phicure professional payer list updated 08.30 · 2018. 10. 25. · ambhn ambay health network n...
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Confidential Updated 08.30.2017
PHIcure Professional Payer List Updated 08.30.2017
Payer ID Payer Name Enrollment Required
13162 1199 SEIU NATIONAL BENEFIT FUND N
51028 21ST CENTURY INSURANCE AND FINANCIAL SERVICES N
07205 360 ALLIANCE PPO GILSBAR N
20413 3P ADMIN N
20446 6 DEGREES HEALTH INCORPORATED N
74234 8TH DISTRIC ELECTRICAL N
93044 A & I BENEFIT PLAN ADMINISTRATORS N
36273
AARP MEDICARE SUPPLEMENT/FIXED INDEMITY BY
UNITEDHEALTHCARE (UNITEDHEALTHCARE) N
87726
AARP MEDICARECOMPLETE (AARP MEDICARECOMPLETE FROM
SECUREHORIZONS) N
36273
AARP UNITEDHEALTHCARE INSURANCE CO. (SPECIAL DATA
REQUIREMENTS LOCATED IN VENDOR DOWNLOAD TOOLS OR
PROVIDER TRAINING MATERIALS.) N
A0701 ABMG N
03443 ABRAZO ADVANTAGE HEALTH PLAN N
ABRI1 ABRI HEALTHPLAN N
A0003 ACCELERATED CLAIMS INCORPORATED N
AHS01 ACCESS ADMINISTRATORS N
COACC ACCESS BEHAVIORAL CARE N
ACCOM ACCESS COMMUNITY HEALTH NETWORK N
95424 ACCESS MEDICAL GROUP N
AMG01 ACCESS MEDICAL GROUP N
64071 ACCLAIM N
MHIPA ACCLAIM IPA N
MHIPA ACCLAIM IPA (MHCAC) N
21356 ACCLAIM REPRICING N
Confidential Updated 08.30.2017
AHIPA ACCOUNTABLE IPA N
MPM23 ACCOUNTABLE IPA (MPM) N
41160 ACNIPA N
87815 ACORDIA NATIONAL (NOW KNOWN AS WELLS FARGO TPA) N
72467 ACS BENEFIT SERVICES, INC. N
PA331 ACS BENEFITS PAYER COMPASS N
38254
ACTIVA BENEFITS SERVICES, LLC (FORMERLY AMWAY
CORPORATION) N
75678 ACTIVE CARE UCS N
AHC01 ACTIVHEALTHCARE N
J1241 ADMINISTAFF N
59141 ADMINISTRATIVE SERVICES, INC. N
37278 ADMINONE N
22384 ADMINSTRATIVE CONCEPTS, INC. N
58202 ADVANCED DATA SOLUTIONS N
74234 ADVANSTAFF, INC. N
ACIPA ADVANTAGE CARE IPA N
35219 ADVANTAGE HEALTH SOLUTIONS MEDICARE ADVANTAGE N
35209 ADVANTAGE HEALTH SOLUTIONS, INC. N
77070 ADVANTAGE PREFERR N
83077 ADVANTEK BENEFIT ADMINISTRATORS N
59374 ADVANTICA BENEFITS N
95340 ADVENTIST HEALTH SYSTEM N
45423 ADVICARE N
J1896 ADVOCARE MCO INCORPORATED N
36320 ADVOCATE HEALTH CENTERS (AHC) N
65093 ADVOCATE PHYSICIANS PARTNERS (PHO) N
CB637 AEGIS ADMIN SERVICES N
Confidential Updated 08.30.2017
57604 AETNA AFFORDABLE HEALTH CHOICES (SM) - SRC N
58730 AETNA ASA PPO/ASSURANT HEALTH (SIGNATURE ADMIN) N
23225 AETNA BETTER HEAL N
23228 AETNA BETTER HEALTH - PA MEDICAID N
128LA AETNA BETTER HEALTH LA N
26337 AETNA BETTER HEALTH MEDICAID IL N
128MO AETNA BETTER HEALTH MO N
46320 AETNA BETTER HEALTH NJ N
34734 AETNA BETTER HEALTH NY N
128KY AETNA BETTER HEALTH OF KY N
128MI AETNA BETTER HEALTH OF MICHIGAN N
42130 AETNA BETTER HEALTH OF NEBRASKA N
50023 AETNA BETTER HEALTH OF OHIO N
128VA AETNA BETTER HEALTH OF VIRGINIA N
128WV AETNA BETTER HEALTH WV N
60054 AETNA HEALTH PLAN - PPO N
60054 AETNA LIFE & CASUALTY COMPANY N
38692 AETNA TX MEDICAID & CHIP N
ADOCS AFFILIATED DOCTORS OF ORANGE COUNTY N
APG01 AFFILIATED PHYSICIANS GROUP N
POP06 AFFILIATED PHYSICIANS IPA N
23334 AFFINITY ESSENTIALS N
13334
AFFINITY HEALTH PLANS (CONTACT AFFINITY EDI COORDINATOR
BEFORE SUBMITTING CLAIMS ELECTRONICALLY AT
[email protected] OR CALL 718-794-7592.) N
13333
AFFINITY HEALTH PLANS (TMG HEALTH) (EFFECTIVE FOR
MEDICARE CLAIMS WITH DOS ON OR AFTER 01/01/2010) N
46594 AFFINITY MEDICAL GROUP N
Confidential Updated 08.30.2017
95426
AFFORDABLE BENEFIT ADMINISTRATORS, INC. (CLAIMS WITH THE
FOLLOWING ADDRESS SHOULD ONLY BE SENT TO THIS PAYERID:
ABA, PO BOX 10787, BURBANK, CA 91510-0787) N
AWNY6 AGE WELL NY N
ARA01 AGERIGHT ADVANTAGE N
95241 AGIA INC (CLAIMS ARE PRINTED AND MAILED TO THE PAYER.) N
AGUA1 AGUA CALIENTE N
80705 AH & L N
36320MA AHC MISDIRECTED CLAIMS N
31138 AHPO (CLEVELAND, OH) N
22195 AIG (MAKSIN MANAGEMENT CORPORATION) N
IP080 AKM MEDICAL GROUP N
95327
ALAMEDA ALLIANCE FOR HEALTH (PROVIDER MUST CONTACT
PAYER TO BE APPROVED. CONTACT AT ALAMEDA IS ANET
QUIAMBAO AT 510-747-6153 OR
AIPAZ ALAMITOS IPA N
91136 ALASKA CHILDRENS SERVICES, INC N
92600 ALASKA ELECTRICAL HEALTH & WELFARE FUND N
91136 ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST N
91136 ALASKA PIPE TRADES LOCAL 375 N
91136
ALASKA UNITED FOOD & COMMERCIAL WORKERS HEALTH &
WELFARE TRUST N
85600 ALBUQUERQUE PUBLIC SCHOOLS N
44423 ALEXIAN BROTHERS COMMUNITY SERVICES TENNESSEE N
CCHPC ALIGNMENT HEALTH CARE N
81400 ALL SAVERS INSURANCE (UNITEDHEALTHONE) N
37602 ALL SAVERS INSURANCE CO. N
MRIPA ALLCARE HEALTHPLAN N
26158 ALLCARE PEBB N
Confidential Updated 08.30.2017
MRPEBB ALLCARE PEBB N
82238 ALLEGIAN ADVANTAGE N
55649 ALLEGIAN CHOICE N
81040 ALLEGIANCE BENEFIT PLAN MANAGEMENT, INC. N
99588 ALLEGIANCE HEALTH MANAGEMENT N
J1740 ALLEN CANNING N
23071 ALLIANCE BEHAVIORAL HEALTHCARE N
88461 ALLIANCE HEALTHPLANS OF WI N
22417 ALLIANCE PHYSICIANS HIGH DESESTT N
52149 ALLIANCE PPO INC.(NOW KNOWN AS ONENET PPO, LLC.) N
CALL
ALLIANCE, THE (ONLY FOR ID CARDS SHOWING PO BOX 44365
MADISON WI 53744 AS MAILING ADDRESS. CALL 608-210-6656
FOR PAYER ID.) N
58234 ALLIANT HEALTH PLANS OF GEORGIA N
94177 ALLIED ADMINISTRA N
37308 ALLIED BENEFIT SYSTEMS N
99030 ALOHA CARE N
ALOHA ALOHACARE Y
ACMG1 ALPHA CARE MEDICAL GROUP N
ALPHA ALPHACARE N
A0701 ALTA BATES MEDICAL GROUP N
80705 ALTA HEALTH AND LIFE INSURANCE COMPANY N
AMC11 AM CAPITOL INSURA N
AMAIA AMA INSURANCE AGENCY N
AMAIA AMA INSURANCE AGENCY, INC N
TH071 AMA INSURANCE AGENCY, INC N
13343 AMALGAMATED LIFE - PA/ALICARE N
13550 AMALGAMATED LIFE INSURANCE CO. N
Confidential Updated 08.30.2017
COMPU
AMALGAMATED TRANSIT UNION DIVISION 1001 HEALTH &
WELFARE FUND N
AMBHN AMBAY HEALTH NETWORK N
76061 AMCARE HEALTH PLA N
38219 AMERAPLAN (CLAIMS ARE PRINTED AND MAILED TO THE PAYER.) N
97661 AMERIBEN IEC GROUP N
75137 AMERIBEN SOLUTIONS N
F75137 AMERIBEN SOLUTIONS N
26078 AMERICA 1STCHO NC N
27515 AMERICAID COMMUNITY CARE (HOUSTON) N
27517 AMERICAID COMMUNITY CARE (MARYLAND) N
27516 AMERICAID COMMUNITY CARE (NEW JERSEY) N
42112 AMERICAN ADMINIST N
75240
AMERICAN ADMINISTRATIVE GROUP - AAG (FORMERLY KNOWN
AS UICI ADMINISTRATORS N
37283
AMERICAN ADMINISTRATIVE GROUP (FORMERLY GALLAGHER
BENEFIT) N
63103 AMERICAN BEHAVIOR N
34187 AMERICAN BENE MGT N
59140 AMERICAN BENEFITS PLAN ADMINISTRATORS (LAS VEGAS, NV) N
ACN01 AMERICAN CHIROPRACTIC NETWORK N
41161 AMERICAN CHIROPRACTIC NETWORK (PAN) N
ACN01 AMERICAN CHIROPRACTIC NETWORK IPA OF NY N
ACN01 AMERICAN CHIROPRACTIC NETWORK, INC. N
J1236 AMERICAN CLAIMS MANAGEMENT (ACM) N
60305 AMERICAN COMMUNIT N
ACN01 AMERICAN COMPLIMENTARY CARE NETWORK, INC. N
56071 AMERICAN FAMILY (ADMINISTERED BY AMERICAN REPUBLIC) N
IP080 AMERICAN FAMILY HEALTH PROVIDERS N
Confidential Updated 08.30.2017
TH095 AMERICAN FAMILY INSURANCE N
AMF11 AMERICAN FAMILY INSURANCE COMPANY N
60801 AMERICAN FIDELITY INSURANCE COMPANY N
62030 AMERICAN GENERAL N
66065 AMERICAN HEALTH MEDICARE N
01066 AMERICAN HEALTHCARE ALLIANCE N
77083 AMERICAN HERITAGE N
81949 AMERICAN INSURANCE COMPANY OF TX N
87726 AMERICAN INTERNATIONAL GROUP, INC. N
72099
AMERICAN LIFECARE (GROUP NUMBER REQUIRED. VALID ONLY
FOR CLAIMS WITH A BILLING ADDRESS OF 1100 POYDRAS ST.
#2600, NEW ORLEANS, LA 70163) N
81400 AMERICAN MEDICAL SECURITY N
81400 AMERICAN MEDICAL SECURITY (UNITEDHEALTHONE) N
74048 AMERICAN NATIONAL INSURANCE CO N
60739 AMERICAN NATIONAL INSURANCE COMPANY N
44444 AMERICAN POSTAL WORKERS UNION HEALTH PLAN N
42011 AMERICAN REPUBLIC INSURANCE COMPANY N
17965 AMERICAN SENTINEL INSURANCE COMPANY N
ASH01 AMERICAN SPECIALTY HEALTH Y
ATHAL AMERICAN THERAPY ADMINISTRATORS N
TH117 AMERICAN WHOLE NETWORK N
37322 AMERICAN WORKER HEALTH PLAN N
20553 AMERICAS 1ST CHOICE HEALTH PLANS OF SOUTH CAROLINA N
55349 AMERICAS 1ST CHOICE OF SC N
20029 AMERICA'S CHOICE NMA N
21810 AMERICA'S HEALTH CHOICE N
16120 AMERICA'S PPO (FORMERLY KNOWN AS ARAZ.) N
Confidential Updated 08.30.2017
41178 AMERICA'S PPO / AMERICA'S TPA N
87726
AMERICHOICE - CT, FL, MD, RI, TX, WI (UNITEDHEALTHCARE
COMMUNITY PLAN) N
87726
AMERICHOICE BY UNITEDHEALTHCARE (NYU)
(UNITEDHEALTHCARE COMMUNITY PLAN) N
87726
AMERICHOICE MS - CHIP & CAN (UNITEDHEALTHCARE
COMMUNITY PLAN) N
86047
AMERICHOICE NJ, MEDICAID, NJ FAMILY CARE
(UNITEDHEALTHCARE COMMUNITY PLAN) N
86048
AMERICHOICE NY MEDICAID & CHILD HEALTH PLUS
(UNITEDHEALTHCARE COMMUNITY PLAN) - USE PAYERID 87726 N
87726 AMERICHOICE OF FLORIDA N
87726 AMERICHOICE OF ILLINOIS N
87726 AMERICHOICE OF MARYLAND N
87726 AMERICHOICE OF NEBRASKA N
87726
AMERICHOICE OF NEBRASKA (UNITEDHEALTHCARE COMMUNITY
PLAN) N
86047 AMERICHOICE OF NJ MEDICAID & FAMILY CARE N
86048 AMERICHOICE OF NY MEDICAID & CHILD HEALTH PLUS N
86049
AMERICHOICE OF PA CHILDREN'S HEALTH INSURANCE PROGRAM
(KIDSCHOICE) N
86049 AMERICHOICE OF PA MEDICAID N
86003
AMERICHOICE OF PENNSYLVANIA PERSONAL CARE PLUS(ALL
CLAIMS SUBMITTED REQUIRE YOUR AMERICHOICE ASSIGNED
PROVIDER ID #. CONTACT THEM AT 888-362-3368 FOR YOUR ID#.) N
87726 AMERICHOICE OF RHODE ISLAND N
95378 AMERICHOICE OF TN N
86049
AMERICHOICE PA MEDICAID & CHIP (UNITEDHEALTHCARE
COMMUNITY PLAN) N
25175
AMERICHOICE PERSONAL CARE PLUS PA (UNITEDHEALTHCARE
COMMUNITY PLAN) N
Confidential Updated 08.30.2017
95378
AMERICHOICE TN: TENNCARE, SECURE PLUS COMPLETE
(UNITEDHEALTHCARE COMMUNITY PLAN) N
28804 AMERIGROUP N
28807
AMERIGROUP - MARYLAND, VIRGINIA AND DISTRICT OF
COLUMBIA N
28806 AMERIGROUP - NEW JERSEY N
28805 AMERIGROUP / AMERICAID - HOUSTON N
27514 AMERIGROUP GEORGIA N
27518 AMERIGROUP IL N
28804 AMERIGROUP IL N
28808 AMERIGROUP IL N
26375 AMERIGROUP IOWA N
26378 AMERIGROUP MULTIPLE STATES N
28809 AMERIGROUP OF FLORIDA N
27514 AMERIGROUP TENNESSEE N
93688 AMERIHEALTH - DE (PPO) Y
60061 AMERIHEALTH - NEW JERSEY (NON-HMO CLAIMS) Y
SX075 AMERIHEALTH - NJ (NON-HMO) N
54763 AMERIHEALTH ADMINISTRATORS N
27357 AMERIHEALTH CARITAS N
77075 AMERIHEALTH CARITAS IOWA N
77013 AMERIHEALTH CARITUS VIP MICHIGAN N
77051 AMERIHEALTH CONNECT N
77002 AMERIHEALTH DISTRICT OF COLUMBIA N
23037 AMERIHEALTH HMO N
95044 AMERIHEALTH HMO NEW JERSEY AND DELAWARE Y
22248 AMERIHEALTH MERCY HEALTH PLAN N
77001 AMERIHEALTH NORTHEAST N
Confidential Updated 08.30.2017
77007 AMERIHEALTH VIP CARE - DC N
22355
AMERIHEALTH VIP CARE (MEDICARE ADVANTAGE PLAN PART OF
THE AMERIHEALTH MERCY FAMILY OF COMPANIES) N
26374 AMERIKIDS-DALLAS/FT. WORTH N
26375 AMERIVANTAGE N
64090 AMFIRST INSURANCE COMPANY N
01757 AM-FIRST INSURANCE MORGAN WHITE N
24818 AMIDA CARE (FORMERLY VIDA CARE.) N
79966 AMIDA CARE MEDICARE N
IP080 AMVI N
38254 AMWAY CORPORATION N
MHIPA ANAHEIM MEMORIAL IPA (MHCAN) N
53085 ANCHOR BENEFIT CONSULTING N
J1919 ANCHOR CLAIMS MANAGEMENT N
86062 ANCILLARY BENEFIT SYSTEMS ARIZONA N
AZFMC ANCILLARY BENEFITS/ARIZONA FOUNDATION FOR MEDICAL CARE N
98205 ANERICAN FOUNDERS LIFE INS CO (NFL PLANS ONLY) N
75299 ANGELES IPA (SYNERMED) N
43101 ANPAC N
34192 ANTARES MANAGEMENT SOLUTIONS N
80705 ANTHEM HEALTH AND LIFE INSURANCE COMPANY OF NEW JERSEY N
00050 ANTHEM OF COLORADO N
34196
APEX BENEFIT SERVICES (CLAIMS MUST CONTAIN THE RENDERING
PROVIDER ID OR THE CLAIM WILL REJECT.) N
16120 ARAZ (NOW KNOWN AS AMERICA'S PPO.) N
52312 ARBOR HEALTH N
77045
ARCADIAN MANAGEMENT SERVICES, INC (GROUP NUMBER
SHOULD BE ENTERED IF AVAILABLE. ) N
ARGUS ARGUS DENTAL AND VISION N
Confidential Updated 08.30.2017
AZFMC ARIZONA FOUNDATION FOR MEDICAL CARE N
03432 ARIZONA PHYSICIANS IPA N
03432
ARIZONA PHYSICIANS IPA (APIPA) (UNITEDHEALTHCARE ARIZONA
PHYSICIANS IPA) N
74234
ARIZONA PIPE TRADES HEALTH AND WELFARE TRUST FUND LOCAL
UNION NOS. 469 & 741 METAL TRADES HEALTH PLAN N
74234
ARIZONA PIPE TRADES HEALTH AND WELFARE TRUST FUND LOCAL
UNION NOS. 469 & 741 PIPE TRADES HEALTH PLAN N
27154 ARIZONA PRIORITY CARE PLUS N
75278 ARKANSAS BEST CORPORATION N
62176 ARKANSAS MANAGED CARE ORGANIZATION (AMCO) N
95440 ARNETT HEALTH PLA N
43905 ARNOT OGDEN MEDICAL CENTER (UCS) N
WMM01 ARTA HEALTH NETWORK N
06603 ASAGEHA N
AAMG1 ASIAN AMERICAN MEDICAL GROUP N
94027 ASOCIACION DE MAESTROS N
16180 ASPEN N
46156 ASPIRE HEALTH PLAN N
38265 ASR CORPORATION N
ASRM1 ASRM CORPORATION N
FAABC ASSOCIATED BENEFITS CORP N
ATPA1 ASSOCIATED THIRD PARTY ADMINISTRATION (ATPA) N
36326 ASSOCIATES FOR HEALTHCARE N
39065 ASSURANT EMPLOYEE BENEFITS (FORMERLY FORTIS INSURANCE) N
41099 ASSURANT HEALTH - JOHN ALDEN LIFE INS. N
ASNTH ASSURANT HEALTH RE-PRICING VIA HEALTHSPAN N
37313
ASSURANT HEALTH SELF FUND (VERIFY THAT CLAIMS SHOULD GO
TO FT. MILL, SC) N
Confidential Updated 08.30.2017
75068 ASSURANT HEALTH SELF FUNDED N
75068 ASSURANT HEALTH SELF FUNDED N
88035 ASSURECARE, INC. N
74240 ASSURED BENEFITS ADMINISTRATORS N
SX179
ASURIS NORTHWEST/MEDADVANTAGE (REF*1B*PROVIDER ID IN
BILLING AND RENDERING REQUIRED EVEN WHEN NPI IS
SUBMITTED.) N
93221 ASURIS NW HEALTH N
J1914 ATHENS N
22285 ATLANTIC MEDICAL N
22304 ATLANTICARE ADMIN N
AEC01 ATLANTIS EYECARE N
ATLAD ATLAS ADMIN USAMC N
90956 ATLAS LIFE INS CO (NFIC PLAN ONLY) N
37231 ATR N
MPCHA ATRIO HEALTH PLAN (MARION POLK HEALTH PLAN ADVANTAGE) N
ATRIO ATRIO HEALTH PLANS N
MNAUL AULTCARE Y
10016 AULTCOMP MCO N
38259 AUTOMATED BENEFIT SERVICES (ABS) N
37280 AUTOMATED GROUP ADMINISTRATION, INC. N
91136
AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH & WELFARE TRUST
- GRP#F32 N
AVA01 AVALON HEALTHCARE SOLUTIONS N
IP080 AVALON IPA N
AH001 AVANTE HEALTH (CUSTOMER SERVICE 559-261-9060) N
MP001 AVECTUS HEALTHCARE SOLUTIONS (CALL 855-AVECTUS) N
46045 AVERA HEALTH PLANS N
87098 AVESIS THIRD PART ADMINISTRATORS N
Confidential Updated 08.30.2017
59274 AVMED N
58204 AVMED-PARITY HEALTHCARE (OB/GYN ONLY) N
AXM01 AXMINISTER MEDICAL GROUP N
NCHON AZ INTEGRATED PHYSICIANS N
95964 AZ PACIFICARE CLA N
BKRFM BAKERSFIELD FAMILY MEDICAL CENTER N
74227 BANKERS UNITED LIFE (STUDENT DIVISION) N
SX145
BANNER HEALTH CO. (ALL BANNER HEALTH PLANS WERE
CONSOLIDATED TO THE PAYERID OF SX145.) Y
77078 BANNER MEDISUN N
65026 BAPTIST HEALTH SOUTH FLORIDA N
41204 BASIC PLUS N
84041 BASIL CASTROVINCI ASSOCIATES N
06941 BAY BRIDGE ADMINISTRATORS LLC N
59279 BAYCARE LIFE MANAGEMENT N
32002 BC MICHIGAN COMPLETE N
CALL
BCBS BLUECARE FAMILY PLAN (CONNECTICUT) TO BE USED ON ALL
CT BLUECARE CLAIMS WITH DATES OF SERVICE ON OR AFTER
7/01/06 Y
SB570 BCBS DELAWARE N
SB700 BCBS MASSACHUSETTS N
00220 BCBS MINNESOTA N
00222 BCBS MINNESOTA N
00722 BCBS MINNESOTA N
SB810 BCBS NORTH CAROLINA N
SB690 BCBS OF MARYLAND N
66001 BCBS TEXAS MEDICAID STAR CHIP N
43324
BEACON HEALTH STRATEGIES (BLOCK 11 ON THE HCFA 1500 FORM
MUST USE PLAN SPECIFIC IDS.) N
Confidential Updated 08.30.2017
95377
BEECH STREET CORP. (PAYER REQUIRES THAT PAYER AND
EMPLOYER INFORMATION IN BOX11 BE ATTACHED.) N
63100 BEHAVIORAL HEALTH SYSTEMS N
BHI00 BEHAVIORAL HEALTHCARE, INC. N
MPM10 BELLA VISTA MED GRP IPA N
37286 BENE PLAN ADMINIS N
99320
BENEFIT & RISK MANAGEMENT SERVICES (COMMERCIAL
MEDICARE UNDER MED3000) N
99320 BENEFIT & RISK MGTM SVCS N
41205 BENEFIT ADMINISTRATION SERVICES N
36149 BENEFIT ADMINISTRATIVE SYSTEMS N
51037 BENEFIT CONCEPTS N
25145 BENEFIT COORDINATORS CORPORATION N
56139 BENEFIT MANAGAEMENT SVCS N
BMATP BENEFIT MANAGEMENT ADMIN N
88092 BENEFIT MANAGEMENT LLC (VBA) N
56139
BENEFIT MANAGEMENT SERVICES (PLEASE CONTACT CHRIS BURAK
AT 704-321-3156 FOR PAYERID INFORMATION.) N
37212 BENEFIT MANAGEMENT SYSTEMS, INC OF MISSISSIPPI N
48611
BENEFIT MANAGEMENT, INC. OF KS (ONLY ACCEPTS CLAIMS FOR
THESE GROUPS
BMI187,BMI219,BMI234,BMI236,BMI214,BMI241,BMI617
BMI246,BMI246.) N
19753 BENEFIT PLAN ADMINISTRATORS N
39081
BENEFIT PLAN ADMINISTRATORS CO. (PAYER ID VALID ONLY FOR
CLAIMS WITH A BILLING SUBMISSION ADDRESS OF PO BOX 1128,
EAU CLAIRE, WI 54702-1128) N
37118 BENEFIT PLAN ADMINISTRATORS, INC N
34178 BENEFIT SERVICES (AKRON OH) N
34192
BENEFIT SERVICES, INC. (AKRON, OH) (PAYER NAME IS NOW
ANTARES MANAGEMENT SOLUTIONS) N
Confidential Updated 08.30.2017
36342 BENEFIT SYSTEMS AND SERVICES, INC. N
61425 BENEFIT TRUST LIFE INSURANCE COMPANY N
87265 BENESIGHT (FORMERLY THE TPA) N
37248 BENESYS LHP CLAIM N
38238
BENESYS, INC. (LOCATED IN TROY, MI) (NOW KNOWN AS SHEET
METAL WORKERS LOCAL 104) N
BNMK1 BENMARK N
23243 BERKSHIRE HEALTH PARTNERS N
95606 BERKSHIRE LEHIGH PARTNERS N
95604 BEST LIFE & HEALTH INSURANCE CO. N
01508 BETTER HEALTH FLORIDA N
20488
BETTER HEALTH PLAN OF FLORIDA (FOR CLAIMS REJECTIONS,
CONTACT PAYER AT 800-514-4561 AND SELECT PROVIDER
SERVICES OPTION.) N
62183 BETTER HEALTH PLANS INCORPORATED N
32006 BETTER HEALTH PLANS SOUTH CAROLINA N
POP05 BEVERLY ALIANZA IPA N
44219 BHP-UNITY N
67668 BHSF INTERNATIONAL N
BSHS1 BIENVIVIR N
CX025 BIG LOTS ASSOCIATES BENEFIT PLANS N
BVTX1 BLOCK VISION OF TEXAS N
BV001 BLOCK VISION, INC. N
ARBLS BLUE ADVANTAGE OF ARKANSAS N
ECIBB BLUE BELL BENEFITS N
CALL BLUE CARE PPO Y
00870 BLUE CHIP OF RHODE ISLAND Y
RICHP BLUE CHIP OF RHODE ISLAND N
00403 BLUE CHOICE MEDICAID N
Confidential Updated 08.30.2017
00804 BLUE CHOICE OF ROCHESTER NY Y
N6BLS BLUE CHOICE OF ROCHESTER NY N
00922 BLUE CHOICE OF SOUTH CAROLINA N
BCSAL BLUE CROSS BLUE SHIELD ALABAMA Y
53589 BLUE CROSS BLUE SHIELD OF ARIZONA Y
MC721 BLUE CROSS COMMUNITY CENTENNIAL N
MCDIL BLUE CROSS COMMUNITY OPTIONS N
66006 BLUE CROSS MEDICARE ADVANTAGE N
47198 BLUE CROSS OF CALIFORNIA N
00610 BLUE CROSS OF IDAHO Y
IDBLC BLUE CROSS OF IDAHO N
15754 BLUE GRASS FAMILY HEALTH (SRRIPA) N
IP061 BLUE LAKE RANCHERIA N
00580 BLUE SHIELD OF ALABAMA Y
00822 BLUE SHIELD OF ALASKA Y
00520 BLUE SHIELD OF ARKANSAS Y
BS001 BLUE SHIELD OF CALIFORNIA N
00805 BLUE SHIELD OF CENTRAL NY HMO/PPO Y
00060
BLUE SHIELD OF CONNECTICUT (NOTE: THE DOS IN REPORTS IS
PROGRAMMATICALLY CALCULATED AND IS NOT ACTUAL CLAIM'S
DATA. SOME VARIANCES MAY EXIST.) N
00570 BLUE SHIELD OF DELAWARE Y
00590 BLUE SHIELD OF FLORIDA N
00601 BLUE SHIELD OF GEORGIA (STATE HEALTH OF GA) Y
HIBCS BLUE SHIELD OF HAWAII Y
00611 BLUE SHIELD OF IDAHO-REGENCE Y
00621 BLUE SHIELD OF ILLINOIS N
00630 BLUE SHIELD OF INDIANA N
Confidential Updated 08.30.2017
88848 BLUE SHIELD OF IOWA Y
47163 BLUE SHIELD OF KANSAS Y
47171 BLUE SHIELD OF KANSAS CITY Y
00660 BLUE SHIELD OF KENTUCKY N
53120 BLUE SHIELD OF LOUISIANA Y
00680 BLUE SHIELD OF MAINE N
00200 BLUE SHIELD OF MASSACHUSETTS Y
00710 BLUE SHIELD OF MICHIGAN Y
00720 BLUE SHIELD OF MINNESOTA Y
00230 BLUE SHIELD OF MISSISSIPPI Y
00241 BLUE SHIELD OF MISSOURI N
BCSMT BLUE SHIELD OF MONTANA N
NCABS BLUE SHIELD OF NATIONAL CAPITAL AREA Y
77780 BLUE SHIELD OF NEBRASKA Y
00265 BLUE SHIELD OF NEVADA Y
00770 BLUE SHIELD OF NEW HAMPSHIRE N
22099 BLUE SHIELD OF NEW JERSEY Y
00790 BLUE SHIELD OF NEW MEXICO Y
00803 BLUE SHIELD OF NEW YORK (EMPIRE) N
05536 BLUE SHIELD OF NORTH CAROLINA N
00820 BLUE SHIELD OF NORTH DAKOTA Y
00800 BLUE SHIELD OF NORTHEAST NY Y
00834 BLUE SHIELD OF OHIO N
00840 BLUE SHIELD OF OKLAHOMA Y
00851 BLUE SHIELD OF OREGON Y
54771 BLUE SHIELD OF PENNSYLVANIA Y
CALL BLUE SHIELD OF PUERTO RICO (TRIPLE S) Y
Confidential Updated 08.30.2017
00870 BLUE SHIELD OF RHODE ISLAND Y
00804 BLUE SHIELD OF ROCHESTER NY (EXCELLUS) Y
SCBCS BLUE SHIELD OF SOUTH CAROLINA Y
88848 BLUE SHIELD OF SOUTH DAKOTA Y
00390 BLUE SHIELD OF TENNESSEE Y
84980 BLUE SHIELD OF TEXAS Y
TXBLS BLUE SHIELD OF TEXAS N
84980 BLUE SHIELD OF TX HCSC INSURANCE SERVICES COMPANY N
00910 BLUE SHIELD OF UTAH Y
00806 BLUE SHIELD OF UTICA NY Y
VTBCS BLUE SHIELD OF VERMONT Y
VTBLS BLUE SHIELD OF VERMONT N
00923 BLUE SHIELD OF VIRGINIA N
54828 BLUE SHIELD OF WEST VIRGINIA Y
00801 BLUE SHIELD OF WESTERN NEW YORK Y
00950 BLUE SHIELD OF WISCONSIN Y
00960 BLUE SHIELD OF WYOMING Y
WYBLS BLUE SHIELD OF WYOMING N
37121 BLUEBONNET ADMINISTRATORS N
A0016 BLUECARE FAMILY PLAN N
61124 BLUEGRASS FAMILY HEALTH N
36609 BOILERMAKERS NATIONAL HEALTH & WELFARE FUND N
BOLL1 BOLLINGER, INC. N
74238 BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC. N
13337 BOSTON MEDICAL CENTER HEALTHNET N
20381 BOULDER ADMIN SVC N
48964 BPS INC N
Confidential Updated 08.30.2017
52192
BRAVO HEALTH (FORMERLY KNOWN AS ELDER HEALTH INC.
