ECP Payer Code List -- Professional --
Payer Name Code Enrollment Required ERA 5010 Live Additional Info
Allegiance Benefit Plan Management, Inc. 81040 Y
Health Choice Insurance C 46221 Y
Independent Living Systems 45048 Y
MacNeal Health Providers- CHS 36334 Y
Partners Behavioral Health Management 52613 Y
Providence of Oregon Health Plan SX133 Y
SANTA CLARA FAMILY HEALTH PLAN 24077
Y Y
Y
Y
Y Y
Y Y
Y
Americas 1st Choice Health Plans of South Carolina, Inc. 20553 Y
Americas TPA 41178 Y
AmeriHealth - New Jersey (Non-HMO Claims) SX075 Y Y Y
Coordinated Benefit Plan 14829 Y
Johns Hopkins Healthcare (USFHP) 52123 Y Y New submitters should send in theirBilling NPI and Rending/Servicing NPI.
Kentucky Anthem Medicaid BS160 Y Y
Sage Technologies 37105 Y
1-888-OHIOCOMP R6845
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 Y Claims and ERA's for Minnesota ONLY.
3HAB MCO 3HABM
A & I Benefit Plan Administrators 93044 Y
AAG - American Administrative Group 75185 Y
AARP Medicare Complete 87726 Y Y
AARP Supplemental/Secondary 36273 Y Y
ABC Health Plan of New York 48185 Y
Absolute Total Care 68069 Y Y
Access Health Plan A1680
Access Medical Group 95424
ACCLAIM 64071 Y
ACS Benefit Services 72467 Y Y
ACS Benefits Payer Compass PA331
Activa Benefit Svcs 38254 Y Formerly Amway Corp
Admar Corporation 95285 Y
Administrative Concepts, Inc 22384 Y
AdminOne 37278 Y
Advanced Data Solutions, Inc. 58202 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 Y
Aetna Better Health Connecticut Medicaid 23225 Y
Aetna Better Health of Kentucky 128KY Y
Aetna Better Health of Louisiana 128LA Y
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
Aetna Health Plans 60054 Y Y
Aetna Senior Supplemental Insurance 62118 Y
Aetna TX Medicaid and CHIP 38692 Y
Affiliated Physicians group APG01 Y
Affinity Health Plan 13334 Y Y Y
Affinity Medical Group 46594
Affinity Medicare Advantage 13333
Affordable Benefit Admin 95426 Y
AFTRA Health Fund 13346 Y
AGA 37280 Y
AHPO (Cleveland, OH) 31138 Y
AIG - Workers Comp 19402 Y
Alabama BC BS Medicare Blue Advantage BS000 Y Y
Alabama Blue Shield BS000 Y Y
Alabama Medicaid ALMCD 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 Y
Alaska Medicare AKMCR 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 Y
Alignment Healthcare AHCA1
AllCare AC101
Alliance Behavioral Health Management 23071
Alliance Coal Health Plan 93658
Alliance Healthplans of Wisconsin 88461
Alliance Partners 23172 Y
Alliant Health Plans of Georgia 58234 Y
Allied Administrators (San Francisco, CA) 94177 Y
Allied Benefit Systems 37308 Y 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 Y
Alternative Health (Louisville, KY) AHDSK Delivered to payer via paper
Altius (Utah) 25133 Y Y
AMA Insurance Agency AMAIA Y
Amalgamated Life (aka ALICARE) 13550 Y
AMCO 62176
AmeraPlan 38219 Y
AmeriBen Solutions Inc 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 Chiropractic Network ACN01 Y
American Chiropractic Network IPA of NY (ACNIPA) 41161 Y payer merged with OptumHealth Physical Health and payer code changed from 41160
American Commercial Barge Lines 87726 Y 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 Heritage 77083
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 Insurance Company of Texas 81949 Y
American International Group (Wilmington, DE ) 87726 Y Y
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. (AMS) 81400 Y Y
American National Insurance (ANICO) - (Galveston, TX) 74048 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 Specialty Health (ASHLink) ASHP1 Y
American Therapy Administrators ATHAL
American Worker Health Plus 37322 Y
Americas 1st Choice Health Plans of North Carolina, Inc 26078 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 (Ohio, Illinois) 27518 Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically.
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 Illinois 26378 Y
Amerigroup of Georgia 27514 Y Y Effective 1/1/14, Amerigroup has indicated secondary claims can now be sent electronically.
Amerigroup of Louisiana 27514 Y
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 Y ERA only.
AmeriHealth Mercy Health Plan 22248 Y Call 877-234-4272
Amerihealth VIP Care PA 22355 Y
Amerikids Dallas/Fort Worth 26374 Y
AMFirst Insurance 01757
Amida Care 24818 Y
AMVI/Prospect Health Network (Prospect Medical Group) PROSP Y
Amway Corporation (N) 38254 Y
Anchor Benefits Consulting (Maitland, FL) 53085 Y
Ancillary Benefit Systems/Arizona Foundation for Medical Car 86062 Y Include group # when submitting claims
Anthem Healthy Indiana Plan (HIP) BS130 Y Y
Anthem Indiana BS130 Y Y
Anthem Ohio BS332 Y Y Enrollment required for Remittance Advice
APA Partners 16140 Y
APAC (Pinnacle Health Resources) (Prospect Medical Group) PROSP Y
Apex Benefit Services 34196 Y Y
APS Healthcare, Inc. 54160 Y
ARC Administrators CXARC
Arcadian Management Services 77045 Y
Arizona Blue Shield 53589 Y Y
Arizona Health Care Cost (AZ Medicaid) SKAZ0 Y Y
Arizona Medicare AZMCR Y Y Y
Arizona Physicians IPA 03432 Y Y
Arkansas Best 75278 Y Y
Arkansas Blue Cross and Blue Shield SB520 Y Y
Arkansas Blue Cross and Blue Shield R2416 Y Y
Arkansas Empower 12956
Arkansas Medicaid ARMCD Y Y
Arkansas Medicare ARMCR Y Y Y
Arkansas Superior Select 61184
Arnett Health Plans (Lafayette, IN) 95440 Y Requires Unique Provider ID
ASAGEHA 06603
ASR/Physicians Care 38265 Y
ASRM Corp ASRM1
Associated Third Party Administration ATPA1 Y
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 (Fort Mill, SC only) 37313 Y Must verify all claims should go to payer in Ft. Mill, SC.
Assurant Health Re-pricing via Healthspan ASNTH Y
Assurant Health Self Funded 75068
Assurant Health/ASA 58730 Y ERA are available under Assurant payer code 58730
AssureCare/Omnicare 88035 Y
Assured Benefits Administrators (El Paso, TX) 74240 Y
Asuris 93221
Athens Area Health Plan Select 95691 Y
Atlantic Medical Insurance 22285 Y
Atlas Administrators (USA MC) TH004 Y
Atrio Health Plans ATRIO Y
Aultcare ( Ohio ) AULTC Y Y Contact ECP (800) 327-1213
Aultcare HMO AULTC Y 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
Avesis Third Party Administrators 87098 Y
AVMA Group Health and Life Insurance Trust 95266 Use Payer ID 79480
AvMed, Inc 59274 Y
Azeros Health Plans, Inc. 16644 Y
Banner Aetna 67895
Banner Health Co 12X42 Y
Baptist Health Plan 61124 Y Y formerly known as Bluegrass Family Health Inc
Baptist Health Plan Medicare Advantage BHPMA Y
BAY BRIDGE ADMINISTRATORS LLC 06941
BCBS Wyoming 53767 Y
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.
Beacon Health Strategies 95962
Beech Street Corp (Irvine, CA) 95377 Y Must contain payer name
Behavioral Health Systems 63100 Y
Benefit Administrative Systems 36149 Y Y
Benefit Coordinators Corporation (Pittsburg, PA) 25145 Y
Benefit Management Administrators 43471 Y payer id 74266 is invalid...Providers should send claims electronically to Inetico, Payer ID 43471 or by mail to Benefit Management Administrators/Inetico, P.O. Box 173129, Tampa, Florida 33672 after 9/2/2015.
Benefit Management Group 20018 Y
BENEFIT MANAGEMENT SERVICES of NC 56139
Benefit Management Systems, Inc 37212 Y
Benefit Management, LLC 48611
Benefit Plan Administrators (ND) 37286 Y
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 Services Inc. (Akron, OH) – a division of Medical Mu 29076 Y
Benefit Systems & Services, Inc. (BSSI) 36342 Y
Benesight 87265 Y (Formerly known as the TPA)
Berkshire Health Partners (Wyomissing, PA) Call Please call Lori Calpino at (610) 372-8044 ext3019 for Payer Code
Best Life & Health Insurance Co. 95604 Y
Better Health Plans of South California 32006 Y
BIND 25463
Bituminous Insurance Company J1579 Y
Block Vision of Texas BVTX1
Block Vision, Inc. BV001
Blue Choice of South Carolina 00922
Blue Cross and Blue Shield of Vermont SB915
Blue Cross Blue Shield New York Central Excellus SB805 Y Y Y
Blue Cross Blue Shield of Arizona Advantage 77078 Y
Blue Cross Blue Shield of Michigan 32002 Y
Blue Cross Blue Shield of Montana SB751 Y Y Y
Blue Cross Blue Shield Rhode Island SB870 Y Y Y
Blue Cross Community Option (Illinois) MCDIL
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 Promise Health Plan 57115 Y
Blue Shield of Idaho 00611 Y
BlueChoice HealthPlan of South Carolina Medicaid 00403
BMC (Boston Medical Center) HealthNet Plan 13337 Y Y
Boilermakers National Health & Welfare Fund 36609 Y
BOLLINGER, INC. BOLL1 Y
Boon-Chapman Administrators 74238 Y Y
Boulder Administration Services 07689 Y
BPS, Inc. 13310 Y
Bravo Health Inc. 52192 Y 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 Y
BritCay 22286 Y
Broadspire TP021 Y
Brockerage Concepts, Inc 51037 Y
Brodart Company 35182 Y
Broward Health 37314 Y
Brown & Toland Medical Group 94316 Y
Brown and Toland Medical Group BTSS1 Y
Bryan Independent School District 84980 Y
Buckeye Community Health Plan 68069 Y Y
Butler Benefits 42150 Y
C&O Employees Hospital Association (VA ) 23708 Y
California Blue Cross 47198 Y Y California License Number Required
California Blue Shield BS001 Y Y Group number is required. Please contact Blue Shield of CA EDI Customer Service at (800) 480-1221 to verify correct provider information prior to sending claims.
