PayerIDList

1	Payer (Insurance Company)	Payer ID	Additional Info
2	1199 National Benefit Fund	13162	Please include Network ID when submitting claims. Call Renaud Dufresne at (646) 473-6960 for a list of Network ID's.
3	1-888-OHIOCOMP (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
4	3-Hab (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
5	ABAS Inc.	37225	Please call Julie Blazek at (630) 416-1111, ext. 156, to verify if you should be sending claims to ABAS Inc. Their address is 1733 Park Street, Naperville, IL 60563.
6	ABC Health Plan	48185	For your ABC Provider Number, please call (631) 360-3102.
7	ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizon)	E3510	Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
8	Access Administrators	TH067
9	Acclaim	64071
10	Acclaim Repricing	21356
11	Acordia National	87815
12	ACS Benefit Services, Inc.	72467	DO NOT send ACS/Health Net or ACS, Inc. Medicaid claims to this payer ID. This payer ID is for ACS Benefit Services. Inc. ONLY.
13	Activa Benefit Services, LLC	38254	(Formerly Amway Corporation)
14	Admar Corporation	95285
15	Administrative Service Consultants	Call	To obtain the payer ID, please call (440) 262-1160.
16	AdminOne	37278
17	Advantage Health Solutions	35209
18	Advantra/Health America, Inc./Health Assurance	25126
19	Adventist Risk Management	52197
20	AdvoCare Incorporated (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
21	Advocate Health Centers	36320	Required data elements needed for submission. Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or Tony Hani (847) 699-4368 for more info.
22	Advocate Health Partners	65093	Required data elements needed for submission. Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or Tony Hani (847) 699-4368 for more info.
23	Aetna	60054
24	Aetna	60054
25	Aetna	60054	Please contact your Aetna Network Manager for submission requirements.
26	Aetna	60054
28	Aetna Encounters	60055	This is a BATCH ENCOUNTER payer. Please contact your Aetna Network Manager for submission requirements.
29	Affordable Benefit Administrators	95426
30	AFTRA Health Fund	13346
31	AGA	37280
32	Agency Services Inc	64158
33	A.G.I.A. Inc.	95241	Claims are printed and mailed to the payer.
34	Alabama Health Partners	SX045
35	Alaska Children's Services, Inc.	91136	Please enter Group Number (P68) when submitting claims.
36	Alaska Electrical Health & Welfare Fund	Pilot
37	Alaska Laborers Construction Industry Trust	91136	Please enter Group Number (F23) when submitting claims.
38	Alaska Pipe Trades Local 375	91136	Please enter Group Number (F24) when submitting claims.
39	Alaska United Food & Commercial Workers Health & Welfare Trust	91136	Please enter Group Number (F45) when submitting claims.
40	ALICARE	13550
41	Alignis	58213
42	Alliance PPO, Inc. (Maryland)	52149
43	Alliance (The WI providers only)	Call	Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.
44	Alliant Health Plans of Georgia	58234
45	Allied Administrators (San Francisco, CA)	94177
46	Allied Benefit Systems	37308
47	Alpha Data	TH085	Provider ID required for all THIN payers.
48	ALPS CompCare (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
49	Alta Bates Medical Group	Call	Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.
50	Alta Health Strategies	87043
51	Alta Senior Care (Hnet Sr and Secure Horizons only)	E3510	Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
52	Altius	SX113	Providers who do not have an Altius provider number assigned should contact Altius Provider Relations at 801-933-3141 (Ann Dupey).
53	Altuis	25149
54	AMA Insurance Agency	TH071
55	Amalgamated Life	13550
56	AmeraPlan	38219	Claims are printed and mailed to the payer.
57	AmeriBen Solutions, Inc.	75137
58	Americaid Community Care (Maryland)	27517
59	Americaid Community Care (New Jersey)	27516
60	American Administrative Group	75240
61	American Benefit Administrative Services, Inc.	37225	Please call Julie Blazek at (630) 416-1111, ext. 156, to verify if you should be sending claims to American Benefit Administrative Services, Inc. Their address is 1733 Park Street, Naperville, IL 60563.
62	American Benefits Management (North Canton, OH)	34187	Payer ID valid only for claims with a billing submission address of P.O. Box 35008, N. Canton, OH 44735
63	American Chiropractic Network (ACN)	41161
64	American Chiropractic Network IPA of NY (ACNIPA)	41160
65	American Commercial Barge Lines	37128
66	American Community Mutual Insurance	60305
67	American Community Mutual Insurance	60305
68	American General	62030
69	American General	62030
70	American Healthcare Alliance	1066
71	American Imaging Management, Inc.	36369	Assigned Group Policy Plan ID is required. To obtain, please call American Imaging Management, Inc. at (800) 252-2021.
72	American International Group, Inc. (AIG)	87726	Plan of UnitedHealthcare
73	American International Group, Inc. (AIG)	87726	Plan of UnitedHealthcare
74	American LIFECARE	72099	Please enter the Group Number from ID card when submitting claims. Payer ID valid only for claims with a billing submission address of 1100 Poydras Street, Suite 2600, New Orleans, LA 70163-2602.
75	American Medical Security, Inc.	81400
76	American National Ins. Co. (ANICO)	74048
77	American Postal Workers Union Health Plan	44444	Claims for the state of Maine ONLY must be sent on paper to MedNet, P. O. Box 15440, Portland, ME 04112.
78	American PPO	14190
79	American Republic Insurance	42011
80	American Republic Insurance	42011
81	AmeriChoice of New Jersey, Inc. (Medicaid NJ)	86047
82	AmeriChoice of New Jersey Personal Care Plus (Medicare)	86001	All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (888) 362-3368 for your Provider ID Number.
83	AmeriChoice of New York, Inc. (Medicaid NY)	86048
84	AmeriChoice of New York Personal Care Plus (Medicare)	86002	All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (866) 362-3368 for your Provider ID Number.
85	AmeriChoice of Pennsylvania, Inc. (Medicaid PA)	86049
86	AmeriChoice of Pennsylvania Personal Care Plus (Medicare)	86003	All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (800) 345-3627 for your Provider ID Number.
87	Amerigroup Corporation (Ft Worth)	27514	Formally Americaid Community Care (Dallas/Ft. Worth).
88	Amerigroup Corporation (Houston)	27515	Formerly Americaid Community Care (Houston).
89	Amerigroup Florida	27519
90	Amerigroup Illinois	27518
91	AmeriHealth Administrators	23252
92	AmeriHealth HMO New Jersey and Delaware	23037
93	AmeriHealth Mercy Health Plan	22248	Medicaid managed care. For EDI support, please e-mail edi.amhp@kmhp.com.
94	Anchor Benefit Consulting, Inc.	53085
95	Ancillary Benefit Systems/ Arizona Foundation for Medical Care	86062
96	APA Partners, Inc.	16140
97	Apex Benefit Services	34196
98	APIPA	SX102
99	ARAZ	16120
100	Arcadian Management Services, Inc	77045
101	Arizona Health Concepts	TH001
102	Arizona Mercy Care (AHCCS)	SX100	Non-Participating Payer - see last page for definition.
103	Arizona Physicians/IPA (AHCCS)	SX102	Non-Participating Payer - see last page for definition.
104	Arkansas Best Corporation -Choice Benefits	75278
105	Arnett Health Plans	95440	Please contact Shannon Hegel at Arnett Heatlh Plans at (765) 448-7483 before enrolling for ERA with WebMD Envoy.
106	Arnett Health Plans	95440	Payer requires unique Provider ID for billing, rendering or referring provider fields. Contact Arnett Health Plan's EDI Coordinator at 765-448-7483 for additional information prior to first claims submission.
107	ASC of Oho	Call	To obtain the payer ID, please call (440) 262-1160.
108	Associates for Health Care, Inc. (AHC)	36326
109	Assured Benefits Administrators	74240
110	Athens Area Health Plan Select	95691
111	Atlanticare [also known as Horizon HealthCare Admin (HHA)]	22304
112	Atlantis Health Plan	13853
113	Atlas Administrators	TH004	Currently only accepts UCO Providers. The group number must be 8 characters in length. Only one of the characters can be a dash. If the group number is entered, then the group name must also be entered.
114	AultComp Managed Care Organization (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
115	Automated Benefit Services	38259
116	Automated Group Administration, Inc.	37280	Please send these EDI claims to the Payer ID of the PPO shown on the Member's ID Card. If you have any questions, please call 260-489-6447 (703).
117	Automotive Machinists Local 289 Health & Welfare Trust	91136	Please enter Group Number (F32) when submitting claims.
118	AvatarComp (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
119	Avera Health Plans	46045
120	AvMed, Inc.	59274	The Insured ID and Patient ID fro this payer must be the 11-digit Member ID.
121	Banner Health AZ	SX145
122	Banner Health Co. - ANTERO GREELEY	SX124
123	Banner Health Co. - ANTERO HIGH PLAINS	SX116
124	Banner Health Co. - ANTERO MOUNTAIN SHADOWS	SX126
125	Banner Health Co. - CHOICE PLUS	SX115
126	Banner Health Co. - HMO GREELEY	SX118
127	Banner Health Co. - HMO HIGH PLAINS	SX117
128	Banner Health Co. - HMO MOUNTAIN SHADOWS	SX127
129	Banner Health Co. -PACIFICARE GREELEY	SX123
130	Banner Health Co. -PACIFICARE HIGH PLAINS	SX119
131	Banner Health Co. -PACIFICARE MOUNTAIN SHADOWS	SX128
132	Banner Health Co, - ROCKY MOUNTAIN HMO GREELEY	SX121
133	Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS	SX120
134	Banner Health Co. - ROCKY MOUNTAIN HMO MOUNTAIN SHADOWS	SX129
135	Banner Health Co. - SECURE HORIZONS GREELEY	SX125
136	Banner Health Co. - SECURE HORIZONS HIGH PLAINS	SX122
137	Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS	SX130
138	Bass Administrators, Inc.	37248
139	BCI Administrators, Inc.	49153
140	Beech Street Corporation	95377
141	BeneFirst	37125
142	Benefit Coordinators Corporation (Pittsburgh, PA)	25145	Payer ID valid only for claims with a billing submission address of 111 Ryan Court, Suite 300, Pittsburgh, PA 15205.
143	Benefit Management Group	TH082	Provider ID required for all THIN payers.
144	Benefit Management Systems, Inc	37212
145	Benefit Plan Administrators Co. (Eau Claire, WI)	39081	Payer ID valid only for claims with a billing submission address of P.O. Box 1128, Eau Claire, WI 54702-1128.
146	Benefit Plan Administrators, Inc. (Roanoke, VA)	37118	Please call Mary Bender at (540) 345-2721 to verify if you should be sending to the Benefit Plan Administrators, Inc., in Roanoke, VA.