SERVING MEMBERS IN PA, MD, DE, TX AND WASHINGTON DC.) N
J1761 BRICKSTREET N
BRIDG BRIDGESPAN N
88033 BRIDGESTONE FIRES N
68069 BRIDGEWAY ARIZONA (ALSO 68054) N
BHP01 BRIGHT HEALTH PHYSICIANS N
CB186 BRIGHT HEALTH PLAN N
22286 BRITCAY N
51037 BROCKERAGE CONCEPTS, INC (BENEFIT CONCEPTS) N
59069 BROWN & BROWN BENEFITS N
94316 BROWN & TOLAND MEDICAL GROUP N
BTSS1 BROWN & TOLAND SUTTER N
BTSS1 BROWN & TOLAND SUTTERSELECT N
BTHS1 BROWN AND TOLAND HEALTH SERVICES N
68069 BUCKEYE COMMUNITY HEALTH (ALSO 32004) N
J1391 BUILDERS GROUP OF MINNESOTA N
42150 BUTLER BENEFITS N
23708 C & O EMPLOYEES HOSPITAL ASSOCIATION N
A1680 C3 HEALTH (FKA ACCESS HEALTH INC.) N
KS003 CA KAISER PERMANENTE (NORTHERN CALIFORNIA ONLY) N
CWS99 CAL WATER N
68069 CALIFORNIA HEALTH AND WELLNESS N
AMM14 CALIFORNIA IPA N
94056 CALIFORNIA PACIFIC MEDICAL CENTER N
CALOP CAL-OPTIMA DIRECT N
J1819 CAMBRIDGE INTEGRATED SERVICES N
25831 CAMERON MANUFACTURING AND DESIGN INCORPORATED (UCS) N
Confidential Updated 08.30.2017
71057
CANNON COCHRAN MANAGEMENT SERVICES, INC. LA (CLAIMS
FOR PAYER ADDRESS OF METAIRIE, LA ONLY.) N
95399 CAP MANAGEMENT N
IP080 CAP MANAGEMENT SYSTEMS N
23045
CAPITAL ADVANTAGE INSURANCE COMPANY (CAIC)
PROFESSIONAL (BCBS PROVIDERID AND PERFORMING PROVIDERID
REQUIRED. CALL 800-874-8433) N
24705 CAPITAL BC PENNSYLVANIA N
23045
CAPITAL BLUE CROSS PROFESSIONAL (BCBS PROVIDERID AND
PERFORMING PROVIDERID REQUIRED. CALL 800-874-8433) Y
SX065 CAPITAL DISTRICT PHP N
95112 CAPITAL HEALTH PLAN N
65067 CAPITAL INTERNATIONAL MANAGEMENT SERVICES N
68011 CAPITOL ADMINISTRATORS N
CAPHP CAPROCK HEALTH PLAN N
CAPH2 CAPROCK HEALTH PLANS VERITY N
86044 CAPSTONE HEALTH P N
GCVCP CARDIOVASCULAR CARE PROVIDERS N
57116 CARE 1ST HEALTH PLAN OF ARIZONA N
57115 CARE 1ST HEALTH PLAN OF CA N
HM037 CARE CHOICES HMO N
14182 CARE CORE NATIONAL N
77082 CARE IMPROVEMENT PLUS N
37228 CARE N CARE N
65031 CARE PLUS N
41222 CARE TO CARE N
27004 CARE WISCONSIN HEALTH PLAN (TRIZETTO) N
57721 CAREATC N
11345 CARECENTRIX Y
Confidential Updated 08.30.2017
14188 CARECORE NATIONAL WELLCARE N
14179 CARECORE NATIONAL, LLC (AETNA RADIOLOGY CLAIMS) N
14180
CARECORE NATIONAL, LLC (RADIOLOGY CHARGES FOR OXFORD)
(PROVIDER MUST CALL ANTHONY SAMPSON AT 845-298-8155 FOR
PROVIDER CODE.) N
SB580 CAREFIRST BCBS - DC, NATIONAL CAPITAL AREA Y
25139 CARELINK N
25140 CARELINK MEDICAID N
CM001 CAREMORE N
CARMO CAREMORE IPA N
CARMO CAREMORE VALUE PLUS (CVP) N
25142
CARENET OF VIRGINIA (PREPARE TO USE CONSOLIDATED
COVENTRY PAYERID OF 25133.) N
93975 CAREOREGON, INC. N
95092 CAREPLUS N
NCH04 CAREPLUS CARDIOLOGY - NEW CENTURY HEALTH N
77023 CAREPOINT HEALTH PLAN N
26160 CARESOURCE N
31114 CARESOURCE N
MRCHP CARESOURCE HEALTH PLAN OF OREGON N
INCS1 CARESOURCE IN N
KYCS1 CARESOURCE KY N
37311 CARESOURCE OF IND N
WVCS1 CARESOURCE WEST VIRGINIA N
10010 CAREWORKS N
J1866
CAREWORKS CONSULTANTS INCORPORATED (CAREWORKS USA
AND CCI) N
29076
CAROLINA CARE PLAN (PART OF THE MEDICAL MUTUAL FAMILY OF
COMPANIES. FORMER PAYERID WAS 57105.) N
Confidential Updated 08.30.2017
SX191 CAROLINA CRESCENT N
68069 CAROLINA CRESCENT (ALSO 68055) N
56195 CAROLINA SUMMIT HEALTHCARE, INC N
COMPU CARPENTERS' AND MILLWRIGHTS' HEALTH BENEFIT TRUST FUND N
CX101 CARPENTERS HEALTH AND WELFARE FUND OF PHILADELPHIA N
COMPU
CARPET, LINOLEUM AND RESILIENT TILE LAYERS HEALTH AND
WELFARE FUND N
CAS01 CASCADE EAST HEALTH PLAN N
37060 CATERPILLAR INCORPORATED N
03036 CBA BLUE N
52132 CBA, INC. (COOPERATIVE BENEFITS ADMINISTRATORS, INC.) N
55438 CBCA FORT WORTH N
56215 CBHA CAROLINA BEHAVIORAL HEALTH ALLIANCE N
31158 CBIZ BENEFITS N
65391 CBNHP HEALTH CHOICES N
41124 CBSA (CORPORATION BENEFIT SERVICES OF AMERICA) N
J1900 CC DEVELOPMENT GROUP INCORPORATED N
06541 CCHS N
CCMC1 CCMC - COMPREHENSIVE CARE MANAGEMENT CORP N
CALL CCS (AKA COMPREHENSIVE CARE SYSTEMS) Y
MNBLS CCS (AKA COMPREHENSIVE CARE SYSTEMS) N
CCStpa CCSTPA COMPREHENSIVE CARE SERVICES N
87065 CDO TECHNOLOGIES N
88022 CDS GROUP HEALTH N
SISCO CEDAR VALLEY COMMUNITY HEALTH PLAN N
95166 CEDARS-SINAI MEDICAL NETWORK SERVICES CLAIMS N
95167 CEDARS-SINAI MEDICAL NETWORK SERVICES ENCOUNTERS N
68063 CELTIC INSURANCE N
Confidential Updated 08.30.2017
CELTC CELTIC INSURANCE N
68069 CELTICARE N
91136
CEMENT MASONS & PLASTERERS HEALTH & WELFARE TRUST -
GRP#F16 N
95386 CENCAL HEALTH N
68068 CENPATICO - MULTIPLE STATES N
68048
CENPATICO BEHAVIORAL HEALTH AZ (PRIOR TO SUBMISSION,
CONTACT 866-495-6748 TO VERIFY PROVIDER ID.) N
68068 CENPATICO KANSAS N
36474 CENTEGRA HEALTH SYSTEM N
68069 CENTENE ADVANTAGE PLANS (ALSO 68056) N
94312 CENTER FOR ELDERS INDEPENDENCE N
POP01 CENTER IPA N
13357 CENTERCARE N
13360 CENTERLIGHT HEALTHCARE INC. N
56122 CENTERPOINT HUMAN SERVICES N
IP080 CENTINELA IPA N
MPM03 CENTINELA VALLEY IPA N
66698 CENTRACARE N
31118 CENTRAL BENEFIT NATIONAL N
31118 CENTRAL BENEFITS LIFE AKA HEALTHSCOPE BENEFITS N
31118 CENTRAL BENEFITS MUTUAL N
CALL
CENTRAL CALIFORNIA ALLIANCE (CALL THE EDI SUPPORT UNIT AT
800-700-3874 X5510 TO OBTAIN PAYERID.) N
SX169 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH N
NWADM
CENTRAL CALIFORNIA ELECTRICIAL WORKERS HEALTH AND
WELFARE TRUST N
WH001 CENTRAL CALIFORNIA WOMENS HEALTH N
CHCPI CENTRAL HEALTH MEDICARE N
Confidential Updated 08.30.2017
34097 CENTRAL RESERVE LIFE N
62218 CENTRAL SENIOR CARE N
CIPA1 CENTRAL SENIOR CARE N
36215
CENTRAL STATES SOUTHEAST AND SOUTHWEST AREAS HEALTH
AND WELFARE AND PENSIONS FUNDS N
55731 CENTRAL SUSQUEHANNA HEALTHCARE PROVIDERS (CSHP) N
42140 CENTURION N
36393 CENTURY PHO N
23171 CHA - COMMONWEALTH HEALTH ALLIANCE N
99795 CHAMPION CHEVROLET N
84146
CHAMPVA-HAC (CHAMPVA-HAC IS NOT ASSOCIATED WITH AND
DOES NOT PROCESS CLAIMS FOR TRICARE (FORMERLY
CHAMPUS.)) N
95748 CHARTERED HEALTH PLAN (DC CHARTERED HEALTH PLAN) N
CHAT1 CHATWINS HEALTHCARE ADMINISTRATORS C N
16600 CHAUTAUQUA COUNTY HEALTH PLAN (MAYVILLE,NY) N
J1908 CHESAPEAKE INSURANCE N
94321
CHILDREN FIRST MEDICAL GROUP (FOR QUESTIONS REGARDING
CLAIM STATUS, PROVIDERS WILL NEED TO CONTACT PAYER: CFMG
PROVIDER CUSTOMER SERVICE 510-428-3154) N
39113 CHILDREN'S COMMUNITY HEALTH PLAN N
251CC CHILDRENS COMMUNITY HEALTH PLAN WISCONSIN N
CMCHP CHILDRENS MEDICAL CENTER HEALTH PLAN N
CSSD2 CHILDRENS SPECIALIST OF SAN DIEGO II N
94302
CHINESE COMMUNITY HEALTH PLAN (UNIQUE PROVIDER ID MUST
BE ON CLAIM.) N
CHIPA CHIPA - COLLEGE HEALTH IPA N
ACN01 CHIROCARE N
33070 CHIROMETRICS INCORPORATED N
CASD1 CHIROPRACTIC ASSOCIATION OF SOUTH DAKOTA N
Confidential Updated 08.30.2017
DAKCH CHIROPRACTIC ASSOCIATION OF SOUTH DAKOTA N
LNDMK
CHIROPRACTIC CARE OF MINNESOTA, INC. (FOR DATES OF SERVICE
BEFORE 1-01-08, CONTINUE TO USE PAYERID OF ACN01.) N
ACN01 CHIROPRACTIC CARE OF WISCONSIN, INC. N
U1439 CHIROPRACTIC HEALTH PLAN (CHP) N
33065
CHOC - CHILDRENS HOSPITAL OF ORANGE COUNTY HEALTH
ALLIANCE N
CPNFC CHOICE PHYSICIANS NET FIRST CHOICE N
POP03 CHOICEONE IPA N
39112
CHP/RPU (FABOH) (FACILITY PHYSICAL ADDRESS REQUIRED ON
CLAIM.) N
UH138 CHP/WISE N
38308 CHRISTIAN BROTHERS SERVICES N
59355 CHRISTIAN CARE MINISTRIES N
75544 CHRISTIE STUDENT HEALTH PLANS N
10629 CHRISTUS HEALTH MEDICARE ADVANTAGE N
21062 CHRISTUS HEALTH NEW MEXICO HIX N
45210 CHRISTUS HEALTH PLAN MEDICAID N
52106 CHRISTUS HEALTH PLAN TEXAS HIX N
SPOHN CHRISTUS SPOHN HEALTH NETWORK N
C1052 CHUBB AND SON N
62308 CIGNA - PPO N
MCCBV
CIGNA BEHAVIORAL HEALTH (WE WILL ALSO ACCEPT PID SX071
FOR THESE CLAIMS: USE OF EITHER ID ACCOMPLISHES THE SAME
ROUTING.) Y
62308 CIGNA HEALTH PLAN - HMO N
86033 CIGNA HEALTHCARE FOR SENIORS - ARIZONA MEDICARE N
62308 CIGNA PREMIER PLUS N
46871 CINNCINNATI FINANCIAL CORPORATION N
Confidential Updated 08.30.2017
10207 CITRUS HEALTH CARE N
IP055 CITRUS VALLEY PHYSICIANS GROUP N
J1885 CITY AND COUNTY OF SAN FRANCISCO (CCSF) N
74234 CITY OF AUSTIN N
J1928 CITY OF CHARLOTTE N
J1901 CITY OF RIALTO CALIFORNIA N
CLFR2 CL FRATES N
CCMMH CLACKAMAS COUNTY MENTAL HEALTH N
43056 CLAIMS DEVELOPMENT CORPORATION N
11752 CLAIMSBRIDGE HPN N
57080 CLAIMSWARE, INC. DBA MANAGEMED N
95444 CLARIAN HEALTH PLANS N
77201 CLEARCHOICE HEALT N
41201 CLIENT FIRST N
24585 CLIFTON HEALTH SYSTEMS DBA ACTIN CARE GROUPS N
CDCR1 CLINCAS DEL CAMINO REAL N
CRGMN CLINICAL RESOURCE GROUP N
CSI001 CLINICAL SPECIALTIES INCORPORATED N
CSI01 CLINICAL SPECIALTIES INCORPORATED N
M3FL0012 CMS MMA SPECIALTY PLAN N
CHCNT CNIC HEALTH SOLUTIONS, INC. N
COFHP CO SECURE HORIZON N
J1902 COACHELLA VALLEY WATER DISTRICT (CALIFORNIA) N
77052 COASTAL ADMINISTRATIVE SERVICES N
A0004 COASTAL CARE N
CCPN1 COASTAL COMMUNITIES PHYSICIAN NETWORK (CCPN) N
LIPAZ COASTAL HEALTHCARE MANAGEMENT N
Confidential Updated 08.30.2017
43141 COASTALCARE (DOS PRIOR TO 7 1 2015) N
38335 COFINITY (FORMERLY SLOANS LAKE) N
SLOAN COFINITY (FORMERLY SLOANS LAKE) N
37123 COLONIAL HEALTHCA N
22284 COLONIAL MEDICAL N
84129 COLORADO ACCESS N
COACC COLORADO ACCESS HMO N
H0657 COLORADO CHOICE HEALTH N
49718 COLORADO HEALTH INSURANCE COOPERATIVE N
COKSR COLORADO KAISER PERMANENTE (COLORADO PLANS ONLY) Y
COMPU COLORADO LABORERS HEALTH AND WELFARE FUND N
CHP02 COLUMBINE HEALTH PLAN N
CHP02 COLUMBINE HEALTH PLAN N
62149 COMM HEALTHNET CT N
32481 COMM PREMIER PLUS N
34181 COMMERCE BENEFITS GROUP N
88091 COMMERCIAL TRAVELERS N
77170 COMMON GROUND HEALTHCARE COOPERATIVE N
37237 COMMONWEALTH ADMINISTRATIVE GROUP N
14315 COMMONWEALTH CARE ALLIANCE N
17902 COMMUNITY CARE ASSOCIATES N
25179
COMMUNITY CARE BEHAVIORAL HEALTH ORG. (FOR DATES OF
SERVICE PRIOR TO OCTOBER 1, 2007) N
23282
COMMUNITY CARE BHO (FOR DATES OF SERVICE AFTER OCTOBER
1, 2007) N
AMM12 COMMUNITY CARE IPA N
73143
COMMUNITY CARE MANAGED HEALTH CARE PLANS OF
OKLAHOMA N
39126 COMMUNITY CARE ORGANIZATION N
Confidential Updated 08.30.2017
00330 COMMUNITY CARE PL N
95192 COMMUNITY CONNECT MEDICAID N
CECVP COMMUNITY EYE CARE N
COMMF COMMUNITY FIRST N
35193 COMMUNITY HEALTH ALLIANCE N
27905 COMMUNITY HEALTH ALLLIANCE TN N
CHCN1 COMMUNITY HEALTH CENTER NETWORK N
48145
COMMUNITY HEALTH CHOICE (PLEASE INCLUDE TPI NUMBER
(TEXAS MEDICAID NUMBER) IN FIELD FA0-23) N
75261 COMMUNITY HEALTH ELECTRONIC CLAIMS/CHEC/WEBTPA N
66170 COMMUNITY HEALTH GROUP N
95376 COMMUNITY HEALTH GROUP N
60495 COMMUNITY HEALTH PLAN INCORPORATED N
CHPWA COMMUNITY HEALTH PLAN OF WA N
SB613 COMMUNITY HEALTH PLAN OF WASHINGTON N
CMGWV COMMUNITY MEDICAL GROUP OF THE WEST VALLEY N
66121
COMMUNITY MEDICAL GROUP OF THE WEST VALLEY
INCORPORATED N
J1925 COMP WEST N
J1829 COMPANION PROPERTY AND CASUALTY INSURANCE COMPANY N
37297 COMPBENEFITS CORP N
34177 COMPENSATION PROGRAMS OF OHIO, INC. N
23296 COMPFIRST, LLC N
CHP01 COMPLEMENTARY HEALTHCARE PLAN N
93101 COMPLEMENTARY HEALTHCARE PLANS N
15243 COMPMANAGEMENT HEALTH N
10005 COMPMGMT HEALTH SYSTEMS N
59314 COMPREHENSIVE BEH N
Confidential Updated 08.30.2017
03036
COMPREHENSIVE BENEFITS ADMINISTRATOR, INC. (NOW KNOWN
AS CBA BLUE.) N
00720 COMPREHENSIVE CARE SERVICES (BCBSMN) N
M0166 COMPREHENSIVE MEDICAL/VISION PROGRAM AZ N
37363 COMPSYCH N
74234 COMPUSYS INCORPORATED (NEW MEXICO) N
74234 COMPUSYS INCORPORATED OF ARIZONA N
COMPU COMPUSYS INCORPORATED OF COLORADO N
74234 COMPUSYS INCORPORATED OF UTAH N
COMPU COMPUSYS OF COLORADO N
74234 COMPUSYS/ERISA GROUP, INCORPORATED (AZ) N
74234 COMPUSYS/ERISA GROUP, INCORPORATED (NM) N
74234 COMPUSYS/ERISA GROUP, INCORPORATED (TX) N
33632 CONCORDIA CARE INC N
CB268 CONERSTONE PREFERRED RESOURCES N
80705 CONFEDERATION ADMIN SERVICES N
80705 CONFEDERATION LIFE INSURANCE N
78375 CONNECTICARE - MEDICARE N
06105 CONNECTICARE, INC. N
37307 CONNECTICUT CARPENTERS HEALTH FUND N
37135 CONSOCIATE GROUP N
75284 CONSOLIDATED ASSOCIATES RAILROAD N
59140 CONSOLIDATED GROUP N
87843 CONSOLIDATED HEALTH PLANS N
L0260 CONSTELLATION HEALTH N
19046 CONSTITUTION STATE / TRAVELERS N
58112 CONSUMER MUTUAL OF MICHIGAN N
45321 CONSUMERS CHOICE HEALTH SC N
Confidential Updated 08.30.2017
08680 CONTAINER GRAPHICS CORPORATION N
CH101 CONTESSA HEALTH SECURITY HEALTH PLAN N
71404 CONTINENTAL GENERAL INSURANCE CO. N
35315 CONTINENTAL KEY N
55544 CONVERSION PLAN APWU N
CCHP1 COOK CHILDREN'S HEALTH PLAN N
CCHP9 COOK CHILDREN'S STAR PLAN N
35149 COOK GROUP HEALTH PLAN N
35199 COOPERATIVE MANAGED CARE SERVICES N
HPAMN COOPORTUNITY HEALTH N
14829 COORDINATED BENEFIT PLAN N
58204 COORDINATED MEDICAL SPECIALISTS (CMS) N
58231 CORE ADMINISTRATIVE SERVICES N
47165 CORE BENEFITS MULTIMATIC TENNESSEE LLC N
23274 CORE VALUE (PART OF GETTYSBURG HEALTH.) N
35187 CORESOURCE N
75136
CORESOURCE LITTLE ROCK (FOR CLAIMS WHERE THE 'SUBMIT
CLAIMS TO ADDRESS' ON THE MEDICAL ID CARD IS AN ADDRESS IN
LITTLE ROCK. FOR ASSISTANCE, CALL 800-689-0106) N
35182 CORESOURCE OF ILLINOIS Y
35182 CORESOURCE OF IOWA Y
35182 CORESOURCE OF MARYLAND Y
35180
CORESOURCE OF NORTH CAROLINA (START USING NEW PAYERID
OF 35182. OLD PAYERID WILL START REJECTING SOON.) N
35183 CORESOURCE OF OH N
35182 CORESOURCE OF PENNSYLVANIA Y
41045
CORESTAR AZ MN (START USING NEW PAYERID OF 35182. OLD
PAYERID WILL START REJECTING SOON.) N
Confidential Updated 08.30.2017
CORIZ
CORIZON HEALTH INC.(CLAIMS WITH ADDRESS OF
BRENTWOOD,TN SHOULD BE SUBMITTED TO THIS PAYER ID.) N
35202 CORNERSTONE BENEFIT ADMINISTRATORS N
64270 CORPORATE PLAN MANAGEMENT INCORPORATED N
CCIHC
CORRECTCARE INTEGRATED HEALTH (CA PRISON HEALTH CARE
SERVICES) N
CCIH
CORRECTCARE INTEGRATED HEALTH (CALIFORNIA PRISON
HEALTHCARE) N
CCIHJAIL CORRECTCARE INTEGRATED HEALTH (NON-LOUISIANA JAILS) N
PHPMC CORRECTION HEALTH PARTNERS N
43160 CORRECTIONAL MEDICAL SERVICES N
62553 COUNTRY LIFE N
42139 COUNTY CARE N
60827 COUNTY CARE (USE PAYERID 42139) N
42138 COUNTY CARE BEHAVIORAL HEALTH TPA N
A0005 COUNTY MEDICAL SERVICES PROGRAM N
CALL COVA (COMMONWEALTH OF VA) Y
58102 COVENANT ADMINISTRATORS, INC. N
CMSEB COVENANT MANAGEMENT SYSTEMS EMPLOYEE BENEFIT PLAN N
25133
COVENTRY HEALTH CARE (COVENTRY OLD LEGACY PAYER ID'S ARE
STILL ACCEPTED.) N
25132 COVENTRY HEALTH CARE IOWA N
25135 COVENTRY HEALTH CARE LOUISIANA N
25136 COVENTRY HEALTH CARE LOUISIANA N
25127 COVENTRY HEALTHCARE GEORGIA N
128FL COVENTRY HEALTHCARE OF FL N
CHCNT COVERCOLORADO N
00019
COX HEALTH PLAN (REQUIRES PROVIDER ID IN BOX 33A. CONTACT
COX HEALTH PLAN FOR ID.) N
Confidential Updated 08.30.2017
10014 CRA MANAGED CARE N
64068 CREATIVE MEDICAL SYSTEMS N
37320 CREATIVE PLAN ADMINISTRATORS N
56213 CRESCENT HEALTH SOLUTIONS N
CALL
CRESCENT PPO HEALTH SOLUTIONS.(PLEASE REGISTER AT
WWW.CRESCENTHS.COM PRIOR TO SUBMISSION. SELECT CLAIMS
BELOW THE CRESCENT LOGO. THEY WILL SUPPLY THE PAYID.) N
80705 CROWN LIFE N
46120 CRYSTAL RUN HEALTH PLANS N
34186 CSI NETWORK SERVICES N
27136 CSI OF MICHIGAN N
42141 CTI ADMINISTRATORS INC N
59140 CULINARY HEALTH & WELFARE FUND (LAS VEGAS, NV) N
82056 CUSTOME DESIGN BENEFITS, INC. N
25172
D. H. EVANS AND ASSOCIATES (CALL JESSICA PICARDE @ 410-349-
3222 BEFORE SENDING THIS PAYERID.) Y
DAK01 DAKOTACARE N
06172 DART CONTAINER CO N
CB897 DART MEMBER CARE N
CB987 DART MEMBER CARE N
00157 DAVIS VISION N
DCHSF DCHS MEDICAL FOUNDATION N
VMF01 DCHS MEDICAL FOUNDATION N
DEAN1 DEAN HEALTH PLAN Y
