Use Ctrl-F to find Text, F3

advertisement
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
01-Nov,TX & MN Only
1199 National Benefit Fund
1-800-OhioComp,All States
1-888-OHIOCOMP (Ohio BWC) - Ohio Worker's Comp claims only
21st Century Insurance and Financial Services (MN Only)
360 Alliance-Gilsbar
3-Hab (Ohio BWC) - Ohio Worker's Comp claims only
3-HAB,All States
3M,TX & MN Only
3P Admin
7-Eleven (Corp),TX & MN Only
A & I Benefit Plan Administrators
A i R l W kAmerican Rural Work,TX&MN O lTX & MN Only
A.G.I.A. Inc.
AAA Automobile,All States
AAA Cooper Transportation,TX & MN Only
AAG Benefit Plan Administrators, Inc.
AAG-American Administrative Group (Formerly Gallagher Benefit Admin)
AAG-American Administrative Group (Formerly Icon Benefit Admin)
ABC HEALTH PLAN
ABCT, Inc.
ABMA (Alta Bates Medical Assocs) Medical Corp. (Hnet Sr. and Secure Horizon)
Abrazo Advantage Health Plan
Acceptance Insurance,TX & MN Only
Access Administrators
Access Group,MN Only
Access Medicare (Cuatro LLC)
Access Plus (UTMB)
Access Santa Monica (Access Medical Group)
Accident Fund Insurance Co of America,TX & MN Only
Acclaim
Acclaim IPA
Acclaim Repricing
Accountable Anthem Beverly POD
Accountable Behavioral Health Alliance (ABHA through PhTech)
Accountable Health - American Family of IA Claims Only
Accountable Health - American Family of WI Claims Only
Accountable HealthCare IPA (MPM)
Accuride Corporation,TX & MN Only
Ace American Insuarnce Company,TX & MN Only
Ace Fire Underwriters Insurance Co,TX & MN Only
ACE Insurance Company,All States
ACE/ESIS (excludes Sunoco),All States
ACIG Insurance,All States
Acordia National
Acrometal Companies,MN Only
ACS Benefit Services, Inc.
ACS Cnsulting Services, Inc.
ACS Rewards Administration Center
Activa Benefit Services, LLC
Acuity, A Mutual Insurance Company,All States
ACWA JPI,All States
Ad C IAdvoCare Inc,All S All States
Adams and Brooks, Inc.,All States
Admida Care
Administration Systems Research Corporation (ASR)
Administrative Claim Service, Inc.,MN Only
Page 1 of 70
Payer ID Enrollment
WS052
No
13162
No
WC100
No
31147
No
51028
No
88053
No
31147
No
WC101
No
WC224
No
20413
No
WC229
No
93044
No
WP096
No
95241
No
WC188
No
A0001
No
75240
No
37283
No
75185
No
48185
No
ABCTI
Yes
E3510
Yes
03443
No
WC231
No
AHS01
No
WC313
No
19305
No
76049
No
AMM06
No
10166
No
64071
No
MHIPA
No
21356
No
MPM24
No
CX042
No
AHP01
No
AHP01
No
MPM23
No
WC528
No
WC343
No
WC390
No
WR905
No
WB133
No
WC232
No
87815
No
WC399
No
72467
No
72467
No
36112
No
38254
No
ACU99
No
WC240
No
WC102
No
WC241
No
79966
No
38265
No
WZ093
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Administrative Concepts
Administrative Service Consultants
Administrative Services, Inc.
AdminOne
ADOC (Affiliated Doctor's of Orange County)
ADP (Alcohol and Drug Programs)
ADT Fire & Security,TX & MN Only
Advance Auto Parts,TX & MN Only
Advanced Auto Parts,All States
Advanced Data Solutions, Inc
Advanced Medical Management
Advanced Medical Optics,All States
Advanced Micro Devices,TX & MN Only
ADVANCED PHYSICIAN ASSN. (CHICAGO)
ADVANCED PHYSICIAN ASSN. (CHICAGO)
Advantage by Superior HealthPlan
Advantage Care IPA
Advantage Claims
Advantage Health Solutions
Advantek Benefit Administrators
Advantica Benefits
Advantra/Health America, Inc./Health Assurance
Adventist Health
ADVICA - New York Hospital Community Health Plan
Advica/Northeast Georgia Health System, Inc
Advicare
Advocare Incorporated (Ohio BWC) - Ohio Worker's Comp claims only
ADVOCATE HEALTH CENTERS
Advocate Health Partners
Aetna
Aetna Affordable Health Choices (SM) - SRC
Aetna Better Health - PA Medicaid
Aetna Better Health Connecticut Medicaid
Aetna Better Health Inc.
Aetna Better Health of Kentucky
Aetna Better Health of Louisiana
Aetna Better Health of Michigan
Aetna Better Health of Missouri
Aetna Better Health of Nebraska
Aetna Better Health of New Jersey
Aetna Better Health of New York
Aetna Better Health of Ohio
Aetna Better Health of Virginia
Aetna IL Medicaid
Aetna TX Medicaid & CHIP Services
Affiliated Doctor's of Orange County (ADOC)
Affiliated Physicians Group
Affinity Health Plan
Affinity Health Plan - Medicare
AffinityAccess
Affordable Benefit Administrators Inc. (Burbank, CA)
AFL-CIO Food & Beverage Dealer's Trust Fund (Toledo, OH)
AFTRA Health Fund
AGA (Automated Group Administration, Inc.)
Agate Resources, Inc. (LIPA) (aka payer ID 20048)
Agency Services Inc
AgeWell New York
Page 2 of 70
Payer ID Enrollment
22384
No
37257
No
59141
No
37278
No
ADOCS
No
CX028
No
WC270
No
WC413
No
WB111
No
58202
No
AMM01
No
WZ327
No
WC413
No
51909
No
85468
No
68056
No
ACIPA
No
77070
No
35209
No
83077
No
59374
No
25126
No
95340
No
13373
No
13376
No
45423
No
31147
No
36320
No
65093
No
60054
No
57604
No
23228
No
23225
No
34734
No
128KY
No
128LA
No
128MI
No
128MO
No
42130
No
46320
No
34734
No
50023
No
128VA
No
26337
No
38692
No
ADOCS
No
APG01
No
13334
Yes
13333
No
23334
No
95426
No
34444
No
13346
No
37280
No
LIPA1
Yes
64158
No
AWNY6
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Agilent Technologies,TX & MN Only
AH & L
AID Insurance Company,MN Only
AIG Claim Services,All States
AIG,All States
Al South Insurance Co,TX & MN Only
ALABAMA MEDICAL SURGICAL, LLC
Alameda Alliance for Health
Alamo Community College District,TX Only
Alaska Children's Services, Inc.
Alaska Electrical Health & Welcare Fund
Alaska Laborers Construction Industry Trust
Alaska National,All States
Alaska Pipe Trades Local 375
Alaska United Food & Commercial Workers Health & Welfare Trust
ALICARE
Alignis
ALL SAINTS/COVENANT-MILWAUKEE, WI
All Savers Alternative Funding
All Savers Insurance
Allegiance Benefit Plan Management, Inc.
Alliance - Alpha Care Gold
Alliance Behavioral Health Care
Alliance Health Plans of Wisconsin
Alliance Healthcare/SRRIPA
Alliance PPO, Inc. (Maryland)
Alliant Health Plans of Georgia
Allianz Insurance,TX & MN Only
Allied Administrators (San Francisco, CA)
Allied Benefit Systems
Allied Document Solutions,MN Only
Allied Group Incorporated,MN Only
Allied Group Ins Marketing,MN Only
Allied Group Ins,MN Only
Allied Life Insurance Company,MN Only
Allied Mutual Ins Co,MN Only
Allied Property and Casualty Ins Co,MN Only
Allied Texas Agency Colonial County Mutual,MN Only
Allied Texas Agency Inc MGA,TX & MN Only
Allison Transmission,TX Only
Allstate Insurance,All States
AlohaCare Advantage
AlohaCare Advantage Plus
AlohaCare Quest
Alpha Data Systems
Alpha Review,TX & MN Only
AlphaCare
ALPS CompCare (Ohio BWC) - Ohio Worker's Comp claims only
ALPS CompCare,All States
ALTA BATES MEDICAL GROUP
ALTA Health & Life Insurance Company
Alta Health Strategies
Alta Senior Care (Hnet St and Secure Horizons only)
Altec Industries,MN Only
Altec,MN Only
Alternative Insurance Management,All States
Alternative Service Concepts,TX Only
Page 3 of 70
Payer ID Enrollment
WC492
No
80705
No
WC680
No
WB108
No
WC312
No
WC680
No
06311
No
95327
No
WC680
No
91136
No
92600
No
91136
No
WC331
No
91136
No
91136
No
13550
No
58213
No
39160
No
81400
No
81400
No
81040
No
ADSL1
No
23071
No
88461
No
13079
No
52149
No
58234
No
WC543
No
94177
No
37308
No
WC680
No
WC814
No
WC893
No
WC892
No
WC894
No
WC896
No
WC904
No
WC905
No
WC906
No
WC909
No
WR378
No
ALADV
No
ALADP
No
ALQST
No
75261
No
WP985
No
ALPHA
No
31147
No
WC103
No
A0701
No
80705
No
87043
No
E3510
Yes
WZ232
No
WZ216
No
WZ668
No
WC913
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Alternative Services Concepts,All States
ALTERNATIVE TECHNOLOGY RESOURCES (ATR)
Altius (Utah - previously payer ID SX113)
Alvey Systems (AON Risk),TX & MN Only
Always Care Benefits
AMA Insurance Agency
Amalgamated Life
Amalgamated Life - PA/Alicare
Amazon Com, Inc.,TX Only
AMCO
AMCO Ins Co,MN Only
Amcomp Assurance - Wisconsin,All States
AmeraPlan
AmeriBen Solutions
Americaid Community Care (Dallas/Ft. Worth)
Americaid Community Care (Houston)
Americaid Community Care (Maryland/D.C./Virginia)
Americaid Community Care (New Jersey)
Americaid/Amerigroup (Austin, Dallas & Ft. Worth, TX)
Americaid/Amerigroup (Houston, TX)
American Administrative Group
American Administrative Group - AAG (formerly Gallagher Benefits)
American Administrative Group - AAG (formerly Icon Benefits)
American Administrators
American All Risk Insurnace Co (AARIS),All States
American All Risk Loss Administrators (AARLA),All States
American Alternative Ins Corp,TX & MN Only
American Behavioral
American Benefit Plan Administrators
American Benefits Management (N. Canton, OH)
American Casualty Co of Reading PA,TX & MN Only
American Chiropractor Network (ACN)
American Chiropratic Network IPA of NY (ACNIPA)
American Claims Management (ACM),All States
American Coin Merchandising, Inc,TX & MN Only
American Commercial Barge Lines
American Commercial Claim Admin (ACCA) ( San Francisco ONLY),All States
American Commercial Claim Admin (ACCA) (Pasedena, CA ONLY),All States
American Commercial Claim Admin (ACCA) (San Diego ONLY),All States
American Community Mutual Insurance
American Cyanamid,TX & MN Only
American Express,TX & MN Only
American Family Insurance Company
American Founders Life Insurance Co
American General
American Guarantee,TX & MN Only
American Health Group Inc
American Health Plan
American Healthcare Alliance
American Heritage Life Insurance
American Home Assurance,TX & MN Only
American Home Craft,All States
American Honda Motor Company,TX & MN Only
American Imaging Management, Inc.
American Insurance Administrators
American Insurance Administrators (HWLAP)
American Insurance Administrators (PPPPC)
Page 4 of 70
Payer ID Enrollment
WC370
No
37231
Yes
25133
No
WC595
No
ATR01
No
AMAIA
No
13550
No
13343
No
WP022
No
62176
No
WP023
No
WZ921
No
38219
No
75137
No
27514
No
27515
No
27517
No
27516
No
26375
No
26374
No
75240
No
37283
No
75185
No
42112
No
WC213
No
WP979
No
19720
No
63103
No
95170
No
34187
No
20427
No
41161
No
41160
No
WA065
No
WC633
No
87726
No
WC212
No
WX732
No
WC391
No
60305
No
WC634
No
WP030
No
AMF11
No
98205
No
62030
No
WP065
No
AHG99
No
37322
No
01066
No
77083
No
WR899
No
WC400
No
WP073
No
36369
No
CX021
No
HWLAP
No
PPPPC
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
American Insurance Administrators (PPPPP)
American Insurance Administrators (PPPPY)
American Insurance Administrators (SB474)
American Insurance Administrators (SBHWP)
American Insurance Co,TX & MN Only
American Insurance Company of Texas
American Insurance Company,MN Only
American International Group, Inc. (AIG)
American International South Ins Co,TX & MN Only
American Interstate - TX only,All States
American LIFECARE (New Orleans, LA)
American Lumber Underwriters,TX Only
American Manufacturers Mutual Insurance Company,TX & MN Only
American Medical Security
AMERICAN MEDICAL SOCIETY
American Motorists Insurance Co,TX & MN Only
American National Ins. Co. (ANICO)
American Pioneer Brevard Physicians Network
American Pioneer South Florida
American Postal Workers Union Health Plan
American Protection Insurance Co,TX & MN Only
American Protective Ins.,TX & MN Only
AMERICAN REPUBLIC INSURANCE
American Risk Services, Inc and all subsidiaries (Amerisafe Insureance Co),All Stats
American Select,All States
American Specialty Companies,TX & MN Only
American Specialty Health
American Specialty Health
American Specialty Ins. / MIB,TX & MN Only
American Wholehealth Networks
American Worker Health Plan
American Zurich,TX & MN Only
Americas 1st Choice Health Plans of South Carolina, Inc.
Americas 1st Choice Health Plans of South Carolina, Inc.
America's Choice Healthplans/NMA
America's First Choice of North Carolina
America's Health Choice
America's PPO/America's TPA
Americhoice of New Jersey Personal Care Plus (Medicare)
AmeriChoice of New Jersey, Inc. (Medicaid NJ)
AmeriChoice of New York Personal Care Plus (Medicare)
AmeriChoice of New York, Inc. (Medicaid NY) (unique prov # required)
Americhoice of Pennsylvania
Americhoice of Pennsylvania, Inc. (Medicaid PA)
AmeriChoice Personal Care Plus (Medicare)
Amerigroup Corporation (Ft Worth/Dallas/Austin & Georgia)
Amerigroup Corporation (Houston)
Amerigroup District of Columbia
Amerigroup Florida
Amerigroup Georgia
Amerigroup Illinois
Amerigroup Maryland
Amerigroup New Jersey
Amerigroup Ohio
Amerigroup Virginia
AMERIGROUP/AMERICAID - FORT WORTH
AMERIGROUP/AMERICAID - HOUSTON
Page 5 of 70
Payer ID Enrollment
PPPPP
No
PPPPY
No
SB474
No
SBHWP
No
21857
No
81949
No
WP093
No
87726
No
40258
No
WB100
No
72099
No
WP095
No
30562
No
81400
No
AMS01
No
22918
No
74048
No
APBPN
No
APSFL
No
44444
No
18910
No
WC408
No
42011
No
WB103
No
WZ672
No
WC638
No
ASH01
No
ASHP1
No
WC643
No
58213
No
37322
No
WP103
No
20553
No
55349
No
20029
No
26078
No
21810
No
41178
No
86001
No
86047
No
86002
No
86048
No
86003
No
86049
No
86003
No
27514
No
27515
No
26378
No
27519
No
26378
No
27518
No
26378
No
26378
No
27518
No
26378
No
26375
No
26374
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
AmeriHealth Administrators
Amerihealth Caritas Iowa
AmeriHealth Caritus VIP Care Plus (Michigan)
Amerihealth Connect (Amerihealth Caritas)
Amerihealth District of Columbia
AmeriHealth HMO New Jersey and Delaware
AmeriHealth Mercy Health Plan
AmeriHealth NorthEast
AMERIKIDS- FORT WORTH
AMERIKIDS HOUSTON
Ameriprise Auto & Home Insurance,All States
Amerisafe Risk Services - TX only,All States
Amerisure Insurance,TX & MN Only
Amerisure Mutual Insurance,TX & MN Only
Amica Mutual Insurance Company,All States
Amil/ARIA
AMS - AMERICAN MEDICAL SECURITY
Amtrust Insurance Co of Kansas,TX & MN Only
Anchor Benefit Consulting, Inc.
Ancillary Benefit Systems/Arizona Foundation for Medical Care
Anderson & Howard,All States
Angeles IPA (SynerMed)
Anoka Hennepin-Isd 11,MN Only
Antares Management Solutions
APA Partners, Inc.
Apex Benefit Services
API Panel,All States
Apogee Enterprises Inc.,TX & MN Only
Applied Risk Services, subsidiary of Applied Underwriters,All States
Aramark (Dental Only),All States
Aramark (Prof & Inst Only),All States
ARAZ
Arbor Health Plan
Arcadia Insurance Company,TX & MN Only
ARCADIAN MGMT SERVICES
Archdiocese Of St Paul & Mpls,MN Only
ARCMI,TX & MN Only
Arctic Cat Inc,MN Only
Arctic Cat Of South Dakota,MN Only
Arden Foods, Inc,MN Only
Argenbright Holdings Limited,MN Only
Argonaut Claims Services, Ltd,All States
Argonaut Midwest Insurance Co,All States
Argonaut Southwest Insurance Co,All States
Argus Health Systems
Arizona Physicians IPA (aka 03432)
Arkansas Best Corporation - Choice Benefits
Arkansas Municipal League
Arnett Health Plans
Arrow Point Capital (Formerly Royal&SunAlliance),All States
Arrowhead Administrators
Arrowhead Water (Los Angeles, CA),TX & MN Only
Arrowhead Water (Oakland, CA),TX & MN Only
Arrowhead Water (Orange, CA),TX & MN Only
Arrowhead Water (San Diego, CA),TX & MN Only
Arrowhead Water (South San Fran, CA),TX & MN Only
Arta Western
Page 6 of 70
Payer ID Enrollment
54763
No
77075
No
77013
No
77051
No
77002
No
23037
Yes
22248
No
77001
No
26375
No
26374
No
WA054
No
WB101
No
WC422
No
WC111
No
WA056
No
76052
No
AMS01
No
WP113
No
53085
No
86062
No
WC435
No
SYMED
No
WP119
No
34192
No
16140
No
34196
No
WC454
No
WP122
No
WB164
No
WR904
No
WB112
No
16120
No
52312
No
WC130
No
77045
No
WP125
No
WX852
No
WP126
No
WP127
No
WP129
No
WZ233
No
WZ478
No
WZ479
No
WZ502
No
36356
No
X3432
No
75278
No
71603
No
87726
No
WB165
No
33026
No
WC503
No
WC504
No
WC505
No
WC506
No
WC507
No
WMM01
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Artistree, Inc.,All States
ASAGEHA
Asbury Environmental Corp (Southgate, CA),All States
Asbury Environmental Corp (Spring Valley, CA),All States
ASC of Ohio
ASC,All States
Ascension Health,TX Only
Asian American Medical Group
ASR
ASR Corporation
ASR Health Benefits
ASRM Corp (NJ)
Associated Benefits
Associated Indemnity Corp,TX & MN Only
Associated Third Party Administration
Associates for Health Care, Inc. (AHC)
Association Casualty Insurance Company,All States
Association Services of Washington
Assurant Health
Assurant Health Self-Funded (Allied Benefit)
Assurant Health Self-Funded (Ft. Mill, SC)
Assurant Health/ASA
Assured Benefits Administrators
Assured Care
Asuris Northwest Health
AT & T Corp,TX & MN Only
At Z (Md t CA) Auto Zone (Modesto, CA),TX O lTX Only
AT&T Worldwide Customer Service,TX & MN Only
AT&T (El Segundo, CA),TX & MN Only
AT&T (San Francisco, CA),TX & MN Only
AT&T (San Jose, CA),TX & MN Only
AT&T (San Ramon, CA),TX & MN Only
Athens Area Health Plan Select
Atlantic Medical Insurance
Atlantic Mutual Insurance,TX & MN Only
Atlantic Mutual,All States
Atlanticare Administrators, Inc
ATLANTIS HEALTH PLAN
Atlas Life Insurance Company
ATPA
Atrio Health Plan
AultCare (OH)
AultComp,All States
Aultra Administrative Group (Canton, OH)
Austin Mutual,All States
AUSTIN REGIONAL CLINIC EMPLOYEE BENEFIT PLAN
Auto Club Insurance Association,All States
Auto Owners Insurance Company,All States
Auto Owners Life Insurance Company,All States
Auto Zone (Fullerton, CA),TX Only
Auto Zone(San Diego, CA),TX Only
Automated Benefit Services
Automated Group Administration, Inc.
Automotive Clinic,All States
Automotive Machinists Local 289 Health & Welfare Trust
AvatarComp,All States
Avera Health Plans
Page 7 of 70
Payer ID Enrollment
WC516
No
06603
No
WC518
No
WC519
No
37257
No
WC520
No
WP130
No
AAMG1
No
38265
No
38265
No
38265
No
ASRM1
No
50266
No
21865
No
ATPA1
No
36326
No
WP987
No
37294
No
39065
No
75068
No
37313
No
58730
No
74240
No
88035
No
93221
No
A0016
No
WC563
No
WC539
No
WC542
No
WC541
No
WC544
No
WC540
No
95691
No
22285
No
WP131
No
WC550
No
22304
No
13853
No
90956
No
ATPA1
No
ATRIO
No
MNAUL
No
WC104
No
37242
No
WZ744
No
CMSEB
No
WA053
No
WZ751
No
WZ788
No
WC564
No
WC562
No
38259
No
37280
No
WC567
No
91136
No
WC105
No
46045
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Avesis Third Party Administrators (vision claims only)
Aviation Safeguard,All States
Avizent,TX & MN Only
AVMED ENCOUNTERS
AvMed, Inc.
Ayers Trucking,TX & MN Only
Bakersfield Family Medical Center
Bakery and Confectionary Trust Funds
Bancinsure, Inc.,TX & MN Only
Bankers Standard Insurance,TX & MN Only
Bankers United Life (Student Div)
Banner Health
Banner Health AZ
Banner MediSun
Baptist Health Plan Advantage
Barnes,All States
Bas Tire Recycling,All States
Bass Administrators, Inc.
Bassett Unified School District,All States
Batavia City Schools' Tri-County Medical Plan
BC Indigent
BCBS of AZ
BCBS of NJ (Horizon)
BCBS of SC
BCBS of SC Federal
BCBS of Utah (Regence)
BCBS of VI
BCBS of WI
BCI Administrators, Inc.
Beacon Health Strategies
Beacon,All States
Beall's Inc / Midwest Employers,TX & MN Only
Bed Bath & Beyond (Auto Only),TX & MN Only
Bed Bath and Beyond (WC Only),All States
Beech Street Corporation
Behavioral Health Systems
Bell Atlantic
Bell Gardens Family Medical Center,All States
Bell South Corporation,TX & MN Only
Bellflower Hospital (SynerMed)
Bemis Company Inc.,TX & MN Only
Benchmark Insurance,All States
Benedictine Group Self-Insurance Assoc.,MN Only
BENEFIT ADMINISTRATIVE SERVICES (BAS)
Benefit Administrative Systems
Benefit Concepts
Benefit Coordinators Corporation (Pittsburgh, PA)
Benefit Management Admin (San Antonio)
Benefit Management Inc. of KS
Benefit Management Services
Benefit Management Services (Louisiana)
Benefit Management Systems, Inc
Benefit Management, Inc (joplin, MO)
Benefit Plan (CNA)
Benefit Plan Admin of St Louis
Benefit Plan Administrators
Benefit Plan Administrators (BPA)
Page 8 of 70
Payer ID Enrollment
87098
No
WP930
No
WX601
No
59275
No
59274
No
WC429
No
BKRFM
No
BCTF1
No
WP132
No
WP135
No
74227
No
12X42
No
SX145
Yes
CX054
No
BHPMA
No
WB113
No
WC618
No
58102
No
WC621
No
16112
No
74230
No
53589
No
22099
Yes
SB880
Yes
SX084
Yes
CX002
No
BCVI1
Yes
SB950
No
49153
No
43324
No
WZ806
No
WC648
No
WP136
No
WB114
No
95377
No
63100
No
60054
No
WC657
No
WP137
No
SYMED
No
WP138
No
WP049
No
WP139
No
41205
No
36149
No
51037
No
25145
No
BMATP
No
48611
No
56139
No
53120
No
37212
No
43178
No
62413
No
13310
No
39081
No
88027
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Benefit Plan Administrators, Inc. (Roanoke VA)
BENEFIT PLAN MANAGEMENT, INC.
Benefit Resources
Benefit Services, Inc. (Akron, OH)
Benefit Source, Inc.
Benefit Systems & Services, Inc. (BSSI)
Benefit Trust Life
Benefits, Inc.
Benesight
Benesys
Benesys, Inc (Lafayette, LA)
Bennett Landscaping,All States
Berkley Specialty Underwriters,TX & MN Only
Berkshire Hathaway Homestate Co. (San Fran, CA),All States
Berkshire Hathaway Homestate Co.,All States
Bermo, Inc.,MN Only
Bertelmanns Inc.,TX & MN Only
Berwind Corporation,TX & MN Only
Best American Hospitality,TX & MN Only
Best Life & Health Insurance Co.
BETTER HEALTH OF FLORIDA
Better Health Plan of Florida
Better Health Plans of South California
Better Health Plans, Inc.
BHP-Unity
Bi k I t ti lBrinker International,TX O lTX Only
BIENVIVIR
Big Lots (Garden Grove, CA),TX & MN Only
Big Lots (Lornita, CA),TX & MN Only
Big Lots (Mission Viejo, CA),TX & MN Only
Big Lots (Rancho Cucamonga, CA),TX & MN Only
Big Lots (Redlands, CA),TX & MN Only
Big Lots (Santa Ana, CA),TX & MN Only
Big Lots Associates Benefit Plans
Big Lots,TX Only
Birmingham Fire Insurance Co PA,TX & MN Only
Bituminous Casualty Corp,All States
Bituminous Fire & Marine Insurance Co,All States
Block Vision, Inc.
Blockbuster Inc,TX & MN Only
Bloodsource, Inc.,All States
Blue Advantage from HMO Louisiana, Inc.