147	Benefit Plan Management, Inc.	37222
148	Benefit Planners, Inc.	74223
149	Benefit Resources	2053
150	Benefits, Inc.	42148
151	Benefit Source, Inc.	38257
152	Benefit Systems & Services, Inc. (BSSI)	36342
153	Benesight	87265	(Formerly known as The TPA)
154	Benesys	37248
155	Benesys, Inc.	37248
156	Berkshire Health Partners	Call	Before submitting please contact Lori Calpino at (610) 372-8044 ext. 3019
157	Best Life & Health Insurance Co.	95604
158	Better Health Plans, Inc.	62183
159	Better Health Plans of South California	32006
160	Bexar Medical IPA	Pilot
161	BHSG of Tennessee	SX002
162	Bluegrass Family Health	61124
163	BMC HealthNet Plan	13337	Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID #, including all leading zeros.
164	Boilermakers National Health & Welfare Fund	36609
165	Boon-Chapman Benefit Administrators, Inc.	74238
166	Boston Medical Center Health Plan, Inc.	13337	Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID #, including all leading zeros.
167	Boston Medical Center Health Plan, Inc.	13337
168	Boyd Bros. Transportation, Inc.	37273
169	BoydCare	37273
170	BPA/Benefit Plan Administrators (North Dakota)	37286
171	Bridge Benefits	38365
172	Bridgestone Claims Services	37285
173	Brockerage Concepts, Inc.	51037
174	Brodart Co.	37262
175	Brokerage Service Inc	Call	To obtain the payer ID, please call (440) 262-1160.
176	Brown & Toland Medical Group	94316
177	Brown & Toland Medical Group	94316
178	Bryan Independent School	TH075	Provider ID required for all THIN payers.
179	BSI	Call	To obtain the payer ID, please call (440) 262-1160.
180	Buckeye Community Health	32004
181	Buenaventura Medical Group, Inc.	50240	Claims are printed and mailed to the payer.
182	Butler Benefit	42150
183	Cambridge ISG	59334
184	Cannon Cochran Management Services, Inc.	37105
185	Cape Health Plan	38245
186	Capital Community Health Plan	87726
187	Capital District Physician's Health Plan	SX065
188	Capitol Administrators	68011
189	Carechoices Michigan - Mercy Healthplans	Pilot	Enrollment required; please contact Noreen at (248) 489-5281.
190	CareCore National	14182
191	CareCore National - Healthnet	14184	The Payer requires the following - Additional Provider Info E6; RENDERING PROVIDER NETWORK ID -E6-14, REFERRING PROVIDER ID E0-25, FACILITY INFO - J0, FACILITY ID J0-10
192	CareCore National, LLC (Aetna Radiology Claims)	14179
193	CareCore National, LLC (Oxford Radiology Claims)	14180
194	Carelink Advantra	25139	West Virginia HealthAssurance and Carelink commercial claims only. For Carelink Medicaid, send on paper to P.O. Box 7373, London, KY 40742.
195	Carelink Health Plan	25139	West Virginia HealthAssurance and Carelink commercial claims only. For Carelink Medicaid, please send claims to payer ID 25140.
196	Carelink Health Plan	25139
197	Carelink Medicaid	25140
198	Carelink Medicaid	25140
199	Carenet	25142
200	Carenet	25142
201	Care Plus Health	Pilot
202	CarePlus Health Plans, Inc.	65031	(Formerly Physicians Healthcare Plans Inc)
203	CareSource	31114
204	Careworks	10010	Payer is receiving NSF 3.0. eMCDS file is sent to OKC and then translated to NSF3.0. Files are then pushed to Careworks' Production Server.
205	CareWorks (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
206	Cariten Healthcare	62073
207	Cariten Senior Health	62072
208	Carolina Benefit Administrators Inc.	37245
209	Carolina Care Plan	57105
210	Carolina Summit Healthcare, Inc.	56195
211	Carpenter's Health and Welfare Trust Fund of St. Louis	25125	Utilizes the CMR Network.
212	Cascade East Health Plans	93040
213	CBCA Administrators	55438
214	CBSA	41124
215	CCN Managed Care, Inc.	33005	Please include Group Name and Insured's Employer Name on claims.
216	CDPHP	SX065	Transitional Payer - see last page for definition.
217	Cedar Rapids Electrical Workers	TH046
218	Cedars-Sinai Medical Network Services	95166
219	Cedars-Sinai Medical Network Services	95167
220	Cemara Administrators Inc.	37250
221	Cement Masons & Plasterers Health & Welfare Trust	91136	Please enter Group Number (F16) when submitting claims.
222	CenterCare	Pilot
223	Centra	75196
224	Centra Benefit Services	75196
225	Central Benefits Life	31118
226	Central Benefits Mutual	31118
227	Central Benefits National	31118
228	Central Reserve Life	34097
229	Central States Health & Welfare Funds	36215
230	Central States Joint Board Health and Welfare Fund	37214
231	Central Valley Medical Group	E3510	Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
232	Century Health Solutions	48120
233	CHA - Commonwealth Health Alliance	23171
234	CHAMPVA - HAC	84146
235	CHAMPVA-HAC	84146	CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS).
236	Chautauqua County Healthcare Plan (Mayville, NY)	16600
237	Chesapeake Life Insurance Company - Insurance Center	59223	Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017, North Richland Hills, TX 76182.
238	Chesapeake Life Insurance Company - Insurance Center	59223
239	Children of Women Vietnam Veterans-VA HAC	84146
240	Children of Women Vietnam Veterans-VA HAC	84146
241	Choice One/UTMB CHIP Health Plan	76049	Prior to submitting please call Provider Relations at (281) 652-8700.
242	CHP/RPU (FABOH)	Call	Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.
243	Christian Brothers Services	61271
244	Christus Spohn Health Network	74261
245	CHS Claims	37288
246	CIGNA	62308	Providers/Vendors must register using payer specific enrollment forms located at www.webmdenvoy.com. Payer ID 68195 will no longer be valid as of Dec. 15, 2003
247	CIGNA	62308
248	CIGNA Behavioral Health	SX071	Enrollment required. Please contact E-commerce at (800) 334-8925.
249	CIGNA Healthcare for Seniors -Arizona Medicare	86033
250	CIGNA Health Plan - HMO	62308
251	CIGNA - PPA	62308
252	CIGNA - PPO	62308
253	Cimarron Health Plan	TH058
254	Cimarron Salud	TH059
255	City of Oklahoma City	59142
256	Claims Management Services	39141
257	ClaimsWare, Inc. DBA ManageMed	57080	Claims are printed and mailed to the payer.
258	Clarendon Kids Chip Program	TH006
259	Clearchoice Health Plan / COIHS	77201
260	Coalition for Care/Medtrex Payer HS	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
261	Coalition for Care/Medtrex PayerTC	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
262	Coalition for Care/Medtrex Payer WL	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
263	Coalition for Care/Medtrx GH	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
264	Coalition for Care/Medtrx IX	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
265	Coalition for Care/Medtrx L8	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
266	Coalition for Care/Medtrx Payer EM	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
267	Coalition for Care/Medtrx Payer FI	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
268	Coalition for Care/Medtrx Payer HP	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
269	C&O Employees Hospital Association	23708
270	Colonial Healthcare	37123
271	Colorado Access	84129
272	Colorado Medicaid Access	SX114
273	Columbia Cornell Care	25351
274	Columbia United Providers	91162
275	Combined Benefits, Inc.	37271
276	Commerce Benefits Group	34181
277	CommonWealth Administrative Group	37237
278	Commonwealth Administrators	TH026
279	Community Care Behavioral Health Organization	25179
280	Community Care Managed Health Care Plans of Oklahoma	73143
281	Community Care Organization	39126
282	Community Care Plus	71079
283	Community Choice of Michigan	Pilot
284	Community First	TH005
285	Community Health Alliance	35193
286	Community Health Choice	48145
287	Community Health Electronic Claims/CHEC/webTPA	75261
288	Community Health Network of CT	62149	Community Health Network of CT cannot accept electronic claims for Anesthesia. If you have questions on how to submit these claims, please contact LeAnn Olson, Director of Claims, at (203) 237-4000, ext. 3136.
289	Community Health Plan	90010	Located in St. Joseph, MO. Service area includes NW Missouri, NE Kansas, SW Iowa, and SE Nebraska.
290	Community Health Plan Washington	SB613
291	Community Premier Plus	Pilot
292	Community Premier Plus for Neighborhood Health Providers	32481
293	CompBenefits Corporation	37297
294	Complete Health of Alabama	SX004
295	CompManagement Health Systems, Inc. (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
296	CompManagement/Integrated Comp (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
297	Comp - Ohio (Austintown, OH)	34177
298	Comp One (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
299	Comprehensive Benefits Administrator, Inc.	3036
300	Comprehensive Medical Care (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
301	ConnectiCare, Inc	6105
302	ConnectiCare, Inc	6105
303	Connecticut General (CIGNA)	62308
304	Consociate Group	37135
305	Consolidated Associates Railroad	75284
306	Consumer Health Solutions	37295
307	Continental General Insurance Company	71404	Claims are printed and mailed to the payer.
308	CHP/RPU (FABOH)	Call	Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.
309	Christian Brothers Services	61271
310	Christus Spohn Health Network	74261
311	CHS Claims	37288
312	CIGNA	62308	Providers/Vendors must register using payer specific enrollment forms located at www.webmdenvoy.com. Payer ID 68195 will no longer be valid as of Dec. 15, 2003
313	CIGNA	62308
314	CIGNA Behavioral Health	SX071	Enrollment required. Please contact E-commerce at (800) 334-8925.
315	CIGNA Healthcare for Seniors -Arizona Medicare	86033
316	CIGNA Health Plan - HMO	62308
317	CIGNA - PPA	62308
318	CIGNA - PPO	62308
319	Cimarron Health Plan	TH058
320	Cimarron Salud	TH059
321	City of Oklahoma City	59142
322	Claims Management Services	39141
323	ClaimsWare, Inc. DBA ManageMed	57080	Claims are printed and mailed to the payer.
324	Clarendon Kids Chip Program	TH006
325	Clearchoice Health Plan / COIHS	77201
326	Coalition for Care/Medtrex Payer HS	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
327	Coalition for Care/Medtrex PayerTC	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
328	Coalition for Care/Medtrex Payer WL	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
329	Coalition for Care/Medtrx GH	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
330	Coalition for Care/Medtrx IX	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
331	Coalition for Care/Medtrx L8	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
332	Coalition for Care/Medtrx Payer EM	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
333	Coalition for Care/Medtrx Payer FI	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
334	Coalition for Care/Medtrx Payer HP	Call	Please call Provider Relations at (201) 634-8700 for the payer ID.
335	C&O Employees Hospital Association	23708
336	Colonial Healthcare	37123
337	Colorado Access	84129
338	Colorado Medicaid Access	SX114
339	Columbia Cornell Care	25351
340	Columbia United Providers	91162
341	Combined Benefits, Inc.	37271
342	Commerce Benefits Group	34181
343	CommonWealth Administrative Group	37237
344	Commonwealth Administrators	TH026
345	Community Care Behavioral Health Organization	25179
346	Community Care Managed Health Care Plans of Oklahoma	73143
347	Community Care Organization	39126
348	Community Care Plus	71079
349	Community Choice of Michigan	Pilot
350	Community First	TH005
351	Community Health Alliance	35193
352	Community Health Choice	48145
353	Community Health Electronic Claims/CHEC/webTPA	75261
354	Community Health Network of CT	62149	Community Health Network of CT cannot accept electronic claims for Anesthesia. If you have questions on how to submit these claims, please contact LeAnn Olson, Director of Claims, at (203) 237-4000, ext. 3136.
