| 1199 NATIONAL BENEFIT FUND (13162 ) |
| ABC HEALTH PLAN (48185 ) |
| (for your provider number, call 631-360-3102) |
| ACN (94265 ) |
| ACS BENEFIT SERVICES INC. (72468 ) |
| ACS CONSULTING SERVICES, INC. (72467 ) |
| ADVANTRA (25126 ) |
| ADVENTIST HEALTH SYSTEM WEST (95340 ) |
| ADVENTIST RISK MANAGEMENT (PABSA ) |
| ADVICA NEW YORK HOSPITAL COMMUNITY HEALTH PLAN (13373 ) |
| ADVOCATE (6509G ) |
| AFL-CIO FOOD & BEVERAGE DEALER’S TRUST FUND (34444 ) |
| (Payer id valid only for claims with a billing submission address of P.O. Box 457, Toledo, OH |
| AH&L (ANTHEM HEALTH & LIFE OF NEW JERSEY) (80705 ) |
| ALICARE (ALSO KNOWN AS AMALGAMATED LIFE) (13550 ) |
| ALL STATE (ALLST ) |
| ALLIED ADMINISTRATORS, INC. (94177 ) |
| ALTA HEALTH & LIFE INSURANCE COMPANY (80705 ) |
| AMERICAN ADMINISTRATORS (42112 ) |
| AMERICHOICE MEDICAID (86049 ) |
| AMERICHOICE OF NJ (86001 ) |
| AMERIGROUP (27514 ) |
| AMERIGROUP OF FLORIDA (28809 ) |
| AMERIHEALTH HMO, INC. (22048 ) |
| APA PARTNERS (16140 ) |
| APIPA (M3432 ) |
| APS HEALTHCARE (54160 ) |
| ARAZ (16120 ) |
| ASC OF OHIO (37257 ) |
| ASRM, CORP. (ASRM1 ) |
| ASURIS NORTHWEST HEALTH (ASUR ) |
| ATPA1 (ATPA ) |
| AULTCARE (AULT ) |
| AUTOMATED BENEFIT SERVICES (38259 ) |
| AVMA (95266 ) |
| ACCLAIM (64071 ) |
| ADMINONE (37278 ) |
| ADMINISTRATIVE CONCEPTS (22384 ) |
| ADMINISTRATIVE SERVICE CONSULTANTS (37257 ) |
| ADVANCED DATA SOLUTIONS (58202 ) |
| ADVANTRA FREEDOM (25152 ) |
| ADVANTRA FREEDOM (25151 ) |
| ADVANTRA/HEALTH AMERICA INC./HEALTH ASSURANCE (25126 ) |
| ADVICA/NORTHEAST GEORGIA HEALTH SYSTEM (13376 ) |
| AETNA (23222 ) |
| AETNA (68246 ) |
| AETNA AFFORDABLE HEALTH CHOICES (SM) - SRC (57604 ) |
| AETNA ENCOUNTERS (60055 ) |
| AETNA HEALTH PLANS (60054 ) |
| AFFINITY HEALTH PLAN (13334 ) |
| AFTRA HEALTH FUND (13346 ) |
| AGENCY SERVICES (64158 ) |
| ALABAMA MEDICAL SURGICAL ASSOCIATES, LLC (06311 ) |
| ALASKA CHILDREN’S SERVICES, GRP#P68 (91136 ) |
| ALASKA ELECTRICAL HEALTH & WELFARE FUND (92600 ) |
| ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST, GRP#F (91136 ) |
| (please include group # when submitting claims) |
| ALASKA PIPE TRADERS LOCAL 375, GRP#F24 (91136 ) |
| (please include group # when submitting claims) |
| ALASKA UNITED FOOD & COMMERCIAL WORKERS HEALTH & W (91136 ) |
| ALCOA (87726 ) |
| ALIGNIS (58213 ) |
| ALLIANCE PARTNERS (23172 ) |
| ALLIED BENEFIT SYSTEMS (37308 ) |
| ALTA HEALTH STRATEGIES (87043 ) |
| AMALGAMATED LIFE (ALSO KNOWN AS ALICARE) (13550 ) |
| AMERICHOICE OF NEW JERSEY (86047 ) |
| AMERICHOICE OF NEW YORK (86048 ) |
| AMERIHEALTH MERCY HEALTH PLAN (22248 ) |
| AMERICAN ADMINISTRATIVE GROUP (75240 ) |
| AMERICAN CHIROPRACTIC NETWORK (41161 ) |
| AMERICAN CHIROPRACTIC NETWORK IPA OF NY (41160 ) |
| AMERICAN COMMUNITY MUTUAL INS. (60305 ) |
| AMERICAN FOUNDERS LIFE INSURANCE COMPANY (98205 ) |
| AMERICAN GENERAL (62030 ) |
| AMERICAN HEALTH PLAN (37322 ) |
| AMERICAN HEALTHCARE ALLIANCE (01066 ) |
| AMERICAN INSURANCE COMPANY OF TEXAS (81949 ) |
| AMERICAN INTERNATIONAL GROUP, INC. (87726 ) |
| AMERICAN LIFECARE (72099 ) |
| AMERICAN MEDICAL SECURITY (81400 ) |
| AMERICAN NATIONAL INSURANCE CO. (74048 ) |
| AMERICAN REPUBLIC INSURANCE (42011 ) |
| AMERICAN SPECIALTY HEALTH NETWORK (ASHN ) |
| AMERIHEALTH HMO NEW JERSEY AND DELAWARE (23037 ) |
| ANCHOR BENEFIT CONSULTING (53085 ) |
| ANTARES MANAGEMENT SOLUTIONS (34192 ) |
| ANTHEM HEALTH & LIFE INSURANCE COMPANY OF NJ (80705 ) |
| APEX BENEFIT SERVICES (34196 ) |
| ARCADIAN MANAGEMENT SERVICES (77045 ) |
| ARIZONA FOUNDATION FOR MEDICAL CARE (AZFMC ) |
| ARKANSAS BEST CORPORATION (75278 ) |
| ARNETT HEALTH PLANS (95440 ) |
| (requires unique provider id, contact Arnett at 765-448-7483 prior to submission) |
| ASSURANT HEALTH SELF-FUNDED (FT. MILL, SC) (37313 ) |
| ASSURANT MINIMED-KEY FAMILY (37323 ) |
| ASSURED BENEFIT ADMINISTRATORS (74240 ) |
| ATHENS AREA HEALTH PLAN SELECT (95691 ) |
| ATLANTICARE ADMINISTRATORS (22304 ) |
| ATLANTIS HEALTH PLAN (13853 ) |
| (Please include network id when submitting. Call Frank at 212-747-8393 for network id.) |
| ATLAS LIFE INSURANCE COMPANY (90956 ) |
| AUTOMATIVE MACHINISTS LOCAL 289 HEALTH & WELFARE (91136 ) |
| (please include group # when submitting claims) |
| AVERA HEALTH PLANS (46045 ) |
| AVMED (59274 ) |
| (the insured id and patient id must be 11 digits) |
| BAIPA CLAIMS (36345 ) |
| BCI ADMINISTRATORS (49153 ) |
| BENEFIT MANAGEMENT SERVICES (56139 ) |
| BENEFIT SERVICES (34178 ) |
| BERKSHIRE HEALTH PLAN (23243 ) |
| BLUE MEDICARE/PARTNERS (56152 ) |
| BMGI - BENEFIT MANAGEMENT GROUP INC. (20018 ) |
| BPA/BENEFIT PLAN ADMINISTRATORS (NORTH DAKOTA) (37286 ) |
| BPS (FORMERLY KNOWN AS BENEFIT PLAN SERVICES) (48964 ) |
| BRIDGE BENEFITS INC (38365 ) |
| BSI (37257 ) |
| BANKERS UNITED LIFE (STUDENT DIVISION) (74227 ) |
| BEECH STREET (95377 ) |
| BELL ATLANTIC (68241 ) |
| BENEFIRST (37125 ) |
| BENEFIT ADMINISTRATIVE SYSTEMS (36149 ) |
| BENEFIT COORDINATORS CORPORATION (PITTSBURGH, PA) (25145 ) |
| BENEFIT MANAGEMENT SYSTEMS (37212 ) |
| BENEFIT PLAN ADMINISTRATORS (BPA) (88027 ) |
| BENEFIT PLAN ADMINISTRATORS (EAU CLAIRE, WI) (39081 ) |
| BENEFIT PLAN ADMINISTRATORS (ROANOKE, VA) (37118 ) |
| (Please call May Bender at 540-345-2721 to verify before sending) |
| BENEFIT PLANNERS, INC. (74223 ) |
| BENEFIT SOLUTIONS (BSI01 ) |
| BENEFIT SYSTEMS & SERVICES,INC.(BSSI) (36342 ) |
| BENEFIT TRUST LIFE INSURANCE COMPANY (61425 ) |
| BENESIGHT (87265 ) |
| BENICORP (69752 ) |
| BENMARK (BNMK1 ) |
| BEST LIFE & HEALTH INSURANCE CO. (95604 ) |
| BETTER HEALTH PLANS (62183 ) |
| BIG LOTS ASSOCIATES BENEFIT PLANS (CX025 ) |
| BLOCK VISION OF TEXAS (BVTX1 ) |
| BLOCK VISION, INC. (BV001 ) |
