Payer ID List - Professional

Click here to access the Institutional Payer ID List


#

PayerId

Payer Names

States

Models

Additional Information

1

13162

1199 National Benefit Fund


COMMERCIAL


2

26300

888-OhioComp


COMMERCIAL


3

93044

A & I Benefit Plan Administrators


COMMERCIAL


4

95241

A.G.I.A. Inc.


COMMERCIAL

Claims are printed and mailed to the payer.

5

75185

AAG-American Administravie Group ( Formerly  Icon Benefit Admin)


COMMERCIAL

Payer to be deactivated in 2019 - please use Payer ID  37283 for claim submissions

6

36273

AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Co


COMMERCIAL


7

36273

AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Co


COMMERCIAL


8

87726

AARP MedicareComplete through UHC / Oxford Medicare Network


COMMERCIAL


9

87726

AARP MedicareComplete through UHC / Oxford Mosaic Network - AARP MedicareCo


COMMERCIAL


10

6111

AARP MedicareComplete through UnitedHealthcare / Oxford Medicare Network


COMMERCIAL

Use Payer ID 87726

11

6111

AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic Network


COMMERCIAL

Use Payer ID 87726

12

87726

AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete


COMMERCIAL


13

37118

ACMG


COMMERCIAL

Claims are processed by Benefit Plan Administrators

14

72467

ACS Benefit Services Inc.


COMMERCIAL

DO NOT send ACS/Health Net or ACS Inc. Medicaid claims to this payer ID. This payer ID is for ACS Benefit Services. Inc. ONLY.

15

ADOCS

ADOC (Affiliated Doctor's of Orange County)


COMMERCIAL


16

58202

ADVANCED DATA SOLUTIONS


COMMERCIAL


17

46594

AFFINITY MEDICAL GROUP


COMMERCIAL


18

37280

AGA


COMMERCIAL


19

31138

AHPO (Cleveland OH)


COMMERCIAL


20

22195

AIG Educational Markets


COMMERCIAL

Payer formely known as: Maksin Management Corporation

21

13550

ALICARE


COMMERCIAL


22

4293

ALLWays Health Partners


COMMERCIAL


23

PROSP

AMVI/Prospect Health Network (Prospect Medical Group)


COMMERCIAL


24

PROSP

APAC (Pinnacle Health Resources) (Prospect Medical Group)


COMMERCIAL


25

16120

ARAZ Group


COMMERCIAL


26

CXARC

ARC Administrators


COMMERCIAL


27

39185

ARISE


COMMERCIAL


28

6603

ASAGEHA


COMMERCIAL


29

Call

ASC of Oho


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

30

38265

ASR


COMMERCIAL


31

38265

ASR Corporation


COMMERCIAL


32

38265

ASR Health Benefits


COMMERCIAL


33

65101

AXA Assistance_USA


COMMERCIAL


34

68069

Absolute Total Care


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 1-866-433-6041 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

35

TH067

Access Administrators


COMMERCIAL


36

CARMO

Access IPA


COMMERCIAL


37

REGAL

Access IPA


COMMERCIAL


38

INTEG

Access Integra


COMMERCIAL


39

95424

Access Medical Group


COMMERCIAL


40

64071

Acclaim


COMMERCIAL


41

MPM23

Accountable Healthcare IPA


COMMERCIAL


42

66310

Active Care Inc.


COMMERCIAL


43

38265

Administration Systems Research Corporation


COMMERCIAL


44

22384

Administrative Concepts Inc.


COMMERCIAL


45

59141

Administrative Services Inc


COMMERCIAL


46

CBFLU

Administrative Services Inc.


COMMERCIAL


47

37217

AdvantUs


COMMERCIAL

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN

48

35209

Advantage Health Solutions


COMMERCIAL


49

NMM01

Advantage Med Grp


COMMERCIAL


50

83077

Advantek Benefit Administrators


COMMERCIAL


51

59374

Advantica Benefits


COMMERCIAL


52

25133

Advantra Savings


COMMERCIAL


53

59314

Advanzeon Solutions


COMMERCIAL


54

95340

Adventist Health System West - Roseville CA


COMMERCIAL


55

36320

Advocate Medical Group - AMG (Legacy AHC)


COMMERCIAL

Please contact Advocate Physician Partners Debbie Motz at (847)635-4182 for questions or more information for both payer IDs.

56

65093

Advocate Physician Partners


COMMERCIAL

Please contact Advocate Physician Partners Debbie Motz at (847)635-4182 for questions or more information for both payer IDs.

57

CB637

Aegis Administrative Services


COMMERCIAL


58

60054

Aetna


COMMERCIAL


59

57604

Aetna Affordable Health Choices (SM) - SRC


COMMERCIAL


60

128CA

Aetna Better Health California


COMMERCIAL


61

72700

Aetna Better Health Premier Plan JVHL


COMMERCIAL


62

128FL

Aetna Better Health of Florida


COMMERCIAL


63

128KS

Aetna Better Health of Kansas


COMMERCIAL


64

128KY

Aetna Better Health of Kentucky


COMMERCIAL


65

128MD

Aetna Better Health of Maryland


COMMERCIAL


66

128MI

Aetna Better Health of Michigan


COMMERCIAL


67

34734

Aetna Better Health of NY


COMMERCIAL


68

128VA

Aetna Better Health of Virginia


COMMERCIAL


69

128WV

Aetna Better Health of West Virginia


COMMERCIAL


70

27600

Aetna US Healthcare - JVHL


COMMERCIAL


71

27344

Affiliated Doctors of Orange County


COMMERCIAL


72

ADOCS

Affiliated Doctors of Orange County (ADOC)


COMMERCIAL


73

APG01

Affiliated Physicians Group


COMMERCIAL


74

13334

Affinity Health Plan


COMMERCIAL

When submitting to this payer ID please ensure the following:  The claim is for a Medicaid Child Health Plus or Family Health Plus member and the subscriber ID is as printed on Member's ID Card

75

13333

Affinity Medicare Advantage


COMMERCIAL

When submitting to this payer ID please ensure the following: The claim is for a Medicare Advantage or Medicaid Advantage Member the date of service is equal to or greater than 1/1/10 and the subscriber ID you submit is 9 characters in length.

76

95426

Affordable Benefit Administrators Inc.


COMMERCIAL

Claims with the following address should only be sent to this payer id.  ABA P.O. Box 10787 Burbank CA 91510-0787

77

20048

Agate Resources Inc (LIPA)


COMMERCIAL


78

AWNY6

AgeWell New York


COMMERCIAL


79

64158

Agency Services  Inc


COMMERCIAL

Now known as Meritain Health

80

95327

Alameda Alliance for Health


COMMERCIAL


81

91136

Alaska Carpenters Trust


COMMERCIAL

Please enter Group Number (F40) when submitting claims.

82

91136

Alaska Children's Services Inc.


COMMERCIAL

Please enter Group Number (P68) when submitting claims.

83

91136

Alaska Laborers Construction Industry Trust


COMMERCIAL

Please enter Group Number (F23) when submitting claims.

84

91136

Alaska Pipe Trades Local 375


COMMERCIAL

Please enter Group Number (F24) when submitting claims.

85

91136

Alaska United Food & Commercial Workers Health & Welfare Trust


COMMERCIAL

Please enter Group Number (F45) when submitting claims.

86

85600

Albuquerque Public Schools


COMMERCIAL


87

44423

Alexian Brothers Community Services of TN


COMMERCIAL


88

ALH01

Aliera Healthcare


COMMERCIAL


89

AHCA1

Alignment Healthcare


COMMERCIAL


90

26158

AllCare PEBB


COMMERCIAL


91

24333

Allcare IPA


COMMERCIAL

Please contact the ALLCare IPA Providers Relations Dept (209-550-5200) prior to sending claims electronically.

92

52193

Allegeant


COMMERCIAL

Formally known as  LBA Health Plans.

93

82420

Allegian Health Plan


COMMERCIAL


94

81040

Allegiance Benefit Plan Management Inc.


COMMERCIAL


95

23071

Alliance Behavioral Health (NC)


COMMERCIAL


96

58234

Alliant Health Plans of Georgia


COMMERCIAL


97

50749

Allianz Global Assistance


COMMERCIAL

Formerly know as Mondial Assistance and World Access Canada.

98

37308

Allied Benefit Systems


COMMERCIAL


99

SX156

Allied Health Systems Chiropractic


COMMERCIAL


100

NMM01

Allied Physicians


COMMERCIAL


101

54398

Allina Health | Aetna


COMMERCIAL


102

68069

Allwell from Absolute Total Care


COMMERCIAL


103

68069

Allwell from Arizona Complete Care


COMMERCIAL


104

68069

Allwell from Arkansas Health & Wellness


COMMERCIAL


105

68069

Allwell from Buckeye Health Plan


COMMERCIAL


106

68069

Allwell from Home State Health


COMMERCIAL


107

68069

Allwell from Illinicare Health


COMMERCIAL


108

68069

Allwell from Louisiana Healthcare Solutions


COMMERCIAL


109

68069

Allwell from MHS


COMMERCIAL


110

68069

Allwell from MHS Health Wisconsin


COMMERCIAL


111

68069

Allwell from Magnolia Health


COMMERCIAL


112

68069

Allwell from PA Health & Wellness


COMMERCIAL


113

68069

Allwell from Peach State Health Plan


COMMERCIAL


114

68069

Allwell from Sunflower Health Plan


COMMERCIAL


115

68069

Allwell from Sunshine Health


COMMERCIAL


116

68069

Allwell from Superior HealthPlan


COMMERCIAL


117

68069

Allwell from Western Sky Community Care


COMMERCIAL


118

ALOHA

Alohacare


COMMERCIAL


119

MPM32

Alpha Care Medical Group


COMMERCIAL


120

TH085

Alpha Data


COMMERCIAL


121

A0701

Alta Bates Medical Group


COMMERCIAL

Payer ID is only for dates of service after 7/1/2010.

122

Call

Alta Bates Medical Group


COMMERCIAL

Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.

123

95712

AltaMed Health Services


COMMERCIAL


124

25133

Altius (Utah)


COMMERCIAL


125

33LGC

Alvin


COMMERCIAL


126

64090

AmFirst Insurance Company


COMMERCIAL


127

13550

Amalgamated Life


COMMERCIAL


128

13343

Amalgamated Life - PA / Alicare


COMMERCIAL


129

AMBHN

Ambay Health Network


COMMERCIAL


130

68069

Ambetter from Absolute Total Care


COMMERCIAL


131

68069

Ambetter from Arizona Complete Care


COMMERCIAL


132

68069

Ambetter from Arkansas Health & Wellness


COMMERCIAL


133

68069

Ambetter from Buckeye Health Plan


COMMERCIAL


134

68069

Ambetter from Coordinated Care


COMMERCIAL


135

68069

Ambetter from Home State Health


COMMERCIAL


136

68069

Ambetter from Illinicare Health


COMMERCIAL


137

68069

Ambetter from Magnolia Health


COMMERCIAL


138

68069

Ambetter from Managed Health Services


COMMERCIAL


139

68069

Ambetter from NH Health Families


COMMERCIAL


140

68069

Ambetter from PA Health & Wellness


COMMERCIAL


141

68069

Ambetter from Peach State Health Plan


COMMERCIAL


142

68069

Ambetter from Silversummit Healthplan


COMMERCIAL


143

68069

Ambetter from Sunflower Health Plan


COMMERCIAL


144

68069

Ambetter from Sunshine Health


COMMERCIAL


145

68069

Ambetter from Superior HealthPlan


COMMERCIAL


146

68069

Ambetter of North Carolina Inc


COMMERCIAL


147

68069

Ambetter of Tennessee


COMMERCIAL


148

75137

AmeriBen Solutions Inc.


COMMERCIAL


149

54763

AmeriHealth Administrators


COMMERCIAL


150

77799

AmeriHealth Caritas Delaware


COMMERCIAL

Plan effective 1/1/18. Payer encourages early enrollment for EFT/835

151

27357

AmeriHealth Caritas Louisiana


COMMERCIAL

I understand that payment and satisfaction of this claim will be from federal and state funds and that any false claims statements documents or concealment of a material fact may be prosecuted under applicable federal and/or state laws.

152

77001

AmeriHealth Caritas NorthEast


COMMERCIAL

Managed Medicaid Plan part of the AmeriHealth Caritas Family of Companies.For EDI support please e-mail edi.ahn@amerihealthnortheast.com or call 1-877-234-4272.

153

77062

AmeriHealth Caritas PA Community HealthChoices


COMMERCIAL

Plan effective 12/12/17. Payer encourages early enrollment for EFT/835

154

22248

AmeriHealth Caritas Pennsylvania


COMMERCIAL

Medicaid managed care. For EDI support please e-mail edi@amerihealthcaritaspa.com or call 1-877-234-4272.

155

77062

AmeriHealth Caritas VIP Care


COMMERCIAL

Plan effective 12/12/17. Payer encourages early enrollment for EFT/835

156

77013

AmeriHealth Caritas VIP Care Plus (Michigan)


COMMERCIAL

AmeriHealth VIP Care Plus is a Medicare Medicaid Plan (MMP) part of the AmeriHealth Caritas Family of Companies

157

23037

AmeriHealth HMO New Jersey and Delaware


COMMERCIAL


158

16120

America's PPO


COMMERCIAL


159

41178

America's TPA


COMMERCIAL


160

63103

American Behavioral


COMMERCIAL


161

TH095

American Family Insurance


COMMERCIAL


162

62030

American General


COMMERCIAL


163

L0220

American Health Medicare


COMMERCIAL


164

1066

American Healthcare Alliance


COMMERCIAL


165

74048

American National Ins. Co. (ANICO)


COMMERCIAL


166

44444

American Postal Workers Union Health Plan


COMMERCIAL


167

43146

American Specialty Health


COMMERCIAL


168

56195

American Trust Administrators Inc.


COMMERCIAL


169

TH117

American Whole Health Networks


COMMERCIAL


170

37322

American Worker Health Plan


COMMERCIAL


171

55349

Americas 1st Choice of South Carolina Inc


COMMERCIAL


172

27514

Amerigroup


COMMERCIAL


173

77002

Amerihealth Caritas District of Columbia


COMMERCIAL

For EDI support please e-mail edi.dc@ amerihealthdc.com or call 1-888-656-2383

174

24818

Amida Care


COMMERCIAL

Formerly known as VidaCare

175

79966

Amida Care Medicare


COMMERCIAL


176

53085

Anchor Benefit Consulting Inc.


COMMERCIAL


177

86062

Ancillary Benefit Services (ABS)


COMMERCIAL


178

34196

Apex Benefit Services


COMMERCIAL

Apex is also a Medicaid payer and will accept claims with either a  Medicaid or Commercial classification

179

81312

Apostrophe


COMMERCIAL


180

APP01

AppleCare Medical Management


COMMERCIAL


181

77045

Arcadian Management Services Inc


COMMERCIAL


182

AR812

Archbold Ed Uninsured


COMMERCIAL


183

ARGUS

Argus Dental Plans


COMMERCIAL


184

68069

Arizona Complete Care


COMMERCIAL


185

86062

Arizona Foundation for Medical Care (AFMC)


COMMERCIAL


186

27154

Arizona Priority Care Plus


COMMERCIAL


187

36335

Arkansas Managed Care Organization Inc. (AMCO)


COMMERCIAL


188

61184

Arkansas Superior Select


COMMERCIAL


189

68069

Arkansas Total Care


COMMERCIAL


190

87726

Arnett Health Plan


COMMERCIAL

Former Payer ID 95440

191

NMM01

Arroyo Vista Family Health Center


COMMERCIAL


192

AAMG1

Asian American Medical Group


COMMERCIAL


193

46156

Aspire Health Plan


COMMERCIAL


194

36326

Associates for Health Care Inc. (AHC)


COMMERCIAL


195

L0150

Association de Maestros ((PROSSAM)


COMMERCIAL


196

75068

Assurant Health Self Funded


COMMERCIAL

MUST VERIFY ALL CLAIMS SHOULD GO TO ALLIED BENEFIT for Assurant Health self funded groups with plan effective dates after 5/1/2013

197

74240

Assured Benefits Administrators


COMMERCIAL


198

93221

Asuris Northwest


COMMERCIAL


199

SX179

Asuris Northwest/MedAdvantage


COMMERCIAL

Payer must receive REF*1B*Provider ID in Billing and Rendering even when NPI is submitted.

200

22285

Atlantic Medical Insurance


COMMERCIAL


201

TH004

Atlas Administrators


COMMERCIAL

Currently only accepts UCO Providers. The group number must be 8 characters in length. Only one of the characters can be a dash. If the group number is entered then the group name must also be entered.

202

MPCHA

Atrio fka Marion Polk


COMMERCIAL


203

37242

Aultra Administrative Group


COMMERCIAL

Payer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton OH 44735-5276

204

38259

Automated Benefit Services


COMMERCIAL


205

37280

Automated Group Administration Inc.


COMMERCIAL

Please send these EDI claims to the Payer ID of the PPO shown on the Member's ID Card.  If you have any questions please call 260-489-6447 (703).

206

59274

AvMed Inc.


COMMERCIAL

The Insured ID and Patient ID fro this payer must be the 11-digit Member ID.

207

AVA02

Avalon Administrative Services - BCBSNC


COMMERCIAL


208

AVA01

Avalon Administrative Services - BCBSSC


COMMERCIAL

Payer requires Enrollment.  Payer facilitates.  You must contact the payer directly at Provider Services @ 855-895-1676

209

AVA04

Avalon Administrative Services - BCBSVT


COMMERCIAL


210

AVA03

Avalon Administrative Services - Capital Blue Cross


COMMERCIAL


211

47410

Avectus Healthcare Solutions


COMMERCIAL


212

46045

Avera Health Plans


COMMERCIAL


213

87098

Avesis Third Party Administrators


COMMERCIAL


214

CB369

BARInet


COMMERCIAL


215

52730

BCBSM Medicare Plus Blue PPL JVHL


COMMERCIAL


216

49153

BCI Administrators Inc.


COMMERCIAL


217

22770

BCN - NON JVHL Network - JVHL


COMMERCIAL


218

67668

BHSF International


COMMERCIAL


219

BSHS1

BIENVIVIR SENIOR HEALTH SERVICES


COMMERCIAL


220

13337

BMC HealthNet Plan


COMMERCIAL

Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.

221


BMI HEALTH PLANS


COMMERCIAL

Payer to be deactivated in 2019 - please use Payer ID  37256 for claim submissions

222

Call

BSI


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

223

BKRFM

Bakersfield Family Medical Center


COMMERCIAL


224

77005

Bakersfield Family Medical Group


COMMERCIAL


225

SX145

Banner Health AZ


COMMERCIAL


226

SX145

Banner Health Co - ROCKY MOUNTAIN HMO GREELEY


COMMERCIAL


227

SX145

Banner Health Co. - ANTERO GREELEY


COMMERCIAL


228

SX145

Banner Health Co. - ANTERO HIGH PLAINS


COMMERCIAL


229

SX145

Banner Health Co. - ANTERO MOUNTAIN SHADOWS


COMMERCIAL


230

SX145

Banner Health Co. - CHOICE PLUS


COMMERCIAL


231

SX145

Banner Health Co. - HMO GREELEY


COMMERCIAL


232

SX145

Banner Health Co. - HMO HIGH PLAINS


COMMERCIAL


233

SX145

Banner Health Co. - HMO MOUNTAIN SHADOWS


COMMERCIAL


234

SX145

Banner Health Co. - PACIFICARE GREELEY


COMMERCIAL


235

SX145

Banner Health Co. - PACIFICARE HIGH PLAINS


COMMERCIAL


236

SX145

Banner Health Co. - PACIFICARE MOUNTAIN SHADOWS


COMMERCIAL


237

SX145

Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS


COMMERCIAL


238

SX145

Banner Health Co. - SECURE HORIZONS GREELEY


COMMERCIAL


239

SX145

Banner Health Co. - SECURE HORIZONS HIGH PLAINS


COMMERCIAL


240

SX145

Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS


COMMERCIAL


241

67895

Banner Health and Aetna Health Insurance Company


COMMERCIAL


242

12X42

Banner Plan Administration


COMMERCIAL


243

61124

Baptist Health Plan


COMMERCIAL

All providers should send claims to Bluegrass Family Health PID 61124

244

65026

Baptist Health South Florida


COMMERCIAL


245

59279

Baycare Life Management


COMMERCIAL


246

Call

BeHealthy America


COMMERCIAL


247

43324

Beacon Health Strategies


COMMERCIAL


248

45967

Beaver Medical Group


COMMERCIAL


249

63100

Behavioral Health Systems


COMMERCIAL


250

MPM10

Bella Vista Med Group


COMMERCIAL


251

MPMOA

Bella Vista Med Grp  IPA


COMMERCIAL


252

99320

Benefit & Risk Management Services


COMMERCIAL


253

36149

Benefit Administrative Systems


COMMERCIAL


254

25145

Benefit Coordinators Corporation (Pittsburgh PA)


COMMERCIAL

Payer ID valid only for claims with a billing submission address of 111 Ryan Court Suite 300 Pittsburgh PA  15205.

255

88092

Benefit Management LLC/VBA


COMMERCIAL


256

37212

Benefit Management Systems Inc


COMMERCIAL

Payer to be deactivated in 2019 - please use Payer ID  87815 for claim submissions

257

48611

Benefit Management LLC


COMMERCIAL

This payer will only accept medical and hospital claims for these groups listed: BMI187BMI219BMI234BMI236BMI214.BMI241BMI617 BMI245.BMI246

258

88052

Benefit Plan Administrators


COMMERCIAL


259

39081

Benefit Plan Administrators Co. (Eau Claire WI)


COMMERCIAL

Payer ID valid for Benefit Plan Administrators (Eau Claire WI submission address only) and Custom Benefit Administrators

260

37118

Benefit Plan Administrators Inc


COMMERCIAL


261

23243

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


COMMERCIAL


262

95606

Berkshire Lehigh Partners


COMMERCIAL


263

BLOCK

Block Vision


COMMERCIAL


264

BVES1

Block Vision - Eye Specialist of Arizona


COMMERCIAL


265

3036

Blue Benefit Administrators of MA


COMMERCIAL


266

562

Blue Cross Blue Shield Minnesota Health Care Program


COMMERCIAL


267

A5143

Blue Cross Blue Shield Minnesota Non Emergent


COMMERCIAL


268

77078

Blue Cross Blue Shield of Arizona Advantage


COMMERCIAL

This is a Medicare Advantage Plan

269

66005

Blue Cross Community Health Plans


COMMERCIAL


270

12550

Blue Cross Complete JVHL


COMMERCIAL


271

32002

Blue Cross Complete of Michigan


COMMERCIAL


272

66006

Blue Cross Medicare Advantage


COMMERCIAL


273

57115

Blue Shield of California Promise Health Plan


COMMERCIAL


274

36609

Boilermakers National Health & Welfare Fund


COMMERCIAL


275

47405

BookMD Inc


COMMERCIAL


276

13337

Boston Medical Center Health Plan Inc.


COMMERCIAL

Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.

277

BSN01

Brain and Spine Network


COMMERCIAL


278

52192

Bravo Health


COMMERCIAL


279

52192

Bravo Health Star Plus


COMMERCIAL


280

BRIDG

BridgeSpan


COMMERCIAL


281

FS802

Bridgeview


COMMERCIAL


282

BRT01

Bright Health - Medicare Advantage


COMMERCIAL


283

CB186

Bright Health Plan


COMMERCIAL


284

22286

BritCay


COMMERCIAL


285

BBS19

Britton Benefit Services LLC


COMMERCIAL


286

35182

Brodart


COMMERCIAL


287

51037

Brokerage Concepts


COMMERCIAL


288

Call

Brokerage Service Inc


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

289

BIPAZ

Brookshire IPA


COMMERCIAL


290

37314

Broward Health


COMMERCIAL


291

94316

Brown & Toland Medical Group


COMMERCIAL


292

BTSS1

Brown & Toland Medical Group


COMMERCIAL


293

68069

Buckeye Health Plan


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 1-866-296-8731 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

294

42150

Butler Benefit


COMMERCIAL


295

23708

C&O Employees Hospital Association


COMMERCIAL


296

73071

C. L. Frates & Co - OSMA Health


COMMERCIAL


297

95399

CAP Management Systems


COMMERCIAL


298

3036

CBA Blue


COMMERCIAL

Formerly known as Comprehensive Benefits Administrator Inc.

299

SX065

CDPHP


COMMERCIAL

Par for Billing

300

88022

CDS Group Health


COMMERCIAL


301

77153

CGS Health


COMMERCIAL


302

84146

CHAMPVA - HAC


COMMERCIAL

CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS).

303

Call

CHP/RPU (FABOH)


COMMERCIAL

Payer ID rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.

304

52106

CHRISTUS Health Plan TX HIX


COMMERCIAL


305

62308

CIGNA


COMMERCIAL


306

62308

CIGNA - PPA


COMMERCIAL


307

62308

CIGNA - PPO


COMMERCIAL


308

SX071

CIGNA Behavioral Health


COMMERCIAL


309

62308

CIGNA Health Plan - HMO


COMMERCIAL


310

86033

CIGNA Medicare Advantage


COMMERCIAL


311

EM843

CMS MMA Specialty Plan


COMMERCIAL


312

34186

CSI Network Services


COMMERCIAL


313

42141

CTI Administrators Inc.


COMMERCIAL

CTI will accept claims for Boys and Girls Club Worker's Association (BGCWA) prior to 1/1/15.  DOS on/after 1/1/2015 need to be sent through UMR Wausau Payer ID 39026.

314

57080

CWIBENEFITS INC.


COMMERCIAL


315

CALOP

Cal-Optima Direct


COMMERCIAL


316

NCH05

California Eye Care - New Century Health


COMMERCIAL


317

68047

California Health & Wellness


COMMERCIAL

The  Provider Services # is  1-877-658-0305.

318

94056

California Pacific Medical Center


COMMERCIAL


319

71057

Cannon Cochran Management Services Inc. Metairie LA


COMMERCIAL


320

CAPHP

CapRock Health Plans


COMMERCIAL


321

SX065

Capital District Physician's Health Plan


COMMERCIAL

Par for Billing

322

95112

Capital Health Plan


COMMERCIAL

Payer will accept either rendering provider UPIN or NPI on claims.  Before submitting NPI please call Capital Health Plan at 850-523-7361 to register your NPI numbers with them.

323

68011

Capitol Administrators


COMMERCIAL


324

6607

Cardinal Innovations Healthcare Solutions


COMMERCIAL


325

57116

Care 1st Health Plan of Arizona


COMMERCIAL


326

65062

Care Access Health Plan (CAHP)


COMMERCIAL


327

77082

Care Improvement Plus (CIP)


COMMERCIAL

Claims with DOS 1/1/16 forward need to go to 87726

328

41222

Care To Care


COMMERCIAL


329

27004

Care Wisconsin FIrst Inc


COMMERCIAL


330

39113

Care4Kids (WI Medicaid plans)


COMMERCIAL


331

11345

CareCentrix


COMMERCIAL

Enrollment required prior to claim submission.   Please contact EDIEnrollment@CareCentrix.com

332

46227

CareConnect Insurance Company Inc


COMMERCIAL


333

14182

CareCore National


COMMERCIAL


334

14179

CareCore National LLC (Aetna Radiology Claims)


COMMERCIAL


335

14180

CareCore National LLC (Oxford Radiology Claims)


COMMERCIAL


336

14188

CareCore/WCNY RAD


COMMERCIAL

WellCare New York POS 11 Radiology Claims Only. Claims for members in the following counties should be submitted to WellCare: Monroe Erie Wayne and Onondaga.

