Some payers (i.e., Medicare, Medicaid, Blue Cross, Blue Shield) require providers to enroll before the provider can submit electronic claims and receive electronic payment reports from them. Processing time for these enrollments vary by payer and can take anywhere from 2 weeks to over 2 months.
The table below contains estimates (in weeks) for how long you can expect to wait for an enrollment to be approved. Although the data are based on actual enrollments, we cannot guarantee that your enrollment will approved in the same amount of time because it's up to the payers to approve enrollments.
Note: Until an enrollment has been accepted, we recommend that you continue to submit paper claims. Until your payment report enrollment has been accepted, we recommend that you continue to manually record your insurance payments. (This article explains how to manually add an insurance payment.)
Tips to expedite the process
If you hear from the payer, let us know
Some payers will notify you, the provider, that an enrollment has been accepted, but they won't notify the clearinghouse. If you receive confirmation from a payer that your enrollment has been approved, please do the following:
- If you get an email, get a screenshot of the email and share it with our support team.
- If you receive a letter, take a photo of the entire letter and share it with our support team.
- Submit a support ticket with the proof of acceptance.
We'll reach out to our clearinghouse to quickly process your enrollments from there.
Call the payer
You can also call the payer to check on the status of your enrollment. If the payer confirms that your enrollment has been accepted, please do the following:
- Ask for the representative’s name and a call reference number.
- Submit a support ticket with this information.
We'll reach out to our clearinghouse to quickly process your enrollments from there.
Tip: Interested in never having to worry about insurance again? Learn more about our in-house medical billing service, SmartBilling Pro here.
Additional resources:
Enrollment estimates table
Last updated: June 11, 2018
Note: The table below is searchable by Payer ID number as well as Payer Name.
An asterisk (*) indicates that this payer is known for taking longer than average to approve enrollments. We recommend calling the payer if your enrollment has not been accepted after 60 days.
A --- indicates that we do not have an exact estimate. However, this payer does require enrollment.
| Payer ID | Payer Name | Claim Filing enrollment (weeks) | Payment Report enrollment (weeks) |
|---|---|---|---|
| 00403 | Blue Choice Medicaid (00403) | Not needed | * |
| 00813 | Beacon Health Options (formerly ValueOptions) (00813) | 6 - 9 | --- |
| 00815 | Value Options Colorado Medicaid (00815) | * | Not supported |
| 00901 | Medicare Part B of Maryland (00901) | 6 - 9 | 6 - 9 |
| 00902 | Medicare Part B of Delaware (00902) | 4 - 6 | 4 - 6 |
| 01260 | Magellan Behavioral Health (01260) | Not needed | * |
| 03432 | Arizona Physicians IPA (APIPA) (UnitedHealthcare Arizona Physicians IPA) (03432) | Not needed | * |
| 04271 | Harvard Pilgrim (04271) | Not needed | * |
| 04298 | Tufts Associated Health (04298) | 4 - 8 | * |
| 06105 | Connecticare Inc. (06105) | Not needed | * |
| 06111 | Oxford Health Plans (06111) | Not needed | * |
| 10850 | Metropolitan Health Plan (10850) | Not needed | 5 - 9 |
| 11315 | Fidelis (CenterCare) (11315) | Not needed | * |
| 12115 | VA Fee Basis Programs (12115) | Not needed | 2 - 4 |
| 13162 | 1199 SEIU National Benefit Fund (13162) | Not needed | * |
| 13265 | Metro Plus Health Plan (13265) | Not needed | * |
| 13334 | Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call 718-794-7592.) (13334) | Not needed | 2 - 4 |
| 13350 | ODS Health Plan (13350) | Not needed | * |
| 13551 | Group Health Incorporated (GHI) (New York) (13551) | Not needed | 2 - 4 |
| 14163 | Wellcare HMO Inc. (14163) | Not needed | * |
| 15460 | Highmark Senior Health Company (15460) | 2 - 4 | 3 - 8 |
| 16111 | POMCO (16111) | Not needed | * |
| 19991 | Ucare of Minnesota (19991) | Not needed | 6 - 9 |
| 22099 | Horizon Blue Cross Blue Shield of New Jersey (22099) | 4 - 8 | * |
| 22248 | AmeriHealth Mercy Health Plan (22248) | Not needed | 2 - 4 |
| 22254 | Fallon Community Health (22254) | Not needed | 2 - 4 |
| 22326 | Mercy Health Plan of New Jersey (Provider ID Required in Box33a - Contact (800) 682-9091 to obtain ID) (22326) | Not needed | 4 - 8 |
| 22521 | EDS Healthchoice (22521) | Not needed | 6 - 8 |
| 22771 | Managed Health Networks (MHN) (22771) | Not needed | 6 - 9 |
| 23037 | AmeriHealth HMO New Jersey and Delaware (23037) | * | 4 - 8 |
| 23045 | PA Capital Blue Cross (23045) | 2 - 4 | 4 - 8 |
| 23228 | Aetna Better Health - PA Medicaid (23228) | Not needed | 4 - 6 |
| 23281 | UPMC Health Plan (23281) | Not needed | 6 - 9 |
| 23285 | Select Health of South Carolina (Provider ID required in Box33a.) (23285) | Not needed | 2 - 4 |
| 23342 | Qualcare (23342) | Not needed | 2 - 4 |
| 25133 | Coventry Health Care (Coventry old Legacy Payer ID's are still accepted.) (25133) | Not needed | 4 - 8 |
| 25175 | Americhoice Personal Care Plus PA (UnitedHealthcare Community Plan) (25175) | Not needed | * |
| 25531 | GHI HMO Select (25531) | Not needed | * |
| 27357 | AmeriHealth Caritas Louisiana (Formerly known as LA Care) (27357) | Not needed | 2 - 4 |
| 29076 | Carolina Care Plan (Part of the Medical Mutual Family of companies. Former payerID was 57105.) (29076) | Not needed | 2 - 4 |
| 31114 | CareSource (31114) | Not needed | * |
| 34192 | Antares Management Solutions (34192) | Not needed | 2 - 4 |
| 35145 | Highmark - Key Family (35145) | 6 - 9 | --- |
| 35187 | CoreSource (35187) | Not needed | * |
| 36273 | AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company (36273) | Not needed | 6 - 9 |
| 36334 | MacNeal Health Providers - CHS (Contact 708-783-7100 prior to first submission.) (36334) | Not needed | * |
| 36406 | Harmony Health Plan of Illinois (Wellcare Provider ID required call (800) 960-2530 opt. 2 then 5) (36406) | Not needed | * |
| 37217 | Key Benefit Administrators (37217) | Not needed | 2 - 4 |
| 37602 | Golden Rule (UnitedHealthOne) (37602) | Not needed | 2 - 4 |
| 38217 | Priority Health (Please contact Priority Health EDI Dept at 616-464-8686 or email EDISETUP@Priority-Health.com) (38217) | Not needed | 4 - 6 |
| 38335 | Cofinity (formerly Sloans Lake) (38335) | Not needed | 2 - 4 |
| 38520 | Tricare North (38520) | Not needed | * |
| 38692 | Aetna TX Medicaid & CHIP (38692) | Not needed | * |
| 39026 | UMR (formerly UMR Wausau) former payer ids 31107 33108 74223 75196 75243 (39026) | Not needed | 2 - 4 |
| 39045 | Security Health Plan (39045) | Not needed | * |
| 39113 | Children's Community Health Plan (39113) | Not needed | 2 - 4 |
| 39144 | Network Health Plan of Wisconsin Inc.(Prior to initial claims submission please contact Network Health Plan EDI specialist at 920-720-1506.) (39144) | Not needed | 2 - 4 |
| 39156 | Physicians Plus Insurance Corp. (39156) | Not needed | * |
| 39188 | SUPERIOR HEALTH PLAN OF TEXAS (39188) | Not needed | * |
| 41147 | Preferred One (41147) | Not needed | 2 - 4 |
| 41154 | Mayo Management Services Inc. (41154) | Not needed | 4 - 6 |
| 43307 | ValueOptions/MBHP (For claim rejections please contact e-SupportServices@valueoptions.com or 888-247-9311) (43307) | 2 - 6 | Not supported |
| 44054 | GEHA (Government Employees Health Association) (44054) | Not needed | 2 - 4 |
| 46299 | Molina Health Care of South Carolina (46299) | Not needed | * |
| 47027 | Physicians Mutual Insurance Company (47027) | Not needed | 4 - 8 |
| 48117 | FMH Benefit Services (48117) | Not needed | * |
| 48330 | Hawaii Management Alliance Association (HMAA) (48330) | Not needed | * |
| 51020 | INTEGRA Administrative Group Inc. (51020) | Not needed | * |
| 52123 | Johns Hopkins (USFHP) (New submitter should send in their Billing NPI & Rendering servicing NPI) (52123) | Not needed | 2 - 4 |
| 52192 | Bravo Health (Formerly known as Elder Health Inc. Serving members in PA MD DE TX and Washington DC.) (52192) | Not needed | 4 - 6 |
| 53589 | SW Service Administrators (53589) | Not needed | 4 - 8 |
| 54154 | Optima Health Plan (54154) | Not needed | * |
| 54176 | Virginia Premier Health Plan (54176) | * | --- |
| 54704 | Independent BLC of PA (Also known as Personal Choice PPO of Pennsylvania.) (54704) | 6 - 8 | 6 - 9 |
| 54763 | AmeriHealth Administrators (54763) | 4 - 8 | 6 - 9 |
| 55247 | HIP-Health Insurance Plan of Greater NY (55247) | Not needed | 6 - 9 |
| 55764 | HealthPartners of Minnesota (55764) | Not needed | 6 - 9 |
| 57254 | Government Employees Health Association Inc. (GEHA) (57254) | Not needed | * |
| 58234 | Alliant Health Plans of Georgia (58234) | Not needed | 4 - 6 |
| 60054 | AETNA (60054) | Not needed | 6 - 9 |
| 61101 | Group Health Insurance - DE (61101) | Not needed | * |
| 61604 | Prime West Health Plan (61604) | Not needed | 2 - 4 |
| 62308 | Cigna (62308) | Not needed | 6 - 9 |
| 63114 | Viva Health Plan (63114) | Not needed | * |
| 64157 | Meritain Health (North American Health Plan.) (64157) | Not needed | * |
| 66705 | Unity Health Insurance (66705) | Not needed | Not supported |
| 68069 | Bridgeway (68069) | Not needed | 6 - 9 |
| 71063 | HealthSCOPE Benefits INC (71063) | Not needed | * |
| 71412 | Mutual of Omaha Insurance Company (71412) | Not needed | 2 - 4 |
| 72126 | Peoples Health Network (Tenet) (Network ID must be on claim. Contact phn.provider@tenethealth.com) (72126) | Not needed | 2 - 4 |
| 72467 | ACS Benefit Services inc. (72467) | Not needed | * |
| 74238 | Boon-Chapman Benefit Administrators Inc. (74238) | Not needed | 6 - 9 |
| 74284 | Driscoll Childrens Health Plan (74284) | Not needed | 2 - 4 |
| 74289 | Mental Health Network (Only claims for PO Box 209010 Austin TX 78720) (74289) | Not needed | 6 - 8 |
| 74323 | Medical Benefits Mutual (74323) | Not needed | 2 - 4 |
| 75261 | Community Health Electronic Claims/CHEC/webTPA (75261) | Not needed | 2 - 4 |
| 75273 | Geisinger Health Plan (75273) | Not needed | * |
| 76048 | Texas Children's Health Plan (76048) | Not needed | 2 - 4 |
| 76342 | Health Plan of Nevada (Encounter) (76342) | Not needed | 4 - 8 |
| 77002 | Amerihealth District of Columbia (This Payer ID is effective for DOS after May 1 2013.) (For EDI Support please email edi.dc@amerihealthdc.com or call 1-888-6 (77002) | Not needed | * |
| 77076 | Network Health Insurance Corp - Medicare (77076) | Not needed | 2 - 4 |
| 77950 | Health Alliance Medical Plans of Illinois (77950) | Not needed | 2 - 4 |
| 79480 | UMR (formerly UMR Onalaska) former payer ids 74223 95266 (79480) | Not needed | * |
| 80141 | Healthfirst Inc. (NY) (80141) | Not needed | * |
| 80314 | Massachusetts Mutual also known as Mass Mutual (80314) | Not needed | * |
| 81264 | Nippon Life Insurance Company (81264) | Not needed | * |
| 81400 | All Savers Insurance (UnitedHealthOne) (81400) | Not needed | 6 - 9 |
| 82056 | Custome Design Benefits Inc. (82056) | Not needed | * |
| 84146 | CHAMPVA-HAC (CHAMPVA-HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS.)) (84146) | Not needed | 2 - 4 |
| 86047 | AmeriChoice NJ Medicaid NJ Family Care (UnitedHealthcare Community Plan) (86047) | Not needed | 8 - 9 |
| 87726 | United HealthCare (87726) | Not needed | 6 - 9 |
| 87815 | Acordia National (Now known as Wells Fargo TPA) (87815) | Not needed | 2 - 4 |
| 88023 | Hometown Health Plan Nevada (88023) | Not needed | * |
| 88030 | Scott & White Health Care (88030) | Not needed | * |
| 88067 | Tall Trees Administrators (88067) | Not needed | * |
| 91049 | Lifewise Health Plan of Washington A Premier Health Plan (91049) | Not needed | 6 - 9 |
| 91051 | kaiser permanente of WA (91051) | Not needed | * |
| 91078 | Trusteed Plans Service Corporation (91078) | Not needed | * |
| 91184 | Sanford Health Plan (91184) | Not needed | * |
| 93029 | PacificSource Health Plans (93029) | Not needed | 6 - 9 |
| 93093 | Lifewise A Premier Health Plan (93093) | Not needed | 4 - 8 |
| 94265 | MEDICA (94265) | Not needed | * |
| 94320 | Kaiser Foundation Health Plan PPO (94320) | Not needed | 4 - 8 |
| 94999 | FirstCare (94999) | Not needed | 2 - 4 |
| 95308 | Independent Health (Enrollment and Testing Required contact (716) 635-3911) (95308) | 3 - 5 | * |
| 95378 | AmeriChoice MS - CHIP (UnitedHealthcare Community Plan) (95378) | Not needed | * |
| 95567 | Health Net (of California) (95567) | Not needed | * |
| 95959 | Harris Methodist Health Plan (95959) | Not needed | * |
| 96385 | KanCare (UnitedHealthcare Community Plan - KS) (96385) | Not needed | 4 - 8 |
| 99026 | University Health Alliance (99026) | 6 - 9 | 6 - 9 |
| 99726 | Tricare West (99726) | 4 - 8 | * |
| 00014 | SelectCare (00014) | Not needed | Not supported |
| 00019 | Cox Health Plan (Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.) (00019) | Not needed | --- |
| 00036 | Preferred Health Professionals Kansas City (00036) | Not needed | Not supported |
| 00130 | Med-Pay (00130) | Not needed | Not supported |
| 00143 | J. F. Molloy and Associates Inc. (00143) | Not needed | --- |
| 00164 | COVENTRY HEALTH CARE OF THE CAROLINAS (00164) | Not needed | Not supported |
| 00243 | Helix Family Choice (00243) | Not needed | --- |
| 00251 | First Health Mail Handlers Benefit Plan (00251) | Not needed | Not supported |
| 00290 | Indian Health Services (00290) | Not needed | Not supported |
| 00335 | United Healthcare of River Valley (00335) | Not needed | Not supported |
| 00507 | Coventry Missouri (00507) | Not needed | Not supported |
| 00530 | Missouri Care (00530) | Not needed | Not supported |
| 00661 | Healthy Blue (00661) | Not needed | --- |
| 00773 | OptumHealth Vision (00773) | Not needed | Not supported |
| 00816 | Value Options Massachusetts Behavioral Health Partnership (00816) | --- | Not supported |
| 00817 | Value Options Pennsylvania Medicaid (00817) | --- | Not supported |
| 00818 | Value Options Texas Northstar (00818) | --- | Not supported |
| 00903 | Medicare Part B of DC (00903) | --- | --- |
| 00922 | Magellan Behavioral Health Services (00922) | Not needed | Not supported |
| 00999 | Benefit Management Services Inc of Lousiana (00999) | Not needed | Not supported |
| 01041 | Healthsource Maine - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID (01041) | Not needed | --- |
| 01066 | American Healthcare Alliance (01066) | Not needed | Not supported |
| 01250 | Qual Choice of Ohio (01250) | Not needed | Not supported |
| 01757 | AM-First Insurance Morgan White (01757) | Not needed | Not supported |
| 01758 | Standard Life & Accident (01758) | Not needed | Not supported |
| 01759 | Monitor Life (01759) | Not needed | --- |
| 02038 | Healthsource New Hampshire (Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID) (02038) | Not needed | --- |
| 02041 | Healthsource Mass (02041) | Not needed | Not supported |
| 03036 | CBA Blue (03036) | Not needed | --- |
| 03440 | Phoenix Health Plan (03440) | Not needed | Not supported |
| 03443 | Abrazo Advantage Health Plan (03443) | Not needed | Not supported |
| 04218 | Pan American Life (04218) | Not needed | Not supported |
| 04286 | Health New England (04286) | Not needed | Not supported |
| 04293 | Neighborhood Plan (Boston MA) (04293) | Not needed | Not supported |
| 04320 | PrimeSource Health Network (04320) | Not needed | Not supported |
| 04332 | Network Health Massachusetts (04332) | --- | --- |
| 04334 | Practicare (04334) | Not needed | Not supported |
| 04423 | Molina Healcare of New Mexico - SCI (04423) | Not needed | Not supported |
| 04911 | Medicare J4 (WPS) Legacy (04911) | Not needed | Not supported |
| 05003 | Presbyterian(NM) (05003) | Not needed | Not supported |
| 05047 | Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number.) (05047) | Not needed | --- |
| 05101 | Medicare Part A of Iowa (835s returned under 05301) (05101) | Not needed | --- |
| 05201 | Medicare Part A of Kansas (835s returned under 05301) (05201) | Not needed | --- |
| 05301 | Medicare of Missouri J5 (05301) | Not needed | --- |
| 05401 | Medicare Part A of Nebraska (835s returned under 05301) (05401) | Not needed | --- |
| 05901 | Medicare of Mutual of Omaha (05901) | Not needed | --- |
| 06089 | Stirling & Stirling (06089) | Not needed | Not supported |
| 06102 | Diversified Group Brokerage (06102) | Not needed | Not supported |
| 06108 | Health Net of the North East Inc. (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638) (06108) | Not needed | --- |
| 06119 | Healthsource SC (claims) (06119) | Not needed | Not supported |
| 06172 | Dart Container Corporation (06172) | Not needed | Not supported |
| 06201 | Medicare Part A of Minnesota (06201) | Not needed | --- |
| 06226 | Novanet (06226) | Not needed | Not supported |
| 06603 | ASAGEHA (06603) | Not needed | Not supported |
| 06607 | Piedmont Behavioral Health (06607) | Not needed | Not supported |
| 07205 | 360 Alliance PPO Gilsbar (07205) | Not needed | --- |
| 07503 | University Family Care - Healthcare Group (07503) | Not needed | --- |
| 07689 | Global Care Inc (07689) | Not needed | Not supported |
| 08201 | Medicare Part A of Michigan (08201) | Not needed | --- |
| 09173 | Physicians Health Plan (PHP-SC) (09173) | Not needed | Not supported |
| 09302 | Medicare of the Virgin Islands (09302) | --- | Not supported |
| 09822 | JMHP Medicaid (09822) | Not needed | Not supported |
| 09824 | Molina Healthcare of New Mexico Salud (09824) | Not needed | Not supported |
| 09830 | University Family Care (09830) | Not needed | --- |
| 09908 | University Family Care - Maricopa Health Plan (09908) | Not needed | --- |
| 10002 | Sheakley UniComp (OH BWC) (10002) | Not needed | Not supported |
| 10003 | HealthSmart Benefit Solutions (10003) | Not needed | --- |
| 10005 | CompManagement Health Systems Inc. (OH BWC) (10005) | Not needed | Not supported |
| 10010 | Careworks (10010) | Not needed | Not supported |
| 10066 | Coventry HealthCare of Florida (10066) | Not needed | Not supported |
| 10207 | Citrus Health Care (10207) | Not needed | Not supported |
| 10253 | Molina Healthcare of Washington (10253) | Not needed | Not supported |
| 10262 | Blue Cross Independence (Pennsylvania) (10262) | Not needed | Not supported |
| 10337 | Horizon New Jersey Health (10337) | Not needed | Not supported |
| 10340 | AmeriHealth Mercy Health Plan (10340) | Not needed | Not supported |
| 10525 | Patient Advocates LLC (10525) | Not needed | Not supported |
| 10654 | Allegiance Benefit Plan Management (10654) | Not needed | --- |
| 10775 | Physician United Plan (10775) | --- | Not supported |
| 10988 | Globe Life and Accident Insurance (10988) | Not needed | Not supported |
| 11123 | Liberty Mutual (11123) | Not needed | Not supported |
| 11244 | Fitzharris & Company (11244) | Not needed | Not supported |
| 11303 | MAGNACARE (11303) | Not needed | Not supported |
| 11324 | Health Plus PHSP (Payer requests providers to contact the EDI department at edi@healthplus-ny.org for 835/EFT enrollment.) (11324) | Not needed | --- |
| 11325 | Neighborhood Health Providers (Use this payer ID for Dates of Service prior to 6/1/13. For later claims use 80141) (11325) | Not needed | Not supported |
| 11328 | HealthCare Partners IPA (11328) | Not needed | Not supported |
| 11334 | New York Network Management (11334) | Not needed | Not supported |
| 11345 | CareCentrix (11345) | --- | --- |