| BLUE CROSS AND BLUE SHIELD OF NEW JERSEY (22099 ) |
| BOILERMAKERS NATIONAL HEALTH & WELFARE FUND (36609 ) |
| BRIDGESTONE CLAIMS SERVICES (37285 ) |
| BROCKERAGE CONCEPTS (51037 ) |
| BRODART CO. (37262 ) |
| BROKERAGE SERVICE, INC. (37257 ) |
| BROWN & BROWN BENEFITS (59069 ) |
| BROWN & TOLAND MEDICAL GROUP (94316 ) |
| BUCKEYE COMMUNITY HEALTH (32004 ) |
| BUEHLER FOODS (62061 ) |
| BUTLER BENEFIT (42150 ) |
| C&O EMPLOYEES HOSPITAL ASSOCIATION (23708 ) |
| CAC/AMERIGROUP CLAIMS (28808 ) |
| CAN HEALTH PARTNERS REPRICING AR (48153 ) |
| CARE CHOICES HMO (38269 ) |
| CARE IMPROVEMENT PLUS (77082 ) |
| CARPENTERS (25125 ) |
| CBCA ADMINISTRATORS (55438 ) |
| CBSA (41124 ) |
| CCEA WELFARE BENEFIT TRUST (88019 ) |
| CCMI (94265 ) |
| CCN (33005 ) |
| (Please include group name and insured’s employer name on claims.) |
| CCN MANAGED CARE, INC. (33004 ) |
| CDPHP (SX065 ) |
| CDS GROUP HEALTH (88022 ) |
| CELTIC INSURANCE COMPANY (CELTC ) |
| CHA COMMONWEALTH HEALTH ALLIANCE (23171 ) |
| CHESTERFIELD RESOURCES (34154 ) |
| CIGNA BEHAVIORAL HEALTH (MCCBV ) |
| CIGNA BEHAVIORAL HEALTH (SX071 ) |
| CIGNA HEALTHCARE FOR SENIORS - ARIZONA MEDICARE (86033 ) |
| CL FRATES AND COMPANY (CLFRS ) |
| CLAIMS XPRESS (CXP27 ) |
| CLEAR CHOICE HEALTH PLANS (77201 ) |
| CNY MANAGED CARE (62308 ) |
| COLORADO LABORERS (COMPU ) |
| COMMUNITY HEALTH PLAN (90020 ) |
| COMPANION HEALTH CARE (SCBC ) |
| COMPLEMENTARY HEALTHCARE (93101 ) |
| COOK GROUP HEALTH (35149 ) |
| CORNERSTONE BENEFITS ADMIN INC. (35202 ) |
| COX HEALTH SYSTEMS INSURANCE CO. (00019 ) |
| CWI BENEFITS, INC. (57080 ) |
| CALIFORNIA MOLINA HEALTHCARE OF CALIFORNIA (38333 ) |
| CAPE HEALTH PLAN (38245 ) |
| CAPITAL INTERNATIONAL (65067 ) |
| CAPITOL ADMINISTRATORS (68011 ) |
| CAPITOL BLUE CROSS (23045 ) |
| CAPITOL COMMUNITY HEALTH PLANS (87726 ) |
| CARE PARTNERS (43172 ) |
| (Payer requires registration and testing, call 877-234-4274.) |
| CAREGUIDE (16147 ) |
| CARECORE NATIONAL (14182 ) |
| CARECORE NATIONAL (AETNA RADIOLOGY CLAIMS) (14179 ) |
| CARECORE NATIONAL (OXFORD RADIOLOGY CLAIMS) (14180 ) |
| CARELINK ADVANTRA (25139 ) |
| (West Virginia HealthAssurance and Carelink commercial claims only.) |
| CARELINK HEALTH PLAN (25139 ) |
| (West Virginia HealthAssurance and Carelink commercial claims only.) |
| CARELINK MEDICAID (25140 ) |
| CARENET (25142 ) |
| CARESOURE OF INDIANA (37311 ) |
| CAREWORKS (10010 ) |
| CARITEN HEALTHCARE (62073 ) |
| CARITEN HEALTHCARE TENNCARE (62155 ) |
| CARITEN SENIOR HEALTH (62072 ) |
| CAROLINA CARE PLAN (57105 ) |
| CAROLINA SUMMIT HEALTHCARE, INC. (56195 ) |
| CASCADE EAST HEALTH PLANS (93040 ) |
| CASCADE HEALTH PARTNERS (93102 ) |
| CATERPILLAR, INC. (87726 ) |
| CEDARS-SINAI MEDICAL NETWORK SERVICES (95166 ) |
| CEMENT MASONS & PLASTERERS HEALTH & WELFARE, GRP # (91136 ) |
| (please include group # when submitting claims) |
| CENPATICO BEHAVIORAL HEALTH ARIZONA (68048 ) |
| CENPATICO BEHAVIORAL HEALTH KANSAS (68047 ) |
| CENPATICO GEORGIA (68050 ) |
| CENTERCARE (13357 ) |
| CENTRA (75243 ) |
| CENTRAL & SOUTHWEST SERVICES (75177 ) |
| CENTRAL BENEFITS LIFE (31118 ) |
| CENTRAL BENEFITS MUTUAL (31118 ) |
| CENTRAL BENEFITS NATIONAL (31118 ) |
| CENTRAL MASS HEALTH CARE/CMHC (62308 ) |
| CENTRAL RESERVE LIFE (34097 ) |
| CENTRAL STATES HEALTH & WELFARE FUNDS (36215 ) |
| CENTRAL STATES JOINT BOARD HEALTH AND WELFARE FUND (37214 ) |
| CHARTERED HEALTH PLAN (95748 ) |
| CHAUTAUQUA COUNTY HEALTHCARE PLAN (16600 ) |
| CHESAPEAKE LIFE INSURANCE COMPANY (59223 ) |
| (only valid if address is PO Box 982016 North Richland Hills, TX on id card) |
| CHILDREN OF WOMEN VIETNAM VETERANS (84146 ) |
| CHINESE COMMUNITY HEALTH PLAN (94302 ) |
| CHOICE PLUS (TRW) (68241 ) |
| CHRISTIAN BROTHERS SERVICES (61271 ) |
| CIGNA (62308 ) |
| CIGNA FLEX CARE (NEW MEXICO ONLY) (62310 ) |
| CIGNA HEALTH PLAN HMO (62308 ) |
| CIGNA-PPO (62308 ) |
| CLAIMSWARE (57080 ) |
| COLONIAL HEALTHCARE (37123 ) |
| COLUMBIA CORNELL CARE (25351 ) |
| COLUMBIA UNITED PROVIDERS (91162 ) |
| COMMONWEALTH ADMINISTRATIVE GROUP (37237 ) |
| COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION (25179 ) |
| COMMUNITY CARE MANAGED HEALTH CARE PLANS OF OKLAHO (73143 ) |
| COMMUNITY CARE NETWORK (33005 ) |
| (Please include group name and insured’s employer name on claims.) |
| COMMUNITY CARE ORGANIZATION (39126 ) |
| COMMUNITY CHOICE OF MICHIGAN (38325 ) |
| COMMUNITY HEALTH ALLIANCE (35193 ) |
| COMMUNITY HEALTH PLAN (90010 ) |
| COMMUNITY HEALTH PLAN MILWAUKEE (39162 ) |
| COMMUNITY PREMIER PLUS FOR NEIGHBORHOOD HEALTH PRO (32481 ) |
| COMP-OHIO (AUSTINTOWN, OH) (34177 ) |
| COMPREHENSIVE CARE MANAGEMENT CCM (CCMC1 ) |
| CONCERT HEALTH PLAN (36434 ) |
| CONFEDERATION ADMIN SERVICES (80705 ) |
| CONFEDERATION LIFE INSURANCE (80705 ) |
| CONNECTICUT GENERAL (CIGNA) (62308 ) |
| CONSOLIDATED ASSOCIATES RAILROAD (75284 ) |
| CONTINUUM ABC MSO (13397 ) |
| COOPERATIVE BENEFIT ADMINISTRATORS-CBA (52132 ) |
| COORDINATED MEDICAL SPECIALISTS (58204 ) |
| CORSOLUTIONS (48146 ) |
| CORE ADMINISTRATIVE SERVICES (58231 ) |
| CORESTAR (41045 ) |
| CORESOURCE MD PA IL (35182 ) |
| CORESOURCE OH (35183 ) |
| CORESOURCE OF NORTH CAROLINA (35180 ) |
| CORPORATE BENEFIT SERVICES INC (56116 ) |
| (only valid if address is PO Box 12953 Charlotte, NC) |
| CORPORATE BENEFIT SERVICES OF AMERICA (41124 ) |
| CORPORATE SYSTEMS ADMINISTRATION (37246 ) |
| COUNTRY COMPANIES (62553 ) |
| COUNTRY LIFE INSURANCE COMPANY (62553 ) |
| COVENANT HEALTH (62155 ) |
| COVENTRY HEALTH CARE (FORMERLY PRINCIPAL HEALTH) (61271 ) |
| COVENTRY HEALTH CARE OF DELAWARE (25130 ) |
| COVENTRY HEALTH CARE OF GEORGIA (25127 ) |
