26
Institutional (Hospital) Payer List Payer ID Order Administrative Services of Kansas Updated October 2017 Administrative Services of Kansas (ASK) is Blue Cross and Blue Shield of Kansas DBA ASK. ASK 1

Institutional (Hospital) Payer List - Payer ID Order (Hospital) Payer List Payer ID Order Administrative Services of Kansas Updated October 2017 Administrative Services of Kansas (ASK)

  • Upload
    lyhuong

  • View
    231

  • Download
    0

Embed Size (px)

Citation preview

Institutional (Hospital) Payer ListPayer ID Order

Administrative Services of Kansas

Updated October 2017

Administrative Services of Kansas (ASK) is Blue Cross and Blue Shield of Kansas DBA ASK.

ASK 1

Payer ID

47163

47171

00301

00801

00800

31478

31478

31478

55204

31478

31478

31478

PHP (Preferred Health Professionals)

Preferred Health Professionals PPO (PHP PPO)

Mo-Kan Sheet Metal Workers Welfare Fund

Health Partners of Kansas (HPK)

HealthNow New York, Inc

BlueCross and BlueShield of Western New York

BlueShield of Northeastern New York

Freedom Network

Freedom Network Select

ASK accepts claims for the payers listed on this page at no charge to the trading partner. Participation in

the EDI Midwest Commercial Claims Clearinghouse is not required for any transactions submitted for

these payers.

Additional Payers Available (Free)

BlueCross and BlueShield of Western New York

PAYER NAME

Blue Cross and Blue Shield of Kansas

Blue Cross and Blue Shield of Kansas City

ASK 2

EDI Midwest

Payer ID Payer Name Services

00014 SelectCare Claims

00046 Hill Physicians Medical Group Claims

01041 Healthsource ME Claims

01066 American Healthcare Alliance Claims

02041 CMHC Claims

02041 Central Mass Heath Care Claims

02041 Healthsource CMHC Claims

02041 Healthsource Massachusetts Inc. Claims

02057 Smith Administrators Claims

03432UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA

APIPA) Claims

03440 Phoenix Health Plan (Medicaid) Claims

03443 Phoenix Health Plans (Medicare - Abrazo) Claims

04218 Pan American Life Insurance Group Claims

04293 Neighborhood Health Plan (Boston MA) Claims

04430 ZeroOutofPocket Claims

05003 Presbyterian Health Plan (NM) Claims

05047 Neighborhood Health Plan of RI - Medicaid and UNITY Claims

05506 Gateway Healthy PA Claims

06102 Diversified Administration Corporation - CT Claims

06105 ConnectiCare Inc Claims

06111AARP MedicareComplete through UnitedHealthcare / Oxford

Medicare Network Claims

06111AARP MedicareComplete through UnitedHealthcare / Oxford

Mosaic Network Claims

06111 UnitedHealthcare / Oxford Claims

06119 Healthsource SC Claims

06119 Healthsource SC Encounters

06603 ASAGEHA Claims

07689 Global Care Inc. Claims

09830 University Family Care Claims

09908 University Family Care - Maricopa Health Plan Claims

10629 Christus Health Medicare Advantage Claims

10850 Metropolitan Health Plan Claims

11315 Fidelis Care New York Claims

11345 CareCentrix Claims

11440 Sendero-IdealCare Claims

12057 Medical Services Initiative Claims

12115 VA Fee Basis Programs Claims

12422 Medica2 Claims

13162 1199 National Benefit Fund Claims

13174 Montefiore Contract Management Organization Claims

13189 Meridian Health Plan of Illinois Inc Claims

13193 Central Reserve Life Ins Co- Medicare Supplement Claims

EDI Midwest Institutional (Hospital) Payer List

ASK 3

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

13193 Continental General Ins Co- Medicare Supplement Claims

13193 Great American Life Ins Co- Medicare Supplement Claims

13193 Loyal American Life Ins Co- Medicare Supplement Claims

13193 Provident American Life & Health Ins Co- Medicare Supplement Claims

13193 United Teacher Assoc Ins Co- Medicare Supplement Claims

13265 MetroPlus Health Plan Claims

13306 PHCS Savility Payers Claims

13315 Insurance Design Administrators Claims

13337 BMC HealthNet Plan Claims

13337 Boston Medical Center Health Plan Inc. Claims

13337 Boston Medical Center Health Plan Inc. Encounters

13337 Well Sense Health Plan Claims

13343 Amalgamated Life - PA / Alicare Claims

13350 ODS Health Plan Claims

13360 CenterLight Healthcare Claims

13383 Orthonet Corporation - AETNA Claims

13407 USFHP - St. Vincent Catholic Medical Centers of New York Claims

13550 ALICARE Claims

13550 Amalgamated Life Claims

13551 Emblem Health (GHI - New York Group Health Inc.) Claims

14043 NHI BILLING SERVICES INC Claims

14140 Farm Family Life Claims

14163 Harmony Health Plan (WellCare of Florida Claims

14163 HealthEase Kids (WellCare of Florida) Claims

14163 Ohana Health Plan (WellCare of Hawaii) Claims

14163 WellCare Health Plans (WellCare of FL GA NY CT NJ LA OH TX Claims

14165 MVP Health Plan of NY Claims

14179 CareCore National LLC (Aetna Radiology Claims) Claims

14966 Partners Health Plan Claims

16098 Monitor Life Insurance Company Claims

16117 Lifetime Benefit Solutions Claims

16120 America's PPO Claims

16120 Araz Group Claims

16146 SCHC Total Care - ClaimsNet Claims

16180 Aspen Claims

16600 Chautauqua County Healthcare Plan (Mayville NY) Claims

17516 North Shore - LIJ (Healthfirst) Claims

18840 MyDecision HealthSmart Claims

19028 Concentrix Insurance Solutions Claims

20356 Cerner Health Plan Services Claims

20376 Gemcare Health Plan Claims

20398 Physicians Health Collaborative Claims

20413 3P ADMIN Claims

20818 Essence Healthcare Claims

ASK 4

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

21062 Christus Health New Mexico HIX Claims

21313 Kaiser Permanente of Georgia Claims

21547 MedSettlements LLC Claims

22100 Health Choice Integrated Care Claims

22195 AIG Educational Markets Claims

22240 St. Barnabas System Health Plan Claims

22254 Fallon Health Claims

22348 Maryland Physicians Care Claims

22521 EGID (Employees Group Insurance Division) Claims

22521 HP Administrative Services LLC Claims

22521OSEEGIB (Oklahoma State and Education Employees Group Ins.

