UHIN's Payer List

Payer Name	Payer Id	Line of Business
Professional
(NCHD) Nueces County Hospital District Christus Health Plan Medicaid	45210	Professional
(UCS) Masonry Industry Trust	60230	Professional
(Use payer ID 70259 for dates of service 12-31-19 and prior.Use ProCare Health Plan Medicaid ## (Use payer ID 70259 for dates of service 12-31-19 and prior.Use payer ID 38224 for claims with a date of service 01-01-20 and greater.)	70259	Professional
1199 SEIU National Benefit Fund 1199 National Benefit Fund	13162	Professional
2020 Eyecare	2020E	Professional
21st Century Insurance and Financial Services	51028	Professional
3P ADMIN	20413	Professional
6 Degrees Health Inc. 6 Degrees Health Inc. 6 Degrees Health INC	20446	Professional
A & I Benefit Plan Administrators	93044	Professional
A.G. Administrators	11370	Professional
AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company	36273	Professional
Abrazo Advantage Health Plan	03443	Professional
Access Administrators	AHS01	Professional
Access Behavioral Care Colorado Access (837P & 837) Colorado Access HMO	COACC	Professional
Access Medical Group	AMG01	Professional
Acclaim	64071	Professional
Accountable HC IPA claims w/DOS prior to 5/1/15	AHIPA	Professional
ACS Benefits Payer Compass	PA331	Professional
ActivHealthcare	AHC01	Professional
ADMINISTRATIVE CONCEP Adminstrative Concepts Inc.	22384	Professional
Advance Benefit Mgmt Systems USA Incorp	66457	Professional
Advantage Care IPA	ACIPA	Professional
ADVANTAGE HEALTH SOLU Advantage Health Solutions Inc.	35209	Professional
Advantage Preferred Plus (old payer ID of 77070 valid limit	35219	Professional
Advantek Benefit Administrators Advantek Benefit Admins	83077	Professional
Advantica Benefits	59374	Professional
Advanzeon Solutions	59314	Professional
AdventHealth Advantage Plans	RP039	Professional
AdventHealth Transplant Program	AHTP01	Professional
AdventHealth Value Based Bundle Management LLC AdventHealth Value Based Bundle Management	VBBM13	Professional
ADVENTIST HEALTH SYSTEM	95340	Professional
Advisory Health Administrators	CB159	Professional
Advocate Health Centers (AHC) Advocate Health Centers	36320	Professional
Advocate Health Partners Advocate Health Partners (PHO)	65093	Professional
Aegis Administrative Services Aegis Andministrative Services	CB637	Professional
Aegis Administrative Services Aegis Andministrative Services	BC637	Professional
Aetna Affordable Health Choices Aetna Affordable Health Choices (SM) SRC	57604	Professional
Aetna Better Health CA Aetna Better Health of California	128CA	Professional
Aetna Better Health IL Medicaid Aetna Better Health Medicaid IL	26337	Professional
Aetna Better Health Nevada	128NV	Professional
Aetna Better Health NY	34734	Professional
Aetna Better Health of Illinois INC	68024	Professional
Aetna Better Health of Kansas Aetna Better Health 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 New Jersey	46320	Professional
Aetna Better Health of Ohio	50023	Professional
Aetna Better Health of Pennsylvania Medicaid Aetna Better Health - PA Medicaid	23228	Professional
Aetna Better Health of Virginia	128VA	Professional
Aetna Better Health of West Virginia Aetna Better Health West Virginia	128WV	Professional
Aetna OHIORISE	45221	Professional
Aetna Primary Choice (Aetna HP- NY/NJ) Magellan Behavioral Health (For Dates of Service 1/1/2006 and After - Provider ID Required - AETNA Subscribers only.) Select Choice Senior Choice (Aetna HP-NY/NJ) Aetna 60054 (Commercial only) Aetna Health Plan - PPO Aetna Life & Casualty Company	60054	Professional
Affiliated Doctors of Orange County	ADOCS	Professional
Affiliated Physicians IPA	POP06	Professional
Affinity Essentials AffinityAccess	23334	Professional
Affinity Health Plan Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call 718-794-7592.)	13334	Professional
AFFINITY MEDICAL GROUP	46594	Professional
Affordable Benefit Administrator Affordable Benefit Administrators Benefit Plan Administrators Benefit Plan Administrators of Co Eau Claire WI Benefit Plan Administrators CO Eau Claire WI Benefit Plan Administrator Benefit Plan Administrators WI	39081	Professional
Affordable Benefit Administrators Inc. (Claims with the following address should only be sent to this payerID: ABA PO BOX 10787 Burbank CA 91510- 0787)	95426	Professional
Agency Services Inc Meritain Health / Agency Services	64158	Professional
Ageright Advantage	ARA01	Professional
Agewell of New York Agewell New York	AWNY6	Professional
Agua Caliente	AGUA1	Professional
AHF RW	95433	Professional
AHPO (Cleveland OH)	31138	Professional
AIDS Healthcare Foundation Positive Health Care (PHC) California	95422	Professional
AIG Chartis	19402	Professional
Aither Health	64884	Professional
Alabama Blue Shield (Professional) Blue Shield of Alabama Blue Cross of Alabama	ALBLS	Professional
ALAMEDA ALLIANCE Alameda Alliance for Health (Provider must contact payer to be approved. Contact at Alameda is Anet Quiambao at 510-747-6153 or aquiambao@alamedaalliance.co m)	95327	Professional
Alamitos IPA (Customer Service 562-602-1563)	AIPAZ	Professional
Alaska Childrens Services Inc Alaska Laborers Construction Industry Trust Alaska Pipe Trades Local 375 Alaska United Food & Commercial Workers Health & Welfare Trust Cement Masons & Plasterers Health & Welfare Trust - Grp#F16 Automotive Machinists Local 289 Health & Welfare Trust - Grp#F32 University of Washington Students & Graduate Appts. - Grp#P67 Operating Engineers Locals 302 & 612 Health & Security Fund - Grp#F12 Welfare and Pension Administration Hotel Employees & Restaurant Employees Health Trust - Grp#F19 N.W. Ironworkers Health & Security Trust Fund - Grp#F15 N.W. Roofers & Employers Health & Security Trust Fund - Grp#F14 N.W. Textile Processors - Grp#F14 Glassworkers Health & Welfare Fund - Grp# F29 Enstar Natural Gas - Grp# P61 Puget Sound Benefits Trust - Grp#F25 Puget Sound Electrical Workers Trust - Grp#33 West Coast Stationary Engineers Health & Security Trust Fund - Grp#F13 Alaska Children's Services Inc. - Group # P68 Alaska Laborers Construction Industry Trust - Gro	91136	Professional
Alaska Medicaid	SKAK0	Professional
Albuquerque Public Schools	85600	Professional
Alexian Brothers Community Services of Tennessee	44423	Professional
AliCare Amalgamated Life	13550	Professional
Align Senior Care (Florida)	ASFL1	Professional
Align Senior Care California	ASCA1	Professional
Align Senior Care Michigan	ASMI1	Professional
Align Senior Care Virginia	ASVA1	Professional
Alignment Healthcare Align Senior Care Florida	CCHPC	Professional
Alivi Health	ALIVI	Professional
AllCare Pace	ACPCE	Professional
AllCare PEBB	26158	Professional
Allegiance Benefit Plan Management Inc.	81040	Professional
Alliance Coal Health Plan	93658	Professional
Alliance Physicians of the High Desert Alliance Physicians High Desestt	22417	Professional
Alliant Health Plans of Georgia	58234	Professional
Allianz Global Assistance Allianz Global Assistan	50749	Professional
Allied Benefit Systems	37308	Professional
Allied Physicians of California IPA Arroyo Vista Family Health Center Greater Orange IPA Greater San Gabriel Valley Physicians IPA La Salle Medical Associates IPA Advantage Health Network IPA Arroyo Viata Family Health Center	NMM01	Professional
Allina Health Aetna AMC Plus	54398	Professional
AllWays Health Plan (prev. Neighborhood Plan Boston MA)	04293	Professional
AlohaCare	ALOHA	Professional
Alpha Care Medical Group	ACMG1	Professional
AlphaCare	ALPHA	Professional
Alphacare Medical Group	MPM32	Professional
Alta Bates Medical Group ABMG	A0701	Professional
AltaMed	ALTAM	Professional
Alternative Opportunities	16089	Professional
Alterwood Advantage	RP016	Professional
AM-First Insurance Morgan White	01757	Professional
Amalgamated Life - PA / Alicare Amalgamated Life - PA/Alicare	13343	Professional
AmeraPlan ClaimChoice Administrators	38219	Professional
Ameriben - IEC Group	97661	Professional
Ameriben Solutions	75137	Professional
America's Choice NMA Healthsmart America's Choice America's Choice Health	20029	Professional
America's Health Choice	21810	Professional
America's PPO / America's TPA HealthEZ	41178	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) American Administrative Group (formerly Gallagher Benefit) AAG - American Administrative Group Cincinnati Financial Corporation Gallagher Cinncinnati Financial Corporation	37283	Professional
American Behavior American Behavioral	63103	Professional
American Family (administered by American Republic) American Family Insurance (Administered by American Republic)	56071	Professional
American Family Insurance	TH095	Professional
American Fidelity Assurance Company	60801	Professional
American General AMERICAN GENERAL LIFE AND ACCIDENT	62030	Professional
American Health Advantage of Texas	31155	Professional
American Health Advantage of Utah	31145	Professional
American Healthcare Alliance	01066	Professional
American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600 New Orleans LA 70163) American Lifecare	72099	Professional
American NatIonal Insurance (ANICO) American National Insurance Co	74048	Professional
American Plan Administrators	95606	Professional
American Postal Workers Union Healthplan American Postal Workers Union Health Plan	44444	Professional
American Republic Insurance Company	42011	Professional
American Specialty Health	ASH01	Professional
American Therapy Administrators ATA Wisconsin	ATHAL	Professional
Americas 1st Choice Health Plans of South Carolina	20553	Professional
Americas 1st Choice of South Carolina Inc Americas 1st Choice of South Carolina Inc.	55349	Professional
Amerigroup - Illlinois Amerigroup	28804	Professional
Amerigroup - Maryland and District of Columbia	28807	Professional
Amerigroup - New Jersey	28806	Professional
Amerigroup / Americaid - Houston	28805	Professional
Amerigroup Multiple States (Claims and Encounters) Amerigroup Multiple States	26378	Professional
Amerigroup New Mexico Amerigroup DC Amerigroup Georgia Amerigroup of Iowa Amerivantage Amerigroup Iowa	26375	Professional
Amerigroup of Florida	28809	Professional
Amerigroup Ohio (Claims and Encounters Amerigroup Illinois (Claims and Encounters Amerigroup Illinois Amerigroup Ohio	27518	Professional
Amerigroup Amerigroup/Wellpoint New Jersey Amerivantage Amerigroup Wellpoint Amerigroup Vantage Amerigroup Wellpoint Amerigroup/Wellpoint Arizona Amerigroup/Wellpoint Iowa Amerigroup/Wellpoint Texas Amerigroup/Wellpoint Washington Amerigroup/Wellpoint Tennessee Wellpoint Maryland	WLPNT	Professional
Amerihealth Administrators Inc. AmeriHealth Administrators	54763	Professional
AmeriHealth Caritas Healthplan New Hampshire	87716	Professional
AmeriHealth Caritas Louisiana (Formerly known as LA Care) AmeriHealth Caritas Louisiana(Formerly known as LA Care)	27357	Professional
Amerihealth Caritas Next DE AmeriHealth Caritas Next FL	45408	Professional
Amerihealth Caritas Next FL AmeriHealth Caritas Next DE	47073	Professional
AmeriHealth Caritas Next NC	83148	Professional
Amerihealth Caritas North Carolina	81671	Professional
AmeriHealth Caritas Ohio Inc AmeriHealth Caritas Ohio Inc	35374	Professional
AmeriHealth Caritas Ohio Medicaid MCE (Transportation Only) AmeriHealth Caritas Ohio Medicaid MCE	42435	Professional
Amerihealth Caritas VIP Care - Florida DSNP AmeriHealth Caritas VIP Care Florida DSNP	88232	Professional
AmeriHealth Caritas VIP Care Delaware DSNP Amerihealth Caritas VIP Care - Delaware DSNP	87406	Professional
AmeriHealth Caritas VIP Care AmeriHealth Caritas Pennsylvania Community HealthChoices	77062	Professional
AmeriHealth Caritus VIP Care Plus (Michigan)	77013	Professional
Amerihealth Delaware	77799	Professional
Amerihealth District of Columbia (For EDI Support please email edi.dc@amerihealthdc.com or call 1-888-656-2383) Amerihealth DC	77002	Professional
Amerihealth HMO NJ and DE Amerihealth HMO NJ and Delaware	95044	Professional
AmeriHealth Mercy Health Plan (FKA AmeriHealth Caritas Pennsylvania. Claims containing DOS on or after 1/1/21 will need to be sent under this payer ID) AmeriHealth Caritas Pennsylvania	22248	Professional
AmeriHealth NorthEast (Dates of Service on or before Dec. 31 2020 may continue to use the following until Dec. 31 2021. For dates of service 01/01/21 or after use payer ID 22248} AmeriHealth NorthEast (Dates of Service on or before Dec. 31 2020 may continue to use the following until Dec. 31 2021. For dates of service 01/01/21 or after use payer ID 22248)	77001	Professional
Amerihealth-NJ (Non-HMO Claims) AmeriHealth - New Jersey (Non- HMO Claims)	SX075	Professional
Amfirst Insurance Company	64090	Professional
Amida Care Medicare	79966	Professional
Amtrust North America	J1868	Professional
Amway Corporation Activia Benefit Services LLC Activia Benefit Services LLC (formerly Amway Corp) Activa Benefits Services LLC (Formerly Amway Corporation)	38254	Professional
Anchor Benefit Consulting Inc Anchor Benefit Consulting Anchor Benefit (Dental)	53085	Professional
Anchor Benefit Consulting Anchor (Claimsbridge)	IHS10	Professional
Angeles IPA (SynerMed)	75299	Professional
Angle Insurance Company of Utah	39856	Professional
Antares Management Services Mutual Health Services (fka Antares Management Solutions) Antares Management Solutions	34192	Professional
Anthem BCBS Georgia Anthem GA	00601	Professional
Anthem BCBS Indiana	00630	Professional
Anthem BCBS Kentucky	00660	Professional
Anthem BCBS Maine	00680	Professional
Anthem BCBS Missouri Anthem BCBS Missouri	00241	Professional
Anthem BCBS Colorado	00050	Professional
Anthem BCBS Colorado (WGS Encounters)	ENCWGS	Professional
Anthem BCBS Connecticut	00060	Professional
Anthem BCBS Ohio	00834	Professional
Anthem BCBS Virginia	00423	Professional
Anthem BCBS Wisconsin	00950	Professional
Anthem Blue Cross Blue Shield	02937	Professional
Anthem Blue Cross of California California Anthem Blue Cross California Blue Cross Blue Cross of California	47198	Professional
Anthem Maine Health	00958	Professional
Anthem NH Blue Cross of New Hampshire	00770	Professional
Anthem Ohio Medicaid	29370	Professional
APEX BENEFITS SERVICE Apex Benefit Services (Claims must contain the rendering provider ID or the claim will reject.)	34196	Professional
Apex Health	83112	Professional
APEX Healthcare	51909	Professional
APEX Healthcare (Now knows as Access Community Health Network)	ACCOM	Professional
Apostrophe	81312	Professional
Arbor Health	52312	Professional
Arcadia Healthcare Solutions IPG	11081	Professional
Arcadia Healthcare Solutions NPA Arcadia Healthcare Solutions - NPA	36364	Professional
Argus Dental and Vision	ARGUS	Professional
Arizona Blue Cross Blue Shield Blue Shield of Arizona	AZBLS	Professional
Arizona Priority Care Plus	27154	Professional
Arkansas Best Corporation - Choice Benefits CIGNA CIGNA - PPA CIGNA - PPO CIGNA Health Plan - HMO Connecticut General (CIGNA) EQUICOR EQUICOR - PPO Equitable (CIGNA) HEALTHSOURCE GA HEALTHSOURCE IN HEALTHSOURCE KY HEALTHSOURCE ME HEALTHSOURCE NH HEALTHSOURCE OH HEALTHSOURCE PROVI HEALTHSOURCE SOUTH Provident TYSON FOODS Arkansas Best Corporation CIGNA Premier Plus Arkansas Best Corporation (previous payer ID 75278 new payer ID is effective for claims submitted December 15 2017 and after).	62308	Professional
Arkansas Managed Care Organization (AMCO)	62176	Professional
Arta Health Network	WMM01	Professional
ASAGEHA	06603	Professional
ASC Benefit Services Inc. ACS Benefit Services inc.	72467	Professional
Ascension Bundle Program Ascension Bundle Health	ASN99	Professional
Ascension Living Pace MI Ascension Living St Vincent Pace INC	R3458	Professional
Ascension Living St Vincent Pace INC	R3459	Professional
Asian American Medical Group	AAMG1	Professional
Aspen Insurance	16180	Professional
Aspire Health Plan	46156	Professional
Aspirus Medicare Advantage	36483	Professional
ASR Physicians Care Physicians Care Network ASR Corporation	38265	Professional
ASRM LLC ASRM Corporation ASRM	ASRM1	Professional
Associated Hispanic Physicians Southern California	MPM44	Professional
Associates for Health Care Inc. (AHC) Associates for Healthcare	36326	Professional
Assurant Health Assurant Health Self Funded Assurant Health Self Funded (MUST VERIFY ALL CLAIMS SHOULD GO TO ALLIED BENEFIT for Assurant Health Self Funded groups with Plan effective dates after 5/1/2013)	75068	Professional
ASSURED BENEFITS ADMI Assured Benefits Administrators	74240	Professional
Asuris Northwest/MedAdvantage (REF1BProvider ID in Billing and Rendering required even when NPI is submitted.)	SX179	Professional
Asuris NW Health	93221	Professional
Atlantic Medical Colonial AMI Atlantic Medical Insurance	22285	Professional
Atlantis Eye Care	AEC01	Professional
Atlas Life Ins Co (NFIC Plan only) National Financial Insurance Company SunAmerica Life Ins Co (NFIC Plan only) Midland National Life Ins Co (NFIC Plan only)	90956	Professional
Atrio Health Plan (Formerly known as Marion Polk Health Plan Advantage)	MPCHA	Professional
Atrio Health Plan Asserta Health	IHS14	Professional
Aultcare	MNAUL	Professional
AultCare Aultra Administrative Group PrimeTime Health plan	204951704 AULOH AULTC AULTCARE	Professional
AultCare Aultra Administrative Group PrimeTime Health plan Aultcare	341488123	Professional
Author by Humana	61108	Professional
Automated Benefit Services (ABS) Automated Benefit Services	38259	Professional
Automated Group Administration Inc. Automated Group Administration	37280	Professional
Auxiant (Nat’l Health Benefit Corp) National Health Benefits Corportation- NHBC02 National Health Benefits Corporation - NHBC02	88050	Professional
Avalon Healthcare Solutions (Must contact the payer directly at Provider Services @ 855-895- 1676 prior to sending claims.)	AVA01	Professional
Avalon Healthcare Solutions Capital Blue Cross	AVA03	Professional
Avalon Healthcare Solutions North Carolina	AVA02	Professional
Avalon Healthcare Solutions Vermont	AVA04	Professional
Avante Health (Customer Service 559-261-9060)	AH001	Professional
Avectus Healthcare Solutions (Call 855-AVECTUS) Avectus Healthcare Solutions	MP001	Professional
Avera Health Plans	46045	Professional
Avesis Third Part Administrators	87098	Professional
Avmed Encounters	59275	Professional
AVMED Avmed Inc.	59274	Professional
Axminister Medical Group	AXM01	Professional
AZ Integrated Physicians	NCHON	Professional
B Smart Health Solutions	77149	Professional
Bakersfield Family Medical Center	BKRFM	Professional
Bakery & Confectionery Union & Industry International Health	BCTF1	Professional
Bankers Life and Casualty Company or Washington National Insurance Company	90000	Professional
Banner Health	12X42	Professional
Banner Health & Aetna Health Insurance Company	67895	Professional
Banner Medicare Advantage Plus (HMO) (HMO) Banner	16664	Professional
Banner Medicare Advantage Plus (PPO)	16663	Professional
Banner University Family Care (University of Arizona Health Plans) Banner University Family Care	66901	Professional
Baptist Cardiac Program	BSC01	Professional
Baptist Health South Florida	65026	Professional
Barinet (L&W)	CB369	Professional
Baycare Select Health Plans Incorp Baycare Select Health Plans Inc	81079	Professional
BC Idaho	00610	Professional
BC Idaho Medicare Advantage	BLUEC	Professional
BCBS Alabama	SB510	Professional
BCBS Arizona	BCBSAZ	Professional
BCBS Kansas	4716B	Professional
BCBS Kansas City	47171	Professional
BCBS Lousiana	53120	Professional
BCBS Michigan and Blue Care Network	00710	Professional
BCBS Minnesota	00222 00722	Professional
BCBS Minnesota Blue Cross of Minnesota	00220	Professional
BCBS Minnesota Comprehensive Care Services (BCBSMN)	00720	Professional
BCBS Montana	00751	Professional
BCBS North Carolina	BCSNC	Professional
BCBS North Dakota	55891	Professional
BCBS Of Michigan (Dental Claims Only)	BBMDQ	Professional
BCBS South Carolina Planned Admin SC BCBS Planned Administrators	SC886	Professional
BCBS Texas Medicaid BCBS Texas Medicaid (Plan effective December 1 2015)	66001	Professional
BCBS Vermont	SB915	Professional
BCBS Western NY Medicaid	WNYMD	Professional
BCBS Wyoming	53767	Professional
BCBSMN Blue Plus Medicaid	00726	Professional
Beacon Health Options	BHOVO	Professional
Beacon of Life	65432	Professional
Beaver Medical Group	45967	Professional
Behavioral Health Systems	63100	Professional
Bella Vista Med Grp IPA Bella Vista Medical Group	MPM10	Professional
Benebay Berkshire Health Plans Berkshire Health Partners	23243	Professional
Benefit & Risk Management Services Benefit & Risk Management Services (Commercial Medicare under Med3000)	99320	Professional
Benefit Administration Services	41205	Professional
Benefit Coordinators Benefit Coordinators Corporation	25145	Professional
Benefit Management LLC/VBA	88092	Professional
Benefit Management Services for Charlotte NC Benefit Management Services	56139	Professional
Benefit Management Systems Inc. Benefit Management Systems Inc of Mississippi	37212	Professional
Benefit Management Inc. of KS (Only accepts claims for these groups BMI187 BMI219 BMI234 BMI236 BMI214 BMI241 BMI617 BMI246 BMI246.) Benefit Management Inc. of KS	48611	Professional
Benefit Plan Administrators - ClaimsBridge Benefit Plan Administrators	IHS19	Professional
Benefit Plan Administrators Northern Nevada Trust Fund Northern Nevada Trust Funds (Call 775-826-7200 prior to submitting claims.)	88027	Professional
Benefit Systems and Services Inc. Benefit Systems & Services Inc. (BSSI)	36342	Professional
Benesight (formerly The TPA)	87265	Professional
Benmark	BNMK1	Professional
Berkshire Intergroup Quest EAP	10956	Professional
BEST LIFE & HEALTH CO Best Life & Health Insurance Co.	95604	Professional
Better Health Plan of Florida (For claims rejections contact payer at 800-514-4561 and select provider services option.) Better Health Plan of Florida	20488	Professional
Beverly Alianza IPA	POP05	Professional
Beverly Hospital	MPM42	Professional
BHSF International	67668	Professional
Bienvivir Senior Health Plan	BSHS1	Professional
Big Lots Associates Benefit Plans EBMC	CX025	Professional
BIND (UHC Choice Plus Multiplan) Surest Health Plan	25463	Professional
Blackhawk Dart Member Care ## Dart Member Care	CB987	Professional
Block Vision of Texas	BVTX1	Professional
Block Vision Inc.	BV001	Professional
Blue Chip of Rhode Island	RICHP	Professional
Blue Choice Medicaid (for DOS 12/31/23 and prior)	00403	Professional
Blue Choice of Rochester NY	N6BLS	Professional
Blue Choice of South Carolina	00922	Professional
Blue Cross Community Options Blue Cross Community Solutions Effect 12-14-14 payer ID00621	MCDIL	Professional
Blue Cross Complete of Michigan LLC Blue Cross Complete	32002	Professional
Blue Cross Medicare Advantage of Montana Illinois Texas and Oklahoma Blue Cross Medicare Advantage (For DOS after 01-01-2017 and for MemberID starting with YDL YDJ XOD XOJ ZGD ZGI ID YIJ YUX and UYB only)	66006	Professional
Blue Cross of Illinois Blue Cross of Illinois BLUECROSS BLUESHIELD (BCBS) IL HCSC	00621	Professional
Blue Cross of Arkansas	00520	Professional
Blue Cross of Florida Florida Blue	00590	Professional
Blue Cross of Idaho Idaho Blue Cross	IDBLC	Professional
Blue Cross of New Mexico BLUECROSS BLUESHIELD (BCBS) NM HCSC Lovelace Sandia	00790	Professional
Blue Cross of Oklahoma BLUECROSS BLUESHIELD (BCBS) OK HCSC	00840	Professional
Blue Cross of Oregon Regence Regence BCBS Oregon	00851	Professional
Blue Cross of Washington Blue Cross of Washington (Premera)	00934	Professional
Blue Grass Family Health (SRRIPA)	15754	Professional
Blue Lake Rancheria	IP061	Professional
Blue Medicare Advantage	00772	Professional
Blue Shield of Alaska	AKBLS	Professional
Blue Shield of Arkansas Arkansas Blue Cross Blue Shield Blue Advantage of Arkansas Health Advantage of Arkansas	ARBLS	Professional
Blue Shield of California UFCW Loc 400-5205 -must reg at wwwblueshieldca.com	BS001	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 (State Health of GA) Georgia State Health Benefit Plan (Processed by GA BC/BS) 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 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 Louisiana 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 Maryland	MDBLS	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 National Capital Area National Capital Area	NCABS	Professional
Blue Shield of Nebraska	77780	Professional
Blue Shield of New Jersey Horizon BCBSNJ	22099	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 South Carolina South Carolina Blue Cross Blue Shield SC FEP Blue Cross Medicare Blue Advantage of South Carolina	SCBLS	Professional
Blue Shield of Utica NY	N4BLS	Professional
Blue Shield of Vermont	VTBLS	Professional
Blueride Non Emerg Transportation	BLRDE	Professional
BMC Health Net Plan Boston Medical Center Healthnet	13337	Professional
Boilermakers National Health & Welfare Fund	36609	Professional
Bollinger INC.	BOLL1	Professional
Boon-Chapman Benefit Administrators Inc.	74238	Professional
BPS Inc	48964	Professional
Brand New Day (Encounters) Brand New Day (FFS)	UC002	Professional
Brand New Day (FFS) Brand New Day (Encounters)	UC001	Professional
Braven Health	84367	Professional
Bravo Health (Now CIGNA HealthSprings.) CIGNA HealthSprings Bravo Health Elder Health HMO of Pennsylvania	52192	Professional
Breckpoint	BRKPN	Professional
Bridgespan	BRIDG	Professional
Bright Health (for DOS after 01/01/2022)	BRGHT	Professional
Bright Health Plan	CB186	Professional
BritCay Colonial BC	22286	Professional
Brockerage Concepts Inc (Benefit Concepts) Benefit Concepts Healthsmart Brokerage Concepts Brockerage Concepts Inc.	51037	Professional
Broward Regional Health Planning Council	BRHPC	Professional
Brown & Toland Medical Group	94316	Professional
Brown & Toland Sutter Brown & Toland SutterSelect	BTSS1	Professional
Buckeye Ohio Medicaid	04202	Professional
Buckeye Ohio Medicaid	42020	Professional
Butler Benefits HealthSmart Butler Benefit HealthSmart Fringe Benefit Coordinators HealthSmart US Benefits HealthSmart William C Earhart	42150	Professional
C&O Employees Hospital Association C & O Employees Hospital Association	23708	Professional
C3 Health (fka Access Health Inc.)	A1680	Professional
Cal-Optima Direct Caloptima CALOPTIMA DIRECT	CALOP	Professional
California Eye Care New Century Health	NCH05	Professional
California Health and Wellness California Health & Wellness	68047	Professional
California IPA	AMM14	Professional
California Pacific Medical Center California Pacific Medical Center	94056	Professional
California Water Services	CWS99	Professional
Cannon Cochran Management Services Inc. LA (Claims for Payer address of Metairie LA only.) CANNON COCHRAN MANAGEMENT SERVICES INC	71057	Professional
CANNON COCHRAN MGMT Arcadia Insurance Company Sage Technologies (Formerly CCMSI) (Claims for payer address of Rockford IL ONLY.)	37105	Professional
CAP Management Systems CAP Management	95399	Professional
Capital Advantage Insurance Company (CAIC) PROFESSIONAL (BCBS ProviderID and Performing ProviderID required. Call 800- 874-8433) Capital Blue Cross PROFESSIONAL (BCBS ProviderID and Performing ProviderID required. Call 800- 874-8433)	23045	Professional
Capital District PHP	SX065	Professional
Capital Health Plan	95112	Professional
Capital International Management Services	65067	Professional
Capitol Administrators (Lucent Health)	68011	Professional
Caprock Health Plan CapRock HealthPlans	CAPHP	Professional
Cardiovascular Care Providers	GCVCP	Professional
Care Access PSN	65063	Professional
Care Around the Clock	57721	Professional
Care Choices HMO	HM037	Professional
Care First Health Plan of AZ Care 1st Health Plan of Arizona	57116	Professional
Care First Health Plan of CA Care 1st Health Plan of CA	57115	Professional
Care N Care Care N' Care	66010	Professional
Care Plus	65031	Professional
Care to Care	41222	Professional
Care Wisconsin Health Plan (Trizetto)	27004	Professional
CareCentrix	11345	Professional
CareCentrix BCBS MI CareCentrix BCBS Michigan	11349	Professional
CareCentrix Cigna	11346	Professional
CareCentrix Florida Blue	11347	Professional
CareCentrix Wellcare	11350	Professional
CareCore Aetna Radiology CareCore National LLC (Aetna Radiology Claims) New York Medical Imaging-MVP	14179	Professional
Carecore National Wellcare	14188	Professional
CareCore National Care Core National	14182	Professional
CareCore Oxford Radiology CareCore National LLC (Radiology charges for Oxford)	14180	Professional
Carefirst BCBS DC National Capital Area CareFirst BCBS - DC National Capital Area	SB580	Professional
Carefirst Medicare Advatange CareFirst Medicare Advantage	00193	Professional
Carelink Medicaid	25140	Professional
Carelon Aetna Home Health	34010	Professional
Carelon Anthem Home Health	34009	Professional
Carelon Health Advance Primary Care Encounters	CMENC	Professional
Caremore	CM001	Professional
CareMore Value Plus (CVP) Caremore Caremore IPA	CARMO	Professional
Carenet of VA (use consolidated Coventry payerID of 25133)	25142	Professional
CareOregon Inc. Care Oregon	93975	Professional
CarePartners of Connecticut	16307	Professional
CarePlus Cardiology - New Century Health	NCH04	Professional
Caresource Georgia Caresource of Georgia CareSource of GA	GACS1	Professional
CareSource Health Plan of Oregon	MRCHP	Professional
Caresource Indiana CareSource Marketplace CareSource IN	INCS1	Professional
CareSource KY Caresource Humana Humana Caresource CareSource of Kentucky	KYCS1	Professional
CareSource MI Medicaid CareSource Michigan Medicaid	MIMCDCS1	Professional
CareSource North Carolina CareSource NC	NCCS1	Professional
CareSource of AR Caresource AR	ARCS1	Professional
CareSource OH	31114	Professional
CareSource Ohio Medicaid	03150	Professional
Caresource West Virginia CareSource WV	WVCS1	Professional
Carolina Summit Healthcare Inc. Carolina Summit Healthcare Inc	56195	Professional
Carpenters Health and Welfare Fund of Philadelphia	CX101	Professional
CBHA Carolina Behavioral Health Alliance Carolina Behavioral Health Alliance	56215	Professional
CBNHP Health Choices CBHNP - Health Choices	65391	Professional
CBSA CBSA (Corporation Benefit Services of America) Corporate Benefit Services of America IBI Iowa Benefits Inc. Meritain Health Minneapolis Iowa Benefits Inc. Fortis Self Funded Administrative Services	41124	Professional
CCMC - Comprehensive Care Management Corp	CCMC1	Professional
CCOK Community Care Managed Health Care Plans of Oklahoma	73143	Professional
CDO Technologies	63028	Professional
CDO Technologies MBA Benefit Administrators	83028	Professional
Cedar Valley Community Health Plan SISCO Quad Cities Community Health Plan Lake Region Community Health Plan Northeast Iowa Community Health Plan	SISCO	Professional
Cedars-Sinai Medical Network Services Claims Cedars-Sinai Medical Network Services	95166	Professional
Cedars-Sinai Medical Network Services Encounters Cedars-Sinai Medical Network Services	95167	Professional
Celtic Insurance	CELTC	Professional
CeltiCare Cenpatico - Georgia Iowa Total Care Centene Advantage Plans (claims for former payer ID 95567 with DOS on or after 1/1/18) Louisiana Healthcare Connections Ambetter of Arkansas Home State Health Plan Total Carolina Care Magnolia Mississippi Bridgeway Arizona Managed Health Services Indiana Managed Health Services of Wisconsin (Please contact the payer @ 800-225-2573 ext 25525 to get setup to submit electronic claims.) Buckeye Community Health California Health and Wellness Healthnet Community Solutions SilverSummit Health Plan Illinicare Group Health NebraskaTotal Care Peach State Health Plan (Behavioral Health) Peach State Health Plan (Medicaid) (Call 800-225-2573 ext 25525 prior to submitting claims.) Kentucky Spirit Health Plan Arkansas Total Care BRIDGEWAY NETWORK New Hampshire Healthy Family California Health & Wellness Centene Advantage Plans Western Sky Community Care Michigan Complete Health Nebraska Total Care Novasys Health Network Peach State Health	68069	Professional
CenCal Health	95386	Professional
Cenpatico - Kansas (Prior to submitting claims please call Provider Relations Dept at 866- 896-7293 to verify your provider info is on file in the claim system.) Cenpatico (For multiple states) Cenpatico Behavioral Health - Wisconsin (Call 800-225-2573 ext 25525 prior to submitting claims.) Cenpatico Behavioral Health AZ (Prior to submission contact 866- 495-6748 to verify provider ID.) Cenpatico Florida Behavioral Health Cenpatico Indiana Cenpatico Massachusetts Cenpatico Ohio Illinicare Behavioral Health Cenpatico CENPATICO ARIZONA Cenpatico Behavior Health CENPATICO GEORGIA Cenpatico Kansas CENPATICO TEXAS GROUP PRACTICE AFFILIATES IHS Gateway Payer South Integrated Mental Health Services	68068	Professional
Center for Elders Independence	94312	Professional
Center for Healthy Living	CPHL1	Professional
Center IPA	POP01	Professional
CenterCare	13357	Professional
CenterLight Healthcare	13360	Professional
Centivo	45564	Professional
Centivo Direct Network Access	IHS04	Professional
CentraCare	66698	Professional
Central California Alliance for Health (Alliance EDI Support Unit 831-430-5510)	SX169	Professional
Central California Women's Health Central California Womens Health	WH001	Professional
Central Health Medicare Central Health MSO	CHCPI	Professional
Central Mass Heath Care CMHC Healthsource CMHC Healthsource Massachusetts Inc Healthsource MA	02041	Professional
Central Ohio Primary Care Senior Care Advantage	AGL02	Professional
Central Reserve Life Insurance Company Loyal American Life Central Reserve Life Central Reserve Life Ins.Co. (Formertly Loyal American Life (Medicare Supplement) )	13193	Professional
Central Valley Medical Group Sutter Connect - Central Valley Med Group (Claims)	77035	Professional
Centurion LLC Centurion	IHS11	Professional
Centurion of Tennessee	42140	Professional
Century PHO	36393	Professional
CHA - Commonwealth Health Alliance	23171	Professional
Chaffey Medical Group	49533	Professional
CHAMPVA - HAC Veterans Family Members Program (formerly known as CHAMPVA-HAC) CHAMPVA-HAC (CHAMPVA- HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS.)	84146	Professional
Chautauqua County Health Plan (Mayville NY)	16600	Professional
Children First Medical Group (For questions regarding claim status providers will need to contact payer: CFMG Provider Customer Service 510-428-3154)	94321	Professional
Children's Community Health Plan Wisconsin	251CC	Professional
Children's Specialists of San Diego Childrens Specialist of San Diego	CSSD2	Professional
Childrens Medical Center Health Plan	CMCHP	Professional
Chinese Community Health Plan Chinese Community Health Plan (Unique Provider ID must be on claim.)	94302	Professional
CHIPA - College Health IPA	CHIPA	Professional
Chirometrics Inc.	33070	Professional
Chiropractic Association of South Dakota	CASD1	Professional
Chiropractic Care of Minnesota Inc. (For Dates of service before 1-01-08 continue to use payerID of ACN01.) Landmark Healthcare Inc.	LNDMK	Professional
CHOC Childrens Hosp of Orange Cty Health Alliance CHOC - Childrens Hospital of Orange County Health Alliance	33065	Professional
Choice Physicians Net First Choice	CPNFC	Professional
Choice Physicians Network (Nivano Physicians)	CPNNP	Professional
Choice Physicians Network Choice Physician Network	CPN01	Professional
ChoiceOne IPA	POP03	Professional
CHP/RPU (FABOH) (Facility physical address required on claim.) CHP/RPU (FABOH)	39112	Professional
Christian Brother Services Christian Brothers Services	38308	Professional
Christian Care Ministries (Medishare) (Providers should check the member ID card and use the Household ID value as the member ID when submitting claims electron Christian Care Ministries	59355	Professional
Christie Student Helath Plan Christie Student Health Plans	75544	Professional
Christus Health Medicare Advantage	10629	Professional
Christus Health Plam -US Family Health Plan Christus Health Plan - US Family Health Plan US Family Health Plan	90551	Professional
Christus Health Plan HIX Christus Health Plan Health Exchange	52106	Professional
Christus Spohn Health Network Spohn Health	SPOHN	Professional
CIGNA Behavioral Health	02331	Professional
CIGNA Behavioral Health CIGNA Behavioral Health (We will also accept PID SX071 for these claims: use of either ID accomplishes the same routing.) MCC Behavioral Care (We will also accept PID SX071 for these claims: use of either ID accomplishes the same routing.)	MCCBV	Professional
CIGNA Medicare Advantage CIGNA Senior CIGNA Healthcare for Seniors - Arizona Medicare	86033	Professional
Citrus Valley Physician's Group	IP055	Professional
Citrus Valley Physicians Group Physicians Data Trust St Vincent Noble Tri Cities IPA Ximed Medical Group Citrus Valley Physician's Group	PDT01	Professional
CL Frates	CLFR2	Professional
Clackamas County Mental Health (Administered by PH Tech)	CCMMH	Professional
Claims Choice Administrators LLC	83063	Professional
Claims Development Corporation	43056	Professional
ClaimsBridge High Performance Network (HPN)	11752	Professional
Claimsware Inc. DBA ManageMed ClaimsWare Inc. DBA ManageMed	57080	Professional
Clarian Health Plans MPLAN Inc./HealthCare Group LLC MPLAN Inc. Healthcare Group Senior Smart Choice	95444	Professional
Clear Health Alliance	CLEAR	Professional
Clear Spring Health Management Services Family Health Network	85468	Professional
Clever Care Health Plan	CC168	Professional
Client First	41201	Professional
Clifton Health Systems D/B/A Actin Care Groups	24585	Professional
Clinical Resource Group	CRGMN	Professional
Clinical Specialties INC Clinical Specialisties INC	CSI001 CSI01	Professional
Clover Health (FKA Carepoint Health Plan payer ID 77023) Clover (Formerly Carepoint Health Plan previous payer ID 77023)	13285	Professional
Coachella Medical Group	COMG1	Professional
Coastal Care	43141	Professional
Coastal Care Services Inc	47394	Professional
Coastal Communities Physician Network (CCPN)	CCPN1	Professional
Coastal Healthcare Management	LIPAZ	Professional
Cobalt Benefits Group LLC dba CBA Blue Blue Benefit Administrators of Massachusetts & EBPA	03036	Professional
Colonial CMI	22287	Professional
Colonial CMI Colonial Medical	22284	Professional
Colonial Penn Life Insurance	37077	Professional
Colorado Anthem Blue Cross Blue Shield Blue Shield of Colorado Anthem of Colorado Colorado Anthem Blue Cross and Blue Shield	COBLS	Professional
Colorado Choice Health Plans	H0657	Professional
Colorado Community Health Alliance	COCHA	Professional
Colorado HealthOP Colorado Health Insurance Cooperative	49718	Professional
Colorado Medicaid	SKCO0	Professional
Columbine Health Plan	CHP02	Professional
COMMERCE BENEFITS GRP Commerce Benefits Group	34181	Professional
Common Ground Healthcare Cooperative	77170	Professional
Commonwealth Care Alliance	A2793	Professional
Commonwealth Care Alliance Medicare Advantage	14316	Professional
Communicare Advantage	34525	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 Community Care BHO (For Dates of Service after October 1 2007)	23282	Professional
Community Care Organization Community Care Inc. (WI)	39126	Professional
Community Care PCC Preferred Community Choice/PCCSelect/CompMed Preferred Community Choice	73145	Professional
Community Care Plan Broward Health PPUC	BHPP1	Professional
Community Care Plan- Florida Healthy Kids	FHKC1	Professional
Community Care Plan(Palm Beach Health District)	PBHD1	Professional
Community Connect Medicaid Group Health Cooperative of EauClaire Group Health Cooperative of Eau Claire	95192	Professional
Community Eye Care	CECVP	Professional
Community Family Care	NMM05	Professional
Community First I Par Plus Community First Health Plans Community First Health Plan Inc.	COMMF	Professional
Community Health	60495	Professional
Community Health Alliance	35193	Professional
Community Health Allliance TN Community Health Alliance TN	27905	Professional
Community Health Center Network	CHCN1	Professional
Community Health Choice (Please include TPI Number (Texas Medicaid Number) in Field FA0-23) Community Health Choice	48145	Professional
Community Health Electronic Claims/CHEC/webTPA	75261	Professional
Community Health Group	66170	Professional
Community Health Plan District of Columbia	L0230	Professional
Community Health Plan of Washington	CHPWA	Professional
Community Health Solutions (Claims now route to Medicaid of Louisiana) Medicaid of Louisiana (Includes KidMed claims.) Medicaid of Louisiana (837P 837I & 837D) Louisiana Medicaid	LAMCD	Professional
Community IPA	AMM12	Professional
Community Medical Group of the West Valley	CMGWV	Professional
COMP - Ohio (Austintown OH) COMP-Ohio (Austintown Ohio)	34177	Professional
Companion Life American Worker Health Plan American Worker Health Plan (Dental) American Worker Health Plus	37322	Professional
Companion Forethought Bankers Reserve/Wellcare Thrivent Shenandoah Combined Insurance Company Combined Sterling Liberty Banke Standard Life Western Catholic Union Liberty Bankers	26119	Professional
CompFirst LLC	23296	Professional
Complementary HealthCare Plans	93101	Professional
CompManagement Health	15243	Professional
Comprehensive Care Services (BCBSMN For DOS on and after 01-01-2019) BCBSMN Blue Plus Medicaid	00562	Professional
Comprehensive Medical/Vision Program AZ	M0166	Professional
ComPsych	37363	Professional
Concordia Care Inc Concordia Care Inc.	33632	Professional
Connecticare - Medicare CONNECTICARE MCR	78375	Professional
Connecticare Inc. ConnectiCare Inc	06105	Professional
Connecticut Anthem Blue Cross Blue Shield Blue Shield of Connecticut Connecticut Anthem Blue Cross and Blue Shield	CTBLS	Professional
Connective RX (PSKW)	PSKW0	Professional
Consociate Group	37135	Professional
Consolidated Associates Railroad HealthSmart Consolidated Associates Railroad Employees (CARE)	75284	Professional
Consolidated Health Plans Wellfleet Group LLC	87843	Professional
Constitution State / Travelers	19046	Professional
Consumers Choice Health SC	45321	Professional
Contessa Health	CH102	Professional
Contessa Health Security Health Plan	CH101	Professional
Contra Costa Behavioral Health Plan	CCMHP	Professional
Contra Costa Health Plan Contra Costa Health Plan	CCHS	Professional
Contra County Health Plan	CNTRA	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 Benefit Administrators Inc. National Rural Electric	52132	Professional
Coordinated Benefit Plan	14829	Professional
Core Management Resouces Group Core Management Resources Group Core Administrative Services	58231	Professional
CoreSource of NC (Start PayerID of 35182 Old payerID reject	35180	Professional
CoreStar CoreSource of Illinois CoreSource of IOWA CoreSource of Maryland Luminare Health CoreSource of Pennsylvania Luminare Health AZ IL IN MD MN NC PA fka Trustmark Health Benefits	35182	Professional
CoreStar AZ MN ( PayerID of 35182 Old ID will start reject	41045	Professional
Corizon Health Inc Corizon Health Inc.(Claims with address of Brentwood TN should be submitted to this Payer ID.)	CORIZ	Professional
Cornerstone Preferred Resources	CB268	Professional
Corporate Benefits Service Inc.	56116	Professional
Corporate Plan Management Inc.	64270	Professional
CorrectCare Integrated Health	LADOC	Professional
CorrectCare Integrated Health	CCIHC	Professional
CorrectCare Integrated Health (California Prison Healthcare Services) CorrectCare Integrated Health (CA Prison Health) CorrectCare Integrated Health (Non -Louisiana Jails Prison Health)	CCIH	Professional
Correction Health Partners Physician Health Partners	PHPMC	Professional
