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 NameSponsored(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)SP
1Intermountain Health Care (Contact payer at 801-442-5442 before sending claims to verify provider numbers.)NP
21st Century Insurance and Financial ServicesSP
360 Alliance PPO GilsbarSP
8th Distric ElectricalSP
A & I Benefit Plan AdministratorsSP
AARP UnitedHealthcare Insurance Co. (Special Data Requirements located in Vendor Download Tools or Provider Training Materials.)SP
ABC Health Plan of New YorkSP
Abrazo Advantage Health PlanSP
Abri HealthplanSP
ACCESS ADMINISTRATORSSP
Access Behavioral CareSP
ACCLAIMSP
Acclaim RepricingSP
Accountable Health - American Family of IA claims onlySP
Accountable Health - American Family of WI claims onlySP
ACM (Enrollment required. Call 661-430-0205 for information.)NP
Acordia NationalSP
Acordia NationalSP
ACS Benefit Services, inc.SP
Activa Benefits Services, LLC (Formerly Amway Corporation)SP
Administrative Services, Inc.SP
AdminoneSP
Adminstrative Concepts, Inc.SP
Advanced Data SolutionsSP
Advanstaff, Inc.SP
Advantage Health Solutions, Inc.SP
Advantage Preferred PlusSP
Advantra FreedomSP
Advantra/Health America, Inc./Health AssuranceSP
Adventist Health SystemSP
ADVICA - New York Hospital Community Health PlanSP
Advica/Northeast Georgia Health System, Inc.SP
Advocate Bethany Health PartnersSP
Advocate Christ Health PartnersSP
Advocate Good Samaritan Health PartnersSP
Advocate Good Shepherd Health PartnersSP
Advocate Health CentersSP
Advocate HMO Illinois and Unicare HMOSP
Advocate Humana Health Plans (HMO, Medicaid, Gold Plus)SP
Advocate Illinois Masonic Health PartnersSP
Advocate Lutheran General Health PartnersSP
Advocate South Suburban Health PartnersSP
Advocate Trinity Health PartnersSP
Aetna Affordable Health Choices (SM) - SRCSP
Aetna Better Health - CT MedicaidSP
Aetna Health Plan - PPOSG
Aetna Life & Casualty CompanySG
Aetna Life & Casualty CompanySG
Aetna Life & Casualty CompanySG
Aetna Life & Casualty CompanySG
Aetna TX Medicaid & CHIPSP
Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call 718-794-7592.)SP
AFL - CIO Food & Beverage Dealers Trust Fund (Toledo, OH)SP
AFTRA Health FundSP
AGIA Inc (Claims are printed and mailed to the payer.)SP
AH & LSP
AHPO (Cleveland, OH)SP
AKM Medical GroupSP
Alaska Childrens Services, IncSP
Alaska Electrical Health & Welfare FundSP
Alaska Laborers Construction Industry TrustSP
Alaska Pipe Trades Local 375SP
Alaska United Food & Commercial Workers Health & Welfare TrustSP
All Savers Insurance Co.SP
Allegiance Benefit Plan Management, Inc.SP
Alliance (WI providers ONLY. Call Dave Sell at 608-210-6656 to obtain payerID, rendering provider, location IDs. Call ENS for ENTERED AS name.)SP
Alliance PPO Inc.(Now known as OneNet PPO, LLC.)SP
Alliant Health Plans of GeorgiaSP
Allied AdministratorsSP
Allied Benefit SystemsSP
ALPS CompCare (OH BWC) *NP
Alta Bates Medical GroupSP
ALTA Health and Life Insurance CompanySP
Alta Health Stratagies (First Health)SP
Alternative Technology Resource (ATR)SP
Altius (To setup and test for EDI contact Liz Lawrence at 800-743-3901 x1459, NPI required on claims.)(PayerID has changed from SX113)NP
AMA INSURANCE AGENCY, INCSP
Amalgamated Life - PA/AlicareSP
Amalgamated Life Insurance Co.SP
Amalgamated Transit Union Division 1001 Health & Welfare FundSP
AmCare Health PlansSP
AmeraPlan (Claims are printed and mailed to the payer.)SP
Ameriben SolutionsSP
Americaid Community Care (Dallas/Ft Worth)SP
Americaid Community Care (Houston)SP
Americaid Community Care (Maryland)SP
Americaid Community Care (New Jersey)SP
American Administrative Group - AAG (Formerly known as UICI AdministratorsSP
American Administrative Group (formerly Gallagher Benefit)SP
American AdministratorsSP
American Benefit Plan AdministratorsSP
American Benefits ManagementSP
American Benefits Plan Administrators (Las Vegas, NV)SP
AMERICAN CAPITOL INSURANCE COSP
American Chiropractic NetworkSP
American Chiropractic Network (PAN)SP
American Chiropractic Network IPA of NYSP
American Chiropractic Network IPA of NY (ACNIPA)SP
American Chiropractic Network, Inc.SP
American Community Mutual InsuranceSP
American Complimentary Care Network, Inc.SP
American Family Health ProvidersSP
AMERICAN FAMILY INSURANCE COSP
American GeneralSP
American Health GroupSP
American Healthcare AllianceSP
American Imaging Management, Inc. (Assigned Group Policy Plan ID required. To obtain, call AIM at 800-252-2021)SP
American Insurance Company of TXSP
American International Group, Inc.SG
American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600, New Orleans, LA 70163)SP
American Medical SecuritySP
American National Insurance CoSP
American Postal Workers Union Health PlanSP
American Postal Workers Union Health PlanSP
American Republic InsuranceSP
American Sentinel Insurance CompanySP
American Specialty Health Inc. (Provider ID Required. Contact 888-864-2746 to the American Specialty Health (ASH) Provider ID.)NP
American Worker Health PlanSP
America's Choice NMASP
America's Health ChoiceSP
America's PPO / America's TPASP
AmeriChoice of FloridaSG
AmeriChoice of IllinoisSG
AmeriChoice of MarylandSG
AmeriChoice of NebraskaSG
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 #.)SP
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 #.)SP
AmeriChoice of NJ Medicaid & Family CareSP
AmeriChoice of NY Medicaid & Child Health PlusSP
AmeriChoice of PA Children's Health Insurance Program (KidsChoice)SP
AmeriChoice of PA MedicaidSP
AmeriChoice of Pennsylvania Personal Care Plus(All claims submitted require your AmeriChoice assigned Provider ID #. Contact them at 888-362-3368 for your ID#.)SP
AmeriChoice of Rhode IslandSG
Amerigroup - IllinoisSP
Amerigroup - IllinoisSP
Amerigroup - MarylandSP
Amerigroup - New JerseySP
Amerigroup / Americaid - Ft. Worth, New MexicoSP
Amerigroup / Americaid - HoustonSP
AMERIGROUP GeorgiaSP
Amerigroup of FloridaSP
Amerigroup of FloridaSP
Amerigroup of IllinoisSP
Amerigroup of OhioSP
AMERIGROUP TennesseeSP
AmeriHealth - New Jersey (Non-HMO Claims) *NP
AmeriHealth AdministratorsSP
AmeriHealth HMO New Jersey and DelawareSP
AmeriHealth Mercy Health PlanSP
Amerikids-Dallas/Ft. WorthSP
AMVISP
Amway CorporationSP
Anchor Benefit ConsultingSP
Ancillary Benefits/Arizona Foundation for Medical CareSP
Anerican Founders Life Ins Co (NFL Plans only)SP
Antares Management SolutionsSP
Anthem Blue Cross of CaliforniaSP
Anthem Health and Life Insurance Company of New JerseySP
Anthem of ColoradoNP
Anthem of Nevada *NP
APA PartnersSP
Apex Benefit Services (Claims must contain the rendering provider ID or the claim will reject.)SP
APIPASP
APS Healthcare Inc.SP
ARAZSP
Arcadian Management Services, Inc (Group number should be entered if available. )SP
Arizona Foundation for Medical CareSP
Arizona Medicaid (AHCCCS) *NP
Arizona Physicians IPASP
Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Metal Trades Health PlanSP
Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Pipe Trades Health PlanSP
Arkansas Best CorporationSP
Arkansas Managed Care Organization (AMCO)SP
Arnett Health Plans (Payer requires unique Provider IDs. Contact Arnett Health Plans EDI Coordinator at 765-448-7483.)SP
ASR CorporationSP
ASRM CorporationSP
Associated Benefits Corp.NP
Associated Third Party Administration (ATPA)SP
Associates for HealthcareSP
Assurant Employee Benefits (Formerly Fortis Insurance)SP
Assurant Health Self Fund (Verify that claims should go to Ft. Mill, SC)SP
Assurant MiniMed-Key FamilySP
AssureCare, Inc.SP
Assured Benefits AdministratorsSP
Asuris Northwest/MedAdvantage (REF*1B*Provider ID in Billing and Rendering required even when NPI is submitted.)SP
Athens Health PlanSP
Atlanticare Administrators, IncSP
Atlantis Health PlanSP
ATLAS ADMINISTRATORS(USA MC)SP
Atlas Life Ins Co (NFIC Plan only)SP
AultComp MCO (OH BWC) *NP
Automated Benefit Services (ABS)SP
Automated Group Administration, Inc.SP
Automotive Machinists Local 289 Health & Welfare Trust - Grp#F32SP
Avalon IPASP
Avera Health PlansSP
Avesis Third Part AdministratorsSP
AVMED (Payer-specific provider number required in Box33a of the HCFA-1500 form.)SP
AVMED-Parity Healthcare (OB/GYN only)SP
Bakersfield Family Medical CenterSP
Bakery and ConfectioneryNP
Bankers United Life (Student Division)SP
Banner Health Co. (All Banner Health Plans were consolidated to the payerID of SX145.) *SP
Bass Administrators, Inc.SP
BCBS BlueCare Family Plan (Connecticut) * To be used on all CT BlueCare claims with dates of service on or after 7/01/06NP
BCI Administrators, IncSP
Beacon Health Strategies (Block 11 on the HCFA 1500 form must use Plan specific IDs.)SP
Beech Street Corp. (Payer requires that payer and employer information in box11 be attached.)SP
Behavior Health Providers (Prior Authorization Required.)SP
Bell Atlantic (Prudential)SP
Benefit Administrative SystemsSP
Benefit ConceptsSP
Benefit Coordinators CorporationSP
Benefit Management ServicesSP
Benefit Management Systems, Inc. of Lousiana *SP
Benefit Plan Administrators Co. (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128)SP
Benefit Plan Administrators, IncSP
BENEFIT PLAN ADMINISTRATORS, INCSP
Benefit Planners, Inc.SP
Benefit Services, Inc. (Akron, OH)SP
Benefit Systems and Services, Inc.SP
Benefit Trust Life Insurance CompanySP
Benesight (formerly The TPA)SP
Benesys - LHP Claims UnitSP
Benesys Inc. (Located in Lafayette, LA)SP
BeneSys, Inc. (Located in Troy, MI)SP
BeniCorpSP
BenmarkSP
Berkshire Health PartnersSP
Best Life & Health Insurance Co.SP
Better Health Plans, Inc.SP
Big Lots Associates Benefit PlansSP
Block Vision of TexasSP