Blue Cross and Blue Shield of Louisiana
Blue Cross and Blue Shield of Missouri
Blue Cross and Blue Shield of Missouri (Blue Choice)
Blue Cross and Blue Shield of Missouri Infusion Claims only
Blue Cross Blue Shield of Arizona Advantage
Blue Cross Community Options (MMAI, ICP or FHP) (IL Only)
Blue Cross Complete
Blue Cross of Arizona
Blue Cross of California
Blue Cross of California ACM Infusion claims ONLY
Blue Grass Family Health/SRRIPA
Blue Shield of California
BlueChoice Healthplan of SC ME
BlueChoice Healthplan of SC Medicaid ONLY
Bluegrass Family Health
Page 9 of 70
Payer ID Enrollment
37118
No
37222
No
82468
No
34178
No
38257
No
36342
No
61425
No
42148
No
87265
No
37248
No
58102
No
WC669
No
WC679
No
WC681
No
WBH01
No
WP140
No
WP141
No
WC677
No
WP143
No
95604
No
01508
No
20488
No
32006
No
62183
No
44219
No
WP216
No
BSHS1
No
WC705
No
WC703
No
WC706
No
WC707
No
WC708
No
WC704
No
CX025
No
WP144
No
WP146
No
WZ570
No
WZ588
No
BV001
No
WP147
No
WC729
No
84555
No
23738
Yes
SB741
No
SB742
Yes
CX026
No
77078
No
MCDIL
No
32002
No
SB530
No
47198
No
CX036
Yes
15754
No
94036
No
00403
No
XX045
Yes
61124
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Blueline Food Services,All States
BluePlus Elderly Waiver (MN)
BMC HealthNet Plan
BMGI - Benefit Management Group Inc.
BMS (Louisiana)
Bnecorp National Corporation
Bob Evans,TX Only
Boilermakers National Health & Welfare Fund
Bois Forte Reservation Tribal Council,MN Only
Boise Cascade Corporation,TX & MN Only
Boise Paper Holdings,TX & MN Only
Boldt Company,All States
Bollinger, Inc.
Boon Group
Boon-Chapman Benefit Administrators, Inc.
Boston Medical Center Health Plan Inc.
Boston Old Colony Insurance Co,TX & MN Only
BPS, Inc.
BreathCo/ICSL Pulmonary
Brickman Group (Dallas),TX Only
Brickman Group (Houston),TX Only
Brickman Group (Plano),TX Only
Brickman Group (Roanoke),TX Only
Brickman Group (Woodlands),TX Only
Brickman Groupp (Austin),TX Only
Bridge Benefits
Bridgefield Casualty Insurance Company,All States
Bridgefield Employers Insurance Company,All States
BRIDGESPAN
Bridgestone Claims Services
BRIDGEVIEW COMPANY
Bridgeway Arizona
Bright Health Physicians
Bristol Park Medical,All States
BritCay
British American Insurance Company,All States
Broadspire - Dallas,TX Only
Broadspire - Lewisville,TX Only
Broadspire,TX & MN Only
Brockerage Concepts, Inc.
Brodart
Brokerage Service Inc
Brown & Brown Benefits
Brown & Toland Medical Group
Brown and Toland Medical Group
Brownyard Group Inc. (Arch Insurance),TX & MN Only
Brunswick Corporation,TX & MN Only
Bryan Independent School District
BSI
Buckeye Community Health
Buenaventura Medical Group, Inc.
Bunch & Assoc. Inc,All States
Bunch & Associates - CostCo,All States
Bunch & Associates - Food Lion,All States
Bunch and Associates - Aramark (LIMITED),All States
Bunch and Associates - Lowes (LIMITED),All States
Burger King Corporation,TX & MN Only
Page 10 of 70
Payer ID Enrollment
WC739
No
CX072
Yes
13337
No
20018
No
53120
No
33192
No
WP148
No
36609
No
WP149
No
WP152
No
WP154
No
WZ817
No
BOLL1
No
BOONG
No
74238
No
13337
No
20761
No
13310
No
65005
No
WP187
No
WP190
No
WP194
No
WP206
No
WP179
No
WP186
No
38365
No
WB147
No
WB148
No
BRIDG
No
37285
No
FS802
No
68054
No
BHP01
No
WC782
No
22286
No
WP745
No
WP222
No
WP233
No
WC789
No
51037
No
35182
No
37257
No
37260
No
94316
No
BTSS1
No
WC678
No
WC744
No
BRISD
No
37257
No
32004
No
50240
No
WC812
No
WB166
No
WB167
No
WB188
No
WB189
No
WP243
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Burlington Coat Factory Wareho,TX & MN Only
Burtons Fire,All States
Butler Benefits
Butterball, L.L.C.,TX Only
C & R Consulting, Inc.
C & S Wholesale Grocers,TX Only
C t Of K (Ri k M t D t) County Of Kern (Risk Management Dept),All States
C&O Employees Hospital Association
C.L. Frates & Co - OSMA Health
C.L. Frates and Company
C.O.P.,All States
CA American Water Company,All States
CAC (Claims Administration Corp)
Cadent Administrators
Cadent Underwriters
Cal Southampton,TX Only
Calfarm Insurance company,MN Only
Califoria - Molina Healthcare of California
Cal-Optima Direct
Cambridge (Carrolton, TX),All States
Cambridge (Concord, CA),All States
Cambridge (Glendale, CA),All States
Cambridge (Los Angeles, CA),All States
Cambridge (Pasedena, CA),All States
Cambridge (Portland, OR),All States
Cambridge (Rancho Cordova, CA),All States
Cambridge (Sacramento, CA),All States
Cambridge (San Diego, CA),All States
Cambridge Integrated Services Group (Glendale, CA),All States
Cambridge Integrated Services Group (Modesto, CA),All States
Cambridge Integrated Services Group (now Xchanging),All States
Cambridge Integrated Services Group (Pasedena, CA),All States
Cambridge Integrated Services Group (Rancho Cordova, CA),All States
Cambridge Integrated Services Group (Sacramento, CA),All States
Cambridge Integrated Services Group (Salt Lake City, UT),All States
Cambridge Integrated Services Group, Inc. (Warren, MI),All States
Cambridge Integrated Services Group,All States
Cannon Cochran Management Services, Inc. Metairie, LA
Cannon Cochran Management Services, Inc./SAGE TECHNOLOGIES
Canyon House,All States
CAP Management Systems
Cape Health Plan
Capital Blue Cross/CAIC (PA Blue Cross)
Capital Blue Cross/CAIC for DME CLAIMS ONLY
Capital City Insurance Company, Inc,TX & MN Only
Capital Community Health Plan
Capital Health Plan
Capital International Management Services
Capitol Administrators
Caprock Health Plans
Cardinal Health,TX & MN Only
Cardiovascular Care Providers, Inc. (CVCP)
Care 1st Health Plan of Arizona
Care 1st Health Plan of CA
Care Choice Mercy Health Plan
Care Choices/Preferred Choices
Care Improvement Plus
Page 11 of 70
Payer ID Enrollment
WC761
No
WR900
No
42150
No
WP251
No
13390
No
WP267
No
WX286
No
23708
No
73071
No
CLFR2
No
WC840
No
WR896
No
62413
No
33192
No
33192
No
WP288
No
WP289
No
38333
No
CALOP
No
WC898
No
WR909
No
WP598
No
WC915
No
WP472
No
WR872
No
WC902
No
WC897
No
WC900
No
WR911
No
WP123
No
WR841
No
WC903
No
WC910
No
WC907
No
WC908
No
WP978
No
WX163
No
71057
No
37105
No
WC413
No
95399
No
38245
No
23045
No
CX023
Yes
30589
No
87726
No
95112
No
65067
No
68011
No
CAPHP
No
WC931
No
GCVCP
No
57116
No
57115
No
38269
Yes
38269
No
77082
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Care Management Group of Greater NY, Inc.
Care To Care
Care Wisconsin Health Plan (Trizetto)
Careage,TX Only
CareCentrix
CareCore National
CareCore National - Healthnet
CareCore National, LLC - Health Net of New Jersey
CareCore National, LLC (Aetna Radiology Claims)
CareCore National, LLC (Oxford Radiology Claims)
CareFirst Blue Cross Blue Shield of DC / NCA
CareFirst DelMarva Health Plan
CareGuide
Carelink Advantra
Carelink Health Plan
Carelink Medicaid
CARELINK UNIVERSITY HEALTH SYSTEM
CareMore IPA
CareMore Value Plus (CVP)
CARENET
CareOregon (DOS on and after 10/1/05)
CareOregon (DOS prior to 10/1/05)
CarePlus
CAREPLUS
Careplus Health Plans, Inc.
Carepoint Health Plans
CARESOURCE HEALTH PLAN OF OREGON
CareSource KY
CareSource of Indiana
CareSource Ohio
Careworks
Careworks (Ohio BWC) - Ohio Worker's Comp claims only
CareWorks,All States
Carilion Clinic Medicare Health Plan
CARITEN HEALTHCARE
Cariten Senior Health
Carleton College,MN Only
Carolina Behavioral Health Alliance
Carolina Benefit Administrators Inc.
Carolina Care Plan
Carolina Crescent (ACM)
Carolina Crescent Health Plan, Inc.
Carolina Summit Healthcare, Inc.
Carpenters Health and Welfare Fund of Philadelphia
Carpenter's Health and Welfare Trust Fund of St. Louis
Casella Ins. Co,MN Only
Caseys General Stores,TX & MN Only
Cat Management
Caterpillar Inc.
Catholic Healthcare West
Catholic Mutual,TX & MN Only
CBCA Administrators
CBCA Administrators (HRM) (formerly Health Risk Management, Inc.)
CBHNP - HealthChoices
CBSA
CCAI (previously payer ID CCAI1)
CCEA Welfare Benefit Trust
Page 12 of 70
Payer ID Enrollment
11331
No
41222
No
27004
No
WP291
No
11345
No
14182
No
14184
No
14185
No
14179
No
14180
No
SB580
No
SB691
Yes
16147
No
25139
No
25139
No
25140
No
CLUHS
No
CARMO
No
CARMO
No
25142
No
93975
No
13350
No
95092
No
95093
No
65031
No
77023
No
MRCHP
No
KYCS1
No
37311
No
31114
No
10010
No
31147
No
WC107
No
77015
No
62073
No
62072
No
WP311
No
56215
No
37245
No
57105
No
CX045
No
SX191
Yes
56195
No
CX101
No
25125
No
WP312
No
WZ279
No
IP080
No
37060
No
SX183
No
WP870
No
55438
No
41170
No
65391
No
41124
No
85468
No
88019
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
CCMLBOI,MN Only
CCMSI Worker Comp (TX)
CCMSI,TX Only
CCN Managed Care, Inc. (effective 1/1/07)
CCN Managed Care, Inc. (previously 33005)
CCPN (Coastal Communities Physician Network)
CDO Technologies
CDS Group Health
Cedar Fair L.P.,MN Only
Cedars-Sinai Medical Network Services
CEDARS-SINAI MEDICAL NETWORK SERVICES
Celtic Insurance
CeltiCare
Cement Masons & Plasterers Health & Welfare Trust
Cen Cal Machine,All States
Cencal
Cendant Corporation,TX & MN Only
Cenpatico - FL
CENPATICO - IL
CENPATICO - IN
Cenpatico - OHIO
Cenpatico Behavioral Health - Kansas
Cenpatico Behavioral Health of Arizona
Cenpatico Georgia
Cenpatico Indiana
Cenpatico Massachuetts
Cenpatico South Carolina
Cenpatico Texas
Centene TPA
Center Care (for Meritain claims)
Center Care (for Underwriter's Safety & Claims)
Center for Employee Training (Student Accident ONLY),All States
Center for Employee Training (WorkComp ONLY),All States
CenterCare
CenterLight Healthcare
CenterPoint Human Services
Centers Plan For Healthy Living
Centinela Valley IPA
Central Benefits Life
Central Benefits Mutual
Central Benefits National
Central California Alliance for Health
CENTRAL DUPAGE MEDICAL GROUP
Central DuPage Physician Group
Central Health Medicare Plan
Central Reserve Life
Central Reserve Life Ins Co
Central SeniorCare
Central States Health & Welfare Funds
Central States Joint Board Health and Welfare Fund
Central Susquehanna Healthcare Providers (CSHP)
Central Valley Medical Group
CENTURION
Century Health Solutions
CENTURYPHO
Cerenity Senior Care Large Deductible,MN Only
Certified Power Train Specialists, Inc.,MN Only
Page 13 of 70
Payer ID Enrollment
WP290
No
WK010
No
WR322
No
73159
No
73159
No
CCPN1
No
87065
No
88022
No
WP315
No
95166
No
95167
No
68063
No
68060
No
91136
No
WR888
No
CX050
No
WC783
No
68058
No
68065
No
68052
No
68051
No
68047
Yes
68048
Yes
68050
Yes
68068
No
68061
No
68059
No
68053
No
42139
No
MER04
No
USC02
No
WX167
No
WC966
No
13357
No
13360
No
56122
No
X6777
No
MPM03
No
31118
No
31118
No
31118
No
CCA01
Yes
NACDM
No
36314
No
CHCPI
No
34097
No
13193
No
62218
No
36215
No
37214
No
55731
No
E3510
Yes
42140
No
48120
No
36393
No
WP336
No
WP370
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
CHA - Commonwealth Health Alliance
CHAMPVA - HAC (Do not send Tricare claims)
Charlotte County,All States
Charming Shoppes, Inc.,TX & MN Only
Chatwins Healthcare Administrators
Chautauqua County Healthcare Plan (Mayville, NY)
CHC of Kansas City Advantra
CHCcares of South Carolina
CHEC - A Subsidiary of Sprint
Cherokee Insurance,All States
Chesapeak Life Insurance Company - Insurance Center
Chesterfield
Chesterfield Serv-Uniontown,TX & MN Only
Chick-fil-A,TX Only
Children First Medical Group
Children of Women Vietnam Veterans - VA HAC
CHILDREN WITH SPECIAL HEALTHCARE NEEDS (CSHCN)
Children's Hospitals and Clinics of MN,MN Only
Chinese Community Health Plan
CHIP- CHOICEONE UTMB
CHIP COMMUNITY FIRST
CHIP- SETON HEALTH PLAN
Chiropractic Care of Minnesota, Inc.
CHOC - Children's Hospital of Orange County Health Alliance
Choice Medical Group
Choice Net (previously CHCNT)
Choice One/UTMB CHIP Health Plan
Choice Physicians Net First Choice
Choice Plus (TRW)
CHOICEONE- UTMB CHIP
CHP DIRECT SUPERMED
Christian Brothers Services
Christian Brothers Services
Christian Care Ministries
Christus Health,TX & MN Only
CHRISTUS SPOHN NETWORK
Chrysler Group LLC,TX & MN Only
CHS Claims
CHS of America - LA Medicaid Plan
Chubb & Sons - Federal Insurance,All States
Chubb Indemnity Co,TX & MN Only
Chubb National Insurance Company,TX & MN Only
Church - Auto,TX & MN Only
Church Mutual Insurance Company,TX & MN Only
Church of Jesus Christ of Latter Day Saints,TX & MN Only
CIGNA
CIGNA - PPA
CIGNA - PPO
CIGNA BEHAVIORAL HEALTH (EDEN PRAIRIE, MN)
CIGNA Health Plan - HMO
Cigna Healthcare for Seniors - Arizona medicare
CIGNA,TX & MN Only
CIM Insurance Corporation,All States
Cimarron Salud (Molina Healthcare) - NM only
Cincinnati Financial Corporation
Cincinnati Insurance Co,TX & MN Only
Cincinnati Specialty Underwriters Company,All States
Page 14 of 70
Payer ID Enrollment
23171
No
84146
No
WB149
No
WC788
No
CHAT1
No
16600
No
25144
No
25151
No
CHECS
No
WX007
No
59223
No
34154
No
WP371
No
WP385
No
94321
No
84146
No
86916
No
WP406
No
94302
No
UHSCH
No
COMMF
No
SHPCH
No
41161
No
33065
No
CMG01
No
37227
No
76049
No
CPNFC
No
60054
No
UHSCH
No
90441
No
38308
No
61271
No
59355
No
A0031
No
SPOHN
No
WP407
No
35182
No
61733
No
WZ528
No
12777
No
10052
No
WP422
No
WP424
No
WP428
No
62308
No
62308
No
62308
No
SX071
No
62308
No
86033
No
WP470
No
WZ922
No
X9824
No
46871
No
10677
No
WZ923
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Cinergy Health
Cintas (Ontario),All States
Cintas (Pico Rivera),All States
Cintas (Sacramento),All States
Cintas (San Diego),All States
Cintas (San Fran),All States
Cintas (San Jose),All States
Cintas (Tustin),All States
Cintas (Vista),All States
Cintas Fire And Safety,All States
Cirq Wire Works,All States
Citizens Choice Health Plan
Citrus Health
Citrus Medical Group
Citrus Valley Physician's Group
City Fibers, Inc. (Vernon),All States
City of Amarillo
City of Amarillo (Austin),All States
City Of Arlington,TX & MN Only
City of Bloomington,MN Only
City of Eagan,MN Only
City Of El Paso,TX & MN Only
City of Hurst,TX & MN Only
City of Jacksonville,All States
City of Lewisville,TX & MN Only
City of Minneapolis,TX & MN Only
City of North Miami Beach,All States
City of Odessa
City of Plant City,All States
City of Plymouth,MN Only
City of Richfield,MN Only
City of Rochester,MN Only
City of San Angelo,TX & MN Only
City of San Antonio,TX Only
City of San Bernardino,All States
City of St. Paul,All States
City of Waco,TX Only
City of Wichita Falls
Cl d N ti lClarendon National,All States
Claim Quest (was Centurion),All States
Claimetrics,TX Only
Claims Administrative Services (CAS) (TX)
Claims Administrative Services (CAS),TX & MN Only
Claims Center,All States
Claims Development Corporation
CLAIMS MANAGEMENT SERVICES
Claims Services & Investigations,All States
ClaimsBridge High Performance Network
ClaimsWare, Inc. dba ManageMed
CLARENDON KIDS CHIP PROGRAM (CKCP) EPO
Clarendon National Insurance Co (Santa Ana),TX & MN Only
Clarendon National Insurance Co,TX & MN Only
Clarendon's Health Kids
Classic Residence By Hyatt,TX & MN Only
Clean Harbors, LLC (all locations),All States
Clearchoice Health Plan / COIHS
Cleveland Cliffs,MN Only
Page 15 of 70
Payer ID Enrollment
23212
No
WX067
No
WX063
No
WX064
No
WX066
No
WX068
No
WX065
No
WX069
No
WX070
No
WX060
No
WR898
No
CCHPC
No
10207
No
CMSI1
No
IP055
No
WX078
No
COA01
No
WX059
No
WC293
No
WP473
No
WP474
No
WP857
No
A0051
No
WB115
No
WR497
No
WP475
No
WB150
No
75600
No
WB151
No
WP476
No
WP478
No
WP480
No
WC152
No
WP481
No
WX090
No
WZ842
No
WP482
No
37251
No
WP980
No
WX115
No
WP492
No
WK005
No
WR889
No
WB152
No
43056
No
39141
No
WZ843
No
11752
No
57080
No
68069
No
WX124
No
20532
No
33192
No
WC790
No
WX137
No
77201
No
WP493
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
CM Administrators Inc
CMCS ADVANTAGE HEALTH SOLUTIONS MEDICARE ADVANTAGE
CMHO Clackamas County (PHTech)
CMS MMA Specialty Plan
CNA
CNA Insurance (FL),All States
CNA Insurance (TX),All States
CNA Insurance (CA),All States
CNA Insurance (OR),All States
CNA Insurance (PA),All States
CNA Insurance,All States
CNA Insurance,All States
Coach America,TX & MN Only
Coach USA,All States
Coast Hotels & Casino, Inc./DBA Coast Benefits
Coastal Administrative Services
COASTALCARE
Coca-Cola Enterprises Inc.,TX & MN Only
Cochran Canon Management Service, Inc. (CCMSI) (Concord, CA),All States
Cochran Canon Management Service, Inc. (CCMSI) (Danville, IL),All States
Cochran Canon Management Service, Inc. (CCMSI) (Minnetonka),All States
Colgate-Palmolive Corporate,TX Only
Colonial General Insurance Company,MN Only
COLONIAL HEALTHCARE
Colonial Medical
COLORADO ACCESS HMO
Colorado Choice Health Plans
Colorado Health Insurance Cooperative
COLORADO KAISER PERMANENTE
Colorado Kaiser Permanente (Colorado Springs Only)
Columbia Cornell Care
Columbia Sussex Corporation,TX & MN Only
COLUMBIA UNITED PROVIDERS
Commerce & Industry Insurance,TX & MN Only
Commerce Benefits Group
Common Ground Healthcare Cooperative
Commonwealth Administrators
Commonwealth Care Alliance
Commonwealth Industries,TX
Community Care Behavioral Health Organization
Community Care BHO
Community Care Managed Health Care Plans of Oklahoma
Community Care Organization
Community Choice of Michigan
Community Claims Administration
Community Family Care (SynerMed)
COMMUNITY FIRST
COMMUNITY FIRST STAR HEALTH PLAN
Community Health Alliance
Community Health Allliance TN
Community Health Center Network - CHCN
COMMUNITY HEALTH CHOICE
Community Health Electronic Claims/CHEC/webTPA
Community Health Group (Medicaid)
Community Health Group (Medicare)
Community Health Network of CT
Community Health Plan
Page 16 of 70
Payer ID Enrollment
56211
No
35219
No
CMHO1
No
MFL12
No
71063
No
WP929
No
WX160
No
WX161
No
WX164
No
WX165
No
WA041
No
WB168
No
WP496
No
WP497
No
37310
No
77052
No
43141
No
WC791
No
WC834
No
WC835
No
WR320
No
WP502
No
WP513
No
37123
No
22284
No
COACC
No
H0657
No
49718
No
COKSR
No
KSRCS
No
25351
No
WC792
No
91162
No
WP514
No
34181
No
77170
No
CATPA
No
14315
No
WB136
No
25179
No
23282
No
73143
No
39126
No
38325
No
26231
No
SYMED
No
COMMF
No
COMMF
No
35193
No
27905
No
CHCN1
No
48145
No
75261
No
CX057
Yes
CX058
Yes
62149
No
90010
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
COMMUNITY HEALTH PLAN NY
COMMUNITY HEALTH PLAN OF WA
Community Medical Group of West Valley
Community Premier Plus for Neighborhood Health Providers
Comp - Ohio (Austintown, OH)
Comp West,All States
Compass Group Usa, Inc.,TX & MN Only
CompBenefits Corporation
CompFirst, LLC
CompManagement Health
CompManagement Health Systems, Inc. (Ohio BWC) - Ohio Worker's Comp claims only
CompManagement Health Systems,All States
CompManagement/Integrated Comp (Ohio BWC) - Ohio Worker's Comp claims only
CompOne,All States
Comprehensive Behavioral Care
Comprehensive Benefits Administrator, Inc.
Comprehensive Care Management
Comprehensive Manged Care Systems,All States
ComPsych
COMPSYCH
CompTech,TX & MN Only
COMPUSYS OF COLORADO
Conagra Food, Inc.,TX & MN Only
Concepts Awnings Canvas, Inc.,All States
Concert Health Plan
CONFED ADMIN SERVICES, INC.
Confederation Admin Services
Confederation Life Insurance
ConnectiCare - Medicare
ConnectiCare, Inc
Connecticut Carpenters Health Fund
Connecticut General (CIGNA)
Connecticut Indemnity Co,TX & MN Only
Consociate Group (Decatur, IL)
Consolidated Associates Railroad
Consolidated Health Plans
Constitution State Services,All States
Constitution States (St. Paul Travelers),All States
Construction Services Group Self Insured Association,MN Only
Consumer Mutual of Michigan
Consumers Choice Health SC
Container Store (San Diego),All States
Contech Construction Products,TX & MN Only
Continental Airlines,TX & MN Only
Continental Casualty Co,TX & MN Only
Continental General Insurance Co
Continental Insurance Co,TX & MN Only
Continental Key Family
Continental National Insurance,TX & MN Only
Continental Western Ins Co,TX & MN Only
Continental Western,TX & MN Only
Continuum ABC MSO
Contractors Laborers Teamsters & Engineers
Convergys Corporation,TX & MN Only
Cook Children's Health Plan
Cook Children's Star Plan
Cook County Health Hospitals System
Page 17 of 70
Payer ID Enrollment
23742
No
CHPWA
No
CMGVW
No
32481
No
34177
No
WX214
No
WC793
No
37297
No
23296
No
15243
No
31147
No
WC109
No
31147
No
WC108
No
59314
No
03036
No
CCMC1
No
WC106
No
37363
No
CPSYC
No
WX753
No
COMPU
No
WP526
No
WX226
No
36434
No
80667
No
80705
No
80705
No
78375
No
06105
No
37307
No
62308
No
WP565
No
37135
No
75284
No
87843
No
WP674
No
WB102
No
WP575
No
58112
No
45321
No
WX239
No
WC803
No
WC813
No
20443
No
71404
No
35289
No
35315
No
WP578
No
WP589
No
WC131
No
13397
No
47046
No
WC826
No
CCHP1
No
CCHP9
No
06541
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Cook Group Health Plan
Cooperative Benefit Administrators (CBA)
Cooperative Managed Care Services
Co-ordinated Benefit Plans
Coordinated Medical Specialists
Core Administrative Services
Core Management Resources Group, Inc.
Core Source Arkansas
Coregis Insurance Co,TX & MN Only
Core-Mark International,TX & MN Only
CoreSource Lancaster General
CoreSource Little Rock (AR)
CoreSource MD PA IL
Coresource of AZ & MN
CoreSource of NC or IN
CoreSource OH
CoreSource-Internal
CoreStar (AZ or MN)
Corizon Health, Inc.
Cornerstone Benefit Administrators
Corporate Benefit Services of America
Corporate Benefits Service, Inc. (NC)
CORPORATE SYSTEMS ADMINISTRATION
Correctional Management Service,TX & MN Only
Correctional Medical Services
Corrections Corp of America,TX & MN Only
CORSOLUTIONS
CorVel Corp,All States
Corvel Corporation (Ohio BWC) - Ohio Worker's Comp claims only
Costco (Corp),All States
Cottage Health System
Cottage Hospital
Cottingham & Butler Claim Services, Inc.,All States
Country Casualty Insurance Company,All States
Country Life Insurance Company
Country Mutual Insurance Company,All States
Country Preferred Insurance Company,All States
County Of Olmsted,MN Only
County Of San Diego,All States
Countycare
Couts Heating & Cooling (Sacramento),All States
Covenant Administrators, Inc. (Atlanta, GA)
Covenant Health
COVENANT MGMT SYSTEMS EMPLOYEE BENEFIT PLAN
Coventry - Kansas City Medicare (Advantra)
Coventry Health Care National network
Coventry Health Care of Delaware, Inc.