| 11440 | Sendero Idealcare (11440) | Not needed | --- |
| 11695 | iCARE (Independent Care Health Plan) (11695) | Not needed | Not supported |
| 11752 | ClaimsBridge HPN (11752) | Not needed | Not supported |
| 12005 | Medicare of New Jersey (12005) | Not needed | Not supported |
| 12021 | Blue Cross of Arkansas (12021) | Not needed | Not supported |
| 12022 | Medicare Part A of Arkansas (12022) | Not needed | --- |
| 12057 | Medical Services Initiative (12057) | Not needed | Not supported |
| 12399 | Physicians Health Plan of Northern Indiana (12399) | Not needed | --- |
| 12422 | Medica portal | Medica Health Plans Portal (12422) | Not needed | Not supported |
| 12611 | Florida Healthcare Plus (12611) | Not needed | Not supported |
| 13010 | Smokey Mountain Center (13010) | --- | Not supported |
| 13141 | Partners Behavioral Health (13141) | --- | Not supported |
| 13174 | Montefiore Contract Management Organization (Provider ID required call 914-377-4400 for ID prior to first claims submissions.) (13174) | Not needed | Not supported |
| 13185 | TexasFirst Health Plan (13185) | Not needed | Not supported |
| 13189 | Meridian Health Plan (13189) | Not needed | Not supported |
| 13193 | Loyal American Life (Medicare Supplement) (13193) | Not needed | Not supported |
| 13201 | Medicare Part A of New York (13201) | Not needed | --- |
| 13306 | PHCS Savility (ONLY for Savility card members.) (13306) | Not needed | Not supported |
| 13315 | Insurance Design Administrators (13315) | Not needed | Not supported |
| 13333 | Affinity Health Plans (TMG Health) (Effective for Medicare claims with DOS on or after 01/01/2010) (13333) | Not needed | Not supported |
| 13335 | Hudson Health Plan (Provider must be located in Duchess Orange Rockland Sullivan or Westchester County NY) (13335) | Not needed | --- |
| 13337 | Boston Medical Center Healthnet (13337) | Not needed | --- |
| 13343 | Amalgamated Life - PA/Alicare (13343) | Not needed | Not supported |
| 13346 | AFTRA Health Fund (13346) | Not needed | Not supported |
| 13357 | CenterCare (13357) | Not needed | Not supported |
| 13360 | CenterLight Healthcare (13360) | Not needed | Not supported |
| 13374 | Community Premier Plus (13374) | Not needed | --- |
| 13375 | Medical Select Management (13375) | Not needed | Not supported |
| 13381 | Orthonet Corporation (13381) | Not needed | Not supported |
| 13383 | Orthonet - AETNA (13383) | Not needed | Not supported |
| 13402 | Touchstone Health/Health Net Smart (13402) | Not needed | Not supported |
| 13407 | Uniformed Service Family Health Plan (13407) | Not needed | Not supported |
| 13413 | WIN Healthcare (Woman's Integrated Network Inc.) (13413) | Not needed | Not supported |
| 13522 | Perfect Health Insurance/Benefit Assistance (13522) | Not needed | Not supported |
| 13550 | Amalgamated Life Insurance Co. (13550) | Not needed | Not supported |
| 13853 | Atlantis Health Plan (13853) | Not needed | Not supported |
| 14140 | Farm Family (14140) | Not needed | Not supported |
| 14142 | NYS DOH UCP (14142) | Not needed | --- |
| 14145 | MERIDIAN HEALTH PLAN OF IOWA (14145) | Not needed | Not supported |
| 14164 | Wellcare of CT (14164) | Not needed | --- |
| 14165 | MVP Health Plan of NY (14165) | Not needed | --- |
| 14179 | CareCore National LLC (Aetna Radiology Claims) (14179) | Not needed | Not supported |
| 14180 | CareCore National LLC (Radiology charges for Oxford) (14180) | Not needed | Not supported |
| 14182 | Care Core National (14182) | Not needed | Not supported |
| 14184 | CareCore - Healthnet (14184) | Not needed | Not supported |
| 14185 | CareCore National LLC - Health Net New Jersey (14185) | Not needed | Not supported |
| 14188 | Carecore National Wellcare (14188) | Not needed | Not supported |
| 14315 | Commonwealth Care Alliance (14315) | Not needed | Not supported |
| 14829 | Coordinated Benefit Plan (14829) | Not needed | Not supported |
| 15688 | Insurance Management Services (Amarillo TX)(This payerID is only valid for claims submission address of PO Box 15688 Amarillo TX 79105) (15688) | Not needed | --- |
| 15752 | Stones River Regional IPA - Windsor (15752) | Not needed | Not supported |
| 15754 | Blue Grass Family Health (SRRIPA) (15754) | Not needed | Not supported |
| 16107 | Univera Healthcare WNY (837P) (16107) | Not needed | --- |
| 16114 | Nova Casualty Company (16114) | Not needed | Not supported |
| 16117 | RMSCO Inc. (16117) | Not needed | Not supported |
| 16120 | America's PPO (Formerly known as ARAZ.) (16120) | Not needed | Not supported |
| 16146 | SCHC Total Care (16146) | Not needed | Not supported |
| 16158 | International Educational Exchange Services Inc. (IEES) (16158) | Not needed | Not supported |
| 16600 | Chautauqua County Health Plan (Mayville NY) (16600) | Not needed | Not supported |
| 16644 | Nova Healthcare Administrators Inc. (Grand Island NY) (16644) | Not needed | Not supported |
| 17902 | Community Care Associates (17902) | Not needed | Not supported |
| 17965 | American Sentinel Insurance Company (17965) | Not needed | Not supported |
| 19305 | Cuatro LLC (19305) | --- | --- |
| 20029 | America's Choice NMA (20029) | Not needed | Not supported |
| 20039 | Mediture (20039) | Not needed | Not supported |
| 20050 | Integrated Medical Solutions (20050) | Not needed | Not supported |
| 20081 | Today's Health Wisconsin (20081) | Not needed | Not supported |
| 20133 | Optimum Healthcare Inc. (20133) | Not needed | --- |
| 20149 | Molina Healthcare of Ohio (20149) | Not needed | Not supported |
| 20172 | Pennsylvania Pace (20172) | Not needed | Not supported |
| 20197 | Summit Healthplan I Par Plus (20197) | Not needed | Not supported |
| 20212 | Tethys Health Ventures (20212) | Not needed | Not supported |
| 20257 | HDPC Alliance Physicians (20257) | Not needed | Not supported |
| 20270 | Health Payment Systems (20270) | Not needed | Not supported |
| 20333 | Worksite Benefit Services (20333) | Not needed | Not supported |
| 20356 | The Health Exchange (Cerner Corporation) (20356) | Not needed | Not supported |
| 20377 | Pacificsource Medicare (20377) | Not needed | Not supported |
| 20398 | Physicians Health Collaborative (20398) | Not needed | Not supported |
| 20413 | 3P ADMIN (20413) | Not needed | Not supported |
| 20435 | INTGRITAS Benefit Group (20435) | Not needed | Not supported |
| 20460 | SCAN Long Term Care (20460) | Not needed | Not supported |
| 20472 | Pediatric Associates of Broward (20472) | Not needed | Not supported |
| 20481 | Resolve Health Plan Administrators (Authorization number required: begins with the number 5 and is 13 characters in length.) (20481) | Not needed | Not supported |
| 20488 | Better Health Plan of Florida (For claims rejections contact payer at 800-514-4561 and select provider services option.) (20488) | Not needed | Not supported |
| 20501 | HCP Nevada (20501) | Not needed | Not supported |
| 20553 | Americas 1st Choice Health Plans of South Carolina (20553) | Not needed | --- |
| 20554 | Molina Healthcare of Texas (20554) | Not needed | --- |
| 20805 | Marrick Medical Finance LLC (20805) | Not needed | --- |
| 20807 | Transchoice - First Administrator's (20807) | Not needed | Not supported |
| 21810 | America's Health Choice (21810) | Not needed | Not supported |
| 22149 | Kern Health Care Network (22149) | Not needed | Not supported |
| 22175 | I. E. Shaffer (22175) | Not needed | Not supported |
| 22195 | Maksin Management Corporation (22195) | Not needed | Not supported |
| 22240 | St. Barnabas System Health Plan (22240) | Not needed | Not supported |
| 22264 | VYTRA Healthcare (Provider ID number required. Please call 1-631-420-4100 opt 4 opt 4 for payer set-up and payer assigned provider ID number.) (22264) | Not needed | Not supported |
| 22284 | Colonial Medical (22284) | Not needed | Not supported |
| 22285 | Atlantic Medical (22285) | Not needed | Not supported |
| 22286 | BritCay (22286) | Not needed | Not supported |
| 22312 | QualCare Alliance Networks Inc. (22312) | Not needed | Not supported |
| 22321 | One Call Medical (22321) | Not needed | Not supported |
| 22340 | Health Net Oregon (22340) | Not needed | Not supported |
| 22348 | Maryland Physicians Care (22348) | Not needed | --- |
| 22355 | AmeriHealth VIP Care (22355) | Not needed | Not supported |
| 22384 | Adminstrative Concepts Inc. (22384) | Not needed | Not supported |
| 22603 | NJ Carpenters Health Fund (22603) | Not needed | Not supported |
| 22823 | Mid-American Benefits (22823) | Not needed | --- |
| 23130 | Pennsylvania Life Insurance (23130) | Not needed | Not supported |
| 23171 | CHA - Commonwealth Health Alliance (23171) | Not needed | --- |
| 23172 | Health Alliance Exclusive & Plus (23172) | Not needed | Not supported |
| 23212 | American Medical & Life (23212) | Not needed | Not supported |
| 23218 | Superior Administrators Inc. (23218) | Not needed | Not supported |
| 23223 | The Loomis Company (Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.) (23223) | Not needed | Not supported |
| 23226 | HealthGuard of Lancaster (23226) | Not needed | Not supported |
| 23229 | Integral Quality Care (23229) | Not needed | Not supported |
| 23241 | First Priority Health (23241) | --- | --- |
| 23243 | Berkshire Health Partners (23243) | Not needed | Not supported |
| 23249 | Sentinel Management Services (23249) | Not needed | Not supported |
| 23250 | Erin Group Administrators (Now known as Significa Benefit Services Inc.) (23250) | Not needed | --- |
| 23252 | Inter-County Health Plan (23252) | Not needed | Not supported |
| 23253 | Spectrum Administrators (23253) | Not needed | Not supported |
| 23253 | Populytics (23253) | Not needed | Not supported |
| 23274 | Core Value (Part of Gettysburg Health.) (23274) | Not needed | Not supported |
| 23282 | Community Care BHO (For Dates of Service after October 1 2007) (23282) | Not needed | Not supported |
| 23284 | Keystone Mercy Health Plan (23284) | Not needed | --- |
| 23287 | Intergroup Services Corporation (23287) | Not needed | Not supported |
| 23296 | CompFirst LLC (23296) | Not needed | Not supported |
| 23550 | Midland Management/MFC (23550) | Not needed | Not supported |
| 23708 | C & O Employees Hospital Association (23708) | Not needed | Not supported |
| 23856 | Touchstone Health PSO (23856) | Not needed | --- |
| 24077 | Santa Clara Family Health Plans (24077) | Not needed | Not supported |
| 24735 | Western Grower's Assurance Trust (24735) | Not needed | Not supported |
| 24770 | Easy Choice Health Plan of NY (24770) | Not needed | Not supported |
| 24818 | Amida Care (Formerly Vida Care.) (24818) | Not needed | Not supported |
| 24819 | New York Presbyterian System Select Health (24819) | Not needed | Not supported |
| 25137 | DelawareCare Inc. (25137) | Not needed | Not supported |
| 25140 | Carelink Medicaid (25140) | Not needed | Not supported |
| 25141 | GHP (Group Health Plan) (25141) | Not needed | Not supported |
| 25142 | Carenet of Virginia (Prepare to use consolidated Coventry payerID of 25133.) (25142) | Not needed | Not supported |
| 25145 | Benefit Coordinators Corporation (25145) | Not needed | Not supported |
| 25147 | Southcare / Healthcare Preferred (25147) | Not needed | Not supported |
| 25150 | OmniCare (For claims with Dates of Service after 10/01/04) (25150) | Not needed | --- |
| 25152 | Advantra Freedom (25152) | Not needed | --- |
| 25160 | DGA - Diversified Group Administrators (25160) | Not needed | --- |
| 25169 | Gateway Health Plan (25169) | Not needed | --- |
| 25172 | D. H. Evans and Associates (Call Jessica Picarde @ 410-349-3222 before sending this payerID.) (25172) | Not needed | Not supported |
| 25179 | Community Care Behavioral Health Org. (For Dates of Service prior to October 1 2007) (25179) | Not needed | Not supported |
| 25351 | Columbia Cornell Care (25351) | Not needed | Not supported |
| 25404 | Seven Corners (25404) | Not needed | Not supported |
| 25681 | Orthonet-HealthNet (25681) | Not needed | Not supported |
| 26054 | ICARE Health Options TPA (26054) | Not needed | Not supported |
| 26078 | America 1st Choice Plans of North Carolina (26078) | Not needed | --- |
| 26335 | PATIENTPAY (26335) | Not needed | Not supported |
| 26337 | Aetna Better Health Medicaid IL (26337) | Not needed | Not supported |
| 26372 | Majesta Care (26372) | Not needed | --- |
| 26374 | Amerikids-Dallas/Ft. Worth (26374) | Not needed | Not supported |
| 26492 | Florida True Health (26492) | Not needed | Not supported |
| 26545 | VillageCareMAX (26545) | Not needed | Not supported |
| 27004 | Care Wisconsin Health Plan (Trizetto) (27004) | Not needed | Not supported |
| 27005 | Medova Healthcare (27005) | Not needed | Not supported |
| 27008 | Employers Coalition On Health (ECOH) (27008) | Not needed | Not supported |
| 27009 | Delaware Physicians Care Inc. (27009) | Not needed | --- |
| 27094 | Simply HealthCare Plans (27094) | Not needed | Not supported |
| 27136 | CSI OF MICHIGAN (27136) | Not needed | Not supported |
| 27154 | Arizona Priority Care Plus (27154) | Not needed | Not supported |
| 27215 | Kentucky Health Administrators Inc. (27215) | Not needed | Not supported |
| 27320 | Max Specialty Benefits (27320) | Not needed | Not supported |
| 27327 | WinHealth Partners/Wyoming Health Solutions (27327) | Not needed | Not supported |
| 27515 | Americaid Community Care (Houston) (27515) | Not needed | Not supported |
| 27516 | Americaid Community Care (New Jersey) (27516) | Not needed | Not supported |
| 27517 | Americaid Community Care (Maryland) (27517) | Not needed | Not supported |
| 27518 | Amerigroup of Illinois (27518) | Not needed | Not supported |
| 28021 | Kern County CDCR (28021) | Not needed | Not supported |
| 28530 | Secure Health of Georgia (28530) | Not needed | Not supported |
| 28804 | Amerigroup / Americaid - Ft. Worth New Mexico (28804) | Not needed | Not supported |
| 28805 | Amerigroup / Americaid - Houston (28805) | Not needed | Not supported |
| 28806 | Amerigroup - New Jersey (28806) | Not needed | Not supported |
| 28807 | Amerigroup - Maryland and District of Columbia (28807) | Not needed | Not supported |
| 28809 | Amerigroup of Florida (28809) | Not needed | Not supported |
| 28943 | Stones River IPA (28943) | Not needed | Not supported |
| 30005 | GALVESTON COUNTY INDIGENT HEALTHCARE (30005) | Not needed | Not supported |
| 30757 | Hometown Health Plan of Ohio (Now known as The Health Plan) (30757) | Not needed | Not supported |
| 31048 | Western Southern Financial Group (31048) | Not needed | Not supported |
| 31053 | State Farm Group Medical & Ind Health Ins Co (Note that payer requires Insured's ID of 11 or 12 digits and exact structure. Otherwise claims will reject.) (31053) | Not needed | --- |
| 31059 | State Farm (Casualty and Property) (31059) | Not needed | --- |
| 31074 | Employee Benefit Management Corp. (31074) | Not needed | Not supported |
| 31106 | HealthPower HMO (31106) | Not needed | Not supported |
| 31112 | InHealth Inc. (31112) | Not needed | --- |
| 31118 | Central Benefit National (31118) | Not needed | --- |
| 31121 | Stoner & Associates (31121) | Not needed | Not supported |
| 31127 | Integra Group (Also known as Rehab Provider Network but not the same as Colorado payer of same name.) (31127) | Not needed | Not supported |
| 31129 | Integra Group - CHA (31129) | Not needed | Not supported |
| 31138 | AHPO (Cleveland OH) (31138) | Not needed | Not supported |
| 31140 | Mid-Valley CareNet Inc. (31140) | Not needed | Not supported |
| 31141 | Healthsource OH (31141) | Not needed | --- |
| 31144 | TriHealth Physician Solutions (31144) | --- | Not supported |
| 31147 | OH Worker's COMP (31147) | Not needed | Not supported |
| 31172 | Innovante Benefit Administrators (31172) | Not needed | Not supported |
| 31182 | Total Community Care (31182) | Not needed | --- |
| 31313 | Freedom First (31313) | Not needed | Not supported |
| 31354 | MDwise Health Indiana Plan (For DOS on or after 1-01-2017) (31354) | Not needed | Not supported |
| 31417 | Nationwide Group (31417) | Not needed | --- |
| 31441 | S & S Healthcare Strategies (31441) | Not needed | Not supported |
| 31472 | Healthwave of Kansas (31472) | Not needed | --- |
| 31478 | Preferred Health Professionals (31478) | Not needed | Not supported |
| 31625 | ElderPlan Inc. (Elderplan Provider ID necessary on all claims. Contact (718)921-7979 for Provider ID.) (31625) | Not needed | --- |
| 32004 | Buckeye Community Health (837P & 837I) (Remits returned under 68069) (32004) | Not needed | --- |
| 32680 | POLY AMERICA MEDICAL (32680) | Not needed | Not supported |
| 33001 | Universal Care - California (ProviderID required.) (33001) | Not needed | Not supported |
| 33033 | FCE Benefit Administrators (33033) | Not needed | Not supported |
| 33053 | PacifiCare Behavioral Health (33053) | Not needed | Not supported |
| 33065 | CHOC - Childrens Hospital of Orange County Health Alliance (33065) | Not needed | Not supported |
| 33069 | High Desert Primary Care (33069) | Not needed | Not supported |
| 33072 | San Luis Obispo Select IPA (33072) | Not needed | Not supported |
| 34080 | Multiplan Wisconsin Preferred Provider Network (34080) | Not needed | Not supported |
| 34097 | Central Reserve Life (34097) | Not needed | --- |
| 34108 | E.S. Beveridge and Associates (34108) | Not needed | Not supported |
| 34131 | Self-Funded Plans (IL PA OH) (34131) | Not needed | Not supported |
| 34134 | Professional Risk Management Inc. (34134) | Not needed | Not supported |
| 34136 | JP Farley Corporation (34136) | Not needed | Not supported |
| 34145 | Klais and Company (34145) | Not needed | Not supported |
| 34150 | The Health Plan (Upper Ohio Valley) (34150) | Not needed | Not supported |
| 34154 | The Chesterfield Companies (34154) | Not needed | Not supported |
| 34158 | Health Design Plus (34158) | Not needed | Not supported |
| 34159 | North American Benefits Network (NABN) (34159) | Not needed | Not supported |
| 34167 | Emerald Health Network (34167) | Not needed | Not supported |
| 34171 | FrontPath Health Coalition (34171) | Not needed | Not supported |
| 34177 | COMP - Ohio (Austintown OH) (34177) | Not needed | Not supported |
| 34181 | Commerce Benefits Group (34181) | Not needed | Not supported |
| 34185 | Health Administration Services Inc (34185) | Not needed | Not supported |
| 34189 | Ohio Health Choice PPO (34189) | Not needed | Not supported |
| 34196 | Apex Benefit Services (Claims must contain the rendering provider ID or the claim will reject.) (34196) | Not needed | Not supported |
| 34444 | AFL - CIO Food & Beverage Dealers Trust Fund (Toledo OH) (34444) | Not needed | Not supported |
| 34638 | Unified Physicians Network (For Claims rejections please contact Unified Physicians claim department at 847-763-1700) (34638) | Not needed | --- |
| 34734 | Aetna Better Health NY (34734) | Not needed | Not supported |
| 35092 | Morris Associates aka HealthScope Benefits (35092) | Not needed | Not supported |
| 35107 | Indiana Teamsters Health Benefits Fund (Formerly known as Local 135 Health Benefits Fund) (35107) | Not needed | Not supported |
| 35112 | Employee Plans LLC (35112) | Not needed | Not supported |
| 35149 | Cook Group Health Plan (35149) | Not needed | Not supported |
| 35161 | Indiana ProHealth Network (35161) | Not needed | Not supported |
| 35162 | Managed Care Services LLC (35162) | Not needed | Not supported |
