Emdeon Claims Payer List - 05-2#ChangePayerIdPayer NamesStates ModelsLobCardsRe-EnrollEnrollTPOServicesReporting LevelCobICD10 ReadyICD10 TestingICD10 Required as of Compliance DateAdditional Information166055(NLH) Netcare Life and Health InsuranceCOMMERCIALDNClaims2 2131621199 National Benefit FundCOMMERCIALHBNN0Claims4YYY3131621199 National Benefit FundCOMMERCIALHXNN0EFT EFT enrollment is tax ID only.4131621199 National Benefit FundCOMMERCIALHXNN0Remittance Image 5131621199 National Benefit FundCOMMERCIALMXSR0ERA 6131621199 National Benefit FundCOMMERCIALMBNN0Claims4YYY7131621199 National Benefit FundCOMMERCIALMXNN0EFT EFT enrollment is tax ID only.8131621199 National Benefit FundCOMMERCIALMXNN0Remittance Image 9131621199 National Benefit FundCOMMERCIALHXSR0ERA 10Call21st Century Health & BenefitsCOMMERCIALMXNN0Remittance Image 11Call21st Century Health & BenefitsCOMMERCIALHXNN0Remittance Image 12204133P ADMINCOMMERCIALDNClaims4 13204133P ADMINCOMMERCIALHBNN1Claims4AYNY14204133P ADMINCOMMERCIALMXNN0Remittance Image Available through the Emdeon Payment Manager or other Revenue Cycle Management products offered by Emdeon. For more information about Payment Manager - http://www.emdeon.com/ProviderSolutions/payment-manager/index.php15204133P ADMINCOMMERCIALMBNN1Claims4AYNY16204133P ADMINCOMMERCIALHXNN0Remittance Image Available through the Emdeon Payment Manager or other Revenue Cycle Management products offered by Emdeon. For more information about Payment Manager - http://www.emdeon.com/ProviderSolutions/payment-manager/index.php176Degrees Health Inc.COMMERCIALMXNN0ClaimsY 186Degrees Health Inc.COMMERCIALHXNN0ClaimsY 1993044A & I Benefit Plan AdministratorsCOMMERCIALDNClaims2 2093044A & I Benefit Plan AdministratorsCOMMERCIALDYEFT Enrollment requires your Tax ID Number plus a 4-digit Suffix that can be found on the same line as your provider TIN on your most recent explanation of benefits.2193044A & I Benefit Plan AdministratorsCOMMERCIALHBNN0Claims1 2293044A & I Benefit Plan AdministratorsCOMMERCIALMXNN0Remittance Image 2393044A & I Benefit Plan AdministratorsCOMMERCIALHXNN0Remittance Image 2493044A & I Benefit Plan AdministratorsCOMMERCIALMBNN0Claims1 2593044A & I Benefit Plan AdministratorsCOMMERCIALMXNN0EFT Enrollment requires your Tax ID Number plus a 4-digit Suffix that can be found on the same line as your provider TIN on your most recent explanation of benefits.2693044A & I Benefit Plan AdministratorsCOMMERCIALHXNN0EFT Enrollment requires your Tax ID Number plus a 4-digit Suffix that can be found on the same line as your provider TIN on your most recent explanation of benefits.27CXADNA. D. N. Administrators Inc.COMMERCIALDNClaims 2895241A.G.I.A. Inc.COMMERCIALMBNN0ClaimsYNNClaims are printed and mailed to the payer.2995241A.G.I.A. Inc.COMMERCIALMXNN0Remittance Image 3095241A.G.I.A. Inc.COMMERCIALHBNN0ClaimsYNNClaims are printed and mailed to the payer.3175185AAG-American Administravie Group ( Formerly Icon Benefit Admin)COMMERCIALHBNN1Claims4AYNY3275185AAG-American Administravie Group ( Formerly Icon Benefit Admin)COMMERCIALMBNN1Claims4AYNY33AARP1AARPCOMMERCIALDNClaims SAARP claims with a mailing address of PO Box 2059 Mechanicsburg PA34AARP1AARPCOMMERCIALDYERA 3536273AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance CoCOMMERCIALHBNN0Claims4AYYY3636273AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance CoCOMMERCIALMBNN0Claims4AYYY3736273AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance CompanyCOMMERCIALHXRR0ERA 3836273AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance CompanyCOMMERCIALMXRR0ERA 3936273AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance CoCOMMERCIALHBNN0Claims4AYYY4036273AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance CoCOMMERCIALMBNN0Claims4AYYY4136273AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance CompanCOMMERCIALHXRR0ERA 4236273AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance CompanCOMMERCIALMXRR0ERA 4387726AARP MedicareComplete through UHC / Oxford Medicare NetworkCOMMERCIALMBNN1Claims4AYYY4487726AARP MedicareComplete through UHC / Oxford Mosaic Network - AARP MedicareCoCOMMERCIALMBNN1Claims4AYYY456111AARP MedicareComplete through UnitedHealthcare / Oxford Medicare NetworkCOMMERCIALHBNN0Claims4YYYUse Payer ID 87726466111AARP MedicareComplete through UnitedHealthcare / Oxford Medicare NetworkCOMMERCIALMBNN0Claims4YYYUse Payer ID 877264787726AARP MedicareComplete through UnitedHealthcare / Oxford Medicare NetworkCOMMERCIALHBNN1Claims4AYYYFormer Payer ID 06111486111AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic NetworkCOMMERCIALHBNN0Claims4YYYUse Payer ID 87726496111AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic NetworkCOMMERCIALMBNN0Claims4YYYUse Payer ID 877265087726AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic NetworkCOMMERCIALHBNN1Claims4AYYYFormer Payer ID 061115187726AARP MedicareComplete through UnitedHealthcare/AARP MedicareCompleteCOMMERCIALHBNN1Claims4AYYY5287726AARP MedicareComplete through UnitedHealthcare/AARP MedicareCompleteCOMMERCIALMBNN1Claims4AYYY53E3510ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizon)COMMERCIALMBPP0Claims4 Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.5437118ACMGCOMMERCIALMBNN1Claims Claims are processed by Benefit Plan Administrators5537118ACMGCOMMERCIALHBNN1Claims Claims are processed by Benefit Plan Administrators5661474ACS Benefit ServicesCOMMERCIALHXNN0ClaimsY Y5761474ACS Benefit ServicesCOMMERCIALMXNN0ClaimsY Y5872468ACS Benefit Services Inc.COMMERCIALHXNN0Remittance Image Available through the Emdeon Payment Manager or other Revenue Cycle Management products offered by Emdeon. For more information about Payment Manager - http://www.emdeon.com/ProviderSolutions/payment-manager/index.php5972468ACS Benefit Services Inc.COMMERCIALDNClaims1 f.k.a. ACS Consulting Services Inc.6072468ACS Benefit Services Inc.COMMERCIALMXNN0Remittance Image Available through the Emdeon Payment Manager or other Revenue Cycle Management products offered by Emdeon. For more information about Payment Manager - http://www.emdeon.com/ProviderSolutions/payment-manager/index.php6158379ACS Benefit Services IncCOMMERCIALHXNS0ERA Echo is returning 835s for payer ID 72467. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer6258379ACS Benefit Services IncCOMMERCIALMXNS0ERA Echo is returning 835s for payer ID 72467. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer6361474ACS Benefit Services Inc.COMMERCIALDNClaims4 ACS Branded Dental Product6472467ACS Benefit Services Inc.COMMERCIALHBNN1Claims1YYY6572467ACS Benefit Services Inc.COMMERCIALHXNN0Remittance Image Available through the Emdeon Payment Manager or other Revenue Cycle Management products offered by Emdeon. For more information about Payment Manager - http://www.emdeon.com/ProviderSolutions/payment-manager/index.php6672467ACS Benefit Services Inc.COMMERCIALMNNN1Claims1YYYDO NOT send ACS/Health Net or ACS Inc. Medicaid claims to this payer ID. This payer ID is for ACS Benefit Services. Inc. ONLY.6772467ACS Benefit Services Inc.COMMERCIALMXNN0Remittance Image Available through the Emdeon Payment Manager or other Revenue Cycle Management products offered by Emdeon. For more information about Payment Manager - http://www.emdeon.com/ProviderSolutions/payment-manager/index.php68ADOCSADOC (Affiliated Doctor's of Orange County)COMMERCIALMBNN0Claims2 6935199ADV Medicare Advantage-CMCSCOMMERCIALHXNN0EFT 7035199ADV Medicare Advantage-CMCSCOMMERCIALMXNN0EFT 7158202ADVANCED DATA SOLUTIONSCOMMERCIALHBNN0Claims 7258202ADVANCED DATA SOLUTIONSCOMMERCIALMBNN0Claims 7399138AETNA ENCOUNTERSCOMMERCIALHXNN0ClaimsA Diversified Data Design (DDD)7446594AFFINITY MEDICAL GROUPCOMMERCIALMBNN0Claims2AYYY7546594AFFINITY MEDICAL GROUPCOMMERCIALHXNN0ClaimsYYY7634444AFL-CIO Food & Beverage Dealer's Trust Fund (Toledo OH)COMMERCIALMXNN0Remittance Image 7758066AFLAC GACOMMERCIALDNClaims4 7858066AFLAC GA - GRPCOMMERCIALDNClaims4 Group Plan coverage please refer to your ID card for group coverage/number verification.7952080AFLAC NYCOMMERCIALDNClaims This plan also shares the same mailing address as payer ID 58066 and the only difference between the plans is that the insured ID for the NY based plan begins with "PN" as "PNxxxxxx" (followed by 6+ digits)8052080AFLAC NY - GRPCOMMERCIALDNClaims Group Plan Coverage please refer to your ID card for group coverage/number verifcation.8113346AFTRA Health FundCOMMERCIALMXNN0EFT Estimated rollout date for the service to be June 30 20168213346AFTRA Health FundCOMMERCIALHXNN0Remittance Image 8313346AFTRA Health FundCOMMERCIALHXNN0EFT Estimated rollout date for the service to be June 30 20168413346AFTRA Health FundCOMMERCIALMXNN0Remittance Image 8537280AGACOMMERCIALHBNN1Claims1Y N8637280AGACOMMERCIALMBNN1Claims1Y N8791136AGC International Union of Operating Engineers Local 701COMMERCIALHXNP0EFT 8891136AGC International Union of Operating Engineers Local 701COMMERCIALHXNN0ERA 8991136AGC International Union of Operating Engineers Local 701COMMERCIALMXNP0EFT 9091136AGC International Union of Operating Engineers Local 701COMMERCIALMXNN0ERA 9191136AGC International Union of Operating Engineers Local 701COMMERCIALDYEFT 9291136AGC International Union of Operating Engineers Local 701COMMERCIALDYERA 9331138AHPO (Cleveland OH)COMMERCIALMBNN0Claims2 9431138AHPO (Cleveland OH)COMMERCIALHBNN0Claims2 9558379AIAPT insured by Trustmark InsuranceCOMMERCIALHXNS0ERA Echo is returning 835s for payer ID 61425. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer9658379AIAPT insured by Trustmark InsuranceCOMMERCIALMXNS0ERA Echo is returning 835s for payer ID 61425. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer9722195AIG Educational MarketsCOMMERCIALHNNN0ClaimsAYNYPayer formely known as: Maksin Management Corporation9822195AIG Educational MarketsCOMMERCIALMNNN0ClaimsAYNYPayer formely known as: Maksin Management Corporation9991136AK United Food and Commercial Workers (AK UFCW)COMMERCIALDNClaims4 Please enter group # F45 when submitting claims. A Welfare and Pension Administration Services payer10091136AK United Food and Commercial Workers (AK UFCW)COMMERCIALDYERA 10191136AK United Food and Commercial Workers (AK UFCW)COMMERCIALMXNN0ERA 10291136AK United Food and Commercial Workers (AK UFCW)COMMERCIALHXNN0ERA 10391136AK United Food and Commercial Workers (AK UFCW)COMMERCIALMXNP0EFT 10491136AK United Food and Commercial Workers (AK UFCW)COMMERCIALHXNP0EFT 10513550ALICARECOMMERCIALMBNN1Claims2YNY10613550ALICARECOMMERCIALHBNN0Claims2 107TH071AMA Insurance AgencyCOMMERCIALMXNN0Claims4YNN108PROSPAMVI/Prospect Health Network (Prospect Medical Group)COMMERCIALMBNN0Claims2 109PROSPAPAC (Pinnacle Health Resources) (Prospect Medical Group)COMMERCIALMBNN0Claims2 11051909APEX HealthcareCOMMERCIALMXNN0ClaimsYYN11151909APEX HealthcareCOMMERCIALHXNN0ClaimsYYN11216120ARAZ GroupCOMMERCIALMBNN0ClaimsY Y113CXARCARC AdministratorsCOMMERCIALDNClaims1 114CXARCARC AdministratorsCOMMERCIALHBNN0Claims2 115CXARCARC AdministratorsCOMMERCIALMBNN0Claims2 11639185ARISECOMMERCIALHBNN3Claims1Y 11739185ARISECOMMERCIALHXNR0ERA 11839185ARISECOMMERCIALHXNN0EFT 11939185ARISECOMMERCIALMXNN0EFT 12039185ARISECOMMERCIALMBNN3Claims1Y 12139185ARISECOMMERCIALMXNR0ERA 12288035ARM GrpCOMMERCIALMNNN1Claims 12388035ARM GrpCOMMERCIALHXNN0Remittance Image 12488035ARM GrpCOMMERCIALHNNN1Claims 12588035ARM GrpCOMMERCIALMXNN0Remittance Image 1266603ASAGEHACOMMERCIALHXNN0Claims2AYYY1276603ASAGEHACOMMERCIALMXNN0Claims2AYYY12858379ASAMT Insurance by Trustmark InsuranceCOMMERCIALHXNS0ERA Echo is returning 835s for payer ID 61425. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer12958379ASAMT Insurance by Trustmark InsuranceCOMMERCIALMXNS0ERA Echo is returning 835s for payer ID 61425. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer130CallASC of OhoCOMMERCIALHBNN0Claims2 To obtain the payer ID please call (440) 262-1160.131CallASC of OhoCOMMERCIALMBNN0Claims2 To obtain the payer ID please call (440) 262-1160.13238265ASRCOMMERCIALHXNN0Claims1A 13338265ASRCOMMERCIALMBNN0Claims1A 13438265ASR CorporationCOMMERCIALHXNN0Claims1A 13538265ASR CorporationCOMMERCIALMBNN0Claims1A 13638265ASR Health BenefitsCOMMERCIALHXNN0Claims1A 13738265ASR Health BenefitsCOMMERCIALMBNN0Claims1A 13859275AVMED INCCOMMERCIALMBNN0Encounters4 13959275AVMED INCCOMMERCIALHBNN0Encounters4 14065101AXA Assistance_USACOMMERCIALMNNN0Claims 14165101AXA Assistance_USACOMMERCIALHNNN0Claims 14268069Absolute Total CareCOMMERCIALHXNN0Claims4AYYYPrior to submitting claims please call Provider Relations Dept at 1-866-433-6041 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.14368069Absolute Total CareCOMMERCIALMXNN0Claims4AYYYPrior to submitting claims please call Provider Relations Dept at 1-866-433-6041 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.14468069Absolute Total CareCOMMERCIALHXNR0ERA 14543178Acceptius (Benefit Management Inc of MO (BMI)COMMERCIALDNClaims1 14612T33Access AdministratorsCOMMERCIALHBNN0Claims4AYNN147TH067Access AdministratorsCOMMERCIALMBNN0Claims4YNN148CX097Access DentalCOMMERCIALDYEFT Legacy ID - For Providers use their Facility/Office NPI. For Brokers use their Agency ID which is either a 4 or 5 digit code. The 4 digit code starts with a 5 and the 5 digit code start with a 2.149CX097Access DentalCOMMERCIALDNRemittance Image 150CX097Access DentalCOMMERCIALDNClaims via Performance Health Technology151CARMOAccess IPACOMMERCIALMBNN0Claims2 152REGALAccess IPACOMMERCIALMBNN0Claims2 15395424Access Medical GroupCOMMERCIALMXNN0ClaimsAY N15419305Access Medicare (Cuatro LLC)COMMERCIALMXNN0ClaimsY 15519305Access Medicare (Cuatro LLC)COMMERCIALMXNR0ERA 15619305Access Medicare (Cuatro LLC)COMMERCIALHXNN0ClaimsY 15719305Access Medicare (Cuatro LLC)COMMERCIALHXNR0ERA 15864071AcclaimCOMMERCIALHXNN0Remittance Image 15964071AcclaimCOMMERCIALMBNN0ClaimsAYYY16064071AcclaimCOMMERCIALMXNN0Remittance Image 16164071AcclaimCOMMERCIALDNClaims1 16264071AcclaimCOMMERCIALHBNN0ClaimsAYYY16338254Activa Benefit Services LLCCOMMERCIALHBNN1Claims4YYY16438254Activa Benefit Services LLCCOMMERCIALMBNN1Claims4YYY16538255Activa Benefit Services LLC/DentalCOMMERCIALDNClaims1 (Formerly Amway Corporation/Dental)16691173AdaptisCOMMERCIALMXSS0ERA NPI is required for ERA Enrollment16791173AdaptisCOMMERCIALHXSS0ERA NPI is required for ERA Enrollment16838265Administration Systems Research CorporationCOMMERCIALHXNN0Claims1A 16938265Administration Systems Research CorporationCOMMERCIALMBNN0Claims1A 17022384Administrative Concepts Inc.COMMERCIALHXNN0EFT 17122384Administrative Concepts Inc.COMMERCIALHBNN0Claims1Y Y17222384Administrative Concepts Inc.COMMERCIALDYEFT 17322384Administrative Concepts Inc.COMMERCIALHXNN0Remittance Image Available through the Emdeon Payment Manager or other Revenue Cycle Management products offered by Emdeon. For more information about Payment Manager - http://www.emdeon.com/ProviderSolutions/payment-manager/index.php17422384Administrative Concepts Inc.COMMERCIALMXNN0Remittance Image Available through the Emdeon Payment Manager or other Revenue Cycle Management products offered by Emdeon. For more information about Payment Manager - http://www.emdeon.com/ProviderSolutions/payment-manager/index.php17522384Administrative Concepts Inc.COMMERCIALMXNN0EFT 17622384Administrative Concepts Inc.COMMERCIALMBNN0Claims1Y Y17720405Administrative Service ProfessionalsCOMMERCIALMXNN0Remittance Image 17859141Administrative Services Inc.COMMERCIALMBNN0ClaimsY Y17959141Administrative Services Inc.COMMERCIALHBNN1ClaimsY Y180CX076Adminstrative Services OnlyCOMMERCIALDNClaims Addt'l enrollment is not required by the payer. Providers wishing to submit claims electronically must be credentialed with the payer. Please ensure you have successfully processed one paper claim prior to submitting your first electronic claim.18151909Advanced Physician's Association Chicago IL MG#118COMMERCIALHXNN0ClaimsYYN18251909Advanced Physician's Association Chicago IL MG#118COMMERCIALMXNN0ClaimsYYN18393524Advantage Dental Plan Inc.COMMERCIALDNClaims4 18435199Advantage Health IPA-CMCSCOMMERCIALMXNN0EFT 18535199Advantage Health IPA-CMCSCOMMERCIALHXNN0EFT 18635209Advantage Health SolutionsCOMMERCIALMBNN0Claims1Y Y18735209Advantage Health SolutionsCOMMERCIALHXNN0Remittance Image 18835209Advantage Health SolutionsCOMMERCIALHBNN0Claims1Y Y18935209Advantage Health SolutionsCOMMERCIALMXNN0Remittance Image 190NMM01Advantage Med GrpCOMMERCIALMBNN0Claims2 19168069Advantage by Bridgeway Health SolutionsCOMMERCIALHXNN0Claims4AYYY19268069Advantage by Bridgeway Health SolutionsCOMMERCIALMXNN0Claims4AYYY19368069Advantage by Buckeye Community Health PlanCOMMERCIALHXNN0Claims4AYYY19468069Advantage by Buckeye Community Health PlanCOMMERCIALMXNN0Claims4AYYY19568069Advantage by Managed Health ServicesCOMMERCIALHXNN0Claims4AYYY19668069Advantage by Managed Health ServicesCOMMERCIALMXNN0Claims4AYYY19768069Advantage by Peach StateCOMMERCIALMXNN0Claims4AYYY19868069Advantage by Peach StateCOMMERCIALHXNN0Claims4AYYY19968069Advantage by Sunshine StateCOMMERCIALMXNN0Claims4AYYY20068069Advantage by Sunshine StateCOMMERCIALHXNN0Claims4AYYY20168069Advantage by Superior HealthPlanCOMMERCIALMXNN0Claims4AYYY20268069Advantage by Superior HealthPlanCOMMERCIALHXNN0Claims4AYYY20383077Advantek Benefit AdministratorsCOMMERCIALDNClaims1 20483077Advantek Benefit AdministratorsCOMMERCIALHBNN0Claims1 20583077Advantek Benefit AdministratorsCOMMERCIALMBNN0Claims1 20643168Advantica BenefitsCOMMERCIALDNClaims4 20743168Advantica BenefitsCOMMERCIALDYEFT 20843168Advantica BenefitsCOMMERCIALDYERA 20959374Advantica BenefitsCOMMERCIALHBNN0Claims1A 21059374Advantica BenefitsCOMMERCIALMBNN0Claims1A 21159374Advantica BenefitsCOMMERCIALMXNN0EFT 21225133Advantra SavingsCOMMERCIALHBNN1Claims4AYNY21325133Advantra SavingsCOMMERCIALMBNN1Claims4AYNY21459314Advanzeon SolutionsCOMMERCIALHBNN0Claims 21559314Advanzeon SolutionsCOMMERCIALMBNN0Claims 21695340Adventist Health System West - Roseville CACOMMERCIALHBNN0Claims1 21795340Adventist Health System West - Roseville CACOMMERCIALDYERA 21895340Adventist Health System West - Roseville CACOMMERCIALDYEFT 21995340Adventist Health System West - Roseville CACOMMERCIALDNClaims1 22095340Adventist Health System West - Roseville CACOMMERCIALHXNN0EFT 22195340Adventist Health System West - Roseville CACOMMERCIALMXNN0ERA 22295340Adventist Health System West - Roseville CACOMMERCIALMXNN0Remittance Image 22395340Adventist Health System West - Roseville CACOMMERCIALMXNN0EFT 22495340Adventist Health System West - Roseville CACOMMERCIALMBNN0Claims1 22595340Adventist Health System West - Roseville CACOMMERCIALHXNN0ERA 22695340Adventist Health System West - Roseville CACOMMERCIALHXNN0Remittance Image 22745423AdvicareCOMMERCIALHBNN0ClaimsYYY22845423AdvicareCOMMERCIALMBNN0ClaimsYYY22936320Advocate Medical Group - AMG (Legacy AHC)COMMERCIALHXNN0Remittance Image 23036320Advocate Medical Group - AMG (Legacy AHC)COMMERCIALMCNN0Claims3YYYPlease contact Advocate Physician Partners Debbie Motz at (847)635-4182 for questions or more information for both payer IDs.23136320Advocate Medical Group - AMG (Legacy AHC)COMMERCIALMXNN0EFT 23236320Advocate Medical Group - AMG (Legacy AHC)COMMERCIALHXNN0EFT 23336320Advocate Medical Group - AMG (Legacy AHC)COMMERCIALHCNN0Claims3YYYPlease contact Advocate Physician Partners Debbie Motz at (847)635-4182 for questions or more information for both payer IDs.23436320Advocate Medical Group - AMG (Legacy AHC)COMMERCIALMXNN0Remittance Image 23536320Advocate Medical Group - AMG (Legacy AHC)COMMERCIALMXRR0ERA Providers must be actively credentialed with and submitting claims to Advocate Health Centers prior to ERA enrollment. Please submit the Emdeon ERA PSF and complete the Payer Enrollment Form at http://www.emdeon.com/enrollnow.23665093Advocate Physician PartnersCOMMERCIALMXNN0Remittance Image 23765093Advocate Physician PartnersCOMMERCIALMXNN0EFT 23865093Advocate Physician PartnersCOMMERCIALMCNN0Claims4YNY23965093Advocate Physician PartnersCOMMERCIALHXNN0Remittance Image 24065093Advocate Physician PartnersCOMMERCIALHXNN0EFT 24165093Advocate Physician PartnersCOMMERCIALHCNN0Claims4YNY24265093Advocate Physician PartnersCOMMERCIALMXRR0ERA 243CB637Aegis Administrative ServicesCOMMERCIALHBNN1Claims3YYY244CB637Aegis Administrative ServicesCOMMERCIALMBNN1Claims3YYY24560054AetnaCOMMERCIALHBNN1Claims4AYYY24660054AetnaCOMMERCIALDYERA ERAs returned for both claims and pre-treatment estimates.24760054AetnaCOMMERCIALMBNN0Encounters 24860054AetnaCOMMERCIALHBRR0ERA 24960054AetnaCOMMERCIALDNClaims4 25060054AetnaCOMMERCIALMBNN1Claims4AYYY25160054AetnaCOMMERCIALMBRR0ERA 25260054AetnaCOMMERCIALPXNN0Claims 25368246AetnaCOMMERCIALDNEncounters Use this Payer ID for submitting DMO services only.25457604Aetna Affordable Health Choices (SM) - SRCCOMMERCIALDNClaims4 25557604Aetna Affordable Health Choices (SM) - SRCCOMMERCIALHXNN0Claims4AYYY25657604Aetna Affordable Health Choices (SM) - SRCCOMMERCIALMXNN0Claims4AYYY257128KYAetna Better Health of KentuckyCOMMERCIALHXNN0EFT Enroll with Payer.258128KYAetna Better Health of KentuckyCOMMERCIALHBNN0Claims4A 259128KYAetna Better Health of KentuckyCOMMERCIALHXNN0Remittance Image 260128KYAetna Better Health of KentuckyCOMMERCIALHXNR0ERA Enroll with Payer.261128KYAetna Better Health of KentuckyCOMMERCIALMBNN0Claims4A 262128KYAetna Better Health of KentuckyCOMMERCIALMXNN0Remittance Image 263128KYAetna Better Health of KentuckyCOMMERCIALMXNN0EFT Enroll with Payer.264128KYAetna Better Health of KentuckyCOMMERCIALMXNR0ERA Enroll with Payer.265128MIAetna Better Health of MichiganCOMMERCIALMXNN0EFT Enroll with Payer.266128MIAetna Better Health