Board) Claims

22603 NJ Carpenters Health Fund Claims

22771 Managed Health Network Claims

23051 Waterstone Benefit Administrators (Outside Oklahoma) Claims

23218 Superior Administrators Inc (Santa Ana CA) Claims

23249 Sentinel Management Services Claims

23250 Significa Benefits Services Inc. Claims

23281 UPMC Health Plan Claims

23282 Community Care BHO Claims

23283 Pittsburgh Care Partnership Inc. Claims

23287 Intergroup Services Corporation Claims

23550 MFC & HealthPlus Peoria Claims

23708 C&O Employees Hospital Association Claims

24077 SANTA CLARA FAMILY HEALTH PLAN Claims

24735 Pinnacle Claims Management Inc. Claims

24735 Western Grower's Assurance Trust Claims

24735 Western Grower's Insurance Company Claims

25133 Advantra Savings Claims

25133 Altius (Utah) Claims

25133 CHC of IL Claims

25133 Coventry Advantra Texas Claims

25133 Coventry Cares of Virginia - Medicaid Product Claims

25133 Coventry Cares of West Virginia - Medicaid Product Claims

25133 Coventry Health & Life (Oklahoma) Claims

25133 Coventry Health Care Claims

25133 Coventry Health Care Encounters

25133 Coventry Health Care Carelink - West Virginia only Claims

25133 Coventry Health Care Carelink Medicaid - West Virginia only Claims

25133 Coventry Health Care National Network Claims

25133 Coventry Health Care of Florida Claims

25133 Coventry Health Care of Georgia Inc. Claims

25133 Coventry Health Care of Illinois Claims

25133 Coventry Health Care of Iowa Inc. Claims

ASK 5

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

25133 Coventry Health Care of Kansas Inc. Claims

25133 Coventry Health Care of Louisiana Inc. Claims

25133 Coventry Health Care of Missouri Claims

25133 Coventry Health Care of Nebraska Inc. Claims

25133 Coventry Health Care of Nevada Claims

25133 Coventry Health Care of Virginia Claims

25133 Coventry Health Care of the Carolinas Claims

25133 Coventry Health Plan of Florida Claims

25133 Coventry Health and Life Insureance (Tennessee) Claims

25133 Coventry Missouri Claims

25133 Coventry Summitt Health Plan Inc. Claims

25133 Coventry of Health Care Delaware Inc. Claims

25133 Foreign Service Benefit Plan Claims

25133 Health America Inc./Health Assurance/Advantra Claims

25133 Mail Handlers Benefit Plan Claims

25133 Rural Carrier Benefit Plan Claims

25133 UT- Altius (UHIN) Claims

25133 University of Missouri Claims

25145 Benefit Coordinators Corporation (Pittsburgh PA) Claims

25147 SouthCare/Healthcare Preferred Claims

25160 MCA Administrators Inc. Claims

25169 Gateway Health Plan Medicaid PA Claims

25175 UnitedHealthcare Community Plan / SC (formerly Unison) Claims

25175UnitedHealthcare Community Plan/DEFLHILAMDMS

CANNMOHPARI TX WA Claims

25184 UPMC Vision Advantage Claims

25348 Travis County MAP-Mediview Claims

25404 Seven Corners Claims

26041 Central California Women's Health Claims

26158 AllCare PEBB Claims

26227 MSH REIMBURS Claims

27048 Payer Fusion Claims

27133 Gemcare IPA Claims

27154 Arizona Priority Care Plus Claims

27344 Affiliated Doctors of Orange County Claims

27514 Amerigroup Claims

27514 Empire Blue Cross Blue Shield HealthPlus Claims

28021 Kern County CDCR Claims

28530 Secure Health Plans of Georgia LLC Claims

29076 Consumers Life Insurance Company Claims

29076 Medical Mutual of Ohio Claims

29076 Premier Health Systems Inc. Claims

30005 Galveston County Indigent Health Care Claims

30862 Heritage Victor Valley Medical Group Claims

ASK 6

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

30891 Sierra Medical Group Claims

31053 Individual Health Insurance Companies Claims

31053 State Farm Insurance Companies Claims

31074 EBMC Claims

31074 Employee Benefit Management Corp (EBMC) Claims

31074 TPAC/Employee Benefit Management Corp Claims

31074The Physicians Assurance Corp (TPAC) /Employee Benefit

Management Corp (EBM Claims

31114 CareSource OH Claims

31118 Tribute Health Plan Claims

31121 Stoner and Associates (Cincinnati OH) Claims

31127 Integra Group Claims

31128 INTEGRA GROUP/HOME Claims

31138 AHPO (Cleveland OH) Claims

31141 Healthsource OH Claims

31182 Innovage Claims

31182 Total Community Care Claims

31182 Total Long Term Care Claims

31441 S & S Healthcare Strategies Claims

31626 VNA Homecare Options Claims

32006 Better Health Plans of South Carolina Claims

33001 Universal Care - California Claims

33010 Greater Newport Physicians Medical Group Claims

33020 My Family Medical Group Claims

33036 Loma Linda University Health Care Managed Care Dept Claims

33053OptumHealth Behavioral Solutions (formerly Pacificare Behavioral

Health) Claims

33065 Rady Children's Hospital Claims

33072 San Louis Obispo Select Claims

33099 Scripps Health Plan Services Claims

33104 Texas HealthSpring Claims

33373 Molina Healthcare of California (Encounters Only) Encounters

33628 Mercy Maricopa Integrated Care Claims

34080 Multiplan Wisconsin Preferred Provider Network Claims

34080 WPPN Claims

34131 Self-Funded Plans Inc. Claims

34136 JP Farley Corporation Claims

34145 Klais & Company Claims

34150 The Health Plan (Massillon Ohio and St. Clairsville Ohio only) Claims

34158 Health Design Plus (Hudson OH) Claims

34159 E-V Benefits Management Inc (Columbus OH) Claims

34159 NABN (Cleveland OH) Claims

34159 North American Benefits Network ((Cleveland OH) Claims

34167 Emerald Health Network Inc. (All PPO Business) Claims

ASK 7

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

34167 Health Services Preferred (HSP) by Emerald Health Claims

34167 Integrated Care Network (ICN) by Emerald Health Claims

34171 FrontPath Health Coalition Claims

34177 Comp - Ohio (Austintown OH) Claims

34178 Benefit Services Inc. (Akron OH) Claims

34189 Ohio Health Choice PPO Claims

34192 Mutual Health Services Claims

34196 Apex Benefit Services Claims

34638 Unified Physicians Network Claims

34734 Aetna Better Health of NY Claims

35092 Morris Associates Claims

35107 Indiana Teamsters Health Benefits Fund (Indianapolis IN) Claims

35107 Local 135 Health Benefits Fund (Indianapolis IN) Claims

35112 Employee Plans LLC Claims

35115 INTotal Health LLC Claims

35161 Indiana ProHealth Network Claims

35162 Managed Care Services LLC Claims

35164 Sagamore Health Network Claims

35174 Qual Choice of Arkansas Claims

35186 Dunn and Associates Benefits Administrators Inc. Claims

35199 Cooperative Managed Care Services Claims

35199 MDwise Franciscan St. Anthony-HHW Claims

35199 MDwise Franciscan St. Margaret-HHW Claims

35199 MDwise Select Health-HHW Claims

35199 MDwise St. Catherine-HHW Claims

35199 MDwise St. Vincent-HHW Claims

35199 St. Anthony Memorial Healthcare Centers - MDWISE Claims

35199 St. Catherine Hospital PHO - MDWISE Claims

35199 St. Francis Health Network Claims

35199 St. Margaret Mercy Healthcare Centers - MDWISE Claims

35202 Security Administrative Services Claims

35206 Encircle PPO Claims

35206 Encore Health Network Claims

35206 The Healthcare Group Claims

35212 North Texas Healthcare Network Claims

35245 Continental Benefits Claims

35245 WellSystems LLC Claims

36149 Benefit Administrative Systems Claims

36215 Central States Health & Welfare Funds Claims

