PayerIDList
1 Payer (Insurance Company) Payer ID Additional Info
2 1199 National Benefit Fund 13162 Please include Network ID when submitting claims. Call Renaud Dufresne at (646) 473-6960 for a list of Network ID's.
3 1-888-OHIOCOMP (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
4 3-Hab (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
5 ABAS Inc. 37225 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 Street, Naperville, IL 60563.
6 ABC Health Plan 48185 For your ABC Provider Number, please call (631) 360-3102.
7 ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizon) E3510 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.
8 Access Administrators TH067
9 Acclaim 64071
10 Acclaim Repricing 21356
11 Acordia National 87815
12 ACS Benefit Services, Inc. 72467 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.
13 Activa Benefit Services, LLC 38254 (Formerly Amway Corporation)
14 Admar Corporation 95285
15 Administrative Service Consultants Call To obtain the payer ID, please call (440) 262-1160.
16 AdminOne 37278
17 Advantage Health Solutions 35209
18 Advantra/Health America, Inc./Health Assurance 25126
19 Adventist Risk Management 52197
20 AdvoCare Incorporated (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
21 Advocate Health Centers 36320 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.
22 Advocate Health Partners 65093 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.
23 Aetna 60054
24 Aetna 60054
25 Aetna 60054 Please contact your Aetna Network Manager for submission requirements.
26 Aetna 60054
28 Aetna Encounters 60055 This is a BATCH ENCOUNTER payer. Please contact your Aetna Network Manager for submission requirements.
29 Affordable Benefit Administrators 95426
30 AFTRA Health Fund 13346
31 AGA 37280
32 Agency Services Inc 64158
33 A.G.I.A. Inc. 95241 Claims are printed and mailed to the payer.
34 Alabama Health Partners SX045
35 Alaska Children's Services, Inc. 91136 Please enter Group Number (P68) when submitting claims.
36 Alaska Electrical Health & Welfare Fund Pilot
37 Alaska Laborers Construction Industry Trust 91136 Please enter Group Number (F23) when submitting claims.
38 Alaska Pipe Trades Local 375 91136 Please enter Group Number (F24) when submitting claims.
39 Alaska United Food & Commercial Workers Health & Welfare Trust 91136 Please enter Group Number (F45) when submitting claims.
40 ALICARE 13550
41 Alignis 58213
42 Alliance PPO, Inc. (Maryland) 52149
43 Alliance (The WI providers only) Call Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.
44 Alliant Health Plans of Georgia 58234
45 Allied Administrators (San Francisco, CA) 94177
46 Allied Benefit Systems 37308
47 Alpha Data TH085 Provider ID required for all THIN payers.
48 ALPS CompCare (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
49 Alta Bates Medical Group Call Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.
50 Alta Health Strategies 87043
51 Alta Senior Care (Hnet Sr and Secure Horizons only) E3510 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.
52 Altius SX113 Providers who do not have an Altius provider number assigned should contact Altius Provider Relations at 801-933-3141 (Ann Dupey).
53 Altuis 25149
54 AMA Insurance Agency TH071
55 Amalgamated Life 13550
56 AmeraPlan 38219 Claims are printed and mailed to the payer.
57 AmeriBen Solutions, Inc. 75137
58 Americaid Community Care (Maryland) 27517
59 Americaid Community Care (New Jersey) 27516
60 American Administrative Group 75240
61 American Benefit Administrative Services, Inc. 37225 Please call Julie Blazek at (630) 416-1111, ext. 156, to verify if you should be sending claims to American Benefit Administrative Services, Inc. Their address is 1733 Park Street, Naperville, IL 60563.
62 American Benefits Management (North Canton, OH) 34187 Payer ID valid only for claims with a billing submission address of P.O. Box 35008, N. Canton, OH 44735
63 American Chiropractic Network (ACN) 41161
64 American Chiropractic Network IPA of NY (ACNIPA) 41160
65 American Commercial Barge Lines 37128
66 American Community Mutual Insurance 60305
67 American Community Mutual Insurance 60305
68 American General 62030
69 American General 62030
70 American Healthcare Alliance 1066
71 American Imaging Management, Inc. 36369 Assigned Group Policy Plan ID is required. To obtain, please call American Imaging Management, Inc. at (800) 252-2021.
72 American International Group, Inc. (AIG) 87726 Plan of UnitedHealthcare
73 American International Group, Inc. (AIG) 87726 Plan of UnitedHealthcare
74 American LIFECARE 72099 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 Street, Suite 2600, New Orleans, LA 70163-2602.
75 American Medical Security, Inc. 81400
76 American National Ins. Co. (ANICO) 74048
77 American Postal Workers Union Health Plan 44444 Claims for the state of Maine ONLY must be sent on paper to MedNet, P. O. Box 15440, Portland, ME 04112.
78 American PPO 14190
79 American Republic Insurance 42011
80 American Republic Insurance 42011
81 AmeriChoice of New Jersey, Inc. (Medicaid NJ) 86047
82 AmeriChoice of New Jersey Personal Care Plus (Medicare) 86001 All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (888) 362-3368 for your Provider ID Number.
83 AmeriChoice of New York, Inc. (Medicaid NY) 86048
84 AmeriChoice of New York Personal Care Plus (Medicare) 86002 All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (866) 362-3368 for your Provider ID Number.
85 AmeriChoice of Pennsylvania, Inc. (Medicaid PA) 86049
86 AmeriChoice of Pennsylvania Personal Care Plus (Medicare) 86003 All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (800) 345-3627 for your Provider ID Number.
87 Amerigroup Corporation (Ft Worth) 27514 Formally Americaid Community Care (Dallas/Ft. Worth).
88 Amerigroup Corporation (Houston) 27515 Formerly Americaid Community Care (Houston).
89 Amerigroup Florida 27519
90 Amerigroup Illinois 27518
91 AmeriHealth Administrators 23252
92 AmeriHealth HMO New Jersey and Delaware 23037
93 AmeriHealth Mercy Health Plan 22248 Medicaid managed care. For EDI support, please e-mail edi.amhp@kmhp.com.
94 Anchor Benefit Consulting, Inc. 53085
95 Ancillary Benefit Systems/ Arizona Foundation for Medical Care 86062
96 APA Partners, Inc. 16140
97 Apex Benefit Services 34196
98 APIPA SX102
99 ARAZ 16120
100 Arcadian Management Services, Inc 77045
101 Arizona Health Concepts TH001
102 Arizona Mercy Care (AHCCS) SX100 Non-Participating Payer - see last page for definition.
103 Arizona Physicians/IPA (AHCCS) SX102 Non-Participating Payer - see last page for definition.
104 Arkansas Best Corporation -Choice Benefits 75278
105 Arnett Health Plans 95440 Please contact Shannon Hegel at Arnett Heatlh Plans at (765) 448-7483 before enrolling for ERA with WebMD Envoy.
106 Arnett Health Plans 95440 Payer requires unique Provider ID for billing, rendering or referring provider fields. Contact Arnett Health Plan's EDI Coordinator at 765-448-7483 for additional information prior to first claims submission.
107 ASC of Oho Call To obtain the payer ID, please call (440) 262-1160.
108 Associates for Health Care, Inc. (AHC) 36326
109 Assured Benefits Administrators 74240
110 Athens Area Health Plan Select 95691
111 Atlanticare [also known as Horizon HealthCare Admin (HHA)] 22304
112 Atlantis Health Plan 13853
113 Atlas Administrators TH004 Currently only accepts UCO Providers. The group number must be 8 characters in length. Only one of the characters can be a dash. If the group number is entered, then the group name must also be entered.
114 AultComp Managed Care Organization (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
115 Automated Benefit Services 38259
116 Automated Group Administration, Inc. 37280 Please send these EDI claims to the Payer ID of the PPO shown on the Member's ID Card. If you have any questions, please call 260-489-6447 (703).
117 Automotive Machinists Local 289 Health & Welfare Trust 91136 Please enter Group Number (F32) when submitting claims.
118 AvatarComp (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
119 Avera Health Plans 46045
120 AvMed, Inc. 59274 The Insured ID and Patient ID fro this payer must be the 11-digit Member ID.
121 Banner Health AZ SX145
122 Banner Health Co. - ANTERO GREELEY SX124
123 Banner Health Co. - ANTERO HIGH PLAINS SX116
124 Banner Health Co. - ANTERO MOUNTAIN SHADOWS SX126
125 Banner Health Co. - CHOICE PLUS SX115
126 Banner Health Co. - HMO GREELEY SX118
127 Banner Health Co. - HMO HIGH PLAINS SX117
128 Banner Health Co. - HMO MOUNTAIN SHADOWS SX127
129 Banner Health Co. -PACIFICARE GREELEY SX123
130 Banner Health Co. -PACIFICARE HIGH PLAINS SX119
131 Banner Health Co. -PACIFICARE MOUNTAIN SHADOWS SX128
132 Banner Health Co, - ROCKY MOUNTAIN HMO GREELEY SX121
133 Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS SX120
134 Banner Health Co. - ROCKY MOUNTAIN HMO MOUNTAIN SHADOWS SX129
135 Banner Health Co. - SECURE HORIZONS GREELEY SX125
136 Banner Health Co. - SECURE HORIZONS HIGH PLAINS SX122
137 Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS SX130
138 Bass Administrators, Inc. 37248
139 BCI Administrators, Inc. 49153
140 Beech Street Corporation 95377
141 BeneFirst 37125
142 Benefit Coordinators Corporation (Pittsburgh, PA) 25145 Payer ID valid only for claims with a billing submission address of 111 Ryan Court, Suite 300, Pittsburgh, PA 15205.
143 Benefit Management Group TH082 Provider ID required for all THIN payers.
144 Benefit Management Systems, Inc 37212
145 Benefit Plan Administrators Co. (Eau Claire, WI) 39081 Payer ID valid only for claims with a billing submission address of P.O. Box 1128, Eau Claire, WI 54702-1128.
146 Benefit Plan Administrators, Inc. (Roanoke, VA) 37118 Please call Mary Bender at (540) 345-2721 to verify if you should be sending to the Benefit Plan Administrators, Inc., in Roanoke, VA.
147 Benefit Plan Management, Inc. 37222
148 Benefit Planners, Inc. 74223
149 Benefit Resources 2053
150 Benefits, Inc. 42148
151 Benefit Source, Inc. 38257
152 Benefit Systems & Services, Inc. (BSSI) 36342
153 Benesight 87265 (Formerly known as The TPA)
154 Benesys 37248
155 Benesys, Inc. 37248
156 Berkshire Health Partners Call Before submitting please contact Lori Calpino at (610) 372-8044 ext. 3019
157 Best Life & Health Insurance Co. 95604
158 Better Health Plans, Inc. 62183
159 Better Health Plans of South California 32006
160 Bexar Medical IPA Pilot
161 BHSG of Tennessee SX002
162 Bluegrass Family Health 61124
163 BMC HealthNet Plan 13337 Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID #, including all leading zeros.
164 Boilermakers National Health & Welfare Fund 36609
165 Boon-Chapman Benefit Administrators, Inc. 74238
166 Boston Medical Center Health Plan, Inc. 13337 Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID #, including all leading zeros.
