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  MEDICAL COMMERCIAL (Participating)        
  Payer Payer ID Enroll R-Enroll Additional Info
  1199 National Benefit Fund 13162 No No Please include Network ID when submitting claims.Call Renaud Dufresne at (646) 473-6960 for a list of Network ID's.
  8th District Electrical CMPUU No No  
  ABAS Inc. 37225 No No Please call Julie Blazek at (630) 416-1111, ext 156, to verify if you should be sending claims to ABAS Inc.  Their address is 1733 Park St. Naperville, IL 60563
  ABC Health Plan 48185 No No For your ABC Provider Number, please call (631)360-3102
  ABMA(Alta Bates Medical Assoc) Medical Corp(Hinet Sr. and Secure Horizon E3510 P  T Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management(NAMM)-Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims
  Access Behavioral Care COACC No No  
  Acclaim 64071 No No  
  Acclaim Repricing 21356 No No  
  Acordia National 87815 No No  
  ACS Benefit Services, Inc. 72467 No No Do Not send ACS/Health Net or ACS, Inc. Medicaid claims to this payer ID. This payer ID is for ACS Benefit Services Inc. only.
  Activa Benefit Services, LLC 38254 No No Formerly Amway Corporation
  Admar Corporation 95285 No No  
  AdminOne 37278 No No  
* Administrative Service Consultants 37257 No No To obtain the payer ID, please call (440)262-1160
  Advanstaff, Inc. CMPUU No No  
  Advantage Care 61123 No No  
  Advantra/Health America, Inc./Health Assurance 25126 No No  
  ADVICA-New York Hospital Community Health Plan 13373 No No  
  Advocate Health Centers 36320 No No Required data elements needed for submission.  Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or Tony Hani (847) 699-4368 for more info.
  Advocate Health Partners 65093 No No Required data elements needed for submission.  Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or Tony Hani (847) 699-4368 for more info.
  Aetna 60054 No No  
  Affinity Medical Group AMGCA No No  
  AFL-CIO Food & Beverage Dealer's Trust Fund (Toledo, OH) 34444 No No Payer ID valid only for claims with a billing submission address of PO Box 457, Toledo, OH 43697-0457.
  Aftra Health Fund 13346 No No  
  AGA 37280 No No  
  Affordable Benefit Administrators 95426 No No  
  Agency Services Inc 64158 No No  
  A.G.I.A. Inc 95241 No No Claims are printed and mailed to the payer
  Alaska Children's Services, Inc. 91136 No No Please enter Group Number (P68) when submitting claims.
  Alaska Electrical Health & Welfare Fund Pilot No No  
  Alaska Laborers Construction Industry Trust 91136 No No Please enter Group Number (F23) when submitting claims.
  Alaska Pipe Trades Local 375 91136 No No Please enter Group Number (F24) when submitting claims.
  Alaska United Food & Commercial Workers Health & Welfare Trust 91136 No No Please enter Group Number (F45) when submitting claims.
  Alexian Brothers 37117 No No  
  ALICARE 13550 No No  
  ALIGNIS 58213 No No Only claims with the following submission address can besent electronically using Payer ID 58213:  Alignis 45 Eisenhower Drive, Paramus NJ 07652-1416 
  All Savers Insurance 37602 No No  
  Alliance(The WI providers only) Call No No Payer ID, rendering provider and location number required to submit claims.  Please call Dave Sell at (608) 210-6656 to obtain
  Alliance Health Plan (Pennsylvania)(AHP) 23251 No No  
  Alliance PPO, Inc. (Maryland) 52149 No No  
  Alliant Health Plans of Georgia 58234 No No  
  Allied Administrators (San Francisco, CA) 94177 No No Claims with the following submission address can be sent electronically using Payer ID 94177:  Allied Administrators PO Box 2500, San Francisco, CA 94126-2500
  Allied Benefit Systems 37308 No No  
  Alta Bates Medical Group Call P  T Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.
  Alta Health Strategies 87043 No No  
  Alta Senior Care (Hnet Sr and Secure Horizons only) E3510 No No Only claims from providers in Northern California.  Please contact the EDI Dept for North American Medical Management (NAMM) -Northern California Lead/Supervisor a 1-800-956-8000 prior to initial submission of claims. 
  Amalgamated Life 13550 No No  
  AmCare Medical Health Plan 37252 No No  
  AmeriBen Solutions, Inc. 75137 No No  
  Americaid Community Care (Maryland) 27517 No No  
  Americaid Community Care (New Jersey) 27516 No No  
  American Administrative Group 75240 No No  
  American Benefit Administrative Services,Inc. 37225 No No Please call Julie Blazek at (630) 416-1111, ext 156, to verify if you should be sending claims to ABAS Inc.  Their address is 1733 Park St. Naperville, IL 60563
* American Benefits Management 34187 No No  
  American Chiropractic Network (ACN) 41161 No No  
  American Chiropractic Network IPA of NY (ACNIPA) 41160 No No  
  American Chiropractic Network, Inc. ACN01 No No  
  American Commercial Barge Lines 37128 No No  
  American Community Mutual Insurance 60305 No No  
  American Complimentary Care Network, Inc. ACN01 No No  
  American General 62030 No No  
  American Healthcare Alliance 01066 No No  
  American Imaging Management, Inc. 36369 No No Assigned Group Policy Plan ID is required. To obtain, please call American Imaging Management, Inc. at (800) 252-2021.
  American International Group, Inc. (AIG) 87726 No No Plan of United Healthcare
  American LIFECARE 72099 No No Please enter the Group Number from ID card when submitting claims.  Payer ID valid only for claims with a billing submission address of 1100 Poydras St. Suite 2600 New Orleans, LA 70163-2602
  American Medical Security, Inc. 81400 No No  
* American National Insurance Company (ANICO) 74048 No No  
  American Postal Workers Union Health Plan 44444 No No Claims for the state of Maine ONLY must be sent on paper to MedNet, P. O. Box 15440, Portland, ME 04112
  American PPO 14190 No No  
  American Republic Insurance 42011 No No  
  AmeriChoice of New Jersey Personal Care Plus(Medicare) 86001 No No All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (888) 362-3368 for your Provider ID Number.
  AmeriChoice of New Jersey, Inc. (Medicaid NJ) 86047 No No  
  AmeriChoice of New York Personal Care Plus(Medicare) 86002 No No All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (888) 362-3368 for your Provider ID Number.
  AmeriChoice of New York, Inc. (Medicaid NY) 86048 No No  
  AmeriChoice of Pennsylvania Personal Care Plus (Medicare) 86003 No No All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (800) 345-3627 for your Provider ID Number.
  AmeriChoice of Pennsylvania, Inc. (Medicaid PA) 86049 No No  
  Amerigroup Corporation (Ft Worth)  27514 No No Formally Americaid Community Care (Dallas/Ft Worth)
  Amerigroup Corporation (Houston)  27515 No No Formally Americaid Community Care (Houston)
  Amerigroup Florida 27519 No No  
  Amerigroup Illinois 27518 No No  
  AmeriHealth Administrators 23252 No No Claims are printed and mailed to the payer.
  AmeriHealth HMO New Jersey and Delaware 23037 No No  
  AmeriHealth Mercy Health Plan 22248 No No Medicaid managed care. For EDI support, please email edi.amhp@kmhp.com
  Amerikids-Dallas/Ft. Worth 26375 No No  
  Amerikids-Houston 26374 No No  
*  Anchor Benefits Consulting, Inc 53085 No No  
* Ancillary Benefit Systems/Arizona Foundation for Medical Care 86062 No No  
  APA Partners, Inc. 16140 No No  
  Apex Benefit Services 34196 No No  
  ARAZ 16120 No No  
  Arcadian Management Services 77045 No No  
  Arkansas Best Corporation 75278 No No  
  Arnett Health Plans 95440 No No Payer requires unique Provider ID for billing, rendering and/or referring provider fields.  Contact Arnett Health Plan's EDI Coordinator at (765) 448-7483 for additional information prior to first claims submission.
  ASC of Oho 37257 No No To obtain the payer ID, please call (440)262-1160
  Associates for Health Care, Inc. (AHC) 36326 No No  
* Assured Benefits Administrators 74240 No No  
  Athens Area Health Plan Select 95691 No No  
  Atlanticare [also known as Horizon HealthCare Admin (HHA)] 22304 No No  
  Atlantis Health Plan 13853 No No  
  Automated Group Administrators(AGA) 37280 No No  
  Automotive Machinists Local 289 Health & Welfare Trust 91136 No No Please enter Group Number (F32) when submitting Claims.
  Avera Health Plans 46045 No No  
  AvMed 59274 No No The insured ID and Patient ID from this payer must be the 11 digit Member ID
  AVMED-Parity Healthcare (OB/Gyn only) 58204 No No  
  AZ Luthern PHO /  Banner Health Systems AZULT No No  
  AZ Foundation for Medical Care SX147 W No  
  Bankers United Life- Student Division 74227 No No  
  Banner Health AZ SX145 W No  
  Bass Administrators, Inc. 37248 No No  
  Batavia City Schools' Tri-County Medical Plan 16112 No No  
  Beech Street Corporation 95377 No No  
  BeneFirst 37125 No No  
  Benefit Coordinators Corporation (Pittsburgh, PA) 25145 No No Payer ID valid only for claims with a billing submission address of 111 Ryan Court, Suite 300 Pittsburgh, PA 15205
  Benefit Management Systems, Inc 37212 No No  
  Benefit Plan Administrators Co. (Eau Claire, WI) 39081 No No Payer ID valid only for claims with a billing submission address of P.O. Box 1128, Eau Claire, WI 54702-01128
  Benefit Plan Administrators, Inc. (Roanoke, VA) 37118 No No Please call Mary Bender at (940) 345-2721 to verify if you should be sending to the Benefit Plan Administrators, Inc., in Roanoke, VA.
  Benefit Plan Management, Inc. 37222 No No  
  Benefit Planners, Inc. 74223 No No  
  Benefit Resources 02053 No No  
  Benefit Services, Inc. (Akron, OH) 34178 No No  
  Benefit Systems & Services, Inc. (BSSI) 36342 No No  
* Benefits, Inc 42148 No No  
* Benefits Source, Inc. 38257 No No  
  Benesight 87265 No No  
  Benesys 37248 No No  
  Benesys, Inc. 37248 No No  
  Best Life & Health Insurance Company 95604 No No  
  Better Health Plans, Inc. 62183 No No  
  Bexar Medical IPA Pilot No No  
  Blue Cross Blue Shield of Colorado SB550 Yes Yes For Enrollment infomration, call (888) 397-3434
  Blue Cross and Blue Shield of Louisiana 23738 F No For enrollment information, call (225) 295-2427.
