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Payer Name (Waystar Payer ID)
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Prof Claims |
Inst Claims |
Secondary Claim Format |
Remits | Elig |
Claims Monitoring |
Accepts Dual Clearing- houses |
Claims Attachments |
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1199 National Benefit Fund (13162)
1199 Seiu National Benefit Fund 1199SEIU Family of Funds Greater New York Benefit Fund |
Electronic | P E | N | ||||||||
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1-888-OHIOCOMP (10041)
1-888-OHIOCOMP (OHIO BWC) |
Electronic | P I | N | ||||||||
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| 1st Auto & Casualty (MN Only) (Auto Only) (J1585A) | Electronic | Y | |||||||||
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21st Century Insurance (All States) (WC Only) (41556W)
22125 Roscoe Corp. AAA Northern California, Nevada & Utah Insurance Exchange ABC Const. Company Ace Property & Casualty Ins Co AG Facilities Operations, LLC Agri Beef Co. Alta Healthcare American Furniture Warehouse American Liberty Insurance Company ANACO ANAIC Cibus Antelope Valley Ret. Arizona & 21st Corp. DBA Berkley East Conv. Hospital AVIR Inc. Baker Tanks, Inc. Basic Resources, Inc. Beeville ISD Berkley Valley Conv Hospital Bernardo H. Co. Club Beverly Hills Carmel Bighorn Construction Bobrick Washroom Boulder Community Hospital Bremco Construction Brownsville Independent School District Burton Way Carmel Bycor Gen Contract Cadet Uniform Supply California Water Service Company Callahan, McCune Campbell Union School District CAPS-SIG Catholic Diocese of San Diego Catholic Mutual - Preferred Professional Insurance Company Catholic Mutual - Virginia Surety Company, Inc. Cedars-Sinai Health System Chandler's P. Verdes Chapman Convalescent Children's Hospital Colorado Children's Hospital of Orange County - First Aid Chula Vista Elementary School District City of Ashland City of Beaverton City of Belmont (Self Insured) City of Campbell City of Carlsbad City of Carmel By The Sea City of Carson City of Chula Vista City of Colton City of Coronado City of Del Mar City of Edinburg, Texas City of Encinitas City of Escondido City of Grand Junction City of Hillsboro City of Imperial Beach City of Imperial Beach (Voucher) City of Irving City of Lemon Grove City of Los Altos City of Merced City of National City City of Oceanside City of Ontario City of Richardson City of Santee City of Solana Beach City of South San Francisco City of Vista City of Waco City of Yuma Civil Constructors Co Grande Casino Coast Converters Collin County Colorado Contractors Program Colorado HealthCare Assoc. - Safety National Casualty Corp. Colorado Prime Corp. Columbine Health Systems Cook & Solis Const. Country Villa Health Services - SNCC Country Villa Ox Hlth County Of Alameda/AIG County Of Marin Courtyard Health C. Cox Construction Co CPS Security Solutions DaimlerChrysler Corporation Dallas County Community College District Davis Mech Systems Daylight Transport Denver Public Schools Desert Hospital District Desert Princess Diamond Farming Company Douglas County Durango Coffee Co. Eagle Pass ISD Echo Pacific Develop Edinburg Consolidated Independent School District ELC Electric Inc Elite Comp Envision Radiology, LLC Eplica, Inc. Erickson-Hall Constr F&G Guaranty Ins Co/Main Street Program Colorado Family Health & Housing Federated Linen & Uniform Franco Construction Fresno County Office of Education Fresno County Self Insurance Group Garden Regional Hospital & Med Center, Inc. Gates O'Doherty Gates O'Doherty G&G Gateway Trans., Inc. Genesis Construction Glendale Elementary School District #40 Greene Rad Maloney Greer Constructon CO Greif Brothers Corporation Greve Clifford Wengel & Paras Grimmway Enterprises, Inc. Grundfos Manufacturing Corporation GS Metals Harris Farms Hartford Dealership Advantage Program - WC Hastings College of the Law Hayhoe Construction Heartland Employment Services, LLC Highland Golf Hogan Motor Leasing Hogan Personell Home Sweet Home Imperial Irrigation District Inconen Corporation Inland Valley Hospice J.H. Mccormack Const JD Mechanical Jefferson County Texas John Muir Health Judson ISD Kautz Vinyards King Pak Potato Company LLC King Ranch KTA Construction (COSD2) L. Arrowhead C. Club Laclede Chain Laclede Steel Lake Elsinore School District Lamar Consolidated ISD Lamesa ISD Landmark Golf Co Landmark Grad&Paving Lane County Larimer County - WC LB Auto/Pacific Part LB Auto/Pacific Supp Lekos Electric Levin Enterprises, Inc. Livingston ISD Lk Arrowhead Co Club Lodi Memorial Hospital Madera Community Hospital Manufacturers Alliance Insurance Company Marcotte & Hearne Maricopa County Community College District Mariposa County Matagorda County MDSI Phys Group INC Medical Ben Admin Memorial Health Services Meridian Construction Program Meritage Corporation Mesa County Colorado Mesa County Valley School District 51 Mexicana Airlines Michael Hogan Assoc Mission Aviation Fellowship Mission Lodge Sanitarium Missoula Cart Co, In Modesto Irrigation District Motion Picture & Television Fund National Jewish Health North Clackamas School District #12 North County Transit District Northern Colorado School Districts Workers' Compensation Pool Nova Dealership Advantage Program - WC Nova Elite Comp Program Nova Metals Advantage Plus Program - WC Nuevo Engineering Outrigger Lodging Overhill Farms, Inc. Pacific Hydrotech Co Pacific Lumber Company (Marathon) Pacific Specialty Insurance Pajaro Vly Comnty Health Trust Palo Alto Medical Foundation Palo Alto Medical Foundation - MPHS Division Pas Coffee Roasters Patterson Bro Light. Pennsylvania Manufacturers Indemnity Company Pennsylvania Manufacturers' Association Insurance Company Petaluma Valley Hospital Pflugerville ISD Pima County Plainview ISD Plott Health Care Poly-America Ponderosa Landscape Prudential Overall Supply - AZ, CA Quality Care Conv Quality Health M. G. Queen of Angels - Hollywood RCH Protective - SNCC Rehab Center of Beverly Hills Restoration Prof Rick Concrete Const. Robstown ISD Rockwall ISD Rose Garden Guest Ho Rosewoood Equipment Rossi Concrete, Inc Rural Special District Insurance Program Salt Lake City Corporation Sam Kane Beef Processors, Inc. San Diego Hospice and The Institute for Palliative Medicine San Diego Metropolitan Transit System San Diego Metropolitan Transit System (SCHIP Liability) San Diego Transit Corp. San Diego Trolley, Inc. San Joaquin County Santa Clara Co Office Of Educ Schneider Gain Seeno Construction (Chartis) Seeno Homes Sela Health Care Selman Breitman Sharyland Independent School District Sierra Nevada Memorial Silberberger Engn SKB Corporation Sonoma Valley Healthcare District Sonoma Valley Hlth Southwest Gas Corporation Specialty Coffee Spooner's Woodworks St. Rose Hospital Standard Fruit & Veg Stimson Lumber Company - MT, OR, WA Stonington C. Club Sunrise Country Club Superior Access Ins Services Superior Industries International, Inc. Superior Ready Mix Tan Medical Group TD Tile Thomas Staffing Services, Inc/Venturi Staffing Topanga Roscoe Corp. Tri-City Healthcare District Tri-City Linen Suppl Tricity Uniform TRISTAR Risk Management (WC Only) (All States) Tucson Unified School Dist WC United Convalescent University of Colorado US Mobile Wireless V&M Restoration Valenzuela Eng. Inc Valley Casework Inc Valley Harvesting & Packing, Inc. Valley Health Care Management Services, LLC Valley Health System Valley Memorial Hospital Venture Pac Develop Vertical Concrete Victoria ISD Vista Hills C Club W Co Radiology Cntr Washington County Washington Hospital Watkins Manufacturing Corporation WATTSHealth Foundation, Inc. (SNCC) Wawona Packing Weslaco Independent School District West Coast Hospitals, Inc. West Oso ISD West Texas Rural Counties Association Preferred Risk Pool - WC Westamerica/Phil Long Dealerships Willamette View Wilmer-Hutchins ISD/Dallas ISD Woodland Park West YMCA |
Electronic | Y | |||||||||
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| 21st Century Insurance (All States) (WC Only) (Medicaid Managed Care) (41556WMC) | Electronic | Y | |||||||||
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| 6 Degrees Health Inc (20446) | Paper | N | |||||||||
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| 729 Demo Payer (88888) | Paper | E | N | ||||||||
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A & I Benefit Plan Administrators (93044)
Harrison Electrical Workers Trust Fund Benefit Plans |
Electronic | P I | N | ||||||||
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| A Plus Staffing (ALL States) (WC Only) (A0280W) | Electronic | Y | |||||||||
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| A W Holdings LLC Dba Benchmark (CT FL GA IN MD MI MO NJ NM TN) (Auto Only) (J1976A) | Electronic | Y | |||||||||
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AAA Automobile (Auto Only) (MN Only) (WC188A)
AAA Minnesota/Iowa (MN Only) |
Electronic | Y | |||||||||
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| AAA Automobile (WC Only) (WC188W) | Paper | N | |||||||||
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AAA Triple A (MN Only) (Auto Only) (11983A)
Auto Club Group (Auto Only) (MN Only) Auto Club Group Insurance Company (Auto Only) (MN Only) Auto Club Insurance (ACIA) (Auto Only) (MN Only) Auto Club Insurance Association (ACG) (Auto Only) (MN Only) Auto Club Property-Casualty Insurance Company (Auto Only) (MN Only) Meemic (Auto Only) (MN Only) Member Select Insurance Company (Auto Only) (MN Only) The Auto Club Group (MN Only) (Auto Only) |
Electronic | Y | |||||||||
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| AARP Medicare Supplement by UnitedHealthcare (36273) | Electronic | P I E | N | ||||||||
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| AblePay Health (ABLPY) | Electronic | E | N | ||||||||
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| Academy Sports & Outdoors CORVEL (All States) (WC Only) (J4425) | Electronic | Y | |||||||||
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| Acadia Insurance Company (All States) (WC Only) (J1477) | Electronic | Y | |||||||||
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| Accelerated Claims Inc (Z96399) | Electronic | N | |||||||||
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| Access Administrators (Z0075) | Electronic | P I | N | ||||||||
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| Access Behavioral Health (ABH02) | Paper | P I | N | ||||||||
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| Access Community Health Network (ACCOM) | Paper | N | |||||||||
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Access Health (MI Only) (Z1353)
Access Health Shared Care Michigan Health |
Electronic | P | N | ||||||||
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| Access HealthNet (AHN) (53747) | Electronic | P I | N | ||||||||
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| Access Integra (INTEG) | Electronic | N | |||||||||
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| Access IPA (ACC01) | Electronic | N | |||||||||
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Access Medical Group (AMG02)
Access Santa Monica |
Paper | N | |||||||||
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| Accident Fund Insurance Co of America (All States) (WC Only) (J1790W) | Electronic | Y | |||||||||
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| Accident Fund Insurance of America (J1790) | Electronic | N | |||||||||
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Accountable IPA (AHIPA)
Accountable Anthem Beverly POD Accountable Healthcare IPA (AHCIPA) Accountable HealthCare IPA (MPM) |
Electronic | N | |||||||||
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| Accuride Corporation (All States) (WC Only) (WC528W) | Electronic | Y | |||||||||
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| Ace Property & Casualty Ins. Company Medicare Supplement (Eligibility and Remits Only) (Z96821) | Paper | E | N | ||||||||
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| ACE USA (All States) (WC Only) (20699W) | Electronic | N | |||||||||
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| ACIG Insurance Company (Auto Only)(MN,TX Only) (19984A) | Paper | N | |||||||||
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| ACIG Insurance Company (TX MN Only) (WC Only) (J1578) | Electronic | P I | Y | ||||||||
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| ACIG Insurance Company (TX MN Only)(Auto Only) (J1578A) | Electronic | P I | Y | ||||||||
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| ACIG Insurance Company (WC Only)(MN,TX Only) (19984W) | Paper | N | |||||||||
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| ACM - Blue Shield of California (Home Infusion) (Z1244) | Electronic | N | |||||||||
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| ACM - TUFTS (Home Infusion & Specialty Pharmacy Medical Benefit) (Z1238) | Electronic | N | |||||||||
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ACMG Benefit Administrators (45328)
Accountable Care Management Group LLC |
Paper | P I | N | ||||||||
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| ACS Benefit Services (PA331) | Electronic | N | |||||||||
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ACS Benefit Services Inc (72467)
ACS Consulting Services |
Electronic | P I E | N | ||||||||
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| ACS Benefit Services Inc (Medicare Advantage) (72467MA) | Electronic | P | N | ||||||||
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| ACTIN Care Groups/Clifton Health Systems (24585) | Electronic | P I | N | ||||||||
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Activa Benefit Services LLC (38254)
Insight Benefit Administrators |
Electronic | P | N | ||||||||
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| Active Care Inc (66310) | Electronic | P I | N | ||||||||
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| Active Care Inc (All States) (Auto Only) (J3840A) | Electronic | P I | Y | ||||||||
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| Active Care Inc (All States) (WC Only) (J3840) | Electronic | P I | Y | ||||||||
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| ActivHealthCare (AHC01) | Electronic | P | N | ||||||||
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| Acuity, A Mutual Insurance Company (ALL States)(WC Only) (J1240) | Electronic | N | |||||||||
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| Acuity, A Mutual Insurance Company (ALL States)(WC Only) (J1240W) | Electronic | Y | |||||||||
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| AD- COMP (All States) (Auto Only) (J1667A) | Electronic | Y | |||||||||
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| AD- COMP (WC only) (J1667WC) | Electronic | Y | |||||||||
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| ADAP State of New York Dept of Health Uninsured Primary Care Reimbursement Program (14142) | Electronic | N | |||||||||
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| Administaff (WC Only) (ALL States) (WC264) | Electronic | Y | |||||||||
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| Administrative Claim Service Inc (All States) (WC Only) (J1005W) | Electronic | Y | |||||||||
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Administrative Claim Service,Inc. (WZ093)
ADMINISTRATIVE CLAIM SERVICE, INC. [WC ONLY] |
Electronic | N | |||||||||
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| Administrative Concepts, Inc (22384) | Electronic | P I E M | N | ||||||||
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| Administrative Concepts, Inc (Medicare Advantage) (22384MA) | Electronic | P I | N | ||||||||
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| Administrative Services Inc (59141) | Electronic | P I E | N | ||||||||
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| AdminOne (Remits Only) (37278) | Paper | N | |||||||||
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| Adminsure (All States) (Auto Only) (J2292A) | Electronic | Y | |||||||||
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| Adminsure (All States) (WC Only) (J2292W) | Electronic | Y | |||||||||
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| ADP Total Source Inc. (ALL States)(WC Only) (J1242W) | Electronic | Y | |||||||||
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| Advanced Medical Doctors of CA (AMDC1) | Electronic | P I | N | ||||||||
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Advanced Medical Management (AMM03)
CMS - Custody Medical Services Emergency Medical Service Fund (EMSF) (Advanced Medical Management) Orange County Child Health & Disability Prevention Treatment (CTU) (Long Beach, CA) Public Health Medical Services (Advanced Medical Management) Ryan White Network - Advanced Medical Management |
Electronic | N | |||||||||
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| Advanced Services Inc (All States) (Auto Only) (J1608A) | Electronic | Y | |||||||||
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| Advanced Services Inc (All States) (WC Only) (J1608W) | Electronic | Y | |||||||||
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Advantage by Bridgeway Health Solutions (68056)
Advantage by Buckeye Community Health Plan Advantage by Managed Health Services Advantage by Superior HealthPlan Centene Advantage Plans |
Electronic | E | N | ||||||||
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| Advantage Care IPA (ACIPA) | Electronic | P I | N | ||||||||
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| Advantek Benefit Administrators (83077) | Electronic | N | |||||||||
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Advanzeon Solutions (59314)
Comprehensive Behavioral Care |
Paper | N | |||||||||
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| Advent Health Medical Corporation (AHMC1) | Paper | P I | N | ||||||||
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| Adventhealth Transplant Program (AHTP01) | Electronic | P I | N | ||||||||
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| Adventist Health Care Network (MPM51) | Electronic | P I | N | ||||||||
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| Adventist Health Hanford AHP (MPM36) | Electronic | I | N | ||||||||
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| Adventist Health Plan (MPM37) | Electronic | P I | N | ||||||||
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| Adventist Health Plan Provider Network (MPM38) | Electronic | P | N | ||||||||
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| Adventist Health System West (Roseville, CA) (95340) | Electronic | N | |||||||||
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| Adventist White Memorial - Crown City Medical Group (MPM33) | Electronic | P I | N | ||||||||
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| Adventist White Memorial - Southland San Gabriel Valley (MPM34) | Electronic | P I | N | ||||||||
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| Advisory Health Administrators (CB159) | Electronic | P I | N | ||||||||
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| AdvoCare Incorporated (WC) (J1896) | Electronic | N | |||||||||
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Advocate Health Centers (36320)
Advocate Humana - 0010 Advocate Unicare/Illinois - 0011 |
Electronic | P I | N | ||||||||
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| Advocate Physician Partners (65093) | Electronic | P I | N | ||||||||
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| Advocate Security Health (Z0008) | Electronic | P | N | ||||||||
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| Aegis Administrative Services (CB637) | Electronic | N | |||||||||
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Aetna (60054)
Aetna LTC (Long Term Care) Aetna Student Health Chickering Group Olympus Manage Healthcare The Lewer Agency Watkins Associated Industries Inc |
Electronic | P I E | N | ||||||||
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| Aetna (Medicare Advantage) (60054MA) | Electronic | P I | N | ||||||||
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| Aetna (Subrogation Claims Only) (60054S) | Electronic | P I | N | ||||||||
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| Aetna (with Attachments) (J60054) | Electronic | Y | |||||||||
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Aetna Administrator Medicare Supplement (Eligibility and Remits Only) (62118)
Accendo Insurance Company AESSI Aetna - American Continental Insurance Company Aetna Health & Life Insurance Company Aetna Senior Supplemental Insurance Allianz Life Insurance Company of New York American Benefit Life Insurance Company American Continental Insurance Company American Financial Security Life Insurance Company American General Life and Accident Insurance Company American General Life Insurance Company Capitol Life Insurance Company Combined Insurance Company of America (Remits Only) Continental Life Insurance Company of Brentwood TN Coventry Health and Life Insurance Co First Health Life & Health Insurance Company Genworth Life and Annuity Insurance Company Genworth Life Insurance Company Independence American Insurance Company Magna Insurance Company Massachusetts Mutual Life Insurance Company SilverScript Insurance Company part of CVS Southern Guaranty Insurance Company Medicare (SGIC) Union Fidelity Life Insurance Company Union Security Insurance Company Medicare Virginia Surety Company Inc Washington National Insurance Company |
Paper | N | |||||||||
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| Aetna Affordable Health Choices (SM) - SRC (57604) | Electronic | P I | N | ||||||||
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| Aetna Better Health - IL Medicaid (26337) | Electronic | E | N | ||||||||
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| Aetna Better Health - IL Medicaid (with attachments) (J26337) | Electronic | Y | |||||||||
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Aetna Better Health - PA (23228)
CoventryCares of Pennsylvania |
Electronic | E | N | ||||||||
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| Aetna Better Health - PA (with attachments) (J23228) | Electronic | Y | |||||||||
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| Aetna Better Health (Eligibility Only) (ABH01) | Paper | N | |||||||||
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| Aetna Better Health of California (128CA) | Electronic | E | N | ||||||||
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| Aetna Better Health of California (with attachments) (J128CA) | Electronic | Y | |||||||||
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Aetna Better Health of Florida (128FL)
Coventry Healthcare of Florida- Long term healthcare only |
Electronic | E | N | ||||||||
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| Aetna Better Health of Florida (Medicaid Managed Care) (128FLMC) | Electronic | N | |||||||||
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| Aetna Better Health of Florida (with attachments) (J128FL) | Electronic | Y | |||||||||
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| Aetna Better Health of Illinois Inc (68024) | Electronic | P I | N | ||||||||
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| Aetna Better Health of Illinois Inc (Medicaid Managed Care) (68024MC) | Electronic | P I | N | ||||||||
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| Aetna Better Health of Kansas (128KS) | Electronic | E M | N | ||||||||
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| Aetna Better Health of Kansas (Medicaid Managed Care) (128KSMC) | Electronic | N | |||||||||
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| Aetna Better Health of Kansas (with attachments) (J128KS) | Electronic | Y | |||||||||
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| Aetna Better Health of Kentucky (128KY) | Electronic | E | N | ||||||||
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| Aetna Better Health of Kentucky (with attachments) (J128KY) | Electronic | Y | |||||||||
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| Aetna Better Health of Louisiana (128LA) | Electronic | E | N | ||||||||
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| Aetna Better Health of Louisiana (Medicaid Managed Care) (128LAMC) | Electronic | N | |||||||||
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| Aetna Better Health of Louisiana (with attachments) (J128LA) | Electronic | Y | |||||||||
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| Aetna Better Health of Maryland (128MD) | Electronic | P I E | N | ||||||||
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| Aetna Better Health of Maryland (with attachments) (J128MD) | Electronic | Y | |||||||||
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Aetna Better Health of Michigan (128MI)
Coventry Cares of Michigan |
Electronic | P I E | N | ||||||||
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| Aetna Better Health of Michigan (Medicaid Managed Care) (128MIMC) | Electronic | P I | N | ||||||||
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| Aetna Better Health of Michigan (with attachments) (J128MI) | Electronic | Y | |||||||||
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| Aetna Better Health of New Jersey (46320) | Electronic | P I E | N | ||||||||
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| Aetna Better Health of New Jersey (with attachments) (J46320) | Electronic | Y | |||||||||
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Aetna Better Health of New York (34734)
Aetna Better Health NY Aetna Better Health NY Medicaid (Managed LTC) |
Electronic | P I E | N | ||||||||
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| Aetna Better Health of New York (with attachments) (J34734) | Electronic | Y | |||||||||
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| Aetna Better Health of Ohio (50023) | Electronic | P I E | N | ||||||||
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| Aetna Better Health of Ohio (with attachments) (J50023) | Electronic | Y | |||||||||
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| Aetna Better Health of Oklahoma (128OK) | Electronic | P I | N | ||||||||
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Aetna Better Health of Texas (38692)
Aetna TX Medicaid & CHIP |
Electronic | P I E | N | ||||||||
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| Aetna Better Health of Texas (with attachments) (J38692) | Electronic | Y | |||||||||
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| Aetna Better Health of Virginia (128VA) | Electronic | E | N | ||||||||
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| Aetna Better Health of Virginia (Medicaid Managed Care) (128VAMC) | Electronic | N | |||||||||
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| Aetna Better Health of Virginia (with attachments) (J128VA) | Electronic | Y | |||||||||
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| Aetna Better Health of West Virginia (128WV) | Electronic | P I E | N | ||||||||
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| Aetna Better Health of West Virginia (with attachments) (J128WV) | Electronic | Y | |||||||||
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| Aetna Employee Assistance Program (EAP) (EAP20) | Electronic | P | N | ||||||||
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| Aetna Encounters Only (60055) | Electronic | P | N | ||||||||
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| Aetna Medicare Advantage (Z95668) | Electronic | P I | N | ||||||||
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| Aetna Retiree Medical Plan - Administrator (10891) | Paper | E | N | ||||||||
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| Aetna RX (Remits Only) (Z1420) | Paper | N | |||||||||
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| AF Specialty - Assigned Risk Solutions (All States) (WC Only) (J2279W) | Electronic | Y | |||||||||
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Affiliated Doctors of Orange County (ADOCS)
27344 |
Electronic | P I | N | ||||||||
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| Affiliated Partners IPA (POP09) | Electronic | P | N | ||||||||
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|||||||||||
| Affiliated Physicians Group (APG01) | Paper | N | |||||||||
|
|
|||||||||||
| Affiliated Physicians IPA (POP06) | Electronic | N | |||||||||
|
|
|||||||||||
|
Affinity Health Plan (DOS 10/31/21 and prior) (13334)
Affinity Health Plan (Medicare patients with DOS prior to 01/01/2010) Affinity Medicaid Child Health Plus Family Health Plus |
Paper | N | |||||||||
|
|
|||||||||||
| Affinity Medical Group (46594) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Affinity Medical Group (Medicare Advantage) (46594MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Affordable Benefit Administrators Inc (95426) | Paper | N | |||||||||
|
|
|||||||||||
| AFLAC (Eligibility Only) (Z10955) | Paper | E | N | ||||||||
|
|
|||||||||||
| Aflac Benefits Solutions, Inc (ABS01) | Electronic | N | |||||||||
|
|
|||||||||||
| AFLAC Dental (Eligibility Only) (10398) | Paper | E | N | ||||||||
|
|
|||||||||||
|
A-G Administrators LLC (11370)
A G Administrators AG Administrators Inc |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| AG Facilities Operations, LLC (WC) (J41556W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| AgeRight Advantage (ARA01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| AgeWell New York (AWNY6) | Electronic | N | |||||||||
|
|
|||||||||||
| AGIA Inc (95241) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
| AHPO (Cleveland, OH) (31138) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AIDS Healthcare Foundation (95422)
AHF MCO of Florida Inc |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Aids Healthcare Foundation Rwanda (95433)
AHF RW |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Aither Health (64884) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Akamai Advantage (AKAMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Alacura Medical Transportation Management LLC (RP065) | Electronic | N | |||||||||
|
|
|||||||||||
| Alaffia Health (89210) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Alameda Alliance for Health (95327) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Alan Sturm and Associates - Dental (10798) | Paper | E | N | ||||||||
|
|
|||||||||||
| Alarm Contractors (All States) (WC Only) (J3859W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Alaska National Insurance (All States) (Auto Only) (J1577A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Alaska National Insurance (All States) (WC Only) (J1577) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Alaska National Insurance (Auto Only) (All States) (19010A) | Electronic | N | |||||||||
|
|
|||||||||||
| Alaska National Insurance (AUTO) (J1557A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Albuquerque Public Schools (85600) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Alcoa Fasteners Systems (ALL States) (WC340) | Electronic | Y | |||||||||
|
|
|||||||||||
| Alexian Brothers Community Services of TN (44423) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Align Senior Care (CA) (ASCA1)
Align Senior Care of California |
Electronic | N | |||||||||
|
|
|||||||||||
| Align Senior Care (FL) (ASFL1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Align Senior Care (MI) (ASMI1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Align Senior Care (VA) (ASVA1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Aligned Community Physicians (ACP17) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Alignment Health Care (Fee For Service) (CCHPC)
AHCA1 Citizens Choice Health Plan (Fee For Service) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Alivi Health (ALIVI) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Alivi Therapy Network (ATNET) | Electronic | P | N | ||||||||
|
|
|||||||||||
| All Care Medical Group (ALLCA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| All United Medical Group (AUMG1) | Electronic | N | |||||||||
|
|
|||||||||||
|
AllCare Advantage (Z1319)
Caresource Health Plan of Oregon MID ROGUE HEALTH PLAN MEDICARE MRCHP |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Allcare Health Plan (Z1322)
AllCare CCO - Medicaid Mid Rogue Oregon Health Plan (MRIPA) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| AllCare IPA (AC101) | Electronic | P | N | ||||||||
|
|
|||||||||||
| AllCare PACE (ACPCE) | Electronic | N | |||||||||
|
|
|||||||||||
| AllCare PEBB (26158) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Allegeant (52193)
LBA Health Plans |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Allegheny Technologies (ALL States)(WC Only) (J1245W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Allegiance Benefit Plan Management Inc (81040)
CCEA Welfare Benefit Trust Teachers Health Trust |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Allegiance Health Management (99588) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Allen Canning (All States) (WC Only) (J1740) | Electronic | Y | |||||||||
|
|
|||||||||||
| Allen Medical Claims Administrators (CX016) | Paper | N | |||||||||
|
|
|||||||||||
|
Alliance - Alpha Care Gold (ADSL1)
Intercity Investments Team Choise - Alpha Care Gold |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Alliance Behavioral Health NC (23071) | Electronic | N | |||||||||
|
|
|||||||||||
| Alliance Coal Health Plan (93658) | Electronic | N | |||||||||
|
|
|||||||||||
| Alliance National Insurance Company (All States) (Auto Only) (J3971A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Alliance National Insurance Company (All States) (WC Only) (J3971) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Alliance Physicians-High Desert (22417) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Alliant Energy (Auto Only)(MN,TX Only) (E3757A) | Paper | N | |||||||||
|
|
|||||||||||
| Alliant Energy (All States) (WC Only) (J1619W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Alliant Energy (Auto Only)(All States) (J1619A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Alliant Energy (WC Only)(MN,TX Only) (E3757W) | Paper | N | |||||||||
|
|
|||||||||||
| Alliant Health Plans of Georgia (58234) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
| Allianz (WC Only) (CA Only) (J1452) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Allianz Global Assistance (50749)
Mondial Assistance |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Allianz Resolution Management - Date of injury before 12/31/12 (All States) (WC Only) (J2326) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Allied Benefit Systems (37308) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Allied Insurance Companies (All States) (WC Only) (J1550)
Allied Property and Casualty Ins Co AMCO Ins Co Crestbrook Insurance Company Depositors Ins Co |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Allied Systems (EOBC) (WC590) | Paper | N | |||||||||
|
|
|||||||||||
| Allina Health Aetna (54398) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Allina Health Aetna (with attachments) (J54398) | Electronic | Y | |||||||||
|
|
|||||||||||
| Allmerica Financial Benefits Insurance Comp (All States) (Auto ONLY) (J1589A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Allmerica Financial Benefits Insurance Comp (All States) (WC Only) (J1589W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Allstate (All States Except NJ) (Auto Only) (C1037A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Allstate (NJ Only) (Auto Only) (C1089A)
LU610 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Allstate (NJ Only) (Auto Only) w/o attach (C1089) | Electronic | N | |||||||||
|
|
|||||||||||
| Allstate Insurance Company - All states except NJ (Auto Only) (77066) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Allways Health Partners (Medicaid Managed Care) (04293MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| AlohaCare Medicare and Medicaid (Z1375) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Alpha Care Medical Group (NMM04) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Alta Bates Medical Group (A0701)
ABMG Alta Bates Medical Group (ABMG) - Claims (DOS on or after 07/01/2010) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AltaMed (ALTAM)
AltaMed Health Services Corporation Omnicare Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
| Alternative Insurance Resources (Eligibility Only) (11002) | Paper | E | N | ||||||||
|
|
|||||||||||
| Alternative Opportunities (16089) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Alternative Service Concepts (ASC) (All States) (Auto Only) (J2149A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Alternative Service Concepts (ASC) (All States) (WC Only) (J2149W)
Davies Claims Solutions |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Alterwood Advantage (RP016)
Blue Hen Advantage DE Health Advantage MD Health Advantage |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Altius Health Plans (Z0017) | Paper | N | |||||||||
|
|
|||||||||||
| Alvey Systems (AON Risk) (MN, TX) AUTO ONLY (WC595A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Always Care Benefits (for vision only) (ATR01) | Electronic | N | |||||||||
|
|
|||||||||||
|
AlwaysCare Benefits (STR01)
ALWAYS VISION |
Electronic | N | |||||||||
|
|
|||||||||||
| AMA Insurance Agency (TH071) | Electronic | N | |||||||||
|
|
|||||||||||
| Amada Health (AMADA) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Amalgamated Life (13550)
Alicare |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Amalgamated Life - PA / Alicare (13343) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Ambay Health Network (AMBHN) | Electronic | P | N | ||||||||
|
|
|||||||||||
| AMCO (62176) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AmeriBen Solutions Inc (75137)
Monterery Mushrooms NX Health Network Valenz Access |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Americaid/Amerigroup-for providers located in Houston (26374) | Electronic | N | |||||||||
|
|
|||||||||||
| American Benefits Management (North Canton OH) (34187) | Electronic | N | |||||||||
|
|
|||||||||||
|
American Benefits Plan Administrators, Inc (Las Vegas, NV) (59140)
Chartis A & H Claims HealthPlan Services Mutual Group |
Paper | P I | N | ||||||||
|
|
|||||||||||
| American Casino & Entertainment Properties (WC Only) (J1802W) | Electronic | Y | |||||||||
|
|
|||||||||||
| American Casino & Entertainment Properties LLC (J1802A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| American Claims Management (ACM) (ALL) AUTO ONLY (WA065A) | Electronic | P | N | ||||||||
|
|
|||||||||||
| American Claims Management ACM (All States) (WC Only) (J1236) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Country Insurance | American Service Insurance (MN Only) (Auto Only) (C1075)
Gateway Insurance Company (MN Only) (Auto Only) Global Liberty Insurance Company of New York (MN Only) The Atlas Group of Companies (MN Only) (Auto Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Eldercare, Inc (61115)
Humana Long Term Care |
Electronic | I | N | ||||||||
|
|
|||||||||||
| American Express (A0022) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
American Family Insurance (TH095A)
American Family Insurance Company AMF11 |
Electronic | N | |||||||||
|
|
|||||||||||
|
American Family Life Assurance Co AFLAC-Medicare Supplemental (10663)
AFLAC |
Paper | E | N | ||||||||
|
|
|||||||||||
|
American Family Medicare Supplement (56071)
American Family Mutual Insurance |
Paper | P I | N | ||||||||
|
|
|||||||||||
| American Family Mutual Insurance (All States) (WC Only) (J2134) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Family Mutual Insurance Comp (All States) (Auto Only) (C1055)
American Standard Insurance Company of Ohio (Auto Only) American Standard Insurance Company of Wisconsin (Auto Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Fidelity Assurance Company (60801)
American Public Life (APL) American Public Life Insurance Company |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| American First (All States) (WC Only) (J1427W) | Electronic | Y | |||||||||
|
|
|||||||||||
| American Founders Life Insurance Company (NFL Plans Only) (Z0070) | Electronic | P | N | ||||||||
|
|
|||||||||||
| American General (62030) | Electronic | P | N | ||||||||
|
|
|||||||||||
| American General Life & Accident (Eligibility Only) (Z1089) | Paper | E | N | ||||||||
|
|
|||||||||||
| American Health Advantage of Florida (31150) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Health Advantage of Mississippi (31135) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
American Health Advantage of Missouri (MMS01)
Missouri Medicare Select |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
American Health Advantage of Oklahoma (31125)
Tribute Health Plan of Oklahoma |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Health Advantage of Tennessee (31130) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Health Advantage of Texas (31155) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Health Advantage of Utah and Idaho (31145) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Health Plans (Remits Only) (R2644) | Paper | N | |||||||||
|
|
|||||||||||
| American Health Resources (AHR01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Healthcare Alliance (01066) | Paper | P I | N | ||||||||
|
|
|||||||||||
| American Income Life Insurance Company (60577) | Paper | E | N | ||||||||
|
|
|||||||||||
|
American Insurance Administrators (AIA) (26119)
Combined Insurance Company Combined Sterling Companion Life Insurance Company Forethought Life Insurance Company Liberty Bankers Life Insurance Company Shenandoah Life Insurance Company Thrivent |
Paper | N | |||||||||
|
|
|||||||||||
| American Insurance Company of Texas (81949) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
American Life Care (72099)
PHCS Claims (formerly American LIFECARE) |
Electronic | P | N | ||||||||
|
|
|||||||||||
| American Medical Life Insurance (46004) | Electronic | N | |||||||||
|
|
|||||||||||
| American Medical Security (CX001) | Paper | N | |||||||||
|
|
|||||||||||
| American Mining Insurance Group (All States) (WC Only) (J1524) | Electronic | Y | |||||||||
|
|
|||||||||||
| American National (NJ, MN Only) (Auto Only) (J2295A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American National Insurance Co (ANICO) (74048)
Claimedix |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| American National Life Insurance Company of Texas (10596) | Paper | E | N | ||||||||
|
|
|||||||||||
|
American Plan Administrators (95606)
BERKSHIRE LEHIGH PARTNERS |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
American Postal Workers Union (APWU) (DOS 1/1/18 and After) (44445)
44444 APWU Health Plan |
Electronic | E | N | ||||||||
|
|
|||||||||||
| American Postal Workers Union (APWU) (DOS 12/31/17 and prior) (44444) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| American Primary Care Alliance IPA (APCA1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| American Republic Insurance Company (ARIC) (42011) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| American Retirement Life Insurance Co Medicare Supp (E10538) | Paper | E M | N | ||||||||
|
|
|||||||||||
| American Sentinel Insurance Company (17965) | Electronic | P | N | ||||||||
|
|
|||||||||||
| American Specialty Companies (All States) (WC Only) (WC638W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Specialty Health (Z1091)
Orthonet- Cigna (DOS on or after 1/1/16) |
Electronic | P | N | ||||||||
|
|
|||||||||||
| American Specialty Ins / MIB (All States) (WC Only) (J1029) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Specialty Ins / MIB (All States) (WC Only) (J1029W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Therapy Administrators (ATHAL)
Holista, LLC |
Electronic | N | |||||||||
|
|
|||||||||||
|
American Trust Administrators Inc (56195)
Carolina Summit Healthcare Inc |
Electronic | P | N | ||||||||
|
|
|||||||||||
| American West (AWIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American West Health Care Solution (AWHCS) | Electronic | N | |||||||||
|
|
|||||||||||
|
American Worker Health Plan Family (37322)
Companion Life |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Americas Choice HealthPlans/NMA (20029)
Simplifi |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Americas Health Plan (AHP01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
America's PPO/America's TPA (41178)
Americas PPO ARAZ Group HealthEZ |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Americhoice Nebraska (Remits Only) (UFNEP) | Paper | N | |||||||||
|
|
|||||||||||
| AmeriChoice San Diego County Physician Emergency Services (MSO22) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Americo Financial Life & Annuity Insurance Company (R26509) | Paper | E M | N | ||||||||
|
|
|||||||||||
|
Amerigroup (26375)
Amerigroup DC Amerigroup Georgia Amerigroup New Mexico Amerigroup Plans AZ, IA, NJ, TN, TX, WA (through 12/9/23) Wellpoint Maryland |
Electronic | E | N | ||||||||
|
|
|||||||||||
| AMERIGROUP (AMGRP) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Amerigroup - Wellpoint (WLPNT)
Amerigroup/Wellpoint Arizona Amerigroup/Wellpoint Iowa Amerigroup/Wellpoint New Jersey Amerigroup/Wellpoint Tennessee Amerigroup/Wellpoint Texas Amerigroup/Wellpoint Washington Wellpoint Maryland |
Electronic | N | |||||||||
|
|
|||||||||||
| Amerigroup (Encounters Only) (26375E) | Electronic | N | |||||||||
|
|
|||||||||||
| Amerigroup (Medicaid Managed Care) (26375MC) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Amerigroup (Medicare Advantage) (26375MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Amerigroup (with Attachments) (J26375) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Amerigroup Corporation (27514)
Americaid Community Care (Dallas/Fort Worth) Americaid Community Care (Illinois) Americaid Community Care Maryland Americaid Community Care New Jersey Amerigroup Corporation (Houston) Amerigroup (Dallas/Ft Worth) Amerigroup (San Antonio) Amerigroup Health Plus NY Amerigroup Houston Amerigroup Illinois Amerigroup Louisiana Amerigroup of Kansas Kansas (Kansas Medicaid) Amerigroup of Kansas, Inc. Amerigroup VA Health Plus Physicians Network |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Amerigroup Corporation (Medicaid Managed Care) (27514MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Amerigroup Corporation (Medicare Advantage) (27514MA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Amerihealth Casualty Services (All States) (Auto Only) (J3969A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
AmeriHealth Administrators & Inter-County - TPA Suffix (54763)
AmeriHealth HMO (Remits ONLY) CCSTPA GEOBLUE (Remit Only) IDA Independence Administrators Inmate Health Services Inter-county Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| AmeriHealth Caritas Delaware (77799) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Amerihealth Caritas District of Columbia (77002)
Amerihealth Caritas DC Amerihealth D.C. |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Florida (77003)
Amerihealth Caritas of Florida Prestige Health Choice |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| AmeriHealth Caritas Florida (Medicaid Managed Care) (77003MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Louisiana (27357)
LACARE (Louisiana Care) |
Electronic | P I E | N | ||||||||
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| Amerihealth Caritas New Hampshire (87716) | Electronic | P I E M | N | ||||||||
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| AmeriHealth Caritas Next - Product of AmeriHealth Caritas Florida (45408) | Electronic | P I | N | ||||||||
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| AmeriHealth Caritas Next North Carolina (83148) | Electronic | P I | N | ||||||||
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Amerihealth Caritas North Carolina (81671)
Amerihealth Caritas Healthplan North Carolina |
Electronic | P I E M | N | ||||||||
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Amerihealth Caritas PA Community Healthchoices (77062)
AmeriHealth Caritas VIP Care Pennsylvania Community Health Choices |
Electronic | E | N | ||||||||
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AmeriHealth Caritas Pennsylvania (22248)
AmeriHealth Mercy Health Plan |
Electronic | P I E | N | ||||||||
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| AmeriHealth Caritas Pennsylvania (Medicaid Managed Care) (22248MC) | Electronic | P I | N | ||||||||
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| AmeriHealth Caritas VIP Care - Delaware DSNP (87406) | Electronic | P I | N | ||||||||
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| AmeriHealth Caritas VIP Care (HMO-SNP) (FL) (88232) | Electronic | P | N | ||||||||
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| AmeriHealth Caritas VIP Care Plus (Michigan) (77013) | Electronic | E M | N | ||||||||
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AmeriHealth Caritas VIP Next (47073)
AmeriHealth Caritas Next A Product of AmeriHealth Caritas VIP Next |
Electronic | P I | N | ||||||||
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| Amerihealth Casualty Services (All States) (WC Only) (J3969) | Electronic | P I | Y | ||||||||
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AmeriHealth HMO (95044)
23037 AmeriHealth NJ HMO, HMO Plus - Q1C Prefix AmeriHealth NJ POS, POS Plus - Q1P Prefix AmeriHealth PA - ERISA HMO - Q3B prefix AmeriHealth PA - ERISA POS - Q3A prefix AmeriHealth PA - HMO, Self-Funded HMO - Q3C prefix AmeriHealth PA - POS, Self-Funded POS - Q3P prefix |
Electronic | P I | N | ||||||||
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Amerihealth New Jersey (Eligibility Only) (Z95397)
Blue Cross Independence (Pennsylvania) (Eligibility Only) |
Paper | E | N | ||||||||
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Amerihealth PPO (NJ) (SX075)
60061 AmeriHealth NJ - Q1E Prefix AmeriHealth NJ CMM - Q1T Prefix AmeriHealth NJ PPO - Q1B Prefix AmeriHealth NJ SEH CMM - Q1H Prefix AmeriHealth NJ SEH PPO - Q1S Prefix |
Electronic | P I | N | ||||||||
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| Ameriprise Auto & Home Ins. (Auto Only) (C1004) | Electronic | N | |||||||||
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| Ameriprise Auto & Home Insurance (Auto Only) (MN Only) (J12504) | Electronic | Y | |||||||||
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Amerisafe (All States) (WC Only) (J1447)
Amerisafe Risk Services (All States) (WC Only) |
Electronic | Y | |||||||||
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| Amerisafe (All States) (WC Only) (J1447W) | Electronic | N | |||||||||
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| Amerisure (WB341) | Electronic | P I | N | ||||||||
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| Amerisure Insurance (All States) (WC Only) (J1206W) | Electronic | Y | |||||||||
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| Amerisure Insurance (WC Only) (J1206) | Electronic | N | |||||||||
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| Amerisure Mutual Insurance (All States) (WC Only) (J1205W) | Electronic | P I | Y | ||||||||
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| Amerisure Mutual Insurance (All States) (Auto Only) (J1205A) | Electronic | P I | Y | ||||||||
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| Amerisure Mutual Insurance [WC ONLY] (WC111) | Electronic | Y | |||||||||
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| Ameritas Bankers Assurance Co. (10020) | Paper | N | |||||||||
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| Ameritas Life Insurance Corp (Remits Only) (R22072) | Paper | N | |||||||||
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Ameritas Life Insurance Corp. (Eligibility and Remits Only) (47009)
Ameritas Life Insurance Corp. Business Mens Assurance (BMA) Sun Life of Canada |
Paper | E | N | ||||||||
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AmFed Companies LLC (Amfed National Insurance)(All States)(WC Only) (J3735)
AmFed National Insurance |
Electronic | Y | |||||||||
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AmFirst Insurance Company (1757)
64090 Morgan White |
Electronic | N | |||||||||
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| AMG IPA - Ava Medical Group (AMIPA) | Electronic | N | |||||||||
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AmGuard Insurance Company - Guard DBA (All States) (WC Only) (J1453)
EastGUARD Insurance Company - Guard DBA Guard Guard Insurance Group National Liability and Fire Insurance Company NorGUARD Insurance Company - Guard DBA WellFleet New York Insurance WestGUARD Insurance Company - Guard DBA |
Electronic | Y | |||||||||
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| Amica Insurance Company (NJ Only) (Auto Only) (C1098A) | Electronic | Y | |||||||||
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| Amica Mutual Insurance Company (Auto Only) (MN Only) (J12287) | Electronic | Y | |||||||||
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| Amida Care Medicare (79966) | Electronic | P I | N | ||||||||
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Amidicare (24818)
Vida Care (NY) |
Paper | P I | N | ||||||||
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| Amplifon Hearing Health Care (Remits Only) (72947) | Paper | N | |||||||||
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| AMPS (21825) | Electronic | N | |||||||||
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| AMPS America (66775) | Electronic | N | |||||||||
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| AMPS CX (25667) | Electronic | N | |||||||||
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Amtrust North America (All States) (WC Only) (J1868)
LS202 Oryx Insurance Brokerage (All States) (WC Only) Technology Insurance Company |
Electronic | Y | |||||||||
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| Amtrust North America (All States) (WC Only) (W/O attach) (J1868W) | Electronic | N | |||||||||
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| Amtrust North America (MN TX CA IL LA NJ NY OR NC) (WC Only) (12491W) | Electronic | P I | N | ||||||||
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| Amway (61301) | Paper | N | |||||||||
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| Amway Corporation (38255) | Paper | N | |||||||||
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| Anchor - Claimsbridge (IHS10) | Paper | N | |||||||||
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| Anchor Benefits (53085) | Electronic | P | N | ||||||||
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| Anchor Claims Management (All states except TX) (WC Only) (J4415) | Electronic | Y | |||||||||
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| Anchor Claims Management (TX Only) (WC Only) (J1919) | Electronic | Y | |||||||||
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| Anchor Glass Container Corp (All States) (Auto Only) (J2136A) | Electronic | P I | Y | ||||||||
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| Anchor Glass Container Corp (All States) (WC Only) (J2136W) | Electronic | P I | Y | ||||||||
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| Ancillary Care Services (Remits Only) (A2004) | Paper | N | |||||||||
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| Angle Insurance Company of Utah (39856) | Electronic | P I | N | ||||||||
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| Anheuser Busch (All States) (Auto only) (J1620A) | Electronic | P I | Y | ||||||||
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| Anheuser Busch (All States) (WC only) (J1620W) | Electronic | P I | Y | ||||||||
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| Anthem (Remits Only) (ZP232) | Paper | N | |||||||||
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| Anthem Dental (Remits and Eligibility Only) (84105) | Paper | N | |||||||||
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| Anthem Maine Health (00958) | Electronic | P I | N | ||||||||
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| Anthem Maine Health (with Attachments) (J00958) | Electronic | I | Y | ||||||||
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Anthem Regional (IN, KY, OH) (ZBIKO)
BCBS Indiana Remits BCBS Kentucky Remits BCBS Ohio Remits |
Paper | N | |||||||||
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| Apex Benefit Services (34196) | Electronic | P E M | N | ||||||||
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| APEX BULK (MN, TX) WC Only (WC453W) | Electronic | N | |||||||||
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| ApolloCare Partners of Nevada (NMM08) | Electronic | P I | N | ||||||||
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AppleCare Medical Management (APP01)
Alliance Physicians Medical Group Downey Select IPA St. Francis IPA |
Electronic | P I | N | ||||||||
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Applied Underwriters (All States except AZ) (WC Only) (J1775W)
Continental Indemnity Company |
Electronic | P I | Y | ||||||||
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Apricus Health (Remits Only) (Z96810)
Healthaxis |
Paper | N | |||||||||
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| APS Healthcare of Puerto Rico (66056) | Electronic | N | |||||||||
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ARAZ (16120)
America's PPO |
Electronic | P I | N | ||||||||
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| ARC Administrators (CXARC) | Electronic | P I | N | ||||||||
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Arcadia Healthcare Solutions (37105)
Amita HCI Network Amita Health Medical Care Group Guidehealth Hinsdale Physician Healthcare Progress Health Sage Technologies |
Electronic | P I | N | ||||||||
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Arcadia Healthcare Solutions - IPG (11081)
Guidehealth - IPG |
Paper | N | |||||||||
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Arcadia Healthcare Solutions - NPA (36364)
Guidehealth - NPA NorthShore Physician Associates (DOS 1/1/23 and after) |
Electronic | P I | N | ||||||||
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Arcadian Management Services Inc (77045)
Northeast Community Care Southeast Community Care |
Electronic | P I | N | ||||||||
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| Archbold Ed Uninsured (AR812) | Paper | N | |||||||||
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| ARCMI (All States) (Auto Only) (J3977A) | Electronic | P I | Y | ||||||||
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| ARCMI (All States) (WC Only) (J3977) | Electronic | P I | Y | ||||||||
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| AR-CMI Wal-Mart TX (WK001) | Electronic | N | |||||||||
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| Areas USA Inc (All States) (Auto only) (J1944A) | Electronic | P I | Y | ||||||||
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| Areas USA Inc (All States) (WC only) (J1944W) | Electronic | P I | Y | ||||||||
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| Argent (All States) (Auto Only) (J1420A) | Electronic | Y | |||||||||
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| Argent (All States) (WC Only) (J1420W) | Electronic | P I | Y | ||||||||
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| Argent (Subsidiary of West Bend but this route is Argent only) (J1420) | Electronic | P I | N | ||||||||
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| Argonaut Insurance Co. (WC Only) (19801W) | Electronic | N | |||||||||
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| Argonaut Insurance Comp ARGO (All States) (WC Only) (19801) | Electronic | Y | |||||||||
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| Argus (Z95600) | Electronic | N | |||||||||
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Arise Health Plan (39185)
Aspirus Prevea Health Plans WPS Health Plans, Inc. dba Arise Health Plan |
Electronic | E M | N | ||||||||
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Arizona Physicians IPA (UHC) Community Plan (03432)
United Healthcare Community Plan Arizona |
Electronic | E | N | ||||||||
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| Arizona Physicians IPA (UHC) Community Plan (with Attachments) (J03432) | Electronic | Y | |||||||||
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| Arizona Priority Care Plus (27154) | Paper | P I | N | ||||||||
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| Arizona School Alliance (All States) (Auto Only) (J4395A) | Electronic | P I | Y | ||||||||
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| Arizona School Alliance (All States) (WC Only) (J4395W) | Electronic | P I | Y | ||||||||
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| Arizona School Alliance for Workers Compensation (Remits Only) (CB776) | Paper | N | |||||||||
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| Arkansas Empower Healthcare Solutions (12956) | Electronic | P I E M | N | ||||||||
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Arkansas Municipal League (Z96790)
Arkansas ML Tribute Health Plan of Arkansas |
Paper | N | |||||||||
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Arkansas Superior Select (61184)
Access Health Services LLC |
Electronic | N | |||||||||
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| ARM Ltd (63240) | Electronic | N | |||||||||
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| ArmadaCare Global (90886) | Paper | P I | N | ||||||||
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| Arrowpoint (All States) (WC Only) (J1564) | Electronic | Y | |||||||||
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| Arrowpoint (All States) (WC Only) w/o attach (J1564W) | Electronic | N | |||||||||
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| Artisan Design Group (All States) (WC Only) (J4525W) | Electronic | P I | N | ||||||||
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| ASAGEHA (06603) | Electronic | N | |||||||||
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| Ascension Living PACE Michigan (R3458) | Electronic | P I | N | ||||||||
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| Ascension Living St. Vincent PACE Inc. (R3459) | Paper | P I | N | ||||||||
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Asian American Medical Group (AAMG1)
ALL American Medical Group |
Electronic | N | |||||||||
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ASP Benefits (Remits Only) (Z95946)
Administrative Service Professionals |
Paper | N | |||||||||
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Aspire Health Plan (46156)
ASP01 |
Electronic | P I | N | ||||||||
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| Aspirus Health Plan (Medicare Advantage) (DOS 1/1/2021 and after) (36483) | Electronic | P I | N | ||||||||
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ASR Health Benefits (38265)
Administration Systems Research Corporation ASR Corporation Physicians Care Health Plans (ASR Corporation) MICHIGAN |
Electronic | P I E | N | ||||||||
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ASRM LLC (ASRM1)
RSL Specialty Products Administration |
Electronic | P I | N | ||||||||
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| Assigned Risk Management (All States)(Auto Only) (J4083A) | Electronic | P I | Y | ||||||||
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| Assist Health Group Inc (86147) | Electronic | P | N | ||||||||
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| Associated Administrators LLC (Remits Only) (13788) | Paper | N | |||||||||
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| Associated Hispanic Physicians of Southern California (MPM44) | Electronic | P I | N | ||||||||
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| Associated Third Party Administration (ATPA) (ATPA1) | Electronic | N | |||||||||
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| Associates for Health Care Inc (AHC) (36326) | Electronic | P I | N | ||||||||
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| Association Casualty Insurance Company (All States) (WC Only) (J1254W) | Electronic | Y | |||||||||
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| Association County Commissioners Of Georgia (ACCG) (WC Only) (All States) (CB061) | Electronic | N | |||||||||
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Assurance Company of America (Commercial Vehicles Only) (All States - Auto) (C1034)
Farmers Insurance (Commercial Vehicles Only) (All States - Auto) Maryland Casualty Comp (Commercial Vehicles Only) (All States - Auto) Mid Century Ins (Commercial Vehicles Only) (All States - Auto) Truck Ins Exchange (Commercial Vehicles Only) (All States - Auto) |
Electronic | Y | |||||||||
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| Assurant Health Self Funded (75068) | Electronic | N | |||||||||
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| Assured Benefits Administrators (74240) | Electronic | P I | N | ||||||||
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| Astiva Health (84320) | Electronic | P I | N | ||||||||
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| Astiva Health (Encounters Only) (88875) | Electronic | P I | N | ||||||||
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| Asuris Northwest Health (93221) | Electronic | P I E | N | ||||||||
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Athens Administrators (All States) (WC Only) (J1914)
CB184 |
Electronic | Y | |||||||||
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| Atlantic Medical Insurance (22285) | Electronic | P I | N | ||||||||
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| Atlantis Eye Care (AEC01) | Electronic | P | N | ||||||||
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| Atlas Life Insurance Co (NFIC Plan Only) (Z0068) | Electronic | P | N | ||||||||
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Atrio Health Plans (Z1351)
Physicians Choice Advantage (PC Advantage) |
Electronic | P I E M | N | ||||||||
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Audionet - National Elevator (AUDIO)
Audionet |
Electronic | P | N | ||||||||
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| Audionet - UAW Ford retirees/GM employees (AUDIOSVS) | Electronic | N | |||||||||
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| Audionet - UAW GM retirees/Chrysler emps & retirees (AUDIOABS) | Electronic | N | |||||||||
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| AudioNet America (AUDIOCS) | Electronic | N | |||||||||
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AultCare (Z1224)
34148 MNAUL Prime Time Health Plan Primetime Health Plan |
Electronic | P I E M | N | ||||||||
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Aultra Administrative Group (37242)
Professional Claims Management of Canton, OH |
Electronic | P I | N | ||||||||
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| Austin Mutual Ins. (Auto Only)(All States) (I5991A) | Paper | N | |||||||||
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| Author By Humana (DOS 5/31/2022 and prior) (61108) | Electronic | P E M | N | ||||||||
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| Auto Club MAPFRE Insurance Company (ACMIC) (Auto Only) (CCC) (J4527) | Electronic | Y | |||||||||
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Automated Benefit Services (38259)
Ascension SmartHealth Theramatrix-PBS US Health and Life |
Electronic | P I E | N | ||||||||
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Automated Group Administrators (37280)
AGA Automated Group Administration, Inc. |
Electronic | P I | N | ||||||||
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| Automatic Sprinkler Local 281 (ZP1228) | Paper | N | |||||||||
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| Automobile Accident Compensation Administration (ACAA) | Electronic | P I | N | ||||||||
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Auto-Owners \ Owners Insurance Comp (All States) (Auto Only) (J1583A)
Arizona WC Claims Branch Arkansas WC Claims Branch Auto-Owners \ Owners Insurance Company (Auto Only) Benraska WC Claims Branch Colorado WC Claims Branch Eastern MI PIP Claims Branch Florida WC Claims Branch Gerogia WC Claims Branch Idaho WC Claims Branch Illinois WC Claims Branch Indiana WC Claims Branch Iowa WC Claims Branch Kansas PIP Claims Branch Kansas WC Claims Branch Kentucky PIP Claims Branch Kentucky WC Claims Branch Lakeland Region PIP Branch Michigan Catastrophic PIP Branch Michigan WC Claims Branch Minnesota PIP Claims Branch Missouri WC Claims Branch North Carolina WC Claims Branch Northern MI PIP Branch South Carolina WC Claims Branch South Dakota WC Claims Branch Southern MI PIP Claims Branch Tallahassee Region PIP Branch Tennessee WC Claims Branch Utah PIP Claims Branch Utah WC Claims Branch Virginia WC Claims Branch Western MI PIP Claims Branch Wisconsin WC Claims Branch |
Electronic | Y | |||||||||
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| Auto-Owners \ Owners Insurance Comp (All States) (WC Only) (J1583W) | Electronic | Y | |||||||||
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| Auto-Owners Insurance Company (All States) (WC Only) (J1556) | Electronic | P I | Y | ||||||||
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| Auto-Owners Insurance Company (All States) (WC Only) (J1556W) | Electronic | N | |||||||||
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| Auto-Owners Insurance Company (All States)(Auto Only) (J1556A) | Electronic | P I | Y | ||||||||
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| Auxiant (AUX01) | Electronic | N | |||||||||
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| Auxiant - Valenz (92645) | Electronic | P I | N | ||||||||
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| Auxilium (AXIPA) | Electronic | P I | N | ||||||||
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| Avante Health (AH001) | Electronic | P | N | ||||||||
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| Avectus Healthcare Solutions (MP001) | Electronic | P I | N | ||||||||
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| Avera Health Plans (46045) | Electronic | P I E | N | ||||||||
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| Avesis Third Party Administrators (87098) | Electronic | P | N | ||||||||
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| Avesis Third Party Administrators (Remits Only) (86098) | Paper | N | |||||||||
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| Avesis Vision (AVS01) | Paper | P | N | ||||||||
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| AvMed (59274) | Electronic | P I E | N | ||||||||
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| AvMed (Encounters Only) (Z1209) | Electronic | P | N | ||||||||
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| Axminster Medical Group (AXM01) | Electronic | P I | N | ||||||||
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| AYERS TRUCKING (CA, MN, TX ONLY) WC ONLY (WC429W) | Electronic | Y | |||||||||
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| AZZ Inc. (E1835) | Electronic | N | |||||||||
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| Azz Inc. (All States) (Auto Only) (J3773A) | Electronic | Y | |||||||||
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| Azz Inc. (All States) (WC Only) (J3773) | Electronic | Y | |||||||||
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B Smart Health Solutions LLC (77149)
BenefitSMART Labs |
Electronic | P | N | ||||||||
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Babb, Inc. (R1169)
Babb Insurance |
Paper | N | |||||||||
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| Bakersfield Family Medical Center (BKRFM) | Electronic | P I | N | ||||||||
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| Bakery And Confectionery (BCTF1) | Electronic | P I | N | ||||||||
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| Ballad Health Corp (All States) (WC Only) (J4209) | Electronic | Y | |||||||||
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| Bank of America (All States) (Auto only) (J1729A) | Electronic | P I | Y | ||||||||
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| Bank of America (All States) (WC only) (J1729W) | Electronic | Y | |||||||||
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|
|||||||||||
| Bankers Conseco Life (Remits Only) (68560) | Paper | N | |||||||||
|
|
|||||||||||
|
Bankers Fidelity Life Assurance Co (Z95871)
61239 Atlantic American (ERA and Eligibility only) Bankers Fidelity Assurance Company |
Paper | N | |||||||||
|
|
|||||||||||
| Bankers Life and Casualty (61263) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Banner Health (12X42)
Banner Health Company |
Electronic | N | |||||||||
|
|
|||||||||||
| Banner Health and Aetna Health Insurance Company (67895) | Electronic | N | |||||||||
|
|
|||||||||||
| Banner Health and Aetna Health Insurance Company (with attachments) (J67895) | Electronic | Y | |||||||||
|
|
|||||||||||
| Banner Medicare Advantage Plus (84324) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Banner Medicare Advantage Plus (HMO) (16664)
84323 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Banner Medicare Advantage Plus (PPO) (16663)
84324 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Banner Medicare Advantage Prime (84323) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Banner- University Family Care (University of AZ Health Plans) (66901) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Baptist Cardiac Program (BSC01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Baptist Health South Florida (65026) | Paper | P | N | ||||||||
|
|
|||||||||||
| Bardavon Health Innovations (All States) (Auto Only) (J2334A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Bardavon Health Innovations (All States) (WC Only) (J2334) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BARInet (CB369) | Paper | N | |||||||||
|
|
|||||||||||
| Barnes (All States) (WC Only) (J1503W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Barrett Business Services Inc BBSI (All States) (Auto only) (J1686A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Barrett Business Services Inc, (BBSI) WC ONLY (ANY STATE) (WC632) | Electronic | P I R | Y | ||||||||
|
|
|||||||||||
| Bass Pro Group LLC (All States) (Auto only) (J1958A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Bass Pro Group LLC (All States) (WC only) (J1958W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Bay Bridge Administrators (06941) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Bay District Schools(FL) (All States) (Auto Only) (J1978A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
BayCare Select Health Plans Inc (81079)
BayCare Plus Medicare Advantage |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BB&T Corp (Branch Banking & Trust) (All States) (Auto only) (J1995A) | Electronic | Y | |||||||||
|
|
|||||||||||
| BB&T Corp (Branch Banking & Trust) (All States) (WC only) (J1995W) | Electronic | Y | |||||||||
|
|
|||||||||||
| BBQ Holdings Inc (All States) (WC Only) (J4408) | Electronic | Y | |||||||||
|
|
|||||||||||
| BC/BS Indiana - Anthem - HIP - Home Infusion/Specialty Only (Z1307) | Electronic | N | |||||||||
|
|
|||||||||||
| BC/BS Indiana - Anthem - HMO PPO - Home Infusion/Specialty Only (Z1303) | Electronic | N | |||||||||
|
|
|||||||||||
| BC/BS Indiana - Anthem - Traditional - Home Infusion/Specialty Only (Z1304) | Electronic | N | |||||||||
|
|
|||||||||||
| BC/BS Missouri - Anthem - HMO Home Infusion/Specialty Only (Z1347) | Electronic | N | |||||||||
|
|
|||||||||||
| BC/BS Missouri - Anthem - PPO Home Infusion/Specialty Only (Z1346) | Paper | N | |||||||||
|
|
|||||||||||
| BC/BS Missouri - Anthem - Regular Home Infusion/Specialty Only (Z1345) | Electronic | N | |||||||||
|
|
|||||||||||
| BC/BS of Kentucky (Medicaid) (ZBKYM) | Electronic | N | |||||||||
|
|
|||||||||||
| BC/BS of Kentucky (Medicaid) (with Attachments) (JZBKYM) | Electronic | Y | |||||||||
|
|
|||||||||||
| BC/BS of Minnesota HMO (SB721) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BC/BS Ohio - Anthem - Home Infusion/Specialty Only (Z1306) | Electronic | N | |||||||||
|
|
|||||||||||
|
BC/BS Pennsylvania - Highmark Western (SB866)
54771W |
Electronic | I | N | ||||||||
|
|
|||||||||||
| BCBS - National Accounts Dental (Eligibility Only) (DL008) | Paper | N | |||||||||
|
|
|||||||||||
| BCBS Alabama (SB510) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Alabama (Medicaid) (SB510MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Alabama (Medicare Advantage) (SB510MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Alabama Institutional Eligibility Only (Z96002) | Paper | E M | N | ||||||||
|
|
|||||||||||
|
BCBS Arizona (SB530)
Administrative Enterprises BCBS AZ ADVANTAGE PLANS ONLY Blue Cross Blue Shield of Arizona Advantage (DOS 01/01/2020 and after) MediSun Sun Health MediSun |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Arkansas (SB520) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Arkansas (with Attachments) (JSB520) | Electronic | Y | |||||||||
|
|
|||||||||||
| BCBS Colorado (SB550) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Colorado (Telemed) (SB550T) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BCBS Colorado (with Attachments) (JSB550) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS Connecticut (SB560) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Connecticut (Telemed) (SB560T) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS Connecticut (with Attachments) (JSB560) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS DC and National Capital Area (SB580)
BCBS DC Carefirst |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Delaware (SB570) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
BCBS Florida (SB590)
Health Options of Florida |
Electronic | P I E R M | N | ||||||||
|
|
|||||||||||
| BCBS Georgia (SB601) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Georgia (Telemedicine) (SB601T) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS Georgia (with Attachments) (JSB601) | Electronic | Y | |||||||||
|
|
|||||||||||
|
BCBS Hawaii - HMSA (SB971)
Hawaii HMSA Hawaii Medical Services Association |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
BCBS Illinois (SB621)
Blue Cross Community Family Health Plan Chicago Laborers Health & Welfare Fund |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Illinois (Medicaid Managed Care) (SB621MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Illinois (Subrogation Claims Only) (SB621S) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
BCBS Indiana (ZBIN0)
Anthem Healthy Indiana Anthem Hoosier Healthwise IN Comprehensive Health |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Indiana (Telemed) (SB630T) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BCBS Indiana (Telemed) (ZBIN0T) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS Indiana (with Attachments) (JZBIN0) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS Iowa (Wellmark) (SB640)
Associated Benefits Corporation (DOS after 1/1/14) |
Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Kansas (SB650) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Kansas City (SB740) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Kansas City (Workers Comp) (SB740WC) | Electronic | I | N | ||||||||
|
|
|||||||||||
| BCBS Kentucky (ZBKY0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Kentucky (with Attachments) (JZBKY0) | Electronic | Y | |||||||||
|
|
|||||||||||
|
BCBS Louisiana (SB670)
BC/BS of Louisiana HMO BLUE CROSS AND BLUE SHIELD OF LA - OGB RUN-IN PPO Louisiana Blue Cross State Employees Group Benefits Program |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Maine (SB680)
AMH Health LLC |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Maine (with Attachments) (JSB680) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS Maryland (CareFirst) (SB690)
CAREFIRST BLUECHOICE CAREFIRST BLUECROSS BLUESHIELD OF MD Carefirst Federal Employees (FEP) GHMSI, CAREFIRST BLUECHOICE, and CAREFIRST OF MARYLAND INC |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Massachusetts (SB700)
BC/BS of Massachusetts Inova Care for Seniors |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Michigan (SB710)
Michigan Blue Cross FEP (Professional Claims) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Michigan - Blue Care Network HMO (2426)
BCBS - Michigan, Blue Cross Complete of Michigan HMO Blue Cross Complete Claims |
Electronic | P | N | ||||||||
|
|
|||||||||||
| BCBS Michigan Institutional Eligibility Only (Z1380) | Paper | N | |||||||||
|
|
|||||||||||
|
BCBS Minnesota (SB720)
BlueLink TPA |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Minnesota (Telemedicine) (SB720T) | Electronic | N | |||||||||
|
|
|||||||||||
|
BCBS Minnesota Blue Plus Medicaid (Z96439)
00562 00726 BCBS MN Blue Plus Medicaid |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Minnesota Blue Plus Medicaid (with Attachments) (JZ96439) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS Mississippi (SB730) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Mississippi - State Employee (SB732)
Mississippi Blue Cross-State Employee |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Missouri (SB741) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Missouri (Telemed) (SB741T) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BCBS Missouri (with Attachments) (JSB741) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS MN Blue Plus Medicaid Waiver (FS802) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
BCBS Montana (7450)
Blue Cross Blue Shield of Montana Blue Shield of Montana (BS) |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| BCBS Nebraska (SB760) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Nevada (SB765) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Nevada (with Attachments) (JSB765) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS New Hampshire (SB770) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS New Hampshire (with Attachments) (JSB770) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS New Jersey (22099)
Atlanticare Administrators Inc Horizon Blue Cross Blue Shield of New Jersey St.Barnabas System Health Plan DOS on or after 1/1/2015 |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS New Mexico (SB790)
Lovelace Health Plan Lovelace Salud Lovelace Sandia Health Plan New Mexico Public Schools Insurance Authority |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS New York Central Syracuse (SB805)
Excellus BCBS NY Central Syracuse |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS New York Empire (SB803)
EMPIRE HEALTHCHOICE ASSURANCE, INC. |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS New York Empire (with Attachments) (JSB803) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| BCBS New York Northeastern (SB800) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS New York Rochester (SB804)
Excellus BCBS NY Rochester |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS New York Utica-Watertown (SB806)
Excellus BCBS NY Utica-Watertown |
Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS New York Western (SB801) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS North Carolina (SB810) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS North Dakota (SB820) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS of New York (Excellus) (10323) | Paper | E | N | ||||||||
|
|
|||||||||||
| BCBS of Virginia (Telemed) (SB923T) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
BCBS Ohio (ZBOH0)
Anthem BCBS of Ohio |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Ohio (Telemed) (ZBOH0T) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS Ohio (with Attachments) (JZBOH0) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS Oklahoma (SB840) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Oregon (Regence) (SB850)
REGENCE BLUECROSS BLUESHIELD (BCBS) OF OREGON |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Pennsylvania - Highmark (SB865)
54771 Blue Cross of Northeastern Pennsylvania Community Blue Medicare HMO First Priority aka Blue Cross Northeastern PA Highmark BC/BS of Pennsylvania - BlueCard Highmark BCBS Federal Employee Plan Highmark Blue Cross Indemnity - QCO and YXD Prefix Highmark Blue Cross, A Multi-State Plan On Exchange - YXN Prefix Highmark BlueCard - United Parcel (362 or Blank suitcase) - UPP Prefix Highmark BlueCard - United Parcel (enrollment 363 or 378) - UPP Prefix Highmark BlueCard -Albertsons - AMS and ATS Prefix Highmark BlueCard NJ Plus (Horizon BCBS NJ employee) - YHF Prefix Highmark BlueCard NJ Plus (NJ State employee) - NJP Prefix Highmark Comprehensive Major Medical (CMM) - QCN and QCT Prefix Highmark Concurrent Major Medical - QCC and QCM Prefix Highmark Medigap, Blue Cross Only - QCR and YXS Prefix Highmark Security 65, 65 Special, and MedigapSecurity - QCE and QCS Prefix Highmark Special Care - QCP Prefix Highmark Traditional BCBS - QCA and QCD Prefix Keystone Health Plan West Security and Freedom Blue |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Pennsylvania - Highmark (Medicaid Managed Care) (SB865MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
BCBS Pennsylvania - Highmark Southeastern (SB864)
54771S |
Electronic | I | N | ||||||||
|
|
|||||||||||
| BCBS Pennsylvania (Highmark) Institutional Eligibility Only (Z1440) | Paper | E | N | ||||||||
|
|
|||||||||||
|
BCBS Puerto Rico (Z0065)
TRIPLE S - PUERTO RICO |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Puerto Rico - Medicare Advantage (973MA)
American Health Medicare Triple S |
Electronic | E M | N | ||||||||
|
|
|||||||||||
|
BCBS Real-time (Z1066)
Blue Exchange |
Paper | E | N | ||||||||
|
|
|||||||||||
| BCBS Rhode Island (7420) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Rhode Island - Blue Chip (Z1009) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina (SB880)
Consolidated Benefits Inc Planned Administrators Inc of South Carolina (Remits only) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS South Carolina - Federal Employee Plan (SB882) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS South Carolina - Medicare Advantage (C63) (SB894) | Electronic | N | |||||||||
|
|
|||||||||||
|
BCBS South Carolina - Planned Administrators Inc (SB883)
BCBS South Carolina - Planned Administrators Inc (886) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina - Preferred Blue (Z1036)
