ECP Payer Code List -- Institutional --
Payer Name Code Enrollment Required ERA 5010 Live Additional Info
Maine Community Health Options 45341 Y
FIRST PRIORITY HEALTH 42331
Health Choice Insurance C 46221
Independent Living Systems 45048
MacNeal Health Providers- CHS 36334 Y
Partners Behavioral Health Management 52613 Y Y
Providence of Oregon Health Plan SX133 Y
SANTA CLARA FAMILY HEALTH PLAN 24077
Y Y
Y
Y Y
Y Y
Americas 1st Choice Health Plans of South Carolina, Inc. 20553 Y
Blue Bonnet Administrators 37244 Y
Coordinated Benefit Plan 14829 Y
Custom Benefit Administrators 39170 Y
Johns Hopkins Healthcare (USFHP) 52123 Y Y New submitters should send in their Billing NPI and Rending/Servicing NPI.
Sage Technologies 37105 Y
1199 National Benefit Fund 13162 Y Y Please include Network ID when submitting claims. Call Renaud Dufresne at 646-473-6960 for a list of Network Ids.
21st Century Insurance and Financial Services 51028 Y Claims and ERA's for Minnesota ONLY.
A & I Benefit Plan Administrators 93044 Y
AAG - American Administrative Group 75185 Y
AARP Medicare Complete 87726 Y Y
AARP Supplimental/Secondary 36273 Y Y
ABC Health Plan of New York 48185 Y
Absolute Total Care 68069 Y Y 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.
Access Health Plan A1680
ACCLAIM 64071 Y
ACS Benefit Services 72467 Y Y
ACS Benefits Payer Compass PA331
Activa Benefit Svcs 38254 Y Formerly Amway Corp
Administrative Concepts Inc 22384 Y
AdminOne 37278 Y
Advanced Medical Management AMM01 Y
Advantage Health Solutions 35209 Y
Advantage Preferred Plus 35219 Y
Advantek Benefit Administrators 83077 Y
Advantica Benefits 59374 Y
Advantra Freedom 25133 Y Y
Advocare MCO, Inc J1896 Y
Advocate Health Centers ( IL ) 36320 Y
Advocate Health Partners 65093 Y Requires Payer Sub ID
Aetna - IL Medicaid 26337 Y
Aetna Better Health - PA Medicaid 23228 Y
Aetna Better Health Connecticut Medicaid 23225 Y
Aetna Better Health of Kentucky 128KY Y
Aetna Better Health of Louisiana 128LA
Aetna Better Health of Michigan 128MI Y
Aetna Better Health of Missouri 128MO Y
Aetna Better Health of Nebraska 42130 Y
Aetna Better Health of New Jersey 46320 Y
Aetna Better Health of NY 34734 Y
Aetna Better Health of Ohio 50023 Y
Aetna Better Health of Virginia 128VA Y
Aetna Better Health of West Virginia 128WV Y Must contact provider rep. to complete ERA or EFT enrollment
Aetna Encounters 60055 Y Please contact your Aetna Network Manager for submission requirements
Aetna Health Plans 60054 Y Y
Aetna Senior Supplemental Insurance 62118 Y
Aetna TX Medicaid & CHIP 38692 Y
Affinity Health Plan 13334 Y Y Y
Affinity Medical Group 46594
Affinity Medicare Advantage 13333
Affordable Benefit Admin 95426 Y
AFL-CIO Food & Beverage Dealers 34444 Y
AFTRA Health Fund 13346 Y
AGA 37280 Y
AHPO (Cleveland, OH) 31138 Y
AIG - Workers Comp 19402 Y
Alabama Blue Shield 12B54 Y Y Y
Alabama Medicare ALMCR Y Y Y
Alaska Children's Services Inc. Grp#P68 91136 Y Please include Group #
Alaska Electrical Health & Welfare Fund 92600 Y
Alaska Laborers Construction Industry Trust Grp#F23 91136 Y Please include Group #
Alaska Medicaid AKMCD Y
Alaska Medicaid AKMCD Y Y
Alaska Pipe Trades Local 375 Grp#F24 91136 Y Please include Group #
Alaska United Food & Commercial Workers Health and Welfare T 91136 Y Please include Group #
ALICARE (also known as Amalgamated Life) 13550 Y
Aliera Health Care ALH01
Alignment Healthcare AHCA1
All Savers Insurance Co. 37602 Y
Allegiance Benefit Plan Management, Inc. 81040 Y
Alliance Coal Health Plan 93658
Alliance Healthplans of Wisconsin 88461
Alliance PPO 52148 Y Professional Services 800-342-6141 or 301-294-5083
Alliant Health Plans of Georgia 58234 Y
Allied Administrators (San Francisco, CA) 94177 Y
Allied Benefit Systems 37308 Y Now accepted for the following addresses: 208 LaSalle St, Suite 1300, Chicago IL 60604; PO Box 909786, Chicago IL 60690; PO Box 909799, Chicago IL 60690
Alta Bates Medical Group A0701
ALTIUS (UHIN) - Utah 25133 Y Y
Amalgamated Life (aka ALICARE) 13550 Y
AMCO 62176
AmeraPlan 38219 Y
AmeriBen Solutions 75137 Y
America First - Workers Comp J1427 Y
Americaid Community Care (Maryland) 27517 Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically.
Americaid Community Care (New Jersey) 27516 Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically. Formerly Americaid Inc.
American Administrative Group 75240 Y
American Behavioral 63103 Y
American Benefit Plan Administrators 95170 Y
American Benefits Management (North Canton, OH) 34187 Y Payer ID valid only for claims with a billing submission address of P.O. Box 35008, N. Canton, OH 44735
American Commercial Barge Lines 87726 Y
American Commercial Barge Lines 87726 Y
American Family Insurance AMF11 Y
American Family Medicare Supplement 56071 Y Y
American General (Nashville, TN) 62030 Y Y
American Healthcare Alliance 01066 Y
American Imaging Management Inc. 36369 Y Assigned group Policy Plan ID is required. To obtain, Please call American Imaging Management at (800) 252-2021.
American International Group (Wilmington, DE ) 87726 Y Y Plan of United Healthcare
American Lifecare (Louisiana) 72099 Y Please enter the Group Number from ID card when submitting claims. Payer ID valid only for claims with a billing submission address of 1100 Poydras Street, Suite 2600, New Orleans, LA 70163-2602
American Medical Security, Inc. 81400 Y Y
American Postal Workers Union (APWU) 44444 Y Y Claims for the state of Maine ONLY must be sent on paper to MedNet, P. O. Box 15440, Portland, ME 04112
American Progressive/Pyramid/Today's Option 48055 Y Y
American Republic Insurance Co, ( Des Moines, IA) 42011 Y Y Payer does not accept Secondary/Tertiary claims electronically
American Service Life Insurance Company 97055 Y
American Therapy Administrators ATHAL
American Worker Health Plus 37322 Y
Americas 1st Choice Health Plans of North Carolina, Inc 26078 Y
Americas TPA 41178 Y
Americhoice (TN) 87726 Y
Americhoice of New Jersey Medicaid 86047 Y Y
Americhoice of New York Medicaid 86048 Y For DOS prior to 09/01/13. For 09/01/13 and after, use pay code 87726.
Americhoice of Pennsylvania Medicaid 86049 Y Y
Americhoice-New York Medicare 86002 Y For DOS prior to 09/01/13. For 09/01/13 and after, use pay code 87726.
Americhoice-Pennesylvania Medicare 86003 Y
Amerigroup (Nevada, Austin, New Mexico) 26375 Y
Amerigroup (TN) 27514 Y Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically.
Amerigroup Corp (Ft. Worth/Dallas) 27514 Y Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically. Formally Americaid Community Care (Dallas/Ft. Worth).
Amerigroup Corp (Houston) 27515 Y Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically. Formally Americaid Community Care (Houston). ERA's are returned under payer code 27514.
Amerigroup Florida 27519 Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically.
Amerigroup Georgia 27514 Y Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically.
Amerigroup Illinois and Ohio 27518 Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically.
Amerigroup of Louisiana 27514
AmeriHealth Administrators 54763 Y Y Y
AmeriHealth Caritas Delaware 77799 Y
AmeriHealth Caritas NorthEast 77001 Y Formerly known as Amerihealth Northeast.
AmeriHealth Connect 77051 Y
Amerihealth District of Columbia 77002 Y
AmeriHealth HMO 95044 Y Y
AmeriHealth HMO New Jersey and Delaware 23037 Y
Amerihealth Mercy Company 65391 ERA only.
AmeriHealth Mercy Health Plan 22248 Y Medicaid Managed Care
AmeriHealth PPO New Jersey 12X28 Y
Amerihealth VIP Care PA 22355
AMFirst Insurance 01757
Amida Care 24818 Y
Ancillary Benefit Systems/Arizona Foundation for Medical Car 86062 Y
Anthem Indiana BS130 Y Y
Anthem Ohio BS332 Y Y
APA Partners 16140 Y
Apex Benefit Services 34196 Y Y
APS Healthcare, Inc. 54160 Y
ARC Administrators CXARC
Arcadian Management Services, Inc 77045 Y
Arizona Blue Cross and Blue Shield 53589 Y Y
Arizona Medicare AZMCR Y Y Y
Arizona Physicians IPA 03432 Y
Arkansas Best 75278 Y Y
Arkansas Blue Cross and Blue Shield 12021 Y Y
Arkansas Empower 12956
Arkansas Medicaid ARMCD Y Y
Arkansas Medicare ARMCR Y Y
Arkansas Superior Select 61184
Arnett Health Plans (Lafayette, IN) 95440 Y Requires Unique Provider ID
ASAGEHA 06603 Y
ASR/Physicians Care 38265 Y
ASRM Corp ASRM1
Associates of Healthcare 36326 Y
Association Benefit Plan 25133 Y Y
Assurant Health 39065 Y Y mailing address for claims is: PO Box 2806 Clinton, IA 52733
Assurant Health 70408 Y
Assurant Health Re-pricing via Healthspan ASNTH Y
Assurant Health Self Funded 75068
Assurant Health Self-Funded 37313 Y Y Must verify all claims should go to payer in Ft. Mill, SC.
Assurant Health/ASA 58730 Y ERA's are available under Assurant payer code 39065
AssureCare/Omnicare 88035 Y
Asuris 93221
Athens Area Health Plan Select 95691 Y
Atlantic Medical Insurance 22285 Y
Atrio Health Plans ATRIO Y
Aultra Administrative Group 37242 Y Payer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton,OH 44735-5276
Automated Benefit Services 38259 Y Y
Automated Group Administration 37280 Y
Automotive Machinists Local 289 Health and Welfare Trust Grp 91136 Y Include Group # when submitting
Avera Health Plans 46045 Y
AVMA Group Health and Life Insurance Trust 95266 Use Payer ID 79480
AvMed, Inc. 59274 Y The Insured ID and Patient ID for this payer must be the 11-digit Member ID.
