| 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 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 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) |
| 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) |
|