page 1 of 48 · 2015. 10. 6. · aspire health plan 46156 y n 46156 y n asr 38265 n n 38265 n n asr...

Payer Code

Accepts

Secondary

Claims

Enrollment Payer Code

Accepts

Secondary

Claims

Enrollment

1199 National Benefit Fund 13162 N N 13162 N N

1st Medical Network - Atlanta GA 29076 Y N 29076 Y N

1st MN--Atlanta GA 29076 Y N 29076 Y N

21st Century Health and Benefits 59069 N N 59069 N N

21st Century Insurance and Financial Services 51028 N N 51028 N N

3P ADMIN 20413 Y N 20413 Y N

A & I Benefit Plan Administrators 93044 N N 93044 N N

A.G.I.A. Inc. 95241 N N 95241 N N

AAG Benefit Plan Administrators Inc. 75240 Y N 75240 Y N

AAG-American Administravie Group ( Formerly Icon Benefit Admin) 75185 Y N 75185 Y N

AARP - UnitedHealthcare Insurance Company 36273 Y N 36273 Y N

AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete 87726 Y N 87726 Y N

AARP MedicareComplete thru UnitedHealthcare (formerly Lifeprint Arizona) LIFE1 Y N LIFE1 Y N

ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizon) E3510 N Y

Abrazo Advantage Health Plan 03443 Y N 03443 Y N

Absolute Total Care 68069 Y N 68069 Y N

Access Community Health Network. Chicago IL Family Health Network patients 51909 N N 51909 N N

Access Medical Group 95424 Y N

Access Medicare 19305 N N 19305 N N

Acclaim 64071 Y N 64071 Y N

ACMG 37118 N N 37118 N N

ACS Benefit Services Inc. 72467 N N 72467 N N

Activa Benefit Services LLC 38254 N N 38254 N N

Administration Systems Research Corporation 38265 N N 38265 N N

Administrative Concepts Inc. 22384 N N 22384 N N

Administrative Services Inc. 59141 N N 59141 N N

ADVANCED DATA SOLUTIONS 58202 N N 58202 N N

Advanced Physician's Association Chicago IL MG#118 51909 N N 51909 N N

Advantage by Bridgeway Health Solutions 68069 Y N 68069 Y N

Advantage by Buckeye Community Health Plan 68069 Y N 68069 Y N

Advantage by Managed Health Services 68069 Y N 68069 Y N

Advantage by Peach State 68069 Y N 68069 Y N

Advantage by Sunshine State 68069 Y N 68069 Y N

Advantage by Superior HealthPlan 68069 Y N 68069 Y N

Advantage Health Solutions 35209 N N 35209 N N

Advantek Benefit Administrators 83077 N N 83077 N N

ADVANTICA BENEFITS 59374 Y N 59374 Y N

Advanzeon Solutions 59314 N N 59314 N N

Adventist Health System West - Roseville CA 95340 N N 95340 N N

Advicare 45423 N N 45423 N N

Advocate Medical Group - AMG (Legacy AHC) 36320 N N 36320 N N

Advocate Physician Partners 65093 N N 65093 N N

Aetna 60054 Y N 60054 Y N

Aetna Affordable Health Choices (SM) - SRC 57604 Y N 57604 Y N

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Aetna Better Health - PA Medicaid 23228 Y N 23228 Y N

Aetna Better Health Inc. 34734 N N 34734 N N

Aetna Better Health of Illinois 26337 N N 26337 Y N

Aetna Better Health of Louisiana 128LA Y N 128LA Y N

Aetna Better Health of Michigan 128MI Y N 128MI Y N

Aetna Better Health of Missouri 128MO Y N 128MO Y N

Aetna Better Health of Nebraska 42130 Y N 42130 Y N

Aetna Better Health of New Jersey 46320 Y N 46320 Y N

Aetna Better Health of Ohio 50023 Y N 50023 Y N

Aetna Better Health of Pennsylvania 23228 Y N 23228 Y N

Aetna TX Medicaid & CHIP 38692 N N 38692 N N

Affiliated Physicians Group APG01 N N

Affinity Essentials 23334 Y N 23334 Y N

Affinity Health Plan 13334 N Y 13334 N Y

AFFINITY MEDICAL GROUP 46594 N N 46594 Y N

Affinity Medicare Advantage 13333 N N 13333 N N

Affordable Benefit Administrators Inc. 95426 N N 95426 N N

AFTRA Health Fund 13346 N N 13346 N N

AGA 37280 N N 37280 N N

Agate Resources Inc. (LIPA) 20048 N N

Agency Services Inc 64158 N N 64158 N N

AHPO (Cleveland OH) 31138 N N 31138 N N

Alabama Medicaid 12K01 Y N SKAL0 Y N

Alaska Carpenters Trust 91136 N N

Alaska Children's Services Inc. 91136 N N 91136 N N

Alaska Electrical Health & Welfare Fund 92600 N N 92600 N N

Alaska Laborers Construction Industry Trust 91136 N N 91136 N N

Alaska Pipe Trades Local 375 91136 N N 91136 N N

Alaska United Food & Commercial Workers Health & Welfare Trust 91136 N N 91136 N N

ALICARE 13550 N N 13550 N N

Alivio Family Medical Family Health Network patients only 51909 N N 51909 N N

All Savers/UHC 81400 N N 81400 N N

Allcare PEBB 26158 N N 26158 N N

Allegian Choice 55649 N N 55649 N N

Allegiance Benefit Plan Management Inc. 81040 N N 81040 N N

Alliance Behavioral Health 23071 Y Y 23071 Y Y

Alliance Healthcare/Florida for Stones River Regional IPA 13079 N N

Alliance IPA HCP01 N N

Alliant Health Plans of Georgia 58234 N N 58234 N N

Allianz Global Assistance 50749 N N 50749 N N

Allied Benefit Systems 37308 N N 37308 N N

Alta Bates Medical Group A0701 N N A0701 N N

Alta Senior Care (Hnet Sr and Secure Horizons only) E3510 N Y

Altius Health Plans 25133 Y N 25133 Y N

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10/06/2015


AMA Insurance Agency AMAIA N N TH071 N N

Amalgamated Life 13550 N N 13550 N N

Amalgamated Life - PA / Alicare 13343 N N 13343 N N

AMCO 62176 N N 62176 N N

AmeraPlan 38219 N N 38219 N N

AmeriBen Solutions Inc. 75137 N N 75137 N N

Americaid Community Care (Maryland) 27517 Y N 27517 Y N

Americaid Community Care (New Jersey) 27516 Y N 27516 Y N

American Administrative Group 75240 Y N 75240 Y N

American Administrators dba Select Benefit Administrators (W.DesMoines IA) 42137 N N 42137 N N

American Behavioral 63103 N N 63103 N N

American Benefit Plan Administrators 95170 N N 95170 N N

American Community Mutual Insurance 60305 N N 60305 N N

American Family Insurance 12T31 N N TH095 N N

American Family Medicare Sup and PPO Policies Administered by Am Rep 56071 N N 56071 N N

American Fidelity Assurance Company 60801 N N 60801 N N

American General 62030 N N 62030 N N

American Healthcare Alliance 01066 N N 01066 N N

American Heritage 77083 N N

American Imaging Management Inc. 36369 N N 36369 N N

American National Ins. Co. (ANICO) 74048 N N 74048 N N

American National Property and Casualty Company (ANPAC) 43101 N N 43101 N N

American Postal Workers Union Health Plan 44444 N N 44444 N N

American Progressive Life and Health Insurance Company 48055 N N 48055 N N

American Republic Insurance 42011 N N 42011 N N

American Sentinel Co. 17965 Y N

American Specialty Health Plans 43146 N N

American Trust Administrators Inc. 56195 N N 56195 N N

American Worker Health Plan 37322 Y N 37322 Y N

Americas 1st Choice Health Plans of South Carolina Inc. 20553 N N 20553 N N

Americas 1st Choice of South Carolina, Inc 55349 N N 55349 N N

America's Choice Health Plans 20029 N N 20029 N N

America's PPO 16120 N N 16120 N N

America's TPA 41178 N N 41178 N N

Amerigroup Community Care 27514 Y N 27514 Y N

AMERIGROUP Community Care of New Mexico 27514 Y N 27514 Y N

Amerigroup Corporation (Ft Worth) 27514 Y N 27514 Y N

Amerigroup Corporation (Houston) 27515 Y N 27515 Y N

Amerigroup Florida 27519 Y N 27519 Y N

AMERIGROUP Georgia 27514 Y N 27514 Y N

Amerigroup Illinois 27518 Y N 27518 Y N

Amerigroup Ohio 27518 Y N 27518 Y N

AmeriHealth Administrators 54763 Y N 54763 Y N

AmeriHealth Caritas Pennsylvania 22248 Y N 22248 Y N

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AmeriHealth Caritus VIP Care Plus (Michigan) 77013 N N 77013 N N

Amerihealth District of Columbia 77002 N N 77002 N N

Amerihealth NJ/DE – HMO 23037 Y N 23037 Y N

AmeriHealth NorthEast 77001 Y N 77001 Y N

AmeriHealth VIP Care 22355 Y N 22355 Y N

AmeriHealth VIP Care - DC 77007 Y N 77007 Y N

AmeriHealth VIP Care - LA 77006 Y N 77006 Y N

AmFirst Insurance Company (Secondary Claims Only) 64090 Y Y 64090 Y Y

Amida Care 24818 N N 24818 N N

Amida Care Medicare 79966 N N 79966 N N

Anchor Benefit Consulting Inc. 53085 Y N 53085 Y N

Ancillary Benefit Services (ABS) 86062 Y N 86062 Y N

Ancillary Care Management/ACM 03172 N N

Angeles IPA (SynerMed) 75299 N N 75299 N N

Antares Management Solutions 34192 Y N 34192 Y N

Anthem Blue Cross Blue Shield of Connecticut 12B04 Y N SB560 Y N

Anthem Blue Cross Blue Shield of Georgia 12015 Y N SB600 Y N

Anthem Blue Cross Blue Shield of Indiana 12B09 Y N SB630 Y N

Anthem Blue Cross Blue Shield of Kentucky 12B11 Y N SB660 Y N

Anthem Blue Cross Blue Shield of Maine 12B13 Y N SB680 Y N

Anthem Blue Cross Blue Shield of Missouri SB741 Y N SB741 Y N

Anthem Blue Cross Blue Shield of Missouri (Blue Choice) 12B65 Y N

Anthem Blue Cross Blue Shield of Nevada 12B20 Y N SB765 Y N

Anthem Blue Cross Blue Shield of New Hampshire 12B21 Y N SB770 Y N

Anthem Blue Cross Blue Shield of Ohio 12B24 Y N SB338 Y N

Anthem Blue Cross Blue Shield of Virginia 12002 Y N SB923 Y N

Anthem Blue Cross Blue Shield of Wisconsin 12B29 Y N SB950 Y N

Anthem Blue Cross of California 47198 Y N 47198 Y N

Anthem Blue Cross of Colorado 12B03 Y N SB550 Y N

Apex Benefit Services 34196 Y N 34196 Y N

APS Healthcare Inc. 54160 N N 54160 N N

AR Medicare Part A (JH) 12022 Y Y

AR Medicare Part B (JH) SMAR0 Y Y

Araz Group 16120 N N 16120 N N

Arbor Health Plan 52312 Y N 52312 Y N

Arcadian Management Services Inc 77045 N N 77045 N N

Arch Health Partners ARCH1 N N ARCH1 N N

Argus Dental Plans, Inc. ARGUS N N ARGUS N N

ARISE 39185 N N 39185 N N

Arizona Foundation for Medical Care (AFMC) 86062 Y N 86062 Y N

Arizona Priority Care Plus 27154 N N 27154 N N

Arkansas Best Corporation - Choice Benefits 75278 N N 75278 N N

Arkansas Medicaid 12023 Y N SKAR0 Y N

ARM Grp 88035 N N 88035 N N

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ASAGEHA 06603 N N 06603 N N

Asian Human Services Family Family Health Network patients only 51909 N N 51909 N N

Aspen Medical Associates 16180 Y N 16180 Y N

Aspire Health Plan 46156 Y N 46156 Y N

ASR 38265 N N 38265 N N

ASR Corporation 38265 N N 38265 N N

ASR Health Benefits 38265 N N 38265 N N

ASRM Corporation ASRM1 N N

Associates for Health Care Inc. (AHC) 36326 N N 36326 N N

Assurant Health (IM & GROUP FULLY-INSURED) 39065 N N 39065 N N

Assurant Health (Repricing for HealthSpan Network Only) ASNTH N N ASNTH N N

Assurant Health Self Funded 75068 Y N 75068 Y N

Assurant Health Self-Funded (Ft. Mill SC) 37313 Y N 37313 Y N

Assurant Health/ASA (Assurant Health members with ASA PPO Network) 58730 N N 58730 N N

Assured Benefits Administrators 74240 Y N 74240 Y N

Asuris NW Health 93221 N N 93221 Y N

ATA-FL 65064 Y N 65064 Y N

Athens Area Health Plan Select 95691 N N 95691 N N

Atlantic Medical Insurance 22285 N N 22285 N N

AultCare MNAUL N Y

Aultra Administrative Group 37242 N N 37242 N N

Automated Benefit Services 38259 Y N 38259 Y N

Automated Group Administration Inc. 37280 N N 37280 N N

Avera Health Plans 46045 N N 46045 N N

AveraAdvantage 48055 N N 48055 N N

Avesis Third Party Administrators 87098 Y N

AvMed Inc. 59274 Y N 59274 Y N

AXA Assistance_USA 65101 N N 65101 N N

Azeros Health Plans Inc. 16644 N N 16644 N N

Banker's Life 99999-0178 N N

Banner Health 12X42 Y N 12X42 Y N

Banner Health AZ SX145 Y N

Banner Health Co - ROCKY MOUNTAIN HMO GREELEY SX145 Y N

Banner Health Co. - ANTERO GREELEY SX145 Y N

Banner Health Co. - ANTERO HIGH PLAINS SX145 Y N

Banner Health Co. - ANTERO MOUNTAIN SHADOWS SX145 Y N

Banner Health Co. - CHOICE PLUS SX145 Y N

Banner Health Co. - HMO GREELEY SX145 Y N

Banner Health Co. - HMO HIGH PLAINS SX145 Y N

Banner Health Co. - HMO MOUNTAIN SHADOWS SX145 Y N

Banner Health Co. - PACIFICARE GREELEY SX145 Y N

Banner Health Co. - PACIFICARE HIGH PLAINS SX145 Y N

Banner Health Co. - PACIFICARE MOUNTAIN SHADOWS SX145 Y N

Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS SX145 Y N

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Banner Health Co. - SECURE HORIZONS GREELEY SX145 Y N

Banner Health Co. - SECURE HORIZONS HIGH PLAINS SX145 Y N

Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS SX145 Y N

Baptist Health South Florida 65026 N N 65026 N N

Bass Administrators Inc. 37248 N N 37248 N N

BCBS of AZ Advantage 77078 Y N 77078 Y N

BEACON HEALTH STRATEGIES 43324 Y N 43324 Y N

Beech Street 95377 N N 95377 N N

Behavioral Health Systems 63100 N N 63100 N N

Bellflower Hospital (Synermed) 75299 N N 75299 N N

Benefit & Risk Management Services 99320 N N 99320 N N

Benefit Administrative Systems 36149 N N 36149 N N

Benefit Coordinators Corporation (Pittsburgh PA) 25145 N N 25145 N N

Benefit Management Admin (BMA) BMATP N N

Benefit Management Group-NV 36459 Y N 36459 Y N

Benefit Management Inc. of KS 48611 N N 48611 N N

BENEFIT MANAGEMENT SERVICES 56139 N N 56139 N N

Benefit Management Systems Inc 37212 N N 37212 N N

Benefit Plan Administrators 88052 N N 88052 N N

Benefit Plan Administrators Co. (Eau Claire WI) 39081 N N 39081 N N

Benefit Plan Administrators Inc 37118 N N 37118 N N

Benefit Systems & Services Inc. 36342 N N 36342 N N

Benesight 87265 Y N 87265 Y N

Benesys 37248 N N 37248 N N

Benesys Inc. 37248 N N 37248 N N

Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer) 23243 Y N 23243 Y N

Berkshire Intergroup 10956 Y N 10956 Y N

Berkshire Lehigh Partners 95606 Y N 95606 Y N

Best Life & Health Insurance Co. 95604 N N 95604 N N

Better Health Plan of Florida 20488 N N 20488 N N

Better Health Plans Inc. 62183 Y N 62183 Y N

Better Health Plans of South Carolina 32006 N N 32006 N N

Blue Benefit Administrators of MA 03036 N N 03036 N N

Blue Choice Medicaid Managed Care 00403 Y N 00403 Y N

Blue Cross Blue Shield of Alabama 12B54 Y Y SB510 Y Y

Blue Cross Blue Shield of Arkansas 12021 Y Y SB520 Y Y

Blue Cross Blue Shield of Illinois 12B08 Y N SB621 Y N

Blue Cross Blue Shield of Kansas 47163 Y Y 47163 Y Y

Blue Cross Blue Shield of Kansas City 47171 Y Y 47171 Y Y

Blue Cross Blue Shield of Massachusetts 12B14 Y N SB700 Y N

Blue Cross Blue Shield of Michigan 00210 Y N 00710 Y N

Blue Cross Blue Shield of Mississippi SB730 Y Y

Blue Cross Blue Shield of North Carolina 12B23 Y N SB810 Y N

Blue Cross Blue Shield of Oklahoma 00840 Y N 00840 Y N

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Blue Cross Blue Shield of South Carolina 12B55 Y Y SB880 Y Y