64159 DEFINITY HEALTH N
87726 DEFINITY HEALTH PLAN (UNITEDHEALTHCARE) N
87726 DEFINITY SERVICES N
77124 DELANO IPA N
63081 DELAWARE HEALTH PLAN CONSORT N
Confidential Updated 08.30.2017
DCHPMCAID DELL CHILDRENS HEALTH PLAN N
74272 DELL CHILDREN'S HEALTH PLAN N
94235 DELTA HEALTH N
DHS01 DELTA HEALTH SYSTEMS N
AMS01 DENTEMAX N
AMS01 DENTEMAX/DPI (MI) N
84134 DENVER HEALTH - INDIGENT N
84133 DENVER HEALTH AND HOSPITAL AUTHORITY N
84135 DENVER HEALTH MEDICAL PLAN N
84131 DENVER HEALTH MEDICAL PLAN, INC. - MEDICARE CHOICE N
J1438 DEPARTMENT OF LABOR N
58204
DERMATOLOGY NETWORK SOLUTIONS BCBS FOR THE HEALTH
OPTIONS HMO (PAYER REQUIRES 11 DIGIT MEMBER ID NUMBER) N
58204
DERMATOLOGY NETWORK SOLUTIONS, LLC BCBS (PAYER
REQUIRES 11 DIGIT MEMBER ID NUMBER) N
58204
DERMATOLOGY NETWORK SOLUTIONS, LLC HUMANA (PAYER
REQUIRES 11 DIGIT MEMBER ID NUMBER) N
58204
DERMATOLOGY NETWORK SOLUTIONS, LLC VISTA (PAYER
REQUIRES 11 DIGIT MEMBER ID NUMBER) N
SX105 DESERET MUTUAL Y
PPM01 DESERT FAMILY PRACTICE ASSOCIATION N
DVMC1 DESERT VALLEY MEDICAL GROUP N
56240 DETROIT MEDICAL CENTER N
DWMH0 DETROIT WAYNE MENTAL HEALTH AUTHORITY N
25160 DGA - DIVERSIFIED GROUP ADMINISTRATORS N
23706 DGA PRODUCER HP N
36439 DIATRI LLC N
PROH4 DIGNITY HEALTH INLAND EMPIRE N
HOSH4 DIGNITY HEALTH INLAND EMPIRE HIGH RISK N
Confidential Updated 08.30.2017
HOSH1 DIGNITY HEALTH SACRAMENTO HOSPITAL SHOP FOR MERCY MED N
PROH2 DIGNITY HEALTH SEQUOIA PHYS N
PROH1 DIGNITY HEALTH WOODLAND CLINIC N
DCA62 DIRECT CARE ADMINISTRATORS N
BC001 DIRECTORS GUILD OF AMERICA N
06102 DIVERSIFIED GROUP BROKERAGE N
SX105 DMBA AKA MISSIONARY MEDICAL Y
16003
DMERC REGION A (TESTING IS REQUIRED FOR CLAIMS REQUIRING
CMNS.) Y
17003
DMERC REGION B (TESTING IS REQUIRED FOR CLAIMS REQUIRING
CMNS.) Y
18003
DMERC REGION C (TESTING IS REQUIRED FOR CLAIMS REQUIRING
CMNS.) Y
19003
DMERC REGION D (TESTING IS REQUIRED FOR CLAIMS REQUIRING
CMNS.) Y
77044 DOLABOR BLACK LUN N
DOLMG DOLTON MEDICAL GROUP N
DNLY1 DONLEY & COMPANY N
APP01 DOWNEY SELECT IPA (APPLECARE MEDICAL MGMT) N
DREYR DREYER MEDICAL N
74284 DRISCOLL CHILDRENS HEALTH PLAN N
74284 DRISCOLL CHILDRENS HEALTH PLAN (CHIP) N
35186 DUNN AND ASSOCIATES BENEFITS N
34108 E.S. BEVERIDGE AND ASSOCIATES N
75232 E3 HEALTH, INC (FORMERLY FIRST INTEGRATED HEALTH) N
36434 EARLY INTERVENTION CENTRAL BILLING N
IP130 EAST BAY MEDICAL NETWORK N
56089 EAST CAROLINA BEHAVIORAL HEALTH N
23861 EASTERN IOWA COMMUNITY HEALTHCARE (EICH) N
Confidential Updated 08.30.2017
66122 EASTLAND MEDICAL GROUP N
EMG11 EASTLAND MEDICAL GROUP N
J1903 EASTMAN KODAK COMPANY N
08044 EASTPOINTE N
24770 EASY CHOICE HEALTH PLAN OF NY N
CALL EBC INC. (TO OBTAIN THE PAYERID, PLEASE CALL (440) 262-1160) N
EV001 EBERLE VIVIAN N
CX025 EBMC N
81039 EBMS (EMPLOYEE BENEFIT MANAGEMENT SERVICES, INC) N
22521 EDS HEALTHCHOICE N
SX110
EDUCATORS MUTUAL (EMIA) (ENROLLMENT REQUIRED, CONTACT
EMIA TO ENROLL 800-362-0533, OPT. 2) Y
73288 EHI (EMPLOYERS HEALTH INSURANCE) N
EPF03 EL PASO FIRST - CHIP N
MPM04 EL PROYECTO DEL BARRIO IPA N
52192
ELDER HEALTH MARYLAND HMO INC. (NOW KNOWN AS BRAVO
HEALTH.) N
04326 ELDER SERVICE PLAN OF THE NORTH SHORE. N
31625
ELDERPLAN, INC. (ELDERPLAN PROVIDER ID NECESSARY ON ALL
CLAIMS. CONTACT (718)921-7979 FOR PROVIDER ID.) N
ECISF ELLIS CONSULTANTS N
NAELM ELMCARE N
NAELM ELMCARE L.L.C. N
37253 ELMCO N
22120 ELMIRA SAVINGS BANK (UCS) N
34167 EMERALD HEALTH NETWORK N
34167 EMERALD HEALTH NETWORK, INC. (ALL HMO BUSINESS) N
34555 EMERALD HMO N
Confidential Updated 08.30.2017
95600
EMERGENCY MEDICAL SERVICES FUND (ORANGE COUNTY
CALIFORNIA) N
65062 EMI (EYE MANAGEMENT INC) N
59299 EMI KP AMBULANCE CLAIMS N
41198 EMP BENE SVCS LA N
EMP01 EMPIRE PHYSICIAN'S MEDICAL GROUP N
87726 EMPIRE PLAN (UNITEDHEALTHCARE) N
95288 EMPLOYEE BENEFIT ADMINISTRATION & MANAGEMENT (EBA&M) N
38241 EMPLOYEE BENEFIT CONCEPTS N
CALL
EMPLOYEE BENEFIT CONSULTANTS, INC. (CALL (440) 262-1160 FOR
PAYERID.) N
37215 EMPLOYEE BENEFIT CORPORATION N
31074 EMPLOYEE BENEFIT MANAGEMENT CORP. N
SX182 EMPLOYEE BENEFIT MANAGEMENT SYSTEM (EBMS) N
SC446 EMPLOYEE BENEFIT SERVICES DBA KEY BENEFIT ADMINISTRATORS Y
60221 EMPLOYEE BENEFIT SERVICES INCORPORATED (EBSI) N
EBSSA EMPLOYEE BENEFIT SVCS (EBS) OF SAN ANTONIO N
42149 EMPLOYEE BENEFIT SYSTEM N
37216 EMPLOYEE BENEFIT SYSTEMS N
03036
EMPLOYEE BENEFITS PLAN ADMINISTRATION, INC. (EBPA) (NOW
KNOWN AS CBA BLUE.) N
75184 EMPLOYEE CLAIM ADJUDICATION SERVICES N
92135 EMPLOYEE LOGISTICS N
35112 EMPLOYEE PLANS, LLC N
21415 EMPLOYEES MUTUAL (EMC) N
48888 EMPLOYER DIRECT HEALTHCARE N
74212 EMPLOYER PLAN SERVICES, INC. N
27008 EMPLOYERS COALITION ON HEALTH (ECOH) N
75236 EMPLOYERS DIRECT HEALTH - EMPLOYEE PLAN N
Confidential Updated 08.30.2017
75235 EMPLOYERS DIRECT HEALTH - FI N
75233 EMPLOYERS DIRECT HEALTH - SF N
27008 EMPLOYERS HEALTH COOPERATIVE (EHC) N
J1912 EMPLOYERS INSURANCE (BUNCH) N
37249 EMPLOYERS LIFE IN N
59298 EMPLOYERS MUTUAL, INC. (FLORIDA PROVIDERS ONLY) N
35206
ENCORE HEALTH NETWORK (NOTE: GROUP POLICY NUMBER IN
HCFA BOX 11 IS REQUIRED.) N
36364 ENH MEDICAL GROUP IPA N
91136 ENSTAR NATURAL GAS - GRP# P61 N
36878 ENTRUST N
EPNSH EPN - SETON HEALTH PLAN EXCLUSIVE (PROVIDER ID REQUIRED) N
62308 EQUICOR N
62308 EQUICOR - PPO N
73126 EQUITABLE PLAN SERVICES N
23250
ERIN GROUP ADMINISTRATORS (NOW KNOWN AS SIGNIFICA
BENEFIT SERVICES, INC.) N
74234 ERISA ADMINISTRATIVE SERVICES INCORPORATED N
74234 ERISA ADMINISTRATIVE SERVICES, INC. N
57082 ESSENCE HEALTHCARE N
87726 EVERCARE SPECIAL NEEDS (EVERCARE BY UNITEDHEALTHCARE) N
87726 EVERCARE STAR PLUS N
35605 EVERENCE N
93240 EVERGREEN HEALTH COOPERATIVE N
58233 EVERGREEN HLTH PL N
59313 EVOLUTIONS HEALTHCARE N
22344 EXCEEDENT LLC N
IP080 EXCEPTIONAL CARE MEDICAL N
Confidential Updated 08.30.2017
EC999 EXCLUSIVE CARE - COUNTY OF RIVERSIDE N
BVES1
EYE SPECIALISTS (PROVIDER ID NUMBER REQUIRED IN BOX33A OR
BOX24J) N
31165 EYEMED N
63740 EYEQUEST N
95432 FACEY MEDICAL FOUNDATION N
37300 FACS GROUP N
J1884 FAIRFAX COUNTY GOVERNMENT N
FT254 FALLON (TRANSPLANT CLAIMS) N
22254 FALLON COMMUNITY HEALTH N
45559 FALLON TOTAL CARE N
60995 FAMILY CARE - MILWAUKEE WI N
PHD01
FAMILY CARE CCO (ADMIN BY PH TECH. USE FOR CLAIMS WITH
DOS OF 08/01/2012 AND LATER.) N
FCD01
FAMILY CARE MEDICAID (ADMIN BY PH TECH USE FOR CLAIMS
WITH DOS OF 07/31/2012 AND PRIOR.) N
FCM01 FAMILY CARE MEDICAID MENTAL HEALTH N
PHR01
FAMILY CARE MEDICARE (ADMIN BY PH TECH. USE FOR CLAIMS
WITH DOS OF 01/01/2013 AND LATER.) N
IP080 FAMILY CHOICE MEDICAL N
IP080 FAMILY HEALTH ALLIANCE N
85468 FAMILY HEALTH NETWORK N
43173 FAMILY HEALTH PARTNERS/MC+MISSOURI N
36396 FAMILY MEDICAL NETWORK N
93121 FAMILYCARE COORDINATED CARE ORGANIZATION N
FCS01 FAMILYCARE SPECIALIST MEDICAL GROUP N
14140 FARM FAMILY N
J1830 FCCI N
33033 FCE BENEFIT ADMINISTRATORS N
Confidential Updated 08.30.2017
C2BLS FEDERAL EMPLOYEE PROGRAM (CONNECTICUT) N
CALL FEDERAL EMPLOYEE PROGRAM (CONNECTICUT) N
41041 FEDERATED MUTUAL INSURANCE N
J1909 FFVA MUTUAL INSURANCE N
11315 FIDELIS CARE NEW YORK N
77054 FIDELIS SECURE CARE N
FDNYP FIRE DEPT CITY NEW YORK WORLD TRADE CENTER HEALTH PLAN N
FAMR1 FIRST ADMIN SD N
88055 FIRST AGENCY N
FSTAG FIRST AGENCY N
56196 FIRST CAROLINA CARE N
91131 FIRST CHOICE HEALTH NETWORK N
FCMG1 FIRST CHOICE MEDICAL GROUP N
75138 FIRST CHOICE OF MIDWEST (PPO) N
37510 FIRST CHOICE VIP CARE N
77009 FIRST CHOICE VIP CARE PLUS SC. N
80705 FIRST GREAT-WEST LIFE & ANNUITY N
87043 FIRST HEALTH N
73159 FIRST HEALTH NETWORK N
23241 FIRST PRIORITY N
87726 FIRST SENIORITY FREEDOM N
59276 FIRST SERVICE ADMINISTRATORS N
MC104 FIRST SERVICES MEDICAID N
FS802 FIRST SOLUTION Y
63080 FIRST STATE HEALT N
94999 FIRSTCARE N
94998 FIRSTCARE STAR MEDICAID N
Confidential Updated 08.30.2017
11244 FITZHARRIS & COMPANY N
95411 FL MCO PHC/PHP N
95411 FL MCO PHC/PHP N
95411 FL MCO PHC/PHP N
59276 FLORIDA 1ST - WINTERHAVEN, FLORIDA N
J1910 FLORIDA FRUIT AND VEGETABLE ASSOCIATION N
59322 FLORIDA HEALTH PLAN N
81044 FLORIDA HEALTH SOLUTION HMO COMPANY N
VB001 FLORIDA HOSPITAL N
48116 FLORIDA HOSPITAL WATERMAN N
65063 FLORIDA NETPASS N
APBPN FLORIDIANCARE N
48117 FMH BENEFIT SERVICES N
25059 FOREST COUNTY POTAWATOMI INSURANCE DEPARTMENT N
87066 FORMAX, INC. N
39065 FORTIS (FORMERLY TIME INSURANCE) N
39065 FORTIS (WESTERN LIFE INS. BENEFIT PLAN) N
70408 FORTIS BENEFITS (KANSAS CITY) N
39065 FORTIS BENEFITS, INC. (WOODBURY) PHCS NETWORK CLAIMS N
41124 FORTIS SELF FUNDED ADMINISTRATIVE SERVICES N
39065 FORTIS WESTERN N
FH001 FOUNDATION HEALTH OF CA N
FHFLE FOUNDATION HEALTH OF FLORIDA-ENCOUNTERS N
FVMCH FOX VALLEY MEDICINE SITE 199 N
FVMC1 FOX VALLEY MEDICINE SITE 451 N
64067 FOXEVERETT INGALL N
64069 FOX-EVERETT, INC. N
Confidential Updated 08.30.2017
J1883 FRANCISCAN ALLIANCE N
31313 FREEDOM FIRST N
41212 FREEDOM HEALTH PLAN N
62324 FREEDOM LIFE INSURANCE COMPANY N
71768 FREEDOMBLUE HHIC Y
IP080 FREEMAN IPA N
43197 FRESENIUS HEALTH PARTNERS N
TH118 FRESENIUS MEDICAL CARE N
99660 FRESNO PACE N
59204 FRINGE BENEFIT COORDINATORS N
34171 FRONTPATH HEALTH COALITION N
30005 GALVESTON COUNTY INDIGENT HEALTH CARE N
10009 GATES MCDONALD HEALTH PLUS N
25169 GATEWAY HEALTH PLAN N
05506 GATEWAY HEALTH PLAN N
60550
GATEWAY HEALTH PLAN ((YELLOW CARD). CHECK THE ID CARD TO
VERIFY THE PAYER ID BEFORE SUBMITTING) N
25169 GATEWAY HEALTH PLAN MEDICAID PA N
91741 GATEWAY HEALTH PLAN MEDICARE OHIO ASSURED N
76028 GATEWAY HEALTH PLAN OF OHIO, INC. N
4317M GATEWAY TO BETTER HEALTH Y
431YM GATEWAY TO BETTER HEALTH N
CB951 GBS GLOBAL BENEFITS N
80241 GBS GROUP BENEFIT SERVICES INCORPORATED N
GEHA9 GEHA HEALTH GROUP (NEVADA) N
75273 GEISINGER HEALTH PLAN Y
MCS01 GEMCARE (GOLDEN EMPIRE MANAGED CARE SYSTEM) N
20376 GEMCARE HEALTH PLAN N
Confidential Updated 08.30.2017
MCS03 GEMCARE HEALTH PLAN N
27133 GEMCARE IPA N
63665 GENCARE HEALTH (ST. LOUIS ONLY) N
63665 GENCARE HEALTH (ST. LOUIS) N
63665 GENELCO (ST. LOUIS ONLY) N
63665 GENELCO (ST. LOUIS ONLY) N
63665 GENERAL AMERICAN (SANUS - EAST) N
63665 GENERAL AMERICAN LIFE INS. CO. (SANUS, ST. LOUIS) N
63665 GENERAL AMERICAN LIFE INSURANCE COMPANY N
GHEDI GENERATIONS GLOBALHEALTH N
46050 GENERATIONS HEALTH N
46051 GENERATIONS HILLCREST N
IP105 GENESIS HEALTH CARE N
J1895 GENEX CARE FOR OHIO N
58207 GEORGIA HEALTH PL N
61271 GEORGIA POWER MEDICAL BENEFITS PLAN N
00601 GEORGIA STATE HEALTH BENEFIT PLAN (PROCESSED BY GA BC/BS) Y
CHCNT GETTINGUSCOVERED N
23274 GETTYSBURG HEALTH (INCLUDING CORE VALUE.) N
25531 GHI HMO SELECT N
GHMCR GHI MEDICARE PART B OF NEW YORK N
22937 GHI MEDICARE PPFS N
58204 GI INNOVATIVE MANAGEMENT N
J1927 GILLETTE CHILDRENS SPECIALTY HEALTHCARE N
07205 GILSBAR, INC N
COMPU
GLASSWORKERS AND GLAZIERS HEALTH AND WELFARE FUND
TRUST N
91136 GLASSWORKERS HEALTH & WELFARE FUND - GRP# F29 N
Confidential Updated 08.30.2017
07689 GLOBAL CARE INC N
MPM05 GLOBAL CARE MED GRP IPA N
GEM01 GLOBAL EXCEL MANAGEMENT N
GHOKC GLOBAL HEALTH Y
75246 GM SOUTHWEST N
47083 GMS, INC. N
77160 GOLD COAST N
A0006 GOLDEN EMPIRE MANAGED CARE N
37602 GOLDEN RULE INSURANCE N
GTPA1 GOLDEN TRIANGLE PHYSICIAN ALLIANCE N
GSMPA GOOD SAMARITAN IPA (COASTAL HEALTHCARE MANAGEMENT) N
IP086 GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION (GSMPA) N
76923 GOOD SHEPHERD HOSPICE N
44054 GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATION,INC. (GEHA) N
57254 GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATION,INC. (GEHA) N
95453 GRAND VALLEY HEALTH PLAN N
95467 GREAT LAKES HEALTH PLAN N
95467
GREAT LAKES HEALTH PLAN (UNITEDHEALTHCARE GREAT LAKES
HEALTH PLAN) N
39640 GREAT LAKES PACE N
80705 GREAT WEST (SF) N
80705 GREAT WEST (WA) N
80705 GREAT WEST CARE N
80705 GREAT WEST DENVER N
63665
GREAT WEST LIFE & ANNUITY (CLAIMS FOR KENNETT, MISSOURI
ONLY) N
80705 GREAT WEST LIFE ASSURANCE N
80705 GREAT WEST LIFE ASSURANCE COMPANY OF AMERICA N
Confidential Updated 08.30.2017
99284 GREATER COVINA MEDICAL GROUP N
GCMG1 GREATER COVINA MEDICAL GROUP N
IP080 GREATER L. A. HEALTH N
GNPMG GREATER NEWPORT PHYSICIANS N
NMM01 GREATER ORANGE MEDICAL GROUP N
GOBHI GREATER OREGON BEHAVIORAL HEALTH INCORPORATED N
IP080 GREATER SAN GABRIEL N
PDT01 GREATER TRICITIES IPA (NOBLE AMA SELECT) N
80705 GREAT-WEST BELLEVUE N
78521 GREENTREE N
78521 GREENTREE ADMINISTRATORS N
36338 GROUP ADMINISTRATORS LTD. N
GASA1 GROUP ADMINISTRATORS SELF-FUNDED ALTERNATIVE N
48143 GROUP AND PENSION ADMINISTRATORS N
91051 GROUP HEALTH COOPERATIVE (WA) N
95192 GROUP HEALTH COOPERATIVE OF EAU CLAIRE N
39167
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
CLAIMS N
39168
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
ENCOUNTERS N
13551 GROUP HEALTH INCORPORATED (GHI) (NEW YORK) N
61101 GROUP HEALTH INSURANCE - DE N
91121
GROUP HEALTH NORTHWEST (CALL PAYER AT 888-767-4670 PRIOR
TO SUBMITTING ELECTRONIC CLAIMS.) N
37276 GROUP INSURANCE SERVICE CENTER, INC N
OBA16 GROUP MANAGEMENT SERVICES INCORPORATED N
CX015 GROUPLINK N
64246 GUARDIAN LIFE INSURANCE COMPANY OF AMERICA N
60652 GULF SOUTH RISK SERVICES N
Confidential Updated 08.30.2017
CB624 GULF STREAM GENERAL DYNAMICS N
39180 GUNDERSON LUTHERAN HEALTH PLAN N
80705 GWL N
80705 GWL & A N
37114 H.E.R.E.I.U. WELFARE PENSION FUNDS N
65101 HAA PREFERRED PARTNERS N
HALCY HALCYON BEHAVIORAL HEALTH N
47738 HAMASPIK CHOICE N
97258 HAMMERMAN & GAINER N
58305 HARBOR ADVANTAGE N
43313 HARKEN HEALTH N
36406
HARMONY HEALTH PLAN OF ILLINOIS (WELLCARE PROVIDER ID
REQUIRED, CALL (800) 960-2530 OPT. 2 THEN 5) N
36405
HARMONY HEALTH PLAN OF INDIANA (ONLY CLAIMS FOR INDIANA
HOOSIER HEALTHWISE MEMBERS CAN BE SENT TO THIS PAYER
ELECTRONICALLY.) N
75126 HARPETH IPA AMERIVANTAGE N
59143 HARRINGTON HEALTH BPO Y
04245 HARVARD COMMUNITY HEALTH PLAN N
04271 HARVARD PILGRIM HEALTH CARE N
87726 HARVARD PILGRIM PASSPORT CONNECT N
48330 HAWAII MANAGEMENT ALLIANCE ASSOCIATION (HMAA) N
99208 HAWAII WESTERN MANAGEMENT (HWMG) N
86068 HAWKI (PROVIDER ID REQUIRED) N
HCCMI HCC LIFE INSURANCE N
37111 HCH ADMINISTRATION N
37329 HCHA ALBQ - SELF FUNDED N
20501 HCP NEVADA N
HDMCO HDM BENEFIT SOLUTIONS N
Confidential Updated 08.30.2017
90023 HDPC - PREMIER HEALTHCARE N
CALL HEALTH ADVANTAGE OF ARKANSAS Y
23172 HEALTH ALLIANCE EXCLUSIVE & PLUS N
77950 HEALTH ALLIANCE MEDICAL PLANS OF ILLINOIS N
38224 HEALTH ALLIANCE PLAN OF MICHIGAN N
25126
HEALTH AMERICA INCORPORATED HEALTH ASSURANCE
ADVANTRA N
CALL
HEALTH CARE DISTRICT PALM BEACH (PLEASE CONTACT HCDPBC
TO ENROLL AND TO OBTAIN PAYER ID 866-930-1002.) N
42102 HEALTH CARE NETWORK OF WI (HCN) N
42102 HEALTH CARE NETWORK OF WISCONSIN (HCN) N
HCP02 HEALTH CARE PARTNERS - AZ N
62180 HEALTH CHOICE GENERATIONS N
46221 HEALTH CHOICE INSURANCE N
22100 HEALTH CHOICE INTEGRATED CARE N
62179 HEALTH CHOICE OF AZ N
45399 HEALTH CHOICE UTAH N
82018 HEALTH CLAIMS SERVICE N
62111 HEALTH COST SOLUTIONS N
34158 HEALTH DESIGN PLUS N
66004 HEALTH ECONOMIC LIVELIHOOD PARTNERSHIP (HELP) N
16120 HEALTH EZ N
95019 HEALTH FIRST HEALTH PLANS N
75234 HEALTH FIRST-TYLER, TX N
59087 HEALTH HELP NETWORKS, INC. N
86066
HEALTH MANAGEMENT ASSOCIATES (HMA, SERVICING
