PHICURE - CONFIDENTIAL - November 01, 2019
Payer ID Payer Name State Prof Claim Inst Claim
13162 1199 SEIU National Benefit Fund All Yes Yes
51028 21st Century Insurance and Financial Services MN Yes No
07205 360 Alliance PPO Gilsbar All Yes Yes
20413 3P ADMIN All Yes No
20446 6 DEGREES HEALTH INCORPORATED All Yes No
74234 8th Distric Electrical UT Yes No
93044 A & I Benefit Plan Administrators All Yes No
36273
AARP Medicare Supplement/Fixed Indemity by
UnitedHealthcare (UnitedHealthcare) All Yes Yes
87726
AARP MedicareComplete (AARP MedicareComplete
from SecureHorizons) All Yes Yes
36273
AARP UnitedHealthcare Insurance Co. (Special Data
Requirements located in Vendor Download Tools or All Yes Yes
A0701 ABMG CA Yes No
03443 Abrazo Advantage Health Plan All Yes Yes
ABRI1 Abri Healthplan All Yes No
A0003 ACCELERATED CLAIMS INCORPORATED All Yes No
AHS01 Access Administrators All Yes Yes
COACC Access Behavioral Care CO Yes No
ACCOM ACCESS COMMUNITY HEALTH NETWORK All Yes No
AMG01 Access Medical Group All Yes No
95424 ACCESS MEDICAL GROUP All Yes No
19305 Access Medicare (Cuatro LLC) All No Yes
64071 ACCLAIM All Yes Yes
MHIPA Acclaim IPA CA Yes No
MHIPA Acclaim IPA (MHCAC) CA Yes No
21356 ACCLAIM REPRICING All Yes No
AHIPA ACCOUNTABLE IPA All Yes No
MPM23 ACCOUNTABLE IPA (MPM) All Yes No
41160 ACNIPA All Yes No
87815 Acordia National (Now known as Wells Fargo TPA) All Yes Yes
72467 ACS Benefit Services, inc. All Yes Yes
PA331 ACS BENEFITS PAYER COMPASS All Yes No
38254 Activa Benefits Services, LLC (Formerly Amway All Yes No
75678 ACTIVE CARE UCS All Yes No
AHC01 ACTIVHEALTHCARE All Yes No
J1241 ADMINISTAFF All Yes No
59141 Administrative Services, Inc. All Yes Yes
37278 Adminone All Yes Yes
22384 Adminstrative Concepts, Inc. All Yes Yes
ABMS
Advance Benefit Management Systems, USA Inc.
(ABMS) All Yes Yes
837 Payer List
58202 Advanced Data Solutions All Yes Yes
AMM01 Advanced Medical Management All Yes No
74234 Advanstaff, Inc. All Yes No
ACIPA Advantage Care IPA CA Yes No
35219 Advantage Health Solutions Medicare Advantage All Yes No
35209 Advantage Health Solutions, Inc. All Yes Yes
77070 ADVANTAGE PREFERR All Yes No
83077 Advantek Benefit Administrators All Yes No
59374 Advantica Benefits All Yes No
95340 Adventist Health System All Yes Yes
13373 ADVICA - New York Hospital Community Health Plan NY Yes No
45423 Advicare All Yes No
J1896 ADVOCARE MCO INCORPORATED All Yes No
36320 Advocate Health Centers (AHC) All Yes No
65093 Advocate Physicians Partners (PHO) All Yes No
CB637 Aegis Admin Services All Yes No
57604 Aetna Affordable Health Choices (SM) - SRC All Yes Yes
62118 Aetna American Continental All No Yes
58730 Aetna ASA PPO/Assurant Health (Signature Admin) All No No
23225 AETNA BETTER HEAL All Yes No
23228 Aetna Better Health - PA Medicaid PA Yes No
128LA Aetna Better Health LA LA Yes Yes
26337 Aetna Better Health Medicaid IL IL Yes No
128MO Aetna Better Health MO MO Yes Yes
46320 Aetna Better Health NJ NJ Yes Yes
34734 Aetna Better Health NY All Yes No
128KY Aetna Better Health of KY KY Yes No
128MD Aetna Better Health of MD MD Yes Yes
128MI Aetna Better Health of Michigan MI Yes Yes
42130 Aetna Better Health of Nebraska All Yes Yes
50023 AETNA BETTER HEALTH OF OHIO All Yes Yes
128VA Aetna Better Health of Virginia VA Yes Yes
128WV Aetna Better Health WV WV Yes Yes
60054 Aetna Health Plan - PPO All Yes Yes
60054 Aetna Life & Casualty Company All Yes Yes
38692 Aetna TX Medicaid & CHIP TX Yes Yes
ADOCS Affiliated Doctors of Orange County CA Yes Yes
APG01 AFFILIATED PHYSICIANS GROUP All Yes No
M3CA1 Affiliated Physicians Group LLC NULL No Yes
POP06 AFFILIATED PHYSICIANS IPA All Yes No
23334 Affinity Essentials All Yes Yes
13334
Affinity Health Plans (Contact Affinity EDI
Coordinator before submitting claims electronically
at [email protected] or call 718-794-7592.) All Yes Yes
13333
Affinity Health Plans (TMG Health) (Effective for
Medicare claims with DOS on or after 01/01/2010) All Yes Yes
46594 AFFINITY MEDICAL GROUP All Yes No
95426
Affordable Benefit Administrators, Inc. (Claims with
the following address should only be sent to this
payerID: ABA, PO BOX 10787, Burbank, CA 91510-
0787) All Yes No
34444
AFL - CIO Food & Beverage Dealers Trust Fund
(Toledo, OH) OH Yes No
13346 Aftra Health Fund All Yes Yes
AWNY6 AGE WELL NY NY Yes Yes
ARA01 AGERIGHT ADVANTAGE All Yes No
95241
AGIA Inc (Claims are printed and mailed to the
payer.) All Yes No
AGUA1 AGUA CALIENTE All Yes No
80705 AH & L All Yes Yes
36320MA AHC MISDIRECTED CLAIMS All Yes No
31138 AHPO (Cleveland, OH) OH Yes Yes
22195 AIG (Maksin Management Corporation) All Yes Yes
IP080 AKM Medical Group CA Yes No
95327
Alameda Alliance for Health (Provider must contact
payer to be approved. Contact at Alameda is Anet
Quiambao at 510-747-6153 or
[email protected]) All Yes No
AIPAZ Alamitos IPA CA Yes No
91136 Alaska Childrens Services, Inc AK Yes Yes
92600 Alaska Electrical Health & Welfare Fund All Yes Yes
91136 Alaska Laborers Construction Industry Trust AK Yes Yes
91136 Alaska Pipe Trades Local 375 AK Yes Yes
91136
Alaska United Food & Commercial Workers Health &
Welfare Trust AK Yes Yes
85600 ALBUQUERQUE PUBLIC SCHOOLS All Yes No
44423
ALEXIAN BROTHERS COMMUNITY SERVICES
TENNESSEE All Yes No
ALH01 Aliera Health Care All Yes Yes
CCHPC ALIGNMENT HEALTH CARE All Yes No
81400 All Savers Insurance (UnitedHealthOne) All Yes Yes
37602 All Savers Insurance Co. All Yes Yes
MRIPA Allcare Healthplan OR Yes Yes
26158 Allcare PEBB All Yes Yes
MRPEBB ALLCARE PEBB All Yes No
82238 ALLEGIAN ADVANTAGE All Yes Yes
55649 Allegian Choice All Yes Yes
81040 Allegiance Benefit Plan Management, Inc. All Yes Yes
99588 ALLEGIANCE HEALTH MANAGEMENT All Yes No
J1740 ALLEN CANNING All Yes No
23071 ALLIANCE BEHAVIORAL HEALTHCARE All Yes No
93658 Alliance Coal Health Plan ALL Yes No
88461 Alliance Healthplans of WI WI Yes No
22417 ALLIANCE PHYSICIANS HIGH DESESTT All Yes No
52149 Alliance PPO Inc.(Now known as OneNet PPO, LLC.) All Yes Yes
CALL
Alliance, The (Only for ID Cards showing PO Box
44365 Madison WI 53744 as mailing address. Call
608-210-6656 for Payer ID.) All Yes No
58234 Alliant Health Plans of Georgia GA Yes Yes
94177 ALLIED ADMINISTRA All Yes No
37308 Allied Benefit Systems All Yes Yes
04293 Allways Health Plan (Formerly NHP Boston) All Yes Yes
99030 ALOHA CARE All Yes No
ALOHA AlohaCare HI Yes No
ACMG1 Alpha Care Medical Group CA Yes No
ALPHA ALPHACARE All Yes No
MPM32 Alphacare Medical Group ALL Yes Yes
A0701 Alta Bates Medical Group CA Yes No
80705 ALTA Health and Life Insurance Company All Yes Yes
AMC11 AM CAPITOL INSURA All Yes No
AMAIA AMA Insurance Agency All Yes No
TH071 AMA INSURANCE AGENCY, INC All Yes No
AMAIA AMA Insurance Agency, INC All Yes Yes
13343 Amalgamated Life - PA/Alicare All Yes Yes
13550 Amalgamated Life Insurance Co. All Yes No
COMPU
Amalgamated Transit Union Division 1001 Health &
Welfare Fund CO Yes No
AMBHN AMBAY HEALTH NETWORK All Yes No
76061 AMCARE HEALTH PLA All Yes No
38219
AmeraPlan (Claims are printed and mailed to the
payer.) All Yes Yes
97661 AMERIBEN IEC GROUP All Yes No
75137 Ameriben Solutions All Yes Yes
F75137 AMERIBEN SOLUTIONS All Yes No
26078 AMERICA 1STCHO NC All Yes No
27515 Americaid Community Care (Houston) TX Yes Yes
27517 Americaid Community Care (Maryland) MD Yes Yes
27516 Americaid Community Care (New Jersey) NJ Yes Yes
42112 AMERICAN ADMINIST All Yes No
75240
American Administrative Group - AAG (Formerly
known as UICI Administrators All Yes Yes
37283
American Administrative Group (formerly Gallagher
Benefit) All Yes Yes
63103 American Behavior All Yes Yes
34187 AMERICAN BENE MGT All Yes No
95170 American Benefit Plan Administrators All No Yes
59140
American Benefits Plan Administrators (Las Vegas,
NV) NV Yes Yes
ACN01 American Chiropractic Network NY Yes No
41161 American Chiropractic Network (PAN) All Yes Yes
ACN01 American Chiropractic Network IPA of NY NY Yes No
ACN01 American Chiropractic Network, Inc. NY Yes No
J1236 AMERICAN CLAIMS MANAGEMENT (ACM) All Yes No
60305 AMERICAN COMMUNIT All Yes No
ACN01 American Complimentary Care Network, Inc. All Yes No
56071
American Family (administered by American
Republic) All Yes Yes
IP080 American Family Health Providers CA Yes No
TH095 American Family Insurance All Yes No
AMF11 AMERICAN FAMILY INSURANCE COMPANY All Yes No
60801 American Fidelity Insurance Company All Yes Yes
62030 American General All Yes No
50587 American Health PR Yes No
66065 AMERICAN HEALTH MEDICARE PR Yes No
01066 American Healthcare Alliance All Yes Yes
77083 American Heritage All Yes Yes
36369
American Imaging Management, Inc. (Assigned
Group Policy Plan ID required. To obtain, call AIM at
800-252-2021) All No No
81949 American Insurance Company of TX All Yes No
87726 American International Group, Inc. All Yes Yes
72099
American LIFECARE (Group Number required. Valid
only for claims with a billing address of 1100
Poydras ST. #2600, New Orleans, LA 70163) All Yes No
23212 American Medical & Life All No Yes
81400 American Medical Security All Yes Yes
81400 American Medical Security (UnitedHealthOne) All Yes Yes
74048 American National Insurance Co All Yes Yes
60739 AMERICAN NATIONAL INSURANCE COMPANY All Yes No
44444 American Postal Workers Union Health Plan All Yes Yes
42011 American Republic Insurance Company All Yes Yes
17965 American Sentinel Insurance Company All No No
ASH01 AMERICAN SPECIALTY HEALTH All Yes No
ASHP1 American Specialty Health All Yes No
65064
American Therapy Administration of Florida aka ATA-
FL (Only PT, OT and Speech Therapy claims for FL
plans to AETNA, CarePlus, JMH HP, Sunshine St,
WellCare.) FL Yes No
ATHAL AMERICAN THERAPY ADMINISTRATORS All Yes No
TH117 American Whole Network All Yes No
37322 American Worker Health Plan All Yes Yes
20553 Americas 1st Choice Health Plans of South Carolina All Yes Yes
55349 Americas 1st Choice of SC All Yes Yes
20029 America's Choice NMA All Yes Yes
21810 America's Health Choice All Yes Yes
16120 America's PPO (Formerly known as ARAZ.) All Yes Yes
41178 America's PPO / America's TPA All Yes Yes
87726
AmeriChoice - CT, FL, MD, RI, TX, WI
(UnitedHealthcare Community Plan) CT,FL,MD,RI,TX,WIYes Yes
87726
AmeriChoice by UnitedHealthcare (NYU)
(UnitedHealthcare Community Plan) All Yes Yes
87726
AmeriChoice MS - CHIP & CAN (UnitedHealthcare
Community Plan) MS Yes Yes
86047
AmeriChoice NJ, Medicaid, NJ Family Care
(UnitedHealthcare Community Plan) NJ Yes Yes
86048
AmeriChoice NY Medicaid & Child Health Plus
(UnitedHealthcare Community Plan) - Use PayerID
87726 All Yes No
87726 AmeriChoice of Florida FL Yes Yes
87726 AmeriChoice of Illinois IL Yes Yes
87726 AmeriChoice of Maryland MD Yes Yes
87726 AmeriChoice of Nebraska NE Yes Yes
87726
AmeriChoice of Nebraska (UnitedHealthcare
Community Plan) NE Yes Yes
86047 AmeriChoice of NJ Medicaid & Family Care NJ Yes Yes
86048 AmeriChoice of NY Medicaid & Child Health Plus All Yes No
86049
AmeriChoice of PA Children's Health Insurance
Program (KidsChoice) All Yes No
86049 AmeriChoice of PA Medicaid All Yes No
86003
AmeriChoice of Pennsylvania Personal Care Plus(All
claims submitted require your AmeriChoice assigned
Provider ID #. Contact them at 888-362-3368 for
your ID#.) All Yes Yes
87726 AmeriChoice of Rhode Island RI Yes Yes
95378 Americhoice of TN TN Yes No
86049
AmeriChoice PA Medicaid & CHIP (UnitedHealthcare
Community Plan) All Yes No
25175
Americhoice Personal Care Plus PA
(UnitedHealthcare Community Plan) All Yes Yes
95378
AmeriChoice TN: TennCare, Secure Plus Complete
(UnitedHealthcare Community Plan) TN Yes Yes
28804 Amerigroup All Yes Yes
28807
Amerigroup - Maryland, Virginia and District of
Columbia MD,DC Yes No
28806 Amerigroup - New Jersey NJ Yes Yes
28805 Amerigroup / Americaid - Houston TX Yes No
27514 AMERIGROUP Georgia GA Yes Yes
28804 Amerigroup IL TX,NM Yes Yes
27518 AMERIGROUP IL All Yes No
28808 AMERIGROUP IL All Yes No
26375 Amerigroup Iowa All Yes Yes
26378 AMERIGROUP MULTIPLE STATES All Yes Yes
28809 Amerigroup of Florida FL Yes No
27514 AMERIGROUP Tennessee TN Yes Yes
93688 AmeriHealth - DE (PPO) All Yes Yes
60061 AmeriHealth - New Jersey (Non-HMO Claims) All Yes Yes
SX075 AMERIHEALTH - NJ (NON-HMO) All Yes No
54763 AmeriHealth Administrators All Yes Yes
27357 Amerihealth Caritas LA Yes Yes
87716 Amerihealth Caritas Healthplan NH NH Yes Yes
77075 Amerihealth Caritas Iowa IA Yes Yes
77062 AmeriHealth Caritas VIP Care All Yes Yes
77013 Amerihealth Caritus VIP Michigan MI Yes Yes
77051 AmeriHealth Connect All Yes Yes
77799 Amerihealth DE DE Yes Yes
77002 Amerihealth District of Columbia All Yes Yes
23037 AMERIHEALTH HMO DE,NJ Yes Yes
95044 AmeriHealth HMO New Jersey and Delaware NJ,DE Yes Yes
22248 AmeriHealth Mercy Health Plan All Yes No
77001 AmeriHealth NorthEast All Yes Yes
77007 Amerihealth VIP Care - DC All Yes No
22355
AmeriHealth VIP Care (Medicare Advantage Plan
Part of the AmeriHealth Mercy Family of
Companies) All Yes No
77006 Amerihealth VIP Care-La All No Yes
26374 Amerikids-Dallas/Ft. Worth TX Yes Yes
26375 Amerivantage All Yes Yes
64090 Amfirst Insurance Company All Yes Yes
01757 AM-First Insurance Morgan White All Yes No
24818 Amida Care (Formerly Vida Care.) All Yes Yes
79966 Amida Care Medicare All Yes Yes
21825 AMPS ALL Yes Yes
25667 AMPS - CX ALL Yes Yes
IP080 AMVI CA Yes No
38254 Amway Corporation All Yes No
MHIPA Anaheim Memorial IPA (MHCAN) CA Yes No
53085 Anchor Benefit Consulting All Yes No
J1919 ANCHOR CLAIMS MANAGEMENT All Yes No
86062 ANCILLARY BENEFIT SYSTEMS ARIZONA All Yes No
AZFMC
Ancillary Benefits/Arizona Foundation for Medical
Care All Yes No
98205 Anerican Founders Life Ins Co (NFL Plans only) All Yes No
75299 ANGELES IPA (SYNERMED) All Yes No
34192 Antares Management Solutions All Yes Yes
AECON Anthem E Consult All Yes Yes
80705
Anthem Health and Life Insurance Company of New
Jersey NJ Yes Yes
00050 Anthem of Colorado CO Yes Yes
ATMED Anthem Telemedicine All Yes Yes
34196
Apex Benefit Services (Claims must contain the
rendering provider ID or the claim will reject.) All Yes No
81312 Apostrophe All Yes Yes
54160 APS Healthcare Inc. All Yes Yes
16120 ARAZ (Now known as America's PPO.) All Yes Yes
52312 Arbor Health All Yes Yes
77045
Arcadian Management Services, Inc (Group number
should be entered if available. ) All Yes Yes
ARGUS ARGUS DENTAL AND VISION All Yes Yes
36356 Argus Health Systems All Yes No
AZFMC Arizona Foundation for Medical Care AZ Yes No
03432 Arizona Physicians IPA AZ Yes No
03432
Arizona Physicians IPA (APIPA) (UnitedHealthcare
Arizona Physicians IPA) AZ Yes No
74234
Arizona Pipe Trades Health and Welfare Trust Fund
Local Union Nos. 469 & 741 Metal Trades Health
Plan AZ Yes No
74234
Arizona Pipe Trades Health and Welfare Trust Fund
Local Union Nos. 469 & 741 Pipe Trades Health Plan AZ Yes No
27154 Arizona Priority Care Plus All Yes Yes
75278 Arkansas Best Corporation All Yes Yes
62176 Arkansas Managed Care Organization (AMCO) AR Yes No
95440 ARNETT HEALTH PLA All Yes No
43905 ARNOT OGDEN MEDICAL CENTER (UCS) All Yes No
WMM01 Arta Health Network CA Yes No
06603 ASAGEHA All Yes Yes
AAMG1 ASIAN AMERICAN MEDICAL GROUP All Yes No
94027 Asociacion de Maestros PR Yes No
PRADM Asociacion de Maestros (PROSSAM) PR Yes Yes
16180 Aspen All Yes Yes
46156 Aspire Health Plan All Yes No
38265 ASR Corporation All Yes Yes
ASRM1 ASRM Corporation All Yes Yes
FAABC ASSOCIATED BENEFITS CORP All Yes No
ATPA1 Associated Third Party Administration (ATPA) All Yes No
36326 Associates for Healthcare All Yes Yes
39065
Assurant Employee Benefits (Formerly Fortis
Insurance) All Yes No
41099 Assurant Health - John Alden Life Ins. All Yes No
ASNTH Assurant Health Re-Pricing via HealthSpan All Yes No
37313
Assurant Health Self Fund (Verify that claims should
go to Ft. Mill, SC) All Yes No
75068 Assurant Health Self Funded All Yes Yes
75068 Assurant Health Self Funded All Yes Yes
88035 AssureCare, Inc. All Yes Yes
74240 Assured Benefits Administrators All Yes Yes
SX179
Asuris Northwest/MedAdvantage (REF*1B*Provider
ID in Billing and Rendering required even when NPI
is submitted.) All Yes No
93221 Asuris NW Health All Yes Yes
J1914 ATHENS All Yes No
95691 Athens Health Plan All Yes Yes
22285 Atlantic Medical All Yes No
22304 ATLANTICARE ADMIN All Yes No
AEC01 ATLANTIS EYECARE All Yes No
ATLAD ATLAS ADMIN USAMC All Yes No
90956 Atlas Life Ins Co (NFIC Plan only) All Yes No
37231 ATR All Yes No
MPCHA
Atrio Health Plan (Marion Polk Health Plan
Advantage) All Yes No
ATRIO ATRIO HEALTH PLANS All Yes No
MNAUL Aultcare OH Yes No
10016 AULTCOMP MCO All Yes No
38259 Automated Benefit Services (ABS) All Yes Yes
37280 Automated Group Administration, Inc. All Yes Yes
91136
Automotive Machinists Local 289 Health & Welfare
Trust - Grp#F32 All Yes Yes
AVA01 AVALON HEALTHCARE SOLUTIONS All Yes No
IP080 Avalon IPA CA Yes No
AH001 Avante Health (Customer Service 559-261-9060) All Yes No
MP001 Avectus Healthcare Solutions (Call 855-AVECTUS) All Yes No
46045 Avera Health Plans All Yes Yes
26355 Averde Health All Yes No
87098 Avesis Third Part Administrators All Yes No
59274 AVMED FL Yes Yes
58204 AVMED-Parity Healthcare (OB/GYN only) FL Yes Yes
AXM01 Axminister Medical Group All Yes No
NCHON AZ Integrated Physicians All Yes No
95964 AZ PACIFICARE CLA All Yes No
BKRFM Bakersfield Family Medical Center All Yes No
BCTF1 Bakery and Confectionary Union All Yes Yes
74227 Bankers United Life (Student Division) All Yes Yes
67895 Banner Aetna All Yes Yes
12X42 Banner Health All Yes Yes
SX145
Banner Health Co. (All Banner Health Plans were
consolidated to the payerID of SX145.) All Yes No
77078 Banner Medisun All Yes Yes
66901
Banner-University Family Care(University of Arizona
Health Plans) All Yes No
BHPMA BAPTIST HEALTH PLAN ADVANTAGE ALL Yes No
65026 Baptist Health South Florida All Yes No
41204 BASIC PLUS All Yes No
84041 BASIL CASTROVINCI ASSOCIATES All Yes No
06941 BAY BRIDGE ADMINISTRATORS LLC All Yes No
68756 Bay Bridge Administrators/Protector 360 TX Yes Yes
59279 BAYCARE LIFE MANAGEMENT All Yes No
32002 BC MICHIGAN COMPLETE All Yes No
SB570 BCBS DELAWARE All Yes No
SB700 BCBS MASSACHUSETTS All Yes No
00722 BCBS MINNESOTA All Yes No
00220 BCBS MINNESOTA All Yes No
00222 BCBS MINNESOTA All Yes No
SB810 BCBS NORTH CAROLINA All Yes No
SB690 BCBS of Maryland MD Yes Yes
66001 BCBS TEXAS MEDICAID STAR CHIP All Yes No
49153 BCI Administrators, Inc All Yes No
VALOP Beacon Health Options (Formerly Value Options) All Yes Yes
43324
Beacon Health Strategies (Block 11 on the HCFA
1500 form must use Plan specific IDs.) All Yes Yes
95962
Beacon Health Strategies (Providers need to call
Provider Relations Dept at 781-994-7576 to register
before sending claims.) Yes No
95377
Beech Street Corp. (Payer requires that payer and
employer information in box11 be attached.) All Yes Yes
63100 Behavioral Health Systems All Yes Yes
BHI00 Behavioral Healthcare, Inc. CO Yes No
68241 Bell Atlantic (Prudential) All Yes No
MPM10 Bella Vista Med Grp IPA CA Yes No
37286 BENE PLAN ADMINIS All Yes No
99320
Benefit & Risk Management Services (Commercial
Medicare under Med3000) All Yes Yes
99320 Benefit & Risk Mgtm Svcs All Yes Yes
41205 Benefit Administration Services All Yes No
36149 Benefit Administrative Systems All Yes Yes
51037 Benefit Concepts All Yes Yes
25145 Benefit Coordinators Corporation All Yes Yes
56139 Benefit Managaement Svcs All Yes Yes
BMATP Benefit Management Admin NULL Yes Yes
88092 BENEFIT MANAGEMENT LLC (VBA) All Yes No
56139
Benefit Management Services (Please contact Chris
Burak at 704-321-3156 for payerID information.) All Yes Yes
00999 Benefit Management Services, Inc of Lousiana LA Yes No
37212 Benefit Management Systems, Inc of Mississippi MS Yes Yes
48611
Benefit Management, Inc. of KS (Only accepts claims
for these groups
BMI187,BMI219,BMI234,BMI236,BMI214,BMI241,B
MI617 BMI246,BMI246.) All Yes Yes
19753 Benefit Plan Administrators All Yes Yes
39081
Benefit Plan Administrators Co. (Payer ID valid only
for claims with a billing submission address of PO
Box 1128, Eau Claire, WI 54702-1128) WI Yes Yes
37118 Benefit Plan Administrators, Inc All Yes Yes
34178 Benefit Services (Akron OH) NULL Yes No
36342 Benefit Systems and Services, Inc. All Yes Yes
61425 Benefit Trust Life Insurance Company All Yes Yes
87265 Benesight (formerly The TPA) All Yes Yes
37248 BENESYS LHP CLAIM All Yes No
38238
BeneSys, Inc. (Located in Troy, MI) (Now known as
Sheet Metal Workers Local 104) All Yes Yes
BNMK1 Benmark All Yes No
23243 Berkshire Health Partners All Yes Yes
95606 BERKSHIRE LEHIGH PARTNERS All Yes No
95604 Best Life & Health Insurance Co. All Yes Yes
01508 BETTER HEALTH FLORIDA All Yes No
20488
Better Health Plan of Florida (For claims rejections,
contact payer at 800-514-4561 and select provider
services option.) All No No
62183 BETTER HEALTH PLANS INCORPORATED All Yes No
32006 BETTER HEALTH PLANS SOUTH CAROLINA All Yes No
POP05 BEVERLY ALIANZA IPA All Yes No
44219 BHP-Unity All Yes Yes
67668 BHSF INTERNATIONAL All Yes No
BSHS1 Bienvivir NULL Yes No
CX025 Big Lots Associates Benefit Plans All Yes No
BVTX1 Block Vision of Texas TX Yes No
BV001 Block Vision, Inc. All Yes No
ARBLS BLUE ADVANTAGE OF ARKANSAS AR Yes No
00521 Blue Advantage of Arkansas AR Yes No
ECIBB BLUE BELL BENEFITS All Yes No
00923 Blue Care PPO VA Yes Yes
00870 Blue Chip of Rhode Island RI Yes No
RICHP BLUE CHIP OF RHODE ISLAND RI Yes No
00403 Blue Choice Medicaid SC Yes Yes
00804 Blue Choice of Rochester NY NY Yes Yes
N6BLS BLUE CHOICE OF ROCHESTER NY NY Yes No
00922 Blue Choice of South Carolina SC Yes Yes
BCSAL Blue Cross Blue Shield Alabama AL Yes Yes
53589 Blue Cross Blue Shield of Arizona AZ Yes Yes
VIBCS Blue Cross Blue Shield of USVI VI Yes Yes
MC721 BLUE CROSS COMMUNITY CENTENNIAL All Yes No
MCDIL Blue Cross Community Options All Yes Yes
66006 Blue Cross Medicare Advantage MT,IL,TX,OK Yes Yes
47198 Blue Cross of California CA Yes No
00610 Blue Cross of Idaho ID Yes No
IDBLC BLUE CROSS OF IDAHO ID Yes No
12011 Blue Cross of Maryland ALL No Yes
15754 Blue Grass Family Health (SRRIPA) All Yes No
IP061 Blue Lake Rancheria CA Yes No
00580 Blue Shield of Alabama AL Yes No
00822 Blue Shield of Alaska AK Yes No
00520 Blue Shield of Arkansas AR Yes No
BS001 Blue Shield of California CA Yes Yes
00805 Blue Shield of Central NY HMO/PPO NY Yes Yes
00060
Blue Shield of Connecticut (NOTE: The DOS in
Reports is programmatically calculated and is not
actual claim's data. Some variances may exist.) CT Yes Yes
00570 Blue Shield of Delaware DE Yes No
00590 Blue Shield of Florida FL Yes Yes
00601 Blue Shield of Georgia (State Health of GA) GA Yes Yes
HIBCS Blue Shield of Hawaii HI Yes No
00611 Blue Shield of Idaho-Regence ID Yes Yes
00621 Blue Shield of Illinois IL Yes Yes
00630 Blue Shield of Indiana IN Yes Yes
88848 Blue Shield of Iowa IA Yes Yes
88848MC Blue Shield of Iowa Secondary to Medicare IA Yes No
47163 Blue Shield of Kansas KS Yes Yes
47171 Blue Shield of Kansas City KS,MO Yes No
00660 Blue Shield of Kentucky KY Yes Yes
53120 Blue Shield of Louisiana LA Yes No
00680 Blue Shield of Maine ME Yes Yes
00200 Blue Shield of Massachusetts MA Yes No
00710 Blue Shield of Michigan MI Yes No
00720 Blue Shield of Minnesota MN Yes Yes
00230 Blue Shield of Mississippi MS Yes No
00241 Blue Shield of Missouri MO Yes Yes
BCSMT Blue Shield of Montana MT Yes No
NCABS Blue Shield of National Capital Area DC,VA,MD Yes No
77780 Blue Shield of Nebraska NE Yes No
00265 Blue Shield of Nevada All Yes Yes
00770 Blue Shield of New Hampshire NH Yes Yes
NJBCS Blue Shield of New Jersey NJ Yes Yes
00790 Blue Shield of New Mexico NM Yes Yes
00803 Blue Shield of New York (Empire) NY Yes Yes
05536 Blue Shield of North Carolina NC Yes No
00820 Blue Shield of North Dakota ND Yes Yes
00800 Blue Shield of Northeast NY NY Yes No
00834 Blue Shield of Ohio OH Yes Yes
00840 Blue Shield of Oklahoma OK Yes No
00851 Blue Shield of Oregon OR Yes Yes
54771 Blue Shield of Pennsylvania PA Yes Yes
PRSSS Blue Shield of Puerto Rico (Triple S) PR Yes No
00870 Blue Shield of Rhode Island RI Yes No
00804 Blue Shield of Rochester NY (Excellus) NY Yes Yes
SCBCS Blue Shield of South Carolina SC Yes Yes
88848 Blue Shield of South Dakota SD Yes Yes
00390 Blue Shield of Tennessee TN Yes Yes
84980 Blue Shield of Texas TX Yes Yes
TXBLS BLUE SHIELD OF TEXAS TX Yes No
84980 Blue Shield of TX HCSC Insurance Services Company TX Yes Yes
00910 Blue Shield of Utah UT Yes Yes
00806 Blue Shield of Utica NY NY Yes No
VTBLS Blue Shield of Vermont VT Yes No
VTBCS Blue Shield of Vermont VT Yes No
00923 Blue Shield of Virginia VA Yes Yes
54828 Blue Shield of West Virginia WV Yes No
00801 Blue Shield of Western New York NY Yes No
00301 Blue Shield of Western New York NY Yes No
00950 Blue Shield of Wisconsin WI Yes Yes
00960 Blue Shield of Wyoming WY Yes Yes
WYBLS BLUE SHIELD OF WYOMING WY Yes No
37121 Bluebonnet Administrators LA Yes Yes
A0016 BLUECARE FAMILY PLAN All Yes No
A0016 BLUECARE FAMILY PLAN CT Yes No
00246 BlueCross BlueShield of Western New York Medicaid All Yes Yes
61124 Bluegrass Family Health All Yes Yes
36609 Boilermakers national Health & Welfare Fund All Yes Yes
BOLL1 Bollinger, INC. All No No
74238 Boon-Chapman Benefit Administrators, Inc. All Yes Yes
13337 Boston Medical Center Healthnet MA Yes No
18768 BOULDER ADMIN SERVICES All Yes Yes
20381 BOULDER ADMIN SVC All Yes No
48964 BPS Inc All Yes No
UC002 Brand New Day (Encounters) All Yes Yes
UC001 Brand New Day (FFS) All Yes Yes
52192
Bravo Health (Formerly known as Elder Health Inc.