| 35164 | Sagamore Health Network Inc. (35164) | Not needed | Not supported |
| 35167 | Healthsource Indiana (Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID) (35167) | Not needed | --- |
| 35174 | Qual Choice of Arkansas (35174) | Not needed | Not supported |
| 35180 | CoreSource of North Carolina (Start using new PayerID of 35182. Old payerID will start rejecting soon.) (35180) | Not needed | Not supported |
| 35182 | CoreSource of Illinois (35182) | Not needed | Not supported |
| 35183 | Coresource of OH (35183) | Not needed | Not supported |
| 35186 | Dunn and Associates Benefits Administrators Inc. (35186) | Not needed | Not supported |
| 35191 | MDwise Hoosier Healthwise (For DOS on or after 1-01-2017) (35191) | Not needed | Not supported |
| 35193 | Community Health Alliance (35193) | Not needed | --- |
| 35198 | Unified Group Services (35198) | Not needed | Not supported |
| 35199 | SUBURBAN HEALTH ORG. CONNECTION (35199) | Not needed | Not supported |
| 35202 | Cornerstone Benefit Administrators (35202) | Not needed | Not supported |
| 35206 | Encore Health Network (Note: Group Policy Number in HCFA Box 11 is required.) (35206) | Not needed | Not supported |
| 35209 | Advantage Health Solutions Inc. (35209) | Not needed | Not supported |
| 35212 | North Texas Healthcare Network (35212) | Not needed | Not supported |
| 35245 | Continental Benefits (35245) | Not needed | Not supported |
| 35315 | Continental Key Family (35315) | Not needed | Not supported |
| 35600 | Indiana Department of Health Children's Health (35600) | --- | Not supported |
| 35605 | Everence (35605) | Not needed | Not supported |
| 36149 | Benefit Administrative Systems (36149) | Not needed | --- |
| 36215 | Central States Southeast and Southwest Areas Health and Welfare and Pensions Funds (36215) | Not needed | Not supported |
| 36320 | Advocate Health Centers (AHC) (36320) | Not needed | --- |
| 36326 | Associates for Healthcare (36326) | Not needed | Not supported |
| 36331 | Professional Benefit Administrators Inc. (Oak Brook IL) (36331) | Not needed | Not supported |
| 36333 | Lawndale Christian Health Center (36333) | Not needed | Not supported |
| 36335 | HFN Inc. (36335) | Not needed | Not supported |
| 36337 | Weiss Health Providers (36337) | Not needed | Not supported |
| 36338 | Group Administrators Ltd. (36338) | Not needed | Not supported |
| 36342 | Benefit Systems and Services Inc. (36342) | Not needed | Not supported |
| 36345 | Physicians Care Network (Rockford IL Only) PayerID valid only for claims with billing submission name city and state of Physicians Care Network Rockford IL. (36345) | Not needed | Not supported |
| 36346 | Northwest Suburban IPA (IL) (36346) | Not needed | Not supported |
| 36347 | Northern Illinois Health Plan (36347) | Not needed | Not supported |
| 36356 | Argus Health Systems (36356) | Not needed | Not supported |
| 36364 | ENH Medical Group IPA (36364) | Not needed | Not supported |
| 36369 | American Imaging Management Inc. (Assigned Group Policy Plan ID required. To obtain call AIM at 800-252-2021) (36369) | Not needed | Not supported |
| 36373 | Prairie States Enterprises Inc. (36373) | Not needed | Not supported |
| 36387 | Silver Care Managed Care Organization (36387) | Not needed | Not supported |
| 36389 | Rush Prudential Health Plans (HMO Only) (36389) | Not needed | Not supported |
| 36392 | North Suburban Associated Physicians (36392) | Not needed | Not supported |
| 36393 | CENTURYPHO (36393) | Not needed | Not supported |
| 36396 | Family Medical Network (36396) | Not needed | --- |
| 36401 | Preferred Network Access (36401) | Not needed | Not supported |
| 36404 | Self Insured Plans LLC (36404) | Not needed | Not supported |
| 36405 | Harmony Health Plan of Indiana (Only claims for Indiana Hoosier Healthwise members can be sent to this payer electronically.) (36405) | Not needed | --- |
| 36426 | Sendero Health (36426) | Not needed | --- |
| 36434 | Early Intervention Central Billing (36434) | Not needed | Not supported |
| 36439 | DiaTri LLC (36439) | Not needed | Not supported |
| 36609 | Boilermakers national Health & Welfare Fund (36609) | Not needed | Not supported |
| 37060 | Caterpillar Inc. (37060) | Not needed | Not supported |
| 37105 | Sage Technologies (Formerly CCMSI) (Claims for payer address of Rockford IL ONLY.) (37105) | Not needed | Not supported |
| 37111 | HCH Administration (37111) | Not needed | Not supported |
| 37112 | Lake Forest Managed Care Associates (37112) | Not needed | Not supported |
| 37114 | H.E.R.E.I.U. Welfare Pension Funds (37114) | Not needed | Not supported |
| 37116 | St. Therese Physician Association (37116) | Not needed | Not supported |
| 37118 | Benefit Plan Administrators Inc (For DOS prior to 10-1-12. Use 57080 for DOS after 10-1-12) (37118) | Not needed | --- |
| 37119 | Premier Health Network (37119) | Not needed | Not supported |
| 37120 | NTL (37120) | Not needed | Not supported |
| 37121 | Bluebonnet Administrators (37121) | Not needed | Not supported |
| 37123 | Colonial Healthcare (37123) | Not needed | Not supported |
| 37125 | BeneFirst (37125) | Not needed | Not supported |
| 37127 | OSG-Michael Reese (37127) | Not needed | Not supported |
| 37135 | Consociate Group (37135) | Not needed | Not supported |
| 37136 | Physicians Health Association of Illinois (37136) | Not needed | Not supported |
| 37137 | Sage Technologies - PBS (37137) | Not needed | Not supported |
| 37212 | Benefit Management Systems Inc of Mississippi (37212) | Not needed | Not supported |
| 37215 | Employee Benefit Corporation (37215) | Not needed | Not supported |
| 37216 | Employee Benefit Systems (37216) | Not needed | --- |
| 37224 | Pittman and Associates (37224) | Not needed | --- |
| 37225 | Third Party Administrators Inc. (37225) | Not needed | Not supported |
| 37228 | Care N' Care (37228) | Not needed | Not supported |
| 37230 | TR Paul Inc. (37230) | Not needed | Not supported |
| 37233 | MPE Employee Benefit Services (37233) | Not needed | Not supported |
| 37242 | Professional Claims Management (37242) | Not needed | Not supported |
| 37247 | Western Mutual Insurance (37247) | Not needed | Not supported |
| 37253 | Elmco (37253) | Not needed | Not supported |
| 37255 | Nesika Health Group (37255) | Not needed | Not supported |
| 37256 | Mutual Assurance Administrators (37256) | Not needed | --- |
| 37264 | St. John's Claims Administration (37264) | Not needed | Not supported |
| 37266 | Southwest Service Life (37266) | Not needed | Not supported |
| 37267 | Loma Linda University Adventist (37267) | Not needed | Not supported |
| 37268 | Palladian Muscular Skeletal Health (Formerly Prism Health Networks) (37268) | Not needed | Not supported |
| 37269 | International Union Operating Engineers (37269) | Not needed | Not supported |
| 37272 | JSL Administrators AKA Wells Fargo Third Party Administrators (37272) | Not needed | --- |
| 37275 | Missoula County Medical Benefits (37275) | Not needed | Not supported |
| 37276 | Group Insurance Service Center INC (37276) | Not needed | Not supported |
| 37278 | Adminone (37278) | Not needed | Not supported |
| 37279 | Insurance Administrator of America (37279) | Not needed | Not supported |
| 37280 | Automated Group Administration Inc. (37280) | Not needed | Not supported |
| 37281 | Mid-America Associates (37281) | Not needed | Not supported |
| 37282 | Select Benefit Administrators of America (37282) | Not needed | Not supported |
| 37283 | American Administrative Group (formerly Gallagher Benefit) (37283) | Not needed | Not supported |
| 37284 | Transchoice - Key Benefit Admin (37284) | Not needed | Not supported |
| 37286 | Benefit Plan Administrators INC (37286) | Not needed | Not supported |
| 37287 | Planned Administrators Inc. (PAI) (37287) | Not needed | Not supported |
| 37290 | Health Services for Children with Special Needs (HSCSN) (37290) | Not needed | --- |
| 37297 | CompBenefits Corporation (37297) | Not needed | Not supported |
| 37298 | MBA of MD Inc. (37298) | Not needed | Not supported |
| 37299 | Nyhart (37299) | Not needed | Not supported |
| 37300 | FACS Group (37300) | Not needed | Not supported |
| 37301 | Summit America Insurance Services Inc. (Student Accident and Sickness College Sports and NASCC claims only.) (37301) | Not needed | --- |
| 37305 | The Ford Meter Box Company INC (37305) | Not needed | Not supported |
| 37307 | Connecticut Carpenters Health Fund (37307) | Not needed | Not supported |
| 37308 | Allied Benefit Systems (37308) | Not needed | --- |
| 37309 | Protective Life Insurance Company (37309) | Not needed | Not supported |
| 37313 | Assurant Health Self Fund (Verify that claims should go to Ft. Mill SC) (37313) | Not needed | Not supported |
| 37314 | North Broward Hospital District (37314) | Not needed | Not supported |
| 37315 | Prism Univera (37315) | Not needed | Not supported |
| 37316 | Leon Medical Center Health Plan (37316) | Not needed | Not supported |
| 37318 | Southern Benefit Services (37318) | Not needed | Not supported |
| 37320 | Creative Plan Administrators (37320) | Not needed | Not supported |
| 37321 | Key Select (37321) | Not needed | Not supported |
| 37322 | American Worker Health Plan (37322) | Not needed | Not supported |
| 37329 | HCHA Albq - Self Funded (37329) | Not needed | Not supported |
| 37330 | Physicians Health Plan (37330) | Not needed | --- |
| 37331 | RightChoice Benefits Administrators (37331) | Not needed | Not supported |
| 37363 | ComPsych (37363) | Not needed | Not supported |
| 37510 | First Choice VIP Care (37510) | Not needed | Not supported |
| 38201 | Total Healthcare Inc. (38201) | Not needed | Not supported |
| 38216 | Health Plus of Michigan (38216) | Not needed | Not supported |
| 38219 | AmeraPlan (Claims are printed and mailed to the payer.) (38219) | Not needed | --- |
| 38224 | Health Alliance Plan of Michigan (38224) | Not needed | --- |
| 38225 | NGS American Inc. (38225) | Not needed | --- |
| 38232 | Weyco Inc. (38232) | Not needed | Not supported |
| 38234 | IBA Self Funded Group (38234) | Not needed | Not supported |
| 38238 | BeneSys Inc. (Located in Troy MI) (Now known as Sheet Metal Workers Local 104) (38238) | Not needed | Not supported |
| 38241 | Employee Benefit Concepts (38241) | Not needed | Not supported |
| 38254 | Activa Benefits Services LLC (Formerly Amway Corporation) (38254) | Not needed | Not supported |
| 38259 | Automated Benefit Services (ABS) (38259) | Not needed | Not supported |
| 38264 | Mcare of Michigan (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.) (38264) | Not needed | Not supported |
| 38265 | ASR Corporation (38265) | Not needed | Not supported |
| 38269 | Carechoices Michigan - Mercy Healthplans (Enrollment required; please contact Noreen at (248) 489-5281.) (38269) | Not needed | Not supported |
| 38308 | Christian Brothers Services (38308) | Not needed | Not supported |
| 38309 | Healthnet of AZ (38309) | Not needed | --- |
| 38310 | John Morrell Company - AHPBA (38310) | Not needed | Not supported |
| 38329 | Pro Care Health Plan Inc. (Valid for PO Box 3160 and 3590 Detroit MI only.) (38329) | Not needed | Not supported |
| 38333 | Molina Healthcare of California (Rendering provider must use Medi-Cal ID number or State License Number. Billing provider should use Federal TaxID only.) (38333) | Not needed | Not supported |
| 38334 | Molina Healthcare of Michigan (38334) | Not needed | Not supported |
| 38336 | Molina Healthcare of Washington (Rendering providers use DSHS Medicaid ID or State Licence Number.) (38336) | Not needed | Not supported |
| 38337 | Upper Peninsula Health Plan (38337) | Not needed | Not supported |
| 38338 | McLaren Health Plan (38338) | Not needed | Not supported |
| 39033 | Sentry Insurance Co. (Sentry LIfe Insurance Co. Group and Subscriber numbers 800-426-7234) (39033) | Not needed | --- |
| 39065 | Assurant Employee Benefits (Formerly Fortis Insurance) (39065) | Not needed | --- |
| 39081 | Benefit Plan Administrators Co. (Payer ID valid only for claims with a billing submission address of PO Box 1128 Eau Claire WI 54702-1128) (39081) | Not needed | Not supported |
| 39112 | CHP/RPU (FABOH) (Facility physical address required on claim.) (39112) | Not needed | Not supported |
| 39126 | Community Care Organization (39126) | Not needed | Not supported |
| 39151 | WEA Insurance Group (39151) | Not needed | Not supported |
| 39167 | Group Health Cooperative of South Central Wisconsin Claims (39167) | Not needed | Not supported |
| 39168 | Group Health Cooperative of South Central Wisconsin Encounters (39168) | Not needed | Not supported |
| 39180 | Gunderson Lutheran Health Plan (39180) | Not needed | Not supported |
| 39181 | Triad Healthcare Inc (39181) | Not needed | Not supported |
| 39182 | International Funding Inc. (39182) | Not needed | Not supported |
| 39185 | Prevea Health Insurance Plan (39185) | Not needed | Not supported |
| 39186 | Managed Health Services Indiana (837P) (Remits returned under 68069) (39186) | Not needed | --- |
| 39187 | Managed Health Services of Wisconsin (39187) | Not needed | --- |
| 39197 | QuadMed (West Allis WI) (39197) | Not needed | Not supported |
| 39200 | Wisconsin Auto & Truck Dealers Insurance Corporation (39200) | Not needed | Not supported |
| 40585 | INDECS Corporation (40585) | Not needed | Not supported |
| 41041 | Federated Mutual Insurance (41041) | Not needed | --- |
| 41045 | CoreStar AZ MN (Start using new PayerID of 35182. Old payerID will start rejecting soon.) (41045) | Not needed | Not supported |
| 41095 | Wilson-McShane (41095) | Not needed | Not supported |
| 41099 | John Alden Life Ins. (41099) | Not needed | --- |
| 41124 | CBSA (Corporation Benefit Services of America) (41124) | Not needed | Not supported |
| 41136 | Life Trac (41136) | Not needed | Not supported |
| 41161 | Optum Health - Physical Health (Includes Oxford) (formerly ACN former payerIDs 41159 41160 ACN01) (41161) | Not needed | Not supported |
| 41163 | PROCLAIM DBA PROFESSIONAL CLAIM ADMIN (41163) | Not needed | Not supported |
| 41170 | CBCA (Formerly know as Health Risk Management) (41170) | Not needed | Not supported |
| 41178 | HealthEZ (41178) | Not needed | Not supported |
| 41194 | OptumHealth (OptumHealth Care Solutions) formerly United Resources Networks former payerID 52190 (41194) | Not needed | Not supported |
| 41205 | Benefit Administration Services (41205) | Not needed | Not supported |
| 41206 | Ultra Benfits Inc. (41206) | Not needed | Not supported |
| 41212 | Freedom Health Plan (41212) | Not needed | --- |
| 41600 | IMCARE (41600) | Not needed | Not supported |
| 42011 | American Republic Insurance Company (42011) | Not needed | --- |
| 42102 | Health Care Network of Wisconsin (HCN) (42102) | Not needed | Not supported |
| 42130 | Aetna Better Health of Nebraska (42130) | Not needed | Not supported |
| 42137 | Select Benefit Administrators (PayerID valid for claims submission address of PO Box 8339 Des Moines IA 50301) (42137) | Not needed | Not supported |
| 42138 | County Care Behavioral ( CountyCare Provider help desk: 312-864-8200 or toll-free 855-444-1661) (42138) | Not needed | --- |
| 42140 | CENTURION (42140) | Not needed | Not supported |
| 42141 | CTI Administrators Inc (42141) | Not needed | Not supported |
| 42149 | Employee Benefit System (42149) | Not needed | Not supported |
| 42150 | Butler Benefits (42150) | Not needed | Not supported |
| 42172 | Puget Sound Health Partners Inc. (42172) | Not needed | Not supported |
| 42406 | South Carolina Solutions (42406) | Not needed | Not supported |
| 43141 | Coastal Care (43141) | --- | Not supported |
| 43160 | Correctional Medical Services (43160) | Not needed | Not supported |
| 43172 | Care Partners (43172) | Not needed | Not supported |
| 43173 | Family Health Partners/MC+ Missouri (43173) | Not needed | Not supported |
| 43178 | Joplin Claims (43178) | Not needed | Not supported |
| 43179 | Missouri Care (Valid thru 4/30/2013 DOS 5/1/13 and after should be sent to Wellcare PID 14163) (43179) | Not needed | --- |
| 43313 | Harken Health (43313) | Not needed | Not supported |
| 43324 | beacon health strategies (43324) | Not needed | --- |
| 43471 | INETICO Inc. (43471) | Not needed | Not supported |
| 44030 | Kansas City Life Insurance Company (44030) | Not needed | Not supported |
| 44219 | BHP-Unity (44219) | Not needed | Not supported |
| 44273 | Health Plans Inc. (44273) | Not needed | Not supported |
| 44444 | American Postal Workers Union Health Plan (44444) | Not needed | Not supported |
| 45048 | Independent Living Systems (45048) | Not needed | Not supported |
| 45056 | Prestige Health Choice (45056) | Not needed | Not supported |
| 45129 | New Mexico Health Connections (45129) | Not needed | --- |
| 45275 | PHCS GEHA (45275) | Not needed | Not supported |
| 45281 | Riverside Health Inc (45281) | Not needed | Not supported |
| 45289 | Lone Star TPA (45289) | Not needed | Not supported |
| 45332 | Oregon Health Co-op (45332) | Not needed | Not supported |
| 45341 | Maine Community Health (45341) | Not needed | Not supported |
| 45399 | Health Choice Utah (45399) | Not needed | Not supported |
| 46045 | Avera Health Plans (46045) | Not needed | --- |
| 46050 | Generations Health (46050) | Not needed | Not supported |
| 46156 | Aspire Health Plan (46156) | Not needed | --- |
| 46227 | LIJ CareConnect Insurance Company (46227) | Not needed | --- |
| 46320 | Aetna Better Health of New Jersey (46320) | Not needed | Not supported |
| 46594 | AFFINITY MEDICAL GROUP (46594) | Not needed | Not supported |
| 46871 | Cinncinnati Financial Corporation (46871) | Not needed | Not supported |
| 47046 | Contractors Laborers Teamsters & Engineers (47046) | Not needed | Not supported |
| 47076 | Regional Care Inc. (47076) | Not needed | Not supported |
| 47080 | Midlands Choice (47080) | Not needed | Not supported |
| 47083 | GMS Inc. (47083) | Not needed | Not supported |
| 47181 | Highmark BCBSD Health Options (47181) | Not needed | Not supported |
| 48026 | NorthShore Physicians Associates (48026) | Not needed | Not supported |
| 48055 | Todays Option (American Progressive and Pyramid Life) (48055) | Not needed | --- |
| 48100 | ProviDRs Care Network (48100) | Not needed | Not supported |
| 48116 | Florida Hospital Waterman (48116) | Not needed | Not supported |
| 48120 | Century Health Solutions (48120) | Not needed | Not supported |
| 48143 | Group and Pension Administrators (48143) | Not needed | Not supported |
| 48145 | Community Health Choice (Please include TPI Number (Texas Medicaid Number) in Field FA0-23) (48145) | Not needed | --- |
| 48153 | CNA Health Partners Repricing - AR (48153) | Not needed | Not supported |
| 48603 | International Brotherhood of Boilermakers Employee Health Care Plan (IBBEHC) (48603) | Not needed | Not supported |
| 48611 | Benefit Management Inc. of KS (Only accepts claims for these groups BMI187 BMI219 BMI234 BMI236 BMI214 BMI241 BMI617 BMI246 BMI246.) (48611) | Not needed | Not supported |
| 48964 | BPS Inc (48964) | Not needed | Not supported |
| 49153 | BCI Administrators Inc (49153) | Not needed | Not supported |
| 50383 | US Imaging (50383) | Not needed | --- |
| 50946 | Informed UHC Compass Rose (50946) | Not needed | Not supported |
| 51028 | 21st Century Insurance and Financial Services (51028) | Not needed | Not supported |
| 51037 | Benefit Concepts (51037) | Not needed | Not supported |