Block Vision, Inc.SP
Blue Advantage of Arkansas *NP
BLUE BELL BENEFITS TRUSTNP
Blue Care PPO (Requires VA Blue Shield EMC approval)NP
Blue Chip of Rhode Island *NP
Blue Choice MedicaidSP
Blue Choice of Rochester NY *NP
Blue Cross Blue Shield of Arizona *NP
Blue Cross Blue Shield of Florida *NP
Blue Cross of CaliforniaSP
Blue Cross of Idaho (Per Provider Testing) *NP
Blue Grass Family Health (SRRIPA)SP
Blue Lake RancheriaSP
Blue Shield of Alabama *NP
Blue Shield of Alaska *NP
Blue Shield of Arkansas *NP
Blue Shield of California *SP
Blue Shield of California *SP
Blue Shield of Central NY HMO/PPO *NP
Blue Shield of ColoradoNP
Blue Shield of Connecticut * (NOTE: The DOS in Reports is programmatically calculated and is not actual claim's data. Some variances may exist.)NP
Blue Shield of Delaware *NP
Blue Shield of Georgia * (State Health of GA)NP
Blue Shield of Hawaii *NP
Blue Shield of Idaho (Per Provider Testing) *NP
Blue Shield of Illinois *NP
Blue Shield of Indiana *NP
Blue Shield of Iowa *NP
Blue Shield of Kansas *NP
Blue Shield of Kansas City *NP
Blue Shield of Kentucky *NP
Blue Shield of Lousiana *NP
Blue Shield of Maine *NP
Blue Shield of Maryland *NP
Blue Shield of Massachusetts *NP
Blue Shield of Michigan *NP
Blue Shield of Minnesota *NP
Blue Shield of Mississippi *NP
Blue Shield of Missouri *NP
Blue Shield of MontanaNP
Blue Shield of National Capital Area *NP
Blue Shield of Nebraska *NP
Blue Shield of Nevada *NP
Blue Shield of New Hampshire *NP
Blue Shield of New Jersey *NP
Blue Shield of New Mexico *NP
Blue Shield of New York (Empire) *NP
Blue Shield of North Carolina *NP
Blue Shield of North Dakota *NP
Blue Shield of Northeast NY *NP
Blue Shield of Ohio *NP
Blue Shield of Oklahoma *NP
Blue Shield of Oregon *NP
Blue Shield of Pennsylvania *NP
Blue Shield of Puerto Rico (Triple S) *NP
Blue Shield of Rhode Island *NP
Blue Shield of Rochester NY *NP
Blue Shield of South Carolina *NP
Blue Shield of South Dakota *NP
Blue Shield of Tennessee *NP
Blue Shield of TexasNP
Blue Shield of Utah *NP
Blue Shield of Utica NY *NP
Blue Shield of Vermont *NP
Blue Shield of VirginiaNP
Blue Shield of West Virginia *NP
Blue Shield of Western New York *NP
Blue Shield of Wisconsin *NP
Blue Shield of Wyoming *NP
Bluebonnet AdministratorsSP
Bluegrass Family Health (UPIN required in Box 33a)SP
BMGI Benefit Management Group, Inc.SP
Boilermakers national Health & Welfare FundSP
Boon-Chapman Benefit Administrators, Inc.SP
Boston Medical Center HealthnetSP
BPS IncSP
Bridge BenefitsSP
Bridgestone Claims ServicesSP
Bridgeway ArizonaSP
Brockerage Concepts, Inc (Benefit Concepts)SP
Brown & Brown BenefitsSP
Brown & Toland Medical GroupSP
Buckeye Community HealthSP
Butler BenefitsSP
C & O Employees Hospital AssociationSP
CA Kaiser Permanente (Northern California Only) *SP
CAC (Mailhanders Benefit Plan)SP
CAC Claims Administration Corp (Provider ID required)SP
California Anthem Blue CrossSP
California Blue CrossSP
California Care (Humboldt Del Norte)SP
Cal-Optima DirectSP
Cameron and AssociatesSP
Cannon Cochran Management Services, Inc.SP
Cap Management SystemsSP
Cape Health PlanSP
Capital Advantage Insurance Company (CAIC) PROFESSIONAL (BCBS ProviderID and Performing ProviderID required. Call 800-874-8433)NP
Capital Blue Cross FACILITY * (BCBS ProviderID and PerformingID required. Call 800-874-9433)NP
Capital Blue Cross PROFESSIONAL * (BCBS ProviderID and Performing ProviderID required. Call 800-874-8433)NP
Capital District PHP *SP
Capital Health PlanSP
Capital International Management ServicesSP
Capitol AdministratorsSP
Care 1st Health Plan of ArizonaSP
Care Choices HMOSP
Care Core NationalSP
Care Improvement PlusSP
Care Management Group of Greater NY, Inc.SP
Care PartnersSP
Care PlusSP
CareCentrixSP
Carechoices Michigan - Mercy Healthplans (Enrollment required; please contact Noreen at (248) 489-5281.)SP
CareCore - HealthnetSP
CareCore National, LLC - Health Net New JerseySP
CareCore National, LLC (Aetna Radiology Claims)SP
CareCore National, LLC (Radiology charges for Oxford) (Provider must call Anthony Sampson at 845-298-8155 for provider code.)SP
CareFirst BCBS - DB, National Capital Area *NP
Carelink Advantra (WV HealthAssurance & Carelink commercial claims only.)SP
Carelink Health Plan (WV HealthAssurance & Carelink commercial claims only.)SP
Carelink MedicaidSP
Carenet of Virginia (Payer requires the provider to submit a PIN in the Rendering Provider ID record.)SP
CareOne Health PlanSP
CareOregon, Inc.SP
CarePlus Health PlansSP
CareSource * (Claims to this payer require enrollment. Contact ENS Enrollment department at 719-277-7545 ext. 2007 to obtain the forms.)SP
CareSource of Indiana (Payer moving from E-print to Live Production.)SP
CareworksSP
Careworks (OH BWC) *NP
Careworks of Ohio (OH BWC) *NP
Cariten CommercialSP
Cariten Healthcare TenncareSP
Cariten Senior HealthSP
Carolina Care Plan (Formerly PHP of South Carolina)SP
Carolina Crescent Health Plan *SP
Carolina Summit Healthcare, IncSP
Carpenters' and Millwrights' Health Benefit Trust FundSP
Carpenter's of Greater St. Louis H&W Fund (Requires GHP Provider ID in Box 33a. Contact Carpenters for ID.)SP
Carpet, Linoleum and Resilient Tile Layers Health and Welfare FundSP
Cascade East Health PlanSP
Cascade Health PartnersSP
Catholic Healthcare West *SP
CBA, Inc. (Cooperative Benefits Administrators, Inc.)SP
CBCA (Formerly know as Health Risk Management)SP
CBCA Administrators of Ft. Worth, TXSP
CBHA Carolina Behavioral Health AllianceSP
CBIZ Benefits & Insurance ServicesSP
CBSA (Corporation Benefit Services of America)SP
CCMC - Comprehensive Care Management CorpSP
CCS (aka Comprehensive Care Systems)NP
CDO TechnologiesSP
CDS Group HealthSP
Cedars-Sinai Medical Network Services ClaimsSP
Cedars-Sinai Medical Network Services EncountersSP
Celtic InsuranceSP
Cement Masons & Plasterers Health & Welfare Trust - Grp#F16SP
Cenpatico Behavioral Health - Wisconsin (Call 800-225-2573 ext 25525 prior to submitting claims.)SP
Cenpatico Behavioral Health AZ (Prior to submission, contact 866-495-6748 to verify provider ID.)SP
Cenpatico IndianaSP
Cenpatico OhioSP
Centene Advantage PlansSP
CenterCareSP
Centinela IPASP
Centra Benefit ServicesSP
Central & Southwest ServicesSP
Central Benefit NationalSP
Central Benefits LifeSP
Central Benefits MutualSP
Central Reserve LifeSP
Central States Joint Board Health & Welfare Trust FundSP
Central States Southeast and Southwest Areas Health and Welfare and Pensions FundsSP
Century Health SolutionsSP
CHA - Commonwealth Health AllianceSP
CHAMPVA-HAC (CHAMPVA-HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS.))SP
Chartered Health Plan (DC Chartered Health Plan)SP
Chatwins Healthcare AdministratorsSP
Chautauqua County Health Plan (Mayville,NY)SP
CHCcares of South CarolinaSP
Chesapeake Life Insurance Co. (PayerID valid for PO BOX 982017, North Richland Hills.)SP
Children's Community Health PlanSP
Chinese Community Health Plan (Unique Provider ID must be on claim.)SP
ChiroCareSP
Chiropractic Association of South DakotaSP
Chiropractic Care of Minnesota, Inc. (For Dates of service before 1-01-08, continue to use payerID of ACN01.)SP
Chiropractic Care of Wisconsin, Inc.SP
CHOC - Childrens Hospital of Orange County Health AllianceSP
Choice One/UTMB CHIP Health Plan (Call 281-652-8700 prior to submitting claims.)SP
Choice Plus (TRW)SP
ChoiceNetSP
CHP Direct SuperMedSP
CHP/ALTIUS (Enrollment required, please contact Provider Relations 801-352-7270)NP
CHP/BCBS (Enrollment required, please contact Provider Relations 801-352-7270)NP
CHP/DMBA (Enrollment required, please contact Provider Relations 801-352-7270)NP
CHP/EMIA (Enrollment required, please contact Provider Relations 801-352-7270)NP
CHP/MEDICAID (Enrollment required, please contact Provider Relations 801-352-7270)NP
CHP/PEHP (Enrollment required, please contact Provider Relations 801-352-7270, Chiropractic claims only)SP
CHP/RPU (FABOH) (Facility physical address required on claim.)SP
CHP/UUHP (Enrollment required, please contact Provider Relations 801-352-7270)NP
CHP/WISE (Enrollment required, please contact Provider Relations 801-352-7270)NP
Christian Brothers ServicesSP
Christus Spohn Health NetworkSP
CIGNA - PPOSG
CIGNA - PPOSG
CIGNA Behavioral HealthSP
CIGNA Health Plan - HMOSG
CIGNA Healthcare for Seniors - Arizona MedicareSP
CIGNA Premier PlusSG
Cimarron Salud (Receiver type 'D' - Claims are printed and mailed to the Payer.)SP
Cinncinnati Financial CorporationSP
Citrus Health CareSP
City of AustinSP
CL FratesSP
Claims Administration CorporationSP
Claims Management ServicesNP
ClaimsWare, Inc. DBA ManageMedSP
Clearchoice Health Plan / COIHSSP
CNA Health Partners Repricing - ARSP
CNA MailhandersSP
CNA MailhandersSP
Coastal Administrative ServicesSP
Cofinity (formerly Sloans Lake)SP
Cofinity (formerly Sloans Lake)SP
Colonial HealthcareSP
Colorado Access HMOSP
Colorado Blue AdvantageNP
Colorado Kaiser Permanente (Colorado plans only)SP
Colorado Laborers Health and Welfare FundSP
Columbia Cornell CareSP
Columbia United ProvidersSP
Commerce Benefits GroupSP
CommonWealth Administrative GroupSP
COMMONWEALTH ADMINISTRATORSSP
Commonwealth Care AllianceSP
Community Care Behavioral Health Org. (For Dates of Service prior to October 1, 2007)SP
Community Care BHO (For Dates of Service after October 1, 2007)SP
Community Care Managed Health Care Plans of OklahomaSP
Community Care OrganizationSP
Community Care Plus (Requires Provider ID in Box 33a. Contact Community Care for ID.)SP
Community Choice of MichiganSP
Community First Health Plan, Inc.SP
Community Health AllianceSP