Coventry Health Care of Georgia, Inc.
Coventry Health Care of Indiana, Inc.
Coventry Health Care of Iowa, Inc.
Coventry Health Care of Kansas, Inc. - Kansas City
Coventry Health Care of Kansas, Inc. - Wichita (old payer ID 25134)
Coventry Health Care of Louisiana, Inc.
Coventry Health Care of Nebraska, Inc.
Coventry Health Care of the Carolinas, Inc./Wellpath
Covidien,TX & MN Only
Coworx Staffing, LLC,TX & MN Only
Page 18 of 70
Payer ID Enrollment
35149
No
52132
No
35199
No
14829
No
58204
No
58231
No
58231
No
75136
No
622
No
WP612
No
16109
No
75136
No
35182
No
41045
No
35182
No
35183
No
35187
No
41045
No
CORIZ
No
35202
No
41124
No
56116
No
37246
No
WC846
No
43160
No
WC899
No
48146
No
WC110
No
31147
No
WB116
No
35182
No
35182
No
WZ902
No
WZ903
No
62553
No
WZ904
No
WZ905
No
WP613
No
WX307
No
60827
No
WX318
No
58102
No
62155
No
CMSEB
No
25133
No
87043
No
25130
No
25127
No
25131
No
25132
No
25133
No
25133
No
25135
No
25136
No
25133
No
WP615
No
WC901
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Cox Health Plan
CRA Managed Care (Ohio BWC) - Ohio Worker's Comp claims only
Crawford & Company (Ohio BWC) - Ohio Worker's Comp claims only
Crawford Insurance,TX & MN Only
Creative Medical Systems
Creative Plan Administrators
Crescent Village,All States
Crestbrook Insurance Company,TX & MN Only
Croy-Hall Mgmt. Inc.
Crum & Forster Indemnity Co,TX & MN Only
Crystal Run Health Plans
CSI NETWORK SERVICES
CSI NETWORK SERVICES
CSI OF MICHIGAN
Ct l H k LCentral Hockey League,TX&MN O lTX & MN Only
CTI Administrators
Cumis Insurance Society,TX & MN Only
Custom Benefit Administrators
Custom Design Benefits Inc.
CustomCare (Prudential)
CustomCare (Southwestern Bell - Exec.)
CVS Pharmacy / Caremark / Minute Clinic,All States
CVS Pharmacy,TX & MN Only
CWIBenefits, Inc.
Cypress Security,All States
Daimler Trucks North America WC (fka Freightliner LLC),TX & MN Only
DakotaCare (SD)
Dallas County Schools,All States
Dallas County Schools,TX Only
Dallas National Insurance Co,All States
Danaher Corporation,TX & MN Only
Dart Management Corp/Dart Container Corp
Dart Management Corporation
Dart Member Care
Davita Health
DC Chartered Health Plan, Inc. (Medicaid & Alliance)
DCI, Inc.,MN Only
De Bartolos, Inc,TX & MN Only
Dean Health Plan
Definity Health
Definity Health
Definity Services
Delaware Health Plan Consortium
Delaware Physicians Care, Inc.
DelawareCare (CHC of Delaware Medicaid)
Delphi Corporation,TX & MN Only
Delta Health Systems
Delta Health Systems
Dentemax/DPI (MI) - Wisconsin Only
Denver Health - Indigent
Denver Health and Hospital Authority
Denver Health Medical Plan
Denver Health Medical Plan, Inc. - Medicare Choice
Department of Energy,All States
Department of Labor and Industries,All States
Department of Labor Black Lung,All States
Department of Labor Energy Program
Page 19 of 70
Payer ID Enrollment
00019
No
31147
No
31147
No
WX335
No
64068
No
37320
No
WR916
No
WP618
No
37266
No
WC153
No
46120
No
34186
No
CSI01
No
27136
No
WC787
No
42141
No
WC132
No
39170
No
82056
No
60054
No
68241
No
WB117
No
WP155
No
57080
No
WX381
No
WP619
No
DAK01
No
WC127
No
WP640
No
32271
No
WP441
No
DARTC
Yes
06172
Yes
CB987
No
33066
No
95748
Yes
WP647
No
WX037
No
39113
No
64159
No
87726
No
87726
No
63081
No
27009
No
25137
No
WP649
No
94235
No
DHS01
No
AMS01
No
84134
No
84133
No
84135
No
84131
No
WB105
No
WX444
No
WB104
No
77103
Yes
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Department of Labor OWCP (aka payer ID 77044)
Depositors Insurance Co,MN Only
Dept. Of Veteran's Affairs (CA),All States
Dermatology Network Solutions
Deseret Mutual Benefit Administrators
Desert Family Practice Association
Desert Family Practice Association Encounters
Desert Hospital
Desert Medical Group
Destiny Health Plan
Detroit Medical Center
DGA - Diversified Group Administrators
Diamond Plan
DiaTri LLC
Dillard Departmen (Little Rock),TX & MN Only
Dillards Risk Management,All States
Diocese of Winona,MN Only
Direct Assignment Benefit Plans
Directory Distributing Assoc.,TX & MN Only
Discover Re (Burger King),TX & MN Only
Discover Reinsurance Company,TX & MN Only
Diversified Administration Corporation
Dixie Staffing (Lithia Springs),TX & MN Only
DMEnsion Medicare Advantage
DMEnsion Support, PEBTF & NHPRI
Doctors Hospital of Montclair (San Bernardino) (SynerMed)
Domino's Pizza LLC,TX & MN Only
Donovan's Steak House,All States
Downey Select IPA (Applecare Medical Management)
DPWN Holdings Inc.,TX & MN Only
Dreyer's Grand Ice Cream Holdings, Inc.,TX & MN Only
DRISCOLL CHILDRENS HEALTH PLAN (CHIP)
DSCC - Division of Specialized Care of Children
Dunn and Associates Benefits Administrators, Inc.
Dunn-Edwards Corporation,TX & MN Only
Durham School Services (Oxnard),All States
Durham School Services (Santa Ana),All States
Dustrol,TX & MN Only
Dynamex, Inc.,TX & MN Only
E3 Health, Inc.
Eagle Creek Medical Plaza
Early Intervention Central Billing
East Central ISD,TX & MN Only
Eastland Medical Group
Eastpointe
Easy Choice Health Plan of New York
Eaton Benefits, OH
Eaton Corporation,TX & MN Only
EBA & M Employee Benefits Administration and Management Corp
eBay,TX & MN Only
EBC Mid-America
EBC, Inc.
EBMC
EBMS
EBMS (Employee Benefit Management Services, Inc.)
EBS of Ohio (Mansfield, OH)
Eddie Bauer (Spiegel),TX Only
Page 20 of 70
Payer ID Enrollment
CX014
Yes
WP651
No
WX452
No
58204
No
SX105
Yes
PPM01
No
PPM02
No
PPM01
No
DESRT
No
36436
No
56240
No
25160
No
25131
No
36439
No
WP652
No
WX294
No
WP675
No
33192
No
WX039
No
WX040
No
WP697
No
06102
No
WP748
No
CX048
No
CX052
No
SYMED
No
WP749
No
WX500
No
APP01
No
WP753
No
WP756
No
74284
No
37600
No
35186
No
WX042
No
WX540
No
WX541
No
WX570
No
WX043
No
75232
No
61101
No
36434
No
WP767
No
66122
No
C8044
No
24770
No
62308
No
WP768
No
22262
No
WP788
No
37257
No
37257
No
CX025
No
SX182
No
81039
No
34166
No
WP800
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Edgewood ISD,TX Only
EDIC,All States
Educators Mutual (EMIA)
EEP Workers Compensation Fund,MN Only
EHI (Employers Health Insurance)
Ei (S th D k t )Esis (South Dakota),All States
El Cholo Restaurant,All States
El Paso Community College (Tx Jur),TX & MN Only
El Paso First - CHIP
El Paso Water Util Tx Jur,TX & MN Only
El Proyecto De Barrio
Elder Health HMO of Pennsylvania
ELDER HEALTH MARYLAND HMO, INC.
Elder Health Texas (Bravo)
ElderPlan, Inc.
Elderserve
Electric Insurance Company,All States
Elim Care, Inc.,MN Only
Ellis Consultants, Inc.
Elmcare LLC
ELMCARE LLC
Elmco
EMC Risk Services, LLC,TX & MN Only
EMCASCO I CEMCASCO Insurance Co,TX&MN O lTX & MN Only
Emerald Health Network
Emerald Health Network, Inc. (All PPO Business)
Emerald HMO (HMO Claims only)
Emergency Medical Services (AMR),TX Only
Emerson Electric Company,TX & MN Only
EMI-KP Ambulance Claims
EmoryCare (Prudential)
EMPHESYS
Empire Physicians Medical Group
Empire Physicians Medical Group
Employ Bridge (Irving),TX & MN Only
Employee Benefit Admin & Mgmt
Employee Benefit Claims - Mid-America
Employee Benefit Claims of Wisconsin
Employee Benefit Concepts (Farmington Hills, MI)
Employee Benefit Consultants, Inc.
Employee Benefit Management Corp (EBMC) aka Big Lots Assoc Benefit Plan
Employee Benefit Services (South Carolina only)
Employee Benefit Services of Louisiana (A division of Harrington Benefit Svcs)
Employee Benefit Services of San Antonio
Employee Benefits Plan Adminstration, Inc. (E.B.P.A.)
Employee Beneift Corporation
Employee Claim Adjudication Svcs
Employee Plans, LLC
Employee Security Inc.
Employer Plan Services
Employers Coalition on Health (ECOH)
Employers Compensation Insurance Co,TX & MN Only
Employers Compensation Insurance Fund,TX & MN Only
Employers Direct Health
Employers Direct Health - Employee Plan
Employers Direct Health - Fully Insured
Employers Direct Health - Self Funded Plan
Page 21 of 70
Payer ID Enrollment
WP804
No
WB021
No
SX110
No
WP805
No
61101
No
WS016
No
WX577
No
WC329
No
EPF03
Yes
WC351
No
MPM04
No
52192
No
52192
No
52192
No
31625
No
ELDER
Yes
WX574
No
WP807
No
ECISF
No
36399
No
NAELM
No
37253
No
WC160
No
WC157
No
31138
No
34167
No
34555
No
WP812
No
WP813
No
59299
No
60054
No
61101
No
EMP01
No
PPM01
No
WP818
No
95288
No
37257
No
37257
No
38241
No
37257
No
31074
No
37216
No
41198
No
EBSSA
No
03036
No
37215
No
75184
No
35112
No
54098
No
74212
No
27008
No
11512
No
WP853
No
75232
No
75236
No
75235
No
75233
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Employers Health
Employers Health Insurance
Employers Health Network, LLC
Employers Life Insurance Corp.
Employers Mutual Casualty,TX & MN Only
Employers Mutual, Inc (Jacksonville, FL)
Employers Mutual, Inc (Stuart, FL)
Employers Preferred,All States
Employers Reinsurance Corp,TX & MN Only
Encircle PPO
Encore Health Network
ENH Medical Group IPA
Enstar Natural Gas
Enterprise Rent A Car,MN Only
Envirosource,TX & MN Only
EPO CHIP/MANAGED CARE
Epoch Group
EQUICOR
EQUICOR - PPO
Equitable (CIGNA)
Equitable Plan Services (P.O. Box 720460, Oklahoma City, OK)
Equity Resid (San Diego, CA),All States
Erie Insurance Group,All States
Erin Group Administrators
ERMC,TX & MN Only
ES Beveridge and Associates
Escambia County,All States
Esis (Alabama),All States
Esis (Alaska),All States
Esis (Arizona),All States
Esis (Arkansas),All States
Esis (California),All States
Esis (Colorado),All States
Esis (Connecticut),All States
Esis (Delaware),All States
Esis (First American Insurance Co),TX & MN Only
Esis (Florida),All States
Esis (Georgia),All States
Esis (HawaiI),All States
Esis (Idaho),All States
Esis (Illinois),All States
Esis (Indiana),All States
Esis (Iowa),All States
Esis (Irving),TX & MN Only
Esis (Kansas),All States
Esis (Kentucky),All States
Esis (Louisisana),All States
Esis (Maine),All States
Esis (Maryland),All States
Esis (Massachusetts),All States
Esis (Michigan),All States
Esis (Minnesota),All States
Esis (Mississippi),All States
Esis (Missouri),All States
Esis (Montana),All States
Esis (Nebraska),All States
Esis (Nevada),All States
Page 22 of 70
Payer ID Enrollment
61101
No
61101
No
20508
No
37249
No
WC158
No
59298
No
59331
No
WZ906
No
39845
No
35206
No
35206
No
36364
No
91136
No
WZ258
No
WX045
No
68069
No
28777
No
62308
No
62308
No
62308
No
73126
No
WX638
No
WB169
No
23250
No
WR894
No
34108
No
WB153
No
WS026
No
WS027
No
WS028
No
WS029
No
WS030
No
WS031
No
WS032
No
WS033
No
WX046
No
WS034
No
WS035
No
WP975
No
WC730
No
WP508
No
WP989
No
WP990
No
WP766
No
WP991
No
WP992
No
WP993
No
WP994
No
WP995
No
WP996
No
WP997
No
WP998
No
WP999
No
WS001
No
WS002
No
WS003
No
WS004
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Esis (New Jersey),All States
Esis (New Mexico),All States
Esis (New York),All States
Esis (North Carolina),All States
Esis (North Dakota),All States
Esis (Ohio),All States
Esis (Oklahoma),All States
Esis (Oregon),All States
Esis (Pennsylvania),All States
Esis (Rhode Island),All States
Esis (South Carolina),All States
Esis (Sunoco Claims),All States
Esis (Tennessee),All States
Esis (Texas),TX & MN Only
Esis (Utah),All States
Esis (vermont),All States
Esis (Washington DC),All States
Esis (Washington),All States
Esis (West Virginia),All States
Esis (Wyoming),All States
Esis Fremont W/C,All States
Esis Portland W/C,All States
Essence
ESSENCE HEALTHCARE
Essential Health Large Deductible,MN Only
Esurance Insurance Company,All States
E-V Benefits Management, Inc (Columbus, OH)
Evercare
Evercare Star Plus
Everence
Everest National Insurance (Fresno),All States
Everest National Insurance (NJ),All States
Everest National Insurance (Oakland),All States
Everest National Insurance (Orange),All States
Everest National Insurance (SF),All States
Evergreen Health Cooperative
Evergreen Health Plan
Evolution Insurance Company, Ltd.,TX & MN Only
Evolution Insurance Company,TX & MN Only
Evolutions Healthcare Systems (New Port Richey, FL)
Excel MSO
ExclusiCare
Exel, Inc,TX & MN Only
Eye Specialists of Arizona
F.A. Richard & Associates, Inc.,TX Only
F.A. Richards & Associates, Inc.
F.A.R.A,TX Only
F40 Alaska Carpenters Trust
Facey Medical Foundation
Facility Insurance Group,TX & MN Only
FACS Group
Factory 2 U,TX & MN Only
Factory Motor Parts,TX & MN Only
Fairmont Foods Of Minnesota (MN),MN Only
Fairmont Premier Insurance Company,TX & MN Only
Fairmont Specialty Insurance Company,All States
Fairview Health Services,All States
Page 23 of 70
Payer ID Enrollment
WS005
No
WS006
No
WS007
No
WS008
No
WS009
No
WS010
No
WS011
No
WS012
No
WS013
No
WS014
No
WS015
No
WS016
No
WS018
No
WS019
No
WS020
No
WS021
No
WS022
No
WS023
No
WS024
No
WS025
No
WX644
No
WX645
No
57082
No
20818
No
WP854
No
WA057
No
34159
No
87726
No
07501
No
35605
No
WR787
No
WX666
No
WX665
No
WX667
No
WX664
No
93240
No
58233
No
WP855
No
WX048
No
59313
No
EXC01
No
71412
No
WX682
No
75138
No
WX698
No
37289
No
WX699
No
91136
No
95432
No
WC133
No
37300
No
WC431
No
WZ282
No
WP856
No
25518
No
WZ924
No
WZ589
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Fairview Redwing Health Services,MN Only
Fallon Community Health Plan
Fallon Total Care
Family Care
Family Care CCO
Family Care Inc. (Oregon HMO) (FCI)
Family Care Inc. (Oregon HMO) (MHO)
Family Care Inc. (WPS)
Family Care MHO (PH Tech)
Family Dollar,All States
Family Health Partners - Kansas
FAMILY HEALTH PARTNERS - Missouri
Family Health Plan
Family Health Plan (Ohio BWC) (For Ohio Worker's Comp Claims Only)
Family Medical Network
FARA
FARA Benefit Services, Inc.
Farm Bureau Mutual Insurance Company,MN Only
Farm Family
Farm Family Casualty Insuarnce Company,TX & MN Only
Farmer's Insurance,All States
Farmland Mutual Insurance Co,TX & MN Only
FBMC (United Benefits/Poe & Brown)
FCE Benefit Administrators
FEDERAL EMPLOYEE PROGRAM (TX FEP)
Federal Express Corporation,TX & MN Only
Federal Insurance Co,TX & MN Only
Federal Mogul (AE Goetze),MN Only
Federated Benefits
Federated Claims Service Corp.,All States
Federated HR Services
Federated Mutual Insurance
Federated Mutual Insurance Company,TX & MN Only
Federated Rural Electric (TX),TX & MN Only
FedEx Freight West, Inc.,TX Only
Fedex Ground Package System Inc,TX & MN Only
FedEx National LTL, Inc.,TX & MN Only
Fi ' F d I (N t CA) Fireman's Fund Insurance (Novato, CA),TX O lTX Only
Fidelis Care New York
Fidelis SecureCare
Fidelity & Casualty Company of New York,TX & MN Only
Fidelity & Gurananty Insurance Underwriters,TX & MN Only
Fidelity and Guaranty Insurance Co.,TX & MN Only
Fidelity National Financial Inc.,TX & MN Only
Fidelity National Information Services,TX & MN Only
Fire & Casualty Insuarnce Company of CT,TX & MN Only
Firemans Fund Insuarnce (Burbank, CA),TX Only
Fireman's Fund Insuarnce (Tustin, CA),TX Only
Fireman's Fund Insurance (Chicago, IL),TX Only
Fireman's Fund Insurance (Dallas, TX),TX Only
Fireman's Fund Insurance (Sacramento, CA),TX Only
Fireman's Fund Insurance Company,TX Only
First Administrators, Inc
First Carolina Care
First Choice (CT)
First Choice Health Network
First Choice HealthPlans of Connecticut
Page 24 of 70
Payer ID Enrollment
WP202
No
22254
No
45559
No
60995
No
93121
No
CX003
Yes
MCD01
Yes
CX013
No
CIM61
No
WB118
No
31472
No
43173
No
96865
No
31147
No
36396
No
37289
No
37289
No
WP869
No
14140
No
WP907
No
WB170
No
13818
No
37260
No
33033
No
84980
No
WP910
No
20281
No
WP917
No
37300
No
WZ313
No
37300
No
41041
No
WC161
No
WC168
No
WP932
No
A0110
No
WP936
No
WX780
No
11315
No
77054
No
WP937
No
WP941
No
WP938
No
WP939
No
WP940
No
WP942
No
WX777
No
WX774
No
WX781
No
21873
No
WX772
No
WA042
No
FAMR1
No
56196
No
14163
No
91131
No
14162
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
First Choice Medical Group
First Choice of Midwest (PPO)
First Choice VIP Care
First Choice VIP Care Plus - SC
First Data Corporation,TX & MN Only
First Great West Life & Annuity Ins Co
First Health Commercial
First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma)
First Integrated Health
First Priority
First Service Administrators, Inc.
FIRSTCARE
FirstCare
FIRSTCARE - MEDICAID
FirstCare "Star" Medicaid
FIRSTCARE STAR MEDICAID
Firstcomp,All States
FirstGuard Health Plan - Kansas
FirstGuard Health Plan - Missouri
Fiserv Health - Kansas/Tennessee
Fitzharris & Company, Inc. (Farmingdale, NY)
FKI Industries, Inc.,TX & MN Only
FL MCO PHC/PHP
Fleetwood Motor Homes (Plan 47),All States
FlexCare
Florida 1st
Florida Health Care Plan
Florida Health Care Plus (FHP)
FLORIDA HEALTH CHOICE- Wisconsin only
FLORIDA HEALTH CHOICE/SELECT Wisconsin
Florida Hospital Healthcare Systems
Florida Hospital Waterman
Florida League of Cities, Inc.
Florida Power & Light (Prudential)
Florida Retail Federation,All States
Florida True Health
Floridiancare (BPN)
Floridiancare (South Florida)
Florist Mutual Insurance,All States
FMH Benefit Services, Inc.
Fond Du Lac Reservation,MN Only
Food Lion / Delhaize,All States
Ford Meter Box Company, Inc.
Ford Motor Credit Co.,TX & MN Only
Formax, Inc.
Fort Worth ISD,TX Only
Fort Worth Transportation Authority,TX Only
Forte, Inc.,TX & MN Only
Fortis Benefits Insurance Company
Fortis Insurance Company
Foundation Benefit Admin
Foundation for Medical Care of Tulare & Kings County
Foundation Health Plan (Sunrise, FL)
Fox Valley Medicine Site 199
Fox Valley Medicine Site 451
FoxEverett - Ingalls Ship Building
Fox-Everett, Inc.
Page 25 of 70
Payer ID Enrollment
FCMG1
No
75138
No
37510
No
77009
No
WP943
No
80705
No
87043
No
73159
No
75232
No
23241
No
59276
No
94999
No
94999
No
94998
No
94999
No
94999
No
WX798
No
90060
Yes
90061
Yes
62061
No
11244
No
WP068
No
95411
No
WX801
No
60054
No
59276
No
59322
No
12611
No
AMS01
No
AMS01
No
59321
No
48116
No
59698
No
60054
No
WB154
No
26492
No
APBPN
No
APSFL
No
WX842
No
48117
No
WP944
No
WB119
No
37305
No
WP945
No
87066
No
WP946
No
WP947
No
WX692
No
70408
No
39065
No
BOONG
No
TKFMC
No
55248
No
FVMCH
No
FVMC1
No
64067
No
64069
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Frank Gates / Attenta,TX & MN Only
Frankenmuth,All States
Freedom Communications,TX Only
Freedom First
Freedom Health Plan
Freedom Life Insurance Company of America
Freedom Network/PHP
Fresenius Medical Care Health Plan
Fresno Police Officers Association,All States
Friant Water Users
Fringe Benefit Management
Fringe Benefits Coordinators
FrontPath Health Coalition
G A B Business Services,TX & MN Only
G.E. Group Life Assurance Company
GAB Robbins, Inc.,TX & MN Only
GAB Robins (For Van Tuyl Companies ONLY),TX & MN Only
Gainey Corporation-Grand Rapids,TX & MN Only
Galderma Laboratories, LLC,TX & MN Only
Gallagher Bassett (IL),All States
Gallagher Bassett (Sacramento),All States
Gallagher Bassett Services, Inc.,All States
Gallagher Benefit Administrators, Inc/GBA (Now AAG - American Administrative Group)
Galveston County Indigent Health Care
GameStop Inc.,TX & MN Only
Gap,All States
Garfield Medical Center (SynerMed)
Gategourmet #836,All States
Gates Corp Dba Gates Rubber Co,TX & MN Only
Gateway Health Plan - Medicare Assured
Gateway Health Plan Medicaid PA
Gateway Health Plan of Ohio, Inc.
Gateway Health Plan OH - Medicare Assured
Gateway IPA (Pinnacle Health Resources) (Prospect Medical Group)
Gatews McDonald Health Plus, Inc.,All States
GBA (Gallagher Benefit Admin)
GBS GROUP BENEFIT SERVICES INC
GE Group Administrators, South Carolina
GE Group Administrators, Texas
GEGLAC - G.E. Group Life Assurance Company
GEHA
GEHA Health Group (Nevada)
GEHA Mental Health Claims
Geico Insurance,All States
Geisinger Health Plan
GEMCare (Golden Empire Managed Care System)
Gemcare Health Plan
Genelco (St. Louis)
Genentech, Inc.,TX Only
General Accident Corp of America,TX & MN Only
General American Life Insurance Company
General Casualty (Eden Prairie),TX & MN Only
General Casualty (Farmers' Union),TX & MN Only
General Casualty (Freeport),TX & MN Only
General Casualty (Indianapolis),TX & MN Only
General Casualty (Simsbury),TX & MN Only
General Casualty (Sun Prairie),TX & MN Only
Page 26 of 70
Payer ID Enrollment
WX856
No
WB106
No
WP948
No
31313
No
41212
No
62324
No
00023
Yes
23130
No
WP982
No
TKFMC
No
59069
No
59204
No
34171
No
WP949
No
67815
No
WX907
No
WP873
No
WP950
No
WP951
No
WX915
No
WX913
No
WX917
No
37283
No
30005
No
WP952
No
WB120
No
SYMED
No
WX929
No
WX052
No
60550
No
25169
No
76028
No
91741
No
PROSP
No
WC112
No
37283
No
80241
No
06143
No
75238
No
67815
No
44054
No
GEHA9
No
87726
No
WCG01
No
75273
Yes
MCS01
No
MCS03
No
63665
No
WP953
No
WP955
No
63665
No
WP957
No
WP956
No
WP958
No
WP959
No
WP960
No
WP961
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
General Casualty (West Des Moines),TX & MN Only
General Casualty Co of Wisconsin,TX & MN Only
General Motors Corporation,TX & MN Only
Generations Healthcare
Generations-Hillcrest
Genesee County Medical Plan
Genex Care for Ohio,TX & MN Only
GENEX Care of Ohio (Ohio BWC) (For Ohio Worker's Comp Claims Only)
Genex Services (Orange County),TX & MN Only
Genex Services (Sacramento),TX & MN Only
Genex Services (Schaumburg, IL),TX & MN Only
GEO,All States
George A Bicks Plumbing,All States
Georgia Casualty & Surety Co,All States
Georgia Power Medical Benefits Plan
Georgia-Pacific Corp.,TX & MN Only
Georgia-Pacific Liability,TX & MN Only
Gettysburg Health
GEVB - PIC (GE Voluntary Benefits Professional Insurance Company)
GH Basic Health Plan
GH Individual and Family Plan
GHC - Eastern Washington State
GHC - Western Washington State
GHC Commercial
GHC Medicare + Choice
GHI - Medicare Private Fee for Service
GHI - New York (Group Health Inc.)
