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Payer List

HealthFusion’s Clearinghouse Payer List is among the largest in the industry. If you do not see a specific insurance company payer listed here, please contact HealthFusion to inquire about clearinghouse services for a specific payer.

 
Payer Name Participating(P)
Non-Participating(N)
1199 National Benefit Fund (Must call Renaud Dufresne at 646-473-6960 for ID prior to sending claims) P
1Intermountain Health Care (Contact payer at 801-442-5442 before sending claims to verify provider numbers.) N
21st Century Insurance and Financial Services P
360 Alliance PPO Gilsbar P
8th Distric Electrical P
A & I Benefit Plan Administrators P
AARP UnitedHealthcare Insurance Co. (Special Data Requirements located in Vendor Download Tools or Provider Training Materials.) P
ABC Health Plan of New York P
Abrazo Advantage Health Plan P
Abri Healthplan P
ACCESS ADMINISTRATORS P
Access Behavioral Care P
ACCLAIM P
Acclaim Repricing P
Accountable Health – American Family of IA claims only P
Accountable Health – American Family of WI claims only P
ACM (Enrollment required. Call 661-430-0205 for information.) N
Acordia National P
Acordia National P
ACS Benefit Services, inc. P
Activa Benefits Services, LLC (Formerly Amway Corporation) P
Administrative Services, Inc. P
Adminone P
Adminstrative Concepts, Inc. P
Advanced Data Solutions P
Advanstaff, Inc. P
Advantage Health Solutions, Inc. P
Advantage Preferred Plus P
Advantra Freedom P
Advantra/Health America, Inc./Health Assurance P
Adventist Health System P
ADVICA – New York Hospital Community Health Plan P
Advica/Northeast Georgia Health System, Inc. P
Advocate Bethany Health Partners P
Advocate Christ Health Partners P
Advocate Good Samaritan Health Partners P
Advocate Good Shepherd Health Partners P
Advocate Health Centers P
Advocate HMO Illinois and Unicare HMO P
Advocate Humana Health Plans (HMO, Medicaid, Gold Plus) P
Advocate Illinois Masonic Health Partners P
Advocate Lutheran General Health Partners P
Advocate South Suburban Health Partners P
Advocate Trinity Health Partners P
Aetna Affordable Health Choices (SM) – SRC P
Aetna Better Health – CT Medicaid P
Aetna Health Plan – PPO P
Aetna Life & Casualty Company P
Aetna Life & Casualty Company P
Aetna Life & Casualty Company P
Aetna Life & Casualty Company P
Aetna TX Medicaid & CHIP P
Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call 718-794-7592.) P
AFL – CIO Food & Beverage Dealers Trust Fund (Toledo, OH) P
AFTRA Health Fund P
AGIA Inc (Claims are printed and mailed to the payer.) P
AH & L P
AHPO (Cleveland, OH) P
AKM Medical Group P
Alaska Childrens Services, Inc P
Alaska Electrical Health & Welfare Fund P
Alaska Laborers Construction Industry Trust P
Alaska Pipe Trades Local 375 P
Alaska United Food & Commercial Workers Health & Welfare Trust P
All Savers Insurance Co. P
Allegiance Benefit Plan Management, Inc. P
Alliance (WI providers ONLY. Call Dave Sell at 608-210-6656 to obtain payerID, rendering provider, location IDs. Call ENS for ENTERED AS name.) P
Alliance PPO Inc.(Now known as OneNet PPO, LLC.) P
Alliant Health Plans of Georgia P
Allied Administrators P
Allied Benefit Systems P
ALPS CompCare (OH BWC) * N
Alta Bates Medical Group P
ALTA Health and Life Insurance Company P
Alta Health Stratagies (First Health) P
Alternative Technology Resource (ATR) P
Altius (To setup and test for EDI contact Liz Lawrence at 800-743-3901 x1459, NPI required on claims.)(PayerID has changed from SX113) N
AMA INSURANCE AGENCY, INC P
Amalgamated Life – PA/Alicare P
Amalgamated Life Insurance Co. P
Amalgamated Transit Union Division 1001 Health & Welfare Fund P
AmCare Health Plans P
AmeraPlan (Claims are printed and mailed to the payer.) P
Ameriben Solutions P
Americaid Community Care (Dallas/Ft Worth) P
Americaid Community Care (Houston) P
Americaid Community Care (Maryland) P
Americaid Community Care (New Jersey) P
American Administrative Group – AAG (Formerly known as UICI Administrators P
American Administrative Group (formerly Gallagher Benefit) P
American Administrators P
American Benefit Plan Administrators P
American Benefits Management P
American Benefits Plan Administrators (Las Vegas, NV) P
AMERICAN CAPITOL INSURANCE CO P
American Chiropractic Network P
American Chiropractic Network (PAN) P
American Chiropractic Network IPA of NY P
American Chiropractic Network IPA of NY (ACNIPA) P
American Chiropractic Network, Inc. P
American Community Mutual Insurance P
American Complimentary Care Network, Inc. P
American Family Health Providers P
AMERICAN FAMILY INSURANCE CO P
American General P
American Health Group P
American Healthcare Alliance P
American Imaging Management, Inc. (Assigned Group Policy Plan ID required. To obtain, call AIM at 800-252-2021) P
American Insurance Company of TX P
American International Group, Inc. P
American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600, New Orleans, LA 70163) P
American Medical Security P
American National Insurance Co P
American Postal Workers Union Health Plan P
American Postal Workers Union Health Plan P
American Republic Insurance P
American Sentinel Insurance Company P
American Specialty Health Inc. (Provider ID Required. Contact 888-864-2746 to the American Specialty Health (ASH) Provider ID.) N
American Worker Health Plan P
America’s Choice NMA P
America’s Health Choice P
America’s PPO / America’s TPA P
AmeriChoice of Florida P
AmeriChoice of Illinois P
AmeriChoice of Maryland P
AmeriChoice of Nebraska P
AmeriChoice of New Jersey Personal Care Plus (All claims submitted require your AmeriChoice assigned Provider ID #. Contact them at 888-362-3368 for your ID #.) P
AmeriChoice of New York Personal Care Plus (All claims submitted require your AmeriChoice assigned Provider ID #. Contact them at 888-362-3368 for your ID #.) P
AmeriChoice of NJ Medicaid & Family Care P
AmeriChoice of NY Medicaid & Child Health Plus P
AmeriChoice of PA Children’s Health Insurance Program (KidsChoice) P
AmeriChoice of PA Medicaid P
AmeriChoice of Pennsylvania Personal Care Plus(All claims submitted require your AmeriChoice assigned Provider ID #. Contact them at 888-362-3368 for your ID#.) P
AmeriChoice of Rhode Island P
Amerigroup – Illinois P
Amerigroup – Illinois P
Amerigroup – Maryland P
Amerigroup – New Jersey P
Amerigroup / Americaid – Ft. Worth, New Mexico P
Amerigroup / Americaid – Houston P
AMERIGROUP Georgia P
Amerigroup of Florida P
Amerigroup of Florida P
Amerigroup of Illinois P
Amerigroup of Ohio P
AMERIGROUP Tennessee P
AmeriHealth – New Jersey (Non-HMO Claims) * N
AmeriHealth Administrators P
AmeriHealth HMO New Jersey and Delaware P
AmeriHealth Mercy Health Plan P
Amerikids-Dallas/Ft. Worth P
AMVI P
Amway Corporation P
Anchor Benefit Consulting P
Ancillary Benefits/Arizona Foundation for Medical Care P
American Founders Life Ins Co (NFL Plans only) P
Antares Management Solutions P
Anthem Blue Cross of California P
Anthem Health and Life Insurance Company of New Jersey P
Anthem of Colorado N
Anthem of Nevada * N
APA Partners P
Apex Benefit Services (Claims must contain the rendering provider ID or the claim will reject.) P
APIPA P
APS Healthcare Inc. P
ARAZ P
Arcadian Management Services, Inc (Group number should be entered if available. ) P
Arizona Foundation for Medical Care P
Arizona Medicaid (AHCCCS) * N
Arizona Physicians IPA P
Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Metal Trades Health Plan P
Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Pipe Trades Health Plan P
Arkansas Best Corporation P
Arkansas Managed Care Organization (AMCO) P
Arnett Health Plans (Payer requires unique Provider IDs. Contact Arnett Health Plans EDI Coordinator at 765-448-7483.) P
ASR Corporation P
ASRM Corporation P
Associated Benefits Corp. N
Associated Third Party Administration (ATPA) P
Associates for Healthcare P
Assurant Employee Benefits (Formerly Fortis Insurance) P
Assurant Health Self Fund (Verify that claims should go to Ft. Mill, SC) P
Assurant MiniMed-Key Family P
AssureCare, Inc. P
Assured Benefits Administrators P
Asuris Northwest/MedAdvantage (REF*1B*Provider ID in Billing and Rendering required even when NPI is submitted.) P
Athens Health Plan P
Atlanticare Administrators, Inc P
Atlantis Health Plan P
ATLAS ADMINISTRATORS(USA MC) P
Atlas Life Ins Co (NFIC Plan only) P
AultComp MCO (OH BWC) * N
Automated Benefit Services (ABS) P
Automated Group Administration, Inc. P
Automotive Machinists Local 289 Health & Welfare Trust – Grp#F32 P
Avalon IPA P
Avera Health Plans P
Avesis Third Part Administrators P
AVMED (Payer-specific provider number required in Box33a of the HCFA-1500 form.) P
AVMED-Parity Healthcare (OB/GYN only) P
Bakersfield Family Medical Center P
Bakery and Confectionery N
Bankers United Life (Student Division) P
Banner Health Co. (All Banner Health Plans were consolidated to the payerID of SX145.) * P
Bass Administrators, Inc. P
BCBS BlueCare Family Plan (Connecticut) * To be used on all CT BlueCare claims with dates of service on or after 7/01/06 N
BCI Administrators, Inc P
Beacon Health Strategies (Block 11 on the HCFA 1500 form must use Plan specific IDs.) P
Beech Street Corp. (Payer requires that payer and employer information in box11 be attached.) P
Behavior Health Providers (Prior Authorization Required.) P
Bell Atlantic (Prudential) P
Benefit Administrative Systems P
Benefit Concepts P
Benefit Coordinators Corporation P
Benefit Management Services P
Benefit Management Systems, Inc. of Lousiana * P
Benefit Plan Administrators Co. (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) P
Benefit Plan Administrators, Inc P
BENEFIT PLAN ADMINISTRATORS, INC P
Benefit Planners, Inc. P
Benefit Services, Inc. (Akron, OH) P
Benefit Systems and Services, Inc. P
Benefit Trust Life Insurance Company P
Benesight (formerly The TPA) P
Benesys – LHP Claims Unit P
Benesys Inc. (Located in Lafayette, LA) P
BeneSys, Inc. (Located in Troy, MI) P
BeniCorp P
Benmark P
Berkshire Health Partners P
Best Life & Health Insurance Co. P
Better Health Plans, Inc. P
Big Lots Associates Benefit Plans P
Block Vision of Texas P
Block Vision, Inc. P
Blue Advantage of Arkansas * N
BLUE BELL BENEFITS TRUST N
Blue Care PPO (Requires VA Blue Shield EMC approval) N
Blue Chip of Rhode Island * N
Blue Choice Medicaid P
Blue Choice of Rochester NY * N
Blue Cross Blue Shield of Arizona * N
Blue Cross Blue Shield of Florida * N
Blue Cross of California P
Blue Cross of Idaho (Per Provider Testing) * N
Blue Grass Family Health (SRRIPA) P
Blue Lake Rancheria P
Blue Shield of Alabama * N
Blue Shield of Alaska * N
Blue Shield of Arkansas * N
Blue Shield of California * P
Blue Shield of California * P
Blue Shield of Central NY HMO/PPO * N
Blue Shield of Colorado N
Blue Shield of Connecticut * (NOTE: The DOS in Reports is programmatically calculated and is not actual claim’s data. Some variances may exist.) N
Blue Shield of Delaware * N
Blue Shield of Georgia * (State Health of GA) N
Blue Shield of Hawaii * N
Blue Shield of Idaho (Per Provider Testing) * N
Blue Shield of Illinois * N
Blue Shield of Indiana * N
Blue Shield of Iowa * N
Blue Shield of Kansas * N
Blue Shield of Kansas City * N
Blue Shield of Kentucky * N
Blue Shield of Lousiana * N
Blue Shield of Maine * N
Blue Shield of Maryland * N
Blue Shield of Massachusetts * N
Blue Shield of Michigan * N
Blue Shield of Minnesota * N
Blue Shield of Mississippi * N
Blue Shield of Missouri * N
Blue Shield of Montana N
Blue Shield of National Capital Area * N
Blue Shield of Nebraska * N
Blue Shield of Nevada * N
Blue Shield of New Hampshire * N
Blue Shield of New Jersey * N
Blue Shield of New Mexico * N
Blue Shield of New York (Empire) * N
Blue Shield of North Carolina * N
Blue Shield of North Dakota * N
Blue Shield of Northeast NY * N
Blue Shield of Ohio * N
Blue Shield of Oklahoma * N
Blue Shield of Oregon * N
Blue Shield of Pennsylvania * N