| COVENTRY HEALTH CARE OF INDIANA (25131 ) |
| COVENTRY HEALTH CARE OF IOWA (25132 ) |
| COVENTRY HEALTH CARE OF KANSAS KANSAS CITY (25133 ) |
| COVENTRY HEALTH CARE OF LOUISIANA (25135 ) |
| COVENTRY HEALTH CARE OF NEBRASKA (25136 ) |
| COVENTRY HEALTH CARE OF ST. LOUIS (25141 ) |
| COVENTRY HEALTH CARE OF THE CAROLINAS (25129 ) |
| CREATIVE MEDICAL SYSTEMS (64068 ) |
| CREATIVE PLAN ADMINISTRATORS (37320 ) |
| CUSTOM BENEFIT ADMINISTRATORS (39170 ) |
| CUSTOMCARE (68241 ) |
| DART MANAGEMENT CORP. (06172 ) |
| DEAN HEALTH PLAN (DEAN1 ) |
| DELTA HEALTH SYSTEMS (DHS01 ) |
| DESTINY HEALTH (36436 ) |
| DEVON HEALTH SERVICES (43471 ) |
| DME MEDICARE OF TENNESSEE (DMERC ) |
| DELAWARE HEALTH PLAN CONSORTIUM (63081 ) |
| DELAWARE HEALTH AND HOSPITAL AUTHORITY (84133 ) |
| DELAWARECARE (25137 ) |
| DELTA DENTAL OF WISCONSIN (39069 ) |
| DENVER HEALTH INDIGENT (84134 ) |
| DENVER HEALTH MEDICAL PLAN (84135 ) |
| DERMATOLOGY NETWORK SOLUTIONS (58204 ) |
| DIAMOND PLAN (25131 ) |
| DIRECTORS GUILD OF AMERICAN PRODUCER HEALTH PLAN (23706 ) |
| DIVERSIFIED ADMINISTRATION (MARLBOROUGH, CT) (06102 ) |
| DIVERSIFIED GROUP ADMINISTRATORS (25160 ) |
| DUNN & ASSOCIATES (35186 ) |
| EBC (37257 ) |
| EBMC (31074 ) |
| EBMC (EMPLOYEE BENEFIT MANAGEMENT CORP.) (CX025 ) |
| EBMS (SX182 ) |
| EBMS (EMPLOYEE BENEFIT MANAGEMENT SERVICES, INC.) (81039 ) |
| EBS OF OHIO (34166 ) |
| ECOH CLAIMS (27008 ) |
| ENH MEDICAL GROUP IPA (36364 ) |
| ERISA ADMINISTRATIVE SERVICES (74234 ) |
| EVERCARE (87726 ) |
| ELDER HEALTH MARYLAND HMO (52192 ) |
| ELDERPLAN (31625 ) |
| ELECTRONIC TRANSMISSION CORPORATION (75260 ) |
| ELMCO (37253 ) |
| EMERALD HMO (34555 ) |
| EMORYCARE (68241 ) |
| EMPIRE PHYSICIANS MEDICAL GROUP (33029 ) |
| EMPLOYEE BENEFIT CLAIMS (37257 ) |
| EMPLOYEE BENEFIT CONSULTANTS (37257 ) |
| EMPLOYEE BENEFIT CORPORATION (37215 ) |
| EMPLOYEE BENEFIT SERVICES (37216 ) |
| EMPLOYEE PLANS, LLC (35112 ) |
| EMPLOYEE SECURITY INC. (54098 ) |
| EMPLOYER PLAN SERVICES (74212 ) |
| EMPLOYERS HEALTH INSURANCE OF WAUSAU (39026 ) |
| EMPLOYERS LIFE INSURANCE CORP. (37249 ) |
| EMPLOYERS MUTUAL, INC. (59297 ) |
| EMPLOYERS MUTUAL, INC. (FL) (59298 ) |
| ENCIRCLE PPO (35206 ) |
| ENCORE HEALTH NETWORK (35206 ) |
| ENSTAR NATURAL GAS, GRP #61 (91136 ) |
| Please include group # |
| EQUICOR (62308 ) |
| EQUICOR PPO (62308 ) |
| EQUIFAX HEALTHCARE ADMINISTRATIVE SERVICES (EHAS) (75196 ) |
| EQUITABLE (CIGNA) (62308 ) |
| ERIN GROUP ADMINISTRATORS (23250 ) |
| EVERGREEN HEALTH PLAN (58233 ) |
| EXCLUSICARE (71412 ) |
| F.A. RICHARD & ASSOCIATES, INC. (37289 ) |
| FABOH (39112 ) |
| FACS GROUP (37300 ) |
| FALLON COMMUNITY (22254 ) |
| FARM FAMILY CASUALTY INSURANCE (14140 ) |
| FCE BENEFIT ADMINISTRATORS (33033 ) |
| FIRST HEALTH MMPHB (MMPHB ) |
| FIRSTCARE (94999 ) |
| FIRSTCARE CHIP (FCAR ) |
| FMH BENEFIT SERVICES, INC. (48117 ) |
| FACEY MEDICAL FOUNDATION (95432 ) |
| FAMILY HEALTH SYSTEMS-WI-COMMUNITY HEALTH PLAN (39162 ) |
| (call Karen Mills @ 414-256-5705 prior to submitting claims) |
| FAMILY MEDICAL NETWORK (36396 ) |
| FEDERATED BENEFITS (37300 ) |
| FEDERATED HR SERVICES (37300 ) |
| FEDERATED MUTUAL INSURANCE (41041 ) |
| FIDELIS CARE NY (11315 ) |
| FIRST ADMINISTRATORS (FAMR1 ) |
| FIRST CAROLINA CARE (56196 ) |
| FIRST CHOICE HEALTH NETWORK (91131 ) |
| FIRST GUARD HEALTH PLAN (90060 ) |
| FIRST HEALTH (87043 ) |
| FIRST PRIORITY (23241 ) |
| FIRST STATE HEALTH PLAN (63080 ) |
| FISERV HEALTH KANSAS/TENNESSEE (62061 ) |
| FITZHARRIS & COMPANY (11244 ) |
| FLEXCARE (68241 ) |
| FLORIDA HOSPITAL HEALTHCARE SYSTEMS (59321 ) |
| FLORIDA HOSPITAL WATERMAN (48116 ) |
| FLORIDA POWER & LIGHT (68241 ) |
| FORMAX (87066 ) |
| FORTIS BENEFITS (70408 ) |
| FORTIS INSURANCE COMPANY (FORMERLY TIME INSURANCE) (39065 ) |
| FORTIS SELF FUNDED ADMINISTRATIVE SERVICES (41124 ) |
| FOUNDATION HEALTH PLAN (SUNRISE, FL) (59257 ) |
| FOX EVERETT (64069 ) |
| FOX-EVERETT INGALLS SHIP BUILDING (64067 ) |
| FREEDOM LIFE INSURANCE COMPANY (62324 ) |
| FRONT PATH HEALTH COALITION (34171 ) |
| GE GROUP LIFE ASSURANCE COMPANY (67815 ) |
| GENWORTH FINANCIAL (06143 ) |
| GHI HMO SELECT (25531 ) |
| GHI NEW YORK (GROUP HEALTH INC.) (13551 ) |
| (For electronic GHI providers prior to 1/1/98; certification process is required. Please call |
| GHP (GROUP HEALTH PLAN) (25141 ) |
| GI INNOVATIVE MANAGEMENT (58204 ) |
| GLOBAL CARE (07689 ) |
| GOOD SAMARITAN (IP086 ) |
| GREENTREE ADMINISTRATORS (78521 ) |
| GALLAGHER BENEFIT ADMINISTRATORS/GBA (37283 ) |
| GALVESTON COUNTY INDIGENT HEALTH CARE (30005 ) |
| GATEWAY HEALTH PLAN (25169 ) |
| GATEWAY HEALTH PLAN OF OHIO (76028 ) |
| GEISINGER HEALTH PLAN (75273 ) |
| (Payer requires enrollment. Please contact payer at 888-281-5338.) |
| GENELCO (ST. LOUIS) (63665 ) |
| GENERAL AMERICAN LIFE INS. COMPANY (63665 ) |
| GEORGIA POWER MEDICAL BENEFITS PLAN (61271 ) |
| GILSBAR, INC. (07205 ) |
| GLASSWORKERS HEALTH & WELFARE, GRP #F29 (91136 ) |
| (please include group # when submitting claims) |
| GOLDEN RULE INSURANCE COMPANY (37602 ) |
| GOVERNMENT EMPLOYEES HOSPITAL (GEHA) (44054 ) |
| GRADY HEALTHCARE INC. (58204 ) |
| GRANT PHYSICIANS PRACTICE ASSOCIATION (37234 ) |
| GREAT-WEST LIFE ASSURANCE CO. OF AMERICA (80705 ) |
| GROUP ADMINISTRATORS (36338 ) |
| GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE, TN) (72153 ) |
| GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WI (39167 ) |
| GROUP HEALTH MANAGERS (38194 ) |
| GROUP INSURANCE SERVICE CENTER, INC. (37276 ) |
| GROUP PRACTICE AFFILIATES (68046 ) |
| GUARDIAN CHOICE, THE (64246 ) |
| GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (64246 ) |
| GULFQUEST (93100 ) |
| GUNDERSEN LUTHERAN HEALTH PLAN (39180 ) |