California Medicaid (Medi-Cal) SKCA0 Y Y Y
California Medicare - Northern CA CAMCR Y Y Y
California Medicare - Southern CA CSMCR Y Y Y
Cannon Cochran Management Services, Inc. 71057 Y
Cape Health Plan 38245 Y
Capital Blue Cross PA 23045 Y
Capital District Physicians Health Plan SX065 Y Y
Capital Health Plan 95112 Y
Capital International Management Services 65067 Y
Capitol Administrators 68011 Y
Capitol Community Health Plans 87726 Y
Capitol District Physicians Health Plan (CDPHP) CDPHP Y Y
Caprock Health Plans CAPHP Y
Capstone Health Plan Inc 86044 Y
Cardinal Administrative Services AULTC Y Y
Cardinal Innovations Healthcare Solutions 06607 Y
Care Choices 38269 Y
Care Improvement Plus 77082 Y Y
Care Wisconsin Health Plan (Trizetto) 27004 Y
CareCentrix 11345 Y Y Enrollment required prior to claim submission. Please contact Rebecca Sweetman by email Rebecca.Sweetman@CareCentrix.com
CareCore National 14182 Y
CareCore National (Aetna Radiology Claims) 14179 Y
CareCore National (Oxford Radiology Claims) 14180 Y
CareCore National - Healthnet 14184 Y
CareCore National, LLC - Health Net New Jersey 14185 Y
Carefirst Blue Choice SB580 Y
Carefirst BluePreferred SB580 Y
Carefirst Federal Employees Program (FEP) SB580 Y
Carefirst NCA Indemnity SB580 Y
Carelink Health Plan 25133 Y Y
Caremore CM001 Y Y
CareOregon, Inc 93975 Y
CarePlus Health Plan 95092 Y
CarePlus Health Plans, Inc 65031 Y Formerly Physicians Healthcare Plans
CareSource (Ohio) DAYHP Y Y
CareSource Georgia GACS1
CareSource Humana KY KYCS1 Y
Caresource Indiana Inc INCS1
CareSource West Virginia WVCS1
Careworks 10010
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
Carpenters Health and Welfare Fund of Philadelphia CX101
CASCADE COMPREHENSIVE CARE R7749 Y
Cascade Comprehensive Care R5281 Y
CBSA 41124 Y Y
Cedars-Sinai Medical Network ( Beverly Hills, CA ) 95166 Y
Celtic Insurance 68063 Y
Celtic Insurance CELTC Y
CeltiCare 68069 Y Y
Cement Masons & Plasterers Health & Welfare Trust Grp#F16 91136 Y
Cenpatico - Arizona 68068 Y
Cenpatico - FL 68068 Y Y
Cenpatico - Georgia 68068 Y
Cenpatico - Indiana 68068 Y
Cenpatico - Kansas 68068 Y Y Prior to submitting claims, please call Provider Relations Dept at 1-866-896-7293 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.
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 Meritain) MER04 Y
Center Care for Underwriter's Safety and Claims USC02 Y
CenterCare 13357
CenterPoint Human Services 56122 Y
Centra 75243 Y Use Payer ID 39026
Centra (formerly Health Economics Corp) 75196 Y Use Payer ID 39026
Central California Electrical Workers Health and Welfare Trust NWADM
CENTRAL OHIO PRIMARY CARE SENIOR CARE ADVANTAGE AGL02 Y
Central Reserve Life 34097 Y Y
Central Reserve Life Ins Co 13193
Central States Health & Welfare Funds 36215 Y
Central Valley Medical Group CALL Y Please call to enroll and receive the payer id for this payer
Century Health Solutions 48120 Y For claims with Incurred dates beginning on and after 06/15/2015 use Payer Id 48100.
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)
Chatwins Healthcare Administrators CHAT1 Y
Chautauqua County Health Care Plan ( Maryville, NY) 16600 Y
CHEC - A Subsidiary of Sprint CHECS Y
Chesapeake Life Insurance 59223 Y Valid for mailing address of PO Box 982017, North Richland Hills, TX 76182
Chesterfield Resources, Inc. 34154 Y
Choice One/UTMB CHIP Health Plan UHSCH Y Prior to submitting, call Provider Relations at (281) 652-8700
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 Behavioral Health SX071 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 Health Plan DAYHP Y
Cincinnati Insurance J1562 Y
Citrus Health Care 10207 Y
City of Amarillo Group Healthplan COA01 Y
City of Odessa (Odessa, TX) 75600 Y
Claimsware, Inc. ( Greenville, SC ) 57080 Y
Clearchoice Health Plan/COIHS (Bend, OR) 77201 Y
Clover Health 77023 Y Formerly CarePoint Health
CNA Health Partners, Little Rock 71063 Y
Coastal Administrative Services 77052 Y
Cofinity 38335 Y
Colonial Medical 22284 Y
Colorado Access 84129 Y
Colorado Access (HMO) COACC Y Y
Colorado BCBS BS550 Y Y
Colorado Health OP 49718
Colorado Medicaid COMCD Y Y
Colorado Medicare COMCR Y Y Y
Columbia Cornell Care 25351 Y
Columbus Health Plan DAYHP 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 First (Texas) COMMF Y
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 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
Compsyc 37363 Y
Compusys of Colorado COMPU Y
ConnectiCare, Inc 06105 Y Y
Connecticare- Medicare 78375 Y
Connecticut BCBS BS060 Y Y Anthem
Connecticut General (CIGNA) 62308 Y
Connecticut Medicaid (EDS) SKCT0 Y Y Y
Connecticut Medicare CTMCR Y Y Y
Consociate Group ( Decatur, IL ) 37135 Y
Consolidated Associates Railroad 75284 Y
Consolidated Group/HPS 04274 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 Children's Health Plan CCHP1 Y
Cook Childrens Star Plan CCHP9 Y
Cook Group Health 35149 Y
Cooperative Benefit Administrators-CBA 52132 Y Y P.O. Box 6249 Lincoln, NE 68506-0249/ For Claims with Dates of Service on and after 1/1/2014, discontinue use of the Payer ID 52132 and submit claims to UMR - WAUSAU/UHIS, payer ID 39026
Cooperative Managed Services 35199 Y
Coordinated Medical Specialists 58204 Y
Core Administrative Services 58231 Y
CoreSource 35182 Y Y MD,PA,IL,AZ,MN,NC,IN
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
Cornerstone Benefit Admin 35202 Y
Corporate Benefit Services of America ( CBSA ) (MN) 41124 Y Y
Corporate Benefits Services ( Charlotte, NC ) 56116 Y
Corporate Systems Administration ( Johnson City, TN ) 37246 Y
Correctional Medical Services 43160 Y
Country Life Ins. Co. 62553 Y
Covenant Administrators (Atlanta, GA) 58102 Y
Covenant Management SYS Employ Bene CMSEB Y
Coventry Health Care 25133 Y Y
CoventryCares 25133 Y Y
Cox Health Plan 00019 Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.
Creative Medical Systems 64068 Y
Creative Plan Administrators 37320 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 Benefit Administrators (Lacrosse, WI) 39170 Y
Custom Design Benefits Inc 82056
Dart Member Care CB987
Davis Vision 00157 Y
Dean Health Plan (Pewaukee, WI) 39113 Y Y
Definity Health (Amherst, NY) 64159 Y
Delaware Blue Cross Blue Shield BS570 Y Y
Delaware Medicaid DEMCD Y Y
Delaware Medicare DEMCR Y Y Y
Delta Health Systems DHS01 Y
Denver Health Medicaid Choice (Denver, Co) 84133 Y
Denver Health Medical Plan (Denver, CO) 84135 Y
Denver Health-Indigent (Denver, CO) 84134 Y
Department of Veterans Affairs Health Net 68021 use for services provided in the states of CT DE GA IA ME MD MA MI MN MT NE NH NJ NY NC ND OH PA RI SC SD UT VT VA WI WY AND EAST TX
Department of Veterans Affairs - Region 3 VAPCCC3 Y Y
Department of Veterans Affairs - Region 3 VAP03 Y use for services provided in the states of Alabama, Arkansas, Florida, Illinois, Indiana, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee and West Virginia
Department of Veterans Affairs - Region 5A VAP5A Y Y use for sevices provided in the states of Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, West Texas and Washington
Department of Veterans Affairs - Region 5B VAP5B Y Y use for services provided in the states of Hawaii, American Samoa, Guam and the Northern Mariana Islands
Department of Veterans Affairs - Region 6 VAP06 Y Y use for services provided in the state of Alaska
Deseret Mutual SX105 Y Y Y
Desert Medical Group code DESRT
Destiny Health 36436 Y
Detroit Medical Center 56240 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
DiaTri, LLC 36439 Y
Directors Guild of America-Producer Health Plan 23706 Y
District of Columbia Medicare DCMCR Y Y 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)
Dreyer Health DREYR Y
Driscoll Children’s Health Plan 74284 Y
Dunn and Associates Benefits Administrators 35186 Y
E-V Benefits Management (Columbus, OH) 34159 Y
EARLY INTERVENTION CENTRAL BILLING 36434 Y
East Bay Medical Network 94318 Y Network ID requird on all claims. Call Mercy Aguas at 510 627-4763 to obtain Network ID prior to first submission.
East Pointe Behavioral Health 08044
Eastland Medical Group 66122 Y
Eastpointe 80440 Y
EBMS SX182
EBMS (Employee Benefit Management Services, Inc.) 81039 Y
EHI (Employers Health Insurance) 73288 Y As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
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.