| 51052 | Psychcare LLC (51052) | Not needed | Not supported |
| 51062 | Molina Healthcare of Florida (51062) | Not needed | Not supported |
| 51909 | Neighborhood Doctors Organization (51909) | Not needed | Not supported |
| 52103 | National Telecommunications Cooperative Association (NTCA) (52103) | Not needed | Not supported |
| 52104 | National Telecommunications Cooperative Association (NTCS Staff) (52104) | Not needed | Not supported |
| 52132 | CBA Inc. (Cooperative Benefits Administrators Inc.) (52132) | Not needed | --- |
| 52133 | Dental Benefit Providers (52133) | Not needed | Not supported |
| 52149 | Alliance PPO Inc.(Now known as OneNet PPO LLC.) (52149) | Not needed | Not supported |
| 52152 | Optimum Choice of the Carolina's (MAMSI) (52152) | Not needed | Not supported |
| 52180 | UMWA Health & Retirement Funds (52180) | Not needed | Not supported |
| 52181 | Medical Development International (52181) | Not needed | Not supported |
| 52189 | John Hopkins Healthcare (EHP/PP) (Submit Billing NPI and Rendering/Servicing NPI) (52189) | Not needed | Not supported |
| 52193 | LBA HealthPlans (52193) | Not needed | Not supported |
| 52196 | InforMed LLC (52196) | Not needed | Not supported |
| 52312 | Arbor Health (52312) | Not needed | --- |
| 53011 | National Association of Letter Carriers (53011) | Not needed | Not supported |
| 53085 | Anchor Benefit Consulting (53085) | Not needed | Not supported |
| 53476 | Preferred Benefit Administrators (53476) | Not needed | Not supported |
| 54098 | Employee Security Inc. (54098) | Not needed | Not supported |
| 54160 | APS Healthcare Inc. (54160) | Not needed | Not supported |
| 55204 | HealthNow New York, Inc (55204) | Not needed | Not supported |
| 55438 | CBCA Administrators of Ft. Worth TX (55438) | Not needed | Not supported |
| 56071 | American Family (administered by American Republic) (56071) | Not needed | --- |
| 56089 | EAST CAROLINA BEHAVIORAL HEALTH (56089) | Not needed | --- |
| 56116 | Corporate Benefits Service Inc. (NC) (Only valid for payer address of PO Box 12953 Charlotte NC 28220) (56116) | Not needed | Not supported |
| 56122 | CenterPoint Human Services (56122) | Not needed | --- |
| 56132 | Interactive Medical Systems (56132) | Not needed | Not supported |
| 56139 | Benefit Management Administrators/Services (56139) | Not needed | --- |
| 56142 | Health Care Savings (56142) | Not needed | Not supported |
| 56144 | Primary PhysicianCare Inc. (56144) | Not needed | Not supported |
| 56147 | Healthsource North Carolina - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID (56147) | Not needed | Not supported |
| 56151 | Piedmont Administrators (56151) | Not needed | Not supported |
| 56152 | Partners National Health Plans of North Carolina Inc (Contracted providers only. Call 888-296-9790) (56152) | Not needed | Not supported |
| 56162 | MedCost (56162) | Not needed | Not supported |
| 56175 | National Benefit Administrators - New Jersey (56175) | Not needed | Not supported |
| 56176 | National Benefits Administrators - North Carolina (56176) | Not needed | Not supported |
| 56190 | Opticare Eye Health Network (56190) | Not needed | Not supported |
| 56195 | Carolina Summit Healthcare Inc (56195) | Not needed | Not supported |
| 56196 | First Carolina Care (56196) | Not needed | Not supported |
| 56205 | MedCost Benefit Services (56205) | Not needed | Not supported |
| 56213 | Crescent Health Solutions (56213) | Not needed | Not supported |
| 56215 | CBHA Carolina Behavioral Health Alliance (56215) | Not needed | Not supported |
| 56240 | Detroit Medical Center (56240) | Not needed | Not supported |
| 56731 | Healthcare Resources NW (56731) | Not needed | Not supported |
| 57038 | Kanawha Healthcare Solutions (57038) | Not needed | --- |
| 57080 | ClaimsWare Inc. DBA ManageMed (57080) | Not needed | Not supported |
| 57082 | Essence Healthcare (57082) | Not needed | Not supported |
| 57115 | Care 1st Health Plan of CA (57115) | Not needed | Not supported |
| 57116 | Care 1st Health Plan of Arizona (57116) | Not needed | Not supported |
| 57117 | QVI Risk Solutions Inc. (57117) | Not needed | Not supported |
| 57492 | Stones River IPA Amerivantage (57492) | Not needed | Not supported |
| 57604 | Aetna Affordable Health Choices (SM) - SRC (57604) | Not needed | Not supported |
| 58086 | Great American Life Insurance Company (837P) (58086) | Not needed | --- |
| 58102 | Covenant Administrators Inc. (58102) | Not needed | --- |
| 58174 | Paragon Benefits Inc. (58174) | Not needed | --- |
| 58182 | Naphcare Inc (58182) | Not needed | Not supported |
| 58200 | The Integrity Benefit Network Inc. (58200) | Not needed | Not supported |
| 58202 | Advanced Data Solutions (58202) | Not needed | Not supported |
| 58203 | Medical Resource Network (MRN INC) (58203) | Not needed | Not supported |
| 58204 | AVMED-Parity Healthcare (OB/GYN only) (58204) | Not needed | Not supported |
| 58210 | Healthsource GA (CIGNA) (58210) | Not needed | Not supported |
| 58213 | Healthways WholeHealth Networks (58213) | Not needed | --- |
| 58226 | Promina (58226) | Not needed | Not supported |
| 58227 | HPS Paradigm Inc. (58227) | Not needed | Not supported |
| 58231 | Core Administrative Services (58231) | Not needed | Not supported |
| 58730 | Aetna ASA PPO/Assurant Health (Signature Admin) (58730) | Not needed | Not supported |
| 59069 | Brown & Brown Benefits (59069) | Not needed | Not supported |
| 59087 | Health Help Networks Inc. (59087) | Not needed | Not supported |
| 59140 | American Benefits Plan Administrators (Las Vegas NV) (59140) | Not needed | Not supported |
| 59141 | Administrative Services Inc. (59141) | Not needed | Not supported |
| 59143 | Harrington Health BPO (59143) | Not needed | Not supported |
| 59171 | JMH Medicare Advantage (59171) | Not needed | Not supported |
| 59204 | Fringe Benefit Coordinators (59204) | Not needed | Not supported |
| 59221 | Mega Life & Health Insurance Company (SSN is not a valid Insured ID. Must be similar to 01234567899 or AA1234567) (59221) | Not needed | --- |
| 59222 | TransAmerica Life Insurance Company (Valid for PO Box 982009 North Richland Hills TX 76182) (59222) | Not needed | Not supported |
| 59224 | Mid-West National Life Insurance Co. of Tennessee (ID valid only for following: PO Box 982017 North Richland Hills TX 76182) (59224) | Not needed | --- |
| 59225 | CT General Life Insurance (Formerly STAR HRG.) (59225) | Not needed | Not supported |
| 59227 | The MEGA Life and Health Insurance Company-OKC (Valid if PO BOX 548801 Oklahoma City OK 73154.) (59227) | Not needed | Not supported |
| 59230 | Heritage Consultants (Must use 9-digit subscriber ID on all claims) (59230) | Not needed | Not supported |
| 59231 | MedCom (59231) | Not needed | Not supported |
| 59266 | Volusia Health Network (59266) | Not needed | Not supported |
| 59274 | AvMed (59274) | Not needed | --- |
| 59275 | AVMED ENCOUNTERS (59275) | Not needed | Not supported |
| 59276 | First Service Administrators (59276) | Not needed | Not supported |
| 59279 | BayCare Life Management (59279) | Not needed | Not supported |
| 59296 | Professional Benefits Administrators (Winter Park FL) (59296) | Not needed | Not supported |
| 59298 | Employers Mutual Inc. (Florida Providers only) (59298) | Not needed | Not supported |
| 59313 | Evolutions Healthcare (59313) | Not needed | Not supported |
| 59314 | Comprehensive Behavioral Care (59314) | Not needed | Not supported |
| 59322 | Florida Health Plan (59322) | Not needed | --- |
| 59324 | Podiatry Network FL (59324) | Not needed | Not supported |
| 59331 | McCreary Corporation (59331) | Not needed | Not supported |
| 59347 | Hillcrest Benefits Administrators (59347) | Not needed | Not supported |
| 59354 | Wellcare Health Plan Inc. (Encounters only) (59354) | Not needed | Not supported |
| 59355 | Christian Care Ministries (Medishare) (59355) | Not needed | Not supported |
| 59374 | Advantica Benefits (59374) | Not needed | Not supported |
| 59608 | HealthEase (59608) | Not needed | --- |
| 59698 | Florida League of Cities Inc. (59698) | Not needed | Not supported |
| 59700 | Pipefitters Local 597 (59700) | Not needed | Not supported |
| 60110 | Preferred Health Systems Inc. (60110) | Not needed | --- |
| 60280 | Interface EAP (60280) | Not needed | Not supported |
| 60305 | American Community Mutual Insurance (60305) | Not needed | --- |
| 60495 | Community Health Choice Marketplace (60495) | Not needed | --- |
| 60550 | Gateway Health Plan ((Yellow Card). Check the ID card to verify the Payer ID before submitting) (60550) | Not needed | --- |
| 60646 | Yale University Health Plan (60646) | Not needed | Not supported |
| 60801 | Fidelity Assurance Company (60801) | Not needed | --- |
| 60827 | County Care Medical ( CountyCare Provider help desk: 312-864-8200 or toll-free 855-444-1661) (60827) | Not needed | --- |
| 60995 | Family Care - Milwaukee WI (60995) | Not needed | --- |
| 61102 | HUMANA Encounters Only (61102) | Not needed | Not supported |
| 61104 | LIFESYNCH (61104) | Not needed | Not supported |
| 61106 | Preferred Health Plan (Louisville KY) (61106) | Not needed | Not supported |
| 61120 | Humana Veterans Healthcare Services (61120) | Not needed | Not supported |
| 61124 | Bluegrass Family Health (61124) | Not needed | --- |
| 61127 | Healthsource Kentucky - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID (61127) | Not needed | --- |
| 61129 | Passport Health Plan (61129) | Not needed | --- |
| 61146 | Midwest Group Benefits (61146) | Not needed | Not supported |
| 61425 | Benefit Trust Life Insurance Company (61425) | Not needed | Not supported |
| 61665 | Preferred Health Systems Insurance Co (PPO) (61665) | Not needed | Not supported |
| 61948 | COMM CHOICE HLTH PLAN (61948) | Not needed | Not supported |
| 62030 | American General (62030) | Not needed | --- |
| 62061 | Willis Administrative Services Corporation (Now UMR Kansas) (62061) | Not needed | Not supported |
| 62072 | Cariten Senior Health (62072) | Not needed | --- |
| 62073 | Cariten Commercial (62073) | Not needed | --- |
| 62111 | Health Cost Solutions (62111) | Not needed | Not supported |
| 62129 | Healthsource TN (CIGNA) (62129) | Not needed | Not supported |
| 62153 | Windsor Medicare Extra (62153) | Not needed | Not supported |
| 62157 | Health Partners - Jackson TN (62157) | Not needed | Not supported |
| 62160 | MedSolutions Inc. (62160) | Not needed | --- |
| 62168 | HealthChoice of Memphis (62168) | Not needed | Not supported |
| 62170 | Unified Health Services (62170) | Not needed | Not supported |
| 62176 | Arkansas Managed Care Organization (AMCO) (62176) | Not needed | Not supported |
| 62177 | Medical Reimbursements of America (62177) | Not needed | Not supported |
| 62179 | Health Choice of AZ (62179) | Not needed | --- |
| 62180 | Health Choice Generations (62180) | Not needed | --- |
| 62310 | CIGNA Flex Care (New Mexico only) (62310) | Not needed | Not supported |
| 62324 | Freedom Life Insurance Company (62324) | Not needed | Not supported |
| 62553 | Country Life Insurance Company (62553) | Not needed | Not supported |
| 62777 | TRLHN/EB (62777) | Not needed | Not supported |
| 63092 | HealthSpring HMO/HealthSpring Medicare+Choice (63092) | Not needed | Not supported |
| 63100 | Behavioral Health Systems (63100) | Not needed | Not supported |
| 63103 | American Behavior (63103) | Not needed | Not supported |
| 63106 | American Behavioral FEP/ITS (63106) | Not needed | Not supported |
| 63665 | GenCare Health (St. Louis only) (63665) | Not needed | Not supported |
| 64067 | FoxEverett - Ingalls Ship Building (64067) | Not needed | Not supported |
| 64068 | Creative Medical Systems (64068) | Not needed | Not supported |
| 64069 | Fox-Everett Inc. (64069) | Not needed | --- |
| 64071 | ACCLAIM (64071) | Not needed | Not supported |
| 64084 | Mississippi Physicians Care Network (64084) | Not needed | Not supported |
| 64088 | Mississippi Select Healthcare (Mississippi Select Health Care) (64088) | Not needed | Not supported |
| 64158 | Meritain Health / Agency Services (64158) | Not needed | Not supported |
| 64159 | Definity Services (64159) | Not needed | --- |
| 64246 | Guardian Life Insurance Company of America (64246) | Not needed | --- |
| 65018 | Physicians Corporation of America (Florida Plan Only) (65018) | Not needed | Not supported |
| 65031 | Care Plus (65031) | Not needed | Not supported |
| 65054 | Premier Eye Care (65054) | Not needed | Not supported |
| 65056 | New Market Dimensions (65056) | Not needed | Not supported |
| 65062 | EMI (Eye Management Inc) (65062) | Not needed | Not supported |
| 65063 | Florida NetPass (65063) | Not needed | Not supported |
| 65064 | American Therapy Administration of Florida aka ATA-FL (Only PT OT and Speech Therapy claims for FL plans to AETNA CarePlus JMH HP Sunshine St WellCare.) (65064) | Not needed | Not supported |
| 65067 | Capital International Management Services (65067) | Not needed | Not supported |
| 65074 | Olympus Management Health Care (65074) | Not needed | Not supported |
| 65085 | NAA (North America Administrators) (65085) | Not needed | Not supported |
| 65088 | Preferred Care Partners (Miami Florida) (65088) | Not needed | Not supported |
| 65093 | Advocate Health Partners (PHO) (65093) | Not needed | --- |
| 65099 | UNICARE Special Accounts (65099) | Not needed | Not supported |
| 65101 | HAA Preferred Partners (65101) | Not needed | Not supported |
| 65113 | METCARE HEALTH PLANS (65113) | Not needed | Not supported |
| 65391 | CBNHP Health Choices (65391) | Not needed | --- |
| 66001 | BCBS TEXAS MEDICAID STAR CHIP (66001) | Not needed | Not supported |
| 66004 | Economic Livelihood Partnership (HELP) (66004) | Not needed | Not supported |
| 66006 | Blue Cross Medicare Advantage (66006) | Not needed | Not supported |
| 66055 | Netcare Life and Health Insurance (66055) | Not needed | Not supported |
| 66893 | New England The (66893) | Not needed | Not supported |
| 66917 | Parkland Community Health Plan (66917) | Not needed | --- |
| 67814 | G.E. Group Life Assurance Company (67814) | Not needed | Not supported |
| 67829 | Sterling Medicare Advantage (67829) | Not needed | Not supported |
| 68011 | Capitol Administrators (68011) | Not needed | --- |
| 68021 | Health net Federal Services (68021) | Not needed | Not supported |
| 68035 | Health Plan of San Joaquin (68035) | Not needed | Not supported |
| 68036 | John Muir Mt. Diablo Health System (68036) | Not needed | Not supported |
| 68050 | Cenpatico Behavioral Health Georgia (68050) | Not needed | Not supported |
| 68052 | Cenpatico Behavioral Health Indiana (68052) | Not needed | Not supported |
| 68055 | Absolute Total Care South Carolina (68055) | Not needed | Not supported |
| 68056 | Medicare Advantage (68056) | Not needed | Not supported |
| 68057 | Sunshine State Health Plan (Remits returned under 68069) (68057) | Not needed | --- |
| 68060 | CeltiCare Health Plan Massachussets (68060) | Not needed | Not supported |
| 68062 | Magnolia Health Plan (68062) | Not needed | --- |
| 68065 | Cenpatico Behavioral Health Illinois (68065) | Not needed | Not supported |
| 68066 | IlliniCare Health Plan Illinois (68066) | Not needed | Not supported |
| 68067 | Kentucky Spirit (68067) | Not needed | Not supported |
| 68068 | Group Practice Affiliates (68068) | Not needed | --- |
| 68195 | Healthpoint Corporation (68195) | Not needed | Not supported |
| 68241 | Bell Atlantic (Prudential) (68241) | Not needed | Not supported |
| 68423 | The Care Network (68423) | Not needed | Not supported |
| 68609 | Bridgeway Arizona (68609) | Not needed | Not supported |
| 70259 | ProCare Health Plan Medicaid (70259) | Not needed | Not supported |
| 70408 | FORTIS BENEFITS (Kansas City) (70408) | Not needed | --- |
| 71037 | Lafayette Consolidated Government (71037) | Not needed | Not supported |
| 71057 | Cannon Cochran Management Services Inc. LA (Claims for Payer address of Metairie LA only.) (71057) | Not needed | Not supported |
| 71064 | EDS Healthchoice (formerly payer ID 22521 - For dates of service on or after 01/01/2018 ) (71064) | Not needed | Not supported |
| 71074 | Healthsource Arkansas - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID (71074) | Not needed | Not supported |
| 71075 | Healthsource AR (Med) (CIGNA) (71075) | Not needed | Not supported |
| 71079 | Mercy Care Plus (Now valid only for DOS prior to 7-1-12) (71079) | Not needed | Not supported |
| 71080 | NOVASYS Health Network (71080) | Not needed | Not supported |
| 71404 | Continental General Insurance Co. (71404) | Not needed | --- |
| 71768 | FreedomBlue HHIC (71768) | --- | --- |
| 72087 | State Employees Group Benefits (72087) | Not needed | Not supported |
| 72091 | IMA of Lousiana Inc. (72091) | Not needed | Not supported |
| 72099 | American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600 New Orleans LA 70163) (72099) | Not needed | Not supported |
| 72127 | Ochsner Health Plan (72127) | Not needed | Not supported |
| 72128 | Vantage Health Plan Inc. (72128) | Not needed | Not supported |
| 72148 | PPO Plus LLC (72148) | Not needed | Not supported |
| 72261 | SCAN Health Plan (72261) | Not needed | Not supported |
| 73066 | Reserve National Insurance (For Claims rejections please contact Reserve national Customer Service at (405)848-7931.) (73066) | Not needed | Not supported |
| 73067 | Quicktrip Corporation (73067) | Not needed | Not supported |
| 73100 | Kempton Group (73100) | Not needed | Not supported |
| 73126 | Equitable Plan Services (73126) | Not needed | Not supported |
| 73143 | Community Care Managed Health Care Plans of Oklahoma (73143) | Not needed | Not supported |
| 73145 | Preferred Community Choice (73145) | Not needed | Not supported |
| 73147 | HealthCare Solutions Group (73147) | Not needed | Not supported |
| 73155 | Waterstone Benefit Administrators (73155) | Not needed | Not supported |
| 73159 | First Health Network (73159) | Not needed | Not supported |
| 73172 | Scan Health Plan Arizona (73172) | Not needed | Not supported |
| 73288 | EHI (Employers Health Insurance) (73288) | Not needed | Not supported |
| 74048 | American National Insurance Co (74048) | Not needed | Not supported |
| 74095 | USAA (74095) | Not needed | --- |
| 74205 | Right Care from Scott & White (74205) | Not needed | --- |
| 74212 | Employer Plan Services Inc. (74212) | Not needed | Not supported |
| 74227 | Student Resources (74227) | Not needed | Not supported |
| 74234 | 8th Distric Electrical (74234) | Not needed | Not supported |
| 74240 | Assured Benefits Administrators (74240) | Not needed | Not supported |
| 74431 | Ohio PPO Connect (74431) | Not needed | Not supported |
| 75087 | States General Life Insurance (75087) | Not needed | Not supported |
| 75130 | UMC Health Plan (75130) | Not needed | Not supported |
| 75133 | Team Choice PPO (75133) | Not needed | Not supported |
| 75134 | Team Choice UMC (75134) | Not needed | Not supported |
| 75136 | CoreSource Little Rock (For claims where the 'submit claims to address' on the medical ID card is an address in Little Rock. For assistance call 800-689-0106) (75136) | Not needed | Not supported |
| 75137 | Ameriben Solutions (75137) | Not needed | Not supported |
| 75138 | First Choice of Midwest (PPO) (75138) | Not needed | Not supported |
| 75139 | Team Health Gold (75139) | Not needed | Not supported |
