Understanding Payer IDs in Mental Health Insurance Billing

This article and payer ID list will help you understand what payer IDs are for mental health insurance billing, how to find the right payer ID for your clients, and how to bill.

What is a Payer ID?

Each insurance company that processes electronic claims will have their own unique payer ID. Beyond this, the same insurance company may have multiple payer IDs as the plans may vary, or they may have one payer ID for multiple plans across multiple states.

Selecting the right payer ID to use when filing your mental health insurance claims is a matter of spending the time inquiring about which payer ID to use. This process is called verifying eligibility and benefits (for behavioral healht) and it is best done before seeing any prospective client that knocks on your door. Check our guide and call script on how to verify eligibility and benefits for mental health clients here.

By getting the payer ID, you will now know which payer ID to submit to when you send in your claims electronically (via a clearinghouse provider).

Confirm with their customer support which payer ID to use. Then, after they tell you the name of the plan and the corresponding payer ID, it’s time to check against your claims ClearingHouse provider to see what payer ID they have and use. We use OfficeAlly as our clearinghouse partner and we love their service.

What’s a Clearing House?

It’s an organization that acts as a barrier between the millions of insurnace claims being submitted to each of these insurnace companies and the insurance company itself. They act as a way to screen electronically created claims that come over to each insurance company. A first “test” so to speak.

Many many claims fail this first test. For example, if Aetna requires a “W” before any subscriber ID, the clearinghouse will reject the claim for a bad subscriber ID, and it will never get sent to Aetna. This saves Aetna a ton of time and thus money processing bad, inaccurate, or fraudulent claims. A clearinghouse solves this problem.

Our clearinghouse of choice is OfficeAlly because they are free to submit claims to (unlike many other clearinghouses).

Check Against Your ClearingHouse Partner

Of course it wasn’t that simple! Now you have to reference your clearinghouse partner to find out what payer ID they have listed in their database for the plan in question.

Please use the list below or go to OfficeAlly’s website to find their most recent payer ID list: https://cms.officeally.com/Pages/ResourceCenter/PayerLists/PayerList.aspx

The best first step would be to search for the payer ID that you were told on your eligibility and benefits phone call. So use the “Ctrl” + “F” buttons and type in the payer ID. An example is “Value Options” payer ID “VALOP”.

If you cannot match the payer ID with what they quoted to you on the phone, search by the name of the insurnace company or plan to find the right payer ID. If you searched for “Value Options” you would find payer ID “VALOP”.

If you do not see the right payer ID, contact OfficeAlly support.

Use Your Payer ID to Bill Mental Health Claims

Now you’re all set to submit claims. Use the correct electronic payer ID from OfficeAlly, confirmed by the insurance company, and submit that through to OfficeAlly via your favorite EHR system. Make sure to add the correct claims address from your eligibility and benefits call as well. Now you’re done!

Don’t want the hassle?

We can help. We do the above process for you daily, included in our mental health billing service. Drop us a line.

 