Correctional Medical Services Corizon Inc. (fka Correctional Medical Services) Claims with address of St. Louis MO should be submitted to this Payer ID.	43160	Professional
CORSOLUTIONS Employers Direct Health - FI	75235	Professional
County Care (Behavioral Health and regular claims with a DOS after 4/1/16) County Care	06541	Professional
County Care County Care (Behavioral Health claims with a DOS prior to 4/1/16)	42138	Professional
County Care County Care (formerly Centene IPA ) Claims with a DOS prior to 4/1/16)□	42139	Professional
Covenant Administrators LLC - 90 Degree Covenant Administrators LLC - 90 Degree Guarantee Trust Life Insurance Company	58102	Professional
Covenant Management System Employee Benefit I Par Plus Covenant Management Systems Employee Benefit plan	CMSEB	Professional
Coventry Health Care of Florida	128FL	Professional
COVID19 HRSA Uninsured Testing and Treatment Fund	95964	Professional
Cox Health Plan (Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.) Cox Health Plan	00019	Professional
CPR Share Plan CPR Share Plans	CB695	Professional
Creative Plan Administrators	37320	Professional
Crescent Health Solutions	56213	Professional
Crystal Run Health Plans	46430	Professional
CSI Network Services	34186	Professional
CTI Administrators Inc. CTI Administrators Inc	42141	Professional
Curative	CURTV	Professional
Custom Design Benefits Inc. Custom Design Benefits Inc.	82056	Professional
D.H. EVANS & ASSOC. EBC INC Employee Benefit Consultants Health Care District Health Plan of San Mateo Healthy Palm Beaches MERCYCARE WI (Call 608-758- 7739 for PayerID.) OMMS South Carolina PA PREFERRED HEALTH SOUTH CENTRAL PREFERRED AllCare (Must contact AllCare 800-564-6901 for setup and payerID.) Blue Medicare of North Carolina (Contracted providers only. Call 888-296-9790) John Muir Trauma Physicians (Please call 925-947-5288 for Payer ID information.) EBC Inc. (To obtain the payerID please call (440) 262-1160) PA Preferred Health (Call PPHN Claims Operations at 410-349- 3222) Employee Benefit Consultants (To obtain the payer ID please call (440) 262-1160.) Employee Benefit Consultants Inc. (Call (440) 262-1160 for PayerID.) Virginia Health Network Inc (To get the payerID call payer at (804)320-3837) Network Health (Before initiating submissions please call Provider Relations at (617)806-8104 or www.network-health.org for an EDI startup plan.) (Encounters from delegated entit	CALL	Professional
DakotaCare	DAK01	Professional
Davis Vision	00157	Professional
DCHS Medical Foundation	DCHSF	Professional
Dean Health Plan	DEAN1	Professional
Dean Health Plans	41822	Professional
Decent Health	DCENT	Professional
Delaware Medicaid Medicaid of Delaware Medicaid of Delaware	DEMCD	Professional
Dell Children's Health Plan	74272	Professional
Delta Health Systems	DHS01	Professional
Dentemax Dentemax/DPI (MI) Network Health PPO	AMS01	Professional
Denver Health - Indigent	84134	Professional
DENVER HEALTH MED PLN Denver Health Medical Plan	84135	Professional
DENVER HEALTH MEDICAID CHOICE Denver Health and Hospital Authority	84133	Professional
Denver Health Medical Plan Inc. Medicare Choice	84131	Professional
Desert Medical Group	DESRT	Professional
Desert Valley Medical Group	DVMC1	Professional
Devoted Health	DEVOT	Professional
DGA - Diversified Group Administrators	25160	Professional
DHMN Preferred IPA Hospital Risk	DHM02	Professional
DHMN Santa Cruz	DHM01	Professional
Dignity Global	MPM27	Professional
Dignity HCLA	MPM28	Professional
Dignity Health - Sacramento Hospital claim shop for Mercy Medical Group Woodland Clinic Medical Group and Hill Physicians Medical group (hospital risk) Dignity Health - Sacramento Hosp claim shop-Mercy Med Group	HOSH1	Professional
Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group (professional risk) for Mercy Medical Group or Woodland Clinic Medical Group Dignity Health Med Found for Mercy Med Gr-Woodland Clin Med	PROH1	Professional
Dignity Health Medical Group (Inland Empire) Dignity Health Med Group-Inland Empire (professional risk)	PROH4	Professional
Dignity Medical Foundation Professional Capitated Non- Payment	PROHC	Professional
DIRECT CARE ADMINISTRATORS	DCA62	Professional
DirectCare	55731	Professional
Directors Guild of America California Anthem Blue Cross California Blue Cross Anthem Blue Cross of California Blue Cross of California	BC001	Professional
District of Columbia Medicaid	SKDC0	Professional
Diversified Admin Corp	06102	Professional
DMBA	SX105	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
DMERC Region D Testing is required for claims requiring CMNs	DMERD	Professional
Doctors Healthcare Plan	DRHCP	Professional
Dolton Medical Group	DOLMG	Professional
Downey Select IPA (Applecare Medical Mgmt) Downey Select IPA (Applecare Medical Mgmt	APP01	Professional
DPC Core INC DPC CORE Inc.	23212	Professional
DPSC INC	A6864	Professional
Dreyer Medical	DREYR	Professional
Driscoll Childrens Health Plan Driscoll Childrens Health Plan (CHIP)	74284	Professional
Dunn and Associates Benefits Administrators Inc.	35186	Professional
E.S. Beveridge and Associates E. S. Beveridge and Associates E.S. Beveridge	34108	Professional
E3 Health Inc (Formerly First Integrated Health) First Integrated Health	75232	Professional
Each Care Network- Effective 08/01/2020	88846	Professional
Early Intervention Central Billing	36434	Professional
East Boston Neighborhood Pace NeighborhoodHealth	25849	Professional
EAST CAROLINA BEHAVIORAL HEALTH	56089	Professional
Eastern Main Healthcare Systems (EMHS) Eastern Main Healthcare Systems (EMHS) Employee Health Plan	16565	Professional
Eastland Medical Group	EMG11	Professional
Easy Care MSO LLC	ECMSO	Professional
Easy Choice Health Plan of NY	24770	Professional
Easy Choice HP of NY Med3000 CMS Title 19 Reform (New PID Effective For DOS After 1/31/19) Pyramid Life Insurance Company Wellcare HMO Inc. Todays Option (American Progressive and Pyramid Life) Med3000 CMS Title 19 Reform (New PID Effective For DOS After 1/31/19)	14163	Professional
Eberle Vivian	EV001	Professional
EBMS (Employee Benefit Management Services Inc)	81039	Professional
EDS Healthchoice (formerly payer ID 22521 - For dates of service on or after 01/01/2018 ) Healthchoice (formerly payer ID 22521) HealthChoice	71064	Professional
El Paso First Health Plans - CHIP El Paso First - CHIP El Paso First - CHIP I Par Plus	EPF03	Professional
EL Paso Health Advantage Dual	EPF07	Professional
El Proyecto Del Barrio IPA	MPM04	Professional
Elder Service Plan of the North Shore. Element Care Incorporated Elder Service Health Plan of the North Shore	04326	Professional
ELDERPLAN ElderPlan Inc. (Elderplan Provider ID necessary on all claims. Contact (718)921-7979 for Provider ID.)	31625	Professional
Ellis Consultants INC.	ECISF	Professional
Elmcare L.L.C. Elmcare	NAELM	Professional
Elmco	37253	Professional
Emblem Health	81336	Professional
EmblemHealth Plan (HMO) GHI HMO Select	25531	Professional
Emerald Health	16755	Professional
EMI HEALTH	SX110	Professional
Empire BCBS Anthem BCBS NY	00803 00803R	Professional
Empire Physician's Medical Group	EMP01	Professional
Employee Benefit Administration & Management (EBA&M) HealthSmart Employee Benefit Administrators & Management	95288	Professional
Employee Benefit Concepts Employee Benefit Concepts MI	38241	Professional
Employee Benefit Management Corp. Employee Benefit Management Corp. (EBMC)	31074	Professional
Employee Benefit Services Key Benefit Administrators (Ft. Mill SC) Employee Benefit Systems Key Benefit Administrators (Ft.Mill SC)	37216	Professional
Employee Benefit Svcs (EBS) of San Antonio	EBSSA	Professional
Employee Benefit System Employee Benefit Systems	42149	Professional
Employee Logistics	92135	Professional
Employee Plans LLC Employee Plans LLC	35112	Professional
Employees Mutual (EMC)	21415	Professional
Employer Health Network Employers Health Network	IHS07	Professional
Employer Plan Services Inc.	74212	Professional
Employer's Direct SF Employers Direct Health - SF	75233	Professional
Employers Direct Health Employers Direct Health - Employee Plan	75236	Professional
Employers Health Cooperative (EHC) Employers Coalition On Health (ECOH) Claimshop- Employers Coalition on Health	27008	Professional
Employers Mutual Inc. (Florida Providers only) Employers Mutual Inc (FL)	59298	Professional
Empower Arkansas	12956	Professional
Enterprise Group Planning	EGPIN	Professional
Entrust	36878	Professional
Eon Health	73780	Professional
EPN - Seton Health Plan Exclusive (Provider ID required) EPN (Seton Health Plan Exclusive PR I Par Plus)	EPNSH	Professional
Erin Group Administrators Significa Benefit Services Inc. Erin Group Administrators (Now known as Significa Benefit Services Inc.)	23250	Professional
Essence Healthcare	20818	Professional
Essence Healthcare	57082	Professional
Essential Health Partner	EHPSC	Professional
Essential Health Partners	EIPA9	Professional
Everence Mennonite Mutual (Now known as Everence) Mennonite Mutual Aid Association and Affiliates (Now known as Everence)	35605	Professional
Evergreen Health Coop check the member ID Card for Payer ID	93240	Professional
Evolutions Healthcare Systems Evolutions Healthcare	59313	Professional
Evry Health	EH001	Professional
Exceedent LLC	22344	Professional
Excellus BCBS New York Rochest Excellus BCBS New York Rochester Area	SB804	Professional
Excellus BCBS New York Utica Watertown	SB806	Professional
Exclusive Care Exclusive Care (ALL providers must contact Exclusive Care prior to submitting claims electronically. Please contact Martha Cuevas at 951-955-8853)	EC999	Professional
Eye Specialists (Provider ID number required in Box33a or Box24J)	BVES1	Professional
Eyefinity VSP	94163	Professional
EyeMed	31165	Professional
EyeQuest	63740	Professional
Facey Medical Foundation	95432	Professional
FACS Group	37300	Professional
Falling Colors	FCC20	Professional
Fallon (Transplant claims) Fallon Transplant	FT254	Professional
Fallon Community Health Fallon Community Health Plan	22254	Professional
Family Care Family Care - Milwaukee WI	60995	Professional
Family Care Specialists	MPM40	Professional
Family Practice Medical Group	10145	Professional
Farm Bureau Health Plans MAPD	RP061	Professional
FCE BENEFIT ADMINISTRATORS	33033	Professional
Federal Employee Program (Connecticut)	C2BLS	Professional
Federated Mutual Insurance	41041	Professional
Fenix Med Group	60818	Professional
Fidelis Care New York	11315	Professional
Fire Department Cityof New York World Trade Center Health	FDNYP	Professional
Firefly Health	FRFLY	Professional
First Agency	88055	Professional
First Carolina Care	FCC01	Professional
First Choice Medical Group	FCMG1	Professional
First Choice Next A Product of Select Health of South Carolina Inc.	57103	Professional
First Choice VIP Care Plus SC #3 First Choice VIP Care Plus SC (First Choice VIP Care Plus is a Medicare Medicaid Plan (MMP) part of the AmeriHealth Caritas Family of Companies)	77009	Professional
First Choice VIP Care(SC D SNIP) by Select Health of South Carolina Inc.	32456	Professional
First Health Network PPO Oklahoma (WinterBrook HealthCare Management)	73159	Professional
First Service Administrators Florida 1st - Winterhaven Florida	59276	Professional
First Solution	FS802	Professional
FirstCare	94999	Professional
FirstCare Star Medicaid	94998	Professional
Fitzharris & Company	11244	Professional
FL MCO PHC/PHP FL MCO PHC PHP	95411	Professional
Florida Community Care	FLCCR	Professional
Florida Complete Care	FLCPC	Professional
Florida Health Plan Florida Healthcare	59322	Professional
Florida Hospital VBR	VB001	Professional
Florida Medicaid	SKFL0	Professional
Florida Pace Centers	FLPAC	Professional
Flume Health INC Flume Health Inc.	FH205	Professional
FMH Benefit Services Luminare Health KC Luminare Health KC fka Trustmark Health Benefits FMH Benefit Services Inc.	48117	Professional
Forest County Potawatomi Ins Dept	25059	Professional
Foundation Health of CA	FH001	Professional
Foundation Health of Florida-Encounters	FHFLE	Professional
Fox Valley Medicine Site 199	FVMCH	Professional
Fox Valley Medicine Site 451	FVMC1	Professional
Fox-Everett Inc. Fox Everett	64069	Professional
Franciscan Purdue	FAIPUR	Professional
Freedom Health Plan	41212	Professional
Freedom Life Freedom Life Insurance Company	62324	Professional
Fresenius Medical Care	TH118	Professional
Fresno PACE	99660	Professional
Friday Health Plan	A2700	Professional
Fringe Benefit Coordinators HealthSmart Fringe Benefit Coordinators HealthSmart Fringe Benefit Coordinators (Dental)	59204	Professional
FrontPath FrontPath Health Coalition	34171	Professional
Galveston County Indigent Health GALVESTON COUNTY INDIGENT HEALTHCARE	30005	Professional
Gateway Health Plan - Medicare Assured Ohio Gateway Health Plan - Medicare Assured OH	91741	Professional
Gateway Health Plan ((Yellow Card). Check the ID card to verify the Payer ID before submitting) Assured	60550	Professional
Gateway Health Plan of Ohio Inc.	76028	Professional
Gateway Health Plan Gateway Health Plan - Medicaid PA	25169	Professional
Gateway to Better Health	4317M	Professional
GBS Group Benefit GBS Global Benefit Group Benefit Services	CB951	Professional
GBS Group Benefit Services	80241	Professional
GEHA (Government Employees Health Association) Government Employees Health Association Inc. (GEHA) Government Employees Health Association Inc. (GEHA)	44054	Professional
GEHA Group Health Nevada Medicaid	GEHA9	Professional
Geisinger Health Plan	75273	Professional
GEMCare (Golden Empire Managed Care System) Gemcare Golden Empire Managed	MCS01	Professional
Gemcare Health Plan	MCS03	Professional
Gemcare IPA (former payer ID PMGSC)	27133	Professional
General American Life Insurance Company General American Life Insirance Company	63665	Professional
Generations Health	46050	Professional
Genesis Health Care	IP105	Professional
Georgia Health Advantage	A2327	Professional
Georgia Medicaid	SKGA0	Professional
Gettysburg Health Gettysburg Health Administrators Core Value (Part of Gettysburg Health.)	23274	Professional
GHA Orthopedic Providers INC GHA Othopedic Providers	GHAOP	Professional
GHI - New York (Group Health Inc.) EmblemHealth Plan (MCR) Group Health Incorporated (GHI) (New York)	13551	Professional
GHI Medicare Part B of New York Medicare Part B GHI	GHMCR	Professional
GHP (Group Health Plan)	25141	Professional
Global Care Inc HealthSmart Global Care INC Global Care	07689	Professional
Global Care Med Grp IPA	MPM05	Professional
Global Excel Management	GEM01	Professional
Global Health	GHOKC	Professional
Global Health of TX	GHTX0	Professional
Global One Ventures	GLOBA	Professional
Global Repricing Solutions Innovative Healthware Payer 6	IHS06	Professional
Global TBSP	MPM64	Professional
Global Women's Health Plan Global Womens Health Providers	GHAWH	Professional
Gloria Gates	IHS20	Professional
GMMI CC	GMICC	Professional
GMR HEALTHCARE	85664	Professional
GMS Inc. GMS INC HealthSmart GMS Inc	47083	Professional
Gold Coast	77160	Professional
Gold Coast MSO	GCMSO	Professional
Gold Kidney Health Plan Gold Kidney Healthcare	A6865	Professional
Golden Shore Medical Group (GSMG)	NMM03	Professional
Golden State Medical Group Nivano Physicians IPD Nivano Physicians IPA	MBA01	Professional
Gonzaba Medical Group	GMGSA	Professional
Good Samaritan Medical Practice Association (GSMPA)	IP086	Professional
Good Shepherd Hospice	76923	Professional
GRAVIE	90923	Professional
Great Lakes Health Plan (UnitedHealthcare Community Plan / MI) Great Lakes Health Plan (UnitedHealthcare Community Plan) UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)	95467	Professional
Great Lakes PACE	39640	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
Group Administrators Ltd Group Administrators Ltd.	36338	Professional
Group Administrators Self-Funded Alternative	GASA1	Professional
Group and Pension Administrators	48143	Professional
Group Health Coop of South Central Wisconsin Encounters South Central Wisconsin	39168	Professional
Group Health Cooperative of South Central Wisconsin Claims Family Health Systems - WI/Group Health Cooperative Group Health Cooperative	39167	Professional
Group Insurance Service Center Inc. Group Insurance Service Center INC	37276	Professional
Group Marketing Services INC. Group Marketing Services INC	66701	Professional
Group Resources PHCS	28680	Professional
Guarantee Trust Life Insurance Company	65810	Professional
Guardian Life Insurance Company of America	64246	Professional
Gulf South	60389	Professional
Gulf South Risk Services	60652	Professional
GulfStream- General Dynamics/CoreSource	CB624	Professional
Gundersen Lutheran Health Plan Gundersen Lutheran Health Care	39180	Professional
H.E.R.E.I.U Welfare Pension Funds Unite Here Health H.E.R.E.I.U. Welfare Pension Funds	37114	Professional
HAA Preferred Partners	65101	Professional
Halcyon Behavioral Health	HALCY	Professional
Hamaspik Choice Inc. Hamaspik Choice Inc.	47738	Professional
Hammerman & Gainer	97258	Professional
HAP Caresource	MIMCDS1	Professional
HAP Caresource MI Dual	MIMCRCS1	Professional
Harbor Advantage	58305	Professional
Harmony Health Plan of Illinios Harmony Health Plan of Illinois (Wellcare Provider ID required call (800) 960-2530 opt. 2 then 5)	36406	Professional
Harmony Health Plan of Indiana Harmony Health Plan of IA ( claims for Hoosier Healthwise me	36405	Professional
Harrington Health - Kansas ((Formerly known as Fiserv Health-Kansas) Harrington Health - Kansas Willis Administrative Services Corporation (Now known as UMR Kansas.)	62061	Professional
Harrington Health BPO Harrington Health	59143	Professional
Harvard Community Health Plan	04245	Professional
Harvard Pilgrim Healthcare Harvard Pilgrim	04271	Professional
Hawaii Mainland Administrators PHCS HMA Employees PMO	86070	Professional
Hawaii Medical Assurance Association (HMAA)	48330	Professional
Hawaii Medical Assurance Association (HMAA) Hawaii Western Management (HWMG)	99208	Professional
Hawaii Medical Services Association (HMSA)	SB971	Professional
Hawaii Medicare Medicare Part B of Northern Mariana Islands Medicare Part B of Guam Medicare Part B of Hawaii	HIMCR	Professional
HCC Life Insurance	HCCMI	Professional
HCH Administration	37111	Professional
HCP Nevada	20501	Professional
HCSC Insurance Services Company	84980	Professional
HDM Benefit Solutions	HDMCO	Professional
HDPC - Premier Healthcare	90023	Professional
Health 2 Business	55213	Professional
Health Alliance Medical Plans of Illinois Health Alliance Medical Plans Illinois	77950	Professional
Health Alliance Plan of Michigan (Use payer ID 38224 for claims with a date of service 01-01-20 and greater. For dates of service 12-31-19 and prior please use payer ID 70259) Medical Value Plan - Ohio (MVP) HEALTH ALLIANCE P (Use payer ID 38224 for claims with a date of service 01-01-20 and MVP - Ohio (Previous payer ID MHP77; Use payer ID 38224 for claims with a date of service 07-01- 19 and greater)	38224	Professional
Health Care District of Palm Beach	HCDPB	Professional
Health Care LA IPA (HCLA) Healthcare LA IPA	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 Generations Health Choice Utah	45399	Professional
Health Claims Service	82018	Professional
Health Cost Solutions Health Coast Solutions	62111	Professional
Health Design Plus Contigo Health Health Design	34158	Professional
Health EZ America's PPO (Formerly known as ARAZ.) America's PPO (Formerly ARAZ) ARAZ (Now known as America's PPO.)	16120	Professional
Health First-Tyler TX Health First - Tyler TX	75234	Professional
Health First Health First Health Plans	95019	Professional
Health IN Tech	IHS09	Professional
Health Management Associates (HMA servicing Southeastern and Southwestern Regions) (Provider ID Required) HMA Hawaii	86066	Professional
Health Net (California Encounters Only.) Health Net of California (for claims with DOS prior to 12/31/17. For claims with DOS on or after 1/1/18 please use payer ID 68069 ) Health Net - California	95567	Professional
Health Net of Arizona	AZHNT	Professional
Health Net Oregon	22340	Professional
Health Network One EMI (Eye Management Inc)	65062	Professional
Health New England	04286	Professional
Health Options of FL(Blue Shield HMO) ENCOUNTERS ONLY!!	FLENC	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	07003	Professional
Health Partners PA	80142	Professional
Health Payment Systems Health Payments Systems Inc.	20270	Professional
Health Plan of Michigan (Now known as Meridian Health Plan) Meridian Health Plan Michigan (Meridian Health Plan Michigan Complete and Meridian Health Plan Michigan Medicaid) effective until 12/31/20 MeridianHealth Michigan Meridian Health Plan Michigan	52563	Professional
Health Plan of San Joaquin	68035	Professional
Health Plan San Mateo Health Plan of San Mateo	HPSM1	Professional
Health Plan Services Tampa Office American Benefits Plan Administrators (Las Vegas NV) Consolidated Group HEALTH PLAN SERVICES Culinary Health & Welfare Fund (Las Vegas NV)	59140	Professional
Health Plans Inc. Health Plans Inc.	44273	Professional
Health Plus Physicians Organization	63363	Professional
Health Select IPA (Enrollment required Contact 866-703-1444)	M3IL1	Professional
Health Services for Children with Special Needs (HSCSN) Health Services for Children with Special Needs	37290	Professional
Health Services Management Inc. (NOTE: ANSI submitters can also submit to plans AHP CMS ONP PCI PHP and VHP with proper value in SBR04.) Health Services Management Inc. for AHS Health Services Management Inc. for BPA Health Services Management Inc. for ECOH Health Services Management Inc. for EHC Health Services Management Inc. for ENCR Health Services Management Inc. for FCM Health Services Management Inc. for HF Health Services Management Inc. for HT Health Services Management Inc. for MMSI Health Services Management Inc. for MSHO Health Services Management Inc. for PNET Health Services Management Inc. for PONE Health Services Management (HSM) Health Services Management Inc. for SC Health Services Management Inc. for WEA	HSM01	Professional
Health Services Mgmt/Magellen Health	41150	Professional
Health Services Preferred (HSP) by Emerald Health Health Srv Pref. (HSP) Emerald Hlth Integrated Care Network (ICN) by Emerald Health Health Srv Pref (HSP) Emerald Hlth PPO Business) Emerald Health Network Emerald Health Network Inc. (All HMO Business)	34167	Professional
Health Systems Inc	11889	Professional
Health Texas Medical Group	HTHTX	Professional
HEALTH WEST ADMINISTRATORS	U7876	Professional
HealthBridge	74853	Professional
Healthcare Highways	HCH01	Professional
Healthcare Highways Health Plan	HCHHP	Professional
Healthcare Management Administrator Healthcare Management Administrators Inc.	HMA01	Professional
Healthcare Options I Par Plus EL Paso First Health Plan HCO Healthcare Options	EPF37	Professional
Healthcare Partners Physician Associates of Greater San Gabriel Valley Arta Health Network Northridge Medical Group	OCN01	Professional
HealthCare Partners IPA (Formerly Heritage New York Medical Group) Healthcare Partners IPA Liberty Health Advantage	11328	Professional
Healthcare Resources NW	56731	Professional
HEALTHCARE SOLUTIONS HealthSmart HealthCare Solutions Group HealthCare Solutions Group	73147	Professional
Healthcare Strategic Initiatives	HSICS	Professional
Healthcare USA Coventry Health Care (Coventry old Legacy Payer ID's are still accepted) Coventry Health Care (Coventry old Legacy Payer ID's are still accepted.)	25133	Professional
HealthChoice Dept of Corrections & Rehab	71065	Professional
Healthchoice Select	71070	Professional
HealthComp	85279	Professional
HealthComp Benefit Administrative Systems BENEFIT ADMIN. SYSTEM	36149	Professional
HealthComp Gilsbar Inc HealthPlus of Louisiana (Old PayerID of 95009 is no longer valid) 360 Alliance PPO Gilsbar 360 Alliance Gilsbar Gilsbar Health Plus of LA	07205	Professional
Healthease Wellcare of FL	59608	Professional
HealthEdge Admin-claims PO Box 11210 Bakersfield CA 93389	95213	Professional
HEALTHEOS Multiplan Wisconsin Preferred Provider Network	34080	Professional
Healthfirst TPA - Austin Healthfirst of Austin TPA	75289	Professional
Healthfirst Inc. (NY) Healthfirst of NY	80141	Professional
Healthgram Ingham Health Plan Corp. Ingham Health Plan Corp	38343	Professional
Healthnet of AZ Healthnet of Arizona Inc.	38309	Professional
Healthnow BCBS New York Northeastern	SB800	Professional
Healthnow BCBS New York Western	SB801	Professional
Healthnow New York INC	55204	Professional
Healthpartners of MN HealthPartners of Minnesota	55764	Professional
Healthscope	40026	Professional
HealthSCOPE Benefits EHC Repricing HealthScope Benefits EHC Repricing	52429	Professional
HealthSCOPE Benefits INC CNA Health Partners HealthScope Benefits	71063	Professional
Healthsmart Accel	75237	Professional
HealthSmart Farm Family Life	14140	Professional
Healthsmart Management Services Organization Inc Healthsmart Mgmt Services Org Inc	A0067	Professional
HealthSmart Medcom MedCom	59231	Professional
HealthSmart MFC & HealthPlus Peoria Methodist First Choice Midland Management/MFC	23550	Professional
Healthsmart MyDecision	18840	Professional
HealthSmart NAMCI Global Care NAMCI/Global Care	L0110	Professional
HealthSmart OKC	73140	Professional
HealthSmart Preferred Benefit Administrators Preferred Benefit Administrators	53476	Professional
HealthSmart Preferred Care	HSPC1	Professional
HealthSmart Preferred Care North Texas Healthcare Network North Texas Healthcare Network (Effective 01-01-2019)	75250	Professional
HealthSmart University Medical Center	11149	Professional
Healthsource AR-Claims cont Healthsource spec VendID&Rend Pr	71074	Professional
Healthsource Kentucky - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID Healthsource KY	61127	Professional
HEALTHSOURCE MSO	HSMSO	Professional
Healthsource New Hampshire - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID	02038	Professional
Healthsource AR (Med) (CIGNA)	71075	Professional
Healthsource GA (CIGNA)	58210	Professional
Healthsource ME (CIGNA) Healthsource Maine - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID	01041	Professional
Healthsource OH	31141	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 HMO/Medicare + Choice The Oath - Health Partners of Alabama (Now known as HealthSpring HMO/HealthSpring Medicare+Choice) HealthSpring HMO/HealthSpring Medicare+Choice	63092	Professional
HealthSun	HESUN	Professional
Healthteam Advantage	88250	Professional
Healthteam Advantage HMO Diabetes and Heart Plan	88350	Professional
Healthways WholeHealth Networks	58213	Professional
Healthy Blue (MO)	00541	Professional
Healthy Blue (NE)	00544	Professional
Healthy Blue Dual Advantage Louisiana	00551	Professional
Healthy Blue Louisiana	00661	Professional
Healthy Blue North Carolina	00602	Professional
Healthy Blue SC (for DOS on or after 1/1/24)	00403R	Professional
Healthy CT	77180	Professional
Healthy Texas	68064	Professional
Healthy Valley Provider Network	HVPNI	Professional
Healthy York Network	22251	Professional
Heath Choice AZ Health Choice of AZ BCBSAZ ACA Standard Health with Health Choice	62179	Professional
Hemet Community Med Group ( 951-791-1111 prior to submitting Hemet Community Medical Group	HCMG1	Professional
Hennepin Health / Northstar Advantage	60058	Professional
Heritag+A601e Physician Network I Par Plus SelectCare of TX (Houston) (Provider ID Required - Contact (713) 843-6780 to obtain ID.) Texas Plus	HPN11	Professional
Heritage Consultants (Must use 9 digit subscriber ID on all claims)	59230	Professional
Heritage IPA	HER01	Professional
HFN Inc. Arkansas Managed Care Organization Inc. (AMCO) HFN Inc	36335	Professional
High Desert Medical Group (Lancaster California)	HDMDG	Professional
High Desert Primary Care HDPC Premier Healthcare Mission HospitalAffiliates	STJOE	Professional
Highline Medical Services MOLINA	91164	Professional
Highmark BCBS (NY) Medicaid and CHP Highmark BCBSD NY - Medicaid and CHP	00246	Professional
Highmark BCBSD Health Options. Highmark BCBSD	47181	Professional
Highmark Senior Health Company (PA Blue Shield Medicare Plan)	15460	Professional
Highmark Senior Solutions Company (WV Blue Shield Medicare Plan)	15459	Professional
Hill Physician Cigna PPO	HLPCG	Professional
Hill Physicians Aetna PPO	HLPAE	Professional
Hill Physicians Blue Cross PPO	HLPBC	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
Hillsborough County Health Care Administrative Services Administrative Services Inc.	59141	Professional
HIP - Health Insurance Plan of Greater New York HIP-Health Insurance Plan of Greater NY	55247	Professional
Hispanic Physicians IPA	HPFFS	Professional
HMC Healthworks aka Health Management Co. HMC Healthworks aka Health Management Co	75318	Professional
HMO Louisiana Blue Advantage (For claims with DOS 2020 for claims with DOS on or after 01/01/21 use payer ID 72107) HMO Louisiana Blue Advantage (For claims with DOS 2020 for claims with DOS 01/01/21 use payer ID 72107)	84555	Professional
HMO Louisiana Blue Advantage (Use this claim for DOS on or after 01/01/21) HMO Louisiana Blue Advantage (Use payer ID 72107 for claims with a DOS on or after 01/01/21)	72107	Professional
Hockenberg's Equipment (UCS)	59573	Professional
Hollywood Presby Medical Center	MPM29	Professional
Hollywood Presbyterian Medical Center	AMM18	Professional
Holy Cross Health Partners	NAHLX	Professional
Homelink	30750	Professional
Homelink	50701	Professional
Homelink Healthpartners	55744	Professional
Hometown Health Plan Nevada Hometown Health of NV	88023	Professional
Hopkins Health Advantage	66003	Professional
Horace Mann Life Insurance HealthSmart Horace Mann Life Insurance Company	HMLIC	Professional
Horizon Pace	R4569	Professional
Horizon Pace Mercy Health Plan of New Jersey (Provider ID Required in Box33a - Contact (800) 682-9091 to obtain ID) Horizon NJ Health	22326	Professional
HP Administrative Services LLC DOS prior to 01/01/2018)	22521	Professional
HPMS Send claims to payerID listed on patient's ins card)	0CARD	Professional
HRSA COVID-19 Coverage Assistance Fund – 99999-0AQS	90AQS	Professional
HSBS Memphis Pittman & Associates (Now known as HSBS Memphis) HSBS Memphis (Formerly Pittman and Associates)	37224	Professional
HSBS Oklahoma City Mutual Assurance (Now known as HSBS Oklahoma City) HSBS Oklahoma Cityi (Formerly Mutual Assurance Administrators)	37256	Professional
Human Behavioral Institute	HBI01	Professional
Humana Health Plan of Ohio Inc Humana Health Plan of Ohio Inc	61103	Professional
Humana Health Plan Ohio	95348	Professional
Humana Long Term Care Humana Long Term Care	61115	Professional
Humana Puerto Rico	L0200	Professional
HUMANA Encounters Only	61102	Professional
Humboldt Del Norte Foundation IPA	HDNFC	Professional
Hylton Payroll (Benefit Plan Administrators)	19753	Professional
I. E. Shaffer I E SHAFFER	22175	Professional
IA Teamsters Health Ben Fund Local 135 Health Benefits Fund	35107	Professional
IBA Self Funded Group	38234	Professional
IBG Administrators LLC IBG Administrators	81810	Professional
iCARE (Independent Care Health Plan)	11695	Professional
ICARE Health Options TPA iCircle Health Solutions	26054	Professional
iCircle Care	ICRCL	Professional
iCircle of New York	33884	Professional
Idaho True Blue	TRUEB	Professional
IH Plans INC	IHP21	Professional
IHPlans Imperial Health Plan of California Incorporated	IHP01	Professional
IHS Gateway Payer South	CB711	Professional
IHS Gateway Payer South	A2352	Professional
Illinois Health Plan (IHP) Boncura Health (Dupage Medical Group) Boncura Health Solutions (Dupage Medical Group)	DMG01	Professional
Illinois Health Solutions ( ProviderID Required)	86069	Professional
Illinois Physician Alliance IPA Illinicare Physicians Alliance IPA	IPA99	Professional
IMA of Louisiana Inc. Insurance Management Administrators	72091	Professional
IMCARE	41600	Professional
Immigration Services Homeland Security (ATTN: Deportation) INS Health Services	VAICE	Professional
Imperial Health Holdings Medical Group	IHHMG	Professional
INDECS Corporation	40585	Professional
Independence Administrators	TA720	Professional
Independence American Insurance Comp Independence American Insurance 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 Blues of PA Personal Choice PPO of PA (Also know as Independent BLC) Independent BLC of PA (Also known as Personal Choice PPO of Pennsylvania.)	54704	Professional
Independent Health	SX073	Professional
Independent Living Systems	45048	Professional
Indian Health Services	00290	Professional
Indiana Department of Health Children's Health	35600	Professional
INDIANA PROHEALTH Indiana ProHealth Network	35161	Professional
Indiana University	IUHPL	Professional
INETICO INC.	43471	Professional
InforMed LLC	52196	Professional
Ingalls Provider Group (New PID for DOS 1-1-19 & after only) Ingalls Provider Group	66727	Professional
Inland Empire Health Plan. Inland Empire Health Plan	IEHP1	Professional
Inland Faculty Medical Group (Call Chirs Gonzales at (323) 257 7637 *277 to ensure you are	MVMM1	Professional
INNOV_OSF Healthcare Center Innov_OSF Healthcare Central	OSFC9	Professional
Innovante Benefit Admin/ (HSBS WTC) (Effective 3-1-17) World Trade Center Health Program (WTCHP) Innovante Benefit Administrators (HSBS WTC)+A174	31172	Professional
Innovation Health	40025	Professional
Innovative Healthware Payer 12	IHS12	Professional
Innovative Healthware Payer 13	IHS13	Professional
Innovative Healthware Payer 16	IHS16	Professional
Innovative Healthware Payer 21 NextPA	IHS21	Professional
Innovative Healthware Payer 22	IHS22	Professional
Innovative Healthware Payer 25	IHS25	Professional
Innovative Healthware Services Payer 5	IHS05	Professional
Innovative Physician Associates	80087	Professional
Innovista Health	INDPM	Professional
Insurance Administrators of America Insurance Administrator of America	37279	Professional
Insurance Design Administrators	13315	Professional
Insurance Management Services (Amarillo TX) Insurance Management Services (Amarillo TX)(This payerID is only valid for claims submission address of PO Box 15688 Amarillo TX 79105)	15688	Professional
Insurance Management Services of Texas Insurance Management Services	IMSMS	Professional
Insurance Service of Lubbock Insurance Services of Lubbock	ISL11	Professional
Insurer's Administration Corporation	IAC01	Professional
Insurers Administrative Corporation I Par Plus Insurers Administrative Corp. (Please visit website prior to submitting claims: edihelp.iacusa.com)	86304	Professional
Integra Administrative Group Integra Administrative Group (Seafor d DE) INTEGRA Administrative Group Inc.	51020	Professional
Integra Group Integra Group (Also known as Rehab Provider Network but not the same as Colorado payer of same name.)	31127	Professional
Integra Group - CHA	31129	Professional
Integra Managed Long Term Care	45302	Professional
Integranet I Par Plus Integranet	INET1	Professional
Integrated Homecare Services	IHCS1	Professional
Integrated Medical Solutions	20050	Professional
Integrated Veterans Care (formerly known as VA FEE Basis Program) Veterans Administration Fee Basis Programs VA Fee Basis Programs	12115	Professional
Integrity Administrators (Champion Chevrolet)	99795	Professional
INTER UNION OF OPER15 International Union Operating Engineers	37269	Professional
Interactive Medical Systems	56132	Professional
Intercommunity Health Net	INCHN	Professional
Interface EAP HealthSmart Interface EAP (IEAP) Interface EAP -IEAP	60280	Professional
Intergroup Services Corporation Western Pennsylvania Electrical Employees Insurance Trust Fund Western Growers Assurance Trust (aka Pinnacle Claims Management)	23287	Professional
International Benefit Administration International Benefit Administrator	11329	Professional
International Funding Inc. Insurance TPA.CLM LLC	39182	Professional
International Medical Group INC International Medical Group Inc. I Par Plus	IMGIN	Professional
Interwest Health InterWest Health PPO (Montana)	84137	Professional
Intl Brotherhood Boilermakers EMPL Health Care Plan IBBEHC International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC)	48603	Professional
INTotal Health	35115	Professional
Iowa Health Solutions (Provider ID Required) Southeast Iowa Health Plan (Provider ID Required) Hawki (Provider ID Required)	86068	Professional
Iowa Medicaid	SKIA0	Professional
Iron Road Healthcare Union Pacific Railroad Employees Health Systems	87042	Professional
Island Home Insurance Company Island Hone Health Insurance Company	85502	Professional
IU Health Transplant Evaluation Program	47262	Professional
IU Medical Group Primary Care	SX172	Professional
J1 Mutual of Omaha CA HI NV (Legacy)	01911	Professional
JAI Medical Systems JAI Medical	JAI01	Professional
Jericho Share	IHS02	Professional
John Hopkins Healthcare (EHP/PP) (Submit Billing NPI and Rendering/Servicing NPI) Johns Hopkins (USFHP)	52189	Professional
John Morrell Company - AHPBA	38310	Professional
John Muir Health Network	JMH01	Professional
John Muir Mt. Diablo Health System John Muir Mt Diablo Hlth System	68036	Professional
Johns Hopkins (USFHP) (New submitter should send in their Billing NPI & Rendering servicing NPI) Johns Hopkins Medical Service	52123	Professional
Joplin Claims	43178	Professional
JP Farley Corporation	34136	Professional
JPS Preferred Care	MWP01	Professional
JSL Administrators AKA Wells Fargo Third Party Administrators aka Healthsmart Benefits Solutions Healthsmart Benefit Solutions. JSL Administrators AKA Wells Fargo Third Party Aministrators Wells Fargo Third Party Aministrators AKA Healthsmart Benefit Solutions.	37272	Professional
JVHL Health Alliance Plan (Fee for Service Contracts)	JHJVL	Professional
JVHL Priority Health	JZJVL	Professional
JVHL United Healthcare (Golden Rule Members)	KRJVL	Professional
JVHL United Healthcare Community Plan (Great Lakes Health Plan)	JRJVL	Professional
JVHL WellCare	MMJVL	Professional
JVHL Aetna Better Health Premier Plan	M5JVL	Professional
JVHL Aetna U.S. Healthcare	J1JVL	Professional
JVHL AmeriHealth Caritas VIP Care Plus	MDJVL	Professional
JVHL BCBSM Medicare Plus Blue PPO	KCJVL	Professional
JVHL Blue Care Network (BCN Commercial Labs) JVHL Blue Care Network* (BCN Commercial Labs)	JJJVL	Professional
JVHL Blue Care Network (BCN Reimbursable Labs) JVHL Blue Care Network* (BCN Reimbursable Labs)	JQJVL	Professional
JVHL Blue Care Network* (Critical Access / Small Volume Labs) JVHL Blue Care Network (Critical Access / Small Volume Labs)	MJJVL	Professional
JVHL Blue Care Network* (JVHL Network) JVHL Blue Care Network (JVHL Network)	J9JVL	Professional
JVHL Blue Cross Complete	KPJVL	Professional
JVHL CIGNA – (Health Partners members only)	KQJVL	Professional
JVHL CIGNA (Non-HAP and CIGNA- HAP members) JVHL CIGNA (Non-HAP and CIGNA-HAP members)	KDJVL	Professional
JVHL Community Care Associates (Healthchoice)	JWJVL	Professional
JVHL CoventryCares - Aetna Better Health of MI	J8JVL	Professional
JVHL Genesee County Health Plan	MBJVL	Professional
JVHL HAP Empowered (Midwest) Health Plan	JBJVL	Professional
JVHL Health Alliance Plan (Capitated Contracts)	JGJVL	Professional
JVHL Humana	KVJVL	Professional
JVHL McLaren Health Plan	K7JVL	Professional
JVHL Meridian Health Plan of MI (Health Plan of Michigan)	J2JVL	Professional
JVHL Molina Healthcare of Michigan	JIJVL	Professional
JVHL Physicians Health Plan	MNJVL	Professional
JVHL Reliance HMO	MKJVL	Professional
JVHL United Healthcare (non- Golden Rule Members) JVHL United Healthcare (non-Golden Rule Members)	J5JVL	Professional
JVHL VA Community Care Network	MSJVL	Professional
Kaiser Foundation Health Plan	21313	Professional
Kaiser Foundation Health Plan of CO (Remits returned KAISR) Kaiser Foundation Health Plan of Colorado	COKSR	Professional
Kaiser Foundation Health Plan of GA(835 returned under KAISR Kaiser Foundation Health Plan of Georgia	NG010	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 Kaiser Foundation Health Plan of Northern CA Region	94135	Professional
Kaiser Foundation Health Plan of Southern California Kaiser Permanente Southern CA	KS001	Professional
Kaiser Foundation Health Plan of the NW (835 ret KAISR) Kaiser Foundation Health Plan of the NW	NG009	Professional
Kaiser Foundation Health Plan of Washington (Formerly Group Health Cooperative of WA) Kaiser Foundation Health Plan of Washington Group Health Northwest (Old PayerID of 91121 is being retired. Now use payerID of 91051) Group Health Options (Formerly KPS Health Plans)	91051	Professional
Kaiser Foundation Health Plan PPO Kaiser Self Funded (also known as KPIC Self-Funded Claims and Kaiser Self Funded Plan Harrington) Hawaii Kaiser Self Funded (also known as KPIC Self-Funded Claims and Kaiser Self Funded Plan Harrington)	94320	Professional
Kaiser Foundation Northwest Kaiser Foundation of the Northwest	93079	Professional
Kaiser Foundation of Northern California Kaiser Foundation Health Plan of Northern California Kaiser Permanente Northern CA	KS003	Professional
Kaiser Foundation Southern California Kaiser Foundation Health Plan of Southern CA	94134	Professional
Kaiser Permanente Hawaii	RH011	Professional
Kalos Gold Health Plan	61185	Professional
Kalos Health Kane County IPA	40137	Professional
KBA	14503	Professional
Keenan & Associates	KEE01	Professional
Keenan Associates	95279	Professional
Kelsey Seybold	KELSE	Professional
Kemper Benefits	61453	Professional
Kempton Company Kempton Group Administrators Kempton Group	73100	Professional
Kent County Health Plan	KENT1	Professional
Kentucky Health Administrators Inc.	27215	Professional
Kentucky Medicaid	SKKY0	Professional
Kentucky Medicare Part A Jurisdiction 15 Medicare Part B of Kentucky	KYMCR	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
Key Benefit Administrators	37217	Professional
Key Health Medical Solutions	95460	Professional
Key Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.)	IP082	Professional
KEY SELECT	37321	Professional
Key Solution Key Solution (Dental)	37323	Professional
KeyCare Maryland	KCMD1	Professional
Keystone First Community Health Choices	42344	Professional
Keystone Health Plan East - Claims Pennsylvania Keystone Health Plan East (claims only) PAKeystone Health Plan East (claims(835s returnedPAKEY)	PCBLS	Professional
Keystone Mercy Health Plan	23284	Professional
Klais & Company (Part A and Part B)	80089	Professional
Klais and Company	34145	Professional
Klais and Company	31147	Professional
Klais and Company Repriced HealthSpan	3414A	Professional
Know The Costs	04430	Professional
Kopp Billing Agency	RP091	Professional
Kova Healthcare Incorporated	KOVA1	Professional
KPIC-Kaiser Permanente (CA CO DC GA HI MD OH & OR)	KPIC1	Professional
LA Care Health Plan	LACAR	Professional
LACH HealthNet by MedPoint	MPM19	Professional
Lakeside Medical Group	66125	Professional
Lakeside Medical Group Inc.	LMG11	Professional
Lancaster General Health Lancaster General Health (LGH)	16109	Professional
Las Vegas Firefighters Health & Welfare Trust	NWADM	Professional
LaSalle Medical Associates	NMM02	Professional
Lasso Healthcare MSA	10550	Professional
Lawndale Christian Health Center	LAWND	Professional
LBA HealthPlans LBA Health Plans	52193	Professional
Leisure World Managed Care	LWMC1	Professional
Leon Health Plans	A3565	Professional
Leon Medical Center Health Plan	37316	Professional
LEON Medical Center Health Plan I Par plus Leon Med Center	65055	Professional
Liberty Advantage	LIB01	Professional
Liberty Union Life Assurance Company Mid-America Associates Inc. Mid-America Associates	37281	Professional
Lien On Me	LM005	Professional
Life Investors Ins Co of America (Spec claims	LIICA	Professional