355	Community Health Plan	90010	Located in St. Joseph, MO. Service area includes NW Missouri, NE Kansas, SW Iowa, and SE Nebraska.
356	Community Health Plan Washington	SB613
357	Community Premier Plus	Pilot
358	Community Premier Plus for Neighborhood Health Providers	32481
359	CompBenefits Corporation	37297
360	Complete Health of Alabama	SX004
361	CompManagement Health Systems, Inc. (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
362	CompManagement/Integrated Comp (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
363	Comp - Ohio (Austintown, OH)	34177
364	Comp One (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
365	Comprehensive Benefits Administrator, Inc.	3036
366	Comprehensive Medical Care (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
367	ConnectiCare, Inc	6105
368	ConnectiCare, Inc	6105
369	Connecticut General (CIGNA)	62308
370	Consociate Group	37135
371	Consolidated Associates Railroad	75284
372	Consumer Health Solutions	37295
373	Continental General Insurance Company	71404	Claims are printed and mailed to the payer.
374	Conversion Plan-APWU	55544	Claims are printed and mailed to the payer.; For conversion plan members only. If filing a claim for a federal plan member, please use payer ID 44444.
375	Cooperative Benefit Administrators (CBA)	52132
376	Cooperative Benefit Administrators (CBA)	52132
377	Coordinated Medical Specialists	58204
378	Core Administrative Services	58231
379	CoreSource AZ MN	41045	Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesota. For assistance call 800-698-0106.
380	CoreSource AZ MN	41045	Email address is payorid41045@coresource.com;Full process for notification of a provider request for an 835 from WebMd/CoreSource Payer Id 41045 attached.
381	CoreSource Little Rock	75136	Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in Little Rock, Arkansas. For assistance call 800-689-0106.
382	CoreSource Little Rock	75136	Must Notify Payer
383	CoreSource MD PA IL	35182	Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Maryland, Pennsylvania or Illinois. For assistance call 800-689-0106.
384	CoreSource MD PA IL	35182	Email address is payorid35182@coresource.com
385	CoreSource NC IN	35180	Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of North Carolina or Indiana. For assistance call 800-689-0106.
386	CoreSource NC IN	35180	Email address is payorid35180@coresource.com
387	CoreSource OH	35183	Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the state of Ohio. For assistance call 800-689-0106.
388	CoreSource OH	35183	Email address is payorid35183@coresource.com
389	Cornerstone Benefit Adminstrators	35202
390	Corporate Benefit Services of America	41124	Payer ID valid only for claims with a billing submission address of P.O. Box 27267, Minneapolis, MN 55427-0267.
391	Corporate Benefits Service, Inc. (NC)	56116	Payer ID valid only for claims with a claims submission address of P.O. Box 12953, Charlotte, NC 28220.
392	Corporate Systems Administration	37246
393	Correctional Medical Services	43160
394	CorSolutions	48146
395	Corvel Corporation (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
396	Cottage Health System	37288
397	Cottage Hospital	37288
398	Country Life Insurance Company	62553
399	Covenant Administrators, Inc. (Atlanta, GA)	58102
400	Coventry Health Care of Delaware, Inc.	25130
401	Coventry Health Care of Delaware, Inc.	25130
402	Coventry Health Care of Georgia, Inc.	25127
403	Coventry Health Care of Georgia, Inc.	25127
404	Coventry Health Care of Iowa, Inc.	25132
405	Coventry Health Care of Iowa, Inc.	25132
406	Coventry Health Care of Kansas, Inc. - Kansas City	25133
407	Coventry Health Care of Kansas, Inc. - Kansas City	25133
408	Coventry Health Care of Kansas, Inc. - Wichita	25134
409	Coventry Health Care of Kansas, Inc. - Wichita	25134
410	Coventry Health Care of Louisiana, Inc.	25135
411	Coventry Health Care of Louisiana, Inc.	25135
412	Coventry Health Care of Nebraska, Inc.	25136
413	Coventry Health Care of Nebraska, Inc.	25136
414	Coventry - Kansas City Medicare (Advantra)	25144	As of June 17, 2003, claims for payer id 25144 are being converted to payer id 25133 (Coventry Health Care of Kansas, Inc. - Kansas City).
415	Coventry - Kansas City Medicare (Advantra)	25144	As of June 17, 2003, claims for payer id 25144 are being converted to payer id 25133 (Coventry Health Care of Kansas, Inc. - Kansas City).
416	CRA Managed Care (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
417	Crawford & Company (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
418	C & R Consulting, Inc.	13390
419	Creative Medical Systems	64068
420	Croy-Hall Mgmt. Inc.	37266
421	Custom Benefit Administrators	39170
422	Dart Management Corporation	TH073	Provider ID required for all THIN payers.
423	Dean Health Plan	Call	Provider Enrollment and testing required by Payer. Call (608) 827-4128 to obtain Payer ID
424	Definity Health	64159
425	Delaware Physicians Care, Inc.	27009
426	Denver Health and Hospital Authority	84133
427	Denver Health - Indigent	84134
428	Denver Health Medical Plan	84135
429	Department of Corrections	59142
430	Department of Rehabilitative Services	59142
431	Deseret Mutual	SX105
432	Destiny Health	36436
433	Diamond Plan	25131
434	Diamond Plan	25131	Paper remits will continue
435	Directors Guild of America -Producer Health Plan	23706
436	Diversified Administration Corporation	6102
437	eAppeal Solutions	65009	Claims are printed and mailed to the payer.
438	Early Intervention Central	TH084	Provider ID required for all THIN payers.
439	East Bay Medical Network	Call	Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.
440	EBC, Inc.	Call	To obtain the payer ID, please call (440) 262-1160.
441	EBC Mid-America	Call	To obtain the payer ID, please call (440) 262-1160.
442	EBMS (Employee Benefit Management Services, Inc.)	81039
443	Educators Mutual (EMIA)	SX110
444	EHI (Employers Health Insurance)	73288	As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
445	Elder Health HMO of Pennsylvania	52192	Elder Health services providers in the Maryland and Pennsylvania aera only. Not to be confused with ElderPlan in NY.
446	Elder Health Maryland HMO Inc.	52192	Elder Health services providers in the Maryland and Pennsylvania area only. Not to be confused with ElderPlan in NY.
447	ElderPlan, Inc.	31625	Enrollment with Payer required prior sending EDI. Please contact Elderplan at epedi@mjhs.org,by fax at (718) 759-4034, or by phone at (718) 491-7280
448	Elmco	37253
449	Emerald Health Network, Inc. (All PPO Business)	34167
450	EMPHESYS	73288	As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
451	Employee Benefit Claims -Mid-America	Call	To obtain the payer ID, please call (440) 262-1160.
452	Employee Benefit Claims of WI	Call	To obtain the payer ID, please call (440) 262-1160.
453	Employee Benefit Claims of Wisconsin	Call	To obtain the payer ID, please call (440) 262-1160.
454	Employee Benefit Concepts (Farmington Hills, MI)	38241
455	Employee Benefit Consultants, Inc.	Call	To obtain the payer ID, please call (440) 262-1160.
456	Employee Benefit Corporation	37215
457	Employee Benefit Services	37216
458	Employee Benefit Services of Louisiana, Inc (EBS)	41198
459	Employee Benefits Plan Administration, Inc. (E.B.P.A.)	3036
460	Employee Claim ADJ	75184
461	Employee Group Services	TH076	Provider ID required for all THIN payers.
462	Employee Plans, LLC	35112
463	Employers Direct Health	75232
464	Employer's Direct Health -Employee Plan	75236
465	Employer's Direct Health - FI	75235
466	Employer's Direct Health - SF	75233
467	Employers Health	73288	As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
468	Employers Health Insurance	73288	As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
469	Employers Insurance of Wausau	39026
470	Employers Life Insurance Corporation	37249
471	Employers Mutual, Inc (Jacksonville, Florida)	59298
472	Employers Mutual, Inc. (Stuart, Florida)	59331	For plan and claim requirements, please contact the Employers Mutual, Inc. (Stuart, FL) Customer Service Department at (772) 287-7650, ext. 4052.
473	Encircle PPO	35206
474	Encompass	37110
475	Encore Health Network	35206
476	ENH Medical Group IPA	36364
477	Enstar Natural Gas	91136	Please enter Group Number (P61) when submitting claims.
478	EQUICOR	62308
479	EQUICOR - PPO	62308
480	Equitable Plan Services (Oklahoma City, OK)	73126	Payer ID valid only for claims with a billing submission address of P.O. Box 720460, Oklahoma City, OK 73172.
481	Erin Group Administrators	23250
482	ETHIX Mid West	SX008
483	E-V Benefits Management, Inc (Columbus, OH)	34159
484	Evercare	87726
485	Evergreen Health Plan	58233
486	ExclusiCare	71412
487	FABOH (CHP/RPU)	Call	Payer ID, rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.
488	FACS Group	37300
489	Fallon Community Health	SX072
490	Family Health Partners/MC+ Missouri	43173
491	Family Health Plan	TH045
492	Family Health Plan (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
493	Family Practice Associates	TH007	Provider ID required. Please call (409) 721-5900 to obtain.
494	FARA	37289
495	FARA Benefit Services, Inc.	37289
496	F.A. Richard & Associates, Inc.	37289
497	Farm Family	14140
498	FCE Benefit Administrators	33033
499	Federated Benefits	37300
500	Federated HR Services	37300
501	Federated Mutual Insurance	41041
502	Fidelis Care New York	11315
503	FirstCare	TH003
504	FirstCare "Star" Mediciad	TH003	Transitional Payer - see last page for definition. Provider ID required. Please call (800) 365-1051 to obtain. The insured ID must be 9 alphanumeric characters and 2 digits.
505	First Carolina Care	56196
506	First Choice (CT)	14162	Please note that all claims submitted require a 5-8 character Render Provider Network ID.
507	First Choice Health Administrators	Call	Please contact First Choice for the payer id at (206) 268-2348.
508	First Choice Health Network	91131
509	First Choice of Midwest (PPO)	75138
510	FirstGuard Health Plan	90060
511	First Health	87043
512	First Health	87043	Providers must complete Payer Registraiton form & send copy of W9 form for each tax id to WebMD Enrollment. WebMD Enrollment should forward all infor to Payer: Document should be faxed to (801) 954-4836 attn: Louise Munson. DO NOT HAVE PROVIDERS FAX FORMS
513	First State Health Plan	63080
514	Fiserv Health -Kansas/Tennessee	62061	(Formerly Willis Administrative Services Corporation)
515	Fitzharris & Company, Inc.	11244
516	Florida 1st	59276
517	Florida Hospital Healthcare Systems	59321	In-network FHHS providers must submit either their UPIN number or FHHS Provider ID, as the rendering provider number. Out-of-network providers must contact FHHS at (407) 741-4893. The FHHS member member ID must be 11 digits in length.