Community Health Choice (Please include TPI Number (Texas Medicaid Number) in Field FA0-23)SP
Community Health Electronic Claims/CHEC/webTPASP
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)SP
Community Health PlanSP
Community Health Plan of WashingtonSP
Community Medical Group of the West ValleySP
Community Preferred Health Plan (CA)SP
Community Premier Plus for Neighborhood HealthSP
CompBenefits CorporationSP
Compensation Programs of Ohio, Inc.SP
CompFirst, LLCSP
Complementary HealthCare PlansSP
CompManagement Health Systems, Inc. (OH BWC) *NP
Comprehensive Behavioral CareSP
Comprehensive Benefits Administrator, Inc.SP
CompuSys Incorporated (New Mexico)SP
CompuSys Incorporated of ArizonaSP
CompuSys Incorporated of ColoradoSP
CompuSys Incorporated of UtahSP
Compusys of ColoradoSP
CompuSys/Erisa Group, Incorporated (AZ)SP
CompuSys/Erisa Group, Incorporated (NM)SP
CompuSys/Erisa Group, Incorporated (TX)SP
Confederation Admin ServicesSP
Confederation Life InsuranceSP
Connecticare - MedicareSP
Connecticare, Inc.SP
Connecticare, Inc.SP
Consociate GroupSP
Consolidated Associates RailroadSP
Consolidated Group / Health Plan ServicesSP
Consolidated Group Claims (CGC)SP
Continental General Insurance Co.SP
Continuum ABC MSOSP
Cook Children's Health PlanSP
Cook Children's Star PlanSP
Cook Group Health PlanSP
Cooperative Benefit Administrators, Inc.SP
Cooperative Managed Care ServicesSP
Coordinated Medical Specialists (CMS)SP
Core Administrative ServicesSP
CoreSourceSP
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)SP
CoreSource of IllinoisSP
CoreSource of IOWASP
CoreSource of MarylandSP
CoreSource of North CarolinaSP
Coresource of OHSP
CoreSource of PennsylvaniaSP
CoreStar AZ MN (Only for address in Arizona and Minnesota. For assistance, call 800-698-0106)SP
Cornerstone Benefit AdministratorsSP
Corporate Benefits Service, Inc. (NC) (Only valid for payer address of PO Box 12953, Charlotte, NC 28220)SP
Corporate Systems AdministrationSP
Correctional Medical ServicesSP
CorSolutionsSP
Country Life Insurance CompanySP
COVA (Commonwealth of VA) (Requires VA Blue Shield EMC approval)NP
Covenant Administrators, Inc.SP
COVENANT MANAGEMENT SYS EMPLOY BENESP
Coventry Health Care of DelawareSP
Coventry Health Care of Delaware, Inc.SP
Coventry Health Care of GeorgiaSP
Coventry Health Care of IndianaSP
Coventry Health Care of IowaSP
Coventry Health Care of Kansas -- Kansas City (Payer ID 25134 should now be sent to 25133)SP
Coventry Health Care of LouisianaSP
Coventry Health Care of NebraskaSP
Coventry Health Care of North CarolinaSP
Coventry Health Care of South CarolinaSP
Coventry Southern Health Services (The following claims cannot be submitted electronically: Resubmitted, Anesthesia, and Claims with Attachments)SP
Cox Health Plan (Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.)SP
CRA managed Care (OH BWC) *NP
Creative Medical SystemsSP
Creative Plan AdministratorsSP
Crown LifeSP
Culinary Health & Welfare Fund (Las Vegas, NV)SP
Custom Benefit AdministratorsSP
CustomCareSP
CustomCare (Southwestern Bell - Exec.)SP
Custome Design Benefits, Inc.SP
DakotaCareSP
DART CONTAINER CORPORATIONSP
Dean Health Plan *NP
Dean Health PlansSP
Definity ServicesSG
Delaware Health Plan ConsortiumSP
Delaware Physicians Care, Inc.SP
DelawareCare, Inc.SP
Delta Health SystemsSP
DentemaxSP
Dentemax/DPI (MI)SP
Denver Health - IndigentSP
Denver Health and Hospital AuthoritySP
Denver Health Medical PlanSP
Denver Health Medical Plan, Inc. - Medicare ChoiceSP
Dermatology Network Solutions BCBS for the Health Options HMO (Payer requires 11 digit member ID Number)SP
Dermatology Network Solutions, LLC BCBS (Payer requires 11 digit member ID Number)SP
Dermatology Network Solutions, LLC Humana (Payer requires 11 digit member ID Number)SP
Dermatology Network Solutions, LLC Vista (Payer requires 11 digit member ID Number)SP
Deseret Mutual *NP
Desert Family Practice AssociationSP
Destiny HealthSP
Detroit Medical CenterSP
DGA - Diversified Group AdministratorsSP
Diamond PlanSP
Directors Guild of America - Producer Health PlanSP
Diversified Group BrokerageSP
DMERC Region A (Testing is required for claims requiring CMNs.) *NP
DMERC Region B (Testing is required for claims requiring CMNs.) *NP
DMERC Region C (Testing is required for claims requiring CMNs.) *NP
DMERC Region D (Testing is required for claims requiring CMNs.) *NP
Donley & CompanySP
Driscoll Childrens Health PlanSP
Driscoll Childrens Health Plan (CHIP)SP
DSCC - Division of Specialized Care for ChildrenSP
Dunn & AssociatesSP
E3 Health, Inc (Formerly First Integrated Health)SP
Early Intervention Central BillingSP
East Bay Medical NetworkSP
East Bay Medical NetworkSP
EAU Claire Health Protection PlanSP
EBC Inc. (To obtain the payerID, please call (440) 262-1160)SP
EBMCSP
EBMS (Employee Benefit Management Services, Inc) *SP
EBS of Ohio (Valid for PO BOX 2568, Mansfield, OH 44906.)SP
eComPPOSP
EDS HealthchoiceSP
Educators Mutual (EMIA) * (Enrollment required, contact EMIA to enroll 800-362-0533, Opt. 2)SP
EHI (Employers Health Insurance)SP
EL PASO FIRST - CHIPSP
Elder Health Maryland HMO Inc.SP
ElderPlan, Inc. (Elderplan Provider ID necessary on all claims. Contact (718)921-7979 for Provider ID.)SP
Electronic Transmission CorporationSP
ELLIS CONSULTANTS, INC.NP
ElmcareSP
Elmcare L.L.C.SP
ElmcoSP
Emerald Health NetworkSP
Emerald Health Network, Inc. (All HMO Business)SP
Emerald HMO (HMO claims only)SP
EMI (Eye Management Inc)SP
EmoryCareSP
Empire Physician's Medical GroupSP
Employee Benefit Administration & Management (EBA&M)SP
Employee Benefit ConceptsSP
Employee Benefit Consultants, Inc. (Call (440) 262-1160 for PayerID.)SP
Employee Benefit CorporationSP
Employee Benefit Management Corp.SP
Employee Benefit Services of LousianaSP
Employee Benefit Svcs (EBS) of San AntoniOSP
Employee Benefit SystemsSP
Employee Benefits Plan Administration, Inc. (EBPA)SP
Employee Claim Adjudication ServicesSP
Employee Plans, LLCSP
Employee Security, Inc.SP
Employer Plan Services, Inc.SP
Employers Coalition On Health (ECOH)SP
Employers Direct Health - Employee PlanSP
Employers Direct Health - FISP
Employers Direct Health - SFSP
Employers Health Cooperative (EHC)SP
Employers Life Insurance Corp.SP
Employers Mutual, Inc. (Florida Providers only)SP
EncompassSP
Encore Health Network (Note: Group Policy Number in HCFA Box 11 is required.)SP
ENH Medical Group IPASP
Enstar Natural Gas - Grp# P61SP
EntrustSP
EPN - Seton Health Plan Exclusive (Provider ID required)SP
EQUICORSG
EQUICOR - PPOSG
Equifax Healthcare Admin. Svc. (EHAS)SP
Equitable Plan ServicesSP
Erin Group AdministratorsSP
Erisa Administrative Services IncorporatedSP
Erisa Administrative Services, Inc.SP
Evercare Star PlusSG
Evergreen Health PlanSP
Evolutions HealthcareSP
Exceptional Care MedicalSP
Eye Specialists (Provider ID number required in Box33a or Box24J)SP
Facey Medical FoundationSP
FACS GroupSP
Fallon Community HealthSP
Family / Seniors Medical Group, Inc. (Labs Only) - IPASP
Family Care MedicaidSP
Family Care Medicaid Mental HealthSP
Family Care MedicareSP
Family Choice MedicalSP
Family Health AllianceSP
Family Health Partners/MC+MissouriSP
Family Health PlanSP
Family Medical NetworkSP
FARA Benefit Services, Inc.SP
Farm FamilySP
FCE Benefit AdministratorsSP
Federal Employee Program (Connecticut)NP
Federated Mutual InsuranceSP
FHP of Colorado - HMO claims only. Trading Partner Number requiredSP
Fidelis Care New YorkSP
Fidelis Secure CareSP
First Administrators, Inc. (Provider ID and Group ID required on all claims. Non-participating providers should put in '0000' as their provider ID)SP
First Carolina CareSP
First Choice Health NetworkSP
First Choice of CT (Requires a 5-8 character Provider Network ID.)SP
First Choice of Midwest (PPO)SP
First Great West Life & AnnuitySP
First Great-West Life & AnnuitySP
First Health (Alta Health Strategies)SP
First Health NetworkSP
First Option Health PlanSP
First PrioritySP
First Seniority FreedomSG
First Service AdministratorsSP
First State Health PlanSP
FirstcareSP
Firstcare Star MedicaidSP
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.)SP
FirstGuard Health Plan of MissouriSP
Fiserv Health - KansasSP
Fitzharris & CompanySP
FlexCareSP
Florida 1st - Winterhaven, FloridaSP
Florida Health PlanSP
Florida Hospital Healthcare Systems (In network providers must submit UP or FHHS ProviderID. Out of network providers must contact FHHS at 407-701-4893.)SP
Florida Hospital WatermanSP
Florida League of Cities, Inc.SP
Florida NetPassSP
Florida Power & LightSP
FloridianCareSP
FloridianCare (SFL) American Pioneer Health PlanSP
FMH Benefit ServicesSP
Formax, Inc.SP
FORTIS (Formerly Time Insurance)SP
Fortis (Western Life Ins. Benefit Plan)SP
FORTIS BENEFITS (Kansas City)SP
Fortis Benefits, Inc. (Woodbury) PHCS Network ClaimsSP
Fortis Self Funded Administrative ServicesSP
FORTIS WesternSP
Foundation Health - HMO of CASP
Foundation Health Amerimed - HMO of CASP
Foundation Health Amerimed Senior - HMO of CASP
Foundation Health of CASP
Foundation Health of Florida-ClaimsSP
Foundation Health of Florida-EncountersSP
Fox Valley Medicine Site 199SP
Fox Valley Medicine Site 451SP
FoxEverett - Ingalls Ship BuildingSP
Fox-Everett, Inc.SP
Freedom Health PlanSP
Freedom Life Insurance CompanySP
Freeman IPASP
Fresenius Medical CareSP
Fringe Benefit CoordinatorsSP
FrontPath Health CoalitionSP
G.E. Group Administrators (Texas Members Only)SP
G.E. Group Life Assurance CompanySP
Gates McDonald Health Plus, Inc. (OH BWC) *NP
Gateway Health PlanSP
Gateway Health PlanSP
Gateway Health Plan ((Yellow Card). Check the ID card to verify the Payer ID before submitting)SP