Elmco 37253 Y
Emerald Health Network (All PPO Business) 34167 Y
EMHS Employee Health Plan 16565
EMI (Eye Management Inc) 65062
EMPHESYS 73288 Y As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
Empire Blue Cross Blue Shield (New York Only) BS803 Y Y
Empire Medicare (Downstate New York Only) NXMCR Y Y
Empire Physician's Medical Group EMP01
Employee Benefit Admin and Mgmt 95288 Y
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 Management Svcs. (MT or Salt Lake City, UT) 81039 Y
Employee Benefit Services ( Charlotte, NC ) 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 Health 73288 Y As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
EMPLOYERS HEALTH COOPERATIVE (EHC) MIDSC Y
Employers Life Ins Corp 37249 Y
Employers Mutual (Jacksonville, FL) 59298 Y
Employers Mutual (Stuart, FL) 59331 Y
Encircle PPO 35206 Y
ENH Medical Group IPA 36364 Y
Enstar Natural Gas - Grp. #P61 91136 Y Please include group number when submitting claims.
Entrust 36878 Y
Envoy Health Network ( Ft.Wayne, IN ) 35206 Y
Envoy Health Network ( Hillview, KY ) 35206 Y
EON Health 73780 Y
Epic Life Insurance epicl Y Y
Epoch Group 28777 Y
EQUICOR 62308 Y
EQUICOR-PPO 62308 Y
Equitable (CIGNA) 62308 Y
Equitable Plan Services (Oklahoma City, OK) 73126 Y
Erin Group Administrators (Lancaster, PA) 23250 Y
ERISA 74234 Y
ES Beveridge and Associates 34108 Y
Essence Healthcare 20818 Y Y
EVERCARE (All States) 87726 Y
Evergreen Health Cooperative 93240 Y Y
Evergreen Health Plan 58233 Y
Evolutions Healthcare Systems 59313 Y
Excellus - Blue Cross/Blue Shield Rochester Area SB804 Y Y Y
ExclusiCare 71412 Y
Eye Specialists BVES1 Legacy Provider ID may be required.
EyeMed Vision Care 85431 Y
Eyequest 63740
F.A. Richard & Assoc TP044 Y Y
Facey Medical Foundation 95432 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 - 31472 Y
Family Health Plan 96865 Y
Farm Family (Albany, NY) 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 Care Southwest (Texas) FCARE Y
First Carolina Care 56196 Y
First Choice (CT) 14163 Y Y
First Choice (CT) 14162 Y Render Provider Network ID required.
First Choice Health Network 91131 Y
First Choice of Midwest (PPO) 75138 Y
First Choice VIP Care Plus - SC 77009 Y 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
First Priority 23241 Y Beginning 1/8/2007, all new providers must enroll with First Priority Health/Blue Cross of Northeastern PA prior to submitting electronic claims. Enrollment form available at: http://www.bcnepa.com/EDI/registrationForm.aspx
First Solution FS802 Y
First State Health Plan 63080 Y
FIRSTCARE 94999 Y Y
Firstcare - Medicaid 94998 Y Y
FirstGuard Health Plan 90060 Y Call Karen Joslin at 816-922-7225 to verify provider ID.
FirstGuard Missouri (Kansas City, MO) 90061 Y Provider ID Required
Fitzharris & Company (Farmingdale, NY) 11244 Y
Florida Blue Cross BlueShield BS590 Y Y
Florida First 59276 Y
Florida Health Care Plan 59322
Florida Hospital Waterman 48116 Y
Florida Humana 61101 Y
Florida Medicaid FLMCD Y Y Y
Florida Medicare FLMCR Y Y Y
FloridianCare APBPN 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
Fortis Self-funded Admin Svcs. 41124 Y Y
Foundation Benefits Administration BOONG Y
Foundation Health Plan ( Sunrise, FL) 59257 Y
Fox Valley Medicine Site 199 FVMCH Y
Fox Valley Medicine Site 451 FVMC1 Y
Fox-Everett - Ingalls Ship Building 64067 Y
Fox-Everett, Inc. 64069 Y
Freedom Health Plan 41212 Y
Freedom Life Insurance of America 62324 Y
Fresenius Medical Care Health Plan FMCHP Y
Fringe Benefit Management (FBMC). 59069 Y
Fringe Benefits Coordinators 59204 Y
FrontPath Health Coalition 34171 Y
G.E. Group Administrators Texas 75238 Y Formerly Phoenix Group Services - Texas
Gallagher Bassett TP057 Y Payer ID is for Workers Compensation claims for all states.
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 - Medicare Assured; 60550 (Yellow Card). Please check the ID card to verify the Payer ID before submitting claims. If you have questions, please contact Gateway Provider Servicing Department at 1-800-685-5205.
Gateway Health Plan Medicaid PA 25169 Y Y 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.
Gateway Health Plan OH- Medicare Assured 91741
Gateway Healthy PA 05506 Y
Gateway IPA (Pinnacle Health Resources) (Prospect Medical Group) PROSP Y
Gateway to Better Health 4317M
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
Genelco (St. Louis only) 63665 Y
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 Blue Cross 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
GI Innovative Management 58204 Y
GIC Indemnity Plan 80314 Y Y
Gilsbar, Inc 07205 Y Y
Global Care Inc. 07689 Y
Global Excel Management GEM01
Golden Rule Insurance Co. 37602 Y Y Please include group number when submitting.
Golden Triangle Physician Alliance GTPA1 Y
Good Samaritan Medical Practice Association AMM01 Y
Government Employee Health Association (GEHA) State of TX Dental Plan 57254 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 62308 Y Y
Great-West Healthcare 80705 Y
Greentree Administrators 78521 Y
Group & Pension Administrators 48143 Y 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 of Puget 91051 Y Y Western Washington state. Please call (206) 901-6347 prior to first submission of production claims.
Group Health Insurance--DE 61101 Y
Group Health Managers (Redford, MI) 38194 Y 9-digit numeric insured ID required
Group Health Northwest 91121 Y Eastern Washington State and Northern Idaho. Signed provider agreement required - please call (509) 241-7317 prior to submitting claims.
Group Insurance Service Center (Pembroke, MA) 37276 Y
Group Practice Affiliates 68068 Y 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 75196 Y Use Payer ID 39026
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 Health-Kansas formerly known as Fiserv Health-KS 62061 Y Formerly Willis Admin Services Corp/ Harrington
Harris Methodist Health Plan 95959 Y
Harvard Community Health Plan 04245
Harvard Pilgrim Health Care 04271 Y
Hawaii Management Alliance Association (HMAA) 48330 Y
Hawaii Medicare HIMCR Y Y Y
HCC Life Insurance HCCMI
HCH Administration (Illinois) 37111 Y
HCH Administration, Inc 37215 Y Formerly John P. Pearl Assoc.
HCHA Albq-Self Funded 37329 Y
HCS-Health Claims Service (Boise, ID) 82018 Y
HDM Benefit Solutions TH070 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 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 EZ 16120 Y
Health First Health Plans 95019 Y
Health First--Tyler, TX 75234 Y
Health Future, LLC 30946 Y
Health Market Care Assured 62295 Y
Health Net--California & Oregon 95567 Y Y
Health Net-Arizona 38309 Y Y Payer requires unique provider ID; please call the Provider Call Unit at 800-289-2818
Health Network America (Eatontown, NJ) 20199 Y
Health Network One 65062 Y Y Payer covers the following plans: HS1 Medical Management, Health Network One, Eye Management, Inc., HN1 Therapy Network, Care Access Health Plan.
Health New England 04286 Y
HEALTH OPTIONS OF ILLINOIS, INC NAHOI Y
Health Partners (Jackson, TN) 62157 Y
Health Partners, AL aka HealthSpring 63092 Y
Health Partners, PA 80142 Y
Health Partners, Southeast 63092 Y
Health Payment Systems 20270 Y
Health Plan Management ( Lake Bluff, IL ) 37221 Y
Health Plan Management Services 63719
Health Plan of Colorado 95412 Y
Health Plan of Michigan 83253 Y Y
Health Plan of Upper Ohio Valley HPUOV Y Y
Health Plans Inc. 44273 Y
Health Services For Children-Special Needs 37290 Y
Health Services Management 41150 Y Y Y
Health Services Preferred (HSP) by Emerald Health 34167 Y
Health Systems International 27008 Y
Health Value Management--DE (Humana) 61101 Y
Healthcare Benefits 84980 Y
Healthcare Management Administrators (HMA) HMA01 Y
Healthcare Options EPF37 Y Y
Healthcare Partners, IPA 11328 Y
Healthcare Solutions Group (Muskogee, OK) 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 59608 No secondary claims.
Healthease 14163 Y Y
Healthfirst Inc 80141 Y Y If requesting ERA's you must enroll for EFT's with this payer.
Healthfirst of Austin 75289 Y
Healthfirst TPA (Tyler, TX) 75234 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
Healthnet - California 95570 Y Encounters ONLY (Health Net assigned ID required)
HealthPartners MN HPART Y Y Y
HealthPlan Services (Tampa only) 59140 Y
HealthPlus of Lousiana 95009 Y
Healthplus of Michigan HPLUS Y Y
HealthPlus of Michigan 38216 Y Y
HealthSCOPE Benefits, Inc 71063 Y Y
Healthsmart Accel 75237 Y
HealthSmart Benefit Solutions 37272 Y Formerly Wells Fargo TPA, Inc., (Newnan GA and Fayetteville, NC)
HealthSmart Benefit Solutions 87815 Y Formerly Wells Fargo TPA, Inc., (Charleston, WV)
Healthsmart Preferred ( Lubbock, TX ) 75250 Y
Healthsource CMHC 02041 Y
Healthsource Massachusetts Inc 02041 Y
Healthsource Provident Adminstrators 68195 Y
Healthsource, AR 71074 Y
Healthsource, AR (Medicare HMO) 71075 Y Payor requires provider ID; call 800-831-6654
Healthsource, GA 58210 Y
Healthsource, IN 35167 Y
Healthsource, KY 61127 Y
Healthsource, ME 01041 Y
Healthsource, NC 56147 Y Requires unique provider ID. Contact 800-909-2227 x 5760
Healthsource, NH 02038 Y
Healthsource, North Texas 75255 Y
Healthsource, OH 31141 Y
Healthsource, SC 06119 Y
Healthsource, TN 62129 Y
Healthsource/Hudson Health Plan 13335 Y
HealthSpan 34092 Y Formerly known as Kaiser Permanente of OH.
