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  • CLAIMS & REMITS PAYER LIST

    02/08/2018 Payer CodeAccepts

    2ndary

    Claims

    ENR

    Remits

    ENR Payer Code

    Accepts

    2ndary

    Claims

    ENR

    Remits

    ENR

    1199 National Benefit Fund 13162 N N Y 13162 N N Y

    1st Medical Network - Atlanta GA 29076 Y N na 29076 Y N na

    1st MN--Atlanta GA 29076 Y N na 29076 Y N na

    21st Century Health and Benefits 59069 N N na 59069 N N na

    3P ADMIN 20413 Y N na 20413 Y N na

    A & I Benefit Plan Administrators 93044 N N na 93044 N N na

    A.G.I.A. Inc. 95241 N N na 95241 N N na

    AAG Benefit Plan Administrators Inc. 75240 Y N na 75240 Y N na

    AAG-American Administravie Group ( Formerly Icon Benefit Admin) 75185 Y N na 75185 Y N na

    AARP Medicare Supplement Plans 36273 Y N Y 36273 Y N Y

    AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete 87726 Y N Y 87726 Y N Y

    Abrazo Advantage Health Plan 03443 Y N na 03443 Y N na

    Absolute Total Care 68069 Y N Y 68069 Y N Y

    Access Medical Group 95424 Y N na

    Access Medicare 19305 N N Y 19305 N N Y

    Acclaim 64071 Y N Y 64071 Y N Y

    Accountable Healthcare IPA (AHCIPA) AHIPA Y N na AHIPA Y N na

    ACMG 37118 N N na 37118 N N na

    ACS Benefit Services Inc. 72467 N N Y 72467 N N Y

    Activa Benefit Services LLC 38254 N N na 38254 N N na

    Adaptis (remits only) 91173 na Y 91173 na Y

    Administration Systems Research Corporation 38265 N N na 38265 N N na

    Administrative Concepts Inc. 22384 N N Y 22384 N N Y

    Administrative Services Inc. 59141 N N na 59141 N N na

    ADVANCED DATA SOLUTIONS 58202 N N na 58202 N N na

    Advanced Health Systems 12B17 Y Y Y SB730 Y Y Y

    Advantage by Bridgeway Health Solutions 68069 Y N Y 68069 Y N Y

    Advantage by Buckeye Community Health Plan 68069 Y N Y 68069 Y N Y

    Advantage by Managed Health Services 68069 Y N Y 68069 Y N Y

    Advantage by Peach State 68069 Y N Y 68069 Y N Y

    Advantage by Sunshine State 68069 Y N Y 68069 Y N Y

    Advantage by Superior HealthPlan 68069 Y N Y 68069 Y N Y

    Advantage Care IPA ACIPA Y N na ACIPA Y N na

    Advantage Health Solutions 35209 N N na 35209 N N na

    Advantek Benefit Administrators 83077 N N na 83077 N N na

    ADVANTICA BENEFITS 59374 Y N Y 59374 Y N Y

    Advanzeon Solutions 59314 N N na 59314 N N na

    Adventist Health System West - Roseville CA 95340 N N Y 95340 N N Y

    Advicare (for claims with DOS prior to 9/1/16) 45423 N N na 45423 N N na

    Advocate Medical Group - AMG (Legacy AHC) 36320 N N Y 36320 N N Y

    Advocate Physician Partners 65093 N N Y 65093 N N Y

    Aetna 60054 Y N Y 60054 Y N Y

    INSTITUTIONAL PROFESSIONAL

    Page 1 of 52

  • CLAIMS & REMITS PAYER LIST

    02/08/2018 Payer CodeAccepts

    2ndary

    Claims

    ENR

    Remits

    ENR Payer Code

    Accepts

    2ndary

    Claims

    ENR

    Remits

    ENR

    INSTITUTIONAL PROFESSIONAL

    Aetna Affordable Health Choices (SM) - SRC 57604 Y N na 57604 Y N na

    Aetna Better Health - PA Medicaid 23228 Y N na 23228 Y N na

    Aetna Better Health of Illinois 26337 Y N Y 26337 Y N Y

    Aetna Better Health of Kentucky 128KY Y N y 128KY Y N y

    Aetna Better Health of Louisiana 128LA Y N y 128LA Y N y

    Aetna Better Health of Michigan 128MI Y N Y 128MI Y N Y

    Aetna Better Health of Missouri 128MO Y N Y 128MO Y N Y

    Aetna Better Health of Nebraska (for claims with DOS prior to 1/1/17) 42130 Y N Y 42130 Y N Y

