Payer List
HealthFusion's® Clearinghouse Payer List is among the largest in the industry. If you do not see a specific insurance company payer listed here, please contact HealthFusion® to inquire about clearinghouse services for a specific payer.
| Claims Payer List | Real Time Payer List | ERA Payer List |
| Payer Name | Sponsored(S) or Non-Sponsored (N) | Gold(G) or Platinum(P) |
| 1199 National Benefit Fund (Must call Renaud Dufresne at 646-473-6960 for ID prior to sending claims) | S | P |
| 1Intermountain Health Care (Contact payer at 801-442-5442 before sending claims to verify provider numbers.) | N | P |
| 21st Century Insurance and Financial Services | S | P |
| 360 Alliance PPO Gilsbar | S | P |
| 8th Distric Electrical | S | P |
| A & I Benefit Plan Administrators | S | P |
| AARP UnitedHealthcare Insurance Co. (Special Data Requirements located in Vendor Download Tools or Provider Training Materials.) | S | P |
| ABC Health Plan of New York | S | P |
| Abrazo Advantage Health Plan | S | P |
| Abri Healthplan | S | P |
| ACCESS ADMINISTRATORS | S | P |
| Access Behavioral Care | S | P |
| ACCLAIM | S | P |
| Acclaim Repricing | S | P |
| Accountable Health - American Family of IA claims only | S | P |
| Accountable Health - American Family of WI claims only | S | P |
| ACM (Enrollment required. Call 661-430-0205 for information.) | N | P |
| Acordia National | S | P |
| Acordia National | S | P |
| ACS Benefit Services, inc. | S | P |
| Activa Benefits Services, LLC (Formerly Amway Corporation) | S | P |
| Administrative Services, Inc. | S | P |
| Adminone | S | P |
| Adminstrative Concepts, Inc. | S | P |
| Advanced Data Solutions | S | P |
| Advanstaff, Inc. | S | P |
| Advantage Health Solutions, Inc. | S | P |
| Advantage Preferred Plus | S | P |
| Advantra Freedom | S | P |
| Advantra/Health America, Inc./Health Assurance | S | P |
| Adventist Health System | S | P |
| ADVICA - New York Hospital Community Health Plan | S | P |
| Advica/Northeast Georgia Health System, Inc. | S | P |
| Advocate Bethany Health Partners | S | P |
| Advocate Christ Health Partners | S | P |
| Advocate Good Samaritan Health Partners | S | P |
| Advocate Good Shepherd Health Partners | S | P |
| Advocate Health Centers | S | P |
| Advocate HMO Illinois and Unicare HMO | S | P |
| Advocate Humana Health Plans (HMO, Medicaid, Gold Plus) | S | P |
| Advocate Illinois Masonic Health Partners | S | P |
| Advocate Lutheran General Health Partners | S | P |
| Advocate South Suburban Health Partners | S | P |
| Advocate Trinity Health Partners | S | P |
| Aetna Affordable Health Choices (SM) - SRC | S | P |
| Aetna Better Health - CT Medicaid | S | P |
| Aetna Health Plan - PPO | S | G |
| Aetna Life & Casualty Company | S | G |
| Aetna Life & Casualty Company | S | G |
| Aetna Life & Casualty Company | S | G |
| Aetna Life & Casualty Company | S | G |
| Aetna TX Medicaid & CHIP | S | P |
| Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call 718-794-7592.) | S | P |
| AFL - CIO Food & Beverage Dealers Trust Fund (Toledo, OH) | S | P |
| AFTRA Health Fund | S | P |
| AGIA Inc (Claims are printed and mailed to the payer.) | S | P |
| AH & L | S | P |
| AHPO (Cleveland, OH) | S | P |
| AKM Medical Group | S | P |
| Alaska Childrens Services, Inc | S | P |
| Alaska Electrical Health & Welfare Fund | S | P |
| Alaska Laborers Construction Industry Trust | S | P |
| Alaska Pipe Trades Local 375 | S | P |
| Alaska United Food & Commercial Workers Health & Welfare Trust | S | P |
| All Savers Insurance Co. | S | P |
| Allegiance Benefit Plan Management, Inc. | S | P |
| Alliance (WI providers ONLY. Call Dave Sell at 608-210-6656 to obtain payerID, rendering provider, location IDs. Call ENS for ENTERED AS name.) | S | P |
| Alliance PPO Inc.(Now known as OneNet PPO, LLC.) | S | P |
| Alliant Health Plans of Georgia | S | P |
| Allied Administrators | S | P |
| Allied Benefit Systems | S | P |
| ALPS CompCare (OH BWC) * | N | P |
| Alta Bates Medical Group | S | P |
| ALTA Health and Life Insurance Company | S | P |
| Alta Health Stratagies (First Health) | S | P |
| Alternative Technology Resource (ATR) | S | P |
| Altius (To setup and test for EDI contact Liz Lawrence at 800-743-3901 x1459, NPI required on claims.)(PayerID has changed from SX113) | N | P |
| AMA INSURANCE AGENCY, INC | S | P |
| Amalgamated Life - PA/Alicare | S | P |
| Amalgamated Life Insurance Co. | S | P |
| Amalgamated Transit Union Division 1001 Health & Welfare Fund | S | P |
| AmCare Health Plans | S | P |
| AmeraPlan (Claims are printed and mailed to the payer.) | S | P |
| Ameriben Solutions | S | P |
| Americaid Community Care (Dallas/Ft Worth) | S | P |
| Americaid Community Care (Houston) | S | P |
| Americaid Community Care (Maryland) | S | P |
| Americaid Community Care (New Jersey) | S | P |
| American Administrative Group - AAG (Formerly known as UICI Administrators | S | P |
| American Administrative Group (formerly Gallagher Benefit) | S | P |
| American Administrators | S | P |
| American Benefit Plan Administrators | S | P |
| American Benefits Management | S | P |
| American Benefits Plan Administrators (Las Vegas, NV) | S | P |
| AMERICAN CAPITOL INSURANCE CO | S | P |
| American Chiropractic Network | S | P |
| American Chiropractic Network (PAN) | S | P |
| American Chiropractic Network IPA of NY | S | P |
| American Chiropractic Network IPA of NY (ACNIPA) | S | P |
| American Chiropractic Network, Inc. | S | P |
| American Community Mutual Insurance | S | P |
| American Complimentary Care Network, Inc. | S | P |
| American Family Health Providers | S | P |
| AMERICAN FAMILY INSURANCE CO | S | P |
| American General | S | P |
| American Health Group | S | P |
| American Healthcare Alliance | S | P |
| American Imaging Management, Inc. (Assigned Group Policy Plan ID required. To obtain, call AIM at 800-252-2021) | S | P |
| American Insurance Company of TX | S | P |
| American International Group, Inc. | S | G |
| American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600, New Orleans, LA 70163) | S | P |
| American Medical Security | S | P |
| American National Insurance Co | S | P |
| American Postal Workers Union Health Plan | S | P |
| American Postal Workers Union Health Plan | S | P |
| American Republic Insurance | S | P |
| American Sentinel Insurance Company | S | P |
| American Specialty Health Inc. (Provider ID Required. Contact 888-864-2746 to the American Specialty Health (ASH) Provider ID.) | N | P |
| American Worker Health Plan | S | P |
| America's Choice NMA | S | P |
| America's Health Choice | S | P |
| America's PPO / America's TPA | S | P |
| AmeriChoice of Florida | S | G |
| AmeriChoice of Illinois | S | G |
| AmeriChoice of Maryland | S | G |
| AmeriChoice of Nebraska | S | G |
| AmeriChoice of New Jersey Personal Care Plus (All claims submitted require your AmeriChoice assigned Provider ID #. Contact them at 888-362-3368 for your ID #.) | S | P |
| AmeriChoice of New York Personal Care Plus (All claims submitted require your AmeriChoice assigned Provider ID #. Contact them at 888-362-3368 for your ID #.) | S | P |
| AmeriChoice of NJ Medicaid & Family Care | S | P |
| AmeriChoice of NY Medicaid & Child Health Plus | S | P |
| AmeriChoice of PA Children's Health Insurance Program (KidsChoice) | S | P |
| AmeriChoice of PA Medicaid | S | P |
| AmeriChoice of Pennsylvania Personal Care Plus(All claims submitted require your AmeriChoice assigned Provider ID #. Contact them at 888-362-3368 for your ID#.) | S | P |
| AmeriChoice of Rhode Island | S | G |
| Amerigroup - Illinois | S | P |
| Amerigroup - Illinois | S | P |
| Amerigroup - Maryland | S | P |
| Amerigroup - New Jersey | S | P |
| Amerigroup / Americaid - Ft. Worth, New Mexico | S | P |
| Amerigroup / Americaid - Houston | S | P |
| AMERIGROUP Georgia | S | P |
| Amerigroup of Florida | S | P |
| Amerigroup of Florida | S | P |
| Amerigroup of Illinois | S | P |
| Amerigroup of Ohio | S | P |
| AMERIGROUP Tennessee | S | P |
| AmeriHealth - New Jersey (Non-HMO Claims) * | N | P |
| AmeriHealth Administrators | S | P |
| AmeriHealth HMO New Jersey and Delaware | S | P |
| AmeriHealth Mercy Health Plan | S | P |
| Amerikids-Dallas/Ft. Worth | S | P |
| AMVI | S | P |
| Amway Corporation | S | P |
| Anchor Benefit Consulting | S | P |
| Ancillary Benefits/Arizona Foundation for Medical Care | S | P |
| Anerican Founders Life Ins Co (NFL Plans only) | S | P |
| Antares Management Solutions | S | P |
| Anthem Blue Cross of California | S | P |
| Anthem Health and Life Insurance Company of New Jersey | S | P |
| Anthem of Colorado | N | P |
| Anthem of Nevada * | N | P |
| APA Partners | S | P |
| Apex Benefit Services (Claims must contain the rendering provider ID or the claim will reject.) | S | P |
| APIPA | S | P |
| APS Healthcare Inc. | S | P |
| ARAZ | S | P |
| Arcadian Management Services, Inc (Group number should be entered if available. ) | S | P |
| Arizona Foundation for Medical Care | S | P |
| Arizona Medicaid (AHCCCS) * | N | P |
| Arizona Physicians IPA | S | P |
| Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Metal Trades Health Plan | S | P |
| Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Pipe Trades Health Plan | S | P |
| Arkansas Best Corporation | S | P |
| Arkansas Managed Care Organization (AMCO) | S | P |
| Arnett Health Plans (Payer requires unique Provider IDs. Contact Arnett Health Plans EDI Coordinator at 765-448-7483.) | S | P |
| ASR Corporation | S | P |
| ASRM Corporation | S | P |
| Associated Benefits Corp. | N | P |
| Associated Third Party Administration (ATPA) | S | P |
| Associates for Healthcare | S | P |
| Assurant Employee Benefits (Formerly Fortis Insurance) | S | P |
| Assurant Health Self Fund (Verify that claims should go to Ft. Mill, SC) | S | P |
| Assurant MiniMed-Key Family | S | P |
| AssureCare, Inc. | S | P |
| Assured Benefits Administrators | S | P |
| Asuris Northwest/MedAdvantage (REF*1B*Provider ID in Billing and Rendering required even when NPI is submitted.) | S | P |
| Athens Health Plan | S | P |
| Atlanticare Administrators, Inc | S | P |
| Atlantis Health Plan | S | P |
| ATLAS ADMINISTRATORS(USA MC) | S | P |
| Atlas Life Ins Co (NFIC Plan only) | S | P |
| AultComp MCO (OH BWC) * | N | P |
| Automated Benefit Services (ABS) | S | P |
| Automated Group Administration, Inc. | S | P |
| Automotive Machinists Local 289 Health & Welfare Trust - Grp#F32 | S | P |
| Avalon IPA | S | P |
| Avera Health Plans | S | P |
| Avesis Third Part Administrators | S | P |
| AVMED (Payer-specific provider number required in Box33a of the HCFA-1500 form.) | S | P |
| AVMED-Parity Healthcare (OB/GYN only) | S | P |
| Bakersfield Family Medical Center | S | P |
| Bakery and Confectionery | N | P |
| Bankers United Life (Student Division) | S | P |
| Banner Health Co. (All Banner Health Plans were consolidated to the payerID of SX145.) * | S | P |
| Bass Administrators, Inc. | S | P |
| BCBS BlueCare Family Plan (Connecticut) * To be used on all CT BlueCare claims with dates of service on or after 7/01/06 | N | P |
| BCI Administrators, Inc | S | P |
| Beacon Health Strategies (Block 11 on the HCFA 1500 form must use Plan specific IDs.) | S | P |
| Beech Street Corp. (Payer requires that payer and employer information in box11 be attached.) | S | P |
| Behavior Health Providers (Prior Authorization Required.) | S | P |
| Bell Atlantic (Prudential) | S | P |
| Benefit Administrative Systems | S | P |
| Benefit Concepts | S | P |
| Benefit Coordinators Corporation | S | P |
| Benefit Management Services | S | P |
| Benefit Management Systems, Inc. of Lousiana * | S | P |
| Benefit Plan Administrators Co. (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) | S | P |
| Benefit Plan Administrators, Inc | S | P |
| BENEFIT PLAN ADMINISTRATORS, INC | S | P |
| Benefit Planners, Inc. | S | P |
| Benefit Services, Inc. (Akron, OH) | S | P |
| Benefit Systems and Services, Inc. | S | P |
| Benefit Trust Life Insurance Company | S | P |
| Benesight (formerly The TPA) | S | P |
| Benesys - LHP Claims Unit | S | P |
| Benesys Inc. (Located in Lafayette, LA) | S | P |
| BeneSys, Inc. (Located in Troy, MI) | S | P |