GHI HMO
GHP (Group Health Plan)
GI Innovative Management
GIC Indemnity Plan
Gillette Children'S Specialty H.C.,MN Only
Gilsbar, Inc.
Glassworkers Health & Welfare Fund
Gld Stt S lGolden State Supply,All States
Global Care Medical Group IPA
Global Care, Inc.
Global Excel Management
Global Health
GMAC LLC,TX & MN Only
GMS, Inc.
GM-Southwest, Inc.
Gold Coast Health Plan
Golden Corral Corporation,TX & MN Only
Golden Rule Insurance Company
Golden State Medical Group
Golden State Physicians Medical Group
Golden Triangle Physician Alliance/Selectcare of Texas (GTPA)
Goodrich,All States
Gopher Resource Corporation,MN Only
Government Employees Health Association
Government Employees Health Association
Government Employees Hospital Association (GEHA)
Grady Healthcare
Grand Portage Res. Tribal Council,MN Only
Grange Mutual Casualty Company,All States
Grange,TX & MN Only
Page 27 of 70
Payer ID Enrollment
WP962
No
24414
No
WP963
No
46050
No
46051
No
16112
No
WC113
No
31147
No
WX948
No
WX949
No
WX946
No
WB121
No
WX952
No
WC128
No
61271
No
WP964
No
WP965
No
23212
No
59041
No
91051
No
91051
No
91121
No
91051
No
91051
No
91051
No
22937
No
13551
No
25531
No
25141
No
58204
No
80314
No
WP966
No
07205
No
91136
No
WX984
No
MPM05
No
07689
No
GEM01
No
GHOKC
No
WP967
No
47083
No
L0120
No
77160
No
WP553
No
37602
No
MBA01
No
68041
No
72189
No
WB122
No
WP968
No
45235
No
45275
No
44054
No
58204
No
WP969
No
WA058
No
WP970
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
GRANT PHYSICIANS PRACTICE ASSOCIATION
Graphic Arts Mutual,TX Only
Graphics Art Mutual,TX & MN Only
Gray Insurance Co.,TX & MN Only
Great American Alliance Ins Co.,TX & MN Only
Great American Assurance Co.,TX & MN Only
Great American Ins. Co.,TX & MN Only
Great American Ins. Co.of N.Y.,TX & MN Only
Great Central/Argonaut,TX & MN Only
Great Divide Insurance,TX & MN Only
Great Lakes Health Plan
Great Lakes PACE
Great River Insurance Co,TX & MN Only
Great West Casualty Co,TX & MN Only
Greater Oregon Behavioral Health (GOBHI)
Great-West Healthcare
Great-West Healthcare (former American General)
Green Tree Administrators
Grinnell Reinsurance Company,All States
Grinnell Select,All States
Gropu Health Inc.
GROUP & PENSION ADMINISTRATORS
Group Administrators Ltd.
Group Administrators Self Funded
Group Benefit Administrators (Hendersonville, TN)
GROUP HEALTH COOP/SO. CENTRAL WISCONSIN
Group Health Cooperative - East
Group Health Cooperative - West
Group Health Cooperative of Puget
Group Health Cooperative of South Central Wisconsin
Group Health Insurance - DE
Group Health Managers
Group Health Options, Incorporated Alliant Plus
Group Health Options, Incorporated Alliant Select
Group Health Options, Incorporated Options
Group Health Options, Incorporated Options Prime
Group Health Options, Incorporated Options Select
Group Health Plan
Group Insurance Service Center, Inc.
Group Practice Affiliates
GRP HLTH Coop of Eau Claire and Compcare
Gse Lining Technology, Inc.,TX & MN Only
Guardian Healthcare Medicare Advantage FFS
Guardian Life Insurance Company of America
Guideone Mutual Insurance Co,All States
Guildnet (New York, NY)
GULF QUEST(IPA) HMO BLUE
Gulf Stream-General Dynamics
Gunderson Lutheran Health Plan, Inc.
Guy Evans Inc,All States
H.E.R.E.I.U Welfare Pension Funds
H.E.R.E.I.U. Welfare Pension Funds
HAA Preferred Partners, LLC
Hamaspik Choice
Hanesbrands Inc.,TX & MN Only
Hannaford,All States
Hanover Insurance,TX & MN Only
Page 28 of 70
Payer ID Enrollment
37234
No
WA043
No
WP747
No
WC134
No
WC166
No
WC165
No
WZ013
No
WC164
No
WP971
No
WC156
No
95467
No
39640
No
WC154
No
11371
No
GOBHI
No
80705
No
63665
No
78521
No
WZ907
No
WZ908
No
22937
No
48143
No
36338
No
GASA1
No
72153
No
39167
No
91121
No
91051
No
91051
No
39167
No
61101
No
38194
No
91051
No
91051
No
91051
No
91051
No
91051
No
25141
No
37276
No
68046
No
95192
No
WX093
No
77010
No
64246
No
WZ590
No
GLDNT
Yes
RENBL
No
CB624
No
39180
Yes
WZ043
No
37114
No
23172
No
65101
No
47738
No
WP972
No
WB123
No
WP927
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Harco National Insurance Co,TX & MN Only
Harken Health
Harlandale ISD,TX Only
Harleysville Insurance Company,All States
Harmony Health Plan of Illinois
Harmony Health Plan of Illinois
Harmony Health Plan of Indiana
Harmony Health Plan of Indiana
Harrimon Jones
Harrington Benefit Services, Inc. (Oklahoma)
Hartford (Prof & Inst Only),All States
Hartford Accident and Indemnity Company,TX & MN Only
Hartford Casualty Insurance Company,TX & MN Only
Hartford Fire Insurance Company,All States
Hartford Insurance Company of the Midwest (All other states),All but CA, FL, NJ TX
Hartford Insurance Company of the Midwest (CA, FL, NJ & TX ONLY),CA, FL, NJ, TX Only
Hartford Insurance Company of the Midwest (Ruby Tuesday ONLY),All States
Hartford Life and Annuity Insurance Company,All States
Hartford Life Insurance Company (Dent & Rx Only),All States
Hartford Underwriters Insurance Company,All States
Harvard Community Health Plan
Harvard Pilgrim Health Care
HAS - Health Administration Services
Hawaii Management Alliance Association (HMAA)
Hawaii Management Alliance Assoication (HMAA)
HCH Administration (Illinois)
HCH Administration, Inc.
HCh kHo Chunk,MN O lMN Only
HCHA Albq-Self Funded
HCS - Health Claims Service (Boise, ID)
HD Supply Inc.,TX Only
HDM Benefit Solutions
HDPC - Premier Healthcare
HDPC/Alliance Physicians
Health 1,2,3, Inc.
Health Administration Service, Inc.
Health Alliance
Health Alliance Exclusive & Plus
Health Alliance Medical Plans
Health Alliance Plan of Michigan
Health America Inc./Health Assurance/Advantra
Health and Welfare Fund Ohio
Health Assurance/Health America, Inc./Advantra
Health Care Alliance (Sears)
HEALTH CARE DISTRICT PALM BEACH CTY
Health Care Group Self Insured Association,MN Only
Health Care LA IPA
Health Care Network of Wisconsin (HCN)
Health Care Partners
HEALTH CARE PARTNERS - AZ
Health Care Payer's Coalition (Toledo, OH)
Health Care Reciprocal,MN Only
Health Choice Generations
Health Choice Insurance
Health Choice of Arizona
Health Cost Solutions
Health Designs Plus (Hudson, OH)
Page 29 of 70
Payer ID Enrollment
26433
No
43313
No
WP973
No
WZ591
No
14163
No
36406
No
14163
No
36405
No
HCP01
No
22521
No
WB110
No
WZ915
No
WZ916
No
WZ917
No
WP092
No
WZ911
No
WZ044
No
WZ912
No
WZ913
No
WZ914
No
04245
No
04271
No
34185
No
99208
No
48330
No
37111
No
37215
No
WR179
No
37329
No
82018
No
WP974
No
HDMCO
No
90023
No
20257
No
23173
No
34185
No
88461
No
23172
No
77950
No
38224
No
25126
No
34564
No
25126
No
60054
No
95828
No
WR012
No
MPM06
No
42102
No
20501
No
HCP02
No
34193
No
WR019
No
62180
No
46221
No
62179
No
62111
No
34158
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Health Economics Group, Inc.
Health EZ
Health First Health Plans
Health First TPA - Tyler
Health Future, LLC.
Health Insurance Plan of New York
Health Management Solutions,All States
Health Manager Solutions (Ohio BWC) - Ohio Worker's Comp claims only
Health Market Care Assured
HEALTH NET OF ARIZONA
HEALTH NET OF ARIZONA
Health Net of California and Oregon FOR CLAIMS ONLY
Health Net of the Northeast, Inc.
Health Network America
Health Network One
Health New England
Health Palm Beach
Health Partners - Jackson, TN
Health Partners of Alabama, Inc.
Health Partners of Kansas
Health Partners of MN
Health Partners Southeast
Health Partners, PA
Health Partners,TX & MN Only
Health Payment Systems, Inc.
HEALTH PLAN OF MICHIGAN
Health Plan of Michigan (for MI providers only)
Health Plan of Michigan (for non-MI providers only)
Health Plan of San Joaquin
Health Plan of the Redwoods
Health Plans Inc.
Health Pledge HMO
Health Plus PHSB (Brooklyn, NY)
Health Right
Health Risk Management, Inc.
Health Services Consulting Group Inc.
Health Services for Children with Special Needs
Health Services Management
Health Services Management (HSM)
Health Services Preferred (HSP) by Emerald Health
Health Smart-Lubbock,All States
Health Strategies
Health Value Management
Health Value Management - DE (Humana)
HEALTHCARE BENEFITS (TX only)
Healthcare District Palm Beach
HEALTHCARE MANAGEMENT ADM. (HMA)
HEALTHCARE OPTIONS
Healthcare Partners
HealthCare Partners, IPA
HEALTHCARE PLANS, INC
Healthcare Resources Group (HRG)
Healthcare Resources NW
Healthcare Services Group,All States
Healthcare Solutions Group
Healthcare USA
Healthcare's Finest Network
Page 30 of 70
Payer ID Enrollment
16112
No
16120
No
95019
No
75234
No
30946
No
55247
No
WC114
No
31147
No
62295
No
38309
Yes
M5007
Yes
95567
No
06108
No
20199
No
65062
No
04286
No
95827
No
62157
No
63092
No
31478
No
94267
No
63092
No
80142
No
WZ127
No
20270
No
52563
No
X2936
Yes
83253
No
68035
No
94254
No
44273
No
95435
No
11324
No
52201
No
41170
No
20896
No
37290
No
41150
Yes
HSM01
No
34167
No
WR060
No
SX044
No
61101
No
61101
No
84980
No
HCDPB
Yes
HMA01
No
EPF37
No
HCP01
No
11328
No
HC001
No
82468
No
56731
No
WZ107
No
73147
No
25143
No
36335
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
HealthChoice of Memphis
Healthcomp Inc.
HealthEase
Healthfirst TPA - Tyler, TX
Healthfirst, Inc. (NY & NJ)
HealthGroup Limited
HealthGuard of Lancaster
HealthHelp Network, Inc. (HHNI)
Healthlink HMO (unique prov # required)
Healthlink PPO (unique prov # required)
Healthplan of San Mateo Medical or Care Advantage
HealthPlan Services (Tampa only)
HealthPlus of Louisiana
HealthPlus of Michigan (aka 38216)
HEALTHPOWER HMO
HealthScope Benefits - EHC Repricing
HealthSCOPE Benefits, Inc.
HealthSCOPE Benefits, Inc. (Repricing AR)
HEALTHSELECT BCBS OF FLORIDA
Healthshare of Oregon CCOE
Healthsmart Accel
Healthsmart Preferred
HEALTHSMART PREFERRED CARE (HSPC)
Healthsmart Preferred Care, Inc.
Healthsmart-Noble Mid Orange
Healthsource CMHC
Healthsource Massachusetts, Inc.
Healthsource Provident
Healthsource, AR
Healthsource, AR (Med) (CIGNA)
Healthsource, GA (CIGNA)
Healthsource, KY
Healthsource, ME
Healthsource, N. TX (CIGNA)
Healthsource, NC (CIGNA)
Healthsource, NH
Healthsource, OH
Healthsource, SC
Healthsource, TN (CIGNA)
HealthSpan Integrated Care
HealthSpan Network Repricing
HealthSpring HMO/HealthSpring Medicare+Choice (TN)
HealthSpring of Alabama
HealthStar, Inc.
HealthSun Healthcare
Healthways WholeHealth Networks
Healthy CT
Healthy Equation
Healthy Options (DSHS)
Heavy and General Labors Fund of New Jersey
Helmsman Mgmt. Services,All States
Helpmates (Irvine),All States
Helpmates (Los Angeles),All States
Helpmates Staffing Service,All States
Heman G Stark Youth Corr Facility,All States
Heritage Consultants
Heritage Group,TX & MN Only
Page 31 of 70
Payer ID Enrollment
62168
No
85729
No
14163
No
75234
No
80141
No
23274
No
23226
No
59087
No
96475
No
90001
No
SX174
No
59140
No
95009
No
CX017
No
31106
No
52429
No
71063
No
48153
No
M3IL1
No
HSOCC
No
75237
No
HSPC1
No
HSPC1
No
75250
No
HMS01
No
02041
No
02041
No
68195
No
71074
No
71075
No
58210
No
61127
No
01041
No
75255
No
56147
No
02038
No
31141
No
06119
No
62129
No
RH007
No
HSPAN
No
25193
No
63092
No
36332
No
HESUN
No
58213
No
77180
No
HLTHQ
No
91051
No
22148
No
WZ649
No
WZ123
No
WZ124
No
WZ125
No
WZ126
No
59230
No
WX103
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
HERITAGE IPA
Heritage National Health Plans
Heritage New York Medical Group
HERITAGE PHYSICIAN NETWORK (HOUSTON)
Heritage Summit,All States
Hershey Company,TX & MN Only
Hewlett Packard Company,TX & MN Only
HFN Healthease
HFN, Inc.
High Desert Medical Group
High Desert Primary Are
Highlands Insurance Co,TX & MN Only
Highlands Wellmont
Highmark - Key Family Commercial
Highmark Commercial
Hill Physicians Medical Group
Hillcrest Benefit Administrators
Hinsdale Physician Healthcare
HIP - Health Insurance Plan of Greater New York
HIP - Health Insurance Plan of Greater New York (Anesthesia)
HIRSP (Wisconsin)
HMA- HEALTHCARE MANAGEMENT ADM
HMA Administrators LLC
HMA Hawaii
HME National Network (DMEnsion)
HMO BLUE (TX Only)
HMO BLUE TEXAS
HMO OF COLORADO
HMPK, Inc.
HMSO-Highline Medical Service Organization
Hobby Lobby Stores, Inc.,TX & MN Only
Holly Farms Corp.,TX & MN Only
Hollywood Presbyterian (SynerMed)
Holy Cross Health Partners
HOLY CROSS HEALTH PARTNERS
Home Depot Corporate,TX & MN Only
Home Owners Insurance Company,All States
HomeTown Health Network
Hometown Health Plan Nevada
Hometown Health Providers
Honeywell,TX & MN Only
Hoosier Alliance Healthplan
Hoosier Alliance Healthplan
Horizon Healthcare Admin (HHA)
Horizon Mercy
Horizon NJ Health
Hortica Florist Mutual Insurance,TX & MN Only
Hospital Benefits, Inc.
Hotel Employees & Restaurant Employees Health Trust
Household Merch Nni,TX & MN Only
Housing Authority El Paso (TX),TX & MN Only
Houston Hunters Patrol, Inc,TX & MN Only
HPlan, Inc.
HPN (HERITAGE PHYSICIAN NETWORK - HOUSTON)
HPR (Health Plan of the Redwoods)
HPS Paradigm, Inc.
HRH of Illinois
Page 32 of 70
Payer ID Enrollment
HER01
No
95378
No
11328
No
HPN11
No
WB155
No
WR174
No
WR175
No
M3FL5
No
36335
No
HDMDG
No
33069
No
22489
No
31441
No
35145
No
37323
No
00046
No
59347
No
36385
No
55247
No
AXH01
Yes
CX024
No
HMA01
No
39044
No
86066
No
CX051
No
84980
No
84980
No
COHMO
No
61101
No
91164
No
WR180
No
WX104
No
SYMED
No
36412
No
NAHLX
No
WR183
No
WZ909
No
34150
No
88023
No
88537
No
WR184
No
20475
No
MDWIS
No
22304
No
22326
No
22326
No
WZ202
No
37274
No
91136
No
WX105
No
WC332
No
WR901
No
61101
No
HPN11
No
94254
No
58227
No
36410
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
HRM
HRM Claim Management
Hudson Health Plan
Hughes Tool Company,TX & MN Only
Humana
Humana - Employers Health Insurance
Humana (PCA HEALTHPLANS OF TEXAS)
Humana Care Plan
Humana Emphesys
Humana Employers Health Insurance
Humana Gold
Humana Group Health Plan
Humana Health Chicago
Humana Health Chicago Insurance Company
Humana Health Plan
Humana HMO
HUMANA HMO 0
Humana Inc.
Humana Insurance Agency
Humana Insurance Company
Humana Insurance Company Choice Care Network
Humana Medical Plan - CA
Humana Medical Plan - KY
Humana Military - Tricare South: Regions 3 and 4
HUMANA OHIO 1
HUMANA OHIO 2
Humana Puerto Rico
Humana Veterans Healthcare Services
Humana Wisconsin Health Organization
Humboldt-Del Norte Foundation for Medical Care
Hunt Insurance Group
Hurst-Euless-Bedford ISD,TX & MN Only
Hutchinson Area Healthcare Center,MN Only
Hutchinson Technology,All States
Hyatt Regency (Irvine),All States
Hyatt Regency (San Diego),All States
Hy-Vee, Inc,TX & MN Only
I.E. Shaffer (West Trenton, NJ)
IAA
IBA HEALTH & LIFE ASSURANCE CO.
IBA SELF FUNDED GROUP
IBEW Western Utilities or Local 57
IBI
IBM Business Transformation Outsourcing Insurance Services Corporate
IBM Medical Plans
IBOCO Inc.,MN Only
ICARE (Independent Care Health Plan)
ICM
ICON Benefit Administrators (Now AAG - American Administrative Group)
ICW Group (NV Only),All States
IDS Property Casualty Insurance Company,All States
IFCO Systems (Wasco Only),All States
IHG Direct
IHN CCO MH
IL Fornaio (America) Corp,All States
IlliniCare
Illinois Central Hospital Association (Tinley Park, IL)
Page 33 of 70
Payer ID Enrollment
41170
No
41170
No
13335
No
WX106
No
61101
No
61101
No
95885
No
61101
No
61101
No
61101
No
61101
No
61101
No
61101
No
61101
No
61101
No
61102
No
61105
No
61101
No
61101
No
61101
No
61101
No
61101
No
61101
No
61125
No
95348
No
Z0005
No
65018
No
61160
No
61101
No
94154
No
37260
No
WR200
No
WR210
No
WZ919
No
WZ229
No
WZ227
No
WZ283
No
22175
No
37279
No
38234
No
38234
No
74234
No
41124
No
19028
No
60054
No
WR281
No
11695
No
37296
No
75185
No
WP976
No
WA055
No
WZ241
No
75274
No
IHNMH
No
WZ250
No
68066
No
36600
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Illinois Health Partners
Illinois Health Solutions
Illinois Medicaid (Public Aid)
Illinois National Insurance Co,TX & MN Only
Illinois Tool Works,TX & MN Only
IMA of Louisiana Inc.
I'Mcare
IMS Management Svcs - Texas
IMSCO Health Systems
IMX Easy
Incstar Corporation,MN Only
INDECS Corporation
Indemnity Insuarnce North America,TX & MN Only
Independence Care System, Inc.
Independence Care Systems FIDA-MMP
Independence Medical Group
Independence Medical Group-Kern County
Independence Medical Group-Tulare County
Independent Living Systems
Indian Health Systems
Indiana Children's Special Healthcare
INDIANA HEALTH NETWORK
Indiana Lumbermen-Indianapolis,TX & MN Only
Indiana Lumbermens Mutual Insurnace Co,TX & MN Only
Indiana ProHealth Network
Indiana Teamsters Health benefits Fund (Indianapolis, IN)
Individual Health Insurance Companies
INETICO, INC.
Informed, LLC
Ingalls Provider Group
Ingalls Provider Group
INGALLS PROVIDER GROUP
Injured Workers Insurance Fund
Inland Empire Health Plan
Inland Faculty medical Group
Innovative Care Systems (ICS) (San Ramon ONLY),All States
Innovative Care Systems (ICS) (Torrance ONLY),All States
Innovative Healthware Solutions
INS Health Services (Immigration Health Services)
Insight Health Corp.,All States
Insilco Corp,TX & MN Only
Institutes of Quality
Insurance Administrators of America, Inc.
Insurance Co of North America,TX & MN Only
Insurance Company of the West (ICW),All States
Insurance Company State of Pennsylvania,TX & MN Only
Insurance Design Administrators
Insurance Management Services (Amarillo, TX)
Insurance Management Services (IMS) of Texas
Insurance Management Services of Nevada (Elko, NV)
INSURANCE SERVICE OF LUBBOCK
Insurdata/Insurnational
Insurer's Administrative Corp.
Insurer's Administrative Corporation
Integon National Insurance,All States
Integra Administrative Group (Seaford, DE)
Integra Group
Page 34 of 70
Payer ID Enrollment
DMG01
No
86069
No
SKIL0
Yes
WR315
No
WR318
No
72091
No
41600
No
12T64
No
37319
No
86070
No
WR319
No
40585
No
WR323
No
13396
No
64284
No
MHM01
No
IMG01
No
IMG02
No
45048
No
00290
No
CX070
No
35204
No
WR375
No
14265
No
35161
No
35107
No
31053
No
43471
No
52196
No
36348
No
85578
No
NAING
No
52212
No
IEHP1
No
MVMM1
No
WZ670
No
WZ281
No
04320
No
VAICE
No
WZ287
No
WX107
No
60054
No
37279
No
22713
No
WZ291
No
WR376
No
13315
No
15688
No
IMSMS
No
88006
No
ISL11
No
SX011
No
86304
No
IAC01
No
WZ910
No
51020
No
31127
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Integra Group-CHA
Integra Managed Long Term Care
Integra Plan
Integral Quality Care
Integranet
Integrated Care Network (ICN) by Emerald Health
Integrity Auto,TX & MN Only
INTEGRITY BENEFITS NETWORK
Integrity Mutual Insurance Company,All States
Integrity,TX & MN Only
Inter-Americas Insurance Corporation, Inc.
InterCare Health Plans Inc.
Intercare Insurance Services (Irvine),All States
Intercare Insurance Services (Orange),TX & MN Only
Intercommunity Health Net
INTER-COUNTY HEALTH PLAN
Interface EAP (IEAP)
Intergroup Services Corporation
Intermountain Healthcare (IHC)
International Brotherhood of Boilermakers
International Educational Exchange Services, Inc. (IEES)
International Funding, LTD
International Medical Group
International Paper Company,TX & MN Only
International Union of Operating Engineers, Local 15, 15A, 15C & 15D
InterWest Health (Acceptius Gateway payer) (Montana) - PPO
Intgritas Benefit Group (Claims are Printed and Mailed to Payer)
InTotal Health (DOS after 7/1/16)
InTotal Health (DOS prior to 7/1/16)
Iowa Assigned Risk Plan,MN Only
Iowa Benefits Inc.
Iowa Group 14 Assigned Risk Plan,MN Only
Iowa Health Solutions
IPA Misroute
IPA OF KANE COUNTY
Irex Corporation,TX & MN Only
Ironworking Contract I.P.,TX & MN Only
ISOL
IU Medical Group Primary Care
J B Hunt Transport Inc.,TX & MN Only
J. F. Molloy and Associates, Inc.
Jack In The Box (Chino),All States
Jack In The Box (Colton),All States
Jack In The Box (Escondido),All States
Jack In The Box (Milpitas),All States
Jack In The Box (Modesto),All States
Jack In The Box (Ontario),All States
Jack In The Box (Ontario),All States
Jack In The Box (Riverside),All States
Jack In The Box (San Bernardino),All States
Jackson Memorial Health PLan (FL)
Jeld Wen Inc,TX & MN Only
Jennie O Foods,All States
Jenny Craig,TX Only
JFK Hospital
JI Specialty Services Worker Comp (TX)
JI Specialty Services, Inc.
Page 35 of 70
Payer ID Enrollment
31129
No
45302
No
INTGR
Yes
23229
No
INET1
No
34167
No
WR379
No
58200
No
WA059
No
WR377
No
92649
No
37227
No
WZ298
No
WX602
No
INCHN
Yes
54763
No
60280
No
23287
No
CX001
No
36609
No
16158
No
39182
No
IMGIN
No
WR388
No
37269
No
84137
No
20435
No
35115
No
10262
No
WR394
No
41124
No
WR395
No
86068
No
61199
No
IPAK1
No
WX108
No
WX109
No
ISL11
No
SX172
No
WC327
No
61271
No
WZ362
No
WZ359
No
WZ360
No
WZ364
No
WZ365
No
WZ363
No
WZ366
No
WZ358
No
WZ361
No
05014
No
A0141
No
WZ920
No
WR397
No
PPM01
No
WK006
No
JISSP
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
JI Specialty Services,TX Only
Jiffy Lube / Allied Lube,All States
Jk I Th B (T )Jack In The Box (Torrance),All States
JMH Medicare Advantage
John Alden/Assurant Health Care Service Corporation
John Deere Health Care
John Hancock
John Morrell Company Co. - AHPBA
John Muir Mt. Diablo Health System
John P Pearl & Associates
Johns Hopkins Healthcare (EHP/PP)
Johns Hopkins Healthcare (USFHP)
Jones Truck Lines, Inc.,TX & MN Only
Joplin Claims
Joy Meidcal Group
JP Farley Corporation
JSL Administrators
Juvenile Jail Facility Managem,TX & MN Only
Kaiser Foundation Health Plan of Colorado
Kaiser Foundation Health Plan of Georgia
Kaiser Foundation Health Plan of Northern CA Region
Kaiser Foundation Health Plan of Ohio
Kaiser Foundation Health Plan of Southern CA Region
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
Kaiser Foundation Health Plan,TX & MN Only
Kaiser Foundation of the Northwest
Kaiser Ohio Region
Kaiser Permanente (Colorado Springs Only)
KAISER PERMANENTE (SO CAL ONLY)
Kaiser PPO
Kanawha HealthCare Solutions, Inc.