of MichiganCOMMERCIALHXNN0ERA Enroll with Payer.267128MIAetna Better Health of MichiganCOMMERCIALHBNN0Claims4AYYY268128MIAetna Better Health of MichiganCOMMERCIALHXNN0EFT Enroll with Payer.269128MIAetna Better Health of MichiganCOMMERCIALMXNN0ERA Enroll with Payer.270128MIAetna Better Health of MichiganCOMMERCIALMBNN0Claims4AYYY271128MOAetna Better Health of MissouriCOMMERCIALMXNR0ERA Enroll with Payer.272128MOAetna Better Health of MissouriCOMMERCIALHXNR0ERA Enroll with Payer.273128MOAetna Better Health of MissouriCOMMERCIALMBNN0Claims4AYYY274128MOAetna Better Health of MissouriCOMMERCIALMXNN0EFT Enroll with Payer.275128MOAetna Better Health of MissouriCOMMERCIALHXNN0EFT Enroll with Payer.276128MOAetna Better Health of MissouriCOMMERCIALHBNN0Claims4AYYY277128MOAetna Better Health of MissouriCOMMERCIALDYEFT Enroll with payer.27834734Aetna Better Health of NYCOMMERCIALMXNN0EFT Enroll with Payer27934734Aetna Better Health of NYCOMMERCIALMXNR0ERA Enroll with Payer28034734Aetna Better Health of NYCOMMERCIALMXNN0Claims1AYYY28134734Aetna Better Health of NYCOMMERCIALHXNN0Claims1AYYY28234734Aetna Better Health of NYCOMMERCIALHXNN0EFT Enroll with Payer28334734Aetna Better Health of NYCOMMERCIALHXNR0ERA Enroll with Payer284128VAAetna Better Health of VirginiaCOMMERCIALDYEFT 285128VAAetna Better Health of VirginiaCOMMERCIALDYERA 286128VAAetna Better Health of VirginiaCOMMERCIALHBNN0Claims4A 287128VAAetna Better Health of VirginiaCOMMERCIALHXNN0EFT Enroll with Payer288128VAAetna Better Health of VirginiaCOMMERCIALMBNN0Claims4A 289128VAAetna Better Health of VirginiaCOMMERCIALMXNN0EFT Enroll with Payer290128VAAetna Better Health of VirginiaCOMMERCIALMXNR0ERA Enroll with Payer291128VAAetna Better Health of VirginiaCOMMERCIALHXNR0ERA Enroll with Payer29260055Aetna EncountersCOMMERCIALHXNN0Encounters4 This is a BATCH ENCOUNTER payer. Please contact your Aetna Network Manager for submission requirements.29360055Aetna EncountersCOMMERCIALMXNN0Encounters4 This is a BATCH ENCOUNTER payer. Please contact your Aetna Network Manager for submission requirements.29418014Aetna Medicare EPO/PPO DentalCOMMERCIALDNClaims1 29562118Aetna Senior Supplemental Insurance (Aetna SSI)COMMERCIALHXNN0EFT Medicare Supplemental Insurance29662118Aetna Senior Supplemental Insurance (Aetna SSI)COMMERCIALHXNS0ERA VETERANS AFFAIRS COB ONLY29762118Aetna Senior Supplemental Insurance (Aetna SSI)COMMERCIALMXNN0EFT Medicare Supplemental Insurance29862118Aetna Senior Supplemental Insurance (Aetna SSI)COMMERCIALMXNS0ERA Early enrollment available. VETERANS AFFAIRS COB ONLY -Medicare Supplemental Insurance29927344Affiliated Doctors of Orange CountyCOMMERCIALHXNN0Claims 30027344Affiliated Doctors of Orange CountyCOMMERCIALMXNN0Claims 301ADOCSAffiliated Doctors of Orange County (ADOC)COMMERCIALMBNN0Claims2 302ADOCSAffiliated Doctors of Orange County (ADOC)COMMERCIALHBNN0Claims2 303APG01Affiliated Physicians GroupCOMMERCIALMXNN0Claims2 30413334Affinity Health PlanCOMMERCIALMBPN1Claims4YYYWhen submitting to this payer ID please ensure the following: The claim is for a Medicaid Child Health Plus or Family Health Plus member and the subscriber ID is as printed on Member's ID Card30513334Affinity Health PlanCOMMERCIALMXSS0ERA 30613334Affinity Health PlanCOMMERCIALHXNN0Remittance Image 30713334Affinity Health PlanCOMMERCIALHXNN0EFT To sign up for EFT provider's Tax ID is required with an optional provider number. Please contact Affinity at (866.247.5678) to obtain your provider number.30813334Affinity Health PlanCOMMERCIALHBPN0Claims4YYYWhen submitting to this payer ID please ensure the following: The claim is for a Medicaid Child Health Plus or Family Health Plus member and the subscriber ID is as printed on Member's ID Card30913334Affinity Health PlanCOMMERCIALHXSS0ERA 31013334Affinity Health PlanCOMMERCIALMXNN0EFT To sign up for EFT provider's Tax ID is required with an optional provider number. Please contact Affinity at (866.247.5678) to obtain your provider number.31113334Affinity Health PlanCOMMERCIALMXNN0Remittance Image 31213333Affinity Medicare AdvantageCOMMERCIALHBNN1Claims1Y When submitting to this payer ID please ensure the following: The claim is for a Medicare Advantage or Medicaid Advantage Member the date of service is equal to or greater than 1/1/10 and the subscriber ID you submit is 9 characters in length.31313333Affinity Medicare AdvantageCOMMERCIALMBNN1Claims1Y When submitting to this payer ID please ensure the following: The claim is for a Medicare Advantage or Medicaid Advantage Member the date of service is equal to or greater than 1/1/10 and the subscriber ID you submit is 9 characters in length.31413333Affinity Medicare AdvantageCOMMERCIALMXNN0EFT 31513333Affinity Medicare AdvantageCOMMERCIALMXNS0ERA 31623334AffinityAccessCOMMERCIALHBNN0Claims4AYYY31723334AffinityAccessCOMMERCIALHXNS0ERA 31823334AffinityAccessCOMMERCIALMXNS0ERA 31923334AffinityAccessCOMMERCIALMBNN0Claims4AYYY32095426Affordable Benefit Administrators Inc.COMMERCIALHBNN0Claims1 Claims with the following address should only be sent to this payer id. ABA P.O. Box 10787 Burbank CA 91510-078732195426Affordable Benefit Administrators Inc.COMMERCIALDNClaims1 32295426Affordable Benefit Administrators Inc.COMMERCIALMBNN0Claims1 Claims with the following address should only be sent to this payer id. ABA P.O. Box 10787 Burbank CA 91510-078732320048Agate Resources Inc (LIPA)COMMERCIALMBNN1Claims4YYY32420048Agate Resources Inc (LIPA)COMMERCIALMBNR0ERA 32520048Agate Resources Inc. (LIPA)COMMERCIALHBNR0ERA 32664158Agency Services IncCOMMERCIALHBNN0Claims2Y YNow known as Meritain Health32764158Agency Services IncCOMMERCIALMBNN0Claims2Y YNow known as Meritain Health328CX083Alameda AllianceCOMMERCIALDNClaims Admin by LIBERTY Dental Plan32991136Alaska Carpenters TrustCOMMERCIALDYEFT 33091136Alaska Carpenters TrustCOMMERCIALDYERA 33191136Alaska Carpenters TrustCOMMERCIALMXNN0ERA 33291136Alaska Carpenters TrustCOMMERCIALHXNP0EFT 33391136Alaska Carpenters TrustCOMMERCIALHXNN0ERA 33491136Alaska Carpenters TrustCOMMERCIALMBNN0Claims2 Please enter Group Number (F40) when submitting claims.33591136Alaska Carpenters TrustCOMMERCIALMXNP0EFT 33691136Alaska Carpenters TrustCOMMERCIALDNClaims4 Please enter group # F40 when submitting claims. A Welfare and Pension Administration Services payer33791136Alaska Carpenters TrustCOMMERCIALHBNN0Claims3 33891136Alaska Children's Services Inc.COMMERCIALMBNN0Claims2 Please enter Group Number (P68) when submitting claims.33991136Alaska Children's Services Inc.COMMERCIALHBNN0Claims3 Please enter Group Number (P68) when submitting claims.34092600Alaska Electrical Health & Welfare FundCOMMERCIALMBNN0Claims1 34192600Alaska Electrical Health & Welfare FundCOMMERCIALHBNN0Claims1 34292600Alaska Electrical Health & Welfare FundCOMMERCIALDNClaims2 34391136Alaska Hotel Employees Restaurant & Camp Employees (AK HERE)COMMERCIALHXNP0EFT 34491136Alaska Hotel Employees Restaurant & Camp Employees (AK HERE)COMMERCIALHXNN0ERA 34591136Alaska Hotel Employees Restaurant & Camp Employees (AK HERE)COMMERCIALMXNP0EFT 34691136Alaska Hotel Employees Restaurant & Camp Employees (AK HERE)COMMERCIALDYERA 34791136Alaska Hotel Employees Restaurant & Camp Employees (AK HERE)COMMERCIALMXNN0ERA 34891136Alaska Hotel Employees Restaurant & Camp Employees (AK HERE)COMMERCIALDNClaims4 Please enter group # F41 when submitting claims. A Welfare and Pension Administration Services payer34991136Alaska Hotel Employees Restaurant & Camp Employees (AK HERE)COMMERCIALDYEFT 35091136Alaska Laborers Construction Industry Health & Security TrustCOMMERCIALDNClaims4 Please enter group # F23 when submitting claims. A Welfare and Pension Administration Services payer35191136Alaska Laborers Construction Industry Health & Security TrustCOMMERCIALDYEFT 35291136Alaska Laborers Construction Industry Health & Security TrustCOMMERCIALMXNN0ERA 35391136Alaska Laborers Construction Industry Health & Security TrustCOMMERCIALMXNP0EFT 35491136Alaska Laborers Construction Industry Health & Security TrustCOMMERCIALHXNN0ERA 35591136Alaska Laborers Construction Industry Health & Security TrustCOMMERCIALHXNP0EFT 35691136Alaska Laborers Construction Industry Health & Security TrustCOMMERCIALDYERA 35791136Alaska Laborers Construction Industry TrustCOMMERCIALMBNN0Claims2 Please enter Group Number (F23) when submitting claims.35891136Alaska Laborers Construction Industry TrustCOMMERCIALHBNN0Claims3 Please enter Group Number (F23) when submitting claims.35991136Alaska Machinists Health and Welfare TrustCOMMERCIALDYERA 36091136Alaska Machinists Health and Welfare TrustCOMMERCIALDNClaims4 Please enter group # F21 when submitting claims. A Welfare and Pension Administration Services payer36191136Alaska Pipe Trades Local 375COMMERCIALHBNN0Claims3 Please enter Group Number (F24) when submitting claims.36291136Alaska Pipe Trades Local 375COMMERCIALMBNN0Claims2 Please enter Group Number (F24) when submitting claims.36391136Alaska Pipe Trades U A Local 375COMMERCIALMXNN0ERA 36491136Alaska Pipe Trades U A Local 375COMMERCIALDNClaims4 Please enter group # F24 when submitting claims. A Welfare and Pension Administration Services payer36591136Alaska Pipe Trades U A Local 375COMMERCIALDYERA 36691136Alaska Pipe Trades U A Local 375COMMERCIALHXNP0EFT 36791136Alaska Pipe Trades U A Local 375COMMERCIALHXNN0ERA 36891136Alaska Pipe Trades U A Local 375COMMERCIALMXNP0EFT 36991136Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)COMMERCIALDNClaims4 Please enter group # F60 when submitting claims. A Welfare and Pension Administration Services payer37091136Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)COMMERCIALDYEFT 37191136Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)COMMERCIALDYERA 37291136Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)COMMERCIALHXNP0EFT 37391136Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)COMMERCIALHXNN0ERA 37491136Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)COMMERCIALMXNN0ERA 37591136Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)COMMERCIALMXNP0EFT 37691136Alaska United Food & Commercial Workers Health & Welfare TrustCOMMERCIALHBNN0Claims3 Please enter Group Number (F45) when submitting claims.37791136Alaska United Food & Commercial Workers Health & Welfare TrustCOMMERCIALMBNN0Claims2 Please enter Group Number (F45) when submitting claims.37844423Alexian Brothers Community Services of TNCOMMERCIALDNClaims1 37944423Alexian Brothers Community Services of TNCOMMERCIALMBNN0Claims2 38044423Alexian Brothers Community Services of TNCOMMERCIALHBNN0Claims2 381AHCA1Alignment HealthcareCOMMERCIALMBNN0Claims4 382AHCA1Alignment HealthcareCOMMERCIALHBNN0Claims4 383CXALCAllCare CCO DentalCOMMERCIALDNClaims4 via Performance Health Technology38426158AllCare PEBBCOMMERCIALMBNN0Claims1Y Y38526158AllCare