| 75177 | Central & Southwest Services (75177) | Not needed | Not supported |
| 75185 | ICON Benefit Administrators (75185) | Not needed | Not supported |
| 75190 | NCAS - Fairfax VA (75190) | Not needed | Not supported |
| 75191 | NCAS - Charlotte VA (75191) | Not needed | Not supported |
| 75228 | Texas Children's Health Plan (Medicaid) (75228) | Not needed | Not supported |
| 75229 | Medical Control Inc (ppoNext) (75229) | Not needed | Not supported |
| 75232 | E3 Health Inc (Formerly First Integrated Health) (75232) | Not needed | Not supported |
| 75233 | Employers Direct Health - SF (75233) | Not needed | Not supported |
| 75234 | Health First-Tyler TX (75234) | Not needed | Not supported |
| 75235 | CorSolutions (75235) | Not needed | Not supported |
| 75236 | Employers Direct Health - Employee Plan (75236) | Not needed | Not supported |
| 75237 | Healthsmart Accel (75237) | Not needed | Not supported |
| 75240 | American Administrative Group - AAG (Formerly known as UICI Administrators (75240) | Not needed | Not supported |
| 75245 | UICI Administrators - State of Nevada (75245) | Not needed | Not supported |
| 75246 | GM Southwest (75246) | Not needed | Not supported |
| 75250 | HealthSmart Preferred Care (75250) | Not needed | Not supported |
| 75255 | Healthsource North Texas - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID (75255) | Not needed | Not supported |
| 75256 | Verity National Group (75256) | Not needed | Not supported |
| 75258 | MAPCO Inc. (75258) | Not needed | Not supported |
| 75274 | Superier Health (75274) | Not needed | Not supported |
| 75276 | World Insurance Company (75276) | Not needed | --- |
| 75277 | eComPPO (75277) | Not needed | Not supported |
| 75278 | Arkansas Best Corporation (75278) | Not needed | Not supported |
| 75280 | Shasta Administrative Services (Jeld-Wen Claims only) (75280) | Not needed | Not supported |
| 75281 | New ERA Life (75281) | Not needed | Not supported |
| 75283 | Linn County (75283) | Not needed | Not supported |
| 75284 | Consolidated Associates Railroad (75284) | Not needed | Not supported |
| 75289 | Healthfirst of Austin TPA (75289) | Not needed | Not supported |
| 75318 | HMC Healthworks aka Health Management Co. (75318) | Not needed | Not supported |
| 75600 | The City of Odessa (75600) | Not needed | Not supported |
| 76028 | Gateway Health Plan of Ohio Inc. (76028) | Not needed | Not supported |
| 76045 | SelectCare of Texas (HPN) Heritage Physicians Network (76045) | Not needed | Not supported |
| 76049 | Choice One/UTMB CHIP Health Plan (Call 281-652-8700 prior to submitting claims.) (76049) | Not needed | Not supported |
| 76066 | Renaissance Physicians Organization (76066) | Not needed | Not supported |
| 76079 | Midwest Health Partners (76079) | Not needed | Not supported |
| 76343 | Health Plan of Nevada (Encounter claims) (76343) | Not needed | Not supported |
| 76569 | Passport Advantage (For claims with dates of service after 12/31/2009. For earlier claims use SX154.) (76569) | Not needed | Not supported |
| 76870 | LifePath Hospice Inc. (76870) | Not needed | Not supported |
| 76923 | Good Shepherd Hospice (76923) | Not needed | Not supported |
| 77001 | AmeriHealth NorthEast (77001) | Not needed | --- |
| 77015 | Carilion Clinic Medicare Health Plan (77015) | Not needed | Not supported |
| 77023 | Carepoint Health Plan (77023) | Not needed | Not supported |
| 77035 | Sutter Connect - Central Valley Med Group (Claims) (77035) | Not needed | Not supported |
| 77038 | Sante Health Systems (77038) | Not needed | --- |
| 77039 | Kern Health Systems (77039) | Not needed | --- |
| 77044 | Department of Labor Black Lung (77044) | --- | Not supported |
| 77045 | Arcadian Management Services Inc (Group number should be entered if available. ) (77045) | Not needed | Not supported |
| 77052 | Coastal Administrative Services (77052) | Not needed | Not supported |
| 77054 | Fidelis Secure Care (77054) | Not needed | --- |
| 77063 | Maryland PMHS ValueOptions (Use for ALL Dates of Service) (77063) | --- | Not supported |
| 77070 | Advantage Preferred Plus (77070) | Not needed | Not supported |
| 77073 | VNS Choice Medicare (Formerly Visiting Nurse Service) (77073) | Not needed | --- |
| 77075 | Amerihealth Caritas Iowa (77075) | Not needed | Not supported |
| 77078 | Banner Medisun (77078) | Not needed | Not supported |
| 77080 | WPP Eldercare Wisconsin (77080) | Not needed | Not supported |
| 77082 | Care Improvement Plus (77082) | Not needed | Not supported |
| 77083 | American Heritage (77083) | Not needed | Not supported |
| 77153 | Southeastern Indiana Health (77153) | Not needed | Not supported |
| 77160 | Gold Coast (77160) | Not needed | Not supported |
| 77170 | common ground healthcare cooperative (77170) | Not needed | --- |
| 77180 | Healthy CT (77180) | Not needed | --- |
| 77201 | Clearchoice Health Plan / COIHS (77201) | Not needed | Not supported |
| 77799 | Amerihealth Delaware (77799) | Not needed | Not supported |
| 78375 | Connecticare - Medicare (78375) | Not needed | Not supported |
| 78521 | Greentree (78521) | Not needed | Not supported |
| 78857 | Medica Health Care Plan Inc. (78857) | Not needed | Not supported |
| 80085 | Prominence Health Plan of Texas (80085) | Not needed | Not supported |
| 80087 | Innovative Physician Associates (80087) | Not needed | Not supported |
| 80142 | Health Partners PA (80142) | Not needed | --- |
| 80214 | CHAMPVA-HAC Medicare Crossover (837P & 837I) (80214) | Not needed | --- |
| 80440 | Eastpointe (80440) | Not needed | Not supported |
| 80705 | AH & L (80705) | Not needed | --- |
| 80942 | West Suburban Health Providers (80942) | Not needed | Not supported |
| 81039 | EBMS (Employee Benefit Management Services Inc) (81039) | Not needed | Not supported |
| 81883 | Municipal Health Benefits Fund (81883) | Not needed | Not supported |
| 81949 | American Insurance Company of TX (81949) | Not needed | Not supported |
| 82018 | Health Claims Service (82018) | Not needed | Not supported |
| 82048 | Primary Health Network (82048) | Not needed | Not supported |
| 82420 | Valley Baptist Health (82420) | Not needed | Not supported |
| 83028 | MBA Benefit Administrators (83028) | Not needed | Not supported |
| 83035 | Senior Whole Health (83035) | Not needed | Not supported |
| 83077 | Advantek Benefit Administrators (83077) | Not needed | Not supported |
| 83253 | Health Plan of Michigan (83253) | Not needed | Not supported |
| 84065 | Rocky Mountain Health Plan Grand Junction (84065) | --- | Not supported |
| 84076 | Sinclair Health Plan (84076) | Not needed | Not supported |
| 84096 | Sloan's Lake Managed Care (84096) | Not needed | Not supported |
| 84131 | Denver Health Medical Plan Inc. - Medicare Choice (84131) | Not needed | Not supported |
| 84132 | United Medical Alliance (UMA) (84132) | --- | Not supported |
| 84133 | Denver Health and Hospital Authority (84133) | Not needed | Not supported |
| 84134 | Denver Health - Indigent (84134) | Not needed | Not supported |
| 84135 | Denver Health Medical Plan (84135) | Not needed | Not supported |
| 84137 | InterWest Health PPO (Montana) (84137) | Not needed | Not supported |
| 84141 | New West Health Plan (84141) | Not needed | Not supported |
| 84223 | Keystone VIP Choice (84223) | Not needed | Not supported |
| 84980 | HCSC Insurance Services Company (84980) | Not needed | Not supported |
| 85256 | Wabash Memorial Hospital Association (85256) | Not needed | --- |
| 85362 | Foundation for Medical Care of Tulare and Kings Counties (837P & 837I) (85362) | Not needed | --- |
| 85729 | HealthComp (85729) | Not needed | Not supported |
| 86001 | AmeriChoice of New Jersey Personal Care Plus (86001) | Not needed | Not supported |
| 86002 | AmeriChoice of New York Personal Care Plus (86002) | Not needed | Not supported |
| 86033 | CIGNA Healthcare for Seniors - Arizona Medicare (86033) | Not needed | Not supported |
| 86040 | Mountain States Administrative Services Inc. (ARIZONA ONLY.) (86040) | Not needed | Not supported |
| 86048 | AmeriChoice NY Medicaid & Child Health Plus (UnitedHealthcare Community Plan) (86048) | Not needed | Not supported |
| 86049 | AmeriChoice of PA Children's Health Insurance Program (KidsChoice) (86049) | Not needed | Not supported |
| 86050 | UnitedHealthcare Community Plan Missouri (86050) | Not needed | Not supported |
| 86052 | Mercy Health Plan (AHCCCS) (86052) | Not needed | --- |
| 86066 | Health Management Associates (HMA servicing Southeastern and Southwestern Regions) (Provider ID Required) (86066) | Not needed | Not supported |
| 86067 | Nevada Health Solutions (Provider ID Required) (86067) | Not needed | Not supported |
| 86068 | Hawki (Provider ID Required) (86068) | Not needed | Not supported |
| 86069 | Illinois Health Solutions ( ProviderID Required) (86069) | Not needed | Not supported |
| 86083 | Summit Administration Services Inc. (86083) | Not needed | Not supported |
| 86304 | Insurers Administrative Corporation I Par Plus (86304) | Not needed | Not supported |
| 87042 | Union Pacific Railroad Employees Health Systems (87042) | Not needed | Not supported |
| 87043 | First Health Coventry Health Care National Network (87043) | Not needed | Not supported |
| 87065 | CDO Technologies (87065) | Not needed | Not supported |
| 87066 | Formax Inc. (87066) | Not needed | Not supported |
| 87068 | P5 Health (87068) | Not needed | Not supported |
| 87071 | LIBERTY HEALTH ADVANTAGE (87071) | Not needed | Not supported |
| 87098 | Avesis Third Part Administrators (87098) | Not needed | Not supported |
| 87265 | Benesight (formerly The TPA) (87265) | Not needed | Not supported |
| 87843 | Consolidated Health Plans (87843) | Not needed | Not supported |
| 88019 | Teachers Health Trust (88019) | Not needed | Not supported |
| 88022 | CDS Group Health (88022) | Not needed | Not supported |
| 88027 | Northern Nevada Trust Funds (Call 775-826-7200 prior to submitting claims.) (88027) | Not needed | Not supported |
| 88029 | Saint Marys Health Plan (88029) | Not needed | Not supported |
| 88033 | Bridgestone/Firestone (Please call Bridgestone Customer Service Center at 330-379-4500 before sending claims.) (88033) | Not needed | Not supported |
| 88035 | AssureCare Inc. (88035) | Not needed | Not supported |
| 88050 | National Health Benefits Corporation - NHBC02 (88050) | Not needed | Not supported |
| 88054 | Teamsters (UT/ID/MT) (88054) | Not needed | Not supported |
| 88056 | Cypress Benefit Administrators (88056) | Not needed | Not supported |
| 88057 | National Health Benefit (88057) | Not needed | Not supported |
| 88082 | Prominence Health Plan Encounters (88082) | Not needed | Not supported |
| 88090 | Mayo Clinic FL/GA (88090) | Not needed | Not supported |
| 88858 | ZEBRAHEALTH (88858) | Not needed | Not supported |
| 89070 | united concordia (89070) | Not needed | Not supported |
| 89461 | Quality Care Partners (89461) | Not needed | Not supported |
| 90001 | HEALTHLINK PPO (90001) | Not needed | Not supported |
| 90023 | HDPC - Premier Healthcare (90023) | Not needed | Not supported |
| 90060 | FirstGuard Health Plan of Kansas (Contact Karen Joslin at (816)922-7225 to verify Firstguard ProviderID. Payer requires Insured ID of 8-11 numeric characters.) (90060) | Not needed | Not supported |
| 90061 | FirstGuard Health Plan of Missouri (90061) | Not needed | Not supported |
| 90091 | Nevada Health Coop (90091) | Not needed | Not supported |
| 90096 | Land of Lincoln Health (90096) | Not needed | --- |
| 90328 | Lovelace Sandia Health Plan (90328) | Not needed | Not supported |
| 90440 | Premier Health Systems Inc. (90440) | Not needed | Not supported |
| 90441 | CHP Direct SuperMed (90441) | Not needed | Not supported |
| 90560 | WestLake Financial Group Inc. (90560) | Not needed | Not supported |
| 90956 | Atlas Life Ins Co (NFIC Plan only) (90956) | Not needed | Not supported |
| 91064 | Wenatchee Valley Medical Center (91064) | Not needed | Not supported |
| 91121 | Kaiser Foundation Health Plan of Washington (91121) | Not needed | Not supported |
| 91131 | First Choice Health Network (91131) | Not needed | --- |
| 91136 | Alaska Childrens Services Inc (91136) | Not needed | Not supported |
| 91150 | Olympic Health Management Systems Inc. (91150) | Not needed | Not supported |
| 91151 | Sterling Option 1 (91151) | Not needed | Not supported |
| 91155 | Lifewise Health Plan of Arizona A Premier Health Plan (835s returned under AC032) (91155) | Not needed | --- |
| 91162 | Columbia United Providers (91162) | Not needed | Not supported |
| 91164 | Highline Medical Services MOLINA (91164) | Not needed | Not supported |
| 91176 | RBMS LLC (91176) | Not needed | Not supported |
| 91313 | MDwise Hoosier Care Connect (For DOS on or after 1-01-2017) (91313) | Not needed | Not supported |
| 92579 | University of Miami Behavioral Health (92579) | Not needed | Not supported |
| 92600 | Alaska Electrical Health & Welfare Fund (92600) | Not needed | Not supported |
| 92620 | Tongass Timber Trust (92620) | Not needed | Not supported |
| 92649 | INTER-AMERICAS INSURANCE (92649) | Not needed | Not supported |
| 92805 | Maxor Administrative Services (92805) | Not needed | Not supported |
| 93031 | PacificSource Administrators (93031) | Not needed | Not supported |
| 93044 | A & I Benefit Plan Administrators (93044) | Not needed | Not supported |
| 93050 | William C. Earhart Co Inc. (93050) | Not needed | Not supported |
| 93082 | Prominence Health Plan of Nevada (93082) | Not needed | Not supported |
| 93092 | US Benefits (93092) | Not needed | Not supported |
| 93100 | GulfQuest (93100) | Not needed | Not supported |
| 93101 | Complementary HealthCare Plans (93101) | Not needed | Not supported |
| 93102 | Cascade Health Partners (93102) | Not needed | Not supported |
| 93128 | Western Benefits Inc. (Also known as Western Grocers) (93128) | Not needed | Not supported |
| 93221 | Asuris NW Health (93221) | Not needed | Not supported |
| 93688 | Amerihealth DE (Non - HMO) (93688) | --- | --- |
| 93975 | CareOregon Inc. (93975) | Not needed | Not supported |
| 94123 | Kaiser Permanente Hawaii (94123) | Not needed | Not supported |
| 94123 | KAISER PERMANENTE HEALTH PLAN HAWAII (94123) | Not needed | Not supported |
| 94134 | Kaiser Foundation Health Plan of Southern CA Region (94134) | Not needed | Not supported |
| 94177 | Allied Administrators (94177) | Not needed | Not supported |
| 94302 | Chinese Community Health Plan (Unique Provider ID must be on claim.) (94302) | Not needed | Not supported |
| 94304 | Teamsters Benefit Trust (94304) | Not needed | Not supported |
| 94316 | Brown & Toland Medical Group (94316) | Not needed | --- |
| 94321 | Children First Medical Group (For questions regarding claim status providers will need to contact payer: CFMG Provider Customer Service 510-428-3154) (94321) | Not needed | Not supported |
| 94998 | FirstCare Star Medicaid (94998) | Not needed | Not supported |
| 95009 | HealthPlus of Lousiana (95009) | Not needed | Not supported |
| 95019 | HEALTH FIRST HEALTH PLANS (95019) | Not needed | --- |
| 95112 | Capital Health Plan (95112) | Not needed | --- |
| 95123 | Neighborhood Health Partners of Florida (95123) | Not needed | Not supported |
| 95166 | Cedars-Sinai Medical Network Services Claims (95166) | Not needed | Not supported |
| 95167 | Cedars-Sinai Medical Network Services Encounters (95167) | Not needed | Not supported |
| 95170 | American Benefit Plan Administrators (95170) | Not needed | --- |
| 95192 | Community Connect Medicaid (95192) | Not needed | --- |
| 95202 | SummaCare Health Plan (95202) | Not needed | Not supported |
| 95213 | HealthEdge Administrators (PayerID valid for claims with a submission address of PO Box 11210 Bakersfield CA 93389) (95213) | Not needed | Not supported |
| 95241 | AGIA Inc (Claims are printed and mailed to the payer.) (95241) | Not needed | Not supported |
| 95288 | Employee Benefit Administration & Management (EBA&M) (95288) | Not needed | Not supported |
| 95321 | Medfocus | 1199 (95321) | Not needed | Not supported |
| 95327 | Alameda Alliance for Health (Provider must contact payer to be approved. Contact at Alameda is Anet Quiambao at 510-747-6153 or aquiambao@alamedaalliance.com) (95327) | Not needed | Not supported |
| 95340 | Adventist Health System (95340) | Not needed | Not supported |
| 95377 | Beech Street Corp. (Payer requires that payer and employer information in box11 be attached.) (95377) | Not needed | Not supported |
| 95379 | One Health Plan of California (95379) | Not needed | --- |
| 95386 | CenCal Health (95386) | Not needed | Not supported |
| 95388 | One Health Plan of Illinois (95388) | Not needed | --- |
| 95397 | Personal Insurance Administrators (95397) | Not needed | --- |
| 95399 | Cap Management Systems (95399) | Not needed | Not supported |
| 95412 | One Health Plan of Colorado (95412) | Not needed | --- |
| 95415 | Lakeside Health Services (95415) | Not needed | Not supported |
| 95420 | MethodistCare Inc. (95420) | Not needed | Not supported |
| 95426 | Affordable Benefit Administrators Inc. (Claims with the following address should only be sent to this payerID: ABA PO BOX 10787 Burbank CA 91510-0787) (95426) | Not needed | Not supported |
| 95432 | Facey Medical Foundation (95432) | Not needed | Not supported |
| 95435 | Health Pledge HMO (95435) | Not needed | Not supported |
| 95444 | Clarian Health Plans (95444) | Not needed | Not supported |
| 95453 | Grand Valley Health Plan (95453) | Not needed | Not supported |
| 95461 | Senior Markets Medicare Advantage for WV (95461) | Not needed | Not supported |
| 95462 | Senior Markets Medicare Advantage for PA (95462) | Not needed | Not supported |
| 95467 | Great Lakes Health Plan (UnitedHealthcare Community Plan) (95467) | Not needed | --- |
| 95569 | One Health Plan of Georgia (95569) | Not needed | --- |
| 95604 | Best Life & Health Insurance Co. (95604) | Not needed | Not supported |
| 95655 | MEDIGOLD (95655) | Not needed | Not supported |
| 95691 | Northeast Georgia Health Services (95691) | Not needed | Not supported |
| 95827 | Healthy Palm Beaches Inc. (95827) | --- | Not supported |
| 95958 | UnitedHealthcare West (Encounters) formerly PacifiCare (95958) | Not needed | Not supported |
| 95964 | PacifiCare of AZ Arizona (95964) | Not needed | Not supported |
| 95998 | New Avenues Inc. (95998) | Not needed | Not supported |
| 95999 | PacifiCare PPO - All States (95999) | Not needed | Not supported |
| 96107 | Neighborhood Health Partnership (NHP) (96107) | Not needed | Not supported |
| 96475 | HEALTHLINK HMO (96475) | Not needed | Not supported |
| 96598 | Micron Tech (96598) | Not needed | Not supported |
| 97055 | American Service Life Insurance Company (97055) | Not needed | Not supported |
| 98010 | William J Sutton & Co. Ltd. (98010) | Not needed | Not supported |
| 98205 | Anerican Founders Life Ins Co (NFL Plans only) (98205) | Not needed | Not supported |
| 98514 | Trilogy Health (98514) | Not needed | Not supported |
| 99157 | SCAN Encounters (Diversified Data Design (DDD)) (99157) | Not needed | Not supported |
| 99289 | Screen Actors Guild (99289) | Not needed | Not supported |
| 99320 | BRMS (99320) | Not needed | Not supported |
| 128KY | Aetna Better Health Of Kentucky (128KY) | Not needed | Not supported |
| 128LA | Aetna Better Health of Louisiana (128LA) | Not needed | Not supported |
| 128MI | Aetna Better Health of Michigan (128MI) | Not needed | Not supported |
