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Administrative Services of Kansas
Updated October 2017
Administrative Services of Kansas (ASK) is Blue Cross and Blue Shield of Kansas DBA ASK.
Professional (Medical) Payer ListPayer ID Order
ASK 1
Payer ID47163
47171
00301
00801
00800
31478
31478
31478
55204
31478
31478
31478
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)
Health Partners of Kansas (HPK)
Blue Cross and Blue Shield of Kansas
Blue Cross and Blue Shield of Kansas City
BlueCross and BlueShield of Western New York
BlueCross and BlueShield of Western New York
PAYER NAME
HealthNow New York, Inc
Mo-Kan Sheet Metal Workers Welfare Fund
PHP (Preferred Health Professionals)
Preferred Health Professionals PPO (PHP PPO)
BlueShield of Northeastern New York
Freedom Network
Freedom Network Select
ASK 2
EDI Midwest
Payer IDPayer Name Services
00014 SelectCare Claims
00046 Hill Physicians Medical Group Claims
00773 UnitedHealthcare / Spectera Eyecare Networks Claims
01041 Healthsource ME Claims
01066 American Healthcare Alliance Claims
01260 Magellan Health Services Claims
02038 Healthsource NH 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
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
11244 Fitzharris & Company Inc. Claims
11315 Fidelis Care New York Claims
11334 New York Network Management Claims
11345 CareCentrix Claims
11440 Sendero-IdealCare Claims
12057 Medical Services Initiative Claims
12115 VA Fee Basis Programs Claims
12422 Medica2 Claims
128FL Aetna Better Health of Florida Claims
128KY Aetna Better Health of Kentucky Claims
EDI Midwest Professional (Medical) Payer List
ASK 3
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
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
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
13382 Orthonet - Uniformed Services Family Health Plan 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
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
14180 CareCore National LLC (Oxford Radiology Claims) Claims
14182 CareCore National Claims
14188 CareCore/WCNY RAD Claims
14966 Partners Health Plan Claims
16098 Monitor Life Insurance Company Claims
16117 Lifetime Benefit Solutions Claims
ASK 4
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
16120 ARAZ Group Claims
16120 America's PPO 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
20048 Agate Resources Inc (LIPA) Claims
20048 Trillium Community Health Plan 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
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
ASK 5
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
25133 Altius (Utah) 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 Florida Inc. Claims
25133 Coventry Health Care of Georgia Inc. Claims
25133 Coventry Health Care of Illinois Claims
25133 Coventry Health Care of Iowa Inc. Claims
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 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
251CC Together with CCHP Claims
251MS Medstar Select/Medstar Medicare Choice Claims
251PD Piedmont WellStar Health Plan Claims
251PR Premier Health Plan Claims
ASK 6
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
26316 Retiree Health Trust Claims
27005 Lifestyle Health Plans 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
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
31129 Integra Group-CHA 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
ASK 7
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
33LGC Life Gift Cards Claims
33LGC Mediphe Claims
34080 Multiplan Wisconsin Preferred Provider Network Claims
34131 Self-Funded Plans Inc. Claims
34136 JP Farley Corporation Claims
34145 Klais & Company Claims
3414A Klais & Company (Repricing for HealthSpan Network Only) 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
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
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
ASK 8
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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 Teamcare Claims
36273AARP Hospital Indemnity Plans insured by UnitedHealthcare
Insurance Co Claims
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
36659 United Food & Comm. Workers Midwest Unions Claims
37105 Sage Technologies Claims
37116 Lake County Physicians Association Claims
37136 Physicians Health Association of Illinois Claims
37137 HSHS Medical Group IPA Claims
37227 CNIC Health Solutions Inc. Claims
ASK 9
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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 Medical Value Plan - Ohio (MVP) Claims
38238 Northern California Sheet Metal Workers Health Care Plan Claims
