Service Centers // Provider Center 2021

EDI Services - Payer List

Active Payer List - Effective February 2021

HealthSmart Clearinghouse Payor List
 
       
Payor ID Payor Name Payor Type Transaction Type
13162 1199 Local Benefit Fund Participating Payor Professional Institutional
93044 A & I Benefit Plan Administrators Participating Payor Professional Institutional
REGAL Access IPA Regal Non-Participating Payor Professional Institutional
72467 ACS Benefit Services, Inc. Non-Participating Payor Professional Institutional
38254 Activa Benefit Services, LLC Participating Plus Payor Professional Institutional Dental
22384AC ADMINISTRATIVE CONCEPTS INCORPORATED Participating Payor Professional Institutional
25152 Advantra Freedom Non-Participating Payor Professional Institutional
25126 Advantra/Hlth America IncHealth Non-Participating Payor Professional Institutional
60054 AETNA Participating Payor Professional Institutional
57604 Aetna Affordable Health Choices Participating Payor Professional Institutional
23228 Aetna Better Health - PA Medicaid Participating Payor Professional Institutional
46320 AETNA BETTER HEALTH NEW JERSEY Non-Participating Payor Professional Institutional
62118 Aetna Senior Supplemental Insurance (Aetna SSI) Participating Payor Professional Institutional
38692 Aetna TX Medicaid & CHIP Participating Payor Professional Institutional
13334 Affinity Health Plan Non-Participating Payor Professional Institutional
64158 Agency Services Participating Payor Professional Institutional
AKBLU Alaska BCBS (Premera) Direct Government Professional
91136 Alaska Children's Services, Inc. Participating Payor Professional Institutional
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
50749 Allianz Global Assistance Non-Participating Payor Professional Institutional
37308 Allied Benefit Systems Non-Participating Payor Professional Institutional
MPM32 AlphaCare Medical Group Non-Participating Payor Professional Institutional
75137 AmeriBen Solutions, Inc. Participating Payor Professional Institutional
41178 America's PPO/TPA Non-Participating Payor Professional Institutional
26375 Americaid Dallas/Ft. Worth Participating Payor Professional Institutional
41160 American Chiropract Ntwrk IPA N Y Non-Participating Payor Professional
41161 American Chiroprctc Ntwrk (ACN) Participating Payor Professional
81400 American Medical Security Participating 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
AMNT2 American National MCC Participating Plus Payor Professional Institutional
44444 American Postal Workers Union Participating Payor Professional Institutional
ASH01 American Specialty Health, Inc. Non-Participating Payor Professional
ATHAL American Therapy Administrators, LLC Participating Payor Professional Institutional
NMAAC1 Americas Choice Health Plans Participating Payor Professional Institutional
100767 Americas Choice/EBA Participating Payor Professional Institutional
23252 AmeriHealth Administrators Direct Government Professional
77001 AmeriHealth Caritas NorthEast Participating Payor Professional Institutional
77062 AmeriHealth Caritas VIP Care Participating Payor Professional Institutional
23037 AmeriHealth HMO NJ and DE Direct Government Professional
22248 AmeriHealth Mercy Health Plan Non-Participating Payor Professional Institutional
AHPDE AmeriHealth PPO DE Direct Government Professional
AHPNJ AmeriHealth PPO NJ Direct Government Professional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
27357 Amerihealth-formerly LaCare Non-Participating Payor Professional
J1868 Amtrust North America Participating Payor Professional
53085 Anchor Benefit Consulting, Inc. Participating Plus Payor Professional Institutional Dental
00423 Anthem BCBS Virginia Participating Payor Professional Institutional
AZBLS Arizona BCBS Non-Participating Payor Professional Institutional
58375 Arizona BCBS (P3 Health Partners) Participating Payor Professional Institutional
AZFMC1 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 Participating Payor Professional
ARBLU2 Arkansas BCBS (Availity) Non-Participating Payor Professional
MC029 Arkansas Medicaid Indirect Government Professional
ARCRE Arkansas Medicare B (Novitas) Direct Government Professional
06603 ASAGEHA Participating Payor Professional Institutional
38265 ASR Corporation Participating Payor Professional Institutional
ASRM1 ASRM CORP. Non-Participating Payor Professional
36326 Associates for Health Care, Inc. Participating Payor Professional Institutional
75068 Assurant Health Self Funded Non-Participating Payor Professional Institutional
93221 Asuris NW Health Participating Payor Professional Institutional