36215 Rosemont of Des Plaines IL Claims

36215 Teamcare Claims

36273AARP Hospital Indemnity Plans insured by UnitedHealthcare

Insurance Co Claims

ASK 8

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

36273AARP Medicare Supplement Plans insured by UnitedHealthcare

Insurance Co Claims

36312 MANAGED HEALTH CARE ASSOCIATES Claims

36314 Central DuPage Physician Group Claims

36320 Advocate Medical Group - AMG (Legacy AHC) Claims

36326 Associates for Health Care Inc. (AHC) Claims

36335 Arkansas Managed Care Organization Inc. (AMCO) Claims

36335 HFN Inc. Claims

36345 Physicians Care Network (Rockford IL only) Claims

36346 Northwest Suburban IPA (Illinois) Claims

36347 Northern Illinois Health Plan Claims

36364 NorthShore University Health System Medical Group Claims

36389 Rush Prudential Health Plans (HMO Only) Claims

36393 Century PHO INC Claims

36397 Trellis Health Partners Claims

36401 Preferred Network Access Inc. Claims

36411 Swedish Covenant Hospital Claims

36609 Boilermakers National Health & Welfare Fund Claims

36609 International Brotherhood of Boilermakers Claims

37105 Sage Technologies Claims

37116 Lake County Physicians Association Claims

37136 Physicians Health Association of Illinois Claims

37137 HSHS Medical Group IPA Claims

37226 London Health Administrators Claims

37227 CNIC Health Solutions Inc. Claims

37230 TR Paul Inc. Claims

37247 Western Mutual Insurance Claims

37272 HealthSmart Benefit Solutions Claims

37279 IAA Claims

37279 Insurance Administrators of America Inc. Claims

37282 Select Benefit Administrators of America Claims

37283 HealthSmart Benefit Solutions Claims

37287 PAI Claims

37287 Planned Administrators Inc. Claims

37308 Allied Benefit Systems Claims

37331 RightChoice Benefit Administrators Claims

37363 Compsych Claims

37602 UnitedHealthOne / Golden Rule Claims

38201 Total Healthcare Inc. Claims

38217 Priority Health Claims

38219 AmeraPlan Claims

38224 HAP/AHL/Curanet Claims

38224 MVP - Ohio Claims

38224 Medical Value Plan - Ohio (MVP) Claims

ASK 9

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

38238Northern California Sheet Metal Workers Health Care (San Ramon

CA) Claims

38238 Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA) Claims

38241 Employee Benefit Concepts (Farmington Hills MI) Claims

38254 Insight Benefit Administrators Claims

38265 ASR Claims

38265 ASR Corporation Claims

38265 ASR Health Benefits Claims

38265 Administration Systems Research Corporation Claims

38265 Physicians Care (ASR Corporation) Claims

38265 Physicians Care Health Plans (ASR Corporation) Claims

38265 Physicians Care Network (ASR Corporation) Claims

38309 Health Net of Arizona Claims

38310 JOHN MORRELL COMPANY CO. - AHPBA Claims

38333 Molina Healthcare of California (Claims only) Claims

38334 Molina Healthcare of Michigan (Claims Only) Claims

38335 Cofinity Claims

38335 PPOM LLC Claims

38338 McLaren Health Plan Claims

39033 Sentry Insurance a Mutual Company Claims

39033 Sentry Life Insurance Company Claims

39033 Sentry Life of New York Claims

39045 Security Health Plan Claims

39081 Benefit Plan Administrators Co. (Eau Claire WI) Claims

39113 Dean Health Plan Claims

39114 MercyCare Claims

39126 Community Care Inc. (Wisconsin) Claims

39156 Physicians Plus Insurance Corporation Claims

39185 ARISE Claims

40025 Innovation Health Claims

40137 Kalos Health Claims

40585 INDECS Corporation Claims

41041 Federated Mutual Insurance Claims

41124 Meritain Health Minneapolis Claims

41136 Life Trac Claims

41147 PreferredOne (MN) Claims

41154 Mayo Clinic Health Solutions Claims

41194Optum ? Complex Medical Conditions (CMC) (formerly

OptumHealth Care Solutio Claims

41194 OptumHealth Care Solutions (formerly United Resource Networks) Claims

41206 Ultra Benefits Inc. Claims

41600 IMCare Claims

42102 Health Care Network of Wisconsin (HCN) Claims

ASK 10

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

42138 Cenpatico TPA Claims

42139 Centene TPA Claims

42140 Centurion Claims

42150 Butler Benefit Claims

43123 Imagine Health Claims

43166 Mercy Health Plans Claims

43166 Permier Health Plans Claims

43166 Premier Benefits Inc. Claims

43174 Molina Healthcare of Washington (Encounters Only) Claims

43178 Joplin Claims / Benefit Management Inc Claims

43313 Harken Health Insurance Claims

43619 Teamsters Medicare Trust for Retired Employees Claims

44054 Government Employees Health Association (GEHA) Claims

44273 Health Plans Inc. Claims

44444 American Postal Workers Union Health Plan Claims

45048 Independent Living Systems Claims

45150 Meritus Health Partners Claims

45235 Government Employees Health Association (GEHA PHCS) Claims

45275 Government Employees Health Association (GEHA-PHCS-45275) Claims

45276 West Virginia Family Health Plan Claims

45302 Integra Managed Long Term Care Claims

45336 HealthyCT Inc Claims

45437 University Healthcare Marketplace Claims

45559 Fallon Total Care Claims

46045 Avera Health Plans Claims

46120 Crystal Run Health Plans Claims

46156 Aspire Health Plan Claims

46161 Montefiore HMO Claims

46227 CareConnect Insurance Company Inc Claims

46407 University Health Care Advantage Claims

46478 Continuum Health Solutions LLC Claims

46571 Quartz ASO Claims

46594 AFFINITY MEDICAL GROUP Claims

46871 Cincinnati Financial Corporation Claims

47080 Midlands Choice Inc. Claims

47083 GMS Inc. Claims

47181 Highmark BCBSD Health Options Inc. Claims

47262 IU Health Transplant Evaluation Program Claims

47405 BookMD Inc Claims

47410 Avectus Healthcare Solutions Claims

48100 ProviDRs Care Network Claims

48143 Group and Pension Administrators Claims

48145 Community Health Choice Claims

50946 Informed UHC Claims

ASK 11

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

51037 Brokerage Concepts Claims

51579 Coastal Communities Physician Network Claims

52095 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. Claims

52106 CHRISTUS Health Plan TX HIX Claims

52120 National Telecommunications Cooperative Association Claims

52123 Johns Hopkins Healthcare (USFHP) Claims

52180 UMWA Health & Retirement Funds Claims

52189 Johns Hopkins Healthcare (EHP/PP) Claims

52190 OptumHealth Care Solutions (formerly United Resources Networks Claims

52192 Bravo Health Claims

52192 Bravo Health Star Plus Claims

52192 Cigna-Healthspring Claims

52196 Conifer (formerly InforMed) Claims

52429 Healthscope Benefits - EHC Repricing Claims

53011 NALC/Affordable Claims

53011 National Association of Letter Carriers Claims

53011 National Association of Letter Carriers/NALC Claims

53085 Anchor Benefit Consulting Inc. Claims

53275 Martin's Point Health Care Claims

54750 Huron PACE Claims

55544 Conversion Plan-APWU Claims

55649 Allegian Choice Claims

55649 Conifer Value-Based Care Claims

55649 Harbor Choice Claims

55649 Phoenix Choice Claims

55912TriWest VA-Patient-Centered Community Care Program (VAPCCC)

Region 3 Claims

55915TriWest VA-Patient-Centered Community Care Program (VAPCCC)

Region 5A Claims

55916TriWest VA-Patient-Centered Community Care Program (VAPCCC)

Region 5B Claims

55917TriWest VA-Patient-Centered Community Care Program (VAPCCC)