Blue Cross Blue Shield of Tennessee 00390 Y Y 00390 Y Y

Blue Cross Blue Shield of Texas 84980 Y N 84980 Y N

Blue Cross Community Option MCDIL Y N MCDIL Y N

Blue Shield of California BSCAI N N BS001 Y N

BlueChoice HealthPlan 00922 Y N 00922 Y N

Bluegrass Family Health 61124 N N 61124 N N

Boilermakers National Health & Welfare Fund 36609 N N 36609 N N

Bollinger, INC. - BOLLINGER BOLL1 Y N

Boon-Chapman Benefit Administrators Inc. 74238 N N 74238 N N

Boston Health Net 13337 Y N 13337 Y N

Bravo Health 52192 N N 52192 N N

Bravo Health Star Plus 52192 N N 52192 N N

Bridgeway Arizona 68069 Y N 68069 Y N

BritCay 22286 N N 22286 N N

Brodart 35182 Y N 35182 Y N

Brokerage Concepts 51037 Y N 51037 Y N

Broward Health 37314 N N 37314 N N

Brown & Toland Medical Group 94316 N N 94316 N N

Brown and Toland Health Services BTHS1 N N BTHS1 N N

Brown and Toland Medical Group BTSS1 N N

Buckeye Community Health 68069 Y N 68069 Y N

Butler Benefit 42150 Y N 42150 Y N

C&O Employees Hospital Association 23708 N N

C. L. Frates & Co - OSMA Health 73071 N N 73071 N N

CA Medicare 12M64 Y Y

California Health and Wellness 68047 Y Y 68047 Y Y

California IPA CAIPA N N CAIPA N N

California Medicaid (Medi-Cal) CAMC1 N Y SKCA0 Y Y

California Pacific Medical Center 94056 Y N 94056 Y N

Cannon Cochran Management Services Inc. Metairie LA 71057 N N 71057 N N

CAP Management Systems 95399 Y N 95399 Y N

Capital Blue Cross/CAIC 23045 Y N

Capital Health Plan 95112 N N 95112 N N

Capitol Administrators 68011 N N 68011 N N

Care 1st Health Plan of Arizona 57116 N N 57116 N N

CARE 1ST HEALTH PLAN OF CA 57115 N N 57115 N N

Care Access Health Plan (CAHP) 65062 N N

Care Access PSN 65063 N N

Care Improvement Plus 77082 N N 77082 N N

Care To Care 41222 N N 41222 N N

Care Wisconsin Health Plan (Trizetto) 27004 N N 27004 N N

CareCentrix 11345 N Y 11345 N Y

CareCore National 14182 N N

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10/06/2015


CareCore National LLC (Aetna Radiology Claims) 14179 N N 14179 N N

CareCore National LLC (Oxford Radiology Claims) 14180 N N

CareCore/WCNY RAD 14188 N N

CareFirst Administrators/NCAS (Charlotte, NC) 75191 N N 75191 N N

CareFirst Administrators/NCAS (Fairfax, VA) 75190 N N 75190 N N

CareFirst BlueCross BlueShield MD Region 12011 N N SB690 Y N

CareFirst BlueCross BlueShield NCA Region 12000 N N SB580 Y N

CareFlorida 65088 N N 65088 N N

Carelink Medicaid 25133 Y N 25133 Y N

CareOregon Inc. 93975 N N 93975 N N

CarePlus Health Plans Inc. 65031 Y N

Carepoint Health Plans 77023 N N 77023 N N

CareSource 26160 N N 26160 N N

CareSource Indiana INCS1 N N INCS1 N N

CareSource KY KYCS1 N N KYCS1 N N

CareSource OH 31114 Y N 31114 Y N

Careworks 10010 N N 10010 N N

Carilion Clinic Medicare Health Plan 77015 N N 77015 N N

Cariten Senior Health 62072 Y N 62072 Y N

Carolina Benefit Administrators 00498 N N 00498 N N

Carolina Care Plan 29076 Y N 29076 Y N

Carpenters Health and Welfare Fund of Philadelphia CX101 N N

CBA Blue 03036 N N 03036 N N

CBHNP - HealthChoices 65391 N N 65391 N N

CCAI CCAI N N CCAI N N

CDS Group Health 88022 N N 88022 N N

Cedars Sinai Medical Center 33010 Y N

Cedars-Sinai Medical Network Services 95166 N N 95166 N N

Celtic Insurance 68063 Y N 68063 Y N

CeltiCare 68069 Y N 68069 Y N

Cement Masons & Plasterers Health & Welfare Trust 91136 N N 91136 N N

Cencal Health 99111 Y N

Cenpatico - Arizona 68068 Y N 68068 Y N

Cenpatico - Florida 68068 Y N 68068 Y N

Cenpatico - Georgia 68068 Y N 68068 Y N

Cenpatico - Illinois 68068 Y N 68068 Y N

Cenpatico - Indiana 68068 Y N 68068 Y N

Cenpatico - Kansas 68068 Y N 68068 Y N

Cenpatico - Kentucky 68068 Y N 68068 Y N

Cenpatico - Massachuetts 68068 Y N 68068 Y N

Cenpatico - Mississippi 68068 Y N 68068 Y N

Cenpatico - Missouri 68068 Y N 68068 Y N

Cenpatico - Ohio 68068 Y N 68068 Y N

Cenpatico - South Carolina 68068 Y N 68068 Y N

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Cenpatico - Texas 68068 Y N 68068 Y N

Cenpatico - Wisconsin 68068 Y N 68068 Y N

CountyCare (Cenpatico TPA) 42138 N N 42138 N N

Centegra Health System 36474 N N 36474 N N

Centene Advantage Plans 68068 Y N 68068 Y N

CountyCare (Centene TPA) 42139 N N 42139 N N

Center for Elders Independence 94312 Y N 94312 Y N

CenterLight Healthcare 13360 Y N 13360 Y N

CenterPoint Human Services 56122 Y N 56122 Y N

CentraCare 66698 N N 66698 N N

Central & Southwest Services 75177 Y N

Central DuPage Physician Group 36314 N N 36314 N N

Central Mass Heath Care 02041 Y N

Central Reserve Life 34097 N N 34097 N N

Central Reserve Life Ins Co-Medicare Supplement 13193 Y N 13193 Y N

Central SeniorCare 62218 N N 62218 N N

Central States Health & Welfare Funds 36215 N N 36215 N N

Central Susquehanna Healthcare Providers (CSHP) 55731 Y N 55731 Y N

Central Valley Medical Group 77035 Y N 77035 N N

Centurion 42140 N N 42140 N N

Century Health Solutions 48120 Y N 48120 Y N

Century PHO INC 36393 Y N 36393 Y N

Cerner HealthPlan Services 20356 N N 20356 N N

CHA Health 23171 N N 23171 N N

CHAMPVA - HAC 84146 Y N 84146 Y N

Chautauqua County Healthcare Plan (Mayville NY) 16600 N N 16600 N N

Chesterfield Resources Inc. 34154 N N 34154 N N

Chicago Family Health Center Family Health Network patients only 51909 N N 51909 N N

Childhealth Plus by Healthfirst (CHP) 80141 Y N

Children First Medical Group 94321 N N

Children of Women Vietnam Veterans-VA HAC 84146 Y N 84146 Y N

Children's Medical Security Plan of Massachusetts 80314 Y N 80314 Y N

Children's Medical Services - Broward NORTH 37314 N N 37314 N N

Chinese Community Health Plan 94302 N N 94302 N N

CHOC - Children's Hospital Of Orange County Health Alliance 33065 N N 33065 N N

CHP DIRECT SUPERMED 90441 N N 90441 N N

Christian Brothers Services 38308 N N 38308 N N

Christian Care Ministries 59355 N N 59355 N N

Christie Student Health Plans 75544 N N 75544 N N

Christus Health Medicare Advantage 10629 N N 10629 N N

Christus Health New Mexico HIX 21062 N N 21062 N N

Christus Texas Medicaid 45210 Y N 45210 Y N

CIGNA 62308 Y N 62308 Y N

CIGNA - PPA 62308 Y N 62308 Y N

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CIGNA - PPO 62308 Y N 62308 Y N

CIGNA Behavioral Health MCCBV N N SX071 Y N

CIGNA Health Plan - HMO 62308 Y N 62308 Y N

CIGNA Medicare Advantage 86033 N N 86033 N N

Cincinnati Financial Corporation 46871 Y N 46871 Y N

Claims Development Corporation 43056 N N

ClaimsBridge HPN 11752 Y N 11752 Y N

Claimshop- Employers Coalition on Health - MULTIPLAN PHCS/ECOH 27008 N N 27008 N N