Blue Shield of Puerto Rico (Triple S) * N
Blue Shield of Rhode Island * N
Blue Shield of Rochester NY * N
Blue Shield of South Carolina * N
Blue Shield of South Dakota * N
Blue Shield of Tennessee * N
Blue Shield of Texas N
Blue Shield of Utah * N
Blue Shield of Utica NY * N
Blue Shield of Vermont * N
Blue Shield of Virginia N
Blue Shield of West Virginia * N
Blue Shield of Western New York * N
Blue Shield of Wisconsin * N
Blue Shield of Wyoming * N
Bluebonnet Administrators P
Bluegrass Family Health (UPIN required in Box 33a) P
BMGI Benefit Management Group, Inc. P
Boilermakers national Health & Welfare Fund P
Boon-Chapman Benefit Administrators, Inc. P
Boston Medical Center Healthnet P
BPS Inc P
Bridge Benefits P
Bridgestone Claims Services P
Bridgeway Arizona P
Brockerage Concepts, Inc (Benefit Concepts) P
Brown & Brown Benefits P
Brown & Toland Medical Group P
Buckeye Community Health P
Butler Benefits P
C & O Employees Hospital Association P
CA Kaiser Permanente (Northern California Only) * P
CAC (Mailhanders Benefit Plan) P
CAC Claims Administration Corp (Provider ID required) P
California Anthem Blue Cross P
California Blue Cross P
California Care (Humboldt Del Norte) P
Cal-Optima Direct P
Cameron and Associates P
Cannon Cochran Management Services, Inc. P
Cap Management Systems P
Cape Health Plan P
Capital Advantage Insurance Company (CAIC) PROFESSIONAL (BCBS ProviderID and Performing ProviderID required. Call 800-874-8433) N
Capital Blue Cross FACILITY * (BCBS ProviderID and PerformingID required. Call 800-874-9433) N
Capital Blue Cross PROFESSIONAL * (BCBS ProviderID and Performing ProviderID required. Call 800-874-8433) N
Capital District PHP * P
Capital Health Plan P
Capital International Management Services P
Capitol Administrators P
Care 1st Health Plan of Arizona P
Care Choices HMO P
Care Core National P
Care Improvement Plus P
Care Management Group of Greater NY, Inc. P
Care Partners P
Care Plus P
CareCentrix P
Carechoices Michigan – Mercy Healthplans (Enrollment required; please contact Noreen at (248) 489-5281.) P
CareCore – Healthnet P
CareCore National, LLC – Health Net New Jersey P
CareCore National, LLC (Aetna Radiology Claims) P
CareCore National, LLC (Radiology charges for Oxford) (Provider must call Anthony Sampson at 845-298-8155 for provider code.) P
CareFirst BCBS – DB, National Capital Area * N
Carelink Advantra (WV HealthAssurance & Carelink commercial claims only.) P
Carelink Health Plan (WV HealthAssurance & Carelink commercial claims only.) P
Carelink Medicaid P
Carenet of Virginia (Payer requires the provider to submit a PIN in the Rendering Provider ID record.) P
CareOne Health Plan P
CareOregon, Inc. P
CarePlus Health Plans P
CareSource * (Claims to this payer require enrollment. Contact ENS Enrollment department at 719-277-7545 ext. 2007 to obtain the forms.) P
CareSource of Indiana (Payer moving from E-print to Live Production.) P
Careworks P
Careworks (OH BWC) * N
Careworks of Ohio (OH BWC) * N
Cariten Commercial P
Cariten Healthcare Tenncare P
Cariten Senior Health P
Carolina Care Plan (Formerly PHP of South Carolina) P
Carolina Crescent Health Plan * P
Carolina Summit Healthcare, Inc P
Carpenters’ and Millwrights’ Health Benefit Trust Fund P
Carpenter’s of Greater St. Louis H&W Fund (Requires GHP Provider ID in Box 33a. Contact Carpenters for ID.) P
Carpet, Linoleum and Resilient Tile Layers Health and Welfare Fund P
Cascade East Health Plan P
Cascade Health Partners P
Catholic Healthcare West * P
CBA, Inc. (Cooperative Benefits Administrators, Inc.) P
CBCA (Formerly know as Health Risk Management) P
CBCA Administrators of Ft. Worth, TX P
CBHA Carolina Behavioral Health Alliance P
CBIZ Benefits & Insurance Services P
CBSA (Corporation Benefit Services of America) P
CCMC – Comprehensive Care Management Corp P
CCS (aka Comprehensive Care Systems) N
CDO Technologies P
CDS Group Health P
Cedars-Sinai Medical Network Services Claims P
Cedars-Sinai Medical Network Services Encounters P
Celtic Insurance P
Cement Masons & Plasterers Health & Welfare Trust – Grp#F16 P
Cenpatico Behavioral Health – Wisconsin (Call 800-225-2573 ext 25525 prior to submitting claims.) P
Cenpatico Behavioral Health AZ (Prior to submission, contact 866-495-6748 to verify provider ID.) P
Cenpatico Georgia P
Cenpatico Indiana P
Cenpatico Ohio P
Centene Advantage Plans P
CenterCare P
Centinela IPA P
Centra Benefit Services P
Central & Southwest Services P
Central Benefit National P
Central Benefits Life P
Central Benefits Mutual P
Central Reserve Life P
Central States Joint Board Health & Welfare Trust Fund P
Central States Southeast and Southwest Areas Health and Welfare and Pensions Funds P
Century Health Solutions P
CHA – Commonwealth Health Alliance P
CHAMPVA-HAC (CHAMPVA-HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS.)) P
Chartered Health Plan (DC Chartered Health Plan) P
Chatwins Healthcare Administrators P
Chautauqua County Health Plan (Mayville,NY) P
CHCcares of South Carolina P
Chesapeake Life Insurance Co. (PayerID valid for PO BOX 982017, North Richland Hills.) P
Children’s Community Health Plan P
Chinese Community Health Plan (Unique Provider ID must be on claim.) P
ChiroCare P
Chiropractic Association of South Dakota P
Chiropractic Care of Minnesota, Inc. (For Dates of service before 1-01-08, continue to use payerID of ACN01.) P
Chiropractic Care of Wisconsin, Inc. P
CHOC – Childrens Hospital of Orange County Health Alliance P
Choice One/UTMB CHIP Health Plan (Call 281-652-8700 prior to submitting claims.) P
Choice Plus (TRW) P
ChoiceNet P
CHP Direct SuperMed P
CHP/ALTIUS (Enrollment required, please contact Provider Relations 801-352-7270) N
CHP/BCBS (Enrollment required, please contact Provider Relations 801-352-7270) N
CHP/DMBA (Enrollment required, please contact Provider Relations 801-352-7270) N
CHP/EMIA (Enrollment required, please contact Provider Relations 801-352-7270) N
CHP/MEDICAID (Enrollment required, please contact Provider Relations 801-352-7270) N
CHP/PEHP (Enrollment required, please contact Provider Relations 801-352-7270, Chiropractic claims only) P
CHP/RPU (FABOH) (Facility physical address required on claim.) P
CHP/UUHP (Enrollment required, please contact Provider Relations 801-352-7270) N
CHP/WISE (Enrollment required, please contact Provider Relations 801-352-7270) N
Christian Brothers Services P
Christus Spohn Health Network P
CIGNA – PPO P
CIGNA – PPO P
CIGNA Behavioral Health P
CIGNA Health Plan – HMO P
CIGNA Healthcare for Seniors – Arizona Medicare P
CIGNA Premier Plus P
Cimarron Salud (Receiver type ‘D’ – Claims are printed and mailed to the Payer.) P
Cinncinnati Financial Corporation P
Citrus Health Care P
City of Austin P
CL Frates P
Claims Administration Corporation P
Claims Management Services N
ClaimsWare, Inc. DBA ManageMed P
Clearchoice Health Plan / COIHS P
CNA Health Partners Repricing – AR P
CNA Mailhanders P
CNA Mailhanders P
Coastal Administrative Services P
Cofinity (formerly Sloans Lake) P
Cofinity (formerly Sloans Lake) P
Colonial Healthcare P
Colorado Access HMO P
Colorado Blue Advantage N
Colorado Kaiser Permanente (Colorado plans only) P
Colorado Laborers Health and Welfare Fund P
Columbia Cornell Care P
Columbia United Providers P
Commerce Benefits Group P
CommonWealth Administrative Group P
COMMONWEALTH ADMINISTRATORS P
Commonwealth Care Alliance P
Community Care Behavioral Health Org. (For Dates of Service prior to October 1, 2007) P
Community Care BHO (For Dates of Service after October 1, 2007) P
Community Care Managed Health Care Plans of Oklahoma P
Community Care Organization P
Community Care Plus (Requires Provider ID in Box 33a. Contact Community Care for ID.) P
Community Choice of Michigan P
Community First Health Plan, Inc. P
Community Health Alliance P
Community Health Choice (Please include TPI Number (Texas Medicaid Number) in Field FA0-23) P
Community Health Electronic Claims/CHEC/webTPA P
Community Health Network of Connecticut (CHN of CT cannot accept electronic claims for Anesthesia. Contace LeAnn Olson at 203-237-4000 ext 3136 for information) P
Community Health Plan P
Community Health Plan of Washington P
Community Medical Group of the West Valley P
Community Preferred Health Plan (CA) P
Community Premier Plus for Neighborhood Health P
CompBenefits Corporation P
Compensation Programs of Ohio, Inc. P
CompFirst, LLC P
Complementary HealthCare Plans P
CompManagement Health Systems, Inc. (OH BWC) * N
Comprehensive Behavioral Care P
Comprehensive Benefits Administrator, Inc. P
CompuSys Incorporated (New Mexico) P
CompuSys Incorporated of Arizona P
CompuSys Incorporated of Colorado P
CompuSys Incorporated of Utah P
Compusys of Colorado P
CompuSys/Erisa Group, Incorporated (AZ) P
CompuSys/Erisa Group, Incorporated (NM) P
CompuSys/Erisa Group, Incorporated (TX) P
Confederation Admin Services P
Confederation Life Insurance P
Connecticare – Medicare P
Connecticare, Inc. P
Connecticare, Inc. P
Consociate Group P
Consolidated Associates Railroad P
Consolidated Group / Health Plan Services P
Consolidated Group Claims (CGC) P
Continental General Insurance Co. P
Continuum ABC MSO P
Cook Children’s Health Plan P
Cook Children’s Star Plan P
Cook Group Health Plan P
Cooperative Benefit Administrators, Inc. P
Cooperative Managed Care Services P
Coordinated Medical Specialists (CMS) P
Core Administrative Services P
CoreSource P
CoreSource Little Rock (For claims where the ‘submit claims to address’ on the medical ID card is an address in Little Rock. For assistance, call 800-689-0106) P
CoreSource of Illinois P
CoreSource of IOWA P
CoreSource of Maryland P
CoreSource of North Carolina P
Coresource of OH P
CoreSource of Pennsylvania P
CoreStar AZ MN (Only for address in Arizona and Minnesota. For assistance, call 800-698-0106) P
Cornerstone Benefit Administrators P
Corporate Benefits Service, Inc. (NC) (Only valid for payer address of PO Box 12953, Charlotte, NC 28220) P
Corporate Systems Administration P
Correctional Medical Services P
CorSolutions P
Country Life Insurance Company P
COVA (Commonwealth of VA) (Requires VA Blue Shield EMC approval) N
Covenant Administrators, Inc. P
COVENANT MANAGEMENT SYS EMPLOY BENE P
Coventry Health Care of Delaware P
Coventry Health Care of Delaware, Inc. P
Coventry Health Care of Georgia P
Coventry Health Care of Indiana P
Coventry Health Care of Iowa P
Coventry Health Care of Kansas — Kansas City (Payer ID 25134 should now be sent to 25133) P
Coventry Health Care of Louisiana P
Coventry Health Care of Nebraska P
Coventry Health Care of North Carolina P
Coventry Health Care of South Carolina P
Coventry Southern Health Services (The following claims cannot be submitted electronically: Resubmitted, Anesthesia, and Claims with Attachments) P
Cox Health Plan (Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.) P
CRA managed Care (OH BWC) * N
Creative Medical Systems P
Creative Plan Administrators P
Crown Life P
Culinary Health & Welfare Fund (Las Vegas, NV) P
Custom Benefit Administrators P
CustomCare P
CustomCare (Southwestern Bell – Exec.) P
Custome Design Benefits, Inc. P
DakotaCare P
DART CONTAINER CORPORATION P
Dean Health Plan * N
Dean Health Plans P
Definity Services P
Delaware Health Plan Consortium P
Delaware Physicians Care, Inc. P
DelawareCare, Inc. P
Delta Health Systems P
Dentemax P
Dentemax/DPI (MI) P
Denver Health – Indigent P
Denver Health and Hospital Authority P
Denver Health Medical Plan P
Denver Health Medical Plan, Inc. – Medicare Choice P
Department of Labor Black Lung P
Dermatology Network Solutions BCBS for the Health Options HMO (Payer requires 11 digit member ID Number) P
Dermatology Network Solutions, LLC BCBS (Payer requires 11 digit member ID Number) P
Dermatology Network Solutions, LLC Humana (Payer requires 11 digit member ID Number) P
Dermatology Network Solutions, LLC Vista (Payer requires 11 digit member ID Number) P