  Blue Cross Blue Shield Mississippi SB730 Yes Yes For enrollment Information call (888)-397-3434
  Blue Cross and Blue Shield of Missouri SB741 W No A Provider Id is required to submit claims. Please contact Wellpoint Health Networks at (800) 392-8772, ext. 101. WebMD requires a provider set up form to be completed before initial claims submission.
  Blue Cross Blue Shield of Missouri (Blue Choice) SB742 No No Participating Payer - see last page for definition.  A Provider ID is required to submit claims.  Please contact Wellpoint Health Networks at (800) 392-8772, ext. 101.  WebMD Envoy requires a provider set up form to  be completed before initial claims submission
  Blue Cross of California 47198 Yes Yes California License number required.
  Blue Shield of California 94036 Yes Yes Group number is required.
  BMC HealthNet Plan 13337 No No Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID #, including all leading zeros
  Bluegrass Family Health 61124 No No  
  Boilermakers National Health & Welfare Fund 36609 No No  
  Boon-Chapman Benefit Administrators, Inc. 74238 No No  
  BPA/Benefit Plan Administrators (North Dakota) 37286 No No  
  Boston Medical Center Health Plan Inc. 13337 No No Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID #, including all leading zeros
  Botsford Health Plan (Farmington Hills, MI) 38324 No No  
  BoydCare/Boyd Bros. 37273 No No  
  BPS, Inc. 48964 No No  
  Bridgestone Claims Services 37285 No No  
  Brokerage Concepts, Inc. 51037 No No  
* Brokerage Service Inc 37257 No No To obtain the payer ID, please call (440)262-1160
  Brown & Brown Benefits 59069 No No  
  Brown & Toland Medical Group 94316 No No  
* BSI 37257 No No To obtain the payer ID, please call (440)262-1160
  Buckeye Community Health Plan 32004 No No  
  Buenaventura Medical Group, Inc. 50240 No No Claims are printed and mailed to the payer.
  C&O Employees Hospital Association 23708 No No  
* C&R Consulting, Inc  13390 No No  
  Cambridge ISG 59334 No No  
  Cannon Cochran Management Services, Inc. 37105 No No  
  Cape Health Plan 38245 No No  
  Capital Blue Cross/CAIC 23045 No No Participating Payer  see last page for definition
  Capital Community Health Plan 87726 No No  
  Capitol Administrators 68011 No No  
  Care Management Group Of Greater NY, Inc. 11311 No No  
  Care Plus Health Pilot No No  
  Carechoices Michigan - Mercy Healthplans Pilot P T Enrollment required; please contact Noreen at           (248)489-5281.
  CareCore National 14182 No No  
  CareCore National,LLC (Aetna Radiology Claims) 14179 No No  
  CareCore National, LLC (Oxford Radiology Claims) 14180 No No  
  CareFirst Blue Cross Blue Shield of DC / NCA SB580 Yes No Includes coverage for DC and Northern Virginia.  Please call 888-397-3434 for Enrollment Forms
  CareFirst Blue Cross Blue Shield of MD SB690 Yes No Please call 888-397-3434 for Enrollment Forms
  Carelink Advantra 25139 No No West Virginia HealthAssurance and Carelink commercial claims only. For Carelink Medicaid, send on paper to P.O. Box 7373, London, KY 40742.
  Carelink Health Plan 25139 No No West Virginia HealthAssurance and Carelink commercial claims only. For Carelink Medicaid, send on paper to P.O. Box 7373, London, KY 40742.
* Carelink Medicaid 25140 No No Participating payer see last page for definition
  Carenet 25142 No No  
  CarePlus Health Plans, Inc 65031 No No (Formerly Physicians Healthcare Plans Inc)
  CareSource 31114 No No  
  Cariten Healthcare 62073 No No  
  Cariten Senior Health 62072 No No  
  Carolina Benefit Administrators Inc. 37245 No No  
  Carolina Care Plan 57105 No No  
  Carolina Summit Healthcare, Inc. 56195 No No  
  Carpenters' Health and Welfare Trust Fund of St. Louis 25125 No No Utlizes the CMR Network.  Claims are printed and mailed to the payer
  Cascade East Health Plans 93040 No No  
  CBA, Inc. 52132 No No  
  CBCA Administrators 55438 No No  
  CBSA 41124 No No  
  CCN Managed Care, Inc. 33005 No No Please include Group Name and Insured's Employer Name on claims.
  CCS (Comprehensive Care Systems) MNBLS No No  
  Cedars-Sinai Medical Network ( Encounters) 95167 No No  
  Cedars-Sinai Medical Network Services 95166 No No  
  Cemara Administrators Inc. 37250 No No  
  Cement Masons & Plasterers Health & Welfare Trust 91136 No No Please enter Group Number (F16) when submitting claims.
  Centra Benefits Services 75243 No No  
  Central Benefits Life 31118 No No  
  Central Benefits Mutual 31118 No No  
  Central Benefits National 31118 No No  
  Central Reserve Life 34097 No No  
  Central States Health & Welfare Funds 36215 No No  
  Central States Joint Board Health and Welfare Fund 37214 No No  
  Central Valley Medical Group E3510 P T Only claims providers in Northern California.  Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims
* Century Health Solutions 48120 No No  
  CHA - Commonwealth Health Alliance 23171 No No  
  CHAMPVA - HAC 84146 No No CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS)
  Chatauqua County Healthcare Plan ( Mayville, NY) 16600 No No  
* Chesapeake Life Insurance Company - Insurance Center 59223 No No Participating payer see last page for definition
  Children of Women Vietnam Veterans - VA HAC 84146 No No  
  ChiroCare ACN01 No No  
  Choice One/UTMB CHIP Health Plan 76049 P T Prior to submitting please call Provider Relations at (281) 652-8700.
  CHP/RPU (FABOH) Call No No Payer ID, rendering provider and location number required to submit claims.  Please call Dave Sell at (608) 210-6656 to obtain
  Christian Brothers Services 61271 No No  
  CHS Claims 37288 No No  
  CIGNA 62308 No No  
  CIGNA - PPA 62308 No No  
  CIGNA - PPO 62308 No No  
  CIGNA Health Plan - HMO 62308 No No  
  Claim Management Services 39141 No No  
  ClaimsWare, Inc. DBA ManageMed 57080 No No Claims are printed and mailed to the payer.
  Coalition for Care/Medtrex Payer HS Call No No Please call provider Relations at (201) 634-8700 for the payer ID 
  Coalition for Care/Medtrex Payer WL Call No No Please call provider Relations at (201) 634-8700 for the payer ID 
  Coalition for Care/Medtrex Payer TC Call No No Please call provider Relations at (201) 634-8700 for the payer ID 
  Coalition for Care/Medtrex Payer IX Call No No Please call provider Relations at (201) 634-8700 for the payer ID 
  Coalition for Care/Medtrx GH Call No No Please contact Provider Relations at 201-634-8700 for Payer ID
  Coalition for Care/Medtrx L8 Call No No Please contact Provider Relations at 201-634-8700 for Payer ID
  Coalition for Care/Medtrx EM Call No No Please contact Provider Relations at 201-634-8700 for Payer ID
  Coalition for Care/Medtrx FI Call No No Please contact Provider Relations at 201-634-8700 for Payer ID
  Coalition for Care/MedtrxHP Call No No Please contact Provider Relations at 201-634-8700 for Payer ID
  Colonial Healthcare 37123 No No  
  Columbia Cornell Care 25351 No No  
  Columbia United Providers 91162 No No  
  Combined Benefits, Inc. 37271 No No  
  Commerce Benefits Group 34181 No No  
  CommonWealth Administrative Group 37237 No No  
  Community Care Behavioral Health Organization 25179 No No  
  Community Care Managed Health Care Plans of Oklahoma 73143 No No  
  Community Care Organization 39126 No No  
  Community Care Plus Pilot No No  
* Community Choice of Michigan Pilot No No  
  Community Health Alliance 35193 No No  
  Community Health Choice 48145 No No  
  Community Health Electronic Claims/CHEC/webTPA 75261 No No  
  Community Health Network of CT 62149 No No Cannot accept electronic claims for Anesthesia. If you have questions on how to submit these claims contact LeAnn Olson, at (203)-237-4000 ext. 3136.
  Community Health Plan 90010 No No Located in St. Joseph, MO Service are includes NW Missouri, NE Kansas, SW Iowa, and SE Nebraska.
  Community Premier Plus Pilot No No  
  Community Premier Plus for Neighborhood Health Providers 32481 No No  
  Comp-Ohio (Austintown, OH) 34177 No No  
  CompBenefits Corporation 37297 No No  
  Comprehensive Benefits Administrator, Inc. 03036 No No  
  Confederation Admin Services 80705 No No  
  Confederation Life Insurance 80705 No No  
  ConnectiCare, Inc 06105 No No  
  Connecticut General (CIGNA) 62308 No No  
  Consociate Group 37135 No No  
  Consolidated Associates Railroad 75284 No No  
  Consumer Health Solutions 37295 No No  
  Continental General Insurance Company 71404 No No  
  Cooperative Benefit Administrators (CBA) 52132 No No  
  Coordinated Medical Specialists 58204 No No  
  Core Administrative Services 58231 No No  
  Core Source AZ MN 41045 No No Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesota. For assistance call 800-689-0106 
  CoreSource Little Rock 75136 No No Onlyfor claims where the "submit claims to address" on the medical ID card is a CoreSource address in Little Rock, Arkansas. For assistance call   800-689-0106
  CoreSource of NC, IN 35180 No No Onlyfor claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of North Carolina or Indiana. For assistance  call            800-689-0106
  CoreSource, PA, MD, IL 35182 No No Onlyfor claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Maryland, Pennsylvania or Illlinois. For assistance  call            800-689-0106
  CoreSource OH 35183 No No Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the state of Ohio. For assistance call   800-689-0106
  Corporate Benefit Services of America 41124 No No Payer ID valid only for claims with a billing submission address of PO Box 27267, Minneapolis, MN 55427-0267
  Corporate Benefits Service, Inc. (NC) 56116 No No Claims are printed and mailed to the payer.Payer ID Valid only for claims with a claims submission.