| 128MO | aetna better health of missouri (128MO) | Not needed | Not supported |
| 128VA | Aetna Better Health of Virginia (128VA) | Not needed | --- |
| 128WV | Aetna Better Health of West Virginia (128WV) | Not needed | --- |
| 12B35 | Blue Cross of New York State (12B35) | Not needed | Not supported |
| 12B60 | Blue Cross of Pennsylvania Capital (12B60) | Not needed | Not supported |
| 12B81 | Blue Cross of Pennsylvania Western/Central Highmark (12B81) | Not needed | Not supported |
| 12K82 | Central California Alliance ** Call CCA EDI support at 831-430-5510 prior to submitting claims for first time (12K82) | Not needed | Not supported |
| 12K85 | Carolina Crescent Health Plan (12K85) | Not needed | Not supported |
| 12M09 | Medicare Part A of Indiana (12M09) | Not needed | --- |
| 12M12 | Medicare Part A of Louisiana (remits returned under 12M17) (12M12) | Not needed | --- |
| 12M17 | Medicare Part A of Mississippi (12M17) | Not needed | --- |
| 12M31 | Medicare Part A of Texas (12M31) | Not needed | --- |
| 12M53 | Medicare Part A of Tennessee (12M53) | Not needed | --- |
| 12M60 | Medicare Part A of Pennsylvania (12M60) | Not needed | --- |
| 12M64 | Medicare of CA HI and NV (12M64) | Not needed | Not supported |
| 12M81 | PARTNERSHIP OF HEALTH CA (12M81) | Not needed | Not supported |
| 12M97 | Home Health & Hospice J15 Cigna (12M97) | Not needed | Not supported |
| 12M98 | CA Home Health & Hospice (12M98) | Not needed | --- |
| 12X31 | US Department of Labor (12X31) | Not needed | Not supported |
| 12X42 | Banner Health (12X42) | Not needed | Not supported |
| 12X53 | BrickStreet Insurance Company (12X53) | Not needed | Not supported |
| 12X56 | VALUE OPTIONS (12X56) | Not needed | Not supported |
| 251CC | Children's Community Health Plan Wisconsin (251CC) | Not needed | Not supported |
| 3414A | Klais and Company Repricing for HealthSpan Network (3414A) | Not needed | Not supported |
| 3536I | Medicare Part A of Georgia (3536I) | Not needed | --- |
| 3833A | McLaren Health Advantage (3833A) | Not needed | Not supported |
| 3833C | McLaren Medicaid (3833C) | Not needed | Not supported |
| 3833N | McLaren ABW-NHP (3833N) | Not needed | Not supported |
| 3833R | McLarenAdvantage SNP (3833R) | Not needed | Not supported |
| 3833T | McLaren ABW-THPC (3833T) | Not needed | Not supported |
| 412MP | MedPartners Admin Services (412MP) | Not needed | Not supported |
| 4725P | Little Company of Mary Health (4725P) | Not needed | --- |
| 5246M | March Vision Health Plan (5246M) | Not needed | --- |
| 5415M | Sentara Mental Health Professional (5415M) | Not needed | Not supported |
| A0701 | ABMG (A0701) | Not needed | Not supported |
| A1680 | Access Health Plan (A1680) | Not needed | --- |
| A1681 | Muskegon Care (A1681) | Not needed | Not supported |
| A2004 | Ancillary Care Services (A2004) | Not needed | --- |
| ABHOH | Aetna Better Health Ohio (ABHOH) | Not needed | Not supported |
| ABRI1 | Abri Healthplan (ABRI1) | Not needed | Not supported |
| ACIPA | Advantage Care IPA (ACIPA) | Not needed | Not supported |
| ACMG1 | Alpha Care Medical Group (ACMG1) | Not needed | Not supported |
| ADCUC | United Care Medical Group (ADCUC) | Not needed | Not supported |
| ADECR | Access Dental Care (ADECR) | Not needed | --- |
| ADOCS | Affiliated Doctors of Orange County (ADOCS) | Not needed | Not supported |
| ADSL1 | Team Choice - Alpha Care Gold I Par Plus (ADSL1) | Not needed | Not supported |
| ADVTK | Advantek Benefit Administrators (ADVTK) | Not needed | Not supported |
| AESSI | Aetna Senior Supplemental Insurance (AESSI) | Not needed | Not supported |
| AH001 | Avante Health (AH001) | Not needed | Not supported |
| AHS01 | Access Administrators (AHS01) | Not needed | Not supported |
| AKMCD | Medicaid of Alaska (AKMCD) | --- | --- |
| ALIHP | Alignment Health Plan (ALIHP) | Not needed | --- |
| ALMCD | Medicaid of Alabama (ALMCD) | --- | --- |
| ALMCR | Medicare Part B of Alabama (ALMCR) | --- | |
| ALOHA | AlohaCare (ALOHA) | --- | --- |
| ALPHA | AlphaCare of New York (ALPHA) | Not needed | --- |
| AMAIA | AMA Insurance Agency INC (AMAIA) | Not needed | Not supported |
| AMG01 | Access Medical Group (AMG01) | Not needed | Not supported |
| AMM01 | Advanced Medical Management (AMM01) | Not needed | Not supported |
| AMS01 | Dentemax (AMS01) | Not needed | Not supported |
| APP01 | Downey Select IPA (Applecare Medical Mgmt) (APP01) | Not needed | Not supported |
| ARISE | Arise Health Plan (ARISE) | Not needed | Not supported |
| ARMCD | Medicaid of Arkansas (ARMCD) | --- | --- |
| ASHP1 | American Specialty Health (ASHP1) | Not needed | Not supported |
| ASNTH | Assurant Health Re-Pricing via HealthSpan (ASNTH) | Not needed | Not supported |
| ASRM1 | ASRM Corporation (ASRM1) | Not needed | Not supported |
| ATEND | ATENDATPA (ATEND) | Not needed | Not supported |
| ATPA1 | Associated Third Party Administration (ATPA) (ATPA1) | Not needed | Not supported |
| AWNY6 | AgeWell New York (AWNY6) | Not needed | --- |
| AXM01 | Axminister Medical Group (AXM01) | Not needed | Not supported |
| AZBLS | Blue Shield of Arizona (AZBLS) | Not needed | --- |
| AZFMC | Ancillary Benefits/Arizona Foundation for Medical Care (AZFMC) | Not needed | Not supported |
| AZHNT | Health Net of Arizona (AZHNT) | Not needed | Not supported |
| AZMCD | Arizona Medicaid (AHCCCS) (AZMCD) | Not needed | --- |
| BANKLC | BANKERS LIFE AND CASUALTY (BANKLC) | Not needed | Not supported |
| BBAMA | Blue Benefit Administrators of MA (BBAMA) | Not needed | --- |
| BCBSUW | Excellus BCBS Utica/Watertown (BCBSUW) | Not needed | --- |
| BCBSX | BCBS Excellus (BCBSX) | Not needed | --- |
| BCCC1 | Blue Cross Community Centennial (BCCC1) | Not needed | Not supported |
| BCIBC | INDEPENDENCE BLUE CROSS (BCIBC) | Not needed | Not supported |
| BHI00 | Behavioral Healthcare Inc. (BHI00) | Not needed | Not supported |
| BHPAL | Bright Health Alabama (BHPAL) | Not needed | --- |
| BHPAZ | Bright Health Arizona (BHPAZ) | Not needed | --- |
| BHPCO | Bright Health Colorado (BHPCO) | Not needed | --- |
| BKFID1 | Bankers Fidelity Life Insurance Company (BKFID1) | Not needed | --- |
| BKRFM | Bakersfield Family Medical Center (BKRFM) | Not needed | Not supported |
| BMATP | Benefit Management Admin (BMA) (BMATP) | Not needed | Not supported |
| BNMK1 | Benmark (BNMK1) | Not needed | Not supported |
| BOLL1 | Bollinger INC. (BOLL1) | Not needed | Not supported |
| BOONG | The Boon Group (BOONG) | Not needed | Not supported |
| BRIDG | Bridgespan (BRIDG) | Not needed | Not supported |
| BRTMN | BROTMAN (BRTMN) | Not needed | --- |
| BSCTEST | JMC Health (BSCTEST) | Not needed | Not supported |
| BSHS1 | BIENVIVIR (BSHS1) | Not needed | Not supported |
| BTSS1 | Brown & Toland Sutter (BTSS1) | Not needed | Not supported |
| BV001 | Block Vision Inc. (BV001) | Not needed | Not supported |
| BVES1 | Eye Specialists (Provider ID number required in Box33a or Box24J) (BVES1) | Not needed | Not supported |
| BVTX1 | Block Vision of Texas (BVTX1) | Not needed | Not supported |
| BVVP1 | VIPA (BVVP1) | Not needed | Not supported |
| CAFRS1 | Care 1st (CAFRS1) | Not needed | Not supported |
| CALOP | Cal-Optima Portal (CALOP) | Not needed | Not supported |
| CAMAA | Cameron and Associates (CAMAA) | Not needed | Not supported |
| CAPOR | Cal Optima (CAPOR) | Not needed | Not supported |
| CARD | HPMS (Send claims to payerID listed on patient's insurance card.) (CARD) | Not needed | Not supported |
| CAREW | Careworks (OH BWC) (CAREW) | Not needed | Not supported |
| CARMO | Caremore IPA (CARMO) | Not needed | Not supported |
| CASD1 | Chiropractic Association of South Dakota (CASD1) | Not needed | Not supported |
| CASD2 | South Dakota Chiropractic (Sanford Health Plan) (CASD2) | Not needed | Not supported |
| CB733 | Patient Services Inc. (CB733) | Not needed | Not supported |
| CB752 | Lockard & Williams (CB752) | Not needed | Not supported |
| CCAI | CCAI (CCAI) | Not needed | Not supported |
| CCHP1 | Cook Children's Health Plan (CCHP1) | Not needed | --- |
| CCHP9 | Cook Children's Star Plan (CCHP9) | Not needed | Not supported |
| CCHPL | Colorado Choice Health Plans (CCHPL) | Not needed | --- |
| CCIA1 | Pinnacol Assurance (CCIA1) | Not needed | Not supported |
| CCIHC | CorrectCare Integrated Health (CCIHC) | Not needed | Not supported |
| CCMC1 | CCMC - Comprehensive Care Management Corp (CCMC1) | Not needed | Not supported |
| CCPN1 | Coastal Communities Physician Network (CCPN) (CCPN1) | Not needed | Not supported |
| CCSTPA | CCSTPA (CCSTPA) | Not needed | Not supported |
| CDMN1 | Delta Dental of Minnesota (837D) (CDMN1) | Not needed | --- |
| CELTC | Celtic Insurance (CELTC) | Not needed | Not supported |
| CHAT1 | Chatwins Healthcare Administrators C (CHAT1) | Not needed | Not supported |
| CHCN1 | Community Health Center Network (CHCN1) | Not needed | Not supported |
| CHCNT | CNIC Health Solutions Inc. (CHCNT) | Not needed | Not supported |
| CHCPI | Central Health Medicare (CHCPI) | Not needed | Not supported |
| CHP02 | Columbine Health (CHP02) | Not needed | Not supported |
| CLA11 | Community Health Solutions (CLA11) | --- | Not supported |
| CLFR2 | CL Frates (CLFR2) | Not needed | Not supported |
| CLUHS | CARELINK UNIVERSITY HEALTH SYSTEM (CLUHS) | Not needed | Not supported |
| CMCHP | Childrens Medical Center (CMCHP) | Not needed | --- |
| CMGWV | Community Medical Group of the West Valley (CMGWV) | Not needed | Not supported |
| CMSEB | Covenant Management Systems Employee Benefit plan (CMSEB) | Not needed | Not supported |
| CNHLT1 | Central Health Plan (CNHLT1) | Not needed | Not supported |
| COA01 | The City of Amarillo (COA01) | Not needed | Not supported |
| COACC | Access Behavioral Care (COACC) | Not needed | Not supported |
| COIHS | Pacificsource OHP (COIHS) | Not needed | Not supported |
| COKSR | Kaiser Foundation Health Plan of Colorado (COKSR) | Not needed | --- |
| COMCD | Medicaid of Colorado (COMCD) | --- | --- |
| COMMF | Community First Health Plan Inc. (COMMF) | Not needed | --- |
| COMPU | Amalgamated Transit Union Division 1001 Health & Welfare Fund (COMPU) | Not needed | Not supported |
| COPHS | PacifiCare of Colorado (COPHS) | Not needed | Not supported |
| CORIZ | Corizon Health Inc.(Claims with address of Brentwood TN should be submitted to this Payer ID.) (CORIZ) | Not needed | Not supported |
| COVTY00251 | MAIL HANDLERS & FEHBP (COVTY00251) | Not needed | Not supported |
| COVTY00505 | CHC Altius Health Plan/CHC Nevada (COVTY00505) | Not needed | Not supported |
| CPHLP | Centers Plan for Healthy Living (CPHLP) | Not needed | --- |
| CPLIC | Colonial Penn Life Insurance Company (CPLIC) | Not needed | Not supported |
| CRGMN | Clinical Resource Group (CRGMN) | Not needed | Not supported |
| CRMRE1 | Caremore (CRMRE1) | Not needed | Not supported |
| CSI001 | CLINICAL SPECIALITIES INC (CSI001) | Not needed | Not supported |
| CSMED | Mcare of Colorado Springs (CSMED) | --- | Not supported |
| CX025 | Big Lots Associates Benefit Plans (CX025) | Not needed | Not supported |
| CX101 | Carpenters Health and Welfare Fund of Philadelphia (CX101) | Not needed | Not supported |
| DAK01 | DakotaCare (DAK01) | Not needed | Not supported |
| DCA62 | Direct Care Administrators (DCA62) | Not needed | Not supported |
| DCMCD | Medicaid of Washington DC (DCMCD) | --- | --- |
| DDENT1 | Delta Dental (DDENT1) | Not needed | Not supported |
| DEAN1 | Dean Health Plan (DEAN1) | --- | --- |
| DEMCD | Medicaid of Delaware (DEMCD) | --- | --- |
| DESRT | Desert Medical Group (DESRT) | Not needed | Not supported |
| DHS01 | Delta Health Systems (DHS01) | Not needed | Not supported |
| DMERA | DMERC Region A (DMERA) | --- | --- |
| DMERB | DMERC Region B (DMERB) | --- | --- |
| DMERC | DMERC Region C (DMERC) | --- | --- |
| DMERD | DMERC Region D (DMERD) | --- | --- |
| DMG01 | Illinois Health Plan (IHP) (DMG01) | Not needed | Not supported |
| DNLY1 | Donley & Company (DNLY1) | Not needed | Not supported |
| DREYR | Dreyer Medical (DREYR) | Not needed | Not supported |
| DVMC1 | Desert Valley Medical Group (DVMC1) | Not needed | Not supported |
| E3287 | Optum Care Network of Connecticut (E3287) | Not needed | Not supported |
| EBMS1 | Employee Benefit Management Services (EBMS1) | Not needed | Not supported |
| EBSRM | Lifetime Benefits Solutions (EBSRM) | Not needed | --- |
| EBSSA | Employee Benefit Svcs (EBS) of San Antonio (EBSSA) | Not needed | Not supported |
| ECISF | Ellis Consultants INC. (ECISF) | Not needed | Not supported |
| ELIG_SNDBX | Eligible Sandbox (ELIG_SNDBX) | --- | --- |
| EM039 | Med3000 Pedicare Title 19 (EM039) | Not needed | Not supported |
| EM205 | Med3000 CMS Title 21 (EM205) | Not needed | Not supported |
| EM216 | Med3000 HealthSpring (EM216) | Not needed | Not supported |
| EM284 | Med3000 CMS Safety Net (EM284) | Not needed | Not supported |
| EM350 | Med3000 CMS Early Steps (EM350) | Not needed | Not supported |
| EM521 | Med3000 Coventry Health Kids (EM521) | Not needed | Not supported |
| EM522 | Med3000 Pedicare Title 21 (EM522) | Not needed | Not supported |
| EM843 | Med3000 CMS Title 19 Reform (EM843) | Not needed | Not supported |
| EMBLM | Emblem Health (EMBLM) | Not needed | Not supported |
| EMP01 | Empire Physician's Medical Group (EMP01) | Not needed | Not supported |
| ENVVI | Envolve Vision (ENVVI) | Not needed | --- |
| EPF02 | Medicaid - TX Premier Plan (Contact Provider Relations @ (915)532-2778 x1068) (EPF02) | Not needed | Not supported |
| EPF03 | El Paso First - CHIP (EPF03) | Not needed | Not supported |
| EPF06 | OUTSOURCING PROGRAM (EPF06) | Not needed | Not supported |
| EPF10 | Preferred Administrator (Contact Provider Relations @ (915)532-2778 x1068) (EPF10) | Not needed | Not supported |
| EPF11 | PREFERRED ADMIN CHILDRENS HOSP (EPF11) | Not needed | Not supported |
| EPF37 | HEALTHCARE OPTIONS (EPF37) | Not needed | Not supported |
| EPIC | EPIC Health Insurance (EPIC) | --- | Not supported |
| EPNSH | EPN - Seton Health Plan Exclusive (Provider ID required) (EPNSH) | Not needed | Not supported |
| EVRGR | Evergreen Health Plan (EVRGR) | Not needed | Not supported |
| EXCAR | EXCLUSIVE CARE (EXCAR) | Not needed | Not supported |
| F2370600 | DIRECTORS GUILD HEALTH FUND (F2370600) | Not needed | Not supported |
| F2512100 | Coventry Health Care Carelink (F2512100) | Not needed | Not supported |
| F2512300 | Coventry Health Care Group Health Plan (GHP) (F2512300) | Not needed | Not supported |
| F2512400 | Coventry Health Care of Kansas (Kansas City & Wichita) (F2512400) | Not needed | Not supported |
| F2512500 | Coventry Health Care Texas (includes Coventry Advantra Freedom) (F2512500) | Not needed | Not supported |
| F2512600 | COVENTRY HEALTHAMERICA & HEALTHASSURANCE (F2512600) | Not needed | Not supported |
| F2512700 | COVENTRY HEALTH CARE OF GEORGIA (F2512700) | Not needed | Not supported |
| F2512800 | COVENTRY SOUTHERN HEALTH SERVICES (SHS) (F2512800) | Not needed | Not supported |
| F2513000 | COVENTRY HEALTH CARE OF DELAWARE (F2513000) | Not needed | Not supported |
| F2513100 | COVENTRY DIAMOND PLAN (MD MEDICAID) (F2513100) | Not needed | Not supported |
| F2513200 | COVENTRY HEALTH CARE OF IOWA (F2513200) | Not needed | Not supported |
| F2513500 | COVENTRY HEALTH CARE OF LOUISIANA (F2513500) | Not needed | Not supported |
| F2513600 | COVENTRY HEALTH CARE OF NEBRASKA (F2513600) | Not needed | Not supported |
| F2513700 | Coventry Health of Illinois/ Personal Care (F2513700) | Not needed | Not supported |
| F2514200 | COVENTRY CARENET MEDICAID (F2514200) | Not needed | Not supported |
| F2514300 | COVENTRY HEALTHCARE USA (HCUSA) (F2514300) | Not needed | Not supported |
| F2515000 | OmniCare Health Plan (F2515000) | Not needed | Not supported |
| FAMR1 | First Administrators Inc. (Provider ID and Group ID required on all claims. Non-participating providers should put in '0000' as their provider ID) (FAMR1) | Not needed | Not supported |
| FCD01 | Family Care Medicaid (Admin by PH Tech Use for claims with DOS of 07/31/2012 and prior.) (FCD01) | Not needed | Not supported |
| FCM01 | Family Care Medicaid Mental Health (FCM01) | Not needed | Not supported |
| FCR01 | Family Care Medicare (Use for claims with DOS of 12/31/2012 and prior.) (FCR01) | Not needed | Not supported |
| FDMNW | Freedom Network (FDMNW) | Not needed | Not supported |
| FDMNWS | Freedom Network Select (FDMNWS) | Not needed | Not supported |
| FH001 | Foundation Health of CA (FH001) | Not needed | Not supported |
| FHFLE | Foundation Health of Florida-Encounters (FHFLE) | Not needed | Not supported |
| FLENC | Health Options of Florida (Blue Shield HMO) ENCOUNTERS ONLY!! (FLENC) | Not needed | Not supported |
| FLHLT | Health Options of Florida (Blue Shield HMO) (FLHLT) | Not needed | Not supported |
| FLLTH | Fallon Total Care (FLLTH) | Not needed | --- |
| FQHC1 | Federally Qualified Healthcare Clinic (FQHC1) | Not needed | --- |
| FRFL | Freedom Insurance (FRFL) | Not needed | Not supported |
| FS802 | First Solution (FS802) | --- | --- |
| FSTAG | First Agency (FSTAG) | Not needed | Not supported |
| FVMC1 | Fox Valley Medicine Site 451 (FVMC1) | Not needed | Not supported |
| FVMCH | Fox Valley Medicine Site 199 (FVMCH) | Not needed | Not supported |
| GAMCD | Medicaid of GA (GAMCD) | --- | --- |
| GASA1 | Group Administrators Self-Funded Alternative (GASA1) | Not needed | Not supported |
| GCMG1 | Greater Covina Medical Group (GCMG1) | Not needed | Not supported |
| GCVCP | CARDIOVASCULAR CARE PROVIDERS (GCVCP) | Not needed | Not supported |
| GDCHP1 | Gold Coast Health Plan (GDCHP1) | Not needed | Not supported |
| GEHA9 | GEHA Group Health Nevada Medicaid (GEHA9) | Not needed | Not supported |
| GEM01 | Global Excel Management (GEM01) | Not needed | --- |
| GHOKC | Global Health (GHOKC) | --- | Not supported |
| GLDST1 | Golden State (GLDST1) | Not needed | Not supported |
| GP133 | Optum Health Dental Government Programs (GP133) | Not needed | Not supported |
| GRPCR | Alliance Group Care IHSS (GRPCR) | Not needed | Not supported |
| GTLIC | Guarantee Trust Life Insurance Company (GTLIC) | Not needed | --- |
| GTPA1 | Golden Triangle Physician Alliance (GTPA1) | Not needed | Not supported |
| GUILD | GuildNet Inc (GUILD) | Not needed | --- |
| HBI01 | Human Behavioral Institute (HBI01) | Not needed | Not supported |
| HC001 | Univera Healthcare - CNY (HC001) | Not needed | Not supported |
| HCDPBC | HEALTH CARE DISTRICT PALM BEACH CTY (HCDPBC) | Not needed | Not supported |
| HCP01 | Healthcare Partners (HCP01) | Not needed | Not supported |
| HCP02 | Health Care Partners - AZ (For Dates of Service of 5-01-13 and later.) (HCP02) | Not needed | Not supported |
| HCPRO | HealthComp Pro (HCPRO) | Not needed | Not supported |
| HDMCO | HDM Benefit Solutions (HDMCO) | Not needed | Not supported |
| HDMDG | High Desert Medical Group (Lancaster California) (HDMDG) | Not needed | Not supported |
| HER01 | Heritage IPA (HER01) | Not needed | Not supported |
| HESUN | HealthSun (HESUN) | Not needed | Not supported |
| HIL01 | Hill Physicians Medical Group (HIL01) | Not needed | Not supported |
| HIMCD | Medicaid of Hawaii (HIMCD) | --- | Not supported |
| HM001 | Health Net (California Encounters Only.) (HM001) | Not needed | Not supported |
| HM015 | PruCare HMO (Encounters Only) (HM015) | Not needed | Not supported |
| HM037 | Care Choices HMO (HM037) | Not needed | Not supported |