Life St Mary (Trinity Health Pace)	76184	Professional
Life St. Joseph of the Pines	59847	Professional
LIFE TRAC	41136	Professional
LifeCircles PACE	71498	Professional
LifePath Hospice Inc. LifePath Hospice Inc	76870	Professional
Lifewise A Premier Health Plan Lifewise Health Plan of Oregon A Premier Health Plan LifeWise Assurance Company LifeWise HealthPlan of Oregon	93093	Professional
Lifewise Assurance Company	93095	Professional
Lifewise Health Plan of Washington A Premier Health Plan	91049	Professional
Lifewise Health Plan of Washington LifeWise HealthPlan of Washington	93094	Professional
Lifeworks Advantage	LWA01	Professional
Lipa/Agate Resources	LIPA1	Professional
Little Company of Mary	LCM1	Professional
Little Company of Mary Health	4725P	Professional
Live Beaver County Life Beaver County	25924	Professional
Local 137 Operating Engineers Welfare Fund	84041	Professional
Lockard & Williams	CB752	Professional
Loma Linda University Adventist	37267	Professional
Loma Linda University Health Care Loma Linda University Health Plan	33036	Professional
Loma Linda University Medical Center	95352	Professional
Lone Star TPA	45289	Professional
Long Beach Memorial IPA (MHCLB) Medical Orange Coast Memorial IPA Anaheim Memorial IPA (MHCAN) Memorial Healthcare IPA Acclaim IPA Acclaim IPA (MHCAC) Orange Coast Memorial IPA	MHIPA	Professional
Longevity Health Plan of NY	LNY01	Professional
Longevity Illinois	LIL01	Professional
Longevity Michigan	LMI01	Professional
Longevity NJ	LNJ01	Professional
Longevity of North Carolina	LNC01	Professional
Louisiana Medicaid	SKLA0	Professional
Luminare Health Detroit NGS Coresource Luminare Health Detroit fka Trustmark Health Benefits	38225	Professional
Luminare Health Internal CoreSource CoreSource Internal #3	35187	Professional
Luminare Health Little Rock CoreSource Little Rock CoreSource Little Rock (For claims where the 'submit claims to address' on the medical ID card is an address in Little Rock. For assistance call 800-689- 0106) Luminare Health Little Rock fka Trustmark Health Benefits	75136	Professional
Luminare Health OH Coresource of OH CORESOURCE OH Luther Care (CoreSource) Luminare Health OH fka Trustmark Health Benefits	35183	Professional
Luther Care (CoreSource)	CB212	Professional
Luther Care (Coresource)	A2351	Professional
Lutheran Preferred	39198	Professional
Mabuhay Medical Group	CAPMN	Professional
MacNeal Health Providers - CHS (Contact 708-783-7100 prior to first submission.) Macneal Hlth Providers-CHSZ	36334	Professional
Magellan Complete Care AZ Magellan Complete Care Of AZ Molina Complete Care of Arizona	MCC01	Professional
Magellan Complete Care Of VA	MCCVA	Professional
Magellan Health Services Magellan Behavioral Health (All Non-AETNA Subscribers - Provider ID Required) (Payer Address required on all claims.) Magellan Complete Care FL	01260	Professional
MagnaCare Administrative Brighton Health Plan Solutions (for DOS prior to 01/01/2022) Brighton Health Plan Solutions (formerly MAGNACARE) MagnaCare Administrative Services	11303	Professional
Maine Community Health Options	45341	Professional
Maksin Management Corporation (Now known as AIG Educational Markets) Maksin Management Corporation AIG Educational Markets (Formerly Maksin Management Corporation)	22195	Professional
Managed Care Network Managed Health Networks (MHN)	22771	Professional
Managed Care Services LLC	35162	Professional
Managed Care Systems (Delango Regional Medical)	MCS02	Professional
Managed Care Systems CDCR (Customer Service: (800) 494-4662)	MCS04	Professional
Managed Health Care Associates	36312	Professional
Mapfre Life Commercial	46012	Professional
March Vision Health Plan	52461	Professional
Marin Headlands Medical Group Sutter Medical Group Of The Redwoods Sutter Pacific Medical Foundation Sutter West Bay Medical Group	77304	Professional
Marin IPA	IP097	Professional
Marrick Medical Finance LLC Marrick Mement Finance	20805	Professional
Marrick WRx Aspirion	46478	Professional
Martins Point Health Care Martin's Point Health Care USFHP/Generations Advantage	MPHC2	Professional
Mary Washington Health Plan	83269	Professional
Maryland Medicaid	SKMD0	Professional
Maryland Physicians Care	22348	Professional
Maryland Physicians Care (MPC) Maryland Physicians Care (MCP)	76498	Professional
Maryland PMHS ValueOptions (Use for ALL Dates of Service)	77063	Professional
Mashantucket Pequot Tribal Nation Pequot Pharmaceutical Network Bluebonnet Administrators	37121	Professional
Mass Health (MA Medicaid) Medicaid of Massachusetts (Mass Health) Medicaid of Massachusetts Massachusetts Medicaid	MAMCD	Professional
Massachusetts Behavioral Health (BHO) Massachusetts Behavioral Health (BHO) (BHO)	BHOMA	Professional
Massachusetts Mutual also known as Mass Mutual Unicare Life & Health Insurance Company UNICARE Major Accounts	80314	Professional
Masters Mates and Pilots Plan Masters Mates and Pilots Program	MMPHB	Professional
Max Specialty Benefits	27320	Professional
MaxCare (Universal Fidelity Administrators Company)	93220	Professional
Maxor	92805	Professional
Mayo Clinic FL/GA	88090	Professional
MBA Benefit Administrators MBA of Wyoming	87065	Professional
MBACLM	IHS24	Professional
Mcare of Michigan (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.)	38264	Professional
McCreary Corporation Employers Mutual Inc Stuart FL	59331	Professional
McLaren Health Advantage	3833A	Professional
McLaren Health Plan McLaren	38338	Professional
McLaren Medicaid	3833C	Professional
McLaren Medicare Supplement	3833S	Professional
McLaren State of Michigan	3833M	Professional
McLarenAdvantage SNP	3833R	Professional
MCS	6197P	Professional
MCS Life	66039	Professional
MD Anderson Physician Network	MDAPN	Professional
MD CARE HEALTH PLAN	MDC01	Professional
MDsave	MDSV	Professional
MDwise Healthy Indiana Plan MDwise Health Indiana Plan	3135M	Professional
MDwise Hoosier Care Connect (For DOS on or after 1-01-2017)	91313	Professional
MDwise Hoosier Healthwise	3519M	Professional
MDwise Medicare Advantage	MDADV	Professional
MDWise Select Health Network	35199	Professional
MDX Hawaii	MDXHI	Professional
Med Pay Med Pay (For claims repriced by Premier Health Care Exchange)	88058	Professional
Med-Pay Anthem IN	00130	Professional
Med3000 CMS Safety Net	EM284	Professional
Med3000 Early Steps Med3000 CMS Early Steps	EM350	Professional
MedAdmin Solutions Network TPA JIPA Network Podicare	58204	Professional
MedAdmin Solutions Network TPA JIPA Network Podicare Advanced Data Solutions	58202	Professional
MedCost	56162	Professional
MedCost /Liberty Healthshare MedCost / Liberty Health Share	90753	Professional
MEDCOST BENEFIT SVCS MedCost Benefit Services	56205	Professional
MedCost Virginia	54138	Professional
Medfocus	95321	Professional
Medi-Cal by MedPoint	MPM18	Professional
Medica	94265	Professional
Medica Government Programs	MEDM1	Professional
Medica Health Plan Solutions	71890	Professional
Medica HealthCare Plans / FL Medica Health Plan of Florida	78857	Professional
Medica2	12422	Professional
Medicaid - TX Premier Plan I Par Plus Medicaid - TX Premier Plan (enroll at (915)-532-3778 x1507)	EPF02	Professional
Medicaid of Alabama Alabama Medicaid Medicaid of Alabama (for 837P & 837I claims)	ALMCD	Professional
Medicaid of Alaska	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 Idaho Idaho Medicaid	IDMCD	Professional
Medicaid of Illinois	IL621	Professional
Medicaid of Illinois Illinois Medicaid	ILMCD	Professional
Medicaid of Indiana Indiana Medicaid	INMCD	Professional
Medicaid of Iowa	18049	Professional
Medicaid of Iowa Iowa Medicaid	IAMCD	Professional
Medicaid of Kansas Kansas Medicaid	KSMCD	Professional
Medicaid of Kentucky Kentucky Medicaid	KYMCD	Professional
Medicaid of Maine Maine Medicaid	MEMCD	Professional
Medicaid of Maryland Maryland Medicaid	MDMCD	Professional
Medicaid of Michigan BCCCP	SKMI1	Professional
Medicaid of Michigan Encounters	MCDMI	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 Missouri	70029	Professional
Medicaid of Montana Montana Medicaid	SKMT0	Professional
Medicaid of NC	SKNC0	Professional
Medicaid of Nevada	NVMMIS	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	NDDHS	Professional
Medicaid of North Dakota North Dakota Medicaid	NDMCD	Professional
Medicaid of Ohio Medicaid of Idaho	AIDID	Professional
Medicaid of Ohio Ohio Medicaid	OHMCD	Professional
Medicaid of Oklahoma	OKMCD	Professional
Medicaid of Oregon Oregon Medicaid	ORMCD	Professional
Medicaid of Pennsylvania	236003113	Professional
Medicaid of Pennsylvania Pennsylvania Medicaid Medicaid of Pennsylvania (837P 835s returned under SKPA0)	PAMCD	Professional
Medicaid of Rhode Island	RIMCD	Professional
Medicaid of SC	SKSC0	Professional
Medicaid of South Carolina South Carolina Medicaid	SCMCD	Professional
Medicaid of South Dakota South Dakota Medicaid	SDMCD	Professional
Medicaid of Tennessee (TennCare) TennCare (Medicaid of Tennessee) Tennessee Medicaid (TennCare)	TNMCD	Professional
Medicaid of Texas Texas Medicaid	TXMCD	Professional
Medicaid of Texas TX Medicaid Direct	86916	Professional
Medicaid of Utah	UTMCD	Professional
Medicaid of Vermont Vermont Medicaid	VTMCD	Professional
Medicaid of Virginia	AIDVA	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	MAHC1	Professional
Medical Benefit Administration Inc.	68041	Professional
Medical Benefits Mutual MedBen (Newark OH) Medical Benefits Administrators Inc. (Newark OH) Medical Benefits Companies (Newark OH) Medical Benefits Mutual (Newark OH) Medical Benefits	74323	Professional
Medical Control	9043P	Professional
Medical Mutual of Ohio (Payer requires a 12 digit rendering provider ID# which needs to be obtained from payer by calling 800-321-7223) Health Span of Ohio (Payer has ceased operations using payerID 31434. claims should now be sent to Medical Mutual of Ohio PayerID 29076_ Carolina Care Plan Medical Mutual of Ohio Carolina Care Plan (Part of the Medical Mutual Family of companies. Former payerID was 57105.)	29076	Professional
MEDICAL MUTUAL OF OHIO CAREWORKS Careworks of Ohio	10010	Professional
Medical Reimbursement Associates Medical Reimbursements of America	62177	Professional
Medical Resource Network (MRN INC)	58203	Professional
Medical Services Initiative	12057	Professional
Medicare & Much More Florida Incorporated Medicare & Much More Florida Incorporated (Effective 1/1/19)	MMMFL	Professional
Medicare Advantage Physicians Health Plan Michigan Physicians Health Plan of Michigan Medicare Medicare Advantage PHP Michigan	83276	Professional
Medicare Blue HMO PPO	56152	Professional
Medicare DME MAC Jurisdiction C	18003	Professional
Medicare DMERC Region A	16013	Professional
Medicare Florida Blue	FBM01	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 Alabama Medicare Part A Jurisdiction J	ALMCR	Professional
Medicare Part B of Arkansas	ARMCR	Professional
Medicare Part B of Colorado	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 Georgia Medicare Part A Jurisdiction J	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 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 Medicare Part B of Michigan (WPS) Blue Cross Blue Shield Michigan Medicare	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 North Carolina Medicare Part A Jurisdiction M	NCMCR	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 Railroad * (MetraHealth Medicare) Medicare Railroad (MetraHealth Medicare)	RRWMC	Professional
Medicare Y Mucho Mas	L0210	Professional
Medico Insurance Medico Insurance Company	23160	Professional
Medigold Mt. Carmel	95655	Professional
Mediture IPA	AMM11	Professional
MedPartners (PHCS Repricing) MedPartners (PHCS RepricingPO Box 10240 Fort Wayne In 46857	441MP	Professional
Medpartners MedPartners Admin Services	412MP	Professional
MedSolutions Inc MedSolutions Inc.	62160	Professional
Medstar Family Choice DC	RP062	Professional
Medstar Family Choice Maryland Healthchoice	RP063	Professional
Medstar Physician Partners Helix Family Choice	00243	Professional
Medstar Select	251MS	Professional
Memorial Clinical Associates	MCA11	Professional
Memorial Hermann Bundle Program	MHB123	Professional
Memorial Hermann Health Network I Par Plus Memorial Hermann Health Network	MHHNP	Professional
Memorial Integrated Healthcare	59064	Professional
MemorialCare Medical Foundation	MMFMC	Professional
Mental Health Consultants Inc	37050	Professional
Merchants Benefit Administration INC	86087	Professional
Mercy Care	39114	Professional
Mercy Care Plan of Arizona Mercy Health Plan (AHCCCS) Mercy Health Plan of AZ	86052	Professional
Mercy Maricopa Integrated Care	33628	Professional
Mercy Provider Network	43185	Professional
Meridian Health Plan of Illinois MeridianTotal (Meridian Complete Illinois Complete YouthCare and Ambetter Payer ID effective 01-01- 2021) MeridianTotal (Meridian Complete Illinois Complete YouthCare and Ambetter Payer ID effective 01-01-2021)	MHPIL	Professional
MeridianComplete (Ambetter from Michigan Meridian Complete Michigan Complete) Payer ID effective 01-01-20 MeridianComplete (Ambetter from Michigan Meridian Complete Michigan Complete) Payer ID effective 01-01-2021	MHPMI	Professional
MeridianHealth Illinois Meridian Health Plan Illinois Complete (Meridian Health Plan Illinois Medicaid effective until 12/31/20)	13189	Professional
Meritain Health (Formerly know as North American Administrators) Meritain Health (North American Health Plan.) North American Administrators Inc.	64157	Professional
Metcare Health Plan	65113	Professional
Metro Plus Health Plan	13265	Professional
Metropolitan Health Plan	10850	Professional
MHCC Luminare Health	35189	Professional
MI Blue Care HMO (BCN of MI-835s returned MIBLS) Michigan Blue Care HMO (BCN of Michigan) Blue Cross MI Blue Care Complete	MIBCN	Professional
Miami Behavioral Health	92579	Professional
Miami Children’s Health Plan	82832	Professional
Michigan Medicare PlusBlue (835s returned under MIBLS) Michigan Medicare PlusBlue	MIMPB	Professional
Micron Tech	96598	Professional
MID Rogue Oregon Health Plan MD Rogue Oregon Health Plan	MRIPA	Professional
Mid-American Benefits	22823	Professional
Mid-West Behavioral Health Network	MVBCN	Professional
Midlands Choice Midlands Health Partners	47080	Professional
Midwest Group Benefits	61146	Professional
Midwest Health Partners	76079	Professional
Midwest Health Plan Midwest Health Plans INC.	MHP77	Professional
Midwest Physician Administrative Services	TH088	Professional
Mills Peninsula Medical Group	MPMG1	Professional
MINNESOTA DEPARTMENT OF HEALTH- SAGE PROGRAMS	MNDH1	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 Medicaid	SKMS0	Professional
Mississippi Medicaid Medicare Advantage Crossovers	SKMS1	Professional
Mississippi Physician Care Network Mississippi Physicians Care Network	64084	Professional
Missoula County Medical Benefits	37275	Professional
Missouri Medicaid Medicaid of Missouri	MOMCD	Professional
ML Healthcare	26097	Professional
MMM - Medicare y mucho Mas	88600	Professional
Moda Health (ODS Health Plan) ODS Health Plan	13350	Professional
Molina Complete Care AZ Molina Complete Care DSNP	MCC02	Professional
Molina Health Care of South Carolina Molina Healthcare of South Carolina	46299	Professional
Molina Healthcare Arizona	A4353	Professional
Molina Healthcare Mississippi	77010	Professional
Molina Healthcare Nebraksa Molina Healthcare of Nebraska INC	MLNNE	Professional
Molina Healthcare of CA - Encounters only.	33373	Professional
Molina Healthcare of California (Rendering provider must use Medi-Cal ID number or State License Number. Billing provider should use Federal TaxID only.) Molina Healthcare of California	38333	Professional
Molina Healthcare of Florida	51062	Professional
Molina Healthcare of Idaho	61799	Professional
Molina Healthcare of Illinois Molina Illinois	20934	Professional
Molina Healthcare of Iowa	MLNIA	Professional
Molina Healthcare of Michigan	38334	Professional
Molina Healthcare of Nevada Molina Healthcare Nevada	A6106	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 Salud Lovelace Salud (Older PID of SX159 is no longer valid) Molina Healthcare of New Mexico - Salud	09824	Professional
Molina Healthcare of Ohio	20149	Professional
Molina Healthcare of Texas	20554	Professional
MOLINA HEALTHCARE OF UTAH	SX109	Professional
Molina Healthcare of Washington (Rendering providers use DSHS Medicaid ID or State Licence Number.) Molina Healthcare of Washington I Par Plus	38336	Professional
Molina Healthcare of Washington ENCOUNTERS ONLY	43174	Professional
Molina Healthcare of Wisconsin Abri Healthplan (Now known as Molina Health Care of WI) Abri Healthplan	ABRI1	Professional
Molina Ohio Medicaid	07316	Professional
Monarch Healthcare IPA (Rendering provider ID# required on all claims.) Monarch IPA	IP095	Professional
Monitor Life Monitor Life (secondary claims only Medicare cannot be prim	01759	Professional
Montana Blue Cross Blue Shield Blue Shield of Montana	MTBLS	Professional
Montana Medicaid Medicaid of Montana	MTMCD	Professional
Montefiore Contract Management Organization (Provider ID required call 914- 377-4400 for ID prior to first claims submissions.) Montefiore Contract Management Organization	13174	Professional
Montefiore HMO	46161	Professional
Monterey Bay IPA	MBIPA	Professional
Monumental Life Monumental Life Ins Co.	MMLIC	Professional
Morris Associates aka HealthScope Benefits MORRIS ASSOCIATES	35092	Professional
Mosaic IPA Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.)	IP083	Professional
Motion Picture Ind Health Plan ( processed by Anthem BC CA)	MPI01	Professional
MotivHealth Insurance Company	U7632	Professional
Mountain States Administrators (COLORADO ONLY)	MTNST	Professional
MPEEBT(MISSISSIPPI PUBLIC ENTITY) MPE Employee Benefit Services	37233	Professional
MPM Prospect	MPM16	Professional
MPMBA	IHS23	Professional
MPOWER Bundle	STXB99	Professional
MRIPA Allcare CCO (Medicaid Payer) MRIPA Allcare CCO	26161	Professional
MS BCBS State Employees	SB731	Professional
MSA Care Guide MSA CARE GUARD	20572	Professional
Multicare Connected Care	RP036	Professional
Multicare INC Multicare Pace	R3457	Professional
Multnomah County	MLTOT	Professional
Municipal Health Benefits Fund Municipal Health Benefit Program Municipal Health Benefit Fund	81883	Professional
Muskegon Care	A1681	Professional
Mutual of Omaha Insurance Company Mutually Preferred National Rural Letter Carrier Association (Policy Number GMG1846) United of Omaha	71412	Professional
Mutual of Omaha Medicare Advantage	82275	Professional
MVP Health Plan of NY	14165	Professional
My Family Medical Group	33020	Professional
MyNexus Inc.	32043	Professional
NAA (North Americal Administrators LP - Nashville TN.) NAA (North America Administrators)	65085	Professional
NAHGA Claim Services National Accident & Health General Agency Inc.	67788	Professional
NaphCare Inc Naphcare Inc	58182	Professional
Nascentia Health Plan (Medicare line of business)	45529	Professional
National Allied Workers Union Local 831 National Allied Workers Union Local 831 Insurance Trust	CB148	Professional
National Capital Preferred Provider Organization (NCPPO) (To obtain your provider ID number please call the NCPPO Customer Service Department at (800) 272-5911 HEALTHLINK PPO	90001	Professional
National Foundation Life Insurance Company Anerican Founders Life Ins Co (NFL Plans only) Life & Health Ins Co of America (NFL Plan only)	98205	Professional
National General	ASHC1	Professional
National Health Benefit	88057	Professional
National Healthcare Corp Advantage	NHC01	Professional
National Teachers Association (NTA)	NTA11	Professional
National Telecommunications Cooperative Association (NTCA) National Telecommunications Cooperative Associations	52103	Professional
National Telecommunications Cooperative Association (NTCS Staff) National Telecommunications Cooperative Associations (NTCS Staff)	52104	Professional
National Telecommunications Cooperative Association National Telecom Association (NTCA)	52120	Professional
National Vision	NVADM	Professional
NCAS - Fairfax VA	75190	Professional
NCAS-CHARLOTTE NCAS - Charlotte VA	75191	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 of Plan Rhonde Island Neighborhood Health Partnership Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number.)	05047	Professional
Neighborhood Health Plan RI Neighborhood Health Plan RI - Exchange Unity Integrity Neighborhood Health Plan RI- Exchange Unity Integrity	96240	Professional
Neighborhood Healthcare Pace	R3456	Professional
Neskia Health Group Shasta Administrative Services Nesika Health Group (Old payerID of 37255 is no longer valid.)	75280	Professional
Netcare Life and Health Insurance	66055	Professional
Network Health	04332	Professional
Network Health Insurance Corp - Medicare Network Health Insurance Corp- Medicare Network Health Insurance Medicare	77076	Professional
Network Health Plan of Wisconsin Inc.(Prior to initial claims submission please contact Network Health Plan EDI specialist at 920-720-1506.) Network Health of WI Network Healthplan of Wisconsin	39144	Professional
Network Solutions IPA	NSIPA	Professional
Neuehealth	NEUEH	Professional
Nevada Anthem Blue Cross Blue Shield Blue Shield of Nevada Anthem of Nevada Nevada Anthem Blue Cross and Blue Shield	NVBLS	Professional
Nevada Blue Shield Blue Cross of Nevada	00265	Professional
Nevada Medicaid	SKNV0	Professional
New Avenues Inc. New Avenues Inc.	95998	Professional
New Century Health	NCHCA	Professional
New Century Health - Vista Cardiology	NCH09	Professional
New Century Health Arizona Integrated Physicians	NCHOR	Professional
New Century Health Urology	NCH03	Professional
New Era Life Insurance Company	98798	Professional
New Hampshire Anthem Blue Cross Blue Shield Blue Shield of New Hampshire New Hampshire Anthem Blue Cross and Blue Shield	NHBLS	Professional
New Jersey Medicaid	SKNJ0	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 Blue Cross Community Centennial New Mexico Blue Cross Community Centennial (MemberIDs start with "YIP")	MC721	Professional
New Mexico Health Connections	45129	Professional
New Mexico Medicaid	SKNM0	Professional
New Mexico Public Schools Insurance Authority	85036	Professional
New York Blue Cross Blue Shield (Empire) Blue Shield of New York (Empire)	NYBLS	Professional
New York Hotel Trade Council	7707C	Professional
New York Life - Long Term Care I Par Plus New York Life - Long Term Care	NYL11	Professional
New York Medical Indemnity Fund	NYDFS	Professional
New York Network Management	11334	Professional
Next Level Health Partners (FKA 69821)	81085	Professional
NextBlue	55892	Professional
NHI Billing	14043	Professional
Nippon Life Insurance Company Nippon Life Insurance Company (Dental) Nippon Life Insurance Company of America	81264	Professional
North American Benefits North American Benefits Network (NABN)	34159	Professional
North American Med North American Medical Management Northern California	E3510	Professional
North Carolina Blue Cross Blue Shield Blue Shield of North Carolina	NCBLS	Professional
North Dakota Blue Cross Blue Shield Blue Shield of North Dakota	NDBLS	Professional
North Dakota Medicaid	SKND0	Professional
North Shore - LIJ (Healthfirst)	17516	Professional
North West Life Northwestern National Life RELIASTAR (Formerly NWNL)	PH018	Professional
Northcoast Healthcare	A2790	Professional
Northern California Advantage Medical Group	NCA01	Professional
Northern Illinois Health Plan	36347	Professional
Northwest Community Health Partners	NWCHP	Professional
Northwest Diagnostic Clinic I Par Plus (Old PayerID of NWDC1 is no longer valid.) NW Diagnostic Clinic/SelectCare of Texas (NWDC)	62119	Professional
Northwest Physicians Network (For claims with a DOS of 01/21/2021 and greater use payer ID LIFE1)	NPN11	Professional
Northwest Suburban IPA (IL) Northwest Suburban IPA Illinois	36346	Professional
Northwestern Medicine Phys Network Northwestern Medicine Physcians Network	NWEST	Professional
Northwood Healthcare	NWOOD	Professional
Nova Healthcare Administrators Inc. (Grand Island NY) NOVA Healthcare Administrators NY	16644	Professional
Novant Health Direct to Employers	HLSTA	Professional
NX Health Network	44412	Professional
NY Central FEP (Federal Employee Program) Blue Shield	N2FEP	Professional
Nyhart	37299	Professional
NYS Department of Health	14142	Professional
Oak Street Health	OAKST	Professional
Oak West Physician Association Oak West Primary Physician Association	36400	Professional
Oak West Primary Physician Association	NAOAK	Professional
Occhsner Health Plan Ochsner Health Plan	A5236	Professional
Occular Benefits	L0140	Professional
Ohio Anthem Blue Cross Blue Shield Blue Shield of Ohio Ohio Anthem Blue Cross and Blue Shield	OHBLS	Professional
Ohio Health Choice PPO Ohio Health Choice PPO	34189	Professional
Ohio Medicare Part A Jurisdiction 15 Medicare Part B of Ohio	OHMCR	Professional
Ohio PPO Connect	74431	Professional
OhioHealthy Florida Hospital Waterman	48116	Professional
Oklahoma Blue Cross Blue Shield Blue Shield of Oklahoma	OKBLS	Professional
OLOLRMC Uninsured Patient Services Program	OLRMC	Professional
Olympus Management Health Care Olympus Managed Health Care	65074	Professional
OMNI IPA	36090	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 Call Medical	22321	Professional
One Health Plan GA OSF Healthcare East	95569	Professional
One Health Plan of California One Health Plan CA	95379	Professional
One Health Plan of Colorado	95412	Professional
One Health Plan of Georgia One Health Plan of Illinois One Health Plan IL	95388	Professional
OPEIU Locals 30 & 537	BPA01	Professional
Opticare Eye Health Network Opticare Eye Health Network (Envolve Benefit Option)	56190	Professional
Opticare of Utah	OPCAU	Professional
Optima Health Plan Optima Insurance Company Sentara Family Plan Sentara Health Management	54154	Professional
Optimed Health	96277	Professional
Optimum Healthcare Inc. Optimum Healthcare Inc	20133	Professional
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) former payer id 52190 OptumHealth (OptumHealth Care Solutions) formerly United Resources Networks former payer ID 52190 OptumHealth Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) (Former payerID 52190)	41194	Professional
Optum Care Network of Connecticut	E3287	Professional
Optum Health - Physical Health (Includes Oxford) formerly ACN former payer IDs 41159 41160 ACN01 OptumHealth Physical Health - includes Oxford (former payer id 41159 41160)	41161	Professional
Optum Maryland Behavioral Health	OMDBH	Professional
Optum Medical Network (previously Lifeprint) OptumCare / AZ NV UT (formerly Optum Medical Network & Lifeprint Network)) OptumCare / AZ UT (formerly Lifeprint Network)	LIFE1	Professional
Optum RX	ORXM1	Professional
Optum San Diego Public Sector	OSDPS	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
Orthonet-Aetna Orthonet - AETNA	13383	Professional
Oscar Health	OSCAR	Professional
OSF Health Plans HUMANA Claims only Group Health Insurance - DE ARCADIAN MGMT SERVICE Humana Care Plan Humana Group Health Plan Arcadian Management Services Inc (Group number should be entered if available. ) Humana Health Chicago Humana Health Chicago Insurance Company Humana Health Plan Humana Insurance Agency Humana Insurance Company Humana Medical Plan - CA Humana Medical Plan - KY Humana Wisconsin Health Organization IBA Health & Life Assurance Co. OSF Healthcare East OSF HealthPlans Services	61101	Professional
OSG-Michael Reese	37127	Professional
Oxford Health Plans UnitedHealthcare / Oxford	06111	Professional
P3 Health Partners -Arizona	58375	Professional
P3 Health Partners Nevada	P3HNV	Professional
P5 Health	87068	Professional
Pace Central Iowa	72436	Professional
PACE CNY	70454	Professional
Pace Nebraska	35416	Professional
Pace of Southeast Michigan Pace Southeast Michigan	86711	Professional
Pace of Southwest Iowa Pace Southwest Iowa	53534	Professional
Pace of Southwest Michigan Inc.	45114	Professional
Pacific Administrators	PCFAD	Professional
Pacific Southwest Administrators (PSWA) Pacific Southwest Administrators	75309	Professional
PacificSource Administrators Select Benefit Administrators Inc.	93031	Professional
PacificSource Commercial	93029	Professional
PacificSource Community Solutions	20416	Professional
Pacificsource Medicare	20377	Professional
Pacificsource OHP	COIHS	Professional
Palo Alto Medical Foundation	IP132	Professional
Pan American Life Insurance	04218	Professional
Parallon RCPS	PARLN	Professional
Paramount Paramount Health	SX158	Professional
Parkland Community Health Plan	66917	Professional
Partners Behavioral Health	13141	Professional
Partners Health Plan	14966	Professional
Partners in Health	PARTH	Professional
Partners Insurance Company	RP099	Professional
Partnership Health Plan contact OptumInsight Enrollments Dep Partnership Health Plan of CA	PHP02	Professional
Passport Advantage ** (Effective 7-1- 18 new PID 66008 former payer ID 97652) Passport Advantage (Effective 7- 1-18 new PID 66008 former payer ID 97652)	66008	Professional
Passport Health Plan	61325	Professional
Path Administrators (DH Evans) D H Evans & Associates reg required call 410-349-3222	25172	Professional
Patient Access	PAN01	Professional
Patient Advocates Patient Advocate	55489	Professional
Patient Physician Cooperative	20510	Professional
PATIENTPAY	26335	Professional
Payer Fusion	27048	Professional
payer ID 84223) Keystone VIP Choice (formerly payer ID 84223)	77741	Professional
Peak Health	PEAK0	Professional
Peak Pace Solutions	27034	Professional
Pediatric Associates of Broward Pediatric Associated Health Plan	20472	Professional
PEF Clinic	PEF01	Professional
Penn Behavioral Health	53226	Professional
Pennsylvania Blue Cross Blue Shield (Highmark) Blue Shield of Pennsylvania	PABLS	Professional
Pennsylvania Keystone Health Plan East (encounters only) Keystone Health Plan East - Encounters PA Keystone Health Plan E(encounters only-835s return PAKEY)	PEBLS	Professional
Pennsylvania Life Insurance	23130	Professional
Pennsylvania Pace	20172	Professional
Pennsylvania Preferred Health Network (PPHN) Americaid CC Tampa	06161	Professional
People 1st Health Strategies	IHS03	Professional
People One Health	IHS01	Professional
Peoples Health Network (Tenet) (Network ID must be on claim. Contact phn.provider@tenethealth.com) Peoples Health Network	72126	Professional
Perennial Advantage of Colorado	PAC01	Professional
Perennial Advantage of Ohio	PAOH1	Professional
Personal Insurance Administrators Inc. Personal Insurance Administrators PIA	95397	Professional
PHCS Savility (ONLY for Savility card members.)	13306	Professional
Phifer Wire Insurance (Per request from Payer claims are printed and mailed.)	PHIF4	Professional
Phoenix Choice	55649	Professional
Phoenix Health Plan	03440	Professional
PHP of Northern Indiana Physicians Health Plan of Northern Indiana	12399	Professional
Phy Choice Med Grp San Luis ObispoSan Luis Obispo Select IPA	SLOS1	Professional
Physician Health Coop/SRRIPA Stones River Reg IPA Humana 837	57549	Professional
Physicians Care Network (Rockford IL Only) PayerID valid only for claims with billing submission name city and state of Physicians Care Network Rockford IL. Physicians Care Network (Rockford IL only)	36345	Professional
Physicians Care Network/The Polyclinic	PCN12	Professional
Physicians Choice Medical Group of Santa Maria	MCI01	Professional
Physicians Corporation of America (Florida Plan Only)	65018	Professional
Physicians Health Association Physicians Health Association of Illinois	37136	Professional
PHYSICIANS HEALTH COLLABORATIVE	20398	Professional
Physicians Health Network	MHCM2	Professional
Physicians Health Plan Physicians Health Plan (For behavioral Health claims processing see documents sent to your office from the payer.)	37330	Professional
Physicians Health Plan (PHP-SC)	09173	Professional
Physicians Healthways IPA	PHIPA	Professional
Physicians Mutual Physicians Mutual Insurance Company	47027	Professional
Physicians of Southwest Washington	91171	Professional
Physicians Plus Insurance Corp. Physicians Plus Insurance Corporation	39156	Professional
PHYSMETRICS	48008	Professional
Piedmont WellStar Health Plan	251PD	Professional
PIH Health (Formerly Bright Health Plan) Bright Health Physicians	BHP01	Professional
Pinnacle Medical Group	95271	Professional
Pinnacol Assurance	CCIA1	Professional
Pioneer Provider Network	PPNZZ	Professional
Pittman Crossover	00156	Professional
Pittsburgh Care Partnership	23283	Professional
Planned Administrator Planned Administrators Inc. (PAI)	37287	Professional
PMG of San Jose	PMGSJ	Professional
PodAmerica	RP106	Professional
Podiatry First INC	POD1S POD1ST	Professional
Podiatry Network FL	59324	Professional
Point Comfort Underwriters	PCU01 PCU02	Professional
Pomona Valley Medical Group (PVMG) ProMed	IP057	Professional
Pool Administrators Primary	PAI01	Professional
Pool Administrators Secondary	PAI02	Professional
PPO Plus LLC	72148	Professional
Prairie States Enterprises Inc. Prairie States Enterprises	36373	Professional
Preferred Administrator I Par Plus Preferred Admin (Provider Relations @ (915)532-2778 x1068)	EPF10	Professional
Preferred Care Partners / FL	65088	Professional
Preferred Health Care (PHC) Preferred HealthCare Lancas	33898	Professional
Preferred Health Plan (Louisville KY previous payer ID 61106 ) Healthsmart Benefit Solutions (Wells Fargo TPA formerly Acordia National) Preferred Health Plan (Louisville KY) Preferred Health Professionals (PHP Kansas City previous ID 61106)	87815	Professional
Preferred Health Plan of Carolinas (PHPC)	CB404	Professional
Preferred Health Professionals	31478	Professional
Preferred Health Professionals Kansas City	00036	Professional
Preferred Health Systems Insurance Co (PPO) PREFERRED BEN ADMIN	61665	Professional
Preferred Health Systems Inc. Preferred Health System	60110	Professional
Preferred IPA	PFIPA	Professional
Preferred Med Grp AKA Vantage AmeriWest Cal Care LAMC Vantage Medical Group Use Payer ID PPM01 for claims with DOS prior to 08.01.2020 Desert Family Practice Association	PPM01	Professional
Preferred Medicare	L0250	Professional
Preferred Network Access	36401	Professional
Preferred One	41147	Professional
Premera Blue Cross (WA) Premera Blue Cross WA	00430	Professional
Premier Administrative Solutions	65415	Professional
Premier Eye Care	65054	Professional
Premier Healthcare Exchange	88051	Professional
Premier HealthCare Exchange (Cypress)	88056	Professional
Presbyterian Health Plan (Commercial) (Provider ID is required. Contact (888) 923-5757 6 then 2 to obtain ID. New Mexico Providers only.) Presbyterian Health Plan	PREHP	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
Presbyterian(NM) Presbyterian (NM)	05003	Professional
Presence ERC	46311	Professional
Prestige Health Choice (Payer is effective 5/1/2014 Managed Medicaid Plan. For EDI Support please email edi.phc@amerihealthcaritas.com or call 800-617-5727) Prestige Health Choice	77003	Professional
Prevea Health Insurance Plan Arise Health Plan (Formerly Prevea Health) Arise Health Plan Prevea Health Plan	39185	Professional
Prevea360	41822P	Professional
Prevea360 Health Plan Children's Community Health Plan Chorus Community Health Plans (WI Medicaid) Wellfirst Health Care4Kids (WI Medicaid) Care4Kids (WI Medicaid plans) Dean Health Plan	39113	Professional
Prezzo	CB531	Professional
Prezzo	A2314	Professional
Primary Care CA Primary Care Assoc of CA (Customer Service877-602-1563)	PCACZ	Professional
Primary Care of Joliet	PCJOL	Professional
Primary Delivery Systems VENCOR	73288	Professional
Primary Health Network	82048	Professional
Primary PhysicianCare Inc.(Now known as HealthGram) Healthgram Primary PhysicianCare Inc.	56144	Professional
Prime Community Care Central Valley Prime Community Care of Central Valley(837I & 837P)	MVCV1	Professional
Prime West Health Plan	61604	Professional
PrimeCare Health Plan	IP079	Professional
Princeton Premier IPA	PRI01	Professional
Principal Financial Group (Vision Claims only.) Principle Financial Group	61271	Professional
Priority Health (Please contact Priority Health EDI Dept at 616- 464-8686 or email EDISETUP@Priority-Health.com) Priority Health	38217	Professional
Prism Health Networks (Now known as Palladian Muscular Skeletal Health ) Palladian Muscular Skeletal Health (Formerly Prism Health Networks)	37268	Professional
Prism Univera Prism-Universa	37315	Professional
ProCare Texas	PTX01	Professional
Prodegi	U8151	Professional
Productive Processing Inc.	13396	Professional
Professional Benefit Administrators Inc. (Oak Brook IL) Professional Benefit Administrators Inc (Oak Brook IL)	36331	Professional
Professional Claims Management (Canton OH) Professional Claims Management	37242	Professional
Professional Claims Manangement	56001	Professional
Progressive Benefit Services Inc HSHS Medical Group IPA	37137	Professional
PROGYNY	PROGY	Professional
Prominence Administrative Services	88022	Professional
Prominence Health Plan Encounters St. Marys Health Plan Encounters St.. Mary's Health Plan Encounters	88082	Professional
Prominence Health Plan of Florida Prominence HealthFirst of Florida Inc	83352	Professional
Prominence Health Plan of Nevada	93082	Professional
Prominence Health Plan of Texas	80095	Professional
Prominence Health Plan ST MARYS HEATLH PLAN Saint Marys Health Plan	88029	Professional
Protective Life Insurance Company	37309	Professional
Providence Facility Claims	PROV1	Professional
Providence Health Plan	SX133	Professional
Providence Insurance & Administrative Services Providence Administrative Services	PAS01	Professional
Providence Preferred (PPO) (ProviderID & Enrollment required	PHP00	Professional
Provident Life & Accident Insurance Company Provident Life & Accident Insurance Company of America Provident Life & Casualty Insurance Company Healthpoint Corporation Healthsource Provident (CIGNA) Healthsource Provident Ins. Co.	68195	Professional
Provider Network of America	MPJVL	Professional
Provider Partners Health Plan Illinois	31401	Professional
Provider Partners Health Plan of Texas Provider Partners Health Plan Texas	31405	Professional
Provider Partners Health Plan Pennsylvania	31400	Professional
ProviDRs Care Network	48100	Professional
PruCare HMO (Encounters Only) Prudential Encounters	HM015	Professional
Prudent Medical Group	MPM25	Professional
Pruitt Health Premier	PH001	Professional
Pruitt Health Premier (NC SC)	PHPC1	Professional
Psychealth Care Management LLC Psychealth Care Management Assoc	A2797	Professional
PUBLIC EMPLOYEES HEALTH PROGRAM PEHP	SX106	Professional
Puerto Rico Medicare Part B (J9 - First Coast)	SMPR0	Professional
Quad City Community Healthcare (QCCH)	40437	Professional
Qualcare Arkansas Qualchoice Arkansas	35174	Professional
Qualcare IPA	QCP01	Professional
Quality Care Partners Quality Care Partners (QCP)	89461	Professional
QuantumCare (We Care Health Plan)	QCTPA	Professional
Quartz Administrative Services Organization (ASO)	46571	Professional
Quest Behavioral Health	44219	Professional
Questcare Medical (USC)	84562	Professional
QuikTrip Quicktrip Corporation	73067	Professional
QVI Risk Solutions Inc.	57117	Professional
Rady Children's Network Rady Children's Health Network	RCHN1	Professional
Ravenswood Phys Assoc Ravenswood Physician Assoc	RPAWC	Professional
RBMS LLC	91176	Professional
Redirect Health Administration	86145	Professional
Redlands IPA (Synermed)	SYMED	Professional
Redlands Yucaipa Medical Group	18247	Professional
Regal Med Group Regal Medical Group	REGAL	Professional
Regence BCBS Idaho Regence BS Idaho	00611	Professional
Regence BCBS Utah	00910	Professional
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)	U1100	Professional
Regence Group Administrators	RGA01	Professional
Regency Empolyee Benefits	38221	Professional
Regional Care INC Regional Care Inc.	47076	Professional
Rehn and Associates	REHNA	Professional
Relation Insurance Services of Florida	59299	Professional
Reliance Health Plan	RHP01	Professional
Renaissance Physicians Organization	76066	Professional
Reserve National Insurance Reserve National Insurance (For Claims rejections please contact Reserve national Customer Service at (405)848-7931.)	73066	Professional
Resolve Health Plan Ad (Auth # required: begins w5 &13len Innovative Payer 1	20481	Professional
Resolve Health Plan Administrators LLC	RHA01	Professional
RESURRECTION HEALTH CARE PREFERRED Family Medical Network	36396	Professional
Resurrection Physicians Group I Par Plus Resurrection Physician Provider Group	RPPG1	Professional
RevClaims	RVC01	Professional
Rhode Island Blue Cross Blue Shield Blue Shield of Rhode Island	RIBLS	Professional
Rhode Island Medicaid	SKRI0	Professional
Right Care from Scott & White	74205	Professional
RightChoice Benefits Administrators	37331	Professional
Rios Southwest Medical Group	RIOS1	Professional
River City Medical Group	RCMG1	Professional
Riverside Health Inc Riverside Health Inc	45281	Professional
Riverspring Health Plans	05178	Professional
RMSCO INC. RMSCO Inc.	16117	Professional
Rocky Mountain Health Plan Grand Junction	SX141	Professional
Rocky Mountain HMO	RMHMO	Professional
Rocky Mountain Pace	93142	Professional
Rubicon Health Group	IHS18	Professional
Rush Prudential Health Plans (HMO Only)	36389	Professional
S & S Healthcare Strategies	31441	Professional
Sagamore Health Network Sagamore Health Network Inc.	35164	Professional
Saint Anthony PHO	STA01	Professional
SALT LAKE COUNTY BEHAVIORAL HEALTH SERVICES	HT007488-001	Professional
Salvasen Health	CB122	Professional
Samaritan Advantage	SAMAD	Professional
Samaritan Choice Plan	SAMCP	Professional
Samaritan Employer Group Plan	SAM00	Professional
Samaritan Health Plans	CP001	Professional
Samera Health Mint Health Plans/Samera Health	U8053	Professional
San Bernardino Medical Group	SBMED	Professional
San Diego County Medical Services (CMS) San Diego County Medical Services	MSO11	Professional
San Diego County Physician Emergency Services	MSO22	Professional
San Diego County Ryan White Primary Care Program	MSO33	Professional
San Diego County Sheriffs Department	MSO55	Professional
San Diego PACE	96400	Professional
San Francisco Health Plan	SFHP1	Professional
San Luis Obispo Select IPA San Louis Obispo Select	33072	Professional
San Mateo Health Commission dba Health Plan of San Mateo	SX174	Professional
Sana Benefits	50114	Professional
Sandhills Center	SHC30	Professional
Sanford Health Plan	MNSHP	Professional
Santa Clara County IPA	SCACO	Professional
Santa Clara Family Health Plans	24077	Professional
Santa Clara IPA HMO	10378	Professional
Sante Community Physicians Medical Group Corp. Sante Health System Medi-Cal Sante Health System Medi-C	SNTMC	Professional
Sante Health Systems Sante Health System	77038	Professional
Satellite Health Plan Inc (Satellite Health Plan is a MA ESRD C-SNP effective 1/1/14. First Time submitters please fax a W9 to 650-625-6083) Satellite Health Plan Inc	45552	Professional
Saudi Health Mission	SHM01	Professional
SC BCBS Companion Health	SC922	Professional
SC BCBS State Employee Health Plan	SC400	Professional
SC FEP Blue Cross	SC402	Professional
Scan CA Scan Health Plan CA	SCAN1	Professional
SCAN Encounters (Diversified Data Design (DDD)) SCAN Encounters	99157	Professional
Scan Health Plan Arizona	SCAN2	Professional
Scan Health Plan AZ	73172	Professional
SCAN Long Term Care	20460	Professional
Schaller Anderson CHOC Health Alliance	SCH01	Professional
SCHC Total Care Total Care of NY (Former payer ID TCARE) SCHC Total Care Inc	16146	Professional
SCHS Alta Global Medical Care Group	MPM54	Professional