  Corporate Systems Administration 37246 No No  
  Correctional Medical Services 43160 No No  
  CorSolutions 48146 No No  
  Cottage Health System 37288 No No  
  Cottage Hospital 37288 No No  
  Country Life Insurance Company 62553 No No  
  Covenant Administrators, Inc. (Atlanta GA.) 58102 No No  
  Coventry - Kansas City Medicare (Advantra) 25144 No No As of June 17, 2003, claims for payer id 25144 are being converted to payer id 25133(Coventry Health Care of Kansas, Inc. -Kansas City)
  Coventry Health Care of Delaware, Inc. 25130 No No  
  Coventry Health Care of Georgia, Inc. 25127 No No  
  Coventry Health Care of Iowa, Inc. 25132 No No  
  Coventry Health Care of Kansas, Inc. - Kansas City 25133 No No  
  Coventry Health Care of Kansas, Inc. - Wichita 25134 No No  
  Coventry Health Care of Louisiana, Inc. 25135 No No  
  Coventry Health Care of Nebraska, Inc. 25136 No No  
  Creative Medical Systems 64068 No No  
  Croy-Hall Mgmt. Inc 37266 No No  
  Dean Health Plan 39113 No No  
  Definity Health 64159 No No  
  Denver Health Medical Plan 84135 No No  
  Diamond Plan 25131 No No  
  Directors Guild of America-Producer Health Plans 23706 No No  
  Diversified Administration Corporation 06102 No No  
  E3 Health, Inc. 75232 No No  
  E-V Benefits Management 34159 No No Payer ID valid only for claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476
  eAppeal Solutions 65009 No No Claims are printed and mailed to the payer.
* EBC Mid-America 37257 No No To obtain the payer ID, please call (440)262-1160
* EBC, Inc 37257 No No  
  East Bay Medical Network Call P T Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.
  EBMS (Employee Benefit Management Services, Inc.) 81039 No No Please submit rendering provider Tax ID in record type E6 Field 07 to ensure proper adjudication.  When possible include rendering provider last in record type E6 field 09, first name in field 11 address in field 15 city in field 16 state in field 17 and zip code in field 18
  EHI (Employers Health Insurance) 73288 No No As of December 1, 2002, please send all medical and hospital claims to payer ID 61101.  Please submit all Humana encounters and information claims to payer ID 61102
* Elder Health HMO of Pennsylvania 52192 No No Elder Health service providers in the Maryland and Pennsylvania area only.  Not to be confused with ElderPlan in NY
  Elder Health Maryland HMO Inc. 52192 No No Elder Health service providers in the Maryland and Pennsylvania area only.  Not to be confused with ElderPlan in NY
* ElderPlan Inc 31625 No No Phone enroll ( 718) 491-7280 Enrollment via email: epedi@mjhs.org - send name, provider#, contact info
  ELMCO 37253 No No  
  Emerald Health Network, Inc. (All PPO Business) 34167 No No  
  EmoryCare 68241 No No  
  EMPHESYS 73288 No No As of December 1, 2001, please begin using Payer ID 61101
* Employee Benefit Claims - Mid America  37257 No No To obtain the payer ID, please call (440)262-1160
* Employee Benefit Claims of WI 37257 No No To obtain the payer ID, please call (440)262-1160
* Employee Benefit Claims of Wisconsin 37257 No No To obtain the payer ID, please call (440)262-1160
  Employee Benefit Concepts (Farmington Hills, MI) 38241 No No  
  Employee Benefit Consultants, Inc 37257 No No To obtain the payer ID, please call (440)262-1160
  Employee Benefit Corporation 37215 No No  
  Employee Benefit Services 37216 No No  
  Employee Benefits Plan Adminstration, Inc. (E.B.P.A.) 03036 No No  
  Employee Plans, LLC 35112 No No  
  Employers Direct Health 75232 No No  
  Employers Health 73288 No No As of December 1, 2002, please send all medical and hospital claims to payer ID 61101.  Please submit all Humana encounters and information claims to payer ID 61102
  Employers Health Insurance 73288 No No As of December 1, 2002, please send all medical and hospital claims to payer ID 61101.  Please submit all Humana encounters and information claims to payer ID 61103
  Employers Insurance of Wausau - aka Wausau 39026 No No  
  Employers Life Insurance Corp. 37249 No No  
  Employers Mutual, Inc (Jacksonville,FL) 59298 No No  
  Employers Mutual, Inc (Stuart,FL) 59331 No No  
  Encircle PPO 35206 No No  
  Encompass 37110 No No  
  Encore Health Network 35206 No No  
  ENH Medical Group IPA 36364 No No  
  Enstar Natural Gas 91136 No No Please enter Group Number P61 when submitting claims.
  EQUICOR 62308 No No  
  EQUICOR - PPO 62308 No No  
  Equitable Plan Services (Oklahoma City, OK) 73126 No No Payer ID valid only for claims with a billing submission address of P.O. Box 720460, Oklahoma City, OK 73172
  Erin Group Administrators 23250 No No  
  ERISA Administrative Services 74234 No No  
  Evercare 87726 No No  
  Evergreen Health Plan 58233 No No  
  ExclusiCare 71412 No No  
  F.A. Richard & Associates, Inc 37289 No No  
  FACS Group(Federated HR Services/Federated Benefits) 37300 No No  
  FABOH (CHP/RPU) Call No No Payer ID, rendering provider and location number required to submit claims.  Please call Dave Sell at (608) 210-6656 to obtain
  Fallon Community Health SX072 Yes No  
  Family Health Partners/MC+ Missouri 43173 No No  
  FARA 37289 No No  
  FARA Benefit Services, Inc. 37289 No No  
  FCE Benefit Administrators Pilot No No  
  Federated Benefits 37300 No No  
  Federated HR Services 37300 No No  
  Federated Mutual Insurance 41041 No No  
  Fidelis Care NY 11315 No No  
  First Carolina Care 56196 No No  
  First Choice (CT) 14162 No No Please note that all claims submitted require a 5-8 character Render Provider Network ID.
* First Choice Health Administrators Call No No To obtain the payer ID, please call (206)268-2348
  First Choice Health Network 91131 No No  
  First Choice of Midwest (PPO) 75138 No No  
  First Health 87043 No No  
  First Priority 23241 No No  
  First State Health Plan 63080 No No  
  FirstGuard Health Plan 90060 No No  
  Fisery Health - Kansas/ Tennessee 62061 No No (Formerly Willis Administrative Services Corporation)
  Fitzharris & Company, Inc 11244 No No  
  Florida 1st 59276 No No  
  Florida Hospital Healthcare Systems 59321 No No In-network FHHS providers must submit either their UPIN number or FHHS Provider ID, as the rendering provider number.  Out of network providers must contact FHHS at 407-741-4893 for additional requirements.  The FHHS member ID must be 11 digits in length.
  Florida Hospital Waterman 48116 No No  
  Formax 87066 No No For assistance send email to HIPPA@f-m-h.com
  FMH Benefit Services, Inc. 48117 No No For assistance send email to HIPPA@f-m-h.com
  Fortis Benefits Insurance Company 70408 No No  
  Fortis Insurance Company 39065 No No  
  Foundation Health Plan (Sunrise, FL) 59257 No No  
  FoxEverett - Ingalls Ship Building 64067 No No  
  Fox-Everett, Inc. 64069 No No  
  Fringe Benefits Coordinators 59204 No No  
  G.E. Group Life Assurance Company 67815 No No  
  Gallagher Benefit Administrators Inc,/GBA  37283 No No Claims are printed and mailed to the payer
  Galveston County Indigent Health Care 30005 No No  
  Gateway Health Plan 25169 No No  
  GBA 37283 No No Claims are printed and mailed to the payer
  GE Group Administrators, Texas 75238 No No (Formerly Phoenix Group Services - Texas)
  GE Group Administrators, South Carolilna 06143 No No (Formerly Phoenix Group Services, Inc)
  Geisinger Health Plan 75273 P No Payer requires enrollment prior to first electronic submission. Please contact the payer at (570) 271-7836 for an enrollment form.
  Genelco (St. Louis) 63665 No No  
  General American Life Insurance Company 63665 No No  
  Genesee County Medical Plan 16112 No No  
  GH Basic Health Plan 91051 P No Western Washington State. Please call (206) 901-6347 prior to first submission of production claims.
  GH Individual and Family Plan 91051 P No Western Washington State. Please call (206) 901-6347 prior to first submission of production claims.
  GHC Medicare + Choice 91051 Yes No Western Washington State. Please call (206) 901-6347 prior to first submission of production claims.
  GHC-Commercial 91051 P No Western Washington State. Please call (206) 901-6347 prior to first submission of production claims.
  GHI - New York (Group Health Inc.) 13551 No No  
  GHI HMO 25531 No No  
  GI Innovative Management 58204 No No  
  GIC Indemnity Plan 80314 No No  
  Gilsbar, Inc. 07205 No No  
  Glassworkers Health & Welfare Fund 91136 No No  
  Golden Rule Insurance Company 37602 No No Allow the Insured ID (Record Type D0, field 07) and the Group Number (Record Type D0, field 9) to contain the same data.
  Government Employees Hospital Association (GEHA) 44054 No No  
  Grant Physicians Practice Association 37234 No No  
  Great Lakes Health Plan 95467 No No  
  Great-West Healthcare 80705 No No  
  Group Administrators Ltd. 36338 No No  
  Group and Pension Administrators 48143 No No  
  Group Benefit Administrators (Hendersonville, TN) 72153 No No  
  Group Health Cooperative - East 91121 P P Eastern Washington State.  Please call (206)901-6347 prior to first submission of productin claims
  Group Health Cooperative - West 91051 P P Western Washington State. Please call (206) 901-6347 prior to first submission of production claims.
  Group Health Cooperative of South Central Wisconsin 39167 No No  
* Group Health Cooperative of South Central Wisconsin 39168 No No  
  Group Health Managers 38194 No No  
  Group Health Options/ Aliant Plus,Aliant Select,Options, Options Prime and Options Select 91051 P T Western Washington State. Please call (206) 901-6347 prior to first submission of production claims.
