active payor list: august, 2016 - healthsmart · active payor list: august, 2016 active payor list...

Active Payor List: August, 2016

Active Payor List

Payor ID Payor Name Payor Type Transaction Type13162 1199 Local Benefit Fund Participating Payor Professional Institutional

20413 3P Administrators Participating Plus Payor Professional Institutional Dental

93044 A & I Benefit Plan Administrators Non-Participating Payor Professional Institutional

E3510 ABMA Medical Corp Participating Payor Professional Institutional

87066 ACMG Non-Participating Payor Professional Institutional

72467 ACS Benefit Services, Inc. Non-Participating Payor Professional Institutional Dental

12K22 ACS Inc. Non-Participating Payor Institutional

38254 Activa Benefit Services, LLC Participating Plus Payor Professional Institutional Dental

22384 Administrative Concepts, Inc. Non-Participating Payor Professional Institutional

25152 Advantra Freedom Non-Participating Payor Professional Institutional

25126 Advantra/Hlth America IncHealth Non-Participating Payor Professional Institutional

65093 Advocate Health Partners (PHO's) Participating Plus Payor Professional Institutional

60054 AETNA Participating Payor Professional Institutional

57604 Aetna Affordable Health Choices Participating Payor Professional Institutional Dental

23228 Aetna Better Health - PA Medicaid Participating Payor Professional Institutional Dental

26337 Aetna IL Medicaid Non-Participating Payor Professional Institutional

38692 Aetna TX Medicaid & CHIP Participating Payor Professional Institutional Dental

13334 Affinity Health Plan Non-Participating Payor Professional Institutional

13333 Affinity Health Plan - Medicare Non-Participating Payor Professional Institutional

95426 Affordable Benefit Administrators Participating Payor Professional Institutional Dental

64158 Agency Services Non-Participating Payor Institutional

MC018 Alabama Medicaid Non-Participating Payor Professional

06311 Alabama Medical Surgical Associates Non-Participating Payor Professional

AKBLU Alaska BCBS (Premera) Direct Government Professional

91136 Alaska Children's Services, Inc. Participating Payor Professional Institutional

92600 Alaska Electrical Health & Welfare Non-Participating Payor Professional Institutional Dental

AKCAD Alaska Medicaid (ACS/Xerox) Direct Government Professional

AKCRA Alaska Medicare A / Noridian Direct Government Institutional

AKCRE Alaska Medicare B / Noridian Direct Government Professional

81040 Allegiance Benefit Plan Management Non-Participating Payor Professional Institutional

ADSL1 ALLIANCE ALPHA CARE GOLD Non-Participating Payor Professional Institutional

58234 Alliant Health Plans of Georgia Non-Participating Payor Professional Institutional

50749 Allianz Global Assistance Non-Participating Payor Professional Institutional

37308 Allied Benefit Systems Non-Participating Payor Professional Institutional

ALLSTATE Allstate Insurance Company Non-Participating Payor Professional Institutional

25149 ALTIUS Non-Participating Payor Professional Institutional

TH071 AMA Insurance Agency Non-Participating Payor Professional Institutional Dental

13550 Amalgamated Life Ins, (Care) Participating Payor Professional Institutional

62176 AMCO Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type75137 AmeriBen Solutions, Inc. Participating Payor Professional Institutional

41178 America's PPO/TPA Non-Participating Payor Professional Institutional Dental

26375 Americaid Dallas/Ft. Worth Participating Payor Professional Institutional

63103 American Behavioral Non-Participating Payor Professional Institutional

34187 American Benefit Management (North) Participating Payor Professional Institutional

41160 American Chiropract Ntwrk IPA N Y Non-Participating Payor Professional Institutional

41161 American Chiroprctc Ntwrk (ACN) Participating Payor Professional

60305 American Community Mutual Insurance Non-Participating Payor Professional Institutional

IP080 American Family Health Providers Participating Payor Professional

AMF11 American Family Insurance Company Non-Participating Payor Professional Institutional

56071 American Family Medicare via AMREP Participating Payor Professional Institutional

62030 American General Non-Participating Payor Institutional

36369 American Imaging Management, Inc. Non-Participating Payor Professional Institutional

72099 American LIFECARE Participating Payor Professional Institutional

81400 American Medical Security Non-Participating Payor Professional Institutional

AMS001 American Medical Security / HSPC Participating Plus Payor Professional Institutional

AMNT3 American National - MedCost Participating Plus Payor Professional Institutional

AMNT4 American National - Midlands Choice Participating Plus Payor Professional Institutional

ANICO7 American National - NAIC (Emdeon) Participating Payor Professional Institutional

AMNT1 American National HSPC Direct Payor Professional Institutional

AMNT2 American National MCC Participating Plus Payor Professional Institutional

44444 American Postal Workers Union Participating Payor Professional Institutional

42011 American Republic Insurance Co. Participating Payor Professional Institutional

ASH01 American Specialty Health, Inc. Non-Participating Payor Professional

100767 Americas Choice/EBA Participating Payor Professional Institutional

28804 Amerigroup Dallas/Ft. Worth Participating Payor Professional Institutional

28809 Amerigroup Florida Participating Payor Professional Institutional

28805 Amerigroup Houston Participating Payor Professional Institutional

28808 Amerigroup Illinois Participating Payor Professional Institutional

28807 Amerigroup Maryland Participating Payor Professional

28806 Amerigroup New Jersey Participating Payor Professional

23252 AmeriHealth Administrators Direct Government Professional

23037 AmeriHealth HMO NJ and DE Direct Government Professional

22248 AmeriHealth Mercy Health Plan Participating Payor Professional Institutional

AHPDE AmeriHealth PPO DE Direct Government Professional

AHPNJ AmeriHealth PPO NJ Direct Government Professional

27357 Amerihealth-formerly LaCare Non-Participating Payor Professional

53085 Anchor Benefit Consulting, Inc. Participating Plus Payor Professional Institutional Dental

34196 Apex Benefit Services Non-Participating Payor Professional Institutional

77045 Arcadian Management Services, Inc. Non-Participating Payor Professional Institutional

AZBLS Arizona BCBS Indirect Government Professional Institutional

Payor ID Payor Name Payor Type Transaction TypeAZFMC1 Arizona Foundation for Medical Care Participating Payor Professional Institutional

AZCRA Arizona Medicare A / Noridian Direct Government Institutional

AZCRE Arizona Medicare B / Noridian Direct Government Professional

03432 Arizona Physicians IPA /Americhoice Non-Participating Payor Professional

27154 Arizona Priority Care Plus Non-Participating Payor Professional Institutional

ARBLU Arkansas BCBS Direct Government Professional Institutional

75278 Arkansas Best Corporation Participating Payor Professional Institutional

MC029 Arkansas Medicaid Indirect Government Professional

ARCRE Arkansas Medicare B (Novitas) Direct Government Professional

06603 ASAGEHA Non-Participating Payor Professional Institutional

ASRM1 ASRM CORP. Non-Participating Payor Professional

36326 Associates for Health Care, Inc. Participating Payor Professional Institutional

37313 Assurance Health Self Funded Participating Payor Professional Institutional Dental

75068 Assurant Health Self Funded Non-Participating Payor Professional Institutional

ABA001 Assured Benefits Administrators Participating Plus Payor Professional Institutional Dental

93221 Asuris NW Health Participating Payor Professional

95691 Athens Area Health Plan Select Non-Participating Payor Professional Institutional

ATLAD Atlas Adminstrators Participating Payor Professional Institutional

ABS11 Automated Benefit Services Non-Participating Payor Professional Institutional

37280 Automated Group Administration, Inc Non-Participating Payor Professional Institutional

46045 Avera Health Plans Non-Participating Payor Professional Institutional

59274 AvMed, Inc. Participating Plus Payor Professional

AZLUT AZ Lutheran PHO/Banner Hlth Sys Participating Payor Professional

31478 BCBS Kansas Freedom Networks Non-Participating Payor Professional Institutional

66001 BCBSTX STAR and CHIP Medicaid Non-Participating Payor Professional Institutional

43324 Beacon Health Strategies Non-Participating Payor Professional Institutional

95377 Beech Street Corporation Participating Payor Professional Institutional

68241 Bell Atlantic Non-Participating Payor Professional

36149 Benefit Administrative Systems Participating Payor Professional Institutional Dental

BMATP BENEFIT MANAGEMENT ADMIN (BMA) Non-Participating Payor Professional Institutional

00999 Benefit Management Services, Inc. Non-Participating Payor Professional

BMS Benefit Management Systems/Repriced Participating Payor Professional Institutional Dental

BMIKS Benefit Management, Inc. (KS) Direct Payor Professional Institutional

37118 Benefit Plan Administrators Roanoke Non-Participating Payor Professional Institutional

42148 Benefits, INC. Participating Plus Payor Professional Institutional Dental

95604 Best Life & Hlth Ins Comp. Participating Payor Professional Institutional

62183 Better Health Plans, Inc. Participating Payor Professional Institutional

95610 Blue Care Network (through MI BCBS) Non-Participating Payor Professional Institutional

00804 Blue Choice - NY Non-Participating Payor Professional Institutional

56152 Blue Medicare HMO/PPO Non-Participating Payor Professional Institutional

BS086 Blue Shield - New York-Northeastern Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction TypeBS088 Blue Shield - Utah Indirect Government Professional Institutional

BS188 Blue Shield - Utah Federal Claims Non-Participating Payor Professional Institutional

HM007 Blue Shield HMO - HMO Indirect Government Professional

BS056 Blue Shield of South Dakota Indirect Government Professional Institutional

61124 Bluegrass Family Services Participating Payor Professional Institutional

13337 BMC Health Plan Non-Participating Payor Professional Institutional

BOONDALDEN Boon Chapman (Dallas Dental) Non-Participating Payor Dental

BOONATT Boon Chapman Att Scan Participating Payor Professional Institutional

BOON Boon Chapman Scan Non-Participating Payor Professional Institutional Dental

74238 Boon-Chapman Benefit Administrators Participating Plus Payor Professional Institutional Dental

52192 Bravo Health: Formerly Elder Health Non-Participating Payor Professional Institutional

BRIDG BRIDGESPAN Participating Payor Professional Institutional

51037 Brokerage Concepts, Inc Participating Plus Payor Professional Institutional

94316 Brown & Toland Medical Group Participating Payor Professional Institutional

50240 Buenaventura Medical Group, Inc. Non-Participating Payor Professional

42150 Butler Benefit Service, Inc. Participating Plus Payor Professional Institutional Dental

CLFR2 C.L. Frates and Co. Participating Plus Payor Professional Institutional

CLFR1 C.L. Frates/HSPC Direct Payor Professional Institutional

68047 CA Health and Wellness Non-Participating Payor Professional Institutional

59129 CAC Ramsey Participating Payor Institutional

HM006 California BC (California Care HMO) Participating Payor Professional

CABL2 California BC (ERA) Indirect Government Professional Institutional

CABS1 California BS Direct Government Professional

IP059 California Cre Humboldt Del Norte Participating Payor Professional

CACRE California Medicare B-Northern Indirect Government Professional

CACR3 California Medicare B-Southern Indirect Government Professional

SX065 Capital District Physicians Health Non-Participating Payor Professional Institutional