Gateway Health Plan of Ohio, Inc.SP
Geisinger Health Plan * (Payer requires that you enroll with them at 800-447-4000 before submission. Provider number is required on Box33a)SP
GEMCare (Golden Empire Managed Care System)SP
GenCare Health (St. Louis only)SP
Gencare Health (St. Louis)SP
Genelco (St. Louis only)SP
Genelco (St. Louis only)SP
General American (Sanus - East)SP
General American Life Ins. Co. (Sanus, St. Louis)SP
General American Life Insurance CompanySP
Genesis Healthcare (EMG)SP
Genworth Life and Health Insurance Company (GLHIC) (Now Sun Life and Health Insurance Company.)SP
Georgia Health PlansSP
Georgia Power Medical Benefits PlanSP
Georgia State Health Benefit Plan (Processed by GA BC/BS( *NP
Gettysburg HealthSP
GHI HMO SelectSP
GHI Medicare Part B of New York *NP
GHP (Group Health Plan)SP
GI Innovative ManagementSP
Gilsbar, IncSP
Glassworkers and Glaziers Health and Welfare Fund TrustSP
Glassworkers Health & Welfare Fund - Grp# F29SP
Global Care IncSP
GM SouthwestSP
GMS, Inc.SP
Golden Rule InsuranceSP
GOLDEN TRIANGLE PHYSICIAN ALLIANCESP
Good Samaritan Medical Practice Association (GSMPA)SP
Government Employees Hospital Association (GEHA)SP
Government Employees Hospital Association (GEHA)SP
Great Lakes Health PlanSP
Great West (SF)SP
Great West (WA)SP
Great West CareSP
Great West DenverSP
Great West Life & Annuity (Claims for Kennett, Missouri ONLY)SP
Great West Life AssuranceSP
Great West Life Assurance Company of AmericaSP
Greater L. A. HealthSP
Greater San GabrielSP
Greater WI Rapids Health Protection PlanSP
Great-West BellevueSP
Green Bay Health Protection PlanSP
GreentreeSP
Group Administrators Ltd.SP
Group Administrators Self-Funded AlternativeSP
Group and Pension AdministratorsSP
Group Health Cooperative (WA)SP
Group Health Cooperative of Eau ClaireSP
Group Health Cooperative of South Central Wisconsin ClaimsSP
Group Health Cooperative of South Central Wisconsin EncountersSP
Group Health Incorporated (GHI) (New York)SP
Group Health Insurance - DESP
Group Health Northwest (Call Payer at 888-767-4670 prior to submitting electronic claims.)SP
GROUP INSURANCE SERVICE CENTER, INCSP
Guardian HealthcareSP
Guardian Life Insurance Company of AmericaSP
GulfQuestSP
Gunderson Lutheran Health PlanSP
GWLSP
GWL & ASP
H.E.R.E.I.U. Welfare Pension FundsSP
Harmony Health Plan of Illinois (Wellcare Provider ID required, call (800) 960-2530 opt. 2 then 5)SP
Harmony Health Plan of Indiana (Only claims for Indiana Hoosier Healthwise members can be sent to this payer electronically.)SP
Harrington Benefit ServicesSP
Harrington Benefit Services, Inc/CentraSP
Harris Methodist Health PlanSP
Harvard Pilgrim Health Care *SP
Hawaii Management Alliance Association (HIMAA)SP
Hawaii Management Alliance Association (HMAA)SP
Hawki (Provider ID Required)NP
HCH AdministrationSP
HCHA Albq - Self FundedSP
HDM BENEFIT SOLUTIONSSP
HDPC - Premier HealthcareSP
HDPC Alliance PhysiciansSP
Health Administration Services, IncSP
Health Advantage of Arkansas *NP
Health Alliance Exclusive & PlusSP
Health Alliance Medical PlansSP
Health Alliance of Urbana IL * (Provider number required in Box33a and Submitter ID in Box33b)SP
Health Alliance Plan of MichiganSP
Health America Inc.SP
Health AssuranceSP
Health Care Alliance (Sears)SP
Health Care District Palm BeachSP
Health Care Network of WI (HCN)SP
Health Care Network of Wisconsin (HCN)SP
Health Choice GenerationsSP
Health Choice of AZSP
Health Claims ServiceSP
Health Cost SolutionsSP
Health Data SolutionsSP
Health Design PlusSP
Health Economics CorporationSP
Health EZSP
Health First Health PlansSP
Health First-Tyler, TXSP
Health FutureSP
Health Help Networks, Inc.SP
Health Management Associates (HMA, servicing Southeastern and Southwestern Regions) (Provider ID Required)SP
Health Management Solutions (OH BWC) *NP
Health Market Care AssuredSP
Health Net (California Encounters Only.)SP
Health Net (of California)SP
Health Net of ArizonaSP
Health Net of the North East, Inc. (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638)SP
Health Net OregonSP
Health Net PearlSP
Health Network AmericaSP
Health Network OneSP
Health New EnglandSP
Health Options of Florida (Blue Shield HMO)NP
Health Options of Florida (Blue Shield HMO) ENCOUNTERS ONLY!!NP
Health Options of IllinoisSP
Health Partners - Jackson,TNSP
Health Partners, PASP
Health Payment SystemsSP
Health Plan ManagementSP
Health Plan of MichiganSP
Health Plan of San JoaquinSP
Health Plan of San MateoSP
Health Plan Services, Tampa OfficeSP
Health Plans Inc.SP
Health Pledge HMOSP
Health Plus of MichiganSP
Health Plus PHSP (Brooklyn, NY)SP
Health Risk ManagementSP
Health Services for Children with Special Needs (HSCSN)SP
Health Services Management, Inc.SP
Health Services Management, Inc. for AHSSP
Health Services Management, Inc. for BPASP
Health Services Management, Inc. for ECOHSP
Health Services Management, Inc. for EHCSP
Health Services Management, Inc. for ENCRSP
Health Services Management, Inc. for FCMSP
Health Services Management, Inc. for HFSP
Health Services Management, Inc. for HTSP
Health Services Management, Inc. for MMSISP
Health Services Management, Inc. for MSHOSP
Health Services Management, Inc. for PNETSP
Health Services Management, Inc. for PONESP
Health Services Management, Inc. for SCSP
Health Services Management, Inc. for WEASP
Healthcare Management AdminSP
Healthcare Management Administrators, Inc. (also known as HMA, servicing Western Region)SP
Healthcare PartnersNP
HealthCare Partners, IPASP
Healthcare Resources NWSP
HealthCare Solutions GroupSP
Healthcare USASP
HealthCompSP
HealthcompSP
HealtheaseSP
HealthEZSP
Healthfirst, Inc. (NY)SP
HealthGuard of LancasterSP
Healthkeeper HMO (Requires VA Blue Shield EMC approval)NP
HEALTHLINK HMOSP
HEALTHLINK PPOSP
Healthnet of AZSP
HealthPartners of Minnesota *NP
HealthPlus of LousianaSP
Healthpoint CorporationSP
HealthPower HMOSP
HealthSCOPE Benefits, INCSP
HealthSmart Preferred CareSP
Healthsource \ Hudson Health Plan (Provider enrollment is required by the payer. Must call (914) 372-2291 to obtain payerID)SP
Healthsource Arkansas - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider IDSP
Healthsource Indiana - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider IDSP
Healthsource Kentucky - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider IDSP
Healthsource Maine - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider IDSP
Healthsource New Hampshire - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider IDSP
Healthsource North Carolina - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider IDSP
Healthsource North Texas - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider IDSP
Healthsource Provident Ins. Co.SP
Healthsource, AR (Med) (CIGNA)SP
Healthsource, GA (CIGNA)SP
Healthsource, MassSP
Healthsource, OHSP
Healthsource, TN (CIGNA)SP
HealthSpring HMO (No PPO claims accepted via this payerID.) *SP
HealthStar, Inc.SP
Healthsun Health PlanSP
Healthwave of KansasSP
Healthways WholeHealth NetworksSP
Healthy Palm Beaches, Inc.SP
Helix Family ChoiceSP
Heritage Consultants (Must use 9-digit subscriber ID on all claims)SP
HERITAGE IPASP
HERITAGE PHY NETWORK-ENCOUNTERS ONLYSP
HFN, Inc.SP
Hi Desert MedicalSP
High Desert Primary CareSP
Highline Medical Services MOLINASP
Highline Medical Services PSHPSP
Highmark - Key FamilySP
Hill Physicians Medical Group *SP
Hillcrest Benefits AdministratorsSP
Hinsdale Physicians HealthcareSP
HIP-Health Insurance Plan of Greater NY *SP
HMA (servicing HI, AZ and NV)SP
HMO of Colorado, also known as HMOC (Prior appproval by HMOC required prior to sending claims electronically)NP
Hollywood PresbyterianSP
Holy Cross Health PartnersSP
Holy Cross Health PartnersSP
Homeland Security (ATTN: Deportation)SP
Hometown Health Plan NevadaSP
Hometown Health Plan of OhioSP
Horace Mann Life InsuranceSP
Horizon Blue Cross Blue Shield of New Jersey *NP
Hotel Employees & Restaurant Employees Health Trust - Grp#F19SP
HPRSP
HPS Paradigm, Inc.SP
HRMSP
HRM Claim ManagementSP
Hudson Health Plan * (Provider must be located in Duchess, Orange, Rockland, Sullivan or Westchester County, NY)SP
Humana VA Hero ProgramSP
HUMANA, Claims onlySP
HUMANA, Encounters OnlySP
Hunt Insurance Group, Inc.SP
Huntington Park Medical GroupSP
Huntington Park MissionSP
I. E. ShafferSP
IBA Self Funded GroupSP
IBC Personal Choice *NP
IBEW Local 640 & Arizona Chapter NECA Health & Welfare TrustSP
IBEW Western Utilities or Local 57SP
IBISP
IBM Medical PlansSP
iCARE (Independent Care Health Plan)SP
ICMSP
ICON Benefit AdministratorsSP
Idaho True Blue *NP
IHNSP
Illinois Central Hospital AssociationSP
Illinois Health Solutions ( ProviderID Required)NP
IMCARESP
INDECS CorporationSP
Independence AdministratorsSP
Independence Medical GroupSP
Independent BLC of PA * (Also known as Personal Choice PPO of Pennsylvania.)NP
Independent Health * (Enrollment and Testing Required, contact (716) 635-3911)NP
Indiana ProHealth NetworkSP
Indiana Teamsters Health Benefits Fund (Formerly known as Local 135 Health Benefits Fund)SP
Industrial Machine SpecialtiesSP
InforMed, LLCSP
Ingalls Provider GroupSP
InHealth, Inc.SP
Inland Empire Health PlanSP
InProNetSP
INS Health ServicesSP
Institutes of QualitySP
Insurance Administrator of AmericaSP
Insurance Claims Services, Inc. (Birmingham, AL)SP
Insurance Design AdministratorsSP
Insurance Management Services of NVSP
Insurance Management Services of TexasSP
Insurance Service of LubbockSP
Insurer's Administration CorporationSP
Insurers Administrative CorporationSP
INTEGRA Administrative Group, Inc.SP
Integra Group - CHASP
