insurance)
Selman & Company
11150
Payment/Advice
Brunswick Corporation
J1032
Payment/Advice
Buffets Inc
J1501
Payment/Advice
Bunch and Associates
J1435
Payment/Advice
Burlington Coat Factory Wareho
J1033
Payment/Advice
C & S Wholesale Grocers
J2095
Payment/Advice
CA Home Health & Hospice
12M98
Payment/Advice
Caliber Holdings Corporation
J1979
Payment/Advice
California Agricultural Network Sig
J2227
Payment/Advice
California Fair Services Authority
J1535
Payment/Advice
California Healthcare Industry Program
J2228
Payment/Advice
California Medicaid
SKCA3
Payment/Advice
California Pacific Medical Center
94056
Payment/Advice
California State Government Programs
CA Healthy Families
CPPCA
Payment/Advice
Caloptima
Cal-Optima Direct
CALOPTIMA DIRECT
CALOP
Payment/Advice
Camp Lejune Family Member Program
CLFM1
Payment/Advice
Can Select Personal
J2224
Payment/Advice
Can Summit Logistics
J2225
Payment/Advice
Cannon Cochran Management Services Inc. Metairie LA
71057
Payment/Advice
Capistrano Unified School District (CA)
J1637
Payment/Advice
Capital Blue Cross
12B61
Payment/Advice
Capital Blue Cross/CAIC
23045
Payment/Advice
Capital District Physician's Health Plan
SX065
Payment/Advice
Capital Insurance Group Wc
J1980
Payment/Advice
Cardinal Innovations Healthcare Solutions
06607
Payment/Advice
Care Improvement Plus (CIP)
77082
Payment/Advice
Care Wisconsin FIrst Inc
27004
Payment/Advice
CARE1ST Health Plan California
C1SCA
Payment/Advice
CareCentrix
11345
Payment/Advice
CareConnect Insurance Company Inc
CareConnect Insurance Company
46227
Payment/Advice
CareFirst Administrators/NCAS
75190
Payment/Advice
Carefirst of Maryland Inc.
00580
Payment/Advice
Carefirst of Maryland Inc.
SB690
Payment/Advice
Carelink Health Plan
Anthem BCBS Kentucky
Blue Cross of Kentucky
00160
Payment/Advice
CareMore
CM001
Payment/Advice
CareOregon Inc.
93975
Payment/Advice
CarePlus Health Plans Inc.
65031
Payment/Advice
Caresource Georgia
Caresource of Georgia
GACS1
Payment/Advice
Caresource Humana
CareSource KY
CareSource of Kentucky
KYCS1
Payment/Advice
Caresource Indiana
CareSource Marketplace
Caresource Indiana Inc
INCS1
Payment/Advice
Caresource Ohio
CareSource OH
CareSource of Ohio
31114
Payment/Advice
CareWest
J2258
Payment/Advice
Careworks Consultants Inc(aka Careworks USA & CCI) Ohio Only
J1866
Payment/Advice
Carhartt
J1931
Payment/Advice
Carrollton Farmers Branch ISD
J2255
Payment/Advice
Casitas Municipal Water District (CA)
J1630
Payment/Advice
CC-Development Group Inc.
J1900
Payment/Advice
Cedars Sinai Medical
95164
Payment/Advice
Celtic Insurance
68063
Payment/Advice
Cencal Health
99111
Payment/Advice
CenCal Health
95386
Payment/Advice
Cendant Corporation
J1034
Payment/Advice
Cenpatico Behaviioral Health of Arizona
38048
Payment/Advice
Cenpatico Behavioral Health
MS - Cenpatico Mississippi
68068
Payment/Advice
Centene Health
Superior Health Plan Texas
Ambetter from Coordinated Care
Coordinated Care
Western Sky Community Care
68069
Payment/Advice
CentraCare
66698
Payment/Advice
Central California Alliance for Health
SX169
Payment/Advice
Central California Women's Health
Central California Womens Health
WH001
Payment/Advice
Central Contra Costa Transit Authority
J1605
Payment/Advice
Central Hockey League
J1035
Payment/Advice
Central Pennsylvania Teamsters Fund
23626
Payment/Advice
Central States Joint Board Health and Welfare Fund
37214
Payment/Advice
Central Texas Iron Works
J2293
Payment/Advice
Central Valley Medical Group
77035
Payment/Advice
Chaffey Joint Union H. S. District (CA)
J1646
Payment/Advice
ChampVA HAC Medicare Crossover
80214
Payment/Advice
CHAMPVA - HAC
CHAMPVA
84146
Payment/Advice
Change Healthcare Comp Billing
57570
Payment/Advice
Charming Shoppes Inc.
J1036
Payment/Advice
CHCS Services Inc.
75895
Payment/Advice
CHCS Services
CHCS Services Incorporated
59295
Payment/Advice
Cherokee Insurance
J1970
Payment/Advice
Chesterfield Resources Inc.
Chesterfield Resources
Salvation Army
34154
Payment/Advice
Chesterfield Services Inc.
J1479
Payment/Advice
Chicago Regional Council of Carpenters Welfare Fund
36222
Payment/Advice
Chico's Fas Inc
J2315
Payment/Advice
Children's Specialists of San Diego
Childrens Specialist of San Diego
CSSD2
Payment/Advice
Chinese Community Health Plan
94302
Payment/Advice
Christus Health Medicare Advantage
Gateway Health Plan
10629
Payment/Advice
Christus Health New Mexico HIX
21062
Payment/Advice
CHRISTUS Health Plan TX HIX
52106
Payment/Advice
Christus Texas Medicaid
45210
Payment/Advice
Chubb (legacy Chubb & Son)
C1052
Payment/Advice
Chubb (legacy Chubb & Son) WC
J1554
Payment/Advice
Church Mutual Insurance Company - (AUTO ONLY)
J1264
Payment/Advice
Church Mutual Insurance Company - (LIAB ONLY)
J1266
Payment/Advice
Church Mutual Insurance Company - (WC ONLY)
J1265
Payment/Advice
Church Mutual Insurance Company (WC ONLY)
J1725
Payment/Advice
CIGA
J1532
Payment/Advice
Cigna - NON-HAP Members Only - JVHL
58580
Payment/Advice
CIGNA
Cigna Healthcare (Medical)
62308
Payment/Advice
Citizens Insurance Company of America
J1582
Payment/Advice
Citrus Valley Health Partners
J1613
Payment/Advice
Citrus World Inc
J1945
Payment/Advice
City and County of San Francisco (CCSF)
J1885
Payment/Advice
City Of Arlington
A0033
Payment/Advice
City of Birmingham
J2359
Payment/Advice
City of Chino
J2306
Payment/Advice
City of Compton
J2202
Payment/Advice
City of Costa Mesa
J2343
Payment/Advice
City of Dallas
J1441
Payment/Advice
City Of El Paso
A0046
Payment/Advice
City of Fort Collins (CO)
J2272
Payment/Advice
City of Fort Lauderdale
J2266
Payment/Advice
City of Fort Worth (TX)
J1680
Payment/Advice
City of Fountain Valley (CA)
J1632
Payment/Advice
City of Fresno FPOA ADR1
J2337
Payment/Advice
City of Gardena (CA)
J1634
Payment/Advice
City of Hayward
J2248
Payment/Advice
City of Huntsville
J2340
Payment/Advice
City of Jacksonville
J1504
Payment/Advice
City of Kansas City MO
J2389
Payment/Advice
City of La Mesa 11 (CA)
J1711
Payment/Advice
City of Laguna Hills (CA)
J1653
Payment/Advice
City of Lake Charles (La)
J1981
Payment/Advice
City of Lakeland
J2347
Payment/Advice
City of Los Angeles
J1536
Payment/Advice
City of Miami Beach (FL)
J1946
Payment/Advice
City of Minneapolis
J1269
Payment/Advice
City of Montebello (CA)
J1640
Payment/Advice
City of Napa
J2217
Payment/Advice
City of New Orleans (LA)
J2309
Payment/Advice
City of Omaha (NE)
J1721
Payment/Advice
City of Pasadena (CA)
J1657
Payment/Advice
City of Pompano Beach (FL)
J1947
Payment/Advice
City of Redding (CA)
J1617
Payment/Advice
City of Rialto CA
J1901
Payment/Advice
City of Salinas
J1849
Payment/Advice
City of San Diego
J1497
Payment/Advice
City of San Mateo (CA)
J1727
Payment/Advice
City Of Santa Ana
J2155
Payment/Advice
City of Stanton (CA)
J1636
Payment/Advice
City of Stockton (CA)
J1664
Payment/Advice
City of Topeka (KS)
J1607
Payment/Advice
City of Tucson
J1982
Payment/Advice
City of Upland (CA)
J1645
Payment/Advice
City of West Covina (CA)
J1649
Payment/Advice
City of West Palm Beach (FL)
J1948
Payment/Advice
City of Yorba Linda (CA)
J1708
Payment/Advice
Claims Administrative Services (CAS)
J1271
Payment/Advice
Classic Residence By Hyatt
J1037
Payment/Advice
Clear Spring Health of Illinois
66009
Payment/Advice
Clougherty Packing LLC
J1739
Payment/Advice
Clover Health
77023
Payment/Advice
CMS MMA Specialty Plan
EM843
Payment/Advice
CNA Insurance
20443
Payment/Advice
CNA Insurance (AUTO Only)
C1035
Payment/Advice
CO Medicare Part A (J4 - Trailblazer)
12M03
Payment/Advice
CO NM OK TX - MEDICARE PART A (MAC J4) LEGACY WPS
12M88
Payment/Advice
Coachella Valley Water District (CA)
J1902
Payment/Advice
Coca-Cola Enterprises Inc.
J1038
Payment/Advice
COIT
J2259
Payment/Advice
Colonial Life
37077
Payment/Advice
Colorado Access
84129
Payment/Advice
Colorado Access
Colorado Access (837P & 837)
COACC
Payment/Advice
Colorado Anthem Blue Cross Blue Shield
Blue Shield of Colorado
Colorado Anthem Blue Cross and Blue Shield
COBLS
Payment/Advice
Colorado Medicaid
SKCO0
Payment/Advice
Columbia Sussex Corporation
J1039
Payment/Advice
Commonwealth Care Alliance
Community Care Alliance
14315
Payment/Advice
Community Care BHO
23282
Payment/Advice
Community Care Inc. - Family Care (Wisconsin)
60995
Payment/Advice
Community Care Inc. (Wisconsin)
39126
Payment/Advice
Community Care Managed Health Care Plans of Oklahoma
73143
Payment/Advice
Community Development Commission (CA)
J1655
Payment/Advice
Community First Health Plan
42723
Payment/Advice
Community Health Center Network
CHCN1
Payment/Advice
Community Health Choice
48145
Payment/Advice
Community Health Group
66170
Payment/Advice
Community Health Plan Washington
Community Health Plan Of Washington
SB613
Payment/Advice
Comp West
J1925
Payment/Advice
Compass Group Usa Inc.
J1040
Payment/Advice
Complementary Healthcare Plan
CHP01
Payment/Advice
Compsych
37363
Payment/Advice
Con-Way Inc.
J1844
Payment/Advice
Conifer
J1774
Payment/Advice
Connecticare - Medicare
78375
Payment/Advice
ConnectiCare Inc
Connecticut General Life
06105
Payment/Advice
Connecticut Anthem Blue Cross Blue Shield
Blue Shield of Connecticut
Connecticut Anthem Blue Cross and Blue Shield
CTBLS
Payment/Advice
Connecticut Blue Cross (Anthem)
12B04
Payment/Advice
Connecticut Bluecare Family Plan (835s returned under CTBLS)
C3BLS
Payment/Advice
Connecticut Medicaid
CKCT1
Payment/Advice
Connecticut Medicaid
12K04
Payment/Advice
Connecticut Medicaid
SKCT0
Payment/Advice
Conseco Services LLC
11285
Payment/Advice
Consociate Group
37135
Payment/Advice
Consolidated Health Plans
87843
Payment/Advice
Contech Construction Products
J1041
Payment/Advice
Contessa Health
CH201
Payment/Advice
Continental Airlines
J1042
Payment/Advice
Contra Coastal County Schools Insurance Group (CCCSIG)
J1715
Payment/Advice
Contra Costa County Health Plan
CNTRA
Payment/Advice
Convergys Corporation
J1043
Payment/Advice
Cook Children's Dental
CPPCC
Payment/Advice
Cook Childrens Health Plan CHIP
Cook Children's Health Plan
Cook Childrens Health Plan
CCHP1
Payment/Advice
Coordinated Benefit Plan
Coordinated Benefit Plans
14829
Payment/Advice
CoreSource Detroit
38225
Payment/Advice
CoreSource KC
48117
Payment/Advice
CoreSource Little Rock
75136
Payment/Advice
CoreSource NC IN
CoreSource MD PA IL
35182
Payment/Advice
CoreSource-Internal
Core Source
35187
Payment/Advice
Corinthian Colleges
J1517
Payment/Advice
Correctional Management Service
J1044
Payment/Advice
Corrections Corp of America
J1045
Payment/Advice
Corrections Corporation of America (CCA)
J1942
Payment/Advice
Cottingham & Butler Claim Services Inc.