BlueCross BlueShield SC Preferred Hlth - HMO Blue |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS South Carolina - State Health Plan (SB881) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina - Thomas Cooper Agency (SB889)
SX160 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS South Dakota (2490) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee (SB890) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee - Bluecare (SB390) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee - TennCare Select (SB893) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee HMO (SB891) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee Memphis (SB892) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
|
BCBS Texas (SB900)
Bryan Independent School |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Texas Medicaid (66001)
BCBS Texas-Medicaid/STAR BCBSTX Medicaid STAR/CHIP |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Utah (Regence) (SB910)
BC/BS Utah - FEP (formerly payer Z1032) MedAdvantage |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Utah FEP (Z1300) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS Vermont (SB915) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Virgin Islands (BCBSVI) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
BCBS Virginia (SB923)
Anthem Healthkeepers BCBS of Virginia -Anthem formerly known as Trigon |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Virginia (with Attachments) (JSB923) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS West Virginia (SB941)
Highmark Blue Cross Blue Shield West Virginia |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
BCBS Western New York Medicaid/CHP (00246)
BCBS of WNY Medicaid/CHP |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Western New York Medicaid/CHP (with Attachments) (J00246) | Electronic | Y | |||||||||
|
|
|||||||||||
|
BCBS Wisconsin (SB950)
BC/BS of Wisconsin BC/BS United of Wisconsin CLAIM MANAGEMENT SERVICES, INC. Community Connect HealthPlan (DOS 7/1/14 and after) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Wisconsin (Telemed) (SB950T) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS Wisconsin (with Attachments) (JSB950) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS Wyoming (SB960) | Electronic | P E | N | ||||||||
|
|
|||||||||||
|
BCBSAZ ACA Standard Health With Health Choice (RP105)
StandardHealth with Health Choice (HCS) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCS Insurance Company (44443) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Beacon Health Strategies (43324)
Carelon Behavioral Health Strategies PsychCare, LLC (Claims Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Beacon Mutual (All States) (WC Only) (J1234) | Electronic | Y | |||||||||
|
|
|||||||||||
| Beacon of Life (AcuteCare) (65432) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Beall's Inc / Midwest Employers (MN, TX) WC ONLY (WC648W)
Beall's Inc / Midwest Employers (MN, TX) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Beam (ERA Only) (Z96819) | Paper | N | |||||||||
|
|
|||||||||||
| Beaver Medical Group (45967) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Becket Family of Services (EOBC) (R0244) | Paper | N | |||||||||
|
|
|||||||||||
| Bed Bath & Beyond - CORVEL (All States) (WC Only) (J2167) | Electronic | Y | |||||||||
|
|
|||||||||||
| Behavioral Health Systems (63100) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Behavioral Healthcare Inc (BHI00) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Bella Vista Medical Group (MPM10) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BeneBay (23243) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Benefit & Risk Management Services (99320)
Benefit and Risk Management Services |
Electronic | N | |||||||||
|
|
|||||||||||
| Benefit Administration Services Ltd (41205) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Benefit Administrative Systems (36149)
HealthComp-BAS Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Benefit Administrative Systems ( Fairview Heights IL) (Medicare Advantage) (36149MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Benefit Assistance Corporation (Remits Only) (03199) | Paper | N | |||||||||
|
|
|||||||||||
| Benefit Coordinators Corporation (25145) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Benefit Management Administrators Inc (Remits Only) (Z95878) | Paper | N | |||||||||
|
|
|||||||||||
| Benefit Management Group-NV (36459) | Electronic | N | |||||||||
|
|
|||||||||||
| Benefit Management Inc of KS (48611) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Benefit Management LLC/VBA (88092) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Benefit Management Services (00999)
Benefits Management Claims RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA |
Paper | N | |||||||||
|
|
|||||||||||
|
Benefit Management Services (56139)
Benefit Management Services North Carolina Integra BMS Maestro Health |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Benefit Management Services (74266) | Electronic | N | |||||||||
|
|
|||||||||||
| Benefit Plan Administration of Wisconsin (Remits Only) (11023) | Paper | N | |||||||||
|
|
|||||||||||
|
Benefit Plan Administrators (19753)
Hylton Payroll |
Electronic | N | |||||||||
|
|
|||||||||||
| Benefit Plan Administrators (BPA) (88052) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Benefit Plan Administrators (Eau Claire WI) (39081)
Affordable Benefit Administrators Inc |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Benefit Plan Administrators Inc (Roanoke, VA) (37118)
ACMG Cumberland Healthcare Inc. |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Benefit Plan Administrators of Colorado (Z96420) | Paper | N | |||||||||
|
|
|||||||||||
| Benefit Plan Services (BPS77) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Benefit Plan Services Inc (BPSI) (95414E) | Paper | N | |||||||||
|
|
|||||||||||
| Benefit Support Inc (40459) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Benefits Administration Corporation (44357) | Paper | N | |||||||||
|
|
|||||||||||
| Benefits Design Group Inc (EOBC) (R27239) | Paper | N | |||||||||
|
|
|||||||||||
|
Benefits Management Group Inc (20018)
BMGI Benefit Management Group |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Benemax Inc (Remits Only) (BMX01) | Paper | N | |||||||||
|
|
|||||||||||
| Benesight (87265) | Electronic | N | |||||||||
|
|
|||||||||||
|
Benesys (37248)
ABS - US Health Sheet Metal Workers Local 104 |
Paper | N | |||||||||
|
|
|||||||||||
| Benetech (All States) (Auto Only) (J4251A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Benetech (All States) (WC Only) (J4251) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Benicomp Group (Remits Only) (12699) | Paper | N | |||||||||
|
|
|||||||||||
| Benmark (BNMK1) | Electronic | N | |||||||||
|
|
|||||||||||
| Benveo (76255) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Bergen Risk (NJ Only) (Auto Only) (J3997A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Bergen Risk (NJ Only) (WC Only) (J3997) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Berkley Agribusiness Risk Specialists (All States) (Auto Only) (J2190A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Agribusiness Risk Specialists (All States) (WC Only) (J2190W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Enterprise Risk Solutions (BERS) (All States) (WC Only) (J4325) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Berkley Entertainment (All States) (Work Comp Only) (J4475)
LV700 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Berkley Mid-Atlantic Group (All States) (Auto Only) (J3863A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Mid-Atlantic Group (All States) (WC Only) (J3863W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley National Insurance Co (All States) (Auto Only) (J2192A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley National Insurance Co (All States) (WC Only) (J2192W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Net Underwriters LLC (All States) (WC Only) (J1523) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Net Underwriters LLC (All States) (WC Only) (J1523W) | Electronic | N | |||||||||
|
|
|||||||||||
| Berkley Regional Insurance Co (All States) (Auto Only) (J2194A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Regional Insurance Co (All States) (WC Only) (J2194W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Risk Administrators Company (WC Only) (All States) (J1526) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Berkley Risk Administrators Company, LLC (WR642W)
RISK ADMINISTRATORS (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
|
Berkley Specialty Underwriters (All States) (WC Only) (TP019)
Berkley Entertainment and Environmental |
Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Specialty Underwriters (MN, TX) WC ONLY (WC679W) | Electronic | N | |||||||||
|
|
|||||||||||
| Berkshire Hathaway Direct Insurance (All States) (WC Only) (J1975) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkshire Hathaway Homestate (BHHC) (CA IL LA NJ NC MN OR TN TX VA Only) (WC Only) (20044W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkshire Hathaway Homestate Companies (BHHC)(WC Only) (WP984) | Electronic | N | |||||||||
|
|
|||||||||||
| Berner Foods Inc (EOBC) (R27836) | Paper | N | |||||||||
|
|
|||||||||||
| Berwind Corporation (MN, TX) WC ONLY (WC677W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Best Life and Health Insurance Company (95604) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Better Health Plans - Three Rivers Administrative Services (TRAS) (62183)
Unison Health Plan/Better Health Plans |
Paper | E | N | ||||||||
|
|
|||||||||||
| Beverly Alianza IPA (NMM06) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Beverly Hospital BEVAHISP (MPM42) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
BHM (13141)
52613 Partners in Behavioral Health NC |
Electronic | N | |||||||||
|
|
|||||||||||
| BHSF International (67668) | Electronic | N | |||||||||
|
|
|||||||||||
| Bienvivir Senior Health Plan (BSHS1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Big 5 Corp (All States) (Auto only) (J1738A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Big 5 Corp (All States) (WC only) (J1738W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Bind (25463)
Surest |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Birdsong Hearing (26814) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BITCO General Insurance Corp (20095) | Electronic | N | |||||||||
|
|
|||||||||||
| BITCO National Insurance Co (20109) | Electronic | N | |||||||||
|
|
|||||||||||
| BITCO National Insurance Co (All States) (Auto Only) (J1691A) | Electronic | Y | |||||||||
|
|
|||||||||||
| BITCO National Insurance Co (All States) (WC Only) (J1691W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Bituminous Insurance Company (All States) (Auto Only) (J1579A)
BITCO General Insurance Corp (All States) (Auto Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Bituminous Insurance Company (All States) (WC Only) (J1579)
BITCO General Insurance Corp (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Bituminous Insurance Company (WC Only) (20095W) | Paper | N | |||||||||
|
|
|||||||||||
|
Blackhawk (CB987)
Blackhawk Claims Services Dart Member Care Strategic Limited Partners |
Electronic | N | |||||||||
|
|
|||||||||||
|
Block Vision Inc (Z0080)
BV001 |
Electronic | N | |||||||||
|
|
|||||||||||
| Bloomin' Brands, Inc. (All States) (WC Only) (J3725) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Blue Shield of Pennsylvania (PA) (CB865) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Advantage of Louisiana (72107) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Blue Choice Health Plan of South Carolina (SB884)
Blue Choice Companion Healthcare |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Choice Health Plan of South Carolina (with attachments) (JSB884) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Alabama (AL) (CBAL1) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Arkansas (AR) (CBAR1) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Colorado (CO) (84099) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Illinois (IL) (CB621) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Kansas (KS) (CBKS1) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Michigan (MI) (CBMI1) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Nevada (NV) (84101) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of North Dakota (ND) (CX004) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Oregon (OR) (CB850) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of Virginia Trigon (VA) (BC923) | Paper | N | |||||||||
|
|
|||||||||||
|
Blue Cross Blue Shield of Arizona Advantage (DOS prior to 01/01/2020) (77078)
BCBS AZ ADVANTAGE PLANS ONLY MediSun Sun Health MediSun |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Blue Cross California (SB040)
Writer's Guild - Industry Health Plan Writers Guild |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Cross California (Medicaid Managed Care) (SB040MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Blue Cross California (Medicare Advantage) (SB040MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Blue Cross California (with Attachments) (JSB040) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Blue Cross California Dental (Eligibility Only) (47198) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross Community Centennial BCBS of NM (MC721) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Blue Cross Community Option/66005 (MCDIL)
Blue Cross Community Family Health PlanSM (FHP) Blue Cross Community ICP (Integrated Care Plan) Blue Cross Community MMAI (Medicare-Medicaid Plan) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Cross Complete HMO of Michigan (Remits Only) (32002) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross of Alabama (BCAL1) | Paper | N | |||||||||
|
|
|||||||||||
|
Blue Cross of Alaska and Washington - Premera (SB930)
Lifewise Assurance of OR Lifewise Assurance of WA Lifewise Health Plan of Washington |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Cross of Alaska and Washington - Premera (Subrogation Claims Only) (SB930S) | Electronic | N | |||||||||
|
|
|||||||||||
| Blue Cross of California (Telemed) (SB040T) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Blue Cross of Idaho (ZBID0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Cross of New Mexico (10660) | Paper | N | |||||||||
|
|
|||||||||||
|
Blue Cross of Pennsylvania -Capital Blue Cross (23045)
Capital Blue Cross of PA |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Blue Cross of Rhode Island (RI) (CB870) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross of Tennessee (TN) (CBTN1) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross of Texas (TX) (CB900) | Paper | N | |||||||||
|
|
|||||||||||
|
Blue Cross of Washington and Alaska (MDCN Claims Only) (84097)
Health Management Systems |
Paper | N | |||||||||
|
|
|||||||||||
| Blue Cross of Washington Health Plus - Premera (ZBWA1) | Electronic | N | |||||||||
|
|
|||||||||||
| Blue Cross of Washington MSC - Premera (ZBWA2) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Blue Cross of Wisconsin (WI) (CB950) | Paper | N | |||||||||
|
|
|||||||||||
|
Blue Shield California (SB542)
Blueshield 65 Plus Medicare Advantage (Formally known as Blue Shield Medicare Advantage) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Shield California (Medicaid Managed Care) (SB542MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Blue Shield California (Medicare Advantage) (SB542MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Blue Shield California HMO (Encounters Only) (HM007) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Blue Shield of California Promise Health Plan (57115)
Blue Shield Medicare Advantage (DOS 12/31/20 and prior) Care 1st Health Plan of CA C1SCA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Blue Shield of California Promise Health Plan (Encounters Only) (EC1CA) | Paper | N | |||||||||
|
|
|||||||||||
|
Blue Shield of Idaho (Regence) (ZBID1)
Regence Blue Shield of Idaho |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Blue Shield Washington - Regence (7451)
Regence Federal Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Blueride Non-Emerg Transportation (DOS 04/01/2020 and After) (BLRDE) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BMS Access Support (Z96431) | Paper | N | |||||||||
|
|
|||||||||||
| BMW North America (ALL States) (WC Only) (WP988) | Electronic | Y | |||||||||
|
|
|||||||||||
| Boeing Company (CA IL LA NC MN OR TX) (Auto Only) (J1964A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Boeing Company (CA IL LA NC MN OR TX) (WC ONLY) (J1964) | Electronic | Y | |||||||||
|
|
|||||||||||
| Boise Cascade Company (All States) (Auto Only) (J1801A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Boise Cascade Company (All States) (WC Only) (J1801W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Bollinger Inc (BOLL1) | Electronic | N | |||||||||
|
|
|||||||||||
|
Boncura Health Solutions (66727)
DMG01 DuPage Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
|
Boon Administrative Service Inc (BOONG)
Contractor Employee Benefits Admin Foundation Benefit Administrators The Boon Group |
Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Boon-Chapman Benefit Administrators Inc (74238)
Taro Health |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Boston Medical Center Healthnet (13337)
Boston Medical Center Health Plan Well Sense Wellsense Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BP America (A0030) | Electronic | N | |||||||||
|
|
|||||||||||
| BPS First Health (67707) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Brand New Day (UC001)
Universal Care - California |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Brand New Day (Encounters Only) (UC002)
Centinela Valley IPA (Encounters Only) Universal Care (Encounters Only) |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Braven Health (84367) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Bravo Health (52192)
63092 Cigna Medicare - Medicaid Cigna-Healthspring Elder Health Mid-Atlantic Inc HealthSpring Star+Plus Only Renaissance Physicians Organization (REMITS ONLY) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Bravo Health (Medicare Advantage) (52192MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Breast and Cervical Cancer Control Program (MI Only) (BCCCP) | Electronic | N | |||||||||
|
|
|||||||||||
|
Breckpoint (BRKPNT)
FreedomCare Benefits |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Brentwood Services Administrators (All States) (WC Only) (J2297)
CB007 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Brentwood Services Administrators (All States) (WC Only) (J2297W) | Electronic | N | |||||||||
|
|
|||||||||||
| Bridgefield Employers Insurance Company (All States) (WC Only) (WB148W) | Electronic | N | |||||||||
|
|
|||||||||||
| BridgeSpan (BRIDG) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Bridgeway Arizona (68054) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Bright Health Medicare Advantage (DOS 12/31/2021 and Prior) (BRT01) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Bright Health Plan Commercial (DOS 12/31/2021 and Prior) (CB186) | Electronic | P I E R M | N | ||||||||
|
|
|||||||||||
| Bright Healthcare (BRGHT) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Bristol West (All States) (Auto Only) (J1764)
E9996 |
Electronic | Y | |||||||||
|
|
|||||||||||
| BritCay (22286) | Electronic | N | |||||||||
|
|
|||||||||||
| Britton Benefit Services LLC (BBS19) | Electronic | N | |||||||||
|
|
|||||||||||
| Broadspire (All States) (Auto Only) (C1056A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
BROADSPIRE (ALL states) (Auto Only) (TP021A)
ST. PAUL INSURANCE COMPANY OF IL ST. PAUL MERCURY INSURANCE COMPANY ST. PAUL PROPERTY & CASUALTY INS. CO. THE TRAVELERS CORPORATION THE TRAVELERS INDEMNITY COMPANY TRAVELERS CASUALTY AND SURETY COMPANY TRAVELERS CASUALTY INS CO. OF AMERICA TRAVELERS INDEMNITY OF AMERICA TRAVELERS PROPERTY CASUALITY COMPANY |
Electronic | N | |||||||||
|
|
|||||||||||
| Broadspire (All States) (WC Only) (TP021W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Broadspire, a Crawford Company (All States) (WC Only) (TP021)
Broadspire (All States) (WC Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Brokerage Concepts Inc (51037)
Benefit Concepts UHN Healthnow Administrators |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Brokers National - Dental (Eligibility Only) (10783) | Paper | E | N | ||||||||
|
|
|||||||||||
| Brotherhood Mutual Insurance (CA/LA/NC/NM/MN/OR/TN/TX) (Auto Only) (J1445A) | Electronic | P I R | Y | ||||||||
|
|
|||||||||||
| Brotherhood Mutual Insurance (CA/LA/NC/NM/MN/OR/TN/TX) (WC Only) (J1445) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Broward Insurance Group (WC Only TX, MN (A0686W)
Arch Insurance Group (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Brown & Toland Medical Group (94316) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Brown & Toland Sutter (BTSS1)
Brown & Toland SutterSelect Sutter Select |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Brown and Toland Health Services (BTHS1) | Electronic | N | |||||||||
|
|
|||||||||||
| Brownyard Group Inc. (Arch Insurance) (WC Only) (11150) | Electronic | Y | |||||||||
|
|
|||||||||||
| Brunswick Corporation (MN, TX) WC ONLY (WC744W) | Electronic | Y | |||||||||
|
|
|||||||||||
| BSI Companies (25916) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Buenaventura Affiliated Physicians, Inc. (BVAP1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Builders Group of MN (All States) (WC Only) (J1391W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Builders Insurance Group (GA only) (WE078) | Electronic | N | |||||||||
|
|
|||||||||||
| Builders Insurance Group (GA only) (Auto Only) (J3975A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Builders Insurance Group (GA only) (WC Only) (J3975) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Builders Mutual Insurance (All States) (Auto Only) (J1968A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Builders Mutual Insurance (All States) (WC Only) (J1968)
BUILDERS PREMIER INSURANCE COMPANY |
Electronic | Y | |||||||||
|
|
|||||||||||
| BUNCH & ASSOC. INC (WC Only) (All States) (WC812W) | Electronic | N | |||||||||
|
|
|||||||||||
| Bunch & Associates - Lowes (Limited) (WB189) | Electronic | N | |||||||||
|
|
|||||||||||
|
Bunch CareSolutions (Conduent Work Comp Services) (All States) (WC Only) (J1435)
Big Lots (Formerly Bunch CareSolutions) (All States) (WC Only) Bunch and Associates Disney Cruise Lines (Formerly Bunch CareSolutions) (All States) (WC Only) Major League Baseball (Formerly Bunch CareSolutions) (All States) (WC Only) MSIG (Formerly Bunch CareSolutions) (All States) (WC Only) Seattle Seahawks (Formerly Bunch CareSolutions) (All States) (WC Only) |
Electronic | Y | |||||||||
|
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|||||||||||
| Burlington Coat Factory Wareho (MN, TX) WC ONLY (WC761W) | Electronic | Y | |||||||||
|
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|||||||||||
| Business Administrators & Consultants (49984) | Electronic | N | |||||||||
|
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|||||||||||
| Business Mens Assurance (61492) | Paper | N | |||||||||
|
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|||||||||||
| Business Mens Assurance (BMA) (10360) | Paper | N | |||||||||
|
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|
Butler America Holdings Inc - Corvel (All States) (WC Only) (J3860W)
Butler America Holdings, Inc. - Corvel |
Electronic | Y | |||||||||
|
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|||||||||||
| Butler Benefit (42150) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Bywater Ltd (12090) | Paper | P I | N | ||||||||
|
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|||||||||||
| C & O Employees' Hospital Association (23708) | Electronic | E M | N | ||||||||
|
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|||||||||||
| Cadence RX (R0148) | Paper | N | |||||||||
|
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|||||||||||
| CAL OPTIMA ICF (Z96389) | Electronic | I | N | ||||||||
|
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|
CAL OPTIMA LTC (Z96397)
COLTC |
Electronic | I | N | ||||||||
|
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| Caliber Holdings Corporation (All States) (Auto Only) (J1979A) | Electronic | Y | |||||||||
|
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| Caliber Holdings Corporation (All States) (WC Only) (J1979W) | Electronic | Y | |||||||||
|
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|||||||||||
| California Casualty (All States) (Auto Only) (J3968A) | Electronic | P I | Y | ||||||||
|
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|||||||||||
| California Casualty (All States) (WC Only) (J3968) | Electronic | P I | Y | ||||||||
|
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|
California Casualty Indemnity Exchange (Remits Only) (Z96353)
CA Casualty Ind Exchange |
Paper | N | |||||||||
|
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| California Children's Services (CCS) (MC051) | Electronic | N | |||||||||
|
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|||||||||||
| California Children's Services (CCS) (with Attachments) (JMC051) | Electronic | Y | |||||||||
|
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|||||||||||
| California Eye Care (CEC01) | Electronic | N | |||||||||
|
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|||||||||||
|
California Health & Wellness (68047)
Child Health and Disability Prevention |
Electronic | P I E | N | ||||||||
|
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|
California Insurance Guarantee Association (CIGA) (WC Only) (CA Only) (J1532)
CIGA (WC Only) (CA Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| California IPA (Capital MSO) (CTPL1) | Electronic | P I | N | ||||||||
|
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|||||||||||
| California Kids Care (CKC01) | Paper | P I | N | ||||||||
|
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|||||||||||
| California Pacific Medical Center (94056) | Electronic | N | |||||||||
|
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|||||||||||
| California Pacific Medical Foundation (Z95679) | Electronic | P I | N | ||||||||
|
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|||||||||||
|
California Rural Indian Health Board (CRIHB)
California Rural Indian Health Board Cares California Rural Indian Health Board Options |
Electronic | P I | N | ||||||||
|
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|||||||||||
|
Cal-Optima Direct (CALOP)
CalOptima |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
CalOptima LTC (COLTC)
One Care Connect LTC (OCC) PACE Center LTC |
Paper | I | N | ||||||||
|
|
|||||||||||
| Calvos SelectCare (CALSC) | Electronic | N | |||||||||
|
|
|||||||||||
| Cambridge Integrated Services (All States) (WC Only) (J1819W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Cambridge Integrated Services Group (All States) (WC Only) (WX163W) | Electronic | N | |||||||||
|
|
|||||||||||
| Cambridge ISG (59334) | Paper | N | |||||||||
|
|
|||||||||||
| Cameron & Associates (Z1434) | Electronic | N | |||||||||
|
|
|||||||||||
| Camp Lejeune Family Member Program (CLFM1) | Electronic | N | |||||||||
|
|
|||||||||||
| Cannon Cochran Management Services Inc CCMSI (71057) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Capistrano Unified School District (All States) (Auto only) (J1637A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Capistrano Unified School District (All States) (WC only) (J1637W) | Electronic | Y | |||||||||
|
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|
Capital District Physician's Health Plan (CDPHP) (SX065)
CDPHP Universal Benefits |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Capital District Physician's Health Plan (CDPHP) (Medicaid Managed Care) (SX065MC) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Capital Health Partners (CAHP1) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Capital Health Plan (95112) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Capitol Administrators (68011) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Capitol Indemnity (All States) (WC Only) (J1262W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Capitol Insurance Companies (All States) (Auto Only) (J1809A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Capitol Insurance Companies (All States) (WC Only) (J1809W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Caprock Health Plans-Verity (CAPHP2) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
CapRock HealthPlans (CAPHP)
90 Degree Benefit Plan Texas Schools Health Benefits Program |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Cardinal Health (EOBC) (WC931) | Paper | N | |||||||||
|
|
|||||||||||
|
CardioVascular Care Providers (Z1228)
GCVCP |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Cardon Outreach (R6716) | Electronic | N | |||||||||
|
|
|||||||||||
| Care Around the Clock (57721) | Electronic | N | |||||||||
|
|
|||||||||||
| Care Logic (All States) (WC Only) (J3868W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Care Management Company (CMO) (Eligibility Only) (Z98245) | Paper | N | |||||||||
|
|
|||||||||||
| Care N Care (66010) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Care N Care (Medicare Advantage) (66010MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Care Source (OH) (Medicare Advantage) (31114MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Care to Care (41222) | Electronic | N | |||||||||
|
|
|||||||||||
|
Care Wisconsin Health Plan (27004)
My Choice Wisconsin |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Care1st ACC Medicaid (DOS 11/30/22 and prior) (57116)
Care 1st Health Plan of AZ Care1st Health Plan of Arizona OneCare |
Electronic | P I M | N | ||||||||
|
|
|||||||||||
|
CareAccess PSN (65063)
Care Access PSN Florida NetPass |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carecentrix (11345) | Electronic | N | |||||||||
|
|
|||||||||||
| CareCentrix BCBS Michigan (11349) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Carecentrix Florida Blue (11347) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Carecentrix Horizon (11348) | Paper | P I | N | ||||||||
|
|
|||||||||||
| CareCentrix Wellcare (11350) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Carecore National - Aetna Radiology (14179)
New York Medical Imaging (NYMI) - AETNA Radiology Claims |
Electronic | N | |||||||||
|
|
|||||||||||
| Carecore National - Health Net New Jersey (14185) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
CareCore National - HIP (14182)
Carecore National CareCore National (HIP) |
Paper | N | |||||||||
|
|
|||||||||||
|
Carecore National - Oxford (14180)
New York Medical Imaging (NYMI) Oxford |
Paper | P | N | ||||||||
|
|
|||||||||||
|
CareCore National - Wellcare (14188)
CareCore National / WellCare of NY Radiology |
Paper | P I | N | ||||||||
|
|
|||||||||||
| CareFirst Administators - Maryland (Formerly Willse') (52118) | Electronic | P | N | ||||||||
|
|
|||||||||||
| CareFirst Administrators/NCAS - Charlotte (75191) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CareFirst Administrators/NCAS - Fairfax, VA (75190) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
CareFirst BlueCross BlueShield Community Health Plan District of Columbia (L0230)
CareFirst CHPDC Trusted Health Plan |
Electronic | N | |||||||||
|
|
|||||||||||
|
CareFirst BlueCross BlueShield Community Health Plan Maryland (45281)
Riverside Health Inc University of Maryland Health Partners |
Paper | P I E | N | ||||||||
|
|
|||||||||||
|
CareFirst BlueCross BlueShield Medicare Advantage (45282)
Riverside Advantage University of Maryland Health Advantage |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Careington Benefit Solutions (Remits Only) (60601) | Paper | N | |||||||||
|
|
|||||||||||
|
Carelon Behavioral Health Strategies (Z1226)
Beacon Health Options BHOVO Value Options VALUE OPTIONS PA BEHAVIORAL HEALTH Value Options, Inc. (Maryland Public Health System MAPS) ValueOptions (PA - Pennsylvania Medicaid MCO) ValueOptions, Inc. (Other-Commercial, Medicare, Medicaid, Military, Combo of Commerical Military tog |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Carelon Health-Advanced Primary (fka Caremore) (CARMO)
Caremore CareMore Health Plan CM001 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Carelon Post Acute Solutions - Aetna (34010)
myNEXUS Aetna Home Health |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
Carelon Post Acute Solutions - Anthem (34009)
Carelon Anthem Home Health myNEXUS Anthem |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Caremore (Medicare Advantage) (CARMOMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
CareOregon (Z1060)
CareOregon (Payer Code 93975) Columbia Pacific CCO Jackson Care Connect |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CareOregon (Medicaid Managed Care) (Z1060MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CarePartners of Connecticut (16307) | Paper | E M | N | ||||||||
|
|
|||||||||||
|
CarePlus Health Plan (65031)
95092 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CareSource (00325) | Paper | E | N | ||||||||
|
|
|||||||||||
| CareSource (26160) | Electronic | N | |||||||||
|
|
|||||||||||
| CareSource Arkansas (ARCS1) | Electronic | N | |||||||||
|
|
|||||||||||
| Caresource Georgia (GACS1) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Caresource Georgia (Medicare Advantage) (GACS1MA) | Electronic | N | |||||||||
|
|
|||||||||||
| CareSource Indiana (INCS1) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| CareSource Indiana (Medicaid Managed Care) (INCS1MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Caresource KY (Humana) (KYCS1)
Caresource KY Marketplace Humana Caresource KY |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CareSource North Carolina (NCCS1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Caresource of Michigan Medicaid (MIMCDCS1) (MIMD1)
HAP Empowered Medicaid |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
CareSource Ohio (31114)
caresource |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CareSource Ohio (Medicaid Managed Care) (31114MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Caresource West Virginia (WVCS1) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
CareWorks (Ohio BWC) (Z1167)
CareWorks |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
CareWorks Consultants (aka CareWorks USA and CCI) (OH Only) (WC Only) (J1866W)
PERMA |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| CareWorks Consultants (aka CareWorks USA and CCI) (OH Only) (WC Only) w/o attach (J1866) | Electronic | N | |||||||||
|
|
|||||||||||
| Carhartt (All States) (Auto only) (J1931A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carhartt (All States) (WC only) (J1931W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Allstate Insurance (Auto) (J2007A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to American Commerce Insurance Company (All States) (Auto Only) (J2008A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Carisk Imaging to Ameriprise (Auto) (J2010A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Broadspire (NY & NJ only)(WC) (J3915) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to City of Jersey City (NJ Only) (WC Only) (J3998) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Country Way / Agway (Auto) (J2021A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to CRC Claims Resolution Corp (NY only)(WC) (J3916) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to D&H Alternative Risk Solutions (WC) (J3917) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Esurance Insurance (Auto) (J2025A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Farm Family Insurance (Auto) (J2026A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to GEICO (Auto) (J2030A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Harleysville Insurance (Auto) (J2033A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Hartford Insurance (Auto) (J2034A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to IDS Property Casualty (Auto) (J2038A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Kemper Services Group (Auto) (J2041A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Mapfre (Auto) (J2044A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Mercury Insurance (Auto) (J2047A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to MetLife (Auto) (J2048A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to National General Insurance Co (Auto) (J2049A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to National Liability & Fire Insurance Co (Auto) (J2050A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Nationwide (Auto) (J2051A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to NCA Comp (WC) (J3918) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to New Jersey Skylands (All States) (Auto Only) (J2052A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Carisk Imaging to New York City Law Department (WC) (J2053) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Carisk Imaging to NJ-PLIGA (Auto) (J2054A)
New Jersey Property-Liability Insurance Guaranty Assoc. |
Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Ohio Casualty Group (Auto) (J2058A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Peerless Insurance (Auto) (J2060A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Praetorian Insurance Company (Auto) (J2063A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Progressive Insurance (Auto) (J2065A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Pure (Auto) (J2066A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Rider Insurance (All States) (Auto Only) (J2068A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Carisk Imaging to Safe TPA, LLC NY only (WC) (J3919) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Safeco Insurance (Auto) (J2069A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Sedgwick Auto Insurance (Auto) (J2070A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Selective Insurance (Auto) (J2072A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Sentry Insurance (Auto) (J2073A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Tower National/Tower Group Companies (All States) (Auto Only) (J2077A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Carisk Imaging to UMR Risk Management-NY (WC) (J3920) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to USAA (Auto) (J2085A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Utica National Insurance (Auto) (J2086A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Zurich Auto Insurance (Auto) (J3921A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Carolina Behavioral Health (56215)
Carolina Behavioral Health Alliance CBHA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carolina Benefit Administrators (SB888) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carolina SeniorCare (71499) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carpenters Benefit Plan (CWSTL) | Paper | N | |||||||||
|
|
|||||||||||
| Carpenters Health and Welfare Trust Fund of St Louis (11161) | Paper | N | |||||||||
|
|
|||||||||||
| Carpenter's Health and Welfare Trust Fund of St. Louis (12174) | Paper | N | |||||||||
|
|
|||||||||||
|
Cascade Comprehensive Care (DOS 01/01/18 and after) (Z96251)
Cascade Health Alliance CHA01 |
Electronic | N | |||||||||
|
|
|||||||||||
| Casitas Municipal Water District (All States) (Auto only) (J1630A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Casitas Municipal Water District (All States) (WC only) (J1630W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Castlepoint Insurance Company (TX, MN, CA, IL, LA, NJ, OR and NC Only) (Auto Only) (J3963A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Castlepoint Insurance Company (TX, MN, CA, IL, LA, NJ, OR and NC Only) (WC Only) (J3963) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Castlepoint National Insurance Company (TX, MN, CA, IL, LA, NJ, OR and NC Only) (Auto Only) (J3964A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Castlepoint National Insurance Company (TX, MN, CA, IL, LA, NJ, OR and NC Only) (WC Only) (J3964) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Catilize Health (Remits Only) (Z96820) | Paper | N | |||||||||
|
|
|||||||||||
| Cave Branch Mining Retirees (EOBC) (R37610) | Paper | N | |||||||||
|
|
|||||||||||
|
CBA Blue/Blue Benefit Administrators (03036)
Blue Benefit Administrators of MA Comprehensive Benefits Administrator Inc EBPA LLC |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CCAI (CCAI) | Electronic | N | |||||||||
|
|
|||||||||||
| CC-Development Group Inc (All States) (Auto only) (J1900A) | Electronic | Y | |||||||||
|
|
|||||||||||
| CCEA Welfare Benefit Trust (88020) | Paper | N | |||||||||
|
|
|||||||||||
| CCMSI (All States) (WC Only) (J1010) | Electronic | Y | |||||||||
|
|
|||||||||||
| CCMSI (TX, MN) (WC Only) (WR322W) | Electronic | N | |||||||||
|
|
|||||||||||
| CCSI/Lutheran Preferred (MP350) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cedar Sinai Medical Center (95164) | Electronic | N | |||||||||
|
|
|||||||||||
| Cedar Valley Community Healthcare (CVCH) (42558) | Electronic | N | |||||||||
|
|
|||||||||||
|
Cedars Sinai Medical Center (33010)
Greater Newport Physicians - Institutional Claims Only Memorial Care Health System |
Electronic | N | |||||||||
|
|
|||||||||||
| Cedars-Sinai Medical Network Services (Claims) (95166) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cedars-Sinai Medical Network Services (Encounters) (95167) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Celtic Insurance (68063) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CENDANT CORPORATION (CA, MN, TX ONLY) WC ONLY (WC783W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Cenpatico - Texas (CBHTX) | Paper | E | N | ||||||||
|
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Cenpatico Behavioral Health (68068)
Cenpatico - Florida Cenpatico - Kansas Cenpatico - Mississippi Cenpatico - Missouri Cenpatico - New Hampshire Cenpatico - Wisconsin Cenpatico -OHIO Cenpatico Arizona Cenpatico Georgia Cenpatico Illinicare Cenpatico Indiana Cenpatico Kentucky Cenpatico Massachusetts Cenpatico South Carolina Cenpatico Texas Centene Advantage Plans CENTENE CORPORATION CENTENE IL CENPATICO County Care (Behavioral Remits Only) Fidelis SecureLife Medicare-Medicaid Plan (MMP) Group Practice Affiliates IlliniCare Behavioral Health Integrated Mental Health Services Managed Health Services WI Behavioral Health Sun Flower State (Kansas) - Behavioral Health |
Electronic | P I E | N | ||||||||
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| Cenpatico- PENNSYLVANIA HEALTH AND WELLNESS Plan ONLY (68069PA) | Electronic | N | |||||||||
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Centene Health Plans (68069)
Absolute Total Care Agate Resources, Inc (LIPA) (DOS after 06/01/16) Allwell from Arizona Complete Health Allwell from Buckeye Health Plan Allwell from Healthnet Allwell from MHS Health Wisconsin Allwell from Silver Summit Health Allwell from Sunflower Health Plan Ambetter from Managed Health Services (MHS) Ambetter of Alabama Ambetter of Arkansas Ambetter of Indiana Ambetter of Kansas Ambetter of Missouri Ambetter of North Carolina Ambetter of Tennessee Arizona (Allwell individual MA, MA Part D HMO, SNP (does not apply to employer group MA HMO)) Arizona Complete Health Arkansas Health & Wellness Arkansas Total Care Ascension Benefits and Insurance - FL Ascension Complete Illinois Buckeye Community Health Plan California (IFP) California (Individual MA HMO, SNP (does not apply to employer group MA HMO) Care1st ACC Medicaid Claims (DOS 12/1/22 and after) Care1st RBHA Medicaid Claims (DOS 10/1/22 and after) Carolina Complete Health Celticare Centene Advantage Plans Centene IN Managed Health Services Centene MA Celticare Health Plan Centene Venture Company Centene WA Coordinated Care Corp Centurion (Remits only) Centurion of Tennessee Coordinated Care of Washington County Care (Medical Remits only) Delaware First Health Fidelis SecureLife Medicare-Medicaid Plan (MMP) Health Net of Arizona, Inc. Healthnet Community Solutions Home State Health Plan IlliniCare Medical Illinois Health Practice Alliance Indiana Managed Health Services Iowa Total Care Kentucky Spirit Health Plan (DOS prior to 07/06/13) Louisiana Healthcare - Behavioral Louisiana Healthcare Connections Magnolia Health Plan Managed Health Services T-19 Michigan Complete Health Missouri Home State Health Care Nebraska Total Care New Hampshire Healthy Families (NH Healthy Families) Oklahoma Complete Health PA Health and Wellness Partners Health Management Physical Health Peach State Medicaid Pennsylvania Health and Wellness Silversummit Healthplan Sunflower State (MCO Kansas Medicaid) Medical Sunshine State Health Plan Superior Health Plan Superior Star Medicaid Trillium Community Health Plan (DOS after 06/01/16) Trillium Community Health Plans Oregon (DOS Prior to 12/31/15) Trillium Community Health-MEDICARE(DOS AFTER 12-31-15) Washington Coordinated Care Wellcare by Allwell Western Sky Community Care NM YouthCare HealthChoice of Illinois |
Electronic | P I E | N | ||||||||
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| Centene Health Plans (Medicare Advantage) (68069MA) | Electronic | N | |||||||||
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Centene Health Plans (with Attachments) (J68069)
Absolute Total Care Agate Resources, Inc (LIPA) (DOS after 06/01/16) Allwell from Arizona Complete Health Allwell from Buckeye Health Plan Allwell from Healthnet Allwell from MHS Health Wisconsin Allwell from Silver Summit Health Allwell from Sunflower Health Plan Ambetter from Managed Health Services (MHS) Ambetter of Arkansas Ambetter of Indiana Ambetter of Kansas Ambetter of Missouri Ambetter of North Carolina Ambetter of Tennessee Arizona (Allwell individual MA, MA Part D HMO, SNP (does not apply to employer group MA HMO)) Arizona Complete Health Arkansas Health & Wellness Arkansas Total Care Ascension Benefits and Insurance - FL Ascension Complete Illinois Buckeye Community Health Plan California (IFP) California (Individual MA HMO, SNP (does not apply to employer group MA HMO) Carolina Complete Health Celticare Centene Advantage Plans Centene IN Managed Health Services Centene MA Celticare Health Plan Centene Venture Company Centene WA Coordinated Care Corp Centurion of Tennessee Coordinated Care of Washington Delaware First Health Fidelis SecureLife Medicare-Medicaid Plan (MMP) Health Net of Arizona, Inc. Healthnet Community Solutions Home State Health Plan IlliniCare Medical Illinois Health Practice Alliance Indiana Managed Health Services Iowa Total Care Kentucky Spirit Health Plan (DOS prior to 07/06/13) Louisiana Healthcare - Behavioral Louisiana Healthcare Connections Magnolia Health Plan Managed Health Services T-19 Michigan Complete Health Missouri Home State Health Care Nebraska Total Care New Hampshire Healthy Families Oklahoma Complete Care PA Health and Wellness Peach State Medicaid Silversummit Healthplan Sunflower State (MCO Kansas Medicaid) Medical Sunshine State Health Plan Superior Health Plan Superior Star Medicaid Trillium Community Health Plan (DOS after 06/01/16) Trillium Community Health Plans Oregon (DOS Prior to 12/31/15) Trillium Community Health-MEDICARE(DOS AFTER 12-31-15) Washington Coordinated Care Western Sky Community Care NM |
Electronic | Y | |||||||||
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| Centene Management Company LLC (EOBC) (R28521) | Paper | N | |||||||||
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Centene TPA (42139)
County Care - Medical |
Electronic | E | N | ||||||||
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| Center for Elders Independence (94312) | Electronic | N | |||||||||
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| Center IPA (POP01) | Electronic | N | |||||||||
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CenterLight Healthcare (13360)
Productive Programming Inc |
Electronic | P I | N | ||||||||
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| Centers Plan For Healthy Living (CPHL) | Electronic | N | |||||||||
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| Centinela Valley IPA (MPM03) | Electronic | N | |||||||||
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| Centivo (45564) | Electronic | P I | N | ||||||||
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| Centracare (66698) | Electronic | N | |||||||||
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| Central California Alliance for Health (SX169) | Electronic | E | N | ||||||||
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| Central California Alliance for Health (Medicaid Managed Care) (SX169MC) | Electronic | N | |||||||||
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| Central Companies (ALL States) (J1263W) | Electronic | Y | |||||||||
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| Central Contra Costa Transit Authority (All States) (Auto only) (J1605A) | Electronic | Y | |||||||||
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| Central Contra Costa Transit Authority (All States) (WC only) (J1605W) | Electronic | Y | |||||||||
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| Central Data Services (Remits Only) (Z95910) | Paper | N | |||||||||
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| Central Garden & Pet Company - CORVEL (All States) (Auto Only) (J3737A) | Electronic | P I | Y | ||||||||
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| Central Garden & Pet Company - CORVEL (All States) (WC Only) (J3737) | Electronic | P I | Y | ||||||||
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| Central Health Medicare Plan (CHCPI) | Electronic | N | |||||||||
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| Central Hockey League (MN, TX) WC ONLY (WC787W) | Electronic | Y | |||||||||
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| Central Laborers' Welfare Fund (Remits Only) (R35293) | Paper | N | |||||||||
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Central Massachusetts Health LLC (86220)
Mass Advantage |
Electronic | P I | N | ||||||||
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| Central Ohio Primary Care Senior Care Advantage (ALG02) | Electronic | N | |||||||||
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| Central Pennsylvania Teamsters Fund (23626) | Paper | P I E M | N | ||||||||
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| Central Reserve Life (34097) | Paper | P I | N | ||||||||
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| Central Reserve Life Ins Co- Medicare Supplement (Eligibility Only) (Z90023) | Paper | E | N | ||||||||
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Central States Health & Welfare Funds (36215)
Rosemont of Des Plaines, IL Teamcare |
Electronic | P I E | N | ||||||||
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| Central States Health and Life Co of Omaha (Remits Only) (Z96478) | Paper | N | |||||||||
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| Central States Indemnity (Eligibility & Remits Only) (Z95701) | Paper | E M | N | ||||||||
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| Central Valley Medical Group (DOS 1/1/2020 and After) (CVH01) | Electronic | P I | N | ||||||||
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Central Valley Medical Providers CVMEDPRO (MPM59)
CVM02 |
Electronic | P I | N | ||||||||
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| Centric Healthcare Services (Remits Only) (QCIPA) | Paper | N | |||||||||
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| Centurion (42140) | Paper | P I | N | ||||||||
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| Centurion, LLC (IHS11) | Paper | P I | N | ||||||||
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| Century PHO (36393) | Electronic | N | |||||||||
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| Chaffey Joint Union H.S. District (All States) (WC only) (J1646W) | Electronic | Y | |||||||||
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| Chaffey Joint Union H.S.District (All States) (Auto only) (J1646A) | Electronic | Y | |||||||||
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| Chaffey Medical Group (49533) | Electronic | N | |||||||||
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| Champion Payer Solutions (CPS01) | Electronic | P I | N | ||||||||
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CHAMPVA/VA-HAC (84146)
80214 Children of Women Vietnam Veterans - VA HAC El Paso VA Clinic Spina Bifida - VA HAC |
Electronic | P I E | N | ||||||||
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| CHAMPVA/VA-HAC (Medicare Advantage) (84146MA) | Electronic | P I | N | ||||||||
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| Charming Shoppes, Inc. (MN, TX) WC ONLY (WC788W) | Electronic | Y | |||||||||
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CHARTIS (26883W)
AIG-Chartis (Except AK, HI, MT and WA) (WC Only) CHARTIS SPECIALTY INS CO (WC Only) |
Electronic | N | |||||||||
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Chartis Property Casualty Co (All States except AK,HI,MT,WA) (WC Only) (19402W)
AIG-Chartis (All States except AK,HI,MT,WA) (WC Only) |
Electronic | Y | |||||||||
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| Chartis Select Ins Co. (WC Only) (10932W) | Electronic | Y | |||||||||
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| Chautauqua County (16600) | Electronic | P | N | ||||||||
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CHCS (Remits Only) (Z2800)
Alaska Care Retiree LTC Plan (Remits Only) |
Paper | N | |||||||||
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CHCS Services Inc (Z10899)
American Network Ins. Medicare Supplement CMFG Life Insurance The Ullico Family of Companies |
Paper | E | N | ||||||||
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| Cherokee Insurance (CA IL LA MN NC NJ NM OR TN TX VA Only) (WC Only) (J1970) | Electronic | Y | |||||||||
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| Cherokee Insurance (CA IL LA MN NC NJ NM OR TN TX VA Only) (WC Only) (J1970W) | Electronic | N | |||||||||
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| Cherokee Nation Comprehensive Care Agency (CHERO) | Paper | P I | N | ||||||||
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Chesapeake Insurance (All States) (WC Only) (J1908)
LS250 |
Electronic | Y | |||||||||
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Chesterfield Resources Inc (34154)
The Salvation Army |
Electronic | P I | N | ||||||||
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| Chesterfield Services Inc (All States) (WC Only) (J1479) | Electronic | P I | Y | ||||||||
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| Chicago Carpenters Welfare Fund (R26506) | Paper | N | |||||||||
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| Chick-fil-A (A0037) | Electronic | N | |||||||||
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| Chicos Fas Inc. (All States)(WC Only) (J2315) | Electronic | Y | |||||||||
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| Child Health and Disability Prevention Program (CDHP) | Electronic | N | |||||||||
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| Children’s Hospital Orange County (CHOC) Health Alliance (CHOC1) | Electronic | N | |||||||||
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| Children's Community Health Plan (251CC) | Electronic | P I | N | ||||||||
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Children's First Healthcare Network (94321)
Children First Medical Group |
Electronic | N | |||||||||
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| Children's Hospital of Orange County Health Alliance (CHOC) Orange CA (33065) | Electronic | P | N | ||||||||
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| Children's Mercy PCN (10906) | Paper | E | N | ||||||||
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| Chinese Community Health Plan (94302) | Electronic | N | |||||||||
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Chiropractic Health Plan (Z1043)
U1439 |
Electronic | P | N | ||||||||
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| Choice Hotels International Inc (All States) (Auto Only) (J4161A) | Electronic | Y | |||||||||
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| Choice Hotels International Inc (All States) (WC Only) (J4161) | Electronic | Y | |||||||||
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| Choice Medical Group (CMG01) | Electronic | P | N | ||||||||
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| Choice Physicians Net CoachellaMed (CPNCO) | Paper | N | |||||||||
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| Choice Physicians Net First Choice (CPNFC) | Electronic | P I | N | ||||||||
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| Choice Physicians Network (CPN01) | Electronic | P I | N | ||||||||
|
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| Choice Physicians Network - Amada Health (CPNAH) | Paper | P I | N | ||||||||
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| Choice Physicians Network (Antelope Valley Medical Group) (CPNAV) | Electronic | N | |||||||||
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| Choice Physicians Network All United Medical Group (CPNAU) | Electronic | N | |||||||||
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| Choice Physicians Network Nivano Physicians (CPNNP) | Electronic | P I | N | ||||||||
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| ChoiceOne IPA (POP03) | Electronic | N | |||||||||
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| CHP 3 (CHP03) | Paper | P | N | ||||||||
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| CHP Direct (10907) | Paper | E | N | ||||||||
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| Christian Brothers Services (38308) | Paper | P I E | N | ||||||||
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Christian Care Ministries (59355)
Medishare |
Electronic | N | |||||||||
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| Christian Health Aid (98628) | Electronic | P I | N | ||||||||
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| Christiana Care VBR (VB002) | Paper | P I | N | ||||||||
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| Christie Student Health Plan (75544) | Electronic | N | |||||||||
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| Christus Health Medicare Advantage (10629) | Paper | P I E | N | ||||||||
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Christus Health Plan Medicaid (45210)
Christus Texas Medicaid Texas Christus |
Electronic | P I E | N | ||||||||
|
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| Christus Health Plan of Texas and Louisiana (52106) | Electronic | P I E M | N | ||||||||
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| Christus Health Plan of Texas and Lousiana (Medicaid Managed Care) (52106MC) | Paper | P I | N | ||||||||
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| Chubb & Sons - Federal Insurance (Auto Only) (20281A) | Paper | N | |||||||||
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| Chubb & Sons - Federal Insurance (WC Only) (20281W) | Paper | N | |||||||||
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Chubb (Legacy Chubb & Son) (All States) (WC Only) (J1554)
Chubb & Son (All States) (WC Only) |
Electronic | Y | |||||||||
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| Chubb Services (All States) (WC Only) (J1561) | Electronic | Y | |||||||||
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| Church Mutual Insurance Comp (All States)(WC Only) (J1265W) | Electronic | Y | |||||||||
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| Church Mutual Insurance Company (ALL States) (WX051) | Electronic | Y | |||||||||
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| Church Mutual Insurance Company (All States) (Auto Only) (18767A) | Electronic | N | |||||||||
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| Church Mutual Insurance Company (All States) (Liab Only) (J1266) | Electronic | Y | |||||||||
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| Church Mutual Insurance Company (All States) (WC Only) (18767W) | Electronic | N | |||||||||
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CIGNA (Connecticut General, Equicor, Equitable) (62308)
AFTRA Health Plans Albuquerque JPPO - New Mexico (Inst) Albuquerque PPO - New Mexico (Prof) APWU Health Plan (All States Except USVI) CGLIC, Milwaukee Cigna (Connecticut General) (Prof) Cigna Behavioral Health (Inst) Cigna for Health Care (Inst) Cigna Health Plan - Atlanta (Prof) Cigna Health Plan - Chicago Cigna Health Plan - Cigna Premier Plus Cigna Health Plan - Cincinnati (Prof) Cigna Health Plan - Cleveland Cigna Health Plan - Columbus Cigna Health Plan - COMED Cigna Health Plan - Connecticut Cigna Health Plan - Dallas Cigna Health Plan - Dayton Cigna Health Plan - Delaware Cigna Health Plan - Denver Cigna Health Plan - Georgia Cigna Health Plan - HMO (CHP) (Prof) Cigna Health Plan - HMO (Inst) Cigna Health Plan - Houston Cigna Health Plan - Kansas City Cigna Health Plan - Knoxville PPO (Inst) Cigna Health Plan - Los Angeles Cigna Health Plan - Louisiana Cigna Health Plan - Massachusetts Cigna Health Plan - Memphis Cigna Health Plan - Mid Atlantic Cigna Health Plan - Nashville Cigna Health Plan - New York Cigna Health Plan - Northern California Cigna Health Plan - Northern Louisiana Cigna Health Plan - Oklahoma Cigna Health Plan - Orlando Cigna Health Plan - Phoenix Cigna Health Plan - Raleigh Cigna Health Plan - Richmond Cigna Health Plan - Salinas Cigna Health Plan - Salt Lake City Cigna Health Plan - Southern California Cigna Health Plan - Southern Florida Cigna Health Plan - St. Louis (Inst) Cigna Health Plan - Tucson Cigna Health Plan - Tulsa Cigna Health Plan - Washington Cigna Health Plan of California Cigna Health Plan of Charlotte Cigna Health Plan of Northern New Jersey Cigna Health Plan of Pennsylvania Cigna Health Plan of San Diego Cigna Health Plan of Southern New Jersey Cigna Health Plan of St. Louis (Prof) Cigna Health Plan of Tampa Cigna Health Plan of Wichita Cigna Health Plans Cigna International Expatriate Benefits Cigna PPO Connecticut General (Cigna) (Inst) CONNECTICUT GENERAL LIFE INSURANCE COMPANY Equicor (Inst) Equicor Health Plan - Houston (Prof) Equicor PPO Equicor/Equitable (Prof) Equitable (CIGNA) (Inst) Evernorth Behavioral Health GHC Individual Plans (Prof) Great West Healthcare (Remits) HCA HCA Cigna HealthSource , AR HealthSource of Arkansas (Medicare) HealthSource of Indiana HealthSource of Kentucky HealthSource of Maine HealthSource of Massachusetts HealthSource of New Hampshire HealthSource of New York HealthSource of North Carolina HealthSource of North Texas HealthSource of Ohio HealthSource of South Carolina HealthSource of Tennessee HealthSource Provident HealthSource, GA HealthSource, IN Healthsource, ME HealthSource, NC HealthSource, NH HealthSource, North Texas HealthSource, OH HealthSource, SC HealthSource, TN Jackson PPO Jacksonville PPO Kern PPO - California NALC/Affordable (CLAIMS ONLY) National Association of Letter Carriers / NALC National Telecommunications Cooperative NOVA Ocala PPO - Florida Portland PPO - Oregon Provident Life & Casualty Provident Preferred Network Sacramento PPO Special Agent Mutual Benefit Association / SAMBA |
Electronic | P I E | N | ||||||||
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| CIGNA (Connecticut General, Equicor, Equitable) (Medicaid Managed Care) (62308MC) | Electronic | P I | N | ||||||||
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| CIGNA (Connecticut General, Equicor, Equitable) (Medicare Advantage) (62308MA) | Electronic | P | N | ||||||||
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| CIGNA (Connecticut General, Equicor, Equitable) (Subrogation Claims Only) (62308S) | Electronic | I | N | ||||||||
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| CIGNA (MN, TX,CA Only) (WC Only) (A0368W) | Electronic | N | |||||||||
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|
CIGNA Behavioral Health (SX071)
MCCBV |
Electronic | P E M | N | ||||||||
|
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| CIGNA Dental Health (10050) | Paper | N | |||||||||
|
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| CIGNA ENCOUNTERS (CA & TX encounters Cigna Commercial (HMO & POS) only) (99139) | Electronic | N | |||||||||
|
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| CIGNA Flexcare (47001) | Paper | N | |||||||||
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| Cigna Global Insurance Company Limited (EOBC) (R25929) | Paper | N | |||||||||
|
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| CIGNA HealthCare for Seniors - AZ Medicare (86033) | Electronic | P I E M | N | ||||||||
|
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| CIGNA HealthCare for Seniors - AZ Medicare (Medicare Advantage) (86033MA) | Electronic | P I | N | ||||||||
|
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| Cincinnati Insurance (All States) (WC Only) (J1562) | Electronic | Y | |||||||||
|
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| Cincinnati Insurance (MN, NJ, NY and OR Only) (Auto Only) (C1103A) | Electronic | P I | Y | ||||||||
|
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| Citizens Insurance Company of America (All States) (Auto only) (J1582A) | Electronic | Y | |||||||||
|
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| Citizens Insurance Company of America (All States) (WC only) (J1582W) | Electronic | Y | |||||||||
|
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| Citizens Security Life Insurance Co (Remits Only) (CSLIC) | Paper | N | |||||||||
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| Citrus Valley Health Partners (All States) (Auto only) (J1613A) | Electronic | Y | |||||||||
|
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| Citrus Valley Health Partners (All States) (WC only) (J1613W) | Electronic | Y | |||||||||
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| Citrus World Inc (All States) (Auto only) (J1945A) | Electronic | Y | |||||||||
|
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| Citrus World Inc (All States) (WC only) (J1945W) | Electronic | Y | |||||||||
|
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| City And County Of Denver (WC Only) (J3340) | Electronic | P I | Y | ||||||||
|
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| City and County of San Francisco (CCSF) (CA Only) (WC Only) (J1885) | Electronic | Y | |||||||||
|
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| City of Adelanto (All States) (Auto Only) (J3867A) | Electronic | Y | |||||||||
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| City of Adelanto (All States) (WC Only) (J3867W) | Electronic | Y | |||||||||
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| City of Banning (CA) (All States) (Auto Only) (J1792A) | Electronic | P I | Y | ||||||||
|
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| City of Banning (CA) (All States) (WC Only) (J1792W) | Electronic | P I | Y | ||||||||
|
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| City of Barstow (CA) (J1793A) | Electronic | Y | |||||||||
|
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| City of Barstow (CA) (J1793W) | Electronic | Y | |||||||||
|
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| City of Blythe (CA) (All States) (Auto Only) (J1794A) | Electronic | P I | Y | ||||||||
|
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| City of Blythe (CA) (All States) (WC Only) (J1794W) | Electronic | P I | Y | ||||||||
|
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| City of Dallas (All States) (WC Only) (J1441W) | Electronic | Y | |||||||||
|
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| City of Desert Hot Springs (CA) (J1799A) | Electronic | Y | |||||||||
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| City of Desert Hot Springs (CA) (J1799W) | Electronic | Y | |||||||||
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| City of Dublin (EOBC) (R37099) | Paper | N | |||||||||
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| City Of El Paso (WC Only) (TX, MN,CA Only) (WP857) | Electronic | Y | |||||||||
|
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| City Of Fort Lauderdale (All States)(WC Only) (J2266) | Electronic | P I | Y | ||||||||
|
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| City of Fort Worth (All States) (Auto Only) (J1680A) | Electronic | Y | |||||||||
|
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| City of Fort Worth (All States) (WC Only) (J1680W) | Electronic | Y | |||||||||
|
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| City of Glendale (AZ) (All States) (Auto Only) (J1800A) | Electronic | P I | Y | ||||||||
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| City of Glendale (AZ) (All States) (WC Only) (J1800W) | Electronic | P I | Y | ||||||||
|
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|||||||||||
| City of Hayward (EOBC) (R09599) | Paper | N | |||||||||
|
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|||||||||||
| City of Jacksonville (WC Only) (J1504W) | Electronic | Y | |||||||||
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| City of La Mesa 11 (All States) (Auto Only) (J1711A) | Electronic | Y | |||||||||
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|||||||||||
| City of La Mesa 11 (All States) (WC Only) (J1711W) | Electronic | Y | |||||||||
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|||||||||||
| City Of Lake Charles (All States) (Auto only) (J1981A) | Electronic | Y | |||||||||
|
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| City Of Lake Charles (All States) (WC only) (J1981W) | Electronic | Y | |||||||||
|
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|||||||||||
| City of Lakeland (FL) (E1677) | Electronic | N | |||||||||
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|||||||||||
| City Of Margate (Fl) (All States)(WC Only) (J3301) | Electronic | P I | Y | ||||||||
|
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|||||||||||
| City of Miami Beach (FL) (All States) (Auto only) (J1946A) | Electronic | Y | |||||||||
|
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|||||||||||
| City of Miami Beach (FL) (All States) (WC only) (J1946W) | Electronic | Y | |||||||||
|
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|||||||||||
| City of Milpitas (EOBC) (R09380) | Paper | N | |||||||||
|
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| City of Minneapolis (All States) (WC Only) (J1269) | Electronic | Y | |||||||||
|
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|||||||||||
| City of Minneapolis (MN Only) (EOBC) (A0287) | Paper | N | |||||||||
|
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|||||||||||
| City of Murieta (CA) (J1797A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Murieta (CA) (J1797W) | Electronic | Y | |||||||||
|
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|||||||||||
| City of New Rochelle (EOBC) (R21159) | Paper | N | |||||||||
|
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|||||||||||
| City of Omaha (NE) (All States) (Auto Only) (J1721A) | Electronic | Y | |||||||||
|
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|||||||||||
| City of Omaha (NE) (All States) (WC Only) (J1721W) | Electronic | Y | |||||||||
|
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|||||||||||
| City of Perris (CA) (All States) (Auto Only) (J1795A) | Electronic | P I | Y | ||||||||
|
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| City of Perris (CA) (All States) (WC Only) (J1795W) | Electronic | P I | Y | ||||||||
|
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|||||||||||
| City of Plano (CA, TX, MN) WC ONLY (WC172W) | Electronic | Y | |||||||||
|
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|||||||||||
| City of Pomona (EOBC) (R30819) | Paper | N | |||||||||
|
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| City of Pompano Beach (FL) (All States) (Auto only) (J1947A) | Electronic | Y | |||||||||
|
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| City of Pompano Beach (FL) (All States) (WC only) (J1947W) | Electronic | Y | |||||||||
|
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| City of Redding (CA) (All States) (Auto only) (J1617A) | Electronic | Y | |||||||||
|
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| City of Redding (CA) (All States) (WC only) (J1617W) | Electronic | Y | |||||||||
|
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|||||||||||
| City of Richmond (EOBC) (R20984) | Paper | N | |||||||||
|
|
|||||||||||
| City of Rochester (EOBC) (R22485) | Paper | N | |||||||||
|
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|||||||||||
| City of San Angelo (MN, TX) [WC ONLY] (WC152) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of San Diego (WC Only) (J1497) | Electronic | N | |||||||||
|
|
|||||||||||
| City of San Jacinto (CA) (All States) (Auto Only) (J1796A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of San Jacinto (CA) (All States) (WC Only) (J1796W) | Electronic | P I | Y | ||||||||
|
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|||||||||||
| City of San Jose (J1528) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of San Mateo (CA) (All States) (Auto only) (J1727A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of San Mateo (CA) (All States) (WC only) (J1727W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of St Paul (MN) (All States) (Auto Only) (J1602A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of St Paul (MN) (All States) (WC Only) (J1602) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of St. Paul (MN) (J1602W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of St. Paul (WC Only) (E0257W) | Paper | N | |||||||||
|
|
|||||||||||
| City of Stanton (CA) (All States) (Auto only) (J1636A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Stanton (CA) (All States) (WC only) (J1636W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Stockton (CA) (All States) (Auto only) (J1664A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Stockton (CA) (All States) (WC only) (J1664W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Topeka (KS) (All States) (Auto only) (J1607A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Topeka (KS) (All States) (WC only) (J1607W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Torrance (All States) (Auto Only) (J3872A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Torrance (All States) (WC Only) (J3872W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City Of Tucson (All States) (Auto only) (J1982A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City Of Tucson (All States) (WC only) (J1982W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Upland (CA) (All States) (Auto only) (J1645A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Upland (CA) (All States) (WC only) (J1645W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Virginia Beach (VA) - Corvel (All States) (WC Only) (J3861W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of West Palm Beach (FL) (All States) (Auto only) (J1948A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of West Palm Beach (FL) (All States) (WC only) (J1948W) | Electronic | Y | |||||||||
|
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|
Clackamas County Mental Health (CCMMH)
Health Share CCO Clackamas County |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Claimchoice (Z96479) | Paper | N | |||||||||
|
|
|||||||||||
|
ClaimChoice Administrators (38219)
AmeraPlan |
Electronic | P | N | ||||||||
|
|
|||||||||||
| ClaimChoice Administrators, LLC (83063) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Claims Administrative Services (CAS) (LA NM OK TX) (WC Only) (J1271W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Claims Development Corporation (43056)
Podiatry Network Solutions |
Electronic | N | |||||||||
|
|
|||||||||||
|
Claimsbridge High Performance Network (11752)
Claimsbridge HPN |
Electronic | N | |||||||||
|
|
|||||||||||
| Classic Residence By Hyatt (MN, TX) WC ONLY (WC790W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Clear Health Alliance (CLEAR)
CLEAR Health Alliance Plan |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Clear Health Alliance (with Attachments) (JCLEAR) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Clear Spring Health (85468)
Clear Spring Health of Illinois Community Care Alliance of Illinois Eon Health |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Clear Spring Health (Medicaid Managed Care) (85468MC) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Clear Spring Health of Illinois (EOBC) (66009) | Paper | N | |||||||||
|
|
|||||||||||
|
Clearchoice Health Plan/COIHS (Bend OR) (77201)
Clear One Healthy Kids Connect Clearchoice Health Plan/COIHS PacificSource Community Solutions P & I Oregon |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Cleveland Browns (EOBC) (R23182) | Paper | N | |||||||||
|
|
|||||||||||
|
Clever Care Health Plan (84227)
CC168 Clever Care of Golden State Inc |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Clinical Specialties Inc (CSI001) | Electronic | N | |||||||||
|
|
|||||||||||
| Clinicas Del Camino Real (CDCR1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Clover Health (DOS prior to 1/1/23) (77023)
Carepoint Health Plans CarePoint Medicare Advantage Clover Health fka CarePoint Medicare Advantage |
Paper | E M | N | ||||||||
|
|
|||||||||||
| Clover Health LLC (13285) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Clover Health LLC (Medicare Advantage) (13285MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CM Administrators Inc (56211) | Electronic | N | |||||||||
|
|
|||||||||||
| CNA Insurance (All States) (WC Only) (J20443) | Electronic | Y | |||||||||
|
|
|||||||||||
|
CNO (Remits Only) (ZP3600)
Resource Life Insurance Company (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Coach USA (ALL States) (WC Only) (J1272W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Coachella Valley Water District (CA) (All States) (Auto only) (J1902A) | Electronic | Y | |||||||||
|
|
|||||||||||
| CoachellaMed (COMG1) | Paper | N | |||||||||
|
|
|||||||||||
| Coastal Administrative Services (74120) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Coastal Administrative Services (CAS) (CAS89) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Coastal Administrative Services (Remits Only) (05802E)
C.A.S. (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Coastal Care Services Inc (47394) | Electronic | N | |||||||||
|
|
|||||||||||
| Coastal Communities Physician Network (CCPN1) (Z1391) | Electronic | N | |||||||||
|
|
|||||||||||
| Coastal TPA Inc (77052) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Coca-Cola Enterprises (TX, MN, CA Only) (WC Only) (A0565W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Coeur Plan Services (98653) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Coeur Plan Services, LLC (11854) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Cofinity - Group Resources (42049)
Employee Benefit Concepts Inc.(Group Resources) |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Collective Health (Z95796) | Electronic | N | |||||||||
|
|
|||||||||||
| Collective Health Administrators (36479) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Colonial Medical (Bermuda) (22284) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Colonial Medical Insurance Company (Eastern Caribbean) (22287) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Colonial Penn Life Insurance (62065)
37077 |
Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Colorado Access (Denver, CO) (84129)
Access Behavioral Care COACC |
Electronic | P E | N | ||||||||
|
|
|||||||||||
| Colorado Casualty (WC Only) (All States) (J1428W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Colorado Community Health Alliance (COCHA)
Colorado Community Health Alliance (CCHA) |
Electronic | N | |||||||||
|
|
|||||||||||
| Colorado Community Health Alliance (with Attachments) (JCOCHA) | Electronic | Y | |||||||||
|
|
|||||||||||
| Colorado Health Insurance Cooperative Inc (49718) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Columbia Sportswear - CORVEL (All States) (WC Only) (J4182) | Electronic | Y | |||||||||
|
|
|||||||||||
| COLUMBIA SUSSEX CORPORATION (TX, MN) (WC Only) (WC792W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Columbine Health Plan (CHP02) | Electronic | N | |||||||||
|
|
|||||||||||
| Commerce and Industry Insurance Co (05380) | Paper | N | |||||||||
|
|
|||||||||||
| Commercial Holdings LLC (EOBC) (R30023) | Paper | N | |||||||||
|
|
|||||||||||
| Commercial Travelers/PHX (88091) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Common Ground Healthcare Cooperative (77170) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Commonwealth Care Alliance (CCA) (DOS 4/1/23 and after) (A2793) | Electronic | N | |||||||||
|
|
|||||||||||
|
Commonwealth Care Alliance (DOS prior to 4/1/23) (14315)
Commonwealth Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Commonwealth Care Alliance Medicare Advantage (DOS prior to 4/1/23) (14316) | Electronic | N | |||||||||
|
|
|||||||||||
|
Commonwealth Health Alliance (CHA) (23171)
CHA Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| CommuniCare Advantage (34525) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Community Care Associates (17902) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Community Care BHO (23282)
Community Care Behavioral Health Organization |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Care IPA (effective 5/1/19) (MPM48) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Community Care Managed Health Care Plans of Oklahoma (73143)
CommunityCare HMO |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Community Care of Oklahoma (00448) | Paper | N | |||||||||
|
|
|||||||||||
| Community Care Organization (39126) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Care Plan (Broward Health PPUC) (BHPP1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Community Care Plan (Florida Healthy Kids) (FHKC1) | Electronic | N | |||||||||
|
|
|||||||||||
| Community Care Plan (Palm Beach District) (PBHD1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Choice of Michigan (38325) | Electronic | N | |||||||||
|
|
|||||||||||
|
Community Claims Administration (26231)
Employee Benefit Administrators |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Community Development Commission (All States) (Auto only) (J1655A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Community Development Commission (All States) (WC only) (J1655W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Community Eye Care (CECVP) | Electronic | N | |||||||||
|
|
|||||||||||
| Community Family Care IPA (NMM05) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community First Health Plan (COMMF) | Electronic | P I M | N | ||||||||
|
|
|||||||||||
| Community Health Alliance (35193) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Health Center Network - CHCN (CHCN1) | Paper | P | N | ||||||||
|
|
|||||||||||
|
Community Health Choice (48145)
Harris Health System |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Community Health Choice (Medicaid Managed Care) (48145MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Health Choice Texas HIM (60495) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
|
Community Health Group of SD (Z1700)
66170 CHGSD |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Health Group of SD (Encounters Only) (66171) | Electronic | N | |||||||||
|
|
|||||||||||
| Community Health Plan of Washington (CHPWA) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Community HealthFirst Medicare (CHF Medicare Advantage) (10421) | Paper | N | |||||||||
|
|
|||||||||||
|
Community Medical Group of the West Valley (CMGWV)
66121 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Comp West (All States) (WC Only) (J1925) | Electronic | Y | |||||||||
|
|
|||||||||||
| Comp West (All States) [WC Only] (WX214) | Electronic | N | |||||||||
|
|
|||||||||||
| Companion Life Dental (Remits Only) (48005) | Paper | N | |||||||||
|
|
|||||||||||
| Companion Life Insurance Company (Remits Only) (01361) | Paper | N | |||||||||
|
|
|||||||||||
| Companion Property and Casualty Insurance Company (dba Sussex Insurance Company) (WC Only) (J1829) | Electronic | Y | |||||||||
|
|
|||||||||||
| Compass Group USA Inc (TX, MN) (WC Only) (J1040W) | Electronic | N | |||||||||
|
|
|||||||||||
| Compass Group Usa, Inc. (MN, TX) [WC ONLY] (WC793) | Electronic | N | |||||||||
|
|
|||||||||||
| Compass Health Administrators (Remits Only) (45687) | Paper | N | |||||||||
|
|
|||||||||||
|
CompDent (CX021)
Humana Specialty Benefits (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| CompIQ Solutions - Steadpoint (Remits Only) (ZP6222) | Paper | N | |||||||||
|
|
|||||||||||
|
Complementary HealthCare Plans (93101)
CHP01 |
Electronic | N | |||||||||
|
|
|||||||||||
| Complete Temp Labor (ALL States) (J1273W) | Electronic | Y | |||||||||
|
|
|||||||||||
| CompManagement Health (15243) | Electronic | N | |||||||||
|
|
|||||||||||
|
Comprehensive Care Management Corp. (Z1152)
CCMC1 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| CompSource Mutual (TX, OK) (WC Only) (J4431W) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| ComPsych (37363) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Compusys Inc (COMPU) | Electronic | N | |||||||||
|
|
|||||||||||
| ComTon, Inc. (Remits Only) (TLX25) | Paper | N | |||||||||
|
|
|||||||||||
|
Concentrix Insurance Solutions (Z95754)
19028 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Concierge (CAS01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Concordia Care Incorporated (33632)
Carisk Behavioral Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Conifer (All States) (WC Only) (J1774) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Conifer Health Solutions (CAPMN)