Deseret Mutual * N
Desert Family Practice Association P
Destiny Health P
Detroit Medical Center P
DGA – Diversified Group Administrators P
Diamond Plan P
Directors Guild of America – Producer Health Plan P
Diversified Group Brokerage P
DMERC Region A (Testing is required for claims requiring CMNs.) * N
DMERC Region B (Testing is required for claims requiring CMNs.) * N
DMERC Region C (Testing is required for claims requiring CMNs.) * N
DMERC Region D (Testing is required for claims requiring CMNs.) * N
Donley & Company P
Driscoll Childrens Health Plan P
Driscoll Childrens Health Plan (CHIP) P
DSCC – Division of Specialized Care for Children P
Dunn & Associates P
E3 Health, Inc (Formerly First Integrated Health) P
Early Intervention Central Billing P
East Bay Medical Network P
East Bay Medical Network P
EAU Claire Health Protection Plan P
EBC Inc. (To obtain the payerID, please call (440) 262-1160) P
EBMC P
EBMS (Employee Benefit Management Services, Inc) * P
EBS of Ohio (Valid for PO BOX 2568, Mansfield, OH 44906.) P
eComPPO P
EDS Healthchoice P
Educators Mutual (EMIA) * (Enrollment required, contact EMIA to enroll 800-362-0533, Opt. 2) P
EHI (Employers Health Insurance) P
EL PASO FIRST – CHIP P
Elder Health Maryland HMO Inc. P
ElderPlan, Inc. (Elderplan Provider ID necessary on all claims. Contact (718)921-7979 for Provider ID.) P
Electronic Transmission Corporation P
ELLIS CONSULTANTS, INC. N
Elmcare P
Elmcare L.L.C. P
Elmco P
Emerald Health Network P
Emerald Health Network, Inc. (All HMO Business) P
Emerald HMO (HMO claims only) P
EMI (Eye Management Inc) P
EmoryCare P
Empire Physician’s Medical Group P
Employee Benefit Administration & Management (EBA&M) P
Employee Benefit Concepts P
Employee Benefit Consultants, Inc. (Call (440) 262-1160 for PayerID.) P
Employee Benefit Corporation P
Employee Benefit Management Corp. P
Employee Benefit Services of Lousiana P
Employee Benefit Svcs (EBS) of San AntoniO P
Employee Benefit Systems P
Employee Benefits Plan Administration, Inc. (EBPA) P
Employee Claim Adjudication Services P
Employee Plans, LLC P
Employee Security, Inc. P
Employer Plan Services, Inc. P
Employers Coalition On Health (ECOH) P
Employers Direct Health – Employee Plan P
Employers Direct Health – FI P
Employers Direct Health – SF P
Employers Health Cooperative (EHC) P
Employers Life Insurance Corp. P
Employers Mutual, Inc. (Florida Providers only) P
Encompass P
Encore Health Network (Note: Group Policy Number in HCFA Box 11 is required.) P
ENH Medical Group IPA P
Enstar Natural Gas – Grp# P61 P
Entrust P
EPN – Seton Health Plan Exclusive (Provider ID required) P
EQUICOR P
EQUICOR – PPO P
Equifax Healthcare Admin. Svc. (EHAS) P
Equitable Plan Services P
Erin Group Administrators P
Erisa Administrative Services Incorporated P
Erisa Administrative Services, Inc. P
Evercare Star Plus P
Evergreen Health Plan P
Evolutions Healthcare P
Exceptional Care Medical P
Eye Specialists (Provider ID number required in Box33a or Box24J) P
Facey Medical Foundation P
FACS Group P
Fallon Community Health P
Family / Seniors Medical Group, Inc. (Labs Only) – IPA P
Family Care Medicaid P
Family Care Medicaid Mental Health P
Family Care Medicare P
Family Choice Medical P
Family Health Alliance P
Family Health Partners/MC+Missouri P
Family Health Plan P
Family Medical Network P
FARA Benefit Services, Inc. P
Farm Family P
FCE Benefit Administrators P
Federal Employee Program (Connecticut) N
Federated Mutual Insurance P
FHP of Colorado – HMO claims only. Trading Partner Number required P
Fidelis Care New York P
Fidelis Secure Care P
First Administrators, Inc. (Provider ID and Group ID required on all claims. Non-participating providers should put in ‘0000’ as their provider ID) P
First Carolina Care P
First Choice Health Network P
First Choice of CT (Requires a 5-8 character Provider Network ID.) P
First Choice of Midwest (PPO) P
First Great West Life & Annuity P
First Great-West Life & Annuity P
First Health (Alta Health Strategies) P
First Health Network P
First Option Health Plan P
First Priority P
First Seniority Freedom P
First Service Administrators P
First State Health Plan P
Firstcare P
Firstcare Star Medicaid P
FirstGuard Health Plan of Kansas (Contact Karen Joslin at *(816)922-7225 to verify Firstguard ProviderID. Payer requires Insured ID of 8-11 numeric characters.) P
FirstGuard Health Plan of Missouri P
Fiserv Health – Kansas P
Fitzharris & Company P
FlexCare P
Florida 1st – Winterhaven, Florida P
Florida Health Plan P
Florida Hospital Healthcare Systems (In network providers must submit UP or FHHS ProviderID. Out of network providers must contact FHHS at 407-701-4893.) P
Florida Hospital Waterman P
Florida League of Cities, Inc. P
Florida NetPass P
Florida Power & Light P
FloridianCare P
FloridianCare (SFL) American Pioneer Health Plan P
FMH Benefit Services P
Formax, Inc. P
FORTIS (Formerly Time Insurance) P
Fortis (Western Life Ins. Benefit Plan) P
FORTIS BENEFITS (Kansas City) P
Fortis Benefits, Inc. (Woodbury) PHCS Network Claims P
Fortis Self Funded Administrative Services P
FORTIS Western P
Foundation Health – HMO of CA P
Foundation Health Amerimed – HMO of CA P
Foundation Health Amerimed Senior – HMO of CA P
Foundation Health of CA P
Foundation Health of Florida-Claims P
Foundation Health of Florida-Encounters P
Fox Valley Medicine Site 199 P
Fox Valley Medicine Site 451 P
FoxEverett – Ingalls Ship Building P
Fox-Everett, Inc. P
Freedom Health Plan P
Freedom Life Insurance Company P
Freeman IPA P
Fresenius Medical Care P
Fringe Benefit Coordinators P
FrontPath Health Coalition P
G.E. Group Administrators (Texas Members Only) P
G.E. Group Life Assurance Company P
Gates McDonald Health Plus, Inc. (OH BWC) * N
Gateway Health Plan P
Gateway Health Plan P
Gateway Health Plan ((Yellow Card). Check the ID card to verify the Payer ID before submitting) P
Gateway Health Plan of Ohio, Inc. P
Geisinger Health Plan * (Payer requires that you enroll with them at 800-447-4000 before submission. Provider number is required on Box33a) P
GEMCare (Golden Empire Managed Care System) P
GenCare Health (St. Louis only) P
Gencare Health (St. Louis) P
Genelco (St. Louis only) P
Genelco (St. Louis only) P
General American (Sanus – East) P
General American Life Ins. Co. (Sanus, St. Louis) P
General American Life Insurance Company P
Genesis Healthcare (EMG) P
Genworth Life and Health Insurance Company (GLHIC) (Now Sun Life and Health Insurance Company.) P
Georgia Health Plans P
Georgia Power Medical Benefits Plan P
Georgia State Health Benefit Plan (Processed by GA BC/BS( * N
Gettysburg Health P
GHI HMO Select P
GHI Medicare Part B of New York * N
GHP (Group Health Plan) P
GI Innovative Management P
Gilsbar, Inc P
Glassworkers and Glaziers Health and Welfare Fund Trust P
Glassworkers Health & Welfare Fund – Grp# F29 P
Global Care Inc P
GM Southwest P
GMS, Inc. P
Golden Rule Insurance P
GOLDEN TRIANGLE PHYSICIAN ALLIANCE P
Good Samaritan Medical Practice Association (GSMPA) P
Government Employees Hospital Association (GEHA) P
Government Employees Hospital Association (GEHA) P
Great Lakes Health Plan P
Great West (SF) P
Great West (WA) P
Great West Care P
Great West Denver P
Great West Life & Annuity (Claims for Kennett, Missouri ONLY) P
Great West Life Assurance P
Great West Life Assurance Company of America P
Greater L. A. Health P
Greater San Gabriel P
Greater WI Rapids Health Protection Plan P
Great-West Bellevue P
Green Bay Health Protection Plan P
Greentree P
Group Administrators Ltd. P
Group Administrators Self-Funded Alternative P
Group and Pension Administrators P
Group Health Cooperative (WA) P
Group Health Cooperative of Eau Claire P
Group Health Cooperative of South Central Wisconsin Claims P
Group Health Cooperative of South Central Wisconsin Encounters P
Group Health Incorporated (GHI) (New York) P
Group Health Insurance – DE P
Group Health Northwest (Call Payer at 888-767-4670 prior to submitting electronic claims.) P
GROUP INSURANCE SERVICE CENTER, INC P
Guardian Healthcare P
Guardian Life Insurance Company of America P
GulfQuest P
Gunderson Lutheran Health Plan P
GWL P
GWL & A P
H.E.R.E.I.U. Welfare Pension Funds P
Harmony Health Plan of Illinois (Wellcare Provider ID required, call (800) 960-2530 opt. 2 then 5) P
Harmony Health Plan of Indiana (Only claims for Indiana Hoosier Healthwise members can be sent to this payer electronically.) P
Harrington Benefit Services P
Harrington Benefit Services, Inc/Centra P
Harris Methodist Health Plan P
Harvard Pilgrim Health Care * P
Hawaii Management Alliance Association (HIMAA) P
Hawaii Management Alliance Association (HMAA) P
Hawki (Provider ID Required) N
HCH Administration P
HCHA Albq – Self Funded P
HDM BENEFIT SOLUTIONS P
HDPC – Premier Healthcare P
HDPC Alliance Physicians P
Health Administration Services, Inc P
Health Advantage of Arkansas * N
Health Alliance Exclusive & Plus P
Health Alliance Medical Plans P
Health Alliance of Urbana IL * (Provider number required in Box33a and Submitter ID in Box33b) P
Health Alliance Plan of Michigan P
Health America Inc. P
Health Assurance P
Health Care Alliance (Sears) P
Health Care District Palm Beach P
Health Care Network of WI (HCN) P
Health Care Network of Wisconsin (HCN) P
Health Choice Generations P
Health Choice of AZ P
Health Claims Service P
Health Cost Solutions P
Health Data Solutions P
Health Design Plus P
Health Economics Corporation P
Health EZ P
Health First Health Plans P
Health First-Tyler, TX P
Health Future P
Health Help Networks, Inc. P
Health Management Associates (HMA, servicing Southeastern and Southwestern Regions) (Provider ID Required) N
Health Management Solutions (OH BWC) * N
Health Market Care Assured P
Health Net (California Encounters Only.) P
Health Net (of California) P
Health Net of Arizona P
Health Net of the North East, Inc. (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638) P
Health Net Oregon P
Health Net Pearl P
Health Network America P
Health Network One P
Health New England P
Health Options of Florida (Blue Shield HMO) N
Health Options of Florida (Blue Shield HMO) ENCOUNTERS ONLY!! N
Health Options of Illinois P
Health Partners – Jackson,TN P
Health Partners, PA P
Health Payment Systems P
Health Plan Management P
Health Plan of Michigan P
Health Plan of San Joaquin P
Health Plan of San Mateo P
Health Plan Services, Tampa Office P
Health Plans Inc. P
Health Pledge HMO P
Health Plus of Michigan N
Health Plus PHSP (Brooklyn, NY) P
Health Risk Management P
Health Services for Children with Special Needs (HSCSN) P
Health Services Management, Inc. P
Health Services Management, Inc. for AHS P
Health Services Management, Inc. for BPA P
Health Services Management, Inc. for ECOH P
Health Services Management, Inc. for EHC P
Health Services Management, Inc. for ENCR P
Health Services Management, Inc. for FCM P
Health Services Management, Inc. for HF P
Health Services Management, Inc. for HT P
Health Services Management, Inc. for MMSI P
Health Services Management, Inc. for MSHO P
Health Services Management, Inc. for PNET P
Health Services Management, Inc. for PONE P
Health Services Management, Inc. for SC P
Health Services Management, Inc. for WEA P
Healthcare Management Admin P
Healthcare Management Administrators, Inc. (also known as HMA, servicing Western Region) P
Healthcare Partners N
HealthCare Partners, IPA P
Healthcare Resources NW P
HealthCare Solutions Group P
Healthcare USA P
HealthComp P
Healthcomp P
Healthease P
HealthEZ P
Healthfirst, Inc. (NY) P
HealthGuard of Lancaster P
Healthkeeper HMO (Requires VA Blue Shield EMC approval) N
HEALTHLINK HMO P
HEALTHLINK PPO P
Healthnet of AZ P
HealthPartners of Minnesota * N
HealthPlus of Lousiana P
Healthpoint Corporation P
HealthPower HMO P
HealthSCOPE Benefits, INC P
HealthSmart Preferred Care P
Healthsource \ Hudson Health Plan (Provider enrollment is required by the payer. Must call (914) 372-2291 to obtain payerID) P