J1683
Payment/Advice
Cottingham and Butler
J2089
Payment/Advice
Country Mutual Insurance Company
J1702
Payment/Advice
County of Chesterfield VA
J1525
Payment/Advice
County of Humboldt (CA)
J1603
Payment/Advice
County of Kern
J1935
Payment/Advice
County of Los Angeles (3000)
J1967
Payment/Advice
County of Los Angeles (AIMS Santa Clarita)
J1723
Payment/Advice
County of Los Angeles (CA)
J1625
Payment/Advice
County of Los Angeles (Tristar Santa Ana)
J1722
Payment/Advice
County of Monterey
J2229
Payment/Advice
County of Sacramento
J2290
Payment/Advice
County of San Diego
J1513
Payment/Advice
County of Santa Barbara-Non-CSAC (CA)
J1631
Payment/Advice
County of Shasta (CA)
J1616
Payment/Advice
County of Sonoma (CA)
J1662
Payment/Advice
County of Tulare (CA)
J1666
Payment/Advice
County of Ventura
J2204
Payment/Advice
CountyCare
County Care
06541
Payment/Advice
Covenant Administrators Inc. (Atlanta GA)
Covenant Administrators Incorporated (Atlanta
Georgia)
58102
Payment/Advice
Coventry Health Care of Kansas (Kansas City & Wichita)
University of Missouri
25133
Payment/Advice
COVID19 HRSA Uninsured Testing and Treatment Fund
95964
Payment/Advice
Coworx Staffing LLC
J1046
Payment/Advice
Cox Health Plan
00019
Payment/Advice
Crescent Crown Distributing
J1965
Payment/Advice
Crosby ISD
J2263
Payment/Advice
Crystal Run Health Plans
46120
Payment/Advice
CT Medicare Part A (J13 - NGS)
12M04
Payment/Advice
CT Medicare Part B (J13 - NGS)
SMCT0
Payment/Advice
CTI Administrators Inc.
42141
Payment/Advice
DakotaCare
DAK01
Payment/Advice
Dallas Independent School District
J1494
Payment/Advice
Danaher Corporation
J1051
Payment/Advice
Darigold
J1936
Payment/Advice
Dart Management Corporation
06172
Payment/Advice
DC Medicare Part A (MAC JL)
WV Medicare Part A (J11)
See Comments
Payment/Advice
DC Medicare Part B (MAC JL)
SMDC0
Payment/Advice
DE - MEDICARE PART A (MAC JL)
Empire Medicare Services
12M76
Payment/Advice
De Bartolos Inc
J1058
Payment/Advice
DE Medicare Part B (MAC JL)
SMDE0
Payment/Advice
Dean Health Plan
39113
Payment/Advice
Dearborn National
00TBA
36123
Payment/Advice
DeCare Dental Health Insurance
07035
Payment/Advice
Definiti
J2336
Payment/Advice
Del Taco LLC
J1681
Payment/Advice
Delaware Medicaid
SKDE0
Payment/Advice
Delaware Medicaid
Medicaid of Delaware
Medicaid of Delaware
DEMCD
Payment/Advice
Dell Childrens Health Plan
DCHPM
Payment/Advice
Dell Inc
J1983
Payment/Advice
Delta Dental (Northeast) (ME NH VT)
Northeast Delta Dental (ME NH VT)
02027
Payment/Advice
Delta Dental Insurance Co. (DDIC)
Delta Dental of Utah (DDIC)
94276
Payment/Advice
Delta Dental of Arizona
86027
Payment/Advice
Delta Dental of Arkansas
CDAR1
Payment/Advice
Delta Dental of California - CA00 Claim Office
77777
Payment/Advice
Delta Dental of California/Tricare Retiree Dental
CDCA1
Payment/Advice
Delta Dental of Delaware
51022
Payment/Advice
Delta Dental of Idaho
82029
Payment/Advice
Delta Dental of Illinois Group Plans
05030
Payment/Advice
Delta Dental of Indiana
CDIN1
Payment/Advice
Delta Dental of Iowa
CDIA1
Payment/Advice
Delta Dental of Iowa - Dental Wellness Plan
CDIAM
Payment/Advice
Delta Dental of Kansas
CDKS1
Payment/Advice
Delta Dental of Kentucky
CDKY1
Payment/Advice
Delta Dental of Maryland and Pennsylvania
23166
Payment/Advice
Delta Dental of Massachusetts
04614
Payment/Advice
Delta Dental of Michigan
CDMI0
Payment/Advice
Delta Dental of Minnesota
CDMN1
Payment/Advice
Delta Dental of Nebraska
CDNE1
Payment/Advice
Delta Dental of New Jersey
22189
Payment/Advice
Delta Dental of New Mexico
85022
Payment/Advice
Delta Dental of North Carolina
56101
Payment/Advice
Delta Dental of North Dakota
CDND1
Payment/Advice
Delta Dental of Ohio
CDOH1
Payment/Advice
Delta Dental of Tennessee
CDTN1
Payment/Advice
Delta Dental of Washington
91062
Payment/Advice
Delta Dental of Washington DC
52147
Payment/Advice
Delta Dental of West Virginia
31096
Payment/Advice
Delta Dental of Wisconsin
39069
Payment/Advice
Delta Dental Puerto Rico
66043
Payment/Advice
Delta Health Systems
DHS01
Payment/Advice
DeltaCare USA Claims
DDCA2
Payment/Advice
DeltaCare USA Encounters
DDCA3
Payment/Advice
Denex Dental
CX049
Payment/Advice
Dental Select
CX093
Payment/Advice
DentaQuest - Government Plans
CX014
Payment/Advice
Dentegra
88888
Payment/Advice
Denti-Cal / Medicaid of California
94146
Payment/Advice
Denver City ISD
J1124
Payment/Advice
Department of Energy
J1449
Payment/Advice
Department of Labor (including Postal Employees)
J1438
Payment/Advice
Department of Labor Black Lung
J1448
Payment/Advice
Department of Water & Power of the City of Los Angeles LADWP
J1514
Payment/Advice
Diamond Insurance Group LTD
J2140
Payment/Advice
Dignity Health - Sacramento Hosp claim shop-Mercy Med Group
HOSH1
Payment/Advice
Dignity Health Med Found for Mercy Med Gr-Woodland Clin Med
PROH1
Payment/Advice
Dignity Health Med Group-Inland Empire (professional risk)
PROH4
Payment/Advice
Directory Distributing Assoc.
J1059
Payment/Advice
Discount Tire
J1611
Payment/Advice
Discover Re (Burger King)
J1060
Payment/Advice
Disneyland Resorts (Bunch)
J1933
Payment/Advice
District No. 9. I. A. of M. & A.W. Welfare Trust
District No. 9 I. A. of M. & A. W. Welfare Trust
MWELT
Payment/Advice
District of Columbia Medicaid
CKDC1
Payment/Advice
District of Columbia Medicaid
12001
Payment/Advice
District of Columbia Medicaid
SKDC0
Payment/Advice
DMBA
SX105
Payment/Advice
DME Region D (DMERC D)
SDMED
Payment/Advice
DME Region D
DMERC Region D Testing is required for claims requiring CMNs
DMERD
Payment/Advice
DMERC Region A Testing is required for claims requiring CMNs
DME Region A
DMERA
Payment/Advice
DMERC Region B Testing is required for claims requiring CMNs
DME Region B
DMERB
Payment/Advice
DMERC Region C Testing is required for claims requiring CMNs
DME Region C
DMERC
Payment/Advice
DQ/Emblem (Emblem Health Medicaid)
EMBDQ
Payment/Advice
Driscoll Children's Health Plan
74284
Payment/Advice
DSW Inc.
J2273
Payment/Advice
Duke University
J2212
Payment/Advice
Dunn
61364
Payment/Advice
Dunn and Associates Benefits Administrators Inc.
35186
Payment/Advice
Dunn-Edwards Corporation
J1061
Payment/Advice
Dupage Medical Group
DUPAG
Payment/Advice
Durham County NC
J1994
Payment/Advice
Duty Free Stores
J2252
Payment/Advice
Dynamex Inc.
J1062
Payment/Advice
East Carolina Behavioral Health
56089
Payment/Advice
Eastern Alliance (EA)
J2143
Payment/Advice
Eastman Kodak Company
J1903
Payment/Advice
Eberle Vivian
J2135
Payment/Advice
EBMS
SX182
Payment/Advice
Eddy SeniorCare
08754
Payment/Advice
El Centro Regional Medical Center
J2362
Payment/Advice
El Paso Community College (Tx Jur)
A0106
Payment/Advice
El Paso First Health Plans - CHIP
El Paso First - CHIP
El Paso First - CHIP I Par Plus
EPF03
Payment/Advice
El Paso Water Util TX Jur
J1017
Payment/Advice
El Pollo Loco
J1737
Payment/Advice
ElderPlan Inc.
31625
Payment/Advice
Elderwood Health
03964
Payment/Advice
Electrical Welfare Trust Fund
52611
Payment/Advice
Element Care Inc
04326
Payment/Advice
Emblem Health (GHI - New York Group Health Inc.)
13551
Payment/Advice
EMCASCO Insurance Co. - WC Only
21407
Payment/Advice
Emeritus Corporation
J1679
Payment/Advice
EMI HEALTH
SX110
Payment/Advice
EMI Health
CX079
Payment/Advice
Empire Blue Cross Blue Shield
CBNY1
Payment/Advice
Empire Blue Cross Blue Shield HealthPlus
27514
Payment/Advice
Empire Omnipro (BC NY City)
12B36
Payment/Advice
Employee Benefit Services (Ft. Mill SC)
37216
Payment/Advice
Employee Benefits Plan Administration Inc. (E.B.P.A.)
03036
Payment/Advice
Employers General Insurance Group
J1696
Payment/Advice
Employers Mutual Inc.
59297
Payment/Advice
Employers Mutual
Web TPA Inc.of TX
59332
Payment/Advice
Employers Preferred Insurance Company
J1232
J1912
Payment/Advice
Entertainment Employees WC Program
J2265
Payment/Advice
Envirosource
J1063
Payment/Advice
Envolve Health
46278
Payment/Advice
EON Health
73780
Payment/Advice
Equian
J2090
Payment/Advice
Ergon Inc
J1952
Payment/Advice
ERMC
J1022
Payment/Advice
ESIS
TP043
Payment/Advice
ESIS - Kelly Services
J1451
Payment/Advice
ESIS - Lockheed Martin Corporation
J1454
Payment/Advice
ESIS (First American Insurance Co)
J1064
Payment/Advice
Essence Healthcare
20818
Payment/Advice
Esurance Inc.
30210
Payment/Advice
Esurance Insurance Company
25712
Payment/Advice
Everence
35605
Payment/Advice
eviCore
62160
Payment/Advice
Evolution Insurance Company
J1065
Payment/Advice
Excellus - BCBS Utica Watertown
BCBS Utica Watertown / RMSCO Inc. Claims
SB806
Payment/Advice
Excellus - Blue Cross Blue Shield of Central New York
Blue Cross Blue Shield of Central New York
SB805
Payment/Advice
Excellus - Blue Cross/Blue Shield Rochester Area
Excellus BCBS New York Rochester Area
SB804
Payment/Advice
Extended Care MTC
46166
Payment/Advice
Exxon Mobil Corporation
J1606
Payment/Advice
F.A. Richard & Associates (FARA)
TP044
Payment/Advice
Fabcon
J2209
Payment/Advice
Factory 2 U
J1019
Payment/Advice
Fairchild Fasteners
J1624
Payment/Advice
Fairfax County Government
J1884
Payment/Advice
Fairmont Specialty Insurance Company - TX
J1697
Payment/Advice
Fairview Health Services
J1618
Payment/Advice
Fallon Community Health
Fallon Community Health Plan
22254
Payment/Advice
Family Health Network
Community Care Alliance of IL
85468
Payment/Advice
Farm Bureau Health Plans
62045
Payment/Advice
Farmers (Mid-Century Insurance Company)
J1710
Payment/Advice
Farmers (Civic Property and Casualty Company )
J1687
Payment/Advice
Farmers (Exact Property and Casualty Company)
J1703
Payment/Advice
Farmers (Fire Insurance Exchange)
J1706
Payment/Advice
Farmers (Neighborhood Spirit Property and Casualty Company)
J1701
Payment/Advice
Farmers (Truck Insurance Exchange)
J1713
Payment/Advice
Farmers Insurance (AUTO Only)
C1025
Payment/Advice
Farmers Insurance Exchange
J1563
Payment/Advice
FCCI
J1830
Payment/Advice
Federal Employee Program (Connecticut)
CT Federal Employee Program (835s returned under CTBLS)
C2BLS
Payment/Advice
Federal Mogul
J2361
Payment/Advice
Federal Qualified Hlthcr Cntr via UGS
Federally Qualified Healthcare Clinic
FQHC1
Payment/Advice
Federated Department Stores Inc
J1297
Payment/Advice
Federated Mutual Insurance
41041
Payment/Advice
Federated Rural Electric (TX)
11118
Payment/Advice
Federated Services Insurance Company
13935
28304
Payment/Advice
Fidelis Care New York
11315
Payment/Advice
Fincor
J2200
Payment/Advice
Fireman's Fund Insurance Company
21873
Payment/Advice
First Carolina Care
56196
Payment/Advice
First Choice Health Network
Sound Health (now known as First Choice Health Network)
91131
Payment/Advice
First Choice VIP Care Plus - SC
77009
Payment/Advice
First Reliance Standard (NY Business)
13317
Payment/Advice
FirstCare
94999
Payment/Advice
FirstCare Medicaid
FirstCare Star Medicaid
94998
Payment/Advice
FKI Industries Inc.