  Group Health Plan (GHP) 25141 No No  
* Group Insurance Service Center, Inc 37276 No No Claims are printed and mailed to the payer
  Guardian Life Insurance Company of America 64246 No No  
  Gundersen Lutheran Health Plan, Inc 39180 No No Before  submitting electronically to Gundersen Lutheran Health Plan, Inc., all providers must call Shari Oelke at (608)775-8026
  H.E.R.E.I.U Welfare Pension Funds 37114 No No  
  Harmony Health Plan of Illinois 36406 No No Claims will be printed and mailed until further notice
  Harmony Health Plan of Indiana 36405 No No  
  Harrington Benefit Services, Inc. 06131 No No (Formerly TPCM)
  Harrington Benefit Services, Inc. 75196 No No (Formerly Centra)
  Harrington Benefit Services, Inc. 95266 No No  
  Harrington Benefit Services, Inc. (Oklahoma) 59142 No No  
  Harvard Pilgrim Health Care 04271 No No  
  HCH Administration (Illinois) 37111 No No  
* HCH Administration, Inc  37215 No No Formerly John P. Pearl Associates
  HCHA Albq-Self Funded 37329 No No  
  HCS-Health Claims Service (Boise, ID) 82018 No No  
* Health 1,2,3, Inc 23173 No No  
  Health Administration Service, Inc. 34185 No No  
  Health Alliance Exclusive & Plus 23172 No No Participating payer see last page for definition
  Health Alliance Medical Plans 77950 No No  
  Health Alliance Plan of Michigan 38224 No No  
  Health Assurance/Health America, Inc./Advantra 25126 No No  
* Health Care Network of Wisconsin (HCN) 42102 No No  
  Health Care Savings 56142 No No  
  Health Choice Inc 22345 No No  
  Health Connecticut 37263 No No  
  Health Cost Solutions 62111 No No  
  Health Data Solutions 46114 No No  
  Health Design Plus (Hudson, OH) 34158 No No  
  Health Economics Group 16112 No No  
  Health EZ 16120 No No  
  Health Management Associates (HMA) 86065 No No  
  Health Future, LLC 30946 No No  
* Health Net of Arizona 38309 No No Payer requires unique provider ID: please call                      (866) 334-4638
  Health Net of California and Oregon 95567 No T  
  Health Net of the Northeast, Inc. 06108 P T Payer requires unique provider ID: please call                      (866) 334-4638
  Health Network America 20199 No No  
  Health New England 04286 No No  
  Health One Alliance 58216 No No  
  Health Partners - Jackson, TN 62157 No No  
  Health Partners of Alabama, Inc 63092 P  T  
  Health Partners, PA 80142 No No All claims submitted require a valid Health Partners, PA, provider ID in the Rendering Provider Network ID field. 
  Health Partners Southeast 63092 P T  
  Health Plan Management 37221 No No  
  Health Plan SouthEast(Tallahassee, FL) 59256 No No  
  Health Plans Inc. 44273 No No Claims are printed and mailed to the payer.
  Health Pledge HMO 95435 No No  
  Health Risk Management 55438 No No  
  Health Services Preferred (HSP) by Emerald Health 34167 No No  
  Health Smart Preferred Care HSPC1 No No  
  HealthCare Partners, IPA 11328 No No Formerly Heritage New York Medical Group
  Healthcare USA 25143 No No  
  HealthEase 59608 No No Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
  Healthfirst - Tyler, TX 75234 No No  
  Healthfirst, Inc. (NY) 80141 No No All claims submitted require a valid Healthfirst, Inc. (NY) provider ID in the Rendering Provider Network ID field.
  HealthGuard of Lancaster 23226 No No  
  HealthHelp Network, Inc. (HHNI) 59087 No No  
  Healthlink HMO 96475 No No Please call Provider Relations Dept at (800) 624-2356 for unique provider number.
  Healthlink PPO 90001 No No Please call Provider Relations Dept at (800) 624-2356 for unique provider number.
  HealthPlan Services (Tampa only) 59140 No No  
  HealthPower HMO 31106 No No  
  HealthRight, Inc. 06142 No No  
  HealthSCOPE Benefits, Inc. 71063 No No  
  HealthSCOPE Benefits, Inc. (PCP Only) Call P T Call Jonda Brown (800) 972-3025 for Payer ID.
  HealthSCOPE Benefits, Inc. (Repricing AR) 48153 No No  
  Healthsource CMHC 02041 No No  
  Healthsource Massachusetts, Inc. 02041 No No  
  Healthsource Provident (CIGNA) 68195 P T Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
  Healthsource, AR 71074 P T Payer requires provider ID number; please call (800)831-6654.
  Healthsource, AR (Med) (CIGNA) 71075 No No Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
  Healthsource, GA (CIGNA) 58210 No No Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
  Healthsource, IN 35167 No No  
  Healthsource, KY 61127 No No  
  Healthsource, ME 01041 P T Payer requires unique provider ID; please contact (800) 909-2227, ext. 5760.
  Healthsource, N. TX (CIGNA) 75255 No No Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
  Healthsource, NC (CIGNA) 56147 No No Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
  Healthsource, NH 02038 P No Payer requires unique provider ID for new providers; please contact Donna Wilson at (603) 268-7439.
  Healthsource, OH 31141 No No  
  Healthsource, SC 06119 No No Healthsource Network Providers Only
  Healthsource, TN (CIGNA) 62129 No No Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
  HealthSource/Hudson Health Plan Call P T Provider enrollment is required by the payer. Please contact Sam Gutwillig at (914) 372-2291 to obtain Payer ID.
  Healthsouth Medical Plan Administrators 63086 No No  
  HealthSpring HMO/HealthSprin Medicare + Choice 25193 No No An EDI application must be submitted prior to submitting claims.  Please contact Provider Relations at 615-291-7035 or visit www.myhealthspring.com to obtain an application.  This payer ID is NOT for PPO claims.
  HealthSpring of Alabama 63092 P T Formerly The OATH - A Health Plan for Alabama.  Please note that all claims submitted require a 4-6 digit Rendering Provider ID.  Please contact HealthSpring of Alabama Provider Call Center at (800)743-7141 for provider enrollment
  HealthStar, Inc. 36332 No No  
  Healthy Options (DSHS) 91051 P T Western Washington State. Please call (206)901-6347 prior to first submission of production claims.
  HEP Administrators (PPO) Call P T Prior enrollment is required. Please call customer service at (262) 567-9695.
  HEP Administrators, Inc. (Non-PPO) Call P T Prior enrollment is required. Please call customer service at (262) 567-9695.
  Heritage Consultants 59230 No No For faster payment, please be sure to use only the 9-digit subscriber ID on all claims.
  HFN, Inc. 36335 No No  
  Hill Physicians Medical Group Call P T Please contact Tina Loftus at (800) 445-5747 for Payer ID.
* Hillcrest Benefit Administrators 59347 No No  
  Hinsdale Physician Healthcare 37115 No No  
  HIP - Health Insurance Plan of Greater New York 55247 No No  
  HMO Central NY N3BLS No No  
  HMO of Colorado (HMOC) COHMO No No Prior approval by HMOC required prior to sending claims electronically
  HomeTown Health Network 34150 No No  
  Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) 22099 A A  
  Horizon HealthCare Admin (HHA) 22304 No No  
* Horizon NJ Health 22326 No No Medicaid managed care.  For EDI support, please email edi.hm@kmhp.com:Formerly Horizon Mercy Health Plan
* Hospital Benefits, Inc Pilot No No  
  Horizon Mercy 22326 No No Medicaid managed care.
  Hotel Employees & Restaurant Employees Health Trust 91136 No No Please enter Group Number (F19) when submitting claims.
  HPS Paradigm, Inc. 58227 No No  
  HRM 41170 No No  
  HRM Claim Management 41170 No No Formerly Health Risk Management (HRM)
  Humana - Employers Health Insurance 73288 No No As of December 1, 2002, please send all medical and hospital claims to payer ID 61101.  Please submit all Humana encounters and information claims to payer ID 61102
  Humana Emphesys 61101 No No  
  Humana Employers Health Insurance 61101 No No  
  Humana Inc 61101 No No  
  Humana Insurance Company Choice Care Network 61101 No No Does not include Humana ChoiceCare of Cincinnati (Humana Health Plans of Ohio)
  Humana Military - Tricare:Regions 3 and 4 61125 No No Participating Payer for TRICARE Regions 3 and 4
  Humana Puerto Rico 65018 P No  
  Hunt Insurance Group/HRH TPA Services 37260 No No  
  IAA 37279 No No  
  IBA Self Funded Group 38234 No No  
  IBEW Western Utilities or Local 57 CMPUU No No  
  IBI 41124 No No  
  IBM Medical Plans 68241 No No  
  ICM 37296 No No  
  Idaho Tru Blue TRUEB No No  
  I.E. Shaffer (West Trenton, NJ) 22175 No No  
  Illinois Central Hospital Association (Tinley Park, IL) 36600 No No  
  I'Mcare 41600 No No  
* INDECS Corporation 40585 No No  
  Indiana Health Network 35204 No No  
  Indiana ProHealth Network 35161 No No  
  Individual Health Insurance Companies 31053 No No  
  Informed, LLC 52196 No No  
  InHealth, Inc 31112 No No  
  Innovative Healthware Solutions 04320 No No  
  InProNet 93112 No No  
  Institutes of Quality 68241 No No  
  Insurance Administrators of America, Inc. 37279 No No  
  Insurance Claims Services, Inc. (Birmingham, AL) 63082 No No  
  Insurance Design Administrators 13315 No No  
  Insurance Management Services (Elko, Nevada) 88006 No No Only claims with the following submission address can be sent to Payer ID 88006: Insurance Management Services, PO Box 71, Elko NV 89803
  Insurance Services of Lubbock ISL11 No No  
  Integra Administrative Group (Seaford, Delaware) 51020 No No Only claims with the following submission address can be sent electronically using Payer ID 51020:  Integra Administrative Group 110S. Shipley St.  Seaford, DE 19973
  Integra Group 31127 No No  
  Integra Group-CHA 31129 No No  
  Integrated Benefit Services 37124 No No  
  Integrated Care Network (ICN) by Emerald Health 34167 No No  
  Interactive Diagnostic Services, Inc. 94315 No No  
  InterCare Health Plans Inc. 37227 No No  
* Interface (IEAP) 60280 No No  
  Intergroup Services Corporation 23287 No No  
  Intermountain Ironworkers Trust Fund CMPUU No No  
  International Brotherhood of Boilermakers 36609 No No  
  International Union of Operating Engineers, Local 4 Health & Welfare Fund 37241 No No  
  International Union of Operators Engineers Local 15, 15A, 15C & 15D  37269 No No Located in New York, NY
  Iowa Benefits Inc. 41124 No No  
  IUOE Local 4 37241 No No Payer ID valid only if payer address is 177 Bedford St. P.O.Box 4 Lexington, MA 02420 and group number =300.  Contact Jamie Maclauchian at (781) 861-1600 ext 24 with questions
  J. F. Molloy and Associates, Inc. 61271 No No  
  John Alden Life Insurance Co. 41099 No No  
  John Deere Health Care/Heritage National Healthplan 95378 P T Prior to initial submission, provider must first contact John Deere at (309) 765-1593 - toll free (866)509-1593 to receive provider id.