518	Florida Hospital Waterman	48116	For assistance send email to HIPAA@f-m-h.com
519	FMH Benefit Services, Inc.	48117	For assistance send email to HIPAA@f-m-h.com
520	Formax, Inc.	87066
521	Fortis Benefits Insurance Company	70408
522	Fortis Benefits Insurance Company	70408
523	Fortis Insurance Company	39065
524	Fortis Insurance Company	39065
525	*	Foundation Health Plan (Sunrise, FL)	Claims
526	Fox-Everett, Inc.	64069
527	FoxEverett - Ingalls Ship Building	64067
528	Fox Valley Medicine	TH056
529	Fringe Benefits Coordinators	59204
530	Gallagher Benefit Administrators, Inc/GBA	37283	Claims are printed and mailed to the payer.
531	Galveston County Indigent Health Care	30005
532	Gates McDonald Health Plus, Inc. (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
533	Gateway Health Plan	25169
534	Gateway Health Plan	25169
535	GBA	37283	Claims are printed and mailed to the payer.
536	GE Group Administrators, South Carolina	6143	(Formerly Phoenix Group Services, Inc.)
537	GE Group Administrators, Texas	75238	(Formerly Phoenix Group Services - Texas)
538	G.E. Group Life Assurance Company	67815
539	Geisinger Health Plan	75273	Prior enrollment required. Please contact Geisinger Health Plan at 1-888-281-5338, option 3, to obtain an enrollment form; or download a PDF enrollment form at www.thehealthplan.com.
540	General American Life Insurance Company	63665
541	GENEX Care of Ohio (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
542	GH Basic Health Plan	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
543	GHC - Commercial	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
544	GHC Medicare + Choice	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
545	GHC - West	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
546	GHI HMO	25531
547	GH Individual and Family Plan	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
548	GHI - New York (Group Health Inc.)	13551
549	GHP (Group Health Plan)	25141
550	GHP (Group Health Plan)	25141
551	GIC Indemnity Plan	80314
552	GI Innovative Management	58204
553	Gilsbar, Inc.	7205
554	Glassworkers Health & Welfare Fund	91136	Please enter Group Number (F29) when submitting claims.
555	GMS, Inc.	47083
556	Golden Rule Insurance Company	37602
557	Golden Triange Physician Associates	TH009	Payer-assigned provider ID required. Please call (409) 721-5900 to obtain.
558	Government Employees Hospital Association (GEHA)	44054
559	Government Employees Hospital Association (GEHA)	44054
560	Grant Physicians Practice Association	37234
561	Great Lakes Health Plan	95467
562	Great-West Healthcare	80705
563	Great-West Healthcare	80705
564	GreenTree Administrators	TH010
565	Group Administrators Ltd.	36338
566	Group and Pension Administrators	48143
567	Group Benefit Administrators (Hendersonville, TN)	72153
568	Group Health Cooperative - East	91121	Eastern Washington State. Please call (888) 767-4670 prior to first submission of production claims.
569	Group Health Cooperative of South Central Wisconsin	39167
570	Group Health Cooperative of South Central Wisconsin	39168
571	Group Health Cooperative of South Central Wisconsin	39168
572	Group Health Managers	38194
573	Group Health Options, Incorporated Alliant Plus	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
574	Group Health Options, Incorporated Alliant Select	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
575	Group Health Options, Incorporated Options	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
576	Group Health Options, Incorporated Options Prime	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
577	Group Health Options, Incorporated Options Select	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
578	Group Insurance Service Center, Inc.	37276
579	Guardian Life Insurance Company of America	64246
580	Gundersen Lutheran Health Plan, Inc.	39180	Before submitting electronically to Gundersen Lutheran Health Plan, Inc., all providers must call Shari Oelke at (608) 775-8026.
581	Harmony Health Plan of Illinois	36406
582	Harmony Health Plan of Indiana	36405
583	Harrington	95266
584	Harrington Benefit Services, Inc.	75196
585	Harrington Benefit Services, Inc.	95266
586	Harrington Benefit Services, Inc., Centra	75196
587	Harrington Benefit Services, Inc. (Oklahoma)	59142
588	Harrington Benefit Services -Oklahoma	59142
589	Harvard Pilgrim Health Care	4271
590	HCHA Albq-Self Funded	37329
591	HCH Administration (Illinois)	37111
592	HCH Administration, Inc.	37215	Formerly John P. Pearl Associates
593	HCS - Health Claims Service (Boise, ID)	82018
594	HDM Benefit Solutions	TH070
595	Health 1,2,3, Inc.	23173
596	Health Administration Service, Inc.	34185
597	Health Alliance Exclusive & Plus	23172
598	Health Alliance Medical Plans	77950
599	Health Alliance Plan of Michigan	38224
600	Health America Inc./Health Assurance/Advantra	25126
601	Health America Inc./Health Assurance/Advantra	25126
602	Health Assurance/Health America, Inc./Advantra	25126
603	Health Care Network of Wisconsin (HCN)	42102
604	Healthcare Partners	HCP01
605	HealthCare Partners, IPA	11328	Formerly Heritage New York Medical Group.
606	Healthcare Resources Group (HRG)	82468
607	Health Care Savings, Inc.	56142
608	Healthcare Solutions Group	73147
609	Healthcare Transaction Processing, Inc (HTP)	31147	For Ohio Worker's Comp Claims ONLY.
610	Healthcare USA	25143
611	Healthcare USA	25143
612	Health Connecticut	37263
613	Health Cost Solutions	62111
614	Health Design Plus (Hudson, OH)	34158
615	HealthEase	59608	Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
616	Health EZ	16120
617	Healthfirst, Inc. (New York)	80141	All claims submitted require a valid Healthfirst, Inc. (NY) provider ID in the Rendering Provider Network ID field.
618	Healthfirst TPA (Tyler, TX)	75234
619	Health Future, LLC.	30946
620	HealthGuard of Lancaster	23226
621	HealthHelp Network, Inc. (HHNI)	59087
622	Healthlink HMO	96475	Please call Provider Relations Dept at (800) 624-2356 for unique provider number.
623	Healthlink PPO	90001	Please call Provider Relations Dept at (800) 624-2356 for unique provider number.
624	Health Management Administrators (HMA)	TH049
625	Health Management Solutions (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
626	Health Net - California (Professional Encounters ONLY)	95570	Must submit with Health Net Submitter ID. Please contact Carol Petula at (916) 935-1464 to obtain Health Net Submitter ID.
627	Health Net of Arizona	38309	Payer requires unique provider ID; please call (866) 334-4638.
628	Health Net of California and Oregon - Claims	95567
629	Health Net of the Northeast, Inc.	06108	Payer requires unique provider ID; please call (866) 334-4638.
630	Health Network America	20199
631	Health New England	4286
632	Health Options of Florida	SX030
633	Health Partners - Jackson, TN	62157
634	Health Partners - Minnesota	SX009
635	Health Partners of Alabama, Inc.	63092
636	Health Partners, PA	80142	All claims submitted require a valid Health Partners, PA, provider ID in the Rendering Provider Network ID field.
637	Health Partners Southeast	63092
638	Health Plan Management	37221
639	HealthPlan Services (Tampa only)	59140
640	Health Plans Inc.	44273	Claims are printed and mailed to the payer.
641	Health Plan Southeast (Tallahassee, FL)	59256
642	Health Pledge HMO	95435
643	Health Plus PHSP (Brooklyn, NY)	11324
644	Health Risk Management	55438
645	HealthSCOPE Benefits, Inc.	71063
646	HealthSCOPE Benefits, Inc. (PCP Only)	Call	Call Jonda Brown (800) 972-3025 for Payer ID.
647	HealthSCOPE Benefits, Inc. (Repricing AR)	48153
648	Health Services Preferred (HSP) by Emerald Health	34167
649	Health Services Purchasing Coalition	TH044
650	HealthSmart Preferred Care, Inc.	75250
651	Healthsource, AR	71074	Payer requires provider ID number; please call (800) 831-6654.
652	Healthsource, AR (Med) (CIGNA)	71075	Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
653	Healthsource CMHC	2041
654	Healthsource, GA (CIGNA)	58210	Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
655	Healthsource, IN	35167
656	Healthsource, KY	61127
657	Healthsource Massachusetts, Inc.	2041
658	Healthsource, ME	1041	Payer requires unique provider ID; please contact (800) 909-2227, ext. 5760.
659	Healthsource, NC (CIGNA)	56147	Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
660	Healthsource, NH	2038	Payer requires unique provider ID for new providers; please contact Donna Wilson at (603) 268-7439.
661	Healthsource, N. TX (CIGNA)	75255	Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
662	Healthsource, OH	31141
663	Healthsource Provident	68195	Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
664	Healthsource, SC	6119	Healthsource Network Providers Only
665	Healthsource, SC	Pilot
666	Healthsource, TN (CIGNA)	62129	Claims are edited under CIGNA's payer specific edits, Payer ID 62308.
667	HealthSpring HMO/HealthSpring Medicare+Choice	25193	An EDI application must be submitted prior to submitting claims. Please contact Provider Relations at (615) 291-7035 or visit www.myhealthspring.comto obtain an application. This payer ID is not for PPO claims.
668	HealthSpring of Alabama	63092	Formerly The OATH - A Health Plan for Alabama. Please note that all claims submitted require a 4-6 digit Rendering Provider ID. Please contact HealthSpring of Alabama Provider Call Center at (800) 743-7141 for provider enrollment.
669	HealthStar, Inc.	36332
670	Health Strategies	SX044
671	Healthy Options (DSHS)	91051	Western Washington State. Please call (800) 919-4325 prior to first submission of production claims.
672	HEP Administrators, Inc. (Non-PPO)	Call	Prior enrollment is required. Please call customer service at (262) 567-9695.
673	HEP Administrators (PPO)	Call	Prior enrollment is required. Please call customer service at (262) 679-9695.
674	H.E.R.E.I.U Welfare Pension Funds	37114
675	Heritage Consultants	59230	For faster payment, please be sure to use only the 9-digit subscriber ID on all claims.
676	Heritage Physician Network	TH011	Payer-assigned provider ID required. Please call (409) 721-5900 to obtain.
677	HFN, Inc.	36335
678	Hillcrest Benefit Administrators	59347
679	Hill Physicians Medical Group	Call	Please contact Joan Donham at (925) 362-6259 for Payer ID.
680	HIP - Health Insurance Plan of Greater New York	55247	Individual provider enrollment is required by HIP of NY. Please call HIP of NY Provider Relations to obtain the enrollment form at (212) 630-8711 or e-mail at edisupport@hipusa.com.
681	HMO Blue Star Plus	TH001	Transitional Payer - see last page for definition. Provider ID required. Please contact (602) 331-5100, ext. 5563 to obtain.
682	HomeTown Health Network	34150
683	Horizon HealthCare Admin (HHA)	22304
684	Horizon NJ Health	22326	Medicaid managed care. For EDI support, please e-mail edi.hm@kmhp.com.;Formerly Horizon Mercy Health Plan
685	Hospital Benefits, Inc.	Pilot
686	Hotel Employees & Restaurant Employees Health Trust	91136	Please enter Group Number (F19) when submitting claims.
687	HPS Paradigm, Inc.	58227
688	HRH of Illinois	36410
689	HRM	41170
690	HRM Claim Management	41170	[Formerly Health Risk Management (HRM)]
691	Hudson Health Plan	Call	Provider enrollment is required by the payer. Please contact Sam Gutwillig at (914) 372-2291 to obtain payer ID.