Kanawha Insurance Co.
KANE COUNTY IPA
Katy Medical Claims
Kaweah Delta Medicare Advantage
KCI Holdings USA,TX & MN Only
Keenan & Associates (Rancho Cordova),All States
Keenan & Associates (Redwood City),All States
Keenan & Associates (Riverside),All States
Keenan & Associates (San Jose),All States
Keenan & Associates (Torrance),All States
Kelsey-Seybold
Kemper Benefits
Kemper UniTrin Auto and Home,All States
Kemper UniTrin Safeguard Ins Company,All States
Kempton Company
Kempton Group Administrators
Ken Davis Industries Inc.,TX & MN Only
Kentucky Health Administrators, Inc.
Kentucky Health Cooperative
KENTUCKY HEALTH SELECT
Kentucky Kare
Kentucky Spirit Health Plan
Kern Health Systems
Key Benefit Administrators (Indianapolis, IN)
Key Benefit Administrators (KBA) (SC)
KEY GAP
Page 36 of 70
Payer ID Enrollment
WA044
No
WZ386
No
WZ357
No
59171
No
41099
No
95378
No
80314
No
38310
No
68036
No
37215
No
52189
No
52123
No
WX110
No
43178
No
AMM01
No
34136
No
37272
No
WX111
No
91617
No
21313
No
94135
No
34092
No
94134
No
52095
No
WR436
No
93079
No
KS005
No
KSRCS
No
KS001
No
94320
No
57038
No
57038
No
KCIPA
No
81812
No
IP084
No
WX112
No
WZ441
No
WZ436
No
WZ439
No
WZ438
No
WZ437
No
KELSE
No
61453
No
WZ926
No
WZ925
No
73100
No
73100
No
WX113
No
27215
No
77894
No
63077
No
61101
No
68067
No
77039
No
37217
No
XX446
No
35317
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Key Medical Group
Key Medical Group - Medicare Advantage
Key Select
Keystone Connect (Amerihealth)
Keystone Mercy Health Plan
Keystone VIP Choice
Kindred Health Care
Kindred Healthcare,TX & MN Only
Kinetic Concepts, Inc.,TX & MN Only
King's Seafood,All States
Klais & Co,All States
Klais & Company
K-Med Inc.,All States
Kohl's Department Stores Inc.,TX & MN Only
Korean American Medical Group
KRM Risk Mgmt Insurance Services,All States
Kroger Co.,TX Only
L b M t l C lt CLumbermens Mutual Casualty Co,TX&MN O lTX & MN Only
L.A. County Sheriff (Lennox Station / Inglewood),All States
LA Care Health Plan
La Vida IPA
La Vida IPA
Labor & Industry (Washington)
LACare
Lafayette Consolidated Government
Laidlaw (#816),TX & MN Only
Laidlaw International, Inc.,TX & MN Only
Laidlaw Transit (#9095),TX & MN Only
Lakeside Comprehensive Healthcare
Lakeside Health Services
LAKESIDE IPA
Lakeside Medical Group
Lamesa ISD,All States
Lamonica's Pizza Dough,All States
Land of Lincoln Health
Landmark Healthcare
Landmark Insurance Company,TX & MN Only
Landstar Bco Wc Program,TX & MN Only
LaSalle Medical Associates
Lawndale Christian Health Center
Lazar Landscape Design & Construction,All States
LBA Health Plans
LDI Mechanical,All States
League Of Mn Cities Insurance Trust,MN Only
League of MN Cities,All States
Leech Lake Band Of Ojibwe,MN Only
Lefco Sheet Metal,All States
Lender Processing Services,TX & MN Only
Leon Medical Center Health Plan
LEON MEDICAL CENTER HEALTH PLAN
Lester Electrical,MN Only
LHP Claims Unit
Liberty Health Advantage
Liberty Mutual
Liberty Mutual and all subsidaries (excludes UPS),All States
Liberty Mutual Fire Insurance Co,All States
Liberty Mutual Insurance Co,All States
Page 37 of 70
Payer ID Enrollment
IPO82
No
IP083
No
37321
No
77050
No
23284
No
84223
No
61101
No
WR452
No
WR482
No
WZ489
No
WC115
No
34145
No
WZ494
No
WR601
No
KAMG1
No
WP981
No
WR643
No
22977
No
WZ520
No
LACAR
No
LVIPA
No
LVPA1
No
LABOR
Yes
27357
No
71037
No
WZ564
No
WR647
No
WZ565
No
66127
No
95415
No
95416
No
66125
No
WZ592
No
WZ572
No
90096
No
LNDMK
No
WR648
No
WX125
No
NMM02
No
36333
No
WZ599
No
52193
No
WZ602
No
WR651
No
WZ943
No
WR675
No
WZ608
No
WR676
No
37316
No
65055
No
WR677
No
58102
No
87071
No
33600
No
WB171
No
WZ626
No
WZ635
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Liberty Mutual,All States
Liberty Union
Life & Health Insurance Company of America
Life Assurance Company
Life Investors Ins Co of America
Life Investors Ins Co of America (Hurst, TX)
Life Investors Ins Co of America (Louisville, KY)
Life Trac
LIFEMAP
LifePrint (Sierra Health)
Lifestyle Health Plans
LIFESYNCH
Lifetime Benefits Solutions
Lifewise Healthplan of Arizona
LifeWise Healthplan of Oregon
Lincoln National
Lincoln National - Phoenix, AZ (Humana)
Lincoln National (EMPHESYS, Green Bay and Madison, WI only)
Linkia Cigna
Linkia Greatwest
Linkia Healthspring
Linn County
LIPA/Agate Resources
Little Ceasar Enterprise,All States
LivHOME,All States
LKQ Corporation,TX Only
Local 135 Health Benefits Fund (Indianapolis, IN)
Lockard & Williams
Loma Linda University Adventist Health Sciences Center Employee Health Plan
Loma Linda University Adventist Health Sciences Centers
Loma Linda University Behavioral Medicine Center Employee Health Plan
Loma Linda University Employee Health Plan
Loma Linda University Health Care Employee Health Plan
Loma Linda University Medical Center Employee Health Plan
Loma Linda University Medical Center Residents Health Plan
Loma Linda University Student Health Plan
London Health Administrators
Lone Star National Ins. Co.,TX & MN Only
Longhorn Linen,TX Only
Longs Drugs,All States
Los Alamos Total Care (LATC)
LOUISIANA DEPARTMENT OF CORRECTIONS
Louisiana Health Cooperative
Louisiana Health Cooperative
Louisiana Healthcare Connections
Lovelace Health Plans (Commercial)
Lovelace Salud
Lovelace Sandia Health Plan
Lovelace Senior Plans (LSP)
Loveland Salud (NM Medicaid) (dos 7/1/04 and after)
Lower Sioux Indian Community Jacpot Junction,MN Only
Lowe's,All States
Lsg Sky Chefs International,TX & MN Only
Lubbock ISD,TX & MN Only
Lumbermens Mutual Casualty Company,TX & MN Only
Lumbermens Under-Carrollton,TX & MN Only
MAC (Metro Airports Comm),MN Only
Page 38 of 70
Payer ID Enrollment
WZ634
No
37281
No
98205
No
37281
No
LIICA
No
LIIC2
No
LIIC3
No
41136
No
RLH01
No
LIFE1
No
27005
No
61104
No
EBSRM
No
91155
No
93093
No
61101
No
61101
No
61101
No
CX046
Yes
CX071
Yes
CX059
Yes
75283
No
LIPA1
Yes
WZ671
No
WZ674
No
WR678
No
35107
No
CB752
No
37267
No
37267
No
37267
No
37267
No
37267
No
37267
No
37267
No
37267
No
37226
No
11087
No
WR679
No
WB124
No
60054
No
LADOC
No
28680
No
67202
No
68069
No
90328
No
SX159
No
90328
No
90328
No
90328
No
WR680
No
WB126
No
WX127
No
A0167
No
WR681
No
WR682
No
WR683
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Machinist District 9 Welfare
Macneal Health Providers - CHS
Macys (Daly City),All States
Macys (Newport Beach),All States
Macys Corporate Services,MN Only
MADA Insurance Exchange,MN Only
Maersk Inc. / APM Terminals of North America, Inc.,TX & MN Only
Magnacare
Magnetic Imaging Services, Inc. (MIS),All States
Magnolia Health Plan
Mail Handlers Benefit Plan
Mailhandlers Mental Health Claims
Maine Community Health Options
Mainstay Business Solutions (Folsom),All States
Mainstay Business Solutions (Irvine),All States
MajestaCare Virginia
Major League Baseball 8,TX & MN Only
Major League Baseball,TX & MN Only
Maksin Management Corporation
MAMSI Life and Health Insurance Co. (MLH)
MAMSI LIFE HEALTH INS CO
Managed Care Indemnity
Managed Care Services, LLC
Managed Care Systems (Delano Regional Medical Group)
Managed Care Systems (Gemcare)
Managed Health Care Associates
Managed Health Networks (MHN)
Managed Health Services Indiana (Medicaid HMO)
Managed Health Services Wisconsin
Managed Physical Network
MANAGED PHYSICIAN NETWORK
Managed Prescription Services
Manatee Service Center (Bradenton, FL)
Manpower,TX & MN Only
Manulife W.J. Sutton Company
MAPCO, INC.
March Vision Care Inc.
Maric College - Student Injury (Riverside),All States
Maric College - Student Injury (San Diego),All States
Marriott
Marriott Claims-Plano,TX & MN Only
MARTINS POINT HEALTH CARE
Martin's Point Health Plan
Marvin Lumber & Cedar Company,MN Only
Marvin,All States
Maryland Health Insurance Plan
Maryland Health Partners
Maryland Physicians Care
Mashantucket Pequot Tribal Nation
Mass Electric Co.,All States
MASSACHUSETTS MUTUAL
Masters, Mates and Pilots Plan
Mater Dei High School Dioces,All States
Matheson Fast Freight, Inc.,All States
Matrix Absence Management (Albuquerque, NM),All States
Matrix Absence Management (Austin, TX),All States
Matrix Absence Management (Hawthorne, NY),All States
Page 39 of 70
Payer ID Enrollment
37292
No
36334
No
WZ721
No
WZ727
No
WZ310
No
WR684
No
WR685
No
11303
No
WR013
No
68062
No
62413
No
87726
No
45341
No
WZ742
No
WZ743
No
26372
No
WX149
No
WR686
No
22195
No
87726
No
MA001
No
61101
No
35162
No
MCS02
No
MCS01
No
36312
No
22771
No
39186
No
39187
No
41159
No
93900
No
61101
No
41555
No
WR691
No
98010
No
75258
No
52461
No
WZ775
No
WZ776
No
60054
No
WR726
No
53275
No
MPHC1
No
WR727
No
WZ877
No
22347
No
SX069
No
22348
No
37121
No
WZ809
No
65935
No
MMPHB
No
WX501
No
WZ812
No
WC150
No
WX817
No
WC148
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Matrix Absence Management (Kailua, HI),All States
Matrix Absence Management (Las Vegas, NV),All States
Matrix Absence Management (Naperville, IL),All States
Matrix Absence Management (Ontario, CA),All States
Matrix Absence Management (Overland Park, KS),All States
Matrix Absence Management (Owing Mills, MD),All States
Matrix Absence Management (Pennsburg, PA),All States
Matrix Absence Management (Phoenix, AZ),All States
Matrix Absence Management (Plant City, FL),All States
Matrix Absence Management (Portland, OR),All States
Matrix Absence Management (Rancho Cucamonga, CA),All States
Matrix Absence Management (Sacramento, CA),All States
Matrix Absence Management (San Jose, CA),All States
Matrix Absence Management (Wilmington, NC),All States
Matrix Absence Management,All States
Matthew Thornton Health Plan
Mayesh Wholesale Florist, Inc.,All States
Mayo Clinic,TX & MN Only
Mayo Management Services, Inc.
MBA Benefit Administrators
MBA of Wyoming
MBM Food Service,All States
MBS (MedCost Benefit Services)
Mc Donald'S-Mcopco,TX & MN Only
Mcare - University of MI Commercial Insurance
McCreary Corporation
McDonald's (Warmel),All States
McGraw-Hill Companies,TX Only
MCIT,TX & MN Only
McKinley Medical Group
McLaren Health Plan (MHP Advantage HMO SNP)
McLaren Health Plan (MHP Commercial)
McLaren Health Plan (MHP Health Advantage)
McLaren Health Plan (MHP Medicaid)
McLaren Health Plan (MHP Northern Health Plan)
McLaren Health Plan (MHP Tencon Health Plan)
MCMC, LLC Worker Comp (TX)
MCMC,All States
MD - Individual Practice Association, Inc. (M.D. IPA)
MD ANDERSON PHYSICIAN NETWORK
Mdi G l IMedia General, Inc.,TX&MN O lTX & MN Only
MDNY Healthcare
MDwise Healthy Indiana Plan
Meadowbrook - Insured,All States
Meadowbrook - ProCentury,All States
Meadowbrook Century,All States
Meadowbrook Inc,TX & MN Only
Meadowbrook Meat Company, Inc. (MBM),TX & MN Only
Meadowbrook TPA Assoc.,All States
MeadWestvaco Corporation,TX Only
MED3000 CALIFORNIA AFFILIATED PHY GRP
MED3000 CMS TITLE 21
MedAdmin Solutions
MedAdmin Solutions
MedBen (Newark, OH)
Medbenefixx Inc
MedCom
Page 40 of 70
Payer ID Enrollment
WC147
No
WC146
No
WC145
No
WC144
No
WC143
No
WC142
No
WZ203
No
WX857
No
WX855
No
WX853
No
WZ816
No
WZ818
No
WZ820
No
WX854
No
WA045
No
02030
No
WZ831
No
WR749
No
41154
No
87065
No
87065
No
WZ835
No
56205
No
WX155
No
38264
No
59331
No
WZ836
No
WR751
No
WR760
No
MHM02
No
3833R
No
38338
No
3833A
No
3833C
No
3833N
No
3833T
No
WK007
No
WX776
No
87726
No
MDAPN
No
WR833
No
11338
No
SX172
No
WZ927
No
WZ929
No
WZ928
No
WR778
No
WR779
No
WZ594
No
WR802
No
M3CA1
No
MFL14
No
58202
No
58204
No
74323
No
61101
No
59231
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
MedConnection (Marriott)
MedCost, Inc.
MedDirect
Medfocus
Medica
MEDICA CHOICE (ALLINA)
Medica Health Care Plan
Medica2
Medical Administrators, Inc.,All States
Medical Benefit Administration, Inc.
Medical Benefit Administrators, Inc. of Maryland dba/MBA of MD, Inc
Medical Benefits Administrators, Inc. (Newark, OH)
Medical Benefits Companies (Newark, OH)
Medical Benefits Mutual (Newark, OH)
Medical Benefits Mutual Life Insurance Co.
Medical Control, Inc.
Medical Development International
Medical Mutual of Ohio
MEDICAL NETWORK OF COLORADO SPRINGS
Medical Partners of America
Medical Pathways
Medical Plan of Kansas City, MO
Medical Resource Network (MRN)
MEDICAL SELECT MANAGEMENT
Medical Serivces for Indigents
Medical Value Plan - Ohio (MVP)
Medicare Advantage Preferred Provider Organization (PPO) (SC)
Medicare Advantage Private Fee-for-Services (PFFS) (SC)
Medigold (Mt. Carmel Health Plan)
MediPrime
Mediture
MedPartners
MedPartners Admin Services
MedPOINT Management
Medrisk,All States
MedSolutions, Inc
MedStar Family Choice
MEDSTAR PHYSICIAN PARTNERS
Mega Life & Health Ins. (Student Insurance)
MEGA LIFE & HEALTH INS. CO. - Insurance Center (N. Richland Hills, TX)
Member Insurance Agency Inc.,MN Only
MEMIC
MEMIC Insurance,All States
Memorial Clinical Associates (TX)
Memorial Clinical Associates/SelectCare of Texas (MCA)
Memorial Herman Health Network Providers
MEMORIAL INTEGRATED HEALTHCARE
MEMORIAL INTEGRATED HEALTHCARE
Mendota Insurance Company,All States
Menemsha Co,All States
Menominee Ind. Tribe of WI,MN Only
Mercy Care Plan
Mercy Care Plan (AHCCCS)
Mercy Health Plan of NJ
Mercy Health Plans
Mercy Maricopa Integrated Care
Mercy Physicians Medical Group
Page 41 of 70
Payer ID Enrollment
60054
No
56162
No
38353
No
95321
No
94265
No
94265
No
78857
No
12422
No
WC117
No
68041
No
37298
No
74323
No
74323
No
74323
No
74323
No
75229
No
52181
No
29076
No
CSMED
No
80026
No
33029
Yes
61101
No
58203
No
13375
No
AMM02
No
38224
No
XXC64
No
XXC63
No
95655
No
94254
No
20039
No
35205
No
412MP
No
MPMOA
No
WZ876
No
62160
No
39190
No
00243
No
74227
No
59221
No
WR843
No
01047
No
WA064
No
MCA11
No
62181
No
MHHNP
No
59064
No
59065
No
WA062
No
WZ954
No
WR847
No
X3433
No
86052
No
22326
No
43166
No
33628
No
33029
Yes
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Mercy Work Solutions, Inc.,All States
MercyCare
Meridian Health Plan
MERIDIAN HEALTH PLAN OF IOWA
Meritain Health/Agency Services
Meritain Health/North American Administrators
Mervyn's #23 (Mt. View, CA),All States
Mervyn's #267(Mission Viejo, CA),All States
Mervyn's #601 (Sun Valley, CA),All States
Mervyn's #89 (San Diego, CA),All States
Mervyn's,All States
Mesa Mental Health
Met Life
Metcare Health Plan, Inc.
Methodist Assoc Health Plan
Methodist First Choice
MethodistCare, Inc.
Metro Alliance
Metro Plus Health Plan
Metroploitan Life Ins Co
Metropolitan Council,TX & MN Only
Metropolitan Health Plan
Metropolitan Health Plan (IGI)
Metropolitan Property and Casualty Insurance Company,All States
Metrowest Health Plan - Preferred Care
Metrowest Star Medicaid
MHNET
MIC General Insurance Corporation,All States
MIC Property and Casualty Ins. Corp.,All States
Michael Reese HMO Plan - IL
Michael Reese HMO Plan - IN
Michael Reese Physicians Group
Michels Corporation,All States
MID AMERICAN BENEFITS/Elite Choice
Mid Atlantic Psychiatric Services, Inc. (MAPSI)
Mid Rogue Oregon Health Plan
MID ROGUE OREGON HEALTH PLAN
Mid Valley Behavioral Health
Mid-America Associates, Inc.
Midcoast Care Inc., A Medical Group
Mid-County Physicians Medical Group (San Diego) (SynerMed)
Middlesex Insurance Company,TX
Midland National Life Insurance Co
Midlands Choice, Inc.
MidSouth Administrative Group
Mid-Valley CareNet, Inc.
Midwest Drywall,TX & MN Only
Midwest Employers Casualty Company,TX & MN Only
Midwest Family Insurance Company,MN Only
Midwest Group Benefits
Midwest Health Partners
Midwest Health Plan
Midwest Insurance,All States
Mid-West National Life Insurance Co. of Tennessee - Insurance Center
Mid-West National Life Insurance Co. of Tennessee - OKC
Mid-West National Life Insurance Co. of Tennessee - Student Insurance (Dallas, TX)
Midwest Security
Page 42 of 70
Payer ID Enrollment
WC118
No
39114
No
13189
No
14145
No
64158
No
64157
No
WZ973
No
WZ974
No
WZ977
No
WZ975
No
WZ976
No
85035
No
87726
No
65113
No
62168
No
23550
No
95420
No
82135
No
13265
No
87726
No
WR890
No
10850
No
55765
No
WA060
No
MWP01
No
MWS01
No
74289
No
WZ930
No
WZ931
No
61101
No
61101
No
37127
No
WZ878
No
22823
No
52149
No
26161
No
MRIPA
No
CX037
No
37281
No
77012
No
SYMED
No
WB137
No
90956
No
47080
No
62168
No
31140
No
WX605
No
WR892
No
WR907
No
61146
No
76079
No
MHP77
No
WX909
No
59224
No
59227
No
74227
No
79480
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Military Aircraft Rest.,All States
Millard Refrigerated Service (FT.Wort),TX Only
Milwaukee Casualty Insurance Co,TX & MN Only
Milwaukee Taxing Unit,All States
Minneapolis Park & Recreation Board,MN Only
Minneapolis Prudential Business
Minneapolis Public Schools,TX & MN Only
Minnesota Grp 4 Assigned Risk Plan,MN Only
Minnesota Grp 68 Assigned Risk Plan,MN Only
Minnesota Grp 78 Assigned Risk Plan,MN Only
Minnesota Manufacturers Group Self-Insured Association,MN Only
Minnesota Masonic Homes,MN Only
Minnesota Nonprofits Employers,MN Only
Minnesota School Boards Assoc.,MN Only
Minnesota Soft Drink Assoc.,MN Only
MinuteMan
MIPS
Mission (St. Joeph Heritage Healthcare)
Mission Medical Group
Mississippi Physicians Care Network
Mississippi Public Entity Employee Benefit Trust
Mississippi Select Health Care (Select Administrative Services - SAS)
Missoula County Medical Benefits Plan
Missouri Care/MC
Missouri Employers Mutual,All States
Mitchell Energy & Devel,TX & MN Only
Mitsui Sumitomo Insurance Group,All States
Mitsui Sumitomo Insurance USA Inc.,All States
MLink
Mll W t P d t IMueller Water Products, Inc,TX&MN O lTX & MN Only
MMA
MMAC (Managed Medical Assurance Co., Ltd.) (Ohio BWC) (Ohio Worker's Comp claims)
MMAC (Managed Medical Asurance Co),All States
MMS, LLC
Modern Fibers,All States
Modern Service Casualty Insurance Company,All States
Molina Healthcare of California
Molina Healthcare of Florida
Molina Healthcare of Michigan
Molina Healthcare of Nevada
Molina Healthcare of New Mexico
Molina Healthcare of Ohio
Molina Healthcare of South Carolina
Molina Healthcare of Texas
Molina Healthcare of WA ASO Encounters Only
Molina Healthcare of Washington
Molina Healthcare of Washington ASO
Molina Healthcare Utah (aka: American Family Care)
Molina Illinois
Molina of Indiana
Momentum Health Services
Monarch IPA
Mondial Assistance
Monsanto Company,TX & MN Only
Montefiore Contract Management Organization
Montgomery County Texas,TX & MN Only
Montgomery Insurance (Liberty RAM),All States
Page 43 of 70
Payer ID Enrollment
WR002
No
WR908
No
WR910
No
WZ879
No
WR912
No
60054
No
WR913
No
WR914
No
WR917
No
WR919
No
WR923
No
WR924
No
WR925
No
WR926
No
WR927
No
01776
No
05018
No
STJOE
No
PPM01
No
64084
No
37233
No
64088
No
37275
No
43179
No
WZ880
No
WX159
No
WR028
No
WZ932
No
37265
No
WR933
No
35316
No
31147
No
WC116
No
62178
No
WB127
No
WZ881
No
38333
No
51062
No
38334
No
20676
No
09824
No
20149
No
46299
No
20554
No
82119
No
38336
No
91128
No
SX109
No
20934
No
00076
No
72135
No
IP095
No
50749
No
WR928
No
13174
No
WC470
No
WB172
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Monumental Life Ins Co
Monumental Life Ins Co (Hurst, TX)
Monumental Life Ins Co (Louisville, KY)
MORRIS ASSOCIATES
Morris Material Handling,TX & MN Only
Morrison Health Care, Inc.,TX & MN Only
Mosaic IPA Medical Group
Motion Picture Industry Health Plan (previously payer ID MPI01)
Motor Club of Iowa Insurance Company,MN Only
Motorola
Mountain States Administrative Services (Tucson, AZ)
Mountain States Insurance,All States
MPA-Custom Provider Network
MPCHP Advantage
MPE Emplyee Benefit Services, Inc.
MPE Services Inc.
MPEEBT
MPLAN, Inc./HealthCare Group, LLC
MSI MSMM (Richardson),TX & MN Only
MSI Preferred Insurance Company,All States
MSI Risk Manage (Richardson),TX & MN Only
MSI,MN Only
Mt. Carmel Health Plan (Medigold)
Multicultural Primary Care Medical Group (San Diego) (SynerMed)
Multiplan Inc. for American Family (Only AZ, IL, IN and OH)
Multiplan Wisconsin Preferred Provider Network
Multi-Plan,All States
Munford, Inc.,TX & MN Only
Munich Re - Aaic-Britt/Paulk,MN Only
Munich Re - Wf Clayton Aaic,MN Only
Munich Re -Britt/Paulk Peslic,MN Only
Municipal Health Benefits Fund
Mutual Assurance Administrators
MUTUAL BENEFIT (WESTERN LIFE-FORTIS)
Mutual Benefit Life (MBL)
Mutual Group (The) (US)
Mutual of Omaha Insurance Company
Mutual Service Casualty Insurance Company,All States
Mutually Preferred
MVP Health Plan of NY
Mygrant Glass (Hayward),All States
Mygrant Glass (Stockton),All States
N. American Hlth Plan
N.A.M.M. - Illinois
N.A.M.M. - Northern CA
N.W. Ironworkers Health & Security Health Fund
N.W. Ironworkers Health & Security Trust Fund
N.W. Roofers & Employers Health & Security Trust Fund
N.W. Roofers & Employers Health & Security Trust Fund
N.W. Textile Processors
N.W. Textile Processors
NAA (North America Administrators, L.P.) (Nashville, TN)
NABN (Cleveland, OH)
NAMM PARTNERS INC
Nap Tools,TX & MN Only
Naperville Health Care Associates
Nash Finch Company,TX & MN Only
Page 44 of 70
Payer ID Enrollment
MMLIC
No
MMLI3
No
MMLI2
No
35092
No
WX166
No
WX216
No
IPO83
No
99282
No
WR929
No
36111
No
86040
No
WZ595
No
80900
No
CX031
No
37233
No
37233
No
37233
No
95444
No
WR931
No
WZ882
No
WR932
No
WR930
No
95655
No
SYMED
No
39634
No
34080
No
36326
No
WX248
No
WR934
No
WR935
No
WR938
No
81883
No
37256
No
PH020
No
70408
No
59140
No
71412
No
WZ883
No
71412
No
14165
No
WR082
No
WR083
No
64157
No
36398
No
E3510
No
91136
No
91136
No
91136
No
91136
No
91136
No
91136
No
65085
No
34159
No
NANPR
No
WX608
No
NHCA1
No
WR940
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
National American Insurance Co,All States
National Assn of Letter Carriers/NALC (1/1/08 DOS forward)
National Assn of Letter Carriers/NALC (12/31/07 DOS and prior)
NATIONAL BENEFIT ADMIN. N.C.