Integra Group (Also known as Rehab Provider Network, but not the same as Colorado payer of same name.)SP
Integrated Comp (OH BWC) *NP
Integrated Mental Health ServicesSP
INTENATIONAL MEDICAL GROUP, INCSP
Interactive Diagnostic Services, Inc.SP
IntercareSP
Interface EAPSP
Intergroup Services CorporationSP
Intermountain Ironworkers Trust FundSP
International Funding Inc.SP
International Union Operating EngineersSP
InterWest Health PPO (Montana)SP
Iowa Benefits, Inc.SP
Iowa Health Solutions (Provider ID Required)NP
IU Medical Group Primary CareNP
Jackson Memorial Health PlanSP
Jackson Memorial Health Plan(FL) *SP
JF MolloySP
JI Specialty Services, Inc.SP
JMHP MedicaidSP
John Alden Life Ins.SP
John Deere Healthcare, now know as UnitedHealthcare River Valley * (Please call 866-509-1593 for enrollment and provider ID)SP
John Hopkins Healthcare (EHP/PP) (Submit Billing NPI and Rendering/Servicing NPI)SP
John Morrell Company - AHPBASP
John Muir Health NetworkSP
John Muir Mt. Diablo Health SystemSP
John Muir Trauma Physicians (Please call 925-947-5288 for Payer ID information.)SP
John P Pearl and AssociatesSP
Johns Hopkins (USFHP) (New submitter should send in their Billing NPI & Rendering servicing NPI)SP
Joplin ClaimsSP
JP Farley CorporationSP
JPS PREFERRED CARENP
JSL AdministratorsSP
Kaiser Foundation Health Plan of GeorgiaSP
Kaiser Foundation Health Plan of OhioSP
Kaiser Foundation Health Plan of Southern CA Region *SP
Kaiser Mid AtlanticSP
Kaiser Mid-AtlanticSP
Kaiser NW Region (Provider ID Required, Call 503-813-3354 prior to submitting claims)SP
Kaiser Permanente (Colorado plans only)SP
Kaiser Permanente (Southern California Only)SP
Kaiser PPOSP
Kanawha Healthcare SolutionsSP
Kansas City Life Insurance CompanySP
Kapiolani Health CommercialSP
Keenan Associates (CA)SP
KELSEY SEYBOLDSP
Kempton GroupSP
Kern Health SystemsSP
Key Benefit AdministratorsSP
Key Health Plan (CA)SP
Key Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.)NP
Key SelectSP
Keycare PPO (Requires VA Blue Shield EMC approval)NP
Keystone Mercy Health PlanSP
Klais and CompanySP
KPS HEALTH PLANSSP
LaCrosse Care PlusSP
Lafayette Consolidated GovernmentSP
Lakeside Health ServicesSP
Lakeside IPASP
Lakeside Medical Group Inc.SP
Landmark Healthcare Inc.SP
Lawndale Christian Health CenterSP
LBA HealthPlansSP
Leon Medical Center Health PlanSP
Liberty Mutual Insurance Company (Worker's Compensation Claims Only.)NP
Life & Health Ins Co of America (NFL Plan only)SP
Life Investors Ins Co of America (Specialized claims only. Call 866-745-3545 with claim routing questions.)SP
Life TracSP
Lifewise A Premier Health Plan *SP
Lifewise Health Plan of Arizona A Premier Health Plan *SP
Lifewise Health Plan of Oregon A Premier Health Plan *SP
Lifewise Health Plan of Washington A Premier Health Plan *SP
Linn CountySP
LIPA/AGATE RESOURCESSP
Local Choice (Requires VA Blue Shield EMC approval)NP
LOMA LINDA UNIVERSITY ADVENTISTSP
London Health AdministratorsSP
Lovelace Medicaid *SP
Lovelace Salud! (NM Medicaid) *SP
Lovelace Sandia Health PlanSP
Machinist District 9 WelfareSP
MacNeal Health Providers - CHS (Contact 708-783-7100 prior to first submission.)NP
Magellan Behavioral Health (All Non-AETNA Subscribers - Provider ID Required)SP
Magellan Behavioral Health (For Dates of Service 1/1/2006 and After - Provider ID Required - AETNA Subscribers only.)SG
Magellan Behavioral Health (For Dates of Service prior to 1/1/2006 - Provider ID Required) AETNA Subscribers only.SP
MAGNACARESP
Mailhanders Benefit Plan (CAC)SP
Maksin Management CorporationSP
MAMSI Life and Health Insurance Co. (MLH)SP
Managed Care Services, LLCSP
Managed Care Systems (Delango Regional Medical)SP
Managed Health Networks (MHN)SP
Managed Health Services Indiana * (Medicaid HMO, Enrollment Required - Call Debbi Sandberg at 800-225-2573 ext. 25306)SP
Managed Health Services of Wisconsin (Please contact the payer @ 800-225-2573, ext 25525 to get setup to submit electronic claims.)SP
Managed Physical NetworkSP
Managed Physical Network (MPN)SP
Manatee Services Center (Payer ID only valid for claims with a billing submission address of PO Box 1098, Bradenton, FL 34206)SP
MAPCO Inc.SP
Marin IPASP
MarriottSP
Maryland Physicians CareSP
Maryland Physicians Care (Provider ID required.)SP
Maryland PMHS * (Use for Dates of Service before 9-01-2009. For later DOS use 77063.)NP
Maryland PMHS ValueOptions * (Use for Dates of Service after 9-01-2009. For earlier DOS use 77062.)NP
Mashantucket Pequot Tribal NationSP
Mass Health (MA Medicaid) *NP
Massachusetts Mutual also known as Mass MutualSP
MASTERS, MATES AND PILOTS PLANSP
Mayo Management Services, Inc. (Mayo Management requires the Network Provider ID be placed on box33a of the HCFA claim form.)SP
MBA of MD, Inc.SP
MBA of WyomingSP
M-CARE (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.)SP
Mcare of Colorado SpringsSP
Mcare of Michigan (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.)SP
MCC Behavioral CareSP
McCreary CorporationSP
McLarenNP
MD-Individual Practice Association, Inc. (M.D. IPA)SP
MDWise Hoosier AllianceSP
MedAdmin Sol IncSP
MedComSP
MedCost Benefit ServicesSP
MedCost, Inc.SP
MedfocusSP
MEDICASP
Medica Health Care Plan, Inc.SP
Medicaid of Delaware *SP
Medicaid - TX Premier Plan (Contact Provider Relations @ (915)532-2778, x1068)SP
Medicaid of Alabama *NP
Medicaid of Alaska *NP
Medicaid of Arizona (AHCCCS) *NP
Medicaid of Arkansas *NP
Medicaid of Colorado *NP
Medicaid of Connecticut *NP
Medicaid of Florida *NP
Medicaid of GA *NP
Medicaid of Hawaii *NP
Medicaid of Idaho *NP
Medicaid of Illinois *NP
Medicaid of Indiana *NP
Medicaid of Iowa *NP
Medicaid of Kansas *NP
Medicaid of Kentucky *NP
Medicaid of Lousiana *NP
Medicaid of Lousiana Rehab * (for Rehabilitation claims)NP
Medicaid of Maine *NP
Medicaid of Maryland *NP
Medicaid of Massachusetts *NP
Medicaid of Michigan *NP
Medicaid of Minnesota *NP
Medicaid of Mississippi *NP
Medicaid of Missouri *NP
Medicaid of Montana *NP
Medicaid of Nebraska *NP
Medicaid of Nevada *NP
Medicaid of New Hampshire *NP
Medicaid of New Jersey *NP
Medicaid of New Mexico *NP
Medicaid of New York *NP
Medicaid of North Carolina *NP
Medicaid of North Dakota *NP
Medicaid of Ohio *NP
Medicaid of Oklahoma *NP
Medicaid of Oregon *NP
Medicaid of Pennsylvania *NP
Medicaid of Rhode Island *NP
Medicaid of South Carolina *NP
Medicaid of South Dakota *NP
Medicaid of Tennessee (TennCare) *NP
Medicaid of Texas *NP
Medicaid of Utah *NP
Medicaid of Vermont *NP
Medicaid of Virginia *NP
Medicaid of Washington DC *NP
Medicaid of Washington State *NP
Medicaid of West Virginia *NP
Medicaid of Wisconsin *NP
Medicaid of Wyoming *NP
Medical Benefit Administration, Inc.SP
Medical Benefits MutualSP
Medical Claims Service, Inc.SP
Medical Development InternationalSP
Medical Mutual of Ohio (Payer requires a 12 digit rendering provider ID#, which needs to be obtained from payer by calling 800-321-7223)SP
Medical Network of Colorado SpringsSP
MediCal of California *NP
Medical Resource Network (MRN, INC)SP
Medical Select ManagementSP
Medical Value Plan - Ohio (MVP)SP
Medicare Blue Advantage of South Carolina *NP
Medicare of Missouri * (Includes both Eastern and Western Missouri.)NP
Medicare Part B GHI *NP
Medicare Part B of Alabama *NP
Medicare Part B of Alaska *NP
Medicare Part B of Arizona *NP
Medicare Part B of Arkansas *NP
Medicare Part B of Colorado *NP
Medicare Part B of Connecticut *NP
Medicare Part B of DC*NP
Medicare Part B of Delaware *NP
Medicare Part B of Florida *NP
Medicare Part B of Georgia *NP
Medicare Part B of Hawaii *NP
Medicare Part B of Idaho *NP
Medicare Part B of Illinois *NP
Medicare Part B of Indiana *NP
Medicare Part B of Iowa *NP
Medicare Part B of Kansas *NP
Medicare Part B of Kentucky *NP
Medicare Part B of Louisiana *NP
Medicare Part B of Maine *NP
Medicare Part B of Maryland *NP
Medicare Part B of Massachusetts *NP
Medicare Part B of Michigan *NP
Medicare Part B of Minnesota *NP
Medicare Part B of Mississippi *NP
Medicare Part B of Missouri (Eastern) * (Specialty testing required)NP
Medicare Part B of Montana *NP
Medicare Part B of Nebraska *NP
Medicare Part B of Nevada *NP
Medicare Part B of New Hampshire *NP
Medicare Part B of New Mexico *NP
Medicare Part B of New York (Empire) *NP
Medicare Part B of NJ (Specialty testing required) *NP
Medicare Part B of North Carolina *NP
Medicare Part B of North Dakota *NP
Medicare Part B of Northern California *NP
Medicare Part B of Northern Virginia * (inc. Prince George, Montgomery, Fairfax and Arlington Counties and City of Alexandria)NP
Medicare Part B of Ohio *NP
Medicare Part B of Oklahoma *NP
Medicare Part B of Oregon *NP
Medicare Part B of PA (Specialty testing required) *NP
Medicare Part B of Puerto Rico * (In Test)NP
Medicare Part B of Rhode Island *NP
Medicare Part B of South Carolina *NP
Medicare Part B of South Dakota *NP
Medicare Part B of Southern California *NP
Medicare Part B of Tennessee *NP
Medicare Part B of Texas *NP
Medicare Part B of Upstate NY *NP
Medicare Part B of Utah *NP
Medicare Part B of Vermont *NP
Medicare Part B of Virginia *NP
Medicare Part B of Washington *NP
Medicare Part B of West Virginia *NP
Medicare Part B of Western Missouri *NP
Medicare Part B of Wisconsin *NP
Medicare Part B of Wyoming *NP
Medicare Railroad * (MetraHealth Medicare)NP
Medicare Supplemental (Requires VA Blue Shield EMC approval)NP
MEDIGOLDSP
MediPrimeSP
MedSolutions, Inc.SP
Medstar Physician PartnersSP
Mega Life & Health (United Insurance Division)SP
MEGA Life & Health Ins. Co. (Student Division)SP
Mega Life & Health Insurance Company (SSN is not a valid Insured ID. Must be similar to 01234567899 or AA1234567)SP