Region 6 Claims

56139 BENEFIT MANAGEMENT SERVICES Claims

56144 Healthgram Inc Claims

56147 Healthsource NC (CIGNA) Claims

56162 MedCost Inc. Claims

56195 American Trust Administrators Inc. Claims

56196 First Carolina Care Claims

56240 Detroit Medical Center Claims

57080 CWIBENEFITS INC. Claims

57080 ClaimsWare Inc. dba ManageMed Claims

57106 Tricare North Region Claims

57115 CARE 1ST HEALTH PLAN OF CA Claims

ASK 12

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

57116 Care 1st Health Plan of Arizona Claims

57116 OneCare Claims

57254 Government Employees Health AssociationInc. (GEHA) Claims

57604 Aetna Affordable Health Choices (SM) - SRC Claims

58202 ADVANCED DATA SOLUTIONS Claims

58202 MedAdmin Solutions Claims

58204 Coordinated Medical Specialists Claims

58204 MedAdmin Solutions Claims

58204 Network TPA LLC Claims

58204 Physician Associates of Louisiana Claims

58204 Physician Care Network LLC Claims

58204 Podi Care Managed Care Claims

58210 Healthsource GA (CIGNA) Claims

58305 Harbor Advantage (Abrazo Health Care) Claims

59087 The National Radiology Network Claims

59204 Fringe Benefits Coordinators Claims

59231 MedCom Claims

59274 AvMed Inc. Claims

59275 AVMED INC Encounters

59314 Advanzeon Solutions Claims

59324 PODIATRY NETWORK FL Claims

59374 Advantica Benefits Claims

60054 Aetna Claims

60055 Aetna Encounters Encounters

60058 Northstar Advantage Claims

60110 Preferred Health Systems A Coventry Health Care Plan Claims

60280 Interface EAP (IEAP) Claims

60495 Community Health Choice-Health Insurance Marketplace Claims

60550 Gateway Health Plan - Medicare Assured Claims

60995 Community Care Inc. - Family Care (Wisconsin) Claims

61101 Humana Emphesys Claims

61101 Humana Employers Health Insurance Claims

61101 Humana Inc. Claims

61101 Humana Insurance Company Choice Care Network Claims

61106 Preferred Health Plan (Louisville KY) Claims

61115 Humana Long Term Care Claims

61120 Humana Veterans Healthcare Services Claims

61124 Baptist Health Plan Claims

61125 Tricare South - Humana Military Claims

61127 Healthsource KY Claims

61604 PrimeWest Health Claims

61665 Preferred Health Systems A Coventry Health Care Plan Claims

62030 American General Claims

62129 Healthsource TN (CIGNA) Claims

ASK 13

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

62157 Health Partners - Jackson TN Claims

62170 Unified Health Services Claims

62183 Better Health Plans Inc. Claims

62183 Unison Health Plan/Better Health Plans Claims

62308 CIGNA Claims

62308 CIGNA - PPA Claims

62308 CIGNA - PPO Claims

62308 CIGNA Health Plan - HMO Claims

62308 Connecticut General (CIGNA) Claims

62308 EQUICOR Claims

62308 EQUICOR - PPO Claims

62308 Seton Employee Plan Claims

62777 TRILOGY NETWORK Claims

63092 HealthSpring HMO/HealthSpring Medicare+Choice Claims

63665 Great-West Healthcare (formerly American General) Claims

63740 DentaQuest Vision Claims

63740 EyeQuest Claims

64071 Acclaim Claims

64084 Mississippi Physicians Care Network Claims

64088 Mississippi Select Health Care Claims

64088 Select Administrative Services (SAS) Claims

64090 AmFirst Insurance Company Claims

64157 Meritain Health Claims

64158 Agency Services Inc Claims

64158 Meritain Health / Agency Services Claims

64270 Corporate Plan Management Inc Claims

65021 Orange County Health Care Agency Claims

65085 NAA (North America Administrators L.P.) (Nashville TN) Claims

65088 CareFlorida Claims

65088 Preferred Care Partners Encounters

65088 Preferred Care Partners Florida Claims

65093 Advocate Physician Partners Claims

65093 Silver Cross Health Connection Claims

66121 Community Medical Group of the West Valley Inc. Claims

66122 Eastland Medical Group Claims

66124 West Covina Medical Group Claims

66125 LakeSide Medical Group Claims

66126 Verdugo Hills Medical Group Claims

66127 Lakeside Comprehensive Healthcare Claims

66170 Community Health Group Claims

66705 Quartz Health Solutions Inc. Claims

66705 Unity Health Insurance Claims

66917 Parkland Community Health Plan Claims

68021 Health Net - VA Patient Centered Community Care Program Claims

ASK 14

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

68035 Health Plan of San Joaquin Claims

68036 John Muir Mt. Diablo Health System Claims

68037 OMNI/Medicore HP Claims

68047 California Health & Wellness Claims

68068 Cenpatico - Arizona Claims

68068 Cenpatico - FL Claims

68068 Cenpatico - Georgia Claims

68068 Cenpatico - Indiana Claims

68068 Cenpatico - OHIO Claims

68068 Cenpatico - WI Claims

68068 Cenpatico Behavioral Health Claims

68068 Cenpatico Behavioral Health Texas Claims

68068 Cenpatico Massachuetts Claims

68068 Cenpatico New Hampshire Claims

68068 Cenpatico South Carolina Claims

68068 Centene Advantage Plans Claims

68068 ILCBH Claims

68068 KS - Cenpatico Kansas Claims

68068 KY - Cenpatico Kentucky Claims

68068 MO - Cenpatico Missouri Claims

68068 MS - Cenpatico Mississippi Claims

68069 Absolute Total Care Claims

68069 Advantage by Bridgeway Health Solutions Claims

68069 Advantage by Buckeye Community Health Plan Claims

68069 Advantage by Managed Health Services Claims

68069 Advantage by Peach State Claims

68069 Advantage by Sunshine State Claims

68069 Advantage by Superior HealthPlan Claims