HealthSpan RH007
HealthSpan Network Repricing HSPAN Y
HealthSpan, Inc 31434
HealthSpring of Alabama 63092 Y
HealthStar, Inc 36332 Y Formerly The Oath-A Health Plan for Alabama
Healthsun Health Plans HESUN
HEALTHWAYS WHOLEHEALTH NETWORKS 58213 Y
Healthy Options (DSHS) 91051 Y
HEALTHYBLUE 00661 Y
Heritage Consultants 59230 Y Western WA
Heritage Consultants ( Auburndale, FL ) 59230 Y
HERITAGE IPA HER01 Y
Heritage New York Medical Group 11328 Y
Heritage Physician Network HPN11 Y Y
Heritage Physician Network-Encounters onl ENCTR Y
HFN, Inc. 36335 Y
Highmark BCBSD Health Options Inc. 47181 Y
Highmark- Key Family 35145
Hillcrest Benefit Administrators (Maitland, FL) 59347 Y
Hinsdale Physician Healthcare NAHIN Y
HIP - Health Insurance Plan of Greater New York 55247 Y Y
HMA Hawaii 86066 Y
HMO Blue Star Plus ( Texas ) HMOBS Y
HMO Colorado. COHMO Y
HMO Louisiana Inc 84555 Y Y
HMPK, Inc. 61101 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 Blue Cross Blue Shield of New Jersey 22099 Y Y Y
Horizon Mercy (NJ)/Horizon New Jersey Health 22326 Y Y
Hotel Employees & Restaurant Employees Health Trust Grp# F19 91136 Y Call 877-234-4273
Hplan, Inc 61101 Y
HPR 94254 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
Humana Care Plan 61101 Y
Humana Encounters 61102 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
Humana Veterans Healthcare/VA Hero 61120 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
IBEW LOCAL ONE HEALTH AND WELFARE (MENTAL HEALTH) 44602
IBI 41124 Y Y
ICM 37296 Y
Idaho Blue Cross BS612 Y Y
Idaho Medicaid IDMCD Y
Idaho Medicare IDMCR Y Y Noridian requires new enrollees to test 10 claims to pass their first level edits. This needs to be completed in order to move to production.
IHG Direct 75274 Y
ILCBH 68068 Y
Illinicare 68069 Y
Illinois BlueCross/Blue Shield BS121 Y Y
Illinois Central Hospital Assoc (Tinley Park, IL) 36600 Y Y
Illinois Health Partner DMG01
Illinois Medicaid ILMCD Y Y enrollment is an online process through payers web portal - Illinois Medicaid Program Advanced Cloud Technology (IMPACT). Enter code 7095949 when asked for the billing agent ID
Illinois Medicare ILMCR Y Y Y
IMA of Louisiana Inc. 72091
Imcare 41600 Y
IMS Management Services IMSMS Y
IMX Easy 86070 Y
INDECS Corp (Lyndhurst, NJ) 40585 Y
Independence Administrators TA720 Y Y
Independence Blue Cross 54704 Y
Independent Health IHLTH Y Y Y
Indian Health Services SX171 Y Providers should contact BCBSNM Customer Service Department at 1-800-225-0241 before sending claims.
Indiana BlueCross/Blue Shield BS130 Y Y
Indiana Comprehensive Health Insurance Association (ICHIA) BS130 Y Y
Indiana Department of Health - Children's Health 35600 Y Y
Indiana Medicaid INMCD Y Y
Indiana Medicare INMCR Y Y Y
Indiana ProHealth Network 35161 Y Y
Indiana Teamsters Health Benefits Fund (Indianapolis, IN) 35107 Y
Indiana University Health Plan 95444
Individual Health Insurance Companies 31053 Y Formerly Local 135 Health Benefits Fund
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 36348 Y Claims with dates of service beginning 5/1/2015 should be submitted using the new Payer ID 85578.
Ingalls Provider Group 85578 Y
InHealth, Inc. 31112 Y
Inland Empire Health Plan IEHP1 Y This payer does not accept secondary or tertiary claims electronically. Claims must be sent on Paper.
Innovative Healthware Solutions 23266 Y
INS Health Services VAICE Y
Insurance Administrators of America, Inc 37279 Y
Insurance Claims Services ( Birmingham, AL ) 63082 Y
Insurance Design Administrators 13315 Y
Insurance Service of Lubbock ISL11 Y
InsuranceTPA.com 39182 Y
Insurers Administrative Corp IAC01 Y
Insurers Administrative Corp. 86304 Y
Integra Administrative Group (Seaford, DE) 51020 Y
Integra Group 31127 Y
Integra Group ( Cincinnati, OH ) 31127 Y
Integra Group CHA 31129 Y
Integral Quality Care 23229
Integranet INET1 Y
Integrated Care Network (ICN) 34167 Y
Integrity Benefit Network ( Marietta, GA ) 58200 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, Inc. IMGIN 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 Y Active 07/01/2016, replaces 10262
Iowa Benefits - Meritain Health Minneapolis 41124 Y Y
Iowa Blue Cross/Blue Shield BS140 Y Y Y
Iowa Medicaid IAMCD Y Y Y
Iowa Medicare IAMCR Y Y Y
J. F. Molloy and Associates, Inc. 61271 Y
JI SPECIALTY SERVICES, INC JISSP Y
John Alden Life Insurance Co. 41099 Y Y
John Muir/Mt Diablo Health Network (Walnut Creek, CA) 68036 Y Certification required; please contact payer.
John P. Pearl and Associates 37215 Y
Johns Hopkins Healthcare (EHP/PP) 52189 Y
Joplin Claims 43178 Y
JP Farley Corporation 34136 Y formerly BMI
Kaiser (Colorado except Colorado Springs) COKSR Y Y
Kaiser Foundation Health Plan ( Mid-Atlantic States ) 52095 Y Y
Kaiser Foundation Health Plan of Colorado 91617 Y Y
Kaiser Foundation Health Plan of Georgia 21313 Y Y
Kaiser Foundation Health Plan of MD 52095 Y Tara Kremer 404-949-5043
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
Kaiser Foundation Health Plan of the Northwest 93079 Y This payer id only to be used to submit claims for Oregon and Washington Kaiser Permanente members.
Kaiser Permanente 94320
Kaiser Permanente (Colorado Springs) KSRCS Y
Kaiser Permanente Health Plan of Hawaii 94123 Y
Kansas Blue Shield BS650 Y Y
Kansas City Blue Cross Blue Shield BS740 Y Y Y Enrollment is required
Kansas Medicaid KSMCD Y Y
Kansas Medicaid SKKS0 Y
Kansas Medicare KSMCR Y Y Y
Keenan Associates (CA) 95279
Kelsey Seybold KELSE Y
Kempton Company 73100 Y
Kempton Group Administrators 73100 Y
Kentucky Blue Shield (Anthem) BS160 Y Y
Kentucky Health Administrators, Inc. 27215 Y
Kentucky Health Cooperative 77894 Y
Kentucky Medicaid KYMCD Y Y Y
Kentucky Medicare KYMCR Y Y Y
Kentucky Passport 61325 Valid for DOS on and after 10/1/2017
Kentucky Spirit Health Plan 68069 Y Dates of service on or before 7/5/2013
Kern Health Systems 77039 Y 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 77741 Y Plan effective 12/12/17. Payer encourages early enrollment for EFT/835
Keystone First Community HealthChoices 42344 Y
Keystone Health Plan Central 23045 Y
Keystone Health Plan East KEYHE Y Y Y
Keystone Health Plan West BS362 Y Y
Keystone Mercy Health Plan 23284 Y Y
Keystone Mercy Health Plan East KEYHE Y Y Y
Keystone VIP Choice 84223 Y
Klais & Company 34145 Y
Korean American Medical Group 66123 Y
KPS HEALTH PLANS KPS01 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 IPA 95416 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
Landmark Healthcare LNDMK Y Payer accepts secondary claims electronically.
LBA Health Plans 52193 Y
Liberty Health Advantage 87071
Liberty Mutual - Workers Comp 33600 Y
Liberty Union/Life Assurance Company 37281 Y
Life Investors Inc Co of America LIICA Y Specialized claims only. Call 866-745-3545 with claim routing questions.