Payer ID Payer Name
13162
1199 National Benefit Fund
59069
21st Century Health and Benefits
20413
3P Administrators
4YC01
4 YourChoice EPO/PPO Network
74234 8th District Elec
93044
A & I Benefit Plan Administrators
75240
AAG – American Administrative Group
75240
AAG Benefit Plan Administrators, Inc.
36273
AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company
36273
AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company
87726
AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons)
87726
AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network – AARP MedicareComplete
87726
AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network – AARP MedicareComplete Mosaic
03443
ABRAZO Advantage Health Plan
68068
Absolute Total Care – Cenpatico
68069
Absolute Total Care – Medical
AHS01
Access Administrators
COACC
Access Behavioral Care
ACC01 Access IPA
AMM06
Access Medical Group
19305
Access Medicare (Cuatro LLC)
NMM01
Access Primary Care Medical Group (APCMG)
AMM06
Access Santa Monica
64071 Acclaim
IP095 Acclaim IPA
IP095
Acclaim IPA (MHCAC)
AHIPA
Accountable Healthcare IPA (AHCIPA)
72467
ACS Benefit Services, Inc.
24585
ACTIN Care Groups / Clifton Health Systems
75678
Active Care (UCS)
AHC01 ActivHealthCare
38254
Activia Benefit Services
38265
Administration Systems Research Corp
38265
Administration Systems Research Health Benefits
22384
Administrative Concepts Inc.
59141
Administrative Services Inc
37278 AdminOne
WOAHM
Advanced Health CCO – Mental Health Claims Only (previously WOAH-Western Oregon Advanced Health CCO)
NMM01
Advanced Physicians IPA
74234 Advanstaff, Inc.
ACIPA
Advantage Care IPA
35209
Advantage Health Solutions
35219
Advantage Health Solutions (CMCS) – Medicare Advantage
NMM01
Advantage Medical Group
77070
Advantage Preferred Plus
ADVTK
Advantek Benefit Administrators (SANTE)
59374
Advantica Benefits
MPM36
Adventist Health Hanford AHP
MPM37
Adventist Health Plan
95340
Adventist Health System West
MPM33
Adventist White Memorial – Crown City Medical Group
MPM34
Adventist White Memorial – Southland San Gabriel Valley
36320
Advocate Health Centers
65093
Advocate Health Partners
60054
Aetna Advantage
60054
Aetna Affordable Health Choices – SRC/Boone
66917
Aetna Better Health – Parkland (TX)
128CA
Aetna Better Health of California
128FL
Aetna Better Health of Florida
26337
Aetna Better Health of Illinois (Medicaid)
128KY
Aetna Better Health of Kentucky
128LA
Aetna Better Health of Louisiana
128MD
Aetna Better Health of Maryland
128MI
Aetna Better Health of Michigan
42130
Aetna Better Health of Nebraska
128NV
Aetna Better Health of Nevada
46320
Aetna Better Health of New Jersey
34734
Aetna Better Health of New York
50023
Aetna Better Health of Ohio
23228
Aetna Better Health of Pennsylvania (Medicaid)
38692
Aetna Better Health of Texas
128VA
Aetna Better Health of Virginia
128VA
Aetna Better Health of Virginia – CCC Plus
128WV
Aetna Better Health of West Virginia
60054
Aetna Choice Plans
60054
Aetna Health, Inc.
60054
Aetna Healthcare
60054
Aetna HealthFund
26337
Aetna Illinois Medicaid
60054
Aetna Life & Casualty Company
60054
Aetna Life Insurance Company
60054
Aetna Medicaid Plans
60054 Aetna Medicare
60054
Aetna Senior Plans
60054
Aetna Signature Administrators (ASA)
60054
Aetna Student Health
38692
Aetna TX Medicaid and CHIP
60054
Aetna US Healthcare – AUSHC
ADOCS
Affiliated Doctor’s of Orange County (ADOC) (Regal)
POP09
Affiliated Partners IPA
APG01
Affiliated Physicians Group (APG)
POP06
Affiliated Physicians IPA
13333
Affinity Health (Medicare Advantage)
13334
Affinity Health Plan
23334
Affinity Health Plan Essential
46594
Affinity Medical Group
95426
Affordable Benefit Administrators, Inc.
62308
AFTRA Health & Retirement Funds
64158
Agency Services Inc.
ARA01
AgeRight Advantage
AWNY6
AgeWell New York
AGUA1 Agua Caliente
AGUA1 Agua Dulce ISD
MPM38
AHP Provider Network
22195
AIG Educational Markets
CAPMN
AKM Medical Group
95327
Alameda Alliance for Health
AIPAZ
Alamitos IPA (AIPA)
91136
Alaska Children”s Services, Inc. Group #P68
60054
Alaska Electrical Health & Welfare Fund
91136
Alaska Laborers Construction Industry Trust Group # F23
91136
Alaska Pipe Trades Local 375 Group # F24
91136
Alaska UFCW Health & Welfare Trust Group # F45
85600
Albuquerque Public Schools
13550 ALICARE
ALH01
Aliera Healthcare
58213 Alignis
CCHPC
Alignment Health Care (Fee For Service)
CCHPC
Alignment Health Plan (Fee For Service)
VMF01
All Care Medical Group
AC101 AllCare IPA
26158 AllCare PEBB
82238
Allegian Advantage
82420
Allegian Health Plan
81040
Allegiance Benefit Plan Management Inc.
99588
Allegiance Health Management
23071
Alliance Behavioral Health
13079
Alliance Healthcare – Stones River Regional IPA
HCP01 Alliance IPA
APP01
Alliance Physicians Medical Group
58234
Alliant Health Plans of Georgia
37308
Allied Benefit Systems, Inc.
VMF01
Allied Healthcare
NMM01
Allied Pacific of California
NMM01
Allied Physicians Medical Group
99030 Aloha Care
MPM32
AlphaCare Medical Group
A0701
Alta Bates Medical Group
62308
ALTA Health & Life Insurance
CAPMN
Alta Med Health Services
16089
Alternative Opportunities
25133
Altius Health Plan
MPM39 Alvarado IPA
13550
Amalgamated Insurance Company
13550
Amalgamated Life
13343
Amalgamated Life IPA Alicare
68068
Ambetter of Arkansas – Cenpatico
68069
Ambetter of Arkansas – Medical
68069
Ambetter of Missouri – Medical
68068
Ambetter of New Hampshire – Cenpatico
68069
Ambetter of New Hampshire – Medical
38219 AmeraPlan
75137
Ameriben Solutions, Inc.
81237
Americaid Community Care
75240
American Administrative Group
63103
American Behavioral
CAPMN
American Family Health Providers
TH095
American Family Insurance
56071
American Family PPO Policies
62030
American General Life & Accident
01066
American Healthcare Alliance
81949
American Insurance Company of Texas
72099
American Life Care
44444
American Postal Workers Union (APWU)
62308
American Postal Workers Union (APWU)
60801
American Public Life (APL)
42011
American Republic Insurance Company (ARIC)
ASHP1
American Specialty Health Plan
ATHAL
American Therapy Administrators (ATA) – Wisconsin
65062
American Therapy Association (ATA) – Florida
37322
American Worker Health Plan
55349
Americas 1st Choice Health Plans of South Carolina Inc.
20029
America’s Choice Healthplan
20029
America’s Health Choice
AHP01
Americas Health Plan
16120 Americas PPO
41178
America’s PPO/America’s TPA
81237
Amerigroup Community Care
81237
Amerigroup Corporation
54763
AmeriHealth Administrator
77013
AmeriHealth Caritas / VIP Care Plus – Michigan
77799
AmeriHealth Caritas Delaware
77002
AmeriHealth Caritas District of Columbia
77075
AmeriHealth Caritas Iowa
27357
AmeriHealth Caritas Louisiana
77001
AmeriHealth Caritas NorthEast
95044
AmeriHealth Delaware – HMO/POS
93688
AmeriHealth Delaware (Non-HMO)
22248
AmeriHealth Mercy Health Plan
95044
AmeriHealth New Jersey – HMO/POS
60061
AmeriHealth New Jersey (Non-HMO)
95044
AmeriHealth Pennsylvania – HMO/POS/ERISA
PPM01
Ameri-West Health Associates
64090
Amfirst Insurance Company
79966 Amida Care
21825 AMPS
25667 AMPS – CX
66775 AMPS America
PROSP
AMVI – Prospect Health Network
PROSP
AMVI Medical Group
IP095
Anaheim Memorial IPA (MHCAN)
53085
Anchor Benefit Consulting Inc.
AMG01
Anchor Medical Group
86062
Ancillary Benefit Systems – Arizona Foundation for Medical Care
ECMSO
Angel Medical Group
HSM01 Angeles IPA
34192
Antares Management Solutions
SMG01
Antelope Valley Medical Associates (Regal)
AVMG1
Antelope Valley Medical Group
HM006
Anthem Blue Cross CA Encounters
BC001
Anthem Blue Cross of California (BCCA)
00630
Anthem Healthy Indiana Plan (HIP)
00630
Anthem Hoosier HealthWise
00630
Anthem Medicaid – Indiana
00403
Anthem Medicaid – South Carolina
00950
Anthem Medicaid – Wisconsin
00269
Anthem NV Medicaid
37331 Anthem OMHS
PROSP
APAC (Pinnacle Health Resources)
34196
Apex Benefit Services
51909 APEX Healthcare
81312 Apostrophe
APP01
AppleCare Medical Management
16120 ARAZ
52312
Arbor Health Plan
NMM01
Arcadia Methodist IPA
61101
Arcadian Management Services
SCMG1
Arch Health Partners/Centre for Healthcare
ARGUS Argus Vision
ARISE
Arise Health Plan (WPS)
86062
Arizona Foundation for Medical Care
AZPCP
Arizona Priority Care Plus
63240 ARM, Ltd
87726
Arnett Health Plan
43905
Arnot Ogden Medical Center (UCS)
NMM01
Arroyo Vista Family Health Center
WMM01
Arta Health Network
WMM01 Arta Western
AAMG1
Asian American Medical Group
HSM01
Asian Community Medical Group, Inc.
16180
Aspen Medical Associates
ASP01
Aspire Health Plan
ASRM1 ASRM LLC
HSM01
Associated Dignity Medical Group Professional Corp
AHPSC
Associated Hispanic Physicians IPA
HSM01
Associated Physicians Medical Group, Inc.
36326
Associates for Health Care, Inc. (AHC)
75068
Assurant Health Self-Funded (Allied Benefit)
74240
Assured Benefits Administrators
93221
Asuris Northwest Health
ATEND ATENDATPA
AEC01 Atlantis Eyecare
ATRIO
Atrio Health Plans
37242
Aultra Administrative Group
38259
Automated Benefit Services
37280
Automated Group Administration Inc. (AGA)
AVA02
Avalon Administrative Services – BCBSNC
AVA01
Avalon Healthcare Solutions
CAPMN Avalon IPA
AH001 Avante Health
46045
Avera Health Plans
38310
Avera Health Plans for John Morrell
87098
Avesis Third Party Administrator
59274 AvMed, Inc.
65101
AXA Assistance_USA
AXM01
Axminster Medical Group
251CC
BadgerCare Plus (CCHP)
BKRFM
Bakersfield Family Medical Center (BFMC) (Regal)
BCTF1
Bakery and Confectionery Union and Industry International Health
67895
Banner Health and Aetna Health Insurance Company
SX145
Banner Health Company
12X42
Banner Health Company
66901
Banner UFC ALTCS
BHPMA
Baptist Health Plan Advantage (Medicare)
65026
Baptist Health South Florida
41204 Basic Plus (TCC)
38238
Bass Administrators, Inc.
06941
Bay Bridge Administrators, LLC
59279
Baycare Life Management
00803 BCBS Empire NY
54828
BCBS Mountain States
54828
BCBS of West Virginia
00402
BCBS South Carolina (FEP – Federal Employee Plan)
00481
BCBS South Carolina (Preferred Blue)
00246
BCBS Western New York Medicaid/CHP
VALOP
Beacon Health Options (Empire Plan Mental Health)
VALOP
Beacon Health Options (formerly Value Options)
VALOP
Beacon Health Options (General Motors)
43324
Beacon Health Strategies
63100
Behavioral Health Systems
MPM10
Bella Vista Medical Group
99320
Benefit & Risk Management Services (BRMS)
41205
Benefit Administration Services LTD (BAS LTD)
36149
Benefit Administrative Systems (BAS Health)
25145
Benefit Coordinators Corporation
74266
Benefit Management Admin (BMA)
36459
Benefit Management Group-NV
43178
Benefit Management Inc – Joplin Claims
56139
Benefit Management Services
53120
Benefit Management Services of Louisiana
37212
Benefit Management Systems, Inc.
39081
Benefit Plan Administrators
37118
Benefit Plan Administrators, Inc.
BPS77
Benefit Plan Services
36342
Benefit Systems & Services, Inc. (BSSI)
38238 BeneSys Inc.
10956
Berkshire / Intergroup (BIG)
95606
Berkshire / Lehigh Partners (BVP)
23243
Berskire Health Partners (BHP)
95604
Best Life & Health Insurance Company
01508 Better Health
20488
Better Health of Florida
ECMSO
Beverly Alianza IPA
ECMSO
Beverly Hospital – Imperial Health Holdings
BSHS1 BIENVIVIR
25463
Bind (PreferredOne)
BVES1
Block Vision – Eye Specialists
BV001
Block Vision – VIPA
BV001 Block Vision Inc.
BV001
Block Vision of Texas
03036
Blue Benefit Administrators of MA
BS002
Blue Card Program
00710
Blue Care Network Advantage of Michigan
00210
Blue Care Network Advantage of Michigan
00710
Blue Care Network of Michigan
00210
Blue Care Network of Michigan
00922
Blue Choice of South Carolina
00403
Blue Choice of South Carolina (Medicaid)
BC001
Blue Cross (Cal-Optima – Medi-Cal)
00520
Blue Cross Blue Shield Arkansas
00510
Blue Cross Blue Shield of Alabama
53589
Blue Cross Blue Shield of Arizona
77078
Blue Cross Blue Shield of Arizona Advantage (formerly Banner Medisun)
00050
Blue Cross Blue Shield of Colorado
00060
Blue Cross Blue Shield of Connecticut
SB580
Blue Cross Blue Shield of DC (Carefirst)
00570
Blue Cross Blue Shield of Delaware
00590
Blue Cross Blue Shield of Florida
00601
Blue Cross Blue Shield of Georgia (Anthem)
HMSA1
Blue Cross Blue Shield of Hawaii (HMSA)
00621
Blue Cross Blue Shield of Illinois
00630
Blue Cross Blue Shield of Indiana (Anthem)
BCSIA
Blue Cross Blue Shield of Iowa
47163
Blue Cross Blue Shield of Kansas
47171
Blue Cross Blue Shield of Kansas City
00660
Blue Cross Blue Shield of Kentucky (Anthem)
53120
Blue Cross Blue Shield of Louisiana
00680
Blue Cross Blue Shield of Maine (Anthem)
SB690
Blue Cross Blue Shield of Maryland (CareFirst )
BS059
Blue Cross Blue Shield of Massachusetts
00710
Blue Cross Blue Shield of Michigan
00210
Blue Cross Blue Shield of Michigan
00720
Blue Cross Blue Shield of Minnesota
00230
Blue Cross Blue Shield of Mississippi
00241
Blue Cross Blue Shield of Missouri (Anthem)
BCSMT
Blue Cross Blue Shield of Montana
00760
Blue Cross Blue Shield of Nebraska
00265
Blue Cross Blue Shield of Nevada (Anthem)
00770
Blue Cross Blue Shield of New Hampshire (Anthem)
00790
Blue Cross Blue Shield of New Mexico
00805
Blue Cross Blue Shield of New York – Excellus (Central Region)
00804
Blue Cross Blue Shield of New York – Excellus (Rochester Region)
00806
Blue Cross Blue Shield of New York – Excellus (Utica Region)
00806
Blue Cross Blue Shield of New York – Excellus (Utica Watertown Region)
SB810
Blue Cross Blue Shield of North Carolina
00820
Blue Cross Blue Shield of North Dakota
00834
Blue Cross Blue Shield of Ohio (Anthem)
00840
Blue Cross Blue Shield of Oklahoma
00851
Blue Cross Blue Shield of Oregon (Regence)
54771
Blue Cross Blue Shield of Pennsylvania (Highmark)
00870
Blue Cross Blue Shield of Rhode Island
BCSSC
Blue Cross Blue Shield of South Carolina
00400
Blue Cross Blue Shield of South Carolina (State Health Plan)
88848
Blue Cross Blue Shield of South Dakota
00890
Blue Cross Blue Shield of Tennessee
84980
Blue Cross Blue Shield of Texas
66001
Blue Cross Blue Shield of Texas – Medicaid
00910
Blue Cross Blue Shield of Utah (Regence)
BCSVT
Blue Cross Blue Shield of Vermont
00923
Blue Cross Blue Shield of Virginia (Anthem)
00801
Blue Cross Blue Shield of Western New York
00801
Blue Cross Blue Shield of Western New York – Federal Employee Program (FEP)