  John P Pearl & Associates 37215 No No  
  John Hancock Health Security Plan 65099 No No  
  John Hancock Mutual Life Insurance Company 65099 No No  
  John Hancock Preferred Health Plan 65099 No No  
  Johns Hopkins Healthcare Pilot No No  
  Joplin Claims 43178 No No  
  JP Farley Corporation 34136 No No  
  JSL Administrators 37272 No No  
  Kaiser Foundation Health Plan of Georgia 21313 No No  
  Kaiser Foundation Health Plan of Northern CA Region Call No No Please contact Cheryl G. Robinson at (866)285-0362 or   e-mail her at cheryl.g.robinson@kp.org proir to first submission of claims
  Kaiser Foundation Health Plan of Southern CA Region 94134 P  T Commercial Provider ID required by Kaiser. Please contact Tina C. Cheung at (626) 405-6404 or   email Tina.C.Cheung@kp.org prior to submitting claims.
  Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. 52095 No No For more information, please contact Kenya Neal at Kaiser at (301) 625-2264.
  Kaiser Permaanente (Colorado Springs Plan only) KSRCS No No  
  Kaiser Permanente (Colorado plans only *Except Colorado Springs*) COKSR No No  
  Kanawha HealthCare Solutions, Inc. 57038 No No  
  Kanawha Insurance Co. 57038 No No  
  Kansas City Life Insurance Co. 44030 No No  
  Kempton Company 73100 No No  
  Kempton Group Administrators 73100 No No  
  Kapiolani Health Commercial KAPO1 No No  
  Kepple & Company 37124 No No  
  Key Benefit Administrators 37217 No No  
  Keystone Mercy Health Plan 23284 No No Medicaid managed care.  For EDI support, please email edi.kmhp@kmhp.com
  Kindred Health Care 73288 No No (Formerly known as VENCOR) As of December 1, 2002, please send all medical and hospital claims to payer ID 61101.  Please submit all Humana encounters and informational claims to payer ID 61102
  Klais and Company KLAIS No No  
  Lake Forest Managed Care Associates 37112 No No  
  Lakeside Health Services 95415 No No  
  Landmark Healthcare LNDMK No No  
  Leggett and Platt 75279 No No  
  LHP Claims Unit 37248 No No  
  Liberty Union 37281 No No  
  Life Assurance Company 37281 No No  
  Life Trac 41136 No No  
  LifeGuard 94245 No No  
  LifeWise HealthPlan of Oregon 93093 No No  
  LifeWise Washington/Employers Trust 37294 No No Claims are printed and mailed to the payer
  Lincoln National (EMPHESYS, Green Bay and Madison, WI only) 73288 No No As of December 1, 2002, please send all medical and hospital claims to payer ID 61101.  Please submit all Humana encounters and informational claims to payer ID 61102
  Linn County 75283 No No  
  Local 135 Health Benefits Fund (Indianapolis, IN) 35107 No No  
  Loma Linda University Adventist Health Sciences Center Employee Health Plan 37267 No No  
  Loma Linda University Adventist Health Sciences Centers  37267 No No  
  Loma Linda University Behavioral Medicine Center Employee Health Plan 37267 No No  
  Loma Linda University Employee Health Plan 37267 No No  
  Loma Linda University Health Care Employee Health Plan 37267 No No  
* Loma Linda University Helathcare - ManagedCare Claims 33036 No No Claims are printed and mailed to the payer
  Loma Linda Medical Center Employee Health Plan 37267 No No  
  Loma Linda University Medical Center Residents Health Plan 37267 No No  
  Loma Linda University Student Health Plan 37267 No No  
  Lovelace Salud! (NM Medicaid) DLVLC No No  
  Lumenos, Inc 54195 No No  
  Machinist District 9 Welfare 37292 No No  
  Magellan Behavioral Health  01260     PROVIDER ID REQUIRED
  Magnacare Pilot No No  
  Mail Handlers Benefit Plan 62413 No No  
  MAMSI Life and Health Insurance Co. (MLH) 52148 No No Also known as Mailhandlers/CAC.
  Managed Care Services, LLC 35162 No No  
  Managed Health Services Indiana (Medicaid HMO) 39186     Please contact Debbie Sandberg at (800)225-2573 ext 25306, prior to sending claims
  Managed Health Services Wisconsin 39187 No No  
  Managed Physical Network (MPN) 41159 No No  
  Manatee Service Center (Bradenton, FL) 41555 No No Payer ID valid only fo claims with a billing submission address of P.O. Box 1098, Brandenton, FL 34206
  MAPCO Inc. 75258 No No  
  Marriott 68241 No No  
  Matthew Thornton Health Plan 02030 No No  
  Maryland Health Partners SX069 E No Contact Bouveia Porter at Maryland Health Partners                410-953-1836 or beporter@magellan health.com
  Mashantucket Pequot Tribal Nation 37121 No No  
  Mayo Management Services, Inc. 41154 No No  
  MBS (MedCost Benefit Services) 56205 No No  
  MCC Behavioral Care MCCBV No No  
  Mcare 38264 No No  
  McLaren Health Plan 38338 No No  
  MD - Individual Practice Association, Inc. (M.D. IPA) 52148 No No For plan and claim requirements, please contact the McCreary Corporation Customer Service Department at (561) 287-7650, ext. 4052.
  MDNY HealthCare 11338 No No  
  MedAdmin Solutions 58202 No No  
  MedAdmin Solutions 58204 No No  
  MedBen (Newark, OH) 74323 No No  
  MedCost, Inc. 56162 No No For assistance please contact Medcost at (800)433-9178 ext 4189 or 4177
  Medfocus 95321 No No  
  Medica 94265 No No Medica requires a unique Medica assigned provider id. See ENVOY Exhibit 99.
  Medical Benefits Administrators, Inc. (Newark, OH) 74323 No No  
  Medical Benefits Companies (Newark, OH) 74323 No No
  Medical Benefits Mutual (Newark, OH) 74323 No No  
  Medical Benefits Mutual Life Insurance Co 74323 No No  
  Medical Claims Service, Inc. 04258 No No  
  Medical Network Inc. (Maine) Pilot No No  
  Medical Network of Colorado Springs CSMED No No  
  Medical Resource Network (MRN) 58203 No No  
  Medical Select Management 13375 No No  
  Medical Value Plan - Ohio (MVP) 38224 No No  
  Medicare Extra 95436 No No  
  Medicare Smart 58228 No No  
* Mediversal 37304 No No  
  MedSolutions, Inc 62160 No No  
  Medspan, Inc. 82160 No No  
  Mega Life & Health Insurance Company 59221 No No Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009, North Richland Hills, TX 76182
* Mega Life & Health Insurance Company - OKC 59227 No No Claims will be printed and mailed until further notice
  Memphis Managed Care 36193 No No Providers are no longer required to call MMC before sending medical or hospital claims electronically
  Mercy Care Plan 86052 No No  
  Mercy Health Plans 43166 No No  
  Mercy Healthplans - Carechoices Michigan Pilot No No  
  Mercy Physicians Medical Group 33029 P  T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  Meridian Health Care Management 77042 No No  
  MESA Mental Health 85035 No No  
  Met Elect 65978 No No  
  Methodist Associate Health Plan Pilot No No  
  Metlife HealthCare- PPO/HMO 65978 No No  
  Metro Alliance 82135 No No  
  Metro Plus Health Plan 13265 No No  
  Metropolitian Health Plan 10850 No No  
  Michael Reese Physicians Group 37127 No No  
  Mid Atlantic Psychiatric Services, Inc. (MAPSI) 52149 No No  
  Mid America Associates, Inc 37281 No No  
  Mid-Atlantic Health System 63079 No No  
  Midwest National Life Insurance Co. of Tennessee - Insurance Center 59224 No No Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017, North Richland Hills, TX 76182
  Mid-West National Life Insurance Co of Tennessee - Student Insurance 74227 No No Payer ID only valid if the P.O. Box on the Health ID Card matches of the following P.O. Boxes: P.O. Box 890025, 809079, 809066, 809036,809081, Dallas, TX 75380-9025
  Midlands Benefit Administrators 47081 No No  
  Midlands Choice, Inc 47080 No No  
  MidSouth Administrative Group 62168 No No  
  Mid-Valley Carenet 31140 No No  
  Midwest Prefered MIDSC No No  
  Midwest Securities MIDSC No No  
  Minneapolis Prudential Business 68241 No No  
  Mississippi Public Entity Employee Benefit Trust 37233 No No  
  Mississippi Select Health Care 64088 No No Also doing business as Select Administrative Services (SAS)
  Missoula County Medical Benefits Plan 37275 No No  
  MLINK 37265 No No  
  MMS,LLC 62178 No No  
  Molina Healthcare of California 38333 No No  
  Molina Healthcare of Washington 38336 No No  
  Momentum Health Services 72135 No No  
  Montefiore Contract Management Organization 13174 No No Please contact Provider Relations or Customer service at (914)377-4400 for unique provider number
  Motorola 36111 No No  
  Mountain Medical (MMA) COMMA No No  
  Mountain State Administrative Services (Tuscon, Arizona) 86040 No No  
  MPE Services, Inc. 37233 No No  
  MPEEBT 37233 No No  
  MPLAN, Inc./HealthCare Group, LLC 95444 No No  
* Multiplan Wisconsin Preferred Provider Network 34080 No No  
  Mutual Assurance Administrators 37256 No No  
  Mutual Group (The) (US) 59140 No No  
  Mutual Group (The) (US)   No No Please submit claims to payer ID 59140, HealthPlan Services (Tampa only)
  Mutual of Omaha Insurance Company 71412 No No  
  Mutually Preferred 71412 No No  
  MVP Health Plan of NY 14165 No No Please submit claims to Payer ID 59140, Health Plan Services (Tampa only)
  N.W. Ironworkers Health & Security Trust Fund 91136 No No  
  N.W. Roofers & Employers Health & Security Trust Fund 91136 No No  
  N.W. Textile Processors 91136 No No For your MVP Provider number, call (800) 684-9286.
  NAA (North America Administrators L.P.) (Nashville, TN) 65085 No No Please enter Group Number (F15) when submitting claims.
  NABN 34159 No No Payer ID valid only for claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476 
  NALC/Affordable 53011 No No  
  National Association of Letter Carriers 53011 No No Please enter Group Number (F14) when submitting claims.
  National Association of Letter Carriers/NALC 53011 No No  
  National Benefit Administrators - North Carolina 56176 No No  
  National Benefit Administrators -New Jersey 56175 No No  
  National Capital Preferred Provider Organization (NCPPO) 90001 No No To obtain your provider ID number, please call the NCPPO Customer Service Department at (800)272-5911
  National Claim Administration 37126 No No  
  National Health Insurance Company 75275 No No  
  National Rural Electric Coop (NRECA) 52132 No No  
  National Rural Letter Carrier Association 71412 No No  
  Nationwide Health Plans 31417 No No  
  NCAS - Charlotte 75191 No No  
  NCAS - Fairfax, VA 75190 No No  
  NCAS - Owings Mills, MD  52118 No No Formerly known as Willse'.