Healthsource Arkansas – Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID P
Healthsource Indiana – Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID P
Healthsource Kentucky – Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID P
Healthsource Maine – Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID P
Healthsource New Hampshire – Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID P
Healthsource North Carolina – Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID P
Healthsource North Texas – Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID P
Healthsource Provident Ins. Co. P
Healthsource, AR (Med) (CIGNA) P
Healthsource, GA (CIGNA) P
Healthsource, Mass P
Healthsource, OH P
Healthsource, TN (CIGNA) P
HealthSpring HMO (No PPO claims accepted via this payerID.) * P
HealthStar, Inc. P
Healthsun Health Plan P
Healthwave of Kansas P
Healthways WholeHealth Networks P
Healthy Palm Beaches, Inc. P
Helix Family Choice P
Heritage Consultants (Must use 9-digit subscriber ID on all claims) P
HERITAGE IPA P
HERITAGE PHY NETWORK-ENCOUNTERS ONLY P
HFN, Inc. P
Hi Desert Medical P
High Desert Primary Care P
Highline Medical Services MOLINA P
Highline Medical Services PSHP P
Highmark – Key Family P
Hill Physicians Medical Group * P
Hillcrest Benefits Administrators P
Hinsdale Physicians Healthcare P
HIP-Health Insurance Plan of Greater NY * P
HMA (servicing HI, AZ and NV) N
HMO of Colorado, also known as HMOC (Prior appproval by HMOC required prior to sending claims electronically) N
Hollywood Presbyterian P
Holy Cross Health Partners P
Holy Cross Health Partners P
Homeland Security (ATTN: Deportation) P
Hometown Health Plan Nevada P
Hometown Health Plan of Ohio P
Horace Mann Life Insurance P
Horizon Blue Cross Blue Shield of New Jersey * N
Hotel Employees & Restaurant Employees Health Trust – Grp#F19 P
HPR P
HPS Paradigm, Inc. P
HRM P
HRM Claim Management P
Hudson Health Plan * (Provider must be located in Duchess, Orange, Rockland, Sullivan or Westchester County, NY) P
Humana VA Hero Program P
HUMANA, Claims only P
HUMANA, Encounters Only P
Hunt Insurance Group, Inc. P
Huntington Park Medical Group P
Huntington Park Mission P
I. E. Shaffer P
IBA Self Funded Group P
IBC Personal Choice * N
IBEW Local 640 & Arizona Chapter NECA Health & Welfare Trust P
IBEW Western Utilities or Local 57 P
IBI P
IBM Medical Plans P
iCARE (Independent Care Health Plan) P
ICM P
ICON Benefit Administrators P
Idaho True Blue * N
IHN P
Illinois Central Hospital Association P
Illinois Health Solutions ( ProviderID Required) N
IMCARE P
INDECS Corporation P
Independence Administrators P
Independence Medical Group P
Independent BLC of PA * (Also known as Personal Choice PPO of Pennsylvania.) N
Independent Health * (Enrollment and Testing Required, contact (716) 635-3911) P
Indiana ProHealth Network P
Indiana Teamsters Health Benefits Fund (Formerly known as Local 135 Health Benefits Fund) P
Industrial Machine Specialties P
InforMed, LLC P
Ingalls Provider Group P
InHealth, Inc. P
Inland Empire Health Plan P
InProNet P
INS Health Services P
Institutes of Quality P
Insurance Administrator of America P
Insurance Claims Services, Inc. (Birmingham, AL) P
Insurance Design Administrators P
Insurance Management Services of NV P
Insurance Management Services of Texas P
Insurance Service of Lubbock P
Insurer’s Administration Corporation P
Insurers Administrative Corporation P
INTEGRA Administrative Group, Inc. P
Integra Group – CHA P
Integra Group (Also known as Rehab Provider Network, but not the same as Colorado payer of same name.) P
Integrated Comp (OH BWC) * N
Integrated Mental Health Services P
INTENATIONAL MEDICAL GROUP, INC P
Interactive Diagnostic Services, Inc. P
Intercare P
Interface EAP P
Intergroup Services Corporation P
Intermountain Ironworkers Trust Fund P
International Funding Inc. P
International Union Operating Engineers P
InterWest Health PPO (Montana) P
Iowa Benefits, Inc. P
Iowa Health Solutions (Provider ID Required) N
IU Medical Group Primary Care N
Jackson Memorial Health Plan P
Jackson Memorial Health Plan(FL) * P
JF Molloy P
JI Specialty Services, Inc. P
JMHP Medicaid P
John Alden Life Ins. P
John Deere Healthcare, now know as UnitedHealthcare River Valley * (Please call 866-509-1593 for enrollment and provider ID) P
John Hopkins Healthcare (EHP/PP) (Submit Billing NPI and Rendering/Servicing NPI) P
John Morrell Company – AHPBA P
John Muir Health Network P
John Muir Mt. Diablo Health System P
John Muir Trauma Physicians (Please call 925-947-5288 for Payer ID information.) P
John P Pearl and Associates P
Johns Hopkins (USFHP) (New submitter should send in their Billing NPI & Rendering servicing NPI) P
Joplin Claims P
JP Farley Corporation P
JPS PREFERRED CARE N
JSL Administrators P
Kaiser Foundation Health Plan of Georgia P
Kaiser Foundation Health Plan of Ohio P
Kaiser Foundation Health Plan of Southern CA Region * P
Kaiser Mid Atlantic P
Kaiser Mid-Atlantic P
Kaiser NW Region (Provider ID Required, Call 503-813-3354 prior to submitting claims) P
Kaiser Permanente (Colorado plans only) P
Kaiser Permanente (Southern California Only) P
Kaiser PPO P
Kanawha Healthcare Solutions P
Kansas City Life Insurance Company P
Kapiolani Health Commercial P
Keenan Associates (CA) P
KELSEY SEYBOLD P
Kempton Group P
Kern Health Systems P
Key Benefit Administrators P
Key Health Plan (CA) P
Key Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.) N
Key Select P
Keycare PPO (Requires VA Blue Shield EMC approval) N
Keystone Mercy Health Plan P
Klais and Company P
KPS HEALTH PLANS P
LaCrosse Care Plus P
Lafayette Consolidated Government P
Lakeside Health Services P
Lakeside IPA P
Lakeside Medical Group Inc. P
Landmark Healthcare Inc. P
Lawndale Christian Health Center P
LBA HealthPlans P
Leon Medical Center Health Plan P
Liberty Mutual Insurance Company (Worker’s Compensation Claims Only.) N
Life & Health Ins Co of America (NFL Plan only) P
Life Investors Ins Co of America (Specialized claims only. Call 866-745-3545 with claim routing questions.) P
Life Trac P
Lifewise A Premier Health Plan * N
Lifewise Health Plan of Arizona A Premier Health Plan * N
Lifewise Health Plan of Oregon A Premier Health Plan * N
Lifewise Health Plan of Washington A Premier Health Plan * N
Linn County P
LIPA/AGATE RESOURCES P
Local Choice (Requires VA Blue Shield EMC approval) N
LOMA LINDA UNIVERSITY ADVENTIST P
London Health Administrators P
Lovelace Medicaid * P
Lovelace Salud! (NM Medicaid) * P
Lovelace Sandia Health Plan P
Machinist District 9 Welfare P
MacNeal Health Providers – CHS (Contact 708-783-7100 prior to first submission.) N
Magellan Behavioral Health (All Non-AETNA Subscribers – Provider ID Required) P
Magellan Behavioral Health (For Dates of Service 1/1/2006 and After – Provider ID Required – AETNA Subscribers only.) P
Magellan Behavioral Health (For Dates of Service prior to 1/1/2006 – Provider ID Required) AETNA Subscribers only. P
MAGNACARE P
Mailhanders Benefit Plan (CAC) P
Maksin Management Corporation P
MAMSI Life and Health Insurance Co. (MLH) P
Managed Care Services, LLC P
Managed Care Systems (Delango Regional Medical) P
Managed Health Networks (MHN) P
Managed Health Services Indiana * (Medicaid HMO, Enrollment Required – Call Debbi Sandberg at 800-225-2573 ext. 25306) P
Managed Health Services of Wisconsin (Please contact the payer @ 800-225-2573, ext 25525 to get setup to submit electronic claims.) P
Managed Physical Network P
Managed Physical Network (MPN) P
Manatee Services Center (Payer ID only valid for claims with a billing submission address of PO Box 1098, Bradenton, FL 34206) P
MAPCO Inc. P
Marin IPA P
Marriott P
Maryland Physicians Care P
Maryland Physicians Care (Provider ID required.) P
Maryland PMHS * (Use for Dates of Service before 9-01-2009. For later DOS use 77063.) N
Maryland PMHS ValueOptions * (Use for Dates of Service after 9-01-2009. For earlier DOS use 77062.) N
Mashantucket Pequot Tribal Nation P
Mass Health (MA Medicaid) * N
Massachusetts Mutual also known as Mass Mutual P
MASTERS, MATES AND PILOTS PLAN P
Mayo Management Services, Inc. (Mayo Management requires the Network Provider ID be placed on box33a of the HCFA claim form.) P
MBA of MD, Inc. P
MBA of Wyoming P
M-CARE (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.) P
Mcare of Colorado Springs P
Mcare of Michigan (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.) P
MCC Behavioral Care P
McCreary Corporation P
McLaren N
MD-Individual Practice Association, Inc. (M.D. IPA) P
MDWise Hoosier Alliance P
MedAdmin Sol Inc P
MedCom P
MedCost Benefit Services P
MedCost, Inc. P
Medfocus P
MEDICA P
Medica Health Care Plan, Inc. P
Medicaid of Delaware * P
Medicaid – TX Premier Plan (Contact Provider Relations @ (915)532-2778, x1068) P
Medicaid of Alabama * N
Medicaid of Alaska * N
Medicaid of Arizona (AHCCCS) * N
Medicaid of Arkansas * N
Medicaid of Colorado * N
Medicaid of Connecticut * N
Medicaid of Florida * N
Medicaid of GA * N
Medicaid of Hawaii * N
Medicaid of Idaho * N
Medicaid of Illinois * N
Medicaid of Indiana * N
Medicaid of Iowa * N
Medicaid of Kansas * N
Medicaid of Kentucky * N
Medicaid of Lousiana * N
Medicaid of Lousiana Rehab * (for Rehabilitation claims) N
Medicaid of Maine * N
Medicaid of Maryland * N
Medicaid of Massachusetts * N
Medicaid of Michigan * N
Medicaid of Minnesota * N
Medicaid of Mississippi * N
Medicaid of Missouri * N
Medicaid of Montana * N
Medicaid of Nebraska * N
Medicaid of Nevada * N
Medicaid of New Hampshire * N
Medicaid of New Jersey * N
Medicaid of New Mexico * N
Medicaid of New York * N
Medicaid of North Carolina * N
Medicaid of North Dakota * N
Medicaid of Ohio * N
Medicaid of Oklahoma * N
Medicaid of Oregon * N
Medicaid of Pennsylvania * N
Medicaid of Rhode Island * N
Medicaid of South Carolina * N
Medicaid of South Dakota * N
Medicaid of Tennessee (TennCare) * N
Medicaid of Texas * N
Medicaid of Utah * N
Medicaid of Vermont * N
Medicaid of Virginia * N
Medicaid of Washington DC * N
Medicaid of Washington State * N
Medicaid of West Virginia * N
Medicaid of Wisconsin * N
Medicaid of Wyoming * N
Medical Benefit Administration, Inc. P
Medical Benefits Mutual P
Medical Claims Service, Inc. P
Medical Development International P
Medical Mutual of Ohio (Payer requires a 12 digit rendering provider ID#, which needs to be obtained from payer by calling 800-321-7223) P
Medical Network of Colorado Springs P
MediCal of California * N
Medical Resource Network (MRN, INC) P
Medical Select Management P
Medical Value Plan – Ohio (MVP) P
Medicare Blue Advantage of South Carolina * N
Medicare of Missouri * (Includes both Eastern and Western Missouri.) N
Medicare Part B GHI * N
Medicare Part B of Alabama * N
Medicare Part B of Alaska * N
Medicare Part B of Arizona * N
Medicare Part B of Arkansas * N
Medicare Part B of Colorado * N
Medicare Part B of Connecticut * N
Medicare Part B of DC* N
Medicare Part B of Delaware * N
Medicare Part B of Florida * N
Medicare Part B of Georgia * N
Medicare Part B of Hawaii * N
Medicare Part B of Idaho * N
Medicare Part B of Illinois * N
Medicare Part B of Indiana * N
Medicare Part B of Iowa * N
Medicare Part B of Kansas * N
Medicare Part B of Kentucky * N
Medicare Part B of Louisiana * N
Medicare Part B of Maine * N
Medicare Part B of Maryland * N
Medicare Part B of Massachusetts * N
Medicare Part B of Michigan * N
Medicare Part B of Minnesota * N
Medicare Part B of Mississippi * N
Medicare Part B of Missouri (Eastern) * (Specialty testing required) N
Medicare Part B of Montana * N
Medicare Part B of Nebraska * N
Medicare Part B of Nevada * N
Medicare Part B of New Hampshire * N
Medicare Part B of New Mexico * N
Medicare Part B of New York (Empire) * N
Medicare Part B of NJ (Specialty testing required) * N
Medicare Part B of North Carolina * N
Medicare Part B of North Dakota * N
Medicare Part B of Northern California * N