167 Boston Medical Center Health Plan, Inc. 13337
168 Boyd Bros. Transportation, Inc. 37273
169 BoydCare 37273
170 BPA/Benefit Plan Administrators (North Dakota) 37286
171 Bridge Benefits 38365
172 Bridgestone Claims Services 37285
173 Brockerage Concepts, Inc. 51037
174 Brodart Co. 37262
175 Brokerage Service Inc Call To obtain the payer ID, please call (440) 262-1160.
176 Brown & Toland Medical Group 94316
177 Brown & Toland Medical Group 94316
178 Bryan Independent School TH075 Provider ID required for all THIN payers.
179 BSI Call To obtain the payer ID, please call (440) 262-1160.
180 Buckeye Community Health 32004
181 Buenaventura Medical Group, Inc. 50240 Claims are printed and mailed to the payer.
182 Butler Benefit 42150
183 Cambridge ISG 59334
184 Cannon Cochran Management Services, Inc. 37105
185 Cape Health Plan 38245
186 Capital Community Health Plan 87726
187 Capital District Physician's Health Plan SX065
188 Capitol Administrators 68011
189 Carechoices Michigan - Mercy Healthplans Pilot Enrollment required; please contact Noreen at (248) 489-5281.
190 CareCore National 14182
191 CareCore National - Healthnet 14184 The Payer requires the following - Additional Provider Info E6; RENDERING PROVIDER NETWORK ID -E6-14, REFERRING PROVIDER ID E0-25, FACILITY INFO - J0, FACILITY ID J0-10
192 CareCore National, LLC (Aetna Radiology Claims) 14179
193 CareCore National, LLC (Oxford Radiology Claims) 14180
194 Carelink Advantra 25139 West Virginia HealthAssurance and Carelink commercial claims only. For Carelink Medicaid, send on paper to P.O. Box 7373, London, KY 40742.
195 Carelink Health Plan 25139 West Virginia HealthAssurance and Carelink commercial claims only. For Carelink Medicaid, please send claims to payer ID 25140.
196 Carelink Health Plan 25139
197 Carelink Medicaid 25140
198 Carelink Medicaid 25140
199 Carenet 25142
200 Carenet 25142
201 Care Plus Health Pilot
202 CarePlus Health Plans, Inc. 65031 (Formerly Physicians Healthcare Plans Inc)
203 CareSource 31114
204 Careworks 10010 Payer is receiving NSF 3.0. eMCDS file is sent to OKC and then translated to NSF3.0. Files are then pushed to Careworks' Production Server.
205 CareWorks (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
206 Cariten Healthcare 62073
207 Cariten Senior Health 62072
208 Carolina Benefit Administrators Inc. 37245
209 Carolina Care Plan 57105
210 Carolina Summit Healthcare, Inc. 56195
211 Carpenter's Health and Welfare Trust Fund of St. Louis 25125 Utilizes the CMR Network.
212 Cascade East Health Plans 93040
213 CBCA Administrators 55438
214 CBSA 41124
215 CCN Managed Care, Inc. 33005 Please include Group Name and Insured's Employer Name on claims.
216 CDPHP SX065 Transitional Payer - see last page for definition.
217 Cedar Rapids Electrical Workers TH046
218 Cedars-Sinai Medical Network Services 95166
219 Cedars-Sinai Medical Network Services 95167
220 Cemara Administrators Inc. 37250
221 Cement Masons & Plasterers Health & Welfare Trust 91136 Please enter Group Number (F16) when submitting claims.
222 CenterCare Pilot
223 Centra 75196
224 Centra Benefit Services 75196
225 Central Benefits Life 31118
226 Central Benefits Mutual 31118
227 Central Benefits National 31118
228 Central Reserve Life 34097
229 Central States Health & Welfare Funds 36215
230 Central States Joint Board Health and Welfare Fund 37214
231 Central Valley Medical Group E3510 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.
232 Century Health Solutions 48120
233 CHA - Commonwealth Health Alliance 23171
234 CHAMPVA - HAC 84146
235 CHAMPVA-HAC 84146 CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS).
236 Chautauqua County Healthcare Plan (Mayville, NY) 16600
237 Chesapeake Life Insurance Company - Insurance Center 59223 Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017, North Richland Hills, TX 76182.
238 Chesapeake Life Insurance Company - Insurance Center 59223
239 Children of Women Vietnam Veterans-VA HAC 84146
240 Children of Women Vietnam Veterans-VA HAC 84146
241 Choice One/UTMB CHIP Health Plan 76049 Prior to submitting please call Provider Relations at (281) 652-8700.
242 CHP/RPU (FABOH) Call Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.
243 Christian Brothers Services 61271
244 Christus Spohn Health Network 74261
245 CHS Claims 37288
246 CIGNA 62308 Providers/Vendors must register using payer specific enrollment forms located at www.webmdenvoy.com. Payer ID 68195 will no longer be valid as of Dec. 15, 2003
247 CIGNA 62308
248 CIGNA Behavioral Health SX071 Enrollment required. Please contact E-commerce at (800) 334-8925.
249 CIGNA Healthcare for Seniors -Arizona Medicare 86033
250 CIGNA Health Plan - HMO 62308
251 CIGNA - PPA 62308
252 CIGNA - PPO 62308
253 Cimarron Health Plan TH058
254 Cimarron Salud TH059
255 City of Oklahoma City 59142
256 Claims Management Services 39141
257 ClaimsWare, Inc. DBA ManageMed 57080 Claims are printed and mailed to the payer.
258 Clarendon Kids Chip Program TH006
259 Clearchoice Health Plan / COIHS 77201
260 Coalition for Care/Medtrex Payer HS Call Please call Provider Relations at (201) 634-8700 for the payer ID.
261 Coalition for Care/Medtrex PayerTC Call Please call Provider Relations at (201) 634-8700 for the payer ID.
262 Coalition for Care/Medtrex Payer WL Call Please call Provider Relations at (201) 634-8700 for the payer ID.
263 Coalition for Care/Medtrx GH Call Please call Provider Relations at (201) 634-8700 for the payer ID.
264 Coalition for Care/Medtrx IX Call Please call Provider Relations at (201) 634-8700 for the payer ID.
265 Coalition for Care/Medtrx L8 Call Please call Provider Relations at (201) 634-8700 for the payer ID.
266 Coalition for Care/Medtrx Payer EM Call Please call Provider Relations at (201) 634-8700 for the payer ID.
267 Coalition for Care/Medtrx Payer FI Call Please call Provider Relations at (201) 634-8700 for the payer ID.
268 Coalition for Care/Medtrx Payer HP Call Please call Provider Relations at (201) 634-8700 for the payer ID.
269 C&O Employees Hospital Association 23708
270 Colonial Healthcare 37123
271 Colorado Access 84129
272 Colorado Medicaid Access SX114
273 Columbia Cornell Care 25351
274 Columbia United Providers 91162
275 Combined Benefits, Inc. 37271
276 Commerce Benefits Group 34181
277 CommonWealth Administrative Group 37237
278 Commonwealth Administrators TH026
279 Community Care Behavioral Health Organization 25179
280 Community Care Managed Health Care Plans of Oklahoma 73143
281 Community Care Organization 39126
282 Community Care Plus 71079
283 Community Choice of Michigan Pilot
284 Community First TH005
285 Community Health Alliance 35193
286 Community Health Choice 48145
287 Community Health Electronic Claims/CHEC/webTPA 75261
288 Community Health Network of CT 62149 Community Health Network of CT cannot accept electronic claims for Anesthesia. If you have questions on how to submit these claims, please contact LeAnn Olson, Director of Claims, at (203) 237-4000, ext. 3136.
289 Community Health Plan 90010 Located in St. Joseph, MO. Service area includes NW Missouri, NE Kansas, SW Iowa, and SE Nebraska.
290 Community Health Plan Washington SB613
291 Community Premier Plus Pilot
292 Community Premier Plus for Neighborhood Health Providers 32481
293 CompBenefits Corporation 37297
294 Complete Health of Alabama SX004
295 CompManagement Health Systems, Inc. (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
296 CompManagement/Integrated Comp (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
297 Comp - Ohio (Austintown, OH) 34177
298 Comp One (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
299 Comprehensive Benefits Administrator, Inc. 3036
300 Comprehensive Medical Care (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
301 ConnectiCare, Inc 6105
302 ConnectiCare, Inc 6105
303 Connecticut General (CIGNA) 62308
304 Consociate Group 37135
305 Consolidated Associates Railroad 75284
306 Consumer Health Solutions 37295
307 Continental General Insurance Company 71404 Claims are printed and mailed to the payer.
308 CHP/RPU (FABOH) Call Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.
309 Christian Brothers Services 61271
310 Christus Spohn Health Network 74261
311 CHS Claims 37288
312 CIGNA 62308 Providers/Vendors must register using payer specific enrollment forms located at www.webmdenvoy.com. Payer ID 68195 will no longer be valid as of Dec. 15, 2003
313 CIGNA 62308
314 CIGNA Behavioral Health SX071 Enrollment required. Please contact E-commerce at (800) 334-8925.
315 CIGNA Healthcare for Seniors -Arizona Medicare 86033
316 CIGNA Health Plan - HMO 62308
317 CIGNA - PPA 62308
318 CIGNA - PPO 62308
319 Cimarron Health Plan TH058
320 Cimarron Salud TH059
321 City of Oklahoma City 59142
322 Claims Management Services 39141
323 ClaimsWare, Inc. DBA ManageMed 57080 Claims are printed and mailed to the payer.
324 Clarendon Kids Chip Program TH006
325 Clearchoice Health Plan / COIHS 77201
326 Coalition for Care/Medtrex Payer HS Call Please call Provider Relations at (201) 634-8700 for the payer ID.
327 Coalition for Care/Medtrex PayerTC Call Please call Provider Relations at (201) 634-8700 for the payer ID.
328 Coalition for Care/Medtrex Payer WL Call Please call Provider Relations at (201) 634-8700 for the payer ID.
329 Coalition for Care/Medtrx GH Call Please call Provider Relations at (201) 634-8700 for the payer ID.
330 Coalition for Care/Medtrx IX Call Please call Provider Relations at (201) 634-8700 for the payer ID.
331 Coalition for Care/Medtrx L8 Call Please call Provider Relations at (201) 634-8700 for the payer ID.
332 Coalition for Care/Medtrx Payer EM Call Please call Provider Relations at (201) 634-8700 for the payer ID.
333 Coalition for Care/Medtrx Payer FI Call Please call Provider Relations at (201) 634-8700 for the payer ID.
334 Coalition for Care/Medtrx Payer HP Call Please call Provider Relations at (201) 634-8700 for the payer ID.
335 C&O Employees Hospital Association 23708
336 Colonial Healthcare 37123
337 Colorado Access 84129
338 Colorado Medicaid Access SX114
339 Columbia Cornell Care 25351
340 Columbia United Providers 91162
341 Combined Benefits, Inc. 37271
342 Commerce Benefits Group 34181
343 CommonWealth Administrative Group 37237
344 Commonwealth Administrators TH026
345 Community Care Behavioral Health Organization 25179
346 Community Care Managed Health Care Plans of Oklahoma 73143
347 Community Care Organization 39126
348 Community Care Plus 71079
349 Community Choice of Michigan Pilot
350 Community First TH005
351 Community Health Alliance 35193
352 Community Health Choice 48145
353 Community Health Electronic Claims/CHEC/webTPA 75261
354 Community Health Network of CT 62149 Community Health Network of CT cannot accept electronic claims for Anesthesia. If you have questions on how to submit these claims, please contact LeAnn Olson, Director of Claims, at (203) 237-4000, ext. 3136.