337

75190

CareFirst Administrators/NCAS


COMMERCIAL


338

75191

CareFirst Administrators/NCAS


COMMERCIAL


339

65088

CareFlorida


COMMERCIAL


340

93975

CareOregon Inc.


COMMERCIAL


341

NCH04

CarePlus Cardiology - New Century Health


COMMERCIAL


342

65031

CarePlus Health Plans Inc.


COMMERCIAL

(Formerly Physicians Healthcare Plans Inc)

343

NCH07

CarePlus Oncology - New Century Infusion Solutions


COMMERCIAL


344

NCH03

CarePlus Urology - New Century Health


COMMERCIAL


345

GACS1

CareSource Georgia


COMMERCIAL


346

KYCS1

CareSource KY


COMMERCIAL


347

31114

CareSource OH


COMMERCIAL


348

WVCS1

CareSource West Virginia


COMMERCIAL


349

11346

Carecentrix Cigna


COMMERCIAL


350

11347

Carecentrix Florida Blue


COMMERCIAL


351

11348

Carecentrix Horizon


COMMERCIAL


352

CARMO

Caremore


COMMERCIAL


353

INCS1

Caresource Indiana Inc


COMMERCIAL


354

10010

Careworks


COMMERCIAL

CareWorks is an MCO for Ohio Bureau of Workers Compensation

355

CX101

Carpenters Health and Welfare Fund of Philadelphia


COMMERCIAL


356

95164

Cedars Sinai Medical


COMMERCIAL


357

95166

Cedars-Sinai Medical Network Services


COMMERCIAL


358

37217

Celestial Healthcare


COMMERCIAL

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN

359

68063

Celtic Insurance


COMMERCIAL


360

91136

Cement Masons & Plasterers Health & Welfare Trust


COMMERCIAL

Please enter Group Number (F16) when submitting claims.

361

99111

Cencal Health


COMMERCIAL


362

68068

Cenpatico - Arizona


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 1-866-495-6738 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

363

68068

Cenpatico - FL


COMMERCIAL


364

68068

Cenpatico - Georgia


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 1-800-947-0633 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

365

68068

Cenpatico - Indiana


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 1-877-647-4848 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

366

68068

Cenpatico - OHIO


COMMERCIAL


367

68068

Cenpatico - WI


COMMERCIAL


368

68068

Cenpatico Behavioral Health


COMMERCIAL


369

68068

Cenpatico Behavioral Health Texas


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept  at 1-800-716-5650 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

370

68068

Cenpatico Massachuetts


COMMERCIAL


371

68068

Cenpatico New Hampshire


COMMERCIAL


372

68068

Cenpatico South Carolina


COMMERCIAL


373

42138

Cenpatico TPA


COMMERCIAL


374

68068

Centene Advantage Plans


COMMERCIAL


375

42139

Centene TPA


COMMERCIAL


376

94312

Center for Elders Independence


COMMERCIAL


377

CPHL1

Centers Plan for Healthy Living


COMMERCIAL


378

MPM03

Centinela IPA


COMMERCIAL


379

66698

CentraCare


COMMERCIAL


380

13193

Central Reserve Life Ins Co-Medicare Supplement


COMMERCIAL


381

36215

Central States Health & Welfare Funds


COMMERCIAL


382

55731

Central Susquehanna Healthcare Providers (CSHP)


COMMERCIAL


383

77035

Central Valley Medical Group


COMMERCIAL


384

E3510

Central Valley Medical Group


COMMERCIAL


385

42140

Centurion


COMMERCIAL


386

20356

Cerner Health Plan Services


COMMERCIAL


387

57570

Change Healthcare Comp Billing


COMMERCIAL


388

16600

Chautauqua County Healthcare Plan (Mayville NY)


COMMERCIAL


389

CHERO

Cherokee Nation Comprehensive Care Agency


COMMERCIAL


390

34154

Chesterfield Resources Inc.


COMMERCIAL


391

AMM03

Child Health and Disability Prevention Treatment


COMMERCIAL


392

94321

Children First Medical Group


COMMERCIAL

For questions regarding claim status providers will need to contact payer: CFMG Provider Customer Service 510-428-3154.

393

84146

Children of Women Vietnam Veterans-VA HAC


COMMERCIAL


394

39113

Children's Community Health Plan (WI Medicaid plans)


COMMERCIAL


395

37314

Children's Medical Services - Broward NORTH


COMMERCIAL


396

CPMG1

Childrens Physician Medical Group


COMMERCIAL


397

94302

Chinese Community Health Plan


COMMERCIAL


398

CMG01

Choice Medical Group


COMMERCIAL


399

38308

Christian Brothers Services


COMMERCIAL


400

59355

Christian Care Ministry


COMMERCIAL

Providers should check the member ID card and use the Household ID value as the member ID when submitting claims electronically

401

10629

Christus Health Medicare Advantage


COMMERCIAL


402

21062

Christus Health New Mexico HIX


COMMERCIAL


403

58580

Cigna - NON-HAP Members Only - JVHL


COMMERCIAL


404

52192

Cigna-Healthspring


COMMERCIAL


405

46871

Cincinnati Financial Corporation


COMMERCIAL

Payer to be deactivated in 2019 - please use Payer ID  37283 for claim submissions

406

TH130

Citrus Health


COMMERCIAL


407

CVPG1

Citrus Valley Physicians Medical Group


COMMERCIAL


408

TH107

City of Amarillo


COMMERCIAL


409

TKFMC

City of Visalia


COMMERCIAL


410

38219

ClaimChoice Administrators


COMMERCIAL


411

43056

Claims Development Corporation


COMMERCIAL


412

11752

ClaimsBridge HPN


COMMERCIAL


413

57080

ClaimsWare Inc. dba ManageMed


COMMERCIAL


414

CLEAR

Clear Health Alliance


COMMERCIAL


415

77201

Clearchoice Health Plan / COIHS


COMMERCIAL


416

77023

Clover Health


COMMERCIAL

formerly CarePoint  Medicare Advantage

417

SX009

CoOportunity Health


COMMERCIAL


418

47394

Coastal Care Services Inc


COMMERCIAL


419

51579

Coastal Communities Physician Network


COMMERCIAL


420

38335

Cofinity


COMMERCIAL


421

22284

Colonial Medical


COMMERCIAL


422

22287

Colonial Medical Insurance Company


COMMERCIAL


423

84129

Colorado Access


COMMERCIAL


424

49718

Colorado Health OP


COMMERCIAL


425

88091

Commercial Travelers/PHX


COMMERCIAL


426

77170

Common Ground Health Cooperative


COMMERCIAL


427

14315

Commonwealth Care Alliance


COMMERCIAL


428

85468

Community Care Alliance of IL


COMMERCIAL


429

23282

Community Care BHO


COMMERCIAL


430

CCI01

Community Care IPA


COMMERCIAL


431

39126

Community Care Inc. (Wisconsin)


COMMERCIAL


432

60995

Community Care Inc. - Family Care (Wisconsin)


COMMERCIAL


433

73143

Community Care Managed Health Care Plans of Oklahoma


COMMERCIAL


434

TH005

Community First


COMMERCIAL


435

35193

Community Health Alliance


COMMERCIAL


436

CHCN1

Community Health Center Network


COMMERCIAL


437

48145

Community Health Choice


COMMERCIAL

STAR/CHIP (Medicaid) Plans Member IDs start with 5 6 or 7.  Please ensure you have the correct payer ID before submitting. Support: 888-760-2600

438

60495

Community Health Choice Texas HIM


COMMERCIAL

Marketplace Plan Member IDs start with 000 or 0000.  Please ensure you have the correct payer ID before submitting. Support: 855-315-5386

439

75261

Community Health Electronic Claims/CHEC/webTPA


COMMERCIAL


440

66170

Community Health Group


COMMERCIAL


441

SB613

Community Health Plan Washington


COMMERCIAL


442

66121

Community Medical Group of the West Valley Inc.


COMMERCIAL


443

95192

CommunityConnect HealthPlan


COMMERCIAL

Provider Services:  (877) 350-6074

444

34177

Comp - Ohio (Austintown OH)


COMMERCIAL


445

95192

Compcare (Wisconsin BadgerCare only)


COMMERCIAL

Provider Services:  (866) 563-3020

446

Call

Complimentary Health Plan


COMMERCIAL


447

37363

Compsych


COMMERCIAL


448

19028

Concentrix Insurance Solutions


COMMERCIAL


449

52196

Conifer (formerly InforMed)


COMMERCIAL


450

6105

ConnectiCare Inc


COMMERCIAL


451

78375

Connecticare - Medicare


COMMERCIAL


452

37307

Connecticut Carpenters Health Fund


COMMERCIAL


453

62308

Connecticut General (CIGNA)


COMMERCIAL


454

75284

Consolidated Associates Railroad


COMMERCIAL


455

87843

Consolidated Health Plans (AKA Wellfleet Group LLC)


COMMERCIAL


456

L0260

Constellation Health


COMMERCIAL


457

29076

Consumers Life Insurance Company


COMMERCIAL

Consumers Life insurance Company is part of the Medical Mutual Family of Companies.

458

Call

Contessa Health


COMMERCIAL

Call Contessa for Payer ID

459

35245

Continental Benefits


COMMERCIAL


460

13193

Continental General Ins Co-Medicare Supplement


COMMERCIAL


461

46478

Continuum Health Solutions LLC


COMMERCIAL


462

CNTRA

Contra Costa County Health Plan


COMMERCIAL


463

55544

Conversion Plan-APWU


COMMERCIAL

Claims are printed and mailed to the payer.

464

THCP9

Cook Children Star Plan


COMMERCIAL


465

TH104

Cook Children's Health Group


COMMERCIAL


466

35149

Cook Group Health Plan


COMMERCIAL


467

77153

Cook Group Solutions


COMMERCIAL


468

60065

Cook Medical Group


COMMERCIAL


469

35199

Cooperative Managed Care Services


COMMERCIAL


470

99227

Cooperative Managed Care Services Repricing


COMMERCIAL


471

68069

Coordinated Care


COMMERCIAL


472

58204

Coordinated Medical Specialists


COMMERCIAL


473

58231

Core Administrative Services


COMMERCIAL


474

35182

CoreSource AZ MN


COMMERCIAL

For assistance 800-689-0106

475

38225

CoreSource Detroit


COMMERCIAL

fka NGS American

476

48117

CoreSource KC


COMMERCIAL

For assistance send email to HIPAA@f-m-h.com

477

75136

CoreSource Little Rock


COMMERCIAL

Only for claims where the submit claims to address on the medical ID card is a CoreSource address in Little Rock Arkansas. For assistance call 800-689-0106.

478

35182

CoreSource MD PA IL


COMMERCIAL

For assistance 800-689-0106

479

35182

CoreSource NC IN


COMMERCIAL

For assistance 800-689-0106

480

35183

CoreSource OH


COMMERCIAL

Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. For assistance call 800-689-0106.

481

35187

CoreSource-Internal


COMMERCIAL


482

CORIZ

Corizon Health Inc.


COMMERCIAL

Corizon Inc clams with address of Brentwood TN should be submitted to this Payer ID

483

43160

Corizon Inc.


COMMERCIAL

Corizon Inc (fka Correctional Medical Services) claims with address of St Louis MO should be submitted to this Payer ID

484

CB268

Cornerstone Preferred Resources


COMMERCIAL


485

64270

Corporate Plan Management Inc


COMMERCIAL


486

CMSP1

County Services Medical Program


COMMERCIAL


487

EC999

County of Riverside


COMMERCIAL


488

6541

CountyCare


COMMERCIAL


489

58102

Covenant Administrators Inc. (Atlanta GA)


COMMERCIAL


490

TH108

Covenant Management Systems


COMMERCIAL


491

25133

Coventry Advantra Texas


COMMERCIAL


492

25133

Coventry Cares of Virginia - Medicaid Product


COMMERCIAL

Formerly Carenet

493

25133

Coventry Cares of West Virginia - Medicaid Product


COMMERCIAL

Formerly Carelink Medicaid

494

25133

Coventry Health & Life (Oklahoma)


COMMERCIAL


495

25133

Coventry Health Care


COMMERCIAL


496

25133

Coventry Health Care Carelink - West Virginia only


COMMERCIAL


497

25133

Coventry Health Care Carelink Medicaid - West Virginia only


COMMERCIAL


498

25133

Coventry Health Care National Network


COMMERCIAL


499

25133

Coventry Health Care of Florida


COMMERCIAL

Formerly CHC Florida/VISTA/Summit

500

25133

Coventry Health Care of Florida Inc.


COMMERCIAL


501

25133

Coventry Health Care of Georgia Inc.


COMMERCIAL


502

25133

Coventry Health Care of Illinois


COMMERCIAL

Formerly PersonalCare/Coventry Health of Illinois

503

25133

Coventry Health Care of Iowa Inc.


COMMERCIAL


504

25133

Coventry Health Care of Kansas Inc.


COMMERCIAL


505

25133

Coventry Health Care of Louisiana Inc.


COMMERCIAL


506

25133

Coventry Health Care of Missouri


COMMERCIAL

Formerly Coventry Health Care/Group Health Plan

507

25133

Coventry Health Care of Nebraska Inc.


COMMERCIAL


508

25133

Coventry Health Care of Nevada


COMMERCIAL

Formerly Coventry Health and Life Nevada

509

25133

Coventry Health Care of Virginia


COMMERCIAL

Formerly Southern Health Services Inc

510

25133

Coventry Health Care of the Carolinas


COMMERCIAL

Formerly Wellpath

511

25133

Coventry Health and Life Insureance (Tennessee)


COMMERCIAL


512

25133

Coventry Missouri


COMMERCIAL


513

25133

Coventry Summitt Health Plan Inc.


COMMERCIAL


514

25133

Coventry of Health Care Delaware Inc.


COMMERCIAL


515

19

Cox Health Plan


COMMERCIAL


516

CREA8

Create


COMMERCIAL


517

64068

Creative Medical Systems


COMMERCIAL


518

37320

Creative Plan Administrators


COMMERCIAL


519

56213

Crescent Health Solutions


COMMERCIAL


520

37266

Croy-Hall Mgmt. Inc.


COMMERCIAL

Please enter the unique policy number or ID card when submitting claims. Payer ID valid only for claims with a billing submission address of PO Box 982005 Ft. Worth TX 76182.

521

46120

Crystal Run Health Plans


COMMERCIAL


522

46430

Crystal Run Health Plans


COMMERCIAL

This payer id is only valid for claims with date of service on or after 1/1/2018.

523

Call

D.H. EVANS & ASSOC.


COMMERCIAL

Call Jessica Picarde @ 410-349-3222 for Payer id.

524

77124

DELANO IPA


COMMERCIAL


525

77153

DH Cook Associates


COMMERCIAL


526

DRHCP

DOCTORS HEALTHCARE PLANS


COMMERCIAL


527

DAK01

DakotaCare


COMMERCIAL


528

CB987

Dart Member Care


COMMERCIAL


529

V0QJA

Davis Vision


COMMERCIAL


530

39113

Dean Health Plan


COMMERCIAL


531

83224

Del Mar Administrators LLC.


COMMERCIAL


532

74272

Dell Children's Health Plan


COMMERCIAL


533

DHS01

Delta Health Systems


COMMERCIAL


534

63740

DentaQuest Vision


COMMERCIAL


535

84135

Denver Health Medical Plan


COMMERCIAL


536

84131

Denver Health Medical Plan Inc. - Medicare Choice


COMMERCIAL


537

84133

Denver Health and Hospital Authority


COMMERCIAL


538

84134

Denver Health and Hospital Authority - Indigent Care


COMMERCIAL


539

DESRT

Desert Medical Group


COMMERCIAL


540

44006

Desert Oasis HealthCare


COMMERCIAL


541

DEVOT

Devoted Health


COMMERCIAL


542

82435

Dialysis TPA


COMMERCIAL


543

27133

Dignity Health MSO


COMMERCIAL


544

DCA62

Direct Care Administrators


COMMERCIAL


545

6102

Diversified  Administration Corporation - CT


COMMERCIAL

Please verify the Payer ID on the Member ID card in addition to the Payer City and State before submitting claims to Diversified Admin (Payer ID 06102)

546

DOLMG

Dolton Medical Group


COMMERCIAL


547

APP01

Downey Select IPA (Applecare Medical Managment)


COMMERCIAL


548

19191

Downstream Casino


COMMERCIAL


549

DREYR

Dreyer Health


COMMERCIAL


550

74284

Driscoll Children's Health Plan


COMMERCIAL


551

35186

Dunn and Associates Benefits Administrators Inc.


COMMERCIAL


552

34159

E-V Benefits Management Inc (Columbus OH)


COMMERCIAL

Now known as Meritain Health.

553

34108

E.S. BEVERIDGE & ASSOCIATES


COMMERCIAL


554

Call

EBC Mid-America


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

555

31074

EBMC


COMMERCIAL


556

SX182

EBMS


COMMERCIAL


557

Call

EBSO Inc fka EBC Inc


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

558

16565

EMHS Employee Health Plan


COMMERCIAL


559

59299

EMI-KP Ambulance Claims


COMMERCIAL


560

73780

EON Health


COMMERCIAL


561

62308

EQUICOR


COMMERCIAL


562

62308

EQUICOR - PPO


COMMERCIAL


563

TH110

ERISA


COMMERCIAL


564

TH084

Early Intervention Central


COMMERCIAL


565

Call

East Bay Medical Network


COMMERCIAL

Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.

566

25849

East Boston Neighborhood PACE


COMMERCIAL


567

56089

East Carolina Behavioral Health


COMMERCIAL


568

66122

Eastland Medical Group


COMMERCIAL


569

20532

Easy Choice Health Plan of California


COMMERCIAL


570

SX110

Educators Mutual (EMIA)


COMMERCIAL


571

TH090

El Paso First - Chip


COMMERCIAL


572

MPM04

El Proyecto De Barrio


COMMERCIAL


573

MPMOA

El Proyecto Del Barrio IPA


COMMERCIAL


574

31625

ElderPlan Inc.


COMMERCIAL

Elderplan no longer requires enrollment & individual provider testing

575

3964

Elderwood Health


COMMERCIAL


576

4326

Element Care Inc


COMMERCIAL


577

37217

Elite Health


COMMERCIAL

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN

578

13551

Emblem Health (GHI - New York Group Health Inc.)


COMMERCIAL


579

34167

Emerald Health Network Inc. (All PPO Business)


COMMERCIAL


580

95600

Emergency Medical Services Fund - Orange County CA


COMMERCIAL

Program is for Orange County California

581

27514

Empire Blue Cross Blue Shield HealthPlus


COMMERCIAL


582

EMP01

Empire Physician's Medical Group


COMMERCIAL


583

Call

Employee Benefit Claims - Mid-America


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

584

Call

Employee Benefit Claims of WI


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

585

Call

Employee Benefit Claims of Wisconsin


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

586

38241

Employee Benefit Concepts (Farmington Hills MI)


COMMERCIAL


587

Call

Employee Benefit Consultants Inc.


COMMERCIAL

To obtain the payer ID please call (440) 262-1160.

588

31074

Employee Benefit Management Corp (EBMC)


COMMERCIAL


589

37216

Employee Benefit Services (Ft. Mill SC)


COMMERCIAL

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN FT. MILL SC

590

TH109

Employee Benefit Services of San Antonio


COMMERCIAL


591

42149

Employee Benefit Systems


COMMERCIAL


592

3036

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


COMMERCIAL


593

35112

Employee Plans LLC


COMMERCIAL


594

75236

Employer's Direct Health - Employee Plan


COMMERCIAL


595

75235

Employer's Direct Health - FI


COMMERCIAL


596

75233

Employer's Direct Health - SF


COMMERCIAL


597

75232

Employers Direct Health


COMMERCIAL


598

59298

Employers Mutual Inc (Jacksonville Florida)


COMMERCIAL


599

59331

Employers Mutual Inc. (Stuart Florida)


COMMERCIAL

For plan and claim requirements please contact the Employers Mutual Inc. (Stuart FL) Customer Service Department at (772) 287-7650 ext. 4052.

600

35206

Encircle PPO


COMMERCIAL


601

35206

Encore Health Network


COMMERCIAL


602

91136

Enstar Natural Gas


COMMERCIAL

Please enter Group Number (P61) when submitting claims.

603

56190

Envolve Benefit Options (formerly OptiCare Managed Vision)


COMMERCIAL


604

73126

Equitable Plan Services (Oklahoma City OK)


COMMERCIAL

Payer ID valid only for claims with a billing submission address of P.O. Box 720460 Oklahoma City  OK  73172.

605

20818

Essence Healthcare


COMMERCIAL


606

35605

Everence


COMMERCIAL


607

32052

Everpointe


COMMERCIAL


608

59313

Evolutions Healthcare Systems (New Port Richey FL)


COMMERCIAL

Payer ID valid for claims with a submission address of PO Box 5001 New Port Richey FL  34656.

609

22344

Exceedent LLC


COMMERCIAL


610

EXC01

Excel MSO


COMMERCIAL


611

71412

ExclusiCare


COMMERCIAL


612

46166

Extended Care MTC


COMMERCIAL

For Claims with Service Dates/Statement Dates prior to 12/1/2013 please submit claims to payer ID 45048.  Claims submitted to 46166 that have service dates/statement dates prior to 12/1/2013 will be rejected by the payer.

613

65062

Eye Management Inc. (EMI)


COMMERCIAL


614

85431

EyeMed Vision Care


COMMERCIAL


615

63740

EyeQuest


COMMERCIAL


616

Call

FABOH (CHP/RPU)


COMMERCIAL

Payer ID rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.

617

37300

FACS Group


COMMERCIAL


618

FLPAC

FLORIDA PACE CENTERS


COMMERCIAL


619

95432

Facey Medical Foundation


COMMERCIAL


620

22254

Fallon Community Health Plan


COMMERCIAL


621

FCS01

Family Care Specialists IPA


COMMERCIAL


622

85468

Family Health Network


COMMERCIAL


623

14140

Farm Family Life


COMMERCIAL


624

37300

Federated Benefits


COMMERCIAL


625

37300

Federated HR Services


COMMERCIAL


626

11315

Fidelis Care New York


COMMERCIAL


627

88055

First Agency


COMMERCIAL


628

56196

First Carolina Care


COMMERCIAL


629

91131

First Choice Health Administrators


COMMERCIAL


630

91131

First Choice Health Network


COMMERCIAL


631

77009

First Choice VIP Care Plus - SC


COMMERCIAL

First Choice VIP Care Plus is a Medicare Medicaid Plan (MMP) part of the AmeriHealth Caritas Family of Companies.

632

73159

First Health Network  (f.k.a. CCN Managed Care Inc. & PPO Oklahoma)


COMMERCIAL


633

96708

First Health | The Lewer Agency


COMMERCIAL


634

66064

First Medical Healthcare - Reform


COMMERCIAL


635

TH003

FirstCare


COMMERCIAL


636

FLCCR

Florida Community Care


COMMERCIAL


637

59322

Florida Health Care Plan


COMMERCIAL


638

VB001

Florida Hospital VBR


COMMERCIAL


639

48116

Florida Hospital Waterman


COMMERCIAL

For assistance send email to HIPAA@f-m-h.com

640

25133

Foreign Service Benefit Plan


COMMERCIAL


641

BOONG

Foundation Benefit Administrators /Contractor Employee Benefits Admin


COMMERCIAL


642

TKFMC

Foundation for Medical Care of Tulare & Kings County


COMMERCIAL


643

FVMCH

Fox Valley Medicine


COMMERCIAL


644

64069

Fox-Everett Inc.


COMMERCIAL


645

41212

Freedom Health Plan


COMMERCIAL


646

62324

Freedom Life Insurance Company


COMMERCIAL


647

99660

Fresno PACE


COMMERCIAL


648

TKFMC

Friant Water Users


COMMERCIAL


649

H0657

Friday Health Plans of Colorado Inc.


COMMERCIAL


650

59204

Fringe Benefits Coordinators


COMMERCIAL


651

34171

FrontPath Health Coalition


COMMERCIAL


652

23641

G.M.P. Employers Retiree Trust


COMMERCIAL


653

MCS01

GEMCare (Golden Empire Managed Care System)


COMMERCIAL


654

25531

GHI HMO


COMMERCIAL


655

80314

GIC Indemnity Plan


COMMERCIAL


656

47083

GMS Inc.


COMMERCIAL


657

60550

Gateway Health Plan - Medicare Assured


COMMERCIAL

Gateway Health Plan - Medicare Assured

658

25169

Gateway Health Plan Medicaid PA


COMMERCIAL

Caution: Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. PA Medicaid 25169(Green Card).  If you have questions contact Gateway Provider Servicing Department at 1-800-685-5205.

659

91741

Gateway Health Plan OH- Medicare Assured


COMMERCIAL


660

PROSP

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


COMMERCIAL


661

75273

Geisinger Health Plan


COMMERCIAL


662

20376

Gemcare Health Plan


COMMERCIAL


663

MCS03

Gemcare Health Plan


COMMERCIAL


664

27133

Gemcare IPA


COMMERCIAL


665

46050

Generations Healthcare


COMMERCIAL


666

46051

Generations-Hillcrest


COMMERCIAL


667

PROSP

Genesis Healthcare


COMMERCIAL


668

7205

Gilsbar Inc.


COMMERCIAL


669

AMM02

Glendale Physician's Alliance


COMMERCIAL


670

7689

Global Care Inc.


COMMERCIAL


671

MPMOA

Global Care Med Grp IPA


COMMERCIAL


672

MPM05

Global Care Medical Group


COMMERCIAL


673

GEM01

Global Excel Management


COMMERCIAL


674

GHOKC

Global Health


COMMERCIAL


675

77160

Gold Coast Health Plan


COMMERCIAL


676

NMM03

Golden Shore Medical Group


COMMERCIAL


677

MBA01

Golden State Medical Group


COMMERCIAL


678

PROSP

Good Samaritan Medical Practice Association (GSMPA)


COMMERCIAL


679

45235

Government Employees Health Association (GEHA PHCS)


COMMERCIAL

MultiPlan Network access for dates of service prior to 12/31/2014 in the state of  NJ and NY .

680

44054

Government Employees Health Association (GEHA)


COMMERCIAL


681

45275

Government Employees Health Association (GEHA-PHCS-45275)


COMMERCIAL

PHCS Network Access terminated for GEHA 12/31/2015 .   Claims incurred prior to 1/1/2016 for GEHA members accessing PHCS in the states of AR CT HI IN KY MA ME MI NH  RI and VT may be submitted.