Life Trac (Golden Valley, MN) 41136 Y
Lifeprint LIFE1 Y
Lifestyle Health Plans 27005
LifeSynch 61104
Lifetime Benefit Solutions EBSRM
Lifewise of Oregion 93093 Y Y Include group # when submitting claims
Lifewise, A Premera Healthplan ( Bend, OR ) 93093 Y Y
Lifwise of Oregon 93093 Y Y Include group # when submitting claims
Lincoln National (Green Bay and Madison, WI) 73288 Y As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
Lincoln National--Phoenix, AZ (Humana) 61101 Y
Linn County (Dallas, TX) 75283 Y
LIPA/Agate Resources LIPA1 Y
Local 135 Health Benefits 35107 Y
Loma Linda University 37267 Y
Lone Star TPA 45289
Louisiana Blue Shield BS738 Y Y Y
Louisiana Health Cooperative 28680
Louisiana Healthcare Connections 68069 Y Y
Louisiana Medicaid LAMCD Y Y Y Call ECP
Louisiana Medicare LAMCR Y Y Y
Loyal American Life Ins Co 13193
Machinist District 9 Welfare 37292 Y
Magellan Health Services 01260 Y Y
MagnaCare 11303 Y
Magnolia Health Plan 68069 Y Y
Mail Handlers Benefit Plan 25133 Y Y
Maine Blue Cross Blue Shield BS680 Y Y
Maine Community Health Options 45341 Y
Maine Medicaid MEMCD Y 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 (MHN) 22771 Y
Managed Health Services Indiana (Medicaid HMO) 68069 Y 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
March Vision Care Inc. 52461
Marion Polk Community 33711
Marion Polk Community Health Plan 33711
Marrick Medical Finance 20805
Martin's Point Health Care USFHP / Generations Advantage MPHC2 Y
Maryland Blue Cross Blue Shield SB690 Y Y
Maryland Medicaid SKMD0 Y Y
Maryland Medicare MDMCR Y Y Y
Maryland Physicians Care 22348 Y
Maryland Public Mental Health SX069 Y Y
Mashantucket Pequot Tribal Nation 37121 Y Requires Rendering Provider ID
Massachusetts Blue Cross Blue Shield BS200 Y Y Y
Massachusetts Medicaid aka MassHealth MAMCD Y Y
Massachusetts Medicare MAMCR Y 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
McKinley Life Insurance Co AULTC 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
MDWise Exchange Market Place 45627 Y
MDwise Healthy Indiana Plan 3135M Y
MDwise Healthy Indiana Plan 31354 Y
MDWise Hoosier Alliance 20475 Y Y
MDwise Hoosier Care Connect 91313 Y
MDwise Hoosier Healthwise 35191 Y
MDwise Hoosier Healthwise Hospital 3519M Y
MDwise, Inc. SX172 Y Y
Med Pay 88058 Y
MedAdmin Solutions 58204 Y
MedAdmin Solutions 58202 Y
MedBen 74323 Y Newark, OH
MedCom 59231 Y
MedCost / Liberty Health Share 90753
MedCost Benefit Services (Winston-Salem, NC) 56205 Y
MedCost, Inc. 56162 Y
Medfocus 95321 Y
Medi-Cal Vision SKCA1 Y
Medica 94265 Y Y
Medica Health Care Plan (Florida) 78857
Medica Health Plan Solutions 71890 Y
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, OH
Medical Benefits Mutual Life Insurance Co. 74323 Y Y Newark, Ohio
Medical Claims Service Inc. 04258 Y Located in Newark, Ohio
Medical Mutual of Ohio 29076 Y Y
Medical Network of Colorado Springs CSMED Y
Medical Pathways 33029 Y
Medical Plan of Kansas City-MO 61101 Y
Medical Resource Network--Atlanta, GA 58203 Y
Medical Value Plan--Ohio (MVP) 38224 Y
Medicare Plus Blue - BCBS of Michigan MB710 Y Y Online emrollment required
Medicare--DME Region A DMERA Y Y Y use for patients residing in the following states:connecticut,delaware,district of columbia,maine,maryland,massachusetts,new hampshire,new jersey,new york,pennsylvania,rhode island,vermont
Medicare--DME Region B DMERB Y Y Y use for patients residing in the following states:illinois,indiana,kentucky,michigan,minnesota,ohio,wisconsin
Medicare--DME Region C DMERC Y Y Y use for patients residing in the following states:alabama,arkansas,colorado,florida,georgia,louisiana,mississippi, new mexico,north carolina,oklahoma,puerto rico,south carolina,tennessee,texas,us virgin islands,virginia,west virginia
Medicare--DME Region D DMERD Y Y Y use for patients residing in the following states:alaska,american samoa,arizona,california,guam,hawaii,idaho,iowa, kansas,missouri,montana,nebraska,nevada,north dakota,northern mariana islands,oregon,south dakota,utah,washington,wyoming
Medico Insurance Company 23160
Medigold aka Mt Carmel Halth 95655 Y
Mediplan AULTC Y Y
Mediview, Inc. STAR1
MedPartners Administrative Services 35205
MedRisk J1956 Y
MEDSOLUTIONS, INC (NASHVILLE, TENNESSEE) 62160 Y Y
MedStar Family Choice 39190 Y
Medstar Physician Partners 00243 Y
MEGA Life & Health (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
MEGA Life and Health Insurance (North Richland Hills, TX) 59221 Y
MEGA Life and Health Insurance (Oklahoma City, OK) 59227 Y
Memorial Clinical Assiciates MCA11 Y
Memorial Hermann Health Network MHHNP Y
Mennonite Mutual Aid Association and Affiliates (MMA) 35605 Y
Mercy Care Plan (Phoenix, AZ) 86052 Y Y
Mercy Health Plans 43166 Y
Mercy Maricopa Integrated Care 33628 Y
Mercy Provider Network 43185
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 62168 Y
Metro Plus Health Plan 13265 Y Y
Metropolitan Health Plan 10850 Y Y
METROWEST HEALTH PLAN-PREFERRED CARE MWP01 Y
MHN (Managed Health Network) 22771 Y
MHNet Behavioral Health 74289 Y Y
MHP Systems 64068
Michael Reese Physicians Group ( Hindsdale, IL ) 37127 Y
Michigan Blue Care Network 77910 Y Y Y If interested in ERA's, go online and add ERA to your profile designating The Consult/ECP as your receiver. You must be enrolled for electronic billing with BC/BS MI to send to this payer.
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
Micron Tech aka DakotaCare 96598
Mid Atlantic Psychiatric Services, Inc. 52149 Y 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
Mid-West National Life Ins ( Tennessee) 59224 Y
Mid-West United Life (Student Division) 74227 Y Requires Unique Insured ID #. 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 Please include group policy # when submitting claims.
Midlands Health Partners (Nebraska/Iowa) 47080 Y
Midwest Health Plans MHP77 Y
Midwest Physicians Administrative Services TH088
MIDWEST PREFERRED MIDSC Y
MIDWEST SECURITIES MIDSC Y
MIDWEST SECURITY ADMINISTRATORS (MSA) MIDSC Y
MIDWEST SECURITY INSURANCE CO. (MSIC) MIDSC Y
Minnesota Blue Cross Blue Shield BS720 Y Y
Minnesota Medicaid MNMCD Y Y
Minnesota Medicare MNMCR Y Y Y
Minuteman Health 01776
Mississippi Blue Cross/Blue Shield (incl State & Teachers) BS230 Y Y Y
Mississippi Health Partners 64068
Mississippi Medicaid MSMCD Y Y
Mississippi Medicare MSMCR Y Y Y
Mississippi Physicians Care Network 64084 Y
Mississippi Public Entity Employee Benefit Trust 37233 Y
Mississippi Select Healthcare 64088 Y
Missoula County Medical Benefits Plan 37275 Y Also DBA Select Administrative Services (SAS)
Missouri Blue Cross/Blue Shield BS999 Y Y
Missouri Care/ MC 00530 Y Missouri Care Requires Medicaid Provider ID in Box 33a.
Missouri Medicaid MOMCD Y Y
Missouri Medicare MOMCR Y Y Y Rendering Provider ID Required
Missouri Medicare Select MMS01
MMA 35316 Y
MMSI 41154 Y Y
MO Missouri Home State Health Care 68069
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
Montana Medicaid MTMCD Y Y
Montefiore CMO ( Yonkers, NY ) 13174 Y The provider is responsible for contacting the payer directly for enrollment information. If asked, provider will be sending through the EMDEON clearinghouse
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 Y
Motion Pictures Industry 99282 Y
Motorola ( Scottsdale, AZ ) 36111 Y
Mountain Medical Affiliates 84095 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 Wisconsin Preferred Provider Network 34080 Y
Muskegon Care A1681
Mutual Benefit 70408 Y
Mutual Group, The (US) 59140 Y
Mutual Health Services 34192 Y Y Payer formerly known as: Antares Management Solutions
Mutual of Omaha Insurance Co. 71412 Y Y
Mutually Preferred 71412 Y
MVP Health Plan of NY 14165 Y Y
N.W. Ironworkers Health & Security Trust Fund Grp#F15 91136 Y
N.W. Roofers & Employers Health & Security Trust Fund Grp#F2 91136 Y
N.W. Textile Processors Grp#F14 91136 Y Please include group#
NAA/North American Administrators (Nashville, TN) 65085 Y Y Please include group#
NABN (Cleveland, OH) 34159 Y
NALC (National Association of Letter Carriers) 53011 Y
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 FINANCIAL INSURANCE COMPANY 90956 Y
NATIONAL FOUNDATION LIFE INSURANCE COMPANY 98205 Y
National Health Benefit 88057
National Health Insurance Company 75275 Y
National Imaging Associates SX190 Y Y
National Rural Electronic Coop (NRECA) 52132 Y For Claims with Dates of Service on and after 1/1/2014, discontinue use of the Payer ID 52132 and submit claims to UMR - WAUSAU/UHIS, payer ID 39026
National Rural Letter Carrier Assoc.(Policy#GMG1846) 71412 Y
National Teachers Association NTA11 Y
National Travelers Life (NTL) 37060 Y
National Vision NVADM Y
Nationwide Group 31417 Y
Nationwide Health Plan 31417 Y Y
Nationwide Insurance 31417 Y
NCAS - Charlotte, NC 75191 Y
NCAS - Fairfax, VA 75190 Y
Nebraska Blue Shield BS260 Y Y
Nebraska Medicaid NEMCD Y Y Y
Nebraska Medicare NEMCR Y Y Y
Neighborhood Health Partners 11325 Y Claims with a date of service of 6/1/2013 or after should go to payer code 80141."
NEIGHBORHOOD HEALTH PARTNERSHIP 95123 Y
Neighborhood Health Partnership of Florida 96107 Y
Neighborhood Health Plan (Boston, MA) 04293 Y Y
Neighborhood Health Plan of Rhode Island (NHPRI) 05047 Please call NHPRI at 1-401-459-6020 to obtain or confirm your provider and vendor number prior to your initial claims submission.
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.
Neighborhood Health Providers 11325 Y Claims with a date of service of 6/1/2013 or after should go to payer code 80141."