National Benefit Administrators - New Jersey
National Capital Preferred Provider Organization (NCPPO)
National Casualty Company,MN Only
National Chiropractic Network
NATIONAL CLAIM ADMINISTRATION
National Continental Insurance Company,MN Only
National Financial Insurance Company
National Foundation Life Inusrance Company
National General Assurance Company,All States
National Imaging Associates
National Interstate (TX),TX & MN Only
National Loss ControL Service Corporatin,TX & MN Only
National Loss Prevention, Inc,TX & MN Only
National Rural Electric Coop (NRECA)
National Rural Letter Carrier Association
National RV,All States
National Telecommunications Cooperative Association (NTCA - Staff)
National Telecommunications Cooperative Association (NTCA)
National Union Fire Insuarnce Company of Pittsburgh (PA),TX & MN Only
Nationwide Affinity Ins Co,MN Only
Nationwide Affinity Insurance Company of America,MN Only
Nationwide Agribusine (Des Moines),TX & MN Only
Nationwide Agribusiness Insurance Co,TX & MN Only
Nationwide Assurance,MN Only
Nationwide General Insurance Company,MN Only
Nationwide Group
Nationwide Health Plans
Nationwide Indemnity Company,MN Only
Nationwide Individual Life and Health
Nationwide Ins Company of America,MN Only
Nationwide Insurance (G)ainesville,TX & MN Only
Nationwide Insurance (Harrisburg),TX & MN Only
Nationwide Insurance Company of Florida,MN Only
Nationwide Lloyd's,MN Only
Nationwide Mutual Fire Company,MN Only
Nationwide Mutual Insurance Company,MN Only
Nationwide Property And Casualty Insurance Company,MN Only
NATIVE CARE HEALTH, LLC
NCAS - Charlotte
NCAS - Fairfax, VA
Neighborhood Health Partnership of Florida
Neighborhood Health Partnership, Inc. (South Florida)
Neighborhood Health Plan (Boston, MA)
Neighborhood Health Plan of RI (NHPRI)
Neighborhood Health Plan RI - Exchange, Unity, Integrity
Neighborhood Health Providers
NES Rentals,All States
Nesika Health Group
Nestle USA,TX & MN Only
Nestle Waters North America,TX & MN Only
Netcare Life and Health Insurance (Hagatna, Guam)
Network Health
Network Health Plan
Page 45 of 70
Payer ID Enrollment
WZ607
No
62308
No
53011
No
56176
No
56175
No
90001
No
WR949
No
58204
No
37126
No
WR953
No
90956
No
98205
No
WZ933
No
NIA11
No
WC169
No
WS044
No
WC462
No
52132
No
71412
No
WR099
No
52104
No
52103
No
WR957
No
WR959
No
WR987
No
WR988
No
28223
No
WR988
No
WR988
No
31417
No
31417
No
WR988
No
31417
No
WS036
No
WS038
No
WS039
No
WS037
No
WS040
No
WS041
No
WS042
No
WS043
No
19191
No
75191
No
75190
No
96107
No
95123
No
04293
No
05047
No
96240
No
11325
No
WX156
No
37255
No
WS045
No
WS046
No
66055
No
04332
Yes
77076
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Network Health Plan of Wisconsin
Network Health Plan of Wisconsin, Inc.
Network Health Solutions
NevadaCare
New Alliance Health Plan
New Avenues, Inc.
New England Financial
New Era Employee Welfare Benefit Plan Trust
New Era Life Insurance Company
New Hampshire Insurance Company,TX & MN Only
New Market Dimensions
New Mexico Health Connections
New West Health Services
New World Claims Services (Niles, MI)
New York Life - LTC
New York Medical Imaging - MVP
New York Network Management
New York Presbyterian Community Health Plan
New York Presbyterian System Select Health
NewPage Corporation,TX Only
Next Level Health Partners
NGS American, Inc
NHBCAUX
NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan)
Nippon Life Insurance Company of America
NJ Carpenters Health Fund
No Risk Software
Noble AMA
Noble AMA Select IPA
Nordstrom, Inc.,All States
North American Administrators Inc.
North American Administrators, Inc.
North American Benefits Network (Cleveland, OH)
North American Health Plan
North American Health Plans, Inc.
North American Medical Management - IL
North American Medical Management (NAMM) -Northern California
North American Medical Management (NAMM) -Southern California
North American Preferred
North American Risk Services,All States
North American Specialty Insurance,TX & MN Only
North Broward Hospital District
North Cal Hauling,All States
North Country Health,All States
North Dakota Vision Services
North River Insurance Co of NJ,TX & MN Only
North Shore - LIJ (Healthfirst)
North Shore - LIJ CareConnect Insurance Company, Inc.
North Texas Healthcare Network
NORTH WEST LIFE
North West Orange County Medical Group
Northern California Sheet Metal Workers Health Care Plan (San Ramon, CA)
Northern Illinois Health Plan
Northern Nevada Trust Fund
Northland Auto,All States
Northridge Medical Group
Northrop Grumman (Mcclellan),All States
Page 46 of 70
Payer ID Enrollment
39111
No
39144
Yes
39144
No
86067
No
96218
No
95998
No
80705
No
76031
No
75281
No
WS047
No
65056
No
45129
No
SX164
No
38332
No
NYL11
No
14179
No
11334
No
48186
No
24819
No
WS048
No
69821
No
38225
No
88050
No
11325
No
81264
No
22603
No
27715
No
33029
Yes
PDT01
No
WZ939
No
64158
No
64157
No
34159
No
64157
No
64158
Yes
36398
No
E3510
Yes
33029
Yes
64157
No
WR134
No
WS049
No
37314
No
WR135
No
WZ884
No
CX009
Yes
WC136
No
17516
No
46227
No
35212
No
PH018
No
PROSP
No
38238
No
36347
No
88027
No
WB161
No
NMG01
No
WR148
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Northside ISD,TX Only
NorthStar Advantage
Northwest Diagnostic Clinic
Northwest Insurance,All States
NORTHWEST PHYSICIANS NETWORK
Northwest Suburban IPA (Illinois)
Northwestern National Casualty,TX & MN Only
Northwestern National Life (Reliastar)
Northwood ACG (Auto Club Group) DMEPOS/PBM CONTRACT
Northwood Blue Care Network MI
Northwood BMCHP
Northwood MEEMIC Insurance Company MIC
Norwood,TX & MN Only
Nova Health Administrators, Inc. (Grand Island, NY)
Nova Pro Risk Solutions,TX & MN Only
Novasys
NTCA (National Telephone Contract Association)
Nuestra Familia Medical Group (Prospect Medical Group)
NYHART
NYMI Oxford
NYMI-AETNA Radiology Claims
NYSIF,All States
OAK WEST PRIMARY PHYSICIAN ASSOC.
Occupational Health Mgmt, Inc. (Ohio BWC) (Ohio Worker's Comp Claims only)
Ochsner Health Plan (unique prov # required)
Ochsner Health Plans
Octagon Risk Services (Long Beach),TX & MN Only
Octagon Risk Services (Oakland),TX & MN Only
Octagon Risk Services (Rancho Cordova - UR Dept),TX & MN Only
Octagon Risk Services (Rancho Cordova),TX & MN Only
Octagon Risk Services (Sacramento),TX & MN Only
Octagon Risk Services (San Diego),TX & MN Only
Octagon Risk Services (Van Nuys),TX & MN Only
OEA Choice Trust
Office Depot,TX & MN Only
Office of Administrator, Washington DC
Office of Group Benefits - Louisiana
Ohio BWC (Ohio Worker's Comp Claims only)
Ohio Casualty Insurance (Cincinnati),TX & MN Only
Ohio Casualty Insurance (Fairfield),TX & MN Only
Ohio Casualty Insurance (Raleigh),TX & MN Only
Ohio Casualty Insurance (Voorhees),TX & MN Only
Ohio Comp Choice, Inc. (HMS) (Ohio BWC) (Ohio Worker's Comp Claims only)
Ohio Department of Mental Health (Medicad MACSIS)
Ohio Employee Health Partnership (Ohio BWC) (Ohio Worker's Comp Claims only)
Ohio Employee Health Partnership,All States
Ohio Farmers Insurance Company,TX Only
Ohio Farmers,All States
Ohio Health Choice, PPO
Ohio Health Group
Ohio Medicaid
Ohio PPO Connect
Old Guard,All States
Old Home Foods, Inc,MN Only
Old Republic Insurance Co (PA),TX & MN Only
Old Republic Insurance Company,TX & MN Only
Olympic Health Management Systems
Page 47 of 70
Payer ID Enrollment
WS050
No
NSA01
No
NWDC1
No
WZ646
No
NPN11
No
36346
No
WS051
No
41045
No
CX061
Yes
CX056
Yes
CX055
Yes
CX062
Yes
WX283
No
16644
No
WR152
No
71080
No
52103
No
PROSP
No
37299
No
14180
No
14179
No
WB107
No
NAOAK
No
31147
No
72127
Yes
OCH01
No
WR182
No
WR173
No
WR177
No
WR178
No
WR181
No
WR176
No
WR897
No
13350
No
WS053
No
13310
No
53120
No
31147
No
WS054
No
WS055
No
WS056
No
WS057
No
31147
No
CX043
Yes
31147
No
WC119
No
WS058
No
WZ885
No
34189
No
95435
No
SKOH0
No
74431
No
WZ886
No
WS059
No
WX285
No
WS060
No
91151
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Omnicare Health Plan of Michigan
Omnicare Medical Group (OMNI)
Omnicare, A Coventry Health Plan
One Beacon (formerly CGU),All States
One Beacon,TX & MN Only
One Health Plan New Hampshire, Inc.
ONE Health Plan of AK
ONE Health Plan of AZ
ONE Health Plan of CA
ONE HEALTH PLAN OF CALIFORNIA
ONE Health Plan of CO
ONE HEALTH PLAN OF COLORADO
ONE Health Plan of FL
ONE Health Plan of GA
ONE Health Plan of IL
ONE Health Plan of IN
ONE Health Plan of MA
ONE Health Plan of ME
ONE Health Plan of New Jersey, Inc.
ONE Health Plan of North Carolina, Inc.
ONE Health Plan of Ohio, Inc.
ONE Health Plan of Oregon, Inc.
ONE Health Plan of Pennsylvania, Inc.
ONE Health Plan of South Carolina, Inc.
ONE Health Plan of Tennessee, Inc.
ONE Health Plan of Texas, Inc.
ONE Health Plan of TX
ONE Health Plan of Vermont, Inc.
ONE Health Plan of Virginia, Inc.
ONE Health Plan of Washington, Inc.
ONE Health Plan of Wisconsin, Inc.
ONE Health Plan of Wyoming, Inc.
Operating Engineers Locals 302 & 612 Health & Security Fund
OptiCare Eye Health Network
Optima Health Plan
Optima Insurance Company
Optimum Choice of the Carolinas, Inc. (OCCI)
Optimum Choice, Inc. (OCI)
Optimum Healthcare, Inc.
Orange County Foundation for Medical Care
Oregon Health Management Services (OHMS)/PrimaryHealth of Josephine County CCO
Oregon's Health CO-OP
Oregon's Health CO-OP
Orica, Inc.,TX & MN Only
Orthonet - Aetna
Orthonet Corporation - Cigna
Orthonet-Healthnet
Orthopedix Network, Inc.
OSF CARE ADVANTAGE
OSF HEALTH PLAN (IL)
OSF Health Plans
OSG - St. Therese Physician Assoc.
Osma Health
OSMA Health - C.L. Frates
Ot Ri k S i (O )Octagon Risk Services (Orange),TX&MN O lTX & MN Only
OUTSOURCING PROGRAM
Owatonna Canning Company,MN Only
Page 48 of 70
Payer ID Enrollment
38252
No
OMN02
No
25150
No
WB173
No
WC526
No
80705
No
80705
No
80705
No
80705
No
95379
No
80705
No
95412
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
80705
No
91136
No
56190
No
54154
No
54154
No
52152
No
87726
No
20133
No
OCFMC
No
X6123
No
21455
No
45332
No
WX287
No
13383
No
13381
No
25681
No
58204
No
OSFMC
No
OSFIL
Yes
62171
No
37116
No
CLFR2
No
73071
No
WX354
No
EPF06
No
WS061
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Owner Operator Services, Inc. (McDonald's),TX Only
Owners Insurance Company,All States
Oxford Health Plans
P.A.M. Transport, Inc.,TX & MN Only
P5 Health Plan Solutions of Utah
Paccar Inc,TX & MN Only
Pacific Alliance Medical Group and Hospital (SynerMed)
PACIFIC EMPLOYERS INSURANCE COMPANY,TX & MN Only
Pacific Gas and Electric (PG &E)
Pacific IPA
Pacific Life & Annuity Company
Pacific Motor Company,All States
PacifiCare Behavioral Health, Inc.
PacifiCare of Arizona (HMO Claims only)
PacifiCare of California HMO and in-network POS
Pacificare of Colorado HMO
Pacificare of Colorado PPO
PacifiCare of Oklahoma HMO and in-network POS
PacifiCare of Oregon HMO and in-network POS
PacifiCare of Texas HMO and in-network POS
PacifiCare of Washington HMO and in-network POS
PacifiCare PPO - All States
PacifiCare/Secure Horizons (only for WelMed Medical Mgmt members)
PacificSource Administrators
PacificSource Health Plans
PacificSource Medicare
PacificSource Mental Health
PacificSource MHO - DJC (CD)
PacificSource MHO-ALL (MH)
PacificSource MHO-DJC
PAI (Planned Administrators, Inc.)
Pan American Life Insurance Group
Papa John's International Inc,TX & MN Only
Paradigm,All States
Paragon Benefits, Inc.
Paramount Health
Paramount Preferred Network (Ohio BWC) (Ohio Worker's Comp claims Only)
Paramount Preferred Network,All States
Parity Healthcare LLC
Parker Hannifan,All States
Parkland Health First (TX)
Partner Care
Partners Behavioral Health Management
Partnership HealthPlan of California
Passport Advantage
Passport Advantage
Passport Advantage
Passport Health Plan
Pathmark,All States
Patient Advocates, LLC
PATIENT-PHYSICIAN NETWORK (PPN)
Patriot General Insurance Company,TX
Payer Fusion
Paynet, Inc
PCA - Packaging Corporation of America,TX & MN Only
PCA Health Plan of Florida
PCA Star Medicaid
Page 49 of 70
Payer ID Enrollment
WS062
No
WZ887
No
06111
No
WS063
No
87068
No
A0191
No
SYMED
No
WS064
No
60054
No
PCFCI
No
67466
No
WZ121
No
87726
No
95964
No
95959
No
COFHP
Yes
95999
Yes
95959
No
95959
No
95959
No
95959
No
95999
No
WELM2
No
93031
No
93029
No
20377
No
COIH3
No
COIHS
No
20416
No
20416
No
37287
No
04218
No
WX289
No
WZ079
No
58174
No
SX158
No
31147
No
WC120
No
58204
No
WP871
No
66917
Yes
M3FL7
No
13141
No
CX074
Yes
76569
No
97652
No
SX154
No
61129
No
WB128
No
10525
No
PPN11
No
WB138
No
27048
No
37210
No
WS065
No
65018
Yes
61101
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
PCMC/ICSL Allergy
PCMC/ICSL Chiropractic
PCMC/ICSL Dermatology
PCMC/ICSL Gastroenterology
PCMC/ICSL Podiatry
Peach State Health Plan
Peak Pace Solutions
Pediatric Associates
Peerless Insurance (Liberty RAM),All States
Pegasus Risk Mgmt.,All States
Pegi-Family Dining,TX & MN Only
PEHP - Utah Public Employee Health Plan
Peninsula Metal Fabrication,All States
Penn Millers Insurance,All States
Pennsylvania's Preferred Health Network (PPHN)
People 2.0,All States
Peoples Health Network
Pepsi Bottling Group,TX & MN Only
PepsiCo Inc.,TX & MN Only
Performax, Inc. (Minneapolis, MN)
Personal Insurance Administrators, Inc. (Agoura Hills, CA)
PersonalCare
PESTSURE ASSOCIATION,TX & MN Only
PetSmart Inc.,TX Only
PG & E (Pacific Gas & Electric)
PHA Admin. Serv
PHA Insurance Services (Orlando, FL)
Pharmacist Mutual Insurance Co.,All States
Pharmacist Mutual,TX & MN Only
PHARMACISTS MUTUAL INS CO,TX & MN Only
PHC Insurance Co
PHCS Savility Payers
Phh Fleetamerica,TX & MN Only
Phifer Wire Products, Inc.
Phoenix Group Services (Texas)
Phoenix Group Services, Inc.
PHOENIX HEALTH PLAN
PHOENIX HEALTH PLAN (MEDICARE)
Phoenix Health Plan of AZ
Phoenix Healthcare
Phoenix Home Life
Phoenix Mutual
PHP of Mid-Michigan
PHP of South Carolina
PHP of South Michigan
PHP of Southwest Michigan
PHP of West Michigan
PHP Tenncare
Physician Associates of Louisiana
Physician Health Partners
Physician Health Partners Medicare
Physician Partners IPA
Physicians Accountable Care Organization
Physicians Care
Physicians Care Health Plans
Physicians Care Network
Physicians Care Network (Rockford, IL only)
Page 50 of 70
Payer ID Enrollment
65000
No
65007
No
65001
No
65003
No
65002
No
68049
Yes
27034
No
20472
No
WB174
No
WR344
No
WX295
No
SX106
Yes
WR346
No
WZ901
No
06161
No
WB129
No
72126
No
WS066
No
WS067
No
41124
No
95397
No
25146
No
WS068
No
WS069
No
60054
No
95183
No
95183
No
WZ934
No
WS070
No
WS071
No
33898
No
13306
No
WX298
No
PHIF4
No
75238
No
06143
No
74647
No
22729
No
X3440
No
62153
No
67814
No
67814
No
87726
No
87726
No
87726
No
87726
No
87726
No
62155
No
58204
No
PHPMC
No
PHPMD
No
PPRT1
No
28943
No
38265
No
38265
No
38265
No
36345
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Physicians Care Network / The Polyclinic
Physicians Corporation of America (Florida Plan Only)
Physician's Data Trust
Physicians Direct
Physicians Health Association of Illinois
Physicians Health Choice - Claims (Wellmed)
Physicians Health Choice - Encounters (Wellmed)
Physicians Health Network
Physicians Health Network (PHN)
Physicians Health Plan (PHP) (South Carolina)
Physicians Health Plan (PHP) Mid-Michigan
Physicians Health Plan of Northern Indiana
Physicians Healthcare Plans Inc
Physicians Medical Group of San Jose
Physicians Medical Group/PMG of Santa Cruz County
Physicians Mutual Insurance Company
Physicians Plus Insurance Corporation
Physicians United Plan
Piano Disc (Burgett, Inc.),All States
Piedmont Behavioral Health
Piedmont WellStar Health Plan
Pilgrim's Pride Corporation,TX & MN Only
PIMA HEALTH SYSTEM
Pinnacle Claims Management, Inc.
Pinnacle Health Resources (Prospect Medical Group)
Pinnacle Physician Management ORG
Pinnacol Assurance
Pioneer Medical Group/Pion Physicians Network
Pioneer Provider Network
Pioneer Provider Network Health Families by MedPOINT
Pioneer Specialties,All States
Pipeline Industry Benefit Fund (Tulsa, OK)
Pitney Bowes Inc.,TX & MN Only
Pittman & Associates
Pivotal Plan
Pl A i LP Poly America LP,TX&MN O lTX & MN Only
Planned Administrators, Inc.
Plumbers and Pipefitters - Local 33 (DesMoines, IA)
PM Group
PMA - Pennsylvania Manufacturing Associates,All States
PMA Insurance Group & PMA Management Corp,All States
Podi Care Managed Care
PODIATRY FIRST
Podiatry Network Solutions
Polaris,TX Only
Poly America Medical & Dental Benefits Plan
POMCO
Porsche Motorsport of North America,All States
Ppg Industries,TX
PPN
PPO Oklahoma
PPOM, LLC/Cofinity
PPOPlus LLC
Practicare Inc
Prairie Island Ind. Comm. Dba Treasure Island Resort & Casino,MN Only
Prairie Medical Group (La Vida)
Prairie States Enterprises, Inc.
Page 51 of 70
Payer ID Enrollment
PCN12
No
65018
Yes
PDT01
No
75297
No
37136
No
PHCS1
No
PHCEN
No
MHM03
No
MHCM2
No
09173
No
37330
No
12399
No
65031
No
EXC01
No
CX027
No
47027
No
39156
No
10775
No
WR408
No
06607
No
251PD
No
WS072
No
CX010
No
24735
No
PROSP
No
45985
No
CCIA1
No
33029
Yes
PPNZZ
No
MPM18
No
WZ888
No
73074
No
WS073
No
37224
No
64160
No
WC137
No
37287
No
00333
No
67466
No
WR441
No
WB175
No
58204
No
POD1S
No
58204
No
WS074
No
32680
No
16111
No
WR449
No
WB139
No
PPN11
No
73159
No
38335
No
72148
No
04334
No
WS075
No
LVPA1
No
36373
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Precision Cast Parts,TX & MN Only
PREFERRED ADMIN CHILDRENS HOSP
Preferred Administrators
Preferred Benefit Administrators (Longwood, FL)
Preferred Benefits Administrator (Wichita, KS)
Preferred Care FL
Preferred Care NC
Preferred Care NY (previously SX089)
Preferred Care Partners (Miami, FL)
Preferred Community Choice/PCCSelect/CompMed
Preferred Employers Group,TX & MN Only
Preferred Employers,TX & MN Only
Preferred Health Plan (Louisville, KY)
Preferred Health Professionals
Preferred Health Systems Insurance Company
Preferred IPA
PREFERRED MEDICAL PLAN
Preferred Network Access, Inc. (Darien, IL)
Preferred One (CT), a Division of First Choice
Preferred Plus of Kansas
PreferredOne (MN)
Premier Benefits, Inc.
Premier Comp of Home Town Health Nework,All States
Premier Comp of Hometown Health Network (Ohio BWC) (Ohio Worker's Comp Claims only)
PREMIER EYE CARE
Premier Health Plans
Premier Health Systems, Inc
Premier Healthcare Exchange (Cypress)
Premier Managed Care Services, Inc.,All States
Premier Managed Care, Inc. (Ohio BWC) (Ohio Worker's Comp Claims only)
Premier Physician Network
Premier Staffing (Stockton),All States
Presbyterian (NM)
PRESBYTERIAN HEALTH PLAN (Commercial) (NM)
Presbyterian Homes & Services,MN Only
Presbyterian Intercomm Hosp
PRESBYTERIAN SALUD (NM)
Prestige Health Choice
Prestige Health Choice Managed Medicaid Plan
Prevea Health Plan
PrimaHealth IPA
Primary Care of Joliet
PRIMARY CARE PARTNERS
Primary Delivery Systems
Primary Health Plan
Primary Heatlh IPA
Primary PhysicianCare, Inc.
Prime Benefits Systems, Inc. - MO
PRIME CARE HEALTH PLAN
Prime Health
Prime Health Kansas City, Inc. - MO
Prime Health Management Services - MO
Prime Health of Alabama
Prime Health of Kansas, Inc. - MO
Prime Vision Health
Prime West Health Plan
Primecare of Chino Valley
Page 52 of 70
Payer ID Enrollment
WS076
No
EPF11
No
EPF10
No
53476
No
61665
No
59291
No
56178
No
14165
No
65088
No
73145
No
WX300
No
WX299
No
61106
No
31478
No
60110
No
PFIPA
No
PMP01
No
36401
No
14163
No
60110
No
41147
No
43166
No
WC121
No
31147
No
65054
No
43166
No
90440
No
88056
No
WC122
No
31147
No
CAPMN
No
WR469
No
05003
No
PREHP
No
WS077
No
CX041
No
PRESA
No
45056
No
77003
No
39185
No
IP096
No
PCJOL
No
NAPCP
No
61101
No
PRIME
No
IPO96
No
56144
No
61101
No
UH015
No
95183
No
61101
No
61101
No
65183
No
61101
No
56190
No
61604
No
33029
Yes
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Primecare of Corona
Primecare of Hemet Valley
Primecare of Inland Valley
Primecare of Moreno Valley
Primecare of Redlands
Primecare of Riverside
Primecare of Sun City
Primecare of Temecula
PrimeSource Health Network
PRINCETON PREMIER IPA
Principal Financial Group
Principal Healthcare
Principal Life Insurance Co.
Principal Mutual Life Insurance Co
Priority Health
Prism - Univera
Prism Network, Inc.