68011 Capitol Administrators Participating Payor Professional Institutional

CAPHP Caprock HealthPlans, Inc Participating Payor Professional Institutional

57116 Care 1st Health Plan of Arizona Non-Participating Payor Professional

57115 Care 1st Health Plan of CA Non-Participating Payor Professional Institutional

77082 Care Improvement Plus Non-Participating Payor Professional Institutional

43172 Care Partners Non-Participating Payor Professional Institutional

11345 CareCentrix Non-Participating Payor Professional

SB690 CareFirst BCBS - Maryland Region Indirect Government Professional Institutional

SB580 CareFirst BCBS DC,Nat Capital Area Indirect Government Professional Institutional

31114 CareSource Participating Payor Professional Institutional

62073 Cariten Healthcare Participating Payor Professional Institutional

62072 Cariten Senior Health Non-Participating Payor Professional Institutional

57105 Carolina Care Plan Participating Payor Professional Institutional

25125 Carptener Hlth&Wlfr Fund,StLuis Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction TypeCBSA CBSA/Repriced Participating Payor Professional Institutional Dental

33005 CCN Managed Care, Inc. Participating Payor Professional Institutional

88022 CDS Group Health Participating Payor Professional Institutional

95166 CedarsSinai Med Ntwrk Services Non-Participating Payor Professional

CELTC Celtic Individual Health Participating Plus Payor Professional Institutional

68068 Cenpatico - Behavioral Non-Participating Payor Professional Institutional

68061 Cenpatico Massachusetts Participating Payor Professional Institutional Dental

68069 Centene - Medical Non-Participating Payor Professional Institutional

34097 Central Reserve Life Participating Payor Professional Institutional

20356 Cerner Health Participating Payor Professional Institutional

CHTRN Champus/Tricare North Participating Plus Payor Professional

CHTRS Champus/TriCare South - Palmetto Participating Plus Payor Professional

CHTRW Champus/Tricare West Indirect Government Professional

WB352 Chartis (AIG) Non-Participating Payor Professional Institutional

34154 Chesterfield Resources, Inc. Non-Participating Payor Professional Institutional Dental

SHPCH CHIP - Seton Health Plan Participating Plus Payor Professional Institutional

DCHCH CHIP,Driscoll Children's Hlth Pln Participating Payor Professional

UHSCH Choice One UTMB Chip Mediview Non-Participating Payor Professional Institutional

59355 Christian Care Ministries Non-Participating Payor Professional Institutional

21062 Christus Health NM HIX Non-Participating Payor Professional Institutional

62308 CIGNA Participating Payor Professional Institutional

SX071 CIGNA Behavioral Health Participating Payor Professional Institutional

86033 CIGNA HealthCare for Seniors Non-Participating Payor Professional Institutional

CIG002 CIGNA-2 Participating Payor Professional Institutional

COA01 City of Amarillo WC Non-Participating Payor Professional

COFMAZ City of Mesa Participating Payor Professional Institutional

CMSNTHN Claim Management Services/Repriced Participating Payor Professional Institutional Dental

57080 ClaimsWare, Inc. DBA ManageMed Non-Participating Payor Professional

WK016 CNA Insurance Non-Participating Payor Professional Institutional

CNICHS CNIC Health Solutions Participating Payor Professional Institutional

COBA1 COBA Medicare Direct Government Professional Institutional

COACC Colorado Access HMO Participating Payor Professional Institutional

COBLU Colorado BS Indirect Government Professional

COKSR Colorado Kaiser Permanente Participating Plus Payor Professional

MC004 Colorado Medicaid Non-Participating Payor Professional

COCR1 Colorado Medicare B (Novitas) Direct Government Professional

73143 Comm Care Managed Hlth Cre Pln,OK Participating Payor Professional Institutional

62149 Comm Hlth Ntwrk of Connecticut Non-Participating Payor Professional

95155 Comm Hlth Pln of the Rockies Participating Payor Professional

32481 Comm PremierPls Neighbrhood HthPro Non-Participating Payor Professional Institutional

77170 Common Ground Health Care Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type37237 CommonWealth Administrative Group Participating Payor Professional Institutional

CATPA CommonWealth Administrators Non-Participating Payor Professional

CCAI Community Care Alliance of Illinois Non-Participating Payor Professional Institutional

25179 Community Care Behavioral Hlth Org Non-Participating Payor Professional Institutional

23282 Community Care BHO Non-Participating Payor Professional Institutional Dental

COMMF Community First Participating Plus Payor Professional

48145 Community Health Choice Participating Plus Payor Professional

60495 COMMUNITY HEALTH PLAN INC Non-Participating Payor Professional Institutional

CHPWA COMMUNITY HEALTH PLAN OF WASHINGTON Participating Payor Professional Institutional

61733 COMMUNITY HEALTH SOLUTION Non-Participating Payor Professional Institutional

CMGWV Community Medical Group Non-Participating Payor Professional Institutional

13374 Community Premier Plus Non-Participating Payor Institutional

93101 Complementary HealthCare Plans Direct Payor Professional

59314 Comprehensive Behavioral Care Non-Participating Payor Professional Institutional

03036 Comprehensive Bnfts Admin, Inc. Participating Payor Professional Institutional

37363 Compsych Non-Participating Payor Professional Institutional

06105 ConnectiCare, Inc. Non-Participating Payor Professional Institutional

63208 Connecticut PRI Non-Participating Payor Professional Institutional

37135 Consociate Group Non-Participating Payor Professional Institutional

75284 Consolidated Associated Railroad Non-Participating Payor Professional Institutional

87843 Consolidated Health Plans MA Non-Participating Payor Professional Institutional

CNTNM Consultec - New Mexico Indirect Government Professional

37295 Consumer Health Solutions Non-Participating Payor Professional Institutional

71404 Continental General Ins. Non-Participating Payor Professional Institutional

CCHP1 Cook Childrens Health Plan Participating Payor Professional Institutional

CCHP9 Cook Childrens Star Health Plan Participating Payor Professional Institutional

35149 Cook Group Health Plan Participating Payor Professional Institutional

14829 Coordinated Benefit Plan Non-Participating Payor Professional Institutional

58231 Core Mngmnt Resources Grp, Inc Non-Participating Payor Professional

75136 Coresource Little Rock Participating Payor Professional Institutional

41045 CoreSource of AZ, MN Participating Payor Professional Institutional

35182 CoreSource of Illinois (ECAMS) Participating Payor Professional Institutional

35180 CoreSource of North Carolina Participating Payor Professional Institutional

35183 Coresource OH Non-Participating Payor Professional Institutional

35202 Cornerstone Benefits Administrators Participating Plus Payor Professional Institutional

37246 Corporate Systems Administration Participating Payor Professional Institutional

43160 Correctional Medical Services Non-Participating Payor Professional

31147 Corvel Corporation (Ohio BWC) Non-Participating Payor Professional Institutional

06541 County Care Participating Payor Professional Institutional

58102 Covenant Administrators, Inc. Non-Participating Payor Professional Institutional

CMSEB Covenant Management Sys Employ Bene Participating Payor Professional

Payor ID Payor Name Payor Type Transaction Type25127 Coventry Health Care of Georgia Non-Participating Payor Professional Institutional

25132 Coventry Health Care of Iowa, Inc. Non-Participating Payor Professional Institutional

25131 Coventry Healthcare of Indiana Non-Participating Payor Professional Institutional

25129 Coventry Hlth Cre, Carolinas,Inc. Non-Participating Payor Professional Institutional

25133 Coventry Hlth Cre, Kansas, Inc. Participating Payor Professional Institutional

25135 Coventry Hlth Cre, Louisiana, Inc. Non-Participating Payor Professional Institutional

25136 Coventry Hlth Cre, Nebraska, Inc. Non-Participating Payor Professional Institutional

00019 Cox Health Plan Participating Payor Professional Institutional

64068 Creative Medical Systems Non-Participating Payor Professional Institutional

34186 CSI NETWORK SERVICES Participating Payor Professional Institutional

88056 Cypress Benefit Administrators Non-Participating Payor Professional Institutional

DAK01 Dakota Care Non-Participating Payor Professional Institutional

DARTC DART Participating Plus Payor Professional Institutional

CB987 Dart Member Care Non-Participating Payor Professional Institutional

WIHMO Dean Health Plan Non-Participating Payor Professional Institutional

64159 DEFINITY HEALTH Participating Payor Professional Institutional

DEBLU Delaware BS Indirect Government Professional

63081 Delaware Health Plan Consortium Non-Participating Payor Professional Institutional

DECAD Delaware Medicaid-DelawareCare CHC Indirect Government Professional Institutional

DECR2 Delaware Medicare B (HGSA) Direct Government Professional

DHS01 Delta Health Systems/HSPC Participating Plus Payor Professional Institutional

HM021 Delta Hlth Sys Memorial Encounters Non-Participating Payor Professional

HM022 Delta Hlth SysGallo (Encounters) Non-Participating Payor Professional

84135 Denver Health Medical Plan Non-Participating Payor Institutional

J1438 Department Of Labor and Industries Non-Participating Payor Professional Institutional

WB104 Department Of Labor Black Lung Non-Participating Payor Professional Institutional

DNS22 Derm Ntwrk Solutions, LLC BCBS Participating Plus Payor Professional

DNS77 Derm Ntwrk Solutions, LLC Humana Participating Plus Payor Professional

SX105 Deseret Mutual Non-Participating Payor Professional

36436 Destiny Health Non-Participating Payor Professional Institutional

23706 Directors Guild of America Producer Participating Payor Professional Institutional

25160 Diversified Group Administrators Participating Payor Professional Institutional

MR030 DMERC Region A Indirect Government Professional

MR031 DMERC Region B Non-Participating Payor Professional

DMRCC DMERC Region C Direct Government Professional

DMRCD DMERC Region D Direct Government Professional

74284 Driscoll Children's Health Plan Participating Payor Professional Institutional Dental

75232 E3 Health Non-Participating Payor Professional

36434 Early Intervention Central Billing Non-Participating Payor Professional

81039 EBMS Employee Benefit Mgmt Svcs Non-Participating Payor Professional Institutional

SX182 EBMS Professional Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction TypeSX110 Educators Mutual Ins Assoc. (EMI) Non-Participating Payor Professional

EPF03 EL Paso First - CHIP Non-Participating Payor Professional

EPF08 El Paso First Group Health Non-Participating Payor Professional Institutional