682

57254

Government Employees Health AssociationInc. (GEHA)


COMMERCIAL


683

13193

Great American Life Ins. Co-Medicare Supplement


COMMERCIAL


684

39640

Great Lakes PACE


COMMERCIAL


685

GPNE1

Great Plains Medicare Advantage of Nebraska


COMMERCIAL


686

GPND1

Great Plains Medicare Advantage of North Dakota


COMMERCIAL


687

80705

Great-West Healthcare


COMMERCIAL


688

63665

Great-West Healthcare (formerly American General)


COMMERCIAL


689

99284

Greater Covina Medical Group


COMMERCIAL


690

33010

Greater Newport Physicians Medical Group


COMMERCIAL


691

NMM01

Greater Orange County Medical Group


COMMERCIAL


692

NMM01

Greater San Gabriel Med Grp


COMMERCIAL


693

36338

Group Administrators Ltd.


COMMERCIAL

Please send these EDI claims to the Payer ID shown on the member's ID card. Our offices are located in Schaumburg IL. If you have any questions please call 800-323-1683.

694

CB951

Group Benefit Services


COMMERCIAL


695

CB951

Group Benefits


COMMERCIAL


696

95192

Group Health Cooperative of Eau Claire


COMMERCIAL

Provider Services:  (866) 563-3020

697

39167

Group Health Cooperative of South Central Wisconsin


COMMERCIAL


698

37276

Group Insurance Service Center Inc.


COMMERCIAL


699

48143

Group and Pension Administrators


COMMERCIAL


700

64246

Guardian Life Insurance Company of America


COMMERCIAL


701

CB624

Gulf Stream-General Dynamics


COMMERCIAL


702

39180

Gundersen Lutheran Health Plan Inc.


COMMERCIAL


703

37114

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


COMMERCIAL


704

65101

HAA Preferred Partners


COMMERCIAL


705

38224

HAP/AHL/Curanet


COMMERCIAL


706

37111

HCH Administration (Illinois)


COMMERCIAL


707

82018

HCS - Health Claims Service (Boise ID)


COMMERCIAL


708

36335

HFN Inc.


COMMERCIAL


709

55247

HIP - Health Insurance Plan of Greater New York


COMMERCIAL


710

86066

HMA Hawaii


COMMERCIAL


711

75318

HMC HealthWorks aka Health Management Co


COMMERCIAL


712

84555

HMO Louisiana Inc


COMMERCIAL


713

65062

HN1 Therapy Network (HN1TN)


COMMERCIAL


714

38828

HPMC - Alta Med Clinics (HPMC - AMC)


COMMERCIAL


715

10910

HPMC - Preferred IPA (HPMC - PMG)


COMMERCIAL


716

73331

HPMC - San Judas IPA (HPMC - SJM)


COMMERCIAL


717

65062

HS1 Medical Management


COMMERCIAL


718

45321

HSB.NHP.


COMMERCIAL


719

37137

HSHS Medical Group IPA


COMMERCIAL


720

47738

Hamaspik Choice


COMMERCIAL


721

70259

Harbor Health Plan


COMMERCIAL

Payer was formerly known as Pro Care Health Plan Inc

722

74080

Harbor Health Plan - JVHL


COMMERCIAL


723

43313

Harken Health Insurance


COMMERCIAL


724

14163

Harmony Health Plan (WellCare of Florida


COMMERCIAL


725

Call

Harpeth IPA - Amerivantage


COMMERCIAL

To obtain the payer ID please call (615) 869-0030

726

59143

Harrington Health Non-EPO


COMMERCIAL


727

62061

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


COMMERCIAL

(Formerly Willis Administrative Services Corporation)

728

4271

Harvard Pilgrim Health Care


COMMERCIAL


729

77950

Health Alliance Medical Plans


COMMERCIAL


730

25133

Health America Inc./Health Assurance/Advantra


COMMERCIAL


731

95828

Health Care District of Palm Beach County


COMMERCIAL


732

MPM06

Health Care LA


COMMERCIAL


733

42102

Health Care Network of Wisconsin (HCN)


COMMERCIAL


734

62111

Health Cost Solutions


COMMERCIAL


735

34158

Health Design Plus (Hudson OH)


COMMERCIAL


736

TH049

Health Management Administrators (HMA)


COMMERCIAL


737

68021

Health Net - VA Patient Centered Community Care Program


COMMERCIAL

The Payor ID 68021 facilitates claim submission to Health Net Federal Services for services authorized under the Veterans Affairs Patient-Centered Community Care Program. Please include the VA authorization number when submitting claims.

738

38309

Health Net of Arizona


COMMERCIAL

Payer requires NPI

739

95567

Health Net of California and Oregon


COMMERCIAL


740

65062

Health Network One


COMMERCIAL


741

4286

Health New England


COMMERCIAL


742

SX030

Health Options of Florida


COMMERCIAL


743

62157

Health Partners - Jackson TN


COMMERCIAL


744

80142

Health Partners PA


COMMERCIAL


745

20270

Health Payment Systems Inc.


COMMERCIAL


746

32130

Health Plan of Michigan - JVHL


COMMERCIAL


747

76342

Health Plan of Nevada


COMMERCIAL


748

68035

Health Plan of San Joaquin


COMMERCIAL


749

SX174

Health Plan of San Mateo


COMMERCIAL

CONTACT PAYER FOR REGISTRATION AND PAYER ID. Endry Lo: 650-616-2017 or Ken Cottrell: 650-616-2021

750

44273

Health Plans Inc.


COMMERCIAL


751

63363

Health Plus Physicians Organization


COMMERCIAL


752

45048

Health Pointe NY


COMMERCIAL


753

41150

Health Services Management


COMMERCIAL


754

34167

Health Services Preferred (HSP) by Emerald Health


COMMERCIAL


755

37290

Health Services for Children with Special Needs


COMMERCIAL


756

HLTHT

Health Traditions


COMMERCIAL


757

11328

HealthCare Partners IPA


COMMERCIAL

Formerly Heritage New York Medical Group.

758

71064

HealthChoice Oklahoma


COMMERCIAL

Effective date 01.01.18

759

41178

HealthEZ


COMMERCIAL


760

14163

HealthEase Kids (WellCare of Florida)


COMMERCIAL


761

23274

HealthGroup Limited


COMMERCIAL


762

SX009

HealthPartners MN


COMMERCIAL


763

59140

HealthPlan Services


COMMERCIAL


764

71063

HealthSCOPE Benefits Inc.


COMMERCIAL


765

71084

HealthScope Benefits


COMMERCIAL


766

14966

HealthSmart (EDI #14966)


COMMERCIAL


767

31172

HealthSmart (EDI #31172)


COMMERCIAL


768

34145

HealthSmart (EDI #34145)


COMMERCIAL


769

37224

HealthSmart (EDI #37224)


COMMERCIAL


770

37256

HealthSmart (EDI #37256)


COMMERCIAL


771

76870

HealthSmart (EDI #76870)


COMMERCIAL


772

76923

HealthSmart (EDI #76923)


COMMERCIAL


773

87815

HealthSmart (EDI #87815)


COMMERCIAL

formerly Wells Fargo TPA Inc. Charleston WV

774

HSM01

HealthSmart -Noble Mid Orange


COMMERCIAL


775

75237

HealthSmart Accel (EDI #75237)


COMMERCIAL


776

37272

HealthSmart Benefit Solutions


COMMERCIAL

Formerly Wells Fargo TPA Inc. (Newnan GA and Fayetteville NC)

777

37283

HealthSmart Benefit Solutions


COMMERCIAL


778

18840

HealthSmart MyDecision (EDI #18840)


COMMERCIAL


779

75250

HealthSmart Preferred Care (EDI #75250)


COMMERCIAL


780

63092

HealthSpring HMO/HealthSpring Medicare+Choice


COMMERCIAL

It is no longer necessary to notify HealthSpring before submitting claims electronically.  HealthSpring encourages electronic submission of all claims.  Be sure to submit only the HealthSpring subscriber/member ID number found on the HealthSpring ID card

781

HCH01

Healthcare Highways


COMMERCIAL


782

MPMOA

Healthcare La IPA


COMMERCIAL


783

HCP01

Healthcare Partners


COMMERCIAL


784

20501

Healthcare Partners of Nevada


COMMERCIAL


785

56731

Healthcare Resources NW


COMMERCIAL


786

73147

Healthcare Solutions Group


COMMERCIAL


787

85729

Healthcomp Inc.


COMMERCIAL


788

80141

Healthfirst Health Plan of New Jersey


COMMERCIAL


789

75234

Healthfirst TPA


COMMERCIAL


790

80141

Healthfirst Inc. (New York)


COMMERCIAL


791

56144

Healthgram Inc


COMMERCIAL

Formerly known as Primary Physician Care.

792

96475

Healthlink HMO


COMMERCIAL

Please call Provider Relations Dept at (800) 624-2356 for unique provider number.

793

90001

Healthlink PPO


COMMERCIAL

Customer Service phone number: (800 624-2356)

794

55204

Healthnow Division


COMMERCIAL

Provider id = 12 digits with G2 qualifier

795

52429

Healthscope Benefits - EHC Repricing


COMMERCIAL


796

2041

Healthsource CMHC


COMMERCIAL


797

2041

Healthsource Massachusetts Inc.


COMMERCIAL


798

68195

Healthsource Provident


COMMERCIAL

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

799

71075

Healthsource AR (Med) (CIGNA)


COMMERCIAL

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

800

58210

Healthsource GA (CIGNA)


COMMERCIAL

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

801

61127

Healthsource KY


COMMERCIAL


802

1041

Healthsource ME


COMMERCIAL


803

75255

Healthsource N. TX (CIGNA)


COMMERCIAL

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

804

56147

Healthsource NC (CIGNA)


COMMERCIAL

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

805

2038

Healthsource NH


COMMERCIAL


806

31141

Healthsource OH


COMMERCIAL


807

6119

Healthsource SC


COMMERCIAL

Healthsource Network Providers Only

808

62129

Healthsource TN (CIGNA)


COMMERCIAL

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

809

HESUN

Healthsun Health Plans


COMMERCIAL


810

88250

Healthteam Advantage


COMMERCIAL


811

58213

Healthways WholeHealth Networks


COMMERCIAL


812

95827

Healthy Palm Beaches


COMMERCIAL

Call Provider Services at 866-930-1002 for EDI Enrollment.

813

37217

Healthy Partners CSRA


COMMERCIAL

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN

814

22251

Healthy York Network


COMMERCIAL

Call Jane Grove at Provider Relations for Healthy York Network (717) 851-6715.

815

60058

Hennepin Health


COMMERCIAL


816

59230

Heritage Consultants


COMMERCIAL

For faster payment please be sure to use only the 9-digit subscriber ID on all claims.

817

DESRT

Heritage Provider Network


COMMERCIAL


818

REGAL

Heritage Provider Network


COMMERCIAL


819

30862

Heritage Victor Valley Medical Group


COMMERCIAL


820

17929

Hernando Pasco Hospice


COMMERCIAL


821

95393

High Desert Medical Group


COMMERCIAL


822

47181

Highmark BCBSD Health Options


COMMERCIAL


823

HLPBC

Hill Physicians Blue Cross PPO


COMMERCIAL

ID is valid for claims with 7/1/2019 dates of service and on.

824

HLPBS

Hill Physicians Blue Shield PPO


COMMERCIAL


825

HLPHN

Hill Physicians Health Net PPO


COMMERCIAL


826

46

Hill Physicians Medical Group


COMMERCIAL

COB claims can be submitted with DOS on or after 05/31/16.

827

HLPUH

Hill Physicians United Healthcare PPO


COMMERCIAL


828

HPU22

Hill UHC PPO


COMMERCIAL


829

HPIPA

Hispanic Physicians IPA


COMMERCIAL


830

68069

Home State Health


COMMERCIAL


831

88023

Hometown Health Plan Nevada


COMMERCIAL


832

22326

Horizon NJ Health


COMMERCIAL

Medicaid managed care.

833

HVMG1

Horizon Valley Medical Group


COMMERCIAL


834

91136

Hotel Employees & Restaurant Employees Health Trust


COMMERCIAL

Please enter Group Number (F19) when submitting claims.

835

34818

Human ARC


COMMERCIAL


836

67300

Humana - JVHL


COMMERCIAL


837

61101

Humana Emphesys


COMMERCIAL


838

61101

Humana Employers Health Insurance


COMMERCIAL


839

61101

Humana Inc.


COMMERCIAL


840

61101

Humana Insurance Company Choice Care Network


COMMERCIAL


841

61115

Humana Long Term Care


COMMERCIAL


842

L0200

Humana PR


COMMERCIAL


843

61120

Humana Veterans Healthcare Services


COMMERCIAL

VA ARCH claims should be submitted to this payer ID

844

94154

Humboldt-Del Norte Foundation for Medical Care


COMMERCIAL


845

54750

Huron PACE


COMMERCIAL


846

22175

I. E. Shaffer (West Trenton NJ)


COMMERCIAL


847

37279

IAA


COMMERCIAL


848

81810

IBG Administrators LLC


COMMERCIAL


849

97661

IEC Group - AmeriBen


COMMERCIAL


850

75274

IHG Direct


COMMERCIAL

Valid for claims with the following mailing address: P.O. Box 2388 Stow OH 44224

851

68068

ILCBH


COMMERCIAL


852

41600

IMCare


COMMERCIAL


853

TH099

IMS Management Services


COMMERCIAL


854

86070

IMX Easy


COMMERCIAL


855

40585

INDECS Corporation


COMMERCIAL


856

50114

INNOVATIVE HEALTHWARE SOLUTIONS


COMMERCIAL


857

35115

INTotal Health LLC


COMMERCIAL


858

47262

IU Health Transplant Evaluation Program


COMMERCIAL


859

SCS17

IdealCare by Sendero


COMMERCIAL


860

68069

Illinicare Health


COMMERCIAL


861

IPA99

Illinois Physicians Alliance IPA


COMMERCIAL


862

40043

Imagework Technolgies Corp.


COMMERCIAL


863

78448

Imperial Health Holdings


COMMERCIAL


864

IHHMG

Imperial Health Plan of California


COMMERCIAL


865

IICTX

Imperial Insurance Company of Texas


COMMERCIAL


866

CB231

Independence American Ins. Co


COMMERCIAL


867

MHM01

Independence Medical Group


COMMERCIAL


868

IMG02

Independence Medical Group - Tulare


COMMERCIAL


869

11695

Independent Care Health Plan


COMMERCIAL


870

SX073

Independent Health


COMMERCIAL


871

45048

Independent Living Systems


COMMERCIAL


872

INDPM

Independent Physicians at Mercy


COMMERCIAL


873

SX171

Indian Health Services


COMMERCIAL

Enrollment is required. Providers should contact BCBSNM Customer Service Department at 1-800-225-0241

874

35600

Indiana Department of Health - Children's Health - Claims


COMMERCIAL

Please completed enrollment form located on the Provider Relations Page at http://cshcs.isdh.in.gov

875

35161

Indiana ProHealth Network


COMMERCIAL


876

26212

Indiana University Health Plan (Commercial IUHPLNS)


COMMERCIAL


877

30360

Individual Assurance Company


COMMERCIAL


878

31053

Individual Health Insurance Companies


COMMERCIAL

Payer ID 31053 is for State Farm - Health line of business.

879

43471

Inetico Inc.


COMMERCIAL


880

38343

Ingham Health Plan Corporation


COMMERCIAL


881

IEHP1

Inland Empire Health Plan


COMMERCIAL


882

MVMM1

Inland Faculty Medical Group


COMMERCIAL


883

31182

Innovage


COMMERCIAL


884

40025

Innovation Health


COMMERCIAL


885

CB951

Innovative Health Plan


COMMERCIAL


886

Call

Innovative Healthware Services Inc.


COMMERCIAL

Before submitting contact Jessica Picarde at (410) 349-3222

887

38254

Insight Benefit Administrators


COMMERCIAL


888

37279

Insurance Administrators of America Inc.


COMMERCIAL


889

13315

Insurance Design Administrators


COMMERCIAL


890

72091

Insurance Management Administrators


COMMERCIAL


891

15688

Insurance Management Services (Amarillo TX)


COMMERCIAL

This Payer ID is only valid for claims with submission address of P.O. Box 15688

892

TH012

Insurance Services of Lubbock


COMMERCIAL


893

39182

InsuranceTPA.com


COMMERCIAL


894

86304

Insurers Administrative Corp.


COMMERCIAL

Please visit website prior to submitting claims: edihelp.iacusa.com

895

51020

Integra Administrative Group (Seaford DE)


COMMERCIAL

Payer ID valid only for claims with a billing submission address of 110 S. Shipley Street Seaford DE  19973.

896

31127

Integra Group


COMMERCIAL


897

31129

Integra Group-CHA


COMMERCIAL


898

45302

Integra Managed Long Term Care


COMMERCIAL


899

34167

Integrated Care Network (ICN) by Emerald Health


COMMERCIAL


900

20050

Integrated Medical Solutions LLC


COMMERCIAL


901

60280

Interface EAP (IEAP)


COMMERCIAL


902

23287

Intergroup Services Corporation


COMMERCIAL


903

11329

International Benefit Administrator


COMMERCIAL


904

36609

International Brotherhood of Boilermakers


COMMERCIAL


905

TH105

International Medical Group


COMMERCIAL


906

68069

Iowa Total Care


COMMERCIAL


907

85502

Island Home Insurance Company


COMMERCIAL


908

61271

J. F. Molloy and Associates Inc.


COMMERCIAL


909

TH033

JI Specialties


COMMERCIAL


910

JLSFE

JLS Family Enterprises


COMMERCIAL


911

38310

JOHN MORRELL COMPANY CO. - AHPBA


COMMERCIAL


912

Call

JOHN MUIR TRAUMA PHYSICIANS


COMMERCIAL

Please contact John Muir Trauma Physicians at 925-947-5288 for Payer id information.

913

34136

JP Farley Corporation


COMMERCIAL


914

Call

JPS Connection


COMMERCIAL

Providers must contact Kimberly at 817.702-8434  for approval

915

JCARE

Jencare Medical


COMMERCIAL


916

68036

John Muir Mt. Diablo Health System


COMMERCIAL

Providers who have never submitted claims to John Muir are required to register Tax ID prior to initial claims submission.  Please fax W-9 along with contact name and number to the attention of Patty Kan at (925) 941-2026.  Allow 2 days for processing bef

917

68036

John Muir Physician Network


COMMERCIAL

Providers who have never submitted claims to John Muir are required to register Tax ID prior to initial claims submission.  Please fax W-9 along with contact name and number to the attention of Patty Kan at (925) 941-2026.  Allow 2 days for processing bef

918

52189

Johns Hopkins Healthcare (EHP/PP)


COMMERCIAL

New submitters should send in their Billing NPI and Rending/Servicing NPI.

919

52123

Johns Hopkins Healthcare (USFHP)


COMMERCIAL

New submitters should send in their Billing NPI and Rending/Servicing NPI.

920

43178

Joplin Claims / Benefit Management Inc


COMMERCIAL


921

KPS01

KPS-Kitsap Physician Services


COMMERCIAL


922

68068

KS - Cenpatico Kansas


COMMERCIAL


923

68068

KY - Cenpatico Kentucky


COMMERCIAL


924

91617

Kaiser Foundation Health Plan of Colorado


COMMERCIAL


925

94135

Kaiser Foundation Health Plan of Northern CA Region


COMMERCIAL

Please call (510) 987-4639 for approval prior to submitting Northern California referral claims. Medical Record Number (Member ID) format should be all numeric minimum 8 digits and maximum 12 digits cannot be all zeros.  Add leading zero(s) if less than 8

926

94134

Kaiser Foundation Health Plan of Southern CA Region


COMMERCIAL

Medical Record Number (Member ID) format should be all numeric minimum 8 digits and maximum 12 digits cannot be all zeros.  Add leading zero(s) if less than 8 digits

927

91051

Kaiser Foundation Health Plan of Washington


COMMERCIAL

Provider Assistance Unit: (888) 767-4670. ERA Assistance Unit: (877) 833-6821. Pre-Enrollment is required for Electronic Remittance Advice.

928

91051

Kaiser Foundation Health Plan of Washington Options Inc


COMMERCIAL

Provider Assistance Unit: (888) 767-4670. ERA Assistance Unit: (877) 833-6821. Pre-Enrollment is required for Electronic Remittance Advice.

929

52095

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


COMMERCIAL

Providers enrolled for ERA will receive claim reporting at level 4.

930

93079

Kaiser Foundation of the Northwest


COMMERCIAL

This payer id can only be used to submit claims for Oregon and Washington Kaiser Permanente members.

931

94123

Kaiser Permanente Health Plan of Hawaii


COMMERCIAL

Please contact NEHBO@kp.org for any production issues such as status of claim denials etc.

932

21313

Kaiser Permanente of Georgia


COMMERCIAL


933

94320

Kaiser Self Funded


COMMERCIAL


934

61185

Kalos Gold Health Plan


COMMERCIAL


935

40137

Kalos Health


COMMERCIAL


936

KCIPA

Kane County BCBS


COMMERCIAL


937

71066

Kansas Superior Select


COMMERCIAL


938

TKFMC

Kaweah Delta


COMMERCIAL


939

95279

Keenan Associates (CA)


COMMERCIAL


940

KELSE

Kelseycare


COMMERCIAL


941

62480

Kemberton Healthcare Services


COMMERCIAL


942

61453

Kemper Benefits


COMMERCIAL


943

73100

Kempton Company


COMMERCIAL


944

73100

Kempton Group Administrators


COMMERCIAL


945

KENT1

Kent Health Plan


COMMERCIAL


946

27215

Kentucky Health Administrators Inc.


COMMERCIAL


947

28021

Kern County CDCR


COMMERCIAL


948

77039

Kern Health Systems


COMMERCIAL


949

37217

Key Benefit Administrators (Indianapolis IN)


COMMERCIAL

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN

950

35317

Key Gap


COMMERCIAL


951

95460

Key Health Medical Solutions Inc


COMMERCIAL


952

IP082

Key Medical Group


COMMERCIAL


953

IP083

Key Medical Group - Medicare Advantage


COMMERCIAL


954

37321

Key Select


COMMERCIAL


955

37323

Key Solution


COMMERCIAL


956

23284

Keystone First


COMMERCIAL

Medicaid managed care. For EDI support please e-mail edi@keystonefirstpa.com or call 1-877-234-4271

957

42344

Keystone First Community HealthChoices


COMMERCIAL


958

77741

Keystone First VIP Choice


COMMERCIAL

Plan effective 12/12/17. Payer encourages early enrollment for EFT/835

959

21547

Know the Costs


COMMERCIAL


960

LACAR

LA Care Health Plan


COMMERCIAL


961

25181

LIFE Pittsburgh


COMMERCIAL


962

TH106

LIPA/Agate Resources


COMMERCIAL


963

NMM02

LaSalle Medical Group


COMMERCIAL


964

37116

Lake County Physicians Association


COMMERCIAL


965

66125

LakeSide Medical Group


COMMERCIAL


966

66127

Lakeside Comprehensive Healthcare


COMMERCIAL


967

LMG11

Lakeside Health Services


COMMERCIAL


968

16109

Lancaster General Health Group - Preferred Health Care (IHS Payer)


COMMERCIAL


969

LNDMK

Landmark Healthcare Inc


COMMERCIAL


970

LAWND

Lawndale Christian Health Center


COMMERCIAL


971

37316

Leon Medical Center Health Plan


COMMERCIAL


972

LIB01

Liberty Advantage LLC


COMMERCIAL


973

87071

Liberty Health Advantage


COMMERCIAL


974

37281

Liberty Union


COMMERCIAL


975

37281

Life Assurance Company


COMMERCIAL


976

33LGC

Life Gift Cards


COMMERCIAL


977

TH120

Life Investors Insurance


COMMERCIAL


978

TH093

Life Investors of America - Long Term Care


COMMERCIAL


979

41136

Life Trac


COMMERCIAL


980

25850

LifeCare Assurance Co


COMMERCIAL


981

71498

LifeCircles PACE


COMMERCIAL


982

93093

LifeWise Healthplan of Oregon


COMMERCIAL


983

27005

Lifestyle Health Plans


COMMERCIAL

Institutional Claims should be submitted under Payer ID 2700u

984

16117

Lifetime Benefit Solutions


COMMERCIAL


985

EBSRM

Lifetime Benefit Solutions


COMMERCIAL


986

LCM10

Little Company of Mary


COMMERCIAL


987

CB752

Lockard & Williams


COMMERCIAL


988

37267

Loma Linda University Adventist Health Sciences Center Employee Health Plan


COMMERCIAL


989

37267

Loma Linda University Adventist Health Sciences Centers


COMMERCIAL


990

37267

Loma Linda University Behavioral Medicine Center Employee Health Plan


COMMERCIAL


991

37267

Loma Linda University Employee Health Plan


COMMERCIAL


992

37267

Loma Linda University Health Care Employee Health Plan


COMMERCIAL


993

33036

Loma Linda University Health Care Managed Care Dept


COMMERCIAL


994

37267

Loma Linda University Medical Center Employee Health Plan


COMMERCIAL


995

37267

Loma Linda University Medical Center Residents Health Plan


COMMERCIAL


996

37267

Loma Linda University Student Health Plan


COMMERCIAL


997

45289

Lone Star TPA


COMMERCIAL


998

LIL01

Longevity Health Plan of Illinois


COMMERCIAL


999

LNY01

Longevity Health Plan of New York


COMMERCIAL


1000

68069

Louisiana Healthcare Solutions


COMMERCIAL


1001

90328

Lovelace Sandia Health Plan


COMMERCIAL


1002

13193

Loyal American Life Ins Co-Medicare Supplement


COMMERCIAL


1003

CB212

Luther Care


COMMERCIAL


1004

36312

MANAGED HEALTH CARE ASSOCIATES


COMMERCIAL


1005

83028

MBA Benefit Administrators Inc (Salt Lake UT)


COMMERCIAL


1006

87065

MBA Of Wyoming Inc


COMMERCIAL


1007

Call

MCA Administrators Inc


COMMERCIAL

Please Call Keri Kudrav Provider Relations @ (412) 922-0780 ext. 175

1008

25160

MCA Administrators Inc.


COMMERCIAL


1009

MDXHI

MDX Hawaii


COMMERCIAL


1010

35199

MDwise Franciscan St. Anthony-HHW


COMMERCIAL


1011

35199

MDwise Franciscan St. Margaret-HHW


COMMERCIAL


1012

3135M

MDwise Healthy Indiana Plan


COMMERCIAL


1013

3519M

MDwise Hoosier Healthwise Hospital


COMMERCIAL


1014

35199

MDwise Select Health-HHW


COMMERCIAL


1015

35199

MDwise St. Catherine-HHW


COMMERCIAL


1016

35199

MDwise St. Vincent-HHW


COMMERCIAL


1017

88058

MED PAY


COMMERCIAL


1018

EM216

MED3000


COMMERCIAL

Please note that the payer only accepts claims with dates of service prior or equal to 12/31/2013.