PEBBCOMMERCIALHBNN0Claims1Y Y38652193AllegeantCOMMERCIALHXNN0EFT 38752193AllegeantCOMMERCIALHBNN0Claims1 Formally known as LBA Health Plans.38852193AllegeantCOMMERCIALDYEFT 38952193AllegeantCOMMERCIALDNClaims2 Formerly known as LBA Health Plans.39052193AllegeantCOMMERCIALMBNN0Claims1 Formally known as LBA Health Plans.39152193AllegeantCOMMERCIALMXNN0EFT 39255649Allegian ChoiceCOMMERCIALHBNN0Claims2 39355649Allegian ChoiceCOMMERCIALMBNN0Claims2 39481040Allegiance Benefit PlanCOMMERCIALDNClaims4 39581040Allegiance Benefit Plan Management Inc.COMMERCIALHBNN0Claims2YYN39681040Allegiance Benefit Plan Management Inc.COMMERCIALMBNN0Claims2YYN397CallAlliance Healthcare/Florida for Stones River Regional IPACOMMERCIALMBNN0ClaimsYNYTo obtain the payer ID please call (615) 869-0030398HCP01Alliance IPACOMMERCIALHBNN0Claims2 39958234Alliant Health Plans of GeorgiaCOMMERCIALMXNS0ERA 40058234Alliant Health Plans of GeorgiaCOMMERCIALHBNN0Claims2Y Y40158234Alliant Health Plans of GeorgiaCOMMERCIALHXNS0ERA 40258234Alliant Health Plans of GeorgiaCOMMERCIALMBNN0Claims2Y Y40370106Alliant ServicesCOMMERCIALDNClaims Claims mailing address PO Box 12009 Cheshire CT40450749Allianz Global AssistanceCOMMERCIALMBNN0ClaimsY Formerly know as Mondial Assistance and World Access Canada.40550749Allianz Global AssistanceCOMMERCIALHBNN0ClaimsY Formerly know as Mondial Assistance and World Access Canada.40637308Allied Benefit SystemsCOMMERCIALHXNN0EFT In order to receive EFT transactions you must supply your Allied provider ID which can be found near Notes on your EOB/EOP.40737308Allied Benefit SystemsCOMMERCIALHXNS0ERA 40837308Allied Benefit SystemsCOMMERCIALMBNN1Claims1YYY40937308Allied Benefit SystemsCOMMERCIALHBNN1Claims1YYY41037308Allied Benefit SystemsCOMMERCIALDYEFT In order to receive EFT transactions you must supply your Allied provider ID which can be found near Notes on your EOB/EOP.41137308Allied Benefit SystemsCOMMERCIALDNClaims1 41237308Allied Benefit SystemsCOMMERCIALMXNN0EFT In order to receive EFT transactions you must supply your Allied provider ID which can be found near Notes on your EOB/EOP.41337308Allied Benefit SystemsCOMMERCIALMXNS0ERA 414SX156Allied Health Systems ChiropracticCOMMERCIALMXNN0Claims1 41591136Allied Metal Crafts Security Plan Trust FundCOMMERCIALDYEFT 41691136Allied Metal Crafts Security Plan Trust FundCOMMERCIALDYERA 41791136Allied Metal Crafts Security Plan Trust FundCOMMERCIALDNClaims4 Please enter group # F18 when submitting claims. A Welfare and Pension Administration Services payer41891136Allied Metal Crafts Security Plan Trust FundCOMMERCIALHXNP0EFT 41991136Allied Metal Crafts Security Plan Trust FundCOMMERCIALHXNN0ERA 42091136Allied Metal Crafts Security Plan Trust FundCOMMERCIALMXNP0EFT 42191136Allied Metal Crafts Security Plan Trust FundCOMMERCIALMXNN0ERA 422NMM01Allied PhysiciansCOMMERCIALMBNN0Claims2 423TH085Alpha DataCOMMERCIALMXNN0Claims3YNN42459335Alpha Health Plan Inc.COMMERCIALMBNN0Claims 42559335Alpha Health Plan Inc.COMMERCIALHBNN0Claims 426A0701Alta Bates Medical GroupCOMMERCIALHBNN0Claims2Y YPayer ID is only for dates of service after 7/1/2010.427A0701Alta Bates Medical GroupCOMMERCIALMBNN0Claims2Y YPayer ID is only for dates of service after 7/1/2010.428CallAlta Bates Medical GroupCOMMERCIALMBPP0Claims3YNYNetwork ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.429E3510Alta Senior Care (Hnet Sr and Secure Horizons only)COMMERCIALMBPP0Claims4 Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.43088035Alternative Risk Management Inc.COMMERCIALHNNN1Claims 43188035Alternative Risk Management Inc.COMMERCIALMNNN1Claims 43225133Altius (Utah)COMMERCIALHBNN1Claims4AYNY43325133Altius (Utah)COMMERCIALMBNN1Claims4AYNY43425133Altius Health PlansCOMMERCIALHXSS0ERA 43525133Altius Health PlansCOMMERCIALHXNN0EFT Providers enroll with only the Tax ID if one bank account will be used. Include the NPI only if there are multiple bank accounts to ensure proper distribution of funds.43625133Altius Health PlansCOMMERCIALMXSS0ERA 43725133Altius Health PlansCOMMERCIALMXNN0EFT Providers enroll with only the Tax ID if one bank account will be used. Include the NPI only if there are multiple bank accounts to ensure proper distribution of funds.438STR01AlwaysCare BenefitsCOMMERCIALDNClaims1 43964090AmFirst Insurance CompanyCOMMERCIALHBNN0Claims2AYNY44064090AmFirst Insurance CompanyCOMMERCIALMXNN0ERA 44164090AmFirst Insurance CompanyCOMMERCIALMBNN0Claims2YNY44264090AmFirst Insurance CompanyCOMMERCIALHXNN0ERA 44313550Amalgamated LifeCOMMERCIALMXNN0Remittance Image 44413550Amalgamated LifeCOMMERCIALMBNN1Claims2YNY44513550Amalgamated LifeCOMMERCIALHXNN0Remittance Image 44613550Amalgamated LifeCOMMERCIALHBNN0Claims2 44713343Amalgamated Life - PA / AlicareCOMMERCIALMBNN0Claims1YYY44813343Amalgamated Life - PA / AlicareCOMMERCIALHXNN0Remittance Image 44913343Amalgamated Life - PA / AlicareCOMMERCIALHBNN0Claims1 45013343Amalgamated Life - PA / AlicareCOMMERCIALMXNN0Remittance Image 45113343Amalgamated Life - PA / AlicareCOMMERCIALDNClaims2 45268069Ambetter from Buckeye Community Health PlanCOMMERCIALHXNN0Claims4AYYY45368069Ambetter from Buckeye Community Health PlanCOMMERCIALMXNN0Claims4AYYY45468069Ambetter from CeltiCare Health PlanCOMMERCIALHXNN0Claims4AYYY45568069Ambetter from CeltiCare Health PlanCOMMERCIALMXNN0Claims4AYYY45668069Ambetter from Magnolia HealthCOMMERCIALHXNN0Claims4AYYY45768069Ambetter from Magnolia HealthCOMMERCIALMXNN0Claims4AYYY45868069Ambetter from Managed Health ServicesCOMMERCIALHXNN0Claims4AYYY45968069Ambetter from Managed Health ServicesCOMMERCIALMXNN0Claims4AYYY46068069Ambetter from Peach State Health PlanCOMMERCIALHXNN0Claims4AYYY46168069Ambetter from Peach State Health PlanCOMMERCIALMXNN0Claims4AYYY46268069Ambetter from Sunshine HealthCOMMERCIALHXNN0Claims4AYYY46368069Ambetter from Sunshine HealthCOMMERCIALMXNN0Claims4AYYY46468069Ambetter from Superior HealthCOMMERCIALHXNN0Claims4AYYY46568069Ambetter from Superior HealthCOMMERCIALMXNN0Claims4AYYY46668069Ambetter of ArkansasCOMMERCIALHXNN0Claims4AYYY46768069Ambetter of ArkansasCOMMERCIALMXNN0Claims4AYYY46838219AmeraPlanCOMMERCIALHBNN0Claims 46938219AmeraPlanCOMMERCIALMBNN0Claims 47038219AmeraPlanCOMMERCIALMXNS0ERA If you are setting up to receive ERA files from Emdeon for this payer you will need to also setup payer id 5837947138219AmeraPlanCOMMERCIALHXNS0ERA If you are setting up to receive ERA files from Emdeon for this payer you will need to also setup payer id 5837947258379AmeraPlanCOMMERCIALMXNS0ERA Echo is returning 835s for payer ID 38219. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer47358379AmeraPlanCOMMERCIALHXNS0ERA Echo is returning 835s for payer ID 38219. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer47412X28Ameri Health PPO NJCOMMERCIALHNNR0Claims4AY Y47575137AmeriBen Solutions Inc.COMMERCIALHBNN3Claims1YYY47675137AmeriBen Solutions Inc.COMMERCIALMXNN0EFT For St. Luke's Group Only47775137AmeriBen Solutions Inc.COMMERCIALMXNN0Remittance Image 47875137AmeriBen Solutions Inc.COMMERCIALHXNN0Remittance Image 47975137AmeriBen Solutions Inc.COMMERCIALMBNN3Claims1YYY48075137AmeriBen Solutions Inc.COMMERCIALDNClaims1 48154763AmeriHealth AdministratorsCOMMERCIALDNClaims1 48254763AmeriHealth AdministratorsCOMMERCIALMBNR0Claims4AY Y48354763AmeriHealth AdministratorsCOMMERCIALHNNR0Claims4AY Y48477075AmeriHealth Caritas IowaCOMMERCIALMBNN0Claims4A Payer effective 4/1/2016. Managed Medicaid Plan part of the AmeriHealth Caritas Family of Companies. For EDI support please e-mail ediiowa@amerihealthcaritas.com or call 844-341-764448577075AmeriHealth Caritas IowaCOMMERCIALMXNN0EFT Plan is effective April 1 2016. Payer is accepting early enrollment for ERA and EFT.48677075AmeriHealth Caritas IowaCOMMERCIALMXNN0Remittance Image 48777075AmeriHealth Caritas IowaCOMMERCIALMXNS0ERA Plan is effective April 1 2016. Payer is accepting early enrollment for ERA and EFT.48877075AmeriHealth Caritas IowaCOMMERCIALHXNS0ERA Plan is effective April 1 2016. Payer is accepting early enrollment for ERA and EFT.48977075AmeriHealth Caritas IowaCOMMERCIALHXNN0Remittance Image 49077075AmeriHealth Caritas IowaCOMMERCIALHBNN0Claims4A Payer effective 4/1/2016. Managed Medicaid Plan part of the AmeriHealth Caritas Family of Companies. For EDI support please e-mail ediiowa@amerihealthcaritas.com or call 844-341-764449177075AmeriHealth Caritas IowaCOMMERCIALHXNN0EFT Plan is effective April 1 2016. Payer is accepting early enrollment for ERA and EFT.49227357AmeriHealth Caritas LouisianaCOMMERCIALHXNS0ERA I understand that payment and satisfaction of this claim will be from federal and state funds and that any false claims statements documents or concealment of a material fact may be prosecuted under applicable federal and/or state laws.49327357AmeriHealth Caritas LouisianaCOMMERCIALHXNN0Remittance Image 49427357AmeriHealth Caritas LouisianaCOMMERCIALMXNN0EFT 49527357AmeriHealth Caritas LouisianaCOMMERCIALMXNN0Remittance Image 49627357AmeriHealth Caritas LouisianaCOMMERCIALMXNS0ERA I understand that payment and satisfaction of this claim will be from federal and state funds and that any false claims statements documents or concealment of a material fact may be prosecuted under applicable federal and/or state laws.49727357AmeriHealth Caritas LouisianaCOMMERCIALMXNN0Claims4AYYY I understand that payment and satisfaction of this claim will be from federal and state funds and that any false claims statements documents or concealment of a material fact may be prosecuted under applicable federal and/or state laws.49827357AmeriHealth Caritas LouisianaCOMMERCIALHXNN0Claims4AYYY I understand that payment and satisfaction of this claim will be from federal and state funds and that any false claims statements documents or concealment of a material fact may be prosecuted under applicable federal and/or state laws.49927357AmeriHealth Caritas LouisianaCOMMERCIALHXNN0EFT 50077001AmeriHealth Caritas NorthEastCOMMERCIALMXNN0Claims4AYYYManaged Medicaid Plan part of the AmeriHealth Caritas Family of Companies.For EDI support please e-mail edi.ahn@amerihealthnortheast.com or call 1-877-234-4272.50177001AmeriHealth Caritas NorthEastCOMMERCIALHXNN0Claims4AYYYManaged Medicaid Plan part of the AmeriHealth Caritas Family of Companies.For EDI support please e-mail edi.ahn@amerihealthnortheast.com or call 1-877-234-4272.50277001AmeriHealth Caritas NorthEastCOMMERCIALMXNN0Remittance Image 50377001AmeriHealth Caritas NorthEastCOMMERCIALMXNS0ERA4 Managed Medicaid Plan part of the AmeriHealth Caritas Family of Companies.For EDI support please e-mail edi.ahn@amerihealthnortheast.com or call 1-877-234-4272.50477001AmeriHealth Caritas NorthEastCOMMERCIALMXNN0EFT 50577001AmeriHealth Caritas NorthEastCOMMERCIALHXNN0EFT 50677001AmeriHealth Caritas NorthEastCOMMERCIALHXNS0ERA4 Managed Medicaid Plan part