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 |