Azeros Health Plans, Inc. 16644 Y
Banner Aetna 67895
Baptist Health Plan 61124 Y Y formerly known as Bluegrass Family Health Inc
BAY BRIDGE ADMINISTRATORS LLC 06941
BCBS Utah FEP 12B1E Y
BCBS Wyoming 53767
Beacon Health Strategies 43324 Y Y Beacon requires submission of the member's Plan ID. PSYCHCARE, LLC payer 51052 is no longer valid and claims should be sent to payer Beacon Health 43324.
Beech Street Corp (Irvine, CA) 95377 Y Must contain payer name
Behavioral Health Systems 63100 Y
Benefit Administrative Systems 36149
Benefit Coordinators Corporation (Pittsburg, PA) 25145 Y Only valid for 111 Ryan Court, ste 300 Pittsburgh, PA 15205
BENEFIT MANAGEMENT SERVICES of NC 56139
Benefit Management Systems, Inc 37212 Y
Benefit Management, LLC 48611
Benefit Plan Administrators (Roanoke, VA) 37118 Y
Benefit Plan Administrators (WI) 39081 Y Payer ID valid only for claims with a billing submission address of P.O. Box 1128, Eau Claire, WI 54702-1128.
Benefit Systems & Services, Inc. (BSSI) 36342 Y
Benefits Management Group Inc. 20018 Y
Benesight 87265 Y (Formarly known as the TPA)
Best Life & Health Insurance Co. 95604 Y
Better Health Plans of South California 32006 Y
BIND 25463
Bituminous Insurance Company J1579
Blue Choice of South Carolina 00922
Blue Cross / Blue Shield of Illinois 12B08 Y
Blue Cross and Blue Shield of Vermont 12B32
Blue Cross Blue Shield Louisiana BS738 Y Y Y
Blue Cross Blue Shield NC BlueMedicare HMO/PPO 12B23
Blue Cross Blue Shield of Arizona Advantage 77078 Y
Blue Cross Blue Shield of Michigan 32002 Y
Blue Cross Blue Shield of Montana 12B77 Y Y Y
Blue Cross Complete 77910 Y Y
Blue Cross Medicare Advantage 66006 Y Oklahoma: PPO = YUX, HMO = YUB Illinois: PPO = XOD, HMO = XOJ Texas: PPO = ZGD, HMO = ZGJ New Mexico: PPO = YID, HMO = YIJ Montana: PPO = YDJ, HMO = YDL
Blue Shield of California 94036 Y Y Y For hospital, Pref. Prov. only. Please contact Blue Shield of CA EDI Customer Service at (800) 480-1221 to verify correct provider information prior to sending claims.
Blue Shield of California Promise Health Plan 57115
Blue Shield of Idaho 00611 Y
Blue Shield of Kansas BS650 Y Y Y
BMC (Boston Medical Center) HealthNet Plan 13337 Y Y Include all leading zeros in provider ID.
Boilermakers National Health & Welfare Fund 36609 Y
BOLLINGER, INC. BOLL1
Boon-Chapman Administrators 74238 Y
Boulder Administration Services 07689 Y
BPA/Benefit Plan Administrators (ND) 37286 Y
BPS, Inc. 13310 Y
Bravo Health 52192 Y this payer was formerly known as Elder Health
Brickstreet J1761
BridgeSpan BRIDG
Bridgeway Arizona 68069 Y Y Prior to submitting claims, please call Provider Relations Dept at 1-866-475-3129 to verify your provider info is on file in the claim system
BRIGHT HEALTH PLAN MEDICARE BRT01
BritCay 22286 Y
Broadspire TP021
Brockerage Concepts, Inc 51037 Y
Brodart Company 35182 Y
Broward Health 37314 Y
Brown & Toland Medical Group 94316 Y
Bryan Independent School District 84980 Y
Buckeye Community Health Plan 68069 Y Y
California Blue Cross 47198 Y Y
California Blue Shield 94036 Y Y Y For hospital, Pref. Prov. only. Please contact Blue Shield of CA EDI Customer Service at (800) 480-1221 to verify correct provider information prior to sending claims.
California Home Health and Hospice CAHHH Y Y Y
California Medicaid 57016 Y Y
California Medicare Jurisdiction J1A1 CAMCR Y Y
California Medicare Jurisdiction J1A2 CAMR2 Y Y
Cambridge ISG (Exton, PA ) 59334 Y
Cannon Cochran Management Services, Inc. 71057 Y
Cape Health Plan 38245 Y
Capital Community Health Plans 87726 Y
Capital Health Plan 95112 Y
Capitol Administrators 68011 Y
Capitol Blue Cross Blue Shield (PA) BSCAP Y Y
Caprock Health Plans CAPHP Y
Capstone Health Plan Inc 86044 Y
Cardinal Innovations Healthcare Solutions 06607 Y
Care Improvement Plus 77082 Y
Care Wisconsin Health Plan 27004 Y
CareCore National - Healthnet 14184 Y
CareCore National LLC - Health Net New Jersey 14185 Y
CareFirst Blue Cross Maryland 12011 Y
Carelink Health Plan 25133 Y Y
CareOregon, Inc 93975 Y
CarePlus Health Plan 95092 Y
Caresource 31114 Y
CareSource Georgia GACS1
Caresource Indiana Inc INCS1
CareSource KY KYCS1 Y
CareSource West Virginia WVCS1
Carilion Clinic Medicare Health Plan 77015 Y
Cariten Healthcare - Humana ( Knoxville, TN ) 61101 Y Y
Cariten Senior Health - Humana ( Knoxville, TN) 61101 Y Y
Carolina Care Plan 29076 Y
Carolina Summit Healthcare, Inc. 56195 Y
CASCADE COMPREHENSIVE CARE R7512
Caterpillar 37060 Y
CBSA 41124 Y
Cedars-Sinai Medical Network 95166 Y
Celtic Insurance 68063 Y
CeltiCare 68069 Y
Cement Masons & Plasterers Health & Welfare Trust Grp#F16 91136 Y Please enter group number F16 when submitting
Cencal Health 99111
Cenpatico - Arizona 68068 Y
Cenpatico - FL 68068 Y Y
Cenpatico - Georgia 68068 Y
Cenpatico - Indiana 68068 Y
Cenpatico - Kansas 68068 Y Y
Cenpatico - South Carolina 68068 Y
Cenpatico - Wisconsin 68068 Y
Cenpatico Behavioral Health Texas 68068 Y Y
Cenpatico Kentucky 68068 Y
Cenpatico Massachusetts 68068 Y Y
Cenpatico TPA 42138
Cenpatico-OH 68068 Y Y
Centene Advantage Plans 68069 Y Y
Centene TPA 42139
Center Care for Underwriter's Safety and Claims USC02 Y
CenterCare 13357
CenterPoint Human Services 56122 Y
Centra/ Centra Benefit Services 75196 Y Use Payer ID 39026
Central Mass Health Care 02041 Y
CENTRAL OHIO PRIMARY CARE SENIOR CARE ADVANTAGE AGL02
Central Reserve Life 34097 Y Y
Central Reserve Life Ins Co 13193
Central States Health & Welfare Funds 36215 Y
Cerner HealthPlan Services 20356
CHA - Commonwealth Health Alliance 23171 Y
CHAMPVA - HAC 84146 Y Y CHAMPVA – HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS)
Chautauqua County Health care Plan ( Maryville, NY) 16600 Y
Chesapeake Life Insurance 59223 Y Valid for mailing address of PO Box 982017 North Richland Hills, TX 76182
Chesterfield Resources, Inc. 34154 Y
Childhealth Plus by Healthfirst (CHP) 80141 Y If requesting ERA's you must enroll for EFT's with this payer.
Children of Women Vietnam Veterans - VA HAC 84146 Y Y CHAMPVA – HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS)
ChoiceCare, Cincinnati, Ohio CHOIC Y
CHP/RPU (FABOH) 39112 Y Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608)210-6656 to obtain. If Dave Sell gives them a payer code other than 39112 for them to call ECP
Christian Brothers Services 38308 Y
Christian Care Ministries 59355 Providers should check the member ID card and use the Household ID value as the member ID when submitting claims electronically.
Christus Spohn Health Network SPOHN Y
CHS of America (Community Health Solutions) - LA Medicaid plan LAMCD Y The payer has asked that providers wishing to send claims for this payer please direct claims to the State Medicaid plan for Louisiana.
CIGNA 62308 Y Y
CIGNA Flex Care (New Mexico only) 62310 Y
CIGNA Health Plan-HMO 62308 Y
CIGNA Healthcare for Seniors- Arizona Medicare 86033 Y
Cigna Medicare Advantage 86033 Y
CIGNA-PPO 62308 Y
Cincinnati Financial Corp/Healthsmart 46871 Y
Cincinnati Insurance J1562
Citrus Health Care 10207 Y
City of Odessa (Odessa, TX) 75600 Y
Clover Health 77023 Y Formerly CarePoint Health
CMHC 02041 Y
CNA Insurance Company 36094 Y
Coastal Administrative Services 77052 Y
Colonial Medical 22284 Y
Colorado BCBS BS050 Y Y
Colorado Health OP 49718
Colorado Medicaid COMCD Y Y Y
Colorado Medicare COMCR Y Y Y
Columbia Cornell Care 25351 Y
Combined Benefits Administrators 88059 Y
Commerce Benefits Group 34181 Y
Commercial Travelers/PHX 88091
Commonwealth Care Alliance 14315 Y
Community Care Alliance of IL 85468 Y
Community Care Behavioral Health Organization 23282 Y
Community Care Managed HC Plans (Oklahoma) 73143 Y
Community Care Organization (Milwaukee, WI) 39126 Y
Community Care Plus 71079 Y Please note the payer name changed effective 4/1/10. For questions, please contact Molina Healthcare of Missouri. Please refer to the Member ID cards for payer contact information
Community Health Alliance 35193 Y
Community Health Alliance TN 27905
Community Health Choice ( Houston, TX ) 48145 Y Y
Community Health Electronic Claims ( CHEC ) - Texas 75261 Y Y
Community Health Group 66170
Community Health Network of Connecticut (Mediden, CT) 62149 Y
COMMUNITY HEALTH PLAN OF WASHINGTON CHPWA Y Y
Community Medical Group of West Valley Inc 66121 Y
Community Premier Plus 13374 Y
Community Premier Pus for Neigh. ( NY, NY ) 32481 Y
Comp - Ohio 34177 Y
CompManagment Health 15243
Comprehensive Benefits Admin ( South Burlington, VT ) 03036 Y
Comprehensive Medical/Vision Program AZ M0166
ConnectiCare, Inc 06105 Y Y
Connecticare- Medicare 78375 Y
Connecticut BCBS BS060 Y Anthem
Connecticut General (CIGNA) 62308 Y
Conseco Services 35196 Y
Consociate Group ( Decatur, IL ) 37135 Y
Consolidated Associates Railroad 75284 Y
Consolidated Health Plans 87843 Y
Consumer Mutual of Michigan 58112 Y
Consumers Life Insurance Company 29076 Y
Continental Benefits, WellSystems LLC 35245
Continental General Ins Co 13193 Medicare Supplement payer
Continental General Insurance Company 71404 Y Y
Continental Key Family 35315 Y
Cook Group Health 35149 Y
Cooperative Benefit Administrators-CBA 52132 Y Y P.O. Box 6249 Lincoln, NE 68506-0249
Cooperative Managed Care Services 35199 Y
Coordinated Medical Specialists 58204 Y
Core Administrative Services 58231 Y
CoreSource Little Rock 75136 Y Y 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.