692	Humana Emphesys	61101
693	Humana - Employers Health Insurance	73288	As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
694	Humana Employers Health Insurance	61101
695	Humana Inc.	61101
696	Humana Inc. Encounters	61102	Claims sent to payer id 61102 will NOT be paid. Payer ID 61102 is for ENCOUNTERS ONLY.
697	Humana Insurance Company Choice Care Network	61101	Does not include Humana ChoiceCare of Cincinnati -(Humana Health Plans of Ohio)
698	Hunt Insurance Group	37260
699	IAA	37279
700	IBA Self Funded Group	38234
701	IBI	41124
702	ICM	37296
703	ICON Benefit Administrators	75185
704	I. E. Shaffer (West Trenton, NJ)	22175
705	IHC - Intermountain Health Care	SX107
706	Illinois Central Hospital Association (Tinley Park, IL)	36600
707	I'Mcare	41600
708	INDECS Corporation	40585
709	Independent Health	Call	Please contact E-commerce at (716) 635-3911 prior to first submission of claims.
710	Indiana Health Network	35204
711	Indiana ProHealth Network	35161
712	Indiana Teamsters Health Benefits Fund (Indianapolis, IN)	35107	Formerly known as Local 135 Health Benefits Fund (Indianapolis, IN)
713	Individual Health Insurance Companies	31053
714	Informed, LLC	52196
715	Innovative Healthware Solutions	4320
716	Insurance Administrators of America, Inc.	37279
717	Insurance Claims Services, Inc. (Birmingham, AL)	63082
718	Insurance Design Administrators	13315
719	Insurance Management Services (Elko, NV)	88006
720	Insurance Services of Lubbock	TH012
721	Insurdata/Insurnational	SX011
722	Integra Administrative Group (Seaford, DE)	51020	Payer ID valid only for claims with a billing submission address of 110 S. Shipley Street, Seaford, DE 19973.
723	Integra Group	31127
724	Integra Group-CHA	31129
725	Integrated Care Network (ICN) by Emerald Health	34167
726	InterCare Health Plans Inc.	37227
727	Interface EAP (IEAP)	60280
728	Intergroup Services Corporation	23287
729	International Brotherhood of Boilermakers	36609
730	International Union of Operating Engineers ~ Local 15, 15A, 15C & 15D	37269	Located in New York, NY
731	Iowa Benefits Inc.	41124
732	Iowa Operating Engineers	TH042
733	IUOE Local 4	37241	Payer ID valid only if billing submission address is 177 Bedford Street, P.O. Box 4, Lexington, MA 02420 and Group Number = 300. Contact Jamie MacLauchlan at (781) 861-1600 ext. 24 with questions.
734	J. F. Molloy and Associates, Inc.	61271
735	JI Specialties	TH033
736	John Alden Life Insurance Co.	41099
737	John Alden Life Insurance Co.	41099
738	John Deere Health Care/Heritage National Healthplan	95378	Prior to initial submission, provider must first contact John Deere at (309) 765-1593 - toll free (866) 509-1593 -to receive provider id.
739	Johns Hopkins Healthcare	Pilot
740	Joplin Claims	43178
741	JP Farley Corporation	34136
742	JSL Administrators	37272
743	Kaiser Foundation Health Plan of Georgia	21313
744	Kaiser Foundation Health Plan of Northern CA Region	Call	Please contact Cheryl G. Robinson at (866) 285-0362 or e-mail her at cheryl.g.robinson@kp.orgprior to first submission of claims.
745	Kaiser Foundation Health Plan of Southern CA Region	94134	Commercial Provider ID required by Kaiser. Please contact Tina C. Cheung at (626) 405-6404 or e-mail Tina.C.Cheung@kp.orgprior to submitting claims.
746	Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.	52095	For more information, please contact Kenya Neal at Kaiser at (301) 625-2264.
747	Kanawha HealthCare Solutions, Inc.	57038
748	Kanawha Insurance Co.	57038
749	Kansas City Life Insurance Co.	44030
750	Kelsey-Seybold	TH050
751	Kempton Company	73100
752	Kempton Group Administrators	73100
753	Key Benefit Administrators	37217
754	Key Health	Pilot
755	Keystone Health Plan Central	23239
756	Keystone Mercy Health Plan	23284	Medicaid managed care. For EDI support, please e-mail edi.kmhp@kmhp.com.
757	Keystone Mercy Health Plan	Pilot
758	Kindred Health Care	73288	(Formerly known as VENCOR) As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
759	King Pharmaceuticals	TH078	Provider ID required for all THIN payers.
760	Klais & Company	34145
761	Klais & Company (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
762	Lakeside Health Services	95415
763	Leggett and Platt	75279
764	LHP Claims Unit	37248
765	Liberty Mutual Insurance Company	11123	Worker's Compensation Claims ONLY.
766	Liberty Union	37281
767	Life Assurance Company	37281
768	Lifemark	TH001	Transitional Payer - see last page for definition. Provider ID required. Please contact (602) 331-5100, ext. 5563 to obtain.
769	Life Trac	41136
770	LifeWise Healthplan of Oregon	93093
771	Lifewise/Washington Employers Trust	37294	For Vision Claims only
772	Lincoln National (EMPHESYS, Green Bay and Madison, WI only)	73288	As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
773	Linn County	75283
774	Local 135 Health Benefits Fund (Indianapolis, IN)	35107
775	Loma Linda University Adventist Health Sciences Center Employee Health Plan	37267
776	Loma Linda University Adventist Health Sciences Centers	37267
777	Loma Linda University Behavioral Medicine Center Employee Health Plan	37267
778	Loma Linda University Employee Health Plan	37267
779	Loma Linda University Health Care Employee Health Plan	37267
780	Loma Linda University Healthcare - ManagedCare Claims	33036	Claims are printed and mailed to the payer.
781	Loma Linda University Medical Center Employee Health Plan	37267
782	Loma Linda University Medical Center Residents Health Plan	37267
783	Loma Linda University Student Health Plan	37267
784	Lovelace Salud	TH086	Provider ID required for all THIN payers.
785	Lovelace Sandia Health Plan	90328
786	Luhr Bros Inc.	TH063	Provider ID required for all THIN payers.
787	Luhr Bros Inc./ IL&MO	TH062	Provider ID required for all THIN payers.
788	Lumenos, Inc.	54195
789	Machinist District 9 Welfare	37292
790	Magnacare	11303
791	Mail Handlers Benefit Plan	62413	Also known as Mailhandlers/CAC.
792	Mail Handlers Benefit Plan	62413	Payer specific registration forms sent to Enrollment then faxed to Payer. Payer requires W-9 form. Provider will send confirmations to payerregistration@webmd.net
793	Maksin Management Corporation	22195	Claims are printed and mailed to the payer.
794	MAMSI Life and Health Insurance Co. (MLH)	52148
795	Managed Care Services, LLC	35162
796	Managed Health Services Indiana (Medicaid HMO)	39186	Please contact Debbi Sandberg at (800) 225-2573, ext. 25306, prior to sending claims.
797	Managed Health Services Wisconsin	39187	Please contact Leisa Hamlin at (800) 225-2573, ext. 25319, before sending claims.
798	Managed Physical Network	41159
799	Manatee Service Center (Bradenton, FL)	41555	Payer ID valid only for claims with a billing submission address of P.O. Box 1098, Bradenton, FL 34206.
800	Maryland Health Insurance Plan	22347
801	Maryland Physicians Care	22348
802	Mashantucket Pequot Tribal Nation	37121
803	Mayes County Jain	59142
804	Mayo Management Services, Inc.	41154
805	MBS (MedCost Benefit Services)	56205
806	Mcare	38264
807	McLaren Health Plan	38338
808	MD - Individual Practice Association, Inc. (M.D. IPA)	52148
809	MDNY Healthcare	11338
810	MedAdmin Solutions	58202
811	MedAdmin Solutions	58204
812	MedBen (Newark, OH)	74323
813	MedCom	59231
814	MedCost, Inc.	56162	For assistance, please contact Medcost at (800) 433-9178, ext. 4189 or 4177.
815	Medfocus	95321
816	Medica	87726
817	Medica	94265	Medica requires a unique Medica assigned provider id. See ENVOY Exhibit 99.
818	Medical Administrators, Inc. (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
819	Medical Benefits Administrators, Inc. (Newark, OH)	74323
820	Medical Benefits Companies (Newark, OH)	74323
821	Medical Benefits Mutual Life Insrance Co.	74323
822	Medical Benefits Mutual (Newark, OH)	74323
823	Medical Claims Service, Inc.	4258
824	MEDICAL DEVELOPMENT INTERNATIONAL	52181
825	Medical Mutual of Ohio	29076
826	Medical Mutual of Ohio	29076
827	Medical Network Inc. (Maine)	Pilot
828	Medical Resource Network (MRN)	58203
829	Medical Value Plan - Ohio (MVP)	38224
830	Mediversal	37304
831	MedSolutions, Inc	62160
832	Mega Life & Health Insurance Company - Insurance Center	59221	Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009, North Richland Hills, TX 76182.
833	Memphis Managed Care	36193	Providers are no longer required to call MMC before sending medical or hospital claims electronically.
834	MercyCare	39114
835	Mercy Care Plan	86052
836	Mercy Care Plan	SX100
837	Mercy Health Care (AHCCCS)	SX100
838	Mercy Health Plans	43166
839	Mercy Healthplans -Carechoices Michigan	Pilot	Enrollment required; please contact Noreen at (248) 489-5281.
840	Mercy Physicians Medical Group	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
841	Meridian Health Care Management	77042
842	Merit of Alabama	SX046
843	Mesa Mental Health	85035
844	Methodist Associate Health Plan	Pilot
845	Metro Alliance	82135
846	Metro Plus Health Plan	13265
847	Metropolitan Health Plan	10850
848	Metrowest HealthPlan	TH068
849	Metrowest Star Medicaid	TH069
850	Michael Reese Physicians Group	37127
851	Mid-America Associates, Inc.	37281
852	Mid-Atlantic Health Plan	63079
853	Mid Atlantic Psychiatric Services, Inc. (MAPSI)	52149
854	Midlands Benefits Administrators	47081
855	Midlands Choice, Inc.	47080
856	MidSouth Administrative Group	62168
857	Midwest Group Benefits	61146
858	Midwest Health Plans, Inc.	TH074	Provider ID required for all THIN payers.
859	Mid-West National Life Insurance Co. of Tennessee -Insurance Center	59224	Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017, North Richland Hills, TX 76182.
