| Payer List | Close Window | |
| Application: All |
|
Payer Name (Waystar Payer ID)
|
Prof Claims |
Inst Claims |
Secondary Claim Format |
Remits | Elig |
Claims Monitoring |
Accepts Dual Clearing- houses |
Claims Attachments |
Estimation | ||
|
|
|||||||||||
|
1199 National Benefit Fund (13162)
1199 Seiu National Benefit Fund 1199SEIU Family of Funds Greater New York Benefit Fund |
Electronic | P | N | ||||||||
|
|
|||||||||||
| 1-888-OHIOCOMP (10041) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| 1st Auto & Casualty Attachments MN Only (Auto Only) (J1585A) | Electronic | Y | |||||||||
|
|
|||||||||||
| 360 Insurance Company Attachments (Auto Only) (CCC) (J4678) | Electronic | Y | |||||||||
|
|
|||||||||||
| 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)
J1239 |
Electronic | Y | |||||||||
|
|
|||||||||||
| A W Holdings Dba Benchmark TN VA (Auto Only) (J1976A) | Electronic | Y | |||||||||
|
|
|||||||||||
| AARP Dental Insurance Plan (835 Enrollment Only) (AARP1) | Paper | N | |||||||||
|
|
|||||||||||
| AARP Medicare Supplement by UnitedHealthcare (36273) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| AblePay Health (ABLPY) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Academy Sports & Outdoors Attachments (WC Only) (J4425) | Electronic | Y | |||||||||
|
|
|||||||||||
| Acadia Insurance Company Attachments (WC Only) (J1477) | Electronic | Y | |||||||||
|
|
|||||||||||
| Accelerated Claims Inc (Z96399) | Electronic | N | |||||||||
|
|
|||||||||||
|
Acceptius (Benefit Management Inc of Missouri) BMI (43178)
Joplin Claims |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Access Behavioral Health (ABH02) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Access Community Health Network (ACCOM) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Access Health (MI Only) (Z1353)
Access Health Shared Care Michigan Health |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Access HealthNet (AHN) (53747) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Access Integra (INTEG) | Electronic | N | |||||||||
|
|
|||||||||||
| Access IPA (ACC01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Access Medical Group (AMG02)
Access Santa Monica |
Paper | N | |||||||||
|
|
|||||||||||
| Access to Care Health Plan (ACHP1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Accident Fund Insurance Co of America Attachment (WC Only) (J1790W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Accident Fund Insurance Co of America No Attachments (WC Only) (J1790) | Electronic | N | |||||||||
|
|
|||||||||||
|
Accountable IPA (AHIPA)
Accountable Anthem Beverly POD Accountable Healthcare IPA (AHCIPA) Accountable HealthCare IPA (MPM) |
Electronic | N | |||||||||
|
|
|||||||||||
|
Accuride Corporation Attachments (WC Only) (WC528W)
J1024 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Ace Property & Casualty Ins. Company Medicare Supplement (Eligibility and Remits Only) (Z96821) | Paper | E | N | ||||||||
|
|
|||||||||||
|
ACIG Insurance Company (Auto Only)(MN,TX Only) (19984A)
J1578 |
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 - Blue Shield of California (Home Infusion) (Medicare Advantage) (Z1244MA) | Electronic | N | |||||||||
|
|
|||||||||||
| ACM - TUFTS (Home Infusion & Specialty Pharmacy Medical Benefit) (Z1238) | Electronic | N | |||||||||
|
|
|||||||||||
|
ACMG Benefit Administrators (45328)
Accountable Care Management Group LLC |
Paper | P I | N | ||||||||
|
|
|||||||||||
| ACS Benefit Services (PA331) | Electronic | N | |||||||||
|
|
|||||||||||
|
ACS Benefit Services Inc (72467)
ACS Consulting Services |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| ACS Benefit Services Inc (Medicare Advantage) (72467MA) | Electronic | P E | 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 Attachments (Auto Only) (J3840A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Active Care Inc Attachments (WC Only) (J3840) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| ActivHealthCare (AHC01) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Acuity, A Mutual Insurance Company Attachments (WC Only) (J1240W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Acuity, A Mutual Insurance Company No Attachments (WC Only) (J1240) | Electronic | N | |||||||||
|
|
|||||||||||
| AD COMP Attachments (Auto Only) (J1667A) | Electronic | Y | |||||||||
|
|
|||||||||||
| AD COMP Attachments (WC Only) (J1667WC) | Electronic | Y | |||||||||
|
|
|||||||||||
| ADAP State of New York Dept of Health Uninsured Primary Care Reimbursement Program (14142) | Electronic | N | |||||||||
|
|
|||||||||||
| ADI DentaQuest (835 Enrollment Only) (CX052) | Paper | N | |||||||||
|
|
|||||||||||
|
Administaff Attachments TX,MN,CA,IL,LA,OR,NC Only (WC Only) (WC264)
J1241 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Administrative Claim Service Attachments (WC Only) (J1005W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Administrative Claim Service No Attachments (WC Only) (WZ093)
J1005 |
Electronic | N | |||||||||
|
|
|||||||||||
| Administrative Concepts Inc (22384) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Administrative Concepts Inc (Medicare Advantage) (22384MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Administrative Services Inc (59141)
Hillsborough County Health Care |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| AdminOne LLC (87871) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Adminsure (Auto Only) (J2292A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Adminsure Attachments (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 Attachments (Auto Only) (J1608A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Advanced Services Attachments (WC Only) (J1608W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 by Bridgeway Health Solutions (Medicare Advantage) (68056MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Advantage Care IPA (ACIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Advantage Dental Plan (835 Enrollment Only) (93524) | Paper | N | |||||||||
|
|
|||||||||||
| Advantek Benefit Administrators (83077) | Electronic | N | |||||||||
|
|
|||||||||||
| Advantica Benefits (835 Enrollment Only) (43168) | Paper | N | |||||||||
|
|
|||||||||||
|
Advanzeon Solutions (59314)
Comprehensive Behavioral Care |
Paper | N | |||||||||
|
|
|||||||||||
| Advent Health Medical Corporation (AHMC1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| AdventHealth Rocky Mountain Foundation (RMR01) | Paper | N | |||||||||
|
|
|||||||||||
| Adventhealth Transplant Program (AHTP01) | Electronic | P I | 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) | Paper | P | N | ||||||||
|
|
|||||||||||
|
Adventist Health System West (Roseville, CA) (95340)
Adventist Medical Center - Portland |
Electronic | N | |||||||||
|
|
|||||||||||
| Adventist White Memorial - Crown City Medical Group (MPM33) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Adventist White Memorial - Southland San Gabriel Valley (MPM34) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Advisory Health Administrators (CB159) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| AdvoCare MCO No Attachments (WC Only) (J1896) | Electronic | N | |||||||||
|
|
|||||||||||
|
Advocate Physician Partners (65093)
Advocate Health Partners |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Advocate Security Health (Z0008) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Aegis Administrative Services (CB637) | Electronic | N | |||||||||
|
|
|||||||||||
|
Aetna (60054)
Aetna LTC (Long Term Care) Aetna Student Health Chickering Group CVS Health North Carolina State Health Plan Olympus Manage Healthcare The Lewer Agency Watkins Associated Industries Inc |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna (Medicare Advantage) (60054MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna (Subrogation Claims Only) (60054S) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Aetna (with Attachments) (J60054) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Aetna Administrator Medicare Supplement (Eligibility & Remits Only) (62118)
Accendo Insurance Company AESSI Aetna - American Continental Insurance Company Aetna Health & Life Insurance Company Aetna Health Management 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 | 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 - IL Medicaid (with attachments) (J26337) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health - PA (with attachments) (J23228) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health (Eligibility Only) (ABH01) | Paper | N | |||||||||
|
|
|||||||||||
| Aetna Better Health of California (128CA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of California (Medicaid Managed Care) (128CAMC) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of California (with attachments) (J128CA) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Florida (128FL) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Florida (Encounters Only) (128FLE) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Florida (Medicaid Managed Care) (128FLMC) | Electronic | N | |||||||||
|
|
|||||||||||
| Aetna Better Health of Florida (with attachments) (J128FL) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Illinois Inc (68024) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Illinois Inc (Medicaid Managed Care) (68024MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Illinois Inc (Medicare Advantage) (68024MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Illinois Inc Attachments (J68024) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Kansas (128KS) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Kansas (Medicaid Managed Care) (128KSMC) | Electronic | N | |||||||||
|
|
|||||||||||
| Aetna Better Health of Kansas Attachments (J128KS) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Kentucky (128KY) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Kentucky Attachments (J128KY) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Louisiana (128LA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Louisiana (Medicaid Managed Care) (128LAMC) | Electronic | N | |||||||||
|
|
|||||||||||
| Aetna Better Health of Louisiana (Medicare Advantage) (128LAMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Louisiana Attachments (J128LA) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Maryland (128MD) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Maryland Attachments (J128MD) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Aetna Better Health of Michigan (128MI)
Coventry Cares of Michigan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Michigan (Medicaid Managed Care) (128MIMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Michigan (Medicare Advantage) (128MIMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Michigan Attachments (J128MI) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Aetna Better Health of New Jersey (46320)
Aetna Assure Premier Plus (HMO D-SNP) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of New Jersey Attachments (J46320) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 New York Attachments (J34734)
A1141 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Ohio (50023) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Ohio (Medicare Advantage) (50023MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Aetna Better Health of Ohio Attachments (J50023)
A1142 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Oklahoma (128OK) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Aetna Better Health of Oklahoma Attachments (J128OK)
A1171 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Pennsylvania (23228) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Aetna Better Health of Texas (38692)
Aetna TX Medicaid & CHIP |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Aetna Better Health of Texas Attachments (J38692)
A1144 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of Virginia (128VA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Better Health of Virginia (Medicaid Managed Care) (128VAMC) | Electronic | N | |||||||||
|
|
|||||||||||
| Aetna Better Health of Virginia (Medicare Advantage) (128VAMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Aetna Better Health of Virginia Attachments (J128VA)
A1145 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Better Health of West Virginia (128WV) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Aetna Better Health of West Virginia Attachments (J128WV)
A1146 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Employee Assistance Program (EAP) (EAP20) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Aetna Encounters Only (60055) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Aetna Medicare Advantage (Z95668) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aetna Medicare Advantage Attachments (J60054MA) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aetna Retiree Medical Plan (Eligibility Only) (10891) | Paper | E | N | ||||||||
|
|
|||||||||||
| AF Specialty - Assigned Risk Solutions Attachments (WC Only) (J2279W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Affiliated Doctors of Orange County (ADOCS)
27344 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Affiliated Partners IPA (POP09) | Electronic | P | 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 | ||||||||
|
|
|||||||||||
| Aflac Benefits Solutions, Inc (ABS01) | Electronic | N | |||||||||
|
|
|||||||||||
| AFLAC Dental (Eligibility Only) (10398) | Paper | N | |||||||||
|
|
|||||||||||
|
A-G Administrators LLC (11370)
A G Administrators AG Administrators Inc |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| AgeRight Advantage (ARA01) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| AgeWell New York (AWNY6) | Paper | N | |||||||||
|
|
|||||||||||
| AHPO (Cleveland, OH) (31138) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AHS Plans (91026)
Access Health Services |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
AIDS Healthcare Foundation PHC (95422)
AHF MCO of Florida Inc |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Aids Healthcare Foundation Rwanda (95433)
AHF RW |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
AIG-Chartis Attachments (WC Only) (19402W)
19402 American International Group (All States) (WC Only) Chartis Property Casualty Co (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
AIG-Chartis No Attachments (WC Only) (26883W)
19402 |
Electronic | N | |||||||||
|
|
|||||||||||
| Aither Health (64884) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Akamai Advantage (AKAMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Alaffia Health (89210) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Alameda Alliance for Health (95327) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Alan Sturm and Associates Dental (Eligibility Only) (10798) | Paper | E | N | ||||||||
|
|
|||||||||||
| Alarm Contractors Attachments (WC Only) (J3859W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Alaska National Insurance Attachments (Auto Only) (J1557A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Alaska National Insurance Attachments (Auto Only) (J1577A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Alaska National Insurance Attachments (WC Only) (J1577) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Alaska National Insurance No Attachments (Auto Only) (19010A) | Electronic | N | |||||||||
|
|
|||||||||||
| Albuquerque Public Schools (85600) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Alcoa Fasteners Systems Attachments (WC Only) (WC340)
J1244 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Alexian Brothers Community Services of TN (44423) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Alexian Pace (R3471) | Electronic | N | |||||||||
|
|
|||||||||||
| Align Networks One Call PT Attachments (WC Only) (J1716) | Electronic | Y | |||||||||
|
|
|||||||||||
| Align Networks One Call PT No Attachments (WC Only) (J1716W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Align Senior Care (CA) (ASCA1)
Align Senior Care of California |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Align Senior Care (FL) (ASFL1) | Paper | P I E | 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 | ||||||||
|
|
|||||||||||
| Alignment Health Care (Fee For Service) (Medicare Advantage) (CCHPCMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Alivi Health (ALIVI) | Electronic | P | N | ||||||||
|
|
|||||||||||
| All Care Medical Group (ALLCA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| All United Medical Group (AUMG1) | Electronic | N | |||||||||
|
|
|||||||||||
| All United Medicare Group Guidant (AUMG3) | 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 Attachments (WC Only) (J1245W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Allegiance Benefit Plan Management Inc (81040)
CCEA Welfare Benefit Trust Teachers Health Trust |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Allen Canning Attachments (WC Only) (J1740) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 Attachments (Auto Only) (J3971A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Alliance National Insurance Company Attachments (WC Only) (J3971) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Alliance Physicians-High Desert (22417)
Alliance Desert Physicians |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Alliant Energy Attachments (Auto Only) (J1619A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Alliant Energy Attachments (WC Only) (J1619W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Alliant Energy No Attachments (Auto Only) (E3757A) | Paper | N | |||||||||
|
|
|||||||||||
| Alliant Energy No Attachments (WC Only) (E3757W) | Paper | N | |||||||||
|
|
|||||||||||
| Alliant Health Plans of Georgia (58234) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
|
Alliant Health Plans of Georgia (Medicare Advantage) (58234MA)
58234 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Allianz CA Only (WC Only) Attachments (J1452) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Allianz Global Assistance (50749)
Mondial Assistance |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Allianz Resolution Management Date of injury before 12/31/12 Attachments (WC Only) (J2326) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Allied Benefit Systems (37308) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Allied Claims Administration Attachments (WC Only) (J1733) | Electronic | Y | |||||||||
|
|
|||||||||||
| Allied Insurance Companies Attachments CA LA MN TX WI (WC Only) (J1550) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Allied Systems (EOBC) (WC590) | Paper | N | |||||||||
|
|
|||||||||||
| Allied Trades Assistance Program (Remits Only) (Z98834) | Paper | N | |||||||||
|
|
|||||||||||
| Allina Health Aetna (54398) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Allina Health Aetna Attachments (J54398)
A1113 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Allmerica Financial Benefits Insurance Comp Attachments (Auto ONLY) (J1589A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Allmerica Financial Benefits Insurance Comp Attachments (WC Only) (J1589W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Allstate All States Except NJ Attachments (Auto Only) (C1037A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Allstate Attachments NJ Only (Auto Only) (C1089A)
LU610 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Allstate Insurance Company Attachments All States Except NJ (Auto Only) (J77066) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Allstate Insurance Company No Attachments All States Except NJ (Auto Only) (77066)
C1037 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Allstate No Attachments NJ Only (Auto Only) (C1089) | Electronic | N | |||||||||
|
|
|||||||||||
| Allways Health Partners (Medicaid Managed Care) (04293MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Allymar Health Solutions (Remits Only) (Z98247) | Paper | N | |||||||||
|
|
|||||||||||
| AlohaCare Medicare and Medicaid (Z1375) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Alpha Care Medical Group (NMM04) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Alta Bates Medical Group (A0701)
ABMG S8300 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Altais Care Network Altais PPO (ACN90) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AltaMed (ALTAM)
AltaMed Health Services Corporation Omnicare Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
| Alternative Insurance Resources (IHS06) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| Alternative Opportunities (16089) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Alternative Service Concepts ASC Attachments (Auto Only) (J2149A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Alternative Service Concepts ASC Attachments (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 | ||||||||
|
|
|||||||||||
|
Alvey Systems (AON Risk) (MN, TX) AUTO ONLY (WC595A)
J1248 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Always Care Benefits (for vision only) (ATR01) | Paper | N | |||||||||
|
|
|||||||||||
|
AlwaysCare Benefits (STR01)
ALWAYS VISION |
Electronic | N | |||||||||
|
|
|||||||||||
|
AMA Insurance Agency (TH071)
AMAIA Transamerica Life (Remits Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Amada Health (AMADA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Amada Health South (AMDA2) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Amalgamated Life (13550)
Alicare Allied Trades Assistance Program |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Amazon.Com Attachments TX Only (WC Only) (J2424) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ambay Health Network (AMBHN) | Electronic | P | 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 Administrative Group AAG (75240)
UICI Administrators |
Electronic | P | 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 Casualty Attachments (WC Only) (J20443)
WA041 LS916 |
Electronic | Y | |||||||||
|
|
|||||||||||
| American Choice Healthcare (Remits Only) (R5661) | Paper | N | |||||||||
|
|
|||||||||||
| American Claims Management ACM Attachments (WC Only) (J1236) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Claims Management ACM No Attachments (Auto Only) (WA065A)
J1236 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| American Collective LP PAS (29084) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
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 Express No Attachments TX Only (Auto Only) (A0022)
J2430 |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
American Family Insurance (TH095A)
American Family Insurance Company AMF11 |
Electronic | N | |||||||||
|
|
|||||||||||
|
American Family Life Assurance Co AFLAC-Medicare Supplemental (Eligibility & Remits Only) (10663)
AFLAC |
Paper | E | N | ||||||||
|
|
|||||||||||
|
American Family Mutual Insurance (56071)
American Family Medicare Supplement |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| American Family Mutual Insurance Attachments (WC Only) (J2134) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Family Mutual Insurance Comp Attachments (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 Fidelity HSA (Remits only) (Z98837) | Paper | N | |||||||||
|
|
|||||||||||
| American First Attachments (WC Only) (J1427W) | Electronic | Y | |||||||||
|
|
|||||||||||
| American Founders Life Insurance Company (NFL Plans Only) (Z0070) | Electronic | P | N | ||||||||
|
|
|||||||||||
| American General (62030) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American General Life & Accident (Eligibility Only) (Z1089) | Paper | E | N | ||||||||
|
|
|||||||||||
|
American Health Advantage Louisiana (83247)
Dignity Health Management Services |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Health Advantage of Florida (31150) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Health Advantage of Indiana (RP115) | 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 Pennsylvania (PA901) | 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 (Remits Only) (60577) | Paper | N | |||||||||
|
|
|||||||||||
| American Insurance Company of Texas (81949) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
American LifeCare (72099)
Multiplan New Orleans Division |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| American Medical Life Insurance (46004) | Electronic | N | |||||||||
|
|
|||||||||||
| American National Attachments NJ MN Only (Auto Only) (J2295A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American National Insurance Company ANICO (74048)
Claimedix |