31625 ElderPlan Participating Payor Professional Institutional

73288 Emphesys Participating Payor Professional Institutional

38241 Employee Benefit Concepts, Inc. Non-Participating Payor Professional Institutional

CX025 Employee Benefit Management Corp Participating Payor Professional Institutional

95288 Employee Benefits Admin & Mgmt Direct Payor Professional Institutional

EBS13 Employee Benefits Services-nonPPO Participating Payor Professional Institutional Dental

37216 Employee Bnft Srvcs, Charlotte, NC Non-Participating Payor Professional

35112 Employee Plans, LLC Participating Payor Professional Institutional

EDHEDH Employer Direct Health Participating Payor Professional Institutional

75233 Employer Health Direct Participating Payor Professional

75184 Employers Claims Adjustment Svcs Non-Participating Payor Professional Institutional

EMPHE Employers Health Insurance Participating Payor Professional

37249 Employers Life Insurance Corp. Non-Participating Payor Professional

WK083 Employers Mutual Casualty Non-Participating Payor Professional Institutional

59298 Employers Mutual, Inc. (FL) Non-Participating Payor Professional Institutional

36364 ENH Medical Group IPA Non-Participating Payor Professional Institutional Dental

36878 Entrust Participating Payor Professional Institutional

73126 Equitable Plan Services Participating Payor Professional Institutional

23250 Erin Group Administrators Participating Payor Professional Institutional

74234 ERISA Administrative Services Non-Participating Payor Professional Institutional

WK027 F.A Richard & Associates (FARA) Non-Participating Payor Professional Institutional

22254 Fallon Community Health Participating Payor Professional Institutional

45559 Fallon Total Care Non-Participating Payor Professional Institutional

85468 Family Health Network Participating Payor Professional Institutional

100035 FARA/PPO PLUS Direct Payor Professional Institutional

14140 Farm Family Life Insurance Participating Plus Payor Professional Institutional

C1025 FARMERS INSURANCE Non-Participating Payor Professional Institutional

33033 FCE Benefit Administrators Non-Participating Payor Professional Institutional

41041 Federated Mutual Insurance Participating Payor Professional Institutional

11315 Fidelis Care NY Participating Payor Professional Institutional

77054 Fidelis Secure Care Participating Payor Professional Institutional

56196 First Carolina Care Non-Participating Payor Professional Institutional

FCADM First Choice Administrators Direct Payor Professional Institutional

87043 First Health Participating Payor Professional

FHCCN1 First Health/CCN Participating Plus Payor Professional Institutional

23241 First Priority Participating Payor Professional

94999 Firstcare Participating Plus Payor Professional Institutional

FLHLT FL Health Options Non-Participating Payor Professional

Payor ID Payor Name Payor Type Transaction TypeFLENC FL Health Options Encounters Non-Participating Payor Professional

59276 Florida 1st Participating Payor Professional Institutional

FLBLU Florida BCBS Indirect Government Professional Institutional

FL001 Florida Healthcare Administrators Direct Payor Professional Institutional

59321 Florida Hospital Hlthcre Srvcs Non-Participating Payor Professional

48116 Florida Hospital Waterman Non-Participating Payor Professional

MC010 Florida Medicaid Indirect Government Professional Institutional

FLCRE Florida Medicare Indirect Government Professional

48117 FMH Benefit Services, Inc. Non-Participating Payor Professional Institutional

BOONG Foundation Benefits Administrator Participating Payor Professional Institutional Dental

FH001 Foundation Health Participating Payor Professional

FHFLE Foundation Hlth, Florida Encounters Indirect Government Professional

64069 Fox-Everett, Inc Non-Participating Payor Professional Institutional

41212 Freedom Health Plan Non-Participating Payor Professional Institutional Dental

62324 Freedom Life Insurance Co Non-Participating Payor Professional

59204 Fringe Benefit Coordinators, Inc. Participating Plus Payor Professional Institutional Dental

75238 G.E. Group Administrators Participating Payor Professional Institutional

WK020 Gallagher Bassett Non-Participating Payor Professional Institutional

37283 Gallagher Benefit Administrators Participating Plus Payor Professional Institutional Dental

25169 Gateway Health Plan Participating Payor Professional Institutional

60550 Gateway Health Plan - Medicare Assu Participating Payor Professional Institutional Dental

WCG01 Geico Insurance Non-Participating Payor Professional Institutional

75273 Geisinger Health Plan Participating Payor Professional Institutional

63665 Gencare Health (St. Louis) Non-Participating Payor Professional Institutional

WP957 General Casualty (Eden Prairie) Non-Participating Payor Professional Institutional

GABL1 Georgia BCBS Direct Government Professional

GACAD Georgia Medicaid - HP Direct Government Professional

GACRE Georgia Medicare B Direct Government Professional

13551 GHI - New York (Group Health Inc) Non-Participating Payor Professional Institutional

25531 GHI HMO Participating Payor Professional Institutional

07205 Gilsbar, Inc. Non-Participating Payor Professional Institutional

GHOKC Global Health Non-Participating Payor Professional Institutional

47083 GMS - Cypress Participating Plus Payor Professional Institutional

37602 Golden Rule Participating Payor Professional Institutional

GTPA1 Golden Triangle Physicians Alliance Non-Participating Payor Professional

IP086 Good Samaritan Med Prac AsscGSMPA Non-Participating Payor Professional

44054 Government Employees Hosp AssocGEHA Participating Payor Professional Institutional

45275 Govnmnt Employees Health Assoc-GEHA Participating Payor Professional Institutional

37234 Grant Phys Practice Assoc Non-Participating Payor Professional Institutional

80705 Great West Non-Participating Payor Professional Institutional

95379 GreatWest Hlthcre One Hlth PlnCA, Participating Plus Payor Professional

Payor ID Payor Name Payor Type Transaction Type36338 Group Administrators, Ltd. Non-Participating Payor Professional Institutional

48143 Group and Pension Administrators Participating Payor Professional Institutional

39167 Group Health Coop - Madison, WI Non-Participating Payor Professional Institutional

37276 Group Insurance Service Center, Inc Participating Payor Professional Institutional

64246 Guardian Life Ins Co of America Non-Participating Payor Professional Institutional

39180 Gundersen Lutheran Health Plan Inc Non-Participating Payor Professional Institutional

37114 H.E.R.E.I.U. Welfare Pension Funds Non-Participating Payor Professional Institutional

43313 Harken Health Insurance Participating Payor Professional Institutional

36406 HARMONY HEALTH PLAN OF ILLINOIS Non-Participating Payor Institutional

75196 Harrington Benefit Srvcs (Centra) Participating Payor Professional Institutional

59142 Harrington Benefit Srvcs (Oklahoma) Participating Payor Professional

59143 Harrington Health Non_EPO Non-Participating Payor Professional Institutional

62061 Harrington Health-Kansas (Fiserv) Non-Participating Payor Professional Institutional

04271 Harvard Pilgrim Health Care Non-Participating Payor Professional Institutional

48330 Hawaii Management Alliance Participating Payor Professional Institutional

HCCMI HCC LIFE INSURANCE Non-Participating Payor Professional

37111 HCH Administration (Illinois) Non-Participating Payor Professional Institutional

HCH HCH Administration/HSPC Direct Payor Professional Institutional

82018 HCS HEALTH CLAIMS SERVICE (BOISE ID Non-Participating Payor Institutional

HDMCO HDM Benefit Solutions Non-Participating Payor Professional Institutional

34185 Health Administration Service, Inc Participating Payor Professional Institutional

77950 Health Alliance Medical Plans Inc Non-Participating Payor Professional Institutional

37263 Health Connecticut Non-Participating Payor Professional

HCSOL Health Cost Solutions Direct Payor Professional Institutional

34158 Health Designs Plus (Hudson, OH) Participating Payor Professional Institutional

95019 Health First Health Plan Non-Participating Payor Professional

75318 Health Management Concepts Non-Participating Payor Professional Institutional

62295 Health Market Care Assured Participating Payor Professional Institutional

HM001 Health Net (Encounters Only) Participating Payor Professional

38309 Health Net - Arizona Participating Payor Professional Institutional

95567 Health Net - California and Oregon Participating Payor Professional Institutional

06108 Health Net of the Northeast, Inc Participating Payor Professional Institutional

95570 Health Net,CA Professions Encounte Participating Payor Professional

04286 Health New England Non-Participating Payor Professional Institutional

62157 Health Partners - Jackson, TN Participating Payor Professional Institutional

CX009 Health Partners of Minnesota Non-Participating Payor Professional Institutional

HPPA2 Health Partners, PA Participating Payor Professional Institutional

68035 Health Plan of San Joaquin Participating Payor Professional

HPSM1 Health Plan of San Mateo Non-Participating Payor Professional

59256 Health Plan S/E (Tallahassee, FL) Participating Payor Professional

44273 Health Plans Inc Non-Participating Payor Professional

Payor ID Payor Name Payor Type Transaction Type11324 Health Plus PHSP Participating Payor Professional Institutional

HSM01 Health Services Management Non-Participating Payor Professional Institutional

HT001 Health Spring Participating Payor Professional

34167 Health Srv Pref. (HSP) Emerald Hlth Participating Payor Professional Institutional

34654 Health/WelfareFund/Plmbrs/Ppeftrslc Non-Participating Payor Professional

73147 HealthCare Solutions Group Participating Plus Payor Professional Institutional

25143 Healthcare USA Non-Participating Payor Professional Institutional

62179 Healthchoice of Arizona Non-Participating Payor Professional

62168 HealthChoice of Memphis Non-Participating Payor Professional

HCOMP HealthComp, Inc. Participating Plus Payor Professional Institutional

75289 HealthFirst Austin Participating Payor Professional Institutional

75234 Healthfirst Tyler, TX Participating Payor Professional Institutional

80141 Healthfirst, Inc. (NY) Non-Participating Payor Professional Institutional

23226 HealthGuard of Lancaster Non-Participating Payor Professional Institutional

59087 HealthHelp Network, Inc. (HHNI) Non-Participating Payor Professional Institutional

96475 Healthlink HMO Participating Payor Professional Institutional

07003 HEALTHPARTNERS Participating Payor Professional Institutional

94267 Healthpartners Non-Participating Payor Professional

95009 HealthPlus of Louisiana Non-Participating Payor Professional Institutional

38216 HealthPlus of Michigan Non-Participating Payor Professional Institutional Dental

31106 HealthPower HMO Participating Payor Professional

HSCOP1 HealthScope Benefits/BCBS Arkansas Direct Payor Professional Institutional

71063 HealthSCOPE Bnft Pln, PCP Only Participating Payor Professional Institutional

34181 Healthsmart Avon Lake - Emdeon Participating Payor Professional Institutional

37212 HealthSmart BMS Participating Plus Payor Professional Institutional Dental

34145 Healthsmart Fairlawn - Direct Participating Plus Payor Professional Institutional Dental

59069 HealthSmart Medsave Participating Payor Professional Institutional Dental

87815 HealthSmart Multiclaim Participating Payor Professional Institutional Dental

AC001 HealthSmart Multiclaim - Cigna Alli Participating Payor Professional Institutional