| (Before submitting, call Shari Oelke at 608-775-8026) |
| H.E.R.E.I.U WELFARE PENSION FUNDS (37114 ) |
| HCHA ALBQ-SELF FUNDED (37329 ) |
| HCS HEALTH CLAIMS SERVICE (BOISE, ID) (82018 ) |
| HEALTH NET PEARL (SX185 ) |
| HEALTH PARTNER (71603 ) |
| HEALTHLINK HMO (00013 ) |
| HEALTHLINK PPO (00014 ) |
| HEALTHNET SMART CHOICE (13402 ) |
| HIP-HEALTH INSURANCE PLAN OF GREATER NEW YORK (55247 ) |
| (Individual provider enrollment and testing is required by payer. Call 212-630-8711) |
| HIP/PRSIM HEALTH NETWORKS (37303 ) |
| HMA HAWAII (86066 ) |
| HMAA (48330 ) |
| HOMETOWN HEALTH (88023 ) |
| HRM CLAIM MANAGEMENT (41170 ) |
| HUNT INSURANCE GROUP (37260 ) |
| HARMONY HEALTH PLAN OF ILLINOIS (36406 ) |
| HARMONY HEALTH PLAN OF INDIANA (36405 ) |
| HARRINGTON BENEFIT SERVICES (95266 ) |
| HARRINGTON BENEFIT SERVICES OKLAHOMA (59142 ) |
| HARVARD PILGRIM HEALTH CARE (04271 ) |
| (Provider enrollment required, call 800-742-8326 x 68998) |
| HEALTH 1-2-3 (23173 ) |
| HEALTH AMERICA INC./HEALTH ASSURANCE/ADVANTRA (25126 ) |
| HEALTH ASSURANCE/HEALTH AMERICA, INC./ADVANTRA (25126 ) |
| HEALTH CARE ALLIANCE (SEARS) (68241 ) |
| HEALTH CARE PAYER’S COALITION (34193 ) |
| (Payer ID valid only for claims with a billing submission address of P.O. Box 741, Toledo, OH |
| HEALTH CARE SAVINGS (56142 ) |
| HEALTH CHOICE OF MEMPHIS (62168 ) |
| HEALTH COST SOLUTIONS (62111 ) |
| HEALTH EZ (16120 ) |
| HEALTH EASE (59608 ) |
| (All claims submitted require a 5-9 character rendering provider network id.) |
| HEALTH FIRST HEALTH PLANS (95019 ) |
| HEALTH FIRST NEW YORK (80141 ) |
| (all claims submitted require a valid provider ID in the rendering provider network id field) |
| HEALTH NET OREGON (22340 ) |
| HEALTH NETWORK AMERICA (20199 ) |
| HEALTH NEW ENGLAND (95673 ) |
| HEALTH PARTNERS (80142 ) |
| (all claims submitted require a valid provider ID in the rendering network id field) |
| HEALTH PARTNERS JACKSON, TN (62157 ) |
| HEALTH PARTNERS MINNESOTA (94267 ) |
| call 952-883-7505 |
| HEALTH PARTNERS OF ALABAMA (63092 ) |
| HEALTH PARTNERS OF SOUTHEAST (63092 ) |
| HEALTH PARTNERS, PA (80142 ) |
| HEALTH PLAN SERVICES (59142 ) |
| HEALTH PLANS INC. (44273 ) |
| HEALTH PLANS, INC. (44273 ) |
| HEALTH PLEDGE HMO (95435 ) |
| HEALTH PLUS LOUISIANA (95009 ) |
| HEALTH PLUS PHSP (BROOKLYN, NY) (11324 ) |
| HEALTH POWER HMO (31106 ) |
| HEALTH RISK MANAGEMENT, INC. (55438 ) |
| HEALTH SERVICES MANAGEMENT (HSM01 ) |
| HEALTH SERVICES FOR CHILDREN WITH NEEDS (37290 ) |
| HEALTHAMERICA (25126 ) |
| HEALTHASSURANCE (25126 ) |
| HEALTHGUARD OF LANCASTER (23226 ) |
| HEALTHHELP NETWORK, INC. (HHNI) (59087 ) |
| HEALTHSPRING (25173 ) |
| HEALTHSPRING (33104 ) |
| HEALTHSTAR, INC. (36332 ) |
| HEALTHCARE COMPARE (36330 ) |
| HEALTHCARE PARTNERS, IPA (11328 ) |
| HEALTHCARE USA (25143 ) |
| HEALTHCARE USA (25143 ) |
| HEALTHCHOICE OF AZ (62179 ) |
| HEALTHCHOICE OF AZ (62180 ) |
| HEALTHCOMP, INC. (85729 ) |
| HEALTHEASE (59608 ) |
| HEALTHFIRST, INC. (80141 ) |
| HEALTHNET-KANSAS CITY, MO (43132 ) |
| HEALTHPLUS OF MICHIGAN (38216 ) |
| HEALTHRIGHT, INC. (06142 ) |
| HEALTHSCOPE / CNA (71063 ) |
| HEALTHSOURCE CMHC (62308 ) |
| HEALTHSOURCE HMO (62308 ) |
| HEALTHSOURCE MASSACHUSETTS, INC. (02041 ) |
| HEALTHSOURCE PROVIDENT (62308 ) |
| HEALTHSOURCE PROVIDENT (68195 ) |
| HEALTHSOURCE, AR (71074 ) |
| HEALTHSOURCE, AR (MED) (CIGNA) (71075 ) |
| HEALTHSOURCE, GA (62308 ) |
| HEALTHSOURCE, GA (CIGNA) (58210 ) |
| HEALTHSOURCE, IN (62308 ) |
| HEALTHSOURCE, IN (35167 ) |
| HEALTHSOURCE, KY (62308 ) |
| HEALTHSOURCE, KY (61127 ) |
| HEALTHSOURCE, ME (62308 ) |
| Require Provider ID |
| HEALTHSOURCE, ME (01041 ) |
| HEALTHSOURCE, N. TX (CIGNA) (75255 ) |
| HEALTHSOURCE, NC (62308 ) |
| Require Provider ID |
| HEALTHSOURCE, NC (CIGNA) (56147 ) |
| HEALTHSOURCE, NH (62308 ) |
| Require Provider ID |
| HEALTHSOURCE, NH (02038 ) |
| HEALTHSOURCE, NY (62308 ) |
| Require Provider ID |
| HEALTHSOURCE, NORTH TEXAS (62308 ) |
| Require Provider ID |
| HEALTHSOURCE, OH (62308 ) |
| Require Provider ID |
| HEALTHSOURCE, OH (31141 ) |
| HEALTHSOURCE, SC (62308 ) |
| Require Provider ID |
| HEALTHSOURCE, SC (06119 ) |
| HEALTHSOURCE, TN (62308 ) |
| Require Provider ID |
| HEALTHSOURCE, TN (CIGNA) (62129 ) |
| HEALTHSOURCE,, AR (MEDICARE HMO) (62308 ) |
| (payer requires prov ID#, call 800-831-6654) |
| HEALTHSPRING HMO (63092 ) |
| HEALTHSPRING OF ALABAMA (63092 ) |
| (call for provider enrollment 800-743-7141) |
| HEALTHWAYS WHOLEHEALTH NETWORKS (58213 ) |
| HERITAGE CONSULTANTS (59230 ) |
| (For faster payment, please be sure to use only the 9-digit subscriber ID on all claims) |
| HERITAGE NEW YORK MEDICAL GROUP (11328 ) |
| HILLCREST BENEFIT ADMINISTRATORS (59347 ) |
| HINSDALE PHYSICIANS HEALTHCARE (37115 ) |
| HOOSIER ALLIANCE HEALTHPLAN (20475 ) |
| HORIZON HEALTHCARE ADMIN (HHA) (22304 ) |
| HORIZON MERCY (22326 ) |
| (call 877-234-4273 for enrollment) |
| HOTEL EMPLOYEES & RESTAURANT EMPLOYEES, GRP. #F19 (91136 ) |
| (please include group # when submitting claims) |
| HUMANA (61101 ) |
| HUMANA PUERTO RICO (65018 ) |
| HUMBOLDT-DEL NORTE FOUNDATION FOR MEDICAL CARE (IP059 ) |
| IAA (37279 ) |
| IBA SELF FUNDED GROUP (31107 ) |
| IBI (41124 ) |
| IBM MEDICAL PLANS (68241 ) |
| ICARE (11695 ) |
| ICM (37296 ) |
| IE SHAFFER (22175 ) |
| INDECS (40585 ) |
| INSTIL HEALTH CLAIMS FOR SOUTH CAROLINA (INSTI ) |
| INSURANCE MANAGEMENT (IMSMS ) |
| INSURANCE MANAGEMENT SERVICES (IMS) OF TEXAS (IMSMS ) |
| INSURANCE SERVICES OF LUBBOCK (ISL11 ) |
| INSURERS ADMINISTRATIVE CORP. (IAC01 ) |
| INTGRITAS BENEFIT GROUP (20435 ) |
| IUOE LOCAL 4 (37241 ) |
| ICON BENEFIT ADMINISTRATORS (75185 ) |
| ILLINOIS HEALTH SOLUTIONS (86069 ) |