00950
Blue Cross Blue Shield of Wisconsin (Anthem)
00960
Blue Cross Blue Shield of Wyoming
MC721
Blue Cross Community Centennial (BCBS NM)
66005
Blue Cross Community ICP / FHP
66005
Blue Cross Community MMAI
66005
Blue Cross Community Options of Illinois
32002
Blue Cross Complete of Michigan
66006
Blue Cross Medicare Advantage PPO/HMO
BC001
Blue Cross of California
BLUEC
Blue Cross of Idaho
23045
Blue Cross of Pennsylvania (Capital Blue / CAIC)
SB810
Blue Medicare of North Carolina
BS001
Blue Shield – California
BS001
Blue Shield – California / Blue Shield (FEP)
61124
Bluegrass Family Health
00800
BlueShield of Northeastern New York
13337
BMC HealthNet Plan
36609
Boilermakers National Health & Welfare Fund
BKMD1 BookMD Inc.
74238
Boon Chapman Administrators, Inc.
13337
Boston Medical Center Health Plan (BMCHP)
UC001
Brand New Day (FFS)
UC002
Brand New Day Encounters
BRIDG BridgeSpan
FS802
Bridgeview Company
68068
Bridgeway Health Solutions – Cenpatico
68069
Bridgeway Health Solutions – Medical
BRT01
Bright Health Medicare Advantage
CB186
Bright Health Plan
11303
Brighten Health Plan Solutions
MMFMC
Bristol Park Medical Group
51037
Brokerage Concepts
BIPAZ
Brookshire IPA (BIPA)
BTHS1
Brown & Toland Health Services
94316
Brown & Toland Medical Group
BTSS1
Brown & Toland Sutter Select
68068
Buckeye Community Health – Cenpatico
68069
Buckeye Community Health (Ambetter) – Medical
BCMH1
Bureau For Children With Medical Handicaps
42150 Butler Benefit
CLFRS
C. L. Frates and Company
REGAL
Caduceus Medical Group (Regal)
10301
Cahaba GBA (Medicare Part A Rural)
PPM01 Cal Care IPA
PPM02
Cal Care IPA Encounters
99320
Cal Water (California Water Service)
HDNFC
California Care (Humboldt Del Norte)
CEC01
California Eye Care
68068
California Health and Wellness – Cenpatico
68069
California Health and Wellness – Medical
CTPL1
California IPA (Capital MSO)
SC053
California Pacific Medical Center (CPMC)
HSM01
California Pacific Physicians Medical Group, Inc.
CRIHB
California Rural Indian Health Board (CRIHB) Cares
CRIHB
California Rural Indian Health Board (CRIHB) Options
CALOP
CalOptima Direct
COLTC CalOptima LTC
25831
Cameron Manufacturing & Design, Inc. (UCS)
CLFM1
Camp Lejeune Family Member Program
71057
Cannon Cochran Management Services
CAPMN
Cap Management
23045
Capital Blue Cross
SX065
Capital District Physicians Health Plan (CDPHP)
95112
Capital Health Plan
68011
Capitol Administrators
CAPH2
CapRock Health Plan – Verity
CAPHP
CapRock HealthPlans
06607
Cardinal Innovations (Formerly Piedmont Behavioral Health)
GCVCP
Cardiovascular Care Providers
HPSM1 Care Advantage
77082
Care Improvement Plus (CIP) / XL Health
87726
Care Improvement Plus (CIP) / XL Health
25133
Care Management Resources (CMR)
27004
Care Wisconsin Health Plan
57116
Care1st Health Plan of Arizona
C1SCA
Care1st Health Plan of CA
57721 CareATC
11345 CareCentrix
14182
CareCore National
14179
CareCore National LLC (Aetna Radiology)
14188
CareCore/WCNY RAD
SB580
CareFirst BCBS NCA Region
SB690
CareFirst BCBS of Maryland
25133
Carelink Health Plan
91136
Caremark WPAS, Inc., Grp# P62
CMENC
CareMore Encounters
CSCAN
CareMore Health CSCAN
CARMO
CareMore Health Plan
CARMO
CareMore Value Plus (CVP)
93975 CareOregon Inc.
22248 CarePartners
95093
Careplus (Encounters)
95092
Careplus Health Plan
MRCHP
Caresource Health Plan of Oregon
GACS1
CareSource of Georgia
INCS1
Caresource of Indiana
KYCS1
Caresource of Kentucky
31114
CareSource of Ohio
WVCS1
Caresource West Virginia
10010 Careworks
61101
Cariten Healthcare
61101
Cariten Senior Health
56215
Carolina Behavioral Health Alliance
29076
Carolina Care Plan Inc.
91131
Carpenters Health & Welfare (FCHN)
60054
Carpenters Trust of Western Washington
CASD2
CASD/Sanford (Chiropractic Associates of SD)
03036 CBA BLUE
65391
CBHNP – HealthChoices
88019
CCEA Welfare Benefit Trust
83028
CDO Technologies
42558
Cedar Valley Community HealthCare (CVCH)
HPIPA
Cedars Towers Surgical Medical Group (Encounters Only, Payer ID Required)
95167
Cedars-Sinai Medical Group (CSHS) – Capitated/Encounters
95166
Cedars-Sinai Medical Group (CSHS) – Fee for Service
68063 Celtic Insurance
68068
CeltiCare Health Plan – Cenpatico
68069
CeltiCare Health Plan (Ambetter) – Medical
91136
Cement Masons & Plasterers Health & Welfare Trust Group #F16
95386 CenCal Health
68068
Cenpatico Behavioral Health – All States
13357
Center Care PPO (Meritain)
94312
Center for Elders Independence (CEI)
CFS01 Center For Sight
POP01 Center IPA
13360
CenterLight Healthcare
MPM03
Centinela Valley IPA
UC002
Centinela Valley IPA Encounters
31118
Central Benefits Life
31118
Central Benefits Mutual
31118
Central Benefits National
CCA01
Central California Alliance for Health (CCAH)
CHCPI
Central Health Medicare Plan
CHCPI
Central Health MSO
AGL02
Central Ohio Primary Care – Senior Care Advantage
34097
Central Reserve Life
13193
Central Reserve Life Insurance Company (Medicare Supplement)
CIPA1
Central SeniorCare
36215
Central States Health & Welfare Funds
SC027
Central Valley Medical Group
42140 Centurion
36393 Centurypho
23171 CHA Health
99795
Champion Chevrolet
84146 CHAMPVA – HAC
25151
CHC Cares of South Carolina
CHECS
CHEC – A Subsidiary of Sprint
34154
Chesterfield Technologies
80141
Childhealth Plus by Healthfirst (CHP)
94321
Children First Medical Group
84146
Children of Women Vietnam Veterans – VA HAC
251CC
Children’s Community Health Plan (CCHP)
CHOC1
Children’s Hospital Orange County (CHOC) Health Alliance
CMCHP
Childrens Medical Center Health Plan (CMCHP)
RCHN1
Children’s Physicians Medical Group (CPMG)
CSSD2
Children’s Specialists of San Diego II
94302
Chinese Community Health Plan
CVMC1
Chino Valley Medical Center
DAKCH
Chiropractic Associates of SD (CASD)
LNDMK
Chiropractic Care of Minnesota
U1439
Chiropractic Health Plans (CHP)
U1439
Chiropractic Health Plans (CHP) – Deseret Mutual Benefits Administration
U1439
Chiropractic Health Plans (CHP) – Educators Mutual Insurance
U1439
Chiropractic Health Plans (CHP) – Medicaid
U1439
Chiropractic Health Plans (CHP) – University of Utah Health Plans
CHOC1
CHOC Health Alliance
CMG01
Choice Medical Group
CPNFC
Choice Physicians Net First Choice
CPNQC
Choice Physicians Net QualCare
CPN01
Choice Physicians Network
CPNAV
Choice Physicians Network (Antelope Valley Medical Group)
POP03 ChoiceOne IPA
38308
Christian Brothers Services
59355
Christian Care Ministries (MediShare)
21062
Christus Health New Mexico HIX
45210
Christus Health Plan
52106
CHRISTUS Health Plan Texas HIX
SPOHN
Christus Spohn Health Plan
62308 CIGNA
62308 CIGNA – PPO
62308
CIGNA Behavioral Health
62308
CIGNA For Seniors
62308
CIGNA Health Plan
62308
CIGNA HealthCare
62308
CIGNA Healthcare for Seniors (Medicare)
63092
Cigna HealthSpring
62308 CIGNA PPA
62308
CIGNA Premier Plus
62308 CIGNA Private
CCHPC
Citizens Choice Health Plan (Fee For Service)
10207
Citrus Health Plan
NMM01 Citrus Valley IPA
PDT01
Citrus Valley Physicians Group (CVPG)
60054
City of Amarillo Group Health Plan
74234 City of Austin
CCMMH
Clackamas County Mental Health
CMHGF
Clackamas MHO General Fund
43056
Claims Development Corporation
11752
ClaimsBridge Custom Provider Network
57080
Claimsware, Inc. DBA ManageMed
93029
Clear One Health Plans
41201 Client First
PROSP
Clinica Medica San Miguel
CSI01
Clinical Specialties, Inc
CDCR1
Clinicas del Camino Real
77023
Clover Health (formerly CarePoint Health Plan)
M3012
CMS MMA Specialty Plan
37227
CNIC Health Solutions
IP079
Coachella Valley Physicians
77052
Coastal Administrative Services
CCPN1
Coastal Communities Physician Network (CCPN) (Regal)
77052 Coastal TPA
38335 Cofinity
CHIPA
College Health IPA (CHIPA)
22284 Colonial Medical
COACC Colorado Access
COBHI
Colorado Behavioral Healthcare Inc
49718
Colorado Health Insurance Cooperative Inc.
COKSR
Colorado Kaiser Permanente
CHP02
Columbine Health Plan
62308 CoMed – CIGNA
34181
Commerce Benefits Group
77170
Common Ground Healthcare
14315
Commonwealth Care Alliance
23171
Commonwealth Health Alliance (CHA)
85468
Community Care Alliance of IL
17902
Community Care Associates
23282
Community Care BHO
60995
Community Care Inc. – Family Care (Wisconsin)
39126
Community Care Inc. (Wisconsin)
AMM12
Community Care IPA
73143
Community Care Managed Health Care Plans of Oklahoma
59064
Community Care Plan (Commercial)
59065
Community Care Plan (Medicaid)
CAPMN
Community Family Care Medical Group
COMMF Community First
35193
Community Health Alliance
27905
Community Health Alliance of Tennessee
CHCN1
Community Health Center Network – CHCN
48145
Community Health Choice
60495
Community Health Choice – Health Insurance Marketplace
66171
Community Health Group of SD (CHGSD) – Capitated Claims
66170
Community Health Group of SD (CHGSD) – FFS Claims
CHPWA
Community Health Plan of Washington
23283 Community Life
LMG01
Community Medical Group of the West Valley (Regal)
73143
CommunityCare Oklahoma (CCOK)
CHP01
Complementary Healthcare Plan (CHP)
15243
CompManagement Health
13360
Comprehensive Care Management
00720
Comprehensive Care Services
37363 ComPsych
74234 CompuSys Inc
74234 CompuSys Inc
74234 CompuSys Inc
33632
Concordia Care, Inc
62308
Confederation Administration Services & Life Insurance
CAPMN
Conifer Health Solutions
78375
Connecticare – Medicare Advantage (Emblem)
06105
Connecticare (Commercial)
37307
Connecticut Carpenters Health Fund
62308
Connecticut General
37135
Consociate Group
75284
Consolidated Associates Railroad
87843
Consolidated Health Plans
45321
Consumers Choice Health SC
08680
Container Graphics Corporation
99433 Contessa Health
CH101
Contessa Health – Security Health Plan
35245
Continental Benefits
71404
Continental General Insurance Company
47046
Contractors, Laborers, Teamsters & Engineers (Local 14B)
CCHP1
Cook Childrens Health Plan
CCHP9
Cook Childrens Star Plan
42138
Cook County Health – Behavioral
42139
Cook County Health – Medical
35149
Cook Group Health Plan
82347
Cook Group Solutions
52132
Cooperative Benefit Administrators (CBA)
HPAMN
CoOportunity Health
14829
Co-ordinated Benefit Plans LLC
68068
Coordinated Care – Cenpatico
68069
Coordinated Care – Medical
58204
Coordinated Medical Specialists
AGL02
COPC – Senior Care Advantage
58231
Core Administrative Services
47165
Core Benefits / Multimatic Tennesse, LLC
58231
Core Management Resources Group
35187
CoreSource – Internal
35183
CoreSource – Ohio
35182
CoreSource (AZ, MN)
35182
CoreSource (MD, PA, IL, IA)
35182
CoreSource (NC, IN)
48117
CoreSource KC (FMH)
75136
CoreSource Little Rock
43160
Corizon Inc (Formerly Correctional Medical Services)
35202
Cornerstone Benefit Administrators
CB268
Cornerstone Preferred Resources
41124
Corporate Benefit Service (CBSA)
56116
Corporate Benefits Service, Inc. (NC)
CCIH1
CorrectCare Integrated Health (CA Prison Health Care Services)
PHPMC
Correction Health Partners
43160
Correctional Medical Services, Inc. (Now known as Corizon Inc)
06541
County Care Health Plan
AMM15
County Medical Services Program (CMSP)
22149
County of Kern POS
58102
Covenant Administrators Inc.
CMSEB
Covenant Management System Employee Benefit Plan
12T60
Covenant Management Systems
25133
Coventry Health & Life
25133
Coventry Health Care
25133
Coventry Health Care of the Carolinas, Inc. (formerly WellPath)
25133
Coventry Health Care of Virginia, Inc. (formerly Southern Health Services)
25133
Coventry Healthcare of Florida (Aetna Medicaid)
25133 Coventry One
25133
CoventryCares (formerly OmniCare/CareNet/Carelink Medicaid)
CHCNT CoverColorado
00019 Cox Health Plan
64068
Creative Medical Systems
56213
Crescent Health Solutions
MPM35
Crown City Medical Group (CCMG)
62308
Crown Life – Great West
37266
Croy – Hall Management, Inc.
46120
Crystal Run Health Plans
46430
Crystal Run Health Plans
55731 CSHP / Evan
34186
CSI NETWORK SERVICES
27136
CSI OF MICHIGAN
AMM03
Custody Medical Services Program (CMSP)
39081
Custom Benefit Administrators
82056
Custom Design Benefits, Inc.
57080
CWI Benefits, Inc.
DAK01 DakotaCare
DAKCH
DakotaCare Chiropractic
43471
Dart Management Corporation
CB987
Dart Member Care
VMF01
DCHS Medical Foundation
39113
Dean Health Plan
MCS03
Delano Regional Medical Group (Managed Care Systems)
27182
Dell Children’s Health Plan
DHS01
Delta Health Systems
84133
Denver Health and Hospital Authority
84135
Denver Health Medical Plan
84131
Denver Health Medical Plan, In. – Medicare Choice
71065
Department of Corrections – Oklahoma
MC006
Department of Social and Health Services (DSHS)
71065
Department Rehabilitative Services – Oklahoma
SX105
Deseret Mutual Benefit Administrators
DESRT
Desert Medical Group (Regal)
DESRT
Desert Oasis Healthcare (DOHC) (Regal)
DVMC1
Desert Valley Medical Group
4YC01
Design Benefit Administrators (Agua Caliente)
56240
Detroit Medical Center
DHRPM
DHR Provider Management
NMM01
Diamond Bar Medical Group
25133 Diamond Plan
MPM27 Dignity Global
MPM28 Dignity HCLA
PROH1
Dignity Health – Mercy Medical Group / Woodland Clinic
PROH2
Dignity Health – Sequoia Physicians Network
DHFIE
Dignity Health Medical Group – Inland Empire
BC001
Director’s Guild of America – Producer Health Plans
06102
Diversified Administration Corporation
25160
Diversified Group Administrators
06102
Diversified Group Brokerage
16003
DMERC Region A Medicare
17003
DMERC Region B Medicare
00885
DMERC Region C Medicare
05655
DMERC Region D Medicare
APP01
Downey Select IPA
DREYR Dreyer Health
DREYR
Dreyer Medical Clinic
74284
Driscoll Childrens Health Plan
35186
Dunn & Associates Benefits Administrators, Inc
DMG01
Dupage Medical Group
36434
Early Intervention Central Billing
DHS01
East Bay Drainage Drivers Security Fund
56089
East Carolina Behavioral Health
23861
Eastern Iowa Community Healthcare (EICH)
LMG01
Eastland Medical Group IPA (Regal)
08044
EastPointe Behavioral Health
ECMSO
Easy Care MSO LLC
ECHP1
Easy Choice Health Plan of California (Encounters) – ECHP
20532
Easy Choice Health Plan of California (Fee for Service) – ECHP
PCMSO
EasyAccess Care IPA (ProCare MSO)
22262
EBA & M Employee Benefits Administration and Management Corp
EBC01
EBC (Buffalo Rock) Birmingham
EV001 Eberle Vivian
55069
Ebix Health Administration Exchange (EHAE)
GNPMG
Edinger Medical Group
SYMED
EHS Medical Group – Fresno
EPF03
El Paso First – CHIP
MPM04