AKM Medical Group Alamitos IPA DOS 5/1/2020 and after Alliance Health Systems American Family Health Providers Avalon IPA Brookshire IPA DOS 5/1/2020 and after Canopy Health Cap Management Centinela IPA (CA) Community Family Care Medical Group Exceptional Care Medical Group Family Choice Medical Group Family Health Alliance Fountain Valley Premier IPA DOS 5/1/2020 and after Greater L.A. Healthcare Greater San Gabriel Valley Physicians Hollywood Presbyterian Medical Group Huntington Park Mission Medical Group IP080 Lakewood IPA DOS 5/1/2020 and after Mabuhay Medical Group MDX Hawaii DOS 1/1/2024 and after Medicina Familiar Medical Group Mid Cities IPA Noble Community Medical Associates LA Palomar Pomerado Hospital Pasadena Primary Care Physicians Group Premier Care of Northern California Premier Physician Alliance Premier Physician Network Primary Care & Pediatric IPA Saint Agnes Medical Group Sequoia Health IPA St. Mary's IPA DOS 5/1/2020 and after VALLEY PRESBYTERIAN HOSPITAL - HEALTHCARE L.A |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Connected Senior Care Advantage (AGL03) | Electronic | N | |||||||||
|
|
|||||||||||
|
Connecticare - Medicare (78375)
Connecticare - Medicare (CCI VIP Medicare Advantage) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| ConnectiCare Inc (06105) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Connecticut BlueCare Family Plan (Medicaid) (Z0078)
Connecticut Blue Care Family Plan (BCBS) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Connecticut Indemnity Company (TX and MN Only) (Auto Only) (J3965A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Connecticut Indemnity Company (TX and MN Only) (WC Only) (J3965) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Connecticut Medicare Blue (3420) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Consociate Group (37135) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Consociate Group (Medicaid Managed Care) (37135MC) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Consolidated Associates Railroad (75284) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Constellation Health (L0260) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Constitution Life Insurance Company (Remits Only) (Z95882) | Paper | N | |||||||||
|
|
|||||||||||
| Constitution State - Travelers (Z96249) | Electronic | N | |||||||||
|
|
|||||||||||
| Constitution State Services (WC Only) (J4180) | Electronic | Y | |||||||||
|
|
|||||||||||
| Constitution States (St. Paul Travelers) WC ONLY (WB102W) | Electronic | N | |||||||||
|
|
|||||||||||
| Consumer Mutual Insurance of Michigan (11051) | Paper | E | N | ||||||||
|
|
|||||||||||
| Consumers Choice Health SC (45321) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Container Graphics Corporation (08680) | Electronic | N | |||||||||
|
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|||||||||||
| CONTECH CONSTRUCTION PRODUCTS (TX, MN) (WC Only) (WC803W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Contessa Health (CH201)
Home Recovery Care |
Electronic | N | |||||||||
|
|
|||||||||||
| Contessa Health - Security Health Plan (CH101) | Electronic | N | |||||||||
|
|
|||||||||||
|
Contigo Health (34158)
Bridgestone/Firestone (after 01/19/2015) Health Design Plus (Hudson, OH) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Continenal Insurance Company (WC Only) (35289W) | Electronic | N | |||||||||
|
|
|||||||||||
| CONTINENTAL AIRLINES (TX, MN) (WC Only) (WC813W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Continental General Ins Co Medicare Supplement (10540) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Continental General Insurance Company - Medicare Supplement (13193)
American Retirement Life Insurance Company Central Reserve Life Ins Co- Medicare Supplement Central Reserve Life Insurance Company Cigna Supplemental - Great American Life Great American Life Ins Co Great American Life Ins Co- Medicare Supplement Loyal American Life Ins Co Loyal American Life Ins Co- Medicare Supplement Provident American Life & Health Ins Co Provident American Life & Health Ins Co- Medicare Supplement Sterling Benefits United Teacher Assoc Ins Co United Teacher Assoc Ins Co- Medicare Supplement |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Continental General Insurance Company - Medicare Supplement (Medicare Advantage) (13193MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Continental General Insurance Company (non-Medicare Supplement) (71404) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Continental Western Ins Co (All States) (WC Only) (A0609W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Continental Western Ins Co (MN, TX) [WC ONLY] (A0609) | Electronic | Y | |||||||||
|
|
|||||||||||
| Continental Western Insurance (CWG) (All States) (WC Only) (J1274) | Electronic | I | Y | ||||||||
|
|
|||||||||||
|
Continuum Health Solutions LLC (46478)
Marrick WRx |
Electronic | N | |||||||||
|
|
|||||||||||
| Continuum Health Solutions WC (w/o Attachments) (59557) | Electronic | N | |||||||||
|
|
|||||||||||
| Contra Costa Behavioral Health Plan (CCMHP) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Contra Costa County Schools Insurance Group (CCCSIG) (WC Only) (All States) (J1715W)
CCCSIG |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Contra Costa Health Plan (CCHS) (Z1800)
CCHP Contra Costa |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Contra Costa Health Plan (CCHS) (Medicaid Managed Care) (Z1800MC) | Electronic | N | |||||||||
|
|
|||||||||||
| Contract Claims Services (CCS)(City of Fort Worth Only) (TX Only) (WC Only) (J1414W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Contractors, Laborers, Teamsters & Engineers (Local 14B) (47046) | Electronic | N | |||||||||
|
|
|||||||||||
| Convergys Corporation (All States) (WC Only) (J1043W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Con-Way Inc (All States) (Auto only) (J1844A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Con-Way Inc (All States) (WC only) (J1844W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Cook Children's Health Plan (CCHP1) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Cook Children's Health Plan (Medicaid Managed Care) (CCHP1MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cook Children's Star Plan (CCHP9) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Cook Group Health Plan (35149) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cook Group Solutions (82347) | Electronic | N | |||||||||
|
|
|||||||||||
| Cook Medical Group (60065) | Electronic | N | |||||||||
|
|
|||||||||||
| Cooperative Benefit Administrators (CBA) (10500) | Paper | N | |||||||||
|
|
|||||||||||
| Cooperative Mutual (All States) (J1275W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Co-ordinated Benefit Plans LLC (14829)
Coordinated Benefit Plans LLC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Copperpoint Mutual Insurance (All States) (Auto Only) (J2093A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Copperpoint Mutual Insurance (All States) (WC Only) (J2093W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Core Benefits Inc. (COR01)
PHP TPA Services |
Paper | N | |||||||||
|
|
|||||||||||
| Core Management Resources Group Inc (58231) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CoreCivic (55962) | Paper | I | N | ||||||||
|
|
|||||||||||
| CoreSource (NC & IN) (35180) | Paper | E | N | ||||||||
|
|
|||||||||||
| Corizon Health Inc (CORIZ) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Cornerstone Benefit Administrators (35202)
Security Administrative Services |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cornerstone Claims LLC (95557) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cornerstone Preferred Resources (CB268) | Electronic | N | |||||||||
|
|
|||||||||||
| CORPORATE BENEFIT SERVICE (10590) | Paper | N | |||||||||
|
|
|||||||||||
|
Corporate Benefits Service Inc (56116)
Piedmont Plastic Surgery |
Paper | P I M | N | ||||||||
|
|
|||||||||||
| Corporate Plan Management Inc (64270) | Electronic | N | |||||||||
|
|
|||||||||||
| Corporate Services (ALL States) (J1276W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Correct Care Integrated Health (CCIH)
California Prison Healthcare Services Correctcare Integrated Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Correct Care Solutions (Remits Only) (20994) | Paper | N | |||||||||
|
|
|||||||||||
| Correctcare (Georgia Correctional Healthcare Adult Health) (GCHCAH) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
CorrectCare Integrated Health (Non-Louisiana Jails) (CCIHJAIL)
Ohio Department of Rehab & Corrections (ODRC) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Correction Health Partners (PHPMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CORRECTIONAL MANAGEMENT SERVICE (WC Only) (TX,MN Only) (J1044) | Electronic | N | |||||||||
|
|
|||||||||||
| Correctional Medical Services (43160) | Electronic | N | |||||||||
|
|
|||||||||||
| CORRECTIONS CORP OF AMERICA (TX, MN) (WC Only) (WC899W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corrections Corporation of America (CCA) (All States) (Auto only) (J1942A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corrections Corporation of America (CCA) (All States) (WC only) (J1942W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corvel - All payers (All States) (Auto Only) (J4110A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corvel - All payers (All States) (WC Only) (J4110) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corvel - All payers (All States) (WC Only) (J4110W) | Electronic | N | |||||||||
|
|
|||||||||||
| Cottingham & Butler Claim Services Inc (MN Only) (Auto Only) (J1683) | Electronic | Y | |||||||||
|
|
|||||||||||
| Cottingham & Butler Claim Services Inc (MN Only) (WC Only) (J1683W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Cottingham & Butler Claim Services, Inc (Auto Only) (T2124A)
Jennie-O |
Paper | N | |||||||||
|
|
|||||||||||
|
Cottingham & Butler Claim Services, Inc (WC Only)(All States) (T2124W)
Jennie-O |
Paper | N | |||||||||
|
|
|||||||||||
| Cottingham and Butler (Equian) (All States) (WC Only) (J2089) | Electronic | Y | |||||||||
|
|
|||||||||||
| Country Casualty Insurance Comp (CA MN TX Only) (Auto only) (J1684A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Country Casualty Insurance Company (Auto Only) (20982A) | Paper | N | |||||||||
|
|
|||||||||||
| Country Financial (Z95705) | Paper | N | |||||||||
|
|
|||||||||||
|
Country Financial (TX, MN, CA, NC) (Auto Only) (J1712A)
Modern Service Casualty Ins Co (TX, MN, CA, NC) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Country Financial (TX, MN, CA, NC) (WC Only) (J1712W)
Modern Service Casualty Ins Co (TX, MN, CA, NC) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Country Financial (WC Only) (23655W) | Paper | N | |||||||||
|
|
|||||||||||
| Country Financial \ Country Casualty Ins (CA IL MN NC OR TX Only) (WC only) (J1684W) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Country Insurance \ Modern Service Casualty Insur Co (Auto Only) (23655A) | Paper | P | N | ||||||||
|
|
|||||||||||
| Country Insurance \ MSI Preferred Insurance (TX MN CA OR IL NC) (Auto Only) (J1591A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Country Insurance \ MSI Preferred Insurance (TX. MN, CA, OR, IL, NC) (WC Only) (J1591) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Country Insurance \ MSI Preferred Insurance Company (WC Only) (42951W) | Paper | N | |||||||||
|
|
|||||||||||
| Country Life Insurance Company (Eligibility Only) (62553) | Paper | E | N | ||||||||
|
|
|||||||||||
| Country Mutual Insurance Co (CA NC MN OR TX Only) (Auto only) (J1702A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Country Mutual Insurance Co (CA NC MN OR TX Only) (WC Only) (J1702W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Country Mutual Insurance Company (Auto Only)(MN,TX Only) (20990A) | Paper | N | |||||||||
|
|
|||||||||||
| Country Mutual Insurance Company (WC Only) (20990W) | Paper | N | |||||||||
|
|
|||||||||||
| Country Preferred Insurance Co (CA NC MN OR TX Only) (WC only) (J1705W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Country Preferred Insurance Company (Auto Only) (21008A) | Paper | N | |||||||||
|
|
|||||||||||
| County Care (06541) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
County Care - Behavioral (42138)
COOK COUNTY HOSPITAL HEALTH SYSTEMS BEHAVIORAL |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| County Care (Medicaid Managed Care) (06541MC) | Paper | I | N | ||||||||
|
|
|||||||||||
| County Medical Services Program (CMSP) (AMM15) | Electronic | N | |||||||||
|
|
|||||||||||
| County of Fresno (AMM21) | Paper | P I | N | ||||||||
|
|
|||||||||||
| County of Humboldt (All States) (Auto only) (J1603A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Humboldt (All States) (WC only) (J1603W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Kern (All States) (WC Only) (J1935) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Kern (All States)(Auto Only) (J1935A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| County of Los Angeles (1000) (All States) (Auto only) (J1625A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles (1000) (All States) (WC only) (J1625W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles (2000) (All States) (WC only) (J1722W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles (2000) (Auto only) (Claims starting with 2000) (J1722A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles (3000) (All States) (Auto only) (J1967A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles (3000) (All States) (WC Only) (J1967W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles (4000/5000) (All States) (WC only) (J1723W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles (4000/5000) (Auto only) (J1723A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles (CA) (E4708) | Electronic | N | |||||||||
|
|
|||||||||||
|
County Of Orange (WX292)
Gates Mcdonald |
Electronic | N | |||||||||
|
|
|||||||||||
| County of Sacramento - EMSF (AMM20) | Electronic | N | |||||||||
|
|
|||||||||||
| County Of Sacramento (EOBC) (WX305) | Paper | N | |||||||||
|
|
|||||||||||
| County of San Diego (CA Only) (WC Only) (J1513) | Electronic | Y | |||||||||
|
|
|||||||||||
|
County of Santa Barbara EWC (All States) (Auto only) (J1631A)
County of Santa Barbara EWC (All States)(Auto Only) County of Santa Barbara-CSAC (CA) |
Electronic | Y | |||||||||
|
|
|||||||||||
| County of Shasta (CA) (All States) (Auto only) (J1616A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Shasta (CA) (All States) (WC only) (J1616W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Sonoma CA (All States) (WC Only) (J1662) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Tulare (CA) (All States) (Auto only) (J1666A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Tulare (CA) (All States) (WC only) (J1666W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Covenant Administrators Inc (Atlanta GA) (58102)
Bass Administrators, INC Covenant Administrators, a 90 Degree Benefits Co Guarantee Trust Life Insurance (Duluth, GA) LHP Claims Unit Self Insured Benefits Administrators Simple |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Covenant Mgmt Systems Employee Benefit Plan (CMSEB) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Coventry Health Care National Network (First Health Direct) (87043)
Coventry Healthcare National Network FIRST HEALTH FirstHealth Network |
Paper | N | |||||||||
|
|
|||||||||||
| Covered California (CCA)- IEHP (IECCA) | Electronic | N | |||||||||
|
|
|||||||||||
| COVET (98480) | Electronic | N | |||||||||
|
|
|||||||||||
| Covet Health (Remits Only) (R5029) | Paper | N | |||||||||
|
|
|||||||||||
| Cow Creek Band of Umpqua Tribe of Indians (CCBUTI) (98477) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Coworx Staffing (All States) (WC Only) (WC901W)
J1046 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Cox Health Plan (00019)
COMPdata Mail Handlers (ONLY FOR DOMAIN 137301) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| CPL-Minute Man (ALL States) (J1277W) | Electronic | Y | |||||||||
|
|
|||||||||||
| CPR Share Plans (CB695) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cracker Barrel (ALL States)(AUTO ONLY) (J1278A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Cracker Barrel (EOBC) (A0292) | Paper | N | |||||||||
|
|
|||||||||||
| Craftworks Holdings - Corvel (All States) (WC only) (J3862W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Create (CREA8) | Electronic | N | |||||||||
|
|
|||||||||||
| Creative Plan Administrators (37320) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Creative Risk Funding (EOBC) (Z96000) | Paper | N | |||||||||
|
|
|||||||||||
|
Creative Risk Solutions (All States) (WC Only) (TP038W)
Creative Risk Solutions (Payer ID J1455) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Credit Systems International Inc (CSII) (Z96816) | Paper | N | |||||||||
|
|
|||||||||||
| Crescent Health Solutions (56213) | Electronic | N | |||||||||
|
|
|||||||||||
| Crescent Health Solutions (Medicare Advantage) (56213MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Crescent Health Solutions (Subrogation Claims Only) (56213S) | Electronic | N | |||||||||
|
|
|||||||||||
| Crete Township (ALL States) (J1280W) | Electronic | Y | |||||||||
|
|
|||||||||||
| CROSSLAND COOL RISK (ALL) AUTO ONLY (A0349A) | Electronic | Y | |||||||||
|
|
|||||||||||
| CROSSLAND COOL RISK (ALL) WC ONLY (A0349W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Crossway HealthShare (33213) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Crown City Medical Group (CCMG) (MPM35) | Electronic | N | |||||||||
|
|
|||||||||||
|
Crum & Forster Indemnity Co (WC Only) (All States) (31348)
Crum & Forster North River Insurance Company (WC Only) (All States) United States Fire Insurance Company (WC Only) (All States) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Crum & Forster Medicare Supplement (Z96618) | Paper | N | |||||||||
|
|
|||||||||||
| Crum & Forster-Morristown (AUTO ONLY) (CA, MN, LA, & TX) (A0471) | Electronic | N | |||||||||
|
|
|||||||||||
| CSAA Insurance Company (NJ Only) (Auto Only) (C1090A) | Electronic | Y | |||||||||
|
|
|||||||||||
| CSI Life Insurance Company (Eligibility & Remits Only) (Z95707) | Paper | E M | N | ||||||||
|
|
|||||||||||
| CSI Network Services (34186) | Electronic | N | |||||||||
|
|
|||||||||||
| CTI Administrators Inc (42141) | Electronic | N | |||||||||
|
|
|||||||||||
| Cumberland Insurance Group (Auto - NJ Only) (C1091A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| CuraeChoice (CC304) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cure Auto Insurance For NJ Auto (Auto - NJ Only) (C1092A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Custody Medical Services (Z95402) | Electronic | N | |||||||||
|
|
|||||||||||
| Custom Design Benefits Inc (82056) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Customized Distribution LLC DBA CDI CORVEL (All States) (WC Only) (J4424) | Electronic | Y | |||||||||
|
|
|||||||||||
| CVS Accountable Care (Remits Only) (CVSACO) | Paper | N | |||||||||
|
|
|||||||||||
| CVS Pharmacy (Caremark) (All States) (WC Only) (J3973) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| CVS Pharmacy (Caremark) (Auto Only) (WP151A) | Electronic | N | |||||||||
|
|
|||||||||||
| CVS Pharmacy (Caremark) (WC Only) (WP151W) | Electronic | N | |||||||||
|
|
|||||||||||
| CVS/Caremark/Minute Clinic (J1457W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Cypress Benefit Administrators (Eligibility Only) (13113) | Paper | N | |||||||||
|
|
|||||||||||
| Cypress Care (WC Only) (J1432) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Dakotacare (96598)
Chiropractic Association of South Dakota Micron Tech |
Paper | M | N | ||||||||
|
|
|||||||||||
| Dallas County Schools (ALL) (WC Only) (WC127) | Electronic | Y | |||||||||
|
|
|||||||||||
| Dallas Independent School District (WC Only) (TX Only) (J1494) | Electronic | Y | |||||||||
|
|
|||||||||||
| Dameron Hospital Association (DHA17) | Electronic | N | |||||||||
|
|
|||||||||||
| DANAHER CORPORATION (TX, MN)(WC Only) (WP441W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Darigold (All States) (WC Only) (J1936) | Electronic | Y | |||||||||
|
|
|||||||||||
| Darigold (All States)(Auto Only) (J1936A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Davey Tree Expert Company (EOBC) (R38946) | Paper | N | |||||||||
|
|
|||||||||||
|
Davis Vision (V0QJA)
00157 |
Electronic | N | |||||||||
|
|
|||||||||||
| Dawson ISD (All States) (Auto only) (J3929A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Dawson ISD (All States) (WC Only) (J3929W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| DC Risk Solutions (DCRSS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
DCHS Medical Foundation (VMF01)
Northern Cal Advantage Medical Group Verity Medical Foundation |
Paper | P | N | ||||||||
|
|
|||||||||||
| De Bartolos, Inc (TX, MN) (WC Only) (WX037W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Dean Health Plan (39113)
Care4Kids (WI Medicaid) Childrens Community Health plan - Dean Chorus Community Health Plan PREVEA360 HEALTH PLAN WellFirst Health |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Dean Health Plan (Effective 1/1/2024) (41822)
Dean Health Plan IFB Plans Medica Prevea360 |
Electronic | P I | N | ||||||||
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| Dean Health Plan (Medicaid Managed Care) (39113MC) | Electronic | P I | N | ||||||||
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| Dearborn National (36123) | Paper | N | |||||||||
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| DECENT (DECENT) | Electronic | N | |||||||||
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| Deductible Guard (36491) | Electronic | P I | N | ||||||||
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| Del Taco LLC (All States) (Auto only) (J1681A) | Electronic | Y | |||||||||
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| Del Taco LLC (All States) (WC only) (J1681W) | Electronic | Y | |||||||||
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| Delano IPA (77124) | Paper | P I | N | ||||||||
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Dell Childrens Health Plan (38261)
DCHP - TX MEDICAID |
Electronic | P I | N | ||||||||
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| Dell Children's Health Plan (with Attachments) (J74272) | Electronic | P I | Y | ||||||||
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| Dell Inc (All States) (Auto only) (J1983A) | Electronic | Y | |||||||||
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| Dell Inc (All States) (WC only) (J1983W) | Electronic | Y | |||||||||
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| Delta County Indigent Health Care (EOBC) (R41996) | Paper | N | |||||||||
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| Delta Dental - Nevada (10715) | Paper | N | |||||||||
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| Delta Dental - Alabama (Eligibility Only) (10709) | Paper | E | N | ||||||||
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| Delta Dental - West Virginia (Eligibility Only) (31096) | Paper | N | |||||||||
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| Delta Dental Ins. Co. - Florida (10710) | Paper | E | N | ||||||||
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| Delta Dental Ins. Co. - Georgia (10711) | Paper | E | N | ||||||||
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| Delta Dental Ins. Co. - Louisiana (10712) | Paper | E | N | ||||||||
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| Delta Dental Ins. Co. - Montana (10714) | Paper | E | N | ||||||||
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| Delta Dental Ins. Co. - Texas (10716) | Paper | E | N | ||||||||
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| Delta Dental Ins. Co. - Utah (94276) | Paper | N | |||||||||
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| Delta Dental of Arizona (AZ) (86027) | Paper | E M | N | ||||||||
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| Delta Dental of Arkansas (AR) (CDAR1) | Paper | E M | N | ||||||||
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| Delta Dental of California (10705) | Paper | E | N | ||||||||
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| Delta Dental of Colorado (Eligibility Only) (84056) | Paper | E M | N | ||||||||
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| Delta Dental of Connecticut (10719) | Paper | E | N | ||||||||
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| DELTA DENTAL OF DE (DDLDE) | Paper | N | |||||||||
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| Delta Dental of Delaware (10720) | Paper | E | N | ||||||||
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| Delta Dental of Delaware (DE) (51022) | Paper | N | |||||||||
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Delta Dental of Hawaii (HI) (99010)
Hawaii Dental Services |
Paper | N | |||||||||
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| DELTA DENTAL OF HI (DDLHI) | Paper | N | |||||||||
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| DELTA DENTAL OF ID (47791) | Paper | N | |||||||||
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| Delta Dental of Illinois (IL) (47589) | Paper | E | N | ||||||||
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| Delta Dental of Indiana (IN) (CDIN1) | Paper | E M | N | ||||||||
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Delta Dental of Indiana (IN) (DELTA)
Delta Dental of Michigan (MI) DELTA DENTAL OF OH |
Paper | N | |||||||||
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| Delta Dental of Iowa (IA) (CDIA1) | Paper | E M | N | ||||||||
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| Delta Dental of Kansas (KS) (CDKS1) | Paper | E M | N | ||||||||
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| Delta Dental of Kentucky (KY) (CDKY1) | Paper | N | |||||||||
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| Delta Dental of Maine (ME) (DDLME) | Paper | N | |||||||||
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| Delta Dental of Maryland (10723) | Paper | E | N | ||||||||
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| Delta Dental of Massachusetts (MA) (DDLMA) | Paper | N | |||||||||
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| DELTA DENTAL OF MD (DDLMD) | Paper | N | |||||||||
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| Delta Dental of Michigan (Eligibility Only) (CDMI0) | Paper | E M | N | ||||||||
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| Delta Dental of Minnesota (10725) | Paper | E | N | ||||||||
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| Delta Dental of Minnesota (MN) (EOBC) (CDMN1) | Paper | N | |||||||||
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| Delta Dental of Missouri (MO) (43090) | Paper | N | |||||||||
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| DELTA DENTAL OF MO (55697) | Paper | N | |||||||||
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| DELTA DENTAL OF NC (DDLNC) | Paper | N | |||||||||
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| Delta Dental of Nebraska (NB) (CDNE1) | Paper | N | |||||||||
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| Delta Dental of New Jersey (10727) | Paper | E | N | ||||||||
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| Delta Dental of New Mexico (NM) (85022) | Paper | N | |||||||||
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| Delta Dental of New York (10729) | Paper | E | N | ||||||||
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| Delta Dental of New York (NY) (11198) | Paper | N | |||||||||
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| DELTA DENTAL OF NJ (55085) | Paper | N | |||||||||
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| DELTA DENTAL OF NM (47287) | Paper | N | |||||||||
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| Delta Dental of North Carolina (10730) | Paper | E | N | ||||||||
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| Delta Dental of North Carolina (NC) (56101) | Paper | E M | N | ||||||||
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| Delta Dental of North Dakota (10731) | Paper | E | N | ||||||||
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Delta Dental of Northeast - Maine, NH, VT (Eligibility Only) (02027)
Northeast Delta |
Paper | N | |||||||||
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| Delta Dental of Ohio (10732) | Paper | E | N | ||||||||
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| Delta Dental of Ohio (OH) (CDOH1) | Paper | N | |||||||||
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| DELTA DENTAL OF OK (DELOK) | Paper | N | |||||||||
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| Delta Dental of Oklahoma (11175) | Paper | E | N | ||||||||
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| Delta Dental of Oklahoma (OK) (CDOK1) | Paper | N | |||||||||
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| Delta Dental of Oregon (OR) (CDOR1) | Paper | N | |||||||||
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| DELTA DENTAL OF PA (DDLPA) | Paper | N | |||||||||
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| Delta Dental of Pennsylvania (10733) | Paper | E | N | ||||||||
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| Delta Dental of Puerto Rico (Remits Only) (66043) | Paper | N | |||||||||
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| Delta Dental of Rhode Island (10734) | Paper | E | N | ||||||||
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| Delta Dental of Rhode Island (RI) (55301) | Paper | N | |||||||||
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| DELTA DENTAL OF SC (DDLSC) | Paper | N | |||||||||
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| Delta Dental of South Carolina (SC) (43091) | Paper | N | |||||||||
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| Delta Dental of South Dakota (SD) (54097) | Paper | N | |||||||||
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| Delta Dental of Tennessee (10735) | Paper | E | N | ||||||||
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| Delta Dental of Tennessee (TN) (CDTN1) | Paper | N | |||||||||
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| DELTA DENTAL OF TN (54526) | Paper | N | |||||||||
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| DELTA DENTAL OF VA (55611) | Paper | N | |||||||||
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| Delta Dental of Virginia (10736) | Paper | E | N | ||||||||
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| Delta Dental of Virginia (VA) (54084) | Paper | N | |||||||||
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Delta Dental of Washington (state of WA) (91062)
Washington Dental Services |
Paper | N | |||||||||
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| Delta Dental of Washington D.C. (DC) (52147) | Paper | N | |||||||||
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| Delta Dental of Washington DC (10737) | Paper | E | N | ||||||||
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| Delta Dental of Washington DC (DC) (DDLDC) | Paper | N | |||||||||
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| Delta Dental of Washington State (10738) | Paper | E | N | ||||||||
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| DELTA DENTAL OF WI (54046) | Paper | N | |||||||||
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| Delta Dental of Wisconsin (WI) (39069) | Paper | E | N | ||||||||
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| Delta Dental of Wyoming (WY) (CDWY1) | Paper | N | |||||||||
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Delta Health Systems (94235)
DHS01 PS Health Plan |
Electronic | P I | N | ||||||||
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| DeltaCare USA - Claims (10740) | Paper | E | N | ||||||||
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| DeltaCare USA - Encounters (10741) | Paper | E | N | ||||||||
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| DENTAL BENEFIT PROVIDERS (47040) | Paper | N | |||||||||
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| Dental Benefit Providers (Z96290) | Paper | E | N | ||||||||
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| Dental Health and Wellness - Envolve Dental (Eligibility Only) (E46278) | Paper | N | |||||||||
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| Dental Health Services (90807) | Paper | N | |||||||||
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| Dental Management Administrators (Remits Only) (CX112) | Paper | N | |||||||||
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DentaQuest Dental (CX014)
Doral Dental of Wisconsin |
Paper | N | |||||||||
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DentaQuest Vision (63740)
EyeQuest |
Electronic | N | |||||||||
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| DENTI-CAL (MDDCA) | Paper | N | |||||||||
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Denver Health and Hospital Authority (84133)
Denver Health Medicaid Choice |
Electronic | P I | N | ||||||||
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Denver Health and Hospital Authority - Indigent Care (84134)
Denver Health - Indigent |
Electronic | P | N | ||||||||
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| Denver Health Medical Plan (84135) | Electronic | P I E | N | ||||||||
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| Denver Health Medical Plan (DHH) | Paper | N | |||||||||
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| Denver Health Medical Plan - Medicare Choice (84131) | Electronic | P I | N | ||||||||
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| Denver Health Medical Plan Inc - Cofinity (65456) | Paper | P I | N | ||||||||
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Department of Energy (77103)
Division of Energy Employees Occupational Illness Compensation (DEEOIC) |
Electronic | N | |||||||||
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| Department of Energy (WC Only) (All States) (J1449W) | Electronic | Y | |||||||||
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| Department of Labor (WC Only) (All States) (J1438W) | Electronic | Y | |||||||||
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Department of Labor Black Lung (77104)
Division of Coal Mine Workers' Compensation |
Electronic | N | |||||||||
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| Department of Labor Black Lung (All States) (WC Only) (J1448W) | Electronic | Y | |||||||||
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| Department of Labor FECA (77044) | Electronic | N | |||||||||
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| Department of Water and Power of the City of Los Angeles (LADWP) (WC Only)(CA Only) (J1514) | Electronic | Y | |||||||||
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Desert Medical Group (DESRT)
Desert Oasis Healthcare Oasis IPA |
Electronic | P I | N | ||||||||
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| Desert Oasis HealthCare (44006) | Electronic | P | N | ||||||||
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| Desert Valley Medical Group (DVMC1) | Paper | P I | N | ||||||||
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| Detego Health (62599) | Electronic | P I | N | ||||||||
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Devon Health (43471)
Inetico Inc Seminole Tribe of Florida |
Electronic | P I | N | ||||||||
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| Devoted Health Plans (DEVOT) | Electronic | E M | N | ||||||||
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| Devoted Health Plans (Encounters Only) (DVOTE) | Electronic | P | N | ||||||||
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| Devoted Health Plans (Medicare Advantage) (DEVOTMA) | Electronic | N | |||||||||
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| DHMN - Preferred IPA Hospital Risk (DHM02) | Electronic | P I | N | ||||||||
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| DHMN Santa Cruz (DHM01) | Electronic | N | |||||||||
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| Dialysis TPA (82435) | Paper | P I | N | ||||||||
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Dignity Global (MPM27)
Calmed Global |
Electronic | N | |||||||||
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Dignity HCLA (MPM28)
Calmed HCLA |
Electronic | N | |||||||||
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| Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group (PROH1) | Electronic | P I | N | ||||||||
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| Dignity Health Medical Group - Inland Empire (PROH4) | Electronic | N | |||||||||
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| Dignity Health Plan (DOS 1/1/23 and after) (RP088) | Electronic | P | N | ||||||||
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Dignity Health Plan (HMO) (DOS prior to 1/1/23) (83247)
Dignity Health Management Services |
Electronic | N | |||||||||
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| Dignity Medical Foundation Professional Capitated Non-Payment (PROHC) | Electronic | P I | N | ||||||||
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| Diploma Joint Insurance Fund (SEL) (WC - NJ Only) (J3934W) | Paper | P I | Y | ||||||||
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Direct Care Administration (DCA62)
Health West Administrators |
Electronic | N | |||||||||
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| Direct Pay Provider Network (Institutional WC Only) (J4155) | Electronic | I | Y | ||||||||
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| Direct Pay Provider Network (Professional WC Only) (J4156) | Electronic | P | Y | ||||||||
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| Directory Distributing Assoc. (TX, MN) (WC Only) (WX039W) | Electronic | Y | |||||||||
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| Discount Tire (All States) (Auto only) (J1611A) | Electronic | Y | |||||||||
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| Discount Tire (All States) (WC only) (J1611W) | Electronic | Y | |||||||||
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| Discover Re (Burger King) (TX, MN) (WC Only) (WX040W) | Electronic | Y | |||||||||
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| Discovery Insurance (ALL) (J1285W) | Electronic | Y | |||||||||
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| Disneyland Resorts (Bunch) (All States) (WC Only) (J1933) | Electronic | Y | |||||||||
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| District No. 9, I.A. of M. & A. W. Welfare Trust (11098) | Paper | E | N | ||||||||
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Diversified Administration (06102)
Mahoney Benefits |
Electronic | P I E M | N | ||||||||
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| Diversified Benefit Administration (DBA20) | Electronic | N | |||||||||
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DMBA (Deseret Mutual Benefit Administrators [SX105] (Z1013)
Missionary Medical |
Electronic | P E | N | ||||||||
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DME MAC A (DMEA)
DME MAC A - NHIC DMERC Region A |
Electronic | P | N | ||||||||
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DME MAC B (DMEB)
DMERC Region B |
Electronic | P | N | ||||||||
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DME MAC C (DMEC)
DME MAC C - Cigna Government Services DMERC Region C |
Electronic | P | N | ||||||||
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DME MAC D (DMED)
DME MAC D - Noridian Administrative Services DMERC Region D |
Electronic | P | N | ||||||||
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| Doctors Healthcare Plans (DRHCP) | Electronic | E M | N | ||||||||
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| Doctors Managed IPA (DMIPA) | Electronic | P I | N | ||||||||
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| Dolton Medical Group (DOLMG) | Electronic | N | |||||||||
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Doral Dental Plan WI (10780)
DeCare Dental Health Insurance |
Paper | N | |||||||||
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| DoubleBee (ALL) (J1287W) | Electronic | Y | |||||||||
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| DPC Core Inc (23212) | Electronic | I | N | ||||||||
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| Dreyer Medical Group (DREYR) | Electronic | N | |||||||||
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| Driscoll Childrens Health Plan (DCHCH) | Electronic | P I E | N | ||||||||
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| DSW Inc (All States) (WC Only) (J2273) | Electronic | Y | |||||||||
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| DSW Inc (All States)(Auto Only) (J2273A) | Electronic | P I | Y | ||||||||
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| DSW Inc. (Corvel) (E1319) | Electronic | N | |||||||||
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| Dunn and Associates Benefits Administrators Inc (35186) | Electronic | P I | N | ||||||||
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| Dunn-Edwards Corporation (MN, TX) (WC Only) (WX042W) | Electronic | Y | |||||||||
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| DUNN-EDWARDS CORPORATION (WC Only) (TX,MN Only) (J1061) | Electronic | N | |||||||||
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| Durex Industries (EOBC) (R39554) | Paper | N | |||||||||
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| Durham County NC (All States) (Auto only) (J1994A) | Electronic | Y | |||||||||
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| Durham County NC (All States) (WC only) (J1994W) | Electronic | Y | |||||||||
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| Dustrol (MN,TX,WI) (WC ONLY) (WX570W) | Electronic | Y | |||||||||
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| Dynamex, Inc. (TX, MN)(WC Only) (WX043W) | Electronic | Y | |||||||||
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| eAppeal Solutions (65009) | Electronic | P | N | ||||||||
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| Early Intervention Central Billing (36434) | Electronic | P | N | ||||||||
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| East Bay Medical Network (94318) | Electronic | P | N | ||||||||
|
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East Boston Neighborhood Health Center (Z96204)
25849 |
Electronic | P I | N | ||||||||
|
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East Carolina Behavioral Health (56089)
Eastpointe Behavioral Health (NC Medicaid MCO) (DOS 2/1/24 and after) Trillium Health Resources NC |
Electronic | N | |||||||||
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| East LA Doctors Hospital (Medpoint) (MPM13) | Paper | N | |||||||||
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| Eastern Alliance (EA) (LS249) | Electronic | N | |||||||||
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Eastern Alliance (EA) (All States) (WC Only) (J2143)
LS249 |
Electronic | Y | |||||||||
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| Eastern Iowa Community Healthcare (EICH) (23861) | Electronic | N | |||||||||
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| Eastland Medical Group IPA (EMG11) | Paper | P I | N | ||||||||
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| Eastman Kodak Company (All States) (Auto only) (J1903A) | Electronic | Y | |||||||||
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| Eastpointe Behavioral Health (NC Medicaid MCO) (DOS 06/30/2023 and prior) (Z8044) | Electronic | N | |||||||||
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| Eastpointe Behavioral Health (NC Medicaid MCO) (DOS on or prior to 1/31/24) (8044) | Electronic | N | |||||||||
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| Easy Access Care IPA (EAIPA) | Electronic | P I | N | ||||||||
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Easy Care MSO LLC (ECMSO)
Beverly Hospital - Imperial Health Holdings Southern California Children's Healthcare Network |
Electronic | P I | N | ||||||||
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Easy Choice Health Plan (Z95605)
20532 |
Electronic | N | |||||||||
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| Easy Choice Health Plan of California (Encounters Only) - ECHP (ECHP1) | Electronic | P I | N | ||||||||
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| Eaton Corporation (MN, TX) (Auto Only) (A0577A) | Electronic | N | |||||||||
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| Eberle Vivian (EV001) | Electronic | N | |||||||||
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| Eberle Vivian (All States) (WC Only) (J2199) | Electronic | Y | |||||||||
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| Ebix Health Administration Exchange (55069) | Electronic | I | N | ||||||||
|
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| Echo Health Remits Only (All Payers) (58379) | Paper | N | |||||||||
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Edwards Claims Administration (TX Only) (WC Only) (J1204)
WB353 |
Electronic | Y | |||||||||
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| El Camino Health Alliance (ECL01) | Electronic | N | |||||||||
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El Camino Health Medical Network (S9637)
San Jose Medical Group Silicon Valley Medical Development |
Electronic | P I | N | ||||||||
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|
|||||||||||
| El Paso Community College (All State) (WC Only) (WC329) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
El Paso First - CHIP (12T27)
EPF03 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| El Paso Health Advantage Dual SNP (EPF07) | Electronic | N | |||||||||
|
|
|||||||||||
| El Paso Water Util Tx Jur (All States) (WC Only) (WC351) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| El Pollo Loco (All States) (Auto only) (J1737A) | Electronic | Y | |||||||||
|
|
|||||||||||
| El Pollo Loco (All States) (WC only) (J1737W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
El Proyecto De Barrio (MPM04)
El Proyecto Del Barrio |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Elder Service Plan Of The North Shore (04326)
Element Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Elderhaus Inc. (64192) | Paper | N | |||||||||
|
|
|||||||||||
|
Elderplan (31625)
HomeFirst - Elderplan NY |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
ElderServe Health Inc (05178)
RIVERSPRING FIDA PLAN RiverSpring Health Plans RIVERSPRING SNP PLAN |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Elderwood Health (03964) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Electric Insurance Company (Auto - MN, NJ Only) (C1093A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Electric Insurance Company (MN, TX) [WC ONLY] (WX574) | Electronic | N | |||||||||
|
|
|||||||||||
| Electric Insurance/General Electric (Auto Only) (WX587A) | Electronic | N | |||||||||
|
|
|||||||||||
| Electrical Welfare Trust Fund (EWTF) (30506) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Electrical Welfare Trust Fund (Remits Only) (Z96127) | Paper | N | |||||||||
|
|
|||||||||||
| Electrical Workers Health and Welfare Trust Fund (06654) | Paper | N | |||||||||
|
|
|||||||||||
|
Electrical Workers Insurance Fund Local 5800 (93235)
Electrical Worker's Fund Local 1580 |
Electronic | N | |||||||||
|
|
|||||||||||
| Elips Life Insurance Company (Remits & Eligibility Only) (Z96801) | Paper | N | |||||||||
|
|
|||||||||||
| Elite Labor Services - SELF (ALL) (J1291W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Elite Labor Services (ALL) (J1290W) | Electronic | Y | |||||||||
|
|
|||||||||||
| EMAEHIPA (MPM65) | Electronic | N | |||||||||
|
|
|||||||||||
| Emanate Health IPA (MPM62) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Emanate Health Med Center AltaMed (MPM45) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Emanate Health Med Center NMM (MPM46) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Emanate Health Med Center PDT MSO (MPM47) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
EMC (All States except CA,NM,NV) (WC Only) (21415)
Dakota Fire (All States except CA,NM,NV) (WC Only) EMC Property and Casualty (All States except CA,NM,NV) (WC Only) Employers Mutual Casualty (All States except CA,NM,NV) (WC Only) Hamilton Mutual (All States except CA,NM,NV) (WC Only) Illinois EMCASCO (All States except CA,NM,NV) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
EMC Property and Casualty (Auto Only) (MN OR Only) (JC1029A)
Dakota Fire (Auto Only) (MN OR Only) EMCASCO Insurance Co (Auto Only) (MN OR Only) Employers Mutual Casualty (Auto Only) (MN OR Only) Hamilton Mutual (Auto Only) (MN OR Only) Illinois EMCASCO (Auto Only) (MN OR Only) Union Insurance Company of Providence (Auto Only) (MN OR Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
EMC Risk Services (All States except CA, NM, NV (WC Only) (J1118W)
Allied Construction (All States except CA, NM, NV) (WC ONLY) Aureon HR Solutions (All States except CA,NV,NM) (WC Only) City of Ames (All States except CA,NM, NV) (WC ONLY) City of Des Moines (All States except CA,NM, NV) (WC ONLY) City of Iowa City (All States except CA,NV,NM) (WC Only) City of Urbandale (All States except CA,NV,NM) (WC Only) City of West Des Moines (All States except CA,NM, NV) (WC ONLY) Dahl's Foods (All States except CA,NM, NV) (WC ONLY) Discovery Hy-Vee (All States except CA,NM, NV) (WC ONLY) Dustrol (All States except CA,NV,NM) (WC Only) Gordmans (All States except CA,NV,NM) (WC Only) Hy-Vee (All States except CA,NM, NV) (WC ONLY) Johnston Schools (All States except CA,NM, NV) (WC ONLY) Lauridsen Group (All States except CA,NV,NM) (WC Only) Musco (All States except CA,NM, NV) (WC ONLY) Prairie Meadows (All States except CA,NM, NV) (WC ONLY) Riley County Police (All States except CA,NV,NM) (WC Only) Standard Forwarding (All States except CA,NM, NV) (WC ONLY) Van Diest (All States except CA,NV,NM) (WC Only) Vermeer (All States except CA,NM, NV) (WC ONLY) Victor Plastics (All States except CA,NM, NV) (WC ONLY) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
EMCASCO Insurance Co - WC ONLY (Except CA, NM, NV) (WC157)
EMCASCO Insurance Co |
Electronic | N | |||||||||
|
|
|||||||||||
| EMCASCO Insurance Co (All states except CA,NM,NV) (WC Only) (21407W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Emerald Health Network Inc (All PPO Business) (34167)
Health Services Preferred (HSP) by Emerald Health Integrated Care Network (ICN) by Emerald Health |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Emergency Medical Services Fund (Z95401) | Electronic | N | |||||||||
|
|
|||||||||||
| Emeritus Corporation (J1679WC) | Electronic | Y | |||||||||
|
|
|||||||||||
| Emeritus Corporation (All States) (Auto Only) (J1679) | Electronic | Y | |||||||||
|
|
|||||||||||
|
EMHS Employee Health Plan (16565)
Eastern Maine Healthcare System |
Electronic | N | |||||||||
|
|
|||||||||||
| EMI Health (CX079) | Paper | N | |||||||||
|
|
|||||||||||
|
EMI Health (Z1011)
Educators Mutual Insurance EMIA SX110 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| EMI-KP Ambulance Claims for Kaiser Permanente Members (59299) | Electronic | P | N | ||||||||
|
|
|||||||||||
| EMI-KP Ambulance Claims for Kaiser Permanente Members (for attachments only) (J59299) | Electronic | Y | |||||||||
|
|
|||||||||||
| Empire Healthcare IPA (EHI01) | Electronic | N | |||||||||
|
|
|||||||||||
| Empire Physicians Medical Group (EMP01) | Electronic | N | |||||||||
|
|
|||||||||||
| Employ America (ALL) (J1292W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Employ Bridge-Irving (EOBC) (A0463) | Paper | N | |||||||||
|
|
|||||||||||
| Employee Benefit Concepts (Farmington Hills, MI) (38241) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Employee Benefit Concepts Inc (EBC18) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Employee Benefit Consultants (37257)
40 Square Health Plan EBSO Inc EBSO-Expert Benefit Solutions (formerly EBC) Employee Benefits Corporation HI Card C/O 90 Degree Benefits |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Employee Benefit Logistics (92135)
Employee Benefit Services Nextcare Health Systems Wellbridge Group |
Electronic | N | |||||||||
|
|
|||||||||||
|
Employee Benefit Management Corp (EBMC) (31074)
Care Factor - Carefactor The Physicians Assurance Corp (TPAC)/Employment Benefit Management Corp (EBMC) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Employee Benefit Management Services Inc (EBMS) (81039)
EBMS |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Employee Benefit Services - Dental (10784) | Paper | E | N | ||||||||
|
|
|||||||||||
| Employee Benefit Services ( San Antonio only) (EBSSA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Employee Benefit Services Inc (DBA Key Benefit Administrators) (SB886) | Electronic | N | |||||||||
|
|
|||||||||||
| Employee Benefit Services Inc (EBSI) (60221) | Electronic | N | |||||||||
|
|
|||||||||||
| Employee Benefit Systems (42149) | Electronic | N | |||||||||
|
|
|||||||||||
|
Employee Benefits Administration and Management EBA&M (22262)
95288 EBAM Corp |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Employee Benefits Administrators (EBA) (EBA42) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Employee Benfit MA (10960)
Employee Benefit MI |
Paper | N | |||||||||
|
|
|||||||||||
| Employee Group Services (EGS) (CX022) | Paper | N | |||||||||
|
|
|||||||||||
| Employee Plans LLC (35112) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Employee Resource Management TPA: Kempton Group (29979) | Electronic | N | |||||||||
|
|
|||||||||||
| Employee Security (10570) | Paper | N | |||||||||
|
|
|||||||||||
|
Employee Security Inc (54098)
NEA Alaska Health Plan |
Paper | N | |||||||||
|
|
|||||||||||
| Employer Direct Health Plans (EDHP1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Employer Direct Healthcare (48888) | Electronic | N | |||||||||
|
|
|||||||||||
| Employer Health Network (IHS07) | Paper | N | |||||||||
|
|
|||||||||||
|
Employer Insurance Group (EIG) (WC Only)(ALL States) (J1232)
Employers Assurance Company (All States) (WC Only) Employers Compensation Insurance Comp (All States) (WC Only) Employers Preferred Insurance Comp (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Employer Insurance Group (EIG) (WC Only)(ALL States) (J1232W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Employers Assurance Company (WC Only)(ALL States) (J1232WC)
Employers Compensation Insurance Company (WC Only)(ALL States) Employers Preferred Insurance Company (WC Only)(ALL States) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Employers Choice (ECN) (All States) (Auto Only) (J3771A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Employers Choice (ECN) (All States) (WC Only) (J3771)
LS248 |
Electronic | Y | |||||||||
|
|
|||||||||||
| EMPLOYER'S CLAIM SERVICE, INC - City of Naperville (J1559W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Employer's Direct Health (75232)
E3 Health Inc First Integrated Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Employer's Direct Health - Employee Plan (75236) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Employer's Direct Health - Fully Insured (75235) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Employer's Direct Health - Self Funded (75233) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Employers General Insurance Group (Auto Only) (24147A) | Paper | N | |||||||||
|
|
|||||||||||
| Employers General Insurance Group (Auto Only) (All States) (24147) | Electronic | N | |||||||||
|
|
|||||||||||
| Employers General Insurance Group (WC Only)(All States) (24147W) | Paper | N | |||||||||
|
|
|||||||||||
| Employers Insurance (BUNCH) (All States) (WC Only) (J1912) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Employers Insurance Corp (Henderson) (MN, TX, CA, LA) [WC ONLY] (WC151) | Electronic | N | |||||||||
|
|
|||||||||||
|
Employers Mutual Casualty - WC ONLY - (Except CA, NM, NV) (WX614)
Employers Mutual Of Des Moines (TX ONLY) [WC ONLY] |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Employers Mutual Inc (FL) (59298)
Ascension Benefits (Jacksonville, Florida) |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Employers Mutual Inc (Stuart, Florida) (59331)
Ascension Benefits (Stuart, Florida) |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Empower 360 (IHS01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Enablecomp MVA (L0241) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Enablecomp OOS Medicaid (L0243) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Enablecomp VET (L0242) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| EnableComp, LLC (L0240) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Encompass (Subsidiary of Allstate) (All States) (Auto Only) (C1049) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Encompass Insurance Brand (Auto Only) (All States) (WB279) | Electronic | N | |||||||||
|
|
|||||||||||
| Encompass Specialty Surgery Network (WC Only) (J2369) | Electronic | Y | |||||||||
|
|
|||||||||||
| Encompass Specialty Surgical Network (Remits Only) (Z96455) | Paper | N | |||||||||
|
|
|||||||||||
| Encore Unlimited (ALL) (J1293W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Encova Insurance (All States except PA) (WC Only) (J1761)
Brickstreet (All States except PA) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Encova Insurance (All States except PA) (WC Only) (SX067)
Brickstreet Workers Comp of West Virginia |
Electronic | N | |||||||||
|
|
|||||||||||
|
Enstar (All States) (WC Only) (J1499W)
Seabright (SBIC) (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Enterprise Group Planning (EGPIN) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Entrust (36878) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Envirosource (TX, MN) (WC Only) (WX045W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Envolve Benefit Options (56190)
Envolve Vision OptiCare Eye Health Network |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Epic Assistance (49578) | Electronic | N | |||||||||
|
|
|||||||||||
| EPSI, Inc (11011) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Equian (All States) (WC Only) (J2090)
LS253 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Equitable Plan Services (73126) | Electronic | N | |||||||||
|
|
|||||||||||
| Ergon Inc (All States) (Auto only) (J1952A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ergon Inc (All States) (WC only) (J1952W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Erie Family Life Insurance Company (Eligibility Only) (13284) | Paper | N | |||||||||
|
|
|||||||||||
| Erie Insurance (Auto Only) (All States) (J1734A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Erie Insurance (Medicare Supplement) (Z96486) | Paper | N | |||||||||
|
|
|||||||||||
|
Erie Insurance (WC Only) (All States) (J1734)
Erie Insurance Exchange Flagship City Insurance |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| ERIE INSURANCE (WC ONLY) ANY STATE (WB169W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Erisa Administrative Services (74234)
8th District Electrical Advanstaff Inc CompuSys Inc IBEW Local 640 & AZ Chapter NECA Health & Welfare Trust Intermountain Ironworkers Trust Fund New Mexico District Council of Carpenters New Mexico Painters & Allied Trades Local #823 New Mexico West Texas Multi-Craft Operating Engineers Local #53 Tech-Steel Inc Transwestern General Agency Utah Carpenters Utah Laborers Utah Pipe Trades |
Electronic | P | N | ||||||||
|
|
|||||||||||
| ERMC (TX, MN) (WC Only) (WR894W) | Electronic | Y | |||||||||
|
|
|||||||||||
| ES Beveridge and Associates (34108) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| ESIS (All States) (WC Only) (JTP043) | Electronic | Y | |||||||||
|
|
|||||||||||
| ESIS (First American Insurance Co) (All States) (WC Only) (J1064W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Esis (First American Insurance Co) (All States) (WC Only) (WX046W) | Electronic | N | |||||||||
|
|
|||||||||||
| ESIS Auto (All States) (C1080A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| ESIS Insurance (CQ200) | Electronic | N | |||||||||
|
|
|||||||||||
| Esperanza IPA (EIPA8) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Essence Healthcare (20818) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Essential Health Partners (EHPSC)
EHP IPA KANE COUNTY IPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Essential Health Partners IPA (EIPA9) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Esurance Insurance Company (All States) (Auto Only) (25712A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Esurance Insurance Company (All States) (Auto Only) (WA057A) | Electronic | N | |||||||||
|
|
|||||||||||
| eternalHealth (RP037) | Electronic | N | |||||||||
|
|
|||||||||||
| Everence (35605) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Everest (Remits Only) (Z96529)
Everest Reinsurance Company (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Everest National Insurance (All States) (WC Only) (WX666) | Electronic | N | |||||||||
|
|
|||||||||||
| Everest Reinsurance Company (11164) | Paper | E | N | ||||||||
|
|
|||||||||||
| Evergreen Health Cooperative (DOS after 11/1/15) (93240) | Paper | N | |||||||||
|
|
|||||||||||
| Everpointe (32052) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Eversana Life Science Services LLC (64300)
Triplefin LLC |
Electronic | N | |||||||||
|
|
|||||||||||
|
Evicore (62160)
MedSolutions Inc |
Paper | P | N | ||||||||
|
|
|||||||||||
|
Evolent SOMOS Anthem NY (81508)
SOMOS IPA, LLC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Evolution Insurance Company (WX048) | Electronic | N | |||||||||
|
|
|||||||||||
| Evolution Insurance Company (All States) (WC Only) (J1065W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Evolution Staffing (ALL States) (J1295W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Evolutions Healthcare Systems (New Port Richey FL) (59313)
First Benefit Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
| Evry Health (EH001) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Exceedent LLC (22344) | Electronic | N | |||||||||
|
|
|||||||||||
| Excel MSO UHC PPO (EXC02) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Excellus BCBS (SB802) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Exclusive Care (DOS prior to 1/1/2023) (EC999)
Exclusive Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Exemplar Health Benefits Administrator (83383) | Electronic | N | |||||||||
|
|
|||||||||||
| Exemplar Health Insurance Company (54096) | Electronic | N | |||||||||
|
|
|||||||||||
| Express, LLC (E1669W) | Electronic | N | |||||||||
|
|
|||||||||||
| Exxon/Mobile (WC Only) (E1008W) | Paper | N | |||||||||
|
|
|||||||||||
| ExxonMobil Corporation (All States) (Auto only) (J1606A) | Electronic | Y | |||||||||
|
|
|||||||||||
| ExxonMobil Corporation (All States) (WC only) (J1606W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Eye Specialist of AZ (BVES1) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Eyecare 2020 (2020E)
2020 Eyecare |
Electronic | N | |||||||||
|
|
|||||||||||
| EyeMed (31165) | Electronic | N | |||||||||
|
|
|||||||||||
| Fabcon (All States) (WC Only) (J2209W) | Electronic | Y | |||||||||
|
|
|||||||||||
| FABOH (Fond Du Lac Area Bus on HLTH) (39112) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Facey Medical Foundation (Mission Hills CA) (95432)
Facey Medical Group |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
FACS Group (37300)
Federated Benefits Federated HR Services |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Factory 2 U (MN, TX) WC ONLY (WC431W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fair Price (62956) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fairchild Fasteners (All States) (Auto only) (J1624A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fairchild Fasteners (All States) (WC Only) (J1624W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fairfax County Government (VA) (E8809) | Electronic | N | |||||||||
|
|
|||||||||||
| Fairview Health Services (All States) (WC Only) (J1618A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fairview Health Services (All States) (WC Only) (J1618W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fairview Health Services (WC Only)(All States) (E3110W) | Paper | N | |||||||||
|
|
|||||||||||
| Falling Colors (BHSD STAR) (FCC20) | Electronic | N | |||||||||
|
|
|||||||||||
|
Fallon Community Health Plan (SX072)
22254 Fallon Group Administrators |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Fallon Transplant Claims (FT254) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Family Care (60995)
Community Care Inc. - Family Care (Wisconsin) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Family Care Medicaid (DOS 08/01/12 and later) (Z1323) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Family Care Specialists (FCS) (MPM40) | Electronic | N | |||||||||
|
|
|||||||||||
|
Family Medical Network (Chicago IL) (36396)
Amita Health Clinically Integrated Network Amita Health Saint Joseph Hospital Chicago Presence Health Partners Ressurection Health Care Preferred Resurrection Health Care Health Preferred |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Family Practice Medical Group FPMG (10145) | Paper | N | |||||||||
|
|
|||||||||||
| FAMSA Inc (All States) (Auto Only) (J1807A) | Electronic | Y | |||||||||
|
|
|||||||||||
| FAMSA Inc (All States) (WC Only) (J1807W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farm Bureau Health Plans (62045) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Farm Bureau Health Plans MAPD (RP061) | Electronic | N | |||||||||
|
|
|||||||||||
| Farm Bureau Michigan (All States) (Auto Only) (J4167A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Farm Bureau Michigan (All States) (WC Only) (J4167)
LV139 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Farm Bureau Mutual Insurance Co of Michigan (R22774) | Paper | N | |||||||||
|
|
|||||||||||
| Farm Bureau Mutual Insurance Company (MN Only) (Auto Only) (J1853A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farm Bureau Mutual Insurance Company (MN Only) (WC Only) (J1853W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers (Mid-Century Insurance Company) (WC claims for all states) (J1710) | Paper | N | |||||||||
|
|
|||||||||||
| Farmers \ Civic Property and Casualty Co (All States) (Auto Only) (J1687A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Civic Property and Casualty Co (All States) (WC Only) (J1687W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Exact Property and Casualty Co (All States) (Auto Only) (J1703A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Exact Property and Casualty Co (All States) (WC Only) (J1703W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Fire Insurance Exchange (All States) (Auto only) (J1706A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Fire Insurance Exchange (All States) (WC Only) (J1706W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Mid-Century Insurance Co (All States) (WC Only) (J1710W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Mid-Century Insurance Company (Auto only) (J1710A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Neighborhood Spirit Property and Casualty Co (All States) (Auto only) (J1701A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Neighborhood Spirit Property and Casualty Co (All States) (WC only) (J1701W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Truck Insurance Exchange (All States) (Auto only) (J1713A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers \ Truck Insurance Exchange (All States) (WC Only) (J1713W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Farmers Insurance (All States) (Auto Only) (C1025)
Farmers Insurance (Auto Only) (All States) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Insurance (All States) (Auto Only) (WX722A) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Farmers Insurance Commercial (Commercial Only) (Auto Only) (MN Only) (C1034A)
Assurance Company of America (Commercial Only) (Auto Only) (MN Only) Farmers Insurance Exchange (Commercial Only) (Auto Only) (MN Only) Maryland Casualty Company (Commercial Only) (Auto Only) (MN Only) Mid Century Insurance Company (Commercial Only) (Auto Only) (MN Only) Truck Insurance Exchange (Commercial Only) (Auto Only) (MN Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Insurance Exchange (WC ONLY) (J1563W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Insurance Exchange-Corvel (All States) (WC Only) (J1563) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Farmers Insurance Group (MN Only) (Auto Only) (87726A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Workplace Solutions (NJ Only) (Auto Only) (C1100A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Farmland Mutual Ins Co (All States) (WC Only) (J1551)
National Casualty Company (All States) (WC Only) Nationwide Agribusiness Companies (All States) (WC Only) Nationwide Agribusiness Ins Co (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Farmland Mutual Insurance (All States) (WC Only) (A0758)
Nationwide Agribusiness Companies (All States) (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| FCCI (All States) (WC Only) (J1830) | Electronic | Y | |||||||||
|
|
|||||||||||
| FCCI (All States) (WC Only) (J1830W) | Electronic | N | |||||||||
|
|
|||||||||||
| FCE Benefit Administrators Inc (33033) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| FCS Administrators (WC - NY Only) (J3933W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Federal Mogul - CORVEL (All States) (Auto Only) (J2361A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Federal Mogul - CORVEL (All States) (WC Only) (J2361) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Federated Claims Service Corp (Macy's) (J1297) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Claims Service Corp. (ALL) (WC Only) (J1297W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Mutual Insurance Company (All States) (Auto Only) (13935A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Federated Mutual Insurance Company (All States) (WC Only) (13935W)
Federated Reserve Insurance Co |
Electronic | N | |||||||||
|
|
|||||||||||
| Federated Mutual Insurance Company (WC Only) (All States) (J13935W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Rural Electric Ins (CA, LA NC, NM, MN, TN,TX) (WC Only) (11118W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Services Insurance Company (All States) (Auto Only) (28304A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Services Insurance Company (All States) (WC Only) (28304W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Services Insurance Company (WC Only) (All States) (J28304W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Fenix Medical Group (60818) | Electronic | N | |||||||||
|
|
|||||||||||
| Fenyx Health (83309) | Electronic | N | |||||||||
|
|
|||||||||||
| FFVA Mutual Insurance (All States) (Auto Only) (J1909A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
FFVA Mutual Insurance (All States) (WC Only) (J1909)
Florida Fruit & Vegetable Association (All States) (WC Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Fidelis Care New York (11315)
Wellcare by Fidelis Care |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Fidelis Care New York (Medicaid Managed Care) (11315MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fidelity National Information Services (MN, TX) [Auto Only] (A0562) | Electronic | N | |||||||||
|
|
|||||||||||
| Fidelity Security Life Insurance (FSL01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
FinCor (All States) (WC Only) (J2200)
Coverys |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Fire Department City of New York (40043) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Fire Department City of New York World Trade Center Health (FDNYP) | Electronic | N | |||||||||
|
|
|||||||||||
| Firefly Health (FRFLY) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Fireman's Fund Insurance (Novato, CA) (WX780)
FIREMAN'S FUND INSURANCE COMPANY (WC ONLY) (WC ONLY) |
Electronic | N | |||||||||
|
|
|||||||||||
| Fireman's Fund Insurance Company (All States) (WC Only) (21873W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Fireman's Fund Insurance Company (MN Only)(Auto Only) (C1019A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Firemens Insurance Company (All States) (WC Only) (J2196W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
First Agency (FSTAG)
88055 |
Paper | N | |||||||||
|
|
|||||||||||
| First Ameritas of New York (10232) | Paper | E | N | ||||||||
|
|
|||||||||||
|
First Carolina Care (Commercial) (FCC01)
FirstMedicare Direct New Hanover Health Advantage |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
First Choice Health Network (aka Sound Health) (91131)
First Choice Health Administrators Port of Tacoma |
Electronic | P | N | ||||||||
|
|
|||||||||||
| First Choice MA Plans (FCMA1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| First Choice Medical Group/Meritage (FC001) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| First Choice Next - Product of Select Health of South Carolina (57103) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| First Choice of Midwest (PPO) (75138) | Electronic | P | N | ||||||||
|
|
|||||||||||
| First Choice VIP Care (SC - DSNP) (32456) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| First Choice VIP Care Plus (77009) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| First Community Health Plan (11222) | Paper | E | N | ||||||||
|
|
|||||||||||
|
First Health Network (73159)
CCN Managed Care Health Care Value Management PPO Network Oklahoma |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| First Insurance Funding (EOBC) (R20008) | Paper | N | |||||||||
|
|
|||||||||||
|
First Managed Care Option, Inc (All States) (Auto Only) (J3839A)
FIrst MCO |
Electronic | Y | |||||||||
|
|
|||||||||||
|
First Managed Care Option, Inc (All States) (WC Only) (J3839W)
First MCO |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| First Managed Care Options (40270) | Electronic | N | |||||||||
|
|
|||||||||||
| First Medical Health Plan (Reform) (Z96252) | Electronic | N | |||||||||
|
|
|||||||||||
| First Medical Network (Z96298) | Paper | E | N | ||||||||
|
|
|||||||||||
|
First Medical Network (MRN) (58203)
1st MN Atlanta Medical Resource Network (MRN) |
Electronic | N | |||||||||
|
|
|||||||||||
| First Reliance Standard (68381) | Paper | E | N | ||||||||
|
|
|||||||||||
| First Responder Joint Insurance Fund (WC - NJ Only) (J3935W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| First Staff Services (All) (J1298W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
First United American Life Insurance Company (74101)
Globe Life Insurance Company of New York |
Paper | E M | N | ||||||||
|
|
|||||||||||
|
Firstcare (TH003)
94999 First Care Firstcare Medicare Scott and White Teacher Retirement System members |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| FirstCare Star Medicaid (94998) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| FirstCarolinaCare (MedCost) (Remits Only) (56196) | Paper | N | |||||||||
|
|
|||||||||||
| Firstcomp (WC Only) (WX798W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Firstcomp (All States) (WC Only) (J1011W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Firstcomp (WC Only) (All States) (J1011) | Electronic | N | |||||||||
|
|
|||||||||||
| FirstNation Health (65418) | Electronic | N | |||||||||
|
|
|||||||||||
| Fiserv Wausau (11068) | Paper | E | N | ||||||||
|
|
|||||||||||
| FKI INDUSTRIES, INC. (TX, MN) (WC Only) (WP068W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
FL MCO PHC/PHP (95411)
Positive HealthCare Florida |
Electronic | N | |||||||||
|
|
|||||||||||
| FL MCO PHC/PHP (Medicaid Managed Care) (95411MC) | Electronic | N | |||||||||
|
|
|||||||||||
| Flex Compensation - Dental (10799) | Paper | E | N | ||||||||
|
|
|||||||||||
| Florida Blue Medicare (FBM01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Florida Combined Life - Dental (10811)
76031 |
Paper | E | N | ||||||||
|
|
|||||||||||
| Florida Community Care (FLCCR) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Florida Complete Care (FLCPC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Florida Fruit and Vegetable Association (All States) (WC Only) (J1910W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Florida Health Administrators (86753) | Electronic | N | |||||||||
|
|
|||||||||||
| Florida Healthcare Plan (59322) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Florida Hospital VBR (VB001) | Paper | P | N | ||||||||
|
|
|||||||||||
| Florida Insurance Alliance (All States)(WC Only) (J3306) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Florida Pace Centers (FLPAC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Florida Sheriffs Risk Management Fund CORVEL (All States) (WC Only) (J4065) | Electronic | Y | |||||||||
|
|
|||||||||||
| Florida Sheriffs Risk Management Fund CORVEL (All States) (WC Only) (J4065W) | Electronic | N | |||||||||
|
|
|||||||||||
| Florist Mutual Insurance (All States) (WC Only) (J1299W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Flume Health, Inc. (FH205)
Phyton Talent Advisors LLC Savatree, LLC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Food Employers & Bakery Workers Benefit (Eligibility Only) (10776) | Paper | E | N | ||||||||
|
|
|||||||||||
| Ford Development Corp (EOBC) (R2539) | Paper | N | |||||||||
|
|
|||||||||||
| Ford Motor Company (All States) (Auto Only) (J3793A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ford Motor Company (All States) (WC Only) (J3793W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Foremost (CA, MN Only) (Auto Only) (11185A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Forest County Potawatomi Insurance (25059) | Electronic | N | |||||||||
|
|
|||||||||||
| Forge Industrial Staffing (J1529) | Electronic | Y | |||||||||
|
|
|||||||||||
| Forte, Inc. (WC Only) (WX692W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fortis Insurance Co (69477) | Paper | N | |||||||||
|
|
|||||||||||
|
Foundation for Medical Care of Tulare & Kings County (TKFMC)
City of Visalia Friant Water Users Kaweah Delta R&N Market Sequoia Beverage TASEBA Town & Country |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fountain Valley (DOS prior to 05/01/2020) (FVIPA) | Electronic | N | |||||||||
|
|
|||||||||||
| Fox Valley Medicine (FVMCH) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Fox-Everett Inc (64069) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Franchise Group Inc (All States) (Auto Only) (J4363A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Franchise Group Inc (All States) (WC Only) (J4363) | Electronic | Y | |||||||||
|
|
|||||||||||
| Franciscan Alliance (All States) (Auto only) (J1883A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Franciscan Alliance (All States) (WC Only) (J1883W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Frank Gates / Attenta (MN, TX) [WC ONLY] (WX856) | Electronic | N | |||||||||
|
|
|||||||||||
| Frankenmuth Mutual (All States) (Auto Only) (J1440A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Frankenmuth Mutual (All States) (WC Only) (J1440)
Ansur America Insurance Company |
Electronic | Y | |||||||||
|
|
|||||||||||
| Frankenmuth Mutual (All States) (WC Only) (J1440W) | Electronic | N | |||||||||
|
|
|||||||||||
| Franklin Mutual (NJ Only) (WC Only) (J3297) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Freedom Claims Management (67136) | Electronic | N | |||||||||
|
|
|||||||||||
| Freedom Health Plan (41212) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Freedom Health Plan (Medicaid Managed Care) (41212MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Freedom Life Insurance Company (62324) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fresenius Health Partners (43197) | Electronic | N | |||||||||
|
|
|||||||||||
|
Fresno PACE (99660)
Innovative Integrated Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fresno Police Officers Association (WP982) | Electronic | N | |||||||||
|
|
|||||||||||
|
Friday Health Plans (H0657)
Colorado Choice Health Plans |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Friedkin Companies Inc (All States) (Auto only) (J1984A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Friedkin Companies Inc (All States) (WC only) (J1984W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fringe Benefit Group fka Employer Plan Services Houston (74212) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fringe Benefit Group MEC Plan (93158) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fringe Benefits (11069) | Paper | N | |||||||||
|
|
|||||||||||
| Fringe Benefits Coordinators (59204) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| FrontPath Health Coalition (34171) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| FSL Admin by KBA (11052) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Future Care Medical Associates (5851)
POP02 |
Electronic | N | |||||||||
|
|
|||||||||||
| G.M.P. Employers Retiree Trust (11144) | Paper | E | N | ||||||||
|
|
|||||||||||
| GAB Robbins, Inc. (CA, MN, TX) (WC Only) (WX907W) | Electronic | N | |||||||||
|
|
|||||||||||
| GAB Robbins, Inc. (TX, MN) (JTP117) | Electronic | Y | |||||||||
|
|
|||||||||||
|
GAB Robins (For Van Tuyl Only) (All States) (WC Only) (TP117)
GAB Robbins, Inc. |
Electronic | Y | |||||||||
|
|
|||||||||||
| Gallagher Bassett (TP057) | Electronic | N | |||||||||
|
|
|||||||||||
|
Gallagher Bassett (ALL) (WC Only) (JTP057)
AIG Central WC AIG East WC AIG MCU AIG West WC Northern Adjusters Inc. Wilton Adjustment Service Inc |
Electronic | Y | |||||||||
|
|
|||||||||||
| Gallagher Bassett (Sacramento) (WC Only) (WX913W) | Electronic | N | |||||||||
|
|
|||||||||||
| Galveston County Indigent Health Care (30005) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Garden Grove Unified School District (All States) (WC Only) (J1519) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Gary Community Schools (ALL) (J1301W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Gastroenterology Division of MT (EOBC) (R42078) | Paper | N | |||||||||
|
|
|||||||||||
| Gategourmet #836 (ALL) (WC Only) (WX929W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Gates Corp Dba Gates Rubber Co (TX, MN) (WC Only) (WX052W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Gateway Health Plan - Medicare Assured (60550)
Delivery Code RWC-FIN Gateway Health Plan of Ohio, Inc. Highmark Wholecare (Medicare) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Gateway Health Plan - Medicare Assured (Medicare Advantage) (60550MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Gateway Health Plan Medicaid PA (Medicaid Managed Care) (25169MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Gateway Health Plan Ohio-Medicare Assured (Pittsburg PA) (91741)
Gateway Health Plan of Ohio |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Gateway to Better Health - Encounters (43175) | Electronic | N | |||||||||
|
|
|||||||||||
| Gateway to Better Health - FFS (4317M) | Paper | N | |||||||||
|
|
|||||||||||
| GE Auto (All States) (Auto Only) (J1557) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| GE Auto (All States) (WC Only) (J1557W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
GEHA (Government Employee Health Association) (57254)
State of Texas Dental Plan |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Geico (All States) (Auto Only) (J1747) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Geisinger Health Plan (75273) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Gemcare Health Plan (MCS03)
Delano Regional Medical Group (Managed Care Systems) Dignity Health MSO GEMCare Medical Group (Managed Care Systems) Independence Medical Group - Kern County Independence Medical Group - Tulare County Managed Care Systems Marion Health Services - CHW QualCare (Managed Care Systems) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Gemcare IPA (27133) | Electronic | N | |||||||||
|
|
|||||||||||
| GENERAL CASUALTY - FARMERS' UNION (ALL) [WC ONLY] (A0632) | Electronic | N | |||||||||
|
|
|||||||||||
|
GENERAL CASUALTY CO OF WISCONSIN (WC Only) (24414W)
GENERAL CASUALTY CO. OF WI (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| General Motors Corporation (MN, TX,CA Only) (WC Only) (EOBC) (A0546) | Paper | N | |||||||||
|
|
|||||||||||
| General Parts International (All States) (Auto only) (J1678A) | Electronic | Y | |||||||||
|
|
|||||||||||
| General Parts International (All States) (WC only) (J1678W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Generations Healthcare (46050) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Generations-Hillcrest (46051) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Genex Care for Ohio (All States) (WC Only) (J1895)
WX946 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Genex Care for Ohio (All States) (WC Only) (J1895W) | Electronic | N | |||||||||
|
|
|||||||||||
| GEO (All States) (WC Only) (J1461W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Georgia Casualty & Surety Co (All States) (WC Only) (J1304W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Georgia Health Advantage (31140) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Georgia-Pacific Liability (A0059) | Electronic | N | |||||||||
|
|
|||||||||||
|
Gettysburg Health Administrators Inc (23274)
HealthGroup Limited |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| GHA Orthopedic Providers Inc (GHAOP) | Electronic | N | |||||||||
|
|
|||||||||||
|
GHI HMO (25531)
Emblem HMO |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Gillette Children's Specialty Healthcare (All States) (WC Only) (J1927) | Electronic | Y | |||||||||
|
|
|||||||||||
| Gillette Children's Specialty Healthcare (All States)(Auto Only) (J1927A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Gilsbar Inc (07205) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| Global 1 Colorado (G1COL) | Electronic | N | |||||||||
|
|
|||||||||||
| Global Benefits Group (68251) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Global Care Inc (07689)
Allied National Altrua Healthshare Boulder Administrative Service Cypress Benefit Administration First Health Network UHSM-Unite Health Share Ministries (DOS 1/1/23 and after) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Global Care Medical Group IPA (MPM05) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Global Excel Management (GEM01) | Electronic | N | |||||||||
|
|
|||||||||||
| Global Health (GHOKC) | Electronic | P I M | N | ||||||||
|
|
|||||||||||
| Global Health Arizona (GHAZ0) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Global Health Texas (GHTX0) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Global Healthcare Alliance (Z96737) | Electronic | N | |||||||||
|
|
|||||||||||
|
Global Medical Management Inc (GMICC)
GMMI CC |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Global TBSP (MPM64) | Electronic | N | |||||||||
|
|
|||||||||||