Serving members in PA, MD, DE, TX and Washington
DC.) All Yes No
J1761 BRICKSTREET All Yes No
BRIDG Bridgespan All Yes Yes
88033 BRIDGESTONE FIRES All Yes No
68069 Bridgeway Arizona (Also 68054) AZ Yes Yes
68054 Bridgeway AZ AZ Yes No
BHP01 Bright Health Physicians CA Yes No
CB186 BRIGHT HEALTH PLAN All Yes No
22286 BRITCAY All Yes No
51037 Brockerage Concepts, Inc (Benefit Concepts) All Yes No
59069 Brown & Brown Benefits All Yes Yes
94316 Brown & Toland Medical Group All Yes No
BTSS1 Brown & Toland Sutter All Yes No
BTSS1 Brown & Toland SutterSelect All Yes No
BTHS1 BROWN AND TOLAND HEALTH SERVICES All Yes No
32004 Buckeye Community Health OH Yes Yes
68069 Buckeye Community Health (Also 32004) IA Yes Yes
J1391 BUILDERS GROUP OF MINNESOTA All Yes No
42150 Butler Benefits All Yes Yes
23708 C & O Employees Hospital Association All Yes No
A1680 C3 Health (fka Access Health Inc.) MI Yes No
KS003 CA Kaiser Permanente (Northern California Only) CA Yes No
CWS99 CAL WATER All Yes No
68069 California Health and Wellness CA Yes Yes
AMM14 CALIFORNIA IPA All Yes No
94056 CALIFORNIA PACIFIC MEDICAL CENTER All Yes No
CALOP Cal-Optima Direct All Yes Yes
J1819 CAMBRIDGE INTEGRATED SERVICES All Yes No
CAMAA Cameron and Associates All Yes No
25831
CAMERON MANUFACTURING AND DESIGN
INCORPORATED (UCS) All Yes No
71057
Cannon Cochran Management Services, Inc. LA
(Claims for Payer address of Metairie, LA only.) LA Yes Yes
95399 CAP Management All Yes No
IP080 Cap Management Systems CA Yes No
23045
Capital Advantage Insurance Company (CAIC)
PROFESSIONAL (BCBS ProviderID and Performing
ProviderID required. Call 800-874-8433) PA Yes No
24705 CAPITAL BC PENNSYLVANIA All Yes No
23045
Capital Blue Cross PROFESSIONAL (BCBS ProviderID
and Performing ProviderID required. Call 800-874-
8433) PA Yes No
SX065 Capital District PHP All Yes Yes
95112 Capital Health Plan All Yes Yes
65067 Capital International Management Services All Yes No
68011 Capitol Administrators All Yes Yes
CAPHP Caprock Health Plan All Yes Yes
CAPH2 CAPROCK HEALTH PLANS VERITY All Yes No
86044 CAPSTONE HEALTH P All Yes No
GCVCP Cardiovascular Care Providers NULL Yes Yes
57116 Care 1st Health Plan of Arizona AZ Yes Yes
57115 Care 1st Health Plan of CA CA Yes Yes
HM037 Care Choices HMO All Yes No
14182 Care Core National All Yes Yes
77082 Care Improvement Plus All Yes No
37228 Care N Care All Yes Yes
43172 Care Partners All Yes No
65031 Care Plus All Yes Yes
41222 Care to Care All Yes Yes
27004 Care Wisconsin Health Plan (Trizetto) All Yes Yes
57721 CAREATC All Yes No
11345 CareCentrix All Yes Yes
38269
Carechoices Michigan - Mercy Healthplans
(Enrollment required; please contact Noreen at
(248) 489-5281.) MI Yes No
14188 Carecore National Wellcare All Yes No
14185 CareCore National, LLC - Health Net New Jersey All No Yes
14179 CareCore National, LLC (Aetna Radiology Claims) All Yes Yes
14180
CareCore National, LLC (Radiology charges for
Oxford) (Provider must call Anthony Sampson at 845-
298-8155 for provider code.) NY, NJ Yes Yes
SB580 CareFirst BCBS - DC, National Capital Area MD,DC Yes No
SB691 CareFirst DELMARVA Health Plan DC Yes No
CLUHS Careklink University Health System NULL Yes No
25139 Carelink All Yes No
25140 Carelink Medicaid All Yes Yes
CM001 Caremore All Yes No
CARMO Caremore IPA All Yes No
CARMO CareMore Value Plus (CVP) All Yes No
25142
Carenet of Virginia (Prepare to use consolidated
Coventry payerID of 25133.) VA Yes Yes
93975 CareOregon, Inc. OR Yes Yes
95092 CAREPLUS All Yes Yes
NCH04 CarePlus Cardiology - New Century Health All Yes No
77023 Carepoint Health Plan All Yes Yes
31114 CareSource OH Yes Yes
26160 CARESOURCE All Yes No
MRCHP Caresource Health Plan of Oregon All No No
INCS1 CareSource IN IN Yes Yes
KYCS1 CareSource KY KY Yes Yes
GACS1 CARESOURCE OF GA All Yes Yes
37311 CARESOURCE OF IND All Yes No
WVCS1 CARESOURCE WEST VIRGINIA All Yes No
10010 Careworks All Yes Yes
CAREW Careworks (OH BWC) OH Yes No
J1866
CAREWORKS CONSULTANTS INCORPORATED
(CAREWORKS USA AND CCI) All Yes No
CAREW Careworks of Ohio (OH BWC) OH Yes No
77015 Carilion Clinic Medicare Health Plan All Yes No
62073 Cariten Commercial All No Yes
62072 Cariten Senior Health All No Yes
29076
Carolina Care Plan (Part of the Medical Mutual
Family of companies. Former payerID was 57105.) SC Yes Yes
SX191 CAROLINA CRESCENT All Yes No
68069 Carolina Crescent (Also 68055) All Yes Yes
56195 Carolina Summit Healthcare, Inc All Yes Yes
COMPU
Carpenters' and Millwrights' Health Benefit Trust
Fund CO Yes No
CX101 Carpenters Health and Welfare Fund of Philadelphia All Yes No
COMPU
Carpet, Linoleum and Resilient Tile Layers Health
and Welfare Fund CO Yes No
CAS01 Cascade East Health Plan OR Yes No
93102 Cascade Health Partners All Yes No
37060 CATERPILLAR INCORPORATED All Yes No
03036 CBA Blue All Yes Yes
52132 CBA, Inc. (Cooperative Benefits Administrators, Inc.) All Yes Yes
55438 CBCA FORT WORTH All Yes No
56215 CBHA Carolina Behavioral Health Alliance All Yes Yes
31158 CBIZ BENEFITS All Yes No
65391 CBNHP Health Choices All Yes Yes
41124 CBSA (Corporation Benefit Services of America) All Yes Yes
J1900 CC DEVELOPMENT GROUP INCORPORATED All Yes No
06541 CCHS All Yes Yes
CCMC1 CCMC - Comprehensive Care Management Corp NY Yes No
MNBLS CCS (AKA COMPREHENSIVE CARE SYSTEMS) MN Yes No
CALL CCS (aka Comprehensive Care Systems) MN Yes No
CCStpa CCSTPA COMPREHENSIVE CARE SERVICES All Yes No
87065 CDO Technologies WY,UT Yes Yes
88022 CDS Group Health All Yes No
SISCO Cedar Valley Community Health Plan All Yes Yes
33010 Cedars Sinai Medical Center All No Yes
95166 Cedars-Sinai Medical Network Services Claims All Yes No
95167 Cedars-Sinai Medical Network Services Encounters All Yes No
CELTC Celtic Insurance All Yes No
68063 CELTIC INSURANCE All Yes No
68069 CeltiCare All Yes Yes
68060 Celticare All Yes No
91136
Cement Masons & Plasterers Health & Welfare Trust
- Grp#F16 All Yes Yes
95386 CenCal Health CA Yes Yes
68050 Cenpatico - Georgia GA No Yes
68068 Cenpatico - Multiple States All Yes Yes
68059 Cenpatico - SC NULL No Yes
68046
Cenpatico Behavioral Health - Wisconsin (Call 800-
225-2573 ext 25525 prior to submitting claims.) All Yes Yes
68048
Cenpatico Behavioral Health AZ (Prior to submission,
contact 866-495-6748 to verify provider ID.) AZ Yes Yes
68058 Cenpatico Florida Behavioral Health FL Yes Yes
68047 Cenpatico Health All Yes No
68052 Cenpatico Indiana All Yes Yes
68068 Cenpatico Kansas All Yes Yes
68061 Cenpatico Massachusetts MA Yes Yes
68051 Cenpatico Ohio OH Yes Yes
68053 Cenpatico Texas All No Yes
36474 Centegra Health System All Yes Yes
68056 Centene Advantage All Yes No
68069 Centene Advantage Plans (Also 68056) All Yes Yes
94312 Center for Elders Independence All Yes Yes
POP01 CENTER IPA All Yes No
13357 CenterCare All Yes Yes
13360 Centerlight Healthcare Inc. All Yes Yes
56122 Centerpoint Human Services All Yes Yes
11442 Centers Plan for Healthy Living All No Yes
IP080 Centinela IPA CA Yes No
MPM03 CENTINELA VALLEY IPA All Yes No
45564 Centivo All Yes Yes
75243 Centra Benefit Services All No Yes
66698 CentraCare All Yes No
75177 Central & Southwest Services All Yes No
31118 Central Benefit National All Yes Yes
31118 Central Benefits Life aka HealthScope Benefits All Yes Yes
31118 Central Benefits Mutual All Yes Yes
CALL
Central California Alliance (Call the EDI Support Unit
at 800-700-3874 x5510 to obtain payerID.) CA Yes No
SX169 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH CA Yes No
NWADM
Central California Electricial Workers Health and
Welfare Trust CA Yes No
WH001 CENTRAL CALIFORNIA WOMENS HEALTH All Yes No
CHCPI Central Health Medicare All Yes No
34097 Central Reserve Life All Yes Yes
CIPA1 Central Senior Care NULL Yes No
62218 CENTRAL SENIOR CARE All Yes No
37214
Central States Joint Board Health & Welfare Trust
Fund All Yes No
36215
Central States Southeast and Southwest Areas
Health and Welfare and Pensions Funds All Yes No
55731
CENTRAL SUSQUEHANNA HEALTHCARE PROVIDERS
(CSHP) All Yes No
42140 Centurion ALL Yes No
48120 Century Health Solutions All No Yes
36393 CENTURY PHO All Yes Yes
23171 CHA - Commonwealth Health Alliance All Yes Yes
99795 CHAMPION CHEVROLET All Yes No
84146
CHAMPVA-HAC (CHAMPVA-HAC is not associated
with and does not process claims for TRICARE
(formerly CHAMPUS.)) All Yes No
95748 Chartered Health Plan (DC Chartered Health Plan) DC Yes No
CHAT1
Chatwins Healthcare Administrators
C All Yes No
16600 Chautauqua County Health Plan (Mayville,NY) NY Yes No
J1908 CHESAPEAKE INSURANCE All Yes No
59223
Chesapeake Life Insurance Co. (PayerID valid for PO
BOX 982017, North Richland Hills.) All Yes No
94321
Children First Medical Group (For questions
regarding claim status, providers will need to
contact payer: CFMG Provider Customer Service 510-
428-3154) All No No
39113 Children's Community Health Plan All No No
251CC CHILDRENS COMMUNITY HEALTH PLAN WISCONSIN All Yes No
CMCHP CHILDRENS MEDICAL CENTER HEALTH PLAN All Yes No
CSSD2 CHILDRENS SPECIALIST OF SAN DIEGO II All Yes No
94302
Chinese Community Health Plan (Unique Provider ID
must be on claim.) All Yes No
CHIPA CHIPA - College Health IPA All Yes No
ACN01 ChiroCare All Yes No
33070 CHIROMETRICS INCORPORATED All Yes No
CASD1 Chiropractic Association of South Dakota SD Yes No
DAKCH CHIROPRACTIC ASSOCIATION OF SOUTH DAKOTA All Yes No
LNDMK
Chiropractic Care of Minnesota, Inc. (For Dates of
service before 1-01-08, continue to use payerID of
ACN01.) All Yes No
ACN01 Chiropractic Care of Wisconsin, Inc. WI Yes No
U1439 CHIROPRACTIC HEALTH PLAN (CHP) All Yes No
33065
CHOC - Childrens Hospital of Orange County Health
Alliance CA Yes Yes
CPNFC CHOICE PHYSICIANS NET FIRST CHOICE All Yes No
68241 Choice Plus (TRW) All Yes No
POP03 CHOICEONE IPA All Yes No
90441 CHP Direct SuperMed All Yes Yes
UH133
CHP/DMBA (Enrollment required, please contact
Provider Relations 801-352-7270)(NOTE that this
payer accepts Chiropractic claims only for Choice &
Select Plans.) UT Yes No
UH134
CHP/EMIA (Enrollment required, please contact
Provider Relations 801-352-7270)(NOTE that this
payer accepts Chiropractic claims only.) UT Yes No
UH135
CHP/MEDICAID (Enrollment required, please contact
Provider Relations 801-352-7270)(NOTE that this
payer accepts Chiropractic claims only.) UT Yes No
39112
CHP/RPU (FABOH) (Facility physical address required
on claim.) All Yes Yes
UH137
CHP/UUHP (Enrollment required, please contact
Provider Relations 801-352-7270)(NOTE that this
payer accepts Chiropractic claims only.) UT Yes No
UH138 CHP/WISE All Yes No
38308 Christian Brothers Services All Yes Yes
59355 Christian Care Ministries All Yes Yes
75544 CHRISTIE STUDENT HEALTH PLANS All Yes No
10629 Christus Health Medicare Advantage All Yes Yes
21062 Christus Health New Mexico HIX All Yes Yes
45210 CHRISTUS HEALTH PLAN MEDICAID All Yes No
52106 CHRISTUS HEALTH PLAN TEXAS HIX All Yes No
SPOHN Christus Spohn Health Network All Yes Yes
C1052 CHUBB AND SON All Yes No
62308 CIGNA - PPO All Yes Yes
MCCBV
CIGNA Behavioral Health (We will also accept PID
SX071 for these claims: use of either ID
accomplishes the same routing.) All Yes No
SX071
CIGNA Behavioral Health (We will also accept PID
SX071 for these claims: use of either ID
accomplishes the same routing.) All No No
62308 CIGNA Health Plan - HMO All Yes Yes
86033 CIGNA Healthcare for Seniors - Arizona Medicare AZ Yes Yes
62308 CIGNA Premier Plus All Yes Yes
46871 Cinncinnati Financial Corporation All Yes Yes
10207 Citrus Health Care All Yes Yes
IP055 Citrus Valley Physicians Group CA Yes No
J1885 CITY AND COUNTY OF SAN FRANCISCO (CCSF) All Yes No
ZCA01 City of Amarillo All Yes No
74234 City of Austin TX Yes No
J1928 CITY OF CHARLOTTE All Yes No
J1901 CITY OF RIALTO CALIFORNIA All Yes No
CLFR2 CL Frates All Yes Yes
CCMMH CLACKAMAS COUNTY MENTAL HEALTH OR Yes No
43056 Claims Development Corporation All Yes No
11752 ClaimsBridge HPN All Yes Yes
57080 ClaimsWare, Inc. DBA ManageMed All Yes Yes
95444 Clarian Health Plans All Yes Yes
77201 CLEARCHOICE HEALT All Yes No
41201 CLIENT FIRST All Yes No
24585
CLIFTON HEALTH SYSTEMS DBA ACTIN CARE
GROUPS All Yes No
CDCR1 CLINCAS DEL CAMINO REAL All Yes No
CRGMN Clinical Resource Group All Yes No
CSI001 CLINICAL SPECIALTIES INCORPORATED All Yes No
CSI01 CLINICAL SPECIALTIES INCORPORATED All Yes No
M3FL0012 CMS MMA SPECIALTY PLAN All Yes No
CHCNT CNIC Health Solutions, Inc. All Yes Yes
COFHP CO SECURE HORIZON All Yes No
J1902 COACHELLA VALLEY WATER DISTRICT (CALIFORNIA) All Yes No
77052 Coastal Administrative Services All Yes No
A0004 COASTAL CARE All Yes No
CCPN1 Coastal Communities Physician Network (CCPN) CA Yes No
LIPAZ Coastal Healthcare Management All Yes No
43141 COASTALCARE (DOS PRIOR TO 7 1 2015) All Yes No
SLOAN Cofinity (formerly Sloans Lake) CO Yes Yes
38335 Cofinity (formerly Sloans Lake) CO Yes Yes
37123 COLONIAL HEALTHCA All Yes No
22284 Colonial Medical All Yes Yes
84129 COLORADO ACCESS All Yes No
COACC Colorado Access HMO CO Yes No
H0657 Colorado Choice Health CO Yes No
49718 Colorado Health Insurance Cooperative CO Yes Yes
COKSR Colorado Kaiser Permanente (Colorado plans only) CO Yes No
COMPU Colorado Laborers Health and Welfare Fund CO Yes No
25351 Columbia Cornell Care All Yes No
91162 Columbia United Providers All Yes Yes
CHP02 Columbine Health Plan All Yes No
CHP02 Columbine Health Plan All Yes No
62149 COMM HEALTHNET CT All Yes No
32481 COMM PREMIER PLUS All Yes No
34181 Commerce Benefits Group All Yes No
88091 COMMERCIAL TRAVELERS All Yes No
77170 Common Ground Healthcare Cooperative All Yes No
37237 CommonWealth Administrative Group All Yes Yes
CATPA Commonwealth Administrators All Yes No
14315 Commonwealth Care Alliance All Yes No
CCAIL Community Alliance II All Yes No
17902 Community Care Associates MI Yes No
25179
Community Care Behavioral Health Org. (For Dates
of Service prior to October 1, 2007) All Yes Yes
23282
Community Care BHO (For Dates of Service after
October 1, 2007) All Yes Yes
AMM12 COMMUNITY CARE IPA All Yes No
73143
Community Care Managed Health Care Plans of
Oklahoma OK Yes Yes
39126 Community Care Organization All Yes Yes
00330 COMMUNITY CARE PL All Yes No
95192 Community Connect Medicaid All Yes Yes
CECVP COMMUNITY EYE CARE All Yes No
COMMF Community First All Yes Yes
35193 Community Health Alliance All Yes Yes
27905 Community Health Allliance TN All Yes Yes
CHCN1 Community Health Center Network NC Yes No
48145
Community Health Choice (Please include TPI
Number (Texas Medicaid Number) in Field FA0-23) All Yes No
75261 Community Health Electronic Claims/CHEC/webTPA All Yes Yes
95376 COMMUNITY HEALTH GROUP All Yes No
66170 COMMUNITY HEALTH GROUP All Yes No
60495 COMMUNITY HEALTH PLAN INCORPORATED All Yes No
CHPWA Community Health Plan of WA WA Yes Yes
SB613 Community Health Plan of Washington WA Yes Yes
CLA11 Community Health Solutions LA No No
CMGWV Community Medical Group of the West Valley CA Yes No
66121
COMMUNITY MEDICAL GROUP OF THE WEST
VALLEY INCORPORATED All Yes No
J1925 COMP WEST All Yes No
J1829
COMPANION PROPERTY AND CASUALTY INSURANCE
COMPANY All Yes No
37297 COMPBENEFITS CORP All Yes No
34177 Compensation Programs of Ohio, Inc. OH Yes Yes
23296 CompFirst, LLC All Yes No
CHP01 COMPLEMENTARY HEALTHCARE PLAN All Yes No
93101 Complementary HealthCare Plans OR,WA Yes No
15243 Compmanagement Health All Yes Yes
10005 COMPMGMT HEALTH SYSTEMS All Yes No
59314 COMPREHENSIVE BEH All Yes No
03036
Comprehensive Benefits Administrator, Inc. (Now
known as CBA Blue.) All Yes Yes
00720 Comprehensive Care Services (BCBSMN) MN Yes Yes
00562
Comprehensive Care Services (For DOS on and after
01-01- 2019) MN Yes No
M0166 Comprehensive Medical/Vision Program AZ AZ Yes Yes
37363 ComPsych All Yes Yes
74234 CompuSys Incorporated (New Mexico) NM Yes No
74234 CompuSys Incorporated of Arizona AZ Yes No
COMPU CompuSys Incorporated of Colorado CO Yes No
74234 CompuSys Incorporated of Utah UT Yes No
COMPU Compusys of Colorado CO Yes No
74234 CompuSys/Erisa Group, Incorporated (AZ) AZ Yes No
74234 CompuSys/Erisa Group, Incorporated (NM) NM Yes No
74234 CompuSys/Erisa Group, Incorporated (TX) TX Yes No
33632 Concordia Care Inc All Yes Yes
CB268 CONERSTONE PREFERRED RESOURCES All Yes No
80705 Confederation Admin Services All Yes Yes
80705 Confederation Life Insurance All Yes Yes
78375 Connecticare - Medicare All Yes No
06105 Connecticare, Inc. All Yes Yes
37307 Connecticut Carpenters Health Fund CT Yes No
37135 Consociate Group All Yes Yes
75284 Consolidated Associates Railroad All Yes No
59140 Consolidated Group All Yes Yes
87843 Consolidated Health Plans All Yes No
L0260 CONSTELLATION HEALTH All Yes No
PRCON Constellation Health PR Yes Yes
19046 CONSTITUTION STATE / TRAVELERS All Yes Yes
58112 Consumer Mutual of Michigan All Yes Yes
45321 Consumers Choice Health SC All Yes No
08680 CONTAINER GRAPHICS CORPORATION All Yes No
CH101 CONTESSA HEALTH SECURITY HEALTH PLAN All Yes No
71404 Continental General Insurance Co. All Yes No
35315 CONTINENTAL KEY All Yes No
47046 Contractors, Laborers, Teamsters & Engineers All Yes No
55544 CONVERSION PLAN APWU All Yes No
CCHP1 Cook Children's Health Plan All Yes Yes
CCHP9 Cook Children's Star Plan All Yes Yes
35149 Cook Group Health Plan All Yes Yes
82347 Cook Group Solutions ALL Yes Yes
35199 Cooperative Managed Care Services All Yes Yes
HPAMN Cooportunity Health All Yes Yes
SX009 CoOpportunity Health All Yes No
14829 Coordinated Benefit Plan All Yes Yes
58204 Coordinated Medical Specialists (CMS) All Yes Yes
58231 Core Administrative Services All Yes Yes
47165 CORE BENEFITS MULTIMATIC TENNESSEE LLC All Yes No
23274 Core Value (Part of Gettysburg Health.) All Yes No
35187 CoreSource All Yes No
75136
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) AR Yes No
35182 CoreSource of Illinois IL Yes Yes
35182 CoreSource of Iowa IA Yes Yes
35182 CoreSource of Maryland MD Yes Yes
35180
CoreSource of North Carolina (Start using new
PayerID of 35182. Old payerID will start rejecting
soon.) NC Yes No
35183 Coresource of OH OH Yes Yes
35182 CoreSource of Pennsylvania PA Yes Yes
41045
CoreStar AZ MN (Start using new PayerID of 35182.