68069 Ambetter from Buckeye Community Health Plan Claims

68069 Ambetter from CeltiCare Health Plan Claims

68069 Ambetter from Magnolia Health Claims

68069 Ambetter from Managed Health Services Claims

68069 Ambetter from Peach State Health Plan Claims

68069 Ambetter from Sunshine Health Claims

68069 Ambetter from Superior Health Claims

68069 Ambetter of Arkansas Claims

68069 Bridgeway Arizona Claims

68069 Buckeye Community Health Claims

68069 CeltiCare Claims

68069 Granite State Health Plan Claims

68069 IlliniCare Claims

68069 KS - Sunflower State Health Claims

68069 Kentucky Spirit Health Plan Claims

68069 Louisiana Healthcare Connections Claims

ASK 15

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

68069 MO - Missouri Home State Health Care Claims

68069 Magnolia Claims

68069 Managed Health Services Indiana (Medicaid HMO) Claims

68069 Managed Health Services Wisconsin Claims

68069 Michigan Fidelis Secure Care Claims

68069 Nebraska Total Care Claims

68069 Peach State Health Plan Claims

68069 Silver Summit Health Plan Claims

68069 Sunshine State Health Plan Claims

68069 Superior Health Plan Texas Claims

68069 Trillium Medicaid Claims

68069 Trillium Medicare 2016 Claims

68069 WA - Washington Coordinated Care Claims

68195 Healthsource Provident Claims

70259 Harbor Health Plan Claims

71075 Healthsource AR (Med) (CIGNA) Claims

71412 ExclusiCare Claims

71412 Mutual of Omaha Insurance Company Claims

71412 Mutually Preferred Claims

71412 United of Omaha Claims

72099 PHCS Claims (formerly American LIFECARE) Claims

72126 Peoples Health Network Claims

72148 PPOPlus LLC Claims

72261 SCAN Health Plan Claims

73067 QuikTrip Claims

73071 C. L. Frates & Co - OSMA Health Claims

73071 OSMA Health - C. L. Frates Claims

73099 Standard Life and Accident Insurance Company Claims

73126 Equitable Plan Services (Oklahoma City OK) Claims

73143 Community Care Managed Health Care Plans of Oklahoma Claims

73145 Preferred Community Choice/PCCSelect/CompMed Claims

73147 Healthcare Solutions Group Claims

73155 Waterstone Benefit Administrators (Oklahoma Providers) Claims

73159First Health Network (f.k.a. CCN Managed Care Inc. & PPO

Oklahoma) Claims

73172 Scan Health Plan Arizona Claims

73866 Seton Health Plan MAP-Mediview Claims

74048 American National Ins. Co. (ANICO) Claims

74095 USAA (United Services Automobile Association) Claims

74101 Wisconsin Department of Corrections Claims

74227 UnitedHealthcare StudentResources Claims

74240 Assured Benefits Administrators Claims

74256 North Carolina Department of Public Safety (NC DPS) Claims

74272 Dell Children's Health Plan Claims

ASK 16

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

74289 MHNET Claims

74323 MedBen (Newark OH) Claims

74323 Medical Benefits Administrators Inc. (Newark OH) Claims

74323 Medical Benefits Companies (Newark OH) Claims

74323 Medical Benefits Mutual (Newark OH) Claims

74323 Medical Benefits Mutual Life Insrance Co. Claims

75136 CoreSource Little Rock Claims

75137 AmeriBen Solutions Inc. Claims

75185 AAG-American Administravie Group ( Formerly Icon Benefit Admin) Claims

75232 Employers Direct Health Claims

75233 Employer's Direct Health - SF Claims

75235 Employer's Direct Health - FI Claims

75236 Employer's Direct Health - Employee Plan Claims

75237 Healthsmart Accel Claims

75250 HealthSmart Preferred Care Inc. Claims

75255 Healthsource N. TX (CIGNA) Claims

75256 Verity National Group Claims

75273 Geisinger Health Plan Claims

75274 IHG Direct Claims

75299 Angeles IPA (SynerMed) Claims

75299 Bellflower Hospital (Synermed) Claims

75299 East LA - APMG Claims

75299 Employee Health System Medical Group Claims

75299 Fresno - ENH Medical Group Claims

75299 Gardena Memorial Medical Center Claims

75299 Hollywood Presbyterian (Synermed) Claims

75299 Inland Valleys IPA Claims

75299 Multicultural Primary Care Medical Group (San Diego) (Synermed) Claims

75299 Pacific Alliance Medical Center Claims

75299 Pacific Alliance Medical Group and Hospital (Synermed) Claims

75299 Redlands IPA (Synermed) Claims

75299 Sacramento - Primary Care Practices of Sacramento - EHS Claims

75299 Southern CA Children's Network (SynerMed) Claims

75299 Temple Community Hospital Claims

75544 Christie Student Health Plans Claims

75600 The City of Odessa Claims

76045 SelectCare of Texas (HPN) Heritage Physicians Network Claims

76048 Texas Children's Health Plan Claims

76056 Seton CHIP Claims

76066 Renaissance Physicians Organization Claims

76079 Midwest Health Partners Claims

76342 Health Plan of Nevada Claims

76342 Sierra Health and Life Claims

ASK 17

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

76870 LifePath Hospice Inc Claims

76923 Good Sheperd Hospice Inc Claims

77005 Bakersfield Family Medical Group Claims

77012 MidCoast IPA Claims

77022 Ultimate Health Plan Claims

77023 Clover Health Claims

77035 Central Valley Medical Group Claims

77038 Sante Health System and Affiliates Claims

77039 Kern Health Systems Claims

77045 Arcadian Management Services Inc Claims

77073 VNS CHOICE Medicare Claims

77080 WPP-ElderCare Wisconsin Claims

77082 Care Improvement Plus (CIP) Claims

77124 DELANO IPA Claims

77153 Southeastern Indiana Health (SIHO) Claims