CoreSource OH 35183 Y Y 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.
Corizon Health CORIZ
Corporate Benefit Services of America ( CBSA ) (MN) 41124 Y
Corporate Benefits Services ( Charlotte, NC ) 56116 Y
Country Life Ins. Co. 62553 Y
Covenant Administrators (Atlanta, GA) 58102 Y
Coventry Health Care 25133 Y Y
CoventryCares 25133 Y Y
Creative Medical Systems 64068 Y
Crescent Health Solutions 56213
Croy-Hall Mgmt, Inc 37266 Y 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.
CSI Network Services 34186
Custom Design Benefits, Inc. 82056
CWIBenefits Inc 57080 Y Formerly ClaimsWare, Inc
Dart Member Care CB987
DC Blue Cross/Blue Shield 12000 Y Y payer does not accept secondary claims electronically
Dean Health Plan 39113 Y Y
Definity Health (Amherst, NY) 64159 Y
Delaware Blue Cross Blue Shield 12B76 Y Y
Delaware Medicare 12M76 Y Y
Delaware Medicare DEMCR Y Y
Delta Health Systems 94235 Y
Denver Health and Hospital Authority 84133 Y
Denver Health Medical Plan (Denver, CO) 84135 Y
Denver Health-Indigent (Denver, CO) 84134 Y
Department of Labor Black Lung 770044
Department of Veterans Affairs Health Net 68021 Y
Deseret Mutual 12X35 Y Y Y
Devon Health 43471 Y Before submitting please contact Jessica Picarde at (410) 349-3222 to obtain Payer ID. Call ECP if given a code other that 43471
Directors Guild of America-Producer Health Plan 23706 Y
Diversified Administration (Marlborough, CT) 06102 Y 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)
Driscoll Children’s Health Plan 74284 Y
Dunn and Associates Benefits Administrators 35186 Y
E-V Benefits Management (Columbus, OH) 34159 Y
East Pointe Behavioral Health 08044
Eastland Medical Group 66122 Y
EBMS (Employee Benefit Management Services, Inc.) 81039 Y
El Paso First Health Network EPF03 Y Y Call ECP for forms
Elder Health ( Baltimore, MD ) 52192 Y Y
Elderplan (Brooklyn, NY) 31625 Y Y Elderplan no longer requires enrollment & individual provider testing; However, Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider Id, contact (718) 921-7979.
Elmcare, LLC 36399 Y
Elmco 37253 Y
Emerald Health Network (All PPO Business) 34167 Y
EMHS Employee Health Plan 16565
Employee Benefit Concepts, Inc. ( Farmington Hills, MI ) 38241 Y
EMPLOYEE BENEFIT CONSULTANTS INCORPORATED 37257
Employee Benefit Corporation 37215 Y
Employee Benefit Management Corp (EBMC) 31074 Y
Employee Benefit Services 37216 Y
Employee Benefit Services ( Charlotte, NC ) 37126 Y
Employee Benefit Services of Louisiana, Inc 41198 Y
Employee Benefits Plan Administration, Inc (EBPA) 03036 Y
EMPLOYEE CLAIM ADJUDICATION SVCS 75184 Y
Employee Plans, LLC 35112 Y
Employer Plan Services, Inc. 74212
Employer's Direct Health 75232 Y
Employer's Direct Health-Employee Plan 75236 Y
Employer's Direct Health-FI 75235 Y
Employer's Direct Health-SF 75233 Y
Employers Mutual (Jacksonville, FL) 59298 Y
Employers Mutual (Stuart, FL) 59331 Y
Encircle PPO 35206 Y
Encore Health Network ( Ft. Wayne, IN ) 35206 Y
Encore Health Network ( Hillview, KY ) 35206 Y
ENH Medical Group IPA 36364 Y
Enstar Natural Gas - Grp. #P61 91136 Y Please include group number when submitting claims.
EON Health 73780
EQUICOR 62308 Y
EQUICOR-PPO 62308 Y
Equitable Plan Services (Oklahoma City, OK) 73126 Y
Erin Group Administrators (Lancaster, PA) 23250 Y
ES Beveridge and Associates 34108 Y
Essence Healthcare 20818 Y Y
EVERCARE (All States) 87726 Y
Evergreen Health Cooperative 93240
Evergreen Health Plan 58233 Y
Evolutions Healthcare Systems 59313 Y
ExclusiCare 71412 Y
FACS/Federated HR Services/Federated Benefits (Mason, OH) 37300 Y
Fallon Community Health 22254 Y
Family Care 60995 Y
Family Care Medicaid FCD01 Y
Family Care Medicaid Mental Health FCM01 Y
Family Care Medicare FCR01 Y
Family Health Partners ( Kansas City, MO ) 43173 Y Y
Family Health Partners-Healthwave of Kansas 31472 Y
FARA Benefit Services TP044 Y Y
Farm Family Life 14140 Y
FCE Benefit Administrators, Inc (Burlingame, CA) 33033 Y
Federal Employee Program 84980 Y
Federated - Workers Comp J1297 Y
Federated Mutual Insurance 41041 Y Y
Fidelis Care New York 11315 Y Y
Fidelis Secure Care 77054 Y Y
First (1st) Medical Network - Atlanta, GA 29076 Y
First Administrators, Inc FAMR1 Y For dates of service after 12/31/2013 - This payer is no longer the Third Party Administrator. Please contact the member for an updated ID card and resubmit to the appropriate carrier.
First Carolina Care 56196 Y
First Choice (CT) 14162 Y Render Provider Network ID required.
First Choice (CT) 14163 Y Y
First Choice Health Network 91131 Y
First Choice of Midwest PPO 75138 Y
First Choice VIP Care Plus - SC 77009 First Choice VIP Care Plus is a Medicare Medicaid Plan (MMP), part of the AmeriHealth Caritas Family of Companies.
First Health 87043 Y
First Health Network (f.k.a. CCN & PPO Oklahoma) 73159 Y Requires Provider Group #
First Priority aka BCBS NEPA 14232
First State Health Plan 63080 Y
FirstCare 94999 Y
Firstcare (Star) Medicaid 94998 Y Y
FirstGuard Health Plan 90060 Y Call Karen Joslin at 816-922-7225 to verify provider ID.
FirstGuard Missouri 90061 Y Provider ID Required
Florida BCBS BS590 Y Y
Florida First 59276 Y
Florida Health Care Plan 59322
Florida Hospital Waterman 48116 Y
Florida Medicare FLMCR Y Y Y
FMH Benefits Services 48117 Y Y
Foreign Service Benefit Plan 25133 Y Y
Formax, Inc 87066 Y
Fortis Benefits, Inc. 70408 Y Y
Fortis Ins. Co. 39065 Y Y PHCS Network Claims only
Foundation Benefits Administration BOONG Y
Fox-Everett - Ingalls Ship Building 64067 Y
Fox-Everett, Inc. 64069 Y
Freedom Health Plan 41212 Y
Freedom Life Insurance of America 62324
Fringe Benefit Management (FBMC). 59069 Y
Fringe Benefits Coordinators 59204 Y
FrontPath Health 34171 Y
G.E. Group Administrators South Carolina 06143 Y Formerly Phoenix Group Services, Inc
G.E. Group Administrators Texas 75238 Y Formerly Phoenix Group Services - Texas
Gallagher Bassett TP057
Gallagher Benefit Administrators/GBA 37283 Y Lisle, IL, San Antonio, TX, Jackson, MS, San Francisco, CA
Galveston County Indigent Health Care 30005 Y
Gateway Health Plan 25169 Y Y
Gateway Health Plan - Medicare Assured 60550 Y Y
Gateway Health Plan Medicaid PA 25169 Y Y
Gateway Health Plan OH- Medicare Assured 91741
Gateway Healthy PA 05506
Geisinger Health Plan (Danville, PA) 75273 Y You must contact Geisinger Health Plan at 1-888-281-5338 to confirm credentialing prior to completing their online EDI Enrollment Forms. If asked, Emdeon will acting as the clearinghouse
General American Life Insurance Co. 63665 Y ALIASES: GENELCO, Sanus HMO--St.Louis, Sanus PPO--St. Louis
Generations Healthcare 46050 Y
Genex Care for Ohio J1895 Y
Georgia BC/BS BS601 Y Y Enrollment required for 835 only.
Georgia Medicaid GAMCD Y Y Y
Georgia Medicare GAMCR Y Y Y
GH Basic Health Plan 91051 Y Western WA call (206) 901-6347
GH Individual and Family Plan 91051 Y Western WA call (206) 901-6347
GHC Medicare + Choice 91051 Y Western WA call (206) 901-6347
GHC-Commercial 91051 Y Western WA call (206) 901-6347
GHI HMO Select 25531 Y
GHI--NY (Group Health, Inc.) 13551 Y Y
GHP (Group Health Plan) 25133 Y Y
GIC Indemnity Plan 80314 Y
Gilsbar, Inc 07205 Y Y
Glassworkers Health & Welfare Fund Grp#F29 91136 Y Group number required
Global Care Inc. 07689 Y
Global Excel Management GEM01
Golden Rule Insurance Co. 37602 Y Y Please include group number when submitting.
Good Samaritan Medical Practice Association AMM01 Y
Goodyear Tire & Rubber Company 34025 Y
Government Employee Health Association (GEHA) State of Texas Dental Plan 57254 Y check patients insurance card to confirm this is the correct payer code
Government Employees Health Association 45275 GEHA (PHCS) and (MULTIPLAN) will no longer process claims with dates of service on or after 01/01/2016. Claims submitted with these dates of service will be rejected. Please refer to the patient ID card to obtain correct payer ID.
Government Employees Hospital Assn. (GEHA) 44054 Y Y check patients insurance card to confirm this is the correct payer code
Grange 10322
Grant Physicians Practice Assoc (Chicago, IL) 37234 Y
Great American Life Ins Co 13193
Great Lakes Health Plan (Southfield, MI) 95467 Y
Great-West Healthcare 80705
Great-West Life Assurance Co. of America 62308 Y Y
Greentree Administrators 78521 Y
Group Administrators Ltd. 36338 Y
Group and Pension Administrators ( Richardson, TX ) 48143 Y Y
Group Health Cooperative ( Madison, WI ) 39167 Y
Group Health Cooperative ( Madison, WI )- 39168 Y
Group Health Cooperative of Eau Claire 95192 Y Y
Group Health Cooperative-West/Group Health Options 91051 Y Y Western Washington state.
Group Health Managers (Redford, MI) 38194 Y 9-digit numeric insured ID required
Group Insurance Service Center (Pembroke, MA) 37276 Y
Guardian Life Ins. Co. of America 64246 Y Y
Gundersen Lutheran Health Plan 39180 Y
H.E.R.E.I U. Welfare Pension Funds 37114 Y
HAA Preferred Partners 65101 Y
Harken Health Insurance 43313
Harmony Health Plan (Illinois) 14163 Y Y
Harmony Health Plan (Indiana) 36405 Y Indiana Hoosier Healthwise members only.