355 Community Health Plan 90010 Located in St. Joseph, MO. Service area includes NW Missouri, NE Kansas, SW Iowa, and SE Nebraska.
356 Community Health Plan Washington SB613
357 Community Premier Plus Pilot
358 Community Premier Plus for Neighborhood Health Providers 32481
359 CompBenefits Corporation 37297
360 Complete Health of Alabama SX004
361 CompManagement Health Systems, Inc. (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
362 CompManagement/Integrated Comp (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
363 Comp - Ohio (Austintown, OH) 34177
364 Comp One (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
365 Comprehensive Benefits Administrator, Inc. 3036
366 Comprehensive Medical Care (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
367 ConnectiCare, Inc 6105
368 ConnectiCare, Inc 6105
369 Connecticut General (CIGNA) 62308
370 Consociate Group 37135
371 Consolidated Associates Railroad 75284
372 Consumer Health Solutions 37295
373 Continental General Insurance Company 71404 Claims are printed and mailed to the payer.
374 Conversion Plan-APWU 55544 Claims are printed and mailed to the payer.; For conversion plan members only. If filing a claim for a federal plan member, please use payer ID 44444.
375 Cooperative Benefit Administrators (CBA) 52132
376 Cooperative Benefit Administrators (CBA) 52132
377 Coordinated Medical Specialists 58204
378 Core Administrative Services 58231
379 CoreSource AZ MN 41045 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 800-698-0106.
380 CoreSource AZ MN 41045 Email address is payorid41045@coresource.com;Full process for notification of a provider request for an 835 from WebMd/CoreSource Payer Id 41045 attached.
381 CoreSource Little Rock 75136 Only for 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.
382 CoreSource Little Rock 75136 Must Notify Payer
383 CoreSource MD PA IL 35182 Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Maryland, Pennsylvania or Illinois. For assistance call 800-689-0106.
384 CoreSource MD PA IL 35182 Email address is payorid35182@coresource.com
385 CoreSource NC IN 35180 Only for 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.
386 CoreSource NC IN 35180 Email address is payorid35180@coresource.com
387 CoreSource OH 35183 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.
388 CoreSource OH 35183 Email address is payorid35183@coresource.com
389 Cornerstone Benefit Adminstrators 35202
390 Corporate Benefit Services of America 41124 Payer ID valid only for claims with a billing submission address of P.O. Box 27267, Minneapolis, MN 55427-0267.
391 Corporate Benefits Service, Inc. (NC) 56116 Payer ID valid only for claims with a claims submission address of P.O. Box 12953, Charlotte, NC 28220.
392 Corporate Systems Administration 37246
393 Correctional Medical Services 43160
394 CorSolutions 48146
395 Corvel Corporation (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
396 Cottage Health System 37288
397 Cottage Hospital 37288
398 Country Life Insurance Company 62553
399 Covenant Administrators, Inc. (Atlanta, GA) 58102
400 Coventry Health Care of Delaware, Inc. 25130
401 Coventry Health Care of Delaware, Inc. 25130
402 Coventry Health Care of Georgia, Inc. 25127
403 Coventry Health Care of Georgia, Inc. 25127
404 Coventry Health Care of Iowa, Inc. 25132
405 Coventry Health Care of Iowa, Inc. 25132
406 Coventry Health Care of Kansas, Inc. - Kansas City 25133
407 Coventry Health Care of Kansas, Inc. - Kansas City 25133
408 Coventry Health Care of Kansas, Inc. - Wichita 25134
409 Coventry Health Care of Kansas, Inc. - Wichita 25134
410 Coventry Health Care of Louisiana, Inc. 25135
411 Coventry Health Care of Louisiana, Inc. 25135
412 Coventry Health Care of Nebraska, Inc. 25136
413 Coventry Health Care of Nebraska, Inc. 25136
414 Coventry - Kansas City Medicare (Advantra) 25144 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).
415 Coventry - Kansas City Medicare (Advantra) 25144 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).
416 CRA Managed Care (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
417 Crawford & Company (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
418 C & R Consulting, Inc. 13390
419 Creative Medical Systems 64068
420 Croy-Hall Mgmt. Inc. 37266
421 Custom Benefit Administrators 39170
422 Dart Management Corporation TH073 Provider ID required for all THIN payers.
423 Dean Health Plan Call Provider Enrollment and testing required by Payer. Call (608) 827-4128 to obtain Payer ID
424 Definity Health 64159
425 Delaware Physicians Care, Inc. 27009
426 Denver Health and Hospital Authority 84133
427 Denver Health - Indigent 84134
428 Denver Health Medical Plan 84135
429 Department of Corrections 59142
430 Department of Rehabilitative Services 59142
431 Deseret Mutual SX105
432 Destiny Health 36436
433 Diamond Plan 25131
434 Diamond Plan 25131 Paper remits will continue
435 Directors Guild of America -Producer Health Plan 23706
436 Diversified Administration Corporation 6102
437 eAppeal Solutions 65009 Claims are printed and mailed to the payer.
438 Early Intervention Central TH084 Provider ID required for all THIN payers.
439 East Bay Medical Network Call Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.
440 EBC, Inc. Call To obtain the payer ID, please call (440) 262-1160.
441 EBC Mid-America Call To obtain the payer ID, please call (440) 262-1160.
442 EBMS (Employee Benefit Management Services, Inc.) 81039
443 Educators Mutual (EMIA) SX110
444 EHI (Employers Health Insurance) 73288 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.
445 Elder Health HMO of Pennsylvania 52192 Elder Health services providers in the Maryland and Pennsylvania aera only. Not to be confused with ElderPlan in NY.
446 Elder Health Maryland HMO Inc. 52192 Elder Health services providers in the Maryland and Pennsylvania area only. Not to be confused with ElderPlan in NY.
447 ElderPlan, Inc. 31625 Enrollment with Payer required prior sending EDI. Please contact Elderplan at epedi@mjhs.org,by fax at (718) 759-4034, or by phone at (718) 491-7280
448 Elmco 37253
449 Emerald Health Network, Inc. (All PPO Business) 34167
450 EMPHESYS 73288 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.
451 Employee Benefit Claims -Mid-America Call To obtain the payer ID, please call (440) 262-1160.
452 Employee Benefit Claims of WI Call To obtain the payer ID, please call (440) 262-1160.
453 Employee Benefit Claims of Wisconsin Call To obtain the payer ID, please call (440) 262-1160.
454 Employee Benefit Concepts (Farmington Hills, MI) 38241
455 Employee Benefit Consultants, Inc. Call To obtain the payer ID, please call (440) 262-1160.
456 Employee Benefit Corporation 37215
457 Employee Benefit Services 37216
458 Employee Benefit Services of Louisiana, Inc (EBS) 41198
459 Employee Benefits Plan Administration, Inc. (E.B.P.A.) 3036
460 Employee Claim ADJ 75184
461 Employee Group Services TH076 Provider ID required for all THIN payers.
462 Employee Plans, LLC 35112
463 Employers Direct Health 75232
464 Employer's Direct Health -Employee Plan 75236
465 Employer's Direct Health - FI 75235
466 Employer's Direct Health - SF 75233
467 Employers Health 73288 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.
468 Employers Health Insurance 73288 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.
469 Employers Insurance of Wausau 39026
470 Employers Life Insurance Corporation 37249
471 Employers Mutual, Inc (Jacksonville, Florida) 59298
472 Employers Mutual, Inc. (Stuart, Florida) 59331 For plan and claim requirements, please contact the Employers Mutual, Inc. (Stuart, FL) Customer Service Department at (772) 287-7650, ext. 4052.
473 Encircle PPO 35206
474 Encompass 37110
475 Encore Health Network 35206
476 ENH Medical Group IPA 36364
477 Enstar Natural Gas 91136 Please enter Group Number (P61) when submitting claims.
478 EQUICOR 62308
479 EQUICOR - PPO 62308
480 Equitable Plan Services (Oklahoma City, OK) 73126 Payer ID valid only for claims with a billing submission address of P.O. Box 720460, Oklahoma City, OK 73172.
481 Erin Group Administrators 23250
482 ETHIX Mid West SX008
483 E-V Benefits Management, Inc (Columbus, OH) 34159
484 Evercare 87726
485 Evergreen Health Plan 58233
486 ExclusiCare 71412
487 FABOH (CHP/RPU) Call Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.
488 FACS Group 37300
489 Fallon Community Health SX072
490 Family Health Partners/MC+ Missouri 43173
491 Family Health Plan TH045
492 Family Health Plan (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
493 Family Practice Associates TH007 Provider ID required. Please call (409) 721-5900 to obtain.
494 FARA 37289
495 FARA Benefit Services, Inc. 37289
496 F.A. Richard & Associates, Inc. 37289
497 Farm Family 14140
498 FCE Benefit Administrators 33033
499 Federated Benefits 37300
500 Federated HR Services 37300
501 Federated Mutual Insurance 41041
502 Fidelis Care New York 11315
503 FirstCare TH003
504 FirstCare "Star" Mediciad TH003 Transitional Payer - see last page for definition. Provider ID required. Please call (800) 365-1051 to obtain. The insured ID must be 9 alphanumeric characters and 2 digits.
505 First Carolina Care 56196
506 First Choice (CT) 14162 Please note that all claims submitted require a 5-8 character Render Provider Network ID.
507 First Choice Health Administrators Call Please contact First Choice for the payer id at (206) 268-2348.
508 First Choice Health Network 91131
509 First Choice of Midwest (PPO) 75138
510 FirstGuard Health Plan 90060
511 First Health 87043
512 First Health 87043 Providers must complete Payer Registraiton form & send copy of W9 form for each tax id to WebMD Enrollment. WebMD Enrollment should forward all infor to Payer: Document should be faxed to (801) 954-4836 attn: Louise Munson. DO NOT HAVE PROVIDERS FAX FORMS
513 First State Health Plan 63080
514 Fiserv Health -Kansas/Tennessee 62061 (Formerly Willis Administrative Services Corporation)
515 Fitzharris & Company, Inc. 11244
516 Florida 1st 59276
517 Florida Hospital Healthcare Systems 59321 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. The FHHS member member ID must be 11 digits in length.