ATLAD Atlas Adminstrators Participating Payor Professional Institutional
ABS11 Automated Benefit Services Non-Participating Payor Professional Institutional
46045 Avera Health Plans Participating Payor Professional Institutional
59274 AvMed, Inc. Non-Participating Payor Professional Institutional
66901 Banner Healthcare Participating Payor Professional Institutional
47171 BCBS KANSAS CITY Participating Payor Professional Institutional
66001 BCBSTX STAR and CHIP Medicaid Participating Payor Professional Institutional
43324 Beacon Health Strategies Non-Participating Payor Professional Institutional
36149 Benefit Administrative Systems Participating Payor Professional Institutional
56139 Benefit Management Serv. Participating Payor Professional Institutional
19753 Benefit Plan Administrators Participating Payor Professional Institutional
37118 Benefit Plan Administrators Roanoke Non-Participating Payor Professional Institutional
62183 Better Health Plans, Inc. Participating Payor Professional Institutional
66006 BLUE CROSS MEDICARE ADVANTAGE Participating Payor Professional Institutional
56152 Blue Medicare HMO/PPO Non-Participating Payor Professional
SB510 Blue Shield - Alabama Non-Participating Payor Professional
BS088 Blue Shield - Utah Non-Participating Payor Professional Institutional
BS030 Blue Shield of Iowa Non-Participating Payor Professional Institutional
13337 BMC Health Plan Non-Participating Payor Professional Institutional
52192 Bravo Health - Cigna Healthspring Participating Payor Professional Institutional
WK025 Broadspire Non-Participating Payor Professional Institutional
51037 Brokerage Concepts, Inc Non-Participating Payor Professional Institutional
BTSS1 Brown & Toland Sutter Select 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
CABL2 California BC (ERA) Participating Payor Professional Institutional
CABS1 California BS Direct Government Professional
IP059 California Cre Humboldt Del Norte Participating Payor Professional
CACRE California Medicare B-Northern Non-Participating Payor Professional
SX065 Capital District Physicians Health Non-Participating Payor Professional Institutional
68011 Capitol Administrators Participating Payor Professional Institutional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
CAPHP Caprock HealthPlans, Inc Non-Participating Payor Professional Institutional
77082 Care Improvement Plus Non-Participating Payor Professional Institutional
66010 Care N' Care Participating Payor Professional Institutional
SB690 CareFirst BCBS - Maryland Region Participating Payor Professional Institutional
SB580 CareFirst BCBS DC,Nat Capital Area Participating Payor Professional Institutional
95964 CARES ACT PROVIDER RELIEF FUND Participating Payor Professional Institutional
31114 CareSource Participating Payor Professional Institutional
68068 Cenpatico - Behavioral Participating Payor Professional Institutional
68069 Centene - Medical Participating Payor Professional Institutional
TREST Champus/Tricare East (frmly North and South) Direct Government Professional
CHTRW Champus/Tricare West Non-Participating Payor Professional Institutional
34154 Chesterfield Resources, Inc. Non-Participating Payor Professional Institutional
CMCHP Children Medical Center Health Plan Participating Payor Professional Institutional
SHPCH CHIP - Seton Health Plan Participating Payor Professional Institutional
59355 Christian Care Ministries Participating Payor Professional Institutional
52106 Christus Health Plan Texas HIX Participating Payor Professional Institutional
J1561 Chubb Services Participating Payor Professional
62308 CIGNA Participating Payor Professional Institutional
SX071 CIGNA Behavioral Health Participating Payor Professional
13285 Clover Health Participating Payor Professional Institutional
COBA1 COBA Medicare Direct Government Professional Institutional
COACC Colorado Access HMO Non-Participating Payor Professional Institutional
COBLU Colorado BS Participating Payor Professional Institutional
COCR1 Colorado Medicare B (Novitas) Direct Government Professional
73143 Comm Care Managed Hlth Cre Pln,OK Participating Payor Professional Institutional
25179 Community Care Behavioral Hlth Org Non-Participating Payor Professional Institutional
COMMF Community First Participating Payor Professional Institutional
48145 Community Health Choice Participating Payor Professional Institutional
60495 COMMUNITY HEALTH PLAN INC Participating Payor Professional Institutional
93101 Complementary HealthCare Plans Direct Payor Professional
03036 Comprehensive Bnfts Admin, Inc. Non-Participating Payor Professional Institutional