| BeniCorp | S | P |
| Benmark | S | P |
| Berkshire Health Partners | S | P |
| Best Life & Health Insurance Co. | S | P |
| Better Health Plans, Inc. | S | P |
| Big Lots Associates Benefit Plans | S | P |
| Block Vision of Texas | S | P |
| Block Vision, Inc. | S | P |
| Blue Advantage of Arkansas * | N | P |
| BLUE BELL BENEFITS TRUST | N | P |
| Blue Care PPO (Requires VA Blue Shield EMC approval) | N | P |
| Blue Chip of Rhode Island * | N | P |
| Blue Choice Medicaid | S | P |
| Blue Choice of Rochester NY * | N | P |
| Blue Cross Blue Shield of Arizona * | N | P |
| Blue Cross Blue Shield of Florida * | N | P |
| Blue Cross of California | S | P |
| Blue Cross of Idaho (Per Provider Testing) * | N | P |
| Blue Grass Family Health (SRRIPA) | S | P |
| Blue Lake Rancheria | S | P |
| Blue Shield of Alabama * | N | P |
| Blue Shield of Alaska * | N | P |
| Blue Shield of Arkansas * | N | P |
| Blue Shield of California * | S | P |
| Blue Shield of California * | S | P |
| Blue Shield of Central NY HMO/PPO * | N | P |
| Blue Shield of Colorado | N | P |
| Blue Shield of Connecticut * (NOTE: The DOS in Reports is programmatically calculated and is not actual claim's data. Some variances may exist.) | N | P |
| Blue Shield of Delaware * | N | P |
| Blue Shield of Georgia * (State Health of GA) | N | P |
| Blue Shield of Hawaii * | N | P |
| Blue Shield of Idaho (Per Provider Testing) * | N | P |
| Blue Shield of Illinois * | N | P |
| Blue Shield of Indiana * | N | P |
| Blue Shield of Iowa * | N | P |
| Blue Shield of Kansas * | N | P |
| Blue Shield of Kansas City * | N | P |
| Blue Shield of Kentucky * | N | P |
| Blue Shield of Lousiana * | N | P |
| Blue Shield of Maine * | N | P |
| Blue Shield of Maryland * | N | P |
| Blue Shield of Massachusetts * | N | P |
| Blue Shield of Michigan * | N | P |
| Blue Shield of Minnesota * | N | P |
| Blue Shield of Mississippi * | N | P |
| Blue Shield of Missouri * | N | P |
| Blue Shield of Montana | N | P |
| Blue Shield of National Capital Area * | N | P |
| Blue Shield of Nebraska * | N | P |
| Blue Shield of Nevada * | N | P |
| Blue Shield of New Hampshire * | N | P |
| Blue Shield of New Jersey * | N | P |
| Blue Shield of New Mexico * | N | P |
| Blue Shield of New York (Empire) * | N | P |
| Blue Shield of North Carolina * | N | P |
| Blue Shield of North Dakota * | N | P |
| Blue Shield of Northeast NY * | N | P |
| Blue Shield of Ohio * | N | P |
| Blue Shield of Oklahoma * | N | P |
| Blue Shield of Oregon * | N | P |
| Blue Shield of Pennsylvania * | N | P |
| Blue Shield of Puerto Rico (Triple S) * | N | P |
| Blue Shield of Rhode Island * | N | P |
| Blue Shield of Rochester NY * | N | P |
| Blue Shield of South Carolina * | N | P |
| Blue Shield of South Dakota * | N | P |
| Blue Shield of Tennessee * | N | P |
| Blue Shield of Texas | N | P |
| Blue Shield of Utah * | N | P |
| Blue Shield of Utica NY * | N | P |
| Blue Shield of Vermont * | N | P |
| Blue Shield of Virginia | N | P |
| Blue Shield of West Virginia * | N | P |
| Blue Shield of Western New York * | N | P |
| Blue Shield of Wisconsin * | N | P |
| Blue Shield of Wyoming * | N | P |
| Bluebonnet Administrators | S | P |
| Bluegrass Family Health (UPIN required in Box 33a) | S | P |
| BMGI Benefit Management Group, Inc. | S | P |
| Boilermakers national Health & Welfare Fund | S | P |
| Boon-Chapman Benefit Administrators, Inc. | S | P |
| Boston Medical Center Healthnet | S | P |
| BPS Inc | S | P |
| Bridge Benefits | S | P |
| Bridgestone Claims Services | S | P |
| Bridgeway Arizona | S | P |
| Brockerage Concepts, Inc (Benefit Concepts) | S | P |
| Brown & Brown Benefits | S | P |
| Brown & Toland Medical Group | S | P |
| Buckeye Community Health | S | P |
| Butler Benefits | S | P |
| C & O Employees Hospital Association | S | P |
| CA Kaiser Permanente (Northern California Only) * | S | P |
| CAC (Mailhanders Benefit Plan) | S | P |
| CAC Claims Administration Corp (Provider ID required) | S | P |
| California Anthem Blue Cross | S | P |
| California Blue Cross | S | P |
| California Care (Humboldt Del Norte) | S | P |
| Cal-Optima Direct | S | P |
| Cameron and Associates | S | P |
| Cannon Cochran Management Services, Inc. | S | P |
| Cap Management Systems | S | P |
| Cape Health Plan | S | P |
| Capital Advantage Insurance Company (CAIC) PROFESSIONAL (BCBS ProviderID and Performing ProviderID required. Call 800-874-8433) | N | P |
| Capital Blue Cross FACILITY * (BCBS ProviderID and PerformingID required. Call 800-874-9433) | N | P |
| Capital Blue Cross PROFESSIONAL * (BCBS ProviderID and Performing ProviderID required. Call 800-874-8433) | N | P |
| Capital District PHP * | S | P |
| Capital Health Plan | S | P |
| Capital International Management Services | S | P |
| Capitol Administrators | S | P |
| Care 1st Health Plan of Arizona | S | P |
| Care Choices HMO | S | P |
| Care Core National | S | P |
| Care Improvement Plus | S | P |
| Care Management Group of Greater NY, Inc. | S | P |
| Care Partners | S | P |
| Care Plus | S | P |
| CareCentrix | S | P |
| Carechoices Michigan - Mercy Healthplans (Enrollment required; please contact Noreen at (248) 489-5281.) | S | P |
| CareCore - Healthnet | S | P |
| CareCore National, LLC - Health Net New Jersey | S | P |
| CareCore National, LLC (Aetna Radiology Claims) | S | P |
| CareCore National, LLC (Radiology charges for Oxford) (Provider must call Anthony Sampson at 845-298-8155 for provider code.) | S | P |
| CareFirst BCBS - DB, National Capital Area * | N | P |
| Carelink Advantra (WV HealthAssurance & Carelink commercial claims only.) | S | P |
| Carelink Health Plan (WV HealthAssurance & Carelink commercial claims only.) | S | P |
| Carelink Medicaid | S | P |
| Carenet of Virginia (Payer requires the provider to submit a PIN in the Rendering Provider ID record.) | S | P |
| CareOne Health Plan | S | P |
| CareOregon, Inc. | S | P |
| CarePlus Health Plans | S | P |
| CareSource * (Claims to this payer require enrollment. Contact ENS Enrollment department at 719-277-7545 ext. 2007 to obtain the forms.) | S | P |
| CareSource of Indiana (Payer moving from E-print to Live Production.) | S | P |
| Careworks | S | P |
| Careworks (OH BWC) * | N | P |
| Careworks of Ohio (OH BWC) * | N | P |
| Cariten Commercial | S | P |
| Cariten Healthcare Tenncare | S | P |
| Cariten Senior Health | S | P |
| Carolina Care Plan (Formerly PHP of South Carolina) | S | P |
| Carolina Crescent Health Plan * | S | P |
| Carolina Summit Healthcare, Inc | S | P |
| Carpenters' and Millwrights' Health Benefit Trust Fund | S | P |
| Carpenter's of Greater St. Louis H&W Fund (Requires GHP Provider ID in Box 33a. Contact Carpenters for ID.) | S | P |
| Carpet, Linoleum and Resilient Tile Layers Health and Welfare Fund | S | P |
| Cascade East Health Plan | S | P |
| Cascade Health Partners | S | P |
| Catholic Healthcare West * | S | P |
| CBA, Inc. (Cooperative Benefits Administrators, Inc.) | S | P |
| CBCA (Formerly know as Health Risk Management) | S | P |
| CBCA Administrators of Ft. Worth, TX | S | P |
| CBHA Carolina Behavioral Health Alliance | S | P |
| CBIZ Benefits & Insurance Services | S | P |
| CBSA (Corporation Benefit Services of America) | S | P |
| CCMC - Comprehensive Care Management Corp | S | P |
| CCS (aka Comprehensive Care Systems) | N | P |
| CDO Technologies | S | P |
| CDS Group Health | S | P |
| Cedars-Sinai Medical Network Services Claims | S | P |
| Cedars-Sinai Medical Network Services Encounters | S | P |
| Celtic Insurance | S | P |
| Cement Masons & Plasterers Health & Welfare Trust - Grp#F16 | S | P |
| Cenpatico Behavioral Health - Wisconsin (Call 800-225-2573 ext 25525 prior to submitting claims.) | S | P |
| Cenpatico Behavioral Health AZ (Prior to submission, contact 866-495-6748 to verify provider ID.) | S | P |
| Cenpatico Indiana | S | P |
| Cenpatico Ohio | S | P |
| Centene Advantage Plans | S | P |
| CenterCare | S | P |
| Centinela IPA | S | P |
| Centra Benefit Services | S | P |
| Central & Southwest Services | S | P |
| Central Benefit National | S | P |
| Central Benefits Life | S | P |
| Central Benefits Mutual | S | P |
| Central Reserve Life | S | P |
| Central States Joint Board Health & Welfare Trust Fund | S | P |
| Central States Southeast and Southwest Areas Health and Welfare and Pensions Funds | S | P |
| Century Health Solutions | S | P |
| CHA - Commonwealth Health Alliance | S | P |
| CHAMPVA-HAC (CHAMPVA-HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS.)) | S | P |
| Chartered Health Plan (DC Chartered Health Plan) | S | P |
| Chatwins Healthcare Administrators | S | P |
| Chautauqua County Health Plan (Mayville,NY) | S | P |
| CHCcares of South Carolina | S | P |
| Chesapeake Life Insurance Co. (PayerID valid for PO BOX 982017, North Richland Hills.) | S | P |
| Children's Community Health Plan | S | P |
| Chinese Community Health Plan (Unique Provider ID must be on claim.) | S | P |
| ChiroCare | S | P |
| Chiropractic Association of South Dakota | S | P |
| Chiropractic Care of Minnesota, Inc. (For Dates of service before 1-01-08, continue to use payerID of ACN01.) | S | P |
| Chiropractic Care of Wisconsin, Inc. | S | P |
| CHOC - Childrens Hospital of Orange County Health Alliance | S | P |
| Choice One/UTMB CHIP Health Plan (Call 281-652-8700 prior to submitting claims.) | S | P |
| Choice Plus (TRW) | S | P |
| ChoiceNet | S | P |
| CHP Direct SuperMed | S | P |
| CHP/ALTIUS (Enrollment required, please contact Provider Relations 801-352-7270) | N | P |
| CHP/BCBS (Enrollment required, please contact Provider Relations 801-352-7270) | N | P |
| CHP/DMBA (Enrollment required, please contact Provider Relations 801-352-7270) | N | P |
| CHP/EMIA (Enrollment required, please contact Provider Relations 801-352-7270) | N | P |
| CHP/MEDICAID (Enrollment required, please contact Provider Relations 801-352-7270) | N | P |
| CHP/PEHP (Enrollment required, please contact Provider Relations 801-352-7270, Chiropractic claims only) | S | P |
| CHP/RPU (FABOH) (Facility physical address required on claim.) | S | P |
| CHP/UUHP (Enrollment required, please contact Provider Relations 801-352-7270) | N | P |
| CHP/WISE (Enrollment required, please contact Provider Relations 801-352-7270) | N | P |
| Christian Brothers Services | S | P |
| Christus Spohn Health Network | S | P |
| CIGNA - PPO | S | G |
| CIGNA - PPO | S | G |
| CIGNA Behavioral Health | S | P |
| CIGNA Health Plan - HMO | S | G |
| CIGNA Healthcare for Seniors - Arizona Medicare | S | P |
| CIGNA Premier Plus | S | G |
| Cimarron Salud (Receiver type 'D' - Claims are printed and mailed to the Payer.) | S | P |
| Cinncinnati Financial Corporation | S | P |
| Citrus Health Care | S | P |
| City of Austin | S | P |
| CL Frates | S | P |
| Claims Administration Corporation | S | P |
| Claims Management Services | N | P |
| ClaimsWare, Inc. DBA ManageMed | S | P |
| Clearchoice Health Plan / COIHS | S | P |
| CNA Health Partners Repricing - AR | S | P |
| CNA Mailhanders | S | P |
| CNA Mailhanders | S | P |
| Coastal Administrative Services | S | P |
| Cofinity (formerly Sloans Lake) | S | P |
| Cofinity (formerly Sloans Lake) | S | P |
| Colonial Healthcare | S | P |
| Colorado Access HMO | S | P |
| Colorado Blue Advantage | N | P |
| Colorado Kaiser Permanente (Colorado plans only) | S | P |
| Colorado Laborers Health and Welfare Fund | S | P |
| Columbia Cornell Care | S | P |
| Columbia United Providers | S | P |
| Commerce Benefits Group | S | P |
| CommonWealth Administrative Group | S | P |
| COMMONWEALTH ADMINISTRATORS | S | P |
| Commonwealth Care Alliance | S | P |
| Community Care Behavioral Health Org. (For Dates of Service prior to October 1, 2007) | S | P |
| Community Care BHO (For Dates of Service after October 1, 2007) | S | P |
| Community Care Managed Health Care Plans of Oklahoma | S | P |
| Community Care Organization | S | P |
| Community Care Plus (Requires Provider ID in Box 33a. Contact Community Care for ID.) | S | P |
| Community Choice of Michigan | S | P |
| Community First Health Plan, Inc. | S | P |
| Community Health Alliance | S | P |
| Community Health Choice (Please include TPI Number (Texas Medicaid Number) in Field FA0-23) | S | P |