GBAQL HealthSmart Qiclink-P1 Participating Plus Payor Professional Institutional Dental

GBAPR HealthSmart Qiclink-P1 (Print) Participating Plus Payor Professional Institutional Dental

GBASCAN HealthSmart Qiclink-P1 (Scan) Direct Payor Professional Institutional Dental

GBASCANATA HealthSmart Qiclink-P1 (ScanATT) Direct Payor Professional Institutional Dental

GBANPR HealthSmart Qiclink-P1 (ScanNPR) Direct Payor Professional Institutional

GBA4 HealthSmart Qiclink-P1 (ScanNPRATT) Direct Payor Professional Institutional

68195 Healthsource Provident (Cigna) Non-Participating Payor Professional Institutional

25193 HealthSpring HMO Participating Payor Professional Institutional

RENGQ Healthspring Renaissance IPA Participating Plus Payor Professional

HLTHQ Healthy Equations Non-Participating Payor Professional

91051 Healthy Options (DSHS) Participating Plus Payor Professional

59230 Heritage Consultants Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type11328 Heritage New York Medical Group Non-Participating Payor Professional Institutional

36335 HFN, Inc. Non-Participating Payor Professional Institutional

HERZ0 High Desert Medical Group Non-Participating Payor Professional

15460 Highmark Senior Health Direct Government Professional

HIL01 Hill Physicians Medical Group Participating Payor Professional Institutional

37115 Hinsdale Physicians Health Non-Participating Payor Professional Institutional

55247 HIPHealth Ins Pln of Greater Nw Yrk Non-Participating Payor Professional Institutional

34193 HlthCre Pyr's Coalition Toledo, OH Participating Payor Professional

HMA01 HMA - Health Management Admin Non-Participating Payor Professional Institutional

86066 HMA Inc Non-Participating Payor Professional

HM033 HMO Blue - MediCaid Non-Participating Payor Professional

88023 Hometown Health Plan Nevada Participating Payor Professional Institutional Dental

HMLIC Horace Mann Life Insurance Company Participating Plus Payor Professional Institutional

22326 Horizon Mercy Non-Participating Payor Professional Institutional

HPN11 HPN Non-Participating Payor Professional

41170 HRM Claim Management/HRM Participating Payor Professional

55905 HSI Health Plans, Inc Non-Participating Payor Professional

13335 Hudson Health Plan Non-Participating Payor Professional Institutional

61102 Humana (Encounters) Participating Payor Professional Institutional

95348 Humana Health Plan of Ohio Participating Payor Professional Institutional

61101 Humana Inc Participating Payor Professional Institutional

37260 Hunt Insurance Group Non-Participating Payor Professional Institutional

41600 I'Mcare Non-Participating Payor Professional Institutional

37296 ICM Participating Payor Professional Institutional Dental

IDCRA Idaho Medicare A / Noridian Direct Government Institutional

IDBC Idaho BC Indirect Government Professional

IDBS Idaho BS (Regence) Indirect Government Professional

IDCAD Idaho Medicaid Indirect Government Professional

IDCRE Idaho Medicare Indirect Government Professional

39017 IE Shaffer Non-Participating Payor Professional

39015 IL Central Hospital Non-Participating Payor Professional

68066 Illinicare Group Health Participating Payor Professional Institutional

ILBLU Illinois BCBS Indirect Government Professional

86069 Illinois Health Solutions Non-Participating Payor Professional

ILCAD Illinois Medicaid Indirect Government Professional

06102 Illinois Medicare Indirect Government Professional Institutional

72091 IMA of Louisiana, Inc. Participating Payor Professional Institutional

86070 IMX EZ Non-Participating Payor Professional

40585 Indecs Participating Payor Professional Institutional

TA720 Independence Administrators Non-Participating Payor Professional Institutional

SX073 Independent Health Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction TypeINBLU Indiana BCBS - Anthem Direct Government Professional Institutional

35204 Indiana Health Network Non-Participating Payor Professional Institutional

MR041 Indiana Medicare Non-Participating Payor Professional Institutional

35161 Indiana ProHealth Network Non-Participating Payor Professional Institutional

43471 INETICO, INC. Non-Participating Payor Professional Institutional

50496 Informed UHC Participating Payor Professional Institutional

52196 Informed, LLC Participating Payor Professional Institutional

93112 Inpronet, Portland, OR Non-Participating Payor Professional

VAICE INS Health Services Non-Participating Payor Professional Institutional

IAC01 Insur. Admin. Corp. of AZ (IAC) Participating Payor Professional Institutional

37279 Insurance Admin of AmericaIncIAA Participating Payor Professional Institutional

63082 Insurance Clms Srvcs,Inc.Birmingha Non-Participating Payor Professional

13315 Insurance Design Administrators Participating Payor Professional Institutional

IMSMS Insurance Management Services of TX Participating Payor Professional Institutional

15688 Insurance Mgmt Svcs (Amarillo,TX) Non-Participating Payor Professional Institutional Dental

ISL11 Insurance Services of Lubbock Participating Plus Payor Professional Institutional

74385 Insurance Systems Inc (Dental) Participating Plus Payor Dental

39182 Insurance TPA Non-Participating Payor Professional Institutional

86304 Insurers Administrative Corp Non-Participating Payor Professional Institutional

INTEGRA Integra Benefit Participating Payor Professional Institutional Dental

31127 Integra Group Participating Payor Professional Institutional

31129 Integra Group-CHA Non-Participating Payor Professional Institutional Dental

INET1 Integranet Participating Plus Payor Professional Institutional

37124 Integrated Benefit Services, IL Non-Participating Payor Professional Institutional

68053 Integrated Mental Health Services Non-Participating Payor Professional Institutional

INTATT Integrity Administrators INTATT Participating Payor Professional Institutional Dental

56132 Interactive Medical Systems Non-Participating Payor Professional Institutional

37227 InterCare Health Plans, Inc. Participating Payor Professional Institutional

60280 Interface EAP Participating Plus Payor Professional Institutional

23287 Intergroup Service Corporation Participating Payor Professional Institutional

IMGIN International Medical Group Non-Participating Payor Professional

20435 Intgritas Benefit Group Participating Payor Professional Institutional

37241 Intrntnal Union Oper EngineersLcl4 Participating Payor Professional

36609 Intrntnl Brtherhood Boilermakers Participating Payor Professional Institutional

37269 Intrntnl Union Oper Engineers Lcl15 Participating Payor Professional Institutional

MC026 Iowa Medicaid Non-Participating Payor Professional Institutional

DALGEN Jefferson Life Insurance/Scan Direct Payor Professional

JFM11 JF Molloy Participating Payor Professional

41099 John Alden Life Insurance Company Participating Plus Payor Professional Institutional

95378 John Deere Health Care Participating Payor Professional Institutional

38310 JOHN MORRELL COMPANY CO-AHPBA Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type68036 John Muir Health Network Participating Payor Professional Institutional

37215 John P Pearl and Associates Non-Participating Payor Professional Institutional

52123 Johns Hopkins Healthcare Non-Participating Payor Professional Institutional

52189 Johns Hopkins Healthcare (EHP/PP) Participating Payor Professional Institutional

43178 Joplin Claims Participating Payor Professional Institutional

34136 JP Farley Corporation Participating Payor Professional Institutional

JSL001 JSL Administrators Participating Payor Professional Institutional

52095 Kaiser Fndation Hlth Plan MidAtl St Participating Payor Professional Institutional

21313 Kaiser Foundation Health Plan of GA Participating Payor Professional Institutional

94134 Kaiser Foundation Hlth Pln S/CAReg Participating Payor Professional Institutional

HM044 Kaiser Permanente (CO Encntrs) Participating Payor Professional

94135 Kaiser Permanente (N CA) Participating Payor Professional

KS001 Kaiser Permanente (S CA) Participating Payor Professional Institutional

93079 Kaiser Permanente Northwest Participating Payor Professional Institutional Dental

57038 Kanawha HealthCare Solutions, Inc Participating Payor Professional Institutional

BS023 Kansas BCBS Indirect Government Professional

25144 Kansas City Advantra Non-Participating Payor Professional Institutional

BS024 Kansas City Blue Shield Indirect Government Professional Institutional

44030 Kansas City Life Insurance Co Participating Payor Professional Institutional

KSCAD Kansas Medicaid Indirect Government Professional Institutional

KAP01 Kapiolani Health Commercial Participating Payor Professional

KELSE Kelse Participating Plus Payor Professional

73100 Kempton Company Non-Participating Payor Professional Institutional

CCNKEMPTON Kempton Company/CCN Direct Payor Professional Institutional

KTBCBS Kentucky BCBS - Anthem Direct Government Professional Institutional

63077 Kentucky Health Select Non-Participating Payor Professional Institutional

KYCAD Kentucky Medicaid Indirect Government Professional Institutional

KYCRE Kentucky Medicare Indirect Government Professional

37217 Key Benefit Administrators Non-Participating Payor Professional Institutional Dental

IP082 Key Medical Group Non-Participating Payor Professional

KEYPARTNER Key Partners/Repriced Non-Participating Payor Professional Institutional Dental

37323 Key Solutions Participating Payor Professional Institutional

23284 Keystone Mercy Health Plan Non-Participating Payor Professional Institutional

KPS01 Kitsap Physicians Services Participating Payor Professional Institutional

IP021 Korean American Medical Grp (Labs) Non-Participating Payor Professional

37116 Lake County/St. Therese Phys Assoc Non-Participating Payor Professional Institutional Dental

95415 Lakeside Health Services Indirect Government Professional Institutional

90096 Land of Lincoln Health Non-Participating Payor Professional Institutional

LNDMK Landmark Healthcare Participating Plus Payor Professional

35107 Lcl135 HlthBnftsFnd Indianapolis,IN Non-Participating Payor Professional Institutional

75279 Leggett and Platt Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type37316 Leon Medical Center Health Participating Payor Professional Institutional

90753 LHS/ MEDCOST SOLUTIONS LLC Non-Participating Payor Professional Institutional

WZ635 Liberty Mutual Insurance Co Non-Participating Payor Professional Institutional