| Global Womens Health Providers Inc (GHAWH) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| GlobalOneVentures (GLOBAL1) | Electronic | N | |||||||||
|
|
|||||||||||
| Globe Life & Accident Insurance Company (Z96300) | Paper | E | N | ||||||||
|
|
|||||||||||
| Globe Life & Accident Insurance Company (Remits Only) (91472) | Paper | N | |||||||||
|
|
|||||||||||
| GMAC Insurance \ Integon National Insurance Company (Auto Only) (29742A) | Paper | N | |||||||||
|
|
|||||||||||
| GMAC Insurance \ National General Insurance Company (WC Only) (23728W) | Paper | N | |||||||||
|
|
|||||||||||
| GMMI FEP (GMFEP) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
GMP Employers Retiree Trust (23641)
G. M. P. Employers Retiree Trust |
Electronic | N | |||||||||
|
|
|||||||||||
| GMR Healthcare (85664) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
GMS (47083)
Group Management Services |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Gold Coast Health Plan (77160) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Gold Kidney Health Plan (A6865) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Golden Bay Health Plan by NEMS (GBHP) | Electronic | N | |||||||||
|
|
|||||||||||
| Golden Coast MSO (GCMSO) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| GOLDEN CORRAL CORPORATION (TX, MN) (WC Only) (WP553W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Golden Eagle (All States) (WC Only) (J1430) | Electronic | Y | |||||||||
|
|
|||||||||||
| Golden Physicians Medical Group (MPM43) | Electronic | N | |||||||||
|
|
|||||||||||
| Golden Rule Insurance (Subrogation Claims Only) (37602S) | Electronic | N | |||||||||
|
|
|||||||||||
|
Golden Rule Insurance Company (37602)
Rooney Life Inc (Golden Rule) UnitedHealthOne (Golden Rule) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Golden Shore Medical Group (GSMG) (NMM03) | Electronic | N | |||||||||
|
|
|||||||||||
| Golub Corporation (All States) (WC Only) (J4322) | Electronic | Y | |||||||||
|
|
|||||||||||
| Gonzaba Medical Group (GMGSA) | Paper | P I R | N | ||||||||
|
|
|||||||||||
| Good Samaritan Hospital (GSH01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Good Samaritan Medical Practice Association (GSMPA)
Good Samaritan MPA |
Paper | N | |||||||||
|
|
|||||||||||
| Good Shepherd Hospice Inc (76923) | Electronic | N | |||||||||
|
|
|||||||||||
| Good2go Insurance (aka Personal Service Insurance) (Auto - NJ Only) (C1094A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Goodrich (All States) (WC Only) (J1462W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Goodwill Industries (San Diego) (CA Only) (Auto Only) (J1621) | Electronic | Y | |||||||||
|
|
|||||||||||
| Goodwill Industries (San Diego) (CA Only) (WC Only) (J1621W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Government Employees Health Association (GEHA) (44054) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Grand River Insurance (All States) (Auto Only) (C1038A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grand River Insurance (WC Only) (J1566WC) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grand Valley Health Plan (95453) | Electronic | N | |||||||||
|
|
|||||||||||
|
Grange Mutual Casualty Company (All States) (WC Only) (14060W)
Grange Insurance (WC ONLY) (All States) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Grange Mutual Casualty Company (MN Only) (Auto Only) (10322A)
Integrity Mutual Insurance Company (MN Only) (Auto Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Grange WC (WC Only) (All States) (14060) | Electronic | N | |||||||||
|
|
|||||||||||
| Graphic Arts Mutual (All States) (WC Only) (25984) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Gravie Administrative Services (DOS on or after 10/1/2022) (GRV01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Gravie Administrative Services (DOS prior to 10/1/2022) (GRAVI) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Gray Insurance Company (MN, TX) (WC Only) (WC134W) | Electronic | N | |||||||||
|
|
|||||||||||
| Great American Alliance Ins Co (All States) (WC Only) (26832W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Great American Assurance Co (All States) (WC Only) (26344W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Great American Assurance Co. (WC Only) (MN,TX,CA Only) (26344) | Electronic | N | |||||||||
|
|
|||||||||||
| Great American Ins Co (All States) (WC Only) (16691W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Great American Ins Co of NY (All States) (WC Only) (22136W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Great American Ins. Co. of N.Y. (WC Only) (TX,MN,CA Only) (22136) | Electronic | N | |||||||||
|
|
|||||||||||
| Great American Life Ins Co- Medicare Supplement (Eligibility Only) (Z90024) | Paper | E | N | ||||||||
|
|
|||||||||||
| Great Central (ALL) (J1308W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Great Central Insurance Grocery & Retail (All States) (WC Only) (J4116) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Great Divide Insurance (All States) (WC Only) (WC156) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Great Health ( St Louis) (63665)
Genelco General American Life |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Great Plains Medicare Advantage (ND)(Prior to 1/1/2022) (GPND1) | Electronic | N | |||||||||
|
|
|||||||||||
| Great Plains Medicare Advantage (NE)(Prior to 1/1/2022) (GPNE1) | Electronic | N | |||||||||
|
|
|||||||||||
| Great River Insurance Co (MN, TX) WC ONLY (WC154W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Great Southern Life Insurance Company (Z96477) | Paper | N | |||||||||
|
|
|||||||||||
| Great States Health IICT (GSHTX) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Great West Casualty (All States) (WC Only) (J1820W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Great West HealthCare (80705)
Alta Health & Life Insurance Company Cigna Great West Cigna Select (formerly Great West Healthcare) Crown Life General American Life of St. Louis Great West Care (Prof) Great-West Healthcare Great-West Healthcare and Annuity Insurance Co. Great-West Life (Inst) Great-West Life Assurance Co (GWL) GWL (Great-West Life) GWL (Great-West Life) (Prof) Indiana Health Network New England Financial One Health Plan of Alaska One Health Plan of Arizona One Health Plan of California One Health Plan of Colorado One Health Plan of Florida One Health Plan of Georgia One Health Plan of Illinois One Health Plan of Indiana One Health Plan of Kansas One Health Plan of Maine One Health Plan of Massachusetts One Health Plan of Nevada One Health Plan of New Hampshire One Health Plan of New Jersey One Health Plan of North Carolina One Health Plan of Ohio One Health Plan of Oregon One Health Plan of Pennsylvania One Health Plan of South Carolina One Health Plan of Tennessee One Health Plan of Texas One Health Plan of Virginia One Health Plan of Washington One Health Plan of Wisconsin One Health Plan of Wyoming |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Greater Covina Medical Group (GCMG1) | Electronic | N | |||||||||
|
|
|||||||||||
|
Greater Newport Physicians (GNPMG)
Edinger Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
| Greater Oregon Behavioral Health (GOBHI) | Electronic | N | |||||||||
|
|
|||||||||||
|
Greek Catholic Union (Remits Only) (56693)
Actuarial Management Resources |
Paper | N | |||||||||
|
|
|||||||||||
| Green Diamond WA (All States) (Auto only) (J1642A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Green Diamond WA (All States) (WC only) (J1642W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Green Diamond WA (All States)(WC only) (J1642) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Grinnell Reinsurance Company (Auto Only) (14117A) | Paper | P | N | ||||||||
|
|
|||||||||||
| Grinnell Reinsurance Company (TX, MN, IL) (Auto Only) (J1571A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grinnell Reinsurance Company (TX, MN, IL) (WC Only) (J1571W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grinnell Select (Auto Only) (16144A) | Paper | N | |||||||||
|
|
|||||||||||
| Grinnell Select (TX and MN only) (WC Only) (J1541) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grinnell Select (TX and MN only)(Auto Only) (J1541A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Group Administrators Ltd (Schaumburg, Illinois) (36338) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Group Benefit Services (80241) | Electronic | N | |||||||||
|
|
|||||||||||
|
Group Benefit Services (CB951)
Innovative Health Plan |
Electronic | N | |||||||||
|
|
|||||||||||
|
Group Benefits Administrators Inc (GBA) (Remits Only) (88054)
TEAMSTERS (UT/ ID / MT) - Group Benefit Admin |
Paper | N | |||||||||
|
|
|||||||||||
|
Group Health Cooperative of Eau Claire (95192)
BadgerCare CompCare |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Group Health Cooperative of Eau Claire - Medicaid Claims (Z1049)
95192 Atrium Health Plan, Inc. |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Group Health Cooperative of South Central Wisconsin (39167) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Group Health Insurance (GHI) of NY (13551)
Emblem Health HIP MAP MLTC NY |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Group Health Managers (38194) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Group Hospitalization and Medical Services (10964) | Paper | E | N | ||||||||
|
|
|||||||||||
| Group Insurance Service Center (Pembroke MA) (37276) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Group Link (in Indianapolis, Indiana) (CX015)
Hoosier Dental (in Indianapolis, Indiana) |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Group Management Services (ERA Only) (Z95880) | Paper | N | |||||||||
|
|
|||||||||||
| Group Management Services, Inc. (OBA16) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Group Marketing Services Inc (66701) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Group Resources (28680) | Electronic | N | |||||||||
|
|
|||||||||||
| GROUPLINK, INC. (10910) | Paper | N | |||||||||
|
|
|||||||||||
| Gse Lining Technology, Inc. (TX, MN) (WC Only) (WX093W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Guarantee Trust Life Insurance Company (Remits Only) (06684)
United National Life Insurance of America |
Paper | N | |||||||||
|
|
|||||||||||
| Guaranty Fund Management Services (All States)( WC Only) (J3386) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Guard Insurance Group (WC ONLY) ANY STATE (A0706A) | Electronic | N | |||||||||
|
|
|||||||||||
| Guardian Life Insurance Co. of America Dental (10788) | Paper | N | |||||||||
|
|
|||||||||||
| Guardian Life Insurance Company of America (64246) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Guidant Health Plan (GHP01) | Paper | P I | N | ||||||||
|
|
|||||||||||
| GuideOne Elite Insurance (All States) (Auto Only) (J1590A) | Electronic | Y | |||||||||
|
|
|||||||||||
| GuideOne Elite Insurance (All States) (WC Only) (J1590) | Electronic | Y | |||||||||
|
|
|||||||||||
| GuideOne Elite Insurance (WC Only) (42803W) | Paper | N | |||||||||
|
|
|||||||||||
| Guideone Mutual Ins Co. (WC Only) (15032W) | Paper | N | |||||||||
|
|
|||||||||||
| GuideOne Mutual Insurance (All States) (Auto Only) (J1574A) | Electronic | Y | |||||||||
|
|
|||||||||||
| GuideOne Mutual Insurance (All States) (WC Only) (J1574) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Gulf Guaranty Employee Benefit Services (Remits Only) (Z96421)
Association Program Administrators, LLC Gulf Guarantee Employee Benefits |
Paper | N | |||||||||
|
|
|||||||||||
|
Gulf Guaranty/MedPlus (99943)
Employee Benefit Services |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Gulf South Risk Services (60652) | Electronic | N | |||||||||
|
|
|||||||||||
| Gulf South Risk Services (A1) (60389) | Electronic | N | |||||||||
|
|
|||||||||||
| Gulf Stream-General Dynamics (CB624) | Electronic | N | |||||||||
|
|
|||||||||||
|
Gulfquest Rennaissance (RENGQ)
Gulf Quest Rennaissance GulfQuest Regency/Rennaissance |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Guy Yocomo Construction (All States) (WC Only) (J3927W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| H & R Block (All States) (Auto Only) (J1672A) | Electronic | Y | |||||||||
|
|
|||||||||||
| H & R Block (All States) (WC Only) (J1672W) | Electronic | Y | |||||||||
|
|
|||||||||||
| H.E.R.E.I.U. Welfare Pension Funds (37114) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
HAA Preferred Partners (65101)
AXA Assistance |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Halcyon Behavioral Health (HALCY) | Electronic | N | |||||||||
|
|
|||||||||||
| Hamaspik Choice (47738) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Hammerman & Gainer (97258) | Electronic | N | |||||||||
|
|
|||||||||||
| Hana Hou Medical Group (HHMG1) | Paper | N | |||||||||
|
|
|||||||||||
| HANOVER INSURANCE CO (TX, MN & CA) (WC Only) (WP927W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Hanover Insurance Company (All States) (Auto Only) (J1693A)
Hanover American Insurance Company (All States) (Auto Only) WP927 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Hanover Insurance Company (All States) (WC Only) (J1693W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hanover Lloyds Insurance Company (All States) (Auto Only) (J1588A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hanover Lloyds Insurance Company (All States) (WC Only) (J1588W) | Electronic | Y | |||||||||
|
|
|||||||||||
| HAP Caresource MI Health Link (Medicare-Medicaid Plan) (MIMCRCS1) (MIMR1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
HAP Midwest Health Plan - MI (DOS prior to 7/1/19) (MHP77)
Midwest Health Plan - MI |
Paper | N | |||||||||
|
|
|||||||||||
| Harborview Claims (EOBC) (R4681) | Paper | N | |||||||||
|
|
|||||||||||
|
Harlandale ISD (EOBC) (A0060)
Harlandale Independent School District (EOBC) |
Paper | N | |||||||||
|
|
|||||||||||
| Harleysville Insurance Company (WC only) (J1595W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Harleysville Insurance Company (WC Only)(All States) (53804W) | Paper | N | |||||||||
|
|
|||||||||||
| Harmony Health Plan (10514) | Paper | E | N | ||||||||
|
|
|||||||||||
| Harmony, a WellCare Company Encounters Only (Encounters Only) (DOS 1/1/19 And After) (E13189) | Electronic | N | |||||||||
|
|
|||||||||||
| Harpeth IPA - Amerivantage (75126) | Electronic | N | |||||||||
|
|
|||||||||||
|
Harrington Health - Kansas (62061)
Fiserv Health Kansas Willis Administrative Services Corporation/Fiserv |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Harrington Health Non-EPO (59143) | Electronic | N | |||||||||
|
|
|||||||||||
| HARTFORD - SRS (WC ONLY) (WB109W) | Electronic | N | |||||||||
|
|
|||||||||||
| Hartford Accident and Indemnity Comp (All States) (Auto Only) (C1046A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Casualty Insurance Company (All States) (Auto Only) (C1041A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Hartford Fire Insurance Company (All States) (Auto Only) (C1040A)
Hartford Ins Co Of Illinois Hartford Ins Co of the Southeast Pacific Insurance Company LTD (All States) (Auto Only) Property & Casualty Co of Hartford (All States) (Auto Only) Sentinel Insurance Company LTD (All States) (Auto Only) Trumball Insurance Company (All States) (Auto Only) Twin Cities Fire Insurance Co (All States) (Auto Only) |
Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (All States) (Auto Only) (C1043A) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (ALL) (Advanced Disposal Services ONLY) (J1313W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (ALL) (Alliant Tech Systems ONLY) (J1314W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (ALL) (Americold Logistics ONLY) (WC Only) (J1315W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (ALL) (Knowledge Learning Corporation ONLY) (WC Only) (J1316W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (ALL) (Scottsdale Healthcare Corp ONLY) (J1312W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (Pfizer, Inc. ONLY) (ALL) (WC Only) (J1317W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (Publix ONLY) (ALL) (J1318W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (QCS ONLY) (ALL) (WC Only) (J1319W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (Ruby Tuesday ONLY) (ALL States) (WC Only) (J1320W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (Stericycle ONLY) (ALL States) (WC Only) (J1321W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (Wells Fargo ONLY) (ALL States) (WC ONLY) (J1322W) | Electronic | Y | |||||||||
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| Hartford Insurance Company of the Midwest (Wendy’s Arby’s Group ONLY) (WC Only) (J1323W) | Electronic | Y | |||||||||
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| Hartford Life and Accident Insurance Comp (All States) (Auto Only) (C1044A) | Electronic | Y | |||||||||
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| Hartford Life and Annuity Insurance Comp (All States) (Auto Only) (C1047A) | Electronic | Y | |||||||||
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| Hartford Life Insurance Comp (All States) (Auto Only) (C1045A) | Electronic | Y | |||||||||
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| Hartford Underwriters Insurance Comp (All states) (Auto Only) (C1042A) | Electronic | Y | |||||||||
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Harvard Community Health Plan (04245)
Harvard Pilgrim Stride (HMO) (HMO-POS) |
Electronic | P I | N | ||||||||
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| Harvard Maintenance Corvel (All States) (WC Only) (J2388) | Electronic | Y | |||||||||
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| Harvard Pilgrim Health Care (04271) | Electronic | P I E | N | ||||||||
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| Hasting Mutual (R12345) | Paper | N | |||||||||
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| Hawaii Electricians Health and Welfare Fund (EOBC) (R14736) | Paper | N | |||||||||
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| Hawaii Employers Mutual Insurance HEMIC (WC Only) (J3907) | Electronic | P I | Y | ||||||||
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Hawaii Management Alliance Association (Honolulu) (48330)
Hawaii Medical Assurance Association (HMAA) HWMG ProService |
Paper | P I E | N | ||||||||
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| Hawaii Quest (Z96388) | Electronic | N | |||||||||
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| Hawkeye (All States) (WC Only) (J1426W) | Electronic | Y | |||||||||
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| HCA-Hosptial Corporation of America (All States) (WC Only) (J1450) | Electronic | Y | |||||||||
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HCC Medical Services (HCCMI)
HCC Life Insurance |
Paper | P I | N | ||||||||
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| HCF Management Inc (EOBC) (R33856) | Paper | N | |||||||||
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HCMedNet/PHC (Z0007)
Preferred Health Care (HCMedNet/PHC) |
Electronic | P I | N | ||||||||
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| Health & Welfare Benefit System (EOBC) (R2477) | Paper | N | |||||||||
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| Health 2 Business (55213) | Paper | P I | N | ||||||||
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Health Alliance Medical Plans of Illinois (77950)
HCH Administration |
Electronic | P I E | N | ||||||||
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| Health Alliance Medical Plans of Illinois (Medicaid Managed Care) (77950MC) | Electronic | P I | N | ||||||||
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Health Alliance Plan of Michigan (38224)
Harbor Health Plan Medical Value Plan - Ohio (MVP) Trusted Health Plan Michigan (DOS 1/1/2020 and after) |
Electronic | I E | N | ||||||||
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| Health Benefits Plan (EOBC) (11026) | Paper | N | |||||||||
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| Health Care Facilities of Missouri, Inc. (All States) (WC Only) (J3959) | Electronic | P I | Y | ||||||||
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| Health Care LA IPA (MPM06) | Electronic | P I | N | ||||||||
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| Health Care Network of Wisconsin (HCN) (42102) | Electronic | I | N | ||||||||
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| Health Care Partners- AZ (HCP02) | Electronic | N | |||||||||
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| Health Choice Generations Utah (13054) | Electronic | P I | N | ||||||||
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Health Choice Pathway (62180)
Healthchoice Generations |
Electronic | P I | N | ||||||||
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| Health Choice Utah (45399) | Electronic | N | |||||||||
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Health Claims Service (82018)
HCS - Health Claims Service (Boise, ID) |
Electronic | P | N | ||||||||
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Health Cost Solutions (62111)
HCS Correctional Management Wellpath Healthlink PPO MS Polymers William C. Beeler |
Electronic | P I M | N | ||||||||
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Health First Health Plans - National (95019)
15064 |
Electronic | P I E | N | ||||||||
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Health First Health Plans - Oscar (RP039)
AdventHealth Advantage Plan Health First Health Plans NY |
Electronic | N | |||||||||
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| Health First Insurance (10674) | Paper | E | N | ||||||||
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| Health Future LLC (30946) | Electronic | P I | N | ||||||||
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| Health In Tech (IHS09) | Paper | P I | N | ||||||||
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Health Insurance Plan of Greater NY (HIP) (55247)
Beth Israel IPA Emblem Health |
Electronic | P I E | N | ||||||||
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| Health Net National (Z1378) | Paper | E | N | ||||||||
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Health Net of California and Oregon (95567)
California (Employer Group Cal MediConnect, Centene Corporation Employee Self-Insured PPO Plan) California (Employer Group MA HMO, PPO, EPO, POS, Medi-Cal (including CalViva Health)) Health Net Community Solutions Oregon/ Washington (EPO/PPO, POS, CommunityCare, Centene Corp Employee Self- Insured PPO) |
Electronic | P I E | N | ||||||||
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| Health Net of California and Oregon (Medicare Advantage) (95567MA) | Electronic | P I | N | ||||||||
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| Health Net of the Northeast (Eligibility Only) (06108) | Paper | E | N | ||||||||
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Health Network One (65062)
American Therapy Administrators of Florida Care Access Health Plan (CAHP) Care Access PSN Eye Management, Inc. (EMI) HN1 Therapy Network (HN1TN) HS1 Medical Management Therapy Network of Georgia |
Electronic | P I | N | ||||||||
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| Health Network Solutions (HNS) - Absolute Total Care SC (HAT02) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - BCBS NC (HBC01) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - CIGNA NC (HCI01) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - CIGNA SC (HCI02) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - HealthSpring NC (HHS01) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - HealthSpring SC (HHS02) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - Liberty Advantage (HLA01) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - MedCost NC (HMC01) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - MedCost SC (HMC02) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) - Select Health SC (HSH02) | Paper | P | N | ||||||||
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| Health Network Solutions (HNS) HealthTeam Advantage NC (HCC01) | Electronic | P | N | ||||||||
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| Health New England (04286) | Paper | P I E | N | ||||||||
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| Health Options of Florida HMO (3417) | Electronic | P I | N | ||||||||
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Health Partners - Minnesota (SX009)
07003 94267 Healthpartners Minnesota |
Electronic | P I E | N | ||||||||
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| Health Partners - Minnesota (Medicaid Managed Care) (SX009MC) | Electronic | P I | N | ||||||||
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| Health Partners of Minnesota (CX009) | Paper | N | |||||||||
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| Health Partners of Minnesota (CX010) | Paper | N | |||||||||
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Health Partners PA (80142)
Health Partners Plans Jefferson Health Plans |
Electronic | P I E | N | ||||||||
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| Health Partners PA (Medicaid Managed Care) (80142MC) | Electronic | P I | N | ||||||||
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| Health Payment Systems, Inc. (20270) | Paper | P I | N | ||||||||
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Health Plan of San Joaquin (68035)
San Joaquin Health Administrators |
Electronic | P I E | N | ||||||||
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| Health Plan of San Joaquin (Medicaid Managed Care) (68035MC) | Electronic | P I | N | ||||||||
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Health Plan of San Mateo (CA Medicaid MCO) (HPSM1)
Health Plans of San Mateo |
Paper | E | N | ||||||||
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Health Plan of Upper Ohio Valley (HPOUV)
34150 95677 BEKAERT CORPORATION HomeTown Health Network Ohio The Health Plan |
Electronic | P I E M | N | ||||||||
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Health Plans Inc (44273)
Healthplans Inc |
Electronic | P I E M | N | ||||||||
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| Health Plus Physicians Organization (63363) | Paper | P I | N | ||||||||
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| Health Right (52201) | Electronic | N | |||||||||
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| Health Risk Management (HRM) Claims Management (10130) | Paper | N | |||||||||
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| Health Services for Children with Special Needs (37290) | Electronic | P I E M | N | ||||||||
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| Health Services Management – HSM (41150) | Electronic | N | |||||||||
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| Health Share of Oregon (10823) | Paper | E | N | ||||||||
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| Health Share of Oregon CCO-Mental Health (77120) | Paper | P I | N | ||||||||
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| HEALTH SMART-LUBBOCK (MN, TX) (WC Only) (A0503W) | Electronic | N | |||||||||
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| Health Source MSO (HSMSO) | Paper | P I | N | ||||||||
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| Health Special Risk Incorporated (65449) | Electronic | N | |||||||||
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Health Spring, Inc (63092)
Health Partners South East HEALTHSPRING HMO/HEALTHSPRING MEDICARE+CHOICE HealthSpring Medicare Advantage - Cigna HealthSpring of AL, FL, IL, MS, TN, North TX The OATH - A Health Plan for Alabama |
Electronic | P I E | N | ||||||||
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| Health Spring, Inc (Medicare Advantage) (63092MA) | Electronic | P | N | ||||||||
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| Health Texas Medical Group (HTHTX) | Electronic | N | |||||||||
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| Health Texas Medical Group (Medicare Advantage) (HTHTXMA) | Electronic | N | |||||||||
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| Health Tradition Health Plan (DOS Prior to 1/1/2023) (HLTHT) | Electronic | N | |||||||||
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| Health West Administrators (U7876) | Electronic | P I | N | ||||||||
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| HealthBridge (74853) | Electronic | N | |||||||||
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| Healthcare Highways (HCH01) | Electronic | E M | N | ||||||||
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| Healthcare Highways Health Plan (DOS on or after 1/1/2020) (HCHHP) | Electronic | P I | N | ||||||||
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| Healthcare in Action (MPM56) | Electronic | N | |||||||||
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Healthcare Management Admin (HMA) (HMA01)
Healthcare Management Administrators |
Electronic | P I E M | N | ||||||||
|
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| HealthCare Options (EPF37) | Electronic | P I | N | ||||||||
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| Healthcare Partners IPA /Heritage New York Medical Group (11328) | Electronic | P I | N | ||||||||
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| HealthCare Partners of Nevada (20501) | Electronic | P I | N | ||||||||
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| Healthcare Resources NW (56731) | Electronic | P I | N | ||||||||
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| Healthcare Service Group Inc (EOBC) (R36596) | Paper | N | |||||||||
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| Healthcare Solutions Group (Muskogee OK) (73147) | Electronic | P I | N | ||||||||
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| Healthcare Strategic Initiatives (HSICS) | Electronic | P I | N | ||||||||
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Healthchoice of AZ (62179)
Arizona Access Health choice Hcic Health Plan Health Choice Integrated Care Steward Health Choice Arizona Steward Health Choice Integrated Care |
Electronic | P I E | N | ||||||||
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| HealthChoice Oklahoma (DOS on or after 01/01/18) (71064) | Electronic | P I E M | N | ||||||||
|
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| HealthChoice Oklahoma (DOS on or after 01/01/18) (with attachments) (J71064) | Electronic | Y | |||||||||
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Healthcomp Inc (85729)
Signature Consulting |
Paper | P I E | N | ||||||||
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| HealthCosmos Medical Group LLC (COSAZ) | Electronic | P I | N | ||||||||
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| HealthCosmos of Nevada PLLC (COSNV) | Electronic | P I | N | ||||||||
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| HealthCosmos of New Mexico LLC (COSNM) | Paper | P I | N | ||||||||
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| HEALTHe Exchange (10597) | Paper | E | N | ||||||||
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| HealthEdge Administrators (Bakersfield, CA) (95213) | Electronic | P I | N | ||||||||
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HealthEOS (HEOS)
Associates for Health Care, Inc. (AHC) |
Electronic | P I | N | ||||||||
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| Healthequity Inc (Remits Only) (43700) | Paper | N | |||||||||
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Healthfirst - Tyler, TX (75234)
HealthFirst TPA |
Electronic | P I | N | ||||||||
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| Healthfirst AbsoluteCare FIDA (Z96445) | Electronic | N | |||||||||
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| Healthfirst New Jersey (10438) | Paper | E | N | ||||||||
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Healthfirst of Austin (75289)
HEALTH FIRST TPA - AUSTIN |
Electronic | P I | N | ||||||||
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HealthFirst of New York (80141)
Childhealth Plus by Healthfirst (CHP) Healthfirst 65 Plus Healthfirst Family health Plus (FHP) Healthfirst Health Plan of New Jersey Healthfirst PHSP NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan) (DOS After to 6/1/2013) Senior Health Partners |
Electronic | P I E | N | ||||||||
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| HealthFirst of New York (Medicaid Managed Care) (80141MC) | Electronic | P I | N | ||||||||
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| HealthFirst of New York (Medicare Advantage) (80141MA) | Electronic | P I | N | ||||||||
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Healthfirst TPA (34185)
Health Administration Service Inc |
Electronic | N | |||||||||
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Healthgram Inc (fka Primary PhysicianCare Inc) (56144)
Healthgram Inc |
Electronic | P I E | N | ||||||||
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| Healthlink HMO (96475) | Paper | N | |||||||||
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Healthlink PPO/National Capital Preferred Provider Organization (NCPPO) (90001)
Correct Care J W Terrill Machinist District 9 Welfare/ UMMH |
Electronic | P I | N | ||||||||
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| Healthly Medical Group (HMG01) | Electronic | P I | N | ||||||||
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| Healthmed IPA (MLHMI) | Electronic | N | |||||||||
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| HealthNow NY [55204] (Z1093) | Electronic | P E M | N | ||||||||
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| HealthPartners (TX, MN) (WC Only) (44547W) | Electronic | Y | |||||||||
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| HealthPartners (TX, MN) (WC Only) (W/O Attachments) (44547) | Electronic | P I | N | ||||||||
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| HealthPlan of Nevada (10804) | Paper | E | N | ||||||||
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| HEALTHPLEX INC (10110) | Paper | N | |||||||||
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HealthPlus Managed Long Term Care (Z3001)
45302 Empire Healthplus MLTC Integra MLTC, Inc. |
Electronic | N | |||||||||
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| Healthscope (40026) | Electronic | P I | N | ||||||||
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| Healthscope (with attachments) (J40026) | Electronic | Y | |||||||||
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| HealthScope Benefits (71084) | Electronic | P I | N | ||||||||
|
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| Healthscope Benefits - EHC Repricing (52429) | Electronic | P I | N | ||||||||
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| HealthSCOPE Benefits Inc (71063) | Electronic | P I E M | N | ||||||||
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HealthShare of Oregon CCO - Multnomah (VMMH1)
Verity |
Electronic | P I | N | ||||||||
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| Healthsmart (All States) (WC Only) (J1481) | Electronic | Y | |||||||||
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| Healthsmart Accel (75237) | Electronic | P I | N | ||||||||
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HealthSmart Benefit Solutions (formerly American Admin/Gallagher Benefit) (37283)
AAG-American Administrative Group (Formerly Icon Benefit Admin) American Administrative Group American Administrative Group-AAG (formerly Gallagher Benefits) Collaborative Health Elan Benefits Services Elan Insurance Group HealthSmart Benefit Solutions (formerly JSL Administrators) Healthsmart Benefit Solutions, Inc. Orlando Smartcare UICI Administrators |
Electronic | P I E | N | ||||||||
|
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HealthSmart Benefit Solutions (formerly MAA-Oklahoma) (37256)
Healthsmart Benefit Solutions HSBS Oklahoma City Mutual Assurance Administrators |
Electronic | P I | N | ||||||||
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|
HealthSmart Benefit Solutions (Klais and Company) (34145)
Klais and Company aka Health Smart |
Electronic | P I | N | ||||||||
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|
HealthSmart Benefit Solutions (Wells Fargo) (87815)
Acordia National (Claims & Remits Only) Benefit Management Systems Inc Preferred Health Plan (Louisville, KY) Third Party Administrators, INC. (Claims & Remits Only) Wells Fargo Third Party Administrators (Claims & Remits Only) Wells Fargo Third Party Administrators, INC. (Claims & Remits Only) |
Electronic | P I E | N | ||||||||
|
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| Healthsmart Benefit Solutions, Inc. (Medicare Advantage) (37283MA) | Electronic | N | |||||||||
|
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|
HealthSmart MSO (HSM01)
Angeles IPA Asian Community Medical Group, Inc. Associated Dignity Medical Group Professional Corp Associated Physicians Medical Group, Inc. California Pacific Physicians Medical Group, Inc. Karing Physicians Medical Group, Inc. Korean American Medical Group New Life Medical Group, Inc. Noble Mid OC Orange County (Health Smart) Orange County Advantage Medical Group Regent Medical Group, Inc. (Regent Family Practice of Glendale) Saigon Medical Group, Inc. Southland Advantage Medical Group, Inc. St. Peter Medical Group, Inc. |
Electronic | P I | N | ||||||||
|
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| HealthSmart Preferred Care Inc (75250) | Electronic | P I | N | ||||||||
|
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| Healthspan Integrated Care fka Kaiser of Ohio (HLTSPN) | Paper | E | N | ||||||||
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Healthsun (HESUN)
Healthsun Health Plans |
Electronic | P I | N | ||||||||
|
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| HealthTeam Advantage HMO Diabetes and Heartcare Plan (88350) | Electronic | P I | N | ||||||||
|
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|
Healthteam Advantage PPO (88250)
HEALTHTEAM ADVANTAGE Tarrant Health Services (DOS 7/1/2018 and After) Teal Premier Medicare Advantage |
Electronic | N | |||||||||
|
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|
Healthways WholeHealth Networks (58213)
American Wholehealth Axia |
Paper | P | N | ||||||||
|
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| HealthWorX (98654) | Electronic | N | |||||||||
|
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|||||||||||
| Healthy Blue Dual Advantage Louisiana (00551) | Electronic | P I E M | N | ||||||||
|
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| Healthy Blue Dual Advantage Louisiana (with Attachments) (J00551) | Electronic | P I | Y | ||||||||
|
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|
Healthy Blue Louisiana (58532)
00661 |
Electronic | P I E M | N | ||||||||
|
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| Healthy Blue Louisiana (with Attachments) (J58532) | Electronic | P I | Y | ||||||||
|
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| Healthy Blue Missouri (00541) | Electronic | P I | N | ||||||||
|
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| Healthy Blue Missouri (with Attachments) (J00541) | Electronic | P I | Y | ||||||||
|
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| Healthy Blue Nebraska (00544) | Electronic | P I E M | N | ||||||||
|
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|||||||||||
| Healthy Blue Nebraska (with Attachments) (J00544) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Healthy Blue North Carolina (00602) | Electronic | I | N | ||||||||
|
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| Healthy Blue North Carolina (with Attachments) (J00602) | Electronic | P I | Y | ||||||||
|
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|
Healthy Blue South Carolina (DOS 1/1/2024 and after) (SB885)
00403 Blue Choice Medicaid Managed Care Blue Choice Medicaid of South Carolina (ZCD Prefix) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Healthy Blue South Carolina (DOS 12/31/2023 and prior) (Z1248)
Blue Choice Medicaid Managed Care Blue Choice Medicaid of South Carolina (ZCD Prefix) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Healthy Blue South Carolina (with Attachments) (DOS 12/31/2023 and prior) (JZ1258) | Electronic | P | Y | ||||||||
|
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|||||||||||
| Healthy Indiana Plan (HIP) (Z95667) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Healthy Palm Beaches (95827) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Healthy Valley Provider Network (HVPNI) | Electronic | N | |||||||||
|
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|||||||||||
| HEALTHY YORK NETWORK (22251) | Electronic | N | |||||||||
|
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|||||||||||
| Heartland Express (All States) (Auto only) (J1677A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Heartland Express (All States) (WC only) (J1677W) | Electronic | Y | |||||||||
|
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| Heartland Express AUTO ONLY (ANY STATE) (A0306) | Electronic | Y | |||||||||
|
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|||||||||||
| HEARTLAND EXPRESS WC ONLY ANYSTATE (A0306W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Heartland Health and Wellness Fund (Remits Only) (31604) | Paper | N | |||||||||
|
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|||||||||||
| Heartland National Life Insurance Company (Eligibility Only) (Z96312) | Paper | N | |||||||||
|
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|||||||||||
| HEB Grocery Company (All States) (WC Only) (J2223) | Electronic | Y | |||||||||
|
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| Helmsman Management Services (MN, TX) [WC, Auto] (WZ119) | Electronic | N | |||||||||
|
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| Help At Home Holdings (All States) (WC Only) (J1985W) | Electronic | Y | |||||||||
|
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|
Hemet Community Medical Group (HCMG1)
Family Seniors Medical Group KM Strategic Management (KMSM) Menifee Valley Community Medical Group Temecula Valley Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
| Hennepin County Claims Admin (All States)(Auto Only) (J4085A) | Electronic | P I | Y | ||||||||
|
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| Hennepin County Claims Admin (All States)(WC Only) (J4085) | Electronic | P I | Y | ||||||||
|
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|
Hennepin Health (60058)
Metropolitan Health Plan 10850 MHP Northstar |
Electronic | P I E M | N | ||||||||
|
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|||||||||||
| Hereford ISD (All States) (WC Only) (J2342) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Heritage Consultants (59230) | Electronic | P | N | ||||||||
|
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|||||||||||
| Heritage Group (All States) (WC Only) (J1069W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Heritage Victor Valley Medical Group (VVMG1) | Electronic | P | N | ||||||||
|
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|||||||||||
| Heritage Vision Plans (96462) | Electronic | N | |||||||||
|
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|||||||||||
|
Hernando Pasco Hospice (17929)
HPH Hospice |
Electronic | N | |||||||||
|
|
|||||||||||
| Hertz Rent A Car (All States) [WC ONLY] (WZ140) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hetrick-Drake Associates (ALL States) (J1326W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
HFN Inc (36335)
Arkansas Managed Care Organization (AMCO) ECOH EMPLOYER'S COALITION ON HEALTH-ECOH (located in Rockford, IL) PPOPlus LLC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| High Desert Medical Group (HDMDG) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Highline Medical Service Organization-Molina (HMSO) (91164) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Highmark BCBSD Health Options (47181) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Highmark Casualty Insurance Auto (CB653A) | Electronic | N | |||||||||
|
|
|||||||||||
| Highmark Casualty Insurance WC (CB653W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Highmark Senior Health Company (15460)
Freedom Blue |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Highmark Wholecare Medicaid (25169)
Gateway Health Plan Medicaid PA |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Hill Physicians Aetna PPO (HLPAE) | Electronic | N | |||||||||
|
|
|||||||||||
| Hill Physicians Blue Cross PPO (HLPBC) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Hill Physicians Blue Shield PPO (HLPBS) | Electronic | N | |||||||||
|
|
|||||||||||
| Hill Physicians Cigna PPO (HLPCG) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Hill Physicians Health Net PPO (HLPHN) | Electronic | N | |||||||||
|
|
|||||||||||
|
Hill Physicians Medical Group (00046)
AETNA SELECT HMO HILLS PHY AETNA SELECT HMO HILLS PHYS ME BLUE SHIELD CA HMO HILLS PHYS ME BLUE SHIELDCA HMO HILLS PHY CA CARE HMO HILL PHYS CA CARE HMO HILL PHYS MED CIGNA HMO HILLS PHY HEALTHNET HMO HILLS PHY HIL01 Hill Physicians Care Solutions PACIFICARE SIGNATURE VALUE HPM PACIFICARE SIGNATURE VALUE HPMG UNITED HEALTHCARE HPMG SELE UNITED HEALTHCARE HPMG SELECT P |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Hill Physicians United Healthcare PPO (HLPUH) | Electronic | N | |||||||||
|
|
|||||||||||
| Hillshire Brands (All States) (Auto only) (J1959A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hillshire Brands (All States) (WC only) (J1959W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hilmar Cheese Company (All States)(WC Only) (J1833) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Hilmar Cheese Company (EOBC) (E1263) | Paper | N | |||||||||
|
|
|||||||||||
| Hinsdale Medicare Advantage (MAHIN) | Electronic | N | |||||||||
|
|
|||||||||||
| Hipp Temporary Skills (All States) (J1327W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hispanic Physicians IPA (HPIPA) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Hispanic Physicians IPA (Fee For Service Only) (HPFFS)
Hispanic Physicians IPA |
Electronic | N | |||||||||
|
|
|||||||||||
| HM Care Advantage Admin by KBA (11053) | Paper | E | N | ||||||||
|
|
|||||||||||
|
HMA Hawaii (86066)
Hawaii Mainland Administrators HMA HMA AZ |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
HMC HealthWorks (75318)
HMC HealthWorks aka Health Management Co |
Electronic | N | |||||||||
|
|
|||||||||||
| HMSHost - CORVEL (All States) (Auto Only) (J1612A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| HMSHost - CORVEL (All States) (WC Only) (J1612) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Hoag Clinic (Hoag Physician Partners) (HPPZZ) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Hockenberg Equipment (59573) | Electronic | N | |||||||||
|
|
|||||||||||
| Holista (HLSTA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Holly Farms Corp. (TX, MN) (WC Only) (WX104W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hollywood Pres GLOBAL (MPM29) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Hollywood Presbyterian Medical Center - Preferred (HPMC - PMG) (AMM18) | Electronic | N | |||||||||
|
|
|||||||||||
| Hollywood Presbyterian Medical Center - San Judas IPA (HPMC - SJM) (AMM17) | Electronic | N | |||||||||
|
|
|||||||||||
| Hollywood Presbyterian Medical Center - St. Vincent's IPA (HPMC - SVI) (AMM19) | Electronic | N | |||||||||
|
|
|||||||||||
| Hollywood Presbyterian San Judas (MPM49) | Electronic | N | |||||||||
|
|
|||||||||||
| Home Health - Medicare Region IV Gulf Coast and Midwest (Z0076) | Electronic | N | |||||||||
|
|
|||||||||||
|
Home Health Medicare Region VII (IMMO1)
Home Health and Hospice Missouri Medicare Part A Medicare A Missouri -Cahaba Home Health |
Electronic | N | |||||||||
|
|
|||||||||||
|
Homeland Security (VAICE)
Homeland Security aka INS Health Services ICE Health Service Corp INS Health Services VA RESUBMIT/RECLAIM VAFSC / ICE Health Service Corps (Dental EDI and 835s effective DOS 10-1-22 and after) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Homelink (30750) | Electronic | N | |||||||||
|
|
|||||||||||
| Homelink (All States) (Auto Only) (J3932A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Homelink (All States) (WC Only) (J3932) | Electronic | Y | |||||||||
|
|
|||||||||||
| Homelink HealthPartners (55744) | Electronic | N | |||||||||
|
|
|||||||||||
| Hometown Health Plan Nevada (88023) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Hopkins Health Advantage (66003) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Horace Mann Educators Corporation (Auto Only) (CCC) (J4532) | Electronic | Y | |||||||||
|
|
|||||||||||
| Horace Mann Life Insurance (HMLIC) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Horizon Casualty Services (NJ Only) (WC Only) (J4007) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Horizon NJ Health (22326)
Horizon Mercy Horizon NJ Total Care |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Horizon NJ Health (Medicaid Managed Care) (22326MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Horizon Pace (R4569) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Horizon Valley Medical Group (HVMG1) | Electronic | N | |||||||||
|
|
|||||||||||
| Hortica Florist Mutual Insurance All States) (WC Only) (13978W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hospital Housekeeping Systems (HHS) (All States) (WC Only) (J2274) | Electronic | Y | |||||||||
|
|
|||||||||||
| Household Merch NNI (TX, MN) (WC Only) (J1071) | Electronic | Y | |||||||||
|
|
|||||||||||
| Howard County Government (MD) (All States) (Auto only) (J1888A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Howard County Government (MD) (All States) (WC only) (J1888W) | Electronic | Y | |||||||||
|
|
|||||||||||
| HPMC - Alta Med Clinics (HPMC - AMC) (38828) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
HSA Health Plan (U7632)
MotivHealth Insurance Company (Formally HSA Health Insurance Company) |
Electronic | N | |||||||||
|
|
|||||||||||
|
HSBS World Trade Center Health Program (31172)
HealthTrans Innovante Benefit Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
|
HSHS Medical Group IPA (37137)
Hospital Sisters Health System |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Hughes Resources (All States) (J1328W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hughes Tool Company (TX, MN) (WC Only) (WX106W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Human Behavior Institute (HBI01) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Humana (and subsidiaries) claims (61101)
American Eldercare Author By Humana (6/1/2022 and after) Cariten Healthcare Cariten Senior Health Humana Humana Behavioral Health - Lifesynch Humana Choice Care Claims (Cincinnati, OH) Humana gold choice Humana Oklahoma Healthy Horizons Sooner Care Metcare Health Plans Inc (NY) Motorola, Inc Oschner Health Plan (Humana) OSF Healthplan IL PCA Health Plan Vencor |
Electronic | P I E R | N | ||||||||
|
|
|||||||||||
| Humana (and Subsidiaries) claims (Medicaid Managed Care) (61101MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Humana (and subsidiaries) claims (Medicare Advantage) (61101MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Humana (and subsidiaries) claims (Subrogation Claims Only) (61101S) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Humana (and subsidiaries) claims (with Attachments) (J61101) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Humana (Puerto Rico) (Z90019)
Humana Medicare (Puerto Rico) L0200 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Humana Dental (73288)
Employers Health Insurance Employers Health of Wisconsin (EHIC) (EMPHESYS) Humana Military Healthcare Services Lincoln National of Wisconsin (in Madison or Green TDC The Dental Companies The Dental Concern TSRDP Dental Claims |
Paper | E | N | ||||||||
|
|
|||||||||||
| Humana encounters (no payment) (61102) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Humana of Florida (FLHUMA) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Humana, Inc. (WC Only) (J1918) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Humboldt Del Norte Foundation IPA (94154)
Blue Lake Rancheria Medical Plan California Care (Humboldt Del Norte) General Hospital (Humboldt Del Norte) HDNFC Humboldt-Del Norte Foundation for Medical Care Omni Healthcare - Humboldt Del Norte, California |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Hunter Consulting (Remits Only) (R26544) | Paper | N | |||||||||
|
|
|||||||||||
| Huron Valley Pace (54750) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Hurst-Euless-Bedford ISD (EOBC) (A0064) | Paper | N | |||||||||
|
|
|||||||||||
| Hutchinson Technology (TX MN Only) (Auto only) (J1626A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hutchinson Technology (TX MN Only) (WC only) (J1626W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hutchinson Technology (WC Only) (E4889W) | Paper | N | |||||||||
|
|
|||||||||||
| I E Shaffer and Co (22174) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
IAC Life (30360)
Individual Assurance Company Life |
Electronic | N | |||||||||
|
|
|||||||||||
|
IBA Self Funded Group (38234)
IBA Health Plan & PHP |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| IBEW Local 309 Health and Welfare Fund (09751) | Paper | N | |||||||||
|
|
|||||||||||
| IBEW Local 347 (Z96324) | Electronic | N | |||||||||
|
|
|||||||||||
|
IBEW Local One Health and Welfare (Mental Health) (44602)
IBEW Local 1 Health and Welfare |
Electronic | N | |||||||||
|
|
|||||||||||
|
IBG Administrators LLC (81810)
Industry Buying Group |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
IBM Business TOISC (19028)
IBM Business Transformation Outsourcing Insurance Services Corp |
Electronic | N | |||||||||
|
|
|||||||||||
| ICare Health Options (FL Optometric Phys) (26054) | Electronic | N | |||||||||
|
|
|||||||||||
| Ichahn Automotive Group (Pep Boys & AutoPlus) (All States) (Auto Only) (J3747A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ichahn Automotive Group (Pep Boys & AutoPlus) (All States) (WC Only) (J3747) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| iCircle Care (ICRCL) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| iCircle of New York (33884) | Paper | N | |||||||||
|
|
|||||||||||
| ICW (Insurance Co of the West) (All States) (WC Only) (27847) | Electronic | Y | |||||||||
|
|
|||||||||||
| ICW Group (All States) (WC Only) (WP976) | Electronic | N | |||||||||
|
|
|||||||||||
| IdentityMSO (Z96574) | Paper | N | |||||||||
|
|
|||||||||||
| IEC Group - AmeriBen (97661) | Electronic | N | |||||||||
|
|
|||||||||||
| IHG Direct (75274) | Paper | P I | N | ||||||||
|
|
|||||||||||
| IL Fornaio (America) Corp (ALL States) (WC Only) (WZ250W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Illinois Casualty (All States) (WC Only) (J1575W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Illinois Casualty (WC Only)(MN,TX Only) (15571W) | Paper | N | |||||||||
|
|
|||||||||||
| Illinois Health Partners (TH088) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Illinois Medicaid (SKIL0)
Illinois Department of Public Aid Medicaid Illinois |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Illinois Midwest Insurance (EOBC) (WZ251) | Paper | N | |||||||||
|
|
|||||||||||
| Illinois Physicians Alliance IPA (IPA99) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| IMA Inc BIC Line of Business [64556] (Z96149) | Electronic | N | |||||||||
|
|
|||||||||||
|
Imagine 360 Administrators (48143)
Group and Pension Administrators Imagine360 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Imagine Health (43123) | Electronic | N | |||||||||
|
|
|||||||||||
| IMcare (41600) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Impact Health Share Inc (IH400)
Impact Health AMPS |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Imperial County Physicians Medical Group (MPM68) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Imperial Health Holdings Medical Group (IHHMG) | Electronic | N | |||||||||
|
|
|||||||||||
| Imperial Health Plan of California Inc (IHP01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Imperial Insurance Companies (IICTX)
Imperial Insurance Company of Texas |
Electronic | N | |||||||||
|
|
|||||||||||
| Imperial Insurance Companies Inc Exchange AZ (IEXAZ) | Electronic | N | |||||||||
|
|
|||||||||||
| Imperial Insurance Companies Inc Exchange TX (IEXTX) | Electronic | N | |||||||||
|
|
|||||||||||
|
IMS - Trialcard (56155)
IMS-TC JANSSEN CAREPATH SAVINGS PGRM Xeomin Patient Copay Program Zarxio Medical Copay Program |
Electronic | N | |||||||||
|
|
|||||||||||
| IMS TPA (56132) | Electronic | N | |||||||||
|
|
|||||||||||
| IMT (WC - All States) (J3930W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| IMX Easy (86070) | Electronic | P | N | ||||||||
|
|
|||||||||||
| IN Physician Associates (INPA1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| In Physician Associates - ACTY (INP12) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| IncentiCare (18151) | Paper | P I | N | ||||||||
|
|
|||||||||||
| INDECS Corporation (40585) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| INDEPENDENCE ADMINISTRATORS (NTA720) | Electronic | N | |||||||||
|
|
|||||||||||
|
Independence Administrators (TA720)
Independence Administrators - CNS, DQU, DVK, EQJ, FJM, FYP, GJF, GJJ, GKV, GSN, and IKE Prefixes Independence Administrators - IKF, IKM, IXU, LUF, MFL, MGA, MGG, OBW, OCQ, OMJ, and OPY Prefixes Independence Administrators - PBX, PRP, PUQ, SNC, UJX, WUF, YXA, YXL, and YXT Prefixes |
Electronic | P E | N | ||||||||
|
|
|||||||||||
| Independence American Insurance Company (CB231) | Electronic | N | |||||||||
|
|
|||||||||||
|
Independence Blue Cross Personal Choice/Blue Card (54704)
Amerihealth Medi-Gap Plans Blue Cross Independence (Pennsylvania) IBC Personal Choice 65 PPO - QCM and YXK Prefixes IBC Personal Choice Account Specific National BlueCard PPO IBC Personal Choice PPO - QCB and YXF prefixes IBC Personal Choice PPO Catastrophic Off Exchange - YXO Prefix IBC Personal Choice PPO Catastrophic On Exchange - YXP Prefix IBC Personal Choice PPO Platinum, Gold, Silver, and Bronze Plans Off Exchange - YXO Prefix IBC Personal Choice PPO Platinum, Gold, Silver, and Bronze Plans On Exchange - YXP Prefix IBC Personal Choice Small Group PPO On Exchange - YXU Prefix PA Independence Blue Cross (3560) PA Independence Blue Cross (Z1102) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Independence Blue Cross Personal Choice/Blue Card (Encounters Only) (W54704) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Independence Medical Group (MHM01) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Independent Care Health Plan (Z1044)
11695 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Independent Health (SX073)
95308 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Independent Living Systems - CA (81397) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Indian Health Services (SX171) | Electronic | N | |||||||||
|
|
|||||||||||
| Indiana Department of Health - Children's Health (Z1352) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Indiana Farmers Mutual (All States) (WC Only) (J3960) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Indiana Insurance (All States) (WC Only) (J1425)
CQ821 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Indiana Lumbermen (Indianapolis) (ALL States) (WC Only) (J1330W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Indiana ProHealth Network (Effective for DOS 12/31/2023 and Prior) (35161)
Community Health Direct Community HRA Gold Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Indiana University Health Plan (Commercial IUHPLNS) (26212) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Indiana University Health Plan (Medicare Advantage) (95444MA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Indiana University Health Plan (Medicare) (95444)
Clarian Health Plans Inc. Indiana University Health Plan MPlan Inc./Healthcare Group, LLC |
Electronic | I E M | N | ||||||||
|
|
|||||||||||
| Individual Assurance Company (75094) | Paper | N | |||||||||
|
|
|||||||||||
| Infinity Physician Associates (INFIN) | Paper | N | |||||||||
|
|
|||||||||||
| Ingham Health Plan Corporation (38343) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ingles Markets (All States) (WC Only) (J1907) | Electronic | Y | |||||||||
|
|
|||||||||||
| Injured Workers Insurance Fund (52212) | Electronic | N | |||||||||
|
|
|||||||||||
| Inland Empire Health Plan [IEHP1] (IEHP2) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Inland Faculty Medical Group (MVMM1) | Electronic | N | |||||||||
|
|
|||||||||||
| Inland Faculty Medical Group (Encounters Only) (MVMM2) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Inland Health Organization (IHO) (IHORG) | Electronic | N | |||||||||
|
|
|||||||||||
|
InnovAge (31182)
Total Community Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Innovation Health (40025) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Innovation Health (with attachments) (J40025) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Claim Solutions (ICS) Rancho Cordova (All States) (WC only) (J1599W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Claim Solutions (ICS) Rancho Cordova (All States)(Auto only) (J1599A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Claim Solutions (ICS) San Ramon (All States) (Auto only) (J1601A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Claim Solutions (ICS) San Ramon (All States) (WC only) (J1601W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Physician Associates (80087) | Electronic | N | |||||||||
|
|
|||||||||||
| Inservco (All States) (Auto Only) (J3948A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Inservco (All States) (WC Only) (J3948) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Inservco Insurance Services (WC Only) (All States) (CB619) | Electronic | N | |||||||||
|
|
|||||||||||
| Insilco Corp (TX, MN) (WC Only) (WX107W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Instamed Integrated Remits (All payers) (INSTA) | Paper | N | |||||||||
|
|
|||||||||||
| Insurance Administrative Solutions - ICL/VPay Stack (Pay Plus) (ZP1071) | Paper | N | |||||||||
|
|
|||||||||||
| Insurance Administrators of America Inc (IAA) (37279) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Insurance Company of the West (ICW) (WC Only) (All States) (WZ291W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Insurance Company State of Pennsylvania (ALL States) (J1331W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Insurance Design Administrators (13315) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Insurance Management Administrators (IMA of LA) (72091)
IMA Inc dba 90 Degree Benefits State of Florida Department of Health |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Insurance Management Services (Amarillo, TX) (15688)
IMSMS |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Insurance Program Managers Group (IPMG) (36342)
Benefit Systems & Services Inc (BSSI) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Insurance Services of Lubbock (TH012) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Insurance Systems Inc [11889] (Z4402) | Electronic | N | |||||||||
|
|
|||||||||||
|
Insurance TPA (39182)
InsuranceTPA.com International Funding, LTD |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Insurers Administrative Corporation (86304)
EBIX Health Administration Exchange IAC01 Independence Holding Company (IHC) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Integon National Insurance Co (NJ, MN Only) (Auto Only) (C1028)
CIM Insurance Corporation (NJ, MN Only) (Auto Only) GMAC Insurance Company Online (NJ, MN Only) (Auto Only) GMAC Insurance Management Corporation (NJ, MN Only) (Auto Only) Integon Casualty Insurance Co (NJ, MN Only) (Auto Only) Integon General Insurance Corp (NJ,MN Only) (Auto Only) Integon Indemnity Corp (NJ, MN Only) (Auto Only) Integon Preferred Insurance Co (NJ, MN Only) (Auto Only) MIC General Insurance Corp (NJ, MN Only) (Auto Only) MIC Property and Casualty Ins (NJ, MN Only) (Auto Only) Motors Insurance Corporation (NJ, MN Only) (Auto Only) National General Assurance Co (NJ, MN Only) (Auto Only) National General Insurance Co (NJ, MN Only) (Auto Only) New South Insurance Co (NJ, MN Only) (Auto Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Integra Administrative Group (DE) (51020) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
|
Integra Group (31127)
Rehab Provider Network Ohio RPN Of NC, Inc. RPN Of SC, Inc. RPN Of VA, Inc. |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Integra Group - CHA (31129) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Integra Group Home (31128) | Electronic | N | |||||||||
|
|
|||||||||||
| IntegraNet Health (INET1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| IntegraNet SCAN (ISCN1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Integrated Behavioral Health DBA Uprise Health (63103)
American Behavioral |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Integrated Health Partners (IHP) (MPM26) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Integrated Home Health Services (IHCS1) | Paper | N | |||||||||
|
|
|||||||||||
| Integrated Medical Solutions (20050) | Electronic | N | |||||||||
|
|
|||||||||||
| Integrity Administrators (Champion Chevrolet) (99795) | Electronic | N | |||||||||
|
|
|||||||||||
| Integrity Administrators (Remits Only) (06495) | Paper | N | |||||||||
|
|
|||||||||||
| Integrity Mutual Insurance Company (All States) (WC Only) (14303W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Inter Valley Health Plan (Fee-For-Service Only) (95325) | Electronic | M | N | ||||||||
|
|
|||||||||||
|
Interactive Medical Systems (87765)
Tillium Health Resources |
Electronic | N | |||||||||
|
|
|||||||||||
| Intercare (WC Only) (All States) (J1542) | Electronic | Y | |||||||||
|
|
|||||||||||
| Intercare Insurance Services (CA, NV, TX, WA) (WC Only) (WZ299W) | Electronic | N | |||||||||
|
|
|||||||||||
| Interface EAP (IEAP) (60280) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Intergroup Services Corporation (23287) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Interinsurance Exchange Automobile Club (All States) (Auto Only) (J1810A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Interinsurance Exchange Automobile Club (All States) (WC Only) (J1810W) | Electronic | Y | |||||||||
|
|
|||||||||||
| InterLink Health Services (93116) | Electronic | N | |||||||||
|
|
|||||||||||
| Interlock (Metal Sales) (ALL States) (J1332W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Intermountain Healthcare (All States) (Auto Only) (J2243A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Intermountain Healthcare (All States) (WC Only) (J2243W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
International Benefit Administration [11329] (12277)
Afslic International Benefit Administrator |
Electronic | N | |||||||||
|
|
|||||||||||
| International Brotherhood of Boilermakers (Formerly Boilermakers National Health & Welfare Fund) (36609) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| International Casing Group (ALL States) (J1333W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
International Medical Card (66053)
First Medical Health Plan (IMC) |
Electronic | E | N | ||||||||
|
|
|||||||||||
| International Medical Group (IMGIN) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| International Paper (WC Only) (WZ317) | Electronic | N | |||||||||
|
|
|||||||||||
| International Union of Operators Engineers Local 15, 15A, 15C, & 15D AFL-CIO (37269) | Electronic | N | |||||||||
|
|
|||||||||||
| InterWest Health (84137) | Electronic | N | |||||||||
|
|
|||||||||||
|
INTotal Health (RP114)
INTotal Health Medicaid MCO |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Invicta Health Solutions (40753) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Iowa Health Advantage (RP075) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Iowa Health Solutions (86068) | Electronic | N | |||||||||
|
|
|||||||||||
| Iowa Holdings (ALL States) (J1334W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Iowa Screening Program (HSMBS) | Electronic | N | |||||||||
|
|
|||||||||||
| IPMG Claims Management Services (JJ1887) | Electronic | Y | |||||||||
|
|
|||||||||||
| IPMG Claims Management Services (Insurance Program Managers Group) (J1887) | Electronic | N | |||||||||
|
|
|||||||||||
| IPS Sage 1 (SAGE1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| IQVIA (15060) | Electronic | N | |||||||||
|
|
|||||||||||
| Irex Corporation (TX, MN) (WC Only) (WX108W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Iron Road Healthcare fka UPREHS (87042)
Union Pacific Railroad Employees |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Ironworking Contract I.P. (TX, MN) (WC Only) (WX109W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Island Home Insurance Company (85502)
Staywell Guam |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| ISO - International Student Insurance (ISOSH) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
iSurity (All States) (WC Only) (J1911)
Carolina Mutual Insurance Inc |
Electronic | Y | |||||||||
|
|
|||||||||||
| IU Health Transplant Evaluation Program (47262) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| J B Hunt Transport Inc. (MN, TX, CA Only) WC ONLY (WC327W) | Electronic | Y | |||||||||
|
|
|||||||||||
| J12 Part A Regional Remits (MD, DC & NJ) (12001) | Paper | N | |||||||||
|
|
|||||||||||
| JADE Health Care Medical Group (NMM07) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JAI Medical Systems (JAI01) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Jardine Delphi (10150)
JARDINE GROUP SERVICES |
Paper | N | |||||||||
|
|
|||||||||||
| Jardine Group Services Corp. (14168) | Paper | N | |||||||||
|
|
|||||||||||
| Jencare Medical (JCARE) | Electronic | N | |||||||||
|
|
|||||||||||
| Jericho Share (IHS02) | Electronic | N | |||||||||
|
|
|||||||||||
| JFP Benefit Management Inc (03519) | Paper | N | |||||||||
|
|
|||||||||||
| JI Specialties (TH033) | Electronic | N | |||||||||
|
|
|||||||||||
| JI Specialty Services (All States) (WC Only) (J1006W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| JI Specialty Services (All States) (WC Only) (w/o Attachments) (J1006) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JI SPECIALTY SERVICES (TX Only) (WC Only) (WA044W) | Electronic | Y | |||||||||
|
|
|||||||||||
| JLS Family Enterprises (JLSFE) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JMS & Associates SBM (SBMCO)
Staff Benefits Management & Administrators (SBMA) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Jobsmart (ALL States) (J1335W) | Electronic | Y | |||||||||
|
|
|||||||||||
| John Morrell Company Co AHPBA (38310) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| John Muir Trauma Physicians (68013) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
John Muir/Tapestry (78036)
John Muir |
Electronic | N | |||||||||
|
|
|||||||||||
| Johns Eastern Company, Inc. (Remits Only) (524291) | Paper | N | |||||||||
|
|
|||||||||||
|
Johns Hopkins Healthcare (52189)
Priority Partners |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Johns Hopkins Healthcare (Medicaid Managed Care) (52189MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Johns Hopkins Healthcare (USFHP) (52123) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Johns Hopkins Home Care Group (JHHCG) | Electronic | N | |||||||||
|
|
|||||||||||
|
Johnston & Associates, (All States) (WC Only) (w/o Attachments) (J4455W)
Johnston & Associates, OccuSure Claims Services (All States) (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Jones Truck Lines,Inc. (TX, MN) (WC Only) (WX110W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Joplin Claims (43178)
Acceptius (Benefit Management Inc of MO) BMI |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| JP Farley Corporation (34136) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JP Specialties (12T47) | Electronic | N | |||||||||
|
|
|||||||||||
|
JPS Health Network (Z2600)
75604 |
Electronic | N | |||||||||
|
|
|||||||||||
| Juvenile Jail Facility Management (TX, MN) (WC Only) (WX111W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
JVHL - Aetna Better Health of MI Coventry/Omni (Lab Claims Only (Z1280)
JVHL - Omnicare Health Plan (LAB CLAIMS ONLY) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| JVHL - Aetna Better Health Premier Plan (000M5) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JVHL - Aetna U.S. Healthcare (Lab claims Only) (Z1281) | Electronic | N | |||||||||
|
|
|||||||||||
| JVHL - Amerihealth Caritas VIP Care Plus (JVHL Network) (Lab Claims Only) (Z96239) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JVHL - BCBS MI Medicare Plus Blue (Lab Claims Only) (000KC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JVHL - BCN Critical Access Small Volume (000MJ) | Paper | N | |||||||||
|
|
|||||||||||
|
JVHL - Blue Care Network (BCN Comm Labs) (Lab Claims Only (Z1277)
M3 KB KS JJ |
Electronic | N | |||||||||
|
|
|||||||||||
| JVHL - Blue Care Network (Lab Claims Only) (Z1279) | Electronic | N | |||||||||
|
|
|||||||||||
| JVHL - Blue Care Network (Reimbursable Labs) (Lab Claims Only) (Z1298) | Paper | N | |||||||||
|
|
|||||||||||
| JVHL - Blue Cross Complete (JVHL Network) (LAB CLAIMS ONLY) (Z96231) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - CIGNA (Health Partners) (Lab Claims Only) (Z96238)
JVHL - HEALTH PARTNERS (JVHL Network) (LAB CLAIMS ONLY) |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - Cigna (Non-HAP and CIGNA-HAP) (Lab Claims Only) (Z96234)
JVHL - Cigna (Non-HAP Members) (Lab Claims Only) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - Community Care Associates (HealthChoice) (Lab Claims Only) (Z1297)
JVHL - Healthchoice (Lab Claims Only) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| JVHL - Genesee County Health Plan (Lab Claims Only) (Z1295) | Electronic | N | |||||||||
|
|
|||||||||||
| JVHL - HAP ASR – (DOS 6/1/2021 and later) (Lab Claims Only) (000MR) | Electronic | N | |||||||||
|
|
|||||||||||
|
JVHL - HAP Empowered Midwest (Lab Claims Only) (Z1285)
JVHL - Midwest Health Plan (LAB CLAIMS ONLY) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| JVHL - Health Alliance Plan (Capitated Contracts) (Lab Claims Only)) (Z1290) | Electronic | I | N | ||||||||
|
|
|||||||||||
| JVHL - Health Alliance Plan FFS (Lab Claims Only) (Z1356) | Electronic | I | N | ||||||||
|
|
|||||||||||
| JVHL - HUMANA (JVHL Network) (LAB CLAIMS ONLY) (Z96232) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JVHL - McLaren Health Plan) (Lab Claims Only) (Z96233) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - Meridian Health Plan of MI/Health Plan MI (Lab Claims Only) (Z1292)
JVHL - Health Plan of Michigan (LAB CLAIMS ONLY) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| JVHL - Physicians Health Plan (Lab Claims Only) (000MN) | Paper | N | |||||||||
|
|
|||||||||||
| JVHL - Priority Health (Lab Claims Only) (Z1296) | Electronic | I | N | ||||||||
|
|
|||||||||||
| JVHL - Provider Network of America (Lab Claims Only) (000MP) | Paper | N | |||||||||
|
|
|||||||||||
| JVHL - Reliance HMO (Lab Claims Only) (000MK) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JVHL - The Wellness Plan (LAB CLAIMS ONLY) (Z1286) | Paper | N | |||||||||
|
|
|||||||||||
|
JVHL - United Healthcare (Golden Rule Members) (Lab Claims Only) (Z96236)
JVHL - GOLDEN RULE (JVHL Network) (LAB CLAIMS ONLY) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - United Healthcare (Non-Golden Rule Members) (Lab Claims Only) (Z1293)
JVHL - United Healthcare (LAB CLAIMS ONLY) |
Electronic | N | |||||||||
|
|
|||||||||||
|
JVHL - United Healthcare Community Plan/GLHP (Lab Claims Only) (Z1294)
JVHL - Great Lakes Health Plan (LAB CLAIMS ONLY) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| JVHL - VA Community Care Network (RP107) | Electronic | N | |||||||||
|
|
|||||||||||
| JVHL - Wellcare (Lab Claims Only) (000MM) | Electronic | N | |||||||||
|
|
|||||||||||
| JVHL (All payers) Claim & Remit Enrollment (JVHL0) | Electronic | N | |||||||||
|
|
|||||||||||
| JWF Specialty (All States) (Auto Only) (J3800A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
JWF Specialty (All States) (WC Only) (J3800W)
LV481 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Kaiser - Self Funded (94320) | Electronic | N | |||||||||
|
|
|||||||||||
| KAISER FOUNDATION HEALTH PLAN (MN,TX,CA) (WC Only) (A0066W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of Colorado (00277)
91617 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Colorado (Medicare Advantage) (00277MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Georgia (21313) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Georgia (Medicare Advantage) (21313MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Hawaii (94123) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Hawaii (DHMO Choice) (10676) | Paper | E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Northern CA Region (94135) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Northern CA Region (Medicaid Managed Care) (94135MC) | Electronic | N | |||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of Southern CA Region (94134)
Kaiser Permanente of Southern California |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Southern CA Region (Medicare Advantage) (94134MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of the Mid-Atlantic States (52095)
KS008 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of the Mid-Atlantic States (Medicaid Managed Care) (52095MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of the Mid-Atlantic States (Medicare Advantage) (52095MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of Washington (91051)
GH Basic Health Plan GH Individual and Family Plan GHC - Commercial GHC Medicare + Choice Group Health Cooperative - East Group Health Cooperative - West Group Health Options Group Health Options, Incorporated Alliant Plus Kaiser Foundation Health Plan of Washington Options, Inc KPS Health Plans |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Kaiser Foundation of the Northwest (OR & WA Only) (93079)
NW002 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation of the Northwest (OR & WA Only) (Medicaid Managed Care) (93079MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kaiser Permanente KPIC (KPIC1) | Electronic | N | |||||||||
|
|
|||||||||||
| Kalos Health (40137) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
KAMG Hospital (GSH02)
Good Samaritan Hospital - KAMG |
Electronic | N | |||||||||
|
|
|||||||||||
| Kane County Harmony Medicaid (IPAK1) | Electronic | N | |||||||||
|
|
|||||||||||
| Kane County IPA (KCIPA) | Electronic | N | |||||||||
|
|
|||||||||||
| Kansas City Life Insurance (Remits Only) (44030) | Paper | N | |||||||||
|
|
|||||||||||
| Kansas Construction Trades Fringe Benefit Fund (R0066) | Paper | N | |||||||||
|
|
|||||||||||
|
Kansas Health Advantage (71066)
Kansas Superior Select |
Electronic | N | |||||||||
|
|
|||||||||||
| Katy Medical Claims (81812) | Electronic | N | |||||||||
|
|
|||||||||||
| Kaweah Delta HC District Employees Plan (IP085) | Paper | P I | N | ||||||||
|
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|||||||||||
| Kaweah Delta Medicare Advantage (IP084) | Electronic | P I | N | ||||||||
|
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|||||||||||
| KB Medical Practice PC - Empire Medical Practice PC (35463) | Electronic | P | N | ||||||||
|
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|||||||||||
| KCI Holdings USA (All States) (WC Only) (J1078W) | Electronic | Y | |||||||||
|
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|||||||||||
| Keenan & Associates (KEE01) | Electronic | P I | N | ||||||||
|
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|||||||||||
|
Keenan & Associates (CA ONLY) [WC, Auto] (WZ437)
Keenan & Associates |
Electronic | N | |||||||||
|
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|||||||||||
| Keenan & Associates Torrance (Auto Only) (WZ437A) | Electronic | N | |||||||||
|
|
|||||||||||
| Keenan and Associates (All States) (WC Only) (J1498) | Electronic | Y | |||||||||
|
|
|||||||||||
| Keenan Associates (CA) (95279) | Electronic | N | |||||||||
|
|
|||||||||||
| Kellogg Companies (All States) (Auto Only) (J1803A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Kellogg Companies (All States) (WC Only) (J1803W) | Electronic | Y | |||||||||
|
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|||||||||||
| Kelly Services (ESIS) (WC Only) (J1451W) | Electronic | Y | |||||||||
|
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|||||||||||
|
Kelsey-Seybold (KELSE)
KS Plan Administrators LLC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Kempton Company (73100)
Kempton Group Administrators |
Paper | P I | N | ||||||||
|
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|||||||||||
| Ken Davis Industries Inc. (TX, MN) (WC Only) (WX113W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Kenosha County (WMMIC) (ALL States) (J1336W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Kentucky Employers Mutual Insurance - KEMI (All States) (WC Only) (J3680W)
CQ834 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Kentucky Employers Mutual Insurance - KEMI (All States) (WC Only) (w/o Attachments) (J3680) | Electronic | N | |||||||||
|
|
|||||||||||
| Kentucky Employers Mutual Insurance - KEMI (All States)(Auto Only) (J3680A) | Electronic | Y | |||||||||
|
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|||||||||||
|
Kentucky Health Administrators (KHA) (82357)
Quilt Benefits |
Electronic | N | |||||||||
|
|
|||||||||||
| Kentucky Health Administrators (Remits Only) (27215) | Paper | N | |||||||||
|
|
|||||||||||
| Kentucky National (ALL States) (J1337W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Kern County CDCR (28021) | Electronic | N | |||||||||
|
|
|||||||||||
| Kern County Hospital Authority KERN (MPM66) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kern Health Care Network (22149) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kern Health Systems (77039) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Kern Legacy Health Plan (89890) | Electronic | N | |||||||||
|
|
|||||||||||
| Kerry Holding Co.(All States)(Auto Only) (J2275A) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Kerry Holding Co.(All States)(WC Only) (J2275) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Key Benefit Administrators (Indianapolis, IN) (37217) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Key Gap (35317) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Key Health Medical Solutions Inc (95460) | Electronic | N | |||||||||
|
|
|||||||||||
| Key Healthy Partners (11044) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Key Medical Group (Z1338)
IP082 |
Electronic | N | |||||||||
|
|
|||||||||||
| Key Medical Group- Medicare Advantage (IP083) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Key Risk Management Services LLC (All States) (WC Only) (J1521) | Electronic | Y | |||||||||
|
|
|||||||||||
| Key Risk Management Services LLC (All States) (WC Only) (J1521W) | Electronic | N | |||||||||
|
|
|||||||||||
| Key Select (37321) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Key Solution (37323)
Key Benefit Administrators |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| KeyCare (MD) (KCMD1) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Keystone First (fka Keystone Mercy) (23284)
Keystone Mercy Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Keystone First (fka Keystone Mercy) (Medicaid Managed Care) (23284MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Keystone First Community HealthChoices (42344)
Keystone First CHC |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Keystone First VIP Choice (77741) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Keystone Health Plan Central (7415) | Electronic | N | |||||||||
|
|
|||||||||||
|
Keystone Health Plan East (7417)
95056 Keystone Health Plan East (Medical Encounters Only) Keystone Health Plan East Small Group HMO Bronze Basic Off Exchange - QCH Prefix Keystone Health Plan East Small Group/Shop HMO On Exchange - YXZ Prefix Keystone Health Plan East Small Group/Shop POS On Exchange - YXR Prefix Keystone HMO Platinum, Gold, Gold Proactive, Silver, Silver Proactive, and Bronze Off Exchange - YXW Keystone HMO Platinum, Gold, Gold Proactive, Silver, Silver Proactive, and Bronze On Exchange - YXQ KHPE ERISA HMO - YXE and QCL Prefix KHPE ERISA POS - YXJ and QCJ Prefix KHPE HMO - YXH and QCH Prefix KHPE Medicare HMO - YXI and QCI Prefix KHPE Medicare POS - YXC and QCK Prefix KHPE POS - YXG and QCG Prefix |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| KG Administrative Services (KGA15) | Electronic | N | |||||||||
|
|
|||||||||||
| Kidzpartners (14797) | Paper | N | |||||||||
|
|
|||||||||||
| King County Blue Sheild Clallam (93213) | Paper | N | |||||||||
|
|
|||||||||||
|
King County Blue Shield (93200)
Regence Blue Shield (WA) |
Paper | N | |||||||||
|
|
|||||||||||
| King County Blue Shield Grays Harbor (93207) | Paper | N | |||||||||
|
|
|||||||||||
| King County Blue Shield Lewis (93210) | Paper | N | |||||||||
|
|
|||||||||||
| King County Blue Shield Thurston (93211) | Paper | N | |||||||||
|
|
|||||||||||
| King County Blue Shield Yakima (93214) | Paper | N | |||||||||
|
|
|||||||||||
| Kingdom Legacy Benefits (KLB) (59184) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kirkland's Inc (E1061) | Electronic | N | |||||||||
|
|
|||||||||||
| Kirkland's Inc (All States)(WC Only) (J1614) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| KISX Card LLC (83313) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kitsap Physician Services (Eligibility Only) (10341) | Paper | E | N | ||||||||
|
|
|||||||||||
| Koan Risk Solutions (65871) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Koch Foods Inc (All States) (Auto only) (J1986A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Koch Foods Inc (All States) (WC only) (J1986W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Kohl's Department Stores (EOBC) (A0602) | Paper | N | |||||||||
|
|
|||||||||||
| Kova Healthcare Inc (KOVA1) | Electronic | N | |||||||||
|
|
|||||||||||
| Kroger Co (CA IL LA NC MN OR TX) (WC Only) (A0518) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| KSKJ Life (Remits and Eligibility Only) (Z95791) | Paper | E | N | ||||||||
|
|
|||||||||||
| KUSPUK SCHOOL DISTRICT (57610) | Electronic | N | |||||||||
|
|
|||||||||||
|
LA Care Health Plan (Los Angeles Care Health Plan) (LACAR)