ClaimsWare Inc. dba ManageMed 57080 N N 57080 N N

Clearchoice Health Plan / COIHS 77201 N N

CM Administrators Inc 56211 N N 56211 N N

CMCS Advantage Health Solutions Medicare 35219 N N 35219 N N

CMHC 02041 Y N

CNIC Health Solutions Inc. 37227 N N 37227 N N

CO Medicare Part A (JH) 12M03 Y Y

CO Medicare Part B (JH) SMCO0 Y Y

Coachella Valley Physicians IP079 N N IP079 N N

Coastal Administrative Services 77052 N N 77052 N N

Coastal Care 43141 N Y 43141 N Y

Coastal Care Services Inc 47394 N N

Cofinity 38335 N N 38335 N N

Colonial Medical 22284 N N 22284 N N

Colorado Access 84129 N N

Colorado Health OP 49718 N N 49718 N N

Columbia United Providers 91162 Y N 91162 Y N

Commerce Benefits Group 34181 N N 34181 N N

Commercial Travelers/PHX 88091 N N 88091 N N

Common Ground Healthcare Cooperative 77170 N Y 77170 N Y

Commonwealth Care Alliance 14315 N N 14315 N N

Community Care Alliance CCAI N N CCAI N N

Community Care BHO 23282 N N 23282 N N

Community Care Inc. - Family Care (Wisconsin) 60995 N N 60995 N N

Community Care Inc. (Wisconsin) 39126 N N 39126 N N

Community Care IPA CCI01 N N CCI01 N N

Community Care Managed Health Care Plans of Oklahoma 73143 Y N 73143 Y N

Community Care of Oregon 21455 Y N 21455 Y N

Community Choice of Michigan 38325 Y N 38325 Y N

Community First Health Plan, Inc. COMMF N N COMMF N N

Community Health Alliance 35193 Y N 35193 Y N

Community Health Alliance TN 27905 N N 27905 N N

Community Health Choice 48145 N N 48145 N N

Community Health Electronic Claims/CHEC/webTPA 75261 N N 75261 N N

Community Health Group CHGRI N N

Community Health Plan of Washington 12T30 Y N

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10/06/2015


Community Health Plan, Inc. 60495 Y N 60495 Y N

Community Medical Group of the West Valley Inc. 66121 N N 66121 N N

CommunityConnect HealthPlan 95192 Y N 95192 Y N

Comp - Ohio (Austintown OH) 34177 N N 34177 N N

Compcare (Wisconsin BadgerCare only) 95192 Y N 95192 Y N

CompManagement Health 15243 Y N 15243 Y N

Compsych 37363 Y N 37363 Y N

Conifer Value-Based Care 55649 N N 55649 N N

Connecticare - Medicare 78375 N N 78375 N N

ConnectiCare Inc 06105 Y N 06105 Y N

Connecticut Carpenters Health Fund 37307 N N 37307 N N

Connecticut General (CIGNA) 62308 Y N 62308 Y N

Connecticut Medicaid 12K04 Y Y SKCT0 Y Y

Consociate Group 37135 Y N 37135 Y N

Consolidated Associates Railroad 75284 N N 75284 N N

Consolidated Health Plans 87843 N N 87843 N N

Constellation Health L0260 N N

Consumer Mutual of Michigan 58112 Y N 58112 Y N

Consumers Choice Health SC 45321 Y N 45321 Y N

Consumers Life Insurance Company 29076 Y N 29076 Y N

Continental General Ins Co-Medicare Supplement 13193 Y N 13193 Y N

Continental General Insurance Company 71404 N N 71404 N N

Continuum (formerly Marrick WRx) 46478 N N 46478 N N

Contractors Laborers Teamsters & Engineers 12B19 Y N SB760 Y N

Conversion Plan-APWU 55544 N N 55544 N N

Cook Children STAR Plan THCP9 N N THCP9 N N

Cook Children's Health 12T58 N N TH104 N N

Cook Group Health Plan 35149 N N 35149 N N

Cooperative Benefit Administrators (CBA) 52132 Y N 52132 Y N

COOPERATIVE MANAGED CARE SERVICES 35199 N N 35199 N N

Coordinated Benefit Plan 14829 Y N 14829 Y N

Coordinated Medical Specialists 58204 N N 58204 N N

Core Administrative Services 58231 N N 58231 N N

CoreSource AZ MN 35182 Y N 35182 Y N

CoreSource Little Rock 75136 N N 75136 N N

CoreSource MD PA IL 35182 Y N 35182 Y N

CoreSource NC IN 35182 Y N 35182 Y N

CoreSource OH 35183 Y N 35183 Y N

CoreSource-Internal 35187 N N 35187 N N

Corizon Health Inc. CORIZ N N CORIZ N N

Corizon Inc. 43160 N N 43160 N N

Cornerstone Benefit Adminstrators 35202 Y N 35202 Y N

Cornerstone Preferred Resources CB268 N N CB268 N N

Corporate Benefits Service Inc. (NC) 56116 N N 56116 N N

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Accepts

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CLAIMS PAYER LIST

10/06/2015


CorrectCare CCIH N N CCIH N N

Country Life Insurance Company 62553 N N 62553 N N

County Services Medical Program CMSP1 N N CMSP1 N N

Covenant Administrators Inc. (Atlanta GA) 58102 N N 58102 N N

Coventry Advantra Texas 25133 Y N 25133 Y N

Coventry Health & Life (Oklahoma) 25133 Y N 25133 Y N

Coventry Health Care 25133 Y N 25133 Y N

Coventry Health Care National Network 25133 Y N 25133 Y N

Coventry Health Care of Florida 128FL Y N 128FL Y N

Coventry Health Care of Georgia Inc. 25133 Y N 25133 Y N

Coventry Health Care of Illinois 25133 Y N 25133 Y N

Coventry Health Care of Iowa Inc 25133 Y N 25133 Y N

Coventry Health Care of Kansas Inc 25133 Y N 25133 Y N

Coventry Health Care of Louisiana Inc 25133 Y N 25133 Y N

Coventry Health Care of Missouri 25133 Y N 25133 Y N

Coventry Health Care of Nebraska Inc 25133 Y N 25133 Y N

Coventry Health Care of Nevada 25133 Y N 25133 Y N

Coventry Health Care of the Carolinas 25133 Y N 25133 Y N

Coventry Health Care of Virginia 25133 Y N 25133 Y N

Coventry Summitt Health Plan Inc. 25133 Y N 25133 Y N

CoventryCares of Kentucky 25133 Y N 25133 Y N

CoventryCares of Michigan 128MI Y N 128MI Y N

CoventryCares of Nebraska 42130 Y N 42130 Y N

CoventryCares of Pennsylvania 23228 Y N 23228 Y N

Cox Health Plan 00119 N N 00019 N N

Creative Medical Systems 64068 N N 64068 N N

Creative Plan Administrators 37320 N N 37320 N N

Crescent Health Solutions 56213 N N 56213 Y N

Croy-Hall Mgmt. Inc. 37266 N N 37266 N N

Crystal Run Health Plans 46120 Y N 46120 Y N

CT Medicare Part A (J13 - NGS) 12M04 Y Y

CT Medicare Part B (J13 - NGS) SMCT0 Y Y

CTI ADMINISTRATORS INC. 42141 Y N 42141 Y N

CWIBENEFITS INC. 57080 N N 57080 N N

Dart Member Care CB987 N N CB987 N N

DC Chartered Health Plan Inc. (Alliance) 95740 N N

DC Chartered Health Plan Inc. (Medicaid & Alliance) 95748 N N 95748 N N

DC Medicare Part A (J12 - Highmark) 12M63 Y Y

DC Medicare Part B (J12 - Highmark) SMDC0 Y Y

DE Medicare Part A 12M76 Y Y

DE Medicare Part B SMDE0 Y Y

Dean Health Plan 39113 N N 39113 N N

DELANO IPA 77124 N N 77124 N N

Delaware Medicaid 12K87 Y Y SKDE0 Y Y

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10/06/2015


Delaware Physicians Care Inc. 27009 N N 27009 N N

Delta Health Systems 94235 Y N 94235 Y N

DentaQuest Vision 63740 Y N

Denver Health - Indigent 84134 N N

Denver Health and Hospital Authority 84133 N N 84133 N N

Denver Health Medical Plan 84135 N N 84135 N N

Denver Health Medical Plan Inc. - Medicare Choice 84131 N N 84131 N N

Deseret Mutual 12X35 N Y UH105 N Y

Desert Medical Group DESRT N N

Detroit Medical Center 56240 N N 56240 N N

Diamond Plan (Maryland Medicaid) 25133 Y N 25133 Y N

District of Columbia Medicaid 12001 Y Y SKDC0 Y N

Diversified Administration Corporation 06102 N N 06102 N N

Downey Select IPA (Applecare Medical Managment) APP01 N N

Dreyer Health DREYR Y N

DRISCOLL CHILDREN'S HEALTH PLAN 74284 N N 74284 N N

Dunn and Associates Benefits Administrators Inc. 35186 Y N 35186 Y N

E.S. BEVERIDGE & ASSOCIATES 34108 N N 34108 N N

Early Intervention Central TH084 N N

EAST CAROLINA BEHAVIORAL HEALTH 56089 N N 56089 N N

East LA - APMG 75299 N N 75299 N N

East Pointe Behavioral Health 08044 Y N 08044 Y N

Eastland Medical Group 66122 N N CMSI1 Y N

Easy Choice Health Plan of New York 24770 N N 24770 N N

EBMC 31074 Y N 31074 Y N

EBMS (Employee Benefit Management Services Inc.) 12X44 N N 81039 Y N

Educators Mutual (EMIA) SX110 N N

Educators Mututal Medicare Advantage SX111 Y N

EGID (Employees Group Insurance Division) 22521 N N 22521 N N

EHI (Employers Health Insurance) 73288 N N

El Paso First - CHIP 12T27 N N TH090 N N

ElderPlan Inc. 31625 N N 31625 N N

Elderwood Health 03964 N N 03964 N N

Elmco 37253 N N 37253 N N

Emerald Health Network Inc. (All PPO Business) 34167 N N 34167 N N

Emergency Medical Services Fund - Orange County CA 95600 N N

EMI-KP Ambulance Claims 59299 N N

EMPHESYS 73288 N N

Empire Blue Cross and Blue Shield of New York SB803 Y N

Empire Medicare Services 12M76 Y Y

Empire Omnipro (BC NY City) 12B36 Y N

Empire Omnipro (BC NY State) 12B35 Y N

Empire Physician's Medical Group EMP01 N N

Employee Benefit Administration & Management Corporation Pilot N N Pilot N N

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Accepts

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CLAIMS PAYER LIST

10/06/2015


Employee Benefit Concepts (Farmington Hills MI) 38241 N N 38241 N N

Employee Benefit Consultants Inc. 37257 N N 37257 Y N

Employee Benefit Management Corp (EBMC) 31074 Y N 31074 Y N

Employee Benefit Services 37216 Y N 37216 Y N

Employee Benefit Services of San Antonio TH109 N N

Employee Benefit Systems 42149 N N 42149 N N

Employee Benefits Plan Administration Inc. (E.B.P.A.) 03036 N N 03036 N N

Employee Health System Medical Group 75299 N N 75299 N N

Employee Plans LLC 35112 N N 35112 N N

Employee Security, Inc. 54098 Y N

Employers Direct Health 75232 N N 75232 N N

Employer's Direct Health - Employee Plan 75236 N N 75236 N N

Employer's Direct Health - FI 75235 N N 75235 N N

Employer's Direct Health - SF 75233 N N 75233 N N

Employers Health 73288 N N

Employers Health Insurance 73288 N N

Employers Mutual Inc (Jacksonville Florida) 59298 N N 59298 N N

Employers Mutual Inc. (Stuart Florida) 59331 N N 59331 N N

Encircle PPO 35206 N N 35206 N N

Encore Health Network 35206 N N 35206 N N

Enstar Natural Gas 91136 N N 91136 N N

Entrust 36878 N N 36878 N N

EQUICOR 62308 Y N 62308 Y N

EQUICOR - PPO 62308 Y N 62308 Y N

Equitable Plan Services (Oklahoma City OK) 73126 N N 73126 N N

ERISA TH110 Y N

ESSENCE HEALTHCARE 20818 N N 20818 N N

E-V Benefits Management Inc (Columbus OH) 34159 N N 34159 N N

Everence 35605 Y N 35605 Y N

Evergreen Health Cooperative 45319 N N 45319 N N

Evolutions Healthcare Systems (New Port Richey FL) 59313 N N 59313 N N

Excel MSO EXC01 N N

Excellus - BCBS Central NY-RMSCO 12B71 Y Y

Excellus - BCBS Utica Watertown 12B38 Y Y SB806 Y Y

Excellus - Blue Cross Blue Shield Central NY 12B37 Y Y

Excellus - Blue Cross Blue Shield of Central New York SB805 Y Y

Excellus - Blue Cross Blue Shield Rochester Area 12B40 Y Y

Excellus - Blue Cross/Blue Shield Rochester Area SB804 Y Y

ExclusiCare 71412 N N 71412 N N

Extended Care MLTC 46166 Y N 46166 Y N

Eye Management, Inc. (EMI) 65062 N N

F40 Alaska Carpenters Trust 91136 N N

FABOH (CHP/RPU) 39112 Y N 39112 Y N

Facey Medical Foundation 95432 N N

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Payer Code

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Accepts

Secondary

Claims

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CLAIMS PAYER LIST

10/06/2015


FACS Group 37300 N N 37300 N N

Fallon Community Health Plan 22254 N N 22254 N N

Family Care CCO 93121 N N 93121 N N

Family Christian Health Center Family Health Network patients only 51909 N N 51909 N N

Family Health Plan TH045 N N

Farm Family Life 14140 Y N 14140 Y N

FCE Benefit Administrators 33033 N N 33033 N N

Federal Employee Plan of South Carolina (BCBS SC) 00402 N N 00402 N N

Federated Benefits 37300 N N 37300 N N

Federated HR Services 37300 N N 37300 N N

Federated Mutual Insurance 41041 N N 41041 N N

Fidelis Care New York 11315 N N 11315 N N

Fidelis Secure Care 77054 N N 77054 N N

First Agency 88055 N N 88055 N N

First Carolina Care 56196 N N 56196 N N

First Choice Health Administrators 91131 Y N 91131 Y N

First Choice Health Network 91131 Y N 91131 Y N

First Choice of Midwest (PPO) 75138 N N 75138 N N

First Choice VIP Care 37510 Y N 37510 Y N

First Choice VIP Care Plus 77009 N N 77009 N N

First Health Network 73159 Y N 73159 Y N

First Medical Network (FMN) - Atlanta GA 29076 Y N 29076 Y N

First Priority 23241 Y Y

First Priority aka BCBS NEPA 14232 Y Y

FIRST PRIORITY HEALTH 42331 Y N

First Service Administrator's Inc Lakeland Florida 59276 N N 59276 N N

First Source/Arkansas Blue Cross 12047 Y Y

FirstCare 94999 N N 94999 N N

FirstCarolinaCareMedicare 34200 N N 34200 N N

Fitzharris & Company Inc. 11244 N N

FL MCO PHC/PHP 95411 Y N 95411 Y N

FL Medicare Part A (J9 First Coast) 09101 N Y

FL Medicare Part B (J9 First Coast) 09102 Y Y

Florida Blue 00590 Y N 00590 Y N

Florida Health Care Plan 59322 N N 59322 N N

Florida Hospital Healthcare Systems 59321 Y N 59321 Y N

Florida Hospital Waterman 48116 N N 48116 N N

Florida Medicaid 77027 Y Y 77027 Y Y

Florida True Health 26492 Y N 26492 Y N

FMH Benefit Services Inc. 48117 N N 48117 N N

Foreign Service Benefit Plan 25133 Y N 25133 Y N

FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN BOONG N N BOONG N N

Foundation for Medical Care of Tulare & Kings County TKFMC N N

Fox Valley Medicine Site 199 FVMCH N N

of 48

Payer Code

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Accepts

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Claims

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CLAIMS PAYER LIST

10/06/2015


Fox-Everett Inc. 64069 N N 64069 N N

Freedom Blue Medicare Advantage 12B44 Y Y

Freedom Blue Medicare Advantage Claims SB942 Y Y

Freedom Health Plan 41212 N N 41212 N N

Freedom Life Insurance 62324 N N 62324 N N

Fresenius Medical Care 23130 N N 23130 N N

Fresno - ENH Medical Group 75299 N N 75299 N N

Fresno PACE 99660 N N 99660 N N

Friant Water Users TKFMC N N

Fringe Benefit Management 59069 N N 59069 N N

Fringe Benefits Coordinators 59204 Y N 59204 Y N

FrontPath Health Coalition 34171 N N 34171 N N

GA Medicare Part A (J10 - Cahaba) 12M05 Y Y

GA Medicare Part B (J10 - Cahaba) SMGA0 Y Y

Galveston County Indigent Health Care 30005 N N 30005 N N

Gardena Memorial Medical Center 75299 N N 75299 N N

Gateway SX078 Y N

Gateway Health PA 05506 N N 05506 N N

Gateway Health Plan - Medicare Assured 60550 N N 60550 N N

Gateway Health Plan Medicaid PA 25169 N N 25169 N N

Gateway Health Plan OH - Medicare Assured 91741 N N 91741 N N

Gateway Healthy PA 05506 N N 05506 N N

Gateway IPA (Pinnacle Health Resources) (Prospect Medical Group) PROSP N N

Geisinger Health Plan 75273 Y Y 75273 Y Y

GEMCare (Golden Empire Managed Care System) MCS01 N N

Gemcare Health Plan 20376 N N 20376 N N

Gemcare IPA 27133 Y N 27133 Y N

Generations Healthcare 46050 N N 46050 N N

Generations-Hillcrest 46051 N N 46051 N N

Genesis Healthcare PROSP N N PROSP N N

Georgia Medicaid 12K05 Y Y SKGA0 Y Y

GHI - New York (Group Health Inc.) 13551 N N 13551 N N

GHI HMO 25531 Y N 25531 Y N

GHP (Group Health Plan) - MULTIPLAN PHCS/GROUP HEALTH 25141 N N

Gilsbar Inc. 07205 N N 07205 N N

Glendale Physician's Alliance AMM02 N N

Global Care Inc. 07689 Y N 07689 Y N

Global Excel Management GEM01 Y N GEM01 Y N

Global Health GHOKC Y N GHOKC Y N

Global Healthcare Alliance 12X59 N N

GMS Inc. 47083 Y N 47083 Y N

Golden State Medical Group MBA01 N N MBA01 N N

Golden Triangle Physician Alliance/SelectCare of Texas (GTPA) 72189 N N 72189 N N

Good Samaritan Medical Practice Association IP086 N N IP086 N N

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Payer Code

Accepts

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Claims


Accepts

Secondary

Claims

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CLAIMS PAYER LIST

10/06/2015


GOOD SHEPHERD HOSPICE INC 76923 Y N 76923 Y N

Government Employees Health Association (45235) 45235 N N

Government Employees Health Association (Multiplan) 45235 N N

Government Employees Health Association (PHCS) 45275 N N 45275 N N

Government Employees Hospital Association (GEHA) 44054 N N 44054 N N

Grand Valley Health Plan 95453 N N 95453 N N

Grange Insurance 14060 N N 14060 N N

Great American Life Ins. Co-Medicare Supplement 13193 Y N 13193 Y N

Great Lakes PACE 39640 N N 39640 N N

Greater Covina Medical Group 99284 N N

Greater Orange County Medical Group NMM01 N N

Greater San Gabriel Med Grp NMM01 N N

Greater Valley HCP01 N N

Great-West Healthcare 80705 N N 80705 N N

Great-West Healthcare (formerly American General) 63665 N N 63665 N N

Group Administrators Ltd. 36338 N N 36338 N N

Group and Pension Administrators 48143 N N 48143 N N

Group Benefit Services Inc. CB951 N N CB951 N N

Group Benefits - Louisiana 72087 N N

Group Health Co-op 12X16 Y Y

Group Health Cooperative - WA State 91051 N N 91051 N N

Group Health Cooperative of Eau Claire 95192 Y N 95192 Y N

Group Health Cooperative of South Central Wisconsin 39167 N N 39167 N N

Group Health Options - WA State 91051 N N 91051 N N

Group Insurance Service Center Inc. 37276 N N 37276 N N

Guardian Life Insurance Company of America 64246 N N 64246 N N

Gulf Stream-General Dynamics CB624 Y N CB624 Y N

Gundersen Lutheran Health Plan 39180 N N 39180 N N

H.E.R.E.I.U Welfare Pension Funds 37114 N N 37114 N N

HAA Preferred Partners 65101 N N 65101 N N

HAP/AHL/Curanet 38224 N N 38224 N N

Harbor Advantage (Abrazo Health Care) 58305 N N 58305 N N

Harbor Choice 55649 N N 55649 N N

Harmony Health Plan of Illinois 36406 N N 36406 Y N

Harmony Health Plan of Indiana 36405 N N 36405 Y N

Harpeth IPA - Amerivantage 75126 Y N

Harrimon Jones HCP01 N N

Harrington Health Non-EPO 59143 N N 59143 N N

Harrington Health-Kansas (formerly known as Fiserv Health-Kansas) 62061 N N 62061 N N

Harris Methodist Health Plan 75201 N N

Harvard Community Health Plan 04245 Y N 04245 Y N

Harvard Pilgrim Health Care 04271 N N 04271 N N

Hawaii Blue Cross 12B62 Y Y

Hawaii Medicaid 12K62 Y N SKHI0 Y Y

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Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