El Proyecto De Barrio
31625 ElderPlan, Inc.
88027
Electrical Workers Health and Welfare Plan for Northern Nevada
93235
Electrical Workers Insurance Fund Local 5800
04326
Element Care, Inc.
ECISF
Ellis Consultants, Inc.
NAELM ElmCare LLC
22120
Elmira Savings Bank (UCS)
AMM03
Emergency Medical Service Fund (EMSF)
16565
EMHS Employee Health Plan
SX110 EMI Health
59299
EMI-KP Ambulance Claims
EMP01
Empire Physicians Medical Group (EPMG)
IP079
Empire Physicians Medical Group (EPMG)
EBC18
Employee Benefit Concepts
37215
Employee Benefit Corporation
92135
Employee Benefit Logistics (EBL)
CX025
Employee Benefit Management Corp (EBMC)
81039
Employee Benefit Management Services (EBMS)
60221
Employee Benefit Management, Inc. (EBSI)
37216
Employee Benefit Services – Ft. Mill, South Carolina
EBSSA
Employee Benefit Services (EBS of San Antonio)
37257
Employee Benefits Consultants
03036
Employee Benefits Plan Administration (EBPA)
52429
Employee Health Coalition
SYMED
Employee Health Systems
35112
Employee Plans, LLC
29979
Employee Resource Management TPA – Kempton Group (UCS)
48888
Employer Direct Healthcare
75232
Employers Direct Health
75233
Employer’s Direct Health – Self
37249
Employers Life Insurance Corporation
59331
Employers Mutual Inc.
59298
Employer’s Mutual, Inc. (Jacksonville, FL)
35206 Encircle PPO
35206
Encore Health Network
36364
ENH Medical Group IPA
91136
Enstar Natural Gas, Group # P61
36878 ENTRUST
EPNSH
EPN (Seton Health Plan)
62308 Equicor
62308 Equicor – PPO
73126
Equitable Plan Services
23250
Erin Group Administrators
74234
Erisa Administrative Services
34108
ES Beveridge & Associates
EIPA8 Esperanza IPA
20818
Essence Healthcare
35605 Everence
45319
Evergreen Health
93240
Evergreen Health Cooperative
59313
Evolutions Healthcare Systems
22344 Exceedent LLC
EXC01 Excel MSO
CAPMN
Exceptional Care Medical Group (ECMG)
71412 Exclusicare
EC999
Exclusive Care – County of Riverside
46166 Extended MLTC
EYENZ Eyenez
63740 EyeQuest
91136
F40 Alaska Carpenters Trust
39112
FABOH (CHP RPU)
95432
Facey Medical Foundation
FCC20
Falling Colors (BHSD STAR)
22254
Fallon Community Health
FT254
Fallon Health (Transplant Claims ONLY)
45559 Fallon Total Care
FT254 Fallon Transplant
PHD01
Family Care CCO (Coordinated Care Org)
FCD01
Family Care Medicaid
FCM01
Family Care Medicaid Mental Health
PHR01
Family Care Medicare
MPM40
Family Care Specialists (FCS)
CAPMN
Family Choice Medical Group
CAPMN
Family Health Alliance
85468
Family Health Network
HCMG1
Family Seniors Medical Group
33033
FCE Benefit Administrators
00402
Federal Employee Plan of South Carolina
00932
Federal Employees Plan WA (Regence Blue Shield)
41041
Federated Mutual Health Insurance Company
11315
Fidelis Care New York
56196
First Carolina Care
91131
First Choice Health Administrators (FCHA)
91131
First Choice Health Network (FCHN)
FCMG1
First Choice Medical Group
75138
First Choice of Midwest PPO
62308
First Great West Life & Annuity Ins. Co.
73159
First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma)
54771
First Priority Health (FPH) – Highmark
54771
First Priority Life Insurance Company (FPLIC) – Highmark
ENDVR
First Source (Endeavor)
94998
Firstcare (Medicaid)
94999
Firstcare and Firstcare Medicaid
65418
FirstNation Health
FS802 FirstSolutions
11244
Fitzharris & Company, Inc.
00590
Florida Blue HMO
81044
Florida Health Solution HMO Company (Commercial ACA Metal Plans)
59322
Florida Healthcare Plan
VB001
Florida Hospital Orlando VBR
48116
Florida Hospital Waterman
26492
Florida True Health
48117
FMH Benefit Services, Inc.
25133
Foreign Service Benefit Plan
25059
Forest County Potawatomi Insurance Department
TKFMC
Foundation for Medical Care of Tulare & Kings County
FH001
Foundation Health HMO
FVIPA
Fountain Valley IPA (FVIPA)
FVMCH
Fox Valley Medicine Site 199
15459 Freedom Blue
41212
Freedom Health Plan
62324
Freedom Life Insurance Company
23130
Fresenius Medical Care
45289
Fringe Benefit Group Inc (Employer Plan Services, Inc. – Austin)
74212
Fringe Benefit Group Inc (Employer Plan Services, Inc. – Houston)
59069
Fringe Benefit Management (FBMC)
59204
Fringe Benefits Coordinators
34171
FrontPath Health Coalition
30005
Galveston County Indigent Health Care
GARET
Garretson Resolution Group
25169
Gateway Health Plan
60550
Gateway Health Plan – Medicare Assured
25169
Gateway Health Plan (Medicaid PA)
91741
Gateway Health Plan Ohio – Medicare Assured
PROSP
Gateway IPA (Pinnacle Health Resources)
06603
GEHA – Aetna Signature Administrators
06603 GEHA – ASA
GEHA9
GEHA Group Health (Nevada)
75273
Geisinger Health Plans
POP08 Geiss Med IPA
MCS03
GemCare Health Plan, Kern County EPO
MCS03
GEMCare Medical Group (Managed Care Systems)
62308
Genelco / Gencare Health
HDNFC
General Hospital (Humboldt Del Norte)
46050
Generations Healthcare
PROSP
Genesis Healthcare (EMG)
58204
GI Innovative Management
80314
GIC Indemnity Plan
07205 Gilsbar
NMM01
Glendale Adventist Medical Center
LMG01
Glendale Memorial Group (Regal)
REGAL
Glendale Physicians Alliance (Regal)
07689 Global Care Inc.
MPM05
Global Care Medical Group IPA
GEM01
Global Excel Management
GHOKC Global Health
85664 GMR Healthcare
77160 Gold Coast
NMM03
Golden Shore Medical Group (GSMG)
MBA01
Golden State Medical Group
GTPA1
Golden Triangle Physician Alliance (GTPA)
GSH01
Good Samaritan Hospital (GSH)
GSMPA
Good Samaritan Medical Practice Association (GSMPA)
44054
Government Employees Hospital Association (GEHA)
68068
Granite State – Cenpatico
68069
Granite State – Medical
39640
Great Lakes PACE
GPNE1
Great Plains Medicare Advantage of Nebraska
GPND1
Great Plains Medicare Advantage of North Dakota
GPSD1
Great Plains Medicare Advantage of South Dakota
62308
Great West Health Care
GCMG1
Greater Covina Medical Group (GCMG) (Regal)
CAPMN
Greater L.A. Healthcare
GNPMG
Greater Newport Physicians
NMM01
Greater Orange Medical Group
GOBHI
Greater Oregon Behavioral Health Inc
NMM01
Greater San Gabriel Medical Group
CAPMN
Greater San Gabriel Valley Physicians
PDT01
Greater Tri-Cities IPA
HCP01
Greater Valley Medical Group
62308
Great-West Life & Annuity Insurance Company
78521
Greentree Administrators
48143
Group & Pension Administrators
36338
Group Administrators Ltd.
CB951
Group Benefit Services
72087
Group Benefits – Louisiana
91051
Group Health Cooperative (GHC)
95192
Group Health Cooperative of Eau Claire
39167
Group Health Cooperative of South Central Wisconsin (Claims)
39168
Group Health Cooperative of South Central Wisconsin (Encounters)
91051
Group Health Options (Pacific Northwest)
25531
Group Health, Inc. (GHI HMO) (Emblem)
13551
Group Health, Inc. (GHI PPO) (Emblem)
37276
Group Insurance Service Center
47083
Group Management Services, Inc. (GMS)
68046
Group Practice Affiliates
28680 Group Resources
CX015 GroupLink
64246
Guardian Life (The Guardian)
41203
Gulf Coast Physician Network (MedView)
RENBL
Gulf Quest IPA HMO Blue
60652
Gulf South Risk Services – CLHG Group (UCS)
CB624
Gulf Stream (CoreSource)
46571
Gundersen Health Plan
91131
H.E.R.E Health Trust
65101
HAA Preferred Partners
HALCY
Halcyon Behavioral Health
47738
Hamaspik Choice
97258
Hammerman & Gainer (H&G)
MHP77
HAP Midwest Health Plans
38224
HAP/AHL/Curanet
58305
Harbor Health Advantage
70259
Harbor Health Plan (ProCare)
43313 Harken Health
14163
Harmony Health Plan
HCP01
Harriman Jones Medical Group
62061
Harrington Health – Kansas (Formerly Fiserv/Willis)
59143
Harrington Health Non-EPO
04271
Harvard Pilgrim Health Care
87726
Harvard Pilgrim Passport Connect
48330
Hawaii Management Alliance Association (HMAA)
48330
Hawaii Medical Alliance Association (HMAA)
HMAA1
Hawaii Medical Assurance Association (HMAA)
99208
Hawaii Western Management Group (HWMG)
HCCMI
HCC Life Insurance
37111
HCH Administration – Illinois
37215
HCH Administration, Inc.
82018
HCS – Health Claims Service
STJOE
HDPC – Premier Care (High Desert Primary Care Premier)
77950
Health Alliance Medical Plan
38224
Health Alliance Plan of Michigan
25133
Health Assurance – Health America, Inc.
HCDPB
Health Care District Palm Beach
MPM06
Health Care LA IPA (HCLA)
62180
Health Choice Generations
22100
Health Choice Integrated Care (HCIC)
45399
Health Choice of Utah
62111
Health Cost Solutions (HCS)
34158
Health Design Plus – Hudson, Ohio
66004
Health Economic Livelihood Partnership (HELP)
36326 Health EOS
16120 Health EZ
77016
Health First Colorado (Medicaid)
95019
Health First Health Plans
55247
Health Insurance Plan (HIP) of Greater New York (Emblem)
95567
Health Net – California
68069
Health Net – Medicare Advantage (MA) / Individual Family Plan (IFP)
MCDMO
Health Net – Missouri
95567
Health Net – Oregon
95567
Health Net – Washington
38309
Health Net of Arizona
95567
Health Net of the Northeast
65062
Health Network One
HAT02
Health Network Solutions (HNS) – Absolute Total Care SC
HBC01
Health Network Solutions (HNS) – BCBS NC
HCI01
Health Network Solutions (HNS) – CIGNA NC
HCI02
Health Network Solutions (HNS) – CIGNA SC
HHS01
Health Network Solutions (HNS) – HealthSpring NC
HHS02
Health Network Solutions (HNS) – HealthSpring SC
HLA01
Health Network Solutions (HNS) – Liberty Advantage
HMC01
Health Network Solutions (HNS) – MedCost NC
HMC02
Health Network Solutions (HNS) – MedCost SC
HSH02
Health Network Solutions (HNS) – Select Health SC
HCC01
Health Network Solutions (HNS) HealthTeam Advantage NC
04286
Health New England
55204
Health Now New York
00590
Health Options (Florida Blue)
HPAMN
Health Partners of Minnesota
62157
Health Partners of Tennessee
80142
Health Partners Plans (Philadelphia, PA)
20270
Health Payment Systems, Inc.
37221
Health Plan Management
52563
Health Plan of Michigan
76342
Health Plan of Nevada
76343
Health Plan of Nevada – Encounters
HPSJ1
Health Plan of San Joaquin
HPSM1
Health Plan of San Mateo
59140
Health Plan Services
44273
Health Plans, Inc.
81237
Health Plus PHSP
HPPO1
Health Plus Physician Organization (HPPO)
16111
Health Republic Insurance of New York
37290
Health Services for Children with Special Needs (HSCSN)
41150
Health Services Management – HSM
CCMMH
Health Share CCO Clackamas County
65449
Health Special Risk, Inc.
27008
Health Systems International – ECOH
HTHTX
Health Texas Medical Group
22251
Health York Network
35206
Healthcare Group, The
HCH01
Healthcare Highways
HMA01
Healthcare Management Administrators (HMA)
EPF37
Healthcare Options
HCP01
HealthCare Partners (HCP) – A Davita Medical Group
11328
HealthCare Partners IPA – New York
HCP02
HealthCare Partners Medical Group – Arizona
HCP01
HealthCare Partners Medical Group – California
20501
HealthCare Partners of Nevada
56731
HealthCare Resources NW
73147
HealthCare Solutions Group
25133 HealthCare USA
36335
HealthCare’s Finest Network (HFN)
62179
HealthChoice of Arizona
71064
HealthChoice Oklahoma
85729 HealthComp
95213
HealthEdge Administrators
HLTHQ
HealthEQ Westlake Medical Center
41178 HealthEZ
80141
Healthfirst – New York
80141
HealthFirst (HMO)
80141
Healthfirst 65 Plus
80141
Healthfirst Family Health Plus (FHP)
80141
Healthfirst Health Plan of New Jersey
80141 Healthfirst Inc
80141 Healthfirst PHSP
75289 HealthFirst TPA
75234
Healthfirst Tyler, Texas
56144 Healthgram
23274
HealthGroup Limited
96475 Healthlink HMO
90001 Healthlink PPO
59140
HealthPlan Services
07205
HealthPlus of Louisiana
38216
HealthPlus of Michigan
71063
HealthSCOPE Benefits, Inc.
M3IL1
HealthSelect BCBS of Florida
VMMH1
HealthShare of Oregon CCO – Multnomah (Formerly known as Verity)
75237
HealthSmart Accel
37283
HealthSmart Benefit Solutions (formerly American Administrative/Gallagher Benefit)
37272
HealthSmart Benefit Solutions (formerly JSL Administrators)
37224
HealthSmart Benefit Solutions (Formerly Pittman and Associates)
87815
HealthSmart Benefit Solutions (formerly Wells Fargo TPA/Acordia National)
HSM01
HealthSmart MSO
75250
HealthSmart Preferred Care
62308
Healthsource (CIGNA)
62308
Healthsource CMHC
31434 HealthSpan Inc
63092
HealthSpring (formerly Bravo Health/Elder Health)
63092
HealthSpring HMO
63092
HealthSpring Medicare + Choice
63092
HealthSpring of Alabama
HESUN
Healthsun Health Plan
58213
Healthways WholeHealth Network
16730 Healthy Blue LA
45336 Healthy CT
HLTHQ
Healthy Equation
BCSMT
Healthy Montana Kids (HMK)
95827
Healthy Palm Beaches, Inc.
HSF01
Healthy San Francisco
HCMG1
Hemet Community Medical Group (HCMG)
MHP01
Hennepin Health (formerly Metropolitan Health Plan)
10850
Hennepin Health (formerly Metropolitan Health Plan)
59230
Heritage Consultants
HER01 Heritage IPA
76045
Heritage Physicians Network (HPN)
REGAL
Heritage Provider Network (Regal)
VVMG1
Heritage Victor Valley Medical Group (Regal)
97041 Hewitt Coleman
HDMDG
High Desert Medical Group (Regal)
91164
Highline MSO – Molina
47181
Highmark Health Options
15460
Highmark Senior – Freedom Blue PPO (Pennsylvania)
15460
Highmark Senior Health Company (Pennsylvania)
15459
Highmark Senior Solutions Company – West Virginia
HLPHN
Hill Physicians Health Net PPO
HIL01
Hill Physicians Medical Group (HPMG)
80520
Hilliard Corporation (UCS)
MAHIN
Hinsdale Medicare Advantage
37105
Hinsdale Physicians Healthcare
HPIPA
Hispanic Physician IPA (Encounters Only)
HPFFS
Hispanic Physicians IPA (Fee For Service Only)
86066 HMA Hawaii
75318
HMC HealthWorks
HMSA1 HMSA Quest
65062
HN1 Therapy Network
STJOE
Hoag Affiliated Physicians
59573
Hockenberg Equipment
MPM29
Hollywood Pres GLOBAL
AMM16
Hollywood Presbyterian Medical Center – Alta Med Clinics (HPMC – AMC)
AMM18
Hollywood Presbyterian Medical Center – Preferred (HPMC – PMG)
AMM17
Hollywood Presbyterian Medical Center – San Judas IPA (HPMC – SJM)
AMM19
Hollywood Presbyterian Medical Center – St. Vincent’s IPA (HPMC – SVI)
CAPMN
Hollywood Presbyterian Medical Group
68068
Home State – Cenpatico
68069
Home State – Medical
VAICE
Homeland Security (AKA ICE Health)
30750 HomeLink
55744
Homelink HealthPartners
88023
Hometown Health Plan Nevada
82234
Homewood Resorts
22099
Horizon BCBS of New Jersey
22326
Horizon NJ Health
HVMG1
Horizon Valley Medical Group
91136
Hotel Employees & Restaurant Employees Health Trust, Group # F19
41150
HSM – Health Services Management
14165
Hudson Health Plan (now MVP)
HBI01
Human Behavior Institute
61101 Humana
61101
Humana Behavioral Health (formerly LifeSynch)
61102
Humana Encounters