of the AmeriHealth Caritas Family of Companies.For EDI support please e-mail edi.ahn@amerihealthnortheast.com or call 1-877-234-4272.50722248AmeriHealth Caritas PennsylvaniaCOMMERCIALHXSS0ERA Medicaid managed care. For EDI support please e-mail edi@amerihealthcaritaspa.com or call 1-877-234-4272.50822248AmeriHealth Caritas PennsylvaniaCOMMERCIALHBNN1Claims4AYYYMedicaid managed care. For EDI support please e-mail edi@amerihealthcaritaspa.com or call 1-877-234-4272.50922248AmeriHealth Caritas PennsylvaniaCOMMERCIALMXNN0EFT 51022248AmeriHealth Caritas PennsylvaniaCOMMERCIALMXNN0Remittance Image 51122248AmeriHealth Caritas PennsylvaniaCOMMERCIALMXSS0ERA Medicaid managed care. For EDI support please e-mail edi@amerihealthcaritaspa.com or call 1-877-234-4272.51222248AmeriHealth Caritas PennsylvaniaCOMMERCIALMBNN1Claims4AYYYMedicaid managed care. For EDI support please e-mail edi@amerihealthcaritaspa.com or call 1-877-234-4272.51322248AmeriHealth Caritas PennsylvaniaCOMMERCIALHXNN0EFT 51422248AmeriHealth Caritas PennsylvaniaCOMMERCIALHXNN0Remittance Image 51577013AmeriHealth Caritas VIP Care Plus (Michigan)COMMERCIALHXNS0ERA 51677013AmeriHealth Caritas VIP Care Plus (Michigan)COMMERCIALHBNN0Claims2Y YAmeriHealth VIP Care Plus is a Medicare Medicaid Plan (MMP) part of the AmeriHealth Caritas Family of Companies51777013AmeriHealth Caritas VIP Care Plus (Michigan)COMMERCIALMXNN0EFT 51877013AmeriHealth Caritas VIP Care Plus (Michigan)COMMERCIALMXNN0Remittance Image 51977013AmeriHealth Caritas VIP Care Plus (Michigan)COMMERCIALMXNS0ERA 52077013AmeriHealth Caritas VIP Care Plus (Michigan)COMMERCIALMBNN0Claims2Y YAmeriHealth VIP Care Plus is a Medicare Medicaid Plan (MMP) part of the AmeriHealth Caritas Family of Companies52177013AmeriHealth Caritas VIP Care Plus (Michigan)COMMERCIALHXNN0EFT 52277013AmeriHealth Caritas VIP Care Plus (Michigan)COMMERCIALHXNN0Remittance Image 52377051AmeriHealth Connect (AMERIHEALTH CARITAS)COMMERCIALHXNN0ERA 52477051AmeriHealth Connect (AMERIHEALTH CARITAS)COMMERCIALMBNN0Claims4AYYYPennsylvania Healthy PA Private Coverage Option ? For EDI Support please email edi.amerihealthconnect@amerihealthcaritas.com or call 1-855-707-582352577051AmeriHealth Connect (AMERIHEALTH CARITAS)COMMERCIALMXNN0EFT 52677051AmeriHealth Connect (AMERIHEALTH CARITAS)COMMERCIALMXNN0Remittance Image 52777051AmeriHealth Connect (AMERIHEALTH CARITAS)COMMERCIALMXNN0ERA 52877051AmeriHealth Connect (AMERIHEALTH CARITAS)COMMERCIALHXNN0Remittance Image 52977051AmeriHealth Connect (AMERIHEALTH CARITAS)COMMERCIALHXNN0EFT 53077051AmeriHealth Connect (AMERIHEALTH CARITAS)COMMERCIALHBNN0Claims4AYYYPennsylvania Healthy PA Private Coverage Option ? For EDI Support please email edi.amerihealthconnect@amerihealthcaritas.com or call 1-855-707-582353123037AmeriHealth HMO New Jersey and DelawareCOMMERCIALMBNR0Claims4AY Y53223037AmeriHealth HMO New Jersey and DelawareCOMMERCIALHNNR0Claims4AY Y53322355AmeriHealth VIP Care PACOMMERCIALHXNN0Remittance Image 53422355AmeriHealth VIP Care PACOMMERCIALHXNS0ERA 53522355AmeriHealth VIP Care PACOMMERCIALMNNN0Claims1AYYYAmeriHealth VIP Care PA is effective 1/1/2013 Medicare Advantage Plan part of the AmeriHealth Caritas Family of Companies.53622355AmeriHealth VIP Care PACOMMERCIALMXNN0EFT 53722355AmeriHealth VIP Care PACOMMERCIALMXNN0Remittance Image 53822355AmeriHealth VIP Care PACOMMERCIALMXNS0ERA 53922355AmeriHealth VIP Care PACOMMERCIALHNNN0Claims1AYYYAmeriHealth VIP Care PA is effective 1/1/2013 Medicare Advantage Plan part of the AmeriHealth Caritas Family of Companies.54022355AmeriHealth VIP Care PACOMMERCIALHXNN0EFT 54116120America's PPOCOMMERCIALMBNN0ClaimsY Y54216120America's PPOCOMMERCIALHBNN0ClaimsY Y54341178America's TPACOMMERCIALDNRemittance Image 54441178America's TPACOMMERCIALDNClaims1 54541178America's TPACOMMERCIALPXNN0Remittance Image 54641178America's TPACOMMERCIALPXNN0EFT 54741178America's TPACOMMERCIALMXNN0Remittance Image 54841178America's TPACOMMERCIALMXNN0EFT 54941178America's TPACOMMERCIALMBNN1Claims1 55041178America's TPACOMMERCIALHXNN0Remittance Image 55141178America's TPACOMMERCIALHXNN0EFT 55241178America's TPACOMMERCIALHBNN1Claims1 55341178America's TPACOMMERCIALDYEFT 554CallAmerican Administrators (West Des Moines Iowa)COMMERCIALHXNN0Remittance Image 555CallAmerican Administrators (West Des Moines Iowa)COMMERCIALMXNN0Remittance Image 55663103American BehavioralCOMMERCIALHBNN0Claims 55763103American BehavioralCOMMERCIALMBNN0Claims 558CX084American Benefit CorporationCOMMERCIALDNClaims Only limited plans may be sent electronically. Group name is required with one of the following names: Sheet Metal Berkeley Boone Carpenter Cabell Clarksburg Doddridge Hancock Harrison Marion Monongalia Mingo Mineral Morgan Nicholas Putnam Taylor Tyler Wetzel.55995170American Benefit Plan AdministratorsCOMMERCIALDNClaims 56095170American Benefit Plan AdministratorsCOMMERCIALHBNN0Claims2 56195170American Benefit Plan AdministratorsCOMMERCIALMBNN0Claims2 56212T31American Family InsuranceCOMMERCIALHBNN0Claims4YNN563TH095American Family InsuranceCOMMERCIALMXNN0Claims4YNN56456071American Family Medicare Supplement and PPO Policies Administered by Am RepCOMMERCIALHXSS0ERA Medicare Supplement COB claims only accepted via electronic Medicare crossover. Hospital/Medical LOB56556071American Family Medicare Supplement and PPO Policies Administered by Am RepCOMMERCIALHXNN0Remittance Image Medicare Supplement COB claims only accepted via electronic Medicare crossover. Hospital/Medical LOB56656071American Family Medicare Supplement and PPO Policies Administered by Am RepCOMMERCIALHXNN0EFT Medicare Supplement COB claims only accepted via electronic Medicare crossover. Hospital/Medical LOB56756071American Family Medicare Supplement and PPO Policies Administered by Am RepCOMMERCIALHNNN1Claims1YYYMedicare Supplement COB claims only accepted via electronic Medicare crossover. Hospital/Medical LOB56856071American Family Medicare Supplement and PPO Policies Administered by Am RepCOMMERCIALMNNN1Claims1YYYMedicare Supplement COB claims only accepted via electronic Medicare crossover. Hospital/Medical LOB56956071American Family Medicare Supplement and PPO Policies Administered by Am RepCOMMERCIALMXSS0ERA Medicare Supplement COB claims only accepted via electronic Medicare crossover. Hospital/Medical LOB57056071American Family Medicare Supplement and PPO Policies Administered by Am RepCOMMERCIALMXNN0Remittance Image Medicare Supplement COB claims only accepted via electronic Medicare crossover. Hospital/Medical LOB57156071American Family Medicare Supplement and PPO Policies Administered by Am RepCOMMERCIALMXNN0EFT Medicare Supplement COB claims only accepted via electronic Medicare crossover. Hospital/Medical LOB57262030American GeneralCOMMERCIALHXSS0ERA 57362030American GeneralCOMMERCIALHBNN0ClaimsY N57462030American GeneralCOMMERCIALMBNN0ClaimsY N57562030American GeneralCOMMERCIALMXSS0ERA 576L0220American Health MedicareCOMMERCIALHBNN0Claims4 577L0220American Health MedicareCOMMERCIALMBNN0ERA Providers wishing to receive ERA or issues with ERA must contact the payer Directly at 1-866-620-2420 to enroll. Do not contact Inmediata to enroll.578L0220American Health MedicareCOMMERCIALHBNN0ERA Providers wishing to receive ERA or issues with ERA must contact the payer Directly at 1-866-620-2420 to enroll. Do not contact Inmediata to enroll.579L0220American Health MedicareCOMMERCIALMBNN0Claims4 5801066American Healthcare AllianceCOMMERCIALHNNN1Claims4Y Y5811066American Healthcare AllianceCOMMERCIALMNNN1Claims4Y Y58226119American Insurance Administrators (AIA)COMMERCIALHXNN0EFT 58326119American Insurance Administrators (AIA)COMMERCIALHXNS0ERA 58426119American Insurance Administrators (AIA)COMMERCIALHXNN0Remittance Image 58526119American Insurance Administrators (AIA)COMMERCIALMXNN0Remittance Image 58626119American Insurance Administrators (AIA)COMMERCIALMXNN0EFT 58726119American Insurance Administrators (AIA)COMMERCIALMXNS0ERA 58874048American National Ins. Co. (ANICO)COMMERCIALMBNN1Claims1 58974048American National Ins. Co. (ANICO)COMMERCIALHBNN1Claims1 59044444American Postal Workers Union Health PlanCOMMERCIALHBNN0ClaimsY Y59144444American Postal Workers Union Health PlanCOMMERCIALDNClaims1 59244444American Postal Workers Union Health PlanCOMMERCIALHXNN0ERA 59344444American Postal Workers Union Health PlanCOMMERCIALMXNN0ERA 59444444American Postal Workers Union Health PlanCOMMERCIALMBNN0ClaimsY Y59548055American Progressive Life and Health Insurance CompanyCOMMERCIALHBNN0Claims4Y Y59648055American Progressive Life and Health Insurance CompanyCOMMERCIALMBNN0Claims4Y Y59742011American Republic InsuranceCOMMERCIALHBNN1ClaimsYYYMedicare Supplement COB claims only accepted via electronic Medicare crossover59842011American Republic InsuranceCOMMERCIALHBSS0ERA Medicare Supplement COB claims only accepted via electronic Medicare crossover59942011American Republic InsuranceCOMMERCIALHXNN0EFT Medicare Supplement COB claims only accepted via electronic Medicare crossover60042011American Republic InsuranceCOMMERCIALHXNN0Remittance Image Medicare Supplement COB claims only accepted via electronic Medicare crossover60142011American Republic InsuranceCOMMERCIALMBNN1ClaimsYYYMedicare Supplement COB claims only accepted via electronic Medicare crossover60242011American Republic InsuranceCOMMERCIALMXNN0EFT Medicare Supplement COB claims only accepted via electronic Medicare crossover60342011American Republic InsuranceCOMMERCIALMXNN0Remittance Image Medicare Supplement COB claims only accepted via electronic Medicare crossover60442011American Republic InsuranceCOMMERCIALMXSS0ERA Medicare Supplement COB claims only accepted via electronic Medicare crossover60543146American Specialty HealthCOMMERCIALMBNN0Claims4 60656195American Trust Administrators Inc.COMMERCIALMBNN1ClaimsYYY60756195American Trust Administrators Inc.COMMERCIALHBNN1ClaimsYYY60856195American Trust Administrators Inc.COMMERCIALDNClaims1 609TH117American Whole Health NetworksCOMMERCIALMBNN0Claims2AYNN61037322American Worker Health PlanCOMMERCIALHBNN2ClaimsAYNN61137322American Worker Health PlanCOMMERCIALMBNN2ClaimsAYNN61220553Americas 1st Choice Health Plans of South Carolina Inc.COMMERCIALHBNN0Claims3YYY61320553Americas 1st Choice Health Plans of South Carolina Inc.COMMERCIALMBNN0Claims3YYY61455349Americas 1st Choice of South Carolina IncCOMMERCIALHBNN0Claims2YYY61555349Americas 1st Choice of South Carolina IncCOMMERCIALMBNN0Claims2YYY61658379Americas Choice Healthplans LLCCOMMERCIALHXNS0ERA Echo is returning 835s for payer ID 20029. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer61758379Americas Choice Healthplans LLCCOMMERCIALMXNS0ERA Echo is returning 835s for payer ID 20029. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer61827514AmerigroupCOMMERCIALHBNN0Claims4AYYY61927514AmerigroupCOMMERCIALHXNN0EFT Providers must enroll with their Amerigroup PIN as the Provider ID. Medicaid providers can call 1-800-454-3730. Medicare providers can call 1-866-805-4589. Otherwise the PIN is located on the first page of the EOP under the Tax ID.62027514AmerigroupCOMMERCIALMBNN0Claims4AYYY62127514AmerigroupCOMMERCIALMXNN0EFT Providers must enroll with their Amerigroup PIN as the Provider ID. Medicaid providers can call 1-800-454-3730. Medicare providers can call 1-866-805-4589. Otherwise the PIN is located on the first page of the EOP under the Tax ID.62277002Amerihealth Caritas District of ColumbiaCOMMERCIALMNNN0Claims4YYYFor EDI support please e-mail edi.dc@ amerihealthdc.com or call 1-888-656-238362377002Amerihealth Caritas District of ColumbiaCOMMERCIALHXNS0ERA For EDI support please e-mail edi.dc@amerihealthdc.com or call 1-888-656-2383.62477002Amerihealth Caritas District of ColumbiaCOMMERCIALHXNN0Remittance Image 62577002Amerihealth Caritas District of ColumbiaCOMMERCIALHXNN0EFT 62677002Amerihealth Caritas District of ColumbiaCOMMERCIALHNNN0Claims4YYYFor EDI support please e-mail edi.dc@ amerihealthdc.com or call 1-888-656-238362777002Amerihealth Caritas District of ColumbiaCOMMERCIALMXNN0EFT 62877002Amerihealth Caritas District of ColumbiaCOMMERCIALMXNS0ERA For EDI support please e-mail edi.dc@ amerihealthdc.com or call 1-888-656-238362977002Amerihealth Caritas District of ColumbiaCOMMERCIALMXNN0Remittance Image 63077007Amerihealth VIP Care- DCCOMMERCIALHXNN0Claims1YYYAmerihealth VIP Select and Amerihealth VIP Care payer is effective 1/1/2014 Medicare Advantage Plan part of the AmeriHealth Caritas Family of Companies. All claims prior to 1/1/14 will be rejected63177007Amerihealth VIP Care- DCCOMMERCIALHXNN0EFT AmeriHealth VIP Care is effective 1/1/2014. Please note that this payer encourages early enrollment for EFT/ERA services. Please visit http://www.emdeon.com/epayment/ to early enroll.63277007Amerihealth VIP Care- DCCOMMERCIALHXNN0Remittance Image 63377007Amerihealth VIP Care- DCCOMMERCIALHXNS0ERA AmeriHealth VIP Care is effective 1/1/2014. Please note that this payer encourages early enrollment for EFT/ERA services. Please visit http://www.emdeon.com/epayment/ to early enroll.63477007Amerihealth VIP Care- DCCOMMERCIALMXNN0Claims1YYYAmerihealth VIP Select and Amerihealth VIP Care payer is effective 1/1/2014 Medicare Advantage Plan part of the AmeriHealth Caritas Family of Companies. All claims prior to 1/1/14 will be rejected63577007Amerihealth VIP Care- DCCOMMERCIALMXNN0EFT AmeriHealth VIP Care is effective 1/1/2014. Please note that this payer encourages early enrollment for EFT/ERA services. Please visit http://www.emdeon.com/epayment/ to early enroll.63677007Amerihealth VIP Care- DCCOMMERCIALMXNN0Remittance Image 63777007Amerihealth VIP Care- DCCOMMERCIALMXNS0ERA AmeriHealth VIP Care is effective 1/1/2014. Please note that this payer encourages early enrollment for EFT/ERA services. Please visit http://www.emdeon.com/epayment/ to early enroll.63877006Amerihealth VIP Care- LACOMMERCIALHXNN0Claims1YYYAmerihealth VIP Select and Amerihealth VIP Care payer is effective 1/1/2014 Medicare Advantage Plan part of the AmeriHealth Caritas Family of Companies. All claims prior to 1/1/14 will be rejected63977006Amerihealth VIP Care- LACOMMERCIALHXNN0EFT AmeriHealth VIP Select is effective 1/1/2014. Please note that this payer encourages early enrollment for EFT/ERA services. Please visit http://www.emdeon.com/epayment/ to early enroll.64077006Amerihealth VIP Care- LACOMMERCIALMXNN0ERA AmeriHealth VIP Select is effective 1/1/2014. Please note that this payer encourages early enrollment for EFT/ERA services. Please visit http://www.emdeon.com/epayment/ to early enroll.64177006Amerihealth VIP Care- LACOMMERCIALMXNN0Remittance Image 64277006Amerihealth VIP Care- LACOMMERCIALMXNN0EFT AmeriHealth VIP Select is effective 1/1/2014. Please note that this payer encourages early enrollment for EFT/ERA services. Please visit http://www.emdeon.com/epayment/ to early enroll.64377006Amerihealth VIP Care- LACOMMERCIALHXNN0Remittance Image 64477006Amerihealth VIP Care- LACOMMERCIALHXNN0ERA AmeriHealth VIP Select is effective 1/1/2014. Please note that this payer encourages early enrollment for EFT/ERA services. Please visit http://www.emdeon.com/epayment/ to early enroll.64577006Amerihealth VIP Care- LACOMMERCIALMXNN0Claims1YYYAmerihealth VIP Select and Amerihealth VIP Care payer is effective 1/1/2014 Medicare Advantage Plan part of the AmeriHealth Caritas Family of Companies. All claims prior to 1/1/14 will be rejected64647009Ameritas Life Insurance Corp.COMMERCIALDYERA 64747009Ameritas Life Insurance Corp.COMMERCIALDNClaims2 64872630Ameritas Life Insurance Corp. of New YorkCOMMERCIALDNClaims2 64972630Ameritas Life Insurance Corp. of New YorkCOMMERCIALDYERA 65024818Amida CareCOMMERCIALHBNN0ClaimsYYYFormerly known as VidaCare65124818Amida CareCOMMERCIALMBNN0ClaimsYYYFormerly known as VidaCare65279966Amida Care MedicareCOMMERCIALHBNN0Claims2Y 65379966Amida Care MedicareCOMMERCIALMBNN0Claims2Y 65438255Amway CorporationCOMMERCIALDNClaims1 (Formerly Amway Corporation/Dental)65553085Anchor Benefit Consulting Inc.COMMERCIALDNClaims4 65653085Anchor Benefit Consulting Inc.COMMERCIALHBNN1Claims4AYNY65753085Anchor Benefit Consulting Inc.COMMERCIALMBNN1Claims4AYNY65886062Ancillary Benefit Services (ABS)COMMERCIALMNNN3Claims2A 65986062Ancillary Benefit Services (ABS)COMMERCIALHNNN3Claims2A 66075299Angeles IPA (SynerMed)COMMERCIALMXNN0Remittance Image 66175299Angeles IPA (SynerMed)COMMERCIALMXNN0EFT 66275299Angeles IPA (SynerMed)COMMERCIALMBNN0ClaimsYYY66375299Angeles IPA (SynerMed)COMMERCIALHXNN0Remittance Image 66475299Angeles IPA (SynerMed)COMMERCIALHXNN0EFT 66575299Angeles IPA (SynerMed)COMMERCIALHBNN0ClaimsYYY666CX083Anthem HMO Colorado - HMO-BCOMMERCIALDNClaims Admin by LIBERTY Dental Plan667CX083Anthem Health Plans - HMOD & HMOGCOMMERCIALDNClaims Admin by LIBERTY Dental Plan668CX083Anthem Health Plans of Kentucky - OSB High & LowCOMMERCIALDNClaims Admin by LIBERTY Dental Plan669CX083Anthem Health Plans of Virginia - OSB High & LowCOMMERCIALDNClaims Admin by LIBERTY Dental Plan670CX083Anthem Health Plans of Virginia - PPOB & PPODCOMMERCIALDNClaims Admin by LIBERTY Dental Plan671CX083Anthem Insurance - OSB High & LowCOMMERCIALDNClaims Admin by LIBERTY Dental Plan672CX083Anthem Insurance - PPOB & PPODCOMMERCIALDNClaims Admin by LIBERTY Dental Plan67334196Apex Benefit ServicesCOMMERCIALHBNN1Claims4AYYYApex is also a Medicaid payer and will accept claims with either a Medicaid or Commercial classification67434196Apex Benefit ServicesCOMMERCIALMBNN1Claims4AYYYApex is also a Medicaid payer and will accept claims with either a Medicaid or Commercial classification675APP01AppleCare Medical ManagementCOMMERCIALMBNN0Claims2 67616120Araz GroupCOMMERCIALHBNN0ClaimsY Y67752312Arbor Health PlanCOMMERCIALHXNN0EFT 67852312Arbor Health PlanCOMMERCIALHXNN0Remittance Image 67952312Arbor Health PlanCOMMERCIALHXNS0ERA4 Medicaid Managed Care Plan part of the Amerihealth Caritas Family of Companies.For EDI support please e-mail edi@arborhealthplan.com or call 1-877-693-8483.68052312Arbor Health PlanCOMMERCIALMXNN0Claims4AYYYMedicaid Managed Care Plan part of the Amerihealth Caritas Family of Companies.For EDI support please e-mail edi@arborhealthplan.com or call 1-877-693-8483.68152312Arbor Health PlanCOMMERCIALHNNN0Claims4AYYYMedicaid Managed Care Plan part of the Amerihealth Caritas Family of Companies.For EDI support please e-mail edi@arborhealthplan.com or call 1-877-693-8483.68252312Arbor Health PlanCOMMERCIALMXNN0EFT 68352312Arbor Health PlanCOMMERCIALMXNS0ERA4 Medicaid Managed Care Plan part of the Amerihealth Caritas Family of Companies.For EDI support please e-mail edi@arborhealthplan.com or call 1-877-693-8483.68452312Arbor Health PlanCOMMERCIALMXNN0Remittance Image 68577045Arcadian Management Services IncCOMMERCIALHBNN0Claims4Y Y68677045Arcadian Management Services IncCOMMERCIALMBNN0Claims4Y Y68777045Arcadian Management Services IncCOMMERCIALHXNN0Remittance Image 68877045Arcadian Management Services IncCOMMERCIALMXNN0Remittance Image 689ARGUSArgus Dental PlansCOMMERCIALHBNN0Claims2 690ARGUSArgus Dental PlansCOMMERCIALDNClaims 691ARGUSArgus Dental PlansCOMMERCIALMBNN0Claims2 69268069Arizona Cenpatico Behavioral HealthCOMMERCIALHXNR0ERA 69386062Arizona Foundation for Medical Care (AFMC)COMMERCIALHNNN3Claims2A 69486062Arizona Foundation for Medical Care (AFMC)COMMERCIALMNNN3Claims2A 69527154Arizona Priority Care PlusCOMMERCIALHXNN0ClaimsYNN69627154Arizona Priority Care PlusCOMMERCIALMXNN0ClaimsYNN69775278Arkansas Best Corporation - Choice BenefitsCOMMERCIALHXSS0ERA 69875278Arkansas Best Corporation - Choice BenefitsCOMMERCIALDNClaims1 69975278Arkansas Best Corporation - Choice BenefitsCOMMERCIALHBNN0Claims1 70075278Arkansas Best Corporation - Choice BenefitsCOMMERCIALMBNN0Claims1 70175278Arkansas Best Corporation - Choice BenefitsCOMMERCIALMXSS0ERA 70236335Arkansas Managed Care Organization Inc. (AMCO)COMMERCIALHBNN1ClaimsYYN70336335Arkansas Managed Care Organization Inc. (AMCO)COMMERCIALMBNN1ClaimsYYN70487726Arnett Health PlanCOMMERCIALMBNN1Claims4AYYYFormer Payer ID 9544070587726Arnett Health PlanCOMMERCIALHBNN1Claims4AYYYFormer Payer ID 95440706NMM01Arroyo Vista Family Health CenterCOMMERCIALMBNN0Claims2 70716180AspenCOMMERCIALDNClaims 70816180AspenCOMMERCIALHBNN0ClaimsAY N70916180AspenCOMMERCIALMBNN0ClaimsAY N71046156Aspire Health PlanCOMMERCIALHBNN0ClaimsA 71146156Aspire Health PlanCOMMERCIALMBNN0ClaimsA 71213788Associated Administrators LLC.COMMERCIALMXNN0ERA 71313788Associated Administrators LLC.COMMERCIALMXNN0Remittance Image 71413788Associated Administrators LLC.COMMERCIALHXNN0EFT 71513788Associated Administrators LLC.COMMERCIALHXNN0Remittance Image 71613788Associated Administrators LLC.COMMERCIALMXNN0EFT 71713788Associated Administrators LLC.COMMERCIALHXNN0ERA 71836326Associates for Health Care Inc. (AHC)COMMERCIALMBNN0Claims2Y 71936326Associates for Health Care Inc. (AHC)COMMERCIALHBNN0Claims2Y 72037294Association Services of WACOMMERCIALMXNN0Remittance Image 721L0150Association de Maestros ((PROSSAM)COMMERCIALHXNS0ERA4 For issues with ERA contact the Payer at 787-767-2020722L0150Association de Maestros ((PROSSAM)COMMERCIALMBNN0Claims4 723L0150Association de Maestros ((PROSSAM)COMMERCIALMXNS0ERA4 For issues with ERA contact the Payer at 787-767-2020724L0150Association de Maestros ((PROSSAM)COMMERCIALHBNN0Claims4 72570408Assurant Employee BenefitsCOMMERCIALDNClaims4 PO Box 2940 Clinton IA 5273372641099Assurant HealthCOMMERCIALDNClaims3 PO Box 2877 Clinton IA 5273372741099Assurant HealthCOMMERCIALDYERA PO Box 2877 Clinton IA 5273372839065Assurant Health ( IM & GROUP FULLY - INSURED )COMMERCIALDYERA POBox 