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CLAIMS PAYER LIST

10/06/2015


Hawaii Medical Assurance Association (HMAA/HWMG) 99208 N N 99208 N N

Hawaii Medical Service Association (HMSA) SB971 Y Y

HCC Life Insurance HCCMI N N HCCMI N N

HCH Administration 37111 N N 37111 N N

HCH Administration (formerly John P Pearl and Associates) 37215 N N 37215 N N

HCS - Health Claims Service (Boise ID) 82018 N N 82018 N N

Health Adv/US Able/First Pyramid Life/Arkansas Blue Cross 12049 Y Y

Health Alliance Medical Plans of Illinois 77950 N N 77950 Y N

Health America Inc./Health Assurance/Advantra 25133 Y N 25133 Y N

Health Care Network of Wisconsin (HCN) 42102 N N 42102 N N

Health Care Savings 56142 N N

Health Choice Arizona 62179 N N 62179 N N

Health Choice Generations 62180 N N 62180 N N

Health Choice Insurance Co 46221 Y N 46221 Y N

Health Choice Integrated Care 22100 Y N 22100 Y N

Health Choice Utah 45399 N N 45399 N N

Health Cost Solutions 62111 N N 62111 N N

Health Design Plus (Hudson OH) 34158 N N 34158 N N

Health Economics Corp 75196 N N 75196 N N

Health First TPA 95019 N N 95019 N N

Health Management Administrators (HMA) TH049 N N

Health Net - VA Patient Centered Community Care Program 68021 N N 68021 N N

Health Net of Arizona 38309 N N 38309 N N

Health Net of California and Oregon - Claims 95567 N N 95567 N N

Health Network One 65062 N N

Health New England 04286 N N 04286 N N

Health Options Inc (FL - BCBS HMO) 12B26 Y N

Health Options of Florida SX030 Y N

Health Partners - Jackson TN 62157 N N 62157 N N

Health Partners PA 80142 N N 80142 N N

Health Payment Systems Inc. 20270 N N 20270 N N

Health Plan of Michigan 83253 N N 83253 N N

Health Plan of Nevada 76342 Y N 76342 Y N

Health Plan of San Joaquin 68035 Y N 68035 Y N

Health Plans Inc. 44273 N N 44273 N N

Health Risk Management 41170 N N 41170 N N

Health Services for Children with Special Needs 37290 N N 37290 N N

Health Services Management 41150 N Y

Health Services Preferred (HSP) by Emerald Health 34167 N N 34167 N N

Healthcare Partners HCP01 N N HCP01 N N

HealthCare Partners IPA 11328 Y N 11328 Y N

Healthcare Resources NW 56731 N N 56731 N N

Healthcare Solutions Group 73147 Y N 73147 Y N

Healthcomp Inc. 85729 N N 85729 N N

of 48

Payer Code

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Claims


Accepts

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CLAIMS PAYER LIST

10/06/2015


Healthease/Wellcare of FL 59608 N N 59608 N N

HealthEdge Administrators (Bakersfield CA) 95213 N N 95213 N N

HealthEZ 41178 N N 41178 N N

Healthfirst 65 Plus 80141 Y N

Healthfirst Family Health Plus (FHP) 80141 Y N

Healthfirst Health Plan of New Jersey 80141 Y N 80141 Y N

Healthfirst Inc. (New York) 80141 Y N 80141 Y N

Healthfirst New York (COMMERCIAL) 80141 Y N

Healthfirst PHSP 80141 Y N

Healthgram Inc. 56144 N N 56144 N N

HealthGroup Limited 23274 Y N 23274 Y N

HealthGuard of Lancaster 23226 Y N 23226 Y N

Healthlink HMO 96475 N N 96475 N N

Healthlink PPO 90001 Y N 90001 Y N

HealthNow - BCBS Northeastern NY 12B68 Y Y SB800 Y Y

HealthNow - Blue Cross Blue Shield of Western NY 12B39 Y Y SB801 Y Y

Healthnow Division 55204 Y Y

HealthPartners MN 12X51 Y Y SX009 Y Y

HealthPlan Services 59140 N N 59140 Y N

HealthPlus Amerigroup 27514 Y N 27514 Y N

HealthPlus of Michigan 38216 N N 38216 N N

Healthscope Benefits - EHC Repricing 52429 N N 52429 N N

HealthSCOPE Benefits Inc. 71063 Y N 71063 N N

HealthSelect IPA (IL) SB621 Y N

Healthsmart Accel 75237 Y N 75237 Y N

HealthSmart Benefit Solutions 37272 N N 37272 N N

HealthSmart Benefit Solutions 37283 Y N 37283 Y N

HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. 87815 Y N 87815 Y N

HealthSmart -Noble Mid Orange HSM01 N N

HealthSmart Preferred Care Inc. 75250 Y N 75250 Y N

Healthsource AR (Med) (CIGNA) 71075 Y N 71075 Y N

Healthsource CMHC 02041 Y N 02041 Y N

Healthsource GA (CIGNA) 58210 Y N 58210 Y N

Healthsource KY 61127 Y N 61127 Y N

Healthsource Massachusetts Inc. 02041 Y N 02041 Y N

Healthsource ME 01041 N N 01041 N Y

Healthsource N. TX (CIGNA) 75255 Y N 75255 Y N

Healthsource NC (CIGNA) 56147 Y N 56147 Y N

Healthsource NH 02038 Y N

Healthsource OH 31141 Y N 31141 Y N

Healthsource Provident 68195 Y N 68195 Y N

Healthsource SC 06119 Y N 06119 Y N

Healthsource TN (CIGNA) 62129 Y N 62129 Y N

HealthSpan Network Repricing HSPAN N N HSPAN N N

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Payer Code

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Claims


Accepts

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Claims

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CLAIMS PAYER LIST

10/06/2015


Healthspan 34092 N N 34092 N N

HealthSpan, Inc. 31434 Y N 31434 Y N

HealthSpring HMO/HealthSpring Medicare+Choice 63092 N N 63092 N N

Healthsun Health Plans HESUN N N

Healthways WholeHealth Networks 58213 N N

Healthy CT 77180 N Y 77180 N Y

Healthy Texas 68064 Y N 68064 Y N

Healthy York Network 22251 Y N 22251 Y N

Heritage Consultants 59230 N N

Heritage Physician Network TH011 N N

Heritage Provider Network DESRT N N

Heritage Victor Valley Medical Group 30862 N N 30862 N N

HFN Inc. 36335 N N 36335 N N

HHH Choices Gold 20552 N N 20552 N N

HI Medicare Part B (J1 - PGBA) SMHI0 Y Y

High Desert Medical Group 95393 N N 95393 N N

Highmark Blue Cross & Blue Shield of Pennsylvania SB865 Y Y

Highmark- Key Family 35145 Y N 35145 Y N

Hill Physicians Medical Group 00046 N N

HIP - Health Insurance Plan of Greater New York 55247 N N 55247 N N

Hispanic Physicians IPA HPIPA N N

HMA - Health Management Admin 12T11 Y N

HMA Hawaii 86066 N N 86066 N N

HMC HealthWorks aka Health Management Co 75318 N N 75318 N N

HMSO-Highline Medical Service Organization 91164 N N 91164 N N

HN1 Therapy Network (HN1TN) 65062 N N

Hollywood Presbyterian (Synermed) 75299 N N 75299 N N

Home Health & Hospice J10 Cahaba 12M53 Y Y

Home Health & Hospice J15 Cigna 12M97 Y Y

Home Health & Hospice J6 NGS RHHWI N Y

Hometown Health Plan Nevada 88023 Y N 88023 Y N

Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) 22099 Y Y 22099 Y Y

Horizon Healthcare of NY 22099 Y Y 22099 Y Y

Horizon NJ Health 22326 Y N 22326 Y N

Hotel Employees & Restaurant Employees Health Trust 91136 N N 91136 N N

HP Administrative Services, LLC 22521 N N 22521 N N

HS1 Medical Management 65062 N N

HSBS Memphis 37224 N N 37224 N N

HSBS Oklahoma City 37256 N N 37256 N N

HSBS World Trade Center Health Program 31172 Y N 31172 Y N

HSHS Medical Group IPA 37137 N N 37137 N N

Hudson Health Plan 13335 N N 13335 N N

Humana Choice Care Network (Batch) 611X1 Y N 611X1 Y N

Humana Choice Care Network (Real-Time) 61101 Y N 61101 Y N

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Accepts

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Claims

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CLAIMS PAYER LIST

10/06/2015


Humana Dermatology - New Century Health NCH02 N N

Humana Emphesys (Batch) 611X1 Y N 611X1 Y N

Humana Emphesys (Real-Time) 61101 Y N 61101 Y N

Humana Employers Health Insurance (Batch) 611X1 Y N 611X1 Y N

Humana Employers Health Insurance (Real-Time) 61101 Y N 61101 Y N

Humana Inc. (Batch) 611X1 Y N 611X1 Y N

Humana Inc. (Real-Time) 61101 Y N 61101 Y N

Humana Military - Tricare South 61125 Y N 61125 Y N

Humana Veterans Healthcare Services 61120 N N 61120 N N

Humboldt-Del Norte Foundation for Medical Care 94154 N N

I. E. Shaffer (West Trenton NJ) 22175 N N 22175 N N

IA Medicare Part A(J5 - WPS) SMIA0 Y Y

IA Medicare Part B (J5 - WPS) SMIA0 Y Y

IAA 37279 N N 37279 N N

IBC Personal Choice 12X26 Y N SX083 Y N

IBEW Local 640 & Arizona Chapter NECA Health & Welfare Trust 74234 N N

IBG Administrators, LLC 81810 N N 81810 N N

IBM Business Transformation Outsourcing Insurance Services Corporate 19028 N N 19028 N N

iCare Health Solutions 26054 Y N

iCircle of New York 33884 Y N

ICW (Insurance Co of the West) 27847 N N 27847 N N

ID Medicare Part A (J2) 12M07 Y Y

ID Medicare Part B (J2) SMID0 Y Y

Idaho Medicaid 12K07 N N SKID0 Y N

IEC Group - AmeriBen 97661 N N 97661 N N

IHG Direct 75274 N N 75274 N N

IL Medicare Part A (J6) 12M08 Y Y

IL Medicare Part B (J6) SMIL0 Y Y

IlliniCare 68069 Y N 68069 Y N

Illinois Health Plan DMG01 N N DMG01 N N

Illinois Medicaid SKIL0 Y N SKIL0 Y N

I'Mcare 41600 N N 41600 N N

Imperial County Physicians Med Group (SCPMCS) SCP01 N N SCP01 N N

IMS Management Services TH099 N N

IMS Management Svcs - Texas 12T64 N N

IMX Easy 86070 N N 86070 N N

IN Medicare Part A (J8) 12M09 Y N

IN Medicare Part B (J8) SMIN0 Y N

INDECS Corporation 40585 N N 40585 N N

Independence Administrators TA720 N N

Independence Care System 64284 N N 64284 N N

Independence Care Systems FIDA-MMP 64284 N N 64284 N N

Independence Medical Group MHM01 N N

Independent Health 12X01 Y Y SX073 N Y

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Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

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CLAIMS PAYER LIST

10/06/2015


Independent Health Care Plan 11695 Y Y 11695 Y Y

INDEPENDENT LIVING SYSTEMS 45048 Y N 45048 Y N

Independent Physicians @ Mercy Chicago IL MG#155 51909 N N 51909 N N

Indian Health Services 12X75 Y N SX171 Y N

Indiana Department of Health - Children's Health - Claims 35600 Y Y 35600 Y Y

Indiana Medicaid 12K09 Y N SKIN0 Y N

Indiana ProHealth Network 35161 Y N 35161 Y N

Indiana Teamsters Health Benefits Fund (Indianapolis IN) 35107 N N 35107 N N

Indiana University Health Plan 95444 N N 95444 N N

Individual Health Insurance Companies 31053 N N 31053 N N

INETICO INC. 43471 Y N 43471 Y N

Informed LLC 52196 N N 52196 N N

Informed UHC 50946 N N 50946 N N

Ingalls Provider Group (DOS beginning 5/1/15) 85578 N N 85578 N N

Ingalls Provider Group (DOS prior to 5/1/15) 36348 N N 36348 N N

Ingham Health Plan Corporation 38343 N N 38343 N N

Inland Empire Health Plan IEHP1 N N IEHP1 N N

Inland Valleys IPA 75299 N N 75299 N N

Innovative Physician Associates LLC 80087 N N 80087 N N

Insurance Administrators of America Inc. 37279 N N 37279 N N

Insurance Design Administrators 13315 N N 13315 N N

Insurance Management Administrators 72091 N N

Insurance Management Services (Amarillo TX) 15688 N N 15688 N N

Insurance Services of Lubbock TH012 Y N

InsuranceTPA.com 39182 N N 39182 N N

Insurers Administrative Corp. 86304 N N 86304 N N

Integra Administrative Group (Seaford DE) 51020 N N 51020 N N

Integra Group 31127 N Y 31127 N N

INTEGRA GROUP/HOME 31128 N N

Integra Group-CHA 31129 N N

Integral Quality Care 23229 N N 23229 Y N

Integrated Care Network (ICN) by Emerald Health 34167 N N 34167 N N

Integrated Medical Solutions LLC 20050 N N 20050 N N

Inter County Health Plan 54763 Y N

Interactive Medical Systems 56132 N N 56132 N N

Inter-County Health Plan SX079 Y Y

Interface EAP (IEAP) 60280 Y N 60280 Y N

Intergroup Services Corporation 23287 N N 23287 N N

International Brotherhood of Boilermakers 36609 N N 36609 N N

International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC) 48603 N N 48603 Y N

International Medical Group IMGIN N N IMGIN N N

InterWest Health (Acceptius Gateway payer) 84137 N N 84137 N N

INTotal Health 10262 N Y 10262 N Y

Iowa Medicaid 12K10 Y Y SKIA0 Y Y

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Accepts

Secondary

Claims

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CLAIMS PAYER LIST

10/06/2015


J11 Medicare - HHH Jurisdiction C 12M80 Y Y

J12 MEDICARE PART A LEGACY WPS (DC DE MD NJ PA) 12M99 Y Y

JI Specialties TH033 N N

John Alden Life Insurance Co. 41099 N N 41099 N N

JOHN MORRELL COMPANY CO. - AHPBA 38310 N N 38310 N N

John Muir Mt. Diablo Health System 68036 N N 68036 N N

John Muir Physician Network 68036 N N

Johns Hopkins Healthcare (EHP/PP) 52189 N Y 52189 N Y

Johns Hopkins Healthcare (USFHP) 52123 N N 52123 N N

Joplin Claims / Benefit Management Inc 43178 Y N 43178 Y N

JP Farley Corporation 34136 N N 34136 N N

JP Specialties 12T47 Y N

JPS Preferred Care MWP01 N N

Kaiser Foundation Health Plan of Colorado 91617 N N 91617 N N

Kaiser Foundation Health Plan of Hawaii 94123 N N 94123 N N

Kaiser Foundation Health Plan of Northern CA Region 94135 N N 94135 N N

Kaiser Foundation Health Plan of Southern CA Region 94134 N N 94134 N N

Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. 52095 N N 52095 N N

Kaiser Foundation of the Northwest NW002 N N NW002 N N

Kaiser Permanente of Georgia 21313 N N 21313 N N

Kaiser Self Funded 94320 N N 94320 N N

Kanawha HealthCare Solutions Inc. 57038 N N 57038 N N

Kanawha Insurance Co. 57038 N N 57038 N N

Kane County BCBS KCIPA N N KCIPA N N

Kane County Harmony Medicaid IPAK1 N N IPAK1 N N

Kansas City Life Insurance Company 44030 Y N

Kansas Medicaid MDKSI Y N MDKSP Y N

Katy Medical Claims 81812 N N 81812 N N

Kaweah Delta TKFMC N N

Keenan Associates (CA) 95279 N N 95279 N N

Kelseycare KELSE N N

Kempton Company 73100 N N 73100 N N

Kempton Group Administrators 73100 N N 73100 N N

Kentucky Health Administrators Inc. 27215 Y N 27215 Y N

Kentucky Health Cooperative 77894 Y N 77894 Y N

Kentucky Medicaid 12K11 Y Y SKKY0 Y Y

Kentucky Spirit Health Plan 68069 Y N 68069 Y N

Kern County CDCR 28021 N N 28021 N N

Kern Health Systems 77039 N N 77039 N N

Key Benefit Administrators (Indianapolis IN) 37217 Y N 37217 Y N

Key Health Medical Solutions Inc. 95460 N N

Key Medical Group IP082 N N

Key Select 37321 Y N 37321 Y N

Key Solution 37323 Y N 37323 Y N

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10/06/2015


Key Gap 35317 Y N 35317 Y N

Keystone Connect (Amerihealth) 77050 Y N 77050 Y N

Keystone First 23284 Y N 23284 Y N

Keystone Health Plan East SX055 Y N

Keystone Health Plan East/IBC 12X25 Y N

Keystone Health Plan West SX056 Y Y

Keystone VIP Choice 84223 Y N 84223 Y N

Klais & Company 34145 Y N 34145 Y N

Klais & Company (Repricing for HealthSpan Network Only) 3414A N N 3414A N N

Korean American Medical Group KAMG1 Y N

KPS-Kitsap Physician Services KPS01 N N KPS01 N N

KS - Sunflower State Health 68069 Y N 68069 Y N

KS Medicare Part A (J5 - WPS) 57324 Y Y

KS Medicare Part B (J5 - WPS) SMKS0 Y Y

KY Medicare Part A (J15) 12M11 Y Y

KY Medicare Part B (J15) SMKY0 Y Y

LA Care Health Plan LACAR N N LACAR N N

LA Medicare Part A (JH) 12M12 Y Y

LA Medicare Part B (JH) SMLA0 Y Y

LACare 27357 Y N 27357 Y N

Lake County Physicians Association 37116 N N 37116 N N

Lakeside Comprehensive Healthcare 66127 N N 66127 N N

Lakeside Health Services LMG11 N N

Lakeside Medical Group 66125 N N 66125 N N

Land of Lincoln Health 90096 N N 90096 N N

Land of Lincoln Health Ins. Co. 62741 Y N 62741 Y N

Landmark Healthcare Inc LNDMK Y N

Lawndale Christian Health Center 36333 N N 36333 N N

LBA Health Plans 52193 N N 52193 N N

Leon Medical Center Health Plan 37316 N N 37316 N N

LHP Claims Unit 37248 N N 37248 N N

Liberty Health Advantage 87071 N N 87071 N N

Liberty Union 37281 N N 37281 N N

Life Assurance Company 37281 N N 37281 N N

Life Gift Cards 33LGC Y N 33LGC Y N

Life Investors Insurance 12T67 N N TH120 Y N

Life Investors Insurance of America - Long Term Care 12T39 N N

Life Investors of America - Long Term Care TH093 N N

LIFE Pittsburgh 25181 N N 25181 N N

Life Trac 41136 N N 41136 N N

LifeCircles PACE 71498 N N 71498 N N

LifePath Hospice Inc 76870 Y N 76870 Y N

Lifestyle Health Plans 2700U Y N 27005 Y N

Lifetime Benefit Solutions EBSRM N N EBSRM N N

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Accepts

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CLAIMS PAYER LIST

10/06/2015


LifeWise Healthplan of Oregon 93093 Y N

Lincoln National (EMPHESYS Green Bay and Madison WI only) 73288 N N

LIPA/Agate Resources TH106 N N

Local 135 Health Benefits Fund (Indianapolis IN) 35107 N N 35107 N N

Lockard & Williams CB752 N N CB752 N N

Loma Linda 99255 Y N

Loma Linda University Adventist Health Sciences Center Employee Health Plan 37267 N N 37267 N N