Old payerID will start rejecting soon.) AZ,MN Yes No
CORIZ
Corizon Health Inc.(Claims with address of
Brentwood,TN should be submitted to this Payer
ID.) All Yes Yes
35202 Cornerstone Benefit Administrators All Yes Yes
56116
Corporate Benefits Service, Inc. (NC) (Only valid for
payer address of PO Box 12953, Charlotte, NC
28220) NC Yes Yes
64270 CORPORATE PLAN MANAGEMENT INCORPORATED All Yes No
CCIHC
CorrectCare Integrated Health (CA Prison Health
Care Services) CA Yes No
CCIH
CORRECTCARE INTEGRATED HEALTH (CALIFORNIA
PRISON HEALTHCARE) All Yes No
CCIHJAIL
CORRECTCARE INTEGRATED HEALTH (NON-
LOUISIANA JAILS) All Yes No
PHPMC Correction Health Partners CO Yes Yes
43160 Correctional Medical Services All Yes Yes
48146 CorSolutions All Yes No
62553 COUNTRY LIFE All Yes No
42139 County Care All Yes No
60827 County Care (Use PayerID 42139) All Yes Yes
42138 County Care Behavioral Health TPA All Yes No
A0005 COUNTY MEDICAL SERVICES PROGRAM All Yes No
00923 COVA (Commonwealth of VA) VA Yes Yes
58102 Covenant Administrators, Inc. All Yes No
CMSEB
Covenant Management Systems Employee Benefit
plan All Yes Yes
25133
Coventry Health Care (Coventry old Legacy Payer
ID's are still accepted.) All Yes Yes
25132 COVENTRY HEALTH CARE IOWA All Yes No
25135 COVENTRY HEALTH CARE LOUISIANA All Yes No
25136 COVENTRY HEALTH CARE LOUISIANA All Yes No
25127 COVENTRY HEALTHCARE GEORGIA All Yes No
128FL Coventry Healthcare of FL FL Yes Yes
CHCNT CoverColorado CO Yes Yes
00019
Cox Health Plan (Requires Provider ID in Box 33a.
Contact Cox Health Plan for ID.) AR,MO Yes No
10014 CRA MANAGED CARE All Yes No
64068 Creative Medical Systems All Yes Yes
37320 Creative Plan Administrators All Yes Yes
56213 CRESCENT HEALTH SOLUTIONS All Yes No
56213 CRESCENT HEALTH SOLUTIONS All Yes No
80705 Crown Life All Yes Yes
46120 CRYSTAL RUN HEALTH PLANS All Yes No
46430 CRYSTAL RUN HEALTH PLANS (See Also 46120) All Yes No
34186 CSI Network Services All Yes Yes
27136 CSI OF MICHIGAN All Yes No
59225 CT General Life Insurance (Formerly STAR HRG.) All Yes Yes
42141 CTI Administrators Inc All Yes No
59140 Culinary Health & Welfare Fund (Las Vegas, NV) NV Yes Yes
68241 CustomCare All Yes No
68241 CustomCare (Southwestern Bell - Exec.) All Yes No
82056 Custome Design Benefits, Inc. All Yes No
25172
D. H. Evans and Associates (Call Jessica Picarde @
410-349-3222 before sending this payerID.) All Yes No
DAK01 DakotaCare SD Yes Yes
06172 DART CONTAINER CO All Yes No
CB987 DART MEMBER CARE All Yes Yes
CB897 DART MEMBER CARE All Yes No
00157 DAVIS VISION All Yes No
DCHSF DCHS Medical Foundation All Yes No
VMF01 DCHS MEDICAL FOUNDATION All Yes No
DEAN1 Dean Health Plan WI Yes No
64159 DEFINITY HEALTH All Yes No
87726 Definity Health Plan (UnitedHealthcare) All Yes No
87726 Definity Services All Yes No
77124 DELANO IPA All Yes No
63081 DELAWARE HEALTH PLAN CONSORT All Yes No
27009 Delaware Physicians Care, Inc. DE Yes No
25137 DelawareCare, Inc. DE Yes No
DCHPMCAID DELL CHILDRENS HEALTH PLAN All Yes No
74272 DELL CHILDREN'S HEALTH PLAN All Yes No
94235 DELTA HEALTH All Yes No
DHS01 Delta Health Systems CA No No
AMS01 Dentemax MI Yes No
AMS01 Dentemax/DPI (MI) MI Yes No
84134 Denver Health - Indigent CO No No
84133 Denver Health and Hospital Authority CO Yes No
84135 Denver Health Medical Plan CO Yes No
84131 Denver Health Medical Plan, Inc. - Medicare Choice CO No No
J1438 DEPARTMENT OF LABOR All Yes No
58204
Dermatology Network Solutions BCBS for the Health
Options HMO (Payer requires 11 digit member ID
Number) All Yes Yes
58204
Dermatology Network Solutions, LLC BCBS (Payer
requires 11 digit member ID Number) All Yes Yes
58204
Dermatology Network Solutions, LLC Humana (Payer
requires 11 digit member ID Number) All Yes Yes
58204
Dermatology Network Solutions, LLC Vista (Payer
requires 11 digit member ID Number) All Yes Yes
SX105 Deseret Mutual UT Yes Yes
UH105 Deseret Mutual UT Yes Yes
PPM01 Desert Family Practice Association All Yes No
DVMC1 Desert Valley Medical Group CA Yes No
56240 Detroit Medical Center All Yes Yes
DWMH0 Detroit Wayne Mental Health Authority All Yes No
25160 DGA - Diversified Group Administrators All Yes Yes
23706 DGA PRODUCER HP All Yes No
36439 DIATRI LLC All Yes No
PROH4 DIGNITY HEALTH INLAND EMPIRE All Yes No
HOSH4 DIGNITY HEALTH INLAND EMPIRE HIGH RISK All Yes No
HOSH1
DIGNITY HEALTH SACRAMENTO HOSPITAL SHOP
FOR MERCY MED All Yes No
PROH2 DIGNITY HEALTH SEQUOIA PHYS All Yes No
PROH1 DIGNITY HEALTH WOODLAND CLINIC All Yes No
DCA62 DIRECT CARE ADMINISTRATORS All Yes No
BC001 DIRECTORS GUILD OF AMERICA All Yes No
06102 Diversified Group Brokerage All Yes Yes
SX105 DMBA AKA MISSIONARY MEDICAL All Yes No
16003
DMERC Region A (Testing is required for claims
requiring CMNs.) REG A Yes No
17003
DMERC Region B (Testing is required for claims
requiring CMNs.) REG B Yes No
18003
DMERC Region C (Testing is required for claims
requiring CMNs.) REG C Yes No
19003
DMERC Region D (Testing is required for claims
requiring CMNs.) REG D Yes No
77044 DOLABOR BLACK LUN All Yes No
DOLMG DOLTON MEDICAL GROUP All Yes No
DNLY1 Donley & Company All Yes No
APP01 Downey Select IPA (Applecare Medical Mgmt) All No No
DREYR Dreyer Medical All Yes No
74284 Driscoll Childrens Health Plan All Yes Yes
74284 Driscoll Childrens Health Plan (CHIP) TX Yes Yes
37600 DSCC - Division of Specialized Care for Children All Yes No
35186 Dunn and Associates Benefits All Yes No
34108 E.S. Beveridge and Associates All Yes Yes
75232 E3 Health, Inc (Formerly First Integrated Health) All Yes Yes
36434 Early Intervention Central Billing IL Yes No
IP130 East Bay Medical Network CA Yes No
56089 EAST CAROLINA BEHAVIORAL HEALTH All Yes Yes
23861 EASTERN IOWA COMMUNITY HEALTHCARE (EICH) All Yes No
16565 Eastern Main Healthcare Systems- EMHS ALL Yes Yes
EMG11 EASTLAND MEDICAL GROUP All Yes No
66122 EASTLAND MEDICAL GROUP All Yes No
J1903 EASTMAN KODAK COMPANY All Yes No
08044 EASTPOINTE All Yes No
20532 Easy Choice Health Plan of CA CA Yes Yes
24770 Easy Choice Health Plan of NY All Yes Yes
CALL
EBC Inc. (To obtain the payerID, please call (440)
262-1160) All Yes No
EV001 EBERLE VIVIAN All Yes No
CX025 EBMC All Yes No
81039 EBMS (Employee Benefit Management Services, Inc) All Yes Yes
75277 eComPPO All Yes No
22521 EDS Healthchoice OK Yes No
SX110
Educators Mutual (EMIA) (Enrollment required,
contact EMIA to enroll 800-362-0533, Opt. 2) UT Yes Yes
73288 EHI (Employers Health Insurance) All Yes No
EPF03 El Paso First - CHIP All Yes Yes
MPM04 El Proyecto Del Barrio IPA CA No No
52192
Elder Health Maryland HMO Inc. (Now known as
Bravo Health.) All Yes Yes
04326 Elder Service Plan of the North Shore. All Yes No
31625
ElderPlan, Inc. (Elderplan Provider ID necessary on
all claims. Contact (718)921-7979 for Provider ID.) All Yes Yes
ECISF ELLIS CONSULTANTS All Yes No
NAELM Elmcare All Yes Yes
NAELM Elmcare L.L.C. IL Yes Yes
37253 Elmco NY Yes No
22120 ELMIRA SAVINGS BANK (UCS) All Yes No
34167 Emerald Health Network All Yes Yes
34167 Emerald Health Network, Inc. (All HMO Business) All Yes Yes
34555 EMERALD HMO All Yes No
95600
EMERGENCY MEDICAL SERVICES FUND (ORANGE
COUNTY CALIFORNIA) All Yes No
65062 EMI (Eye Management Inc) All No No
59299 EMI KP AMBULANCE CLAIMS All Yes No
68241 EmoryCare All Yes No
41198 EMP BENE SVCS LA All Yes No
EMP01 Empire Physician's Medical Group All No No
87726 Empire Plan (UnitedHealthcare) All Yes Yes
95288
Employee Benefit Administration & Management
(EBA&M) CA Yes No
38241 Employee Benefit Concepts All Yes Yes
37257 EMPLOYEE BENEFIT CONSULTANTS INCORPORATED All Yes No
37215 Employee Benefit Corporation All Yes Yes
31074 Employee Benefit Management Corp. OH Yes Yes
SX182 EMPLOYEE BENEFIT MANAGEMENT SYSTEM (EBMS) All Yes No
SC446
Employee Benefit Services DBA Key Benefit
Administrators SC Yes Yes
60221 EMPLOYEE BENEFIT SERVICES INCORPORATED (EBSI) All Yes No
EBSSA Employee Benefit Svcs (EBS) of San Antonio TX Yes No
42149 Employee Benefit System All Yes Yes
37216 Employee Benefit Systems All Yes Yes
03036
Employee Benefits Plan Administration, Inc. (EBPA)
(Now known as CBA Blue.) All Yes Yes
75184 EMPLOYEE CLAIM ADJUDICATION SERVICES All Yes No
92135 Employee Logistics All Yes Yes
35112 Employee Plans, LLC All Yes Yes
54098 Employee Security, Inc. All Yes No
21415 EMPLOYEES MUTUAL (EMC) All Yes No
48888 EMPLOYER DIRECT HEALTHCARE All Yes No
74212 Employer Plan Services, Inc. All No No
27008 Employers Coalition On Health (ECOH) All Yes Yes
75236 Employers Direct Health - Employee Plan All Yes No
75235 Employers Direct Health - FI All Yes Yes
75233 Employers Direct Health - SF All Yes Yes
27008 Employers Health Cooperative (EHC) All Yes Yes
J1912 EMPLOYERS INSURANCE (BUNCH) All Yes No
37249 EMPLOYERS LIFE IN All Yes No
59298 Employers Mutual, Inc. (Florida Providers only) FL Yes Yes
35206
Encore Health Network (Note: Group Policy Number
in HCFA Box 11 is required.) All Yes Yes
36364 ENH Medical Group IPA All Yes No
91136 Enstar Natural Gas - Grp# P61 All Yes Yes
36878 Entrust All Yes No
EPNSH
EPN - Seton Health Plan Exclusive (Provider ID
required) All Yes Yes
62308 EQUICOR All Yes Yes
62308 EQUICOR - PPO All Yes Yes
73126 Equitable Plan Services All Yes Yes
23250
Erin Group Administrators (Now known as Significa
Benefit Services, Inc.) All Yes Yes
74234 Erisa Administrative Services Incorporated AZ Yes No
74234 Erisa Administrative Services, Inc. All Yes No
57082 Essence Healthcare MO Yes No
87726
Evercare Special Needs (Evercare by
UnitedHealthcare) All Yes Yes
87726 Evercare Star Plus All Yes Yes
35605 Everence All Yes Yes
45319 Evergreen Health All Yes No
93240 EVERGREEN HEALTH COOPERATIVE All Yes No
58233 EVERGREEN HLTH PL All Yes No
59313 Evolutions Healthcare All Yes Yes
22344 EXCEEDENT LLC All Yes No
IP080 Exceptional Care Medical CA Yes No
EC999 Exclusive Care - County of Riverside All Yes No
37257 Expert Benefit Solutions All Yes No
BVES1
Eye Specialists (Provider ID number required in
Box33a or Box24J) CO Yes No
31165 EYEMED All Yes No
63740 EyeQuest All Yes No
95432 Facey Medical Foundation All Yes No
37300 FACS Group All Yes No
62956 Fair Price All Yes Yes
J1884 FAIRFAX COUNTY GOVERNMENT All Yes No
A0245 Fairfield All Yes Yes
FT254 FALLON (TRANSPLANT CLAIMS) All Yes No
22254 Fallon Community Health All Yes Yes
45559 Fallon Total Care All Yes Yes
60995 Family Care - Milwaukee WI WI Yes No
PHD01
Family Care CCO (Admin by PH Tech. Use for claims
with DOS of 08/01/2012 and later.) All Yes Yes
FCD01
Family Care Medicaid (Admin by PH Tech Use for
claims with DOS of 07/31/2012 and prior.) OR No Yes
FCM01 Family Care Medicaid Mental Health OR Yes Yes
FCR01 Family Care Medicare OR Yes Yes
PHR01
Family Care Medicare (Admin by PH Tech. Use for
claims with DOS of 01/01/2013 and later.) All Yes No
IP080 Family Choice Medical CA Yes No
IP080 Family Health Alliance CA Yes No
85468 Family Health Network All Yes Yes
43173 Family Health Partners/MC+Missouri MO Yes No
36396 Family Medical Network All Yes No
93121 FAMILYCARE COORDINATED CARE ORGANIZATION All Yes No
FCS01 FAMILYCARE SPECIALIST MEDICAL GROUP All Yes No
14140 Farm Family All Yes No
J1830 FCCI All Yes No
33033 FCE Benefit Administrators All Yes Yes
C2BLS FEDERAL EMPLOYEE PROGRAM (CONNECTICUT) CT Yes No
CALL Federal Employee Program (Connecticut) CT Yes No
41041 Federated Mutual Insurance All Yes Yes
J1909 FFVA MUTUAL INSURANCE All Yes No
11315 Fidelis Care New York All Yes Yes
77054 Fidelis Secure Care All Yes Yes
FDNYP
FIRE DEPT CITY NEW YORK WORLD TRADE CENTER
HEALTH PLAN All Yes No
FAMR1 FIRST ADMIN SD All Yes No
FSTAG First Agency All Yes Yes
88055 First Agency All Yes Yes
56196 First Carolina Care All Yes No
91131 First Choice Health Network WA,OR,ID,AK Yes Yes
FCMG1 First Choice Medical Group All Yes No
75138 First Choice of Midwest (PPO) All Yes Yes
37510 First Choice VIP Care All Yes No
77009 First Choice VIP Care Plus SC. All Yes Yes
80705 First Great-West Life & Annuity All Yes Yes
87043 FIRST HEALTH All Yes No
73159 First Health Network All Yes Yes
23241 First Priority All Yes No
87726 First Seniority Freedom All Yes Yes
59276 First Service Administrators FL Yes No
MC104 First Services Medicaid All Yes No
FS802 First Solution All Yes No
ENDVR First Source (Endeavor) ALL Yes Yes
63080 FIRST STATE HEALT All Yes No
94999 FirstCare All Yes Yes
94998 FirstCare Star Medicaid All Yes Yes
90060
FirstGuard Health Plan of Kansas (Contact Karen
Joslin at (816)922-7225 to verify Firstguard
ProviderID. Payer requires Insured ID of 8-11
numeric characters.) KS No Yes
90061 FirstGuard Health Plan of Missouri MO No Yes
11244 Fitzharris & Company All Yes No
95411 FL MCO PHC/PHP All Yes Yes
95411 FL MCO PHC/PHP All Yes Yes
95411 FL MCO PHC/PHP All Yes Yes
68241 FlexCare All Yes No
59276 Florida 1st - Winterhaven, Florida FL Yes Yes
J1910 FLORIDA FRUIT AND VEGETABLE ASSOCIATION All Yes No
59322 Florida Health Plan FL Yes No
81044 FLORIDA HEALTH SOLUTION HMO COMPANY All Yes No
12611 Florida Healthcare Plus FL Yes No
VB001 FLORIDA HOSPITAL All Yes No
59321
Florida Hospital Healthcare Systems (In network
providers must submit UP or FHHS ProviderID. Out
of network providers must contact FHHS at 407-701-
4893.) FL No Yes
48116 Florida Hospital Waterman All Yes Yes
59698 Florida League of Cities, Inc. FL Yes Yes
65063 Florida NetPass All Yes No
68241 Florida Power & Light FL Yes No
26492 Florida True Health All No Yes
APBPN FloridianCare All Yes No
84595 FMA MM Program All Yes Yes
84594 FMA USA Program All Yes Yes
48117 FMH Benefit Services All Yes Yes
25059
FOREST COUNTY POTAWATOMI INSURANCE
DEPARTMENT All Yes No
87066 Formax, Inc. All Yes No
39065 FORTIS (Formerly Time Insurance) All Yes Yes
39065 Fortis (Western Life Ins. Benefit Plan) All Yes Yes
70408 FORTIS BENEFITS (Kansas City) All Yes No
39065
Fortis Benefits, Inc. (Woodbury) PHCS Network
Claims All Yes Yes
41124 Fortis Self Funded Administrative Services All Yes Yes
39065 FORTIS Western All Yes Yes
FH001 Foundation Health of CA CA Yes No
FHFLE Foundation Health of Florida-Encounters FL Yes No
FVMCH Fox Valley Medicine Site 199 All Yes No
FVMC1 Fox Valley Medicine Site 451 All Yes No
64067 FOXEVERETT INGALL All Yes No
64069 Fox-Everett, Inc. All Yes Yes
J1883 FRANCISCAN ALLIANCE All Yes No
31313 FREEDOM FIRST All Yes No
41212 Freedom Health Plan All Yes No
62324 Freedom Life Insurance Company All Yes Yes
71768 FreedomBlue HHIC All Yes No
FDMCR FreedomCare Benefits ALL Yes No
IP080 Freeman IPA CA Yes No
43197 FRESENIUS HEALTH PARTNERS All Yes No
TH118 Fresenius Medical Care TX Yes No
FMCHP Fresenius Medical Care Health Plan NULL Yes Yes
99660 Fresno PACE All Yes No
59204 Fringe Benefit Coordinators All Yes Yes
34171 FrontPath Health Coalition All Yes No
67814 G.E. Group Life Assurance Company All Yes No
30005 GALVESTON COUNTY INDIGENT HEALTH CARE All Yes No
10009 GATES MCDONALD HEALTH PLUS All Yes No
25169 Gateway Health Plan All Yes No
05506 Gateway Health Plan All Yes No
60550
Gateway Health Plan ((Yellow Card). Check the ID
card to verify the Payer ID before submitting) All Yes No
25169 Gateway Health Plan Medicaid PA All Yes Yes
91741 GATEWAY HEALTH PLAN MEDICARE OHIO ASSURED All Yes No
76028 Gateway Health Plan of Ohio, Inc. OH Yes No
4317M Gateway to Better Health All Yes Yes
431YM GATEWAY TO BETTER HEALTH All Yes No
CB951 GBS Global Benefits All Yes No
80241 GBS GROUP BENEFIT SERVICES INCORPORATED All Yes Yes
GEHA9 GEHA HEALTH GROUP (NEVADA) All Yes No
75273 Geisinger Health Plan PA Yes Yes
MCS01 GEMCare (Golden Empire Managed Care System) All No No
20376 GEMCARE HEALTH PLAN All Yes No
MCS03 GEMCARE HEALTH PLAN All Yes No
27133 GEMCARE IPA All Yes No
63665 GenCare Health (St. Louis only) MO Yes No
63665 Gencare Health (St. Louis) MO Yes No
63665 Genelco (St. Louis only) MO Yes No
63665 General American (Sanus - East) MO Yes No
63665 General American Life Ins. Co. (Sanus, St. Louis) MO Yes No
63665 General American Life Insurance Company All Yes No
GHEDI Generations GlobalHealth NULL Yes No
46050 Generations Health All Yes No
46051 GENERATIONS HILLCREST All Yes No
IP105 GENESIS HEALTH CARE All Yes No
J1895 GENEX CARE FOR OHIO All Yes No
58207 GEORGIA HEALTH PL All Yes No
61271 Georgia Power Medical Benefits Plan GA Yes No
00601
Georgia State Health Benefit Plan (Processed by GA
BC/BS) GA Yes Yes
CHCNT GettingUsCovered CO Yes Yes
23274 Gettysburg Health (Including Core Value.) All Yes No
25531 GHI HMO Select All Yes Yes
GHMCR GHI MEDICARE PART B OF NEW YORK NY Yes No
22937 GHI MEDICARE PPFS All Yes No
25141 GHP (Group Health Plan) All Yes No
58204 GI Innovative Management All Yes Yes
J1927 GILLETTE CHILDRENS SPECIALTY HEALTHCARE All Yes No
07205 Gilsbar, Inc All Yes Yes
COMPU
Glassworkers and Glaziers Health and Welfare Fund
Trust CO Yes No
91136 Glassworkers Health & Welfare Fund - Grp# F29 All Yes Yes
07689 Global Care Inc All Yes Yes
MPM05 Global Care Med Grp IPA All No No
GEM01 Global Excel Management All Yes Yes
GHOKC Global Health All Yes Yes
75246 GM Southwest TX Yes No
47083 GMS, Inc. All Yes Yes
77160 Gold Coast All Yes No
A0006 GOLDEN EMPIRE MANAGED CARE All Yes No
37602 Golden Rule Insurance All Yes Yes
GTPA1 Golden Triangle Physician Alliance All Yes Yes
GSMPA
GOOD SAMARITAN IPA (COASTAL HEALTHCARE
MANAGEMENT) All Yes No
IP086
Good Samaritan Medical Practice Association
(GSMPA) CA Yes No
76923 Good Shepherd Hospice All Yes No
44054
Government Employees Hospital Association,Inc.
(GEHA) All Yes Yes
57254
Government Employees Hospital Association,Inc.