Medicare Part B of Northern Virginia * (inc. Prince George, Montgomery, Fairfax and Arlington Counties and City of Alexandria) N
Medicare Part B of Ohio * N
Medicare Part B of Oklahoma * N
Medicare Part B of Oregon * N
Medicare Part B of PA (Specialty testing required) * N
Medicare Part B of Puerto Rico * (In Test) N
Medicare Part B of Rhode Island * N
Medicare Part B of South Carolina * N
Medicare Part B of South Dakota * N
Medicare Part B of Southern California * N
Medicare Part B of Tennessee * N
Medicare Part B of Texas * N
Medicare Part B of Upstate NY * N
Medicare Part B of Utah * N
Medicare Part B of Vermont * N
Medicare Part B of Virginia * N
Medicare Part B of Washington * N
Medicare Part B of West Virginia * N
Medicare Part B of Western Missouri * N
Medicare Part B of Wisconsin * N
Medicare Part B of Wyoming * N
Medicare Railroad * (MetraHealth Medicare) N
Medicare Supplemental (Requires VA Blue Shield EMC approval) N
MEDIGOLD P
MediPrime P
MedSolutions, Inc. P
Medstar Physician Partners P
Mega Life & Health (United Insurance Division) P
MEGA Life & Health Ins. Co. (Student Division) P
Mega Life & Health Insurance Company (SSN is not a valid Insured ID. Must be similar to 01234567899 or AA1234567) P
MEMIC P
MEMORIAL CLINICAL ASSOCIATES P
MEMORIAL HERMANN HEALTH NETWORK P
Memorial Integrated Healthcare (Please email Tracy Harswick at twarswick@mhs.net for payer ID information.) P
Mendicina Familiar Medical Group P
Mennonite Mutual P
Mental Health Network (Only claims for PO Box 209010 Austin TX 78720) P
Mercy Care (Please call 608-758-7739 for payerID.) P
MERCY CARE of AZ P
Mercy Care Plus P
Mercy Health Plan of New Jersey * (Provider ID Required in Box33a – Contact (800) 682-9091 to obtain ID) P
Mercy Health Plans P
Meridian Health Plan P
Meritain Health / Agency Services N
Mesa Mental Health P
MethodistCare, Inc. P
Metro Plus Health Plan P
Metropolitan Health Plan P
Michigan Blue Care HMO (BCN of Michigan) * N
Michigan Medicare PlusBlue * N
Micron Tech P
Mid Atlantic Health Plans P
Mid Atlantic Psychiatric Services, Inc. (MAPSI) P
Mid-America Associates P
Midland Management/MFC P
Midland National Life Ins Co (NFIC Plan only) P
Midlands Choice P
Midlands Health Partners P
Midwest Group Benefits N
MIDWEST HEALTH PLANS, INC. P
Mid-West National Life Insurance Co. of Tennessee (ID valid only for following: PO Box 982017, North Richland Hills, TX 76182) P
Midwest Preferred P
MidWest Securities P
Mid-West United Life (Student Division) P
Mills Penisula Medical Group P
Minneapolis Prudential Business P
Mission Hospital Affiliates P
Mississippi Select Healthcare (Mississippi Select Health Care) P
Missoula County Medical Benefits P
Missouri Care P
Missouri Care (Requires Medicaid Provider ID in Box 33a. Contact ENS enrollments at 800-341-6041 prior to submission.) P
Molina Healthcare of California (Rendering provider must use Medi-Cal ID number or State License Number. Billing provider should use Federal TaxID only.) P
Molina Healthcare of Florida P
Molina Healthcare of Michigan P
Molina Healthcare of New Mexico P
Molina Healthcare of Ohio P
Molina Healthcare of Texas P
Molina Healthcare of Washington (Rendering providers use DSHS Medicaid ID or State Licence Number.) P
Molina Healthcare Utah * P
Momentum Health Services P
Monarch Healthcare IPA * (Rendering provider ID# required on all claims.) P
Monex Health Care P
Montefiore Contract Management Organization (Provider ID required, call 914-377-4400 for ID prior to first claims submissions.) P
Monumental Life Ins Co. (Specialized claims only. Call 501-277-1284 for information.) P
MORRIS ASSOCIATES P
Mosaic IPA Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.) N
Motion Picture Industry Health Plan (Provider Must contact Judy Taylor at Motion Picture, 818-769-0007 ext 304 to get setup and get payerID.) P
Motorola P
Mountain Medical Affiliates P
Mountain States Administrative Services, Inc. (ARIZONA ONLY.) P
Mountain States Administrators (COLORADO ONLY) P
MPE Employee Benefit Services P
MPLAN Inc. Healthcare Group P
Mt. Carmel P
Multiplan Inc. for American Family (Claims only for the states of AZ, IL, IN and OH) P
Multiplan Wisconsin Preferred Provider Network P
Mutual Assurance Administrators P
Mutual Benefit P
Mutual Benefit Life P
Mutual Group, The (US) P
Mutual of Omaha Insurance Company P
Mutual of Omaha Insurance Company P
Mutually Preferred P
MVP Health Plan of NY * P
N.W. Ironworkers Health & Security Trust Fund – Grp#F15 P
N.W. Roofers & Employers Health & Security Trust Fund – Grp#F14 P
N.W. Textile Processors – Grp#F14 P
NAA (North America Administrators) P
Naperville Health Care Associates P
National Association of Letter Carriers P
National Association of Letter Carriers P
National Benefit Administrators – New Jersey P
National Benefits Administrators – North Carolina P
National Capital Area * N
National Capital Preferred Provider Organization (NCPPO) (Toobtain your provider ID number, please call the NCPPO Customer Service Department at (800) 272-5911) P
National Financial Insurance Company P
National Foundation Life Insurance Company P
National Health Administrators Inc. P
National Health Insurance Company P
National Imaging Associates P
National Rural Electric P
National Teachers Association (NTA) P
National Telecommunications Cooperative Association (NTCA) P
National Tellecommunications Cooperative Association (NTCS Staff) P
Nationwide Group P
Nationwide Health Plans – HMO, PPO, POS P
Nationwide Insurance P
Nationwide Life and Health P
Nationwide Mutual Insurance P
NCAS – Charlotte, VA P
NCAS – Fairfax, VA P
NCTA – PlanVista Corporation P
NEA Group Insurance Program P
Neighborhood Health Partnership of Florida P
Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number.) P
Neighborhood Health Providers P
Neighborhood Plan (Boston, MA) P
Nesika Health Group P
Netcare Life and Health Insurance P
Network Health (Before initiating submissions, please call Provider Relations at (617)806-8104 or www.network-health.org for an EDI startup plan.) P
Network Health Insurance Corp – Medicare P
Network Health Plan of Wisconsin, Inc.(Prior to initial claims submission, please contact Network Health Plan EDI specialist at 920-720-1506.) P
Network Health PPO P
Nevada Health Solutions (Provider ID Required) N
NevadaCare (Provider ID Required) N
NevadaCare Kids (Provider ID Required) N
New Century Health = Vista Cardiology P
New England, The P
New England, The P
New ERA Life P
New Market Dimensions P
New Mexico District Council of Carpenters P
New Mexico Painters and Allied Trades Local No 823 P
New Mexico-West Texas Multi-Craft (lso known as New Mexico Laborers) P
New West Health Plan P
New York Life – Long Term Care P
New York Medical Imaging-MVP P
New York Network Management P
New York Presbyterian Community Health Plan P
New York Presbyterian System Select Health P
NGS American, Inc. P
NHC Health Benefit Plan (Call NHC Health Benefit Plan @ 615-278-1230 regarding your NHC provider number.) P
Nippon Life Insurance Company P
NJ Carpenters Health Fund P
NM Blue Medicare PPO P
Noble Community P
North American Administrators, Inc. P
North American Benefits Network (NABN) P
North American Medical Management (Provider number must be in box 33a) P
North Broward Hospital District P
North Suburban Associated Physicians P
North Texas Healthcare Network P
North West Life P
Northern Illinois Health Plan P
Northern Nevada Trust Funds (Call 775-826-7200 prior to submitting claims.) P
Northridge Medical Group P
Northwest Community Health Partners P
Northwest Suburban IPA (IL) P
Northwestern National Life P
Nova Healthcare Administrators, Inc. (Grand Island, NY) P
NOVASYS HEALTH NETWORK P
NTL P
Nyhart P
Oak West Primary Physician Association P
Oak West Primary Physician Association P
Occupational Health Management, Inc. (OH BWC) * N
Ochsner Health Plan P
ODS Health Plan P
OH Worker’s COMP N
Ohio Health Plan (Group # required. PayerID valid only for claims with billing submission address of PO BOX 93538 or 6068, Cleveland OH) P
Olympic Health Management Systems, Inc. P
OmniCare (For claims with Dates of Service after 10/01/04) P
One Call Medical P
One Health Plan Inc. P
One Health Plan Michigan, Inc. P
One Health Plan New York, Inc. P
One Health Plan of Alaska P
One Health Plan of Arizona, Inc. P
One Health Plan of California P
One Health Plan of Colorado P
One Health Plan of DC Inc, P
One Health Plan of Florida P
One Health Plan of Georgia P
One Health Plan of Illinois P
One Health Plan of Indiana, Inc. P
One Health Plan of Kansas and Missouri P
One Health Plan of Maine, Inc. P
One Health Plan of Massachusetts, Inc. P
One Health Plan of Minnesota, Inc. P
One Health Plan of Nevada, Inc. P
One Health Plan of New Jersey P
One Health Plan of North Carolina P
One Health Plan of Ohio P
One Health Plan of Pennsylvania P
One Health Plan of South Carolina P
One Health Plan of Tennessee P
One Health Plan of Texas P
One Health Plan of Virginia, Inc. P
One Health Plan of Washington P
One Health Plan of Wisconsin, Inc. P
One Health Plan of Wyoming P
OneNet PPO, LLC. (Formerly known as Alliance PPO, Inc.) P
Operating Engineers Local No 53 P
Operating Engineers Locals 302 & 612 Health & Security Fund – Grp#F12 P
Opticare Eye Health Network P
Optimum Choice of the Carolina’s (MAMSI) P
Optimum Choice, Inc. (OCI) P
OptumHealth Behavior Solutions P
OptumHealth New Mexico P
Orange County Foundation for Medical Care P
Orthonet – AETNA P
Orthonet Corporation P
Orthonet-HealthNet P
OSF Care Advantage (Enrollment required. Contact OSF) Provider UPIN required in HCFA Box33a P
OSF Health Plans (Enrollment required. Contact OSF) P
OSG-Michael Reese P
Oshkosh Area Health Protection Plan P
Oxford Health Plans P
P5 Health Plan Solutions of Utah P
PA Preferred Health (Call PPHN Claims Operations at 410-349-3222) P
PacifiCare Behavioral Health P
PacifiCare of AZ 95964 P
PacifiCare of CA (Claims only) P
PacifiCare of CA Encounters P
PacifiCare of CO P
PacifiCare of OK Encounters P
PacifiCare of Oklahoma P
PacifiCare of OR Encounters P
PacifiCare of Oregon P
PacifiCare of Texas P
PacifiCare of TX Encounters P
PacifiCare of WA Encounters P
PacifiCare of Washington P
PacifiCare PPO P
PacificSource Health Plans P
Palmetto Tricare (Regions 1-6) Northern and Southern Region * P
Paper Claims (ENS will print and mail the claims submitted with the payerID of PRINT) N
Paragon Benefits, Inc. P
Paramount Health P
Parity Healthcare, Inc. P
Parkland Community Health Plan P
Partner Care P
Partners National Health Plans of North Carolina, Inc (Contracted providers only. Call (888) 296-9790) P
Partnership Health Plan P
Pasadena Primary Care Physicians P
Passport Advantage P
Passport Health Plan P
Patient Advocates, LLC P
PCMC/ICSL-Podiatry P
Peach State Health Plan (Behavioral Health) (Enrollment required. Call 800-225-2573, ext 25525.) N
Peach State Health Plan (Medicaid) (Call 800-225-2573 ext 25525 prior to submitting claims.) P
Pediatric Associates of Broward P
PEHP – Utah Public Employee Health Plan (Enrollment required, please contact Provider Relations 801-352-7270) P
PEHP – Utah Public Employee Health Plan * N
Peninsula Healthcare (Requires VA Blue Shield EMC approval) N
Pennsylvania Keystone Health Plan Central (Claims only) * N
Pennsylvania Keystone Health Plan Central (Encounters only) * N
Pennsylvania Keystone Health Plan East (claims only) * N
Pennsylvania Keystone Health Plan East (encounters only) * N
Pennsylvania Life Insurance P
Peoples Health Network (Tenet) (Network ID must be on claim. Contact phn.provider@tenethealth.com) P
Perfect Health P
Personal Choice PPO of Pennsylvania * (Also know as Independent BLC) N
Personal Physician Care P
Personalcare P
PHCS Savility (ONLY for Savility card members.) P
Phoenix American Life P
Phoenix Group Services (Texas) P
Phoenix Health Plan N
Phoenix Home Life P
Phoenix Home Life Mutual Ins. Co. P
Phoenix Mutual P