Loma Linda University Adventist Health Sciences Centers 37267 N N 37267 N N

Loma Linda University Behavioral Medicine Center Employee Health Plan 37267 N N 37267 N N

Loma Linda University Employee Health Plan 37267 N N 37267 N N

Loma Linda University Health Care Employee Health Plan 37267 N N 37267 N N

Loma Linda University Healthcare 33036 N N 33036 N N

Loma Linda University Medical Center Employee Health Plan 37267 N N 37267 N N

Loma Linda University Medical Center Residents Health Plan 37267 N N 37267 N N

Loma Linda University Student Health Plan 37267 N N 37267 N N

Louisiana Health Cooperative 88075 N N 88075 N N

Louisiana Healthcare Connections 68069 Y N 68069 Y N

Louisiana Medicaid 12K12 Y Y SKLA0 Y Y

Louisiana Medicaid - Ambulance claims SKLA2 Y Y

Louisiana Medicaid - DME Claims SKLA1 Y Y

Louisiana Medicaid - KidMed Claims SKLA3 Y Y

Louisiana Medicaid - Rehab SKLA4 N N

Louisiana Medicaid-Home Health 12K94 N N

Lovelace Sandia Health Plan (as of 9/27/14) 12B22 Y N SB790 Y N

Loyal American Life Ins Co-Medicare Supplement 13193 Y N 13193 Y N

MA Medicare Part A (J14 - NHIC) 12M14 Y Y

MA Medicare Part B (J14 - NHIC) SMMA0 Y Y

MacNeal Health Providers- CHS 36334 N N 36334 N N

Magan Medical Clinic HCP01 N N

Magellan Health Services 12X27 Y N 01260 Y N

Magnacare 11303 N N 11303 N N

Magnolia 68069 Y N 68069 Y N

Mail Handlers Benefit Plan 25133 Y N 25133 Y N

Maine Community Health Options 45341 Y N 45341 Y N

Maine Medicaid 12K13 Y Y SKME0 Y N

MajestaCare Virginia 26372 N N 26372 N N

Maksin Management Corporation 22195 Y N 22195 Y N

Managed Care Services LLC 35162 N N 35162 N N

Managed Care Systems (Delano Regional Medical Group) MCS02 N N

Managed Care Systems (Gemcare) MCS01 N N MCS01 N N

MANAGED HEALTH CARE ASSOCIATES 36312 N N 36312 N N

Managed Health Network 22771 N N 22771 N N

Managed Health Services Indiana (Medicaid HMO) 68069 Y N 68069 Y N

Managed Health Services Wisconsin 68069 Y N 68069 Y N

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Claims


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Claims

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CLAIMS PAYER LIST

10/06/2015


Manulife W. J. Sutton Company 98010 N N 98010 N N

Mapfre (Canada Life) L0160 N N L0160 N N

March Vision Care Inc. 52461 N N

Marion Polk Community Health Plan 33711 Y N

Marquette Life Insurance Company 48055 N N 48055 N N

Marrick Medical Finance LLC. 20805 Y N 20805 Y N

MARTINS POINT HEALTH CARE 53275 N N 53275 N N

Maryland Medicaid 12007 Y Y SKMD0 Y Y

Maryland Physicians Care 22348 N N 22348 N N

Maryland Public Mental Health SX069 N Y

Mashantucket Pequot Tribal Nation 37121 N N 37121 N N

Massachusetts Medicaid - Health Safety Net 12K48 N Y SKMA0 N N

Massachusetts Mutual 80314 Y N 80314 Y N

Master Mates & Pilots Program TH111 Y N

Masters Mates and Pilots Program 12T52 N N

Max Specialty Benefits 27320 N N

Mayo Clinic FL/GA 88090 N N 88090 N N

MBA Benefit Administrators Inc (Salt Lake UT) 83028 N N 83028 N N

MBA OF WYOMING INC 87065 N N 87065 N N

MCA ADMINISTRATORS 25160 N N 25160 N N

Mcare Advantage Plan 12M85 Y N

McKinley Medical Group MHM02 N N

MD Medicare Part A J12 12010 Y Y

MD Medicare Part B J12 SMMD0 Y Y

MDI Holdings (Formerly Medical Partners of America) 80026 N N 80026 N N

MDWise Hoosier Alliance 20475 Y N 20475 Y N

Mdwise Inc. (formerly IU Health) 12K81 N N

Mdwise Inc. (formerly IU Medical Group) SX172 N N

MDWise Select Health Network MWSHN N N MWSHN N N

MDX Hawaii MDXHI Y N MDXHI Y N

ME Medicare Part A (J14 - NHIC) 12M13 Y Y

ME Medicare Part B (J14 - NHIC) SMME0 Y Y

Med Partners Precision HMO 12T26 N N TH088 N N

MED PAY 88058 Y N 88058 Y N

MED3000 CMS EARLY STEPS EM350 N N EM350 N N

MED3000 CMS SAFETY NET EM284 N N EM284 N N

MED3000 CMS TITLE 19 REFORM EM843 N N EM843 N N

MED3000 CMS TITLE 21 EM205 N N EM205 N N

MED3000 PEDICARE TITLE 19 EM039 N N EM039 N N

MED3000 PEDICARE TITLE 21 EM522 N N EM522 N N

MedAdmin Solutions 58202 N N 58202 N N

MedBen (Newark OH) 74323 N N 74323 N N

MedCom 59231 Y N 59231 Y N

MedCost Benefit Services 56205 Y N 56205 Y N

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CLAIMS PAYER LIST

10/06/2015


MedCost Inc. 56162 Y N 56162 Y N

MedDirect 38353 N N

Medfocus 95321 N N

Medica 94265 Y N 94265 Y N

MEDICA HEALTH CARE PLAN INC. 78857 N N 78857 N N

Medica2 12422 Y N 12422 Y N

Medicaid Hawaii Waivers 77059 Y Y

Medi-Cal (Vision) SKCA1 N Y

MEDICAL ASSOCIATES HEALTH PLAN MAHC1 N N MAHC1 N N

Medical Benefits Administration MBA01 N N

Medical Benefits Administrators Inc. (Newark OH) 74323 N N 74323 N N

Medical Benefits Companies (Newark OH) 74323 N N 74323 N N

Medical Benefits Mutual (Newark OH) 74323 N N 74323 N N

Medical Benefits Mutual Life Insrance Co. 74323 N N 74323 N N

Medical Card System ( MCS ) L0170 N N L0170 N N

Medical Control Inc. Pilot N N

MEDICAL DEVELOPMENT INTERNATIONAL 52181 N N 52181 N N

Medical Mutual of Ohio 29076 Y N 29076 Y N

Medical Network of Colorado Springs 84600 N N

Medical Reimbursements of America 62177 N N 62177 Y N

Medical Services for Indigents AMM02 N N

Medical Services Initiative 12057 Y N 12057 Y N

Medical Value Plan - Ohio (MVP) 38224 N N 38224 N N

Medicare Blue SX263 N N

Medicare Blue Private SX262 N N

Medicare DME (All Jurisdictions) SDMEB Y Y

Medicare Home Helath & Hospice (J14 - NHIC) 12HHA Y Y

MEDICARE PART A (CAHINV) 12M65 Y Y

Medicare Plus Blue SX170 Y Y

Medicare PPO (BCBS SC) 00C63 N N 00C63 N N

Medicare y Mucho Mas ( MMM ) L0210 N N L0210 N N

Medico Insurance Company 23160 N N 23160 N N

Mediture 20039 N N 20039 N N

Mediview Inc. STAR1 N N STAR1 N N

MedPartners Administrative Services 35205 Y N 35205 N N

MedSolutions Inc 62160 N N 62160 N N

MedSolutions Post Accute Care 15395 N N 15395 N N

MedStar Family Choice 39190 N N 39190 N N

Medstar Select/Medstar Medicare Choice 251MS Y N 251MS Y N

MEGA Life & Health (United Ins. Div.) 97055 N N

Memorial Clinical Associates/ SelectCare of Texas (MCA) 62181 N N 62181 N N

Memorial Herman Health Network Providers TH092 N N

Memorial Herman Health Network Providers 12T40 N N

Memorial Medical Group HCP01 N N

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Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Mercy Benefit Administration 37264 N N 37264 N N

Mercy Care Plan (AHCCCS) 86052 N N 86052 N N

Mercy Health Plans 43166 N N 43166 N N

Mercy Maricopa Integrated Care 33628 Y N 33628 Y N

Mercy Physicians Medical Group (MPMG) (NAMM Southern CA) IP079 N N IP079 N N

Mercy Provider Network 43185 N N 43185 N N

MercyCare 39114 N N 39114 N N

Meridian Health Plan 13189 N N 13189 N N

Meritain Health 64157 N N 64157 N N

Meritain Health / Agency Services 64158 N N 64158 N N

Meritain Health Minneapolis 41124 Y N 41124 Y N

Meritus Health Partners 45150 N N 45150 N N

Methodist Associate Health Plan Pilot N N

MetroPlus Health Plan 13265 N N 13265 N N

Metropolitan Health Plan 10850 Y N 10850 Y N

Metrowest HealthPlan TH068 N N

Metrowest Star Medicaid TH069 N N

MFC & HealthPlus Peoria 23550 N N 23550 N N

MHNET 74289 Y N 74289 Y N

MHP Systems 64068 N N 64068 N N

MI Medicare Part A (J8) SMMI0 Y Y

MI Medicare Part B (J8) SMMI0 Y Y

Michael Reese Physicians Group 37127 N N 37127 N N

Michigan Medicaid 12K37 Y Y SKMI0 Y Y

Mid Rogue Oregon Health Plan 26161 N N 26161 N N

Mid-America Associates Inc. 37281 N N 37281 N N

MidCoast IPA 77012 N N 77012 N N

Mid-County Physicians Medical Group SCP01 N N SCP01 N N

Mid-County Physicians Medical Group (San Diego) (Synermed) 75299 N N 75299 N N

Midlands Choice Inc. 47080 Y N 47080 Y N

Midwest Health Partners 76079 N N 76079 N N

Midwest Health Plans Inc. 12T54 N Y TH074 Y Y

Mills Peninsula Health Services MPHS1 Y N

Mills Peninsula Medical Group MPMG1 N N

MINNESOTA DEPARTMENT OF HEALTH MNDH1 N N MNDH1 N N

Minnesota Medicaid 12K16 Y Y SKMN0 Y Y

MinuteMan Health 01776-NOCD Y N 01776-NOCD Y N

Mission (St. Joseph Heritage Healthcare) STJOE N N

Mississippi Blue Cross - Trispan 12B17 Y Y

Mississippi Health Partners 64068 N N 64068 N N

Mississippi Medicaid 12K17 Y Y SKMS0 Y Y

Mississippi Physicians Care Network 64084 N N 64084 N N

Mississippi Public Entity Employee Benefit Trust 37233 N N 37233 N N

Mississippi Select Health Care 64088 N N 64088 N N

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Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Missoula County Medical Benefits Plan 37275 N N 37275 N N

Missouri Medicaid 12K15 Y N SKMO0 Y N

MMA 35316 Y N 35316 Y N

MMSI 41154 Y N 41154 Y N

MN Medicare Part A (J6) 12M16 Y Y

MN Medicare Part B (J6) SMMN0 Y Y

MO - Missouri Home State Health Care 68069 Y N 68069 Y N

MO Medicare Part A (J5 - WPS) 12M15 Y N

MO Medicare Part B East (J5 - WPS) SMMO0 Y N

Moda Health 13350 Y N 13350 Y N

Molina Healthcare 12X09 N N

Molina Healthcare of CALIFORNIA 38333 Y N 38333 Y N

Molina Healthcare of Florida 51062 Y N 51062 Y N

Molina Healthcare of MICHIGAN 38334 Y N 38334 Y N

Molina Healthcare of New Mexico - Salud 09824 N N 09824 Y N

Molina Healthcare of New Mexico -SCI 04423 Y N 04423 Y N

Molina Healthcare of Ohio 20149 Y N 20149 Y N

Molina Healthcare of Puerto Rico 81794 Y N 81794 Y N

Molina Healthcare of South Carolina 46299 Y N 46299 Y N

Molina Healthcare of Texas 20554 Y N 20554 Y N

Molina Healthcare of WASHINGTON 38336 Y N 38336 Y N

MOLINA HEALTHCARE Of WI ABRI1 N N ABRI1 N N

Molina Healthcare Utah (aka American Family Care) SX109 Y N

Molina Illinois 20934 Y N 20934 Y N

Monarch IPA IP095 Y N

Monitor Life Insurance Company (Secondary claims only) 16098 Y Y 16098 Y Y

Montana Medicaid 12K77 Y N SKMT0 Y N

Montefiore Contract Management Organization 13174 Y N 13174 Y N

Montifiore HMO 46161 Y N 46161 Y N

Monumental Life Insurance Company MMLIC N N

Monumental Life Insurance Company (AR) TLINS Y N TLINS Y N

Monumental Life Insurance Company (IA) TRCLF Y N TRCLF Y N

Monumental Life Insurance Company (IA, MD, PA) TRP1E Y N TRP1E Y N

Monumental Life Insurance Company (TX) TRLTC Y N TRLTC Y N

MORRIS ASSOCIATES 35092 N N 35092 N N

Mosaic IPA Medical Group IP083 N N

Motion Pictures Industry 99282 N N 99282 N N

Mountain State Blue Cross and Blue Shield SB941 Y Y

Mountain State Blue Cross of West Virginia 12B28 Y Y

Mountain States Administrative Services (Tucson AZ) 86040 N N 86040 N N

MPE Services Inc. 37233 N N 37233 N N

MPEEBT 37233 N N 37233 N N

MS Medicare Part A (JH) 12M17 Y Y

MS Medicare Part B (JH) SMMS0 Y Y

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Payer Code

Accepts

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Claims


Accepts

Secondary

Claims

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CLAIMS PAYER LIST

10/06/2015


MSA Care Guard 20572 Y N 20572 Y N

MSC (Medical Service Company) Group, Inc. 80019 N Y 80019 N Y

MSH Reimbursement 05887-NOCD Y N 05887-NOCD Y N

MT Medicare Part A (J3 - Noridian) 12M77 Y Y

MT Medicare Part B (J3 - Noridian) SMMT0 Y Y

Mt. Carmel Health Plan 95655 Y N 95655 Y N

Multicultural Primary Care Medical Group (San Diego) (Synermed) 75299 N N 75299 N N

Multiplan Wisconsin Preferred Provider Network 34080 N N 34080 N N

Municipal Health Benefit Fund 81883 N N 81883 N N

Mutual of Omaha Insurance Company 71412 N N 71412 N N

Mutually Preferred 71412 N N 71412 N N

MVP - Ohio 38224 N N

MVP Health Plan (Mohawk Valley) 14165 N N 14165 N N

MVP Health Rochester 12X04 Y N SX089 Y N

My Family Medical Group 33020 N N 33020 N N

MyNexus, Inc. 32043 N N 32043 N N

N.W. Ironworkers Health & Security Trust Fund 91136 N N 91136 N N

N.W. Roofers & Employers Health & Security Trust Fund 91136 N N 91136 N N

N.W. Textile Processors 91136 N N 91136 N N

NAA (North America Administrators L.P.) (Nashville TN) 65085 N N 65085 N N

NABN (Cleveland OH) 34159 N N 34159 N N

NALC/Affordable 53011 Y N 53011 Y N

NAMCI/Global Care L0110 Y N L0110 Y N

Naperville HealthCare 12T26 N N TH088 N N

NAPHCARE INC. 58182 Y N 58182 Y N

National Association of Letter Carriers 53011 Y N 53011 Y N

National Association of Letter Carriers/NALC 53011 Y N 53011 Y N

National Capital Preferred Provider Organization (NCPPO) 90001 Y N 90001 Y N

National Imaging Assoc Inc / Magellan Health Services 12X27 Y N

National Imaging Associates SX190 N N

National Rural Electric Coop (NRECA) 52132 Y N

National Telecommunications Cooperative Association 52120 N N 52120 N N

National Telecommunications Cooperative Association (NTCA - Staff) 52104 N N 52104 N N