37363 Compsych Non-Participating Payor Professional Institutional
75284 Consolidated Associations of Railroad Employees Participating Payor Professional Institutional
87843 Consolidated Health Plans MA Non-Participating Payor Professional Institutional
CCHP1 Cook Childrens Health Plan Participating Payor Professional Institutional
CCHP9 Cook Childrens Star Health Plan Participating Payor Professional Institutional
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
35183 Coresource OH Non-Participating Payor Professional Institutional
58102 Covenant Administrators, Inc. Non-Participating Payor Professional Institutional
25133 Coventry Hlth Cre, Kansas, Inc. Non-Participating Payor Professional Institutional
25136 Coventry Hlth Cre, Nebraska, Inc. Non-Participating Payor Professional Institutional
88056 Cypress Benefit Administrators Participating Payor Professional Institutional
64159 DEFINITY HEALTH Participating Payor Professional Institutional
74272 Dell Childrens Health Plan Non-Participating Payor Professional Institutional
DHS01 Delta Health Systems (SDS) Participating Plus Payor Professional Institutional
J1438 Department Of Labor and Industries Non-Participating Payor Professional Institutional
SX105 Deseret Mutual Non-Participating Payor Professional
MR030 DMERC Region A Indirect Government Professional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
DMRCC DMERC Region C Direct Government Professional
74284 Driscoll Children's Health Plan Participating Payor Professional Institutional
75232 E3 Health Non-Participating Payor Professional Institutional
81039 EBMS Employee Benefit Mgmt Svcs Non-Participating Payor Professional
SX182 EBMS Professional Non-Participating Payor Professional
EPF03 EL Paso First - CHIP Participating Payor Professional Institutional
31625 ElderPlan Non-Participating Payor Professional Institutional
73288 Emphesys Non-Participating Payor Professional
95288 Employee Benefits Admin & Mgmt Direct Payor Professional Institutional
EBS13 Employee Benefits Services-nonPPO Participating Payor Professional Institutional Dental
35112 Employee Plans, LLC Participating Payor Professional Institutional
75233 Employer Health Direct Non-Participating Payor Professional
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
22254 Fallon Community Health Participating Payor Professional Institutional
14140 Farm Family Life Insurance Participating Plus Payor Professional Institutional
33033 FCE Benefit Administrators Non-Participating Payor Professional Institutional
11315 Fidelis Care NY Participating Payor Professional Institutional
87043 First Health Non-Participating Payor Professional Institutional
FHCCN1 First Health/CCN Participating Plus Payor Professional Institutional
94999 Firstcare Participating Plus Payor Professional Institutional
FLBLU Florida BCBS Indirect Government Professional Institutional
MC010 Florida Medicaid Non-Participating Payor Professional Institutional
FLCRE Florida Medicare Non-Participating Payor Professional Institutional
48117 FMH Benefit Services, Inc. Non-Participating Payor Professional Institutional
BOONG Foundation Benefits Administrator Participating Payor Professional Institutional
64069 Fox-Everett, Inc Non-Participating Payor Professional Institutional
41212 Freedom Health Plan Non-Participating Payor Professional Institutional
62324 Freedom Life Insurance Co Participating Payor Professional Institutional
59204 Fringe Benefit Coordinators, Inc. Participating Plus Payor Professional Institutional Dental
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
75273 Geisinger Health Plan Participating Payor Professional Institutional
GABL1 Georgia BCBS Direct Government Professional
GACAD Georgia Medicaid - HP 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
37602 Golden Rule Participating Payor Professional Institutional
44054 Government Employees Hosp AssocGEHA Participating Payor Professional Institutional
45275 Govnmnt Employees Health Assoc-GEHA Participating Payor Professional Institutional
95467 Great Lakes Health Plan Participating Payor Professional Institutional
80705 Great West Participating Payor Professional Institutional
36338 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
 
   
       
Payor ID Payor Name Payor Type Transaction Type
64246 Guardian Life Ins Co of America Non-Participating Payor Professional Institutional
62061 Harrington Health-Kansas (Fiserv) Non-Participating Payor Professional Institutional
HCCMI HCC LIFE INSURANCE 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
75318 Health Management Concepts Non-Participating Payor Professional Institutional