Scott & White I Par Plus Scott & White Health Care	88030	Professional
Scripps Health Plan MSO	SHPM1	Professional
Scripps Health Plan Services	SHPS1	Professional
Seaside Health Plan (Starting with DOS 9/1/2013)	46187	Professional
Seaview IPA	SVIPA	Professional
Secure Health of Georgia (Claims for this payer id are only accepted with a DOS equal to or after 01/01/2021) Secure Health Plan of GA ## (Claims for this payer id are only accepted with a DOS equal to or after 01/01/2021)	42561	Professional
Secure Health of Georgia (Claims for this payer id are only accepted with a DOS prior to 12/31/2020) Secure Health Plan of GA ## (Claims for this payer id are only accepted with a DOS prior to 12/31/2020)	28530	Professional
SecureOne	86242	Professional
Security Administrative Systems Cornerstone Benefit Administrators HealthSmart Security Administrative Services	35202	Professional
Security Health Plan	39045	Professional
Sedgwick Sedgwick CMS	TP097	Professional
SeeChange HealthPlan	SCHP1	Professional
Select Benefit Administrators of America SELECT BENEFIT ADMIN	37282	Professional
Select Health of South Carolina	23285	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
SelectHealth (Formerly IHC) (Contact payer at 801-442-5442 before sending claims to verify provider numbers.)	UH107	Professional
Self Insured Benefit Admin FL Self Insured Benefit Administrators	59111	Professional
Self Insured Plans Self Insured Plans LLC	36404	Professional
Self-Funded Plans Inc (IL PA OH) Self-Funded Plans (IL PA OH)	34131	Professional
Selman Company	52214	Professional
Selman Tricare Supplement Plans	TRSEL	Professional
Sendero Health	SCS17	Professional
Sendero IdealCare (For DOS on or after 01-01-2019)	MV440	Professional
Senior Whole Health Care ## (Use payer ID SWHNY for DOS equal to or after 01/01/2021) Use payer ID 83035 for DOS prior to 01/01/2021) Senior Whole Health (Use payer ID SWHNY for DOS equal to or after 01/01/2021). Use payer ID 83035 for DOS prior to 01/01/2021)	SWHNY	Professional
Senior Whole Health Care ## (Use payer ID 83035 for DOS prior to 01/01/2021. Use new payer ID SWHNY for DOS equal to or after 01/01/2021) Senior Whole Health (Use payer ID 83035 for DOS prior to 01/01/2021. Use new payer ID SWHNY for DOS equal to or after 01/01/2021)	83035	Professional
Senior Whole Health Massachusetts	SWHMA	Professional
Sentara Mental Health Professional	5415M	Professional
Sentinel Management Sentinel Management Services	23249	Professional
Sentinel Security Life Insurance Atlantic Coast Life Insurance	87020	Professional
Seoul Medical Group	AMM07	Professional
Seoul Medical Group Avalon IPA Centinela IPA Freeman IPA Hollywood Presbyterian American Family Health Providers Huntington Park Medical Group Huntington Park Mission Pasadena Primary Care Physicians AMVI Cap Management Systems Greater L. A. Health Mendicina Familiar Medical Group Greater San Gabriel Exceptional Care Medical Noble Community Family Choice Medical Family Health Alliance AKM Medical Group	IP080	Professional
Sequoia Health IPA	ALG01	Professional
Seton CHIP (Provider ID required.) Seton Health Plan - CHIP I Par Plus	SHPCH	Professional
Seton Employee Plan Seton Employee Plan I par Plus	SHEBP	Professional
Seton Star	STAR1	Professional
Seven Corners	25404	Professional
SGIC	11789	Professional
Shared Health Mississippi	SHTMS	Professional
Shared Health Mississippi	SHMS1	Professional
Sharp Community Medical Group	SCMG1	Professional
Sharp Health Plan	SHP01	Professional
Sharp Rees-Stealy Med Group Sharp Rees-Stealy Medical Group	SRS83	Professional
Sheakley Unicomp	10002	Professional
Sheet Metal Workers Local 104 (PayerID valid for submission add of PO Box 1138 San Ramon CA 94583.) Sheet Metal Workers Local 104 BeneSys Inc. (Now known as Sheet Metal Workers Local 104)	38238	Professional
Sieba LTD.	03699	Professional
Sierra Health and Life (Health Plan of Nevada) Health Plan of Nevada Sierra Health and Life	76342	Professional
Sierra Health Services Encounters (Health Plan of Nevada) Health Plan of Nevada (Encounter claims) Sierra Health and Life (Encounters)	76343	Professional
Sierra Medical Group (Customer Service 661-480-2047)	SMG01	Professional
SIHO	77153	Professional
Silver Cross Managed Care Organization	NASCR	Professional
Silver Star Pace	97691	Professional
Silverback TPA (previous payer ID 37728) For all dates of services on and after Jan. 1 2019 claims should be submitted WellMed payer ID WELM2 WellMed (Claims) Wellmed Medical (Claims) I Par Plus	WELM2	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
Sinclair Health Plan	84076	Professional
SISCO	44827	Professional
Smith Administrators	02057	Professional
Smith Administrators	SMITH	Professional
Smoky Mountain Center	13010	Professional
Snedeker Risk Mangament Snedeker Risk Management	A7637	Professional
So CA Health Care SystCHS Alta Pod Medpoint &SCHS Alto Pod	MPM20	Professional
Solidarity Healthshare	77721	Professional
Solis Health Plans	SOLIS	Professional
Somos IPA (Emblem Health)	81508	Professional
Sonder Health Plans Sondor Health Plans	A0339	Professional
Sound Health First Choice Health Administrators First Choice Health Network Sound Health now known as First Choice Health Network Sound Health (now known as First Choice Health Network)	91131	Professional
Soundpath Health Soundpath Health (Formerly known as Puget Sound Health Partners Inc.)	42172	Professional
South Atlantic Medical Group	SAMG1	Professional
South Carolina Solutions	42406	Professional
South Central Preferred (SCP) WellSpan Plus	23266	Professional
South County Health Alliance (previously under Payer ID 41154)	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/South Florida Community Care Network	59065	Professional
South Florida Musculoskeletal Care	06294	Professional
South Indiana Health Options - HMO	SX142	Professional
SouthCare/Healthcare Preferred Southcare / Healthcare Preferred	25147	Professional
Southeast Michigan Pace	R3460	Professional
Southern Cal Physicians Managed Care Services	SCP01	Professional
Southern Illinois Healthcare	SIHCA	Professional
Southern Illinois Healthcare Assoc	SIH99	Professional
Southland Benefit Solutions Amerikids-Dallas/Ft. Worth Amerigroup Houston (Claims and Encounters) Amerigroup Houston	26374	Professional
Southland IPA	SIPA1	Professional
Southwest Mighigan Behavioral Health Mental Health Southwest Michigan Behavioral Health Mental Health	A3268	Professional
Southwest Mighigan Behavioral Health Substance Use Disorder Southwest Michigan Behavioral Health Subtance Use Disorder	A4585	Professional
Southwest Physicians Group	SWPG1	Professional
Southwest Service Administrators PHX Teamsters UT/MT/ID PHX Teamsters UT/MT/ID (For Dates of Service after 05/01/16)	CX100	Professional
Southwest Service Life/Galaxy Health Southwest Service Life	37266	Professional
Southwestern Health Resources Clinically Integrated Southwestern Health Resources Clinically Integrated (DOS After Dec. 31 2022)	RP085	Professional
Specialty Care Program	IHS17	Professional
Spectrum Administrators Populytics (formerly Spectrum Administrators)	23253	Professional
Spencer Stuart ARM Ltd.	38416	Professional
St Joseph Health	IP062	Professional
St Mary's IPA St Mary IPA	SMIPA	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 HUMBOLT County	IP059	Professional
St. Therese Physician Association	37116	Professional
Staff Benefits Management Administration	SBMCO	Professional
Standard Life & Accident Insurance Company	73099	Professional
Standard Life and Accident Standard Life & Accident (Payer accepts secondary claims only and Medicare cannot be primary payer.)	01758	Professional
State Farm Health State Farm Homeowners Group Medical Plans (Note that payer requires Insured’s ID of 11 digits and exact structure. Otherwise claims will reject). State Farm Workers Compensation Plans (Note that payer requires Insured’s ID of 11 digits and exact structure. Otherwise claims will reject)	31053	Professional
STATE FARM MUTUAL AUTOMOBILE INSURANCE CO State Farm (Property & Casualty ) State Farm Casualty & Property Claims	31059	Professional
State of TX Dental Government Employees Health Association Inc. (GEHA) Government Employees Health Association Inc. (GEHA)	57254	Professional
Sterling Medicare Advantage Sterling Medicare Advantage (Claims containing Dates of service after 4-30-2014 claims should be sent to Wellcare PayerID 14163)	67829	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
SummaCare Health Plan	95202	Professional
Summit Administration Services Inc.	86083	Professional
Summit America Insurance Services Inc. (Student Accident and Sickness College Sports and NASCC claims only.)	37301	Professional
Summit Community Care	PASSE	Professional
Sunrise Advantage Plan Pennsylvania	SPA01	Professional
Superier Health IHG Dirwxr	75274	Professional
Superior Insurance Services	97802	Professional
Superior Vision Services	13305	Professional
Surgery One IPA	SOIPA	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	94269	Professional
Sutter Connect East Bay Med Foundation East Bay Medical Network	IP130	Professional
Sutter Connect East Bay Medical	HM065	Professional
Sutter Connect-Palo Alto Medical Foundation	SC050	Professional
Sutter East Bay Regional Hosp-Affinity Claims	SC052	Professional
Sutter Health Aetna	60624	Professional
Sutter Med of Redwoods (SMGR)	HM057	Professional
Sutter Medical Group	SC004	Professional
Sutter Senior Care	SC028	Professional
Swedish Covenant Hospital	36411	Professional
Swift Glass Corporation	07040	Professional
TakeCare Insurance Company	98022	Professional
Talbert Medical Group	TALMG	Professional
Tall Tree Administrators Tall Trees Administrators	88067	Professional
Tattered Cover Inc. Amalgamated Transit Union Division 1001 Health & Welfare Fund CompuSys Incorporated of Colorado Compusys of Colorado Glassworkers and Glaziers Health and Welfare Fund Trust Industrial Machine Specialties Pipe Industry Health & Welfare Fund of Colorado Colorado Laborers Health and Welfare Fund Carpenters' and Millwrights' Health Benefit Trust Fund Carpet Linoleum and Resilient Tile Layers Health and Welfare Fund	COMPU	Professional
Taylor Benefits	TAYLR	Professional
Teachers Health Trust	88019	Professional
Team Choice - Alpha Care Gold I Par Plus Nexcaliber	ADSL1	Professional
Teamcare Central States Southeast and Southwest Areas Health and Welfare and Pensions Funds Central States Health & Welfare Funds Rosemont of Des Plaines IL	36215	Professional
Tech-Steel Inc. Intermountain Ironworkers Trust Fund Operating Engineers Local No 53 8th Distric Electrical CompuSys Incorporated (New Mexico) Utah Carpenters CompuSys Incorporated of Arizona Utah Laborers CompuSys Incorporated of Utah CompuSys/Erisa Group Incorporated (AZ) CompuSys/Erisa Group Incorporated (NM) CompuSys/Erisa Group Incorporated (TX) Transwestern General Agency Chapter NECA Health & Welfare Trust IBEW Western Utilities or Local 57 City of Austin Erisa Administrative Services Incorporated Erisa Administrative Services Inc. New Mexico District Council of Carpenters New Mexico Painters and Allied Trades Local No 823 New Mexico-West Texas Multi- Craft (lso known as New Mexico Laborers) Advanstaff Inc. Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Metal Trades Health Plan Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Pipe Trades Health Plan Utah Pipe Trades	74234	Professional
Teddy Health	TEDDY	Professional
Telamon	22483	Professional
Tennessee Blue Cross Blue Shield Blue Shield of Tennessee	TNBLS	Professional
Tervist Speciality Care Program	IHS08	Professional
Tethys Health Ventures Tehtys 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 Agricultural Cooperative Trust	TXABA	Professional
Texas Blue Cross Blue Shield Blue Shield of Texas (includes Blue Cross of Texas) Blue Shield of Texas	TXBLS	Professional
Texas Children	75228	Professional
Texas Children's Health Plan	76048	Professional
Texas Children's Health Plan (Medicaid) (After 10-08-16 submit claims with payerID TXCSM) TX Childrens Star Medicaid (Enroll verif calls 800-990-TCHP	TXCSM	Professional
Texas First Health Plans Texas First Health Plan	TX1ST	Professional
Texas Health Aetna	88221	Professional
Texas HealthSpring Texas Healthspring I Par Plus	THS01	Professional
Texas Independence Health Plan	31403	Professional
TexasFirst Health Plan	13185	Professional
The Alliance of Wisconsin (Only for ID Cards showing PO Box 44365 Madison WI 53744 as mailing address)	88461	Professional
The Benefit Group	TBGNE	Professional
The Boon Group	BOONG	Professional
The Care Network- Savannah Business Group (TCN) The Care Network The Care Network- Savanna	68423	Professional
The Chesterfield Companies Chesterfield Resources Inc.	34154	Professional
The City of Amarillo City of Amarillo Group Health	COA01	Professional
The City of Odessa	75600	Professional
The Colorado Purchase Alliance	TCPA1	Professional
The Health Exchange (Cerner Corporation) The Health Exchange	20356	Professional
The Health Plan (Form known as Hometown Health Plan of OH) Hometown Health Plan of Ohio (Now known as The Health Plan)	30757	Professional
The Health Plan of West Virginia Inc The Health Plan (Upper Ohio Valley) The Health Plan (Upper Ohio Valley)	34150	Professional
The Health Plan of West Virginia Inc	95677	Professional
The Healthcare Group (THCG) Encore Health Network (Note: Group Policy Number in HCFA Box 11 is required.) Encore Health Network	35206	Professional
The Loomis Company The Loomis	23223	Professional
The Macaluso Group	82694	Professional
The MEGA Life and Health Insurance Company-OKC (Valid if PO BOX 548801 Oklahoma City OK 73154.)	59227	Professional
The Preferred Healthcare Systems (TPHS) The Preferred Healthcare System - PPO Altoona PA PrimeSource Health Network	04320	Professional
Thomas Cooper (Provider must be enrolled with SC Blue Shield	SC315	Professional
Three Rivers Preferred	MP340	Professional
TLC Advantage in Sioux Falls TLD Advantage in Sioux Falls	TLC01	Professional
TLC Benefit Solutions	TLC79	Professional
TN (formerly AmeriChoice TN: UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare Secure Plus Complete)	95378	Professional
Today's Health Today's Health I Par Plus	WITH1	Professional
Torrance Hospital IPA	THIPA	Professional
Total Care of NY (As of 4-1-18 claims use payer ID 16146)	TCARE	Professional
Total Community Care InnovAge InnovAge (Total Community Care)	31182	Professional
Total Plan Concepts	80900	Professional
Total Senior Care	12268	Professional
Touchpoint Solutions CRM	TPS01	Professional
Touchstone Health PSO	23856	Professional
Touchstone Health/Health Net Smart	13402	Professional
TR PAUL INC TR Paul Inc.	37230	Professional
Transamerica Life Ins/Monumental Life/Stonebridge Life	TRP1E	Professional
Transchoice - Key Benefit Admin TransChoice Key Benefit Administrators	37284	Professional
Transwestern Insurance Administrators Inc.	TRAN1	Professional
Travis County Healthcare District Central Health Travis County MAP - Mediview Community Care Collaborative Travis County Hospital District	TCMAP	Professional
Tri-Valley Medical Group	20538	Professional
Triad Healthcare Inc	39181	Professional
Triada Assurance	CB733	Professional
Tribute Health Plan (Formerly Central Benefits National.)	31118	Professional
Tribute Healthcare Central Benefit National (Now known as Tribute Health Plan.)	61184	Professional
Tricare East (effective 01-01-2018) Tricare East Tricare East Effective 1-1-2018	TREST	Professional
Tricare for Life (All Regions 1-12) Tricare for Life	TDDIR	Professional
Tricare Overseas	FOREN	Professional
TRICARE West / UnitedHealthcare Military & Veterans (formerly TriWest) TRICARE West (UnitedHealthcare Military & Veterans) UnitedHealthcare Military & Veterans / TRICARE West	99726	Professional
TriHealth Physician Solutions	31144	Professional
Trilogy Health Network	62777	Professional
Trinity Health Pace	TRNPC	Professional
Trinity Health Solutions Inc - Everpointe	32052	Professional
Triple S	97300	Professional
Triple S Advantage	973MA	Professional
Triple S Incorporated	SB980	Professional
Triplefin LLC Triplefin LLC	64300	Professional
TRISTAR Benefit Administrators Select Benefit Administrators (Des Moines Iowa) Select Benefit Administrators (PayerID valid for claims submission address of PO Box 8339 Des Moines IA 50301)	42137	Professional
TriWest Healthcare Alliance (VA CCN Regions 4 5 &6)	TWCCN	Professional
Troy Medicare	TRYMC	Professional
TruBlue True Blue TPA	83413	Professional
True Health New Mexico	82288	Professional
True Health New Mexico FEHBP	85824	Professional
Truli for Health	TRULI	Professional
Trusteed AKA: TPSC Benefits	91078	Professional
Trustmark Small Business Benefits Tooling & Manufacturing Assoc. Benefit Trust Life Insurance Company Starmark Tooling & Manufacturing Association	61425	Professional
Tuality Health	THA01	Professional
Tuality Health Select	THASC	Professional
Tufts Health Plan Tufts Associated Health	04298	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 & Family Plans	55413	Professional
Ucare of Minnesota (Use payer ID 52629 for DOS in 2018. Use new payer ID 55413 for UCare Individual & Family Plans with DOS in 2019) Ucare of MN(Use ID 52629 DOS in 2018 UseID 55413 DOS in 2019	52629	Professional
UCLA Medical Group	USMBP	Professional
UCS (Electrical Workers Insurance Fund Local 5800)	93235	Professional
UHA Health Insurance	UHA01	Professional
UHC/SPECTERA VISION NETWORK Spectera UnitedHealthcare / Spectera Eyecare Networks	00773	Professional
UHIN Test Payer	HT000346-001	Professional
UHIN Test Payer All Transactions Good	ALLGD	Professional
UICI Administrators - State of Nevada	75245	Professional
Ultimate Health Plan	77022	Professional
Ultra Benefits Inc. UltraBenefits Ultra Benfits Inc.	41206	Professional
UMASS Medical School Health and Criminal Justice Program	UMHCJ	Professional
UMC Health System UMC Health Plan	75130	Professional
Umpqua Health Alliance	77503	Professional
UMR (UMR Wausau) UMR (formerly UMR Wausau) UnitedHealthcare / UHC Shared Services - UHSS formerly UHIS UnitedHealthcare / UHIS- UnitedHealthcare Integrated Svcs.	39026	Professional
UMWA Health & Retirement Funds UMWA Health & Retirement Funds (Dental) UMWA - UNITED MINE WORKERS ASSOC	52180	Professional
Unified Group Services	35198	Professional
Unified Health Services	62170	Professional
Unified Life Insurance Company	RP064	Professional
Unified Physicians Network Unified Physicians Network (For Claims rejections please contact Unified Physicians claim department at 847-763-1700)	34638	Professional
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS	U6844	Professional
Unite Health Share Ministries (UHSM)	83173	Professional
Unite Here	59144	Professional
United Agriculture Benefit Trust	UABT1	Professional
United Benefits Inc (a Brown & Brown Company)	59069	Professional
United Care Medical Group	ADCUC	Professional
United Claim Solutions	A0047	Professional
United Claim Solutions United Claims Solutions	20090	Professional
United Claims Solutions Insight Benefit Administrators United Claims Solutions Insight Benefit Administrator	96436	Professional
United Food & Commercial Workers UFCW Local 1529	21850	Professional
United Healthcare Ohio Medicaid	88337	Professional
United Healthcare Ohio Medicaid Dental DentaQuest	83244	Professional
United Healthcare Ohio Medicaid Vision	83572	Professional
UNITED HEALTHCARE SERVICES INC(Optum Salt Lake) OptumHealth SLC Optum Tooele	U6885	Professional
United Medical Alliance UCHealth Plan Administrators (As of 8/1/14 CSMED UMA & Phycor combined)	84132	Professional
UnitedHealthcare (Student Resources ) UnitedHealthcare / StudentResources	74227	Professional
UnitedHealthcare Community Plan / AZ / Children's Rehabilitative Services (CRS) / Long Term Care UnitedHealthcare Community Plan / Arizona Long Term Care - BH & SNP / Children's Rehabilitative Services (CRS) UnitedHealthcare Community Plan / AZ (formerly Arizona Physicians IPA and APIPA)	03432	Professional
UnitedHealthcare Community Plan / KanCare UnitedHealthcare Community Plan / KS - KanCare	96385	Professional
UnitedHealthcare Community Plan / Missouri UnitedHealthcare Community Plan Missouri	86050	Professional
UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid NJ Family Care NJ Personal Care Plus) AmeriChoice NJ Medicaid NJ Family Care (UnitedHealthcare Community Plan) UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid NJ Family Care NJ Personal Care Plus) former payer id 86001	86047	Professional
UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect (formerly SecureHorizons) UnitedHealthcare West / UnitedHealthcare of CA OK OR TX WA and PacifiCare of AZ CO NV First Seniority Freedom UST Healthproof (Effective for claims with a DOS of 2023) OptumHealth (OptumHealth Behavior Solutions) formerly United Behavioral Health and Pacificare Behavioral Health) former payerID 33053 OptumHealth (OptumHealth Behavioral Solutions of NM) MAHP (MD IPA Optimum Choice and MLH) UnitedHealthcare AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons) United Healthcare AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network / Oxford Mosaic Network former payer id 06111 Arnett Health Plans Former PayerID 95440 Definity Health Plan (UnitedHealthcare) Harvard Pilgrim Passport Connect OptumHealth Behavior Solutions formerly United Behavioral Health and PacifiCare Behavioral Health) former payer ID 33053 Op	87726	Professional
UnitedHealthcare West / Encounters (formerly PacifiCare) UnitedHealthcare West Encounters (formerly known as PacifiCare)	95958	Professional
UnitedHealthOne / UnitedHealthcare Life Insurance Company - Golden Rule UnitedHealthOne / Golden Rule Rooney Life Ins.	37602	Professional
UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security) All Savers Insurance / UnitedHealthcare UnitedHealthcare / All Savers Alternate Funding UnitedHealthcare / All Savers Insurance	81400	Professional
Unity Health Insurance	66705	Professional
Unity Health Partners	A1152	Professional
Univera Community Health	15003	Professional
Univera Health Care Plan/ChoiceCare Buffalo Univera Healthcare	SX087	Professional
Univera Healthcare - CNY	HC001	Professional
Univera Healthcare (SSA)	SX091	Professional
Univera Traditional PPO Univera PPO	UNINW	Professional
Universal Care - California Universal Care - California (ProviderID required.)	33001	Professional
University Family Care	09830	Professional
University Family Care - Healthcare Group University Physicians Healthcare Group	07503	Professional
University Family Care - Maricopa Health Plan Maricopa Health Plan / Maricopa Care Advantage	09908	Professional
University Health Alliance	99026	Professional
University Health Care Advantage Essence Healthcare CA Essence Healthcare - CA	46407	Professional
University Healthcare Marketplace	45437	Professional
University of Illinois	UIC67	Professional
University of Illinois Division of Specialized Care	37601	Professional
University of Maryland Health Advantage	45282	Professional
Upland Medical Group (Customer Service Phone number (909) 291-4400)	IP056	Professional
UPMC Health Plan	23281	Professional
Upper Peninsula Health Group TPA Upper Peninsula Heath Group TPA	37324	Professional
Upper Peninsula Health Plan	38337	Professional
US Benefits HealthSmart US Benefits HealthSmart US Benefits (Dental)	93092	Professional
US Department Of Labor (837I & 837P) US Department of Labor	77044	Professional
US Family Health Plan (USFHP)	USFHP	Professional
US Network and Administrative Services	USN01	Professional
US Virgin Islands Medicaid	SKVI0	Professional
USAA (United States Automobile Association) USAA	74095	Professional
USC Health Services	9047P	Professional
USFHP St Vincent Catholic Med Center NY Uniformed Service Family Health Plan	13407	Professional
UST Healthproof (Effective for claims with a DOS of 2022) UST Healthproof (Effective for claims with a DOS of 2022)	83245	Professional
UTAH DEPARTMENT OF HEALTH Utah Medicaid FFS	SKUT0	Professional
Utah Medicaid Atypical	U4801	Professional
Utah Medicaid Crossover	U4005	Professional
Utica NY FEP (Federal Employee Program) Blue Shield	N4FEP	Professional
VA Patient Centered Community Care Program (VAPCCC) Region 3	VAP33	Professional
VA Patient Centered Community Care Program Region 5A VA Patient-Centered Community Care Prog (VAPCCC) Region 5A	VAPC3	Professional
VA Patient Centered Community Care Region 5B VAPCCC Region 5B	55916	Professional
VA Patient Centered Community Care Region 6	VAPC6	Professional
VACCN Community network VA Community Care Network for Dental Providers Region 2 (Effective for Dental claims with DOS on or after 10/08/2019) VA Community Care Network for Dental Providers Region 3 (Effective for Dental claims with DOS on or after 01/07/2020) VA Community Care Network Region 1 (Effective for 837P claims with DOS on or after 07/29/2019) VA Community Care Network Region 2 (Effective for 837P claims with DOS on or after 10/08/2019) VA Community Care Network Region 3 (Effective for 837P claims with DOS on or after 01/07/2020) VA Community Care Network Region 1 (Effective for claims with DOS on or after 07/29/2019) VA Community Care Network Region 2 (Effective for claims with DOS on or after 10/08/2019) VA Community Care Network Region 3 (Effective for claims with DOS on or after 01/07/2020) Dental Providers Region 1	VACCN	Professional
Valir Pace (Formerly Via Christi Hope) Valir Pace	48123	Professional
Valley Care IPA (Customer Service 805-604-3332)	VCIPA	Professional
Valley Health Administrators	VHA11	Professional
VALLEY HEALTH PLAN	VHP03	Professional
VALLEY HEALTH PLAN	VHP01	Professional
VALLEY HEALTH PLAN Valley Health Plan Medi-CAL	VHP02	Professional
Valley Mental Health	94293	Professional
Valley Presbyterian Hospital Community Family Care	MPM61	Professional
Valley Presbyterian Hospital Valley Presbyterian Hospital Preferred IPA	MPM53	Professional
Valor Medicare Advantage Valor Health Pan	43259	Professional
Value Options / MBHP ValueOptions/MBHP (For claim rejections please contact e- SupportServices@valueoptions.c om or 888-247-9311)	43307	Professional
Value Options Colorado Medicaid	00815	Professional
Value Options Commercial Claims	00813	Professional
Value Options Maryland	00823	Professional
Value Options Pennsylvania Medicaid	00817	Professional
Value Options Texas Northstar	00818	Professional
Vanderbilt University Medical Center Vanderbilt Univ Med Center	BPSLLC	Professional
Vantage Health Plan	77701	Professional
Vantage Medical Group Use Payer ID PROSP for claims with DOS after 08.01.2020 Prospect Medical Group Vantage Medical Group	PROSP	Professional
Varipro	72187	Professional
Ventura County Healthcare Plan	VCHCP	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 VestaCare / RH Admin	VESTA	Professional
Vibra Health Plan	15976	Professional
VieCare Life Armstrong	25922	Professional
Viida Care (Now known as Amida Care) Vida Care (Now known as Amida Care.) Amida Care (Formerly Vida Care.)	24818	Professional
VillageCareMAX	26545	Professional
Virgin Island Medicare Part B (J9 - First Coast)	SMVI0	Professional
Virginia Anthem Blue Cross and Blue Shield Local Choice Blue Shield of Virginia Priority Healthcare Virginia State Employer Funds Healthkeeper HMO Virginia Anthem Blue Cross Blue Shield Medicare Supplemental Peninsula Healthcare COVA (Commonwealth of VA) Keycare PPO VA State Employer Funds Blue Care PPO	VABLS	Professional
Virginia Coordinated Care	84806	Professional
Virginia Premier Health Plans (Effective 02-01-2019 former payer IDs VPEP1 54176 VPELT VPCCP VPHP1VPCCI MAPDI 12K83 MAPDP) Virginia Premier Health Plans	VAPRM	Professional
Virginia Premier Preferred Gold	251VA	Professional
Vista Oncology New Century Infusion Solutions	NCH08	Professional
VIVA Health Viva Health Plan	63114	Professional
Vivida Health Plan (Use this ID for dates of service on or after 01/01/21)	A0102	Professional
Vivida Health Plan (Use this ID for dates of service prior to 01/01/21)	45488	Professional
VNA Homecare Options (Medicaid line of business)	31626	Professional
VNS Choice Medicare (Formerly Visiting Nurse Service) VNS CHOICE Medicare (Formerly Visiting Nurses Service)	77073	Professional
Volusia Health Network	59266	Professional
Vxtra Health	99915	Professional
VYTRA Healthcare (Provider ID number required. Please call 1- 631-420-4100 opt 4 opt 4 for payer set-up and payer assigned provider ID number.) Vytra Healthcare	22264	Professional
WA Blue Cross Regence (UMP) WA Blue Shield Regence Regence Blue Shield of Washington	00932	Professional
WA State Premera Blue Cross (835s returned under AC032) Washington State Premera Blue Cross	WABLC	Professional
Wabash Memorial Hosp Association Wabash Memorial Hospital Association	85256	Professional
Washington County Health and Human Services	WCHHS	Professional
Washington Dept. of Labor & Industries Washington State Labor and Industry	WALAI	Professional
Waterstone Benefit Administrators	73155	Professional
Watts Healthcare Corp IPA	MPM09	Professional
Weiss Health Providers	36337	Professional
Welbehealth	WBHCA	Professional
Wellcare Health Plan Inc. (Encounters only) Wellcare Health Plans Inc. (Encounters)	59354	Professional
Wellcare of CT Wellcare of NY	14164	Professional
Wellmark BCBS (Iowa South Dakota) Blue Shield of Iowa Iowa Blue Cross Blue Shield	IABLS	Professional
Wellmark BCBS (Iowa South Dakota) Wellmark BCBS (IA SD)	88848	Professional
WellMed (Encounters) Wellmed Medical (Encounters) I Par Plus	WELMD	Professional
WellNet Health Plans	25711	Professional
Wells Fargo TPA (Part A and Part B)	00214	Professional
Wellspan Employee Assistance Program WellSpan Employee Assitance Program	CB457	Professional
WellSystems LLC	35245	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 (Payer ID 45276 will remain active only for claims for service dates prior to 7/1/2019. Providers should check member cards to ensure they send claims to the correct WV MCO plan for service dates 7/1/2019 and forward).	45276	Professional
West Virginia Senior Choice	WVS01	Professional
Western Growers Assurance Trust (aka Pinnacle Claims Management) Company Pinnacle Claims Management Inc. Western Grower's Assurance Trust (aka Pinnacle Claims Management) Western Grower's Insurance Company Western Growers Assurance Trust (aka Pinnacle Claims Management)	24735	Professional
Western Health Advantage	68039 77225	Professional
Western Life Ins. Benefit Plan (FORTIS)	39065	Professional
WESTERN MUTUAL INS Western Mutual Insurance	37247	Professional
Western Oregon Advanced Health	DOCSO WOAHM	Professional
Western Pennsylvania Electrical Employees Insurance Trust Fund Western Pennsylvania Electric Employees	RP083	Professional
Western Southern Financial Group WEST & SOUTHERN FINANCIAL GROUP	31048	Professional
WestLake Financial Group Inc.	90560	Professional
Weyco Inc.	38232	Professional
Willamette Valley Comm Health CCO (Marion Polk Health Plan)	MPCHP	Professional
William C Earhart William C. Earhart Co Inc. HealthSmart William C Earhart	93050	Professional
William J Sutton & Co. Ltd.	98010	Professional
Willow Health	WHLTH	Professional
Wilson McShane	41095	Professional
WIN Healthcare (Woman's Integrated Network Inc.)	13413	Professional
Wisconsin Anthem Blue Cross and Blue Shield Blue Shield of Wisconsin Blue Cross Blue Shield of Wisconsin Wisconsin Anthem Blue Cross Blue Shield Anthem Medicaid (WI) (Formerly BadgerCare)	WIBLS	Professional
Wisconsin Dept of Corrections	VEST1	Professional
Wisconsin Medicaid	SKWI2	Professional
Woodman Accident and Life Co (AICT Plans only) American Insurance Company of TX	81949	Professional
Worksite Benefit Systems Worksite Benefit Services	20333	Professional
WPP Eldercare Wisconsin	77080	Professional
WPPA-ProviDRs Care Network	WP481	Professional
WPS Commercial	OOWPS	Professional
Wyoming Blue Cross Blue Shield Blue Shield of Wyoming	WYBLS	Professional
Wyoming Medicaid	SKWY0	Professional
Wyoming School Boards Association Insurance Trust	WYSCH	Professional
Yale University Health Plan	60646	Professional
Yam Hill CCO-PHTech	YAMHL	Professional
Yerington Paiute Tribe	51350	Professional
Yuzu Health	IHS15	Professional
Zebra Health HC	88858	Professional
Zenith American Solutions	89677	Professional
Zing Health	83248	Professional
ZoomCare	ZOOM1	Professional
Zurich Insurance	16535	Professional
Institutional
Payer Name	Payer Id	Line of Business
(NCHD) Nueces County Hospital District Christus Health Plan Medicaid	45210	Institutional
(Use payer ID 70259 for dates of service 12-31-19 and prior.Use ProCare Health Plan Medicaid ## (Use payer ID 70259 for dates of service 12-31-19 and prior.Use payer ID 38224 for claims with a date of service 01-01-20 and greater.)	70259	Institutional
1199 SEIU National Benefit Fund 1199 National Benefit Fund	13162	Institutional
2020 Eyecare	2020E	Institutional
3P ADMIN	20413	Institutional
6 Degrees Health Inc. 6 Degrees Health Inc. 6 Degrees Health INC	20446	Institutional
A & I Benefit Plan Administrators	93044	Institutional
A.G. Administrators	11370	Institutional
AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company	36273	Institutional
Abrazo Advantage Health Plan	03443	Institutional
Access Administrators	AHS01	Institutional
Access Behavioral Care Colorado Access (837P & 837) Colorado Access HMO	COACC	Institutional
Access Medical Group	AMG02	Institutional
Acclaim	64071	Institutional
ACS Benefits Payer Compass	PA331	Institutional
ADMINISTRATIVE CONCEP Adminstrative Concepts Inc.	22384	Institutional
ADVANTAGE HEALTH SOLU Advantage Health Solutions Inc.	35209	Institutional
Advantek Benefit Administrators Advantek Benefit Admins	83077	Institutional
Advantica Benefits	59374	Institutional
AdventHealth Advantage Plans	RP039	Institutional
AdventHealth Transplant Program	AHTP01	Institutional
AdventHealth Value Based Bundle Management LLC AdventHealth Value Based Bundle Management	VBBM13	Institutional
ADVENTIST HEALTH SYSTEM	95340	Institutional
Advisory Health Administrators	CB159	Institutional
Advocate Health Centers (AHC) Advocate Health Centers	36320	Institutional
Advocate Health Partners Advocate Health Partners (PHO)	65093	Institutional
Aegis Administrative Services Aegis Andministrative Services	CB637	Institutional
Aegis Administrative Services Aegis Andministrative Services	BC637	Institutional
Aetna Affordable Health Choices Aetna Affordable Health Choices (SM) SRC	57604	Institutional
Aetna Better Health CA Aetna Better Health of California	128CA	Institutional
Aetna Better Health IL Medicaid Aetna Better Health Medicaid IL	26337	Institutional
Aetna Better Health Nevada	128NV	Institutional
Aetna Better Health NY	34734	Institutional
Aetna Better Health of Illinois INC	68024	Institutional
Aetna Better Health of Kansas Aetna Better Health 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 New Jersey	46320	Institutional
Aetna Better Health of Ohio	50023	Institutional
Aetna Better Health of Pennsylvania Medicaid Aetna Better Health - PA Medicaid	23228	Institutional
Aetna Better Health of Virginia	128VA	Institutional
Aetna Better Health of West Virginia Aetna Better Health West Virginia	128WV	Institutional
Aetna OHIORISE	45221	Institutional
Aetna TX Medicaid & CHIP AETNA TEXAS MEDICAID	38692	Institutional
Aetna Primary Choice (Aetna HP- NY/NJ) Magellan Behavioral Health (For Dates of Service 1/1/2006 and After - Provider ID Required - AETNA Subscribers only.) Select Choice Senior Choice (Aetna HP-NY/NJ) Aetna 60054 (Commercial only) Aetna Health Plan - PPO Aetna Life & Casualty Company	60054	Institutional
Affiliated Doctors of Orange County	ADOCS	Institutional
Affiliated Physicians Group	M3CA1	Institutional
Affinity Essentials AffinityAccess	23334	Institutional
Affinity Health Plan Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call 718-794-7592.)	13334	Institutional
Affordable Benefit Administrator Affordable Benefit Administrators Benefit Plan Administrators Benefit Plan Administrators of Co Eau Claire WI Benefit Plan Administrators CO Eau Claire WI Benefit Plan Administrator Benefit Plan Administrators WI	39081	Institutional
Agency Services Inc Meritain Health / Agency Services	64158	Institutional
Ageright Advantage	ARA01	Institutional
Agewell of New York Agewell New York	AWNY6	Institutional
AHPO (Cleveland OH)	31138	Institutional
AIDS Healthcare Foundation Positive Health Care (PHC) California	95422	Institutional
AIG Chartis	19402	Institutional
Aither Health	64884	Institutional
Alabama Blue Shield (Professional) Blue Shield of Alabama Blue Cross of Alabama	ALBLS	Institutional
ALAMEDA ALLIANCE Alameda Alliance for Health (Provider must contact payer to be approved. Contact at Alameda is Anet Quiambao at 510-747-6153 or aquiambao@alamedaalliance.co m)	95327	Institutional
Alaska Childrens Services Inc Alaska Laborers Construction Industry Trust Alaska Pipe Trades Local 375 Alaska United Food & Commercial Workers Health & Welfare Trust Cement Masons & Plasterers Health & Welfare Trust - Grp#F16 Automotive Machinists Local 289 Health & Welfare Trust - Grp#F32 University of Washington Students & Graduate Appts. - Grp#P67 Operating Engineers Locals 302 & 612 Health & Security Fund - Grp#F12 Welfare and Pension Administration Hotel Employees & Restaurant Employees Health Trust - Grp#F19 N.W. Ironworkers Health & Security Trust Fund - Grp#F15 N.W. Roofers & Employers Health & Security Trust Fund - Grp#F14 N.W. Textile Processors - Grp#F14 Glassworkers Health & Welfare Fund - Grp# F29 Enstar Natural Gas - Grp# P61 Puget Sound Benefits Trust - Grp#F25 Puget Sound Electrical Workers Trust - Grp#33 West Coast Stationary Engineers Health & Security Trust Fund - Grp#F13 Alaska Children's Services Inc. - Group # P68 Alaska Laborers Construction Industry Trust - Gro	91136	Institutional
Alaska Medicaid	12K86	Institutional
Albuquerque Public Schools	85600	Institutional
Alexian Brothers Community Services of Tennessee	44423	Institutional
AliCare Amalgamated Life	13550	Institutional
Align Senior Care California	ASCA1	Institutional
Align Senior Care Michigan	ASMI1	Institutional
Align Senior Care Virginia	ASVA1	Institutional
Alignment Healthcare Align Senior Care Florida	CCHPC	Institutional
AllCare Pace	ACPCE	Institutional
AllCare PEBB	26158	Institutional
Allegiance Benefit Plan Management Inc.	81040	Institutional
Alliance Coal Health Plan	93658	Institutional
Alliance Physicians of the High Desert Alliance Physicians High Desestt	22417	Institutional
Alliant Health Plans of Georgia	58234	Institutional
Allianz Global Assistance Allianz Global Assistan	50749	Institutional
Allied Benefit Systems	37308	Institutional
Allied Physicians of California IPA Arroyo Vista Family Health Center Greater Orange IPA Greater San Gabriel Valley Physicians IPA La Salle Medical Associates IPA Advantage Health Network IPA Arroyo Viata Family Health Center	NMM01	Institutional
Allina Health Aetna AMC Plus	54398	Institutional
AllWays Health Plan (prev. Neighborhood Plan Boston MA)	04293	Institutional
Alphacare Medical Group	MPM32	Institutional
AltaMed	ALTAM	Institutional
Alternative Opportunities	16089	Institutional
Alterwood Advantage	RP016	Institutional
AM-First Insurance Morgan White	01757	Institutional
AMA Insurance Agency Inc.	AMAIA	Institutional
Amalgamated Life - PA / Alicare Amalgamated Life - PA/Alicare	13343	Institutional
AMC Plus	A2740	Institutional
AmeraPlan ClaimChoice Administrators	38219	Institutional
Ameriben - IEC Group	97661	Institutional
Ameriben Solutions	75137	Institutional
America's Choice NMA Healthsmart America's Choice America's Choice Health	20029	Institutional
America's Health Choice	21810	Institutional
America's PPO / America's TPA HealthEZ	41178	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) American Administrative Group (formerly Gallagher Benefit) AAG - American Administrative Group Cincinnati Financial Corporation Gallagher Cinncinnati Financial Corporation	37283	Institutional
American Behavior American Behavioral	63103	Institutional
American Family (administered by American Republic) American Family Insurance (Administered by American Republic)	56071	Institutional
American Family Insurance	12T31	Institutional
American Fidelity Assurance Company	60801	Institutional
American General AMERICAN GENERAL LIFE AND ACCIDENT	62030	Institutional
American Health Advantage of Texas	31155	Institutional
American Health Advantage of Utah	31145	Institutional
American Healthcare Alliance	01066	Institutional
American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600 New Orleans LA 70163) American Lifecare	72099	Institutional
American NatIonal Insurance (ANICO) American National Insurance Co	74048	Institutional
American Plan Administrators	95606	Institutional
American Postal Workers Union Healthplan American Postal Workers Union Health Plan	44444	Institutional
American Republic Insurance Company	42011	Institutional
Americas 1st Choice Health Plans of South Carolina	20553	Institutional
Americas 1st Choice of South Carolina Inc Americas 1st Choice of South Carolina Inc.	55349	Institutional
Amerigroup - Illlinois Amerigroup	28804	Institutional
Amerigroup Multiple States (Claims and Encounters) Amerigroup Multiple States	26378	Institutional
Amerigroup New Mexico Amerigroup DC Amerigroup Georgia Amerigroup of Iowa Amerivantage Amerigroup Iowa	26375	Institutional
Amerigroup Ohio (Claims and Encounters Amerigroup Illinois (Claims and Encounters Amerigroup Illinois Amerigroup Ohio	27518	Institutional
Amerigroup Amerigroup/Wellpoint New Jersey Amerivantage Amerigroup Wellpoint Amerigroup Vantage Amerigroup Wellpoint Amerigroup/Wellpoint Arizona Amerigroup/Wellpoint Iowa Amerigroup/Wellpoint Texas Amerigroup/Wellpoint Washington Amerigroup/Wellpoint Tennessee Wellpoint Maryland	WLPNT	Institutional
Amerihealth Administrators Inc.	23252	Institutional
Amerihealth Administrators Inc. AmeriHealth Administrators	54763	Institutional
AmeriHealth Caritas Healthplan New Hampshire	87716	Institutional
AmeriHealth Caritas Louisiana (Formerly known as LA Care) AmeriHealth Caritas Louisiana(Formerly known as LA Care)	27357	Institutional
Amerihealth Caritas Next DE AmeriHealth Caritas Next FL	45408	Institutional
Amerihealth Caritas Next FL AmeriHealth Caritas Next DE	47073	Institutional
AmeriHealth Caritas Next NC	83148	Institutional
Amerihealth Caritas North Carolina	81671	Institutional
AmeriHealth Caritas Ohio Inc AmeriHealth Caritas Ohio Inc	35374	Institutional
AmeriHealth Caritas Ohio Medicaid MCE (Transportation Only) AmeriHealth Caritas Ohio Medicaid MCE	42435	Institutional
Amerihealth Caritas VIP Care - Florida DSNP AmeriHealth Caritas VIP Care Florida DSNP	88232	Institutional
AmeriHealth Caritas VIP Care Delaware DSNP Amerihealth Caritas VIP Care - Delaware DSNP	87406	Institutional
AmeriHealth Caritas VIP Care AmeriHealth Caritas Pennsylvania Community HealthChoices	77062	Institutional
AmeriHealth Caritus VIP Care Plus (Michigan)	77013	Institutional
Amerihealth Delaware	77799	Institutional
Amerihealth District of Columbia (For EDI Support please email edi.dc@amerihealthdc.com or call 1-888-656-2383) Amerihealth DC	77002	Institutional
Amerihealth HMO NJ and DE Amerihealth HMO NJ and Delaware	95044	Institutional
AmeriHealth Mercy Health Plan (FKA AmeriHealth Caritas Pennsylvania. Claims containing DOS on or after 1/1/21 will need to be sent under this payer ID) AmeriHealth Caritas Pennsylvania	22248	Institutional
Amerihealth NJ/DE - HMO ** (Must complete enrollment form under payer ID 95044)	23037	Institutional