518 Florida Hospital Waterman 48116 For assistance send email to HIPAA@f-m-h.com
519 FMH Benefit Services, Inc. 48117 For assistance send email to HIPAA@f-m-h.com
520 Formax, Inc. 87066
521 Fortis Benefits Insurance Company 70408
522 Fortis Benefits Insurance Company 70408
523 Fortis Insurance Company 39065
524 Fortis Insurance Company 39065
525 * Foundation Health Plan (Sunrise, FL) Claims
526 Fox-Everett, Inc. 64069
527 FoxEverett - Ingalls Ship Building 64067
528 Fox Valley Medicine TH056
529 Fringe Benefits Coordinators 59204
530 Gallagher Benefit Administrators, Inc/GBA 37283 Claims are printed and mailed to the payer.
531 Galveston County Indigent Health Care 30005
532 Gates McDonald Health Plus, Inc. (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
533 Gateway Health Plan 25169
534 Gateway Health Plan 25169
535 GBA 37283 Claims are printed and mailed to the payer.
536 GE Group Administrators, South Carolina 6143 (Formerly Phoenix Group Services, Inc.)
537 GE Group Administrators, Texas 75238 (Formerly Phoenix Group Services - Texas)
538 G.E. Group Life Assurance Company 67815
539 Geisinger Health Plan 75273 Prior enrollment required. Please contact Geisinger Health Plan at 1-888-281-5338, option 3, to obtain an enrollment form; or download a PDF enrollment form at www.thehealthplan.com.
540 General American Life Insurance Company 63665
541 GENEX Care of Ohio (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
542 GH Basic Health Plan 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
543 GHC - Commercial 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
544 GHC Medicare + Choice 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
545 GHC - West 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
546 GHI HMO 25531
547 GH Individual and Family Plan 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
548 GHI - New York (Group Health Inc.) 13551
549 GHP (Group Health Plan) 25141
550 GHP (Group Health Plan) 25141
551 GIC Indemnity Plan 80314
552 GI Innovative Management 58204
553 Gilsbar, Inc. 7205
554 Glassworkers Health & Welfare Fund 91136 Please enter Group Number (F29) when submitting claims.
555 GMS, Inc. 47083
556 Golden Rule Insurance Company 37602
557 Golden Triange Physician Associates TH009 Payer-assigned provider ID required. Please call (409) 721-5900 to obtain.
558 Government Employees Hospital Association (GEHA) 44054
559 Government Employees Hospital Association (GEHA) 44054
560 Grant Physicians Practice Association 37234
561 Great Lakes Health Plan 95467
562 Great-West Healthcare 80705
563 Great-West Healthcare 80705
564 GreenTree Administrators TH010
565 Group Administrators Ltd. 36338
566 Group and Pension Administrators 48143
567 Group Benefit Administrators (Hendersonville, TN) 72153
568 Group Health Cooperative - East 91121 Eastern Washington State. Please call (888) 767-4670 prior to first submission of production claims.
569 Group Health Cooperative of South Central Wisconsin 39167
570 Group Health Cooperative of South Central Wisconsin 39168
571 Group Health Cooperative of South Central Wisconsin 39168
572 Group Health Managers 38194
573 Group Health Options, Incorporated Alliant Plus 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
574 Group Health Options, Incorporated Alliant Select 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
575 Group Health Options, Incorporated Options 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
576 Group Health Options, Incorporated Options Prime 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
577 Group Health Options, Incorporated Options Select 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
578 Group Insurance Service Center, Inc. 37276
579 Guardian Life Insurance Company of America 64246
580 Gundersen Lutheran Health Plan, Inc. 39180 Before submitting electronically to Gundersen Lutheran Health Plan, Inc., all providers must call Shari Oelke at (608) 775-8026.
581 Harmony Health Plan of Illinois 36406
582 Harmony Health Plan of Indiana 36405
583 Harrington 95266
584 Harrington Benefit Services, Inc. 75196
585 Harrington Benefit Services, Inc. 95266
586 Harrington Benefit Services, Inc., Centra 75196
587 Harrington Benefit Services, Inc. (Oklahoma) 59142
588 Harrington Benefit Services -Oklahoma 59142
589 Harvard Pilgrim Health Care 4271
590 HCHA Albq-Self Funded 37329
591 HCH Administration (Illinois) 37111
592 HCH Administration, Inc. 37215 Formerly John P. Pearl Associates
593 HCS - Health Claims Service (Boise, ID) 82018
594 HDM Benefit Solutions TH070
595 Health 1,2,3, Inc. 23173
596 Health Administration Service, Inc. 34185
597 Health Alliance Exclusive & Plus 23172
598 Health Alliance Medical Plans 77950
599 Health Alliance Plan of Michigan 38224
600 Health America Inc./Health Assurance/Advantra 25126
601 Health America Inc./Health Assurance/Advantra 25126
602 Health Assurance/Health America, Inc./Advantra 25126
603 Health Care Network of Wisconsin (HCN) 42102
604 Healthcare Partners HCP01
605 HealthCare Partners, IPA 11328 Formerly Heritage New York Medical Group.
606 Healthcare Resources Group (HRG) 82468
607 Health Care Savings, Inc. 56142
608 Healthcare Solutions Group 73147
609 Healthcare Transaction Processing, Inc (HTP) 31147 For Ohio Worker's Comp Claims ONLY.
610 Healthcare USA 25143
611 Healthcare USA 25143
612 Health Connecticut 37263
613 Health Cost Solutions 62111
614 Health Design Plus (Hudson, OH) 34158
615 HealthEase 59608 Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
616 Health EZ 16120
617 Healthfirst, Inc. (New York) 80141 All claims submitted require a valid Healthfirst, Inc. (NY) provider ID in the Rendering Provider Network ID field.
618 Healthfirst TPA (Tyler, TX) 75234
619 Health Future, LLC. 30946
620 HealthGuard of Lancaster 23226
621 HealthHelp Network, Inc. (HHNI) 59087
622 Healthlink HMO 96475 Please call Provider Relations Dept at (800) 624-2356 for unique provider number.
623 Healthlink PPO 90001 Please call Provider Relations Dept at (800) 624-2356 for unique provider number.
624 Health Management Administrators (HMA) TH049
625 Health Management Solutions (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
626 Health Net - California (Professional Encounters ONLY) 95570 Must submit with Health Net Submitter ID. Please contact Carol Petula at (916) 935-1464 to obtain Health Net Submitter ID.
627 Health Net of Arizona 38309 Payer requires unique provider ID; please call (866) 334-4638.
628 Health Net of California and Oregon - Claims 95567
629 Health Net of the Northeast, Inc. 6108 Payer requires unique provider ID; please call (866) 334-4638.
630 Health Network America 20199
631 Health New England 4286
632 Health Options of Florida SX030
633 Health Partners - Jackson, TN 62157
634 Health Partners - Minnesota SX009
635 Health Partners of Alabama, Inc. 63092
636 Health Partners, PA 80142 All claims submitted require a valid Health Partners, PA, provider ID in the Rendering Provider Network ID field.
637 Health Partners Southeast 63092
638 Health Plan Management 37221
639 HealthPlan Services (Tampa only) 59140
640 Health Plans Inc. 44273 Claims are printed and mailed to the payer.
641 Health Plan Southeast (Tallahassee, FL) 59256
642 Health Pledge HMO 95435
643 Health Plus PHSP (Brooklyn, NY) 11324
644 Health Risk Management 55438
645 HealthSCOPE Benefits, Inc. 71063
646 HealthSCOPE Benefits, Inc. (PCP Only) Call Call Jonda Brown (800) 972-3025 for Payer ID.
647 HealthSCOPE Benefits, Inc. (Repricing AR) 48153
648 Health Services Preferred (HSP) by Emerald Health 34167
649 Health Services Purchasing Coalition TH044
650 HealthSmart Preferred Care, Inc. 75250
651 Healthsource, AR 71074 Payer requires provider ID number; please call (800) 831-6654.
652 Healthsource, AR (Med) (CIGNA) 71075 Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
653 Healthsource CMHC 2041
654 Healthsource, GA (CIGNA) 58210 Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
655 Healthsource, IN 35167
656 Healthsource, KY 61127
657 Healthsource Massachusetts, Inc. 2041
658 Healthsource, ME 1041 Payer requires unique provider ID; please contact (800) 909-2227, ext. 5760.
659 Healthsource, NC (CIGNA) 56147 Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
660 Healthsource, NH 2038 Payer requires unique provider ID for new providers; please contact Donna Wilson at (603) 268-7439.
661 Healthsource, N. TX (CIGNA) 75255 Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
662 Healthsource, OH 31141
663 Healthsource Provident 68195 Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
664 Healthsource, SC 6119 Healthsource Network Providers Only
665 Healthsource, SC Pilot
666 Healthsource, TN (CIGNA) 62129 Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
667 HealthSpring HMO/HealthSpring Medicare+Choice 25193 An EDI application must be submitted prior to submitting claims. Please contact Provider Relations at (615) 291-7035 or visit www.myhealthspring.comto obtain an application. This payer ID is not for PPO claims.
668 HealthSpring of Alabama 63092 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.
669 HealthStar, Inc. 36332
670 Health Strategies SX044
671 Healthy Options (DSHS) 91051 Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
672 HEP Administrators, Inc. (Non-PPO) Call Prior enrollment is required. Please call customer service at (262) 567-9695.
673 HEP Administrators (PPO) Call Prior enrollment is required. Please call customer service at (262) 679-9695.
674 H.E.R.E.I.U Welfare Pension Funds 37114
675 Heritage Consultants 59230 For faster payment, please be sure to use only the 9-digit subscriber ID on all claims.
676 Heritage Physician Network TH011 Payer-assigned provider ID required. Please call (409) 721-5900 to obtain.
677 HFN, Inc. 36335
678 Hillcrest Benefit Administrators 59347
679 Hill Physicians Medical Group Call Please contact Joan Donham at (925) 362-6259 for Payer ID.
680 HIP - Health Insurance Plan of Greater New York 55247 Individual provider enrollment is required by HIP of NY. Please call HIP of NY Provider Relations to obtain the enrollment form at (212) 630-8711 or e-mail at edisupport@hipusa.com.
681 HMO Blue Star Plus TH001 Transitional Payer - see last page for definition. Provider ID required. Please contact (602) 331-5100, ext. 5563 to obtain.