J1047
Payment/Advice
FL Medicare Part A (J9 First Coast)
12M34
Payment/Advice
FL Medicare Part B (J9 First Coast)
SMFL0
Payment/Advice
Flex Compension
R7004
Payment/Advice
Florida Combined Life
Administrative Services Inc.
CBFLU
Payment/Advice
Florida Community Care
FLCCR
Payment/Advice
Florida Medicaid
SKFL0
Payment/Advice
Fnd For Medicare of Tulare & Kings Counties Inc
85362
Payment/Advice
FOJP Service Corporation
J2269
Payment/Advice
Foremost
11185
Payment/Advice
Forestry Mutual Insurance Company
J2153
Payment/Advice
Forge Industrial Staffing
J1529
Payment/Advice
Fortis Benefits Ins Co (known as Union Security Insurance Co
Union Security Insurance Company
70408
Payment/Advice
Foundation Benefit Admin. (FBA) - Boon Group
Foundation Benefit Admin /Contractor Employee Benefits Admin
BOONG
Payment/Advice
Fox-Everett
Inc. (10-1-15 Re-enrollment needed.)
Fox-Everett Inc.
64069
Payment/Advice
Franciscan Alliance
J1883
Payment/Advice
Frankenmuth Mutual
J1440
Payment/Advice
Freedom Health Plan
41212
Payment/Advice
Frenship ISD
J1125
Payment/Advice
Fresno PACE
99660
Payment/Advice
Fresno Unified School District
J2357
Payment/Advice
Friedkin Companies Inc
J1984
Payment/Advice
Fullerton Union High School District (CA)
J1633
Payment/Advice
G&A Partners
J2288
Payment/Advice
GA - BCBS
CBGA1
Payment/Advice
GA MEDICARE A (MAC JJ)
12M05
Payment/Advice
GA MEDICARE B (MAC JJ)
SMGA0
Payment/Advice
GAB Robbins
TP117
Payment/Advice
Gallagher Bassett
TP057
Payment/Advice
Gallagher Bassett - Former Chubb Services Claims
J1561
Payment/Advice
Gallo
J2257
Payment/Advice
Garden Grove Unified School District
J1519
Payment/Advice
Gates Corp Dba Gates Rubber Co
J1066
Payment/Advice
Gateway Health Plan - Medicare Assured
60550
Payment/Advice
Gateway Health Plan Medicaid PA
25169
Payment/Advice
Gateway Health Plan OH- Medicare Assured
91741
Payment/Advice
GE Auto
J1557
Payment/Advice
Geisinger Health Plan
75273
Payment/Advice
General Parts International
J1678
Payment/Advice
Generations-Hillcrest
46051
Payment/Advice
Genesys PACE
38237
Payment/Advice
Genex Care for Ohio
J1895
Payment/Advice
GEO
J1461
Payment/Advice
Georgia Medicaid
CKGA1
Payment/Advice
Georgia Medicaid
SKGA0
Payment/Advice
Georgie's Inc.
J2137
Payment/Advice
GHI HMO
25531
Payment/Advice
GHI Medicare Part B of New York
Medicare Part B GHI
GHMCR
Payment/Advice
Gillette Children's Specialty Healthcare
J1927
Payment/Advice
Gilsbar Inc.
07205
Payment/Advice
Global Care Incorporated
Global Care Inc.
07689
Payment/Advice
Globe Life And Accident Insurance Company
91472
Payment/Advice
Golden Corral Corporation
J1067
Payment/Advice
Golden State Medical Group
Sierra Nevada Medical Association
MBA01
Payment/Advice
Golden West Dental
GWD01
Payment/Advice
Goodrich
J1462
Payment/Advice
Goodwill Industries
J1621
Payment/Advice
Government Employees Health Association (GEHA)
44054
Payment/Advice
Grand River Insurance
C1038
J1566
Payment/Advice
Grange WC
14060
Payment/Advice
Graphic Arts Mutual
25984
Payment/Advice
Great American Alliance Ins Co.
26832
Payment/Advice
Great American Assurance Company
26344
Payment/Advice
Great American Ins. Co.
16691
Payment/Advice
Great American Ins. Co. of N.Y.
22136
Payment/Advice
Great Central
J1308
Payment/Advice
Great Divide Insurance
25224
Payment/Advice
Great Lakes PACE
39640
Payment/Advice
Great Plains Medicare Advantage of Nebraska
GPNE1
Payment/Advice
Great Plains Medicare Advantage of North Dakota
GPND1
Payment/Advice
Great Plains Medicare Advantage of South Dakota
GPSD1
Payment/Advice
Great-West Healthcare
Great West
80705
Payment/Advice
Green Diamond WA
J1642
Payment/Advice
Grinnell
J1541
Payment/Advice
Grinnell Reinsurance Company
J1571
Payment/Advice
Group and Pension Administrators
Group Plan Administrators
48143
Payment/Advice
Group Benefit Administrators (Hendersonville TN)
72153
Payment/Advice
Group Dental Services
CX036
Payment/Advice
Group Health Cooperative of Eau Claire
95192
Payment/Advice
Group Health Cooperative of South Central Wisconsin
39167
Payment/Advice
Group Health Cooperative of Washington State
Kaiser Foundation Health Plan of Washington Options Inc
91051
Payment/Advice
Gse Lining Technology Inc.
J1068
Payment/Advice
Guardian Life Insurance Company of America
64246
Payment/Advice
GuideOne Elite Insurance
J1590
Payment/Advice
GuideOne Mutual Insurance
J1574
Payment/Advice
Guidewell Mutual Holding
J2345
Payment/Advice
Guildnet
36057
Payment/Advice
Gundersen Lutheran Health Plan Inc.
39180
Payment/Advice
H & R Block
J1672
Payment/Advice
Habit Restaurants LLC
J2363
Payment/Advice
Hamaspik Choice
47738
Payment/Advice
Hannaford
J1463
Payment/Advice
Hanover Insurance Company
J1693
Payment/Advice
Hanover Lloyd's Insurance Company
J1588
Payment/Advice
Harbor Health Plan
70259
Payment/Advice
Harbor Health Plan - JVHL
74080
Payment/Advice
Harken Health
Nevada Medicaid
10152
Payment/Advice
Harleysville Insurance Company
J1595
Payment/Advice
Harmony Health Plan of Illinios
Harmony Health Plan of IL 837pRemits returned under 14163
Harmony Health Plan of IL(Wellcare Prov ID 800 960 2530 2 5
36406
Payment/Advice
Harmony Health Plan of Indiana
Harmony Health Plan of IN (837p) Remits returned under 14163
Harmony Health Plan of IA ( claims for Hoosier Healthwise me
36405
Payment/Advice
Hartford Accident and Indemnity Company
C1046
Payment/Advice
Hartford Casualty Insurance Company
C1041
Payment/Advice
Hartford Insurance Company of the Midwest
C1043
Payment/Advice
Hartford Life and Accident Insurance Company
C1044
Payment/Advice
Hartford Life and Annuity Insurance Company
C1047
Payment/Advice
Hartford Life Insurance Company
C1045
Payment/Advice
Hartford Underwriters Insurance Company
C1042
Payment/Advice
Harvard Community Health Plan
04245
Payment/Advice
Harvard Maintenance
J2388
Payment/Advice
Harvard Pilgrim Healthcare
Harvard Pilgrim Health Care
04271
Payment/Advice
Hawaii 835 (ERA/EFT) line of business
40523
Payment/Advice
Hawaii Management Alliance Association (HMAA)
48330
Payment/Advice
Hawaii Medical Service Association (HMSA)
HMSA1
Payment/Advice
Hawaii Medical Service Association (HMSA)
SB971
Payment/Advice
HCA-Hosptial Corporation of America
J1450
Payment/Advice
Health Alliance Medical Plans
77950
Payment/Advice
Health Care Partners AZ
Health Care Partners of AZ
Health Care Partners -AZ (Dates of Service of 5-01-13&later)
HCP02
Payment/Advice
Health Choice Arizona
62179
Payment/Advice
Health Choice Generations
62180
Payment/Advice
Health Choice Insurance Co
46221
Payment/Advice
Health Choice Integrated Care
22100
Payment/Advice
Health Choice of Oklahoma
HealthChoice Oklahoma
71064
Payment/Advice
Health Choice Utah
45399
Payment/Advice
Health Cost Solutions
62111
Payment/Advice
Health First - Tyler
TX
Health First TPA Tyler
Healthfirst TPA
75234
Payment/Advice
Health First Health Plan Inc.
15064
Payment/Advice
Health Net of Arizona
38309
Payment/Advice
Health Net of California and Oregon
Health Net of California
95567
Payment/Advice
Health Network One
65062
Payment/Advice
Health New England
04286
Payment/Advice
Health Partners of PA
Health Partners PA
80142
Payment/Advice
Health Payment Systems
Health Payment Systems Inc.
20270
Payment/Advice
Health Plan of Michigan - JVHL
32130
Payment/Advice
Health Plan of San Joaquin
San Joaquin Health Administrators
68035
Payment/Advice
Health Plan of San Mateo
SX174
Payment/Advice
Health Plan San Mateo
Health Plan of San Mateo
HPSM1
Payment/Advice
Health Plans Inc.
44273
Payment/Advice
Health Safety Net
CKHSN
Payment/Advice
Health Services for Children with Special Needs
37290
Payment/Advice
Health Services Management
41150
Payment/Advice
Health Services Management (HSM)
San Judas Medical Group IPA
HSM01
Payment/Advice
Health Traditions
Health Tradition Health Plan
HLTHT
Payment/Advice
Healthcare Highways
HCH01
Payment/Advice
Healthcare Management Administrator
Healthcare Management Administrators
Inc. (also known as HMA
servicing Western Region)
Healthcare Management Administrators Inc.
HMA01
Payment/Advice
Healthcare Solutions Group
73147
Payment/Advice
Healthcomp Incorporated
Healthcomp Inc.
85729
Payment/Advice
Healthgram Inc (formerly known as Primary Physician Care)
Healthgram Inc
Healthgram Inc.
56144
Payment/Advice
Healthlink HMO
96475
Payment/Advice
HealthNow - Blue Cross Blue Shield of Western NY
SB801
Payment/Advice
HealthNow - Blue Cross Blue Shield of Western NY
Blue Cross of New York
Western (835s returned under N1BLS)
12B39
Payment/Advice
HealthPartners
44547
Payment/Advice
HealthPartners MN
CX009
CX010
Payment/Advice
HealthPartners MN
12X51
Payment/Advice
HealthPartners MN
SX009
Payment/Advice
HealthPartners of Minnesota (aka CoOportunity Health)
HealthPartners of Minnesota
94267
Payment/Advice
Healthplex Inc.
11271
Payment/Advice
HealthSCOPE Benefits Inc.
HealthSCOPE Benefits Inc (Formerly CNA Health Partners of AR
71063
Payment/Advice
Healthsmart
J1481
Payment/Advice
HealthSmart (EDI #37224)
37224
Payment/Advice
HealthSmart Benefit Solutions
37272
Payment/Advice
HealthSpring - STAR+PLUS Only
Texas Healthspring
52192
Payment/Advice
HealthSpring HMO/HealthSpring Medicare+Choice
63092
Payment/Advice
HEALTHY BLUE NEBRASKA
00544
Payment/Advice
HealthyCT Inc
77180
Payment/Advice
Heartland Express
J1677
Payment/Advice
HEB Grocery Company LP
J2223
Payment/Advice
Help At Home Holding
J1985
Payment/Advice
Helpside Inc.
J2378
Payment/Advice
Hemet Unified School District (CA)
J1654
Payment/Advice
Hennepin Health
Benefit & Risk Management Services
99320
Payment/Advice
Hereford ISD
J2342
Payment/Advice
Heritage Group
J1069
Payment/Advice
Highmark BCBSD Health Options
47181
Payment/Advice
Highmark Blue Cross & Blue Shield of Pennsylvania
SB865
Payment/Advice
Highmark Senior Health
95462
Payment/Advice
Highmark Senior Health Company (PA Blue Shield Medicare Plan)
Highmark Senior Health Co (PA Blue Shield Medicare Plan
15460
Payment/Advice
Highmark Senior Solutions
95461
Payment/Advice
Highmark Senior Solutions Co (WV Blue Shield Medicare Plan
Highmark Senior Solution Co (a WV Blue Shield Medicare
15459
Payment/Advice
Hillshire Brands
J1959
Payment/Advice
Hilmar Cheese Company
J1833
Payment/Advice
HIP - Health Insurance Plan of Greater New York
55247
Payment/Advice
HMA Hawaii
86066
Payment/Advice
HMO Louisiana Inc
84555
Payment/Advice
HMS Host
J1612
Payment/Advice
Holly Farms Corp.