860	Mid-West National Life Insurance Co. of Tennessee -Insurance Center	59224
861	Mid-West National Life Insurance Co. of Tennessee -Student Insurance	74227	Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
862	Mississippi Public Entity Employee Benefit Trust	37233
863	Mississippi Select Health Care	64088	Also doing business as Select Administrative Services (SAS).
864	Missoula County Medical Benefits Plan	37275
865	Missouri Care/MC	43179
866	MLink	37265
867	MMAC (Managed Medical Assurance Co., Ltd.) (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
868	MMS, LLC.	62178
869	Molina Healthcare	SX109
870	Molina Healthcare of CALIFORNIA	38333
871	Molina Healthcare of WASHINGTON	38336
872	Montefiore Contract Management Organization	13174	Please contact Provider Relations or Customer service at (914) 377-4400 for unique provider number
873	Motorola	36111
874	Mountain States Administrative Services (Tucson, AZ)	86040
875	MPEEBT	37233
876	MPE Services Inc.	37233
877	MPLAN, Inc./HealthCare Group, LLC	95444
878	Multiplan Wisconsin Preferred Provider Network	34080
879	Mutual Assurance Administrators	37256
880	Mutual Group (The) (US)	59140
881	Mutual Group (The) (US)	70491
882	Mutually Preferred	71412
883	Mutual of Omaha Insurance Company	71412
884	MVP Health Plan of NY	14165	For your MVP Provider number, call (800) 684-9286.
885	NAA (North America Administrators, L.P.) (Nashville, TN)	65085
886	NABN (Cleveland, OH)	34159	Payer ID valid only for claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476.
887	NALC/Affordable	53011
888	National Association of Letter Carriers	53011
889	National Association of Letter Carriers/NALC	53011
890	National Benefit Administrators -New Jersey	56175
891	National Benefit Administrators -North Carolina	56176
892	National Capital Preferred Provider Organization (NCPPO)	90001	To obtain your provider ID number, please call the NCPPO Customer Service Department at (800) 272-5911.
893	National Claim Administration	37126
894	National Health Insurance Company	75275
895	National Rural Electric Coop (NRECA)	52132
896	National Rural Letter Carrier Association	71412	Policy Number GMG1846
897	Nationwide Health Plans	31417
898	NCAS - Charlotte	75191
899	NCAS - Fairfax, VA	75190
900	NCAS - Owings Mills, MD	52118	(Formerly known as Willse'.)
901	Neighborhood Health Partnership of Florida	Call	Please call (305) 715-4334 for Payer Id. Payer Id is valid for claims submission address PO Box 025680, Miami, FL 33102-5680
902	Neighborhood Health Plan (Boston, MA)	4293
903	Nesika Health Group	37255
904	Netcare Life and Health Insurance (Hagatna, Guam)	66055
905	Network Health	Call	Before initiating submissions, please contact Provider Relations at (617) 806-8104 or edi@network-health.orgfor an EDI startup plan.
906	Network Health Plan of Wisconsin, Inc.	39144
907	New Era Life Insurance Company	75281
908	New Market Dimensions	65056
909	New World Claims Services	38332	Payer ID valid only for claims with a submission address of 2624 North 5th Street, Niles, MI 49120.
910	New York Network Management	11334
911	New York Presbyterian Community Health Plan	48186
912	New York Presbyterian System Select Health	24819
913	NGS American, Inc	38225
914	NHC Health Benefit Plan	62124	Please call NHC Health Benefit Plan @ 615-278-1230 regarding your NHC provider number prior to submitting claims electronically.
915	NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan)	11325	Please submit claims with your unique NHP/SHP provider number. Please call (631) 360-3102 for your unique NHP/SHP provider number.
916	Nippon Life Insurance Company of America	81264
917	Nippon Life Insurance Company of America	81264
918	NJ Carpernters Health Fund	22603
919	NMCI	Pilot
920	North American Administrators, Inc.	64157
921	North American Benefits Network (Cleveland, OH)	34159	Payer ID valid only for claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476.
922	North American Health Plan	64157
923	North American Medical Management - IL	36398
924	North American Medical Management (NAMM) -Northern California	E3510	Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
925	North American Medical Management (NAMM) -Southern California	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
926	North American Preferred	64157
927	Northern California Sheet Metal Workers Health Care Plan	38238	Payer ID valid for claims with a submission address of PO Box 1138, San Ramon, CA 94583.
928	Northern Nevada Trust Fund	88027	Please call (775) 826-7200 to verfiy if you should be sending claims to Northern Nevada Trust Fund.
929	North Texas Healthcare Network	35212
930	Northwest Suburban IPA (Illinois)	36346
931	Nova Healthcare Administrators, Inc. (Grand Island, NY)	16644
932	Novasys Health Network	71080
933	N.W. Ironworkers Health & Security Trust Fund	91136	Please enter Group Number (F15) when submitting claims.
934	N.W. Roofers & Employers Health & Security Trust Fund	91136	Please enter Group Number (F26) when submitting claims.
935	N.W. Textile Processors	91136	Please enter Group Number (F14) when submitting claims.
936	Nyhart	37299
937	Occupational Health Mgmt, Inc. (HealthManage) (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
938	Ochsner Health Plan	72127	Payor requires unique provider ID for each practitioner/provider; please contact Jill Brant, OHP Provider Relations, at (504) 219-6682 or jill.brant@ochsner-hmo.com.
939	Office of Group Benefits-Louisiana	72087	Office of Group Benefits is located in the state of Louisiana. This payer is currently not sending 997's. Syntax errors will be worked on with payer tech.
940	Ohio BWC	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
941	Ohio Comp Choice, Inc. (HMS) (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
942	Ohio Employee Health Partnership (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
943	Ohio Health Choice, PPO	34189	Payer ID valid only for claims with a billing submission address of P. O. Box 93538, Cleveland, OH 44101 or P. O. Box 6086, Cleveland, OH 44101.
944	*	Omnicare, A Coventry Health Plan	ERA
945	Omnicare, A Coventry Health Plan	25150	For claims with date of service AFTER 10/1/04.
946	Omnicare Health Plan of Michigan	38252	All claims with a DOS BEFORE 10/1/2004, must be sent to Payer ID #38252. Claims sent to this Payer with a DOS AFTER 10/1/2004 will be rejected
947	Operating Engineer's Local 234 Health Plan	TH042	Transitional Payer - see last page for definition.
948	Operating Engineers Locals 302 & 612 Health & Security Fund	91136	Please enter Group Number (F12) when submitting claims.
949	Optima Health Plan	54154	Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 characters, positions 1-5 must be numeric only, and positions 6 and 7 (if applicable) must be alpha only. Please contact the Ydsia Slagle-Provider Relation
950	Optima Insurance Company	54154	Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 characters, positions 1-5 must be numeric only, and positions 6 and 7 (if applicable) must be alpha only. Please contact the Ydsia Slagle-Provider Relation
951	Optimum Choice, Inc. (OCI)	52148
952	Optimum Choice of the Carolinas, Inc. (OCCI)	52152
953	Option Services Group	37125
954	Orthonet Corporation - CIGNA	13381
955	Orthonet - Uniformed Services Family Health Plan	13382	Claims are printed and mailed to the payer.; For Payable USFHP (NY & NJ) outpatient therapy claims only. Contact Theresa Malgioglio at (914) 681-8800.
956	OSF Care Advantage	TH053
957	OSF Health Plan	TH054
958	Oxford Health Plans	06111
959	PacifiCare Behavioral Health	33053
960	PacifiCare Health Systems	Pilot
961	PacifiCare Health Systems & Subsidiaries	91712
962	PacifiCare of Arizona - Claims	Call	Please contact Colette Ward at (800) 877-6685 x42731 to initiate the EDI process.
963	PacifiCare of California - Claims	95959	For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
964	PacifiCare of California -Encounters	95958	Must submit with PacifiCare submitter ID. Please call Gina Gasilan at (714) 226-8609 to obtain.
965	PacifiCare of Colorado - Claims	Call	Please call Colette Ward at (800) 877-6685 ext.42731 to initiate the EDI process.
966	PacifiCare of Oklahoma - Claims	95959	For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
967	PacifiCare of Oklahoma -Encounters	95958	Must submit with PacifiCare submitter ID. Please call Barbara Pisano at (714)226-6573 to obtain.
968	PacifiCare of Oregon - Claims	95959	For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
969	PacifiCare of Oregon -Encounters	95958	Must submit with PacifiCare submitter ID. Please call Gina Gasilan at (714) 226-8609 to obtain.
970	PacifiCare of Texas - Claims	95959	For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
971	PacifiCare of Texas -Encounters	95958	Must submit with PacifiCare submitter ID. Please call Barbara Pisano at (714) 226-6573 to obtain.
972	PacifiCare of Washington -Claims	95959	For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions, you may inquire via email at edihmoinfo@phs.com.
973	PacifiCare of Washington -Encounters	95958	Must submit with PacifiCare submitter ID. Please call Gina Gasilan at (714) 226-8609 to obtain.
974	PacifiCare PPO - All States	95999	For payable PPO claims only. NOT for Pacificare/Secure Horizons HMO claims. For further questions, you may inquire via email at edippoinfo@phs.com.
975	Pacific Life & Annuity Company	67466
976	PacificSource Health Plans	93029
977	PAI	37287
978	Paramount Preferred Network (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
979	Parity Healthcare LLC	58204
980	Parkland Community Health Plan	66917
981	Partners National Health Plans of North Carolina, Inc	Call	Contracted Providers Only. Please call the Partners National Health Plans of North Carolina, Inc., customer service department at (800) 942-5695 or (336) 760-4822, ext. 12005, for electronic claims set up.
982	Passport Health Plan	61129	Medicaid managed care. For EDI support, please e-mail edi.php@kmhp.com.
983	Passport Health Plan	61129	Providers must include provider id's on ERA Enrollment form; else reject back to provider. Email confirmation send to: edi.kmhp@kmhp.com.
984	Patient-Physician Network	TH017
985	PEHP - Utah Public Employee Health Plan	SX106
986	Peoples Health Network	Call	Contact the EDI Submitter Verification Dept. at (504) 461-4162 or (866) 461-4162 before sending claims to receive payer ID.
987	PersonalCare	25146
988	PersonalCare	25146
989	PHA Admin. Serv	63088
990	PHA Insurance Services (Orlando, FL)	95183
991	Phoenix Health Plan	SX146
992	PHP of Mid-Michigan	87726
993	PHP of Mid-Michigan	87726
994	PHP of South Michigan	87726
995	PHP of South Michigan	87726
996	PHP of Southwest Michigan	87726
997	PHP of Southwest Michigan	87726
998	PHP of West Michigan	87726
999	PHP of West Michigan	87726
1000	PHP TennCare	62155
1001	Physician Associates of Louisiana	58204
1002	Physician Associates of the Greater San Gabriel Valley	Call	Please call Barbara Jones at (626) 817-8491 to obtain the Payer Id
1003	Physicians Care Network	57098
1004	Physicians Care Network (Rockford, IL only)	36345	Payer ID valid only for claims with billing submission name, city, and state of Physicians Care Network, Rockford, IL.