Paper | 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 (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 Medicare Supp (Eligibility Only) (E10538) | Paper | E M | N | ||||||||
|
|
|||||||||||
| American Sentinel Insurance Company (17965) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
American Specialty Companies Attachments (WC Only) (WC638W)
J1028 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
American Specialty Health (Z1091)
ASH01 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| American Specialty Ins MIB Attachments (WC Only) (J1029W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| American Specialty Ins MIB No Attachments (WC Only) (J1029) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
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 | |||||||||
|
|
|||||||||||
|
Americas Choice HealthPlans/NMA (20029)
Simplifi |
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 (Prior to 1/1/2025) |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
Amerigroup - Wellpoint (WLPNT)
Amerigroup/Wellpoint Arizona Amerigroup/Wellpoint Iowa Amerigroup/Wellpoint New Jersey Amerigroup/Wellpoint Tennessee Amerigroup/Wellpoint Texas Amerigroup/Wellpoint Washington Commonwealth of Massachusetts GIC GIC Indemnity Massachusetts Commonwealth Unicare Massachusetts (Effective 7/1/2024) Wellpoint Maryland (After 1/1/2025) Wellpoint West Virginia (After 1/1/2025) |
Electronic | N | |||||||||
|
|
|||||||||||
| Amerigroup - Wellpoint (Medicaid Managed Care) (WLPNTMC) | Electronic | N | |||||||||
|
|
|||||||||||
| Amerigroup - Wellpoint (Medicare Advantage) (WLPNTMA) | Electronic | N | |||||||||
|
|
|||||||||||
| Amerigroup (Encounters Only) (26375E) | Electronic | N | |||||||||
|
|
|||||||||||
| Amerigroup (Medicaid Managed Care) (26375MC) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Amerigroup (Medicare Advantage) (26375MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Amerigroup (WellPoint) (Encounters Only) (WGEVLM) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Amerigroup 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 E | N | ||||||||
|
|
|||||||||||
| Amerihealth Casualty Services (All States) (Auto Only) (J3969A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| AmeriHealth (DE, NJ, PA) (10974) | Paper | E | N | ||||||||
|
|
|||||||||||
|
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 Delaware Attachments (J77799)
A1153 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Amerihealth Caritas District of Columbia (77002)
Amerihealth Caritas DC Amerihealth D.C. |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Amerihealth Caritas District of Columbia Attachments (J77002)
A1155 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Florida (DOS 1/31/25 and prior) (77003)
Prestige Health Choice |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| AmeriHealth Caritas Florida (Medicaid Managed Care) (77003MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Florida Attachments (J77003)
A1159 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Louisiana (27357)
LACARE (Louisiana Care) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Louisiana Attachments (J27357)
A1154 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Amerihealth Caritas New Hampshire (87716) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Amerihealth Caritas New Hampshire Attachments (J87716)
A1156 |
Electronic | Y | |||||||||
|
|
|||||||||||
| AmeriHealth Caritas Next - Product of AmeriHealth Caritas Florida (45408) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Next Florida Attachments (J45408)
A1167 |
Electronic | Y | |||||||||
|
|
|||||||||||
| AmeriHealth Caritas Next North Carolina (83148) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Next North Carolina Attachments (J83148)
A1164 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Amerihealth Caritas North Carolina (81671)
Amerihealth Caritas Healthplan North Carolina |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Amerihealth Caritas North Carolina Attachments (J81671)
A1157 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Amerihealth Caritas PA & Northeast SCION (835 Enrollment Only) (SCNAC) | Paper | N | |||||||||
|
|
|||||||||||
|
Amerihealth Caritas PA Community Healthchoices (77062)
AmeriHealth Caritas VIP Care Pennsylvania Community Health Choices |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
Amerihealth Caritas PA Community Healthchoices Attachments (J77062)
A1151 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Pennsylvania (22248)
AmeriHealth Mercy Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| AmeriHealth Caritas Pennsylvania (Medicaid Managed Care) (22248MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas Pennsylvania Attachments (J22248)
A1150 |
Electronic | Y | |||||||||
|
|
|||||||||||
| AmeriHealth Caritas VIP Care - Delaware DSNP (87406) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| AmeriHealth Caritas VIP Care (HMO-DSNP) (FL) (88232) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas VIP Care Delaware DSNP Attachments (J87406)
A1168 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
AmeriHealth Caritas VIP Care HMO-SNP Florida Attachments (J88232)
A1169 |
Electronic | Y | |||||||||
|
|
|||||||||||
| AmeriHealth Caritas VIP Care Plus (Michigan) (77013) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas VIP Care Plus Michigan Attachments (J77013)
A1163 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
AmeriHealth Caritas VIP Next (47073)
AmeriHealth Caritas Next A Product of AmeriHealth Caritas VIP Next |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AmeriHealth Caritas VIP Next Attachments (J47073)
A1165 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Amerihealth Casualty Services (All States) (WC Only) (J3969) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
AmeriHealth HMO (95044)
23037 AmeriHealth NJ HMO, HMO Plus - Q1C, QC1 Prefix AmeriHealth NJ POS, POS Plus - Q1P, QP1 Prefix AmeriHealth PA - ERISA HMO - Q3B, QB0 prefix AmeriHealth PA - ERISA POS - Q3A, QA0 prefix AmeriHealth PA - HMO, Self-Funded HMO - Q3C, QC0 prefix AmeriHealth PA - POS, Self-Funded POS - Q3P, QP0 prefix |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Amerihealth New Jersey (Eligibility Only) (Z95397)
Blue Cross Independence (Pennsylvania) (Eligibility Only) |
Paper | E | N | ||||||||
|
|
|||||||||||
|
Amerihealth PPO (NJ) (SX075)
60061 AmeriHealth Medicare PPO - Q1L AmeriHealth NJ - Q1E, QE1 Prefix AmeriHealth NJ CMM - Q1T, QT1 Prefix AmeriHealth NJ PPO - Q1B, QB1 Prefix AmeriHealth NJ SEH CMM - Q1H, QH1 Prefix AmeriHealth NJ SEH PPO - Q1S, QS1 Prefix |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Ameriprise Auto & Home Insurance Attachments MN Only (Auto Only) (J12504) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Amerisafe Attachments (WC Only) (J1447)
Amerisafe Risk Services (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Amerisafe No Attachments (WC Only) (J1447W) | Electronic | N | |||||||||
|
|
|||||||||||
| Amerisure Insurance Attachments (WC Only) (J1206W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Amerisure Insurance No Attachments (WC Only) (J1206) | Electronic | N | |||||||||
|
|
|||||||||||
| Amerisure Mutual Insurance Attachments (Auto Only) (J1205A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Amerisure Mutual Insurance Attachments (WC Only) (J1205W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Amerisure Mutual Insurance Attachments (WC Only) (WC111)
J1205 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Amerisure No Attachments (WB341)
J1205 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ameritas Bankers Assurance Co. (10020) | Paper | N | |||||||||
|
|
|||||||||||
| Ameritas Group Standard Insurance (Eligibility Only) (10236) | Paper | E | N | ||||||||
|
|
|||||||||||
| Ameritas Group Standard Insurance of New York (Eligibility Only) (10237) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Ameritas Life Insurance Corp. (Eligibility and Remits Only) (47009)
Ameritas Life Insurance Corp. Business Mens Assurance (BMA) Sun Life of Canada |
Paper | E | N | ||||||||
|
|
|||||||||||
|
AmFirst Insurance Company (1757)
Morgan White 64090 01757 Morgan-White Administrators Inc. |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| AMG IPA - Ava Medical Group (AMIPA) | Electronic | N | |||||||||
|
|
|||||||||||
| Amica Insurance Company Attachments NJ NY Only (Auto Only) (C1098A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Amica Mutual Insurance Company Attachments MN Only (Auto Only) (J12287) | Electronic | Y | |||||||||
|
|
|||||||||||
| Amida Care Medicare (79966) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Amidicare (24818)
Vida Care (NY) |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Amparo Claims LLC Attachments (Auto Only) (CCC) (J4639) | Electronic | Y | |||||||||
|
|
|||||||||||
| Amplifon Hearing Health Care (Remits Only) (72947) | Paper | N | |||||||||
|
|
|||||||||||
| AMPS (21825) | Electronic | N | |||||||||
|
|
|||||||||||
| AMPS America (66775) | Electronic | N | |||||||||
|
|
|||||||||||
| AMPS CX (25667) | Electronic | N | |||||||||
|
|
|||||||||||
|
Amtrust North America Attachments (WC Only) (J1868)
LS202 Oryx Insurance Brokerage (All States) (WC Only) Technology Insurance Company |
Electronic | Y | |||||||||
|
|
|||||||||||
| Amtrust North America No Attachments (WC Only) (12491W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Amtrust North America No Attachments (WC Only) (J1868W) | Electronic | N | |||||||||
|
|
|||||||||||
| Amway (61301) | Paper | N | |||||||||
|
|
|||||||||||
| Amway Corporation (38255) | Paper | N | |||||||||
|
|
|||||||||||
| Amynta Work Comp Solutions (Remits Only) (Z98841) | Paper | N | |||||||||
|
|
|||||||||||
| Anchor - Claimsbridge (IHS10) | Paper | N | |||||||||
|
|
|||||||||||
| Anchor Benefits (53085) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Anchor Claims Management Attachments (WC Only) (J4415) | Electronic | Y | |||||||||
|
|
|||||||||||
| Anchor Claims Management Attachments TX Only (WC Only) (J1919) | Electronic | Y | |||||||||
|
|
|||||||||||
| Anchor Glass Container Corp Attachments (Auto Only) (J2136A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Anchor Glass Container Corp Attachments (WC Only) (J2136W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ancillary Care Services (Remits Only) (A2004) | Paper | N | |||||||||
|
|
|||||||||||
|
Angle Insurance Company of Utah (39856)
Angle Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Anheuser Busch Attachments (Auto Only) (J1620A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Anheuser Busch Attachments (WC Only) (J1620W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Anthem (Remits Only) (ZP232) | Paper | N | |||||||||
|
|
|||||||||||
| Anthem Dental (Remits & Eligibility Only) (84105) | Paper | E | N | ||||||||
|
|
|||||||||||
| Anthem Maine Health (00958) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Anthem Maine Health Attachments (J00958)
A1054 |
Electronic | I | Y | ||||||||
|
|
|||||||||||
| Anthem Vivity (Eligibility Only) (10993) | Paper | E | N | ||||||||
|
|
|||||||||||
| Antidote Health Plan (IHS05) | Electronic | N | |||||||||
|
|
|||||||||||
| Apex Benefit Services (34196) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
| APEX BULK (MN, TX) WC Only (WC453W) | Electronic | N | |||||||||
|
|
|||||||||||
| ApolloCare Partners of Nevada (NMM08) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
AppleCare Medical Management (APP01)
Alliance Physicians Medical Group Downey Select IPA St. Francis IPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Applied Underwriters Attachments All States except AZ (WC Only) (J1775W)
Continental Indemnity Company |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Apricus Attachments (WC Only) (J4517) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Apricus Health (Remits Only) (Z96810)
Healthaxis |
Paper | N | |||||||||
|
|
|||||||||||
| APS Healthcare of Puerto Rico (66056) | Electronic | N | |||||||||
|
|
|||||||||||
|
ARAZ (16120)
America's PPO |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| ARC Administrators (CXARC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| ArchCare Senior Life (effective 6/1/25) (R3495) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| ARCMI Attachments (Auto Only) (J3977A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| ARCMI Attachments (WC Only) (J3977) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Areas USA Inc Attachments (Auto Only) (J1944A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Areas USA Inc Attachments (WC Only) (J1944W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Argent Attachments (Auto Only) (J1420A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Argent Attachments (WC Only) (J1420W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Argent Subsidiary of West Bend Argent (WC Only) (J1420) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Argonaut Insurance Co No Attachments (WC Only) (19801W) | Electronic | N | |||||||||
|
|
|||||||||||
| Argonaut Insurance Comp ARGO Attachments (WC Only) (19801) | Electronic | Y | |||||||||
|
|
|||||||||||
| Argus (Z95600) | Electronic | N | |||||||||
|
|
|||||||||||
|
Arise Health Plan (39185)
Aspirus Prevea Health Plans WPS Health Plans, Inc. dba Arise Health Plan |
Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Arizona Physicians IPA (UHC) Community Plan Attachments (J03432)
A1101 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Arizona Priority Care (Remits Only) (27154) | Paper | N | |||||||||
|
|
|||||||||||
| Arizona Priority Care Plus (AZPCP) | Electronic | N | |||||||||
|
|
|||||||||||
| Arizona School Alliance Attachments (Auto Only) (J4395A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Arizona School Alliance Attachments (WC Only) (J4395W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Arizona School Alliance for Workers Compensation (Remits Only) (CB776) | Paper | N | |||||||||
|
|
|||||||||||
| Arkansas Empower Healthcare Solutions (12956) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Arkansas Managed Care Organization AMCO (62176) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Arkansas Municipal League (Remits Only) (Z96790)
Arkansas ML Tribute Health Plan of Arkansas |
Paper | N | |||||||||
|
|
|||||||||||
|
Arkansas Superior Select (61184)
Access Health Services LLC Tribute Health Plan |
Electronic | E | N | ||||||||
|
|
|||||||||||
| ARM Ltd (63240) | Electronic | N | |||||||||
|
|
|||||||||||
| Array Health (IHS27) | Electronic | N | |||||||||
|
|
|||||||||||
| Arrowpoint Attachments (WC Only) (J1564) | Electronic | Y | |||||||||
|
|
|||||||||||
| Arrowpoint No Attachments (WC Only) (J1564W) | Electronic | N | |||||||||
|
|
|||||||||||
| Artisan Design Group No Attachments (WC Only) (J4525W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| ASAGEHA (06603) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ascension Living Hope Pace (R3470) | Electronic | N | |||||||||
|
|
|||||||||||
| Ascension Living PACE Michigan (R3458) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ascension Living St. Vincent PACE Inc. (R3459) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Asian American Medical Group (AAMG1)
ALL American Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
|
ASP Benefits (Remits Only) (Z95946)
Administrative Service Professionals |
Paper | N | |||||||||
|
|
|||||||||||
|
Aspire Health Plan (46156)
ASP01 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Aspire Health Plan (Medicare Advantage) (46156MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Aspirion (46478)
Continuum Health Solutions LLC Marrick WRx |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Aspirus Health Plan Medicare Advantage (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 Attachments CA CT FL GA IL IN KY MA ME NH NJ NY OH OR PA TN TX (Auto O (J4083A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Assist Health Group Inc (86147) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Associated Administrators LLC (Remits Only) (13788) | Paper | N | |||||||||
|
|
|||||||||||
|
Associated Hispanic Physicians of Southern California IPA (AHPSC)
Associated Hispanic Physicians IPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Associates for Health Care Inc AHC (36326)
Anchor Benefit Consulting |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Association Casualty Ins Comp Attachments AL AR FL GA IL IA KS MS MO NE NC OK SC SD TN TX (WC O (J1254W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Association County Commissioners Of Georgia ACCG No Attachments (WC Only) (CB061)
J1869 |
Electronic | N | |||||||||
|
|
|||||||||||
| Assurance America Insurance Company Attachments (Auto Only) (CCC) (J4537) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Assurance Company of America Commercial Vehicles Only Attachments (Auto Only) (C1034)
Farmers Insurance Commercial Vehicles Only Attachments (Auto Only) Maryland Casualty Comp Commercial Vehicles Only Attachments (Auto Only) Mid Century Ins Commercial Vehicles Only Attachments (Auto Only) Truck Ins Exchange Commercial Vehicles Only Attachments (Auto Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Assurant Health Self Funded (75068)
Allied Benefit Systems |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Assured Benefits Administrators (74240) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Astiva Health (84320) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Astiva Health (Encounters Only) (88875) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Astrana Care Partners of Arizona (NMM12) | Electronic | N | |||||||||
|
|
|||||||||||
| Asuris Northwest Health (93221) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Asuris Northwest Health (Medicare Advantage) (93221MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Athens Administrators Attachments (WC Only) (J1914)
CB184 |
Electronic | Y | |||||||||
|
|
|||||||||||
| 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 E M | N | ||||||||
|
|
|||||||||||
| Atrio Health Plans (Medicare Advantage) (Z1351MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Audionet - National Elevator (AUDIO)
Audionet |
Electronic | P | 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)
34148 MNAUL Prime Time Health Plan Primetime Health Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| AultCare (Medicare Advantage) (Z1224MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Aultra Administrative Group (37242)
Professional Claims Management of Canton, OH |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Austin Mutual Ins No Attachments (Auto Only) (I5991A) | Paper | N | |||||||||
|
|
|||||||||||
|
Auto Club Group Attachments MN Only (Auto Only) (11983A)
11983 Auto Club Group Insurance Company Attachments MN Only (Auto Only) Auto Club Insurance ACIA Attachments MN Only (Auto Only) (Auto Only) (MN Only) Auto Club Insurance Association ACG Attachments MN Only (Auto Only) Auto Club Property-Casualty Insurance Attachments MN Only (Auto Only) Meemic Attachments MN Only (Auto Only) Member Select Insurance Company Attachments MN Only (Auto Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Auto Club Group Attachments MN Only (Auto Only) (WC188A)
11983 AAA Minnesota/Iowa (MN Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Auto Club Group No Attachments MN Only (WC Only) (WC188W)
11983 |
Paper | N | |||||||||
|
|
|||||||||||
| Auto Club MAPFRE Insurance ACMIC Attachments (Auto Only) (CCC) (J4527) | Electronic | Y | |||||||||
|
|
|||||||||||
| Auto Owners Insurance Company Attachments (Auto Only) (J1556A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Auto Owners Insurance Company Attachments (WC Only) (J1556) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Auto Owners Insurance Company No Attachments (WC Only) (J1556W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Auto Owners Owners Ins Comp Attachments (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 Ins Comp Attachments (WC Only) (J1583W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Automated Benefit Services (38259)
Ascension SmartHealth Theramatrix-PBS US Health and Life |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Automated Group Administrators (37280)
Automated Group Administration AGA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Automatic Sprinkler Local 281 (Remits Only) (ZP1228) | Paper | N | |||||||||
|
|
|||||||||||
| Automobile Accident Compensation Administration (ACAA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Auxiant (AUX01) | Electronic | N | |||||||||
|
|
|||||||||||
| Auxiant - Valenz (92645) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Auxiant fka Midwest Health Partners (76079)
Midwest Health Partners |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Auxilium (AXIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Avante Health (AH001) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Aveanna Healthcare Pediatric Services Holding Corp Attachments (Auto Only) (J1989A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Aveanna Healthcare Pediatric Services Holding Corp Attachments (WC Only) (J1989W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Avera Health Plans (46045) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Avesis Third Party Administrators (87098)
Avesis Vision |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Avesis Third Party Administrators (Remits Only) (86098) | Paper | N | |||||||||
|
|
|||||||||||
| Avidia Bank (Remits Only) (Z98835) | Paper | 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 Attachments (WC Only) (WC429W)
J1018 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Azz Inc Attachments (Auto Only) (J3773A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Azz Inc Attachments (WC Only) (J3773) | Electronic | Y | |||||||||
|
|
|||||||||||
|
AZZ Inc No Attachments (WC Only) (E1835)
J3773 |
Electronic | N | |||||||||
|
|
|||||||||||
|
B Smart Health Solutions LLC (77149)
BenefitSMART Labs |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Babb Inc (Remits Only) (R1169)
Babb Insurance |
Paper | N | |||||||||
|
|
|||||||||||
| BAE Systems Inc Attachments (WC Only) (J4620) | Electronic | Y | |||||||||
|
|
|||||||||||
| Bakersfield Family Medical Center (BKRFM) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Bakery And Confectionery (BCTF1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ballad Health Corp Attachments (WC Only) (J4209) | Electronic | Y | |||||||||
|
|
|||||||||||
| 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 Fidelity Life Assurance Co (Eligibility & Remits Only) (Z95871)
61239 Atlantic American (ERA and Eligibility only) Bankers Fidelity Assurance Company |
Paper | N | |||||||||
|
|
|||||||||||
|
Bankers Life and Casualty (61263)
36066 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Banner Health (12X42)
Banner Health Company |
Electronic | N | |||||||||
|
|
|||||||||||
| Banner Health (Medicare Advantage) (12X42MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Banner Health and Aetna Health Insurance Company (67895) | Electronic | N | |||||||||
|
|
|||||||||||
| Banner Health and Aetna Health Insurance Company Attachments (J67895) | Electronic | Y | |||||||||
|
|
|||||||||||
| Banner Medicare Advantage Plus (84324) | Electronic | P I 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)
Banner Medicare Advantage Prime HMO |
Electronic | P I M | N | ||||||||
|
|
|||||||||||
| Banner Medicare Advantage Prime (Medicare Advantage) (84323MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Banner- University Family Care (University of AZ Health Plans) (66901) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Baptist Cardiac Program (BSC01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Baptist Health South Florida (65026) | Paper | P | N | ||||||||
|
|
|||||||||||
| Bardavon Health Innovations Attachments (Auto Only) (J2334A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Bardavon Health Innovations Attachments (WC Only) (J2334) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BARInet (CB369) | Paper | N | |||||||||
|
|
|||||||||||
| Barnes Attachments (WC Only) (J1503W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Barrett Business Services Inc BBSI Attachments (Auto Only) (J1686A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Barrett Business Services Inc BBSI Attachments (WC Only) (WC632)
J1686 |
Electronic | P I R | Y | ||||||||
|
|
|||||||||||