J1070
Payment/Advice
HOME HEALTH & HOSPICE - JURISDICTION A (MAC JK - NGS)
12HHA
Payment/Advice
HOME HEALTH & HOSPICE (MAC J15 - JURISDICTION B) CGS
12M97
Payment/Advice
Hoosier Care
Anthem BCBS Indiana
00630
Payment/Advice
Hoover
J2214
Payment/Advice
Hopkins Health Advantage
66003
Payment/Advice
Horizon Healthcare Dental Services
New Jersey Blue Cross Blue Shield (Horizon)
Horizon Healthcare of NY
22099
Payment/Advice
Horizon NJ Health
22326
Payment/Advice
Hospital Houskeeping Systems (HHS)
J2274
Payment/Advice
Household Merch Nni
J1071
Payment/Advice
Housing Authority El Paso (TX)
A0107
Payment/Advice
Houston Hunters Patrol Inc
J1020
Payment/Advice
Houston ISD
J1999
Payment/Advice
Howard County Government (MD)
J1888
Payment/Advice
Hughes Tool Company
J1072
Payment/Advice
Humana - JVHL
67300
Payment/Advice
Humana Insurance Company Choice Care Network
Humana Inc.
Humana
61101
Payment/Advice
Humana PR
L0200
Payment/Advice
Huron PACE
54750
Payment/Advice
Hutchinson Technology
J1626
Payment/Advice
I. E. Shaffer (West Trenton NJ)
22175
Payment/Advice
IA Medicare Part A (J5 - WPS)
12M10
Payment/Advice
IA Medicare Part B (J5 - WPS)
SMIA0
Payment/Advice
ICARE (Independent Care Health Plan)
Independent Care Health Plan
11695
Payment/Advice
iCircle Care
42660
Payment/Advice
iCircle Care of New York
33884
Payment/Advice
ICW (Insurance Co of the West)
27847
Payment/Advice
IDA
Insurance Design Administrators
13315
Payment/Advice
Idaho Medicaid
SKID0
Payment/Advice
Iheart Media Inc.
J2360
Payment/Advice
IL Medicare Part A (J6)
12M08
Payment/Advice
IL Medicare Part B (J6)
SMIL0
Payment/Advice
Illinois Casualty
J1575
Payment/Advice
Illinois EMCASCO
21415
Payment/Advice
IMCare
41600
Payment/Advice
IN Medicare Part A (J8)
12M09
Payment/Advice
IN Medicare Part B (J8)
SMIN0
Payment/Advice
Independence Administrators
TA720
Payment/Advice
Independent Health
SX073
Payment/Advice
Indiana Children's Special Healthcare
CX070
Payment/Advice
Indiana Department of Health - Children's Health - Claims
35600
Payment/Advice
Indiana Medicaid
CKIN1
Payment/Advice
Indiana Medicaid
SKIN0
Payment/Advice
Indiana ProHealth Network
35161
Payment/Advice
Indiana University Health Plan (Medicare)
95444
Payment/Advice
Individual Assurance Company
30360
Payment/Advice
Ingalls Provider Group
85578
Payment/Advice
Ingles Markets
J1907
Payment/Advice
Inland Empire Health Plan
IEHP1
Payment/Advice
Innovative Claim Solutions (ICS) - Rancho Cordova
J1599
Payment/Advice
Innovative Claim Solutions (ICS) - San Ramon
J1601
Payment/Advice
Innovative Risk Management (IRM)
J2152
Payment/Advice
Insilco Corp
J1073
Payment/Advice
Insurance Administrators of America Inc.
IAA
37279
Payment/Advice
Insurance Program Managers Group
Benefit Systems and Services
Inc.
Benefit Systems & Services
Inc. (BSSI)
36342
Payment/Advice
Integrity Mutual Insurance Company (WC Only)
14303
Payment/Advice
Integrity Mutual Insurance Company
BCBS of Missouri (Anthem)
10322
Payment/Advice
Interactive Medical Systems
56132
Payment/Advice
Intercare - Sussex
J1542
Payment/Advice
Intercare Holdings Insurance Services Inc.
J1957
Payment/Advice
Intermountain Healthcare
J2243
Payment/Advice
INTotal Health LLC
35115
Payment/Advice
Iowa Medicaid
CKIA1
Payment/Advice
Iowa Medicaid
12K10
Payment/Advice
Iowa Medicaid
SKIA0
Payment/Advice
Iowa Select Farms
J2364
Payment/Advice
IPMG Claims Mngmt Services (Insurance Program Managers Group
J1887
Payment/Advice
Irex Corporation
J1074
Payment/Advice
IRM - Signal State Act VIA ASG
J2287
Payment/Advice
Ironworking Contract I.P.
J1075
Payment/Advice
Island Home Insurance Company
85502
Payment/Advice
ISS Facility Services
J2276
Payment/Advice
iSURITY
J1911
Payment/Advice
J B Hunt Transport Inc.
A0138
Payment/Advice
J1 MAC Medicare Part A (CAHINV)
12M64
Payment/Advice
Jai Medical Systems
JAI Medical
JAI01
Payment/Advice
John Muir Mt. Diablo Health System
John Muir Physician Network
68036
Payment/Advice
Johns Hopkins Healthcare (EHP/PP)
52189
Payment/Advice
Johns Hopkins Healthcare (USFHP)
52123
Payment/Advice
Joint Powers Insurance Authority (JPIA)
J2291
Payment/Advice
Jones Truck LinesInc.
J1076
Payment/Advice
Juvenile Jail Facility Managem
J1077
Payment/Advice
Kaiser CSI California Select For Individuals
Kaiser Self Funded
94320
Payment/Advice
Kaiser Foundation Health Plan of CO (Remits returned KAISR)
COKSR
Payment/Advice
Kaiser Foundation Health Plan of Colorado
91617
Payment/Advice
Kaiser Foundation Health Plan of GA(835 returned under KAISR
NG010
Payment/Advice
Kaiser Foundation Health Plan of Mid-Atlantic St(835 KAISR
Kaiser Foundation Health Plan of the Mid-Atlantic
Kaiser Foundation Health Plan of the Mid Atlantic
NG008
Payment/Advice
Kaiser Foundation Health Plan of Northern CA Region
94135
Payment/Advice
Kaiser Foundation Health Plan of Southern CA Region
94134
Payment/Advice
Kaiser Foundation Health Plan of Southern California
Kaiser Permanente Southern CA
KS001
Payment/Advice
Kaiser Foundation Health Plan of the Mid-Atlantic States Inc
52095
Payment/Advice
Kaiser Foundation Health Plan of the NW (835 ret KAISR)
NG009
Payment/Advice
Kaiser Foundation of Northern California
Kaiser Foundation Health Plan of Northern California
Kaiser Permanente Northern CA
KS003
Payment/Advice
Kaiser Foundation of the Northwest
93079
Payment/Advice
Kaiser Permanente Health Plan of Hawaii
94123
Payment/Advice
Kaiser Permanente of Georgia
21313
Payment/Advice
Kalos Health
40137
Payment/Advice
Kansas Medicaid
CKKS1
Payment/Advice
Kansas Medicaid
SKKS0
Payment/Advice
Kansas Superior Select
71066
Payment/Advice
KCI Holdings USA
J1078
Payment/Advice
Keenan and Associates
J1498
Payment/Advice
Kempton Group Administrators
Kempton Company
73100
Payment/Advice
Ken Davis Industries Inc.
J1079
Payment/Advice
Kentucky Health Cooperative
77894
Payment/Advice
Kentucky Medicaid
CKKY1
Payment/Advice
Kentucky Medicaid
12K11
Payment/Advice
Kentucky Medicaid
SKKY0
Payment/Advice
Kentucky Passport
Passport Health Plan
61325
Payment/Advice
Kerry Holding Co.
J2275
Payment/Advice
Key Risk Management Services LLC
J1521
Payment/Advice
Key Solution
37323
Payment/Advice
Keystone First
23284
Payment/Advice
Keystone First Community HealthChoices
42344
Payment/Advice
Keystone First VIP Choice
77741
Payment/Advice
Keystone VIP Choice
84223
Payment/Advice
Koch Foods
J1986
Payment/Advice
Kroger Co.
J2327
Payment/Advice
KS Medicare Part A (J5 - WPS)
WPS Medicare KS Part A
57324
Payment/Advice
KS Medicare Part B (J5 - WPS)
SMKS0
Payment/Advice
KY MEDICARE A (MAC J15) CGS
12M11
Payment/Advice
KY MEDICARE B (MAC J15) CGS
SMKY0
Payment/Advice
LA BCBS AdvantagePlus Network
53021
Payment/Advice
LA Medicare Part A (JH)
12M12
Payment/Advice
LA Medicare Part B (J7)
SMLA0
Payment/Advice
LA Metro
J2374
Payment/Advice
Land of Lincoln Health
90096
Payment/Advice
Landmark Healthcare Inc
LNDMK
Payment/Advice
Landry's
J1889
Payment/Advice
Landstar Bco Wc Program
J1080
Payment/Advice
Lane County (OR)
J1987
Payment/Advice
LCTA Workers' Comp
J1998
Payment/Advice
League of Minnesota Cities Insurance Trust
J1527
Payment/Advice
Legacy Medicare Part A - WPS (MAC J5)
52280
Payment/Advice
Leon Medical Centers Health Plan Inc
LMCHP
Payment/Advice
Levelland ISD
J1126
Payment/Advice
Lewisville ISD Self-Insured
J1122
Payment/Advice
LFP Corporation
J1650
Payment/Advice
Liberty Advantage LLC
LIB01
Payment/Advice
Liberty Mutual
C1058
Payment/Advice
Liberty National Life Insurance Company
65331
Payment/Advice
Liberty Wausau
33600
Payment/Advice
LifeCircles PACE
71498
Payment/Advice
Lifetime Benefit Solutions
EBSRM
Payment/Advice
Lifewise Health Plan WA Premier Health Plan835 return AC032
Lifewise Health Plan of Washington A Premier Health Plan
91049
Payment/Advice
LifeWise Healthplan of Oregon
Lifewise Health Plan OR Premier Health Plan (835s ret AC032)
93093
Payment/Advice
LifeWise Healthplan of Oregon
WA - Premera Blue Cross
SB930
Payment/Advice
LifeWorks Advantage
LWA01
Payment/Advice
Line Construction Benefit Fund
LCB01
Payment/Advice
Link Snacks (Jacks Links)
J2133
Payment/Advice
Little Caesars of San Antonio Inc
J2221
Payment/Advice
Loma Linda University
J2211
Payment/Advice
Longs Drugs
J1464
Payment/Advice
Louisiana Medicaid
12K12
Payment/Advice
Louisiana Medicaid
SKLA0
Payment/Advice
Louisiana State University
J1953
Payment/Advice
Louisiana Workers Compensation Corporation
J1547
Payment/Advice
Lowe's (Bunch CareSolutions)
J1465
Payment/Advice
Lsg Sky Chefs International
J1081
Payment/Advice
Luba Casualty Insurance Company
J1341
Payment/Advice
Lubbock County / Hammerman & Gainer
J2151
Payment/Advice
Lumbermen's Underwriting Alliance
J1899
Payment/Advice
Lynwood Unified School District (CA)
J1669
Payment/Advice
LYNX
J1949
Payment/Advice
MA Medicare Part A (JK - NGS))
12M14
Payment/Advice
MA Medicare Part B (JK - NGS)
SMMA0
Payment/Advice
Mackinaw Administrators
J1343
Payment/Advice
MacNeal Health Providers- CHS
36334
Payment/Advice
Macys (Daly City)
J1345
Payment/Advice
Macys (Newport Beach)
J1346
Payment/Advice
Macys Department Stores
J1347
Payment/Advice
Magellan Complete Care
MCC01
Payment/Advice
Magellan Complete Care of Virginia
MCCVA
Payment/Advice
Magellan Health Services
01260
Payment/Advice
Magnacare Administrative Services
E1303
Payment/Advice
Magnacare Administrative Services
11303
Payment/Advice
Maine Community Health Options
45341
Payment/Advice
Maine Medicaid
CKME1
Payment/Advice
Maine Medicaid
12K13
Payment/Advice
Maine Medicaid
SKME0
Payment/Advice
Major League Baseball 8
J1082
Payment/Advice
Managed Health Network
22771
Payment/Advice
MAPFRE
PRFRE
Payment/Advice
Mapfre (Canada Life)
L0160
Payment/Advice
Marrick Medical Finance
20805
Payment/Advice
Martin's Point Health Care
53275
Payment/Advice
Martins Point Health Care
MPHC1
Payment/Advice
Maryland Medicaid
SKMD0
Payment/Advice
Maryland Physicians Care
22348
Payment/Advice
Massachusetts Bay Insurance Company
J1689
Payment/Advice
Massachusetts Health Program
CKMA1
Payment/Advice
Massachusetts Medicaid
SKMA0
Payment/Advice
Matheson Trucking
J1736
Payment/Advice
Matrix Absence Management
TP075
Payment/Advice
Maxim Crane Works
J1083
Payment/Advice
May Trucking
J2348
Payment/Advice
Mayo Clinic Health Solutions
41154
Payment/Advice
Mayo Clinic/Recovery and Claims Services
41193
Payment/Advice
McDonald's - Mcopco
J1084
Payment/Advice
McGregor PACE
31149
Payment/Advice
McLaren Health Plan
38338
Payment/Advice
MD Medicare Part A (MAC JL)
12010
Payment/Advice
MD Medicare Part B (MAC JL)
SMMD0
Payment/Advice
MDwise Healthy Indiana Plan
31354
3135M
Payment/Advice
MDwise Hoosier Care Connect
MDwise Hoosier Care Connect (For DOS on or after 1-01-2017)
91313
Payment/Advice
MDwise Hoosier Healthwise
35191
Payment/Advice
MDwise Hoosier Healthwise Hospital
3519M
Payment/Advice
MDwise Marketplace
45627
Payment/Advice
MDX Hawaii
MDXHI
Payment/Advice
ME Medicare Part A (JK - NGS)
12M13
Payment/Advice
ME Medicare Part B (JK - NGS)
SMME0
Payment/Advice
Meadowbrook Insurance Group
J1478
Payment/Advice
MED3000 CMS Title 21
EM205
Payment/Advice
Med3000 Early Steps
Med3000 CMS Early Steps
EM350
Payment/Advice
MedCost Benefit Services
56205
Payment/Advice
Medica (UHC)
Medica Health Plans
94265
Payment/Advice
Medica Health Plan Solutions
71890
Payment/Advice
Medica of Minnesota
CX026
Payment/Advice
Medica2
12422
Payment/Advice
Medicaid of Alabama
Alabama Medicaid
Medicaid of Alabama (for 837P & 837I claims)
ALMCD
Payment/Advice
Medicaid of Alaska
Alaska Medicaid
AKMCD
Payment/Advice
Medicaid of Arizona (AHCCCS)
Arizona Medicaid (AHCCCS)
Medicaid of Arizona (AHCCCS)
Medicaid of Arizona (AHCCCS)(837I & 837P)
AZMCD
Payment/Advice
Medicaid of Arkansas
Arkansas Medicaid
ARMCD
Payment/Advice
Medicaid of California (MediCal)
MediCal of California
MDCAL
Payment/Advice
Medicaid of Colorado
Colorado Medicaid
COMCD
Payment/Advice
Medicaid of Connecticut
Connecticut Medicaid
Medicaid of Connecticut (for 837P & 837I claims)
CTMCD
Payment/Advice
Medicaid of Delaware
CKDE1
Payment/Advice
Medicaid of Florida
CKFL1
Payment/Advice
Medicaid of Florida
Florida Medicaid
Medicaid of Florida (for 837P & 837I claims)
FLMCD
Payment/Advice
Medicaid of GA
Georgia Medicaid
Medicaid of Georgia (for 837P & 837I claims).