Harrington Benefit Services (Oklahoma) 22521 Y Y Claims processed on or after 7/1/13 will be denied if EFT is not on file at the payer. Enrollment is required for ERAs.
Harrington Benefit Services Centra 75196 Y Use Payer ID 39026
Harrington Health-Kansas formerly known as Fiserv Health-KS 62061 Y Formerly Willis Admin Services Corp
Harvard Community Health Plan 04245
Harvard Pilgrim Health Care 04271 Y
HCH Administration (Illinois) 37111 Y
HCH Administration, Inc 37215 Y
HCHA Albq-Self Funded 37329 Y
HCS-Health Claims Service (Boise, ID) 82018 Y
HDM Benefit Solutions 12T77 Y
Health 1,2,3, Inc. 23173 Y
Health Alliance Exclusive Plus Aliance Partners 23172 Y
Health Alliance Medical Plans 77950 Y Y
Health Alliance Plan of Michigan 38224 Y Y
Health America 25126
Health America Inc 25133 Y Y
Health Care Network of Wisconsin (HCN) 42102 Y
Health Care Savings 56142 Y
Health Choice Arizona 62179 Y Y
Health Choice Generations 62180 Y Y
Health Choice Utah 45399
Health Cost Solutions 62111 Y
Health Design Plus ( Findlay, OH ) 34158 Y
Health EZ 16120 Y
Health First--Tyler, TX 75234 Y
Health Future, LLC 30946 Y
Health Market Care Assured 62295 Y
Health Net of Arizona 38309 Y Y Payer requires unique provider ID; please call the Provider Call Unit at 800-289-2818
Health Net of California 95568 Y (Institutional Encounters ONLY) Encounters ONLY (Health Net assigned ID required)
Health Net of California and Oregon 95567 Y Y
Health Net Pearl 12X48 Y
Health Network America (Eatontown, NJ) 20199 Y
Health New England 04286 Y
HEALTH OPTIONS OF ILLINOIS, INC NAHOI Y
Health Partners (Jackson, TN) 62157 Y
Health Partners of MN 07003 Y Y Y
Health Partners, AL aka HealthSpring 63092 Y
Health Partners, PA 80142 Y
Health Payment Systems 20270 Y
Health Plan Management ( Lake Bluff, IL ) 37221 Y
Health Plan Management Services 63719
Health Plan of Michigan 83253 Y Y
Health Plan of Upper Ohio Valley HPUOV Y Y
Health Plans, Inc. 44273 Y
Health Services Preferred (HSP) by Emerald Health 34167 Y
Health Systems International 27008 Y
Healthcare Benefits 84980 Y
Healthcare Management Administrators (HMA) HMA01 Y
Healthcare Options EPF37 Y Y
Healthcare Partners, IPA 11328 Y Formerly Heritage NY Medical Group
Healthcare Resources NW 56731 Y
Healthcare Solutions Group 73147 Y
HealthCare USA 25133 Y Y
HealthChoice Oklahoma 71064 Valid for dates of service on/after 1/1/2018
Healthcomp Inc.. 85729 Y
Healthease 14163 Y Y
Healthfirst 65 Plus/Healthfirst Family Health Plus 80141 Y Y If requesting ERA's you must enroll for EFT's with this payer.
Healthfirst of Austin 75289 Y
Healthfirst TPA Houston (formerly Trisurant) 34185 Y
Healthgram 56144 Y Y formerly known as Primary Physician Care
HealthGuard of Lancaster 23226 Y
HealthHelp Network, Inc (HHNI) 59087 Y
Healthlink HMO 96475 Y
Healthlink PPO 90001 Y
HealthPlan Services 59140 Y
Healthplus of Michigan 38216 Y
HealthSCOPE Benefits, Inc 71063 Y Y
Healthsmart Accel 75237 Y
HealthSmart Benefit Solutions 87815 Y Formerly Wells Fargo TPA, Inc., (Charleston, WV)
HealthSmart Benefit Solutions 37272 Y Formerly Wells Fargo TPA, Inc., (Newnan GA and Fayetteville, NC)
Healthsmart Preferred (Lubbock, TX) 75250 Y
Healthsource CMHC 02041 Y
Healthsource Massachusetts Inc 02041 Y
Healthsource Provident Adminstrators 68195 Y
Healthsource, AR 71074 Y Payor requires provider ID; call 800-831-6654
Healthsource, AR (Medicare HMO) 71075 Y
Healthsource, GA 58210 Y
Healthsource, IN 35167 Y
Healthsource, KY 61127 Y
Healthsource, ME 01041 Y Requires unique provider ID. Contact 800-909-2227 x 5760
Healthsource, NC 56147 Y
Healthsource, NH 02038 Y
Healthsource, North Texas 75255 Y
Healthsource, OH 31141 Y
Healthsource, SC 06119 Y
Healthsource, TN 62129 Y
HealthSpan 34092 Y Formerly known as Kaiser Permanente of OH.
HealthSpan Network Repricing HSPAN
HealthSpan, Inc 31434
HealthStar, Inc 36332 Y
Healthy Options (DSHS) 91051 Y Western WA
HEALTHYBLUE 00661 Y
HFN, Inc. 36335 Y
HHIC Freedom Blue 71768 Y Y Y
High Desert Primary Care (Victorville, CA) 33069 Y
Highmark BCBSD Health Options Inc. 47181
Highmark- Key Family 35145
Hillcrest Benefit Administrators 59347 Y
Hinsdale Physician Healthcare NAHIN Y
HIP - Health Insurance Plan of Greater New York 55247 Y Y
HMA Hawaii 86066 Y
HMO Louisiana Inc 8455 Y Y
HMO Louisiana Inc 84555 Y Y
Holy Cross Health Partners 36412 Y Payer will no longer accept claims with Dates of Service after 12/31/2013. Contact the Payer for information about submitting claims with 2014 dates of service.
Homelink 50701 Y
Hometown Health Network ( Massillon, OH ) 34150 Y Y
Hometown Health Plan Nevada 88023
Hometown Health Providers 88537 Y
Horizon Mercy (NJ)/Horizon New Jersey Health 22326 Y Y Medicaid Managed Care
Hotel Employees & Restaurant Employees Health Trust Grp# F19 91136 Y
HPS Paradigm, Inc 58227 Y
HSBS Memphis 37224 Y Y Previously known as Pittman & Associates
HSBS Oklahoma City 37256 Y Previously known as Mutual Assurance Administrators
Hudson Health Plan 13335 Y
Humana Care Plan 61101 Y
Humana Group Health Plan 61101 Y
Humana Health Chicago 61101 Y
Humana Health Chicago Insurance Company 61101 Y
Humana Health Plan 61101 Y Y
Humana Insurance Agency 61101 Y
Humana Insurance Company 61101 Y
Humana Medical Plan--CA 61101 Y
Humana Medical Plan--KY 61101 Y
Hunt Insurance Group 37260 Y
Hylton Payroll (Benefit Plan Administrators) 19753
I.E. Shaffer (West Trenton, NJ) 22175 Y
IAA 37279 Y
IBA Self Funded Group ( Kalamazoo, MI ) 38234 Y
IBC Personal Choice 12X26 Y
IBEW LOCAL ONE HEALTH AND WELFARE (MENTAL HEALTH) 44602
IBI 41124 Y
IHG Direct 75274 Y Y
ILCBH 68068 Y
Illinicare 68069 Y
Illinois Health Partner DMG01 Y
Illinois Medicaid IL621 Y
Illinois Medicare ILMCR Y Y Y
IMCare 41600 Y
IMX Easy 86070 Y
INDECS Corp (Lyndhurst, NJ) 40585 Y
Independence Administrators TA720 Y Y
Independence Blue Cross 54704 Y
Independent Health 12X01 Y Y Y
Indiana BlueCross/Blue Shield BS130 Y Y Enrollment required for Remittance Advice
Indiana Department of Health - Children's Health 35600 Y
Indiana Medicare INMCR Y Y Y
Indiana ProHealth Network 35161 Y
Indiana Teamsters Health Benefits Fund (Indianapolis, IN) 35107 Y Formerly Local 135 Health Benefits Fund
Indiana University Health Plan 95444
Individual Health Insurance Companies 31053 Y
Inetico, Inc. 43471
Informed LLC/Self Funding Admin 52196 Y
Informed UHC 50946 Y All claims for dates of service after 12/31/2013 should be sent using Payer ID 39026 instead of Payer ID 50946 or they will reject.
Ingalls Provider Group 85578 Y
Ingalls Provider Group 36348 Y Claims with dates of service beginning 5/1/2015 should be submitted using the new Payer ID 85578.
Innovative Healthware Solutions 23266 Y
Insurance Administrators of America, Inc 37279 Y
Insurance Design Administrators 13315 Y
InsuranceTPA.com 39182 Y
Insurers Administrative Corp 86304 Y
Integra Administrative Group (Seaford, DE) 51020 Y
Integra Group 31127 Y Please contact Mark Warner at (513) 326-5600, ext 1013 prior to submitting claims.
Integra Group CHA 31129 Y
Integral Quality Care 23229
Integrated Care Network (ICN) 34167 Y
Integrity Mutual Insurance Company 10322
Interactive Medical Systems 56132
Intercare Health Plans, Inc. (Greenwood Village, CO ) 37227 Y Y
Interface EAP (Houston, TX) 60280 Y
Intergroup Services PPO 23287 Y
International Benefit Administrator 11329
International Brotherhood of Boilermakers 36609 Y
International Medical Group IMGIN Y
International Medical Group (IMG) 12T61 Y
International Union of Operating Engineers, Local 15, 15A, 1 37269 Y
INTotal Health 10262 Y Use this payer id for Amerigroup (VA) claims with dates of service 3/1/13 forward. Payer code expires 06/31/2016
INTotal Health 35115 Active 07/01/2016, replaces 10262
Iowa Benefits -Meritain Health Minneapolis 41124 Y
Iowa Blue Cross Blue Shield 12B10 Y Y Y
Iowa Medicare IAMCR Y Y Y
IU Health Inc 12K81 Y
J. F. Molloy and Associates, Inc. 61271 Y
John Alden Life Insurance Co. 41099 Y Y
John P. Pearl and Associates 37215 Y
Johns Hopkins Healthcare (EHP/PP) 52189 Y
Joplin Claims 43178 Y formerly BMI
JP Farley Corporation 34136 Y
Kaiser Foundation Health Plan ( Mid-Atlantic States ) 52095 Y Y
Kaiser Foundation Health Plan of Colorado 91617 Y
Kaiser Foundation Health Plan of Georgia 21313 Y Y Tara Kremer 404-949-5043
Kaiser Foundation Health Plan of MD 52095 Y
Kaiser Foundation Health Plan of Northern CA Region 94135 Y Y Please call (510) 987-4639 for approval prior to submitting Northern California referral claims
Kaiser Foundation Health Plan of Southern CA region 94134 Y Y Certification required--call 518-783-1864 x40422
Kaiser Foundation of the Northwest 93079 Y Y This payer id only to be used to submit claims for Oregon and Washington Kaiser Permanente members.