Pro Care Health Plan, Inc. (Detroit, MI)
ProCare (Prospect)
PROCARE HEALTH PLAN MEDICAID
Professional Benefit Administrators, Inc. (Oak Brook, IL)
Professional Benefit Administrators, Inc. (Winter Park, FL)
Professional Claims Administrators
PROFESSIONAL CLAIMS MANAGEMENT (Canton, OH)
Professional Claims Management,All States
Professional Risk Management
Professional Tree Care Co,All States
Progress Casting,MN Only
Progressive Casualty Insurance Company,MN Only
Progressive Classic Insurance Company,MN Only
Progressive Commercial Casualty Company,MN Only
Progressive Direct Insurance Company,MN Only
Progressive Insurance,All States
Progressive Max Insurance Company,MN Only
Progressive Norrn Insurance Company,MN Only
Progressive Northwestern Insurance Company,MN Only
Progressive Preferred Insurance Company,MN Only
Progressive Premier Insurance Company of Illinois,MN Only
Progressive Specialty Insurance Company,MN Only
ProMed Healthcare Administrators
Promina
Prominence Health Plan of Texas
Property Owners Insurance Company,All States
Prospect Health Network
Prospect Sherman Oaks Medical Group (Prospect Medical Group)
Protective Insurance,All States
Protective Life Insurance Company
Protegrity Services (Ohio BWC) (Ohio Worker's Comp Claims only)
PROVIDENCE CHOICE OPTION
PROVIDENCE GOOD HEALTH PLAN
Providence Health Plan (PPO)
Providence IPA
Providence of Oregon Choice Option
Providence of Oregon Good Health Plan
Providence of Oregon Health Plan
Providence of Oregon Health Plan HMO
Providence of Oregon Medicaid
Page 53 of 70
Payer ID Enrollment
33029
Yes
33029
Yes
33029
Yes
33029
Yes
33029
Yes
33029
Yes
33029
Yes
33029
Yes
04320
No
PRI01
No
61271
No
61271
No
61271
No
61271
No
38217
No
37315
No
37268
No
38329
No
PROSP
No
70259
No
36331
No
59296
No
41163
No
37242
No
WZ046
No
34134
No
WR503
No
WS080
No
WS081
No
WS082
No
WS083
No
WS084
No
24260
No
WS085
No
WS086
No
WS087
No
WS088
No
WS089
No
WS090
No
IPO57
No
58226
No
80095
No
WZ889
No
PROSP
No
PROSP
No
WR511
No
37309
No
31147
No
PHP01
No
PHP01
No
PHP00
No
PRV01
No
SX131
Yes
SX132
Yes
SX133
Yes
SX134
Yes
SX135
Yes
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Providence of Oregon Medicaid Option
Providence of Oregon Medicare Extra
Providence of Oregon Option
Providence of Oregon Traditional Option
Providence PPO
Providence Preferred of Washington/First Choice Health Network
Providence Property and Casualty,All States
Providence Washington Insurance Co,TX & MN Only
Provident American Life and Health Insurance Company
Provident Life and Accident Ins
ProviDRs Care Network
PRU Plus
PruCare (of California, HMO, Plus, Wrap, PruCare 1, PruCare 2000)
PruChoice
Prudential
Prudential
Prudential (Health Insurance, Managed Healthcare, Indemnity, Traditional)
Prudential (Psychiatric Mgmt., Resources Mgmt.)
Prudential / Everst National Insurance,TX & MN Only
Prudential for Health
Prudential Healthcare
Prudential Healthcare
Prudential HealthCare & Life Ins. Co of America
Prudential HealthCare Health Maintenance Organization
Prudential HealthCare HMO for Small Business
Prudential Healthcare of America Inc.
Prudential HealthCare POS for Small Business
Prudential HealthCare PPO for Small Business
Prudential HealthCare Systems (PHCS)
PruNet
PruNetwork (PruNetwork PPO)
PruPsych
PSN - Florida Medicaid (JMH)
Psychcare, LLC
Public Storage,TX & MN Only
Puget Sound Benefits Trust
Puget Sound Electrical Workers Trust
Puget Sound Health Partners, Inc.
Quad Med LLC (Pewaukee, WI)
Quadrangle Group Self-Insurance Association,MN Only
Qual Choice of Arkansas
Qual Choice of North Carolina
Qual Choice of Virginia
QualCare, Inc.
QUAL-MED NEW MEXIICO
QUAL-MED, COLORADO EPO
QUAL-MED, PORTLAND (PO)
QUANTUMCARE
QuikTrip
Quincy Health Care Management Inc.
QVI Risk Solutions, Inc.
Qwest Communications International Inc.,TX & MN Only
R E M (Dallas),TX Only
R E M (Nashville),TX Only
R H ldi LLCReyes Holdings LLC,TX&MN O lTX & MN Only
RAM Mutual Insurance Company,All States
Rampart Insurance Company,TX & MN Only
Page 54 of 70
Payer ID Enrollment
SX136
Yes
SX137
Yes
SX138
Yes
SX139
Yes
SX187
No
91131
No
WR132
No
24295
No
71404
No
68195
No
48100
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
WS091
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
60054
No
09822
No
51052
No
WS092
No
91136
No
91136
No
42172
No
39197
No
WS093
No
35174
No
35172
No
35171
No
23342
No
QUANM
No
QMDCE
No
QMDPO
No
QCTPA
No
73067
No
37129
No
57117
No
WS094
No
WS095
No
WS097
No
WX162
No
WZ890
No
WX301
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Randmar, Inc
Randstad North America (Riverside),All States
Range Regional Health Services,MN Only
Ranger Insurance Co,All States
Rapid City Regional Hospital
Ravenswood
RBI Framing, Inc.,All States
RBMS, LLC
RCI,MN Only
Red Lake Band Of Chippewa Ind.,MN Only
Red Oak Independent School District,TX & MN Only
Redlands IPA (SynerMed)
Regal Medical Group
Regence BCBS of Utah
Regency Employee Benefits
Regent Insurance Co,TX & MN Only
Regional Care, Inc.
Relia Star
Reliance Insurance Company,TX & MN Only
Reliance National Indemnity,TX & MN Only
Reliance Planet Insurance Company,TX & MN Only
Rem Group Workers Compensation Association,MN Only
Renaissance Physicians Organization
RENASSAINCE RIVEROAKS BLUE
RENASSAINCE-RIVER OAKS
Rentokil Initial,TX & MN Only
Republic Franklin Insurance,TX & MN Only
Republic Indemnity,All States
Republic Western Ins. Co,All States
Rescare, Inc.,All States
Reserve National Insurance
Residential Services Group,TX & MN Only
Resolve Health Plan Administrators
Resolve Health Plan Administrators , LLC
Restaurant Reinsurance Limited,TX & MN Only
Resurrection Physician Providers Group
Reunion Indsutries
Rhone-Poulenc,Inc.,TX & MN Only
Ridgeview Medical Center,MN Only
Rieth-Riley Construction Compa,TX & MN Only
RightChoice Benefit Administrators
RIO GRANDE HMO (TX Only)
RIO TINTO,TX & MN Only
Riscomp Industries Inc,MN Only
Risk Enterprise Management,All States
Risk Transfer Technologies, Inc.,TX & MN Only
River City Medical Group
River Quest Network, Inc.
Riverport - Great Divide,MN Only
Riverport Insurance Company P & C,MN Only
Riverport Insurance Company WC,MN Only
Riverside Health, Inc.
RMSCO, Inc.
Road Carriers W&P Funds - Local 707 (NY),All States
Roadlink USA,TX & MN Only
Robert Half International Inc.,All States
Robert Kennedy IPA
Page 55 of 70
Payer ID Enrollment
61101
No
WR576
No
WS098
No
WZ613
No
37306
No
RPAWC
No
WR585
No
91176
No
WS099
No
WX049
No
WC302
No
SYMED
No
REGAL
No
CX002
No
38221
No
24449
No
47076
No
41045
No
WX050
No
WX055
No
WX062
No
WX121
No
76066
No
RENRB
No
RENRO
No
WX158
No
WP746
No
WR618
No
WZ620
No
WB022
No
73066
No
WX302
No
20481
No
RHA01
No
WX303
No
RPPG1
No
CHAT1
No
WX311
No
WX186
No
WX314
No
37331
No
84980
No
WX204
No
WX235
No
WR645
No
WX325
No
RCMG1
No
37129
No
WX238
No
WX354
No
WX355
No
45281
No
16117
No
WP868
No
WX356
No
WR671
No
33029
Yes
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Robertson's Ready Mix Co,All States
Rochdale Insurance Company,TX & MN Only
Rochester Midland Corp,All States
Rochester Public Schools,MN Only
Rockwell Automation Inc,TX & MN Only
ROCKY MOUNTAIN HMO (CO)
Rollins, Inc,TX Only
Rooney Life Inc.
Rosemount Inc.,MN Only
Ross Stores, Inc.,TX & MN Only
Roth Staffing Companies,TX & MN Only
Roto-Rooter Services Company,TX Only
Roy Jorgensen & Associates,All States
Royal Ambulance,All States
Royal Caribbean Cruise Lines,TX & MN Only
Royal Health on Behalf of Extended Care MLTC (for DOS after 12/1/2013)
Royal Indemnity Co,TX & MN Only
Royal Indemnity Company,TX & MN Only
Royal Insurance Co of America,TX & MN Only
Royal Insurance Company of America,TX & MN Only
RSC Insurance Services, Ltd.,TX & MN Only
RTW,All States
Rush Prudential Health Plans (HMO Only)
RUSH Prudential Insurance Co. (PPO & POS only)
Ryder Services, Inc Worker Comp (TX)
Ryder Services,All States
S & S Healthcare Strategies
S & T Engineering, Inc.,All States
Sabago Brewing Company,All States
SABIC,TX & MN Only
Safeco Insuarnce (Seattle, WA),All States
Safeco Insurance (Indianapolis, IN),All States
Safeco Insurance (Mission Viejo, CA),All States
Safeco Insurance (Santa Ana, CA),All States
Safeco,All States
Safety First Insurance Co,TX & MN Only
Safety National Casualty Corp,TX & MN Only
Safety National,TX & MN Only
Safety-Kleen Corporation,TX & MN Only
Safey-Keen Corporation,TX Only
Sagamore Health Network
SAINT ANTHONY PPO
SAINT ANTHONYS PHO
Salvation Army (Adult Rehab Cntr),All States
Salvation Army (Sam Jose, CA),All States
Salvation Army (San Bernandino, CA),All States
Salvation Army (Stocton, CA),All States
Samaritan Advantage
Samaritan Choice Plans
Samaritan Health Services
SAMBA
San Francisco Electrical Workers Health & Welfare
San Francisco Health Plan
San Luis Obispo (SLO) Select IPA
San Luis Obispo (SLO) Select IPA
San Luis Obispo (SLO) Select IPA
Sandhills Center for MH, DD & SAS
Page 56 of 70
Payer ID Enrollment
WR674
No
WX361
No
WR694
No
WX377
No
A0211
No
RMHMO
Yes
WX378
No
37602
No
WX380
No
WX397
No
WC463
No
WX640
No
WR710
No
WR713
No
WX641
No
46166
No
24678
No
WX642
No
26980
No
WX643
No
WX326
No
J1202
No
36389
No
60054
No
WK009
No
WR731
No
31441
No
WR733
No
WA063
No
WX646
No
WR745
No
WR747
No
WR750
No
WR748
No
WR746
No
11123
No
15105
No
WX647
No
WX327
No
WX648
No
35164
No
NASTA
No
STA01
No
WR765
No
WR767
No
WR766
No
WR768
No
SAMAD
No
SAMCP
No
SAMHS
No
37259
No
37236
No
CX049
No
33029
Yes
33072
No
77045
No
SHC30
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Sandia Triple Option Plan (Sandia TOP)
Sanford Health Plan
Santa Barbara Cottage Hospital
Santa Barbara Select IPA
Santa Clara Family Health Plan
Sante Health System and Affliates
Sanus- HMO/PPO St Louis
Satellite Health Plan, Inc.
Savers (San Jose),All States
SCAN Health Plan
SCHC Total Care
Scherer Brors Lumber Company,MN Only
Schertz/Cibolo/Universal City ISD,TX & MN Only
Schlumberger Technology,TX & MN Only
SCIF (State Copensation Insurance Fund),All States
Scott & White Healthcare
Scottsdale Indemnity Company,MN Only
Scottsdale Insurance Company,MN Only
Scottsdale Surplus Lines Insurance Co,MN Only
SD - Monoline,MN Only
Seabright / Total Health Manager,TX Only
Seabright Insurance (CA),All States
Seabright Insurance (Others),All States
Seabright Insurance (WA),All States
Seabury & Smith
Sears Holdings Corporation,MN Only
Seaton Corporation-Chicago,MN Only
Seaview IPA
SECURA Insurance A Mutual Company,All States
Secura Insurance Company,TX Only
Secure Health Plans of Georgia, LLC
Secure Horizons (Pacificare)
Secure Horizons (Pacificare) (WellMed Medical Management Members only)
Secure Horizons Arizona HMO
Secure Horizons Colorado HMO
Security Health Plan
Security Insurance Company of Hartford,TX & MN Only
Security National Insurance Company,TX & MN Only
Sedgwick Claims Management Services, Inc,TX & MN Only
Sedgwick Claims Management Services, Inc. (TPA),All States
Sedgwick Claims Mgmt-Dallas,TX Only
Sedgwick Claims Mgmt-Memphis,TX Only
Sedgwick CMS,TX & MN Only
Select Administrative Services (SAS)
Select Benefit Administrators (Des Moines, Iowa)
Select Benefit Administrators of America (Ashland, WI)
Select Build (#8830),All States
Select Health Network of IN
Select Health of South Carolina
Selectcare
SelectCare (Coca Cola)
Selectcare of Oklahoma - Tribute
Selectcare of TX (Beaumont)
Selectcare of TX (Houston)
Selectcare of TX (HPN) Heritage Physicians Network
Selectcare of TX (Integranet)
Selectcare of TX (Kelsey-Seybold)
Page 57 of 70
Payer ID Enrollment
60054
No
91184
No
35182
No
SBIPA
No
24077
No
77038
No
63665
No
45552
No
WR821
No
72261
No
16146
No
WX649
No
WX650
No
WX328
No
WR839
No
88030
No
WX700
No
WX720
No
WX723
No
WX724
No
WX725
No
WR862
No
WZ942
No
WR861
No
13310
No
WX727
No
WX728
No
SVIPA
No
WZ082
No
WX754
No
28530
No
95959
No
WELM2
No
95964
No
95962
No
39045
No
WX840
No
WX865
No
WX867
No
WB176
No
WX868
No
WX910
No
TP097
No
64088
No
42137
No
37282
No
WR921
No
X6139
No
23285
No
00014
No
60054
No
73117
No
GTPA1
No
HPN11
No
76045
No
INET1
No
KLSY1
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
SelectCare, Inc. of Michigan
SelectHealth of UTAH
Selective Insurance,TX & MN Only
Self Insured Benefit Administrators (Clearwater, FL)
Self Insured Plans (Naples, FL)
Self-Funded Plans, Inc.
Sendero Health
Senior Whole Health
SeniorCare
Sentara Family Care
Sentara Health Management
Sentinal/AHP
Sentinel Management Services
Sentry Auto,All States
Sentry Casualty Company,TX
Sentry Insurance a Mutual Company
Sentry Insurance A Mutual Company,TX
Sentry Life Insurance Company
Sentry Life of New York
Sentry Lloyds Of Texas,TX
Sentry Select Insurance Company,TX
Sequoia Beverage
Service Lloyds Insurance Co,All States
Servicon Systems, Inc.,All States
SET SEG
Seton CHIP
SETON EMPLOYEE PLAN
Seton Health Plan - Exclusive Provider Network
Seton Health Plan - Map Program
SETON HEALTH PLAN (CHIP)
SETON STAR
Shafer Contracting Co.,MN Only
Shakopee Mdewakaton/Mystic Lake,MN Only
SHARE HEALTH PLAN ILL/HMO
SHARE HEALTH PLAN ILL/PPO
Shark Trans Inc,All States
Shasta Administrative Services (Jeld-Wen Claims Only)
Shaws / StarMarket,All States
Sheakley UNICOMP (Ohio BWC) (Ohio Worker's Comp Claims only)
Sheakley UniComp,All States
Sheet Metal Workers Local 104 Health Care Plan (San Ramon, CA)
Sheffield, Olson & McQueen, Inc (St. Paul, MN)
Sherwin Williams Company,TX Only
Sierra Health Services
Sierra Nevada Medical Associates, Inc.
Signature Care Health Network
Signature Health Alliance
SILVER CROSS MANAGED CARE ORG.
SIMPLY HEALTHCARE
Simply Healthcare
Sinclair Health Plan
SISF,MN Only
Skilled Healthcare, LLC,TX Only
SkyWest Airlines/Atlantic Souast Airlines,TX Only
Sloan's Lake Managed Care
SMARCA,MN Only
Smart & Final,TX Only
Page 58 of 70
Payer ID Enrollment
38253
No
SX107
Yes
WZ099
No
59111
No
36404
No
34131
No
36426
No
83035
No
60054
No
54154
No
54154
No
23521
No
23249
No
WB163
No
WB140
No
39033
No
WB141
No
39033
No
39033
No
WB142
No
WB143
No
TKFMC
No
WZ638
No
WR967
No
38610
No
76056
No
SHEBP
No
EPNSH
No
SHMAP
No
SHPCH
No
STAR1
No
WX914
No
WX930
No
UH005
No
UH006
No
WR972
No
75280
No
WB130
No
31147
No
WC123
No
38238
No
41143
No
WX931
No
76342
No
68041
No
35206
No
62159
No
NASCR
No
00199
No
27094
No
84076
No
WX964
No
WZ033
No
WZ122
No
84096
No
WZ149
No
WZ268
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Smith Administrators
Snap-On Incorporated,TX & MN Only
Solidarity Managed Care Organization (Ohio BWC) (Ohio Worker's Comp Claims only)
Solvay America Inc,TX & MN Only
Sompo Japan Insuarnce Company of America,TX & MN Only
Sompo Japan Insurance Co of America,TX & MN Only
Sonoma County Primary Care IPA Medical Group
SOONER HEALTH NETWORK (WISCONSIN)
Sound Health (Providence)/First Choice Health Network
Sourn Minnesota Beet Sugar Cooperative,MN Only
South Central Preferred - PPO York, PA (IHS Gateway Payer)
South Coast Repertory,All States
South Dakota Group 1 Assigned Risk Plan,MN Only
South Dakota Group 40 Assigned Risk Plan,MN Only
South Indiana Health Options - HMO
South Indiana Health Options - Prime Care Choice
South Indiana Health Options - TPA
South Point Hotel & Casino
South San Antonio ISD,TX Only
SouthCare/Healthcare Preferred
Southeast Texas Govt Employees Benefit Pool
Southeastern Claims Services Inc. (SCS),All States
Southeastern Indiana Health (SIHO)
Southern Benefit Services
Southern CA Children's Network (SynerMed)
SOUTHERN DESERT HEALTH (WISCONSIN)
Southern Health Services, Inc.
Southern Owners Company,All States
Southgate Engineering,All States
SOUTHLAND IPA
Southwest Administrators
SOUTHWEST BCBS OF FLORIDA
Southwest Service Life
Southwestern Bell (Medical)
Southwestern Bell Exec. - Custom Care
Southwestern Bell Exec. - Southwestern Bell
Spansion Inc.,TX & MN Only
Special Agents Mutual Benefit Association
Special Risk International
Specialty Claims-N Little Rock,TX Only
Specialty Risk Services (SRS),All States
Spectera Eye Care
Spectrum Administrators Inc. (I.H.S. Gateway Payer)
Spherion Corporation,TX & MN Only
Spina Bifida - VA HAC
SPOHN NETWORK
SSM Exclusive Choice
St M D l th Cli iSt Marys Duluth Clinic,MN O lMN Only
St Paul Fire & Marine Insurance Co,TX & MN Only
St Paul Insurance Co,TX & MN Only
St. Barnabas System Health Plan
St. Francis IPA
St. John's Claims Administration
St. Joseph Health Foundation of Northern California
St. Joseph Heritage Healthcare
St. Joseph's Medical Center,MN Only
St. Jude (St. Joseph Heritage Healthcare)
Page 59 of 70
Payer ID Enrollment
02057
No
WX329
No
31147
No
WX330
No
WZ280
No
11126
No
E3510
Yes
AMS01
No
91131
No
WZ300
No
23266
No
WP060
No
WZ326
No
WZ378
No
SX142
No
SX143
No
SX144
No
35227
No
WZ511
No
25147
No
STGEB
No
WB177
No
77153
No
37318
No
SYMED
No
AMS01
No
25128
No
WZ891
No
WP071
No
SIPA1
No
SWADM
No
M3IL2
No
37266
No
60054
No
60054
No
60054
No
WZ617
No
37259
No
41194
No
WZ618
No
WP090
No
00773
No
23253
No
WZ619
No
84146
No
SPOHN
No
48117
No
WZ621
No
24767
No
24783
No
22240
No
PDT01
No
37264
No
68033
No
STJOE
No
WZ622
No
STJOE
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
St. Lawrance Co. Healthcare Plan
St. Mary's Health Plan
St. Paul Fire & Marine Insurance Company,TX & MN Only
St. Therese Physician Association
St. Thomas Medical Network (Gulfquest)
St. Vincent Catholic Medical Centers of New York
STANDARD FORWARDING CO,TX & MN Only
Stanley Works, Inc.,All States
Stant Corporation,TX & MN Only
STAR HEALTH PLAN COMMUNITY FIRST
Star HRG (Phoenix, AZ)
Starmark
State Compensation Insurnace Fund (Los Angeles, CA),All States
State Compensation Insurnace Fund (Pinedale),All States
State Compensation Insurnace Fund (State Contracts),All States
State Compensation Insurnace Fund (Suisun City),All States
State Employees Group Benefits
State Farm (Casualty & Property Claims)
State Farm Group Medical & Individual Health Insurance Companies
State Farm Insurance (Non-Auto Only),TX Only
State Fund Mutual Insurance,All States
State Health Plan (SHP) of SC
State of Minnesota - DOER,All States
State of Texas Dental Plan
State of Wisconsin,All States
State Office of Risk Management,TX Only
States General Life Insurance
Staywell Health Plan
Sterling Medicare Advantage
Sterling Option 1
Stoner and Associates (Cincinnati, OH)
Stones River Regional IPA-Windsor
Strategic Outsourcing Inc,All States
Stt Mi l G CScotts Miracle-Gro Company,TX&MN O lTX & MN Only
Student Insurance - Boston Mutual Life Insurance Company
Student Insurance - Chesapeake Life Insurance Company
Student Insurance - Life Insurance Company of Boston and New York
Student Insurance - MEGA Life & Health Insurance Company
Student Insurance - Mid-West National Life Insurance Company of Tennessee
Student Insurance - Reliance Insurance Company
Student Insurance - Reliance National Insurance Company
Student Insurance - The MEGA Life & Health Insurance Company
Sua Insurance Co.,All States
Suffolk Health Plan of New York
Sullivan Stone Factory,All States
Sumitomo Marine & Fire Insurance Company,TX & MN Only
SummaCare Health Plan
Summerlin Life & Health Insurance
Summit Administration Services, Inc.
Summit America Insurance Services, Inc.
Summit Health Ltd,TX & MN Only
Summit,All States
Sun Optics Skylights,All States
Sun Trust Bank, Inc.
SunAmerica Life Insurance Company
Sunrise Senior Living Inc.,TX Only
Sunshine Laundry, Inc.,TX & MN Only
Page 60 of 70
Payer ID Enrollment
SLCH1
No
88029
No
WZ623
No
37116
No
STM01
No
13407
No
WZ297
No
WB023
No
WX331
No
COMMF
No
59225
No
61425
No
WP193
No
WP189
No
WP199
No
WP203
No
53120
No
31059
No
31053
No
WZ624
No
WZ892
No
XX400
No
WZ893
No
57254
No
WZ894
No
WB125
No
75087
No
14163
No
67829
No
91151
No
31121
No
15752
No
WB131
No
WP150
No
74227
No
74227
No
74227
No
74227
No
74227
No
74227
No
74227
No
74227
No
WP245
No
88331
No
WP250
No
WZ625
No
95202
No
86071
No
86083
No
37301
No
WX332
No
WB156
No
WP260
No
60054
No
90956
No
WZ627
No
WZ628
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Sunshine State Health Plan
Superior Administrators, Inc (Santa Ana, CA)
SUPERIOR HEALTH PLAN
Superior Health Plan CHIPS EPO
Superior Health Plan Texas (previously 39188)
SUPERIOR HEALTH/CENTENE CORP
Supermarket Grp. Self-Insur. Assoc.,MN Only
SuperValu,All States
SUTTER CONNECT (SUTTER MEDICAL GRP OF REDLANDS)
SWIF (State Workers Insurance Fund),All States
Swift Transportation,TX & MN Only
SynerMed
Syracuse Communith Health Center (SCHC)
T.X.I. River Cement,All States
Talbert Medical Group
Tall Trees Administrators
Tansguard Insurance Company of America,All States
Target Corporate (WC Only),All States
Target Corporation (Auto Only),TX Only
Tarrant Health Services
TASEBA
TBG Administrative Services
TC / American Monorail, Inc.,MN Only
Teachers Health Trust
Team Choice Gold
Team Choice PNS
Team Choice UMC
Teamcare
Teamsters Benefit Trust
Teamsters Local Union #301
Technology Insurance Co,TX & MN Only
Tecnico Corporation,All States
Texan Plus (Beaumont)
Texan Plus (Houston)
Texan Plus (Integranet)
Texan Plus (Kelsey-Seybold)
Texas A&M (TAMU),All States
Texas Association of Counties (TAC),TX & MN Only
Texas Association of School Boards
Texas Association of School Boards,TX & MN Only
Texas Builders Insurance Co,All States
Texas Children's Health Plan
Texas Children's Health Plan (Medicaid)
Texas Children's Star Medicaid
Texas Christus
Texas Construction Trust,TX & MN Only
Texas Cotton Ginners Trust,TX & MN Only
Texas Cotton Ginners' Trust,TX & MN Only
Texas First Health Plans (TIOPA)
Texas HealthSpring
Texas HealthSpring
Texas Hospital Insurance Exchange,All States
Texas Hospital Insurance Exchange,TX & MN Only
Texas Municipal League Intergovernmental Risk Pool (TML),TX & MN Only
Texas Mutual Insurance
Texas Mutual Insurance (All Other States),All States
Texas Mutual Insurance (Texas only),All States
Page 61 of 70
Payer ID Enrollment
68057
No
23218
No
68069
No
68069
No
68069
No
SHP11
No
WZ629
No
WB132
No
IP090
No
WB178
No
WX333
No
SYMED
No
16146
No
WP324
No
TALMG
No
88067
No
WX670
No
WP335
No
WZ630
No
37228
No
TKFMC
No
39157
No
WZ631
No
88019
No
75139
No
75133
No
75134
No
36215
No
94304
No
36612
No
WZ632
No
WP352
No
GTPA1
No
HPN11
No
INET1
No
KLSY1
No
WA047
No
WZ633
No
TTASB
No
WR902
No
WZ643
No
76048
No
75228
No
TXCSM
No
45210
No
WC138
No
WC139
No
WR891
No
76046
No
RENGQ
No
THS01
No
WZ645
No
WZ636
No
WA048
No
22945
No
WX606
No
A0234
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Texas Small Business Pool,TX & MN Only
Texas Sonic Employers Trade Association,TX Only
TexasFirst Health Plan (NTX)
Textron Inc,TX & MN Only
Th Di l C ti The Dial Corporation,TXTX
The Boon Group
The Builders Group of MN,All States
The Chesapeake Life Insurance Co.- Insurance Center
The Chesapeake Life Insurance Co.- OKC
The Chesapeake Life Insurance Co.- Student Insurance
The Chesterfield Companies
The Cincinnati Casualty Company,All States
The Cincinnati Indemnity Company,All States
The Cincinnati Insurance Company,All States
The City of Odessa
The Diamond Plan
The EPOCH Group
The Ford Meter Box Company, Inc.