(GEHA) All Yes Yes
95453 Grand Valley Health Plan All Yes No
95467 Great Lakes Health Plan All Yes Yes
95467
Great Lakes Health Plan (UnitedHealthcare Great
Lakes Health Plan) All Yes Yes
39640 Great Lakes PACE All Yes No
80705 Great West (SF) CA Yes Yes
80705 Great West (WA) WA Yes Yes
80705 Great West Care All Yes Yes
80705 Great West Denver CO Yes Yes
63665
Great West Life & Annuity (Claims for Kennett,
Missouri ONLY) MO Yes No
80705 Great West Life Assurance All Yes Yes
80705 Great West Life Assurance Company of America All Yes Yes
GCMG1 Greater Covina Medical Group CA Yes No
99284 GREATER COVINA MEDICAL GROUP All Yes No
IP080 Greater L. A. Health CA Yes No
GNPMG GREATER NEWPORT PHYSICIANS All Yes Yes
NMM01 Greater Orange Medical Group All Yes Yes
GOBHI
GREATER OREGON BEHAVIORAL HEALTH
INCORPORATED All Yes No
IP080 Greater San Gabriel CA Yes No
PDT01 Greater Tricities IPA (Noble AMA Select) All Yes No
80705 Great-West Bellevue WA Yes Yes
78521 Greentree All No No
78521 Greentree Administrators All No No
36338 Group Administrators Ltd. All Yes No
GASA1 Group Administrators Self-Funded Alternative All Yes No
48143 Group and Pension Administrators All Yes Yes
91051 Group Health Cooperative (WA) WA Yes Yes
95192 Group Health Cooperative of Eau Claire All Yes No
39167
Group Health Cooperative of South Central
Wisconsin Claims WI Yes Yes
39168
Group Health Cooperative of South Central
Wisconsin Encounters WI Yes Yes
13551 Group Health Incorporated (GHI) (New York) NY Yes Yes
61101 Group Health Insurance - DE DE Yes Yes
91121
Group Health Northwest (Call Payer at 888-767-
4670 prior to submitting electronic claims.) ID,WA Yes No
37276 Group Insurance Service Center, INC All Yes Yes
OBA16 GROUP MANAGEMENT SERVICES INCORPORATED All Yes No
CX015 GROUPLINK All Yes No
64246 Guardian Life Insurance Company of America All Yes Yes
RENBL Gulf Quest IPA HMO Blue NULL Yes No
RENGQ Gulf Quest Renaissance All Yes No
60652 GULF SOUTH RISK SERVICES All Yes No
CB624 Gulf Stream General Dynamics All Yes Yes
93100 GulfQuest All Yes No
39180 Gunderson Lutheran Health Plan All Yes No
80705 GWL All Yes Yes
80705 GWL & A All Yes Yes
37114 H.E.R.E.I.U. Welfare Pension Funds All Yes Yes
65101 HAA Preferred Partners All Yes Yes
HALCY HALCYON BEHAVIORAL HEALTH All Yes No
47738 HAMASPIK CHOICE All Yes No
97258 Hammerman & Gainer All Yes No
58305 Harbor Advantage All Yes Yes
43313 Harken Health All Yes Yes
36406
Harmony Health Plan of Illinois (Wellcare Provider
ID required, call (800) 960-2530 opt. 2 then 5) IL Yes Yes
36405
Harmony Health Plan of Indiana (Only claims for
Indiana Hoosier Healthwise members can be sent to
this payer electronically.) IN Yes Yes
61067 Harmony/ILS ALL Yes Yes
14163 Harmony-Wellcare HMO, Inc. All Yes Yes
75126 HARPETH IPA AMERIVANTAGE All Yes No
59143 Harrington Health BPO All Yes Yes
95959 Harris Methodist Health Plan All Yes No
04245 Harvard Community Health Plan All Yes Yes
04271 Harvard Pilgrim Health Care All Yes No
87726 Harvard Pilgrim Passport Connect All Yes Yes
99208 Hawaii Western Management (HWMG) All Yes Yes
48330 Hawaii Management Alliance Association (HMAA) HI Yes Yes
86068 Hawki (Provider ID Required) All Yes No
HCCMI HCC Life Insurance All Yes No
37111 HCH Administration All Yes Yes
37329 HCHA Albq - Self Funded All Yes Yes
20501 HCP Nevada All Yes No
HDMCO HDM Benefit Solutions All Yes No
90023 HDPC - Premier Healthcare All Yes No
20257 HDPC Alliance Physicians All No Yes
34185 Health Administration Services, Inc All No Yes
CALL Health Advantage of Arkansas AR Yes No
23172 Health Alliance Exclusive & Plus All Yes No
77950 Health Alliance Medical Plans of Illinois IL Yes Yes
38224 Health Alliance Plan of Michigan All Yes Yes
25126
HEALTH AMERICA INCORPORATED HEALTH
ASSURANCE ADVANTRA All Yes No
68241 Health Care Alliance (Sears) All Yes No
HCDPB Health Care District Palm Beach NULL Yes No
CALL
Health Care District Palm Beach (Please contact
HCDPBC to enroll and to obtain Payer ID 866-930-
1002.) FL Yes No
42102 Health Care Network of WI (HCN) WI Yes Yes
42102 Health Care Network of Wisconsin (HCN) All Yes Yes
HCP02 Health Care Partners - AZ AZ Yes Yes
62180 Health Choice Generations All Yes Yes
46221 Health Choice Insurance All Yes Yes
22100 HEALTH CHOICE INTEGRATED CARE All Yes No
62179 Health Choice of AZ AZ Yes No
45399 Health Choice Utah UT Yes Yes
82018 Health Claims Service All Yes No
62111 Health Cost Solutions All Yes Yes
81600 Health County Health Alliance All Yes Yes
34158 Health Design Plus All Yes Yes
66004
HEALTH ECONOMIC LIVELIHOOD PARTNERSHIP
(HELP) All Yes No
16120 Health EZ All Yes Yes
95019 Health First Health Plans All Yes No
75234 Health First-Tyler, TX TX Yes Yes
59087 Health Help Networks, Inc. All Yes Yes
86066
Health Management Associates (HMA, servicing
Southeastern and Southwestern Regions) (Provider
ID Required) All Yes Yes
10006 HEALTH MGMT SOLUTIONS All Yes No
68021 Health Net - VA All Yes Yes
HM001 Health Net (California Encounters Only.) CA No No
95567 Health Net (of California) CA Yes No
AZHNT Health Net of Arizona AZ Yes No
06108
Health Net of the North East, Inc. (Health Net six
digit ID REQUIRED in B0X33a; call 866-334-4638) All Yes Yes
22340 Health Net Oregon OR Yes No
65062 Health Network One All No No
04286 Health New England All Yes Yes
FLHLT Health Options of Florida (Blue Shield HMO) FL Yes No
FLENC
Health Options of Florida (Blue Shield HMO)
ENCOUNTERS ONLY!! FL Yes No
NAHOI Health Options of Illinois IL Yes Yes
62157 Health Partners - Jackson,TN TN Yes No
94267 HEALTH PARTNERS OF MN All Yes No
80142 Health Partners, PA PA Yes Yes
20270 Health Payment Systems All Yes Yes
37221 HEALTH PLAN MANAG All Yes No
83253 Health Plan of Michigan All Yes Yes
52563 Health Plan of Michigan MI Yes No
76343 Health Plan of Nevada (Encounter claims) NV Yes Yes
76342 Health Plan of Nevada (FFS claims) CA,NV Yes Yes
68035 Health Plan of San Joaquin All Yes Yes
HPSM1 Health Plan of San Mateo CA Yes No
59140 Health Plan Services, Tampa Office All Yes Yes
44273 Health Plans Inc. All Yes Yes
95435 Health Pledge HMO All Yes No
38216 Health Plus of Michigan MI Yes Yes
HPPO HEALTH PLUS PHYSICIAN ORGANIZATION All Yes No
63363 HEALTH PLUS PHYSICIANS ORGANIZATION All Yes No
41170 HEALTH RISK MANAGEMENT (HRM) All Yes No
SKMA2 Health Safety Network - MASS. Health Medical All Yes No
00995
HEALTH SAFETY NETWORK - MASS. HEALTH
MEDICAL (PROF 0ONLY) All Yes No
M3IL1
Health Select IPA (Enrollment required. Contact 866-
703-1444.) All Yes No
37290
Health Services for Children with Special Needs
(HSCSN) All Yes Yes
41150 Health Services Management NULL Yes No
HSM01
Health Services Management, Inc. (NOTE: ANSI
submitters can also submit to plans AHP, CMS, ONP,
PCI, PHP and VHP with proper value in SBR04.) All Yes No
HSM01 Health Services Management, Inc. for AHS All Yes No
HSM01 Health Services Management, Inc. for BPA All Yes No
HSM01 Health Services Management, Inc. for ECOH All Yes No
HSM01 Health Services Management, Inc. for EHC All Yes No
HSM01 Health Services Management, Inc. for ENCR All Yes No
HSM01 Health Services Management, Inc. for FCM All Yes No
HSM01 Health Services Management, Inc. for HF All Yes No
HSM01 Health Services Management, Inc. for HT All Yes No
HSM01 Health Services Management, Inc. for MMSI All Yes No
HSM01 Health Services Management, Inc. for MSHO All Yes No
HSM01 Health Services Management, Inc. for PNET All Yes No
HSM01 Health Services Management, Inc. for PONE All Yes No
HSM01 Health Services Management, Inc. for SC All Yes No
HSM01 Health Services Management, Inc. for WEA All Yes No
65449 HEALTH SPECIAL RISK INCORPORATED All Yes No
HTHTX Health Texas Medical Group All Yes No
HLTHT Health Traditions All Yes Yes
95828 HEALTHCARE DISTRICT PALM BEACH COUNTY All Yes No
HCH01 HEALTHCARE HIGHWAYS ALL Yes Yes
MPM06 Healthcare LA, IPA CA Yes No
TH049 Healthcare Management Admin All Yes No
HMA01
Healthcare Management Administrators, Inc. (also
known as HMA, servicing Western Region) WESTERN Yes Yes
EPF37 Healthcare Options NULL Yes Yes
HCP01 Healthcare Partners CA Yes No
11328 HealthCare Partners, IPA All Yes Yes
56731 Healthcare Resources NW All Yes Yes
73147 HealthCare Solutions Group All Yes Yes
25133 Healthcare USA All Yes Yes
25143 HEALTHCARE USA All Yes No
00550 Healthcare USA NULL Yes No
71064 HEALTHCHOICE ALL Yes Yes
HCA77 HealthComp All Yes No
85729 Healthcomp All Yes Yes
HCOMP
HEALTHCOMP (COMMUNITY FIRST STAR HEALTH
PLAN) All Yes No
59608 Healthease FL Yes Yes
95213
HealthEdge Administrators (PayerID valid for claims
with a submission address of PO Box 11210,
Bakersfield, CA 93389) All Yes No
41178 HealthEZ All Yes Yes
75289 Healthfirst of Austin TPA All Yes Yes
80141 Healthfirst, Inc. (NY) NY Yes Yes
56144 HealthGram All Yes Yes
23226 HealthGuard of Lancaster PA No Yes
00923 Healthkeeper HMO VA Yes Yes
96475 HEALTHLINK HMO All Yes Yes
90001 HEALTHLINK PPO All Yes Yes
38309 Healthnet of AZ AZ Yes Yes
55204 HealthNow NY NY Yes No
07003 HealthPartners All Yes Yes
55764 HealthPartners of Minnesota All Yes No
SX009 HealthPartners of MN All Yes No
27514 Healthplus Amerigroup TX Yes Yes
95009 HealthPlus of Lousiana All Yes Yes
68195 Healthpoint Corporation All Yes Yes
31106 HealthPower HMO All Yes No
52429 HEALTHSCOPE BENEFITS EHC REPRICING All Yes No
71063 HealthSCOPE Benefits, INC All Yes No
HSHAR Healthshare NULL Yes No
75237 Healthsmart Accel All Yes No
75250 HealthSmart Preferred Care All Yes Yes
HSPC1 HEALTHSMART PREFERRED CARE (HSPC) All Yes No
CALL
Healthsource \ Hudson Health Plan (Provider
enrollment is required by the payer. Must call (914)
372-2291 to obtain payerID) All Yes No
71074
Healthsource Arkansas - Claims must contain
Healthsource specific Vendor ID & specific
Rendering Provider ID AR Yes No
HS001 Healthsource Inc. All Yes No
35167
Healthsource Indiana - Claims must contain
Healthsource specific Vendor ID & specific
Rendering Provider ID IN Yes No
61127
Healthsource Kentucky - Claims must contain
Healthsource specific Vendor ID & specific
Rendering Provider ID KY Yes Yes
01041
Healthsource Maine - Claims must contain
Healthsource specific Vendor ID & specific
Rendering Provider ID ME Yes Yes
02038
Healthsource New Hampshire - Claims must contain
Healthsource specific Vendor ID & specific
Rendering Provider ID NH Yes No
56147
Healthsource North Carolina - Claims must contain
Healthsource specific Vendor ID & specific
Rendering Provider ID NC Yes Yes
75255
Healthsource North Texas - Claims must contain
Healthsource specific Vendor ID & specific
Rendering Provider ID TX Yes Yes
68195 Healthsource Provident Ins. Co. All Yes Yes
06119 HEALTHSOURCE SOUTH CAROLINA All Yes No
71075 Healthsource, AR (Med) (CIGNA) AR Yes Yes
58210 Healthsource, GA (CIGNA) GA Yes Yes
02041 Healthsource, Mass MA Yes Yes
31141 Healthsource, OH OH Yes Yes
62129 Healthsource, TN (CIGNA) TN Yes Yes
RH007 Healthspan All Yes Yes
34092 HEALTHSPAN All Yes No
HSPAN HealthSpan Network Repricing All No No
HT001
HealthSpring HMO (No PPO claims accepted via this
payerID.) All Yes No
63092 HealthSpring HMO/HealthSpring Medicare+Choice All Yes No
HESUN HealthSun All Yes Yes
88250 HealthTeam Advantage All Yes Yes
31472 Healthwave of Kansas KS Yes No
58213 Healthways WholeHealth Networks All No No
00661 Healthy Blue Louisiana All Yes Yes
M3FL3 Healthy Kids NULL Yes Yes
95827 Healthy Palm Beaches, Inc. FL No No
HSF01 Healthy San Francisco All Yes Yes
68064 Healthy Texas TX Yes Yes
22251 Healthy York Network All Yes No
77180 HealthyCT CT Yes No
45336 HEALTHYCT INCORPORATED All Yes No
00243 Helix Family Choice MD Yes No
59230
Heritage Consultants (Must use 9-digit subscriber ID
on all claims) All Yes No
HER01 Heritage IPA All Yes No
M3FL5 HFN Healthease NULL Yes Yes
36335 HFN, Inc. All Yes Yes
20552 HHH Choices Gold All Yes Yes
95393 HIGH DESERT MEDICAL GROUP All Yes No
HDMDG HIGH DESERT MEDICAL GROUP (REGAL) All Yes No
33069 High Desert Primary Care All Yes Yes
91164 Highline Medical Services MOLINA All Yes Yes
91161 HIGHLINE PSHP All Yes No
35145 Highmark - Key Family All Yes No
47181 Highmark BCBSD Health Options All Yes No
HIL01 Hill Physicians Medical Group All Yes No
00046 HILL PHYSICIANS MEDICAL GROUP All Yes No
59347 Hillcrest Benefits Administrators All Yes No
80520 HILLIARD CORPORATION (UCS) All Yes No
NAHIN HINSDALE PHYS All Yes No
55247 HIP-Health Insurance Plan of Greater NY NY Yes Yes
HPFFS HISPANIC PHYSICIANS IPA All Yes No
HPIPA Hispanic Physicians IPA All Yes No
86066 HMA (servicing HI, AZ and NV) All Yes Yes
75318 HMC Healthworks All Yes Yes
COHMO HMO COLORADO All Yes No
84555 HMO Louisiana Blue Advantage LA Yes Yes
IP080 Hollywood Presbyterian CA Yes No
NAHLX Holy Cross Health Partners IL Yes Yes
36412 Holy Cross Health Partners All Yes No
11001 Home Health and Hospice - J11 All Yes Yes
68069 Home State Health Plan LA Yes Yes
VAICE Homeland Security (ATTN: Deportation) All Yes Yes
50701 Homelink All Yes No
55744 Homelink HealthPartners ALL Yes No
88023 Hometown Health Plan Nevada NV Yes No
30757
Hometown Health Plan of Ohio (Now known as The
Health Plan) OH Yes No
88537 HOMETOWN HLTH PRO All Yes No
82234 HOMEWOOD RESORTS (UCS) All Yes No
66003 HOPKINS HEALTH ADVANTAGE All Yes No
HMLIC Horace Mann Life Insurance All Yes No
CALL HORIZON BCBS NEW JERSEY ALL Yes No
HVMG1 HORIZON VALLEY MEDICAL GROUP All Yes No
91136
Hotel Employees & Restaurant Employees Health
Trust - Grp#F19 All Yes Yes
J1888 HOWARD COUNTY GOVERNMENT (MARYLAND) All Yes No
CARD
HPMS (Send claims to payerID listed on patient's
insurance card.) MI Yes No
94254 HPR All Yes No
13335
Hudson Health Plan (Provider must be located in
Duchess, Orange, Rockland, Sullivan or Westchester
County, NY) NY Yes No
HBI01 Human Behavioral Institute All Yes No
61104 HUMANA BEHAVIORAL HEALTH All Yes No
95348 HUMANA HEALTH PLANS OHIO All Yes No
61115 HUMANA LONG TERM CARE All Yes Yes
61125 Humana Military Tricare All Yes Yes
L0200 Humana Puerto Rico PR Yes No
61160 HUMANA VA HERO PR All Yes No
61120 Humana Veterans Healthcare Services All Yes No
61101 HUMANA, Claims only All Yes Yes
61102 HUMANA, Encounters Only All Yes No
94154
HUMBOLDT DEL NORTE FOUNDATION FOR MEDICAL
CARE All Yes No
37260 HUNT INSURANCE GR All Yes No
IP080 Huntington Park Medical Group CA Yes No
IP080 Huntington Park Mission CA Yes No
38234 IBA Self Funded Group All Yes Yes
74234
IBEW Local 640 & Arizona Chapter NECA Health &
Welfare Trust AZ Yes No
74234 IBEW Western Utilities or Local 57 UT Yes No
81810 IBG Administrators, LLC All Yes No
41124 IBI All Yes Yes
19028 IBM BUSINESS TOISC All Yes No
68241 IBM Medical Plans All Yes No
11695 iCARE (Independent Care Health Plan) WI Yes No
26054 ICARE Health Options TPA All No No
33884 iCircle of New York All Yes No
37296 ICM All Yes No
75185 ICON Benefit Administrators All Yes No
TRUEB IDAHO TRUE BLUE ID Yes No
YESB IDAHO YES BLUE All Yes No
22175 IE SHAFFER All Yes No
75274 IHG DIRECT All Yes No
68066 Illini Care Health All Yes No
68065 Illinicare Behavioral Health All Yes Yes
68069 Illinicare Group Health (Also 68066) All Yes Yes
DMG01 Illinois Health Plan (IHP) All Yes No
86069 Illinois Health Solutions ( ProviderID Required) IL Yes No
IPA99 ILLINOIS PHYSICIANS ALLIANCE IPA All Yes No
72091 IMA of Lousiana Inc. All Yes Yes
43123 IMAGINE HEALTH All Yes No
41600 IMCARE All Yes Yes
39186 IN Managed Health Services IN Yes Yes
40585 INDECS Corporation All Yes Yes
TA720 Independence Administrators All Yes Yes
CB231 INDEPENDENCE AMERICAN INSURANCE COMPANY All Yes No
64284 Independence Care System NY Yes Yes
MHM01 Independence Medical Group All Yes No
IMG01 INDEPENDENCE MEDICAL GROUP KERN COUNTY All Yes No
IMG02 INDEPENDENCE MEDICAL GROUP TULARE COUNTY All Yes No
54704
Independent BLC of PA (Also known as Personal
Choice PPO of Pennsylvania.) PA Yes Yes
95308
Independent Health (Enrollment and Testing
Required, contact (716) 635-3911) All No No
SX073 INDEPENDENT HEALTH OF NEW JERSEY. All Yes No
45048 Independent Living Systems All Yes Yes
INDPM INDEPENDENT PHYSICIAN AT MERCY All Yes No
04411 Indian Health Service/Tribal Organizations TX No Yes
04412 Indian Health Service/Tribal Organizations TX Yes No
00290 Indian Health Services All Yes No
35600 Indiana Department of Health Children's Health IN Yes Yes
35161 Indiana ProHealth Network IN Yes Yes
35107
Indiana Teamsters Health Benefits Fund (Formerly
known as Local 135 Health Benefits Fund) IN Yes No
77153 Indiana University (Southeastern Indiana Health) All Yes Yes
95444 INDIANA UNIVERSITY HEALTH PLAN All Yes Yes
COMPU Industrial Machine Specialties CO Yes No
43471 INETICO, Inc. All Yes Yes
96490 INFORMED LLC All Yes No
50946 Informed UHC Compass Rose All Yes No
52196 InforMed, LLC All Yes Yes
85578 INGALLS PROVIDER GROUP All Yes No
NAING Ingalls Provider Group IL Yes Yes
38343 INGHAM HEALTH PLAN CORPORATION All Yes No
J1907 INGLES MARKETS All Yes No
31112 InHealth, Inc. All Yes No
IEHP1 Inland Empire Health Plan All Yes Yes
MVMM1 INLAND FACULTY MEDICAL GROUP All Yes No
OSFC9 INNOV_OSF HEALTHCARE CENTRAL All Yes No
31172 Innovante Benefit Administrators All Yes No
40025 Innovation Health All Yes No
80087 Innovative Physician Associates All Yes No
VAICE INS Health Services All Yes Yes
68241 Institutes of Quality All Yes No
37279 Insurance Administrator of America All Yes Yes
63082 Insurance Claims Services, Inc. (Birmingham, AL) AL Yes No
13315 Insurance Design Administrators All Yes Yes
72091 Insurance Management Administrators All Yes Yes
15688 Insurance Management Services All Yes Yes
IMSMS Insurance Management Services of Texas TX Yes Yes
ISL11 Insurance Service of Lubbock All Yes Yes
IAC01 Insurer's Administration Corporation All Yes No
86304 Insurers Administrative Corp All Yes No
51020 INTEGRA Administrative Group, Inc. All Yes Yes
31129 Integra Group - CHA All Yes Yes
31127
Integra Group (Also known as Rehab Provider
Network, but not the same as Colorado payer of
same name.) All Yes Yes
45302 Integra Managed Long Term Care All Yes Yes
23229 Integral Quality Care All Yes No
INET1 Integranet NULL No Yes
10001 INTEGRATED COMP All Yes No
IHCS1 INTEGRATED HOMECARE SERVICES All Yes No
20050 Integrated Medical Solutions All Yes Yes
68068 Integrated Mental Health Services All Yes Yes
68031 INTEGRITY DENTAL ONLY All Yes No
56132 Interactive Medical Systems All Yes Yes
92649 Inter-Americas Insurance NULL Yes No
37227 Intercare Health Plans All Yes Yes
INCHN Intercommunity Health Net All Yes No
60280 Interface EAP All Yes No
23287 Intergroup Services Corporation All Yes Yes
SX107 Intermountain Healthcare UT Yes Yes
74234 Intermountain Ironworkers Trust Fund AZ,ID,UT Yes No
11329 International Benefit Administration All Yes Yes
48603
International Brotherhood of Boilermakers
Employee Health Care Plan (IBBEHC) All Yes Yes
39182 International Funding Inc. All Yes Yes
IMGIN International Medical Group, INC All Yes Yes
37269 International Union Operating Engineers All Yes Yes
84137 InterWest Health PPO (Montana) MT No No
IHP02 InTotal Health All No Yes
35115 INTOTAL HEALTH All Yes No
41124 Iowa Benefits, Inc. IA Yes Yes
86068 Iowa Health Solutions (Provider ID Required) IA Yes No
IPAK1 IPA of Kane County NULL Yes No
J1887 IPMG CLAIMS MANAGEMENT All Yes No
J1911 ISURITY All Yes No
IUHPL IU HEALTH PLAN ALL Yes Yes
SX172 IU Medical Group Primary Care All Yes No
JCC01 JACKSON CARE CONNECT All Yes No
05014 JACKSON MEMORIAL All Yes No
JAI01 JAI Medical Systems All Yes No
JCARE JENCARE MEDICAL All Yes No
61271 JF Molloy All Yes No
09822 JMHP Medicaid All Yes Yes
87726
John Deere Healthcare, now know as
UnitedHealthcare River Valley All Yes Yes
52189
John Hopkins Healthcare (EHP/PP) (Submit Billing
NPI and Rendering/Servicing NPI) All Yes Yes
38310 John Morrell Company - AHPBA All No No
JMH01 John Muir Health Network CA No No
68036 John Muir Mt. Diablo Health System All Yes No
68013 JOHN MUIR TRAUMA PHYSICIANS All Yes No
CALL
John Muir Trauma Physicians (Please call 925-947-
5288 for Payer ID information.) All Yes No
37215 John P Pearl and Associates All Yes Yes
52123
Johns Hopkins (USFHP) (New submitter should send
in their Billing NPI & Rendering servicing NPI) All Yes Yes
43178 Joplin Claims All Yes Yes
34136 JP Farley Corporation All Yes Yes
MWP01 JPS Preferred Care All Yes No
37272 JSL Administrators All Yes Yes
91617 KAISER FOUNDATION HEALTH PLAN COLORADO All Yes No
52095 KAISER FOUNDATION HEALTH PLAN MID ATLANTIC All Yes No
NG010 Kaiser Foundation Health Plan of Georgia GA Yes Yes
94135
Kaiser Foundation Health Plan of Northern CA
Region CA Yes Yes
NG007 Kaiser Foundation Health Plan of Ohio OH Yes Yes
94134
Kaiser Foundation Health Plan of Southern CA
Region CA Yes Yes
93079
KAISER FOUNDATION HEALTH PLAN OF THE
NORTHWEST All Yes No
NG009 Kaiser Foundation Health Plan of the NW OR,WA Yes No
NG008 Kaiser Mid-Atlantic All Yes Yes
KS007 KAISER NORTHWEST REGION All Yes No
KS001 Kaiser Permanente (Southern California Only) CA Yes Yes
KSRCS KAISER PERMANENTE COLORADO SPRINGS All Yes No
21313 KAISER PERMANENTE GEORGIA All Yes No
RH011 Kaiser Permanente Hawaii HI Yes No
94123 KAISER PERMANENTE HEALTH PLAN HAWAII All Yes No
94320 Kaiser PPO All Yes No
40137 KALOS HEALTH All Yes No
57038 Kanawha Healthcare Solutions All Yes No
KCIPA Kane County IPA NULL Yes No
44030 Kansas City Life Insurance Company All Yes No
CX058
Kansas City Life Insurance Company And Healthy
Choices All Yes Yes
KAP01 Kapiolani Health NULL Yes No
81812 KATY MEDICAL CLAIMS All Yes No
KMG11 Katy Medical Group NULL Yes No
KEE01 Keenan & Associates CA Yes No
KELSE Kelsey Seybold All Yes No
61453 Kemper Benefits All Yes Yes
73100 Kempton Group All Yes Yes
KENT1 Kent County Health Plan MI Yes No
27215 Kentucky Health Administrators, Inc. All No No
77894 Kentucky Health Cooperative KY Yes Yes
68067 Kentucky Spirit Health All Yes No
68069 Kentucky Spirit Health Plan (Also 68067) KY Yes Yes