61101
Humana Gold Choice
61101
Humana Gold Plus
95348
Humana Health Plans of Ohio
61115
Humana Long Term Care (LTC)
61115
Humana LTSS Claims
Z0005 Humana Ohio 2
65018
Humana Puerto Rico
HDNFC
Humboldt Del Norte Foundation IPA
CAPMN
Huntington Park Mission Medical Group
19753
Hylton Payroll (Benefit Plan Administrators)
22175 I. E. Shaffer
54704
IBC Personal Choice
BS001
IBEW Local 6 – San Francisco Electrical Workers
74234
IBEW Local 640 & AZ Chapter NECA Health & Welfare Trust
44602
IBEW: Local No. 1 Health and Welfare Fund (Mental Health)
81810
IBG Administrators, LLC
11695
iCARE (Independent Care Health Plan)
26054
ICare Health Options
33884
iCircle of New York
86304
IHC Health Solutions
75274 IHG Direct
68068
IlliniCare Health Plan – Cenpatico
68069
IlliniCare Health Plan – Medical
DMG01
Illinois Health Plans (IHP)
91131
ILWU Local 21 (FCHN)
72091 IMA (Cotiva)
41600 IMCare
SCP01
Imperial County Physicians Medical Group
IHHMG
Imperial Health Holdings Medical Group
IHP01
Imperial Health Plan of California, Inc.
56155
IMS – Trial Card (TC-IMS)
12T64
IMS Management Services – Texas
87765 IMS TPA
17882
IMS TPA: Parton Lumber (UCS)
52393
IMS TPA: The Spencer Group
26879
IMS TPA: Walker White, Inc. (UCS)
40585
INDECS Corporation
54763
Independence Administrators
54704
Independence Blue Cross
64284
Independence Care Systems / FIDA-MMP
IMG01
Independence Medical Group – Kern County
IMG02
Independence Medical Group – Tulare County
95308
Independent Health
45048
Independent Living System
MR085
Indian Health Services / Veteran Affairs
35161
Indiana ProHealth Network
35107
Indiana Teamsters Health Benefits Fund
IUHPL
Indiana University (IU) Health Plan – Commercial/Marketplace
95444
Indiana University (IU) Health Plan – Medicare Advantage
31053
Individual Health Insurance Companies
43471 iNetico Inc
85578
Ingalls Provider Group
74431
InHealth Mutual of Ohio
91131
Inland Empire Electrical Trust (FCHN)
IEHP1
Inland Empire Health Plan
MVMM1
Inland Faculty Medical Group
MVMM2
Inland Faculty Medical Group – Encounters
IHORG
Inland Health Organization (IHO)
SYMED
Inland Valley – (Redlands IPA)
31182 InnovAge
31172
Innovante Benefit Administrator
40025
Innovation Health (Aetna)
04320
Innovative Healthware Solutions
VAICE
INS Health Services (AKA ICE Health)
37279
Insurance Administrator of America, Inc. (IAA)
13315
Insurance Design Administrators
IMSMS
Insurance Management Services
36342
Insurance Program Managers Group (IPMG)
11889
Insurance Systems
39182 Insurance TPA
86304
Insurers Administrative Corp.
51020
Integra Administrative Group
56139 Integra BMS
31127 Integra Group
23229
Integral Quality Care
MPM26
Integrated Health Partners (IHP)
20050
Integrated Medical Solutions
68068
Integrated Mental Health Service – Cenpatico
IVHPA
Inter Valley Health Plan (IVHP)
56132
Interactive Medical Systems
92649
Inter-Americas Insurance
37227
InterCare Health Plans
CP001
InterCommunity Health CCO (IHN)
INCHN
Intercommunity Health Net
23287
Intergroup Services Corporation
74234
Intermountain Ironworkers Trust Fund
36609
International Brotherhood of Boilermakers
16158
International Educational Exchange Service (IEES)
IMGIN
International Medica Group Inc
12T61
International Medical Group (IMG)
37269
International Union of Operating Engineers ~ Local 15, 15A, 15C & 15D
STJOE Intervalley
84137
InterWest Health PPO
35115
INTotal Health, LLC
41600
Itasca Medical Center
JAI01
Jai Medical Systems
JCARE Jencare Medical
JLSFE
JLS Family Enterprises (dba League Medical Concepts)
JMH01
John Muir Physician Network
68013
John Muir Trauma Physicians
37215
John P. Pearl & Associates, Ltd.
66003
Johns Hopkins Health Advantage
52189
Johns Hopkins Healthcare
52123
Johns Hopkins Healthcare (USFHP)
34136
JP Farley Corporation
12T47 JP Specialities
94320
Kaiser CSI – California Select for Individuals
COKSR
Kaiser Foundation Health Plan of Colorado
NG010
Kaiser Foundation Health Plan of Georgia
94135
Kaiser Foundation Health Plan of Northern CA Region
94134
Kaiser Foundation Health Plan of Southern CA Region
52095
Kaiser Foundation Health Plan of the Mid-Atlantic States
NW002
Kaiser Foundation Health Plan of the Northwest
91051
Kaiser Foundation Health Plan of Washington
94123
Kaiser Permanente Health Plan of Hawaii
94320
Kaiser Self-Funded
40137 Kalos Health
KCIPA Kane County IPA
KMG11
Katy Medical Group
IP084
Kaweah Delta Medicare Advantage
KEE01
Keenan & Associates
KELSE Kelsey Seybold
73100
Kempton Company
73100
Kempton Group Administrators
90210
Kempton Group TPA: Kempton Group Administrators (UCS)
77894
Kentucky Health Cooperative
68068
Kentucky Spirit Behavioral Health
68069
Kentucky Spirit Health – Medical
22149
Kern Health Care Network
77039
Kern Health Systems
89890
Kern Legacy Health Plan
37217
Key Benefit Administrators
KHMSI
Key Health Medical Solutions, Inc.
IP082
Key Medical Group
IP083
Key Medical Group – Medicare Advantage
37321 Key Select
77050
Keystone Connect (AmeriHealth)
77741
Keystone First VIP Choice
LMG01
Keystone Health (Lakeside – Glendale, CA) (Regal)
23045
Keystone Health Plan Central
95056
Keystone Health Plan East (KHP)
23284
Keystone Mercy Health Plan
54771
Keystone West (Highmark)
KGA15
KG Administrative Services
34145 Klais & Company
3414A
Klais & Company (Repricing for HealthSpan Network Only)
HCMG1
KM Strategic Management (KMSM)
HSM01
Korean American Medical Group
KOVA1
Kova Healthcare, Inc.
94320
KPIC Self-Funded Claims Administrator
91051 KPS Healthplans
57610
Kuspuk School District
LACAR
LA Care Health Plan
MPM19
LACH HealthNet by MedPOINT
LADOC
LADOC CorrectCare
71037
Lafayette Consolidated Government
44827
Lake Region Community Health Plan
52511
Lakes Area Community Health Plan (LACH)
LMG01
Lakeside Community Healthcare (Regal)
LMG01
Lakeside Medical Group (Regal Lakeside)
LIPAZ
Lakewood Health Plan (LHP)
LIPAZ
Lakewood IPA (LIPA)
16109
Lancaster General Health (LGH)
90096
Land of Lincoln Health
LNDMK Landmark
14633 Larson Group
NMM02
LaSalle Medical Associates
53122
Lassen Municipal Utility District
BPA01 Laundry Workers
36333
Lawndale Christian Health Center
52193 LBA Health Plans
JLSFE
League Medical Concepts (aka JLS Family Enterprises)
LWMC1
Leisure World Managed Care
65055
Leon Medical Center Health Plan
38238 LHP Claims Unit
90753
LHS/ MedCost Solutions LLC
LIB01
Liberty Advantage
87071
Liberty Health Advantage
37281 Liberty Union
37281
Life Assurance Company
12T39
Life Investors Insurance of America – Long Term Care
41136 Life Trac
25850
LifeCare Assurance Co
EBSRM
Lifetime Benefit Solutions
71063
LifeWell Health Plans
93093
LifeWise Healthplan of Oregon (Premera)
00430
LifeWise Healthplan of Washington (Premera)
LWA01
LifeWorks Advantage (ISNP plan)
LOBH1
Linden Oaks Behavioral Health
LCM01
Little Company of Mary
35107
Local 135 Health Benefits
84041
Local 137 Operating Engineers Welfare Fund
CB752
Lockard & Williams
37267
Loma Linda University
37267
Loma Linda University Adventist Health Sciences Center
37267
Loma Linda University Adventist Health Sciences Centers
37267
Loma Linda University Behavorial Medicine Center Employee Health Plan
37267
Loma Linda University Dept of Risk Management
33036
Loma Linda University Healthcare – ManagedCare Claims
37267
Loma Linda University Healthcare Employee Health Plan
45289 Lone Star TPA
IP095
Long Beach Memorial IPA (MHCLB)
35098
Loomis – SeeChange Health Insurance
73236 Loren Cook
PPM01
Los Angeles Medical Center (LAMC)
PPM02
Los Angeles Medical Center (LAMC) – Encounters
68068
Louisiana Healthcare Connections – Cenpatico
68069
Louisiana Healthcare Connections – Medical
NM505
Lovelace Salud (Medicaid)
56756
Lower Kuskokwim School District
13193
Loyal American Life (Medicare Supplement)
CAPMN
Mabuhay Medical Group
36334
MacNeal Health Providers – CHS
HCP01
Magan Medical Clinic
01260
Magellan Behavioral Health – Case Rate
01260
Magellan Behavioral Health Services
01260
Magellan Behavioral Health Services (Medicaid NE)
01260
Magellan Behavioral Health Services (Medicaid VA)
MCCVA
Magellan Complete Care of Virginia (MCC of VA)
MCCVA
Magellan Complete Health of Virginia
01260 Magellan HIA-CA
11303 MagnaCare
11303
MagnaCare – Oscar Network
68068
Magnolia Health Plan – Cenpatico
68069
Magnolia Health Plan (Ambetter) – Medical
25133
Mail Handlers Benefit Plan (CAC)
45341
Maine Community Health Options
22195
Maksin Management Corporation (now AIG Educational Markets)
35162
Managed Care Services
MCS03
Managed Care Systems
MCS04
Managed Care Systems CDCR
22771
Managed Health Network (MHN)
68068
Managed Health Services – Cenpatico
68068
Managed Health Services – Cenpatico
68069
Managed Health Services Indiana (Ambetter) – Medical
68069
Managed Health Services Wisconsin (Ambetter) – Medical
36312
Managed Healthcare Associates
52461
March Vision Care
09908
Maricopa Care Advantage
09908
Maricopa Health Plan (UAHP)
MCS03
Marion Health Services – CHW
20805
Marrick Medical Finance, LLC
MPHC1
Martins Point Health Care
22348
Maryland Physicians Care
37121
Mashantucket Pequot Tribal Nation
60230
Masonry Industry Trust
60230
Masonry Welfare Trust Fund
MMPHB
Masters Mates and Pilots Plan
PROSP
Maverick Medical Group
92805
Maxor Administrative Services
41154
Mayo Clinic Health Solutions
41154
Mayo Management Services, Inc. (MMSI)
83028
MBA Benefit Administrators
87065
MBA of Wyoming
56205
MBS (Formerly MedCost Benefit Services)
25160
MCA Administrators, Inc.
59331
McCreary Corporation
31149 McGregor PACE
3833R
McLaren Advantage SNP
3833A
McLaren Health Advantage
38338
McLaren Health Plan (MHP) Commercial
3833C
McLaren Health Plan (MHP) Medicaid
MDAPN
MD Anderson Physician Network
35199
MDwise Cooperative Managed Care Services (CMCS)
45627
MDWise Exchange Market Place
35199
MDwise Franciscan – Hoosier Healthwise
31354
MDwise Healthy Indiana Plan
91313
MDwise Hoosier Care Connect
35191
MDwise Hoosier Healthwise
35199
MDwise Hoosier Healthwise (HHW)
35199
MDwise Select Health Network – Hoosier Healthwise
35199
MDwise St. Anthony – Hoosier Healthwise
35199
MDwise St. Catherine – Hoosier Healthwise
35199
MDwise St. Margaret – Hoosier Healthwise
35199
MDwise St. Vincent – Hoosier Healthwise
99023 MDX Hawaii
M3010
MED3000 CMS Early Steps
M3011
MED3000 CMS Safety Net
M3012
MED3000 CMS Title 19 Reform
M3014
MED3000 CMS Title21
M3012
MED3000 Pedicare Title 19
M3014
MED3000 Pedicare Title 21
58204
MedAdmin Solutions
58202
MedAdmin Solutions (Self funded plans)
74323 MedBen
59231 MedCom
MDCOR MedCore
56162 MedCost, Inc.
38353 MedDirect
PCMSO
Medex Health Network IPA (ProCare MSO)
95321 Medfocus
94265 Medica
78857
Medica HealthCare Plan of Florida
12422 Medica2
MCDAL
Medicaid Alabama
MCDAK Medicaid Alaska
MCDAZ
Medicaid Arizona
MCDAR
Medicaid Arkansas
77016
Medicaid Colorado
MCCOB
Medicaid Colorado (Behavioral Health)
MCDCT
Medicaid Connecticut
MCDDE
Medicaid Delaware
77033
Medicaid District of Columbia
77027 Medicaid Florida
77034
Medicaid Georgia
MCDHI Medicaid Hawaii
MCDID Medicaid Idaho
MCDIL Medicaid Illinois
MCDIN
Medicaid Indiana
18049 Medicaid Iowa
MCDKS Medicaid Kansas
MCDKY
Medicaid Kentucky
MCDLA
Medicaid Louisiana
AMBLA
Medicaid Louisiana Ambulance Only (PAYER ID REQD)
DMELA
Medicaid Louisiana DME Only (PAYER ID REQD)
MCDME Medicaid Maine
MCDMD
Medicaid Maryland
77062
Medicaid Maryland MHS (PMHS)
MCDMA
Medicaid Massachusetts
MCMAB
Medicaid Massachusetts (Behavioral Health)
00111
Medicaid Michigan
MCDMN
Medicaid Minnesota
77032
Medicaid Mississippi
MCDMO
Medicaid Missouri
MCDMT
Medicaid Montana
MCDNE
Medicaid Nebraska
MC008
Medicaid Nevada
MCDNH
Medicaid New Hampshire
MCDNJ
Medicaid New Jersey
NMMAD
Medicaid New Mexico
05003
Medicaid New Mexico – Presbyterian Salud
MCDNY
Medicaid New York
NCXIX
Medicaid North Carolina
MCDND
Medicaid North Dakota
MCDOH Medicaid Ohio
MCDOK
Medicaid Oklahoma
ORDHS
Medicaid Oregon
MCDPA
Medicaid Pennsylvania
VALOP
Medicaid Pennsylvania Behavioral Health (Beacon Health Options)
MCDRI
Medicaid Rhode Island
SCXIX
Medicaid South Carolina
00403
Medicaid South Carolina (Blue Choice)
MCDSD
Medicaid South Dakota
TMHP1 Medicaid Texas
EPF02
Medicaid Texas (Premier Plan)
SKUT0 Medicaid Utah
U4005
Medicaid Utah Crossovers
MCDVT
Medicaid Vermont
MCDVA
Medicaid Virginia
MC006
Medicaid Washington
77033
Medicaid Washington DC
MCDWV
Medicaid West Virginia
MCDWI
Medicaid Wisconsin
77046
Medicaid Wyoming
MC051
Medi-Cal (California Medicaid)
MAHP1
Medical Associates Health Plan
MBA01
Medical Benefit Administrators
74323
Medical Benefits Administrators, Inc.
74323
Medical Benefits Companies
74323
Medical Benefits Mutual
74323
Medical Benefits Mutual Life Insurance Co.
9043P Medical Control
29076
Medical Mutual of Ohio
62177
Medical Reimbursements of America
58203
Medical Resource Network (MRN)
AMM13
Medical Safety Net
80019
Medical Service Company (MCS)
MC052
Medi-Cal UB Type 02 (Long-Term Care)
MC053
Medi-Cal UB Type 03 (Inpatient)
38224
Medical Value Plan-MVP-OH
11001
Medicare – HHH J11 (Palmetto)
15004
Medicare – HHH J15 (CGS)
10102
Medicare Alabama
MR010 Medicare Alaska
MR008
Medicare Arizona
MR086
Medicare Arkansas
MR001
Medicare California (North)
MR002
Medicare California (South)
MR004
Medicare Colorado
13102
Medicare Connecticut
00902
Medicare Delaware
00903
Medicare District of Columbia
MR025 Medicare Florida
10202
Medicare Georgia
MR057 Medicare Hawaii
MR003 Medicare Idaho
MCRIL Medicare Illinois
MR089
Medicare Indiana
05102 Medicare Iowa
04911
Medicare J04911
04911
Medicare J04911
04911
Medicare J04911
04911
Medicare J04911
12901
Medicare J12901 – WPS Legacy Part A
05202 Medicare Kansas
05302
Medicare Kansas City
15102
Medicare Kentucky
07202
Medicare Louisiana
14112 Medicare Maine
00901
Medicare Maryland
14212
Medicare Massachusetts
08202
Medicare Michigan
06202
Medicare Minnesota
07302
Medicare Mississippi
05302
Medicare Missouri (East & West)
03202
Medicare Montana
00655
Medicare Nebraska
MR007
Medicare Nevada
14312
Medicare New Hampshire
12402
Medicare New Jersey
04212
Medicare New Mexico
13202
Medicare New York (Downstate)
13202
Medicare New York (Empire)
13292
Medicare New York (Queens)
13282
Medicare New York (Upstate)
11502
Medicare North Carolina
MR083
Medicare North Dakota
12202
Medicare Northern Virginia
15202 Medicare Ohio
04312
Medicare Oklahoma
MR011