MEMICSP
MEMORIAL CLINICAL ASSOCIATESSP
MEMORIAL HERMANN HEALTH NETWORKSP
Memorial Integrated Healthcare (Please email Tracy Harswick at twarswick@mhs.net for payer ID information.)SP
Mendicina Familiar Medical GroupSP
Mennonite MutualSP
Mental Health Network (Only claims for PO Box 209010 Austin TX 78720)SP
Mercy Care (Please call 608-758-7739 for payerID.)SP
MERCY CARE of AZSP
Mercy Care PlusSP
Mercy Health Plan of New Jersey * (Provider ID Required in Box33a - Contact (800) 682-9091 to obtain ID)SP
Mercy Health PlansSP
Meridian Health PlanSP
Meritain Health / Agency ServicesNP
Mesa Mental HealthSP
MethodistCare, Inc.SP
Metro Plus Health PlanSP
Metropolitan Health PlanSP
Michigan Blue Care HMO (BCN of Michigan) *NP
Michigan Medicare PlusBlue *NP
Micron TechSP
Mid Atlantic Health PlansSP
Mid Atlantic Psychiatric Services, Inc. (MAPSI)SP
Mid-America AssociatesSP
Midland Management/MFCSP
Midland National Life Ins Co (NFIC Plan only)SP
Midlands ChoiceSP
Midlands Health PartnersSP
Midwest Group BenefitsNP
MIDWEST HEALTH PLANS, INC.SP
Mid-West National Life Insurance Co. of Tennessee (ID valid only for following: PO Box 982017, North Richland Hills, TX 76182)SP
Midwest PreferredSP
MidWest SecuritiesSP
Mid-West United Life (Student Division)SP
Mills Penisula Medical GroupSP
Minneapolis Prudential BusinessSP
Mission Hospital AffiliatesSP
Mississippi Select Healthcare (Mississippi Select Health Care)SP
Missoula County Medical BenefitsSP
Missouri CareSP
Missouri Care (Requires Medicaid Provider ID in Box 33a. Contact ENS enrollments at 800-341-6041 prior to submission.)SP
Molina Healthcare of California (Rendering provider must use Medi-Cal ID number or State License Number. Billing provider should use Federal TaxID only.)SP
Molina Healthcare of FloridaSP
Molina Healthcare of MichiganSP
Molina Healthcare of New MexicoSP
Molina Healthcare of OhioSP
Molina Healthcare of TexasSP
Molina Healthcare of Washington (Rendering providers use DSHS Medicaid ID or State Licence Number.)SP
Molina Healthcare Utah *SP
Momentum Health ServicesSP
Monarch Healthcare IPA * (Rendering provider ID# required on all claims.)SP
Monex Health CareSP
Montefiore Contract Management Organization (Provider ID required, call 914-377-4400 for ID prior to first claims submissions.)SP
Monumental Life Ins Co. (Specialized claims only. Call 501-277-1284 for information.)SP
MORRIS ASSOCIATESSP
Mosaic IPA Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.)NP
Motion Picture Industry Health Plan (Provider Must contact Judy Taylor at Motion Picture, 818-769-0007 ext 304 to get setup and get payerID.)SP
MotorolaSP
Mountain Medical AffiliatesSP
Mountain States Administrative Services, Inc. (ARIZONA ONLY.)SP
Mountain States Administrators (COLORADO ONLY)SP
MPE Employee Benefit ServicesSP
MPLAN Inc. Healthcare GroupSP
Mt. CarmelSP
Multiplan Inc. for American Family (Claims only for the states of AZ, IL, IN and OH)SP
Multiplan Wisconsin Preferred Provider NetworkSP
Mutual Assurance AdministratorsSP
Mutual BenefitSP
Mutual Benefit LifeSP
Mutual Group, The (US)SP
Mutual of Omaha Insurance CompanySP
Mutual of Omaha Insurance CompanySP
Mutually PreferredSP
MVP Health Plan of NY *SP
N.W. Ironworkers Health & Security Trust Fund - Grp#F15SP
N.W. Roofers & Employers Health & Security Trust Fund - Grp#F14SP
N.W. Textile Processors - Grp#F14SP
NAA (North America Administrators)SP
Naperville Health Care AssociatesSP
National Association of Letter CarriersSP
National Association of Letter CarriersSP
National Benefit Administrators - New JerseySP
National Benefits Administrators - North CarolinaSP
National Capital Area *NP
National Capital Preferred Provider Organization (NCPPO) (Toobtain your provider ID number, please call the NCPPO Customer Service Department at (800) 272-5911)SP
National Financial Insurance CompanySP
National Foundation Life Insurance CompanySP
National Health Administrators Inc.SP
National Health Insurance CompanySP
National Imaging AssociatesSP
National Rural ElectricSP
National Teachers Association (NTA)SP
National Telecommunications Cooperative Association (NTCA)SP
National Tellecommunications Cooperative Association (NTCS Staff)SP
Nationwide GroupSP
Nationwide Health Plans - HMO, PPO, POSSP
Nationwide InsuranceSP
Nationwide Life and HealthSP
Nationwide Mutual InsuranceSP
NCAS - Charlotte, VASP
NCAS - Fairfax, VASP
NCTA - PlanVista CorporationSP
NEA Group Insurance ProgramSP
Neighborhood Health Partnership of FloridaSP
Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number.)SP
Neighborhood Health ProvidersSP
Neighborhood Plan (Boston, MA)SP
Nesika Health GroupSP
Netcare Life and Health InsuranceSP
Network Health (Before initiating submissions, please call Provider Relations at (617)806-8104 or www.network-health.org for an EDI startup plan.)SP
Network Health Insurance Corp - MedicareSP
Network Health Plan of Wisconsin, Inc.(Prior to initial claims submission, please contact Network Health Plan EDI specialist at 920-720-1506.)SP
Network Health PPOSP
Nevada Health Solutions (Provider ID Required)NP
NevadaCare (Provider ID Required)NP
NevadaCare Kids (Provider ID Required)NP
New Century Health = Vista CardiologySP
New England, TheSP
New England, TheSP
New ERA LifeSP
New Market DimensionsSP
New Mexico District Council of CarpentersSP
New Mexico Painters and Allied Trades Local No 823SP
New Mexico-West Texas Multi-Craft (lso known as New Mexico Laborers)SP
New West Health PlanSP
New York Life - Long Term CareSP
New York Medical Imaging-MVPSP
New York Network ManagementSP
New York Presbyterian Community Health PlanSP
New York Presbyterian System Select HealthSP
NGS American, Inc.SP
NHC Health Benefit Plan (Call NHC Health Benefit Plan @ 615-278-1230 regarding your NHC provider number.)SP
Nippon Life Insurance CompanySP
NJ Carpenters Health FundSP
NM Blue Medicare PPOSP
Noble CommunitySP
North American Administrators, Inc.SP
North American Benefits Network (NABN)SP
North American Medical Management (Provider number must be in box 33a)SP
North Broward Hospital DistrictSP
North Suburban Associated PhysiciansSP
North Texas Healthcare NetworkSP
North West LifeSP
Northern Illinois Health PlanSP
Northern Nevada Trust Funds (Call 775-826-7200 prior to submitting claims.)SP
Northridge Medical GroupSP
Northwest Community Health PartnersSP
Northwest Suburban IPA (IL)SP
Northwestern National LifeSP
Nova Healthcare Administrators, Inc. (Grand Island, NY)SP
NOVASYS HEALTH NETWORKSP
NTLSP
NyhartSP
Oak West Primary Physician AssociationSP
Oak West Primary Physician AssociationSP
Occupational Health Management, Inc. (OH BWC) *NP
Ochsner Health PlanSP
ODS Health PlanSP
OH Worker's COMPNP
Ohio Health Plan (Group # required. PayerID valid only for claims with billing submission address of PO BOX 93538 or 6068, Cleveland OH)SP
Olympic Health Management Systems, Inc.SP
OmniCare (For claims with Dates of Service after 10/01/04)SP
One Call MedicalSP
One Health Plan Inc.SP
One Health Plan Michigan, Inc.SP
One Health Plan New York, Inc.SP
One Health Plan of AlaskaSP
One Health Plan of Arizona, Inc.SP
One Health Plan of CaliforniaSP
One Health Plan of ColoradoSP
One Health Plan of DC Inc,SP
One Health Plan of FloridaSP
One Health Plan of GeorgiaSP
One Health Plan of IllinoisSP
One Health Plan of Indiana, Inc.SP
One Health Plan of Kansas and MissouriSP
One Health Plan of Maine, Inc.SP
One Health Plan of Massachusetts, Inc.SP
One Health Plan of Minnesota, Inc.SP
One Health Plan of Nevada, Inc.SP
One Health Plan of New JerseySP
One Health Plan of North CarolinaSP
One Health Plan of OhioSP
One Health Plan of PennsylvaniaSP
One Health Plan of South CarolinaSP
One Health Plan of TennesseeSP
One Health Plan of TexasSP
One Health Plan of Virginia, Inc.SP
One Health Plan of WashingtonSP
One Health Plan of Wisconsin, Inc.SP
One Health Plan of WyomingSP
OneNet PPO, LLC. (Formerly known as Alliance PPO, Inc.)SP
Operating Engineers Local No 53SP
Operating Engineers Locals 302 & 612 Health & Security Fund - Grp#F12SP
Opticare Eye Health NetworkSP
Optimum Choice of the Carolina's (MAMSI)SP
Optimum Choice, Inc. (OCI)SP
OptumHealth Behavior SolutionsSG
OptumHealth New MexicoSG
Orange County Foundation for Medical CareSP
Orthonet - AETNASP
Orthonet CorporationSP
Orthonet-HealthNetSP
OSF Care Advantage (Enrollment required. Contact OSF) Provider UPIN required in HCFA Box33aSP
OSF Health Plans (Enrollment required. Contact OSF)SP
OSG-Michael ReeseSP
Oshkosh Area Health Protection PlanSP
Oxford Health PlansSP
P5 Health Plan Solutions of UtahSP
PA Preferred Health (Call PPHN Claims Operations at 410-349-3222)SP
PacifiCare Behavioral HealthSP
PacifiCare of AZ 95964SP
PacifiCare of CA (Claims only)SP
PacifiCare of CA EncountersSP
PacifiCare of COSP
PacifiCare of OK EncountersSP
PacifiCare of OklahomaSP
PacifiCare of OR EncountersSP
PacifiCare of OregonSP
PacifiCare of TexasSP
PacifiCare of TX EncountersSP
PacifiCare of WA EncountersSP
PacifiCare of WashingtonSP
PacifiCare PPOSP
PacificSource Health PlansSP
Palmetto Tricare (Regions 1-6) Northern and Southern Region *SP
Paper Claims (ENS will print and mail the claims submitted with the payerID of PRINT)NP
Paragon Benefits, Inc.SP
Paramount HealthSP
Parity Healthcare, Inc.SP
Parkland Community Health PlanSP
Partner CareSP
Partners National Health Plans of North Carolina, Inc (Contracted providers only. Call (888) 296-9790)SP
Partnership Health PlanSP
Pasadena Primary Care PhysiciansSP
Passport AdvantageSP
Passport Health PlanSP
Patient Advocates, LLCSP
PCMC/ICSL-PodiatrySP
Peach State Health Plan (Behavioral Health) (Enrollment required. Call 800-225-2573, ext 25525.)NP