682 HomeTown Health Network 34150
683 Horizon HealthCare Admin (HHA) 22304
684 Horizon NJ Health 22326 Medicaid managed care. For EDI support, please e-mail edi.hm@kmhp.com.;Formerly Horizon Mercy Health Plan
685 Hospital Benefits, Inc. Pilot
686 Hotel Employees & Restaurant Employees Health Trust 91136 Please enter Group Number (F19) when submitting claims.
687 HPS Paradigm, Inc. 58227
688 HRH of Illinois 36410
689 HRM 41170
690 HRM Claim Management 41170 [Formerly Health Risk Management (HRM)]
691 Hudson Health Plan Call Provider enrollment is required by the payer. Please contact Sam Gutwillig at (914) 372-2291 to obtain payer ID.
692 Humana Emphesys 61101
693 Humana - Employers Health Insurance 73288 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.
694 Humana Employers Health Insurance 61101
695 Humana Inc. 61101
696 Humana Inc. Encounters 61102 Claims sent to payer id 61102 will NOT be paid. Payer ID 61102 is for ENCOUNTERS ONLY.
697 Humana Insurance Company Choice Care Network 61101 Does not include Humana ChoiceCare of Cincinnati -(Humana Health Plans of Ohio)
698 Hunt Insurance Group 37260
699 IAA 37279
700 IBA Self Funded Group 38234
701 IBI 41124
702 ICM 37296
703 ICON Benefit Administrators 75185
704 I. E. Shaffer (West Trenton, NJ) 22175
705 IHC - Intermountain Health Care SX107
706 Illinois Central Hospital Association (Tinley Park, IL) 36600
707 I'Mcare 41600
708 INDECS Corporation 40585
709 Independent Health Call Please contact E-commerce at (716) 635-3911 prior to first submission of claims.
710 Indiana Health Network 35204
711 Indiana ProHealth Network 35161
712 Indiana Teamsters Health Benefits Fund (Indianapolis, IN) 35107 Formerly known as Local 135 Health Benefits Fund (Indianapolis, IN)
713 Individual Health Insurance Companies 31053
714 Informed, LLC 52196
715 Innovative Healthware Solutions 4320
716 Insurance Administrators of America, Inc. 37279
717 Insurance Claims Services, Inc. (Birmingham, AL) 63082
718 Insurance Design Administrators 13315
719 Insurance Management Services (Elko, NV) 88006
720 Insurance Services of Lubbock TH012
721 Insurdata/Insurnational SX011
722 Integra Administrative Group (Seaford, DE) 51020 Payer ID valid only for claims with a billing submission address of 110 S. Shipley Street, Seaford, DE 19973.
723 Integra Group 31127
724 Integra Group-CHA 31129
725 Integrated Care Network (ICN) by Emerald Health 34167
726 InterCare Health Plans Inc. 37227
727 Interface EAP (IEAP) 60280
728 Intergroup Services Corporation 23287
729 International Brotherhood of Boilermakers 36609
730 International Union of Operating Engineers ~ Local 15, 15A, 15C & 15D 37269 Located in New York, NY
731 Iowa Benefits Inc. 41124
732 Iowa Operating Engineers TH042
733 IUOE Local 4 37241 Payer ID valid only if billing submission address is 177 Bedford Street, P.O. Box 4, Lexington, MA 02420 and Group Number = 300. Contact Jamie MacLauchlan at (781) 861-1600 ext. 24 with questions.
734 J. F. Molloy and Associates, Inc. 61271
735 JI Specialties TH033
736 John Alden Life Insurance Co. 41099
737 John Alden Life Insurance Co. 41099
738 John Deere Health Care/Heritage National Healthplan 95378 Prior to initial submission, provider must first contact John Deere at (309) 765-1593 - toll free (866) 509-1593 -to receive provider id.
739 Johns Hopkins Healthcare Pilot
740 Joplin Claims 43178
741 JP Farley Corporation 34136
742 JSL Administrators 37272
743 Kaiser Foundation Health Plan of Georgia 21313
744 Kaiser Foundation Health Plan of Northern CA Region Call Please contact Cheryl G. Robinson at (866) 285-0362 or e-mail her at cheryl.g.robinson@kp.orgprior to first submission of claims.
745 Kaiser Foundation Health Plan of Southern CA Region 94134 Commercial Provider ID required by Kaiser. Please contact Tina C. Cheung at (626) 405-6404 or e-mail Tina.C.Cheung@kp.orgprior to submitting claims.
746 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. 52095 For more information, please contact Kenya Neal at Kaiser at (301) 625-2264.
747 Kanawha HealthCare Solutions, Inc. 57038
748 Kanawha Insurance Co. 57038
749 Kansas City Life Insurance Co. 44030
750 Kelsey-Seybold TH050
751 Kempton Company 73100
752 Kempton Group Administrators 73100
753 Key Benefit Administrators 37217
754 Key Health Pilot
755 Keystone Health Plan Central 23239
756 Keystone Mercy Health Plan 23284 Medicaid managed care. For EDI support, please e-mail edi.kmhp@kmhp.com.
757 Keystone Mercy Health Plan Pilot
758 Kindred Health Care 73288 (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.
759 King Pharmaceuticals TH078 Provider ID required for all THIN payers.
760 Klais & Company 34145
761 Klais & Company (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
762 Lakeside Health Services 95415
763 Leggett and Platt 75279
764 LHP Claims Unit 37248
765 Liberty Mutual Insurance Company 11123 Worker's Compensation Claims ONLY.
766 Liberty Union 37281
767 Life Assurance Company 37281
768 Lifemark TH001 Transitional Payer - see last page for definition. Provider ID required. Please contact (602) 331-5100, ext. 5563 to obtain.
769 Life Trac 41136
770 LifeWise Healthplan of Oregon 93093
771 Lifewise/Washington Employers Trust 37294 For Vision Claims only
772 Lincoln National (EMPHESYS, Green Bay and Madison, WI only) 73288 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.
773 Linn County 75283
774 Local 135 Health Benefits Fund (Indianapolis, IN) 35107
775 Loma Linda University Adventist Health Sciences Center Employee Health Plan 37267
776 Loma Linda University Adventist Health Sciences Centers 37267
777 Loma Linda University Behavioral Medicine Center Employee Health Plan 37267
778 Loma Linda University Employee Health Plan 37267
779 Loma Linda University Health Care Employee Health Plan 37267
780 Loma Linda University Healthcare - ManagedCare Claims 33036 Claims are printed and mailed to the payer.
781 Loma Linda University Medical Center Employee Health Plan 37267
782 Loma Linda University Medical Center Residents Health Plan 37267
783 Loma Linda University Student Health Plan 37267
784 Lovelace Salud TH086 Provider ID required for all THIN payers.
785 Lovelace Sandia Health Plan 90328
786 Luhr Bros Inc. TH063 Provider ID required for all THIN payers.
787 Luhr Bros Inc./ IL&MO TH062 Provider ID required for all THIN payers.
788 Lumenos, Inc. 54195
789 Machinist District 9 Welfare 37292
790 Magnacare 11303
791 Mail Handlers Benefit Plan 62413 Also known as Mailhandlers/CAC.
792 Mail Handlers Benefit Plan 62413 Payer specific registration forms sent to Enrollment then faxed to Payer. Payer requires W-9 form. Provider will send confirmations to payerregistration@webmd.net
793 Maksin Management Corporation 22195 Claims are printed and mailed to the payer.
794 MAMSI Life and Health Insurance Co. (MLH) 52148
795 Managed Care Services, LLC 35162
796 Managed Health Services Indiana (Medicaid HMO) 39186 Please contact Debbi Sandberg at (800) 225-2573, ext. 25306, prior to sending claims.
797 Managed Health Services Wisconsin 39187 Please contact Leisa Hamlin at (800) 225-2573, ext. 25319, before sending claims.
798 Managed Physical Network 41159
799 Manatee Service Center (Bradenton, FL) 41555 Payer ID valid only for claims with a billing submission address of P.O. Box 1098, Bradenton, FL 34206.
800 Maryland Health Insurance Plan 22347
801 Maryland Physicians Care 22348
802 Mashantucket Pequot Tribal Nation 37121
803 Mayes County Jain 59142
804 Mayo Management Services, Inc. 41154
805 MBS (MedCost Benefit Services) 56205
806 Mcare 38264
807 McLaren Health Plan 38338
808 MD - Individual Practice Association, Inc. (M.D. IPA) 52148
809 MDNY Healthcare 11338
810 MedAdmin Solutions 58202
811 MedAdmin Solutions 58204
812 MedBen (Newark, OH) 74323
813 MedCom 59231
814 MedCost, Inc. 56162 For assistance, please contact Medcost at (800) 433-9178, ext. 4189 or 4177.
815 Medfocus 95321
816 Medica 87726
817 Medica 94265 Medica requires a unique Medica assigned provider id. See ENVOY Exhibit 99.
818 Medical Administrators, Inc. (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
819 Medical Benefits Administrators, Inc. (Newark, OH) 74323
820 Medical Benefits Companies (Newark, OH) 74323
821 Medical Benefits Mutual Life Insrance Co. 74323
822 Medical Benefits Mutual (Newark, OH) 74323
823 Medical Claims Service, Inc. 4258
824 MEDICAL DEVELOPMENT INTERNATIONAL 52181
825 Medical Mutual of Ohio 29076
826 Medical Mutual of Ohio 29076
827 Medical Network Inc. (Maine) Pilot
828 Medical Resource Network (MRN) 58203
829 Medical Value Plan - Ohio (MVP) 38224
830 Mediversal 37304
831 MedSolutions, Inc 62160
832 Mega Life & Health Insurance Company - Insurance Center 59221 Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009, North Richland Hills, TX 76182.
833 Memphis Managed Care 36193 Providers are no longer required to call MMC before sending medical or hospital claims electronically.
834 MercyCare 39114
835 Mercy Care Plan 86052
836 Mercy Care Plan SX100
837 Mercy Health Care (AHCCCS) SX100
838 Mercy Health Plans 43166
839 Mercy Healthplans -Carechoices Michigan Pilot Enrollment required; please contact Noreen at (248) 489-5281.
840 Mercy Physicians Medical Group 33029 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.
841 Meridian Health Care Management 77042
842 Merit of Alabama SX046
843 Mesa Mental Health 85035
844 Methodist Associate Health Plan Pilot
845 Metro Alliance 82135
846 Metro Plus Health Plan 13265
847 Metropolitan Health Plan 10850
848 Metrowest HealthPlan TH068
849 Metrowest Star Medicaid TH069
850 Michael Reese Physicians Group 37127
851 Mid-America Associates, Inc. 37281
852 Mid-Atlantic Health Plan 63079
853 Mid Atlantic Psychiatric Services, Inc. (MAPSI) 52149
854 Midlands Benefits Administrators 47081
855 Midlands Choice, Inc. 47080
856 MidSouth Administrative Group 62168
857 Midwest Group Benefits 61146
858 Midwest Health Plans, Inc. TH074 Provider ID required for all THIN payers.
859 Mid-West National Life Insurance Co. of Tennessee -Insurance Center 59224 Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017, North Richland Hills, TX 76182.