| Bass Pro Group LLC Attachments (Auto only) (J1958A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Bass Pro Group LLC Attachments (WC only) (J1958W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Bay Area Care Partners (NMM11) | Electronic | P I R | N | ||||||||
|
|
|||||||||||
| Bay Bridge Administrators (06941) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| Bay District Schools FL Attachments (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 Attachments (Auto Only) (J1995A) | Electronic | Y | |||||||||
|
|
|||||||||||
| BB&T Corp Branch Banking & Trust Attachments (WC Only) (J1995W) | Electronic | Y | |||||||||
|
|
|||||||||||
| BBQ Holdings Inc Attachments (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 - HMO PPO - Home Infusion/Specialty Only (Medicare Advantage) (Z1303MA) | 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 Attachments (JZBKYM)
A1026 |
Electronic | Y | |||||||||
|
|
|||||||||||
| BC/BS Ohio - Anthem - Home Infusion/Specialty Only (Z1306) | Electronic | 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 E | N | ||||||||
|
|
|||||||||||
| BCBS Alabama Institutional (Eligibility Only) (Z96002) | Paper | E M | N | ||||||||
|
|
|||||||||||
|
BCBS Arizona (SB530)
Administrative Enterprises Blue Cross Blue Shield of Arizona Advantage Sun Health MediSun Zenith Administrators |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Arizona (Medicare Advantage) (SB530MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Arkansas (SB520) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Arkansas Attachments (JSB520) | Electronic | Y | |||||||||
|
|
|||||||||||
| BCBS Colorado (SB550) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Colorado (Medicare Advantage) (SB550MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Colorado (Telemed) (SB550T) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
BCBS Colorado Attachments (JSB550)
A1058 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS Connecticut (SB560)
Connecticut Medicare Blue |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Connecticut (Medicare Advantage) (SB560MA) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS Connecticut (Telemed) (SB560T) | Electronic | N | |||||||||
|
|
|||||||||||
|
BCBS Connecticut Attachments (JSB560)
A1059 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS DC and National Capital Area (SB580)
BCBS DC Carefirst |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS DC and National Capital Area (Medicare Advantage) (SB580MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Delaware (SB570) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Delaware (Medicare Advantage) (SB570MA) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS FEP BlueDental (835 Enrollment Only) (BCAFD) | Paper | N | |||||||||
|
|
|||||||||||
|
BCBS Florida (SB590)
Health Options of Florida Health Options of Florida HMO |
Electronic | P I E R M | N | ||||||||
|
|
|||||||||||
| BCBS Florida (Medicaid Managed Care) (SB590MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Florida (Medicare Advantage) (SB590MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Georgia (SB601) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Georgia (Medicare Advantage) (SB601MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Georgia (Telemedicine) (SB601T) | Electronic | N | |||||||||
|
|
|||||||||||
|
BCBS Georgia Attachments (JSB601)
A1060 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
BCBS Hawaii - HMSA (SB971)
Hawaii HMSA Hawaii Medical Services Association |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS IL Community Health Plans (66012) | Electronic | P I E | 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 (Medicare Advantage) (ZBIN0MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Indiana (Telemed) (SB630T) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BCBS Indiana (Telemed) (ZBIN0T) | Electronic | N | |||||||||
|
|
|||||||||||
|
BCBS Indiana Attachments (JZBIN0)
A1061 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS Iowa (Wellmark) (SB640) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Iowa (Wellmark) (Medicare Advantage Part B) (SB640MAP) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Iowa (Wellmark) (Medicare Advantage) (SB640MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Kansas (SB650) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Kansas (Medicare Advantage) (SB650MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Kansas Attachments (JSB650)
A1120 |
Electronic | Y | |||||||||
|
|
|||||||||||
| BCBS Kansas City (SB740) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Kansas City (Medicare Advantage) (SB740MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Kansas City (Workers Comp) (SB740WC) | Electronic | I | N | ||||||||
|
|
|||||||||||
| BCBS Kentucky (ZBKY0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Kentucky (Medicaid) (ZBKYM) | Electronic | N | |||||||||
|
|
|||||||||||
| BCBS Kentucky (Medicare Advantage) (ZBKY0MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Kentucky Attachments (JZBKY0)
A1026 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
BCBS Louisiana (SB670)
BC/BS of Louisiana HMO Benefit Management Services Benefits Management Claims Louisiana Blue Cross State Employees Group Benefits Program |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Louisiana (Medicare Advantage) (SB670MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Maine (SB680)
AMH Health LLC |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Maine Attachments (JSB680)
A1062 |
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 National Accounts Dedicated Services |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Maryland (CareFirst) (Medicare Advantage) (SB690MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Massachusetts (SB700)
Inova Care for Seniors |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Massachusetts (Encounters Only) (SB700E) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Massachusetts (Medicare Advantage) (SB700MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Michigan (SB710)
Michigan Blue Cross FEP (Professional Claims) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Michigan - DentaQuest (835 Enrollment Only) (BBMDQ) | Paper | N | |||||||||
|
|
|||||||||||
|
BCBS Michigan Attachments (JSB710)
A1170 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
BCBS Michigan Blue Care Network HMO (2426)
BCBS Michigan Blue Cross Complete of Michigan BCN Advantage BCN Commercial |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Michigan Blue Care Network HMO Attachments (J2426)
A1170 |
Electronic | Y | |||||||||
|
|
|||||||||||
| BCBS Michigan Institutional (Eligibility Only) (Z1380) | Paper | N | |||||||||
|
|
|||||||||||
|
BCBS Michigan Medicare Plus Blue (Z0058)
Medicare Advantage Plan (Michigan) |
Electronic | P E | N | ||||||||
|
|
|||||||||||
|
BCBS Minnesota (SB720)
BlueLink TPA |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Minnesota (Medicare Advantage) (SB720MA) | 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 (Medicare Advantage) (Z96439MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Minnesota Blue Plus Medicaid Attachments (JZ96439)
A1076 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS Mississippi (SB730) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Mississippi State Employees (SB732) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Missouri (SB741) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Missouri (Medicare Advantage) (SB741MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Missouri (Telemed) (SB741T) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
BCBS Missouri Attachments (JSB741)
A1063 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS MN Blue Plus Medicaid Waiver (FS802) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BCBS Montana (7450) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Nebraska (SB760) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Nebraska (Medicare Advantage) (SB760MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Nevada (SB765) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Nevada (Medicare Advantage) (SB765MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Nevada Attachments (JSB765)
A1064 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS New Hampshire (SB770) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS New Hampshire Attachments (JSB770)
A1065 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS New Jersey (22099)
Atlanticare Administrators Inc Horizon Blue Cross Blue Shield of New Jersey |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS New Mexico (SB790)
Lovelace Health Plan Lovelace Sandia Health Plan New Mexico Public Schools Insurance Authority |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS New Mexico (Medicare Advantage) (SB790MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS New York Central Syracuse (SB805)
Excellus BCBS NY Central Syracuse |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS New York Central Syracuse (Medicare Advantage) (SB805MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS New York Empire (SB803)
EMPIRE HEALTHCHOICE ASSURANCE, INC. |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS New York Empire (Medicare Advantage) (SB803MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS New York Empire Attachments (JSB803)
A1052 A1078 |
Electronic | P | Y | ||||||||
|
|
|||||||||||
| BCBS New York Excellus (SB802) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| 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 New York Western (Medicare Advantage) (SB801MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS North Carolina (SB810)
Blue Medicare North Carolina Partners National Health Plans of North Carolina Inc |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS North Carolina (Medicare Advantage) (SB810MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS North Dakota (SB820) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS of Minnesota HMO (SB721) | Electronic | P | 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 (Medicare Advantage) (ZBOH0MA) | Electronic | I E | N | ||||||||
|
|
|||||||||||
| BCBS Ohio (Telemed) (ZBOH0T) | Electronic | N | |||||||||
|
|
|||||||||||
|
BCBS Ohio Attachments (JZBOH0)
A1066 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS Ohio Medicare Advantage Attachments (JZBOH0MA)
A1066 |
Electronic | E | 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 Oregon (Regence) (Medicare Advantage) (SB850MA) | Electronic | 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 (Medicare Advantage) (SB865MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Pennsylvania Highmark Southeastern (SB864)
54771S |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
BCBS Pennsylvania Highmark Western (SB866)
54771W |
Electronic | I | 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)
BCBS South Carolina Instil Health |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina - Healthy Blue (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 | ||||||||
|
|
|||||||||||
| BCBS South Carolina - Healthy Blue South Carolina DOS 12/31/2023 and prior (Medicaid Managed Care) (Z1248MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS South Carolina - Medicare Advantage (C63) (SB894) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina - Preferred Blue (Z1036)
BCBS South Carolina Preferred Health HMO Blue |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina - Thomas Cooper Agency (SB889)
SX160 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS South Carolina (Medicare Advantage) (SB880MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina Blue Choice Health Plan (SB884)
BlueChoice Health Plan Companion Healthcare |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina Blue Choice Health Plan Attachments (JSB884)
A1118 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| BCBS South Carolina Employee Benefit Services DBA Key Benefit Administrators (SB886) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS South Carolina Federal Employee Plan (SB882) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS South Carolina 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 | ||||||||
|
|
|||||||||||
| BCBS South Carolina Planned Administrators Inc (SB883) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS South Carolina State Health Plan (SB881) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS South Dakota (2490) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS South Dakota Medicare Advantage (2490MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee (SB890) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee - Bluecare (SB390) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee - Bluecare HMO Medicare (SB390HMO) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee - TennCare Select (SB893) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee - TennCare Select (Medicare Advantage) (SB893MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Tennessee (Medicare Advantage) (SB890MA) | Electronic | E | 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 DOS 5/1/24 and after (66002)
BCBSTX Medicaid STAR CHIP DOS 5/1/24 and after |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Texas Medicaid DOS 5/1/24 and after Attachments (J66002)
A1147 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
BCBS Texas Medicaid DOS 5/1/24 and prior (66001)
BCBSTX Medicaid STAR CHIP DOS 5/1/24 and prior |
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 (Medicare Advantage) (SB923MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
BCBS Virginia Attachments (JSB923)
A1067 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
BCBS Virginia Attachments (Medicare Advantage) (JSB923MA)
A1067 |
Electronic | P I E | Y | ||||||||
|
|
|||||||||||
|
BCBS West Virginia (SB941)
54828 Highmark Blue Cross Blue Shield West Virginia |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| BCBS West Virginia (Medicare Advantage) (SB941MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
BCBS Western New York Medicaid CHP Attachments (J00246)
A1050 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
BCBS Western New York Medicaid/CHP (00246)
BCBS of WNY Medicaid/CHP |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Wisconsin (SB950) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| BCBS Wisconsin (Medicare Advantage) (SB950MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BCBS Wisconsin (Telemed) (SB950T) | Electronic | N | |||||||||
|
|
|||||||||||
|
BCBS Wisconsin Attachments (JSB950)
A1068 |
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 Mutual Attachments (WC Only) (J1234) | Electronic | Y | |||||||||
|
|
|||||||||||
| Beacon of Life (AcuteCare) (65432) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Beall's Inc Midwest Employers Attachments MN TX Only (WC Only) (WC648W)
Beall's Inc / Midwest Employers (MN, TX) (WC Only) J1030 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Beam Insurance Administrators (Remits Only) (Z96819) | Paper | N | |||||||||
|
|
|||||||||||
| Beaver Medical Group (45967) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Becket Family of Services (EOBC) (R0244) | Paper | N | |||||||||
|
|
|||||||||||
| Bed Bath & Beyond Attachments (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 | P I | N | ||||||||
|
|
|||||||||||
| Benefit Administration Services Ltd (41205) | Paper | 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 (EOBC) (25145)
Benefit Coordinators Corporation |
Paper | N | |||||||||
|
|
|||||||||||
| Benefit Management Administrators Inc (Remits Only) (Z95878) | Paper | N | |||||||||
|
|
|||||||||||
| Benefit Management Inc of KS (Remits Only) (48611) | Paper | M | N | ||||||||
|
|
|||||||||||
|
Benefit Management Services (56139)
Integra BMS Maestro Health |
Electronic | P I | 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 (Arnold, MD) (IHS19) | Electronic | P I | 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 (Remits Only) (Z96420) | Paper | N | |||||||||
|
|
|||||||||||
| Benefit Plan Services (BPS77) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Benefit Plan Services Inc BPSI (Remits Only) (95414E) | Paper | N | |||||||||
|
|
|||||||||||
| Benefit Support Inc (40459) | Electronic | P I | 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 | |||||||||
|
|
|||||||||||
|
Benesys (37248)
ABS - US Health Harrison Electrical Workers Sheet Metal Workers Local 104 |
Paper | N | |||||||||
|
|
|||||||||||
|
Benetech Attachments (Auto Only) (J4251A)
WF005 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Benetech Attachments (WC Only) (J4251)
WF005 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Benicomp Group (Remits Only) (12699) | Paper | N | |||||||||
|
|
|||||||||||
| Benmark (BNMK1) | Electronic | N | |||||||||
|
|
|||||||||||
| Benveo (76255) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Bergen Risk Attachments NJ Only (Auto Only) (J3997A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Bergen Risk Attachments NJ Only (WC Only) (J3997) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Berkley Agribusiness Risk Specialists Attachments (Auto Only) (J2190A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Agribusiness Risk Specialists Attachments (WC Only) (J2190W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Enterprise Risk Solutions BERS Attachments (WC Only) (J4325) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Berkley Entertainment Attachments (WC Only) (J4475)
LV700 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Berkley Environmental Attachments (WC Only) (TP019) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Berkley Environmental No Attachments (WC Only) (WC679W)
TP019 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Berkley Industrial Comp Attachments (WC Only) (J1524)
American Mining Insurance Group (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Mid-Atlantic Group Attachments (Auto Only) (J3863A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Mid-Atlantic Group Attachments (WC Only) (J3863W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley National Insurance Co DOI after 11/1/2018 Attachments (Auto Only) (J2192A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley National Insurance Co DOI after 11/1/2018 Attachments (WC Only) (J2192W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Net Underwriters LLC Attachments (WC Only) (J1523) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Net Underwriters LLC No Attachments (WC Only) (J1523W) | Electronic | N | |||||||||
|
|
|||||||||||
| Berkley Regional Insurance Co DOI after 11/1/2018 Attachments (Auto Only) (J2194A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Regional Insurance Co DOI after 11/1/2018 Attachments (WC Only) (J2194W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Berkley Risk Administrators Company Attachments (WC Only) (J1526) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Berkley Risk Administrators Company No Attachments (WC Only) (WR642W)
J1526 RISK ADMINISTRATORS (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Berkley Southeast Insurance Group Attachments (WC Only) (J2145) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Berkshire Hathaway Direct Insurance Attachments (WC Only) (J1975)
AmGuard Insurance Company NorGuard Insurance Company |
Electronic | Y | |||||||||
|
|
|||||||||||
| Berkshire Hathaway Homestate BHHC Attachments CA IL LA NJ NC MN OR TN TX VA Only (WC Only) (20044W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Berkshire Hathaway Homestate BHHC No Attachments CA IL LA NJ NC MN OR TN TX VA Only (WC Only) (WP984)
20044 |
Electronic | N | |||||||||
|
|
|||||||||||
| Berner Foods Inc (EOBC) (R27836) | Paper | N | |||||||||
|
|
|||||||||||
|
Berwind Corporation Attachments (WC Only) (WC677W)
J1031 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Best Doctors Insurance Services (BDIUS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Best Life and Health Insurance Company (95604) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Beta Healthcare (Formerly Alpha Fund Ins Group) Attachments (Auto Only) (J4357A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Beta Healthcare (Formerly Alpha Fund Ins Group) Attachments (WC Only) (J4357) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 Attachments (Auto Only) (J1738A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Big 5 Corp Attachments (WC Only) (J1738W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Birdsong Hearing (26814) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BITCO General Insurance Corp Attachments (Auto Only) (J1579A) | Electronic | Y | |||||||||
|
|
|||||||||||
| BITCO General Insurance Corp Attachments (WC Only) (J1579) | Electronic | Y | |||||||||
|
|
|||||||||||
|
BITCO General Insurance Corp No Attachments (WC Only) (20095)
J1579 |
Electronic | N | |||||||||
|
|
|||||||||||
|
BITCO General Insurance Corp No Attachments (WC Only) (20095W)
J1579 |
Paper | N | |||||||||
|
|
|||||||||||
| BITCO National Insurance Co Attachments (Auto Only) (J1691A) | Electronic | Y | |||||||||
|
|
|||||||||||
| BITCO National Insurance Co Attachments (WC Only) (J1691W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
BITCO National Insurance Co No Attachments (WC Only) (20109)
J1691 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Blackhawk (CB987)
Blackhawk Claims Services Dart Member Care Strategic Limited Partners |
Electronic | N | |||||||||
|
|
|||||||||||
| Bloomin Brands Inc Attachments (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 Advantage of Louisiana (Medicare Advantage) (72107MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Blue Cross and Blue Shield of North Dakota (ND) (CX004) | Electronic | P | 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 E | N | ||||||||
|
|
|||||||||||
| Blue Cross California (with Attachments) (JSB040) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Blue Cross Community Centennial BCBS of NM (MC721) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Blue Cross Community Centennial BCBS of NM (Medicaid Managed Care) (MC721MC) | Electronic | 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 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 (Medicare Advantage) (SB930MA) | 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 Idaho (Medicare Advantage) (ZBID0MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Cross of Pennsylvania Capital Blue Cross (23045) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Blue Cross of Pennsylvania Capital Blue Cross (Medicare Advantage) (23045MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Blue Cross of Washington Health Plus - Premera (ZBWA1) | Electronic | N | |||||||||
|
|
|||||||||||
| Blue Cross of Washington MSC - Premera (ZBWA2) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Blue Cross Pennsylvania Central (12B81)
54771C |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Blue Medicare Advantage (Remits Only) (00772) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Ridge Independence At Home PACE (R3464) | Electronic | P I | 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 E | N | ||||||||
|
|
|||||||||||
| Blue Shield California Encounters (BS003) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Blue Shield California HMO (Encounters Only) (HM007) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Blue Shield of California Promise Health Plan (57115)
Care 1st Health Plan of CA C1SCA |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Shield of California Promise Health Plan (Encounters Only) (EC1CA) | Paper | N | |||||||||
|
|
|||||||||||
| Blue Shield of California Promise Health Plan (Medicare Advantage) (57115MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Blue Shield of Idaho (Regence) (ZBID1)
Regence Blue Shield of Idaho |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Blue Shield of Idaho (Regence) (Medicare Advantage) (ZBID1MA)
ZBID1 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Blue Shield Washington - Regence (Medicare Advantage) (7451MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Blue Shield Washington Regence (7451)
Regence Federal Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Blueride Non-Emergency Transportation (BLRDE) | Electronic | P | N | ||||||||
|
|
|||||||||||
| BMS Access Support (Remits Only) (Z96431) | Paper | N | |||||||||
|
|
|||||||||||
|
BMW North America Attachments (WC Only) (WP988)
J1259 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Boeing Company Attachments CA IL LA NC MN OR TX Only (Auto Only) (J1964A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Boeing Company Attachments CA IL LA NC MN OR TX Only (WC ONLY) (J1964) | Electronic | Y | |||||||||
|
|
|||||||||||
| Boise Cascade Company Attachments (Auto Only) (J1801A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Boise Cascade Company Attachments (WC Only) (J1801W) | Electronic | Y | |||||||||
|
|
|||||||||||
| BoldAge Pace (BOLD1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BoldAge PACE CA Fresno (65436) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BoldAge Pace IN Evansville (65433) | Electronic | N | |||||||||
|
|
|||||||||||
| BoldAge PACE KY Owensboro (65435) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| BoldAge PACE SC Charleston (65434) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Bollinger Inc (BOLL1) | Electronic | P I | 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 | P I 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 Health Plan Wellsense Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Boston Medical Center Healthnet (Medicare Advantage) (13337MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| BPS First Health (67707) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Brain and Spine Network (BSN01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Brand New Day (UC001)
Universal Care - California |
Paper | P I E | N | ||||||||
|
|
|||||||||||
|
Brand New Day (Encounters Only) (UC002)
Centinela Valley IPA (Encounters Only) Universal Care (Encounters Only) |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Brand New Day (Medicare Advantage) (UC001MA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Braven Health (84367) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Braven Health (Encounters Only) (84367E)
84367 |
Electronic | N | |||||||||
|
|
|||||||||||
| Braven Health (Medicare Advantage) (84367MA) | Electronic | P I E | 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 E | N | ||||||||
|
|
|||||||||||
| Breast and Cervical Cancer Control Program (MI Only) (BCCCP) | Electronic | N | |||||||||
|
|
|||||||||||
|
Breckpoint (BRKPNT)
FreedomCare Benefits |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Brentwood Services Administrators Attachments (WC Only) (J2297)
CB007 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Brentwood Services Administrators No Attachments (WC Only) (J2297W) | Electronic | N | |||||||||
|
|
|||||||||||
| BridgeSpan (BRIDG) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Bridgestone Americas Attachments (WC Only) (J4627) | Electronic | Y | |||||||||
|
|
|||||||||||
| Bridgeway Arizona (68054) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Bristol West Attachments (Auto Only) (J1764)
E9996 |
Electronic | Y | |||||||||
|
|
|||||||||||
| BritCay (22286) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Britton Benefit Services LLC (BBS19) | Electronic | N | |||||||||
|
|
|||||||||||
| Broadspire Attachments (Auto Only) (C1056A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Broadspire Attachments (WC Only) (TP021) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Broadspire No Attachments (Auto Only) (TP021A) | Electronic | N | |||||||||
|
|
|||||||||||
| Broadspire No Attachments (WC Only) (TP021W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Brokerage Concepts Inc (51037)
Benefit Concepts UHN Healthnow Administrators Highmark HNAS |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Brokers National - Dental (Eligibility Only) (10783) | Paper | E | N | ||||||||
|
|
|||||||||||
| Brotherhood Mutual Insurance Attachments (Auto Only) (J1445A) | Electronic | P I R | Y | ||||||||
|
|
|||||||||||
| Brotherhood Mutual Insurance Attachments (WC Only) (J1445) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Broward Insurance Group No Attachments (WC Only) (A0686W)
11150 Arch Insurance Group (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Brown & Toland Medical Group (94316) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Brown & Toland Sutter (BTSS1)
Brown & Toland Sutter Select |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Brown and Toland Health Services (BTHS1) | Electronic | N | |||||||||
|
|
|||||||||||
| Brownyard Group Inc (Arch Insurance) Attachments (WC Only) (11150) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Brunswick Corporation Attachments (WC Only) (WC744W)
J1032 |
Electronic | Y | |||||||||
|
|
|||||||||||
| BSI Companies (25916) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Buenaventura Affiliated Physicians Inc (BVAP1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Builders Group Attachments (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 Attachments (Auto Only) (J1968A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Builders Mutual Insurance Attachments (WC Only) (J1968)
BUILDERS PREMIER INSURANCE COMPANY |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Bunch & Assoc Inc No Attachments (WC Only) (WC812W)
J1435 |
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 Attachments (WC Only) (WC761W)
J1033 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Business Administrators & Consultants (49984) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Business Mens Assurance (61492) | Paper | N | |||||||||
|
|
|||||||||||
| Business Mens Assurance (BMA) (10360) | Paper | N | |||||||||
|
|
|||||||||||
| Butler America Holdings Inc Attachments (WC Only) (J3860W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Butler Benefit (42150) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Bywater Ltd (12090) | Paper | P I | N | ||||||||
|
|
|||||||||||
| C & O Employees' Hospital Association (23708) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| CA Healthy Families Dental (835 Enrollment Only) (CPPCA) | Paper | N | |||||||||
|
|
|||||||||||
| Cadence RX (Remits Only) (R0148) | Paper | N | |||||||||
|
|
|||||||||||
| CAL OPTIMA ICF (Z96389) | Electronic | I | N | ||||||||
|
|
|||||||||||
|
CAL OPTIMA LTC (Z96397)
COLTC |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Caliber Holdings Corporation Attachments (Auto Only) (J1979A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Caliber Holdings Corporation Attachments (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 (Remits Only) (Z96353)
CA Casualty Ind Exchange |
Paper | N | |||||||||
|
|
|||||||||||
| California Children's Services (CCS) (MC051) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
California Childrens Services CCS Attachments (JMC051)
J1777 |
Electronic | Y | |||||||||
|
|
|||||||||||
| California Eye Care (CEC01) | Electronic | N | |||||||||
|
|
|||||||||||
|
California Health & Wellness (68047)
Child Health and Disability Prevention |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
California Insurance Guarantee Association CIGA Attachments (WC 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 Foundation (Z95679)
California Pacific Medical Center CPMC BTMG S3100 SC053 |
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 M | N | ||||||||
|
|
|||||||||||
| Cal-Optima Direct (Medicare Advantage) (CALOPMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
CalOptima LTC (COLTC)
One Care Connect LTC (OCC) PACE Center LTC |
Paper | I | N | ||||||||
|
|
|||||||||||
| Cal-Viva (11070) | Paper | E | N | ||||||||
|
|
|||||||||||
| Calvos SelectCare (CALSC) | Electronic | N | |||||||||
|
|
|||||||||||
| Cambridge Integrated Services Attachments (WC Only) (J1819W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Cambridge Integrated Services No Attachments (WC Only) (WX163W)
J1819 |
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 | ||||||||
|
|
|||||||||||
| Capistrano Unified School District Attachments (Auto Only) (J1637A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Capistrano Unified School District Attachments (WC Only) (J1637W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Capital District Physician's Health Plan (CDPHP) (SX065)
Capital District Physicians Health Plan CDPHP Universal Benefits |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Capital District Physician's Health Plan (CDPHP) (Medicaid Managed Care) (SX065MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Capital District Physician's Health Plan (CDPHP) (Medicare Advantage) (SX065MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Capital Health Partners (CAHP1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Capital Health Plan (95112) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Capital Health Plan (Medicare Advantage) (95112MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Capitol Dental Care Inc (Remits Only) (CX095) | Paper | N | |||||||||
|
|
|||||||||||
| Capitol Indemnity Attachments (WC Only) (J1262W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Capitol Insurance Companies Attachments (Auto Only) (J1809A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Capitol Insurance Companies Attachments (WC Only) (J1809W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Caprock Health Plans-Verity (CAPHP2) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
CapRock HealthPlans (CAPHP)
Texas Schools Health Benefits Program |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Captrue Benefits (34242) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Cardinal Comp (Part of Amfed) Attachments (WC Only) (J3735)
AmFed National Insurance |
Electronic | Y | |||||||||
|
|
|||||||||||
| Cardinal Health (EOBC) (WC931) | Paper | N | |||||||||
|
|
|||||||||||
|
CardioVascular Care Providers (Z1228)
GCVCP |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Cardon Outreach (R6716) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Care Logic Attachments (WC Only) (J3868W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Care N Care (DOS 12/31/2024 and prior) (66010)
Care N Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Care N Care (Medicare Advantage) (66010MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Care Source (OH) (Medicare Advantage) (31114MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Care to Care (41222) | Electronic | N | |||||||||
|
|
|||||||||||
|
Care Wisconsin Health Plan (27004)
My Choice Wisconsin |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
CareAccess PSN (65063)
Care Access PSN Florida NetPass HS1 Medical Management |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| CareAccess PSN (Medicare Advantage) (65063MA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Carecentrix (11345) | Electronic | N | |||||||||
|
|
|||||||||||
|
Carecentrix (Medicare Advantage) (11345MA)
11345 |
Electronic | N | |||||||||
|
|
|||||||||||
| CareCentrix BCBS Michigan (11349) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carecentrix Florida Blue (11347) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carecentrix Florida Blue (Medicare Advantage) (11347MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Carecentrix Horizon (11348) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Carecentrix Mass General Brigham Health & Fallon (11346)
Carecentrix Cigna Carecentrix Fallon Health |
Paper | P I | N | ||||||||
|
|
|||||||||||
| CareCentrix Wellcare (11350) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Carecore National - Aetna Radiology (14179)
New York Medical Imaging (NYMI) - AETNA Radiology Claims |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carecore National Health Net New Jersey (14185) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CareCore National HIP (14182) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Carecore National Oxford (14180)
New York Medical Imaging NYMI Oxford |
Paper | P I | 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 | N | ||||||||
|
|
|||||||||||
| CareFirst BlueCross BlueShield Community Health Plan Maryland (Medicare Advantage) (45281MA) | Electronic | N | |||||||||
|
|
|||||||||||
|
CareFirst BlueCross BlueShield Medicare Advantage (45282)
Riverside Advantage University of Maryland Health Advantage |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| CareFirst BlueCross BlueShield Medicare Advantage (Medicare Advantage) (45282MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Careington Benefit Solutions (Remits Only) (60601) | Paper | N | |||||||||
|
|
|||||||||||
|
Carelon Behavioral Health MBHP (43307)
BHOMA Massachussetts Behavioral Health (BHO) ValueOptions, Inc. (MA - Massachusetts Behavioral Health Plan) ValueOptions/MBHP |
Electronic | P I | 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 of Pennsylvania (BHOPA) | 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 E | N | ||||||||
|
|
|||||||||||
|
CareOregon (Z1060)
CareOregon (Payer Code 93975) Columbia Pacific CCO HealthShare of Oregon HealthShare of Oregon CCO - Multnomah Jackson Care Connect |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CareOregon (Medicaid Managed Care) (Z1060MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CareOregon (Medicare Advantage) (Z1060MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| CarePartners of Connecticut (16307) | Paper | P E M | N | ||||||||
|
|
|||||||||||
| CarePartners of Connecticut (Medicare Advantage) (16307MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Careplus -Conviva (Z98833)
Careplus |
Electronic | N | |||||||||
|
|
|||||||||||
|
CarePlus Health Plan (65031)
95092 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CarePlus Health Plan (Medicare Advantage) (65031MA) | Electronic | N | |||||||||
|
|
|||||||||||
| CareSource (26160) | Electronic | N | |||||||||
|
|
|||||||||||
| CareSource Arkansas (ARCS1) | Electronic | N | |||||||||
|
|
|||||||||||
|
Caresource Common Ground Healthcare Cooperative (CGHC) (77170)
Common Ground Healthcare Cooperative |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Caresource Georgia (GACS1) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Caresource Georgia (Medicaid Managed Care) (GACS1MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Caresource Georgia (Medicare Advantage) (GACS1MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CareSource Indiana (INCS1) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| CareSource Indiana (Medicaid Managed Care) (INCS1MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CareSource Indiana (Medicaid Managed Care) (INCS1MCIN) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Caresource KY (Humana) (KYCS1)
Caresource KY Marketplace Humana Caresource KY |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Caresource KY (Humana) (Medicaid Managed Care) (KYCS1MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Caresource KY (Humana) (Medicare Advantage) (KYCS1MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| CareSource Michigan Marketplace (MICS1) | Electronic | 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 Health |
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 Attachments OH Only (WC Only) (J1866W)
PERMA |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| CareWorks Consultants aka CareWorks USA and CCI No Attachments OH Only (WC Only) (J1866) | Electronic | N | |||||||||
|
|
|||||||||||
|
Careworks York Wellcomp Attachments (WC Only) (J1421W)
CB888 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Careworks York Wellcomp No Attachments (WC Only) (WX778)
J1421 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carhartt Attachments (Auto Only) (J1931A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carhartt Attachments (WC Only) (J1931W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Allstate Insurance Attachments (Auto Only) (J2007A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to American Commerce Insurance Company (All States) (Auto Only) (J2008A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Carisk Imaging to Ameriprise Attachments (Auto Only) (J2010A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Broadspire Attachments NY NJ Only (WC Only) (J3915) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to City of Jersey City (NJ Only) (WC Only) (J3998) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Country Way Agway Attachments (Auto Only) (J2021A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to CRC Claims Resolution Corp Attachments NY Only (WC Only) (J3916) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to D&H Alternative Risk Solutions Attachments (WC Only) (J3917) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Esurance Insurance Attachments (Auto Only) (J2025A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Farm Family Insurance Attachments (Auto Only) (J2026A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to GEICO Attachments (Auto Only) (J2030A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Harleysville Insurance Attachments (Auto Only) (J2033A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Hartford Insurance Attachments (Auto Only) (J2034A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to IDS Property Casualty Attachments (Auto Only) (J2038A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Kemper Services Group Attachments (Auto Only) (J2041A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Mapfre Attachments (Auto Only) (J2044A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Mercury Insurance Attachments (Auto Only) (J2047A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to MetLife Attachments (Auto Only) (J2048A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to National General Insurance Co Attachments (Auto Only) (J2049A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to National Liability & Fire Insurance Co Attachments (Auto Only) (J2050A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Nationwide Attachments (Auto Only) (J2051A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to NCA Comp Attachments (WC Only) (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 Attachments (WC Only) (J2053) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Carisk Imaging to NJ-PLIGA Attachments (Auto Only) (J2054A)
New Jersey Property-Liability Insurance Guaranty Assoc. |
Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Ohio Casualty Group Attachments (Auto Only) (J2058A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Peerless Insurance Attachments (Auto Only) (J2060A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Praetorian Insurance Company (Auto Only) (J2063A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Progressive Insurance Attachments (Auto Only) (J2065A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Pure Attachments (Auto Only) (J2066A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Rider Insurance (All States) (Auto Only) (J2068A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Carisk Imaging to Safe TPA LLC Attachments NY Only (WC Only) (J3919) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Safeco Insurance Attachments (Auto Only) (J2069A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Sedgwick Auto Insurance Attachments (Auto Only) (J2070A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Selective Insurance Attachments (Auto Only) (J2072A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Sentry Insurance Attachments (Auto Only) (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 Only (WC Only) (J3920) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to USAA Attachments (Auto Only) (J2085A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Utica National Insurance Attachments (Auto Only) (J2086A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Carisk Imaging to Zurich Auto Insurance Attachments (Auto Only) (J3921A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Carolina Behavioral Health (56215)
Carolina Behavioral Health Alliance CBHA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Carolina SeniorCare (71499) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Carpenters Benefit Plan (Remits Only) (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 (EOBC) (12174) | Paper | N | |||||||||
|
|
|||||||||||
|
Cascade Health Alliance (Z96251)
Cascade Comprehensive Care CHA01 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Casitas Municipal Water District Attachment (Auto Only) (J1630A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Casitas Municipal Water District Attachments (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 | ||||||||
|
|
|||||||||||
|
Catholic Health System PACE (R3486)
Catholic Health LIFE |
Electronic | N | |||||||||
|
|
|||||||||||
| 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 | ||||||||
|
|
|||||||||||
| CBA Blue/Blue Benefit Administrators (Medicare Advantage) (03036MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| CC Development Group Inc Attachments (Auto Only) (J1900A) | Electronic | Y | |||||||||
|
|
|||||||||||
| CCAI (CCAI) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CCEA Welfare Benefit Trust (88020) | Paper | N | |||||||||
|
|
|||||||||||
|
CCMSI Attachments (WC Only) (J1010)
Benchmark Insurance Company WR322 |
Electronic | Y | |||||||||
|
|
|||||||||||
| CCMSI No Attachments (WC Only) (WR322W) | Electronic | N | |||||||||
|
|
|||||||||||
| CCSI/Lutheran Preferred (MP350) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cedar Valley Community Healthcare (CVCH) (42558) | Electronic | N | |||||||||
|
|
|||||||||||
| Cedars-Sinai Medical Network Services (Claims) (95166) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cedars-Sinai Medical Network Services (Encounters) (95167) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CEHAS Plan Administrators, LLC (91888) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Cendant Corporation Attachments (WC Only) (WC783W)
J1034 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Cenpatico - Texas (CBHTX) | Paper | N | |||||||||
|
|
|||||||||||
|
Cenpatico Behavioral Health (68068)
Cenpatico - Florida Cenpatico - Kansas Cenpatico - Mississippi Cenpatico - Missouri Cenpatico - New Hampshire Cenpatico - Texas 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 Behavioral Health (Medicaid) (68068MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cenpatico Behavioral Health (Medicare Advantage) (68068MAI) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Cenpatico Behavioral Health (Medicare Advantage)(68068MAP) (68068MA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Cenpatico- PENNSYLVANIA HEALTH AND WELLNESS Plan ONLY (68069PA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Centene Health Plans (68069)
Absolute Total Care Agate Resources Inc LIPA 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 Oklahoma Ambetter of Tennessee Arizona Allwell 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 Celtic Insurance 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 Lane Individual Practice Association 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 Health Plan Sunshine State Health Plan Superior Health Plan Superior Star Medicaid Trillium Community Health Medicare Trillium Community Health Plan Trillium Community Health Plans Oregon Washington Coordinated Care Wellcare by Allwell Wellcare by Health Net Western Sky Community Care NM YouthCare HealthChoice of Illinois |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Centene Health Plans (Medicare Advantage) (68069MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Centene Health Plans (Medicare Advantage) (with Attachments) (J68069MA) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 | |||||||||
|
|
|||||||||||
| Centene Health Plans Arkansas (Medicaid Managed Care) (68069MCAR) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Centene Management Company LLC (EOBC) (R28521) | Paper | N | |||||||||
|
|
|||||||||||
|
Centene TPA (42139)
County Care - Medical |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Center for Elders Independence (94312) | Electronic | P I | 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 Alliance Physicians - Guidant (CAP01) | Electronic | N | |||||||||
|
|
|||||||||||
| Central CA Phys Partners Astrana (NMM10) | Electronic | N | |||||||||
|
|
|||||||||||
|
Central California Alliance for Health (SX169)
CCA01 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Central California Alliance for Health (Medicaid Managed Care) (SX169MC) | Electronic | N | |||||||||
|
|
|||||||||||
| Central Companies (ALL States) (J1263W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Central Contra Costa Transit Authority Attachments (Auto Only) (J1605A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Central Contra Costa Transit Authority Attachments (WC Only) (J1605W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Central Data Services (Remits Only) (Z95910) | Paper | N | |||||||||
|
|
|||||||||||
| Central Garden & Pet Company Attachments (Auto Only) (J3737A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Central Garden & Pet Company Attachments (WC Only) (J3737) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Central Health Medicare Plan (CHCPI)
Central Health Plan of California |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Central Hockey League Attachments (WC Only) (WC787W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Central Laborers' Welfare Fund (Remits Only) (R35293) | Paper | N | |||||||||
|
|
|||||||||||
| Central Ohio Primary Care Senior Care Advantage (ALG02) | Electronic | N | |||||||||
|
|
|||||||||||
| Central Pennsylvania Teamsters Fund (23626) | Paper | P I M | N | ||||||||
|
|
|||||||||||
| Central Reserve Life Ins Co- Medicare Supplement (Eligibility Only) (Z90023) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Central States Health & Welfare Funds (36215)
Rosemont of Des Plaines, IL Teamcare |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Central States Health and Life Co of Omaha (Remits Only) (Z96478) | Paper | N | |||||||||
|
|
|||||||||||
| Central States Indemnity (Eligibility & Remits Only) (Z95701) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Central Valley Medical Group DOS 1/1/2020 and after (CVH01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Central Valley Medical Providers CVMEDPRO (MPM59)
CVM02 |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Centric Healthcare Services (Remits Only) (QCIPA) | Paper | N | |||||||||
|
|
|||||||||||
|
Centurion LLC (IHS11)
42140 |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Century PHO (36393) | Electronic | N | |||||||||
|
|
|||||||||||
| Chaffey Joint Union H.S. District Attachments (Auto Only) (J1646A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Chaffey Joint Union H.S. District Attachments (WC Only) (J1646W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Chaffey Medical Group (49533) | Electronic | N | |||||||||
|
|
|||||||||||
| Champion Payer Solutions (CPS01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
CHAMPVA/VA-HAC (84146)
80214 Children of Women Vietnam Veterans - VA HAC Spina Bifida - VA HAC Veteran Family Member Program |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CHAMPVA/VA-HAC (Medicare Advantage) (84146MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CHAMPVA/VA-HAC (with Attachments) (J84146) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Charles Taylor Attachments (WC Only) (J4258)
Bluegrass Health Network BHN (All States) (WC Only) Georgia School Board Assoc GSBA (All States) (WC Only) Guardian Bill Review (All States) (WC Only) Guardian Managed Care Services (All States) (WC Only) Kentucky Association of Counties KACO (All States) (WC Only) LT834 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Charming Shoppes Inc Attachments (WC Only) (WC788W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
CHCS (Remits Only) (Z2800)
Alaska Care Retiree LTC Plan (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
|
CHCS Services Inc (Eligibility Only) (Z10899)
American Network Ins. Medicare Supplement CMFG Life Insurance The Ullico Family of Companies |
Paper | E | N | ||||||||
|
|
|||||||||||
| Cherokee Insurance Attachments CA IL LA MN NC NJ NM OR TN TX VA (WC Only) (J1970) | Electronic | Y | |||||||||
|
|
|||||||||||
| Cherokee Insurance No Attachments CA IL LA MN NC NJ NM OR TN TX VA (WC Only) (J1970W) | Electronic | N | |||||||||
|
|
|||||||||||
| Cherokee Nation Comprehensive Care Agency (CHERO) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Chesterfield Resources Inc (34154)
The Salvation Army |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Chesterfield Services Inc Attachments All States Except NY (WC Only) (J1479) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Chicago Carpenters Welfare Fund (Remits Only) (R26506) | Paper | N | |||||||||
|
|
|||||||||||
| Chick-fil-A No Attachments TX Only (Auto Only) (A0037) | Electronic | N | |||||||||
|
|
|||||||||||
| Chicos Fas Inc Attachments (WC Only) (J2315) | Electronic | Y | |||||||||
|
|
|||||||||||
| Child Health and Disability Prevention Program (CDHP) | Electronic | N | |||||||||
|
|
|||||||||||
| Children’s Hospital Orange County (CHOC) Health Alliance (CHOC1) | Electronic | N | |||||||||
|
|
|||||||||||
| Children's Community Health Plan (251CC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Children's Community Health Plan (Medicaid Managed Care) (251CCMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Children's First Healthcare Network (94321)
Children First Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
| Children's Hospital of Orange County Health Alliance (CHOC) Orange CA (33065) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Children's Mercy PCN (10906) | Paper | E | N | ||||||||
|
|
|||||||||||
| Chinatown Service Center (R3478) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Chinese Community Health Plan (94302) | Electronic | N | |||||||||
|
|
|||||||||||
|
Chiropractic Health Plan (Z1043)
U1439 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Choice Hotels International Inc CORVEL Attachments (Auto Only) (J4161A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Choice Hotels International Inc CORVEL Attachments (WC Only) (J4161) | Electronic | Y | |||||||||
|
|
|||||||||||
| Choice Medical Group (CMG01) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Choice Physicians Net CoachellaMed (CPNCO) | Paper | N | |||||||||
|
|
|||||||||||
| Choice Physicians Net First Choice (CPNFC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Choice Physicians Network (CPN01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Choice Physicians Network - Amada Health (CPNAH) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Choice Physicians Network - Live Well (CPNLW)
CPNLWIPA |
Electronic | N | |||||||||
|
|
|||||||||||
| Choice Physicians Network - MD Senior Care (CPNMS) | Electronic | N | |||||||||
|
|
|||||||||||
| Choice Physicians Network (Antelope Valley Medical Group) (CPNAV) | Electronic | N | |||||||||
|
|
|||||||||||
| Choice Physicians Network All United Medical Group (CPNAU) | Electronic | N | |||||||||
|
|
|||||||||||
| Choice Physicians Network Horizon Valley Medical Group (CPNHV) | Paper | P I | N | ||||||||
|
|
|||||||||||
| ChoiceOne IPA (POP03) | Electronic | N | |||||||||
|
|
|||||||||||
| CHP 3 (CHP03) | Paper | P | N | ||||||||
|
|
|||||||||||
| CHP Direct (10907) | Paper | N | |||||||||
|
|
|||||||||||
| Christian Brothers Services (38308) | Paper | P I E | N | ||||||||
|
|
|||||||||||
|
Christian Care Ministries (59355)
Medishare |
Electronic | N | |||||||||
|
|
|||||||||||
| Christian Health Aid (98628) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Christiana Care VBR (VB002) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Christie Student Health Plan (75544) | Electronic | N | |||||||||
|
|
|||||||||||
| Christus Health Medicare Advantage (10629) | Paper | P I E | N | ||||||||
|
|
|||||||||||
|
Christus Health Plan Medicaid (45210)
Christus Texas Medicaid Nueces County Hospital District Texas Christus |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Christus Health Plan of Texas and Louisiana (52106) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Christus Health Plan of Texas and Lousiana (Medicaid Managed Care) (52106MC) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Chubb CORVEL Attachments (WC Only) (J1554)
Chubb & Son (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Chubb CORVEL No Attachments (Auto Only) (20281A)
C1052 |
Paper | N | |||||||||
|
|
|||||||||||
|
Chubb CORVEL No Attachments (WC Only) (20281W)
J1554 |
Paper | N | |||||||||
|
|
|||||||||||
| Chubb Services Gallagher Bassett acquired claims Attachments (WC Only) (J1561) | Electronic | Y | |||||||||
|
|
|||||||||||
| Church Mutual Insurance Comp Attachments (WC Only) (J1265W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Church Mutual Insurance Company (ALL States) (WX051) | Electronic | Y | |||||||||
|
|
|||||||||||
| Church Mutual Insurance Company (All States) (Auto Only) (18767A) | Electronic | N | |||||||||
|
|
|||||||||||
| Church Mutual Insurance Company Attachments (Liab Only) (J1266) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Church Mutual Insurance Company No Attachments (WC Only) (18767W)
J1725 |
Electronic | N | |||||||||
|
|
|||||||||||
|
CIGNA Behavioral Health (SX071)
MCCBV |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| CIGNA ENCOUNTERS (CA & TX encounters Cigna Commercial (HMO & POS) only) (99139) | Electronic | N | |||||||||
|
|
|||||||||||
| Cigna Global Insurance Company Limited (EOBC) (R25929) | Paper | N | |||||||||
|
|
|||||||||||
|
Cigna Health Plans (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 (Connecticut General, Equicor, Equitable) Cigna Behavioral Health (Inst) Cigna for Health Care (Inst) Cigna International Expatriate Benefits Cigna PPO Connecticut General (Cigna) (Inst) CONNECTICUT GENERAL LIFE INSURANCE COMPANY Covenant Transport 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 Cigna HealthSource Jackson PPO Jacksonville PPO Kern PPO - California Leon Medical Center Health Plan 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 | ||||||||
|
|
|||||||||||
| Cigna Health Plans (Encounters) (62308E) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cigna Health Plans (Medicaid Managed Care) (62308MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cigna Health Plans (Medicare Advantage) (62308MA) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Cigna Health Plans (Subrogation Claims Only) (62308S) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| CIGNA HealthCare for Seniors - AZ Medicare (86033) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| CIGNA HealthCare for Seniors - AZ Medicare (Medicare Advantage) (86033MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
CIGNA No Attachments TX Only (WC Only) (A0368W)
J2562 |
Electronic | N | |||||||||
|
|
|||||||||||
| Cincinnati Insurance Attachments (WC Only) (J1562) | Electronic | Y | |||||||||
|
|
|||||||||||
| Cincinnati Insurance Attachments MN NJ NY OR (Auto Only) (C1103A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| CinqCare (Remits Only) (CINQ1) | Paper | N | |||||||||
|
|
|||||||||||
| Citizens Insurance Company of America Attachments (Auto only) (J1582A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Citizens Insurance Company of America Attachments (WC only) (J1582W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Citizens Security Life Insurance Co (Remits Only) (CSLIC) | Paper | N | |||||||||
|
|
|||||||||||
| Citrus World Inc CORVEL Attachments (Auto only) (J1945A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Citrus World Inc CORVEL Attachments (WC only) (J1945W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City And County Of Denver Attachments (WC Only) (J3340) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City and County of San Francisco (CCSF) Attachments CA Only (WC Only) (J1885) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Adelanto Attachments (Auto Only) (J3867A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Adelanto Attachments (WC Only) (J3867W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
City Of Bakersfield Attachments (WC Only) (J3336)
CB285 |
Electronic | Y | |||||||||
|
|
|||||||||||
| City of Banning (CA) Attachments (Auto Only) (J1792A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Banning (CA) Attachments (WC Only) (J1792W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Barstow (CA) (J1793A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Barstow (CA) (J1793W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Blythe (CA) CORVEL Attachments (Auto Only) (J1794A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Blythe (CA) CORVEL Attachments (WC Only) (J1794W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Dallas Attachments (WC Only) (J1441W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Desert Hot Springs (CA) (J1799A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Desert Hot Springs (CA) (J1799W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Dublin (EOBC) (R37099) | Paper | N | |||||||||
|
|
|||||||||||
|
City Of El Paso Attachments (WC Only) (WP857)
A0046 |
Electronic | Y | |||||||||
|
|
|||||||||||
| City Of Fort Lauderdale CORVEL Attachments (WC Only) (J2266) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Fort Worth (TX) Attachments (Auto Only) (J1680A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Fort Worth (TX) Attachments (WC Only) (J1680W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Glendale (AZ) CORVEL Attachments (Auto Only) (J1800A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Glendale (AZ) CORVEL Attachments (WC Only) (J1800W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Hayward (EOBC) (R09599) | Paper | N | |||||||||
|
|
|||||||||||
| City of Jacksonville (WC Only) (J1504W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of La Mesa 11 (CA) Attachments (Auto Only) (J1711A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of La Mesa 11 (CA) Attachments (WC Only) (J1711W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City Of Lake Charles (LA) CORVEL Attachments (Auto only) (J1981A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City Of Lake Charles (LA) CORVEL Attachments (WC only) (J1981W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
City of Lakeland (FL) CORVEL No Attachments (WC Only) (E1677)
J2347 |
Electronic | N | |||||||||
|
|
|||||||||||
| City Of Margate (FL) CORVEL Attachments (WC Only) (J3301) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Miami Beach (FL) CORVEL Attachments (Auto only) (J1946A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Miami Beach (FL) CORVEL Attachments (WC only) (J1946W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Milpitas (EOBC) (R09380) | Paper | N | |||||||||
|
|
|||||||||||
| City of Minneapolis (MN Only) (EOBC) (A0287) | Paper | N | |||||||||
|
|
|||||||||||
| City of Minneapolis Attachments (WC Only) (J1269) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Murieta (CA) (J1797A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Murieta (CA) (J1797W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of New Rochelle (EOBC) (R21159) | Paper | N | |||||||||
|
|
|||||||||||
| City of Omaha (NE) CORVEL Attachments (Auto Only) (J1721A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Omaha (NE) CORVEL Attachments (WC Only) (J1721W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Perris (CA) Attachments (Auto Only) (J1795A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Perris (CA) Attachments (WC Only) (J1795W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of Plano (CA, TX, MN) WC ONLY (WC172W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Pomona (EOBC) (R30819) | Paper | N | |||||||||
|
|
|||||||||||
| City of Pompano Beach (FL) Attachments (Auto only) (J1947A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Pompano Beach (FL) Attachments (WC only) (J1947W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Redding (CA) CORVEL Attachments (Auto only) (J1617A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Redding (CA) CORVEL Attachments (WC only) (J1617W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Richmond (EOBC) (R20984) | Paper | N | |||||||||
|
|
|||||||||||
| City of Richmond (VA) CORVEL Attachments (WC Only) (J4640) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Rochester (EOBC) (R22485) | Paper | N | |||||||||
|
|
|||||||||||
| City of San Angelo (MN, TX) [WC ONLY] (WC152) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of San Diego No Attachments CA Only (WC Only) (J1497) | Electronic | N | |||||||||
|
|
|||||||||||
| City of San Jacinto (CA) Attachments (Auto Only) (J1796A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of San Jacinto (CA) Attachments (WC Only) (J1796W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| City of San Jose (J1528) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of San Mateo (CA) Attachments (Auto only) (J1727A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of San Mateo (CA) Attachments (WC only) (J1727W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of St Paul (MN) CORVEL Attachments (Auto Only) (J1602A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of St Paul (MN) CORVEL Attachments (WC Only) (J1602) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of St. Paul (MN) CORVEL Attachments (WC Only) (J1602W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of St. Paul (MN) CORVEL No Attachments (WC Only) (E0257W) | Paper | N | |||||||||
|
|
|||||||||||
| City of Stanton (CA) CORVEL Attachments (Auto only) (J1636A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Stanton (CA) CORVEL Attachments (WC only) (J1636W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Stockton (CA) ATHENS Attachments (Auto only) (J1664A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Stockton (CA) ATHENS Attachments (WC only) (J1664W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Topeka (KS) CORVEL Attachments (Auto only) (J1607A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Topeka (KS) CORVEL Attachments (WC only) (J1607W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Torrance Attachments (Auto Only) (J3872A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Torrance Attachments (WC Only) (J3872W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City Of Tucson Attachments (Auto only) (J1982A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City Of Tucson Attachments (WC only) (J1982W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Upland (CA) Attachments (Auto only) (J1645A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Upland (CA) Attachments (WC only) (J1645W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of Virginia Beach (VA) CORVEL Attachments (WC Only) (J3861W) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of West Palm Beach (FL) CORVEL Attachments (Auto only) (J1948A) | Electronic | Y | |||||||||
|
|
|||||||||||
| City of West Palm Beach (FL) CORVEL Attachments (WC only) (J1948W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Claimchoice (EOBC) (Z96479) | Paper | N | |||||||||
|
|
|||||||||||
|
ClaimChoice Administrators (38219)
AmeraPlan |
Electronic | P | N | ||||||||
|
|
|||||||||||
| ClaimChoice Administrators, LLC (83063) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Claims Administrative Services (CAS) Attachments AZ KS LA MO MS NM OK TX (WC Only) (J1271W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Claims Development Corporation (43056)
Podiatry Network Solutions |
Paper | P | N | ||||||||
|
|
|||||||||||
| Claimsake (Remits Only) (Z98838) | Paper | N | |||||||||
|
|
|||||||||||
|
Claimsbridge High Performance Network (11752)
Claimsbridge HPN |
Electronic | N | |||||||||
|
|
|||||||||||
|
Classic Residence By Hyatt Attachments (WC ONLY) (WC790W)
J1037 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Clear Health Alliance (CLEAR)
CLEAR Health Alliance Plan |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Clear Health Alliance 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 (Medicare Advantage) (85468MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Clear Spring Health of Illinois (EOBC) (66009) | Paper | N | |||||||||
|
|
|||||||||||
|
Clearwater (DCRSS)
Clearshare Health Clearwater Benefits Administrators DC Risk Solutions Trident Major Medical |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cleveland Browns (EOBC) (R23182) | Paper | N | |||||||||
|
|
|||||||||||
|
Clever Care Health Plan (84227)
CC168 Clever Care of Golden State Inc |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Clever Care Health Plan (Medicare Advantage) (84227MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Clinical Specialties Inc (CSI001) | Electronic | N | |||||||||
|
|
|||||||||||
| Clinicas Del Camino Real (CDCR1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Clover Health LLC (13285) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Clover Health LLC (Medicare Advantage) (13285MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| CM Administrators Inc (56211) | Electronic | N | |||||||||
|
|
|||||||||||
|
CNO (Remits Only) (ZP3600)
Resource Life Insurance Company (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Coach USA Attachments (WC Only) (J1272W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Coachella Valley Water District (CA) CORVEL Attachments (Auto only) (J1902A) | Electronic | Y | |||||||||
|
|
|||||||||||
| CoachellaMed (COMG1) | Paper | N | |||||||||
|
|
|||||||||||
| Coastal Administrative Services (CAS) (CAS89) | Electronic | P I | 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 No Attachments (WC Only) (A0565W)
J1038 |
Electronic | N | |||||||||
|
|
|||||||||||
| Coeur Plan Services (98653) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Coeur Plan Services, LLC (11854) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Collective Dialysis (36480) | Electronic | N | |||||||||
|
|
|||||||||||
| Collective Health Administrators (36479) | Paper | M | N | ||||||||
|
|
|||||||||||
|
Colonial Medical (Bermuda) (22284)
CG Atlantic Medical and Life Ltd |
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 Attachments (WC Only) (J1428W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Colorado Community Health Alliance (COCHA)
Colorado Community Health Alliance (CCHA) |
Electronic | N | |||||||||
|
|
|||||||||||
|
Colorado Community Health Alliance Attachments (JCOCHA)
A1072 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Colorado Health Insurance Cooperative Inc (49718) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Columbia Sportswear CORVEL Attachments (WC Only) (J4182) | Electronic | Y | |||||||||
|
|
|||||||||||
| COLUMBIA SUSSEX CORPORATION Attachments (WC Only) (WC792W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Columbine Health Plan (CHP02) | Electronic | N | |||||||||
|
|
|||||||||||
| Commerce and Industry Insurance Co (Remits Only) (05380) | Paper | N | |||||||||
|
|
|||||||||||
| Commercial Holdings LLC (EOBC) (R30023) | Paper | N | |||||||||
|
|
|||||||||||
| Commercial Risk Attachments (WC Only) (J4497) | Electronic | Y | |||||||||
|
|
|||||||||||
| Commercial Travelers/PHX (88091) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Commonwealth Care Alliance (CCA) (DOS 4/1/23 and after) (Medicare Advantage) (A2793MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Commonwealth Care Alliance CCA DOS 4/1/23 and after (A2793) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Commonwealth Health Alliance (CHA) (23171)
CHA Health |
Electronic | P | N | ||||||||
|
|
|||||||||||
| CommuniCare Advantage (34525) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Community Alliance Medical Group - Guidant (CAMG1) | Electronic | 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 Organization (39126) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Care Plan - Florida Healthy Kids (FHKC1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Care Plan (Broward Health PPUC) (BHPP1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Community Care Plan (Palm Beach District) (PBHD1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Community Claims Administration (26231)
Employee Benefit Administrators |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Community Eye Care (CECVP) | Electronic | N | |||||||||
|
|
|||||||||||
| Community Family Care Health Plan (CFCHP) | Electronic | N | |||||||||
|
|
|||||||||||
| Community Family Care IPA (NMM05) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community First Health Plan (COMMF) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Community First Health Plan (Medicaid Managed Care) (COMMFMC) | Electronic | 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 Health Plan of Washington (Medicaid Managed Care) (CHPWAMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Community Health Plan of Washington (Medicare Advantage) (CHPWAMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Community HealthFirst Medicare (CHF Medicare Advantage) (10421) | Paper | N | |||||||||
|
|
|||||||||||
|
Community Medical Group of the West Valley (CMGWV)
66121 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Community Preferred Healthcare (IHS28) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Comp West Attachments (WC Only) (J1925) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Comp West No Attachments (WC Only) (WX214)
J1925 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Companion Life (37322)
American Worker Health Plan Family |
Electronic | P I | 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 Attachments (WC Only) (J1829) | Electronic | Y | |||||||||
|
|
|||||||||||
| Compass Group USA Inc No Attachments (WC Only) (J1040W) | Electronic | N | |||||||||
|
|
|||||||||||
| Compass Group Usa, Inc. (MN, TX) [WC ONLY] (WC793) | Electronic | N | |||||||||
|
|
|||||||||||
| Compass Health Administrators (Remits Only) (45687) | Paper | N | |||||||||
|
|
|||||||||||
| CompIQ Solutions - Steadpoint (Remits Only) (ZP6222) | Paper | N | |||||||||
|
|
|||||||||||
|
Complementary HealthCare Plans (93101)
CHP01 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Complete Care Medical Associates (CCMA1)
Health Advantage MSO |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Complete Senior Care (R3485) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Complete Temp Labor (ALL States) (J1273W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Comprehensive Care Management Corp. (Z1152)
CCMC1 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| CompSource Mutual Attachments OK TX (WC Only) (J4431W) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| ComPsych (37363) | Electronic | M | N | ||||||||
|
|
|||||||||||
| Compusys Inc (COMPU) | Electronic | N | |||||||||
|
|
|||||||||||
| Comp-X Attachments (Auto Only) (J4652A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Comp-X Attachments (WC Only) (J4652W)
LV771 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| ComTon, Inc. (Remits Only) (TLX25) | Paper | N | |||||||||
|
|
|||||||||||
|
Concentrix Insurance Solutions (Z95754)
66869 10861 62359 68284 80624 Nassau Life Insurance Company of Kansas Nassau Life Insurance Company of Texas |
Paper | N | |||||||||
|
|
|||||||||||
|
Concierge (CAS01)
Concierge Administrative Services |
Electronic | N | |||||||||
|
|
|||||||||||
| Concierge HMO IPA (CHHMO) | Electronic | N | |||||||||
|
|
|||||||||||
|
Concordia Care Incorporated (33632)
Carisk Behavioral Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Conifer Attachments (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 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Connected Senior Care Advantage (AGL03) | Electronic | N | |||||||||
|
|
|||||||||||
| Connecticare - Medicare (Medicare Advantage) (78375MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| ConnectiCare Inc (06105) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Connecticare Medicare (78375)
Connecticare VIP Medicare Advantage |
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 | ||||||||
|
|
|||||||||||
|
Consociate Group (37135)
Employee Cosociate |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Consociate Group (Medicaid Managed Care) (37135MC) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Consociate Health (12132) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Consolidated Associates Railroad (75284) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Consolidated Tribal Health Project PRC (CTPRC) | Paper | N | |||||||||
|
|
|||||||||||
| Constitution Life Insurance Company (Remits Only) (Z95882) | Paper | N | |||||||||
|
|
|||||||||||
| Constitution State - Travelers (Z96249) | Electronic | N | |||||||||
|
|
|||||||||||
| Constitution State Services Attachments (WC Only) (J4180) | Electronic | Y | |||||||||
|
|
|||||||||||
| Constitution States (St. Paul Travelers) WC ONLY (WB102W) | Electronic | N | |||||||||
|
|
|||||||||||
| Consumers Choice Health SC (45321) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Container Graphics Corporation (08680) | Electronic | N | |||||||||
|
|
|||||||||||
|
CONTECH CONSTRUCTION PRODUCTS Attachments (WC Only) (WC803W)
J1041 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Contessa Health (CH201)
BSW Home Recovery Care LLC Contessa Health Management LLC Dignity Home Recovery Care LLC Henry Ford Home Recovery Care LLC Home Recovery Care One Gustave Levy Place LLC Penn State Home Recovery Care Prisma Health Home Recovery Care LLC Saint Thomas Home Recovery LLC |
Electronic | N | |||||||||
|
|
|||||||||||
|
Contessa Health - Security Health Plan (CH101)
99433 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Contigo Health (34158)
Blanchard Family Practice Clinic LLC Blanchard Valley Health System Bridgestone/Firestone (after 01/19/2015) Cincinnati Childrens Hospital Medical Center Cleveland Metropolitan School District Health Design Plus (Hudson, OH) Ohiohealth University Hospitals Wakemed |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Continenal Insurance Company No Atttachments (WC Only) (35289W)
C1056 |
Electronic | N | |||||||||
|
|
|||||||||||
|
CONTINENTAL AIRLINES Attachments (WC Only) (WC813W)
J1042 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Continental General Ins Co Medicare Supplement (10540) | Paper | N | |||||||||
|
|
|||||||||||
| Continental General Insurance Company - Medicare Supplement (Medicare Advantage) (13193MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Continental General Insurance Company (non-Medicare Supplement) (71404) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Continental General Insurance Company Medicare Supplement (13193)
American Retirement Life Insurance Company Central Reserve Life Insurance Company Medicare Supplement Great American Life Insurance Comp Medicare Supplement Loyal American Life Insurance Comp Medicare Supplement Provident American Life & Health Insurance Medicare Supplement Sterling Benefits Sterling Life United Teacher Assoc Ins Medicare Supplement |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Continental Western Ins Co (CWG) No Attachments (WC Only) (A0609W)
J1274 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Continental Western Ins Co (MN, TX) [WC ONLY] (A0609) | Electronic | Y | |||||||||
|
|
|||||||||||
| Continental Western Insurance (CWG) Attachments (WC Only) (J1274) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| 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) Attachments (WC Only) (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 Attachments (WC Only) (J1043W) | 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 Insurance CORVEL Attachments (WC Only) (J4123W)
CopperPoint Insurance - CORVEL (Employee Claims) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Copperpoint Mutual Insurance Attachments (Auto Only) (J2093A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Copperpoint Mutual Insurance Attachments (WC Only) (J2093W)
19416 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Core Benefits Inc. (COR01)
PHP TPA Services |
Paper | N | |||||||||
|
|
|||||||||||
|
Core Management Resources Group Inc (58231)
Mercer University Student Health Insurance Plan |
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 Benefit Administrators (Medicare Advantage) (35202MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Cornerstone Claims LLC (95557) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Cornerstone Hospice and Palliative Care (RP111)
Cornerstone Hospice and Palliative Care Inc. Good Shepherd Hospice Hernando-Pasco Hospice Hospice of Okeechobee LifePath Hospice |
Electronic | 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 | P I | 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 No Attachments (WC Only) (J1044) | Electronic | N | |||||||||
|
|
|||||||||||
|
Correctional Medical Services (43160)
Yescare |
Electronic | N | |||||||||
|
|
|||||||||||
|
CORRECTIONS CORP OF AMERICA Attachments (WC Only) (WC899W)
J1045 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Corrections Corporation of America (CCA) CORVEL Attachments (Auto only) (J1942A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corrections Corporation of America (CCA) CORVEL Attachments (WC only) (J1942W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corvel - All payers Attachments (Auto Only) (J4110A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corvel - All payers Attachments (WC Only) (J4110) | Electronic | Y | |||||||||
|
|
|||||||||||
| Corvel - All payers No Attachments (WC Only) (J4110W) | Electronic | N | |||||||||
|
|
|||||||||||
| Cottingham and Butler Equian Attachments (WC Only) (J2089) | Electronic | Y | |||||||||
|
|
|||||||||||
| Country Financial (Remits Only) (Z95705) | Paper | N | |||||||||
|
|
|||||||||||
| Country Financial Country Casualty Insurance Company CORVEL Attachments (Auto only) (J1684A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Country Financial Country Casualty Insurance Company CORVEL Attachments (WC only) (J1684W) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Country Financial Country Casualty Insurance Company CORVEL No Attachments (Auto Only) (20982A) | Paper | N | |||||||||
|
|
|||||||||||
| Country Financial Country Mutual Insurance Company CORVEL Attachments (Auto only) (J1702A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Country Financial Country Mutual Insurance Company CORVEL Attachments (WC Only) (J1702W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Country Financial Country Mutual Insurance Company CORVEL No Attachments (Auto Only) (20990A)
J1702 |
Paper | N | |||||||||
|
|
|||||||||||
|
Country Financial Country Mutual Insurance Company CORVEL No Attachments (WC Only) (20990W)
J1702 |
Paper | N | |||||||||
|
|
|||||||||||
|
Country Financial Country Mutual Insurance Company CORVEL No Attachments (WC Only) (23655W)
J1702 |
Paper | N | |||||||||
|
|
|||||||||||
| Country Financial Country Preferred Insurance Company CORVEL Attachments (WC only) (J1705W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Country Financial Country Preferred Insurance Company CORVEL No Attachments (Auto Only) (21008A)
J1705 |
Paper | N | |||||||||
|
|
|||||||||||
|
Country Financial Modern Service Casualty Insur Co CORVEL Attachments (Auto Only) (J1712A)
Modern Service Casualty Ins Co (TX, MN, CA, NC) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Country Financial Modern Service Casualty Insur Co CORVEL Attachments (WC Only) (J1712W)
Modern Service Casualty Ins Co (TX, MN, CA, NC) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Country Financial Modern Service Casualty Insur Co CORVEL No Attachments (Auto Only) (23655A)
J3760 |
Paper | P | N | ||||||||
|
|
|||||||||||
| Country Financial MSI Preferred Insurance Company CORVEL Attachment (WC Only) (J1591) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Country Financial MSI Preferred Insurance Company CORVEL Attachments (Auto Only) (J1591A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
|
Country Financial MSI Preferred Insurance Company CORVEL No Attachments (WC Only) (42951W)
J1591 |
Paper | N | |||||||||
|
|
|||||||||||
| Country Life Insurance Company (Eligibility Only) (62553) | Paper | E | 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) | Electronic | I | N | ||||||||
|
|
|||||||||||
| County Medical Services Program (CMSP) (AMM15) | Electronic | N | |||||||||
|
|
|||||||||||
| County of Alameda CA Attachments (WC Only) (J4570) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Fresno (AMM21) | Paper | P I | N | ||||||||
|
|
|||||||||||
| County of Humboldt Attachments (Auto only) (J1603A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Humboldt Attachments (WC only) (J1603W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Kern Attachments (Auto Only) (J1935A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| County of Kern Attachments (WC Only) (J1935) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles 1000 or ends in A or C Attachments (Auto only) (J1625A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles 1000 or ends in A or C Attachments (WC only) (J1625W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
County of Los Angeles 1000 or ends in A or C No Attachments (WC Only) (E4708)
J1625 |
Electronic | N | |||||||||
|
|
|||||||||||
| County of Los Angeles 2000 Attachments (Auto only) (J1722A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles 2000 Attachments (WC only) (J1722W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles 3000 or ends with C Attachments (Auto only) (J1967A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles 3000 or ends with C Attachments (WC Only) (J1967W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles 4000/5000 Attachments (Auto only) (J1723A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Los Angeles 4000/5000 Attachments (WC only) (J1723W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Sacramento - EMSF (AMM20) | Electronic | N | |||||||||
|
|
|||||||||||
| County Of Sacramento (EOBC) (WX305) | Paper | N | |||||||||
|
|
|||||||||||
| County of San Diego Attachments CA Only (WC Only) (J1513) | Electronic | Y | |||||||||
|
|
|||||||||||
|
County of Santa Barbara EWC Attachments (Auto only) (J1631A)
County of Santa Barbara EWC (All States)(Auto Only) County of Santa Barbara-CSAC (CA) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
County of Santa Barbara EWC Attachments (WC only) (J1631W)
County of Santa Barbara-CSAC (CA) |
Electronic | Y | |||||||||
|
|
|||||||||||
| County of Shasta (CA) Attachments (Auto only) (J1616A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Shasta (CA) Attachments (WC only) (J1616W) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Sonoma (CA) Attachments (WC Only) (J1662) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Tulare (CA) Attachments (Auto only) (J1666A) | Electronic | Y | |||||||||
|
|
|||||||||||
| County of Tulare (CA) Attachments (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 M | N | ||||||||
|
|
|||||||||||
| Covenant Mgmt Systems Employee Benefit Plan (CMSEB) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Covered California (CCA)- IEHP (IECCA) | Electronic | N | |||||||||
|
|
|||||||||||
| Covet Health (IHS21) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Covet Health (Remits Only) (R5029) | Paper | N | |||||||||
|
|
|||||||||||
| Cow Creek Band of Umpqua Tribe of Indians (CCBUTI) (98477) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Coworx Staffing Attachments (WC Only) (WC901W)
J1046 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Cox Health Plan (00019)
COMPdata Mail Handlers (ONLY FOR DOMAIN 137301) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Cox Health Plan (Medicare Advantage) (00019MA) | Electronic | E | 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 | |||||||||
|
|
|||||||||||
| Create (CREA8) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Creative Plan Administrators (Remits Only) (37320) | Paper | N | |||||||||
|
|
|||||||||||
| Creative Risk Funding (EOBC) (Z96000) | Paper | N | |||||||||
|
|
|||||||||||
|
Creative Risk Solutions Attachments (WC Only) (TP038W)
Creative Risk Solutions (Payer ID J1455) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Credit Systems International Inc (CSII) (Z96816) | Paper | N | |||||||||
|
|
|||||||||||
| Crescent Health Solutions (56213) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Crescent Health Solutions (Medicare Advantage) (56213MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Crescent Health Solutions (Subrogation Claims Only) (56213S) | Electronic | P I | 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 | |||||||||
|
|
|||||||||||
| Crown City Medical Group (CCMG) (MPM35) | Electronic | N | |||||||||
|
|
|||||||||||
|
Crum & Forster Indemnity Co Attachments (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 (No Attachments) (Auto Only) (A0471)
31348 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Crum ATHENS Attachments (WC Only) (J3728)
Crum and Forster |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| CSAA Insurance Company Attachments (Auto Only) (C1090A) | Electronic | Y | |||||||||
|
|
|||||||||||
| CSAA Insurance Group (Auto Only) (CCC) (J4530) | 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 Attachments NJ Only (Auto Only) (C1091A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| CuraeChoice (CC304) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Cure Auto Insurance Attachments NJ Only (Auto 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 Attachments (WC Only) (J4424) | Electronic | Y | |||||||||
|
|
|||||||||||
|
CVS Caremark (Remits Only) (Z1420)
Aetna RX (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| CVS Pharmacy (Caremark) Attachments (WC Only) (J3973) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| CVS Pharmacy (Caremark) No Attachments (WC Only) (WP151W) | Electronic | N | |||||||||
|
|
|||||||||||
| CVS Pharmacy Caremark (No Attachments) (Auto Only) (WP151A) | 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 Attachments TX Only (WC Only) (J1494) | Electronic | Y | |||||||||
|
|
|||||||||||
| Dameron Hospital Association (DHA17) | Electronic | N | |||||||||
|
|
|||||||||||
|
DANAHER CORPORATION Attachments (WC Only) (WP441W)
J1051 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Dans Prize (Attachments) (ND MN WI Only) (Auto Only) (J1683)
Hormel Foods (Attachments) (ND MN WI Only) (Auto Only) Jennie-O (Attachments) (ND MN WI Only) (Auto Only) Lloyds Barbeque (Attachments) (ND MN WI Only) (Auto Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Dans Prize Attachments ND MN WI (WC Only) (J1683W)
Hormel Foods Attachments ND MN WI (WC Only) Jennie-O Attachments ND MN WI (WC Only) Lloyds Barbeque Attachments ND MN WI (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Dans Prize No Attachments ND MN WI (Auto Only) (T2124A)
Hormel Foods No Attachments ND MN WI (WC Only) J1683 Jennie-O No Attachments ND MN WI (Auto Only) Lloyds Barbeque No Attachments ND MN WI (WC Only) |
Paper | N | |||||||||
|
|
|||||||||||
|
Dans Prize No Attachments ND MN WI (WC Only) (T2124W)
Hormel Foods No Attachments ND MN WI (WC Only) Jennie-O No Attachments ND MN WI (WC Only) Lloyds Barbeque No Attachments ND MN WI (WC Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Darigold Attachments (Auto Only) (J1936A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Darigold Attachments (WC Only) (J1936) | Electronic | Y | |||||||||
|
|
|||||||||||
| Davey Tree Expert Company (EOBC) (R38946) | Paper | N | |||||||||
|
|
|||||||||||
|
Davis Vision (V0QJA)
00157 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Dawson ISD Attachments (Auto Only) (J3929A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Dawson ISD Attachments (WC Only) (J3929W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
|
DCHS Medical Foundation (VMF01)
Northern Cal Advantage Medical Group Verity Medical Foundation |
Paper | P | N | ||||||||
|
|
|||||||||||
| De Bartolos Inc Attachments (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 | ||||||||
|
|
|||||||||||
| Dean Health Plan (Medicaid Managed Care) (39113MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Dearborn National (36123) | Paper | N | |||||||||
|
|
|||||||||||
| Decent (DECENT) | Electronic | N | |||||||||
|
|
|||||||||||
| Deductible Guard (36491) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Del Taco LLC CORVEL Attachments (Auto only) (J1681A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Del Taco LLC CORVEL Attachments (WC only) (J1681W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Delano IPA (77124) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Dell Childrens Health Plan (38261)
DCHP - TX MEDICAID |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Dell Inc CORVEL Attachments (Auto only) (J1983A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Dell Inc CORVEL Attachments (WC only) (J1983W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Delta County Indigent Health Care (EOBC) (R41996) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental - Nevada (10715) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental - Alabama (Eligibility Only) (10709) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental Ins. Co. - Florida (10710) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental Ins. Co. - Georgia (10711) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental Ins. Co. - Louisiana (10712) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental Ins. Co. - Montana (10714) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental Ins. Co. - Texas (10716) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Delta Dental Insurance Company (DDIC) (Remits & Eligibility Only) (94276)
Delta Dental Alabama Delta Dental Florida Delta Dental Georgia Delta Dental Louisiana Delta Dental Mississippi Delta Dental Montana Delta Dental Texas Delta Dental Utah |
Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Alaska (835 Enrollment Only) (DDAK1) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Arizona (86027) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Delta Dental of Arkansas (835 Enrollment Only) (DELAR) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Arkansas (AR) (CDAR1) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Delta Dental of California (10705) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of California (835 Enrollment Only) (77777) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Colorado (84056) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Delta Dental of Connecticut (10719) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Delaware (10720) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Delaware (835 Enrollment Only) (51022) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Idaho (ID) (82029) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Illinois (47589) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Delta Dental of Indiana (CDIN1)
DELTI |
Paper | E M | N | ||||||||
|
|
|||||||||||
| Delta Dental of Iowa (CDIA1) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Delta Dental of Iowa - Dental Wellness Gov Prog (835 Enrollment Only) (CDIAM) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Iowa (Remits Only) (R1707) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Kansas (KS) (CDKS1) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Delta Dental of Kentucky (CDKY1) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Maryland (10723) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Delta Dental of Maryland (835 Enrollment Only) (23166)
Delta Dental of Pennsylvania (835 Enrollment Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Massachusetts (MA) (DDLMA) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Michigan (835 Enrollment Only) (DELTA) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Michigan (Eligibility Only) (CDMI0) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Delta Dental of Minnesota (10725) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Minnesota (835 Enrollment Only) (CDMN1) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Missouri (Remits & Eligibility Only) (43090) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Missouri (Remits Only) (R43090) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of New Jersey (10727) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Delta Dental of New Jersey (835 Enrollment Only) (22189)
Delta Dental of Connecticut (835 Enrollment Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of New Mexico (835 Enrollment Only) (85022) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of New York (10729) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of New York (835 Enrollment Only) (11198) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of North Carolina (10730) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of North Carolina (56101) | Paper | E M | N | ||||||||
|
|
|||||||||||
| Delta Dental of North Dakota (10731) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Delta Dental of Northeast - Maine, NH, VT (Eligibility Only) (02027)
Northeast Delta |
Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Ohio (10732) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Delta Dental of Ohio (835 Enrollment Only) (CDOH1)
DELTO |
Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Oklahoma (11175) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Oklahoma (835 Enrollment Only) (CDOK1) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Oregon (OR) (CDOR1) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Pennsylvania (10733) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Puerto Rico (Remits Only) (66043) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Rhode Island (10734) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of South Carolina (Eligibility Only) (43091) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Tennessee (10735) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Tennessee (835 Enrollment Only) (CDTN1) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Virginia (10736) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Virginia (835 Enrollment Only) (54084) | Paper | N | |||||||||
