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