Phycor (Ft Collins office only) P
Physician Associates of Greater San Gabriel Valley * P
Physician Associates of Lousiana (PAL) P
Physician Health Partners P
Physicians Care Network P
Physicians Care Network (Rockford, IL Only) PayerID valid only for claims with billing submission name, city and state of Physicians Care Network, Rockford, IL. P
Physicians Corporation of America (Florida Plan Only) P
Physicians Direct P
Physicians Health Association of Illinois P
Physicians Health Choice – Claims (Administered by Wellmed) P
Physicians Health Choice – Encounters (Administered by Wellmed) P
Physicians Health Collaborative P
Physicians Health Plan (PHP) Mid-Michigan P
Physicians Health Plan (PHP-SC) P
Physicians Health Plan of Northern Indiana P
Physicians Health Services (now Health Net of NE) (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638) P
Physicians Mutual Insurance Company P
Physicians Plus Insurance Corp. P
Piedmont Administrators P
Piedmont Behavioral Health P
Pima Health System * P
Pinal Gila Long Term Care P
Pinnacol Assurance P
Pipe Industry Health & Welfare Fund of Colorado P
Pipefitters Local 597 P
Pipeline Industry Benefit Fund (Tulsa, OK) P
Pittman and Associates P
Planned Administrators, Inc. (PAI) P
PMG of San Jose P
Podiatry First P
Poly America Medical & Dental Benefits Plan P
POMCO P
PPO Oklahoma (WinterBrook HealthCare Management) P
PPO Plus, LLC P
PPOM LLC P
PPONext P
PPOplus P
Practicare P
Prairie States Enterprises, Inc. P
Preferred Administrator (Contact Provider Relations @ (915)532-2778, x1068) P
Preferred Benefit Administrators P
Preferred Care FL P
Preferred Care NY * N
Preferred Care Partners (Miami,Florida) P
Preferred Community Choice P
Preferred Health Care – PPO Lancaster, PA (IHS Gateway Payer) – Contact Sherry Wolgemuth at (717)560-9290 ext. 124 for approval and the Payer ID. P
Preferred Health Network (PHN) P
Preferred Health Plan (Louisville, KY) P
Preferred Health Professionals P
Preferred Health Professionals Kansas City P
Preferred Health Systems Insurance Co (PPO) P
Preferred Health Systems, Inc. P
Preferred IPA P
Preferred Network Access P
Preferred One P
Premier Benefits, Inc. P
Premier Health Plan P
Premier Health Systems, Inc. P
Presbyterian Health Plan (Commercial) (Provider ID is required. Contact (888) 923-5757, #6 then #2 to obtain ID. New Mexico Providers only.) P
Presbyterian Salud (Please add provider number in 2010AA REF02 or 2310B REF02 Number is 11 digits or less. Contact 888-923-5757, #6,#2 to obtain ID.) P
Presbyterian(NM) P
Prestige Health Choice P
Prevea Health Insurance Plan P
PrimaHealth IPA (Prima assigned rendering provider ID requires on all claims, or they will reject) (ENS enrollment required) * P
Primary Choice (Aetna HP-NY/NJ) P
Primary Delivery Systems P
Primary Health Network P
Primary Health Plan P
Primary PhysicianCare, Inc. P
Prime Care Health Plan P
Prime West Health Plan P
PrimeSource Health Network P
Principal Financial Group P
Principal Mutual Life Insurance Company P
Printing Ind Assoc of So CA (PIASC) P
Priority Health (Please contace Priority Health EDI Dept at 616-464-8686 or email EDISETUP@Priority-Health.com) P
Priority Healthcare (Requires VA Blue Shield EMC approval) N
Prism First Health P
Prism Health Network P
Prism Univera P
Pro Care Health Plan, Inc. (Valid for PO Box 3160 and 3590, Detroit MI only.) P
Pro Health CompCare P
ProCare Health Plan Medicaid P
Producer’s Exchange P
Professional Benefit Administrators, Inc. (Oak Brook, IL) P
Professional Benefits Administrators (Winter Park, FL) P
Professional Claim Administrators P
Professional Claims Management P
Professional Instill Health BCBS * (Non-par payer requires 1B qualifier with providerID.) P
Professional Insurance Company (PIC) (Formerly GE Voluntary Benefits PIC) P
Professional Risk Management, Inc. P
Promina P
Prospect Medical Group P
Protective Life Insurance Company P
Providence Choice Option * P
Providence Good Health Plan * P
Providence Preferred (PPO) (ProviderID and Enrollment required.) P
Provident Life & Accident Insurance Company P
Provident Life & Accident Insurance Company of America P
Provident Life & Casualty Insurance Company P
Providers First PPO P
PruCare P
PruCare HMO (Encounters Only) P
Prucare Plus P
Prudential P
Prudential Encounters P
Prudential Health Care Systems P
PruNetwork P
PSN – Florida Medicaid (JMH) P
Psychcare, LLC P
Puerto Rico Triple S (BCBS) * N
Puget Sound Benefits Trust – Grp#F25 P
Puget Sound Electrical Workers Trust – Grp#33 P
Puget Sound Health Partners, Inc. P
QuadMed (West Allis, WI) P
Qual Choice of Arkansas P
Qual Choice of North Carolina P
Qual Choice of Ohio P
Qualcare P
Quality Health Plans P
Quicktrip Corporation P
Quincy Health Care Management, Inc. P
QVI Risk Solutions, Inc. P
Rapid City Regional Hospital P
RBMS, LLC P
Redlands IPA (Synermed) P
Regal Medical Group P
Regence Blue Shield of Washington * N
Regional Care, Inc. N
Rehab Provider Network (RPN) SPECIALIZED FORMAT REQUIRED – CONTACT ENS(Note that this is not the same payer as Integra Group.) P
RELIASTAR (Formerly NWNL) P
Renaissance Physicians Organization P
Resolve Health Plan Administrators (Authorization number required: begins with the number 5 and is 13 characters in length.) P
Resurrection Health Care P
RMSCO, Inc. P
Rockwell International P
Rocky Mountain HMO * P
Rooney Life Ins. P
Rush Health Association (Call 708-783-7100 for PayerID.) P
Rush Prudential Health Plans (HMO Only) P
Rush Prudential Insurance Co. (PPO & POS Only) P
S & S Healthcare Strategies P
SafeGuard P
Sagamore Health Network, Inc. P
Sage Technologies – PBS P
Saint Marys Health Plan P
Sandia Triple Option Plan (Sandia TOP) P
Sanford Health Plan P
Sante Health Systems P
Sanus HMO-St. Louis (General America) P
Sanus PPO (General America) P
SC BCBS Companion Health * N
SC BCBS Planned Administrators * N
SC BCBS State Employee Health Plan * N
SC FEP Blue Cross * N
SCAN Health Plan P
Scan Health Plan Arizona P
SCHC Total Care P
Scott & White Health Care (5 Digit Rendering Provider ID required in box33a. Contact 254-298-3195 to obtain ID). P
Scripps Employee Health Plan P
Seabury & Smith also known as Benefit Plan Administrators P
Secure Health of Georgia P
Secure Horizons of CO P
SecureCare of Iowa P
Security Health Plan P
Select Benefit Administrators (PayerID valid for claims submission address of PO Box 8339, Des Moines, IA 50301) P
Select Benefit Administrators of America P
Select Choice P
Select Health of South Carolina (Provider ID required in Box33a.) P
SelectCare P
SelectCare (Coca Cola) P
SelectCare of OK – Tribute P
SelectCare of Texas (HPN) Heritage Physicians Network P
SelectCare of TX (Beaumont) (Provider ID Required – Contact (713) 843-6780 to obtain ID.) P
SelectCare of TX (Houston) (Provider ID Required – Contact (713) 843-6780 to obtain ID.) P
SelectCare of TX (Kelsey-Seybold) (Provider ID Required – Contact (713) 843-6780 to obtain ID.) P
SelectCare, Inc. of Michigan P
Self Insured Benefit Administrators (Clearwater, FL) (Payer ID valid for claim submission address of 18167 US 19 N #300, Clearwater FL 33764) P
Self Insured Plans, LLC P
Self-Funded Plans (IL, PA, OH) P
Senior Care P
Senior Choice (Aetna HP-NY/NJ) P
Senior Whole Health P
Sentara Family Plan P
Sentara Health Management P
Sentinel Management Services P
Sentry Insurance Co. (Sentry LIfe Insurance Co. Group and Substriber numbers 800-426-7234) P
Seoul Medical Group P
Seton CHIP (Provider ID required.) P
Seton Employee Plan P
Seton Map Program – Mediview (Provider ID required) P
Shasta Administrative Services, (Jeld-Wen Claims only) P
Sheakley UniComp (OH BWC) * N
Sierra Health Services P
Sierra Health Services Encounters P
Signature Health Alliance (Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance, PO Box 22419, Nashville TN 37202-2419.) P
Silver Care Managed Care Organization P
Silver Cross Managed Care Organization P
Sinclair Health Plan P
SISCO (Self Insured Services Company) P
SMA P
SMA 65 P
SMA Health Plan P
SMA HMO P
SmartPlan P
SmartPlan 65 P
Smith Administrators P
Sound Health P
South Central Preferred – PPO York, PA (IHS Gateway Payer) ( Contact Jane Grove for South Central Preferred (717) 851-6715.) P
South Dakota Chiropractic (Sanford Health Plan) P
South Indiana Health Options – HMO (Provider is responsible for contacting the payer directly for enrollment information.) P
Southcare / Healthcare Preferred P
Southeast Iowa Health Plan (Provider ID Required) N
Southeast Medical Alliance P
Southern Benefit Services P
Southern Group Administrators P
Southern Health Services, Inc. (UPIN is required on claim. Call Pattie Dietrick at (724) 778-5317) P
Southwest Physicians Associates P
Southwest Service Life P
Southwestern Bell P
Southwestern Bell Executive – Custom Care P
Southwestern Bell Executive – Southwestern Bell P
Spectrum Administrators P
SRI/URN Managed Transplant Program P
St Joseph Health P
St. Barnabas System Health Plan P
St. John’s Claims Administration P
St. Therese Physician Association P
STAR HRG (Valid only if the address on the ID care matches PO Boxes 55270,30870,30888,54150,30069,55400 in Phoenix AZ) P
Starmark P
StarMark – 4Most P
State Employees Group Benefits P
State Farm Casualty & Property N
State Farm Group Medical & Ind Health Ins Co (Note that payer requires Insured’s ID of 11 or 12 digits and exact structure. Otherwise claims will reject.) P
State Merit GA N
State of TX Dental Plan P
States General Life Insurance P
Staywell P
Sterling Option 1 P
Stirling & Stirling P
Stoner & Associates P
Stones River Regional IPA – Windsor P
Student Insurance P
Student Insurance – Boston Mutual Life Insurance Company P
Student Insurance – Life Insurance Company of Boston and New York P
Student Insurance – MEGA Life & Health Insurance Company P
Student Insurance – Mid-West National Life Insurance Company of Tennessee P
Student Insurance – Reliance Insurance Company P
Student Insurance – Reliance National Insurance Company P
Student Insurance Division P
Suffolk Health Plan of New York P
SummaCare Health Plan P
Summerlin Life and Health P
Summit America Insurance Services, Inc. (Student Accident and Sickness, College Sports and NASCC claims only.) P
Sun Health Corporation P
Sun Life and Health Insurance Company (Formerly known as GLHIC) P
Sun Life and Health Insurance Company (Formerly known as GLHIC) P
Sun Trust Bank, Inc. P
SunAmerica Life Ins Co (NFIC Plan only) P
Sunshine Health Plan P
Superior Administrators, Inc. P
Superior Health Plan P
Superior Health Plan CHIPS EPO * (Formerly Clarendon Kids EPO) P
Sutter Connect – Central Valley Med Group (Claims) P
Sutter Connect – Central Valley Med Group (Encounters) P
Sutter Connect – Delta – Claims P
Sutter Connect – SIP, SMG, SWMG – Encounters only P
Sutter Connect – Solano Regional Medical Group – Claims P
Sutter Connect – Sutter Gould Medical Foundation – Claims P
Sutter Connect Alta Bates Medical Group (Please contact Sutter to get set up to send claims, 800-611-5191) Per Provider Testing Required P
Sutter Connect East Bay Med Foundation * P
Sutter Connect Sutter Medical Group (SMG,SWMG,SIP) (Please contact Sutter to get set up to send claims, 800-611-5191) Per Provider Testing Required P
Sutter Medical Group of the Redwoods (SMGR) (Please contact Sutter to get setup to send Encounters, 800-611-5191) P
SW Service Administrators N
Swedish Covenant Hospital P
Talbert Medical Group P
Tall Trees Administrators P
Tarrant P
Tattered Cover, Inc. P
TBG Administrative Services P
Teachers Health Trust P
Team Choice PNS P
Team Choice UMC P
Team Health Care Partnership, Inc. (OH BWC) * N
Team Health Gold P
Teamcare P
Teamsters Local Union #301 P
Tech-Steel, Inc. P
TennCare (Medicaid of Tennessee) * N
Texas Children’s Health Plan P
Texas Children’s Health Plan (Medicaid) P
Texas Childrens Star Medicaid * (Enrollment verification calls should be directed to 800-990-TCHP (8247)) P