|
|
|||||||||||
|
Delta Dental of Washington (835 Enrollment Only) (91062)
Washington Dental Services |
Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Washington D.C. (835 Enrollment Only) (52147) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Washington DC (10737) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Washington State (10738) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of West Virginia (Eligibility Only) (31096) | Paper | N | |||||||||
|
|
|||||||||||
| Delta Dental of Wisconsin (Eligibility and Remits Only) (39069) | Paper | E | N | ||||||||
|
|
|||||||||||
| Delta Dental of Wyoming (Eligibility and Remits) (CDWY1) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Delta Health Systems (94235)
DHS01 PS Health Plan |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| DeltaCare USA - Claims (10740) | Paper | E | N | ||||||||
|
|
|||||||||||
| Deltacare USA (835 Enrollment Only) (DDCA2) | Paper | N | |||||||||
|
|
|||||||||||
| Dental Benefit Providers (Z96290) | Paper | E | N | ||||||||
|
|
|||||||||||
| Dental Health and Wellness - Envolve Dental (Eligibility Only) (E46278) | Paper | N | |||||||||
|
|
|||||||||||
| Dental Health Services (90807) | Paper | N | |||||||||
|
|
|||||||||||
| Dental Management Administrators (Remits Only) (CX112) | Paper | N | |||||||||
|
|
|||||||||||
|
DentaQuest Dental (CX014)
Doral Dental of Wisconsin |
Paper | N | |||||||||
|
|
|||||||||||
|
DentaQuest Vision (63740)
EyeQuest |
Electronic | N | |||||||||
|
|
|||||||||||
| Dentegra (835 Enrollment Only) (C88888) | Paper | N | |||||||||
|
|
|||||||||||
| DENTI-CAL (MDDCA) | Paper | N | |||||||||
|
|
|||||||||||
|
Denver Health and Hospital Authority (84133)
Denver Health Medicaid Choice |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Denver Health and Hospital Authority Indigent Care (84134) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Denver Health Medical Plan (84135) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Denver Health Medical Plan - Medicare Choice (84131) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Denver Health Medical Plan - Medicare Choice (Medicare Advantage) (84131MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Denver Health Medical Plan Inc - Cofinity (65456) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Department of Energy (77103)
Division of Energy Employees Occupational Illness Compensation (DEEOIC) |
Electronic | N | |||||||||
|
|
|||||||||||
| Department of Energy Attachments (WC Only) (J1449W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Department of Labor Attachments (WC Only) (J1438W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Department of Labor Black Lung (77104)
Division of Coal Mine Workers' Compensation |
Electronic | N | |||||||||
|
|
|||||||||||
| Department of Labor Black Lung Attachments (WC Only) (J1448W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Department of Labor FECA (77044) | Electronic | N | |||||||||
|
|
|||||||||||
| Department of Water and Power of the City of Los Angeles (LADWP) Attachments CA Only (WC Only) (J1514) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Desert Medical Group (DESRT)
Desert Oasis Healthcare Oasis IPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Desert Oasis HealthCare (44006) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Desert Valley Medical Group (DVMC1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Detego Health (62599) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Devon Health (43471)
Inetico Inc Seminole Tribe of Florida |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Devoted Health Plans (DEVOT) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Devoted Health Plans (Encounters Only) (DVOTE) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Devoted Health Plans (Medicare Advantage) (DEVOTMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
DHMN - Preferred IPA Hospital Risk (DHM02)
California Hospital Medical Center Glendale Memorial Hospital Health Center Saint Marys Medical Center |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Dignity American Health Advantage of Louisiana (RP088) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Dignity Global (MPM27)
Calmed Global |
Electronic | N | |||||||||
|
|
|||||||||||
|
Dignity HCLA (MPM28)
Calmed HCLA |
Paper | N | |||||||||
|
|
|||||||||||
| Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group (PROH1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Dignity Health Medical Group - Inland Empire (PROH4) | Electronic | N | |||||||||
|
|
|||||||||||
|
Dignity Health Medical Network Santa Cruz (DHM01)
DHMN Santa Cruz |
Electronic | N | |||||||||
|
|
|||||||||||
| Dignity Medical Foundation Professional Capitated Non-Payment (PROHC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Diploma Joint Insurance Fund Attachments NJ Only (WC Only) (J3934W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
|
Direct Care Administrators (DCA62)
Health West Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
| Direct Pay Provider Network (Institutional WC Only) (J4155) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Direct Pay Provider Network Professional Attachments (WC Only) (J4156) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| DirectCare (55731) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Directory Distributing Assoc Attachments (WC Only) (WX039W)
J1059 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Discount Tire Attachments (Auto only) (J1611A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Discount Tire Attachments (WC only) (J1611W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Discover Re Burger King Attachments (WC Only) (WX040W)
J1060 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Discovery Insurance (ALL) (J1285W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Disneyland Resorts Attachments (WC Only) (J1933) | Electronic | Y | |||||||||
|
|
|||||||||||
| District No. 9, I.A. of M. & A. W. Welfare Trust (11098) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Diversified Administration (06102)
Mahoney Benefits |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Diversified Benefit Administration (DBA20) | Electronic | N | |||||||||
|
|
|||||||||||
|
DMBA (Deseret Mutual Benefit Administrators (Z1013)
Missionary Medical SX105 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
DME MAC A (DMEA)
DME MAC A - NHIC DMERC Region A |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
DME MAC B (DMEB)
DMERC Region B |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
DME MAC C (DMEC)
DME MAC C - Cigna Government Services DMERC Region C |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
DME MAC D (DMED)
DME MAC D - Noridian Administrative Services DMERC Region D |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Doctors Healthcare Plans (DRHCP) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Doctors Managed IPA (DMIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Doctors Professional Services Consultants DPSC (A6864) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Dollar General Attachments (WC Only) (J1012)
WC257 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Dolton Medical Group (DOLMG) | Electronic | N | |||||||||
|
|
|||||||||||
| Dominion National (Remits Only) (DOM01) | Paper | N | |||||||||
|
|
|||||||||||
| Donegal Mutual Insurance Company Attachments (Auto Only) (J4348A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Donegal Mutual Insurance Company Attachments (WC Only) (J4348) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Doral Dental Plan WI (10780)
DeCare Dental Health Insurance |
Paper | N | |||||||||
|
|
|||||||||||
| DoubleBee (ALL) (J1287W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Dreyer Medical Group (DREYR) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Driscoll Childrens Health Plan (DCHCH)
74284 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| DSW Inc Attachments (Auto Only) (J2273A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| DSW Inc Attachments (WC Only) (J2273) | Electronic | Y | |||||||||
|
|
|||||||||||
| DSW Inc No Attachments (WC Only) (E1319) | Electronic | N | |||||||||
|
|
|||||||||||
| Dunn and Associates Benefits Administrators Inc (35186) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Dunn-Edwards Corporation Attachments (WC Only) (WX042W)
J1061 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Dunn-Edwards Corporation No Attachments (WC Only) (J1061) | Electronic | N | |||||||||
|
|
|||||||||||
| Durex Industries (EOBC) (R39554) | Paper | N | |||||||||
|
|
|||||||||||
| Durham County NC Attachments (Auto Only) (J1994A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Durham County NC Attachments (WC Only) (J1994W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Dustrol Attachments All States Except CA, NM, NV (WC ONLY) (WX570W)
J1118 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Dynamex Inc Attachments (WC Only) (WX043W)
J1062 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Early Intervention Central Billing (36434) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
East Boston Neighborhood Pace (Z96204)
25849 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| East Boston Neighborhood Pace Medicare Advantage (Z96204MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| East LA Doctors Hospital (Medpoint) (MPM13) | Paper | N | |||||||||
|
|
|||||||||||
| East West Administrators (EWACA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Eastern Alliance (EA) Attachments (WC Only) (J2143)
LS249 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Eastern Alliance (EA) No Attachments (WC Only) (LS249) | Electronic | N | |||||||||
|
|
|||||||||||
| Eastern Iowa Community Healthcare (EICH) (23861) | Electronic | N | |||||||||
|
|
|||||||||||
| Easterseals Southern California Inc (ESSCA) | Electronic | N | |||||||||
|
|
|||||||||||
| Eastland Medical Group IPA (EMG11) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Eastman Kodak Company Attachments (Auto only) (J1903A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Easy Access Care IPA (EAIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Easy Care MSO LLC (ECMSO)
Beverly Hospital - Imperial Health Holdings Southern California Children's Healthcare Network |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Easy Choice Health Plan (Medicare Advantage) (Z95605MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Easy Choice Health Plan of California (Encounters Only) - ECHP (ECHP1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Eaton Corporation No Attachments MN TX Only (Auto Only) (A0577A)
J3269 |
Electronic | N | |||||||||
|
|
|||||||||||
| Eberle Vivian (EV001) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Eberle Vivian Attachments (WC Only) (J2199) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ebix Health Administration Exchange (55069) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Echo Health Remits Only (All Payers) (58379) | Paper | N | |||||||||
|
|
|||||||||||
| Edenbridge PACE of West Baltimore (R3491) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Edison Health Solutions (66456)
Kalos Health ResourceOne Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
| Edison Revolution (89425) | Electronic | N | |||||||||
|
|
|||||||||||
|
Edwards Claims Administration Attachments (WC Only) (J1204)
WB353 |
Electronic | Y | |||||||||
|
|
|||||||||||
| El Camino Health Alliance (ECL01) | Electronic | N | |||||||||
|
|
|||||||||||
|
El Camino Health Medical Network (S9637)
San Jose Medical Group Silicon Valley Medical Development |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| El Paso Community College TX JUR Attachments (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 Attachments (WC Only) (WC351)
J1017 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| El Pollo Loco Attachments (Auto only) (J1737A) | Electronic | Y | |||||||||
|
|
|||||||||||
| El Pollo Loco Attachments (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 | ||||||||
|
|
|||||||||||
| Elder Service Plan Of The North Shore Medicare Advantage (04326MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Elderhaus Inc (64192) | Paper | N | |||||||||
|
|
|||||||||||
|
Elderplan (31625)
HomeFirst - Elderplan NY |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Elderplan (Medicare Advantage) (31625MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
ElderServe Health Inc (05178)
RiverSpring Health Plans |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Elderwood Health (03964) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Electric Insurance Company Attachments MN NJ Only (Auto Only) (C1093A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Electric Insurance Company No Attachments (WC Only) (WX574) | Electronic | N | |||||||||
|
|
|||||||||||
| Electric Insurance/General Electric No Attachments MN NJ Only (Auto Only) (WX587A) | Electronic | N | |||||||||
|
|
|||||||||||
|
Electrical Welfare Trust Fund (EWTF) (30506)
IBEW Local 26 |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Electrical Welfare Trust Fund (Remits Only) (Z96127) | Paper | N | |||||||||
|
|
|||||||||||
| Electrical Workers Health and Welfare Trust Fund (Remits Only) (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 | |||||||||
|
|
|||||||||||
| Elite Physicians Group (EPG01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| 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 | ||||||||
|
|
|||||||||||
| Emanate Health previously Citrus Valley Health Partners CORVEL Attachments (Auto only) (J1613A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Emanate Health previously Citrus Valley Health Partners CORVEL Attachments (WC only) (J1613W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Emblem Dental (835 Enrollment Only) (11271)
Healthplex Inc (835 Enrollment Only) |
Paper | N | |||||||||
|
|
|||||||||||
|
EMC Attachments 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 Risk Services Attachments 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 | |||||||||
|
|
|||||||||||
|
EMC Risk Services Attachments MN OR TX Only (Auto 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 | |||||||||
|
|
|||||||||||
|
Emerald Health Network Inc (All PPO Business) (34167)
16755 Health Services Preferred (HSP) by Emerald Health Integrated Care Network (ICN) by Emerald Health |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Emergency Medical Services Fund (Z95401)
95600 |
Electronic | N | |||||||||
|
|
|||||||||||
| Emeritus Corporation Attachments (Auto Only) (J1679) | Electronic | Y | |||||||||
|
|
|||||||||||
| Emeritus Corporation Attachments (WC Only) (J1679WC) | Electronic | Y | |||||||||
|
|
|||||||||||
|
EMHS Employee Health Plan (16565)
Eastern Maine Healthcare System |
Electronic | N | |||||||||
|
|
|||||||||||
|
EMI Health (Z1011)
Educators Mutual Insurance EMIA SX110 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| EMI Health (Remits Only) (CX079) | Paper | 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 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) |
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 (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 I | N | ||||||||
|
|
|||||||||||
| Employee Resource Management TPA: Kempton Group (29979) | Electronic | N | |||||||||
|
|
|||||||||||
| Employee Security (10570) | 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) Attachments All states except ND OH WA WY (WC Only) (J1232)
Employers Assurance Company (All States) (WC Only) Employers Compensation Insurance Comp (All States) (WC Only) Employers Preferred Insurance Comp (All States) (WC Only) LV106 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Employer Insurance Group (EIG) Attachments All states except ND OH WA WY (WC Only) (J1232W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Employers Assurance Company Attachments All states except ND OH WA WY (WC Only) (J1232WC)
Employers Compensation Insurance Company (WC Only)(ALL States) Employers Preferred Insurance Company (WC Only)(ALL States) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Employers Choice (ECN) Attachments (Auto Only) (J3771A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Employers Choice (ECN) Attachments (WC Only) (J3771)
LS248 Novant Health Corporate Insurance Operations |
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 - Fully Insured (75235) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Employers Direct Health Employee Plan (75236) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Employers Direct Health Self Funded (75233) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Employers General Insurance Group No Attachments (Auto Only) (24147A)
J1696 |
Paper | N | |||||||||
|
|
|||||||||||
| Employers General Insurance Group No Attachments (WC Only) (24147W) | Paper | N | |||||||||
|
|
|||||||||||
| Employers Insurance Attachments All states except ND OH WA WY (WC Only) (J1912) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Employers Insurance Company of Nevada (No Attachments) (All state except ND OH WA WY) (WC Only) (WC151) | Electronic | N | |||||||||
|
|
|||||||||||
| Employers Mutual Casualty Attachments All states except CA NM NV (WC Only) (21407W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Employers Mutual Casualty Attachments Except CA NM NV (WC Only) (WX605W)
J1119 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Employers Mutual Casualty No Attachments All states except CA NM NV (WC Only) (WC157)
EMCASCO Insurance Co |
Electronic | N | |||||||||
|
|
|||||||||||
|
Employers Mutual Casualty No Attachments All States Except CA, NM, NV (WC Only) (WX614)
Employers Mutual Of Des Moines (TX ONLY) [WC ONLY] |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Employers Mutual Inc (59298)
Ascension Benefits |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Employers Mutual Inc (Stuart, Florida) (59331)
Ascension Benefits (Stuart, Florida) |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Empower 360 (IHS01)
PEOPLEONE HEALTH |
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 Insurance Brand No Attachments MN NJ NY OR TX Only (Auto Only) (WB279) | Electronic | N | |||||||||
|
|
|||||||||||
| Encompass Specialty Surgery Network Attachments (WC Only) (J2369) | Electronic | Y | |||||||||
|
|
|||||||||||
| Encompass Specialty Surgical Network (Remits Only) (Z96455) | Paper | N | |||||||||
|
|
|||||||||||
| Encompass Subsidiary of Allstate Attachments MN NJ NY OR TX Only (Auto Only) (C1049) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Encore Unlimited (ALL) (J1293W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Encova Insurance Attachments (WC Only) (J1761)
Brickstreet Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Encova Insurance Attachments (WC Only) (JSX067)
Brickstreet J1761 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Encova Insurance No Attachments (WC Only) (JSX067W)
J1761 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Encova Insurance No Attachments (WC Only) (SX067)
Brickstreet Workers Comp of West Virginia |
Electronic | N | |||||||||
|
|
|||||||||||
|
Enstar Attachments (WC Only) (J1499W)
Seabright (SBIC) (All States) (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Enterprise Group Planning (EGPIN) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Entrust (36878) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Envirosource Attachments (WC Only) (WX045W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Envolve Benefit Options (56190)
Envolve Vision OptiCare Eye Health Network |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Envolve Health (835 Enrollment Only) (46278) | Paper | N | |||||||||
|
|
|||||||||||
| Epic Assistance (49578) | Electronic | N | |||||||||
|
|
|||||||||||
| EPSI, Inc (11011) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Equian Attachments (WC Only) (J2090)
LS253 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| EquipmentShare.com Inc Attachments (WC Only) (J4445) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ergon Inc Attachments (Auto only) (J1952A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ergon Inc Attachments (WC only) (J1952W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Erie Family Life Insurance Company (Eligibility Only) (13284) | Paper | N | |||||||||
|
|
|||||||||||
| Erie Insurance (Medicare Supplement) (Z96486) | Paper | N | |||||||||
|
|
|||||||||||
|
Erie Insurance (No Attachments) (WC Only) (WB169W)
J1734 |
Electronic | N | |||||||||
|
|
|||||||||||
| Erie Insurance Attachments (Auto Only) (J1734A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Erie Insurance Attachments (WC Only) (J1734)
Erie Insurance Exchange Flagship City Insurance |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
ERMC Attachments (WC Only) (WR894W)
J1022 |
Electronic | Y | |||||||||
|
|
|||||||||||
| ES Beveridge and Associates (34108) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
ESIS Attachments (WC Only) (JTP043)
CQ200 |
Electronic | Y | |||||||||
|
|
|||||||||||
| ESIS Auto Attachments NJ Only (Auto Only) (C1080A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| ESIS First American Insurance Co Attachments (WC Only) (J1064W) | Electronic | Y | |||||||||
|
|
|||||||||||
| ESIS First American Insurance Co No Attachments (WC Only) (WX046W) | Electronic | N | |||||||||
|
|
|||||||||||
|
ESIS Insurance No Attachments (WC Only) (CQ200)
TP043 |
Electronic | N | |||||||||
|
|
|||||||||||
| ESIS Lockheed Martin Corporation Attachments (WC Only) (J1454W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Esperanza IPA (EIPA8) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Essence Healthcare (20818) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Essence Healthcare (Medicare Advantage) (20818MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Essential Benefit Administrators (Remits Only) (R33012) | Paper | 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 Attachments (Auto Only) (25712A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Esurance Insurance Company No Attachments (Auto Only) (WA057A) | Electronic | N | |||||||||
|
|
|||||||||||
| eternalHealth (RP037) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Everence (35605) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Everest (Remits Only) (Z96529)
Everest Reinsurance Company (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
|
Everest National Insurance No Attachments (WC Only) (WX666)
J2678 |
Electronic | N | |||||||||
|
|
|||||||||||
| Everest Reinsurance Company (11164) | Paper | E | N | ||||||||
|
|
|||||||||||
| Evernorth Network Services (62350) | Electronic | N | |||||||||
|
|
|||||||||||
| Everpointe (32052) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Eversana Life Science Services LLC (64300)
Triplefin LLC |
Electronic | N | |||||||||
|
|
|||||||||||
|
Evicore (62160)
MedSolutions Inc |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Evolent SOMOS Anthem NY (81508)
SOMOS IPA, LLC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Evolution Insurance Company Attachments (WC Only) (J1065W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Evolution Insurance Company No Attachments (WC Only) (WX048)
J1065 |
Electronic | N | |||||||||
|
|
|||||||||||
| 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 | ||||||||
|
|
|||||||||||
| EVV Anthem BCBS of Nevada (NVANT) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| EVV Health Plan Nevada UHC (NVHPN) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| EVV Molina Health Plan Nevada (NVMOL) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| EVV Silver Summit Health Plan Centene (NVSIL) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| EVV State of Nevada NVFFS (NVFFS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Exceedent LLC (22344) | Electronic | N | |||||||||
|
|
|||||||||||
| Excel MSO UHC PPO (EXC02) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Exclusive Care DOS 1/1/2023 and prior (EC999) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Exemplar Health Benefits Administrator (83383) | Electronic | N | |||||||||
|
|
|||||||||||
| Exemplar Health Insurance Company (54096) | Electronic | N | |||||||||
|
|
|||||||||||
|
Express LLC No Attachments (WC Only) (E1669W)
J3739 |