Netcare Life and Health Insurance (Hagatna, Guam) 66055 Y
Network Health 04332 Y Y Y
Network Health Insurance Corp-Medicare 77076 Y
Network Health Plan Of Wisconsin 39144 Y Use for Network Health Plan HMO and POS claims only. 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 NVMCD Y Y Y
Nevada Medicaid - First Health Services Corp SKNV0 Y Y
Nevada Medicare NVMCR Y Y Y
New Avenues Inc. 95998
New Era Life Insurance Co 75281 Y
New Hampshire Blue Cross Blue Shield BS770 Y Y
New Hampshire Medicaid SKNH0 Y
New Hampshire Medicare NHMCR Y Y Y
New Jersey Charity Care NJMCC Y
New Jersey Horizon Blue Shield 22099 Y Y Y
New Jersey Medicaid NJMCD Y Y Y
New Jersey Medicare NJMCR Y Y Y ALIAS: The New England
New Mexico Blue Cross Blue Shield BS790 Y Y
New Mexico Health Connections 45129 Y
New Mexico Medicaid NMMCD Y Y Y
New Mexico Medicare NMMCR Y Y Y
New West Health Plan 84141 Y
New York Blue Cross Blue Shield BS803 Y Y
New York Blue Cross Blue Shield HealthNow, Western and NothEastern BS800 Y Y Y
NEW YORK LIFE - LTC NYL11 Y
New York Medicaid SKNY0 Y Y Y
New York Medicare (Downstate - EMPIRE) NXMCR Y Y
New York Medicare (UPSTATE) NYMCR Y Y Y
New York Network Management, LLC 11334 Y Y
New York Presbyterian Community 48186 Y Please include group policy # when submitting claims.
New York Presbyterian System Select Health 24819 Y
New York State Insurance Fund (NYSIF) 45052 Y Payer id is for Workers Comp NY 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.
NGS American 38225 Y Y
NHBCAUX 88050 Y
NHC Advantage NHC01 Y
NHC Health Benefit Plan (Murfreesboro, TN) 62124 Y
NHP/SHP (Neighborhood Health Providers and Suffolk Health Pl 11325 Y 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 Blue Shield BS310 Y Y
North Carolina Medicaid NCMCD Y Y Y
North Carolina Medicare NCMCR Y Y Y
North Dakota Medicaid SKND0 Y
North Shore - LIJ CareConnect Insurance Company, Inc. 46227
North Texas Healthcare Network 35212 Y Y
North West Orange County Medical Group PROSP Y
Northeast Georgia Health Services 58169 Y
Northeastern New York BS800 Y Y Y
Northern Claifornia Sheet Metal Worker 38238 Y
Northern Illinois Health Plan 36347 Y
Northern Nevada Trust Fund 88027 Y
Northstar Advantage 60058 Y
Northwest Life PH018 Y
Northwest Suburban IPA (Illinois) 36346 Y
Nova Health Plan 16644 Y
Novasys Health Network ( Little Rock, AR ) 71080 Y
NTCA - National Tele. Contract Association 52103 Y
NTCA - National Telecommunications Coop Association 52103 Y
Nuestra Familia Medical Group (Prospect Medical Group) PROSP Y
Nyhart 37299 Y
Ochsner Health Plan 72127 Y
ODS Health Plan 13350 Y Y
Office of Group Benefits- Louisiana BS738 Y Y
Ohana Health Plan 14163 Y Y
Ohio Blue Shield: Anthem BS332 Y Y
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 Health Group 95435 Y Requires Rendering Provider Number.
Ohio Medicaid OHMCD Y Y enrollment required with exceptions for provider linked to hospitals or facilities not using ECP as their clearinghouse Payer requires group number
Ohio Medicare OHMCR Y Y Y
Ohio PPO Connect 74431
Oklahoma Blue Cross Blue Shield BS840 Y Y
Oklahoma DRS DOC 71065
Oklahoma Medicaid OKMCD Y Y
Oklahoma Medicare OKMCR Y Y Y
Olympic Health Management Systems 91150
OMNI/Medicore HP 68037 Y
Omnicare Medical Group IP088 Y
One Call Medical 22321 Y
One Call Physical Therapy J1716 Y
One Health Plan of California, Inc 95379 Y
One Health Plan of Georgia, Inc 95569 Y
ONE HEALTH PLAN OF ILLINOIS, INC 95388 Y Y
OneNet PPO 52149 Y Professional Services 800-342-6141 or 301-294-5083
Operating Engineers Locals 302 &612 Grp#F12 91136 Y
OptiCare Managed Vision 56190 Y
Optima Health Insurance Co. (Virginia Beach, VA ) 54154 Y
Optima Health Plan ( Virginia Beach, VA ) 54154 Y
Optimum Choice of the Carolina's 52152 Y
Optimum Choice, Inc (OCI) 52148 Y
Optimum Healthcare, Inc. 20133 Y Y
OptumHealth - CMC 41161 Y
OptumHealth Care Solutions 41194 Former Payer ID 52190
Oregon BCBS Regence 00851 Y Y
Oregon Health Mgmt. Services OHMS OHMSP
Oregon Medicaid SKOR0 Y Y Y
Oregon Medicare ORMCR Y Y
OrthoNet - Aetna 13383 Y
OrthoNet - Uniformed Svcs Family Health Plan (White Plains, 13382 Y Claims are printed and mailed to the payer. For Payable USFHP (NY & NJ) outpatient therapy claims only. Contact Theresa Malgioglio at (914) 681-8800
Orthonet Corp. ( White Plains, NY ) 13381 Y
Orthonet-HealthNet 25681 Y
Oscar Health OSCAR
OSF Health Plan OSFIL Y
OSF Health Plan Care Advantage OSFMC Y
OSMA (Oklahoma State Medical Association) 73071 Y
Oxford Health Plan 06111 Y Y
Pacificare Behavioral Health ( Laguna Hills, CA ) 33053 Y
Pacificare Behaviorial Health ( Laguna Hills, CA ) 33053 Y
Pacificare Health Systems ( Cypress, CA ) 87726 Y
PacifiCare of Arizona (Claims only) 87726 Y
PacifiCare of California 87726 Y Y Diane Steele-Smith @ 800-344-3782 x5508
PacifiCare of Colorado 87726 Y Y
PacifiCare of Oklahoma 87726 Y
PacifiCare of Oregon 87726 Y Y Call Carolyn Jordan at 714-226-2421
PacificSource Health Plans 93029 Y Y Call Lynne Jacoby 206 230-7313
PacificSource Medicare 20377
PAI 37287 Y Call Margaret Murphy at 206-230-7475
Pan American Life Insurance Group 04218
Paper Claims PAPER
Paragon Benefits 58174
Paramount ( Ohio ) PRMNT Y Y
Paramount Advantage PRMNT Y
Parity Healthcare (Hollywood, CA) 58204 Y Call ECP (800) 327-1213
Parkland Community Health 66917 Y
Passport Advantage 76569 Y
Passport Advantage 97652 Y
Passport Advantage 66008
Passport Health Plan 61129 Y Y Valid for DOS prior to 10/1/2017
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
Pegasus Medical Group PROSP Y
PEHP (Utah Public Employee Health Plan) SX106 Y Y Y
Pennsylvania Blue Shield BS362 Y Y Y
Pennsylvania Medicaid PAMCD Y Y
Pennsylvania Medicare PAMCR Y Y Y
Pennsylvania Medicare Advantage 15460 Y Y
Pennsylvania Pace 20172
Peoples Benefit Life Insurance Company PBLIC Y
Peoples Health Network 72126 Y Y
Personal Choice- PA PAIBC Y Y Y aka IBC (Independence Blue Cross)
Personal Insurance Administrators, Inc. (Agoura Hills, CA) 95397 Y
Personal Physician Care 34173 Y
PersonalCare 25133 Y Y
PHCS 70408 Y Y
PHCS (Private Healthcare Systems) 13306 Y
PHP of North Carolina, Inc. (Wilmington) 87726 Y
PHP of Greater St. Louis, Inc. 87726 Y
PHP of Greater St. Louis, Inc. CARUS 87726 Y
PHP of Mid Michigan, Inc 87726 Y
PHP of North Carolina, Inc. (Fayetteville) 87726 Y
PHP of North Carolina, Inc. (Greensboro) 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
Phyicians Health Plan (PHP) 37330 Y Y
Physician Associates of Louisiana 58204 Y
Physician Care Network 58204 Y
Physician Partners FHN Medicaid PPRT1
Physicians Care Network (Rockford, IL ONLY) 36345 Y
Physicians Health Association of Illinois 37136 Y Payer ID valid onlyfor claims with billing submission name, city, and state of Physicians Care Network, Rockford, IL
PHYSICIANS HEALTH CHOICE - CLAIMS PHCS1 Y
Physicians Health Collaborative 20398 Y
Physicians Health Plan (PHP) of No. Indiana 12399 Y 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
Piedmont Administrators 56151 Y
Piedmont WellStar Health Plan 251PD Y
PIMA Health PMA86 Y Y
PIMA Health PMA86 Y Y
Pinnacle Claims Management Inc. 24735 Y
Pinnacle Health Resources (Prospect Medical Group) PROSP Y
Pinnacol Assurance 84109
Pipeline Industry Benefit Fund ( Tulsa, OK ) 73074 Y
Planned Administrators, Inc 37287 Y
Podi Care Managed Care 58204 Y
Point Comfort Underwriters PCU01
Poly America Medical & Dental Benefits Plan 32680 Y
POMCO 16111 Y Y
PPOM 38335 Y Requires Provider Group #
PPOPlus, LLC ( Lubbock, TX) 72148 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 (Florida) 65088 Y Rendering Provider ID Required
Preferred Choices 38269 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 Healthcare System 23266 Y
Preferred Network Access (Darien, IL) 36401 Y Requires Insured Group #
Preferred One (CT) a Division of First Choice 14162 Y
PreferredOne (MN) 41147 Y
Premera Blue Cross (AK) 94254 Y
Premier Benefits 43166 Y
Premier Eye Care 65054 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
Presbyterian Salud (NM) PRESA Y
Prestige Health Choice 77003 Y
Prevea Health Insurance Plan 39185 Y Requires Provider #
Primary Health Network 82048
Primary Health Plan PRIME Y
Prime Benefits Systems, Inc.--MO 61101 Y
Prime Care Health Plan UH015 Y
Prime Health of Kansas, Inc.--MO 61101 Y
Prime Vision Health Plan 56190 Y Y
Prime West Health Plan 61604 Y Y
PrimeSource Health Network 23266 Y
Primetime Health Plan AULTC Y Y
Primetime Medical Insurance Co AULTC Y Y
Princeton Premier IPA PRI01 Y