  Neighborhood Health Plan (Boston, MA) 04293 No No  
  Nesika Health Group 37255 No No  
  Netcare Life and Health Insurance (Hagatna, Guam) 66055 No No  
  Network Health Call P No Before initiating submissions, please contact Provider Relations at (617)806-8104 or edi@networkhealth.org for an EDI startup plan
  Network Health Plan of Wisconsin, Inc. 39144 No No  
  New England, The 66893 No No  
  New Era Life 75281 No No  
* New Market Dimensions Pilot No No  
  New Mexico District Council of Carpenters CMPUU No No  
  New Mexico Painters and Allied Trades Local No. 823 CMPUU No No  
  New Mexico-West Texas Milti-Craft (AKA. New Mexico Laborers) CMPUU No No  
  New World Claims Services (Niles, MI) 38332 No No Payer ID valid only for claims with a submission address of 2624 North 5th St.  Niles, MI 49120
  New York Network Managemnet 11334 No No Claims are printed and mailed to the payer.
  New York Presbyterian Community Health Plan 48186 No No  
  NHC Health Benefit Plan 62124 No No Please call NHC Health Benefit Plan @ 615-278-1230 regarding your NHC provider number prior to submitting claims electronically
  NGS American, Inc 38225 No No Only claims with the following address can be sent electronically to Payer ID 38332:  New World Claims Services 2624 North 5th Street, Niles, MI 49120
  NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan) 11325 P  T Please submit claims with your unique NHP/SHP provider number. Please call (631) 360-3102 for your unique NHP/SHP provider number.
  Nippon Life Insurance Company of America 81264 No No  
  NJ Carpenters Health Fund 22603 No No  
  NMCI Pilot No No  
  North American Administrators, Inc. 64157 No No Please submit claims with your unique NHP/SHP provider number. Please call (631) 360-3102 for your unique NHP/SHP provider number.
  North American Benefits Network 34159 No No Payer ID valid only for claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476
  North American Health Plan 64157 No No  
  North American Medical Management - IL 36398 No No  
  North American Medical Management (NAMM) - Northern California E3510 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Nourthern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  North American Preferred 64157 No No  
  North American Medical Management (NAMM) - Southern California 33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) -Southern Caifornia Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims
  North West Life PH018 No No  
  Northern Nevada Trust Fund 88027 No No Please call (775)826-7200 to verify if you should sending claims to Nothern Nevada Trust Fund.
  Northwest Administrators 91068 No No Claims are printed and mailed to the payer.
  Northwest Suburban IPA (Illinois) 36346 No No  
  Northwestern National Life PH018 No No  
  Nova Healthcare Administrators, Inc. (Grand Island, NY) 16644 No No  
  Novasys Health Network 71080 No No  
  Nyhart 37299 No No  
  Oaktree Health Plan 95356 No No  
  Ochsner Health Plan 72127 P T Payer requires unique provider ID for each practitioner/provider: please contact Jill Brant OHP Provider Relations, at (504) 219-6682 or jill.brant@ochsner-hmo.com
  Office of Group Benefits- Louisiana 72087 No No Office of Group Benefits is located in the state of Louisiana
  Ohio Health Choice, PPO 34189 No No Payer ID valid only for claims with a billing submission address of P. O. Box 93538, Cleveland, OH 44101 or P. O. Box 6086, Cleveland, OH 44101.
  Olympic Health Management Systems, Inc. 91150 No No  
  Omnicare Health Plan of Michigan 38252 No No  
  ONE Health Plan New Hampshire, Inc 80705 No No  
  ONE Health Plan of AK 80705 No No  
  ONE Health Plan of AZ 80705 No No  
  ONE Health Plan of California, Inc. 80705 No No  
  ONE Health Plan of Colorado, Inc. 80705 No No  
  ONE Health Plan of FL, Inc. 80705 No No  
  ONE Health Plan of Georgia, Inc. 80705 No No  
  ONE Health Plan of Illinois, Inc. 80705 No No  
  ONE Health Plan of IN, Inc. 80705 No No  
  ONE Health Plan of MA, Inc. 80705 No No  
  ONE Health Plan of ME, Inc. 80705 No No  
  ONE Health Plan of New Jersey, Inc. 80705 No No  
  ONE Health Plan of North Carolina, Inc. 80705 No No  
  ONE Health Plan of Ohio, Inc. 80705 No No  
  ONE Health Plan of Oregon, Inc. 80705 No No  
  ONE Health Plan of Pennsylvania, Inc. 80705 No No  
  ONE Health Plan of South Carolina, Inc. 80705 No No  
  ONE Health Plan of Tennessee, Inc. 80705 No No  
  ONE Health Plan of Texas, Inc. 80705 No No  
  ONE Health Plan of Vermont, Inc. 80705 No No  
  ONE Health Plan of Virginia, Inc. 80705 No No  
  ONE Health Plan of Washington, Inc. 80705 No No  
  ONE Health Plan of Wisconsin, Inc. 80705 No No  
  ONE Health Plan of Wyoming, Inc. 80705 No No  
  Operating Engineers Local No. 53 CMPUU No No  
  Operating Engineers Locals 302 & 612 Health & Security Fund 91136 No No Please enter Group Number (F12) when submitting claims.
  OptiCare Eye Health Network 56190 No No  
  Optima Health Plan 54154 No No Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 charters, positions 1-5 must be numeric only, and positions 6&7 (if applicable) must be alpha only. Contact Ydsia Slagle provider relations at (757)552-7477.
  Optima Insurance Company 54154 No No Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 charters, positions 1-5 must be numeric only, and positions 6&7 (if applicable) must be alpha only. Contact Ydsia Slagle provider relations at (757)552-7477.
  Optimum Choice of the Carolinas, Inc. (OCCI) 52152 No No  
  Optimum Choice, Inc. (OCI) 52148 No No  
  Option Services Group 37125 No No  
  Orthonet Corporation 13381 No No Claims are printed and mailed to the payer.
  OSF Care Advantage OSFMC Yes Yes Enrollmet Required, Contact OSF (Provider UPIN required in HCFA box 33a
  OSF Health Plans OSFIL Yes Yes Enrollment Required. Contact OSF
  Oxford Health Plans 06111 No No Payer requires unique provider ID (the Oxford ID number) for new providers; please contact Oxford's Provider e-Solutions Department at (800) 599-4EDI (4334).
  Pacific Life & Annuity Company 67466 No No  
  Pacific Mutual Life Insurance Co. 67466 No No  
  PacifiCare Behavioral Health, Inc. 33053 No No  
  PacifiCare of Arizona - Claims  Call P T Please contact Colette Ward at (800)877-6685 x42731 to initiate the EDI process
  PacifiCare of California - Claims 95959 No No For Payable PacifiCare/Secure Horizon HMO Claims only. NOT for PPO Claims. For further questions you may inquire via email at edihmoinfo@phs.com
  PacifiCare of Colorado -Claims Call P No Please call Colette Ward at (800) 877-6685 ext 42731 to initiate EDI process
  PacifiCare of Oklahoma -Claims 95959 No No For Payable PacifiCare/Secure Horizon HMO Claims only. NOT for PPO Claims. For further questions you may inquire via email at edihmoinfo@phs.com
  PacifiCare of Oregon - Claims 95959 No No For Payable PacifiCare/Secure Horizon HMO Claims only. NOT for PPO Claims. For further questions you may inquire via email at edihmoinfo@phs.com
  PacifiCare of Texas -Claims 95959 No No For Payable PacifiCare/Secure Horizon HMO Claims only. NOT for PPO Claims. For further questions you may inquire via email at edihmoinfo@phs.com
  PacifiCare of Washington -Claims 95959 No No For Payable PacifiCare/Secure Horizon HMO Claims only. NOT for PPO Claims. For further questions you may inquire via email at edihmoinfo@phs.com
  PacifiCare PPO - All states 95999 No No For payable PPO claims only.  NOT for PaciciCare/Secure Horizons HMO claims.  For further questions, you may inquire via email at edippoinfo@phs.com
  PacifiCare/FHP (FHP of Colorado HMO claims only) COFHP No No  
  PacificSource Health Plans 93029 No No  
  PAI 37287 No No  
  Parity Healthcare LLC 58204 No No  
  Parkland Community Health Plan 66917 No No  
  Partners National Health Plans of North Carolina, Inc Call Payer T Contracted Providers Only.  Please call the Partners National Health Plans of North Carolina, Inc customer service department at (800)942-5695 or(366)760-4822, ext 12005, for electronic claims set up.
  Passport Health Plan 61129 No No Medicaid managed care. For EDI support please email edi.php@kmhp.com
  PCA Health Plan of Florida 65018 P No Providers that are currently enrolled only. Not currently enrolling any new physicians.
  PCMC/ICSL Podiatry 65002 No No  
  PCMC/ICSL-Allergy 65000 No No  
  PCMC/ICSL-Chiropractic 65007 No No  
  PCMC/ICSL-Dematology 65001 No No  
  PCMC/ICSL-Gastroenterology 65003 No No  
  PCMC/ICSL-Physical Therapy 65004 No No  
  PCMC/ICSL-Pulmonary 65005 No No  
  PCMC/ICSL-Urology 65006 No No  
  Pennsylvania HealthOne (claims and encounters) PAHLT No No  
  Peoples Health Network Pilot No No  
  PersonalCare 25146 E No Participating Payer - see last page for definition. 
  PG & E (Pacific Gas & Electric) 68241 No No  
  PHA Admin. Serv 63088 No No  
  PHA Insurance Services (Orlando, FL) 95183 No No  
  Phoenix Health Plan SX146 W No  
  PHP of Mid-Michigan 87726 No No  
  PHP of South Michigan 87726 No No  
  PHP of Southwest Michigan 87726 No No  
  PHP of West Michigan 87726 No No  
  PHP TennCare 62155 No No  
  Phycor (Ft. Collins office only) PHYCR No No  
  Physician Associates of Louisiana 58204 No No  
  Physicians Associates of the Greater San Gabriel Valley Call No No Please contact Armando Hernandez for Payer ID at            (626) 817-8517
  Physicians Care Network 57098 No No  
  Physicians Care Network (Rockford, IL only) 36345 No No Payer ID valid only for claims with billing submission name, city, and state of Physicians Care Network, Rockford, IL.
  Physicians Corporation of America (Florida Plan Only) 65018 P No Providers that are currently enrolled only. Not currently enrolling any new physicians.