1019

EM284

MED3000 CMS SAFETY NET


COMMERCIAL


1020

EM205

MED3000 CMS Title 21


COMMERCIAL


1021

23550

MFC & HealthPlus Peoria


COMMERCIAL


1022

74289

MHNET


COMMERCIAL


1023

64068

MHP Systems


COMMERCIAL


1024

MNDH1

MINNESOTA DEPARTMENT OF HEALTH


COMMERCIAL


1025

26097

ML Healthcare


COMMERCIAL


1026

66065

MMM Healthcare


COMMERCIAL


1027

MMMFL

MMM of Florida


COMMERCIAL


1028

68068

MO - Cenpatico Missouri


COMMERCIAL


1029

37233

MPE Services Inc.


COMMERCIAL


1030

37233

MPEEBT


COMMERCIAL


1031

68068

MS - Cenpatico Mississippi


COMMERCIAL


1032

20572

MSA Care Guard


COMMERCIAL


1033

26227

MSH REIMBURS


COMMERCIAL


1034

14165

MVP Health Plan of New York


COMMERCIAL


1035

36334

MacNeal Health Providers- CHS


COMMERCIAL


1036

56139

Maestro health Plan


COMMERCIAL


1037

MCCVA

Magellan Complete Care of Virginia


COMMERCIAL


1038

1260

Magellan Health Services


COMMERCIAL


1039

11303

Magnacare Administrative Services


COMMERCIAL


1040

68069

Magnolia Health


COMMERCIAL


1041

25133

Mail Handlers Benefit Plan


COMMERCIAL


1042

45341

Maine Community Health Options


COMMERCIAL


1043

35162

Managed Care Services LLC


COMMERCIAL


1044

27133

Managed Care Systems


COMMERCIAL


1045

MCS02

Managed Care Systems (Delano Regional Medical Group)


COMMERCIAL


1046

MCS01

Managed Care Systems (Gemcare)


COMMERCIAL


1047

22771

Managed Health Network


COMMERCIAL


1048

68069

Managed Health Services Indiana (Medicaid HMO)


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 877.647.4848 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

1049

68069

Managed Health Services Wisconsin


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 1-800-547-1647 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

1050

L0160

Mapfre (Canada Life)


COMMERCIAL


1051

52461

March Vision Care Inc.


COMMERCIAL


1052

20805

Marrick Medical Finance


COMMERCIAL


1053

53275

Martin's Point Health Care


COMMERCIAL


1054

22348

Maryland Physicians Care


COMMERCIAL

Rendering provider id must contain 1D qualifier.  Payer accepts zero dollar service line charges.  Payer Registration not required.  Autoenroll payer.

1055

37121

Mashantucket Pequot Tribal Nation


COMMERCIAL


1056

TH111

Master Mates & Pilots Program


COMMERCIAL


1057

95019

Matrix - Health First Health Plan


COMMERCIAL


1058

27320

Max Specialty Benefits


COMMERCIAL


1059

88090

Mayo Clinic FL/GA


COMMERCIAL


1060

31149

McGregor PACE


COMMERCIAL


1061

MHM02

McKinley Medical Group


COMMERCIAL


1062

38338

McLaren Health Plan


COMMERCIAL


1063

58202

MedAdmin Solutions


COMMERCIAL


1064

58204

MedAdmin Solutions


COMMERCIAL


1065

74323

MedBen (Newark OH)


COMMERCIAL


1066

59231

MedCom


COMMERCIAL


1067

56162

MedCost Inc.


COMMERCIAL

For questions on claim submission please contact Customer Service 800-824-7406

1068

MPMOA

MedPOINT Management


COMMERCIAL


1069

35205

MedPartners Administrative Services


COMMERCIAL

Payer ID is only for claims with mailing address of:  PO Box 2602 Fort Wayne IN 46801

1070

39190

MedStar Family Choice


COMMERCIAL


1071

95321

Medfocus


COMMERCIAL


1072

59355

Medi-Share


COMMERCIAL

Providers should check the member ID card and use the Household ID value as the member ID when submitting claims electronically

1073

95655

MediGold


COMMERCIAL


1074

94265

Medica (UHC)


COMMERCIAL


1075

78857

Medica Health Care Plan  (Florida)


COMMERCIAL


1076

41154

Medica Health Plan Solutions


COMMERCIAL


1077

71890

Medica Health Plan Solutions


COMMERCIAL


1078

12422

Medica2


COMMERCIAL

Medica2 payer is effective 1/1/2014.  All claims prior to 1/1/14 will be rejected

1079

77059

Medicaid Hawaii Waivers


COMMERCIAL


1080

MAHC1

Medical Associates Health Plan/Health Choices


COMMERCIAL


1081

MBA01

Medical Benefits Administration


COMMERCIAL


1082

74323

Medical Benefits Administrators Inc. (Newark OH)


COMMERCIAL


1083

74323

Medical Benefits Companies (Newark OH)


COMMERCIAL


1084

74323

Medical Benefits Mutual (Newark OH)


COMMERCIAL


1085

74323

Medical Benefits Mutual Life Insrance Co.


COMMERCIAL


1086

L0170

Medical Card System ( MCS )


COMMERCIAL


1087

24245

Medical Eye Services


COMMERCIAL


1088

29076

Medical Mutual of Ohio


COMMERCIAL


1089

62177

Medical Reimbursements of America


COMMERCIAL


1090

12057

Medical Services Initiative


COMMERCIAL


1091

38224

Medical Value Plan - Ohio (MVP)


COMMERCIAL


1092

MADME

Medicare Advantage DME (DMENSION)


COMMERCIAL


1093

L0210

Medicare y Mucho Mas ( MMM )


COMMERCIAL


1094

251MS

Medstar Select/Medstar Medicare Choice


COMMERCIAL


1095

59227

Mega Life Oklahoma City


COMMERCIAL

If the P.O. Box on the health ID card matches the following P.O. Box: P.O. Box 548801 Oklahoma City OK 73154

1096

TH092

Memorial Herman Health Network Providers


COMMERCIAL


1097

85461

Memorial Medical Center - AllCare


COMMERCIAL


1098

37050

Mental Health Consultants Inc.


COMMERCIAL


1099

86087

Merchants Benefit Administration


COMMERCIAL

Payer will accept both NPI and TAX ID however TAX ID would be the primary preferable provider identification number

1100

86052

Mercy Care Plan (AHCCCS)


COMMERCIAL


1101

33628

Mercy Care RBHA


COMMERCIAL


1102

39114

MercyCare


COMMERCIAL

Please call 608-758-7739 for payer id.

1103

13189

Meridian Health Plan of Illinois Inc


COMMERCIAL


1104

83253

Meridian Health Plan of Michigan Inc.


COMMERCIAL


1105

IP097

Meritage Medical Network


COMMERCIAL


1106

64157

Meritain Health


COMMERCIAL


1107

64158

Meritain Health / Agency Services


COMMERCIAL

Formerly know as Agency Services Inc.

1108

41124

Meritain Health Minneapolis


COMMERCIAL


1109

13265

MetroPlus Health Plan


COMMERCIAL

Registration and submission of the Billing Provider's NPI is required.  If you have not registered please contact MHP Customer Service at (800) 303-9626.  Claims will reject if the NPI is not registered and/or submitted on claims sent electronically.

1110

10850

Metropolitan Health Plan


COMMERCIAL


1111

TH068

Metrowest HealthPlan


COMMERCIAL


1112

TH069

Metrowest Star Medicaid


COMMERCIAL


1113

68069

Michigan Complete Health


COMMERCIAL


1114

68069

Michigan Fidelis Secure Care


COMMERCIAL


1115

37281

Mid-America Associates Inc.


COMMERCIAL


1116

22823

Mid-American Benefits


COMMERCIAL


1117

77012

MidCoast IPA


COMMERCIAL


1118

47080

Midlands Choice Inc.


COMMERCIAL


1119

76079

Midwest Health Partners


COMMERCIAL


1120

TH074

Midwest Health Plans Inc.


COMMERCIAL

Accepts NPI only.  Require the billing NPI to be the group NPI if using a Business Tax id.  Service provider NPI required in servicing provider loop.  No longer require 6 digit provider identifier.

1121

TH088

Midwest Physicians Administrative Services


COMMERCIAL


1122

MPMG1

Mills Peninsula Medical Group


COMMERCIAL


1123

1776

Minuteman Health Inc


COMMERCIAL


1124

STJOE

Mission (St. Joseph Heritage Healthcare)


COMMERCIAL


1125

MPMOA

Mission Community IPA Med Grp


COMMERCIAL


1126

64068

Mississippi Health Partners


COMMERCIAL


1127

64084

Mississippi Physicians Care Network


COMMERCIAL


1128

37233

Mississippi Public Entity Employee Benefit Trust


COMMERCIAL


1129

46299

Molina Healthcare South Carolina (Claims Only)


COMMERCIAL


1130

SX109

Molina Healthcare Utah (Claims Only)


COMMERCIAL


1131

38333

Molina Healthcare of California (Claims only)


COMMERCIAL


1132

51062

Molina Healthcare of Florida (Claims Only)


COMMERCIAL


1133

61799

Molina Healthcare of Idaho


COMMERCIAL


1134

20934

Molina Healthcare of Illinois (Claims Only)


COMMERCIAL


1135

38334

Molina Healthcare of Michigan (Claims Only)


COMMERCIAL


1136

22710

Molina Healthcare of Michigan PAR


COMMERCIAL


1137

77010

Molina Healthcare of Mississippi


COMMERCIAL


1138

9824

Molina Healthcare of New Mexico (Claims Only)


COMMERCIAL


1139

20149

Molina Healthcare of Ohio


COMMERCIAL


1140

81794

Molina Healthcare of Puerto Rico (Claims Only)


COMMERCIAL


1141

20554

Molina Healthcare of Texas (Claims Only)


COMMERCIAL


1142

26176

Molina Healthcare of Virginia


COMMERCIAL


1143

10101

Molina Healthcare of Virginia Encounters


COMMERCIAL


1144

38336

Molina Healthcare of Washington (Claims Only)


COMMERCIAL

Payer does not require the Group Policy Number.   Please do not use the default code 999999 for Group Policy Number

1145

43174

Molina Healthcare of Washington (Encounters Only)


COMMERCIAL


1146

ABRI1

Molina Healthcare of Wisconsin (Claims Only)


COMMERCIAL


1147

IP095

Monarch IPA


COMMERCIAL


1148

16098

Monitor Life Insurance Company


COMMERCIAL


1149

13174

Montefiore Contract Management Organization


COMMERCIAL


1150

46161

Montefiore HMO


COMMERCIAL


1151

TLINS

Monumental Life Insurance Company


COMMERCIAL

PO Box 8043  Little Rock AR 72203-8043

1152

TRCLF

Monumental Life Insurance Company


COMMERCIAL

4333 Edgewood Road NE Cedar Rapids IA  52499

1153

TRLTC

Monumental Life Insurance Company


COMMERCIAL

PO Box 869093 Plano TX 75086-9093

1154

TRLTC

Monumental Life Insurance Company


COMMERCIAL

PO Box 93019  Hurst TX 76053-3019

1155

TRP1E

Monumental Life Insurance Company


COMMERCIAL

100 Light Street Baltimore MD  21202-0000

1156

TRP1E

Monumental Life Insurance Company


COMMERCIAL

Claim Services Division  Valley Forge PA 19493

1157

TRP1E

Monumental Life Insurance Company


COMMERCIAL

PO Box 97 Scranton PA 18504-0097

1158

TRP1E

Monumental Life Insurance Company


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1159

TRP1E

Monumental Life Insurance Company


COMMERCIAL

PO Box 17004 Baltimore MD  21203-7004

1160

TRP1P

Monumental Life Insurance Company


COMMERCIAL

2700 West Plano Parkway Plano TX 75075

1161

35092

Morris Associates


COMMERCIAL


1162

95655

Mt. Carmel Health


COMMERCIAL


1163

34080

Multiplan Wisconsin Preferred Provider Network


COMMERCIAL


1164

81883

Municipal Health Benefit Fund


COMMERCIAL


1165

59140

Mutual Group (The) (US)


COMMERCIAL


1166

34192

Mutual Health Services


COMMERCIAL

Payer formely known as:  Antares Management Solutions

1167

71412

Mutual of Omaha Insurance Company


COMMERCIAL


1168

71412

Mutually Preferred


COMMERCIAL


1169

33020

My Family Medical Group


COMMERCIAL


1170

91136

N.W. Ironworkers Health & Security Trust Fund


COMMERCIAL

Please enter Group Number (F15) when submitting claims.

1171

91136

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


COMMERCIAL

Please enter Group Number (F26) when submitting claims.

1172

91136

N.W. Textile Processors


COMMERCIAL

Please enter Group Number (F14) when submitting claims.

1173

65085

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


COMMERCIAL


1174

34159

NABN (Cleveland OH)


COMMERCIAL

Now known as Meritain Health.  Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.

1175

67788

NAHGA Inc.


COMMERCIAL


1176

53011

NALC/Affordable


COMMERCIAL


1177

L0110

NAMCI/Global Care


COMMERCIAL


1178

68069

NH Health Families


COMMERCIAL


1179

88050

NHBCAUX


COMMERCIAL


1180

22603

NJ Carpenters Health Fund


COMMERCIAL


1181

22262

NPS


COMMERCIAL


1182

58182

Naphcare


COMMERCIAL


1183

31626

Nascentia Health


COMMERCIAL


1184

CB148

National Allied Workers Union Local 831


COMMERCIAL


1185

53011

National Association of Letter Carriers


COMMERCIAL


1186

53011

National Association of Letter Carriers/NALC


COMMERCIAL


1187

90001

National Capital Preferred Provider Organization (NCPPO)


COMMERCIAL

Customer Service phone number: (800 272-5911)

1188

ASHC1

National General


COMMERCIAL


1189

SX190

National Imaging Associates


COMMERCIAL


1190

52120

National Telecommunications Cooperative Association


COMMERCIAL


1191

52104

National Telecommunications Cooperative Association (NTCA - Staff)


COMMERCIAL


1192

52103

National Telecommunications Cooperative Association (NTCA)


COMMERCIAL


1193

68069

Nebraska Total Care


COMMERCIAL


1194

96107

Neighborhood Health Partnership (NHP)


COMMERCIAL


1195

96240

Neighborhood Health Plan of RI - Commercial Products and INTEGRITY


COMMERCIAL

Commercial Products and INTEGRITY member ID should contain 11-digits with the first two being 13.

1196

5047

Neighborhood Health Plan of RI - Medicaid and UNITY


COMMERCIAL

Please call NHPRI at 1-401-459-6020 to obtain or confirm your provider and vendor number prior to your initial claims submission. Medicaid and UNITY member ID should contain 9-digits.

1197

66055

Netcare Life and Health Insurance (Hagatna Guam)


COMMERCIAL


1198

77076

Network Health Insurance Corp-Medicare


COMMERCIAL


1199

39144

Network Health Plan


COMMERCIAL

For Network Health Plan Medicare Advantage please submit claims under payer ID 77076

1200

NMM01

Network Medical Management


COMMERCIAL


1201

NSIPA

Network Solutions IPA


COMMERCIAL


1202

58204

Network TPA LLC


COMMERCIAL


1203

95998

New Avenues Inc.


COMMERCIAL


1204

NCHON

New Century Health - Arizona Integra


COMMERCIAL


1205

NCH11

New Century Health - IEHP Oncology


COMMERCIAL


1206

NCH09

New Century Health - Vista Cardiology


COMMERCIAL


1207

NDX99

New Directions Behavioral Health


COMMERCIAL


1208

45129

New Mexico Health Connections


COMMERCIAL


1209

SX164

New West Health Services


COMMERCIAL


1210

7707C

New York Hotel Fund


COMMERCIAL


1211

TH122

New York Life


COMMERCIAL


1212

11334

New York Network Management


COMMERCIAL


1213

81085

Next Level Health


COMMERCIAL


1214

81264

Nippon Life Insurance Company of America


COMMERCIAL


1215

PDT01

Noble AMA Select IPA


COMMERCIAL


1216

34159

North American Benefits Network (Cleveland OH)


COMMERCIAL

Now known as Meritain Health.  Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.

1217

E3510

North American Medical Management (NAMM) - Northern California


COMMERCIAL


1218

E3510

North American Medical Management (NAMM) - Southern California


COMMERCIAL


1219

37314

North Broward Hospital District


COMMERCIAL


1220

74256

North Carolina Department of Public Safety (NC DPS)


COMMERCIAL


1221

17516

North Shore - LIJ (Healthfirst)


COMMERCIAL


1222

35212

North Texas Healthcare Network


COMMERCIAL

Payer to be deactivated in 2019 - please use Payer ID  75250 for claim submissions

1223

PROSP

North West Orange County Medical Group


COMMERCIAL


1224

48026

NorthShore Physician Associates


COMMERCIAL


1225

NSA01

NorthStar Advantage


COMMERCIAL


1226

58169

Northeast Georgia Health Services


COMMERCIAL


1227

38238

Northern California Sheet Metal Workers Health Care Plan


COMMERCIAL

Payer ID valid for claims with a submission address of PO Box 1138 San Ramon CA  94583.

1228

36347

Northern Illinois Health Plan


COMMERCIAL


1229

88027

Northern Nevada Trust Fund


COMMERCIAL

Please call (775) 826-7200 to verfiy if you should be sending claims to Northern Nevada Trust Fund.

1230

NMG01

Northridge Medical Group


COMMERCIAL


1231

NPN11

Northwest Physicians Network


COMMERCIAL


1232

36346

Northwest Suburban IPA (Illinois)


COMMERCIAL


1233

NWOOD

Northwood


COMMERCIAL

RELAY CPID 7860

1234

Call

Novanet


COMMERCIAL

Please contact the payer directly for payer id (770)729-1997 Ext. 220

1235

HLSTA

Novant Health Direct-to-Employer Episodes


COMMERCIAL


1236

71080

Novasys Health Network


COMMERCIAL


1237

PROSP

Nuestra Familia Medical Group (Prospect Medical Group)


COMMERCIAL


1238

37299

Nyhart


COMMERCIAL


1239

13350

ODS Health Plan


COMMERCIAL


1240

68037

OMNI/Medicore HP


COMMERCIAL


1241

OSFC9

OSF Healthcare Central


COMMERCIAL


1242

OSFE9

OSF Healthcare East


COMMERCIAL


1243

73071

OSMA Health - C. L. Frates


COMMERCIAL


1244

OAKST

Oak Street Health


COMMERCIAL


1245

36400

Oak West Physician Association


COMMERCIAL

Use this ID for Dates of Service 6/1/2015 and going forward.

1246

DESRT

Oasis IPA


COMMERCIAL


1247

L0140

Ocular Benefits


COMMERCIAL


1248

14163

Ohana Health Plan (WellCare of Hawaii)


COMMERCIAL


1249

34189

Ohio Health Choice PPO


COMMERCIAL

Payer ID valid only for claims with a billing submission address of PO Box 3619 Akron OH  44309-3619 or PO Box 93538

1250

74431

Ohio PPO Connect


COMMERCIAL


1251

71065

Oklahoma DRS DOC


COMMERCIAL


1252

65074

Olympus Managed Health Care


COMMERCIAL


1253

27590

Omnicare - JVHL


COMMERCIAL


1254

57116

OneCare


COMMERCIAL


1255

86602

Operating Engineers Local 428


COMMERCIAL


1256

91136

Operating Engineers Locals 302 & 612 Health & Security Fund


COMMERCIAL

Please enter Group Number (F12) when submitting claims.

1257

54154

Optima Health Plan


COMMERCIAL

Note: Rendering Provider Network ID (E6-14) field is reqd. Field must be 5-7 chars positions 1-5 must be numeric only and positions 6&7 (if applicable) must be alpha only. Please contact Ydsia Slagle-Provider Relations at (757) 552-7477.

1258

54154

Optima Insurance Company


COMMERCIAL

Note: Rendering Provider Network ID (E6-14) field is reqd. Field must be 5-7 chars positions 1-5 must be numeric only and positions 6&7 (if applicable) must be alpha only. Please contact Ydsia Slagle-Provider Relations at (757) 552-7477.

1259

52152

Optimum Choice of the Carolinas Inc. (OCCI)


COMMERCIAL


1260

20133

Optimum Healthcare Inc.


COMMERCIAL


1261

41194

Optum ? Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutio


COMMERCIAL

Former Payer ID 52190

1262

LIFE1

Optum Medical Network / AZ UT (formerly Lifeprint Network)


COMMERCIAL


1263

87726

OptumHealth


COMMERCIAL


1264

87726

OptumHealth / OptumHealth Behavioral Solutions of NM


COMMERCIAL


1265

87726

OptumHealth Behavioral Solutions (formerly United Behavioral Health)


COMMERCIAL

Former Payer ID 33053

1266

41194

OptumHealth Care Solutions (formerly United Resource Networks)


COMMERCIAL

Former Payer ID 52190

1267

52190

OptumHealth Care Solutions (formerly United Resources Networks


COMMERCIAL

User Payer ID 41194

1268

41160

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


COMMERCIAL

Use Payer ID 41161

1269

41161

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


COMMERCIAL

Former Payer IDs 41159 41160

1270

E3287

Optumcare Network of Connecticut


COMMERCIAL


1271

65021

Orange County Health Care Agency


COMMERCIAL


1272

13382

Orthonet - Uniformed Services Family Health Plan


COMMERCIAL


1273

13383

Orthonet Corporation - AETNA


COMMERCIAL


1274

OSCAR

Oscar Health


COMMERCIAL


1275

58375

P3 HEALTH PARTNERS ARIZONA


COMMERCIAL


1276

68069

PA Health and Wellness


COMMERCIAL


1277

70454

PACE CNY


COMMERCIAL


1278

72436

PACE Central Iowa


COMMERCIAL


1279

21614

PACE Greater New Orleans


COMMERCIAL


1280

35416

PACE Nebraska


COMMERCIAL


1281

53534

PACE SouthWest Iowa


COMMERCIAL


1282

86711

PACE Southeast Michigan


COMMERCIAL


1283

45114

PACE of Southwest Michigan Inc


COMMERCIAL


1284

37287

PAI


COMMERCIAL


1285

PEF01

PEF Clinic


COMMERCIAL


1286

SX106

PEHP - Utah Public Employee Health Plan


COMMERCIAL


1287

95411

PHC/PHP


COMMERCIAL


1288

72099

PHCS/Cigna


COMMERCIAL

Please enter Group Number from ID card when submitting claims. Payer ID only valid for ID cards referencing this payer id.

1289

Call

PHYSICIAN'S ACCOUNTABLE CARE ORG


COMMERCIAL

To obtain the payer ID please call (615) 869-0030.

1290

59324

PODIATRY NETWORK FL


COMMERCIAL


1291

38335

PPOM LLC


COMMERCIAL


1292

UHNDC

PPOONE


COMMERCIAL


1293

72148

PPOPlus LLC


COMMERCIAL


1294

PSKW0

PSKW


COMMERCIAL


1295

PCFCI

Pacific IPA


COMMERCIAL


1296

93029

PacificSource Health Plans


COMMERCIAL


1297

L0180

Palic ( Panamerican Life Insurance Company of Puerto Rico )


COMMERCIAL

Provider must contact Payer Client Services to request claims setup at (787) 620-1414.  Claims will reject if provider is not enrolled.

1298

94115

Palo Alto Medical Foundation


COMMERCIAL


1299

4218

Pan American Life Insurance Group


COMMERCIAL


1300

SX158

Paramount Care


COMMERCIAL


1301

66917

Parkland Community Health Plan


COMMERCIAL


1302

52613

Partners Behavioral Health Management


COMMERCIAL

Provider must have Trading Partner Agreement onfile with Partners BHM. http://www.partnersbhm.org/_formsandmanuals/Trading%20Partner%20Agreement%20Cover%20Letter.pdf

1303

PARTH

Partners in Health


COMMERCIAL


1304

10525

Patient Advocates LLC


COMMERCIAL


1305

20510

Patient Physician Cooperatives


COMMERCIAL


1306

37217

Patient's Advantage


COMMERCIAL

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN

1307

27048

Payer Fusion


COMMERCIAL


1308

68069

Peach State Health Plan


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 1-866-874-0633 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

1309

27034

Peak Pace Solutions LLC


COMMERCIAL


1310

PROSP

Pegasus Medical Group


COMMERCIAL


1311

53226

Penn Behavioral Health


COMMERCIAL

Payer requires Enrollment Please see Enrollment Forms and instructions at Emdeon.com

1312

20172

Pennsylvania Pace


COMMERCIAL


1313

Call

Pennsylvania's Preferred Health Network


COMMERCIAL

Call Jessica Picarde Manager of PPHN Claims Operations(410) 349-3222

1314

72126

Peoples Health Network


COMMERCIAL


1315

95397

Personal Insurance Administrators  Inc. (Agoura Hills CA)


COMMERCIAL


1316

37330

Phyicians Health Plan (PHP) Mid-Michigan


COMMERCIAL


1317

48008

PhysMetrics


COMMERCIAL


1318

91171

Physicans of Southwest Washington


COMMERCIAL


1319

58204

Physician Associates of Louisiana


COMMERCIAL


1320

PA513

Physician Associates of the Greater San Gabriel Valley


COMMERCIAL


1321

58204

Physician Care Network LLC


COMMERCIAL


1322

Call

Physician Health Cooperative/SRRIPA


COMMERCIAL

To obtain the payer ID please call (615) 869-0030

1323

PPRT1

Physician Partners FHN Medicaid


COMMERCIAL


1324

PDT01

Physician's Data Trust


COMMERCIAL


1325

38265

Physicians Care (ASR Corporation)


COMMERCIAL

Note: This is Physicians Care Network located in Michigan

1326

38265

Physicians Care Health Plans (ASR Corporation)


COMMERCIAL

Note: This is Physicians Care Network located in Michigan

1327

38265

Physicians Care Network (ASR Corporation)


COMMERCIAL

Note: This is Physicians Care Network located in Michigan

1328

36345

Physicians Care Network (Rockford IL only)


COMMERCIAL


1329

37136

Physicians Health Association of Illinois


COMMERCIAL


1330

TH114

Physicians Health Choice - Encounters


COMMERCIAL


1331

20398

Physicians Health Collaborative


COMMERCIAL


1332

MHM03

Physicians Health Network


COMMERCIAL


1333

37330

Physicians Health Plan PHP South Michigan


COMMERCIAL


1334

12399

Physicians Health Plan of Northern Indiana (Fort Wayne IN)


COMMERCIAL


1335

EXC01

Physicians Medical Group of San Jose


COMMERCIAL


1336

PMGSC

Physicians Medical Group of Santa Cruz County


COMMERCIAL


1337

47027

Physicians Mutual Insurance Company


COMMERCIAL

Please send all PPO and dental claims to the address on the back of the insured's ID Card

1338

39156

Physicians Plus Insurance Corporation


COMMERCIAL


1339

TH131

Physicians United Plan


COMMERCIAL


1340

24735

Pinnacle Claims Management Inc.


COMMERCIAL


1341

PROSP

Pinnacle Health Resources (Prospect Medical Group)


COMMERCIAL


1342

95271

Pinnacle Medical Group


COMMERCIAL


1343

84109

Pinnacol Assurance


COMMERCIAL


1344

PIONR

Pioneer Medical Group


COMMERCIAL


1345

23283

Pittsburgh Care Partnership Inc.