AmeriHealth NorthEast (Dates of Service on or before Dec. 31 2020 may continue to use the following until Dec. 31 2021. For dates of service 01/01/21 or after use payer ID 22248} AmeriHealth NorthEast (Dates of Service on or before Dec. 31 2020 may continue to use the following until Dec. 31 2021. For dates of service 01/01/21 or after use payer ID 22248)	77001	Institutional
Amerihealth PPO New Jersey	12X28	Institutional
Amfirst Insurance Company	64090	Institutional
Amida Care Medicare	79966	Institutional
Amtrust North America	J1868	Institutional
Amway Corporation Activia Benefit Services LLC Activia Benefit Services LLC (formerly Amway Corp) Activa Benefits Services LLC (Formerly Amway Corporation)	38254	Institutional
Anchor Benefit Consulting Inc Anchor Benefit Consulting Anchor Benefit (Dental)	53085	Institutional
Anchor Benefit Consulting Anchor (Claimsbridge)	IHS10	Institutional
Angeles IPA (SynerMed)	75299	Institutional
Angle Insurance Company of Utah	39856	Institutional
Antares Management Services Mutual Health Services (fka Antares Management Solutions) Antares Management Solutions	34192	Institutional
Anthem BCBS Georgia Anthem GA	00601	Institutional
Anthem BCBS Missouri Anthem BCBS Missouri	00241	Institutional
Anthem BCBS Colorado	00050	Institutional
Anthem BCBS Connecticut	00060	Institutional
Anthem BCBS Maine	00180	Institutional
Anthem BCBS New Hampshire	00270	Institutional
Anthem BCBS Ohio	00834	Institutional
Anthem BCBS Virginia	00423	Institutional
Anthem Blue Cross Blue Shield	02937	Institutional
Anthem Blue Cross of California California Anthem Blue Cross California Blue Cross Blue Cross of California	47198	Institutional
Anthem GA	00101	Institutional
Anthem KY Blue Cross of Indiana Blue Cross of Kentucky	00160	Institutional
Anthem Maine Health	00958	Institutional
Anthem NH Blue Cross of New Hampshire	00770	Institutional
Anthem OH Blue Cross of Ohio	00332	Institutional
APEX BENEFITS SERVICE Apex Benefit Services (Claims must contain the rendering provider ID or the claim will reject.)	34196	Institutional
Apex Health	83112	Institutional
Apostrophe	81312	Institutional
APWU Health Conversion Plan - APWU	55544	Institutional
Arbor Health	52312	Institutional
Arcadia Healthcare Solutions IPG	11081	Institutional
Arcadia Healthcare Solutions NPA Arcadia Healthcare Solutions - NPA	36364	Institutional
Argus Dental and Vision	ARGUS	Institutional
Arizona Medicaid	SKAZ0	Institutional
Arizona Medicare Medicare of Arizona	AZMCR	Institutional
Arizona Priority Care Plus	27154	Institutional
Arkansas Best Corporation - Choice Benefits CIGNA CIGNA - PPA CIGNA - PPO CIGNA Health Plan - HMO Connecticut General (CIGNA) EQUICOR EQUICOR - PPO Equitable (CIGNA) HEALTHSOURCE GA HEALTHSOURCE IN HEALTHSOURCE KY HEALTHSOURCE ME HEALTHSOURCE NH HEALTHSOURCE OH HEALTHSOURCE PROVI HEALTHSOURCE SOUTH Provident TYSON FOODS Arkansas Best Corporation CIGNA Premier Plus Arkansas Best Corporation (previous payer ID 75278 new payer ID is effective for claims submitted December 15 2017 and after).	62308	Institutional
Arkansas Medicare Part A Jurisdiction 7	12022	Institutional
ASAGEHA	06603	Institutional
ASC Benefit Services Inc. ACS Benefit Services inc.	72467	Institutional
Ascension Bundle Program Ascension Bundle Health	ASN99	Institutional
Ascension Living Pace MI Ascension Living St Vincent Pace INC	R3458	Institutional
Asian American Medical Group	AAMG1	Institutional
Aspire Health Plan	46156	Institutional
Aspirus Medicare Advantage	36483	Institutional
ASR Physicians Care Physicians Care Network ASR Corporation	38265	Institutional
ASRM LLC ASRM Corporation ASRM	ASRM1	Institutional
Associated Hispanic Physicians Southern California	MPM44	Institutional
Associates for Health Care Inc. (AHC) Associates for Healthcare	36326	Institutional
Assurant Health Assurant Health Self Funded Assurant Health Self Funded (MUST VERIFY ALL CLAIMS SHOULD GO TO ALLIED BENEFIT for Assurant Health Self Funded groups with Plan effective dates after 5/1/2013)	75068	Institutional
ASSURED BENEFITS ADMI Assured Benefits Administrators	74240	Institutional
Asuris NW Health	93221	Institutional
Atlantic Medical Colonial AMI Atlantic Medical Insurance	22285	Institutional
Atrio Health Plan Asserta Health	IHS14	Institutional
AultCare Aultra Administrative Group PrimeTime Health plan	204951704 AULOH AULTC AULTCARE	Institutional
AultCare Aultra Administrative Group PrimeTime Health plan Aultcare	341488123	Institutional
Author by Humana	61108	Institutional
Automated Benefit Services (ABS) Automated Benefit Services	38259	Institutional
Automated Group Administration Inc. Automated Group Administration	37280	Institutional
Auxiant (Nat’l Health Benefit Corp) National Health Benefits Corportation- NHBC02 National Health Benefits Corporation - NHBC02	88050	Institutional
Avectus Healthcare Solutions (Call 855-AVECTUS) Avectus Healthcare Solutions	MP001	Institutional
Avera Health Plans	46045	Institutional
AVMED Avmed Inc.	59274	Institutional
Bakersfield Family Medical Center	BKRFM	Institutional
Bakery & Confectionery Union & Industry International Health	BCTF1	Institutional
Bankers Life and Casualty Company or Washington National Insurance Company	90000	Institutional
Banner Health	12X42	Institutional
Banner Health & Aetna Health Insurance Company	67895	Institutional
Banner Medicare Advantage Plus (HMO) (HMO) Banner	16664	Institutional
Banner Medicare Advantage Plus (PPO)	16663	Institutional
Banner University Family Care (University of Arizona Health Plans) Banner University Family Care	66901	Institutional
Baptist Cardiac Program	BSC01	Institutional
Barinet (L&W)	CB369	Institutional
Baycare Select Health Plans Incorp Baycare Select Health Plans Inc	81079	Institutional
BCBS Arizona	BCBSAZ	Institutional
BCBS Kansas	4716B	Institutional
BCBS Kansas City	47171	Institutional
BCBS Mighigan and Blue Care Network	00210	Institutional
BCBS Minnesota	00222 00722	Institutional
BCBS Minnesota Blue Cross of Minnesota	00220	Institutional
BCBS Minnesota Comprehensive Care Services (BCBSMN)	00720	Institutional
BCBS Montana	00751	Institutional
BCBS North Carolina	BCSNC	Institutional
BCBS North Dakota	55891	Institutional
BCBS South Carolina Planned Admin SC BCBS Planned Administrators	SC886	Institutional
BCBS Texas Medicaid BCBS Texas Medicaid (Plan effective December 1 2015)	66001	Institutional
BCBS Western NY Medicaid	WNYMD	Institutional
BCBS Wyoming	53767	Institutional
BCBSMN Blue Plus Medicaid	00726	Institutional
Beacon Health Options	BHOVO	Institutional
Beaver Medical Group	45967	Institutional
Behavioral Health Systems	63100	Institutional
Bella Vista Med Grp IPA Bella Vista Medical Group	MPM10	Institutional
Benebay Berkshire Health Plans Berkshire Health Partners	23243	Institutional
BeneFirst	37125	Institutional
Benefit & Risk Management Services Benefit & Risk Management Services (Commercial Medicare under Med3000)	99320	Institutional
Benefit Coordinators Benefit Coordinators Corporation	25145	Institutional
Benefit Management Admin (BMA)	BMATP	Institutional
Benefit Management LLC/VBA	88092	Institutional
Benefit Management Services for Charlotte NC Benefit Management Services	56139	Institutional
Benefit Management Systems Inc. Benefit Management Systems Inc of Mississippi	37212	Institutional
Benefit Management Inc. of KS (Only accepts claims for these groups BMI187 BMI219 BMI234 BMI236 BMI214 BMI241 BMI617 BMI246 BMI246.) Benefit Management Inc. of KS	48611	Institutional
Benefit Plan Administrators - ClaimsBridge Benefit Plan Administrators	IHS19	Institutional
Benefit Plan Administrators Northern Nevada Trust Fund Northern Nevada Trust Funds (Call 775-826-7200 prior to submitting claims.)	88027	Institutional
Benefit Planners Inc. UICI - Administrators - State of Nevada	74223	Institutional
Benefit Systems and Services Inc. Benefit Systems & Services Inc. (BSSI)	36342	Institutional
Berkshire Intergroup Quest EAP	10956	Institutional
BEST LIFE & HEALTH CO Best Life & Health Insurance Co.	95604	Institutional
Better Health Plan of Florida (For claims rejections contact payer at 800-514-4561 and select provider services option.) Better Health Plan of Florida	20488	Institutional
Beverly Hospital	MPM42	Institutional
BHSF International	67668	Institutional
BIENVIVIR SERVICES	12X40	Institutional
BIND (UHC Choice Plus Multiplan) Surest Health Plan	25463	Institutional
Blackhawk Dart Member Care ## Dart Member Care	CB987	Institutional
Blue Choice Medicaid (for DOS 12/31/23 and prior)	00403	Institutional
Blue Cross Blue Shield of Alabama	12B54	Institutional
Blue Cross Community Options Blue Cross Community Solutions Effect 12-14-14 payer ID00621	MCDIL	Institutional
Blue Cross Complete of Michigan LLC Blue Cross Complete	32002	Institutional
Blue Cross Iowa & South Dakota COB	12B92	Institutional
Blue Cross Medicare Advantage of Montana Illinois Texas and Oklahoma Blue Cross Medicare Advantage (For DOS after 01-01-2017 and for MemberID starting with YDL YDJ XOD XOJ ZGD ZGI ID YIJ YUX and UYB only)	66006	Institutional
Blue Cross of Illinois Blue Cross of Illinois BLUECROSS BLUESHIELD (BCBS) IL HCSC	00621	Institutional
Blue Cross of Alaska	12B47	Institutional
Blue Cross 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 Florida Florida Blue	00590	Institutional
Blue Cross of Georgia	3537I	Institutional
Blue Cross of Idaho	12B07	Institutional
Blue Cross of Louisiana State Employees Group Benefits	12B12	Institutional
Blue Cross of Maine	12B13	Institutional
Blue Cross of Maryland	12011	Institutional
Blue Cross of Massachusetts	00200	Institutional
Blue Cross of Mississippi	12B17	Institutional
Blue Cross of Missouri	12B65	Institutional
Blue Cross of Missouri - Kansas City Missouri	5569I	Institutional
Blue Cross of Nebraska	00260	Institutional
Blue Cross of New Mexico BLUECROSS BLUESHIELD (BCBS) NM HCSC Lovelace Sandia	00790	Institutional
Blue Cross of New York City (Empire)	12B36	Institutional
Blue Cross of New York of Central	12B37	Institutional
Blue Cross of New York of Utica Watertown	12B38	Institutional
Blue Cross of New York State	12B35	Institutional
Blue Cross of North Carolina	12B23	Institutional
Blue Cross of North Dakota	12B78	Institutional
Blue Cross of Oklahoma BLUECROSS BLUESHIELD (BCBS) OK HCSC	00840	Institutional
Blue Cross of Oregon Regence Regence BCBS Oregon	00851	Institutional
Blue Cross of Pennsylvania Capital	12B60	Institutional
Blue Cross of Rhode Island	12B74	Institutional
Blue Cross of South Carolina	12B55	Institutional
Blue Cross of Vermont	12B32	Institutional
Blue Cross of Washington Blue Cross of Washington (Premera)	00934	Institutional
Blue Cross of West Virginia	12B28	Institutional
Blue Medicare Advantage	00772	Institutional
Blue Shield of California	94036	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 Michigan Michigan Blue Cross Blue Shield	MIBLS	Institutional
Blue Shield of New Jersey Horizon BCBSNJ	22099	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 Tennessee Blue Cross of Tennessee	5513I	Institutional
BMC Health Net Plan Boston Medical Center Healthnet	13337	Institutional
Boilermakers National Health & Welfare Fund	36609	Institutional
Boon-Chapman Benefit Administrators Inc.	74238	Institutional
Brand New Day (Encounters) Brand New Day (FFS)	UC002	Institutional
Brand New Day (FFS) Brand New Day (Encounters)	UC001	Institutional
Braven Health	84367	Institutional
Bravo Health (Now CIGNA HealthSprings.) CIGNA HealthSprings Bravo Health Elder Health HMO of Pennsylvania	52192	Institutional
Breckpoint	BRKPN	Institutional
Bridgespan	BRIDG	Institutional
Bright Health (for DOS after 01/01/2022)	BRGHT	Institutional
Bright Health Plan	CB186	Institutional
BritCay Colonial BC	22286	Institutional
Brockerage Concepts Inc (Benefit Concepts) Benefit Concepts Healthsmart Brokerage Concepts Brockerage Concepts Inc.	51037	Institutional
Broward Regional Health Planning Council	BRHPC	Institutional
Brown & Toland Medical Group	94316	Institutional
Buckeye Ohio Medicaid	04202	Institutional
Butler Benefits HealthSmart Butler Benefit HealthSmart Fringe Benefit Coordinators HealthSmart US Benefits HealthSmart William C Earhart	42150	Institutional
C&O Employees Hospital Association C & O Employees Hospital Association	23708	Institutional
C3 Health (fka Access Health Inc.)	A1680	Institutional
Cal-Optima Direct Caloptima CALOPTIMA DIRECT	CALOP	Institutional
California Health and Wellness California Health & Wellness	68047	Institutional
California Home Health and Hospice	12M98	Institutional
California IPA	AMM14	Institutional
California Pacific Medical Center California Pacific Medical Center	94056	Institutional
Cannon Cochran Management Services Inc. LA (Claims for Payer address of Metairie LA only.) CANNON COCHRAN MANAGEMENT SERVICES INC	71057	Institutional
CANNON COCHRAN MGMT Arcadia Insurance Company Sage Technologies (Formerly CCMSI) (Claims for payer address of Rockford IL ONLY.)	37105	Institutional
CAP Management Systems CAP Management	95399	Institutional
Capital District Physicians Health Plan	12X03	Institutional
Capital Health Plan	95112	Institutional
Capitol Administrators (Lucent Health)	68011	Institutional
Caprock Health Plan CapRock HealthPlans	CAPHP	Institutional
Cardiovascular Care Providers	GCVCP	Institutional
Care Access PSN	12K89	Institutional
Care Around the Clock	57721	Institutional
Care First Health Plan of AZ Care 1st Health Plan of Arizona	57116	Institutional
Care First Health Plan of CA Care 1st Health Plan of CA	57115	Institutional
Care N Care Care N' Care	66010	Institutional
Care to Care	41222	Institutional
Care Wisconsin Health Plan (Trizetto)	27004	Institutional
CareCentrix	11345	Institutional
CareCentrix BCBS MI CareCentrix BCBS Michigan	11349	Institutional
CareCentrix Cigna	11346	Institutional
CareCentrix Florida Blue	11347	Institutional
CareCentrix Horizon	11348	Institutional
CareCentrix Wellcare	11350	Institutional
CareCore Aetna Radiology CareCore National LLC (Aetna Radiology Claims) New York Medical Imaging-MVP	14179	Institutional
CareCore National Care Core National	14182	Institutional
CareCore Oxford Radiology CareCore National LLC (Radiology charges for Oxford)	14180	Institutional
Carefirst BCBS DC National Capital Area CareFirst BCBS - DC National Capital Area	SB580	Institutional
Carefirst BCBS NCA	12000	Institutional
Carefirst Medicare Advatange CareFirst Medicare Advantage	00193	Institutional
Carelon Aetna Home Health	34010	Institutional
Carelon Anthem Home Health	34009	Institutional
CareMore Value Plus (CVP) Caremore Caremore IPA	CARMO	Institutional
CareOregon Inc. Care Oregon	93975	Institutional
CarePartners of Connecticut	16307	Institutional
CarePlus Health Plan	95092	Institutional
Caresource Georgia Caresource of Georgia CareSource of GA	GACS1	Institutional
CareSource Health Plan of Oregon	MRCHP	Institutional
Caresource Indiana CareSource Marketplace CareSource IN	INCS1	Institutional
CareSource KY Caresource Humana Humana Caresource CareSource of Kentucky	KYCS1	Institutional
CareSource MI Medicaid CareSource Michigan Medicaid	MIMCDCS1	Institutional
CareSource North Carolina CareSource NC	NCCS1	Institutional
CareSource of AR Caresource AR	ARCS1	Institutional
CareSource OH	31114	Institutional
CareSource Ohio Medicaid	03150	Institutional
Caresource West Virginia CareSource WV	WVCS1	Institutional
Cariten Commercial	62073	Institutional
Cariten Senior Health	62072	Institutional
Carolina Summit Healthcare Inc. Carolina Summit Healthcare Inc	56195	Institutional
CBHA Carolina Behavioral Health Alliance Carolina Behavioral Health Alliance	56215	Institutional
CBNHP Health Choices CBHNP - Health Choices	65391	Institutional
CBSA CBSA (Corporation Benefit Services of America) Corporate Benefit Services of America IBI Iowa Benefits Inc. Meritain Health Minneapolis Iowa Benefits Inc. Fortis Self Funded Administrative Services	41124	Institutional
CCOK Community Care Managed Health Care Plans of Oklahoma	73143	Institutional
CDO Technologies MBA Benefit Administrators	83028	Institutional
Cedar Valley Community Health Plan SISCO Quad Cities Community Health Plan Lake Region Community Health Plan Northeast Iowa Community Health Plan	SISCO	Institutional
Cedars-Sinai Medical Network Services Claims Cedars-Sinai Medical Network Services	95166	Institutional
Cedars-Sinai Medical Network Services Encounters Cedars-Sinai Medical Network Services	95167	Institutional
Celtic Health Insurance	68063	Institutional
CeltiCare Cenpatico - Georgia Iowa Total Care Centene Advantage Plans (claims for former payer ID 95567 with DOS on or after 1/1/18) Louisiana Healthcare Connections Ambetter of Arkansas Home State Health Plan Total Carolina Care Magnolia Mississippi Bridgeway Arizona Managed Health Services Indiana Managed Health Services of Wisconsin (Please contact the payer @ 800-225-2573 ext 25525 to get setup to submit electronic claims.) Buckeye Community Health California Health and Wellness Healthnet Community Solutions SilverSummit Health Plan Illinicare Group Health NebraskaTotal Care Peach State Health Plan (Behavioral Health) Peach State Health Plan (Medicaid) (Call 800-225-2573 ext 25525 prior to submitting claims.) Kentucky Spirit Health Plan Arkansas Total Care BRIDGEWAY NETWORK New Hampshire Healthy Family California Health & Wellness Centene Advantage Plans Western Sky Community Care Michigan Complete Health Nebraska Total Care Novasys Health Network Peach State Health	68069	Institutional
Cenpatico - Kansas (Prior to submitting claims please call Provider Relations Dept at 866- 896-7293 to verify your provider info is on file in the claim system.) Cenpatico (For multiple states) Cenpatico Behavioral Health - Wisconsin (Call 800-225-2573 ext 25525 prior to submitting claims.) Cenpatico Behavioral Health AZ (Prior to submission contact 866- 495-6748 to verify provider ID.) Cenpatico Florida Behavioral Health Cenpatico Indiana Cenpatico Massachusetts Cenpatico Ohio Illinicare Behavioral Health Cenpatico CENPATICO ARIZONA Cenpatico Behavior Health CENPATICO GEORGIA Cenpatico Kansas CENPATICO TEXAS GROUP PRACTICE AFFILIATES IHS Gateway Payer South Integrated Mental Health Services	68068	Institutional
Center for Elders Independence	94312	Institutional
Center for Healthy Living	CPHL1	Institutional
CenterCare	13357	Institutional
CenterLight Healthcare	13360	Institutional
Centivo	45564	Institutional
Centivo Direct Network Access	IHS04	Institutional
Centra Healthplan	75196	Institutional
Centra Healthplan Harrington	75243	Institutional
Central California Alliance Call CCA EDI support at 831-430-5510 prior to submitting claims for first time	12K82	Institutional
Central Health Medicare Central Health MSO	CHCPI	Institutional
Central Mass Heath Care CMHC Healthsource CMHC Healthsource Massachusetts Inc Healthsource MA	02041	Institutional
Central Reserve Life Insurance Company Loyal American Life Central Reserve Life Central Reserve Life Ins.Co. (Formertly Loyal American Life (Medicare Supplement) )	13193	Institutional
Central Valley Medical Group Sutter Connect - Central Valley Med Group (Claims)	77035	Institutional
Centurion LLC Centurion	IHS11	Institutional
Centurion of Tennessee	42140	Institutional
Century PHO	36393	Institutional
Chaffey Medical Group	49533	Institutional
CHAMPVA - HAC Veterans Family Members Program (formerly known as CHAMPVA-HAC) CHAMPVA-HAC (CHAMPVA- HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS.)	84146	Institutional
Children's Community Health Plan Wisconsin	251CC	Institutional
Childrens Medical Center Health Plan	CMCHP	Institutional
Chinese Community Health Plan Chinese Community Health Plan (Unique Provider ID must be on claim.)	94302	Institutional
Chino Valley Medical Group	CVMC1	Institutional
CHOC Childrens Hosp of Orange Cty Health Alliance CHOC - Childrens Hospital of Orange County Health Alliance	33065	Institutional
Choice Physicians Network (Nivano Physicians)	CPNNP	Institutional
Choice Physicians Network Choice Physician Network	CPN01	Institutional
CHP/RPU (FABOH) (Facility physical address required on claim.) CHP/RPU (FABOH)	39112	Institutional
Christian Brother Services Christian Brothers Services	38308	Institutional
Christian Care Ministries (Medishare) (Providers should check the member ID card and use the Household ID value as the member ID when submitting claims electron Christian Care Ministries	59355	Institutional
Christie Student Helath Plan Christie Student Health Plans	75544	Institutional
Christus Health Medicare Advantage	10629	Institutional
Christus Health Plam -US Family Health Plan Christus Health Plan - US Family Health Plan US Family Health Plan	90551	Institutional
Christus Health Plan HIX Christus Health Plan Health Exchange	52106	Institutional
Christus Spohn Health Network Spohn Health	SPOHN	Institutional
CIGNA Behavioral Health CIGNA Behavioral Health (We will also accept PID SX071 for these claims: use of either ID accomplishes the same routing.) MCC Behavioral Care (We will also accept PID SX071 for these claims: use of either ID accomplishes the same routing.)	MCCBV	Institutional
CIGNA Medicare Advantage CIGNA Senior CIGNA Healthcare for Seniors - Arizona Medicare	86033	Institutional
Citrus Valley Physicians Group Physicians Data Trust St Vincent Noble Tri Cities IPA Ximed Medical Group Citrus Valley Physician's Group	PDT01	Institutional
Claims Choice Administrators LLC	83063	Institutional
ClaimsBridge High Performance Network (HPN)	11752	Institutional
Claimsware Inc. DBA ManageMed ClaimsWare Inc. DBA ManageMed	57080	Institutional
Clarian Health Plans MPLAN Inc./HealthCare Group LLC MPLAN Inc. Healthcare Group Senior Smart Choice	95444	Institutional
Clear Health Alliance	CLEAR	Institutional
Clear Spring Health Management Services Family Health Network	85468	Institutional
Clever Care Health Plan	CC168	Institutional
Clinical Specialties INC Clinical Specialisties INC	CSI001 CSI01	Institutional
Clover Health (FKA Carepoint Health Plan payer ID 77023) Clover (Formerly Carepoint Health Plan previous payer ID 77023)	13285	Institutional
CO NM OK TX - Medicare Part A (Mac J4) Legacy WPS	12M88	Institutional
Coachella Medical Group	COMG1	Institutional
Coastal Administrative Services	77052	Institutional
Coastal Care Services Inc	47394	Institutional
Cobalt Benefits Group LLC dba CBA Blue Blue Benefit Administrators of Massachusetts & EBPA	03036	Institutional
Cofinity - Group Resources	42049	Institutional
Colonial CMI	22287	Institutional
Colonial CMI Colonial Medical	22284	Institutional
Colonial Penn Life Insurance	37077	Institutional
Colorado Access	84129	Institutional
Colorado Community Health Alliance	COCHA	Institutional
Colorado HealthOP Colorado Health Insurance Cooperative	49718	Institutional
Colorado Medicaid	12K03	Institutional
COMMERCE BENEFITS GRP Commerce Benefits Group	34181	Institutional
Common Ground Healthcare Cooperative	77170	Institutional
Commonwealth Care Alliance	A2793	Institutional
Commonwealth Care Alliance Medicare Advantage	14316	Institutional
Communicare Advantage	34525	Institutional
Community Care Behavioral Health Organization Community Care Behavioral Health Org (service prior to 10-1-2007)	25179	Institutional
Community Care BHO Community Care BHO (For Dates of Service after October 1 2007)	23282	Institutional
Community Care Organization Community Care Inc. (WI)	39126	Institutional
Community Care PCC Preferred Community Choice/PCCSelect/CompMed Preferred Community Choice	73145	Institutional
Community Care Plan(Palm Beach Health District)	PBHD1	Institutional
Community Connect Medicaid Group Health Cooperative of EauClaire Group Health Cooperative of Eau Claire	95192	Institutional
Community First I Par Plus Community First Health Plans Community First Health Plan Inc.	COMMF	Institutional
Community Health	60495	Institutional
Community Health Alliance	35193	Institutional
Community Health Allliance TN Community Health Alliance TN	27905	Institutional
Community Health Choice (Please include TPI Number (Texas Medicaid Number) in Field FA0-23) Community Health Choice	48145	Institutional
Community Health Electronic Claims/CHEC/webTPA	75261	Institutional
Community Health Group	66170	Institutional
Community Health Plan District of Columbia	L0230	Institutional
Community Health Plan of Washington	CHPWA	Institutional
COMP - Ohio (Austintown OH) COMP-Ohio (Austintown Ohio)	34177	Institutional
Companion Life American Worker Health Plan American Worker Health Plan (Dental) American Worker Health Plus	37322	Institutional
Companion Forethought Bankers Reserve/Wellcare Thrivent Shenandoah Combined Insurance Company Combined Sterling Liberty Banke Standard Life Western Catholic Union Liberty Bankers	26119	Institutional
CompManagement Health	15243	Institutional
Comprehensive Care Services (BCBSMN For DOS on and after 01-01-2019) BCBSMN Blue Plus Medicaid	00562	Institutional
ComPsych	U7363	Institutional
Concordia Care Inc Concordia Care Inc.	33632	Institutional
Connecticare - Medicare CONNECTICARE MCR	78375	Institutional
Connecticare Comm UB	U6105	Institutional
Connecticare MCR UB	U8375	Institutional
Connecticare Inc. ConnectiCare Inc	06105	Institutional
Connecticut Medicaid	12K04 SKCT0	Institutional
Consociate Group	37135	Institutional
Consolidated Associates Railroad HealthSmart Consolidated Associates Railroad Employees (CARE)	75284	Institutional
Consolidated Health Plans Wellfleet Group LLC	87843	Institutional
Constitution State / Travelers	19046	Institutional
Consumers Choice Health SC	45321	Institutional
Contessa Health	CH201	Institutional
Contessa Health Security Health Plan	CH101	Institutional
Contra Costa Behavioral Health Plan	CCMHP	Institutional
Contra Costa Health Plan Contra Costa Health Plan	CCHS	Institutional
Contra County Health Plan	CNTRA	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
Coordinated Benefit Plan	14829	Institutional
Core Management Resouces Group Core Management Resources Group Core Administrative Services	58231	Institutional
CoreStar CoreSource of Illinois CoreSource of IOWA CoreSource of Maryland Luminare Health CoreSource of Pennsylvania Luminare Health AZ IL IN MD MN NC PA fka Trustmark Health Benefits	35182	Institutional
Corizon Health Inc Corizon Health Inc.(Claims with address of Brentwood TN should be submitted to this Payer ID.)	CORIZ	Institutional
Cornerstone Hospice and Palliative Care Inc.	RP111	Institutional
Cornerstone Preferred Resources	CB268	Institutional
Corporate Benefits Service Inc.	56116	Institutional
Corporate Plan Management Inc.	64270	Institutional
CorrectCare Integrated Health	LADOC	Institutional
CorrectCare Integrated Health (California Prison Healthcare Services) CorrectCare Integrated Health (CA Prison Health) CorrectCare Integrated Health (Non -Louisiana Jails Prison Health)	CCIH	Institutional
CorrectCare Integrated Health (Non Louisiana Jails)	CCIHJAIL	Institutional
Correction Health Partners Physician Health Partners	PHPMC	Institutional
Correctional Medical Services Corizon Inc. (fka Correctional Medical Services) Claims with address of St. Louis MO should be submitted to this Payer ID.	43160	Institutional
CORSOLUTIONS Employers Direct Health - FI	75235	Institutional
County Care (Behavioral Health and regular claims with a DOS after 4/1/16) County Care	06541	Institutional
County Care County Care (Behavioral Health claims with a DOS prior to 4/1/16)	42138	Institutional
County Care County Care (formerly Centene IPA ) Claims with a DOS prior to 4/1/16)□	42139	Institutional
Covenant Administrators LLC - 90 Degree Covenant Administrators LLC - 90 Degree Guarantee Trust Life Insurance Company	58102	Institutional
Covenant Management System Employee Benefit I Par Plus Covenant Management Systems Employee Benefit plan	CMSEB	Institutional
Coventry Health Care of Florida	128FL	Institutional
COVID19 HRSA Uninsured Testing and Treatment Fund	95964	Institutional
Cox Health Plan	00119	Institutional
CPR Share Plan CPR Share Plans	CB695	Institutional
Creative Medical Systems	64068	Institutional
Creative Plan Administrators	37320	Institutional
Crescent Health Solutions	56213	Institutional
Crystal Run Health Plans	46430	Institutional
CSI Network Services	34186	Institutional
CTI Administrators Inc. CTI Administrators Inc	42141	Institutional
Curative	CURTV	Institutional
Custom Design Benefits Inc. Custom Design Benefits Inc.	82056	Institutional
D.H. EVANS & ASSOC. EBC INC Employee Benefit Consultants Health Care District Health Plan of San Mateo Healthy Palm Beaches MERCYCARE WI (Call 608-758- 7739 for PayerID.) OMMS South Carolina PA PREFERRED HEALTH SOUTH CENTRAL PREFERRED AllCare (Must contact AllCare 800-564-6901 for setup and payerID.) Blue Medicare of North Carolina (Contracted providers only. Call 888-296-9790) John Muir Trauma Physicians (Please call 925-947-5288 for Payer ID information.) EBC Inc. (To obtain the payerID please call (440) 262-1160) PA Preferred Health (Call PPHN Claims Operations at 410-349- 3222) Employee Benefit Consultants (To obtain the payer ID please call (440) 262-1160.) Employee Benefit Consultants Inc. (Call (440) 262-1160 for PayerID.) Virginia Health Network Inc (To get the payerID call payer at (804)320-3837) Network Health (Before initiating submissions please call Provider Relations at (617)806-8104 or www.network-health.org for an EDI startup plan.) (Encounters from delegated entit	CALL	Institutional
DakotaCare	DAK01	Institutional
DC Medicare Part A Jurisdiction 12 - Highmark	12M63	Institutional
DE Medicare Part A Jurisdiction 12 - Highmark	12M76	Institutional
Dean Health Plans	41822	Institutional
Decent Health	DCENT	Institutional
Delaware Medicaid	12K87 SKDE0	Institutional
Dell Children's Health Plan	74272	Institutional
DELTA HEALTH SYSTEMS	94235	Institutional
DENVER HEALTH MED PLN Denver Health Medical Plan	84135	Institutional
DENVER HEALTH MEDICAID CHOICE Denver Health and Hospital Authority	84133	Institutional
Department of Labor	J1438	Institutional
Deseret Mutual/DMBA	12X35	Institutional
Devoted Health	DEVOT	Institutional
DHMN Preferred IPA Hospital Risk	DHM02	Institutional
DHMN Santa Cruz	DHM01	Institutional
Dignity Global	MPM27	Institutional
Dignity HCLA	MPM28	Institutional
Dignity Health - Sacramento Hospital claim shop for Mercy Medical Group Woodland Clinic Medical Group and Hill Physicians Medical group (hospital risk) Dignity Health - Sacramento Hosp claim shop-Mercy Med Group	HOSH1	Institutional
Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group (professional risk) for Mercy Medical Group or Woodland Clinic Medical Group Dignity Health Med Found for Mercy Med Gr-Woodland Clin Med	PROH1	Institutional
Dignity Health Medical Group (Inland Empire) Dignity Health Med Group-Inland Empire (professional risk)	PROH4	Institutional
DIRECT CARE ADMINISTRATORS	DCA62	Institutional
DirectCare	55731	Institutional
District of Columbia Medicaid	12001	Institutional
Diversified Admin Corp	06102	Institutional
DMBA	SX105	Institutional
Doctors Healthcare Plan	DRHCP	Institutional
Dolton Medical Group	DOLMG	Institutional
Downey Select IPA (Applecare Medical Mgmt) Downey Select IPA (Applecare Medical Mgmt	APP01	Institutional
DPC Core INC DPC CORE Inc.	23212	Institutional
Driscoll Childrens Health Plan Driscoll Childrens Health Plan (CHIP)	74284	Institutional
E.S. Beveridge and Associates E. S. Beveridge and Associates E.S. Beveridge	34108	Institutional
E3 Health Inc (Formerly First Integrated Health) First Integrated Health	75232	Institutional
Each Care Network- Effective 08/01/2020	88846	Institutional
East Boston Neighborhood Pace NeighborhoodHealth	25849	Institutional
EAST CAROLINA BEHAVIORAL HEALTH	56089	Institutional
Eastern Main Healthcare Systems (EMHS) Eastern Main Healthcare Systems (EMHS) Employee Health Plan	16565	Institutional
Eastland Medical Group	EMG11	Institutional
Easy Care MSO LLC	ECMSO	Institutional
Easy Choice HP of NY Med3000 CMS Title 19 Reform (New PID Effective For DOS After 1/31/19) Pyramid Life Insurance Company Wellcare HMO Inc. Todays Option (American Progressive and Pyramid Life) Med3000 CMS Title 19 Reform (New PID Effective For DOS After 1/31/19)	14163	Institutional
Eberle Vivian	EV001	Institutional
EBMS (Employee Benefit Management Services Inc)	12X44	Institutional
EBMS (Employee Benefit Management Services Inc)	81039	Institutional
EDS Healthchoice (formerly payer ID 22521 - For dates of service on or after 01/01/2018 ) Healthchoice (formerly payer ID 22521) HealthChoice	71064	Institutional
El Paso First Health Plans - CHIP El Paso First - CHIP El Paso First - CHIP I Par Plus	EPF03	Institutional
Elder Service Plan of the North Shore. Element Care Incorporated Elder Service Health Plan of the North Shore	04326	Institutional
ELDERPLAN ElderPlan Inc. (Elderplan Provider ID necessary on all claims. Contact (718)921-7979 for Provider ID.)	31625	Institutional
Elmcare L.L.C. Elmcare	NAELM	Institutional
Elmco	37253	Institutional
Emblem Health	81336	Institutional
EmblemHealth Insurance UB	E5247	Institutional
EmblemHealth Plan (HMO) UB	U5531	Institutional
EmblemHealth Plan (HMO) GHI HMO Select	25531	Institutional
EmblemHealth Plan (MCR) UB	A3551	Institutional
Emerald Health	16755	Institutional
EMI HEALTH	SX110	Institutional
Empire BC Anthem BC NY	00303	Institutional
Employee Benefit Administration & Management (EBA&M) HealthSmart Employee Benefit Administrators & Management	95288	Institutional
Employee Benefit Concepts Employee Benefit Concepts MI	38241	Institutional
Employee Benefit Corporation	37215	Institutional
Employee Benefit Management Corp. Employee Benefit Management Corp. (EBMC)	31074	Institutional
Employee Benefit Services Key Benefit Administrators (Ft. Mill SC) Employee Benefit Systems Key Benefit Administrators (Ft.Mill SC)	37216	Institutional
Employee Benefit System Employee Benefit Systems	42149	Institutional
Employee Logistics	92135	Institutional
Employee Plans LLC Employee Plans LLC	35112	Institutional
Employees Mutual (EMC)	21415	Institutional
Employer Health Network Employers Health Network	IHS07	Institutional
Employer's Direct SF Employers Direct Health - SF	75233	Institutional
Employers Direct Health Employers Direct Health - Employee Plan	75236	Institutional
Employers Health Cooperative (EHC) Employers Coalition On Health (ECOH) Claimshop- Employers Coalition on Health	27008	Institutional
Employers Mutual Inc. (Florida Providers only) Employers Mutual Inc (FL)	59298	Institutional
Empower Arkansas	12956	Institutional
Enterprise Group Planning	EGPIN	Institutional
Entrust	36878	Institutional
Epic Life Ins. (Wisconsin Physician Services) Wisconsin Physicians Service Insurance Corporation	12X29	Institutional
EPN - Seton Health Plan Exclusive (Provider ID required) EPN (Seton Health Plan Exclusive PR I Par Plus)	EPNSH	Institutional
Erin Group Administrators Significa Benefit Services Inc. Erin Group Administrators (Now known as Significa Benefit Services Inc.)	23250	Institutional
Essence Healthcare	20818	Institutional
Essential Health Partner	EHPSC	Institutional
Essential Health Partners	EIPA9	Institutional
Everence Mennonite Mutual (Now known as Everence) Mennonite Mutual Aid Association and Affiliates (Now known as Everence)	35605	Institutional
Evolutions Healthcare Systems Evolutions Healthcare	59313	Institutional
Evry Health	EH001	Institutional
Exceedent LLC	22344	Institutional
Excellus BCBS New York Rochest Excellus BCBS New York Rochester Area	SB804	Institutional
Exclusive Care Exclusive Care (ALL providers must contact Exclusive Care prior to submitting claims electronically. Please contact Martha Cuevas at 951-955-8853)	EC999	Institutional
FACS Group	37300	Institutional
Falling Colors	FCC20	Institutional
Fallon (Transplant claims) Fallon Transplant	FT254	Institutional
Fallon Community Health Fallon Community Health Plan	22254	Institutional
Family Care Family Care - Milwaukee WI	60995	Institutional
Family Care Specialists	MPM40	Institutional
Family Practice Medical Group	10145	Institutional
Farm Bureau Health Plans MAPD	RP061	Institutional
FCE BENEFIT ADMINISTRATORS	33033	Institutional
Federal Qualified Hlthcr Cntr via UGS Federally Qualified Healthcare Clinic	FQHC1	Institutional
Fenix Med Group	60818	Institutional
Fidelis Care New York	11315	Institutional
Firefly Health	FRFLY	Institutional
First Agency	88055	Institutional
First Carolina Care	FCC01	Institutional
First Choice Next A Product of Select Health of South Carolina Inc.	57103	Institutional
First Choice VIP Care Plus SC #3 First Choice VIP Care Plus SC (First Choice VIP Care Plus is a Medicare Medicaid Plan (MMP) part of the AmeriHealth Caritas Family of Companies)	77009	Institutional
First Choice VIP Care(SC D SNIP) by Select Health of South Carolina Inc.	32456	Institutional
First Health Network PPO Oklahoma (WinterBrook HealthCare Management)	73159	Institutional
FirstCare	94999	Institutional
FirstCare Star Medicaid	94998	Institutional
FirstGuard Health Plan - Kansas	90060	Institutional
FirstGuard Missouri	90061	Institutional
FL MCO PHC/PHP FL MCO PHC PHP	95411	Institutional
Florida Community Care	FLCCR	Institutional
Florida Complete Care	FLCPC	Institutional
Florida Health Plan Florida Healthcare	59322	Institutional
Florida Hospital VBR	VB001	Institutional
Florida Medicaid	12K34	Institutional
Florida Pace Centers	FLPAC	Institutional
Flume Health INC Flume Health Inc.	FH205	Institutional
FMH Benefit Services Luminare Health KC Luminare Health KC fka Trustmark Health Benefits FMH Benefit Services Inc.	48117	Institutional
Fox Valley Medicine Site 199	FVMCH	Institutional
Fox-Everett Inc. Fox Everett	64069	Institutional
Franciscan Purdue	FAIPUR	Institutional
Freedom Health Plan	41212	Institutional
Freedom Life Freedom Life Insurance Company	62324	Institutional
Fresenius+A1210 Total Health	43197	Institutional
Fresno PACE	99660	Institutional
Friday Health Plan	A2700	Institutional
Fringe Benefit Coordinators HealthSmart Fringe Benefit Coordinators HealthSmart Fringe Benefit Coordinators (Dental)	59204	Institutional
FrontPath FrontPath Health Coalition	34171	Institutional
Galveston County Indigent Health GALVESTON COUNTY INDIGENT HEALTHCARE	30005	Institutional
Gateway Health Plan - Medicare Assured Ohio Gateway Health Plan - Medicare Assured OH	91741	Institutional
Gateway Health Plan ((Yellow Card). Check the ID card to verify the Payer ID before submitting) Assured	60550	Institutional
Gateway Health Plan of Ohio Inc.	76028	Institutional
Gateway Health Plan Gateway Health Plan - Medicaid PA	25169	Institutional
GBS Group Benefit GBS Global Benefit Group Benefit Services	CB951	Institutional
GBS Group Benefit Services	80241	Institutional
GEHA (Government Employees Health Association) Government Employees Health Association Inc. (GEHA) Government Employees Health Association Inc. (GEHA)	44054	Institutional
Geisinger Health Plan	75273	Institutional
GEMCare (Golden Empire Managed Care System) Gemcare Golden Empire Managed	MCS01	Institutional
Gemcare Health Plan	MCS03	Institutional
General American Life Insurance Company General American Life Insirance Company	63665	Institutional
Generations Health	46050	Institutional
Georgia Health Advantage	A2327	Institutional
Georgia Medicaid	SKGA0	Institutional
Gettysburg Health Gettysburg Health Administrators Core Value (Part of Gettysburg Health.)	23274	Institutional
GHA Orthopedic Providers INC GHA Othopedic Providers	GHAOP	Institutional
GHI - Medicare PPFS (Private Fee for Service)	22937	Institutional
GHI - New York (Group Health Inc.) EmblemHealth Plan (MCR) Group Health Incorporated (GHI) (New York)	13551	Institutional
Global Care Inc HealthSmart Global Care INC Global Care	07689	Institutional
Global Care Med Grp IPA	MPM05	Institutional
Global Excel Management	GEM01	Institutional
Global Health	GHOKC	Institutional
Global Health of TX	GHTX0	Institutional
Global Healthcare Alliance	GHAHSS	Institutional
Global One Ventures	GLOBA	Institutional
Global Repricing Solutions Innovative Healthware Payer 6	IHS06	Institutional
Global TBSP	MPM64	Institutional
Global Women's Health Plan Global Womens Health Providers	GHAWH	Institutional
Gloria Gates	IHS20	Institutional
GMMI CC	GMICC	Institutional
GMR HEALTHCARE	85664	Institutional
GMS Inc. GMS INC HealthSmart GMS Inc	47083	Institutional
Gold Coast	77160	Institutional
Gold Coast MSO	GCMSO	Institutional
Gold Kidney Health Plan Gold Kidney Healthcare	A6865	Institutional
Golden Shore Medical Group (GSMG)	NMM03	Institutional
Golden State Medical Group Nivano Physicians IPD Nivano Physicians IPA	MBA01	Institutional
Gonzaba Medical Group	GMGSA	Institutional
Good Shepherd Hospice	76923	Institutional
Gravie	GRV01	Institutional
Great Lakes Health Plan (UnitedHealthcare Community Plan / MI) Great Lakes Health Plan (UnitedHealthcare Community Plan) UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)	95467	Institutional
Great Lakes PACE	39640	Institutional
Great-West Life	80705	Institutional
Greater Newport Physicians Medical Group	33010	Institutional
Group Administrators Ltd Group Administrators Ltd.	36338	Institutional
Group and Pension Administrators	48143	Institutional
Group Health Cooperative of South Central Wisconsin Claims Family Health Systems - WI/Group Health Cooperative Group Health Cooperative	39167	Institutional
Group Insurance Service Center Inc. Group Insurance Service Center INC	37276	Institutional
Group Marketing Services INC. Group Marketing Services INC	66701	Institutional
Group Resources PHCS	28680	Institutional
Guardian Life Insurance Company of America	64246	Institutional
Gulf South	60389	Institutional
Gulf South Risk Services	60652	Institutional
GulfStream- General Dynamics/CoreSource	CB624	Institutional
Gundersen Lutheran Health Plan Gundersen Lutheran Health Care	39180	Institutional
H.E.R.E.I.U Welfare Pension Funds Unite Here Health H.E.R.E.I.U. Welfare Pension Funds	37114	Institutional
HAA Preferred Partners	65101	Institutional
Halcyon Behavioral Health	HALCY	Institutional
Hamaspik Choice Inc. Hamaspik Choice Inc.	47738	Institutional
HAP Caresource	MIMCDS1	Institutional
HAP Caresource MI Dual	MIMCRCS1	Institutional
Harmony Health Plan of Illinios Harmony Health Plan of Illinois (Wellcare Provider ID required call (800) 960-2530 opt. 2 then 5)	36406	Institutional
Harmony Health Plan of Indiana Harmony Health Plan of IA ( claims for Hoosier Healthwise me	36405	Institutional
Harrington Health - Kansas ((Formerly known as Fiserv Health-Kansas) Harrington Health - Kansas Willis Administrative Services Corporation (Now known as UMR Kansas.)	62061	Institutional
Harrington Health BPO Harrington Health	59143	Institutional
Harvard Community Health Plan	04245	Institutional
Harvard Pilgrim Healthcare Harvard Pilgrim	04271	Institutional
Hawaii Mainland Administrators PHCS HMA Employees PMO	86070	Institutional
Hawaii Medical Assurance Association (HMAA) Hawaii Western Management (HWMG)	99208	Institutional
Hawaii Medical Services Association (HMSA)	SB971	Institutional
Hawaii Medicare Medicare Part B of Northern Mariana Islands Medicare Part B of Guam Medicare Part B of Hawaii	HIMCR	Institutional
HCH Administration	37111	Institutional
HCP Nevada	20501	Institutional
Health 2 Business	55213	Institutional
Health Alliance Medical Plans of Illinois Health Alliance Medical Plans Illinois	77950	Institutional
Health Alliance Plan of Michigan (Use payer ID 38224 for claims with a date of service 01-01-20 and greater. For dates of service 12-31-19 and prior please use payer ID 70259) Medical Value Plan - Ohio (MVP) HEALTH ALLIANCE P (Use payer ID 38224 for claims with a date of service 01-01-20 and MVP - Ohio (Previous payer ID MHP77; Use payer ID 38224 for claims with a date of service 07-01- 19 and greater)	38224	Institutional