National Telecommunications Cooperative Association (NTCA) 52103 N N 52103 N N

Nationwide Health Plans 31417 Y N 31417 Y N

Native Care Health 19191 Y N 19191 Y N

ND Medicare Part A (J3 - Noridian) 12M82 Y Y

ND Medicare Part B (J3 - Noridian) SMND0 Y Y

NE Medicare Part A (J5 - WPS) 12M19 Y Y

NE Medicare Part B (J5 - WPS) SMNE0 Y Y

Nebraska Medicaid 12K19 Y Y SKNE0 Y Y

Neighborhood Doctors Organization 51909 N N 51909 N N

Neighborhood Health Partnership (NHP) 96107 N N 96107 N N

Neighborhood Health Plan (Boston MA) 04293 N N 04293 N N

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Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Neighborhood Health Plan (Boston, MA) 04293 N N 04293 N N

Neighborhood Health Plan Rhode Island 05047 Y N 05047 Y N

Neighborhood Health Plan Rhode Island - Exchange, Unity, Integrity 96240 N N 96240 N N

Netcare Life and Health Insurance (Hagatna Guam) 66055 N N 66055 N N

Network Health 04332 N Y 04332 N Y

Network Health Insurance Corp-Medicare 77076 N N 77076 N N

Network Health Plan of Wisconsin 39111 N N

Network Health Plan of Wisconsin Inc. 39144 N N 39144 N N

Network Medical Management NMM01 N N NMM01 N N

Network TPA LLC 58204 N N 58204 N N

Nevada Health Coop 90091 Y N 90091 Y N

Nevada Medicaid 12K20 Y Y

Nevada Medicaid First Health Services SKNV0 Y Y

NEW AVENUES INC. 95998 Y N 95998 Y N

New Century Health - IEHP Oncology NCH11 N N

New Century Health - Vista Cardiology NCH09 N N

New Era Employee Welfare Benefit Plan Trust 76031 N N 76031 N N

New Era Life Insurance Company 75281 N N 75281 N N

New Hampshire Medicaid 12K90 Y Y SKNH0 Y Y

New Jersey Medicaid 12006 Y Y

New Jersey Medicaid Part B SKNJ0 Y Y

New Jersey Medicaid-Charity Care CKNJ2 Y Y

New Mexico Blue Cross 12B22 Y Y

New Mexico Health Connections 45129 Y N 45129 Y N

New Mexico Medicaid 12K22 Y N SKNM0 N N

New West Health Plan 84141 N N

New West Health Services SX164 N N

New York Life 12T69 N N TH122 Y N

New York Medicaid 12K35 Y Y SKNY0 Y Y

New York Network Management 11334 N N

NGS American Inc 38225 N N 38225 N N

NGS JK Home Health & Hospice JKHHH Y Y

NH Medicare Part A (J14 - NHIC) 12M21 Y Y

NH Medicare Part B (J14 - NHIC) SMNH0 Y Y

NHBCAUX 88050 N N 88050 N N

NHI BILLING SERVICES INC 14043 Y N

NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan) 11325 Y Y 11325 Y Y

Nippon Life Insurance Company of America 81264 N N 81264 N N

NJ Carpenters Health Fund 22603 Y N 22603 Y N

NJ Medicare Part A J12 12005 Y Y

NJ Medicare Part B J12 SMNJ0 Y Y

NM Medicare Part A (JH) 12M22 Y Y

NM Medicare Part B (JH) SMNM0 Y Y

NMCI Pilot N N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Noble AMA Select IPA PDT01 N N

North American Benefits Network (Cleveland OH) 34159 N N 34159 N N

North American Medical Management - Southern California IP079 N N IP079 N N

North American Medical Management (NAMM) - Northern California E3510 N N

North American Medical Management (NAMM) - Southern California E3510 N Y

North Broward Hospital District 37314 N N 37314 N N

North Carolina Medicaid 12K23 Y Y SKNC0 Y Y

North Carolina Medicare Part A 12M23 Y Y

North Carolina Medicare Part B SMNC0 Y Y

North County Health Services SCP01 N N SCP01 N N

North County Select 77017 N N 77017 N N

North Dakota Blue Cross (Noridian) 12B78 Y Y

North Dakota Medicaid (Hospital) 12K78 Y N

North Dakota Medicaid (Medical) SKND0 Y N

North Suburban Associated Physicians 36392 N N 36392 N N

North Texas Healthcare Network 35212 Y N 35212 Y N

North West Orange County Medical Group PROSP N N

Northern Illinois Health Plan 36347 N N 36347 N N

Northern Nevada Trust Fund 88027 N N 88027 N N

Northridge Medical Group NMG01 N N

Northshore LIJ Insurance Company 46227 Y N 46227 Y N

NorthShore Physician Associates 48026 Y N 48026 Y N

NorthShore University Health System Medical Group 36364 N N 36364 N N

Northstar Advantage 60058 N N 60058 N N

Northwest Diagnostic Clinic/SelectCare of Texas (NWDC) 62119 N N 62119 N N

Northwest Suburban IPA (Illinois) 36346 N N 36346 N N

Novanet 06226 N N 06226 N N

Novasys Health Network 71080 N N 71080 N N

NPS 22262 N N

Nuestra Familia Medical Group (Prospect Medical Group) PROSP N N

NV Medicare Part B (J1 - PGBA) SMNV0 Y Y

NY Medicare Part A (J13 - NGS) 12M35 Y Y

NY Medicare Part B Downstate (J13 - NGS) SMNY0 Y Y

NY Medicare Part B Queens (J13 - NGS) SMNY2 Y Y

NY Medicare Part B Upstate (J13 - NGS) SMNY1 Y Y

Nyhart 37299 N N 37299 N N

NYLCare Ethix Northwest 91135 N N

NYS DOH UCP 14142 Y N 14142 Y N

Oak West Physician Association 36400 N N 36400 N N

OAK WEST PRIMARY PHYSICIAN ASSOCIATION 36402 N N 36402 N N

Oasis IPA DESRT N N

Occular Benefits L0140 N N L0140 N N

OH Medicare Part A (J15) 12M24 Y Y

OH Medicare Part B (J15) SMOH0 Y Y

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Ohio Health Choice PPO 34189 N N 34189 N N

Ohio Medicaid SKOH0 Y N SKOH0 Y N

Ohio PPO Connect 74431 Y N 74431 Y N

OK Medicare Part A (JH) 12M37 Y Y

OK Medicare Part B (JH) SMOK0 Y Y

OK State Employees & Educators (EDS) 22521 N N 22521 N N

Oklahoma Medicaid 12K25 Y N SKOK0 Y N

Olympus Managed Health Care 65074 Y N 65074 Y N

OMNI Care Health Care 25150 Y N 25150 Y N

OMNI/Medicore HP 68037 N N 68037 N N

One Call Medical 22321 N N 22321 N N

OneNet PPO (formerly Alliance PPO / MAPSI) 52149 N N 52149 Y N

Operating Engineers Locals 302 & 612 Health & Security Fund 91136 N N 91136 N N

OptiCare Managed Vision 56190 N N

Optima Health Plan 54154 Y N 54154 Y N

Optima Insurance Company 54154 Y N 54154 Y N

Optimum Choice of the Carolinas Inc. (OCCI) 52152 Y N

Optimum Healthcare Inc. 20133 N N 20133 N N

OptumHealth 87726 Y N

OptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health) 33053 N N 33053 N N

OptumHealth Behavioral Solutions (formerly United Behavioral Health) 87726 Y N 87726 Y N

OptumHealth Care Solutions (formerly United Resource Networks) 41194 Y N 41194 Y N

OptumHealth Physical Health - includes Oxford (formerly ACN & ACNIPA) 41160 N N

OptumHealth Vision 00773 Y N

OR Medicare Part A (J2 - Noridian) 12M41 Y Y

OR Medicare Part B (J2 - Noridian) SMOR0 Y Y

Orange County Health Care Agency 65021 Y N 65021 Y N

Oregon Medicaid 12K41 Y Y SKOR0 Y Y

Oregon's Health Co-op 45332 N N 45332 N N

Orthonet - Uniformed Services Family Health Plan 13382 N N

Orthonet- Aetna 13383 Y N 13383 Y N

Orthonet Corporation - CIGNA 13381 N N 13381 N N

Orthonet-HealthNet 25681 N N

OSF Health Plans 62171 N N 62171 N N

OSMA Health - C. L. Frates 73071 N N 73071 N N

PA Medicare Part A J12 12M60 Y Y

PA Medicare Part B J12 SMPA0 Y Y

PACE CNY 70454 N N 70454 N N

PACE Southeast Michigan 86711 N N 86711 N N

Pace Suburban Bus Service (via IDPA) PACE1 N X

Pacific Alliance Medical Center 75299 N N 75299 N N

Pacific Alliance Medical Group and Hospital (Synermed) 75299 N N 75299 N N

Pacific IPA PCFCI N N

PacificSource Community Solutions 20416 N N 20416 N N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


PacificSource Health Plans 93029 Y N 93029 Y N

PacificSource Medicare 20377 Y N 20377 Y N

Palo Alto Medical Foundation 94115 Y N 94115 Y N

Pan American Life Insurance Group 04218 N N 04218 N N

Paramount SX158 N N SX158 N N

Parkland Community Health Plan 66917 N N 66917 N N

Part A National - Legacy Claims 52280 Y Y

PARTNERS BEHAVIORAL HEALTH MANAGEMENT 52613 Y Y 52613 Y Y

Partners In Health Chicago IL MG#468 51909 N N 51909 N N

Partnership Health of California-CAPHP SX140 N Y

Partnership Health Plan Of CA 12M81 Y Y

Passport Health Plan 61129 Y N 61129 Y N

Patient Advocates LLC 10525 N N 10525 N N

Patient Services Inc CB733 N N CB733 N N

PATIENTPAY 26335 Y N

Payer Fusion 27048 N N 27048 N N

PCC Community Wellness Center Family Health Network patients only 51909 N N 51909 N N

Peach State Health Plan 68069 Y N 68069 Y N

Pegasus Medical Group PROSP N N

Pekin Insurance 37086 N N 37086 N N

Penn Behavioral Health 53226 Y N 53226 Y N

Pennsylvania Highmark Blue Shield - Central 12B81 Y Y

Pennsylvania Medicaid 12008 Y N SKPA0 Y N

Pennsylvania Pace 20172 N N 20172 N N

Peoples Health Network 72126 N N 72126 N N

PerformCare-Select Health MH/SA 25176 N N 25176 N N

Permier Health Plans 43166 N N

Personal Insurance Administrators Inc. (Agoura Hills CA) 95397 N N 95397 N N

PHCS Claims (formerly American LIFECARE) 72099 Y N 72099 Y N

PHCS Savility Payers 13306 N N 13306 N N

Phoenix Choice 55649 N N 55649 N N

Phoenix Health Plan 03440 Y N 03440 Y N

Phoenix Mutual Life 67814 N N 67814 N N

Physician Associates of Louisiana 58204 N N 58204 N N

Physician Associates of the Greater San Gabriel Valley PA513 N N PA513 N N

Physician Care Network LLC 58204 N N 58204 N N

Physician Health Partners PHPMD N N PHPMD N N

Physician Partners IPA PPRT1 N N PPRT1 N N

PHYSICIAN'S ACCOUNTABLE CARE ORG 28943 N N 28943 N N

Physicians Care (ASR Corporation) 38265 N N 38265 N N

Physicians Care Health Plans (ASR Corporation) 38265 N N 38265 N N

Physicians Care Network (ASR Corporation) 38265 N N 38265 N N

Physicians Care Network (Rockford IL only) 36345 N N 36345 N N

PHYSICIANS CARE NETWORK LLC/Polyclinic Seattle PCN12 N N PCN12 N N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Physician's Data Trust PDT01 N N

Physicians Health Association of Illinois 37136 N N 37136 N N

Physicians Health Choice - Claims 12T51 N N

Physicians Health Choice - Encounters 12T44 N N TH114 N N

Physicians Health Claims - Claims TH113 Y N

Physicians Health Collaborative 20398 N N 20398 N N

Physicians Health Network MHM03 N N

Physicians Health Plan 37330 Y N 37330 N N

Physicians Health Plan (PHP) - SC 09173 N N

Physicians Health Plan of Northern Indiana, Inc 12399 N N 12399 Y N

Physicians Medical Group of San Jose EXC01 N N

Physicians Medical Group of Santa Cruz County PMGSC N N

Physicians Mutual Insurance Company 47027 N N 47027 N N

Physicians of Southwest Washington 91171 N N 91171 N N

Physicians Plus Insurance Corporation 39156 N N 39156 N N

Physicians United Plan 10775-NOCD N Y 10775-NOCD N Y

Piedmont Behavioral Health 06607 Y N 06607 Y N

Piedmont Wellstar Health Plan 251PD Y N 251PD Y N

Pinnacle Claims Management Inc. 24735 N N 24735 N N

Pinnacle Health Resources (Prospect Medical Group) PROSP N N

Pinnacle Physician Management ORG 45985 N N 45985 N N

Pinnacol Assurance 84109 N N 84109 N N

Pioneer Medical Group PIONR N N

Pittsburgh Care Partnership Inc. 23283 N N 23283 N N

Plan de Salud Hospital Menonita L0190 N N L0190 N N

Planned Administrators, Inc. (PAI) 37287 Y N 37287 Y N

Podi Care Managed Care 58204 N N 58204 N N

PODIATRY NETWORK FL 59324 N N 59324 N N

POMCO 16111 Y N 16111 Y N

Pomona Valley Medical Group IP057 N N

PPOM LLC 38335 N N 38335 N N

PPOONE UHNDC Y N

PPOPlus LLC 72148 Y N 72148 Y N

PR Medicare Part B (J9 - First Coast) SMPR0 Y Y

Prairie States Enterprises Inc. 36373 N N 36373 N N

Preferred Blue (SC) 00481 N N 00481 N N

Preferred Care Partners Florida 65088 N N 65088 N N

Preferred Community Choice/PCCSelect/CompMed 73145 Y N 73145 Y N

Preferred Health Plan (Louisville KY) 61106 N N 61106 N N

Preferred Health Plan of the Carolinas CB404 N N CB404 N N

Preferred Health Professionals 31478 N N 31478 N N

Preferred Health Systems A Coventry Health Care Plan 60110 N N 61665 N N

Preferred Health Systems Insurance Company 60110 N N

Preferred IPA PFIPA N N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Preferred Network Access Inc. 36401 N N 36401 N N

Preferred Plus of Kansas 60110 N N

PreferredOne (MN) 41147 Y N 41147 Y N

Premera Blue Cross 12B27 Y N

Premier Benefits Inc. 43166 N N 43166 N N

Premier Care IPA PCI01 N N

Premier Eye Care 65054 Y N

Premier Health Plan 251PR Y N 251PR Y N

Premier Health Plans 43166 N N

Premier Health Systems Inc 90440 Y N 90440 Y N

Premier Health Systems Inc. 29076 Y N 29076 Y N

Premier HealthCare Exchange 88056 N N 88056 N N

Premier HealthCare Exchange, Inc. (PHX) 88051 N N 88051 N N

Presbyterian (NM) 05003 Y N 05003 Y N

Presbyterian Health Plan PREHP N N PREHP N N

Prestige Health Choice 77003 Y N 77003 Y N

Prevea 360 Health Plan 39113 N N 39113 N N

Prima Health IPA IP096 N N

Primary Care Associates Medical Group (PCAMG) IP079 N N IP079 N N

Primary Health Network 82048 N N 82048 N N

Primary PhysicianCare Inc. 56144 N N 56144 N N

Prime West Health Plan 61604 Y N 61604 Y N

PrimeCare Medical Network IP079 N N IP079 N N

Priority Health 38217 Y N 38217 Y N

Prism Network Inc. 37268 N N

Prism-Univera 37315 N N

Pro Care Health Plan Inc. (Detroit MI) 38329 N N 38329 N N

ProCare (Prospect) PROSP N N

ProCare Health Plan Medicaid 70259 N N 70259 N N

Professional Benefit Administrators Inc. (Oak Brook IL) 36331 N N 36331 N N

Professional Risk Management 34134 N N 34134 N N

ProMed HealthCare Administrators IP057 N N

Prominence Health Plan of Nevada 93082 N N 93082 N N

Prominence Health Plan of Texas 80095 N N 80095 N N

Prospect Health Network PROSP N N

Prospect Medical Group PROSP N N

Prospect Sherman Oaks Medical Group (Prospect Medical Group) PROSP N N

Protective Life Insurance Company 37309 N N 37309 N N

Providence of Oregon Health Plan SX133 N N SX133 N N

Providence PPO SX187 Y N SX187 N N

Provident American Life & Health Ins Co-Medicare Supplement 13193 Y N 13193 Y N

ProviDRs Care Network 48100 Y N 48100 Y N

Prudential 68241 N N

PSKW Physician Reimbursement Program PSKW0 Y N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Puget Sound Benefits Trust 91136 N N 91136 N N