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
68035 Health Plan of San Joaquin Participating Payor Professional Institutional
44273 Health Plans Inc Participating Payor Professional Institutional
65449 HEALTH SPECIAL RISK INCORPORATED Non-Participating Payor Professional
HT001 Health Spring Participating Payor Professional
34167 Health Srv Pref. (HSP) Emerald Hlth Participating Payor Professional Institutional
73147 HealthCare Solutions Group Participating Plus Payor Professional Institutional
71064 HealthChoice Oklahoma Participating Payor Professional Institutional
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
96475 Healthlink HMO Participating Payor Professional Institutional
SB800 HealthNow BCBS of Northeastern NY (formerly BS086) Non-Participating Payor Professional
07003 HEALTHPARTNERS Participating Payor Professional Institutional
94267 Healthpartners Non-Participating Payor Professional
71084 Healthscope Benefits Participating Payor Professional Institutional
71063 HealthSCOPE Bnft Pln, PCP Only Participating Payor Professional
37212 HealthSmart BMS Participating Plus Payor Professional Institutional Dental
34145 Healthsmart Fairlawn - Direct Participating Plus Payor Professional Institutional Dental
37224 HealthSmart Memphis Participating Payor Professional Institutional Dental
37256 HealthSmart OKC (intermediate) Participating Payor Professional Institutional
25193 HealthSpring HMO Participating Payor Professional Institutional
RENGQ Healthspring Renaissance IPA Participating Plus Payor Professional
11328 Heritage New York Medical Group Non-Participating Payor Professional Institutional
36335 HFN, Inc. Participating Payor Professional Institutional
15460 Highmark Senior Health Direct Government Professional
HLPBS Hill Physicians Blue Shield PPO Participating Payor Professional Institutional
HIL01 Hill Physicians Medical Group Participating Payor Professional Institutional
HLPUH Hill Physicians United Healthcare PPO Non-Participating Payor Professional
55247 HIPHealth Ins Pln of Greater Nw Yrk Non-Participating Payor Professional Institutional
HMA01 HMA - Health Management Admin Non-Participating Payor Professional Institutional
86066 HMA Inc Non-Participating Payor Professional
88023 Hometown Health Plan Nevada Participating Payor Professional Institutional
HMLIC Horace Mann Life Insurance Company Participating Plus Payor Professional Institutional
22326 Horizon Mercy Non-Participating Payor Professional Institutional
61102 Humana (Encounters) Participating Payor Professional Institutional
61101 Humana Inc Participating Payor Professional Institutional
IDCRA Idaho Medicare A / Noridian Direct Government Institutional
39017 IE Shaffer Non-Participating Payor Professional
39015 IL Central Hospital Non-Participating Payor Professional
ILBLU Illinois BCBS Participating Payor Professional Institutional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
06102 Illinois Medicare Participating Payor Professional
72091 IMA of Louisiana, Inc. Participating Payor Professional Institutional
40585 Indecs Participating Payor Professional Institutional
INBLU Indiana BCBS - Anthem Direct Government Professional Institutional
MR041 Indiana Medicare Non-Participating Payor Professional
43471 INETICO, INC. Non-Participating Payor Professional Institutional
52196 Informed, LLC Participating Payor Professional Institutional
IEHP1 Inland Empire Health Plan Non-Participating Payor Professional Institutional
40025 Innovation Health Participating Payor Professional Institutional
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
13315 Insurance Design Administrators Participating Payor Professional Institutional
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
INTEGRA Integra Benefit Participating Payor Professional Institutional
INET1 Integranet Non-Participating Payor Professional Institutional
INTATT Integrity Administrators INTATT Participating Payor Professional Institutional Dental
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
11329 International Benefit Administrator Participating Payor Professional Institutional
IMGIN International Medical Group Participating Payor Professional Institutional
DALGEN Jefferson Life Insurance/Scan Direct Payor Professional
95378 John Deere Health Care 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
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
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
95279 Keenan Associates (CA) Non-Participating Payor Professional Institutional
KELSE Kelse Participating Payor Professional Institutional