| Community Health Electronic Claims/CHEC/webTPA | S | P |
| Community Health Network of Connecticut (CHN of CT cannot accept electronic claims for Anesthesia. Contace LeAnn Olson at 203-237-4000 ext 3136 for information) | S | P |
| Community Health Plan | S | P |
| Community Health Plan of Washington | S | P |
| Community Medical Group of the West Valley | S | P |
| Community Preferred Health Plan (CA) | S | P |
| Community Premier Plus for Neighborhood Health | S | P |
| CompBenefits Corporation | S | P |
| Compensation Programs of Ohio, Inc. | S | P |
| CompFirst, LLC | S | P |
| Complementary HealthCare Plans | S | P |
| CompManagement Health Systems, Inc. (OH BWC) * | N | P |
| Comprehensive Behavioral Care | S | P |
| Comprehensive Benefits Administrator, Inc. | S | P |
| CompuSys Incorporated (New Mexico) | S | P |
| CompuSys Incorporated of Arizona | S | P |
| CompuSys Incorporated of Colorado | S | P |
| CompuSys Incorporated of Utah | S | P |
| Compusys of Colorado | S | P |
| CompuSys/Erisa Group, Incorporated (AZ) | S | P |
| CompuSys/Erisa Group, Incorporated (NM) | S | P |
| CompuSys/Erisa Group, Incorporated (TX) | S | P |
| Confederation Admin Services | S | P |
| Confederation Life Insurance | S | P |
| Connecticare - Medicare | S | P |
| Connecticare, Inc. | S | P |
| Connecticare, Inc. | S | P |
| Consociate Group | S | P |
| Consolidated Associates Railroad | S | P |
| Consolidated Group / Health Plan Services | S | P |
| Consolidated Group Claims (CGC) | S | P |
| Continental General Insurance Co. | S | P |
| Continuum ABC MSO | S | P |
| Cook Children's Health Plan | S | P |
| Cook Children's Star Plan | S | P |
| Cook Group Health Plan | S | P |
| Cooperative Benefit Administrators, Inc. | S | P |
| Cooperative Managed Care Services | S | P |
| Coordinated Medical Specialists (CMS) | S | P |
| Core Administrative Services | S | P |
| CoreSource | S | P |
| CoreSource Little Rock (For claims where the 'submit claims to address' on the medical ID card is an address in Little Rock. For assistance, call 800-689-0106) | S | P |
| CoreSource of Illinois | S | P |
| CoreSource of IOWA | S | P |
| CoreSource of Maryland | S | P |
| CoreSource of North Carolina | S | P |
| Coresource of OH | S | P |
| CoreSource of Pennsylvania | S | P |
| CoreStar AZ MN (Only for address in Arizona and Minnesota. For assistance, call 800-698-0106) | S | P |
| Cornerstone Benefit Administrators | S | P |
| Corporate Benefits Service, Inc. (NC) (Only valid for payer address of PO Box 12953, Charlotte, NC 28220) | S | P |
| Corporate Systems Administration | S | P |
| Correctional Medical Services | S | P |
| CorSolutions | S | P |
| Country Life Insurance Company | S | P |
| COVA (Commonwealth of VA) (Requires VA Blue Shield EMC approval) | N | P |
| Covenant Administrators, Inc. | S | P |
| COVENANT MANAGEMENT SYS EMPLOY BENE | S | P |
| Coventry Health Care of Delaware | S | P |
| Coventry Health Care of Delaware, Inc. | S | P |
| Coventry Health Care of Georgia | S | P |
| Coventry Health Care of Indiana | S | P |
| Coventry Health Care of Iowa | S | P |
| Coventry Health Care of Kansas -- Kansas City (Payer ID 25134 should now be sent to 25133) | S | P |
| Coventry Health Care of Louisiana | S | P |
| Coventry Health Care of Nebraska | S | P |
| Coventry Health Care of North Carolina | S | P |
| Coventry Health Care of South Carolina | S | P |
| Coventry Southern Health Services (The following claims cannot be submitted electronically: Resubmitted, Anesthesia, and Claims with Attachments) | S | P |
| Cox Health Plan (Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.) | S | P |
| CRA managed Care (OH BWC) * | N | P |
| Creative Medical Systems | S | P |
| Creative Plan Administrators | S | P |
| Crown Life | S | P |
| Culinary Health & Welfare Fund (Las Vegas, NV) | S | P |
| Custom Benefit Administrators | S | P |
| CustomCare | S | P |
| CustomCare (Southwestern Bell - Exec.) | S | P |
| Custome Design Benefits, Inc. | S | P |
| DakotaCare | S | P |
| DART CONTAINER CORPORATION | S | P |
| Dean Health Plan * | N | P |
| Dean Health Plans | S | P |
| Definity Services | S | G |
| Delaware Health Plan Consortium | S | P |
| Delaware Physicians Care, Inc. | S | P |
| DelawareCare, Inc. | S | P |
| Delta Health Systems | S | P |
| Dentemax | S | P |
| Dentemax/DPI (MI) | S | P |
| Denver Health - Indigent | S | P |
| Denver Health and Hospital Authority | S | P |
| Denver Health Medical Plan | S | P |
| Denver Health Medical Plan, Inc. - Medicare Choice | S | P |
| Dermatology Network Solutions BCBS for the Health Options HMO (Payer requires 11 digit member ID Number) | S | P |
| Dermatology Network Solutions, LLC BCBS (Payer requires 11 digit member ID Number) | S | P |
| Dermatology Network Solutions, LLC Humana (Payer requires 11 digit member ID Number) | S | P |
| Dermatology Network Solutions, LLC Vista (Payer requires 11 digit member ID Number) | S | P |
| Deseret Mutual * | N | P |
| Desert Family Practice Association | S | P |
| Destiny Health | S | P |
| Detroit Medical Center | S | P |
| DGA - Diversified Group Administrators | S | P |
| Diamond Plan | S | P |
| Directors Guild of America - Producer Health Plan | S | P |
| Diversified Group Brokerage | S | P |
| DMERC Region A (Testing is required for claims requiring CMNs.) * | N | P |
| DMERC Region B (Testing is required for claims requiring CMNs.) * | N | P |
| DMERC Region C (Testing is required for claims requiring CMNs.) * | N | P |
| DMERC Region D (Testing is required for claims requiring CMNs.) * | N | P |
| Donley & Company | S | P |
| Driscoll Childrens Health Plan | S | P |
| Driscoll Childrens Health Plan (CHIP) | S | P |
| DSCC - Division of Specialized Care for Children | S | P |
| Dunn & Associates | S | P |
| E3 Health, Inc (Formerly First Integrated Health) | S | P |
| Early Intervention Central Billing | S | P |
| East Bay Medical Network | S | P |
| East Bay Medical Network | S | P |
| EAU Claire Health Protection Plan | S | P |
| EBC Inc. (To obtain the payerID, please call (440) 262-1160) | S | P |
| EBMC | S | P |
| EBMS (Employee Benefit Management Services, Inc) * | S | P |
| EBS of Ohio (Valid for PO BOX 2568, Mansfield, OH 44906.) | S | P |
| eComPPO | S | P |
| EDS Healthchoice | S | P |
| Educators Mutual (EMIA) * (Enrollment required, contact EMIA to enroll 800-362-0533, Opt. 2) | S | P |
| EHI (Employers Health Insurance) | S | P |
| EL PASO FIRST - CHIP | S | P |
| Elder Health Maryland HMO Inc. | S | P |
| ElderPlan, Inc. (Elderplan Provider ID necessary on all claims. Contact (718)921-7979 for Provider ID.) | S | P |
| Electronic Transmission Corporation | S | P |
| ELLIS CONSULTANTS, INC. | N | P |
| Elmcare | S | P |
| Elmcare L.L.C. | S | P |
| Elmco | S | P |
| Emerald Health Network | S | P |
| Emerald Health Network, Inc. (All HMO Business) | S | P |
| Emerald HMO (HMO claims only) | S | P |
| EMI (Eye Management Inc) | S | P |
| EmoryCare | S | P |
| Empire Physician's Medical Group | S | P |
| Employee Benefit Administration & Management (EBA&M) | S | P |
| Employee Benefit Concepts | S | P |
| Employee Benefit Consultants, Inc. (Call (440) 262-1160 for PayerID.) | S | P |
| Employee Benefit Corporation | S | P |
| Employee Benefit Management Corp. | S | P |
| Employee Benefit Services of Lousiana | S | P |
| Employee Benefit Svcs (EBS) of San AntoniO | S | P |
| Employee Benefit Systems | S | P |
| Employee Benefits Plan Administration, Inc. (EBPA) | S | P |
| Employee Claim Adjudication Services | S | P |
| Employee Plans, LLC | S | P |
| Employee Security, Inc. | S | P |
| Employer Plan Services, Inc. | S | P |
| Employers Coalition On Health (ECOH) | S | P |
| Employers Direct Health - Employee Plan | S | P |
| Employers Direct Health - FI | S | P |
| Employers Direct Health - SF | S | P |
| Employers Health Cooperative (EHC) | S | P |
| Employers Life Insurance Corp. | S | P |
| Employers Mutual, Inc. (Florida Providers only) | S | P |
| Encompass | S | P |
| Encore Health Network (Note: Group Policy Number in HCFA Box 11 is required.) | S | P |
| ENH Medical Group IPA | S | P |
| Enstar Natural Gas - Grp# P61 | S | P |
| Entrust | S | P |
| EPN - Seton Health Plan Exclusive (Provider ID required) | S | P |
| EQUICOR | S | G |
| EQUICOR - PPO | S | G |
| Equifax Healthcare Admin. Svc. (EHAS) | S | P |
| Equitable Plan Services | S | P |
| Erin Group Administrators | S | P |
| Erisa Administrative Services Incorporated | S | P |
| Erisa Administrative Services, Inc. | S | P |
| Evercare Star Plus | S | G |
| Evergreen Health Plan | S | P |
| Evolutions Healthcare | S | P |
| Exceptional Care Medical | S | P |
| Eye Specialists (Provider ID number required in Box33a or Box24J) | S | P |
| Facey Medical Foundation | S | P |
| FACS Group | S | P |
| Fallon Community Health | S | P |
| Family / Seniors Medical Group, Inc. (Labs Only) - IPA | S | P |
| Family Care Medicaid | S | P |
| Family Care Medicaid Mental Health | S | P |
| Family Care Medicare | S | P |
| Family Choice Medical | S | P |
| Family Health Alliance | S | P |
| Family Health Partners/MC+Missouri | S | P |
| Family Health Plan | S | P |
| Family Medical Network | S | P |
| FARA Benefit Services, Inc. | S | P |
| Farm Family | S | P |
| FCE Benefit Administrators | S | P |
| Federal Employee Program (Connecticut) | N | P |
| Federated Mutual Insurance | S | P |
| FHP of Colorado - HMO claims only. Trading Partner Number required | S | P |
| Fidelis Care New York | S | P |
| Fidelis Secure Care | S | P |
| First Administrators, Inc. (Provider ID and Group ID required on all claims. Non-participating providers should put in '0000' as their provider ID) | S | P |
| First Carolina Care | S | P |
| First Choice Health Network | S | P |
| First Choice of CT (Requires a 5-8 character Provider Network ID.) | S | P |
| First Choice of Midwest (PPO) | S | P |
| First Great West Life & Annuity | S | P |
| First Great-West Life & Annuity | S | P |
| First Health (Alta Health Strategies) | S | P |
| First Health Network | S | P |
| First Option Health Plan | S | P |
| First Priority | S | P |
| First Seniority Freedom | S | G |
| First Service Administrators | S | P |
| First State Health Plan | S | P |
| Firstcare | S | P |
| Firstcare Star Medicaid | S | P |
| FirstGuard Health Plan of Kansas (Contact Karen Joslin at *(816)922-7225 to verify Firstguard ProviderID. Payer requires Insured ID of 8-11 numeric characters.) | S | P |
| FirstGuard Health Plan of Missouri | S | P |
| Fiserv Health - Kansas | S | P |
| Fitzharris & Company | S | P |
| FlexCare | S | P |
| Florida 1st - Winterhaven, Florida | S | P |
| Florida Health Plan | S | P |
| Florida Hospital Healthcare Systems (In network providers must submit UP or FHHS ProviderID. Out of network providers must contact FHHS at 407-701-4893.) | S | P |
| Florida Hospital Waterman | S | P |
| Florida League of Cities, Inc. | S | P |
| Florida NetPass | S | P |
| Florida Power & Light | S | P |
| FloridianCare | S | P |
| FloridianCare (SFL) American Pioneer Health Plan | S | P |
| FMH Benefit Services | S | P |
| Formax, Inc. | S | P |
| FORTIS (Formerly Time Insurance) | S | P |
| Fortis (Western Life Ins. Benefit Plan) | S | P |
| FORTIS BENEFITS (Kansas City) | S | P |
| Fortis Benefits, Inc. (Woodbury) PHCS Network Claims | S | P |
| Fortis Self Funded Administrative Services | S | P |
| FORTIS Western | S | P |
| Foundation Health - HMO of CA | S | P |
| Foundation Health Amerimed - HMO of CA | S | P |
| Foundation Health Amerimed Senior - HMO of CA | S | P |
| Foundation Health of CA | S | P |
| Foundation Health of Florida-Claims | S | P |
| Foundation Health of Florida-Encounters | S | P |
| Fox Valley Medicine Site 199 | S | P |
| Fox Valley Medicine Site 451 | S | P |
| FoxEverett - Ingalls Ship Building | S | P |
| Fox-Everett, Inc. | S | P |
| Freedom Health Plan | S | P |
| Freedom Life Insurance Company | S | P |
| Freeman IPA | S | P |
| Fresenius Medical Care | S | P |
| Fringe Benefit Coordinators | S | P |
| FrontPath Health Coalition | S | P |
| G.E. Group Administrators (Texas Members Only) | S | P |
| G.E. Group Life Assurance Company | S | P |