38238Sheet 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
ASK 10
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
41150 Health Services Management Claims
41154 Mayo Clinic Health Solutions Claims
41160OptumHealth Physical Health - includes Oxford (formerly ACN &
ACNIPA) Claims
41161OptumHealth Physical Health - includes Oxford (formerly ACN &
ACNIPA) Claims
41194Optum ? Complex Medical Conditions (CMC) (formerly
OptumHealth Care Solutio Claims
41194OptumHealth Care Solutions (formerly United Resource
Networks) Claims
41194OptumHealth Care Solutions (formerly United Resource
Networks) Encounters
41206 Ultra Benefits Inc. Claims
41600 IMCare Claims
42102 Health Care Network of Wisconsin (HCN) Claims
42138 Cenpatico TPA Claims
42139 Centene TPA Claims
42140 Centurion Claims
42150 Butler Benefit Claims
43123 Imagine Health Claims
43146 American Specialty Health Claims
43166 Mercy Health Plans Claims
43166 Premier Benefits Inc. Claims
43166 Premier Health Plans Claims
43174 Molina Healthcare of Washington (Encounters Only) Claims
43174 Molina Healthcare of Washington (Encounters Only) Encounters
43178 Joplin Claims / Benefit Management Inc Claims
43313 Harken Health Insurance Claims
43619 Teamsters Medicare Trust for Retired Employees Claims
44006 Desert Oasis HealthCare 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
ASK 11
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
45150 Meritus Health Partners Claims
45235 Government Employees Health Association (GEHA PHCS) Claims
45275Government 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
47394 Coastal Care Services Inc Claims
47405 BookMD Inc Claims
47410 Avectus Healthcare Solutions Claims
48008 PhysMetrics Claims
48100 ProviDRs Care Network Claims
48143 Group and Pension Administrators Claims
48145 Community Health Choice Claims
50701 VGM Homelink Claims
50946 Informed UHC Claims
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
52152 Optimum Choice of the Carolinas Inc. (OCCI) Claims
52180 UMWA Health & Retirement Funds Claims
52189 Johns Hopkins Healthcare (EHP/PP) Claims
52190OptumHealth Care Solutions (formerly United Resources
Networks Claims
52192 Bravo Health Claims
ASK 12
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
52192 Bravo Health Star Plus Claims
52192 Cigna-Healthspring Claims
52196 Conifer (formerly InforMed) Claims
52429 Healthscope Benefits - EHC Repricing Claims
52461 March Vision Care Inc. 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
54176 Virginia Premier Health Plan 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
56190 Envolve Benefit Options (formerly OptiCare Managed Vision) 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
57116 Care 1st Health Plan of Arizona Claims
57116 OneCare Claims
57117 QVI Risk Solutions Inc. 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
ASK 13
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
58213 Healthways WholeHealth Networks Claims
58305 Harbor Advantage (Abrazo Health Care) Claims
59087 The National Radiology Network Claims
59204 Fringe Benefits Coordinators Claims
59230 Heritage Consultants 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
60054 Aetna Encounters
60055 Aetna Encounters Encounters
60058 Northstar Advantage Claims
60110 Preferred Health Systems Insurance Company Claims
60110 Preferred Plus of Kansas 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
61102 Humana Inc. Encounters Encounters
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
61271 J. F. Molloy and Associates Inc. Claims
61271 Principal Financial Group Claims
61604 PrimeWest Health Claims
61665 Preferred Health Systems A Coventry Health Care Plan Claims
62030 American General Claims
ASK 14
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
62129 Healthsource TN (CIGNA) Claims
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
65031 CarePlus Health Plans Inc. 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
ASK 15
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
66917 Parkland Community Health Plan Claims
68021 Health Net - VA Patient Centered Community Care Program Claims
68035 Health Plan of San Joaquin Claims
68035 San Joaquin Health Administrators Claims
68036 John Muir Mt. Diablo Health System Claims
68036 John Muir Physician Network 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
ASK 16
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
68069 IlliniCare Claims
68069 KS - Sunflower State Health Claims
68069 Kentucky Spirit Health Plan Claims
68069 Louisiana Healthcare Connections Claims
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
ASK 17