| HM057 | Sutter Medical Group of the Redwoods (SMGR) (Please contact Sutter to get setup to send Encounters 800-611-5191) (HM057) | Not needed | Not supported |
| HM059 | Sutter Connect - SIP SMG SWMG - Encounters only (HM059) | Not needed | Not supported |
| HMLIC | Horace Mann Life Insurance (HMLIC) | Not needed | Not supported |
| HMOTX | TX (HMO-BLUE) ENCOUNTERS (HMOTX) | Not needed | Not supported |
| HPIPA | Hispanic Physicians IPA (HPIPA) | Not needed | Not supported |
| HPKNS | Health Partners of Kansas (HPKNS) | Not needed | Not supported |
| HPN11 | Central Senior Care (HPN11) | Not needed | Not supported |
| HPSM1 | Health Plan of San Mateo (HPSM1) | Not needed | Not supported |
| HSM01 | Health Services Management Inc. (NOTE: ANSI submitters can also submit to plans AHP CMS ONP PCI PHP and VHP with proper value in SBR04.) (HSM01) | Not needed | Not supported |
| HSPAN | HealthSpan Network Repricing (HSPAN) | Not needed | Not supported |
| HT001 | HealthSpring HMO (No PPO claims accepted via this payerID.) (HT001) | Not needed | Not supported |
| HUMANA | Humana (HUMANA) | Not needed | Not supported |
| IABLM | Blue Shield of Iowa (For Secondary claims only where Medicare is primary) (IABLM) | Not needed | Not supported |
| IAC01 | Insurer's Administration Corporation (IAC01) | Not needed | Not supported |
| ICS01 | InovaCares for Seniors (ICS01) | Not needed | --- |
| IDBL | Regence Blue Shield of Idaho (IDBL) | Not needed | Not supported |
| IDMCD | Medicaid of Idaho (IDMCD) | Not needed | --- |
| IDMCR | Medicare Part B of Idaho (IDMCR) | --- | --- |
| IEHP1 | Inland Empire Health Plan (IEHP1) | Not needed | Not supported |
| ILMCD | Medicaid of Illinois (ILMCD) | Not needed | --- |
| IMGIN | International Medical Group INC (IMGIN) | Not needed | Not supported |
| IMSMS | Insurance Management Services of Texas (IMSMS) | Not needed | Not supported |
| INCHN | Intercommunity Health Net (INCHN) | Not needed | Not supported |
| INCS1 | Caresource IN (INCS1) | Not needed | Not supported |
| INET1 | Integranet I Par Plus (INET1) | Not needed | Not supported |
| INMCR | Medicare Part B of Indiana (INMCR) | --- | --- |
| INVHP | Inter Valley Health Plan (INVHP) | Not needed | Not supported |
| IP057 | Pomona Valley Medical Group (PVMG) ProMed (IP057) | Not needed | Not supported |
| IP059 | St. Joseph HUMBOLT County (IP059) | Not needed | Not supported |
| IP061 | Blue Lake Rancheria (IP061) | Not needed | Not supported |
| IP062 | St Joseph Health (IP062) | Not needed | Not supported |
| IP079 | North American Medical Management (Provider number must be in box 33a) (IP079) | Not needed | Not supported |
| IP080 | AKM Medical Group (IP080) | Not needed | Not supported |
| IP082 | Key Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.) (IP082) | Not needed | Not supported |
| IP083 | Mosaic IPA Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.) (IP083) | Not needed | Not supported |
| IP086 | Good Samaritan Medical Practice Association (GSMPA) (IP086) | Not needed | Not supported |
| IP091 | Sutter Connect - Sutter Gould Medical Foundation - Claims (IP091) | Not needed | Not supported |
| IP092 | Sutter Connect Sutter Medical Group (SMG SWMG SIP) (Please contact Sutter to get set up to send claims 800-611-5191) Per Provider Testing Required (IP092) | Not needed | --- |
| IP097 | Marin IPA (IP097) | Not needed | Not supported |
| IP099 | Sutter Connect - Solano Regional Medical Group - Claims (IP099) | Not needed | Not supported |
| IP100 | Sutter Connect - Delta - Claims (IP100) | Not needed | Not supported |
| IP105 | Genesis Health Care (IP105) | Not needed | Not supported |
| IP106 | St. Joseph Heritage Healthcare (IP106) | Not needed | Not supported |
| IP130 | East Bay Medical Network (IP130) | Not needed | Not supported |
| IPAK1 | IPA OF KANE COUNTY (IPAK1) | Not needed | Not supported |
| ISL11 | Insurance Service of Lubbock (ISL11) | Not needed | Not supported |
| IUHPL | Indiana University (IUHPL) | Not needed | Not supported |
| J5NPA | J5 National Part A (J5NPA) | Not needed | Not supported |
| JAI01 | JAI MEDICAL (JAI01) | Not needed | --- |
| JAIMD1 | Maryland Medical Programs (JAIMD1) | Not needed | Not supported |
| JHHP | Priority Partners (JHHP) | Not needed | Not supported |
| JISSP | JI Sepcialty Services Inc. I Par Plus (JISSP) | Not needed | Not supported |
| JMH01 | John Muir Health Network (JMH01) | Not needed | Not supported |
| JOEHD | St. Joe High Desert (JOEHD) | Not needed | Not supported |
| KAMG1 | Korean American Medical Group (KAMG1) | Not needed | Not supported |
| KCIPA | KANE COUNTY IPA (KCIPA) | Not needed | Not supported |
| KEE01 | Keenan & Associates (KEE01) | Not needed | Not supported |
| KELSE | Kelsey Seybold (KELSE) | Not needed | Not supported |
| KELSI | Kelsey Seybold - Institutional Claims I Par Plus (KELSI) | Not needed | Not supported |
| KENT1 | Kent County Health Plan (KENT1) | Not needed | Not supported |
| KERN1 | Kern Health (KERN1) | Not needed | Not supported |
| KLSY1 | SelectCare of TX (Kelsey-Seybold) (Provider ID Required - Contact (713) 843-6780 to obtain ID.) (KLSY1) | Not needed | Not supported |
| KPS01 | KPS Health Plans (KPS01) | Not needed | Not supported |
| KSMCD | Medicaid of Kansas (KSMCD) | Not needed | --- |
| KYCS1 | CareSource KY (KYCS1) | Not needed | Not supported |
| L0140 | Occular Benefits (L0140) | Not needed | Not supported |
| L0230 | Trusted Health Plan (L0230) | Not needed | Not supported |
| LACAR | LA Care Health Plan (LACAR) | Not needed | Not supported |
| LADOC | LOUISIANA DEPARTMENT OF CORRECTIONS (LADOC) | Not needed | Not supported |
| LAMCD | Medicaid of Lousiana (Includes KidMed claims.) (LAMCD) | --- | --- |
| LAREH | Medicaid of Lousiana Rehab (for Rehabilitation claims) (LAREH) | --- | --- |
| LIICA | Life Investors Ins Co of America (Specialized claims only. Call 866-745-3545 with claim routing questions.) (LIICA) | Not needed | Not supported |
| LIPA1 | Lipa/Agate Resources (LIPA1) | --- | Not supported |
| LMG11 | Lakeside Medical Group Inc. (LMG11) | Not needed | Not supported |
| LNDMK | Chiropractic Care of Minnesota Inc. (For Dates of service before 1-01-08 continue to use payerID of ACN01.) (LNDMK) | Not needed | --- |
| LWMCM | Leisure World Managed Care Medical (LWMCM) | Not needed | --- |
| M3CA0001 | MED3000 CALIFORNIA (M3CA0001) | Not needed | Not supported |
| M3CA1 | AFFILIATED PHYSICIANS GROUP LLC (M3CA1) | Not needed | --- |
| M3FL3 | Healthy Kids I Par Plus (M3FL3) | Not needed | Not supported |
| M3FL4 | Wellcare Choice I Par Plus (M3FL4) | Not needed | Not supported |
| M3FL5 | HFN Healthease I Par Plus (M3FL5) | Not needed | Not supported |
| M3FL7 | Partner Care (M3FL7) | Not needed | Not supported |
| M3FL8 | Pedicare Title 21 I Par Plus (M3FL8) | Not needed | Not supported |
| M3IL0002 | MED3000 SOUTHWEST IPA BCBS (M3IL0002) | Not needed | Not supported |
| M3IL1 | Health Select IPA (Enrollment required. Contact 866-703-1444.) (M3IL1) | Not needed | --- |
| MAGNA | Magna Care (MAGNA) | Not needed | Not supported |
| MAHP1 | Medical Associates Health Plan (MAHP1) | Not needed | Not supported |
| MAMCD | Mass Health (MA Medicaid) (MAMCD) | --- | --- |
| MAXOR | MaxorPlus, Ltd. (MAXOR) | Not needed | --- |
| MBA01 | Medical Benefits Administrations (MBA01) | Not needed | Not supported |
| MBIPA | Monterey Bay IPA (MBIPA) | Not needed | --- |
| MC104 | First Services Medicaid (MC104) | Not needed | Not supported |
| MCA11 | Memorial Clinical Associates (MCA11) | Not needed | Not supported |
| MCDIL | Blue Cross Community Solutions (MCDIL) | Not needed | Not supported |
| MCS01 | GEMCare (Golden Empire Managed Care System) (MCS01) | Not needed | --- |
| MCS02 | Managed Care Systems (Delango Regional Medical) (MCS02) | Not needed | --- |
| MDAHLT | MODA (MDAHLT) | Not needed | Not supported |
| MDAPN | MD ANDERSON PHYSICIAN NETWORK (MDAPN) | Not needed | Not supported |
| MDC01 | MD CARE HEALTH PLAN (MDC01) | Not needed | Not supported |
| MDCA2 | MEDICA 2 (MDCA2) | Not needed | Not supported |
| MDMCD | Medicaid of Maryland (MDMCD) | --- | --- |
| MDXHI | MDX Hawaii (MDXHI) | Not needed | Not supported |
| MEMCD | Medicaid of Maine (MEMCD) | --- | Not supported |
| MHCA1 | Managed Health Care Administration EPS (MHCA1) | Not needed | Not supported |
| MHCA2 | Managed Healthcare Administration Inc- Blue Choice (MHCA2) | --- | Not supported |
| MHHNP | Memorial Hermann Health Network (MHHNP) | Not needed | --- |
| MHIPA | Acclaim IPA (MHIPA) | Not needed | Not supported |
| MHM01 | Independence Medical Group (MHM01) | Not needed | Not supported |
| MHP77 | Midwest Health Plans INC. (MHP77) | Not needed | Not supported |
| MM001 | M-CARE (Payer no longer accepting electronic claims. Claim will be printed and mailed to payer.) (MM001) | Not needed | Not supported |
| MMFMC | MemorialCare Medical Foundation (MMFMC) | Not needed | Not supported |
| MMLIC | Monumental Life Ins Co. (MMLIC) | Not needed | Not supported |
| MMPHB | Masters Mates and Pilots Plan (MMPHB) | Not needed | Not supported |
| MNAUL | Aultcare (MNAUL) | --- | Not supported |
| MNDH1 | Sage (MNDH1) | Not needed | Not supported |
| MNM99 | Mennonite Mutual (MNM99) | Not needed | Not supported |
| MOMCD | Medicaid of Missouri (MOMCD) | Not needed | --- |
| MP001 | MedPay Assurance (Must be a Medpay Assurance Provider to submit. Call 888-9-MEDPAY.) (MP001) | Not needed | Not supported |
| MP340 | Three Rivers Preferred (MP340) | Not needed | Not supported |
| MPCHA | Atrio Health Plan (Formerly known as Marion Polk Health Plan Advantage) (MPCHA) | Not needed | --- |
| MPCHP | Willamette Valley Community Health CCO (Formerly known as Marion Polk Health Plan) (MPCHP) | --- | Not supported |
| MPHC2 | Martin's Point Health Care USFHP/Generations Advantage (MPHC2) | Not needed | Not supported |
| MPI01 | Motion Picture Industry Health Plan (These claims now processed by Anthem BC of CA) (MPI01) | Not needed | Not supported |
| MPM04 | El Proyecto Del Barrio IPA (MPM04) | Not needed | Not supported |
| MPM05 | Global Care Med Grp IPA (MPM05) | Not needed | Not supported |
| MPM06 | Healthcare LA IPA (MPM06) | Not needed | Not supported |
| MPM07 | Mission Community IPA Med Grp (MPM07) | Not needed | Not supported |
| MPM08 | Riverside Family Health Med Grp IPA (MPM08) | Not needed | Not supported |
| MPM09 | Watts Healthcare Corp IPA (MPM09) | Not needed | Not supported |
| MPM10 | Bella Vista Med Grp IPA (MPM10) | Not needed | --- |
| MPM15 | United Physicians International IPA (MPM15) | Not needed | Not supported |
| MPM18 | Medi-Cal by MedPoint (MPM18) | Not needed | Not supported |
| MPMG1 | Mills Penisula Medical Group (MPMG1) | Not needed | Not supported |
| MRCHP | Caresource Health Plan of Oregon (MRCHP) | Not needed | Not supported |
| MRIPA | MD Rogue Oregon Health Plan (MRIPA) | Not needed | Not supported |
| MSMCD | Medicaid of Mississippi (MSMCD) | --- | --- |
| MSO11 | San Diego County Medical Services (CMS) (MSO11) | Not needed | Not supported |
| MSO22 | San Diego County Physician Emergency Services (MSO22) | Not needed | Not supported |
| MSO33 | San Diego County Ryan White Primary Care Program (MSO33) | Not needed | Not supported |
| MSO44 | San Diego County Primary Care Services (MSO44) | Not needed | Not supported |
| MTNST | Mountain States Administrators (COLORADO ONLY) (MTNST) | Not needed | Not supported |
| MUTOM | Mutual of Omaha (MUTOM) | Not needed | --- |
| MWMCR | Medicare Part B of Western Missouri (MWMCR) | --- | Not supported |
| MWP01 | JPS Preferred Care (MWP01) | Not needed | Not supported |
| MWSHN | MDWise Select Health Network (MWSHN) | Not needed | Not supported |
| N6BLS | Blue Choice of Rochester NY (N6BLS) | Not needed | --- |
| NACDM | CENTRAL DUPAGE MEDICAL GROUP (NACDM) | Not needed | Not supported |
| NAELM | Elmcare (NAELM) | Not needed | Not supported |
| NAHLX | Holy Cross Health Partners (NAHLX) | Not needed | Not supported |
| NAHOI | Health Options of Illinois (NAHOI) | Not needed | Not supported |
| NAING | Ingalls Provider Group (NAING) | Not needed | Not supported |
| NANPR | NAMM Partners (NANPR) | Not needed | --- |
| NANWC | Northwest Community Health Partners (PID only for DOS prior to 1/1/2013. DOS 1/1/2013 and after send to 35199) (NANWC) | Not needed | Not supported |
| NAOAK | Oak West Primary Physician Association (NAOAK) | Not needed | Not supported |
| NAPCP | PRIMARY CARE PARTNERS (NAPCP) | Not needed | Not supported |
| NASCO | National Accounts (NASCO) (NASCO) | Not needed | --- |
| NASCR | Silver Cross Managed Care Organization (NASCR) | Not needed | Not supported |
| NASTA | SAINT ANTHONY PPO (NASTA) | Not needed | --- |
| NCH04 | CarePlus Cardiology - New Century Health (NCH04) | Not needed | Not supported |
| NCH08 | Vista Oncology New Century Infusion Solutions (NCH08) | Not needed | Not supported |
| NCH09 | New Century Health - Vista Cardiology (NCH09) | Not needed | Not supported |
| NCHON | AZ Integrated Physicians (NCHON) | Not needed | Not supported |
| NCHOR | New Century Health Arizona Integrated Physicians (NCHOR) | Not needed | Not supported |
| NCMCD | Medicaid of North Carolina (NCMCD) | --- | --- |
| NDMCD | Medicaid of North Dakota (NDMCD) | --- | Not supported |
| NDMCR | Medicare Part B of North Dakota (NDMCR) | --- | --- |
| NDX99 | New Directions (NDX99) | Not needed | Not supported |
| NEMCD | Medicaid of Nebraska (NEMCD) | --- | --- |
| NG008 | Kaiser Foundation Health Plan of the Mid-Atlantic (NG008) | Not needed | --- |
| NG010 | Kaiser Foundation Health Plan of Georgia (NG010) | Not needed | --- |
| NHAIN | National Health Administrators Inc. (NHAIN) | Not needed | Not supported |
| NHC04 | CAREPLUS (NHC04) | Not needed | --- |
| NIA11 | National Imaging Associates (NIA11) | Not needed | Not supported |
| NJMCD | Medicaid of New Jersey (NJMCD) | --- | --- |
| NMG01 | Northridge Medical Group (NMG01) | Not needed | Not supported |
| NMM02 | LaSalle Medical Associates (NMM02) | Not needed | Not supported |
| NMMCD | Medicaid of New Mexico (NMMCD) | --- | --- |
| NMMCR | Medicare Part B of New Mexico (NMMCR) | --- | --- |
| NPN11 | Northwest Physicians Network (NPN11) | Not needed | Not supported |
| NTA11 | National Teachers Association (NTA) (NTA11) | Not needed | Not supported |
| NTWKS | SIHO (NTWKS) | Not needed | Not supported |
| NVBLS | Anthem of Nevada (NVBLS) | Not needed | --- |
| NWADM | Central California Electricial Workers Health and Welfare Trust (NWADM) | Not needed | Not supported |
| NWDC1 | Northwest Diagnostic Clinic I Par Plus (NWDC1) | Not needed | Not supported |
| NYL11 | New York Life - Long Term Care (NYL11) | Not needed | Not supported |
| NYMCD | Medicaid of New York (NYMCD) | --- | --- |
| OCFMC | Orange County Foundation for Medical Care (OCFMC) | Not needed | Not supported |
| OEHWF | Operating Engineers Health & Welfare Fund (OEHWF) | Not needed | Not supported |
| OHMCD | Medicaid of Ohio (OHMCD) | Not needed | --- |
| OHMSP | Oregon Health Mgmt OHMS aka Primary Health of Josephine (OHMSP) | Not needed | Not supported |
| OKMCR | Medicare Part B of Oklahoma (OKMCR) | --- | --- |
| OLRMC | OLOLRMC Uninsured Patient Services Program (OLRMC) | Not needed | Not supported |
| ORMCD | Medicaid of Oregon (ORMCD) | --- | --- |
| OSCAR | oscar (OSCAR) | Not needed | Not supported |
| PA513 | Physician Associates of Greater San Gabriel Valley (PA513) | --- | Not supported |
| PAMCD | Medicaid of Pennsylvania (PAMCD) | Not needed | --- |
| PCLMP | Pro-Claim Plus, Inc. (PCLMP) | Not needed | --- |
| PCN12 | Physicians Care Network/The Polyclinic (PCN12) | Not needed | Not supported |
| PCU01 | Point Comfort Underwriters (PCU01) | Not needed | Not supported |
| PEBLS | Pennsylvania Keystone Health Plan East (encounters only) (PEBLS) | --- | --- |
| PEBSI | Producer's Exchange (PEBSI) | Not needed | Not supported |
| PEPL1 | People 1st Health Strategies, Inc. (PEPL1) | Not needed | --- |
| PFIPA | Preferred IPA (PFIPA) | Not needed | Not supported |
| PH018 | North West Life (PH018) | Not needed | Not supported |
| PHCS1 | Physicians Health Choice - Claims (Administered by Wellmed) (PHCS1) | Not needed | Not supported |
| PHD01 | Family Care CCO (Admin by PH Tech. Use for claims with DOS of 08/01/2012 and later.) (PHD01) | Not needed | Not supported |
| PHHMO | PROGRESS HEALTH HMO (PHHMO) | Not needed | Not supported |
| PHIF4 | Phifer Wire Insurance (Per request from Payer claims are printed and mailed.) (PHIF4) | Not needed | Not supported |
| PHIPA | Physicians Healthways IPA (PHIPA) | Not needed | Not supported |
| PHP00 | Providence Preferred (PPO) (ProviderID and Enrollment required.) (PHP00) | Not needed | Not supported |
| PHP02 | Partnership Health Plan (PHP02) | --- | Not supported |
| PHP03 | Providence Health Plan (PHP03) | Not needed | Not supported |
| PHPMC | Correction Health Partners (PHPMC) | Not needed | Not supported |
| PHPMD | Physician Health Partners Medicare (PHPMD) | Not needed | Not supported |
| PHPPPO | Preferred Health Professionals PPO (PHPPPO) | Not needed | Not supported |
| PHR01 | Family Care Medicare (Admin by PH Tech. Use for claims with DOS of 01/01/2013 and later.) (PHR01) | Not needed | Not supported |
| PHYCR | Phycor (Ft Collins office only) (PHYCR) | --- | Not supported |
| PIH01 | PIH Health (PIH01) | Not needed | --- |
| PMA86 | Pima Health System (PMA86) | --- | Not supported |
| PMGSJ | PMG of San Jose (PMGSJ) | --- | Not supported |
| POD1S | PODIATRY FIRST (POD1S) | Not needed | Not supported |
| POD1ST | PODIATRY FIRST INC (POD1ST) | Not needed | Not supported |
| PPM01 | Desert Family Practice Association (PPM01) | Not needed | Not supported |
| PPNZZ | Pioneer Provider Network (PPNZZ) | --- | --- |
| PREHP | Presbyterian Health Plan (Commercial) (Provider ID is required. Contact (888) 923-5757 #6 then #2 to obtain ID. New Mexico Providers only.) (PREHP) | Not needed | Not supported |
| PRESA | Presbyterian Salud (Please add provider number in 2010AA REF02 or 2310B REF02 Number is 11 digits or less. Contact 888-923-5757 #6 #2 to obtain ID.) (PRESA) | Not needed | Not supported |
| PRI01 | PRINCETON PREMIER IPA (PRI01) | Not needed | Not supported |
| PRIME | Primary Health Plan (PRIME) | Not needed | Not supported |
| Cimarron Salud (Receiver type 'D' - Claims are printed and mailed to the Payer.) (PRINT) | Not needed | Not supported | |
| PROSP | Prospect Medical Group (PROSP) | Not needed | Not supported |
| QCTPA | QuantumCare (We Care Health Plan) (QCTPA) | Not needed | Not supported |
| RCMG1 | RIVER CITY MEDICAL GROUP (RCMG1) | Not needed | Not supported |
| REGAL | Regal Medical Group (REGAL) | Not needed | Not supported |
| REHNA | Rehn and Associates (REHNA) | Not needed | Not supported |
| RENRB | RENASSAINCE RIVEROAKS BLUE (RENRB) | Not needed | Not supported |
| RENRO | RENASSAINCE-RIVER OAKS (RENRO) | Not needed | Not supported |
| RGA01 | Regence Group Administrators (RGA01) | Not needed | Not supported |
| RH007 | HealthSpan Integrated Care (RH007) | Not needed | Not supported |
| RHPHS | Relay Health Prospective Health Services (RHPHS) | Not needed | --- |
| RICHP | Blue Chip of Rhode Island (RICHP) | --- | --- |
| RIMCD | Medicaid of Rhode Island (RIMCD) | --- | --- |
| RIMCR | Medicare Part B of Rhode Island (RIMCR) | --- | --- |
| RLH01 | LIFEMAP (RLH01) | Not needed | Not supported |
| RMWIN | WINHealth Partners Medicare Plan administered by Rocky Mountain HMO (RMWIN) | --- | Not supported |