Peach State Health Plan (Medicaid) (Call 800-225-2573 ext 25525 prior to submitting claims.)SP
Pediatric Associates of BrowardSP
PEHP - Utah Public Employee Health Plan (Enrollment required, please contact Provider Relations 801-352-7270)SP
PEHP - Utah Public Employee Health Plan *NP
Peninsula Healthcare (Requires VA Blue Shield EMC approval)NP
Pennsylvania Keystone Health Plan Central (Claims only) *NP
Pennsylvania Keystone Health Plan Central (Encounters only) *NP
Pennsylvania Keystone Health Plan East (claims only) *NP
Pennsylvania Keystone Health Plan East (encounters only) *NP
Pennsylvania Life InsuranceSP
Peoples Health Network (Tenet) (Network ID must be on claim. Contact phn.provider@tenethealth.com)SP
Perfect HealthSP
Personal Choice PPO of Pennsylvania * (Also know as Independent BLC)NP
Personal Physician CareSP
PersonalcareSP
PHCS Savility (ONLY for Savility card members.)SP
Phoenix American LifeSP
Phoenix Group Services (Texas)SP
Phoenix Health PlanSP
Phoenix Home LifeSP
Phoenix Home Life Mutual Ins. Co.SP
Phoenix MutualSP
Phycor (Ft Collins office only)SP
Physician Associates of Greater San Gabriel Valley *SP
Physician Associates of Lousiana (PAL)SP
Physician Health PartnersSP
Physicians Care NetworkSP
Physicians Care Network (Rockford, IL Only) PayerID valid only for claims with billing submission name, city and state of Physicians Care Network, Rockford, IL.SP
Physicians Corporation of America (Florida Plan Only)SP
Physicians DirectSP
Physicians Health Association of IllinoisSP
Physicians Health Choice - Claims (Administered by Wellmed)SP
Physicians Health Choice - Encounters (Administered by Wellmed)SP
Physicians Health CollaborativeSP
Physicians Health Plan (PHP) Mid-MichiganSP
Physicians Health Plan (PHP-SC)SP
Physicians Health Plan of Northern IndianaSP
Physicians Health Services (now Health Net of NE) (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638)SP
Physicians Mutual Insurance CompanySP
Physicians Plus Insurance Corp.SP
Piedmont AdministratorsSP
Piedmont Behavioral HealthSP
Pima Health System *SP
Pinal Gila Long Term CareSP
Pinnacol AssuranceSP
Pipe Industry Health & Welfare Fund of ColoradoSP
Pipefitters Local 597SP
Pipeline Industry Benefit Fund (Tulsa, OK)SP
Pittman and AssociatesSP
Planned Administrators, Inc. (PAI)SP
PMG of San JoseSP
Podiatry FirstSP
Poly America Medical & Dental Benefits PlanSP
POMCOSP
PPO Oklahoma (WinterBrook HealthCare Management)SP
PPO Plus, LLCSP
PPOM LLCSP
PPONextSP
PPOplusSP
PracticareSP
Prairie States Enterprises, Inc.SP
Preferred Administrator (Contact Provider Relations @ (915)532-2778, x1068)SP
Preferred Benefit AdministratorsSP
Preferred Care FLSP
Preferred Care NY *NP
Preferred Care Partners (Miami,Florida)SP
Preferred Community ChoiceSP
Preferred Health Care - PPO Lancaster, PA (IHS Gateway Payer) - Contact Sherry Wolgemuth at (717)560-9290 ext. 124 for approval and the Payer ID.SP
Preferred Health Network (PHN)SP
Preferred Health Plan (Louisville, KY)SP
Preferred Health ProfessionalsSP
Preferred Health Professionals Kansas CitySP
Preferred Health Systems Insurance Co (PPO)SP
Preferred Health Systems, Inc.SP
Preferred IPASP
Preferred Network AccessSP
Preferred OneSP
Premier Benefits, Inc.SP
Premier Health PlanSP
Premier Health Systems, Inc.SP
Presbyterian Health Plan (Commercial) (Provider ID is required. Contact (888) 923-5757, #6 then #2 to obtain ID. New Mexico Providers only.)SP
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.)SP
Presbyterian(NM)SP
Prestige Health ChoiceSP
Prevea Health Insurance PlanSP
PrimaHealth IPA (Prima assigned rendering provider ID requires on all claims, or they will reject) (ENS enrollment required) *SP
Primary Choice (Aetna HP-NY/NJ)SG
Primary Delivery SystemsSP
Primary Health NetworkSP
Primary Health PlanSP
Primary PhysicianCare, Inc.SP
Prime Care Health PlanSP
Prime West Health PlanSP
PrimeSource Health NetworkSP
Principal Financial GroupSP
Principal Mutual Life Insurance CompanySP
Printing Ind Assoc of So CA (PIASC)SP
Priority Health (Please contace Priority Health EDI Dept at 616-464-8686 or email EDISETUP@Priority-Health.com)SP
Priority Healthcare (Requires VA Blue Shield EMC approval)NP
Prism First HealthSP
Prism Health NetworkSP
Prism UniveraSP
Pro Care Health Plan, Inc. (Valid for PO Box 3160 and 3590, Detroit MI only.)SP
Pro Health CompCareSP
ProCare Health Plan MedicaidSP
Producer's ExchangeSP
Professional Benefit Administrators, Inc. (Oak Brook, IL)SP
Professional Benefits Administrators (Winter Park, FL)SP
Professional Claim AdministratorsSP
Professional Claims ManagementSP
Professional Instill Health BCBS * (Non-par payer requires 1B qualifier with providerID.)SP
Professional Insurance Company (PIC) (Formerly GE Voluntary Benefits PIC)SP
Professional Risk Management, Inc.SP
ProminaSP
Prospect Medical GroupSP
Protective Life Insurance CompanySP
Providence Choice Option *SP
Providence Good Health Plan *SP
Providence Preferred (PPO) (ProviderID and Enrollment required.)SP
Provident Life & Accident Insurance CompanySP
Provident Life & Accident Insurance Company of AmericaSP
Provident Life & Casualty Insurance CompanySP
Providers First PPOSP
PruCareSP
PruCare HMO (Encounters Only)SP
Prucare PlusSP
PrudentialSP
Prudential EncountersSP
Prudential Health Care SystemsSP
PruNetworkSP
PSN - Florida Medicaid (JMH)SP
Psychcare, LLCSP
Puerto Rico Triple S (BCBS) *NP
Puget Sound Benefits Trust - Grp#F25SP
Puget Sound Electrical Workers Trust - Grp#33SP
Puget Sound Health Partners, Inc.SP
QuadMed (West Allis, WI)SP
Qual Choice of ArkansasSP
Qual Choice of North CarolinaSP
Qual Choice of OhioSP
QualcareSP
Quality Health PlansSP
Quicktrip CorporationSP
Quincy Health Care Management, Inc.SP
QVI Risk Solutions, Inc.SP
Rapid City Regional HospitalSP
RBMS, LLCSP
Redlands IPA (Synermed)SP
Regal Medical GroupSP
Regence Blue Shield of Washington *NP
Regional Care, Inc.NP
Rehab Provider Network (RPN) SPECIALIZED FORMAT REQUIRED - CONTACT ENS(Note that this is not the same payer as Integra Group.)SP
RELIASTAR (Formerly NWNL)SP
Renaissance Physicians OrganizationSP
Resolve Health Plan Administrators (Authorization number required: begins with the number 5 and is 13 characters in length.)SP
Resurrection Health CareSP
RMSCO, Inc.SP
Rockwell InternationalSP
Rocky Mountain HMO *SP
Rooney Life Ins.SP
Rush Health Association (Call 708-783-7100 for PayerID.)SP
Rush Prudential Health Plans (HMO Only)SP
Rush Prudential Insurance Co. (PPO & POS Only)SP
S & S Healthcare StrategiesSP
SafeGuardSP
Sagamore Health Network, Inc.SP
Sage Technologies - PBSSP
Saint Marys Health PlanSP
Sandia Triple Option Plan (Sandia TOP)SP
Sanford Health PlanSP
Sante Health SystemsSP
Sanus HMO-St. Louis (General America)SP
Sanus PPO (General America)SP
SC BCBS Companion Health *NP
SC BCBS Planned Administrators *NP
SC BCBS State Employee Health Plan *NP
SC FEP Blue Cross *NP
SCAN Health PlanSP
Scan Health Plan ArizonaSP
SCHC Total CareSP
Scott & White Health Care (5 Digit Rendering Provider ID required in box33a. Contact 254-298-3195 to obtain ID).SP
Scripps Employee Health PlanSP
Seabury & Smith also known as Benefit Plan AdministratorsSP
Secure Health of GeorgiaSP
Secure Horizons of COSP
SecureCare of IowaSP
Security Health PlanSP
Select Benefit Administrators (PayerID valid for claims submission address of PO Box 8339, Des Moines, IA 50301)SP
Select Benefit Administrators of AmericaSP
Select ChoiceSG
Select Health of South Carolina (Provider ID required in Box33a.)SP
SelectCareSP
SelectCare (Coca Cola)SP
SelectCare of OK - TributeSP
SelectCare of Texas (HPN) Heritage Physicians NetworkSP
SelectCare of TX (Beaumont) (Provider ID Required - Contact (713) 843-6780 to obtain ID.)SP
SelectCare of TX (Houston) (Provider ID Required - Contact (713) 843-6780 to obtain ID.)SP
SelectCare of TX (Kelsey-Seybold) (Provider ID Required - Contact (713) 843-6780 to obtain ID.)SP
SelectCare, Inc. of MichiganSP
Self Insured Benefit Administrators (Clearwater, FL) (Payer ID valid for claim submission address of 18167 US 19 N #300, Clearwater FL 33764)SP
Self Insured Plans, LLCSP
Self-Funded Plans (IL, PA, OH)SP
Senior CareSP
Senior Choice (Aetna HP-NY/NJ)SG
Senior Whole HealthSP
Sentara Family PlanSP
Sentara Health ManagementSP
Sentinel Management ServicesSP
Sentry Insurance Co. (Sentry LIfe Insurance Co. Group and Substriber numbers 800-426-7234)SP
Seoul Medical GroupSP
Seton CHIP (Provider ID required.)SP
Seton Employee PlanSP
Seton Map Program - Mediview (Provider ID required)SP
Shasta Administrative Services, (Jeld-Wen Claims only)SP
Sheakley UniComp (OH BWC) *NP
Sierra Health ServicesSP
Sierra Health Services EncountersSP
Signature Health Alliance (Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance, PO Box 22419, Nashville TN 37202-2419.)SP
Silver Care Managed Care OrganizationSP
Silver Cross Managed Care OrganizationSP
Sinclair Health PlanSP
SISCO (Self Insured Services Company)SP
SMASP
SMA 65SP
SMA Health PlanSP
SMA HMOSP
SmartPlanSP
SmartPlan 65SP
Smith AdministratorsSP
Sound HealthSP
South Central Preferred - PPO York, PA (IHS Gateway Payer) ( Contact Jane Grove for South Central Preferred (717) 851-6715.)SP
South Dakota Chiropractic (Sanford Health Plan)SP
South Indiana Health Options - HMO (Provider is responsible for contacting the payer directly for enrollment information.)SP
Southcare / Healthcare PreferredSP
Southeast Iowa Health Plan (Provider ID Required)NP
Southeast Medical AllianceSP
Southern Benefit ServicesSP
Southern Group AdministratorsSP
Southern Health Services, Inc. (UPIN is required on claim. Call Pattie Dietrick at (724) 778-5317)SP