2806 Clinton IA 5273372939065Assurant Health ( IM & GROUP FULLY - INSURED )COMMERCIALDNClaims3 PO Box 2806 Clinton IA 5273373039065Assurant Health (IM & GROUP FULLY - INSURED )COMMERCIALDYEFT 73139065Assurant Health (IM & GROUP FULLY-INSURED)COMMERCIALHXNN0EFT 73239065Assurant Health (IM & GROUP FULLY-INSURED)COMMERCIALHBNN1Claims4Y Y73339065Assurant Health (IM & GROUP FULLY-INSURED)COMMERCIALMXSS0ERA 73439065Assurant Health (IM & GROUP FULLY-INSURED)COMMERCIALHXSS0ERA 73539065Assurant Health (IM & GROUP FULLY-INSURED)COMMERCIALMBNN1Claims4Y Y73639065Assurant Health (IM & GROUP FULLY-INSURED)COMMERCIALMXNN0EFT 73775068Assurant Health Self FundedCOMMERCIALHBNN0ClaimsAYYYMUST VERIFY ALL CLAIMS SHOULD GO TO ALLIED BENEFIT for Assurant Health self funded groups with plan effective dates after 5/1/201373875068Assurant Health Self FundedCOMMERCIALMBNN0ClaimsAYYYMUST VERIFY ALL CLAIMS SHOULD GO TO ALLIED BENEFIT for Assurant Health self funded groups with plan effective dates after 5/1/201373937313Assurant Health Self-Funded (Ft. Mill SC)COMMERCIALMBNN0Claims1AYNNMUST VERIFY ALL CLAIMS SHOULD GO TO KBA IN FT. MILL SC -Assurant Health self funded groups with plan effective dates prior to 5/1/201374037313Assurant Health Self-Funded (Ft. Mill SC)COMMERCIALHBNN0Claims1AYNNMUST VERIFY ALL CLAIMS SHOULD GO TO KBA IN FT. MILL SC -Assurant Health self funded groups with plan effective dates prior to 5/1/201374158730Assurant Health/ASA (Assurant Health members with ASA PPO Network)COMMERCIALHXNN0ClaimsYYYASA PPO Network (aka Aetna Signature Administrators? PPO Network)74258730Assurant Health/ASA (Assurant Health members with ASA PPO Network)COMMERCIALMXNN0ClaimsYYYASA PPO Network (aka Aetna Signature Administrators? PPO Network)74370408Assurant Inc.COMMERCIALDNClaims4 PO Box 2940 Clinton IA 5273374474240Assured Benefits AdministratorsCOMMERCIALDNClaims2 74574240Assured Benefits AdministratorsCOMMERCIALMBNN1Claims4AYNY74674240Assured Benefits AdministratorsCOMMERCIALHBNN0Claims4AYNY74793221Asuris NorthwestCOMMERCIALHBNN0Claims4YYY74893221Asuris NorthwestCOMMERCIALMBNN0Claims4YYY749SX179Asuris Northwest/MedAdvantageCOMMERCIALMBNN0ClaimsAY YPayer must receive REF*1B*Provider ID in Billing and Rendering even when NPI is submitted.75095691Athens Area Health Plan SelectCOMMERCIALDNClaims1 75195691Athens Area Health Plan SelectCOMMERCIALHBNN0Claims1YYY75295691Athens Area Health Plan SelectCOMMERCIALMBNN0Claims1YYY753CX085Atlantic Dental Inc. (ADI) - CommercialCOMMERCIALDNClaims 75422285Atlantic Medical InsuranceCOMMERCIALHBNN0ClaimsY N75522285Atlantic Medical InsuranceCOMMERCIALMBNN0ClaimsY N756TH004Atlas AdministratorsCOMMERCIALMBNN0Claims2YNNCurrently only accepts UCO Providers. The group number must be 8 characters in length. Only one of the characters can be a dash. If the group number is entered then the group name must also be entered.75734148Aultcare CorporationCOMMERCIALHXNN0Remittance Image 758Aultcare CorporationCOMMERCIALMXNN0Remittance Image 75937242Aultra Administrative GroupCOMMERCIALHBNN1Claims4YNYPayer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton OH 44735-527676037242Aultra Administrative GroupCOMMERCIALMBNN1Claims4YNYPayer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton OH 44735-527676138259Automated Benefit ServicesCOMMERCIALHBNN1Claims4AYNY76238259Automated Benefit ServicesCOMMERCIALMBNN1Claims4AYNY76338259Automated Benefit ServicesCOMMERCIALMXNN0Remittance Image 76437280Automated Group Administration Inc.COMMERCIALHBNN1Claims1Y NPlease send these EDI claims to the Payer ID of the PPO shown on the Member's ID Card. If you have any questions please call 260-489-6447 (703).76537280Automated Group Administration Inc.COMMERCIALMBNN1Claims1Y NPlease send these EDI claims to the Payer ID of the PPO shown on the Member's ID Card. If you have any questions please call 260-489-6447 (703).76637280Automated Group Administration Inc. (AGA)COMMERCIALDNClaims 76726202AuxiantCOMMERCIALHXNN0EFT 76826202AuxiantCOMMERCIALHXNN0Remittance Image 76926202AuxiantCOMMERCIALHXNN0ERA 77026202AuxiantCOMMERCIALMXNN0EFT 77126202AuxiantCOMMERCIALMXNN0Remittance Image 77226202AuxiantCOMMERCIALMXNN0ERA 77359274AvMed Inc.COMMERCIALHBNN0Claims4AY Y77459274AvMed Inc.COMMERCIALHXNN0EFT 77559274AvMed Inc.COMMERCIALHXSS0ERA Providers must enroll for EFT in order to receive electronic remittance http://www.emdeon.com/epayment/enrollment/index.php.77659274AvMed Inc.COMMERCIALMBNN0Claims4AY YThe Insured ID and Patient ID fro this payer must be the 11-digit Member ID.77759274AvMed Inc.COMMERCIALMXNN0EFT 77859274AvMed Inc.COMMERCIALMXSS0ERA Providers must enroll for EFT in order to receive electronic remittance http://www.emdeon.com/epayment/enrollment/index.php.779AVA01Avalon Administrative ServicesCOMMERCIALMBNR0Claims4 Payer requires Enrollment. Payer facilitates. You must contact the payer directly at Provider Services @ 855-895-1676780AVA01Avalon Administrative ServicesCOMMERCIALMXNN0ERA Payer requires Enrollment. Payer facilitates. You must contact the payer directly at Provider Services @ 855-895-167678146045Avera Health PlansCOMMERCIALHBNN0Claims4AYYY78246045Avera Health PlansCOMMERCIALMBNN0Claims4AYYY78348055AveraAdvantageCOMMERCIALHBNN0Claims4Y Y78448055AveraAdvantageCOMMERCIALMBNN0Claims4Y Y78586098AvesisCOMMERCIALDNClaims2 S78687098Avesis Third Party AdministratorsCOMMERCIALMBNN0Claims1Y YThis payer is live for VISION CLAIMS ONLY.78749153BCI Administrators Inc.COMMERCIALDNClaims1 78849153BCI Administrators Inc.COMMERCIALMNNN1Claims1 78949153BCI Administrators Inc.COMMERCIALHNNN1Claims1 79056139BENEFIT MANAGEMENT SERVICESCOMMERCIALMBNN0Claims 79156139BENEFIT MANAGEMENT SERVICESCOMMERCIALHBNN0Claims 79284129BHI (Behavioral Health Inc.)COMMERCIALHXNS0ERA 79384129BHI (Behavioral Health Inc.)COMMERCIALHXNN0EFT 79484129BHI (Behavioral Health Inc.)COMMERCIALMXNS0ERA 79584129BHI (Behavioral Health Inc.)COMMERCIALMXNN0EFT 79644219BHP-UnityCOMMERCIALDNClaims1 79767668BHSF InternationalCOMMERCIALMBNN0Claims4Y Y79813337BMC HealthNet PlanCOMMERCIALHBNN0ClaimsAY YSubmissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.79913337BMC HealthNet PlanCOMMERCIALMBNN0ClaimsAY YSubmissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.80073139BMI Health PlansCOMMERCIALMXNN0Remittance Image 801CallBSICOMMERCIALMBNN0Claims2 To obtain the payer ID please call (440) 262-1160.802CallBSICOMMERCIALHBNN0Claims2 To obtain the payer ID please call (440) 262-1160.803BKRFMBakersfield Family Medical CenterCOMMERCIALMBNN0Claims2 80477005Bakersfield Family Medical GroupCOMMERCIALHBNN0Claims 80577005Bakersfield Family Medical GroupCOMMERCIALMBNN0Claims 80636066Bankers Life & CasualtyCOMMERCIALHBNS0ERA 80736066Bankers Life & CasualtyCOMMERCIALMBNS0ERA 808SX145Banner HealthCOMMERCIALMXNN0Remittance Image 809SX145Banner HealthCOMMERCIALMXNN0EFT EFT is LIVE however to receive EFT if submitting claims under SX145 you must enroll for EFT under 12X42.810SX145Banner HealthCOMMERCIALDNClaims1 811SX145Banner HealthCOMMERCIALMXNS0ERA Any providers wanting to receive ERAs from Banner Health please enroll with payer ID 12X42. Payer ID SX145 will no longer be used beginning January of 2015.81212X42Banner Health - HealthNet SeniorCOMMERCIALDNEFT 81312X42Banner Health - HealthNet SeniorCOMMERCIALHNNN1Claims1AYYY81412X42Banner Health - HealthNet SeniorCOMMERCIALHXNN0EFT 81512X42Banner Health - HealthNet SeniorCOMMERCIALHXNN0Remittance Image 81612X42Banner Health - HealthNet SeniorCOMMERCIALHXNS0ERA 81712X42Banner Health - HealthNet SeniorCOMMERCIALMXNN0EFT 81812X42Banner Health - HealthNet SeniorCOMMERCIALMXNN0Remittance Image 81912X42Banner Health - HealthNet SeniorCOMMERCIALMXNS0ERA 82012X42Banner Health - UHC Medicare AdvantageCOMMERCIALHXNN0EFT 82112X42Banner Health - UHC Medicare AdvantageCOMMERCIALHNNN1Claims1AYYY82212X42Banner Health - UHC Medicare AdvantageCOMMERCIALDNEFT 82312X42Banner Health - UHC Medicare AdvantageCOMMERCIALHXNN0Remittance Image 82412X42Banner Health - UHC Medicare AdvantageCOMMERCIALMXNS0ERA 82512X42Banner Health - UHC Medicare AdvantageCOMMERCIALMXNN0Remittance Image 82612X42Banner Health - UHC Medicare AdvantageCOMMERCIALMXNN0EFT 82712X42Banner Health - UHC Medicare AdvantageCOMMERCIALHXNS0ERA 828SX145Banner Health AZCOMMERCIALMXNN1Claims1AYYY829SX145Banner Health Co - ROCKY MOUNTAIN HMO GREELEYCOMMERCIALMXNN1Claims1AYYY830SX145Banner Health Co. - ANTERO GREELEYCOMMERCIALMXNN1Claims1AYYY831SX145Banner Health Co. - ANTERO HIGH PLAINSCOMMERCIALMXNN1Claims1AYYY832SX145Banner Health Co. - ANTERO MOUNTAIN SHADOWSCOMMERCIALMXNN1Claims1AYYY833SX145Banner Health Co. - CHOICE PLUSCOMMERCIALMXNN1Claims1AYYY834SX145Banner Health Co. - HMO GREELEYCOMMERCIALMXNN1Claims1AYYY835SX145Banner Health Co. - HMO HIGH PLAINSCOMMERCIALMXNN1Claims1AYYY836SX145Banner Health Co. - HMO MOUNTAIN SHADOWSCOMMERCIALMXNN1Claims1AYYY837SX145Banner Health Co. - PACIFICARE GREELEYCOMMERCIALMXNN1Claims1AYYY838SX145Banner Health Co. - PACIFICARE HIGH PLAINSCOMMERCIALMXNN1Claims1AYYY839SX145Banner Health Co. - PACIFICARE MOUNTAIN SHADOWSCOMMERCIALMXNN1Claims1AYYY840SX145Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINSCOMMERCIALMXNN1Claims1AYYY841SX145Banner Health Co. - SECURE HORIZONS GREELEYCOMMERCIALMXNN1Claims1AYYY842SX145Banner Health Co. - SECURE HORIZONS HIGH PLAINSCOMMERCIALMXNN1Claims1AYYY843SX145Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWSCOMMERCIALMXNN1Claims1AYYY84412X42Banner Plan AdministrationCOMMERCIALMXNN0EFT 84512X42Banner Plan AdministrationCOMMERCIALMXNN0Remittance Image 84612X42Banner Plan AdministrationCOMMERCIALMXNS0ERA 84712X42Banner Plan AdministrationCOMMERCIALDNEFT 84812X42Banner Plan AdministrationCOMMERCIALHNNN1Claims1AYYY84912X42Banner Plan AdministrationCOMMERCIALHXNN0EFT 85012X42Banner Plan AdministrationCOMMERCIALHXNN0Remittance Image 85112X42Banner Plan AdministrationCOMMERCIALHXNS0ERA 85212X42Banner Plan AdministrationCOMMERCIALMBNN1ClaimsA 85312X42Banner Plan Administration - Choice Plus and Select 500COMMERCIALDNEFT 85412X42Banner Plan Administration - Choice Plus and Select 500COMMERCIALHNNN1Claims1AYYY85512X42Banner Plan Administration - Choice Plus and Select 500COMMERCIALMXNS0ERA 85612X42Banner Plan Administration - Choice Plus and Select 500COMMERCIALMXNN0Remittance Image 85712X42Banner Plan Administration - Choice Plus and Select 500COMMERCIALMXNN0EFT 85812X42Banner Plan Administration - Choice Plus and Select 500COMMERCIALHXNS0ERA 85912X42Banner Plan Administration - Choice Plus and Select 500COMMERCIALHXNN0Remittance Image 86012X42Banner Plan Administration - Choice Plus and Select 500COMMERCIALHXNN0EFT 86165026Baptist Health South FloridaCOMMERCIALMBNN0ClaimsYYY86265026Baptist Health South FloridaCOMMERCIALHBNN0ClaimsYYY863NCH06Bascom Palmer Eye Care Network - New Century HealthCOMMERCIALMBNN0Claims2 864CHSBABay