SOUTHEASTERN AND SOUTHWESTERN REGIONS) (PROVIDER ID
REQUIRED) N
10006 HEALTH MGMT SOLUTIONS N
Confidential Updated 08.30.2017
68021 HEALTH NET - VA N
HM001 HEALTH NET (CALIFORNIA ENCOUNTERS ONLY.) N
95567 HEALTH NET (OF CALIFORNIA) N
AZHNT HEALTH NET OF ARIZONA N
22340 HEALTH NET OREGON N
65062 HEALTH NETWORK ONE N
04286 HEALTH NEW ENGLAND N
FLHLT HEALTH OPTIONS OF FLORIDA (BLUE SHIELD HMO) N
FLENC
HEALTH OPTIONS OF FLORIDA (BLUE SHIELD HMO) ENCOUNTERS
ONLY!! Y
NAHOI HEALTH OPTIONS OF ILLINOIS N
62157 HEALTH PARTNERS - JACKSON,TN N
80142 HEALTH PARTNERS, PA N
20270 HEALTH PAYMENT SYSTEMS N
37221 HEALTH PLAN MANAG N
52563 HEALTH PLAN OF MICHIGAN N
83253 HEALTH PLAN OF MICHIGAN N
76343 HEALTH PLAN OF NEVADA (ENCOUNTER CLAIMS) N
76342 HEALTH PLAN OF NEVADA (FFS CLAIMS) N
68035 HEALTH PLAN OF SAN JOAQUIN N
HPSM1 HEALTH PLAN OF SAN MATEO N
59140 HEALTH PLAN SERVICES, TAMPA OFFICE N
44273 HEALTH PLANS INC. N
95435 HEALTH PLEDGE HMO N
38216 HEALTH PLUS OF MICHIGAN N
HPPO HEALTH PLUS PHYSICIAN ORGANIZATION N
63363 HEALTH PLUS PHYSICIANS ORGANIZATION N
41170 HEALTH RISK MANAGEMENT (HRM) N
Confidential Updated 08.30.2017
00995
HEALTH SAFETY NETWORK - MASS. HEALTH MEDICAL (PROF
0ONLY) N
M3IL1
HEALTH SELECT IPA (ENROLLMENT REQUIRED. CONTACT 866-703-
1444.) N
37290 HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS (HSCSN) N
41150 HEALTH SERVICES MANAGEMENT N
HSM01
HEALTH SERVICES MANAGEMENT, INC. (NOTE: ANSI SUBMITTERS
CAN ALSO SUBMIT TO PLANS AHP, CMS, ONP, PCI, PHP AND VHP
WITH PROPER VALUE IN SBR04.) N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR AHS N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR BPA N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR ECOH N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR EHC N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR ENCR N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR FCM N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR HF N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR HT N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR MMSI N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR MSHO N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR PNET N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR PONE N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR SC N
HSM01 HEALTH SERVICES MANAGEMENT, INC. FOR WEA N
65449 HEALTH SPECIAL RISK INCORPORATED N
HTHTX HEALTH TEXAS MEDICAL GROUP N
95828 HEALTHCARE DISTRICT PALM BEACH COUNTY N
MPM06 HEALTHCARE LA, IPA N
TH049 HEALTHCARE MANAGEMENT ADMIN N
Confidential Updated 08.30.2017
HMA01
HEALTHCARE MANAGEMENT ADMINISTRATORS, INC. (ALSO
KNOWN AS HMA, SERVICING WESTERN REGION) N
EPF37 HEALTHCARE OPTIONS N
HCP01 HEALTHCARE PARTNERS N
11328 HEALTHCARE PARTNERS, IPA N
56731 HEALTHCARE RESOURCES NW N
73147 HEALTHCARE SOLUTIONS GROUP N
25133 HEALTHCARE USA N
25143 HEALTHCARE USA N
85729 HEALTHCOMP N
HCA77 HEALTHCOMP N
HCOMP HEALTHCOMP (COMMUNITY FIRST STAR HEALTH PLAN) N
59608 HEALTHEASE N
95213
HEALTHEDGE ADMINISTRATORS (PAYERID VALID FOR CLAIMS
WITH A SUBMISSION ADDRESS OF PO BOX 11210, BAKERSFIELD,
CA 93389) N
41178 HEALTHEZ N
75289 HEALTHFIRST OF AUSTIN TPA N
80141 HEALTHFIRST, INC. (NY) N
56144 HEALTHGRAM N
CALL HEALTHKEEPER HMO Y
96475 HEALTHLINK HMO N
90001 HEALTHLINK PPO N
38309 HEALTHNET OF AZ N
55204 HEALTHNOW NY Y
07003 HEALTHPARTNERS N
55764 HEALTHPARTNERS OF MINNESOTA N
27514 HEALTHPLUS AMERIGROUP N
68195 HEALTHPOINT CORPORATION N
Confidential Updated 08.30.2017
52429 HEALTHSCOPE BENEFITS EHC REPRICING N
71063 HEALTHSCOPE BENEFITS, INC N
HSHAR HEALTHSHARE N
75237 HEALTHSMART ACCEL N
75250 HEALTHSMART PREFERRED CARE N
HSPC1 HEALTHSMART PREFERRED CARE (HSPC) N
CALL
HEALTHSOURCE \ HUDSON HEALTH PLAN (PROVIDER
ENROLLMENT IS REQUIRED BY THE PAYER. MUST CALL (914) 372-
2291 TO OBTAIN PAYERID) N
71074
HEALTHSOURCE ARKANSAS - CLAIMS MUST CONTAIN
HEALTHSOURCE SPECIFIC VENDOR ID & SPECIFIC RENDERING
PROVIDER ID N
HS001 HEALTHSOURCE INC. N
61127
HEALTHSOURCE KENTUCKY - CLAIMS MUST CONTAIN
HEALTHSOURCE SPECIFIC VENDOR ID & SPECIFIC RENDERING
PROVIDER ID N
01041
HEALTHSOURCE MAINE - CLAIMS MUST CONTAIN HEALTHSOURCE
SPECIFIC VENDOR ID & SPECIFIC RENDERING PROVIDER ID N
02038
HEALTHSOURCE NEW HAMPSHIRE - CLAIMS MUST CONTAIN
HEALTHSOURCE SPECIFIC VENDOR ID & SPECIFIC RENDERING
PROVIDER ID N
56147
HEALTHSOURCE NORTH CAROLINA - CLAIMS MUST CONTAIN
HEALTHSOURCE SPECIFIC VENDOR ID & SPECIFIC RENDERING
PROVIDER ID N
75255
HEALTHSOURCE NORTH TEXAS - CLAIMS MUST CONTAIN
HEALTHSOURCE SPECIFIC VENDOR ID & SPECIFIC RENDERING
PROVIDER ID N
68195 HEALTHSOURCE PROVIDENT INS. CO. N
06119 HEALTHSOURCE SOUTH CAROLINA N
71075 HEALTHSOURCE, AR (MED) (CIGNA) N
58210 HEALTHSOURCE, GA (CIGNA) N
02041 HEALTHSOURCE, MASS N
Confidential Updated 08.30.2017
31141 HEALTHSOURCE, OH N
62129 HEALTHSOURCE, TN (CIGNA) N
34092 HEALTHSPAN N
RH007 HEALTHSPAN N
HSPAN HEALTHSPAN NETWORK REPRICING N
HT001
HEALTHSPRING HMO (NO PPO CLAIMS ACCEPTED VIA THIS
PAYERID.) Y
63092 HEALTHSPRING HMO/HEALTHSPRING MEDICARE+CHOICE N
HESUN HEALTHSUN N
58213 HEALTHWAYS WHOLEHEALTH NETWORKS N
95827 HEALTHY PALM BEACHES, INC. N
HSF01 HEALTHY SAN FRANCISCO N
68064 HEALTHY TEXAS N
68064 HEALTHY TEXAS N
22251 HEALTHY YORK NETWORK N
77180 HEALTHYCT N
45336 HEALTHYCT INCORPORATED N
00243 HELIX FAMILY CHOICE N
59230
HERITAGE CONSULTANTS (MUST USE 9-DIGIT SUBSCRIBER ID ON
ALL CLAIMS) N
HER01 HERITAGE IPA N
M3FL5 HFN HEALTHEASE N
36335 HFN, INC. N
20552 HHH CHOICES GOLD N
95393 HIGH DESERT MEDICAL GROUP N
HDMDG HIGH DESERT MEDICAL GROUP (REGAL) N
33069 HIGH DESERT PRIMARY CARE N
91164 HIGHLINE MEDICAL SERVICES MOLINA N
Confidential Updated 08.30.2017
91161 HIGHLINE PSHP N
35145 HIGHMARK - KEY FAMILY N
47181 HIGHMARK BCBSD HEALTH OPTIONS N
00046 HILL PHYSICIANS MEDICAL GROUP N
HIL01 HILL PHYSICIANS MEDICAL GROUP N
80520 HILLIARD CORPORATION (UCS) N
NAHIN HINSDALE PHYS N
55247 HIP-HEALTH INSURANCE PLAN OF GREATER NY N
HPFFS HISPANIC PHYSICIANS IPA N
86066 HMA (SERVICING HI, AZ AND NV) N
75318 HMC HEALTHWORKS N
COHMO HMO COLORADO N
84555 HMO LOUISIANA BLUE ADVANTAGE N
IP080 HOLLYWOOD PRESBYTERIAN N
NAHLX HOLY CROSS HEALTH PARTNERS N
68069 HOME STATE HEALTH PLAN N
VAICE HOMELAND SECURITY (ATTN: DEPORTATION) N
50701 HOMELINK N
88023 HOMETOWN HEALTH PLAN NEVADA N
30757
HOMETOWN HEALTH PLAN OF OHIO (NOW KNOWN AS THE
HEALTH PLAN) N
88537 HOMETOWN HLTH PRO N
82234 HOMEWOOD RESORTS (UCS) N
66003 HOPKINS HEALTH ADVANTAGE N
HMLIC HORACE MANN LIFE INSURANCE N
HVMG1 HORIZON VALLEY MEDICAL GROUP N
91136
HOTEL EMPLOYEES & RESTAURANT EMPLOYEES HEALTH TRUST -
GRP#F19 N
Confidential Updated 08.30.2017
J1888 HOWARD COUNTY GOVERNMENT (MARYLAND) N
CARD
HPMS (SEND CLAIMS TO PAYERID LISTED ON PATIENT'S
INSURANCE CARD.) N
94254 HPR N
13335
HUDSON HEALTH PLAN (PROVIDER MUST BE LOCATED IN
DUCHESS, ORANGE, ROCKLAND, SULLIVAN OR WESTCHESTER
COUNTY, NY) Y
HBI01 HUMAN BEHAVIORAL INSTITUTE N
61104 HUMANA BEHAVIORAL HEALTH N
95348 HUMANA HEALTH PLANS OHIO N
61115 HUMANA LONG TERM CARE N
61125 HUMANA MILITARY TRICARE N
L0200 HUMANA PUERTO RICO N
61160 HUMANA VA HERO PR N
61120 HUMANA VETERANS HEALTHCARE SERVICES N
61101 HUMANA, CLAIMS ONLY N
61102 HUMANA, ENCOUNTERS ONLY N
94154 HUMBOLDT DEL NORTE FOUNDATION FOR MEDICAL CARE N
37260 HUNT INSURANCE GR N
IP080 HUNTINGTON PARK MEDICAL GROUP N
IP080 HUNTINGTON PARK MISSION N
38234 IBA SELF FUNDED GROUP N
74234
IBEW LOCAL 640 & ARIZONA CHAPTER NECA HEALTH & WELFARE
TRUST N
74234 IBEW WESTERN UTILITIES OR LOCAL 57 N
81810 IBG ADMINISTRATORS, LLC N
41124 IBI N
19028 IBM BUSINESS TOISC N
11695 ICARE (INDEPENDENT CARE HEALTH PLAN) N
Confidential Updated 08.30.2017
26054 ICARE HEALTH OPTIONS TPA N
33884 ICIRCLE OF NEW YORK N
75185 ICON BENEFIT ADMINISTRATORS N
TRUEB IDAHO TRUE BLUE N
YESB IDAHO YES BLUE N
22175 IE SHAFFER N
75274 IHG DIRECT N
68069 ILLINICARE GROUP HEALTH (ALSO 68066) N
DMG01 ILLINOIS HEALTH PLAN (IHP) N
86069 ILLINOIS HEALTH SOLUTIONS ( PROVIDERID REQUIRED) N
IPA99 ILLINOIS PHYSICIANS ALLIANCE IPA N
72091 IMA OF LOUSIANA INC. N
43123 IMAGINE HEALTH N
41600 IMCARE N
40585 INDECS CORPORATION N
TA720 INDEPENDENCE ADMINISTRATORS N
CB231 INDEPENDENCE AMERICAN INSURANCE COMPANY N
64284 INDEPENDENCE CARE SYSTEM N
MHM01 INDEPENDENCE MEDICAL GROUP N
IMG01 INDEPENDENCE MEDICAL GROUP KERN COUNTY N
IMG02 INDEPENDENCE MEDICAL GROUP TULARE COUNTY N
54704
INDEPENDENT BLC OF PA (ALSO KNOWN AS PERSONAL CHOICE
PPO OF PENNSYLVANIA.) Y
95308
INDEPENDENT HEALTH (ENROLLMENT AND TESTING REQUIRED,
CONTACT (716) 635-3911) Y
SX073 INDEPENDENT HEALTH OF NEW JERSEY. N
45048 INDEPENDENT LIVING SYSTEMS N
INDPM INDEPENDENT PHYSICIAN AT MERCY N
Confidential Updated 08.30.2017
04412 INDIAN HEALTH SERVICE/TRIBAL ORGANIZATIONS Y
00290 INDIAN HEALTH SERVICES N
35600 INDIANA DEPARTMENT OF HEALTH CHILDREN'S HEALTH N
35161 INDIANA PROHEALTH NETWORK N
35107
INDIANA TEAMSTERS HEALTH BENEFITS FUND (FORMERLY
KNOWN AS LOCAL 135 HEALTH BENEFITS FUND) N
77153 INDIANA UNIVERSITY (SOUTHEASTERN INDIANA HEALTH) N
COMPU INDUSTRIAL MACHINE SPECIALTIES N
43471 INETICO, INC. N
96490 INFORMED LLC N
52196 INFORMED, LLC N
85578 INGALLS PROVIDER GROUP N
38343 INGHAM HEALTH PLAN CORPORATION N
J1907 INGLES MARKETS N
IEHP1 INLAND EMPIRE HEALTH PLAN N
MVMM1 INLAND FACULTY MEDICAL GROUP N
OSFC9 INNOV_OSF HEALTHCARE CENTRAL N
31172 INNOVANTE BENEFIT ADMINISTRATORS N
40025 INNOVATION HEALTH N
80087 INNOVATIVE PHYSICIAN ASSOCIATES N
VAICE INS HEALTH SERVICES N
37279 INSURANCE ADMINISTRATOR OF AMERICA N
13315 INSURANCE DESIGN ADMINISTRATORS N
72091 INSURANCE MANAGEMENT ADMINISTRATORS N
15688 INSURANCE MANAGEMENT SERVICES N
IMSMS INSURANCE MANAGEMENT SERVICES OF TEXAS N
ISL11 INSURANCE SERVICE OF LUBBOCK N
IAC01 INSURER'S ADMINISTRATION CORPORATION N
Confidential Updated 08.30.2017
86304 INSURERS ADMINISTRATIVE CORP N
51020 INTEGRA ADMINISTRATIVE GROUP, INC. N
31129 INTEGRA GROUP - CHA N
31127
INTEGRA GROUP (ALSO KNOWN AS REHAB PROVIDER NETWORK,
BUT NOT THE SAME AS COLORADO PAYER OF SAME NAME.) N
45302 INTEGRA MANAGED LONG TERM CARE N
23229 INTEGRAL QUALITY CARE N
10001 INTEGRATED COMP N
IHCS1 INTEGRATED HOMECARE SERVICES N
20050 INTEGRATED MEDICAL SOLUTIONS N
68068 INTEGRATED MENTAL HEALTH SERVICES N
68031 INTEGRITY DENTAL ONLY N
56132 INTERACTIVE MEDICAL SYSTEMS N
92649 INTER-AMERICAS INSURANCE N
37227 INTERCARE HEALTH PLANS N
INCHN INTERCOMMUNITY HEALTH NET Y
60280 INTERFACE EAP N
23287 INTERGROUP SERVICES CORPORATION N
SX107 INTERMOUNTAIN HEALTHCARE N
74234 INTERMOUNTAIN IRONWORKERS TRUST FUND N
48603
INTERNATIONAL BROTHERHOOD OF BOILERMAKERS EMPLOYEE
HEALTH CARE PLAN (IBBEHC) N
39182 INTERNATIONAL FUNDING INC. N
IMGIN INTERNATIONAL MEDICAL GROUP, INC N
37269 INTERNATIONAL UNION OPERATING ENGINEERS N
84137 INTERWEST HEALTH PPO (MONTANA) N
35115 INTOTAL HEALTH N
41124 IOWA BENEFITS, INC. N
Confidential Updated 08.30.2017
86068 IOWA HEALTH SOLUTIONS (PROVIDER ID REQUIRED) N
IPAK1 IPA OF KANE COUNTY N
J1887 IPMG CLAIMS MANAGEMENT N
J1911 ISURITY N
SX172 IU MEDICAL GROUP PRIMARY CARE N
JCC01 JACKSON CARE CONNECT N
05014 JACKSON MEMORIAL N
JAI01 JAI MEDICAL SYSTEMS N
JCARE JENCARE MEDICAL N
61271 JF MOLLOY N
87726
JOHN DEERE HEALTHCARE, NOW KNOW AS UNITEDHEALTHCARE
RIVER VALLEY Y
52189
JOHN HOPKINS HEALTHCARE (EHP/PP) (SUBMIT BILLING NPI AND
RENDERING/SERVICING NPI) N
38310 JOHN MORRELL COMPANY - AHPBA N
JMH01 JOHN MUIR HEALTH NETWORK N
68036 JOHN MUIR MT. DIABLO HEALTH SYSTEM N
68013 JOHN MUIR TRAUMA PHYSICIANS N
CALL
JOHN MUIR TRAUMA PHYSICIANS (PLEASE CALL 925-947-5288 FOR
PAYER ID INFORMATION.) N
37215 JOHN P PEARL AND ASSOCIATES N
52123
JOHNS HOPKINS (USFHP) (NEW SUBMITTER SHOULD SEND IN
THEIR BILLING NPI & RENDERING SERVICING NPI) N
43178 JOPLIN CLAIMS N
34136 JP FARLEY CORPORATION N
MWP01 JPS PREFERRED CARE N
37272 JSL ADMINISTRATORS N
91617 KAISER FOUNDATION HEALTH PLAN COLORADO N
52095 KAISER FOUNDATION HEALTH PLAN MID ATLANTIC N
Confidential Updated 08.30.2017
NG010 KAISER FOUNDATION HEALTH PLAN OF GEORGIA N
94135 KAISER FOUNDATION HEALTH PLAN OF NORTHERN CA REGION N
NG007 KAISER FOUNDATION HEALTH PLAN OF OHIO N
94134 KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CA REGION N
93079 KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST N
NG009 KAISER FOUNDATION HEALTH PLAN OF THE NW N
NG008 KAISER MID-ATLANTIC N
KS007 KAISER NORTHWEST REGION N
KS001 KAISER PERMANENTE (SOUTHERN CALIFORNIA ONLY) N
KSRCS KAISER PERMANENTE COLORADO SPRINGS N
21313 KAISER PERMANENTE GEORGIA N
RH011 KAISER PERMANENTE HAWAII N
94123 KAISER PERMANENTE HEALTH PLAN HAWAII N
94320 KAISER PPO N
40137 KALOS HEALTH N
57038 KANAWHA HEALTHCARE SOLUTIONS N
KCIPA KANE COUNTY IPA N
81812 KATY MEDICAL CLAIMS N
KMG11 KATY MEDICAL GROUP N
KEE01 KEENAN & ASSOCIATES N
KELSE KELSEY SEYBOLD N
61453 KEMPER BENEFITS N
73100 KEMPTON GROUP N
KENT1 KENT COUNTY HEALTH PLAN N
27215 KENTUCKY HEALTH ADMINISTRATORS, INC. N
77894 KENTUCKY HEALTH COOPERATIVE N
68069 KENTUCKY SPIRIT HEALTH PLAN (ALSO 68067) N
Confidential Updated 08.30.2017
28021 KERN COUNTY CDCR N
22149 KERN HEALTH CARE NETWORK N
77039 KERN HEALTH SYSTEMS N
89890 KERN LEGACY HEALTH PLAN N
37217 KEY BENEFIT ADMINISTRATORS N
35317 KEY GAP N
95460 KEY HEALTH MEDICAL SOLUTIONS N
KHMSI KEY HEALTH MEDICAL SOLUTIONS INCORPORATED N
KEYIP KEY INSURANCE GROUP N
IP082
KEY MEDICAL GROUP (PROVIDERS PLEASE CONTACT BRANDI
GUINN @ 559-735-3892 X233 FOR AUTHORIZATION.) N
37321 KEY SELECT N
37323 KEY SOLUTION N
CALL KEYCARE PPO Y
23284 KEYSTONE MERCY HEALTH PLAN N
84223 KEYSTONE VIP CHOICE N
KGA15 KG ADMINISTRATIVE SERVICES N
3414A
KLAIS & COMPANY (REPRICING FOR HEALTHSPAN NETWORK
ONLY.) N
34145 KLAIS AND COMPANY N
KAMG1 KOREAN MEDICAL N
KPIC1
KPIC - KAISER PERMANENTE (VALID IN THE STATES OF CACO DC GA
HI MD OH AND OR) N
57610 KUSPUK SCHOOL DISTRICT N
27357 LA CARE N
LACAR LA CARE HEALTH PLAN N
LADOC LA DEPT OF CORRECTIONS N
MPM19 LACH HEALTHNET BY MEDPOINT N
71037 LAFAYETTE CONSOLIDATED GOVERNMENT N
Confidential Updated 08.30.2017
SISCO LAKE AREA COMMUNITY HEALTH PLAN N
SISCO LAKE REGION COMMUNITY HEALTH PLAN N
66127 LAKESIDE COMPREHENSIVE HEALTHCARE N
95415 LAKESIDE HEALTH SERVICES N
66125 LAKESIDE MEDICAL GROUP N
LMG11 LAKESIDE MEDICAL GROUP INC. N
CALL
LANCASTER GENERAL HEALTH GROUP (CONTACT SHERRY
WOLGEMUTH VP OF CLAIMS OPERATIONS AT 717-560-9290 EXT
124 FOR APPROVAL AND PAYERID.) N
90096 LAND OF LINCOLN HEALTH N
LNDMK LANDMARK HEALTHCARE INC. Y
J1889 LANDRYS N
NWADM LAS VEGAS FIRE FIGHTERS LOCAL NO 1285 SECURITY FUND N
NMM02 LASALLE MEDICAL ASSOCIATES N
53122 LASSEN MUNICIPAL UTILITY DISTRICT N
36333 LAWNDALE CHRISTIAN HEALTH CENTER N
LAWND LAWNDALE CHRISTIAN HEALTH CENTER N
52193 LBA HEALTHPLANS N
LWMC1 LEISURE WORLD MANAGED CARE N
37316 LEON MEDICAL CENTER HEALTH PLAN N
65055 LEON MEDICAL CENTER HEALTH PLAN N
11328 LIBERTY HEALTH ADVANTAGE N
87071 LIBERTY HEALTH ADVANTAGE N
98205 LIFE & HEALTH INS CO OF AMERICA (NFL PLAN ONLY) N
33LGC LIFE GIFT CARDS N
LIICA
LIFE INVESTORS INS CO OF AMERICA (SPECIALIZED CLAIMS ONLY.