37281 Liberty Union Life Assurance Co Non-Participating Payor Professional

LIICA Life Investors Ins Co of America Non-Participating Payor Professional

93093 LifeWise Healthplan of Oregon Non-Participating Payor Professional

75283 Linn County Participating Payor Professional

45289 Lone Star TPA Non-Participating Payor Professional Institutional

23223 Loomis Non-Participating Payor Professional Institutional

LABLU Louisiana BS Indirect Government Professional

28680 LOUISIANA HEALTH COOPERATIVE Participating Payor Professional Institutional

LACAD Louisiana Medicaid Indirect Government Professional Institutional

LACRE Louisiana Medicare (Novitas) Direct Government Professional

LSHP1 Lovelace Sandia Health Plans Non-Participating Payor Professional

54195 LUMENOUS Participating Payor Professional Institutional

01260 Magellan Health Services Participating Payor Professional Institutional

AXN01 Magellan Spc Hlth Cigna NY gnrlsur Non-Participating Payor Professional

11303 MagnaCare Non-Participating Payor Professional Institutional

34103 MahoningTrumbullCntyBldgTradeFund Non-Participating Payor Professional Institutional

F62413 MailHandlers Benefit Plan Participating Payor Professional Institutional

45341 Maine Community Health Options Non-Participating Payor Professional Institutional

35162 Managed Care Services Non-Participating Payor Professional Institutional

22771 Managed Health Networks Participating Payor Professional Institutional

39187 Managed Health Services Wisconsin Non-Participating Payor Professional Institutional

41159 Managed Physical Network Participating Payor Professional Institutional

41555 Manatee Srvce Cntr Bradenton, FL Non-Participating Payor Professional Institutional

75258 MAPCO, Inc Non-Participating Payor Professional Institutional

IP097 Marin IPA Participating Payor Professional

MARSHAD Marsh Advantage Direct Payor Professional Institutional

MPHC1 Martins Point Health Care Non-Participating Payor Professional

MDCAD Maryland Medicaid Indirect Government Professional

MDCR2 Maryland Medicare B (HGSA) Direct Government Professional

00247 Maryland Physician's Care Non-Participating Payor Professional Institutional

37121 Mashantucket Pequot Tribal Nation Non-Participating Payor Professional Institutional

22195 Maskin Management Corporation Participating Payor Professional

MABLU Massachusetts Blue Shield Indirect Government Professional Institutional

MMPHB Master, Mates & Pilot Plan Participating Plus Payor Professional Institutional

WK004 Matrix Non-Participating Payor Professional Institutional

41154 Mayo Management Services, Inc Participating Payor Professional Institutional

83028 MBA Benefit Administrators Non-Participating Payor Professional Institutional

56205 MBS (MedCost Benefit Services) Participating Payor Professional Institutional Dental

Payor ID Payor Name Payor Type Transaction Type02331 MCC BEHAVIORAL CARE Non-Participating Payor Professional Institutional

59331 McCreary Corporation Non-Participating Payor Professional Institutional

63719 McLaren Health Non-Participating Payor Professional Institutional

58202 MedAdmin Sltions/AdvncdDataSltions Non-Participating Payor Professional Institutional

74323 MedBen (Newark, OH) Non-Participating Payor Professional Institutional

59231 MedCom Participating Plus Payor Professional Institutional Dental

MEDC2 MedCom (Loretto) Participating Plus Payor Professional Institutional

GEO59231 Medcom (Prison) Direct Payor Professional Institutional

MEDC1 MedCom Beechstreet Participating Plus Payor Professional Institutional

MEDC4 MedCom St Joe Direct Payor Professional Institutional

56162 MedCost, Inc. Participating Payor Professional Institutional

95321 Medfocus Non-Participating Payor Professional

MC051 Medi-Cal-California Non-Participating Payor Professional Institutional

94265 Medica Participating Payor Professional Institutional

12422 Medica2 Participating Payor Professional Institutional

SKAZ0 Medicaid - Arizona Non-Participating Payor Professional Institutional

MC019 Medicaid of Mississippi Non-Participating Payor Professional Institutional

MC059 Medicaid of New Hampshire Non-Participating Payor Professional Institutional

MC036 Medicaid-Maine Non-Participating Payor Professional

MC015 Medicaid-Oregon Non-Participating Payor Professional

MC055 Medicaid-Wisconsin HIRSP Only Non-Participating Payor Professional Institutional

WK021 Medical Audit Consultants Non-Participating Payor Professional Institutional

37298 Medical Benefit Admin of Maryland Participating Payor Professional Institutional

68041 Medical Benefit Administration Participating Payor Professional

52181 Medical Development International Participating Payor Professional Institutional

58203 Medical Resource Network (MRN) Participating Payor Professional Institutional

38224 Medical Value Plan Ohio (MVP) Participating Plus Payor Professional Institutional

MR061 Medicare - Massachusetts Non-Participating Payor Professional Institutional

MR075 Medicare - Rhode Island Non-Participating Payor Professional Institutional

MR060 Medicare Of Kansas Non-Participating Payor Professional Institutional

MR050 Medicare of Mississippi Non-Participating Payor Professional Institutional

MR051 Medicare Of New Hampshire Non-Participating Payor Professional Institutional

58228 Medicare Smart Participating Payor Professional

95436 Medicare-Extra Indirect Government Professional

MR036 Medicare-Iowa Non-Participating Payor Professional Institutional

MR043 Medicare-Maine Non-Participating Payor Professional

MR092 Medicare-Nebraska Non-Participating Payor Professional Institutional

20039 Mediture Non-Participating Payor Professional Institutional

27005 Medova Healthcare Non-Participating Payor Professional

412MP MEDPARTNERS ADMIN SERVICES Non-Participating Payor Professional Institutional

62160 MedSolutions Inc Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type82160 Medspan, Inc Non-Participating Payor Professional

00243 Medstar Physician Partners Participating Payor Professional

74227 Mega Life and Health Student Ins Participating Payor Professional Institutional

TH112 Memorial Clinical Associates Non-Participating Payor Professional Institutional

MHHNP Memorial Hermann Health Network Participating Payor Professional Institutional

36193 Memphis Managed Care Participating Payor Professional Institutional

M3433 Mercy Care of Arizona Participating Payor Professional Institutional

86052 Mercy Care Plan Participating Payor Professional Institutional Dental

43166 Mercy Health Plans Participating Payor Professional Institutional

13189 Meridian Health Plan Non-Participating Payor Professional Institutional

41124 Meritain (CBSA) Participating Payor Professional Institutional

13265 Metro Plus Health Plan Non-Participating Payor Professional Institutional

10850 Metropolitan Health Plan Participating Payor Professional Institutional Dental

MWP01 Metrowest Hlth Pln-Preferred Cre Non-Participating Payor Professional Institutional

23550 MFC & HealthPlus Peoria Non-Participating Payor Professional Institutional Dental

74289 MHNET Non-Participating Payor Professional Institutional

MIBLU Michigan BCBS Indirect Government Professional Institutional

MR117 Michigan BCBS - MR Indirect Government Professional Institutional

MICAD Michigan Medicaid Indirect Government Professional Institutional

MICRE Michigan Medicare Indirect Government Professional

43132 Mid America Health Non-Participating Payor Professional Institutional

31140 Mid-Valley CareNet, Inc. Non-Participating Payor Professional Institutional

52149 MidAtlantic Psych Srvcs,Inc(MAPSI) Participating Payor Professional Institutional

47080 Midlands Choice, Inc. Participating Payor Professional

MWGB01 Midwest Group Benefits Participating Plus Payor Professional Institutional

1513I Minnesota Blue Cross Indirect Government Institutional Dental

MNBLU Minnesota Blue Shield Indirect Government Professional

MNCAD Minnesota Medicaid Indirect Government Professional Institutional

MNCRE Minnesota Medicare Indirect Government Professional Institutional

MNCRA Minnesota Medicare A / Noridian Direct Government Institutional

BS047 Mississippi Blue Shield Indirect Government Professional Institutional

37233 Mississippi Pblc Entty EmpBnft Trst Non-Participating Payor Professional Institutional

37275 Missoula Cnty Med Benefits Plan Non-Participating Payor Professional Institutional

BS062 Missouri Blue Choice Non-Participating Payor Professional Institutional

BS025 Missouri Blue Shield - Anthem Indirect Government Professional Institutional

43179 Missouri Care MC Participating Payor Professional Institutional

MOCAD Missouri Medicaid Indirect Government Professional Institutional

MR044 Missouri Medicare (Midwestern) Indirect Government Professional Institutional

MOCRE Missouri Medicare (Pinnacle) Indirect Government Professional

KCMCR Missouri Medicare B (KC) Indirect Government Professional Institutional

62178 MMS, LLC Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type38333 Molina Healthcare of California Non-Participating Payor Professional Institutional Dental

38334 Molina Healthcare of Michigan Non-Participating Payor Professional Institutional

NM505 Molina Healthcare of New Mexico Non-Participating Payor Professional

20554 Molina Healthcare of Texas Participating Payor Professional Institutional

38336 Molina Healthcare of Washington Non-Participating Payor Professional Institutional

20934 Molina Illinois Participating Payor Professional Institutional

20149 Molina of Ohio Non-Participating Payor Professional Institutional Dental

IP095 Monarch Healthcare IPA Participating Payor Professional

MTCRA Montana Medicare A / Noridian Direct Government Institutional

MTCRE Montana Medicare B / Noridian Direct Government Professional

13174 Montefiore Contract Management Org Non-Participating Payor Professional Institutional

MMLIC Monumental Life Ins Co Non-Participating Payor Professional

IP083 Mosiac IPA Medical Group Non-Participating Payor Professional

MPI01 Motion Picture Health Plan Participating Payor Professional Institutional

36111 Motorola Participating Payor Professional Institutional

MTNST Mountain States Admin Participating Plus Payor Professional

86040 Mountain States Admin (Tucson AZ) Participating Payor Professional Institutional

95444 MPLAN, Inc./HealthCare Group, LLC Non-Participating Payor Professional Institutional

20572 MSA Care Guard Non-Participating Payor Professional Institutional

95655 MT. Carmel Health Plan Non-Participating Payor Professional Institutional

81883 Municipal Health Benefit Fund Non-Participating Payor Professional Institutional Dental

37256 Mutual Assurance Administrators Participating Payor Professional Institutional

14165 MVP Health Plan Participating Payor Professional Institutional

37126 National Claim Administration, Inc. Non-Participating Payor Professional Institutional

90956 National Financial Insurance Co. Non-Participating Payor Professional

98205 National Foundation Life Ins Co Non-Participating Payor Professional

52132 National Rrl Elctrc Coop (NRECA) Non-Participating Payor Professional Institutional

NTCA1 National Telephone Cooperative Non-Participating Payor Professional Institutional

WR988 Nationwide Agribusine (Des Moines) Non-Participating Payor Professional Institutional

31417 Nationwide Health Plans Participating Payor Professional Institutional

53011 Natl Assn Letter Carriers (NALC/Aff Participating Payor Professional Institutional

75191 NCAS Charlotte Non-Participating Payor Professional Institutional

75190 NCAS Fairfax, VA Non-Participating Payor Professional Institutional

BS058 Nebraska Blue Shield Indirect Government Professional Institutional

NECAD Nebraska Medicaid Indirect Government Professional Institutional

96107 NeighborHood Hlth Part FL Participating Payor Professional Institutional

04293 Neighborhood Hlth Pln Boston, MA Participating Plus Payor Professional Institutional

66055 Netcare Life and Health Insurance Participating Payor Professional Institutional

04332 Network Health Participating Payor Professional Institutional Dental

39144 Network Health Plan of Wisconsin Non-Participating Payor Professional

BS019 Nevada BCBS Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction TypeMC008 Nevada Medicaid Indirect Government Professional Institutional