COMMERCIAL


1346

66063

Plan De Salud Menonita


COMMERCIAL


1347

L0190

Plan de Salud Hospital Menonita


COMMERCIAL


1348

37287

Planned Administrators Inc.


COMMERCIAL

Providers submitting claims as a Preferred Blue provider should not submit claims using payer ID 37287

1349

58204

Podi Care Managed Care


COMMERCIAL


1350

PCU01

Point Comfort Underwriters


COMMERCIAL


1351

PCU02

Point Comfort Underwriters (Refugee Med Asst Prog)


COMMERCIAL


1352

78535

Pokagon Health Services


COMMERCIAL


1353

95111

Pomona Valley Hospital Medical Center


COMMERCIAL


1354

IP057

Pomona Valley Medical Group


COMMERCIAL


1355

PAI01

Pool Administrators Inc.


COMMERCIAL


1356

PAI02

Pool Administrators Inc. (PAI) - CA Dept. of Public Health Secondary Claims


COMMERCIAL


1357

36373

Prairie States Enterprises Inc.


COMMERCIAL


1358

65088

Preferred Care Partners Florida


COMMERCIAL


1359

73145

Preferred Community Choice/PCCSelect/CompMed


COMMERCIAL


1360

Call

Preferred Health Care - PPO Lancaster PA (IHS Gateway Payer)


COMMERCIAL

Contact Sherry Wolgemuth Vice President of Claims Operations for Preferred Health Care at (717) 560-9290 ext. 124 for approval and the Payer ID.

1361

61106

Preferred Health Plan (Louisville KY)


COMMERCIAL

Payer to be deactivated in 2019 - please use Payer ID  87815 for claim submissions

1362

CB404

Preferred Health Plan of the Carolinas


COMMERCIAL


1363

31478

Preferred Health Professionals


COMMERCIAL


1364

PFIPA

Preferred IPA


COMMERCIAL


1365

L0250

Preferred Medicare


COMMERCIAL


1366

36401

Preferred Network Access Inc.


COMMERCIAL


1367

41147

PreferredOne (MN)


COMMERCIAL


1368

65054

Premier Eye Care


COMMERCIAL


1369

251PR

Premier Health Plan


COMMERCIAL


1370

29076

Premier Health Systems Inc.


COMMERCIAL

Premier Health Systems Inc. is part of the Medical Mutual Family of Companies.  Former payer ID 90040.  Use Payer ID 20976 for claims with DOS 4/1/09 and after.  For claims with DOS prior to 4/1/09 use former payer ID 90440.

1371

88056

Premier HealthCare Exchange


COMMERCIAL


1372

88051

Premier Healthcare Exchange Inc. (PHX)


COMMERCIAL


1373

MPM22

Premier Physician Network


COMMERCIAL


1374

5003

Presbyterian Health Plan (NM)


COMMERCIAL


1375

36396

Presence Health Partners/FKA Resurrection Health Care Preferred


COMMERCIAL

Please call 847-493-4611 prior to your first submission of claims

1376

77003

Prestige Health Choice


COMMERCIAL

Payer effective  5/1/2014. Managed Medicaid Plan part of the AmeriHealth Caritas Family of Companies. For EDI support please e-mail ediphc@amerihealthcaritas.com or call 800-617-5727.

1377

39113

Prevea360 Health Plan


COMMERCIAL


1378

13027

Primaria VillageMD of Central Indiana


COMMERCIAL


1379

PCJOL

Primary Care of Joliet


COMMERCIAL


1380

82048

Primary Health Network


COMMERCIAL


1381

81502

Prime Health Choice


COMMERCIAL


1382

Call

PrimeSource Health Network (PSHN) - PPO Harrisburg PA (IHS Gateway Payer)


COMMERCIAL

Before submitting contact Jessica Picarde at (410) 349-3222

1383

61604

PrimeWest Health


COMMERCIAL


1384

61271

Principal Financial Group


COMMERCIAL


1385

38217

Priority Health


COMMERCIAL


1386

37268

Prism Network Inc.


COMMERCIAL


1387

37315

Prism-Univera


COMMERCIAL


1388

PROSP

ProCare (Prospect)


COMMERCIAL


1389

IP057

ProMed HealthCare Administrators


COMMERCIAL


1390

13360

Productive Programming Inc.


COMMERCIAL


1391

36331

Professional Benefit Administrators Inc. (Oak Brook IL)


COMMERCIAL

Payer ID is valid only for claims with billing submission name city and state of Professional Benefit Administrators Inc. Oak Brook IL.

1392

PROGY

Progyny


COMMERCIAL


1393

88029

Prominence Health Plan


COMMERCIAL


1394

PROSP

Prospect Health Network


COMMERCIAL


1395

MPM16

Prospect La Care - Medpoint


COMMERCIAL


1396

PROSP

Prospect Medical Group


COMMERCIAL


1397

PROSP

Prospect Sherman Oaks Medical Group (Prospect Medical Group)


COMMERCIAL


1398

37309

Protective Life Insurance Company


COMMERCIAL


1399

48100

ProviDRs Care Network


COMMERCIAL


1400

SX187

Providence PPO


COMMERCIAL

For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra Wallenstein at 503-574-7450 .

1401

SX133

Providence of Oregon Health Plan


COMMERCIAL

For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra Wallenstein at 503-574-7450.

1402

13193

Provident American Life & Health Ins Co-Medicare Supplement


COMMERCIAL


1403

PHPC1

Pruitt Health Premier NCSC


COMMERCIAL


1404

91136

Puget Sound Benefits Trust


COMMERCIAL

Please enter Group Number (F25) when submitting claims.

1405

91136

Puget Sound Electrical Workers Trust


COMMERCIAL

Please enter Group Number (F33) when submitting claims.

1406

42636

QCPI Village MD of Georgia (GA)


COMMERCIAL


1407

57117

QVI Risk Solutions Inc.


COMMERCIAL


1408

23342

QualCare Inc.


COMMERCIAL


1409

22312

QualCare Inc. (dba QANI Administrators) A Cigna Company


COMMERCIAL


1410

35174

QualChoice


COMMERCIAL


1411

89461

Quality Care Partners


COMMERCIAL


1412

88622

Quality Health Plans of New York


COMMERCIAL


1413

CX077

Quality Plan Administrator Inc


COMMERCIAL


1414

19191

Quapaw Casino


COMMERCIAL


1415

19191

Quapaw Tribal Member Plan


COMMERCIAL


1416

19191

Quapaw Tribe Employee Plan


COMMERCIAL


1417

46571

Quartz ASO


COMMERCIAL


1418

66705

Quartz Health Solutions Inc.


COMMERCIAL


1419

44219

Quest Behavioral Health


COMMERCIAL


1420

10956

Quest EAP


COMMERCIAL


1421

73067

QuikTrip


COMMERCIAL

E-print address: QuikTrip P.O. Box 733 Buckeystown MD 21717

1422

TKFMC

R&N Market


COMMERCIAL


1423

Call

RADCON INC.


COMMERCIAL

Please contact Kathy King @ (856) 608-1350 for Payer Id information.

1424

91176

RBMS LLC


COMMERCIAL


1425

RGA01

REGENCE GROUP ADMINISTRATORS


COMMERCIAL


1426

33065

Rady Children's Hospital


COMMERCIAL


1427

18247

Redlands Yucaipa Medical Group


COMMERCIAL


1428

95449

Regal Medical Group


COMMERCIAL


1429

REGAL

Regal Medical Group


COMMERCIAL


1430

38221

Regency Employee Benefits


COMMERCIAL


1431

47076

Regional Care Inc.


COMMERCIAL


1432

REHNO

Rehn and Associates


COMMERCIAL


1433

76066

Renaissance Physicians Organization


COMMERCIAL

Enroll under Payer ID 52192 for EFT and ERA

1434

73066

Reserve National Insurance


COMMERCIAL


1435

RHA01

Resolve Health Plan Administrators LLC


COMMERCIAL


1436

CB695

Resolve/Solarte Health Inc.


COMMERCIAL


1437

20333

ResourceOne Administrators


COMMERCIAL


1438

37278

ResourceOne Administrators


COMMERCIAL


1439

58200

ResourceOne Administrators


COMMERCIAL


1440

RPPG1

Resurrection Physician Provider Group


COMMERCIAL


1441

26316

Retiree Health Trust


COMMERCIAL


1442

74205

Right Care from Scott & White


COMMERCIAL


1443

37331

RightChoice Benefit Administrators


COMMERCIAL


1444

RCMG1

River City Medical Group


COMMERCIAL


1445

MPMOA

Riverside Family Health Med Grp IPA


COMMERCIAL


1446

RMC01

Riverside Medical Clinic


COMMERCIAL


1447

Call

Riverside San Bernaardino County Indian Health Inc


COMMERCIAL


1448

SX141

Rocky Mountain Health Plan - Grand Junction


COMMERCIAL


1449

25133

Rural Carrier Benefit Plan


COMMERCIAL


1450

36389

Rush Prudential Health Plans (HMO Only)


COMMERCIAL


1451

AMM03

Ryan White Network


COMMERCIAL


1452

31441

S & S Healthcare Strategies


COMMERCIAL


1453

24077

SANTA CLARA FAMILY HEALTH PLAN


COMMERCIAL


1454

16146

SCHC Total Care - ClaimsNet


COMMERCIAL


1455

35164

Sagamore Health Network


COMMERCIAL


1456

37105

Sage Technologies


COMMERCIAL


1457

SJHC1

Saint Johns Health Clinic


COMMERCIAL


1458

CP001

Samaritan Employer Group Plans


COMMERCIAL

under this payer ID you can submit claims for all of Samaritan Health Plans: Medicare Medicare Self-funded and Commercial.

1459

CP001

Samaritan Health Plans


COMMERCIAL

under this payer ID you can submit claims for all of Samaritan Health Plans: Medicare Medicare Self-funded and Commercial.

1460

MSO77

San Diego County Coverage Initiative (CI)


COMMERCIAL


1461

MSO11

San Diego County Medical Services (CMS)


COMMERCIAL


1462

MSO33

San Diego County Ryan White Care Act


COMMERCIAL


1463

96400

San Diego PACE


COMMERCIAL


1464

SFHP1

San Francisco Health Plan


COMMERCIAL


1465

68035

San Joaquin Health Administrators


COMMERCIAL


1466

HSM01

San Judas Medical Group IPA


COMMERCIAL


1467

33072

San Louis Obispo Select


COMMERCIAL


1468

SHC30

Sandhills Center


COMMERCIAL


1469

91184

Sanford Health Plan


COMMERCIAL


1470

SNTMC

Sante Community Physicians Medical Group Corp


COMMERCIAL


1471

77038

Sante Health System and Affiliates


COMMERCIAL


1472

99157

Scan Encounters


COMMERCIAL


1473

73172

Scan Health Plan Arizona


COMMERCIAL


1474

SDCOM

Scion Dental Commercial


COMMERCIAL


1475

TH002

Scott & White


COMMERCIAL


1476

33099

Scripps Health Plan Services


COMMERCIAL


1477

SVIPA

Seaview IPA


COMMERCIAL


1478

28530

Secure Health Plans of Georgia


COMMERCIAL


1479

35202

Security Administrative Services


COMMERCIAL


1480

39045

Security Health Plan


COMMERCIAL


1481

37282

Select Benefit Administrators of America


COMMERCIAL

Payer ID valid only for claims with a billing submission address of P.O. Box 440 Ashland WI 54806.

1482

93031

Select Benefit Administrators Inc.


COMMERCIAL


1483

23285

Select Health of South Carolina


COMMERCIAL

For EDI support please e-mail edi@selecthealthofsc.com or call 1-888-394-3100.

1484

SX107

SelectHealth


COMMERCIAL

SelectHealth was formerly Intermountain Healthcare (IHC)

1485

36404

Self Insured Plans (Naples FL)


COMMERCIAL

Payer ID valid only for claims with a submission address of 1016 Collier Center Way Suite 200 Naples FL 34110.  Please call Customer Service at (239) 403-7884 to verify claims submission to Self Insured Plans - Payer ID  36404 (Naples FL).

1486

SISCO

Self Insured Services Co (SISCO)


COMMERCIAL


1487

34131

Self-Funded Plans Inc.


COMMERCIAL


1488

TRSEL

Selman Tricare Supp


COMMERCIAL

For any 835/837 inquiries with a Date of Service prior to 1/1/2019 please use payer id TRSEL.  For any with a Date of Service on or after 1/1/2019 please use payer id 52214.

1489

52214

Selman and Company


COMMERCIAL

For any 835/837 inquiries with a Date of Service prior to 1/1/2019 please use payer id TRSEL.  For any with a Date of Service on or after 1/1/2019 please use payer id 52214.

1490

80141

Senior Health Partners (SHP)


COMMERCIAL

Senior Health Partners is effective 05/01/2011.

1491

15682

Senior Network Health


COMMERCIAL


1492

83035

Senior Whole Health


COMMERCIAL


1493

54154

Sentara Family Care


COMMERCIAL

Note: Rendering Provider Network ID (E6-14) field is reqd. Field must be 5-7 chars positions 1-5 must be numeric only and positions 6&7 (if applicable) must be alpha only. Please contact Ydsia Slagle-Provider Relations at (757) 552-7477.

1494

54154

Sentara Health Management


COMMERCIAL

Note: Rendering Provider Network ID (E6-14) field is reqd. Field must be 5-7 chars positions 1-5 must be numeric only and positions 6&7 (if applicable) must be alpha only. Please contact Ydsia Slagle-Provider Relations at (757) 552-7477.

1495

23249

Sentinel Management Services


COMMERCIAL


1496

SMG01

Seoul Medical Group


COMMERCIAL


1497

TKFMC

Sequoia Beverage


COMMERCIAL


1498

62308

Seton Employee Plan


COMMERCIAL


1499

D2308

Seton Employee Plan


COMMERCIAL


1500

TH079

Seton Health Plan - Exclusive


COMMERCIAL


1501

22312

Seton Insurance Company


COMMERCIAL


1502

TH081

Seton MAP Program


COMMERCIAL


1503

25404

Seven Corners


COMMERCIAL


1504

75280

Shasta Administrative Services


COMMERCIAL


1505

10002

Sheakley Unicomp


COMMERCIAL


1506

38238

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


COMMERCIAL

Payer ID valid for claims with a submission address of PO Box 1618 San Ramon CA  94583.

1507

PROSP

Sierra Family Network (Prospect Medical Group)


COMMERCIAL


1508

76342

Sierra Health and Life


COMMERCIAL


1509

30891

Sierra Medical Group


COMMERCIAL


1510

MBA01

Sierra Nevada Medical Association


COMMERCIAL


1511

23250

Significa Benefits Services Inc.


COMMERCIAL


1512

97691

Silver Star PACE


COMMERCIAL


1513

37228

Silverback TPA


COMMERCIAL


1514

68069

Silversummit Healthplan


COMMERCIAL


1515

27905

SimplePay


COMMERCIAL


1516

SMPLY

Simply Healthcare


COMMERCIAL


1517

SIM01

Simpra Advantage Inc


COMMERCIAL


1518

84076

Sinclair Health Plan


COMMERCIAL


1519

SODRC

Skygen Medical: Ohio Department of Rehab/Corrections


COMMERCIAL


1520

84096

Sloans Lake Preferred Health Networks


COMMERCIAL


1521

2057

Smith Administrators


COMMERCIAL


1522

77306

Solano Regional Medical Group


COMMERCIAL


1523

77316

Solano Regional Medical Group


COMMERCIAL


1524

76578

Solstice Benefits


COMMERCIAL


1525

91131

Sound Health (now known as First Choice Health Network)


COMMERCIAL


1526

42172

Soundpath Health


COMMERCIAL

Formerly known as Puget Sound Health Partners Inc.

1527

Call

South Central Preferred - PPO York PA (IHS Gateway Payer)


COMMERCIAL


1528

81600

South Country Health Alliance


COMMERCIAL


1529

37314

South FL Community Care Network - NBHD


COMMERCIAL


1530

6294

South Florida Musculoskeletal Care


COMMERCIAL


1531

35227

South Point Hotel & Casino


COMMERCIAL


1532

25147

SouthCare/Healthcare Preferred


COMMERCIAL


1533

TH116

Southeast Texas Govt Employees Benefit Pool


COMMERCIAL


1534

77153

Southeastern Indiana Health (SIHO)


COMMERCIAL


1535

SCP01

Southern Cal Physicians Managed Care Services


COMMERCIAL


1536

SIPA1

Southland BCBS


COMMERCIAL


1537

37266

Southwest Service Life


COMMERCIAL

Please enter the unique policy number or ID card when submitting claims. Payer ID valid only for claims with a billing submission address of PO Box 982005 Ft. Worth TX 76182.

1538

23253

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


COMMERCIAL


1539

84146

Spina Bifida - VA HAC


COMMERCIAL


1540

TH100

Spohn Health


COMMERCIAL


1541

APP01

St Francis IPA


COMMERCIAL


1542

STJOE

St Joseph IPA


COMMERCIAL


1543

STJOE

St Jude Yorba Linda


COMMERCIAL


1544

35199

St. Anthony Memorial Healthcare Centers - MDWISE


COMMERCIAL


1545

22240

St. Barnabas System Health Plan


COMMERCIAL

Starting on January 1 2015 all claims with dates of service 1/1/15 and after should be submitted to Horizon BCBSNJ Payer ID 22099.

1546

35199

St. Catherine Hospital PHO - MDWISE


COMMERCIAL


1547

35199

St. Francis Health Network


COMMERCIAL


1548

STJOE

St. Joseph Heritage Healthcare


COMMERCIAL


1549

STJOE

St. Jude (St. Joseph Heritage Healthcare)


COMMERCIAL


1550

35199

St. Margaret Mercy Healthcare Centers - MDWISE


COMMERCIAL


1551

PDT01

St. Vincent IPA


COMMERCIAL


1552

73099

Standard Life and Accident Insurance Company


COMMERCIAL


1553

61425

Starmark


COMMERCIAL


1554

31059

State Farm (Casualty & Property Claims)


COMMERCIAL

State Farm - Property & Casualty line of business is Payer ID 31059.

1555

31053

State Farm Insurance Companies


COMMERCIAL

Payer ID 31053 is for State Farm - Health line of business.

1556

42162

State Trust Group


COMMERCIAL


1557

91151

Sterling Option 1


COMMERCIAL

Payer ID  is for claims with Service Dates prior to May 1 2014.  Claims with a Date of Service on or after May 1 2014 will reject for ACK/RETURNED - Claim submitted to incorrect payer.  Please submit these claims directly to Sterling (Windsor).

1558

TRLTC

Stonebridge Life Insurance Company


COMMERCIAL

PO Box 869093 Plano TX 75086-9093

1559

TRLTC

Stonebridge Life Insurance Company


COMMERCIAL

PO Box 93019  Hurst TX 76053-3019

1560

TRP1E

Stonebridge Life Insurance Company


COMMERCIAL

Claim Services Division  Valley Forge PA 19493

1561

TRP1E

Stonebridge Life Insurance Company


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1562

TRP1P

Stonebridge Life Insurance Company


COMMERCIAL

2700 West Plano Parkway Plano TX 75075

1563

Call

Stones River IPA - Amerivantage


COMMERCIAL

To obtain the payer ID please call (615) 869-0030

1564

Call

Stones River Regional IPA/ Clover Health


COMMERCIAL

To obtain the payer ID please call (615) 869-0030

1565

Call

Stones River Regional IPA/BCBST


COMMERCIAL

To obtain the payer ID please call (615) 869-0030

1566

Call

Stones River Regional IPA/BHFG


COMMERCIAL

To obtain the payer ID please call (615) 869-0030

1567

Call

Stones River Regional IPA/Windsor


COMMERCIAL

To obtain the payer ID please call (615) 869-0030

1568

95202

SummaCare Health Plan


COMMERCIAL


1569

37301

Summit America Insurance Services Inc.


COMMERCIAL

Student Accident and Sickness College Sports and NASCC claims only

1570

68069

Sunflower Health Plan


COMMERCIAL


1571

SIL01

Sunrise Health Plan of Illinois


COMMERCIAL


1572

SNY01

Sunrise Health Plan of New York


COMMERCIAL


1573

SPA01

Sunrise Health Plan of Pennsylvania


COMMERCIAL


1574

SVA01

Sunrise Health Plan of Virginia


COMMERCIAL


1575

68069

Sunshine Health


COMMERCIAL


1576

68069

Superior Health Plan Texas


COMMERCIAL

Prior to submitting claims please call Provider Relations Dept at 1-877-391-5921 Option 3 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

1577

41352

Superior Vision Services


COMMERCIAL


1578

SOIPA

Surgery One IPA


COMMERCIAL


1579

77318

Sutter Delta Medical Group


COMMERCIAL


1580

94269

Sutter East Bay Medical Foundation


COMMERCIAL


1581

96176

Sutter East Bay Regional Hospital


COMMERCIAL


1582

94119

Sutter East Bay Regional Hospital- Non Sutter Group


COMMERCIAL


1583

60624

Sutter Health | Aetna


COMMERCIAL


1584

Call

Sutter Independent Physicians


COMMERCIAL

Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID

1585

77304

Sutter Medical Group of the Redwoods


COMMERCIAL

Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.

1586

77302

Sutter Valley Medical Foundation dba Sutter Gould Medical Foundation


COMMERCIAL

Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.

1587

36411

Swedish Covenant Hospital


COMMERCIAL


1588

TKFMC

TASEBA


COMMERCIAL


1589

31074

TPAC/Employee Benefit Management Corp


COMMERCIAL


1590

37230

TR Paul Inc.


COMMERCIAL


1591

64300

TRIPLEFIN LLC


COMMERCIAL


1592

42137

TRISTAR Benefit Administrators (W. DesMoines IA)


COMMERCIAL

Please check the Insured ID card to verify the Payer ID before submitting claims.  If you have questions please contact Provider Relations at 800-456-4584.

1593

TALMG

Talbert Medical Group


COMMERCIAL


1594

88067

Tall Tree Administrators


COMMERCIAL


1595

88019

Teachers Health Trust


COMMERCIAL


1596

75133

Team Choice PNS


COMMERCIAL


1597

36215

Teamcare


COMMERCIAL


1598

43619

Teamsters Medicare Trust for Retired Employees


COMMERCIAL


1599

20212

Tethys Health Ventures


COMMERCIAL


1600

76048

Texas Children's Health Plan (Medicaid)  - CHIP


COMMERCIAL


1601

75228

Texas Children's Health Plan (Medicaid)-Star/Star Kids


COMMERCIAL


1602

Call

Texas Children's Star


COMMERCIAL

Provider ID required for all THIN payers.

1603

88221

Texas Health Aetna


COMMERCIAL


1604

33104

Texas HealthSpring


COMMERCIAL

Enroll under Payer ID 52192 for EFT and ERA

1605

TH089

Texas Premier Plan


COMMERCIAL


1606

88461

The Alliance


COMMERCIAL


1607

68423

The Care Network/The Savannah Business Group


COMMERCIAL


1608

75600

The City of Odessa


COMMERCIAL


1609

34150

The Health Plan (Massillon Ohio and St. Clairsville Ohio only)


COMMERCIAL

Services ordered by outside provider require referring provider on a HCFA and attending physician on a UB. Please provide physician name and UPIN if available.

1610

35206

The Healthcare Group


COMMERCIAL


1611

23223

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


COMMERCIAL


1612

82694

The Macaluso Group


COMMERCIAL


1613

59087

The National Radiology Network


COMMERCIAL

Electronic Payer ID for Claims printed and mailed to payer

1614

57034

The Oaks PACE


COMMERCIAL


1615

31074

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


COMMERCIAL


1616

Call

The Preferred Healthcare System (TPHS) - PPO Altoona PA (IHS GatewayPayer)


COMMERCIAL

Before submitting contact Jessica Picarde at (410) 349-3222

1617

SX160

Thomas H. Cooper


COMMERCIAL


1618

THRIV

Thrivent Financial


COMMERCIAL


1619

30167

Thrivent Financial Aid Association for Lutheran Medicare


COMMERCIAL


1620

30166

Thrivent Financial Lutheran Brotherhood Medicare


COMMERCIAL


1621

251CC

Together with CCHP


COMMERCIAL


1622

92620

Tongass Timber Trust


COMMERCIAL


1623

61425

Tooling & Manufacturing Association


COMMERCIAL


1624

THIPA

Torrance Hospital IPA


COMMERCIAL


1625

37314

Total Claims Administration


COMMERCIAL


1626

31182

Total Community Care


COMMERCIAL


1627

38201

Total Healthcare Inc.


COMMERCIAL


1628

31182

Total Long Term Care


COMMERCIAL


1629

80900

Total Plan Concepts


COMMERCIAL


1630

12268

Total Senior Care


COMMERCIAL


1631

23856

Touchstone Health PSO


COMMERCIAL

Claims submitted under 23856 are routed to payer id 11328.  For Remittance (ERA) enroll under payer id 11328

1632

TKFMC

Town & Country


COMMERCIAL


1633

37284

TransChoice-Key Benefit Administrators


COMMERCIAL


1634

PARTD

Transact RX


COMMERCIAL


1635

RX001

TransactRX Infusion and Specialty


COMMERCIAL


1636

TLINS

Transamerica Financial Life Insurance Company


COMMERCIAL

PO Box 8043  Little Rock AR 72203-8043

1637

TRLTC

Transamerica Financial Life Insurance Company


COMMERCIAL

PO Box 869098 Plano TX 75086-9098

1638

TRLTC

Transamerica Financial Life Insurance Company


COMMERCIAL

PO Box 93019  Hurst TX 76053-3019

1639

TRP1E

Transamerica Financial Life Insurance Company


COMMERCIAL

Claim Services Division  Valley Forge PA 19493

1640

TRP1E

Transamerica Financial Life Insurance Company


COMMERCIAL

PO Box 17004 Baltimore MD  21203-7004

1641

TRP1E

Transamerica Financial Life Insurance Company


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1642

TRP1E

Transamerica Financial Life Insurance Company


COMMERCIAL

PO Box 97 Scranton PA 18504-0097

1643

TRP1P

Transamerica Financial Life Insurance Company


COMMERCIAL

2700 West Plano Parkway Plano TX 75075

1644

TLINS

Transamerica Life Insurance Company


COMMERCIAL

PO Box 8043  Little Rock AR 72203-8043

1645

TRLTC

Transamerica Life Insurance Company


COMMERCIAL

PO Box 869093 Plano TX 75086-9093

1646

TRLTC

Transamerica Life Insurance Company


COMMERCIAL

PO Box 93019  Hurst TX 76053-3019

1647

TRP1E

Transamerica Life Insurance Company


COMMERCIAL

PO Box 17004 Baltimore MD  21203-7004

1648

TRP1E

Transamerica Life Insurance Company


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1649

TRP1E

Transamerica Life Insurance Company


COMMERCIAL

PO Box 97 Scranton PA 18504-0097

1650

TRP1P

Transamerica Life Insurance Company


COMMERCIAL

2700 West Plano Parkway Plano TX 75075

1651

TLINS

Transamerica Premier Life Insurance Company


COMMERCIAL

PO Box 8043  Little Rock AR 72203-8043

1652

TRCLF

Transamerica Premier Life Insurance Company


COMMERCIAL

4333 Edgewood Road NE Cedar Rapids IA  52499

1653

TRLTC

Transamerica Premier Life Insurance Company


COMMERCIAL

PO Box 869093 Plano TX 75086-9093

1654

TRLTC

Transamerica Premier Life Insurance Company


COMMERCIAL

PO Box 93019  Hurst TX 76053-3019

1655

TRP1E

Transamerica Premier Life Insurance Company


COMMERCIAL

100 Light Street Baltimore MD  21202-0000

1656

TRP1E

Transamerica Premier Life Insurance Company


COMMERCIAL

Claim Services Division  Valley Forge PA 19493

1657

TRP1E

Transamerica Premier Life Insurance Company


COMMERCIAL

PO Box 17004 Baltimore MD  21203-7004

1658

TRP1E

Transamerica Premier Life Insurance Company


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1659

TRP1E

Transamerica Premier Life Insurance Company


COMMERCIAL

PO Box 97 Scranton PA 18504-0097

1660

TRP1P

Transamerica Premier Life Insurance Company


COMMERCIAL

2700 West Plano Parkway Plano TX 75075

1661

TRAN1

Transwestern Insurance Admin Inc.