28021 Kern County CDCR All Yes No
22149 Kern Health Care Network All Yes No
77039 Kern Health Systems All Yes Yes
89890 KERN LEGACY HEALTH PLAN All Yes No
37217 Key Benefit Administrators All Yes No
35317 KEY GAP All Yes No
95460 Key Health Medical Solutions All Yes No
KHMSI KEY HEALTH MEDICAL SOLUTIONS INCORPORATED All Yes No
KEYIP Key Insurance Group All Yes Yes
IP082
Key Medical Group (Providers please contact Brandi
Guinn @ 559-735-3892 x233 for authorization.) CA Yes No
37321 Key Select All Yes No
37323 Key Solution All Yes No
00923 Keycare PPO VA Yes Yes
77050 Keystone Connect PA Yes No
42344 Keystone First Community HealthChoices PA Yes Yes
77741 Keystone First PA Community Health Choices All Yes Yes
23284 Keystone Mercy Health Plan All Yes Yes
84223 Keystone VIP Choice All Yes Yes
KGA15 KG ADMINISTRATIVE SERVICES All Yes No
3414A
Klais & Company (Repricing for HealthSpan Network
Only.) All No No
34145 Klais and Company All Yes Yes
KAMG1 KOREAN MEDICAL All Yes No
KPIC1
KPIC - Kaiser Permanente (Valid in the states of
CACO DC GA HI MD OH and OR) LISTED Yes No
KPS01 KPS Health Plans All No No
57610 KUSPUK SCHOOL DISTRICT All Yes No
27357 LA Care LA Yes Yes
LACAR LA Care Health Plan All Yes Yes
LADOC LA DEPT OF CORRECTIONS All Yes No
MPM19 LACH HEALTHNET BY MEDPOINT All Yes No
71037 Lafayette Consolidated Government LA No No
SISCO Lake Area Community Health Plan All Yes Yes
SISCO Lake Region Community Health Plan All Yes Yes
66127 LAKESIDE COMPREHENSIVE HEALTHCARE All Yes No
95415 Lakeside Health Services All Yes No
66125 LAKESIDE MEDICAL GROUP All Yes No
LMG11 Lakeside Medical Group Inc. All No No
16109 LANCASTER GENERAL HEALTH GROUP All Yes No
90096 Land of Lincoln Health All Yes Yes
LNDMK Landmark Healthcare Inc. All Yes No
J1889 LANDRYS All Yes No
14633 LARSON GROUP All Yes Yes
NWADM Las Vegas Fire Fighters Local No 1285 Security Fund CA Yes No
NMM02 LaSalle Medical Associates CA Yes No
53122 LASSEN MUNICIPAL UTILITY DISTRICT All Yes No
10550 Lasso Healthcare All Yes Yes
36333 Lawndale Christian Health Center All Yes No
LAWND LAWNDALE CHRISTIAN HEALTH CENTER All Yes No
52193 LBA HealthPlans All Yes Yes
LWMC1 LEISURE WORLD MANAGED CARE All Yes No
37316 Leon Medical Center Health Plan All No No
65055 Leon Medical Center Health Plan NULL Yes Yes
11328 Liberty Health Advantage All Yes Yes
87071 LIBERTY HEALTH ADVANTAGE All Yes No
98205 Life & Health Ins Co of America (NFL Plan only) All Yes No
33LGC LIFE GIFT CARDS All Yes No
LIICA
Life Investors Ins Co of America (Specialized claims
only. Call 866-745-3545 with claim routing
questions.) All Yes No
59847 LIFE ST JOSEPH OF THE PINES All Yes No
41136 Life Trac All Yes No
71498 LifeCircles PACE All Yes No
RLH01 LIFEMAP All Yes No
76870 LifePath Hospice Inc. All Yes No
LIFE1 Lifeprint All Yes No
27005 LIFESTYLE HEALTH PLANS All Yes No
EBSRM Lifetime Benefit Solutions All Yes Yes
EBSRM Lifetime Benefits Solutions All Yes Yes
93093 Lifewise A Premier Health Plan OR Yes Yes
93093
Lifewise Health Plan of Oregon A Premier Health
Plan OR Yes Yes
91049
Lifewise Health Plan of Washington A Premier
Health Plan WA Yes No
LWA01 LIFEWORKS ADVANTAGE All Yes No
LOBH1 LINDEN OAKS BEH H All Yes No
75283 Linn County All Yes No
LIPA1 Lipa/Agate Resources All No No
LCM1 LITTLE COMPANY OF MARY All Yes No
4725P Little Company of Mary Health All Yes No
00923 Local Choice VA Yes Yes
CB752 Lockard & Williams All Yes No
37267 Loma Linda University Adventist All Yes No
33036 Loma Linda University Health Care All Yes Yes
37226 LONDON HEALTH ADM All Yes No
45289 Lone Star TPA All Yes Yes
MHIPA Long Beach Memorial IPA (MHCLB) CA Yes No
73236 LOREN COOK All Yes No
67202 Louisiana Health Cooperative LA Yes Yes
28680 Louisiana Health Cooperative All Yes Yes
68069 Lousiana Healthcare Connections LA Yes Yes
SX159 Lovelace Medicaid NM Yes No
SX159 Lovelace Salud! (NM Medicaid) NM Yes No
90328 Lovelace Sandia Health Plan All Yes No
NMBLS
LOVELACE SANDIA HEALTH PLAN (ACQUIRED BY BS
OF NEW MEXICO) NM Yes No
56756 LOWER KUSKOKWIM SCHOOL DISTRICT All Yes No
13193 Loyal American All Yes Yes
39198 Lutheran Preferred All Yes No
37292 Machinist District 9 Welfare All Yes No
J1343 MACKINAW ADMINISTRATORS All Yes No
36334
MacNeal Health Providers - CHS (Contact 708-783-
7100 prior to first submission.) All No No
60054
Magellan Behavioral Health (For Dates of Service
1/1/2006 and After - Provider ID Required - AETNA
Subscribers only.) All Yes Yes
MCC01 Magellan Complete Care of AZ AZ Yes Yes
MCCVA Magellan Complete Care of VA VA Yes Yes
01260
Magellan Health (All Non-AETNA Subscribers -
Provider ID Required) All Yes No
11303 MAGNACARE All Yes Yes
68062 Magnolia All Yes No
68069 Magnolia Mississippi (Also 68062) All Yes Yes
87726
MAHP (MD IPA, Optumun Choice and MLH)
UnitedHealthcare MD Yes Yes
62413 MailHandlers All Yes Yes
45341 Maine Community Health Options All Yes Yes
26372 Majesta Care All Yes Yes
35162 Managed Care Services, LLC All Yes Yes
MCS04 Managed Care Systems CA Yes No
MCS02 Managed Care Systems (Delango Regional Medical) All No No
MHCA1 Managed Health Care Admin EPS All Yes No
22771 Managed Health Networks (MHN) All Yes Yes
68069 Managed Health Services Indiana (Also 39186) IN Yes Yes
68069
Managed Health Services of Wisconsin (Please
contact the payer @ 800-225-2573, ext 25525 to get
setup to submit electronic claims.) WI Yes Yes
39187 Managed Health Services WI All Yes Yes
MHCA2
Managed Healthcare Administration Inc- Blue
Choice AL Yes No
36312 MANAGED HEALTHCARE ASSOC (MHCA) All Yes No
41555 MANATEE SERVICES All Yes No
75258 MAPCO Inc. All Yes No
66040 Mapfre Excel PR Yes No
46012 Mapfre Life Commercial All Yes No
PRMAP Mapfre Live Insurance PR Yes Yes
52461 MARCH VISION CARE INCORPORATED All Yes No
5246M March Vision Health Plan All Yes No
A0008 MARICOPA HEALTH PLAN All Yes No
IP097 Marin IPA CA Yes No
MPCHP Marion Polk Health Plan All No No
20805 Marrick Medical Finance LLC All Yes No
46478 Marrick WRx All Yes Yes
68241 Marriott All Yes No
53275 MARTINS POINT HEALTH CARE All Yes No
MPHC2
Martin's Point Health Care USFHP/Generations
Advantage All Yes Yes
22348 Maryland Physicians Care All Yes Yes
00247 MARYLAND PHYSICIANS CARE All Yes No
77063
Maryland PMHS ValueOptions (Use for ALL Dates of
Service) MD Yes No
37121 Mashantucket Pequot Tribal Nation All Yes Yes
MMPHB Masters, Mates and Pilots Plan All Yes No
27320 Max Specialty Benefits All Yes No
92805 MAXOR All Yes Yes
88090 Mayo Clinic FL/GA All Yes Yes
41154 Mayo Management Services, Inc. All Yes Yes
83028 MBA Benefit Administrators All Yes Yes
37298 MBA of MD, Inc. MD Yes Yes
87065 MBA of Wyoming WY,UT Yes Yes
MM001
M-CARE (Payer no longer accepting electronic
claims. Claim will be printed and mailed to payer.) MI Yes No
CSMED Mcare of Colorado Springs CO Yes No
38264
Mcare of Michigan (Payer no longer accepting
electronic claims. Claim will be printed and mailed
to payer.) MI Yes No
MCCBV
MCC Behavioral Care (We will also accept PID SX071
for these claims: use of either ID accomplishes the
same routing.) All Yes Yes
59331 McCreary Corporation FL Yes No
31149 MCGREGOR PACE All Yes No
3833N McLaren ABW-NHP All Yes No
3833T McLaren ABW-THPC All Yes Yes
3833R McLaren Advantage SNP All Yes Yes
3833A McLaren Health Advantage All Yes No
38338 McLaren Health Plan All Yes No
3833C McLaren Medicaid All Yes No
6197P MCS PR Yes No
66039 MCS Life All Yes No
MDAPN MD Anderson Physician Network All Yes No
MDC01 MD CARE HEALTH PLAN All Yes No
MDXHI MD Hawaii HI Yes No
87726
MD-Individual Practice Association, Inc. (M.D. IPA)
(Previously Payer ID 52148) All Yes Yes
MDWIS MDWIS HIP All Yes No
12K81 MDWise All No Yes
3135M
MDwise Health Indiana Plan (For 2019 Claim
Submissions) All Yes Yes
20475 MDWise Hoosier Alliance All No Yes
91313 MDwise Hoosier Care Connect All Yes Yes
35191
MDwise Hoosier Healthwise (For 2018 Claim
Submissions) All Yes Yes
3519M
MDwise Hoosier Healthwise (For 2019 Claim
Submissions) All Yes Yes
31354
MDwise Hoosier Indiana Plan (For 2018 Claim
Submissions) All Yes Yes
45627 MDWISE MARKETPLACE All Yes Yes
MWSHN MDWise Select Health Network All Yes Yes
MLINK MECKLINK All Yes No
80026 MED PARTNERS AMER All Yes No
88058 Med Pay All Yes Yes
88058 Med Pay All Yes Yes
M3CA0001 MED3000 CALIFORNIA All Yes No
EM350 Med3000 CMS Early Steps All Yes Yes
M3FL0010 MED3000 CMS EARLY STEPS All Yes No
EM284 Med3000 CMS Safety Net All Yes Yes
M3FL0011 MED3000 CMS SAFETY NET All Yes No
EM843 Med3000 CMS Title 19 Reform All Yes Yes
EM205 Med3000 CMS Title 21 All Yes Yes
M3FL0014 MED3000 CMS TITLE 21 All Yes No
EM521 Med3000 Coventry Health Kids All Yes No
EM216 Med3000 HealthSpring All Yes No
EM039 Med3000 Pedicare Title 19 All No Yes
EM522 Med3000 Pedicare Title 21 All No Yes
58204 MedAdmin Sol Inc All Yes Yes
59231 MedCom All Yes Yes
68037 MEDCORE MEDICAL GROUP (OMNI IPA) All Yes No
90753 MedCost / Liberty Health Share All Yes No
56205 MedCost Benefit Services All Yes Yes
56162 MedCost, Inc. All Yes Yes
95321 Medfocus All Yes No
94265 MEDICA All Yes Yes
78857 Medica Health Care Plan, Inc. FL Yes Yes
71890 Medica Health Plan Solutions All Yes Yes
12422 Medica2 All Yes Yes
DEMCD Medicaid of Delaware DE Yes Yes
EPF02
Medicaid - TX Premier Plan (Contact Provider
Relations @ (915)532-2778, x1068) TX Yes Yes
ALMCD Medicaid of Alabama AL Yes Yes
AKMCD Medicaid of Alaska AK Yes Yes
AZMCD Medicaid of Arizona (AHCCCS) AZ Yes Yes
ARMCD Medicaid of Arkansas AR Yes Yes
COMCD Medicaid of Colorado CO Yes Yes
CTMCD Medicaid of Connecticut CT Yes Yes
FLMCD Medicaid of Florida FL Yes Yes
GAMCD Medicaid of GA GA Yes Yes
HIMCD Medicaid of Hawaii HI Yes Yes
IDMCD Medicaid of Idaho ID Yes Yes
ILMCD Medicaid of Illinois IL Yes Yes
INMCD Medicaid of Indiana IN Yes Yes
IAMCD Medicaid of Iowa IA Yes Yes
KSMCD Medicaid of Kansas KS Yes Yes
KYMCD Medicaid of Kentucky KY Yes Yes
LAMCD Medicaid of Lousiana (Includes KidMed claims.) LA Yes Yes
LAREH
Medicaid of Lousiana Rehab (for Rehabilitation
claims) LA Yes No
MEMCD Medicaid of Maine ME Yes Yes
MDMCD Medicaid of Maryland MD Yes Yes
MAMCD Medicaid of Massachusetts MA Yes Yes
MIMCD Medicaid of Michigan MI Yes Yes
MNMCD Medicaid of Minnesota MN Yes Yes
MSMCD Medicaid of Mississippi MS Yes Yes
MOMCD Medicaid of Missouri MO Yes Yes
MTMCD Medicaid of Montana MT Yes Yes
NEMCD Medicaid of Nebraska NE Yes Yes
NVMCD Medicaid of Nevada NV Yes Yes
NHMCD Medicaid of New Hampshire NH Yes Yes
NJMCD Medicaid of New Jersey NJ Yes Yes
NMMCD Medicaid of New Mexico NM Yes Yes
NYMCD Medicaid of New York NY Yes Yes
NCMCD Medicaid of North Carolina NC Yes Yes
NDMCD Medicaid of North Dakota ND Yes Yes
OHMCD Medicaid of Ohio OH Yes Yes
OKMCD Medicaid of Oklahoma OK Yes Yes
ORMCD Medicaid of Oregon OR Yes Yes
PAMCD Medicaid of Pennsylvania PA Yes Yes
RIMCD Medicaid of Rhode Island RI Yes Yes
SCMCD Medicaid of South Carolina SC Yes Yes
SDMCD Medicaid of South Dakota SD Yes Yes
TNMCD Medicaid of Tennessee (TennCare) TN Yes Yes
TXMCD Medicaid of Texas TX Yes Yes
UTMCD Medicaid of Utah UT Yes Yes
VTMCD Medicaid of Vermont VT Yes Yes
VAMCD Medicaid of Virginia VA Yes Yes
DCMCD Medicaid of Washington DC DC Yes Yes
WAMCD Medicaid of Washington State WA Yes Yes
WVMCD Medicaid of West Virginia WV Yes Yes
WIMCD Medicaid of Wisconsin WI Yes Yes
WYMCD Medicaid of Wyoming WY Yes Yes
86916 MEDICAID TEXAS HEALTH STEPS & CSHCN All Yes No
SKTX1 MEDICAID TEXAS LTC All Yes No
SKVI0 MEDICAID UNITED STATES VIRGIN ISLANDS All Yes No
MAHP1 Medical Associates Health Plan All Yes Yes
MAHC1 Medical Associates Health Plan All Yes No
68041 Medical Benefit Administration, Inc. All Yes No
74323 Medical Benefits Mutual All Yes Yes
MPM18 Medi-Cal by MedPoint All Yes No
PRMCS Medical Card System (MCS) PR Yes Yes
9043P MEDICAL CONTROL All Yes No
52181 Medical Development International All Yes Yes
29076
Medical Mutual of Ohio (Payer requires a 12 digit
rendering provider ID#, which needs to be obtained
from payer by calling 800-321-7223) OH Yes Yes
CSMED Medical Network of Colorado Springs CO Yes No
CAMCD MediCal of California CA Yes Yes
MHIPA Medical Orange Coast Memorial IPA CA Yes No
62177 Medical Reimbursements of America All Yes No
58203 Medical Resource Network (MRN, INC) All Yes Yes
13375 Medical Select Management All Yes No
80019
MEDICAL SERVICE COMPANY GROUP
INCORPORATED (MSC) All Yes No
12057 Medical Services Initiative All Yes No
38224 Medical Value Plan - Ohio (MVP) All Yes Yes
SCC63 Medicare Blue Advantage of South Carolina SC Yes Yes
KMMCR
Medicare of Missouri (Includes both Eastern and
Western Missouri.) KS,MS Yes Yes
VIMCR Medicare of the Virgin Islands VI Yes No
WPMCR Medicare Part A of Illinois WPS IL No Yes
ALMCR Medicare Part A/B of Alabama AL Yes Yes
AKMCR Medicare Part A/B of Alaska AK Yes Yes
AZMCR Medicare Part A/B of Arizona AZ Yes Yes
ARMCR Medicare Part A/B of Arkansas AR Yes Yes
COMCR Medicare Part A/B of Colorado CO Yes Yes
CTMCR Medicare Part A/B of Connecticut CT Yes Yes
DCMCR Medicare Part A/B of DC DC Yes Yes
DEMCR Medicare Part A/B of Delaware DE Yes Yes
FLMCR Medicare Part A/B of Florida FL Yes Yes
GAMCR Medicare Part A/B of Georgia GA Yes Yes
HIMCR Medicare Part A/B of Hawaii HI Yes Yes
IDMCR Medicare Part A/B of Idaho ID Yes Yes
ILMCR Medicare Part A/B of Illinois IL Yes Yes
INMCR Medicare Part A/B of Indiana IN Yes Yes
IAMCR Medicare Part A/B of Iowa IA Yes Yes
KSMCR Medicare Part A/B of Kansas KS Yes Yes
KYMCR Medicare Part A/B of Kentucky KY Yes Yes
LAMCR Medicare Part A/B of Louisiana LA Yes Yes
MEMCR Medicare Part A/B of Maine ME Yes Yes
MDMCR Medicare Part A/B of Maryland MD Yes Yes
MAMCR Medicare Part A/B of Massachusetts MA Yes Yes
MIMCR Medicare Part A/B of Michigan MI Yes Yes
MNMCR Medicare Part A/B of Minnesota MN Yes Yes
MSMCR Medicare Part A/B of Mississippi MS Yes Yes
MOMCR
Medicare Part A/B of Missouri (Eastern) (Specialty
testing required) MO Yes Yes
MTMCR Medicare Part A/B of Montana MT Yes Yes
NEMCR Medicare Part A/B of Nebraska NE Yes Yes
NVMCR Medicare Part A/B of Nevada NV Yes Yes
NHMCR Medicare Part A/B of New Hampshire NH Yes Yes
NMMCR Medicare Part A/B of New Mexico NM Yes Yes
ENMCR Medicare Part A/B of New York (Empire) NY Yes Yes
NYMCR Medicare Part A/B of New York (Upstate) NY Yes Yes
NJMCR Medicare Part A/B of NJ (Specialty testing required) NJ Yes Yes
NCMCR Medicare Part A/B of North Carolina NC Yes Yes
NDMCR Medicare Part A/B of North Dakota ND Yes Yes
CNMCR Medicare Part A/B of Northern California CA Yes Yes
VNMCR
Medicare Part A/B of Northern Virginia (inc. Prince
George, Montgomery, Fairfax and Arlington
Counties and City of Alexandria) VA Yes Yes
OHMCR Medicare Part A/B of Ohio OH Yes Yes
OKMCR Medicare Part A/B of Oklahoma OK Yes Yes
ORMCR Medicare Part A/B of Oregon OR Yes Yes
PAMCR Medicare Part A/B of PA (Specialty testing required) PA Yes Yes
RIMCR Medicare Part A/B of Rhode Island RI Yes Yes
SCMCR Medicare Part A/B of South Carolina SC Yes Yes
SDMCR Medicare Part A/B of South Dakota SD Yes Yes
CSMCR Medicare Part A/B of Southern California CA Yes Yes
TNMCR Medicare Part A/B of Tennessee TN Yes Yes
TXMCR Medicare Part A/B of Texas TX Yes Yes
UTMCR Medicare Part A/B of Utah UT Yes Yes
VTMCR Medicare Part A/B of Vermont VT Yes Yes
VAMCR Medicare Part A/B of Virginia VA Yes Yes
WAMCR Medicare Part A/B of Washington WA Yes Yes
WVMCR Medicare Part A/B of West Virginia WV Yes Yes
MWMCR Medicare Part A/B of Western Missouri MO Yes Yes
WIMCR Medicare Part A/B of Wisconsin WI Yes Yes
WYMCR Medicare Part A/B of Wyoming WY Yes Yes
ASMCR Medicare Part B of American Samoa AM Samoa Yes No
GUMCR Medicare Part B of Guam Guam Yes No
QUMCR Medicare Part B of New York GHI NY Yes Yes
ISMCR Medicare Part B of Northern Mariana Islands CNMI Yes No
PRMCR Medicare Part B of Puerto Rico (In Test) PR Yes No
00923 Medicare Supplemental VA Yes Yes
AMM11 MEDICHOICE IPA All Yes No
23160 Medico Insurance Company All Yes Yes
95655 MEDIGOLD All Yes No
94254 MediPrime All Yes No
20039 Mediture All Yes Yes
V360H MEDIVIEW VISTA 360 HEALTH All Yes No
441MP Medpartners All Yes Yes
35205 MEDPARTNERS ADMIN All Yes No
412MP MedPartners Admin Services All Yes No
00130 MedPay MO,IL Yes No
MPM20 MEDPOINT All Yes No
62160 MedSolutions, Inc. All Yes Yes
39190 MedStar Family Choice All Yes No
00243 Medstar Physician Partners MD Yes No
251MS Medstar Select All Yes Yes
MX001 MEDXOOM All Yes No
97055 Mega Life & Health (United Insurance Division) All No Yes
74227 MEGA Life & Health Ins. Co. (Student Division) All Yes Yes
59221
Mega Life & Health Insurance Company (SSN is not a
valid Insured ID. Must be similar to 01234567899 or
AA1234567) All Yes No
01047 MEMIC All Yes No
MMFMC Memorial Care Medical Foundation All Yes No
MCA11 Memorial Clinical Associates All Yes No
62181
MEMORIAL CLINICAL ASSOCIATES SELECTCARE
TEXAS All Yes No
MHIPA Memorial Healthcare IPA CA Yes No
MHHNP Memorial Hermann Health Network All Yes No
59065 Memorial Integrated HC All Yes Yes
59064 Memorial Integrated Healthcare All Yes No
CALL
Memorial Integrated Healthcare (Please email Tracy
Harswick at [email protected] for payer ID
information.) All Yes No
IP080 Mendicina Familiar Medical Group CA Yes No
MNM99 Mennonite Mutual All Yes Yes
74289
Mental Health Network (Only claims for PO Box
209010 Austin TX 78720) All Yes Yes
37050 Mental Heath Consultants Inc All Yes Yes
CALL Mercy Care (Please call 608-758-7739 for payerID.) All Yes No
86052 Mercy Health Plan (AHCCCS) AZ Yes Yes
86052 Mercy Health Plan of AZ AZ Yes Yes
22326
Mercy Health Plan of New Jersey (Provider ID
Required in Box33a - Contact (800) 682-9091 to
obtain ID) All Yes Yes
MER11 Mercy Health Plans NULL Yes No
63002 MERCY LIFE ALABAMA All Yes No
33628 Mercy Maricopa Integrated Care All Yes No
43185 MERCY PROVIDER NETWORK All Yes No
39114 MERCYCARE All Yes No
13189 Meridian Health Plan All Yes Yes
65157 Meritain - Luminx All No Yes
64157 Meritain Health (North American Health Plan.) All Yes Yes
64158 Meritain Health / Agency Services All Yes No
41124 Meritain Health Minneapolis All Yes Yes
45150 Meritus Health All Yes No
16928 Metal Culverts All Yes Yes
65113 METCARE HEALTH PLANS All Yes No
95420 MethodistCare, Inc. All Yes No
13265 Metro Plus Health Plan All Yes Yes
10850 Metropolitan Health Plan All Yes Yes
38325 MI COMMUNITY CHOI All Yes No
82832 Miami Children's Health Plan All Yes Yes
MIBCN Michigan Blue Care HMO (BCN of Michigan) MI Yes No
MIFEP Michigan FEP MI Yes No
MIMPB Michigan Medicare PlusBlue MI Yes No
96598 Micron Tech All Yes No
52149 Mid Atlantic Psychiatric Services, Inc. (MAPSI) All Yes Yes
MVBCN MID VALLEY BEHAVIORAL HEALTH NETWORK All Yes No
37281 Mid-America Associates All Yes No
22823 Mid-American Benefits All Yes No
77012 MIDCOAST IPA All Yes No
23550 Midland Management/MFC All Yes No
90956 Midland National Life Ins Co (NFIC Plan only) All Yes No
47080 Midlands Choice NE,IA Yes Yes
47078 MIDLANDS CHOICE All Yes No
47080 Midlands Health Partners All Yes Yes
C1051 MIDWEST FAMILY MUTUAL INSURANCE COMPANY All Yes No
61146 Midwest Group Benefits All Yes No
76079 Midwest Health Partners All Yes No
MHP77 Midwest Health Plans, INC. All Yes No
59224
Mid-West National Life Insurance Co. of Tennessee
(ID valid only for following: PO Box 982017, North
Richland Hills, TX 76182) TN Yes Yes
TH088 MIDWEST PHYSICIAN ADMINISTRATIVE SERVICES All Yes No
66727 MIDWEST PHYSICIAN ADMINISTRATIVE SERVICES All Yes No
74227 Mid-West United Life (Student Division) All Yes Yes
MPMG1 Mills Penisula Medical Group CA Yes No
68241 Minneapolis Prudential Business MN Yes No
01776 MINUTEMAN All Yes No
PHM10 MISSION COMMUNITY IPA & PACIFIC HEALTH MSO All Yes No
MPM07 Mission Community IPA Med Grp CA Yes No
STJOE Mission Hospital Affiliates CA Yes Yes
SX105 Missionary Medical UT Yes Yes
64084 Mississippi Physicians Care Network All Yes Yes
64088
Mississippi Select Healthcare (Mississippi Select
Health Care) All Yes Yes
37275 Missoula County Medical Benefits MT No No
00530 MISSOURI CARE All Yes No
MMS01 MISSOURI MEDICARE SELECT All Yes No
26097 ML HEALTHCARE All Yes No
35316 MMA All Yes No
88600 MMM (Medicare y mucho mas) PR Yes No
PRMMM MMM Multihealth Government Health PR Yes Yes
13350 MODA Health - Formerly ODS Health Plan All Yes Yes
71079 MOLINA HC MISSOUR All Yes No
04423 Molina Healcare of New Mexico - SCI All Yes No
81793 Molina Health Reforma PR Yes No
77010 Molina Healthcare Mississippi MS Yes Yes
33373 MOLINA HEALTHCARE OF CA - ENCOUNTERS ONLY. CA Yes No
38333
Molina Healthcare of California (Rendering provider
must use Medi-Cal ID number or State License
Number. Billing provider should use Federal TaxID
only.) CA Yes No
51062 Molina Healthcare of Florida All Yes No
20934 Molina Healthcare of Illinois All Yes Yes
38334 Molina Healthcare of Michigan MI Yes No
20676 MOLINA HEALTHCARE OF NEVADA All Yes No
NM505 Molina Healthcare of New Mexico NM Yes No
09824 Molina Healthcare of New Mexico Salud NM Yes No
20149 Molina Healthcare of Ohio OH Yes Yes
46299 Molina Healthcare of South Carolina All Yes Yes
20554 Molina Healthcare of Texas TX Yes No
38336
Molina Healthcare of Washington (Rendering
providers use DSHS Medicaid ID or State Licence
Number.) WA Yes Yes
43174
MOLINA HEALTHCARE OF WASHINGTON
ENCOUNTERS ONLY All Yes No
SX109 Molina Healthcare Utah UT No No
12X09 MOLINA MEDICAID - MNS All No Yes
72135 Momentum Health Services All Yes No
IP095
Monarch Healthcare IPA (Rendering provider ID#
required on all claims.) All Yes Yes
50749 MONDIAL ASSISTANCE All Yes No
01759
Monitor Life (Payer accepts secondary claims only
and Medicare cannot be primary payer.) All Yes No
13174
Montefiore Contract Management Organization
(Provider ID required, call 914-377-4400 for ID prior
to first claims submissions.) All Yes No
MBIPA MONTEREY BAY IPA All Yes No
J1890
MONTGOMERY COUNTRY GOVERNMENT SELF INS
PROGRAM (MCSIP) All Yes No
46161 Montifore HMO All Yes Yes
MMLIC
Monumental Life Ins Co. (Specialized claims only.