Medicare Oregon
12502
Medicare Pennsylvania
MR018
Medicare Railroad
14412
Medicare Rhode Island
11202
Medicare South Carolina
MR084
Medicare South Dakota
MR034
Medicare Tennessee
10301
Medicare Tennessee
MR085 Medicare Texas
MR046 Medicare Utah
14512
Medicare Vermont
09302
Medicare Virgin Islands
11302
Medicare Virginia (Palmetto)
MR006
Medicare Washington
00903
Medicare Washington DC
11402
Medicare West Virginia
06302
Medicare Wisconsin
MR074
Medicare Wyoming
AMM11 MediChoice IPA
CAPMN
Medicina Familiar Medical Group
23160
Medico Insurance
95655 Medigold
13123 Medigold PPO
59355
MediShare (Christian Care Ministries)
20039 Mediture
SCS17
Mediview Sendero CHIP & STAR
MLAUG
MedLogix MSO – All United Medical Group, Inc.
MLAHS
MedLogix MSO – Allied Health Solutions
MLAMR
MedLogix MSO – Americo IPA
MLPAS
MedLogix MSO – Pacific Associates IPA
MLPMA
MedLogix MSO – Progressive Medical Associates, Inc.
27005
Medova Healthhcare
35205
MedPartners Administrative Services
MP001
MedPay Assurance
59069
MedSave USA Third Party Administration
62160
MedSolutions, Inc
39190
MedStar Family Choice of DC
00243
MedStar Family Choice of Maryland
251MS Medstar Select
41203
MedView (via SmartData)
MX001 MedXoom
59227
Mega Life & Health Insurance – OKC
62181
Memorial Clinical Associates (MCA)
IP095
Memorial Healthcare IPA
MHHNP
Memorial Hermann Health Network (MHHN)
59064
Memorial Integrated Healthcare (Commercial)
59065
Memorial Integrated Healthcare (Medicaid)
HCP01
Memorial Medical Group
MMFMC
MemorialCare Medical Foundation
MMFCS
MemorialCare Medical Foundation Cap Services
MMFUC
MemorialCare Medical Foundation UCI
HCMG1
Menifee Valley Community Medical Group
74289
Mental Health Network (MHNet)
71804
Mercy Accountable Care Plan
37264
Mercy Benefit Administration
39114
Mercy Care Health Plans – Wisconsin & Illinois
86052
Mercy Care Plan (AHCCCS)
43166
Mercy Health Plan
25133
Mercy Managed Behavioral Health
33628
Mercy Maricopa Integrated Care
IP079
Mercy Physicians Medical Group (MPMG)
13189
Meridian Health Plan
14145
Meridian Health Plan of Iowa
52563
Meridian Health Plan of Michigan
POP04 Merit IPA
IP097
Meritage Medical Network
64158 Meritain Health
41124 Meritain Health
64157 Meritain Health
38232
Meritain Health (formerly Weyco, Inc)
16928 Metal Culverts
65113
Metcare Health Plans
23550
Methodist First Choice
13265
Metro Plus Health Plan
10850
Metropolitan Health Plan (now Hennepin Health)
MHP01
Metropolitan Health Plan (now Hennepin Health)
MWP01
MetroWest Health Plan Preferred Care
68069
Michigan Fidelis Secure Care – Medical
CAPMN Mid Cities IPA
MRIPA Mid Rogue IPA
MRIPA
Mid Rogue Oregon Health Plan
37281
Mid-America Associates Inc.
22823
Mid-American Benefits
12251
Mid-American TPA: AAI, Inc. (UCS)
SCP01
Mid-County Physicians Medical Group
47080
Midlands Choice, Inc.
MVBCN
Mid-Valley Behavioral Health Network
61146
Midwest Group Benefits
MHP77
Midwest Health Plans, Inc.
66727
MidWest Physician Administrative Services (MPAS)
SC050
Mills Peninsula Health Services (SPS – Sutter)
SC050
Mills Peninsula Medical Group (SPS – Sutter)
MNDH1
Minnesota Department of Health
MCDMN
Minnesota Health Care Program
01776
Minuteman Health, Inc.
PHM10
Mission Community IPA
STJOE
Mission Heritage Medical Group
STJOE
Mission Hospital Affiliated Physicians
37233
Mississippi Public Entity Employee Benefit Trust (MPEEBT)
64088
Mississippi Select Health Care
37275
Missoula County Medical Benefits Plan
43179
Missouri Care (MC)
MMS01
Missouri Medicare Select
13350
Moda Health (Formerly ODS Health Plan)
33373
Molina Healthcare of CA Encounters
38333
Molina Healthcare of California
51062
Molina Healthcare of Florida
61799
Molina Healthcare of Idaho
20934
Molina Healthcare of Illinois
38334
Molina Healthcare of Michigan
NM505
Molina Healthcare of New Mexico
04423
Molina Healthcare of New Mexico
09824
Molina Healthcare of New Mexico – Salud
16146
Molina Healthcare of New York (formerly Total Care)
20149
Molina Healthcare of Ohio
81794
Molina Healthcare of Puerto Rico
46299
Molina Healthcare of South Carolina
20554
Molina Healthcare of Texas
SX109
Molina Healthcare of Utah (aka American Family Care)
26176
Molina Healthcare of Virginia
43174
Molina Healthcare of WA Encounters
38336
Molina Healthcare of Washington
ABRI1
Molina Healthcare of Wisconsin
MCDID
Molina Medicaid Solutions – Idaho
MCDLA
Molina Medicaid Solutions – Louisiana
IP095
Monarch Healthcare IPA
50749
Mondial Assistance
25133
Montana Health Co-op
13174
Montefiore Contract Management Organization (CMO)
MBIPA
Monterey Bay IPA
TLINS
Monumental Life Insurance Company (MLIC)
35092
Morris Associates
BC001
Motion Picture Industry Health Plan
MTNST
Mountain States Administrators
95444
MPLAN, Inc. – HealthCare Group
MPM16 MPM Prospect
MRIPA
MRIPA – AllCare Health Plan
95655
Mt. Carmel Health Plan
SYMED
Multicultural Primary Care Medical Group
45235 MultiPlan GEHA
9048P
MultiPlan Incorporated
34080
Multiplan Wisconsin Preferred Network
MLTOT
Multnomah County Other
VMMH2
Multnomah Treatment Fund (Formerly known as Verity Plus)
81883
Municipal Health Benefit Fund
37256
Mutual Assurance
34192
Mutual Health Services
71412
Mutual of Omaha
71412
Mutually Preferred
38224 MVP – Ohio
14165
MVP Health Care (Mohawk Valley)
33020
My Family Medical Group
34009
myNEXUS Anthem
32043 MyNexus, Inc.
91136
N.W. Ironworkers Health & Security Trust Fund, Group # F15
91136
N.W. Roofers & Employers Health & Security Trust Fund, Group# F26
91136
N.W. Textile Processors Group # F14
12T26
Naperville HealthCare
58182 Naphcare Inc
62308
National Association of Letter Carriers (NALC)
90001
National Capital Preferred Provider Organization (NCPPO)
90956
National Financial Insurance Company
98205
National Foundation Life Insurance Company
52132
National Rural Electric Cooperative Assoc.
71412
National Rural Letter Carrier Assoc.
52104
National Telecommunications Cooperative Association (NTCA – Staff)
52103
National Telecommunications Cooperative Association (NTCA)
NCA01
NCA Medical Group
75191 NCAS
75190
NCAS – Fairfax, Virginia
52323
Nebraska Plastics Group
68069
Nebraska Total Care – Medical
96107
Neighborborhood Health Partnership (NHP)
95123
Neighborhood Health Partnership
04293
Neighborhood Health Plan
05047
Neighborhood Health Plan (NHPRI)
96240
Neighborhood Health Plan RI – Exchange Unity Integrity
80141
Neighborhood Health Providers & Suffolk Health Plan (NHP – SHP)
66055
Netcare Life & Health Insurance – Hagatna, Guam
77076
Network Health Insurance (NHIC) Medicare
39144
Network Health of WI – Commercial
77076
Network Health of WI – Medicare
39144
Network Health Plan of Wisconsin – Commercial
NMM01
Network Medical Management
NSIPA
Network Solutions IPA
95998 New Avenues
NCHON
New Century Health – Arizona Integrated Physicians
NCHOR
New Century Health – Arizona Integrated Physicians
NCHCA
New Century Health – CAC Centers
NCHCA
New Century Health – CarePlus Cardiology
NCHUR
New Century Health – CarePlus Urology
NCHUR
New Century Health – CarePlus Urology Lab
NCHON
New Century Health – Cigna Medical Group AZ
NCHON
New Century Health – Humana Oncology
NCHON
New Century Health – Humana Radiation Oncology
NCHCA
New Century Health – Simply Health Care Cardiology
NCHON
New Century Health – Simply Health Care Oncology
NCHON
New Century Health – Simply Health Care Radiation Oncology
NCHCA
New Century Health – Vista Cardiology – Summit
NCHON
New Century Health Solutions – CarePlus Oncology
NCHON
New Century Health Solutions – CarePlus Radiation Oncology
NCHON
New Century Health Solutions – Vista Oncology
NCHON
New Century Health Solutions – Vista Radiation Oncology
NDX99
New Directions Behavioral Health (NDBH)
66893
New England, The
76031
New Era Employee Welfare Benefit
96396
New Era Life – Employee Benefit Plans
98798
New Era Life Insurance Company
68068
New Hampshire Healthy Families – Cenpatico
68069
New Hampshire Healthy Families – Medical
HSM01
New Life Medical Group, Inc.
74234
New Mexico District Council of Carpenters
45129
New Mexico Health Connections
74234
New Mexico Painters & Allied Trades Local #823
85036
New Mexico Public Schools Insurance Authority
85038
New Mexico Retiree Health Care Authority
74234
New Mexico West Texas Multi-Craft
37312
New Source Benefits, LLC
84141
New West Health Plan
12T69 New York Life
11334
New York Network Management
69821
Next Level Health Partners
PCMSO
Nexus IPA (ProCare MSO)
38225 NGS American
NHC01 NHC Advantage
81264
Nippon Life Insurance Company of America
MBA01
Nivano Physicians IPA
22603
NJ Carpenters Health Fund
PDT01
Noble AMA Select IPA
CAPMN
Noble Community Medical Associates LA
HSM01
Noble Mid OC Orange County (Health Smart)
65085
North America Administrators (NAA) – Nashville, Tennessee
64157
North American Administrators
IP079
North American Medical Management (NAMM)
37314
North Broward Hospital District
78353
North Iowa Community Health Plan (NICH)
17516
North Shore – LIJ (Healthfirst)
46227
North Shore – LIJ CareConnect Insurance Company
35212
North Texas Healthcare Network
91131
North West Administrators (FCHN)
PROSP
North West Orange County Medical Group
22603
Northeast Carpenters Funds
58169
Northeast Georgia Health Services
72690
Northeast Iowa Area Agency
NCA01
Northern California Advantage Medical Group (NCAMG)
36347
Northern Illinois Health Plan
88027
Northern Nevada Operating Engineers Health and Welfare
88027
Northern Nevada Trust Fund (Benefit Plan Admin)
NMG01
Northridge Medical Group
48026
Northshore Physician Associates
36364
NorthShore University Health System
62119
Northwest Diagnostic Clinic (NWDC)
NPN11
Northwest Physicians Network
NWOOD
Northwood Healthcare
16644
Nova Healthcare Administrators, Inc.
06226 NovaNet
68068
NovaSys Health – Cenpatico
68069
NovaSys Health – Medical
52103
NTCA – National Telecommunications Cooperative Association
PROSP
Nuestra Familia Medical Group
08354
NX Health Network (UCS)
37299 Nyhart
36400
Oak West Physician Association
DESRT Oasis IPA (Regal)
50653
Occupational Eyewear Network, Inc.
OBA16
Ogden Benefits Administration (EBC)
14163
Ohana Health Plan
34189
Ohio Health Choice PPO
74431
Ohio PPO Connect
SVIPA
Ojai Valley Community Medical Group
71065
Oklahoma DRS DOC
OLRMC
OLOLRMC Uninsured Patient Services Program
65074
Olympus Managed Health Care (OMHC)
HDNFC
Omni Healthcare – Humboldt Del Norte, California
MDCOR
Omni IPA – Medcore HP
OMN02
Omnicare Medical Group (OMNI)
ONOCI
Oncology Network of Orange County
22321 One Call Medical
CALOP
One Care Connect (OCC)
COLTC
One Care Connect LTC (OCC)
62308 One Health Plan
95379
One Health Plan of California
95412
One Health Plan of Colorado
52149
OneNet PPO (formerly Alliance PPO & MAPSI)
99485
OnLok Senior Health Services, Inc.
BPA01
OPEIU Locals 30& 537
74234
Operating Engineers Local #53
66771
Operating Engineers Local 139 Health Benefit Fund
BC001
Operating Engineers Local 501 of California
91136
Operating Engineers Locals 302 & 612 Health & Security Fund, Group # F12
56190
OptiCare Managed Vision (Formerly known as Prime Vision Health)
OPCAU Opticare of Utah
54154
Optima Insurance Company
52152
Optimum Choice of the Carolina’s (OCCI)
20133
Optimum Healthcare
37125
Option Services Group
91131
Options Health Plan
41194
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks)
U6885
Optum / Salt Lake County (Medicaid)
LIFE1
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network)
E3287
OptumCare Network of Connecticut
87726
OptumHealth / OptumHealth Behavioral Solutions (formerly United Behavioral Health [UBH] and PacifiCare Behavioral Health )
87726
OptumHealth / OptumHealth Behavioral Solutions of NM
41161
OptumHealth / OptumHealth Physical Health (includes Oxford) (Formerly ACN)
IP095
Orange Coast Memorial IPA
HSM01
Orange County Advantage Medical Group
13383
Orthonet – Aetna
13382
Orthonet – Uniformed Services Family Health Plan
OSCAR Oscar Health
51909 OSF Central
51909 OSF East
62171 OSF Health Plans
51909
OSF Healthcare North
CLFRS
OSMA Health (formerly PLICO)
EPF06
Outsourcing Program
91131 P.S.E.W. Trust
06161
PA Preferred Health Network (PPHN)
CALOP PACE Center
COLTC PACE Center LTC
99486
PACEpartner Solutions
SYMED
Pacific Alliance Medical Center
PHM10
Pacific Health MSO
PROSP
Pacific Healthcare IPA
NMM01 Pacific IPA
75309
Pacific Southwest Administrators (PSWA)
20416
PacificSource Community Solutions
93029
PacificSource Health Plans
20377
PacificSource Medicare
CAPMN
Palomar Pomerado Hospital
04218
Pan American Life Insurance Group
PARHC
Paramount Health Care
58204
Parity Healthcare
66917
Parkland Community Health Plan
13141
Partners Behavioral Health
51909
Partners In Health (Chicago)
SB810
Partners National Health Plan of NC
CPP08
Partnership HealthPlan of California
CAPMN
Pasadena Primary Care Physicians Group
61129
Passport Health Plan
61325
Passport Health Plan
25172
PATH Administrators (Formerly DH Evans)
10525
Patient Advocates, LLC
CB733
Patient Services, Inc
26335 PatientPay
20907 Paul Mueller
PA331
Payer Compass – ACS Benefits
27048
Payer Fusion Holdings
25449
PBS – Oregon Alaska Industrial Hardware
27267
PBS – Oregon Alaska Rubber & Supply
27277
PBS – Oregon Cascade Rubber Products
26224
PBS – Oregon Construction Machinery Industrial
73624
PBS – Oregon Peninsula Airways
83926
PBS – Oregon TDX Corporation
95885
PCA Health Plan of Texas (Humana)
SLOS1
PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA)
MCI01
PCMG of Santa Maria (formerly Midcoast Care Inc.)
68068
Peach State Health Plan – Cenpatico
68069
Peach State Health Plan (Ambetter) – Medical
27034
Peak Pace Solutions
20472
Pediatric Associates
PEF01 PEF Clinic
SMG01
Pegasus Medical Group (Regal)
37086 Pekin Insurance
53226
Penn Behavioral Health
72126
Peoples Health Network
95397
Personal Insurance Administrators, Inc. (PIA)
45275 PHCS GEHA
13306
PHCS Savility Payers
PHIF4
Phifer Wire Products, Inc.
98798
Philadelphia American Life Insurance Company
03440
Phoenix Health Plan
22729
Phoenix Health Plan (Medicare)
CB404
PHP of the Carolinas
PA513
Physician Associates of Greater San Gabriel Valley
58204
Physician Associates of Louisiana
PCMSO
Physician Partners IPA – Alameda (ProCare MSO)
PCMSO
Physician Partners IPA – Santa Clara (ProCare MSO)
PCMSO
Physician Partners IPA – South (ProCare MSO)
38265 Physicians Care