860 Mid-West National Life Insurance Co. of Tennessee -Insurance Center 59224
861 Mid-West National Life Insurance Co. of Tennessee -Student Insurance 74227 Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
862 Mississippi Public Entity Employee Benefit Trust 37233
863 Mississippi Select Health Care 64088 Also doing business as Select Administrative Services (SAS).
864 Missoula County Medical Benefits Plan 37275
865 Missouri Care/MC 43179
866 MLink 37265
867 MMAC (Managed Medical Assurance Co., Ltd.) (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
868 MMS, LLC. 62178
869 Molina Healthcare SX109
870 Molina Healthcare of CALIFORNIA 38333
871 Molina Healthcare of WASHINGTON 38336
872 Montefiore Contract Management Organization 13174 Please contact Provider Relations or Customer service at (914) 377-4400 for unique provider number
873 Motorola 36111
874 Mountain States Administrative Services (Tucson, AZ) 86040
875 MPEEBT 37233
876 MPE Services Inc. 37233
877 MPLAN, Inc./HealthCare Group, LLC 95444
878 Multiplan Wisconsin Preferred Provider Network 34080
879 Mutual Assurance Administrators 37256
880 Mutual Group (The) (US) 59140
881 Mutual Group (The) (US) 70491
882 Mutually Preferred 71412
883 Mutual of Omaha Insurance Company 71412
884 MVP Health Plan of NY 14165 For your MVP Provider number, call (800) 684-9286.
885 NAA (North America Administrators, L.P.) (Nashville, TN) 65085
886 NABN (Cleveland, OH) 34159 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.
887 NALC/Affordable 53011
888 National Association of Letter Carriers 53011
889 National Association of Letter Carriers/NALC 53011
890 National Benefit Administrators -New Jersey 56175
891 National Benefit Administrators -North Carolina 56176
892 National Capital Preferred Provider Organization (NCPPO) 90001 To obtain your provider ID number, please call the NCPPO Customer Service Department at (800) 272-5911.
893 National Claim Administration 37126
894 National Health Insurance Company 75275
895 National Rural Electric Coop (NRECA) 52132
896 National Rural Letter Carrier Association 71412 Policy Number GMG1846
897 Nationwide Health Plans 31417
898 NCAS - Charlotte 75191
899 NCAS - Fairfax, VA 75190
900 NCAS - Owings Mills, MD 52118 (Formerly known as Willse'.)
901 Neighborhood Health Partnership of Florida Call Please call (305) 715-4334 for Payer Id. Payer Id is valid for claims submission address PO Box 025680, Miami, FL 33102-5680
902 Neighborhood Health Plan (Boston, MA) 4293
903 Nesika Health Group 37255
904 Netcare Life and Health Insurance (Hagatna, Guam) 66055
905 Network Health Call Before initiating submissions, please contact Provider Relations at (617) 806-8104 or edi@network-health.orgfor an EDI startup plan.
906 Network Health Plan of Wisconsin, Inc. 39144
907 New Era Life Insurance Company 75281
908 New Market Dimensions 65056
909 New World Claims Services 38332 Payer ID valid only for claims with a submission address of 2624 North 5th Street, Niles, MI 49120.
910 New York Network Management 11334
911 New York Presbyterian Community Health Plan 48186
912 New York Presbyterian System Select Health 24819
913 NGS American, Inc 38225
914 NHC Health Benefit Plan 62124 Please call NHC Health Benefit Plan @ 615-278-1230 regarding your NHC provider number prior to submitting claims electronically.
915 NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan) 11325 Please submit claims with your unique NHP/SHP provider number. Please call (631) 360-3102 for your unique NHP/SHP provider number.
916 Nippon Life Insurance Company of America 81264
917 Nippon Life Insurance Company of America 81264
918 NJ Carpernters Health Fund 22603
919 NMCI Pilot
920 North American Administrators, Inc. 64157
921 North American Benefits Network (Cleveland, OH) 34159 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.
922 North American Health Plan 64157
923 North American Medical Management - IL 36398
924 North American Medical Management (NAMM) -Northern California E3510 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.
925 North American Medical Management (NAMM) -Southern California 33029 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.
926 North American Preferred 64157
927 Northern California Sheet Metal Workers Health Care Plan 38238 Payer ID valid for claims with a submission address of PO Box 1138, San Ramon, CA 94583.
928 Northern Nevada Trust Fund 88027 Please call (775) 826-7200 to verfiy if you should be sending claims to Northern Nevada Trust Fund.
929 North Texas Healthcare Network 35212
930 Northwest Suburban IPA (Illinois) 36346
931 Nova Healthcare Administrators, Inc. (Grand Island, NY) 16644
932 Novasys Health Network 71080
933 N.W. Ironworkers Health & Security Trust Fund 91136 Please enter Group Number (F15) when submitting claims.
934 N.W. Roofers & Employers Health & Security Trust Fund 91136 Please enter Group Number (F26) when submitting claims.
935 N.W. Textile Processors 91136 Please enter Group Number (F14) when submitting claims.
936 Nyhart 37299
937 Occupational Health Mgmt, Inc. (HealthManage) (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
938 Ochsner Health Plan 72127 Payor 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.
939 Office of Group Benefits-Louisiana 72087 Office of Group Benefits is located in the state of Louisiana. This payer is currently not sending 997's. Syntax errors will be worked on with payer tech.
940 Ohio BWC 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
941 Ohio Comp Choice, Inc. (HMS) (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
942 Ohio Employee Health Partnership (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
943 Ohio Health Choice, PPO 34189 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.
944 * Omnicare, A Coventry Health Plan ERA
945 Omnicare, A Coventry Health Plan 25150 For claims with date of service AFTER 10/1/04.
946 Omnicare Health Plan of Michigan 38252 All claims with a DOS BEFORE 10/1/2004, must be sent to Payer ID #38252. Claims sent to this Payer with a DOS AFTER 10/1/2004 will be rejected
947 Operating Engineer's Local 234 Health Plan TH042 Transitional Payer - see last page for definition.
948 Operating Engineers Locals 302 & 612 Health & Security Fund 91136 Please enter Group Number (F12) when submitting claims.
949 Optima Health Plan 54154 Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 characters, positions 1-5 must be numeric only, and positions 6 and 7 (if applicable) must be alpha only. Please contact the Ydsia Slagle-Provider Relation
950 Optima Insurance Company 54154 Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 characters, positions 1-5 must be numeric only, and positions 6 and 7 (if applicable) must be alpha only. Please contact the Ydsia Slagle-Provider Relation
951 Optimum Choice, Inc. (OCI) 52148
952 Optimum Choice of the Carolinas, Inc. (OCCI) 52152
953 Option Services Group 37125
954 Orthonet Corporation - CIGNA 13381
955 Orthonet - Uniformed Services Family Health Plan 13382 Claims are printed and mailed to the payer.; For Payable USFHP (NY & NJ) outpatient therapy claims only. Contact Theresa Malgioglio at (914) 681-8800.
956 OSF Care Advantage TH053
957 OSF Health Plan TH054
958 Oxford Health Plans 6111
959 PacifiCare Behavioral Health 33053
960 PacifiCare Health Systems Pilot
961 PacifiCare Health Systems & Subsidiaries 91712
962 PacifiCare of Arizona - Claims Call Please contact Colette Ward at (800) 877-6685 x42731 to initiate the EDI process.
963 PacifiCare of California - Claims 95959 For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
964 PacifiCare of California -Encounters 95958 Must submit with PacifiCare submitter ID. Please call Gina Gasilan at (714) 226-8609 to obtain.
965 PacifiCare of Colorado - Claims Call Please call Colette Ward at (800) 877-6685 ext.42731 to initiate the EDI process.
966 PacifiCare of Oklahoma - Claims 95959 For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
967 PacifiCare of Oklahoma -Encounters 95958 Must submit with PacifiCare submitter ID. Please call Barbara Pisano at (714)226-6573 to obtain.
968 PacifiCare of Oregon - Claims 95959 For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
969 PacifiCare of Oregon -Encounters 95958 Must submit with PacifiCare submitter ID. Please call Gina Gasilan at (714) 226-8609 to obtain.
970 PacifiCare of Texas - Claims 95959 For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
971 PacifiCare of Texas -Encounters 95958 Must submit with PacifiCare submitter ID. Please call Barbara Pisano at (714) 226-6573 to obtain.
972 PacifiCare of Washington -Claims 95959 For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
973 PacifiCare of Washington -Encounters 95958 Must submit with PacifiCare submitter ID. Please call Gina Gasilan at (714) 226-8609 to obtain.
974 PacifiCare PPO - All States 95999 For payable PPO claims only. NOT for Pacificare/Secure Horizons HMO claims. For further questions, you may inquire via email at edippoinfo@phs.com.
975 Pacific Life & Annuity Company 67466
976 PacificSource Health Plans 93029
977 PAI 37287
978 Paramount Preferred Network (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
979 Parity Healthcare LLC 58204
980 Parkland Community Health Plan 66917
981 Partners National Health Plans of North Carolina, Inc Call Contracted Providers Only. Please call the Partners National Health Plans of North Carolina, Inc., customer service department at (800) 942-5695 or (336) 760-4822, ext. 12005, for electronic claims set up.
982 Passport Health Plan 61129 Medicaid managed care. For EDI support, please e-mail edi.php@kmhp.com.
983 Passport Health Plan 61129 Providers must include provider id's on ERA Enrollment form; else reject back to provider. Email confirmation send to: edi.kmhp@kmhp.com.
984 Patient-Physician Network TH017
985 PEHP - Utah Public Employee Health Plan SX106
986 Peoples Health Network Call Contact the EDI Submitter Verification Dept. at (504) 461-4162 or (866) 461-4162 before sending claims to receive payer ID.
987 PersonalCare 25146
988 PersonalCare 25146
989 PHA Admin. Serv 63088
990 PHA Insurance Services (Orlando, FL) 95183
991 Phoenix Health Plan SX146
992 PHP of Mid-Michigan 87726
993 PHP of Mid-Michigan 87726
994 PHP of South Michigan 87726
995 PHP of South Michigan 87726
996 PHP of Southwest Michigan 87726
997 PHP of Southwest Michigan 87726
998 PHP of West Michigan 87726
999 PHP of West Michigan 87726
1000 PHP TennCare 62155
1001 Physician Associates of Louisiana 58204
1002 Physician Associates of the Greater San Gabriel Valley Call Please call Barbara Jones at (626) 817-8491 to obtain the Payer Id
1003 Physicians Care Network 57098
1004 Physicians Care Network (Rockford, IL only) 36345 Payer ID valid only for claims with billing submission name, city, and state of Physicians Care Network, Rockford, IL.