73100 Kempton Company Non-Participating Payor Professional Institutional
CCNKEMPTON Kempton Company/CCN Direct Payor Professional Institutional
KTBCBS Kentucky BCBS - Anthem Direct Government Professional Institutional
77039 Kern Health Systems Participating Payor Professional Institutional
37217 Key Benefit Administrators Non-Participating Payor Professional Institutional
37323 Key Solutions Participating Payor Professional Institutional
37116 Lake County/St. Therese Phys Assoc Non-Participating Payor Professional Institutional
LNDMK Landmark Healthcare Non-Participating Payor Professional
10550 LASSO HEALTHCARE MSA Participating Payor Professional Institutional
90753 LHS/ MEDCOST SOLUTIONS LLC Participating Payor Professional Institutional
LIFE1 Lifeprint Participating Payor Professional Institutional
45289 Lone Star TPA Non-Participating Payor Professional
LOK01 Longevity Health Plan - OK Non-Participating Payor Professional Institutional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
23223 Loomis Non-Participating Payor Professional Institutional
LABLU Louisiana BS Non-Participating Payor Professional
LACRE Louisiana Medicare (Novitas) Direct Government Professional
47083 Lucent Health Solutions, LLC fka GMS/Cypress Participating Plus Payor Professional Institutional
01260 Magellan Health Services Participating Payor Professional Institutional
11303 MagnaCare Non-Participating Payor Professional Institutional
F62413 MailHandlers Benefit Plan Participating Payor Professional Institutional
22771 Managed Health Networks Participating Payor Professional Institutional
MARSHAD Marsh Advantage Direct Payor Professional Institutional
56205 MBS (MedCost Benefit Services) Participating Payor Professional Institutional Dental
74323 MedBen (Newark, OH) Non-Participating Payor Professional Institutional
59231 MedCom Participating Plus Payor Professional Institutional
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
94265 Medica Participating Payor Professional Institutional
12422 Medica2 Participating Payor Professional Institutional
38224 Medical Value Plan Ohio (MVP) Participating Payor Professional Institutional
SMAL0 Medicare - Alabama Non-Participating Payor Professional
MR092 Medicare-Nebraska Non-Participating Payor Professional Institutional
27005 Medova Healthcare Non-Participating Payor Professional
412MP MEDPARTNERS ADMIN SERVICES Non-Participating Payor Professional Institutional
74227 Mega Life and Health Student Ins Participating Payor Professional Institutional
TH092 Memorial Hermann Health (formerly MHHNP) Non-Participating Payor Professional Institutional
86052 Mercy Care Plan Participating Payor Professional Institutional
41124 Meritain (CBSA) Participating Payor Professional Institutional
23550 MFC & HealthPlus Peoria Non-Participating Payor Professional Institutional
47080 Midlands Choice, Inc. Non-Participating Payor Professional Institutional
MWGB01 Midwest Group Benefits Participating Plus Payor Professional Institutional
MNCRA Minnesota Medicare A / Noridian Direct Government Institutional
BS047 Mississippi Blue Shield Indirect Government Professional Institutional
77032 MISSISSIPPI MEDICAID Non-Participating Payor Professional Institutional
BS025 Missouri Blue Shield - Anthem Participating Payor Professional Institutional
38333 Molina Healthcare of California Non-Participating Payor Professional Institutional
38334 Molina Healthcare of Michigan Participating Payor Professional Institutional
NM505 Molina Healthcare of New Mexico Participating Payor Professional
20554 Molina Healthcare of Texas Non-Participating Payor Professional Institutional
38336 Molina Healthcare of Washington Non-Participating Payor Professional Institutional
20149 Molina of Ohio Non-Participating Payor Professional Institutional
MTCRA Montana Medicare A / Noridian Direct Government Institutional
MTCRE Montana Medicare B / Noridian Direct Government Professional
13174 Montefiore Contract Management Org Participating Payor Professional Institutional
20572 MSA Care Guard Non-Participating Payor Professional Institutional
81883 Municipal Health Benefit Fund Non-Participating Payor Professional Institutional
14165 MVP Health Plan Participating Payor Professional Institutional
52132 National Rrl Elctrc Coop (NRECA) Non-Participating Payor Professional Institutional
NTCA1 National Telephone Cooperative Non-Participating Payor Professional Institutional
53011 Natl Assn Letter Carriers (NALC/Aff Participating Payor Professional Institutional
75191 NCAS Charlotte Non-Participating Payor Professional Institutional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