  Physicians Direct 75297 No No  
  Physicians Health Association of Illinois 37136 No No  
  Physicians Health Services 07021 Yes Yes  
* Physicians Health Plan of Northern Indiana, Inc 12399 No No All claims require your PHP assigned provider ID.  Contact Physicians Health Plan at (260)432-6690 x549 with questions.  Corrected and adjustment claims must be submitted via paper.  All anesthesia claims must be submitted with ASA/AA modifiers and billed with minutes.
  Physicians Mutual Insurance Company 47027 No No  
  Physicians Plus Insurance Corporation 39156 No No  
  Piedmont Administrators 56151 No No  
  Pinnacle Claims Management, Inc. 24735 No No  
  Pipeline Industry Benefit Fund (Tulsa, OK) 73074 No No  
  Pittman & Associates 37224 No No  
  Planned Administrators, Inc./PAI 37287 No No Providers submitting claims as a Preferred Blue provider should not submit claims using payer ID 37287
  PM Group 67466 No No  
  PMG of San Jose PMGSJ No No  
  Podi Care Managed Care 58204 No No  
  Poly America Medical & Dental Benefits Plan 32680 No No  
  POMCO 16111 No No  
  PPO Oklahoma (WinterBrook HealthCare Management) 73159 No No  
  PPOI 46113 No No  
  PPOM, LLC 38335 No No  
  Practicare Inc 04334 No No  
* Praire States Enterprises, Inc 36373 No No  
  Preferred Benefit Adminiatrators 53476 No No  
  Preferred Care Partners 65088 No No  
  Preferred Community Choice/PCCSelect/CompMed 73145 No No  
  Preferred Health Network (PHN) 35173 No No This carrier requires Provider Network ID in field 33 PIN section.
  Preferred Health Plan (Louisville, KY) 61106 No No  
  Preferred Health Systems Insurance Company 60110 No No  
  Preferred Network Access, Inc 36401 No No  
  Preferred One (CT), a Division of First Choice 14162 No No Please note that all claims submitted require a 5-8 character Render Provider Network ID.
  Preferred Plus of Kansas 60110 No No  
  PreferredOne (MN) 41147 No No  
  Premier Benefits, Inc. 43166 No No  
  Premier Care SCIPA No No  
  Premier Care of North West Arkansas 93114 No No  
  Premier Health Plans 43166 No No  
  Presbyterian Salud PRESA No No  
  Prevea Health Insurance Plan 39185 No No  
  Primary Delivery Systems 73288 No No As of December 1, 2002, please send all medical and hospital claims to payer ID 61101.  Please submit all Humana encounters and informational claims to payer ID 61102
  Primary PhysicianCare, Inc. 56144 No No  
  Prime Health 63088 No No  
  Prime Health of Alabama 63088 No No  
  PrimeCare of Chino Valley 33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeCare of Corona  33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeCare of Hemet Valley 33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeCare of Inland Valley 33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeCare of Moreno Valley 33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeCare of Redlands 33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeCare of Riverside 33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeCare of Sun City  33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeCare of Temecula 33029 P T Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead Supervisor at 1-800-956-8000 prior to initial submission of claims
  PrimeSource Health Network 04320 No No  
  Principal Financial Group 61271 No No  
  Principal Life Insurance Co. 61271 No No  
  Priority Health 38217 P T Please call Wendell Broome at (616) 975-8284 prior to submitting claims to obtain the pay to code.
* Prism-First Health 37303 No No  
  Prism Network, Inc. 37268 No No  
  Pro Health CompCare 31132 No No  
  Professional Benefit Administrators, Inc. (Oak Brook, IL) 36331 No No Payer ID is valid only for claims with a billing submission name, city, and state of Professional Benefit Administrators, Inc., Oak Brook, IL.
  Professional Benefits Administrators (Cuyahoga Falls, OH) 34176 No No Payer ID valid only for claims with a billing submission address of 2040 Front Streeet, Cuyahoga Falls, OH 44221
  Professional Claim Administrators 41163 No No  
  Professional Claims Management (Canton, OH) 37242 No No  
  Promina 58226 No No  
  Providence of Oregon Choice Option SX131 W No  
  Providence of Oregon Good Health Plan SX132 W No  
  Providence of Oregon Health Plan SX133 W No  
  Providence of Oregon Health Plan HMO SX134 W No  
  Providence of Oregon Medicaid SX135 W No  
  Providence of Oregon Medicare Extra SX137 W No  
  Providence of Oregon Option SX138 W No  
  Providence of Oregon Traditional Option SX139 W No  
  Provider Networks of America (PRO-NET) 51032 No No  
  Puget Sound Benefits Trust 91136 No No Please enter Group Number (F25) when submitting claims.
  Puget Sound Electrical Workers Trust 91136 No No Please enter Group Number (F33) when submitting claims.
* Pyramid Benefit, Inc 91954 No No  
  Qual Choice of Arkansas 35174 No No  
  QualCare, Inc. 23342 P T New Providers must enroll with QualCare at (800)992-6613, option 5.
  Quincy Health Care Management Inc. 37129 No No For assistance send emaill to HIPPA@f-m-h.com
  Regency Employee Benefits 38221 No No  
  Regional HealthPlus 57103 No No  
  Rehab Provider Network (RPN)  RPNO1 No No Specialized Format Required-Contact EDSS
  Reliastar (formerly NWNL) PH018 No No  
  Resurrection Health Care Health Preferred 37277 No No  
  Reynolds and Reynolds 37270 No No  
  Rocky Mountain HMO RMHMO No No  
  Rocky Mountain Health Plan - Grand Junction SX141 W No  
  Rooney Life Inc. 37602 No No  
  Rush Prudential Health Plans (HMO Only) 36389 No No  
  Rush Prudential Insurance Co. (PPO & POS only) 68241 No No  
  S & S Healthcare Strategies 31441 No No  
  Sagamore Health Network 35164 No No  
  SAMBA 37259 No No Do not send Medicare primary claims.  We receive claims directly from Medicare
  San Francisco Electrical Workers Health & Welfare Plan 37236 No No  
  Sandia Triple Option Plan (Sandia TOP) 68241 No No  
  Santa Barbara Cottage Hospital 37288 No No  
  Santa Clara County IPA SCIPA No No  
  Sante Health System and Affiliates Pilot No No  
  Scott & White Health Care 88030 No No 5 digit rendering provider ID required in box 33 a.  Contact 254-298-3195 to obtain ID
  Seabury & Smith 13310 No No  
  Secure Health Plans Of Georgia, LLC 28530 No No  
  SecureCare of Iowa 42142 No No  
  Security Health Plan 39045 No No  
  Select Administrative Services (SAS)  64088 No No Also known as Mississippi Select Health Care
  Select Benefit Administrators (Des Moines, Iowa) 42137 No No  
* Select Benefit Administrators of America (Ashland, WI) 37282 No No  
  Select Health of South Carolina 23285 No No For EDI support, please e-mail dei.sh@kmhp.com
  Selectcare 00014 No No  
  SelectCare (Coca Cola) 68241 No No  
  SelectCare, Inc. of Michigan 38253 No No  
  Self Insured Benefit Administrators (Clearwater, FL) 59111 No No Payer ID valid only for claims with a submission address of  18167 US Highway 19 North, Suite 300, Clearwater, FL 33764
  Self Insured Plans 36404 No No  
  Self-Funded Plans, Inc. 34131 No No  
  SeniorCare 68241 No No  
  Sentara Health Management/Sentara Family Care 54154 No No Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 charters, positions 1-5 must be numeric only, and positions 6&7 (if applicable) must be alpha only. Contact Ydsia Slagle provider relations at (757)552-7477.
  Sentinel Management Services 23249 No No  
* Sentinel/AHP 23251 No No Do Not Send Alliance PPO, Inc claims to this payer ID.  This payer ID is for Alliance Health Plan ONLY.
  Seton CHIP 76056 No No  
  Shasta Administrative Services 75280 No No  
  Sierra Health Services 76342 No No  
  Signature Care Health Network 35206 No No  
  Signature Health Alliance 62159 No No Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance, P.O. Box 22419, Nashville, TN 37202-2419.
* Sinclair Health Plan 84076 No No  
  Sloan's Lake Managed Care 84096 No No  
  Sound Health (now known as First Choice Health Network) 91131 No No  
  South Indiana Health Options - HMO SX142 No No  
  South Indiana Health Options - Prime Care Choice SX143 No No  
  South Indiana Health Options - TPA SX144 No No  
  SouthCare/Healthcare Preferred 25147 No No  
* Southern Group Administrators 56131 No No  
  Southern Health Services, Inc. 25128 No No  
  Southern National Life 37220 No No  
  Southwest Administrators 95269 No No  
  Southwest Service Life 37266 No No  
  Southwestern Bell 68241 No No  
  Southwestern Bell Exec. - Southwestern Bell 68241 No No  
  Southwestern Bell Executive - Custom Care 68241 No No  
  Special Agents Mutual Benefit Association 37259 No No  
  Special Risk International 52190 No No  
  Spina Bifida - VA HAC 84146 No No  
  St. Barnabas System Health Plan 22240 No No  
  St. John's Claims Administration 37264 No No  
  St. Therese Physician Association 37116 No No  
  Star HRG 59225 No No Claims are printed and mailed to the payer.  Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Box 55270, 30870, 54150, 30069, Phoenix, AZ 85270-5270
  Starmark 61425 No No  
  State Employees Group Benefits 72087 No No  
  State Farm Group Medical & Individual Health Insurance Companies 31053 No No  
  States General Life Insurance 75087 No No  
  Staywell Health Plan 14163 No No Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
  Sterling Option 1 91151 No No  
  Stoner and Associates (Cincinnati, OH) 31121 No No  
* Stowe Associates (Atlanta, GA) 58128 No No  
  Student Insurance - MEGA Life & Health Insurance Company 74227 No No Payer ID only valid if the P.O. Box on the Health ID Card matches of the following P.O.  Boxes: P.O. Box 890025, 809079, 809066, 809036,809081, Dallas, TX 75380-9025
  Student Insurance - Mid-West National Life Insurance Company of Tennessee 74227 No No Payer ID only valid if the P.O. Box on the Health ID Card matches of the following P.O. Boxes: P.O. Box 890025, 809079, 809066, 809036,809081, Dallas, TX 75380-9026
  Suffolk Health Plan of New York 88331 No No  
  SummaCare Health Plan 95202 No No  
  Summit America Insurance Services, Inc 37301 No No  
  Sun Trust Bank, Inc. 68241 No No  
  Superion 46116 No No  
  Superior Benefits 23218 No No  
  Superior Health Plan Texas 39188 P T Payer requires enrollment. Please call Debbi Sandberg at (800) 225-2573, ext. 25306 or Leisa Hamlinat (800) 225-2573, ext. 25319.