| RPAWC | RAVENWOODS PHYSICIAN ASSOCIATES (RPAWC) | Not needed | Not supported |
| RPPG1 | Resurrection Physician Provider Group (RPPG1) | Not needed | Not supported |
| RRWMC | Medicare Railroad (MetraHealth Medicare) (RRWMC) | --- | --- |
| RVC01 | Revclaims (Provides TPL benefits services for Providers. Providers must be contracted with RevClaims to submit claims. For mor info call 601-345-8500.) (RVC01) | Not needed | Not supported |
| SAM00 | Samaritan Employer Group Plan (SAM00) | Not needed | Not supported |
| SAMAD | Samaritan Advantage (SAMAD) | Not needed | Not supported |
| SAMBA | SAMBA Health Benefit Plan (SAMBA) | Not needed | Not supported |
| SAMCP | Samaritan Choice Plan (SAMCP) | Not needed | Not supported |
| SAMHK | Samaritan Health Kids Connect (SAMHK) | --- | Not supported |
| SAMSE | Samaritan Select (SAMSE) | --- | Not supported |
| SB613 | Community Health Plan of Washington (SB613) | Not needed | Not supported |
| SB731 | MS BCBS State Employees (SB731) | Not needed | Not supported |
| SBSMG | Santa Barbara Select IPA Medical Group, Inc. (SBSMG) | Not needed | --- |
| SC315 | Thomas Cooper (Provider must be enrolled with SC Blue Shield.) (SC315) | Not needed | Not supported |
| SC359 | Sherman Choice (SC359) | Not needed | Not supported |
| SC400 | SC BCBS State Employee Health Plan (SC400) | Not needed | --- |
| SC402 | SC FEP Blue Cross (SC402) | Not needed | --- |
| SC886 | SC BCBS Planned Administrators (SC886) | Not needed | --- |
| SCAN | Scan Health (SCAN) | Not needed | Not supported |
| SCAN1 | Scan CA (SCAN1) | Not needed | Not supported |
| SCH01 | Schaller Anderson CHOC Health Alliance (SCH01) | Not needed | Not supported |
| SCMCR | Medicare Part B of South Carolina (SCMCR) | --- | --- |
| SCMG1 | Sharp Community Medical Group (SCMG1) | --- | Not supported |
| SCOK1 | SelectCare of OK - Tribute (SCOK1) | Not needed | Not supported |
| SCP01 | Southern Cal Physicians Managed Care Services (SCP01) | Not needed | Not supported |
| SDMCD | Medicaid of South Dakota (SDMCD) | --- | --- |
| SDMCR | Medicare Part B of South Dakota (SDMCR) | --- | --- |
| SFHP | San Francisco Health Plan (SFHP) | Not needed | Not supported |
| SHC30 | Sandhills Center (SHC30) | --- | Not supported |
| SHEBP | Seton Employee Plan (SHEBP) | Not needed | Not supported |
| SHMAP | Seton Map Program - Mediview (Provider ID required) (SHMAP) | Not needed | Not supported |
| SHPCH | Seton CHIP (Provider ID required.) (SHPCH) | Not needed | Not supported |
| SINAI | SINAI MEDICAL GROUP (SINAI) | Not needed | Not supported |
| SIPA1 | SOUTHLAND IPA (SIPA1) | Not needed | Not supported |
| SISCO | SISCO (SISCO) | Not needed | --- |
| SMITH | Smith Administrators (SMITH) | Not needed | Not supported |
| SPOHN | Christus Spohn Health Network (SPOHN) | Not needed | Not supported |
| STAR1 | Seton Star (STAR1) | Not needed | Not supported |
| STJOE | Mission Hospital Affiliates (STJOE) | Not needed | Not supported |
| STM01 | ST THOMAS MEDICAL NTWK (GULFQUEST) (STM01) | Not needed | Not supported |
| SUMCHP | Summa Care (SUMCHP) | Not needed | Not supported |
| SVIPA | Seaview IPA (SVIPA) | Not needed | --- |
| SX087 | Univera Health Care Plan/ChoiceCare Buffalo (SX087) | --- | Not supported |
| SX089 | Preferred Care NY (SX089) | --- | Not supported |
| SX091 | Univera Healthcare (SSA) (SX091) | --- | Not supported |
| SX109 | Molina Healthcare Utah (SX109) | Not needed | --- |
| SX142 | South Indiana Health Options - HMO (SX142) | Not needed | Not supported |
| SX158 | Paramount Health (SX158) | Not needed | Not supported |
| SX159 | Lovelace Medicaid (As of 8-1-13 payer will not accept MEDICAID claims with DOS on/after 7-1-13. Submit claims with DOS on/after 7-1-13 to PID 09824.) (SX159) | --- | Not supported |
| SX172 | IU Medical Group Primary Care (SX172) | Not needed | --- |
| SX179 | Asuris Northwest/MedAdvantage (REF*1B*Provider ID in Billing and Rendering required even when NPI is submitted.) (SX179) | Not needed | Not supported |
| SYMED | Redlands IPA (Synermed) (SYMED) | Not needed | Not supported |
| TALMG | Talbert Medical Group (TALMG) | Not needed | Not supported |
| TCARE | Total Care of NY (TCARE) | Not needed | Not supported |
| TCHD1 | TRAVIS COUNTY HOSP DISTRICT (TCHD1) | Not needed | Not supported |
| TCUSA | True Choice USA (This PayerID is only valid thru 12/29/13. Any claims after that date should be sent to the PayerID on the member's ID card.) (TCUSA) | Not needed | Not supported |
| TEX01 | UnitedHealthcare Community Plan / TX (formerly AmeriChoice) (TEX01) | Not needed | --- |
| TH055 | Texas True Choice (This PayerID is only valid thru 12/29/13. Any claims after that date should be sent to the PayerID on the member's ID card.) (TH055) | Not needed | Not supported |
| TH095 | American Family Insurance (TH095) | Not needed | Not supported |
| TH118 | Fresenius Medical Care (TH118) | Not needed | --- |
| THS01 | Texas HealthSpring (THS01) | Not needed | Not supported |
| TLC01 | TLC Advantage in Sioux Falls (TLC01) | Not needed | Not supported |
| TLC79 | Smart Data Solutions (TLC79) | Not needed | Not supported |
| TLINS | Transamerica Life Ins. Co.(Specialized claims only. Call 501-277-1284 for information.) (TLINS) | Not needed | Not supported |
| TNMCD | Medicaid of Tennessee (TennCare) (TNMCD) | --- | --- |
| TNMCR | Medicare Part B of Tennessee (TNMCR) | --- | --- |
| TRAN1 | Transwestern Insurance Administrators Inc. (TRAN1) | Not needed | Not supported |
| TRUEB | Idaho True Blue (TRUEB) | --- | Not supported |
| TX1ST | Texas First Health Plans (TX1ST) | Not needed | Not supported |
| TXCSM | Texas Childrens Star Medicaid (Enrollment verification calls should be directed to 800-990-TCHP (8247)) (TXCSM) | Not needed | Not supported |
| TXMCD | Medicaid of Texas (TXMCD) | --- | --- |
| TXMCDAC | Texas Medicaid Acute Care (TXMCDAC) | Not needed | Not supported |
| TXMCDLT | Texas Medicaid Long Term Care (TXMCDLT) | --- | Not supported |
| TXPLN | TexanPlus North Texas Area (TXPLN) | Not needed | Not supported |
| TXPLSE | TexanPlus Southeast Texas Area (TXPLSE) | Not needed | Not supported |
| U1439 | Chiropractic Health Plans (Enrollment required please contact Provider Relations 801-352-7270) (NOTE that this payer accepts Chiropractic claims only.) (U1439) | --- | --- |
| UABT1 | United Agriculture Benefit Trust (UABT1) | Not needed | Not supported |
| UH133 | CHP/DMBA (Enrollment required please contact Provider Relations 801-352-7270)(NOTE that this payer accepts Chiropractic claims only for Choice & Select Plans.) (UH133) | Not needed | Not supported |
| UH134 | CHP/EMIA (Enrollment required please contact Provider Relations 801-352-7270)(NOTE that this payer accepts Chiropractic claims only.) (UH134) | Not needed | Not supported |
| UH135 | CHP/MEDICAID (Enrollment required please contact Provider Relations 801-352-7270)(NOTE that this payer accepts Chiropractic claims only.) (UH135) | Not needed | Not supported |
| UH137 | CHP/UUHP (Enrollment required please contact Provider Relations 801-352-7270)(NOTE that this payer accepts Chiropractic claims only.) (UH137) | Not needed | Not supported |
| UHCRAD | UHC, Radiology Precerts Only (UHCRAD) | Not needed | Not supported |
| UNINW | Univera Traditional PPO (UNINW) | Not needed | Not supported |
| UNLICA | United National Life Insurance Company of America (UNLICA) | Not needed | --- |
| UNTDA1 | United American Insurance Company (UNTDA1) | Not needed | Not supported |
| USFHP | US Family Health Plan (USFHP) (USFHP) | Not needed | Not supported |
| UTAIMS | United Teacher Association Insurance Company Medicare Supplement (UTAIMS) | Not needed | Not supported |
| VACPH | Valley Care Physicians (VACPH) | Not needed | --- |
| VAICE | Homeland Security (ATTN: Deportation) (VAICE) | Not needed | Not supported |
| VALHLTH | Pennsylvania Health Care Plan (VALHLTH) | Not needed | --- |
| VALHP1 | Valley Health Plan (VALHP1) | Not needed | Not supported |
| VAMCD | Medicaid of Virginia (VAMCD) | Not needed | --- |
| VAMCR | Medicare Part B of Virginia (VAMCR) | --- | --- |
| VAPCCC6 | VA Patient Centered Community Care Region 6 (VAPCCC6) | --- | Not supported |
| VEST1 | Wisconsin Dept of Corrections (VEST1) | Not needed | Not supported |
| VHA11 | Valley Health Administrators (VHA11) | Not needed | Not supported |
| VMMH1 | Verity (VMMH1) | Not needed | Not supported |
| VTBLS | Blue Shield of Vermont (VTBLS) | Not needed | Not supported |
| WALAI | Washington State Labor and Industry (WALAI) | --- | Not supported |
| WAMCD | Medicaid of Washington State (WAMCD) | Not needed | Not supported |
| WCOHP | OHANA Health Plan (WCOHP) | Not needed | --- |
| WCSWK | StayWell Kids (WCSWK) | Not needed | Not supported |
| WELM2 | WellMed (Claims) (WELM2) | Not needed | Not supported |
| WELMD | WellMed (Encounters) (WELMD) | Not needed | Not supported |
| WHAP | Western Health Advantage (WHAP) | Not needed | --- |
| WID01 | UnitedHealthcare Community Plan / WI (formerly AmeriChoice) (WID01) | Not needed | --- |
| WIMCD | Medicaid of Wisconsin (WIMCD) | Not needed | --- |
| WITH1 | Today's Health (WITH1) | Not needed | Not supported |
| WNHLT | WINhealth partners (WNHLT) | Not needed | --- |
| WP481 | WPPA-ProviDRs Care Network (WP481) | Not needed | Not supported |
| WVMCD | Medicaid of West Virginia (WVMCD) | Not needed | --- |
| WYBLS | Blue Shield of Wyoming (WYBLS) | --- | --- |
| WYMCD | Medicaid of Wyoming (WYMCD) | --- | --- |
| WYMCR | Medicare Part B of Wyoming (WYMCR) | --- | --- |
| WYSCH | Wyoming School Boards Association Insurance Trust (WYSCH) | Not needed | Not supported |
| AKBLS | Blue Shield of Alaska (AKBLS) | Not needed | * |
| AKMCR | Medicare Part B of Alaska (AKMCR) | 2 - 6 | 4 - 6 |
| ALBLS | Blue Cross Blue Shield of Alabama (ALBLS) | Not needed | 6 - 9 |
| AMGRP | Amerigroup (AMGRP) | Not needed | * |
| ARBLS | Blue Advantage of Arkansas (ARBLS) | 2 - 4 | 2 - 4 |
| ARMCR | Medicare Part B of Arkansas (ARMCR) | 2 - 4 | 4 - 5 |
| AZMCR | Medicare Part B of Arizona (AZMCR) | * | * |
| BC001 | Anthem Blue Cross of California (BC001) | Not needed | * |
| BCBSCNY | Excellus BCBS CNY (BCBSCNY) | Not needed | 6 - 9 |
| BCBSRA | Excellus BCBS Rochester area (BCBSRA) | Not needed | 5 - 9 |
| BS001 | Blue Shield of California (BS001) | Not needed | 4 - 8 |
| C2BLS | Federal Employee Program (Connecticut) (C2BLS) | Not needed | * |
| C3BLS | BCBS BlueCare Family Plan (Connecticut) To be used on all CT BlueCare claims with dates of service on or after 7/01/06 (C3BLS) | Not needed | * |
| CAPHP | CapRock HealthPlans (CAPHP) | Not needed | * |
| CNMCR | Medicare Part B of Northern California (CNMCR) | 6 - 9 | * |
| COBLS | Anthem of Colorado (COBLS) | Not needed | * |
| COMCR | Medicare Part B of Colorado (COMCR) | 6 - 8 | 5 - 8 |
| CSMCR | Medicare Part B of Southern California (CSMCR) | 8 - 13 | 8 - 9 |
| CTBLS | Blue Cross Blue Shield of Connecticut (CTBLS) | Not needed | * |
| CTMCD | Medicaid of Connecticut (CTMCD) | Not needed | * |
| CTMCR | Medicare Part B of Connecticut (CTMCR) | * | * |
| DEBLS | Blue Shield of Delaware (DEBLS) | 2 - 4 | 2 - 4 |
| FLBLS | Blue Cross Blue Shield of Florida (FLBLS) | Not needed | 2 - 4 |
| FLMCD | Medicaid of Florida (FLMCD) | * | 2 - 6 |
| FLMCR | Medicare Part B of Florida (FLMCR) | 6 - 9 | * |
| FOREN | Tricare Overseas (837I and 837P) (FOREN) | Not needed | * |
| GABLS | Blue Shield of Georgia (State Health of GA) (GABLS) | Not needed | * |
| GAMCR | Medicare Part B of Georgia (GAMCR) | * | --- |
| HIBLS | Blue Shield of Hawaii (HIBLS) | 4 - 8 | 6 - 9 |
| HIMCR | Medicare Part B of American Samoa (HIMCR) | --- | 4 - 6 |
| HMA01 | Healthcare Management Administrators Inc. (also known as HMA servicing Western Region) (HMA01) | Not needed | * |
| IABLS | Blue Shield of Iowa (IABLS) | 6 - 8 | 6 - 9 |
| IAMCD | Medicaid of Iowa (IAMCD) | * | * |
| IAMCR | Medicare Part B of Iowa (IAMCR) | * | * |
| IDBLC | Blue Cross of Idaho (IDBLC) | 6 - 9 | * |
| IDBLS | Blue Shield of Idaho (Per Provider Testing) (IDBLS) | Not needed | 6 - 9 |
| IHP02 | Intotal Health (Formerly Amerigroup of VA.) (IHP02) | Not needed | 8 - 9 |
| ILBLS | Blue Cross Blue Shield of Illinois (ILBLS) | Not needed | * |
| ILMCR | Medicare Part B of Illinois (ILMCR) | 6 - 8 | * |
| INBLS | Blue Cross Blue Shield of Indiana (INBLS) | Not needed | * |
| INMCD | Medicaid of Indiana (INMCD) | Not needed | * |
| IP095 | Monarch Healthcare IPA (Rendering provider ID# required on all claims.) (IP095) | Not needed | --- |
| KCBLS | Blue Shield of Kansas City (KCBLS) | Not needed | 6 - 9 |
| KCMCR | Medicare part B of Kansas City Missouri (KCMCR) | --- | * |
| KPIC1 | KPIC - Kaiser Permanente (Valid in the states of CA CO DC GA HI MD OH and OR) (KPIC1) | Not needed | * |
| KS001 | Kaiser Foundation Health Plan of Southern California (KS001) | Not needed | * |
| KS003 | Kaiser Foundation Health Plan of Northern California (KS003) | Not needed | * |
| KSBLS | Blue Shield of Kansas (KSBLS) | Not needed | 2 - 4 |
| KSMCR | Medicare Part B of Kansas (KSMCR) | * | * |
| KYBLS | Blue Cross Blue Shield of Kentucky (KYBLS) | Not needed | * |
| KYMCD | Medicaid of Kentucky (KYMCD) | 3 - 4 | 4 - 5 |
| KYMCR | Medicare Part B of Kentucky (KYMCR) | * | * |
| LABLS | Blue Cross Blue Shield of Louisiana (LABLS) | 6 - 8 | 6 - 9 |
| LAMCR | Medicare Part B of Louisiana (LAMCR) | 2 - 4 | 2 - 4 |
| LIFE1 | Lifeprint (AARP MedicareComplete insured through UnitedHealthcare) (LIFE1) | Not needed | 6 - 9 |
| MABLS | Blue Cross Blue Shield of Massachusetts (MABLS) | 6 - 9 | 6 - 9 |
| MAMCR | Medicare Part B of Massachusetts (MAMCR) | 6 - 9 | 6 - 9 |
| MCCBV | CIGNA BEHAVIORAL HEALTH (MCCBV) | Not needed | 4 - 8 |
| MDBLS | Blue Cross Blue Shield of Maryland (MDBLS) | Not needed | * |
| MDCAL | MediCal of California (MDCAL) | --- | * |
| MEBLS | Blue Shield of Maine (MEBLS) | Not needed | * |
| MEMCR | Medicare Part B of Maine (MEMCR) | * | * |
| MIBCN | Michigan Blue Care HMO (BCN of Michigan) (MIBCN) | 6 - 9 | 6 - 9 |
| MIBLS | Blue Shield of Michigan (MIBLS) | 4 - 8 | 6 - 8 |
| MIFEP | Federal Employee Program (Michigan) (MIFEP) | 4 - 8 | 4 - 8 |
| MIMCD | Medicaid of Michigan (MIMCD) | * | * |
| MIMCR | Medicare Part B of Michigan (MIMCR) | 6 - 8 | * |
| MIMPB | Michigan Medicare PlusBlue (MIMPB) | * | * |
| MNBLS | Blue Cross Blue Shield of Minnesota (MNBLS) | Not needed | 2 - 4 |
| MNMCD | Medicaid of Minnesota (MNMCD) | * | * |
| MNMCR | Medicare Part B of Minnesota (MNMCR) | 4 - 8 | * |
| MOBLS | Blue Shield of Missouri (MOBLS) | Not needed | 6 - 9 |
| MOMCR | Medicare Part B of Eastern Missouri (MOMCR) | --- | * |
| MSBLS | Blue Shield of Mississippi (MSBLS) | 6 - 9 | * |
| MSMCR | Medicare Part B of Mississippi (MSMCR) | 4 - 5 | 4 |
| MTBLS | Blue Shield of Montana (MTBLS) | Not needed | * |
| MTMCD | Medicaid of Montana (MTMCD) | Not needed | * |
| MTMCR | Medicare Part B of Montana (MTMCR) | 6 - 8 | * |
| N1BLS | Blue Shield of Western New York (N1BLS) | Not needed | 2 - 4 |
| N1MCR | Medicare Part B of Upstate NY (N1MCR) | 2 - 4 | 4 - 5 |
| N5BLS | Blue Shield of Northeast NY (N5BLS) | Not needed | 4 |
| NCBLS | Blue Cross Blue Shield of North Carolina (NCBLS) | Not needed | 2 - 4 |
| NCMCR | Medicare Part B of North Carolina (NCMCR) | 6 - 9 | * |
| NDBLS | Blue Cross Blue Shield of North Dakota (NDBLS) | --- | * |
| NEBLS | Blue Cross Blue Shield of Nebraska (NEBLS) | Not needed | * |
| NEMCR | Medicare Part B of Nebraska (NEMCR) | * | * |
| NG009 | Kaiser Foundation Health Plan of the NW (NG009) | Not needed | * |
| NHBLS | Blue Shield of New Hampshire (NHBLS) | Not needed | * |
| NHMCD | Medicaid of New Hampshire (NHMCD) | 4 - 5 | 4 |
| NHMCR | Medicare Part B of New Hampshire (NHMCR) | --- | 2 - 4 |
| NJMCR | Medicare Part B of NJ (Specialty testing required) (NJMCR) | 6 - 8 | 6 - 9 |
| NM505 | Molina Healthcare of New Mexico (NM505) | Not needed | * |
| NMBLS | Blue Cross Blue Shield of New Mexico (NMBLS) | Not needed | * |
| NVMCD | Medicaid of Nevada (NVMCD) | 6 - 9 | 6 - 9 |
| NVMCR | Medicare Part B of Nevada (NVMCR) | --- | * |
| NYBLS | Blue Shield of New York (Empire) (NYBLS) | Not needed | * |
| NYMCR | Medicare Part B of New York (Empire) (NYMCR) | 4 - 4 | 4 |
| OHBLS | Blue Cross Blue Shield of Ohio (OHBLS) | Not needed | * |
| OHMCR | Medicare Part B of Ohio (OHMCR) | * | * |
| OKBLS | Blue Shield of Oklahoma (OKBLS) | Not needed | * |
| OKMCD | Medicaid of Oklahoma (OKMCD) | Not needed | 2 - 4 |
| OOWPS | WPS Commercial (OOWPS) | * | * |
| ORBLS | Blue Cross Blue Shield of Oregon (ORBLS) | Not needed | 2 - 4 |
| ORMCR | Medicare Part B of Oregon (ORMCR) | * | * |
| PABLS | Blue Shield of Pennsylvania (PABLS) | 2 - 4 | 4 - 8 |
| PAMCR | Medicare of Pennsylvania (PAMCR) | 2 - 4 | 2 - 6 |
| PCBLS | Pennsylvania Keystone Health Plan East (claims only) (PCBLS) | 4 - 6 | --- |
| PHP01 | Providence Choice Option (PHP01) | Not needed | * |
| RGBLS | Regence Blue Shield of Washington (RGBLS) | Not needed | 2 - 4 |
| RIBLS | Blue Cross Blue Shield of Rhode Island (RIBLS) | Not needed | * |
| RMHMO | Rocky Mountain HMO (RMHMO) | * | * |
| SB580 | CareFirst BCBS - DC National Capital Area (SB580) | Not needed | 4 - 8 |
| SC922 | SC BCBS Companion Health (SC922) | Not needed | * |
| SCBLS | Blue Cross Blue Shield of South Carolina (SCBLS) | Not needed | * |
| SCMCD | Medicaid of South Carolina (SCMCD) | 4 - 5 | 2 - 4 |
| SDBLS | Blue Shield of South Dakota (SDBLS) | 2 - 4 | * |
| SX065 | Capital District PHP (SX065) | Not needed | 6 - 9 |
| SX075 | AmeriHealth - New Jersey (Non-HMO Claims) (SX075) | 8 - 9 | 6 - 8 |
| SX083 | IBC Personal Choice (SX083) | --- | 4 - 6 |
| SX105 | Deseret Mutual (SX105) | * | 6 - 8 |
| SX106 | PEHP - Utah Public Employee Health Plan (Enrollment required please contact Provider Relations 800-765-7347) (SX106) | 4 - 8 | 4 - 8 |
| SX110 | Educators Mutual (EMIA) (SX110) | 6 - 9 | * |
| SX155 | University of Utah Health Plans (SX155) | 6 - 8 | 3 - 8 |
| TA720 | Independence Administrators (TA720) | 6 - 9 | 6 - 9 |
| TDDIR | Tricare for Life (All Regions 1-12) (TDDIR) | * | 6 - 9 |
| TNBLS | Blue Cross Blue Shield of Tennessee (TNBLS) | 6 - 8 | * |
| TREST | Tricare East (TREST) | 6 - 9 | 6 - 9 |
| TRSTH | Tricare South (TRSTH) | * | * |
| TXBLS | Blue Cross Blue Shield of Texas (TXBLS) | Not needed | * |
| TXMCR | Medicare Part B of Texas (TXMCR) | 6 - 9 | 6 - 8 |
| UH107 | SELECT HEALTH IHC INTERMOUNTAIN HEALTH (UH107) | 4 - 8 | * |
| UTBLS | Blue Shield of Utah (UTBLS) | Not needed | 2 - 4 |
| UTMCD | Medicaid of Utah (UTMCD) | * | * |
| UTMCR | Medicare Part B of Utah (UTMCR) | 6 - 8 | * |
| VABLS | Blue Shield of Virginia (VABLS) | Not needed | * |
| VAPCCC3 | VA Patient Centered Community Care Region 3 (VAPCCC3) | * | Not supported |
| VAPCCC5A | VA Region 5A (VAPCCC5A) | 6 - 9 | Not supported |
| VAPCCC5B | VA Region 5B (VAPCCC5B) | * | Not supported |
| VTMCD | Medicaid of Vermont (VTMCD) | 2 - 4 | 2 - 4 |
| VTMCR | Medicare Part B of Vermont (VTMCR) | 2 - 4 | * |
| WABLC | Washington State Premera Blue Cross (WABLC) | Not needed | 6 - 9 |
| WAMCR | Medicare Part B of Washington (WAMCR) | 6 - 9 | * |
| WIBLS | Blue Shield of Wisconsin (WIBLS) | Not needed | * |
| WIMCR | Medicare Part B of Wisconsin (WIMCR) | * | * |
| WVBLS | Blue Shield of West Virginia (WVBLS) | 6 - 8 | 6 - 8 |
| WVMCR | Medicare Part B of West Virginia (WVMCR) | * | * |
Additional resources: