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Estimation

1199 National Benefit Fund (13162)
1199 Seiu National Benefit Fund
Electronic P E N

1-888-OHIOCOMP (10041)
1-888-OHIOCOMP (OHIO BWC)
Electronic P I N

1st Auto & Casualty (MN Only) (Auto Only) (J1585A) Electronic Y

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

3-HAB (All States) (Auto Only) (J3979A) Electronic P I Y

3-HAB (All States) (WC Only) (J3979) Electronic P I Y

3P Administrators (20413) Electronic P I N

6 Degrees Health Inc (20446) Paper N

729 Demo Payer (88888) Paper E N

A & I Benefit Plan Administrators (93044)
Harrison Electrical Workers Trust Fund Benefit Plans
Electronic P I N

A Plus Staffing (ALL States) (WC Only) (A0280W) Electronic Y

A W Holdings LLC Dba Benchmark (CT FL GA IN MD MI MO NJ NM TN) (Auto Only) (J1976A) Electronic Y

AAA Automobile (Auto Only) (MN Only) (WC188A)
AAA Minnesota/Iowa (MN Only)
Electronic Y

AAA Automobile (WC Only) (WC188W) Paper N

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

AARP Medicare Supplement by UnitedHealthcare (36273) Electronic E N

AblePay Health (ABLPY) Electronic N

Acadia Insurance Company (All States) (WC Only) (J1477) Electronic Y

Accelerated Claims Inc (Z96399) Electronic N

Access Administrators (Z0075) Electronic P I N

Access Community Health Network (ACCOM) Paper N

Access Health (MI Only) (Z1353)
Access Health
Shared Care Michigan Health
Electronic P N

Access Integra (INTEG) Electronic N

Access IPA (ACC01) Electronic N

Access Medical Group (AMG02)
Access Santa Monica
Paper N

Accident Fund Insurance Co of America (All States) (WC Only) (J1790W) Electronic Y

Accident Fund Insurance of America (J1790) Electronic N

Acclaim (64071) Electronic P I E N

Accountable Care Management Group, LLC (45328) Paper P I N

Accountable IPA (AHIPA)
Accountable Anthem Beverly POD
Accountable Healthcare IPA (AHCIPA)
Accountable HealthCare IPA (MPM)
Electronic N

Accuride Corporation (All States) (WC Only) (WC528W) Electronic Y

ACE USA (All States) (WC Only) (20699W) Electronic N

ACIG Insurance Company (Auto Only)(MN,TX Only) (19984A) Paper N

ACIG Insurance Company (TX MN Only) (WC Only) (J1578) Electronic P I Y

ACIG Insurance Company (TX MN Only)(Auto Only) (J1578A) Electronic P I Y

ACIG Insurance Company (WC Only)(MN,TX Only) (19984W) Paper N

ACM - Blue Shield of California (Home Infusion) (Z1244) Electronic N

ACM - TUFTS (Home Infusion & Specialty Pharmacy Medical Benefit) (Z1238) Electronic N

ACS Benefit Services (PA331) Electronic N

ACS Benefit Services Inc (72467)
ACS Consulting Services
Electronic P I E N

ACS Consulting Services, Inc. (72468) Paper N

ACTIN Care Groups/Clifton Health Systems (24585) Electronic P I N

Activa Benefit Services LLC (38254)
Insight Benefit Administrators
Electronic P N

Active Care Inc (66310) Electronic P I N

Active Care Inc (All States) (Auto Only) (J3840A) Electronic P I Y

Active Care Inc (All States) (WC Only) (J3840) Electronic P I Y

ActivHealthCare (AHC01) Electronic P N

Acuity, A Mutual Insurance Company (ALL States)(WC Only) (J1240) Electronic N

Acuity, A Mutual Insurance Company (ALL States)(WC Only) (J1240W) Electronic Y

AD- COMP (All States) (Auto Only) (J1667A) Electronic Y

AD- COMP (WC only) (J1667WC) Electronic Y

ADAP State of New York Dept of Health Uninsured Primary Care Reimbursement Program (14142) Electronic N

Administaff (WC Only) (ALL States) (WC264) Electronic Y

Administrative Claim Service Inc (All States) (WC Only) (J1005W) Electronic Y

Administrative Claim Service,Inc. (WZ093)
ADMINISTRATIVE CLAIM SERVICE, INC. [WC ONLY]
Electronic N

Administrative Concepts, Inc (22384) Electronic P I E N

Administrative Services Inc (59141) Electronic P I E N

Adminsure (All States) (Auto Only) (J2292A) Electronic Y

Adminsure (All States) (WC Only) (J2292W) Electronic Y

ADP Total Source Inc. (ALL States)(WC Only) (J1242W) Electronic Y

Advanced Medical Doctors of CA (AMDC1) Electronic P I N

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

Advanced Services Inc (All States) (Auto Only) (J1608A) Electronic Y

Advanced Services Inc (All States) (WC Only) (J1608W) Electronic Y

Adva-Net (Z96191)
Advanet
Paper N

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

Advantage Care IPA (ACIPA) Electronic P I N

Advantek Benefit Administrators (83077) Electronic N

Advantra Freedom (Eligibility Only) (Z1179)
Coventry Advantra Freedom
Paper E N

Advanzeon Solutions (59314)
Comprehensive Behavioral Care
Paper N

Adventist Health Care Network (MPM51) Electronic P I N

Adventist Health Hanford AHP (MPM36) Electronic I N

Adventist Health Plan (MPM37) Electronic P I N

Adventist Health Plan Provider Network (MPM38) Electronic P N

Adventist Health System West (Roseville, CA) (95340) Electronic N

Adventist White Memorial - Crown City Medical Group (MPM33) Electronic P I N

Adventist White Memorial - Southland San Gabriel Valley (MPM34) Electronic P I N

Advisory Health & Wellness (73824) Electronic P I N

Advisory Health Administrators (CB159) Electronic P I N

AdvoCare Incorporated (WC) (J1896) Electronic N

Advocate Health Centers (36320)
Advocate Humana - 0010
Advocate Unicare/Illinois - 0011
Electronic P I N

Advocate Physician Partners (65093) Electronic P I N

Advocate Security Health (Z0008) Electronic P N

Aegis Administrative Services (CB637) Electronic N

Aegis Security Insurance Company (33898)
Eliance
Preferred Health Care (PHC)
Preferred Healthcare of Pennsylvania
Electronic N

Aetna (60054)
Aetna LTC (Long Term Care)
Aetna Student Health
Chickering Group
Olympus Manage Healthcare
Watkins Associated Industries Inc
Electronic P I E N

Aetna (Subrogation Claims Only) (60054S) Electronic P I N

Aetna Administrator Medicare Supplement (62118)
AESSI
Aetna - American Continental Insurance Company
Aetna Health & Life Insurance Company
Aetna Senior Supplemental Insurance
Allianz Life Insurance Company of New York
American Continental Insurance Company
American General Life Insurance Company
Capitol Life Insurance Company
Combined Insurance Company of America
Continental Life Insurance Company of Brentwood TN
First Health Life & Health Insurance Company
Genworth Life and Annuity Insurance Company
Genworth Life Insurance Company
Union Fidelity Life Insurance Company
Virginia Surety Company Inc
Washington National Insurance Company
Paper E N

Aetna Affordable Health Choices (SM) - SRC (57604) Electronic P I N

Aetna Better Health - IL Medicaid (26337) Electronic E N

Aetna Better Health - PA (23228)
CoventryCares of Pennsylvania
Electronic E N

Aetna Better Health of California (128CA) Electronic E N

Aetna Better Health of Florida (128FL)
Coventry Healthcare of Florida- Long term healthcare only
Electronic E N

Aetna Better Health of Illinois Inc (68024) Electronic P I N

Aetna Better Health of Kansas (128KS) Electronic E N

Aetna Better Health of Kentucky (128KY) Electronic E N

Aetna Better Health of Louisiana (128LA) Electronic E N

Aetna Better Health of Maryland (128MD) Paper P I E N

Aetna Better Health of Michigan (128MI)
Coventry Cares of Michigan
Electronic P I E N

Aetna Better Health of New Jersey (46320) Electronic P I E N

Aetna Better Health of New York (34734)
Aetna Better Health NY
Aetna Better Health NY Medicaid (Managed LTC)
Electronic P I E N

Aetna Better Health of Ohio (50023) Electronic P I E N

Aetna Better Health of Texas (38692)
Aetna TX Medicaid & CHIP
Electronic P I E N

Aetna Better Health of Virginia (128VA) Electronic E N

Aetna Better Health of West Virginia (128WV) Electronic P I E N

Aetna Encounters Only (60055) Electronic P N

Aetna Medicare Advantage (Z95668) Electronic P I N

Aetna Retiree Medical Plan - Administrator (10891) Paper E N

Aetna RX (Remits Only) (Z1420) Paper N

AF Specialty - Assigned Risk Solutions (All States) (WC Only) (J2279W) Electronic Y

Affiliated Doctors of Orange County (ADOCS) Electronic P I N

Affiliated Partners IPA (POP09) Electronic P N

Affiliated Physicians Group (APG01) Paper N

Affiliated Physicians IPA (POP06) Electronic N

Affinity Health Plan (Medicaid, Child Health Plus or Family Health Plus) (13334)
Affinity Health Plan (Medicare patients with DOS prior to 01/01/2010)
Affinity Medicaid
Child Health Plus
Family Health Plus
Paper P I E N

Affinity Medical Group (46594) Electronic P I N

Affordable Benefit Administrators Inc (95426) Electronic P I N

AFLAC (Z10955) Paper E N

AFLAC Dental (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

Agate Resources Inc (LIPA) (DOS prior to 06/01/16) (20048)
Lane Individual Practice Association
Trillium Community Health Plan
Electronic P N

AgeRight Advantage (ARA01) Electronic P I N

AgeWell New York (AWNY6) Electronic N

AGIA Inc (95241) Electronic P E N

AHPO (Cleveland, OH) (31138) Electronic P I N

AIDS Healthcare Foundation (95422)
PHC California
Paper P I N

Aither Health (64884) Electronic P I N

Akamai Advantage (AKAMA) Electronic P I N

Alameda Alliance for Health (95327) Paper P I N

Alamitos IPA (DOS prior to 05/01/2020) (AIPAZ) Electronic P I N

Alan Sturm and Associates - Dental (10798) Paper E N

Alarm Contractors (All States) (WC Only) (J3859W) Electronic Y

Alaska Children's Services (91136)
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

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 (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)
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

AllCare Advantage (Z1319)
Caresource Health Plan of Oregon
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 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 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

Allina Health Aetna (54398) Electronic P I N

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) Electronic Y

Allstate Insurance Company - All states except NJ (Auto Only) (77066) Electronic P N

AllWays Health Partners (04293)
Neighborhood Health Plan (Boston, MA)
Electronic P I E N

AlohaCare Medicare and Medicaid (Z1375) Electronic P I E N

Alpha Care Medical Group (NMM04) Electronic P I N

AlphaCare of NY (ALPHA) Electronic 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 Opportunities (16089) Electronic P N

Alternative Paper - CLIA (98994) 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
Electronic P I Y

Altius Health Plans (Z0017) Paper E 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 (EOBC) (TH071) Electronic 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

America’s Choice HealthPlans/NMA (20029)
Simplifi
Electronic P I N

Americaid/Amerigroup-for providers located in Houston (26374) Electronic N

American Behavioral (63103) Electronic P I 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
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 (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 Oklahoma (31125)
American Health Partners
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 (31145) 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) 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 (81400)
All Savers Alternate Funding
All Savers Insurance Co.
UNITEDHEALTHONE (AMERICAN MEDICAL SECURITY)
UnitedHealthOne / PacifiCare Life and Health Insurance
Electronic P I E 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)
APWU Health Plan
Electronic E N

American Postal Workers Union (APWU) (DOS 12/31/17 and prior) (44444) Paper P I E N

American Primary Care Alliance IPA (APCA1) Paper P I N

American Progressive (EOBC) (04673) Paper N

American Republic Insurance Company (ARIC) (42011) Paper P I E N

American Retirement Life Insurance Co Medicare Supp (E10538) Paper E 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 Worker Health Plan Family (37322)
Companion Life
Electronic P I N

Americas 1st Choice of South Carolina, Inc (HMO Plans) (55349) Paper 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 (UFNEP) Paper N

Americhoice of WI (WID01) Paper N

AmeriChoice San Diego County Physician Emergency Services (MSO22) Electronic P N

Americhoice Texas (TEX01)
United Health Care Community Plan of Texas
Paper N

Americo Financial Life & Annuity Insurance Company (R26509) Paper E N

Amerigroup (26375)
Amerigroup Plans IA, DC, MD, FL, GA, WA, TN, TX, NM
Electronic E N

AMERIGROUP (AMGRP) Paper E N

Amerigroup (Encounters Only) (26375E) 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

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 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 Louisiana (27357)
LACARE (Louisiana Care)
Electronic P I E N

Amerihealth Caritas New Hampshire (87716) Electronic P I E N

Amerihealth Caritas North Carolina (81671)
Amerihealth Caritas Healthplan North Carolina
Electronic P I E N

AmeriHealth Caritas NorthEast (DOS 12/31/2020 and Prior) (77001) Electronic P I E N

Amerihealth Caritas PA Community Healthchoices (77062)
AmeriHealth Caritas VIP Care
Pennsylvania Community Health Choices
Electronic E N

AmeriHealth Caritas Pennsylvania (22248)
AmeriHealth Mercy Health Plan
Electronic P I E N

AmeriHealth Caritas VIP Care Plus (Michigan) (77013) Electronic E N

Amerihealth Casualty Services (All States) (WC Only) (J3969) Electronic P I Y

Amerihealth DE - PPO - Q2B Prefix (SX074) Electronic P I N

AmeriHealth HMO (95044)
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

Amerihealth New Jersey (Eligibility Only) (Z95397)
Blue Cross Independence (Pennsylvania) (Eligibility Only)
Paper E N

Amerihealth PPO (NJ) (SX075)
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

Ameriprise Auto & Home Ins. (Auto Only) (C1004) Electronic N

Ameriprise Auto & Home Insurance (Auto Only) (MN Only) (J12504) Electronic Y

Amerisafe (All States) (WC Only) (J1447)
Amerisafe Risk Services (All States) (WC Only)
Electronic Y

Amerisafe (All States) (WC Only) (J1447W) Electronic N

Amerisure (WB341) Electronic P I N

Amerisure Insurance (All States) (WC Only) (J1206W) Electronic Y

Amerisure Insurance (WC Only) (J1206) Electronic N

Amerisure Mutual Insurance (All States) (WC Only) (J1205W) Electronic P I Y

Amerisure Mutual Insurance (All States) (Auto Only) (J1205A) Electronic P I Y

Amerisure Mutual Insurance [WC ONLY] (WC111) Electronic Y

Ameritas Bankers Assurance Co. (10020) Paper N

Ameritas Life Insurance Corp (R22072) Paper N

Ameritas Life Insurance Corp. (47009)
Business Mens Assurance (BMA)
Sun Life of Canada
Paper E N

AmFed Companies LLC (Amfed National Insurance)(All States)(WC Only) (J3735)
AmFed National Insurance
Electronic Y

AmFirst Insurance Company (1757)
Morgan White
Electronic N

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
WestGUARD Insurance Company - Guard DBA
Electronic Y

Amica Insurance Company (NJ Only) (Auto Only) (C1098A) Electronic Y

Amica Mutual Insurance Company (Auto Only) (MN Only) (J12287) Electronic Y

Amida Care Medicare (79966) Electronic P I N

Amidicare (24818)
Vida Care (NY)
Paper P I N

Amtrust North America (CA IL LA NJ NY NC MN OR TX Only) (WC Only) (J1868) Electronic Y

Amtrust North America (MN TX CA IL LA NJ NY OR NC) (WC Only) (12491W) Electronic P I N

Amway (61301) Paper N

Amway Corporation (38255) Paper N

Anchor Benefits (53085) Electronic P N

Anchor Glass Container Corp (All States) (Auto Only) (J2136A) Electronic P I Y

Anchor Glass Container Corp (All States) (WC Only) (J2136W) Electronic P I Y

Ancillary Care Services (A2004) Paper N

Angle Insurance Company of Utah (39856) Electronic P I N

Anheuser Busch (All States) (Auto only) (J1620A) Electronic P I Y

Anheuser Busch (All States) (WC only) (J1620W) Electronic P I Y

Anthem Maine Health (00958) Electronic P I N

Anthem Maine Health (with Attachments) (J00958) Electronic I Y

Anthem Regional (IN, KY, OH) (ZBIKO)
BCBS Indiana Remits
BCBS Kentucky Remits
BCBS Ohio Remits
Paper N

Apex Benefit Services (34196) Electronic P E N

APEX BULK (MN, TX) WC Only (WC453W) Electronic N

Apollo Healthcare IPA (MPM11) Electronic N

Apostrophe (81312) Electronic N

AppleCare Medical Management (APP01)
Alliance Physicians Medical Group
Downey Select IPA
St. Francis IPA
Electronic P I N

Applied Underwriters (All States except AZ) (WC Only) (J1775W)
Continental Indemnity Company
Electronic P I Y

APS Healthcare of Puerto Rico (66056) Electronic N

ARAZ (16120)
America's PPO
Electronic P I N

ARC Administrators (CXARC) Electronic P I N

Arcadian Management Services Inc (77045)
Northeast Community Care
Southeast Community Care
Electronic P I N

Archbold Ed Uninsured (AR812) Paper N

ARCMI (All States) (Auto Only) (J3977A) Electronic P I Y

ARCMI (All States) (WC Only) (J3977) Electronic P I Y

AR-CMI Wal-Mart TX (WK001) Electronic N

Areas USA Inc (All States) (Auto only) (J1944A) Electronic P I Y

Areas USA Inc (All States) (WC only) (J1944W) Electronic P I Y

Argent (All States) (Auto Only) (J1420A) Electronic Y

Argent (All States) (WC Only) (J1420W) Electronic P I Y

Argent (Subsidiary of West Bend but this route is Argent only) (J1420) Electronic P I N

Argonaut Insurance Comp ARGO (All States) (WC Only) (19801) Electronic Y

Argus (Z95600) Electronic N

Arise Health Plan (39185)
Prevea Health Plans
WPS Health Plans, Inc. dba Arise Health Plan
Electronic E N

Arizona Foundation for Medical Care (86062)
Ancillary Benefit Systems/AZ Foundation for Med Cr
VentureNet Healthcare
Electronic P I N

Arizona Physicians IPA (UHC) Community Plan (03432)
United Healthcare Community Plan Arizona
Electronic E N

Arizona Priority Care Plus (27154) Paper P I N

Arkansas Empower Healthcare Solutions (12956) Electronic P I E N

Arkansas Superior Select (61184)
Access Health Services LLC
Electronic N

ARM Ltd (63240) Electronic N

Arrowpoint (All States) (WC Only) (J1564) Electronic Y

ASAGEHA (06603) Electronic N

Asian American Medical Group (AAMG1) Electronic N

ASP Benefits (Z95946)
Administrative Service Professionals
Paper N

Aspire Health Plan (46156) Electronic P I N

Aspirus Arise (DOS 12/31/2020 and prior) (WPS) Electronic N

Aspirus Health Plan (Medicare Advantage) (DOS 1/1/2021 and after) (36483) Electronic P I N

ASR Health Benefits (38265)
Administration Systems Research Corporation
ASR Corporation
Physicians Care Health Plans (ASR Corporation) MICHIGAN
Electronic P I E N

ASRM LLC (ASRM1)
RSL Specialty Products Administration
Electronic P I N

Assigned Risk Management (All States)(Auto Only) (J4083A) Electronic P I Y

Associated Administrators LLC (13788) Paper N

Associated Hispanic Physicians IPA (AHPSC) Electronic P I N

Associated Hispanic Physicians of Southern California (MPM44) Electronic P I N

Associated Third Party Administration (ATPA) (ATPA1) Electronic N

Associates for Health Care Inc (AHC) (36326) Electronic P I N

Association Casualty Insurance Company (All States) (WC Only) (J1254W) Electronic Y

Association County Commissioners Of Georgia (ACCG) (WC Only) (All States) (CB061) Electronic N

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

Assurant Health Self Funded (75068) Electronic N

Assured Benefits Administrators (74240) Electronic P I N

Astiva Health (84320) Electronic P I N

Asuris Northwest Health (93221) Electronic P I E N

Athens (All States) (WC Only) (J1914) Electronic Y

Atlantic American (Z95871)
Bankers Fidelity Assurance Company
Bankers Fidelity Life Assurance Co
Paper N

Atlantic Medical Insurance (22285) Electronic P I N

Atlantis Eye Care (AEC01) Electronic P N

Atlas Life Insurance Co (NFIC Plan Only) (Z0068) Electronic P N

Atrio Health Plans (Z1351)
Physicians Choice Advantage (PC Advantage)
Electronic P I N

Audionet - National Elevator (AUDIO)
Audionet
Electronic N

Audionet - UAW Ford retirees/GM employees (AUDIOSVS) Electronic N

Audionet - UAW GM retirees/Chrysler emps & retirees (AUDIOABS) Electronic N

AudioNet America (AUDIOCS) Electronic N

AultCare (Z1224)
Prime Time Health Plan
Primetime Health Plan
Electronic P I E M N

Aultra Administrative Group (37242)
Professional Claims Management of Canton, OH
Electronic P I N

Austin Mutual Ins. (Auto Only)(All States) (I5991A) Paper N

Author By Humana (61108) Electronic P E N

Automated Benefit Services (38259)
Ascension SmartHealth
US Health and Life
Electronic P I E N

Automated Group Administrators (37280)
AGA
Automated Group Administration, Inc.
Electronic P I N

Automatic Sprinkler Local 281 (ZP1228) Paper N

Automobile Accident Compensation Administration (ACAA) Electronic P N

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

Auto-Owners \ Owners Insurance Comp (All States) (WC Only) (J1583W) Electronic Y

Auto-Owners Insurance Company (All States) (WC Only) (J1556) Electronic P I Y

Auto-Owners Insurance Company (All States)(Auto Only) (J1556A) Electronic P I Y

Auxilium (AXIPA) Electronic P I N

Avante Health (AH001) Electronic P N

Avectus Healthcare Solutions (MP001) Electronic P I N

Avera Health Plans (46045) Electronic P I E N

Avesis Third Party Administrators (87098) Electronic P N

AvMed (59274) Electronic P I E N

AvMed (Encounters Only) (Z1209) Electronic P N

Axminster Medical Group (AXM01) Electronic P I N

AYERS TRUCKING (CA, MN, TX ONLY) WC ONLY (WC429W) Electronic Y

AZZ Inc. (E1835) Electronic N

Azz Inc. (All States) (Auto Only) (J3773A) Electronic Y

Azz Inc. (All States) (WC Only) (J3773) Electronic Y

Bakersfield Family Medical Center (BKRFM) Electronic P I N

Bakery And Confectionery (BCTF1) Electronic P I N

Bank of America (All States) (Auto only) (J1729A) Electronic P I Y

Bank of America (All States) (WC only) (J1729W) Electronic Y

Bankers Conseco Life (Remits Only) (68560) Paper N

Bankers Life and Casualty (61263) Paper E N

Banner Health (12X42)
Banner Health Company
Electronic N

Banner Health and Aetna Health Insurance Company (67895) Electronic N

Banner Medicare Advantage Plus (84324) Electronic P I N

Banner Medicare Advantage Prime (84323) Electronic P I N

Banner- University Family Care (University of AZ Health Plans) (66901) Electronic P I E 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

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 Life Management (59279) Electronic P I N

BayCare Select Health Plans Inc (81079)
BayCare Plus Medicare Advantage
Electronic P I E 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

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) Electronic I N

BCBS Alabama (SB510) Electronic P I E M 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 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 (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 M N

BCBS Kansas City (SB740) Electronic P I E M 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)
BLUE CROSS COMPLETE OF MICHIGAN (Claims only)
Michigan Blue Cross FEP (Professional Claims)
Electronic P I E N

BCBS Michigan - Blue Care Network HMO (2426) 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)
BCBS MN Blue Plus Medicaid
Electronic P I E 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 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 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 Montana (10516) Paper 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)
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) 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 N

BCBS Real-time (Z1066)
Blue Exchange
Paper E N

BCBS Rhode Island (7420) Electronic P I E M 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) 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) 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 N

BCBS Tennessee - TennCare Select (SB893) Electronic P E N

BCBS Tennessee HMO (SB891) Electronic P N

BCBS Tennessee Memphis (SB892) Electronic P E 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)
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) 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

Beacon Health Options (Z1226)
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

Beacon Health Strategies (43324)
PsychCare, LLC (Claims Only)
Electronic P 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

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 (99320) Electronic N

Benefit Administration Services Ltd (41205) Paper P I N

Benefit Administrative Systems (Fairview Heights IL) (36149) Electronic P I N

Benefit Assistance Corporation (03199) Paper N

Benefit Coordinators Corporation (25145) Electronic P I N

Benefit Management Administrators Inc (Z95878) Paper N

Benefit Management Group-NV (36459) Electronic N

Benefit Management Inc of KS (48611) Paper P I E 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 (Remits Only)
Secure Health Plans of Georgia (Remits Only)
Electronic P N

Benefit Plan Administration of Wisconsin (11023) Paper N

Benefit Plan Administrators (BPA) (88052) Electronic P I N

Benefit Plan Administrators (Eau Claire WI) (39081) 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 Inc (BPSI) (95414E) Paper N

Benefits Administration Corporation (44357) Paper N

Benefits Management Group Inc (20018)
BMGI Benefit Management Group
Electronic P N

Benesight (87265) Electronic N

Benesys (37248)
Sheet Metal Workers Local 104
Paper N

Benicomp Group (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 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 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

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)
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) Electronic E 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

Block Vision Inc (Z0080) 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 N

Blue Advantage Sharp (Paper Claims Only) (Z1216) Electronic I N

Blue Choice Health Plan of South Carolina (SB884)
Blue Choice
Companion Healthcare
Electronic P I E N

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 Connecticut (CT) (0700)
Blue Care Family Plan BCBS of CT
Paper N

Blue Cross and Blue Shield of Illinois (IL) (CB621) Paper N

Blue Cross and Blue Shield of Iowa (FEP claims only) (CBIA1) Paper N

Blue Cross and Blue Shield of Iowa (IA) (CBIA2) 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 Ohio (Medical Mutual of (CB833)
Medical Mutual of Ohio
Paper 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 N

Blue Cross Blue Shield of Iowa (IA) (88856) Paper N

Blue Cross California (SB040)
Writer's Guild - Industry Health Plan
Writers Guild
Electronic P I E 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 (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 M 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 (47570) Paper N

Blue Cross of Washington and Alaska (MDCN Claims Only) (84097)
Health Management Systems
Paper N

Blue Cross of Washington and Alaska (NCAS) (10600) 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 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
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) Electronic N

Boon Administrative Service Inc (BOONG)
Contractor Employee Benefits Admin
Foundation Benefit Administrators
The Boon Group
Electronic E N

Boon-Chapman Benefit Administrators Inc (74238) Paper P I E N

Boston Medical Center Healthnet (13337)
Boston Medical Center Health Plan
Well Sense
Electronic P I E N

BP America (A0030) Electronic 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

Brandman Health Plan (84423) Electronic P I N

Braven Health (84367) Electronic E N

Bravo Health (52192)
Cigna Medicare - Medicaid
Cigna-Healthspring
Elder Health Mid-Atlantic Inc
HealthSpring Star+Plus Only
Renaissance Physicians Organization (REMITS ONLY)
Electronic P I E N

Breast and Cervical Cancer Control Program (MI Only) (BCCCP) Electronic N

Breathco - PCA Family Health Plans (BR103) Electronic P N

Breathco - PCA Health Plan (BR104) Electronic P N

Breathco - Prucare (BR101) Electronic P N

Breckpoint (BRKPNT)
FreedomCare Benefits
Paper P I N

Brentwood Services Administrators (All States) (WC Only) (J2297) Electronic Y

Bridgefield Employers Insurance Company (ALL) WC ONLY (WB148W) Electronic N

BridgeSpan (BRIDG) Electronic P I E N

Bridgeway Arizona (68054) Electronic P I E N

Bright Health Medicare Advantage (BRT01) Electronic E N

Bright Health Plan (CB186) Paper P I E R N

Bristol West (All States) (Auto Only) (J1764) 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)
St Paul Insurance Company of IL (All States) (WC Only)
St Paul Mercury Insurance Company (All States) (WC Only)
St Paul Property & Casualty Ins Co (All States) (WC Only)
Electronic N

Broadspire, a Crawford Company (All States) (WC Only) (TP021) Electronic P I Y

Brokerage Concepts Inc (51037)
Benefit Concepts UHN
Electronic P I N

Brookshire IPA (DOS prior to 05/01/2020) (BIPAZ) Electronic 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

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) 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

Burlington Coat Factory Wareho (MN, TX) WC ONLY (WC761W) Electronic Y

Business Mens Assurance (61492) Paper N

Business Mens Assurance (BMA) (10360) Paper N

Butler America Holdings Inc - Corvel (All States) (WC Only) (J3860W)
Butler America Holdings, Inc. - Corvel
Electronic Y

Butler Benefit (42150) Electronic P I N

Bywater Ltd (12090) Paper P I N

C & O Employees' Hospital Association (23708) Electronic E N

Cadence RX (R0148) Paper N

CAL OPTIMA ICF (Z96389) Electronic I N

CAL OPTIMA LTC (Z96397) Electronic I N

Caliber Holdings Corporation (All States) (Auto Only) (J1979A) Electronic Y

Caliber Holdings Corporation (All States) (WC Only) (J1979W) Electronic Y

California Casualty (All States) (Auto Only) (J3968A) Electronic P I Y

California Casualty (All States) (WC Only) (J3968) Electronic P I Y

California Casualty Indemnity Exchange (Z96353)
CA Casualty Ind Exchange
Paper N

California Children's Services (CCS) (MC051) Electronic N

California Children's Services (CCS) (with Attachments) (JMC051) Electronic Y

California Health & Wellness (68047)
Child Health and Disability Prevention
Electronic P I E N

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

California Kids Care (CKC01) Paper P I N

California Pacific Medical Center (94056) Electronic N

California Pacific Medical Foundation (Z95679) Electronic P I N

California Rural Indian Health Board (CRIHB)
California Rural Indian Health Board Cares
California Rural Indian Health Board Options
Electronic P I N

Cal-Optima Direct (CALOP)
CalOptima
Electronic P I E N

CalOptima LTC (COLTC)
One Care Connect LTC (OCC)
PACE Center LTC
Paper I N

Cambridge Integrated Services (All States) (WC Only) (J1819W) Electronic Y

Cambridge Integrated Services Group (All States) (WC Only) (WX163W) Electronic 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

Capistrano Unified School District (All States) (Auto only) (J1637A) Electronic Y

Capistrano Unified School District (All States) (WC only) (J1637W) Electronic Y

Capital District Physician's Health Plan (CDPHP) (SX065)
CDPHP Universal Benefits
Electronic P I E N

Capital Health Plan (95112) Electronic P I E N

Capital International Management Services - Tampa, FL (65067) Electronic 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) Paper P I E N

Cardinal Health (EOBC) (WC931) Paper N

Cardinal Innovations (06607)
Alamance/Caswell (Alamance and Caswell counties)
Five County (Franklin, Granville, Halifax, Vance, and Warren counties
OPS (Orange, Person, and Chatham counties)
Piedmont (Cabarrus, Davidson, Rowan, Stanly, and Union counties)
Electronic N

CardioVascular Care Providers (Z1228) Electronic P N

Cardon Outreach (R6716) Electronic N

Care 1st Health Plan of AZ (57116)
Care1st Health Plan of Arizona
OneCare
Electronic P I E N

Care Around the Clock (57721) Electronic N

Care Group Health Plan (GHP) (Eligibility Only) (25141)
Coventry Health and Life (Tenn)(aka CHC OF MO, MS, AK, TN)
Coventry Health and Life Insurance (Tennessee)
Coventry Healthcare of MO, MS, AK, TN (Eligibility Only)
Paper E N

Care Logic (All States) (WC Only) (J3868W) Electronic Y

Care N Care (66010) Electronic P I N

Care Plus ( Target/ Dayton Hudson Corp) (Z0002) Electronic P N

Care to Care (41222) Electronic N

Care Wisconsin Health Plan (27004)
My Choice Wisconsin
Paper P I N

CareAccess PSN (65063)
Care Access PSN
Florida NetPass
Electronic P I N

Carecentrix (11345) Electronic N

Carecentrix Cigna (11346) Paper P I N

Carecentrix Florida Blue (11347) Paper P I N

Carecentrix Horizon (11348) Paper P I N

Carecore National (14182)
CareCore National (HIP)
Electronic 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 - Oxford (14180)
New York Medical Imaging (NYMI) Oxford
Electronic P N

CareCore National / WellCare of NY Radiology (14188) Electronic 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 N

CareFirst BlueCross BlueShield Community Health Plan District of Columbia (L0230)
CareFirst CHPDC
Trusted Health Plan
Electronic N

Careington Benefit Solutions (60601) Paper N

Carelink Advantra (Eligibility Only) (25139)
Carelink Health plan
Paper E N

Carelink Medicaid (Eligibility Only) (25140) Paper E N

Caremore (CARMO)
CareMore Health Plan
Electronic P I E N

Carenet (Eligibility Only) (25142) Paper N

CareOregon (Z1060)
CareOregon (Payer Code 93975)
Columbia Pacific CCO
Jackson Care Connect
Electronic P I E N

CarePartners of Connecticut (16307) Paper E N

CarePlus Health Plan (65031) Electronic P I E N

CareSource (00325) Paper E N

Caresource Georgia (GACS1) Electronic P I E N

CareSource Indiana (INCS1) Electronic P I E N

Caresource KY (Humana) (KYCS1)
Caresource KY Marketplace
Humana Caresource KY
Electronic P I E N

CareSource Ohio (31114)
caresource
Electronic P I E N

Caresource West Virginia (WVCS1) Electronic P I E 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

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 Care Plan (Formerly PHP of South Carolina) (57105) Paper N

Carpenters Benefit Plan (CWSTL) Paper N

Carpenters Health and Welfare Fund of Philadelphia (CX101) Electronic N

Carpenters Health and Welfare Trust Fund of St Louis (11161) Paper E N

Carpenter's Health and Welfare Trust Fund of St. Louis (12174) Paper N

Cascade Comprehensive Care (DOS 01/01/18 and after) (Z96251) 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

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

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

Cenpatico- PENNSYLVANIA HEALTH AND WELLNESS Plan ONLY (68069PA) Electronic N

Centene Health Plans (68069)
Absolute Total Care
Agate Resources, Inc (LIPA) (DOS after 06/01/16)
Allwell from Arizona Complete Health
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 Total Care
Ascension Complete Illinois
Buckeye Community Health Plan
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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
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Centene Venture Company
Centene WA Coordinated Care Corp
Centurion (Remits only)
Centurion of Tennessee
Coordinated Care of Washington
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Fidelis SecureLife Medicare-Medicaid Plan (MMP)
Healthnet Community Solutions
Home State Health Plan
IlliniCare Medical
Illinois Health Practice Alliance
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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
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Nebraska Total Care
New Hampshire Healthy Families
PA Health and Wellness
Peach State Medicaid
Silversummit Healthplan
Sunflower State (MCO Kansas Medicaid) Medical
Sunshine State Health Plan
Superior HealthPlan (REMITS ONLY)
Superior Star Medicaid
Superior Star Medicaid (REMITS ONLY)
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
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Centene Management Company LLC (EOBC) (R28521) Paper N

Centene TPA (42139)
County Care - Medical
Electronic E N

Center for Elders Independence (94312) Electronic N

Center IPA (POP01) Electronic N

CenterLight Healthcare (13360)
Productive Programming Inc
Electronic P I N

Centers Plan For Healthy Living (CPHL) Electronic N

Centinela Valley IPA (MPM03) Electronic N

Centivo (45564) Electronic P I N

Centracare (66698) Electronic N

Central California Alliance for Health (SX169) Electronic E N

Central Companies (ALL States) (J1263W) Electronic Y

Central Contra Costa Transit Authority (All States) (Auto only) (J1605A) Electronic Y

Central Contra Costa Transit Authority (All States) (WC only) (J1605W) Electronic Y

Central Data Services (Z95910) Paper N

Central Garden & Pet Company - CORVEL (All States) (Auto Only) (J3737A) Electronic P I Y

Central Garden & Pet Company - CORVEL (All States) (WC Only) (J3737) Electronic P I Y

Central Health Medicare Plan (CHCPI) Electronic N

Central Hockey League (MN, TX) WC ONLY (WC787W) Electronic Y

Central Ohio Primary Care Senior Care Advantage (ALG02) Electronic N

Central Pennsylvania Teamsters Fund (23626) Paper E N

Central Reserve Life (34097) Paper P I N

Central Reserve Life Ins Co- Medicare Supplement (Eligibility Only) (Z90023) Paper E N