CALL 866-745-3545 WITH CLAIM ROUTING QUESTIONS.) N
59847 LIFE ST JOSEPH OF THE PINES N
41136 LIFE TRAC N
Confidential Updated 08.30.2017
71498 LIFECIRCLES PACE N
RLH01 LIFEMAP N
76870 LIFEPATH HOSPICE INC. N
LIFE1 LIFEPRINT N
27005 LIFESTYLE HEALTH PLANS N
EBSRM LIFETIME BENEFIT SOLUTIONS N
EBSRM LIFETIME BENEFITS SOLUTIONS N
93093 LIFEWISE A PREMIER HEALTH PLAN Y
93093 LIFEWISE HEALTH PLAN OF OREGON A PREMIER HEALTH PLAN Y
91049
LIFEWISE HEALTH PLAN OF WASHINGTON A PREMIER HEALTH
PLAN Y
LWA01 LIFEWORKS ADVANTAGE N
LOBH1 LINDEN OAKS BEH H N
75283 LINN COUNTY N
LIPA1 LIPA/AGATE RESOURCES N
LCM1 LITTLE COMPANY OF MARY N
4725P LITTLE COMPANY OF MARY HEALTH Y
CALL LOCAL CHOICE Y
CB752 LOCKARD & WILLIAMS N
37267 LOMA LINDA UNIVERSITY ADVENTIST N
33036 LOMA LINDA UNIVERSITY HEALTH CARE N
37226 LONDON HEALTH ADM N
45289 LONE STAR TPA N
MHIPA LONG BEACH MEMORIAL IPA (MHCLB) N
73236 LOREN COOK N
67202 LOUISIANA HEALTH COOPERATIVE N
68069 LOUSIANA HEALTHCARE CONNECTIONS N
Confidential Updated 08.30.2017
NMBLS
LOVELACE SANDIA HEALTH PLAN (ACQUIRED BY BS OF NEW
MEXICO) N
56756 LOWER KUSKOKWIM SCHOOL DISTRICT N
13193 LOYAL AMERICAN N
39198 LUTHERAN PREFERRED N
37292 MACHINIST DISTRICT 9 WELFARE N
J1343 MACKINAW ADMINISTRATORS N
36334
MACNEAL HEALTH PROVIDERS - CHS (CONTACT 708-783-7100
PRIOR TO FIRST SUBMISSION.) N
60054
MAGELLAN BEHAVIORAL HEALTH (FOR DATES OF SERVICE
1/1/2006 AND AFTER - PROVIDER ID REQUIRED - AETNA
SUBSCRIBERS ONLY.) N
01260
MAGELLAN HEALTH (ALL NON-AETNA SUBSCRIBERS - PROVIDER ID
REQUIRED) N
11303 MAGNACARE N
68069 MAGNOLIA MISSISSIPPI (ALSO 68062) N
87726
MAHP (MD IPA, OPTUMUN CHOICE AND MLH)
UNITEDHEALTHCARE N
62413 MAILHANDLERS N
45341 MAINE COMMUNITY HEALTH OPTIONS N
35162 MANAGED CARE SERVICES, LLC N
MCS04 MANAGED CARE SYSTEMS N
MCS02 MANAGED CARE SYSTEMS (DELANGO REGIONAL MEDICAL) N
MHCA1 MANAGED HEALTH CARE ADMIN EPS N
22771 MANAGED HEALTH NETWORKS (MHN) N
68069 MANAGED HEALTH SERVICES INDIANA (ALSO 39186) N
68069
MANAGED HEALTH SERVICES OF WISCONSIN (PLEASE CONTACT
THE PAYER @ 800-225-2573, EXT 25525 TO GET SETUP TO SUBMIT
ELECTRONIC CLAIMS.) Y
MHCA2 MANAGED HEALTHCARE ADMINISTRATION INC- BLUE CHOICE Y
Confidential Updated 08.30.2017
36312 MANAGED HEALTHCARE ASSOC (MHCA) N
41555 MANATEE SERVICES N
46012 MAPFRE LIFE COMMERCIAL N
52461 MARCH VISION CARE INCORPORATED N
5246M MARCH VISION HEALTH PLAN N
A0008 MARICOPA HEALTH PLAN N
IP097 MARIN IPA N
MPCHP MARION POLK HEALTH PLAN Y
20805 MARRICK MEDICAL FINANCE LLC N
46478 MARRICK WRX N
53275 MARTINS POINT HEALTH CARE N
MPHC2 MARTIN'S POINT HEALTH CARE USFHP/GENERATIONS ADVANTAGE N
22348 MARYLAND PHYSICIANS CARE N
00247 MARYLAND PHYSICIANS CARE N
77063
MARYLAND PMHS VALUEOPTIONS (USE FOR ALL DATES OF
SERVICE) Y
37121 MASHANTUCKET PEQUOT TRIBAL NATION N
MMPHB MASTERS, MATES AND PILOTS PLAN N
27320 MAX SPECIALTY BENEFITS N
92805 MAXOR N
88090 MAYO CLINIC FL/GA N
41154 MAYO MANAGEMENT SERVICES, INC. N
83028 MBA BENEFIT ADMINISTRATORS N
87065 MBA OF WYOMING N
CSMED MCARE OF COLORADO SPRINGS Y
MCCBV
MCC BEHAVIORAL CARE (WE WILL ALSO ACCEPT PID SX071 FOR
THESE CLAIMS: USE OF EITHER ID ACCOMPLISHES THE SAME
ROUTING.) Y
59331 MCCREARY CORPORATION N
Confidential Updated 08.30.2017
31149 MCGREGOR PACE N
3833N MCLAREN ABW-NHP N
3833T MCLAREN ABW-THPC N
3833R MCLAREN ADVANTAGE SNP N
3833A MCLAREN HEALTH ADVANTAGE N
38338 MCLAREN HEALTH PLAN N
3833C MCLAREN MEDICAID N
6197P MCS N
66039 MCS LIFE N
MDC01 MD CARE HEALTH PLAN N
MDXHI MD HAWAII N
87726
MD-INDIVIDUAL PRACTICE ASSOCIATION, INC. (M.D. IPA)
(PREVIOUSLY PAYER ID 52148) N
MDWIS MDWIS HIP N
91313 MDWISE HOOSIER CARE CONNECT N
35191 MDWISE HOOSIER HEALTHWISE N
31354 MDWISE HOOSIER INDIANA PLAN N
45627 MDWISE MARKETPLACE N
MWSHN MDWISE SELECT HEALTH NETWORK N
MLINK MECKLINK N
80026 MED PARTNERS AMER N
88058 MED PAY N
88058 MED PAY N
M3CA0001 MED3000 CALIFORNIA N
EM350 MED3000 CMS EARLY STEPS N
M3FL0010 MED3000 CMS EARLY STEPS N
EM284 MED3000 CMS SAFETY NET N
M3FL0011 MED3000 CMS SAFETY NET N
Confidential Updated 08.30.2017
EM843 MED3000 CMS TITLE 19 REFORM N
EM205 MED3000 CMS TITLE 21 N
M3FL0014 MED3000 CMS TITLE 21 N
EM216 MED3000 HEALTHSPRING N
58204 MEDADMIN SOL INC N
59231 MEDCOM N
68037 MEDCORE MEDICAL GROUP (OMNI IPA) N
90753 MEDCOST / LIBERTY HEALTH SHARE N
56205 MEDCOST BENEFIT SERVICES N
56162 MEDCOST, INC. N
95321 MEDFOCUS N
94265 MEDICA N
78857 MEDICA HEALTH CARE PLAN, INC. N
12422 MEDICA2 N
EPF02
MEDICAID - TX PREMIER PLAN (CONTACT PROVIDER RELATIONS @
(915)532-2778, X1068) Y
ALMCD MEDICAID OF ALABAMA Y
AKMCD MEDICAID OF ALASKA Y
AZMCD MEDICAID OF ARIZONA (AHCCCS) Y
ARMCD MEDICAID OF ARKANSAS Y
COMCD MEDICAID OF COLORADO Y
CTMCD MEDICAID OF CONNECTICUT Y
DEMCD MEDICAID OF DELAWARE Y
FLMCD MEDICAID OF FLORIDA Y
GAMCD MEDICAID OF GA Y
HIMCD MEDICAID OF HAWAII Y
IDMCD MEDICAID OF IDAHO Y
ILMCD MEDICAID OF ILLINOIS Y
Confidential Updated 08.30.2017
INMCD MEDICAID OF INDIANA Y
IAMCD MEDICAID OF IOWA Y
KSMCD MEDICAID OF KANSAS Y
KYMCD MEDICAID OF KENTUCKY Y
LAMCD MEDICAID OF LOUSIANA (INCLUDES KIDMED CLAIMS.) Y
MEMCD MEDICAID OF MAINE Y
MDMCD MEDICAID OF MARYLAND Y
MAMCD MEDICAID OF MASSACHUSETTS Y
MIMCD MEDICAID OF MICHIGAN Y
MNMCD MEDICAID OF MINNESOTA Y
MSMCD MEDICAID OF MISSISSIPPI Y
MOMCD MEDICAID OF MISSOURI Y
MTMCD MEDICAID OF MONTANA N
NEMCD MEDICAID OF NEBRASKA Y
NVMCD MEDICAID OF NEVADA Y
NHMCD MEDICAID OF NEW HAMPSHIRE Y
NJMCD MEDICAID OF NEW JERSEY Y
NMMCD MEDICAID OF NEW MEXICO Y
NYMCD MEDICAID OF NEW YORK Y
NCMCD MEDICAID OF NORTH CAROLINA Y
NDMCD MEDICAID OF NORTH DAKOTA Y
OHMCD MEDICAID OF OHIO Y
OKMCD MEDICAID OF OKLAHOMA Y
ORMCD MEDICAID OF OREGON Y
PAMCD MEDICAID OF PENNSYLVANIA Y
RIMCD MEDICAID OF RHODE ISLAND Y
SCMCD MEDICAID OF SOUTH CAROLINA Y
Confidential Updated 08.30.2017
SDMCD MEDICAID OF SOUTH DAKOTA Y
TNMCD MEDICAID OF TENNESSEE (TENNCARE) Y
TXMCD MEDICAID OF TEXAS N
UTMCD MEDICAID OF UTAH Y
VTMCD MEDICAID OF VERMONT Y
VAMCD MEDICAID OF VIRGINIA Y
DCMCD MEDICAID OF WASHINGTON DC Y
WAMCD MEDICAID OF WASHINGTON STATE Y
WVMCD MEDICAID OF WEST VIRGINIA Y
WIMCD MEDICAID OF WISCONSIN Y
WYMCD MEDICAID OF WYOMING Y
86916 MEDICAID TEXAS HEALTH STEPS & CSHCN N
SKTX1 MEDICAID TEXAS LTC N
SKVI0 MEDICAID UNITED STATES VIRGIN ISLANDS N
MAHC1 MEDICAL ASSOCIATES HEALTH PLAN N
MAHP1 MEDICAL ASSOCIATES HEALTH PLAN N
68041 MEDICAL BENEFIT ADMINISTRATION, INC. N
74323 MEDICAL BENEFITS MUTUAL N
MPM18 MEDI-CAL BY MEDPOINT N
9043P MEDICAL CONTROL N
29076
MEDICAL MUTUAL OF OHIO (PAYER REQUIRES A 12 DIGIT
RENDERING PROVIDER ID#, WHICH NEEDS TO BE OBTAINED FROM
PAYER BY CALLING 800-321-7223) N
CSMED MEDICAL NETWORK OF COLORADO SPRINGS Y
CAMCD MEDICAL OF CALIFORNIA Y
MHIPA MEDICAL ORANGE COAST MEMORIAL IPA N
62177 MEDICAL REIMBURSEMENTS OF AMERICA N
58203 MEDICAL RESOURCE NETWORK (MRN, INC) N
Confidential Updated 08.30.2017
80019 MEDICAL SERVICE COMPANY GROUP INCORPORATED (MSC) N
12057 MEDICAL SERVICES INITIATIVE N
38224 MEDICAL VALUE PLAN - OHIO (MVP) N
VIMCR MEDICARE OF THE VIRGIN ISLANDS Y
ALMCR MEDICARE PART A/B OF ALABAMA Y
AKMCR MEDICARE PART A/B OF ALASKA Y
AZMCR MEDICARE PART A/B OF ARIZONA Y
ARMCR MEDICARE PART A/B OF ARKANSAS Y
COMCR MEDICARE PART A/B OF COLORADO Y
CTMCR MEDICARE PART A/B OF CONNECTICUT Y
DCMCR MEDICARE PART A/B OF DC Y
DEMCR MEDICARE PART A/B OF DELAWARE Y
FLMCR MEDICARE PART A/B OF FLORIDA Y
GAMCR MEDICARE PART A/B OF GEORGIA Y
HIMCR MEDICARE PART A/B OF HAWAII Y
IDMCR MEDICARE PART A/B OF IDAHO Y
ILMCR MEDICARE PART A/B OF ILLINOIS Y
INMCR MEDICARE PART A/B OF INDIANA Y
IAMCR MEDICARE PART A/B OF IOWA Y
KSMCR MEDICARE PART A/B OF KANSAS Y
KYMCR MEDICARE PART A/B OF KENTUCKY Y
LAMCR MEDICARE PART A/B OF LOUISIANA Y
MEMCR MEDICARE PART A/B OF MAINE Y
MDMCR MEDICARE PART A/B OF MARYLAND Y
MAMCR MEDICARE PART A/B OF MASSACHUSETTS Y
MIMCR MEDICARE PART A/B OF MICHIGAN Y
MNMCR MEDICARE PART A/B OF MINNESOTA Y
Confidential Updated 08.30.2017
MSMCR MEDICARE PART A/B OF MISSISSIPPI Y
MOMCR
MEDICARE PART A/B OF MISSOURI (EASTERN) (SPECIALTY TESTING
REQUIRED) Y
MTMCR MEDICARE PART A/B OF MONTANA Y
NEMCR MEDICARE PART A/B OF NEBRASKA Y
NVMCR MEDICARE PART A/B OF NEVADA Y
NHMCR MEDICARE PART A/B OF NEW HAMPSHIRE Y
NMMCR MEDICARE PART A/B OF NEW MEXICO Y
ENMCR MEDICARE PART A/B OF NEW YORK (EMPIRE) Y
NYMCR MEDICARE PART A/B OF NEW YORK (UPSTATE) Y
NJMCR MEDICARE PART A/B OF NJ (SPECIALTY TESTING REQUIRED) Y
NCMCR MEDICARE PART A/B OF NORTH CAROLINA Y
NDMCR MEDICARE PART A/B OF NORTH DAKOTA Y
CNMCR MEDICARE PART A/B OF NORTHERN CALIFORNIA Y
OHMCR MEDICARE PART A/B OF OHIO Y
OKMCR MEDICARE PART A/B OF OKLAHOMA Y
ORMCR MEDICARE PART A/B OF OREGON Y
PAMCR MEDICARE PART A/B OF PA (SPECIALTY TESTING REQUIRED) Y
RIMCR MEDICARE PART A/B OF RHODE ISLAND Y
SCMCR MEDICARE PART A/B OF SOUTH CAROLINA Y
SDMCR MEDICARE PART A/B OF SOUTH DAKOTA Y
CSMCR MEDICARE PART A/B OF SOUTHERN CALIFORNIA Y
TNMCR MEDICARE PART A/B OF TENNESSEE Y
TXMCR MEDICARE PART A/B OF TEXAS Y
UTMCR MEDICARE PART A/B OF UTAH Y
VTMCR MEDICARE PART A/B OF VERMONT Y
VAMCR MEDICARE PART A/B OF VIRGINIA Y
WAMCR MEDICARE PART A/B OF WASHINGTON Y
Confidential Updated 08.30.2017
WVMCR MEDICARE PART A/B OF WEST VIRGINIA Y
MWMCR MEDICARE PART A/B OF WESTERN MISSOURI Y
WIMCR MEDICARE PART A/B OF WISCONSIN Y
WYMCR MEDICARE PART A/B OF WYOMING Y
ASMCR MEDICARE PART B OF AMERICAN SAMOA Y
GUMCR MEDICARE PART B OF GUAM Y
QUMCR MEDICARE PART B OF NEW YORK GHI Y
PRMCR MEDICARE PART B OF PUERTO RICO (IN TEST) Y
CALL MEDICARE SUPPLEMENTAL Y
AMM11 MEDICHOICE IPA N
23160 MEDICO INSURANCE COMPANY N
95655 MEDIGOLD N
94254 MEDIPRIME N
20039 MEDITURE N
V360H MEDIVIEW VISTA 360 HEALTH N
441MP MEDPARTNERS N
35205 MEDPARTNERS ADMIN N
412MP MEDPARTNERS ADMIN SERVICES N
00130 MEDPAY N
MPM20 MEDPOINT N
62160 MEDSOLUTIONS, INC. N
39190 MEDSTAR FAMILY CHOICE N
00243 MEDSTAR PHYSICIAN PARTNERS N
251MS MEDSTAR SELECT N
MX001 MEDXOOM N
74227 MEGA LIFE & HEALTH INS. CO. (STUDENT DIVISION) N
MMFMC MEMORIAL CARE MEDICAL FOUNDATION N
Confidential Updated 08.30.2017
MCA11 MEMORIAL CLINICAL ASSOCIATES N
62181 MEMORIAL CLINICAL ASSOCIATES SELECTCARE TEXAS N
MHIPA MEMORIAL HEALTHCARE IPA N
MHHNP MEMORIAL HERMANN HEALTH NETWORK N
59065 MEMORIAL INTEGRATED HC N
59064 MEMORIAL INTEGRATED HEALTHCARE N
CALL
MEMORIAL INTEGRATED HEALTHCARE (PLEASE EMAIL TRACY
HARSWICK AT [email protected] FOR PAYER ID
INFORMATION.) N
IP080 MENDICINA FAMILIAR MEDICAL GROUP N
74289
MENTAL HEALTH NETWORK (ONLY CLAIMS FOR PO BOX 209010
AUSTIN TX 78720) N
CALL MERCY CARE (PLEASE CALL 608-758-7739 FOR PAYERID.) N
86052 MERCY HEALTH PLAN (AHCCCS) N
86052 MERCY HEALTH PLAN OF AZ N
22326
MERCY HEALTH PLAN OF NEW JERSEY (PROVIDER ID REQUIRED IN
BOX33A - CONTACT (800) 682-9091 TO OBTAIN ID) N
MER11 MERCY HEALTH PLANS N
63002 MERCY LIFE ALABAMA N
33628 MERCY MARICOPA INTEGRATED CARE N
43185 MERCY PROVIDER NETWORK N
39114 MERCYCARE N
13189 MERIDIAN HEALTH PLAN N
64157 MERITAIN HEALTH (NORTH AMERICAN HEALTH PLAN.) N
64158 MERITAIN HEALTH / AGENCY SERVICES N
41124 MERITAIN HEALTH MINNEAPOLIS N
45150 MERITUS HEALTH N
65113 METCARE HEALTH PLANS N
13265 METRO PLUS HEALTH PLAN N
Confidential Updated 08.30.2017
10850 METROPOLITAN HEALTH PLAN N
38325 MI COMMUNITY CHOI N
MIBCN MICHIGAN BLUE CARE HMO (BCN OF MICHIGAN) Y
MIFEP MICHIGAN FEP Y
MIMPB MICHIGAN MEDICARE PLUSBLUE Y
96598 MICRON TECH N
52149 MID ATLANTIC PSYCHIATRIC SERVICES, INC. (MAPSI) N
MVBCN MID VALLEY BEHAVIORAL HEALTH NETWORK N
37281 MID-AMERICA ASSOCIATES N
22823 MID-AMERICAN BENEFITS N
77012 MIDCOAST IPA N
23550 MIDLAND MANAGEMENT/MFC N
90956 MIDLAND NATIONAL LIFE INS CO (NFIC PLAN ONLY) N
47078 MIDLANDS CHOICE N
47080 MIDLANDS CHOICE N
47080 MIDLANDS HEALTH PARTNERS N
C1051 MIDWEST FAMILY MUTUAL INSURANCE COMPANY N
61146 MIDWEST GROUP BENEFITS N
76079 MIDWEST HEALTH PARTNERS N
MHP77 MIDWEST HEALTH PLANS, INC. N
66727 MIDWEST PHYSICIAN ADMINISTRATIVE SERVICES N
TH088 MIDWEST PHYSICIAN ADMINISTRATIVE SERVICES N
74227 MID-WEST UNITED LIFE (STUDENT DIVISION) N
01776 MINUTEMAN N
PHM10 MISSION COMMUNITY IPA & PACIFIC HEALTH MSO N
MPM07 MISSION COMMUNITY IPA MED GRP N
STJOE MISSION HOSPITAL AFFILIATES N
Confidential Updated 08.30.2017
SX105 MISSIONARY MEDICAL Y
64084 MISSISSIPPI PHYSICIANS CARE NETWORK N
64088
MISSISSIPPI SELECT HEALTHCARE (MISSISSIPPI SELECT HEALTH
CARE) N
37275 MISSOULA COUNTY MEDICAL BENEFITS N
00530 MISSOURI CARE N
MMS01 MISSOURI MEDICARE SELECT N
26097 ML HEALTHCARE N
35316 MMA N
88600 MMM (MEDICARE Y MUCHO MAS) N
13350 MODA HEALTH - FORMERLY ODS HEALTH PLAN N
71079 MOLINA HC MISSOUR N
04423 MOLINA HEALCARE OF NEW MEXICO - SCI N
33373 MOLINA HEALTHCARE OF CA - ENCOUNTERS ONLY. N
38333
MOLINA HEALTHCARE OF CALIFORNIA (RENDERING PROVIDER
MUST USE MEDI-CAL ID NUMBER OR STATE LICENSE NUMBER.