COMMERCIAL


1662

TCMAP

Travis County MAP


COMMERCIAL


1663

36397

Trellis Health Partners


COMMERCIAL


1664

PDT01

TriCities IPA


COMMERCIAL


1665

55915

TriWest Healthcare Alliance PC3/VCP REGION 5A


COMMERCIAL


1666

55916

TriWest Healthcare Alliance PC3/VCP REGION 5B


COMMERCIAL


1667

55917

TriWest Healthcare Alliance PC3/VCP REGION 6


COMMERCIAL


1668

55912

TriWest Healthcare Alliance PC3/VCP REGIONS 3 and 4


COMMERCIAL


1669

56155

Trialcard Inc


COMMERCIAL

56165

1670

56165

Trialcard Inc


COMMERCIAL


1671

73117

Tribute /SelectCare of Oklahoma


COMMERCIAL


1672

31118

Tribute Health Plan


COMMERCIAL


1673

SX163

Tricare Overseas


COMMERCIAL


1674

SX176

Tricare for Life


COMMERCIAL


1675

31143

Trihealth Physician Solutions - Concern


COMMERCIAL


1676

68069

Trillium Advantage


COMMERCIAL


1677

20048

Trillium Community Health Plan


COMMERCIAL


1678

68069

Trillium Community Health Plan


COMMERCIAL


1679

62777

Trilogy Health Solutions Inc.


COMMERCIAL

Formerly known as TRLHN/EB

1680

TRNPC

Trinity Health Pace


COMMERCIAL


1681

973MA

Triple-S Advantage


COMMERCIAL


1682

31144

Tristate Benefit Solutions (TPA)


COMMERCIAL


1683

82288

True Health New Mexico


COMMERCIAL


1684

91078

Trusteed Plans Service Corporation


COMMERCIAL


1685

61425

Trustmark Insurance Company


COMMERCIAL


1686

93112

Tuality Health Alliance


COMMERCIAL


1687

Call

Tufts Health Plan


COMMERCIAL

Please contact the Tufts Health Plan EDI Operations Department at  888.880.8699 x54042  for payer id.

1688

94603

UC-Davis Health


COMMERCIAL


1689

75130

UMC Health Plan


COMMERCIAL


1690

39026

UMR


COMMERCIAL

Former payer ids 31107 33108 74223 75196 75243

1691

75196

UMR (formerly Harrington Benefit Services - Westerville)


COMMERCIAL

Use Payer ID 39026

1692

75243

UMR (formerly Harrington Benefit Services)


COMMERCIAL

Use Payer ID 39026

1693

37237

UMR (formerly Lexington / CommonWealth Administrative Group)


COMMERCIAL


1694

74223

UMR (formerly UMR San Antonio Benefit Planners)


COMMERCIAL

Use Payer ID 39026 or 79480 (see member's card if available)

1695

95266

UMR Westerville (formerly Harrington Health)


COMMERCIAL

Use Payer ID 79480

1696

52180

UMWA Health & Retirement Funds


COMMERCIAL


1697

80314

UNICARE


COMMERCIAL


1698

23281

UPMC Health Plan


COMMERCIAL


1699

25184

UPMC Vision Advantage


COMMERCIAL


1700

93092

US Benefits


COMMERCIAL


1701

90551

US Family Health Plan


COMMERCIAL


1702

74095

USAA (United Services Automobile Association)


COMMERCIAL

Property and Casualty Division Only

1703

13407

USFHP - St. Vincent Catholic Medical Centers of New York


COMMERCIAL

Serving parts of New York NYC all of New Jersey Southeastern Pennsylvania and Western Connecticut.  For member eligibility call 1-800-241-4848

1704

SX105

UT - Deseret (UHIN)


COMMERCIAL

Please call 800-777-3622 Option1 3 and then 4 to be setup for electronic claims under Trading Partner ID HT001755-007 prior to claim submission

1705

25133

UT- Altius (UHIN)


COMMERCIAL


1706

UTMBC

UTMB Correctional Managed Care


COMMERCIAL


1707

91136

UW Graduate Appointee Plan


COMMERCIAL

Please enter Group Number (F72) when submitting claims.

1708

55413

Ucare Individual and Family Plans


COMMERCIAL


1709

SX178

Ucare Minnesota


COMMERCIAL


1710

77022

Ultimate Health Plan


COMMERCIAL


1711

41206

Ultra Benefits Inc.


COMMERCIAL


1712

35198

Unified Group Services


COMMERCIAL


1713

62170

Unified Health Services


COMMERCIAL

Worker's Compensation Claims Only.

1714

34638

Unified Physicians Network


COMMERCIAL

For claims rejections please contact Unified Physicians Claims Department at 847-763-1700

1715

TRP1E

Union Labor Life Insurance Company  - Admin By UBC


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1716

87042

Union Pacific Railroad Employees Health Systems


COMMERCIAL


1717

UAGBT

United Agriculture Benefit Trust


COMMERCIAL


1718

ADCUC

United Care Medical Group


COMMERCIAL


1719

Call

United Claim Solutions


COMMERCIAL

Please refer to the Insured's ID Card for more information.

1720

36659

United Food & Comm. Workers Midwest Unions


COMMERCIAL


1721

84132

United Medical Alliance


COMMERCIAL


1722

13193

United Teacher Assoc Ins Co-Medicare Supplement


COMMERCIAL


1723

71412

United of Omaha


COMMERCIAL


1724

81400

UnitedHealthCare / All Savers Alternate Funding


COMMERCIAL


1725

37602

UnitedHealthOne / Golden Rule


COMMERCIAL


1726

81400

UnitedHealthOne / PacifiCare Life and Health Insurance Company


COMMERCIAL


1727

87726

UnitedHealthcare


COMMERCIAL


1728

87726

UnitedHealthcare / Definity Health Plan


COMMERCIAL

Former Payer ID 64159

1729

87726

UnitedHealthcare / Empire Plan


COMMERCIAL


1730

87726

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


COMMERCIAL

Former Payer ID 52148

1731

6111

UnitedHealthcare / Oxford


COMMERCIAL


1732

773

UnitedHealthcare / Spectera Eyecare Networks


COMMERCIAL


1733

39026

UnitedHealthcare / UHIS-UnitedHealth Integrated Services


COMMERCIAL


1734

87726

UnitedHealthcare / UnitedHealthcare Plan of River Valley


COMMERCIAL

Former Payer ID 95378 (effective after 4/16/14)

1735

95378

UnitedHealthcare / UnitedHealthcare Plan of River Valley


COMMERCIAL

Use Payer ID 87726 effective 4/16/14

1736

87726

UnitedHealthcare / UnitedHealthcare West (UnitedHealthcare of CA OK OR


COMMERCIAL

TX WA and PacifiCare of AZ CO NV)   Former payer ids 95959 95962 95964 95999

1737

3432

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


COMMERCIAL


1738

87726

UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa)


COMMERCIAL

Former Payer ID 95378   Medicaid CHIP only

1739

87726

UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa)


COMMERCIAL

Former Payer ID 95378 (effective after 4/16/14)

1740

95378

UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa)


COMMERCIAL

Use Payer ID 87726 effective 4/16/14

1741

96385

UnitedHealthcare Community Plan / KS (KanCare)


COMMERCIAL


1742

95467

UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)


COMMERCIAL

Medicaid MIChild

1743

87726

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


COMMERCIAL

Former Payer ID 95378 (effective after 4/16/14)

1744

95378

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


COMMERCIAL

Use Payer ID 87726 effective 4/16/14

1745

87726

UnitedHealthcare Community Plan / NE


COMMERCIAL


1746

86047

UnitedHealthcare Community Plan / NJ


COMMERCIAL

Former Payer ID 86001

1747

95378

UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare


COMMERCIAL


1748

87726

UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete


COMMERCIAL


1749

87726

UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care


COMMERCIAL


1750

87726

UnitedHealthcare Community Plan of Louisiana


COMMERCIAL

Effective for dates of service on or after Feb. 1 2015 all UnitedHealthcare Community Plan of Louisiana claims must be filed within 180 days from the date of service. Please note electronic remittance advice (ERA) enrollment and generation will be deliver

1751

87726

UnitedHealthcare Community Plan/DEFLHILAMDMS CANNMOHPARITXWAWI


COMMERCIAL

Former PA payer ids 25175 86003 86049

1752

87726

UnitedHealthcare Community Plan/FLHILAMDMS CANNMOHRITXWI


COMMERCIAL


1753

87726

UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete


COMMERCIAL


1754

87726

UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan


COMMERCIAL


1755

87726

UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete


COMMERCIAL


1756

87726

UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect


COMMERCIAL


1757

87726

UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan


COMMERCIAL


1758

74227

UnitedHealthcare StudentResources


COMMERCIAL


1759

95959

UnitedHealthcare West / UnitedHealthcare of CA OK OR TX WA


COMMERCIAL

and PacifiCare of AZ CO NV

1760

66705

Unity Health Insurance


COMMERCIAL


1761

SX087

Univera - Health Care Plan/ChoiceCare Buffalo


COMMERCIAL


1762

SX086

Univera - Pre Paid Health Plan of NY


COMMERCIAL


1763

SX088

Univera - Univera Health Southern Tier


COMMERCIAL


1764

SX090

Univera SSA ENY


COMMERCIAL


1765

SX091

Univera SSA WNY


COMMERCIAL


1766

TRP1E

Universal Benefits - Admin For Chubb Life Insurance Company Of America


COMMERCIAL

PO Box 17004 Baltimore MD  21203-7004

1767

TRP1E

Universal Benefits - Admin For City Of Bridgeport CT


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1768

TRP1E

Universal Benefits - Admin For Hartford Life And Accident Insurance Co


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1769

TRP1E

Universal Benefits - Admin For Hartford Life Insurance Company


COMMERCIAL

PO Box 3350 Cedar Rapids IA  52406-3350

1770

33001

Universal Care - California


COMMERCIAL


1771

9830

University Family Care


COMMERCIAL


1772

9908

University Family Care - Maricopa Health Plan


COMMERCIAL


1773

99026

University Health Alliance


COMMERCIAL

Payer Registration is required. EDI Enrollment form is available at www.emdeon.com

1774

46407

University Health Care Advantage


COMMERCIAL


1775

45437

University Healthcare Marketplace


COMMERCIAL


1776

UIC67

University of Illinois


COMMERCIAL


1777

37601

University of Illinois at Chicago Div of Specialized Care for Children


COMMERCIAL


1778

25133

University of Missouri


COMMERCIAL


1779

SX155

University of Utah Health Plans


COMMERCIAL


1780

IP056

Upland Medical Group


COMMERCIAL


1781

37324

Upper Peninsula Health Group (TPA)


COMMERCIAL


1782

38337

Upper Peninsula Health Plan (Medicaid)


COMMERCIAL


1783

12115

VA Fee Basis Programs


COMMERCIAL


1784

50701

VGM Homelink


COMMERCIAL


1785

93170

VMD of SE TX (Houston)


COMMERCIAL


1786

77073

VNS CHOICE Medicare


COMMERCIAL

Formerly listed as Visiting Nurses Service

1787

64009

Valir Pace


COMMERCIAL


1788

TH022

Valley Baptist Health Plan


COMMERCIAL


1789

VCIPA

Valley Care IPA


COMMERCIAL


1790

94293

Valley Mental Health


COMMERCIAL


1791

23253

Valley Preferred - PPO Allentown PA (IHS Gateway Payer)


COMMERCIAL


1792

43259

Valor Health Plan


COMMERCIAL


1793

SX173

Value Options - Commercial


COMMERCIAL


1794

72128

Vantage Health Plan Inc.


COMMERCIAL


1795

PPM01

Vantage Medical Group


COMMERCIAL


1796

86062

VentureNet Healthcare


COMMERCIAL


1797

66126

Verdugo Hills Medical Group


COMMERCIAL


1798

75256

Verity National Group


COMMERCIAL


1799

26267

Vestica Healthcare - Value-Based Solutions


COMMERCIAL


1800

48123

Via Christi HOPE


COMMERCIAL


1801

15976

Vibra Health Plan


COMMERCIAL


1802

VVIPA

Victor Valley IPA


COMMERCIAL


1803

VVMG1

Victor Valley IPA


COMMERCIAL


1804

25923

VieCare LIFE Butler


COMMERCIAL


1805

25922

VieCare Life Armstrong


COMMERCIAL


1806

25924

VieCare Life Beaver and Life Lawrence Counties


COMMERCIAL


1807

VLGMD

Village MD


COMMERCIAL


1808

26545

VillageCareMAX


COMMERCIAL


1809

75838

VillageMD of Chicago


COMMERCIAL


1810

75545

VillageMD of New Hampshire


COMMERCIAL


1811

75386

VillageMD of Northern Indiana


COMMERCIAL


1812

43036

VillageMD of Western Kentucky


COMMERCIAL


1813

84806

Virginia Coordinated Care-VCC


COMMERCIAL

Member id must be 10 digit member id for this payer

1814

CVAK1

Virginia Medicaid


COMMERCIAL


1815

VAPRM

Virginia Premier Complete Care


COMMERCIAL


1816

MLTSS

Virginia Premier Elite Plus


COMMERCIAL


1817

VAPRM

Virginia Premier Elite Plus


COMMERCIAL


1818

54176

Virginia Premier Health Plan


COMMERCIAL

ERA provider enrollment form is located at www.changehealthcare.com

1819

VAPRM

Virginia Premier Health Plans


COMMERCIAL


1820

251VA

Virginia Premier Individual Plans


COMMERCIAL


1821

VAPRM

Virginia Premier Medallion 3


COMMERCIAL


1822

VAPRM

Virginia Premier Medallion 4


COMMERCIAL


1823

VAPRM

Virginia Premier Medicare Advantage


COMMERCIAL


1824

VPMAD

Virginia Premier Medicare Advantage


COMMERCIAL


1825

VPCCI

Virginia Premiere Complete Care


COMMERCIAL


1826

NCH08

Vista Oncology - New Century Infusion Solutions


COMMERCIAL


1827

V360H

Vista360Health


COMMERCIAL


1828

63114

Viva Health Plan


COMMERCIAL

VIVA Health requires a complete member ID number including suffix on all claim submissions. Pls use the following site to verify member information: https://estepp.cschcg.com/TRI_provider/doEntry.jsp

1829

59266

Volusia Health Network


COMMERCIAL


1830

22264

Vytra Healthcare


COMMERCIAL


1831

39151

WEA Insurance Group


COMMERCIAL


1832

77080

WPP-ElderCare Wisconsin


COMMERCIAL


1833

SX022

WPS Health Insurance


COMMERCIAL


1834

85256

Wabash Memorial Hospital Association


COMMERCIAL


1835

73155

Waterstone Benefit Administrators (Oklahoma Providers)


COMMERCIAL


1836

23051

Waterstone Benefit Administrators (Outside Oklahoma)


COMMERCIAL


1837

MPM09

Watts Healthcare


COMMERCIAL


1838

MPMOA

Watts Healthcare Corp IPA


COMMERCIAL


1839

36337

Weiss Health Providers


COMMERCIAL


1840

13337

Well Sense Health Plan


COMMERCIAL

Submissions to Well Sense Health Plan must include the correct 12 digit BMCHP Provider ID # including all leading zeros.

1841

14163

WellCare Health Plans (WellCare of FL GA NY CT NJ LA OH TX


COMMERCIAL


1842

39113

WellFirst Health


COMMERCIAL


1843

WELM2

WellMed


COMMERCIAL


1844

Call

WellNet Health Plans


COMMERCIAL

Please call 1-800-442-1101 for approval and the Payer ID

1845

CB457

WellSpan Employee Assistance Program


COMMERCIAL


1846

35245

WellSystems LLC


COMMERCIAL


1847

59354

Wellcare Health Plan Inc. (Encounters)


COMMERCIAL


1848

87843

Wellfleet Group LLC (FKA Consolidated Health Plans)


COMMERCIAL


1849

91064

Wenatchee Valley Medical Center


COMMERCIAL


1850

66124

West Covina Medical Group


COMMERCIAL


1851

80942

West Suburban Health Providers


COMMERCIAL


1852

45276

West Virginia Family Health Plan


COMMERCIAL


1853

24735

Western Grower's Assurance Trust


COMMERCIAL


1854

24735

Western Grower's Insurance Company


COMMERCIAL


1855

68039

Western Health Advantage


COMMERCIAL


1856

37247

Western Mutual Insurance


COMMERCIAL


1857

DOCSO

Western Oregon Advanced Health


COMMERCIAL


1858

TRLTC

Western Reserve Life Insurance Company


COMMERCIAL

PO Box 869093 Plano TX 75086-9093

1859

TRLTC

Western Reserve Life Insurance Company


COMMERCIAL

PO Box 93019  Hurst TX 76053-3019

1860

68069

Western Sky Community Care


COMMERCIAL


1861

31048

Western Southern Financial Group (Cincinnati OH)


COMMERCIAL


1862

19191

Wichita and Affiliated Tribes


COMMERCIAL


1863

93050

William C. Earhart


COMMERCIAL


1864

74101

Wisconsin Department of Corrections


COMMERCIAL


1865

SX162

Wisconsin Physicians Service - Third Party Pricing


COMMERCIAL


1866

13413

Women's Integrated Network Inc. (WIN Fertility)


COMMERCIAL

WIN Healthcare

1867

SX067

Workers Comp of West Virginia


COMMERCIAL


1868

10074

Workstar Health Services


COMMERCIAL


1869

98543

Wyoming PACE


COMMERCIAL


1870

60646

Yale University Heath Plan


COMMERCIAL


1871

77946

Yamhill CCO Physical Health


COMMERCIAL


1872

77130

Yamhill County CCO (Mental Health)


COMMERCIAL


1873

STJOE

Yorba Park


COMMERCIAL


1874

STJOE

Yorba Park (St. Joseph Heritage HealthCare)


COMMERCIAL


1875

4430

ZeroOutofPocket


COMMERCIAL


1876

62160

eviCore


COMMERCIAL


1877

26054

iCare Health Solutions


COMMERCIAL


1878

33884

iCircle Care of New York


COMMERCIAL


1879

34009

myNEXUS Anthem


COMMERCIAL


1880

75261

webTPA/Community Health Electronic Claims/CHEC


COMMERCIAL


1881

SX074

AmeriHealth - Delaware (Non-HMO Claims)

DE

BLUE CROSS/BLUE SHIELD


1882

SX075

AmeriHealth - New Jersey (Non-HMO Claims)

NJ

BLUE CROSS/BLUE SHIELD

Claims should enrolled and submitted to Independence Blue Cross for this plan under this payer id. However ERAs are enrolled and delivered by Independence BC under payer id SX055.  ERA enrollment should be completed following the instructions at www.emdeo

1883

47198

Anthem Blue Cross

CA

BLUE CROSS/BLUE SHIELD


1884

SB560

Anthem Blue Cross Blue Shield of Connecticut

CT

BLUE CROSS/BLUE SHIELD


1885

SB923

Anthem Blue Cross and Blue Shield (Virginia)

VA

BLUE CROSS/BLUE SHIELD

Always bill with type 1 npi however there are some exceptions.  Please refer back to credentialing with Anthem.  Please call Provider enrollment for credentialing @ 800-533-1120.

1886

SB630

Anthem Blue Cross and Blue Shield - Indiana

IN

BLUE CROSS/BLUE SHIELD


1887

SB660

Anthem Blue Cross and Blue Shield - Kentucky

KY

BLUE CROSS/BLUE SHIELD


1888

SB338

Anthem Blue Cross and Blue Shield of Ohio

OH

BLUE CROSS/BLUE SHIELD


1889

SB520

Arkansas Blue Cross and Blue Shield

AR

BLUE CROSS/BLUE SHIELD


1890

SB821

BCBS North Dakota Vision


BLUE CROSS/BLUE SHIELD

Must be setup for SB820 and SB821

1891

SX168

BCBSPA - BlueCard Par Point of Service (POS)


BLUE CROSS/BLUE SHIELD

No special enrollment required on Synaptek but must have the BCBSPA step in production in provider's enrollment for claims to go electronically.  This payer id is to be used for member id alpha prefixes of:AMS ATS NJP NRG or YHF.

1892

SB711

BLUE CARE NETWORK (BLUE CROSS BLUE SHIELD OF MICHIGAN)

MI

BLUE CROSS/BLUE SHIELD

Provider enrolls at https://editest.bcbsm.com/tpaLogon.html OR by calling 248-486-2292 opt 1. Emdeon PSF required.

1893

SB871

Blue CHiP of Rhode Island

RI

BLUE CROSS/BLUE SHIELD


1894

SB562

Blue Care Family/Anthem Medicaid

CT

BLUE CROSS/BLUE SHIELD


1895

SB900

Blue Choice Network

TX

BLUE CROSS/BLUE SHIELD


1896

SB751

Blue Cross Blue Shield - Montana

MT

BLUE CROSS/BLUE SHIELD


1897

SB731

Blue Cross Blue Shield Mississippi State and Teacher Employees

MS

BLUE CROSS/BLUE SHIELD

ERA's are returned under SB730

1898

SB810

Blue Cross Blue Shield NC BlueMedicare HMO/PPO

NC

BLUE CROSS/BLUE SHIELD


1899

SB960

Blue Cross Blue Shield Wyoming

WY

BLUE CROSS/BLUE SHIELD


1900

SB510

Blue Cross Blue Shield of Alabama

AL

BLUE CROSS/BLUE SHIELD


1901

SB530

Blue Cross Blue Shield of Arizona

AZ

BLUE CROSS/BLUE SHIELD


1902

SB550

Blue Cross Blue Shield of Colorado

CO

BLUE CROSS/BLUE SHIELD


1903

SB563

Blue Cross Blue Shield of Connecticut

CT

BLUE CROSS/BLUE SHIELD

(FEP Product)

1904

SB570

Blue Cross Blue Shield of Delaware

DE

BLUE CROSS/BLUE SHIELD


1905

SB590

Blue Cross Blue Shield of Florida

FL

BLUE CROSS/BLUE SHIELD


1906

SB600

Blue Cross Blue Shield of Georgia (Atlanta)

GA

BLUE CROSS/BLUE SHIELD


1907

SB621

Blue Cross Blue Shield of Illinois

IL

BLUE CROSS/BLUE SHIELD


1908

SB650

Blue Cross Blue Shield of Kansas

KS

BLUE CROSS/BLUE SHIELD


1909

SB740

Blue Cross Blue Shield of Kansas City

MO

BLUE CROSS/BLUE SHIELD


1910

SB651

Blue Cross Blue Shield of Kansas HMO FEP

KS

BLUE CROSS/BLUE SHIELD


1911

SB652

Blue Cross Blue Shield of Kansas HMO Regular

KS

BLUE CROSS/BLUE SHIELD


1912

SB653

Blue Cross Blue Shield of Kansas HMO Senior Plan

KS

BLUE CROSS/BLUE SHIELD


1913

23738

Blue Cross Blue Shield of Louisiana

LA

BLUE CROSS/BLUE SHIELD

For enrollment information call (225) 295-2427.

1914

SB680

Blue Cross Blue Shield of Maine

ME

BLUE CROSS/BLUE SHIELD


1915

SB700

Blue Cross Blue Shield of Massachusetts

MA

BLUE CROSS/BLUE SHIELD


1916

SB710

Blue Cross Blue Shield of Michigan

MI

BLUE CROSS/BLUE SHIELD

Provider enrolls at https://editest.bcbsm.com/tpaLogon.html OR by calling 248-486-2292 opt 1. Emdeon PSF required.

1917

SB720

Blue Cross Blue Shield of Minnesota

MN

BLUE CROSS/BLUE SHIELD


1918

SB730

Blue Cross Blue Shield of Mississippi

MS

BLUE CROSS/BLUE SHIELD


1919

SB741

Blue Cross Blue Shield of Missouri

MO

BLUE CROSS/BLUE SHIELD

NPI only is required when submitting claims to BCBSMO. Emdeon requires a provider set up form to be completed before initial claims submission.

1920

SB742

Blue Cross Blue Shield of Missouri (Blue Choice)

MO

BLUE CROSS/BLUE SHIELD

NPI only is required when submitting claims to BCBSMO. Emdeon requires a provider set up form to be completed before initial claims submission.

1921

SB760

Blue Cross Blue Shield of Nebraska

NE

BLUE CROSS/BLUE SHIELD


1922

SB765

Blue Cross Blue Shield of Nevada

NV

BLUE CROSS/BLUE SHIELD


1923

SB770

Blue Cross Blue Shield of New Hampshire

NH

BLUE CROSS/BLUE SHIELD


1924

SB790

Blue Cross Blue Shield of New Mexico

NM

BLUE CROSS/BLUE SHIELD


1925

SB810

Blue Cross Blue Shield of North Carolina

NC

BLUE CROSS/BLUE SHIELD


1926

SB820

Blue Cross Blue Shield of North Dakota

ND

BLUE CROSS/BLUE SHIELD


1927

SB840

Blue Cross Blue Shield of Oklahoma

OK

BLUE CROSS/BLUE SHIELD


1928

SB870

Blue Cross Blue Shield of Rhode Island

RI

BLUE CROSS/BLUE SHIELD


1929

SX085

Blue Cross Blue Shield of South Carolina - Companion Healthcare

SC

BLUE CROSS/BLUE SHIELD


1930

SB880

Blue Cross Blue Shield of South Carolina - Companion Technologies

SC

BLUE CROSS/BLUE SHIELD


1931

SX084

Blue Cross Blue Shield of South Carolina - Federal Employee Program (FEP)

SC

BLUE CROSS/BLUE SHIELD


1932

SX104

Blue Cross Blue Shield of South Carolina - Planned Administrators Inc.

SC

BLUE CROSS/BLUE SHIELD


1933

SX103

Blue Cross Blue Shield of South Carolina - State Health Plan

SC

BLUE CROSS/BLUE SHIELD


1934

SB889

Blue Cross Blue Shield of South Dakota (Sioux Falls)

SD

BLUE CROSS/BLUE SHIELD


1935

SB891

Blue Cross Blue Shield of Tennessee (Chattanooga HMO Plans)

TN

BLUE CROSS/BLUE SHIELD

Multiple plans. Please call (423) 755-5717 for plan code information. Single Enrollment with BCBSTN enables electronic claim submission for all BCBSTN payer ID's listed (enrollment is not 'plan specific').