| INDIANA HEALTH NETWORK (35204 ) |
| INDIVIDUAL HEALTH INSURANCE COMPANIES (31053 ) |
| INNOVATIVE HEALTHWARE SOLUTIONS (04320 ) |
| INSTITUTES OF QUALITY (68241 ) |
| INSURANCE ADMINISTRATORS OF AMERICA (37279 ) |
| INSURANCE CLAIMS SERVICES, INC. (BIRMINGHAM, AL) (63082 ) |
| INSURANCE DESIGN ADMINISTRATORS (13315 ) |
| INSURDATA (87056 ) |
| INTEGRA ADMINISTRATIVE GROUP (SEAFORD, DE) (51020 ) |
| INTEGRA GROUP (31127 ) |
| INTEGRA GROUP CHA (31129 ) |
| INTERCARE HEALTH PLANS (37227 ) |
| INTERFACE EAP (60280 ) |
| INTERNATIONAL BROTHERHOOD OF BOILERMAKERS (36609 ) |
| INTERNATIONAL UNION OF OPERATING ENGINEERS, LOCAL (37241 ) |
| (located in Lexington, MA) |
| INTERNATIONAL UNION OF OPERATION ENGINEERS (37269 ) |
| (located in New York, NY)) |
| INTERWEST HEALTH (84137 ) |
| IOWA BENEFITS INC. (41124 ) |
| IOWA HEALTH SOLUTIONS (86068 ) |
| I’MCARE (41600 ) |
| J.F. MOLLOY AND ASSOCIATES, INC. (61271 ) |
| JI SPECIALTY SERVICES (JISSP ) |
| JOHN MORRELL HEALTH PLAN (38310 ) |
| JOHN MUIR TRAUMA PHYSICIANS (68013 ) |
| JSL ADMINISTRATORS (37272 ) |
| JASPER DESK (62061 ) |
| JASPER ENGINES & TRANSMISSIONS (74223 ) |
| JASPER RUBBER PRODUCTS (62061 ) |
| JOHN ALDEN LIFE INSURANCE CO. (41099 ) |
| JOHN DEERE HEALTH CARE (95378 ) |
| (must first call 309-765-1593 to get provider id) |
| JOHN HANCOCK (65099 ) |
| JOHN P. PEARL & ASSOCIATES (37215 ) |
| JOPLIN CLAIMS (43178 ) |
| KAISER (52095 ) |
| KVI (13310 ) |
| KAISER FOUNDATION HEALTH PLAN OF GEORGIA (21313 ) |
| KAISER PERMANETE-NORTHEAST DIVISION (23742 ) |
| (certification required; call 518-783-1864 x40422) |
| KANAWHA INSURANCE CO. (57038 ) |
| KANSAS CITY LIFE INSURANCE CO. (44030 ) |
| KEMPTON COMPANY (73100 ) |
| KEMPTON GROUP ADMINISTRATORS (73100 ) |
| KENTUCKY HEALTH SELECT (63077 ) |
| KEY BENEFIT ADMINISTRATORS (37217 ) |
| KEY SELECT (37321 ) |
| KEYSTONE MERCY HEALTH PLAN (23284 ) |
| Provider Enrollment Required |
| KLAIS (KLAIS ) |
| KLAIS & COMPANY (34145 ) |
| LABOR & INDUSTRY (WASHINGTON) (LABOR ) |
| LBA HEALTH PLANS (52193 ) |
| LIBERTY MUTUAL (11123 ) |
| LINCOLN HERITAGE LIFE INS CO. (73288 ) |
| LAKESIDE HEALTH SERVICES (95415 ) |
| LANDMARK (LNDMK ) |
| LEED SELLING TOOLS (74223 ) |
| LEON MEDICAL CENTER HEALTH PLAN (37316 ) |
| LIBERTY HEALTH ADVANTAGE (87071 ) |
| LIBERTY HEALTH ADVANTAGE (87071 ) |
| LIFE & HEALTH INSURANCE COMPANY OF AMERICA (98205 ) |
| LIFETRAC (41136 ) |
| LIFEWISE HEALTH PLAN OF ARIZONA A PREMIE (91155 ) |
| Paperwork required for enrollment |
| LIFEWISE/WASHINGTON EMPLOYERS TRUST (37294 ) |
| LINN COUNTY (75283 ) |
| LOMA LINDA UNIVERSITY (37267 ) |
| LONDON HEALTH ADMINISTRATORS (37226 ) |
| (required fields are group# and insured id first and last names) |
| LOS ALAMOS TOTAL CARE (LATC) (68241 ) |
| LOVELACE HEALTH PLAN (62310 ) |
| LOVELACE SANDIA HEALTH PLAN (90328 ) |
| LOVELACE SENIOR OPTIONS (LSO) (62310 ) |
| LOVELACE SENIOR PLAN (LSP) (62310 ) |
| LUMENOS, INC. (54195 ) |
| M.D. IPA (52148 ) |
| MAMSI (52148 ) |
| MANAGED PHYSICAL NETWORK (93900 ) |
| MAPCO, INC. (75258 ) |
| MBA OF MD, INC. (37298 ) |
| MBA OF WYOMING (CDTEC ) |
| MBS (MEDCOST BENEFIT SERVICES) (56205 ) |
| MDNY HEALTHCARE (11338 ) |
| MDWISE HOOSIER ALLIANCE (20475 ) |
| MEDICA HEALTH CARE PLAN, INC. (78857 ) |
| MEGA LIFE & HEALTH (STUDENT DIVISION) (59221 ) |
| (address must be PO Box 982009 North Richland Hills, TX) |
| MENTAL HEALTH NETWORK (MHNET ) |
| MERCY CARE PLAN/AHCCCS (M3433 ) |
| MERCY HEALTH PLAN (00360 ) |
| MICHAEL REESE PHYSICIANS GROUP (37127 ) |
| MLINK (37265 ) |
| MMS/LLC (62178 ) |
| MOLINA HEALTHCARE OF MICHIGAN (38334 ) |
| MPE SERVICES, INC. (37233 ) |
| MPEEBT (37233 ) |
| MPLAN, INC./HEALTHCARE GROUP, LLC (95444 ) |
| MACNEAL HEALTH PROVIDERS- CHS (36334 ) |
| MACHINIST DISTRICT 9 WELFARE (37292 ) |
| MAGNACARE (11303 ) |
| MAIL HANDLERS BENEFIT PLAN (62413 ) |
| MANAGED CARE SERVICES, LLC (35162 ) |
| MANAGED HEALTH NETWORK (22771 ) |
| MANAGED HEALTH SERVICES WISCONSIN (39187 ) |
| MANULIFE W.J. SUTTON COMPANY (98010 ) |
| MARRIOTT (68241 ) |
| MARSH ADVANTAGE (13310 ) |
| MASTERBRAND CABINETS, INC. (62061 ) |
| MATRIX INTEGRATION, LLC (62061 ) |
| MAYO MANAGEMENT SERVICES, INC. (41154 ) |
| MCCREARY CORPORATION (59331 ) |
| MCLAREN HEALTH PLAN (38338 ) |
| MCARE (38264 ) |
| MEDADMIN SOLUTIONS (58202 ) |
| MEDADMIN SOLUTIONS (58204 ) |
| MEDBEN (NEWARK, OH) (74323 ) |
| MEDCONNECTION (MARRIOTT) (68241 ) |
| MEDSOLUTIONS (62160 ) |
| MEDFOCUS (95321 ) |
| MEDICA (87726 ) |
| MEDICAL BENEFITS ADMINISTRATORS (74323 ) |
| MEDICAL BENEFITS MUTUAL (74323 ) |
| MEDICAL CLAIMS SERVICE (04258 ) |
| MEDICAL DEVELOPMENT INTERNATIONAL (52181 ) |
| MEDICAL MUTUAL OF OHIO (MMO) (CB833 ) |
| MEDICAL PATHWAYS (33029 ) |
| MEDICAL PATHWAYS (MSM) (13375 ) |
| MEDICAL RESOURCE NETWORK (58203 ) |
| MEDICAL SELECT MANAGEMENT (13375 ) |
| MEDIGOLD (95655 ) |
| MEDIPLAN (MEDIP ) |
| MEDIVERSAL (37304 ) |
| MEMORIAL HOSPITAL & HEALTH CARE CENTER (74223 ) |
| MEMPHIS MANAGED CARE (36193 ) |
| (call 901-725-7100 before submitting) |
| MERCER ADMIN (13310 ) |
| MERCY HEALTH PLAN OF NEW JERSEY (22326 ) |
| MERCY PHYSICIANS MEDICAL GROUP (33029 ) |
| MERIDIAN HEALTH CARE MANAGEMENT (77042 ) |
| MESA MENTAL HEALTH (85035 ) |
| METHODIST CARE, INC. (95420 ) |
| METRAHEALTH OR TRAVELERS (87726 ) |
| METRO PLUS HEALTH PLAN (13265 ) |
| MID-VALLEY CARE NET (31140 ) |
| MID-WEST NAT'L LIFE & HEALTH INS. CO. (97055 ) |
| MID-WEST UNITED LIFE (STUDENT DIVISION) (74227 ) |
| MIDLAND NATIONAL LIFE INS. CO. (90956 ) |
| MIDSOUTH ADMINISTRATIVE GROUP (62168 ) |
| MIDWEST NATIONAL LIFE INSURANCE CORP. OF TENNESSEE (59224 ) |
| MINNEAPOLIS PRUDENTIAL BUSINESS (68241 ) |