Texas First Health Plans P
Texas HealthSpring P
Texas Municipal League Group Benefits Risk Pool P
Texas True Choice P
The Boon Group P
The Chesterfield Companies P
The City of Amarillo P
The City of Odessa P
The Empire Plan P
The EPOCH Group P
THE FORD METER BOX COMPANY, INC P
The Health Exchange (Cerner Corporation) P
The Health Plan P
The Healthcare Group (THCG) P
The Integrity Benefit Network, Inc. P
The Loomis Company (Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.) P
The MEGA Life and Health Insurance Company-OKC (Valid if PO BOX 548801 Oklahoma City OK 73154.) P
The Oath – Health Partners of Alabama (All claims require a rendering providerID, please contact The OATH prior to sending @ 800-743-7141 for Enrollment Auth.) P
The Physicians Alliance Corp/SRRIPA P
The Union Labor Life Insurance Company P
The Wellness Plan P
Theraphysics (All but Colorado) P
Theraphysics (Colorado Only) P
Therapy Review System P
Thomas Cooper * N
Three Rivers Provider Network P
Time Insurance (A Fortis Company) P
TLC Advantage in Sioux Falls P
Today’s Health P
Todays Option (American Progressive and Pyramid Life) P
Tongass Timber Trust P
Tooling & Manufacturing Assoc. P
Total Care of NY P
Total Carolina Care P
Total Community Care P
Total Health Choice P
Total Health Management, Ltd. (OH BWC) * N
Total Healthcare, Inc. P
Touchpoint P
Touchpoint Health Plan HMO P
Touchstone Health PSO P
Touchstone Health/Health Net Smart P
Tower Life Insurance Company P
TR Paul Inc P
TR Paul Inc. P
TRANE Health Protection Plan, The P
Transamerica Life Ins. Co.(Specialized claims only. Call 501-277-1284 for information.) P
TransAmerica Life Insurance Company (Valid for PO Box 982009, North Richland Hills, TX 76182) P
Transchoice – Key Benefit Admin P
Transwestern General Agency P
Transwestern Insurance Administrators, Inc. P
Tricare for Life (All Regions 1-12) * P
TriCare Palmetto (Regions 1-6) Northern and Southern Region * P
Trilogy Health P
TriWest WPS (Regions 7-12) Western Regions of Tricare * P
True Choice USA P
Trusteed Plans Service Corporation P
Trustmark (Includes Starmark & TMA) P
Tufts Associated Health P
UAHC Health Plan of Tennessee * (Enrollment required.) N
UBH Employer Division P
UBH RIOS P
UC Care (University of CA) P
Ucare of Minnesota P
UFCW Local 400-5205 P
UICI Administrators – State of Nevada P
UMR-Midwest Securities P
UMWA Health & Retirement Funds P
Unicare Life & Health Insurance Company P
Unified Group Services P
Unified Health Services P
Uniform Medical Plan P
Uniformed Service Family Health Plan P
Union Pacific Railroad Employees Health Systems P
Unison Health Plan / Three Rivers Provider Network P
United Agriculture Benefit Trust P
United Behavioral Health P
United Benefits, Inc (a Brown & Brown Company) P
United Medical Alliance (UMA) P
United Medical Resources, Inc. (Some of UMR’s new member cards no longer print the full SSN. When submitting electronically, the full SSN must be entered.) P
United of Omaha P
United Physicians of Northern Colorado P
United Resources Network P
UnitedHealthcare P
UnitedHealthcare River Valley (formerly known as John Deere Healthcare* (Please call 866-509-1593 for enrollment and provider ID) P
Unity Health Insurance (Before submitting claims, please call Joe Boerboom at 608-643-1531 for EDI Signup.) P
Univera Healthcare – CNY N
Univera Healthcare (SSA) * P
Universal Care – California (ProviderID required.) P
Universal Health Care, Inc. P
Universal Standard Healthcare, Inc. P
University Family Care P
University Family Care – Healthcare Group * P
University Family Care – Maricopa Health Plan P
University Family Care – Maricopa Health Plan P
University Family Care * P
University Health Plan New Jersey P
University MSO P
University of Miami Behavioral Health (Submitters MUST call 305.243.7270 prior to sending claims P
University of Utah Health Plans N
University of Washington Students & Graduate Appts. – Grp#P67 P
UPMC Health Plan P
Upper Peninsula Health Plan P
US Benefits P
US Family Health Plan (USFHP) P
USAA P
Utah Carpenters P
Utah Laborers P
Utah Pipe Trades P
UtiliMED, Inc. P
UTMB Healthcare Systems P
VA Fee Basis Programs P
VA State Employer Funds (Requires VA Blue Shield EMC approval) N
Valley Baptist Health Plan (This payer is only accepting claims with Dates of Service prior to 2-29-2004. For later claims send to First Care. PayerID of 94999) P
Valley Health Administrators P
Value Options Arizona Medicaid * N
Value Options Commercial Claims * N
Value Options Massachusetts Behavioral Health Partnership * N
Value Options New Mexico Medicaid * N
Value Options Pennsylvania Medicaid * N
Value Options Texas Northstar * N
Vantage Health Plan, Inc. P
Vantage Occupational Health Plan (OH BWC) * N
Varian Health Care Plan P
VENCOR P
Verity National Group P
Vicare Administrative Services P
Vida Care P
VIPA P
Virginia Premier Health Plan * P
Vista Del Sol Health Care P
Vista Health Plan (Provider UPIN required in Box33a) P
Vista Healthplan of South Florida (Formerly known as Foundation Health of Florida) P
Vita Health P
Volusia Health Network P
VPH Community Care P
VYTRA Healthcare (Provider ID number required. Please call 1-631-420-4100, opt 4, opt 4 for payer set-up and payer assigned provider ID number.) P
Wabash Memorial Hospital Association P
WASHINGTON EMPLOYERS TRUST P
Washington State Labor and Industry * N
Washington State Premera Blue Cross * N
Waterstone Benefit Administrators P
Wausau Benefits, Inc. P
Wausau Insurance Companies P
WEA Insurance Group P
Wellcare P
Wellcare Health Plan, Inc. (Encounters only) P
Wellcare HMO, Inc. P
Wellcare of CT P
Wellcare of NY P
Wellcare Private Fee for Service Plans P
WellMed N
Wellpath P
West Coast Stationary Engineers Health & Security Trust Fund – Grp#F13 P
West Virginia Freedom Blue – Highmark * N
West Virginia State Employees (PEIA) (Virginia only) P
West Virginia Worker’s Compensation Program * N
Western P
Western Benefits, Inc. (Also known as Western Grocers) P
Western Care P
Western Grower’s Assurance Trust P
Western Grower’s Insurance Company P
Western Life Ins. Benefit Plan (FORTIS) P
WESTERN MUTUAL INSURANCE P
Western Southern Financial Group P
Western Tricare also known as TriWest (Regions 7-12) * P
WestLake Financial Group, Inc. P
Weyco Inc. P
William C. Earhart Co, Inc. P
William J Sutton & Co. Ltd. P
Willis Administrative Services Corporation P
Windsor Medicare Extra P
WinHealth P
WINHealth Partners Medicare Plan administered by Rocky Mountain HMO * P
Wisconsin Auto & Truck Dealers Insurance Corporation P
Woodman Accident and Life Co (AICT Plans only) P
Worksite Benefit Services P
World Insurance Company P
WPPA-ProviDRs Care Network P
WPS Commercial * P
Writers’ Guild – Industry Health Plan P
Yale Preferred Health/HealthChoice of Connecticut P
Yavapai County * P
Young Life P
   
Payer Name Participating(P)
Non-Participating(N)
A & I Benefit Plan Administrators P
Acordia National P
Advantra/Health America Inc./Health Assurance P
Aetna P
Aetna LTC P
AFTRA Health Fund P
Alaska Electric P
Alta Health Stratagies (First Health) P
Altius Health Plans P
American General P
American Postal Workers Union Health Plan P
American Republic Insurance P
AmeriChoice of New Jersey Personal Care Plus P
Ameritas Life Insurance Company P
Arizona Physicians IPA P
Assurant Employee Benefits (Formerly Fortis Insurance) P
Assured Benefits Administrators P
AVMED P
BC BS of Florida *$ N
BC of California *$ N
Benefit Management Services P
Benefit Trust Life Insurance Company P
Best Life & Health Insurance Co. P
Better Health Plans Inc. P
Blue Cross Blue Shield of Alabama$* N
Blue Cross Blue Shield of Colorado – Anthem$ N
Blue Cross Blue Shield of Georgia$* N
Blue Cross Blue Shield of South Carolina$* N
Blue Cross Blue Shield of Texas$* N
Blue Shield of California$ N
BS of Arizona *$ N
BS of Illinois *$ N
BS of Lousiana *$ N
BS of Massachusetts *$ N
BS of Minnesota *$ N
BS of Mississippi *$ N
BS of New Jersey *$ N
BS of New Mexico *$ N
California Medicaid$ N
Carelink Advantra (WV ) P
Carelink Medicaid P
Carenet of Virginia P
CarePlus Health Plans P
CareSource * P
CBA Inc. (Cooperative Benefits Administrators Inc.) P
Cenpatico Georgia P
CHA$ N
Christian Brothers Services P
CIGNA P
Cimarron Commercial P
Colorado Access P
Columbia United Providers P
Consolidated Associates Railroad P
Consumers Life Insurance Company P
CoreSource Little Rock P
CoreSource of Illinois P
CoreSource of IOWA P
CoreSource of North Carolina P
Coresource of OH P
CoreStar AZ MN P
Coventry Health Care of Delaware Inc. P
Coventry Health Care of Georgia P
Coventry Health Care of Indiana P
Coventry Health Care of Iowa P
Coventry Health Care of Kansas P
Coventry Health Care of Kansas/Wichita – Wichita, KS P
Coventry Health Care of Louisiana P
Coventry Health Care of Nebraska P
Coventry Health Care of North Carolina P
Coventry Southern Health Services P
Department of Labor Black Lung P
Directors Guild of America – Producer Health Plan P
District of Columbia Medicaid$ N
Empire Blue Cross Blue Shield N
Employers Direct Health – FI P
Employers Health Insurance (Humana) P
Erin Group Administrators P
Fallon Community Health P
Federated Mutual Insurance P
First Ameritas of New York P
First Reliance Standard Life Ins Co P
FMH Benefit Services P
FORTIS (Formerly Time Insurance) P
Fortis Benefits Insurance Company (FBIC) P
Freedom Health Plan P
Georgia Medicare Part A (BCBS)$* N
GHP (Group Health Plan) P
Great-West Life P
Group Benefit Administrators (Hendersonville TN) P
Harris Methodist Health Plan P
Hawaii Medicaid$ N
Health Choice Arizona P
Health Future P
Health Management Associates (HMA, servicing Southeastern and Southwestern Regions) (Provider ID Required) N
Health Net Medi-Cal$ N
Health Net of California$ N
Health Net of Oregon$ N
Health Net of the North East Inc. P
Health Partners PA P
Health Plus of Michigan N
HealthCare Inc P
Healthfirst Inc. (NY) P
Healthnet of AZ P
Highmark – Key Family P
HMA (servicing HI, AZ and NV) N
HUMANA Claims only P
Independence BC of PA N
Independent Health * (Enrollment and Testing Required, contact (716) 635-3911) P
Inland Empire Health Plan$ N
Inter Valley Health Plan$ N
JMH Health Plan$ N
John Alden Life Ins. P
John Deere Healthcare/Heritage * P
John Hopkins Healthcare (EHP/PP) P
Kaiser Foundation Health Plan Inc – Hawaii Region P
Kaiser Foundation Health Plan of Colorado P
Kaiser Foundation Health Plan of Georgia P
Kaiser Foundation Health Plan of Ohio P
Kaiser Foundation Health Plan of Southern CA Region * P
Kaiser Foundation Health Plan of the Northwest P
Lifewise A Premier Health Plan * N
Lifewise Health Plan of Arizona A Premier Health Plan * N
Lifewise Health Plan of Oregon A Premier Health Plan * N
Lifewise Health Plan of Washington A Premier Health Plan * N
Kaiser Mid Atlantic P
Kaiser Permanente of Northern California P
Linn County P
Lovelace Health Plan$ N
Lumenos Inc. P
Mailhanders Benefit Plan (CAC) P
Maine Medicaid$ N
MAMSI Health Plan$ N
Maricopa County Tobacco Program$ N
Maryland Physicians Care P
Mass Health (MA Medicaid) * P
Medicaid of Alabama *$ N
Medicaid of Arizona (AHCCCS) *$ N
Medicaid of Arkansas *$ N
Medicaid of Colorado *$ N
Medicaid of Connecticut *$ N
Medicaid of Florida *$ N
Medicaid of GA *$ N
Medicaid of Idaho *$ N
Medicaid of Illinois *$ N
Medicaid of Indiana *$ N
Medicaid of Iowa *$ N
Medicaid of Kansas *$ N
Medicaid of Kentucky *$ N
Medicaid of Lousiana *$ N
Medicaid of Minnesota *$ N
Medicaid of Mississippi *$ N
Medicaid of Missouri *$ N
Medicaid of New Hampshire *$ N
Medicaid of New Jersey *$ N
Medicaid of New Mexico *$ N
Medicaid of New York *$ N
Medicaid of North Carolina *$ N
Medicaid of Ohio *$ N
Medicaid of Oklahoma *$ N
Medicaid of Oregon *$ N
Medicaid of Pennsylvania *$ N
Medicaid of South Dakota *$ N
Medicaid of Tennessee (TennCare) *$ N
Medicaid of Texas *$ N
Medicaid of Vermont *$ N
Medicaid of Virginia *$ N
Medicaid of Washington DC *$ N
Medicaid of West Virginia *$ N