Los Angeles Care Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| LA Care Health Plan (Los Angeles Care Health Plan) (Medicaid Managed Care) (LACARMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| LACH HealthNet by MedPOINT (MPM19) | Electronic | N | |||||||||
|
|
|||||||||||
| Ladegast & Heffener Claims Service (Z96813) | Paper | N | |||||||||
|
|
|||||||||||
|
Lake County Physicians Association (37116)
St. Therese Physician Association |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Lakes Area Community Healthplan (LACH) (52511) | Electronic | N | |||||||||
|
|
|||||||||||
| Lakeside Comprehensive Healthcare (66127) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Lakeside Health Services (LMG11) | Paper | P | N | ||||||||
|
|
|||||||||||
|
Lakeside Medical Group (LMG01)
66125 Community Medical Group of the West Valley (Regal) Eastland Medical Group IPA (Regal) Glendale Memorial Group (Regal) Keystone Health (Glendale, CA) (Regal) Lakeside Community Healthcare (Regal) Verdugo Hills Medical Group (Regal) West Covina Medical Group (Regal) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Lancaster General Hospital (16109) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Landin (All States)(WC Only) (J3808) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Landmark Healthcare (Z1067)
LNDMK |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Landry's (All States) (Auto only) (J1889A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Landry's (All States) (WC only) (J1889W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Landstar Bco Wc Program (All States) (WC Only) (WX125) | Electronic | Y | |||||||||
|
|
|||||||||||
| Lane County (OR Only) (Auto only) (J1987A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Lane County (Or) (WC only) (J1987W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Las Vegas FireFighters Health & Welfare Trust (77684) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| LaSalle Medical Associates (LSMA2) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| LaSalle Medical Associates (NMM02) | Paper | N | |||||||||
|
|
|||||||||||
|
Lasso Healthcare (Z96441)
10550 |
Electronic | N | |||||||||
|
|
|||||||||||
| Launch Technical Workforce Solutions LLC (Remits Only) (R5030) | Paper | N | |||||||||
|
|
|||||||||||
|
Lawndale Christian Health Plan (36333)
Lawndale Christian Health Center (LAWND) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| LCTA (Louisiana Commerce & Trade Assoc) (All States) (WC Only) (J1998) | Electronic | Y | |||||||||
|
|
|||||||||||
| League of Minnesota Cities Insurance Trust (All States) (WC Only) (J1527W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Leggett and Platt (75279) | Paper | N | |||||||||
|
|
|||||||||||
| Legion Health Plan (EOBC) (R40242) | Paper | N | |||||||||
|
|
|||||||||||
| Leisure World Managed Care (LWMC1) | Paper | P | N | ||||||||
|
|
|||||||||||
| Lemonade Insurance Company (Remits Only) (16023) | Paper | N | |||||||||
|
|
|||||||||||
| Leon Health Plans (A3565) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Leon Medical Center Health Plan (37316) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| LFP Corporation (All States) (Auto only) (J1650A) | Electronic | Y | |||||||||
|
|
|||||||||||
| LFP Corporation (All States) (WC only) (J1650W) | Electronic | Y | |||||||||
|
|
|||||||||||
| LHI World Trade Center (74851) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| LHS Government Operations (17380) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Liberty Advantage (LIB01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Liberty Dental Plan (CX083)
Liberty Dental Plan, Inc. |
Paper | E M | N | ||||||||
|
|
|||||||||||
| Liberty Health Advantage (87071) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Liberty Mutual (All States) (Auto Only) (C1058) | Electronic | Y | |||||||||
|
|
|||||||||||
| Liberty Mutual (All States) (Auto Only) w/o Attach (C1058A) | Electronic | N | |||||||||
|
|
|||||||||||
|
Liberty Mutual (WC Only) (J33600W)
Liberty Northwest (WC Only) (All States) Liberty Wausau (WC Only) (All States) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Liberty Mutual (WC Only) (All States) (5974) | Electronic | Y | |||||||||
|
|
|||||||||||
| Liberty Mutual (WC Only) w/o Attach (WZ635W) | Electronic | N | |||||||||
|
|
|||||||||||
| Liberty Mutual Fire Insurance Co (MN,TX) (WC Only) (WZ626W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Liberty Mutual Insurance Company (WC Only) (All States) (33600W)
Helmsman Management Services (WC Only) (All States) Liberty Mutual Middle Market (WC Only) (All States) Liberty Northwest (WC Only) (All States) Liberty Wausau (WC Only) (All States) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Liberty National Life Insurance Company (65331) | Paper | E | N | ||||||||
|
|
|||||||||||
| Life & Health Ins Co of America (NFL Plan Only) (Z0069) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Life Gift Cards (33LGC) | Electronic | N | |||||||||
|
|
|||||||||||
| Life Investors Insurance (TH120) | Electronic | N | |||||||||
|
|
|||||||||||
| Life Investors of America - Long Term Care (TH093) | Electronic | N | |||||||||
|
|
|||||||||||
| LIFE Pittsburgh (25181) | Electronic | N | |||||||||
|
|
|||||||||||
| Life Time, Inc. - CORVEL (All States) (WC Only) (J4101) | Electronic | Y | |||||||||
|
|
|||||||||||
| Life Trac (41136) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Lifecare Assurance Company (11170) | Paper | E | N | ||||||||
|
|
|||||||||||
| Lifecircles Pace (71498) | Electronic | N | |||||||||
|
|
|||||||||||
| Lifemap (RLH01) | Electronic | N | |||||||||
|
|
|||||||||||
| LifePath Hospice Inc (76870) | Electronic | N | |||||||||
|
|
|||||||||||
| Lifeshield National Insurance Co. (47865) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Lifestyle/Medova Health Plans (Remits Only) (27005)
Medova Healthcare |
Paper | N | |||||||||
|
|
|||||||||||
| Lifetime Benefit Solutions (Remits Only) (EBSRM) | Paper | N | |||||||||
|
|
|||||||||||
| Lifewell Health Plans (08940) | Paper | N | |||||||||
|
|
|||||||||||
| LifeWise - A Premera Health Plan (OR only) (93093) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Lifewise Arizona (10843) | Paper | E | N | ||||||||
|
|
|||||||||||
| LifeWorks Advantage (LWA01) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Limited Benefit Group Supplemental (89486) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Lincoln Financial (Eligibility & Remits Only) (Z96304) | Paper | E | N | ||||||||
|
|
|||||||||||
| Lincoln Heritage (Z95717) | Paper | E | N | ||||||||
|
|
|||||||||||
| LINCOLN NATIONAL OF WI (65676) | Paper | N | |||||||||
|
|
|||||||||||
|
Line Construction Benefit Fund (Remits Only) (01616)
LCB01 LINECO |
Paper | N | |||||||||
|
|
|||||||||||
| Lineage Logistics Holdings LLC (All States) (Auto Only) (J2172A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Lineage Logistics Holdings LLC (All States) (WC Only) (J2172) | Electronic | Y | |||||||||
|
|
|||||||||||
| Link Snacks (Jacks Links) (All States) (WC only) (J2133W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Linkia - Aetna (Z1428) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Linkia - Cigna (Z1416) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Linkia - UHC (Z96075) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Linkia - UHC - Community (Z96161) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Linkia - UHC - Oxford (Z96160) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Little Company of Mary (LCM10) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Live Well IPA (LWIPA) | Paper | N | |||||||||
|
|
|||||||||||
| Local 137 Operating Engineers Welfare Fund (84041) | Electronic | N | |||||||||
|
|
|||||||||||
| Local 371 Amalgamated Welfare Trust Fund (03321) | Paper | N | |||||||||
|
|
|||||||||||
| Local 670 Engineers (67011) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Local 670 Engineers VIP (67022) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Lockard & Williams (CB752) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Lockheed Martin Corporation (All States) (WC Only) (J1454W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Loma Linda University Adventist Hlth Sciences Ctr (37267)
Loma Linda University Adventist Health Sciences Center Employee Health Plan Loma Linda University Behavioral Medicine Center Employee Health Plan Loma Linda University Employee Health Plan Loma Linda University Health Care Employee Health Plan Loma Linda University Medical Center Residents Health Plan Loma Linda University Student Health Plan |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Loma Linda University Healthcare - ManagedCare Claims (33036) | Electronic | N | |||||||||
|
|
|||||||||||
| Loma Linda University Medical Center (LLUMC) (95352) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Lone Star Medical Group (LNSTR) | Paper | N | |||||||||
|
|
|||||||||||
|
Lone Star TPA (45289)
Fringe Benefit Group fka Employer Plan Services Austin |
Electronic | N | |||||||||
|
|
|||||||||||
| Long Beach Unified School District (All States) (WC Only) (J1515) | Electronic | Y | |||||||||
|
|
|||||||||||
| Long Pherson Assoc (ALL States) (J1340W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Longevity Health Plan of Colorado (LCO01) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Longevity Health Plan of Florida (LFL01) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Longevity Health Plan of Illinois (LIL01) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Longevity Health Plan of Massachusetts (LMA01) | Paper | N | |||||||||
|
|
|||||||||||
| Longevity Health Plan of Michigan (LMI01) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Longevity Health Plan of New Jersey (LNJ01) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Longevity Health Plan of New York (LNY01) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Longevity Health Plan of North Carolina (LNC01) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Longevity Health Plan of Oklahoma (LOK01) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Longs Drugs (WC Only) (All States) (J1464W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Louisiana Department of Corrections (LADOC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Louisiana Health Exchange (Eligibility Only) (10830) | Paper | E | N | ||||||||
|
|
|||||||||||
| Louisiana State University (All States) (Auto only) (J1953A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Louisiana State University (All States) (WC Only) (J1953W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Louisiana Workers' Compensation Corp (LWCC) (All States) (WC Only) (J1547) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Lower Kusokwim School District (56756) | Electronic | N | |||||||||
|
|
|||||||||||
| Lowe's (CA IL LA NC MN OR TX) (WC Only) (J1465W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Loyal American Life Ins Co- Medicare Supplement (Eligibility Only) (Z90025) | Paper | E | N | ||||||||
|
|
|||||||||||
| Loyal Christian Benefit Association (11159) | Paper | N | |||||||||
|
|
|||||||||||
| Loyola Physician Partners (37175) | Paper | N | |||||||||
|
|
|||||||||||
| LSG Sky Chefs International (TX, MN) (WC Only) (WX127W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Luba Casualty Insurance Comp (LA TX) (WC Only) (J1341) | Electronic | Y | |||||||||
|
|
|||||||||||
| LUBA Casualty Insurance Company (WC Only) (WB237W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Lumbermen's Underwriting All States (23108)
Lumbermen's Underwriting WC only (TX, MN, CA, LA, IL only)(23108) |
Electronic | N | |||||||||
|
|
|||||||||||
| Lumbermen's Underwriting Alliance (All States) (Auto Only) (J1899A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Lumbermen's Underwriting Alliance (All States) (WC Only) (J1899) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Lumbermen's Underwriting Alliance (WC Only) (TX,MN,CA,IL,LA Only) (J1540)
Lumbermen's Underwriting Alliance |
Electronic | Y | |||||||||
|
|
|||||||||||
| Lumico Life Insurance Company (Eligibility and Remits Only) (Z96364) | Paper | N | |||||||||
|
|
|||||||||||
|
Luminare Health AZ,IL,IN,MD,MN,NC,PA(fka Trustmark Health Benefits) (35182)
CHC Medical Plan Coresource of NC Coresource of PA MD IL Cottage Health System Evolution Healthcare - EVHC Health Options Program/HOP Lancaster General Hospital (Remits Only) Med Center Health NGS American Inc (Remits Only) Promise Health Plan Trustmark Health Benefits fka CoreSource AZ,IL,IN,MD,MN,NC,PA |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Luminare Health Internal(fka Trustmark Health Benefits) (35187)
Trustmark Health Benefits fka CoreSource-Internal |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
|
Luminare Health Internal(fka Trustmark Health Benefits) (38225)
Coresource CoreSource Detroit fka NGS American FMH Benefits Midwest Patient Access Network Foundation (PAN) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Luminare Health KC (fka Trustmark Health Benefits) (48117)
CoreSource (FMH) CoreSource Kansas City Trustmark Health Benefits fka FMH Benefit Services |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Luminare Health Little Rock(fka Trustmark Health Benefits) (75136)
Trustmark Health Benefits fka CoreSource (Little Rock) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Luminare Health OH(fka Trustmark Health Benefits) (35183)
Trustmark Health Benefits fka CoreSource (OH) |
Electronic | I E | N | ||||||||
|
|
|||||||||||
| LUTHER CARE (CB212) | Electronic | N | |||||||||
|
|
|||||||||||
| Lutheran Preferred (MP330) | Electronic | N | |||||||||
|
|
|||||||||||
| Lutheran Services Carolinas (LSC01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| LutheranAdvanced PPO (89643) | Electronic | N | |||||||||
|
|
|||||||||||
| LWP Claims Solution Inc (All States) (WC Only) (J2322) | Electronic | Y | |||||||||
|
|
|||||||||||
| LYNX (All States) (Auto only) (J1949A) | Electronic | Y | |||||||||
|
|
|||||||||||
| LYNX (All States) (WC only) (J1949W) | Electronic | Y | |||||||||
|
|
|||||||||||
| M&M Transport (J1342W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MAC J3 Regional Remits - Part A Only (AZ, MT, ND, SD, UT, WY) (Z1348) | Paper | N | |||||||||
|
|
|||||||||||
| Mackinaw Administrators (All States) (WC Only) (J1343W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mackinaw Oakland County (J1344W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
MacNeal Health Providers- CHS (36334)
Loyola Physician Partners |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Macys (Daly City) (WC Only) (J1345W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Macys (Newport Beach) (WC Only) (J1346W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Macy's Corporate Service Inc (All States) (WC Only) (J1347)
Bloomingdale's (All States) (WC Only) Macys Department Stores (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Macys Corporate Services (All States) (WC Only) (J1347W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Madison Gas & Electric (ALL States) (J1348W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Magellan Behavioral Health (MBH11)
01260 Magellan Complete Care of Florida Magellan Health Services MBC Health Providers of Texas Medicaid Magellan Psych Network |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Magellan Complete Care of Virginia DSNP (MCC02)
Molina Complete Care of Virginia (DOS 7/1/22 and after) |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| Magellan Rx Management (Remits Only) (Z96553) | Paper | N | |||||||||
|
|
|||||||||||
| Magna Carta (All States) (Auto Only) (J2173A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Magna Carta (All States) (WC Only) (J2173) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Magnacare (11303)
Oscar Health Plan Of New York Quartz Align (DOS 1/1/2023 and after) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Magnetic Imaging Service, Inc. (MIS) (All States) (Auto Only) (J3976A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Magnetic Imaging Service, Inc. (MIS) (All States) (WC Only) (J3976) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Magnolia Health Plan (68062) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Main Street America Group / Main Street America Assurance (All States) (Auto Only) (J1837A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / Main Street America Assurance (All States) (WC Only) (J1837W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / MSA Insurance Protection (All States) (Auto Only) (J1838A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / MSA Insurance Protection (All States) (WC Only) (J1838W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / MSAIC Surplus/Non-Admitted (All States) (Auto Only) (J1839A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / MSAIC Surplus/Non-Admitted (All States)(WC Only) (J1839W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / Old Dominion Ins Co (All States) (Auto Only) (J1841A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / Old Dominion Ins Co (All States) (WC Only) (J1841W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / Spring Valley Mutual (All States) (Auto Only) (J1842A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Main Street America Group / Spring Valley Mutual (All States) (WC Only) (J1842W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Maine Community Health Options (45341) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Majco LLC DBA Big Brand Tire CORVEL (All States) (WC Only) (J4423) | Electronic | Y | |||||||||
|
|
|||||||||||
| Major League Baseball 8 (All States) (WC Only) (J1082W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Managed Care of North America MCNA (14317) | Paper | E M | N | ||||||||
|
|
|||||||||||
|
Managed Care Systems (Delano) (MCS02)
Delano Regional Medical Group |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Managed Care Systems (Gemcare) (MCS01)
GEMCare (Golden Empire Managed Care System) |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Managed Care Systems CDCR (MCS04) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Managed Dental Care Network (10610)
MDCN |
Paper | N | |||||||||
|
|
|||||||||||
|
Managed Health Services Indiana (Medicaid HMO) (39186)
CENTENE IN MANAGED HEALTH SERVICES IN |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Managed Health Services Wisconsin (39187) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Managed Healthcare Assoc (MHCA) (36312) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Manhattan Life (Eligibility Only) (MNHTN) | Paper | N | |||||||||
|
|
|||||||||||
|
Manhattan Life Assurance Company of America (Remits Only) (86253)
Family Life Insurance Company Western United Assurance Company |
Paper | N | |||||||||
|
|
|||||||||||
| Manufacturing Technology Mutual Inc Co (21471) | Paper | N | |||||||||
|
|
|||||||||||
| Manulife, W.J. Sutton Co. of Toronto, Ontario (98010) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
MAPFRE (5251)
MAPFRE Life Puerto Rico |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| MAPFRE Insurance (Auto - NJ Only) (C1086A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
|
March Vision Care (Z1407)
52461 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Maricopa Health Plan, managed by UPH (09908)
Maricopa Care Advantage |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Marion Polk Community Health Plan Advantage (MPCHA) | Electronic | N | |||||||||
|
|
|||||||||||
| Marion Polk Community Health Plan Advantage (Z1350) | Electronic | N | |||||||||
|
|
|||||||||||
| Markel (All States) (Auto Only) (J2321A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Markel (All States) (WC Only) (J2321W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Marpai Health (35245)
Continental Benefits WellSystems LLC |
Paper | E M | N | ||||||||
|
|
|||||||||||
| Marrick Medical Finance (20805) | Electronic | N | |||||||||
|
|
|||||||||||
| Marriott (All States) (WC Only) (J1431) | Electronic | Y | |||||||||
|
|
|||||||||||
| Marriott Claims Service (WZ787) | Electronic | N | |||||||||
|
|
|||||||||||
| Marten Transport (ALL States) (J1349W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Martins Point Health Care (53275)
Martins Point Health Care (MPHC1) |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Martins Point Health Care (Medicare Advantage Prof) (53275MA) | Paper | P | N | ||||||||
|
|
|||||||||||
|
Martins Point Health Care USFHP/Generations Adv (Z1379)
MaineSense Martins Point Health Care USFHP (MPHC2) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Mary Washington Health Plan (83269) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Maryland Health Partners (SX069) | Electronic | N | |||||||||
|
|
|||||||||||
| Maryland Physicians Care MPC (76498) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Maryland Physicians Care MPC (Medicaid Managed Care) (76498MC) | Electronic | N | |||||||||
|
|
|||||||||||
| Maryland Uninsured Employer's Fund (All States) (Auto Only) (J3744A) | Electronic | P I R | Y | ||||||||
|
|
|||||||||||
| Maryland Uninsured Employer's Fund (All States) (WC Only) (J3744) | Electronic | P I R | Y | ||||||||
|
|
|||||||||||
|
Mashantucket Pequot Tribal Nation (37121)
Pequot Health Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Masonry Welfare Trust Fund (Remits Only) (13253) | Paper | N | |||||||||
|
|
|||||||||||
|
Mass General Brigham Health Plan (04293)
AllWays Health Partners Neighborhood Health Plan (Boston, MA) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Massachusetts Bay Insurance Co (All States) (Auto only) (J1689A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Massachusetts Bay Insurance Co (All States) (WC only) (J1689W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Massachusetts Laborers Benefit Funds (Remits Only) (ZP3729) | Paper | N | |||||||||
|
|
|||||||||||
| Massamont Insurance (ALL States) (J1350W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Master Mates and Pilot Plan (MMPHB) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Mathis ISD (All States) (WC Only) (J3871W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Matrix Absence Management (TP075) | Electronic | N | |||||||||
|
|
|||||||||||
| Matrix Absence Management (Austin, TX) (WX817) | Electronic | N | |||||||||
|
|
|||||||||||
| Matrix Absence Management (WC Only) (ALL States) (TP075W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Maxim Crane Works (All States) (WC Only) (J1083W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
MaxorPlus Ltd (Remits Only) (Z95671)
PBM MaxorPlus, LTD (Remits Only) Pharmacy Benefit Manager MaxorPlus Ltd (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Mayo Clinic FL/GA (88090) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Mayo Clinic/Recovery and Claims Services (RCS) (WC Only) (TX/MN/CA/LA Only) (41193W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mayo Clinic/Recovery and Claims Services (WC Only) (All States) (41193) | Electronic | Y | |||||||||
|
|
|||||||||||
|
MBA Benefit Administrators (83028)
Cassia County |
Electronic | N | |||||||||
|
|
|||||||||||
| MBA TPA (52682) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
MCA Administrators Inc (25160)
90 DEGREE BENEFITS, INC. Diversified Group Administrators Managed Care Administrators Managed Care of America |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| MCA-Sedgwick WTCHP (LV371) | Electronic | N | |||||||||
|
|
|||||||||||
| McClancy Seasoning (25649) | Electronic | N | |||||||||
|
|
|||||||||||
| McDonald's-Mcopco (TX, MN) (WC Only) (WX155W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MCIT (MN, TX) (Auto Only) (J1351A) | Electronic | Y | |||||||||
|
|
|||||||||||
| McKesson Specialty Arizona Inc (R02672) | Paper | N | |||||||||
|
|
|||||||||||
| McKinley Medical Group (MHM02) | Electronic | N | |||||||||
|
|
|||||||||||
| McLaren Advantage (HMO SNP) (3833R) | Electronic | N | |||||||||
|
|
|||||||||||
| McLaren Health Advantage (3833A) | Electronic | N | |||||||||
|
|
|||||||||||
|
McLaren Health Plan (38338)
COMMUNITY CHOICE OF MICHIGAN (DOS after 08/01/12) MHP Commercial |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| McLaren Health Plan (Medicaid Managed Care) (38338MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| McLaren Health Plan Medicaid (3833C) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
MCMC (Remits Only) (02320)
COMPSIGMA (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| MD Care Health Plan (MDC01) | Electronic | N | |||||||||
|
|
|||||||||||
| MD Partners IPA (MLMDP) | Electronic | N | |||||||||
|
|
|||||||||||
| MD Senior Care Medical Group (MSCMG) | Paper | N | |||||||||
|
|
|||||||||||
| MDA Health Plan (EOBC) (R29422) | Paper | N | |||||||||
|
|
|||||||||||
| MdWise Healthy Indiana Plan (DOS 1/1/19 and After) (3135M) | Electronic | N | |||||||||
|
|
|||||||||||
| MdWise Hoosier Healthwise (DOS 1/1/19 and After) (3519M) | Electronic | N | |||||||||
|
|
|||||||||||
| MDwise Medicare Advantage (MDADV) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
MDX Hawaii (DOS 12/31/2023 and Prior) (MDXHI)
MDX Hawaii MDX HAWAII QUEENS |
Electronic | N | |||||||||
|
|
|||||||||||
| Meadowbrook Insurance (All States) (Auto Only) (WR778A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Meadowbrook Insurance Group (All States) (WC Only) (J1478) | Electronic | Y | |||||||||
|
|
|||||||||||
| Meadowbrook Insurance Group (WC Only) (All States) (WR778) | Electronic | N | |||||||||
|
|
|||||||||||
| MED PAY (88058) | Electronic | N | |||||||||
|
|
|||||||||||
|
MedAdmin Solutions (58202)
Advanced Data Solutions |
Electronic | P | N | ||||||||
|
|
|||||||||||
| MedCare Partners (MCP01) | Electronic | N | |||||||||
|
|
|||||||||||
| MEDCO for NCPDP Remits (Z1460) | Paper | N | |||||||||
|
|
|||||||||||
| MedCom (59231) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedCore HP (31057) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedCost / Liberty Health Share (90753) | Electronic | N | |||||||||
|
|
|||||||||||
|
MedCost Benefits Services (56205)
Medcost of North Carolina Nash Healthcare Systems Piedmont Administrators |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
MedCost Preferred (56162)
MedCost Inc |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedCost Preferred (Subrogation Claims Only) (56162S) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedDirect (38353) | Electronic | N | |||||||||
|
|
|||||||||||
| Medequip Inc (MQ027) | Electronic | N | |||||||||
|
|
|||||||||||
| Medfocus (95321) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Medica Health Plan - Fee for Service (94265)
Medica Medica Health Plan-PHP/Share-Capitated |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medica Health Plan Solutions (71890)
Mayo Medical Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Medica Medicare Advantage (Effective 1/1/2021) (MEDM1)
Medica Choice Care PMAP Medica MinnesotaCare |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Medica2 IFB (Z95382)
Medica2 [12422] |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Alabama (SKAL0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Alabama - EDS Federal - Outpatient (5587) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid Alabama - Outpatient (SKAL1) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid Alaska (SKAK0) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Arizona (AHCCCS) (SKAZ0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Arkansas (SKAR0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Arkansas (Encounters Only) (SKAR1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Medicaid California (SKCA0)
Every Woman Counts Family P.A.C.T. MediCal California |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid California (with Attachments) (JSKCA0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicaid Colorado (SKCO0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Connecticut (SKCT0)
Hewlett Packard Enterprises |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Delaware (SKDE0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Delaware (Dept of Services Children Youth & Their Families) (DSCYF) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Medicaid District of Columbia (DC) (SKDC0)
Ace Industries - Medicaid Washington DC |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Florida (SKFL0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Georgia (SKGA0) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Hawaii (SKHI0) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Medicaid Idaho (ZKID0)
Idaho Department of Health and Welfare |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Indiana (SKIN0) | Electronic | I E | N | ||||||||
|
|
|||||||||||
| Medicaid Iowa (SKIA0) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Medicaid Kansas (SKKS0) | Electronic | I E | N | ||||||||
|
|
|||||||||||
| Medicaid Kentucky (SKKY0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Adult Day Health Care [.ADC] (SKLA7) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Ambulance Transportation [.TRA] (Z1057) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Durable Medical Equipment [.DME] (Z1050) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Home Health [.HOM] (SKLA2) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Hospital IP/OP [.UB9] (SKLA6) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - LTC, ICF/DD, SNF, Hospice [.LTC] (SKLA3) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Medicare Advantage Part A [.XXA] (SKLAA) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Medicare Advantage Part B [.XXB] (SKLAB) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Non-Emergency Transportation [.NAM] (SKLA05) | Electronic | P E | N | ||||||||
|
|
|||||||||||
|
Medicaid Louisiana - Physicians, Pediatric Day Healthcare [.PHY] (SKLA0)
Community Health Solutions of LA (Medicaid) Medicaid Louisiana (All Remits) Medicaid Louisiana - Eligibility Medicaid of Louisiana - Kidmed |
Electronic | P E | N | ||||||||
|
|
|||||||||||
| Medicaid Louisiana - Rehabilitation [.REH] (SKLA4) | Electronic | P E | N | ||||||||
|
|
|||||||||||
|
Medicaid Maine (SKME1)
Mainecare |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Maryland (SKMD0) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Medicaid Massachusetts (SKMA0)
Mass Health |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Michigan (SKMI0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Minnesota (SKMN0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Mississippi (SKMS0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Mississippi (Medicare Advantage) (SKMS0MA)
ADVANTAGE/MEDICAREPART-C |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
Medicaid Mississippi (Medicare Advantage) (SKMS0MB)
ADVANTAGE/MEDICAREPART-C |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Medicaid Missouri (SKMO0)
Missouri Department of Mental Health Missouri HealthNet |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Montana (SKMT0)
Healthy Montona Kids Plus |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Nebraska (SKNE0) | Electronic | N | |||||||||
|
|
|||||||||||
|
Medicaid Nevada (SKNV0)
First Health Services Corp |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid New Hampshire (SKNH0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid New Jersey (SKNJ0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid New Mexico (SKNM0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid New York (SKNY1) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Medicaid New York Category of Service 0160/0 Institutional (SKNY5) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
Medicaid New York Category of Service 0160/0287 (3529)
New York Medicaid - Category of Serv 0160/0287 |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid New York Inpatient - Institutional (SKNY4) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid New York Outpatient - Institutional (SKNY6) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid New York Title X1X Institutional (SKNY3) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicaid North Carolina (SKNC0) | Electronic | P I E R | N | ||||||||
|
|
|||||||||||
| Medicaid North Carolina (Carolina Access Only) (SKNC1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicaid North Dakota (SKND0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid of Connecticut (CT) (CKCT1) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid of Missouri (MO) (CKMO1) | Paper | N | |||||||||
|
|
|||||||||||
| MEDICAID OF MN (22234) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid of Oklahoma (OK) (CKOK1) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid of Rhode Island (RI) (CKRI1) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid of Utah (UT) (CKUT1) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid Ohio (SKOH0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Amerihealth Caritas Ohio (35374) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Amerihealth Caritas Ohio - Transportation Only (42435) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - AmeriHealth Caritas Ohio Radiology Only (84243) | Paper | E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Anthem DentaQuest Dental (SKOH14) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid Ohio - Anthem EyeMed Vision (SKOH10) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Anthem Ohio Medicaid (SKOH5) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Anthem Ohio Medicaid (with attachments) (JSKOH5) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicaid Ohio - Buckeye Envolve Dental (SKOH11) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid Ohio - Buckeye Envolve Vision (SKOH7) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Buckeye Ohio Medicaid (SKOH3) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Buckeye Ohio Medicaid (with attachments) (JSKOH3) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicaid Ohio - Caresource Ohio - Dental (SKOH1) | Paper | E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Caresource Ohio - Vision (SKOH6) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Ohio - Caresource Ohio Medicaid (SKOH2)
0003150 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Humana DentaQuest (SKOH13) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid Ohio - Humana EyeMed (SKOH9) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Humana Ohio Medicaid (61103) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Humana Ohio Medicaid (with attachments) (J61103) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicaid Ohio - Molina March Vision (SKOH8) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Medicaid Ohio - Molina Ohio Medicaid (SKOH4)
0007316 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - Molina Skygen (Dental) (SKOH12) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid Ohio - OhioRISE - Aetna Better Health of Ohio (45221) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Medicaid Ohio - United Healthcare OH Medicaid (88337)
0007610 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Ohio - United Healthcare OH Medicaid - Dental (83244) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid Ohio - United Healthcare OH Medicaid - Vision (83572) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Medicaid Oklahoma (SKOK0)
Oklahoma Health Care Authority |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Oregon (SKOR0)
Medicaid Oregon DME submissions |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| MEDICAID PAPER (PCAID) | Electronic | N | |||||||||
|
|
|||||||||||
|
Medicaid Pennsylvania (SKPA0)
MAPA Medicaid Pennsylvainia Inst O/P & LTC only |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Rhode Island (7421) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Medicaid South Carolina (SKSC0) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Medicaid South Dakota (SKSD0) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Tennessee (SKTN1) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Texas (SKTX0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Texas (Long Term Care) (SKTX2) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicaid Texas (non-enrolled TMHP MCO-EVV) (SKTX4) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicaid Utah (SKUT0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicaid Utah - Crossover Claims (SKUT1) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicaid Utah Atypical Providers Only (SKUT3) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicaid Vermont (SKVM0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Vermont (Outpatient claims) (Z96390) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicaid Virgin Islands (Hospital/Institutional Only) (12K39) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicaid Virgin Islands (Medical/Professional Only) (SKVI0) | Electronic | N | |||||||||
|
|
|||||||||||
|
Medicaid Virginia (SKVA0)
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES VA |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Washington - Washington Apple Health (SKWA0)
Medicaid Washington |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid West Virginia (SKWV0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Wisconsin (SKWI0)
Forward Health ForwardHealth |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Medicaid Wyoming (SKWY0)
Ace Industries - Medicaid Wyoming |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
Medical Associates Health Plans/Health Choices [MAHC1] (Z1269)
Live360 |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
Medical Benefit Administration, Inc (Grass Valley CA) (68041)
Golden State Physicians Medical Group |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Medical Benefit Administrators(Newark, OH) (CX024) | Paper | N | |||||||||
|
|
|||||||||||
|
Medical Benefits Companies (Newark, OH) (74323)
MedBen (Newark, OH) Medical Benefits Administrators Inc (Newark, OH) Medical Benefits Mutual |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medical Card System (Z1419)
L0170 MCS Life Insurance |
Paper | E | N | ||||||||
|
|
|||||||||||
|
Medical Mutual of Ohio (MMO) (SX057)
29076 Carolina Care Plan (Formerly PHP of South Carolina) Consumers Life Insurance Company Premier Health Systems, Inc Supermed United Food Commercial Workers UFCW Local 880 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medical Mutual of Ohio (MMO) (Encounters Only) (SX057E) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medical Outcome Indicators Inc (MOI) (R35617) | Paper | N | |||||||||
|
|
|||||||||||
| Medical Reimbursements of America (62177) | Electronic | I | N | ||||||||
|
|
|||||||||||
| MEDICAL SAFETY NET (AMM13) | Electronic | N | |||||||||
|
|
|||||||||||
| Medical Services for Indigents (AMM02) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Medical Services Initiative (Z95400)
12057 |
Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A - (FQHC) only - not for AZ, MT, ND, SD, UT, WY (with Attachments) (JZ1051) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Medicare A - Federally Qualified Health Centers (FQHC) only - not for AZ, MT, ND, SD, UT, WY (Z1051) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
Medicare A - RHHI - Home Health Hospice (REGION D, WI, MI, NY, NJ, MN, PR, VI) (Z1052)
Medicare A - RHHI - Home Health Hospice (WI, MI, NY, NJ, MN, Puerto Rico, Virgin Islands) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A - RHHI - Home Health Hospice (REGION D, WI, MI, NY, NJ, MN, PR, VI) (with Attachments) (JZ1052) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Medicare A & B Eligibility (All States) (Z1073) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Medicare A Alabama (IMAL0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Alaska (IMAK0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Arizona (IMAZ0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Arkansas (IMAR0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A California (IMCA0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Colorado (IMCO0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Connecticut (IMCT0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Connecticut (with Attachments) (JIMCT0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare A Delaware (IMDE0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A District Of Columbia (DC) (IMDC0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Florida (IMFL0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Georgia (IMGA0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Hawaii (IMHI0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Idaho (IMID0) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
Medicare A Illinois (IMIL0)
Medicare A Illinois - Adminastar |
Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Illinois (with Attachments) (JIMIL0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare A Indiana (IMIN0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Indiana (with Attachments) (JIMIN0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare A Iowa - (IMIA1) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Iowa - (with attachments) (JIMIA1) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Medicare A J5 (IA, KS, MO, NE Remits Only) (Z1314)
J5 National |
Paper | N | |||||||||
|
|
|||||||||||
| Medicare A Kansas (IMKS0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Kansas (with attachments) (JIMKS0) | Electronic | I | Y | ||||||||
|
|
|||||||||||
|
Medicare A Kentucky (IMKY0)
Medicare A Kentucky - Adminastar |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Louisiana (IMLA0) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
Medicare A Maine/HH & H (CT, MA, ME, NH, RI, and VT) (IMME0)
Medicare A Maine - Anthem BCBS ME |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Maine/HH & H (CT, MA, ME, NH, RI, and VT) (with Attachments) (JIMME0) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Medicare A Maryland (IMMD0) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
Medicare A Massachusetts (IMMA0)
Medicare A Massachusetts - Anthem BCBS ME |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Massachusetts (with Attachments) (JIMMA0) | Electronic | I | Y | ||||||||
|
|
|||||||||||
|
Medicare A MI, VA, WV, WI, FQHC, RHHI Remits (Z1341)
Medicare A REGION D - MI, WV, WI, FQHC, RHHI Remits Medicare A - Federally Qualified Health Centers (FQHC) only - not for AZ, MT, ND, SD, UT, WY (Z1051) Medicare A - RHHI - Home Health Hospice (WI, MI, NY, NJ, MN, Puerto Rico, Virgin Islands) (Z1052) Medicare A Virginia - UGS (IMVA0) Medicare A West Virginia (IMWV0) Medicare A Wisconsin - UGS (IMWI0) |
Paper | N | |||||||||
|
|
|||||||||||
|
Medicare A Michigan (IMMI0)
Medicare A Michigan- P4(PI Part A MI) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Michigan (with Attachments) (JIMMI0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare A Minnesota (IMMN0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Minnesota (with Attachments) (JIMMN0) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Medicare A Mississippi (IMMS0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Missouri (IMMO0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Missouri (with attachments) (JIMMO0) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Medicare A Montana (IMMT0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Nebraska (IMNE0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Nebraska (with attachments) (JIMNE0) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Medicare A Nevada (IMNV0) | Electronic | N | |||||||||
|
|
|||||||||||
|
Medicare A New Hampshire (IMNH0)
Medicare A New Hampshire - Adminastar |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A New Hampshire & Vermont (with attachments) (JIMNH0) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Medicare A New Jersey (IMNJ0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A New Mexico (IMNM0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A New York (IMNY0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A New York (with Attachments) (JIMNY0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare A North Carolina (IMNC0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A North Dakota (IMND0) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
Medicare A Ohio (IMOH0)
Medicare A Ohio - Adminastar |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Oklahoma (IMOK0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Oregon (IMOR0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Pennsylvania (IMPA0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Puerto Rico (46010) | Electronic | N | |||||||||
|
|
|||||||||||
|
Medicare A RHHI - REGION B (IMIA0)
Medicare A Iowa - RHHI Only Claims Medicare A RHHI (IA, NE, KS, MO, SD, ND, MT, WY, CO, UT, DE, MD, PA, VA, WV, DC) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Rhode Island (IMRI0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Rhode Island (with Attachments) (JIMRI0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare A South Dakota (IMSD0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Tennessee (IMTN0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Texas (IMTX0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Utah (IMUT0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Vermont (Z96396) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Virginia (IMVA0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Washington (IMWA0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A West Virginia (IMWV0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Wisconsin (IMWI0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Wisconsin (with Attachments) (JIMWI0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare A Wyoming (IMWY0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare Advantage - Pennsylvania (Z96299) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Medicare Advantage- MT, OK, TX, IL, NM (BC) (66006)
BCBS Medicare Advantage Plans |
Electronic | E | N | ||||||||
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| Medicare B Alabama (SMAL0) | Electronic | P | N | ||||||||
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| Medicare B Alaska (SMAK0) | Electronic | P | N | ||||||||
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| Medicare B Arizona (SMAZ0) | Electronic | P | N | ||||||||
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| Medicare B Arkansas (SMAR0) | Electronic | P | N | ||||||||
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| Medicare B California Northern (SMCA1) | Electronic | P | N | ||||||||
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| Medicare B California Southern (SMCA2) | Electronic | P | N | ||||||||
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| Medicare B Colorado (SMCO0) | Electronic | P | N | ||||||||
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| Medicare B Connecticut (SMCT0) | Electronic | P | N | ||||||||
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| Medicare B Connecticut (with Attachments) (JSMCT0) | Electronic | P | Y | ||||||||
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| Medicare B Delaware (SMDE0) | Electronic | P | N | ||||||||
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Medicare B District Of Columbia (DC) (SMDC0)
DC Metro Medicare Medicare B Maryland Montgomery and Prince George Medicare B Virginia Northern (VA) |
Electronic | P | N | ||||||||
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| Medicare B Florida (SMFL0) | Electronic | P | N | ||||||||
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| Medicare B Georgia (SMGA0) | Electronic | P | N | ||||||||
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Medicare B Hawaii (SMHI0)
Medicare B Guam & Northern Mariana Islands |
Electronic | N | |||||||||
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Medicare B Idaho (SMID0)
Medicare B Idaho - CIGNA |
Electronic | P | N | ||||||||
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| Medicare B Illinois (SMIL0) | Electronic | P | N | ||||||||
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| Medicare B Illinois (with Attachments) (JSMIL0) | Electronic | Y | |||||||||
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Medicare B Indiana (SMIN0)
Medicare B Indiana- P5(PI) |
Electronic | P | N | ||||||||
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| Medicare B Indiana (with Attachments) (JSMIN0) | Electronic | Y | |||||||||
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Medicare B Iowa (SMIA0)
Medicare B Iowa - WPS |
Electronic | P | N | ||||||||
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| Medicare B Iowa (with attachments) (JSMIA0) | Electronic | P | Y | ||||||||
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| Medicare B Kansas (SMKS0) | Electronic | P | N | ||||||||
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| Medicare B Kansas (with attachments) (JSMKS0) | Electronic | P | Y | ||||||||
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| Medicare B Kentucky (SMKY0) | Electronic | P | N | ||||||||
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| Medicare B Louisiana (SMLA0) | Electronic | P | N | ||||||||
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| Medicare B Maine (SMME0) | Electronic | P | N | ||||||||
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| Medicare B Maine (with Attachments) (JSMME0) | Electronic | P | Y | ||||||||
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| Medicare B Maryland (SMMD0) | Electronic | P | N | ||||||||
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| Medicare B Massachusetts (SMMA0) | Electronic | P | N | ||||||||
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| Medicare B Massachusetts (with Attachments) (JSMMA0) | Electronic | P | Y | ||||||||
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| Medicare B Michigan (SMMI0) | Electronic | P | N | ||||||||
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| Medicare B Michigan (with Attachments) (JSMMI0) | Electronic | P | Y | ||||||||
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| Medicare B Minnesota (SMMN0) | Electronic | P | N | ||||||||
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| Medicare B Minnesota (with Attachments) (JSMMN0) | Electronic | Y | |||||||||
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| Medicare B Mississippi (SMMS0) | Electronic | P | N | ||||||||
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Medicare B Missouri (SMMO0)
Medicare B Missouri - MO BCBS |
Electronic | P | N | ||||||||
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| Medicare B Missouri (Johnson & Wyandotte County only) (SMMO2) | Electronic | P | N | ||||||||
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| Medicare B Missouri (with attachments) (JSMMO0) | Electronic | P | Y | ||||||||
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| Medicare B Montana (SMMT0) | Electronic | P | N | ||||||||
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Medicare B Nebraska (SMNE0)
Medicare B Nebraska - WPS |
Electronic | P | N | ||||||||
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| Medicare B Nebraska (with attachments) (JSMNE0) | Electronic | P | Y | ||||||||
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| Medicare B Nevada (SMNV0) | Electronic | N | |||||||||
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| Medicare B New Hampshire (SMNH0) | Electronic | P | N | ||||||||
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| Medicare B New Hampshire (with Attachments) (JSMNH0) | Electronic | P | Y | ||||||||
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| Medicare B New Jersey (SMNJ0) | Electronic | N | |||||||||
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| Medicare B New Mexico (SMNM0) | Electronic | P | N | ||||||||
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| Medicare B New York - Empire (SMNY0) | Electronic | P | N | ||||||||
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| Medicare B New York - Empire (with Attachments) (JSMNY0) | Electronic | P | Y | ||||||||
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Medicare B New York - Group Health Inc (SMNY2)
Medicare B New York GHI Medicare B New York Queens |
Electronic | P | N | ||||||||
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| Medicare B New York - Group Health Inc (with Attachments) (JSMNY2) | Electronic | P | Y | ||||||||
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| Medicare B New York Upstate (SB807) | Electronic | P | N | ||||||||
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| Medicare B New York Upstate (with Attachments) (JSB807) | Electronic | P | Y | ||||||||
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| Medicare B North Carolina (SMNC0) | Electronic | P | N | ||||||||
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| Medicare B North Dakota (SMND0) | Electronic | P | N | ||||||||
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| Medicare B Ohio (SMOH0) | Electronic | P | N | ||||||||
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| Medicare B Oklahoma (SMOK0) | Electronic | P | N | ||||||||
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| Medicare B Oregon (SMOR0) | Electronic | P | N | ||||||||
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| Medicare B Pennsylvania (SMPA0) | Electronic | P | N | ||||||||
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| Medicare B Puerto Rico (SMPR0) | Electronic | P | N | ||||||||
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| Medicare B Rhode Island (SMRI0) | Electronic | P | N | ||||||||
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| Medicare B Rhode Island (with Attachments) (JSMRI0) | Electronic | P | Y | ||||||||
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| Medicare B South Carolina (SMSC0) | Electronic | P | N | ||||||||
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| Medicare B South Dakota (SMSD0) | Electronic | P | N | ||||||||
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| Medicare B Tennessee (SMTN0) | Electronic | P | N | ||||||||
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| Medicare B Texas (SMTX0) | Electronic | P R | N | ||||||||
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| Medicare B Utah (SMUT0) | Electronic | P | N | ||||||||
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| Medicare B Vermont (SMVT0) | Electronic | P | N | ||||||||
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| Medicare B Vermont (with Attachments) (JSMVT0) | Electronic | P | Y | ||||||||
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| Medicare B Virgin Islands (SMVI0) | Electronic | P | N | ||||||||
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| Medicare B Virginia (SMVA0) | Electronic | P | N | ||||||||
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| Medicare B Washington (SMWA0) | Electronic | P | N | ||||||||
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| Medicare B West Virginia (SMWV0) | Electronic | P | N | ||||||||
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| Medicare B Wisconsin (SMWI0) | Electronic | P | N | ||||||||
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| Medicare B Wisconsin (with attachments) (JSMWI0) | Electronic | Y | |||||||||
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| Medicare B Wyoming (SMWY0) | Electronic | P | N | ||||||||
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| Medicare Home Health & Hospice (J14 - NHIC) (with Attachments) (J12HHA) | Electronic | I | Y | ||||||||
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| Medicare Home Health & Hospice (J14) (12HHA) | Electronic | I | N | ||||||||
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| Medicare Mucho Mas (Z1262) | Paper | N | |||||||||
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| Medicare Northwest Part A Remits (AK, ID, OR, WA) (Z1321) | Paper | N | |||||||||
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Medicare Plus Blue (Michigan) (Z0058)
Medicare Advantage Plan (Michigan) |
Electronic | P | N | ||||||||
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Medicare Plus Blue of Michigan Institutional (Z0083)
Medicare Advantage Plan of Michigan Institutional |
Electronic | N | |||||||||
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Medicare RHHI Jurisdiction M and South Carolina Part A (Z1048)
HH&H Jurisdiction M (IL, IN, OH, KY, TN, NM, TX, OK, LA, AR, AL, MS, GA, NC, SC, FL) SE/SW Regional Home Health (SC, NC, TN, KY, LA, AR, OK, TX, NM) |
Electronic | I | N | ||||||||
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| Medicare y Mucho Mas (MMM) (L0210) | Paper | P I E | N | ||||||||
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| MediChoice IPA (AMM11) | Electronic | N | |||||||||
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Medico Life and Health Insurance Company (HDM04)
23160 Medico Corp Life Insurance Medico Insurance Company |
Paper | P I E M | N | ||||||||
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| MedicusSTAT, LLC (E2712) | Electronic | P I | N | ||||||||
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Medigold Health Plans (95655)
Mt. Carmel Health Plan |
Electronic | P I E | N | ||||||||
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| Medigold PPO (13123) | Electronic | P I | N | ||||||||
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| MEDIMPACT (Z95672) | Paper | N | |||||||||
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| Mediview Curative (CURTV) | Electronic | N | |||||||||
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| Mediview UTMB Care (RUTMB) | Electronic | N | |||||||||
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| MedLogix MSO - Allied Health Solutions (MLAHS) | Electronic | N | |||||||||
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| MedLogix MSO - Americo IPA (MLAMR) | Electronic | P I | N | ||||||||
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MedMutual Protect (Remits Only) (Z96554)
Kemper Health/United Insurance Company of America (Remits Only) |
Paper | N | |||||||||
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| Medpartners Admin Services (412MP) | Electronic | N | |||||||||
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| MedPartners Admin Services (IN) (441MP) | Electronic | N | |||||||||
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| Med-Pay (7480) | Electronic | E M | N | ||||||||
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| MedPOINT Management (EOBC) (Z96404) | Paper | N | |||||||||
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MEDRISK (All States) (WC Only) (J1956)
SPNET |
Electronic | Y | |||||||||
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| MEDRISK (All States) (WC Only) (J1956W) | Electronic | N | |||||||||
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| Medsolutions Post Accute Care (15395) | Electronic | N | |||||||||
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Medstar DC (RP062)
Medstar Family Choice DC |
Electronic | P I | N | ||||||||
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| MedStar Family Choice (RP063) | Electronic | E | N | ||||||||
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Medstar Physician Partners (00243)
Helix Family Choice |
Electronic | P | N | ||||||||
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| MedView (41203) | Electronic | P | N | ||||||||
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Mega Life & Health Oklahoma City (59227)
Mega Life & Health Insurance Company The Mega Life & Health Insurance Company -OKC |
Electronic | P | N | ||||||||
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| Meijer Stores (All States) (WC Only) (J1930W) | Electronic | Y | |||||||||
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| Member Insurance Agency Inc. (J1353W) | Electronic | Y | |||||||||
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| MEMIC Casualty Company (All States) (Auto only) (14164A) | Electronic | Y | |||||||||
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| MEMIC Casualty Company (All States) (WC only) (14164W) | Electronic | Y | |||||||||
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| MEMIC Indemnity Company (M11030) | Electronic | N | |||||||||
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| MEMIC Indemnity Company (All States) (Auto only) (11030A) | Electronic | Y | |||||||||
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MEMIC Indemnity Company (All States) (WC only) (11030W)
Maine Employees Mutual Insurance Co (All States) (WC Only) |
Electronic | Y | |||||||||
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Memorial Hermann Health Network Providers (MHHNP)
Memorial Hermann Health Insurance Company |
Paper | P I | N | ||||||||
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| Memorial Medical Center (87166) | Electronic | N | |||||||||
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Memorialcare Medical Foundation (MMFMC)
Bristol Park Medical Group |
Electronic | P I | N | ||||||||
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| MemorialCare Medical Foundation Capitation Services (MMFCS) | Electronic | P I | N | ||||||||
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| MemorialCare Medical Foundation UCI (MMFUC) | Electronic | P I | N | ||||||||
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MemorialCare Select Health Plan (46187)
Seaside Health Plan |
Electronic | P I | N | ||||||||
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| MemorialCare Select Health Plan (Encounters Only) (E4618) | Electronic | P I | N | ||||||||
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| Mendota Insurance Company (MN Only) (Auto Only) (33650A) | Electronic | Y | |||||||||
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| Mental Health Consultants Inc (37050) | Paper | P I | N | ||||||||
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| Merchants Benefit Admin (MBAM1) | Electronic | N | |||||||||
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| Merchants Benefit Administration (86087) | Electronic | N | |||||||||
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| Merchants Insurance Group (NJ only)(Auto Only) (C1095A) | Electronic | P I | Y | ||||||||
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| Mercury (NJ, NY Only) (Auto Only) (C1087A) | Electronic | P I | Y | ||||||||
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Mercy Benefit Administrators (37264)
St John's Claims Administration |
Electronic | P I | N | ||||||||
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| Mercy Care (AHCCCS)(Medicare Advantage) (86052MA) | Electronic | P I | N | ||||||||
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Mercy Care Arizona (AHCCCS) (86052)
Comprehensive Medical and Dental Program Mercy Care DCS CHP Mercy Care Department of Child Safety Comprehensive Health Plan Schaller Anderson Mercy Care |
Electronic | P I E | N | ||||||||
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| Mercy Care Health Plan (00340) | Paper | E | N | ||||||||
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| Mercy Maricopa (Schaller Anderson) (10996) | Paper | N | |||||||||
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| Mercy Maricopa Integrated Care (33628) | Electronic | E M | N | ||||||||
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Mercy Medical Group (HOSH1)
Dignity Health Sacramento Hosp SHO Hill Physicians Medical Group Woodland Clinic |
Paper | P I | N | ||||||||
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| Mercy Provider Network (43185) | Electronic | N | |||||||||
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| MercyCare (39114) | Electronic | P I | N | ||||||||
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| Meridian Complete of Illinois (Effective 1/1/2021) (Medicaid Managed Care) (MHPILMC) | Electronic | P I | N | ||||||||
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Meridian Complete of Michigan (Effective 1/1/2021) (MHPMI)
Ambetter from Michigan Meridian Complete Michigan Complete |
Electronic | P I E M | N | ||||||||
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| Meridian Complete of Michigan (with attachments) (JMHPMI) | Electronic | Y | |||||||||
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Meridian Health Plan of Illinois (MHPIL)
Illinois Complete Meridian Complete of Illinois (Effective 1/1/2021) Meridian Health Plan of Illinois (DOS 7/1/2021 and After) Meridian Health Plan of Illinois- Medicaid Eligibility Only MeridianTotal YouthCare and Ambetter YouthCare HealthChoice Illinois |
Electronic | P I E | N | ||||||||
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Meridian Health Plan of Illinois (DOS 6/30/2021 and Prior) (13189)
Meridian Health, a WellCare Company Next Level Health Partners |
Electronic | P I E | N | ||||||||
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| Meridian Health Plan of Illinois (with attachments) (JMHPIL) | Electronic | Y | |||||||||
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Meridian Health Plan of Michigan (DOS 3/31/2022 and prior) (Z1054)
83253 Health Plan of Michigan (DOS 3/31/2022 and prior) Meridian Health Plan of Michigan (DOS 3/31/2022 and prior) (52563) |
Electronic | P I E | N | ||||||||
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| Meridian Management Services LLC (All States)(WC Only) (J2379) | Electronic | P I | Y | ||||||||
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| Meridian PACE Solutions (MPSAB) | Paper | P I | N | ||||||||
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| Meritage First Choice (FC002) | Paper | P I | N | ||||||||
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Meritage Medical Network (IP097)
Marin IPA |
Paper | P I | N | ||||||||
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Meritain Health Minneapolis (41124)
CBSA Corporate Benefit Services of America Iowa Benefits Inc (IBI) MyQHealth National General (Aetna/Meritain) Performax, Inc. Sheet Metal Workers |
Electronic | P I E | N | ||||||||
|
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| Meritain Health Minneapolis (with attachments) (J41124) | Electronic | Y | |||||||||
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| Meritain Health/Agency Services Inc (64158) | Electronic | P | N | ||||||||
|
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|||||||||||
| MetLife Dental (Remits Only) (65978) | Paper | N | |||||||||
|
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|||||||||||
| MetLife Dental Family (10134) | Paper | E | N | ||||||||
|
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| MetroPlus Health Plan (13265) | Electronic | P I E | N | ||||||||
|
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| MetroPlus Health Plan (Medicaid Managed Care) (13265MC) | Electronic | P I | N | ||||||||
|
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| Metropolitan Council (All States) (Auto only) (J1355A) | Electronic | Y | |||||||||
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|
Metropolitan Council (All States) (WC only) (J1355W)
Metropolitan Council - CORVEL (WC Only) |
Electronic | Y | |||||||||
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|||||||||||
| Metropolitan Council (All States) (WC Only) w/o Attach (J1355) | Electronic | N | |||||||||
|
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| Metropolitan Property and Casualty Insurance Company/Met Life (MN Only) (Auto Only) (C1011A) | Electronic | Y | |||||||||
|
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| Metropolitan Transit Authority of Harris County (TX Only) (WC Only) (J1238W) | Electronic | Y | |||||||||
|
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| Metrowest Health Plan Preferred (MWP01) | Electronic | N | |||||||||
|
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|
Mettler - Toledo (All States except ND, WA WY) (WC Only) (E1673W)
J3315 |
Electronic | N | |||||||||
|
|
|||||||||||
| MHN-Managed Health Network (Richmond CA) (22771) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Miami Behavioral Health (92579) | Paper | P | N | ||||||||
|
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|||||||||||
| Miami Children's Health Plan (Remits Only) (82832) | Paper | N | |||||||||
|
|
|||||||||||
| Miccosukee Tribe (61409) | Paper | N | |||||||||
|
|
|||||||||||
| Michigan Blue Cross FEP (3531) | Electronic | N | |||||||||
|
|
|||||||||||
| Michigan Conference of Teamsters Welfare Fund (Remits Only) (ZP1401) | Paper | N | |||||||||
|
|
|||||||||||
|
Michigan Education Special Services Association (Remits Only) (38164)
MESSA |
Paper | N | |||||||||
|
|
|||||||||||
| Michigan Medicaid Pending (SKMI2) | Paper | E | N | ||||||||
|
|
|||||||||||
| Michigan MIChild (10138) | Paper | E | N | ||||||||
|
|
|||||||||||
| Michigan Millers Mutual (All States) (WC Only) (J1988) | Electronic | Y | |||||||||
|
|
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|
Mid Coast Care (77012)
MidCoast IPA |
Electronic | N | |||||||||
|
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|
Mid-America Associates Inc (37281)
Liberty Union, Life Assurance Company |
Electronic | P | N | ||||||||
|
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|||||||||||
| Mid-American Benefits (22823) | Electronic | N | |||||||||
|
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|||||||||||
| Mid-American TPA: AAI, Inc. (UCS) (12251) | Electronic | N | |||||||||
|
|
|||||||||||
| Midland Care Connection Inc (EOBC) (R0319) | Paper | N | |||||||||
|
|
|||||||||||
| Midland National Life Ins Co (NFIC Plan Only) (Z0067) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Midlands Choice Inc (47080) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Mid-Valley Behavioral Health Network (DOS prior to 01/01/2020) (MVBCN) | Electronic | N | |||||||||
|
|
|||||||||||
| Midwest Builders (TX, MN) (WC Only) (J3939) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Midwest Drywall (TX, MN) (WC Only) (WX605W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Midwest Family Mutual (WC Only)(All States) (23574) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Midwest Family Mutual Insurance Co (J1685A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Midwest Family Mutual Insurance Co (MN TX Only) (WC Only) (J1685W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Midwest Group Benefits (Z95655) | Paper | N | |||||||||
|
|
|||||||||||
|
Midwest Group Benefits (MGB01)
61146 |
Electronic | N | |||||||||
|
|
|||||||||||
| Midwest Health Partners (76079) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Midwest Insurance Co (All States) (Auto Only) (10895A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Midwest Insurance Co (All States) (WC Only) (10895W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Midwest Operating Engineers Welfare Fund (45979)
Midwest Operating Engineers Fringe Benefit Funds |
Electronic | N | |||||||||
|
|
|||||||||||
| Midwestern Insurance Alliance (All States) (Auto Only) (J4243A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Midwestern Insurance Alliance (All States) (WC Only) (J4243)
CB691 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Midwestern Insurance Alliance (Remits Only) (02946) | Paper | N | |||||||||
|
|
|||||||||||
| MILITARY DELI & BAKERY (WC Only) (WR003W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Millard Refrigerated (All States) (WC Only) (J1482) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Mills Peninsula Medical Group (SPS - Sutter)(DOS after 4/1/2014) (SC050)
Sutter Connect - Palo Alto Medical Foundation |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Mills Peninsula Medical Group( for claims with DOS prior to 4/1/2014) (MPMG1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Minneapolis Public School (All States)(Auto Only) (J2890A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minneapolis Public School (All States)(WC Only) (J2890) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minneapolis Public Schools (MN)(All States)(WC Only) (E1859) | Electronic | N | |||||||||
|
|
|||||||||||
|
Minnesota Counties Ins Trust (MCIT) (A0322)
MCIT |
Electronic | N | |||||||||
|
|
|||||||||||
| Minnesota Counties Ins Trust (MCIT) (All States) (WC Only) (J1351) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minnesota Counties Ins Trust (MCIT) (WC Only) (TX Only) (J1351W) | Electronic | N | |||||||||
|
|
|||||||||||
| Minnesota Insurance Guaranty Association (MIGA) (I9736) | Electronic | N | |||||||||
|
|
|||||||||||
| Minnesota Insurance Guaranty Association (MIGA) (All States) (Auto Only) (J2094A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minnesota Insurance Guaranty Association (MIGA) (All States) (WC Only) (J2094W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minuteman Health (MA, NH) (01776) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Mission Community IPA (PHM10) | Paper | P | N | ||||||||
|
|
|||||||||||
| Mississippi Children's Health Insurance Program (10140) | Paper | E | N | ||||||||
|
|
|||||||||||
| Mississippi Physicians Care Network (64084) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Missoula County Medical Benefits Plan (37275) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Missouri Blue Cross - Kansas City, MO (Z1072) | Electronic | N | |||||||||
|
|
|||||||||||
| Missouri Care (10702) | Paper | E | N | ||||||||
|
|
|||||||||||
| Missouri Care (SCHALLER ANDERSON) (10695) | Paper | E | N | ||||||||
|
|
|||||||||||
| Missouri Employers Mutual (All States) (WC Only) (J3815) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Mitchell Energy & Devel (All States) (WC Only) (J1085) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance Co (All States) (Auto Only) (J1692A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance Co (All States) (WC Only) (J1692) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance Group (20362A) | Paper | N | |||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance Group (20362W) | Paper | N | |||||||||
|
|
|||||||||||
|
Mitsui Sumitomo Insurance USA Inc (All States) (Auto Only) (J1694A)
Mitsui Sumitomo Insurance USA Inc (All States)(Auto Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance USA Inc (All States) (WC Only) (J1694W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance USA Inc. (WC Only) (22551W) | Paper | N | |||||||||
|
|
|||||||||||
| ML Healthcare (26097) | Electronic | N | |||||||||
|
|
|||||||||||
| MMIC (All States) (Auto only) (J1622A) | Electronic | Y | |||||||||
|
|
|||||||||||
| MMIC (All States) (WC only) (J1622W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
MMM Florida (MMMFL)
Medicare and Much More Florida Inc |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| MMM Medicare y Mucho Mas (Z60055) | Paper | N | |||||||||
|
|
|||||||||||
|
MMM Multihealth (Reform) (Z96648)
Medicare y Mucho Mas (MMM) Reform |
Paper | P I | N | ||||||||
|
|
|||||||||||
| MN Department of Labor (Z96184) | Paper | N | |||||||||
|
|
|||||||||||
| MN Dept of Health (MNDH1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
MN-Department of Labor (All States) (WC Only) (J1436W)
Minnesota Department of Labor & Industry - Claims Services & Investigations Unit (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Moda Health (13350)
Eastern Oregon (ORCAID CCO) ODS Health Plan OEA Choice Trust Tuality Health Alliance (DOS after 1/1/2020) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Moda Health (Medicaid Managed Care) (13350MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Molina Complete Care of Arizona (MCC01)
Molina Complete Care |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Molina Complete Care of Virginia (DOS prior to 7/1/2022) (MCCVA)
Magellan Complete Care of Virginia (DOS prior to 7/1/2022) Molina Complete Care - Medicaid (DOS prior to 7/1/2022) |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of CA - Encounters only (33373) | Electronic | N | |||||||||
|
|
|||||||||||
| Molina Healthcare of California (38333) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of California (Medicaid Managed Care) (38333MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Florida (51062) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Florida (Medicaid Managed Care) (51062MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Idaho (61799) | Electronic | N | |||||||||
|
|
|||||||||||
| Molina Healthcare of Illinois (20934) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Iowa (DOS 7/1/23 and after) (MLNIA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of Michigan (Z1007)
38334 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Mississippi (77010) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Mississippi (Medicaid Managed Care) (77010MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Nebraska (MLNNE) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Nevada (MLNNV) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of New Mexico (TH059)
09824 Cimmaron Salud Lovelace Salud - (DOS after 08/01/13) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of New York (16146)
Affinity by Molina Healthcare EMC - Total Care NY SCHC Total Care |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of New York (Medicaid Managed Care) (16146MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Ohio (20149) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Ohio (Medicaid Managed Care) (20149MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of South Carolina (46299) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of South Carolina (Medicaid Managed Care) (46299MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of Texas (Z1161)
20554 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Texas (Commercial Claims only) (Z96210) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Texas (Medicaid Managed Care) (Z1161MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Texas (Medicare Advantage) (Z1161MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of Utah (Z1014)
SX109 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Washington (38336) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Washington (Encounters Only) (43174) | Electronic | N | |||||||||
|
|
|||||||||||
| Molina Healthcare of Washington (Medicaid Managed Care) (38336MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of Wisconsin (ABRI1)
Abri Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina SCI (04423) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Monarch (07748) | Paper | N | |||||||||
|
|
|||||||||||
|
Monarch Healthcare IPA (IP095)
Acclaim IPA Acclaim IPA (MHCAC) Anaheim Memorial IPA (MHCAN) Long Beach Memorial IPA (MHCLB) Memorial Healthcare IPA Orange Coast Memorial IPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Monitor Life (Remits Only) (Z98244) | Paper | N | |||||||||
|
|
|||||||||||
|
Monitor Life Insurance Company of NY (Z90016)
01759 16098 |
Electronic | N | |||||||||
|
|
|||||||||||
| Montana State Fund (All States) (WC Only) (J2893) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montana State Fund (All States) (WC Only) (J2893W) | Electronic | N | |||||||||
|
|
|||||||||||
| Montefiore Contract Management Organization (13174) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Montefiore HMO (46161) | Electronic | N | |||||||||
|
|
|||||||||||
| Montgomery (All States) (WC Only) (J1424W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montgomery County Self-Insurance Program (MD) (All States) (Auto only) (J1890A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montgomery County Self-Insurance Program (MD) (All States) (WC only) (J1890W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montgomery County Texas (All States) (WC Only) (A0179W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MoreCare (65465) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Morongo Basin Transit Authority (All States) (Auto only) (J1651A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Morongo Basin Transit Authority (All States) (WC only) (J1651W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Morris Associates (35092) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Morris Material Handling (All States) (WC Only) (WX166W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Morrison Health Care, Inc. (TX, MN) (WC Only) (WX216W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Morselife Home Care (EOBC) (R31362) | Paper | N | |||||||||
|
|
|||||||||||
| Mountain State FreedomBlue Medicare Advantage (15459) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| MPE Employee Benefit Services Inc/MPEEBT (37233) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MPM Prospect (MPM16) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MPower FFS (MPWR01) | Electronic | N | |||||||||
|
|
|||||||||||
| Mr Bults Inc (WC Only) (J1357W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MSA CareGuard (20572) | Electronic | N | |||||||||
|
|
|||||||||||
|
MSH Reimbursement (05587)
Genentech BioOncology Co-pay Card |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| MSO (EOBC) (Z96612) | Paper | N | |||||||||
|
|
|||||||||||
|
MSO Inc of Southern California (Z96474)
MSO So Cal |
Paper | N | |||||||||
|
|
|||||||||||
| MTS (All States) (Auto only) (J1641A) | Electronic | Y | |||||||||
|
|
|||||||||||
| MTS (All States) (WC only) (J1641W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MTS Staffing (J1358W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Multicare Connected Care (RP036) | Electronic | N | |||||||||
|
|
|||||||||||
|
Multicare PACE (R3457)
Pacific Northwest PACE |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Multiplan Wisconsin Preferred Provider Network (Z1192)
34080 |
Electronic | N | |||||||||
|
|
|||||||||||
| Multiplan/Basic Plus (41204) | Electronic | N | |||||||||
|
|
|||||||||||
| Multnomah County Other (MLTOT) | Electronic | N | |||||||||
|
|
|||||||||||
| Munford, Inc. (TX, MN) (WC Only) (WX248W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Municipal Health Benefit Fund (81883)
MunicipalHealthBenefitFund |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Municipal Pooling Authority (All States) (WC Only) (J2141W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Municipal Risk Mgmt Pooled Trust (EOBC) (A0721A) | Paper | N | |||||||||
|
|
|||||||||||
| Muskegon Care (A1681) | Electronic | N | |||||||||
|
|
|||||||||||
|
Mutual Health Services (34192)
Antares Management Solutions Westlake OH |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Mutual of Omaha Insurance Company (71412)
AssuredLifeAssoc Comal ISD ExclusiCare Gerber Life Medicare Supplement Government Personnel Mutual Life Insurance GPM Health and Life Insurance Company GPM Health Insurance Mutual of Omaha Mutual of Omaha Insurance Mutually Preferred National Rural Letter Carrier Association Omaha Insurance Company TransChoiceAdvance United of Omaha United World United World Life Insurance Company |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Mutual of Omaha Medicare (52280)
J5 National 05901 WPS Legacy A |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Mutual of Omaha Medicare (CA, NV, HI only) (Z1374) | Electronic | N | |||||||||
|
|
|||||||||||
|
Mutual of Omaha Medicare (CO, NM, OK, TX only) (04901)
04911 |
Electronic | N | |||||||||
|
|
|||||||||||
| Mutual of Omaha Medicare (DE, MD, NJ, PA, DC Only) (12901) | Electronic | N | |||||||||
|
|
|||||||||||
| Mutual of Omaha Medicare (with attachments) (J52280) | Electronic | I | Y | ||||||||
|
|
|||||||||||
|
MVP Health Care (14165)
Hudson Health Plan Mohawk Valley Preferred Care (NY Rochester) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| MVP Health Care (Medicaid Managed Care) (14165MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| My Choice IPA (MPM21) | Electronic | N | |||||||||
|
|
|||||||||||
| My Family Medical Group (33020) | Electronic | N | |||||||||
|
|
|||||||||||
| MyDecision HealthSmart (18840) | Electronic | N | |||||||||
|
|
|||||||||||
| MyTruAdvantage (MTAMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
NAHGA Inc (67788)
NAHGA Claims Services |
Electronic | N | |||||||||
|
|
|||||||||||
| NAMCI/Global Care (L0110) | Electronic | N | |||||||||
|
|
|||||||||||
| NAP Tools (TX, MN) (WC Only) (WX608W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Naphcare (58182) | Electronic | N | |||||||||
|
|
|||||||||||
|
Nascentia Health (Medicaid) (31626)
Nascentia Health Options VNA Homecare Options |
Electronic | N | |||||||||
|
|
|||||||||||
|
Nascentia Health (Medicare) (45529)
Nascentia Health Plus |
Electronic | N | |||||||||
|
|
|||||||||||
| National Allied Workers Union Local 831 (CB148) | Electronic | N | |||||||||
|
|
|||||||||||
| National American Ins Co (NAICO) (CA NC MN OR TX Only) (Auto only) (J1695A) | Electronic | Y | |||||||||
|
|
|||||||||||
| National American Ins Co (NAICO) (CA NC MN OR TX Only) (WC only) (J1695W) | Electronic | Y | |||||||||
|
|
|||||||||||
| National American Insurance Co (NAICO) (Auto Only) (23663A) | Paper | N | |||||||||
|
|
|||||||||||
| National American Insurance Co (NAICO) (WC Only) (23663W) | Paper | N | |||||||||
|
|
|||||||||||
| National Asbestos Workers Medical Fund (16228) | Paper | P I | N | ||||||||
|
|
|||||||||||
| NATIONAL ASSOCIATION OF LETTER CARRIERS (10200) | Paper | N | |||||||||
|
|
|||||||||||
|
National Association of Letter Carriers (NALC) (53011)
NALCHBP |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
National Chiropractic Network (58204)
Coordinated Medical Specialists Dermatology Network Solutions GI Innovative Management Orthopedix Network Inc Parity Healthcare LLC Physician Associates of Louisiana Podi Care Managed Care |
Electronic | P | N | ||||||||
|
|
|||||||||||
| National Elevator Industry Health Benefit Plan (Remits Only) (CX045) | Paper | N | |||||||||
|
|
|||||||||||
| National Financial Insurance Company (90956) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
National Foundation Life Insurance Company (98205)
American Founders Life Ins Co (NFL Plans Only) |
Electronic | P | N | ||||||||
|
|
|||||||||||
| National General (ASHC1) | Electronic | N | |||||||||
|
|
|||||||||||
| National Guardian Life Insurance (65415) | Paper | P I | N | ||||||||
|
|
|||||||||||
| National Health Benefit (88057) | Electronic | N | |||||||||
|
|
|||||||||||
|
National Health Benefits Corporation-NHBC-Auxiant-MPC (88050)
Auxiant National Health Benefits Corporation NHBCAUX |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
National Imaging Associates (SX190)
NIA - Magellan Health Services NIA11 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| National Interstate (All States) (Auto Only) (32620A) | Electronic | Y | |||||||||
|
|
|||||||||||
| National Interstate (All States) (WC Only) (32620) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| National Interstate (All States) (WC Only) (32620W) | Electronic | Y | |||||||||
|
|
|||||||||||
| National Interstate (MN, TX) [WC, Auto] (WC169) | Electronic | N | |||||||||
|
|
|||||||||||