NVCR2 Nevada Medicare B (Trailblazer) Direct Government Professional

86067 NevedaCare Kids Non-Participating Payor Professional

75281 New Era Life Non-Participating Payor Professional Institutional

NHBLU New Hampshire BS Indirect Government Professional Institutional

NJBLU New Jersey BCBS (Horizon) Indirect Government Professional Institutional

NJCD1 New Jersey Medicaid Indirect Government Professional Institutional

NJCRE New Jersey Medicare B (HGSA) Direct Government Professional

NMBLU New Mexico BCBS Indirect Government Professional

NMCR1 New Mexico Medicare B (Novitas) Direct Government Professional

84141 New West Health Plan Non-Participating Payor Professional Institutional

BS063 New York Blue Shield - Central Non-Participating Payor Professional Institutional

BS087 New York Blue Shield Western Indirect Government Professional

BS061 New York BS-Rochester Indirect Government Professional Institutional

BS033 New York Empire BS Indirect Government Professional

MC066 New York Medicaid Indirect Government Professional

NYCRE New York Medicare (Empire) Indirect Government Professional

NYCR2 New York Medicare (GHI) Indirect Government Professional Institutional

MR059 New York Medicare-Upstate/Albany Indirect Government Professional Institutional

11334 New York Network Management Non-Participating Payor Professional

69821 Next Level Health Partners Participating Payor Professional Institutional

38225 NGS American Non-Participating Payor Professional Institutional Dental

88050 NHBCAUX Non-Participating Payor Professional Institutional

81264 Nippon Lfe Ins Co of America Participating Payor Professional Institutional

LS328 NM Medicaid Lovelace Sandia/Salud Non-Participating Payor Professional Institutional

64157 North American Administrators, Inc. Participating Payor Professional Institutional

34159 North American Benefits Ntwrk NABN Participating Payor Professional Institutional

36398 North American Med Mngmnt IL Non-Participating Payor Professional

NCBLU North Carolina BS Indirect Government Professional Institutional

NCCAD North Carolina Medicaid Indirect Government Professional Institutional

NCCRE North Carolina Medicare Indirect Government Professional Institutional

NDCAD North Dakota Medicaid / Noridian Direct Government Professional

NDCRA North Dakota Medicare A / Noridian Direct Government Institutional

NDCRE North Dakota Medicare B / Noridian Direct Government Professional

PH018 North West Life Non-Participating Payor Professional

88027 Northern Nevada Trust Fund Participating Payor Professional Institutional

48026 NorthShore Physician Associates Non-Participating Payor Professional Institutional

36346 Northwest Suburban IPA (Illinois) Non-Participating Payor Professional Institutional Dental

16644 Nova Healthcare Admin,Inc(GI, NY) Participating Payor Professional Institutional

71080 NovaSys Health Network Participating Payor Professional Institutional

94321 NWP Children's First Healthcare Net Participating Payor Professional

Payor ID Payor Name Payor Type Transaction TypePARHC NWP Paramount Health Care Non-Participating Payor Professional Institutional

NYHART Nyhart Participating Payor Professional Institutional

95358 Oaktree Health Plan Non-Participating Payor Professional

IP016 Oakview Med Grp,Inc Labs IPA Non-Participating Payor Professional

OCH01 OCHSNER Health Plans Non-Participating Payor Professional

13350 ODS Health Plan Participating Plus Payor Professional Institutional

72087 Office of Group Benefits Participating Payor Professional Institutional

OHBS1 Ohio BS - Anthem Direct Government Professional Institutional

34189 Ohio Health Choice, PPO Participating Payor Professional Institutional

OHCAD Ohio Medicaid Indirect Government Professional Institutional

OHCRE Ohio Medicare B Indirect Government Professional

OKBLU Oklahoma BCBS Indirect Government Professional Institutional

OKCAD Oklahoma Medicaid Indirect Government Professional Institutional

OKCR2 Oklahoma Medicare A (Novitas) Direct Government Institutional

OKCR1 Oklahoma Medicare B (Novitas) Direct Government Professional

68037 OMNI/Medicore HP Non-Participating Payor Professional Institutional

25150 Omnicare Coventry Non-Participating Payor Professional Institutional

IP088 Omnicare Medical Group (Omni) Participating Payor Professional

22321 One Call Medical Participating Payor Professional Institutional

95412 One Health Plan of Colorado, Inc Participating Plus Payor Professional

911336 Operating Engineers Locals 302 & 61 Participating Payor Professional Institutional Dental

06163 OptiCare Eye Health Non-Participating Payor Professional

56190 OptiCare Eye Health Network Participating Payor Professional

54154 Optima Health Insurance Co. Non-Participating Payor Professional Institutional

20133 Optimum Healthcare, Inc Participating Payor Professional Institutional Dental

ORBLU Oregon BCBS Indirect Government Professional Institutional

ORCRA Oregon Medicare A / Noridian Direct Government Institutional

ORCRE Oregon Medicare B / Noridian Direct Government Professional

13381 Orthonet Corporation Non-Participating Payor Professional

13382 Orthonet-Uniformed Services Family Participating Payor Professional

ORT33 Orthopedix Network INC Humana Participating Plus Payor Professional

OSCAR Oscar Health Insurance Participating Payor Professional Institutional

HM032 Oxford Participating Payor Professional

06111 Oxford Health Plans Participating Payor Professional Institutional

87068 P5 Health Plan Solutions of Utah Participating Payor Professional Institutional Dental

95964 Pacific Care Arizona Participating Payor Professional Institutional

HM012 PacifiCare Participating Payor Professional

95959 Pacificare - Secure Horizon CA Participating Payor Professional Institutional

33053 PacifiCare Behavioral Health Inc Participating Payor Professional Institutional

77042 PacifiCare Oregon/Meridian HlthCreM Participating Plus Payor Professional Institutional

95999 Pacificare PPO Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type93029 PacificSource Health Plans Participating Payor Professional Institutional

IP132 Palo Alto Medical Foundation Participating Payor Professional Institutional

04218 Pan American Life Insurance Grp Participating Payor Professional Institutional

PAPER Paper Vendor Participating Payor Professional Institutional

66917 Parkland Community Health Plan Participating Payor Professional Institutional

14966 Partners Health Plan - New York Participating Payor Professional Institutional

PHP02 Partnership Health Plan Non-Participating Payor Professional

SX154 Passport Advantage Non-Participating Payor Professional Institutional

61129 Passport Health Plan Non-Participating Payor Professional Institutional

27048 Payer Fusion Non-Participating Payor Professional Institutional

95885 PCA HEALTH PLANS OF TEXAS (HUMANA) Non-Participating Payor Professional Institutional

68050 PeachState Health Plan (Behavioral) Non-Participating Payor Professional Institutional

68049 PeachState Health Plan (Surgical) Participating Payor Professional Institutional

PABL1 Pennsylvania BC (Capital) Indirect Government Professional

PABL3 Pennsylvania BC (Independence) Direct Government Professional

PABL4 Pennsylvania BC (Keystone - East) Direct Government Professional

PABL2 Pennsylvania BC (Keystone) Indirect Government Professional

PABL5 Pennsylvania BS (Highmark) Direct Government Professional

PACAD Pennsylvania Medicaid Direct Government Professional

PACRE Pennsylvania Medicare B (HGSA) Direct Government Professional

25146 Personal Care Non-Participating Payor Professional Institutional

95397 Personal Insurance Administrators Non-Participating Payor Professional Institutional Dental

34173 Personal Physician Care Non-Participating Payor Professional

13306 PHCS Savility Payers Non-Participating Payor Professional Institutional

67814 Phoenix American Life (PAL) Non-Participating Payor Professional Institutional

03440 Phoenix Health Plan Non-Participating Payor Professional

37330 Phyicians Health Plan (PHP) Non-Participating Payor Professional Institutional

58204 Physician Associates of Lousianna Non-Participating Payor Professional Institutional

36345 Physicians Care Network (Rockford) Non-Participating Payor Professional Institutional Dental

65018 Physicians Corp America Florida pln Non-Participating Payor Professional

37136 Physicians Health Assoc of IL Non-Participating Payor Professional Institutional Dental

PHCS1 Physicians Health Choice - Claims Non-Participating Payor Professional Institutional

65031 Physicians Healthcare Plans, Inc Participating Payor Professional Institutional

PMGSJ Physicians Medical Grp San Jose Participating Plus Payor Professional

47027 Physicians Mutual Insurance Company Non-Participating Payor Professional Institutional

PMI Physicians Mutual/Repriced Participating Payor Professional Institutional Dental

39156 Physicians Plus Ins Corp Non-Participating Payor Professional Institutional

77008 Physicians Services, Inc Non-Participating Payor Professional

CCIA1 Pinnacle (CCIA) Participating Plus Payor Professional

24735 Pinnacle Claims Management, Inc Participating Payor Professional Institutional

73074 Pipeline Indstry Bnft Fnd Tulsa,OK Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type37224 Pittman & Associates Participating Payor Professional Institutional

37287 Planned Administrators, Inc (PAI) Participating Payor Professional Institutional

POD11 Podiatry Network Solutions Participating Plus Payor Professional

POD12 Podiatry Ntwrk Solutions FloridaLLC Participating Plus Payor Professional

16111 POMCO Non-Participating Payor Professional Institutional

73159 PPO OK,WinterBrook HlthCre Mngmnt Non-Participating Payor Professional Institutional

38335 PPOM (Southfield MI) Participating Payor Professional Institutional

72148DNU PPOPlus, LLC Non-Participating Payor Professional Institutional

PPLUTPO PPOPlus, LLC / TPO Direct Payor Professional Institutional

04334 Practicare Inc Non-Participating Payor Professional Institutional Dental

36373 Prairie States Enterprises, Inc. Non-Participating Payor Professional Institutional

EPF10 Preferred Administrators Non-Participating Payor Professional Institutional