1005	Physicians Direct	75297
1006	Physicians Health Association of Illinois	37136
1007	Physicians Health Plan of Northern Indiana	12399	Contracted Providers: All claims require your PHP assigned Provider ID. Contact Physicians Health Plan at (260) 432-6690 x549 with questions. Corrected and adjustment claims must be submitted via paper. All Anesthesia claims must be submitted with ASA/AA
1008	Physicians Mutual Insurance Company	47027	Please send all PPO and dental claims to the address on the back of the insured's ID Card
1009	Physicians Plus Insurance Corporation	39156
1010	Piedmont Administrators	56151
1011	Pinnacle Claims Management, Inc.	24735
1012	Pipeline Industry Benefit Fund (Tulsa, OK)	73074
1013	Pittman & Associates	37224
1014	Planned Administrators, Inc.	37287	Providers submitting claims as a Preferred Blue provider should not submit claims using payer ID 37287
1015	PM Group	67466
1016	Podi Care Managed Care	58204
1017	Poly America Medical & Dental Benefits Plan	32680
1018	POMCO	16111
1019	PPOM, LLC	38335
1020	PPO Oklahoma (WinterBrook HealthCare Management)	73159
1021	PPOPlus LLC	72148
1022	Practicare Inc	4334
1023	Prairie States Enterprises, Inc.	36373
1024	Preferred Benefit Administrators	53476
1025	Preferred Benefits Administrator	61665	E6-14 Required on Medical
1026	Preferred Care	SX089
1027	Preferred Care	SX089
1028	Preferred Care Partners	65088
1029	Preferred Care Partners (Encounters)	65090
1030	Preferred Community Choice/PCCSelect/CompMed	73145
1031	Preferred Health Network (PHN)	35173
1032	Preferred Health Plan (Louisville, KY)	61106
1033	Preferred Health Systems Insurance Company	60110
1034	Preferred Network Access, Inc.	36401
1035	Preferred One (CT), a Division of First Choice	14162	Please note that all claims submitted require a 5-8 character Render Provider Network ID.
1036	PreferredOne (MN)	41147
1037	Preferred Plus of Kansas	60110
1038	Premier Benefits, Inc.	43166
1039	Premier Comp of Hometown Health Network (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1040	Premier Health Plans	43166
1041	Premier Managed Care, Inc. (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1042	Presbyterian Health Plan	TH061
1043	Presbyterian Salud	TH060
1044	Prevea Health Plan	39185
1045	Primary Delivery Systems	73288	As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
1046	Primary Health Plan	TH066
1047	Primary Medical Care	TH016
1048	Primary PhysicianCare, Inc.	56144
1049	PrimeCare of Chino Valley	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1050	PrimeCare of Corona	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1051	PrimeCare of Hemet Valley	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1052	PrimeCare of Inland Valley	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1053	PrimeCare of Moreno Valley	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1054	PrimeCare of Redlands	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1055	PrimeCare of Riverside	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1056	PrimeCare of Sun City	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1057	PrimeCare of Temecula	33029	Please contact the EDI Dept for North American Medical Management (NAMM) - Southern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.
1058	Prime Health	63088
1059	Prime Health of Alabama	63088
1060	PrimeSource Health Network	4320
1061	Prime Vision Health	56190
1062	Prime West Health Plan	61604
1063	Principal Financial Group	61271
1064	Principal Financial Group	61271
1065	Principal Life Insurance Co.	61271
1066	Priority Health	38217	Please call Wendell Broome at (616) 975-8284 prior to submitting claims to obtain the pay to code.
1067	Prism-First Health	37303
1068	Prism Network, Inc.	37268
1069	Professional Benefit Administrators	59296
1070	Professional Benefit Administrators, Inc. (Oak Brook, IL)	36331	Payer ID is valid only for claims with billing submission name, city, and state of Professional Benefit Administrators, Inc., Oak Brook, IL.
1071	Professional Benefits Administrators (Cuyahoga Falls, OH)	34176	Payer ID valid only for claims with a billing submission address of 2040 Front Street, Cuyahoga Falls, OH 44221.
1072	Professional Claim Administrators	41163
1073	Professional Claims Management (Canton, OH)	37242	Payer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton, OH 44735-5276
1074	Professional Insurance Company	59041
1075	Professional Risk Management	34134
1076	Protegrity Services (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1077	Providence of Oregon Choice Option	SX131
1078	Providence of Oregon Good Health Plan	SX132
1079	Providence of Oregon Health Plan	SX133
1080	Providence of Oregon Health Plan HMO	SX134
1081	Providence of Oregon Medicaid	SX135
1082	Providence of Oregon Medicaid Option	SX136
1083	Providence of Oregon Medicare Extra	SX137
1084	Providence of Oregon Option	SX138
1085	Providence of Oregon Traditional Option	SX139
1086	Provider Networks of America (PRO-NET)	51032
1087	Puget Sound Benefits Trust	91136	Please enter Group Number (F25) when submitting claims.
1088	Puget Sound Electrical Workers Trust	91136	Please enter Group Number (F33) when submitting claims.
1089	Pyramid Benefits	91954
1090	QualCare, Inc.	23342	New Providers must enroll with QualCare at (800) 992-6613, option 5.
1091	Qual Choice of Arkansas	35174
1092	Quincy Health Care Management, Inc.	37129	For assistance send email to HIPAA@f-m-h.com
1093	QVI Risk Solutions, Inc.	57117
1094	RBMS, LLC	91176
1095	Regency Employee Benefits	38221
1096	RE Harrington	95266
1097	Resurrection Health Care Health Preferred	37277
1098	Reynolds and Reynolds	37270
1099	Rocky Mountain Health Plan -Grand Junction	SX141
1100	Rooney Life Inc.	37602
1101	Rush Prudential Health Plans (HMO Only)	36389
1102	Sagamore Health Network	35164
1103	SAMBA	37259	Do not send Medicare primary claims. We receive claims directly from Medicare.
1104	San Francisco Electrical Workers Health & Welfare	37236
1105	Santa Barbara Cottage Hospital	37288
1106	Sante Health System and Affiliates	Call	Please Call Customer Service (559) 228-5410
1107	Sanus - Texas	SX019
1108	Scott & White	TH002
1109	Seabury & Smith	13310
1110	SecureCare of Iowa	42142
1111	Secure Health Plans of Georgia, LLC	28530
1112	Security Health Plan	39045
1113	Select Administrative Services (SAS)	64088	Also known as Mississippi Select Health Care.
1114	Select Benefit Administrators (Des Moines, Iowa)	42137
1115	Select Benefit Administrators of America	37282	Payer ID valid only for claims with a billing submission address of P.O. Box 440, Ashland, WI 54806.
1116	SelectCare	14
1117	Select Health of South Carolina	23285	For EDI support, please e-mail edi.sh@kmhp.com.
1118	Self-Funded Plans, Inc.	34131
1119	Self Insured Benefit Administrators (Clearwater, FL)	59111	Payer ID valid only for claims with a submission address of 18167 US Highway 19 North, Suite 300, Clearwater, FL 33764.
1120	Self Insured Plans	36404
1121	Semnet	TH018
1122	Sentara Family Care	54154	Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 characters, positions 1-5 must be numeric only, and positions 6 and 7 (if applicable) must be alpha only. Please contact the Ydsia Slagle-Provider Relation
1123	Sentara Health Management	54154	Please note that the Rendering Provider Network ID (E6-14) field is required. The field must be 5-7 characters, positions 1-5 must be numeric only, and positions 6 and 7 (if applicable) must be alpha only. Please contact the Ydsia Slagle-Provider Relation
1124	Sentinel Management Services	23249
1125	Sentry Insurance a Mutual Company	39033	Claims are printed and mailed to the payer. Claims must have the Genelco Group and Subscriber numbers. To verify you are using the correct number, you may contact Sentry's Customer Service Dept at 800-426-7234.
1126	Sentry Insurance Company	39033	Claims are printed and mailed to the payer. Claims must have the Genelco Group and Subscriber numbers. To verify you are using the correct number, you may contact Sentry's Customer Service Dept at 800-426-7234.
1127	Sentry Life of New York	39033	Claims are printed and mailed to the payer. Claims must have the Genelco Group and Subscriber numbers. To verify you are using the correct number, you may contact Sentry's Customer Service Dept at 800-426-7234.
1128	Seton CHIP	76056
1129	Seton Employee Plan	TH080	Provider ID required for all THIN payers.
1130	Seton Health Plan - Exclusive	TH079	Provider ID required for all THIN payers.
1131	Seton MAP Program	TH081	Provider ID required for all THIN payers.
1132	Shasta Administrative Services	75280	Jeld-Wen Claims Only
1133	Sheakley UNICOMP (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1134	Sheet Metal Workers Local 104 Health Care Plan (San Ramon, CA)	38238	Payer ID valid for claims with a submission address of PO Box 1618, San Ramon, CA 94583.
1135	Sheet Metal Workers Local 263	TH047
1136	Sierra Health Services	76342
1137	Sierra Health Services Inc.	76343
1138	Signature Care Health Network	35206
1139	Signature Health Alliance	62159	Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance, P.O. Box 22419, Nashville, TN 37202-2419.
1140	Sinclair Health Plan	84076
1141	Sloans Lake Preferred Health Networks	84096
1142	Smith Administrators	2057
1143	Solidarity Managed Care Organization (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1144	Sound Health (now known as First Choice Health Network)	91131
1145	SouthCare/Healthcare Preferred	25147
1146	South Central Preferred	Call	Call Jane Grove at Provider Relations for South Central Preferred (717) 851-6715
1147	Southern Group Administrators	56131
1148	Southern Health Services, Inc.	25128
1149	Southern Health Services, Inc.	25128
1150	South Haven Community Hospital	Pilot
1151	South Indiana Health Options -HMO	SX142
1152	South Indiana Health Options -Prime Care Choice	SX143
1153	South Indiana Health Options -TPA	SX144
1154	Southwest Service Life	37266
1155	Special Agents Mutual Benefit Association	37259
1156	Special Risk International	52190
1157	Spina Bifida -VA HAC	84146
1158	Spina Bifida - VA HAC	84146
1159	S & S Healthcare Strategies	31441
1160	Star HRG	59225	Claims are printed and mailed to the payer. Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 55270, 30870, 30888, 54150, 30069, 55400, Phoenix, AZ 85270-5270.