| NATIONAL INTERSTATE INSURANCE (Auto Only) (WR096A) | Electronic | N | |||||||||
|
|
|||||||||||
| National Vision (NVADM) | Electronic | N | |||||||||
|
|
|||||||||||
|
Nationwide - previously Harleysville Ins Comp (All States) (Auto only) (J1595A)
Harleysville Insurance Company (Auto only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Nationwide Auto (MN, NJ Only) (Auto Only) (C1062) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Nationwide Insurance-Gainesville (MN,TX) (Auto Only) (A0505A) | Electronic | N | |||||||||
|
|
|||||||||||
|
Nationwide Mutual Insurance Company (All States) (WC Only) (J1552)
Nationwide Affinity Ins Co Of America (NAICOA) Nationwide Ins Co Of America (NICOA) Nationwide Insurance Companies Nationwide Mutual Fire Co Nationwide Property And Casualty Ins Co |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Nationwide Mutual Insurance Company (All States) (WC Only) (J1552W) | Electronic | N | |||||||||
|
|
|||||||||||
| Native Care Health (Remits Only) (19191) | Paper | N | |||||||||
|
|
|||||||||||
| NBC Universal (All States) (WC Only) (J1359W) | Electronic | Y | |||||||||
|
|
|||||||||||
| NBSIA-North Bay Schools Insurance Authority (All States) (WC Only) (J1549) | Electronic | Y | |||||||||
|
|
|||||||||||
| NC Department of Public Instruction (J1660A) | Electronic | Y | |||||||||
|
|
|||||||||||
| NC Department of Public Instruction (J1660W) | Electronic | Y | |||||||||
|
|
|||||||||||
| NCA Comp (Auto Only) (J4250A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| NCA Comp (WC Only) (J4250) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| NCLM - North Carolina League of Municipalities (All States) (WC Only) (J1772W) | Electronic | Y | |||||||||
|
|
|||||||||||
| NCRNC (EOBC) (R4680) | Paper | N | |||||||||
|
|
|||||||||||
|
NEBA National Employee Benefits Administrators (Remits Only) (R22140)
NEBA |
Paper | N | |||||||||
|
|
|||||||||||
| Neighborhood Health Partnership (95123) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| Neighborhood Health Plan of Rhode Island (Medicaid Managed Care) (05047MC) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Neighborhood Health Plan of RI (05047)
Neighborhood Health Plan of Rhode Island NHPRI |
Paper | P I E | N | ||||||||
|
|
|||||||||||
|
Neighborhood Health Plan RI - Integrity (96240)
Neighborhood Health Plan RI - Exchange, Unity, Integrity |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Neighborhood Healthcare PACE (R3456) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Netcare Life & Health Insurance (66055) | Electronic | P | N | ||||||||
|
|
|||||||||||
| NetWell (27726) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Network Health Insurance Corp-Medicare (77076) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Network Health Plan of Wisconsin Inc (39144) | Electronic | P I E | N | ||||||||
|
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|||||||||||
|
Network Health PPO (AMS01)
Amer Healthcare Plan Net Dentemax Dentemax/DPI (MI) Family Health Network (WI) FHC Super Select (FL) Florida Health Choice Florida Health Choice/Select Health Net Plus (TN) HealthCare Preferred (IA) Homestead CHP/S Iowa, Envoy Platinum Methodist SW Prv Org National Association Preferred Prv TX Network Health PPO (WI) Partners in Practice (TX) Plaines (IA) Plaines Advisor (FL) Plaines Advisor (WI) Plaines Networks - Envoy Preferred Community Choice (OK) SoNoran Desert Health Sooner Health Network Tristate Unity/Precision Health Plans |
Electronic | N | |||||||||
|
|
|||||||||||
|
Network Medical Management (NMM01)
Access Primary Care Medical Group (APCMG) Advanced Physicians IPA Advantage Medical Group Allied Pacific of California Allied Physicians Medical Group Arcadia Methodist IPA Arroyo Vista Family Health Center Citrus Valley IPA Diamond Bar Medical Group Glendale Adventist Medical Center Greater Orange Medical Group Greater San Gabriel Medical Group Pacific IPA Physicians Healthways IPA White Memorial Medical Center |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Network Medical Management (Medicaid Managed Care) (NMM01MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Network solutions IPA (NSIPA) | Electronic | N | |||||||||
|
|
|||||||||||
| NEUEHealth (NEUEH) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Nevada Preferred-GEHA (GEHA9) | Electronic | N | |||||||||
|
|
|||||||||||
| NevadaCare (86067) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
New Avenues Inc (95998)
Midwest Behavioral Health |
Electronic | N | |||||||||
|
|
|||||||||||
|
New Century Health - Arizona Integrated Physicians Radiation (NCHOR)
New Century Health - Florida Blue Medicare Radiation |
Paper | P | N | ||||||||
|
|
|||||||||||
|
New Century Health - CAC Centers (NCHCA)
New Century Health - CarePlus Cardiology New Century Health - Simply Health Care Cardiology New Century Health - Vista Cardiology - Summit |
Paper | N | |||||||||
|
|
|||||||||||
|
New Century Health - California Eye Care (Z1361)
NCH05 |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
New Century Health - CarePlus Cardiology (Z1362)
NCH04 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| New Century Health - CarePlus Dermatology (Z1363) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
New Century Health – Cigna Medical Group AZ (NCHON)
New Century Health - Arizona Integrated Physicians New Century Health - Humana Oncology New Century Health - Humana Radiation Oncology New Century Health - Simply Health Care Oncology New Century Health - Simply Health Care Radiation New Century Health Sol-CarePlus Radiation Onocology New Century Health Solutions - CarePlus Oncology New Century Health Solutions - Vista Oncology New Century Health Solutions-Vista Radiation Oncology |
Paper | P | N | ||||||||
|
|
|||||||||||
| New Directions Behavioral Health (NDX99) | Paper | P I | N | ||||||||
|
|
|||||||||||
| New Directions Behavioral Health UB (UDX99) | Electronic | N | |||||||||
|
|
|||||||||||
| New England Health Care Employees Welfare Fund (09390) | Paper | N | |||||||||
|
|
|||||||||||
| New Era Life - Employee Benefit Plans (96396) | Paper | P I | N | ||||||||
|
|
|||||||||||
| New Era Life Insurance Company (98798) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| New Jersey Carpenters Health Fund (22603) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| NEW JERSEY CHARITY CARE INPATIENT (Z96391) | Electronic | I | N | ||||||||
|
|
|||||||||||
| NEW JERSEY CHARITY CARE OUTPATIENT (Z96392) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
New Jersey Manufacturing (All States) (Auto Only) (C1048A)
New Jersey Indemnity (All States) (Auto Only) NJ Indemnity (All States) (Auto Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| New Jersey Manufacturing (WC Only) (All States) (12122) | Electronic | N | |||||||||
|
|
|||||||||||
|
New Jersey Manufacturing (WC Only) (All States) (12122W)
New Jersey Manufacturers Insurance Company |
Electronic | Y | |||||||||
|
|
|||||||||||
| New Mexico Mutual (All States) (WC Only) (J2147) | Electronic | Y | |||||||||
|
|
|||||||||||
| New Mexico Mutual (All States) (WC Only) (J2147W) | Electronic | N | |||||||||
|
|
|||||||||||
| New West Health Services (SX164) | Paper | N | |||||||||
|
|
|||||||||||
| New York Black Car Fund (NYBCF) (All States) (Auto Only) (J3309A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| New York Black Car Fund (NYBCF) (All States) (WC Only) (J3309) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
New York Hotel Fund (Z4410)
NEW YORK HOTEL FUNDS - 131595091 New York Hotel Trades Council & Hotel Association of NY City PCSHF |
Electronic | N | |||||||||
|
|
|||||||||||
| New York Hotel Funds MHAP (HTLFD) | Paper | P | N | ||||||||
|
|
|||||||||||
| New York Life Long Term Care (NYL11) | Electronic | N | |||||||||
|
|
|||||||||||
| New York Medical Indemnity Fund (NYDFS) | Electronic | N | |||||||||
|
|
|||||||||||
| New York Network Management (11334) | Electronic | P | N | ||||||||
|
|
|||||||||||
| New York Police Department (All States) (WC Only) (J4383) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
New York State Insurance (NY Only) (WC Only) (J45052W)
Carisk Imaging to NYSIF (WC) New York State Insurance Fund (NY Only) (WC Only) NYSIF |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Next Level Administration (All States) (WC Only) (J2331)
Next Level Administrators |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| NextBlue of North Dakota (55892) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
NHC Advantage (NHC01)
National Healthcare Corporation Advantage |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| NHI Billing Services Inc (14043) | Electronic | N | |||||||||
|
|
|||||||||||
| Nike, Inc (All States) (WC Only) (J2175) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Nippon Life Insurance Company of America (81264)
Nippon Life Benefits |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Nivano Physicians IPA (MBA01)
Sierra Nevada Medical Assoc. |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| NJ Property-Liability Ins Guaranty (NJPLIGA) All States (WC Only) (J3926W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| NJ Property-Liability Ins Guaranty Assoc (NJPLIGA) All States (Auto Only) (J3926A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Noblr, a USAA Company (Auto Only) (CCC) (J4528) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Nomi Health (1NOMI)
66066 |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Nonprofit Insurance Trust (I1206) | Electronic | N | |||||||||
|
|
|||||||||||
| Nonprofit Insurance Trust (All States) (Auto Only) (J1845A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nonprofit Insurance Trust (All States) (WC Only) (J1845W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nordstrom Inc (All States) (WC Only) (J1360W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Norfolk & Dedham Group(NJ Only)(Auto Only) (C1096A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
North America Administrators NAA (65085)
Lucent Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
North American Insurance Company dba Oxford Life (Remits Only) (76112)
North American National States Oxford Life |
Paper | N | |||||||||
|
|
|||||||||||
|
North American Medical Management (IP079)
Coachella Valley Physicians PrimeCare E3510 Empire Physicians Medical Group (EPMG) Mercy Physicians Medical Group - San Diego Mercy Physicians Medical Group - San Diego - MPMG Primary Care Associates Medical Group (PCA) Primary Care Associates Medical Group (PCAMG) Prime Care Medical Network - Chino Prime Care Medical Network - Corona Prime Care Medical Network - Hemet Prime Care Medical Network - Inland Valley Prime Care Medical Network - Moreno Prime Care Medical Network - Redlands Prime Care Medical Network - Riverside Prime Care Medical Network - Sun City Prime Care Medical Network - Temecula PrimeCare Medical Group of Chino Valley (PCMG) PrimeCare Medical Network - Citrus Valley PrimeCare Medical Network - NAMM PrimeCare Medical Network - San Bernardino Valley Physicians Network |
Electronic | P | N | ||||||||
|
|
|||||||||||
| North American Risk Services (NARS) (Remits Only) (Z96560) | Paper | N | |||||||||
|
|
|||||||||||
| North Carolina Department of Public Safety (NCDPS) | Electronic | N | |||||||||
|
|
|||||||||||
| North Carolina Farm Bureau Insurance Group (EOBC) (R0424) | Paper | N | |||||||||
|
|
|||||||||||
| North Dakota Workforce Safety (Z1246) | Electronic | Y | |||||||||
|
|
|||||||||||
|
North East Medical Services (NEMS)
CCHCA |
Electronic | N | |||||||||
|
|
|||||||||||
| North Iowa Community Healthcare (NICH) (78353) | Electronic | N | |||||||||
|
|
|||||||||||
| North Shore - LIJ (17516) | Electronic | N | |||||||||
|
|
|||||||||||
| North Shore - LIJ CareConnect Insurance Company (46227) | Electronic | N | |||||||||
|
|
|||||||||||
| North Star Mutual Insurance Company (14850) | Electronic | N | |||||||||
|
|
|||||||||||
| NorthCoast Health Care Management (RP089) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| NorthCoast Healthcare (A2790) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Northern CA Sheet Metal Workers Health Care Plan (38238)
Cement Masons & Plasters Health & Welfare Fund IBEW Local 9 Health Fund Sheet Metal Workers Local 104 Health Care Plan (San Ramon, CA) Utah Pipe Trades |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Northern California Advantage Medical Group (NCA01) | Electronic | N | |||||||||
|
|
|||||||||||
| Northern Illinois Health Plan (Freeport, IL) (36347) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Northern Kentucky University (All States) (Auto only) (J1943A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Northern Kentucky University (All States) (WC only) (J1943W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Northern Nevada Trust Fund (88027)
Electrical Workers Health and Welfare Plan for Northern Nevada Northern Nevada Laborers Health & Welfare Northern Nevada Operating Engineers Health and Welfare |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Northland Auto (MN and NJ Only) (Auto Only) (C1031) | Electronic | Y | |||||||||
|
|
|||||||||||
| Northridge Medical Group (NMG01) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Northwest Administrators Inc (NWADM)
Central CA Electrical Workers Health and Wellness Las Vegas Fire Fighters Local NO. 1285 Security Fund Southern CA Bakery Drivers Security Fund Teamsters Local 631 Security Fund for Southern NV Teamsters Miscellaneous Security Trust Fund |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Northwest Carpenters Trusts (Remits Only) (92971)
Carpenters Trust of Western (Remits Only) Northwest Carpenters Health and Security Trust (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Northwest Community Health Partners (NWCHP) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Northwest Insurance (WC Only) (WZ646W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Northwest Life (PH018) | Electronic | N | |||||||||
|
|
|||||||||||
|
Northwest Physician's Network (DOS 12/31/2020 and prior) (NPN11)
DaVita Medical IPA WA, PLLC |
Paper | N | |||||||||
|
|
|||||||||||
| Northwest Suburban IPA Illinois (36346) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Northwestern Medicine Physicians Network (23550)
HealthPlus Peoria Methodist First Choice Midland Management/MFC UnityPoint Health Plus |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Northwestern Medicine Physicians Network (NWEST) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Northwestern University (WC Only) (J1362W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Northwood (NWOOD) | Electronic | N | |||||||||
|
|
|||||||||||
| Norwood (MN and TX only) (WC Only) (WX283W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Nova Healthcare Administrators Inc. (Grand Island, NY) (16644)
Azeros Health Care |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Nova Pro Risk Solutions (All States) (WC Only) (J1056) | Electronic | Y | |||||||||
|
|
|||||||||||
| NOVA PRO RISK SOLUTIONS (CA,MN,TX) (WC Only) (WR152W) | Electronic | N | |||||||||
|
|
|||||||||||
| NOVA PRO RISK SOLUTIONS (SAN DIEGO) (MN and TX only)(WC Only) (WR153W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nova Saiph Re (All States) (WC Only) (J3881W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| NovaSys Health Network (Little Rock, AR) (71080) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| NP PHP Commercial (PHMD1) | Electronic | N | |||||||||
|
|
|||||||||||
| NP PHP Medicare (PHMD2) | Electronic | N | |||||||||
|
|
|||||||||||
| NP PHP OHP (PHMD3) | Electronic | N | |||||||||
|
|
|||||||||||
| NP Yamhill County CCO (PHMD4) | Electronic | N | |||||||||
|
|
|||||||||||
|
NTCA National Telecommunications Cooperative Assn (52103)
NTCA |
Electronic | I E | N | ||||||||
|
|
|||||||||||
|
NTCA Staff Members (52104)
National Telecommunications Cooperative Association (NTCA Staff) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
NX Health Network (44412)
Robert F Kennedy Medical Plan |
Electronic | N | |||||||||
|
|
|||||||||||
|
NY Lumberman's Insurance Trust Fund (All States) (WC Only) (J4240)
New York Lumbermen's Insurance Trust Fund (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| NYC Fire Department (FDNY) (NY Only) (WC Only) (J4151) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| NYC Law Department (All States) (WC Only) (J4253) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nyhart (37299) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| NYLCare Ethix Northwest (91135) | Paper | N | |||||||||
|
|
|||||||||||
| NYLCare Health Plans Northwest (91166) | Paper | N | |||||||||
|
|
|||||||||||
| Oak Hill Associates (J1363W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Oak Street Health (OAKST) | Electronic | N | |||||||||
|
|
|||||||||||
| Oak West Physician Association (36400) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Occupational Eyewear Network (50653) | Electronic | N | |||||||||
|
|
|||||||||||
| Ocean County Joint Insurance Fun (NJ Only) (WC Only) (J4004) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ochsner Health Plan (A5236) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Ocular Benefits (L0140) | Electronic | N | |||||||||
|
|
|||||||||||
| Ogden Benefits Administration (OBA18) | Electronic | N | |||||||||
|
|
|||||||||||
|
Ohio BCMH (Bureau for Children with Medical Handicaps) (Z90014)
BCMHODH |
Electronic | N | |||||||||
|
|
|||||||||||
|
Ohio Casualty Group (All States) (WC Only) (24074)
Ohio Casualty Group |
Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Casualty Group (All States) (WC Only) (J24074W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (CSS) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA1) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA10A) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA10B) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA11) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA2) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA3) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA4) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA5) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA6) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA7) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA8) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Department of Aging (PAA9) | Electronic | N | |||||||||
|
|
|||||||||||
| OHIO FARMERS CORVEL (WZ885) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Farmers Insurance Company - National (A0080) | Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Health Choice PPO (34189) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ohio PPO Connect (74431) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
OhioHealthy (DOS- 1/1/2024 and after) (48116)
Florida Hospital Waterman |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Oklahoma DRS Doc (DOS on or after 01/01/18) (71065)
State of Oklahoma Department of Corrections State of Oklahoma Department of Rehabilitative Services |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Oklahoma DRS Doc (DOS on or after 01/01/18) (with attachments) (J71065) | Electronic | Y | |||||||||
|
|
|||||||||||
| Old Republic Insurance Co (All States) (WC Only) (Z96430) | Electronic | Y | |||||||||
|
|
|||||||||||
| Old Republic Insurance Co (MN and TX only)(WC Only) (WX285W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Old Surety Life Insurance Company (Remits & Eligibility Only) (29237) | Paper | N | |||||||||
|
|
|||||||||||
| Olympus Managed Health Care (65074) | Electronic | N | |||||||||
|
|
|||||||||||
| Omaha Group Services (91412) | Paper | N | |||||||||
|
|
|||||||||||
|
OMNI Administrators (OMNIA)
Leading Edge Administration |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Omni IPA (36090) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Omnicare Medical Group (IP088)
OMN02 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| On Lok Senior Health Services (99485) | Electronic | N | |||||||||
|
|
|||||||||||
| Oncology Network of Orange County (ONOCI) | Paper | P | N | ||||||||
|
|
|||||||||||
| One Beacon (All States) (WC Only) (20621W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| One Beacon (All States) (WC Only) (WC526) | Electronic | N | |||||||||
|
|
|||||||||||
| One Beacon Insurance - Auto (TX only) Auto Only (WC526A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
One Call Diagnostics (22321)
Navigere One Call Medical (Group Medical Only) One Call Medical (Workers Comp) Remits Only |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
One Call Equipment and Devices (80019)
Medical Service Company (MSC) One Call Care Management Equipment + Devices One Call DME and HH |
Electronic | N | |||||||||
|
|
|||||||||||
| One Call Medical - Diagnostic (All States) (WC Only) (J3941) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
One Call Physical Therapy (All States) (WC Only) (J1716)
Align Networks (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| One Call Physical Therapy (All States) (WC Only) w/o attach (J1716W) | Electronic | N | |||||||||
|
|
|||||||||||
| One Homecare Solutions (ONEHC) | Electronic | N | |||||||||
|
|
|||||||||||
| Ontrak Health (95280) | Electronic | N | |||||||||
|
|
|||||||||||
|
OPEIU Locals 30& 537 (BPA01)
Laundry Workers Southern CA Lumber Southern California Dairy TCU-LA MTA |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Opendoor Labs Inc CORVEL (All States) (WC Only) (J4422) | Electronic | Y | |||||||||
|
|
|||||||||||
| Operating Engineers Local 139 Health Benefit Fund (66771) | Electronic | N | |||||||||
|
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|
Operating Engineers Local 478 (Remits Only) (R36051)
IUOE Local No 478 Health Benefits Fund (Remits Only) |
Paper | N | |||||||||
|
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| Operating Engineers Trust Funds (Remits Only) (R1729) | Paper | N | |||||||||
|
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|||||||||||
| Opticare of Utah (OPCAU) | Electronic | N | |||||||||
|
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|||||||||||
| Optimed Health (96277) | Paper | N | |||||||||
|
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|||||||||||
| Optimum Choice of the Carolinas Inc (OCCI) (52152) | Electronic | P | N | ||||||||
|
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|||||||||||
| Optimum Healthcare (20133) | Electronic | P I | N | ||||||||
|
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|||||||||||
|
Optum Care Network (OCN01)
Alliance IPA Arta Health Network Arta Western Greater Valley Harrimon Jones Healthcare Partners Medical Group HealthCare Partners Medical Group - A Davita Medical Group Megan Medical Clinic Memorial Medical Group Talbert Medical Group Unified IPA |
Electronic | P I | N | ||||||||
|
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|||||||||||
| Optum Care Network of Connecticut (E3287) | Paper | P I | N | ||||||||
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| Optum CatamaranRX (Z96016) | Paper | N | |||||||||
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|||||||||||
| Optum Maryland Behavioral Health (OMDBH) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Optum MedicalRx (ORXM1) | Electronic | P I | N | ||||||||
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| Optum San Diego Public Sector (OSDPS) | Electronic | N | |||||||||
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| Optum Skygen UHCD Government (Remits Only) (GP133) | Paper | N | |||||||||
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|||||||||||
|
OptumCare (LIFE1)
AARP Medicare Complete Northern Utah LifePrint Northwest Physician's Network (DOS 1/1/2021 and forward) Optum Medical Network Optum Washington Network LLC Secure Horizons Lifeprint Arizona Sierra Health Plan of United Health Care UnitedHealthcare of Oregon, Inc |
Electronic | P I E M | N | ||||||||
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|
OptumHealth (41194)
United Resources Networks |
Electronic | P I | N | ||||||||
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| OptumHealth (Medicaid Managed Care) (41194MC) | Electronic | P I | N | ||||||||
|
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|||||||||||
| OptumHealth (Medicare Advantage) (41194MA) | Electronic | P I | N | ||||||||
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|
OptumHealth Care Solutions Inc (41161)
American Chiropractic Network (ACN) Managed Physical Network (MPN) OptumHealth Care Solutions |
Electronic | P | N | ||||||||
|
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|||||||||||
| Optumhealth Salt Lake County (U6885) | Electronic | P | N | ||||||||
|
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|||||||||||
| OptumRX (Remits Only) (SXCA7) | Paper | N | |||||||||
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|
Opus Health (Z96180)
OpusHealth |
Paper | N | |||||||||
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|
Opyn Market (Transparent Health Marketplace) (All States) (WC Only) (J4261)
LV483 |
Electronic | P I | Y | ||||||||
|
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|||||||||||
| Orange County Health Care Agency (65021) | Electronic | N | |||||||||
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Orange County Health Services - Ryan White Program (69879)
OCRW |
Electronic | P I | N | ||||||||
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|
Orange County Health Services Dept Corrections Health (77125)
Orange County Corrections OCCH |
Electronic | N | |||||||||
|
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|||||||||||
| Orange County Medical Clinic (DB497) | Paper | P I | N | ||||||||
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|||||||||||
| Oregon State Accident Insurance Fund (SAIF) (All States) (WC Only) (J1720WC) | Electronic | P I | Y | ||||||||
|
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| Oregon State Accident Insurance Fund (SAIF) (All States) (WC Only) w/o attach (J1720) | Electronic | N | |||||||||
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|||||||||||
| Oregon's Health Co-Op (11124) | Paper | E | N | ||||||||
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| O'Reilly Auto Parts (E9697) | Electronic | N | |||||||||
|
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|||||||||||
| O'Reilly Auto Parts (All States) (Auto only) (J1670A) | Electronic | Y | |||||||||
|
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| O'Reilly Auto Parts (All States) (WC only) (J1670W) | Electronic | Y | |||||||||
|
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| Orica, Inc. (MN and TX only)(WC Only) (WX287W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Orthonet (Aetna) (13383) | Electronic | P I | N | ||||||||
|
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|||||||||||
| OrthoNet (Uniformed Services Family Health Plan) (13382) | Electronic | P | N | ||||||||
|
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|
Oscar Health (OSCAR)
Oscar Insurance Company of Florida |
Electronic | P I E | N | ||||||||
|
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|||||||||||
| OSF Care Advantage (OSFMC) | Electronic | N | |||||||||
|
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| OSF Healthcare Central (OSFC9) | Electronic | N | |||||||||
|
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|||||||||||
| OSF Healthcare East (OSFE9) | Paper | P I | N | ||||||||
|
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|||||||||||
| OSI Group LLC (All States) (Auto only) (J1904A) | Electronic | Y | |||||||||
|
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|||||||||||
| OSU Aetna Better Health (OSU Providers Only) (OSUAE) | Electronic | N | |||||||||
|
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| OSU Centene Oklahoma Complete Health (OSU Providers Only) (OSUCE) | Electronic | N | |||||||||
|
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| OSU Humana Healthy Horizons (OSU Providers Only) (OSUHU) | Electronic | N | |||||||||
|
|
|||||||||||
| OSU Sooner Care (76619) | Electronic | N | |||||||||
|
|
|||||||||||
| Our Lady of the Lake Regional Medical Center (OLRMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Ovations Brand (All States) (WC Only) (J1501W)
Buffets Inc (WC Only) (All States) Country Buffet (WC Only) (All States) Fire Mountain (WC Only) (All States) Granny's Buffet HomeTown Buffet (WC Only) (All States) Old Country Buffet (WC Only) (All States) Ryan's |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Oxford Health Plans (06111)
Oxford Health UHC Plan |
Electronic | P I E | N | ||||||||
|
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|||||||||||
| Oxford Health Plans (Medicare Advantage) (06111MA) | Electronic | P | N | ||||||||
|
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|||||||||||
| Oxford Health Plans (with Attachments) (J06111) | Electronic | Y | |||||||||
|
|
|||||||||||
| P2P: AW Holdings LLC dba Benchmark - WC (000010162) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: City and County of Denver - WC (000011654) | Electronic | P | N | ||||||||
|
|
|||||||||||
| P2P: Copperpoint Mutual Insurance (Workers Comp) (000030342) | Electronic | N | |||||||||
|
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|||||||||||
| P2P: Cottingham & Butler (Equian) - WC (000030272) | Electronic | N | |||||||||
|
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|||||||||||
| P2P: Encompass Insurance Brand - WC (000011260) | Electronic | N | |||||||||
|
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|||||||||||
| P2P: Midwestern Insurance Alliance (000030966) | Electronic | N | |||||||||
|
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| P2P: Next Level Administration - WC (000030270) | Electronic | N | |||||||||
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|||||||||||
| P2P: Non-Profit Insurance Trust - WC (000011262) | Electronic | N | |||||||||
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|
|||||||||||
| P2P: North Star Mutual Ins Co - WC (000030268) | Electronic | N | |||||||||
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|||||||||||
| P2P: Preferred Employers Insurance Company (PEI) - WC (000030051) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: RAM Mutual Insurance Co - WC (000011261) | Paper | P | N | ||||||||
|
|
|||||||||||
| P2P: State Auto Mutual Ins Co - WC (000030269) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: State of Tennessee (Work Comp) (000030271) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: AAA MINNESOTA & IOWA (WORK COMP) (000030107) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: ACCIDENT FUND INS CO OF AMERICA-WC (000011075) | Paper | N | |||||||||
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|
|||||||||||
| P2P: Ace Fire Underwriters Ins Co - WC (000010456) | Electronic | N | |||||||||
|
|
|||||||||||
|
P2P: ACUITY A MUTUAL INS CO (WORK COMP) (000010600)
P2P: SECURA INSURANCE A MUTUAL COMP (WC) |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: AIG - CHARTIS (WORKERS COMP) (WCAS24101) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: ALASKA NATIONAL (WORKERS COMP) (000010544) | Paper | N | |||||||||
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|
|||||||||||
|
P2P: ALIGN NETWORKS - (WORKERS COMP) (000011226)
P2P: One Call Physical Therapy (WC) |
Electronic | N | |||||||||
|
|
|||||||||||
| P2P: ALLIANZ (WORK COMP) (000010607) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: ALLIED MUTUAL AUTO (WORKERS COMP) (000010189) | Paper | N | |||||||||
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|
|||||||||||
| P2P: ALLSTATE INS PROP CAS IND FIRE (WC) (000011147) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: AMCO INS CO (WORKERS COMP) (000010192) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: AMERICA FIRST LMAC (WORKERS COMP) (000030005) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: American Casualty Co - WC (000010458) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: AMERICAN CLAIMS MANAGEMENT - WC (000010171) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: AMERICAN GUARANTEE (WORKERS COMP) (000010459) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: American Home Assurance - WC (000010127) | Electronic | N | |||||||||
|
|
|||||||||||
|
P2P: American Mining Ins Group - WC (000030119)
American Mining Insurance Group, LLC |
Electronic | N | |||||||||
|
|
|||||||||||
| P2P: AMERICAN MOTORISTS INS CO - WC (000010336) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: AMERICAN NAT PROP & CAS INS - WC (000010545) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: AMERIPRISE AUTO & HOME INS - WC (000010546) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: AMERISAFE (WORKERS COMP) (000030143) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: AMERISURE INS (MN & TX) WORK COMP (000010172) | Paper | N | |||||||||
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|
|||||||||||
| P2P: AMERISURE PARTNERS INS CO - WC (000010173) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: AMICA MUTUAL INS CO (WORK COMP) (000010547) | Paper | N | |||||||||
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|
|||||||||||
| P2P: AMTRUST INSURANCE CO OF KANSAS - WC (000010338) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Anoka Hennepin-ISD 11 (Work Comp) (000010193) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Arch Insurance Company - WC (000010465) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: ARGENT (WORKERS COMP) (000030206) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: ARGONAUT INSURANCE CO -WORKERS COMP (000010468) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Athens Administrators - WC (000011316) | Electronic | P | N | ||||||||
|
|
|||||||||||
| P2P: AUTO OWNERS INS (CORVEL) WORK COMP (000011133) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: AUTO-OWNERS INSURANCE CO - WC (000030176) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: BANCINSURE INC (WORKERS COMP) (000010472) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: BART - San Francisco Bay Area Rapid Transit - WC (000030248) | Electronic | P | N | ||||||||
|
|
|||||||||||
| P2P: BEACON MUTUAL - (WORKERS COMP) (000030019) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: BERKLEY NET UNDERWRITERS LLC - WC (000030045) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: BERKLEY RISK ADMIN (WORKERS COMP) (000010199) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Berkley Specialty Underwriters - WC (000010644) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: BERKSHIRE HATHAWAY (WORKERS COMP) (000030089) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Berkshire Hathaway Direct Ins - WC (000030229) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: BITUMINOUS INS COMP (WORKERS COMP) (000011191) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: BRICKSTREET (WORK COMP) (000030157) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: BRISTOL WEST (WORK COMP) (000030246) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: BROADSPIRE (AUTO & P&C BILLS) - WC (000011223) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: BROADSPIRE MN & TX ONLY (WORK COMP) (000010041) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: BROADSPIRE WORKERS COMP BILLS ONLY (000011224) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Brotherhood Mutual Ins (Work Comp) (000030085) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Brunswick Corporation - WC (000010656) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: BUILDERS GROUP OF MN (WC) (000011016) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Burlington Coat Factory - WC (000010658) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: CALFARM INS COMP (WORKERS COMP) (000010202) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CAMBRIDGE INT SRV GRP (WORK COMP) (000010030) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: CAREWORKS CONSULTANTS (WORK COMP) (000030204) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CCMSI Cannon Cochran Mgmt - WC (000010551) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CCMSI CANNON COCHRAN MGMT WORK COMP (000010175) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CHUBB & SON (000011155) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CHUBB SERVICES (000030108) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CHURCH MUTUAL INS CO (WORK COMP) (000030111) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: CINCINNATI INSURANCE COMPANY - WC (000011142) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: City and County of San Francisco (CCSF) - WC (000030253) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: CITY OF FORT WORTH TX (WORK COMP) (000030194) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CITY OF MINNEAPOLIS (WORKERS COMP) (000010115) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CITY OF ST. PAUL - CORVEL (WC) (000011157) | Paper | N | |||||||||
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|
|||||||||||
| P2P: CLAIMS ADMIN SERVICES (CAS) - WC (000010550) | Paper | N | |||||||||
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|
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| P2P: CNA INSURANCE (WORKERS COMP) (000010024) | Paper | N | |||||||||
|
|
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| P2P: COMMERCE & INDUSTRY INSURANCE (WC) (000010113) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CONTRACOSTA CNTY SCHOOLS INS GROUP (000011221) | Electronic | N | |||||||||
|
|
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| P2P: CONTRACOSTA RSK MGMT (WORKERS COMP) (000011220) | Electronic | N | |||||||||
|
|
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| P2P: CONTRACOSTA WATER DISTRICT WC (000011222) | Electronic | N | |||||||||
|
|
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| P2P: COTTINGHAM AND BUTLER (WORK COMP) (000011135) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Country Financial Mod Svc Corvel-WC (000011159) | Electronic | N | |||||||||
|
|
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| P2P: County of Los Angeles (CA) (3000) - WC (000010498) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: CREATIVE RISK SOLUTIONS (WORK COMP) (000011146) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CRESTBROOK INSURANCE COMPANY - WC (000010350) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CRUM & FORSTER MN & TX (WORK COMP) (000010040) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: DEPOSITORS INSURANCE CO - WC (000010218) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: DEPT OF ENERGY (WORKERS COMP) (WCAS15103) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: DEPT OF LABOR (WORKERS COMP) (WCAS15101) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: DEPT OF LABOR BLACK LUNG -WORK COMP (WCAS15102) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: EASTERN ALLIANCE (WORKERS COMP) (000011239) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: EDWARDS CLAIM ADMINISTRATION - WC (000030054) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: EMC Property and Casualty MN and OR (WC) (000030103) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: EMC PROPERTY AND CASUALTY WORK COMP (000030012) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: EMPLOYERS ASSURANCE COMP WORK COMP (000030025) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: EMPLOYERS COMPENSATION INS CO - WC (000010482) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: EMPLOYERS INSURANCE (BUNCH) - WC (WCAS99461) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: ESIS - ALL STATES (WORKERS COMP) (000010060) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: ESIS (Lockheed Martin Corp) - WC (000030062) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Esurance Insurance Co (Work Comp) (000010559) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: FABCON (WORKERS COMP) (000011244) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: FAIRVIEW HEALTH SVR (CORVEL) - WC (000011136) | Paper | N | |||||||||
|
|
|||||||||||
|
P2P: FARM BUREAU MUTUAL INS (WC) MN (000011248)
P2P: FARM BUREAU MUTUAL INS (WORK COMP) |
Paper | N | |||||||||
|
|
|||||||||||
|
P2P: Farm Bureau Mutual Insurance (WC) CO, IA, KS, NE, NM, SD, UT (000010225)
P2P: Farm Bureau Mutual Insurance (WC) |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: FARMERS INS AUTO ONLY (WC) (000030106) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Farmers Insurance Exchange - WC (000011198) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: FARMLAND MUTUAL (MN & TX) WORK COMP (000010354) | Paper | N | |||||||||
|
|
|||||||||||
|
P2P: FCCI (Workers Comp) (000030227)
FCCI |
Electronic | N | |||||||||
|
|
|||||||||||
| P2P: FEDERATED CLAIMS SVR CORP WORK COMP (000010765) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Federated Department Stores - WC (000030027) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: FEDERATED MUTUAL (WORKERS COMP) (000030068) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Federated Rural Electric (TX) - WC (000010054) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Federated Services Ins Co - WC (000030066) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: FIREMANS FUND INS COMP (WORKERS COMP) (000010178) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: FIREMANS FUND INS DALLAS TX - WC (000010357) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: FIREMENS INSURANCE CO (WORK COMP) (000010348) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: FIRSTCOMP (WORKERS COMP) (000010028) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Foremost (Workers Comp) (000030099) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: FRANKENMUTH (WORKERS COMP) (WCAS71101) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GAB ROBBINS MN & TX (WORKERS COMP) (000010039) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GALLAGHER BASSETT (WORKERS COMP) (000010023) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GEICO INSURANCE (WORKERS COMP) (000011225) | Paper | N | |||||||||
|
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| P2P: GENERAL CASUALTY EDEN PRAIRIE - WC (000010361) | Paper | N | |||||||||
|
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| P2P: GENEX CARE OF OHIO (WORKERS COMP) (000030205) | Paper | N | |||||||||
|
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|||||||||||
| P2P: GRANGE INSURANCE (WORKERS COMP) (000010790) | Paper | N | |||||||||
|
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|||||||||||
| P2P: GRANGE MUTUAL CASUALTY (WC) (000010563) | Electronic | N | |||||||||
|
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|||||||||||
| P2P: Great American Assurance Co - WC (000010793) | Electronic | N | |||||||||
|
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| P2P: Great American Ins Co of NY - WC (000010795) | Electronic | N | |||||||||
|
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| P2P: Great American Insurance Comp - WC (000010794) | Electronic | N | |||||||||
|
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|||||||||||
| P2P: GREAT WEST CASUALTY CO WORKERS COMP (000010799) | Paper | N | |||||||||
|
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| P2P: GRINNELL REINSURANCE (WORK COMP) (000011165) | Electronic | N | |||||||||
|
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|||||||||||
| P2P: GUARD INSURANCE - (WORKERS COMP) (000030021) | Paper | N | |||||||||
|
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| P2P: GUIDEONE ELITE (CORVEL) (WORK COMP) (000011199) | Paper | N | |||||||||
|
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|||||||||||
| P2P: GUIDEONE MUTUAL INS (WORKERS COMP) (000011200) | Paper | N | |||||||||
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| P2P: HANOVER INSURANCE (CORVEL) - WC (000011166) | Paper | N | |||||||||
|
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| P2P: HANOVER LLOYDS INS (CORVEL) - WC (000011167) | Paper | N | |||||||||
|
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| P2P: HARLEYSVILLE INS (CORVEL) WORK COMP (000011202) | Paper | N | |||||||||
|
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|||||||||||
| P2P: HARTFORD (WORKERS COMP) (WCCA12101) | Paper | N | |||||||||
|
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|||||||||||
| P2P: Hartford Accident & Indemnity - WC (000010492) | Electronic | N | |||||||||
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| P2P: HAWKEYE (LMAC) - (WORKERS COMP) (000030004) | Paper | N | |||||||||
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| P2P: HEB Grocery Company (Workers Comp) (000011255) | Electronic | N | |||||||||
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| P2P: ICW GROUP (WORKERS COMP) (000010565) | Paper | N | |||||||||
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| P2P: Illinois Casualty (Workers Comp) (000030243) | Paper | N | |||||||||
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|||||||||||
|
P2P: Indeminity Ins North America (WC) (000010497)
P2P: Indemnity Insuarnce North America - WC |
Paper | N | |||||||||
|
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|||||||||||
| P2P: INDIANA INSURANCE (LMAC) - WC (000011076) | Paper | N | |||||||||
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|
P2P: Ingles Markets (Workers Comp) (000030257)
Ingles Markets |
Electronic | N | |||||||||
|
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|||||||||||
| P2P: Innovative Claim Solutions(San Ramon) - WC (000011529) | Electronic | N | |||||||||
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| P2P: Insurance CO of North America - WC (000010373) | Electronic | N | |||||||||
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| P2P: Integrity Mutual Ins Co - Work Comp (000030031) | Paper | N | |||||||||
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|
P2P: iSurity (Workers Comp) (WCAS99460)
iSurity |
Electronic | N | |||||||||
|
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|||||||||||
| P2P: JI SPECIALTY SERVICES (WORK COMP) (000010170) | Paper | N | |||||||||
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| P2P: KEENAN & ASSOC EXCLUDE PASADENA WC (000030069) | Paper | N | |||||||||
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| P2P: Kellogg Companies - WC (000010847) | Electronic | P | N | ||||||||
|
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| P2P: KEMPER PREFERRED (WORK COMP) (000030102) | Electronic | N | |||||||||
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| P2P: KEY RISK MGMT SVCS LLC WORKERS COMP (000030046) | Paper | N | |||||||||
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| P2P: LCTA (WORKERS COMP) (000030212) | Paper | N | |||||||||
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| P2P: LEAGUE OF MN CITIES INS TRUST - WC (000030044) | Paper | N | |||||||||
|
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| P2P: LIBERTY MUTUAL (WORKERS COMP) (WCAS46101) | Electronic | N | |||||||||
|
|
|||||||||||
|
P2P: LIBERTY MUTUAL WAUSAU NW HELMSMAN (000030110)
P2P: LIBERTY MUTUAL WAUSAU INS CO - WC |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: LINK SNACKS INC (WC) (000011253) | Paper | N | |||||||||
|
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|||||||||||
| P2P: LOUISIANA WORKERS COMP CORP LWCC (000030059) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: LUBA CASUALTY INS CO (WORKERS COMP) (000010164) | Paper | N | |||||||||
|
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| P2P: LUMBERMENS UNDERWRITING (CORVEL)-WC (000011172) | Paper | N | |||||||||
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|
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| P2P: Mackinaw Administrators - WC (000030238) | Electronic | N | |||||||||
|
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| P2P: Macys (EK Health) - WC (000011238) | Electronic | N | |||||||||
|
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| P2P: MACYS CORPORATE SERVICES INC - WC (000030020) | Electronic | N | |||||||||
|
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|||||||||||
| P2P: MAINE EMPLOYERS MUTUAL INS CO - WC (000030018) | Paper | N | |||||||||
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| P2P: MANPOWER (WORKERS COMP) (000010381) | Paper | N | |||||||||
|
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| P2P: MARRIOTT CLAIMS SERVICES CORP - WC (000010870) | Electronic | N | |||||||||
|
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|||||||||||
| P2P: MATRIX ABSENCE MGMT (WORK COMP) (000010572) | Paper | N | |||||||||
|
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| P2P: MAYO CLINIC RECOVERY CLAIMS - WC (000010120) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MCIT (WORKERS COMP) (000010874) | Paper | N | |||||||||
|
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|||||||||||
| P2P: MEADOWBROOK INSURANCE COMPANY - WC (000011145) | Paper | N | |||||||||
|
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| P2P: MEADOWBROOK PROCENTURY CORVEL - WC (000011175) | Paper | N | |||||||||
|
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|||||||||||
| P2P: MEDRISK (WORKERS COMP) (WCAS18103) | Electronic | N | |||||||||
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|||||||||||
| P2P: Mendota Insurance Company - WC (000010573) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: MERIDIAN RAIL - (WORKERS COMP) (000010882) | Paper | N | |||||||||
|
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|||||||||||
| P2P: METROPOLITAN COUNCIL - (WORK COMP) (000010383) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Metropolitan Property & Casualty-WC (000010574) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: MIDWEST FAMILY MUTUAL (CORVEL) - WC (000011177) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MIDWEST INSURANCE (WORKERS COMP) (000010029) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MINNESOTA DEPT LABOR INDUSTRY - WC (000011078) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MINNESOTA INSURANCE GUARANTY (WC) (000030211) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Minnesota Nonprofits Employers (WC) (000010252) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: MITSUI SUMITOMO INS GROUP - (WC) (000011207) | Paper | N | |||||||||
|
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|||||||||||
| P2P: MITSUI SUMITOMO INS USA INC - (WC) (000011208) | Paper | N | |||||||||
|
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|||||||||||
| P2P: MUNICIPAL POOLING AUTHORITY - WC (000011235) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: NATIONAL INTERSTATE (WORK COMP) (000030087) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: NATIONWIDE (MN ONLY) WORKERS COMP (000010036) | Paper | N | |||||||||
|
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|||||||||||
| P2P: NATIONWIDE AGRIBUSINESS (WORK COMP) (000010396) | Paper | N | |||||||||
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|||||||||||
| P2P: NATIONWIDE MUTUAL AUTO (WORK COMP) (000011218) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: NEW JERSEY MANUFACTURING -AUTO ONLY (000030201) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: NEW JERSEY MANUFACTURING WORK COMP (000030035) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: NORDSTROM INC (WORKERS COMP) (000010905) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: OLD REPUBLIC INS (WORKERS COMP) (000010513) | Paper | N | |||||||||
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|
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| P2P: ONE BEACON (FORMERLY CGU) - WC (000010915) | Paper | N | |||||||||
|
|
|||||||||||
|
P2P: PA MANUFACTURING (WORKERS COMP) (WCAS99204)
P2P: PMA (WORKERS COMP) |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: PACIFIC GAS & ELECTRIC DEFINITI-WC (000011254) | Paper | N | |||||||||
|
|
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| P2P: PALADIN MANAGED CARE SVCS INC - WC (000030061) | Paper | N | |||||||||
|
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| P2P: PAPER OVERFLOW (WC & AUTO) (PM1111111) | Electronic | N | |||||||||
|
|
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| P2P: PARADIGM (WORKERS COMP) (000030015) | Paper | N | |||||||||
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| P2P: PARK DISTRICT RISK MGMT ASSOCIATION (000010142) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: PORT OF OAKLAND CA (WORKERS COMP) (000030150) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: PROGRESSIVE CASUALTY (WORKERS COMP) (000010037) | Paper | N | |||||||||
|
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|||||||||||
| P2P: PROGRESSIVE INSURANCE (WORK COMP) (000010272) | Paper | N | |||||||||
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| P2P: PROGRESSIVE NORTHWESTERN INSURANCE (000010275) | Paper | N | |||||||||
|
|
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| P2P: PROTECTIVE INSURANCE (CORVEL) - WC (000011138) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: QBE- GENERAL CASUALTY - SUN PRAIRIE (000010366) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: RAMSEY COUNTY CORVEL - WORKERS COMP (000011181) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Republic Indemnity Co of America-WC (000010027) | Electronic | N | |||||||||
|
|
|||||||||||
|
P2P: RETURN TO WORK RTW (WORKERS COMP) (000010045)
P2P: RTW (WORKERS COMP) |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: RISK ADMIN SERVICES (WORK COMP) (000011250) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: RISK ENTERPRISE MGMT (CORVEL) - WC (000011183) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: RIVERPORT INSURANCE (WORKERS COMP) (000030043) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: ROCKWOOD CASUALTY INSURANCE - WC (000030224) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: RYDER SERVICES (WORKERS COMP) (000010579) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SAFECO INSURANCE - WORKERS COMP (000010580) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: SAFECO INSURANCE AUTO (WORK COMP) (000030231) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SAFEWAY/VONS (WORKERS COMP) (000011234) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: San Francisco Municipal Transportation Agency (SFMTA) - WC (000030254) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SCF ARIZONA (WORKERS COMP) (000011067) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: SCIF STATE COMP FUND(WORKERS COMP) (WCCA10000) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: SECURA AUTO (WC) (000011251) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Secure Insurance A Mutual Co - WC (000010978) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SEDGWICK CMS (WORKERS COMP) (000030037) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Sedgwick Dignity Health (Work Comp) (000011228) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SELECTIVE INSURANCE (WORKERS COMP) (000010979) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Sentinel Insurance Comp LTD - WC (000010435) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SENTRY INS A MUTUAL CO (WORK COMP) (000030209) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SENTRY INSURANCE (WORKERS COMP) (000030208) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SERVICE LLOYDS INS CORVEL WORK COMP (000011209) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: SOCIETY INSURANCE (WORK COMP) (000011252) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Sompo Japan Ins Co of America - WC (000010422) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: SRS CARGILL INC (CORVEL) WORK COMP (000011185) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: ST LOUIS COUNTY CORVEL WORKERS COMP (000011184) | Paper | N | |||||||||
|
|
|||||||||||
|
P2P: ST PAUL TRAVELERS (WORKERS COMP) (WCAS16101)
P2P: TRAVELERS (WORKERS COMP) |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: STATE ACCIDENT FUND (SAIF) - WC (000030144) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: STATE FARM - (WORKERS COMP) (000011100) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: STATE FUND MUTUAL INS (CORVEL)-WC (000011066) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: STATE OF MINNESOTA - DOER - WC (000011141) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: STATE OFFICE RISK MGMT SORM - WC (000010996) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: SUMMIT HOLDINGS (WORKERS COMP) (000030216) | Electronic | N | |||||||||
|
|
|||||||||||
|
P2P: Technology Insurance Co - WC (000010526)
Technology Insurance Co |
Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Tennessee Risk Management Trust - WC (000011258) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: TEXAS MUTUAL (TX ONLY) WORKERS COMP (000010034) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: The General Insurance (Work Comp) (000030235) | Electronic | N | |||||||||
|
|
|||||||||||
|
P2P: THE ZENITH (WORKERS COMP) (000010035)
P2P: ZENITH (WORKERS COMP) |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: THIRD COAST UNDERWRITERS (000011259) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: TOWER GROUP INC - (WORKERS COMP) (000011024) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Toyota Motor Sales USA - WC (000010529) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Transportation Insurance Co - WC (000010432) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: TRAVELERS AUTO (WORKERS COMP) (AUAS99402) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: TRISTAR (WORKERS COMP) (000030034) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: TX ASSOC OF SCHOOL BOARDS (MN & TX) (000010179) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: TX MUNICIPAL LEAGUE RISK POOL (WC) (000010138) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: TX MUTUAL INS (ALL OTHER STATES) (000010026) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: TYSON FOODS INC (000030179) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: UNDERWRITERS SAFETY & CLAIMS - WC (000010587) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: United Fire - Auto Only (Work Comp) (000010532) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: UNITED FIRE (WORKERS COMP) (000010531) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: UNITED HEARTLAND (WORKERS COMP) (000011249) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: UNIVERSITY OF KY HEALTH SVCS - WC (000030203) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: USC CBS COMPANIES (WKRS COMP) (WCAS99271) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: USC CHESTERFIELD SRVS (WKRS COMP) (WCAS99235) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: USC CRAWFORD (WORKERS COMP) (WCAS99225) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: USC SECURA INS (WORKERS COMP) (WCAS99237) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: USC WALMART (WORKERS COMP) (WCAS99224) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: UTICA MUTUAL INS CO (WORKERS COMP) (000030088) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: VANLINERS INSURANCE COMPANY - WC (000010590) | Paper | N | |||||||||
|
|
|||||||||||
|
P2P: VIA BUNCH & ASSOCIATES WORKERS COMP (WCAS70101)
P2P: BUNCH CARESOLUTIONS (WORK COMP) |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: WAL-MART CLAIMS MGT INC (CMI) - WC (000010058) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: WEST BEND MUTUAL INSURANCE (WC) (000011049) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Western National Assurance (WC) (000011215) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: WESTERN NATIONAL MUTUAL (CORVEL)-WC (000011129) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: WESTERN NATL PIONEER SPECIALTIES-WC (000011216) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: WESTFIELD INS (WORKERS COMP) (000010168) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: WESTFIELD NATIONAL - (WORK COMP) (000011050) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: XCEL ENERGY CORVEL (WORKERS COMP) (000011188) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: XL Insurance America Inc - WC (000010449) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: XL Specialty Insurance Comp - WC (000010537) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: YORK RISK SVR GROUP - (WORK COMP) (000011061) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Z-NAT INS - ZENITH NATIONAL - WC (000010595) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: ZURICH (67101) (WORKERS COMP) (WCAS67101) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: ZURICH (WORKERS COMP) (000011144) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: ZURICH FARMERS (WORKERS COMP) (000030016) | Paper | N | |||||||||
|
|
|||||||||||
| P3 Health Partners Arizona (58375) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| P3 Health Partners Nevada (Z96440) | Electronic | N | |||||||||
|
|
|||||||||||
| P5 Health Plan of UT (87068) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| PACE Central Iowa (72436) | Electronic | N | |||||||||
|
|
|||||||||||
| Pace CNY (70454) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
PACE Greater New Orleans (DOS 3/27/24 and prior) (21614)
PACE Greater New Orleans |
Electronic | N | |||||||||
|
|
|||||||||||
| PACE Greater New Orleans (DOS 3/28/24 and after) (R3461) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| PACE Nebraska (35416) | Electronic | N | |||||||||
|
|
|||||||||||
| PACE Southeast Michigan (86711) | Paper | N | |||||||||
|
|
|||||||||||
| PACE SouthWest Iowa (53534) | Electronic | N | |||||||||
|
|
|||||||||||
| PACE Southwest Michigan (45114) | Electronic | N | |||||||||
|
|
|||||||||||
|
Pacific Administrators Inc (Remits Only) (Z96567)
Hawaii Laborers' Health and Welfare Fund (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Pacific Associates IPA (PAIPA) | Electronic | N | |||||||||
|
|
|||||||||||
| Pacific Coast Building Products (All States) (Auto Only) (J1808A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Coast Building Products (All States) (WC Only) (J1808W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Compensation Insurance Co (All States) (WC Only) (J1913) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Compensation Insurance Company (WC Only) (All States) (CB094) | Electronic | N | |||||||||
|
|
|||||||||||
| Pacific Dental Services (All States) (Auto Only) (J1806A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Dental Services (All States) (WC Only) (J1806W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Pacific Gas & Electric - 115 (All States) (WC Only) (J1916)
CB287 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Pacific Healthcare IPA (Z95405) | Paper | N | |||||||||
|
|
|||||||||||
| Pacific Medical Centers (PACMED USFHP) (87347) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Pacific Motor Company (J1364W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Pacific Southwest Administrators (75309)
Southwest Service Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
| Pacific Sunwear (All States) (Auto Only) (J1805A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Sunwear (All States) (WC Only) (J1805W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacifica of the Valley Hospital (MPM50) | Paper | N | |||||||||
|
|
|||||||||||
| Pacificare of California (Z1015) | Paper | E | N | ||||||||
|
|
|||||||||||
| PacifiCare of Oregon - Encounters (95975) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
PacificSource Community Solutions (20416)
PacificSource Community Solutions, Inc. -Medicaid |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
PacificSource Health Plans (93029)
PacificSource Health Plans - OR Medicaid MCO |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| PacificSource Medicare (20377) | Electronic | E | N | ||||||||
|
|
|||||||||||
| PAI, Inc (84659) | Electronic | N | |||||||||
|
|
|||||||||||
| Painters Union Insurance Fund (53483) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Paladin Managed Care Services Inc (All States) (WC Only) (J1475W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Palo Alto Medical Foundation (87158)
SC050 Sutter Pacific Medical Foundation 94115 |
Electronic | N | |||||||||
|
|
|||||||||||
| Pan American Life Insurance Group (04218) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| Pan Foundation (RMARE) | Paper | N | |||||||||
|
|
|||||||||||
| Panamerican Palic Puerto Rico (L0180) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Papa John's International Inc (MN and TX only) (WC Only) (WX289W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Paper (98999) | Electronic | N | |||||||||
|
|
|||||||||||
| Paper (Commercial Only) (with Electronic Attachments) (C98999) | Electronic | Y | |||||||||
|
|
|||||||||||
| Paper (Medicare Advantage) (98999MA) | Paper | N | |||||||||
|
|
|||||||||||
| Paper (WC Only) (with Electronic Attachments) (J98999) | Electronic | Y | |||||||||
|
|
|||||||||||
| PAPER CLAIM - VERSION (02/12) (PPNPI) | Electronic | N | |||||||||
|
|
|||||||||||
| PAPER WITH ELEC ATTACHMENTS (Auto Only) (J9899A) | Electronic | Y | |||||||||
|
|
|||||||||||
| PAPER WITH ELEC ATTACHMENTS (WC Only) (J9899W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Paradigm (All States) (WC Only) (J1001)
Paradigm Management Services |
Electronic | Y | |||||||||
|
|
|||||||||||
| Paradigm (All States) (WC Only) (J1001W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Paradigm Health Plan (54874) | Paper | P | N | ||||||||
|
|
|||||||||||
| Paragon Benefits Inc (58174) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Paramount Health (SX158)
Paramount Advantage |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Park District Risk Management Association (PDRMA) (All States) (WC Only) (J1365) | Electronic | Y | |||||||||
|
|
|||||||||||
| Parkland Community Health Plan (66917) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Parkland Community Health Plan (Medicaid Managed Care) (66917MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Parkview Signature Care (35162)
Managed Care Services LLC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Partners in Health (PARTH) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Partners Insurance Company Medicare PPO (RP099)
Jefferson Health Plans |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Partners National Health Plans of North Carolina Inc (7472)
Blue Medicare North Carolina |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Partnership Health Plan (RCHC Sonoma County Only) (RCHC1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Partnership Health Plan of California (PHP02) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Passport Advantage (66008)
Passport Advantage (DOS 07/01/2018 and After) |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Passport Health Plan (Medicare Advantage) (61325MA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Passport Health Plan by Molina Healthcare (61325)
Molina Healthcare of Kentucky Passport Health Plan Passport Health Plan (DOS prior to 10/01/17) (61129) |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
PATH Administrators (25172)
DH Evans |
Electronic | N | |||||||||
|
|
|||||||||||
| Patient Advocates (10525) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Patient Advocates LLC (55489) | Electronic | N | |||||||||
|
|
|||||||||||
| Patient Physician Cooperatives (20510) | Electronic | N | |||||||||
|
|
|||||||||||
| PatientPay (EOBC) (26335) | Paper | N | |||||||||
|
|
|||||||||||
| Patriot Dental (10782) | Paper | E | N | ||||||||
|
|
|||||||||||
| PayerFusion Holdings, LLC (27048) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| PDRMA (J1365W) | Electronic | Y | |||||||||
|
|
|||||||||||
| PDRMA LIB (J1366W) | Electronic | Y | |||||||||
|
|
|||||||||||
| PDT - Hollywood Presbyterian-St Vincent (PDT02) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Peach State Health Plan (68049) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Peak Health (PEAK0)
Peak Health Network RP095 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Peak Pace Solutions LLC (27034)
ArchCare Advantage ArchCare Community Life ArchCare Senior Life Central Valley Pace Elderone Orangeburg Senior Helping Center Pace Your Life Peak TPA Senior Total Life Care Senior TLC (DOS prior to 3/1/24) Suncoast Pace Troy Medicare (DOS 12/31/2023 and prior) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Pebble Health (24456) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Pediatric Services Holding Corp - Psa Healthcare (All States) (Auto only) (J1989A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pediatric Services Holding Corp - Psa Healthcare (All States) (WC only) (J1989W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Peerless (All States) (WC Only) (J1423W) | Electronic | Y | |||||||||
|
|
|||||||||||
| PEF Ltd (PEF01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Peg Discover RE (Foood Merchant) (All States) (WC Only) (J1054) | Electronic | Y | |||||||||
|
|
|||||||||||
| PEG DISCOVER RE (MN and TX only)(WC Only) (WR343W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pegasus Risk Management (CA Only) (WC Only) (J1924) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pegi-Family Dining (All States) (WC Only) (J1093W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PEHP (Public Employees Health Program) (Z1012)
SX106 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Pekin (All States)(Auto Only) (J1367A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Pekin (All States)(WC Only) (J1367W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pekin Life Insurance (37086) | Electronic | P E | N | ||||||||
|
|
|||||||||||
|
Penn Behavioral Health (DOS prior to 07/01/2019) (53226)
Penn Behavioral Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Penn Millers Insurance Co (MN TX Only) (Auto only) (J1573A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Penn Millers Insurance Co (MN TX Only) (WC only) (J1573W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Penn National (NJ Only) (Auto Only) (C1076) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Penn National (NJ, NC, TN, VA Only) (WC Only) (J3903) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Penn National (NJ, NC, TN, VA Only) (WC Only) (J3903W) | Electronic | N | |||||||||
|
|
|||||||||||
| Penn Treaty Network America Ins Medicare Supp (Z96295) | Paper | E | N | ||||||||
|
|
|||||||||||
| PENNSYLVANIA BLUE CROSS CENTRAL (12B81) | Electronic | N | |||||||||
|
|
|||||||||||
| Pennsylvania Health and Wellness (Z96336) | Paper | E | N | ||||||||
|
|
|||||||||||
| Pennsylvania Health Care Plan (Z96447) | Paper | P | N | ||||||||
|
|
|||||||||||
|
Pennsylvania Manufacturing Associates (All States) (WC Only) (J1439W)
CB620 NEW HANOVER COUNTY PMA (All States) (WC Only) PMA Insurance Group (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Pennsylvania Manufacturing Associates (WC Only) (All States) (J1439)
Pennsylvania Manufacturing Associates |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Pennsylvania Pace (20172) | Electronic | N | |||||||||
|
|
|||||||||||
| Pennsylvania Preferred Health Network (PPHN) (06161) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
People 1st Health Strategies (Remits Only) (12541)
44951 |
Paper | N | |||||||||
|
|
|||||||||||
| People 2.0 (All States) (WC Only) (J1466W) | Electronic | Y | |||||||||
|
|
|||||||||||
| People First (Eligibility Only) (Z96294) | Paper | E | N | ||||||||
|
|
|||||||||||
|
People's Health Network (DOS 12/31/2023 and prior) (72126)
Peoples Health Network (DOS 12/31/2023 and prior) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| PepsiCo Inc (EOBC) (A0597) | Paper | N | |||||||||
|
|
|||||||||||
| Perennial Advantage of Colorado (PACO1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Perennial Advantage of Ohio (PAOH1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Performance Contracting Inc (All States) (WC Only) (J1940) | Electronic | Y | |||||||||
|
|
|||||||||||
| Performance Contracting Inc (All States)(Auto Only) (J1940A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Performance Food Group - CORVEL (All States) (Auto Only) (J2390A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Performance Food Group - CORVEL (All States) (WC Only) (J2390) | Electronic | Y | |||||||||
|
|
|||||||||||
| Performance Food Group (WC Only) (All States) (E1685W) | Paper | N | |||||||||
|
|
|||||||||||
| Performance Temps (J1368W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PerformCare - HealthChoices (65391)
CBHNP - HealthChoices |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Perlman Medical Group (73275) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Personal Insurance Administrators Inc (Agoura Hills, CA) (95397) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Pharmacist Mutual Insurance Comp (MN TX Only) (Auto Only) (J1570) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pharmacist Mutual Insurance Company (WC Only) (J1570W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pharmacists Mutual Ins Co (Auto Only) (13714A) | Electronic | N | |||||||||
|
|
|||||||||||
| Pharmacists Mutual Insurance Co (All States)(WC Only) (J3734) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PHCS Maxor Administrative Services (20090)
United Claim Solutions |
Electronic | N | |||||||||
|
|
|||||||||||
| PHH Fleetamerica (MN and TX only)(WC Only) (WX298W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Phifer Wire Products Incorporated (PHIF4) | Electronic | N | |||||||||
|
|
|||||||||||
| Philadelphia American Life Insurance Company (NWERA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| PHP Network (PHPMSI) | Electronic | N | |||||||||
|
|
|||||||||||
| PHP Network (RP097) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
PHP TPA Services (7161)
30031 Pro Claims Plus Pro-Claim Plus Inc Proclaim Plus Inc |
Electronic | N | |||||||||
|
|
|||||||||||
|
Physician Associates of Greater San Gabriel Valley (CA) (PA513)
Optum Care Network |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Physician Healthcare Integration IPA (POP10) | Paper | P | N | ||||||||
|
|
|||||||||||
| Physician Partners IPA (PPIPA) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Physician Partners IPA (PPRT1)
Physician Partners of Dupage FHN |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Physicians Care Network (Rockford, IL only) (36345) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Physicians Care Network / The Polyclinic (PCN12) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Physicians Choice Medical Group of San Luis Obispo (SLOS1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Physicians Choice Medical Group of Santa Maria (MCI01)
Midcoast Care Inc. PCMG of Santa Maria |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Physician's Data Trust (PDT01)
Citrus Valley Physicians Group (CVPG) Golden Physicians Medical Group Greater Tri-Cities IPA Noble AMA Select IPA St. Vincent IPA TriCities IPA Ximed Medical Group |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Physicians Health Association of Illinois (37136) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Physicians Health Choice (Z0082)
Physicians Health Choice- HCFA Claims |
Electronic | N | |||||||||
|
|
|||||||||||
| Physicians Health Collaborative (20398) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Physicians Health Network (MHM03) | Electronic | N | |||||||||
|
|
|||||||||||
| Physicians Health Network (PHN) (MHCM2) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Physicians Health Plan (PHP) (37330)
Physician Health Plan of Mid Michigan |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Physicians Health Plan of Michigan Medicare (83276) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
|
Physicians Health Plan of Northern Indiana (PHP) (12399)
MARSH AFFINITY GROUP SERVICES |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Physicians Medical Group of San Jose (ZBID8)
EXC01 Excel MSO PMG of San Jose |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Physicians Medical Group of Santa Cruz (DOS 1/1/19 and After) (PMGSC1) | Electronic | N | |||||||||
|
|
|||||||||||
| Physicians Mutual Insurance Company (47027) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Physicians of Southwest Washington (91171) | Electronic | N | |||||||||
|
|
|||||||||||
| Physicians United Plan (TH131) | Electronic | N | |||||||||
|
|
|||||||||||
| PhysMetrics (48008) | Electronic | N | |||||||||
|
|
|||||||||||
|
Physmetrics (formerly Chirometrics) (Z96250)
33070 CHIROMETRICS |
Electronic | N | |||||||||
|
|
|||||||||||
| Physnet (All States) (WC Only) (J4305) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Piedmont (GA) (10882) | Paper | E | N | ||||||||
|
|
|||||||||||
| Piedmont Community Health Plan (55768) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Pier 1 Inc. USA (All States) (WC Only) (J1369W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PIH Health (BHP01)
Bright Health Physicians Presbyterian Intercommunity Hospital |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
PIH Health Downey (PPNZZ)
Pioneer Provider Network (DOS prior to 3/31/2019) |
Electronic | N | |||||||||
|
|
|||||||||||
| Pinnacle Medical Group (95271) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Pinnacol Assurance (w/attach) (Employee claims only) (All States) (WC Only) (J4050)
CB746 E4050 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Pinnacol Assurance (w/o attach) (Employee claims only) (All States) (WC Only) (J4050W)
CB746 E4050 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Pioneer Medical Group (PIONR) | Electronic | N | |||||||||
|
|
|||||||||||
|
Pipe Fitters Welfare Fund Local 597 (PIP98)
Pipefitters 597 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Pipeline Industry Benefit Fund (Remits Only) (PIBF) | Paper | N | |||||||||
|
|
|||||||||||
| Pittsburgh Care Partnership Inc (23283) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Pivotal Plan (64160) | Electronic | N | |||||||||
|
|
|||||||||||
| Plan De Salud Hospital Menonita Vital (Z96646) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Plan De Salud Menonita (66063) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Plan Medico Bella Vista (Z6605) | Electronic | N | |||||||||
|
|
|||||||||||
|
Planned Administrators (37287)
PAI |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Planned Administrators Inc (PAI) (All States) (WC Only) (J4291) | Electronic | Y | |||||||||
|
|
|||||||||||
| Planned Administrators Inc. - P&C Division (21319) | Electronic | N | |||||||||
|
|
|||||||||||
|
Planstin Administration (65241)
Zion Health |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Plumbers & Pipefitters UA Local 350 (Z96193) | Paper | N | |||||||||
|
|
|||||||||||
| Plumbers and Pipefitters Welfare Educational Fund (DX153) | Paper | N | |||||||||
|
|
|||||||||||
|
Plumbers Local 130 (09578)
Trustees of the Plumbers Welfare Fund Local 130 UA |
Paper | N | |||||||||
|
|
|||||||||||
|
Plymouth Rock (All States) (Auto Only) (J3938)
High Point Property and Casualty Ins (All States) (Auto Only) High Point Safety and Ins Company (All States) (Auto Only) Palisades Insurance Company (All States) (Auto Only) Teachers Auto Ins Co of New Jersey (All States) (Auto Only) |
Electronic | P | Y | ||||||||
|
|
|||||||||||
| PMA Insurance Group & PMA Management Corp (MN, TX) WC ONLY (MedRisk contracted providers ONLY) (WB175W) | Electronic | N | |||||||||
|
|
|||||||||||
| PMA Insurance Group (All States) (Auto Only) (J3967A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| PodAmerica (RP106) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Podiatry First (POD1S) | Electronic | N | |||||||||
|
|
|||||||||||
| Podiatry Network Florida (59324) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Podiatry Plan Inc (PODIA) | Paper | P | N | ||||||||
|
|
|||||||||||
| Point Comfort Underwriters - Travel (PCU04) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Point Comfort Underwriters (Patients over 18) (PCU02) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Point Comfort Underwriters (Patients under 18) (PCU01) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Point Comfort Underwriters (TN Providers) (PCU03)
Point Comfort Underwriters |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Pokagon Health Services (78535) | Electronic | N | |||||||||
|
|
|||||||||||
| Polaris (All States) (WC Only) (A0395W) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Polaris (MN & TX Only) (Auto Only) (A0395A) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Pomona Valley Medical Group (IP057)
Pomona Valley Hospital Medical Center |
Paper | P | N | ||||||||
|
|
|||||||||||
| Pool Administrators Primary (PAI01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Pool Administrators Secondary (PAI02)
Pool Administrators Inc - CA Dept of Public Health Secondary Claims |
Electronic | N | |||||||||
|
|
|||||||||||
| Poppins Health (21814) | Electronic | N | |||||||||
|
|
|||||||||||
|
Populytics (23253)
Spectrum Administrators Inc. - TPA (Allentown PA) |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| Port of Oakland (CA) (All States) (Auto only) (J1627A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Port of Oakland (CA) (All States) (WC only) (J1627W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Portillos (J1371W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PPO One (UHNDC)
United Healthcare NDC Home Infusion Specialty Pharmacy Claims |
Electronic | N | |||||||||
|
|
|||||||||||
| PPOPlus LLC (72148) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Prairie States Enterprises Inc (36373) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Precision Glass (EOBC) (WR458) | Paper | N | |||||||||
|
|
|||||||||||
|
Preferred Administrators (60338)
Benefit Solutions Inc. |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Preferred Administrators (EPF10) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Preferred Administrators - Childrens Hospital (EPF11) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Preferred Benefit Administrators (Longwood, FL) (53476) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Preferred Benefits Administrator (EOBC) (61665) | Paper | N | |||||||||
|
|
|||||||||||
|
Preferred Care Network (78857)
Medica Healthcare Plans (Florida) |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| Preferred Care Partners (FL) (65088) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Preferred Community Choice/PCC Select/CompMed (73145) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Preferred Employers (All States) (WC Only) (J1095W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Preferred Employers Group (MN & TX) (WC Only) (WX300W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Preferred Employers Insurance Co. (WR461) | Electronic | N | |||||||||
|
|
|||||||||||
| Preferred Employers Insurance Comp (PEI) (CA Only) (WC Only) (J1496) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Preferred Health (PHP Kansas City) (31478)
Freedom Network / Freedom Network Select Health Partners of Kansas Mo-Kan Sheet Metal Workers Welfare Fund |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Preferred Health Care (PHC) (33898)
Aegis Security Insurance Company Eliance Preferred Healthcare of Pennsylvania |
Electronic | N | |||||||||
|
|
|||||||||||
|
Preferred Health Plan (14966)
HealthSmart Partners Health Plan Preferred Health Partners |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Preferred Health Plan of the Carolinas (CB404) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Preferred Health Systems (00263) | Paper | E | N | ||||||||
|
|
|||||||||||
| Preferred IPA (PFIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Preferred Medical (J1372W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Preferred Medical Claims Services/PMCS (Remits Only) (21524) | Paper | N | |||||||||
|
|
|||||||||||
| Preferred Medical Plan (PMP01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Preferred Medicare Choice (PMC) (Z60056)
L0250 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Preferred Medicare Choice (PMC) Reform (Z96647) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Preferred Mutual (All States) (WC Only) (J3864W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Preferred Network Access (36401) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
PreferredOne (MN) (41147)
Aspirus Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Premier Admin Solutions (Remits Only) (11117)
Premier Administrative Solutions Inc |
Paper | N | |||||||||
|
|
|||||||||||
|
Premier Care IPA (ProCare MSO) (PCMSO)
Complete Care IPA EasyAccess Care IPA (ProCare MSO) Merit IPA MyChoice IPA (ProCare MSO) Nexus IPA (ProCare MSO) Physician Partners IPA (ProCare MSO) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Premier Eye Care (65054) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Premier Health Plan Ohio (EOBC) (251PR) | Paper | N | |||||||||
|
|
|||||||||||
|
Premier HealthCare Exchange (88056)
Cypress Benefits Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
| Premier Healthcare Exchange, Inc. (PHX) (88051) | Electronic | N | |||||||||
|
|
|||||||||||
| Premier Patient Care IPA (PPCIP) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Premier Physician Alliance Inc (65482) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Premier Physician Network (MPM22) | Electronic | N | |||||||||
|
|
|||||||||||
|
Presbyterian Health Plan (Z0003)
05003 PREHP Presbyterian Centennial Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Presbyterian Health Plan (Medicaid Managed Care) (Z0003MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Presbyterian Health Plan (Medicare Advantage) (Z0003MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Presbyterian Salud (NM) (Z0077)
PRESA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Prescient National (All States) (WC Only) (J4095) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Presence ERC (46311)
Pathways Behavioral Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Preserver Insurance Company (TX, MN, CA, IL, LA, NJ, OR and NC Only) (Auto Only) (J3962A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Preserver Insurance Company (TX, MN, CA, IL, LA, NJ, OR and NC Only) (WC Only) (J3962) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Prezzo (CB531) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Primary Care Associates of California (PCACZ) | Electronic | N | |||||||||
|
|
|||||||||||
|
Primary Health Network (82048)
Idaho Physicians Network (IPN) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Primary Provider Management (Encounters Only) (PPM02)