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
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
75185AAG-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
75299Multicultural 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
ASK 18
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
76343 Health Plan of Nevada (Encounters) Encounters
76343 Sierra Health and Life (Encounters) Encounters
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
77170 Common Ground Health Cooperative Claims
77201 Clearchoice Health Plan / COIHS Claims
77302Sutter Valley Medical Foundation dba Sutter Gould Medical
Foundation Claims
77304 Sutter Medical Group of the Redwoods Claims
77306 Solano Regional Medical Group Claims
77316 Solano Regional Medical Group Claims
77318 Sutter Delta Medical Group Claims
78375 Connecticare - Medicare Claims
79966 Amida Care Medicare Claims
80019 MSC (Medical Service Company) Group Inc Claims
80141 Healthfirst Health Plan of New Jersey Claims
80141 Healthfirst Inc. (New York) 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
81400UnitedHealthOne / PacifiCare Life and Health Insurance
Company Claims
81794 Molina Healthcare of Puerto Rico (Claims Only) Claims
82018 HCS - Health Claims Service (Boise ID) Claims
ASK 19
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
84096 Sloans Lake Preferred Health Networks Claims
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
84134 Denver Health and Hospital Authority - Indigent Care 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
84806 Virginia Coordinated Care-VCC Claims
85256 Wabash Memorial Hospital Association Claims
85729 Healthcomp Inc. Claims
86001 UnitedHealthcare Community Plan / NJ Claims
86001UnitedHealthcare Community Plan/NJ (formerly AmeriChoice
Personal Care Pl 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 UHC / Oxford Medicare
Network Claims
ASK 20
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
87726AARP MedicareComplete through UHC / Oxford Mosaic Network -
AARP MedicareCo Claims
87726AARP MedicareComplete through UnitedHealthcare/AARP
MedicareComplete Claims
87726 Arnett Health Plan Claims
87726 OptumHealth Claims
87726 OptumHealth / OptumHealth Behavioral Solutions of NM Claims
87726OptumHealth Behavioral Solutions (formerly United Behavioral
Health) Claims
87726 UnitedHealthcare Claims
87726 UnitedHealthcare / Definity Health Plan Claims
87726 UnitedHealthcare / Empire Plan Claims
87726UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH
(formerly MAMSI) Claims
87726 UnitedHealthcare / UnitedHealthcare Plan of River Valley Claims
87726UnitedHealthcare / UnitedHealthcare West (UnitedHealthcare of
CA OK OR 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 / 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
88019 Teachers Health Trust Claims
88027 Northern Nevada Trust Fund Claims
ASK 21
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
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 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
ASK 22
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
93044 A & I Benefit Plan Administrators Claims
93050 William C. Earhart Claims
93079 Kaiser Foundation of the Northwest Claims
93092 US Benefits Claims
93093 LifeWise Healthplan of Oregon 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
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
94154 Humboldt-Del Norte Foundation for Medical Care 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
94321 Children First Medical Group Claims
94603 UC-Davis Health Claims
95019 Matrix - Health First Health Plan 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
95321 Medfocus 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
95424 Access Medical Group Claims
ASK 23
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
95432 Facey Medical Foundation Claims
95449 Regal Medical Group Claims
95460 Key Health Medical Solutions Inc Claims
95467UnitedHealthcare Community Plan / MI (formerly Great Lakes
Health Plan) Claims
95567 Health Net of California and Oregon - Claims Claims
95570 Health Net - California (Professional Encounters ONLY) Encounters
95600 Emergency Medical Services Fund - Orange County CA Claims
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
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
99026 University Health Alliance Claims
99208 Hawaii Medical Assurance Association (HMAA/HWMG) Claims
99227 Cooperative Managed Care Services Repricing Claims
99282 Motion Pictures Industry Claims
99284 Greater Covina Medical Group Claims
99320 Benefit & Risk Management Services Claims
99433 Contessa Health Claims