GAMCD
Payment/Advice
Medicaid of Idaho
Idaho Medicaid
IDMCD
Payment/Advice
Medicaid of Indiana
Indiana Medicaid
INMCD
Payment/Advice
Medicaid of Iowa
Iowa Medicaid
IAMCD
Payment/Advice
Medicaid of Kansas
Kansas Medicaid
KSMCD
Payment/Advice
Medicaid of Kentucky
Kentucky Medicaid
KYMCD
Payment/Advice
Medicaid of Louisiana (Includes KidMed claims.)
Medicaid of Louisiana (837P
837I & 837D)
Louisiana Medicaid
LAMCD
Payment/Advice
Medicaid of Louisiana Rehab (Remits returned under LAMCD)
LAREH
Payment/Advice
Medicaid of Maine
Maine Medicaid
MEMCD
Payment/Advice
Medicaid of Maryland
Maryland Medicaid
MDMCD
Payment/Advice
Medicaid of Massachusetts (Mass Health)
Medicaid of Massachusetts
Massachusetts Medicaid
MAMCD
Payment/Advice
Medicaid of Michigan
Michigan Medicaid
MIMCD
Payment/Advice
Medicaid of Minnesota
Minnesota Medicaid
MNMCD
Payment/Advice
Medicaid of Mississippi
CKMS1
Payment/Advice
Medicaid of Mississippi
Medicaid of Mississippi (for 837P & 837I claims)
Mississippi Medicaid
MSMCD
Payment/Advice
Medicaid of Nevada
Nevada Medicaid
NVMCD
Payment/Advice
Medicaid of New Hampshire
New Hampshire Medicaid
NHMCD
Payment/Advice
Medicaid of New Jersey
New Jersey Medicaid
NJMCD
Payment/Advice
Medicaid of New Mexico
New Mexico Medicaid
NMMCD
Payment/Advice
Medicaid of New York (Dental Clinics Only)
CKNY2
Payment/Advice
Medicaid of New York
New York Medicaid
NYMCD
Payment/Advice
Medicaid of North Carolina
CKNC1
Payment/Advice
Medicaid of North Carolina
North Carolina Medicaid
Medicaid of North Carolina (for 837P and 837I claims)
NCMCD
Payment/Advice
Medicaid of North Dakota
North Dakota Medicaid
NDMCD
Payment/Advice
Medicaid of Ohio
Ohio Medicaid
OHMCD
Payment/Advice
Medicaid of Oklahoma
OKMCD
Payment/Advice
Medicaid of Oregon
Oregon Medicaid
ORMCD
Payment/Advice
Medicaid of Pennsylvania
Pennsylvania Medicaid
Medicaid of Pennsylvania (837P
835s returned under SKPA0)
PAMCD
Payment/Advice
Medicaid of Rhode Island
RIMCD
Payment/Advice
Medicaid of South Carolina
South Carolina Medicaid
SCMCD
Payment/Advice
Medicaid of South Dakota
South Dakota Medicaid
SDMCD
Payment/Advice
Medicaid of Texas
Texas Medicaid
TXMCD
Payment/Advice
Medicaid of Vermont
Vermont Medicaid
VTMCD
Payment/Advice
Medicaid of Virginia
Virginia Medicaid
VAMCD
Payment/Advice
Medicaid of Washington DC
District of Columbia Medicaid
Medicaid of DC
DCMCD
Payment/Advice
Medicaid of Washington State
Washington Medicaid
Medicaid of Washington
WAMCD
Payment/Advice
Medicaid of West Virginia
West Virginia Medicaid
WVMCD
Payment/Advice
Medicaid of Wisconsin
Wisconsin Medicaid
WIMCD
Payment/Advice
Medicaid of Wyoming
Wyoming Medicaid
WYMCD
Payment/Advice
Medical Associates Health Plan
MAHP1
Payment/Advice
Medical Associates Health Plan/Health Choices
MAHC1
Payment/Advice
Medical Benefits Mutual / MedBen
Medical Benefits Mutual Life Insurance Co.
74323
Payment/Advice
Medical Card System ( MCS )
L0170
Payment/Advice
Medical Card System (MCS)
PRMCS
Payment/Advice
Medical Mutual of Ohio (MMO)
CB833
Payment/Advice
Medical Mutual of Ohio
Premier Health Systems Inc.
29076
Payment/Advice
Medical Value Plan - Ohio (MVP)
HAP/AHL/Curanet
38224
Payment/Advice
Medicare & Much More Florida Incorporated (Effective 1/1/19)
MMM of Florida
MMMFL
Payment/Advice
Medicare DME Jurisdiction A - Noridian
SDMEA
Payment/Advice
Medicare DME Jurisdiction B - CGS
SDMEB
Payment/Advice
Medicare DME Jurisdiction C - CGS
SDMEC
Payment/Advice
Medicare Hawaii
MEDICARE PART A HI
American Samoa
Guam
Northern Marianas
01211
Payment/Advice
Medicare Louisiana
Medicare Part A of Louisiana
07201
Payment/Advice
Medicare of California
MEDICARE PART A California
01111
Payment/Advice
Medicare of Colorado
Medicare Part A of Colorado
04111
Payment/Advice
Medicare of Florida
Medicare Part A of Florida
3518I
Payment/Advice
Medicare of Iowa
Medicare Part A of Iowa (835s returned under 05301)
05101
Payment/Advice
Medicare of Kansas
Medicare Part A of Kansas (835s returned under 05301)
05201
Payment/Advice
Medicare of Kentucky
Medicare Part A of Kentucky
15101
Payment/Advice
Medicare of Michigan
Medicare Part A of Michigan
08201
Payment/Advice
Medicare of Missouri J5
Medicare Part A of Missouri J5
05301
Payment/Advice
Medicare of MO (For pre-existing providers) Eastern & Wests
Medicare Part B of Kansas City (ASK)
KCMCR
Payment/Advice
Medicare of Nebraska
Medicare Part A of Nebraska (835s returned under 05301)
05401
Payment/Advice
Medicare of New York
Medicare Part A of New York
13201
Payment/Advice
Medicare of Oklahoma
Medicare Part A of Oklahoma
04311
Payment/Advice
Medicare of Wisconsin
Medicare Part A of Wisconsin
00450
Payment/Advice
MEDICARE PART A (CAHINV) LEGACY
12M65
Payment/Advice
MEDICARE PART A Arizona
03101
Payment/Advice
MEDICARE PART A LEGACY WPS (DC DE MD NJ PA) (MAC JL)
12M99
Payment/Advice
MEDICARE PART A Montana
03201
Payment/Advice
MEDICARE PART A Nevada
01311
Payment/Advice
MEDICARE PART A North Dakota
03301
Payment/Advice
Medicare Part A of Texas
04411
Payment/Advice
MEDICARE PART A South Dakota
03401
Payment/Advice
MEDICARE PART A Utah
03501
Payment/Advice
MEDICARE PART A Washington
02001
Payment/Advice
MEDICARE PART A Wyoming
03601
Payment/Advice
MEDICARE PART B Alaska
02102
Payment/Advice
MEDICARE PART B Arizona
03102
Payment/Advice
MEDICARE PART B HI
American Samoa
Guam
Northern Marianas
01212
Payment/Advice
MEDICARE PART B Idaho
02202
Payment/Advice
MEDICARE PART B Montana
03202
Payment/Advice
MEDICARE PART B Nevada
01312
Payment/Advice
MEDICARE PART B North Dakota
03302
Payment/Advice
MEDICARE PART B Northern California
01112
Payment/Advice
Medicare Part B of Alabama
ALMCR
Payment/Advice
Medicare Part B of Arkansas
ARMCR
Payment/Advice
Medicare Part B of Colorado
CO Medicare Part B
SMCO0
Payment/Advice
Medicare Part B of Connecticut
CTMCR
Payment/Advice
Medicare Part B of Delaware
00902
Payment/Advice
Medicare Part B of Florida
FLMCR
Payment/Advice
Medicare Part B of Georgia
GAMCR
Payment/Advice
Medicare Part B of Illinois
ILMCR
Payment/Advice
Medicare Part B of Indiana
INMCR
Payment/Advice
Medicare Part B of Iowa
IAMCR
Payment/Advice
Medicare Part B of Kansas
KSMCR
Payment/Advice
Medicare Part B of Kentucky
KYMCR
Payment/Advice
Medicare Part B of Louisiana
LAMCR
Payment/Advice
Medicare Part B of Maine
MEMCR
Payment/Advice
Medicare Part B of Maryland
00901
Payment/Advice
Medicare Part B of Massachusetts
MAMCR
Payment/Advice
Medicare Part B of Michigan
MIMCR
Payment/Advice
Medicare Part B of Minnesota
MNMCR
Payment/Advice
Medicare Part B of Missouri
Medicare Part B of MO (Eastern) (Specialty testing required)
MOMCR
Payment/Advice
Medicare Part B of Nebraska
NEMCR
Payment/Advice
Medicare Part B of New Hampshire
NHMCR
Payment/Advice
Medicare Part B of New Jersey
Medicare Part B of NJ (Specialty testing required)
NJMCR
Payment/Advice
Medicare Part B of New Mexico
NMMCR
Payment/Advice
Medicare Part B of New York (Empire)
NYMCR
Payment/Advice
Medicare Part B of North Carolina
NCMCR
Payment/Advice
Medicare Part B of Ohio
OHMCR
Payment/Advice
Medicare Part B of Oklahoma
OKMCR
Payment/Advice
Medicare Part B of Pennsylvania
PAMCR
Payment/Advice
Medicare Part B of Rhode Island
RIMCR
Payment/Advice
Medicare Part B of South Carolina
SCMCR
Payment/Advice
Medicare Part B of Tennessee
TNMCR
Payment/Advice
Medicare Part B of Texas
TXMCR
Payment/Advice
Medicare Part B of the Virgin Islands
09203
Payment/Advice
Medicare Part B of Upstate NY
N1MCR
Payment/Advice
Medicare Part B of Vermont
VTMCR
Payment/Advice
Medicare Part B of Virginia
VAMCR
Payment/Advice
Medicare Part B of West Virginia
WVMCR
Payment/Advice
Medicare Part B of Wisconsin
WIMCR
Payment/Advice
MEDICARE PART B Oregon
02302
Payment/Advice
MEDICARE PART B South Dakota
03402
Payment/Advice
MEDICARE PART B Southern California
01182
Payment/Advice
MEDICARE PART B Utah
03502
Payment/Advice
MEDICARE PART B Washington
02402
Payment/Advice
MEDICARE PART B Wyoming
03602
Payment/Advice
Medicare Part B- N VA Prin George MontFairfax Arlington Cou
Medicare Part B of DC
00903
Payment/Advice
Medicare Plus Blue
SB710
Payment/Advice
Medicare Puerto Rico
12M49
Payment/Advice
Medicare Railroad * (MetraHealth Medicare)
Medicare Railroad (MetraHealth Medicare)
RRWMC
Payment/Advice
Medicare Virgin Islands
12M52
Payment/Advice
Medicare y Mucho Mas ( MMM )
L0210
Payment/Advice
Medico Insurance Company
Medico Insurance
23160
Payment/Advice
Medidian Management Services LLC.