77302Sutter Valley Medical Foundation dba Sutter Gould Medical

Foundation Claims

77304 Sutter Medical Group of the Redwoods Claims

78375 Connecticare - Medicare Claims

79966 Amida Care Medicare Claims

80019 MSC (Medical Service Company) Group Inc Claims

80141 Childhealth Plus by Healthfirst (CHP) Claims

80141 Healthfirst 65 Plus Claims

80141 Healthfirst Family Health Plus (FHP) Claims

80141 Healthfirst Health Plan of New Jersey Claims

80141 Healthfirst Inc. (New York) Claims

80141 Healthfirst New York (COMMERCIAL) Claims

80141 Healthfirst PHSP Claims

80141 Senior Health Partners (SHP) Claims

80314 GIC Indemnity Plan Claims

80314 UNICARE Claims

80705 Great-West Healthcare Claims

81400 UnitedHealthCare / All Savers Alternate Funding Claims

81400 UnitedHealthOne / PacifiCare Life and Health Insurance Company Claims

81794 Molina Healthcare of Puerto Rico (Claims Only) Claims

82018 HCS - Health Claims Service (Boise ID) Claims

82048 Primary Health Network Claims

82420 Allegian Health Plan Claims

83028 MBA Benefit Administrators Inc (Salt Lake UT) Claims

83035 Senior Whole Health Claims

83077 Advantek Benefit Administrators Claims

83253 Meridian Health Plan of Michigan Inc. Claims

84065 Rocky Mountain Health Plan- Grand Junction Claims

84096 Sloans Lake Preferred Health Networks Claims

ASK 18

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

84109 Pinnacol Assurance Claims

84131 Denver Health Medical Plan Inc. - Medicare Choice Claims

84132 United Medical Alliance Claims

84133 Denver Health and Hospital Authority Claims

84135 Denver Health Medical Plan Claims

84146 CHAMPVA - HAC Claims

84146 Children of Women Vietnam Veterans-VA HAC Claims

84146 Spina Bifida - VA HAC Claims

84555 HMO Louisiana Inc Claims

85256 Wabash Memorial Hospital Association Claims

85729 Healthcomp Inc. Claims

86001 UnitedHealthcare Community Plan / NJ Claims

86001 UnitedHealthcare Community Plan/NJ (formerly AmeriChoice Claims

86002UnitedHealthcare Community Plan / NY (formerly AmeriChoice

Personal Care) Claims

86003UnitedHealthcare Community Plan / PA (formerly AmeriChoice

Personal Care ) Claims

86033 CIGNA Medicare Advantage Claims

86047 UnitedHealthcare Community Plan / NJ Claims

86048UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY

Medicaid) Claims

86049UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA

Medicaid&CHIP Claims

86052 Mercy Care Plan (AHCCCS) Claims

86062 Ancillary Benefit Services (ABS) Claims

86062 Arizona Foundation for Medical Care (AFMC) Claims

86062 VentureNet Healthcare Claims

86066 HMA Hawaii Claims

86087 Merchants Benefit Administration Claims

86304 Insurers Administrative Corp. Claims

87042 UNION PACIFIC RAILROAD EMPLOYES Health Systems Claims

87726AARP MedicareComplete through UnitedHealthcare / Oxford

Medicare Network Claims

87726AARP MedicareComplete through UnitedHealthcare / Oxford

Mosaic Network Claims

87726AARP MedicareComplete through UnitedHealthcare/AARP

MedicareComplete Claims

87726 Arnett Health Plan Claims

87726 OptumHealth / OptumHealth Behavioral Solutions of NM Claims

87726OptumHealth Behavioral Solutions (formerly United Behavioral

Health) Claims

87726UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly

MAMSI) Claims

87726 UnitedHealthcare / UnitedHealthcare Plan of River Valley Claims

ASK 19

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

87726UnitedHealthcare / UnitedHealthcare West (UnitedHealthcare of CA

OK OR Claims

87726UnitedHealthcare Community Plan / DEFLHILAMDMSNMOH

PARITXWAWI Claims

87726UnitedHealthcare Community Plan / IA hawk-i (formerly

AmeriChoice of Iowa) Claims

87726UnitedHealthcare Community Plan / MS CHIP (formerly

AmeriChoice MS - CHIP) Claims

87726 UnitedHealthcare Community Plan / NE Claims

87726UnitedHealthcare Community Plan / NE (formerly Americhoice

NEShareAdvantag Claims

87726UnitedHealthcare Community Plan / NY (formerly AmeriChoice

Personal Care) Claims

87726UnitedHealthcare Community Plan / UnitedHealthcare Dual

Complete Claims

87726UnitedHealthcare Community Plan / UnitedHealthcare Long Term

Care Claims

87726 UnitedHealthcare Community Plan of Louisiana Claims

87726UnitedHealthcare Community Plan/DEFLHILAMDMS

CANNMOHPARITXWAWI Claims

87726UnitedHealthcare Community Plan/FLHILAMDMS

CANNMOHRITXWI Claims

87726UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic

Complete Claims

87726UnitedHealthcare Medicare Solutions / UnitedHealthcare Group

Medicare Advan Claims

87726UnitedHealthcare Medicare Solutions / UnitedHealthcare

MedicareComplete Claims

87726UnitedHealthcare Medicare Solutions / UnitedHealthcare

MedicareDirect Claims

87726UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing

Home Plan Claims

87815 HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. Claims

88027 Northern Nevada Trust Fund Claims

88050 NHBCAUX Claims

88051 Premier Healthcare Exchange Inc. (PHX) Claims

88052 Benefit Plan Administrators Claims

88055 First Agency Claims

88056 Premier HealthCare Exchange Claims

88058 MED PAY Claims

88067 Tall Tree Administrators Claims

88092 Benefit Management LLC/VBA Claims

88221 Texas Health Aetna Claims

88446 Change Healthcare Accident Claims Solution Claims

ASK 20