Kaiser Permanente 94320
Kaiser Permanente Health Plan of Hawaii 94123
Kansas Blue cross Blue Shield BS650 Y Y Y
Kansas Blue cross Blue Shield BS650 Y Y Y
Kansas City Blue Cross Blue Shield BS740 Y Y Y
Kansas Medicaid 47163
Kansas Medicare KSMCR Y Y Y
Keenan Associates (CA) 95279
Kempton Company 73100 Y
Kempton Group Administrators 73100 Y
Kentucky Anthem BS160 Y Y
Kentucky Anthem Medicaid BS160 Y
Kentucky Health Administrators, Inc 27215 Y
Kentucky Health Cooperative 77894 Y
Kentucky Medicaid KYMCD Y
Kentucky Medicare KYMCR Y Y Y
Kentucky Passport 61325
Kentucky Spirit Health Plan 68069 Y Dates of service on or before 7/5/2013
Kern Health Systems 77039 Y
Key Benefit Administrators ( Indianapolis, IN ) 37217 Y Y MUST VERIFY AL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS, IN
Key Benefits Administrators-TransChoice (SC) 37284 Y
Key Select 37321 Y
Key Solution 37323
Keystone Connect (Amerihealth) 77050 Y
Keystone First Community HealthChoices 42344
Keystone First VIP Choice 77741 Plan effective 12/12/17. Payer encourages early enrollment for EFT/835
Keystone Health Plan East KEYHE Y Y
Keystone Health Plan East/IBC 12X25 Y
Keystone Health Plan West BS362 Y Y
Keystone Mercy Health Plan 23284 Y Y Provider enrollment required--call 877-234-4271
Keystone VIP Choice 84223 Y
Klais & Company 34145 Y
Korean American Medical Group 66123 Y
LA Care Health Plan LACAR
LACare (LAMCD HMO) 27357 Y Y
Lake County Physicians Association 37116 Y
Lakeside Comprehensive Healthcare 66127 Y
Lakeside Health Services 95415 Y
Lakeside Medical Group 66125 Y
Lancaster General Health Group - Preferred Health Care (IHS Payer) 16109
Lancaster General Health Group - Preferred Health Care (including PPHN) CALL Contact Sherry Wolgemuth at (717)560-9290 ext. 124 for approval and appropriate Payer ID.
Land of Lincoln Health 90096 Y
LBA Health Plans 52193 Y
Leggett and Platt ( Carthage, MO ) 75279 Y
Liberty Health Advantage 87071
Liberty Mutual - Workers Comp 33600 Y
Liberty Union/Life Assurance Company 37281 Y
Life Trac (Golden Valley, MN) 41136 Y Include group # when submitting claims
Lifeprint LIFE1 Y
LifeSynch 61104
Lifetime Benefit Solutions EBSRM Y
Local 135 Health Benefits (Indianapolis, IN) 35107 Y
Loma Linda University 37267 Y
Lone Star TPA 45289
Louisiana Health Cooperative 28680
Louisiana Healthcare Connections 68069 Y Y
Louisiana Medicare LAMCR Y Y Y
Lovelace Health Plan 62310 Y
Lovelace Senior Options (LSO) 62310 Y
Loyal American Life Ins Co 13193
Magellan Health Services 12X27 Y Y
MagnaCare 11303 Y
Magnolia Health Plan 68069 Y Y
Mail Handlers Benefit Plan 25133 Y Y
Maine Blue Cross Blue Shield BS034 Y Y
Maine Medicaid memcd Y Y
Maine Medicare MEMCR Y Y Y
Maksin Management Corp. 22195 Y
MAMSI Life and Health Insurance Co. (MLH) 52148 Y
Managed Care Services ( Ft. Wayne, IN ) 35162 Y
Managed Health Network 22771 Y
Managed Health Services Indiana (Medicaid HMO) 68069 Y 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.
Managed Health Services Wisconsin 68069 Y Y
Managed Physical Network 41161 Y payer merged with OptumHealth Physical Health and payer code changed from 41159
Manatee Service Center (Bradenton, FL) 41555 Y
Marrick Medical Finance 20805
Martin's Point Health Care USFHP / Generations Advantage MPHC2 Y Y
Maryland CareFirst BlueCross BlueShield MD Region 12011 Y
Maryland Medicare CALL Y
Maryland Physicians Care 22348 Y Requires Rendering Provider ID
Mashantucket Pequot Tribal Nation 37121 Y
Massachusetts Blue Cross Blue Shield 12B14 Y Y
Masters, Mates and Pilots Plan MMPHB Y
Mayo Management Services Inc. (MMSI) 41154 Y Y
MBA Benefit Administrators / CDO Technologies 87065 Y
MCA ADMINISTRATORS 25160 Y Y
McLaren - Northern Health Plan (ABW-NHP) 3833N
McLaren - Tencon Health Plan (ABW-THPC) 3833T
McLaren Advantage (HMO SNP) 3833R
McLaren Health Advantage 3833A
McLaren Health Plan (MHP) Commercial 38338 Y
McLaren Health Plan (MHP) Medicaid 3833C
MD--Individual Practice Association, Inc (M.D.IPA) 52148 Y Requires new providers to enroll prior to submitting
MDWise Exchange Market Place 45627
MDwise Healthy Indiana Plan 31354
MDwise Healthy Indiana Plan 3135M
MDWise Hoosier Alliance 20475 Y Y
MDwise Hoosier Care Connect 91313
MDwise Hoosier Healthwise 35191
MDwise Hoosier Healthwise Hospital 3519M
MDwise, Inc. 12K81 Y
Med Pay 88058 Y
MedAdmin Solutions 58202 Y
MedAdmin Solutions 58204 Y
MedBen 74323 Y Newark, OH
MedCom 59231 Y
MedCost Benefit Services (Winston-Salem, NC) 56205 Y
MedCost, Inc. 56162 Y
Medica 94265 Y Y
Medica Health Care Plan (Florida) 78857
Medica Health Plan Solutions 71890
Medica2 12422 Y
Medical Associates Health Plan MAHC1
Medical Benefit Administration 68041 Y Y
Medical Benefit Administrators / MBA of MD 37298 Y
Medical Benefits Administrators Inc. 74323 Y Newark, Ohio
Medical Benefits Mutual Life Insurance Co. 74323 Y Newark, Ohio
Medical Claims Service Inc. 04258 Y
Medical Mutual of Ohio 29076 Y Y
Medical Reimbursements of America 62177 Y
Medical Resource Network--Atlanta, GA 58203 Y
Medical Value Plan--Ohio (MVP) 38224 Y
Medicare Plus Blue - BCBS of Michigan MB710 Y Y Y
Medico Insurance Company 23160
Medigold 95655
Mediview, Inc. STAR1
MedPartners Administrative Services 35205
MedRisk J1956
MEDSOLUTIONS, INC (NASHVILLE, TENNESSEE) 62160 Y Y
MEGA Life and Health Insurance (North Richland Hills, TX) 59221 Y
MEGA Life and Health Insurance Company - OKC 59227 Y P.O.Box 548801 Oklahoma City, OK 73154
Memorial Clinical Associates MCA11 Y
Memorial Hermann Health Network MHHNP Y
Mennonite Mutual Aid Association and Affiliates 35605 Y
Mercy Care Plan (Phoenix, AZ) 86052 Y Y
Mercy Health Plans 43166 Y
Mercy Maricopa Integrated Care 33628
Mercy Provider Network 43185
MercyCare 39114 Y
Meridian Health Care Management 77042 Y
Meridian Health Plan 13189 Y Y
Meritain Health / Agency Services 64158 Y
Meritain Health / North American Admin 64157 Y Y
Mesa Mental Health 85035 Y
Metcare Health Plans, Inc. 65113 Y
Methodist Assoc Health Plan 10159 Y
MetroPlus Health Plan 13265 Y Y
Metropolitan Health Plan 10850 Y Y
MHNET 74289 Y
MHP Systems 64068
Michael Reese Physicians Group ( Hindsdale, IL ) 37127 Y
Michigan Blue Care 77910 Y Y Y
Michigan Blue Cross Blue Shield BS710 Y Y Y
Michigan Medicaid MIMCD Y Y Y
Michigan Medicare MIMCR Y Y Y
Michigan Medicare Advantage MA710 Y Y Y
Mid Atlantic Psychiatric Services, Inc. 52148 Y
Mid Rogue Oregon Health MRIPA Y
Mid Rogue Oregon Health Plan. MRIPA Y
Mid-America Assoc/Liberty Union (Madison Hts, MI) 37281 Y
Mid-American Benefits 22823
Mid-Atlantic Health System 63079 Y Previously payor ID 51035
Mid-West National Life Ins ( Tennessee) 59224 Y
Mid-West United Life (Student Division) 74227 Y Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 809025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025
Midlands Choice (Nebraska/Iowa) 47080 Y
Midlands Health Partners (Nebraska/Iowa) 47080 Y
Midwest Health Plans MHP77 Y
Midwest Health Plans, Inc. 12T54 Y Y 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. Provider must complete enrollment form on payers website.
Minnesota Blue Cross Blue Shield BS720 Y
Minnesota Medicaid DPWMN Y Y Y
Minnesota Medicare MNMCR Y Y Y
Mississippi Health Partners 64068
Mississippi Medicaid MSMCD Y Y Y
Mississippi Medicare MSMCR Y Y Y
Mississippi Public Entity Employee Benefit Trust 37233 Y
Mississippi Select Healthcare 64088 Y Also DBA Select Administrative Services (SAS)
Missoula County Medical Benefits Plan 37275 Y
Missouri BCBS BS999 Y Y
Missouri Care/ MC 00530 Y Y Missouri Care Requires Medicaid Provider ID in Box 33a.
Missouri Medicaid 12K15 Y Y
Missouri Medicare MOMCR Y Y Y
MIssouri Medicare Select MMS01
MMA 35316 Y
MMSI 41154 Y Y
MO Missouri Home State Health Care 68069
Molina Healthcare (UT) 12X09 Y Y
Molina Healthcare of California 38333 Y Y
Molina Healthcare of Florida 51062 Y Y
Molina Healthcare of Michigan 38334 Y Y
Molina Healthcare of Mississippi 77010
Molina Healthcare of New Mexico Salud 09824 Y Y
Molina Healthcare of New Mexico SCI . 04423 Y Y
Molina Healthcare of Ohio 20149 Y Y
Molina Healthcare of Texas 20554 Y
Molina Healthcare of Washington 38336 Y Y
MOLINA HEALTHCARE Of WI ABRI1
Molina Healthcare South Carolina 46299
Molina Illinois 20934 Y
Montana Medicaid MTMCD Y
Montefiore CMO ( Yonkers, NY ) 13174 Y
MONUMENTAL LIFE INS CO (HURST, TX) MMLI3 Long Term Care
MONUMENTAL LIFE INS CO (LOUISVILLE, KY) MMLI2 Cancer, LTC, LTC Rider, Major Med
Morris Associates 35092 Y
Motion Pictures Industry 99282 Y
Motorola ( Scottsdale, AZ ) 36111 Y
Mountain States Administrative Services (Tucson, AZ) 86040 Y
MPA-Custom Provider Network 80900 Y
MPE Services Inc/MPEEBT, Inc 37233 Y
Mplan, Inc/HealthCare Group, LLC 95444 Y
Multiplan Inc. for American Family 39634 Y Payer ID 39634 only accepts claims for the states of AZ, IL, IN and OH.