J2379
Payment/Advice
Mediture
20039
Payment/Advice
Medrisk
J1956
Payment/Advice
MedStar Family Choice
39190
Payment/Advice
Medstar Select/Medstar Medicare Choice
251MS
Payment/Advice
Meijer Stores
J1930
Payment/Advice
Memorial Integrated Healthcare
South Florida Community Care Network Commercial
59064
Payment/Advice
Memorial Medical Center - AllCare
85461
Payment/Advice
Mendota Insurance Company
33650
Payment/Advice
Mercury General Corporation
J2277
Payment/Advice
Mercy Care Plan (AHCCCS)
Mercy Care Plan of Arizona
86052
Payment/Advice
Mercy Maricopa Integrated Care
33628
Payment/Advice
Meridian Health Plan of Illinois
MHPIL
Payment/Advice
Meridian Health Plan of Illinois Inc
13189
Payment/Advice
Meridian Health Plan of Michigan Inc.
83253
Payment/Advice
Meritain Health
64157
Payment/Advice
Meritain Health Minneapolis
41124
Payment/Advice
MetroPlus Health Plan
13265
Payment/Advice
Metropolitan Council
J1355
Payment/Advice
Metropolitan Property and Casualty Insurance Company
Metlife Auto & Home
C1011
Payment/Advice
Metropolitan Transit Athority
J1238
Payment/Advice
Mettler-Tole
J3315
Payment/Advice
MHNET
74289
Payment/Advice
MI Blue Care HMO (BCN of MI-835s returned MIBLS)
Michigan Blue Care HMO (BCN of Michigan)
MIBCN
Payment/Advice
MI Medicare Part A (J8)
12M18
Payment/Advice
MI Medicare Part B (J8)
SMMI0
Payment/Advice
Michael Kors
J2280
Payment/Advice
Michigan Education Special
381640
Payment/Advice
Michigan Medicaid
CKMI1
Payment/Advice
Michigan Medicaid
SKMI0
Payment/Advice
Michigan Medicaid - Add Michigan Medicaid - BCCP as Alias
SKMI1
Payment/Advice
Michigan Medicare PlusBlue (835s returned under MIBLS)
Michigan Medicare PlusBlue
MIMPB
Payment/Advice
Michigan Millers Mutual
J1988
Payment/Advice
Michigan UFCW Unions & Employers Administrator LLC
27401
Payment/Advice
Mid-America Associates
Mid-America Associates Inc.
37281
Payment/Advice
Midwest Drywall (via EMC Risk Services)
J1119
Payment/Advice
Midwest Family Mutual
C1051
Payment/Advice
Midwest Family Mutual Insurance Co
J1685
Payment/Advice
Midwest Group Benefits
61146
Payment/Advice
Millard Refrigerated
J1482
Payment/Advice
Millennium Risk Services
J2324
Payment/Advice
Minnesota Counties Ins Trust (MCIT)
J1351
Payment/Advice
MINNESOTA DEPARTMENT OF HEALTH- SAGE PROGRAMS
MNDH1
Payment/Advice
Minnesota Insurance Guaranty Association
J2094
Payment/Advice
Minnesota Medicaid
CKMN1
Payment/Advice
Minnesota Medicaid
SKMN0
Payment/Advice
Mississippi Department of Public Safety
J2371
Payment/Advice
Mississippi Department of Transportation
J2372
Payment/Advice
Mississippi Medicaid
SKMS0
Payment/Advice
Mississippi School Boards WC Trust
J2373
Payment/Advice
Missouri Medicaid
CKMO1
Payment/Advice
Missouri Medicaid
SKMO0
Payment/Advice
Missouri Medicaid
Medicaid of Missouri
MOMCD
Payment/Advice
Missouri Medicare Select
MMS01
Payment/Advice
Mitchell Energy & Devel
J1085
Payment/Advice
Mitsui Sumitomo Insurance Group
J1692
Payment/Advice
Mitsui Sumitomo Insurance USA Inc.
J1694
Payment/Advice
MMIC
J1622
Payment/Advice
MMM of Florida
UMMFL
Payment/Advice
MN Medicare Part A (J6)
12M16
Payment/Advice
MN Medicare Part B (J6)
SMMN0
Payment/Advice
MN-Depart of Labor & Industry-Claim Services & Investigation
J1436
Payment/Advice
MO Medicare Part A (J5 - WPS)
12M15
Payment/Advice
MO Medicare Part B East (J5 - WPS)
SMMO0
Payment/Advice
Moda Health
ODS Health Plan
13350
Payment/Advice
Molina Advantage
Molina Healthcare of California (Claims only)
38333
Payment/Advice
Molina Health Care of Illinois
Molina Healthcare of Illinois (Claims Only)
20934
Payment/Advice
Molina Health Care of Michigan
Molina Healthcare of Michigan (Claims Only)
38334
Payment/Advice
Molina Health Care of Texas
Molina Healthcare of Texas (Claims Only)
20554
Payment/Advice
Molina Healthcare of Florida
Molina Healthcare of Florida (Claims Only)
51062
Payment/Advice
Molina Healthcare of Michigan PAR
22710
Payment/Advice
Molina Healthcare of Mississippi
77010
Payment/Advice
Molina Healthcare of New Mexico
NM505
Payment/Advice
Molina Healthcare of Ohio
20149
Payment/Advice
Molina Healthcare of South Carolina
Molina Healthcare South Carolina (Claims Only)
46299
Payment/Advice
MOLINA HEALTHCARE OF UTAH
SX109
Payment/Advice
Molina Healthcare of Washington
Molina Healthcare of Washington (Claims Only)
38336
Payment/Advice
Molina Healthcare of Wisconsin
Molina Healthcare of Wisconsin (Claims Only)
ABRI1
Payment/Advice
Monitor Life Insurance Company
16098
Payment/Advice
Montana Medicaid
CKMT1
Payment/Advice
Montana Medicaid
SKMT0
Payment/Advice
Montana Medicaid
Medicaid of Montana
MTMCD
Payment/Advice
Montefiore Contract Management Organization
13174
Payment/Advice
Montefiore HMO
46161
Payment/Advice
Monterey Bay Area Self Insurance Authority
J2219
Payment/Advice
Montgomery County Self-Insurance Program (MD)
J1890
Payment/Advice
Montgomery County Texas
A0179
Payment/Advice
Monument Administrators - Victory Comp
J1530
Payment/Advice
Morongo Basin Transit Authority (CA)
J1651
Payment/Advice
Morris Associates
35092
Payment/Advice
Morris Material Handling
J1086
Payment/Advice
Morrison Health Care Inc.
J1087
Payment/Advice
Morton ISD
J1127
Payment/Advice
Mountain State Blue Cross and Blue Shield
SB941
Payment/Advice
Mountain State Blue Cross of West Virginia
12B28
Payment/Advice
MS Medicare Part A (J7)
12M17
Payment/Advice
MS Medicare Part B (J7)
SMMS0
Payment/Advice
MSH REIMBURS
26227
Payment/Advice
Mt. Carmel Health
95655
Payment/Advice
MTS
J1641
Payment/Advice
Muleshoe ISD
J1128
Payment/Advice
Munford Inc.
J1088
Payment/Advice
Municipal Health Benefit Fund
81883
Payment/Advice
Municipal Pooling Authority
J2141
Payment/Advice
Murphy and Bean
J2380
Payment/Advice
Mutual Health Services
34192
Payment/Advice
Mutual of Omaha
MUTOM
Payment/Advice
Mutual of Omaha Commercial
CX087
Payment/Advice
Mutual of Omaha Medicare Advantage
82275
Payment/Advice
Mutual of Omaha
United of Omaha
71412
Payment/Advice
MVP Health Plan of New York
14165
Payment/Advice
myNEXUS Anthem
34009
Payment/Advice
Nap Tools (via EMC Risk Services)
J1120
Payment/Advice
NAPHCARE INC.
58182
Payment/Advice
Nascentia Health
31626
Payment/Advice
National American Insurance Co (NAICO)
J1695
Payment/Advice
National Association of Letter Carriers (NALC)
National Rural Letter Carrier Association (NALC)
National Association of Letter Carriers/NALC
53011
Payment/Advice
National Elevator
National Elevator Industry Benefit Plan (NEIB)
CX045
Payment/Advice
National Imaging Associates
SX190
Payment/Advice
National Interstate
32620
Payment/Advice
National Interstate (TX) 32620
13978
Payment/Advice
National Loss Prevention Inc
J1021
Payment/Advice
National Telecommunications Cooperative Association
52120
Payment/Advice
Nationwide Agribusiness Ins Co
J1551
Payment/Advice
Nationwide Mutual Insurance Company
Nationwide Property And Casualty Ins Co
J1552
Payment/Advice
NC Medicare Part A (J11)
12M23
Payment/Advice
NC Medicare Part B (J11)
SMNC0
Payment/Advice
NE Medicare Part A (J5 - WPS)
12M19
Payment/Advice
NE Medicare Part B (J5 - WPS)
SMNE0
Payment/Advice
Nebraska Blue Cross Blue Shield
Blue Shield of Nebraska
NEBLS
Payment/Advice
Nebraska Medicaid
CKNE1
Payment/Advice
Nebraska Medicaid
12K19
Payment/Advice
Nebraska Medicaid
SKNE0
Payment/Advice
Nebraska Medicaid
Medicaid of Nebraska
NEMCD
Payment/Advice
Neighborhood Health Plan of RI - Medicaid and UNITY
05047
Payment/Advice
Network Health Insurance Corp-Medicare
77076
Payment/Advice
Network Health Massachusetts (TUFTS)
Tufts Health Plan Public Plans
Network Health
04332
Payment/Advice
Network Health Plan
39144
Payment/Advice
Nevada Anthem Blue Cross Blue Shield
Blue Shield of Nevada
Nevada Anthem Blue Cross and Blue Shield
NVBLS
Payment/Advice
Nevada Medicaid
CKNV1
Payment/Advice
Nevada Medicaid - First Health Services Corp
SKNV0
Payment/Advice
New England Dental Administrators
43351
Payment/Advice
New Hampshire Anthem Blue Cross Blue Shield
Blue Shield of New Hampshire
New Hampshire Anthem Blue Cross and Blue Shield
NHBLS
Payment/Advice
New Hampshire Medicaid
CKNH1
Payment/Advice
New Hampshire Medicaid
SKNH0
Payment/Advice
New Jersey Manufacturing (NJM)
12122
Payment/Advice
New Jersey Medicaid
CKNJ1
Payment/Advice
New Jersey Medicaid
12006
Payment/Advice
New Jersey Medicaid
SKNJ0
Payment/Advice
New Mexico Blue Cross Blue Shield
Blue Shield of New Mexico
Lovelace Sandia Health Plan (Acquired by Blue Shield of NM)
NMBLS
Payment/Advice
New Mexico Health Connections
45129
Payment/Advice
New Mexico Medicaid
CKNM1
Payment/Advice
New Mexico Medicaid
SKNM0
Payment/Advice
New Mexico Mutual
J2147
Payment/Advice
New Mexico Public Schools Insurance Authority
85036
Payment/Advice
New South Insurance Co.
C1028
Payment/Advice
New York Blue Cross Blue Shield (Empire)
Blue Shield of New York (Empire)
NYBLS
Payment/Advice
New York Medicaid
CKNY1
Payment/Advice
New York Medicaid
SKNY0
Payment/Advice
Next Level Administration
J2331
Payment/Advice
Next Level Health Partners
69821
Payment/Advice
NH Medicare Part A (JK - NGS)
12M21
Payment/Advice
NH Medicare Part B (JK - NGS)
SMNH0
Payment/Advice
NHC Advantage
NHC01
Payment/Advice
nHealth
58379
Payment/Advice
Niagara Bottling LLC
J2261
Payment/Advice
Nippon Life Insurance (Principal Financial Group)
Nippon Life Insurance Company of America
81264
Payment/Advice
NJ Medicare Part A (MAC JL)
12005
Payment/Advice
NJ Medicare Part B (MAC JL)
SMNJ0
Payment/Advice
NM Medicare Part A J4
12M22
Payment/Advice
NM Medicare Part B J4
SMNM0
Payment/Advice
No Fault Service Corp
J2087
Payment/Advice
NonProfit insurance Trust
J1845
Payment/Advice
NORTH AMERICAN INSURANCE COMPANY d/b/a Oxford Life
76112
Payment/Advice
North American Medical Management (NAMM) - Southern CA
North American Medical Management (NAMM) - Northern CA
E3510
Payment/Advice
North Bay Schools Insurance Authority
J1549
Payment/Advice
North Carolina Blue Cross
12B23
Payment/Advice
North Carolina Blue Cross Blue Shield
Blue Shield of North Carolina
NCBLS
Payment/Advice
North Carolina Medicaid
SKNC0
Payment/Advice
North Dakota Blue Cross Blue Shield
12B78
Payment/Advice
North Dakota Blue Cross Blue Shield
Blue Shield of North Dakota
NDBLS
Payment/Advice
North Dakota Medicaid
SKND0
Payment/Advice
North Forest IDS
J2238
Payment/Advice
North Shore - LIJ (Healthfirst)
17516
Payment/Advice
North Star Mutual Insurance Co.