The Health Exchange (Cerner Corporation)
The Health Plan
The Health Plan (Ohio BWC) (Ohio Worker's Comp Claims Only)
The Health Plan,All States
The Healthcare Group
The Ingegrity Benefit Group, Inc.
THE INTEGRITY BENEFIT NETWORK
The Loomis Company
The Mega Life & Health Insurance Company - Insurance Center
The Mega Life & Health Insurance Company - OKC
The Mega Life & Health Insurance Company - Student Insurance
The Mutual Group (US)
The OATH - A Health Plan for Alabama, Inc.
The Oath of Alabama
The Perfect Health Insurance Co.
The Preferred Healthcare System - PPO
The Prudential
The Reny Company,TX & MN Only
The Rouse Company,All States
The Salvation Army,All States
The Scotts Company,TX & MN Only
The TPA (Benesight)
The Union Labor Life Insurance Company (King of Prussia, PA)
The Wellness Plan
The Zenith,All States
The Zenith,All States
THERAPHYSICS
THERAPHYSICS- COLORADO ONLY
Thomas Cooper & Company (SC)
Thomas H. Cooper
Three Rivers Health Plans, Inc.
Thro Company,MN Only
TI Automotive,TX & MN Only
Tidewater Marine Western,All States
TIG American Specialty Insurance Co,All States
TIG Claims,MN Only
TIG Insurance Co of Texas,All States
TIG Insurance Company,TX & MN Only
TIG Insurance -Transamerica,TX & MN Only
Page 62 of 70
Payer ID Enrollment
WX334
No
WZ640
No
13185
No
A0248
No
WB144
No
BOONG
No
WZ084
No
59223
No
59227
No
74227
No
CRI01
No
WZ935
No
WZ936
No
WZ937
No
75600
No
25131
No
28777
No
37305
No
20356
No
CX029
No
31147
No
WC124
No
35206
No
58200
No
58200
No
23223
No
59221
No
59227
No
74227
No
59140
No
63092
No
63092
No
13522
No
04320
No
60054
No
WX616
No
WP393
No
WB134
No
WX357
No
87265
No
13142
No
38200
No
WA052
No
WB179
No
THERA
No
COTHE
No
XX315
No
SX160
No
25175
No
WC203
No
WZ641
No
WZ642
No
WZ662
No
WZ642
No
WZ648
No
WZ644
No
WX123
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
TIG Premier Insurance Co,All States
Time Insurance Company
Timeworks, Inc.,All States
Titan Indemnity Co,MN Only
TMC Transportation,All States
TMG Life Insurance Company
Today's Health Wisconsin/Abri Health Plan Inc.
Today's Option (American Progressive and Pyramid Life)
Today's Option from Pyramid Life
Tongass Timber Trust
Tooling & Manufacturing Association
Torrance Hospital IPA
Total Care (New York)
Total Carolina Care
Total Community Care
Total Health Management - PMB (Ohio BWC) (For Ohio Worker's Comp Claims Only)
Total Healthcare, Inc.
Total Petroleum, Inc.,TX & MN Only
Touchpoint Health Plan HMO
Touchstone Health PSO
Touchstone Health/Health Net Smart Choice
Tower Group Inc.,MN Only
Tower National Insurance Co,All States
Town & Country
Toyota (San Diego, CA),All States
Toyota Motor Sales, USA., Inc.,TX Only
TPCIGA for Casualty Reciprocal Exchange,TX & MN Only
TPCIGA for Legion Insurance Co,TX & MN Only
TPCIGA for Reliance Insurance Co,TX & MN Only
TPCIGA for Reliance National Indemnity,TX & MN Only
TPCIGA for Reliance National Insurance Co,TX & MN Only
TPS Joint Self Insurance Fund,TX & MN Only
TR Paul Inc
Trade Contractors Assoc.,MN Only
TransAmerica Assurance Company
TransAmerica Financial Life Ins Co (Hurst, TX)
TransAmerica Life Ins Co
TransAmerica Life Ins Co
TransAmerica Life Ins Co (Hurst, TX)
TransAmerica Life Ins Co (Louisville, KY)
TransAmerica Life Insurance Company (N. Richland Hills, TX)
TransAmerica Occidential Life Ins Co (Hurst, TX)
TransAmerica Occidential Life Ins Co (Louisville, KY)
TransChoice-Key Benefit Administrators
Transcontinental Insurance Co,TX & MN Only
Transportation Insurance Co,TX & MN Only
Transwestern Insurance Admin, Inc.
Travelers Auto,All States
Travelers Casualty and Surety Company,TX & MN Only
Travelers Indemnity,TX & MN Only
Travelers Insurance,All States
Travis County Hospital District Map
Travis County MAP-Mediview
Travis County,TX Only
Trellis Health Partners
Tribute/SelectCare of Oklahoma
Tricare for Life
Page 63 of 70
Payer ID Enrollment
WZ661
No
39065
No
WP409
No
WZ647
No
WZ895
No
70491
No
20081
No
48055
No
48055
No
92620
No
61425
No
THIPA
No
TCARE
No
68055
No
31182
No
31147
No
38201
No
WX365
No
97910
No
23856
No
13402
No
WZ308
No
WZ014
No
TKFMC
No
WP443
No
WZ706
No
21237
No
24422
No
24457
No
24430
No
40592
No
WC140
No
37230
No
WZ720
No
TSAAC
No
TFLIC
No
TLINS
No
TSAA2
No
TLIN2
No
TLIN3
No
59222
No
TOLI2
No
TOLIC
No
37284
No
20486
No
20494
No
TRAN1
No
WB162
No
WZ720
No
WZ813
No
WP467
No
TCHD1
No
TCMAP
No
WZ814
No
36397
No
73117
No
TDDIR
Yes
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Tricare North
Tricare Palmetto
Tricare West/TRIWEST (WPS) (aka 99726)
TriCities IPA
TRIHEALTH PHYSICIAN SOLUTIONS
Trillium Health Resources
Trilogy Health
Trilogy Network
Trinity Health
Trinity Health Plans
Trinity Universal Insurance Company,TX & MN Only
Tri-State Ins Co,MN Only
Trisurant
Triumph Structures - Los Angeles,All States
Troon Golf,All States
True Choice USA
True Choice USA-Christus Health Plan
Trusteed Plans Service Corporation
Trustmark Insurance Company
TTPA CHIP
TTPA COMM
Tufts Health Plan
Tufts Health Plan (ACM/Novologix)
Twin City Freight, Inc.,MN Only
TX Children Health Plan
TX Premier Plan (Star HMO) - Medicaid
TX UNIVERSITY HEALTH PLAN UPG COMMERCIAL
TXI,TX Only
Tyco Electronics,TX & MN Only
Tyco International LTD,TX & MN Only
UBH - United Behavioral Health (former MetraHealth - UNET)
UBH - United Behavioral Health (Health Plan -HMO)
UBH RIOS (old payer ID 16412)
UC Care (University of CA)
UCare Minnesota
UCMN - United Care Medical Network
UCS HEWITT COLEMAN
UCS HOCKENBERGOS EQUIPMENTS
UCS MASONRY INDUSTRY TRUST
UCS MAXOR ADMINISTRATIVE SERVICES
UCS NEBRASKA PLASTICS GROUP
UCS RTG MEDICAL GROUP
UCS WINSTON HOSPITALITY
UCSF/ICSL Urology
UFP Insurance,TX
UHA Health
UHP of New Jersey (Centene)
Ui d A i Fi tUnimed - America First,All States
UICI - Administrators
Ulico Casualty Co,TX & MN Only
Ulico Insurance-Jacksonville,TX Only
Ultra Benefits Inc.
UMC HEALTH PLAN (LUBBOCK)
UMI Company, Inc.,TX Only
UMMH
UMR (Formerly UMR Wausau - 31107/33108/37237/74214/74223/75196/75243/95266/MIDSC)
UMWA Health & Retirement Funds
Page 64 of 70
Payer ID Enrollment
57106
No
38520
No
WESTR
No
PDT01
No
31144
No
43071
No
98541
No
62777
No
38269
No
38269
Yes
WZ815
No
WZ819
No
34185
No
WP509
No
WP511
No
54210
No
TCUCH
No
91078
No
61425
No
76055
No
76054
No
04298
Yes
CX047
Yes
WZ819
No
76048
No
EPF02
Yes
UPGUT
No
WZ821
No
WZ822
No
WZ830
No
87726
No
87726
No
87726
No
60054
No
CX016
Yes
33056
No
97041
No
59573
No
60230
No
92805
No
52323
No
97736
No
20452
No
65006
No
WB145
No
47953
Yes
22329
No
WB157
No
75240
No
37893
No
WZ830
No
41206
No
75130
No
WZ947
No
37292
No
39026
No
52180
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Underwriter's Safety & Claims,TX & MN Only
Underwriters Safety and Claims,All States
UNICARE - Major Accounts
Unicare - Special Accounts
Unicco Service Corp.,All States
Unified Group Services
Unified Health Services
Unified Physicians Network (For Claims rejections, call 847-763-1700)
UNIFORMED SERVICE FAMILY HEALTH PLAN
Unimed - AmCOMP (LIMITED),All States
Unimed - AmCOMP,All States
Unimed - City of Carrollton/TriStar,All States
Unimed - International Solutions,All States
Unimed Direct, Inc. (LIMITED),All States
Uninsured Employers Fund,TX Only
Union Construction Workers' Comp Program,All States
Union Insurance Co,TX & MN Only
Union Insurance Company of Providence,TX & MN Only
Union Labor Life Insurance Company (King of Prussia, PA)
Union Pacific Railroad Employees
Union Security Insurance Company
Union Standard Insurance Company,TX & MN Only
Unison Advantage
Unison Health Plan/Better Health Plans
Unison Health Plan/Three Rivers
Unisource Worldwide Inc,TX & MN Only
UNITED BEHAVIORAL HEALTH
United Benefits/Poe & Brown
United Components, Inc.,TX Only
United Dominion Realty Trust,TX & MN Only
United Financial Casualty Company,MN Only
United Fire & Auto,TX & MN Only
United Fire,TX & MN Only
United Food & Comm. Workers Unions & Employers Midwest Health Benefit Funds
United Food & Comm. Workers Unions & Food Employers Benefit Fund (So. CA, Cypress)
United Healthcare Ovations Insurance Solutions (AARP)
United of Omaha
United Pacific Insurance,TX & MN Only
United Physicians of Northern Colorado
United Resource Group
United Security Life & Health Ins Co
United States Cold Storage,TX & MN Only
United States Fidelity & Guaranty Company,TX & MN Only
United States Fire Insurance Co,TX & MN Only
United Wisconsin Insurance Company,All States
UnitedHealth Group,TX & MN Only
UnitedHealth Integrated Services
UnitedHealthcare
UnitedHealthcare Community Plan KS (Kancare)
UnitedHealthcare ppoONE
Unitrin Business Insurance,TX & MN Only
Unitrin Direct Property & Casualty Company,All States
Unity Health Insurance
UNITY/PRECISION HEALTH PLANS
Univera Community Health
Univera Healthcare Non-PPO
Univera Healthcare Non-PPO Eastern
Page 65 of 70
Payer ID Enrollment
TP108
No
WA049
No
80314
No
80314
No
WP560
No
35198
No
62170
No
34638
No
13407
No
WB184
No
WB158
No
WB159
No
WB160
No
WB223
No
WZ948
No
WZ896
No
WC141
No
WZ455
No
13142
No
87042
No
70408
No
WC155
No
25175
No
62183
No
25175
No
WZ957
No
87726
No
37260
No
WZ962
No
WP128
No
WZ969
No
WA001
No
WZ997
No
36659
No
SCUFW
No
36273
No
71412
No
WA002
No
84132
No
41194
No
36362
No
WX420
No
WA003
No
WP582
No
WX956
No
WA004
No
50946
No
87726
No
96385
No
UHNDC
No
WX157
No
WA061
No
66705
Yes
AMS01
No
15003
No
16107
No
UNINE
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Univera Healthcare PPO
Univeristy CompCare,All States
Universal Care - California
Universal Care - California
Universal Forest Products,TX
Universal Health Services,TX Only
Universal Smart Comp,All States
University Comp Care (Ohio BWC) (Ohio Worker's Comp Claims Only)
University Family Care
University Family Care - Healthcare Group
University Family Care - Maricopa Health Plan
University Health Plan of New of NJ
University Healthcare Marketplace
University Medical Center,TX & MN Only
University of Maryland Health Advantage
University of Minnesota,MN Only
University of Utah Health Plans
University of Washington Students & Graduate Appts.
Univita
UPG CHIP
UPMC Health Plan
Upper Lakes Foods,MN Only
Upper Peninsula Health Plan (Medicaid)
Upper Sioux Indian Reservation Tribal Council - Prairie'S Edge Casino Resort,MN Only
URS Corporation,TX & MN Only
US Airways (Philadelphia Hub Based Employees Only),All States
US Benefits
US Family Health Plan
US Family Health Plan (USFHP) - Texas and Louisiana
US Foodservice, Inc.,TX & MN Only
US Healthcare
US IMAGING NETWORK (NY)
US National Resources (Aigrm),TX & MN Only
US Precision Sheet Metal Inc. (First Aid Claims ONLY),All States
USAA (United States Automobile Association)
USAA,All States
USC - CBS Companies (LIMITED),All States
USC - CompServices, Inc. (LIMITED),All States
USC - Employers Insurance (LIMITED),All States
USC - Guarantee Insurance (LIMITED),All States
USC - Insurance Company of the West (LIMITED),All States
USC - InterCare (LIMITED),All States
USC - Ohio Casualty Group - Fairfield (specialty) (LIMITED),All States
USC - St. Tammy Parish School Board (LIMITED),All States
USC - Tristar (LIMITED),All States
USC - UPS - only Physical Therapy Bills (LIMITED),All States
USC C f d d C (LIMITED) USC-Crawford and Company (LIMITED),All States
USC Firstier Administrators (LIMITED),All States
USC-Accent (LIMITED),All States
USC-Amerihealth Insurance Co. (LIMITED),All States
USC-Attenta (LIMITED),All States
USC-Babb Absence Management Services (LIMITED),All States
USC-Cambridge - Genex (LIMITED),All States
USC-Cambridge Integrated Services (LIMITED),All States
USC-Chesterfield Services (LIMITED),All States
USC-Cunningham Lindsey (LIMITED),All States
USC-Dallas National Insurance (LIMITED),All States
Page 66 of 70
Payer ID Enrollment
UNINW
No
WC125
No
33001
No
UC001
No
WB146
No
WA005
No
WP597
No
31147
No
09830
No
07503
No
09908
No
59000
No
45437
No
A0261
No
45282
No
WA006
No
SX155
No
91136
No
ATEND
No
76053
No
23281
No
WA007
No
38337
No
WA008
No
WA009
No
WB180
No
93092
No
90551
No
USFHP
Yes
WX450
No
23222
No
50383
No
WX489
No
WX945
No
74095
No
WP635
No
WB192
No
WB194
No
WB199
No
WB203
No
WB205
No
WB206
No
WB211
No
WB217
No
WB221
No
WB222
No
WB195
No
WB201
No
WB183
No
WB185
No
WB186
No
WB187
No
WB190
No
WB191
No
WB193
No
WB196
No
WB197
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
USC-Eastern Alliance Insurance Group (LIMITED),All States
USC-Furmanite (LIMITED),All States
USC-Harbor America (LIMITED),All States
USC-InServco (LIMITED),All States
USC-Kemper Insurance Company (LIMITED),All States
USC-Odyssey One Source (LIMITED),All States
USC-Ohio Casualty Group - Cincinnati (LIMITED),All States
USC-Ohio Casualty Group - Lombard (LIMITED),All States
USC-Ohio Casualty Group - Raleigh (LIMITED),All States
USC-Ohio Casualty Group - Voorhees (LIMITED),All States
USC-Penn National (LIMITED),All States
USC-Rising Medical (LIMITED),All States
USC-Secura Insurance-Appleton (LIMITED),All States
USC-Staff Force (LIMITED),All States
USC-TNT Staffing (LIMITED),All States
USC-Valleon (LIMITED),All States
USC-Wal Mart (LIMITED),All States
Use Credit Union,All States
USFHP ST. VINCENT CATHOLIC MEDICAL CENTER OF NEW YORK
Utica Mutual Insuarnce Co of Texas,TX & MN Only
Utica Mutual Insurance Company,TX & MN Only
Utilmed (American Imaging Management)
UTMB- CHOICEONE CHIP
UTMB HealthCare Systems
VA Fee Basis Programs
VA Patient Centered Community Care Program Regions 1,2 and 4
VA Premier CompleteCare
VA Premier Health Plan
VA WPS Region 3
VA WPS Region 5A
VA WPS Region 6
Valley Baptist Advantage
Valley Baptist Health Plan
VALLEY BAPTIST HEALTH PLAN
Valley Care IPA
Valley Forge Insurance Co,TX & MN Only
Valley Health Plan (Medi-Cal)
VALLEY OF THE MOON
Valley Physicians, Inc.
Valley Preferred - PPO Allentown, PA (IHS Gateway Payer)
Vanderbilt Health Plan
Vanguard Health Systems (SynerMed)
Vanliner Insurance Co,TX & MN Only
Vanliners Insurance Company,All States
Vantage Health Plan, Inc.
Vantage Health Plan, Inc. (Ohio BWC) (Ohio Worker's Comp Claims Only)
Vantage Medical Group
Vantage Occupational Health Plan,All States
Varian Health Care Plan
Varsity Contractors,All States
VENCOR
Veolia Environmental Services,TX & MN Only
Verify National Group
Verity (Multnomah County)
Verity National Group, Inc.
Verity Plus (Multnomah County)
Verizon Communications,TX & MN Only
Page 67 of 70
Payer ID Enrollment
WB198
No
WB202
No
WB204
No
WB207
No
WB208
No
WB209
No
WB210
No
WB212
No
WB213
No
WB214
No
WB215
No
WB216
No
WB218
No
WB219
No
WB220
No
WB224
No
WB225
No
WP637
No
13407
No
43478
No
WA010
No
36369
No
UHSCH
No
UHSCH
No
12115
No
68021
No
VPCCP
Yes
CX004
Yes
VAPC3
Yes
VAPCA
Yes
VAPC6
Yes
82238
No
82420
No
94999
No
VCIPA
No
20508
No
VHP02
No
IP044
No
77004
No
23253
No
23173
No
SYMED
No
21172
No
WA051
No
72128
No
31147
No
PPM01
No
WC126
No
60054
No
WP676
No
73288
No
WA011
No
75256
No
CX034
No
GASA1
No
CX035
No
WA012
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Verizon Wireless,TX & MN Only
Vermeer Mfg. Company,TX & MN Only
Verso Paper Holdings LLC,MN Only
VestaCare (RH Administrator, VIA Group)
VGM Homelink
VHP Community Care
Viad Corp,MN Only
VICARE ADMINISTRATIVE SERVICES
Vicorp Restaurants, Inc.,TX & MN Only
Victor Valley IPA
Victoria Firs & Casualty Company,MN Only
Victoria Select Insurance Company,MN Only
Victoria Specialty Insurance Company,MN Only
Vida Care
Viking Fabrication - Norther CA,All States
Viking Fabrication - Southern CA,All States
Village Family Practice
VillageCareMAX
Virginia Regional Medical Center,MN Only
Virginia Surety - Minnesota Division,MN Only
Virginia Surety Company, Inc.,All States
Vision Care Incorporated
Visiting Nurse Services of New York (VNS)
Vista
Vista Health Plan
Vista Healthplan of South Florida
Vista Paint Corp,All States
Vitas Healthcare (Camarillo),All States
Vitas Healthcare (Orange County),All States
Vitas Healthcare (Sacramento),All States
Viva Health Plan
Volt Services Group,All States
Volusia Health Network
Vons / Safeway,All States
Vought Aircraft Industries,All States
Vytra Healthcare
W.C. Beeler & Company
W.S. Dodge Oil Company,All States
Wabash Memorial Hospital Association
Wachovia (Wells Fargo effective 1/1/09),TX & MN Only
Walgreen Co,TX & MN Only
Walker Methodist, Inc.,MN Only
WAL-MART (BLUE CARD CARRIERS) (TX Only)
Wal-Mart Corporate,TX & MN Only
WalMart Texas Worker Comp
Washington - Molina Healthcare of Washington
Washington County Health and Human Services
Washington County Health and Human Services Gen Fund
Washington Employers Trust
Washington Mutual,All States
Waterstone Benefit Administrators
Watkins Associated Industries, Inc.
Wausau Insurance,All States
Wausau,All States
WEA Trust
Webster Plastics Inc. Doctors' Health Plan
WebTPA/Community Health Electronic Claims/CHEC
Page 68 of 70
Payer ID Enrollment
WA013
No
WZ307
No
WA014
No
VESTA
No
50701
No
23173
No
WZ278
No
54182
No
WX495
No
VVIPA
No
WA015
No
WA016
No
WA017
No
24818
No
WP717
No
WP755
No
73743
No
26545
No
WA018
No
WA019
No
WZ067
No
37297
No
77073
No
M3FL2
No
55248
No
55248
No
WP734
No
WP738
No
WP739
No
WP740
No
63114
No
WP744
No
59266
No
WP754
No
WB024
No
22264
No
62111
No
WP764
No
85256
No
WA020
No
WA021
No
WA022
No
84980
No
WA050
No
WK001
No
38336
No
CX032
No
CX033
No
37294
No
WP790
No
73155
No
58082
No
WZ637
No
WB181
No
39151
No
16112
No
75261
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Weiss Health Providers
Well Path of Carolina, Inc
Well Sense Health Plan (Northwood plan)
Wellcare Choice
Wellcare Health Plan (Capitated Providers)
Wellcare Health Plan PFFS
Wellcare HMO, Inc.
Wellcare of CT
Wellcare of NY
Wellcare of OH
WELLMED/Secure Horizons
Wellpath
Wells Fargo,TX & MN Only
WellSystems, LLC
Wels Benefit Plan Office
Werner Enterprises,TX & MN Only
Wesco Insurance Company,TX & MN Only
West Bend Mutual Insurance Co.,All States
West Coast Stationary Engineers Health & Security Trust Fund
West Covina Medical Group
West Virginia Family Health Plan
Westaff (Carlsbad),All States
Westaff (Inland Empire),All States
Westaff (Oxnard),All States
Westaff (Sacramento),All States
Western Agricultural Insurance Company,MN Only
Western Care
Western Electrical Contractors Assn,All States
Western Grower's Assurance Trust
Western Grower's Insurance Company
Western Health, Inc.
Western Mutual Insurance
Western National Assurance,All States
Western National Mutual,All States
Western Southern Financial Group (Cincinnati, OH)
Westfield National,All States
Westfield,All States
WestLake Financial Group, Inc.
Weyco Inc.
Weyerhaeuser Co,TX & MN Only
White Earth Reservation Tribal Council,MN Only
White Earth Rtc-Shooting Star Casino,MN Only
William C. Earhart, Co., Inc.
William J. Suttong & Company, LTD. (Toronto, Canada)
Williams & County MAP
Williams & Sonoma,All States
Willis Administrative Services Corporation
Wilson Mutual Insurance,MN & WI Only
Wilson-McShane
Windsor Home Network
Windsor Medicare Extra
WinHealth Partners
WINHEALTH PARTNERS
Winn-Dixie,TX Only
Winona Health,MN Only
Winona Knitting Mills,MN Only
Winterbrook Healthcare
Page 69 of 70
Payer ID Enrollment
36337
Yes
25133
No
CX060
Yes
M3FL4
No
59354
No
77072
No
14163
No
14164
No
14164
No
14163
No
WELM2
No
25133
No
WA024
No
35245
No
22925
No
WA025
No
WA026
No
WZ081
No
91136
No
66124
No
45276
No
WP831
No
WP832
No
WP833
No
WP834
No
WA027
No
70408
No
WP845
No
24735
No
24735
No
37306
No
37247
No
WZ897
No
WZ898
No
31048
No
WZ900
No
WZ899
No
90560
No
38232
No
A0276
No
WA028
No
WA029
No
93050
No
98010
No
WCMAP
No
WB135
No
62061
No
WZ309
No
41095
No
11696
No
62153
No
27327
No
WNHLT
No
WA030
No
WA031
No
WA032
No
73159
No
Use Ctrl-F to find Text, F3- Find Next
Insurance Company
Wisconsin Assigned Risk Plan,MN Only
Wisconsin Auto and Truck Dealers
Wisconsin Department of Corrections
Woodland Farms,All States
Woodman Accident and Life Company
Workers Comp of West Virginia
Worksite Benefit Services, LLC (Tifton, GA)
World Insurance Company
WPP Eldercare
WPS Commercial claims
WPS Prevea Health Plan
Writers' Guild
WWausau,TX&MN O lTX & MN Only
Wyman-Gordon Companies,TX & MN Only
Xantus Healthplan of Tennessee
Xcel Energy,All States
Xchanging - SPX Corporation,MN Only
Xchanging, Inc. (formerly Cambridge Integrated Services Group),All States
Xerox Corporatn,TX & MN Only
Xl Environmental, Inc.,TX & MN Only
XL Insurance America, Inc.,TX & MN Only
XL Specialty Insurance Company,TX & MN Only
Yamhill CCOE
Yavapai County Long Term Care
Yorba Park (St. Joseph Heritage HealthCare)
York Claim Services,All States
Young America Corporation,MN Only
Young Life
Zachry Construction,All States
Zebra Technologies,All States
Zebrahealth
Zenith Insurance Co (Texas ONLY),TX & MN Only
Zenith Insurance Company,TX & MN Only
Znat Insurance,All States
Zurich (LIMITED),All States
Zurich American Insurance Company,TX & MN Only
Zurich American of Illinois,TX & MN Only
Zurich Farmers,TX & MN Only
Zurich Insurance N.A.,TX & MN Only
Page 70 of 70
Payer ID Enrollment
WA033
No
39200
No
74101
No
WP893
No
81949
No
SX067
No
20333
No
75276
No
77080
No
00235
No
10159
No
62413
No
WA023
No
WX515
No
62153
No
WZ918
No
WZ277
No
WR841
No
WA034
No
WP872
No
WA035
No
WA036
No
YCCOE
No
X9829
No
STJOE
No
WX778
No
WA037
No
75285
No
WP921
No
WP925
No
88858
No
13269
No
WA038
No
30120
No
WB182
No
WA039
No
WA040
No
WC163
No
WP954
No
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