Medicaid of Wisconsin *$ N
Medicaid of Wyoming *$ N
Medical Mutual of Ohio P
Medicare Part A and B*$ N
Mega Life & Health Insurance Company P
MemorialCare TPA$ N
Mercy Care Health Plan P
Methodist Health Systems (Healthchoice of Memphis) P
Michigan Medicaid$ N
Mid-West National Life Insurance Co. of Tennessee P
Mississippi Children’s Health Insurance Program (CHIP)$ N
Mississippi State Employees & Teachers Health Plan$ N
Molina Healthcare of California P
Molina Healthcare of Michigan P
Molina Healthcare of New Mexico P
Molina Healthcare of Utah P
Molina Healthcare of Washington P
Montana Medicaid$ N
National Association of Letter Carriers P
Nationwide Group P
Nevada Medicaid$ N
New York Medicare Part A (Empire BCBS)$* N
Nippon Life Insurance Company P
North Dakota Medicaid$ N
OmniCare P
Oxford Health Plans P
Pacificare of Arizona$ N
Pacificare of California P
Pacificare of Colorado$ N
Pacificare of Oklahoma P
Pacificare of Oregon P
Pacificare of Texas P
Partnership Health Plan of CA$ N
Personalcare P
Phoenix Health Plan P
Poly America Medical & Dental Benef P
Preferred Health Systems Insurance Co. P
Preferred One P
Presbyterian Health Plan (Commercial) P
Providence Health Plan$ N
Puerto Rico Medicaid$ N
Reliance Standard Life Inc Co P
Rocky Mountain Health Plan$ N
San Francisco Health Plan$ N
San Joaquin Health Plan$ N
SCAN HMO$ N
South Carolina Medicaid$ N
Standard Ins Co P
Standard Ins Co of New York P
Stanislaus County MIA Program$ N
Star HRG P
State Farm Casualty & Property N
Tall Trees Administrators P
The Chesapeake life Insurance Company P
The MEGA Life & Health Insurance Company – OKC Division P
Three Rivers Provider Network P
TLC$ N
Touchstone Health/Health Net Smart P
Trans America Life Insurance Company P
Tricare (nationwide)$ N
Tufts Associated Health P
UMR-Midwest Securities P
UnitedHealthcare P
Universal Care of CA$ N
University Family Care P
VA Fee Basis Programs P
WEA Insurance Group P
Western Health Advantage$ N
Writers’ Guild – Industry Health Plan P
   
Payer Name Participating(P)
Non-Participating(N)
AARP UnitedHealthcare Insurance Co P
Advantra Freedom P
Aetna P
Altuis P
American Community Mutual Insurance P
American Medical Security P
American Republic Insurance P
Americhoice Arizona Physicians IPA P
Americhoice Maryland P
Americhoice Nebraska P
Americhoice New Jersey P
Americhoice New York P
Americhoice New York Upstate P
Americhoice Pennsylvania P
Americhoice Texas P
Americhoice Wisconsin P
AmeriHealth Mercy Health Plan P
Anthem of Nevada N
Benefit Administrative Systems P
Blue Advantage of Arkansas P
Blue Care of Virginia PPO P
Blue Chip of Rhode Island N
Blue Choice of Rochester NY N
Blue Cross of California P
Blue Cross of Idaho N
Blue Shield of Alabama P
Blue Shield of Alaska P
Blue Shield of Arizona P
Blue Shield of California P
Blue Shield of Colorado P
Blue Shield of Connecticut N
Blue Shield of Delaware N
Blue Shield of Florida P
Blue Shield of Georgia P
Blue Shield of Hawaii P
Blue Shield of Idaho N
Blue Shield of Illinois N
Blue Shield of Indiana P
Blue Shield of Iowa P
Blue Shield of Kansas N
Blue Shield of Kansas City N
Blue Shield of Kentucky P
Blue Shield of Lousiana P
Blue Shield of Maine P
Blue Shield of Maryland P
Blue Shield of Massachusetts N
Blue Shield of Massachusetts N
Blue Shield of Massachusetts for Institutional Claims N
Blue Shield of Michigan P
Blue Shield of Minnesota P
Blue Shield of Mississippi P
Blue Shield of Missouri P
Blue Shield of Montana P
Blue Shield of Nebraska P
Blue Shield of Nevada N
Blue Shield of New Hampshire N
Blue Shield of New Jersey N
Blue Shield of New Mexico N
Blue Shield of New York (Empire) P
Blue Shield of New York, Central N
Blue Shield of New York, Rochester N
Blue Shield of New York, Utica N
Blue Shield of North Carolina P
Blue Shield of North Dakota N
Blue Shield of Ohio P
Blue Shield of Oklahoma N
Blue Shield of Oregon N
Blue Shield of Pennsylvania P
Blue Shield of Rhode Island P
Blue Shield of South Carolina P
Blue Shield of South Dakota N
Blue Shield of Tennessee P
Blue Shield of Texas N
Blue Shield of Utah N
Blue Shield of Virginia P
Blue Shield of West Virginia P
Blue Shield of Wisconsin N
Blue Shield of Wyoming P
Brown & Toland Medical Group P
Capital District PHP * N
CareFirst BCBS – DB, National Capital Area P
Carelink Advantra (WV HealthAssurance & Carelink commercial claims only.) P
Carelink Medicaid P
Carenet of Virginia P
Cariten HealthCare P
Cariten Senior Health P
CBA, Inc. (Cooperative Benefits Administrators, Inc.) P
Celtic Insurance P
Central Benefits Life P
Central Reserve Live P
CHA – Commonwealth Health Alliance P
CHAMPVA-HAC (CHAMPVA-HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS.) ) N
Cigna P
Colorado Kaiser Permanente (Colorado plans only **EXCEPT COLORADO SPRINGS**) P
Colorado Springs Kaiser Permanente (Colorado Springs plan only) P
ConnectiCare, Inc P
Connecticut Bluecare Family Plan N
Connecticut Federal Employee Program N
CoreSource Little Rock P
CoreSource NC IN P
CoreSource of Illinois P
CoreSource of Maryland P
Coresource of OH P
CoreSource of Pennsylvania P
Cova- Commonwealth of Virginia P
Covenant Health (PHP TennCare) P
Coventry Health Care National Network P
Coventry Health Care of North Carolina P
Coventry Health Care of South Carolina P
Coventry Healthcare of Kansas – Kansas City P
Coventry of Delaware P
Coventry of Georgia P
Coventry of Iowa P
Coventry of Kansas – Wichita P
Coventry of Louisiana P
Coventry of Nebraska P
Coventry Southern Health (Southern Health Services) P
Diamond Health Plan P
DME Region A N
DME Region B N
DME Region C N
DME Region D N
ElderPlan, Inc. P
Family Health Partners – Healthwave of Kansas P
Federal Qualified Hlthcr Cntr via UGS P
Federated Mutual Insurance P
Fiserv Health – Wausau Benefits / Benesight P
FMH Benefit Serv, Inc P
Fortis Benefits Ins. Co P
Fortis Insurance Company P
Freedom Blue (Highmark) N
Gateway Health Plan P
Gateway Health Plan Ohio P
GEHA P
Geisinger Health Plan P
GHI Medicare Part B of New York P
Gilsbar, Inc P
Great West Healthcare P
Group Health Plan (GHP) P
Group Health, Inc. / GHI – New York P
Health Alliance Medical Plans P
Health America / Health Assurance / Advantra P
Health Insurance Plan of Greater New York (HIP) P
Health Net (of California) P
Health Net of the Northeast P
Health Plus PHSP P
Healthcare USA P
Healthfirst Health Plan of New Jersey P
Healthkeeper HMO P
Healthnet of AZ P
HealthSCOPE Benefits, Inc. P
Horizon NJ Health P
Humana P
IBC Personal Choice P
International Brotherhood of Boilermakers P
John Alden Life Ins. Co. P
Johns Hopkins Healthcare (USFHP) P
Kaiser Foundation of Ohio P
Kaiser Health Plan of GA P
Kaiser Mid-Atlantic P
Kaiser Permanente (Southern California only) P
Kanawha Insurance Co. P
KeyCare PPO P
Keystone Mercy Health Plan P
Local Choice of Virginia P
Magellan Behavioral Health P
Mail Handlers Benefit Plan P
MAMSI Life and Health P
Managed Health Services of Wisconsin P
Maryland PMHS N
Med Benefits Mutual Life P
Medica P
Medicaid of Alabama P
Medicaid of Alaska N
Medicaid of Arizona (AHCCCS) N
Medicaid of Arkansas N
Medicaid of Colorado P
Medicaid of Connecticut N
Medicaid of DC N
Medicaid of Delaware N
Medicaid of Florida P
Medicaid of GA P
Medicaid of Idaho P
Medicaid of Indiana N
Medicaid of Iowa P
Medicaid of Kansas N
Medicaid of Kentucky N
Medicaid of Louisiana N
Medicaid of Lousiana Rehab N
Medicaid of Maryland N
Medicaid of Massachusetts (Mass Health) N
Medicaid of Michigan N
Medicaid of Minnesota N
Medicaid of Mississippi N
Medicaid of Missouri P
Medicaid of Montana N
Medicaid of Nebraska P
Medicaid of Nevada P
Medicaid of New Hampshire N
Medicaid of New Jersey P
Medicaid of New York N
Medicaid of North Carolina P
Medicaid of Ohio P
Medicaid of Oklahoma P
Medicaid of Oregon N
Medicaid of Pennsylvania N
Medicaid of Rhode Island P
Medicaid of South Carolina N
Medicaid of South Dakota P
Medicaid of Tennessee (TennCare) N
Medicaid of Utah N
Medicaid of Vermont P
Medicaid of Virginia P
Medicaid of Washington P
Medicaid of West Virginia P
Medicaid of Wisconsin P
Medicaid of Wyoming P
Medical Mutual of Ohio N
MediCal of California P
Medicare Part A of Texas N
Medicare Part B of Alabama P
Medicare Part B of Alaska N
Medicare Part B of Arizona P
Medicare Part B of Arkansas P
Medicare Part B of Colorado P
Medicare Part B of Connecticut P
Medicare Part B of DC P
Medicare Part B of Delaware N
Medicare Part B of Florida P
Medicare Part B of Georgia P
Medicare Part B of Hawaii N
Medicare Part B of Idaho N
Medicare Part B of Illinois P
Medicare Part B of Indiana P
Medicare Part B of Iowa P
Medicare Part B of Kansas P
Medicare Part B of Kansas City (ASK) P
Medicare Part B of Kentucky P
Medicare Part B of Louisiana P
Medicare Part B of Maine P
Medicare Part B of Maryland N
Medicare Part B of Massachusetts P
Medicare Part B of Michigan P
Medicare Part B of Minnesota P
Medicare Part B of Mississippi P
Medicare Part B of Missouri P
Medicare Part B of Montana P
Medicare Part B of Nebraska P
Medicare Part B of Nevada P
Medicare Part B of New Hampshire P
Medicare Part B of New Jersey N
Medicare Part B of New Mexico P
Medicare Part B of New York (Empire) P
Medicare Part B of North Carolina P
Medicare Part B of North Dakota N
Medicare Part B of Northern California P
Medicare Part B of Ohio P
Medicare Part B of Oklahoma P
Medicare Part B of Oregon P
Medicare Part B of Pennsylvania P
Medicare Part B of Rhode Island P
Medicare Part B of South Carolina P
Medicare Part B of South Dakota P
Medicare Part B of Southern California P
Medicare Part B of Tennessee P
Medicare Part B of Texas P
Medicare Part B of Upstate NY P
Medicare Part B of Utah P
Medicare Part B of Vermont P
Medicare Part B of Virginia P
Medicare Part B of Washington P
Medicare Part B of West Virginia P
Medicare Part B of Wisconsin P
Medicare Part B of Wyoming P
Medicare Railroad * (MetraHealth Medicare) P
Mega Life & Health Insurance Company P
Metropolitan Health Plan P
Michigan Blue Care HMO (BCN of Michigan) N
Michigan Medicare PlusBlue N
Mid-West National Life Insurance Co. of Tennessee P
Midwest Security P
Mutual of Omaha P
Mutual of Omaha Medicare P
Nationwide Health Plans P
Network Health Plan of Wisconsin, Inc. P
ODS Health Plan P
Omnicare, Coventry Hlth P
Oxford Health Plans P
PacifiCare of Arizona HMO Commercial Plans only P
PacifiCare of CA PacifiCare/Secure Horizons HMO only. P
PacifiCare of Colorado HMO Commercial Plans only P
PacifiCare of Oklahoma HMO Claims only P
PacifiCare of Oregon HMO Claims only P
PacifiCare of Texas HMO Claims only P
PacifiCare of Washington HMO Claims only P
Passport Health Plan P
Pennsylvania Keystone Health Plan East (claims only) P
Pennsylvania Keystone Health Plan East (encounters only) P
Personal Choice P
Personal Choice PPO / Independent BLC N
PersonalCare P
PHP TennCare (Covenant Health) P
Physicians Mutual P
Preferred Care P
Preferred Health Systems P
Priority Health P
Priority Healthcare P
Providence Health Plan P
Regence Blue Shield of Washington N
SC BCBS Companion Health P
SC BCBS Planned Administrators P
SC BCBS State Employee Health Plan P
SC FEP Blue Cross P
Select Health of South Carolina P
Sentry Life Insurance Company P
Southern Health Service (Coventry Southern Health) P
State Farm Ins. Co. P
Sunshine State Health Plan P
Sutter Connect Medical Group P
Three Rivers Providers Network P
Time Insurance Company P
Tricare – North P
Tricare – South P
TriWest Regions P
Trustmark (Includes Starmark & TMA) P
Tufts Health Plan P
Unicare Life & Health Insurance Company P
Union Security Ins. Co. P
United Medical Resources (UMR) P
UnitedHealthcare P
UnitedHealthcare of the River Valley P
Universal Health P
UPMC Health Plan P
VA Fee Basis Programs P
Virginia Premier Health Plan P
Virginia State Employer Funds P
Washington State Premera Blue Cross P
Wausau Benefits / Benesight P
Wellpath P
Wells Fargo Third Party Administrators, Inc P
World Insurance Company P
WPS Commercial P