BILLING PROVIDER SHOULD USE FEDERAL TAXID ONLY.) N
51062 MOLINA HEALTHCARE OF FLORIDA N
20934 MOLINA HEALTHCARE OF ILLINOIS N
38334 MOLINA HEALTHCARE OF MICHIGAN N
20676 MOLINA HEALTHCARE OF NEVADA N
NM505 MOLINA HEALTHCARE OF NEW MEXICO N
09824 MOLINA HEALTHCARE OF NEW MEXICO SALUD N
20149 MOLINA HEALTHCARE OF OHIO N
46299 MOLINA HEALTHCARE OF SOUTH CAROLINA N
20554 MOLINA HEALTHCARE OF TEXAS N
38336
MOLINA HEALTHCARE OF WASHINGTON (RENDERING PROVIDERS
USE DSHS MEDICAID ID OR STATE LICENCE NUMBER.) N
43174 MOLINA HEALTHCARE OF WASHINGTON ENCOUNTERS ONLY N
Confidential Updated 08.30.2017
SX109 MOLINA HEALTHCARE UTAH N
72135 MOMENTUM HEALTH SERVICES N
IP095
MONARCH HEALTHCARE IPA (RENDERING PROVIDER ID#
REQUIRED ON ALL CLAIMS.) N
50749 MONDIAL ASSISTANCE N
01759
MONITOR LIFE (PAYER ACCEPTS SECONDARY CLAIMS ONLY AND
MEDICARE CANNOT BE PRIMARY PAYER.) N
13174
MONTEFIORE CONTRACT MANAGEMENT ORGANIZATION
(PROVIDER ID REQUIRED, CALL 914-377-4400 FOR ID PRIOR TO
FIRST CLAIMS SUBMISSIONS.) N
MBIPA MONTEREY BAY IPA N
J1890
MONTGOMERY COUNTRY GOVERNMENT SELF INS PROGRAM
(MCSIP) N
46161 MONTIFORE HMO N
MMLIC
MONUMENTAL LIFE INS CO. (SPECIALIZED CLAIMS ONLY. CALL 501-
277-1284 FOR INFORMATION.) N
MMLI6 MONUMENTAL LIFE INSURANCE COMPANY BALTIMORE N
MMLI7 MONUMENTAL LIFE INSURANCE COMPANY BALTIMORE N
MMLI9 MONUMENTAL LIFE INSURANCE COMPANY PLANO N
MMLI5 MONUMENTAL LIFE INSURANCE COMPANY SCRANTON N
MMLI4 MONUMENTAL LIFE INSURANCE COMPANY VALLEY FORGE N
35092 MORRIS ASSOCIATES AKA HEALTHSCOPE BENEFITS N
IP083
MOSAIC IPA MEDICAL GROUP (PROVIDERS PLEASE CONTACT
BRANDI GUINN @ 559-735-3892 X233 FOR AUTHORIZATION.) N
99282 MOTION PICTURE INDUSTRY N
MPI01 MOTION PICTURE INDUSTRY HEALTH PLAN N
COMMA MOUNTAIN MEDICAL - MMA N
MTNST MOUNTAIN STATES ADMINISTRATORS (COLORADO ONLY) N
80900 MPA - CUSTOM PROVIDER NETWORK N
37233 MPE EMPLOYEE BENEFIT SERVICES N
Confidential Updated 08.30.2017
95444 MPLAN INC. HEALTHCARE GROUP N
MPM16 MPM PROSPECT N
26161 MRIPA ALLCARE CCO N
SB731 MS BCBS STATE EMPLOYEES N
20572 MSA CARE GUARD N
95655 MT. CARMEL N
86040 MTN STATES ADMINI N
9048P MULTIPLAN INCORPORATED N
34080 MULTIPLAN WISCONSIN PREFERRED PROVIDER NETWORK Y
MLTOT MULTNOMAH COUNTY N
81883 MUNICIPAL HEALTH BENEFITS FUND N
A1681 MUSKEGON CARE N
37256 MUTUAL ASSURANCE ADMINISTRATORS N
39065 MUTUAL BENEFIT N
39065 MUTUAL BENEFIT LIFE N
71412 MUTUAL OF OMAHA INSURANCE COMPANY N
71412 MUTUALLY PREFERRED N
14165 MVP HEALTH PLAN OF NY N
MIDSC MWEST SECURITIES N
33020 MY FAMILY MEDICAL GROUP N
32043 MYNEXUS INCORPORATED N
91136 N.W. IRONWORKERS HEALTH & SECURITY TRUST FUND - GRP#F15 N
91136
N.W. ROOFERS & EMPLOYERS HEALTH & SECURITY TRUST FUND -
GRP#F14 N
91136 N.W. TEXTILE PROCESSORS - GRP#F14 N
65085 NAA (NORTH AMERICA ADMINISTRATORS) N
L0110 NAMCI GLOBAL CARE N
NHCA1 NAPERVILLE HEALTH CARE ASSOCIATES N
Confidential Updated 08.30.2017
58182 NAPHCARE INC N
67788
NATIONAL ACCIDENT AND HEALTH GENERAL AGENCY
INCORPORATED N
CB148 NATIONAL ALLIED WU LOCAL 831 N
53011 NATIONAL ASSOCIATION OF LETTER CARRIERS N
NCABS NATIONAL CAPITAL AREA Y
90001
NATIONAL CAPITAL PREFERRED PROVIDER ORGANIZATION
(NCPPO) (TO OBTAIN YOUR PROVIDER ID NUMBER, PLEASE CALL
THE NCPPO CUSTOMER SERVICE DEPARTMENT AT (800) 272-5911 N
90956 NATIONAL FINANCIAL INSURANCE COMPANY N
98205 NATIONAL FOUNDATION LIFE INSURANCE COMPANY N
NHC01 NATIONAL HEALTCHARE CORPORATION ADVANTAGE N
NHAIN NATIONAL HEALTH ADMINISTRATORS INC. N
88057 NATIONAL HEALTH BENEFIT N
88050 NATIONAL HEALTH BENEFITS CORPORATION - NHBC02 N
52132 NATIONAL RURAL ELECTRIC N
NTA11 NATIONAL TEACHERS ASSOCIATION (NTA) N
52103
NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION
(NTCA) N
52104
NATIONAL TELLECOMMUNICATIONS COOPERATIVE ASSOCIATION
(NTCS STAFF) N
NVADM NATIONAL VISION N
31417 NATIONWIDE GROUP N
31417 NATIONWIDE INSURANCE N
31417 NATIONWIDE LIFE AND HEALTH N
31417 NATIONWIDE MUTUAL INSURANCE N
31417
NATIONWIDE SPECIALTY HEALTH (FORMERLY NATIONWIDE
HEALTH PLANS N
19191 NATIVE CARE HEALTH N
75191 NCAS - CHARLOTTE, VA N
Confidential Updated 08.30.2017
75190 NCAS - FAIRFAX, VA N
19988 NEA GROUP INSURAN N
51909 NEIGHBORHOOD DOCTORS ORGANIZATION N
95123 NEIGHBORHOOD HEALTH PARTNERSHIP (NHP) N
96107 NEIGHBORHOOD HEALTH PARTNERSHIP (NHP) N
05047
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND (CONTACT
NHPRI 401-459-6030 TO VERIFY PROVIDER AND VENDOR
NUMBER.) N
96240 NEIGHBORHOOD HEALTH PLAN OF RI - INTEGRITY N
96240 NEIGHBORHOOD HEALTH RI EXCHANGE, UNITY, INTEGRITY PLANS N
04293 NEIGHBORHOOD PLAN (BOSTON, MA) N
66055 NETCARE LIFE AND HEALTH INSURANCE N
04332
NETWORK HEALTH (BEFORE INITIATING SUBMISSIONS, PLEASE
CALL PROVIDER RELATIONS AT (617)806-8104 OR
WWW.NETWORK-HEALTH.ORG FOR AN EDI STARTUP PLAN.) N
77076 NETWORK HEALTH INSURANCE CORP - MEDICARE N
04332 NETWORK HEALTH MASSACHUSETTS N
39144
NETWORK HEALTH PLAN OF WISCONSIN, INC.(PRIOR TO INITIAL
CLAIMS SUBMISSION, PLEASE CONTACT NETWORK HEALTH PLAN
EDI SPECIALIST AT 920-720-1506.) N
AMS01 NETWORK HEALTH PPO N
NSIPA NETWORK SOLUTIONS IPA N
90091 NEVADA HEALTH COOP N
86067 NEVADA HEALTH SOLUTIONS (PROVIDER ID REQUIRED) N
86067 NEVADACARE (PROVIDER ID REQUIRED) N
86067 NEVADACARE KIDS (PROVIDER ID REQUIRED) N
95998 NEW AVENUES INC. N
NCH09 NEW CENTURY HEALTH - VISTA CARDIOLOGY N
NCHOR NEW CENTURY HEALTH ARIZONA INTEGRATED PHYSICIANS N
NCHCA NEW CENTURY HEALTH CENTERS N
Confidential Updated 08.30.2017
NCH03 NEW CENTURY HEALTH UROLOGY N
66893 NEW ENGLAND, THE N
66893 NEW ENGLAND, THE N
75281 NEW ERA LIFE N
76031 NEW ERA WELFARE BENEFIT PLAN TRUST N
68069 NEW HAMPSHIRE HEALTHY FAMILY N
74234 NEW MEXICO DISTRICT COUNCIL OF CARPENTERS N
45129 NEW MEXICO HEALTH CONNECTIONS N
74234 NEW MEXICO PAINTERS AND ALLIED TRADES LOCAL NO 823 N
85036 NEW MEXICO PUBLIC SCHOOLS INSURANCE AUTHORITY N
74234
NEW MEXICO-WEST TEXAS MULTI-CRAFT (LSO KNOWN AS NEW
MEXICO LABORERS) N
84141 NEW WEST HEALTH PLAN N
NYL11 NEW YORK LIFE - LONG TERM CARE N
14179 NEW YORK MEDICAL IMAGING-MVP N
11334 NEW YORK NETWORK MANAGEMENT N
ADSL1 NEXCALIBER N
69821 NEXT LEVEL HEALTH N
38225 NGS AMERICAN, INC. N
81264 NIPPON LIFE INSURANCE COMPANY N
22603 NJ CARPENTERS HEALTH FUND N
NMPPO NM BLUE MCARE PPO N
IP080 NOBLE COMMUNITY N
64157 NORTH AMERICAN ADMINISTRATORS, INC. N
34159 NORTH AMERICAN BENEFITS NETWORK (NABN) N
76112 NORTH AMERICAN INSURANCE COMPANY N
IP079
NORTH AMERICAN MEDICAL MANAGEMENT (PROVIDER NUMBER
MUST BE IN BOX 33A) N
Confidential Updated 08.30.2017
37314 NORTH BROWARD HOSPITAL DISTRICT N
78353 NORTH IOWA COMMUNITY HEALTHCARE (NICH) N
46227 NORTH SHORE - LIJ CARECONNECT INSURANCE COMPANY N
17516 NORTH SHORE - LU MLTCP N
36392 NORTH SUBURBAN ASSOCIATED PHYSICIANS N
35212 NORTH TEXAS HEALTHCARE NETWORK N
PH018 NORTH WEST LIFE N
58169 NORTHEAST GEORGIA HEALTH SERVICES N
72690 NORTHEAST IOWA AREA AGENCY N
SISCO NORTHEAST IOWA COMMUNITY HEALTH PLAN N
NCA01 NORTHERN CALIFORNIA ADVANTAGE MEDICAL GROUP N
J1923 NORTHERN CLAIMS MANAGEMENT N
36347 NORTHERN ILLINOIS HEALTH PLAN N
88027
NORTHERN NEVADA TRUST FUNDS (CALL 775-826-7200 PRIOR TO
SUBMITTING CLAIMS.) N
NMG01 NORTHRIDGE MEDICAL GROUP N
48026 NORTHSHORE PHYSICIANS ASSOCIATES N
60058 NORTHSTAR ADVANTAGE N
52627 NORTHSTAR ADVANTAGE (MHP) N
NWDC1 NORTHWEST DIAGNOSTIC CLINIC N
NPN11 NORTHWEST PHYSICIANS NETWORK N
36346 NORTHWEST SUBURBAN IPA (IL) N
PH018 NORTHWESTERN NATIONAL LIFE N
16114 NOVA CASUALTY COMPANY N
16644 NOVA HEALTHCARE ADMINISTRATORS, INC. (GRAND ISLAND, NY) N
62119 NW DIAGNOSTIC CLINIC SELECTCARE OF TX (NWDC) N
N2FEP NY CENTRAL FEP (FEDERAL EMPLOYEE PROGRAM) BLUE SHIELD N
24819 NY PRESBYTERIAN S N
Confidential Updated 08.30.2017
37299 NYHART N
14142 NYS DOH UCP N
OAKST OAK STREET HEALTH N
36400 OAK WEST PHYSICIAN ASSOCIATION N
36402
OAK WEST PRIMARY PHYSICIAN ASSOCIATION (CLAIMS AFTER
6.01.2015) N
NAOAK
OAK WEST PRIMARY PHYSICIAN ASSOCIATION (CLAIMS PRIOR TO
6.01.2015) N
NAOAK
OAK WEST PRIMARY PHYSICIAN ASSOCIATION (CLAIMS PRIOR TO
6.01.2015) N
OCFMC OC FOUNDATION MED N
L0140 OCCULAR BENEFITS N
50653 OCCUPATIONAL EYEWEAR NETWORK INCORPORATED N
72127 OCHSNER HEALTH PLAN N
OBA18 OGDEN BENEFITS ADMINISTRATION N
31147 OH WORKERS COMP N
34189 OHIO HEALTH CHOICE PPO N
74431 OHIO PPO CONNECT N
OLRMC OLOLRMC UNINSURED PATIENT SERVICES PROGRAM N
65074 OLYMPUS MANAGEMENT HEALTHCARE N
25150
OMNICARE (FOR CLAIMS WITH DATES OF SERVICE AFTER
10/01/04) N
OMN02 OMNICARE IPA N
IP088 OMNICARE MEDICAL GROUP N
99485 ON LOK SENIOR HEALTH SERVICES INCORPORATED N
ONOCI ONCOLOGY NETWORK OF ORANGE COUNTY N
22321 ONE CALL MEDICAL N
80705 ONE HEALTH PLAN INC. N
80705 ONE HEALTH PLAN MICHIGAN, INC. N
Confidential Updated 08.30.2017
80705 ONE HEALTH PLAN NEW YORK, INC. N
80705 ONE HEALTH PLAN OF ALASKA N
80705 ONE HEALTH PLAN OF ARIZONA, INC. N
95379 ONE HEALTH PLAN OF CALIFORNIA N
95412 ONE HEALTH PLAN OF COLORADO N
80705 ONE HEALTH PLAN OF DC INC, N
80705 ONE HEALTH PLAN OF FLORIDA N
95569 ONE HEALTH PLAN OF GEORGIA N
95388 ONE HEALTH PLAN OF ILLINOIS N
80705 ONE HEALTH PLAN OF INDIANA, INC. N
80705 ONE HEALTH PLAN OF KANSAS AND MISSOURI N
80705 ONE HEALTH PLAN OF MAINE, INC. N
80705 ONE HEALTH PLAN OF MASSACHUSETTS, INC. N
80705 ONE HEALTH PLAN OF MINNESOTA, INC. N
80705 ONE HEALTH PLAN OF NEVADA, INC. N
80705 ONE HEALTH PLAN OF NEW JERSEY N
80705 ONE HEALTH PLAN OF NORTH CAROLINA N
80705 ONE HEALTH PLAN OF OHIO N
80705 ONE HEALTH PLAN OF PENNSYLVANIA N
80705 ONE HEALTH PLAN OF SOUTH CAROLINA N
80705 ONE HEALTH PLAN OF TENNESSEE N
80705 ONE HEALTH PLAN OF TEXAS N
80705 ONE HEALTH PLAN OF VIRGINIA, INC. N
80705 ONE HEALTH PLAN OF WASHINGTON N
80705 ONE HEALTH PLAN OF WISCONSIN, INC. N
80705 ONE HEALTH PLAN OF WYOMING N
ONEHC ONE HOMECARE SOLUTIONS N
Confidential Updated 08.30.2017
52149 ONENET PPO, LLC. (FORMERLY KNOWN AS ALLIANCE PPO, INC.) N
BPA01 OPEIU LOCALS 30 & 537 N
66771 OPERATING ENGINEERS LOCAL 139 HEALTH BENEFIT FUND N
74234 OPERATING ENGINEERS LOCAL NO 53 N
91136
OPERATING ENGINEERS LOCALS 302 & 612 HEALTH & SECURITY
FUND - GRP#F12 N
56190 OPTICARE EYE HEALTH NETWORK N
OPCAU OPTICARE OF UTAH N
54154 OPTIMA INSURANCE COMPANY N
52152 OPTIMUM CHOICE OF THE CAROLINA'S (MAMSI) N
87726 OPTIMUM CHOICE, INC. (OCI) (PREVIOUSLY PAYER ID 52148) N
20133 OPTIMUM HEALTHCARE, INC. N
U6885 OPTUM BEHAVIORAL HEALTH SLCO N
41161
OPTUM HEALTH - PHYSICAL HEALTH (INCLUDES OXFORD)
(OPTUMHEALTH) N
87726 OPTUMHEALTH BEHAVIOR SOLUTIONS N
87726 OPTUMHEALTH BEHAVIORAL SOLUTIONS OF NM (OPTUMHEALTH) N
41194 OPTUMHEALTH CARE SOLUTIONS (FORMERLY U.R.N.) N
41194
OPTUMHEALTH CARE SOLUTIONS (FORMERLY UNITED RESOURCES
NETWORKS)(OPTUMHEALTH) N
87726 OPTUMHEALTH NEW MEXICO N
00773 OPTUMHEALTH VISION N
MHIPA ORANGE COAST MEMORIAL IPA N
65021 ORANGE COUNTY HEALTHCARE AGENCY N
OHMS OREGON HEALTH MANAGEMENT SERVICES (OHMS) N
OHMSP
OREGON HEALTH MGMT OHMS AKA PRIMARY HEALTH OF
JOSEPHINE N
45332 OREGONS HEALTH CO-OP N
Confidential Updated 08.30.2017
21455
OREGON'S HEALTH CO-OP (DOS 1/1/15 AND AFTER PAYERID
45332) N
13383 ORTHONET - AETNA N
13381 ORTHONET CORPORATION N
25681 ORTHONET-HEALTHNET N
OSCAR OSCAR HEALTH N
OSFMC OSF CARE ADVANTAGE N
62171 OSF HEALTH PLAN N
61101 OSF HEALTH PLANS Y
OSFE9 OSF HEALTHCARE EAST N
37127 OSG-MICHAEL REESE N
J1904 OSI GROUP LLC N
73071 OSMA HEALTH CL FRATES N
06111 OXFORD (UNITEDHEALTHCARE/OXFORD) N
06111 OXFORD HEALTH PLANS N
87068 P5 HEALTH PLAN SOLUTIONS OF UTAH N
15460 PA CARE ADVANTAGE HIGHMARK SENIOR HEALTH Y
CALL
PA PREFERRED HEALTH (CALL PPHN CLAIMS OPERATIONS AT 410-
349-3222) N
72436 PACE CENTRAL IOWA N
70454 PACE CNY N
35416 PACE NEBRASKA N
45114 PACE OF SOUTHWEST MICHIGAN INCORPORATED N
86711 PACE SOUTHEAST MICHIGAN N
53534 PACE SOUTHWEST IOWA N
99486 PACEPARTNER SOLUTIONS N
J1913 PACIFIC COMPENSATION INSURANCE COMPANY N
J1916 PACIFIC GAS AND ELECTRIC 115 N
Confidential Updated 08.30.2017
75309 PACIFIC SOUTHWEST ADMININSTRATORS (PSWA) N
33053 PACIFICARE BEHAV N
81400 PACIFICARE INDIVIDUAL BUSINESS PLAN (UNITEDHEALTHONE) N
95958 PACIFICARE OF CA ENCOUNTERS N
95958 PACIFICARE OF OK ENCOUNTERS N
95958 PACIFICARE OF OR ENCOUNTERS N
95958 PACIFICARE OF TX ENCOUNTERS N
95958 PACIFICARE OF WA ENCOUNTERS N
95999 PACIFICARE PPO N
20416 PACIFICSOURCE COMMUNITY SOLUTIONS N
93029 PACIFICSOURCE HEALTH PLANS N
20377 PACIFICSOURCE MEDICARE N
COIHS PACIFICSOURCE OHP N
81240 PALIC / PAN-AMERICAN HEALTH Y
37268
PALLADIAN MUSCULAR SKELETAL HEALTH (FORMERLY PRISM
HEALTH NETWORKS) N
38520
PALMETTO TRICARE (REGIONS 1-6) NORTHERN AND SOUTHERN
REGION N
94115 PALO ALTO MEDICAL FOUNDATION N
IP132 PALO ALTO MEDICAL FOUNDATION N
04218 PAN AMERICAN LIFE INSURANCE N
PAPER PAPER CLAIMS N
PRINT PAPER CLAIMS N
58174 PARAGON BENEFITS N
SX158 PARAMOUNT HEALTH N
58204 PARITY HEALTHCARE, INC. N
66917 PARKLAND COMMUNITY HEALTH PLAN N
PARTH PARTNERS IN HEALTH N
Confidential Updated 08.30.2017
56152 PARTNERS NAT HPNC N
PHP02
PARTNERSHIP HEALTH PLAN (OPTUMINSIGHT FOR ENROLL
FORMS) N
IP080 PASADENA PRIMARY CARE PHYSICIANS N
97652 PASSPORT ADVANTAGE N
61129 PASSPORT HEALTH PLAN N
76569 PASSPORTADVANTAGE N
PAN01 PATIENT ACCESS N
10525 PATIENT ADVOCATES, LLC N
26335 PATIENTPAY N
20907 PAUL MUELLER N
26048 PAYER FUSION N
27048 PAYER FUSION N
25449 PBS OREGON ALASKA INDUSTRIAL HARDWARE N
27267 PBS OREGON ALASKA RUBBER AND SUPPLY N
27277 PBS OREGON CASCADE RUBBER PRODUCTS N
26224 PBS OREGON CONSTRUCTION MACHINERY INDUSTRIAL N
73624 PBS OREGON PENINSULA AIRWAYS N
83926 PBS OREGON TDX CORPORATION N
95885 PCA HEALTHPLANS TEXAS N
68069 PEACH STATE HEALTH PLAN (BEHAVIORAL HEALTH) N
68069
PEACH STATE HEALTH PLAN (MEDICAID) (CALL 800-225-2573 EXT
25525 PRIOR TO SUBMITTING CLAIMS.) (ALSO 39187) N
27034 PEAK PACE SOLUTIONS N
20472 PEDIATRIC ASSOCIATES OF BROWARD N
M3FL8 PEDICARE TITLE 19 N
M3FL6 PEDICARE TITLE 21 N
PEF01 PEF CLINIC N
Confidential Updated 08.30.2017
J1924 PEGASUS RISK MANAGEMENT CALIFORNIA N
CALL PEHP - UTAH PUBLIC EMPLOYEE HEALTH PLAN Y
SX106
PEHP - UTAH PUBLIC EMPLOYEE HEALTH PLAN (ENROLLMENT
REQUIRED, PLEASE CONTACT PROVIDER RELATIONS 800-765-7347) N
UH136 PEHP CHIROHLTHPLA N
37086 PEKIN INSURANCE N
CALL PENINSULA HEALTHCARE Y
53226 PENN BEHAVIORAL HEALTH N
95056 PENNSYLVANIA KEYSTONE HEALTH PLAN EAST (CLAIMS ONLY) Y
PCBLS PENNSYLVANIA KEYSTONE HEALTH PLAN EAST (CLAIMS ONLY) N
95056
PENNSYLVANIA KEYSTONE HEALTH PLAN EAST (ENCOUNTERS
ONLY) Y
PEBLS
PENNSYLVANIA KEYSTONE HEALTH PLAN EAST (ENCOUNTERS
ONLY) N
23130 PENNSYLVANIA LIFE INSURANCE N
20172 PENNSYLVANIA PACE N
06161 PENNSYLVANIA PREFERRED HEALTH NETWORK (PPHN) N
72126
PEOPLES HEALTH NETWORK (TENET) (NETWORK ID MUST BE ON
CLAIM. CONTACT [email protected]) N
54704
PERSONAL CHOICE PPO OF PENNSYLVANIA (ALSO KNOW AS
INDEPENDENT BLC) Y
95397 PERSONAL INSURANCE ADMINISTRATORS N
25146 PERSONALCARE N
45275 PHCS GEHA N
13306 PHCS SAVILITY (ONLY FOR SAVILITY CARD MEMBERS.) N
PHIF4 PHIFER WIRE INS N
75238 PHOENIX GROUP SER N
03440 PHOENIX HEALTH PLAN N
22729 PHOENIX HEALTH PLAN (MEDICARE) N
Confidential Updated 08.30.2017
PHYCR PHYCOR (FT COLLINS OFFICE ONLY) Y
EXC01 PHYS MED GROUP OF SAN JOSE N
PA513 PHYSICIAN ASSOCIATES OF GREATER SAN GABRIEL VALLEY Y
58204 PHYSICIAN ASSOCIATES OF LOUSIANA (PAL) N
57549 PHYSICIAN HEALTH COOPERATIVE/SRRIPA N
PHPMC PHYSICIAN HEALTH PARTNERS N
PPRT1 PHYSICIAN PARTNERS IPA N
28943 PHYSICIANS ACCOUNTABLE CARE ORGANIZATION N
38265 PHYSICIANS CARE NETWORK N
36345
PHYSICIANS CARE NETWORK (ROCKFORD, IL ONLY) PAYERID VALID
ONLY FOR CLAIMS WITH BILLING SUBMISSION NAME, CITY AND
STATE OF PHYSICIANS CARE NETWORK, ROCKFORD, IL. N
PCN12 PHYSICIANS CARE NETWORK/THE POLYCLINIC N
MCI01 PHYSICIANS CHOICE MEDICAL SANTA MARIA N
SLOS1 PHYSICIANS CHOICE MEDICAL SLO N
65018 PHYSICIANS CORPORATION OF AMERICA (FLORIDA PLAN ONLY) N
37136 PHYSICIANS HEALTH ASSOCIATION OF ILLINOIS N
PHCS1
PHYSICIANS HEALTH CHOICE - CLAIMS (ADMINISTERED BY
WELLMED) N
PHCEN
PHYSICIANS HEALTH CHOICE - ENCOUNTERS (ADMINISTERED BY
WELLMED) N
20398 PHYSICIANS HEALTH COLLABORATIVE N
MHCM2 PHYSICIANS HEALTH NETWORK N
37330 PHYSICIANS HEALTH PLAN (PHP) MID-MICHIGAN N
09173 PHYSICIANS HEALTH PLAN (PHP-SC) N
12399 PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA N
PHIPA PHYSICIANS HEALTHWAYS IPA N
PMGSC PHYSICIANS MEDICAL OF SANTA CRUZ N
47027 PHYSICIANS MUTUAL INSURANCE COMPANY N
Confidential Updated 08.30.2017
91171 PHYSICIANS OF SOUTHWEST WASHINGTON N
39156 PHYSICIANS PLUS INSURANCE CORP. N
TH131 PHYSICIANS UNITED PLAN N
95397 PIA N
87056 PIASC N
251PD PIEDMOND WELLSTAR HEALTH PLAN N
56151 PIEDMONT ADMINISTRATORS N
06607 PIEDMONT BEHAVIORAL HEALTH N
PMA86 PIMA HEALTH SYSTE N
45985 PINNACLE PHYSICIAN MANAGEMENT ORGANIZATION N
CCIA1 PINNACOL ASSURANCE N
PPNZZ PIONEER PROVIDER NETWORK N
COMPU PIPE INDUSTRY HEALTH & WELFARE FUND OF COLORADO N
59700 PIPEFITTERS L 597 N
37224 PITTMAN AND ASSOCIATES N
23283 PITTSBURGH CARE PARTNERSHIP N
37287 PLANNED ADMINISTRATORS, INC. (PAI) N
CLFRS PLICO N
PMGSJ PMG OF SAN JOSE Y
POD1S PODIATRY FIRST N
POD1ST PODIATRY FIRST INC N
59324 PODIATRY NETWORK FL N
PCU01 POINT COMFORT UNDERWRITERS N
PCU02 POINT COMFORT UNDERWRITERS N
32680 POLY AMERICA MEDICAL & DENTAL BENEFIT PLAN N
16111 POMCO N
IP057 POMONA VALLEY MEDICAL GROUP (PVMG) PROMED N
Confidential Updated 08.30.2017
73159 PPO OKLAHOMA (WINTERBROOK HEALTHCARE MANAGEMENT) N
UHNDC PPO ONE N
59333 PPO PLUS N
72148 PPO PLUS, LLC N
A0009 PPOM LLC N
PPOM1 PPOM LLC N
36332 PPONEXT N
04334 PRACTICARE N
36373 PRAIRIE STATES ENTERPRISES, INC. N
TCC13 PRE MED DEFENDER N
EPF10
PREFERRED ADMINISTRATOR (CONTACT PROVIDER RELATIONS @
(915)532-2778, X1068) N
EPF11 PREFERRED ADMINISTRATORS CHILDRENS HOSPITAL N
53476 PREFERRED BENEFIT ADMINISTRATORS N
SC481 PREFERRED BLUE SC Y
SX089 PREFERRED CARE NY N
CALL
PREFERRED CARE PARTNERS (ENCOUNTERS FROM DELEGATED
ENTITIES ONLY. TO GET PAYERID, CALL JEFF NEHMS AT 305-670-
8440.) N
65088 PREFERRED CARE PARTNERS (MIAMI,FLORIDA) N
73145 PREFERRED COMMUNITY CHOICE N
CALL
PREFERRED HEALTH CARE - PPO LANCASTER, PA (IHS GATEWAY
PAYER) - CONTACT SHERRY WOLGEMUTH AT (717)560-9290 EXT.