52134 Preferred Administrators of FL Participating Payor Professional Institutional Dental

53476 Preferred Benefit Administrators Participating Plus Payor Professional Institutional

SX089 Preferred Care Non-Participating Payor Professional

65088 Preferred Care Partners Miami , FL Non-Participating Payor Professional Institutional

60110 Preferred Health Systems Ins Co Non-Participating Payor Professional Institutional

39021 Preferred Network Access Inc Participating Payor Professional

41147 Preferred One (MN) Participating Payor Professional Institutional

73145 PreferredCommChce/PCCSelect/CompMed Participating Payor Professional Institutional

00360 Premier Benefits Inc Non-Participating Payor Professional

90440 Premier Health Systems Non-Participating Payor Professional Institutional

05003 Presbyterian (NM) Non-Participating Payor Professional Institutional

PREHP Presbyterian Health Plan (Comm) Participating Payor Professional

PRESA Presbyterian Salud! Non-Participating Payor Professional Institutional

39185 Prevea Health Insurance Plan Non-Participating Payor Professional Institutional

FPRIME Primary Health Plan Participating Payor Professional

56144 Primary PhysicianCare, Inc Participating Payor Professional Institutional

11678 Prime West Non-Participating Payor Professional

33029 PrimeCare Non-Participating Payor Professional

IP079 PrimeCare Medical Network Participating Payor Professional

04320 PrimeSource Health Network Non-Participating Payor Professional Institutional

38217 Priority Health Participating Payor Professional Institutional

37315 Prism - Univera Non-Participating Payor Professional Institutional Dental

37268 Prism Health Networks Non-Participating Payor Professional Institutional

36331 Professional Benefit Adm, IL Non-Participating Payor Professional Institutional

41163 Professional Claim Administrators Non-Participating Payor Professional Institutional

37242 Professional Claims Management Non-Participating Payor Professional Institutional

WK476 Progressive Insurance Non-Participating Payor Professional Institutional

PHP01 Providence Choice Option Participating Payor Professional

WK012 Providence Property Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type51032 Provider Networks of America Participating Payor Professional Institutional

09822 PSN-Florida Medicaid Non-Participating Payor Professional Institutional Dental

51052 PSYCHCARE LLC Non-Participating Payor Professional Institutional

SX106 Public Employees Health Program Non-Participating Payor Professional Institutional

48055 Pyramid Life Insurance Non-Participating Payor Professional Institutional Dental

39197 Quad Med Non-Participating Payor Professional Institutional

35174 Qual Choice of Arkansas Participating Payor Professional Institutional

35172 Qual Choice of North Carolina Participating Payor Professional

23342 QualCare, Inc Non-Participating Payor Professional Institutional

QHP01 Quality Health Plans INC Participating Payor Professional Institutional

73067 QuikTrip Participating Payor Professional Institutional Dental

37129 Quincy Health Care Management Non-Participating Payor Professional Institutional

RRCRE Railroad Medicare (Palmetto GBA) Direct Government Professional

SB850 Regence BCBS of Oregon Non-Participating Payor Professional Dental

47076 Regional Care/repriced Non-Participating Payor Professional Institutional

REH55 Rehab Network, LLC Humana Participating Plus Payor Professional

RPN01 Rehab Provider Network Indirect Government Professional

WK008 Repubic Indemnity Company of Americ Non-Participating Payor Professional Institutional

73066 Reserve National Insurance Non-Participating Payor Professional Institutional

37277 Resurrection HlthCre Hlth Preferred Participating Payor Professional Institutional

RPPG1 Resurrection Physician Providers Gr Non-Participating Payor Professional

WK048 Return to Work (RTW) Non-Participating Payor Professional Institutional

RICRE Rhode Island Medicare (Pinnacle) Direct Government Professional

74205 Right Care from Scott & White Non-Participating Payor Professional Institutional

G84980 Rio Grande HMO Participating Payor Professional

WK105 Risk Administrators ServicesRAS Participating Payor Professional Institutional

16117 RMSCO Inc. Non-Participating Payor Professional Institutional

RMHMO Rocky Mountain HMO Participating Plus Payor Professional Institutional

36389 Rush Prudential Health Plans (HMO) Non-Participating Payor Professional Institutional

WK009 Ryder Services Inc. Non-Participating Payor Professional Institutional

31441 S & S Healthcare Strategies Participating Payor Professional Institutional

WK013 SafeCo Insurance Non-Participating Payor Professional Institutional

35164 Sagamore Health Network Participating Payor Professional Institutional

37259 SAMBA Participating Payor Professional Institutional Dental

90328 Sandia Health Plans (Commericial) Non-Participating Payor Professional Institutional

91184 Sanford Health Plan Participating Payor Professional Institutional Dental

37288 Santa Barbara Cottage Hospital Non-Participating Payor Professional Institutional

IP027 Santa Marta Med Grp (Labs) Non-Participating Payor Professional

88030 Scott & White Non-Participating Payor Professional

IC102 SD Medicaid - Institutional Indirect Government Institutional

TH611 SE Texas Gov Employees Benefit Pool Non-Participating Payor Professional Dental

Payor ID Payor Name Payor Type Transaction TypeWK014 Seabright (SBIC) Non-Participating Payor Professional Institutional

13310 Seabury & Smith Participating Payor Professional Institutional

WZ082 SECURA Insurance A Mutual Company Non-Participating Payor Professional Institutional

28530 Secure Health Plans of Georgia, LLC Participating Payor Professional Institutional

42142 SecureCare of Iowa Non-Participating Payor Professional Institutional

39045 Security Health Plan Participating Payor Professional Institutional

WB176 Sedgwick CMS Non-Participating Payor Professional Institutional

64088 Select Administrative Services Non-Participating Payor Professional Institutional

37282 Select Benefit AdministratorAmerica Participating Payor Professional Institutional

42137 Select Benefit Administrators Participating Payor Professional Institutional

23285 Select Health of South Carolina Non-Participating Payor Professional Institutional

00014 Selectcare Non-Participating Payor Professional Institutional

SX107 SelectHealth Non-Participating Payor Professional Institutional

59111 Self Insured Benefit Administrators Participating Payor Professional Institutional

36404 Self Insured Plans Non-Participating Payor Professional Institutional

34131 Self-Funded Plans Non-Participating Payor Professional Institutional

SEMTRIB Seminole Tribe Participating Payor Professional Institutional

36426 Sendero Health Plans Participating Payor Professional Institutional

83035 Senior Whole Health Non-Participating Payor Professional Institutional Dental

23249 Sentinel Management Services Non-Participating Payor Professional Institutional

WB141 Sentry Insurance A Mutual Company Non-Participating Payor Professional Institutional

SHEBP Seton Employee Plan Participating Plus Payor Professional Institutional

12T55 Seton Health Plan Non-Participating Payor Professional Institutional

SHMAP Seton Health Plan - City Map Participating Plus Payor Professional Institutional

TH079 Seton Health Plan - Exclusive Non-Participating Payor Professional Institutional Dental

STAR1 Seton Star Participating Plus Payor Professional Institutional

75280 Shasta Administrative Services Participating Payor Professional Institutional

TH115 Sheet Metal Workers - Local 91 Non-Participating Payor Professional Institutional Dental

3699 SIEBA LTD Non-Participating Payor Professional

WK011 Sierra Administrators Non-Participating Payor Professional Institutional

SIERR2 SIERRA HEALTH SERVICES (ENCOUN) Participating Payor Professional

76342 SIERRA HEALTH SERVICES (ONLY) Participating Payor Professional Institutional

62159 Signature Health Alliance Participating Payor Professional Institutional

44827 SISCO Participating Payor Professional Institutional

84096 Sloans Lake Managed Care Participating Payor Professional Institutional

02057 Smith Administrators Participating Plus Payor Professional Institutional

SMITH1 Smith Administrators - PPO Participating Plus Payor Professional Institutional

AMS01 Sooner Health Network Participating Payor Professional

91131 Sound Health First Choice Hlth Ntwk Participating Payor Professional Institutional

25147 South Care/Health Care Preferred Participating Payor Professional Institutional Dental

SCBLU South Carolina BS Indirect Government Professional Institutional

Payor ID Payor Name Payor Type Transaction TypeSCCAD South Carolina Medicaid Indirect Government Professional Institutional

MR028 South Carolina Medicare Indirect Government Professional Institutional

MC102 South Dakota Medicaid Indirect Government Professional

SDCRA South Dakota Medicare A / Noridian Direct Government Institutional

SDCRE South Dakota Medicare B / Noridian Direct Government Professional

SBSHSLI Southern Benefit Services/HSLI Non-Participating Payor Professional Institutional

100056 Southern Benefit Services/PPOPlus Non-Participating Payor Professional Institutional

25128 Southern Health Services, Inc Non-Participating Payor Professional Institutional

37266 Southwest Service Life Non-Participating Payor Professional Institutional

52190 Special Risk International Non-Participating Payor Professional Institutional

23253 Spectrum Administrators Participating Payor Professional Institutional Dental

84146 Spina Bifida / ChampVA Participating Payor Professional

SPOHN Spohn Network Participating Plus Payor Professional Institutional

22240 St. Barnabas System Health Plan Participating Payor Professional Institutional

37264 St. John's Claims Administration Non-Participating Payor Professional Institutional

88029 St. Mary's Health Non-Participating Payor Professional Institutional

59225 Star HRG Participating Payor Professional Institutional Dental

31059 State Farm (Casualty & Property) Non-Participating Payor Professional Institutional

31053 State Farm Grp Med & Ind Hlth Ins Participating Payor Professional Institutional Dental

57254 State of Texas Dental Plan Participating Payor Professional Institutional Dental

SWELL Staywell Participating Payor Professional

14163 Staywell Health Plan Non-Participating Payor Professional Institutional

91151 Sterling Option 1 Non-Participating Payor Professional Institutional

67829 Sterling Partners PPO Non-Participating Payor Professional Institutional

95202 SummaCare Health Plans Participating Payor Professional Institutional

37301 Summit America Insurance Services Non-Participating Payor Professional Institutional

77078 Sun Health Medisun BCBS Medicare Non-Participating Payor Professional Institutional

23218 Superior Benefits Participating Payor Professional Institutional

SHP11 Superior Health Plan Participating Payor Professional Institutional

HM056 Sutter Connect - ABMG Enc Participating Payor Professional

HM065 Sutter Connect - East Bay Med Fn. Participating Payor Professional Institutional

IP084 Sutter Connect ABMG Clm Participating Payor Professional

IP092 Sutter Connect Clm (SIP,SMG,SWMG) Participating Plus Payor Professional

HM059 Sutter Connect Enc (SIP,SMG,SWMG) Participating Payor Professional

IP099 Sutter Connect Reg Med Grp Clm Participating Payor Professional

HM062 Sutter Connect Solano Reg Med Grp E Participating Payor Professional

IP091 Sutter Connect Sutter Gould Med Clm Participating Payor Professional Institutional

88067 Tall Tree Administrators Non-Participating Payor Professional Institutional

37228 Tarrant Health Services Non-Participating Payor Professional Institutional

36215 Teamcare Participating Payor Professional

88054 TEAMSTERS (UT / ID / MT)Group Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type72126 TENET Non-Participating Payor Professional Institutional