Southwest Physicians AssociatesSP
Southwest Service LifeSP
Southwestern BellSP
Southwestern Bell Executive - Custom CareSP
Southwestern Bell Executive - Southwestern BellSP
Spectrum AdministratorsSP
SRI/URN Managed Transplant ProgramSP
St Joseph HealthSP
St. Barnabas System Health PlanSP
St. John's Claims AdministrationSP
St. Therese Physician AssociationSP
STAR HRG (Valid only if the address on the ID care matches PO Boxes 55270,30870,30888,54150,30069,55400 in Phoenix AZ)SP
StarmarkSP
StarMark - 4MostSP
State Employees Group BenefitsSP
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.)SP
State Merit GANP
State of TX Dental PlanSP
States General Life InsuranceSP
StaywellSP
Sterling Option 1SP
Stirling & StirlingSP
Stoner & AssociatesSP
Stones River Regional IPA - WindsorSP
Student InsuranceSP
Student Insurance - Boston Mutual Life Insurance CompanySP
Student Insurance - Life Insurance Company of Boston and New YorkSP
Student Insurance - MEGA Life & Health Insurance CompanySP
Student Insurance - Mid-West National Life Insurance Company of TennesseeSP
Student Insurance - Reliance Insurance CompanySP
Student Insurance - Reliance National Insurance CompanySP
Student Insurance DivisionSP
Suffolk Health Plan of New YorkSP
SummaCare Health PlanSP
Summerlin Life and HealthSP
Summit America Insurance Services, Inc. (Student Accident and Sickness, College Sports and NASCC claims only.)SP
Sun Health CorporationSP
Sun Life and Health Insurance Company (Formerly known as GLHIC)SP
Sun Life and Health Insurance Company (Formerly known as GLHIC)SP
Sun Trust Bank, Inc.SP
SunAmerica Life Ins Co (NFIC Plan only)SP
Sunshine Health PlanSP
Superior Administrators, Inc.SP
Superior Health PlanSP
Superior Health Plan CHIPS EPO * (Formerly Clarendon Kids EPO)SP
Sutter Connect - Central Valley Med Group (Claims)SP
Sutter Connect - Central Valley Med Group (Encounters)SP
Sutter Connect - Delta - ClaimsSP
Sutter Connect - SIP, SMG, SWMG - Encounters onlySP
Sutter Connect - Solano Regional Medical Group - ClaimsSP
Sutter Connect - Sutter Gould Medical Foundation - ClaimsSP
Sutter Connect Alta Bates Medical Group (Please contact Sutter to get set up to send claims, 800-611-5191) Per Provider Testing RequiredSP
Sutter Connect East Bay Med Foundation *SP
Sutter Connect Sutter Medical Group (SMG,SWMG,SIP) (Please contact Sutter to get set up to send claims, 800-611-5191) Per Provider Testing RequiredSP
Sutter Medical Group of the Redwoods (SMGR) (Please contact Sutter to get setup to send Encounters, 800-611-5191)SP
SW Service AdministratorsNP
Swedish Covenant HospitalSP
Talbert Medical GroupSP
Tall Trees AdministratorsSP
TarrantSP
Tattered Cover, Inc.SP
TBG Administrative ServicesSP
Teachers Health TrustSP
Team Choice PNSSP
Team Choice UMCSP
Team Health Care Partnership, Inc. (OH BWC) *NP
Team Health GoldSP
TeamcareSP
Teamsters Local Union #301SP
Tech-Steel, Inc.SP
TennCare (Medicaid of Tennessee) *NP
Texas Children's Health PlanSP
Texas Children's Health Plan (Medicaid)SP
Texas Childrens Star Medicaid * (Enrollment verification calls should be directed to 800-990-TCHP (8247))SP
Texas First Health PlansSP
Texas HealthSpringSP
Texas Municipal League Group Benefits Risk PoolSP
Texas True ChoiceSP
The Boon GroupSP
The Chesterfield CompaniesSP
The City of AmarilloSP
The City of OdessaSP
The Empire PlanSG
The EPOCH GroupSP
THE FORD METER BOX COMPANY, INCSP
The Health Exchange (Cerner Corporation)SP
The Health PlanSP
The Healthcare Group (THCG)SP
The Integrity Benefit Network, Inc.SP
The Loomis Company (Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.)SP
The MEGA Life and Health Insurance Company-OKC (Valid if PO BOX 548801 Oklahoma City OK 73154.)SP
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.)SP
The Physicians Alliance Corp/SRRIPASP
The Union Labor Life Insurance CompanySP
The Wellness PlanSP
Theraphysics (All but Colorado)SP
Theraphysics (Colorado Only)SP
Therapy Review SystemSP
Thomas Cooper *NP
Three Rivers Provider NetworkSP
Time Insurance (A Fortis Company)SP
TLC Advantage in Sioux FallsSP
Today's HealthSP
Todays Option (American Progressive and Pyramid Life)SP
Tongass Timber TrustSP
Tooling & Manufacturing Assoc.SP
Total Care of NYSP
Total Carolina CareSP
Total Community CareSP
Total Health ChoiceSP
Total Health Management, Ltd. (OH BWC) *NP
Total Healthcare, Inc.SP
TouchpointSG
Touchpoint Health Plan HMOSP
Touchstone Health PSOSP
Touchstone Health/Health Net SmartSP
Tower Life Insurance CompanySP
TR Paul IncSP
TR Paul Inc.SP
TRANE Health Protection Plan, TheSP
Transamerica Life Ins. Co.(Specialized claims only. Call 501-277-1284 for information.)SP
TransAmerica Life Insurance Company (Valid for PO Box 982009, North Richland Hills, TX 76182)SP
Transchoice - Key Benefit AdminSP
Transwestern General AgencySP
Transwestern Insurance Administrators, Inc.SP
Tricare for Life (All Regions 1-12) *SP
TriCare Palmetto (Regions 1-6) Northern and Southern Region *SP
Trilogy HealthSP
TriWest WPS (Regions 7-12) Western Regions of Tricare *SP
True Choice USASP
Trusteed Plans Service CorporationSP
Trustmark (Includes Starmark & TMA)SP
Tufts Associated HealthSP
UAHC Health Plan of Tennessee * (Enrollment required.)NP
UBH Employer DivisionSG
UBH RIOSSG
UC Care (University of CA)SP
Ucare of MinnesotaSP
UFCW Local 400-5205SP
UICI Administrators - State of NevadaSP
UMR-Midwest SecuritiesSP
UMWA Health & Retirement FundsSP
Unicare Life & Health Insurance CompanySP
Unified Group ServicesSP
Unified Health ServicesSP
Uniform Medical PlanSP
Uniformed Service Family Health PlanSP
Union Pacific Railroad Employees Health SystemsSP
Unison Health Plan / Three Rivers Provider NetworkSP
United Agriculture Benefit TrustSP
United Behavioral HealthSG
United Benefits, Inc (a Brown & Brown Company)SP
United Medical Alliance (UMA)SP
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.)SP
United of OmahaSP
United Physicians of Northern ColoradoSP
United Resources NetworkSP
UnitedHealthcareSG
UnitedHealthcare River Valley (formerly known as John Deere Healthcare* (Please call 866-509-1593 for enrollment and provider ID)SP
Unity Health Insurance (Before submitting claims, please call Joe Boerboom at 608-643-1531 for EDI Signup.)SP
Univera Healthcare - CNYNP
Univera Healthcare (SSA) *SP
Universal Care - California (ProviderID required.)SP
Universal Health Care, Inc.SP
Universal Standard Healthcare, Inc.SP
University Family CareSP
University Family Care - Healthcare Group *SP
University Family Care - Maricopa Health PlanSP
University Family Care - Maricopa Health PlanSP
University Family Care *SP
University Health Plan New JerseySP
University MSOSP
University of Miami Behavioral Health (Submitters MUST call 305.243.7270 prior to sending claimsSP
University of Utah Health PlansNP
University of Washington Students & Graduate Appts. - Grp#P67SP
UPMC Health PlanSP
Upper Peninsula Health PlanSP
US BenefitsSP
US Family Health Plan (USFHP)SP
USAASP
Utah CarpentersSP
Utah LaborersSP
Utah Pipe TradesSP
UtiliMED, Inc.SP
UTMB Healthcare SystemsSP
VA Fee Basis ProgramsSP
VA State Employer Funds (Requires VA Blue Shield EMC approval)NP
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)SP
Valley Health AdministratorsSP
Value Options Arizona Medicaid *NP
Value Options Commercial Claims *NP
Value Options Massachusetts Behavioral Health Partnership *NP
Value Options New Mexico Medicaid *NP
Value Options Pennsylvania Medicaid *NP
Value Options Texas Northstar *NP
Vantage Health Plan, Inc.SP
Vantage Occupational Health Plan (OH BWC) *NP
Varian Health Care PlanSP
VENCORSP
Verity National GroupSP
Vicare Administrative ServicesSP
Vida CareSP
VIPASP
Virginia Premier Health Plan *SP
Vista Del Sol Health CareSP
Vista Health Plan (Provider UPIN required in Box33a)SP
Vista Healthplan of South Florida (Formerly known as Foundation Health of Florida)SP
Vita HealthSP
Volusia Health NetworkSP
VPH Community CareSP
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.)SP
Wabash Memorial Hospital AssociationSP
WASHINGTON EMPLOYERS TRUSTSP
Washington State Labor and Industry *NP
Washington State Premera Blue Cross *NP
Waterstone Benefit AdministratorsSP
Wausau Benefits, Inc.SP
Wausau Insurance CompaniesSP
WEA Insurance GroupNP
WellcareSP
Wellcare Health Plan, Inc. (Encounters only)SP
Wellcare HMO, Inc.SP
Wellcare of CTSP
Wellcare of NYSP
Wellcare Private Fee for Service PlansSP
WellMedNP
WellpathSP
West Coast Stationary Engineers Health & Security Trust Fund - Grp#F13SP
West Virginia Freedom Blue - Highmark *NP
West Virginia State Employees (PEIA) (Virginia only)SP
West Virginia Worker's Compensation Program *NP
WesternSP
Western Benefits, Inc. (Also known as Western Grocers)SP
Western CareSP
Western Grower's Assurance TrustSP
Western Grower's Insurance CompanySP
Western Life Ins. Benefit Plan (FORTIS)SP
WESTERN MUTUAL INSURANCESP
Western Southern Financial GroupSP
Western Tricare also known as TriWest (Regions 7-12) *SP
WestLake Financial Group, Inc.SP
Weyco Inc.SP
William C. Earhart Co, Inc.SP
William J Sutton & Co. Ltd.SP
Willis Administrative Services CorporationSP
Windsor Medicare ExtraSP
WinHealthSP
WINHealth Partners Medicare Plan administered by Rocky Mountain HMO *SP
Wisconsin Auto & Truck Dealers Insurance CorporationSP
Woodman Accident and Life Co (AICT Plans only)SP
Worksite Benefit ServicesSP
World Insurance CompanySP
WPPA-ProviDRs Care NetworkSP
WPS Commercial *SP
Writers' Guild - Industry Health PlanSP
Yale Preferred Health/HealthChoice of ConnecticutSP
Yavapai County *SP
Young LifeSP

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