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

88461 The Alliance Claims

90001 Healthlink PPO Claims

90001 National Capital Preferred Provider Organization (NCPPO) Claims

90551 US Family Health Plan Claims

91051 Kaiser Foundation Health Plan of Washington Claims

91051 Kaiser Foundation Health Plan of Washington Options Inc Claims

91064 Wenatchee Valley Medical Center Claims

91078 Trusteed Plans Service Corporation Claims

91131 First Choice Health Administrators Claims

91131 First Choice Health Network Claims

91131 Sound Health (now known as First Choice Health Network) Claims

91136 Alaska Carpenters Trust Claims

91136 Alaska Children's Services Inc. Claims

91136 Alaska Laborers Construction Industry Trust Claims

91136 Alaska Pipe Trades Local 375 Claims

91136 Alaska United Food & Commercial Workers Health & Welfare Trust Claims

91136 Cement Masons & Plasterers Health & Welfare Trust Claims

91136 Enstar Natural Gas Claims

91136 Hotel Employees & Restaurant Employees Health Trust Claims

91136 N.W. Ironworkers Health & Security Trust Fund Claims

91136 N.W. Roofers & Employers Health & Security Trust Fund Claims

91136 N.W. Textile Processors Claims

91136 Operating Engineers Locals 302 & 612 Health & Security Fund Claims

91136 Puget Sound Benefits Trust Claims

91136 Puget Sound Electrical Workers Trust Claims

91136 UW Graduate Appointee Plan Claims

91151 Sterling Option 1 Claims

91176 RBMS LLC Claims

91184 Sanford Health Plan Claims

91617 Kaiser Foundation Health Plan of Colorado Claims

91741 Gateway Health Plan OH- Medicare Assured Claims

92620 Tongass Timber Trust Claims

93029 PacificSource Health Plans Claims

93031 Select Benefit Administrators Inc. Claims

93044 A & I Benefit Plan Administrators Claims

93050 William C. Earhart Claims

93079 Kaiser Foundation of the Northwest Claims

93092 US Benefits Claims

93112 Tuality Health Alliance Claims

93221 Asuris Claims

93975 CareOregon Inc. Claims

94056 California Pacific Medical Center Claims

94115 Palo Alto Medical Foundation Claims

ASK 21

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

94119 Sutter East Bay Regional Hospital- Non Sutter Group Claims

94123 Kaiser Permanente Health Plan of Hawaii Claims

94134 Kaiser Foundation Health Plan of Southern CA Region Claims

94135 Kaiser Foundation Health Plan of Northern CA Region Claims

94265 Medica (UHC) Claims

94269 Sutter East Bay Medical Foundation Claims

94302 Chinese Community Health Plan Claims

94312 Center for Elders Independence Claims

94316 Brown & Toland Medical Group Claims

94320 Kaiser Self Funded Claims

94603 UC-Davis Health Claims

95112 Capital Health Plan Claims

95164 Cedars Sinai Medical Claims

95166 Cedars-Sinai Medical Network Services Claims

95167 Cedars-Sinai Medical Network Services Encounters

95192 CommunityConnect HealthPlan Claims

95192 Compcare (Wisconsin BadgerCare only) Claims

95192 Group Health Cooperative of Eau Claire Claims

95202 SummaCare Health Plan Claims

95279 Keenan Associates (CA) Claims

95377 Beech Street Claims

95378 UnitedHealthcare / UnitedHealthcare Plan of River Valley Claims

95378UnitedHealthcare Community Plan / IA hawk-i (formerly

AmeriChoice of Iowa) Claims

95378UnitedHealthcare Community Plan / MS CHIP (formerly

AmeriChoice MS - CHIP) Claims

95393 High Desert Medical Group Claims

95399 CAP Management Systems Claims

95411 FL MCO PHC/PHP Claims

95449 Regal Medical Group Claims

95467UnitedHealthcare Community Plan / MI (formerly Great Lakes

Health Plan) Claims

95567 Health Net of California and Oregon - Claims Claims

95568 Health Net - California (Institutional Encounters ONLY) Encounters

95604 Best Life & Health Insurance Co. Claims

95655 MediGold Claims

95655 Mt. Carmel Health Claims

95958UnitedHealthcare / UnitedHealthcare West Encounters (formerly

PacifiCare) Encounters

95959 UnitedHealthcare West / UnitedHealthcare of CA OK OR TX WA Claims

95962 UnitedHealthcare West (formerly PacifiCare of Colorado) Claims

95964 UnitedHealthcare West (formerly PacifiCare of Arizona) Claims

95999 UnitedHealthcare West (formerly PacifiCare PPO - All States) Claims

96107 Neighborhood Health Partnership (NHP) Claims

ASK 22

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

96176 Sutter East Bay Regional Hospital Claims

96240Neighborhood Health Plan of RI - Commercial Products and

INTEGRITY Claims

96385 UnitedHealthcare Community Plan / KS (KanCare) Claims

96475 Healthlink HMO Claims

96490 InforMed LLC Claims

97661 IEC Group - AmeriBen Claims

98010 Manulife W. J. Sutton Company Claims

98022 TakeCare Insurance Company Claims

98514 TRLHN/AS Claims

99111 Cencal Health Claims

99208 Hawaii Medical Assurance Association (HMAA/HWMG) Claims

99227 Cooperative Managed Care Services Repricing Claims

99255 Loma Linda Claims

99282 Motion Pictures Industry Claims

99284 Greater Covina Medical Group Claims

99308 Sutter Connect Medical Foundation Claims

99320 Benefit & Risk Management Services Claims

99433 Contessa Health Claims

128FL Aetna Better Health of Florida Claims

128KY Aetna Better Health of Kentucky Claims

128MI Aetna Better Health of Michigan Claims

128MO Aetna Better Health of Missouri Claims

128NV Aetna Better Health of Nevada Claims