Health Care District of Palm Beach	HCDPB	Institutional
Health Care LA IPA (HCLA) Healthcare LA IPA	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 Generations	62180	Institutional
Health Choice Generations Health Choice Utah	45399	Institutional
Health Cost Solutions Health Coast Solutions	62111	Institutional
Health Design Plus Contigo Health Health Design	34158	Institutional
Health EZ America's PPO (Formerly known as ARAZ.) America's PPO (Formerly ARAZ) ARAZ (Now known as America's PPO.)	16120	Institutional
Health First-Tyler TX Health First - Tyler TX	75234	Institutional
Health First Health First Health Plans	95019	Institutional
Health IN Tech	IHS09	Institutional
Health Management Admin	12T11	Institutional
Health Management Associates (HMA servicing Southeastern and Southwestern Regions) (Provider ID Required) HMA Hawaii	86066	Institutional
Health Net - California (Encounters only.)	95568	Institutional
Health Net (California Encounters Only.) Health Net of California (for claims with DOS prior to 12/31/17. For claims with DOS on or after 1/1/18 please use payer ID 68069 ) Health Net - California	95567	Institutional
Health New England	04286	Institutional
Health Options of Illinois I Par Plus Health Options of Illinois	NAHOI	Institutional
Health Partners	07003	Institutional
Health Partners PA	80142	Institutional
Health Payment Systems Health Payments Systems Inc.	20270	Institutional
Health Plan of Michigan (Now known as Meridian Health Plan) Meridian Health Plan Michigan (Meridian Health Plan Michigan Complete and Meridian Health Plan Michigan Medicaid) effective until 12/31/20 MeridianHealth Michigan Meridian Health Plan Michigan	52563	Institutional
Health Plan of San Joaquin	68035	Institutional
Health Plan Services Tampa Office American Benefits Plan Administrators (Las Vegas NV) Consolidated Group HEALTH PLAN SERVICES Culinary Health & Welfare Fund (Las Vegas NV)	59140	Institutional
Health Plans Inc. Health Plans Inc.	44273	Institutional
Health Plus of Michigan	U8216	Institutional
Health Plus Physicians Organization	63363	Institutional
Health Services for Children with Special Needs (HSCSN) Health Services for Children with Special Needs	37290	Institutional
Health Services Preferred (HSP) by Emerald Health Health Srv Pref. (HSP) Emerald Hlth Integrated Care Network (ICN) by Emerald Health Health Srv Pref (HSP) Emerald Hlth PPO Business) Emerald Health Network Emerald Health Network Inc. (All HMO Business)	34167	Institutional
Health Systems Inc	11889	Institutional
HEALTH WEST ADMINISTRATORS	U7876	Institutional
HealthBridge	74853	Institutional
Healthcare Highways Health Plan	HCHHP	Institutional
Healthcare Options I Par Plus EL Paso First Health Plan HCO Healthcare Options	EPF37	Institutional
Healthcare Partners Physician Associates of Greater San Gabriel Valley Arta Health Network Northridge Medical Group	OCN01	Institutional
HealthCare Partners IPA (Formerly Heritage New York Medical Group) Healthcare Partners IPA Liberty Health Advantage	11328	Institutional
Healthcare Resources NW	56731	Institutional
HEALTHCARE SOLUTIONS HealthSmart HealthCare Solutions Group HealthCare Solutions Group	73147	Institutional
Healthcare Strategic Initiatives	HSICS	Institutional
Healthcare USA Coventry Health Care (Coventry old Legacy Payer ID's are still accepted) Coventry Health Care (Coventry old Legacy Payer ID's are still accepted.)	25133	Institutional
HealthChoice Dept of Corrections & Rehab	71065	Institutional
Healthchoice Select	71070	Institutional
HealthComp	85279	Institutional
HealthComp HEALTHCOMP INC	85729	Institutional
HealthComp Benefit Administrative Systems BENEFIT ADMIN. SYSTEM	36149	Institutional
HealthComp Gilsbar Inc HealthPlus of Louisiana (Old PayerID of 95009 is no longer valid) 360 Alliance PPO Gilsbar 360 Alliance Gilsbar Gilsbar Health Plus of LA	07205	Institutional
Healthease Wellcare of FL	59608	Institutional
HEALTHEOS Multiplan Wisconsin Preferred Provider Network	34080	Institutional
Healthfirst TPA - Austin Healthfirst of Austin TPA	75289	Institutional
Healthfirst Inc. (NY) Healthfirst of NY	80141	Institutional
Healthgram Ingham Health Plan Corp. Ingham Health Plan Corp	38343	Institutional
HealthHelp Network Inc. (HHNI)	59087	Institutional
Healthnet of AZ Healthnet of Arizona Inc.	38309	Institutional
Healthnow BCBS New York Western	12B39	Institutional
Healthpartners of MN HealthPartners of Minnesota	55764	Institutional
Healthplus Amerigroup Americaid Community Care (Dallas/Ft. Worth)	27514	Institutional
Healthscope	40026	Institutional
HealthSCOPE Benefits EHC Repricing HealthScope Benefits EHC Repricing	52429	Institutional
HealthSCOPE Benefits INC CNA Health Partners HealthScope Benefits	71063	Institutional
Healthsmart Accel	75237	Institutional
HealthSmart Farm Family Life	14140	Institutional
Healthsmart Management Services Organization Inc Healthsmart Mgmt Services Org Inc	A0067	Institutional
HealthSmart Medcom MedCom	59231	Institutional
HealthSmart MFC & HealthPlus Peoria Methodist First Choice Midland Management/MFC	23550	Institutional
Healthsmart MyDecision	18840	Institutional
HealthSmart NAMCI Global Care NAMCI/Global Care	L0110	Institutional
HealthSmart OKC	73140	Institutional
HealthSmart Preferred Benefit Administrators Preferred Benefit Administrators	53476	Institutional
HealthSmart Preferred Care	HSPC1	Institutional
HealthSmart Preferred Care North Texas Healthcare Network North Texas Healthcare Network (Effective 01-01-2019)	75250	Institutional
HealthSmart University Medical Center	11149	Institutional
Healthsource Kentucky - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID Healthsource KY	61127	Institutional
HEALTHSOURCE MSO	HSMSO	Institutional
Healthsource AR (Med) (CIGNA)	71075	Institutional
Healthsource GA (CIGNA)	58210	Institutional
Healthsource Inc	HS001	Institutional
Healthsource ME (CIGNA) Healthsource Maine - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID	01041	Institutional
Healthsource NC (CIGNA)	56147	Institutional
Healthsource OH	31141	Institutional
Healthsource SC (claims) Healthsource SC (Encounters)	06119	Institutional
Healthsource TN (CIGNA)	62129	Institutional
HealthSpan Integrated Care accept claims DOS to 1-31-2017 HealthSpan Integrated Care	RH007	Institutional
Healthspring HMO/Medicare + Choice The Oath - Health Partners of Alabama (Now known as HealthSpring HMO/HealthSpring Medicare+Choice) HealthSpring HMO/HealthSpring Medicare+Choice	63092	Institutional
HealthSun	HESUN	Institutional
Healthteam Advantage	88250	Institutional
Healthteam Advantage HMO Diabetes and Heart Plan	88350	Institutional
Healthy Blue (MO)	00541	Institutional
Healthy Blue (NE)	00544	Institutional
Healthy Blue Dual Advantage Louisiana	00551	Institutional
Healthy Blue Louisiana	00661	Institutional
Healthy Blue SC (for DOS on or after 1/1/24)	00403R	Institutional
Healthy Kids I Par Plus	M3FL3	Institutional
Healthy San Francisco	HSF01	Institutional
Healthy Texas	68064	Institutional
Healthy Valley Provider Network	HVPNI	Institutional
Healthy York Network	22251	Institutional
Heath Choice AZ Health Choice of AZ BCBSAZ ACA Standard Health with Health Choice	62179	Institutional
Hemet Community Med Group ( 951-791-1111 prior to submitting Hemet Community Medical Group	HCMG1	Institutional
Hennepin Health / Northstar Advantage	60058	Institutional
Heritag+A601e Physician Network I Par Plus SelectCare of TX (Houston) (Provider ID Required - Contact (713) 843-6780 to obtain ID.) Texas Plus	HPN11	Institutional
Heritage IPA	HER01	Institutional
HFN Healthease I Par Plus	M3FL5	Institutional
HFN Inc. Arkansas Managed Care Organization Inc. (AMCO) HFN Inc	36335	Institutional
High Desert Medical Group	95393	Institutional
High Desert Primary Care HDPC Premier Healthcare Mission HospitalAffiliates	STJOE	Institutional
Highline Medical Services MOLINA	91164	Institutional
Highmark BCBS (NY) Medicaid and CHP Highmark BCBSD NY - Medicaid and CHP	00246	Institutional
Highmark BCBSD Health Options. Highmark BCBSD	47181	Institutional
Highmark Senior Health Company (PA Blue Shield Medicare Plan)	15460	Institutional
Hill Physicians Aetna PPO	HLPAE	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
Hillsborough County Health Care Administrative Services Administrative Services Inc.	59141	Institutional
HIP - Health Insurance Plan of Greater New York HIP-Health Insurance Plan of Greater NY	55247	Institutional
HMC Healthworks aka Health Management Co. HMC Healthworks aka Health Management Co	75318	Institutional
HMO Louisiana Blue Advantage (For claims with DOS 2020 for claims with DOS on or after 01/01/21 use payer ID 72107) HMO Louisiana Blue Advantage (For claims with DOS 2020 for claims with DOS 01/01/21 use payer ID 72107)	84555	Institutional
HMO Louisiana Blue Advantage (Use this claim for DOS on or after 01/01/21) HMO Louisiana Blue Advantage (Use payer ID 72107 for claims with a DOS on or after 01/01/21)	72107	Institutional
Hollywood Presby Medical Center	MPM29	Institutional
Hollywood Presbyterian Medical Center	AMM18	Institutional
Holy Cross Health Partners	NAHLX	Institutional
Home Health Hospice Jurisdiction 15	15404	Institutional
Home Health Hospice Jurisdiction M	11001	Institutional
Homelink	30750	Institutional
Hometown Health Plan Nevada Hometown Health of NV	88023	Institutional
Hopkins Health Advantage	66003	Institutional
Horace Mann Life Insurance HealthSmart Horace Mann Life Insurance Company	HMLIC	Institutional
Horizon Healthcare of New York	5526I	Institutional
Horizon Pace Mercy Health Plan of New Jersey (Provider ID Required in Box33a - Contact (800) 682-9091 to obtain ID) Horizon NJ Health	22326	Institutional
HPMS (Send claims to payerID listed on patient's Insurance card.)	CARD	Institutional
HRSA COVID-19 Coverage Assistance Fund – 99999-0AQS	90AQS	Institutional
HSBS Memphis Pittman & Associates (Now known as HSBS Memphis) HSBS Memphis (Formerly Pittman and Associates)	37224	Institutional
HSBS Oklahoma City Mutual Assurance (Now known as HSBS Oklahoma City) HSBS Oklahoma Cityi (Formerly Mutual Assurance Administrators)	37256	Institutional
Humana Health Plan of Ohio Inc Humana Health Plan of Ohio Inc	61103	Institutional
Humana Long Term Care Humana Long Term Care	61115	Institutional
Humboldt Del Norte Foundation IPA	HDNFC	Institutional
Hylton Payroll (Benefit Plan Administrators)	19753	Institutional
I. E. Shaffer I E SHAFFER	22175	Institutional
IBC Personal Choice	12X26	Institutional
IBG Administrators LLC IBG Administrators	81810	Institutional
iCARE (Independent Care Health Plan)	11695	Institutional
ICARE Health Options TPA iCircle Health Solutions	26054	Institutional
iCircle Care	ICRCL	Institutional
Idaho Medicaid	SKID0	Institutional
Idaho Medicare	IDMCR	Institutional
IHPlans Imperial Health Plan of California Incorporated	IHP01	Institutional
IHS Gateway Payer South	CB711	Institutional
Illinois Health Plan (IHP) Boncura Health (Dupage Medical Group) Boncura Health Solutions (Dupage Medical Group)	DMG01	Institutional
Illinois Medicaid	SKIL0	Institutional
Illinois Physician Alliance IPA Illinicare Physicians Alliance IPA	IPA99	Institutional
IMCARE	41600	Institutional
Immigration Services Homeland Security (ATTN: Deportation) INS Health Services	VAICE	Institutional
Imperial Health Holdings Medical Group	IHHMG	Institutional
INDECS Corporation	40585	Institutional
Independence Administrators	TA720	Institutional
Independence American Insurance Comp Independence American Insurance Independence American Ins. Co.	CB231	Institutional
Independent Blues of PA Personal Choice PPO of PA (Also know as Independent BLC) Independent BLC of PA (Also known as Personal Choice PPO of Pennsylvania.)	54704	Institutional
Independent Living Systems	45048	Institutional
Indian Health Services	00290	Institutional
Indiana Department of Health Children's Health	35600	Institutional
INDIANA PROHEALTH Indiana ProHealth Network	35161	Institutional
Indiana University	IUHPL	Institutional
INETICO INC.	43471	Institutional
InforMed LLC	52196	Institutional
Ingalls Provider Group (New PID for DOS 1-1-19 & after only) Ingalls Provider Group	66727	Institutional
Inland Empire Health Plan. Inland Empire Health Plan	IEHP1	Institutional
Inland Faculty Medical Group (Call Chirs Gonzales at (323) 257 7637 *277 to ensure you are	MVMM1	Institutional
INNOV_OSF Healthcare Center Innov_OSF Healthcare Central	OSFC9	Institutional
Innovante Benefit Admin/ (HSBS WTC) (Effective 3-1-17) World Trade Center Health Program (WTCHP) Innovante Benefit Administrators (HSBS WTC)+A174	31172	Institutional
Innovation Health	40025	Institutional
Innovative Healthware Payer 12	IHS12	Institutional
Innovative Healthware Payer 13	IHS13	Institutional
Innovative Healthware Payer 16	IHS16	Institutional
Innovative Healthware Payer 21 NextPA	IHS21	Institutional
Innovative Healthware Payer 22	IHS22	Institutional
Innovative Healthware Payer 25	IHS25	Institutional
Innovative Healthware Services Payer 5	IHS05	Institutional
Innovista Health	INDPM	Institutional
Insurance Administrators of America Insurance Administrator of America	37279	Institutional
Insurance Design Administrators	13315	Institutional
Insurance Management Services (Amarillo TX) Insurance Management Services (Amarillo TX)(This payerID is only valid for claims submission address of PO Box 15688 Amarillo TX 79105)	15688	Institutional
Insurance Management Services of Texas Insurance Management Services	IMSMS	Institutional
Insurance Service of Lubbock Insurance Services of Lubbock	ISL11	Institutional
Insurers Administrative Corporation I Par Plus Insurers Administrative Corp. (Please visit website prior to submitting claims: edihelp.iacusa.com)	86304	Institutional
Integra Administrative Group Integra Administrative Group (Seafor d DE) INTEGRA Administrative Group Inc.	51020	Institutional
Integra Group Integra Group (Also known as Rehab Provider Network but not the same as Colorado payer of same name.)	31127	Institutional
Integra Managed Long Term Care	45302	Institutional
Integranet I Par Plus Integranet	INET1	Institutional
Integrated Homecare Services	IHCS1	Institutional
Integrated Medical Solutions	20050	Institutional
Integrated Veterans Care (formerly known as VA FEE Basis Program) Veterans Administration Fee Basis Programs VA Fee Basis Programs	12115	Institutional
Integrity Administrators (Champion Chevrolet)	99795	Institutional
INTER UNION OF OPER15 International Union Operating Engineers	37269	Institutional
Interactive Medical Systems	56132	Institutional
Interface EAP HealthSmart Interface EAP (IEAP) Interface EAP -IEAP	60280	Institutional
Intergroup Services Corporation Western Pennsylvania Electrical Employees Insurance Trust Fund Western Growers Assurance Trust (aka Pinnacle Claims Management)	23287	Institutional
International Benefit Administration International Benefit Administrator	11329	Institutional
International Funding Inc. Insurance TPA.CLM LLC	39182	Institutional
International Medical Group INC International Medical Group Inc. I Par Plus	IMGIN	Institutional
Interwest Health InterWest Health PPO (Montana)	84137	Institutional
Intl Brotherhood Boilermakers EMPL Health Care Plan IBBEHC International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC)	48603	Institutional
Iowa Medicaid	12K10	Institutional
Iowa Medicaid	SKIA0	Institutional
Island Home Insurance Company Island Hone Health Insurance Company	85502	Institutional
IU Health Transplant Evaluation Program	47262	Institutional
J1 MAC Medicare Part A California	12M64	Institutional
J1 Mutual of Omaha CA HI NV (Legacy)	01911	Institutional
J12 Medicare Part A Legacy WPS (DC DE MD NJ PA)	12901	Institutional
J5 National Part A	05901	Institutional
JAI Medical Systems JAI Medical	JAI01	Institutional
Jericho Share	IHS02	Institutional
JI Sepcialty Services Inc. I Par Plus	JISSP	Institutional
John Hopkins Healthcare (EHP/PP) (Submit Billing NPI and Rendering/Servicing NPI) Johns Hopkins (USFHP)	52189	Institutional
John Muir Mt. Diablo Health System John Muir Mt Diablo Hlth System	68036	Institutional
Johns Hopkins (USFHP) (New submitter should send in their Billing NPI & Rendering servicing NPI) Johns Hopkins Medical Service	52123	Institutional
Joplin Claims	43178	Institutional
JP Farley Corporation	34136	Institutional
JSL Administrators AKA Wells Fargo Third Party Administrators aka Healthsmart Benefits Solutions Healthsmart Benefit Solutions. JSL Administrators AKA Wells Fargo Third Party Aministrators Wells Fargo Third Party Aministrators AKA Healthsmart Benefit Solutions.	37272	Institutional
JVHL Health Alliance Plan (Fee for Service Contracts)	JHJVL	Institutional
JVHL Priority Health	JZJVL	Institutional
JVHL United Healthcare (Golden Rule Members)	KRJVL	Institutional
JVHL United Healthcare Community Plan (Great Lakes Health Plan)	JRJVL	Institutional
JVHL WellCare	MMJVL	Institutional
JVHL Aetna Better Health Premier Plan	M5JVL	Institutional
JVHL Aetna U.S. Healthcare	J1JVL	Institutional
JVHL AmeriHealth Caritas VIP Care Plus	MDJVL	Institutional
JVHL BCBSM Medicare Plus Blue PPO	KCJVL	Institutional
JVHL Blue Care Network (BCN Commercial Labs) JVHL Blue Care Network* (BCN Commercial Labs)	JJJVL	Institutional
JVHL Blue Care Network (BCN Reimbursable Labs) JVHL Blue Care Network* (BCN Reimbursable Labs)	JQJVL	Institutional
JVHL Blue Care Network* (Critical Access / Small Volume Labs) JVHL Blue Care Network (Critical Access / Small Volume Labs)	MJJVL	Institutional
JVHL Blue Care Network* (JVHL Network) JVHL Blue Care Network (JVHL Network)	J9JVL	Institutional
JVHL Blue Cross Complete	KPJVL	Institutional
JVHL CIGNA – (Health Partners members only)	KQJVL	Institutional
JVHL CIGNA (Non-HAP and CIGNA- HAP members) JVHL CIGNA (Non-HAP and CIGNA-HAP members)	KDJVL	Institutional
JVHL Community Care Associates (Healthchoice)	JWJVL	Institutional
JVHL CoventryCares - Aetna Better Health of MI	J8JVL	Institutional
JVHL Genesee County Health Plan	MBJVL	Institutional
JVHL HAP Empowered (Midwest) Health Plan	JBJVL	Institutional
JVHL Health Alliance Plan (Capitated Contracts)	JGJVL	Institutional
JVHL Humana	KVJVL	Institutional
JVHL McLaren Health Plan	K7JVL	Institutional
JVHL Meridian Health Plan of MI (Health Plan of Michigan)	J2JVL	Institutional
JVHL Molina Healthcare of Michigan	JIJVL	Institutional
JVHL Physicians Health Plan	MNJVL	Institutional
JVHL Reliance HMO	MKJVL	Institutional
JVHL United Healthcare (non- Golden Rule Members) JVHL United Healthcare (non-Golden Rule Members)	J5JVL	Institutional
JVHL VA Community Care Network	MSJVL	Institutional
Kaiser Foundation Health Plan	21313	Institutional
Kaiser Foundation Health Plan of CO (Remits returned KAISR) Kaiser Foundation Health Plan of Colorado	COKSR	Institutional
Kaiser Foundation Health Plan of GA(835 returned under KAISR Kaiser Foundation Health Plan of Georgia	NG010	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 Kaiser Foundation Health Plan of Northern CA Region	94135	Institutional
Kaiser Foundation Health Plan of Washington (Formerly Group Health Cooperative of WA) Kaiser Foundation Health Plan of Washington Group Health Northwest (Old PayerID of 91121 is being retired. Now use payerID of 91051) Group Health Options (Formerly KPS Health Plans)	91051	Institutional
Kaiser Foundation Health Plan PPO Kaiser Self Funded (also known as KPIC Self-Funded Claims and Kaiser Self Funded Plan Harrington) Hawaii Kaiser Self Funded (also known as KPIC Self-Funded Claims and Kaiser Self Funded Plan Harrington)	94320	Institutional
Kaiser Foundation Northwest Kaiser Foundation of the Northwest	93079	Institutional
Kaiser Foundation Southern California Kaiser Foundation Health Plan of Southern CA	94134	Institutional
Kaiser Permanente Health Plan Hawaii	94123	Institutional
Kalos Gold Health Plan	61185	Institutional
Kalos Health Kane County IPA	40137	Institutional
Kamg Hospital	GSH02	Institutional
Kane County IPA	KCIPA	Institutional
KBA	14503	Institutional
Keenan Associates	95279	Institutional
Kelsey Seybold - Institutional Claims I Par Plus	KELSI	Institutional
Kemper Benefits	61453	Institutional
Kempton Company Kempton Group Administrators Kempton Group	73100	Institutional
Kent County Health Plan	KENT1	Institutional
Kentucky Medicare Part A Jurisdiction 15 Medicare Part B of Kentucky	KYMCR	Institutional
Kern Health Systems	77039	Institutional
Kern Legacy Health Plan	89890	Institutional
Key Benefit Administrators	37217	Institutional
Key Insurance Group	KEYIP	Institutional
KEY SELECT	37321	Institutional
Key Solution Key Solution (Dental)	37323	Institutional
KeyCare Maryland	KCMD1	Institutional
Keystone First Community Health Choices	42344	Institutional
Keystone Health Plan East	12X25	Institutional
Keystone Health Plan East - Claims Pennsylvania Keystone Health Plan East (claims only) PAKeystone Health Plan East (claims(835s returnedPAKEY)	PCBLS	Institutional
Keystone Mercy Health Plan	23284	Institutional
Klais & Company (Part A and Part B)	80089	Institutional
Klais and Company	34145	Institutional
Know The Costs	04430	Institutional
Kopp Billing Agency	RP091	Institutional
Kova Healthcare Incorporated	KOVA1	Institutional
LA Care Health Plan	LACAR	Institutional
LACH HealthNet by MedPoint	MPM19	Institutional
Lake Forest Managed Care Associates	37112	Institutional
Lakeside Medical Group	66125	Institutional
Lancaster General Health Lancaster General Health (LGH)	16109	Institutional
LaSalle Medical Group IPA	95715	Institutional
Lasso Healthcare MSA	10550	Institutional
Lawndale Christian Health Center	LAWND	Institutional
LBA HealthPlans LBA Health Plans	52193	Institutional
Leon Health Plans	A3565	Institutional
LEON Medical Center Health Plan I Par plus Leon Med Center	65055	Institutional
Liberty Advantage	LIB01	Institutional
Liberty Union Life Assurance Company Mid-America Associates Inc. Mid-America Associates	37281	Institutional
Lien On Me	LM005	Institutional
Life St Mary (Trinity Health Pace)	76184	Institutional
LIFE TRAC	41136	Institutional
LifeCircles PACE	71498	Institutional
LifePath Hospice Inc. LifePath Hospice Inc	76870	Institutional
Lifewise A Premier Health Plan Lifewise Health Plan of Oregon A Premier Health Plan LifeWise Assurance Company LifeWise HealthPlan of Oregon	93093	Institutional
Lifewise Health Plan of Washington LifeWise HealthPlan of Washington	93094	Institutional
Lifeworks Advantage	LWA01	Institutional
Little Company of Mary	LCM1	Institutional
Live Beaver County Life Beaver County	25924	Institutional
Local 137 Operating Engineers Welfare Fund	84041	Institutional
Lockard & Williams	CB752	Institutional
Loma Linda University Health Care Loma Linda University Health Plan	33036	Institutional
Loma Linda University Medical Center	95352	Institutional
Lone Star TPA	45289	Institutional
Longevity Health Plan of NY	LNY01	Institutional
Longevity Illinois	LIL01	Institutional
Longevity Michigan	LMI01	Institutional
Longevity NJ	LNJ01	Institutional
Longevity of North Carolina	LNC01	Institutional
Louisiana Medicaid	SKLA0	Institutional
Louisiana Medicare Part A Jurisdiction H	12M12	Institutional
Lovelace Senior Options (LSO)	62310	Institutional
Luminare Health Detroit NGS Coresource Luminare Health Detroit fka Trustmark Health Benefits	38225	Institutional
Luminare Health Internal CoreSource CoreSource Internal #3	35187	Institutional
Luminare Health Little Rock CoreSource Little Rock CoreSource Little Rock (For claims where the 'submit claims to address' on the medical ID card is an address in Little Rock. For assistance call 800-689- 0106) Luminare Health Little Rock fka Trustmark Health Benefits	75136	Institutional
Luminare Health OH Coresource of OH CORESOURCE OH Luther Care (CoreSource) Luminare Health OH fka Trustmark Health Benefits	35183	Institutional
Luther Care (CoreSource)	CB212	Institutional
MacNeal Health Providers - CHS (Contact 708-783-7100 prior to first submission.) Macneal Hlth Providers-CHSZ	36334	Institutional
Magellan Complete Care AZ Magellan Complete Care Of AZ Molina Complete Care of Arizona	MCC01	Institutional
Magellan Complete Care Of VA	MCCVA	Institutional
Magellan Health Services Magellan Behavioral Health (All Non-AETNA Subscribers - Provider ID Required) (Payer Address required on all claims.) Magellan Complete Care FL	01260	Institutional
MagnaCare Administrative Brighton Health Plan Solutions (for DOS prior to 01/01/2022) Brighton Health Plan Solutions (formerly MAGNACARE) MagnaCare Administrative Services	11303	Institutional
Magnolia	U8062	Institutional
Maine Community Health Options	45341	Institutional
Maine Medicaid	12K13 12K44	Institutional
Maksin Management Corporation (Now known as AIG Educational Markets) Maksin Management Corporation AIG Educational Markets (Formerly Maksin Management Corporation)	22195	Institutional
Managed Care Network Managed Health Networks (MHN)	22771	Institutional
Managed Care Services LLC	35162	Institutional
Managed Health Services Wisconsin	39187	Institutional
March Vision Health Plan	52461	Institutional
Marin Headlands Medical Group Sutter Medical Group Of The Redwoods Sutter Pacific Medical Foundation Sutter West Bay Medical Group	77304	Institutional
Marin IPA	IP097	Institutional
Marrick Medical Finance LLC Marrick Mement Finance	20805	Institutional
Marrick WRx Aspirion	46478	Institutional
Martins Point Health Care	53275	Institutional
Martins Point Health Care Martin's Point Health Care USFHP/Generations Advantage	MPHC2	Institutional
Mary Washington Health Plan	83269	Institutional
Maryland Medicare Part A	12010	Institutional
Maryland Physicians Care	22348	Institutional
Maryland Physicians Care (MPC) Maryland Physicians Care (MCP)	76498	Institutional
Mashantucket Pequot Tribal Nation Pequot Pharmaceutical Network Bluebonnet Administrators	37121	Institutional
Massachusetts Behavioral Health (BHO) Massachusetts Behavioral Health (BHO) (BHO)	BHOMA	Institutional
Massachusetts Medicaid	12K14	Institutional
Massachusetts Mutual also known as Mass Mutual Unicare Life & Health Insurance Company UNICARE Major Accounts	80314	Institutional
Masters Mates and Pilots Plan Masters Mates and Pilots Program	MMPHB	Institutional
Mayo Clinic FL/GA	88090	Institutional
MBA Benefit Administrators MBA of Wyoming	87065	Institutional
MBACLM	IHS24	Institutional
McCreary Corporation Employers Mutual Inc Stuart FL	59331	Institutional
McLaren Health Advantage	3833A	Institutional
McLaren Health Plan McLaren	38338	Institutional
McLaren Medicaid	3833C	Institutional
McLaren Medicare Supplement	3833S	Institutional
McLaren State of Michigan	3833M	Institutional
McLarenAdvantage SNP	3833R	Institutional
MD Anderson Physician Network	MDAPN	Institutional
MDsave	MDSV	Institutional
MDwise Healthy Indiana Plan MDwise Health Indiana Plan	3135M	Institutional
MDwise Hoosier Healthwise	3519M	Institutional
MDwise Medicare Advantage	MDADV	Institutional
MDwise Select Health Network	MWSHN	Institutional
MDwise Inc. (formerly IU Health)	12K81	Institutional
MDX Hawaii	MDXHI	Institutional
Med Pay Med Pay (For claims repriced by Premier Health Care Exchange)	88058	Institutional
Med-Pay Anthem IN	00130	Institutional
MedAdmin Solutions Network TPA JIPA Network Podicare	58204	Institutional
MedAdmin Solutions Network TPA JIPA Network Podicare Advanced Data Solutions	58202	Institutional
Medcore HP	31057	Institutional
MedCost	56162	Institutional
MedCost /Liberty Healthshare MedCost / Liberty Health Share	90753	Institutional
MEDCOST BENEFIT SVCS MedCost Benefit Services	56205	Institutional
MedCost Virginia	54138	Institutional
Medica	94265	Institutional
Medica Government Programs	MEDM1	Institutional
Medica Health Plan Solutions	71890	Institutional
Medica HealthCare Plans / FL Medica Health Plan of Florida	78857	Institutional
Medica2	12422	Institutional
Medicaid - TX Premier Plan I Par Plus Medicaid - TX Premier Plan (enroll at (915)-532-3778 x1507)	EPF02	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 Arkansas	12023	Institutional
Medicaid of Arkansas Arkansas Medicaid	ARMCD	Institutional
Medicaid of California (MediCal) MediCal of California	MDCAL	Institutional
Medicaid of Colorado	1548I	Institutional
Medicaid of CT	06127	Institutional
Medicaid of Flori	77027	Institutional
Medicaid of Georgia	12K05	Institutional
Medicaid of Idaho	12K07	Institutional
Medicaid of Illinois	IL621	Institutional
Medicaid of Indiana	3501I	Institutional
Medicaid of Iowa	18049	Institutional
Medicaid of Iowa Iowa Medicaid	IAMCD	Institutional
Medicaid of Kansas	47163	Institutional
Medicaid of Kentucky	12K11	Institutional
Medicaid of Louisiana	12K12	Institutional
Medicaid of MA	SKMA0	Institutional
Medicaid of Maryland	12007	Institutional
Medicaid of Massachusetts	5529I	Institutional
Medicaid of Medicaid South Carolina	SCMED	Institutional
Medicaid of Michigan	12K37	Institutional
Medicaid of Michigan BCCCP	SKMI1	Institutional
Medicaid of Minnesota	12K16	Institutional
Medicaid of Mississippi	77032	Institutional
Medicaid of Missouri	12K15	Institutional
Medicaid of Missouri	70029	Institutional
Medicaid of Montana	12K77	Institutional
Medicaid of NC	SKNC0	Institutional
Medicaid of Nebraska	1520I	Institutional
Medicaid of Nevada	NVMMI	Institutional
Medicaid of New Jersey	12006	Institutional
Medicaid of New Mexico	12K22	Institutional
Medicaid of New York	12K35	Institutional
Medicaid of North Dakota	NDDHS	Institutional
Medicaid of North Dakota North Dakota Medicaid	NDMCD	Institutional
Medicaid of Ohio	3509I MMISODJFS	Institutional
Medicaid of Ohio Medicaid of Idaho	AIDID	Institutional
Medicaid of Oklahoma	12K25	Institutional
Medicaid of Pennsylvania	12008	Institutional
Medicaid of Pennsylvania	236003113	Institutional
Medicaid of SC	SKSC0	Institutional
Medicaid of Tennessee	12K46	Institutional
Medicaid of Texas TX Medicaid Direct	86916	Institutional
Medicaid of US Virgin Islands	12K39	Institutional
Medicaid of Utah	12K42	Institutional
Medicaid of Virginia	5538I	Institutional
Medicaid of West Virginia	12K28	Institutional
Medicaid of Wisconsin Wisconsin Medicaid	WIMCD	Institutional
Medicaid of Wyoming	12K30	Institutional
Medical Associates Health Plan	MAHP1	Institutional
Medical Benefits Mutual MedBen (Newark OH) Medical Benefits Administrators Inc. (Newark OH) Medical Benefits Companies (Newark OH) Medical Benefits Mutual (Newark OH) Medical Benefits	74323	Institutional
Medical Mutual of Ohio (Payer requires a 12 digit rendering provider ID# which needs to be obtained from payer by calling 800-321-7223) Health Span of Ohio (Payer has ceased operations using payerID 31434. claims should now be sent to Medical Mutual of Ohio PayerID 29076_ Carolina Care Plan Medical Mutual of Ohio Carolina Care Plan (Part of the Medical Mutual Family of companies. Former payerID was 57105.)	29076	Institutional
MEDICAL MUTUAL OF OHIO CAREWORKS Careworks of Ohio	10010	Institutional
Medical Reimbursement Associates Medical Reimbursements of America	62177	Institutional
Medical Services Initiative	12057	Institutional
Medicare & Much More Florida Incorporated Medicare & Much More Florida Incorporated (Effective 1/1/19)	MMMFL	Institutional
Medicare Advantage Physicians Health Plan Michigan Physicians Health Plan of Michigan Medicare Medicare Advantage PHP Michigan	83276	Institutional
Medicare Florida Blue	FBM01	Institutional
Medicare Hawaii	01211	Institutional
Medicare Louisiana	07201	Institutional
Medicare Nevada	01311	Institutional
Medicare of Alaska	AKMCR	Institutional
Medicare of California	01111	Institutional
Medicare of Colorado	04111	Institutional
Medicare of Connecticut	3533I	Institutional
Medicare of Florida	3518I	Institutional
Medicare of Georgia	3536I	Institutional
Medicare of Illinois	06101	Institutional
Medicare of Indiana	12M09	Institutional
Medicare of Iowa	05101	Institutional
Medicare of Kansas	05201	Institutional
Medicare of Kentucky	15101	Institutional
Medicare of Maine	3547I	Institutional
Medicare of Maryland	5554I	Institutional
Medicare of Massachusetts	5527I	Institutional
Medicare of Michigan	08201	Institutional
Medicare of Minnesota	06201	Institutional
Medicare of Missouri J5	05301	Institutional
Medicare of Nebraska	05401	Institutional
Medicare of New Jersey	12401	Institutional
Medicare of New York	13201	Institutional
Medicare of Oklahoma	04311	Institutional
Medicare of Pennsylvania	12501	Institutional
Medicare of South Carolina	12M55	Institutional
Medicare of Tennessee	12M53	Institutional
Medicare of Texas	04411	Institutional
Medicare of Virginia Virginia Medicare Part A	11003	Institutional
Medicare of Washington (Noridian)	12M45	Institutional
Medicare of Wisconsin	00450	Institutional
Medicare Part B of Alabama Alabama Medicare Part A Jurisdiction J	ALMCR	Institutional
Medicare Part B of Georgia Georgia Medicare Part A Jurisdiction J	GAMCR	Institutional
Medicare Part B of North Carolina North Carolina Medicare Part A Jurisdiction M	NCMCR	Institutional
Medicare Y Mucho Mas	L0210	Institutional
Medico Insurance Medico Insurance Company	23160	Institutional
Medigold Mt. Carmel	95655	Institutional
Mediture IPA	AMM11	Institutional
Mediview Sendero Idealcare	MV400	Institutional
MedPartners (PHCS Repricing) MedPartners (PHCS RepricingPO Box 10240 Fort Wayne In 46857	441MP	Institutional
Medpartners MedPartners Admin Services	412MP	Institutional
MedSolutions Inc MedSolutions Inc.	62160	Institutional
Medstar Family Choice DC	RP062	Institutional
Medstar Family Choice Maryland Healthchoice	RP063	Institutional
Medstar Select	251MS	Institutional
Memorial Clinical Associates/ SelectCare of Texas	62181	Institutional
Memorial Hermann Bundle Program	MHB123	Institutional
Memorial Hermann Health Network I Par Plus Memorial Hermann Health Network	MHHNP	Institutional
Memorial Integrated Healthcare	59064	Institutional
Mental Health Consultants Inc	37050	Institutional
Merchants Benefit Administration INC	86087	Institutional
Mercy Care Plan of Arizona Mercy Health Plan (AHCCCS) Mercy Health Plan of AZ	86052	Institutional
Mercy Maricopa Integrated Care	33628	Institutional
Mercy Provider Network	43185	Institutional
Meridian Health Plan of Illinois MeridianTotal (Meridian Complete Illinois Complete YouthCare and Ambetter Payer ID effective 01-01- 2021) MeridianTotal (Meridian Complete Illinois Complete YouthCare and Ambetter Payer ID effective 01-01-2021)	MHPIL	Institutional
MeridianComplete (Ambetter from Michigan Meridian Complete Michigan Complete) Payer ID effective 01-01-20 MeridianComplete (Ambetter from Michigan Meridian Complete Michigan Complete) Payer ID effective 01-01-2021	MHPMI	Institutional
MeridianHealth Illinois Meridian Health Plan Illinois Complete (Meridian Health Plan Illinois Medicaid effective until 12/31/20)	13189	Institutional
Meritain Health (Formerly know as North American Administrators) Meritain Health (North American Health Plan.) North American Administrators Inc.	64157	Institutional
Metcare Health Plan	65113	Institutional
Metro Plus Health Plan	13265	Institutional
Metropolitan Health Plan	10850	Institutional
MH Employee Plan	59604	Institutional
MHCC Luminare Health	35189	Institutional
MI Blue Care HMO (BCN of MI-835s returned MIBLS) Michigan Blue Care HMO (BCN of Michigan) Blue Cross MI Blue Care Complete	MIBCN	Institutional
MI Blue Care Network	12B58	Institutional
MI Blue Cross PPO Blue Cross of Michigan	12B18	Institutional
Miami Behavioral Health	92579	Institutional
Miami Children’s Health Plan	82832	Institutional
Michigan Medicare PlusBlue (835s returned under MIBLS) Michigan Medicare PlusBlue	MIMPB	Institutional
MID Rogue Oregon Health Plan MD Rogue Oregon Health Plan	MRIPA	Institutional
Mid-American Benefits	22823	Institutional
Midlands Choice Midlands Health Partners	47080	Institutional
Midwest Health Partners	76079	Institutional
Midwest Health Plan Midwest Health Plans INC.	MHP77	Institutional
Midwest Physician Administrative Services	TH088	Institutional
MINNESOTA DEPARTMENT OF HEALTH- SAGE PROGRAMS	MNDH1	Institutional
MISS SELECT HLTH CARE/SELECT ADMN SERVICE MS Select Healthcare (Mississippi Select Health Care)	64088	Institutional
Mississippi Medicaid	12K17 12K18	Institutional
Mississippi Medicaid	SKMS0	Institutional
Mississippi Medicare Part A Jurisdiction 7	12M17	Institutional
Mississippi Physician Care Network Mississippi Physicians Care Network	64084	Institutional
Missoula County Medical Benefits	37275	Institutional
Missouri Medicaid	SKMO0	Institutional
ML Healthcare	26097	Institutional
Moda Health (ODS Health Plan) ODS Health Plan	13350	Institutional
Molina Complete Care AZ Molina Complete Care DSNP	MCC02	Institutional
Molina Health Care of South Carolina Molina Healthcare of South Carolina	46299	Institutional
Molina Healthcare Arizona	A4353	Institutional
Molina Healthcare Mississippi	77010	Institutional
Molina Healthcare Nebraksa Molina Healthcare of Nebraska INC	MLNNE	Institutional
Molina Healthcare of California (Rendering provider must use Medi-Cal ID number or State License Number. Billing provider should use Federal TaxID only.) Molina Healthcare of California	38333	Institutional
Molina Healthcare of Florida	51062	Institutional
Molina Healthcare of Idaho	61799	Institutional
Molina Healthcare of Illinois Molina Illinois	20934	Institutional
Molina Healthcare of Iowa	MLNIA	Institutional
Molina Healthcare of Michigan	38334	Institutional
Molina Healthcare of Nevada	MLNNV	Institutional
Molina Healthcare of Nevada Molina Healthcare Nevada	A6106	Institutional
Molina Healthcare of New Mexico - SCI Molina Healcare of New Mexico - SCI	04423	Institutional
Molina Healthcare of New Mexico Salud Lovelace Salud (Older PID of SX159 is no longer valid) Molina Healthcare of New Mexico - Salud	09824	Institutional
Molina Healthcare of Ohio	20149	Institutional
Molina Healthcare of Texas	20554	Institutional
Molina Healthcare of Utah	12X09	Institutional
MOLINA HEALTHCARE OF UTAH	SX109	Institutional
Molina Healthcare of Washington (Rendering providers use DSHS Medicaid ID or State Licence Number.) Molina Healthcare of Washington I Par Plus	38336	Institutional
Molina Healthcare of Wisconsin Abri Healthplan (Now known as Molina Health Care of WI) Abri Healthplan	ABRI1	Institutional
Molina Ohio Medicaid	73160	Institutional
Molina Ohio Medicaid	07316	Institutional
Molina Ohio Medicaid Vision	7316V	Institutional
Monarch Healthcare IPA (Rendering provider ID# required on all claims.) Monarch IPA	IP095	Institutional
Monitor Life Monitor Life (secondary claims only Medicare cannot be prim	01759	Institutional
Montana Medicare	MTMCR	Institutional
Montefiore Contract Management Organization (Provider ID required call 914- 377-4400 for ID prior to first claims submissions.) Montefiore Contract Management Organization	13174	Institutional
Montefiore HMO	46161	Institutional
Monumental Life Monumental Life Ins Co.	MMLIC	Institutional
Morris Associates aka HealthScope Benefits MORRIS ASSOCIATES	35092	Institutional
MotivHealth Insurance Company	U7632	Institutional
Mountain States	86040	Institutional
MPEEBT(MISSISSIPPI PUBLIC ENTITY) MPE Employee Benefit Services	37233	Institutional
MPMBA	IHS23	Institutional
MPOWER Bundle	STXB99	Institutional
MRIPA Allcare CCO (Medicaid Payer) MRIPA Allcare CCO	26161	Institutional
MSA Care Guide MSA CARE GUARD	20572	Institutional
Multicare Connected Care	RP036	Institutional
Multicare INC Multicare Pace	R3457	Institutional
Municipal Health Benefits Fund Municipal Health Benefit Program Municipal Health Benefit Fund	81883	Institutional
Mutual of Omaha Insurance Company Mutually Preferred National Rural Letter Carrier Association (Policy Number GMG1846) United of Omaha	71412	Institutional
MVP Health Plan of NY	14165	Institutional
MyNexus Inc.	32043	Institutional
NAA (North Americal Administrators LP - Nashville TN.) NAA (North America Administrators)	65085	Institutional
NAHGA Claim Services National Accident & Health General Agency Inc.	67788	Institutional
NALC/Affordable National Association of Letter Carriers/NALC	53011	Institutional
NaphCare Inc Naphcare Inc	58182	Institutional
Nascentia Health Plan (Medicare line of business)	45529	Institutional
National Allied Workers Union Local 831 National Allied Workers Union Local 831 Insurance Trust	CB148	Institutional
National Capital Preferred Provider Organization (NCPPO) (To obtain your provider ID number please call the NCPPO Customer Service Department at (800) 272-5911 HEALTHLINK PPO	90001	Institutional
National General	ASHC1	Institutional
National Health Benefit	88057	Institutional
National Healthcare Corp Advantage	NHC01	Institutional
National Telecommunications Cooperative Association (NTCA) National Telecommunications Cooperative Associations	52103	Institutional
National Telecommunications Cooperative Association (NTCS Staff) National Telecommunications Cooperative Associations (NTCS Staff)	52104	Institutional
NCAS - Fairfax VA	75190	Institutional
NCAS-CHARLOTTE NCAS - Charlotte VA	75191	Institutional
Nebraska Medicaid	12K19	Institutional
Nebraska Medicaid	SKNE0	Institutional
Neighborhood Health of Plan Rhonde Island Neighborhood Health Partnership Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number.)	05047	Institutional
Neighborhood Health Plan RI Neighborhood Health Plan RI - Exchange Unity Integrity Neighborhood Health Plan RI- Exchange Unity Integrity	96240	Institutional
Neighborhood Healthcare Pace	R3456	Institutional
Neskia Health Group Shasta Administrative Services Nesika Health Group (Old payerID of 37255 is no longer valid.)	75280	Institutional
Netcare Life and Health Insurance	66055	Institutional
Network Health	04332	Institutional
Network Health Insurance Corp - Medicare Network Health Insurance Corp- Medicare Network Health Insurance Medicare	77076	Institutional
Network Health Plan of Wisconsin Inc.(Prior to initial claims submission please contact Network Health Plan EDI specialist at 920-720-1506.) Network Health of WI Network Healthplan of Wisconsin	39144	Institutional
Network Solutions IPA	NSIPA	Institutional
Neuehealth	NEUEH	Institutional
Nevada Blue Shield Blue Cross of Nevada	00265	Institutional
Nevada Medicaid	12K20	Institutional
Nevada Medicaid	SKNV0	Institutional
Nevada Medicare	NVMCR	Institutional
New Avenues Inc. New Avenues Inc.	95998	Institutional
New Era Life Insurance Company	98798	Institutional
New Mexico Blue Cross Community Centennial New Mexico Blue Cross Community Centennial (MemberIDs start with "YIP")	MC721	Institutional
New Mexico Health Connections	45129	Institutional
New Mexico Medicare Part A Jurisdiction 4	12M22	Institutional
New York Hotel Trade Council	7707C	Institutional
New York Life - Long Term Care I Par Plus New York Life - Long Term Care	NYL11	Institutional
New York Medical Indemnity Fund	NYDFS	Institutional
Next Level Health Partners (FKA 69821)	81085	Institutional
NextBlue	55892	Institutional
NHI Billing	14043	Institutional
Nippon Life Insurance Company Nippon Life Insurance Company (Dental) Nippon Life Insurance Company of America	81264	Institutional
North American Benefits North American Benefits Network (NABN)	34159	Institutional
North American Med North American Medical Management Northern California	E3510	Institutional
North Carolina Medica	12K23	Institutional
North Dakota Medicaid	12K78	Institutional
North Dakota Medicare	NDMCR	Institutional
North Shore - LIJ (Healthfirst)	17516	Institutional
Northcoast Healthcare	A2790	Institutional
Northern Illinois Health Plan	36347	Institutional
Northwest Community Health Partners	NANWC	Institutional