Puget Sound Electrical Workers Trust 91136 N N 91136 N N

Pyramid Life Insurance Company 48055 N N 48055 N N

Quad Med LLC (Pewaukee WI) 39197 N N 39197 N N

Qual Choice of Arkansas 35174 Y N 35174 Y N

QualCare Inc. 23342 N N 23342 N Y

Quality Care Partners 89461 Y N 89461 Y N

QuikTrip 73067 N N 73067 N N

QVI Risk Solutions Inc. 57117 N N

R&N Market TKFMC N N

Railroad Medicare (PGBA) SRRGA Y Y

RBMS LLC 91176 N N 91176 N N

Reading Hospital Employer Group 44219 Y N 44219 Y N

Redlands IPA (Synermed) 75299 N N 75299 N N

Regal Medical Group 95449 N N REGAL N N

Regence Blue Cross Blue Shield of Oregon SB850 Y N

Regence Blue Cross Blue Shield of Utah SB910 Y N

Regence Blue Cross of Oregon 12B41 Y N

Regence Blue Shield Idaho 12B88 Y N

Regence Blue Shield of Idaho SB611 Y N

Regence Blue Shield of Washington SB931 Y N

Regency Employee Benefits 38221 N N 38221 N N

Regional Care Inc. 47076 N N 47076 N N

Renaissance Physicians Organization 76066 N N 76066 N N

Reserve National Insurance 73066 Y N 73066 Y N

Resolve Health Plan Administrators LLC RHA01 N N RHA01 N N

ResourceOne Administrators 37278 N N 37278 N N

Resurrection Healthcare Preferred 36396 N N

Resurrection Healthcare Preferred/Family Medical Network 36396 Y N

Resurrection Physician Provider Group RPPG1 N N RPPG1 N N

Retiree Health Trust 26316 N N

Rhode Island Medicaid 12K74 Y Y SKRI0 Y Y

RI Medicare Part A (J14 - NHIC) 12M74 Y Y

RI Medicare Part B (J14 - NHIC) SMRI0 Y Y

Right Care from Scott & White 74205 Y N 74205 Y N

RightChoice Benefit Administrators 37331 N N 37331 N N

RIVER CITY MEDICAL GROUP RCMG1 N N RCMG1 N N

Riverside Health Inc. 45281 N N 45281 N N

RMSCO INC. 16117 Y N 16117 Y N

Rocky Mountain Health Plan - Grand Junction SX141 N Y

Rocky Mountain Health Plan- Grand Junction 84065 N Y

Rosemont of Des Plaines IL 36215 N N

Rural Carrier Benefit Plan 25133 Y N 25133 Y N

Rural Health Clinic - Cahaba GBA 12M53 Y Y

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Rush Prudential Health Plans (HMO Only) 36389 N N 36389 N N

Ryan White Network AMM03 N N

S & S Healthcare Strategies 31441 N N 31441 N N

Sacramento - Primary Care Practices of Sacramento - EHS 75299 N N 75299 N N

Sagamore Health Network 35164 N N 35164 N N

Sage Technologies 37105 N N 37105 N N

SAINT MARY'S HEALTH PLAN 88029 N N 88029 N N

Samaritan Health Plans CP001 N N CP001 N N

San Diego County Coverage Initiative (CI) MSO77 N N MSO77 Y N

San Diego County Medical Services (CMS) MSO11 N N MSO11 Y N

San Diego County Ryan White Care Act MSO33 N N MSO33 Y N

San Diego PACE 96400 N N 96400 N N

San Diego Physicians Med Group (SCPMCS) SCP01 N N SCP01 N N

San Joaquin Health Administrators 68035 Y N

San Judas Medical Group IPA HSM01 N N

San Louis Obispo Select 33072 N N 33072 N N

Sanford Health Plan 91184 Y N 91184 Y N

SANTA CLARA FAMILY HEALTH PLAN 24077 N N 24077 N N

Sante Health System and Affiliates 77038 N N 77038 N N

Satellite Health Plan, Inc. 45552 N N 45552 N N

SCAN ENCOUNTERS 99157 Y N 99157 Y N

SCAN Health Plan 72261 N N 72261 N N

Scan Health Plan Arizona 73172 N N 73172 N N

SCAN Long Term Care 20460 N N 20460 N N

SCHC Total Care - ClaimsNet 16146 N N 16146 N N

Scott & White TH002 N N

Scott & White Health Plan 12T05 Y N

Screen Actors Guild 99289 Y N 99289 Y N

Scripps Health Plan Services SHPS1 N N SHPS1 N N

SD Medicare Part A (J3 - Noridian) 12M83 Y Y

SD Medicare Part B (J3 - Noridian) SMSD0 Y Y

Seaside Health Plan 46187 Y N 46187 Y N

Seaview IPA SVIPA N N

Secure Health Plans of Georgia LLC 28530 N N 28530 N N

Secure Health Plans of Georgia, LLC 28530 N N 28530 N N

Security Health Plan 39045 Y Y 39045 Y Y

Select Administrative Services (SAS) 64088 N N 64088 N N

Select Advantage SA704 N N SA704 N N

Select Benefit Administrators Inc. 93031 Y N 93031 Y N

Select Benefit Administrators of America 37282 N N 37282 N N

SELECT HEALTH 12X37 N N

Select Health of South Carolina 23285 Y N 23285 Y N

Select Senior Clinic 20415 N N 20415 N N

SelectCare 00014 Y N 00014 Y N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


SelectCare of Texas (HPN) Heritage Physicians Network 76045 N N 76045 N N

SelectCare of Texas (Kelsey-Seybold) 61225 N N 61225 N N

SelectHealth SX107 N N

Self Insured Plans (Naples FL) 36404 N N 36404 N N

Self Insured Services Company SISCO N N SISCO N N

Self-Funded Plans Inc. 34131 N N 34131 N N

Sendero Health 36426 Y N 36426 Y N

Senior Care Partners 36390 N N 36390 N N

Senior Health Partners (SHP) 80141 Y N 80141 Y N

SENIOR WHOLE HEALTH 83035 N N 83035 N N

Sentara Family Care 54154 Y N 54154 Y N

Sentara Health Management 54154 Y N 54154 Y N

Sentinel Management Services 23249 N N 23249 N N

Sentry Insurance a Mutual Company 39033 N N 39033 N N

Sentry Life Insurance Company 39033 N N 39033 N N

Sentry Life of New York 39033 N N 39033 N N

Seoul Medical Group SMG01 Y N SMG01 Y N

Sequoia Beverage TKFMC N N

Seton CHIP 76056 N N 76056 N N

Seton Health Plan - Exclusive 12T55 Y N TH079 N N

Seton MAP Program 12T57 Y N TH081 N N

Seven Corners 25404 N N 25404 N N

Sharp Community Medical Group SCMG1 N N

Sharp Rees-Sealy Medical Group SRS83 N N SRS83 N N

Shasta Administrative Services 75280 N N 75280 N N

Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA) 38238 N N 38238 N N

Sherman Choice - BLUE CROSS SHERMAN CHOICE SC359 N N SC359 N N

Sierra Family Network (Prospect Medical Group) PROSP N N

Sierra Health and Life 76342 Y N 76342 Y N

Sierra Medical Group 30891 N N 30891 N N

Sierra Nevada Medical Association MBA01 N N

Significa Benefits Services Inc. 23250 N N 23250 N N

Silver Cross Health Connection 65093 N N 65093 N N

Silverback TPA 37228 N N 37228 N N

Simply Healthcare 27094 N N 27094 N N

Sinai Medical Group Chicago IL Family Health Network patients only 51909 N N 51909 N N

Sinclair Health Plan 84076 N N 84076 N N

Sloans Lake Preferred Health Networks 84096 N N 84096 N N

Smith Administrators 02057 Y N 02057 Y N

Smokey Mountain Center 13010 N Y 13010 N Y

Solstice Benefits 76578 N N

Sound Health (now known as First Choice Health Network) 91131 Y N 91131 Y N

Soundpath Health 42172 N N 42172 N N

South Carolina Medicaid 12K55 Y Y SKSC0 Y N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


South Carolina Medicare Part A (J11) 12M55 Y Y

South Carolina Medicare Part B (J11) SMSC0 Y Y

South Dakota Medicaid 12K36 Y Y SKSD0 Y Y

South FL Community Care Network - NBHD 37314 N N 37314 N N

South Indiana Health Operations - HMO SX142 Y N SX142 Y N

South Point Hotel & Casino 35227 N N 35227 N N

SouthCare/Healthcare Preferred 25147 Y N 25147 Y N

Southeast Community Care (Arcadian) 77045 N N 77045 N N

Southeast Texas Govt Employees Benefit Pool TH116 Y N

Southern Benefit Services 37318 N N 37318 N N

Southern CA Children's Network (SynerMed) 75299 N N 75299 N N

Southern Cal Physicians Managed Care Services SCP01 N N

Southern California Physicians Managed Care Services SCP01 N N

Southern Illinois Health Care Association UIHCA Y N SIHCA Y N

Southland BCBS SIPA1 N N SIPA1 N N

Southwest Service Life 37266 N N 37266 N N

Spectera 00773 Y N

Spectrum Administrators Inc. - TPA Allentown PA (IHS Gateway Payer) 23253 Y N 23253 Y N

Spina Bifida - VA HAC 84146 Y N 84146 Y N

Spohn Health 12T63 N N TH100 N N

St Francis IPA APP01 N N

St Joseph IPA STJOE N N

St Jude Yorba Linda STJOE N N

St. Anthony Memorial Healthcare Centers - MDWISE 35199 N N 35199 N N

St. Barnabas System Health Plan 22240 N N 22240 N N

St. Catherine Hospital PHO - MDWISE 35199 N N 35199 N N

St. Francis Health Care Chicago IL MG#112 51909 N N 51909 N N

St. Francis Health Network 35199 N N 35199 N N

St. James PHO 11158 Y N 11158 Y N

St. Joseph Heritage Healthcare STJOE N N STJOE N N

St. Jude (St. Joseph Heritage Healthcare) STJOE N N

St. Margaret Mercy Healthcare Centers - MDWISE 35199 N N 35199 N N

St. Vincent IPA PDT01 N N

Standard Life and Accident (Secondary claims only) 73099 Y Y 73099 Y Y

Starmark 61425 N N 61425 N N

State Auto Insurance Companies 46450 N N 46450 N N

State Employee Plan (SC) 00400 N N 00400 N N

State Farm (Casualty & Property Claims) 31059 Y N 31059 Y N

State Farm Insurance Companies 31053 N N 31053 N N

State of Texas Dental Plan 57254 N N 57254 N N

States General Life Insurance 75087 N N 75087 N N

Sterling Option 1 91151 N N 91151 N N

Stirling & Stirling 06089 N N

Stonebridge Life Insurance Company (IA, PA) TRP1E Y N TRP1E Y N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Stonebridge Life Insurance Company (TX) TRP1P Y N TRP1P Y N

Stoner and Associates (Cincinnati OH) 31121 N N 31121 N N

Stones River IPA - Amerivantage 57492 Y N

Stones River Regional IPA/BCBST 15750 N N

Stones River Regional IPA/BHFG 15754 N N

Stones River Regional IPA/Humana 57549 Y N

Stones River Regional IPA/Windsor 15752 N N

Suburban Health Organization 35199 N N 35199 N N

SummaCare Health Plan 95202 Y N 95202 Y N

Summit Administration Services Inc. 86083 N N 86083 N N

Summit America Insurance Services Inc. 37301 N N 37301 N N

Sunshine State Health Plan 68069 Y N 68069 Y N

Superior Administrators Inc (Santa Ana CA) 23218 N N 23218 N N

Superior Health Plan Texas 68069 Y N 68069 Y N

Sutter Connect Medical Foundation 99308 Y N

Sutter Delta Medical Group 77318 N N

Sutter East Bay Medical Foundation 94269 Y N 94269 N N

Sutter East Bay Regional Hospital 96176 Y N 96176 Y N

Sutter East Bay Regional Hospital- Affinity 94119 Y N 94119 Y N

Sutter Gould Medical Foundation 77302 Y N 77302 N N

Sutter Medical Group of the Redwoods 77304 Y N 77304 Y N

Swedish Covenant Hospital 36411 N N 36411 N N

Talbert Medical Group TALMG N N

Tall Tree Administrators 88067 N N 88067 N N

TASEBA TKFMC N N

TBT 94304 N N 94304 N N

Teachers Health Trust 88019 N N

Team Choice PNS 75133 N N 75133 N N

Teamcare 36215 N N 36215 N N

TEAMSTERS (UT/ ID / MT) - Group Benefit Admin 88054 Y N 88054 Y N

Teamsters Benefit Trust 94304 N N 94304 N N

Teamsters Local Union #301 36612 N N

Temple Community Hospital 75299 N N 75299 N N

Tennessee Medicaid 12K46 N Y SKTN2 N Y

Tethys Health Ventures 20212 N N 20212 N N

TEXAS CHILDRENS HEALTH TXCSM N N

Texas Children's Health Plan 76048 N N 76048 N N

Texas Childrens Health Plan (Medicaid) 75228 N N 75228 N N

Texas Christus 45210 N N 45210 N N

Texas First Health Plans (TIOPA) 76046 N N 76046 N N

Texas Health Insurance Risk Pool SB900 Y N

Texas HealthSpring 33104 N N 33104 N N

Texas Medicaid 12K64 Y N SKTX0 Y N

Texas Mutual Insurance Company WK002 N N WK002 N N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Texas Premier Plan TH089 N N

TexasFirst Health Plan (NTX) 13185 N N 13185 N N

The Alliance 88461 N N 88461 N N

The Care Network/The Savannah Business Group 68423 Y N 68423 Y N

The City of Odessa 75600 N N 75600 N N

The Health Exchange (Cerner Corporation) 20356 N N 20356 N N

The Health Plan/Hometown Health 34150 N N 34150 N N

The Healthcare Group 35206 N N 35206 N N

The Integrity Benefit Group Inc. 58200 N N 58200 N N

The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer) 23223 Y N 23223 Y N

The MEGA Life & Health Insurance Company-OKC 59227 N N

The National Radiology Network 59087 N N 59087 N N

The New England 66893 N N

The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM 31074 Y N 31074 Y N

Third Party Administrators 37225 N N

Thomas H. Cooper & Company SX160 Y N

Three Rivers Preferred MP340 Y N

Thrivent Financial THRIV N N THRIV N N

TN Medicare Part A (J10 - Cahaba) 12M53 Y Y

TN Medicare Part B (J10 - Cahaba) SMTN0 Y Y

Today's Options (American Progressive and Pyramid Life) 48055 N N 48055 N N

Today's Options powered by CCRX 48055 N N 48055 N N

Tongass Timber Trust 92620 Y N 92620 Y N

Tooling & Manufacturing Association 61425 N N 61425 N N

Torrance Hospital IPA THIPA N N THIPA N N

Total Broker Benefits 36342 N N 36342 N N

Total Claims Administration 37314 N N 37314 N N

Total Community Care 31182 N N 31182 N N

Total Healthcare Inc. 38201 N N 38201 N N

Total Plan Services 41202 N N 41202 N N

Touchstone Health PSO 23856 N N 23856 N N

TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE 13402 N N 13402 N N

Town & Country TKFMC N N

TPAC/Employee Benefit Management Corp 31074 Y N 31074 Y N

TR Paul Inc. 37230 N N 37230 N N

Transact RX PARTD N N

TransAmerica Financial Life Insurance Company (AR) TLINS Y N TLINS Y N

TransAmerica Financial Life Insurance Company (TX) TRP1P Y N TRP1P Y N

TransAmerica Life Insurance Company (AR) TLINS Y N TLINS Y N

TransAmerica Life Insurance Company (IA, MD, PA) TRP1E Y N TRP1E Y N

TransAmerica Life Insurance Company (TX) TRP1P Y N TRP1P Y N

TransAmerica Premier Life Insurance Company (AR) TLINS Y N TLINS Y N

TransAmerica Premier Life Insurance Company (IA) TRCLF Y N TRCLF Y N

TransAmerica Premier Life Insurance Company (IA, MD, PA) TRP1E Y N TRP1E Y N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