Multiplan Wisconsin Preferred Provider Network 34080 Y
Muskegon Care A1681
Mutual Group, The (US) 59140 Y
Mutual Health Services 34192 Y Y Payer formerly known as: Antares Management Solutions
Mutual of Omaha MUMCR Y Y Y
Mutual of Omaha Insurance Co. 71412 Y Y
Mutually Preferred 71412 Y
MVP Health Plan of NY 14165 Y Y
MVP Health Rochester 12X04 Y
N.W. Ironworkers Health & Security Trust Fund Grp#F15 91136 Y
N.W. Roofers & Employers Health & Security Trust Fund Grp#F2 91136 Y Please include group#
N.W. Textile Processors Grp#F14 91136 Y Please include group#
NAA/North American Administrators (Nashville, TN) 65085 Y Y
NABN (Cleveland, OH) 34159 Y
NALC (National Association of Letter Carriers) 53011 Y Please include group#
NAMCI/Global Care L0110
Naphcare 58182
National Assoc. of Letter Carriers/NALC 53011 Y
National Capital Preferred Provider Organization 90001 Y
National Claim Administration (Garden City, NY) 37126 Y
National Rural Letter Carrier Assoc. 71412 Y (Policy#GMG1846)
NATIONAL TEACHERS ASSOCIATION - NTA NTA11 Y
National Telecommunications Cooperative Association (NTCA) 52103 Y
Nationwide Health Plans 31417 Y Y
NCAS - Charlotte, NC 75191 Y
NCAS - Fairfax, VA 75190 Y
Nebraska Medicare NEMCR Y Y Y
Neighborhood Health Partnership 95123 Y
Neighborhood Health Partnership of Florida 96107 Y
Neighborhood Health Plan (Boston, MA) 04293 Y Y
Neighborhood Health Plan of RI - Commercial Products and INTEGRITY 96240 Commercial Products and INTEGRITY member ID should contain 11-digits with the first two being 13.
Netcare Life and Health Insurance (Hagatna, Guam) 66055 Y
Network Health 04332 Y Y
Network Health Insurance Corp-Medicare 77076 Y
Network Health Plan Of Wisconsin 39111 Y Payer Id valid only if the send claims to address on the back of the member's card is PO Box 568 Menasha, WI 54952. DO NOT USE this payer id for Network Platinum Plus, Network Premier Plus or Managed
Network TPA, LLC 58204 Y
Nevada BCBS BS265 Y Anthem
Nevada Medicaid 12K20 Y Y Y
Nevada Medicaid SKNV0 Y
New Avenues Inc. 95998
New Era Life Insurance Co 75281 Y
New Hampshire Blue Cross Blue Shield BS270 Y
New Hampshire Medicaid SKNH0 Y
New Jersey Charity Care NJMCC Y
New Jersey Horizon Blue Cross Blue Shield 22099 Y Y Y
New Jersey Medicaid NJMCD Y
New Jersey Medicare NJMCR Y Y Y
New Mexico Health Connections 45129 Y
New West Health Plan 84141 Y
New York Computer Science Corp.(NY Medicaid) 12K35 Y Y Y
New York Medicaid 12K35 Y Y Y
New York Presbyterian Community 48186 Y
New York Presbyterian System Select Health 24819 Y
NGS American 38225 Y Y
NHBCAUX 88050
NHC Advantage NHC01
NHP/SHP (Neighborhood Health Providers and Suffolk Health Pl 11325 Y Unique Provider ID required “Claims with a date of service of 6/1/2013 or after should go to payer code 80141."
Nippon Life Insurance Co. 81264 Y Y
NJ Carpenters Health Fund 22603 Y
North American Administrators, Inc. 64157 Y Y
North American Benefits Network (Cleveland, OH) 34159 Y
North American Health Plan 64157 Y Y
North American Medical Management E3510 Y
North Carolina Medicare NCMCR Y Y Y
North Shore - LIJ CareConnect Insurance Company, Inc. 46227 Y
North Texas Healthcare Network 35212 Y
Northeast Georgia Health Services 58169 Y
Northern Illinois Health Plan 36347 Y
Northern Nevada Trust Fund 88027 Y
Northstar Advantage 60058 Y
Northwest Suburban IPA (Illinois) 36346 Y
Novasys Health Network ( Little Rock, AR ) 71080 Y
Nyhart 37299 Y
Oak West Primary Physician Association 36402 Y
Ochsner Health Plan 72127 Y
ODS Health Plan 13350 Y Y
Office of Group Benefits- Louisiana BS738 Y
Ohana Health Plan 14163 Y Y
Ohio Blue Shield: Anthem BS332 Y Y Enrollment required for Remittance Advice
Ohio Health Choice PPO 34189 Y Payer ID valid only for claims with a billing submission address of PO Box 3619, Akron, OH 44309-3619 or PO Box 93538
Ohio Medicaid OHMCD Y Y
Ohio Medicare OHMCR Y Y Y
Ohio PPO Connect 74431
Oklahoma Blue Cross Blue Shield BS840 Y
Oklahoma DRS DOC 71065
Oklahoma Medicaid 12K25 Y Y
Oklahoma Medicare OKMCR Y Y Y
OMNI/Medicore HP 68037 Y
Omnicare Health Plan of Michigan ( Detroit) 38252 Y
One Call Medical 22321 Y
One Call Physical Therapy J1716
OneNet PPO 52149 Y
Operating Engineers Locals 302 &612 91136 Y Please enter group number F12 when submitting
Optima Health Insurance Co. (Virginia Beach, VA ) 54154 Y
Optima Health Plan ( Virginia Beach, VA ) 54154 Y
Optimum Choice of the Carolina's 52148 Y
Optimum Choice, Inc (OCI) 52148 Y
Optimum Healthcare, Inc. 20133 Y Y
OptumHealth Care Solutions 41194 Y Former Payer ID 52190
Oregon Medicaid 12K41 Y Y Y
oregon medicare ORMCR Y Y Y
OrthoNet - Aetna 13383 Y
Orthonet - Cigna (White Plains, NY) 13381 Y
Oscar Health OSCAR
OSMA (Oklahoma State Medical Association) 73071 Y
Oxford Health Plan 06111 Y Y
Pacific Life & Annuity Company 67466 Y
Pacificare Behavioral Health (Santa Ana, CA) 33053 Y
PacifiCare of Arizona 87726 Y Y
PacifiCare of California 87726 Y Y HMO claims only, Not PPO claims
PacifiCare of Colorado 87726 Y Y
PacifiCare of Oklahoma 87726 Y Y HMO claims only, Not PPO claims
PacifiCare of Oregon 87726 Y Y HMO claims only, Not PPO claims
Pacificare PPO - All States 87726 Y PPO Claims only, Not HMO claims.
PacificSource Health Plans 93029 Y Y Call Margaret Murphy at 206-230-7475
PacificSource Medicare 20377
PAI 37287 Y
Palmetto Home Health & Hospice for Ohio SCMCR Y Y
Pan American Life Insurance Group 04218
Paper Claims PAPER
Paragon Benefits 58174 Y
Parkland Community Health 66917 Y
Passport Advantage 76569 Y
Passport Advantage 97652 Y
Passport Advantage 66008
Passport Health Plan 61129 Y Y Medicaid Managed Care
Patient Advocates, LLC 10525 Y
Patient Services Inc. CB733
Payer Fusion 27048
PCIP (Pre-existing Condition Insurance Plan) 39026 Y
Peach State Health Plan 68069 Y Y 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.
Peak Pace Solutions 27034
PEHP (Utah Public Employee Health Plan) 12X36 Y Y Y
Pennsylvania Blue Cross Blue Shield Central BS362 Y Y Y
Pennsylvania Blue Cross Blue Shield Western BS36W Y Y Y
Pennsylvania Medicaid 12008 Y Y
Pennsylvania Medicare PAMCR Y Y Y
Pennsylvania Medicare Advantage 15460 Y
Pennsylvania Pace 20172
Personal Choice- PA PAIBC Y Y
Personal Insurance Administrators, Inc. (Agoura Hills, CA) 95397 Y
PersonalCare 25133 Y Y
PHA Admin Serv, Prime Health of Alabama 63088 Y
PHCS (fortis benefits) 70408 Y Y
PHCS (Private Healthcare Systems) 13306 Y
PHP of Mid Michigan, Inc 87726 Y
PHP of S. Michigan, Inc 87726 Y
PHP of SW Michigan, Kalamazoo 87726 Y
PHP of West Michigan, Inc. 87726 Y
PHP Tenncare (Knoxville, TN) 62155 Y
Physician Associates of Louisiana 58204 Y
Physician Care Network, LLC 58204 Y
Physician Partners FHN Medicaid PPRT1 Y
Physicians Care Network - Rockford, IL only 36345 Y
Physicians Health Association of Illinois 37136 Y
Physicians Health Collaborative 20398 Y
Physicians Health Plan (PHP) Mid Michigan 37330 Y Y
Physicians Health Plan (PHP) of No. Indiana 12399 Y Does not accept secondary claims.
Physicians Mutual Insurance Company (Omaha, NE) 47027 Y Y Please send all PPO and dental claims to the address on the back of the insured's ID Card.
Physicians Plus Insurance Corporation 39156 Y
Physicians United Plan TH131 Y
Piedmont Administrators 56151 Y
Piedmont WellStar Health Plan 251PD Y
Pinnacle Claims Management Inc. 24735 Y
Pinnacol Assurance 84109
Pipeline Industry Benefit Fund ( Tulsa, OK ) 73074 Y
Planned Administrators, Inc 37287 Y
PM Group (PMG) 67466 Y
Podi Care Managed Care 58204 Y
Point Comfort Underwriters PCU01
Poly America Medical & Dental Benefits Plan 32680 Y
POMCO 16111 Y Y
PPO Plus 72148 Y
PPOM 38335 Y
Prairie States Enterprises, Inc (Chicago, IL/Sheboygan, WI) 36373 Y
Preferred Administrators EPF10 Y Y
Preferred Benefit Administrators 53476 Y
Preferred Benefits Administrator 25133 Y
Preferred Care Inc. (Florida) 59291 Y
Preferred Care Inc. (North Carolina) 56178 Y
Preferred Care Partners (Miami, FL) 65088 Y
Preferred Community Choice/PCCSELECT/CompMed (Tulsa, OK) 73145 Y
Preferred Health Network (PHN) 35173 Y
Preferred Health Plan (Louisville, KY) 61106 Y Y
Preferred Health Professionals 31478 Y
Preferred Health Systems 25133 Y
Preferred Health Systems Insurance Company 60110 Y
Preferred Network Access (Darien, IL) 36401 Y
Preferred One (CT) a Division of First Choice 14162 Y
Preferred One (MN) 41147 Y
Premera Blue Cross (AK) 12B47 Y Y
Premier Benefits 43166 Y
Premier Health Plan 251PR Y
Premier Health Plans 43166 Y
Premier Health Systems 29076 Y
Premier HealthCare Exchange 88056
Premier HealthCare Exchange, Inc. (PHX) 88051 Y
Presbyterian (NM) 05003 Y
Presbyterian Health Plan PREHP Y
Prestige Health Choice 77003 Y
Prevea Health Insurance Plan 39185 Y
Primary Health Network 82048
Prime Health 63088 Y
Prime West Health Plan 61604 Y Y
PrimeSource Health Network 23266 Y
Priority Health 38217 Y Y
Prism Network, Inc 37268 Y
Prism-Univera 37315 Y
Pro Care Health Plan Inc. (Detroit, MI) 38329 Y Payer ID valid for claims with the following submission addresses: PO Box 3160, Detroit MI 48203 AND PO Box 3590, Detroit MI 48203
Professional Benefit Administrators (Oak Brook, IL) 36331 Y Payer ID is valid only for claims with billing submission name, city, and state of Professional Benefit Administrators, Inc., Oak Brook, IL.