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
AVA01 Avalon Administrative Services - BCBSSC Claims
AVA02 Avalon Administrative Services - BCBSNC Claims
AWNY6 AgeWell New York Claims
ASK 24
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
BTSS1 Brown & Toland Sutter Select Claims
CB186 Bright Health Plan Claims
CB212 Luther Care Claims
CB231 Independence American Ins. Co Claims
CB457 WellSpan Employee Assistance Program Claims
CB637 Aegis Administrative Services Claims
CB695 Resolve/Solarte Health Inc. Claims
CCI01 Community Care IPA 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
DREYR Dreyer Health Claims
E3510 Central Valley Medical Group Claims
E3510 North American Medical Management (NAMM) - Northern
California Claims
E3510 North American Medical Management (NAMM) - Southern
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
FS802 Bridgeview Claims
FVMCH Fox Valley Medicine Claims
GACS1 CareSource Georgia Claims
GEM01 Global Excel Management Claims
GHOKC Global Health Claims
HESUN Healthsun Health Plans Claims
INCS1 Caresource Indiana Inc Claims
INDPM Independent Physicians at Mercy Claims
IP086 Good Samaritan Medical Practice Association Claims
IPA99 Illinois Physicians Alliance IPA Claims
JCARE Jencare Medical Claims
JLSFE JLS Family Enterprises Claims
KCIPA Kane County BCBS Claims
KELSE Kelseycare Claims
KYCS1 CareSource KY Claims
L0110 NAMCI/Global Care Claims
ASK 25
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
L0140 Ocular Benefits Claims
L0260 Constellation Health Claims
LACAR LA Care Health Plan Claims
LAWND Lawndale Christian Health Center Claims
LCM10 Little Company of Mary Claims
LIFE1 Optum Medical Network / AZ UT (formerly Lifeprint Network) Claims
LNDMK Landmark Healthcare Inc Claims
MAHC1 Medical Associates Health Plan/Health Choices Claims
MDXHI MDX Hawaii Claims
MSO11 San Diego County Medical Services (CMS) Claims
MSO33 San Diego County Ryan White Care Act Claims
MSO77 San Diego County Coverage Initiative (CI) Claims
NMM02 LaSalle Medical Group Claims
NPN11 Northwest Physicians Network Claims
NSIPA Network Solutions IPA Claims
OAKST Oak Street Health Claims
OSCAR Oscar Health Claims
OSFC9 OSF Healthcare Central Claims
OSFE9 OSF Healthcare East Claims
PARTD Transact RX Claims
PARTH Partners in Health Claims
PCJOL Primary Care of Joliet Claims
PEF01 PEF Clinic Claims
PMGSC Physicians Medical Group of Santa Cruz County Claims
PSKW0 PSKW Claims
RCMG1 River City Medical Group Claims
RMC01 Riverside Medical Clinic Claims
RPPG1 Resurrection Physician Provider Group Claims
RX001 TransactRX Infusion and Specialty Claims
SCS17 Sendero STAR and CHIP Claims
SCWI0 Tricare West Claims
SDCOM Scion Dental Commercial Claims
SIPA1 Southland BCBS Claims
SMG01 Seoul Medical Group Claims
SNTMC Sante Community Physicians Medical Group Corp Claims
STAR1 Mediview Inc. Claims
SX009 CoOportunity Health Claims
SX009 HealthPartners MN Claims
SX022 WPS Health Insurance Claims
SX071 CIGNA Behavioral Health Claims
SX109 Molina Healthcare Utah (Claims Only) Claims
SX133 Providence of Oregon Health Plan Claims
SX141 Rocky Mountain Health Plan - Grand Junction Claims
SX163 Tricare Overseas Claims
ASK 26
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
SX172 MDwise Eskenazi- Healthy Indiana Plan Claims
SX172 MDwise Eskenazi- Hoosier Healthwise Claims
SX172 MDwise Excel- Healthy Indiana Plan Claims
SX172 MDwise Excel- Hoosier Healthwise Claims
SX172 MDwise Family Planning Claims
SX172 MDwise Franciscan St. Anthony- Healthy Indiana Plan Claims
SX172 MDwise Franciscan St. Margaret- Healthy Indiana Plan Claims
SX172 MDwise Hoosier Care Connect Claims
SX172 MDwise IU Health- Healthy Indiana Plan Claims
SX172 MDwise IU Health-Hoosier Healthwise Claims
SX172 MDwise Inc Claims
SX172 MDwise Inc. Claims
SX172 MDwise Select Health- Healthy Indiana Plan Claims
SX172 MDwise St. Catherine- Healthy Indiana Plan Claims
SX172 MDwise St. Vincent-Healthy Indiana Plan Claims
SX172 MDwise Total Health- Healthy Indiana Plan Claims
SX172 MDwise Total Health- Hoosier Healthwise Claims
SX174 Health Plan of San Mateo Claims
SX187 Providence PPO Claims
SX190 National Imaging Associates 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
TRP1E Universal Benefits - Admin For Chubb Life Insurance Company
Of America Claims
TRP1E Universal Benefits - Admin For City Of Bridgeport CT Claims
ASK 27
EDI Midwest
Payer IDPayer Name Services
EDI Midwest Professional (Medical) Payer List
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
UHNDC PPOONE Claims
UIC67 University of Illinois Claims
VLGMD Village MD Claims
WELM2 WellMed Claims
WVCS1 CareSource West Virginia Claims
ASK 28