| MISSISSIPPI PUBLIC ENTITY EMPLOYEE BENEFIT TRUST (37233 ) |
| MISSOURI CARE (73147 ) |
| MOLINA HEALTHCARE OF NEW MEXICO (CIMSA ) |
| (registration required, call 505-348-0916) |
| MOLINA HEALTHCARE OF OHIO (20149 ) |
| MOLINA HEALTHCARE OF WASHINGTON (38336 ) |
| MOMENTUM HEALTH SERVICES (72135 ) |
| MONTEFIORE CONTRACT MANAGEMENT ORGANIZATION (13174 ) |
| (Contact provider relations for unique provider # 914-377-4400) |
| MOTOROLA (36111 ) |
| MOUNTAIN MEDICAL AFFILIATES (COMMA ) |
| MOUNTAIN STATES ADMINISTRATIVE SERVICES (86040 ) |
| (Tucson, Arizona) |
| MT. CARMEL (95655 ) |
| MUTUAL OF OMAHA INSURANCE COMPANY (71412 ) |
| MUTUALLY PREFERRED (71412 ) |
| NAMM (ONLY PROVIDERS FROM HOUSTON, TX) (93100 ) |
| NCAS (75910 ) |
| NCAS – FAIRFAX, VA (75190 ) |
| NCAS-CHARLOTTE (75191 ) |
| NETWORK HEALTH (04332 ) |
| NEVADA CARE (2261 ) |
| NHC HEALTH BENEFIT PLAN (62124 ) |
| (call 615-278-1230 to get provider # before submitting claims) |
| NJ CARPENTERS HEALTH FUND (22603 ) |
| NTCA (52103 ) |
| NYMI AETNA RADIOLOGY CLAIMS (14179 ) |
| NYMI OXFORD (14180 ) |
| NATIONAL ASSOC. OF LETTER CARRIERS (NALC) (53011 ) |
| NATIONAL BENEFIT ADMINISTRATORS NEW JERSEY (56175 ) |
| NATIONAL BENEFIT ADMINISTRATORS NORTH CAROLINA (56176 ) |
| NATIONAL CHIROPRACTIC NETWORK (58204 ) |
| NATIONAL CLAIM ADMINISTRATION (37126 ) |
| NATIONAL ELEVATOR INDUSTRY BENEFIT PLAN (NEIB) (CX045 ) |
| NATIONAL FINANCIAL INS. COMPANY (90956 ) |
| NATIONAL FOUNDATION LIFE INSURANCE COMPANY (98205 ) |
| NATIONAL RURAL ELECTRIC COOP (NRECA) (52132 ) |
| NATIONAL RURAL LETTER CARRIER ASSOCIATION (71412 ) |
| NATIONAL TRAVELERS LIFE CO. (37120 ) |
| NATIONWIDE GROUP (31417 ) |
| NATIONWIDE HEALTH PLANS (FORMERLY INHEALTH) (31112 ) |
| NATIONWIDE INSURANCE (31417 ) |
| NATIONWIDE LIFE AND HEALTH (31417 ) |
| NEIGHBORHOOD HEALTH PARTNERSHIP (95123 ) |
| NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND (05047 ) |
| NEIGHBORHOOD HEALTH PROVIDERS (11325 ) |
| (Please call 631-360-3102 for unique provider #.) |
| NESIKA HEALTH GROUP (37255 ) |
| NETCARE LIFE AND HEALTH INSURANCE (HAGATNA, GUAM) (66055 ) |
| NEW ENGLAND FINANCIAL (80705 ) |
| NEW ERA LIFE (75281 ) |
| NEW MARKET DIMENSIONS (65056 ) |
| NEW YORK MEDICAL IMAGING (14179 ) |
| NEW YORK NETWORK MANAGEMENT (11334 ) |
| NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN (48186 ) |
| NOBLE AMA (33029 ) |
| NORTH AMERICAN MEDICAL MANAGEMENT IL (36398 ) |
| NORTH BROWARD HOSPITAL DISTRICT (37314 ) |
| NORTH CAROLINA HEALTH CHOICE FOR CHILDREN (61472 ) |
| NORTHEAST GEORGIA HEALTH SYSTEM (13376 ) |
| NORTHERN ILLINOIS HEALTH PLAN (36347 ) |
| NORTHWEST ADMINISTRATORS (91068 ) |
| NORTHWEST IRONWORKERS, GRP. #F15 (91136 ) |
| NORTHWEST NEVADA TRUST FUND (88027 ) |
| NORTHWEST ROOFERS, GRP. #F26 (91136 ) |
| NORTHWEST SUBURBAN (ILLINOIS) (36346 ) |
| NORTHWEST TEXTILE PROCESSORS, GRP. #F14 (91136 ) |
| (please include group # when submitting claims) |
| NOVANET (06226 ) |
| OHIO MEDICAL MUTUAL OF OHIO (29076 ) |
| OSF HEALTH PLANS (OSFIL ) |
| OLYMPIA HEALTH MANAGEMENT SYSTEMS, INC. (91150 ) |
| OMNICARE HEALTH PLAN OF MICHIGAN (38252 ) |
| OMNICARE, A COVENTRY HEALTH PLAN (25150 ) |
| ONE HEALTH (80705 ) |
| OPTICARE EYE HEALTH NETWORK (06163 ) |
| OPTIMUM CHOICE (52148 ) |
| OPTIMUM HEALTHCARE (12259 ) |
| OPTION SERVICES GROUP (37125 ) |
| ORTHONET - AETNA (13383 ) |
| ORTHONET CORPORATION (13381 ) |
| ORTHONET CORPORATION (13381 ) |
| ORTHONET-HEALTHNET (25681 ) |
| ORTHOPEDIX NETWORK, INC. (58204 ) |
| OXFORD HEALTH PLANS (06111 ) |
| (Payer requires unique provider ID for new providers, please contact payer 800-599-4334) |
| P5 HEALTH SOLUTIONS OF UTAH (87068 ) |
| PACIFIC CARE (95959 ) |
| PAI (37287 ) |
| PASSPORT ADVANTAGE (SX154 ) |
| PATIENT ADVOCATES, LLC (10525 ) |
| PCA HEALTH PLAN OF FLORIDA (65018 ) |
| PCMC/ICSL PODIATRY (65002 ) |
| PEOPLES HEALTH (72126 ) |
| PG & E (PACIFIC GAS & ELECTRIC) (68241 ) |
| PHA INSURANCE SERVICES ORLANDO, FL (95183 ) |
| PHCS EMPLOYEE BENEFIT SERVICES (41198 ) |
| PHOENIX HEALTH PLAN (03440 ) |
| PHP TENNCARE (62155 ) |
| PHP OF MID MICHIGAN (87726 ) |
| PHP OF SOUTH CAROLINA (87726 ) |
| PHP OF SOUTH MICHIGAN (87726 ) |
| PHP OF SOUTHWEST MICHIGAN (87726 ) |
| PHP OF WEST MICHIGAN (87726 ) |
| PHPMM (37330 ) |
| PLANNED ADMINISTRATORS (SCBP ) |
| PM GROUP (PMG) (67466 ) |
| PODI CARE MANAGED CARE (58204 ) |
| POMCO (16111 ) |
| PPO OKLAHOMA (73159 ) |
| PPO PLUS (59333 ) |
| PPOM LLC (PPOM1 ) |
| PROFESSIONAL BENEFIT ADMIN. (36331 ) |
| PRU PLUS (68241 ) |
| PSYCHCARE, LLC (51052 ) |
| PACIFICARE OF OKLAHOMA (95973 ) |
| PACIFICARE OF WASHINGTON (95977 ) |
| PACIFIC LIFE & ANNUITY (67466 ) |
| PACIFIC MUTUAL LIFE INSURANCE COMPANY (67466 ) |
| PACIFICARE PPO (95999 ) |
| PARAGON BENEFITS (PRGON ) |
| PARITY HEALTHCARE LLC (58204 ) |
| PARKLAND HEALTH FIRST (66917 ) |
| PASSPORT HEALTH PLAN (PROVIDER ENROLLMENT REQ’D) (61129 ) |
| PAYNET, INC. (37210 ) |
| PEACH STATE HEALTH PLAN (68049 ) |
| PERSONALCARE (25146 ) |
| PHOENIX AMERICAN LIFE (PAL) (67814 ) |
| PHOENIX GROUP SERVICES (TEXAS) (75238 ) |
| PHOENIX HEALTHCARE (62153 ) |
| PHOENIX HOME LIFE (67814 ) |
| PHOENIX MUTUAL (67814 ) |
| PHYSICIAN ASSOCIATES OF LOUSIANA (58204 ) |
| PHYSICIANS CARE NETWORK (57098 ) |
| PHYSICIANS CORPORATION OF AMERICA (65018 ) |
| PHYSICIANS DIRECT (75297 ) |
| PHYSICIANS HEALTH ASSOCIATION OF ILLINOIS (37136 ) |
| PHYSICIANS HEALTH PLAN (87726 ) |
| PHYSICIANS MUTUAL (47027 ) |
| PHYSICIANS PLUS INSURANCE CORPORATION (39156 ) |
| PIEDMONT ADMINISTRATORS (56151 ) |
| PIONEER MEDICAL GROUP/PION PHYSICIANS NETWORK (33029 ) |
| PITTMAN & ASSOCIATES (37224 ) |
| PLANNED ADMINISTRATORS (37287 ) |
| PODIATRY NETWORK SOLUTIONS (58204 ) |