| Gates McDonald Health Plus, Inc. (OH BWC) * | N | P |
| Gateway Health Plan | S | P |
| Gateway Health Plan | S | P |
| Gateway Health Plan ((Yellow Card). Check the ID card to verify the Payer ID before submitting) | S | P |
| Gateway Health Plan of Ohio, Inc. | S | P |
| Geisinger Health Plan * (Payer requires that you enroll with them at 800-447-4000 before submission. Provider number is required on Box33a) | S | P |
| GEMCare (Golden Empire Managed Care System) | S | P |
| GenCare Health (St. Louis only) | S | P |
| Gencare Health (St. Louis) | S | P |
| Genelco (St. Louis only) | S | P |
| Genelco (St. Louis only) | S | P |
| General American (Sanus - East) | S | P |
| General American Life Ins. Co. (Sanus, St. Louis) | S | P |
| General American Life Insurance Company | S | P |
| Genesis Healthcare (EMG) | S | P |
| Genworth Life and Health Insurance Company (GLHIC) (Now Sun Life and Health Insurance Company.) | S | P |
| Georgia Health Plans | S | P |
| Georgia Power Medical Benefits Plan | S | P |
| Georgia State Health Benefit Plan (Processed by GA BC/BS( * | N | P |
| Gettysburg Health | S | P |
| GHI HMO Select | S | P |
| GHI Medicare Part B of New York * | N | P |
| GHP (Group Health Plan) | S | P |
| GI Innovative Management | S | P |
| Gilsbar, Inc | S | P |
| Glassworkers and Glaziers Health and Welfare Fund Trust | S | P |
| Glassworkers Health & Welfare Fund - Grp# F29 | S | P |
| Global Care Inc | S | P |
| GM Southwest | S | P |
| GMS, Inc. | S | P |
| Golden Rule Insurance | S | P |
| GOLDEN TRIANGLE PHYSICIAN ALLIANCE | S | P |
| Good Samaritan Medical Practice Association (GSMPA) | S | P |
| Government Employees Hospital Association (GEHA) | S | P |
| Government Employees Hospital Association (GEHA) | S | P |
| Great Lakes Health Plan | S | P |
| Great West (SF) | S | P |
| Great West (WA) | S | P |
| Great West Care | S | P |
| Great West Denver | S | P |
| Great West Life & Annuity (Claims for Kennett, Missouri ONLY) | S | P |
| Great West Life Assurance | S | P |
| Great West Life Assurance Company of America | S | P |
| Greater L. A. Health | S | P |
| Greater San Gabriel | S | P |
| Greater WI Rapids Health Protection Plan | S | P |
| Great-West Bellevue | S | P |
| Green Bay Health Protection Plan | S | P |
| Greentree | S | P |
| Group Administrators Ltd. | S | P |
| Group Administrators Self-Funded Alternative | S | P |
| Group and Pension Administrators | S | P |
| Group Health Cooperative (WA) | S | P |
| Group Health Cooperative of Eau Claire | S | P |
| Group Health Cooperative of South Central Wisconsin Claims | S | P |
| Group Health Cooperative of South Central Wisconsin Encounters | S | P |
| Group Health Incorporated (GHI) (New York) | S | P |
| Group Health Insurance - DE | S | P |
| Group Health Northwest (Call Payer at 888-767-4670 prior to submitting electronic claims.) | S | P |
| GROUP INSURANCE SERVICE CENTER, INC | S | P |
| Guardian Healthcare | S | P |
| Guardian Life Insurance Company of America | S | P |
| GulfQuest | S | P |
| Gunderson Lutheran Health Plan | S | P |
| GWL | S | P |
| GWL & A | S | P |
| H.E.R.E.I.U. Welfare Pension Funds | S | P |
| Harmony Health Plan of Illinois (Wellcare Provider ID required, call (800) 960-2530 opt. 2 then 5) | S | P |
| Harmony Health Plan of Indiana (Only claims for Indiana Hoosier Healthwise members can be sent to this payer electronically.) | S | P |
| Harrington Benefit Services | S | P |
| Harrington Benefit Services, Inc/Centra | S | P |
| Harris Methodist Health Plan | S | P |
| Harvard Pilgrim Health Care * | S | P |
| Hawaii Management Alliance Association (HIMAA) | S | P |
| Hawaii Management Alliance Association (HMAA) | S | P |
| Hawki (Provider ID Required) | N | P |
| HCH Administration | S | P |
| HCHA Albq - Self Funded | S | P |
| HDM BENEFIT SOLUTIONS | S | P |
| HDPC - Premier Healthcare | S | P |
| HDPC Alliance Physicians | S | P |
| Health Administration Services, Inc | S | P |
| Health Advantage of Arkansas * | N | P |
| Health Alliance Exclusive & Plus | S | P |
| Health Alliance Medical Plans | S | P |
| Health Alliance of Urbana IL * (Provider number required in Box33a and Submitter ID in Box33b) | S | P |
| Health Alliance Plan of Michigan | S | P |
| Health America Inc. | S | P |
| Health Assurance | S | P |
| Health Care Alliance (Sears) | S | P |
| Health Care District Palm Beach | S | P |
| Health Care Network of WI (HCN) | S | P |
| Health Care Network of Wisconsin (HCN) | S | P |
| Health Choice Generations | S | P |
| Health Choice of AZ | S | P |
| Health Claims Service | S | P |
| Health Cost Solutions | S | P |
| Health Data Solutions | S | P |
| Health Design Plus | S | P |
| Health Economics Corporation | S | P |
| Health EZ | S | P |
| Health First Health Plans | S | P |
| Health First-Tyler, TX | S | P |
| Health Future | S | P |
| Health Help Networks, Inc. | S | P |
| Health Management Associates (HMA, servicing Southeastern and Southwestern Regions) (Provider ID Required) | S | P |
| Health Management Solutions (OH BWC) * | N | P |
| Health Market Care Assured | S | P |
| Health Net (California Encounters Only.) | S | P |
| Health Net (of California) | S | P |
| Health Net of Arizona | S | P |
| Health Net of the North East, Inc. (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638) | S | P |
| Health Net Oregon | S | P |
| Health Net Pearl | S | P |
| Health Network America | S | P |
| Health Network One | S | P |
| Health New England | S | P |
| Health Options of Florida (Blue Shield HMO) | N | P |
| Health Options of Florida (Blue Shield HMO) ENCOUNTERS ONLY!! | N | P |
| Health Options of Illinois | S | P |
| Health Partners - Jackson,TN | S | P |
| Health Partners, PA | S | P |
| Health Payment Systems | S | P |
| Health Plan Management | S | P |
| Health Plan of Michigan | S | P |
| Health Plan of San Joaquin | S | P |
| Health Plan of San Mateo | S | P |
| Health Plan Services, Tampa Office | S | P |
| Health Plans Inc. | S | P |
| Health Pledge HMO | S | P |
| Health Plus of Michigan | S | P |
| Health Plus PHSP (Brooklyn, NY) | S | P |
| Health Risk Management | S | P |
| Health Services for Children with Special Needs (HSCSN) | S | P |
| Health Services Management, Inc. | S | P |
| Health Services Management, Inc. for AHS | S | P |
| Health Services Management, Inc. for BPA | S | P |
| Health Services Management, Inc. for ECOH | S | P |
| Health Services Management, Inc. for EHC | S | P |
| Health Services Management, Inc. for ENCR | S | P |
| Health Services Management, Inc. for FCM | S | P |
| Health Services Management, Inc. for HF | S | P |
| Health Services Management, Inc. for HT | S | P |
| Health Services Management, Inc. for MMSI | S | P |
| Health Services Management, Inc. for MSHO | S | P |
| Health Services Management, Inc. for PNET | S | P |
| Health Services Management, Inc. for PONE | S | P |
| Health Services Management, Inc. for SC | S | P |
| Health Services Management, Inc. for WEA | S | P |
| Healthcare Management Admin | S | P |
| Healthcare Management Administrators, Inc. (also known as HMA, servicing Western Region) | S | P |
| Healthcare Partners | N | P |
| HealthCare Partners, IPA | S | P |
| Healthcare Resources NW | S | P |
| HealthCare Solutions Group | S | P |
| Healthcare USA | S | P |
| HealthComp | S | P |
| Healthcomp | S | P |
| Healthease | S | P |
| HealthEZ | S | P |
| Healthfirst, Inc. (NY) | S | P |
| HealthGuard of Lancaster | S | P |
| Healthkeeper HMO (Requires VA Blue Shield EMC approval) | N | P |
| HEALTHLINK HMO | S | P |
| HEALTHLINK PPO | S | P |
| Healthnet of AZ | S | P |
| HealthPartners of Minnesota * | N | P |
| HealthPlus of Lousiana | S | P |
| Healthpoint Corporation | S | P |
| HealthPower HMO | S | P |
| HealthSCOPE Benefits, INC | S | P |
| HealthSmart Preferred Care | S | P |
| Healthsource \ Hudson Health Plan (Provider enrollment is required by the payer. Must call (914) 372-2291 to obtain payerID) | S | P |
| Healthsource Arkansas - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID | S | P |
| Healthsource Indiana - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID | S | P |
| Healthsource Kentucky - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID | S | P |
| Healthsource Maine - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID | S | P |
| Healthsource New Hampshire - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID | S | P |
| Healthsource North Carolina - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID | S | P |
| Healthsource North Texas - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID | S | P |
| Healthsource Provident Ins. Co. | S | P |
| Healthsource, AR (Med) (CIGNA) | S | P |
| Healthsource, GA (CIGNA) | S | P |
| Healthsource, Mass | S | P |
| Healthsource, OH | S | P |
| Healthsource, TN (CIGNA) | S | P |
| HealthSpring HMO (No PPO claims accepted via this payerID.) * | S | P |
| HealthStar, Inc. | S | P |
| Healthsun Health Plan | S | P |
| Healthwave of Kansas | S | P |
| Healthways WholeHealth Networks | S | P |
| Healthy Palm Beaches, Inc. | S | P |
| Helix Family Choice | S | P |
| Heritage Consultants (Must use 9-digit subscriber ID on all claims) | S | P |
| HERITAGE IPA | S | P |
| HERITAGE PHY NETWORK-ENCOUNTERS ONLY | S | P |
| HFN, Inc. | S | P |
| Hi Desert Medical | S | P |
| High Desert Primary Care | S | P |
| Highline Medical Services MOLINA | S | P |
| Highline Medical Services PSHP | S | P |
| Highmark - Key Family | S | P |
| Hill Physicians Medical Group * | S | P |
| Hillcrest Benefits Administrators | S | P |
| Hinsdale Physicians Healthcare | S | P |
| HIP-Health Insurance Plan of Greater NY * | S | P |
| HMA (servicing HI, AZ and NV) | S | P |
| HMO of Colorado, also known as HMOC (Prior appproval by HMOC required prior to sending claims electronically) | N | P |
| Hollywood Presbyterian | S | P |
| Holy Cross Health Partners | S | P |
| Holy Cross Health Partners | S | P |
| Homeland Security (ATTN: Deportation) | S | P |
| Hometown Health Plan Nevada | S | P |
| Hometown Health Plan of Ohio | S | P |
| Horace Mann Life Insurance | S | P |
| Horizon Blue Cross Blue Shield of New Jersey * | N | P |
| Hotel Employees & Restaurant Employees Health Trust - Grp#F19 | S | P |
| HPR | S | P |
| HPS Paradigm, Inc. | S | P |
| HRM | S | P |
| HRM Claim Management | S | P |
| Hudson Health Plan * (Provider must be located in Duchess, Orange, Rockland, Sullivan or Westchester County, NY) | S | P |
| Humana VA Hero Program | S | P |
| HUMANA, Claims only | S | P |
| HUMANA, Encounters Only | S | P |
| Hunt Insurance Group, Inc. | S | P |
| Huntington Park Medical Group | S | P |
| Huntington Park Mission | S | P |
| I. E. Shaffer | S | P |
| IBA Self Funded Group | S | P |
| IBC Personal Choice * | N | P |
| IBEW Local 640 & Arizona Chapter NECA Health & Welfare Trust | S | P |
| IBEW Western Utilities or Local 57 | S | P |
| IBI | S | P |
| IBM Medical Plans | S | P |
| iCARE (Independent Care Health Plan) | S | P |
| ICM | S | P |
| ICON Benefit Administrators | S | P |
| Idaho True Blue * | N | P |
| IHN | S | P |
| Illinois Central Hospital Association | S | P |
| Illinois Health Solutions ( ProviderID Required) | N | P |
| IMCARE | S | P |
| INDECS Corporation | S | P |
| Independence Administrators | S | P |
| Independence Medical Group | S | P |
| Independent BLC of PA * (Also known as Personal Choice PPO of Pennsylvania.) | N | P |
| Independent Health * (Enrollment and Testing Required, contact (716) 635-3911) | N | P |
| Indiana ProHealth Network | S | P |
| Indiana Teamsters Health Benefits Fund (Formerly known as Local 135 Health Benefits Fund) | S | P |
| Industrial Machine Specialties | S | P |
| InforMed, LLC | S | P |
| Ingalls Provider Group | S | P |
| InHealth, Inc. | S | P |
| Inland Empire Health Plan | S | P |
| InProNet | S | P |
| INS Health Services | S | P |
| Institutes of Quality | S | P |
| Insurance Administrator of America | S | P |
| Insurance Claims Services, Inc. (Birmingham, AL) | S | P |
| Insurance Design Administrators | S | P |
| Insurance Management Services of NV | S | P |
| Insurance Management Services of Texas | S | P |
| Insurance Service of Lubbock | S | P |
| Insurer's Administration Corporation | S | P |