Call 501-277-1284 for information.) All Yes Yes
MMLI6
MONUMENTAL LIFE INSURANCE COMPANY
BALTIMORE All Yes No
MMLI7
MONUMENTAL LIFE INSURANCE COMPANY
BALTIMORE All Yes No
MMLI9 MONUMENTAL LIFE INSURANCE COMPANY PLANO All Yes No
MMLI5
MONUMENTAL LIFE INSURANCE COMPANY
SCRANTON All Yes No
MMLI4
MONUMENTAL LIFE INSURANCE COMPANY VALLEY
FORGE All Yes No
35092 Morris Associates aka HealthScope Benefits All Yes Yes
IP083
Mosaic IPA Medical Group (Providers please contact
Brandi Guinn @ 559-735-3892 x233 for
authorization.) CA Yes No
99282 MOTION PICTURE INDUSTRY All Yes No
MPI01 Motion Picture Industry Health Plan CA Yes No
COMMA Mountain Medical - MMA All Yes No
MTNST Mountain States Administrators (COLORADO ONLY) CO Yes No
80900 MPA - CUSTOM PROVIDER NETWORK All Yes No
37233 MPE Employee Benefit Services All Yes Yes
95444 MPLAN Inc. Healthcare Group All Yes Yes
MPM16 MPM Prospect All Yes No
26161 MRIPA Allcare CCO All Yes Yes
SB731 MS BCBS State Employees MS Yes No
20572 MSA CARE GUARD All Yes No
95655 Mt. Carmel All Yes No
86040 MTN STATES ADMINI All Yes No
45235 MultiPlan GEHA All Yes Yes
9048P MULTIPLAN INCORPORATED All Yes No
34080 Multiplan Wisconsin Preferred Provider Network All Yes Yes
MLTOT MULTNOMAH COUNTY All Yes No
81883 Municipal Health Benefits Fund All Yes No
A1681 Muskegon Care MI Yes No
37256 Mutual Assurance Administrators All Yes Yes
39065 Mutual Benefit All Yes Yes
39065 Mutual Benefit Life All Yes Yes
34192 Mutual Health Services All Yes Yes
71412 Mutual of Omaha Insurance Company All Yes No
71412 Mutually Preferred All Yes No
14165 MVP Health Plan of NY NY Yes No
MIDSC MWEST SECURITIES All Yes No
33020 MY FAMILY MEDICAL GROUP All Yes No
32043 MYNEXUS INCORPORATED All Yes No
91136
N.W. Ironworkers Health & Security Trust Fund -
Grp#F15 All Yes Yes
91136
N.W. Roofers & Employers Health & Security Trust
Fund - Grp#F14 All Yes Yes
91136 N.W. Textile Processors - Grp#F14 All Yes Yes
65085 NAA (North America Administrators) All Yes Yes
L0110 NAMCI Global Care All Yes No
NANPR NAMM Partners All Yes No
NHCA1 Naperville Health Care Associates All No No
58182 Naphcare Inc All Yes Yes
p0001 Nascentia Health NY Yes Yes
67788
NATIONAL ACCIDENT AND HEALTH GENERAL
AGENCY INCORPORATED All Yes No
CB148 National Allied WU Local 831 All Yes No
53011 National Association of Letter Carriers All Yes Yes
56175 National Benefit Administrators - New Jersey NJ Yes Yes
56176 National Benefits Administrators - North Carolina NC Yes Yes
NCABS National Capital Area DC,VA,MD Yes No
90001
National Capital Preferred Provider Organization
(NCPPO) (To obtain your provider ID number, please
call the NCPPO Customer Service Department at
(800) 272-5911 All Yes Yes
90956 National Financial Insurance Company All Yes No
98205 National Foundation Life Insurance Company All Yes No
ASHC1 NATIONAL GENERAL ACCIDENT HEALTH All Yes Yes
NHC01
NATIONAL HEALTCHARE CORPORATION
ADVANTAGE All Yes No
NHAIN National Health Administrators Inc. All Yes No
88057 National Health Benefit All Yes Yes
88050 National Health Benefits Corporation - NHBC02 All Yes Yes
NIA11 National Imaging Associates All No Yes
52132 National Rural Electric All Yes Yes
NTA11 National Teachers Association (NTA) All Yes No
52103
National Telecommunications Cooperative
Association (NTCA) All Yes Yes
52104
National Tellecommunications Cooperative
Association (NTCS Staff) All Yes Yes
NVADM NATIONAL VISION All Yes No
31417 Nationwide Group All Yes No
31112 Nationwide Health Plans - HMO, PPO, POS All Yes No
31417 Nationwide Insurance All Yes No
31417 Nationwide Life and Health All Yes No
31417 Nationwide Mutual Insurance All Yes No
31417
Nationwide Specialty Health (Formerly Nationwide
Health Plans All Yes No
19191 NATIVE CARE HEALTH All Yes Yes
75191 NCAS - Charlotte, VA VA Yes Yes
75190 NCAS - Fairfax, VA VA Yes Yes
19988 NEA GROUP INSURAN All Yes No
51909 Neighborhood Doctors Organization All Yes No
95123 Neighborhood Health Partnership (NHP) All Yes Yes
96107 Neighborhood Health Partnership (NHP) All Yes No
05047
Neighborhood Health Plan of Rhode Island (Contact
NHPRI 401-459-6030 to verify provider and vendor
number.) RI Yes Yes
96240 Neighborhood Health Plan of RI - Integrity RI Yes Yes
11325 Neighborhood Health Providers ALL but FL Yes Yes
96240
Neighborhood Health RI Exchange, Unity, Integrity
Plans RI Yes Yes
37255 Nesika Health Group All Yes No
66055 Netcare Life and Health Insurance All Yes Yes
04332
Network Health (Before initiating submissions,
please call Provider Relations at (617)806-8104 or
www.network-health.org for an EDI startup plan.) All Yes Yes
77076 Network Health Insurance Corp - Medicare All Yes No
04332 Network Health Massachusetts All Yes Yes
39144
Network Health Plan of Wisconsin, Inc.(Prior to
initial claims submission, please contact Network
Health Plan EDI specialist at 920-720-1506.) All Yes Yes
AMS01 Network Health PPO All Yes No
NSIPA NETWORK SOLUTIONS IPA All Yes No
90091 Nevada Health Coop All Yes Yes
86067 Nevada Health Solutions (Provider ID Required) NV Yes No
86067 NevadaCare (Provider ID Required) NV Yes No
86067 NevadaCare Kids (Provider ID Required) NV Yes No
95998 New Avenues Inc. All Yes No
NCH09 New Century Health - Vista Cardiology All Yes No
NCHOR New Century Health Arizona Integrated Physicians All Yes No
NCHCA NEW CENTURY HEALTH CENTERS All Yes No
NCH03 NEW CENTURY HEALTH UROLOGY All Yes No
66893 New England, The All Yes No
66893 New England, The All Yes No
75281 New ERA Life All Yes Yes
76031 NEW ERA WELFARE BENEFIT PLAN TRUST All Yes No
68069 New Hampshire Healthy Family NH Yes Yes
65056 New Market Dimensions All Yes No
74234 New Mexico District Council of Carpenters NM Yes No
45129 New Mexico Health Connections All Yes Yes
74234 New Mexico Painters and Allied Trades Local No 823 UT Yes No
85036
NEW MEXICO PUBLIC SCHOOLS INSURANCE
AUTHORITY All Yes No
74234
New Mexico-West Texas Multi-Craft (lso known as
New Mexico Laborers) UT Yes No
84141 New West Health Plan MT Yes No
NYL11 New York Life - Long Term Care All Yes Yes
14179 New York Medical Imaging-MVP NY Yes Yes
11334 New York Network Management All Yes No
ADSL1 Nexcaliber All Yes No
69821 Next Level Health All Yes Yes
38225 NGS American, Inc. All Yes No
81264 Nippon Life Insurance Company All Yes No
22603 NJ Carpenters Health Fund NJ Yes Yes
NMPPO NM BLUE MCARE PPO All Yes No
IP080 Noble Community CA Yes No
64157 North American Administrators, Inc. All Yes Yes
34159 North American Benefits Network (NABN) All Yes Yes
76112 NORTH AMERICAN INSURANCE COMPANY All Yes No
IP079
North American Medical Management (Provider
number must be in box 33a) All Yes No
37314 North Broward Hospital District FL Yes No
78353 NORTH IOWA COMMUNITY HEALTHCARE (NICH) All Yes No
46227 North Shore - LIJ CareConnect Insurance Company All Yes Yes
17516 North Shore - LU MLTCP All Yes Yes
36392 North Suburban Associated Physicians All Yes No
35212 North Texas Healthcare Network All Yes No
PH018 North West Life All Yes No
58169 NORTHEAST GEORGIA HEALTH SERVICES All Yes No
72690 NORTHEAST IOWA AREA AGENCY All Yes No
SISCO Northeast Iowa Community Health Plan All Yes Yes
NCA01
NORTHERN CALIFORNIA ADVANTAGE MEDICAL
GROUP All Yes No
J1923 NORTHERN CLAIMS MANAGEMENT All Yes No
36347 Northern Illinois Health Plan IL Yes Yes
88027
Northern Nevada Trust Funds (Call 775-826-7200
prior to submitting claims.) NV Yes Yes
NMG01 Northridge Medical Group All Yes No
48026 NorthShore Physicians Associates All Yes No
60058 NORTHSTAR ADVANTAGE All Yes No
52627 Northstar Advantage (MHP) NULL Yes No
NANWC Northwest Community Health Partners IL No Yes
NWDC1 Northwest Diagnostic Clinic NULL Yes No
NPN11 Northwest Physicians Network NULL Yes Yes
36346 Northwest Suburban IPA (IL) IL Yes No
PH018 Northwestern National Life All Yes No
16114 Nova Casualty Company All Yes Yes
16644
Nova Healthcare Administrators, Inc. (Grand Island,
NY) All Yes No
71080 NOVASYS Health Network All Yes Yes
37120 NTL IA Yes No
62119 NW Diagnostic Clinic SelectCare of TX (NWDC) All Yes No
N2FEP
NY Central FEP (Federal Employee Program) Blue
Shield NY Yes No
24819 NY PRESBYTERIAN S All Yes No
37299 Nyhart All Yes Yes
14142 NYS DOH UCP NY Yes No
OAKST OAK STREET HEALTH All Yes No
36400 Oak West Physician Association All Yes Yes
36402
Oak West Primary Physician Association (Claims
after 6.01.2015) All Yes Yes
NAOAK
Oak West Primary Physician Association (Claims
prior to 6.01.2015) IL Yes Yes
OCFMC OC FOUNDATION MED All Yes No
L0140 Occular Benefits All Yes No
50653
OCCUPATIONAL EYEWEAR NETWORK
INCORPORATED All Yes No
72127 Ochsner Health Plan All Yes No
OBA18 OGDEN BENEFITS ADMINISTRATION All Yes No
31147 OH WORKERS COMP All Yes No
34189 Ohio Health Choice PPO OH Yes No
74431 Ohio PPO Connect All Yes Yes
OKSSI OK CAID SSI GROUP OK Yes No
OLRMC OLOLRMC Uninsured Patient Services Program LA Yes No
91150 Olympic Health Management Systems, Inc. All Yes No
65074 Olympus Management Healthcare All Yes No
25150
OmniCare (For claims with Dates of Service after
10/01/04) All Yes No
OMN02 Omnicare IPA All Yes No
IP088 OMNICARE MEDICAL GROUP All Yes No
99485 ON LOK SENIOR HEALTH SERVICES INCORPORATED All Yes No
ONOCI Oncology Network of Orange County All Yes No
22321 One Call Medical All Yes No
80705 One Health Plan Inc. All Yes Yes
80705 One Health Plan Michigan, Inc. MI Yes Yes
80705 One Health Plan New York, Inc. NY Yes Yes
80705 One Health Plan of Alaska AK Yes Yes
80705 One Health Plan of Arizona, Inc. AZ Yes Yes
95379 One Health Plan of California CA Yes No
95412 One Health Plan of Colorado CO Yes No
80705 One Health Plan of DC Inc, DC Yes Yes
80705 One Health Plan of Florida FL Yes Yes
95569 One Health Plan of Georgia GA Yes No
95388 One Health Plan of Illinois IL Yes No
80705 One Health Plan of Indiana, Inc. IN Yes Yes
80705 One Health Plan of Kansas and Missouri KS,MS Yes Yes
80705 One Health Plan of Maine, Inc. ME Yes Yes
80705 One Health Plan of Massachusetts, Inc. MA Yes Yes
80705 One Health Plan of Minnesota, Inc. MN Yes Yes
80705 One Health Plan of Nevada, Inc. NV Yes Yes
80705 One Health Plan of New Jersey NJ Yes Yes
80705 One Health Plan of North Carolina NC Yes Yes
80705 One Health Plan of Ohio OH Yes Yes
80705 One Health Plan of Pennsylvania PA Yes Yes
80705 One Health Plan of South Carolina SC Yes Yes
80705 One Health Plan of Tennessee TN Yes Yes
80705 One Health Plan of Texas TX Yes Yes
80705 One Health Plan of Virginia, Inc. VA Yes Yes
80705 One Health Plan of Washington WA Yes Yes
80705 One Health Plan of Wisconsin, Inc. WI Yes Yes
80705 One Health Plan of Wyoming WY Yes Yes
ONEHC ONE HOMECARE SOLUTIONS All Yes No
52149
OneNet PPO, LLC. (Formerly known as Alliance PPO,
Inc.) MD Yes Yes
BPA01 OPEIU Locals 30 & 537 All Yes No
66771
OPERATING ENGINEERS LOCAL 139 HEALTH BENEFIT
FUND All Yes Yes
74234 Operating Engineers Local No 53 UT Yes No
91136
Operating Engineers Locals 302 & 612 Health &
Security Fund - Grp#F12 All Yes Yes
56190 Opticare Eye Health Network All Yes No
OPCAU Opticare of Utah All Yes No
54154 Optima Insurance Company All Yes Yes
52152 Optimum Choice of the Carolina's (MAMSI) NC,SC Yes No
87726
Optimum Choice, Inc. (OCI) (Previously Payer ID
52148) All Yes Yes
20133 Optimum Healthcare, Inc. All Yes No
U6885 OPTUM BEHAVIORAL HEALTH SLCO All Yes No
41161
Optum Health - Physical Health (Includes Oxford)
(OptumHealth) All Yes Yes
87726 OptumHealth Behavior Solutions All Yes Yes
87726
OptumHealth Behavioral Solutions of NM
(OptumHealth) NM Yes Yes
41194 OptumHealth Care Solutions (Formerly U.R.N.) All Yes Yes
41194
OptumHealth Care Solutions (Formerly United
Resources Networks)(OptumHealth) All Yes Yes
87726 OptumHealth New Mexico NM Yes Yes
00773 OptumHealth Vision All Yes No
MHIPA Orange Coast Memorial IPA CA Yes No
65021 ORANGE COUNTY HEALTHCARE AGENCY All Yes No
OHMS OREGON HEALTH MANAGEMENT SERVICES (OHMS) All Yes No
OHMSP
Oregon Health Mgmt OHMS aka Primary Health of
Josephine All Yes No
45332 Oregons Health CO-OP OR Yes Yes
21455
OREGON'S HEALTH CO-OP (DOS 1/1/15 AND AFTER
PAYERID 45332) All Yes No
13383 Orthonet - AETNA All Yes No
13381 Orthonet Corporation All Yes No
25681 Orthonet-HealthNet All No No
OSCAR Oscar Health All Yes No
OSFMC OSF CARE ADVANTAGE All Yes No
62171 OSF HEALTH PLAN All Yes No
61101 OSF Health Plans IL Yes No
OSFE9 OSF HEALTHCARE EAST All Yes No
37127 OSG-Michael Reese IL Yes Yes
J1904 OSI GROUP LLC All Yes No
73071 OSMA HEALTH CL FRATES All Yes No
EPF06 Outsourcing Program NULL Yes No
06111 Oxford (UnitedHealthcare/Oxford) All Yes Yes
06111 Oxford Health Plans All Yes Yes
58375 P3 Health Partners- Arizona All Yes Yes
59379 P3 Health Partners- Nevada All Yes Yes
87068 P5 Health Plan Solutions of Utah All Yes Yes
15460 PA Care Advantage Highmark Senior Health PA Yes Yes
CALL
PA Preferred Health (Call PPHN Claims Operations at
410-349-3222) All Yes No
72436 PACE CENTRAL IOWA All Yes No
70454 PACE CNY All Yes No
35416 PACE NEBRASKA All Yes No
45114 PACE OF SOUTHWEST MICHIGAN INCORPORATED All Yes No
86711 PACE SOUTHEAST MICHIGAN All Yes No
53534 PACE SOUTHWEST IOWA All Yes No
99486 PACEPARTNER SOLUTIONS All Yes No
J1913 PACIFIC COMPENSATION INSURANCE COMPANY All Yes No
J1916 PACIFIC GAS AND ELECTRIC 115 All Yes No
75309 PACIFIC SOUTHWEST ADMININSTRATORS (PSWA) All Yes No
33053 PACIFICARE BEHAV All Yes No
81400
PacifiCare Individual Business Plan
(UnitedHealthOne) All Yes Yes
95958 PacifiCare of CA Encounters CA Yes Yes
95958 PacifiCare of OK Encounters OK Yes Yes
95958 PacifiCare of OR Encounters OR Yes Yes
95958 PacifiCare of TX Encounters TX Yes Yes
95958 PacifiCare of WA Encounters WA Yes Yes
95999 PacifiCare PPO All Yes Yes
20416 PACIFICSOURCE COMMUNITY SOLUTIONS All Yes No
93029 PacificSource Health Plans All Yes Yes
20377 Pacificsource Medicare All Yes No
COIHS Pacificsource OHP All Yes No
81240 Palic / Pan-American Health PR Yes No
37268
Palladian Muscular Skeletal Health (Formerly Prism
Health Networks) All Yes No
38520
Palmetto Tricare (Regions 1-6) Northern and
Southern Region Various Yes No
IP132 PALO ALTO MEDICAL FOUNDATION All Yes No
94115 PALO ALTO MEDICAL FOUNDATION All Yes No
04218 Pan American Life Insurance All Yes Yes
PAPER PAPER CLAIMS All Yes Yes
PRINT Paper Claims All Yes Yes
58174 PARAGON BENEFITS All Yes No
SX158 Paramount Health All Yes Yes
58204 Parity Healthcare, Inc. All Yes Yes
66917 Parkland Community Health Plan All Yes Yes
14966 Partners Health Plan All Yes Yes
PARTH PARTNERS IN HEALTH All Yes No
56152 PARTNERS NAT HPNC All Yes No
PHP02
PARTNERSHIP HEALTH PLAN (OPTUMINSIGHT FOR
ENROLL FORMS) CA Yes No
IP080 Pasadena Primary Care Physicians CA Yes No
97652 Passport Advantage All Yes Yes
66008 Passport Advantage (After 7/1/18) ALL Yes No
61129 Passport Health Plan All Yes No
61325 Passport Health Plan ALL Yes Yes
76569 PASSPORTADVANTAGE All Yes No
PAN01 PATIENT ACCESS All Yes No
55489 Patient Advocates LLC All Yes Yes
10525 Patient Advocates, LLC - Dental All Yes No
CB733 Patient Services Inc. All Yes No
26335 PATIENTPAY All Yes No
20907 PAUL MUELLER All Yes No
26048 PAYER FUSION All Yes No
27048 Payer Fusion All Yes Yes
25449 PBS OREGON ALASKA INDUSTRIAL HARDWARE All Yes No
27267 PBS OREGON ALASKA RUBBER AND SUPPLY All Yes No
27277 PBS OREGON CASCADE RUBBER PRODUCTS All Yes No
26224
PBS OREGON CONSTRUCTION MACHINERY
INDUSTRIAL All Yes No
73624 PBS OREGON PENINSULA AIRWAYS All Yes No
83926 PBS OREGON TDX CORPORATION All Yes No
95885 PCA HEALTHPLANS TEXAS All Yes No
68050 Peach State Health Plan (Behavioral Health) GA No Yes
68069 Peach State Health Plan (Behavioral Health) GA Yes Yes
68069
Peach State Health Plan (Medicaid) (Call 800-225-
2573 ext 25525 prior to submitting claims.) (Also
39187) GA Yes Yes
68049 Peach State HP All Yes No
27034 PEAK PACE SOLUTIONS All Yes No
20472 Pediatric Associates of Broward All Yes No
M3FL8 Pedicare Title 19 NULL Yes Yes
M3FL6 Pedicare Title 21 NULL Yes No
PEF01 PEF CLINIC All Yes No
J1924 PEGASUS RISK MANAGEMENT CALIFORNIA All Yes No
CALL PEHP - Utah Public Employee Health Plan UT Yes No
SX106
PEHP - Utah Public Employee Health Plan
(Enrollment required, please contact Provider
Relations 800-765-7347) UT Yes Yes
UH136 PEHP CHIROHLTHPLA All Yes No
37086 PEKIN INSURANCE All Yes No
00923 Peninsula Healthcare VA Yes Yes
53226 PENN BEHAVIORAL HEALTH All Yes Yes
95056
Pennsylvania Keystone Health Plan East (claims
only) PA Yes Yes
PCBLS
PENNSYLVANIA KEYSTONE HEALTH PLAN EAST
(CLAIMS ONLY) PA Yes No
95056
Pennsylvania Keystone Health Plan East (encounters
only) PA Yes Yes
PEBLS
PENNSYLVANIA KEYSTONE HEALTH PLAN EAST
(ENCOUNTERS ONLY) PA Yes No
23130 Pennsylvania Life Insurance PA Yes Yes
20172 Pennsylvania Pace All Yes No
06161
PENNSYLVANIA PREFERRED HEALTH NETWORK
(PPHN) All Yes No
72126
Peoples Health Network (Tenet) (Network ID must
be on claim. Contact
[email protected]) LA Yes Yes
54704
Personal Choice PPO of Pennsylvania (Also know as
Independent BLC) PA Yes Yes
95397 Personal Insurance Administrators All Yes Yes
25146 PERSONALCARE All Yes No
45275 PHCS GEHA All Yes Yes
13306 PHCS Savility (ONLY for Savility card members.) All Yes Yes
PHIF4 PHIFER WIRE INS All Yes No
67814 Phoenix American Life All Yes No
75238 PHOENIX GROUP SER All Yes No
03440 Phoenix Health Plan AZ Yes Yes
22729 PHOENIX HEALTH PLAN (MEDICARE) All Yes No
67814 Phoenix Home Life All Yes No
67814 Phoenix Home Life Mutual Ins. Co. All Yes No
67814 Phoenix Mutual All Yes No
PHYCR Phycor (Ft Collins office only) CO Yes No
EXC01 PHYS MED GROUP OF SAN JOSE All Yes No
PA513 Physician Associates of Greater San Gabriel Valley CA Yes No
58204 Physician Associates of Lousiana (PAL) LA Yes Yes
57549 PHYSICIAN HEALTH COOPERATIVE/SRRIPA All Yes No
PHPMC Physician Health Partners CO Yes Yes
PHPMD Physician Health Partners Medicare All Yes Yes
PPRT1 Physician Partners IPA All Yes No
28943 PHYSICIANS ACCOUNTABLE CARE ORGANIZATION All Yes No
38265 Physicians Care Network All Yes Yes
36345
Physicians Care Network (Rockford, IL Only) PayerID
valid only for claims with billing submission name,
city and state of Physicians Care Network, Rockford,
IL. IL Yes Yes
PCN12 Physicians Care Network/The Polyclinic All Yes No
MCI01 Physicians Choice Medical Santa Maria All Yes No
SLOS1 Physicians Choice Medical SLO All Yes No
65018
Physicians Corporation of America (Florida Plan
Only) FL Yes No
37136 Physicians Health Association of Illinois IL Yes No
PHCS1
Physicians Health Choice - Claims (Administered by
Wellmed) All Yes Yes
PHCEN
Physicians Health Choice - Encounters (Administered
by Wellmed) All Yes No
20398 Physicians Health Collaborative All Yes No
MHCM2 Physicians Health Network All Yes No
37330 Physicians Health Plan (PHP) Mid-Michigan All Yes Yes
09173 Physicians Health Plan (PHP-SC) All Yes No
12399 Physicians Health Plan of Northern Indiana IN Yes Yes
06108
Physicians Health Services (now Health Net of NE)
(Health Net six digit ID REQUIRED in B0X33a; call
866-334-4638) All Yes Yes
PHIPA Physicians Healthways IPA CA Yes No
PMGSC Physicians Medical of Santa Cruz CA Yes No
47027 Physicians Mutual Insurance Company All Yes Yes
91171 Physicians of Southwest Washington All Yes No
39156 Physicians Plus Insurance Corp. All Yes Yes
TH131 PHYSICIANS UNITED PLAN All Yes No
95397 PIA All Yes Yes
87056 PIASC All Yes No
251PD Piedmond WellStar Health Plan All Yes No
56151 Piedmont Administrators All Yes Yes
06607 Piedmont Behavioral Health All Yes No
PMA86 PIMA HEALTH SYSTE All Yes No
24735 Pinnacle Claims Management All Yes Yes
45985
PINNACLE PHYSICIAN MANAGEMENT
ORGANIZATION All Yes No
CCIA1 Pinnacol Assurance CO Yes Yes
PPNZZ Pioneer Provider Network CA Yes No
COMPU Pipe Industry Health & Welfare Fund of Colorado CO Yes No
59700 PIPEFITTERS L 597 All Yes No
37224 Pittman and Associates All Yes Yes
23283 Pittsburgh Care Partnership All Yes No
37287 Planned Administrators, Inc. (PAI) All Yes Yes
CLFRS PLICO All Yes No
PMGSJ PMG of San Jose CA Yes No
POD1S Podiatry First NULL Yes No
PDFST Podiatry First All Yes No
POD1ST Podiatry First Inc NULL Yes No
59324 Podiatry Network FL FL Yes Yes
PCU01 POINT COMFORT UNDERWRITERS All Yes No
PCU02 POINT COMFORT UNDERWRITERS All Yes No
32680 Poly America Medical & Dental Benefit Plan All Yes No
16111 POMCO All Yes Yes
IP057 Pomona Valley Medical Group (PVMG) ProMed CA Yes No
73159
PPO Oklahoma (WinterBrook HealthCare
Management) OK Yes Yes
UHNDC PPO ONE All Yes No
59333 PPO Plus NULL Yes No
72148 PPO Plus, LLC All Yes Yes
A0009 PPOM LLC All Yes No
PPOM1 PPOM LLC All Yes No
36332 PPONEXT All Yes No
04334 PRACTICARE All Yes No
36373 Prairie States Enterprises, Inc. All Yes No
TCC13 PRE MED DEFENDER All Yes No
EPF10
Preferred Administrator (Contact Provider Relations
@ (915)532-2778, x1068) TX Yes Yes
EPF11 PREFERRED ADMINISTRATORS CHILDRENS HOSPITAL All Yes No
53476 Preferred Benefit Administrators All Yes No
SC481 Preferred Blue SC SC Yes Yes
SX089 Preferred Care NY NY Yes Yes
CALL
Preferred Care Partners (Encounters from delegated
entities only. To get payerID, call Jeff Nehms at 305-
670-8440.) FL Yes No
65088 Preferred Care Partners (Miami,Florida) FL Yes Yes
73145 Preferred Community Choice All Yes Yes
CALL
Preferred Health Care - PPO Lancaster, PA (IHS
Gateway Payer) - Contact Sherry Wolgemuth at
(717)560-9290 ext. 124 for approval and the Payer
ID. PA Yes No
33898 PREFERRED HEALTH CARE (PHC) All Yes No
PMP01 Preferred Health Plan All No Yes
61106 Preferred Health Plan (Louisville, KY) KY Yes Yes
CB404 PREFERRED HEALTH PLAN OF CAROLINAS (PHPC) All Yes No
31478 Preferred Health Professionals All Yes Yes
00036 Preferred Health Professionals Kansas City KS,MO Yes No
61665 Preferred Health Systems Insurance Co (PPO) All Yes Yes
60110 Preferred Health Systems, Inc. All Yes Yes
PFIPA Preferred IPA All Yes No
L0250 Preferred Medicare All Yes No
36401 Preferred Network Access All Yes Yes
41147 Preferred One All Yes Yes
00430 Premera WA Yes Yes
PCI01 Premier Care IPA All Yes No
PCL01 PREMIER CARE IPA All Yes No
65054 Premier Eye Care All Yes No
43166 PREMIER HEALTH PL All Yes No
251PR PREMIER HEALTH PLAN All Yes Yes
90440 Premier Health Systems, Inc. All Yes No
88051 Premier Healthcare Exchange All Yes Yes
88056 Premier HealthCare Exchange (Cypress) All Yes Yes
CAPMN Premier Physicians Network All No No
MPM22 PREMIER PHYSICIANS NETWORK All Yes No
PREHP
Presbyterian Health Plan (Commercial) (Provider ID
is required. Contact (888) 923-5757, #6 then #2 to
obtain ID. New Mexico Providers only.) NM Yes Yes
PRESA
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.) NM Yes Yes
05003 Presbyterian(NM) NM Yes Yes
46311 Presence ERC All Yes Yes
77003 PRESTIGE HEALTH CHOICE All Yes Yes
45056 Prestige Health Choice All Yes No
39185 Prevea Health Insurance Plan / Arise Health Plan All Yes Yes
PCACZ
Primary Care Assoc of California (Customer Service
Phone Number 877-602-1563) CA Yes No
PCJOL PRIMARY CARE OF JOLIET All Yes No
PCSNCHD PRIMARY CARE SERVICES NCHD All Yes No
60054 Primary Choice (Aetna HP-NY/NJ) NY,NJ Yes Yes
73288 Primary Delivery Systems All Yes No
82048 Primary Health Network All Yes Yes
PRIME Primary Health Plan All Yes Yes
56144 Primary PhysicianCare, Inc. All Yes Yes
E3510 Prime Care All Yes No
MVCV1 PRIME COMMUNITY CARE CENTRAL VALLEY All Yes No
61604 Prime West Health Plan MN Yes Yes
IP079 PrimeCare Health Plan CA Yes No
04320 PrimeSource Health Network All Yes Yes