    Aetna Better Health of New Jersey 46320 Y N Y 46320 Y N Y

    Aetna Better Health of NY 34734 N N Y 34734 N N Y

    Aetna Better Health of Ohio 50023 Y N Y 50023 Y N Y

    Aetna Better Health of Pennsylvania 23228 Y N Y 23228 Y N Y

    Aetna Better Health of Virginia 128VA Y N Y 128VA Y N Y

    Aetna Better Health of West Virginia 128WV Y N Y 128WV Y N Y

    Aetna Better Health Premier Plan (JVHL) M5JVH Y Y Y M5JVH Y Y Y

    Aetna Medicare 60054 Y N Y 60054 Y N Y

    Aetna TX Medicaid & CHIP 38692 N N Y 38692 N N Y

    Aetna U.S.Healthcare (JVHL) J1JVH Y Y Y J1JVH Y Y Y

    Aetna-American Continental Insurance Company (remits only) 62118 na na Y 62118 na na Y

    Affiliated Doctor's of Orange County ADOCS N N na ADOCS N N na

    Affilliated Physicians Group APG01 N N na APG01 N N na

    Affinity Essentials 23334 Y N Y 23334 Y N Y

    Affinity Health Plan 13334 N Y Y 13334 N Y Y

    AFFINITY MEDICAL GROUP 46594 N N na 46594 Y N na

    Affinity Medicare Advantage 13333 N N N 13333 N N N

    Affordable Benefit Administrators Inc. 95426 N N na 95426 N N na

    AFTRA Health Fund (claims with DOS on or after 1/1/2015) 62308 N N na 62308 N N na

    AGA 37280 N N na 37280 N N na

    Agate Resources Inc. (LIPA) 20048 N N na

    Agency Services Inc 64158 N N na 64158 N N na

    AHPO (Cleveland OH) 31138 N N na 31138 N N na

    Alabama Medicaid 12K01 Y N Y SKAL0 Y N Y

    Alamitos IPA AIPAZ Y N na AIPAZ Y N na

    Alaska Carpenters Trust 91136 N N na

    Alaska Children's Services Inc. 91136 N N Y 91136 N N Y

    Alaska Electrical Trust Funds 60054 Y N Y 60054 Y N Y

    Alaska Laborers Construction Industry Trust 91136 N N na 91136 N N na

    Alaska Medicaid 77200 Y Y Y

    Alaska Medicare SMAK0 Y Y Y

    Alaska Pipe Trades Local 375 91136 N N na 91136 N N na

    Alaska United Food & Commercial Workers Health & Welfare Trust 91136 N N na 91136 N N na