1936

SB890

Blue Cross Blue Shield of Tennessee (Chattanooga)

TN

BLUE CROSS/BLUE SHIELD

Single Enrollment with BCBSTN enables electronic claim submission for all BCBSTN payer ID's listed (enrollment is not 'plan specific').

1937

SB892

Blue Cross Blue Shield of Tennessee (Memphis)

TN

BLUE CROSS/BLUE SHIELD

Single Enrollment with BCBSTN enables electronic claim submission for all BCBSTN payer ID's listed (enrollment is not 'plan specific').

1938

SB900

Blue Cross Blue Shield of Texas

TX

BLUE CROSS/BLUE SHIELD


1939

SB915

Blue Cross Blue Shield of Vermont

VT

BLUE CROSS/BLUE SHIELD


1940

SB790

Blue Cross Community Centennial

NM

BLUE CROSS/BLUE SHIELD


1941

SB950

Blue Cross and Blue Shield United of Wisconsin/Comp Care

WI

BLUE CROSS/BLUE SHIELD


1942

53589

Blue Cross and Blue Shield of Arizona

AZ

BLUE CROSS/BLUE SHIELD


1943

SB612

Blue Cross of Idaho Health Services Inc

ID

BLUE CROSS/BLUE SHIELD


1944

94036

Blue Shield of California

CA

BLUE CROSS/BLUE SHIELD


1945

SB580

BlueCross BlueShield of National Capital Area (CareFirst)

DC

BLUE CROSS/BLUE SHIELD

Includes coverage for DC and Northern Virginia. Effective 12/5/2012 CareFirst allows Medicare Professional Medical Secondary claims to be sent as EDI.

1946

24705

Capital Blue Cross - Facility

PA

BLUE CROSS/BLUE SHIELD

Providers must contact Capital Blue Cross to enroll at (800) 874-8433 or by email at provider.automation@capbluecross.com

1947

23045

Capital Blue Cross/CAIC

PA

BLUE CROSS/BLUE SHIELD

Providers must contact Capital Blue Cross to enroll at (800) 874-8433 or by email at provider.automation@capbluecross.com.

1948

SB690

Carefirst of Maryland Inc.

MD

BLUE CROSS/BLUE SHIELD

Effective 12/5/2012 CareFirst allows Medicare Professional Medical Secondary claims to be sent as EDI.

1949

95462

Community Blue Medicare PPO

PA

BLUE CROSS/BLUE SHIELD


1950

95462

Community Blue Medicare Plus PPO

PA

BLUE CROSS/BLUE SHIELD


1951

SB803

Empire Blue Cross and Blue Shield of New York

NY

BLUE CROSS/BLUE SHIELD


1952

SB806

Excellus - BCBS Utica Watertown

NY

BLUE CROSS/BLUE SHIELD


1953

SB805

Excellus - Blue Cross Blue Shield of Central New York

NY

BLUE CROSS/BLUE SHIELD


1954

SB804

Excellus - Blue Cross/Blue Shield Rochester Area

NY

BLUE CROSS/BLUE SHIELD


1955

SX078

Gateway

PA

BLUE CROSS/BLUE SHIELD


1956

SB971

Hawaii Medical Service Association (HMSA)

HI

BLUE CROSS/BLUE SHIELD

Payer requires provider level testing.

1957

SB800

HealthNow - BCBS Northeastern NY

NY

BLUE CROSS/BLUE SHIELD


1958

SB801

HealthNow - Blue Cross Blue Shield of Western NY

NY

BLUE CROSS/BLUE SHIELD


1959

SB865

Highmark Blue Cross & Blue Shield of Pennsylvania

PA

BLUE CROSS/BLUE SHIELD


1960

95462

Highmark Senior Health

PA

BLUE CROSS/BLUE SHIELD


1961

95461

Highmark Senior Solutions

WV

BLUE CROSS/BLUE SHIELD


1962

22099

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

NY

BLUE CROSS/BLUE SHIELD


1963

22099

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

NJ

BLUE CROSS/BLUE SHIELD


1964

22099

Horizon Healthcare of NY

NJ

BLUE CROSS/BLUE SHIELD

Participating Payer - see last page for definition.

1965

22099

Horizon Healthcare of NY

NY

BLUE CROSS/BLUE SHIELD

Participating Payer - see last page for definition.

1966

SX083

IBC Personal Choice

PA

BLUE CROSS/BLUE SHIELD


1967

TA720

Independence Administrators


BLUE CROSS/BLUE SHIELD


1968

SX079

Inter-County Health Plan

PA

BLUE CROSS/BLUE SHIELD


1969

SX055

Keystone Health Plan East

PA

BLUE CROSS/BLUE SHIELD


1970

SX056

Keystone Health Plan West

PA

BLUE CROSS/BLUE SHIELD


1971

SX263

Medicare Blue


BLUE CROSS/BLUE SHIELD


1972

SX262

Medicare Blue Private


BLUE CROSS/BLUE SHIELD


1973

SB941

Mountain State Blue Cross and Blue Shield

WV

BLUE CROSS/BLUE SHIELD


1974

SB850

Regence Blue Cross Blue Shield of Oregon

OR

BLUE CROSS/BLUE SHIELD


1975

SB910

Regence Blue Cross Blue Shield of Utah

UT

BLUE CROSS/BLUE SHIELD


1976

SB611

Regence Blue Shield of Idaho

ID

BLUE CROSS/BLUE SHIELD


1977

SB931

Regence Blue Shield of Washington

WA

BLUE CROSS/BLUE SHIELD


1978

SB900

Texas Health Insurance Risk Pool

TX

BLUE CROSS/BLUE SHIELD


1979

SB924

Trigon Blue Cross and Blue Shield (Virginia)

VA

BLUE CROSS/BLUE SHIELD


1980

SB980

Triple-S Inc.


BLUE CROSS/BLUE SHIELD

Payer requires enrollment via forms or by calling 1-787-479-4067.

1981

SB930

WA - Premera Blue Cross

AK

BLUE CROSS/BLUE SHIELD


1982

SB930

WA - Premera Blue Cross

WA

BLUE CROSS/BLUE SHIELD


1983

SB803

WellChoice of NJ

NY

BLUE CROSS/BLUE SHIELD


1984

SB645

Wellmark BCBS - Medicare COB


BLUE CROSS/BLUE SHIELD

Use payer id when Medicare has processed as Primary

1985

SB640

Wellmark Blue Cross and Blue Shield of Iowa (IASD)

IA

BLUE CROSS/BLUE SHIELD


1986

26337

Aetna - IL Medicaid


MEDICAID


1987

23228

Aetna Better Health - PA Medicaid


MEDICAID


1988

128LA

Aetna Better Health of Louisiana


MEDICAID


1989

46320

Aetna Better Health of New Jersey


MEDICAID


1990

50023

Aetna Better Health of Ohio


MEDICAID


1991

38692

Aetna TX Medicaid & CHIP


MEDICAID


1992

SKAL0

Alabama Medicaid

AL

MEDICAID


1993

SKAK0

Alaska Medicaid

AK

MEDICAID


1994

SKAZ0

Arizona Medicaid

AZ

MEDICAID


1995

SKAR0

Arkansas Medicaid

AR

MEDICAID


1996

66001

BCBSTX Medicaid STAR / CHIP


MEDICAID


1997

66001

BCBSTX Medicaid STAR Kids


MEDICAID


1998

66901

Banner- University Family Care (University of Arizona Health Plans)


MEDICAID


1999

20488

Better Health Plan of Florida


MEDICAID

Please note for claims rejections please contact Better Health of Florida at 1-800-514-4561 and select the provider services option.

2000

403

Blue Choice Medicaid Managed Care


MEDICAID


2001

44911

BlueCross BlueShield of Western New York Medicaid/CHP


MEDICAID


2002

54823

CalCare IPA


MEDICAID


2003

SKCA0

California Medicaid - Medi-Cal

CA

MEDICAID

Additional Enrollment Requirement for Providers in LA County. Please call (916) 636-1000 and ask for LA County Unit.

2004

65063

Care Access PSN


MEDICAID


2005

SX169

Central California Alliance for Health

CA

MEDICAID

Alliance EDI Support Unit - 831-430-5510

2006

45210

Christus Texas Medicaid


MEDICAID


2007

SKCO0

Colorado Medicaid

CO

MEDICAID


2008

86600

Comprehensive Medical and Dental Program


MEDICAID


2009

SKCT0

Connecticut Medicaid

CT

MEDICAID


2010

SKDE0

Delaware Medicaid

DE

MEDICAID


2011

SKDC0

District of Columbia Medicaid

MD

MEDICAID


2012

SKDC0

District of Columbia Medicaid

DC

MEDICAID


2013

12956

EMPOWER Arkansas


MEDICAID


2014

8044

East Pointe Behavioral Health


MEDICAID


2015

54823

First Choice Medical Group (FCMG)


MEDICAID


2016

SKFL0

Florida Medicaid

FL

MEDICAID


2017

SKGA0

Georgia Medicaid

GA

MEDICAID

Providers must delegate Emdeon to receive payer reports by selecting the Trade Files Download option on the payer's web portal.

2018

SKHI0

Hawaii Medicaid

HI

MEDICAID


2019

SKMA2

Health Safety Network - MASS. Health Medicaid

MA

MEDICAID

Payer ID only for Professional HSN (Health Safety Network) claims only

2020

77120

Health Share of Oregon CCO-Mental Health


MEDICAID


2021

58532

Healthy Blue Louisiana


MEDICAID


2022

SKID0

Idaho Medicaid

ID

MEDICAID


2023

SKIL0

Illinois Medicaid

IL

MEDICAID


2024

SKIN0

Indiana Medicaid

IN

MEDICAID


2025

23229

Integral Quality Care


MEDICAID


2026

SKIA0

Iowa Medicaid

IA

MEDICAID


2027

IPAK1

Kane county Harmony Medicaid


MEDICAID


2028

SKKS0

Kansas Medicaid

KS

MEDICAID


2029

SKKY0

Kentucky Medicaid

KY

MEDICAID

Unysis is fiscal agent until 11/30/05.  After 12/1/05 fiscl agent will be EDS.

2030

61325

Kentucky Passport


MEDICAID

Prior to 10.1.17 date of service submit to payer ID 61129.  Starting with 10.1.17 dates of service submit to the new payer ID 61325.

2031

SKLA5

LA Medicaid (MED ADV)


MEDICAID

Medicaid claims filed with this PAYER ID are only for Medicaid recipients that have coverage with a Medicare Advantage Plan as Primary and Medicaid as Secondary. Do not use for traditional Medicare claims

2032

31828

Lighthouse Health Plan


MEDICAID


2033

54823

Los Angeles Medical Center (LAMC)


MEDICAID


2034

SKLA0

Louisiana Medicaid

LA

MEDICAID


2035

SKLA2

Louisiana Medicaid - Ambulance claims

LA

MEDICAID

Payer Enrollment required utilize form for SKLA0 to complete enrollment for SKLA2 and SKLA3

2036

SKLA1

Louisiana Medicaid - DME Claims


MEDICAID

Payer Enrollment required utilize form for SKLA0 to complete enrollment for SKLA1

2037

SKLA3

Louisiana Medicaid - KidMed Claims

LA

MEDICAID

Payer Enrollment required utilize form for SKLA0 to complete enrollment for SKLA2 and SKLA3

2038

SKLA4

Louisiana Medicaid - Rehab

LA

MEDICAID


2039

26161

MRIPA AllCare CCO


MEDICAID

MRIPA AllCare CCO - Medicaid Claims Submission

2040

MCC01

Magellan Complete Care


MEDICAID


2041

SKME0

Maine Medicaid

ME

MEDICAID


2042

SKMD0

Maryland Medicaid

MD

MEDICAID


2043

SX069

Maryland Public Mental Health

MD

MEDICAID


2044

SKMA0

Massachusetts Medicaid

MA

MEDICAID

Providers must email (hipaasupport@mahealth.net) or fax (617-988-8971) a letter stating they would like to submit claims to payer via Emdeon/WebMD. They must include their provider ID and Emdeon's Trading Partner # of 110076362A

2045

SKCA1

Medi-Cal (Vision)

CA

MEDICAID


2046

SKNYT

Medicaid New York (eMedNY Test System)


MEDICAID

NY Medicaid offers a provider test enviroment as a platform to enable providers to test claims using the same validation and adjudication methods as the NY Medicaid production enviroment.

2047

82832

Miami Children's Health Plan


MEDICAID


2048

SKMI0

Michigan Medicaid

MI

MEDICAID


2049

SKMI1

Michigan Medicaid - Add Michigan Medicaid - BCCP as Alias


MEDICAID


2050

SKMN0

Minnesota Medicaid

MN

MEDICAID


2051

SKMS0

Mississippi Medicaid

MS

MEDICAID


2052

SKMO0

Missouri Medicaid

MO

MEDICAID


2053

SKMT0

Montana Medicaid

MT

MEDICAID


2054

14142

NYS DOH UCP


MEDICAID


2055

SKNE0

Nebraska Medicaid

NE

MEDICAID


2056

SKNV0

Nevada Medicaid - First Health Services Corp

NV

MEDICAID


2057

SKNH0

New Hampshire Medicaid

NH

MEDICAID


2058

SKNJ0

New Jersey Medicaid

NJ

MEDICAID


2059

SKNM0

New Mexico Medicaid

NM

MEDICAID


2060

SKNY0

New York Medicaid

NY

MEDICAID


2061

SKNC0

North Carolina Medicaid

NC

MEDICAID


2062

SKND0

North Dakota Medicaid

ND

MEDICAID


2063

SKOH0

Ohio Medicaid

OH

MEDICAID


2064

SKOK0

Oklahoma Medicaid

OK

MEDICAID


2065

SKOR0

Oregon Medicaid

OR

MEDICAID


2066

26335

PATIENTPAY


MEDICAID


2067

20416

PacificSource Community Solutions


MEDICAID


2068

SX140

Partnership Health of California-CAPHP

CA

MEDICAID

NEW PROVIDERS ONLY: Payer requires EDI enrollment and testing.  Please see the following link for more information: http://www.emdeon.com/resourcepdfs/SX140CLMP.pdf

2069

SKPA0

Pennsylvania Medicaid

PA

MEDICAID


2070

65391

PerformCare - HealthChoices


MEDICAID


2071

SKRI0

Rhode Island Medicaid

RI

MEDICAID


2072

54823

Sequoia Health IPA


MEDICAID


2073

27094

Simply Healthcare


MEDICAID


2074

SKSC0

South Carolina Medicaid

SC

MEDICAID


2075

SKSD0

South Dakota Medicaid

SD

MEDICAID

Secondary claims note: Only accepts Medicare Crossover claims

2076

62179

Steward Health Choice Arizona


MEDICAID


2077

46221

Steward Health Choice Insurance Co


MEDICAID


2078

22100

Steward Health Choice Integrated Care


MEDICAID

The payer id 22100 is valid only for Dates of Service 10/01/2015 and after.  Do not submit claims with Dates of Services prior to 10/1/2015.

2079

45399

Steward Health Choice Utah


MEDICAID


2080

L0230

TRUSTED HEALTH PLAN


MEDICAID


2081

SKTN2

Tennessee Medicaid

TN

MEDICAID


2082

SKTX0

Texas Medicaid

TX

MEDICAID


2083

SKTX1

Texas Medicaid LTC


MEDICAID

Providers must call 800 925 9126 #3  to enroll

2084

77502

Umpqua Health Alliance


MEDICAID


2085

SKVI0

United States Virgin Islands Medicaid


MEDICAID


2086

86050

UnitedHealthcare Community Plan / MO


MEDICAID


2087

45281

University of Maryland Health Partners


MEDICAID


2088

SKUT0

Utah Medicaid

UT

MEDICAID


2089

43307

Value Options/MBHP (MA Behavioral Health Partnership)


MEDICAID


2090

54823

Vantage Medical Group


MEDICAID


2091

SKVT0

Vermont Medicaid

VT

MEDICAID


2092

SKVA0

Virginia Medicaid

VA

MEDICAID


2093

45488

Vivida Health


MEDICAID


2094

SKWA0

Washington Medicaid - Provider One

WA

MEDICAID


2095

SX063

Washington State Dept of  Labor and Industry

WA

MEDICAID


2096

SKWV0

West Virginia Medicaid

WV

MEDICAID


2097

33711

Willamette Valley Community


MEDICAID


2098

SKWI2

Wisconsin Chronic Disease Program (WICDP)


MEDICAID

Any questions about provider enrollment should be directed to the Medicaid WI's provider helpdesk: 800-947-9627.

2099

SKWI0

Wisconsin Medicaid

WI

MEDICAID

Any questions about provider enrollment should be directed to the Medicaid WI's provider helpdesk:  800-947-9627

2100

SKWI1

Wisconsin Well Woman Program (WWWP)


MEDICAID

Any questions about provider enrollment should be directed to the Medicaid WI's provider helpdesk: 800-947-9627

2101

SKWY0

Wyoming Medicaid

WY

MEDICAID


2102

SMAK0

AK Medicare Part B (J2)

AK

MEDICARE


2103

SMAL0

AL MEDICARE B (MAC JJ)

AL

MEDICARE


2104

SMAR0

AR Medicare Part B (J7)

AR

MEDICARE


2105

SMAZ0

AZ Medicare Part B (J3 - Noridian)

AZ

MEDICARE


2106

ARA01

AgeRight Advantage


MEDICARE


2107

82238

Allegian Advantage


MEDICARE


2108

81079

BayCare Select Health Plans Inc


MEDICARE


2109

BTHS1

Brown and Toland Health Services


MEDICARE


2110

SMCA1

CA Medicare Part B North (J1 - PGBA)

CA

MEDICARE


2111

SMCA2

CA Medicare Part B South (J1 - PGBA)

CA

MEDICARE

Includes coverage for Southern CA. Please indicate Southern CA on the WebMD Envoy Set Up Form.

2112

SMCO0

CO Medicare Part B

CO

MEDICARE


2113

52352

COPC Senior Care Advantage


MEDICARE


2114

SMCT0

CT Medicare Part B (J13 - NGS)

CT

MEDICARE


2115

66010

Care N' Care


MEDICARE


2116

16307

CarePartners of Connecticut


MEDICARE

Please contact EDI Operations at EDI_CT_Operations@carepartnersct.com or by calling 888-631-7002  for providers to validate their NPI status

2117

26160

CareSource


MEDICARE

Medicare Advantage Plan Claims

2118

33070

ChiroMetrics Inc


MEDICARE

ChiroMetrics is a commercial payer but also accepts Medicare and Medicaid claims.

2119

66009

Clear Spring Health of Illinois


MEDICARE


2120

SMDC0

DC Medicare Part B (MAC JL)

DC

MEDICARE

Includes coverage for DC and Northern Virginia.

2121

SMDE0

DE Medicare Part B (MAC JL)

DE

MEDICARE


2122

SDMED

DME Region D (DMERC D)

US

MEDICARE


2123

SMFL0

FL Medicare Part B (J9 First Coast)

FL

MEDICARE


2124

43197

Fresenius Health Partners


MEDICARE


2125

SMGA0

GA MEDICARE B (MAC JJ)

GA

MEDICARE


2126

GPSD1

Great Plains Medicare Advantage of South Dakota


MEDICARE


2127

SMHI0

HI Medicare Part B (J1 - PGBA)

HI

MEDICARE


2128

91164

HMSO-Highline Medical Service Organization


MEDICARE


2129

4245

Harvard Community Health Plan

MA

MEDICARE


2130

66003

Hopkins Health Advantage


MEDICARE


2131

SMIA0

IA Medicare Part B (J5 - WPS)

IA

MEDICARE


2132

SMID0

ID Medicare Part B (J2)

ID

MEDICARE


2133

SMIL0

IL Medicare Part B (J6)

IL

MEDICARE


2134

SMIN0

IN Medicare Part B (J8)

IN

MEDICARE


2135

95444

Indiana University Health Plan (Medicare)

IN

MEDICARE


2136

SMKS0

KS Medicare Part B (J5 - WPS)

KS

MEDICARE


2137

SMKY0

KY MEDICARE B (MAC J15) CGS

KY

MEDICARE


2138

SMLA0

LA Medicare Part B (J7)

LA

MEDICARE


2139

LWA01

LifeWorks Advantage


MEDICARE


2140

SMMA0

MA Medicare Part B (JK - NGS)

MA

MEDICARE


2141

SMMD0

MD Medicare Part B (MAC JL)

MD

MEDICARE


2142

SMME0

ME Medicare Part B (JK - NGS)

ME

MEDICARE


2143

SMMI0

MI Medicare Part B (J8)

MI

MEDICARE


2144

SMMN0

MN Medicare Part B (J6)

MN

MEDICARE


2145

SMMO0

MO Medicare Part B East (J5 - WPS)

MO

MEDICARE


2146

SMMS0

MS Medicare Part B (J7)

MS

MEDICARE


2147

SMMT0

MT Medicare Part B (J3 - Noridian)

MT

MEDICARE


2148

SDMEA

Medicare DME Jurisdiction A - Noridian

US

MEDICARE


2149

SDMEB

Medicare DME Jurisdiction B - CGS

US

MEDICARE


2150

SDMEC

Medicare DME Jurisdiction C - CGS

US

MEDICARE


2151

SX170

Medicare Plus Blue

MI

MEDICARE

Provider enrolls at https://editest.bcbsm.com/tpaLogon.html OR by calling 248-486-2292 opt 1. Emdeon PSF required.

2152

26080

Memorial Care Medical Foundation


MEDICARE


2153

MMS01

Missouri Medicare Select


MEDICARE


2154

82275

Mutual of Omaha Medicare Advantage


MEDICARE


2155

SMNC0

NC Medicare Part B (J11)

NC

MEDICARE


2156

SMND0

ND Medicare Part B (J3 - Noridian)

ND

MEDICARE


2157

SMNE0

NE Medicare Part B (J5 - WPS)

NE

MEDICARE


2158

SMNH0

NH Medicare Part B (JK - NGS)

NH

MEDICARE


2159

NHC01

NHC Advantage


MEDICARE


2160

SMNJ0

NJ Medicare Part B (MAC JL)

NJ

MEDICARE


2161

SMNM0

NM Medicare Part B J4

NM

MEDICARE


2162

SMNV0

NV Medicare Part B (J1 - PGBA)

NV

MEDICARE


2163

SMNY0

NY Medicare Part B Downstate (J13 - NGS)

NY

MEDICARE


2164

SMNY2

NY Medicare Part B Queens (J13 - NGS)

NY

MEDICARE


2165

SMNY1

NY Medicare Part B Upstate (J13 - NGS)

NY

MEDICARE


2166

SMOH0

OH MEDICARE B (MAC J15) CGS

OH

MEDICARE


2167

SMOK0

OK Medicare Part B

OK

MEDICARE


2168

SMOR0

OR Medicare Part B (J2 - Noridian)

OR

MEDICARE


2169

SMPA0

PA Medicare Part B (MAC JL)

PA

MEDICARE


2170

SMPR0

PR Medicare Part B (J9 - First Coast)


MEDICARE

Payer approval required prior to submitting claims.

2171

20377

PacificSource Medicare


MEDICARE


2172

52352

Paradigm Senior Care Advantage


MEDICARE


2173

66008

Passport Advantage


MEDICARE


2174

46311

Presence ERC


MEDICARE


2175

93082

Prominence Health Plan of Nevada


MEDICARE


2176

80095

Prominence Health Plan of Texas


MEDICARE


2177

PH001

Pruitt Health Premier


MEDICARE


2178

SMRI0

RI Medicare Part B (JK - NGS)

RI

MEDICARE


2179

SRRGA

Railroad Medicare (PGBA)

US

MEDICARE

RailRoad Medicare requires EDI registration available online.

2180

SMSC0

SC Medicare Part B (J11)

SC

MEDICARE


2181

SMSD0

SD Medicare Part B (J3 - Noridian)

SD

MEDICARE


2182

45552

Satellite Health Plan Inc.


MEDICARE

Satellite Health Plan is a MA ESRD C-SNP effective 1/1/14.  First time submitters please fax a W9 to 650-625-6083.

2183

46187

Seaside Health Plan


MEDICARE


2184

SA002

Signature Advantage


MEDICARE


2185

62180

Steward Health Choice Generations


MEDICARE


2186

13054

Steward Health Choice Generations Utah


MEDICARE


2187

56621

Sutter Senior Care


MEDICARE


2188

SMTN0

TN MEDICARE B (MAC JJ)

TN

MEDICARE


2189

SMTX0

TX Medicare Part B and Indian Health Services J4

TX

MEDICARE


2190

88008

UFCW Local 880 Medicare


MEDICARE


2191

SMUT0

UT Medicare Part B (J3 - Noridian)

UT

MEDICARE


2192

45282

University of Maryland Health Advantage


MEDICARE


2193

SMVA0

VA Medicare Part B (J11)

VA

MEDICARE

Includes coverage for All Regions (except Northern Virginia).

2194

SMVI0

VI Medicare Part B (J9 - First Coast)


MEDICARE

Payer approval required prior to submitting claims.

2195

SMVT0

VT Medicare Part B (JK - NGS)

VT

MEDICARE


2196

SMWA0

WA Medicare Part B (J2 - Noridian)

WA

MEDICARE


2197

SMWI0

WI Medicare Part B (J6)

WI

MEDICARE


2198

SMWV0

WV Medicare Part B (J11)


MEDICARE

Enrollment is required and forms and can be located at www.emdeon.com

2199

SMWY0

WY Medicare Part B (J3 - Noridian)

WY

MEDICARE


2200

WVS01

West Virginia Senior Advantage


MEDICARE


2201

68299

Tricare East


CHAMPUS


2202

SCWI0

Tricare West

US

CHAMPUS

Processed by PGBA

2203

J1056

''Nova Pro Risk Solutions (San Diego)


WORKERS COMPENSATION

Payer id is for Workers Comp claims for all states. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2204

13978

'Hortica Florist Mutual Insurance

NM

WORKERS COMPENSATION

Payer id is for Workers Comp TX MN claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2205

13978

'Hortica Florist Mutual Insurance

CA

WORKERS COMPENSATION

Payer id is for Workers Comp TX MN claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2206

13978

'Hortica Florist Mutual Insurance

NC

WORKERS COMPENSATION

Payer id is for Workers Comp TX MN claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2207

13978

'Hortica Florist Mutual Insurance

LA

WORKERS COMPENSATION

Payer id is for Workers Comp TX MN claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2208

13978

'Hortica Florist Mutual Insurance

MN

WORKERS COMPENSATION

Payer id is for Workers Comp TX MN claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2209

13978

'Hortica Florist Mutual Insurance

TX

WORKERS COMPENSATION

Payer id is for Workers Comp TX MN claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2210

13978

'Hortica Florist Mutual Insurance

OR

WORKERS COMPENSATION

Payer id is for Workers Comp TX MN claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2211

J1585

1st Auto and Casualty


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for states: MN. The above Payer Name(s) may represent multiple Accounts (employers).