J2356
Payment/Advice
Northeast Georgia Health Services
58169
Payment/Advice
Northern Claims Management
J1923
Payment/Advice
Northern Kentucky University
J1943
Payment/Advice
Northland Auto
C1031
Payment/Advice
NorthShore Physician Associates
48026
Payment/Advice
Northwest Administrators Inc.
91068
Payment/Advice
Norwood
J1089
Payment/Advice
Nova Healthcare Administrators
Inc. (Grand Island
NY)
Niagara County Health Plan (administered by Nova)
NOVA Healthcare Administrators NY
16644
Payment/Advice
Novare
J2254
Payment/Advice
NY Medicare Part A (J13 - NGS)
12M35
Payment/Advice
NY Medicare Part B Downstate (J13 - NGS)
SMNY0
Payment/Advice
NY Medicare Part B Queens (J13 - NGS)
SMNY2
Payment/Advice
NY Medicare Part B Upstate (J13 - NGS)
SMNY1
Payment/Advice
NYS DOH UCP
14142
Payment/Advice
O'Reilly Auto Parts
J1670
Payment/Advice
Oak West Physician Association
36400
Payment/Advice
Occusystems
J2294
Payment/Advice
OH MEDICARE A (MAC J15) CGS
12M24
Payment/Advice
OH MEDICARE B (MAC J15) CGS
SMOH0
Payment/Advice
Ohio Anthem Blue Cross Blue Shield
Blue Shield of Ohio
Ohio Anthem Blue Cross and Blue Shield
OHBLS
Payment/Advice
Ohio Casualty Group
24074
Payment/Advice
Ohio Medicaid
CKOH1
Payment/Advice
Ohio Medicaid
SKOH0
Payment/Advice
Ohio PPO Connect
Ohio Connect (837I & 827P)
74431
Payment/Advice
OK Medicare Part A
12M37
Payment/Advice
OK Medicare Part B
SMOK0
Payment/Advice
Oklahoma DRS DOC
71065
Payment/Advice
Oklahoma Medicaid
CKOK1
Payment/Advice
Oklahoma Medicaid
SKOK0
Payment/Advice
Old Republic Insurance Co
24147
Payment/Advice
Old Surety Life Insurance Company
29237
Payment/Advice
OMNI Ad/CHP Chiro claims only Enroll required 801-352-7270
Chiropractic Health Plans (CHP)
U1439
Payment/Advice
Omnicare - JVHL
27590
Payment/Advice
One Beacon
20621
Payment/Advice
One Beacon Insurance - Auto
C1026
Payment/Advice
One Call Diagnostics (formerly known as One Call Medical)
One Call Medical
22321
Payment/Advice
One Call Physical Therapy
J1716
Payment/Advice
Opticare Eye Health Network
Envolve Benefit Options (formerly OptiCare Managed Vision)
56190
Payment/Advice
Optum Medical Network (previously Lifeprint)
Optum Medical Network / AZ UT (formerly Lifeprint Network)
OptumCare / AZ
UT (formerly Lifeprint Network)
LIFE1
Payment/Advice
Optum Specialty Svcs / Americhoice of NJ
OH Dental / UHC Dental Government Programs
GP133
Payment/Advice
Optumcare Network of Connecticut
E3287
Payment/Advice
OptumHealth /OptumHealth - Physical Health (includes Oxford)
OptumHealth Physical Health-includes Oxford form ACN & ACNIP
41161
Payment/Advice
OptumHealth Care Solutions formerly United Resource Networks
OptumHealth Cmplx Med Cond CMC-OptumHealth Care Sol&Utd Res
CMC
41194
Payment/Advice
OR Medicare Part A (J2 - Noridian)
12M41
Payment/Advice
Orchard Supply Company (Bunch CareSolutions)
J1962
Payment/Advice
Oregon Blue Cross Blue Shield (Regence)
Blue Shield of Oregon
ORBLS
Payment/Advice
Oregon Medicaid
CKOR1
Payment/Advice
Oregon Medicaid
SKOR0
Payment/Advice
Orica Inc.
J1090
Payment/Advice
Orthonet Corporation - AETNA
13383
Payment/Advice
Oscar Health
OSCAR
Payment/Advice
OSI Group LLC.
J1904
Payment/Advice
Oxford Health Plans
UnitedHealthcare / Oxford
UnitedHealthcare (Oxford Health Plans)
06111
Payment/Advice
PA Medicare Part A (MAC JL)
12M60
Payment/Advice
PA Medicare Part B (MAC JL)
SMPA0
Payment/Advice
PACE Central Iowa
72436
Payment/Advice
PACE CNY
70454
Payment/Advice
PACE Greater New Orleans
21614
Payment/Advice
PACE Nebraska
35416
Payment/Advice
PACE of Southwest Michigan Inc
45114
Payment/Advice
PACE Southeast Michigan
86711
Payment/Advice
PACE SouthWest Iowa
53534
Payment/Advice
Pacific Compensation Insurance Company
J1913
Payment/Advice
Pacific Gas and Elecric - 115
J1916
Payment/Advice
Pacific Partners Management Services Inc
A0062
Payment/Advice
PacificSource Community Solutions
20416
Payment/Advice
PacificSource Health Plans
93029
Payment/Advice
PacificSource Medicare
20377
Payment/Advice
Paladin ISL
J1827
Payment/Advice
Paladin Managed Care Services Inc.
J1475
Payment/Advice
Palo Alto Medical Foundation
94115
Payment/Advice
Pan American Life Insurance Group
04218
Payment/Advice
Papa John's International Inc
J1091
Payment/Advice
Paradigm
J1001
Payment/Advice
Paramount
Paramount Care
SX158
Payment/Advice
Park District Risk Management Association (PDRMA)
J1365
Payment/Advice
Parkland Community Health Plan
66917
Payment/Advice
Partners Behavioral Health
Partners Behavioral Health Management
13141
Payment/Advice
Partnership Health of California-CAPHP
SX140
Payment/Advice
Partnership Health Plan contact OptumInsight Enrollments Dep
Partnership Health Plan of CA
PHP02
Payment/Advice
Passport Advantage
66008
Payment/Advice
Passport Advantage
97652
Payment/Advice
PATIENTPAY
26335
Payment/Advice
Pebble Beach
J2231
Payment/Advice
Pediatric Services Holding Corp - Psa Healthcare
J1989
Payment/Advice
Peg Discover Re
J1092
Payment/Advice
Peg Discover Re (Foood Merchant)
J1054
Payment/Advice
Pegasus Risk Management CA
J1924
Payment/Advice
Pegi-Family Dining
J1093
Payment/Advice
Penn Millers insurance Co
J1573
Payment/Advice
Pennsylvania Blue Cross Blue Shield (Highmark)
Blue Shield of Pennsylvania
PABLS
Payment/Advice
Pennsylvania Blue Shield (Camp Hill)
CB865
Payment/Advice
Pennsylvania Highmark Blue Shield - Central
12B81
Payment/Advice
Pennsylvania Keystone Health Plan East (claims only)
PAKeystone Health Plan East (claims(835s returnedPAKEY)
PCBLS
Payment/Advice
Pennsylvania Keystone Health Plan East (encounters only)
PA Keystone Health Plan E(encounters only-835s return PAKEY)
PEBLS
Payment/Advice
Pennsylvania Manufacturing Associates
J1439
Payment/Advice
Pennsylvania Medicaid
CKPA1
Payment/Advice
Pennsylvania Medicaid
12008
Payment/Advice
Pennsylvania Medicaid
SKPA0
Payment/Advice
People 2.0
J1466
Payment/Advice
Peoples Health Network
72126
Payment/Advice
Performance Contracting Inc
J1940
Payment/Advice
Performance Food Group
J2390
Payment/Advice
PerformCare - HealthChoices
65391
Payment/Advice
Personal Choice PPO of PA (Also know as Independent BLC)
Personal Choice PPO / Ind BLC (835s returned under PAKEY)
54704
Payment/Advice
Pharmacist Mutual Insurance Co.
J1570
Payment/Advice
Phh Fleetamerica
J1094
Payment/Advice
Phillips-Van heusen Corporation (PYH Corp)
J2281
Payment/Advice
Phoenix Health Plan
74647
Payment/Advice
Physicans of Southwest Washington
91171
Payment/Advice
Physician Associates of Greater San Gabriel Valley
Physician Associates of the Greater San Gabriel Valley
PA513
Payment/Advice
Physicians Health Plan of Northern Indiana (837P and 837I)
Physicians Health Plan of Northern Indiana (Fort Wayne IN)
Physicians Health Plan of Northern Indiana Inc
12399
Payment/Advice
Physicians Health Plan PHP South Michigan
PHP of Michigan
37330
Payment/Advice
Physicians Medical Group of San Jose
EXC01
Payment/Advice
Physicians Mutual
CX068
Payment/Advice
Physicians Mutual Insurance Company
47027
Payment/Advice
Physicians Plus
Physicians Plus Insurance Corporation
39156
Payment/Advice
PIH Health (Formerly Bright Health Plan)
Bright Health Plan
BHP01
Payment/Advice
Pittsburgh Care Partnership Inc.
23283
Payment/Advice
Placer County
J2232
Payment/Advice
Plan de Salud Hospital Menonita
L0190
Payment/Advice
Planned Administrators Inc.
Planned Administrators
Inc.
37287
Payment/Advice
Plano Independent School District
J2381
Payment/Advice
Polyone (Bunch Care Solutions)
J2246
Payment/Advice
POMCO (Electronic)
J2004
Payment/Advice
Port of Oakland (CA)
J1627
Payment/Advice
PR Medicare Part B (J9 - First Coast)
SMPR0
Payment/Advice
Prairie States Enterprises Inc.
36373
Payment/Advice
Preferred Care Partners – Florida
Preferred Care Partners Florida
Preferred Care Partners
65088
Payment/Advice
Preferred Employers
J1095
Payment/Advice
Preferred Employers Group
J1096
Payment/Advice
Preferred Employers Insurance Company (PEI)
J1496
Payment/Advice
Preferred Medical Claims Services
21524
Payment/Advice
Preferred Medicare
L0250
Payment/Advice
PreferredOne (MN)
41147
Payment/Advice
Premera Blue Cross
47570
Payment/Advice
Premera Blue Cross
12B27
Payment/Advice
Premier Eye Care
65054
Payment/Advice
Premier Health Plan
251PR
Payment/Advice
Presbyterian Health Plan
PREHP
Payment/Advice
Prestige Health Choice
77003
Payment/Advice
Primaria VillageMD of Central Indiana
13027
Payment/Advice
Prime Community Care Central Valley
Prime Community Care of Central Valley(837I & 837P)
MVCV1
Payment/Advice
Prime Healthcare
J1673
Payment/Advice
PrimeWest Health
LX049
Payment/Advice
PrimeWest Health
61604
Payment/Advice
Prince George's County Government (MD)
J1891
Payment/Advice
Principal Financial Group
Principal Life (Principal Financial Group)
61271
Payment/Advice
Priority Health
38217
Payment/Advice
Prodegi
U8151
Payment/Advice
Professional Benefit Administrators Inc. (Oak Brook IL)
Professional Benefit Administrators
36331
Payment/Advice
Progessive Northern Insurance Company
J1786
Payment/Advice
Progessive Specialty Insurance Company
J1784
Payment/Advice
Progressive
J1748
Payment/Advice
Progressive Classic Insurance Company
J1788
Payment/Advice
Progressive Commercial Casualty Company
J1779
Payment/Advice
Progressive Direct Insurance Company
J1780
Payment/Advice
Progressive Max Insurance Company
J1783
Payment/Advice
Progressive Northwestern Insurance Company
J1787
Payment/Advice
Progressive Preferred Insurance Company
J1785
Payment/Advice
Progressive Premier Insurance Company
J1781
Payment/Advice
Prominence Health Plan of Nevada
Delta Dental of New York
11198
Payment/Advice
Prospect Medical Holdings
J2339
Payment/Advice
Protective Insurance Co
J1568
Payment/Advice
Providence Insurance & Administrative Services
Providence Administrative Services
PAS01
Payment/Advice
Providence of Oregon Health Plan
SX133
Payment/Advice
Pruitt Health Premier
PH001
Payment/Advice
PSKW
PSKW0
Payment/Advice
PUBLIC EMPLOYEES HEALTH PROGRAM
PEHP
SX106
Payment/Advice
Publix Super Markets Inc.