1005 Physicians Direct 75297
1006 Physicians Health Association of Illinois 37136
1007 Physicians Health Plan of Northern Indiana 12399 Contracted Providers: 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
1008 Physicians Mutual Insurance Company 47027 Please send all PPO and dental claims to the address on the back of the insured's ID Card
1009 Physicians Plus Insurance Corporation 39156
1010 Piedmont Administrators 56151
1011 Pinnacle Claims Management, Inc. 24735
1012 Pipeline Industry Benefit Fund (Tulsa, OK) 73074
1013 Pittman & Associates 37224
1014 Planned Administrators, Inc. 37287 Providers submitting claims as a Preferred Blue provider should not submit claims using payer ID 37287
1015 PM Group 67466
1016 Podi Care Managed Care 58204
1017 Poly America Medical & Dental Benefits Plan 32680
1018 POMCO 16111
1019 PPOM, LLC 38335
1020 PPO Oklahoma (WinterBrook HealthCare Management) 73159
1021 PPOPlus LLC 72148
1022 Practicare Inc 4334
1023 Prairie States Enterprises, Inc. 36373
1024 Preferred Benefit Administrators 53476
1025 Preferred Benefits Administrator 61665 E6-14 Required on Medical
1026 Preferred Care SX089
1027 Preferred Care SX089
1028 Preferred Care Partners 65088
1029 Preferred Care Partners (Encounters) 65090
1030 Preferred Community Choice/PCCSelect/CompMed 73145
1031 Preferred Health Network (PHN) 35173
1032 Preferred Health Plan (Louisville, KY) 61106
1033 Preferred Health Systems Insurance Company 60110
1034 Preferred Network Access, Inc. 36401
1035 Preferred One (CT), a Division of First Choice 14162 Please note that all claims submitted require a 5-8 character Render Provider Network ID.
1036 PreferredOne (MN) 41147
1037 Preferred Plus of Kansas 60110
1038 Premier Benefits, Inc. 43166
1039 Premier Comp of Hometown Health Network (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1040 Premier Health Plans 43166
1041 Premier Managed Care, Inc. (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1042 Presbyterian Health Plan TH061
1043 Presbyterian Salud TH060
1044 Prevea Health Plan 39185
1045 Primary Delivery Systems 73288 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.
1046 Primary Health Plan TH066
1047 Primary Medical Care TH016
1048 Primary PhysicianCare, Inc. 56144
1049 PrimeCare of Chino Valley 33029 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.
1050 PrimeCare of Corona 33029 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.
1051 PrimeCare of Hemet Valley 33029 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.
1052 PrimeCare of Inland Valley 33029 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.
1053 PrimeCare of Moreno Valley 33029 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.
1054 PrimeCare of Redlands 33029 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.
1055 PrimeCare of Riverside 33029 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.
1056 PrimeCare of Sun City 33029 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.
1057 PrimeCare of Temecula 33029 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.
1058 Prime Health 63088
1059 Prime Health of Alabama 63088
1060 PrimeSource Health Network 4320
1061 Prime Vision Health 56190
1062 Prime West Health Plan 61604
1063 Principal Financial Group 61271
1064 Principal Financial Group 61271
1065 Principal Life Insurance Co. 61271
1066 Priority Health 38217 Please call Wendell Broome at (616) 975-8284 prior to submitting claims to obtain the pay to code.
1067 Prism-First Health 37303
1068 Prism Network, Inc. 37268
1069 Professional Benefit Administrators 59296
1070 Professional Benefit Administrators, Inc. (Oak Brook, IL) 36331 Payer ID is valid only for claims with billing submission name, city, and state of Professional Benefit Administrators, Inc., Oak Brook, IL.
1071 Professional Benefits Administrators (Cuyahoga Falls, OH) 34176 Payer ID valid only for claims with a billing submission address of 2040 Front Street, Cuyahoga Falls, OH 44221.
1072 Professional Claim Administrators 41163
1073 Professional Claims Management (Canton, OH) 37242 Payer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton, OH 44735-5276
1074 Professional Insurance Company 59041
1075 Professional Risk Management 34134
1076 Protegrity Services (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1077 Providence of Oregon Choice Option SX131
1078 Providence of Oregon Good Health Plan SX132
1079 Providence of Oregon Health Plan SX133
1080 Providence of Oregon Health Plan HMO SX134
1081 Providence of Oregon Medicaid SX135
1082 Providence of Oregon Medicaid Option SX136
1083 Providence of Oregon Medicare Extra SX137
1084 Providence of Oregon Option SX138
1085 Providence of Oregon Traditional Option SX139
1086 Provider Networks of America (PRO-NET) 51032
1087 Puget Sound Benefits Trust 91136 Please enter Group Number (F25) when submitting claims.
1088 Puget Sound Electrical Workers Trust 91136 Please enter Group Number (F33) when submitting claims.
1089 Pyramid Benefits 91954
1090 QualCare, Inc. 23342 New Providers must enroll with QualCare at (800) 992-6613, option 5.
1091 Qual Choice of Arkansas 35174
1092 Quincy Health Care Management, Inc. 37129 For assistance send email to HIPAA@f-m-h.com
1093 QVI Risk Solutions, Inc. 57117
1094 RBMS, LLC 91176
1095 Regency Employee Benefits 38221
1096 RE Harrington 95266
1097 Resurrection Health Care Health Preferred 37277
1098 Reynolds and Reynolds 37270
1099 Rocky Mountain Health Plan -Grand Junction SX141
1100 Rooney Life Inc. 37602
1101 Rush Prudential Health Plans (HMO Only) 36389
1102 Sagamore Health Network 35164
1103 SAMBA 37259 Do not send Medicare primary claims. We receive claims directly from Medicare.
1104 San Francisco Electrical Workers Health & Welfare 37236
1105 Santa Barbara Cottage Hospital 37288
1106 Sante Health System and Affiliates Call Please Call Customer Service (559) 228-5410
1107 Sanus - Texas SX019
1108 Scott & White TH002
1109 Seabury & Smith 13310
1110 SecureCare of Iowa 42142
1111 Secure Health Plans of Georgia, LLC 28530
1112 Security Health Plan 39045
1113 Select Administrative Services (SAS) 64088 Also known as Mississippi Select Health Care.
1114 Select Benefit Administrators (Des Moines, Iowa) 42137
1115 Select Benefit Administrators of America 37282 Payer ID valid only for claims with a billing submission address of P.O. Box 440, Ashland, WI 54806.
1116 SelectCare 14
1117 Select Health of South Carolina 23285 For EDI support, please e-mail edi.sh@kmhp.com.
1118 Self-Funded Plans, Inc. 34131
1119 Self Insured Benefit Administrators (Clearwater, FL) 59111 Payer ID valid only for claims with a submission address of 18167 US Highway 19 North, Suite 300, Clearwater, FL 33764.
1120 Self Insured Plans 36404
1121 Semnet TH018
1122 Sentara Family Care 54154 Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 characters, positions 1-5 must be numeric only, and positions 6 and 7 (if applicable) must be alpha only. Please contact the Ydsia Slagle-Provider Relation
1123 Sentara Health Management 54154 Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 characters, positions 1-5 must be numeric only, and positions 6 and 7 (if applicable) must be alpha only. Please contact the Ydsia Slagle-Provider Relation
1124 Sentinel Management Services 23249
1125 Sentry Insurance a Mutual Company 39033 Claims are printed and mailed to the payer. Claims must have the Genelco Group and Subscriber numbers. To verify you are using the correct number, you may contact Sentry's Customer Service Dept at 800-426-7234.
1126 Sentry Insurance Company 39033 Claims are printed and mailed to the payer. Claims must have the Genelco Group and Subscriber numbers. To verify you are using the correct number, you may contact Sentry's Customer Service Dept at 800-426-7234.
1127 Sentry Life of New York 39033 Claims are printed and mailed to the payer. Claims must have the Genelco Group and Subscriber numbers. To verify you are using the correct number, you may contact Sentry's Customer Service Dept at 800-426-7234.
1128 Seton CHIP 76056
1129 Seton Employee Plan TH080 Provider ID required for all THIN payers.
1130 Seton Health Plan - Exclusive TH079 Provider ID required for all THIN payers.
1131 Seton MAP Program TH081 Provider ID required for all THIN payers.
1132 Shasta Administrative Services 75280 Jeld-Wen Claims Only
1133 Sheakley UNICOMP (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1134 Sheet Metal Workers Local 104 Health Care Plan (San Ramon, CA) 38238 Payer ID valid for claims with a submission address of PO Box 1618, San Ramon, CA 94583.
1135 Sheet Metal Workers Local 263 TH047
1136 Sierra Health Services 76342
1137 Sierra Health Services Inc. 76343
1138 Signature Care Health Network 35206
1139 Signature Health Alliance 62159 Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance, P.O. Box 22419, Nashville, TN 37202-2419.
1140 Sinclair Health Plan 84076
1141 Sloans Lake Preferred Health Networks 84096
1142 Smith Administrators 2057
1143 Solidarity Managed Care Organization (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1144 Sound Health (now known as First Choice Health Network) 91131
1145 SouthCare/Healthcare Preferred 25147
1146 South Central Preferred Call Call Jane Grove at Provider Relations for South Central Preferred (717) 851-6715
1147 Southern Group Administrators 56131
1148 Southern Health Services, Inc. 25128
1149 Southern Health Services, Inc. 25128
1150 South Haven Community Hospital Pilot
1151 South Indiana Health Options -HMO SX142
1152 South Indiana Health Options -Prime Care Choice SX143
1153 South Indiana Health Options -TPA SX144
1154 Southwest Service Life 37266
1155 Special Agents Mutual Benefit Association 37259
1156 Special Risk International 52190
1157 Spina Bifida -VA HAC 84146
1158 Spina Bifida - VA HAC 84146
1159 S & S Healthcare Strategies 31441
1160 Star HRG 59225 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. Boxes: P.O. Box 55270, 30870, 30888, 54150, 30069, 55400, Phoenix, AZ 85270-5270.