Area Automotive GroupCOMMERCIALDNClaims1 Administered by Health Services Benefit Administraors Inc. (HSBA)865CHSBDBay Area Delivery DriversCOMMERCIALDNClaims1 Administered by Health Services Benefit Administrators Inc. (HSBA)86659279Baycare Life ManagementCOMMERCIALHBNN0Claims2 86759279Baycare Life ManagementCOMMERCIALMBNN0Claims2 868CallBeHealthy AmericaCOMMERCIALMXNN0Claims Y869CallBeHealthy AmericaCOMMERCIALHXNN0Claims Y87043324Beacon Health StrategiesCOMMERCIALHBNN0Claims4YYY87143324Beacon Health StrategiesCOMMERCIALMBNN0Claims4YYY87295377Beech StreetCOMMERCIALMNNN1Claims 87395377Beech StreetCOMMERCIALHBNN2Claims 87463100Behavioral Health SystemsCOMMERCIALMBNN0Claims 87563100Behavioral Health SystemsCOMMERCIALHBNN0Claims 87668241Bell AtlanticCOMMERCIALDNClaims4 877MPMOABella Vista Med Grp IPACOMMERCIALMXNN0Claims2 87875299Bellflower Hospital (Synermed)COMMERCIALMBNN0ClaimsYYY87975299Bellflower Hospital (Synermed)COMMERCIALHBNN0ClaimsYYY88023210BeneCare Dental PlansCOMMERCIALDNClaims4 88199320Benefit & Risk Management ServicesCOMMERCIALMXNN0ClaimsAYYY88299320Benefit & Risk Management ServicesCOMMERCIALHBNN0Claims2AYYY88332748Benefit Administration ServicesCOMMERCIALMXNN0Remittance Image 88436149Benefit Administrative SystemsCOMMERCIALMXNN0Remittance Image 88536149Benefit Administrative SystemsCOMMERCIALMBNN0Claims 88636149Benefit Administrative SystemsCOMMERCIALMXSS0ERA 88736149Benefit Administrative SystemsCOMMERCIALDNClaims1 88836149Benefit Administrative SystemsCOMMERCIALHBNN0Claims 88936149Benefit Administrative SystemsCOMMERCIALHXNN0Remittance Image 89036149Benefit Administrative SystemsCOMMERCIALHXSS0ERA 89181140Benefit Assistance Corp.COMMERCIALMXNN0Remittance Image 89225145Benefit Coordinators Corporation (Pittsburgh PA)COMMERCIALMBNN0Claims2 Payer ID valid only for claims with a billing submission address of 111 Ryan Court Suite 300 Pittsburgh PA 15205.89325145Benefit Coordinators Corporation (Pittsburgh PA)COMMERCIALHBNN0Claims2 Payer ID valid only for claims with a billing submission address of 111 Ryan Court Suite 300 Pittsburgh PA 15205.89425145Benefit Coordinators Corporation (Pittsburgh PA)COMMERCIALDNClaims Payer ID valid only for claims with a submission address of 111 Ryan Court Suite 300 Pittsburgh PA 15205.895R7003Benefit Inc.COMMERCIALDNClaims 896R7003Benefit Inc.COMMERCIALDYERA 89727172Benefit Management Administrators LLCCOMMERCIALMXNN0Remittance Image 898Benefit Management Group-NVCOMMERCIALMBNN0ClaimsA Providers submit to 36459 for HSC Coalition Hospital Dental BHO or NON PPO CLAIMS ONLY. All others should be filed with CIGNA ID 62308.89956139Benefit Management Services IncCOMMERCIALDNClaims1 90037212Benefit Management Systems IncCOMMERCIALMBNN1Claims1 90137212Benefit Management Systems IncCOMMERCIALMXNN0Remittance Image 90237212Benefit Management Systems IncCOMMERCIALDNClaims 90337212Benefit Management Systems IncCOMMERCIALHBNN1Claims1 90448611Benefit Management Inc. of KSCOMMERCIALMBNN0Claims1YNNThis payer will only accept medical and hospital claims for these groups listed: BMI187BMI219BMI234BMI236BMI214.BMI241BMI617 BMI245.BMI24690548611Benefit Management Inc. of KSCOMMERCIALHBNN0Claims1YNNThis payer will only accept medical and hospital claims for these groups listed: BMI187BMI219BMI234BMI236BMI214.BMI241BMI617 BMI245.BMI24690648611Benefit Management Inc. of KSCOMMERCIALDNClaims1 For Dental providers any group is accepted as long as the group number on the participant's card starts with BMI###.90758379Benefit Plan AdministratorsCOMMERCIALHXNS0ERA Echo is returning 835s for payer ID 39081. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer90858379Benefit Plan AdministratorsCOMMERCIALMXNS0ERA Echo is returning 835s for payer ID 39081. Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer90988052Benefit Plan AdministratorsCOMMERCIALMBNN1ClaimsYNN91088052Benefit Plan AdministratorsCOMMERCIALHBNN1ClaimsYNN91139081Benefit Plan Administrators Co. (Eau Claire WI)COMMERCIALMXNN0Remittance Image 91239081Benefit Plan Administrators Co. (Eau Claire WI)COMMERCIALHXNN0Remittance Image 91339081Benefit Plan Administrators Co. (Eau Claire WI)COMMERCIALMBNN1Claims1A Payer ID valid for Benefit Plan Administrators (Eau Claire WI submission address only) and Custom Benefit Administrators91439081Benefit Plan Administrators Co. (Eau Claire WI)COMMERCIALDNClaims2 Payer ID valid for Benefit Plan Administrators (Eau Claire WI submission address only) and Custom Benefit Administrators91539081Benefit Plan Administrators Co. (Eau Claire WI)COMMERCIALHBNN0Claims1A Payer ID valid for Benefit Plan Administrators (Eau Claire WI submission address only) and Custom Benefit Administrators91637118Benefit Plan Administrators IncCOMMERCIALHBNN1Claims 91737118Benefit Plan Administrators IncCOMMERCIALMBNN1Claims 91837118Benefit Plan Administrators Inc. (Roanoke VA)COMMERCIALHXNN0Remittance Image 91937118Benefit Plan Administrators Inc. (Roanoke VA)COMMERCIALMXNN0Remittance Image 92058379Benefit Plan Services IncCOMMERCIALMXNS0ERA Echo is returning 835s for payer ID . Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer92158379Benefit Plan Services IncCOMMERCIALHXNS0ERA Echo is returning 835s for payer ID . Providers will need to enroll with Emdeon for payer ID 58379 with Emdeon in order to receive these 835s for this payer922CallBenefit ServicesCOMMERCIALMXNN0Remittance Image 923CallBenefit ServicesCOMMERCIALHXNN0Remittance Image 92434178Benefit Services Inc. (Akron OH)COMMERCIALHBNN0ClaimsY Y92536342Benefit Systems & Services Inc.COMMERCIALDNClaims1Y Now known as Total Broker Benefits Payer ID 3634292636342Benefit Systems & Services Inc.COMMERCIALHBNN1ClaimsY Now known as Total Broker Benefits Payer ID 3634292736342Benefit Systems & Services Inc.COMMERCIALMBNN1ClaimsY Now known as Total Broker Benefits Payer ID 3634292844357Benefits Administration CorporationCOMMERCIALMXNN0EFT Provider must be enrolled for EFT in order to receive ERA.92944357Benefits Administration CorporationCOMMERCIALHXNS0ERA Provider must be enrolled for EFT in order to receive ERA.93044357Benefits Administration CorporationCOMMERCIALHXNN0EFT Provider must be enrolled for EFT in order to receive ERA.93144357Benefits Administration CorporationCOMMERCIALDYERA Provider must be enrolled for EFT in order to receive ERA.93244357Benefits Administration CorporationCOMMERCIALDYEFT Provider must be enrolled for EFT in order to receive ERA.93344357Benefits Administration CorporationCOMMERCIALMXNS0ERA Provider must be enrolled for EFT in order to receive ERA.93423243Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer)COMMERCIALHBNN0Claims1AYYY93523243Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer)COMMERCIALMBNN0Claims1AYYY93610956Berkshire IntergroupCOMMERCIALHXNN0Claims1AYYY93710956Berkshire IntergroupCOMMERCIALMXNN0Claims1AYYY93895606Berkshire Lehigh PartnersCOMMERCIALHBNN0Claims1AYYY93995606Berkshire Lehigh PartnersCOMMERCIALMBNN0Claims1AYYY94095604Best Life & Health Insurance Co.COMMERCIALDNClaims2 941Best Life & Health Insurance Co.COMMERCIALHBNN0Claims4YNN942Best Life & Health Insurance Co.COMMERCIALMBNN0Claims4YNN94332006Better Health Plans of South CarolinaCOMMERCIALHBNN0Claims4YYY94432006Better Health Plans of South CarolinaCOMMERCIALMBNN0Claims4YYY94562183Better Health Plans Inc.COMMERCIALHBNN0Claims4AYYYNow known as Unison Health Plan94662183Better Health Plans Inc.COMMERCIALMBNN0Claims4AYYYNow known as Unison Health Plan94712X40BienvivirCOMMERCIALHBNN0ClaimsYYY9483036Blue Benefit Administrators of MACOMMERCIALDNClaims4 9493036Blue Benefit Administrators of MACOMMERCIALHBNN0Claims2YYY9503036Blue Benefit Administrators of MACOMMERCIALMBNN0Claims2YNY951GWD01Blue Care Family PlanCOMMERCIALDYERA Administered by Golden West (Well point)952GWD01Blue Care Family PlanCOMMERCIALDNClaims1 Administered by Golden West (Well point)953BCAFDBlue Cross Blue Shield Association - FEP DentalCOMMERCIALDNClaims4 95477078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALDNClaims1 95577078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALMXNS0ERA 95677078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALHXNN0EFT 95777078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALHXNN0Remittance Image 95877078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALHXNN1Claims1AYYYThis is a Medicare Advantage Plan95977078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALHXNS0ERA 96077078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALMXNN0EFT 96177078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALDYEFT 96277078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALMXNN1Claims1AYYYThis is a Medicare Advantage Plan96377078Blue Cross Blue Shield of Arizona AdvantageCOMMERCIALMXNN0Remittance Image 96432002Blue Cross Blue Shield of MichiganCOMMERCIALHXNN0EFT 96532002Blue Cross Blue Shield of MichiganCOMMERCIALHXNN0Remittance Image 96632002Blue Cross Blue Shield of MichiganCOMMERCIALHXNS0ERA 96732002Blue Cross Blue Shield of MichiganCOMMERCIALMXNN0EFT 96832002Blue Cross Blue Shield of MichiganCOMMERCIALMXNN0Remittance Image 96932002Blue Cross Blue Shield of MichiganCOMMERCIALMXNS0ERA 97061472Blue Cross Blue Shield of North CarolinaCOMMERCIALDNClaims1 Federal Employee Claims.97161472Blue Cross Blue Shield of North CarolinaCOMMERCIALDNClaims1 EHB Pediatric Dental Claims97261473Blue Cross Blue Shield of North CarolinaCOMMERCIALDNClaims1 Dental Blue Product973CX083Blue Cross Blue Shield of Wisconsin - PPODCOMMERCIALDNClaims Admin by LIBERTY Dental Plan97432002Blue Cross Complete of MichiganCOMMERCIALMXNS0ERA 97532002Blue Cross Complete of MichiganCOMMERCIALMBNN0Claims4Y Y97632002Blue Cross Complete of MichiganCOMMERCIALMXNN0EFT 97732002Blue Cross Complete of MichiganCOMMERCIALMXNN0Remittance Image 97832002Blue Cross Complete of MichiganCOMMERCIALHXNS0ERA 97932002Blue Cross Complete of MichiganCOMMERCIALHXNN0Remittance Image 98032002Blue Cross Complete of MichiganCOMMERCIALHXNN0EFT 98132002Blue Cross Complete of MichiganCOMMERCIALHBNN0Claims4Y Y98232002Blue Cross Complete of Michigan LLCCOMMERCIALMXNN0Remittance Image 98332002Blue Cross Complete of Michigan LLCCOMMERCIALMXNS0ERA 98432002Blue Cross Complete of Michigan LLCCOMMERCIALHXNS0ERA 98532002Blue Cross Complete of Michigan LLCCOMMERCIALMXNN0EFT 98632002Blue Cross Complete of Michigan LLCCOMMERCIALHXNN0Remittance Image 98732002Blue Cross Complete of Michigan LLCCOMMERCIALHXNN0EFT 988CBMNUBlue Cross DentalCOMMERCIALDNClaims4 Non FEP claims only98977307Blue Cross and Blue Shield of VermontCOMMERCIALMXNN0Remittance Image 99077307Blue Cross and Blue Shield of VermontCOMMERCIALHXNN0Remittance Image 99177307Blue Cross and Blue Shield of VermontCOMMERCIALMXNN0EFT Tax ID and Practice Group NPI are required for EFT enrollment.99277307Blue Cross and Blue Shield of VermontCOMMERCIALHXNN0EFT Tax