Professional Insurance Company 59041 Y
Professional Risk Management 34134 Y
Prosepect Health Network PROSP Y
Provident American Life & Health Ins Co 13193
ProviDRs Care Network 48100 Y
PSKW PSKW0
Puget Sound Benefits Trust 91136 Y Please include Group# F25
Puget Sound Electrical Workers Trust 91136 Y Please include Group# F33
Pyramid Life 48055 Y
Quad Med (West Allis, WI) 39197 Y
QualCare, Inc. 23342 Y Y
QualCare, Inc. (dba QANI Administrators) A Cigna Company 22312
QualChoice, Arkansas 35174 Y Y
Quality Care Partners 89461 Y
Quality Health Plans QHP01 Y
QuikTrip 73067 Y
Quincy Health Care Management ( Quincy, IL ) 37129 Y
Reading Hospital Employer Group 44219
Regence Blue Cross of Oregon 12B41 Y Y
Regency Employee Ben (Port Huron, MI) 38221 Y 9-digit numeric insured ID required
Regional Care, Inc 47076 Y
Reserve National Insurance 73066 Y Y
Resolve Health Plan Administrators RHA01
Resurrection Health Care Preferred / FKA 36396 Y Please call (773) 572-8311 or( 773) 572-8309 prior to first submission of claims
Right Care from Scott & White 74205 Y
RightChoice Benefit Administrators 37331
Rio Grande HMO 84980 Y
River Quest Network 37129 Y
RMSCO Inc. 16117 Y
Rocky mountain Health Plan 84065 Y
Rooney Life Inc. 37602 Y
Rosemont of Des Plaines, IL 36215 Y
Rural Carrier Benefit Plan 25133 Y Y
Rush Health Association 36339 Y
RUSH Prudential - HMO Only 36389 Y
RWDSW Benefit Fund 63070
S & S Healthcare Strategies 31441 Y
Sagamore Health Network (IN) **Requires Group Policy Number 35164 Y
Samaritan Health Plans CP001
Sanford Health Plan 91184 Y Y
Sante Health System and Affiliates 77038 Y
Saudi Health Mission SHM01
Scan Health Plan Arizona 73172 Y
SCHC Total Care - ClaimsNet 16146
Scott & White 88030 Y Y Before filing claims to SWHP for the first time, non-contracted providers must fill out an EDI Intake Form and an EDI Authorization Form at http://www.swhp.org/homepage/providers/provider-forms or call SWHP at 1-800-321-7947 or 254-298-3000.
Screen Actors Guild 99289
Secure Health Plans of Georgia (Macon) 28530 Y Requires Rendering Provider Number.
Security Health Plan 39045 Y Y Benefit plan administrator of St. Louis, MO, Office of the Administrator, Wash. D.C.
Sedgwick (Cargill, Inc) J1661
Sedgwick CMS TP097
Select Administrative Services (SAS) 64088 Y
Select Benefit Administrators (Des Moines, IA) 42137 Y
Select Benefit Administrators of America (Ashland, WI) 37282 Y
Select Benefit Administrators, Inc. 93031 AKA PacificSource Administrators
Select Health 12X37 Y
Select Health of South Carolina 25176 Y
Select Health of South Carolina ( Charleston, SC ) 23285 Y Y
SelectCare 00014 Y
SelectCare of Texas (Kelsey-Seybold) 61225 Y
Self Insured Benefit Admin (Clearwater, FL) 59111 Y
Self Insured Plans, Naples FL 36404 Y
Self-Funded Plans (IL, PA, OH) 34131 Y
Selman and Company 52214
Sendero Health 36426 Y
Senior Care Partners 36390 Y
Senior Whole Health 83035 Y
Sentara Family Care 54154 Y Rendering Provider Network ID required
Sentara Health Management 54154 Y
Sentara Health Management ( Virginia Beach, VA ) 54154 Y
Sentinel Management Svcs 23249 Y Include group # when submitting claims
Sentry Life Insurance Company 39033 Y Y
Seton CHIP 76056
Seton Employee Plan 12T46 Y
Seven Corners 25404 Y
SGIC 11789
Shasta Administrative Services 75280 Y Y Jen-Weld Claims only
Sheet Metal Workers Local 104 Health Care Plan (San Ramon, C 38238 Y
ShermanChoice SC359 Y
Sierra Health Services 76343 Y encounters
Sierra Health Services (Las Vegas, NV) 76342 Y Y EFT is a requirement to receive ERA transactions from Sierra Health Services
Signature Advantage SA001
Significa Benefit Services, Inc 23250 Y Y
Silver Cross Managed Care Organization 36387 Y
Silverback TPA 37228
Simply Healthcare 27094 Date of Service on or before 01/31/2019
Simply Healthcare SMPLY Date of service on or after 02/01/2019
Sinclair Health Plan 84076 Y
Sloan's Lake Managed Care (N) 84096 Y
Smith Administrators (Ft Worth, TX) 02057 Y
Smoky Mountain Center 13010 Y
Sound Health (Sisters of Providence) 91131 Y Now known as First Choice Health Network
Soundpath Health 42172 Formerly known as Puget Sound Health Partners, Inc
South Carolina Blue Cross Blue Shield BS481 Y Y Y
South Carolina Blue Cross/Blue Shield Federal BS402 Y Y
South Carolina Medicare SCMCR Y Y Y
South Carolina Planned Administrators BS886 Y Y
South Central Preferred 23266 Y
South Dakota Medicaid 12K36 Y Y
SouthCare/Healthcare Preferred 25147 Y
Southeastern Indiana Health (SIHO) 77153 Y
Southern Benefit Services LLC 37318 Y
Southern Group Admin (Winston-Salem, NC) 56131 Y 9-digit numeric insured ID required
Southern Health Service 25133 Y Y
Southwest Service Life 37266 Y 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.
Special Risk International (Lutherville, MD) 52190 Y
Spectrum Administrators 23253 Y
Spina Bifida - VA HAC 84146 Y CHAMPVA – HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS)
SRC Services 57604 Y
St. Anthony Memorial Healthcare Centers-MDWISE 35199 Y
St. Barnabas System Health Plan 22240 Y Claims with dates of service 12/31/14 and prior send to this payer id. Claims with dates of service 01/01/2015 and after send to payer id 22099.
St. Catherine Hospital PHO-MDWISE 35199 Y Y Y
St. Catherine Hospital PHO-MDWISE 35199 Y
St. Francis Health Network 35199 Y
St. John's Claims Admin 37264 Y
St. Margaret Mercy Healthcare Centers-MDWISE 35199 Y
Standard Life & Accident 01758
Standard Life & Accident 73099
Starmark 61425 Y Formerly ICH Corp.
State Auto INsurance Companies 46450 Y
State Auto Insurance Companies 46450 Y
State Farm (Casualty & Property Claims) 31059 Y
State Farm Group Medical & Individual Health Insurance Compa 31053 Y Y Not for auto accident claims
States General Life Insurance 75087 Y
Staywell Health Plan 14163 Y Y Rendering Provider Network ID required
Sterling Medicare Advantage 67829 Y
Sterling Option One (Bellingham, WA) 91151 Y
Stoner and Associates (Cincinnati, OH) 31121 Y
Student Insurance Division 74227 Y Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 809025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025
Suburban Health Organization 35199 Y
Suffolk Health Plan of New York 88331 Y
SummaCare HMO 95202 Y Y ALIASES: Bankers United Life, MEGA Life and Health Ins. Co., Midwest United Life
Summit America Insurance Services (Leawood, KS) 37301 Y Student Accident and Sickness, College Sports and NASCC claims only
Summit Community Care PASSE
Sunshine State Health Plan 68069 Y
Superior Administrators, Inc (Santa Ana, CA) 23218 Y
Superior Health Plan SHP11 Y Y
Superior Health Plan SHP11 Y
Superior Health Plan of Texas 68069 Y Y Prior to submitting claims, please call Provider Relations Dept at 1-800-218-7453 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.
Sutter Connect Medical Foundation 99308
Swedish Covenant Hospital 36411 Y
SynerMed 75299
Tall Tree Administrators 88067 Y
TBG Administrative Services 39157 Y
Team Choice - Alpha Care Gold ADSL1 Y
Team Choice UMC 75134 Y
Teamcare 36215 Y
Teamsters Local Union #301 ( Waukegan, IL ) 36612 Y
Tehtys Health Ventures 20212 Y
Tenncare Select BS390 Y Y Y only need to do an enrollment process for this payer if you are not enrolling to send BC/BS TN electronically.
Tennessee Blue Care TN002
Tennessee Blue Cross BS390 Y Y Y
Tennessee Medicare TNMCR Y Y Y
Texas Association of School Boards A0234 Y Y Payer id is for Workers Comp 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.