Cal Care IPA (Encounters Only) Los Angeles Medical Center (LAMC) (Encounters Only) Vantage Medical Group (Encounters Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Prime Community Care Central Valley (MVCV1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Prime Health Choice, LLC (81502) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Prime Healthcare (All States) (Auto Only) (J1673A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Prime Healthcare (All States) (WC Only) (J1673W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Prime Property & Casulty (NJ Only) (Auto Only) (C1081A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Prime Therapeutics (Remits Only) (Z96001) | Paper | N | |||||||||
|
|
|||||||||||
| Prime West Health Plan (61604) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| PrimeTime Health Plan (HMO Medicare) (Z1235) | Electronic | N | |||||||||
|
|
|||||||||||
| Prince George's County Government (MD) (All States) (Auto only) (J1891A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Prince George's County Government (MD) (All States) (WC only) (J1891W) | Electronic | Y | |||||||||
|
|
|||||||||||
| PRINCETON PREMIER IPA (PRI01) | Electronic | N | |||||||||
|
|
|||||||||||
| Principal Financial Group (Medicare Advantage) (61271MA) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Principal Financial Group (Vision Claims Only) (61271)
JF Molloy & Associates Inc Principal Financial Group Principal Life Insurance Company Principal Mutual Life Ins. Co. |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
PRINT ON FORM (Medicaid Managed Care) (Z96202MC)
Print Overlay (Medicaid Managed Care) Surgery on Sunday (Medicaid Managed Care) |
Electronic | N | |||||||||
|
|
|||||||||||
| Priority Health (38217) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Priority Health (Medicaid Managed Care) (38217MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Priority Health (Medicare Advantage) (38217MA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Prism Network Inc (37268)
Palladian Muscular Skeletal Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Prism-Univera, West Seneca, New York (37315) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| PRN LINK-MLK (PRNLK) | Electronic | N | |||||||||
|
|
|||||||||||
|
ProCare (TX) (PTX01)
Procare Advantage |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Prodegi Corporate Benefit Services (87065)
MBA of Wyoming |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Producers Exchange (PEBSI) | Electronic | N | |||||||||
|
|
|||||||||||
|
PRODUCT TEST (TESTP)
KRISTEN TEST PAYER |
Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Professional Benefit Administrators Inc (Oak Brook, IL) (36331)
Professional Benefits Administrators, Inc. |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Professional Benefit Services Inc (18244) | Paper | N | |||||||||
|
|
|||||||||||
| Professional Claims Management (J1821E) | Paper | N | |||||||||
|
|
|||||||||||
| Professional Claims Management (All States) (WC Only) (J1821W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Professional Claims Service/Tpa (ALL) [WC, Auto] (WR498) | Electronic | N | |||||||||
|
|
|||||||||||
| Professional Health Care Network (26748) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Professional Insurance Company (59041) | Electronic | N | |||||||||
|
|
|||||||||||
| Progressive (All States) (Auto Only) (J1748A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Progressive (All States) (Auto Only) w/o attach (J1748) | Electronic | N | |||||||||
|
|
|||||||||||
| Progressive Casualty Insurance Company (Auto Only) (All States) (24260) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Progressive Casualty Insurance Company (MN and NJ Only) (Auto Only) (J3692A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Classic Insurance Co (MN and NJ Only) (Auto Only) (J1788A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Progressive Commercial Casualty Co (All States) (Auto Only) (J1779A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Direct Insurance Co (All States) (Auto Only) (J1780A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Direct Insurance Company (All States) (Auto Only) (16322A) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Progressive Max Insurance Co (MN and NJ Only) (Auto Only) (J1783A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Progressive Max Insurance Company (Auto Only) (MN Only) (24279) | Electronic | N | |||||||||
|
|
|||||||||||
| Progressive Northern Insurance Co (All States) (Auto Only) (J1786A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Northern Insurance Company (Auto Only)(All States) (38628) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Progressive Northwestern Insurance Co (MN and NJ Only) (Auto Only) (J1787A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Progressive Northwestern Insurance Comp (All States) (Auto Only) (42919) | Electronic | N | |||||||||
|
|
|||||||||||
| Progressive Preferred Insurance Co (All States) (Auto Only) (J1785A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Premier Insurance Co (All States) (Auto Only) (J1781A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Specialty Insurance Co (MN and NJ Only) (Auto Only) (J1784A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Progyny (PROGY) | Electronic | N | |||||||||
|
|
|||||||||||
|
Prominence Administrative Services (88022)
CDS Group Health |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Prominence Health Plan (88029)
St Mary's Health Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Prominence Health Plan of Nevada (93082) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Prominence Health Plan of Texas (80095)
Prominence Health Plan of Texas |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Prominence Healthfirst of Florida (83352) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Prospect Medical Group (PROSP)
AMVI - Prospect Health Network AMVI Medical Group Amvicare APAC (Pinnacle Health Resources) Cal Care IPA (DOS 8/1/2020 and after) Clinica Medica San Miguel Gateway IPA (Pinnacle Health Resources) Genesis Healthcare (EMG) Health Excel IPA Los Angeles Medical Center (LAMC) (DOS 8/1/2020 and after) Maverick Medical Group North West Orange County Medical Group (NWOC) Nuestra Familia Medical Group Pacific Healthcare IPA Pinnacle Health Resources Pomona Valley Medical Group (PVMG) ProCare (Prospect) Prospect Health Services of Texas Prospect Provider Group of Rhode Island Prospect Sherman Oaks Medical Group United Care Medical Group Upland Medical Group Vantage Medical Group (DOS 8/1/2020 and after) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
PROSSAM (Asociación de Maestros de PR) (660194027)
Associacion De Maestros Puerto Rico |
Electronic | N | |||||||||
|
|
|||||||||||
|
Protective Insurance Co (All States) (WC only) (J1568W)
Protective (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Protective Insurance Company (Auto Only) (12416A) | Paper | N | |||||||||
|
|
|||||||||||
| Protective Insurance Company (WC Only)(All States) (12416W) | Paper | N | |||||||||
|
|
|||||||||||
| Protective Life Insurance Company (37309) | Electronic | N | |||||||||
|
|
|||||||||||
| Protector 360 (68756) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Providence Facility Claims (PROV1) | Electronic | N | |||||||||
|
|
|||||||||||
| Providence Health Assurance Medicaid (DOS 1/1/2021 and After) (77350) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Providence Health Assurance Medicare (77500) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Providence Health Plan (4498)
Health Republic Insurance (OR) PHP01 SX133 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Providence Health Plan (Medicaid Managed Care) (4498MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Providence Health Services (WC) (TX, MN & CA only) (WR132W)
PROVIDENCE PROPERTY AND CASUALTY (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Providence Insurance and Admin Service (PAS01) | Electronic | N | |||||||||
|
|
|||||||||||
| Providence Pace CA (77240) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Providence Preferred (DOS 12/31/2022 and prior) (PHP00)
Providence PPO Providence Preferred SX187 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Provident American Life & Health Ins Co- Medicare Supplement (Eligibility Only) (Z90026) | Paper | E | N | ||||||||
|
|
|||||||||||
| Provident Preferred Network - Dental (10790) | Paper | E | N | ||||||||
|
|
|||||||||||
| Provider Partners Health Plan Illinois (31401) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Provider Partners Health Plan of Maryland (31118)
Tribute Health Plan (Formerly Central Benefits Mutual) |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| Provider Partners Health Plan of Missouri (31404) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Provider Partners Health Plan of Ohio (31402) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Provider Partners Health Plan of Pennsylvania (31400)
PPHP |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Provider Partners Health Plan of Texas (31405) | Electronic | N | |||||||||
|
|
|||||||||||
| ProviDRs Care Network (48100) | Electronic | N | |||||||||
|
|
|||||||||||
|
Prudent Medical Group (MPM25)
Formerly Hollywood Presbyterian Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
|
Prudential (68241)
PRU Plus PruCare HMO PruCare Plus PruChoice Prudential Health Care System Prudential Healthcare PPO for Small Business PruNetwork (PruNetwork PPO) PruPsych RUSH Prudential Insurance Co (PPO & POS only) Southwestern Bell The Prudential |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Pruitt Health Premier (PH001) | Paper | P I | N | ||||||||
|
|
|||||||||||
| PruittHealth Premier NC/SC (PHPC1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
PSKW (PSKW0)
Connective RX - Physician Reimbursement Program |
Electronic | P | N | ||||||||
|
|
|||||||||||
| PsychHealth (A2797) | Electronic | N | |||||||||
|
|
|||||||||||
| Public Alliance Insurance Coverage Fund (PAIC Jif)(NJ Only)(WC Only) (J3936W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Public Employee Benefit Authority (Eligibility) (Z96292) | Paper | E | N | ||||||||
|
|
|||||||||||
| Public Employees Health Plan - Medicare (Eligibility Only) (11049) | Paper | E | N | ||||||||
|
|
|||||||||||
| Public Employees Health Program- CHIP (Eligibility Only) (11050) | Paper | E | N | ||||||||
|
|
|||||||||||
| Public Employers Risk Management Authority (PERMA) (All States) (WC Only) (J1623) | Electronic | Y | |||||||||
|
|
|||||||||||
| Public Employers Risk Management Authority (PERMA) (All States) (WC Only) w/o attach (J1623W) | Electronic | N | |||||||||
|
|
|||||||||||
| Publix Super Markets Inc (AL FL GA KY MA NC NH NY OH OK PA SC TN TX VA Only) (WC Only) (J1897) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Publix Super Markets Inc (NC, TN Only) (WC Only) (J1897W) | Electronic | N | |||||||||
|
|
|||||||||||
| Puget Sound Workers' Compensation Trust (All States) (WC Only) (J3791W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Puget Sound Workers' Compensation Trust (All States) (WC Only) w/o attach (J3791) | Electronic | N | |||||||||
|
|
|||||||||||
| Pure Insurance (All States) (Auto Only) (C1088A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Puritan Life Insurance (Z95719) | Paper | E M | N | ||||||||
|
|
|||||||||||
| QBE - General Casualty - Eden Prairie (CA IL LA NC MN OR TX) (WC Only) (J1485) | Electronic | Y | |||||||||
|
|
|||||||||||
| QBE - General Casualty - Farmers Union (CA IL LA NC MN OR TX) (WC Only) (J1483) | Electronic | Y | |||||||||
|
|
|||||||||||
| QBE - General Casualty - Indianapolis (CA IL LA NC MN OR TX) (WC Only) (J1487) | Electronic | Y | |||||||||
|
|
|||||||||||
| QBE - General Casualty - Simsbury (CA IL LA NC MN OR TX) (WC Only) (J1488) | Electronic | Y | |||||||||
|
|
|||||||||||
| QBE - General Casualty - Sun Prairie (CA IL LA NC NJ MN OR TX) (WC Only) (J1489) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| QBE - General Casualty - West Des Moines (CA IL LA NC MN OR TX) (WC Only) (J1490) | Electronic | Y | |||||||||
|
|
|||||||||||
|
QBE - General Casualty Co of Wisconsin (CA IL LA NC MN OR TX) (WC Only) (J1484)
National Farmers Union Property and Casualty Comp - QBE DBA(CA IL LA NC MN OR TX) Regent Insurance Company - QBE DBA (CA IL LA NC MN OR TX) Unigard Insurance Company - QBE DBA (CA IL LA NC MN OR TX) |
Electronic | Y | |||||||||
|
|
|||||||||||
| QBE - General Casualty Freeport (CA IL LA NC MN OR TX) (WC Only) (J1486) | Electronic | Y | |||||||||
|
|
|||||||||||
| Quad City Community Healthcare (QCCH) (40437) | Electronic | N | |||||||||
|
|
|||||||||||
|
Qual Choice of Arkansas (35174)
QCA Health Plan Inc Qualchoice Life and Health Insurance Company Inc |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Qual Medical Colorado (QMDCE) | Electronic | N | |||||||||
|
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|||||||||||
| Qual Medical Portland (QMDPO) | Electronic | N | |||||||||
|
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|||||||||||
| QualCare (CA) (CPNQC) | Electronic | N | |||||||||
|
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|||||||||||
| QualCare IPA (QCP01) | Electronic | N | |||||||||
|
|
|||||||||||
| Qualchoice of Ohio (Z1094) | Electronic | P | N | ||||||||
|
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|||||||||||
| Qualexa Healthcare (86772) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Quality Care Partners (89461) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Quality Plan Administrators, Inc. (CX077) | Electronic | N | |||||||||
|
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|||||||||||
| Qual-Lynx (83867) | Paper | P I | N | ||||||||
|
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|||||||||||
|
Qual-Lynx (all States) (WC Only) (J4059)
LV167 |
Electronic | Y | |||||||||
|
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|||||||||||
| QuantumCare (We Care Health Plan) (QCTPA) | Electronic | N | |||||||||
|
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|||||||||||
|
Quest Behavioral Health (44219)
BHP-Unity |
Electronic | N | |||||||||
|
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|||||||||||
|
Quest EAP (10956)
Berkshire Intergroup |
Electronic | P I | N | ||||||||
|
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|||||||||||
| QuikTrip Corporation (73067) | Electronic | E | N | ||||||||
|
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|||||||||||
| QVI Risk Solutions Inc (Bend OR) (57117) | Electronic | P | N | ||||||||
|
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|||||||||||
| R&L Carriers (All States Except ND, OH, WA and WY) (WC Only) (J4192) | Electronic | Y | |||||||||
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|||||||||||
|
Rady Children’s Health Network (RCHN1)
Children's Physicians Medical Group (CPMG) Physicians Management Group |
Paper | P I | N | ||||||||
|
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|||||||||||
| Rady’s Children’s Specialists of San Diego (CSSD2) | Electronic | N | |||||||||
|
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|||||||||||
| Railroad Medicare (SRRGA) | Electronic | P E M | N | ||||||||
|
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|||||||||||
| Raley's Family of Fine Stores (All States) (Auto only) (J1522A) | Electronic | Y | |||||||||
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| Raley's Family of Fine Stores (All States) (WC Only) (J1522) | Electronic | Y | |||||||||
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| Raley's Family of Fine Stores (WC only) (J1522W) | Electronic | Y | |||||||||
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|||||||||||
| Ralph Lauren (All States) (WC Only) (J1938) | Electronic | Y | |||||||||
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|||||||||||
| Ralph Lauren (All States)(Auto Only) (J1938A) | Electronic | P I | Y | ||||||||
|
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|||||||||||
| Ram Mutual Insurance Company (Auto Only) (I6758A) | Electronic | N | |||||||||
|
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| RAM MUTUAL INSURANCE COMPANY (AUTO) (TX,MN ONLY) (WZ890A) | Electronic | N | |||||||||
|
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|||||||||||
| Ram Mutual Insurance Company (WC Only) (I6758W) | Electronic | N | |||||||||
|
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| RAM MUTUAL INSURANCE COMPANY (WC) (TX,MN ONLY) (WZ890W) | Electronic | N | |||||||||
|
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|||||||||||
| Rampart Insurance Company (All States) (WC Only) (WX301W) | Electronic | Y | |||||||||
|
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|||||||||||
| Ramsey County (E9361) | Electronic | N | |||||||||
|
|
|||||||||||
| Ramsey County (MN) (All States) (Auto Only) (J1663A) | Electronic | P I | Y | ||||||||
|
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|||||||||||
| Ramsey County (MN) (All States) (WC Only) (J1663W) | Electronic | P I | Y | ||||||||
|
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|||||||||||
| Rancho Santiago Community College District (All States) (Auto only) (J1635A) | Electronic | Y | |||||||||
|
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|||||||||||
| Rancho Santiago Community College District (All States) (WC only) (J1635W) | Electronic | Y | |||||||||
|
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|||||||||||
| Rapha IPA Inc. (RAIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ravenswood Physician Associates (RPAWC) | Electronic | N | |||||||||
|
|
|||||||||||
| Recology (All States) (Auto only) (J1675A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Recology (All States) (WC only) (J1675W) | Electronic | Y | |||||||||
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|||||||||||
| Recreational Equipment Inc (REI) (All States) (Auto Only) (J3763A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Recreational Equipment Inc (REI) (All States) (WC Only) (J3763) | Electronic | Y | |||||||||
|
|
|||||||||||
| Red Oak Independent School District (All States) (WC Only) (A0205W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Redirect Health Administration (86145) | Electronic | N | |||||||||
|
|
|||||||||||
| Redlands Community Hospital (RCH23) | Electronic | N | |||||||||
|
|
|||||||||||
| Redlands-Yucaipa Medical Group (18247) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Redwood Community Health Coalition (MPM17) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Redwood Health Services (54259) | Electronic | P I | N | ||||||||
|
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|||||||||||
|
Regal Medical Group (REGAL)
95449 Caduceus Medical Group Glendale Physicians Alliance Heritage Provider Network |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Regence Group Administrators (RGA01) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Regency Employee Benefits (38221) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Regional Care Inc (47076)
RCI |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Regis Brands (All States) (WC Only) (J1467W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Rehn and Associates (Kanai Penisula Borough & School District) (REHN)
REHNO |
Electronic | N | |||||||||
|
|
|||||||||||
| Reimbursement Specialists Inc (Remits Only) (R29044) | Paper | N | |||||||||
|
|
|||||||||||
|
Reliance Community Care Partners (RCCP) (79846)
Great Lakes PACE |
Electronic | N | |||||||||
|
|
|||||||||||
|
Reliance HMO, INC. (RHP01)
CCA Health Michigan |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Reliance Standard Life (Remits & Eligibility Only) (36088) | Paper | E | N | ||||||||
|
|
|||||||||||
| Reliance Steel & Aluminum - CORVEL (All States) (WC Only) (J4366) | Electronic | P I | Y | ||||||||
|
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|||||||||||
|
Religious Order of Jehovah's Witnesses (ROJW1)
Watchtowers |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Renaissance Physicians Organization (76066) | Electronic | N | |||||||||
|
|
|||||||||||
| Republic Franklin Insurance (All States) (WC Only) (12475) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Republic Indemnity Company of America (All States) (WC Only) (J1008W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Republic Indemnity Company of America (WC Only) (J1008) | Electronic | N | |||||||||
|
|
|||||||||||
| Republic Western Ins Co (MN TX Only) (Auto only) (J1597A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Republic Western Ins Co (MN TX Only) (WC only) (J1597W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rescare Inc (WC Only) (J1376W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Reserve National Insurance (73066)
MedMutual Protect |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Residential Services Group (All States ) (WC Only) (J1097W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Resolve Health Plan Administrators (20481) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Resourceone Administrators (00518) | Paper | N | |||||||||
|
|
|||||||||||
|
ResourceOne Administrators (66456)
AdminOne Edison Health Solutions |
Electronic | N | |||||||||
|
|
|||||||||||
| Restaurant Reinsurance Limited (MN & TX) (WC Only) (WX303W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Resurrection Physician Provider Group (RPPG1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Retail Business Services (RBS) (NJ, NY, NC, TN Only) (Auto Only) (J3733A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Retail Business Services (RBS) (NJ, NY, NC, TN Only) (WC Only) (J3733) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Retro Insulation Inc (all States) (Auto Only) (J3870A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Retro Insulation Inc (All States) (WC Only) (J3870W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| RETURN TO WORK (RTW) (J1202) | Electronic | N | |||||||||
|
|
|||||||||||
|
Return to Work (RTW) (MN Only) (WC Only) (J1202W)
RTW (MN Only) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| REVCLAIMS (RVC01) | Electronic | N | |||||||||
|
|
|||||||||||
| Revived Medical IPA (REVIV) | Electronic | N | |||||||||
|
|
|||||||||||
|
RHHI/Home Health/Hospice/Free Standing ESRD (AK,CA,HI,NV,OR,WA,ID,AZ) (Z1053)
RHHI/Home Health/Hospice/Free Standing ESRD ( REGION D - AK,CA,HI,NV,OR,WA,ID,AZ) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| RHHI/Home Health/Hospice/Free Standing ESRD (AK,CA,HI,NV,OR,WA,ID,AZ) (with Attachments) (JZ1053) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Rhode Island Medicaid- Outpatient (Z96393) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Rhone-Poulenc, Inc. (MN & TX) (WC Only) (WX311W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Richardson ISD (Tristar Risk Management) (All States) (Auto Only) (J3974A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Richardson ISD (Tristar Risk Management) (All States) (WC Only) (J3974) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Richmond Township (Auto Only) (J1377A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Richmond Township (WC Only) (J1377W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rieth-Riley Construction Compa (MN & TX only) (WC Only) (WX314W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
RightCare from Scott & White (74205)
Right Care from Scott & White |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| RightCare from Scott & White (Medicaid Managed Care) (74205MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| RightChoice Benefit Administrators (37331) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Rios Arizona IPA (RIOSA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Rios Southwest Medical Group (RIOS1) | Paper | N | |||||||||
|
|
|||||||||||
| RIS Rx (RISRX) | Electronic | N | |||||||||
|
|
|||||||||||
| Rising Medical (Remits Only) (Z96516) | Paper | N | |||||||||
|
|
|||||||||||
| Risk Administration Services (All States) (Auto Only) (J1828A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Risk Administration Services (All States) (WC Only) (J1828W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Risk Enterprise Management - CORVEL (WC Only) (J4077) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Risk Enterprise Management (REM) (WC Only) (J1491)
**CA ONLY** BANCROFT NEUROHEALTH 137654 CALIFORNIA, INC. 4d'S, Lp Dba Georgian Hotel A J EDMUND COMPANY, INC. A.W.S. Construction ACCORD HUMAN RESOURCES OF CA ACCORD HUMAN RESOURCES OF OKLA Accurate Air Systems ACME TRUCK PARTS Advance Paper Box Company Advanced Engine Management, Inc Advanced Real Estate Services AEROSPACE SERVICE & CONTROLS Alpha Property Management, Inc American Tile & Brick Veneer AMERICAN TOW & AUTO REPAIR (DB) Angelo Brothers Company CA Apperson Print Management (A C) Arcadian Development, Inc. ARDEN CLEELAND DBA AVRIL AGENCY Arroyo Parkway 76 & Atwater 76 ARTEX MANUFACTURING COMPANY Audio Digest Foundation AUTO MARINE ENGINEERING, INC. Auto Outlet, Inc. B.B. KINGS BLUES CLUB & RESTAURANT BANK PLUS CORPORATION BAS RECYCLING, INC. Batla Food Group Inc. Beacon Bay Enterprises, Inc. BEC ENTERPRISES INC. Bell Trucking Co Inc Bemus Landscape Inc. BERRY'S SAWMILL BETTER CARE INCORPORATED Board Ford Inc Bowsmith, Inc. Brake Parts Supply & Distribution Brintnall's Inc. Brion Corporation BUILDERS SUPPLY OF PALM SPRINGS Burlingame Country Club BURROWS, INC. C-Tap, Inc. C.P.P., Inc. Cacique, Inc. California Chamber Of Commerce California Hi-Tech Floors, Inc CALIFORNIA LINEN RENTAL COMPANY Carriage Motors, Inc. CASTLE GROUP CALIFORNIA, INC. Catania Hijar Corporation Century Lighting, Inc. CERTIFIED UNDERCAR PARTS, INC. CHECK INTO CASH CALIFORNIA INC Chino Auto Parts (A Corporation) Christian Brothers High School CLAUSEN ENTERPRISES INC. CLEAN STEEL INC. Cleugh's Rhubarb Ranch, Inc. CLW PACIFIC, INC. Comfort Systems, Usa COMMONWEALTH ENERGY CORPORATION COMMUNITY OPTIONS CONNEX TCT, LLC Continental Maintenance Industry County Motor Parts Company, Inc Cpe Peo Inc. / Dba: California CRAFTSMAN OFFICE FURNITURE, INC CREATIVE BENEFITS, INC. Ctl Environmental Services Dan's Landscape Service, Inc. DANTEL INC. DEMKO, WILLIAM M. (AN IND) DENFRAN SYSTEMS, INC. Desert Valley Medical Group DESIGNS BY MARK DEW MANAGEMENT SERVICES INC Diablo Hills Golf Association DIAMOND W FLOOR COVERING, INC. DINUBA LUMBER COMPANY (A CORP) Dufour, Inc. Dupree, Inc. Dy Dee Service Of Pasadena Inc E.B. Manning & Son Inc. E.H. Summit, Inc. ECOLOGY AUTO WRECKING EL MACERO COUNTRY CLUB Electrical Rebuilders Sales Inc ELITE LEATHER COMPANY EMCO FLUID SYSTEMS, INC. Emergency Physicians Medical Group EMPI, INC. Engen Enterprises Inc. EQUITY HOTEL & SUPPLY COMPANY Ernest Paper Products, Inc. Ezell Nursery Supply Inc. Facility Masters, Inc. (A Corp) Family Toyota, Family Honda FAST UNDERCAR - THOUSAND OAKS FEATHER RIVER WOOD & GLASS Felix Manufacturing Company FERRARI, DAN (AN INDIVIDUAL) Forecast Group L.P. FREEMAN, RAYMOND K. Friant And Associates Llc FULLER THEOLOGICAL SEMINARY G L VENEER COMPANY INC. Garrison, Mike (An Individual) Gateway Learning Corporation Glendale Associates Ltd Glendale Food Service Inc. GOMEZ, JOSE LUNA GRASS VALLEY FORD, LINCOLN, MERCURY, NISSAN GREATER SAN DIEGO AIR CONDITIONING GRIFFIN PRODUCE INC. H R N SERVICES, INC. H. L. HEGGSTAD, INC. H.J. COMPANY H.P Develpment Inc. H.P. Envirovision Inc Hagen-Renaker, Inc. Haight, Brown & Bonesteel Haralambos Beverage Company HARBOB SOUTHERN, INC. HAWTHORNE FINANCIAL CORPORATION HEALTHCARE MANAGEMENT SYSTEMS Higgins Brick Company Homexx International Corporation HOSPITAL HOUSEKEEPING SYSTEMS Houck, Gregory (Partner); Winn HOUSTON STEAK DELIVERY #1 LLC Hughes Redwood Company, Inc. Hydroform - U.S.A. Inc. IDEAL AUTO PARTS, INC. Imperial Valley Lumber Company INNOVATIONS SUCCESSFUL SALON International Bay Clubs Inc INVENTORY CONTROL SYSTEM IOM HOLDINGS,INC (A CORPORATION) J T Contractors, Inc. J.C. WATTENBARGER & SONS, INC. JANICO BUILDING MAINTENANCE CO Jcv Tacos Inc. Jerry Solomon Enterprises Inc. JOHNSON, LARRY (AN INDIVIDUAL) KEISER (A CORP) Kordye Turner & Co., Inc. Krieger, Bertie (An Individual) KURT BOHMER PLUMBING, INC. KURTZ FINAN AUTO SUPPLY, INC. Kustom Fit Manufacturing Company LATICRETE INT'L INC. LEDTRONICS, INC. Leisure World Union 76, Inc. Lights Of America Inc Lodging Developement And Management Los Altos Golf & Country Club Lundeen Pacific Corporation Madison Research Corporation Maintenance Pacesetters Inc. Mallis Associates Inc. Maniglia Landscape Inc. Marfield Company Inc MARIN RADIOLOGY GROUP MARKRIST ENGINEERS MAXSYS TECHNOLOGIES CORPORATION MCGEE ELECTRIC, INC. MEYLING, ALBERT (AN INDIVIDUAL) Michael Mcelroy D/B/A MISSION CORPS INTERNATIONAL INC MISSION ORGANICS MOFFATT CONTRACTING,INC Monarch Plumbing Company, Inc. Mother's Nutritional Center, Inc MRH ENTERPRISES NATEL ENGINEERING COMPANY INC. NATIONAL MAINTENANCE INC. Nelson Nameplate Company Inc NEW CENTURY AUTO GROUP Nia Health Care Services (A Corp) NICKOLAS ENVIRONMENTAL North American Video Corp. Numero Uno Market Inc. Oakwood Interiors Inc ONE STOP BRAKE SUPPLY SANTA ANA ONE STOP UNDERCAR RIVERSIDE Ontario Metal Recycling Inc Onyx Acceptance Corporation Original Sid Blackman Plumbing Osi Systems Inc. P.J. Cal #1, Inc. PACIFIC DATA ELECTRIC, INC. PALLET DEPOT PALO ALTO HILLS GOLF & COUNTRY PARK MANAGEMENT GROUP, INC. PASTABRAVO RESTAURANTS, INC. Pdq Automatic Transmission Parts PENINSULA PONTIAC GMC BUICK Petro-Chem Industries Inc Poly Pak America, Inc. Pomeroy Investments Inc. Pool Water Products Popluar Textile Corp. PORTEOUS FASTENER COMPANY PRESTON HOLMES, INC. PROMPT FOOD SERVICE, INC. PURE FILL CORPORATION QAD, INC. QUICK-CROFT, INC. R KIDS TIRE AND SERVICE, INC. R.A. Phillips Industries Inc. RABB BROTHERS TRUCKING, INC Ramona Manor Convalescent Hosp Raypak, Inc. REDNAB INC. REESER ENTERPRISES INC. Reliable Services, Inc. Reliance Building Services Inc Rick Hitch Plastering (A Corporation) ROBERT MANN PACKAGING, INC. Rothenberger Usa Inc. Rountree Plumbing & Heating SACRAMENTO I.B.S.,INC. San Francisco Battery, Inc. SANTA FE EXTRUDERS, INC. SATELLITE DIALYSIS CENTERS, INC Serendipity Land Yachts SHEPPARD, MULLIN, RICHTER & HAMPTON Site Studios Inc. SMALL WORLD TOYS SMITH EMERY COMPANY Smithcare, Inc. Sol's Brake Supply Llc SOS METALS INC. SPECIALTY TEAM PLASTERING, INC Spring Air California/Deluxe Lab Stanley Pest Control, Inc. Striko Dynarad Corporation STYLES FOR LESS CORP. (CA ONLY) Surface Mount Distribution Surface Protection Industries Talbert Medical Group Target Media Partners, Et Al TEMPO INDUSTRIES, INC. (A CORP) The Garlic Company (A Partners) TIM'S AUTO PAINT & SUPPLY, INC Tom'S Truck Center, Inc. TOMCO AUTO PRODUCTS, INC. Tomdan Enterprises TOTAL PLUMBING HEATING & AIR TRANS VALLEY TRANSPORT TRANSPACIFIC DEVELOPMENT COMPANY) True World Foods, Inc. (A Corp) U. S. Wireless Corporation United El Segundo, Inc. UNIVERSAL FLOORING SYSTEMS VALHALLA BUILDERS & DEVELOPERS VALLEY FIG GROWERS INC Veg Land Inc., Et Al Vegtable Growers Supply Inc VERCO MANUFACTURING, INC Vicro-Mac Victoria Tire Center, Inc. VILLA MARINA UNOCAL, INC. Vip Motor Cars Ltd. W.E. Behel, Inc. W.T. Billard, Inc. WALTER ANDERSON PLUMBING, INC. WCP, INC. Wessex Industries, Inc.; Heald Western Golf Properties, Inc. Widdicombe Enterprises Inc. Wilson & Hampton Painting Cont WOODMONT REAL ESTATE SERVICES |
Electronic | Y | |||||||||
|
|
|||||||||||
| Risk Management Services Co. (RMSC) (All States) (WC Only) (J4420) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Risk Management Solutions RMS (All States) (WC Only) (J3873W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Risk Transfer Technologies Inc (All States) (WC Only) (J1101W) | Electronic | Y | |||||||||
|
|
|||||||||||
| River City Medical Group (RCMG1) | Electronic | N | |||||||||
|
|
|||||||||||
| River City Medical Group Senior (AMM23) | Paper | N | |||||||||
|
|
|||||||||||
| Riverport Insurance (MN School Board Assoc) (ALL States) (WC Only) (J1546) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Riverside Family Health Medical Grp (MPM08) | Electronic | N | |||||||||
|
|
|||||||||||
| Riverside Medical Clinic (RMC01) | Electronic | N | |||||||||
|
|
|||||||||||
| Rockford Mutual Insurance Company (All States) (WC Only) (27065) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Rockwood Casualty (All States) (WC Only) (J4412) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Rocky Mountain Health (DOS Prior to 1/1/2023) (Z0062)
84065 SX141 |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Rocky Mountain Life Dental (84102) | Paper | N | |||||||||
|
|
|||||||||||
| Rocky Mountain PACE (93142) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Root Insurance Company (Auto Only) (CCC) (J4484) | Electronic | Y | |||||||||
|
|
|||||||||||
| Roth Staffing Companies (MN & TX) (WC Only) (J1023W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Royal Healthcare on Behalf of Extended Care MTC (DOS 7/31/23 and prior) (46166) | Electronic | N | |||||||||
|
|
|||||||||||
| Royal Neighbors Of America (Eligibility & Remits Only) (Z95720) | Paper | E | N | ||||||||
|
|
|||||||||||
| RSC Insurance Services Ltd (All States) (WC Only) (J1102W) | Electronic | Y | |||||||||
|
|
|||||||||||
| RSC Insurance Services Ltd (EOBC) (WX326) | Paper | N | |||||||||
|
|
|||||||||||
| Rural Health Medicare - not for AZ, ND, SD, UT, WY (IMTN1) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Rural Insurance (WC Only) (J1378W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rural Insurance (Auto Only) (J1378A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rural Mutual Insurance (Remits Only) (Z96185) | Paper | N | |||||||||
|
|
|||||||||||
| Rush Prudential Health Plans (HMO Only) (36389) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Rutgers Casualty Insurance For (NJ Only) (Auto Only) (C1101A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rx Advance (Z95799) | Paper | N | |||||||||
|
|
|||||||||||
| Ryder Services (All States) (Auto Only) (J1009A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ryder Services Inc (All States) (WC Only) (J1009W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
S & S Healthcare Strategies TPA (31441)
Benovation CDS Group Health S&S Healthcare Strategies TPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| S and S Healthcare Strategies (Z96289) | Paper | E | N | ||||||||
|
|
|||||||||||
| S USA Life Insurance Company (Eligibility Only) (Z96288) | Paper | E | N | ||||||||
|
|
|||||||||||
| SA Recycling LLC (All States) (Auto only) (J1728A) | Electronic | Y | |||||||||
|
|
|||||||||||
| SA Recycling LLC (All States) (WC only) (J1728W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Safeco Insurance (All States) (Auto Only) (C1053) | Electronic | Y | |||||||||
|
|
|||||||||||
| SafeCo Insurance (All States) (WC Only) (J24740) | Electronic | Y | |||||||||
|
|
|||||||||||
| SAFECO INSURANCE COMPANY OF AMERICA (AUTO Only) (24740A) | Electronic | N | |||||||||
|
|
|||||||||||
| Safelite Auto Glass (WR752) | Electronic | N | |||||||||
|
|
|||||||||||
| Safety-Kleen Corporation (All States) (WC Only) (J1103W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Safeway Inc (All States) (WC Only) (J2319W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sagamore Health Network (35164) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Saint Anthony PHO (STA01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Saint Johns Health Clinic (SJHC1)
St Johns Health Clinic |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Salt Lake County Behavioral Health Services (Z98246) | Electronic | N | |||||||||
|
|
|||||||||||
| Salucro (SALUC) | Paper | N | |||||||||
|
|
|||||||||||
| Salvation Army (San Bernandino, CA) (WR766) | Electronic | N | |||||||||
|
|
|||||||||||
|
Samaritan Health Plans (SAMCP)
Employer Group Plans Intercommunity Health Net Samaritan Advantage Samaritan Choice Plans Samaritan Commercial |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| SAMBA/Special Agents Mutual Benefit Association (37259) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Samera Health (U8053)
BAS Benefits Benefits Administrative Solutions |
Electronic | N | |||||||||
|
|
|||||||||||
| San Bernardino Medical Group (SBMED) | Paper | P | N | ||||||||
|
|
|||||||||||
|
San Diego Community College District (All States) (Auto only) (J1638A)
San Diego Community College District (All States)(Auto only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| San Diego Community College District (All States) (WC only) (J1638W) | Electronic | Y | |||||||||
|
|
|||||||||||
| San Diego County Medical Services (CMS) (MSO11) | Electronic | P | N | ||||||||
|
|
|||||||||||
| San Diego County Ryan White Care Act (MSO33) | Electronic | N | |||||||||
|
|
|||||||||||
| San Diego County Sheriffs Department (MSO55) | Electronic | N | |||||||||
|
|
|||||||||||
| San Diego PACE (96400) | Paper | N | |||||||||
|
|
|||||||||||
| San Diego PACE (SDPCS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
San Diego Physicians Group (Not for Arch) (SCPMCS)
Imperial County Physicians Med Group Mid-County Physicians Medical Group North County Health Services Southern California Physicians Managed Care Services Union Pacific IPA |
Electronic | N | |||||||||
|
|
|||||||||||
| San Francisco Health Plan (SFHP1) | Electronic | E | N | ||||||||
|
|
|||||||||||
| San Francisco Health Plan (Encounters Only) (SFHPE) | Electronic | N | |||||||||
|
|
|||||||||||
| San Francisco Municipal Transportation Agency (SFMTA) (CA Only, WC Only) (J1886W) | Paper | I | Y | ||||||||
|
|
|||||||||||
| San Louis Obispo Select (33072) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Sana Benefits (50114) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Sandhills Center Behavioral Health (SHC303)
NC Medicaid Behavioral Health MCO |
Electronic | N | |||||||||
|
|
|||||||||||
| Sanford Health Plan (91184) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Sanford Health Plan Medicare Advantage (RP035) | Paper | N | |||||||||
|
|
|||||||||||
|
Sansum Clinic (Z96414)
SAN01 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Santa Barbara Regional Health Authority (Z1243)
95386 CenCal SBRHA |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Santa Barbara Select IPA Medical Group (SBIPA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Santa Clara County IPA Anthem Blue Cross PPO Claims (SCACO) | Electronic | N | |||||||||
|
|
|||||||||||
| Santa Clara Family Health (24077) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| Santa Monica Unite Here Health Benefit Plan (DBA02) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sante Community Medical Centers (SNTCC) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Sante Community Physicians (SNT01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Sante Community Physicians Medical Group (SNTMC)
Sante Medi-Cal |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Sante Health System and Affiliates (77038) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Satellite Health Plan (45552) | Electronic | N | |||||||||
|
|
|||||||||||
| Saudi Health Mission (SHM01) | Paper | P I | N | ||||||||
|
|
|||||||||||
| SC Blues Remits Only (All LOBs) (Z1342) | Paper | N | |||||||||
|
|
|||||||||||
| Scan Encounters (99157) | Electronic | N | |||||||||
|
|
|||||||||||
|
Scan Health Plan - Arizona (73172)
SCAN2 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Scan Health Plan - California (72261)
SCAN1 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Scan Health Plan - California (Medicare Advantage) (72261MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
SCCIPA Santa Clara County IPA (10378)
SCCIPA, A Pacific Partners Medical Group |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Schlumberger Technology (All States) (WC Only) (J1104W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Schnuck Market Inc (IL Only) (WC Only) (J1560W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
SCHS ALTA Global Care Medical Group (MPM54)
SCHS ALTA Global Care Medical Group - LACare |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
SCHS Alta Pod by MedPOINT (MPM20)
SCHS Alta Pod by MedPOINT - Health Net |
Electronic | N | |||||||||
|
|
|||||||||||
| SCIF AZ (J1538) | Electronic | Y | |||||||||
|
|
|||||||||||
| Scion Dental (Eligibility Only) (SCION) | Paper | N | |||||||||
|
|
|||||||||||
|
Scott and White (88030)
Baylor Scott & White Health Plan Baylor Scott and White Belton (BISD) Scott & White TH002 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| SCOTTS MIRACLE-GRO COMPANY (MN & TX) (WC Only) (WP150W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Scripps Health Plan MSO (SHPM1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Scripps Health Plan Services (SHPS1)
33099 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Script Care Ltd (Z95706) | Paper | N | |||||||||
|
|
|||||||||||
|
SD All Women Count (SDAWC)
South Dakota All Women Count |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Seaview IPA [SVIPA] (Z1325)
Ojai Valley Community Medical Group |
Paper | P I | N | ||||||||
|
|
|||||||||||
| SEBRH BTMG (Z95676) | Electronic | N | |||||||||
|
|
|||||||||||
| SEBRH Non Sutter Groups (Z95678) | Electronic | N | |||||||||
|
|
|||||||||||
| Secura Auto (All States) (Auto Only) (C1129A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
SECURA Insurance A Mutual Comp (All States) (WC Only) (J1379)
SECURA Insurance A Mutual Company |
Electronic | Y | |||||||||
|
|
|||||||||||
| Secure Health (DOS 1/1/2021 and after) (42561) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| SecureOne (86242) | Electronic | N | |||||||||
|
|
|||||||||||
|
Securian/Patriot Dental (10793)
Securian Dental |
Paper | E | N | ||||||||
|
|
|||||||||||
| Security Health Plan (39045) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Security Health Plan (Medicaid Managed Care) (39045MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sedgwick - Allianz of America, Inc (WC Only) (J2418W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sedgwick - Dignity Health (WC Only) (J2638W) | Paper | N | |||||||||
|
|
|||||||||||
| Sedgwick - Fabcon Inc (WC Only) (J2685W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sedgwick - Grange Mutual Casualty Company (WC Only) (J2739W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sedgwick CMS (All States) (WC Only) (JTP097) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Sedgwick CMS (All States) (WC Only) (TP097)
Kentucky AGC Self Insurers' Fund |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sedgwick CMS (All States)(WC Only) (TP097W)
WX867 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Sedgwick MCO (All States) (WC Only) (J4426) | Electronic | Y | |||||||||
|
|
|||||||||||
| SeeChange Health Insurance (35098) | Electronic | N | |||||||||
|
|
|||||||||||
| Seedorff Masonry (Auto Only) (J1380A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Seedorff Masonry (WC Only) (J1380W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Select Administrative Services (64088) | Electronic | N | |||||||||
|
|
|||||||||||
|
Select Benefit Administrators (Des Moines, Iowa) (42137)
Tristar Benefit Administrators (W DesMoines, IA) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Select Benefit Administrators of America (Ashland, WI) (37282) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Select Benefits Administrators (aka PacificSource Administrators) (93031)
PacificSource Adminstrators |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Select Energy Services (All States) (WC Only) (J1937) | Electronic | Y | |||||||||
|
|
|||||||||||
| Select Energy Services (All States)(Auto Only) (J1937A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Select Health of South Carolina (23285) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Select Health of South Carolina (Medicaid Managed Care) (23285MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Select Senior Clinic (20415) | Electronic | N | |||||||||
|
|
|||||||||||
| Select Staffing (Koosharem, Real Time Staffing, Remedy, Select/Remedy & Westaff (WC Only)(All States (J1446W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Selectcare (00014) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| SelectCare of Texas (HPN) Heritage Physicians Network (76045) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
SelectHealth of Utah (Z0001)
Intermountain Healthcare (IHC) UT SX107 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| SelectHealth of Utah (Medicaid Managed Care) (Z0001MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| SelectHealth of Utah (Medicare Advantage) (Z0001MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Selective (All States) (WC Only) (12572W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| SELECTIVE INSURANCE (MN, TX) (WC Only) (WZ099W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Selective Insurance (NJ MN Only) (Auto Only) (C1077A)
Selective Insurance Company of America |
Paper | P I | Y | ||||||||
|
|
|||||||||||
| Self Funded Plans Inc of Cleveland OH (34131) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Self Ins. Schools Of Calif. (WR945) | Electronic | N | |||||||||
|
|
|||||||||||
| Self Insured Benefit Administrators (Clearwater, FL) (59111) | Electronic | N | |||||||||
|
|
|||||||||||
|
Self Insured Plans LLC (36404)
Self Insured Plans LLC dba 90 Degree Benefits |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Self Insured Services Company (SISCO) (44827) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Selman & Co (DOS after 1/1/2019) (52214)
Associates & Society Ins Associates & Society Ins & Selman & Company Selman and Company |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Selman Tricare Supp [DOS prior to 1/1/2019) (TRSEL)
Selman Tricare Supp Transamerica Premier Life Insurance Company (TRCLF) (REMITS ONLY) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Seminole Tribe of Florida (All States) (WC Only) (J2384) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Sempra Energy/Employee Care Services (All States) (WC Only) (J1915) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Sendero Health with DOS 1/1/19 and After (MV440)
Idealcare |
Paper | P | N | ||||||||
|
|
|||||||||||
| Senior Blue of PA (Medicare HMO) (3576) | Electronic | N | |||||||||
|
|
|||||||||||
| Senior Care Partners (36390) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Senior Dimensions (Z96281) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Senior Health Network (Z96172)
15682 Mediture (Senior Network Health Plan ONLY) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Senior Life Greene General (EOBC) (R2786) | Paper | N | |||||||||
|
|
|||||||||||
| Senior Whole Health (Remits Only) (83035) | Paper | N | |||||||||
|
|
|||||||||||
| Senior Whole Health New York (SWHNY) | Electronic | N | |||||||||
|
|
|||||||||||
| Senior Whole Health of Massachusetts (SWHMA) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
|
Sentara Health Management (54154)
OhioHealthy Optima FED Program Optima Health Plan Optima Insurance Company VCU Health System |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Sentara Health Management (Medicaid Managed Care) (54154MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sentara Health Management (Medicare Advantage) (54154MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sentara Mental Health (5415M) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Sentinel Insurance Company LTD (All States) (Auto Only) w/o attach (C1040) | Electronic | N | |||||||||
|
|
|||||||||||
| Sentinel Management Services (23249) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Sentinel Security Life Insurance Company (87020)
Atlantic Coast Life Catholic United Financial National Guardian Life Insurance Company Polish Falcons of America Renaissance Life & Health Insurance Company Rennaissance Life and Health Insurance Company of America |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
SENTRY AUTO (AUTO ONLY) MN, TX & CA (WB140A)
SENTRY CASUALTY COMPANY |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sentry Auto (NJ, MN Only) (Auto Only) (C1033)
Dairyland Insurance Company (NJ, MN Only) (Auto Only) Florists Insurance Company (NJ, MN Only) (Auto Only) Florists Mutual Insurance Comp (NJ, MN Only) (Auto Only) Patriot General Insurance Comp (NJ, MN Only) (Auto Only) Peak Property and Casualty Insurance (NJ, MN Only) (Auto Only) Sentry Casualty Company (NJ, MN Only) (Auto Only) Sentry Insurance A Mutual Comp (NJ, MN Only) (Auto Only) Sentry Select Insurance Comp (NJ, MN Only) (Auto Only) Viking Insurance Company of Wisconsin (NJ, MN Only) (Auto Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Sentry Insurance (All States) (WC Only) (J1417W)
Florists Insurance Company (All States) (WC Only) Florists Mutual Insurance Comp (All States) (WC Only) Middlesex Insurance Company (All States) (WC Only) Minnesota WC Plan (All States) (WC Only) Parker Services (All States) (WC Only) Patriot General Insurance Company (All States) (WC Only) Self Insured Fund For FL Florists And Nurseries (All States) (WC Only) Self-Insured Fund MA (All States) (WC Only) Sentry Select Insurance Company (All States) (WC Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Sentry Insurance (WC ONLY) (WB141) | Electronic | N | |||||||||
|
|
|||||||||||
|
Seoul Medical Group (CA) (Z90058)
AMM07 Hawaii Senior Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
| Serendib Healthways (4YC01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Service First Medical (Z96444) | Paper | N | |||||||||
|
|
|||||||||||
| Service Lloyds Insurance Co (All States) (Auto only) (J1593A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Service Lloyds Insurance Co (All States) (WC only) (J1593W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Service Lloyds Insurance Co (WC Only) (43389W) | Paper | N | |||||||||
|
|
|||||||||||
| Seton Employee Plan (TH080) | Electronic | N | |||||||||
|
|
|||||||||||
| Seton Health Plan Chip (SHPCH) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Seton Star (STAR1) | Electronic | N | |||||||||
|
|
|||||||||||
| Seven Corners (25404) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Seven Corners (Medicare Advantage) (25404MA) | Electronic | N | |||||||||
|
|
|||||||||||
| SFN Group (All States) (WC Only) (J1456W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
SGIC (11789)
Southern Guaranty Insurance Co |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Share Healthcare (52876) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Shared Health Alliance (Z96515) | Paper | N | |||||||||
|
|
|||||||||||
| Shared Health Mississippi (SHMS1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| ShareNet (SHN100) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Sharp Community Medical Group (SCG01)
Arch Health Partners/Centre for Healthcare SCMG1 |
Electronic | N | |||||||||
|
|
|||||||||||
| Sharp Health Plan (DOS 1/1/18 and After) (SHP102) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Sharp Health Plan (DOS 11/1/2023 and After) (SHP03) | Electronic | N | |||||||||
|
|
|||||||||||
|
Sharp Health Plan (DOS 12/31/17 and Prior) (SHP12)
Sharp Healthplan |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sharp Rees-Stealy Medical Group (SRS01)
SRS83 |
Electronic | N | |||||||||
|
|
|||||||||||
| Shasta Administrative Services (75280) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Shaws/StarMarket (All States) (WC Only) (J1468W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Sheakley UNICOMP (Z95673)
Sheakley UNICOMP (Ohio BWC) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Shenandoah Life Insurance (Eligibility Only) (Z96279) | Paper | E | N | ||||||||
|
|
|||||||||||
| Shenandoah Life/S USA Life/SBLI Life (Eligibility and Remits Only) (Z95721) | Paper | E | N | ||||||||
|
|
|||||||||||
| Sherman Hospital (SC359) | Electronic | N | |||||||||
|
|
|||||||||||
| Show Me Health Administrators LLC (98578) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sidecar Health (SDCAR) | Electronic | N | |||||||||
|
|
|||||||||||
|
Sieba LTD (Z95666)
03699 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sierra Health Services (76342)
Health Plan of Nevada SHL Nevada Sierra Health and Life UnitedHealthcare Nevada Market |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Sierra Health Services (Medicaid Managed Care) (76342MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sierra Health Services Inc. Encounters Only (76343) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Sierra Medical Group (SMG01)
30891 Antelope Valley Medical Associates Pegasus Medical Group |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Sierra Pacific Industries (All States) (Auto Only) (J4382A)
LS900 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Sierra Pacific Industries (All States) (WC Only) (J4382)
LS900 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Sierra Pacific Industries (All States) (WC Only) (W/O Attachments) (J4382W) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Signal Insurance (All States) (Auto Only) (J3792A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Signal Insurance (All States) (WC Only) (J3792) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Signature Advantage (SA001) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Significa Benefit Services (23250)
Erin Group Administrators (EGA) |
Electronic | P E | N | ||||||||
|
|
|||||||||||
| Silver Star Pace (97691) | Electronic | N | |||||||||
|
|
|||||||||||
| SilverSummit Health Plan (Eligibility Only) (11229) | Paper | E | N | ||||||||
|
|
|||||||||||
|
SimplePay (27905)
Community Health Alliance TN |
Electronic | N | |||||||||
|
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|
Simply Healthcare (DOS 1/1/19 And After) (SMPLY)
Lighthouse Health Simply Plan |
Electronic | E M | N | ||||||||
|
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| Simply Healthcare (DOS 1/1/19 And After) (Medicaid Managed Care) (SMPLYMC) | Electronic | N | |||||||||
|
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|||||||||||
| Simply Healthcare (DOS 1/1/19 And After) (with Attachments) (JSMPLY) | Electronic | Y | |||||||||
|
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|||||||||||
| Simply Healthcare (DOS 12/31/18 And Prior) (27094) | Electronic | E | N | ||||||||
|
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|
Simpra Advantage (SIM02)
Simpra Advantage Inc (DOS 1/1/2023 and after) |
Electronic | P I | N | ||||||||
|
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|||||||||||
| SIMPRA Advantage (DOS 12/31/22 and prior) (SIM01) | Electronic | N | |||||||||
|
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|||||||||||
| Sinclair Health Plan (84076) | Electronic | P | N | ||||||||
|
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|||||||||||
|
SISCO (All States) (WC Only) (J1898)
LS659 |
Electronic | Y | |||||||||
|
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| SISCO (MN,TX) (WC Only) (WP005W) | Electronic | N | |||||||||
|
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|
Sloan's Lake Managed Care (84096)
Sloans Lake Managed Care (84096) Sloans Lake Preferred Health Networks |
Electronic | P I | N | ||||||||
|
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|||||||||||
| Smith Administrators (Ft Worth TX) (02057) | Electronic | P I | N | ||||||||
|
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|
Smoky Mountain Center (13010)
Vaya Health |
Electronic | N | |||||||||
|
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|||||||||||
| Snap-On Incorporated (MN & TX) (WC Only) (WX329W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Snedeker Risk Management (A7637) | Paper | P I | N | ||||||||
|
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|||||||||||
| Society Insurance (All States) (Auto Only) (J2139A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Society Insurance (All States) (WC Only) (J2139W) | Electronic | Y | |||||||||
|
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|||||||||||
| Solarte Health (SLRT1) | Paper | P | N | ||||||||
|
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| Solidarity Healthshare (SH777) | Electronic | P I | N | ||||||||
|
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| Solis Health Plans (SOLIS) | Electronic | P I | N | ||||||||
|
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|||||||||||
| Solstice Benefits (76578) | Electronic | N | |||||||||
|
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| Solvay America Inc (MN & TX) (WC Only) (WX330W) | Electronic | Y | |||||||||
|
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|
SOMOS Emblem (81336)
SOMOS IPA Emblem |
Electronic | P I | N | ||||||||
|
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|||||||||||
| Sompo Japan Insurance Comp of America (Remits Only) (11126) | Paper | N | |||||||||
|
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| Sonder Health Plans (A0339) | Electronic | N | |||||||||
|
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|||||||||||
| Sonic Automotive Inc (All States) (WC Only) (J1381W) | Electronic | Y | |||||||||
|
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| South Atlantic Medical Group (SAMG1) | Electronic | N | |||||||||
|
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|||||||||||
|
South Central Preferred - PPO York, PA (IHS Gateway Payer) (23266)
Innovative Healthware Solutions The Preferred Healthcare Systems - PPO WellSpan Population Health |
Electronic | P I | N | ||||||||
|
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|||||||||||
| South Coast Area Transit (CA) (All States) (Auto only) (J1731A) | Electronic | Y | |||||||||
|
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| South Coast Area Transit (CA) (All States) (WC only) (J1731W) | Electronic | Y | |||||||||
|
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| South Country Health Alliance (81600) | Electronic | P I | N | ||||||||
|
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|||||||||||
| South Country Health Alliance (Medicaid Managed Care) (81600MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
South Florida Community Care Network - Commercial (59064)
MEMORIAL INTEGRATED HEALTHCARE MIH |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
South Florida Community Care Network - Medicaid (59065)
CCP Florida Healthy Kids JMH Health Plan - SFCCN PHT (PSN, CMSN) Memorial Health Services |
Electronic | P | N | ||||||||
|
|
|||||||||||
| South Florida Community Care Network - Medicaid (Medicaid Managed Care) (59065MC) | Electronic | P | N | ||||||||
|
|
|||||||||||
| South Florida Musculoskeletal Care (06294) | Electronic | N | |||||||||
|
|
|||||||||||
| South Georgia Benefit Administrators (SGBA1) | Paper | N | |||||||||
|
|
|||||||||||
| South Point Hotel and Casino (35227) | Electronic | P | N | ||||||||
|
|
|||||||||||
| South Tahoe Refuse (28580) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| South Tahoe Refuse (51350) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Southcare (25147)
Healthcare Preferred Mid America Leased PPO Network |
Electronic | P | N | ||||||||
|
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|||||||||||
| Southcentral Foundation (SCFND) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Southeast Leasing (AL CA FL GA IL NC NJ PA SC TX Only) (WC Only) (J1865)
Packard Claims Adiministration, Inc. |
Electronic | Y | |||||||||
|
|
|||||||||||
| Southeast Michigan PACE (2/1/2024) (R3460) | Electronic | N | |||||||||
|
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|||||||||||
| Southeast Texas (Auto Only) (J1382A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Southeast Texas (WC Only) (J1382W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Southeastern Indiana Health Organization (SIHO) (IN432)
77153 CGS Health Community Health Direct (DOS 1/1/24 and after) Current Health Solutions Daniel H Cook Associates IU Health Plans- One Care SIHO Insurance Services |
Paper | P I E | N | ||||||||
|
|
|||||||||||
|
Southern Benefit Administrators Inc (Remits Only) (00887)
38242 Southeastern Ironworkers Health Care Plan (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Southern California Edison (WC Only) (J1817WC) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| SOUTHERN CALIFORNIA EDISON (WC Only) (WP064W) | Electronic | N | |||||||||
|
|
|||||||||||
| Southern California Oncology Associates-Encounters Only (SCOAE) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Southern California Physicians Managed Care Services (SCP01)
Mid-County Physicians Medical Group San Diego Physicians Med Group (SCPMCS) (CA Only) Scripps Physicians Medical Group UCSD Physician Network (UCSDPN) |
Electronic | N | |||||||||
|
|
|||||||||||
| Southern Group Services (56131) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Southern Illinois Health Care Association (SIHCA) | Electronic | N | |||||||||
|
|
|||||||||||
| Southern Scripts (Z96795) | Paper | N | |||||||||
|
|
|||||||||||
| Southern Textile Recycling Inc (All States) (Auto only) (J1648A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Southern Textile Recycling Inc (All States) (WC only) (J1648W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Southland Benefit Solutions, LLC (Canopy Vision) (V47936) | Paper | P | N | ||||||||
|
|
|||||||||||
| Southland IPA (SIPA1) | Electronic | N | |||||||||
|
|
|||||||||||
| Southland San Gabriel Valley Medical Group (PHM11) | Electronic | N | |||||||||
|
|
|||||||||||
| Southwest Airlines (SWA) (All States) (WC Only) (J1233W) | Electronic | Y | |||||||||
|
|
|||||||||||
| SOUTHWEST AIRLINES (WC Only) (WP076W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Southwest Michigan Behavioral Health (A3268) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Southwest Physicians Group (SWPG1) | Electronic | N | |||||||||
|
|
|||||||||||
| Southwest Service Administrators (CX100) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Southwest Service Life (37266)
Croy-Hall Mgmt. Inc. |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Southwestern Health Resources (DOS prior to 1/1/23) (83245)
UST Healthproof |
Paper | N | |||||||||
|
|
|||||||||||
| Southwestern Health Resources Clinically Integrated Network (DOS 1/1/23 and after) (RP085) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Space Exploration Technologies Corp (All States) (Auto only) (J1990A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Space Exploration Technologies Corp (All States) (WC only) (J1990W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Spartan Stores (Non-MAD) (Auto Only) (J1383A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Spartan Stores (Non-MAD) (WC Only) (J1383W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Special Compensation Fund, MN Department of Labor (WC Only) (I1193W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Spencer Stuart (ARM, LTD) (38416) | Electronic | N | |||||||||
|
|
|||||||||||
| SPJST Medicare Supplement (Eligibility Only) (10546) | Paper | N | |||||||||
|
|
|||||||||||
| SPNet - Integra Group (WC Only) (All States) (J4041) | Electronic | Y | |||||||||
|
|
|||||||||||
| Spohn Health Network (SPOHN) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Springfield Insurance Co. (J1922) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sprouts Farmers Market Inc (All States) (Auto only) (J1850A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sprouts Farmers Market Inc (All States) (WC Only) (J1850W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| SRS / Cargill Inc (All States) (Auto Only) (J1661) | Electronic | Y | |||||||||
|
|
|||||||||||
| SRS / Cargill Inc (All States) (WC Only) (J1661W) | Electronic | Y | |||||||||
|
|
|||||||||||
| St Francis - AllCare by MedPOINT (MPM31) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
St Joseph Heritage Healthcare (CA) (IP106)
HDPC - Premier Care (High Desert Primary Care Premier) Hoag Affiliated Physicians Intervalley Mission Heritage Medical Group Mission Hospital Affiliated Physicians St Joseph Heritage Medical Group(CA) formerly Yorba Park Medical Group St Joseph Hospital Affiliated Physicians (CA) St Jude Heritage Medical Group St Mary High Desert St. Joe High Desert St. Jude Affiliated Physicians |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| St Lawrance Co Healthcare Plan (SLCH1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| St Mary's Health Plan Encounters (88082) | Electronic | N | |||||||||
|
|
|||||||||||
| St Paul Insurance (All States) (WC Only) (J1926) | Electronic | Y | |||||||||
|
|
|||||||||||
| St. Croix County (WMMIC) (Auto Only) (J1384A) | Electronic | Y | |||||||||
|
|
|||||||||||
| St. Croix County (WMMIC) (WC Only) (J1384W) | Electronic | Y | |||||||||
|
|
|||||||||||
| St. Francis - HCLA by MedPOINT (MPM30) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| St. Thomas Med Ntwk Gulfquest (STM01) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Standard Ins Of Oregon (93024) | Paper | N | |||||||||
|
|
|||||||||||
| Standard Insurance Company (EOBC) (69019) | Paper | N | |||||||||
|
|
|||||||||||
|
Standard Life and Accident Insurance Company (01758)
73099 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Stanford Health Care Advantage (46407) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Stanley Steemer International Inc (All States) (WC Only) (J1939) | Electronic | Y | |||||||||
|
|
|||||||||||
| Stanley Steemer International Inc (All States)(Auto Only) (J1939A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Stanley Works Inc (All States) (WC Only) (J1385W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Stant Corporation (All States) (WC Only) (J1107W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Staples Inc (All States) (WC Only) (J4206) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Starlife Holdings (STARH) | Paper | P I | N | ||||||||
|
|
|||||||||||
| StarMed Claims (24140) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| State Auto Insurance Companies (46450) | Electronic | N | |||||||||
|
|
|||||||||||
| State Auto Mutual Insurance Company (Z95743) | Electronic | N | |||||||||
|
|
|||||||||||
| State Auto Mutual Insurance Company (Auto only) (J1966A) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Compensation Insurance Fund (SCIF) (WC Only) (All States) (35076) | Electronic | N | |||||||||
|
|
|||||||||||
| State Compensation Insurance Fund (SCIF) (WC Only) (All States) (35076W) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Farm - (All States) (WC Only) (J3349) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| State Farm (All States) (Auto Only) (J1548) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Farm (Casualty & Property Claims) (31059) | Electronic | N | |||||||||
|
|
|||||||||||
| State Farm Auto (All States) (Auto Only) (J1548A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
State Farm Group Medical & Individual Health Ins Companies (31053)
Individual Health Insurance Companies - State Farm-Health Line of Business SF MUTUAL State Farm Insurance Companies |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
State Fund Mutual (All States) (WC Only) (J1553)
SFM Mutual Insurance Company SFM Risk Solutions (All States) (WC Only) SFM Safe Insurance Company SFM Select Insurance Company Superior Point (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| State Fund Mutual (WC Only) (WJ1553) | Electronic | N | |||||||||
|
|
|||||||||||
| State Mutual - LS (Z95723) | Paper | N | |||||||||
|
|
|||||||||||
| State Mutual - SMMS (Z95722) | Paper | N | |||||||||
|
|
|||||||||||
| State Mutual Med Supplement (Z96277) | Paper | E | N | ||||||||
|
|
|||||||||||
| State Mutual-Lincoln Novation (10982) | Paper | E | N | ||||||||
|
|
|||||||||||
| State of Idaho Women's Health Check (IDWH01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| State of Minnesota - DOER (All States) (WC Only) (J1555) | Electronic | Y | |||||||||
|
|
|||||||||||
| State of Minnesota - DOER (All States)(Auto Only) (J1555A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| State of Minnesota - DOER (WC Only) (E1217W) | Electronic | N | |||||||||
|
|
|||||||||||
| State of North Carolina (J1659WC) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| State of North Carolina (All States) (Auto Only) (J1659A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
State of Tennessee (WC Only) (E1272)
J2267 |
Electronic | N | |||||||||
|
|
|||||||||||
| State of Wyoming (All States) (Auto Only) (J2179A) | Electronic | Y | |||||||||
|
|
|||||||||||
| State of Wyoming (All States) (WC Only) (J2179W) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Office of Risk Management (All States) (WC Only) (J1418) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| State Office of Risk Management (All States) (WC Only) w/o attach (J1418W) | Electronic | N | |||||||||
|
|
|||||||||||
| Statewide Insurance Fund (NJ Only)(WC Only) (J3937W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| SteadPoint Group / SteadPoint Insurance Co CORVEL (All States) (WC Only) (J3993) | Electronic | Y | |||||||||
|
|
|||||||||||
| SteadPoint Group/SteadPoint Insurance Co CORVEL (All States) (WC Only) (w/o Attachments) (J3993W) | Electronic | N | |||||||||
|
|
|||||||||||
| Stericycle Inc (EOBC) (R0100) | Paper | N | |||||||||
|
|
|||||||||||
| Sterling Life Insurance Company (Remits Only) (07395) | Paper | N | |||||||||
|
|
|||||||||||
| Stewart C Miller and Co (10937) | Paper | E | N | ||||||||
|
|
|||||||||||
| Stirling and Stirling (06089) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Stirling Benefits (25498) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Stirling Benefits (STL01) | Paper | N | |||||||||
|
|
|||||||||||
| Stoner & Associates (31121) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Stones River IPA - Amerivantage (57492) | Electronic | N | |||||||||
|
|
|||||||||||
|
Stones River IPA - BCBS TN (15750)
TN IPA |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Stones River IPA - Blue Grass Family Health (15754)
Blue Grass Family Health/SRRIPA |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Stones River IPA - Clover Health (13079) | Paper | P | N | ||||||||
|
|
|||||||||||
|
Stones River IPA - The Physicians ACO (Z1170)
28943 Physicians Accountable Care Organization The Physicians Alliance Corporation SRRIPA Top Medical Group |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Stones River IPA - Windsor (15752) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Stonetrust (All States) (WC Only) (J2213) | Electronic | Y | |||||||||
|
|
|||||||||||
| Stonetrust (All States) (WC Only) (w/o Attachments) (J2213W) | Electronic | N | |||||||||
|
|
|||||||||||
| Stork Club Fertility (STORK) | Paper | N | |||||||||
|
|
|||||||||||
| Strategic Company (All States) (Auto Only) (J3972A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Strategic Company (All States) (WC Only) (J3972) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Streamline Imaging - Streamline PT (WC Only) (All States) (J4481) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Streamline Imaging - Streamline PT (WC Only) (All States) (W/O Attach) (J4481W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| STRICTLY TRAILER REPAIR (ALL) WC ONLY (A0343W) | Electronic | Y | |||||||||
|
|
|||||||||||
| STRICTLY TRAILER REPAIR (ALL) AUTO ONLY (A0343A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Student Assurance Services (Remits Only) (SAS01) | Paper | N | |||||||||
|
|
|||||||||||
| Style Crest Enterprise (All States) (Auto Only) (J3880A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Style Crest Enterprise (All States) (WC Only) (J3880W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
SummaCare Health Plan (95202)
SummerCare Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| SummaCare Health Plan (Medicare Advantage) (95202MA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Summerlin Life & Health Insurance (86071) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Summit Administration Services (86083)
Summit Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
| Summit America Insurance Services Inc (37301) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Summit Community Care (PASSE) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Summit Community Care (with Attachments) (JPASSE) | Electronic | Y | |||||||||
|
|
|||||||||||
| Summit Health Ltd (All States) (WC Only) (J1108W) | Electronic | Y | |||||||||
|
|
|||||||||||
| SUMMIT HEALTH LTD (WC Only) (WX332W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Summit Holdings (All States) (WC Only) (J1437W)
Bridgefield Casualty (All States) (WC Only) Bridgefield Employers (All States) (WC Only) Business First (All States) (WC Only) Retailer's First (All States) (WC Only) Retailers's Casualty (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Sun Mar Healthcare (All States) (Auto only) (J1610A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sun Mar Healthcare (All States) (WC only) (J1610W) | Electronic | Y | |||||||||
|
|
|||||||||||
| SunAmerica Life Ins Company (NFIC Plan Only) (90956-004) | Electronic | P | N | ||||||||
|
|
|||||||||||
| SunAmerica Life Ins Company (NFIC Plan Only) (Z0072) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Sunlife Dental (67814) | Paper | N | |||||||||
|
|
|||||||||||
| Sunrise Advantage Plan of IL (SIL01) | Paper | N | |||||||||
|
|
|||||||||||
| Sunrise Advantage Plan of PA (SPA01) | Paper | N | |||||||||
|
|
|||||||||||
| Sunrise Advantage Plan of VA (SVA01) | Paper | N | |||||||||
|
|
|||||||||||
| Sunrise Senior Living Inc. (Auto Only) (TX,MN Only) (A0588) | Electronic | N | |||||||||
|
|
|||||||||||
| Sunshine State Health Plan (68057) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Superior Choice Medical Group (SCPR1)
Angel Medical Group |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Superior Dental Care (31117) | Paper | N | |||||||||
|
|
|||||||||||
|
Superior Health Plan Texas (39188)
Wellcare by Allwell |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Superior Insurance Services (97802) | Electronic | N | |||||||||
|
|
|||||||||||
| SUPERIOR STAFFING (ALL) AUTO ONLY (A0344A) | Electronic | Y | |||||||||
|
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|||||||||||
| SUPERIOR STAFFING (ALL) WC ONLY (J1387W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Superior Vision Services (41352)
Block Vision |
Paper | N | |||||||||
|
|
|||||||||||
| Supreme Court of California (J1804W) | Electronic | Y | |||||||||
|
|
|||||||||||
| SureGo Administrative Services LLC (89207) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Surgery Department of Mt Sinai (EOBC) (R41979) | Paper | N | |||||||||
|
|
|||||||||||
| Surgery One IPA (SOIPA) | Electronic | N | |||||||||
|
|
|||||||||||
| Sutter Connect - Central Valley Med Group (Encounters) (HM066) | Electronic | P | N | ||||||||
|
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|||||||||||
| Sutter Connect - SIP, SMG, SWMG - Encounters (HM059) | Electronic | N | |||||||||
|
|
|||||||||||
| Sutter Connect - Solano Regional Medical Group - Encounters (HM062) | Electronic | N | |||||||||
|
|
|||||||||||
| Sutter Connect - Sutter Gold Medical Foundation - Encounters (HM058) | Electronic | N | |||||||||
|
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|||||||||||
|
Sutter East Bay Medical Foundation (87160)
94269 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sutter Gould Medical Foundation (87161)
77302 |
Electronic | N | |||||||||
|
|
|||||||||||
| Sutter Health (All States) (WC Only) (J1512) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sutter Health Aetna (60624) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Sutter Health Aetna (with attachments) (J60624) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Sutter Medical Foundation (87163)
SC004 Sutter Independent Physicians |
Electronic | E M | N | ||||||||
|
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|||||||||||
|
Sutter Pacific Medical Foundation (87165)
SC008 |
Electronic | N | |||||||||
|
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|||||||||||
| Sutter Senior Care (Z95675) | Electronic | N | |||||||||
|
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|||||||||||
| Swedish Covenant Hospital (36411) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Swift Glass Corporation (07040) | Electronic | N | |||||||||
|
|
|||||||||||
| Swift Transportation (MN & TX) (WC Only) (WX333W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Symetra Life Insurance Company (Remits Only) (08389)
Metro One Loss Prevention Services Group Symetra Select Benefits WW Healthcare Consultants, LLC |
Paper | N | |||||||||
|
|
|||||||||||
|
SynerMed (SYMED)
EHS Medical Group - Fresno Employee Health Systems Inland Valley - (Redlands IPA) Multicultural Primary Care Medical Group Pacific Alliance Medical Center Primary Care Practices Of Sacramento - EHS Redlands IPA (Synermed) |
Electronic | N | |||||||||
|
|
|||||||||||
| Syngenta Corporation (All States) (Auto Only) (J1972A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Syngenta Corporation (All States) (WC Only) (J1972W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Syntriq Health Solutions (SNTRQ) | Electronic | N | |||||||||
|
|
|||||||||||
| Sysco Corporation (All States) (WC Only) (WP320W) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Sysco Corporation (All States)(WC Only) (J3316) | Electronic | Y | |||||||||
|
|
|||||||||||
| T.H.E. Insurance (All States) (Auto Only) (J1791A) | Electronic | Y | |||||||||
|
|
|||||||||||
| T.H.E. Insurance (All States) (WC Only) (J1791W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TakeCare Insurance Company (98022) | Electronic | N | |||||||||
|
|
|||||||||||
| Takeda America Holdings (All States) (Auto only) (J1991A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Takeda America Holdings (All States) (WC only) (J1991W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Talbert Medical Group (TALMG) | Paper | N | |||||||||
|
|
|||||||||||
|
Tall Tree Administrators (88067)
Free Market Administrators Sovereign Nations Insurance |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Tansguard Insurance Company of America (WC Only) (J1388W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TAXI (ALL) (Auto Only) (A0345A) | Electronic | Y | |||||||||
|
|
|||||||||||
| TAXI (ALL) WC ONLY (A0345W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Taylor Benefits (TAYLR)
65800 |
Electronic | N | |||||||||
|
|
|||||||||||
| TCC (Pre Med Defender) (TCC13) | Electronic | N | |||||||||
|
|
|||||||||||
| TCC (Self-Funded) (TCC93) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
TDS/1 (57549)
TDS/Physician Health Cooperative TDS/Stones River IPA - Humana |
Electronic | N | |||||||||
|
|
|||||||||||
| TDS/Anthem (RP009) | Electronic | N | |||||||||
|
|
|||||||||||
|
TDS/Atrio (TN and LA only) (RP005)
TDS/Atrio |
Electronic | N | |||||||||
|
|
|||||||||||
| TDS/BX MC (RP007) | Electronic | N | |||||||||
|
|
|||||||||||
| TDS/Fidelis (RP008) | Electronic | N | |||||||||
|
|
|||||||||||
| TDS/Golden Times (RP013) | Electronic | N | |||||||||
|
|
|||||||||||
| TDS/Mid America ACO (RP006) | Electronic | N | |||||||||
|
|
|||||||||||
| TDS/SRRIPA/Amerivantage (RP010) | Electronic | N | |||||||||
|
|
|||||||||||
| TDS/SRRIPA/Clover (RP012) | Electronic | N | |||||||||
|
|
|||||||||||
| TDS/SRRIPA/Wellcare (RP011) | Electronic | N | |||||||||
|
|
|||||||||||
| TDS/TOP Medical Group (15749) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TDS/TOP Physicians Group (35749) | Electronic | N | |||||||||
|
|
|||||||||||
| TDS/TP-ACO (RP004) | Electronic | N | |||||||||
|
|
|||||||||||
| Teal Premier (88300) | Electronic | N | |||||||||
|
|
|||||||||||
| Teal Premier UB (8830U) | Electronic | N | |||||||||
|
|
|||||||||||
| Team Choice Gold (75139) | Electronic | N | |||||||||
|
|
|||||||||||
| Team Choice PPO (75133) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Teamsters Local 705 Health & Welfare (R16446)
Local 705 I B of T Health and Welfare Fund |
Paper | N | |||||||||
|
|
|||||||||||
| Teamsters Local 731 Health & Welfare Fund (R35085) | Paper | N | |||||||||
|
|
|||||||||||
|
Teamsters Medicare Trust for Retired Employees (43619)
Medicare Trust for Retired Employees-TMT |
Electronic | N | |||||||||
|
|
|||||||||||
| Technology Insurance Co (MN TX Only) (WC Only) (42376) | Electronic | N | |||||||||
|
|
|||||||||||
|
Technology Insurance Company (MN TX Only) (WC Only) (J1855)
E1342 WZ632 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Telamon (22483) | Electronic | N | |||||||||
|
|
|||||||||||
| Tencon Health Plan (3833T) | Electronic | N | |||||||||
|
|
|||||||||||
| TennDent - Dental (10794) | Paper | E | N | ||||||||
|
|
|||||||||||
| Tennessee Bluecare & TennCare Select Remits (Z1339) | Paper | N | |||||||||
|
|
|||||||||||
|
Tennessee Risk Management Trust (All States) (WC Only) (J2358W)
CB843 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Tennessee Risk Management Trust (All States) (WC Only) (w/o Attachments) (J2358) | Electronic | N | |||||||||
|
|
|||||||||||
| Tennessee Risk Management Trust (All States)(Auto Only) (J2358A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tennessee Risk Management Trust (All States)(Auto Only) (w/o Attachments) (J2358AW) | Electronic | N | |||||||||
|
|
|||||||||||
| Termed Clients (Z96613) | Paper | N | |||||||||
|
|
|||||||||||
|
Tethys Health Ventures (20212)
Accarent Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Texas A&M (TX Only) (WC Only) (A0235W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Agricultural Cooperative Trust (TACT) (TXABA) | Electronic | N | |||||||||
|
|
|||||||||||
| Texas Assoc. of School Boards (Work Comp) (WR902W) | Electronic | N | |||||||||
|
|
|||||||||||
| Texas Association of School Boards (All States) (WC Only) (A0234) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Texas Association of School Boards (All States) (WC Only) (A0234W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Texas Builders Insurance Co (All States) (Auto only) (J1581A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Builders Insurance Co (All States) (WC only) (J1581W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Childrens Health Plan (76048) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Texas Childrens Health Plan- STAR (Medicaid) (75228) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Texas Construction Trust (MN & TX) (WC Only) (J1390W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Health Aetna (88221) | Electronic | N | |||||||||
|
|
|||||||||||
| Texas Health Aetna (with attachments) (J88221) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Texas Healthspring (THS01)
33104 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Texas Hospital Insurance (All States) (WC Only) (J3869W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Texas Hospital Insurance Exchange (WC Only) (32514W) | Electronic | N | |||||||||
|
|
|||||||||||
| Texas Independence Health Plan (31403) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Texas Municipal League (TML) (All States) (WC Only) (A0245) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Texas Mutual Insurance (All States) (Auto Only) (WX606A) | Electronic | N | |||||||||
|
|
|||||||||||
| Texas Mutual Insurance (WC Only) (All States) (22945) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Mutual Insurance (WC Only) (All States) (22945W) | Electronic | N | |||||||||
|
|
|||||||||||
| Texas Political Subdivisions JSIF (WE041) | Electronic | N | |||||||||
|
|
|||||||||||
|
Texas Political Subdivisions JSIF (All States) (WC Only) (J1921)
WE041 (attachments) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Texas Premier Plan (Z0056)
TH089 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Texas Roadhouse Inc (All States) (Auto only) (J1676A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Roadhouse Inc (All States) (WC only) (J1676W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Small Business Pool (MN & TX) (WC Only) (WX334W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TexasFirst Health Plan (Dallas) (Remits Only) (13185) | Paper | N | |||||||||
|
|
|||||||||||
| The Alliance (88461) | Paper | P I | N | ||||||||
|
|
|||||||||||
| The American Equity Underwriters Inc (AEU) (All States) (Auto Only) (J4019A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| The American Equity Underwriters Inc (AEU) (All States) (WC Only) (J4019) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| The Arc of Dauphin County (EOBC) (R37772) | Paper | N | |||||||||
|
|
|||||||||||
| The ASU Group (Z96811) | Paper | N | |||||||||
|
|
|||||||||||
| The Benefit Group Inc (TBGNE) | Electronic | N | |||||||||
|
|
|||||||||||
| The Brodart Company (37262) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| The Care Network/The Savannah Business Group (68423) | Electronic | N | |||||||||
|
|
|||||||||||
| The Cascade Pace, INC., DBA Thome Pace (RP044) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| The City of Amarillo (COA01) | Electronic | N | |||||||||
|
|
|||||||||||
| The City of New York Law Department (All States) (Auto Only) (J3966A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| The City of New York Law Department (All States) (WC Only) (J3966) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| The City of Odessa (Odessa TX) (75600) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| The Colorado Purchase Alliance (TCPA1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| The Gap Inc (All States) (Auto only) (J1671A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Gap Inc (All States) (WC only) (J1671W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| The General Insurance (All States) (Auto Only) (C1050) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Hartford (All States) (WC Only) (J1422W) | Electronic | Y | |||||||||
|
|
|||||||||||
| THE HARTFORD INSURANCE GROUP (MN, TX) (WC Only) (WP384W) | Electronic | N | |||||||||
|
|
|||||||||||
|
The Health Exchange (Cerner Corporation) (20356)
Cerner Health Plan Services Cerner Healthplan Services |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| The Health Plan (10060) | Paper | N | |||||||||
|
|
|||||||||||
| The Health Plan of Western Illinois (HOWI) (29018) | Electronic | N | |||||||||
|
|
|||||||||||
|
The Healthcare Group (35206)
Encircle PPO Encore Health Network |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| The Jones Financial Companies LLP (All States) (Auto only) (J1846A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Jones Financial Companies LLP (All States) (WC only) (J1846W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Lawson Group (Remits Only) (Z96800) | Paper | N | |||||||||
|
|
|||||||||||
|
The Loomis Company (23223)