36345
Physicians Care Network
PCN12
Physicians Care Network / The Polyclinic
SLOS1
Physicians Choice Medical Group of San Luis Obispo
MCI01
Physicians Choice Medical Group of Santa Maria
PDT01
Physicians Data Trust (PDT)
PHCS1
Physicians Health Choice- HCFA Claims
MHCM2
Physicians Health Network (PHN)
09173
Physicians Health Plan
07689
Physicians Health Plan (PHP) – Global Care
37330
Physicians Health Plan (PHP) – Mid Michigan
12399
Physicians Health Plan (PHP) – Northern Indiana
37330
Physicians Health Plan (PHP) – South Michigan
37330
Physicians Health Plan (PHP) – Sparrow
65031
Physicians Healthcare Plans
NMM01
Physicians Healthways IPA
RCHN1
Physicians Management Group
EXC01
Physicians Medical Group of San Jose
PMGSC
Physicians Medical Group of Santa Cruz County
47027
Physicians Mutual Insurance Company
91171
Physicians of Southwest Washington
39156
Physicians Plus Insurance Corporation
TH131
Physicians United Plan
PHIPA
Physicians’ Healthways IPA
PM001
PhysMetrics (DOS prior to 7/1/17)
CM001
PhysMetrics (formerly ChiroMetrics)
BHP01
PIH Health (formerly Bright Health)
24735
Pinnacle Claims Management, Inc.
PROSP
Pinnacle Health Resources
84109
Pinnacol Assurance
PPNZZ
Pioneer Provider Network
37224
Pittman and Associates (Now known as HealthSmart Benefit Solutions)
37287
Planned Administrators, Inc. (PAI)
89237
Plexis Healthcare Systems (UCS)
EXC01 PMG of San Jose
58204
Podi Care Managed Care
POD1S Podiatry First
59324
Podiatry Network Florida
59069 Poe & Brown
PCU01
Point Comfort Underwriters
PCU02
Point Comfort Underwriters
16111 POMCO
PROSP
Pomona Valley Medical Group (PVMG)
23253
Populytics (formerly Spectrum Administrators)
15991 Porter Scott
95411
Positive Health Care (PHC) / FL MCO PHC
MPM18
PPN Pioneer Healthy Families by MedPOINT
MPM18
PPN Pioneer Medi-cal by MedPOINT
72148 PPO Plus LLC
38335 PPOM
36373
Prairie States Enterprises
EPF10
Prefered Administrator
EPF11
Preferred Admin Childrens Hosp
53476
Preferred Benefit Administrators
00481
Preferred Blue of South Carolina
65088
Preferred Care Partners – Florida
73145
Preferred Community Choice
73145
Preferred Community Choice – PCCSelect – CompMed
CB404
Preferred Health Plan of the Carolinas
61106
Preferred Health Plan, Inc.
31478
Preferred Health Professionals
04320
Preferred Healthcare System – PPO
PFIPA Preferred IPA
36401
Preferred Network Access, Inc.
41147 PreferredOne
00430
Premera Blue Cross Blue Shield of Alaska
00430
Premera Blue Cross of Washington
65415
Premier Administrative Solutions
43166
Premier Benefits Inc.
PCMSO
Premier Care IPA (ProCare MSO)
CAPMN
Premier Care of Northern California
65054
Premier Eye Care
251PR
Premier Health Plan (Premier Health Group)
43166
Premier Health Plans
29076
Premier Health Systems
88053
Premier HealthCare Exchange (PHX) – A-G Admin (SOMA group)
88050
Premier HealthCare Exchange (PHX) – Auxiant
88052
Premier HealthCare Exchange (PHX) – BPA – Benefit Plan Administrators
88091
Premier HealthCare Exchange (PHX) – Commercial Travelers
88055
Premier HealthCare Exchange (PHX) – First Agency (FIA)
88090
Premier HealthCare Exchange (PHX) – Mayo Clinic FL/GA
88058
Premier HealthCare Exchange (PHX) – Med-Pay
64084
Premier HealthCare Exchange (PHX) – Mississippi Physician Care Network
48611
Premier HealthCare Exchange (PHX) – BMI Kansas
88022
Premier HealthCare Exchange (PHX) – CDS of Nevada
88056
Premier HealthCare Exchange (PHX) – Cypress Benefit Admin
37253
Premier HealthCare Exchange (PHX) – Elmco
64069
Premier HealthCare Exchange (PHX) – Fox Everett/HUB International
88057
Premier HealthCare Exchange (PHX) – Preferred Admin
88051
Premier HealthCare Exchange (PHX) – The Benefit Group
CAPMN
Premier Physician Alliance
CAPMN
Premier Physician Network
MPM22
Premier Physician Network (PPN)
PREHP
Presbyterian Health Plan
01260
Presbyterian Health Plan, Inc. (Magellan)
BHP01
Presbyterian Intercommunity Hospital
05003
Presbyterian Salud (NM)
51909
Presence Behavioral Health
46311 Presence ERC
77003
Prestige Health Choice (AmeriHealth Caritas)
CAPMN
Primary Care & Pediatric IPA (PCP IPA)
IP079
Primary Care Associates Medical Group (PCAMG)
PCACZ
Primary Care Associates of California (PCAC)
PCJOL
Primary Care of Joliet
SYMED
Primary Care Practices Of Sacramento – EHS
PCSNC
Primary Care Services NCHD
77123
Primary Health CCO Medical
82048
Primary Health Network
56144
Primary Physician Care
PPM01
Primary Provider Management
PPM02
Primary Provider Management Encounters
77202
PrimaryHealth CCO Mental Health
MVCV1
Prime Community Care Central Valley
MVCV2
Prime Community Care Central Valley Encounters
61604
Prime West Health Systems
IP079
PrimeCare Medical Group of Chino Valley (PCMG)
IP079
PrimeCare Medical Network
IP079
PrimeCare Medical Network – Chino
IP079
PrimeCare Medical Network – Citrus Valley
IP079
PrimeCare Medical Network – Corona
IP079
PrimeCare Medical Network – Hemet
IP079
PrimeCare Medical Network – Inland Valley
IP079
PrimeCare Medical Network – Moreno Valley
IP079
PrimeCare Medical Network – Redlands
IP079
PrimeCare Medical Network – Riverside
IP079
Primecare Medical Network – San Bernardino
IP079
PrimeCare Medical Network – Sun City
IP079
PrimeCare Medical Network – Temecula
04320
PrimeSource Health Network
PRI01
Princeton Premier IPA
38217 Priority Health
37315 Prism – Univera
37268
Prism Health Networks
PRNLK prnLink-MLK
PROSP
ProCare (Prospect)
70259
Procare Health Plan – Medicaid
13396
Productive Programming, Inc. (PPI)
36331
Professional Benefit Administrators, Inc.
37242
Professional Claims Management – Canton, Ohio
PROSP
Prospect Health Services of Texas
PROSP
Prospect Medical Group
PROSP
Prospect Provider Group of Rhode Island
PROSP
Prospect Sherman Oaks Medical Group
37309
Protective Life Insurance
PROV1
Providence Facility Claims
PHP01
Providence Health Plan
PHP00 Providence PPO
PHP00
Providence Preferred PPO
PAS01
Providence Risk & Insurance
13193
Provident American Life & Health Insurance Company (Medicare Supplement)
62308
Provident Healthsource (CIGNA)
62308
Provident Life & Accident
62308
Provident Life & Casualty
62308
Provident Preferred Network
75250
Provider Direct Network (HealthSmart Preferred Care)
48100
ProviDRs Care Network
MPM25
Prudent Medical Group
PH001
Pruitt Health Premier
PSKW0 PSKW
43324 Psychcare, LLC
PCSD1
Psychiatric Centers at San Diego (PCSD)
SX106
Public Employees Health Plan (PEHP)
AMM03
Public Health Medical Services (PHMS)
91136
Puget Sound Benefits Trust, Group# F25
91136
Puget Sound Electrical Workers Trust, Group# F33
35174 QCA Health Plan
40437
Quad Cities Community Health Plan (QCCH)
QUANM
Qual Medical New Mexico
MCS03
QualCare (Managed Care Systems)
22312
QualCare Alliance Networks, Inc. (QANI)
23342 QualCare, Inc.
42172
QualChoice Advantage
35174
QualChoice Health Insurance
35174
QualChoice of Arkansas
POP07 Quality Care IPA
89461
Quality Care Partners
88622
Quality Health Plans of New York
46571 Quartz ASO
84562
Questcare Medical Services
73067
Quick Trip Corporation
57117
QVI Risk Solutions Inc
RCHN1
Rady Children’s Health Network (RCHN)
CSSD2
Rady’s Children’s Specialists of San Diego
RPAWC
Ravenswood Physician Associates
44219
Reading Hospital Employee Group
MPM17
Redwood Community Health Coalition
REGAL
Regal Medical Group
00851
Regence Blue Cross Blue Shield – Oregon
00611
Regence Blue Shield – Idaho
00932
Regence Blue Shield of Washington State
RGA01
Regence Group Administrators (RGA)
38221
Regency Employee Benefits
HSM01
Regent Medical Group, Inc. (Regent Family Practice of Glendale)
47076
Regional Care, Inc.
REHNA
Rehn and Associates
RENGQ
Renaissance Gulf Quest
76066
Renaissance Physicians Organization
RENRO
Renassaince – River Oaks
RENRB
Renassaince Riveroaks Blue
73066
Reserve National Insurance
RHA01
Resolve Health Plan Administrators, LLC.
37278
ResourceOne Administrators
36396
Resurrection Health Care Preferred
RPPG1
Resurrection Physicians Group
74205
Right Care from Scott & White
37331
Right Choice Benefit Administrators
RCMG1
River City Medical Group
45281
Riverside Health, Inc.
RMC01
Riverside Medical Clinic
16117 RMSCO, Inc.
44412
Robert F Kennedy Medical Plan
RMHMO
Rocky Mountain HMO
73780
Royal Health Care
46166
Royal Healthcare on behalf of Extended MLTC
97736
RTG Medical Group
25133
Rural Carrier Benefit Plan
36389
Rush Prudential Health Plans – HMO Only
AMM03
Ryan White Network (RWN)
31441
S & S Healthcare Strategies
35164
Sagamore Health Network
MNDH1 Sage Program
37105
Sage Technologies
HSM01
Saigon Medical Group, Inc.
CAPMN
Saint Agnes Medical Group
SJHC1
Saint Johns Health Clinic
CP001
Samaritan Advantage (SA01)
CP001
Samaritan Choice (SCP)
CP001
Samaritan Health Plans
CP001
Samaritan Healthy Kids (KID)
62308 SAMBA
SBMED
San Bernardino Medical Group (SBMED)
MSO11
San Diego County Medical Services (CMS)
MSO22
San Diego County Physician Emergency Services (PES)
MSO44
San Diego County Primary Care Services
SCP01
San Diego Physicians Medical Group
BS001
San Francisco Electrical Workers – IBEW Local 6
SFHP1
San Francisco Health Plan
68035
San Joaquin Health Administrators
VMF01
San Jose Medical Group
SHC30 SandHills Center
91184
Sanford Health Plan
SBIPA
Santa Barbara Select IPA
SCACO
Santa Clara County IPA ACO
10378
Santa Clara County IPA HMO
SCACO
Santa Clara County IPA PPO
24077
Santa Clara Family Health Plan (SCFHP)
SNT01
Sante Community Physicians
SNTMC Sante Medi-Cal
SCAN2
Scan Health Plan – Arizona
SCAN1
Scan Health Plan – California
SCACO
SCCIPA Anthem ACO
SCACO
SCCIPA Anthem PPO
10378 SCCIPA HMO
MPM20
SCHS Alta Pod by MedPOINT
88030
Scott & White Health Care Plan
SHPS1 Scripps Clinic
SHPS1
Scripps Coastal Medical Center
SHPM1
Scripps Health Plan MSO
SHPS1
Scripps Health Plan Services
60054
Scripps Medical Plan (Aetna)
46187
Seaside Health Plan
E4618
Seaside Health Plan Encounters
91131
Seattle Area Plumbing
SVIPA Seaview IPA
28530
Secure Health Plans of Georgia, LLC
35202
Security Administrative Services, LLC (Cornerstone)
39045
Security Health Plan
20618
SEIU Local 1 Cleveland Welfare Fund
64088
Select Administrative Services (SAS)
93031
Select Benefits Administrators
37282
Select Benefits Administrators of America
23285
Select Health of South Carolina
SX107
Select Health of Utah
SHIPA
Select Healthcare System, Inc.
SSC11
Select Senior Clinic
00014 Selectcare
GTPA1
SelectCare of Texas (GTPA – Golden Triangle)
HPN11
SelectCare of Texas (Houston)
76045
SelectCare of Texas (HPN – Heritage Physicians)
KLSY1
SelectCare of Texas (Kelsey-Seybold)
62181
SelectCare of Texas (MCA – Memorial Clinical)
62119
SelectCare of Texas (NWDC)
36404
Self Insured Plans
44827
Self Insured Services Company (SISCO)
34131
Self-Funded Plans, Inc.
36426 Sendero Health
11440
Sendero IdealCare
36426 Sendora Health
83035
Senior Whole Health
54154
Sentara Family Plan / Sentara Health Management
23249
Sentinel Management Services
39033
Sentry Life Insurance Company
AMM07
Seoul Medical Group
AGL01
Sequoia Health IPA
SHEBP
Seton Employee Plan
SHPCH
Seton Health Plan – CHIP
62308
Seton Health Plan (Employee Plans ONLY)
SHCAR
Seton Health Plan Care Program
73866
Seton Map Program (Mediview)
STAR1 Seton Star
25404 Seven Corners
SCMG1
Sharp Community Medical Group
SHP01
Sharp Health Plan
SRS83
Sharp Rees-Stealy Medical Group
75280
Shasta Administrative Services
03699 SIEBA, LTD
76343
Sierra Health and Life – Encounters
76342
Sierra Health and Life (Claims)
SMG01
Sierra Medical Group (Regal)
MBA01
Sierra Nevada Medical Associates
SA001
Signature Advantage
77871 SIHRTE
37228 SilverBack TPA
68069
SilverSummit Healthplan – Medical
27094
Simply Health Care Plan
SIM01
SIMPRA Advantage
84076
Sinclair Health Plan
44827 SISCO Benefits
84096
Sloans Lake Managed Care
02057
Smith Administrators
13010
Smoky Mountain Center (now Vaya Health)
60054
Sound Health & Wellness Trust (Aetna)
91131
Sound Health (now known as First Choice Health Network)
91131
Sound Health (Sisters of Providence)
91131
Sound Health (Sisters of Providence)
91131
Sound Health (Sisters of Providence)
91131
Sound Health Wellness Trust
42172
Soundpath Health (formerly known as Puget Sound Health Partners)
SAMG1
South Atlantic Medical Group
23266
South Central Preferred
STARS
South Dakota Behavioral Health – STARS / State Funding
STARS
South Dakota DSS – STARS / State Funding
59064
South Florida Community Care Network – SFCCN (Commercial)
59065
South Florida Community Care Network – SFCCN (Medicaid)
06294
South Florida Musculo Skeletal Care (SFMSC)
28580
South Tahoe Refuse
25147
SouthCare/Healthcare Preferred
77153
Southeastern Indiana Health (SIHO)
37318
Southern Benefit Services
ECMSO
Southern California Children’s Healthcare Network
BPA01
Southern California Dairy
MPM20
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT
BPA01
Southern California Lumber
SCOA1
Southern California Oncology Associates (SCOA)
SCOAE
Southern California Oncology Associates (SCOA) – Encounters
SCP01
Southern California Physicians Managed Care Services (SCPMCS)
SCUFW
Southern California UFCW Unions & Food Employers
SIHCA
Southern Illinois Healthcare Association
HSM01
Southland Advantage Medical Group, Inc.
SIPA1 Southland IPA
PHM11
Southland San Gabriel Valley Medical Group, Inc.
M3IL2
Southwest BCBS of Florida
DOCSO
Southwest Oregon IPA (DOCS)
SWPG1
Southwest Physicians Group
37266
Southwest Service Life
62308
Special Agents Mutual Benefit Association
38416
Spencer Stuart (ARM, LTD)
84146
Spina Bifida – VA HAC
SPOHN Spohn Health
11158 St James PHO
STVMC
St Vincent Medical Center (STVMC)
22240
St. Barnabas System Health Plan
MPM31
St. Francis – AllCare by MedPOINT
MPM30
St. Francis – HCLA by MedPOINT
APP01 St. Francis IPA
37264
St. John’s Claim Administration
SJHC1
St. Johns Health Clinic
STJOE
St. Joseph Heritage Healthcare
STJOE
St. Joseph Heritage Medical Group
STJOE
St. Joseph Hospital Affiliated
STJOE
St. Jude Affiliated Physicians
STJOE
St. Jude Heritage Medical Group
STJOE
St. Mary High Desert
SMIPA
St. Mary’s IPA (SMIPA)
88029
St. Mary’s Health Plan
HSM01
St. Peter Medical Group, Inc.
37116
St. Therese Physician Associates
STM01
St. Thomas Med Ntwk Gulfquest
PDT01 St. Vincent IPA
73099
Standard Life & Accident Insurance Company
61425 Starmark
31053
State Farm Insurance Company
31059
State Farm Property & Casualty