| Insurers Administrative Corporation | S | P |
| INTEGRA Administrative Group, Inc. | S | P |
| Integra Group - CHA | S | P |
| Integra Group (Also known as Rehab Provider Network, but not the same as Colorado payer of same name.) | S | P |
| Integrated Comp (OH BWC) * | N | P |
| Integrated Mental Health Services | S | P |
| INTENATIONAL MEDICAL GROUP, INC | S | P |
| Interactive Diagnostic Services, Inc. | S | P |
| Intercare | S | P |
| Interface EAP | S | P |
| Intergroup Services Corporation | S | P |
| Intermountain Ironworkers Trust Fund | S | P |
| International Funding Inc. | S | P |
| International Union Operating Engineers | S | P |
| InterWest Health PPO (Montana) | S | P |
| Iowa Benefits, Inc. | S | P |
| Iowa Health Solutions (Provider ID Required) | N | P |
| IU Medical Group Primary Care | N | P |
| Jackson Memorial Health Plan | S | P |
| Jackson Memorial Health Plan(FL) * | S | P |
| JF Molloy | S | P |
| JI Specialty Services, Inc. | S | P |
| JMHP Medicaid | S | P |
| John Alden Life Ins. | S | P |
| John Deere Healthcare, now know as UnitedHealthcare River Valley * (Please call 866-509-1593 for enrollment and provider ID) | S | P |
| John Hopkins Healthcare (EHP/PP) (Submit Billing NPI and Rendering/Servicing NPI) | S | P |
| John Morrell Company - AHPBA | S | P |
| John Muir Health Network | S | P |
| John Muir Mt. Diablo Health System | S | P |
| John Muir Trauma Physicians (Please call 925-947-5288 for Payer ID information.) | S | P |
| John P Pearl and Associates | S | P |
| Johns Hopkins (USFHP) (New submitter should send in their Billing NPI & Rendering servicing NPI) | S | P |
| Joplin Claims | S | P |
| JP Farley Corporation | S | P |
| JPS PREFERRED CARE | N | P |
| JSL Administrators | S | P |
| Kaiser Foundation Health Plan of Georgia | S | P |
| Kaiser Foundation Health Plan of Ohio | S | P |
| Kaiser Foundation Health Plan of Southern CA Region * | S | P |
| Kaiser Mid Atlantic | S | P |
| Kaiser Mid-Atlantic | S | P |
| Kaiser NW Region (Provider ID Required, Call 503-813-3354 prior to submitting claims) | S | P |
| Kaiser Permanente (Colorado plans only) | S | P |
| Kaiser Permanente (Southern California Only) | S | P |
| Kaiser PPO | S | P |
| Kanawha Healthcare Solutions | S | P |
| Kansas City Life Insurance Company | S | P |
| Kapiolani Health Commercial | S | P |
| Keenan Associates (CA) | S | P |
| KELSEY SEYBOLD | S | P |
| Kempton Group | S | P |
| Kern Health Systems | S | P |
| Key Benefit Administrators | S | P |
| Key Health Plan (CA) | S | P |
| Key Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.) | N | P |
| Key Select | S | P |
| Keycare PPO (Requires VA Blue Shield EMC approval) | N | P |
| Keystone Mercy Health Plan | S | P |
| Klais and Company | S | P |
| KPS HEALTH PLANS | S | P |
| LaCrosse Care Plus | S | P |
| Lafayette Consolidated Government | S | P |
| Lakeside Health Services | S | P |
| Lakeside IPA | S | P |
| Lakeside Medical Group Inc. | S | P |
| Landmark Healthcare Inc. | S | P |
| Lawndale Christian Health Center | S | P |
| LBA HealthPlans | S | P |
| Leon Medical Center Health Plan | S | P |
| Liberty Mutual Insurance Company (Worker's Compensation Claims Only.) | N | P |
| Life & Health Ins Co of America (NFL Plan only) | S | P |
| Life Investors Ins Co of America (Specialized claims only. Call 866-745-3545 with claim routing questions.) | S | P |
| Life Trac | S | P |
| Lifewise A Premier Health Plan * | S | P |
| Lifewise Health Plan of Arizona A Premier Health Plan * | S | P |
| Lifewise Health Plan of Oregon A Premier Health Plan * | S | P |
| Lifewise Health Plan of Washington A Premier Health Plan * | S | P |
| Linn County | S | P |
| LIPA/AGATE RESOURCES | S | P |
| Local Choice (Requires VA Blue Shield EMC approval) | N | P |
| LOMA LINDA UNIVERSITY ADVENTIST | S | P |
| London Health Administrators | S | P |
| Lovelace Medicaid * | S | P |
| Lovelace Salud! (NM Medicaid) * | S | P |
| Lovelace Sandia Health Plan | S | P |
| Machinist District 9 Welfare | S | P |
| MacNeal Health Providers - CHS (Contact 708-783-7100 prior to first submission.) | N | P |
| Magellan Behavioral Health (All Non-AETNA Subscribers - Provider ID Required) | S | P |
| Magellan Behavioral Health (For Dates of Service 1/1/2006 and After - Provider ID Required - AETNA Subscribers only.) | S | G |
| Magellan Behavioral Health (For Dates of Service prior to 1/1/2006 - Provider ID Required) AETNA Subscribers only. | S | P |
| MAGNACARE | S | P |
| Mailhanders Benefit Plan (CAC) | S | P |
| Maksin Management Corporation | S | P |
| MAMSI Life and Health Insurance Co. (MLH) | S | P |
| Managed Care Services, LLC | S | P |
| Managed Care Systems (Delango Regional Medical) | S | P |
| Managed Health Networks (MHN) | S | P |
| Managed Health Services Indiana * (Medicaid HMO, Enrollment Required - Call Debbi Sandberg at 800-225-2573 ext. 25306) | S | P |
| Managed Health Services of Wisconsin (Please contact the payer @ 800-225-2573, ext 25525 to get setup to submit electronic claims.) | S | P |
| Managed Physical Network | S | P |
| Managed Physical Network (MPN) | S | P |
| Manatee Services Center (Payer ID only valid for claims with a billing submission address of PO Box 1098, Bradenton, FL 34206) | S | P |
| MAPCO Inc. | S | P |
| Marin IPA | S | P |
| Marriott | S | P |
| Maryland Physicians Care | S | P |
| Maryland Physicians Care (Provider ID required.) | S | P |
| Maryland PMHS * (Use for Dates of Service before 9-01-2009. For later DOS use 77063.) | N | P |
| Maryland PMHS ValueOptions * (Use for Dates of Service after 9-01-2009. For earlier DOS use 77062.) | N | P |
| Mashantucket Pequot Tribal Nation | S | P |
| Mass Health (MA Medicaid) * | N | P |
| Massachusetts Mutual also known as Mass Mutual | S | P |
| MASTERS, MATES AND PILOTS PLAN | S | P |
| Mayo Management Services, Inc. (Mayo Management requires the Network Provider ID be placed on box33a of the HCFA claim form.) | S | P |
| MBA of MD, Inc. | S | P |
| MBA of Wyoming | S | P |
| M-CARE (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.) | S | P |
| Mcare of Colorado Springs | S | P |
| Mcare of Michigan (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.) | S | P |
| MCC Behavioral Care | S | P |
| McCreary Corporation | S | P |
| McLaren | N | P |
| MD-Individual Practice Association, Inc. (M.D. IPA) | S | P |
| MDWise Hoosier Alliance | S | P |
| MedAdmin Sol Inc | S | P |
| MedCom | S | P |
| MedCost Benefit Services | S | P |
| MedCost, Inc. | S | P |
| Medfocus | S | P |
| MEDICA | S | P |
| Medica Health Care Plan, Inc. | S | P |
| Medicaid of Delaware * | S | P |
| Medicaid - TX Premier Plan (Contact Provider Relations @ (915)532-2778, x1068) | S | P |
| Medicaid of Alabama * | N | P |
| Medicaid of Alaska * | N | P |
| Medicaid of Arizona (AHCCCS) * | N | P |
| Medicaid of Arkansas * | N | P |
| Medicaid of Colorado * | N | P |
| Medicaid of Connecticut * | N | P |
| Medicaid of Florida * | N | P |
| Medicaid of GA * | N | P |
| Medicaid of Hawaii * | N | P |
| Medicaid of Idaho * | N | P |
| Medicaid of Illinois * | N | P |
| Medicaid of Indiana * | N | P |
| Medicaid of Iowa * | N | P |
| Medicaid of Kansas * | N | P |
| Medicaid of Kentucky * | N | P |
| Medicaid of Lousiana * | N | P |
| Medicaid of Lousiana Rehab * (for Rehabilitation claims) | N | P |
| Medicaid of Maine * | N | P |
| Medicaid of Maryland * | N | P |
| Medicaid of Massachusetts * | N | P |
| Medicaid of Michigan * | N | P |
| Medicaid of Minnesota * | N | P |
| Medicaid of Mississippi * | N | P |
| Medicaid of Missouri * | N | P |
| Medicaid of Montana * | N | P |
| Medicaid of Nebraska * | N | P |
| Medicaid of Nevada * | N | P |
| Medicaid of New Hampshire * | N | P |
| Medicaid of New Jersey * | N | P |
| Medicaid of New Mexico * | N | P |
| Medicaid of New York * | N | P |
| Medicaid of North Carolina * | N | P |
| Medicaid of North Dakota * | N | P |
| Medicaid of Ohio * | N | P |
| Medicaid of Oklahoma * | N | P |
| Medicaid of Oregon * | N | P |
| Medicaid of Pennsylvania * | N | P |
| Medicaid of Rhode Island * | N | P |
| Medicaid of South Carolina * | N | P |
| Medicaid of South Dakota * | N | P |
| Medicaid of Tennessee (TennCare) * | N | P |
| Medicaid of Texas * | N | P |
| Medicaid of Utah * | N | P |
| Medicaid of Vermont * | N | P |
| Medicaid of Virginia * | N | P |
| Medicaid of Washington DC * | N | P |
| Medicaid of Washington State * | N | P |
| Medicaid of West Virginia * | N | P |
| Medicaid of Wisconsin * | N | P |
| Medicaid of Wyoming * | N | P |
| Medical Benefit Administration, Inc. | S | P |
| Medical Benefits Mutual | S | P |
| Medical Claims Service, Inc. | S | P |
| Medical Development International | S | P |
| Medical Mutual of Ohio (Payer requires a 12 digit rendering provider ID#, which needs to be obtained from payer by calling 800-321-7223) | S | P |
| Medical Network of Colorado Springs | S | P |
| MediCal of California * | N | P |
| Medical Resource Network (MRN, INC) | S | P |
| Medical Select Management | S | P |
| Medical Value Plan - Ohio (MVP) | S | P |
| Medicare Blue Advantage of South Carolina * | N | P |
| Medicare of Missouri * (Includes both Eastern and Western Missouri.) | N | P |
| Medicare Part B GHI * | N | P |
| Medicare Part B of Alabama * | N | P |
| Medicare Part B of Alaska * | N | P |
| Medicare Part B of Arizona * | N | P |
| Medicare Part B of Arkansas * | N | P |
| Medicare Part B of Colorado * | N | P |
| Medicare Part B of Connecticut * | N | P |
| Medicare Part B of DC* | N | P |
| Medicare Part B of Delaware * | N | P |
| Medicare Part B of Florida * | N | P |
| Medicare Part B of Georgia * | N | P |
| Medicare Part B of Hawaii * | N | P |
| Medicare Part B of Idaho * | N | P |
| Medicare Part B of Illinois * | N | P |
| Medicare Part B of Indiana * | N | P |
| Medicare Part B of Iowa * | N | P |
| Medicare Part B of Kansas * | N | P |
| Medicare Part B of Kentucky * | N | P |
| Medicare Part B of Louisiana * | N | P |
| Medicare Part B of Maine * | N | P |
| Medicare Part B of Maryland * | N | P |
| Medicare Part B of Massachusetts * | N | P |
| Medicare Part B of Michigan * | N | P |
| Medicare Part B of Minnesota * | N | P |
| Medicare Part B of Mississippi * | N | P |
| Medicare Part B of Missouri (Eastern) * (Specialty testing required) | N | P |
| Medicare Part B of Montana * | N | P |
| Medicare Part B of Nebraska * | N | P |
| Medicare Part B of Nevada * | N | P |
| Medicare Part B of New Hampshire * | N | P |
| Medicare Part B of New Mexico * | N | P |
| Medicare Part B of New York (Empire) * | N | P |
| Medicare Part B of NJ (Specialty testing required) * | N | P |
| Medicare Part B of North Carolina * | N | P |
| Medicare Part B of North Dakota * | N | P |
| Medicare Part B of Northern California * | N | P |
| Medicare Part B of Northern Virginia * (inc. Prince George, Montgomery, Fairfax and Arlington Counties and City of Alexandria) | N | P |
| Medicare Part B of Ohio * | N | P |
| Medicare Part B of Oklahoma * | N | P |
| Medicare Part B of Oregon * | N | P |
| Medicare Part B of PA (Specialty testing required) * | N | P |
| Medicare Part B of Puerto Rico * (In Test) | N | P |
| Medicare Part B of Rhode Island * | N | P |
| Medicare Part B of South Carolina * | N | P |
| Medicare Part B of South Dakota * | N | P |
| Medicare Part B of Southern California * | N | P |
| Medicare Part B of Tennessee * | N | P |
| Medicare Part B of Texas * | N | P |
| Medicare Part B of Upstate NY * | N | P |
| Medicare Part B of Utah * | N | P |
| Medicare Part B of Vermont * | N | P |
| Medicare Part B of Virginia * | N | P |
| Medicare Part B of Washington * | N | P |
| Medicare Part B of West Virginia * | N | P |
| Medicare Part B of Western Missouri * | N | P |
| Medicare Part B of Wisconsin * | N | P |
| Medicare Part B of Wyoming * | N | P |
| Medicare Railroad * (MetraHealth Medicare) | N | P |
| Medicare Supplemental (Requires VA Blue Shield EMC approval) | N | P |
| MEDIGOLD | S | P |
| MediPrime | S | P |
| MedSolutions, Inc. | S | P |
| Medstar Physician Partners | S | P |
| Mega Life & Health (United Insurance Division) | S | P |
| MEGA Life & Health Ins. Co. (Student Division) | S | P |