Priority Health 38217 Y Y Payer requests providers to contact them directly for 835 enrollment. Providers may call (800) 942-0954 x 8686 or email edisetup@priority-health.com
PRISM - FIRST HEALTH 37303 Y
Prism - Univera 37315 Y
Prism Network, Inc 37268 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
ProCare (Prospect) PROSP Y
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 Risk Management 34134 Y
Prospect Health Network PROSP Y
Prospect Medical Group PROSP Y
Prospect Sherman Oaks Medical Group (Prospect Medical Group) PROSP Y
Providence Good Health Plan PHP01 Y
Provident American Life & Health Ins Co 13193
ProviDRs Care Network 48100
PSKW PSKW0 Y
Puget Sound Benefits Trust Grp#F25 91136 Y
Puget Sound Electrical Workers Trust Grp#33 91136 Y Please include Group#
Pyramid Life 48055 Y
Quad Med (West Allis, WI) 39197 Y
Qual Choice, Cleveland QUALC Delivered to payer via paper
QUAL-MED, COLORADO EPO QMDCE Y
QUAL-MED, PORTLAND (PO) QMDPO Y
QualCare, Inc. 23342 Y Y
QualCare, Inc. (dba QANI Administrators) A Cigna Company 22312 Y
QualChoice, Arkansas 35174 Y Y
Quality Care Partners 89461 Y
Quality Health Plans QHP01 Y
Quest Behavioral Health 44219
QuikTrip 73067 Y
Quincy Health Care Management ( Quincy, IL ) 37129 Y
QVI Risk Solutions (Bend, OR) 57117 Y
Railroad Medicare RRMCR Y Y Y
RBMS, LLC 91176 Y Y
Regence Group Administrators RGA01 Y
Regency Employee Ben (Port Huron, MI) 38221 Y
Regional Care Inc (Scottsbluff, NE) 47076 Y 9-digit numeric insured ID required
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
Rhode Island Medicaid SKRI0 Y Y
Rhode Island Medicare RIMCR Y Y Y
Right Care from Scott & White 74205 Y
RightChoice Benefit Administrators 37331
Rio Grande HMO 84980 Y
River Quest Network ( Quincy, IL ) 37129 Y
RMSCO 16117 Y
Rocky Mountain Health Plan Grand Junction SX141 Y Y
Rooney Life Inc. 37602 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
Sage & Sage Plus MNDH1 Y
Samaritan Health Plans CP001 Y
Sandhills Center SHC30 Y
Sanford Health Plan 91184 Y Y
Sante Health System and Affiliates (NY, NY) 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
Secura - Workers Comp J1379 Y
Secura - Workers Comp J1422 Y
Secure Health Plans of Georgia (Macon) 28530 Y
Secure Horizons 87726 Y
SecureCare of Iowa 42142 Y Requires Rendering Provider Number.
Security Health Plan 39045 Y Y
Sedgwick (Cargill, Inc) J1661 Y
Sedgwick CMS TP097 Y
Select Benefit Administrators (Des Moines, IA) 42137 Y Benefit plan administrator of St. Louis, MO, Office of the Administrator, Wash. D.C.
Select Benefit Administrators of America (Ashland, WI) 37282 Y
Select Benefit Administrators, Inc 93031 AKA PacificSource Administrators
Select Health of South Carolina 25176 Y
Select Health of South Carolina ( Charleston, SC ) 23285 Y Y
SelectCare 00014 Y
Selectcare of Oklahoma - Tribute SCOK1 Y
SelectCare of Texas (Kelsey-Seybold) 61225 Y
SelectHealth SX107 Y 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 Y
Sendero Health 36426 Y
Senior Care Partners 36390 Y
Senior Whole Health 83035 Y
Sentara Family Care 54154 Y
Sentara Health Management 54154 Y Y
Sentara Health Management ( Virginia Beach, VA ) 54154 Y
Sentinel Management Svcs 23249 Y
Sentry Life Insurance Company (Stephens Point, WI) 39033 Y Y Include group # when submitting claims
Seton CHIP 76056 Y Include group # when submitting claims
Seton Employee Plan SHEBP Y
Seton Employee Plan TH080 Y
Seton Health Plan - ILL/HMO UH005 Y
Seton Health Plan - ILL/PPO UH006 Y
Seton Health Plan Chip SHPCH Y
Seton Map Program (Mediveiw) SHMAP Y
Seven Corners 25404 Y
SGIC 11789
Shasta Administrative Services 75280 Y Y
Sheakly Unicomp R7109 As of 6/1/2017 this payer is no longer returning reports for Claims.
Sheet Metal Workers Local 104 Health Care Plan 38238 Y
ShermanChoice SC359 Y
Sierra Family Network (Prospect Medical Group) PROSP Y
Sierra Health Services (Las Vegas, NV) 76342 Y Y EFT is a requirement to receive ERA transactions from Sierra Health Services
Sierra Health Services (Las Vegas, NV) 76343 Y Encounters
Signature Advantage SA001 Y
Significa Benefit Services Inc. 23250 Y Y
Silverback TPA 37228 Y
Simply Healthcare 27094 Date of service on or before 01/31/2019
Simply Healthcare SMPLY Date of service on or after 2/1/2019
Sinclair Health Plan (South Temple, UT) 84076 Y
SISCO (Self Insured Services Company) 00540 Y
Sloan's Lake Managed Care (N) 84096 Y
Smith Administrators (Ft Worth, TX) 02057 Y
Smoky Mountain Center 13010 Y 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 BS401 Y Y
South Carolina Blue Cross/Blue Shield Federal BS402 Y Y
South Carolina Companion HealthCare BS922 Y
South Carolina Medicaid SCMCD Y Y
South Carolina Medicare SCMCR Y Y Y
South Carolina Planned Administrators BS886 Y Y
South Central Preferred 23266 Y
South Dakota Blue Cross/Blue Shield BS889 Y Y
South Dakota Medicaid SKSD0 Y Y
South Indiana Health Operations SX142 Y
South Indiana Health Options - Prime Care Choice SX143 Y
South Indiana Health Options - TPA SX144 Y
SouthCare/Healthcare Preferred 25147 Y Y
Southeast Texas Gov't EMPS Benefits STGEB Y
Southeastern Indiana Health (SIHO) 77153 Y
Southern Benefit Administrators 62308
Southern Benefit Services LLC 37318 Y
Southern Group Admin (Winston-Salem, NC) 56131 Y
Southern Health Service 25133 Y Y
Southern Illinois Healthcare SIHCA
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 Y CHAMPVA – HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS)
SPOHN Health SPOHN Y
SRC Aetna Affordable Health Choices 57604 Y
St. Anthony Memorial Healthcare Services - 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
St. Francis Health Network 35199 Y
St. John's Claims Admin 37264 Y
St. Margaret Mercy Health Centers-MDWISE 35199 Y
ST. THOMAS MEDICAL NETWORK STM01 Y
Standard Life & Accident 01758
Standard Life & Accident 73099 Y
Starmark 61425 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
State 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
States General Life Insurance 75087 Y
Staywell Health Plan 14163 Y Y
Sterling Medicare Advantage 67829 Y
Sterling Option One (Bellingham, WA) 91151 Y
Stirling and Stirling 06089 Y Rendering Provider Network ID required
Stoner and Associates (Cincinnati, OH) 31121 Y
Stones River IPA – Amerivantage 57492
Stones River Regional IPA- Windsor 15752
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
Summit America Insurance Services (Leawood, KS) 37301 Y Student Accident and Sickness, College Sports and NASCC claims only
Summit Community Care PASSE Y
Sunshine State Health Plan 68069 Y
Superior Administrators, Inc (Santa Ana, CA) 23218 Y
Superior Benefits 23218 Y
Superior Health / Centene Corp SHP11 Y Y
Superior Health Plan of Texas 68069 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.
Superior Vision Services 13305
Sutter Gould CALL Y Please call to enroll and receive the payer id for this payer.
SynerMed 75299
Tall Tree Administrators 88067 Y
TASB (TX Assn of School Boards) TTASB Y
TBG Administrative Services 39157 Y
Teachers Health Trust 88019 Y
Team Choice - Alpha Care Gold ADSL1 Y
Team Choice PPO 75133 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 Y
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 Shield BS400 Y Y
Texas Children's Health Plan (N) 76048 Y Y
Texas Childrens Health Plan (Medicaid) 75228 Y Y
Texas Childrens Star Medicaid TXCSM Y
Texas Christus 45210
Texas First Health Plans - TIOPA 76046 Y
Texas HealthSpring 33104 Y 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 Hartford - Workers Comp J1422 Y
The Health Plan Workers Comp R7140
The Healthcare Group 35206 Y
The Loomis Company 23223 Y Please call 610-374-4040 x 2438 prior to submit
The Loomis Company 2322 Please call 610-374-4040 x 2438 prior to submit
The Mutual Group/HealthPlan Services 59140 Y
The Perfect Health Insurance Co. 13522 Y
The Union Labor Life Insurance Company 13142 Y
The Zenith 13269 Y Y
Theramatrix 38259 Y Y Please call 313-202-8579
Theraphysics THERA Y
Theraphysics - Pacificare COTHE Y
THREE RIVERS PREFERRED MP340 Y
Thrivent Financial THRIV
Time Insurance, a Fortis company 39065 Y Y
TLC Benefit Solutions TLC79
TN IPA 15750
Tongass Timber Trust 92620 Y
Tooling & Manufacturing Assoc. 61425 Y
Total Care (NY) TCARE Y
Total Community Care 31182 Y
Total Healthcare 38201 Y
Touchstone Health PSO (NY,NY) 23856 Y Y
Tower Life Insurance Co. 69493 Y
TPA Health Care Administrators 87265 Y
TR Paul Inc 37230 Y
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
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
TransChoice-Key Benefit Administrators (SC) 37284 Y Requires Unique Insured ID #.