SB810
State Health Plan of North Carolina
00400
State Health Plan of SC
57254
State of Texas Dental Plan (GEHA)
14163
Staywell Health Plan
67829
Sterling Medicare Advantage
91151
Sterling Option One
58128
Stowe Associates
74227
Student Resources (UnitedHealthcare)
95202
Summacare Health Plan (HMO)
86083
Summit Administration Services, Inc.
37301
Summit America Insurance Services, Inc.
68068
Sunflower State – Cenpatico
68069
Sunflower State – Medical
SIL01
Sunrise Advantage Plan of Illinois
SNY01
Sunrise Advantage Plan of New York
SPA01
Sunrise Advantage Plan of Pennsylvania
SVA01
Sunrise Advantage Plan of Virginia
68068
Sunshine State Health Plan – Cenpatico
68069
Sunshine State Health Plan (Ambetter) – Medical
23218
Superior Administrators
ECMSO
Superior Choice Medical Group
68068
Superior Health Plan – Cenpatico
68069
Superior Health Plan (Ambetter) – Medical
97802
Superior Insurance Services
SC051
Sutter Connect – East Bay Region Hospitals – B&T
SC052
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
SC050
Sutter Connect – Palo Alto Medical Foundation
SC016
Sutter Connect – Solano Regional Medical Foundation (SRMF)
SC018
Sutter Connect – Sutter Delta Medical Group
SC003
Sutter Connect – Sutter Gould Medical Foundation (SGMF)
SC004
Sutter Connect – Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
SC008
Sutter Connect – Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
SC020
Sutter East Bay Medical Foundation
SC028
Sutter Senior Care
36411
Swedish Covenant Hospital
07040
Swift Glass Corporation (UCS)
SYMED SynerMed
99726
T2017 Tricare West (Previously known as UnitedHealthcare Military & Veterans)
HCP01
Talbert Medical Group
88067
Tall Tree Administrators
37228
Tarrant Health Services
TAYLR
Taylor Benefit Resource
TCC93
TCC (Self-Funded)
TCC13
TCC Benefits Administrator – Pre-Med Defender
BPA01 TCU-LA MTA
88019
Teachers Health Trust
75133
Team Choice PNS
36215 Teamcare
NWADM
Teamsters Miscellaneous Security Trust Fund – Northwest Administrators
91131
Teamsters Welfare Trust
74234 Tech-Steel, Inc
22483 Telamon
HCMG1
Temecula Valley Medical Group
00890
TennCare Select/ BlueCare
HPN11
TexanPlus of Texas (Houston)
KLSY1
TexanPlus of Texas (Kelsey-Seybold)
TXABA
Texas Agricultural Cooperative Trust (TACT)
76048
Texas Children’s Health Plan
75228
Texas Childrens Health Plan – Medicaid
13185
Texas First Health Plans
63092
Texas HealthSpring
TMHP1
Texas Medicaid & Healthcare Partnership (TMHP)
88461 The Alliance
TBGNE
The Benefit Group, Inc.
BOONG The Boon Group
68423
The Care Network/The Savannah Business Group
CRI01
The Chesterfield Companies
CHP01 The CHP Group
20356
The Health Exchange (Cerner Corporation)
34150 The Health Plan
34150
The Health Plan of Upper Ohio Valley
34150
The Health Plan of West Virginia (Medicaid)
29018
The Health Plan of Western Illinois (HOWI)
58200
The Integrity Benefit Network, Inc. (Marietta, GA)
23223
The Loomis Company
82694
The Macaluso Group
59140
The Mutual Group
04320
The Preferred Healthcare System – PPO
THIPA THIPA
00315
Thomas H. Cooper
THRIV
Thrivent Financial
30167
Thrivent Financial Aid Association for Lutheran Medicare
30166
Thrivent Financial Lutheran Brotherhood Medicare
58600 Tift Regional
TKFMC TKFMC
TLC01
TLC Advantage of Sioux Falls
TLC79
TLC Benefit Solutions
WITH1 Todays Health
48055
Todays Option (American Progressive and Pyramid Life)
251CC
Together with CCHP
92620
Tongass Timber Trust
61425
Tooling and Manufacturing Assocation
THIPA
Torrance Hospital IPA (THIPA)
TMMC1
Torrance Memorial Medical Center
31182
Total Community Care
38201
Total Health Care
41202
Total Plan Services (via SmartData)
TPS01
Touchpoint Solutions / Touchpoint CRM)
23856
Touchstone Health PSO
37230 TR Paul, Inc.
TLINS
Transamerica Life Insurance Company (TLIC)
37284
TransChoice – Key Benefit Administrators
74234
Transwestern General Agency
TRAN1
Transwestern Insurance Administrators, Inc
36397
Trellis Health Partners
39181
TRIAD HEALTHCARE INC
31118
Tribute Health Plan of Arkansas
31125
Tribute Health Plan of Oklahoma
TREST TriCare East
TDDIR TriCare for Life
FOREN Tricare Overseas
99726 Tricare West
PDT01 TriCities IPA
31144
TriHealth Physician Solutions
68069
Trillium Community – Medicaid
68069
Trillium Community – Medicare
68069
Trillium Community Health Plans (Agate Resources/LIPA)
62777 Trilogy Network
42137
TriStar (formerly Select Benefit Administrators)
31144
TriState Benefit Solutions
98514 TRLHN/AS
82288
True Health New Mexico
L0230
Trusted Health Plan
91131
Trustee Plans (FCHN)
91131
Trusteed Insurance (FCHN)
91078
Trusteed Plans Service Corporation
61425
Trustmark Insurance Company
04298 Tufts Health Plan
04332
Tufts Health Public Plan (Network Health)
UCDMG
UC Davis Health System
89789
UC Health Plan Administrators
MMFUC
UC Irvine Health (MemorialCare)
52629
UCare Minnesota
USMBP
UCLA Medical Group
56001
UCS (The City of East Chicago)
55843
UCS BASI: Ellsworth Constructions
16025
UCS BASI: Meter Group USA
75537 UCS Benovation
34924
UCS Cement Masons
12394
UCS Core: Nemco
12395
UCS Core: TJR Equipment
SCP01
UCSD Physician Network (UCSDPN)
BS001
UFCW Northern California &Drug Employers H & W Trust Fund
62308
UFT Welfare Fund
UHA01
UHA Health Insurance
75240
UICI Administrators
41206
Ultra Benefits Inc.
45281
UM Health Partners (UMHP)
77501
Umpqua Health Alliance
79480
UMR (formerly UMR Onalaska/Midwest Security/Harrington)
39026
UMR (formerly UMR Wausau)
52180
Umwa Health & Retirement Funds
93220
Underwriters Services Corporation
80314 Unicare
35198
Unified Group Services
62170
Unified Health Services (Workman’s Comp Only)
HCP01 Unified IPA
51368 Unified IPA
34638
Unified Physicians Network
00932
Uniform Medical Plan
13407
Uniformed Services Family Health Plan
91131
UNIGARD (FCHN)
87042
Union Pacific Railroad Employees Health Systems (UPREHS)
UAGBT
United Agriculture Benefit Trust
59069
United Benefits (formerly Brown & Brown Benefits)
ADCUC
United Care Medical Group (UCMG) (Regal)
91131
United Employee Benefit Trust (FCHN)
SCUFW
United Food & Commercial Workers Unions and Food Employers Benefit Fund
UGP19
United Group Programs
84132
United Medical Alliance (UMA)
71412
United of Omaha
SANDS
United Physicians International (UPI)
74095
United States Automobile Association (USAA)
87726
UnitedHealthcare (UHC)
81400
UnitedHealthcare / All Savers Alternate Funding
81400
UnitedHealthcare / All Savers Insurance
87726
UnitedHealthcare / Definity Health Plan
87726
UnitedHealthcare / Empire Plan
87726
UnitedHealthcare / MAHP – MD IPA, Optimum Choice and MLH (formerly MAMSI)
06111
UnitedHealthcare / Oxford
00773
UnitedHealthcare / Spectera Eyecare Networks
39026
UnitedHealthcare / UHIS – UnitedHealth Integrated Services
87726
UnitedHealthcare / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare)
87726
UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare)
03432
UnitedHealthcare Community Plan / AZ (formerly Arizona Physicians IPA and APIPA)
87726
UnitedHealthcare Community Plan / CA, DE, FL, HI, IA, LA, MA, MD, MS CAN, NC, NE, NM, NY, OH, OK, PA, RI, TX, VA, WA, WI (formerly AmeriChoice or Unison)
87726
UnitedHealthcare Community Plan / IA, hawk-i (formerly AmeriChoice of Iowa)
96385
UnitedHealthcare Community Plan / KS (KanCare)
95467
UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)
87726
UnitedHealthcare Community Plan / MS (formerly AmeriChoice MS – CHIP)
87726
UnitedHealthcare Community Plan / NE (formerly Americhoice NE, ShareAdvantage, and UnitedHealthcare of the Midlands)
86047
UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid, NJ Family Care, NJ Personal Care Plus)
87726
UnitedHealthcare Community Plan / NY (formerly AmeriChoice by UnitedHealthcare, AmeriChoice NY Medicaid & Child Health Plus, AmeriChoice NY Personal Care Plus)
87726
UnitedHealthcare Community Plan / SC (formerly Unison)
95378
UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete)
87726
UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete – Oxford Medicare Network
87726
UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete (formerly Evercare)
87726
UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care (formerly Evercare)
87726
UnitedHealthcare Community Plan / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare)
86050
UnitedHealthcare Community Plan of Missouri
87726
UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete (formerly Evercare)
87726
UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advantage
87726
UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete (formerly SecureHorizons)
87726
UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect (formerly SecureHorizons)
87726
UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan (formerly Evercare)
39026
UnitedHealthcare Shared Services (UHSS)
37602
UnitedHealthOne / Golden Rule
81400
UnitedHealthOne / PacifiCare Life and Health Insurance Company
81400
UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security)
66705
Unity Health Insurance
16107
Univera Healthcare (Excellus)
UNINW
Univera PPO (Excellus)
UC001
Universal Care (FFS)
UC002
Universal Care Encounters
93222
Universal Fidelity Administrators Company – Aggregate
09830
University Care Advantage
09830
University Family Care
UHA01
University Health Alliance
07503
University Healthcare Group
45437
University Healthcare Marketplace
37601
University of Illinois at Chicago Div of Specialized Care for Children
45281
University of Maryland Health Partners (UMHP)
92579
University of Miami Behavioral Health
25133
University of Missouri
SX155
University of Utah Health Plans
09830
University Physicians Care Advantage
07503
University Physicians Healthcare Group
COACC University Trust
PROSP
Upland Medical Group
23281
UPMC Health Plan
25184
UPMC Vision Advantage
38337
Upper Peninsula Health Plan
93092 US Benefits
77044
US Department of Labor
77104
US Department of Labor – Black Lung
77103
US Department of Labor – Energy
USFHP
US Family Health Plan of Texas and Louisiana (USFHP)
50383
US Imaging Network
USI01
US Imaging Network II
9047P
USC Health Services
13407
USFHP – St. Vincent Catholic Medical Centers of New York
74234 Utah Carpenters
74234 Utah Laborers
74234 Utah Pipe Trades
UT3F1
UTMB 3 Share Program
12115
VA Fee Basis Programs
VAFSC
VA Financial Services Center
68021
VA Patient Centered Community Care Program (VAPCCC) Region 1
68021
VA Patient Centered Community Care Program (VAPCCC) Region 2
68021
VA Patient Centered Community Care Program (VAPCCC) Region 4
82238
Valley Baptist Advantage
82420
Valley Baptist Health Plan
VCIPA Valley Care IPA
VSIPA
Valley Care Select IPA
VHP01
Valley Health Plan (Commercial)
VHP02
Valley Health Plan (Medi-Cal)
IP079
Valley Physicians Network
VALOP
Value Options (Beacon Health Options)
72128
Vantage Health Plan, Inc.
PPM01
Vantage Medical Group
PPM02
Vantage Medical Group Encounters
VAP03
VAPCCC Region 3
VAP5A
VAPCCC Region 5A
VAP5B
VAPCCC Region 5B
VAP06
VAPCCC Region 6
VPA18
Variable Protection Administrators (VPA)
13010
Vaya Health (formerly Smoky Mountain)
VCHCP
Ventura County Health Care Plan (VCHCP)
86062
VentureNet Healthcare
LMG01
Verdugo Hills Medical Group (Regal)
VMF01
Verity Medical Foundation
75256
Verity National Group
VESTA VestaCare
00243
Vestica Healthcare
VAP03
Veterans Administration Patient Centered Community Care Program (VAPCCC) Region 3
VAP5A
Veterans Administration Patient Centered Community Care Program (VAPCCC) Region 5A
VAP5B
Veterans Administration Patient Centered Community Care Program (VAPCCC) Region 5B
VAP06
Veterans Administration Patient Centered Community Care Program (VAPCCC) Region 6
50701 VGM Homelink
24818 Vida Care
25924
VieCare Life Beaver and Life Lawrence Counties
SCAN1
Village Health Plan
26545 VillageCareMAX
54138
Virginia Health Network, Inc.
91131
Virginia Mason Group Health
VPCCP
Virginia Premier CompleteCare
VPCCI
Virginia Premier CompleteCare
VPEP1
Virginia Premier Elite Plus
54176
Virginia Premier Gold
54176
Virginia Premier Health Plan
12K83
Virginia Premier Health Plan (Medicaid)
25133 Vista Health Plan
63114 Viva Health Plan
31626
VNA Homecare Options
77073
VNS Choice SelectCare
00890
Volunteer States Health Plan
59266
Volusia Health Network
22264
Vytra Health Plans (Emblem)
62111
W.C. Beeler & Company
91131 WA Teamster
31650 Wagner Meinert
WCHHS
Washington County Health and Human Services
91131
Washington State Health Insurance Pool (WSHIP)
73155
Waterstone Benefit Administrators
MPM09
Watts Health Care
39151
WEA Insurance Group
75261
Web TPA / Community Health Electronic claims / CHEC
36337
Weiss Health Providers
13337
Well Sense Health Plan
14163
WellCare Health Plan
59354
Wellcare Health Plans – Encounters
14163 WellCare HMO
14163
WellCare Private FFS
WELM2
WellMed Medical (Claims)
WELMD
WellMed Medical (Encounters)
CB457 WellSpan EAP
CB457
WellSpan Employee Assistance Program
35245
WellSystems, LLC
91064
Wenatchee Valley Medical Center
LMG01
West Covina Medical Group (Regal)
80942
West Suburban Health Providers
45276
West Virginia Family Health Plan
WVS01
West Virginia Senior Choice
24735
Western Growers Assurance Trust
24735
Western Growers Insurance Company
68039
Western Health Advantage
37247
Western Mutual Insurance (WMI)
DOCSO
Western Oregon Advanced Health
31048
Western Southern Financial Group
74234
Western Utilities or Local 57
90560
Westlake Financial
NMM01
White Memorial Medical Center
WVCHC
Willamette Valley Community Health CCO
93050
William C. Earhart Company
98010
William J Sutton & Co. Ltd (Toronto)
WHLTH Willow Health
41095 Wilson-McShane
48603
Wilson-McShane: International Brotherhood of Boilermakers
27327
WINhealth Partners
20452
Winston Hospitality
WPS01
Wisconsin Assigned Risk Plan (HIRSP)
WPS01
Wisconsin Physicians Service (WPS) Commercial
13413
Women’s Integrated Network (WIN Health)
20333
Worksite Benefit Services, LLC
91131 WPAS (FCHN)
34080
WPPN- HPO (HealthEOS)
ARISE
WPS Arise (Prevea)
WPS01
WPS Health Insurance
BC001
Writer’s Guild Industry Health Plan
91131
WSHIP – Washington State Health Insurance Pool
27327
Wyoming Health Solutions
PDT01
Ximed Medical Group
YAMHL Yamhill CCO
51350
Yerington Paiute Tribe
15003
YourCare Health Plan
91131 Zenith (FCHN)
ZOOM1 ZoomCare
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