128VA Aetna Better Health of Virginia Claims

128WV Aetna Better Health of West Virginia Claims

12C01 Tricare West Claims

12K81 MDwise Inc. Claims

12T30 Community Health Plan of Washington Claims

12X27 Magellan Health Services Claims

12X27 National Imaging Assoc Inc / Magellan Health Services Claims

12X29 WPS Health Insurance Claims

12X46 Tricare for Overseas Claims

12X51 CoOportunity Health Claims

12X51 HealthPartners MN Claims

12X59 Global Healthcare Alliance Claims

251CC Together with CCHP Claims

251MS Medstar Select/Medstar Medicare Choice Claims

251PD Piedmont WellStar Health Plan Claims

251PR Premier Health Plan Claims

2700U Medova Claims

33LGC Life Gift Cards Claims

33LGC Mediphe Claims

3414A Klais & Company (Repricing for HealthSpan Network Only) Claims

ASK 23

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

A0701 Alta Bates Medical Group Claims

AAMG1 Asian American Medical Group Claims

AHCA1 Alignment Healthcare Claims

AMBHN Ambay Health Network Claims

ASHC1 National General Claims

AWNY6 AgeWell New York Claims

CB186 Bright Health Plan Claims

CB212 Luther Care Claims

CB231 Independence American Ins. Co Claims

CB637 Aegis Administrative Services Claims

CB695 Resolve/Solarte Health Inc. Claims

CCI01 Community Care IPA Claims

CCIH0 Correctcare Integrated Health (CA Prison Health Care Services) Claims

CMSP1 County Services Medical Program Claims

CORIZ Corizon Health Inc. Claims

CP001 Samaritan Employer Group Plans Claims

CP001 Samaritan Health Plans Claims

CREA8 Create Claims

CXARC ARC Administrators Claims

DOLMG Dolton Medical Group Claims

E3510 North American Medical Management (NAMM) - Northern California Claims

E4618 Seaside Health Plan Encounters

EBSRM Lifetime Benefit Solutions Claims

EC999 County of Riverside Claims

EM205 MED3000 CMS Title 21 Claims

EM216 MED3000 Claims

EM284 MED3000 CMS SAFETY NET Claims

EM843 CMS MMA Specialty Plan Claims

FVMCH Fox Valley Medicine Claims

GACS1 CareSource Georgia Claims

GEM01 Global Excel Management Claims

GHOKC Global Health Claims

INCS1 Caresource Indiana Inc Claims

INDPM Independent Physicians at Mercy Claims

IPA99 Illinois Physicians Alliance IPA Claims

JCARE Jencare Medical Claims

JLSFE JLS Family Enterprises Claims

KCIPA Kane County BCBS Claims

KELSI Kelseycare Claims

KYCS1 CareSource KY Claims

L0110 NAMCI/Global Care Claims

L0140 Ocular Benefits Claims

LACAR LA Care Health Plan Claims

ASK 24

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

LAWND Lawndale Christian Health Center Claims

LCM10 Little Company of Mary Claims

LIFE1 Optum Medical Network / AZ UT (formerly Lifeprint Network) Claims

MAHC1 Medical Associates Health Plan/Health Choices Claims

MDXHI MDX Hawaii Claims

NMM02 LaSalle Medical Group Claims

NPN11 Northwest Physicians Network Claims

OAKST Oak Street Health Claims

OSCAR Oscar Health Claims

OSFC9 OSF Healthcare Central Claims

OSFE9 OSF Healthcare East Claims

PARTH Partners in Health Claims

PCJOL Primary Care of Joliet Claims

PEF01 PEF Clinic Claims

RCMG1 River City Medical Group Claims

RPPG1 Resurrection Physician Provider Group Claims

SCS17 Sendero STAR and CHIP Claims

SIPA1 Southland BCBS Claims

SMG01 Seoul Medical Group Claims

SNTMC Sante Community Physicians Medical Group Corp Claims

STAR1 Mediview Inc. Claims

SX133 Providence of Oregon Health Plan Claims

SX187 Providence PPO Claims

TH131 Physicians United Plan Claims

THCP9 Cook Children Star Plan Claims

TLINS Monumental Life Insurance Company Claims

TLINS Transamerica Financial Life Insurance Company Claims

TLINS Transamerica Life Insurance Company Claims

TLINS Transamerica Premier Life Insurance Company Claims

TRCLF Monumental Life Insurance Company Claims

TRCLF Transamerica Premier Life Insurance Company Claims

TRLTC Monumental Life Insurance Company Claims

TRLTC Stonebridge Life Insurance Company Claims

TRLTC Transamerica Financial Life Insurance Company Claims

TRLTC Transamerica Life Insurance Company Claims

TRLTC Transamerica Premier Life Insurance Company Claims

TRLTC Western Reserve Life Insurance Company Claims

TRP1E Monumental Life Insurance Company Claims

TRP1E Stonebridge Life Insurance Company Claims

TRP1E Transamerica Financial Life Insurance Company Claims

TRP1E Transamerica Life Insurance Company Claims

TRP1E Transamerica Premier Life Insurance Company Claims

TRP1E Union Labor Life Insurance Company - Admin By UBC Claims

ASK 25

EDI Midwest

Payer ID Payer Name Services

EDI Midwest Institutional (Hospital) Payer List

TRP1E Universal Benefits - Admin For Chubb Life Insurance Company Of

America Claims

TRP1E Universal Benefits - Admin For City Of Bridgeport CT Claims

TRP1E Universal Benefits - Admin For Hartford Life And Accident

Insurance Co Claims

TRP1E Universal Benefits - Admin For Hartford Life Insurance Company Claims

TRP1P Monumental Life Insurance Company Claims

TRP1P Stonebridge Life Insurance Company Claims

TRP1P Transamerica Financial Life Insurance Company Claims

TRP1P Transamerica Life Insurance Company Claims

TRP1P Transamerica Premier Life Insurance Company Claims

TRSEL Selman Tricare Supp Claims

UIC67 University of Illinois Claims

VLGMD Village MD Claims

WELM2 WellMed Claims

WVCS1 CareSource West Virginia Claims

ASK 26