Northwest Community Health Partners	NWCHP	Institutional
Northwest Diagnostic Clinic I Par Plus (Old PayerID of NWDC1 is no longer valid.) NW Diagnostic Clinic/SelectCare of Texas (NWDC)	62119	Institutional
Northwest Physicians Network (For claims with a DOS of 01/21/2021 and greater use payer ID LIFE1)	NPN11	Institutional
Northwest Suburban IPA (IL) Northwest Suburban IPA Illinois	36346	Institutional
Northwestern Medicine Phys Network Northwestern Medicine Physcians Network	NWEST	Institutional
Northwood Healthcare	NWOOD	Institutional
Nova Healthcare Administrators Inc. (Grand Island NY) NOVA Healthcare Administrators NY	16644	Institutional
Novant Health Direct to Employers	HLSTA	Institutional
NX Health Network	44412	Institutional
Nyhart	37299	Institutional
NYS Department of Health	14142	Institutional
Oak Street Health	OAKST	Institutional
Oak West Physician Association Oak West Primary Physician Association	36400	Institutional
Occhsner Health Plan Ochsner Health Plan	A5236	Institutional
Ohio Health Choice PPO Ohio Health Choice PPO	34189	Institutional
Ohio Medicare Part A Jurisdiction 15 Medicare Part B of Ohio	OHMCR	Institutional
Ohio PPO Connect	74431	Institutional
OhioHealthy Florida Hospital Waterman	48116	Institutional
Oklahoma Medicaid	SKOK0	Institutional
Oklahoma Medicare Part A	12M37	Institutional
Olympus Management Health Care Olympus Managed Health Care	65074	Institutional
OmniCare (For claims with Dates of Service after 10/01/04) OMNICARE- Coventry Health Plan of MI	25150	Institutional
One Call Medical	22321	Institutional
One Health Plan GA OSF Healthcare East	95569	Institutional
One Health Plan of California One Health Plan CA	95379	Institutional
One Health Plan of Georgia One Health Plan of Illinois One Health Plan IL	95388	Institutional
Optima Health Plan Optima Insurance Company Sentara Family Plan Sentara Health Management	54154	Institutional
Optimed Health	96277	Institutional
Optimum Healthcare Inc. Optimum Healthcare Inc	20133	Institutional
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) former payer id 52190 OptumHealth (OptumHealth Care Solutions) formerly United Resources Networks former payer ID 52190 OptumHealth Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) (Former payerID 52190)	41194	Institutional
Optum Care Network of Connecticut	E3287	Institutional
Optum Health - Physical Health (Includes Oxford) formerly ACN former payer IDs 41159 41160 ACN01 OptumHealth Physical Health - includes Oxford (former payer id 41159 41160)	41161	Institutional
Optum Maryland Behavioral Health	OMDBH	Institutional
Optum Medical Network (previously Lifeprint) OptumCare / AZ NV UT (formerly Optum Medical Network & Lifeprint Network)) OptumCare / AZ UT (formerly Lifeprint Network)	LIFE1	Institutional
Oregon Medicaid	12K41	Institutional
Oregon Medicaid	SKOR0	Institutional
Oregon Medicare	ORMCR	Institutional
Orthonet-Aetna Orthonet - AETNA	13383	Institutional
Oscar Health	OSCAR	Institutional
OSF Health Plans HUMANA Claims only Group Health Insurance - DE ARCADIAN MGMT SERVICE Humana Care Plan Humana Group Health Plan Arcadian Management Services Inc (Group number should be entered if available. ) Humana Health Chicago Humana Health Chicago Insurance Company Humana Health Plan Humana Insurance Agency Humana Insurance Company Humana Medical Plan - CA Humana Medical Plan - KY Humana Wisconsin Health Organization IBA Health & Life Assurance Co. OSF Healthcare East OSF HealthPlans Services	61101	Institutional
Oxford Health Plans UnitedHealthcare / Oxford	06111	Institutional
P3 Health Partners -Arizona	58375	Institutional
P3 Health Partners Nevada	P3HNV	Institutional
P5 Health	87068	Institutional
Pace Central Iowa	72436	Institutional
PACE CNY	70454	Institutional
Pace Nebraska	35416	Institutional
Pace of Southeast Michigan Pace Southeast Michigan	86711	Institutional
Pace of Southwest Iowa Pace Southwest Iowa	53534	Institutional
Pace of Southwest Michigan Inc.	45114	Institutional
Pacific Administrators	PCFAD	Institutional
Pacific Southwest Administrators (PSWA) Pacific Southwest Administrators	75309	Institutional
PacifiCare of Colorado	COPHS	Institutional
PacificSource Administrators Select Benefit Administrators Inc.	93031	Institutional
PacificSource Commercial	93029	Institutional
Pacificsource Medicare	20377	Institutional
Palo Alto Medical Foundation	94115	Institutional
Pan American Life Insurance	04218	Institutional
Parallon RCPS	PARLN	Institutional
Paramount Paramount Health	SX158	Institutional
Parkland Community Health Plan	66917	Institutional
Partners Behavioral Health	52613	Institutional
Partners Health Plan	14966	Institutional
Partners in Health	PARTH	Institutional
Partners Insurance Company	RP099	Institutional
Partnership Health Plan CA	12M81	Institutional
Passport Advantage ** (Effective 7-1- 18 new PID 66008 former payer ID 97652) Passport Advantage (Effective 7- 1-18 new PID 66008 former payer ID 97652)	66008	Institutional
Passport Health Plan	61325	Institutional
Path Administrators (DH Evans) D H Evans & Associates reg required call 410-349-3222	25172	Institutional
Patient Advocates Patient Advocate	55489	Institutional
Patient Physician Cooperative	20510	Institutional
Payer Fusion	27048	Institutional
payer ID 84223) Keystone VIP Choice (formerly payer ID 84223)	77741	Institutional
Peak Health	PEAK0	Institutional
Peak Pace Solutions	27034	Institutional
Pediatric Associates of Broward Pediatric Associated Health Plan	20472	Institutional
Pedicare Title 21 I Par Plus	M3FL8	Institutional
PEF Clinic	PEF01	Institutional
Penn Behavioral Health	53226	Institutional
Pennsylvania Keystone Health Plan East (encounters only) Keystone Health Plan East - Encounters PA Keystone Health Plan E(encounters only-835s return PAKEY)	PEBLS	Institutional
Pennsylvania Medicaid	SKPA0	Institutional
Pennsylvania Medicare Part A Jurisdiction 12	12M60	Institutional
Pennsylvania Pace	20172	Institutional
Pennsylvania Preferred Health Network (PPHN) Americaid CC Tampa	06161	Institutional
People 1st Health Strategies	IHS03	Institutional
People One Health	IHS01	Institutional
Peoples Health Network (Tenet) (Network ID must be on claim. Contact phn.provider@tenethealth.com) Peoples Health Network	72126	Institutional
Perennial Advantage of Colorado	PACO1	Institutional
Personal Insurance Administrators Inc. Personal Insurance Administrators PIA	95397	Institutional
Phoenix Health Plan	03440	Institutional
PHP of Northern Indiana Physicians Health Plan of Northern Indiana	12399	Institutional
Physicians Care Network (Rockford IL Only) PayerID valid only for claims with billing submission name city and state of Physicians Care Network Rockford IL. Physicians Care Network (Rockford IL only)	36345	Institutional
Physicians Choice Medical Group of Santa Maria	MCI01	Institutional
Physicians Corporation of America (Florida Plan Only)	65018	Institutional
Physicians Health Association Physicians Health Association of Illinois	37136	Institutional
PHYSICIANS HEALTH COLLABORATIVE	20398	Institutional
Physicians Health Plan Physicians Health Plan (For behavioral Health claims processing see documents sent to your office from the payer.)	37330	Institutional
Physicians Medical Group of San Jose Physicians Health Plan of Michigan Medicare	EXC01	Institutional
Physicians Mutual Physicians Mutual Insurance Company	47027	Institutional
Physicians of Southwest Washington	91171	Institutional
Physicians Plus Insurance Corp. Physicians Plus Insurance Corporation	39156	Institutional
Pinnacle Medical Group	95271	Institutional
Pinnacol Assurance	84109	Institutional
Pittman Crossover	00156	Institutional
Planned Administrator Planned Administrators Inc. (PAI)	37287	Institutional
PodAmerica	RP106	Institutional
Podiatry Network FL	59324	Institutional
Point Comfort Underwriters	PCU01 PCU02	Institutional
PPO Plus LLC	72148	Institutional
Prairie States Enterprises Inc. Prairie States Enterprises	36373	Institutional
Preferred Administrator I Par Plus Preferred Admin (Provider Relations @ (915)532-2778 x1068)	EPF10	Institutional
Preferred Care - NY	12X04	Institutional
Preferred Care Partners / FL	65088	Institutional
Preferred Health Care (PHC) Preferred HealthCare Lancas	33898	Institutional
Preferred Health Plan (Louisville KY previous payer ID 61106 ) Healthsmart Benefit Solutions (Wells Fargo TPA formerly Acordia National) Preferred Health Plan (Louisville KY) Preferred Health Professionals (PHP Kansas City previous ID 61106)	87815	Institutional
Preferred Health Plan of Carolinas (PHPC)	CB404	Institutional
Preferred Health Systems Insurance Co (PPO) PREFERRED BEN ADMIN	61665	Institutional
Preferred Health Systems Inc. Preferred Health System	60110	Institutional
Preferred IPA	PFIPA	Institutional
Preferred Med Grp AKA Vantage AmeriWest Cal Care LAMC Vantage Medical Group Use Payer ID PPM01 for claims with DOS prior to 08.01.2020 Desert Family Practice Association	PPM01	Institutional
Preferred Network Access	36401	Institutional
Preferred One	41147	Institutional
Premera Blue Cross (WA) Premera Blue Cross WA	00430	Institutional
Premier Administrative Solutions	65415	Institutional
Premier Healthcare Exchange	88051	Institutional
Premier HealthCare Exchange (Cypress)	88056	Institutional
Presbyterian Health Plan (Commercial) (Provider ID is required. Contact (888) 923-5757 6 then 2 to obtain ID. New Mexico Providers only.) Presbyterian Health Plan	PREHP	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
Presbyterian(NM) Presbyterian (NM)	05003	Institutional
Presence ERC	46311	Institutional
Prestige Health Choice (Payer is effective 5/1/2014 Managed Medicaid Plan. For EDI Support please email edi.phc@amerihealthcaritas.com or call 800-617-5727) Prestige Health Choice	77003	Institutional
Prevea Health Insurance Plan Arise Health Plan (Formerly Prevea Health) Arise Health Plan Prevea Health Plan	39185	Institutional
Prevea360	41822P	Institutional
Prevea360 Health Plan Children's Community Health Plan Chorus Community Health Plans (WI Medicaid) Wellfirst Health Care4Kids (WI Medicaid) Care4Kids (WI Medicaid plans) Dean Health Plan	39113	Institutional
Prezzo	CB531	Institutional
Prezzo	A2314	Institutional
Primary Care CA Primary Care Assoc of CA (Customer Service877-602-1563)	PCACZ	Institutional
Primary Care of Joliet	PCJOL	Institutional
Primary Health Network	82048	Institutional
Primary PhysicianCare Inc.(Now known as HealthGram) Healthgram Primary PhysicianCare Inc.	56144	Institutional
Prime Community Care Central Valley Prime Community Care of Central Valley(837I & 837P)	MVCV1	Institutional
Prime West Health Plan	61604	Institutional
Priority Health (Please contact Priority Health EDI Dept at 616- 464-8686 or email EDISETUP@Priority-Health.com) Priority Health	38217	Institutional
Prism Univera Prism-Universa	37315	Institutional
ProCare Texas	PTX01	Institutional
Prodegi	U8151	Institutional
Professional Benefit Administrators Inc. (Oak Brook IL) Professional Benefit Administrators Inc (Oak Brook IL)	36331	Institutional
Professional Claims Management (Canton OH) Professional Claims Management	37242	Institutional
Progressive Benefit Services Inc HSHS Medical Group IPA	37137	Institutional
PROGYNY	PROGY	Institutional
Prominence Administrative Services	88022	Institutional
Prominence Health Plan Encounters St. Marys Health Plan Encounters St.. Mary's Health Plan Encounters	88082	Institutional
Prominence Health Plan of Florida Prominence HealthFirst of Florida Inc	83352	Institutional
Prominence Health Plan of Nevada	93082	Institutional
Prominence Health Plan of Texas	80095	Institutional
Prominence Health Plan ST MARYS HEATLH PLAN Saint Marys Health Plan	88029	Institutional
Providence Facility Claims	PROV1	Institutional
Providence Health Assurance	77350 77355	Institutional
Providence Health Plan	PHP01	Institutional
Providence Health Plan	SX133	Institutional
Providence Health PPO	SX187	Institutional
Providence Insurance & Administrative Services Providence Administrative Services	PAS01	Institutional
Provident Life & Accident Insurance Company Provident Life & Accident Insurance Company of America Provident Life & Casualty Insurance Company Healthpoint Corporation Healthsource Provident (CIGNA) Healthsource Provident Ins. Co.	68195	Institutional
Provider Network of America	MPJVL	Institutional
Provider Partners Health Plan Illinois	31401	Institutional
Provider Partners Health Plan of Texas Provider Partners Health Plan Texas	31405	Institutional
Provider Partners Health Plan Pennsylvania	31400	Institutional
ProviDRs Care Network	48100	Institutional
Pruitt Health Premier	PH001	Institutional
Pruitt Health Premier (NC SC)	PHPC1	Institutional
Psychealth Care Management LLC Psychealth Care Management Assoc	A2797	Institutional
PUBLIC EMPLOYEES HEALTH PROGRAM PEHP	SX106	Institutional
Qualcare Arkansas Qualchoice Arkansas	35174	Institutional
Qualcare IPA	QCP01	Institutional
Quality Care Partners Quality Care Partners (QCP)	89461	Institutional
Quartz Administrative Services Organization (ASO)	46571	Institutional
Quest Behavioral Health	44219	Institutional
QuikTrip Quicktrip Corporation	73067	Institutional
Ravenswood Phys Assoc Ravenswood Physician Assoc	RPAWC	Institutional
RBMS LLC	91176	Institutional
Redirect Health Administration	86145	Institutional
Redlands Yucaipa Medical Group	18247	Institutional
Regal Med Group Regal Medical Group	REGAL	Institutional
Regence BCBS Idaho Regence BS Idaho	00611	Institutional
Regence BCBS Utah	00910	Institutional
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)	U1100	Institutional
Regence Group Administrators	RGA01	Institutional
Regency Empolyee Benefits	38221	Institutional
Regional Care INC Regional Care Inc.	47076	Institutional
Reliance Health Plan	RHP01	Institutional
Renaissance Physicians Organization	76066	Institutional
Reserve National Insurance Reserve National Insurance (For Claims rejections please contact Reserve national Customer Service at (405)848-7931.)	73066	Institutional
Resolve Health Plan Ad (Auth # required: begins w5 &13len Innovative Payer 1	20481	Institutional
Resolve Health Plan Administrators LLC	RHA01	Institutional
RESURRECTION HEALTH CARE PREFERRED Family Medical Network	36396	Institutional
Resurrection Physicians Group I Par Plus Resurrection Physician Provider Group	RPPG1	Institutional
RevClaims	RVC01	Institutional
Rhode Island Medicaid	12K74	Institutional
Rhode Island Medicaid	SKRI0	Institutional
Right Care from Scott & White	74205	Institutional
RightChoice Benefits Administrators	37331	Institutional
Rios Southwest Medical Group	RIOS1	Institutional
River City Medical Group	RCMG1	Institutional
Riverside Health Inc Riverside Health Inc	45281	Institutional
Riverspring Health Plans	05178	Institutional
RMSCO INC. RMSCO Inc.	16117	Institutional
Rocky Mountain Health Plan Grand Junction	84065	Institutional
Rocky Mountain Pace	93142	Institutional
Rubicon Health Group	IHS18	Institutional
Rush Prudential Health Plans (HMO Only)	36389	Institutional
S & S Healthcare Strategies	31441	Institutional
Sagamore Health Network Sagamore Health Network Inc.	35164	Institutional
Salvasen Health	CB122	Institutional
Samaritan Health Plans	CP001	Institutional
Samera Health Mint Health Plans/Samera Health	U8053	Institutional
San Diego County Medical Services (CMS) San Diego County Medical Services	MSO11	Institutional
San Diego County Physician Emergency Services	MSO22	Institutional
San Diego County Ryan White Primary Care Program	MSO33	Institutional
San Diego County Sheriffs Department	MSO55	Institutional
San Diego PACE	96400	Institutional
San Francisco Health Plan	SFHP1	Institutional
San Luis Obispo Select IPA San Louis Obispo Select	33072	Institutional
San Mateo Health Commission dba Health Plan of San Mateo	12X74	Institutional
Sana Benefits	50114	Institutional
Sanford Health Plan	MNSHP	Institutional
Santa Clara Family Health Plans	24077	Institutional
Sante Community Physicians Medical Group Corp. Sante Health System Medi-Cal Sante Health System Medi-C	SNTMC	Institutional
Sante Health Systems	SANTE	Institutional
Sante Health Systems Sante Health System	77038	Institutional
Satellite Health Plan Inc (Satellite Health Plan is a MA ESRD C-SNP effective 1/1/14. First Time submitters please fax a W9 to 650-625-6083) Satellite Health Plan Inc	45552	Institutional
Saudi Health Mission	SHM01	Institutional
Scan CA Scan Health Plan CA	SCAN1	Institutional
SCAN Encounters (Diversified Data Design (DDD)) SCAN Encounters	99157	Institutional
Scan Health Plan Arizona	SCAN2	Institutional
Scan Health Plan AZ	73172	Institutional
SCHC Total Care Total Care of NY (Former payer ID TCARE) SCHC Total Care Inc	16146	Institutional
SCHS Alta Global Medical Care Group	MPM54	Institutional
Scott & White I Par Plus Scott & White Health Care	88030	Institutional
Scripps Health Plan MSO	SHPM1	Institutional
Scripps Health Plan Services	SHPS1	Institutional
Seaview IPA	SVIPA	Institutional
Secure Health of Georgia (Claims for this payer id are only accepted with a DOS equal to or after 01/01/2021) Secure Health Plan of GA ## (Claims for this payer id are only accepted with a DOS equal to or after 01/01/2021)	42561	Institutional
Secure Health of Georgia (Claims for this payer id are only accepted with a DOS prior to 12/31/2020) Secure Health Plan of GA ## (Claims for this payer id are only accepted with a DOS prior to 12/31/2020)	28530	Institutional
SecureCare Dental Merchants Benefit Administration INC	86057	Institutional
SecureOne	86242	Institutional
Security Administrative Systems Cornerstone Benefit Administrators HealthSmart Security Administrative Services	35202	Institutional
Security Health Plan	39045	Institutional
Sedgwick Sedgwick CMS	TP097	Institutional
Select Benefit Administrators of America SELECT BENEFIT ADMIN	37282	Institutional
Select Health of South Carolina	23285	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
Self Insured Benefit Admin FL Self Insured Benefit Administrators	59111	Institutional
Self Insured Plans Self Insured Plans LLC	36404	Institutional
Self-Funded Plans Inc (IL PA OH) Self-Funded Plans (IL PA OH)	34131	Institutional
Selman Company	52214	Institutional
Selman Tricare Supplement Plans	TRSEL	Institutional
Sendero Health	SCS17	Institutional
Sendero IdealCare	11440 UV440	Institutional
Senior Whole Health Care ## (Use payer ID SWHNY for DOS equal to or after 01/01/2021) Use payer ID 83035 for DOS prior to 01/01/2021) Senior Whole Health (Use payer ID SWHNY for DOS equal to or after 01/01/2021). Use payer ID 83035 for DOS prior to 01/01/2021)	SWHNY	Institutional
Senior Whole Health Care ## (Use payer ID 83035 for DOS prior to 01/01/2021. Use new payer ID SWHNY for DOS equal to or after 01/01/2021) Senior Whole Health (Use payer ID 83035 for DOS prior to 01/01/2021. Use new payer ID SWHNY for DOS equal to or after 01/01/2021)	83035	Institutional
Senior Whole Health Massachusetts	SWHMA	Institutional
Sentinel Management Sentinel Management Services	23249	Institutional
Sentinel Security Life Insurance Atlantic Coast Life Insurance	87020	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 Star	STAR1	Institutional
Seven Corners	25404	Institutional
SGIC	11789	Institutional
Shared Health Mississippi	SHTM1	Institutional
Shared Health Mississippi	SHTMS	Institutional
Sharp Health Plan	SHP01	Institutional
Sheet Metal Workers Local 104 (PayerID valid for submission add of PO Box 1138 San Ramon CA 94583.) Sheet Metal Workers Local 104 BeneSys Inc. (Now known as Sheet Metal Workers Local 104)	38238	Institutional
Sierra Health and Life (Health Plan of Nevada) Health Plan of Nevada Sierra Health and Life	76342	Institutional
Sierra Health Services Encounters (Health Plan of Nevada) Health Plan of Nevada (Encounter claims) Sierra Health and Life (Encounters)	76343	Institutional
SIHO	77153	Institutional
Silver Cross Managed Care Organization	NASCR	Institutional
Silver Star Pace	97691	Institutional
Silverback TPA (previous payer ID 37728) For all dates of services on and after Jan. 1 2019 claims should be submitted WellMed payer ID WELM2 WellMed (Claims) Wellmed Medical (Claims) I Par Plus	WELM2	Institutional
Simply HealthCare Plans	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
Sinclair Health Plan	84076	Institutional
SISCO	44827	Institutional
Smith Administrators	02057	Institutional
Smoky Mountain Center	13010	Institutional
Snedeker Risk Mangament Snedeker Risk Management	A7637	Institutional
So CA Health Care SystCHS Alta Pod Medpoint &SCHS Alto Pod	MPM20	Institutional
Solidarity Healthshare	77721	Institutional
Solis Health Plans	SOLIS	Institutional
Somos IPA (Emblem Health)	81508	Institutional
Sonder Health Plans Sondor Health Plans	A0339	Institutional
Sound Health First Choice Health Administrators First Choice Health Network Sound Health now known as First Choice Health Network Sound Health (now known as First Choice Health Network)	91131	Institutional
Soundpath Health Soundpath Health (Formerly known as Puget Sound Health Partners Inc.)	42172	Institutional
South Atlantic Medical Group	SAMG1	Institutional
South Carolina Medicaid	12K55	Institutional
South Central Preferred (SCP) WellSpan Plus	23266	Institutional
South County Health Alliance (previously under Payer ID 41154)	81600	Institutional
South Dakota Medicaid	12K36	Institutional
South Dakota Medicare	SDMCR	Institutional
South Florida Common Services Memorial Integrated Healthcare/South Florida Community Care Network	59065	Institutional
South Florida Musculoskeletal Care	06294	Institutional
SouthCare/Healthcare Preferred Southcare / Healthcare Preferred	25147	Institutional
Southeast Michigan Pace	R3460	Institutional
Southern Illinois Healthcare	UIHCA	Institutional
Southern Illinois Healthcare Assoc	SIH99	Institutional
Southland Benefit Solutions Amerikids-Dallas/Ft. Worth Amerigroup Houston (Claims and Encounters) Amerigroup Houston	26374	Institutional
Southwest Mighigan Behavioral Health Mental Health Southwest Michigan Behavioral Health Mental Health	A3268	Institutional
Southwest Mighigan Behavioral Health Substance Use Disorder Southwest Michigan Behavioral Health Subtance Use Disorder	A4585	Institutional
Southwest Physicians Group	SWPG1	Institutional
Southwest Service Administrators PHX Teamsters UT/MT/ID PHX Teamsters UT/MT/ID (For Dates of Service after 05/01/16)	CX100	Institutional
Southwest Service Life/Galaxy Health Southwest Service Life	37266	Institutional
Southwestern Health Resources Clinically Integrated Southwestern Health Resources Clinically Integrated (DOS After Dec. 31 2022)	RP085	Institutional
Specialty Care Program	IHS17	Institutional
Spectrum Administrators Populytics (formerly Spectrum Administrators)	23253	Institutional
St Mary's IPA St Mary IPA	SMIPA	Institutional
St. James PHO	11158	Institutional
St. John's Claims Administration St. Johns/First Health	37264	Institutional
St. Therese Physician Association	37116	Institutional
Staff Benefits Management Administration	SBMCO	Institutional
Standard Life & Accident Insurance Company	73099	Institutional
Standard Life and Accident Standard Life & Accident (Payer accepts secondary claims only and Medicare cannot be primary payer.)	01758	Institutional
State Farm Health State Farm Homeowners Group Medical Plans (Note that payer requires Insured’s ID of 11 digits and exact structure. Otherwise claims will reject). State Farm Workers Compensation Plans (Note that payer requires Insured’s ID of 11 digits and exact structure. Otherwise claims will reject)	31053	Institutional
STATE FARM MUTUAL AUTOMOBILE INSURANCE CO State Farm (Property & Casualty ) State Farm Casualty & Property Claims	31059	Institutional
State of TX Dental Government Employees Health Association Inc. (GEHA) Government Employees Health Association Inc. (GEHA)	57254	Institutional
Sterling Medicare Advantage Sterling Medicare Advantage (Claims containing Dates of service after 4-30-2014 claims should be sent to Wellcare PayerID 14163)	67829	Institutional
SummaCare Health Plan	95202	Institutional
Summit Community Care	PASSE	Institutional
Summit Healthplan I Par Plus	20197	Institutional
Sunrise Advantage Plan Pennsylvania	SPA01	Institutional
Superier Health IHG Dirwxr	75274	Institutional
Superior Health/Centene Corp I Par Plus	SHP11	Institutional
Superior Insurance Services	97802	Institutional
Sutter Connect - Sutter Gould Medical Foundation - Claims Sutter Connect Gould	IP091	Institutional
Sutter Health Aetna	60624	Institutional
Sutter Medical Group	SC004	Institutional
Swedish Covenant	U6411	Institutional
Swedish Covenant Hospital	36411	Institutional
Tall Tree Administrators Tall Trees Administrators	88067	Institutional
Tarrant Health Services (previous payer ID 37728) For all dates of services on and after Jan. 1 2019 claims should be submitted WellMed payer ID WELM2	37228	Institutional
Team Choice - Alpha Care Gold I Par Plus Nexcaliber	ADSL1	Institutional
Team Choice PNS	75133	Institutional
Teamcare Central States Southeast and Southwest Areas Health and Welfare and Pensions Funds Central States Health & Welfare Funds Rosemont of Des Plaines IL	36215	Institutional
Tech-Steel Inc. Intermountain Ironworkers Trust Fund Operating Engineers Local No 53 8th Distric Electrical CompuSys Incorporated (New Mexico) Utah Carpenters CompuSys Incorporated of Arizona Utah Laborers CompuSys Incorporated of Utah CompuSys/Erisa Group Incorporated (AZ) CompuSys/Erisa Group Incorporated (NM) CompuSys/Erisa Group Incorporated (TX) Transwestern General Agency Chapter NECA Health & Welfare Trust IBEW Western Utilities or Local 57 City of Austin Erisa Administrative Services Incorporated Erisa Administrative Services Inc. New Mexico District Council of Carpenters New Mexico Painters and Allied Trades Local No 823 New Mexico-West Texas Multi- Craft (lso known as New Mexico Laborers) Advanstaff Inc. Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Metal Trades Health Plan Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Pipe Trades Health Plan Utah Pipe Trades	74234	Institutional
Teddy Health	TEDDY	Institutional
Telamon	22483	Institutional
Tennessee Medicaid	SKTN0	Institutional
Tervist Speciality Care Program	IHS08	Institutional
Tethys Health Ventures Tehtys 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 Children	75228	Institutional
Texas Children's Health Plan	76048	Institutional
Texas Health Aetna	88221	Institutional
Texas HealthSpring Texas Healthspring I Par Plus	THS01	Institutional
Texas Medicaid	12K64	Institutional
Texas Medicaid Long Term Care	12K96 SKTX1	Institutional
TexasFirst Health Plan	13185	Institutional
The Benefit Group	TBGNE	Institutional
The Boon Group	BOONG	Institutional
The Care Network- Savannah Business Group (TCN) The Care Network The Care Network- Savanna	68423	Institutional
The Chesterfield Companies Chesterfield Resources Inc.	34154	Institutional
The City of Odessa	75600	Institutional
The Colorado Purchase Alliance	TCPA1	Institutional
The Health Exchange (Cerner Corporation) The Health Exchange	20356	Institutional
The Health Plan of West Virginia Inc The Health Plan (Upper Ohio Valley) The Health Plan (Upper Ohio Valley)	34150	Institutional
The Health Plan of West Virginia Inc	95677	Institutional
The Healthcare Group (THCG) Encore Health Network (Note: Group Policy Number in HCFA Box 11 is required.) Encore Health Network	35206	Institutional
The Loomis Company The Loomis	23223	Institutional
The Macaluso Group	82694	Institutional
The Preferred Healthcare Systems (TPHS) The Preferred Healthcare System - PPO Altoona PA PrimeSource Health Network	04320	Institutional
TLC Advantage in Sioux Falls TLD Advantage in Sioux Falls	TLC01	Institutional
TN (formerly AmeriChoice TN: UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare Secure Plus Complete)	95378	Institutional
Today's Health Today's Health I Par Plus	WITH1	Institutional
Today's Option I Par Plus	48055	Institutional
Total Community Care InnovAge InnovAge (Total Community Care)	31182	Institutional
Total Plan Concepts	80900	Institutional
Total Senior Care	12268	Institutional
Touchstone Health PSO	23856	Institutional
TR PAUL INC TR Paul Inc.	37230	Institutional
Transamerica Life Ins/Monumental Life/Stonebridge Life	TRP1E	Institutional
Transchoice - Key Benefit Admin TransChoice Key Benefit Administrators	37284	Institutional
Travis County Healthcare District Central Health Travis County MAP - Mediview Community Care Collaborative Travis County Hospital District	TCMAP	Institutional
Travis County Hospital District MAP I Par Plus	TCHD1	Institutional
Travis County MAP - Mediview	UCMAP	Institutional
Tri-Valley Medical Group	20538	Institutional
Triada Assurance	CB733	Institutional
Tribute Healthcare Central Benefit National (Now known as Tribute Health Plan.)	61184	Institutional
Tricare East (effective 01-01-2018) Tricare East Tricare East Effective 1-1-2018	TREST	Institutional
Tricare for Life (All Regions 1-12) Tricare for Life	TDDIR	Institutional
Tricare Overseas	FOREN	Institutional
TRICARE West / UnitedHealthcare Military & Veterans (formerly TriWest) TRICARE West (UnitedHealthcare Military & Veterans) UnitedHealthcare Military & Veterans / TRICARE West	99726	Institutional
TriHealth Physician Solutions	31144	Institutional
Trilogy Health Network	62777	Institutional
Trinity Health Pace	TRNPC	Institutional
Trinity Health Solutions Inc - Everpointe	32052	Institutional
Triplefin LLC Triplefin LLC	64300	Institutional
TRISTAR Benefit Administrators Select Benefit Administrators (Des Moines Iowa) Select Benefit Administrators (PayerID valid for claims submission address of PO Box 8339 Des Moines IA 50301)	42137	Institutional
TriWest Healthcare Alliance (VA CCN Regions 4 5 &6)	TWCCN	Institutional
Troy Medicare	TRYMC	Institutional
TruBlue True Blue TPA	83413	Institutional
True Choice USA - Christus Healthplan I Par Plus	TCUCH	Institutional
True Health New Mexico	82288	Institutional
True Health New Mexico FEHBP	85824	Institutional
Truli for Health	TRULI	Institutional
Trusteed AKA: TPSC Benefits	91078	Institutional
Trustmark Small Business Benefits Tooling & Manufacturing Assoc. Benefit Trust Life Insurance Company Starmark Tooling & Manufacturing Association	61425	Institutional
Tufts Health Plan Tufts Associated Health	04298	Institutional
U OF U HEALTH PLANS	SX155	Institutional
UC Davis Health Systems UC Davis Health System	UCDMG	Institutional
UCare Individual & Family Plans	55413	Institutional
Ucare of Minnesota (Use payer ID 52629 for DOS in 2018. Use new payer ID 55413 for UCare Individual & Family Plans with DOS in 2019) Ucare of MN(Use ID 52629 DOS in 2018 UseID 55413 DOS in 2019	52629	Institutional
UCS (Electrical Workers Insurance Fund Local 5800)	93235	Institutional
UHA Health Insurance	UHA01	Institutional
UHIN Test Payer All Transactions Good	ALLGD	Institutional
Ultimate Health Plan	77022	Institutional
Ultra Benefits Inc. UltraBenefits Ultra Benfits Inc.	41206	Institutional
UMC Health System UMC Health Plan	75130	Institutional
Umpqua Health Alliance	77503	Institutional
UMR (UMR Wausau) UMR (formerly UMR Wausau) UnitedHealthcare / UHC Shared Services - UHSS formerly UHIS UnitedHealthcare / UHIS- UnitedHealthcare Integrated Svcs.	39026	Institutional
UMWA Health & Retirement Funds UMWA Health & Retirement Funds (Dental) UMWA - UNITED MINE WORKERS ASSOC	52180	Institutional
Unified Group Services	35198	Institutional
Unified Health Services	62170	Institutional
Unified Physicians Network Unified Physicians Network (For Claims rejections please contact Unified Physicians claim department at 847-763-1700)	34638	Institutional
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS	U6844	Institutional
Unite Health Share Ministries (UHSM)	83173	Institutional
Unite Here	59144	Institutional
Unite Here Health	37144	Institutional
United Claim Solutions	A0047	Institutional
United Claim Solutions United Claims Solutions	20090	Institutional
United Claims Solutions Insight Benefit Administrators United Claims Solutions Insight Benefit Administrator	96436	Institutional
United Healthcare Ohio Medicaid	88337	Institutional
United Healthcare Ohio Medicaid Dental DentaQuest	83244	Institutional
United Healthcare Ohio Medicaid Vision	83572	Institutional
UNITED HEALTHCARE SERVICES INC(Optum Salt Lake) OptumHealth SLC Optum Tooele	U6885	Institutional
United Medical Alliance UCHealth Plan Administrators (As of 8/1/14 CSMED UMA & Phycor combined)	84132	Institutional
UnitedHealthcare (Student Resources ) UnitedHealthcare / StudentResources	74227	Institutional
UnitedHealthcare Community Plan / AZ / Children's Rehabilitative Services (CRS) / Long Term Care UnitedHealthcare Community Plan / Arizona Long Term Care - BH & SNP / Children's Rehabilitative Services (CRS) UnitedHealthcare Community Plan / AZ (formerly Arizona Physicians IPA and APIPA)	03432	Institutional
UnitedHealthcare Community Plan / KanCare UnitedHealthcare Community Plan / KS - KanCare	96385	Institutional
UnitedHealthcare Community Plan / Missouri UnitedHealthcare Community Plan Missouri	86050	Institutional
UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid NJ Family Care NJ Personal Care Plus) AmeriChoice NJ Medicaid NJ Family Care (UnitedHealthcare Community Plan) UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid NJ Family Care NJ Personal Care Plus) former payer id 86001	86047	Institutional
UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect (formerly SecureHorizons) UnitedHealthcare West / UnitedHealthcare of CA OK OR TX WA and PacifiCare of AZ CO NV First Seniority Freedom UST Healthproof (Effective for claims with a DOS of 2023) OptumHealth (OptumHealth Behavior Solutions) formerly United Behavioral Health and Pacificare Behavioral Health) former payerID 33053 OptumHealth (OptumHealth Behavioral Solutions of NM) MAHP (MD IPA Optimum Choice and MLH) UnitedHealthcare AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons) United Healthcare AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network / Oxford Mosaic Network former payer id 06111 Arnett Health Plans Former PayerID 95440 Definity Health Plan (UnitedHealthcare) Harvard Pilgrim Passport Connect OptumHealth Behavior Solutions formerly United Behavioral Health and PacifiCare Behavioral Health) former payer ID 33053 Op	87726	Institutional
UnitedHealthcare West / Encounters (formerly PacifiCare) UnitedHealthcare West Encounters (formerly known as PacifiCare)	95958	Institutional
UnitedHealthOne / UnitedHealthcare Life Insurance Company - Golden Rule UnitedHealthOne / Golden Rule Rooney Life Ins.	37602	Institutional
UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security) All Savers Insurance / UnitedHealthcare UnitedHealthcare / All Savers Alternate Funding UnitedHealthcare / All Savers Insurance	81400	Institutional
Unity Health Insurance	66705	Institutional
Unity Health Partners	A1152	Institutional
Univera Healthcare SSA WNY PPO Traditional	12X19	Institutional
Univera Healthcare WNY	12X18	Institutional
Univera Traditional PPO Univera PPO	UNINW	Institutional
Universal Care - California Universal Care - California (ProviderID required.)	33001	Institutional
University Family Care	09830	Institutional
University Family Care - Healthcare Group University Physicians Healthcare Group	07503	Institutional
University Family Care - Maricopa Health Plan Maricopa Health Plan / Maricopa Care Advantage	09908	Institutional
University Health Alliance	99026	Institutional
University Health Care Advantage Essence Healthcare CA Essence Healthcare - CA	46407	Institutional
University Healthcare Marketplace	45437	Institutional
University of Illinois	UIC67	Institutional
University of Maryland Health Advantage	45282	Institutional
UPMC Health Plan	23281	Institutional
Upper Peninsula Health Group TPA Upper Peninsula Heath Group TPA	37324	Institutional
Upper Peninsula Health Plan	38337	Institutional
US Benefits HealthSmart US Benefits HealthSmart US Benefits (Dental)	93092	Institutional
US Department Of Labor (837I & 837P) US Department of Labor	77044	Institutional
US Network and Administrative Services	USN01	Institutional
USAA (United States Automobile Association) USAA	74095	Institutional
USFHP St Vincent Catholic Med Center NY Uniformed Service Family Health Plan	13407	Institutional
UST Healthproof (Effective for claims with a DOS of 2022) UST Healthproof (Effective for claims with a DOS of 2022)	83245	Institutional
UTAH DEPARTMENT OF HEALTH Utah Medicaid FFS	SKUT0	Institutional
Utah Medicaid Crossover	U4005	Institutional
Utah Medicare	UTMCR	Institutional
VA Affairs Financial Services Center	VAFSC	Institutional
VA Patient Centered Community Care Program Region 5A VA Patient-Centered Community Care Prog (VAPCCC) Region 5A	VAPC3	Institutional
VA Patient Centered Community Care Reg 3	55912	Institutional
VA Patient Centered Community Care Region 5B VAPCCC Region 5B	55916	Institutional
VA Premier Complete Care	VPCCI	Institutional
VACCN Community network VA Community Care Network for Dental Providers Region 2 (Effective for Dental claims with DOS on or after 10/08/2019) VA Community Care Network for Dental Providers Region 3 (Effective for Dental claims with DOS on or after 01/07/2020) VA Community Care Network Region 1 (Effective for 837P claims with DOS on or after 07/29/2019) VA Community Care Network Region 2 (Effective for 837P claims with DOS on or after 10/08/2019) VA Community Care Network Region 3 (Effective for 837P claims with DOS on or after 01/07/2020) VA Community Care Network Region 1 (Effective for claims with DOS on or after 07/29/2019) VA Community Care Network Region 2 (Effective for claims with DOS on or after 10/08/2019) VA Community Care Network Region 3 (Effective for claims with DOS on or after 01/07/2020) Dental Providers Region 1	VACCN	Institutional
Valir Pace (Formerly Via Christi Hope) Valir Pace	48123	Institutional
VALLEY HEALTH PLAN	VHP03	Institutional
VALLEY HEALTH PLAN	VHP01	Institutional
VALLEY HEALTH PLAN Valley Health Plan Medi-CAL	VHP02	Institutional
Valley Presbyterian Hospital Community Family Care	MPM61	Institutional
Valley Presbyterian Hospital Preferred IPA	MPM60	Institutional
Valley Presbyterian Hospital Valley Presbyterian Hospital Preferred IPA	MPM53	Institutional
Valor Medicare Advantage Valor Health Pan	43259	Institutional
Value Options / MBHP ValueOptions/MBHP (For claim rejections please contact e- SupportServices@valueoptions.c om or 888-247-9311)	43307	Institutional
Value Options Marland Mental Hygiene	22322	Institutional
Vanderbilt University Medical Center Vanderbilt Univ Med Center	BPSLLC	Institutional
Vantage Health Plan	77701	Institutional
Vantage Medical Group Use Payer ID PROSP for claims with DOS after 08.01.2020 Prospect Medical Group Vantage Medical Group	PROSP	Institutional
Varipro	72187	Institutional
Ventura County Healthcare Plan	VCHCP	Institutional
Verity National Group	75256	Institutional
VESTACARE VestaCare / RH Admin	VESTA	Institutional
Vibra Health Plan	15976	Institutional
VieCare Life Armstrong	25922	Institutional
Viida Care (Now known as Amida Care) Vida Care (Now known as Amida Care.) Amida Care (Formerly Vida Care.)	24818	Institutional
VillageCareMAX	26545	Institutional
Virgin Islands Medicare	12M52	Institutional
Virginia Premier Elite Plus	VPEP1	Institutional
Virginia Premier Health Plans (Effective 02-01-2019 former payer IDs VPEP1 54176 VPELT VPCCP VPHP1VPCCI MAPDI 12K83 MAPDP) Virginia Premier Health Plans	VAPRM	Institutional
Virginia Premier Preferred Gold	251VA	Institutional
VIVA Health Viva Health Plan	63114	Institutional
Vivida Health Plan (Use this ID for dates of service on or after 01/01/21)	A0102	Institutional
Vivida Health Plan (Use this ID for dates of service prior to 01/01/21)	45488	Institutional
VNA Homecare Options (Medicaid line of business)	31626	Institutional
VNS Choice Medicare (Formerly Visiting Nurse Service) VNS CHOICE Medicare (Formerly Visiting Nurses Service)	77073	Institutional
Volusia Health Network	59266	Institutional
Vxtra Health	99915	Institutional
Vytra Health UB	E2264	Institutional
VYTRA Healthcare (Provider ID number required. Please call 1- 631-420-4100 opt 4 opt 4 for payer set-up and payer assigned provider ID number.) Vytra Healthcare	22264	Institutional
WA Blue Cross Regence (UMP) WA Blue Shield Regence Regence Blue Shield of Washington	00932	Institutional
Wabash Memorial Hosp Association Wabash Memorial Hospital Association	85256	Institutional
Washington Medicaid	SKWA0	Institutional
Washington Medicare	WAMCR	Institutional
Waterstone Benefit Administrators	73155	Institutional
Weiss Health Providers	36337	Institutional
Welbehealth	WBHCA	Institutional
Wellcare Choice I Par Plus	M3FL4	Institutional
Wellcare Health Plan Inc. (Encounters only) Wellcare Health Plans Inc. (Encounters)	59354	Institutional
Wellcare of CT Wellcare of NY	14164	Institutional
Wellmark BCBS (Iowa South Dakota) Blue Shield of Iowa Iowa Blue Cross Blue Shield	IABLS	Institutional
Wellmark BCBS (Iowa South Dakota) Wellmark BCBS (IA SD)	88848	Institutional
WellMed (Encounters) Wellmed Medical (Encounters) I Par Plus	WELMD	Institutional
WellNet Health Plans	25711	Institutional
Wells Fargo TPA (Part A and Part B)	00214	Institutional
Wellspace Nexus	NEXUS	Institutional
Wellspan Employee Assistance Program WellSpan Employee Assitance Program	CB457	Institutional
West Suburban Health Providers	80942	Institutional
West Virginia Senior Choice	WVS01	Institutional
Western Growers Assurance Trust (aka Pinnacle Claims Management) Company Pinnacle Claims Management Inc. Western Grower's Assurance Trust (aka Pinnacle Claims Management) Western Grower's Insurance Company Western Growers Assurance Trust (aka Pinnacle Claims Management)	24735	Institutional
Western Health Advantage	68039 77225	Institutional
WESTERN MUTUAL INS Western Mutual Insurance	37247	Institutional
Western Pennsylvania Electrical Employees Insurance Trust Fund Western Pennsylvania Electric Employees	RP083	Institutional
Western Southern Financial Group WEST & SOUTHERN FINANCIAL GROUP	31048	Institutional
WestLake Financial Group Inc.	90560	Institutional
WHO PHO	WASH1	Institutional
William C Earhart William C. Earhart Co Inc. HealthSmart William C Earhart	93050	Institutional
Willow Health	WHLTH	Institutional
Wilson McShane	41095	Institutional
Wisconsin Anthem Blue Cross and Blue Shield Blue Shield of Wisconsin Blue Cross Blue Shield of Wisconsin Wisconsin Anthem Blue Cross Blue Shield Anthem Medicaid (WI) (Formerly BadgerCare)	WIBLS	Institutional
Wisconsin Medicaid Long Term Care	WILTC	Institutional
Worksite Benefit Systems Worksite Benefit Services	20333	Institutional
WPP Eldercare Wisconsin	77080	Institutional
Wyoming Medicaid	SKWY0	Institutional
Wyoming Medicare	WYMCR	Institutional
Yam Hill CCO-PHTech	YAMHL	Institutional
Yerington Paiute Tribe	51350	Institutional
Yuzu Health	IHS15	Institutional
Zebra Health HC	88858	Institutional
Zenith American Solutions	89677	Institutional
Zing Health	83248	Institutional
Zurich Insurance	16535	Institutional
Dental
Payer Name	Payer Id	Line of Business
6 Degrees Health Inc. 6 Degrees Health Inc. 6 Degrees Health INC	20446	Dental
Access Dental Plan	91185	Dental
ADN Administrators	CXADN	Dental
Advantek Benefit Administrators Advantek Benefit Admins	83077	Dental
Advisory Health Administrators	CB159	Dental
Aegis Administrative Services Aegis Andministrative Services	CB637	Dental
Aetna Affordable Health Choices Aetna Affordable Health Choices (SM) SRC	57604	Dental
Aetna Better Health Kansas (Skygen USA)	SCION	Dental