TNBLU Tennessee BCBS Indirect Government Professional

TNCRE Tennessee Medicare (Cigna) Indirect Government Professional

TEST1 Test Partner Participating Payor Professional Institutional

TEST1566 Test Partner OGECHI 1 Participating Payor Professional Institutional

TEST1OGECHI1 Test PartnerOGECHI222_today7202016 Participating Payor Professional

TXBLU Texas BCBS Direct Government Professional Institutional

TXCSM Texas Children's Star Medicaid Non-Participating Payor Professional

76048 Texas Childrens Health Plan Participating Plus Payor Professional

45210 Texas Christus Non-Participating Payor Professional Institutional

THS01 Texas Health Spring Participating Payor Professional

TXCAD Texas Medicaid (TMHP) Direct Government Professional Institutional

TXCRA Texas Medicare A (Novitas) Direct Government Institutional

TXCRE Texas Medicare B (Novitas) Direct Government Professional

WK002 Texas Mutual Insurance Co. Non-Participating Payor Professional Institutional

EPF02 Texas Premier Plan (Medicaid ) Non-Participating Payor Professional Institutional

13185 TexasFirst Health Plan (NTX) Participating Payor Professional Institutional Dental

59140 The Mutual Group Participating Payor Professional Institutional

63092 The OATH Health Partners of AL Non-Participating Payor Professional

25175 Three Rivers Health Plan Participating Payor Professional Institutional

39065 Time Insurance Company Participating Plus Payor Professional Institutional

TLC79 TLC Benefit Solutions Participating Payor Professional

74214 TML Intergovernmental Emp Bnft Pool Participating Payor Professional Institutional

92620 Tongass Timber Trust Participating Plus Payor Professional Institutional

61425 Tooling & Manufacturing Assoc Participating Payor Professional Institutional

100013 Total Benefit Services, Inc. Direct Payor Professional Institutional

41202 Total Plan Services, Inc Non-Participating Payor Professional Institutional

37284 TransChoice-KBA Non-Participating Payor Professional Institutional

19046 Travelers Non-Participating Payor Professional Institutional

TTDIR Tricare For Life Participating Payor Professional Institutional

TH083 True Choice USA Non-Participating Payor Professional Institutional

91078 Trustee Plan Corp Non-Participating Payor Professional Institutional

04298 Tufts Health Plan Non-Participating Payor Professional

WK024 Tx Municipal Leaque Inter Risk Pool Non-Participating Payor Professional Institutional

UBHRI UBH United Behavioral Hlth Emp Div Participating Plus Payor Professional

52629 UCARE Participating Payor Professional Institutional

19991 Ucare of Minnesota Participating Payor Professional Institutional

92805 UCS MAXOR ADMINISTRATIVE SERVICES Non-Participating Payor Professional Institutional

20452 UCS WINSTON HOSPITALITY Non-Participating Payor Professional Institutional

36273 UHC Ovations Insurance (AARP) Non-Participating Payor Professional Institutional

22329 UHP of New Jersey Centene Non-Participating Payor Institutional

Payor ID Payor Name Payor Type Transaction Type75245 UICI Administrators State of Nevada Participating Payor Professional

77022 Ultimate Health Plan Non-Participating Payor Professional

41206 Ultra Benefits Inc. Non-Participating Payor Professional Institutional

75130 UMC HEALTH PLAN Non-Participating Payor Professional Institutional

11149 UMC HPO Participating Payor Professional Institutional

70011149 UMC HPO (Correctional) Participating Payor Professional Institutional

79480 UMR/TML Intergovernmental Emp Bnft Participating Payor Professional Institutional Dental

52180 UMWA Health & Retirement Funds Participating Plus Payor Professional Institutional

80314 UNICARE Participating Payor Professional Institutional

47195 UNICARE OF TEXAS Participating Payor Professional

65099 UNICARE Special Accounts Participating Payor Professional

62170 Unified Health Services Non-Participating Payor Professional Institutional

34638 Unified Physicians Network Non-Participating Payor Professional Institutional

75243 Uniform Med Pln/HarringtonBnftSrv Participating Plus Payor Professional

WB157 Unimed - America First Non-Participating Payor Professional Institutional

WB159 Unimed - City of Carrollton/TriStar Non-Participating Payor Professional Institutional

87042 Union Pacific Railroad Employees Participating Payor Professional Institutional

70408 Union Security Insurance Company Participating Plus Payor Professional Institutional

UABT1 United Agriculture Benefit Trust Non-Participating Payor Professional Institutional Dental

16412 United Behavioral Health Participating Plus Payor Professional Institutional

36659 United Food and Commercial Workers Participating Payor Professional

57011 United Government Services, LLC Non-Participating Payor Professional Institutional Dental

87726 United HealthCare Participating Payor Professional Institutional

39026 United Medical Resources Participating Payor Professional Institutional Dental

71412 United of Omaha Participating Plus Payor Professional

PRGON United Physc of N Colorado PFC-IPA Participating Plus Payor Professional

41194 United Resource Network Participating Payor Professional Institutional

13193 United Teacher Assoc Ins - Medicare Participating Payor Professional Institutional

WK015 Unitrin Business Insurance Non-Participating Payor Professional Institutional

HC001 Univera Healthcare Plans, Inc Non-Participating Payor Professional

33001 Universal Care California Participating Payor Professional Institutional

09908 Universal Family Care - Maricopa Non-Participating Payor Professional Institutional

38298 Universal Standard Healthcare, Inc. Non-Participating Payor Professional

59000 University Health Plan of N. J. Non-Participating Payor Professional Institutional

92579 University Miami Behavioral Health Non-Participating Payor Professional Institutional

23281 UPMC Health Plan (Commercial) Participating Payor Professional Institutional

38337 Upper Peninsula Health Plan Non-Participating Payor Professional Institutional

93092 US Benefits Participating Plus Payor Professional Institutional Dental

90551 US Family Health Plan (USFHP) Non-Participating Payor Professional Institutional

74095 USAA (United States Automobile Asc) Participating Payor Professional Institutional

WB221 USC - Tristar (LIMITED) Non-Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type13407 USFHP-St. Vincent Catholic Med Ctr Non-Participating Payor Professional Institutional

23217 USI Administrators Non-Participating Payor Professional Institutional

UTCAD Utah Medicaid Non-Participating Payor Professional Institutional

UTCRA Utah Medicare A / Noridian Direct Government Institutional

UTCRE Utah Medicare B Non-Participating Payor Professional

12115 VA Fee Basis Programs Participating Payor Professional Institutional

VPN01 VA Premier Non-Participating Payor Professional Institutional

82420 Valley Baptist Health Plan Participating Payor Professional Institutional

VBHP1 Valley Baptist Health Plan Participating Payor Professional

12X56 Value Options (Institutional) Non-Participating Payor Institutional

SX173 Value Options Commercial Non-Participating Payor Professional

WK019 Vanliners Insurance Company Non-Participating Payor Professional Institutional

72128 Vantage Health Plan, Inc. Non-Participating Payor Professional Institutional

55912 VAPCCC Region 3 Non-Participating Payor Professional Institutional

55915 VAPCCC Region 5A Non-Participating Payor Professional Institutional

75256 Verity National Group (GASA) Participating Plus Payor Professional Institutional Dental

BS065 Vermont Blue Shield Non-Participating Payor Professional Institutional

VTCAD Vermont Medicaid Indirect Government Professional Institutional

VESTA VESTACARE INS Participating Payor Professional Institutional

23173 VHP Community Care Non-Participating Payor Professional Institutional

VABLU Virginia BCBS (CareFirst) Indirect Government Professional

VABL2 Virginia BCBS (Trigon/Anthem) Indirect Government Professional

VACAD Virginia Medicaid (First Health) Direct Government Professional

VACRE Virginia Medicare B Non-Participating Payor Professional Institutional

86079 Vista Del Sol Health Care Non-Participating Payor Professional

55248 Vista Health Plan Non-Participating Payor Professional Institutional

VN126 VIVRA Non-Participating Payor Professional

77073 VNS CHOICE Medicare Non-Participating Payor Professional Institutional

22264 Vytra Healthcare Non-Participating Payor Professional Institutional

62111 W.C. Beeler & Company Non-Participating Payor Professional Institutional

75257 Wal-Mart Participating Payor Professional Institutional

WK001 Wal-Mart AKACMI(CompManagement Inc) Non-Participating Payor Professional Institutional

DCCR2 Wash DC Medicare B (HGSA) Direct Government Professional

WABLU Washington BC (Premera) Direct Government Professional

WABS Washington BS (Regence) Indirect Government Professional

LABOR Washington Labor and Industries Participating Payor Professional Institutional Dental

MC006 Washington Medicaid (DSHS) Non-Participating Payor Professional Institutional

WACRA Washington Medicare A / Noridian Direct Government Institutional

WACRE Washington Medicare B / Noridian Direct Government Professional

73155 Waterstone Benefit Administrators Participating Payor Professional Institutional Dental

58082 Watkins Associated Industries, Inc. Participating Payor Professional Institutional

Payor ID Payor Name Payor Type Transaction Type39151 WEA Insurance Group Non-Participating Payor Professional Institutional

75261 WebTPA Participating Plus Payor Professional Institutional

WELM2 WellMed Participating Plus Payor Professional Institutional

WELMD WellMed (Encounters) Participating Plus Payor Professional

35245 WellSystems LLC Non-Participating Payor Professional Institutional

BS055 West Virginia Blue Shield Non-Participating Payor Professional

MC048 West Virginia Medicaid Non-Participating Payor Professional

MR056 West Virginia Medicare Non-Participating Payor Professional

IP026 Western Arizona Regional Physicians Non-Participating Payor Professional

WMI001 Western Mutual Insurance/Beech Direct Payor Professional Institutional Dental

WMI004 Western Mutual Insurance/TPA_Beech Direct Payor Professional Institutional Dental

37247 Western Mutual Insurance/WMI-TPA Participating Payor Professional Institutional

WMI003 Western Mutual Insurance/Wrap_Beech Direct Payor Professional Institutional

31048 Western Southern Benefit Participating Payor Professional Institutional

IP023 Westgrove Medical Group (Labs Only) Non-Participating Payor Professional

38232 Weyco, Inc. Participating Payor Professional Institutional

93050 William C. Earhart Co., Inc. Non-Participating Payor Professional Institutional Dental

62153 Windsor Medicare Extra Non-Participating Payor Professional Institutional

BS053 Wisconsin Blue Shield Indirect Government Professional Institutional

WICAD Wisconsin Medicaid Indirect Government Professional

MR053 Wisconsin Medicare Indirect Government Professional Institutional

WPS01 WPS Commercial Non-Participating Payor Professional

23710 Writer's Guild - Industry Hlth Plan Participating Payor Professional Institutional

WYCRA Wyoming Medicare A / Noridian Direct Government Institutional

WYCRE Wyoming Medicare B / Noridian Direct Government Professional

95376 Yale Preferred Hlth/Hlth Chce of CT Non-Participating Payor Professional Institutional

active payor list: august, 2016 - healthsmart · active payor list: august, 2016 active payor list...

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