75190 NCAS Fairfax, VA Non-Participating Payor Professional Institutional
BS058 Nebraska Blue Shield Non-Participating Payor Professional
04332 Network Health Participating Payor Professional Institutional
98798 NEW ERA LIFE INSURANCE COMPANY Non-Participating Payor Professional Institutional
NJBLU New Jersey BCBS (Horizon) Non-Participating Payor Professional Institutional
NJCRE New Jersey Medicare B (HGSA) Direct Government Professional
NMBLU New Mexico BCBS Participating Payor Professional Institutional
NMCR1 New Mexico Medicare B (Novitas) Direct Government Professional
BS063 New York Blue Shield - Central Non-Participating Payor Professional Institutional
BS033 New York Empire BS Participating Payor Professional Institutional
MC066 New York Medicaid Non-Participating Payor Professional
NYCRE New York Medicare (Empire) Non-Participating Payor Professional
NYCR2 New York Medicare (GHI) Non-Participating Payor Professional Institutional
11334 New York Network Management Participating Payor Professional
38225 NGS American Non-Participating Payor Professional Institutional
NHC01 NHC Advantage Participating Payor Professional Institutional
81264 Nippon Life Ins Co of America Non-Participating Payor Professional
64157 North American Administrators, Inc. Participating Payor Professional Institutional
NCBLU North Carolina BS Non-Participating Payor Professional
48026 NorthShore Physician Associates Non-Participating Payor Professional Institutional
36346 Northwest Suburban IPA (Illinois) Non-Participating Payor Professional Institutional
NYHART Nyhart Participating 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
OKBLU Oklahoma BCBS Participating Payor Professional Institutional
OKCAD Oklahoma Medicaid Non-Participating Payor Professional Institutional
OKCR2 Oklahoma Medicare A (Novitas) Direct Government Institutional
OKCR1 Oklahoma Medicare B (Novitas) Direct Government Professional
68037 OMNI/Medicore HP Participating Payor Professional Institutional
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
ORCRA Oregon Medicare A / Noridian Direct Government Institutional
ORCRE Oregon Medicare B / Noridian Direct Government Professional
13382 Orthonet-Uniformed Services Family Participating Payor Professional
OSCAR Oscar Health Insurance Participating Payor Professional Institutional
06111 Oxford Health Plans Participating Payor Professional Institutional
23266 PA South Central Preferred - PPO York PA Non-Participating Payor Professional Institutional
95959 Pacificare - Secure Horizon CA Participating Payor Professional Institutional
33053 PacifiCare Behavioral Health Inc Participating Payor Professional
95999 Pacificare PPO Participating Payor Professional Institutional
93029 PacificSource Health Plans 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
95885 PCA HEALTH PLANS OF TEXAS (HUMANA) Participating Payor Professional Institutional
27034 Peak PACE Solutions, LLC Non-Participating Payor Professional Institutional
PABL1 Pennsylvania BC (Capital) Non-Participating Payor Professional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
PABL3 Pennsylvania BC (Independence) Direct Government Professional
PABL4 Pennsylvania BC (Keystone - East) Direct Government Professional
PABL5 Pennsylvania BS (Highmark) Direct Government Professional
PACAD Pennsylvania Medicaid Direct Government Professional
PACRE Pennsylvania Medicare B (HGSA) Direct Government Professional
36345 Physicians Care Network (Rockford) Non-Participating Payor Professional Institutional
37136 Physicians Health Assoc of IL Non-Participating Payor Professional Institutional
PHCS1 Physicians Health Choice - Claims Participating Payor Professional Institutional
47027 Physicians Mutual Insurance Company Non-Participating Payor Professional Institutional
CCIA1 Pinnacle (CCIA) Non-Participating Payor Professional
24735 Pinnacle Claims Management, Inc Participating Payor Professional Institutional
37287 Planned Administrators, Inc (PAI) Participating Payor Professional Institutional
PCU01 Point Comfort Underwriters Participating Payor Professional Institutional
73159 PPO OK,WinterBrook HlthCre Mngmnt Non-Participating Payor Professional Institutional
72148DNU PPOPlus, LLC Non-Participating Payor Professional Institutional
PPLUTPO PPOPlus, LLC / TPO Direct Payor Professional Institutional
36373 Prairie States Enterprises, Inc. Non-Participating Payor Professional Institutional
EPF10 Preferred Administrators Participating Payor Professional Institutional
52134 Preferred Administrators of FL Participating Payor Professional Institutional Dental
53476 Preferred Benefit Administrators Participating Plus 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