124 FOR APPROVAL AND THE PAYER ID. N
33898 PREFERRED HEALTH CARE (PHC) N
61106 PREFERRED HEALTH PLAN (LOUISVILLE, KY) N
CB404 PREFERRED HEALTH PLAN OF CAROLINAS (PHPC) N
31478 PREFERRED HEALTH PROFESSIONALS N
00036 PREFERRED HEALTH PROFESSIONALS KANSAS CITY N
Confidential Updated 08.30.2017
61665 PREFERRED HEALTH SYSTEMS INSURANCE CO (PPO) N
60110 PREFERRED HEALTH SYSTEMS, INC. N
PFIPA PREFERRED IPA N
L0250 PREFERRED MEDICARE N
36401 PREFERRED NETWORK ACCESS N
41147 PREFERRED ONE N
00430 PREMERA Y
PCI01 PREMIER CARE IPA N
PCL01 PREMIER CARE IPA N
65054 PREMIER EYE CARE N
43166 PREMIER HEALTH PL N
251PR PREMIER HEALTH PLAN N
88051 PREMIER HEALTHCARE EXCHANGE N
88056 PREMIER HEALTHCARE EXCHANGE (CYPRESS) N
CAPMN PREMIER PHYSICIANS NETWORK N
MPM22 PREMIER PHYSICIANS NETWORK N
PREHP
PRESBYTERIAN HEALTH PLAN (COMMERCIAL) (PROVIDER ID IS
REQUIRED. CONTACT (888) 923-5757, #6 THEN #2 TO OBTAIN ID.
NEW MEXICO PROVIDERS ONLY.) N
PRESA
PRESBYTERIAN SALUD (PLEASE ADD PROVIDER NUMBER IN
2010AA REF02 OR 2310B REF02 NUMBER IS 11 DIGITS OR LESS.
CONTACT 888-923-5757, #6,#2 TO OBTAIN ID.) N
05003 PRESBYTERIAN(NM) N
77003 PRESTIGE HEALTH CHOICE N
39185 PREVEA HEALTH INSURANCE PLAN / ARISE HEALTH PLAN N
PCACZ
PRIMARY CARE ASSOC OF CALIFORNIA (CUSTOMER SERVICE
PHONE NUMBER 877-602-1563) N
PCJOL PRIMARY CARE OF JOLIET N
PCSNCHD PRIMARY CARE SERVICES NCHD N
Confidential Updated 08.30.2017
60054 PRIMARY CHOICE (AETNA HP-NY/NJ) N
73288 PRIMARY DELIVERY SYSTEMS N
82048 PRIMARY HEALTH NETWORK N
56144 PRIMARY PHYSICIANCARE, INC. N
E3510 PRIME CARE N
MVCV1 PRIME COMMUNITY CARE CENTRAL VALLEY N
61604 PRIME WEST HEALTH PLAN N
IP079 PRIMECARE HEALTH PLAN N
04320 PRIMESOURCE HEALTH NETWORK N
J1891 PRINCE GEORGES COUNTY GOVERNMENT MARYLAND N
PRI01 PRINCETON PREMIER IPA N
61271 PRINCIPAL FINANCIAL GROUP N
61271 PRINCIPAL MUTUAL LIFE INSURANCE COMPANY N
38217
PRIORITY HEALTH (PLEASE CONTACT PRIORITY HEALTH EDI DEPT
AT 616-464-8686 OR EMAIL [email protected]) N
CALL PRIORITY HEALTHCARE Y
37268
PRISM HEALTH NETWORKS (NOW KNOWN AS PALLADIAN
MUSCULAR SKELETAL HEALTH ) N
37315 PRISM UNIVERA N
PRNLK PRNLINK MLK N
70259 PROCARE HEALTH PLAN MEDICAID N
13396 PRODUCTIVE PROCESSING N
36331 PROFESSIONAL BENEFIT ADMINISTRATORS, INC. (OAK BROOK, IL) N
37242 PROFESSIONAL CLAIMS MANAGEMENT N
56001 PROFESSIONAL CLAIMS MANAGEMENT N
J1821 PROFESSIONAL CLAIMS MANAGEMENT N
WK476 PROGRESSIVE INSURANCE N
93082 PROMINENCE HEALTH PLAN OF NEVADA N
Confidential Updated 08.30.2017
80095 PROMINENCE HEALTH PLAN OF TEXAS N
88082 PROMINENCE-ST. MARY'S HEALTH PLAN ENCOUNTERS N
PROSP PROSPECT MEDICAL GROUP N
37309 PROTECTIVE LIFE INSURANCE COMPANY N
SX187 PROVIDENCE N
PHP01 PROVIDENCE CHOICE OPTION Y
PHP01 PROVIDENCE GOOD HEALTH PLAN Y
PAS01 PROVIDENCE INSURANCE AND ADMINISTRATIVE SERVICES N
SX133 PROVIDENCE OF OREGON HEALTH PLAN N
PHP00
PROVIDENCE PREFERRED (PPO) (PROVIDERID AND ENROLLMENT
REQUIRED.) Y
68195 PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY N
68195 PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY OF AMERICA N
68195 PROVIDENT LIFE & CASUALTY INSURANCE COMPANY N
48100 PROVIDRS CARE NETWORK N
HM015 PRUCARE HMO (ENCOUNTERS ONLY) N
MPM25 PRUDENT MEDICAL GROUP N
HM015 PRUDENTIAL ENCOUNTERS N
PH001 PRUITT HEALTH PREMIER N
PSKW0 PSKW N
J1897 PUBLIX SUPER MARKETS INCORPORATED N
CALL PUERTO RICO TRIPLE S (BCBS) Y
91136 PUGET SOUND BENEFITS TRUST - GRP#F25 N
91136 PUGET SOUND ELECTRICAL WORKERS TRUST - GRP#33 N
44827 QUAD CITIES COMMUNITY HEALTH PLAN N
40437 QUAD CITY COMMUNITY HEALTHCARE (QCCH) N
35172 QUAL CHOICE NC N
35174 QUAL CHOICE OF ARKANSAS N
Confidential Updated 08.30.2017
01250 QUAL CHOICE OF OHIO N
QMDCE QUAL MEDICAL COLORADO N
QUANM QUAL MEDICAL NEW MEXICO N
QMDPO QUAL MEDICAL PORTLAND N
23342 QUALCARE N
22312 QUALCARE ALLIANCE NETWORKS INC. (QANI) N
89461 QUALITY CARE PARTNERS N
QCTPA QUANTUMCARE (WE CARE HEALTH PLAN) N
QUARTZASO QUARTZ ADMINISTRATIVE SERVICES ORGANIZATION (ASO) N
84562 QUESTCARE MEDICAL N
73067 QUICKTRIP CORPORATION N
57117 QVI RISK SOLUTIONS, INC. N
CALL
RADCON, INC. (PLEASE CONTACT KATHY KING @ 856-608-1350
FOR PAYER ID INFORMATION.) N
RCHN1 RADY CHILDRENS HEALTH NETWORK N
RRMCR RAILROAD MEDICARE Y
J1894 RAM MUTUAL INSURANCE COMPANY N
RPAWC RAVENSWOOD PHYSICIAN ASSOCIATES N
91176 RBMS, LLC N
SYMED REDLANDS IPA (SYNERMED) N
REGAL REGAL MEDICAL GROUP N
00932 REGENCE BLUE SHIELD OF WASHINGTON N
RGA01 REGENCE GROUP ADMINISTRATORS N
38221 REGENCY EMPLOYEE BENEFITS N
47076 REGIONAL CARE, INC. N
REHNA REHN AND ASSOCIATES N
PH018 RELIASTAR (FORMERLY NWNL) N
76066 RENAISSANCE PHYSICIANS ORGANIZATION N
Confidential Updated 08.30.2017
73066
RESERVE NATIONAL INSURANCE (FOR CLAIMS REJECTIONS, PLEASE
CONTACT RESERVE NATIONAL CUSTOMER SERVICE AT (405)848-
7931.) N
20481
RESOLVE HEALTH PLAN ADMINISTRATORS (AUTHORIZATION
NUMBER REQUIRED: BEGINS WITH THE NUMBER 5 AND IS 13
CHARACTERS IN LENGTH.) N
RHA01 RESOLVE HEALTH PLAN ADMINISTRATORS LLC N
RPPG1 RESURRECTION PHYSICIAN PROVIDER GROUP N
26316 RETIREE HEALTH TRUST N
RVC01 REVCLAIMS N
A0010 REVCLAIMS LLC N
74205 RIGHT CARE FROM SCOTT & WHITE N
37331 RIGHTCHOICE BENEFITS ADMINISTRATORS N
RCMG1 RIVER CITY MEDICAL GROUP N
42172 RIVERLINK HEALTH N
45281 RIVERSIDE HEALTH INC N
RMC01 RIVERSIDE MEDICAL CLINIC N
RMSCO RMSCO N
SX141 ROCKY MOUNTAIN HEALTH PLAN GRAND JUNCTION N
RMHMO ROCKY MOUNTAIN HMO Y
37602 ROONEY LIFE INS. N
46166
ROYAL HEALTH ON BEHALF OF EXTENDED CARE MLTC (FOR
CLAIMS WITH SERVICE DATES/STATEMENT DATES AFTER
12/1/2013.) N
36389 RUSH PRUDENTIAL HEALTH PLANS (HMO ONLY) N
31441 S & S HEALTHCARE STRATEGIES N
35164 SAGAMORE HEALTH NETWORK, INC. N
MNDH1 SAGE N
MNDH1 SAGE PLUS N
37137 SAGE TECHNOLOGIES - PBS N
Confidential Updated 08.30.2017
37105
SAGE TECHNOLOGIES (FORMERLY CCMSI) (CLAIMS FOR PAYER
ADDRESS OF ROCKFORD, IL ONLY.) N
STA01 SAINT ANTHONY PHO N
88029 SAINT MARYS HEALTH PLAN N
SAMAD SAMARITAN ADVANTAGE Y
SAMCP SAMARITAN CHOICE PLAN Y
SAM00 SAMARITAN COMMERCIAL PLAN N
CP001 SAMARITAN HEALTH PLANS N
MSO77
SAN DIEGO COUNTY LOW INCOME HEALTH PROGRAM/COVERAGE
INITIATIVE N
MSO11 SAN DIEGO COUNTY MEDICAL SERVICES (CMS) N
MSO22 SAN DIEGO COUNTY PHYSICIAN EMERGENCY SERVICES N
MSO44 SAN DIEGO COUNTY PRIMARY CARE SERVICES N
MSO33 SAN DIEGO COUNTY RYAN WHITE PRIMARY CARE PROGRAM N
MSO55 SAN DIEGO COUNTY SHERIFFS DEPARTMENT N
96400 SAN DIEGO PACE N
J1886 SAN FRANCISCO MUNICIPAL TRANSPORTATION AGENCY N
33072 SAN LUIS OBISPO SELECT IPA N
SHC30 SANDHILLS CENTER N
SHC303 SANDHILLS CENTER N
91184 SANFORD HEALTH PLAN N
MNSHP SANFORD HEALTH PLAN N
SCACO SANTA CLARA COUNTY IPA N
24077 SANTA CLARA FAMILY HEALTH PLANS N
SNTMC SANTE COMMUNITY PHYSICIANS MEDICAL GROUP CORP N
77038 SANTE HEALTH SYSTEMS N
63665 SANUS HMO-ST. LOUIS (GENERAL AMERICA) N
63665 SANUS PPO (GENERAL AMERICA) N
Confidential Updated 08.30.2017
45552 SATELLITE HEALTH PLAN N
SC922 SC BCBS COMPANION HEALTH Y
SC886 SC BCBS PLANNED ADMINISTRATORS Y
SC400 SC BCBS STATE EMPLOYEE HEALTH PLAN Y
SCAN1 SCAN CA N
99157 SCAN ENCOUNTERS (DIVERSIFIED DATA DESIGN (DDD)) N
72261 SCAN HEALTH PLAN N
73172 SCAN HEALTH PLAN ARIZONA N
20460 SCAN LONG TERM CARE N
SCH01 SCHALLER ANDERSON CHOC HEALTH ALLIANCE N
16146 SCHC TOTAL CARE N
88030 SCOTT & WHITE HEALTH CARE N
SHPM1 SCRIPPS HEALTH PLAN MANAGEMENT SERVICES ORGANIZATION N
SHPS1 SCRIPPS HEALTH PLAN SERVICES N
46187 SEASIDE HEALTH PLAN (STARTING WITH DOS 9/1/2013) N
SVIPA SEAVIEW IPA N
28530 SECURE HEALTH OF GEORGIA N
42142 SECURECARE OF IOWA N
87726
SECUREHORIZONS MEDICARECOMPLETE (SECUREHORIZONS BY
UNITEDHEALTHCARE) N
87726
SECUREHORIZONS MEDICAREDIRECT (SECUREHORIXONS BY
UNITEDHEALTHCARE) N
39045 SECURITY HEALTH PLAN N
TP097 SEDGWICK N
77024 SEECHANGE N
35098 SEECHANGE HEALTH INSURANCE N
SCHP1 SEECHANGE HEALTHPLAN N
20618 SEIU LOCAL 1 CLEVELAND WELFARE FUND N
Confidential Updated 08.30.2017
42137
SELECT BENEFIT ADMINISTRATORS (PAYERID VALID FOR CLAIMS
SUBMISSION ADDRESS OF PO BOX 8339, DES MOINES, IA 50301) N
37282 SELECT BENEFIT ADMINISTRATORS OF AMERICA N
93031 SELECT BENEFIT ADMINISTRATORS, INC. N
60054 SELECT CHOICE N
23285
SELECT HEALTH OF SOUTH CAROLINA (PROVIDER ID REQUIRED IN
BOX33A.) N
SSC11 SELECT SENIOR CLINIC N
00014 SELECTCARE N
76045 SELECTCARE OF TEXAS (HPN) HERITAGE PHYSICIANS NETWORK N
GTPA1
SELECTCARE OF TX (BEAUMONT) (PROVIDER ID REQUIRED -
CONTACT (713) 843-6780 TO OBTAIN ID.) N
HPN11
SELECTCARE OF TX (HOUSTON) (PROVIDER ID REQUIRED -
CONTACT (713) 843-6780 TO OBTAIN ID.) N
KLSY1
SELECTCARE OF TX (KELSEY-SEYBOLD) (PROVIDER ID REQUIRED -
CONTACT (713) 843-6780 TO OBTAIN ID.) N
61225 SELECTCARE TEXAS (KELSEY SEYBOLD) N
72189 SELECTCARE TEXAS BEAUMONT & GOLDEN TRIANGLE N
36404 SELF INSURED PLANS, LLC N
34131 SELF-FUNDED PLANS (IL, PA, OH) N
TRSEL SELMAN TRICARE SUPP N
J1915 SEMPRA ENERGY EMPLOYEE CARE SERVICES N
36426 SENDERO HEALTH N
60054 SENIOR CHOICE (AETNA HP-NY/NJ) N
95444 SENIOR SMART CHOICE N
83035 SENIOR WHOLE HEALTH N
54154 SENTARA FAMILY PLAN N
54154 SENTARA HEALTH MANAGEMENT N
5415M SENTARA MENTAL HEALTH PROFESSIONAL N
Confidential Updated 08.30.2017
23249 SENTINEL MANAGEMENT SERVICES N
AMM07 SEOUL MEDICAL GROUP N
IP080 SEOUL MEDICAL GROUP N
SHPCH SETON CHIP (PROVIDER ID REQUIRED.) N
SHEBP SETON EMPLOYEE PLAN N
SHMAP SETON MAP PROGRAM - MEDIVIEW (PROVIDER ID REQUIRED) N
STAR1 SETON STAR N
25404 SEVEN CORNERS N
SCMG1 SHARP COMMUNITY MEDICAL GROUP N
SHP01 SHARP HEALTH PLAN N
SRS83 SHARP REES STEALY MEDICAL GROUP N
75280 SHASTA ADMINISTRATIVE SERVICES, (JELD-WEN CLAIMS ONLY) N
10002 SHEAKLEY UNICOMP (OH BWC) N
38238
SHEET METAL WORKERS LOCAL 104 (PAYERID VALID FOR
SUBMISSION ADD OF PO BOX 1138, SAN RAMON, CA 94583.) N
41143 SHEFFIELD OLSON AND MCQUEEN INCORPORATED N
SC359 SHERMAN CHOICE N
03699 SIEBA LTD N
76343
SIERRA HEALTH AND LIFE (ENCOUNTER CLAIMS)
(SECUREHORIZONS BY UNITEDHEALTHCARE) N
76342
SIERRA HEALTH AND LIFE (FFS CLAIMS) (SECUREHORIZONS BY
UNITEDHEALTHCARE) N
76342 SIERRA HEALTH SERVICES N
76343 SIERRA HEALTH SERVICES ENCOUNTERS N
SMG01 SIERRA MEDICAL GROUP N
SA001 SIGNATURE ADVANTAGE N
62159 SIGNATURE HEALTH N
23250 SIGNIFICA BENEFIT SERVICES, INC. N
NTWKS SIHO N
Confidential Updated 08.30.2017
77871 SIHRTE N
NASCR SILVER CROSS MANAGED CARE ORGANIZATION N
97691 SILVER STAR PACE N
37228 SILVERBACK TPA N
27094 SIMPLY HEALTHCARE PLANS N
84076 SINCLAIR HEALTH PLAN N
00540 SISCO N
25125 SL CARPENTERS FUN N
84096 SLOANS LAKE MANAGED CARE N
72112 SMA N
72112 SMA 65 N
72112 SMA HEALTH PLAN N
72112 SMA HMO N
J1824 SMART AND FINAL N
72112 SMARTPLAN N
72112 SMARTPLAN 65 N
02057 SMITH ADMINISTRATORS N
SMITH SMITH ADMINISTRATORS N
13010 SMOKEY MOUNTAIN CENTER Y
CB695 SOLARTE HEALTH INCORPORATED N
91131 SOUND HEALTH N
42172
SOUNDPATH HEALTH (FORMERLY KNOWN AS PUGET SOUND
HEALTH PARTNERS, INC.) N
SAMG1 SOUTH ATLANTIC MEDICAL GROUP N
42406 SOUTH CAROLINA SOLUTIONS N
23266
SOUTH CENTRAL PREFERRED - PPO YORK, PA (IHS GATEWAY
PAYER) ( CONTACT JANE GROVE FOR SOUTH CENTRAL PREFERRED
(717) 851-6715.) N
CASD2 SOUTH DAKOTA CHIROPRACTIC (SANFORD HEALTH PLAN) N
Confidential Updated 08.30.2017
59065 SOUTH FLORIDA COMMON SERVICES N
06294 SOUTH FLORIDA MUSCULOSKELETAL CARE N
SX142 SOUTH INDIANA HEALTH OPTIONS - HMO N
35227 SOUTH POINT HOTEL AND CASINO N
28580 SOUTH TAHOE REFUSE N
25147 SOUTHCARE / HEALTHCARE PREFERRED N
86068 SOUTHEAST IOWA HEALTH PLAN (PROVIDER ID REQUIRED) N
72112 SOUTHEAST MEDICAL ALLIANCE N
90448 SOUTHEASTERN INDIANA HEALTH ORGANIZATION SIHO N
77153 SOUTHEASTERN INDIANA HEALTH SIHO N
37318 SOUTHERN BENEFIT SERVICES N
SCP01 SOUTHERN CAL PHYSICIANS MANAGED CARE SERVICES N
NWADM SOUTHERN CALIFORNIA BAKERY DRIVERS SECURITY FUND N
25128 SOUTHERN HEALTH SERVICES INCORPORATED N
SIHCA SOUTHERN ILLINOIS HEALTHCARE ASSOCIATION N
SIPA1 SOUTHLAND IPA N
PHM11 SOUTHLAND SAN GABRIEL VALLEY N
SWPG1 SOUTHWEST PHYSICIANS GROUP N
CX100 SOUTHWEST SERVICE ADMINISTRATORS N
37266 SOUTHWEST SERVICE LIFE N
00773 SPECTERA N
23253 SPECTRUM ADMINISTRATORS N
38416 SPENCER STUART (ARM LTD) N
J1922 SPRINGFIELD INSURANCE COMPANY N
52190 SRI URN MGD TRANS N
IP062 ST JOSEPH HEALTH N
SLCH1 ST LAWRENCE COUNTY HEALTHCARE PLAN N
Confidential Updated 08.30.2017
SMIPA ST MARY'S IPA Y
J1926 ST PAUL INSURANCE N
STM01 ST THOMAS MEDICAL NETWORK N
22240 ST. BARNABAS SYSTEM HEALTH PLAN N
JOEHD ST. JOE HIGH DESERT N
37264 ST. JOHN'S CLAIMS ADMINISTRATION N
IP106 ST. JOSEPH HERITAGE HEALTHCARE N
IP059 ST. JOSEPH HUMBOLT COUNTY N
37116 ST. THERESE PHYSICIAN ASSOCIATION N
01758 STANDARD LIFE & ACCIDENT N
73099 STANDARD LIFE & ACCIDENT INSUR CO N
61425 STARMARK N
06057 STARMARK 4MOST N
46450 STATE AUTO INSURANCE COMPANIES N
72087 STATE EMPLOYEES GROUP BENEFITS N
LABLS STATE EMPLOYEES GROUP BENEFITS N
31059 STATE FARM (CASUALTY AND PROPERTY) N
31053
STATE FARM GROUP MEDICAL & IND HEALTH INS CO (NOTE THAT
PAYER REQUIRES INSURED'S ID OF 11 OR 12 DIGITS AND EXACT
STRUCTURE. OTHERWISE CLAIMS WILL REJECT.) N
00601 STATE MERIT GA Y
GABLS STATE MERIT GA N
75087 STATES GENERAL LIFE INSURANCE N
67829 STERLING MEDICARE ADVANTAGE N
06089 STIRLING AND STIR N
SLIC2 STONEBRIDGE LIFE INS COMPANY (CEDAR RAPIDS IOWA) N
SLIC1 STONEBRIDGE LIFE INS COMPANY (VALLEY FORGE PENNSYLVANIA) N
31121 STONER & ASSOCIATES N
Confidential Updated 08.30.2017
57492 STONES RIVER IPA AMERIVANTAGE N
15752 STONES RIVER REGIONAL IPA - WINDSOR N
74227 STUDENT INSURANCE N
74227
STUDENT INSURANCE - BOSTON MUTUAL LIFE INSURANCE
COMPANY N
74227
STUDENT INSURANCE - LIFE INSURANCE COMPANY OF BOSTON
AND NEW YORK N
74227
STUDENT INSURANCE - MEGA LIFE & HEALTH INSURANCE
COMPANY N
74227
STUDENT INSURANCE - MID-WEST NATIONAL LIFE INSURANCE
COMPANY OF TENNESSEE N
74227 STUDENT INSURANCE - RELIANCE INSURANCE COMPANY N
74227
STUDENT INSURANCE - RELIANCE NATIONAL INSURANCE
COMPANY N
74227 STUDENT INSURANCE DIVISION N
74227 STUDENT RESOURCES INTERNATIONAL (UNITEDHEALTHCARE) N
95202 SUMMACARE HEALTH PLAN N
86071 SUMMERLIN LIFE AND HEALTH N
86083 SUMMIT ADMINISTRATION SERVICES, INC. N
37301
SUMMIT AMERICA INSURANCE SERVICES, INC. (STUDENT
ACCIDENT AND SICKNESS, COLLEGE SPORTS AND NASCC CLAIMS
ONLY.) N
SX186 SUN HEALTH CORPOR N
90956 SUNAMERICA LIFE INS CO (NFIC PLAN ONLY) N
68069 SUNFLOWER STATE HEALTHCARE PLAN N
68057 SUNSHINE HEALTH PLAN N
68069 SUNSHINE HEALTH PLAN (ALSO 68057) N
23218 SUPERIOR ADMINISTRATORS, INC. N
68069 SUPERIOR HEALTH PLAN (ALSO 39188) N
SHP11 SUPERIOR HEALTH/CENTENE CORP N
Confidential Updated 08.30.2017
97802 SUPERIOR INSURANCE SERVICES N
77035 SUTTER CONNECT - CENTRAL VALLEY MED GROUP (CLAIMS) N
IP100 SUTTER CONNECT - DELTA - CLAIMS N
HM059 SUTTER CONNECT - SIP, SMG, SWMG - ENCOUNTERS ONLY N
IP099 SUTTER CONNECT - SOLANO REGIONAL MEDICAL GROUP - CLAIMS N
IP091
SUTTER CONNECT - SUTTER GOULD MEDICAL FOUNDATION -
CLAIMS N
IP130 SUTTER CONNECT EAST BAY MED FOUNDATION Y
HM065 SUTTER CONNECT EAST BAY MEDICAL N
HM069 SUTTER CONNECT EAST BAY REGIONAL AFFINITY ENCOUNTERS N
HM068
SUTTER CONNECT EAST BAY REGIONAL BROWN & TOLAND
ENCOUNTERS. N
IP092
SUTTER CONNECT SUTTER MEDICAL GROUP (SMG,SWMG,SIP)
(PLEASE CONTACT SUTTER TO GET SET UP TO SEND CLAIMS, 800-
611-5191) PER PROVIDER TESTING REQUIRED N
SC050 SUTTER CONNECT-PALO ALTO MEDICAL FOUNDATION N
77318 SUTTER DELTA MEDICAL GROUP N
94269 SUTTER EAST BAY MEDICAL FOUNDATION N
SC052 SUTTER EAST BAY REGIONAL HOSP-AFFINITY CLAIMS N
HM057
SUTTER MEDICAL GROUP OF THE REDWOODS (SMGR) (PLEASE
CONTACT SUTTER TO GET SETUP TO SEND ENCOUNTERS, 800-611-
5191) N
SC028 SUTTER SENIOR CARE N
53589 SW SERVICE ADMINISTRATORS N