2212

41556

22125 Roscoe Corp


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2213

J1976

A.W.Holdings LLC dba Benchmark


AUTOMOBILE MEDICAL

Payer ID is for Automobile claims for the specified states only. CT FL GA IN MD MI MO NJ NM TN VA

2214

11983

AAA Minnesota / Iowa

MN

AUTOMOBILE MEDICAL

Payer id is for Automobile Medical claims for all states.

2215

41556

AAA Northern California Nevada & Utah Insurance Exchange


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2216

41556

ABC Const. Company


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2217

J1578

ACIG Insurance Company


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for states: TX MN The above Payer Name(s) may represent multiple Accounts (employers).

2218

J2286

ACWA JPI


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2219

J1667

AD-COMP


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2220

41556

AG Facilities Operations LLC


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2221

19402

AIG-Chartis


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2222

J1550

AMCO Ins Co


WORKERS COMPENSATION

The Payer ID is for Workers Comp claims for states: TX MN CA & LA only.The above Payer Name(s) may represent multiple Accounts (employers).

2223

41556

ANACO


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2224

41556

ANAIC Cibus


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2225

41556

AVIR Inc


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2226

J1204

Abilene ISD Run-Off

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only.  You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for conta

2227

J1121

Abilene ISD Self-Insured


WORKERS COMPENSATION

Payer id is for Workers Comp TX claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded). Please visit www.transact.emdeon.com for info.

2228

J1204

Abilene Independent School District

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only.  You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for conta

2229

J1790

Accident Fund insurance Co of America


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2230

J1024

Accuride Corporation

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for TX and MN states.

2231

J1024

Accuride Corporation

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for TX and MN states.

2232

41556

Ace Property & Casualty Ins Co


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2233

J2285

Ace USA


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2234

J2226

Ace USA (Rocklin Office)


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2235

J1240

Acuity A Mutual Insurance Company


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2236

J1798

Adelanto Correctional Facility (CA)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2237

J1241

Administaff

NC

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the following states only

2238

J1241

Administaff

LA

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the following states only

2239

J1241

Administaff

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the following states only

2240

J1241

Administaff

CA

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the following states only

2241

J1241

Administaff

OR

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the following states only

2242

J1241

Administaff

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the following states only

2243

J2292

Adminsure


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2244

J2144

Admiral Linen & Uniform Service


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2245

J1843

Advance America Cash Advance Centers


WORKERS COMPENSATION

The Payer Id is for Workers Compensation Claims only for All States. The above Payer Name(s) may represent multiple accounts (employers).

2246

J1608

Advance Services Inc.


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2247

J1896

Advocare MCO Inc


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2248

J1977

Affiliated Foods Inc.


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Automobile Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2249

41556

Agri Beef Co.


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2250

J1204

Alamo Heights I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2251

J1577

Alaska National Insurance


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2252

J2376

Albertsons Inc.


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for CA State. The above Payer Name(s) may represent multiple Accounts (employers).

2253

J1244

Alcoa Fasteners Systems


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2254

J1204

Aledo I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only.  You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for conta

2255

J1740

Allen Canning


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2256

J2341

Allergan W.C. Holding Inc.


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2257

J1619

Alliant Energy


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for states: TX MN The above Payer Name(s) may represent multiple Accounts (employers).

2258

J1452

Allianz


WORKERS COMPENSATION

Payer ID is for Workers Comp claims for all states.

2259

J2332

Allianz Global Corporate & Specialty (AGCS)


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2260

J2326

Allianz Resolution Management (ARM)


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2261

J1733

Allied Claims Administration Inc.


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2262

J1550

Allied Property and Casualty Ins Co


WORKERS COMPENSATION

The Payer ID is for Workers Comp claims for states: TX MN CA & LA only.The above Payer Name(s) may represent multiple Accounts (employers).

2263

J1589

Allmerica Financial Benefits Insurance Company


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for all states. The above Payer Name(s) may represent multiple Accounts (employers).

2264

C1037

Allstate - Except New Jersey


AUTOMOBILE MEDICAL

Payer ID is for Automobile Medical claims for all states except New Jersey.

2265

41556

Alta Healthcare


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2266

J2149

Alternative Service Concepts (ASC)


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2267

J1025

Alvey Systems (AON Risk)

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2268

J1025

Alvey Systems (AON Risk)

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2269

J1453

AmGuard Insurance Company - Guard DBA


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php. Search the Payer List using the above Payer ID(s) to identify the

2270

J1427

America First


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2271

J2000

American Airlines


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for states: TX MN CA IL LA OR NC The above Payer Name(s) may represent multiple Accounts (employers)

2272

J1236

American Claims Management (ACM)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2273

J1026

American Coin Merchandising Inc

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2274

J1026

American Coin Merchandising Inc

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2275

J1027

American Cyanamid

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2276

J1027

American Cyanamid

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2277

C1055

American Family Mutual Insurance Company


AUTOMOBILE MEDICAL


2278

J2134

American Family Mutual Insurance Company


WORKERS COMPENSATION


2279

41556

American Furniture Warehouse


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2280

J1250

American Home Craft


WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for all states.

2281

41556

American Liberty Insurance Company


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2282

J1524

American Mining Insurance Group LLC


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2283

J2295

American National


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for  MN States only. The above Payer Name(s) may represent multiple Accounts (employers).

2284

J1028

American Specialty Companies

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2285

J1028

American Specialty Companies

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2286

J1029

American Specialty Ins. / MIB

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2287

J1029

American Specialty Ins. / MIB

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2288

C1004

Ameriprise Auto & Home Ins.


AUTOMOBILE MEDICAL

Payer id is for Automobile Medical MN claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded). Please visit www.transact.emdeon.com for info.

2289

12504

Ameriprise Auto & Home Insurance

MN

AUTOMOBILE MEDICAL

Payer ID is for Automobile Medical claims for the specified states only.

2290

J1447

Amerisafe Risk Services


WORKERS COMPENSATION


2291

J1206

Amerisure Insurance

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2292

J1206

Amerisure Insurance

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2293

J1205

Amerisure Mutual Insurance


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php

2294

12287

Amica Mutual Insurance Company

MN

AUTOMOBILE MEDICAL

Payer ID is for Automobile Medical claims for the specified states only.

2295

J1868

Amtrust North America


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the following states TX MN CA IL LA OR and NC.

2296

J1919

Anchor Claims Management


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2297

J2136

Anchor Glass Container Corporation


WORKERS COMPENSATION

Payer id is for Workers Comp claims for all states. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded).

2298

J1620

Anheuser Busch


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2299

41556

Antelope Valley Ret.


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2300

J1775

Applied Underwriters


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States EXCEPT AZ. The above Payer Name(s) may represent multiple Accounts (employers).

2301

J1502

Aramark


WORKERS COMPENSATION

The Payer ID is for Workers Comp claims only. The above Payer Name(s) may represent multiple Accounts (employers).

2302

J1477

Arcadia Insurance Company


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2303

J1735

Archer Daniels Midland Company


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2304

J2344

Ardagh Group


AUTOMOBILE MEDICAL

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2305

J1944

Areas USA Inc


WORKERS COMPENSATION


2306

J1420

Argent (Subsidiary of West Bend)


WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for all states. Payer ID is for Argent ONLY.

2307

19801

Argonaut Insurance Company (ARGO)

OR

WORKERS COMPENSATION

Payer ID is for Workers Comp claims for the specified states only.

2308

19801

Argonaut Insurance Company (ARGO)

TX

WORKERS COMPENSATION

Payer ID is for Workers Comp claims for the specified states only.

2309

19801

Argonaut Insurance Company (ARGO)

CA

WORKERS COMPENSATION

Payer ID is for Workers Comp claims for the specified states only.

2310

19801

Argonaut Insurance Company (ARGO)

LA

WORKERS COMPENSATION

Payer ID is for Workers Comp claims for the specified states only.

2311

19801

Argonaut Insurance Company (ARGO)

MN

WORKERS COMPENSATION

Payer ID is for Workers Comp claims for the specified states only.

2312

41556

Arizona & 21st Corp. DBA Berkley East Conv. Hospital


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2313

J2142

Arkansas Best


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2314

J2245

Armour Risk


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2315

J1564

Arrowpoint


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2316

J2268

Associated Industries Of Massachusetts


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2317

J1254

Association Casualty Insurance Company


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php

2318

J1869

Association County Commissioners of Georgia (ACCG)


WORKERS COMPENSATION

This Payer Id is for Workers Compensation Claims only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2319

J2230

Association Of Ca Water Agencies JPA


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2320

J2150

Assurance Resources Inc.


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2321

J1914

Athens


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2322

J2249

Athens - Bal Seal Engineering


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2323

J2240

Athens - Bridgepoint Educational


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2324

J2218

Athens - Community Hospital Of Monterey Peninsula


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2325

J2241

Athens - Diocese Of San Jose


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2326

J2242

Athens - Episcopal Senior Communities


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2327

J2250

Athens - Gar Laboratories Inc


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2328

J2256

Athens - Hiig-Ca Imperium


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2329

J2247

Athens - Imperium Insurance Company


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2330

J2251

Athens - NAHCI And Clients


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2331

J2253

Athens - Palomar Health


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2332

J2335

Athens H&S Venture


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2333

J2009

Atlantic American Independent Insurance


AUTOMOBILE MEDICAL

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2334

J2005

Atlantic PPO to 21st Century Insurance


AUTOMOBILE MEDICAL

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2335

J2006

Atlantic PPO to AAA Mid


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2336

J2007

Atlantic PPO to Allstate Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2337

J2008

Atlantic PPO to American Commerce Insurance


AUTOMOBILE MEDICAL

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2338

J2010

Atlantic PPO to Ameriprise


AUTOMOBILE MEDICAL

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2339

J2011

Atlantic PPO to Amica Insurance


AUTOMOBILE MEDICAL

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2340

J2014

Atlantic PPO to AutoOne Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2341

J2015

Atlantic PPO to BMI Benefits LLC


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2342

J2016

Atlantic PPO to Bristol West Insurance Group


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2343

J2017

Atlantic PPO to Bunch CareSolutions


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2344

J2018

Atlantic PPO to Citizens United Reciprocal Exch. (NJCURE)


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2345

J2019

Atlantic PPO to Clarendon Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2346

J2020

Atlantic PPO to Concord Group


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2347

J2021

Atlantic PPO to County Way/Agway


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2348

J2023

Atlantic PPO to Electric Insurance Company


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2349

J2024

Atlantic PPO to Encompass Property Casualty


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2350

J2025

Atlantic PPO to Esurance Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2351

J2026

Atlantic PPO to Farm Family Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2352

J2027

Atlantic PPO to Farmers National Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2353

J2028

Atlantic PPO to Fireman's Fund/Parkway Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2354

J2022

Atlantic PPO to Flco Administrative Services


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2355

J2029

Atlantic PPO to Foremost Insurance Group


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2356

J2030

Atlantic PPO to GEICO


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2357

J2031

Atlantic PPO to Hanover Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2358

J2032

Atlantic PPO to Harford Mutual Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2359

J2033

Atlantic PPO to Harleysville Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2360

J2034

Atlantic PPO to Hartford Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2361

J2035

Atlantic PPO to Hartford Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2362

J2036

Atlantic PPO to Highpoint Insurance/Plymouth Rock


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2363

J2037

Atlantic PPO to Hortica Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2364

J2038

Atlantic PPO to IDS Property Casualty


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2365

J2039

Atlantic PPO to IFA Insurance Company


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2366

J2040

Atlantic PPO to Infinity Insurance Company


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2367

J2041

Atlantic PPO to Kemper Services Group


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2368

J2042

Atlantic PPO to Lancer Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2369

J2043

Atlantic PPO to Liberty Mutual Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2370

J2044

Atlantic PPO to Mapfre


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2371

J2045

Atlantic PPO to Merchants Mutual


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2372

J2046

Atlantic PPO to Merchants Mutual WC


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2373

J2047

Atlantic PPO to Mercury Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2374

J2048

Atlantic PPO to MetLife


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2375

J2054

Atlantic PPO to NJ-PLIGA


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2376

J2055

Atlantic PPO to NY City Transit


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2377

J2056

Atlantic PPO to NYC Dept. of Sanitation


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2378

J2057

Atlantic PPO to NYSIF


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2379

J2050

Atlantic PPO to National Liability & Fire Insurance Co


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2380

J2051

Atlantic PPO to Nationwide


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2381

J2052

Atlantic PPO to New Jersey Skylands


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2382

J2053

Atlantic PPO to New York City Law Department


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2383

J2058

Atlantic PPO to Ohio Casualty Group


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2384

J2059

Atlantic PPO to Palisades Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2385

J2060

Atlantic PPO to Peerless Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2386

J2061

Atlantic PPO to Personal Service Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2387

J2062

Atlantic PPO to Plymouth Rock


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2388

J2063

Atlantic PPO to Praetorian Insurance Company


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2389

J2064

Atlantic PPO to Preserver Insurance Company


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2390

J2065

Atlantic PPO to Progressive Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers). The below payer ids are ONLY to be used by contracted providers with Atlantic Imaging Group PPO.

2391

J2066

Atlantic PPO to Pure


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2392

J2067

Atlantic PPO to QBE Insurance


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2393

J2068

Atlantic PPO to Rider Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2394

J2069

Atlantic PPO to Safeco Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2395

J2070

Atlantic PPO to Sedgwick Auto Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2396

J2071

Atlantic PPO to Sedgwick WC Insurance


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2397

J2072

Atlantic PPO to Selective Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2398

J2073

Atlantic PPO to Sentry Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2399

J2074

Atlantic PPO to Sentry Insurance


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2400

J2075

Atlantic PPO to State Farm Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2401

J2076

Atlantic PPO to Teachers Insurance Plan of NJ


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2402

J2077

Atlantic PPO to Tower National/Tower Group Companies


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2403

J2078

Atlantic PPO to Travelers


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2404

J2079

Atlantic PPO to Travelers


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2405

J2080

Atlantic PPO to Twin Lights


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2406

J2081

Atlantic PPO to U.S. Department of Labor


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2407

J2083

Atlantic PPO to US DOL NJ Claims


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2408

J2084

Atlantic PPO to US DOL NY Claims


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2409

J2085

Atlantic PPO to USAA


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2410

J2082

Atlantic PPO to Universal Underwriters Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2411

J2086

Atlantic PPO to Utica National Insurance


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2412

J1682

Austin Mutual Ins


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2413

11983

Auto Club Group Insurance Company

MN

AUTOMOBILE MEDICAL

Payer id is for Automobile Medical claims for all states.

2414

11983

Auto Club Insurance (ACIA)

MN

AUTOMOBILE MEDICAL

Payer id is for Automobile Medical claims for all states.

2415

11983

Auto Club Insurance Association

MN

AUTOMOBILE MEDICAL

Payer id is for Automobile Medical claims for all states.

2416

11983

Auto Club Property-Casualty Insurance Company

MN

AUTOMOBILE MEDICAL

Payer id is for Automobile Medical claims for all states.

2417

J1580

Auto-Owners (Home-Owners Insurance Company)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2418

J1583

Auto-Owners (Owners Insurance Company)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2419

J1699

Auto-Owners (Property-Owners Insurance Co)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2420

J1688

Auto-Owners (Southern-Owners Company)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2421

J1556

Auto-Owners Insurance Company


WORKERS COMPENSATION

The Payer ID is for Auto and Workers Comp for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2422

J1596

Auto-Owners Life Insurance Company


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2423

J1861

Automobile Dealers Insurance Company Inc


WORKERS COMPENSATION

This Payer Id is for Workers Compensation Claims only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2424

J1415

Avizent


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2425

J1018

Ayers Trucking

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2426

J1018

Ayers Trucking

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2427

J1018

Ayers Trucking

CA

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2428

J2349

BI Mart


AUTOMOBILE MEDICAL

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2429

J1258

BMW Manufacturing Corp.


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2430

J1259

BMW North America


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2431

41556

Baker Tanks Inc.


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2432

J1729

Bank of America


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2433

J2334

Bardavon Health Innovations


AUTOMOBILE MEDICAL

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2434

J1503

Barnes


WORKERS COMPENSATION

The Payer ID is for Workers Comp claims only. The above Payer Name(s) may represent multiple Accounts (employers).

2435

J1686

Barrett Business Services Inc (BBSI)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2436

J1770

Bart - San Francisco Bay Area Rapid Transit


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for all states. The above Payer Name(s) may represent multiple Accounts (employers).

2437

41556

Basic Resources Inc.


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2438

J1958

Bass Pro Group LLC


WORKERS COMPENSATION


2439

J1978

Bay District Schools (Fl)


AUTOMOBILE MEDICAL

Payer ID is for Automobile claims for all states.

2440

J1995

Bb and T Corporation (Branch Banking & Trust)


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Automobile Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2441

J1234

Beacon Mutual


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2442

J1030

Beall's Inc / Midwest Employers

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2443

J1030

Beall's Inc / Midwest Employers

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2444

41556

Beeville ISD


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2445

J1204

Bellville I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2446

J1204

Benavides I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2447

J2203

Berkeley Unified School District


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2448

J1523

Berkley Net Underwriters LLC


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2449

J1526

Berkley Risk Administrators Company LLC


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2450

J2145

Berkley Southeast Insurance Group (BSIG)


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Auto Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2451

TP019

Berkley Specialty Underwriters


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at

2452

41556

Berkley Valley Conv Hospital


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2453

J1975

Berkshire Hathaway Direct Insurance Company


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2454

20044

Berkshire Hathaway Homestate Companies (BHHC)

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the specified states only TX MN CA LA OR NC and NM.

2455

20044

Berkshire Hathaway Homestate Companies (BHHC)

OR

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the specified states only TX MN CA LA OR NC and NM.

2456

20044

Berkshire Hathaway Homestate Companies (BHHC)

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the specified states only TX MN CA LA OR NC and NM.

2457

20044

Berkshire Hathaway Homestate Companies (BHHC)

LA

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the specified states only TX MN CA LA OR NC and NM.

2458

20044

Berkshire Hathaway Homestate Companies (BHHC)

CA

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for the specified states only TX MN CA LA OR NC and NM.

2459

41556

Bernardo H. Co. Club


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2460

J1031

Berwind Corporation

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2461

J1031

Berwind Corporation

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2462

41556

Beverly Hills Carmel


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2463

J1738

Big 5 Corp


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2464

J1204

Big Spring I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2465

J2262

Big Spring ISD


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2466

41556

Bighorn Construction


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2467

J1204

Birdville Independendent School District

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only.  You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for conta

2468

J1691

Bituminous Fire and Marine


WORKERS COMPENSATION


2469

J1579

Bituminous Insurance Company


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2470

J1347

Bloomingdale's


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states except

2471

41556

Bobrick Washroom


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2472

C1054

Boeing Company


AUTOMOBILE MEDICAL


2473

J1964

Boeing Company


WORKERS COMPENSATION


2474

J1801

Boise Cascade Company


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2475

J1870

Boler Company


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for states: TX CA IL and NC. The above Payer Name(s) may represent multiple Accounts (employers).

2476

41556

Boulder Community Hospital


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2477

J1204

Brackett I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only.  You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for conta

2478

J1204

Brady I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2479

J1204

Breckenridge ISD

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only.  You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for conta

2480

41556

Bremco Construction


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2481

J1761

Brickstreet


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2482

J1437

Bridgefield Casualty


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2483

J1437

Bridgefield Casualty Insurance Company


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2484

J1437

Bridgefield Employers


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2485

J1764

Bristol West


WORKERS COMPENSATION

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2486

C1056

Broadspire


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2487

TP021

Broadspire


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2488

J1204

Brooks County I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2489

J2222

Brookshire Grocery Company


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2490

J1445

Brotherhood Mutual Insurance

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for the specified states only: TX MN CA LA OR NC NM.

2491

J1445

Brotherhood Mutual Insurance

NC

WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for the specified states only: TX MN CA LA OR NC NM.

2492

J1445

Brotherhood Mutual Insurance

OR

WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for the specified states only: TX MN CA LA OR NC NM.

2493

J1445

Brotherhood Mutual Insurance

NM

WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for the specified states only: TX MN CA LA OR NC NM.

2494

J1445

Brotherhood Mutual Insurance

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for the specified states only: TX MN CA LA OR NC NM.

2495

J1445

Brotherhood Mutual Insurance

CA

WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for the specified states only: TX MN CA LA OR NC NM.

2496

J1445

Brotherhood Mutual Insurance

LA

WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for the specified states only: TX MN CA LA OR NC NM.

2497

J1204

Brownfield I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only.  You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for conta

2498

J1123

Brownfield ISD


WORKERS COMPENSATION

Payer id is for Workers Comp TX claims Only. You and/or your vendor must be contracted for this transaction service (Emdeon Office customers excluded). Please visit www.transact.emdeon.com for info.

2499

41556

Brownsville Independent School District


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2500

11150

Brownyard Group Inc. (Arch Insurance)

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2501

11150

Brownyard Group Inc. (Arch Insurance)

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2502

J1032

Brunswick Corporation

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2503

J1032

Brunswick Corporation

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2504

J1501

Buffets Inc


WORKERS COMPENSATION

The Payer ID is for Workers Comp claims only. The above Payer Name(s) may represent multiple Accounts (employers).

2505

J1391

Builders Group of MN


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple

2506

J1968

Builders Mutual Insurance


WORKERS COMPENSATION


2507

J1435

Bunch and Associates


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at

2508

J1204

Burleson County Alternative School

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2509

J1204

Burleson-Milam Special Svcs Co-Op

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2510

J1033

Burlington Coat Factory Wareho

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2511

J1033

Burlington Coat Factory Wareho

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2512

41556

Burton Way Carmel


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2513

J1437

Business First


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2514

41556

Bycor Gen Contract


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php. Search the Payer List using the above Payer ID(s) to identify the

2515

J2095

C & S Wholesale Grocers


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2516

41556

CAPS-SIG


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2517

J1900

CC-Development Group Inc.


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2518

J1010

CCMSI

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2519

J1010

CCMSI

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2520

J1532

CIGA


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php Search the Payer List using the above Payer ID(s) to identify them

2521

20443

CNA Insurance


WORKERS COMPENSATION

Payer ID is for Workers Comp claims for all states.

2522

C1035

CNA Insurance (AUTO Only)

MN

AUTOMOBILE MEDICAL

Payer ID is for Automobile Medical claims for the specified states only.

2523

J2259

COIT


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2524

41556

CPS Security Solutions


WORKERS COMPENSATION

The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php. Search the Payer List using the above Payer ID(s) to identify the

2525

41556

Cadet Uniform Supply


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2526

J1204

Caldwell I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2527

J1979

Caliber Holdings Corporation


WORKERS COMPENSATION

This Payer ID is for Workers Comp and Automobile Claims  for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2528

J2227

California Agricultural Network Sig


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2529

J1535

California Fair Services Authority


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2530

J2228

California Healthcare Industry Program


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2531

41556

California Water Service Company


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2532

41556

Callahan McCune


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2533

J1819

Cambridge Integrated Services


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2534

41556

Campbell Union School District


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2535

J2224

Can Select Personal


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2536

J2225

Can Summit Logistics


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2537

J1204

Canyon I.S.D.

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2538

J1637

Capistrano Unified School District (CA)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2539

J1809

Capital Insurance Companies


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2540

J1980

Capital Insurance Group Wc


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2541

J1262

Capitol Indemnity


WORKERS COMPENSATION

Payer ID is for Workers Compensation and Automobile Medical claims for all states.

2542

J2258

CareWest


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2543

J1866

Careworks Consultants Inc. (aka Careworks USA and CCI) Ohio Only


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for states: OH. The above Payer Name(s) may represent multiple Accounts (employers).

2544

J1931

Carhartt


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2545

J1204

Carrizo Springs CISD

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2546

J2255

Carrollton Farmers Branch ISD


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2547

J1630

Casitas Municipal Water District (CA)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2548

41556

Catholic Diocese of San Diego


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2549

41556

Catholic Mutual - Preferred Professional Insurance Company


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2550

41556

Catholic Mutual - Virginia Surety Company Inc.


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2551

41556

Cedars-Sinai Health System


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2552

J1034

Cendant Corporation

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2553

J1034

Cendant Corporation

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2554

J1204

Center Point ISD

TX

WORKERS COMPENSATION

This payer id is for Workers Compensation claims in the State of Texas Only. You and/or your vendor must be contracted for the Workers Compensation transaction service (Emdeon Office customers excluded). Please visit http://transact.emdeon.com/ for contac

2555

J1605

Central Contra Costa Transit Authority


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2556

J1035

Central Hockey League

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2557

J1035

Central Hockey League

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2558

J1906

Central Insurance


WORKERS COMPENSATION


2559

J2293

Central Texas Iron Works


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2560

J1646

Chaffey Joint Union H. S. District (CA)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2561

41556

Chandler's P. Verdes


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2562

41556

Chapman Convalescent


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2563

J1036

Charming Shoppes Inc.

TX

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2564

J1036

Charming Shoppes Inc.

MN

WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2565

J1970

Cherokee Insurance


WORKERS COMPENSATION


2566

J1908

Chesapeake Insurance


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2567

J1479

Chesterfield Services Inc.


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims only for all states.

2568

J2315

Chico's Fas Inc


WORKERS COMPENSATION

This Payer ID is for Workers Comp Claims ONLY for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2569

41556

Children's Hospital Colorado


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2570

41556

Children's Hospital of Orange County - First Aid


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2571

C1052

Chubb  (legacy Chubb & Son)


AUTOMOBILE MEDICAL

This Payer ID is for Auto Claims Only for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2572

J1554

Chubb (legacy Chubb & Son) WC


WORKERS COMPENSATION

The Payer ID is for Auto and Workers Comp for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2573

J1561

Chubb Services - Gallagher Bassett acquired claims


WORKERS COMPENSATION

The Payer ID is for Auto and Workers Comp for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2574

41556

Chula Vista Elementary School District


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2575

J1725

Church Mutual Insurance Company (WC ONLY)


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for ALL states. The above Payer Name(s) may represent multiple Accounts (employers).

2576

J1264

Church Mutual Insurance Company - (AUTO ONLY)


AUTOMOBILE MEDICAL

Payer ID is for Automobile Medical claims for all states.

2577

J1266

Church Mutual Insurance Company - (LIAB ONLY)


AUTOMOBILE MEDICAL

Payer ID is for Liability claims for all states.

2578

J1265

Church Mutual Insurance Company - (WC ONLY)


WORKERS COMPENSATION

Payer ID is for Workers Compensation claims for all states.

2579

J1562

Cincinnati Insurance


WORKERS COMPENSATION

The Payer ID is for Auto and Workers Comp only.The above Payer Name(s) may represent multiple Accounts (employers).

2580

J1582

Citizens Insurance Company of America


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for all states. The above Payer Name(s) may represent multiple Accounts (employers).

2581

J1613

Citrus Valley Health Partners


WORKERS COMPENSATION

This Payer ID is for Auto and Workers Comp Claims for All States. The above Payer Name(s) may represent multiple Accounts (employers).

2582

J1945

Citrus World Inc


WORKERS COMPENSATION


2583

A0033

City Of Arlington

CA

WORKERS COMPENSATION