The following is a list of all COMMERCIAL PAYERS that QHA currently has in production:
(Payer ID in parentheses, important notes below)
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)