1161 Starmark 61425
1162 State Farm Insurance Companies 31053
1163 State of Oklahoma-Healthchoice 59142
1164 States General Life Insurance 75087
1165 Staywell Health Plan 14163 Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
1166 St. Barnabas System Health Plan 22240
1167 Sterling Option 1 91151
1168 Stirling and Stirling 6089
1169 St. John's Claims Administration 37264
1170 Stoner and Associates (Cincinnati, OH) 31121
1171 Stowe Associates 58128
1172 St. Therese Physician Association 37116
1173 Student Insurance - Mid-West National Life Insurance Co. of Tenessee 74227 Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
1174 Student Insurance - The MEGA Life & Health Insurance Company 74227 Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
1175 Suffolk Health Plan of New York 88331
1176 SummaCare Health Plan 95202
1177 Summit America Insurance Services, Inc. 37301
1178 SummitCorp (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1179 Superior Administrators, Inc (Santa Ana, CA) 23218 Payer ID valid for claims with a submission address of P.O. Box 27730, Santa Ana, CA 92799-7730
1180 Superior Health Plans TH024
1181 Superior Health Plan Texas 39188 Payer requires enrollment.
1182 Tarrant Health Services 37228
1183 TBG Administrative Services 39157
1184 Teachers Health Trust 88019
1185 Teamcare 36215
1186 Team Choice Gold 75139
1187 Team Choice PNS 75133
1188 Team Choice UMC 75134
1189 Teamsters Local Union #301 36612
1190 Tennessee Benefit Administrators, LLC 37293
1191 Texas Association of School Boards 74249
1192 Texas Children's Health Plan 76048
1193 Texas Children's Star TH077 Provider ID required for all THIN payers.
1194 Texas Medical Assn Insurance (TMAIT) TH019
1195 Texas True Choice TH055
1196 The Chesapeake Life Insurance Company - Student Insurance 74227 Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
1197 The EPOCH Group 28777
1198 The Ford Meter Box Company, Inc. 37305
1199 The Healthcare Group 35206
1200 The Health Plan (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1201 The Integrity Benefit Group, Inc. 58200
1202 The Loomis Company 23223 ** Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.
1203 The MEGA Life & Health Insurance Company - Insurance Center 59221 Payer ID valid only if the P.O. Box on the Health ID card matches the following P.O. Box: P.O. Box 982009, North Richland Hills, TX 76182
1204 The MEGA Life & Health Insurance Company - Insurance Center 59221
1205 The MEGA Life & Health Insurance Company-OKC 59227 If the P.O. Box on the health ID card matches the following P.O. Box: P.O. Box 548801, Oklahoma City, OK 73154
1206 The MEGA Life & Health Insurance Company - Starbridge StarHRG 59225 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. Boxes: P.O. Box 55270, 30870, 30888, 54150, 30069, 55400, Phoenix, AZ 85270-5270.
1207 The MEGA Life & Health Insurance Company - Student Insurance 74227 Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
1208 The Mutual Group (US) 70491
1209 The Oath - A Health Plan for Alabama, Inc. 63092
1210 The Oath of Alabama 63092
1211 The Preferred Healthcare System - PPO 4320
1212 The Union Labor Life Insurance Company 13142
1213 The Wellness Plan 38200
1214 Third Party Administrators, Inc. 37225 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 Street, Naperville, IL 60563.
1215 Three Rivers Health Plans, Inc. 25175
1216 Three Rivers Health Plans, Inc. 25175
1217 Time TH038
1218 TMG Life Insurance Company 70491
1219 TML Intergovernmental Employee Benefit Pool 74214
1220 Tongass Timber Trust 92620
1221 Tooling & Manufacturing Association 61425
1222 Total Health Management -PBM (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1223 Touchpoint Health Plan HMO 97910
1224 TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE 13402
1225 Tower Life Insurance Co. 69493
1226 Tower Rock Stone TH064 Provider ID required for all THIN payers
1227 TPA Inc. 37225 Please call Julie Blazek at (630) 416-1111, ext. 156, to verify if you should be sending claims to TPA Inc. Their address is 1733 Park Street, Naperville, IL 60563.
1228 TPA (TX Plan Administrators) TH020 Please call Amy Durham at (915) 520-3865 to enroll in EDI.
1229 TransAmerica Life Insurance Company 59222 Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009, North Richland Hills, TX 76182.
1230 TransAmerica Life Insurance Company 59222
1231 TransChoice-Key Benefit Administrators 37284
1232 TRIAD Healthcare, Inc. (Plainville, CT) 39181 Payer ID valid only for chiropractic medical claims from participating TRIAD network providers.
1233 TR Paul Inc. 37230
1234 True Choice USA TH083 Provider ID required for all THIN payers.
1235 True Choice USA - Christus Health TH048
1236 Trusteed Plans Service Corporation 91078
1237 Trustmark Insurance Company 61425
1238 Trustmark Insurance Company 61425 Email address is hipaa835@trustmarkins.com;Full process for notification of a provider request for an 835 from WebMd/Trustmark Payer Id 61425 attached.
1239 Tufts Health Plan Call Please contact Tufts EDI Operations at (888) 880-8699, ext. 4042 or e-mail edi_operations@tufts-health.comprior to submitting EDI claims.
1240 UBH RIOS 16412
1241 UBH - United Behavioral Health (former MetraHealth - UNET) 87726
1242 UBH - United Behavioral Health (Health Plan - HMO) 87726
1243 UFCW TH065 Provider ID required for all THIN payers
1244 UHP of New Jersey (Centene) 22329
1245 UICI - Administrators 75240
1246 UICI - Administrators - State of Nevada 74223 Accepting claims only for the State of Nevada.
1247 UICI - Administrators - State of Nevada Par
1248 Ultra Benefits, Inc. 4352
1249 UMMH 37292
1250 UMWA Health & Retirement Funds 52180 Unique Provider ID required. Please call (800) 606-5479.
1251 UNICARE 80314
1252 UNICARE 80314
1253 Unified Group Services 35198
1254 Unified Health Services 62170 Worker's Compensation Claims Only.
1255 Uniform Medical Plan, Centra 75243
1256 Uniform Medical Plan/Harrington Benefit Services 75243
1257 Union Pacific Railroad Employees 87042
1258 United Benefits 59069
1259 UnitedHealthcare 87726
1260 UnitedHealthcare 87726 [former MetraHealth Healthcare Network PPO, New York State Employees (Empire), Travelers Ins Co, Travelers Plan Administrators]
1261 UnitedHealthcare 87726 [former The Travelers, Travelers Health Network (HMO & Care Option, Travelers/CGT - PPO, MetraHealth -UNET]
1262 UnitedHealthcare 87726
1263 UnitedHealthcare of Alabama 87726
1264 UnitedHealthcare of Arizona, Inc. 87726
1265 UnitedHealthcare of Arkansas 87726
1266 UnitedHealthcare of California -Northern California 87726
1267 UnitedHealthcare of California -Southern California 87726
1268 UnitedHealthcare of Colorado, Inc. 87726
1269 UnitedHealthcare of Florida 87726
1270 UnitedHealthcare of Georgia 87726
1271 UnitedHealthcare of Illinois 87726
1272 UnitedHealthcare of Kentucky, Ltd. 87726
1273 UnitedHealthcare of Louisiana 87726
1274 UnitedHealthcare of Mississippi 87726
1275 UnitedHealthcare of New England 87726
1276 UnitedHealthcare of New York (includes New York and New Jersey) 87726
1277 UnitedHealthcare of North Carolina, Inc. 87726
1278 UnitedHealthcare of Ohio 87726
1279 UnitedHealthcare of Tennessee 87726
1280 UnitedHealthcare of Texas -Dallas 87726
1281 UnitedHealthcare of Texas -Houston 87726
1282 UnitedHealthcare of the Mid-Atlantic 87726
1283 UnitedHealthcare of the Midlands - HMO (Choice, Select) 87726
1284 UnitedHealthcare of the Midlands - PPO(Choice Plus,Select Plus,Self Funded) 87726
1285 UnitedHealthcare of the Midwest - Choice, Choice Plus, Select, Select Plus 87726
1286 UnitedHealthcare of the Midwest - Medicare Complete 87726
1287 UnitedHealthcare of Upstate New York 87726
1288 UnitedHealthcare of Utah 87726
1289 UnitedHealthcare of Virginia 87726
1290 UnitedHealthcare of Wisconsin, Inc. 87726
1291 UnitedHealthcare Plans of Puerto Rico 87726
1292 United Medical Resources 31107 This Payer ID is valid for all claims addresses on UMR Member ID cards with a listed Payer ID of 31107.
1293 United of Omaha 71412
1294 United Physicians of Northern Colorado 84132
1295 United Resources Network 41194
1296 Univera - Health Care Plan/ChoiceCare Buffalo SX087
1297 Univera - Pre Paid Health Plan of NY SX086
1298 Univera SSA ENY SX090
1299 Univera SSA WNY SX091
1300 Univera - Univera Health Southern Tier SX088
1301 Universal Care - California 33001
1302 Universal Health Care TH057
1303 University Comp Care (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1304 University Family Care SX148
1305 University Health Plan of NJ 59000
1306 University of Washington Students & Graduate Appts. 91136 Please enter Group Number (P67) when submitting claims.
1307 UPMC Health Plan 23281
1308 Upper Peninsula Health Plan 38337
1309 USAA (United States Automobile Association) 74095 Property and Casualty Division Only
1310 US Benefits 93092
1311 USC Health Services TH021
1312 USFHP - St. Vincent Catholic Medical Centers of New York 13407
1313 VA Fee Basis Programs 12115
1314 VA Fee Basis Programs 12115
1315 Valley Baptist Health Plan TH022
1316 Vanderbilt Health Plan 23173
1317 Vantage Health Plan, Inc. 72128
1318 Vantage Health Plan, Inc. (Ohio BWC) 31147 Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1319 VENCOR 73288 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.
1320 Ventana Health Systems TH039
1321 VHP Community Care 23173
1322 Virginia Medicaid CVAK1
1323 Vison Care Incorporated 37297
1324 Vista Health Plan 55248
1325 Vytra Healthcare 22264
1326 Wal-Mart 75257 Only stores in the following states: AK, DE, ID, MT, ND, OR, SD, VT, WA, WI, and WY.
1327 Washington Labor & Industry SX063
1328 Watkins Associated Industries, Inc. 58082
1329 Wausau Benefits, Inc. 39026
1330 Wausau Insurance Company 11123 Non-Participating Payer - see last page for definition. Worker's Compensation Claims ONLY.
1331 WEA Insurance Group 39151
1332 webTPA/Community Health Electronic Claims/CHEC 75261
1333 Wellcare HMO, Inc. 14163
1334 Wellcare of CT 14164 Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
1335 Wellcare of CT 14164 Please note that all claims submitted require a 5-9 digit character Rendering Provider Network ID.
1336 Wellcare of NY 14164 Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
1337 Wellcare of NY 14164 Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
1338 WellMed TH023
1339 WellMed (Encounters) TH040
1340 WellPath 25129
1341 WellPath 25129
1342 WELS Benefit Plan Office 22925
1343 West Coast Stationary Engineers Health & Security Trust Fund 91136 Please enter Group Number (F13) when submitting claims.
1344 Western Grower's Assurance Trust 24735
1345 Western Grower's Insurance Company 24735
1346 Western Mutual Insurance 37247
1347 Western Southern Financial Group (Cincinnati, OH) 31048
1348 Weyco Inc. 38232
1349 William J. Sutton & Company, LTD. (Toronto, Canada) 98010
1350 Wisconsin Auto and Truck Dealers 39200
1351 Wisconsin Physicians Svc Group Health/WPS SX022
1352 Workers Comp of West Virginia SX067
1353 World Insurance Company 75276
1354 WPS Electronic Data Services SX022 Non-Participating Payer - see last page for definition.
1355 Writers' Guild - Industry Health Plan 23710
1356 Writers' Guild - Industry Health Plan 23710