| Mega Life & Health Insurance Company (SSN is not a valid Insured ID. Must be similar to 01234567899 or AA1234567) | S | P |
| MEMIC | S | P |
| MEMORIAL CLINICAL ASSOCIATES | S | P |
| MEMORIAL HERMANN HEALTH NETWORK | S | P |
| Memorial Integrated Healthcare (Please email Tracy Harswick at twarswick@mhs.net for payer ID information.) | S | P |
| Mendicina Familiar Medical Group | S | P |
| Mennonite Mutual | S | P |
| Mental Health Network (Only claims for PO Box 209010 Austin TX 78720) | S | P |
| Mercy Care (Please call 608-758-7739 for payerID.) | S | P |
| MERCY CARE of AZ | S | P |
| Mercy Care Plus | S | P |
| Mercy Health Plan of New Jersey * (Provider ID Required in Box33a - Contact (800) 682-9091 to obtain ID) | S | P |
| Mercy Health Plans | S | P |
| Meridian Health Plan | S | P |
| Meritain Health / Agency Services | N | P |
| Mesa Mental Health | S | P |
| MethodistCare, Inc. | S | P |
| Metro Plus Health Plan | S | P |
| Metropolitan Health Plan | S | P |
| Michigan Blue Care HMO (BCN of Michigan) * | N | P |
| Michigan Medicare PlusBlue * | N | P |
| Micron Tech | S | P |
| Mid Atlantic Health Plans | S | P |
| Mid Atlantic Psychiatric Services, Inc. (MAPSI) | S | P |
| Mid-America Associates | S | P |
| Midland Management/MFC | S | P |
| Midland National Life Ins Co (NFIC Plan only) | S | P |
| Midlands Choice | S | P |
| Midlands Health Partners | S | P |
| Midwest Group Benefits | N | P |
| MIDWEST HEALTH PLANS, INC. | S | P |
| Mid-West National Life Insurance Co. of Tennessee (ID valid only for following: PO Box 982017, North Richland Hills, TX 76182) | S | P |
| Midwest Preferred | S | P |
| MidWest Securities | S | P |
| Mid-West United Life (Student Division) | S | P |
| Mills Penisula Medical Group | S | P |
| Minneapolis Prudential Business | S | P |
| Mission Hospital Affiliates | S | P |
| Mississippi Select Healthcare (Mississippi Select Health Care) | S | P |
| Missoula County Medical Benefits | S | P |
| Missouri Care | S | P |
| Missouri Care (Requires Medicaid Provider ID in Box 33a. Contact ENS enrollments at 800-341-6041 prior to submission.) | S | P |
| Molina Healthcare of California (Rendering provider must use Medi-Cal ID number or State License Number. Billing provider should use Federal TaxID only.) | S | P |
| Molina Healthcare of Florida | S | P |
| Molina Healthcare of Michigan | S | P |
| Molina Healthcare of New Mexico | S | P |
| Molina Healthcare of Ohio | S | P |
| Molina Healthcare of Texas | S | P |
| Molina Healthcare of Washington (Rendering providers use DSHS Medicaid ID or State Licence Number.) | S | P |
| Molina Healthcare Utah * | S | P |
| Momentum Health Services | S | P |
| Monarch Healthcare IPA * (Rendering provider ID# required on all claims.) | S | P |
| Monex Health Care | S | P |
| Montefiore Contract Management Organization (Provider ID required, call 914-377-4400 for ID prior to first claims submissions.) | S | P |
| Monumental Life Ins Co. (Specialized claims only. Call 501-277-1284 for information.) | S | P |
| MORRIS ASSOCIATES | S | P |
| Mosaic IPA Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.) | N | P |
| Motion Picture Industry Health Plan (Provider Must contact Judy Taylor at Motion Picture, 818-769-0007 ext 304 to get setup and get payerID.) | S | P |
| Motorola | S | P |
| Mountain Medical Affiliates | S | P |
| Mountain States Administrative Services, Inc. (ARIZONA ONLY.) | S | P |
| Mountain States Administrators (COLORADO ONLY) | S | P |
| MPE Employee Benefit Services | S | P |
| MPLAN Inc. Healthcare Group | S | P |
| Mt. Carmel | S | P |
| Multiplan Inc. for American Family (Claims only for the states of AZ, IL, IN and OH) | S | P |
| Multiplan Wisconsin Preferred Provider Network | S | P |
| Mutual Assurance Administrators | S | P |
| Mutual Benefit | S | P |
| Mutual Benefit Life | S | P |
| Mutual Group, The (US) | S | P |
| Mutual of Omaha Insurance Company | S | P |
| Mutual of Omaha Insurance Company | S | P |
| Mutually Preferred | S | P |
| MVP Health Plan of NY * | S | P |
| N.W. Ironworkers Health & Security Trust Fund - Grp#F15 | S | P |
| N.W. Roofers & Employers Health & Security Trust Fund - Grp#F14 | S | P |
| N.W. Textile Processors - Grp#F14 | S | P |
| NAA (North America Administrators) | S | P |
| Naperville Health Care Associates | S | P |
| National Association of Letter Carriers | S | P |
| National Association of Letter Carriers | S | P |
| National Benefit Administrators - New Jersey | S | P |
| National Benefits Administrators - North Carolina | S | P |
| National Capital Area * | N | P |
| National Capital Preferred Provider Organization (NCPPO) (Toobtain your provider ID number, please call the NCPPO Customer Service Department at (800) 272-5911) | S | P |
| National Financial Insurance Company | S | P |
| National Foundation Life Insurance Company | S | P |
| National Health Administrators Inc. | S | P |
| National Health Insurance Company | S | P |
| National Imaging Associates | S | P |
| National Rural Electric | S | P |
| National Teachers Association (NTA) | S | P |
| National Telecommunications Cooperative Association (NTCA) | S | P |
| National Tellecommunications Cooperative Association (NTCS Staff) | S | P |
| Nationwide Group | S | P |
| Nationwide Health Plans - HMO, PPO, POS | S | P |
| Nationwide Insurance | S | P |
| Nationwide Life and Health | S | P |
| Nationwide Mutual Insurance | S | P |
| NCAS - Charlotte, VA | S | P |
| NCAS - Fairfax, VA | S | P |
| NCTA - PlanVista Corporation | S | P |
| NEA Group Insurance Program | S | P |
| Neighborhood Health Partnership of Florida | S | P |
| Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number.) | S | P |
| Neighborhood Health Providers | S | P |
| Neighborhood Plan (Boston, MA) | S | P |
| Nesika Health Group | S | P |
| Netcare Life and Health Insurance | S | P |
| Network Health (Before initiating submissions, please call Provider Relations at (617)806-8104 or www.network-health.org for an EDI startup plan.) | S | P |
| Network Health Insurance Corp - Medicare | S | P |
| Network Health Plan of Wisconsin, Inc.(Prior to initial claims submission, please contact Network Health Plan EDI specialist at 920-720-1506.) | S | P |
| Network Health PPO | S | P |
| Nevada Health Solutions (Provider ID Required) | N | P |
| NevadaCare (Provider ID Required) | N | P |
| NevadaCare Kids (Provider ID Required) | N | P |
| New Century Health = Vista Cardiology | S | P |
| New England, The | S | P |
| New England, The | S | P |
| New ERA Life | S | P |
| New Market Dimensions | S | P |
| New Mexico District Council of Carpenters | S | P |
| New Mexico Painters and Allied Trades Local No 823 | S | P |
| New Mexico-West Texas Multi-Craft (lso known as New Mexico Laborers) | S | P |
| New West Health Plan | S | P |
| New York Life - Long Term Care | S | P |
| New York Medical Imaging-MVP | S | P |
| New York Network Management | S | P |
| New York Presbyterian Community Health Plan | S | P |
| New York Presbyterian System Select Health | S | P |
| NGS American, Inc. | S | P |
| NHC Health Benefit Plan (Call NHC Health Benefit Plan @ 615-278-1230 regarding your NHC provider number.) | S | P |
| Nippon Life Insurance Company | S | P |
| NJ Carpenters Health Fund | S | P |
| NM Blue Medicare PPO | S | P |
| Noble Community | S | P |
| North American Administrators, Inc. | S | P |
| North American Benefits Network (NABN) | S | P |
| North American Medical Management (Provider number must be in box 33a) | S | P |
| North Broward Hospital District | S | P |
| North Suburban Associated Physicians | S | P |
| North Texas Healthcare Network | S | P |
| North West Life | S | P |
| Northern Illinois Health Plan | S | P |
| Northern Nevada Trust Funds (Call 775-826-7200 prior to submitting claims.) | S | P |
| Northridge Medical Group | S | P |
| Northwest Community Health Partners | S | P |
| Northwest Suburban IPA (IL) | S | P |
| Northwestern National Life | S | P |
| Nova Healthcare Administrators, Inc. (Grand Island, NY) | S | P |
| NOVASYS HEALTH NETWORK | S | P |
| NTL | S | P |
| Nyhart | S | P |
| Oak West Primary Physician Association | S | P |
| Oak West Primary Physician Association | S | P |
| Occupational Health Management, Inc. (OH BWC) * | N | P |
| Ochsner Health Plan | S | P |
| ODS Health Plan | S | P |
| OH Worker's COMP | N | P |
| Ohio Health Plan (Group # required. PayerID valid only for claims with billing submission address of PO BOX 93538 or 6068, Cleveland OH) | S | P |
| Olympic Health Management Systems, Inc. | S | P |
| OmniCare (For claims with Dates of Service after 10/01/04) | S | P |
| One Call Medical | S | P |
| One Health Plan Inc. | S | P |
| One Health Plan Michigan, Inc. | S | P |
| One Health Plan New York, Inc. | S | P |
| One Health Plan of Alaska | S | P |
| One Health Plan of Arizona, Inc. | S | P |
| One Health Plan of California | S | P |
| One Health Plan of Colorado | S | P |
| One Health Plan of DC Inc, | S | P |
| One Health Plan of Florida | S | P |
| One Health Plan of Georgia | S | P |
| One Health Plan of Illinois | S | P |
| One Health Plan of Indiana, Inc. | S | P |
| One Health Plan of Kansas and Missouri | S | P |
| One Health Plan of Maine, Inc. | S | P |
| One Health Plan of Massachusetts, Inc. | S | P |
| One Health Plan of Minnesota, Inc. | S | P |
| One Health Plan of Nevada, Inc. | S | P |
| One Health Plan of New Jersey | S | P |
| One Health Plan of North Carolina | S | P |
| One Health Plan of Ohio | S | P |
| One Health Plan of Pennsylvania | S | P |
| One Health Plan of South Carolina | S | P |
| One Health Plan of Tennessee | S | P |
| One Health Plan of Texas | S | P |
| One Health Plan of Virginia, Inc. | S | P |
| One Health Plan of Washington | S | P |
| One Health Plan of Wisconsin, Inc. | S | P |
| One Health Plan of Wyoming | S | P |
| OneNet PPO, LLC. (Formerly known as Alliance PPO, Inc.) | S | P |
| Operating Engineers Local No 53 | S | P |
| Operating Engineers Locals 302 & 612 Health & Security Fund - Grp#F12 | S | P |
| Opticare Eye Health Network | S | P |
| Optimum Choice of the Carolina's (MAMSI) | S | P |
| Optimum Choice, Inc. (OCI) | S | P |
| OptumHealth Behavior Solutions | S | G |
| OptumHealth New Mexico | S | G |
| Orange County Foundation for Medical Care | S | P |
| Orthonet - AETNA | S | P |
| Orthonet Corporation | S | P |
| Orthonet-HealthNet | S | P |
| OSF Care Advantage (Enrollment required. Contact OSF) Provider UPIN required in HCFA Box33a | S | P |
| OSF Health Plans (Enrollment required. Contact OSF) | S | P |
| OSG-Michael Reese | S | P |
| Oshkosh Area Health Protection Plan | S | P |
| Oxford Health Plans | S | P |
| P5 Health Plan Solutions of Utah | S | P |
| PA Preferred Health (Call PPHN Claims Operations at 410-349-3222) | S | P |
| PacifiCare Behavioral Health | S | P |
| PacifiCare of AZ 95964 | S | P |
| PacifiCare of CA (Claims only) | S | P |
| PacifiCare of CA Encounters | S | P |
| PacifiCare of CO | S | P |
| PacifiCare of OK Encounters | S | P |
| PacifiCare of Oklahoma | S | P |
| PacifiCare of OR Encounters | S | P |
| PacifiCare of Oregon | S | P |
| PacifiCare of Texas | S | P |
| PacifiCare of TX Encounters | S | P |
| PacifiCare of WA Encounters | S | P |
| PacifiCare of Washington | S | P |
| PacifiCare PPO | S | P |
| PacificSource Health Plans | S | P |
| Palmetto Tricare (Regions 1-6) Northern and Southern Region * | S | P |
| Paper Claims (ENS will print and mail the claims submitted with the payerID of PRINT) | N | P |
| Paragon Benefits, Inc. | S | P |
| Paramount Health | S | P |
| Parity Healthcare, Inc. | S | P |
| Parkland Community Health Plan | S | P |
| Partner Care | S | P |
| Partners National Health Plans of North Carolina, Inc (Contracted providers only. Call (888) 296-9790) | S | P |
| Partnership Health Plan | S | P |
| Pasadena Primary Care Physicians | S | P |
| Passport Advantage | S | P |
| Passport Health Plan | S | P |
| Patient Advocates, LLC | S | P |
| PCMC/ICSL-Podiatry | S | P |
| Peach State Health Plan (Behavioral Health) (Enrollment required. Call 800-225-2573, ext 25525.) | N | P |
| Peach State Health Plan (Medicaid) (Call 800-225-2573 ext 25525 prior to submitting claims.) | S | P |
| Pediatric Associates of Broward | S | P |