Transwestern Insurance Admin, Inc. TRAN1 Y
Travelers 87726 Y
Travelers - Workers Comp 19046 Y
Travelers Railroad Medicare RRMCR Y Y Y
Travelers/CGT - PPO 87726 Y 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 TRI07 Y Y Y use for patients residing in the following states: MN, IA, MO, ND, SD, NE, KS, MT, WY, CO, TX(lower SW corner)
Tricare and Tricare Prime TRI06 Y Y Y use for patients residing in the followingstates: OK, AR, LA, TX(except SW lower corner)
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 TRI08 Y Y Y use for patients residing in the following states: NM, AZ, UT, NV, ID
Tricare and Tricare Prime TRI03 Y Y Y use for patients residing in the following states: SC, GA, FL
Tricare and Tricare Prime TRI09 Y Y Y use for patients residing in the following states: SOUTHERN CA
Tricare and Tricare Prime TRI04 Y Y Y use for patients residing in the following states: TN, AL, MS
Tricare and Tricare Prime TRI02 Y Y Y use for patients residing in the following states: VA, NC
Tricare and Tricare Prime TRI10 Y Y Y use for patients residing in the following states: NORTHERN CA
Tricare East TREST Y Y
Tricare for Life TRILF Y Y Y ERAs 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 Physician Solutions - Concern 31143 Y
Trillium Community Health Plan 20048 Y Y
Trinity Health 38269 Y
Trinity Health Pace TRNPC
TRLHN/AS 98514
TRLHN/EB AKA Trilogy Health Network 62777 Y
True Choice USA TCUSA 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 RIOS 16412 Y Must contact Susan Hoffmann at 888-880-8699 x4648 (Upon approval, Tufts will mail information, including payor id).
UBH United Behavioral Health (former MetraHealth-UNET) 87726 Y
UCARE UCARE Y Y
UCS (Electrical Workers Insurance Fund Local 5800) 93235 Y Y
UCS NX Health Network 08354
UFCW Local 880 Medicare 88008
UHC (Columbus) 87726 Y
UHC (Dayton) 87726 Y Use 9-digit SSN/member ID. Use 7-digit provider number.
UHC Iowa Choice & Senior Care 87726 Y Use 9-digit SSN/member ID. Use 7-digit provider number.
UHC Utah, Inc. 87726 Y
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 formerly known as CommonWealth Administrative Group
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 80314 Y Y ERA are only available for practices in the states of TX, MA, KS, WV, VA, RI and IL
Unified Group Svcs 35198 Y Effective 6-1-98, payor ID 65935 will no longer be valid. Please send to ID 80314.
Unified Health Svcs. 62170 Y Worker's Compensation Claims Only
Unified Physicians Inc. 34638 Y Y
Uniform Medical Plan (also known as Centra) 75243 Y Use Payer ID 39026
Uniformed Services Family Health ( Staten Island, 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
Union Pacific RR Employees (Salt Lake City, UT) 87042 Y
Union Security Insurance Co. 70408 Y Y
Unison / Better Health Plans ( Monroeville, PA) 62183 Y
United Behavioral Health (Formerly MetraHealth) 87726 Y
United Benefits 59069 Y
UNITED FOOD & COMM. WORKERS MIDWEST UNIONS 36659 Y
United Group Programs UGP19
United Health & Life 87726 Y
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 files 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. ERA payer code 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 4/16/2014. after that, use 87726
United Healthcare--Metrahealth/Metropolitan 87726 Y Y
United HealthCare--Travelers 87726 Y
United Medical Alliance 84132 Y
United Mine Workers 52180 Y
United of Omaha 71412 Y
United Teacher Assoc Ins Co 13193
UnitedHealthCare / Spectera Eyecare Networks 00773 Y
UnitedHealthcare Community Plan - TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete) 95378 Y
UnitedHealthcare Community Plan / TX (formerly AmeriChoice) TEX01 Y Y This payer code is for ERAs only. Enrollment must be completed.
UnitedHealthcare Community Plan New York 87726 Y For DOS on or after 09/01/13.
UnitedHealthcare Dual Complete Tennessee- Oxford Medicare Network (UnitedHealthcare Community) 95378 Y
Univera Health Care Plan/Choice Care Buffalo SX087 Y Y
Univera Health Southern Tier SX088 Y Y
Univera Healthcare UNINW Y
Univera Prepaid Health Plan of NY SX086 Y Y
Univera SSA WNY Sx091 Y Y
Univers SAA ENY SX090 Y Y
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 Alliance 99026 Y Y They only accept professional claims but offer bother institutional and commercial remits
University Health Plan of NJ 22329 Y
University of Illinois at Chicago, Div of Specialized Care f 37601 Y
University of Missouri 25133 Y Y
University of Utah Health Plans SX155 Y Y
UPMC Health Plan 23281 Y Y
UPMC Health Plan ( Pittsburgh, PA ) 23281 Y Y
UPMC Vision Advantage 25184 Y
Upper Peninsula Health Plan (Marquette, MI) 38337 Y
US Benefits (Portland, OR) 93092 Y
US Department of Labor 77044 Y Division of Federal Employees Compensation (DFEC) claims only. PAYER REQUIRES LEGACY/ASSIGNED PROVIDER NUMBER SENT ON ALL CLAIMS. CALL ECP FOR INSTRUCTION
US Department of Labor 77104 Y Division of Coal Mine Workers Compensation (DCMWC - Black Lung) claims only. PAYER REQUIRES LEGACY/ASSIGNED PROVIDER NUMBER SENT ON ALL CLAIMS. CALL ECP FOR INSTRUCTION
US Department of Labor 77103 Y Division of Energy Employees Occupational Illness Compensation (DEEOIC) claims only. PAYER REQUIRES LEGACY/ASSIGNED PROVIDER NUMBER SENT ON ALL CLAIMS. CALL ECP FOR INSTRUCTION
US Family Healthplan USFHP Y Y
US Imaging 50383 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 SB910 Y Y Y
Utah Medicaid - UHN SKUT0 Y Y Y
Utah Medicare UTMCR Y Y Y
utual of Omaha Medicare Advantage 82275 Y
VA Fee Basis Programs 12115 Y Y
Vairpro 72187
Valley Preferred 23253 Y
Valor Health Plan 43259
Value Options VALUE Y Y
Vanderbilt Health Plan 23173 Y
Vanliners Insurance Company 21172 Y Y
Vantage Health Plan 72128 Y Y
Vantage Medical Group PPM01 Y
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 Blue Cross Blue Shield BS923 Y Y
Virginia Medicaid VAMCD Y Y
Virginia Medicare VAMCR Y Y Y
Virginia Premier Community Care Plan R6828 Y Y
Virginia Premier Gold SX198 Y
Virginia Premier Health 54176 Y Y Y
Vista Health 25133 Y Y
Viva Health Plan 63114 Y 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
VNS Choice Medicare 77073 Y
Vytra Healthcare 22264 Y Requires Rendering Provider Number.
WA Washington Coordinated Care 68069
Wal-Mart (Blue Card Carriers) 84980 Y
Washington Employers Trust (Seattle, WA) 37294 Y
Washington Medicaid WAMCD Y Y Y
Washington Medicare WAMCR Y Y Y
Washington State Department of Labor & Industries SX063 Y Y Y
Washington State Premera Blue Cross BS934 Y Y
Washington State Regence Blue Cross BS932 Y Y
Washington, D.C. Medicare DCMCR Y Y Y
Waterstone Benefit Administrators 73155 Y
WEA Trust 39151 Y
WEB-TPA, INC. WBTPA
webTPA/Community Health Electronic Claims/CHEC 75261 Y Y
Wellcare Health Plan, Inc (Encounters) 59354 Y
Wellcare HMO 14163 Y Y
Wellcare HMO Inc 14163 Y Y
Wellcare of CT 14164 Y
Wellcare of Florida 14163 Y Y
Wellcare of Georgia 14163 Y Y
Wellcare of KY 14163 Y Y
Wellcare of Louisiana 14163 Y Y
Wellcare of New York 14164 Y New providers must contact 914-334-4173
Wellcare of Ohio 14163 Y Y
Wellmed Medical (Claims) WELM2 Y
Wellmed Medical Management WELMD Y
WellPath 25133 Y Y
WELS Benefit Plan Office (Milwaukee, WI) 22925 Y
Wenatchee Valley Medical Center 91064 Y
West Covina Medical Group 66124 Y
West Suburban Health Providers 80942
West Virginia Blue Shield aka Mountain State BC/BS BS443 Y Y Y
West Virginia Family Health Plan 45276 Y
West Virginia HHIC Freedom Blue aka Mountain State BS/BS BS768 Y Y Y
West Virginia Medicaid WVMCD Y Y
West Virginia Medicare WVMCR Y Y Y
West Virginia Medicare Advantage 15459 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 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
Winhealth Partners 27327 Y
Wisconsin Auto and Truck Dealers 39200 Y
Wisconsin Blue Cross Blue Shield BS950 Y Y
Wisconsin Department of Corrections 74101 Y
Wisconsin Medicaid WIMCD Y Y
Wisconsin Medicare WIMCR Y Y Y
Workers Comp of West Virginia SX067 Y Y
WorkStar Health Service Inc. R6864
World Insurance Company ( Omaha, NE ) 75276 Y Payer does not accept Secondary/Tertiary claims electronically
WPS Commercial WPS01 Y Y Y
WPS PREVEA HEALTH PLAN 10159 Y
Writers Guild Industry Health ( Burbank, CA ) 23710 Y
Wyoming Medicaid WYMCD Y Y Y
Wyoming Medicare WYMCR Y Y Y
Yale University Health Plan 60646
Young Life 75285 Y
YourCare Health Plan 15003