Texas Blue Cross Blue Shield BS400 Y Y
Texas Children's Health Plan (N) 76048 Y Y
Texas Childrens Health Plan (Medicaid) 75228 Y Y
Texas Christus 45210
Texas First Health Plans - TIOPA 76046 Y
Texas HealthSpring 33104 Y
Texas Medicaid TXMCD Y Y
Texas Medicare TXMCR Y Y Y
Texas Premier Plan Medicaid EPF02 Y Call ECP for forms
Texas True Choice TTCEC Y
TexasFirst Health Plan 13185 Y
The Alliance 88461
The Care Network/The Savannah Business Group 68423
The Chesapeake Life Insurance Co-Student Insurance (Dallas, 74227 Y Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 809025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025
The Epoch Group 28777 Y
The Hartford - Workers Comp J1422 Y
The Health Plan HPUOV Y
The Healthcare Group 35206 Y
The Integrity Benefit Group 58200 Y
The Loomis Company 23223 Y Please call 610-374-4040 x 2438 prior to submit
The MEGA life and Health Insurance Company - Insurance Cente 59221 Y
The MEGA Life and Health Insurance Company - Student Insuran 74227 Y Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 809025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025
The Perfect Health Insurance Co. 13522 Y
The Preferred Healthcare System - PPO 23266 Y
The Union Labor Life Insurance Company 13142 Y
The Zenith 13269 Y
Thomas Cooper BS315 Y
Thrivent Financial THRIV
Time Insurance Company 39065 Y Y
TLC Benefit Solutions TLC79
Tongass Timber Trust 92620 Y
Tooling & Manufacturing Assoc. 61425 Y
Total Community Care 31182 Y
Total Healthcare, Inc 38201 Y
Touchstone Health PSO (NY, NY) 23856 Y
Tower Life Insurance Co. 69493 Y
TR Paul Inc 37230 Y
Transamerica Life Insurance TLINS Y PO Box 8043 Little Rock, AR 72203-8043
Transamerica Life Insurance TRLTC Y PO Box 93019 Hurst, TX 76053-3019 PO Box 869098 Plano, TX 75086-9098
Transamerica Life Insurance TRP1E Y PO Box 97 Scranton, PA 18504-0097 PO Box 3350 Cedar Rapids, IA 52406-3350 PO Box 17004, Baltimore, MD 21203-7004 Claim Services Division Valley Forge, PA 19493
Transamerica Life Insurance TRP1P Y 2700 West Plano Parkway Plano, TX 75075
TransChoice-Key Benefit Administrators (SC) 37284 Y
Travelers - Workers Comp 19046 Y
Tribute Health Plan 31118 Y Y
Tricare and Tricare Prime TRI01 Y Y Y use for patients residing in the following states: NY,ME, VT, NH, MA, RI, CT, NJ, DE, MD, DC, PA
Tricare and Tricare Prime TRI02 Y Y Y use for patients residing in the following states: VA, NC
Tricare and Tricare Prime TRI03 Y Y Y use for patients residing in the following states: SC, GA, FL
Tricare and Tricare Prime TRI04 Y Y Y use for patients residing in the following states: TN, AL, MS
Tricare and Tricare Prime TRI05 Y Y Y use for patients residing in the following states: OH, WV, KY, IN, IL, WI, MI
Tricare and Tricare Prime TRI06 Y Y Y use for patients residing in the following states: OK, AR, LA, TX(except SW lower corner)
Tricare and Tricare Prime TRI07 Y Y Y use for patients residing in the following state: MN, IA, MO, ND, SD, NE, KS, MT, WY, CO, TX(lower SW corner)
Tricare and Tricare Prime TRI08 Y Y Y use for patients residing in the following states: NM, AZ, UT, NV, ID
Tricare and Tricare Prime TRI09 Y Y Y use for patients residing in the following states: SOUTHERN CA
Tricare and Tricare Prime TRI10 Y Y Y use for patients residing in the following states: NORTHERN CA
Tricare East TREST Y
Tricare for Life TRILF Y Y Y ERA are only available for In Network Providers This is a secondary payer only. Do not use this payer code for Primary claims
TriCare Region 11 TRI11 Y Y Y use for patients residing in the following states: WA, OR
TriCare Region 12 TRI12 Y Y Y use for patients residing in the following states: AK, HI
TRIHEALTH PHYSICIAN SOLUTIONS 31144 Y Y
TriHealth Physicians Solutions-CONCERN 31143 Y
Trinity Health Pace TRNPC
TRLHN/AS 98514
TRLHN/EB AKA Trilogy Health Network 62777 Y
True Choice USA 54210 Y
True Choice USA - Christus Healthplan TCUCH Y
Trusteed Plans Service Corp 91078 Y
Trustmark 61425 Y Y
Tufts Health Plan 04298 Y Y Submitter must call payer before sending 888-880-8699, ext 4042
UBH United Behavioral Health 87726 Y
UCARE 52629 Y Y
UCS (Electrical Workers Insurance Fund Local 5800) 93235 Y
UCS NX Health Network 08354
UFCW Local 880 Medicare 88008
UHC (Columbus) 87726 Y Use 9-digit SSN/member ID. Use 7-digit provider number.
UHC (Dayton) 87726 Y Use 9-digit SSN/member ID. Use 7-digit provider number.
UHC Iowa Choice & Senior Care 87726 Y
UHC Utah, Inc. 87726 Y
UICI Administrators 75240 Y
UICI Administrators (State of Nevada) 75223 Y Accepting claims only for the state of Nevada
UICI/Benefit Planners 74223 Y Use Payer ID 39026 or 79480 (see member's card if available)
Ultra Benefits Inc. 41206
UMC Health Plan 75130
UMR - Cincinnati (formerly known as United Medical Resources) 31107 Y Y
UMR - Harrington (formerly known as Harrington Benefit Servi 95266 Y Use Payer ID 79480
UMR - Lexington 37237 Y
UMR - Onalaska (formerly known as Midwest Security of WI) 79480 Y
UMR - Wausau/UHIS (formerly Fiserv Health - Wausau Benefits/ 39026 Y Y
UMWA Health and Retirement Funds 52180 Y
UniCARE Major Accounts 80314 Y Y ERA are only available for practices in the states of TX, MA, KS, WV, VA, RI and IL
Unified Health Svcs. 62170 Y
Unified Physicians Inc. 34638 Y Y
Uniform Medical Plan (also known as Centra) 75243 Y Use Payer ID 39026
Union Pacific Railroad Employees (Salt Lake City, UT) 87042 Y
Union Security Insurance Co 70408 Y Y
Unison / Better Health Plans ( Monroeville, PA) 62183 Y
United Benefits 59069 Y
United Government Services UGMCR Y Y Y CAll ECP for ERA Information 800-676-7645
United Group Programs UGP19
United Healthcare 87726 Y Y
United Healthcare Community Plan Missouri 86050 Y
United Healthcare Community Plan of DC NJ SC TN 25175 Y Y ERA's are returned under payer id 04567.
United Healthcare Community Plan of Delaware 87726 Y Payer code changed from 25175 as of 3/1/14. Payer code for ERA is 04567
United Healthcare Community Plan of Kansas 96385 Y (aka KanCare)
United Healthcare Community Plan of OH 87726 Y Formerly known as Unison/Three Rivers Health ERA receiver id is 04567
United Healthcare Community Plan of Pennsylvania 87726 Y Payer code changed from 25175 as of 3/1/14. Payer code for ERA is 04567
United Healthcare of River Valley 87726 Y Y Prior to initial submission, provider must first contact John Deere at (309) 765-1593, toll free (866) 509-1593 to receive provider id. only valid until 4/15/14. after that date use 87726
United Healthcare--Metrahealth/Metropolitan 87726 Y
United HealthCare--Travelers 87726 Y
United Medical Aliance 84132 Y
United of Omaha 71412 Y
United Teacher Assoc Ins Co 13193
UnitedHealthcare Community Plan New York 87726 Y For DOS on or after 09/01/13.
Universal Care of California 33001 Y
University Family Care 09830 Y
University Family Care - Maricopa Health Plan 09908 Y Remits come back under 09830
University Health Plan of NJ 22329 Y Y
University of Illinois at Chicago, Div of Specialized Care f 37601 Y
University of Missouri 25133 Y Y
University of Washington Students & Graduate Appts 91136 Y Please enter Group # (P67) when submitting
UPMC Health Plan 23281 Y Y
UPMC Health Plan ( Pittsburgh, PA ) 23281 Y Y
UPMC Vision Advantage 25184
Upper Peninsula Health Plan (Marquette, MI) 38337 Y
US Benefits (Portland, OR) 93092 Y
USAA (United States Automobile Assoc.) 74095 Y
USFHP - St. Vincent Catholic Medical Centers of NY 13407 Y Serving parts of New York, NYC, all of New Jersey, Southeastern Pennsylvania, and Western Connecticut. For member eligibility, call 1-800-241-4848
Utah Blue Cross / Blue Shield 12B42 Y Y
Utah Medicaid 12K42 Y Y Y
utual of Omaha Medicare Advantage 82275
VA Fee Basis Programs 12115 Y Y
Valley Preferred 23253 Y
Valor Health plan 43259
Vanderbilt Health Plan 23173 Y
Vanliners Insurance Company 21172 Y
Vantage Health Plan, Inc. 72128 Y Y
VARIPRO 72187
Verdugo Hills Medical Group 66126 Y
Verity National Group 75256 Y
Veterans Affairs Community Care Network VACCN
VHP Community Care 23173 Y
Virgina Premier Medallion 4 VAPRM Y
Virginia Anthem Blue Cross Blue Shield BS923 Y Y
Virginia Medicare VAMCR Y Y Y
Virginia Premier Community Care Plan R7609 Y
Virginia Premier Health Plan 12K83 Y Y Y
Vista Health 25133 Y Y
Viva Health Plan 63114 Y
VNS Choice Medicare 77073 Y
Vytra Healthcare 22264 Y
WA Washington Coordinated Care 68069
Wal-Mart (Blue Card Carriers) 84980 Y
Washington Employers Trust 37294 Y
Washington Medicaid 12K27 Y Y
Washington Medicare WAMCR Y Y Y
Washington State Premera Blue Cross 12B27 Y Y
Waterstone Benefit Administrators 73155 Y
WEA Trust 39151 Y
webTPA/Community Health Electronic Claims/CHEC 75261 Y Y
Wellcare Health Plan, Inc (Encounters) 59354 Y
Wellcare HMO Inc 14163 Y Y
Wellcare of CT 14164 Y 5-9 digit Rendering Provider Network ID required
Wellcare of Florida 59608
Wellcare of Georgia 14163 Y Y
Wellcare of KY 14163 Y Y
Wellcare of Louisiana 14163 Y Y
Wellcare of New York 14163 Y Y 5-9 digit Rendering Provider Network ID required
WellCare of Ohio 14163 Y Y
Wellmed Medical WELM2 Y
WellPath 25133 Y Y
WELS Benefit Plan Office (Milwaukee, WI) 22925 Y
Wenatchee Valley Medical Center 91064 Y
West Coast Stationary Engineers Health & Security Trust Fund 91136 Y Include group# F13 when submitting claims.
West Covina Medical Group 66124 Y
West Suburban Health Providers 80942
West Virginia Family Health Plan 45276 Y
West Virginia Medicaid WVMCD Y Y
West Virginia Medicare WVMCR Y Y
Western Grower's Assurance Trust 24735 Y
Western Grower's Insurance Company 24735 Y
Western Health, Inc. 37306 Y
Western Life 70408 Y
Western Life 70408 Y
Western Mutual Insurance 37247 Y
Western Southern Financial Group (Cincinnati, OH) 31048 Y
Westlake Financial Group Inc. 90560 Y
Weyco, Inc. 38232 Y
William J. Sutton & Co. (Toronto, Canada) 98010 Y
Windsor Medicare Extra 62153 Y Y
Wisconsin Auto and Truck Dealers 39200 Y
Wisconsin Department of Corrections 74101 Y
Wisconsin Medicaid 12K29 Y
Wisconsin Medicare UGMCR Y Y
Wisconsin Physicians Service Insurance Corporation 12X29 Y Y
World Insurance Company ( Omaha, NE ) 75276 Y Payer does not accept Secondary/Tertiary claims electronically
WPPN 34080 Y
WPS Prevea Health Plan 37060 Y
WPS Providers JL Legacy 12901 Y Y
Writers Guild Industry Health ( Burbank, CA ) 23710 Y
Wyoming Medicaid WYMCD Y Y Y
Wyoming Medicare WYMCR Y Y Y
Young Life (Colorado Springs, CO) 75285 Y