| PEHP - Utah Public Employee Health Plan (Enrollment required, please contact Provider Relations 801-352-7270) | S | P |
| PEHP - Utah Public Employee Health Plan * | N | P |
| Peninsula Healthcare (Requires VA Blue Shield EMC approval) | N | P |
| Pennsylvania Keystone Health Plan Central (Claims only) * | N | P |
| Pennsylvania Keystone Health Plan Central (Encounters only) * | N | P |
| Pennsylvania Keystone Health Plan East (claims only) * | N | P |
| Pennsylvania Keystone Health Plan East (encounters only) * | N | P |
| Pennsylvania Life Insurance | S | P |
| Peoples Health Network (Tenet) (Network ID must be on claim. Contact phn.provider@tenethealth.com) | S | P |
| Perfect Health | S | P |
| Personal Choice PPO of Pennsylvania * (Also know as Independent BLC) | N | P |
| Personal Physician Care | S | P |
| Personalcare | S | P |
| PHCS Savility (ONLY for Savility card members.) | S | P |
| Phoenix American Life | S | P |
| Phoenix Group Services (Texas) | S | P |
| Phoenix Health Plan | S | P |
| Phoenix Home Life | S | P |
| Phoenix Home Life Mutual Ins. Co. | S | P |
| Phoenix Mutual | S | P |
| Phycor (Ft Collins office only) | S | P |
| Physician Associates of Greater San Gabriel Valley * | S | P |
| Physician Associates of Lousiana (PAL) | S | P |
| Physician Health Partners | S | P |
| Physicians Care Network | S | P |
| Physicians Care Network (Rockford, IL Only) PayerID valid only for claims with billing submission name, city and state of Physicians Care Network, Rockford, IL. | S | P |
| Physicians Corporation of America (Florida Plan Only) | S | P |
| Physicians Direct | S | P |
| Physicians Health Association of Illinois | S | P |
| Physicians Health Choice - Claims (Administered by Wellmed) | S | P |
| Physicians Health Choice - Encounters (Administered by Wellmed) | S | P |
| Physicians Health Collaborative | S | P |
| Physicians Health Plan (PHP) Mid-Michigan | S | P |
| Physicians Health Plan (PHP-SC) | S | P |
| Physicians Health Plan of Northern Indiana | S | P |
| Physicians Health Services (now Health Net of NE) (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638) | S | P |
| Physicians Mutual Insurance Company | S | P |
| Physicians Plus Insurance Corp. | S | P |
| Piedmont Administrators | S | P |
| Piedmont Behavioral Health | S | P |
| Pima Health System * | S | P |
| Pinal Gila Long Term Care | S | P |
| Pinnacol Assurance | S | P |
| Pipe Industry Health & Welfare Fund of Colorado | S | P |
| Pipefitters Local 597 | S | P |
| Pipeline Industry Benefit Fund (Tulsa, OK) | S | P |
| Pittman and Associates | S | P |
| Planned Administrators, Inc. (PAI) | S | P |
| PMG of San Jose | S | P |
| Podiatry First | S | P |
| Poly America Medical & Dental Benefits Plan | S | P |
| POMCO | S | P |
| PPO Oklahoma (WinterBrook HealthCare Management) | S | P |
| PPO Plus, LLC | S | P |
| PPOM LLC | S | P |
| PPONext | S | P |
| PPOplus | S | P |
| Practicare | S | P |
| Prairie States Enterprises, Inc. | S | P |
| Preferred Administrator (Contact Provider Relations @ (915)532-2778, x1068) | S | P |
| Preferred Benefit Administrators | S | P |
| Preferred Care FL | S | P |
| Preferred Care NY * | N | P |
| Preferred Care Partners (Miami,Florida) | S | P |
| Preferred Community Choice | S | P |
| Preferred Health Care - PPO Lancaster, PA (IHS Gateway Payer) - Contact Sherry Wolgemuth at (717)560-9290 ext. 124 for approval and the Payer ID. | S | P |
| Preferred Health Network (PHN) | S | P |
| Preferred Health Plan (Louisville, KY) | S | P |
| Preferred Health Professionals | S | P |
| Preferred Health Professionals Kansas City | S | P |
| Preferred Health Systems Insurance Co (PPO) | S | P |
| Preferred Health Systems, Inc. | S | P |
| Preferred IPA | S | P |
| Preferred Network Access | S | P |
| Preferred One | S | P |
| Premier Benefits, Inc. | S | P |
| Premier Health Plan | S | P |
| Premier Health Systems, Inc. | S | P |
| Presbyterian Health Plan (Commercial) (Provider ID is required. Contact (888) 923-5757, #6 then #2 to obtain ID. New Mexico Providers only.) | S | P |
| Presbyterian Salud (Please add provider number in 2010AA REF02 or 2310B REF02 Number is 11 digits or less. Contact 888-923-5757, #6,#2 to obtain ID.) | S | P |
| Presbyterian(NM) | S | P |
| Prestige Health Choice | S | P |
| Prevea Health Insurance Plan | S | P |
| PrimaHealth IPA (Prima assigned rendering provider ID requires on all claims, or they will reject) (ENS enrollment required) * | S | P |
| Primary Choice (Aetna HP-NY/NJ) | S | G |
| Primary Delivery Systems | S | P |
| Primary Health Network | S | P |
| Primary Health Plan | S | P |
| Primary PhysicianCare, Inc. | S | P |
| Prime Care Health Plan | S | P |
| Prime West Health Plan | S | P |
| PrimeSource Health Network | S | P |
| Principal Financial Group | S | P |
| Principal Mutual Life Insurance Company | S | P |
| Printing Ind Assoc of So CA (PIASC) | S | P |
| Priority Health (Please contace Priority Health EDI Dept at 616-464-8686 or email EDISETUP@Priority-Health.com) | S | P |
| Priority Healthcare (Requires VA Blue Shield EMC approval) | N | P |
| Prism First Health | S | P |
| Prism Health Network | S | P |
| Prism Univera | S | P |
| Pro Care Health Plan, Inc. (Valid for PO Box 3160 and 3590, Detroit MI only.) | S | P |
| Pro Health CompCare | S | P |
| ProCare Health Plan Medicaid | S | P |
| Producer's Exchange | S | P |
| Professional Benefit Administrators, Inc. (Oak Brook, IL) | S | P |
| Professional Benefits Administrators (Winter Park, FL) | S | P |
| Professional Claim Administrators | S | P |
| Professional Claims Management | S | P |
| Professional Instill Health BCBS * (Non-par payer requires 1B qualifier with providerID.) | S | P |
| Professional Insurance Company (PIC) (Formerly GE Voluntary Benefits PIC) | S | P |
| Professional Risk Management, Inc. | S | P |
| Promina | S | P |
| Prospect Medical Group | S | P |
| Protective Life Insurance Company | S | P |
| Providence Choice Option * | S | P |
| Providence Good Health Plan * | S | P |
| Providence Preferred (PPO) (ProviderID and Enrollment required.) | S | P |
| Provident Life & Accident Insurance Company | S | P |
| Provident Life & Accident Insurance Company of America | S | P |
| Provident Life & Casualty Insurance Company | S | P |
| Providers First PPO | S | P |
| PruCare | S | P |
| PruCare HMO (Encounters Only) | S | P |
| Prucare Plus | S | P |
| Prudential | S | P |
| Prudential Encounters | S | P |
| Prudential Health Care Systems | S | P |
| PruNetwork | S | P |
| PSN - Florida Medicaid (JMH) | S | P |
| Psychcare, LLC | S | P |
| Puerto Rico Triple S (BCBS) * | N | P |
| Puget Sound Benefits Trust - Grp#F25 | S | P |
| Puget Sound Electrical Workers Trust - Grp#33 | S | P |
| Puget Sound Health Partners, Inc. | S | P |
| QuadMed (West Allis, WI) | S | P |
| Qual Choice of Arkansas | S | P |
| Qual Choice of North Carolina | S | P |
| Qual Choice of Ohio | S | P |
| Qualcare | S | P |
| Quality Health Plans | S | P |
| Quicktrip Corporation | S | P |
| Quincy Health Care Management, Inc. | S | P |
| QVI Risk Solutions, Inc. | S | P |
| Rapid City Regional Hospital | S | P |
| RBMS, LLC | S | P |
| Redlands IPA (Synermed) | S | P |
| Regal Medical Group | S | P |
| Regence Blue Shield of Washington * | N | P |
| Regional Care, Inc. | N | P |
| Rehab Provider Network (RPN) SPECIALIZED FORMAT REQUIRED - CONTACT ENS(Note that this is not the same payer as Integra Group.) | S | P |
| RELIASTAR (Formerly NWNL) | S | P |
| Renaissance Physicians Organization | S | P |
| Resolve Health Plan Administrators (Authorization number required: begins with the number 5 and is 13 characters in length.) | S | P |
| Resurrection Health Care | S | P |
| RMSCO, Inc. | S | P |
| Rockwell International | S | P |
| Rocky Mountain HMO * | S | P |
| Rooney Life Ins. | S | P |
| Rush Health Association (Call 708-783-7100 for PayerID.) | S | P |
| Rush Prudential Health Plans (HMO Only) | S | P |
| Rush Prudential Insurance Co. (PPO & POS Only) | S | P |
| S & S Healthcare Strategies | S | P |
| SafeGuard | S | P |
| Sagamore Health Network, Inc. | S | P |
| Sage Technologies - PBS | S | P |
| Saint Marys Health Plan | S | P |
| Sandia Triple Option Plan (Sandia TOP) | S | P |
| Sanford Health Plan | S | P |
| Sante Health Systems | S | P |
| Sanus HMO-St. Louis (General America) | S | P |
| Sanus PPO (General America) | S | P |
| SC BCBS Companion Health * | N | P |
| SC BCBS Planned Administrators * | N | P |
| SC BCBS State Employee Health Plan * | N | P |
| SC FEP Blue Cross * | N | P |
| SCAN Health Plan | S | P |
| Scan Health Plan Arizona | S | P |
| SCHC Total Care | S | P |
| Scott & White Health Care (5 Digit Rendering Provider ID required in box33a. Contact 254-298-3195 to obtain ID). | S | P |
| Scripps Employee Health Plan | S | P |
| Seabury & Smith also known as Benefit Plan Administrators | S | P |
| Secure Health of Georgia | S | P |
| Secure Horizons of CO | S | P |
| SecureCare of Iowa | S | P |
| Security Health Plan | S | P |
| Select Benefit Administrators (PayerID valid for claims submission address of PO Box 8339, Des Moines, IA 50301) | S | P |
| Select Benefit Administrators of America | S | P |
| Select Choice | S | G |
| Select Health of South Carolina (Provider ID required in Box33a.) | S | P |
| SelectCare | S | P |
| SelectCare (Coca Cola) | S | P |
| SelectCare of OK - Tribute | S | P |
| SelectCare of Texas (HPN) Heritage Physicians Network | S | P |
| SelectCare of TX (Beaumont) (Provider ID Required - Contact (713) 843-6780 to obtain ID.) | S | P |
| SelectCare of TX (Houston) (Provider ID Required - Contact (713) 843-6780 to obtain ID.) | S | P |
| SelectCare of TX (Kelsey-Seybold) (Provider ID Required - Contact (713) 843-6780 to obtain ID.) | S | P |
| SelectCare, Inc. of Michigan | S | P |
| Self Insured Benefit Administrators (Clearwater, FL) (Payer ID valid for claim submission address of 18167 US 19 N #300, Clearwater FL 33764) | S | P |
| Self Insured Plans, LLC | S | P |
| Self-Funded Plans (IL, PA, OH) | S | P |
| Senior Care | S | P |
| Senior Choice (Aetna HP-NY/NJ) | S | G |
| Senior Whole Health | S | P |
| Sentara Family Plan | S | P |
| Sentara Health Management | S | P |
| Sentinel Management Services | S | P |
| Sentry Insurance Co. (Sentry LIfe Insurance Co. Group and Substriber numbers 800-426-7234) | S | P |
| Seoul Medical Group | S | P |
| Seton CHIP (Provider ID required.) | S | P |
| Seton Employee Plan | S | P |
| Seton Map Program - Mediview (Provider ID required) | S | P |
| Shasta Administrative Services, (Jeld-Wen Claims only) | S | P |
| Sheakley UniComp (OH BWC) * | N | P |
| Sierra Health Services | S | P |
| Sierra Health Services Encounters | S | P |
| Signature Health Alliance (Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance, PO Box 22419, Nashville TN 37202-2419.) | S | P |
| Silver Care Managed Care Organization | S | P |
| Silver Cross Managed Care Organization | S | P |
| Sinclair Health Plan | S | P |
| SISCO (Self Insured Services Company) | S | P |
| SMA | S | P |
| SMA 65 | S | P |
| SMA Health Plan | S | P |
| SMA HMO | S | P |
| SmartPlan | S | P |
| SmartPlan 65 | S | P |
| Smith Administrators | S | P |
| Sound Health | S | P |
| South Central Preferred - PPO York, PA (IHS Gateway Payer) ( Contact Jane Grove for South Central Preferred (717) 851-6715.) | S | P |
| South Dakota Chiropractic (Sanford Health Plan) | S | P |
| South Indiana Health Options - HMO (Provider is responsible for contacting the payer directly for enrollment information.) | S | P |
| Southcare / Healthcare Preferred | S | P |
| Southeast Iowa Health Plan (Provider ID Required) | N | P |
| Southeast Medical Alliance | S | P |
| Southern Benefit Services | S | P |
| Southern Group Administrators | S | P |
| Southern Health Services, Inc. (UPIN is required on claim. Call Pattie Dietrick at (724) 778-5317) | S | P |
| Southwest Physicians Associates | S | P |
| Southwest Service Life | S | P |
| Southwestern Bell | S | P |
| Southwestern Bell Executive - Custom Care | S | P |
| Southwestern Bell Executive - Southwestern Bell | S | P |
| Spectrum Administrators | S | P |
| SRI/URN Managed Transplant Program | S | P |
| St Joseph Health | S | P |