Aetna Better Health of West Virginia Aetna Better Health West Virginia	128WV	Dental
Aetna Medicare EPO PPO Dental	18014	Dental
Aetna TX Medicaid & CHIP AETNA TEXAS MEDICAID	38692	Dental
Aetna Primary Choice (Aetna HP- NY/NJ) Magellan Behavioral Health (For Dates of Service 1/1/2006 and After - Provider ID Required - AETNA Subscribers only.) Select Choice Senior Choice (Aetna HP-NY/NJ) Aetna 60054 (Commercial only) Aetna Health Plan - PPO Aetna Life & Casualty Company	60054	Dental
Affordable Benefit Administrator Affordable Benefit Administrators Benefit Plan Administrators Benefit Plan Administrators of Co Eau Claire WI Benefit Plan Administrators CO Eau Claire WI Benefit Plan Administrator Benefit Plan Administrators WI	39081	Dental
AHF RW	95433	Dental
Alaska Childrens Services Inc Alaska Laborers Construction Industry Trust Alaska Pipe Trades Local 375 Alaska United Food & Commercial Workers Health & Welfare Trust Cement Masons & Plasterers Health & Welfare Trust - Grp#F16 Automotive Machinists Local 289 Health & Welfare Trust - Grp#F32 University of Washington Students & Graduate Appts. - Grp#P67 Operating Engineers Locals 302 & 612 Health & Security Fund - Grp#F12 Welfare and Pension Administration Hotel Employees & Restaurant Employees Health Trust - Grp#F19 N.W. Ironworkers Health & Security Trust Fund - Grp#F15 N.W. Roofers & Employers Health & Security Trust Fund - Grp#F14 N.W. Textile Processors - Grp#F14 Glassworkers Health & Welfare Fund - Grp# F29 Enstar Natural Gas - Grp# P61 Puget Sound Benefits Trust - Grp#F25 Puget Sound Electrical Workers Trust - Grp#33 West Coast Stationary Engineers Health & Security Trust Fund - Grp#F13 Alaska Children's Services Inc. - Group # P68 Alaska Laborers Construction Industry Trust - Gro	91136	Dental
Allied Benefit Systems	37308	Dental
Always Care Benefits	STR01	Dental
American Administrative Group AAG (Gallagher Benefits) American Administrative Group (formerly Gallagher Benefit) AAG - American Administrative Group Cincinnati Financial Corporation Gallagher Cinncinnati Financial Corporation	37283	Dental
American Plan Administrators	95606	Dental
American Postal Workers Union Healthplan American Postal Workers Union Health Plan	44444	Dental
Ameritas	AMLFC	Dental
Ameritas of NY	FANYC	Dental
Anchor Benefit Consulting Inc Anchor Benefit Consulting Anchor Benefit (Dental)	53085	Dental
Anchor Benefit Consulting Anchor (Claimsbridge)	IHS10	Dental
Arkansas Best Corporation - Choice Benefits CIGNA CIGNA - PPA CIGNA - PPO CIGNA Health Plan - HMO Connecticut General (CIGNA) EQUICOR EQUICOR - PPO Equitable (CIGNA) HEALTHSOURCE GA HEALTHSOURCE IN HEALTHSOURCE KY HEALTHSOURCE ME HEALTHSOURCE NH HEALTHSOURCE OH HEALTHSOURCE PROVI HEALTHSOURCE SOUTH Provident TYSON FOODS Arkansas Best Corporation CIGNA Premier Plus Arkansas Best Corporation (previous payer ID 75278 new payer ID is effective for claims submitted December 15 2017 and after).	62308	Dental
Assurant Health Assurant Health Self Funded Assurant Health Self Funded (MUST VERIFY ALL CLAIMS SHOULD GO TO ALLIED BENEFIT for Assurant Health Self Funded groups with Plan effective dates after 5/1/2013)	75068	Dental
Atrio Health Plan Asserta Health	IHS14	Dental
AultCare Aultra Administrative Group PrimeTime Health plan	204951704 AULOH AULTC AULTCARE	Dental
AultCare Aultra Administrative Group PrimeTime Health plan Aultcare	341488123	Dental
Avesis	86098	Dental
Barinet (L&W)	CB369	Dental
BCBS North Carolina	61473	Dental
BCBS Of Michigan (Dental Claims Only)	BBMDQ	Dental
BCBSAZ Health Choice of AZ	RP105	Dental
Benebay Berkshire Health Plans Berkshire Health Partners	23243	Dental
Benefit Plan Administrators - ClaimsBridge Benefit Plan Administrators	IHS19	Dental
Benefit Plan Administrators Northern Nevada Trust Fund Northern Nevada Trust Funds (Call 775-826-7200 prior to submitting claims.)	88027	Dental
Berkshire Intergroup Quest EAP	10956	Dental
Blackhawk Dart Member Care ## Dart Member Care	CB987	Dental
Blue Benefit Administrators of Massachusetts CBA Blue EBPA	3036	Dental
Blue Cross and Blue Shield of Kansas	SB650	Dental
Blue Cross and Blue Shield of Kansas City	SB740	Dental
Bright Health Plan	CB186	Dental
Butler Benefits HealthSmart Butler Benefit HealthSmart Fringe Benefit Coordinators HealthSmart US Benefits HealthSmart William C Earhart	42150	Dental
Carefirst BCBS Maryland Dental	580	Dental
CareSource KY Caresource Humana Humana Caresource CareSource of Kentucky	KYCS1	Dental
Centivo Direct Network Access	IHS04	Dental
Centurion LLC Centurion	IHS11	Dental
Christian Brother Services Christian Brothers Services	38308	Dental
ClaimsBridge High Performance Network (HPN)	11752	Dental
Colorado HealthOP Colorado Health Insurance Cooperative	49718	Dental
Companion Life American Worker Health Plan American Worker Health Plan (Dental) American Worker Health Plus	37322	Dental
Core Management Resouces Group Core Management Resources Group Core Administrative Services	58231	Dental
CoreStar CoreSource of Illinois CoreSource of IOWA CoreSource of Maryland Luminare Health CoreSource of Pennsylvania Luminare Health AZ IL IN MD MN NC PA fka Trustmark Health Benefits	35182	Dental
Cornerstone Preferred Resources	CB268	Dental
Covenant Administrators LLC - 90 Degree	41101	Dental
Covenant Administrators LLC - 90 Degree Covenant Administrators LLC - 90 Degree Guarantee Trust Life Insurance Company	58102	Dental
CPR Share Plan CPR Share Plans	CB695	Dental
Crescent Health Solutions	56213	Dental
Delta Dental Georgia	DDGA1	Dental
Delta Dental Indiana	CDIN1	Dental
Delta Dental Iowa	CDIA1	Dental
Delta Dental Kansas	CDKS1	Dental
Delta Dental Kentucky	CDKY1	Dental
Delta Dental Massachusetts	4614	Dental
Delta Dental Nebraska	CDNE1	Dental
Delta Dental New Jersey	22189	Dental
Delta Dental New York	11198	Dental
Delta Dental North Carolina	56101	Dental
Delta Dental Northeast (Maine New Hampshire Vermont)	2027	Dental
Delta Dental of Arkansas	DELAR	Dental
Delta Dental of Michigan	46094	Dental
Delta Dental of Missouri	43090	Dental
Delta Dental Ohio	CDOH1	Dental
Delta Dental Oklahoma	CDOK1	Dental
Delta Dental Oregon (Oregon Dental Service)	CDOR1	Dental
Delta Dental Rhode Island	5029	Dental
Delta Dental South Carolina	43091	Dental
Delta Dental Tennessee	CDTN1	Dental
Delta Dental Virginia	CDVA1	Dental
Delta Dental Washington	91062	Dental
Delta Dental Wisconsin	39069	Dental
DeltaCare USA	DDCA2	Dental
DENTAL SELECT	CX093	Dental
Denti-Cal	94146	Dental
DirectCare	55731	Dental
Diversified Admin Corp	CX040	Dental
DMBA	SX105	Dental
DPC Core INC DPC CORE Inc.	23212	Dental
E.S. Beveridge and Associates E. S. Beveridge and Associates E.S. Beveridge	34108	Dental
East Boston Neighborhood Pace NeighborhoodHealth	25849	Dental
EDS Healthchoice (formerly payer ID 22521 - For dates of service on or after 01/01/2018 ) Healthchoice (formerly payer ID 22521) HealthChoice	71064	Dental
Emblem Dental	D3551	Dental
EMI HEALTH	SX110	Dental
Employee Benefit System Employee Benefit Systems	42149	Dental
Employee Plans LLC Employee Plans LLC	35112	Dental
Employer Health Network Employers Health Network	IHS07	Dental
Envolve Health	46278	Dental
Everence	EV483	Dental
Everence Mennonite Mutual (Now known as Everence) Mennonite Mutual Aid Association and Affiliates (Now known as Everence)	35605	Dental
First Continental Life-FCL	CX090	Dental
First RSL(NY)	FRSLC	Dental
FL MCO PHC/PHP FL MCO PHC PHP	95411	Dental
Flume Health INC Flume Health Inc.	FH205	Dental
FMH Benefit Services Luminare Health KC Luminare Health KC fka Trustmark Health Benefits FMH Benefit Services Inc.	48117	Dental
Fox-Everett Inc. Fox Everett	64069	Dental
Fringe Benefit Coordinators HealthSmart Fringe Benefit Coordinators HealthSmart Fringe Benefit Coordinators (Dental)	59204	Dental
Gaughan South LLC dba South Point Hotel and Casino	35227	Dental
GBS Group Benefit GBS Global Benefit Group Benefit Services	CB951	Dental
GEHA (Government Employees Health Association) Government Employees Health Association Inc. (GEHA) Government Employees Health Association Inc. (GEHA)	44054	Dental
Gettysburg Health Gettysburg Health Administrators Core Value (Part of Gettysburg Health.)	23274	Dental
Global Repricing Solutions Innovative Healthware Payer 6	IHS06	Dental
Gloria Gates	IHS20	Dental
Group Administrators Ltd Group Administrators Ltd.	36338	Dental
Guardian Life Insurance Company of America	64246	Dental
GulfStream- General Dynamics/CoreSource	CB624	Dental
Harrington Health BPO Harrington Health	59143	Dental
Hawaii Mainland Administrators PHCS HMA Employees PMO	86070	Dental
Health IN Tech	IHS09	Dental
Health Management Associates (HMA servicing Southeastern and Southwestern Regions) (Provider ID Required) HMA Hawaii	86066	Dental
Health Plan San Mateo Health Plan of San Mateo	HPSM1	Dental
HealthChoice Dept of Corrections & Rehab	71065	Dental
HealthComp	7205	Dental
HealthComp HEALTHCOMP INC	85729	Dental
HealthComp Benefit Administrative Systems BENEFIT ADMIN. SYSTEM	36149	Dental
Healthease Wellcare of FL	59608	Dental
Healthgram Ingham Health Plan Corp. Ingham Health Plan Corp	38343	Dental
Healthplex	11271	Dental
Healthplus Amerigroup Americaid Community Care (Dallas/Ft. Worth)	27514	Dental
Healthy York Network	22251	Dental
Heath Choice AZ Health Choice of AZ BCBSAZ ACA Standard Health with Health Choice	62179	Dental
Hillsborough County Health Care Administrative Services Administrative Services Inc.	59141	Dental
IHPlans Imperial Health Plan of California Incorporated	IHP01	Dental
IHS Gateway Payer South	CB711	Dental
Independence American Insurance Comp Independence American Insurance Independence American Ins. Co.	CB231	Dental
INETICO INC.	43471	Dental
Innovative Healthware Payer 12	IHS12	Dental
Innovative Healthware Payer 13	IHS13	Dental
Innovative Healthware Payer 16	IHS16	Dental
Innovative Healthware Payer 21 NextPA	IHS21	Dental
Innovative Healthware Payer 22	IHS22	Dental
Innovative Healthware Payer 25	IHS25	Dental
Innovative Healthware Services Payer 5	IHS05	Dental
Insurance Administrators of America Insurance Administrator of America	37279	Dental
Integra Administrative Group Integra Administrative Group (Seafor d DE) INTEGRA Administrative Group Inc.	51020	Dental
International Benefit Administration International Benefit Administrator	11329	Dental
Jericho Share	IHS02	Dental
Kentucky Medicaid Dental	CKKY1	Dental
Key Solution Key Solution (Dental)	37323	Dental
Lancaster General Health Lancaster General Health (LGH)	16109	Dental
Liberty Union Life Assurance Company Mid-America Associates Inc. Mid-America Associates	37281	Dental
Line Construction Benefit Fund	LCB01	Dental
Lockard & Williams	CB752	Dental
Luminare Health Detroit NGS Coresource Luminare Health Detroit fka Trustmark Health Benefits	38225	Dental
Luminare Health Little Rock CoreSource Little Rock CoreSource Little Rock (For claims where the 'submit claims to address' on the medical ID card is an address in Little Rock. For assistance call 800-689- 0106) Luminare Health Little Rock fka Trustmark Health Benefits	75136	Dental
Luminare Health OH Coresource of OH CORESOURCE OH Luther Care (CoreSource) Luminare Health OH fka Trustmark Health Benefits	35183	Dental
Luther Care (CoreSource)	CB212	Dental
Managed Care of North America (MCNA) Dental	65030	Dental
Mashantucket Pequot Tribal Nation Pequot Pharmaceutical Network Bluebonnet Administrators	37121	Dental
MBACLM	IHS24	Dental
Medical Benefits Mutual MedBen (Newark OH) Medical Benefits Administrators Inc. (Newark OH) Medical Benefits Companies (Newark OH) Medical Benefits Mutual (Newark OH) Medical Benefits	74323	Dental
Merchants Benefit Administration INC	MBAAZ	Dental
METLIFE	65978	Dental
MI Blue Cross PPO Blue Cross of Michigan	12B18	Dental
Michigan Medicare PlusBlue (835s returned under MIBLS) Michigan Medicare PlusBlue	MIMPB	Dental
Mid-American Benefits	22823	Dental
MOLINA HEALTHCARE OF UTAH	SX109	Dental
MotivHealth Insurance Company	U7632	Dental
MPMBA	IHS23	Dental
Municipal Health Benefits Fund Municipal Health Benefit Program Municipal Health Benefit Fund	81883	Dental
Mutual of Omaha Insurance Company Mutually Preferred National Rural Letter Carrier Association (Policy Number GMG1846) United of Omaha	71412	Dental
NaphCare Inc Naphcare Inc	58182	Dental
National Allied Workers Union Local 831 National Allied Workers Union Local 831 Insurance Trust	CB148	Dental
National Elevator National Elevator Industry Benefit Plan (NEIB)	CX045	Dental
National General	ASHC1	Dental
National Telecommunications Cooperative Association National Telecom Association (NTCA)	52120	Dental
Netcare Life and Health Insurance	66055	Dental
Nippon Life Insurance Company Nippon Life Insurance Company (Dental) Nippon Life Insurance Company of America	81264	Dental
Northern Illinois Health Plan	36347	Dental
NYS Department of Health	14142	Dental
Ohio PPO Connect	74431	Dental
Olympus Management Health Care Olympus Managed Health Care	65074	Dental
Pan-American Life Insurance Group	4218	Dental
Path Administrators (DH Evans) D H Evans & Associates reg required call 410-349-3222	25172	Dental
Pennsylvania Preferred Health Network (PPHN)	6161	Dental
People 1st Health Strategies	IHS03	Dental
People One Health	IHS01	Dental
Physicians Mutual Physician's Mutual (PMIC)	CX068	Dental
Prairie States Enterprises Inc. Prairie States Enterprises	36373	Dental
Preferred Health Care (PHC) Preferred HealthCare Lancas	33898	Dental
Preferred Health Plan of Carolinas (PHPC)	CB404	Dental
Premier Access	CX078	Dental
Premier Access Dental Services	CX110	Dental
Prevea360 Health Plan Children's Community Health Plan Chorus Community Health Plans (WI Medicaid) Wellfirst Health Care4Kids (WI Medicaid) Care4Kids (WI Medicaid plans) Dean Health Plan	39113	Dental
Prezzo	CB531	Dental
Primary PhysicianCare Inc.(Now known as HealthGram) Healthgram Primary PhysicianCare Inc.	56144	Dental
Principal Financial Group (Vision Claims only.) Principle Financial Group	61271	Dental
Priority Health (Please contact Priority Health EDI Dept at 616- 464-8686 or email EDISETUP@Priority-Health.com) Priority Health	38217	Dental
Prodegi	U8151	Dental
Prominence Administrative Services	88022	Dental
Prominence Health Plan Encounters St. Marys Health Plan Encounters St.. Mary's Health Plan Encounters	88082	Dental
Prominence Health Plan of Florida Prominence HealthFirst of Florida Inc	83352	Dental
Prominence Health Plan of Nevada	93082	Dental
Prominence Health Plan of Texas	80095	Dental
Prominence Health Plan ST MARYS HEATLH PLAN Saint Marys Health Plan	88029	Dental
PUBLIC EMPLOYEES HEALTH PROGRAM PEHP	SX106	Dental
Quality Care Partners Quality Care Partners (QCP)	89461	Dental
Quest Behavioral Health	44219	Dental
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)	U1100	Dental
Regency Empolyee Benefits	38221	Dental
Resolve Health Plan Ad (Auth # required: begins w5 &13len Innovative Payer 1	20481	Dental
Resolve Health Plan Administrators LLC	RHA01	Dental
Rhode Island Medicaid	CKRI1	Dental
RSL	RSLFC	Dental
Rubicon Health Group	IHS18	Dental
Salvasen Health	CB122	Dental
Samera Health Mint Health Plans/Samera Health	U8053	Dental
Sana Benefits	50114	Dental
SecureCare Dental Merchants Benefit Administration INC	86057	Dental
SELECTHEALTH	SX107	Dental
South Central Preferred (SCP) WellSpan Plus	23266	Dental
Southland Benefit Solutions Amerikids-Dallas/Ft. Worth Amerigroup Houston (Claims and Encounters) Amerigroup Houston	26374	Dental
Southwest Service Administrators PHX Teamsters UT/MT/ID PHX Teamsters UT/MT/ID (For Dates of Service after 05/01/16)	CX100	Dental
Specialty Care Program	IHS17	Dental
Spectrum Administrators Populytics (formerly Spectrum Administrators)	23253	Dental
Standard Insurance	STICC	Dental
Standard of NY	STNYC	Dental
State of TX Dental Government Employees Health Association Inc. (GEHA) Government Employees Health Association Inc. (GEHA)	57254	Dental
Tall Tree Administrators Tall Trees Administrators	88067	Dental
Teddy Health	TEDDY	Dental
Tervist Speciality Care Program	IHS08	Dental
The Care Network- Savannah Business Group (TCN) The Care Network The Care Network- Savanna	68423	Dental
The Health Plan of West Virginia Inc The Health Plan (Upper Ohio Valley) The Health Plan (Upper Ohio Valley)	34150	Dental
The Loomis Company The Loomis	23223	Dental
The Preferred Healthcare Systems (TPHS)	4320	Dental
Total Community Care InnovAge InnovAge (Total Community Care)	31182	Dental
Total Plan Concepts	80900	Dental
Travis County Healthcare District Central Health Travis County MAP - Mediview Community Care Collaborative Travis County Hospital District	TCMAP	Dental
Triada Assurance	CB733	Dental
Tribute Healthcare Central Benefit National (Now known as Tribute Health Plan.)	61184	Dental
TRISTAR Benefit Administrators Select Benefit Administrators (Des Moines Iowa) Select Benefit Administrators (PayerID valid for claims submission address of PO Box 8339 Des Moines IA 50301)	42137	Dental
TruBlue True Blue TPA	83413	Dental
Trusteed AKA: TPSC Benefits	91078	Dental
Trustmark Small Business Benefits Tooling & Manufacturing Assoc. Benefit Trust Life Insurance Company Starmark Tooling & Manufacturing Association	61425	Dental
U OF U HEALTH PLANS	SX155	Dental
Ultra Benefits Inc. UltraBenefits Ultra Benfits Inc.	41206	Dental
UMC Health System UMC Health Plan	75130	Dental
UMR (UMR Wausau) UMR (formerly UMR Wausau) UnitedHealthcare / UHC Shared Services - UHSS formerly UHIS UnitedHealthcare / UHIS- UnitedHealthcare Integrated Svcs.	39026	Dental
UMWA Health & Retirement Funds UMWA Health & Retirement Funds (Dental) UMWA - UNITED MINE WORKERS ASSOC	52180	Dental
Unified Group Services	35198	Dental
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS	U6844	Dental
United Claim Solutions United Claims Solutions	20090	Dental
United Concordia Companies Inc	89070	Dental
United Concordia Dental Plus	CX013	Dental
United Concordia Tricare Dental Plan	UCCTR	Dental
United Healthcare	52133	Dental
United Healthcare Ohio Medicaid Dental DentaQuest	83244	Dental
US Benefits HealthSmart US Benefits HealthSmart US Benefits (Dental)	93092	Dental
US Department Of Labor (837I & 837P) US Department of Labor	77044	Dental
US Network and Administrative Services	USN01	Dental
UTAH DEPARTMENT OF HEALTH Utah Medicaid FFS	SKUT0	Dental
VA Family Members Program Dental (VFMP)	84147	Dental
VA Fee Basis Program VA Integrated Veterans Care (IVC)	12116	Dental
VACCN Community network VA Community Care Network for Dental Providers Region 2 (Effective for Dental claims with DOS on or after 10/08/2019) VA Community Care Network for Dental Providers Region 3 (Effective for Dental claims with DOS on or after 01/07/2020) VA Community Care Network Region 1 (Effective for 837P claims with DOS on or after 07/29/2019) VA Community Care Network Region 2 (Effective for 837P claims with DOS on or after 10/08/2019) VA Community Care Network Region 3 (Effective for 837P claims with DOS on or after 01/07/2020) VA Community Care Network Region 1 (Effective for claims with DOS on or after 07/29/2019) VA Community Care Network Region 2 (Effective for claims with DOS on or after 10/08/2019) VA Community Care Network Region 3 (Effective for claims with DOS on or after 01/07/2020) Dental Providers Region 1	VACCN	Dental
VALLEY HEALTH PLAN	VHP01	Dental
WellNet Health Plans	25711	Dental
Wellspan Employee Assistance Program WellSpan Employee Assitance Program	CB457	Dental
Western Growers Assurance Trust (aka Pinnacle Claims Management) Company Pinnacle Claims Management Inc. Western Grower's Assurance Trust (aka Pinnacle Claims Management) Western Grower's Insurance Company Western Growers Assurance Trust (aka Pinnacle Claims Management)	24735	Dental
Western Pennsylvania Electrical Employees Insurance Trust Fund Western Pennsylvania Electric Employees	RP083	Dental
William C Earhart William C. Earhart Co Inc. HealthSmart William C Earhart	93050	Dental
Yuzu Health	IHS15	Dental
Eligibility
Payer Name	Payer Id	Line of Business
Affinity Health Plan - Medicare	AFMCR	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
American Postal Workers Union Health Plan	AMPWS	Eligibility
Arise Health Plan	ARISE	Eligibility
Arizona Blue Cross Blue Shield Blue Shield of Arizona	AZBLS	Eligibility
Blue Cross of Idaho Idaho Blue Cross	IDBLC	Eligibility
Blue Shield of Arkansas Arkansas Blue Cross Blue Shield Blue Advantage of Arkansas Health Advantage of Arkansas	ARBLS	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 (State Health of GA) Georgia State Health Benefit Plan (Processed by GA BC/BS) 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 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 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 Louisiana 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 South Carolina South Carolina Blue Cross Blue Shield SC FEP Blue Cross Medicare Blue Advantage of South Carolina	SCBLS	Eligibility
Boston Medical Center Health Plan	BMCHN	Eligibility
Bravo Health (Cigna Healthspring)	BRAVO	Eligibility
Bridgespan	BRIDG	Eligibility
Cal-Optima Direct Caloptima CALOPTIMA DIRECT	CALOP	Eligibility
California Anthem Blue Cross Dental	CABLD	Eligibility
California Blue Shield	CABLS	Eligibility
California Medicaid (Medi-Cal)	CAMCD	Eligibility
Capital Blue Cross of Pennsylvania	PABLC	Eligibility
Carefirst Blue Cross Blue Shield District of Columbia	DCBLS	Eligibility
CareMore Value Plus (CVP) Caremore Caremore IPA	CARMO	Eligibility
Caresource Georgia Caresource of Georgia CareSource of GA	GACS1	Eligibility
Caresource Indiana CareSource Marketplace CareSource IN	INCS1	Eligibility
CareSource KY Caresource Humana Humana Caresource CareSource of Kentucky	KYCS1	Eligibility
Caresource West Virginia CareSource WV	WVCS1	Eligibility
Clear Health Alliance	CLEAR	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 Anthem of Colorado Colorado Anthem Blue Cross and Blue Shield	COBLS	Eligibility
Colorado Community Health Alliance	COCHA	Eligibility
Community First I Par Plus Community First Health Plans Community First Health Plan Inc.	COMMF	Eligibility
Community Health Solutions (Claims now route to Medicaid of Louisiana) Medicaid of Louisiana (Includes KidMed claims.) Medicaid of Louisiana (837P 837I & 837D) Louisiana Medicaid	LAMCD	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
Cooperative Benefit Administrators	CBENA	Eligibility
CoreSource (IL IN MD NC & PA)	CRSC1	Eligibility
Delaware Medicaid Medicaid of Delaware Medicaid of Delaware	DEMCD	Eligibility
DMBA	SX105	Eligibility
EMI HEALTH	SX110	Eligibility
Federated Mutual Insurance Company	FEDMI	Eligibility
Fidelis (CenterCare)	FIDEL	Eligibility
Gateway Health Plan	GATHP	Eligibility
Georgia Anthem Blue Cross Blue Shield Dental	GABLD	Eligibility
Harvard Pilgrim	HPHCS	Eligibility
Hawaii Medicaid	HIMCD	Eligibility
Health Partners Pennsylvania	HPART	Eligibility
Health Tradition Health Plan	HLTHT	Eligibility
Healthcare Highways	HCH01	Eligibility
HealthFirst of New York	HF1NY	Eligibility
Healthsmart Benefit Solutions	HSBES	Eligibility
Indiana Anthem Blue Cross Blue Shield Dental Indiana Anthem Blue Cross and Blue Shield Dental	INBLD	Eligibility
Johns Hopkins Health Plan	JHOHP	Eligibility
Kaiser Foundation Colorado	KSFCO	Eligibility
Kaiser Foundation Health Plan of Southern California Kaiser Permanente Southern CA	KS001	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 Permanente Georgia	KSPGA	Eligibility
Kentucky Anthem Blue Cross Blue Shield Dental	KYBLD	Eligibility
Keystone Mercy	KEYST	Eligibility
Loomis Company	LOOMS	Eligibility
Maine Anthem Blue Cross and Blue Shield Dental Maine Anthem Blue Cross Blue Shield Dental	MEBLD	Eligibility
Mass Health (MA Medicaid) Medicaid of Massachusetts (Mass Health) Medicaid of Massachusetts Massachusetts Medicaid	MAMCD	Eligibility
Medicaid of Alabama Alabama Medicaid Medicaid of Alabama (for 837P & 837I claims)	ALMCD	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 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 Maine Maine Medicaid	MEMCD	Eligibility
Medicaid of Maryland Maryland Medicaid	MDMCD	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 Tennessee (TennCare) TennCare (Medicaid of Tennessee) Tennessee Medicaid (TennCare)	TNMCD	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
Michild Michigan	MICHD	Eligibility
Missouri Anthem Blue Cross and Blue Shield Dental Missouri Anthem Blue Cross Blue Shield Dental	MOBLD	Eligibility
Missouri Medicaid Medicaid of Missouri	MOMCD	Eligibility
Molina Healthcare California	MOLCA	Eligibility
Montana Blue Cross Blue Shield Blue Shield of Montana	MTBLS	Eligibility
Montana Medicaid Medicaid of Montana	MTMCD	Eligibility
MVP Health Plan	MVPHP	Eligibility
Nebraska Blue Cross Blue Shield Blue Shield of Nebraska	NEBLS	Eligibility
Nebraska Medicaid Medicaid of Nebraska	NEMCD	Eligibility
Neighborhood Health Plan	NBRHP	Eligibility
Network Health	NETWH	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 Anthem of Nevada Nevada Anthem Blue Cross and Blue Shield	NVBLS	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 Mexico Blue Cross Blue Shield Blue Shield of New Mexico Lovelace Sandia Health Plan (Acquired by Blue Shield of NM)	NMBLS	Eligibility
New York Blue Cross Blue Shield (Empire) Blue Shield of New York (Empire)	NYBLS	Eligibility
North Carolina Blue Cross Blue Shield Blue Shield of North Carolina	NCBLS	Eligibility
North Dakota Blue Cross Blue Shield Blue Shield of North Dakota	NDBLS	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
Oklahoma Blue Cross Blue Shield Blue Shield of Oklahoma	OKBLS	Eligibility
Oklahoma Employees Group Insurance	OKSTE	Eligibility
Oklahoma Medicaid	MC030	Eligibility
Optum Medical Network (previously Lifeprint) OptumCare / AZ NV UT (formerly Optum Medical Network & Lifeprint Network)) OptumCare / AZ UT (formerly Lifeprint Network)	LIFE1	Eligibility
Oregon Blue Cross Blue Shield (Regence) Blue Shield of Oregon	ORBLS	Eligibility
Pacificare Arizona	PCAAZ	Eligibility
Pacificare Oklahoma	PCAOK	Eligibility
Pacificare Washington	PCAWA	Eligibility
Paramount Paramount Health	SX158	Eligibility
Passport Health Plan	PPHPC	Eligibility
Pennsylvania Blue Cross Blue Shield (Highmark) Blue Shield of Pennsylvania	PABLS	Eligibility
PHCS Savility Payers	PHCSS	Eligibility
PHP of Michigan	PHPMI	Eligibility
Physicians Mutual Insurance Company	PMICO	Eligibility
Preferred Health Systems	PREHS	Eligibility
Providence Health Plan	PROHP	Eligibility
PUBLIC EMPLOYEES HEALTH PROGRAM PEHP	SX106	Eligibility
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)	U1100	Eligibility
Rhode Island Blue Cross Blue Shield Blue Shield of Rhode Island	RIBLS	Eligibility
Rocky Mountain Health Plan	RMNHP	Eligibility
Schaller Anderson Integral Quality Care Florida	ICQFL	Eligibility
Schaller Anderson Majestacare Virginia	MACVA	Eligibility
Schaller Anderson Missouri Care	MOCSA	Eligibility
Schaller Anderson Texas Christus	TXCSA	Eligibility
Scott and White Health Care Plan	SCWHP	Eligibility
SELECTHEALTH	SX107	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
South Dakota Blue Cross Blue Shield Blue Shield of South Dakota	SDBLS	Eligibility
Star HRG	STARH	Eligibility
Tennessee Blue Cross Blue Shield Blue Shield of Tennessee	TNBLS	Eligibility
Texas Blue Cross Blue Shield Blue Shield of Texas (includes Blue Cross of Texas) Blue Shield of Texas	TXBLS	Eligibility
Tricare for Life	TRLIF	Eligibility
U OF U HEALTH PLANS	SX155	Eligibility
UCare Minnesota	UCARE	Eligibility
University Family Care Arizona	UFCAZ	Eligibility
Utah Blue Cross Blue Shield (Regance)	UTBLS	Eligibility
UTAH DEPARTMENT OF HEALTH Utah Medicaid FFS	SKUT0	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 Local Choice Blue Shield of Virginia Priority Healthcare Virginia State Employer Funds Healthkeeper HMO Virginia Anthem Blue Cross Blue Shield Medicare Supplemental Peninsula Healthcare COVA (Commonwealth of VA) Keycare PPO VA State Employer Funds Blue Care PPO	VABLS	Eligibility
Washington Blue Shield (Regence)	WABLS	Eligibility
Wellmark BCBS (Iowa South Dakota) Blue Shield of Iowa Iowa Blue Cross Blue Shield	IABLS	Eligibility
West Virginia Blue Cross Blue Shield Blue Shield of West Virginia	WVBLS	Eligibility
Western New York Blue Cross Blue Shield	WNYBS	Eligibility
Windsor Health Plan	WNDHP	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 Anthem Medicaid (WI) (Formerly BadgerCare)	WIBLS	Eligibility
Wyoming Blue Cross Blue Shield Blue Shield of Wyoming	WYBLS	Eligibility
Wyoming Medicare	CMSEL	Eligibility
835s
Payer Name	Payer Id	Line of Business
Access Behavioral Care Colorado Access (837P & 837) Colorado Access HMO	COACC	Payment/Advice
Advantek Benefit Administrators	ADVTK	Payment/Advice
Alabama Blue Shield (Professional) Blue Shield of Alabama Blue Cross of Alabama	ALBLS	Payment/Advice
Amerigroup Amerigroup/Wellpoint New Jersey Amerivantage Amerigroup Wellpoint Amerigroup Vantage Amerigroup Wellpoint Amerigroup/Wellpoint Arizona Amerigroup/Wellpoint Iowa Amerigroup/Wellpoint Texas Amerigroup/Wellpoint Washington Amerigroup/Wellpoint Tennessee Wellpoint Maryland	WLPNT	Payment/Advice
Amerihealth-NJ (Non-HMO Claims) AmeriHealth - New Jersey (Non- HMO Claims)	SX075	Payment/Advice
Arizona Blue Cross Blue Shield Blue Shield of Arizona	AZBLS	Payment/Advice
ASRM LLC ASRM Corporation ASRM	ASRM1	Payment/Advice
Auxiant	AUX01	Payment/Advice
Blue Chip of Rhode Island	RICHP	Payment/Advice
Blue Cross Community Options Blue Cross Community Solutions Effect 12-14-14 payer ID00621	MCDIL	Payment/Advice
Blue Cross of Idaho Idaho Blue Cross	IDBLC	Payment/Advice
Blue Shield of Alaska	AC032	Payment/Advice
Blue Shield of Arkansas Arkansas Blue Cross Blue Shield Blue Advantage of Arkansas Health Advantage of Arkansas	ARBLS	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 (State Health of GA) Georgia State Health Benefit Plan (Processed by GA BC/BS) 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 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 Louisiana 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 South Carolina South Carolina Blue Cross Blue Shield SC FEP Blue Cross Medicare Blue Advantage of South Carolina	SCBLS	Payment/Advice
Blue Shield of Tennessee Blue Cross of Tennessee	5513I	Payment/Advice
Cal-Optima Direct Caloptima CALOPTIMA DIRECT	CALOP	Payment/Advice
Camp Lejune Family Member Program	CLFM1	Payment/Advice
CARE1ST Health Plan California	C1SCA	Payment/Advice
Caresource Georgia Caresource of Georgia CareSource of GA	GACS1	Payment/Advice
Caresource Indiana CareSource Marketplace CareSource IN	INCS1	Payment/Advice
CareSource KY Caresource Humana Humana Caresource CareSource of Kentucky	KYCS1	Payment/Advice
Central California Women's Health Central California Womens Health	WH001	Payment/Advice
Children's Specialists of San Diego Childrens Specialist of San Diego	CSSD2	Payment/Advice
Colorado Anthem Blue Cross Blue Shield Blue Shield of Colorado Anthem of Colorado Colorado Anthem Blue Cross and Blue Shield	COBLS	Payment/Advice
Community Health Plan Of Washington	SB613	Payment/Advice
Community Health Solutions (Claims now route to Medicaid of Louisiana) Medicaid of Louisiana (Includes KidMed claims.) Medicaid of Louisiana (837P 837I & 837D) Louisiana Medicaid	LAMCD	Payment/Advice
Complementary Healthcare Plan	CHP01	Payment/Advice
Connecticut Anthem Blue Cross Blue Shield Blue Shield of Connecticut Connecticut Anthem Blue Cross and Blue Shield	CTBLS	Payment/Advice
Connecticut Bluecare Family Plan (835s returned under CTBLS)	C3BLS	Payment/Advice
Contessa Health	CH201	Payment/Advice
Cook Childrens Health Plan CHIP Cook Children's Health Plan Cook Childrens Health Plan	CCHP1	Payment/Advice
Cox Health Plan (Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.) Cox Health Plan	00019	Payment/Advice
Delaware Medicaid Medicaid of Delaware Medicaid of Delaware	DEMCD	Payment/Advice
Dell Childrens Health Plan	DCHPM	Payment/Advice
Delta Health Systems	DHS01	Payment/Advice
Dignity Health - Sacramento Hospital claim shop for Mercy Medical Group Woodland Clinic Medical Group and Hill Physicians Medical group (hospital risk) Dignity Health - Sacramento Hosp claim shop-Mercy Med Group	HOSH1	Payment/Advice
Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group (professional risk) for Mercy Medical Group or Woodland Clinic Medical Group Dignity Health Med Found for Mercy Med Gr-Woodland Clin Med	PROH1	Payment/Advice
Dignity Health Medical Group (Inland Empire) Dignity Health Med Group-Inland Empire (professional risk)	PROH4	Payment/Advice
DMBA	SX105	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
Dupage Medical Group	DUPAG	Payment/Advice
El Paso First Health Plans - CHIP El Paso First - CHIP El Paso First - CHIP I Par Plus	EPF03	Payment/Advice
EMI HEALTH	SX110	Payment/Advice
Federal Qualified Hlthcr Cntr via UGS Federally Qualified Healthcare Clinic	FQHC1	Payment/Advice
Florida Community Care	FLCCR	Payment/Advice
GHI Medicare Part B of New York Medicare Part B GHI	GHMCR	Payment/Advice
Golden State Medical Group Nivano Physicians IPD Nivano Physicians IPA	MBA01	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 Plan San Mateo Health Plan of San Mateo	HPSM1	Payment/Advice
Health Services Management Inc. (NOTE: ANSI submitters can also submit to plans AHP CMS ONP PCI PHP and VHP with proper value in SBR04.) Health Services Management Inc. for AHS Health Services Management Inc. for BPA Health Services Management Inc. for ECOH Health Services Management Inc. for EHC Health Services Management Inc. for ENCR Health Services Management Inc. for FCM Health Services Management Inc. for HF Health Services Management Inc. for HT Health Services Management Inc. for MMSI Health Services Management Inc. for MSHO Health Services Management Inc. for PNET Health Services Management Inc. for PONE Health Services Management (HSM) Health Services Management Inc. for SC Health Services Management Inc. for WEA	HSM01	Payment/Advice
Healthcare Management Administrator Healthcare Management Administrators Inc.	HMA01	Payment/Advice
Heritag+A601e Physician Network I Par Plus SelectCare of TX (Houston) (Provider ID Required - Contact (713) 843-6780 to obtain ID.) Texas Plus	HPN11	Payment/Advice
Independence Administrators	TA720	Payment/Advice
Kaiser Foundation Health Plan of CO (Remits returned KAISR) Kaiser Foundation Health Plan of Colorado	COKSR	Payment/Advice
Kaiser Foundation Health Plan of GA(835 returned under KAISR Kaiser Foundation Health Plan of Georgia	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 Southern California Kaiser Permanente Southern CA	KS001	Payment/Advice
Kaiser Foundation Health Plan of the NW (835 ret KAISR) Kaiser Foundation Health Plan of the NW	NG009	Payment/Advice
Kaiser Foundation of Northern California Kaiser Foundation Health Plan of Northern California Kaiser Permanente Northern CA	KS003	Payment/Advice
Kentucky Medicare Part A Jurisdiction 15 Medicare Part B of Kentucky	KYMCR	Payment/Advice
Keystone Health Plan East - Claims Pennsylvania Keystone Health Plan East (claims only) PAKeystone Health Plan East (claims(835s returnedPAKEY)	PCBLS	Payment/Advice
Lifetime Benefit Solutions	EBSRM	Payment/Advice
Martins Point Health Care	MPHC1	Payment/Advice
Mass Health (MA Medicaid) Medicaid of Massachusetts (Mass Health) Medicaid of Massachusetts Massachusetts Medicaid	MAMCD	Payment/Advice
MDX Hawaii	MDXHI	Payment/Advice
Med3000 Early Steps Med3000 CMS Early Steps	EM350	Payment/Advice
Medicaid of Alabama Alabama Medicaid Medicaid of Alabama (for 837P & 837I claims)	ALMCD	Payment/Advice
Medicaid of Alaska	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 Florida Florida Medicaid Medicaid of Florida (for 837P & 837I claims)	FLMCD	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 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 Michigan Michigan Medicaid	MIMCD	Payment/Advice
Medicaid of Minnesota Minnesota Medicaid	MNMCD	Payment/Advice
Medicaid of Mississippi Medicaid of Mississippi (for 837P & 837I claims) Mississippi Medicaid	MSMCD	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 New York Medicaid	NYMCD	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 Tennessee (TennCare) TennCare (Medicaid of Tennessee) Tennessee Medicaid (TennCare)	TNMCD	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
Medicare of MO (For pre-existing providers) Eastern & Wests Medicare Part B of Kansas City (ASK)	KCMCR	Payment/Advice
Medicare Part B of Alabama Alabama Medicare Part A Jurisdiction J	ALMCR	Payment/Advice
Medicare Part B of Arkansas	ARMCR	Payment/Advice
Medicare Part B of Colorado	SMCO0	Payment/Advice
Medicare Part B of Connecticut	CTMCR	Payment/Advice
Medicare Part B of Florida	FLMCR	Payment/Advice
Medicare Part B of Georgia Georgia Medicare Part A Jurisdiction J	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 Louisiana	LAMCR	Payment/Advice
Medicare Part B of Maine	MEMCR	Payment/Advice
Medicare Part B of Massachusetts	MAMCR	Payment/Advice
Medicare Part B of Michigan Medicare Part B of Michigan (WPS) Blue Cross Blue Shield Michigan Medicare	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 North Carolina Medicare Part A Jurisdiction M	NCMCR	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 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 Railroad * (MetraHealth Medicare) Medicare Railroad (MetraHealth Medicare)	RRWMC	Payment/Advice
Meridian Health Plan of Illinois MeridianTotal (Meridian Complete Illinois Complete YouthCare and Ambetter Payer ID effective 01-01- 2021) MeridianTotal (Meridian Complete Illinois Complete YouthCare and Ambetter Payer ID effective 01-01-2021)	MHPIL	Payment/Advice
MI Blue Care HMO (BCN of MI-835s returned MIBLS) Michigan Blue Care HMO (BCN of Michigan) Blue Cross MI Blue Care Complete	MIBCN	Payment/Advice
Michigan Medicare PlusBlue (835s returned under MIBLS) Michigan Medicare PlusBlue	MIMPB	Payment/Advice
MINNESOTA DEPARTMENT OF HEALTH- SAGE PROGRAMS	MNDH1	Payment/Advice
Missouri Medicaid Medicaid of Missouri	MOMCD	Payment/Advice
Molina Healthcare of New Mexico	NM505	Payment/Advice
MOLINA HEALTHCARE OF UTAH	SX109	Payment/Advice
Molina Healthcare of Wisconsin Abri Healthplan (Now known as Molina Health Care of WI) Abri Healthplan	ABRI1	Payment/Advice
Montana Medicaid Medicaid of Montana	MTMCD	Payment/Advice
Mutual of Omaha	MUTOM	Payment/Advice
National Elevator National Elevator Industry Benefit Plan (NEIB)	CX045	Payment/Advice
Nebraska Blue Cross Blue Shield Blue Shield of Nebraska	NEBLS	Payment/Advice
Nebraska Medicaid Medicaid of Nebraska	NEMCD	Payment/Advice
Nevada Anthem Blue Cross Blue Shield Blue Shield of Nevada Anthem of Nevada Nevada Anthem Blue Cross and Blue Shield	NVBLS	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 Mexico Blue Cross Blue Shield Blue Shield of New Mexico Lovelace Sandia Health Plan (Acquired by Blue Shield of NM)	NMBLS	Payment/Advice
New York Blue Cross Blue Shield (Empire) Blue Shield of New York (Empire)	NYBLS	Payment/Advice
North Carolina Blue Cross Blue Shield Blue Shield of North Carolina	NCBLS	Payment/Advice
North Dakota Blue Cross Blue Shield Blue Shield of North Dakota	NDBLS	Payment/Advice
Ohio Anthem Blue Cross Blue Shield Blue Shield of Ohio Ohio Anthem Blue Cross and Blue Shield	OHBLS	Payment/Advice
Ohio Medicare Part A Jurisdiction 15 Medicare Part B of Ohio	OHMCR	Payment/Advice
Optum Medical Network (previously Lifeprint) OptumCare / AZ NV UT (formerly Optum Medical Network & Lifeprint Network)) OptumCare / AZ UT (formerly Lifeprint Network)	LIFE1	Payment/Advice
Oregon Blue Cross Blue Shield (Regence) Blue Shield of Oregon	ORBLS	Payment/Advice
Pacific Partners Management Services Inc	A0062	Payment/Advice
Partnership Health Plan contact OptumInsight Enrollments Dep Partnership Health Plan of CA	PHP02	Payment/Advice
Pennsylvania Blue Cross Blue Shield (Highmark) Blue Shield of Pennsylvania	PABLS	Payment/Advice
Pennsylvania Keystone Health Plan East (encounters only) Keystone Health Plan East - Encounters PA Keystone Health Plan E(encounters only-835s return PAKEY)	PEBLS	Payment/Advice
Physician Associates of Greater San Gabriel Valley	PA513	Payment/Advice
Physicians Medical Group of San Jose Physicians Health Plan of Michigan Medicare	EXC01	Payment/Advice
Presbyterian Health Plan (Commercial) (Provider ID is required. Contact (888) 923-5757 6 then 2 to obtain ID. New Mexico Providers only.) Presbyterian Health Plan	PREHP	Payment/Advice
Prime Community Care Central Valley Prime Community Care of Central Valley(837I & 837P)	MVCV1	Payment/Advice
Prodegi	U8151	Payment/Advice
Providence Insurance & Administrative Services Providence Administrative Services	PAS01	Payment/Advice
PUBLIC EMPLOYEES HEALTH PROGRAM PEHP	SX106	Payment/Advice
Rady Children's Network Rady Children's Health Network	RCHN1	Payment/Advice
REGENCE BLUE CROSS BLUE SHIELD OF UTAH (Includes FEP)	U1100	Payment/Advice
Rhode Island Blue Cross Blue Shield Blue Shield of Rhode Island	RIBLS	Payment/Advice
Rocky Mountain HMO	RMHMO	Payment/Advice
SALT LAKE COUNTY BEHAVIORAL HEALTH SERVICES	HT007488-001	Payment/Advice
Scripps Health Plan Services	SHPS1	Payment/Advice
SELECTHEALTH	SX107	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
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
Stirling Benefits	STL01	Payment/Advice
Sutter Conn Sutter Med SMG SWMG SIP)800-611-5191 setup&test Sutter Connect Medical Group	IP092	Payment/Advice
Sutter Connect Central Valley Medical Group	IP131	Payment/Advice
Tennessee Blue Cross Blue Shield Blue Shield of Tennessee	TNBLS	Payment/Advice
Texas Blue Cross Blue Shield Blue Shield of Texas (includes Blue Cross of Texas) Blue Shield of Texas	TXBLS	Payment/Advice
Texas First Health Plans Texas First Health Plan	TX1ST	Payment/Advice
TLC Benefit Solutions	TLC79	Payment/Advice
Tricare East (effective 01-01-2018) Tricare East Tricare East Effective 1-1-2018	TREST	Payment/Advice
Tricare for Life (All Regions 1-12) Tricare for Life	TDDIR	Payment/Advice
U OF U HEALTH PLANS	SX155	Payment/Advice
UC Davis Health Systems UC Davis Health System	UCDMG	Payment/Advice
UNITED HEALTHCARE SERVICES INC(Optum Salt Lake) OptumHealth SLC Optum Tooele	U6885	Payment/Advice
Univera Health Care Plan/ChoiceCare Buffalo Univera Healthcare	SX087	Payment/Advice
UTAH DEPARTMENT OF HEALTH Utah Medicaid FFS	SKUT0	Payment/Advice
VA Patient-Centered Community Care Program (VAPCCC) Reg 5A	VAP5A	Payment/Advice
VALLEY HEALTH PLAN	VHP01	Payment/Advice
Virginia Anthem Blue Cross and Blue Shield Local Choice Blue Shield of Virginia Priority Healthcare Virginia State Employer Funds Healthkeeper HMO Virginia Anthem Blue Cross Blue Shield Medicare Supplemental Peninsula Healthcare COVA (Commonwealth of VA) Keycare PPO VA State Employer Funds Blue Care PPO	VABLS	Payment/Advice
Virginia Premier Elite Plus	VPEP1	Payment/Advice
WA State Premera Blue Cross (835s returned under AC032) Washington State Premera Blue Cross	WABLC	Payment/Advice
Washington Dept. of Labor & Industries Washington State Labor and Industry	WALAI	Payment/Advice
Wellmark BCBS (Iowa South Dakota) Blue Shield of Iowa Iowa Blue Cross Blue Shield	IABLS	Payment/Advice
West Virginia Blue Cross Blue Shield Blue Shield of West Virginia	WVBLS	Payment/Advice
Wisconsin Anthem Blue Cross and Blue Shield Blue Shield of Wisconsin Blue Cross Blue Shield of Wisconsin Wisconsin Anthem Blue Cross Blue Shield Anthem Medicaid (WI) (Formerly BadgerCare)	WIBLS	Payment/Advice
WPS Commercial	OOWPS	Payment/Advice
Wyoming Blue Cross Blue Shield Blue Shield of Wyoming	WYBLS	Payment/Advice

UHIN's Payer List

Professional

Institutional

Dental

Eligibility

835s