J1891
PRINCE GEORGES COUNTY GOVERNMENT
MARYLAND All Yes No
PRI01 Princeton Premier IPA NULL Yes No
61271 Principal Financial Group All Yes No
61271 Principal Mutual Life Insurance Company All Yes No
38217
Priority Health (Please contact Priority Health EDI
Dept at 616-464-8686 or email EDISETUP@Priority-
Health.com) All Yes Yes
00923 Priority Healthcare VA Yes Yes
37268
Prism Health Networks (Now known as Palladian
Muscular Skeletal Health ) All Yes No
37315 Prism Univera All Yes No
PRNLK PRNLINK MLK All Yes No
38329
Pro Care Health Plan, Inc. (Valid for PO Box 3160
and 3590, Detroit MI only.) MI No Yes
70259 ProCare Health Plan Medicaid All Yes Yes
PEBSI Producer's Exchange All Yes No
13396 Productive Processing All Yes No
36331
Professional Benefit Administrators, Inc. (Oak Brook,
IL) IL Yes Yes
59296
Professional Benefits Administrators (Winter Park,
FL) FL Yes Yes
37242 Professional Claims Management All Yes Yes
56001 Professional Claims Management All Yes No
J1821 PROFESSIONAL CLAIMS MANAGEMENT All Yes No
34134 Professional Risk Management, Inc. All No Yes
WK476 PROGRESSIVE INSURANCE All Yes No
pROGY PROGYNY All Yes Yes
58226 Promina All Yes No
93082 Prominence Health Plan of Nevada All Yes Yes
80095 Prominence Health Plan of Texas All Yes Yes
88082
PROMINENCE-ST. MARY'S HEALTH PLAN
ENCOUNTERS All Yes No
PROSP Prospect Medical Group CA Yes No
37309 Protective Life Insurance Company All Yes No
SX187 PROVIDENCE All Yes No
PHP01 Providence Choice Option All No No
PHP01 Providence Good Health Plan All No No
PAS01
PROVIDENCE INSURANCE AND ADMINISTRATIVE
SERVICES All Yes No
SX133 PROVIDENCE OF OREGON HEALTH PLAN All Yes No
PHP00
Providence Preferred (PPO) (ProviderID and
Enrollment required.) All Yes No
68195 Provident Life & Accident Insurance Company All Yes Yes
68195
Provident Life & Accident Insurance Company of
America All Yes Yes
68195 Provident Life & Casualty Insurance Company All Yes Yes
48100 ProviDRs Care Network All Yes Yes
68241 PruCare All Yes No
HM015 PruCare HMO (Encounters Only) All Yes No
68241 Prucare Plus All Yes No
MPM25 PRUDENT MEDICAL GROUP All Yes No
68241 Prudential All Yes No
HM015 Prudential Encounters All Yes No
68241 Prudential Health Care Systems All Yes No
PH001 PRUITT HEALTH PREMIER All Yes No
68241 PruNetwork All Yes No
PSKW0 PSKW All Yes No
09822 PSN FL Medicaid JMH All Yes Yes
51052 Psychcare, LLC All Yes Yes
J1897 PUBLIX SUPER MARKETS INCORPORATED All Yes No
CALL Puerto Rico Triple S (BCBS) PR Yes No
91136 Puget Sound Benefits Trust - Grp#F25 WA Yes Yes
91136 Puget Sound Electrical Workers Trust - Grp#33 WA Yes Yes
44827 QUAD CITIES COMMUNITY HEALTH PLAN All Yes No
40437 QUAD CITY COMMUNITY HEALTHCARE (QCCH) All Yes No
39197 QuadMed (West Allis, WI) All No Yes
35172 QUAL CHOICE NC All Yes No
35174 Qual Choice of Arkansas AR Yes Yes
01250 Qual Choice of Ohio OH Yes No
QMDCE QUAL MEDICAL COLORADO All Yes No
QUANM QUAL MEDICAL NEW MEXICO All Yes No
QMDPO QUAL MEDICAL PORTLAND All Yes No
23342 Qualcare All Yes No
22312 QUALCARE ALLIANCE NETWORKS INC. (QANI) All Yes No
89461 Quality Care Partners All Yes Yes
88622 QUALITY HEALTH PLANS OF NEW YORK ALL Yes Yes
QHPNY Quality Health Plans of NY NY Yes No
QCTPA QuantumCare (We Care Health Plan) All Yes No
QUARTZASO
QUARTZ ADMINISTRATIVE SERVICES ORGANIZATION
(ASO) All Yes No
84562 Questcare Medical All Yes No
73067 Quicktrip Corporation All Yes Yes
57117 QVI Risk Solutions, Inc. All Yes No
CALL
Radcon, Inc. (Please contact Kathy King @ 856-608-
1350 for Payer ID information.) All Yes No
RCHN1 RADY CHILDRENS HEALTH NETWORK All Yes No
RRMCR Railroad Medicare All Yes No
J1894 RAM MUTUAL INSURANCE COMPANY All Yes No
RPAWC RAVENSWOOD PHYSICIAN ASSOCIATES All Yes No
91176 RBMS, LLC All Yes Yes
SYMED Redlands IPA (Synermed) All Yes No
REGAL Regal Medical Group All Yes No
00932 Regence Blue Shield of Washington WA Yes Yes
RGA01 REGENCE GROUP ADMINISTRATORS All Yes Yes
38221 REGENCY EMPLOYEE BENEFITS All Yes No
47076 Regional Care, Inc. All Yes Yes
REHNA Rehn and Associates All Yes No
PH018 RELIASTAR (Formerly NWNL) All Yes No
76066 Renaissance Physicians Organization All Yes Yes
RENRO Renaissance Riveroaks NULL Yes No
RENRB Renaissance Riveroaks Blue NULL Yes No
73066
Reserve National Insurance (For Claims rejections,
please contact Reserve national Customer Service at
(405)848-7931.) All Yes No
20481
Resolve Health Plan Administrators (Authorization
number required: begins with the number 5 and is
13 characters in length.) All Yes Yes
RHA01 RESOLVE HEALTH PLAN ADMINISTRATORS LLC All Yes No
58200 ResourrceOne Administrators All Yes Yes
RPPG1 Resurrection Physician Provider Group All Yes Yes
26316 RETIREE HEALTH TRUST All Yes No
A0010 REVCLAIMS LLC All Yes No
74205 Right Care from Scott & White All Yes Yes
37331 RightChoice Benefits Administrators All Yes Yes
RCMG1 RIVER CITY MEDICAL GROUP CA Yes No
42172 Riverlink Health All Yes Yes
MPM08 Riverside Family Health Med Grp IPA CA Yes No
45281 Riverside Health Inc All Yes No
RMC01 RIVERSIDE MEDICAL CLINIC All Yes No
RMSCO RMSCO NY Yes No
SX141 Rocky Mountain Health Plan Grand Junction CO Yes No
RMHMO Rocky Mountain HMO CO Yes No
37602 Rooney Life Ins. All Yes Yes
46166
Royal Health on Behalf of Extended Care MLTC (For
claims with service dates/statement dates after
12/1/2013.) All Yes Yes
36389 Rush Prudential Health Plans (HMO Only) All Yes No
68241 Rush Prudential Insurance Co. (PPO & POS Only) All Yes No
31441 S & S Healthcare Strategies All Yes Yes
SFG99 SafeGuard All Yes No
35164 Sagamore Health Network, Inc. All Yes Yes
MNDH1 Sage All Yes No
MNDH1 Sage Plus All Yes No
37137 Sage Technologies - PBS All Yes No
37105
Sage Technologies (Formerly CCMSI) (Claims for
payer address of Rockford, IL ONLY.) All Yes Yes
STA01 Saint Anthony PHO All Yes No
88029 Saint Marys Health Plan All Yes No
SAMAD Samaritan Advantage All No No
SAMCP Samaritan Choice Plan All No No
SAM00 SAMARITAN COMMERCIAL PLAN All Yes No
SAMHK Samaritan Health Kids Connect All No No
CP001 SAMARITAN HEALTH PLANS All Yes No
SAMSE Samaritan Select All No No
MSO77
San Diego County Low Income Health
Program/Coverage Initiative CA Yes No
MSO11 San Diego County Medical Services (CMS) CA Yes No
MSO22 San Diego County Physician Emergency Services CA No No
MSO44 San Diego County Primary Care Services CA Yes Yes
MSO33 San Diego County Ryan White Primary Care Program CA Yes Yes
MSO55 SAN DIEGO COUNTY SHERIFFS DEPARTMENT CA Yes No
96400 San Diego PACE All Yes No
SFHP1 San Francisco Health Plan All Yes Yes
J1886
SAN FRANCISCO MUNICIPAL TRANSPORTATION
AGENCY All Yes No
33072 San Luis Obispo Select IPA All Yes No
SHC30 Sandhills Center All Yes No
SHC303 SANDHILLS CENTER All Yes No
68241 Sandia Triple Option Plan (Sandia TOP) All Yes No
91184 Sanford Health Plan All No No
MNSHP Sanford Health Plan All Yes Yes
SCACO Santa Clara County IPA All Yes No
24077 Santa Clara Family Health Plans CA Yes Yes
SNTMC
SANTE COMMUNITY PHYSICIANS MEDICAL GROUP
CORP All Yes No
77038 Sante Health Systems All Yes No
63665 Sanus HMO-St. Louis (General America) All Yes No
63665 Sanus PPO (General America) All Yes No
45552 Satellite Health Plan MA Yes Yes
SC922 SC BCBS Companion Health SC Yes Yes
SC886 SC BCBS Planned Administrators SC Yes Yes
SC400 SC BCBS State Employee Health Plan SC Yes Yes
SC402 SC FEP Blue Cross SC Yes Yes
SCAN1 Scan CA CA Yes No
99157 SCAN Encounters (Diversified Data Design (DDD)) All Yes Yes
72261 SCAN Health Plan All Yes No
73172 Scan Health Plan Arizona AZ Yes Yes
20460 SCAN Long Term Care All Yes Yes
SCH01 Schaller Anderson CHOC Health Alliance All Yes No
16146 SCHC Total Care NY Yes Yes
88030 Scott & White Health Care TX Yes Yes
99289 Screen Actors Guild All Yes No
SHPM1
SCRIPPS HEALTH PLAN MANAGEMENT SERVICES
ORGANIZATION All Yes No
SHPS1 Scripps Health Plan Services All Yes No
46187 Seaside Health Plan (Starting with DOS 9/1/2013) CA Yes No
SVIPA Seaview IPA All Yes No
28530 Secure Health of Georgia GA Yes Yes
42142 SecureCare of Iowa IA Yes No
87726
SecureHorizons MedicareComplete (SecureHorizons
by UnitedHealthcare) All Yes Yes
87726
SecureHorizons MedicareDirect (SecureHorixons by
UnitedHealthcare) All Yes Yes
39045 Security Health Plan All Yes Yes
TP097 SEDGWICK All Yes No
77024 SEECHANGE All Yes No
35098 SEECHANGE HEALTH INSURANCE All Yes No
SCHP1 SeeChange HealthPlan All Yes No
20618 SEIU LOCAL 1 CLEVELAND WELFARE FUND All Yes No
42137
Select Benefit Administrators (PayerID valid for
claims submission address of PO Box 8339, Des
Moines, IA 50301) IA Yes No
37282 Select Benefit Administrators of America All Yes Yes
93031 Select Benefit Administrators, Inc. All Yes No
60054 Select Choice All Yes Yes
23285
Select Health of South Carolina (Provider ID required
in Box33a.) SC Yes No
SSC11 SELECT SENIOR CLINIC All Yes No
00014 SelectCare MO,IL Yes Yes
68241 SelectCare (Coca Cola) All Yes No
76045
SelectCare of Texas (HPN) Heritage Physicians
Network TX Yes Yes
GTPA1
SelectCare of TX (Beaumont) (Provider ID Required -
Contact (713) 843-6780 to obtain ID.) TX Yes Yes
HPN11
SelectCare of TX (Houston) (Provider ID Required -
Contact (713) 843-6780 to obtain ID.) TX Yes Yes
KLSY1
SelectCare of TX (Kelsey-Seybold) (Provider ID
Required - Contact (713) 843-6780 to obtain ID.) TX Yes Yes
61225 SELECTCARE TEXAS (KELSEY SEYBOLD) All Yes No
72189
SELECTCARE TEXAS BEAUMONT & GOLDEN
TRIANGLE All Yes No
UH107 SelectHealth (Formerly IHC) UT Yes No
59111
Self Insured Benefit Administrators (Clearwater, FL)
(Payer ID valid for claim submission address of
18167 US 19 N #300, Clearwater FL 33764) FL Yes No
36404 Self Insured Plans, LLC All Yes No
34131 Self-Funded Plans (IL, PA, OH) IL,PA,OH Yes Yes
TRSEL SELMAN TRICARE SUPP All Yes No
J1915 SEMPRA ENERGY EMPLOYEE CARE SERVICES All Yes No
36426 Sendero Health All Yes Yes
MV440 Sendero IdealCare All Yes Yes
68241 Senior Care All Yes No
NANPR Senior Care Partners All Yes No
60054 Senior Choice (Aetna HP-NY/NJ) All Yes Yes
15682 SENIOR NETWORK HEALTH ALL Yes No
95444 Senior Smart Choice All Yes Yes
83035 Senior Whole Health All Yes No
54154 Sentara Family Plan All Yes Yes
54154 Sentara Health Management All Yes Yes
5415M Sentara Mental Health Professional All Yes No
23249 Sentinel Management Services All Yes No
39033
Sentry Insurance Co. (Sentry LIfe Insurance Co.
Group and Substriber numbers 800-426-7234) All No Yes
AMM07 SEOUL MEDICAL GROUP All Yes No
IP080 Seoul Medical Group CA Yes No
SHPCH Seton CHIP (Provider ID required.) All Yes No
SHEBP Seton Employee Plan All Yes No
SHMAP
Seton Map Program - Mediview (Provider ID
required) All Yes No
STAR1 Seton Star All Yes No
25404 Seven Corners All Yes Yes
11789 SGIC All Yes Yes
SCMG1 Sharp Community Medical Group CA Yes No
SHP01 SHARP HEALTH PLAN All Yes No
SRS83 SHARP REES STEALY MEDICAL GROUP All Yes No
SRS76 Sharp Rees-Stealy Med Group All Yes No
75280
Shasta Administrative Services, (Jeld-Wen Claims
only) All Yes Yes
10002 Sheakley UniComp (OH BWC) OH Yes No
38238
Sheet Metal Workers Local 104 (PayerID valid for
submission add of PO Box 1138, San Ramon, CA
94583.) CA Yes Yes
41143 SHEFFIELD OLSON AND MCQUEEN INCORPORATED All Yes No
SC359 SHERMAN CHOICE All Yes No
03699 Sieba LTD All Yes Yes
76343
Sierra Health and Life (Encounter claims)
(SecureHorizons by UnitedHealthcare) All Yes Yes
76342
Sierra Health and Life (FFS Claims) (SecureHorizons
by UnitedHealthcare) CA,NV Yes Yes
76342 Sierra Health Services CA,NV Yes Yes
76343 Sierra Health Services Encounters CA,NV Yes Yes
SMG01 Sierra Medical Group CA Yes No
SA001 Signature Advantage All Yes Yes
62159 Signature Health NULL Yes No
23250 Significa Benefit Services, Inc. All Yes Yes
NTWKS SIHO All Yes Yes
77871 SIHRTE All Yes No
36387 Silver Care Managed Care Organization IL Yes No
NASCR Silver Cross Managed Care Organization IL Yes Yes
97691 SILVER STAR PACE All Yes No
37228 Silverback TPA All Yes Yes
27094 Simply HealthCare Plans All Yes No
84076 Sinclair Health Plan All Yes Yes
00540 SISCO All Yes No
25125 SL CARPENTERS FUN All Yes No
84096 SLOANS LAKE MANAGED CARE All Yes No
72112 SMA All Yes No
72112 SMA 65 All Yes No
72112 SMA Health Plan All Yes No
72112 SMA HMO All Yes No
J1824 SMART AND FINAL All Yes No
72112 SmartPlan All Yes No
72112 SmartPlan 65 All Yes No
SMITH Smith Administrators All Yes Yes
02057 SMITH ADMINISTRATORS All Yes No
13010 Smokey Mountain Center All Yes Yes
CB695 SOLARTE HEALTH INCORPORATED All Yes No
77721 Solidarity Healthshare ALL Yes Yes
73581 Solis Health Plan All Yes Yes
91131 Sound Health All Yes Yes
42172
Soundpath Health (Formerly known as Puget Sound
Health Partners, Inc.) All Yes Yes
SAMG1 South Atlantic Medical Group CA Yes No
42406 SOUTH CAROLINA SOLUTIONS SC Yes No
23266
South Central Preferred - PPO York, PA (IHS
Gateway Payer) ( Contact Jane Grove for South
Central Preferred (717) 851-6715.) All Yes No
CASD2 South Dakota Chiropractic (Sanford Health Plan) SC Yes No
59065 South Florida Common Services FL Yes Yes
06294 SOUTH FLORIDA MUSCULOSKELETAL CARE All Yes No
SX142 South Indiana Health Options - HMO IN Yes No
35227 SOUTH POINT HOTEL AND CASINO All Yes No
28580 SOUTH TAHOE REFUSE All Yes No
25147 Southcare / Healthcare Preferred All Yes Yes
86068 Southeast Iowa Health Plan (Provider ID Required) IA Yes No
72112 Southeast Medical Alliance All Yes No
90448
SOUTHEASTERN INDIANA HEALTH ORGANIZATION
SIHO All Yes No
77153 Southeastern Indiana Health SIHO All Yes Yes
37318 Southern Benefit Services All Yes No
SCP01 Southern Cal Physicians Managed Care Services CA No No
NWADM Southern California Bakery Drivers Security Fund CA Yes No
25128 SOUTHERN HEALTH SERVICES INCORPORATED All Yes No
SIHCA SOUTHERN ILLINOIS HEALTHCARE ASSOCIATION All Yes No
SIPA1 Southland IPA NULL Yes No
PHM11 SOUTHLAND SAN GABRIEL VALLEY All Yes No
M3IL2 Southwest BCBS of FL FL Yes No
A3268 Southwest Michigan Behavioral health All Yes Yes
SWPG1 SOUTHWEST PHYSICIANS GROUP All Yes No
CX100 SOUTHWEST SERVICE ADMINISTRATORS All Yes No
37266 Southwest Service Life All Yes Yes
68241 Southwestern Bell All Yes No
68241 Southwestern Bell Executive - Custom Care All Yes No
68241 Southwestern Bell Executive - Southwestern Bell All Yes No
00773 Spectera All Yes No
23253 Spectrum Administrators All Yes No
38416 SPENCER STUART (ARM LTD) All Yes No
J1922 SPRINGFIELD INSURANCE COMPANY All Yes No
52190 SRI URN MGD TRANS All Yes No
11158 St James PHO All No Yes
IP062 St Joseph Health CA Yes No
SLCH1 ST LAWRENCE COUNTY HEALTHCARE PLAN All Yes No
SMIPA ST MARY'S IPA CA Yes No
J1926 ST PAUL INSURANCE All Yes No
STM01 St Thomas Medical Network NULL Yes No
22240 St. Barnabas System Health Plan All Yes Yes
JOEHD St. Joe High Desert CA Yes No
37264 St. John's Claims Administration All Yes No
IP106 St. Joseph Heritage Healthcare CA Yes No
IP059 St. Joseph HUMBOLT County CA Yes No
37116 St. Therese Physician Association All Yes Yes
01758 Standard Life & Accident All Yes Yes
73099 Standard Life & Accident Insur Co All Yes Yes
59225 STAR HRG (Now part of CT General Life Insurance.) All Yes Yes
61425 Starmark All Yes No
06057 STARMARK 4MOST All Yes No
46450 STATE AUTO INSURANCE COMPANIES All Yes No
72087 State Employees Group Benefits LA Yes No
LABLS STATE EMPLOYEES GROUP BENEFITS LA Yes No
31059 State Farm (Casualty and Property) All Yes Yes
31053
State Farm Group Medical & Ind Health Ins Co (Note
that payer requires Insured's ID of 11 or 12 digits
and exact structure. Otherwise claims will reject.) All Yes Yes
00601 State Merit GA GA Yes Yes
GABLS STATE MERIT GA GA Yes No
75087 States General Life Insurance All No No
67829 Sterling Medicare Advantage All Yes Yes
91151 Sterling Option 1 All No Yes
06089 STIRLING AND STIR All Yes No
STL01 STIRLING MULTIPLAN NULL Yes No
SLIC2
STONEBRIDGE LIFE INS COMPANY (CEDAR RAPIDS
IOWA) All Yes No
SLIC1
STONEBRIDGE LIFE INS COMPANY (VALLEY FORGE
PENNSYLVANIA) All Yes No
31121 Stoner & Associates All Yes No
57492 Stones River IPA Amerivantage All Yes No
15752 Stones River Regional IPA - Windsor All Yes No
74227 Student Insurance All Yes Yes
74227
Student Insurance - Boston Mutual Life Insurance
Company NY Yes Yes
74227
Student Insurance - Life Insurance Company of
Boston and New York NY Yes Yes
74227
Student Insurance - MEGA Life & Health Insurance
Company TN Yes Yes
74227
Student Insurance - Mid-West National Life
Insurance Company of Tennessee TN Yes Yes
74227 Student Insurance - Reliance Insurance Company TN Yes Yes
74227
Student Insurance - Reliance National Insurance
Company TN Yes Yes
74227 Student Insurance Division TN Yes Yes
74227 Student Resources International (UnitedHealthcare) All Yes Yes
95202 SummaCare Health Plan All Yes Yes
86071 SUMMERLIN LIFE AND HEALTH All Yes No
86083 Summit Administration Services, Inc. All Yes No
37301
Summit America Insurance Services, Inc. (Student
Accident and Sickness, College Sports and NASCC
claims only.) All No No
SX186 SUN HEALTH CORPOR All Yes No
68241 Sun Trust Bank, Inc. All Yes No
90956 SunAmerica Life Ins Co (NFIC Plan only) All Yes No
68069 Sunflower State Healthcare Plan IA Yes Yes
SPA01 Sunrise Advantage Plan Pennsylvania All Yes Yes
68057 Sunshine Health Plan All No No
68057 Sunshine Health Plan All Yes No
68069 Sunshine Health Plan (Also 68057) All Yes Yes
23218 Superior Administrators, Inc. All Yes No
39188 Superior Health All Yes No
68069 Superior Health Plan (Also 39188) TX Yes Yes
SHP11 Superior Health/Centene Corp All Yes Yes
97802 SUPERIOR INSURANCE SERVICES All Yes No
77035 Sutter Connect - Central Valley Med Group (Claims) CA Yes No
IP100 Sutter Connect - Delta - Claims CA No No
HM059 Sutter Connect - SIP, SMG, SWMG - Encounters only CA No No
IP099
Sutter Connect - Solano Regional Medical Group -
Claims CA No No
IP091
Sutter Connect - Sutter Gould Medical Foundation -
Claims CA No No
IP130 Sutter Connect East Bay Med Foundation CA No No
HM065 Sutter Connect East Bay Medical CA Yes No
HM069
Sutter Connect East Bay Regional Affinity
Encounters CA Yes No
HM068
Sutter Connect East Bay Regional Brown & Toland
Encounters. CA Yes No
IP092
Sutter Connect Sutter Medical Group
(SMG,SWMG,SIP) (Please contact Sutter to get set
up to send claims, 800-611-5191) Per Provider
Testing Required CA No No
SC050 Sutter Connect-Palo Alto Medical Foundation CA Yes No
77318 SUTTER DELTA MEDICAL GROUP All Yes No
94269 SUTTER EAST BAY MEDICAL FOUNDATION All Yes No
SC052 Sutter East Bay Regional Hosp-Affinity Claims CA Yes No
HM057
Sutter Medical Group of the Redwoods (SMGR)
(Please contact Sutter to get setup to send
Encounters, 800-611-5191) CA No No
SC028 SUTTER SENIOR CARE All Yes No
53589 SW Service Administrators AZ Yes Yes
NASWD Swedish Covenant Hospital IL Yes No
36411 Swedish Covenant Hospital All Yes No
07040 SWIFT GLASS CORPORATION All Yes No
98022 TakeCare Insurance Company All Yes No
TALMG Talbert Medical Group All Yes No
88067 Tall Trees Administrators All Yes Yes
COMPU Tattered Cover, Inc. CO Yes No
TAYLR Tayler Benefits All Yes No
39157 TBG ADM SERVICES All Yes No
88019 Teachers Health Trust All Yes No
75133 TEAM CHOICE PNS All Yes No
75134 Team Choice UMC All No Yes
75139 Team Health Gold All Yes No
36215 Teamcare All Yes No
88054 Teamsters (UT/ID/MT) UT ID MT Yes No
94304 Teamsters Benefit Trust All Yes No
NWADM
Teamsters Local 631 Security Fund for Southern
Nevada CA Yes No
NWADM Teamsters Miscellaneous Security Trust Fund CA Yes No
74234 Tech-Steel, Inc. All Yes No
22483 TELAMON All Yes No
20212 Tethys Health Ventures All Yes No
TXABA Texas Agricultural Cooperative Trust All Yes No
TXCSN Texas Children Plan for Texas Medicaid All Yes No
76048 Texas Children's Health Plan TX Yes Yes
75228 Texas Children's Health Plan (Medicaid) TX Yes Yes
TXCSM
Texas Childrens Star Medicaid (Enrollment
verification calls should be directed to 800-990-
TCHP (8247)) TX No No
TOPA1 Texas First Health (TIOPA) TX Yes No
76046 TEXAS FIRST HEALTH PLAN (TOPA) All Yes No
TX1ST Texas First Health Plans TX Yes No
THS01 Texas HealthSpring TX Yes Yes
74214 Texas Municipal League Group Benefits Risk Pool TX Yes Yes
J1921 TEXAS POLITICAL SUBDIVISIONS JSIF All Yes No
TTCEC Texas True Choice TX Yes No
13185 TexasFirst Health Plan All Yes No
TBGNE THE BENEFIT GROUP INCORPORATED All Yes No
BOONG The Boon Group All Yes Yes
68423 The Care Network All Yes Yes
34154 The Chesterfield Companies All Yes Yes
COA01 The City of Amarillo TX Yes No
75600 The City of Odessa All Yes Yes
87726 The Empire Plan All Yes Yes
37305 The Ford Meter Box Company, INC All Yes Yes
20356 The Health Exchange (Cerner Corporation) All Yes Yes
30757
The Health Plan (Formerly known as Hometown
Health Plan of Ohio.) OH Yes No
34150 The Health Plan (Upper Ohio Valley) All Yes Yes
29018 THE HEALTH PLAN OF WESTERN ILLINOIS (HOWI) All Yes No
35206 The Healthcare Group (THCG) All Yes Yes
23223
The Loomis Company (Call Provider Relations at 610-
374-4040 ext. 2438 for procedures prior to
submitting electronically.) All Yes Yes
59227
The MEGA Life and Health Insurance Company-OKC
(Valid if PO BOX 548801 Oklahoma City OK 73154.) All Yes Yes
70491 THE MUTUAL GROUP All Yes No
63092
The Oath - Health Partners of Alabama (Now known
as HealthSpring HMO/HealthSpring
Medicare+Choice) All Yes Yes
THERA THERAPHYSICS All Yes No
COTHE THERAPHYSICS COLORADO ONLY All Yes No
J1831 THERAPY DIRECT NETWORK All Yes No
75305 THERAPY REVIEW SY All Yes No
SC315
Thomas Cooper (Provider must be enrolled with SC
Blue Shield.) SC Yes Yes
MP340 THREE RIVERS PREFERRED All Yes No
25175
Three Rivers Provider Network (Now known as
Unison Health Plan.) All Yes Yes
THRIV THRIVENT FINANCIAL All Yes No
58600 TIFT REGIONAL All Yes No
39065 Time Insurance (A Fortis Company) All Yes Yes
TLC01 TLC Advantage in Sioux Falls SD Yes Yes
TLC79 TLC Benefit Solutions All Yes No
WITH1 TODAYS HEALTH All Yes No
20081 Todays Health Wisconsin All Yes No
48055
Todays Option (American Progressive and Pyramid
Life) All Yes No
92620 Tongass Timber Trust AK Yes No
61425 Tooling & Manufacturing Assoc. All Yes Yes
THIPA TORRANCE HOSPITAL IPA All Yes No
TMMC1 TORRANCE MEMORIAL All Yes No
TCARE Total Care of NY NY Yes No
68055 Total Carolina Care All Yes No
68069 Total Carolina Care (Also 68055) All Yes Yes
31182 Total Community Care All Yes Yes
38201 Total Healthcare, Inc. MI Yes Yes
41202 TOTAL PLAN SERVICES All Yes No
87726 Touchpoint All Yes Yes
TPS01 TOUCHPOINT SOLUTIONS TOUCHPOINT CRM All Yes No
23856 Touchstone Health PSO All Yes Yes
13402 Touchstone Health/Health Net Smart All Yes Yes
69493 TOWER LIFE INSURA All Yes No
44448 TPA Systems All Yes No
37230 TR Paul Inc. All Yes Yes
RX001 TRANSACTRX INFUSION AND SPECIALTY ALL Yes No
TFLI4
TRANSAMERICA FINANCIAL LIFE INSURANCE
BALTIMORE All Yes No
TFLI6
TRANSAMERICA FINANCIAL LIFE INSURANCE CEDAR
RAPIDS All Yes No
TFLI2
TRANSAMERICA FINANCIAL LIFE INSURANCE
COMPANY All Yes No
TFLI3
TRANSAMERICA FINANCIAL LIFE INSURANCE
COMPANY All Yes No
TFLI5
TRANSAMERICA FINANCIAL LIFE INSURANCE
COMPANY All Yes No
TRCLF
TRANSAMERICA FINANCIAL LIFE INSURANCE
COMPANY All Yes No
TRLTC
TRANSAMERICA FINANCIAL LIFE INSURANCE
COMPANY All Yes No
TRP1P
TRANSAMERICA FINANCIAL LIFE INSURANCE
COMPANY All Yes No
TFLIC
TRANSAMERICA FINANCIAL LIFE INSURANCE
COMPANY HURST TEXAS All Yes No
TLIN7 TRANSAMERICA FINANCIAL LIFE INSURANCE PLANO All Yes No
TLINS
Transamerica Life Ins. Co.(Specialized claims only.