    Alexian Brothers Community Services of TN 44423 N N na 44423 N N na

    Page 2 of 52

  • CLAIMS & REMITS PAYER LIST

    02/08/2018 Payer CodeAccepts

    2ndary

    Claims

    ENR

    Remits

    ENR Payer Code

    Accepts

    2ndary

    Claims

    ENR

    Remits

    ENR

    INSTITUTIONAL PROFESSIONAL

    ALICARE 13550 N N Y 13550 N N Y

    Alignment Healthcare AHCA1 N N na AHCA1 N N na

    All Savers/UHC 81400 Y N Y 81400 Y N y

    Allcare PEBB 26158 N N na 26158 N N na

    Allegian Advantage 82238 N N na 82238 N N na

    Allegian Choice 55649 N N na 55649 N N na

    Allegian Health Plan 82420 N N na 82420 N N na

    Allegiance Benefit Plan Management Inc. 81040 N N na 81040 N N na

    Alliance Behavioral Health 23071 Y Y Y 23071 Y Y Y

    Alliance IPA HCP01 N N na

    Alliant Health Plans of Georgia 58234 N N na 58234 N N na

    Allianz Global Assistance 50749 N N na 50749 N N na

    Allied Benefit Systems 37308 N N Y 37308 N N Y

    Alpha Care Medical Group MPM32 N N na MPM32 N N na

    Alta Bates Medical Group A0701 N N na A0701 N N na

    ALTA Health Strategies 25133 Y N Y 25133 Y N Y

    Altius Health Plans 25133 Y N Y 25133 Y N Y

    Alvarado IPA SYMED N N na SYMED N N na

    AMA Insurance Agency AMAIA N N Y TH071 N N Y

    Amalgamated Life 13550 N N Y 13550 N N Y

    Amalgamated Life - PA / Alicare 13343 N N na 13343 N N na

    Ambay Health Network AMBHN N N na AMBHN N N na

    Ambetter of Illinois 68069 Y N Y 68069 Y N Y

    AMCO 62176 N N na 62176 N N na

    AmeraPlan 38219 N N Y 38219 N N Y

    AmeriBen Solutions Inc. 75137 N N Y 75137 N N Y

    Americaid Community Care (New Jersey) 27516 Y N na 27516 Y N na

    American Administrative Group 75240 Y N na 75240 Y N na

    American Behavioral 63103 N N na 63103 N N na

    American Benefit Plan Administrators 95170 N N na 95170 N N na

    American Community Mutual Insurance 60305 N N Y 60305 N N Y

    American Family Insurance 12T31 N N na TH095 N N na

    American Family Medicare Sup and PPO Policies Administered by Am Rep 56071 N N Y 56071 N N Y

    American Fidelity Assurance Company 60801 N N na 60801 N N na

    American General 62030 N N Y 62030 N N Y

    American Healthcare Alliance 01066 N N Y 01066 N N Y

    American Heritage 77083 N N na

    American Income Life Insurance Company (remits only) 60577 na na Y 60577 na na Y

    American Insurance Administrators (AIA) (remits only) 26119 na na Y 26119 na na Y

    American National Ins. Co. (ANICO) 74048 N N Y 74048 N N Y

    American Postal Workers Union Health Plan 44444 N N Y 44444 N N Y

    American Progressive Life and Health Insurance Company 48055 N N Y 48055 N N Y

    Page 3 of 52

  • CLAIMS & REMITS PAYER LIST

    02/08/2018 Payer CodeAccepts

    2ndary

    Claims

    ENR

    Remits

    ENR Payer Code

    Accepts

    2ndary

    Claims

    ENR

    Remits

    ENR

    INSTITUTIONAL PROFESSIONAL

    American Republic Insurance 42011 N N Y 42011 N N Y

    American Sentinel Co. 17965 Y N na

    American Specialty Health Plans 43146 N N na

    American Trust Administrators Inc. 56195 N N na 56195 N N na

    American Worker Health Plan 37322 Y N na 37322 Y N na

    Americas 1st Choice Health Plans of South Carolina Inc. 20553 N N na 20553 N N na

    Americas 1st Choice of South Carolina, Inc 55349 N N na 55349 N N na

    America's Choice Health Plans 20029 N N Y 20029 N N Y

    America's PPO 16120 N N na 16120 N N na

    America's TPA 41178 N N na 41178 N N na

    AmeriChoice by UnitedHealthcare-New York (remits only) NYU01 na Y NYU01 na Y

    Americhoice Maryland and Washington (remits only) 04567 na Y 04567 na Y

    Amerigroup Community Care 27514 Y N Y 27514 Y N Y

    Amerigroup Corporation 27514 Y N Y 27514 Y N Y

    Amerigroup Florida 27519 Y N Y 27519 Y N Y

    Amerigroup Illinois 27518 Y N na 27518 Y N na

    Amerigroup Ohio 27518 Y N na 27518 Y N na

    AmeriHealth Administrators 54763 Y N Y 54763 Y N Y

    AmeriHealth Administrators (BCBS) (remits only) SX055 na Y SX055 na Y

    AmeriHealth Caritas Iowa 77075 Y N Y 77075 Y N Y

    AmeriHealth Caritas Pennsylvania 22248 Y N Y 22248 Y N Y

    Amerihealth Caritas VIP Care 77062 Y N Y 77062 Y N Y

    AmeriHealth Caritus VIP Care Plus (Michigan) 77013 N N n

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