1161	Starmark	61425
1162	State Farm Insurance Companies	31053
1163	State of Oklahoma-Healthchoice	59142
1164	States General Life Insurance	75087
1165	Staywell Health Plan	14163	Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
1166	St. Barnabas System Health Plan	22240
1167	Sterling Option 1	91151
1168	Stirling and Stirling	6089
1169	St. John's Claims Administration	37264
1170	Stoner and Associates (Cincinnati, OH)	31121
1171	Stowe Associates	58128
1172	St. Therese Physician Association	37116
1173	Student Insurance - Mid-West National Life Insurance Co. of Tenessee	74227	Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
1174	Student Insurance - The MEGA Life & Health Insurance Company	74227	Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
1175	Suffolk Health Plan of New York	88331
1176	SummaCare Health Plan	95202
1177	Summit America Insurance Services, Inc.	37301
1178	SummitCorp (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1179	Superior Administrators, Inc (Santa Ana, CA)	23218	Payer ID valid for claims with a submission address of P.O. Box 27730, Santa Ana, CA 92799-7730
1180	Superior Health Plans	TH024
1181	Superior Health Plan Texas	39188	Payer requires enrollment.
1182	Tarrant Health Services	37228
1183	TBG Administrative Services	39157
1184	Teachers Health Trust	88019
1185	Teamcare	36215
1186	Team Choice Gold	75139
1187	Team Choice PNS	75133
1188	Team Choice UMC	75134
1189	Teamsters Local Union #301	36612
1190	Tennessee Benefit Administrators, LLC	37293
1191	Texas Association of School Boards	74249
1192	Texas Children's Health Plan	76048
1193	Texas Children's Star	TH077	Provider ID required for all THIN payers.
1194	Texas Medical Assn Insurance (TMAIT)	TH019
1195	Texas True Choice	TH055
1196	The Chesapeake Life Insurance Company - Student Insurance	74227	Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
1197	The EPOCH Group	28777
1198	The Ford Meter Box Company, Inc.	37305
1199	The Healthcare Group	35206
1200	The Health Plan (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1201	The Integrity Benefit Group, Inc.	58200
1202	The Loomis Company	23223	** Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.
1203	The MEGA Life & Health Insurance Company - Insurance Center	59221	Payer ID valid only if the P.O. Box on the Health ID card matches the following P.O. Box: P.O. Box 982009, North Richland Hills, TX 76182
1204	The MEGA Life & Health Insurance Company - Insurance Center	59221
1205	The MEGA Life & Health Insurance Company-OKC	59227	If the P.O. Box on the health ID card matches the following P.O. Box: P.O. Box 548801, Oklahoma City, OK 73154
1206	The MEGA Life & Health Insurance Company - Starbridge StarHRG	59225	Claims are printed and mailed to the payer. Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 55270, 30870, 30888, 54150, 30069, 55400, Phoenix, AZ 85270-5270.
1207	The MEGA Life & Health Insurance Company - Student Insurance	74227	Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025.
1208	The Mutual Group (US)	70491
1209	The Oath - A Health Plan for Alabama, Inc.	63092
1210	The Oath of Alabama	63092
1211	The Preferred Healthcare System - PPO	4320
1212	The Union Labor Life Insurance Company	13142
1213	The Wellness Plan	38200
1214	Third Party Administrators, Inc.	37225	Please call Julie Blazek at (630) 416-1111, ext. 156, to verify if you should be sending claims to Third Party Administrators, Inc. Their address is 1733 Park Street, Naperville, IL 60563.
1215	Three Rivers Health Plans, Inc.	25175
1216	Three Rivers Health Plans, Inc.	25175
1217	Time	TH038
1218	TMG Life Insurance Company	70491
1219	TML Intergovernmental Employee Benefit Pool	74214
1220	Tongass Timber Trust	92620
1221	Tooling & Manufacturing Association	61425
1222	Total Health Management -PBM (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1223	Touchpoint Health Plan HMO	97910
1224	TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE	13402
1225	Tower Life Insurance Co.	69493
1226	Tower Rock Stone	TH064	Provider ID required for all THIN payers
1227	TPA Inc.	37225	Please call Julie Blazek at (630) 416-1111, ext. 156, to verify if you should be sending claims to TPA Inc. Their address is 1733 Park Street, Naperville, IL 60563.
1228	TPA (TX Plan Administrators)	TH020	Please call Amy Durham at (915) 520-3865 to enroll in EDI.
1229	TransAmerica Life Insurance Company	59222	Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009, North Richland Hills, TX 76182.
1230	TransAmerica Life Insurance Company	59222
1231	TransChoice-Key Benefit Administrators	37284
1232	TRIAD Healthcare, Inc. (Plainville, CT)	39181	Payer ID valid only for chiropractic medical claims from participating TRIAD network providers.
1233	TR Paul Inc.	37230
1234	True Choice USA	TH083	Provider ID required for all THIN payers.
1235	True Choice USA - Christus Health	TH048
1236	Trusteed Plans Service Corporation	91078
1237	Trustmark Insurance Company	61425
1238	Trustmark Insurance Company	61425	Email address is hipaa835@trustmarkins.com;Full process for notification of a provider request for an 835 from WebMd/Trustmark Payer Id 61425 attached.
1239	Tufts Health Plan	Call	Please contact Tufts EDI Operations at (888) 880-8699, ext. 4042 or e-mail edi_operations@tufts-health.comprior to submitting EDI claims.
1240	UBH RIOS	16412
1241	UBH - United Behavioral Health (former MetraHealth - UNET)	87726
1242	UBH - United Behavioral Health (Health Plan - HMO)	87726
1243	UFCW	TH065	Provider ID required for all THIN payers
1244	UHP of New Jersey (Centene)	22329
1245	UICI - Administrators	75240
1246	UICI - Administrators - State of Nevada	74223	Accepting claims only for the State of Nevada.
1247	UICI - Administrators - State of Nevada	Par
1248	Ultra Benefits, Inc.	4352
1249	UMMH	37292
1250	UMWA Health & Retirement Funds	52180	Unique Provider ID required. Please call (800) 606-5479.
1251	UNICARE	80314
1252	UNICARE	80314
1253	Unified Group Services	35198
1254	Unified Health Services	62170	Worker's Compensation Claims Only.
1255	Uniform Medical Plan, Centra	75243
1256	Uniform Medical Plan/Harrington Benefit Services	75243
1257	Union Pacific Railroad Employees	87042
1258	United Benefits	59069
1259	UnitedHealthcare	87726
1260	UnitedHealthcare	87726	[former MetraHealth Healthcare Network PPO, New York State Employees (Empire), Travelers Ins Co, Travelers Plan Administrators]
1261	UnitedHealthcare	87726	[former The Travelers, Travelers Health Network (HMO & Care Option, Travelers/CGT - PPO, MetraHealth -UNET]
1262	UnitedHealthcare	87726
1263	UnitedHealthcare of Alabama	87726
1264	UnitedHealthcare of Arizona, Inc.	87726
1265	UnitedHealthcare of Arkansas	87726
1266	UnitedHealthcare of California -Northern California	87726
1267	UnitedHealthcare of California -Southern California	87726
1268	UnitedHealthcare of Colorado, Inc.	87726
1269	UnitedHealthcare of Florida	87726
1270	UnitedHealthcare of Georgia	87726
1271	UnitedHealthcare of Illinois	87726
1272	UnitedHealthcare of Kentucky, Ltd.	87726
1273	UnitedHealthcare of Louisiana	87726
1274	UnitedHealthcare of Mississippi	87726
1275	UnitedHealthcare of New England	87726
1276	UnitedHealthcare of New York (includes New York and New Jersey)	87726
1277	UnitedHealthcare of North Carolina, Inc.	87726
1278	UnitedHealthcare of Ohio	87726
1279	UnitedHealthcare of Tennessee	87726
1280	UnitedHealthcare of Texas -Dallas	87726
1281	UnitedHealthcare of Texas -Houston	87726
1282	UnitedHealthcare of the Mid-Atlantic	87726
1283	UnitedHealthcare of the Midlands - HMO (Choice, Select)	87726
1284	UnitedHealthcare of the Midlands - PPO(Choice Plus,Select Plus,Self Funded)	87726
1285	UnitedHealthcare of the Midwest - Choice, Choice Plus, Select, Select Plus	87726
1286	UnitedHealthcare of the Midwest - Medicare Complete	87726
1287	UnitedHealthcare of Upstate New York	87726
1288	UnitedHealthcare of Utah	87726
1289	UnitedHealthcare of Virginia	87726
1290	UnitedHealthcare of Wisconsin, Inc.	87726
1291	UnitedHealthcare Plans of Puerto Rico	87726
1292	United Medical Resources	31107	This Payer ID is valid for all claims addresses on UMR Member ID cards with a listed Payer ID of 31107.
1293	United of Omaha	71412
1294	United Physicians of Northern Colorado	84132
1295	United Resources Network	41194
1296	Univera - Health Care Plan/ChoiceCare Buffalo	SX087
1297	Univera - Pre Paid Health Plan of NY	SX086
1298	Univera SSA ENY	SX090
1299	Univera SSA WNY	SX091
1300	Univera - Univera Health Southern Tier	SX088
1301	Universal Care - California	33001
1302	Universal Health Care	TH057
1303	University Comp Care (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1304	University Family Care	SX148
1305	University Health Plan of NJ	59000
1306	University of Washington Students & Graduate Appts.	91136	Please enter Group Number (P67) when submitting claims.
1307	UPMC Health Plan	23281
1308	Upper Peninsula Health Plan	38337
1309	USAA (United States Automobile Association)	74095	Property and Casualty Division Only
1310	US Benefits	93092
1311	USC Health Services	TH021
1312	USFHP - St. Vincent Catholic Medical Centers of New York	13407
1313	VA Fee Basis Programs	12115
1314	VA Fee Basis Programs	12115
1315	Valley Baptist Health Plan	TH022
1316	Vanderbilt Health Plan	23173
1317	Vantage Health Plan, Inc.	72128
1318	Vantage Health Plan, Inc. (Ohio BWC)	31147	Non-Participating Payer - see last page for definition. For Ohio Worker's Comp Claims ONLY.
1319	VENCOR	73288	As of December 1, 2002, please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informational claims to payer ID 61102.
1320	Ventana Health Systems	TH039
1321	VHP Community Care	23173
1322	Virginia Medicaid	CVAK1
1323	Vison Care Incorporated	37297
1324	Vista Health Plan	55248
1325	Vytra Healthcare	22264
1326	Wal-Mart	75257	Only stores in the following states: AK, DE, ID, MT, ND, OR, SD, VT, WA, WI, and WY.
1327	Washington Labor & Industry	SX063
1328	Watkins Associated Industries, Inc.	58082
1329	Wausau Benefits, Inc.	39026
1330	Wausau Insurance Company	11123	Non-Participating Payer - see last page for definition. Worker's Compensation Claims ONLY.
1331	WEA Insurance Group	39151
1332	webTPA/Community Health Electronic Claims/CHEC	75261
1333	Wellcare HMO, Inc.	14163
1334	Wellcare of CT	14164	Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
1335	Wellcare of CT	14164	Please note that all claims submitted require a 5-9 digit character Rendering Provider Network ID.
1336	Wellcare of NY	14164	Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
1337	Wellcare of NY	14164	Please note that all claims submitted require a 5-9 character Rendering Provider Network ID.
1338	WellMed	TH023
1339	WellMed (Encounters)	TH040
1340	WellPath	25129
1341	WellPath	25129
1342	WELS Benefit Plan Office	22925
1343	West Coast Stationary Engineers Health & Security Trust Fund	91136	Please enter Group Number (F13) when submitting claims.
1344	Western Grower's Assurance Trust	24735
1345	Western Grower's Insurance Company	24735
1346	Western Mutual Insurance	37247
1347	Western Southern Financial Group (Cincinnati, OH)	31048
1348	Weyco Inc.	38232
1349	William J. Sutton & Company, LTD. (Toronto, Canada)	98010
1350	Wisconsin Auto and Truck Dealers	39200
1351	Wisconsin Physicians Svc Group Health/WPS	SX022
1352	Workers Comp of West Virginia	SX067
1353	World Insurance Company	75276
1354	WPS Electronic Data Services	SX022	Non-Participating Payer - see last page for definition.
1355	Writers' Guild - Industry Health Plan	23710
1356	Writers' Guild - Industry Health Plan	23710