| POLY AMERICA MEDICAL & DENTAL BENEFITS PLAN (32680 ) |
| PRAIRIE STATES ENTERPRISES (36373 ) |
| PREFERRED BENEFIT ADMINISTRATORS (53476 ) |
| PREFERRED CARE FL (59291 ) |
| PREFERRED CARE NC (56178 ) |
| PREFERRED CARE PARTNERS (65088 ) |
| PREFERRED COMMUNITY CHOICE (73145 ) |
| PREFERRED HEALTH PLAN (61106 ) |
| PREFERRED HEALTH SYSTEMS INSURANCE COMPANY (60110 ) |
| PREFERRED NETWORK ACCESS (36401 ) |
| PREFERRED ONE CT (14162 ) |
| PREFERRED PLUS OF KANSAS (60110 ) |
| PREMIER HEALTH SYSTEMS (90440 ) |
| PRIMARY PHYSICIAN CARE (56144 ) |
| PRIME TIME HEALTH PLAN (PRIME ) |
| PRIME VISION HEALTH PLAN (56190 ) |
| PRIMECARE OF CHINO VALLEY (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMECARE OF CORONA (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMECARE OF HEMET VALLEY (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMECARE OF INLAND VALLEY (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMECARE OF MORENO VALLEY (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMECARE OF REDLANDS (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMECARE OF RIVERSIDE (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMECARE OF SUN CITY (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMECARE OF TEMECULA (33029 ) |
| (call 800-956-8000 prior to submission) |
| PRIMESOURCE HEALTH NETWORK (04320 ) |
| PRINCIPAL FINANCIAL GROUP (61271 ) |
| PRINCIPAL HEALTH CARE (61271 ) |
| PRINCIPAL HEALTHCARE (GEORGIA CLAIMS ONLY) (25127 ) |
| PRINCIPAL LIFE INSURANCE CO. (61271 ) |
| PRINCIPAL MUTUAL (61271 ) |
| PRINTING INDUSTRIES ASSOCIATION OF SOUTHERN CA (87056 ) |
| PRINTING INDUSTRIES OF NORTHERN INDIANA (87056 ) |
| PRIORITY HEALTH (38217 ) |
| (Call 616-975-8284 before submitting) |
| PRISM NETWORK (37268 ) |
| PRO CARE HEALTH PLAN (38329 ) |
| PROAMERICA (87726 ) |
| PROHEALTH COMPCARE (31132 ) |
| Requires Member ID |
| PROFESSIONAL CLAIMS ADMINISTRATORS (41163 ) |
| PROFESSIONAL RISK MANAGEMENT (34134 ) |
| PROMINA (58226 ) |
| PROVIDENCE PREFERRED OF WASHINGTON (91131 ) |
| PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY OF AME (62308 ) |
| PROVIDENT LIFE & CASUALTY INSURANCE COMPANY (62308 ) |
| PROVIDENT PREFERRED NETWORK (62308 ) |
| PRU CARE (68241 ) |
| PRUCHOICE (68241 ) |
| PRUNET (68241 ) |
| PRUPSYCH (68241 ) |
| PRUDENTIAL HEALTHCARE HEALTH MAINTENANCE ORGANIZAT (68241 ) |
| PRUDENTIAL HEALTHCARE PPO FOR SMALL BUSINESS (68241 ) |
| PRUDENTIAL HEALTHCARE OF AMERICA, INC. (68241 ) |
| PRUDENTIAL FOR HEALTH (68241 ) |
| PUGET SOUND BENEFITS TRUST, GRP. #F25 (91136 ) |
| (please include group # when submitting claims) |
| PUGET SOUND ELECTRICAL WORKERS TRUST, GRP. #33 (91136 ) |
| (please include group # when submitting claims) |
| QUADMED CLAIMS (39197 ) |
| QUAL CHOICE OF NORTH CAROLINA (35172 ) |
| (Unique id required; contact help desk 800-816-0911) |
| QUAL CHOICE OF VIRGINIA (25128 ) |
| (Unique id required; contact help desk804-975-1212 ext. 6333) |
| QUAL-MED, PORTLAND (PO) (22340 ) |
| QUALCARE, INC. (23342 ) |
| (New providers must enroll with QualCare @ 800-992-6613, option 5) |
| QUALCHOICE OF OHIO (01250 ) |
| QUINCY HEALTH CARE MANAGEMENT (37129 ) |
| R.E. HARRINGTON (95266 ) |
| RBMS, LLC (91176 ) |
| REGIONAL CARE (47076 ) |
| RMSCO (16117 ) |
| ROCKY MOUNTAIN HEALTH PLANS (RMHMO ) |
| RUSH PRUDENTIAL (HMO ONLY) (36389 ) |
| RUSH PRUDENTIAL (PPO AND POS ONLY) (68241 ) |
| RAPID CITY REGIONAL HOSPITAL (37306 ) |
| REGENCY EMPLOYEE BENEFITS (38221 ) |
| RELIASTAR (41045 ) |
| RENAISSANCE HMO (34555 ) |
| RESURRECTION HEALTH CARE HEALTH PREFERRED (37277 ) |
| ROBERT KENNEDY IPA (33029 ) |
| ROCKWELL INTERNATIONAL (75196 ) |
| ROONEY LIFE, INC. (37602 ) |
| RUSH HEALTH ASSOCIATION (36339 ) |
| RUXER FORD LINCOLN MERCURY (62061 ) |
| S & S HEALTHCARE STRATEGIES (31441 ) |
| SAINT MARY'S HEALTHFIRST (88029 ) |
| SAMBA (37259 ) |
| SCHC TOTAL CARE, INC. (16146 ) |
| SELF INSURED SERVICES (00540 ) |
| SHEET METAL WORKERS LOCAL 104 (38238 ) |
| SIHO (SIHO ) |
| SLOANS LAKE (38335 ) |
| SMA (72112 ) |
| SPECTRUM ADMINISTRATORS (23253 ) |
| SUMMERLIN LIFE & HEALTH INSURANCE (86071 ) |
| SAGAMORE HEALTH NETWORK (35164 ) |
| SAINT MARY'S HEALTH PLAN (88209 ) |
| SAN LUIS OBISPO SELECT IPA (33029 ) |
| SANDIA TRIPLE OPTION PLAN (SANDIA TOP) (68241 ) |
| SANTE HEALTH (77038 ) |
| SCHALLER ANDERSON - SUN HEALTH (94247 ) |
| SEABURY & SMITH (13310 ) |
| SECURE CARE OF IOWA (42142 ) |
| SECURE HEALTH PLANS OF GEORGIA (28530 ) |
| SELECT HEALTH OF SOUTH CAROLINA (23285 ) |
| SELECT HEALTH OF SOUTH CAROLINA (23285 ) |
| SELECTCARE (COCA COLA) (68241 ) |
| SELECTCARE, INC. OF MICHIGAN (38253 ) |
| SELECTCARE (00014 ) |
| SELF FUNDED PLANS (IL, PA, OH) (34131 ) |
| SENIORCARE (68241 ) |
| SENTINEL MANAGEMENT SERVICES (23249 ) |
| SHASTA ADMINISTRATIVE SERVICES (75280 ) |
| SHEFFIELD, OLSON & MCQUEEN (41143 ) |
| SIERRA HEALTH SERVICES (76342 ) |
| SIGNATURE CARE HEALTH NETWORK (35206 ) |
| SIGNATURE HEALTH ALLIANCE (62159 ) |
| (valid only for PO Box 22419, Nashville, TN 37202-2419) |
| SINCLAIR HEALTH PLAN (84076 ) |
| SMARTPLAN (72112 ) |
| SOUND HEALTH (SISTERS OF PROVIDENCE HEALTH PLANS) (91131 ) |
| SOUTHCARE (25147 ) |
| SOUTHEAST MEDICAL ALLIANCE (72112 ) |
| SOUTHERN BENEFIT SERVICES (37318 ) |
| SOUTHERN GROUP ADMINISTRATORS (56131 ) |
| SOUTHERN HEALTH SERVICES (25128 ) |
| SOUTHWESTERN BELL (68241 ) |
| SOUTHWESTERN BELL EXEC.-CUSTOM CARE (68241 ) |
| SPECIAL AGENTS MUTUAL BENEFIT ASSOCIATION (37259 ) |
| SPECIAL RISK INTERNATIONAL (52190 ) |
| SPENCER INDUSTRIES (62061 ) |
| SPINA BIFIDA (84146 ) |
| ST. BARNABAS SYSTEM HEALTH PLAN (22240 ) |
| ST. JOHN’S CLAIMS ADMINISTRATION (37264 ) |