Call 501-277-1284 for information.) All Yes No
TRP1E TRANSAMERICA LIFE INSURANCE COMPANY All Yes No
59222
TransAmerica Life Insurance Company (Valid for PO
Box 982009, North Richland Hills, TX 76182) All Yes No
MMLI3
TRANSAMERICA PREMIER LIFE INSURANCE
COMPANY (MONUMENTAL) All Yes No
20807 Transchoice - First Administrator's All Yes Yes
37284 Transchoice - Key Benefit Admin All Yes Yes
20807
Transchoice or TransSmile First Service
Administrators All Yes Yes
74234 Transwestern General Agency All Yes No
TRAN1 Transwestern Insurance Administrators, Inc. All Yes No
TCHD1 Travis County Hospital District NULL Yes Yes
TCMAP TRAVIS COUNTY MAP MEDIVIEW All Yes No
36397 TRELLIS HEALTH PARTNERS All Yes No
J1905 TRI CITY HEALTHCARE DISTRICT All Yes No
39181 Triad Healthcare Inc All Yes No
TREST TRICARE EAST All Yes Yes
TDDIR Tricare for Life (All Regions 1-12) All Yes Yes
57106 Tricare North NULL Yes Yes
FOREN TRICARE OVERSEAS All Yes No
38520
TriCare Palmetto (Regions 1-6) Northern and
Southern Region Various Yes No
57106 Tricare South NULL Yes Yes
99726 Tricare West All Yes Yes
WESTR TRICARE WEST All Yes No
31144 TriHealth Physician Solutions All Yes Yes
31143 TRIHEALTH PHYSICIAN SOLUTIONS CONCERN All Yes No
A0011 TRILLIUM HEALTHCARE RESOURCES All Yes No
98514 Trilogy Health All Yes Yes
TPACE TRINITY HEALTH PACE ALL No Yes
97300 Triple S PR Yes No
PRAHM Triple S (AHM) PR Yes Yes
64300 Triplefin LLC All Yes Yes
62777 TRLHN/EB All Yes Yes
TCUSA TRUE CHOICE USA All Yes No
TCUCH True Choice USA - Christus Healthplan NULL Yes Yes
L0230 Trusted Health Plan All Yes Yes
91078 Trusteed Plans Service Corporation All Yes Yes
61425 Trustmark (Includes Starmark & TMA) All Yes No
THA01 TUALITY HEALTH All Yes No
THASC TUALITY HEALTH SELECT All Yes No
04298 Tufts Associated Health All Yes No
TULCR TulareCare CA Yes No
TH055 TX TRUE CHOICE All Yes No
87726 UBH Employer Division All Yes Yes
87726 UBH RIOS All Yes Yes
68241 UC Care (University of CA) CA Yes No
UCDMG UC Davis Health Systems All Yes Yes
19991 Ucare of Minnesota MN No No
55413 Ucare of Minnesota - DOS after 1.1.2019 MN Yes Yes
52629 Ucare of Minnesota - DOS prior 1.1.2019 MN Yes Yes
94603 UC-DAVIS HEALTH CA Yes No
USMBP UCLA Medical Group All Yes No
93235 UCS All Yes Yes
36582 UCS BASI: Carey Johnson Oil ALL Yes Yes
36493 UCS BASI: Consolidated Turbine ALL Yes Yes
76251 UCS Benveo- FirstHealth All Yes Yes
76253 UCS Benveo- MultiPlan All Yes Yes
76255 UCS Benveo- No Network All Yes Yes
97041 UCS HEWITT COLEMAN All Yes No
59573 UCS HOCKENBERGOS EQUIPMENT All Yes No
60230 UCS Masonry Industry Trust All Yes No
52323 UCS NEBRASKA PLASTICS GROUP All Yes No
08354 UCS NX HEALTH NETWORK All Yes No
97736 UCS RTG MEDICAL GROUP All Yes No
20452 UCS WINSTON HOSPITALITY All Yes No
BS001
UFCW Local 400-5205 (Submitters to UFCW must
register with CA Blue Shield at
www.blueshieldca.com/provider. If registration NOT
completed, claims will reject.) CA Yes Yes
95375 UHC COMMUNITY IA All Yes No
86001 UHC COMMUNITY NJ2 All Yes No
86002 UHC COMMUNITY NY2 All Yes No
39026
UHIS-UnitedHealthcare Integrated Services
(UnitedHealthcare) All Yes Yes
UHP01 UHP Management All Yes Yes
75245 UICI Administrators - State of Nevada NV Yes No
ULLIC
ULLICO INCORPORATED (VALLEY FORGE
PENNSYLVANIA) All Yes No
77022 ULTIMATE HEALTH PLAN All Yes Yes
41206 Ultra Benefits Inc All Yes Yes
UMHCJ
UMASS MEDICAL SCHOOL HEALTH AND CRIMINAL
JUSTICE PROGRAM All Yes No
75130 UMC Health Plan All Yes No
31107 UMR Cincinnati All Yes Yes
UMRC1 UMR CINCINNATI HS All Yes No
62061 UMR Kansas (Formerly Fiserv Health - Kansas) All Yes Yes
79480 UMR Onalaska (formerly Midwest Security) All Yes Yes
74223 UMR SAN ANTONIO All Yes No
39026 UMR Wausau/UHIS All Yes Yes
75243 UMR Westerville (Harrington Health) All No Yes
79480 UMR-Midwest Securities All Yes Yes
95266 UMRWESTERVILLE 95 All Yes No
52180 UMWA Health & Retirement Funds All Yes Yes
80314 Unicare Life & Health All Yes Yes
35198 Unified Group Services OH Yes Yes
62170 Unified Health Services All Yes No
51368 UNIFIED IPA All Yes No
34638
Unified Physicians Network (For Claims rejections,
please contact Unified Physicians claim department
at 847-763-1700) All Yes Yes
01691 UNIFIED PHYSICIANS NETWORK (UPN) All Yes No
75243 Uniform Medical Plan All Yes No
13407 Uniformed Service Family Health Plan All Yes Yes
87042 Union Pacific Railroad Employees Health Systems All Yes No
25175
Unison DC, DE, NJ, OH, PA, SC, TN (UnitedHealthcare
Community Plan) DC,DE,NJ,OH,PA,SC,TNYes Yes
25175
Unison Health Plan (Formerly Three Rivers Provider
Network.) All Yes Yes
UABT1 United Agriculture Benefit Trust All Yes No
92916 United American Insurance Company All Yes Yes
87726 United Behavioral Health All Yes Yes
59069 United Benefits, Inc (a Brown & Brown Company) All Yes Yes
ADCUC United Care Medical Group All Yes No
20090 UNITED CLAIM SOLUTIONS All Yes No
A0047 UNITED CLAIM SOLUTIONS All Yes No
36659
UNITED FOOD AND COMMERCIAL WORKERS
MIDWEST UNIONS All Yes No
21850
UNITED FOOD AND COMMERCIAL WORKERS UFCW
LOCAL 1529 All Yes No
UFWIF United Furniture Workers NULL Yes No
UGP19 United Group Programs All Yes Yes
96385 United Healthcare Community Plan Kansas All Yes Yes
84132 United Medical Alliance (UMA) CO Yes Yes
31107
United Medical Resources, Inc. (Some of UMR's new
member cards no longer print the full SSN. When
submitting electronically, the full SSN must be
entered.) All Yes Yes
71412 United of Omaha All Yes No
ECMSO UNITED PHYSICIANS INTERNATIONAL (UPI) All Yes No
MPM15 United Physicians International IPA CA No No
84132 United Physicians of Northern Colorado CO Yes Yes
87726 UnitedHealthcare All Yes Yes
87726
UnitedHealthcare / MAMSI Life and Health
Insurance Co. (MLH) (Previously Payer ID 52148) All Yes Yes
04567 Unitedhealthcare Comm Plan PA ALL Yes No
86050 UnitedHealthcare Community Plan Missouri All Yes Yes
87726 UnitedHealthcare Group Medicare Advantage All Yes Yes
87726
UnitedHealthcare hawk-I (UnitedHealthcare
Community Plan) All Yes Yes
52148
UNITEDHEALTHCARE MAHP MARYLAND IPA
OPTIMUM CHOICE MAMSI All Yes No
87726
UnitedHealthcare Plan of the River Valley
(UnitedHealthcare Communit Plan) All Yes Yes
87726
UnitedHealthcare River Valley (formerly known as
John Deere Healthcare All Yes Yes
00773 UnitedHealthcare Vision All Yes No
87726
UnitedHealthcare West (formerly know as
PacifiCare) (UnitedHealthcare) All Yes Yes
95958
UnitedHealthcare West Encounters(Formerly know
as PacifiCare) (UnitedHealthcare) WA Yes Yes
66705
Unity Health Insurance (Before submitting claims,
please call Joe Boerboom at 608-643-1531 for EDI
Signup.) All Yes Yes
A0012 UNITY HEALTH PLAN All Yes No
81108 UNITY SECURITY LIFE AND HEALTH All Yes No
15003 UNIVERA COMMUNITY HEALTH All Yes No
SX087
UNIVERA HEALTH CARE PLAN/CHOICECARE
BUFFALO All Yes No
HC001 Univera Healthcare - CNY NY Yes No
SX091 Univera Healthcare (SSA) All Yes No
UNINW Univera Traditional PPO All Yes No
12X19 Univera Traditional PPO All No Yes
12X18 Univera WNY All No Yes
UNBCI UNIVERSAL BENEFITS CORPORATION All Yes No
UNBC2 UNIVERSAL BENEFITS CORPORATION CEDAR RAPIDS All Yes No
33001 Universal Care - California (ProviderID required.) CA Yes Yes
93220 UNIVERSAL FIDELITY ADMINISTRATORS COMPANY All Yes No
95380 UNIVERSAL FINANCIAL SERVICES All Yes No
50528 UNIVERSAL HEALTH All Yes No
38298 UNIVERSALSTANDARD All Yes No
09830 University Family Care AZ Yes No
07503 University Family Care - Healthcare Group All Yes Yes
09908 University Family Care - Maricopa Health Plan All Yes Yes
09908 University Family Care - Maricopa Health Plan AZ Yes Yes
99026 University Health Alliance All Yes Yes
46407 University Health Care Advantage All Yes Yes
45437 UNIVERSITY HEALTHCARE MARKETPLACE All Yes Yes
UIC67 UNIVERSITY OF ILLINOIS All Yes No
37601
UNIVERSITY OF ILLINOIS AT CHICAGO DIV OF
SPECIALIZED CARE All Yes No
45282 UNIVERSITY OF MARYLAND HEALTH ADVANTAGE All Yes Yes
92579 University of Miami Behavioral Health All No No
SX155 University of Utah Health Plans UT Yes Yes
91136
University of Washington Students & Graduate
Appts. - Grp#P67 WA Yes Yes
A0013 UNIVERSITY PHYSICIANS HEALTHCARE All Yes No
IP056
Upland Medical Group (Customer Service Phone
number (909) 291-4400) CA Yes No
23281 UPMC Health Plan All Yes No
25184 UPMC VISION ADVANTAGE All Yes No
37324 UPPER PENINSULA HEALTH GROUP (TPA) All Yes No
38337 Upper Peninsula Health Plan All Yes Yes
93092 US Benefits All Yes Yes
90551 US FAMILY HEALTH PLAN All Yes No
USFHP US Family Health Plan (USFHP) All Yes No
50383 US IMAGING NETWORK (NEW YORK) All Yes No
74095 USAA All Yes Yes
J1822 USAA All Yes No
9047P USC HEALTH SERVICES All Yes No
74234 Utah Carpenters UT Yes No
74234 Utah Laborers UT Yes No
74234 Utah Pipe Trades UT Yes No
N4FEP Utica NY FEP Blue Shield NY Yes No
36369 UtiliMED, Inc. All Yes No
UT3F UTMB 3 SHARE PROGRAM All Yes No
UHSCH
UTMB Healthcare Systems (PayerID only valid for
Dates of service prior to 2-01-2012. For later claims
submit claims to 87726.) All Yes No
12115 VA Fee Basis Programs All Yes Yes
55912
VA PATIENT CENTERED COMMNITY CARE PROGRAM
(VAPCCC REGION 3) All Yes No
55915
VA PATIENT CENTERED COMMNITY CARE PROGRAM
(VAPCCC REGION 5A) All Yes No
55917
VA PATIENT CENTERED COMMNITY CARE PROGRAM
(VAPCCC REGION 6) All Yes No
VAP33 VA Patient Centered Region 3 All Yes No
VAPC3 VA Patient Centered Region 5A All Yes No
VAP5A VA Patient Centered Region 5A All Yes No
VAP5B VA Patient Centered Region 5B ALL Yes No
VAPC6 VA Patient Centered Region 6 All Yes No
VABLS VA PLANS VA Yes No
00923 VA State Employer Funds VA Yes Yes
64009 Valir PACE All Yes No
82420 Valley Baptist Health All Yes Yes
VBHP1
Valley Baptist Health Plan (This payer is only
accepting claims with Dates of Service prior to 2-29-
2004. For later claims send to First Care. PayerID of
94999) All Yes No
VCIPA Valley Care IPA All Yes No
VHA11 Valley Health Administrators All Yes No
94293 VALLEY MENTAL HEALTH All Yes No
12X56 Value Options All No Yes
00814 VALUE OPTIONS AZ MEDICAID All Yes No
00815 Value Options Colorado Medicaid CO Yes No
00813 Value Options Commercial Claims All Yes Yes
00823 Value Options Maryland All Yes No
00816
Value Options Massachusetts Behavioral Health
Partnership MA Yes No
00817 Value Options Pennsylvania Medicaid PA Yes No
00818 Value Options Texas Northstar TX Yes No
43307
ValueOptions/MBHP (For claim rejections please
contact [email protected] or
888-247-9311) MA Yes Yes
72128 Vantage Health Plan, Inc. All Yes Yes
PPM01 Vantage Medical Group All Yes No
55916 VAPCCC REGION 5B All Yes No
VPA18 VARIABLE PROTECTION ADMINISTRATORS (VPA) All Yes No
68241 Varian Health Care Plan All Yes No
73288 VENCOR All Yes No
VCHCP Ventura County Healthcare Plan CA Yes Yes
66126 VERDUGO HILLS MEDICAL GROUP All Yes No
VMMH1 VERITY All Yes No
75256 Verity National Group All Yes Yes
VMMH2 VERITY PLUS All Yes No
42558 VHS- Cedar Valley Community Healthcare (CVHC) All Yes Yes
52511 VHS- Lakes Area Community Healthcare (LACH) ALL Yes Yes
48123 Via Christi Hope All Yes No
54182 VICARE ADMIN SVCS All Yes No
24818 Vida Care (Now known as Amida Care.) All Yes Yes
25924
VIECARE LIFE BEAVER AND LIFE LAWRENCE
COUNTIES All Yes No
73743 VILLAGE FAMILY PHYSICIAN All Yes No
VFP11 VILLAGE FAMILY PRACTICE All Yes No
VLGMD VILLAGE MD All Yes No
26545 VillageCareMAX All Yes Yes
84806 VIRGINIA COORDINATED CARE VCC All Yes No
CALL
Virginia Health Network,Inc (To get the payerID, call
payer at (804)320-3837) All Yes No
VPCCP Virginia Premier Complete Care All Yes No
VPELT Virginia Premier Elite All Yes No
54176 Virginia Premier Health Plan VA Yes No
VAPRM Virginia Premier Health Plans VA Yes Yes
M3FL2 Vista - Tallahassee NULL Yes No
55248 VISTA HEALTH PLAN & FOUNDATION HEALTH PLAN All Yes No
NCH08 Vista Oncology New Century Infusion Solutions All Yes No
VESTA VistaCare/RH Admin All Yes No
67524 Vital Protection All Yes No
63114 Viva Health Plan All Yes Yes
31626 VNA Homecare Options All Yes Yes
77073
VNS Choice Medicare (Formerly Visiting Nurse
Service) All Yes Yes
59266 Volusia Health Network All Yes Yes
23173 VPH COMMUNITY CAR All Yes No
22264
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.) All Yes Yes
91062 WA DENTAL SERVICE All Yes No
85256 Wabash Memorial Hospital Association All No No
31650 WAGNER MEINERT All Yes No
WCHHS
WASHINGTON COUNTY HEALTH AND HUMAN
SERVICES All Yes No
WALAI Washington State Dept of Labor & Industries WA Yes No
00934 Washington State Premera Blue Cross WA Yes No
WABLC WASHINGTON STATE PREMERA BLUE CROSS WA Yes No
73155 Waterstone Benefit Administrators OK Yes No
23051
WATERSTONE BENEFIT ADMINISTRATORS (OUTSIDE
OKLAHOMA) All Yes No
MPM09 Watts Healthcare Corp IPA CA No No
39026
Wausau Insurance Companies (Now known as UMR
Wausau/UHIS.) All Yes Yes
77072 WCARE PRI FEE SER All Yes No
39151 WEA Insurance Group All Yes Yes
36337 Weiss Health Providers All Yes No
A0014 WELL SENSE HEALTH PLAN All Yes No
59354 Wellcare Health Plan, Inc. (Encounters only) All Yes Yes
14164 Wellcare of CT CT Yes Yes
14164 Wellcare of NY NY Yes Yes
WELM2 WellMed All Yes No
WELMD Wellmed Medical Management ENC NULL Yes Yes
25711 WELLNET HEALTH PLANS All Yes No
87815 Wells Fargo TPA All Yes No
CB457 WELLSPAN EMPLOYEE ASSISTANCE PROGRAM All Yes No
35245 WellSystems LLC All Yes Yes
91064 Wenatchee Valley Medical Center All Yes Yes
91136
West Coast Stationary Engineers Health & Security
Trust Fund - Grp#F13 All Yes Yes
66124 WEST COVINA MEDICAL GROUP All Yes No
80942 West Suburban Health Providers All Yes Yes
45276 West Virginia Family Health Plan WV Yes Yes
WVS01 WEST VIRGINIA SENIOR CHOICE All Yes No
75196 WEST VIRGINIA STA All Yes No
77025 WEST VIRGINIA WORKERS COMP All Yes No
39065 Western All Yes Yes
93128 Western Benefits (Western Grocers) All Yes No
39065 Western Care All Yes Yes
24735 Western Grower's Assurance Trust All Yes Yes
24735 Western Grower's Insurance Company All Yes Yes
68039 WESTERN HEALTH ADVANTAGE All Yes No
39065 Western Life Ins. Benefit Plan (FORTIS) All Yes Yes
37247 Western Mutual Insurance All Yes Yes
DOCSO WESTERN OREGON ADVANCED HEALTH (CCO) All Yes No
WOAHM WESTERN OREGON ADVANCED HEALTH (CCO) All Yes No
31048 Western Southern Financial Group All Yes Yes
90560 WestLake Financial Group, Inc. All Yes No
38232 Weyco Inc. All Yes Yes
33711 WILLAMETTE VALLEY COMMUNITY All Yes No
WVCH5 WILLAMETTE VALLEY COMMUNITY HEALTH All Yes No
93050 William C. Earhart Co, Inc. GA Yes Yes
98010 William J Sutton & Co. Ltd. All Yes Yes
62061
Willis Administrative Services Corporation (Now
UMR Kansas) All Yes Yes
WHLTH WILLOW HEALTH All Yes No
J1893 WILSON MUTUAL INSURANCE All Yes No
41095 Wilson-McShane All Yes Yes
13413 WIN Healthcare (Woman's Integrated Network, Inc.) All Yes No
62153 Windsor Medicare Extra All Yes No
RMWIN
WINHealth Partners Medicare Plan administered by
Rocky Mountain HMO WY Yes No
27327 WinHealth Partners/Wyoming Health Solutions All Yes Yes
39200
Wisconsin Auto & Truck Dealers Insurance
Corporation WI No Yes
WPS01 WISCONSIN COMMERCIAL All Yes No
74101 WISCONSIN DEPARTMENT OF CORRECTIONS All Yes No
VEST1 Wisconsin Dept of Corrections WI Yes No
81949 Woodman Accident and Life Co (AICT Plans only) All Yes No
20333 Worksite Benefit Services All Yes Yes
75276 World Insurance Company All Yes No
77080 WPP Eldercare Wisconsin All Yes Yes
WP481 WPPA-ProviDRs Care Network All Yes No
OOWPS WPS Commercial WI Yes Yes
SX022 WPS HEALTH INSURANCE All Yes No
23710 Writers' Guild - Industry Health Plan All Yes No
15459 WV Care Advantage Highmark Senior Health WV Yes No
WYSCH Wyoming School Boards Association Insurance Trust WY Yes No
60646 Yale University Health Plan All Yes No
YAMHL YAMHILL COMMUNITY CARE ORGANIZATION (CCO) All Yes No
09829 YAVAPAI COUNTY All Yes No
51350 YERINGTON PAIUTE TRIBE All Yes No
88858 Zebrahealth NULL Yes No
ZNTHW ZENITH ADMINISTRATORS All Yes No
ZOOM1 ZOOMCARE All Yes No