Active Payor List: August, 2016 - HealthSmart · Active Payor List: August, 2016 Active Payor List...
Transcript of Active Payor List: August, 2016 - HealthSmart · Active Payor List: August, 2016 Active Payor List...
page 1
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
page 2
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
page 3
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
page 4
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
page 5
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
page 6
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
page 7
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
page 8
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
page 9
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
page 10
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
page 11
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
page 12
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
page 13
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
page 14
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
page 15
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
page 16
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
page 17
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
page 18
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
page 19
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
page 20
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
page 21
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
page 22
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
page 23
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
page 24
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
page 25
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
page 26
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
page 27
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
page 28
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
page 29
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