65054 PREMIER EYE CARE Non-Participating Payor Professional
PREHP Presbyterian Health Plan (Comm) Participating Payor Professional Institutional
56144 Primary PhysicianCare, Inc Participating Payor Professional Institutional
IP079 PrimeCare Medical Network Participating Payor Professional
04320 PrimeSource Health Network Non-Participating Payor Professional Institutional
38217 Priority Health Participating Payor Professional Institutional
37268 Prism Health Networks Non-Participating Payor Professional
PTX01 PROCARE ADVANTAGE OF TEXAS Participating Payor Professional Institutional
36331 Professional Benefit Adm, IL Non-Participating Payor Professional Institutional
80095 Prominence Health Plan of Texas Participating Payor Professional Institutional
PHP01 Providence Choice Option Participating Payor Professional Institutional
PAS01 Providence Insurance and Admin Participating Payor Professional Institutional
SX106 Public Employees Health Program Non-Participating Payor Professional Institutional
48055 Pyramid Life Insurance Non-Participating Payor Professional Institutional
35174 Qual Choice of Arkansas Participating Payor Professional Institutional
23342 QualCare, Inc Non-Participating Payor Professional Institutional
73067 QuikTrip Participating Payor Professional Institutional
RRCRE Railroad Medicare (Palmetto GBA) Direct Government Professional
SB850 Regence BCBS of Oregon Non-Participating Payor Professional
47076 Regional Care/repriced Non-Participating Payor Professional Institutional
73066 Reserve National Insurance Participating Payor Professional Institutional
74205 Right Care from Scott & White Non-Participating Payor Professional Institutional
RMHMO Rocky Mountain HMO Non-Participating Payor Professional
31441 S & S Healthcare Strategies Participating Payor Professional Institutional
37259 SAMBA Participating Payor Professional Institutional
50114 SANA BENEFITS Non TPA Participating Payor Professional Institutional
91184 Sanford Health Plan Participating Payor Professional Institutional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
72261 Scan Health Plan of CA Participating Payor Professional
88030 Scott & White Non-Participating Payor Professional Institutional
35202 Security Administrative Services fka Cornerstone Participating Plus Payor Professional Institutional
37282 Select Benefit AdministratorAmerica Non-Participating Payor Professional Institutional
SX107 SelectHealth Non-Participating Payor Professional Institutional
36404 Self Insured Plans Non-Participating Payor Professional Institutional
SEMTRIB Seminole Tribe Participating Payor Professional Institutional
11440 Sendero Idealcare Participating Payor Professional Institutional
83035 Senior Whole Health Non-Participating Payor Professional Institutional
STAR1 Seton Star Participating Payor Professional Institutional
03699 SIEBA Participating Payor Professional Institutional
76342 SIERRA HEALTH SERVICES (ONLY) Participating Payor Professional Institutional
44827 SISCO Participating Payor Professional Institutional
02057 Smith Administrators Participating Plus Payor Professional Institutional
MR028 South Carolina Medicare 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
37266 Southwest Service Life Non-Participating Payor Professional Institutional
23253 Spectrum Administrators Participating Payor Professional Institutional
84146 Spina Bifida / ChampVA Participating Payor Professional Institutional
SPOHN Spohn Network Participating Payor Professional Institutional
88029 St. Mary's Health Non-Participating Payor Professional Institutional
57254 State of Texas Dental Plan Participating Payor Professional Institutional
14163 Staywell Health Plan Non-Participating Payor Professional Institutional
95202 SummaCare Health Plans Participating Payor Professional Institutional
SHP11 Superior Health Plan Participating Payor Professional Institutional
HM056 Sutter Connect - ABMG Enc Participating Payor Professional
IP092 Sutter Connect Clm (SIP,SMG,SWMG) Non-Participating Payor Professional
IP091 Sutter Connect Sutter Gould Med Clm Participating Payor Professional Institutional
88067 Tall Tree Administrators Participating Payor Professional Institutional
36215 Teamcare Participating Payor Professional Institutional
TNBLU Tennessee BCBS Non-Participating Payor Professional
TNCRE Tennessee Medicare (Cigna) Non-Participating Payor 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 Non-Participating Payor Professional Institutional
45210 Texas Christus Non-Participating Payor Professional Institutional