| St. Barnabas System Health Plan | S | P |
| St. John's Claims Administration | S | P |
| St. Therese Physician Association | S | P |
| STAR HRG (Valid only if the address on the ID care matches PO Boxes 55270,30870,30888,54150,30069,55400 in Phoenix AZ) | S | P |
| Starmark | S | P |
| StarMark - 4Most | S | P |
| State Employees Group Benefits | S | P |
| State Farm Group Medical & Ind Health Ins Co (Note that payer requires Insured's ID of 11 or 12 digits and exact structure. Otherwise claims will reject.) | S | P |
| State Merit GA | N | P |
| State of TX Dental Plan | S | P |
| States General Life Insurance | S | P |
| Staywell | S | P |
| Sterling Option 1 | S | P |
| Stirling & Stirling | S | P |
| Stoner & Associates | S | P |
| Stones River Regional IPA - Windsor | S | P |
| Student Insurance | S | P |
| Student Insurance - Boston Mutual Life Insurance Company | S | P |
| Student Insurance - Life Insurance Company of Boston and New York | S | P |
| Student Insurance - MEGA Life & Health Insurance Company | S | P |
| Student Insurance - Mid-West National Life Insurance Company of Tennessee | S | P |
| Student Insurance - Reliance Insurance Company | S | P |
| Student Insurance - Reliance National Insurance Company | S | P |
| Student Insurance Division | S | P |
| Suffolk Health Plan of New York | S | P |
| SummaCare Health Plan | S | P |
| Summerlin Life and Health | S | P |
| Summit America Insurance Services, Inc. (Student Accident and Sickness, College Sports and NASCC claims only.) | S | P |
| Sun Health Corporation | S | P |
| Sun Life and Health Insurance Company (Formerly known as GLHIC) | S | P |
| Sun Life and Health Insurance Company (Formerly known as GLHIC) | S | P |
| Sun Trust Bank, Inc. | S | P |
| SunAmerica Life Ins Co (NFIC Plan only) | S | P |
| Sunshine Health Plan | S | P |
| Superior Administrators, Inc. | S | P |
| Superior Health Plan | S | P |
| Superior Health Plan CHIPS EPO * (Formerly Clarendon Kids EPO) | S | P |
| Sutter Connect - Central Valley Med Group (Claims) | S | P |
| Sutter Connect - Central Valley Med Group (Encounters) | S | P |
| Sutter Connect - Delta - Claims | S | P |
| Sutter Connect - SIP, SMG, SWMG - Encounters only | S | P |
| Sutter Connect - Solano Regional Medical Group - Claims | S | P |
| Sutter Connect - Sutter Gould Medical Foundation - Claims | S | P |
| Sutter Connect Alta Bates Medical Group (Please contact Sutter to get set up to send claims, 800-611-5191) Per Provider Testing Required | S | P |
| Sutter Connect East Bay Med Foundation * | S | P |
| Sutter Connect Sutter Medical Group (SMG,SWMG,SIP) (Please contact Sutter to get set up to send claims, 800-611-5191) Per Provider Testing Required | S | P |
| Sutter Medical Group of the Redwoods (SMGR) (Please contact Sutter to get setup to send Encounters, 800-611-5191) | S | P |
| SW Service Administrators | N | P |
| Swedish Covenant Hospital | S | P |
| Talbert Medical Group | S | P |
| Tall Trees Administrators | S | P |
| Tarrant | S | P |
| Tattered Cover, Inc. | S | P |
| TBG Administrative Services | S | P |
| Teachers Health Trust | S | P |
| Team Choice PNS | S | P |
| Team Choice UMC | S | P |
| Team Health Care Partnership, Inc. (OH BWC) * | N | P |
| Team Health Gold | S | P |
| Teamcare | S | P |
| Teamsters Local Union #301 | S | P |
| Tech-Steel, Inc. | S | P |
| TennCare (Medicaid of Tennessee) * | N | P |
| Texas Children's Health Plan | S | P |
| Texas Children's Health Plan (Medicaid) | S | P |
| Texas Childrens Star Medicaid * (Enrollment verification calls should be directed to 800-990-TCHP (8247)) | S | P |
| Texas First Health Plans | S | P |
| Texas HealthSpring | S | P |
| Texas Municipal League Group Benefits Risk Pool | S | P |
| Texas True Choice | S | P |
| The Boon Group | S | P |
| The Chesterfield Companies | S | P |
| The City of Amarillo | S | P |
| The City of Odessa | S | P |
| The Empire Plan | S | G |
| The EPOCH Group | S | P |
| THE FORD METER BOX COMPANY, INC | S | P |
| The Health Exchange (Cerner Corporation) | S | P |
| The Health Plan | S | P |
| The Healthcare Group (THCG) | S | P |
| The Integrity Benefit Network, Inc. | S | P |
| The Loomis Company (Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.) | S | P |
| The MEGA Life and Health Insurance Company-OKC (Valid if PO BOX 548801 Oklahoma City OK 73154.) | S | P |
| The Oath - Health Partners of Alabama (All claims require a rendering providerID, please contact The OATH prior to sending @ 800-743-7141 for Enrollment Auth.) | S | P |
| The Physicians Alliance Corp/SRRIPA | S | P |
| The Union Labor Life Insurance Company | S | P |
| The Wellness Plan | S | P |
| Theraphysics (All but Colorado) | S | P |
| Theraphysics (Colorado Only) | S | P |
| Therapy Review System | S | P |
| Thomas Cooper * | N | P |
| Three Rivers Provider Network | S | P |
| Time Insurance (A Fortis Company) | S | P |
| TLC Advantage in Sioux Falls | S | P |
| Today's Health | S | P |
| Todays Option (American Progressive and Pyramid Life) | S | P |
| Tongass Timber Trust | S | P |
| Tooling & Manufacturing Assoc. | S | P |
| Total Care of NY | S | P |
| Total Carolina Care | S | P |
| Total Community Care | S | P |
| Total Health Choice | S | P |
| Total Health Management, Ltd. (OH BWC) * | N | P |
| Total Healthcare, Inc. | S | P |
| Touchpoint | S | G |
| Touchpoint Health Plan HMO | S | P |
| Touchstone Health PSO | S | P |
| Touchstone Health/Health Net Smart | S | P |
| Tower Life Insurance Company | S | P |
| TR Paul Inc | S | P |
| TR Paul Inc. | S | P |
| TRANE Health Protection Plan, The | S | P |
| Transamerica Life Ins. Co.(Specialized claims only. Call 501-277-1284 for information.) | S | P |
| TransAmerica Life Insurance Company (Valid for PO Box 982009, North Richland Hills, TX 76182) | S | P |
| Transchoice - Key Benefit Admin | S | P |
| Transwestern General Agency | S | P |
| Transwestern Insurance Administrators, Inc. | S | P |
| Tricare for Life (All Regions 1-12) * | S | P |
| TriCare Palmetto (Regions 1-6) Northern and Southern Region * | S | P |
| Trilogy Health | S | P |
| TriWest WPS (Regions 7-12) Western Regions of Tricare * | S | P |
| True Choice USA | S | P |
| Trusteed Plans Service Corporation | S | P |
| Trustmark (Includes Starmark & TMA) | S | P |
| Tufts Associated Health | S | P |
| UAHC Health Plan of Tennessee * (Enrollment required.) | N | P |
| UBH Employer Division | S | G |
| UBH RIOS | S | G |
| UC Care (University of CA) | S | P |
| Ucare of Minnesota | S | P |
| UFCW Local 400-5205 | S | P |
| UICI Administrators - State of Nevada | S | P |
| UMR-Midwest Securities | S | P |
| UMWA Health & Retirement Funds | S | P |
| Unicare Life & Health Insurance Company | S | P |
| Unified Group Services | S | P |
| Unified Health Services | S | P |
| Uniform Medical Plan | S | P |
| Uniformed Service Family Health Plan | S | P |
| Union Pacific Railroad Employees Health Systems | S | P |
| Unison Health Plan / Three Rivers Provider Network | S | P |
| United Agriculture Benefit Trust | S | P |
| United Behavioral Health | S | G |
| United Benefits, Inc (a Brown & Brown Company) | S | P |
| United Medical Alliance (UMA) | S | P |
| United Medical Resources, Inc. (Some of UMR's new member cards no longer print the full SSN. When submitting electronically, the full SSN must be entered.) | S | P |
| United of Omaha | S | P |
| United Physicians of Northern Colorado | S | P |
| United Resources Network | S | P |
| UnitedHealthcare | S | G |
| UnitedHealthcare River Valley (formerly known as John Deere Healthcare* (Please call 866-509-1593 for enrollment and provider ID) | S | P |
| Unity Health Insurance (Before submitting claims, please call Joe Boerboom at 608-643-1531 for EDI Signup.) | S | P |
| Univera Healthcare - CNY | N | P |
| Univera Healthcare (SSA) * | S | P |
| Universal Care - California (ProviderID required.) | S | P |
| Universal Health Care, Inc. | S | P |
| Universal Standard Healthcare, Inc. | S | P |
| University Family Care | S | P |
| University Family Care - Healthcare Group * | S | P |
| University Family Care - Maricopa Health Plan | S | P |
| University Family Care - Maricopa Health Plan | S | P |
| University Family Care * | S | P |
| University Health Plan New Jersey | S | P |
| University MSO | S | P |
| University of Miami Behavioral Health (Submitters MUST call 305.243.7270 prior to sending claims | S | P |
| University of Utah Health Plans | N | P |
| University of Washington Students & Graduate Appts. - Grp#P67 | S | P |
| UPMC Health Plan | S | P |
| Upper Peninsula Health Plan | S | P |
| US Benefits | S | P |
| US Family Health Plan (USFHP) | S | P |
| USAA | S | P |
| Utah Carpenters | S | P |
| Utah Laborers | S | P |
| Utah Pipe Trades | S | P |
| UtiliMED, Inc. | S | P |
| UTMB Healthcare Systems | S | P |
| VA Fee Basis Programs | S | P |
| VA State Employer Funds (Requires VA Blue Shield EMC approval) | N | P |
| Valley Baptist Health Plan (This payer is only accepting claims with Dates of Service prior to 2-29-2004. For later claims send to First Care. PayerID of 94999) | S | P |
| Valley Health Administrators | S | P |
| Value Options Arizona Medicaid * | N | P |
| Value Options Commercial Claims * | N | P |
| Value Options Massachusetts Behavioral Health Partnership * | N | P |
| Value Options New Mexico Medicaid * | N | P |
| Value Options Pennsylvania Medicaid * | N | P |
| Value Options Texas Northstar * | N | P |
| Vantage Health Plan, Inc. | S | P |
| Vantage Occupational Health Plan (OH BWC) * | N | P |
| Varian Health Care Plan | S | P |
| VENCOR | S | P |
| Verity National Group | S | P |
| Vicare Administrative Services | S | P |
| Vida Care | S | P |
| VIPA | S | P |
| Virginia Premier Health Plan * | S | P |
| Vista Del Sol Health Care | S | P |
| Vista Health Plan (Provider UPIN required in Box33a) | S | P |
| Vista Healthplan of South Florida (Formerly known as Foundation Health of Florida) | S | P |
| Vita Health | S | P |
| Volusia Health Network | S | P |
| VPH Community Care | S | P |
| VYTRA Healthcare (Provider ID number required. Please call 1-631-420-4100, opt 4, opt 4 for payer set-up and payer assigned provider ID number.) | S | P |
| Wabash Memorial Hospital Association | S | P |
| WASHINGTON EMPLOYERS TRUST | S | P |
| Washington State Labor and Industry * | N | P |
| Washington State Premera Blue Cross * | N | P |
| Waterstone Benefit Administrators | S | P |
| Wausau Benefits, Inc. | S | P |
| Wausau Insurance Companies | S | P |
| WEA Insurance Group | N | P |
| Wellcare | S | P |
| Wellcare Health Plan, Inc. (Encounters only) | S | P |
| Wellcare HMO, Inc. | S | P |
| Wellcare of CT | S | P |
| Wellcare of NY | S | P |
| Wellcare Private Fee for Service Plans | S | P |
| WellMed | N | P |
| Wellpath | S | P |
| West Coast Stationary Engineers Health & Security Trust Fund - Grp#F13 | S | P |
| West Virginia Freedom Blue - Highmark * | N | P |
| West Virginia State Employees (PEIA) (Virginia only) | S | P |
| West Virginia Worker's Compensation Program * | N | P |
| Western | S | P |
| Western Benefits, Inc. (Also known as Western Grocers) | S | P |
| Western Care | S | P |
| Western Grower's Assurance Trust | S | P |
| Western Grower's Insurance Company | S | P |
| Western Life Ins. Benefit Plan (FORTIS) | S | P |
| WESTERN MUTUAL INSURANCE | S | P |
| Western Southern Financial Group | S | P |
| Western Tricare also known as TriWest (Regions 7-12) * | S | P |
| WestLake Financial Group, Inc. | S | P |
| Weyco Inc. | S | P |
| William C. Earhart Co, Inc. | S | P |
| William J Sutton & Co. Ltd. | S | P |
| Willis Administrative Services Corporation | S | P |
| Windsor Medicare Extra | S | P |
| WinHealth | S | P |
| WINHealth Partners Medicare Plan administered by Rocky Mountain HMO * | S | P |
| Wisconsin Auto & Truck Dealers Insurance Corporation | S | P |
| Woodman Accident and Life Co (AICT Plans only) | S | P |
| Worksite Benefit Services | S | P |
| World Insurance Company | S | P |
| WPPA-ProviDRs Care Network | S | P |
| WPS Commercial * | S | P |
| Writers' Guild - Industry Health Plan | S | P |
| Yale Preferred Health/HealthChoice of Connecticut | S | P |
| Yavapai County * | S | P |
| Young Life | S | P |