36411 SWEDISH COVENANT HOSPITAL N
NASWD SWEDISH COVENANT HOSPITAL N
07040 SWIFT GLASS CORPORATION N
98022 TAKECARE INSURANCE COMPANY N
TALMG TALBERT MEDICAL GROUP N
88067 TALL TREES ADMINISTRATORS N
Confidential Updated 08.30.2017
COMPU TATTERED COVER, INC. N
TAYLR TAYLER BENEFITS N
39157 TBG ADM SERVICES N
88019 TEACHERS HEALTH TRUST N
75133 TEAM CHOICE PNS N
36215 TEAMCARE N
NWADM TEAMSTERS LOCAL 631 SECURITY FUND FOR SOUTHERN NEVADA N
NWADM TEAMSTERS MISCELLANEOUS SECURITY TRUST FUND N
74234 TECH-STEEL, INC. N
22483 TELAMON N
20212 TETHYS HEALTH VENTURES N
TXABA TEXAS AGRICULTURAL COOPERATIVE TRUST N
TXCSN TEXAS CHILDREN PLAN FOR TEXAS MEDICAID N
76048 TEXAS CHILDREN'S HEALTH PLAN N
75228 TEXAS CHILDREN'S HEALTH PLAN (MEDICAID) N
TXCSM
TEXAS CHILDRENS STAR MEDICAID (ENROLLMENT VERIFICATION
CALLS SHOULD BE DIRECTED TO 800-990-TCHP (8247)) Y
76046 TEXAS FIRST HEALTH PLAN (TOPA) N
TX1ST TEXAS FIRST HEALTH PLANS N
THS01 TEXAS HEALTHSPRING N
74214 TEXAS MUNICIPAL LEAGUE GROUP BENEFITS RISK POOL N
J1921 TEXAS POLITICAL SUBDIVISIONS JSIF N
TTCEC TEXAS TRUE CHOICE N
13185 TEXASFIRST HEALTH PLAN N
TBGNE THE BENEFIT GROUP INCORPORATED N
BOONG THE BOON GROUP N
68423 THE CARE NETWORK N
34154 THE CHESTERFIELD COMPANIES N
Confidential Updated 08.30.2017
COA01 THE CITY OF AMARILLO N
75600 THE CITY OF ODESSA N
87726 THE EMPIRE PLAN N
20356 THE HEALTH EXCHANGE (CERNER CORPORATION) N
30757
THE HEALTH PLAN (FORMERLY KNOWN AS HOMETOWN HEALTH
PLAN OF OHIO.) N
34150 THE HEALTH PLAN (UPPER OHIO VALLEY) N
29018 THE HEALTH PLAN OF WESTERN ILLINOIS (HOWI) N
35206 THE HEALTHCARE GROUP (THCG) N
58200 THE INTEGRITY BENEFIT NETWORK, INC. N
23223
THE LOOMIS COMPANY (CALL PROVIDER RELATIONS AT 610-374-
4040 EXT. 2438 FOR PROCEDURES PRIOR TO SUBMITTING
ELECTRONICALLY.) N
59227
THE MEGA LIFE AND HEALTH INSURANCE COMPANY-OKC (VALID IF
PO BOX 548801 OKLAHOMA CITY OK 73154.) N
70491 THE MUTUAL GROUP N
63092
THE OATH - HEALTH PARTNERS OF ALABAMA (NOW KNOWN AS
HEALTHSPRING HMO/HEALTHSPRING MEDICARE+CHOICE) N
THERA THERAPHYSICS N
COTHE THERAPHYSICS COLORADO ONLY N
J1831 THERAPY DIRECT NETWORK N
75305 THERAPY REVIEW SY N
SC315
THOMAS COOPER (PROVIDER MUST BE ENROLLED WITH SC BLUE
SHIELD.) Y
MP340 THREE RIVERS PREFERRED N
25175
THREE RIVERS PROVIDER NETWORK (NOW KNOWN AS UNISON
HEALTH PLAN.) N
THRIV THRIVENT FINANCIAL N
58600 TIFT REGIONAL N
39065 TIME INSURANCE (A FORTIS COMPANY) N
Confidential Updated 08.30.2017
TLC01 TLC ADVANTAGE IN SIOUX FALLS N
TLC79 TLC BENEFIT SOLUTIONS N
WITH1 TODAYS HEALTH N
48055 TODAYS OPTION (AMERICAN PROGRESSIVE AND PYRAMID LIFE) N
92620 TONGASS TIMBER TRUST N
61425 TOOLING & MANUFACTURING ASSOC. N
THIPA TORRANCE HOSPITAL IPA N
TMMC1 TORRANCE MEMORIAL N
TCARE TOTAL CARE OF NY N
68069 TOTAL CAROLINA CARE (ALSO 68055) N
31182 TOTAL COMMUNITY CARE N
38201 TOTAL HEALTHCARE, INC. N
41202 TOTAL PLAN SERVICES N
87726 TOUCHPOINT N
TPS01 TOUCHPOINT SOLUTIONS TOUCHPOINT CRM N
23856 TOUCHSTONE HEALTH PSO N
13402 TOUCHSTONE HEALTH/HEALTH NET SMART N
69493 TOWER LIFE INSURA N
37230 TR PAUL INC. N
TFLI4 TRANSAMERICA FINANCIAL LIFE INSURANCE BALTIMORE N
TFLI6 TRANSAMERICA FINANCIAL LIFE INSURANCE CEDAR RAPIDS N
TFLI2 TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY N
TFLI3 TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY N
TFLI5 TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY N
TRCLF TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY N
TRLTC TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY N
TRP1P TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY N
Confidential Updated 08.30.2017
TFLIC
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY HURST
TEXAS N
TLIN7 TRANSAMERICA FINANCIAL LIFE INSURANCE PLANO N
TLINS
TRANSAMERICA LIFE INS. CO.(SPECIALIZED CLAIMS ONLY. CALL
501-277-1284 FOR INFORMATION.) N
TRP1E TRANSAMERICA LIFE INSURANCE COMPANY N
MMLI3
TRANSAMERICA PREMIER LIFE INSURANCE COMPANY
(MONUMENTAL) N
37284 TRANSCHOICE - KEY BENEFIT ADMIN N
74234 TRANSWESTERN GENERAL AGENCY N
TRAN1 TRANSWESTERN INSURANCE ADMINISTRATORS, INC. N
TCMAP TRAVIS COUNTY MAP MEDIVIEW N
36397 TRELLIS HEALTH PARTNERS N
J1905 TRI CITY HEALTHCARE DISTRICT N
39181 TRIAD HEALTHCARE INC N
TDDIR TRICARE FOR LIFE (ALL REGIONS 1-12) Y
57106 TRICARE NORTH Y
FOREN TRICARE OVERSEAS Y
38520
TRICARE PALMETTO (REGIONS 1-6) NORTHERN AND SOUTHERN
REGION N
57106 TRICARE SOUTH Y
99726 TRICARE WEST Y
WESTR TRICARE WEST N
31144 TRIHEALTH PHYSICIAN SOLUTIONS Y
31143 TRIHEALTH PHYSICIAN SOLUTIONS CONCERN N
A0011 TRILLIUM HEALTHCARE RESOURCES N
98514 TRILOGY HEALTH N
97300 TRIPLE S Y
64300 TRIPLEFIN LLC N
Confidential Updated 08.30.2017
64300 TRIPLEFIN LLC N
62777 TRLHN/EB N
TCUSA TRUE CHOICE USA N
TCUCH TRUE CHOICE USA - CHRISTUS HEALTHPLAN N
L0230 TRUSTED HEALTH PLAN N
91078 TRUSTEED PLANS SERVICE CORPORATION N
61425 TRUSTMARK (INCLUDES STARMARK & TMA) N
THA01 TUALITY HEALTH N
THASC TUALITY HEALTH SELECT N
04298 TUFTS ASSOCIATED HEALTH N
TH055 TX TRUE CHOICE N
87726 UBH EMPLOYER DIVISION N
87726 UBH RIOS N
UCDMG UC DAVIS HEALTH SYSTEMS N
52629 UCARE OF MINNESOTA N
94603 UC-DAVIS HEALTH N
USMBP UCLA MEDICAL GROUP N
93235 UCS N
97041 UCS HEWITT COLEMAN N
59573 UCS HOCKENBERGOS EQUIPMENT N
60230 UCS MASONRY INDUSTRY TRUST N
52323 UCS NEBRASKA PLASTICS GROUP N
08354 UCS NX HEALTH NETWORK N
97736 UCS RTG MEDICAL GROUP N
20452 UCS WINSTON HOSPITALITY N
BS001
UFCW LOCAL 400-5205 (SUBMITTERS TO UFCW MUST REGISTER
WITH CA BLUE SHIELD AT WWW.BLUESHIELDCA.COM/PROVIDER.
IF REGISTRATION NOT COMPLETED, CLAIMS WILL REJECT.) N
Confidential Updated 08.30.2017
95375 UHC COMMUNITY IA N
86001 UHC COMMUNITY NJ2 N
86002 UHC COMMUNITY NY2 N
39026
UHIS-UNITEDHEALTHCARE INTEGRATED SERVICES
(UNITEDHEALTHCARE) N
75245 UICI ADMINISTRATORS - STATE OF NEVADA N
ULLIC ULLICO INCORPORATED (VALLEY FORGE PENNSYLVANIA) N
77022 ULTIMATE HEALTH PLAN N
41206 ULTRA BENEFITS INC N
UMHCJ
UMASS MEDICAL SCHOOL HEALTH AND CRIMINAL JUSTICE
PROGRAM N
75130 UMC HEALTH PLAN N
31107 UMR CINCINNATI N
UMRC1 UMR CINCINNATI HS N
62061 UMR KANSAS (FORMERLY FISERV HEALTH - KANSAS) N
79480 UMR ONALASKA (FORMERLY MIDWEST SECURITY) N
74223 UMR SAN ANTONIO N
39026 UMR WAUSAU/UHIS N
79480 UMR-MIDWEST SECURITIES N
95266 UMRWESTERVILLE 95 N
52180 UMWA HEALTH & RETIREMENT FUNDS N
80314 UNICARE LIFE & HEALTH N
35198 UNIFIED GROUP SERVICES N
62170 UNIFIED HEALTH SERVICES N
51368 UNIFIED IPA N
34638
UNIFIED PHYSICIANS NETWORK (FOR CLAIMS REJECTIONS, PLEASE
CONTACT UNIFIED PHYSICIANS CLAIM DEPARTMENT AT 847-763-
1700) N
01691 UNIFIED PHYSICIANS NETWORK (UPN) N
Confidential Updated 08.30.2017
13407 UNIFORMED SERVICE FAMILY HEALTH PLAN N
87042 UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS N
25175
UNISON DC, DE, NJ, OH, PA, SC, TN (UNITEDHEALTHCARE
COMMUNITY PLAN) N
25175
UNISON HEALTH PLAN (FORMERLY THREE RIVERS PROVIDER
NETWORK.) N
UABT1 UNITED AGRICULTURE BENEFIT TRUST N
87726 UNITED BEHAVIORAL HEALTH N
59069 UNITED BENEFITS, INC (A BROWN & BROWN COMPANY) N
ADCUC UNITED CARE MEDICAL GROUP N
20090 UNITED CLAIM SOLUTIONS N
A0047 UNITED CLAIM SOLUTIONS N
36659 UNITED FOOD AND COMMERCIAL WORKERS MIDWEST UNIONS N
21850 UNITED FOOD AND COMMERCIAL WORKERS UFCW LOCAL 1529 N
UFWIF UNITED FURNITURE WORKERS N
UGP19 UNITED GROUP PROGRAMS N
96385 UNITED HEALTHCARE COMMUNITY PLAN KANSAS N
84132 UNITED MEDICAL ALLIANCE (UMA) Y
31107
UNITED MEDICAL RESOURCES, INC. (SOME OF UMR'S NEW
MEMBER CARDS NO LONGER PRINT THE FULL SSN. WHEN
SUBMITTING ELECTRONICALLY, THE FULL SSN MUST BE ENTERED.) N
71412 UNITED OF OMAHA N
ECMSO UNITED PHYSICIANS INTERNATIONAL (UPI) N
84132 UNITED PHYSICIANS OF NORTHERN COLORADO Y
87726 UNITEDHEALTHCARE N
87726
UNITEDHEALTHCARE / MAMSI LIFE AND HEALTH INSURANCE CO.
(MLH) (PREVIOUSLY PAYER ID 52148) N
86050 UNITEDHEALTHCARE COMMUNITY PLAN MISSOURI N
87726 UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE N
Confidential Updated 08.30.2017
87726
UNITEDHEALTHCARE HAWK-I (UNITEDHEALTHCARE COMMUNITY
PLAN) N
52148
UNITEDHEALTHCARE MAHP MARYLAND IPA OPTIMUM CHOICE
MAMSI N
87726
UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY
(UNITEDHEALTHCARE COMMUNIT PLAN) N
87726
UNITEDHEALTHCARE RIVER VALLEY (FORMERLY KNOWN AS JOHN
DEERE HEALTHCARE Y
00773 UNITEDHEALTHCARE VISION N
87726
UNITEDHEALTHCARE WEST (FORMERLY KNOW AS PACIFICARE)
(UNITEDHEALTHCARE) N
95958
UNITEDHEALTHCARE WEST ENCOUNTERS(FORMERLY KNOW AS
PACIFICARE) (UNITEDHEALTHCARE) N
66705
UNITY HEALTH INSURANCE (BEFORE SUBMITTING CLAIMS, PLEASE
CALL JOE BOERBOOM AT 608-643-1531 FOR EDI SIGNUP.) N
A0012 UNITY HEALTH PLAN N
81108 UNITY SECURITY LIFE AND HEALTH N
SX087 UNIVERA HEALTH CARE PLAN/CHOICECARE BUFFALO N
HC001 UNIVERA HEALTHCARE - CNY N
SX091 UNIVERA HEALTHCARE (SSA) Y
UNINW UNIVERA TRADITIONAL PPO N
UNBCI UNIVERSAL BENEFITS CORPORATION N
UNBC2 UNIVERSAL BENEFITS CORPORATION CEDAR RAPIDS N
33001 UNIVERSAL CARE - CALIFORNIA (PROVIDERID REQUIRED.) N
93220 UNIVERSAL FIDELITY ADMINISTRATORS COMPANY N
50528 UNIVERSAL HEALTH N
38298 UNIVERSALSTANDARD N
09830 UNIVERSITY FAMILY CARE N
07503 UNIVERSITY FAMILY CARE - HEALTHCARE GROUP N
09908 UNIVERSITY FAMILY CARE - MARICOPA HEALTH PLAN N
Confidential Updated 08.30.2017
09908 UNIVERSITY FAMILY CARE - MARICOPA HEALTH PLAN N
99026 UNIVERSITY HEALTH ALLIANCE Y
46407 UNIVERSITY HEALTH CARE ADVANTAGE N
45437 UNIVERSITY HEALTHCARE MARKETPLACE N
UIC67 UNIVERSITY OF ILLINOIS N
37601 UNIVERSITY OF ILLINOIS AT CHICAGO DIV OF SPECIALIZED CARE N
45282 UNIVERSITY OF MARYLAND HEALTH ADVANTAGE N
92579 UNIVERSITY OF MIAMI BEHAVIORAL HEALTH N
SX155 UNIVERSITY OF UTAH HEALTH PLANS N
91136
UNIVERSITY OF WASHINGTON STUDENTS & GRADUATE APPTS. -
GRP#P67 N
A0013 UNIVERSITY PHYSICIANS HEALTHCARE N
IP056
UPLAND MEDICAL GROUP (CUSTOMER SERVICE PHONE NUMBER
(909) 291-4400) N
23281 UPMC HEALTH PLAN N
25184 UPMC VISION ADVANTAGE N
37324 UPPER PENINSULA HEALTH GROUP (TPA) N
38337 UPPER PENINSULA HEALTH PLAN N
93092 US BENEFITS N
90551 US FAMILY HEALTH PLAN N
USFHP US FAMILY HEALTH PLAN (USFHP) N
50383 US IMAGING NETWORK (NEW YORK) N
74095 USAA N
J1822 USAA N
9047P USC HEALTH SERVICES N
74234 UTAH CARPENTERS N
74234 UTAH LABORERS N
74234 UTAH PIPE TRADES N
Confidential Updated 08.30.2017
N4FEP UTICA NY FEP BLUE SHIELD N
UT3F UTMB 3 SHARE PROGRAM N
12115 VA FEE BASIS PROGRAMS N
55912
VA PATIENT CENTERED COMMNITY CARE PROGRAM (VAPCCC
REGION 3) N
55915
VA PATIENT CENTERED COMMNITY CARE PROGRAM (VAPCCC
REGION 5A) N
55917
VA PATIENT CENTERED COMMNITY CARE PROGRAM (VAPCCC
REGION 6) N
55917 VA PATIENT CENTERED COMMUNITY CARE REGION 6 N
VAP33 VA PATIENT CENTERED REGION 3 N
VAPC3 VA PATIENT CENTERED REGION 5A Y
VAPC6 VA PATIENT CENTERED REGION 6 N
VABLS VA PLANS N
CALL VA STATE EMPLOYER FUNDS Y
64009 VALIR PACE N
82420 VALLEY BAPTIST HEALTH N
VCIPA VALLEY CARE IPA N
VHA11 VALLEY HEALTH ADMINISTRATORS N
94293 VALLEY MENTAL HEALTH N
00814 VALUE OPTIONS AZ MEDICAID N
00815 VALUE OPTIONS COLORADO MEDICAID Y
00813 VALUE OPTIONS COMMERCIAL CLAIMS Y
00823 VALUE OPTIONS MARYLAND N
00816
VALUE OPTIONS MASSACHUSETTS BEHAVIORAL HEALTH
PARTNERSHIP Y
00817 VALUE OPTIONS PENNSYLVANIA MEDICAID Y
00818 VALUE OPTIONS TEXAS NORTHSTAR Y
Confidential Updated 08.30.2017
43307
VALUEOPTIONS/MBHP (FOR CLAIM REJECTIONS PLEASE CONTACT
[email protected] OR 888-247-9311) Y
72128 VANTAGE HEALTH PLAN, INC. N
PPM01 VANTAGE MEDICAL GROUP N
VAP5A VAPCCC REGION 5A N
55916 VAPCCC REGION 5B N
VPA18 VARIABLE PROTECTION ADMINISTRATORS (VPA) N
73288 VENCOR N
VCHCP VENTURA COUNTY HEALTHCARE PLAN N
66126 VERDUGO HILLS MEDICAL GROUP N
VMMH1 VERITY N
75256 VERITY NATIONAL GROUP N
VMMH2 VERITY PLUS N
48123 VIA CHRISTI HOPE N
54182 VICARE ADMIN SVCS N
24818 VIDA CARE (NOW KNOWN AS AMIDA CARE.) N
25924 VIECARE LIFE BEAVER AND LIFE LAWRENCE COUNTIES N
73743 VILLAGE FAMILY PHYSICIAN N
VFP11 VILLAGE FAMILY PRACTICE N
VLGMD VILLAGE MD N
26545 VILLAGECAREMAX N
84806 VIRGINIA COORDINATED CARE VCC N
CALL
VIRGINIA HEALTH NETWORK,INC (TO GET THE PAYERID, CALL
PAYER AT (804)320-3837) N
VPCCP VIRGINIA PREMIER COMPLETE CARE Y
VPELT VIRGINIA PREMIER ELITE N
54176 VIRGINIA PREMIER HEALTH PLAN Y
M3FL2 VISTA - TALLAHASSEE N
Confidential Updated 08.30.2017
55248 VISTA HEALTH PLAN & FOUNDATION HEALTH PLAN N
NCH08 VISTA ONCOLOGY NEW CENTURY INFUSION SOLUTIONS N
VESTA VISTACARE/RH ADMIN N
63114 VIVA HEALTH PLAN N
31626 VNA HOMECARE OPTIONS N
77073 VNS CHOICE MEDICARE (FORMERLY VISITING NURSE SERVICE) N
59266 VOLUSIA HEALTH NETWORK N
23173 VPH COMMUNITY CAR N
22264
VYTRA HEALTHCARE (PROVIDER ID NUMBER REQUIRED. PLEASE
CALL 1-631-420-4100, OPT 4, OPT 4 FOR PAYER SET-UP AND PAYER
ASSIGNED PROVIDER ID NUMBER.) N
91062 WA DENTAL SERVICE N
85256 WABASH MEMORIAL HOSPITAL ASSOCIATION N
31650 WAGNER MEINERT N
WCHHS WASHINGTON COUNTY HEALTH AND HUMAN SERVICES N
WALAI WASHINGTON STATE DEPT OF LABOR & INDUSTRIES Y
00934 WASHINGTON STATE PREMERA BLUE CROSS Y
WABLC WASHINGTON STATE PREMERA BLUE CROSS N
73155 WATERSTONE BENEFIT ADMINISTRATORS N
23051 WATERSTONE BENEFIT ADMINISTRATORS (OUTSIDE OKLAHOMA) N
MPM09 WATTS HEALTHCARE CORP IPA N
39026
WAUSAU INSURANCE COMPANIES (NOW KNOWN AS UMR
WAUSAU/UHIS.) N
77072 WCARE PRI FEE SER N
39151 WEA INSURANCE GROUP N
36337 WEISS HEALTH PROVIDERS N
A0014 WELL SENSE HEALTH PLAN N
59354 WELLCARE HEALTH PLAN, INC. (ENCOUNTERS ONLY) N
14163 WELLCARE HMO, INC. N
Confidential Updated 08.30.2017
14164 WELLCARE OF CT N
14164 WELLCARE OF NY N
WELM2 WELLMED N
WELMD WELLMED MEDICAL MANAGEMENT ENC N
25711 WELLNET HEALTH PLANS N
87815 WELLS FARGO TPA N
CB457 WELLSPAN EMPLOYEE ASSISTANCE PROGRAM N
35245 WELLSYSTEMS LLC N
91064 WENATCHEE VALLEY MEDICAL CENTER N
91136
WEST COAST STATIONARY ENGINEERS HEALTH & SECURITY TRUST
FUND - GRP#F13 N
66124 WEST COVINA MEDICAL GROUP N
80942 WEST SUBURBAN HEALTH PROVIDERS N
45276 WEST VIRGINIA FAMILY HEALTH PLAN N
WVS01 WEST VIRGINIA SENIOR CHOICE N
75196 WEST VIRGINIA STA N
77025 WEST VIRGINIA WORKERS COMP N
39065 WESTERN N
39065 WESTERN CARE N
24735 WESTERN GROWER'S ASSURANCE TRUST N
24735 WESTERN GROWER'S INSURANCE COMPANY N
68039 WESTERN HEALTH ADVANTAGE N
39065 WESTERN LIFE INS. BENEFIT PLAN (FORTIS) N
37247 WESTERN MUTUAL INSURANCE N
DOCSO WESTERN OREGON ADVANCED HEALTH (CCO) N
WOAHM WESTERN OREGON ADVANCED HEALTH (CCO) N
31048 WESTERN SOUTHERN FINANCIAL GROUP N
90560 WESTLAKE FINANCIAL GROUP, INC. N
Confidential Updated 08.30.2017
38232 WEYCO INC. N
33711 WILLAMETTE VALLEY COMMUNITY N
WVCH5 WILLAMETTE VALLEY COMMUNITY HEALTH N
93050 WILLIAM C. EARHART CO, INC. N
98010 WILLIAM J SUTTON & CO. LTD. N
62061
WILLIS ADMINISTRATIVE SERVICES CORPORATION (NOW UMR
KANSAS) N
WHLTH WILLOW HEALTH N
J1893 WILSON MUTUAL INSURANCE N
41095 WILSON-MCSHANE N
13413 WIN HEALTHCARE (WOMAN'S INTEGRATED NETWORK, INC.) N
27327 WINHEALTH PARTNERS/WYOMING HEALTH SOLUTIONS N
WPS01 WISCONSIN COMMERCIAL N
74101 WISCONSIN DEPARTMENT OF CORRECTIONS N
VEST1 WISCONSIN DEPT OF CORRECTIONS N
81949 WOODMAN ACCIDENT AND LIFE CO (AICT PLANS ONLY) N
20333 WORKSITE BENEFIT SERVICES N
77080 WPP ELDERCARE WISCONSIN N
WP481 WPPA-PROVIDRS CARE NETWORK N
OOWPS WPS COMMERCIAL Y
SX022 WPS HEALTH INSURANCE N
23710 WRITERS' GUILD - INDUSTRY HEALTH PLAN N
15459 WV CARE ADVANTAGE HIGHMARK SENIOR HEALTH Y
WYSCH WYOMING SCHOOL BOARDS ASSOCIATION INSURANCE TRUST N
60646 YALE UNIVERSITY HEALTH PLAN N
YAMHL YAMHILL COMMUNITY CARE ORGANIZATION (CCO) N
09829 YAVAPAI COUNTY N
51350 YERINGTON PAIUTE TRIBE N
Confidential Updated 08.30.2017
88858 ZEBRAHEALTH N
ZNTHW ZENITH ADMINISTRATORS N
ZOOM1 ZOOMCARE N