THS01 Texas Health Spring Participating Payor Professional Institutional
31403 TEXAS INDEPENDENCE HEALTH PLAN Participating Payor Professional Institutional
TXCAD Texas Medicaid (TMHP) Direct Government Professional Institutional
TXCRA Texas Medicare A (Novitas) Direct Government Institutional
TXCRE Texas Medicare B (Novitas) Direct Government Professional
EPF02 Texas Premier Plan (Medicaid ) Non-Participating Payor Professional Institutional
88461 THE ALLIANCE Non-Participating Payor Professional Institutional
95677 The Health Plan Participating Payor Professional Institutional
59140 The Mutual Group Participating Payor Professional Institutional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
63092 The OATH Health Partners of AL Participating Payor Professional Institutional
25175 Three Rivers Health Plan Participating Payor Professional Institutional
74214 TML Intergovernmental Emp Bnft Pool Participating Payor Professional Institutional
61425 Tooling & Manufacturing Assoc Non-Participating Payor Professional Institutional
100013 Total Benefit Services, Inc. Direct Payor Professional Institutional
37284 TransChoice-KBA Non-Participating Payor Professional Institutional
TTDIR Tricare For Life Non-Participating Payor Professional Institutional
TRIN1 Trinity Health - Preferred Choices Participating Payor Professional Institutional
04298 Tufts Health Plan Non-Participating Payor Professional Institutional
84566 UCS BENEFIT MANAGEMENT ADMINISTRATORS Non-Participating Payor Professional Institutional
92805 UCS MAXOR ADMINISTRATIVE SERVICES Participating Payor Professional Institutional
USN01 UHC Global Participating Payor Professional Institutional
36273 UHC Ovations Insurance (AARP) Non-Participating Payor Professional Institutional
77022 Ultimate 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 Dental
80314 UNICARE Participating Payor Professional Institutional
87042 Union Pacific Railroad Employees Participating Payor Professional Institutional
87726 United HealthCare Participating Payor Professional Institutional
39026 United Medical Resources Participating Payor Professional Institutional
71412 United of Omaha Non-Participating Payor Professional Institutional
13193 United Teacher Assoc Ins - Medicare Participating Payor Professional Institutional
09830 University Family Care Participating Payor Professional Institutional
23281 UPMC Health Plan (Commercial) Participating Payor Professional Institutional
93092 US Benefits Participating Plus Payor Professional Institutional Dental
90551 US Family Health Plan (USFHP) Participating Payor Professional Institutional
74095 USAA (United States Automobile Asc) Participating Payor Professional Institutional
WB221 USC - Tristar (LIMITED) Non-Participating Payor Professional Institutional
13407 USFHP-St. Vincent Catholic Med Ctr 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
SX173 Value Options Commercial Non-Participating Payor Professional
72128 Vantage Health Plan, Inc. Non-Participating Payor Professional Institutional
PPM01 Vantage Medical Group Non-Participating Payor Professional
55912 VAPCCC Region 3 Non-Participating Payor Professional Institutional
VESTA VESTACARE INS Participating Payor Professional Institutional
VACAD Virginia Medicaid (First Health) Direct Government Professional
VACRE Virginia Medicare B Non-Participating Payor Professional
55248 Vista Health Plan Non-Participating Payor Professional Institutional
63114 Viva Health Plan Participating Payor Professional Institutional
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
DCCR2 Wash DC Medicare B (HGSA) Direct Government Professional
WABLU Washington BC (Premera) Direct Government Professional
WACRA Washington Medicare A / Noridian Direct Government Institutional
WACRE Washington Medicare B / Noridian Direct Government Professional
 
   
       
Payor ID Payor Name Payor Type Transaction Type
39151 WEA Insurance Group Non-Participating Payor Professional Institutional
75261 WebTPA Participating Plus Payor Professional Institutional
59354 Wellcare Health Plans - Encounters Non-Participating Payor Professional
WELM2 WellMed Participating Payor Professional Institutional
WELMD WellMed (Encounters) Participating Payor Professional
35245 WellSystems LLC Non-Participating Payor Professional Institutional
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
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
41556 Woodland Park West Non-Participating Payor Professional
WPS01 WPS Commercial Non-Participating Payor Professional
WYCRA Wyoming Medicare A / Noridian Direct Government Institutional
 

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