TransAmerica Premier Life Insurance Company (TX) TRP1P Y N TRP1P Y N

Transchoice or TransSmile - First Service Administrator's Inc 20807 Y N 20807 Y N

TransChoice-Key Benefit Administrators 37284 Y N 37284 Y N

Trellis Health Partners 36397 N N 36397 N N

Tribute /SelectCare of Oklahoma 73117 N N 73117 N N

Tribute Health Plan 31118 Y N 31118 Y N

Tricare for Overseas 12X46 N Y

Tricare North Region 57106 Y N 57106 Y N

Tricare Overseas SX163 N Y

Tricare West 99726 Y N 99726 Y N

TriCities IPA PDT01 N N

Trigon Blue Cross and Blue Shield (Virginia) SB924 Y N

TRIHEALTH PHYSICIAN SOLUTIONS 31144 N Y 31144 N Y

TRIHEALTH PHYSICIAN SOLUTIONS - CONCERN 31143 N N 31143 N N

Trilogy Network 62777 Y N 62777 Y N

TRIPLEFIN LLC 64300 N N 64300 N N

Triple-S Inc. 12B48 N Y SB980 N Y

TriWest VAPC3 Region 3 55912 N Y 55912 N Y

TriWest VAPC3 Region 5A 55915 N Y 55915 N Y

TriWest VAPC3 Region 5B 55916 N Y 55916 N Y

TriWest VAPC3 Region 6 55917 N Y 55917 N Y

TRLHN/AS 98514 Y N 98514 Y N

True Blue / Blue Cross of Idaho 12B84 Y Y

TRUSTED HEALTH PLAN L0230 Y N L0230 Y N

Trusteed Plans Service Corporation 91078 N N 91078 N N

Trustmark Insurance Company 61425 N N 61425 N N

Tufts Associated Health 04298 N Y 04298 Y Y

TX Medicare Part A and Indian Health Services JH 12M31 Y Y

TX Medicare Part B and Indian Health Services JH SMTX0 Y Y

TX Premier Plan - Medicaid 12T29 N N

Ucare Minnesota 12X50 N Y SX178 N N

UC-Davis Health 94603 Y N 94603 Y N

UICPG Chicago IL MG#141 51909 N N 51909 N N

Ullico Inc. ULLIC N N ULLIC N N

Ultimate Health Plan 77022 N N 77022 N N

Ultra Benefits Inc. 41206 Y N 41206 Y N

UMC HEALTH PLAN 75130 Y N 75130 Y N

UMR (formerly Lexington / CommonWealth Administrative Group) 37237 Y N 37237 Y N

UMR (formerly UMR Onalaska) 79480 N N 79480 N N

UMR (formerly UMR San Antonio Benefit Planners) 74223 Y N 74223 Y N

UMR (formerly UMR Wausau Fiserv Benesight) 39026 Y N 39026 Y N

UMR Westerville (formerly Harrington Benefit Services - Columbus) 95266 Y N 95266 Y N

UMWA Health & Retirement Funds 52180 Y N 52180 Y N

Unicare Life & Health 80314 Y N 80314 Y N

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Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Unified Group Services 35198 N N 35198 N N

Unified Health Services 62170 N N 62170 N N

Unified IPA HCP01 N N

Unified Physicians Network 34638 Y N 34638 Y N

Uniform Medical Plan 75243 N N 75243 N N

Union Labor Life Insurance Company (IA) TRP1E Y N TRP1E Y N

Union Pacific IPA (SCPMCS) SCP01 N N SCP01 N N

UNION PACIFIC RAILROAD EMPLOYES Health Systems 87042 Y N 87042 Y N

Union Security Insurance Company 70408 N N 70408 N N

Unison Health Plan/Better Health Plans 62183 Y N 62183 Y N

United Agriculture Benefit Trust UABT1 Y N

UNITED FOOD & COMM. WORKERS MIDWEST UNIONS 36659 N N

United Medical Alliance 84132 N N 84132 N N

United of Omaha 71412 N N 71412 N N

United Teacher Assoc Ins Co-Medicare Supplement 13193 Y N 13193 Y N

UnitedHealthcare 87726 Y N 87726 Y N

UnitedHealthcare (Definity Health Plan) 87726 Y N

UnitedHealthcare (Empire Plan) 87726 Y N

UnitedHealthcare (formerly Definity Health Plan) 64159 N N 64159 N N

UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI) 52148 Y N 52148 Y N

UnitedHealthcare (Oxford Health Plans) 06111 N N 06111 N N

UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly MAMSI) 87726 Y N 87726 Y N

UnitedHealthcare / UHIS - UnitedHealth Integrated Services 39026 Y N 39026 Y N

UnitedHealthcare / UnitedHealthcare Plan of the River Valley 87726 N N 87726 N N

UnitedHealthcare / UnitedHealthcare StudentResources 74227 Y N 74227 Y N

UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare) 87726 Y N 87726 Y N

UnitedHealthcare Community Plan 87726 Y N 87726 Y N

UnitedHealthCare Community Plan (KS / KanCare) 96385 Y N 96385 Y N

UnitedHealthcare Community Plan / DC DE OH PA SC (formerly Unison) 87726 Y N 87726 Y N

UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA) 03432 N N 03432 N N

UnitedHealthcare Community Plan / FLHI LA MD MS CAN OH RI TX WAWI 87726 Y N 87726 Y N

UnitedHealthcare Community Plan / hawk-i 87726 N N 87726 N N

UnitedHealthcare Community Plan / IA (formerly AmeriChoice of Iowa) 87726 N N 87726 N N

UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan) 95467 Y N 95467 Y N

UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS-CHIP) 87726 N N 87726 N N

UnitedHealthcare Community Plan / NE 87726 Y N 87726 Y N

UnitedHealthcare Community Plan / NJ 86001 N N 86001 N N

UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid) 87726 Y N 86048 N N

UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care) 87726 Y N 86002 N N

UnitedHealthcare Community Plan / NYU 87726 Y N 87726 Y N

UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP 86049 N N 86049 N N

UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ) 86003 N N 86003 N N

UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare) 95378 N N 95378 N N

UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete 87726 Y N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care 87726 Y N 87726 Y N

UnitedHealthcare Medicare Solutions 87726 Y N

UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete 87726 Y N 87726 Y N

UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan 87726 Y N 87726 Y N

UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete 87726 Y N 87726 Y N

UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect 87726 Y N 87726 Y N

UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan 87726 Y N 87726 Y N

UnitedHealthcare Vision 00773 Y N

UnitedHealthcare West (formerly PacifiCare of Arizona) 95964 N N 95964 N N

UnitedHealthcare West (formerly PacifiCare of CA - Claims) 95959 N N 95959 N N

UnitedHealthcare West (formerly PacifiCare of Colorado) 95962 N N 95962 N N

UnitedHealthcare West (formerly PacifiCare PPO - All States) 95999 N N 95999 N N

UnitedHealthOne (formerly American Medical Security) 81400 N N 81400 N N

UnitedHealthOne (formerly Golden Rule) 37602 Y N 37602 Y N

UnitedHeathcare Community Plan (formerly Unison Health Plan) 87726 Y N 87726 Y N

Unitrin Direct Property & Casualty Company 16063 N N 16063 N N

Unity Health Insurance 66705 N N 66705 N N

Univera - Health Care Plan/ChoiceCare Buffalo SX087 N Y

Univera - Pre Paid Health Plan of NY SX086 N Y

Univera - Univera Health Southern Tier SX088 N Y

Univera Healthcare CNY 12X17 N Y

Univera Healthcare SSA ENY 12X20 N Y

Univera Healthcare SSA WNY PPO Traditional 12X19 N Y

Univera Healthcare WNY 12X18 N Y

Univera SSA ENY SX090 N Y

Univera SSA WNY SX091 N Y

Universal Benefits (IA, MD) TRP1E Y N TRP1E Y N

Universal Care - California 33001 N N 33001 N N

University Family Care 09830 Y N 09830 Y N

University Family Care - Maricopa Health Plan 09908 Y N 09908 Y N

University Health Alliance 99026 Y Y

University Health Care Advantage 46407 N N 46407 N N

University Healthcare Marketplace 45437 Y N 45437 Y N

University of Illinois at Chicago Div of Specialized Care for Children 37601 N N 37601 N N

University of Missouri 25133 Y N 25133 Y N

University of Utah Health Plans SX155 N N

Upland Medical Group IP056 N N

UPMC Health Plan 23281 Y N 23281 Y N

UPMC Vision Advantage 25184 N N 25184 N N

Upper Peninsula Health Group (TPA) 37324 N N 37324 N N

Upper Peninsula Health Plan (Medicaid) 38337 N N 38337 N N

US Benefits 93092 Y N 93092 Y N

US Department of Labor 12X31 Y N

US Family Health Plan 90551 N N 90551 N N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


US Family Health Plan (USFHP) 12T48 N N TH103 N N

USAA (United Services Automobile Association) 74095 N N 74095 N N

USFHP - St. Vincent Catholic Medical Centers of New York 13407 N N 13407 N N

UT- Altius (UHIN) 25133 Y N 25133 Y N

UT Medicare Part A (J3 - Noridian) 12M84 Y Y

UT Medicare Part B (J3 - Noridian) SMUT0 Y Y

Utah Blue Cross (Regence Blue Cross of Oregon) 12B42 Y N

Utah Medicaid 12K42 Y Y SKUT0 Y Y

UW Graduate Appointee Plan 91136 N N 91136 N N

VA Fee Basis Programs 12115 Y N 12115 Y N

VA Medicare Part A (J11) 12004 Y Y

VA Medicare Part B (J11) SMVA0 Y Y

Valir Pace 64009 N N 64009 N N

Valley Baptist Health Plan 12T06 Y N TH022 N N

Valley Care IPA VCIPA N N

Valley Mental Health 94293 N N

Valley Preferred - PPO Allentown PA (IHS Gateway Payer) 23253 Y N

Value Options - Commercial 12X56 Y N 00813 N Y

VALUE OPTIONS (TX NORTHSTAR) 99297 N N

Value Options PA 12K1A N N

ValueOptions Maryland Mental Hygiene Ad 22322 Y Y

ValueOptions/MBHP (MA Behavioral Health Partnership) VALOP Y Y VALOP Y Y

Vantage Health Plan Inc. 72128 N N 72128 N N

Vantage Medical Group PPM01 N N

VentureNet Healthcare 86062 Y N 86062 Y N

Verdugo Hills Medical Group 66126 N N 66126 N N

Verity National Group 75256 Y N 75256 Y N

Vermont Medicaid 12K26 Y Y SKVT0 Y Y

VGM Homelink 50701 N N

VI Medicare Part A (J9 - First Coast) 12M52 N Y

VI Medicare Part B (J9 - First Coast) SMVI0 Y Y

Via Christi HOPE 48123 N N 48123 N N

Victor Valley IPA VVIPA N N

Village Family Practice 73743 N N 73743 N N

VillageCareMAX 26545 N N 26545 N N

Virginia Coordinated Care-VCC 84806 N N

Virginia Medicaid 12003 Y N CVAK1 N N

Virginia Premier Health Plan 12K83 Y Y 54176 Y Y

Vista Health Plan 55248 N N 55248 N N

Vista Oncology - New Century Infusion Solutions NCH08 N N

Viva Health Plan 63114 N N 63114 N N

VNA Homecare Options 31626 Y N 31626 Y N

VNS CHOICE Medicare 77073 N N 77073 N N

VOLUSIA HEALTH NETWORK 59266 N N 59266 N N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


VT Medicare Part A (J14 - NHIC) 12M26 Y Y

VT Medicare Part B (J14 - NHIC) SMVT0 Y Y

Vytra Healthcare 22264 Y N 22264 Y N

WA - Premera Blue Cross SB930 Y N

WA - Washington Coordinated Care 68069 Y N 68069 Y N

WA Medicare Part A (J2 - Noridian) 12M45 Y Y

WA Medicare Part B (J2 - Noridian) SMWA0 Y Y

Wabash Memorial Hospital Association 85256 N N 85256 N N

Washington Medicaid 12K27 Y Y

Washington Medicaid (Provider One) SKWA0 Y Y

WASHINGTON State Dept of LABOR & INDUSTRY SX063 N N SX063 N Y

Waterstone Benefit Administrators (Oklahoma Providers) 73155 N N 73155 N N

Waterstone Benefit Administrators (Outside Oklahoma) 23051 N N 23051 N N

WEA Insurance Group 39151 N N 39151 N N

webTPA/Community Health Electronic Claims/CHEC 75261 N N 75261 N N

Weiss Health Providers 36337 N N 36337 N N

Wellcare Health Plan, Inc. (Fee for Service) 14163 Y N 14163 Y N

Wellcare Health Plan, Inc. (Encounters Only) 59354 Y N 59354 Y N

Wellcare of CT 14164 Y N 14164 Y N

WellChoice of NJ SB803 Y N

Wellmark BCBS - Medicare COB 12B92 Y N SB645 Y N

Wellmark Blue Cross and Blue Shield of Iowa (IASD) SB640 Y Y

Wellmed WELM2 Y N WELM2 Y N

WellSystems LLC 35245 N N 35245 N N

Wenatchee Valley Medical Center 91064 N N 91064 N N

West Covina Medical Group 66124 N N CMSI1 Y N

West Suburban Health Providers 80942 Y N 80942 Y N

West Virginia Family Health Plan 45276 N N 45276 N N

West Virginia Medicaid 12K28 Y N SKWV0 Y N

Western Grower's Assurance Trust 24375 Y N 24375 Y N

Western Grower's Insurance Company 24735 N N 24735 N N

Western Health Advantage 68039 N N 68039 N N

Western Health Inc 37306 N N 37306 N N

Western Mutual Insurance 37247 N N 37247 N N

Western Reserve Life Insurance Company (TX) TRLTC Y N TRLTC Y N

Western Southern Financial Group (Cincinnati OH) 31048 N N 31048 N N

Westlake Financial Group 12T62 N N

WestLake Financial Group Inc. 90560 N N 90560 N N

Weyco Inc. 38232 N N 38232 N N

WI Medicare Part A & FQHC (J6) 12M29 Y Y

WI Medicare Part B (J6) SMWI0 Y Y

William C. Earhart 93050 Y N 93050 Y N

Wilson-McShane 41095 N N 41095 N N

Windsor Medicare Extra 62153 N N 62153 N N

of 48

Payer Code

Accepts

Secondary

Claims


Accepts

Secondary

Claims

Enrollment

CLAIMS PAYER LIST

10/06/2015


Windsor Medicare Extra (as of 5/1/14) 14163 Y N 14163 Y N

WINhealth Partners/Wyoming Health Solutions 27327 Y N 27327 Y N

Wisconsin Chronic Disease Program (WCDP) SKWID Y N SKWID Y N

Wisconsin Department of Corrections 74101 N N 74101 N N

Wisconsin Medicaid SKWI0 Y N SKWI0 Y N

Wisconsin Physician Services-Midlands 95930 Y N

Wisconsin Well Woman Program (WWWP) SKWIW Y N SKWIW Y N

Women's Integrated Network Inc. (WIN Fertility) 13413 N N

Workers Comp of West Virginia SX067 N Y

Workers Comp/Arkansas Blue Cross 12048 Y Y

Worksite Benefit Services LLC 20333 N N 20333 N N

World Insurance Company 75276 Y N 75276 Y N

WPP-ElderCare Wisconsin 77080 N N 77080 N N

WPPN 34080 N N

WPS - Tricare for Life 12X43 Y N SX176 Y N

WPS Commercial 12X29 Y Y SX022 Y Y

WV Medicare Part A (J11) 12M28 Y Y

WV Medicare Part B (J11) SMWV0 Y Y

WY Medicare Part A (J3 - Noridian) 12M30 Y Y

WY Medicare Part B (J3 - Noridian) SMWY0 Y Y

Wyoming Blue Cross 12B30 Y Y

Wyoming Medicaid 12K30 Y Y SKWY0 Y Y

Yale University Heath Plan 60646 Y N

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