| ST. THERESE PHYSICIAN ASSOCIATION (37116 ) |
| STARMARK (61425 ) |
| STATE FARM (31053 ) |
| STATES GENERAL LIFE INSURANCE (75087 ) |
| STAYWELL HEALTH PLAN (14163 ) |
| (Please note that all claims submitted require a 5-9 character rendering provider id) |
| STOWE ASSOCIATES (58128 ) |
| STUDENT INSURANCE DIVISION (74227 ) |
| STYLINE INDUSTRIES (62061 ) |
| SUFFOLK HEALTH PLAN OF NEW YORK (88331 ) |
| SUMMA CARE HEALTH PLAN (95202 ) |
| SUN TRUST BANK, INC. (68241 ) |
| SUNAMERICA LIFE INSURANCE CO. (90956 ) |
| SUPERIOR ADMINISTRATORS (SANTA ANA, CA) (23218 ) |
| SUPERIOR BENEFITS (23218 ) |
| TEXAS TRUE CHOICE (TTCEC ) |
| TMHP (75228 ) |
| TODAY'S OPTION (AMERICAN PROGRESSIVE AND PYRAMID) (48055 ) |
| TOTAL CARE (TCARE ) |
| TR PAUL (37230 ) |
| TEACHERS HEALTH TRUST (88019 ) |
| TEACHERS HEALTH TRUST (88019 ) |
| TEAM CHOICE PNS (75133 ) |
| TEAM CHOICE UMC (75134 ) |
| TEAMCARE (36215 ) |
| TEAMSTER CONSTRUCTION INDUSTRY WELFARE TRUST (91068 ) |
| TEAMSTERS LOCAL UNION #301 (36612 ) |
| THE BOON GROUP (BOONG ) |
| THE CHESAPEAKE LIFE INSURANCE CO. (74227 ) |
| (address must be PO Box 982016 North Richland Hills, TX) |
| THE CITY OF ODESSA (75600 ) |
| THE DIAMOND PLAN (25131 ) |
| THE EPOCH GROUP (28777 ) |
| THE FORD METER BOX COMPANY (37305 ) |
| THE GUARDIAN CHOICE (62308 ) |
| THE HEALTH EXCHANGE (20356 ) |
| THE HEALTHCARE GROUP (35206 ) |
| THE LOOMIS COMPANY (23223 ) |
| THE MEGA LIFE & HEALTH INSURANCE COMPANY - INSURAN (59226 ) |
| THE MEGA LIFE & HEALTH INSURANCE CO. (59221 ) |
| THE OATH OF ALABAMA (63092 ) |
| (Requires provider id, for enrollment call 800-743-7141.) |
| THE OATH OF LOUISIANA (72112 ) |
| THE PREFERRED HEALTHCARE SYSTEM - PPO (04320 ) |
| THE PRUDENTIAL (68241 ) |
| THE WELLNESS PLAN (38200 ) |
| THREE RIVERS HEALTH PLANS, INC. (25175 ) |
| TIME INSURANCE (A FORTIS COMPANY) (39065 ) |
| TONGASS TIMBER TRUST (92620 ) |
| TOOLING & MANUFACTURING ASSOCIATION (61425 ) |
| TOTAL CARE CHOICE (62308 ) |
| TOUCHPOINT HEALTH PLAN HMO (87726 ) |
| TRANSAMERICA (59222 ) |
| TRANSCHOICE (37284 ) |
| TRANSWESTERN INSURANCE ADMINISTRATORS (TRAN1 ) |
| TRAVELERS (87726 ) |
| TRUE CHOICE USA (TCUSA ) |
| TRUSTMARK INSURANCE COMPANY (61425 ) |
| TUFTS HEALTH PLAN (04298 ) |
| UC CARE (UNIVERSITY OF CA) (68241 ) |
| UHP OF NEW JERSEY (22329 ) |
| UICI ADMINISTRATORS (75240 ) |
| UICI ADMINISTRATORS (STATE OF NEVADA ONLY) (75245 ) |
| UMMH (37292 ) |
| UMWA HEALTH & RETIREMENT FUNDS (UNIQUE ID REQ`D) (52180 ) |
| UNICARE SPECIAL ACCOUNTS (65935 ) |
| UNITED HEALTHCARE (87726 ) |
| UNIVERSA HEALTHCARE (37315 ) |
| UNIVERSITY OF MIAMI BEHAVIORAL HEALTH (92579 ) |
| UPMC HEALTH PLAN (23281 ) |
| US BENEFITS (93092 ) |
| US HEALTHCARE (60054 ) |
| USAA (UNITED STATES AUTOMOBILE ASSOC.) (74095 ) |
| USFHP ST. VINCENT CATHOLIC MED CENTERS OF NEW YORK (13407 ) |
| UNDERWRITERS SAFETY (USC02 ) |
| UNIFIED GROUP SERVICES (35198 ) |
| UNIFIED HEALTH SERVICES (62170 ) |
| UNIFORM MEDICAL PLAN (75243 ) |
| UNISON HEALTH PLAN (62183 ) |
| UNITED BEHAVIORAL HEALTH (87726 ) |
| UNITED HEALTH & LIFE (87726 ) |
| UNITED HEALTHCARE OF FLORIDA (CALL EDI SERVICES A (87726 ) |
| UNITED HEALTHCARE – METRAHEALTH/METROPOLITAN (87726 ) |
| UNITED HEALTHCARE – TRAVELERS (87726 ) |
| UNITED MEDICAL RESOURCES (31107 ) |
| UNITED PACIFIC RAILROAD EMPLOYEES (87042 ) |
| UNITED PHYSICIANS OF NORTHERN COLORADO (84132 ) |
| UNITED RESOURCE NETWORK (41194 ) |
| UNITED OF OMAHA (71412 ) |
| UNIVERSAL CARE – CALIFORNIA (33001 ) |
| UNIVERSAL HEALTH CARE, INC (50528 ) |
| UNIVERSAL STANDARD HEALTHCARE, INC. (38298 ) |
| UNIVERSITY HEALTH PLAN OF NJ (59000 ) |
| UNIVERSITY MSO (13393 ) |
| UNIVERSITY OF WA STUDENTS & GRADUATES, GRP. #P67 (91136 ) |
| (please include group # when submitting claims) |
| VA FEE BASIS PROGRAM (12115 ) |
| VHP COMMUNITY CARE (23173 ) |
| VIPA (BVVP1 ) |
| VOLUSIA HEALTH NETWORK (59266 ) |
| VALLEY PHYSICIANS, INC. (77004 ) |
| VANDERBILT HEALTH PLAN (23173 ) |
| VANTAGE HEALTH PLAN (72128 ) |
| VARIAN HEALTH CARE PLAN (68241 ) |
| VICARE ADMINISTRATIVE SERVICES (54182 ) |
| VISTA HEALTH PLAN (55248 ) |
| VYTRA HEALTHCARE (22264 ) |
| WC BEELER & COMPANY (62111 ) |
| WEA INSURANCE GROUP (39151 ) |
| WELL CARE OF FLORIDA INC. (95608 ) |
| WELS BENEFIT PLAN OFFICE (22925 ) |
| WINHEALTH PARTNERS (WNHLT ) |
| WPS (WPS ) |
| WABASH VALLEY PRODUCE (62061 ) |
| WASHINGTON TEAMSTER WELFARE TRUST (91068 ) |
| WATERSTONE BENEFIT ADMINISTRATORS (73155 ) |
| WAUSAU INSURANCE COMPANIES (39026 ) |
| WEISS HEALTH PROVIDERS (36337 ) |
| WELLCARE HMO, INC. (14163 ) |
| WELLCARE PRIVATE FEE FOR SERVICE PLANS (77072 ) |
| WELLCARE OF CT (14164 ) |
| (New provider must contact Kathleen Martin prior to submitting claims, 914-334-4173.) |
| WELLCARE OF NY (14164 ) |
| (New provider must contact Kathleen Martin prior to submitting claims, 914-334-4173.) |
| WELLPATH (25129 ) |
| WEST COAST STATIONARY ENGINEERS HEALTH & SECURITY (91136 ) |
| (please include group # when submitting claims) |
| WESTERN BENEFITS (93128 ) |
| WESTERN HEALTH INC. (37306 ) |
| WESTERN MUTUAL INSURANCE (37247 ) |
| WESTERN TEAMSTER WELFARE TRUST (91068 ) |
| WESTLAKE FINANCIAL (WESTL ) |
| WHIRLPOOL (65099 ) |
| WILLIAM J. SUTTON & COMPANY, LTD TORONTO, CANADA (98010 ) |
| WILLIS CORRON (62061 ) |
| WINDSOR HOME NETWORK (11696 ) |
| WISCONSIN AUTO AND TRUCK DEALERS (39200 ) |
| WOODMAN ACCIDENT AND LIFE CO. (81949 ) |
| WORLD INSURANCE COMPANY (75276 ) |
| WRITER’S GUILD – INDUSTRY HEALTH PLAN (23710 ) |
| XANTUS HEALTHPLAN OF TENNESSEE (62153 ) |
| YOUNG LIFE BENEFIT PLAN (75285 ) |
| YALE NEW HAVEN HEALTH MSO INC. (06121 ) |
| YALE PREFERRED HEALTH/HEALTHCHOICE OF CONNECTICUT (95376 ) |
| ZENITH ADMINISTRATORS (PHP00 ) |