Clark County Self Funded NV Integrity Health NetWell |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| The Macaluso Group (82694) | Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group / Austin Mutual (All States) (Auto Only) (J1834A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group / Austin Mutual (All States) (WC Only) (J1834W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group / Grain Dealers Mutual (All States) (Auto Only) (J1835A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group / Grain Dealers Mutual (All States) (WC Only) (J1835W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group / Great Lakes Casualty (All States) (WC Only) (J1836W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group / Great Lakes Casualty (All States)(Auto Only) (J1836A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group / Main Street America Assurance (WC ONLY) ALL STATES (29939) | Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group / MSA Insurance Protection (WC ONLY) ALL STATES (13026) | Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group / MSAIC Surplus/Non-Admitted (WC ONLY) ALL STATES (11066) | Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group / NGM (All States) (Auto Only) (J1840A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group / NGM (All States) (WC Only) (J1840W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group / NGM (WC ONLY) ALL STATES (14788) | Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group / Spring Valley Mutual (WC ONLY) ALL STATES (11028) | Electronic | N | |||||||||
|
|
|||||||||||
| The Mohegan Tribe of Indians of Connecticut (MOHEG) | Paper | P I | N | ||||||||
|
|
|||||||||||
| The Monteflore IPA (EOBC) (R36608) | Paper | N | |||||||||
|
|
|||||||||||
|
The National Radiology Network (TNRN) (59087)
HealthHelp Network Inc (HHNI) |
Electronic | P | N | ||||||||
|
|
|||||||||||
| The Oaks Pace (57034) | Electronic | N | |||||||||
|
|
|||||||||||
| The Plumbers Union Local No. 12 Welfare Fund (45398) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
The Preferred Healthcare Systems (TPHS) (04320)
PrimeSource Health Network The Preferred Healthcare System - PPO |
Electronic | P | N | ||||||||
|
|
|||||||||||
| The Reny Company (WX616) | Electronic | N | |||||||||
|
|
|||||||||||
| The Salvation Army (All States) (WC Only) (J1472W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Scotts Company (MN & TX) (WC Only) (WX357W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Zenith (WC Only) (All States) (J13269W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Zero Card LLC (75296) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Theraphysics (THERA) | Electronic | N | |||||||||
|
|
|||||||||||
| Theraphysics-Colorado Only (Z0063) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Therapy Direct Network (All States) (WC Only) (J1831W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Third Coast Underwriters (3CU) (All States) (WC Only) (J2148) | Electronic | Y | |||||||||
|
|
|||||||||||
| Third Coast Underwriters (3CU) (All States) (WC Only) (J2148W) | Electronic | N | |||||||||
|
|
|||||||||||
| Three Rivers Benefit Corporation (Remits Only) (Z96419) | Paper | N | |||||||||
|
|
|||||||||||
| Three Rivers Preferred (MP340) | Electronic | N | |||||||||
|
|
|||||||||||
|
Thrivent Financial (THRIV)
Thrivent Financial for Lutherans |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Thrivent Financial Aid Association for Lutheran Medicare (30167) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Thrivent Financial Lutheran Brotherhood Medicare (30166) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Tidewater Marine Western (Auto Only) (J1392A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tidewater Marine Western (WC Only)(All States) (J1392W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TIFT REGIONAL (58600) | Electronic | N | |||||||||
|
|
|||||||||||
|
TLC Advantage (TLC01)
TLD Advantage in Sioux Falls |
Electronic | N | |||||||||
|
|
|||||||||||
| TLC Benefit Solutions (Global Care) (TLC79) | Electronic | N | |||||||||
|
|
|||||||||||
|
Todays Options (American Progressive & Pyramid Life) (EOBC) (48055)
Nassau Life Insurance Co (Remits Only) Todays Options (American Progressive & Pyramid Life) (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Tokio Marine HCC - Supplemental Health (Remits Only) (THM01) | Paper | N | |||||||||
|
|
|||||||||||
| Tokio Marine Management (All States) (WC Only) (J2289) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Tongass Timber Trust (92620) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TOPA Insurance Company (All States) (WC Only) (J1537) | Electronic | Y | |||||||||
|
|
|||||||||||
| Torrance Memorial IPA (TMIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Torrance Memorial Medical Center (TMMC1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Total Healthcare Inc (CM RPA Only) (38201) | Paper | N | |||||||||
|
|
|||||||||||
| Total Petroleum, Inc. (MN & TX) (WC Only) (WX365W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Total Plan Concepts (80900) | Electronic | N | |||||||||
|
|
|||||||||||
| Total Plan Services (41202) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Total Senior Care (12268) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Touchpoint Solutions CRM (TPS01) | Electronic | N | |||||||||
|
|
|||||||||||
| Touchstone Health PSO (23856) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Tower Energy Group (All States) (Auto only) (J1604A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tower Energy Group (All States) (WC only) (J1604W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tower Insurance Company Of New York (TX, MN, CA, IL, LA, NJ, OR and NC Only) (Auto Only) (J3961A) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Tower Insurance Company Of New York (TX, MN, CA, IL, LA, NJ, OR and NC Only) (WC Only) (J3961) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Tower National Insurance Co. (TX, MN, CA, IL, LA, NJ, OR and NC Only) (Auto Only) (J1394A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Tower National Insurance Co. (TX, MN, CA, IL, LA, NJ, OR and NC Only) (WC Only) (J1394) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Town of Colma CA (All States) (Auto only) (J1668A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Town of Colma CA (All States) (WC only) (J1668W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TPAC/The Physicians Assurance Corporation (CX030) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TPAC/USPCPS/Amerivantage (RP023) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TPS Joint Self Insurance Fund (MN & TX) (WC Only) (J1395W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TR Paul Inc (37230) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Tractor Supply Company (All States) (WC Only) (J1505W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TRANSACT RX PART D (7241) | Electronic | N | |||||||||
|
|
|||||||||||
| TransactRX Infusion and Specialty (11168) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
TransactRX Part D (11037)
RXPTD |
Paper | P E | N | ||||||||
|
|
|||||||||||
|
Transamerica Financial Life Insurance (2700 West Plano Parkway Plano TX) (TRP1P)
Monumental Life Insurance (2700 West Plano Parkway Plano TX) Stonebridge Life Insurance (2700 West Plano Parkway Plano TX) Transamerica Life Insurance (2700 West Plano Parkway Plano TX) Transamerica Premier Life Insurance (2700 West Plano Parkway Plano TX) |
Electronic | N | |||||||||
|
|
|||||||||||
|
Transamerica Financial Life Insurance (IA, MD, PA) (TRP1E)
Monumental Life Insurance (100 Light Street, Baltimore, MD) Monumental Life Insurance (PO Box 17004, Baltimore, MD) Monumental Life Insurance (PO Box 3350, Cedar Rapids, IA) Monumental Life Insurance (PO Box 97 Scranton, PA) Monumental Life Insurance (Valley Forge, PA) Stonebridge Life Insurance (PO Box 3350, Cedar Rapids, IA) Stonebridge Life Insurance (Valley Forge, PA) Transamerica Financial Life Insurance (PO Box 17004, Baltimore, MD) Transamerica Financial Life Insurance (PO Box 3350, Cedar Rapids, IA) Transamerica Financial Life Insurance (PO Box 97 Scranton, PA) Transamerica Financial Life Insurance (Valley Forge, PA) Transamerica Life Insurance (PO Box 17004 Baltimore MD) Transamerica Life Insurance (PO Box 3350, Cedar Rapids, IA) Transamerica Life Insurance (PO Box 97 Scranton, PA) Transamerica Premier Life Insurance (100 Light Street, Baltimore, MD) Transamerica Premier Life Insurance (PO Box 17004, Baltimore, MD) Transamerica Premier Life Insurance (PO Box 3350, Cedar Rapids, IA) Transamerica Premier Life Insurance (PO Box 97 Scranton, PA) Transamerica Premier Life Insurance (Valley Forge, PA) Union Labor Life Insurance Company (PO Box 3350, Cedar Rapids, IA) Universal Benefits - Admin For Chubb Life Insurance Co Of America (PO Box 17004, Baltimore, MD) Universal Benefits - Admin For City Of Bridgeport CT (PO Box 3350 Cedar Rapids IA) Universal Benefits - Admin For Hartford Life (PO Box 3350, Cedar Rapids, IA) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Transamerica Financial Life Insurance (PO Box 8043 Little Rock, AR) (TLINS) (Z2001)
Monumental Life Insurance (PO Box 8043 Little Rock, AR) Transamerica Premier Life Insurance (PO Box 8043 Little Rock, AR) |
Electronic | N | |||||||||
|
|
|||||||||||
|
Transamerica Financial Life Insurance (PO Box 869098 Plano, TX) (TRLTC) (TH094)
Monumental Life Insurance (PO Box 869093 Plano, TX) Monumental Life Insurance (PO Box 93019 Hurst, TX) Stonebridge Life Insurance (PO Box 869093 Plano, TX) Stonebridge Life Insurance (PO Box 93019 Hurst, TX) Transamerica Financial Life Insurance (PO Box 93019 Hurst, TX) Transamerica Life Insurance (PO Box 869093 Plano, TX) Transamerica Life Insurance (PO Box 93019 Hurst, TX) Transamerica Premier Life Insurance (PO Box 869093 Plano, TX) Transamerica Premier Life Insurance (PO Box 93019 Hurst, TX) Western Reserve Life Insurance (PO Box 869093 Plano, TX) Western Reserve Life Insurance (PO Box 93019 Hurst, TX) |
Electronic | N | |||||||||
|
|
|||||||||||
| Transamerica Life Insurance (KBA) (10946) | Paper | E | N | ||||||||
|
|
|||||||||||
| TransChoice-Key Benefit Administrators (37284) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Transportation - Fixed Route - IndyGo (Z96657) | Paper | N | |||||||||
|
|
|||||||||||
| Transwestern (TRAN1) | Electronic | N | |||||||||
|
|
|||||||||||
| TRASH - ALL TRANSACTIONS WILL BE DISCARDED (00000) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Travelers (All States) (WC Only) (19046W)
Travelers Casualty Ins. Co of Amer (WC Only) (All States) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Travelers (All States) (WC Only) (w/o Attachments) (J19046) | Electronic | N | |||||||||
|
|
|||||||||||
| Travelers Auto (All States) (Auto Only) (C1032) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Travelers Auto (All States) (Auto Only) (w/o Attachments) (C1032W) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Travelers Casualty and Surety Company (WC Only) (19038W) | Electronic | N | |||||||||
|
|
|||||||||||
| Travis County MAP-Mediview (TCMAP) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Trellis Health Partners (36397) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Tri Valley Medical Group (EOBC) (R21817)
Trivalley Medical Group (EOBC) |
Paper | N | |||||||||
|
|
|||||||||||
| Triad Group LLC (NY) (WC Only) (J4229) | Electronic | Y | |||||||||
|
|
|||||||||||
|
TRIAD Healthcare Inc (Plainville CT) (39181)
Aetna Chiro Claims |
Electronic | N | |||||||||
|
|
|||||||||||
| Triada Assurance (CB733) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TrialCard Inc NC (56165) | Electronic | N | |||||||||
|
|
|||||||||||
| Tribute /SelectCare of Oklahoma (73117) | Electronic | N | |||||||||
|
|
|||||||||||
| Tricare (CHAMPUS) (Z1006) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Tricare (Foreign Regions) FOREN (TRICF)
Tricare (Foreign Regions)- P2(PI Tricare) Tricare Overseas |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Tricare East (Tricare North & South DOS after 1/1/18) (TREST)
Tricare East -P2(PI Tricare) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Tricare for Life (TDDIR)
Tricare for Life - P2(PI) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Tricare for Life (Claims & Eligibility Only) (Medicare Advantage) (TDDIRMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Tricare West Region (TRICW)
Tricare West - United Healthcare (99726) |
Electronic | P I E R M | N | ||||||||
|
|
|||||||||||
| Tricare West Region (Medicare Advantage) (TRICWMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Tri-County Schools Insurance Group JPA (All States) (WC Only) (J3879) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Trigon (84103) | Paper | N | |||||||||
|
|
|||||||||||
| Trigon Blue Cross of Virginia (VA) (CB923) | Paper | N | |||||||||
|
|
|||||||||||
| TriHealth Physician Solutions (31143) | Electronic | N | |||||||||
|
|
|||||||||||
| Trillium Staffing Solutions (All States) (Auto only) (J1674A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Trillium Staffing Solutions (All States) (WC only) (J1674W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Trilogy Health Solutions Inc (62777)
BadgerCare Plus TRLHN/EB |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Trinity Health Pace (TRNPC)
LIFE St. Mary |
Electronic | N | |||||||||
|
|
|||||||||||
|
Trinity Universal Insurance (Auto Only) (MN Only) (C1030A)
Kemper Preferred (Auto Only) (MN Only) Unitrin Auto & Home Insurance (Auto Only) (MN Only) Unitrin Direct Auto Insurance (Auto Only) (MN Only) Unitrin Safeguard Insurance (Auto Only) (MN Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
TriStar Benefit Administrators (PHCS Eagan, MN) (41201)
Client First |
Electronic | N | |||||||||
|
|
|||||||||||
|
Tristate Benefit Solutions (TPA) (31144)
Tri Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Tri-State Ins Co (31003) | Electronic | N | |||||||||
|
|
|||||||||||
| Triton Healthcare Partners (Remits Only) (R36498) | Paper | N | |||||||||
|
|
|||||||||||
| Tri-Valley Medical Group (20538) | Paper | N | |||||||||
|
|
|||||||||||
| TriValley Medical Group Corporation (TVMG1) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
TriWest VA CCN Region 4 (TWVACCN) (VACCN4)
Triwest Healthcare Alliance |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| TriWest VA CCN Region 5 (TWVACCN) (VACCN5) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Troy Medicare (DOS 1/1/2024 and after) (TRYMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TRPN Direct Pay (Remits Only) (R34660) | Paper | N | |||||||||
|
|
|||||||||||
| Tru Blue TPA (83413) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
True Health New Mexico (82288)
New Mexico Health Connections |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Truli Health (TRULI) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Trusteed Plans Service Corporation (91078)
TPSC Benefits Trusteed Plans Management |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Trustmark Small Business Benefits fka Trustmark/Starmark (61425)
4Most Benefit Trust Life StarMark Tooling & Manufacturing Assoc. Trustmark Insurance Co. Trustmark Life Insurance |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Tuality Health Select (THASC) | Electronic | N | |||||||||
|
|
|||||||||||
| Tucker Administrators Inc (30799) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Tufts Health Plans (04298)
Secure Horizons - TUFTS Health Plan for Seniors Total Health Plan TUFTS TUFTS Associated Health Plan |
Electronic | P I E R | N | ||||||||
|
|
|||||||||||
| Tufts Health Plans (Medicaid Managed Care) (04298MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Tufts Health Public Plans (04332)
Network Health MA aka Tufts Health Public Plans Member Network Health of Massachusetts |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
TX Children with Special Healthcare Needs (86916)
Medicaid TM HP Texas Medicaid Health Steps |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| TX Children with Special Healthcare Needs - Secondary Claim Only (86916B) | Electronic | N | |||||||||
|
|
|||||||||||
| TX Premier Plan(Star HMO) Medicaid (EPF02) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Tyson Foods Inc (LA, NC, MN Only) (WC Only) (J1732W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| U.S. Steel (MN Only) (WC Only) (J1396W) | Electronic | Y | |||||||||
|
|
|||||||||||
| UC Davis Health System (UCDMG) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UC Health Plan Administrators (89789) | Electronic | N | |||||||||
|
|
|||||||||||
|
UCare Individual & Family Plans (DOS of 01/01/2019 and After) (55413)
EssentiaCare (DOS 1/1/2020 and after) UCare - Minnesota Senior Care Plus (MSC+) (DOS 1/1/22 and after) UCare Choices and Fairview UCare Choices plans UCare Connect + Medicare (HMO-D-SNP) (DOS 01/01/2022 and after) UCare Individual & Family Plans with M Health Fairview UCare Medicare (DOS 1/1/2020 and after) UCare Medicare with M Health Fairview & North Memorial Health (DOS 1/1/2020 and after) UCARE Minnesota Senior Health Options (MSHO) (DOS 01/01/2022 after after) UCARE of Minnesota (DOS 1/1/2022 and after) |
Electronic | E M | N | ||||||||
|
|
|||||||||||
|
UCARE of Minnesota (DOS 12/31/21 and prior) (4496)
52629 EssentiaCare (DOS 12/31/2019 and prior) UCare - Minnesota Senior Care Plus (MSC+) (DOS 12/31/21 and prior) UCare - Minnesota Senior Health Options (MSHO) (DOS 12/31/21 and prior) UCare - MinnesotaCare (MnCare) (DOS 12/31/21 and prior) UCare - Prepaid Medical Assistance Program (PMAP) (DOS 12/31/21 and prior) UCare Choices and Fairview UCare Choices plans (DOS of 12/31/18 and Prior) UCare Connect (DOS 12/31/21 and prior) UCare Medicare (DOS 12/31/2019 and prior) UCare Medicare with M Health Fairview and North Memorial (DOS 12/31/2019 and prior) |
Electronic | E | N | ||||||||
|
|
|||||||||||
| UCCI (10480) | Paper | N | |||||||||
|
|
|||||||||||
| UCI Health (UCI01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UCLA Medical Group (USMBP) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Air Design Heating & Cooling (18763) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Belue Trucking Company (Z96258) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Big Horn Federal (18766) | Electronic | N | |||||||||
|
|
|||||||||||
|
UCS - BASI: Boulder Administration Services (18768)
Interwest Health |
Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Ceiling Systems (19430) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Dunham Rubber & Belting Corporation (19432) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Golden Eagle Construction (19434) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Hanson Trucking (Z96259) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: HOTSTART (19450) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Idaho Asphalt Supply (Z96217) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Inland Construction & Development Co. (19438) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Innovative Health Care Concepts (19439) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Knight Construction & Supply (89234) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Nitro Green Helena (89235) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Northwest River Supplies (89236) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Plexis Healthcare Systems (89237) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Raphael Health Center (89238) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Reading Horizons (89239) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Rehab Strategies (89240) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Senior Suites at Woodside Village (89241) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Somont Oil Company (89242) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: South State Trailer Supply (89243) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Tempest Technologies (89244) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Tenowo Inc. (89245) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: TrailWest Bank (89246) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Van's Inc (89247) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Whitefish Credit Union (89248) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Williams Plumbing & Heating (89249) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - Benefit Plan Administrators of Eau Claire Inc (46891) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - Coeur: Connectivity Source (76451) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - Coeur: Sercel (94582) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - Electric Workers Insurance Fund (75678) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - Insight Benefit Administrators (96436) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - Leonard Holding Company (84365) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
UCS - PBS Oregon (56724)
Professional Benefit Services Inc |
Electronic | N | |||||||||
|
|
|||||||||||
| UCS - The City of East Chicago (56001) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - Winston Hospitality (20452) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS (ELM-CO LLC) (60509) | Electronic | N | |||||||||
|
|
|||||||||||
|
UCS BASI: Consolidated Turbine (36493)
Benveo |
Electronic | N | |||||||||
|
|
|||||||||||
| UCS BASI: Ellsworth Constructions (55843) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UCS Benefit Management Administrators (84566) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS Benveo – FirstHealth (76251) | Paper | P I | N | ||||||||
|
|
|||||||||||
| UCS Benveo - Multiplan (76253) | Paper | P I | N | ||||||||
|
|
|||||||||||
| UCS Cement Masons (34924) | Paper | P I | N | ||||||||
|
|
|||||||||||
| UCS Hewitt Coleman (97041) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS Kempton Group TPA: Shawnee Milling Co. (26362) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS Masonry Industry Trust (60230) | Electronic | N | |||||||||
|
|
|||||||||||
|
UCS Multimatic Tennessee LLC (47165)
Core Benefits |
Electronic | I | N | ||||||||
|
|
|||||||||||
| UCS Seminole Tribe of Florida (78702) | Paper | P I | N | ||||||||
|
|
|||||||||||
| UCS: CAM Administrative Services (63985) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UCS: Coeur Plan Services- Pinnacle Medical Systems, Inc (95287) | Paper | P I | N | ||||||||
|
|
|||||||||||
| UCS: Diversified Benefit Administrators, Inc. (65894) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS: Fixtures & Drywall Company of Oklahoma FADCO (31458) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UCS-BASI: DC WELDING & CONSTRUCTION (19431) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS-BASI: Meter Group USA (16025) | Electronic | N | |||||||||
|
|
|||||||||||
| Udelhoven Health Plan (92006) | Paper | P | N | ||||||||
|
|
|||||||||||
| UFCW Local 1000 and Kroger Dallas Health & Welfare Plan (11856) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UFCW Local 1000 and Kroger Dallas Health & Welfare Plan (99843) | Electronic | N | |||||||||
|
|
|||||||||||
| UFCW National Health and Welfare Fund (Remits Only) (07193) | Paper | N | |||||||||
|
|
|||||||||||
|
UHC Community Health Plan (04567)
Americhoice of Maryland - Remits ONLY Americhoice of Washington - Remits ONLY Community Health Plan of DE (Remits for Claims w/DOS 3/1/2014 and after) Community Health Plan of PA (Remits for Claims w/DOS 3/1/2014 and after) UHC community Health Plan of Ohio (Remits for Claims w/DOS 5/1/2013 and after) |
Paper | N | |||||||||
|
|
|||||||||||
| UHP Management (UHP01) | Electronic | N | |||||||||
|
|
|||||||||||
| UHSM-Unite Health Share Ministries (DOS prior to 1/1/23) (83173) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
UICI Administrators (75240)
American Administrative Group |
Electronic | P | N | ||||||||
|
|
|||||||||||
| UICI Administrators - Nevada (75245) | Electronic | P | N | ||||||||
|
|
|||||||||||
| UK University Health Service (All States) (WC Only) (J1941) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ultimate Health Plan (77022) | Electronic | M | N | ||||||||
|
|
|||||||||||
|
Ultra Benefits Inc (41206)
Ultrabenefits Inc |
Electronic | N | |||||||||
|
|
|||||||||||
| UMass Medical School Health & Criminal Justice Program (UMHCJ) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UMC Health Plan (75130) | Electronic | N | |||||||||
|
|
|||||||||||
| Umpqua Health Alliance (77502) | Electronic | N | |||||||||
|
|
|||||||||||
|
UMR (39026)
Benefit Administrators Benesight CBA - NATIONAL RURAL ELECTRIC COOPERATIVE - DOS on or after 01/01/14 CommonWealth Administrative Group Community Preferred Health Plan Deseret Protect Eau Claire Health Protection Plan Eau Claire Providers Choice Employers Insurance of Wausau Fiserv Health - Wausau Benefits/Benesight Fiserv Health Wausau GEHA UHC Integrated VA Greater La Crosse Care 65+ Greater Wisconsin Rapids Provider Choice Green Bay Health Protection Plan Harrington Benefit Services Inc (Formerly Centra Hey Health Plan (Prof) La Crosse Care Plus Mandalay Bay Casino MEDCORE HEALTH PLAN North Central Health Protection Plan Oshkosh Area Health Protection Plan PCIP Texas Municipal League Group TML Trans Health Protection Plan (The) UHC Shared Services UHIS UMR - Cincinnati UMR - Harrington (Westerville) UMR - San Antonio UMR Lexington UMR of Utah UMR Wasau UMR01 Uniform Medical Plan/Centra United Health Integrated Services United Medical Resources (31107) Wausau Benefits Wausau Preferred Health Plans WV TREASURY PEIA |
Electronic | P I E | N | ||||||||
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UMR (UMR Onalaska) (79480)
AVMA Group Health and Life Insurance Trust EHC Harrington Benefit Services Inc/ UMR Texas Municipal League Group - UHC Texas Municipal League Group - UHC Network UICI - Administrators - State of Nevada UMR Harrington (Columbus) |
Paper | P I E | N | ||||||||
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| UMR (with attachments) (J39026) | Electronic | Y | |||||||||
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UMWA Health & Retirement Funds (52180)
United Mine Workers Retirement |
Electronic | P E M | N | ||||||||
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| Underwriters Safety and Claims (All States)(WC Only) (TP108W) | Electronic | P I | Y | ||||||||
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| Underwriters Safety and Claims (All States)(WC Only) w/o attach (TP108WC) | Electronic | N | |||||||||
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Unicare (80314)
Commonwealth of Massachusetts GIC Indemnity Plan |
Electronic | P I E | N | ||||||||
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| Unicare - Dental (10791) | Paper | E | N | ||||||||
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| Unicare (Medicaid Managed Care) (80314MC) | Electronic | P I | N | ||||||||
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| UNICARE (Medicare Advantage) (80314MA) | Electronic | N | |||||||||
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| UNICARE (with Attachments) (J80314) | Electronic | P I | Y | ||||||||
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| Unified Group Services (35198) | Electronic | P I | N | ||||||||
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| Unified Health Services (All States) (WC Only) (J3837) | Electronic | Y | |||||||||
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| Unified Health Services (WC Claims Only) (62170) | Electronic | P | N | ||||||||
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| Unified IPA (51368) | Electronic | N | |||||||||
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| Unified Life Insurance Company (RP064) | Electronic | N | |||||||||
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| Unified Physicians Network (UPN99) | Electronic | N | |||||||||
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| Unified Physicians Network Inc (1691) | Electronic | N | |||||||||
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| Uniformed Services Family Health Plan (USFHP) - St Vincent Catholic Med Centers NY (13407) | Electronic | P I | N | ||||||||
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Uniformed Services Family Health Plan Texas & Louisiana (USFHP)
USFHP Texas and Louisiana |
Electronic | N | |||||||||
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| Unify HealthCare Adminstrators (84962) | Electronic | P I | N | ||||||||
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| Union Insurance (TX) (WC244) | Electronic | N | |||||||||
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| Union Insurance Co (MN & TX) (WC Only) (J1397W) | Electronic | Y | |||||||||
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| Union Insurance Comp (All States) (WC Only) (J1397) | Electronic | Y | |||||||||
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| Union Insurance Company of Providence (WC Only) (All States) (25844W) | Electronic | Y | |||||||||
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| Union Standard Insurance Company (MN & TX) (WC Only) (J1398W) | Electronic | Y | |||||||||
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| Unite Here Health Hospitality, UHH Hospitality (97615) | Electronic | P I | N | ||||||||
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Unite Here Health Las Vegas (59144)
Culinary Health and Welfare Fund (Las Vegas, NV) Culinary Health Fund |
Electronic | P I E M | N | ||||||||
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| United Administrative Services (Remits Only) (94174) | Paper | N | |||||||||
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| United Agriculture Benefit Trust (UAGBT) | Paper | P | N | ||||||||
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| United American Insurance (Medicare Crossover) (55004) | Electronic | N | |||||||||
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| United American Insurance Company (92916) | Paper | E M | N | ||||||||
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| United Benefit Advisors (38260) | Electronic | P I | N | ||||||||
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| United Care Medical Group (ADCUC) | Electronic | N | |||||||||
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| United Concordia Companies, Inc - Dental (Z96273) | Paper | E | N | ||||||||
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| United Concordia Federal Employees Program - Dental (10809) | Paper | E | N | ||||||||
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United Concordia Plus (Remits Only) (CX013)
Hershey Healthsmile |
Paper | N | |||||||||
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| United Dominion Realty Trust (MN & TX) (WC Only) (WZ962W) | Electronic | Y | |||||||||
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| United Financial Casualty Co (MN Only) (Auto Only) (J1789A) | Electronic | P I | Y | ||||||||
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| United Financial Casualty Company (WC Only) (11770W) | Electronic | Y | |||||||||
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| United Fire (All States) (Auto Only) (C1060A) | Electronic | Y | |||||||||
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| United Fire (All States) (Auto Only) (J1401A) | Electronic | Y | |||||||||
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| United Fire (All States) (WC Only) (J1401W) | Electronic | Y | |||||||||
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| United Fire (ANY STATE) (WC Only) (13021W) | Electronic | N | |||||||||
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| United Fire (Auto Only) (A0347) | Electronic | N | |||||||||
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| United Fire and Casualty (WZ997) | Paper | N | |||||||||
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| United Fire Group (aka Mercer Insurance)(NJ Only)(Auto Only) (C1102A) | Electronic | P I | Y | ||||||||
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| UNITED FIRE WC ONLY ANY STATE (A0347W) | Electronic | Y | |||||||||
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United Food & Commercial Workers Union and Food Employers (So. California, Cypress) (Z1401)
SCUFW Southern California UFCW Unions & Food Employers |
Electronic | P | N | ||||||||
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| United Group Programs (UGP19) | Paper | P I | N | ||||||||
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| United Health Care (Medicare Advantage) (87726MA) | Electronic | P I | N | ||||||||
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| United Health Care (Subrogation Claims Only) (87726S) | Electronic | P I | N | ||||||||
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| United Health Care Community Plan (M87726) | Electronic | I | N | ||||||||
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| United Health Integrated Services (Medicare Advantage) (39026MA) | Electronic | N | |||||||||
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| United Health Integrated Services (Subrogation Claims Only) (39026S) | Electronic | N | |||||||||
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| United Health Service dba Pruitt Health (All States) (WC Only) (J3753) | Electronic | P I | Y | ||||||||
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United Healthcare (87726)
64159 - Definity Health AARP Medicare Advantage Choice Plan Americhoice by United Healthcare Americhoice of Maryland - Claims ONLY Americhoice of Nebraska Americhoice of New York and Upstate AmeriChoice of New York Personal Care Plus (Medicare) (Claims Only) Americhoice of New York, Inc. (NY Medicaid) Claims Only) Americhoice of Texas Americhoice of Wisconsin Arnett Health Plans Better Health Plans - Three Rivers Administrative Services (TRAS) Better Health Plans of South Carolina Care Improvement Plus (DOS 1-1-16 and After) Choice One/UTMB CHIP Health Plan Community Health Plan of DE Community Health Plan of PA Definity Health (United Healthcare) Empire Plan Evercare First Seniority Freedom Premier Harken Health (Remits Only) IBA Self Funded Group (Prof) Iowa HealthLink John Deere Health Plan MAMSI Life & Health Insurance Co. (MLH) (Prof) MAMSI Life and Health Ins. Co. (Prof) MD - Individual Practice Assoc. (Prof) Medicare Complete Mid-Atlantic Medical Services, Inc (MAMSI) (Prof) Neighborhood Health Partnership of Florida OneNet, PPO Optimum Choice of the Carolinas, INC. (Prof) Optimum Choice, INC. Optum Health Optum Health Behavioral Health MCO - ID Medicaid Pacificare Behavioral Health Pacificare Claims (CA, OK, OR, TX, WA) PACIFICARE HEALTH SYSTEMS - PPO Pacificare of AZ Pacificare of Colorado People's Health Network (DOS 1/1/2024 and after) Physician Health Partners Medicare (DOS on or after 01/01/2016) Physicians Health Plan PHP (North Carolina) Secure Horizons Share Health Plan - ILL/HMO Share Health Plan - ILL/PPO State Health Benefit Plan PPO and Indemnity (GA) Three Rivers Health Plans (Unison Health Plan) UBH - United Behavioral Health UHC UHC Community Plan MS-CAN United Behavioral Health (UBH) RIOS (Employer Division) (United Healthcare) United Health Care United Health Care Community (Ohio) United Health Care Community Plan (Ohio) United Healthcare Community Plan of Kentucky United Healthcare Community Plan of MS United Healthcare Community Plan of NC United Healthcare Great Lakes UNITED HEALTHCARE INSURANCE COMPANY United HealthCare of Alabama (Prof) United HealthCare of Arizona, Inc. (Prof) United HealthCare of Arkansas (Prof) United HealthCare of California-Northern CA (Prof) United HealthCare of California-Southern CA (Prof) United HealthCare of Colorado (Prof) United HealthCare of Florida (Prof) United HealthCare of Georgia (Prof) United HealthCare of Illinois (Prof) United HealthCare of Kentucky, LTD. (Prof) United HealthCare of Louisiana (Prof) United HealthCare of Mid-Atlantic (Prof) United HealthCare of Mississippi (Prof) United HealthCare of New England (Prof) United HealthCare of New York/New Jersey (Prof) United HealthCare of North Carolina, Inc. (Prof) United HealthCare of Ohio (Prof) United Healthcare of River Valley United HealthCare of Texas (Dallas) (Prof) United HealthCare of the Midlands - HMO (Prof) United HealthCare of the Midlands - PPO (Prof) United HealthCare of the Midwest United HealthCare of Upstate New York (Prof) United HealthCare of Utah (Prof) United HealthCare of Virginia (Prof) United HealthCare of Wisconsin, Inc. (Prof) United HealthCare Plans of Puerto Rico (Prof) United HealthCare Tennessee (Prof) United HealthCare Texas (Houston) (Prof) UnitedHealthcare Community Plan UnitedHealthcare Medicare Solutions / Care Improvement Plus (CIP) UnitedHealthcare Plan of the River Valley - Iowa (Eff. 01/01/2016) UnitedHealthcare West |
Electronic | P I E | N | ||||||||
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| United Healthcare (Medicaid Managed Care) (87726MC) | Electronic | P I | N | ||||||||
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| United Healthcare (with Attachments) (J87726) | Electronic | Y | |||||||||
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United Healthcare Community Plan of Texas (Remits Only) (TEX01)
Americhoice Texas (Remits Only) |
Paper | N | |||||||||
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United Healthcare Community Plan Wisconsin (Remits Only) (WID01)
Americhoice of WI |
Paper | N | |||||||||
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| United Healthcare Facets Detroit Community & State (10836) | Paper | E | N | ||||||||
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| United Healthcare Facets Pittsburgh Community & State (10834) | Paper | E | N | ||||||||
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| United Healthcare NDC Repricer [UHNDC] (Z1274) | Electronic | N | |||||||||
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United Healthcare Vision (00773)
Spectera |
Paper | P E M | N | ||||||||
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| United Heartland (All States) (WC Only) (J1859) | Electronic | Y | |||||||||
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| United Heartland (All States) (WC Only) (J1859W) | Electronic | N | |||||||||
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| United Physicians International (UPI) (SANDS) | Electronic | N | |||||||||
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United Physicians of Northern Colorado (84132)
United Medical Alliance |
Electronic | P I | N | ||||||||
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| United States Automobile Association (USAA) (74095) | Electronic | P I E | N | ||||||||
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| United States Cold Storage (All States) (WC Only) (J1113W) | Electronic | Y | |||||||||
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| United States Fire Insurance Co (MN & TX) (WC Only) (J1402W) | Electronic | Y | |||||||||
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| United Teacher Assoc Ins Co- Medicare Supplement (Eligibility Only) (Z90027) | Paper | E | N | ||||||||
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| United Teacher Associates Insurance (07243) | Paper | N | |||||||||
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| United Wisconsin Insurance Comp (All States) (Auto Only) (J1235A) | Electronic | Y | |||||||||
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| United Wisconsin Insurance Comp (All States) (WC Only) (J1235W) | Electronic | P I | Y | ||||||||
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| United Wisconsin Insurance Company (WC Only) (WX956W) | Electronic | N | |||||||||
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| UnitedHealth Group (TX,MN Only (Auto Only) (A0567A) | Electronic | P I | N | ||||||||
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UnitedHealthcare Community Plan / NJ (86047)
Americhoice of New Jersey AmeriChoice of New Jersey Personal Care Plus (NJ Medicare) |
Electronic | P I E | N | ||||||||
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| UnitedHealthcare Community Plan / NJ (Medicare Advantage) (86047MA) | Electronic | P I | N | ||||||||
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| UnitedHealthcare Community Plan / NJ (with Attachments) (J86047) | Electronic | Y | |||||||||
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UnitedHealthcare Community Plan / NYU (NYU01)
Americhoice New York United Healthcare of New York Inc |
Paper | N | |||||||||
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| UnitedHealthcare Community Plan Kansas (KanCare) (96385) | Electronic | P I E M | N | ||||||||
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| UnitedHealthcare Community Plan Kansas (KanCare) (with Attachments) (J96385) | Electronic | Y | |||||||||
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| UnitedHealthcare Community Plan Missouri (86050) | Electronic | P I E M | N | ||||||||
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| UnitedHealthcare Community Plan Missouri (with Attachments) (J86050) | Electronic | Y | |||||||||
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UnitedHealthcare Community Plan TN (95378)
Americhoice Tenncare Americhoice TN Secure Complete Plus Tenncare Medicaid Benefit: B UnitedHealthcare Community Plan MS CHIP (formerly AmeriChoice MS - CHIP) UnitedHealthcare Plan of River Valley |
Electronic | P I E | N | ||||||||
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| UnitedHealthcare Community Plan TN (Medicaid Managed Care) (95378MC) | Electronic | P I | N | ||||||||
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| UnitedHealthcare Community Plan TN (with Attachments) (J95378) | Electronic | I | Y | ||||||||
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| UnitedHealthcare Dental (52133) | Paper | E M | N | ||||||||
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| UnitedHealthcare Great Lakes Health Plan (95467) | Electronic | P I | N | ||||||||
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| UnitedHealthcare Great Lakes Health Plan (Medicaid Managed Care) (95467MC) | Electronic | P | N | ||||||||
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| UnitedHealthcare Great Lakes Health Plan (with Attachments) (J95467) | Electronic | Y | |||||||||
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UnitedHealthcare StudentResources (74227)
Bankers United Life H&W Indemnity (SPC), LTD. Harvard Pilgrim Health Care (HPHC) - Student Insurance MEGA Life & Health Mid-West United Life Student Insurance Student Insurance - Boston Mutual Life Insurance Company Student Insurance - Boston Mutual Life Insurance Company Student Insurance - Life Insurance Company of Boston and New York Student Insurance - Mid-West National Life Insurance Co. of Tennessee Student Insurance - Reliance National Insurance Company |
Electronic | P I E | N | ||||||||
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UnitedHealthOne (81400)
All Savers Alternate Funding All Savers Insurance Co. American Medical Security UnitedHealthOne / PacifiCare Life and Health Insurance |
Electronic | P I E | N | ||||||||
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| Unitrin Direct Property & Casualty Company (Auto Only) (MN Only) (J16063A) | Electronic | Y | |||||||||
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Unity Health Insurance (39180)
Gundersen Lutheran Health Plan Physicians Plus Insurance Corporation Quartz ASO Quartz Health Solutions Inc |
Electronic | P I E M | N | ||||||||
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| Unity Health Partners (A1152) | Electronic | P | N | ||||||||
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| Univera Healthcare - Managed Care (16107) | Electronic | N | |||||||||
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| Univera PPO (UNINW) | Electronic | P I E M | N | ||||||||
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| Univera PPO (Medicaid Managed Care) (UNINWMC) | Electronic | P I | N | ||||||||
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Univeral American Financial Services (95380)
Universal American Financial Services |
Electronic | N | |||||||||
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| Universal American (11216) | Paper | E | N | ||||||||
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| Universal Benefit Corp (11033) | Paper | N | |||||||||
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| Universal Fidelity Administrators Company (93220) | Electronic | P I | N | ||||||||
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| Universal Fidelity Administrators Company (Aggregate claims Only) (93222) | Paper | P I | N | ||||||||
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| Universal Health Services (TX,MN Only) (WC Only) (A0433W) | Electronic | P I | N | ||||||||
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| Universal HealthCare IPA (UHIPA) | Electronic | P I | N | ||||||||
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| Universal Healthcare IPA (EOBC) (R0131) | Paper | N | |||||||||
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Universal Healthshare (53684)
UHF Universal Health Fellowship |
Electronic | P I | N | ||||||||
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| University Care Advantage Arizona (10699) | Paper | E | N | ||||||||
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University Family Care (09830)
Banner - University Care Advantage UNIVERSITY FAMILY CARE AHCCCS University Physicians Care Advantage |
Electronic | P E | N | ||||||||
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University Health Alliance (UHA)
99026 |
Electronic | N | |||||||||
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| University Healthcare Marketplace (45437) | Electronic | N | |||||||||
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| University of Arizona Health Plan - UHM (Eligibility Only) (10889) | Paper | E | N | ||||||||
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University of Illinois (UIC67)
Innovista Health Univ of Ill Campus Care |
Paper | P I | N | ||||||||
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| University of Illinois Chicago Div of Spec Care for Children (37601) | Paper | P | N | ||||||||
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| University of Kentucky Health Services (All States) (Auto only) (J1941A) | Electronic | Y | |||||||||
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| University of Kentucky Health Services (WC only) (J1941W) | Electronic | Y | |||||||||
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University of Utah Health Plans (Healthy U) (Z1030)
Four Corners Community Behavioral |
Electronic | P I E | N | ||||||||
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| UPMC Health Plan (23281) | Electronic | P I E | N | ||||||||
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| UPMC Health Plan (Medicaid Managed Care) (23281MC) | Electronic | P I | N | ||||||||
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| UPMC Vision Advantage (25184) | Electronic | N | |||||||||
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Upper Peninsula Health Group TPA (37324)
Wisconsin Department of Corrections - WDOC (DOS 09/01/2023 and after) |
Electronic | N | |||||||||
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| Upper Peninsula Health Plan (38337) | Electronic | P I E M | N | ||||||||
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| Urology Department of Mt Sinai (EOBC) (R42082) | Paper | N | |||||||||
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| US Benefits - Portland, Oregon (93092) | Electronic | P I | N | ||||||||
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| US Engagement, LLC (50443) | Paper | P I | N | ||||||||
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| US Family Health Plan (90551) | Electronic | P I | N | ||||||||
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| US Foodservice Inc (All States) (WC Only) (J1114W) | Electronic | Y | |||||||||
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US Health (Remits Only) (USHA1)
Enterprise Life Insurance Company Freedom Life Insurance Company of America National Foundation Life Insurance Company |
Paper | N | |||||||||
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| US Imaging (50383) | Electronic | N | |||||||||
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| US National Resources (AIGRM) (All States) (WC Only) (J1115) | Electronic | Y | |||||||||
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US Network and Administrative Services (USN01)
Best Doctors Insurance |
Electronic | P I | N | ||||||||
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| US Sugar Corporation (All States) (Auto only) (J1950A) | Electronic | Y | |||||||||
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| US Sugar Corporation (All States) (WC only) (J1950W) | Electronic | Y | |||||||||
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| USAA (All States Except FL, HI, NY and PA) (Auto Only) (J1822A) | Electronic | P I | Y | ||||||||
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| USAA Life Insurance Company (Eligibility Only) (Z1316) | Paper | E | N | ||||||||
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USAA Life Insurance Company (Remits Only) (75895)
Pacificare Life and Health Ins Co (Remits Only) |
Paper | N | |||||||||
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| USC - Questcare Medical (84562) | Electronic | N | |||||||||
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| USC HEALTH SERVICES (TH021) | Electronic | P | N | ||||||||
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| USC Health Services (USC11) | Electronic | P | N | ||||||||
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| USC Kempton Group Administrators (90210) | Electronic | N | |||||||||
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| USS-POSCO Industries (J1534) | Electronic | Y | |||||||||
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| Utica (All States) (Auto Only) (C1027A) | Electronic | P I | Y | ||||||||
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| Utica Mutual Insurance Co (All States) (WC Only) (25976) | Electronic | Y | |||||||||
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| Utica Mutual Insurance Co (MN & TX) (WC Only) (25976W) | Electronic | Y | |||||||||
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| Utica National Insurance Co of Texas (All States) (WC Only) (43478) | Electronic | Y | |||||||||
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| Utica National Insurance Co of Texas (WC Only) (43478W) | Electronic | N | |||||||||
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| UTMB 3 Share Program (UT3F) | Electronic | N | |||||||||
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UTMB Correctional Managed Care (UTMBC)
University Texas Medical Board |
Electronic | N | |||||||||
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| UTMB Correctional Managed Care (UTMBU) | Electronic | N | |||||||||
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VA Community Care Network (VACCN)
Optum VA CCN Region |
Electronic | P I | N | ||||||||
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VA Dialysis Only VA FSC (VAFSC)
VA DIALYSIS - INST only to VAFSC (835s effective for DOS 10-1-22 and after) Washington DC VA Medical Center |
Electronic | N | |||||||||
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VA Fee Basis Program (12115)
CARL VINSON VETERANS' ADMINISTRATION MEDICAL CENTER VHA Office of Integrated Veteran Care (IVC) |
Electronic | P I E | N | ||||||||
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| VA Health Administration Center (Eligibility Only) (Z96272) | Paper | E | N | ||||||||
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| VA Healthcare (Z96271) | Paper | E | N | ||||||||
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| VACorp (All States) (WC Only) (J3807W) | Electronic | Y | |||||||||
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| Valenz (94749) | Electronic | N | |||||||||
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| Valenz: Core Benefits Teladoc (65287) | Electronic | P I | N | ||||||||
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Valenz: Tucker Administrators (65231)
Valenz: Tucker Administrators - A-1 Pavement Markings #1275 |
Electronic | N | |||||||||
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| Valir Pace (64009) | Electronic | N | |||||||||
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| Valir Pace (Formerly Via Christi Hope) (48123) | Electronic | P I | N | ||||||||
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| Valley Care IPA (VCIPA) | Electronic | N | |||||||||
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| Valley Care Program (10948) | Paper | E | N | ||||||||
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Valley Health Plan (Commercial) (VHP01)
Valley Health Plan |
Electronic | E M | N | ||||||||
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| Valley Health Plan (Medi-Cal) (VHP02) | Electronic | N | |||||||||
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| Valley Mental Health (94293) | Electronic | N | |||||||||
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| Valley Presbyterian Hospital (MPM53) | Electronic | P I | N | ||||||||
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| Valley Presbyterian Hospital Community Family Care VPRESCFC (MPM61) | Electronic | N | |||||||||
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| Valley Presbyterian Hospital Preferred IPA VPRESPREF (MPM60) | Electronic | P I | N | ||||||||
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Valor Health Plan (43259)
Access Health Services MIRRA |
Paper | P I | N | ||||||||
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| Value Options PA Behavioral Health (Z96315) | Electronic | N | |||||||||
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| Value Options PA Medicaid (Z1247) | Electronic | P I | N | ||||||||
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ValueOptions/MBHP (43307)
Massachussetts Behavioral Health (BHO) ValueOptions, Inc. (MA - Massachusetts Behavioral Health Plan) |
Electronic | P I | N | ||||||||
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| Van Lang IPA c/o TECQ Partners (77036) | Electronic | N | |||||||||
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Vanderbilt Health (BPSLLC)
Vanderbilt University Medical Center |
Paper | P I | N | ||||||||
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| Vanliner Insurance Co (All States) (WC only) (21172) | Electronic | Y | |||||||||
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| Vanliner Insurance Co (Auto Only) (21172A) | Electronic | Y | |||||||||
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Vantage Health Plan Inc (72128)
77701 Primewell Health Services |
Electronic | P E | N | ||||||||
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| Vantage Health Plan Inc (Medicare Advantage) (72128MA) | Electronic | N | |||||||||
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| Variable Protection Administrators (VPA) (VPA18) | Electronic | N | |||||||||
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Varipro (72187)
Varirpo |
Paper | P I | N | ||||||||
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| Vault/AMPS Admin Services Or GAR (Georgia Relators Association) (VS402) | Paper | P I | N | ||||||||
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| Velocity Vehicle Group (All States) (Auto only) (J1992A) | Electronic | Y | |||||||||
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| Velocity Vehicle Group (All States) (WC only) (J1992W) | Electronic | Y | |||||||||
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| Velocity Vehicle Group (All States) (WC only) w/o attach (J1992) | Electronic | N | |||||||||
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| Vensure Employer Services (All States) (WC Only) (J1917) | Paper | N | |||||||||
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| Ventura County Health Care Plan (VCHCP) | Paper | P I | N | ||||||||
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| Verda Healthcare Texas (VERTX) | Electronic | P I | N | ||||||||
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| Verdugo Hills Medical Group (VHMG1) | Electronic | P I | N | ||||||||
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Verity National Group (75256)
GASA1 |
Electronic | N | |||||||||
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Verity Plus (VMMH2)
Multnomah County Verity Multnomah Treatment Fund |
Electronic | N | |||||||||
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| Vestacare (VESTA) | Electronic | N | |||||||||
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| VGM Homelink (50701) | Electronic | N | |||||||||
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| VGM Homelink (with Attachments) (J50701) | Electronic | Y | |||||||||
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| Viad Corp (MN Only) (WC Only) (J1403W) | Electronic | Y | |||||||||
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| Vibra Health Plan (15976) | Electronic | M | N | ||||||||
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| Vicorp Restaurants, Inc. (MN & TX only) (WC Only) (WX495W) | Electronic | Y | |||||||||
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| Victor Valley IPA (VVIPA) | Electronic | N | |||||||||
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Victoria/Titan Ins (Auto Only) (MN Only) (13242)
Victoria Firs & Casualty Company (Auto Only) (MN Only) Victoria Select Insurance Company (Auto Only) (MN Only) Victoria Specialty Insurance Company (Auto Only) (MN Only) |
Electronic | N | |||||||||
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| VieCare Life Armstrong (25922) | Paper | P I | N | ||||||||
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| VieCare Life Beaver and Life Lawrence Counties (25924) | Paper | P I | N | ||||||||
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| VieCare LIFE Butler (25923) | Electronic | N | |||||||||
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| Village Practice Management Company (36477) | Electronic | P I | N | ||||||||
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VillageCareMAX (26545)
Village Senior Services |
Electronic | N | |||||||||
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| VillageMD (VLGMD) | Paper | P I | N | ||||||||
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| VillageMD of Central Indiana (Primaria) (13027) | Paper | P | N | ||||||||
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| VillageMD of Chicago (75838) | Electronic | N | |||||||||
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VillageMD of Georgia (42636)
QCPI Village MD of Georgia (GA) |
Electronic | N | |||||||||
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| VillageMD of New Hampshire (75545) | Electronic | N | |||||||||
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| VillageMD of Northern Indiana (75386) | Electronic | N | |||||||||
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| VillageMD of SE TX (Houston) (93170) | Electronic | N | |||||||||
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| VillageMD of Western Kentucky (43036) | Paper | P | N | ||||||||
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| VIRGINIA COORDINATED CARE (84806) | Electronic | N | |||||||||
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| Virginia Health Network (54138) | Paper | P | N | ||||||||
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Virginia Premier Health Plans (VAPRM)
Virginia Premier VIRGINIA PREMIER COMPLETECARE VIRGINIA PREMIER ELITE VIRGINIA PREMIER ELITE PLUS VIRGINIA PREMIER MEDALLION 4 VIRGINIA PREMIER MEDICARE ADVANTAGE PART D |
Electronic | P I | N | ||||||||
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Virginia Risk Sharing (VRSA) (All States) (WC Only) (J3928W)
Virginia Risk Sharing (VRSA)(WC Only) |
Paper | P I | Y | ||||||||
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| Virginia Surety Company Inc (All States) (Auto Only) (J1404A) | Electronic | Y | |||||||||
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| Virginia Surety Company Inc (All States) (WC Only) (J1404W) | Electronic | Y | |||||||||
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| VitalCore Millette (MAI58) | Electronic | P I | N | ||||||||
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Vitori Health (32691)
Apostrophe HP2 High-Performance Health Plan Tribado |
Paper | P I | N | ||||||||
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| Vitruvian Care Inc (VUIPA) | Electronic | P I | N | ||||||||
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| Viva Health Plan (63114) | Electronic | P I E | N | ||||||||
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| Viva Health Plan (Medicare Advantage) (63114MA) | Electronic | P I | N | ||||||||
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| VMD Primary Providers of Arizona (84213) | Paper | P I | N | ||||||||
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VNSNY CHOICE Medicare (77073)
Visiting Nurse Services of New York Visiting Nurses Service VNSNY Choice Total Medicare |
Electronic | P I E | N | ||||||||
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Volusia Health Network (59266)
Florida Healthcare Network |
Electronic | P | N | ||||||||
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| Vought Aircraft Industries (All States) (WC Only) (J1405W) | Electronic | Y | |||||||||
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| Vulcan Materials (All States) (Auto Only) (J1993A) | Electronic | Y | |||||||||
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| Vulcan Materials (All States) (WC Only) (J1993) | Electronic | Y | |||||||||
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| Vxtra Health Plan Inc (99915) | Electronic | N | |||||||||
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| Vytalize Health (Remits Only) (RP042) | Paper | N | |||||||||
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| Vytra Healthcare (22264) | Electronic | P E | N | ||||||||
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WA Workers' Comp (4404)
Washington State Department of Labor and Industries |
Electronic | N | |||||||||
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| Wabash Memorial Hospital Association (85256) | Electronic | N | |||||||||
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| Wadena (All States) (WC Only) (J3931W) | Electronic | P I | Y | ||||||||
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| Wagner Meinert (31650) | Electronic | N | |||||||||
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Walmart - Claims Management (All States) (WC Only) (J1004W)
AIU Insurance Company Claims Management Inc (CMI) (All States) (WC Only) |
Electronic | Y | |||||||||
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Wal-Mart (All States) (WC Only) (J1004)
WalMart (CMI) (Claims Management Inc) |
Electronic | N | |||||||||
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| Washington County General Fund (77111) | Electronic | N | |||||||||
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| Washington County Health and Human Services (WCHHS) | Electronic | P I | N | ||||||||
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| Washington Dental (47341) | Paper | N | |||||||||
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| Washington National Insurance Company (Eligibility and Remits Only) (70319) | Paper | E M | N | ||||||||
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| Washington Workers Comp Crime Prevention (4404B) | Electronic | N | |||||||||
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| Waterstone Benefit Administrators (73155) | Electronic | P I | N | ||||||||
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| Watts Health Care (MPM09) | Electronic | N | |||||||||
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| WCF Insurance (All States) (WC Only) (J4248) | Electronic | P I | Y | ||||||||
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WCF Mutual Insurance Company (Remits Only) (R26301)
WCF Insurance |
Paper | N | |||||||||
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| WE Energies (All States) (WC Only) (J1406) | Electronic | P I | Y | ||||||||
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| WE ENERGIES (ALL) WC ONLY (A0348W) | Electronic | Y | |||||||||
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WEA Insurance Group (DOS 12/31/22 and prior) (39151)
WEA Trust Wisconsin Educators Association (WEA) |
Paper | M | N | ||||||||
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WebTPA Employer Services LLC (75261)
Simplan Administrators |
Electronic | P I E | N | ||||||||
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| Wegmans (All States) (WC Only) (J3845) | Electronic | P I | Y | ||||||||
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| Weiss Health Providers (36337) | Electronic | N | |||||||||
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| WelbeHealth (WBHCA) | Electronic | P | N | ||||||||
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| Welcome Health Medical Group (MPM57) | Electronic | N | |||||||||
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Welfare Pension Admin Services (WPAS) (91136)
Alaska Children's Services Alaska Laborers Construction Industry Trust Grp No F23 Alaska Pipe Trades Grp No. F24 Alaska Pipe Trades Local 375 Alaska United Food & Commercial Workers Health & Welfare Trust Alaska United Food Grp No. F45 Allen Medical Claims Administrators Allmerica Financial Services Automotive Machinists Health GRP F32 Automotive Machinists Local 289 Health & Welfare Trust Cement Masons & Plasterers Health & Welfare Trust Cement Masons Plasterers GRP No F16 Enstar Natural Gas Grp NO P61 Glassworkers Health & Welfar Fund Glassworkers Health Welfare Grp No F29 Hotel Employees & Restaurant Employees Health Trust Hotel Employees Restaurant Grp No F19 Northwest Plumbing and Pipefitting Industry Health and Welfare Trust NW International Assoc of Machinists NW Iron Workers Health Security NW Ironworkers Health & Security Trust Fund NW Roofers & Employers Health & Security Trust Fund NW Roofers Employers Health NW Textile Processors Grp No F14 Operating Engineers Health Security Operating Engineers Locals 302 & 612 Health & Security Fund Puget Sound Benefits Trust Puget Sound Electrical Workers Puget Sound Electrical Workers Trust Retail Drug Employee Welfare Plus University of Washington Students University of Washington Students & Graduate Appts. Washington State Council Grp No F36 Welfare Pension and Administration West Coast Stationary Engineers |
Electronic | P I | N | ||||||||
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| WellCare Health Plan (Encounters Only) (59354) | Electronic | N | |||||||||
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| WellCare Health Plan (Encounters Only) (with Attachments) (J59354) | Electronic | Y | |||||||||
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Wellcare Health Plans (14163)
American Progressive Life & Health Generations Healthcare Golden Triangle Physician Associates Harmony Healthplan Harmony, a WellCare Company (DOS 12/31/18 And Prior) Healthease wellcare MED3000 CMS Title 19 Reform Memorial Clinical Associates/Select Care of Texas MCA (Houston) MeridianCare, a WellCare Company MeridianCare, a WellCare Company (DOS 01/01/2020 and after) Missouri Care FFS - DOS After 4/30/2013 Ohana Health Plan Onecare by Care1st Health Plan of AZ Staywell Health Plan Todays Options DOS 1/1/19 and after) Universal American Wellcare HMO, Inc. Wellcare of Georgia (DOS 4/31/2021 and prior) Wellcare of Iowa, Inc. (Effective 3/1/2016) Wellcare of Kentucky Wellcare of Louisiana Wellcare of Nebraska Wellcare of New Jersey Wellcare of New York WellCare of North Carolina Wellcare of Oklahoma Wellcare of South Carolina (DOS on or after 6/1/16) Windsor Health Plan |
Electronic | P I E M | N | ||||||||
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| Wellcare Health Plans (Medicaid Managed Care) (14163MC) | Electronic | P I | N | ||||||||
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| Wellcare Health Plans (Medicare Advantage) (14163MA) | Electronic | P I | N | ||||||||
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Wellcare Health Plans (with Attachments) (J14163)
American Progressive Life & Health Generations Healthcare Golden Triangle Physician Associates Harmony Healthplan Harmony, a WellCare Company (DOS 12/31/18 And Prior) Healthease wellcare MED3000 CMS Title 19 Reform Memorial Clinical Associates/Select Care of Texas MCA (Houston) MeridianCare, a WellCare Company MeridianCare, a WellCare Company (DOS 01/01/2020 and after) Missouri Care FFS - DOS After 4/30/2013 Ohana Health Plan Onecare by Care1st Health Plan of AZ Staywell Health Plan Todays Options DOS 1/1/19 and after) Universal American Wellcare HMO, Inc. Wellcare of Georgia (DOS 4/31/2021 and prior) Wellcare of Iowa, Inc. (Effective 3/1/2016) Wellcare of Kentucky Wellcare of Louisiana Wellcare of Nebraska Wellcare of New Jersey Wellcare of New York WellCare of North Carolina Wellcare of Oklahoma Wellcare of South Carolina (DOS on or after 6/1/16) Windsor Health Plan |
Electronic | P I | Y | ||||||||
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| Wellcare of Connecticut (R17841) | Paper | N | |||||||||
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| WellCare of CT (Encounters Only) (Z1194) | Electronic | N | |||||||||
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| Wellcare of CT and NY (14164) | Electronic | N | |||||||||
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| WellCare of FL (Encounters Only) (Z1199) | Electronic | N | |||||||||
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| WellCare of GA (Encounters Only) (Z1197) | Electronic | N | |||||||||
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| WellCare of HI (Encounters Only) (Z1313) | Electronic | N | |||||||||
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WellCare of IL (Encounters Only) (Z1196)
Wellcare Illinois |
Electronic | P I | N | ||||||||
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| WellCare of IN (Encounters Only) (Z1340) | Electronic | N | |||||||||
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| WellCare of LA (Encounters Only) (Z1200) | Electronic | N | |||||||||
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| WellCare of MO (Encounters Only) (Z1201) | Electronic | N | |||||||||
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| WellCare of NY (Encounters Only) (Z1195) | Electronic | N | |||||||||
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| WellCare of OH (Encounters Only) (Z1198) | Electronic | N | |||||||||
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| WellCare PFFS (Eligibility Only) (77072) | Paper | E | N | ||||||||
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Wellfleet Group LLC (87843)
Consolidated Health Plans |
Electronic | P I | N | ||||||||
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Wellmed (TH023)
Preferred Care Partners - Coral Way Preferred Care Partners - Hialeah Preferred Care Partners - Little Havana Preferred Care Partners - Red Road Preferred Care Partners - West Hialeah Wellmed Medical Management WELM2 WMMI |
Electronic | P I E M | N | ||||||||
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| WellMed (Encounters) (WELMD) | Electronic | N | |||||||||
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| Wellmed (Medicare Advantage) (TH023MA) | Electronic | N | |||||||||
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| WellNet Health Plans (25711) | Electronic | P I | N | ||||||||
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Wellnet Healthcare Administrators (Remits Only) (10441)
Wellnet Health Plans (Remits Only) |
Paper | N | |||||||||
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| WellNet Healthcare Administrators, Inc (93669) | Electronic | N | |||||||||
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| WellSpace Nexus (NEXUS) | Electronic | N | |||||||||
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| Wellspan Employee Assistance Program (CB457) | Electronic | N | |||||||||
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| Wenatchee Valley Medical Center (91064) | Paper | P I | N | ||||||||
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| Wesco Insurance Co (WC Only) (TX,MN,CA Only) (25011) | Electronic | N | |||||||||
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| Wesco Insurance Company (TX, MN, CA Only) (WC Only) (J1857) | Electronic | P I | Y | ||||||||
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| West Alabama IPA LLC (EOBC) (R25927) | Paper | N | |||||||||
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| West Bend Mutual Insurance (All States) (WC Only) (J2088W) | Electronic | Y | |||||||||
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| West Bend Mutual Insurance (All States) (WC Only) (WZ081W) | Electronic | N | |||||||||
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| West Covina Medical Group (66124) | Paper | P I | N | ||||||||
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| West Suburban Health Providers (80942) | Electronic | R | N | ||||||||
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| West Virginia Senior Advantage (WVS01) | Electronic | P I | N | ||||||||
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| Western Agricultural Insurance Company (Auto Only) (MN Only) (J3738A) | Electronic | Y | |||||||||
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| Western Agricultural Insurance Company (WC Only) (MN Only) (J3738W) | Electronic | P I | Y | ||||||||
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| Western Allied (WP835) | Paper | N | |||||||||
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Western Grower's Insurance Company (24735)
Pinnacle Claims Management Western Grower's Assurance Trust Western Growers Insurance Company |
Electronic | P I | N | ||||||||
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| Western Health Advantage (68039) | Electronic | P I E M | N | ||||||||
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| Western Health Advantage by Ayin (77225) | Electronic | P I | N | ||||||||
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| Western Integrated Care (WIC) (WC Only) (J4005) | Electronic | P | Y | ||||||||
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Western Mutual Insurance / WMI-TPA (37247)
WMI MUTUAL INSURANCE COMPANY |
Electronic | P | N | ||||||||
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| Western National (All States) (Auto Only) (J1495) | Electronic | Y | |||||||||
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| Western National (All States) (WC Only) (J1495W) | Electronic | Y | |||||||||
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| Western National Assurance (All States) (Auto only) (J1569A) | Electronic | Y | |||||||||
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| Western National Assurance (All States) (WC only) (J1569W) | Electronic | Y | |||||||||
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| Western National Assurance (WC Only) (13005W) | Paper | N | |||||||||
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Western National Insurance (Auto Only) (39137A)
Pioneer Specialities |
Paper | N | |||||||||
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| Western National Insurance \ Pioneer Specialties (All States) (Auto only) (J1586A) | Electronic | Y | |||||||||
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| Western National Insurance \ Pioneer Specialties (All States) (WC only) (J1586W) | Electronic | Y | |||||||||
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| Western National Insurance Group (Auto Only) (15865A) | Paper | N | |||||||||
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| WESTERN NATIONAL, INC. (CA,MN,TX) (WC Only) (WP852W) | Electronic | N | |||||||||
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Western Oregon Advanced Health (DOCSO)
Advanced Health Southwest Oregon IPA (DOCS) |
Electronic | P I | N | ||||||||
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| Western Pennsylvania Electrical Employees Insurance Trust Fund (RP083) | Electronic | P I | N | ||||||||
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Western Southern Financial Group (Cincinnati, OH) (31048)
WSFG Benefits |
Electronic | P I E M | N | ||||||||
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| Westfield Insurance (CA IL LA NC NM TN TX WI) (WC only) (J1858W) | Electronic | P | Y | ||||||||
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| Westfield Insurance (CA IL LA NC NM TN TX) (Auto only) (J1858A) | Electronic | Y | |||||||||
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| Westlake Financial Group (90560) | Electronic | P I | N | ||||||||
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| Wex Health Inc (Remits Only) (Z96593) | Paper | N | |||||||||
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| Weyerhaeuser Co (A0276) | Electronic | N | |||||||||
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| White Memorial Altamed Medical Group (MPM55) | Electronic | P I | N | ||||||||
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| Wilco Life Insurance Company (Remits Only) (R29640) | Paper | N | |||||||||
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| William C. Earhart (93050) | Electronic | N | |||||||||
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| Williams & Sonoma (All States) (WC Only) (J1473W) | Electronic | Y | |||||||||
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| Wilson McShane - Dental (10797) | Paper | E | N | ||||||||
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| Wilson Mutual Insurance (MN & WI Only) (WC Only) (J1407W) | Electronic | Y | |||||||||
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| Wilson Mutual Insurance (MN/WI ONLY) (Auto Only) (J1407A) | Electronic | Y | |||||||||
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| Wilson-McShane (41095) | Paper | P I | N | ||||||||
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Wilson-McShane - International Brotherhood of Boilermakers (48603)
International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC) |
Electronic | N | |||||||||
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Windsor Medicare Extra (Eligibility Only) (62153)
Windsor HomeCare Network DOS before 05/01/2014 Windsor Medicare Extra DOS before 05/01/2014 |
Paper | E | N | ||||||||
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WinHealth (Z1310)
WNHLT |
Electronic | P | N | ||||||||
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| Winn-Dixie (Auto Only) (A0119) | Electronic | N | |||||||||
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| Wisconsin Chronic Disease Program (WCDP) | Electronic | E M | N | ||||||||
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| Wisconsin Department of Corrections (RP078) | Electronic | N | |||||||||
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Wisconsin Department of Corrections - WDOC (DOS 08/31/2023 and prior) (Z1150)
Contact CISDept@Vestica.com to get approval before submitting claims Vestica (Wisconsin Department of Corrections-WDOC) |
Electronic | N | |||||||||
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| Wisconsin Physician Services-Midlands (95930) | Electronic | P I | N | ||||||||
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Wisconsin Physicians Service Group Health / WPS (SX022)
Health Insurance Risk Sharing Plan HIRSP Inclusa Lakeland Care The Epic Life Insurance Company |
Electronic | P I E M | N | ||||||||
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| Wisconsin Well Woman Program (WWWP) | Electronic | E M | N | ||||||||
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| Women's Integrated Network, Inc. (WIN Fertility) (13413) | Electronic | N | |||||||||
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| WOODLAND FARMS (Auto Only) (WP893A) | Electronic | Y | |||||||||
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| WOODLAND FARMS (WC Only) (WP893W) | Electronic | Y | |||||||||
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| Woodman Accident and Life Co (AICT Plans Only) (81949-002) | Electronic | P | N | ||||||||
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| Woodman Accident and Life Co (AICT Plans Only) (Z0071) | Electronic | P | N | ||||||||
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| Workers Comp of West Virginia (JSX067W) | Electronic | N | |||||||||
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| Workers Compensation And Employer Liability (TX, MN, CA, IL, LA, NJ, OR and NC Only) (Auto Only) (J3722A) | Electronic | P I | Y | ||||||||
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| Workers Compensation And Employer Liability (TX, MN, CA, IL, LA, NJ, OR and NC Only) (WC Only) (J3722) | Electronic | P I | Y | ||||||||
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| Workforce Safety and Insurance (WSI) (J1500) | Electronic | Y | |||||||||
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| Worksite Benefit Services (20333) | Electronic | P I | N | ||||||||
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| WorkStar Health Services (Z95681) | Electronic | N | |||||||||
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| World Corp (Z96261) | Paper | E | N | ||||||||
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World Trade Center - MCA Sedgwick(WC Only) (J4361)
World Trade Center - MCA Sedgwick- LV371 |
Electronic | Y | |||||||||
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World Trade Center - MCA Sedgwick(WC Only) (J4361W)
LV371 |
Electronic | N | |||||||||
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| World Trade Center (WTC) Health Program (Remits Only) (WTC44) | Paper | N | |||||||||
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| Worldwide Medical Assurance Ltd Corp (98473) | Electronic | P I | N | ||||||||
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| WPP-ElderCare Wisconsin (77080) | Electronic | P I | N | ||||||||
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| WPS Dept of Veterans Affairs VA Program (VAPCCC3) | Paper | N | |||||||||
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WPS EPIC Specialty Benefits (EPIC)
Wisconsin Physicians Service Group Health / WPS - EPIC |
Electronic | N | |||||||||
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| Wright Risk Management (All States) (WC Only) (J4177) | Electronic | Y | |||||||||
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| Wyman-Gordon Companies (All States) (WC Only) (J1117W) | Electronic | Y | |||||||||
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| Wyoming PACE (98543) | Electronic | N | |||||||||
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| Xanitos Inc CORVEL (All States) (WC Only) (J4421) | Electronic | Y | |||||||||
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Xcel Energy (All States) (Auto only) (J1628A)
CCMSI- Xcel Energy (Auto Only) |
Electronic | P I | Y | ||||||||
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| Xcel Energy (All States) (WC only) (J1628W) | Electronic | Y | |||||||||
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| Xchanging, Inc (TX Only) (WC Only) (J1412W) | Electronic | Y | |||||||||
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| Xl Environmental Inc (All States) (WC Only) (J1055W) | Electronic | Y | |||||||||
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| XL Insurance America, Inc. (Aaris Captive) (Auto Only) (J2284A) | Electronic | P I | Y | ||||||||
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| XL Insurance America, Inc. (Aaris Captive) (Work Comp Only) (J2284) | Electronic | P I | Y | ||||||||
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| Yale University Health Plan (60646) | Electronic | P | N | ||||||||
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| Yamhill CCO Physical Health (77946) | Electronic | E M | N | ||||||||
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Yamhill Community Care Organization CCO (Z95383)
YAMHL |
Electronic | N | |||||||||
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| Yamhill County CCO (Mental Health) (77130) | Electronic | N | |||||||||
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| York Claim Services (All States) (Auto Only) (J1421A) | Electronic | Y | |||||||||
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York Claim Services (All States) (WC Only) (J1421W)
York Risk Services Group (All States) (WC Only) |
Electronic | Y | |||||||||
|
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York Risk Services Group (WX778)
York Claims Services (TX, MN) WC Only |
Electronic | P I | N | ||||||||
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| YOUNGSTOWN AREA ELECTRICAL WELFARE FUND, OHIO (34083) | Paper | N | |||||||||
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| Zachry Construction (CA IL LA NC MN OR TX) (WC Only) (J1409W) | Electronic | P | Y | ||||||||
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| Zebra Health HC (88858) | Electronic | N | |||||||||
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| Zelis Remits (All Payers) (ZELIS) | Paper | N | |||||||||
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| Zenith Administrators (53589) | Electronic | N | |||||||||
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| Zenith American Solutions: ILWU-PMA (89677) | Electronic | P I | N | ||||||||
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| Zenith Beacon Spyglass (Remits Only) (Z96344) | Paper | N | |||||||||
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| Zenith Insurance Company (WC Only) (13269W) | Electronic | N | |||||||||
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| Zenith Luminx (Remits Only) (20547) | Paper | N | |||||||||
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| Zenith Northern CA Cement Masons (EOBC) (R40717) | Paper | N | |||||||||
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| Zing Choice IL (HMO) (83248) | Electronic | E M | N | ||||||||
|
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| ZirMed Test Payer_ (22222) | Electronic | N | |||||||||
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| Znat Insurance (Zenith National) (All States) (WC Only) (30120) | Electronic | Y | |||||||||
|
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| Znat Insurance (Zenith National) (WC Only) (All States) (J30120) | Electronic | Y | |||||||||
|
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| Zurich American N.A. (All States) (WC Only) (16535W) | Electronic | P | N | ||||||||
|
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| Zurich Farmers (All States) (WC Only) (A0755W) | Electronic | N | |||||||||
|
|
|||||||||||
| Zurich Farmers (All States) (WC Only) (J1015W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Zurich Insurance N.A.(All States) (WC Only) (J16535) | Electronic | Y | |||||||||
|
|
|||||||||||
| Does Not Require Enrollment | Requires Enrollment |