  Tarrant Health Services 37228 No No  
  Teachers Health Trust 88019 No No  
  Tennessee Benefit Administrators,LLC 37293 No No  
  Teamcare 36215 No No  
  Teamster Construction Industry Welfare Trust 91068 No No Claims are printed and mailed to the Payer
  Teamsters Local Union #301 36612 No No  
  Tech-Steel, Inc. CMPUU No No  
  Texas Association of School Boards 74249 No No  
  Texas Children's Health Plan 76048 No No  
  The Calends Group 46115 No No  
  The Chesapeake Life Insurance Co.- Student Insurance  74227 No No Payer ID only valid if the P.O. Box on the Health ID Card matches of the following P.O. Boxes: P.O. Box 890025, 809079, 809066, 809036,809081, Dallas, TX 75380-9026
* The Chesapeake Life Insurance Co.- OKC  59227 No No Claims are printed and mailed to the payer.  If the P.O. Box on the health ID card matches the following P.O. Box: P.O. Box 548801, Oklahoma City, OK 73154
  The EPOCH Group 28777 No No  
  The EyePA EYEPA No No  
  The Healthcare Group 35206 No No  
  The Integrity Benefit Network, Inc. (Marietta, GA) 58200 No No  
  The Loomis Company Pilot No No Call Provider Relations at 610-374-4040 ext 2438 for procedures prior to submitting electronically
  The Mega Life & Health Ins. Co. - Insurance Center 59221 No No Payer ID valid only if the P.O. Box on the Health ID card matches the following P.O. Box 982009, North Richland Hills, TX 76182
  The Mega Life & Health Ins. Co. -Starbridge StarHRG 59225 No No Claims are printed and mailed to the payer.  Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Box 55270, 30870, 54150, 30069, Phoenix, AZ 85270-5270
  The Mega Life & Health Ins. Co. -Student Insurance 74227 No No Claims are printed and mailed to the payer.  Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Box 55270, 30870, 54150, 30069, Phoenix, AZ 85270-5271
* The MEGA Life & Health Insurance Company - OKC 59227 No No If the P.O. Box on the health ID card matches the following P.O. Box: P.O. Box 548801, Oklahoma City, OK 73154
  The Mutual Group (US)   No No  
  The OATH - A Health Plan for Alabama 63092 P T  
  The Oath for Louisiana 72112 No No  
  The Oath of Alabama 63092 No No  
  The Preferred Healthcare System - PPO 04320 No No  
  The Union Labor Life Insurance Company  13142 No No  
  The Wellness Plan 38200 No No  
  Theraphysics (All but Colorado) THERA No No  
  Theraphysics (Colorado only) COTHE No No  
  Third Party Administrators, Inc. (TPA) 37225 No No Please call Julie Blazek at (630) 416-1111, ext 156, to verify if you should be sending claims to Third Party Administrators, Inc.  Their address is 1733 Park St. Naperville, IL 60563
  Three Rivers Health Plans, Inc. 25175 No No  
  TMG Life Insurance Company   No No  
  TML Intergovernmental Employee Benefit Pool 74214 No No  
  Touchtone Health Partnership, Inc Pilot No No  
  Tooling & Manufacturing Association 61425 No No  
  Tower Life Insurance Co. 69493 No No  
  TR Paul Inc. 37230 No No  
  Transamerica Life Insurance Company 59222 No No Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009, North Richland Hills, TX 76182
  TransChoice-Key Benefit Administrators 37284 No No  
  Transwestern General Agency CMPUU No No  
  Triad Healthcare, Inc. ( Plainville, CT ) 39181 No No Payer ID valid only for chiropractic medical claims from partcipating TRIAD network providers
  Trusteed Plans Service Corporation 91078 No No  
  Trustmark 61425 No No Participating Payer - see last page for definition. 
  Tufts Health Plan Call P  T Please contact Tufts EDI Operations at (888)880-8699, ext 4042 or e-mail edi_operations@tuftshealth.com prior to submitting EDI claims
  UBH - United Behavioral Health (former MetraHealth - UNET) 87726 No No  
  UBH - United Behavioral Health (Health Plan - HMO) 87726 No No  
  UBH Employer Division UBHRI No No  
  UBH RIOS 16412 No No  
  UHP of New Jersey (Centene) 22329 No No  
  UICI - Administrators 75240 No No  
  UICI - Administrators - State of Nevada 74223 No No Accepting claims only for the State of Nevada.
  UMMH 37292 No No  
  UMWA Health & Retirement Funds 52180 P T Unique Provider ID required. Please call (800) 606-5479
  UNICARE  80314 No No Participating Payer - see last page for definition. 
  Unified Health Services 62170 No No Worker's Compensation Claims Only.
  Uniform Medical Plan/Harrington Benefit Services 75243 No No  
* Uniformed Services Family Health Plan 13382 No No Claims are printed and mailed to the payer
  Union Pacific Railroad Employees 87042 No No  
  United Benefits 59069 No No  
  United Medical Resources 31107 No No This Payer ID is valid for all claims addresses on UMR Member ID cards with a listed Payer ID of 31107
  United of Omaha 71412 No No  
  United Physicians of Northern Colorado 84132 No No  
  United Resources Network 41194 No No  
  UnitedHealthcare 87726 No No  
  UnitedHealthcare 87726 No No Former MetraHealth Healthcare Network PPO, New York State Employees (Empire), Travelers Ins Co, Travelers Plan Administrators
  UnitedHealthcare 87726 No No Former MetraHealth Care Plans, Met Life, Metropolitan Life Ins. Co., MetraHealth Elect, MetraHealth Healthcare Network HMO
  UnitedHealthcare 87726 No No Former The Travelers, Travelers Health Network (HMO & Care Option, Travelers/CGT - PPO, MetraHealth - UNET
  UnitedHealthcare of Alabama 87726 No No  
  UnitedHealthcare of Arizona, Inc. 87726 No No  
  UnitedHealthcare of Arkansas 87726 No No  
  UnitedHealthcare of California - Northern California 87726 No No  
  UnitedHealthcare of California - Southern California 87726 No No  
  UnitedHealthcare of Colorado, Inc. 87726 No No  
  UnitedHealthcare of Florida 87726 No No  
  UnitedHealthcare of Georgia 87726 No No  
  UnitedHealthcare of Illinois 87726 No No  
  UnitedHealthcare of Kentucky, Ltd. 87726 No No  
  UnitedHealthcare of Louisiana 87726 No No  
  UnitedHealthcare of Mississippi 87726 No No  
  UnitedHealthcare of New England 87726 No No  
  UnitedHealthcare of New York (includes NY and NJ) 87726 No No  
  UnitedHealthcare of North Carolina, Inc. 87726 No No  
  UnitedHealthcare of Ohio 87726 No No  
  UnitedHealthcare of Tennessee 87726 No No  
  UnitedHealthcare of Texas - Dallas 87726 No No  
  UnitedHealthcare of Texas - Houston 87726 No No  
  UnitedHealthcare of the Mid-Atlantic 87726 No No  
  UnitedHealthcare of the Midlands - HMO (Choice, Select) 87726 No No  
  UnitedHealthcare of the Midlands - PPO(Choice Plus,Select Plus,Self Funded) 87726 No No  
  UnitedHealthcare of the Midwest - Choice, Choice Plus, Select, Select Plus 87726 No No  
  UnitedHealthcare of the Midwest - Medicare Complete 87726 No No  
  UnitedHealthcare of Upstate New York 87726 No No  
  UnitedHealthcare of Utah 87726 No No  
  UnitedHealthcare of Virginia 87726 No No  
  UnitedHealthcare of Wisconsin, Inc. 87726 No No  
  UnitedHealthcare Plans of Puerto Rico 87726 No No  
  Universal care - California 33001 No No  
  Universal Care - Tennessee 33002 No No  
  University Family Care SX148 W No  
  University Health Plan of NJ 59000 No No  
  University MSO 13393 No No  
  University of Washington Students & Graduate Appts. 91136 No No Please enter Group Number (P67) when submitting claims.
  UPMC Health Plan 23281 No No  
  Upper Peninsula Health Plan 38337 No No  
  USAA (United States Automobile Association) 74095 No No Property and Casualty Division Only
  USC Health Services USC11 No No  
  USFHP - St. Vincent Catholic Medical Centers of New York 13407 No No  
  USI Administrators 23217 No No  
  Utah Carpenters CMPUU No No  
  Utah Laborers CMPUU No No  
  Utah Pipe Trades CMPUU No No  
  VA Fee Basis Programs 12115 No No  
* Vanderbilt Health Plan 23173 No No  
  Vantage Health Plan, Inc. 72128 No No  
  Varian Health Care Plan 68241 No No  
  VENCOR 73288 No No  
  VHP Community Care 23173 No No  
  Vision Care Incorporated 37297 No No  
  Vista Health Plan 55248 No No  
  Vytra Healthcare 22264 No No  
  Wal-Mart 75257 No No Only stores in the following states:AK,DE,ID,MT,ND,OR,SD,VT,WI, and WY
  Washington Teamster Welfare Trust 91068 No No Claims are printed and mailed to the Payer
  Washinton State Labor and Industry WALAI No No  
  Watkins Associated Industries 58082 No No  
  Wausau Benefits - aka Employers Insurance of Wausau 39026 No No  
  WEA Insurance Group 39151 No No  
  Webster Plastics Inc. Doctor's Health Plan 16112 No No  
  WebTPA/Community Health Electronic Claims/CHEC 75261 No No  
  Wellcare HMO, Inc. 14163 No No Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
  Wellcare of CT 14164 No No Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
  Wellcare of NY 14164 No No Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
  WellPath 25129 No No  
* WELS Benefit Plan Office 22925 No No This is an E-print payer, claims willl be printed and mailed to the payer until further notice
  West Coast Stationary Engineers Health & Security Trust Fund 91136 No No Please enter Group Number (F13) when submitting claims.
  Western Grower's Assurance Trust 24735 No No  
  Western Grower's Insurance Company 24735 No No  
  Western Mutual Insurance 37247 No No  
  Western Southern Financial Group (Cincinnati,OH) 31048 No No  
  Western Teamster Welfare Trust 91068 No No Claims are printed and mailed to the Payer
  Weyco Inc. 38232 No No  
  William J Sutton & Co. LTD. (Toronto, Canada) 98010 No No  
  WinHealth WNHLT No No  
  Wisconsin Auto and Truck Dealers 39200 No No  
  World Insurance Company 75276 No No  
  Writers' Guild - Industry Health Plan 23710 No No Participating Payer - see last page for definition. 
  Yale New Haven Health-MSO, Inc. 06121 No No  
  Yale Preferred Health/HealthChoice of Connecticut 95375 No No  
* Denotes change since previous list.

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