J1897
Payment/Advice
QBE - General Casualty - Eden Prairie
J1485
Payment/Advice
QBE - General Casualty - Farmers Union
J1483
Payment/Advice
QBE - General Casualty - Freeport
J1486
Payment/Advice
QBE - General Casualty - Indianapolis
J1487
Payment/Advice
QBE - General Casualty - Simsbury
J1488
Payment/Advice
QBE - General Casualty - Sun Prairie
J1489
Payment/Advice
QBE - General Casualty - West Des Moines
J1490
Payment/Advice
QCPI Village MD of Georgia (GA)
42636
Payment/Advice
QPS Employment Group
J1609
Payment/Advice
QualCare Inc.
23342
Payment/Advice
QuikTrip
73067
Payment/Advice
Rady Children's Network
Rady Children's Health Network
RCHN1
Payment/Advice
Railroad Medicare (PGBA)
SRRGA
Payment/Advice
Raley's Family of Fine Stores
J1522
Payment/Advice
Ralph Lauren
J1938
Payment/Advice
Rampart Insurance Company
38512
Payment/Advice
Rancho Santiago Community College District (CA)
J1635
Payment/Advice
Recology
J1675
Payment/Advice
Red Oak Independent School District
A0205
Payment/Advice
Redwood Empire Municipal Insurance Fund (REMIF)
J2205
Payment/Advice
Redwood Fire and Casualty Insurance Company (Member of BHHC)
20044
Payment/Advice
Regence BC BS Oregon
Blue Cross of Oregon Regence
00851
Payment/Advice
Regence Blue Cross Blue Shield of Oregon
CB850
Payment/Advice
Regence Blue Cross Blue Shield of Oregon
SB850
Payment/Advice
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)
U1100
Payment/Advice
Regence Blue Shield of Idaho
CBID2
Payment/Advice
Regence Blue Shield of Idaho
SB611
Payment/Advice
Regence Blue Shield of Washington
SB931
Payment/Advice
Regence Northwest Health
93200
Payment/Advice
Regional Care Inc.
Regional Care Incorporated
47076
Payment/Advice
Regis Brands
J1467
Payment/Advice
Reliance Standard Life
36088
Payment/Advice
Renaissance Life and Health
RLHA1
Payment/Advice
Reny Company
J2328
Payment/Advice
Republic Franklin Insurance
12475
Payment/Advice
Republic Western Ins. Co.
J1597
Payment/Advice
Reserve National Insurance
73066
Payment/Advice
Residential Services Group
J1097
Payment/Advice
Restaurant Reinsurance Limited
J1098
Payment/Advice
Retailer's First
J1437
Payment/Advice
Return to Work (RTW)
J1202
Payment/Advice
RHHI JC (MAC J11)
12M80
Payment/Advice
Rhode Island Blue Cross Blue Shield
Blue Shield of Rhode Island
RIBLS
Payment/Advice
Rhode Island Inter-Local Risk Management Trust Inc.
J2239
Payment/Advice
Rhode Island Medicaid
CKRI1
Payment/Advice
Rhode Island Medicaid
SKRI0
Payment/Advice
Rhone-Poulenc inc
J1099
Payment/Advice
RI Medicare Part A (JK - NGS)
12M74
Payment/Advice
RI Medicare Part B (JK - NGS)
SMRI0
Payment/Advice
Rieth-Riley Construction Company
J1100
Payment/Advice
Right Care from Scott & White
74205
Payment/Advice
Risk Transfer Technologies Inc.
J1101
Payment/Advice
River City Medical Group
RCMG1
Payment/Advice
Riverport Insurance (MN School Board Association)
J1546
Payment/Advice
RiverSpring at Home
80051
Payment/Advice
RiverSpring FIDA Plan
17818
Payment/Advice
RiverSprint Star
81781
Payment/Advice
Rockford Mutual Insurance Company
27065
Payment/Advice
Rockwood Casualty Insurance
J1906
Payment/Advice
Rocky Mountain Health Plan - Grand Junction
SX141
Payment/Advice
Rocky Mountain HMO
RMHMO
Payment/Advice
Rocky Mountain Life Dental
84102
Payment/Advice
Roth Staffing Companies
J1023
J1056
Payment/Advice
RSC Insurance Services Ltd.
J1102
Payment/Advice
S & S Healthcare Strategies
S&S Healthcare Strategies
31441
Payment/Advice
SA Recycling LLC
J1728
Payment/Advice
Sacramento Regional Transit District-Conflict
J2233
Payment/Advice
SafeCo Insurance
24740
C1053
Payment/Advice
SafeGuard PPO
CX030
Payment/Advice
Safety-Kleen Corporation
J1103
Payment/Advice
SAIF (Oregon State Accident Insurance Fund)
J1720
Payment/Advice
Sally Beauty Holdings Inc.
J2366
Payment/Advice
Salt Lake City Corporation
J1730
Payment/Advice
SALT LAKE COUNTY BEHAVIORAL HEALTH SERVICES
HT007488-001
Payment/Advice
Samaritan Health Services
CP001
Payment/Advice
SAMBA
37259
Payment/Advice
San Diego Community College District (CA)
J1638
Payment/Advice
San Diego PACE
96400
Payment/Advice
San Francisco Municipal Transportation Agency (SFMTA)
J1886
Payment/Advice
San Miguel Consolidated FPD
J2234
Payment/Advice
Sanford Health Plan
91184
Payment/Advice
Santa Clara Valley Tansportation Authority
J1518
Payment/Advice
Sante Health System and Affiliates
77038
Payment/Advice
Save Mart
J2346
Payment/Advice
SC Medicare Part A & SW/SE RHHI (J11)
12M55
Payment/Advice
SC Medicare Part B (J11)
SMSC0
Payment/Advice
SCAN Health Plan
72261
Payment/Advice
Schlumberger Technology
J1104
Payment/Advice
Schnuck Market Inc
J1560
Payment/Advice
Schools Insurance Authority (SIA)
J2325
Payment/Advice
Scott & White
TH002
Payment/Advice
Scotts Miracle-Gro Company
J1049
Payment/Advice
Scripps Health Plan Services
33099
SHPS1
Payment/Advice
Seabright (SBIC)
J1499
Payment/Advice
Seagraves ISD
J2264
Payment/Advice
SECURA Insurance A Mutual Company
J1379
Payment/Advice
Secure Health Plans of Georgia
28530
Payment/Advice
Securian
93742
Payment/Advice
Security Administrative Services
Cornerstone Benefit Administrators
35202
Payment/Advice
Security Health Plan
39045
Payment/Advice
Sedgwick (Hilton Worldwide LLC)
J1665
Payment/Advice
Sedgwick CMS
TP097
Payment/Advice
Select Advantage
SX055
Payment/Advice
Select Benefits Administrators
Select Benefit Administrators Inc.
93031
Payment/Advice
Select Energy Services
J1937
Payment/Advice
Select Health of South Carolina
23285
Payment/Advice
Select Staffing
J1446
Payment/Advice
SelectCare of Texas (HPN) Heritage Physicians Network
76045
Payment/Advice
SELECTHEALTH
SX107
Payment/Advice
Selective
12572
39926
Payment/Advice
Self Insured Services Co (SISCO)
SISCO
Payment/Advice
Self-Insured Schools of California (SISC)
J1520
Payment/Advice
Self-Insured Security Fund (SISF Metro)
J2382
Payment/Advice
Self-Insured Security Fund (SISF Tri-Star)
J2383
Payment/Advice
Selman and Company
52214
Payment/Advice
Selman Tricare Supp
TRSEL
Payment/Advice
Seminole Tribe of Florida
J2384
Payment/Advice
Sempra Energy/Employee Care Services
J1915
Payment/Advice
Sendero Health
36426
Payment/Advice
Sendero IdealCare
11440
Payment/Advice
Sendero Idealcare
UV440
Payment/Advice
Senior Health Partners (SHP)
Senior Health Partners
80141
Payment/Advice
Senior Network Health
15682
Payment/Advice
Senior Whole Health
83035
Payment/Advice
Sentara Health Management
54154
Payment/Advice
Sentinel Security Life Insurance Company
87020
Payment/Advice
Sentry Select Insurance Company
J1417
Payment/Advice
Service Lloyds Insurance Co
J1593
Payment/Advice
Seton Insurance Company
22312
Payment/Advice
SFM Mutual Insurance Company
J1553
Payment/Advice
SFN Goup
J1456
Payment/Advice
Shamrock Foods
J2338
Payment/Advice
Sharp Community Medical Group
SCMG1
Payment/Advice
Sharp Health Plan
SHP01
Payment/Advice
Sharp Rees-Stealy Med Group
Sharp Rees-Stealy Medical Group
SRS83
Payment/Advice
Shasta Administrative Services
NESIKA HEALTH GROUP
75280
Payment/Advice
Shaws/Starmarket
J1468
Payment/Advice
Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA
Benesys Inc
38238
Payment/Advice
Sheltered Workshop Insurance of Missouri
J2282
Payment/Advice
Signature Advantage
SA002
Payment/Advice
Significa Benefits Services Inc.
23250
Payment/Advice
Silver Cross Health Connection
65093
Payment/Advice
Silver Star PACE
97691
Payment/Advice
Simply Healthcare
27094
Payment/Advice
Simpra Advantage Inc
SIM01
Payment/Advice
Skechers Usa Inc
J2365
Payment/Advice
Smoky Mountain Center
13010
Payment/Advice
Snap-On Incorporated
J1105
Payment/Advice
Society Insurance
J2139
Payment/Advice
Solano Regional Medical Group
77306
Payment/Advice
Solvay America Inc.
J1106
Payment/Advice
Soundpath Health
42172
Payment/Advice
South Carolina Blue Cross Blue Shield
SC FEP Blue Cross
Medicare Blue Advantage of South Carolina
SCBLS
Payment/Advice
South Carolina Medicaid
12K55
Payment/Advice
South Carolina Medicaid
SKSC0
Payment/Advice
South Coast Area Transit (CA)
J1731
Payment/Advice
South Country Health Alliance
81600
Payment/Advice
South Dakota Blue Cross Blue Shield
Blue Shield of South Dakota
SDBLS
Payment/Advice
South Dakota Chiropractic (Sanford Health Plan)
Sanford Health Plan
CASD2
Payment/Advice
South Dakota Medicaid
12K36
Payment/Advice
South Dakota Medicaid
SKSD0
Payment/Advice
South Florida Common Services
Memorial Integrated Healthcare/S FLCommunity Care Network
South Florida Community Care Network Medicaid
59065
Payment/Advice
Southeastern Indiana Health (SIHO)
77153
Payment/Advice
Southern Benefit Administrators Inc.
38242
Payment/Advice
Southern California Edison
J1817
Payment/Advice
Southern Textile Recycling Inc. (CA)
J1648
Payment/Advice
Southwest Airlines (SWA)
J1233
Payment/Advice
Southwest Health Plan (Aetna HMO)
Aetna
60054
Payment/Advice
Space Exploration Technologies Corp
J1990
Payment/Advice
Special Funds (Electronic)
J2003
Payment/Advice
Spectrum Admin
Valley Preferred - PPO Allentown PA (IHS Gateway Payer)
Populytics (formerly Spectrum Administrators)(837I & 837P)
Populytics
23253
Payment/Advice
Spina Bifida - VA HAC
84147
Payment/Advice
Splashlight
J2270
Payment/Advice
Sprouts Farmers Market inc.
J1850
Payment/Advice
SRT Administrators Inc.
86083
Payment/Advice
St. Margaret- CMCS
Cooperative Managed Care Services
35199
Payment/Advice
St.Paul Insurance
J1926
Payment/Advice
Standard Insurance Company (NY)
13411
Payment/Advice
Standard Insurance Company (OR)
93024
Payment/Advice
Standard Life & Accident
MWA Standard Life And Accident
Standard Life and Accident
01758
Payment/Advice
Standard Life and Accident Insurance Company
73099
Payment/Advice
Stanley Steemer International Inc
J1939
Payment/Advice
Stant Corporation
J1107
Payment/Advice
State Auto Mutual Insurance Company
J1966
Payment/Advice
State Compensation Insurance Fund (SCIF)
35076
Payment/Advice
State Farm
J1548
Payment/Advice
State Farm Insurance Companies
31053
Payment/Advice
STATE FARM MUTUAL AUTOMOBILE INSURANCE CO
31059
Payment/Advice
State of Minnesota-Doer
J1555
Payment/Advice
State of North Carolina
J1659
Payment/Advice
State of Tennessee
J2267
Payment/Advice
State of Texas Dental Plan (835’s returned under 44054)
Government Employees Health AssociationInc. (GEHA)
Government Employees Hospital Association (GEHA)
57254
Payment/Advice
State Self Insurance Fund - KDHE
J2220
Payment/Advice
Status Inc.
J2215
Payment/Advice
Stirling Benefits
STL01
Payment/Advice
Stone Trust
J2213
Payment/Advice
Stonebridge Life Insurance Company
Transamerica Premier Life Insurance Company
TRP1P
Payment/Advice
Stupp Bros. Inc.
J2283
Payment/Advice
SummaCare Health Plan
95202
Payment/Advice
Summit Health
J1108
Payment/Advice
Sun Life and Health Insurance Company
67814
Payment/Advice
Sun Mar Healthcare
J1610
Payment/Advice
Sunrise Health Plan of Illinois
SIL01
Payment/Advice
Sunrise Health Plan of New York
SNY01
Payment/Advice
Sunrise Health Plan of Pennsylvania
SPA01
Payment/Advice
Sunr