Electronic | N | |||||||||
|
|
|||||||||||
| ExxonMobil Corporation Attachments (Auto only) (J1606A) | Electronic | Y | |||||||||
|
|
|||||||||||
| ExxonMobil Corporation Attachments (WC only) (J1606W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
ExxonMobil No Attachments (WC Only) (E1008W)
J1606 |
Paper | N | |||||||||
|
|
|||||||||||
| Eye Specialist of AZ (BVES1) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Eyecare 2020 (2020E)
2020 Eyecare |
Electronic | N | |||||||||
|
|
|||||||||||
| EyeMed (31165) | Electronic | N | |||||||||
|
|
|||||||||||
| Eylea4u Commercial Copay Card Program (61461) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fabcon Attachments (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 | N | ||||||||
|
|
|||||||||||
|
Factory 2 U Attachments (WC Only) (WC431W)
J1019 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Fair Price (62956) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fairchild Fasteners Attachments (Auto only) (J1624A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fairchild Fasteners Attachments (WC Only) (J1624W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Fairfax County Government No Attachments (WC Only) (E8809)
J1884 |
Electronic | N | |||||||||
|
|
|||||||||||
| Fairview Health Services Attachments (Auto Only) (J1618A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fairview Health Services Attachments (WC Only) (J1618W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fairview Health Services No Attachments (WC Only) (E3110W) | Paper | N | |||||||||
|
|
|||||||||||
| Falling Colors (BHSD STAR) (FCC20) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Fallon Community Health Plan (SX072)
22254 Fallon Group Administrators Fallon Weinberg |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Fallon Community Health Plan (Medicare Advantage) (SX072MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Fallon Transplant Claims (FT254) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Falls Lake (All States)(WC Only) (J3681)
Stonewood Insurance Company |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Family Care (60995)
Community Care Inc. - Family Care (Wisconsin) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Family Care Medicaid DOS 08/01/12 and after (Z1323)
PHD01 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Family Care Specialists (FCS) (MPM40) | Paper | N | |||||||||
|
|
|||||||||||
|
Family Care Specialists IPA (FCS01)
Altais HMO ACN01 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Family Choice Medical Services (FCMS2) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Family Healthcare PACE (R3468) | Electronic | P I | 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 | P I | N | ||||||||
|
|
|||||||||||
| FAMSA Inc Attachments (Auto Only) (J1807A) | Electronic | Y | |||||||||
|
|
|||||||||||
| FAMSA Inc Attachments (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 Attachments (Auto Only) (J4167A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Farm Bureau Michigan Attachments (WC Only) (J4167)
LV139 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Farm Bureau Mutual Insurance Co of Michigan (Remits Only) (R22774) | Paper | N | |||||||||
|
|
|||||||||||
| Farm Bureau Property and Casualty Insurance Attachments MN Only (Auto Only) (J1853A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farm Bureau Property and Casualty Insurance Attachments MN Only (WC Only) (J1853W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farm Family (14140) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Farmers Attachments (Auto Only) (C1011A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Attachments (Auto Only) (C1100A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Farmers Civic Property and Casualty Co Attachments (Auto Only) (J1687A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Civic Property and Casualty Co Attachments (WC Only) (J1687W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Exact Property and Casualty Co Attachments (Auto Only) (J1703A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Exact Property and Casualty Co Attachments (WC Only) (J1703W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Fire Insurance Exchange Attachments (Auto only) (J1706A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Fire Insurance Exchange Attachments (WC Only) (J1706W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Farmers Insurance Attachments (Auto Only) (C1025)
Farmers Insurance (Auto Only) (All States) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Farmers Insurance Commercial (Commercial Only) Attachments (Auto 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 Attachments (WC Only) (J1563) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Farmers Insurance Exchange Attachments (WC ONLY) (J1563W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Insurance Group (MN Only) (Auto Only) (87726A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Farmers Insurance No Attachments (Auto Only) (WX722A)
C1025 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Farmers Mid Century Insurance Company Attachments (Auto only) (J1710A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Mid Century Insurance Company Attachments (WC Only) (J1710W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Mid Century Insurance Company No Attachments (WC Only) (J1710) | Paper | N | |||||||||
|
|
|||||||||||
| Farmers Neighborhood Spirit Property and Casualty Co Attachments (Auto only) (J1701A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Neighborhood Spirit Property and Casualty Co Attachments (WC only) (J1701W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Truck Insurance Exchange Attachments (Auto only) (J1713A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Farmers Truck Insurance Exchange Attachments (WC Only) (J1713W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Farmland Mutual Ins Co Attachments (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 Ins Co No Attachments (WC Only) (A0758)
Nationwide Agribusiness Companies (All States) (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| FCCI Attachments (WC Only) (J1830) | Electronic | Y | |||||||||
|
|
|||||||||||
| FCCI No Attachments (WC Only) (J1830W) | Electronic | N | |||||||||
|
|
|||||||||||
| FCE Benefit Administrators Inc (33033) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
FCS Administrators Attachments NY Only (WC Only) (J3933W)
LU706 |
Paper | P I | Y | ||||||||
|
|
|||||||||||
| Federal Mogul Attachments (Auto Only) (J2361A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Federal Mogul Attachments (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 Attachments (Auto Only) (13935A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Mutual Insurance Company Attachments (WC Only) (J13935W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Federated Mutual Insurance Company No Attachments (WC Only) (13935W)
Federated Reserve Insurance Co |
Electronic | N | |||||||||
|
|
|||||||||||
| Federated Rural Electric Ins Attachments Attachments (WC Only) (11118W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Services Insurance Company (WC Only) (All States) (J28304W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Federated Services Insurance Company Attachments (Auto Only) (28304A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Federated Services Insurance Company Attachments (WC Only) (28304W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Fenix Medical Group (60818) | Electronic | N | |||||||||
|
|
|||||||||||
| Fenyx Health (83309) | Electronic | N | |||||||||
|
|
|||||||||||
|
FFVA Mutual Insurance (Attachments) (AL FL GA IN KY MS NC SC TN VA Only) (WC Only) (J1909)
CB344 Florida Fruit & Vegetable Association (All States) (WC Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| FFVA Mutual Insurance Attachments AL FL GA IN KY MS NC SC TN VA Only (Auto Only) (J1909A) | Electronic | 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 E | N | ||||||||
|
|
|||||||||||
| Fidelis Care New York (Medicare Advantage) (11315MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Fidelity National Information Services No Attachments MN TX Only (Auto Only) (A0562) | Electronic | N | |||||||||
|
|
|||||||||||
| Fidelity Security Life Insurance (FSL01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
FinCor Attachments (WC Only) (J2200)
Coverys |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Fire Department City of New York (FDNYP)
Fire Department City of New York World Trade Center Health |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Fire Districts of NY Mutual Ins Attachments (WC Only) (J4128)
LV187 Rising Medical Solutions, Inc. |
Electronic | Y | |||||||||
|
|
|||||||||||
| Firefly Health (FRFLY) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Firefly Health Plan (FH205)
FH105 Flume Health Inc Phyton Talent Advisors LLC Savatree, LLC Vitori Health |
Electronic | P I E | 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 | |||||||||
|
|
|||||||||||
| Firemen's Insurance Company Attachments (WC Only) (J2196W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
First Agency (FSTAG)
88055 |
Paper | P I | 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 Next - Product of Select Health SC (With Attachments) (J57103) | Electronic | Y | |||||||||
|
|
|||||||||||
| First Choice VIP Care (SC - DSNP) (32456) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| First Choice VIP Care (SC - DSNP) (With Attachments) (J32456) | Electronic | Y | |||||||||
|
|
|||||||||||
| First Choice VIP Care Plus (77009) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| First Choice VIP Care Plus (With Attachments) (J77009) | Electronic | Y | |||||||||
|
|
|||||||||||
| First Community Health Plan (11222) | Paper | N | |||||||||
|
|
|||||||||||
| First Insurance Funding (EOBC) (R20008) | Paper | N | |||||||||
|
|
|||||||||||
|
First Managed Care Option Inc Attachments (Auto Only) (J3839A)
FIrst MCO |
Electronic | Y | |||||||||
|
|
|||||||||||
|
First Managed Care Option Inc Attachments (WC Only) (J3839W)
First MCO |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| First Managed Care Options (40270) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| First Medical Health Plan (Reform) (Z96252) | Electronic | N | |||||||||
|
|
|||||||||||
| First Medical Network (Z96298) | Paper | E | N | ||||||||
|
|
|||||||||||
| First Reliance Standard (68381) | Paper | E | N | ||||||||
|
|
|||||||||||
| First Responder Joint Insurance Fund Attachments NJ Only (WC 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 | M | N | ||||||||
|
|
|||||||||||
|
Firstcare (TH003)
94999 Baylor Scott and White Health Plan 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 Attachments (WC Only) (J1011W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Firstcomp No Attachments (WC Only) (J1011) | Electronic | N | |||||||||
|
|
|||||||||||
| FirstNation Health (65418) | Electronic | N | |||||||||
|
|
|||||||||||
| Fitness Forum Nautilus Inc (Remits Only) (Z95540) | Paper | N | |||||||||
|
|
|||||||||||
| FKI INDUSTRIES INC Attachments (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 | |||||||||
|
|
|||||||||||
|
FL MCO PHC/PHP (Medicare Advantage) (95411MA)
95411 |
Electronic | N | |||||||||
|
|
|||||||||||
| Flex Compensation (835 Enrollment Only) (R7004) | Paper | N | |||||||||
|
|
|||||||||||
| Flex Compensation Dental (10799) | Paper | E | N | ||||||||
|
|
|||||||||||
| Floor & Decor Attachments (Auto Only) (J3989A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Floor & Decor Attachments (WC Only) (J3989) | Electronic | Y | |||||||||
|
|
|||||||||||
| 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 Community Care (Medicaid Managed Care) (FLCCRMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Florida Complete Care (FLCPC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Florida Fruit and Vegetable Association Attachments (WC Only) (J1910W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Florida Health Administrators (86753) | Electronic | N | |||||||||
|
|
|||||||||||
| Florida Healthcare Plan (59322) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Florida Healthcare Plan (Medicare Advantage) (59322MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Florida Hospital VBR (VB001) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Florida Insurance Alliance Attachments (WC Only) (J3306) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Florida Pace Centers (FLPAC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Florida Sheriffs Risk Management Fund Attachments (WC Only) (J4065) | Electronic | Y | |||||||||
|
|
|||||||||||
| Florida Sheriffs Risk Management Fund No Attachments (WC Only) (J4065W) | Electronic | N | |||||||||
|
|
|||||||||||
| Florist Mutual Insurance Attachments (WC Only) (J1299W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Food Employers & Bakery Workers Benefit (Eligibility Only) (10776) | Paper | E | N | ||||||||
|
|
|||||||||||
| For Your Benefit (FYB01) | Electronic | N | |||||||||
|
|
|||||||||||
| Ford Development Corp (EOBC) (R2539) | Paper | N | |||||||||
|
|
|||||||||||
| Ford Motor Company Attachments (Auto Only) (J3793A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ford Motor Company Attachments (WC Only) (J3793W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Foremost Attachments 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 | ||||||||
|
|
|||||||||||
| Fox Everett (64069) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fox Valley Medicine (FVMCH) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Franchise Group Inc Attachments (Auto Only) (J4363A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Franchise Group Inc Attachments (WC Only) (J4363) | Electronic | Y | |||||||||
|
|
|||||||||||
| Franciscan Alliance Attachments (Auto only) (J1883A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Franciscan Alliance Attachments (WC Only) (J1883W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Franciscan Senior Health & Wellness (FSHW1) | Electronic | N | |||||||||
|
|
|||||||||||
| Frank Gates / Attenta (MN, TX) [WC ONLY] (WX856) | Electronic | N | |||||||||
|
|
|||||||||||
| Frankenmuth Mutual Attachments (Auto Only) (J1440A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Frankenmuth Mutual Attachments (WC Only) (J1440)
Ansur America Insurance Company |
Electronic | Y | |||||||||
|
|
|||||||||||
| Frankenmuth Mutual No Attachments (WC Only) (J1440W) | Electronic | N | |||||||||
|
|
|||||||||||
| Franklin Mutual Attachments NJ Only (WC Only) (J3297) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Frates Benefit Administrators (Remits Only) (CLFRS) | Paper | N | |||||||||
|
|
|||||||||||
| Freedom Claims Management (67136) | Electronic | N | |||||||||
|
|
|||||||||||
| Freedom Health Plan (41212) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Freedom Health Plan (Encounters Only) (41212E)
41212 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Freedom Health Plan (Medicaid Managed Care) (41212MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Freedom Health Plan (Medicare Advantage) (41212MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Freedom Life Insurance Company (62324)
US Health Group |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Fresno PACE (99660)
Innovative Integrated Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Fresno Police Officers Association No Attachments (WC Only) (WP982) | Electronic | N | |||||||||
|
|
|||||||||||
| Friday Health Plans (EOBC) (H0657) | Paper | N | |||||||||
|
|
|||||||||||
| Friedkin Companies Inc Attachments (Auto only) (J1984A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Friedkin Companies Inc Attachments (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 Coordinators (59204) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Frontier Direct (IHS14)
Asserta Health |
Electronic | N | |||||||||
|
|
|||||||||||
| FrontPath Health Coalition (34171) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| FSL Admin by KBA (11052) | Paper | E | N | ||||||||
|
|
|||||||||||
| Futurecomp Attachments (WC Only) (J3353) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
GAB Robbins Inc (No Attachments) (WC Only) (WX907W)
TP117 |
Electronic | N | |||||||||
|
|
|||||||||||
| GAB Robbins Inc Attachments (WC Only) (JTP117) | Electronic | Y | |||||||||
|
|
|||||||||||
|
GAB Robins For Van Tuyl Only Attachments (WC Only) (TP117)
GAB Robbins, Inc. |
Electronic | Y | |||||||||
|
|
|||||||||||
| Gain Auto & Personal Injury Attachments (Auto Only) (J4518A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Gain Auto & Personal Injury Attachments (WC Only) (J4518) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Gallagher Bassett Attachments (WC Only) (JTP057)
AIG Central WC AIG East WC AIG MCU AIG West WC Northern Adjusters Inc. Starr Indemnity & Liab Co. Wilton Adjustment Service Inc WX917 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Gallagher Bassett No Attachments (WC Only) (TP057) | Electronic | N | |||||||||
|
|
|||||||||||
| Gallagher Bassett No Attachments (WC Only) (WX913W) | Electronic | N | |||||||||
|
|
|||||||||||
| Galveston County Indigent Health Care (30005) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Garden Grove Unified School District Attachments CA Only (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 Attachments (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 E | 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 M | N | ||||||||
|
|
|||||||||||
| Gateway to Better Health - Encounters (43175) | Electronic | N | |||||||||
|
|
|||||||||||
| Gateway to Better Health - FFS (4317M) | Paper | N | |||||||||
|
|
|||||||||||
| GE Auto Attachments (Auto Only) (J1557) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| GE Auto Attachments (WC Only) (J1557W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Geico (Auto Only) (CCC) (J4562) | Electronic | Y | |||||||||
|
|
|||||||||||
| Geico Attachments (Auto Only) (J1747) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Geisinger Health Plan (75273) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Geisinger Health Plan (Medicare Advantage) (75273MA) | Electronic | 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 | ||||||||
|
|
|||||||||||
| General Motors Corporation (EOBC) (A0546) | Paper | N | |||||||||
|
|
|||||||||||
| General Parts International Attachments (Auto only) (J1678A) | Electronic | Y | |||||||||
|
|
|||||||||||
| General Parts International Attachments (WC only) (J1678W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Generations Healthcare (46050) | Electronic | P | 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 Attachments (WC Only) (J1461W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Georgia Casualty & Surety Co Attachments (WC Only) (J1304W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Georgia Health Advantage (31140) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Georgia Health Advantage (Medicare Advantage) (31140MA)
31140 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Georgia-Pacific Liability No Attachments (Auto Only) (A0059)
J3253 |
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 Attachments (Auto Only) (J1927A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Gillette Children's Specialty Healthcare Attachments (WC Only) (J1927) | Electronic | Y | |||||||||
|
|
|||||||||||
| Global 1 Colorado (G1COL) | Electronic | N | |||||||||
|
|
|||||||||||
| Global Benefits Group (68251) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Global Care Inc (07689)
Allied National Boulder Administrative Service Cypress Benefit Administration First Health Network Regional Care Inc Texicare Health UHSM Unite Health Share Ministries DOS 1/1/23 and after |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Global Care Medical Group IPA (MPM05) | Paper | 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)
12X59 |
Electronic | P I | 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 | N | |||||||||
|
|
|||||||||||
| Globe Life & Accident Insurance Company (Remits Only) (91472) | Paper | N | |||||||||
|
|
|||||||||||
| GMMI FEP (GMFEP) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
GMP Employers Retiree Trust (23641)
G. M. P. Employers Retiree Trust |
Electronic | P | 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 | ||||||||
|
|
|||||||||||
| Gold Kidney Health Plan (Medicare Advantage) (A6865MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Golden Bay Health Plan by NEMS (GBHP) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Golden Coast MSO (GCMSO) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| GOLDEN CORRAL CORPORATION (TX, MN) (WC Only) (WP553W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Golden Eagle Attachments (WC Only) (J1430) | Electronic | Y | |||||||||
|
|
|||||||||||
| Golden Physicians Medical Group (GPMG2) | Electronic | N | |||||||||
|
|
|||||||||||
| 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) |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Golden Shore Medical Group (GSMG) (NMM03) | Electronic | N | |||||||||
|
|
|||||||||||
|
Golub Corporation Attachments (WC Only) (J4322)
LV416 |
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 | P I | N | ||||||||
|
|
|||||||||||
| Good2go Insurance aka Personal Service Insurance Attachments NJ Only (Auto Only) (C1094A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Goodrich (All States) (WC Only) (J1462W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Goodwill Industries San Diego Attachments CA Only (Auto Only) (J1621) | Electronic | Y | |||||||||
|
|
|||||||||||
| Goodwill Industries San Diego Attachments CA Only (WC Only) (J1621W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Government Employees Health Association (GEHA) (Remits Only) (44054) | Paper | N | |||||||||
|
|
|||||||||||
| Grand River Insurance Attachments (Auto Only) (C1038A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grand River Insurance Attachments (WC Only) (J1566WC) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grand Valley Health Plan (95453) | Electronic | N | |||||||||
|
|
|||||||||||
|
Grange Mutual Casualty Company Attachment (WC Only) (14060W)
Grange Insurance Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Grange Mutual Casualty Company Attachments MN Only (Auto Only) (10322A)
Integrity Mutual Insurance Company (MN Only) (Auto Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Grange Mutual Casualty Company No Attachments (WC Only) (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 | ||||||||
|
|
|||||||||||
|
Gray Insurance Company (No Attachments) (WC Only) (WC134W)
J2316 |
Electronic | N | |||||||||
|
|
|||||||||||
| Great American Alliance Ins Co Attachments (WC Only) (26832W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Great American Assurance Co Attachments (WC Only) (26344W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Great American Assurance Co No Attachments (WC Only) (26344) | Electronic | N | |||||||||
|
|
|||||||||||
| Great American Ins Co Attachments (WC Only) (16691W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Great American Ins Co of NY Attachments (WC Only) (22136W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Great American Ins Co of NY No Attachments (WC 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 Attachments (WC Only) (J4116) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Great Divide Insurance Attachments (WC Only) (WC156)
25224 |
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 (Elig & Remits Only) (Z96477) | Paper | N | |||||||||
|
|
|||||||||||
| Great States Health IICT (GSHTX) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Great West Casualty Attachments (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)
99284 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Greater Newport Physicians IPA (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 Attachments (Auto only) (J1642A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Green Diamond WA Attachments (WC only) (J1642) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Green Diamond WA Attachments (WC only) (J1642W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grinnell Reinsurance Company Attachments TX MN IL Only (Auto Only) (J1571A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grinnell Reinsurance Company Attachments TX MN IL Only (WC Only) (J1571W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grinnell Reinsurance Company No Attachments TX MN IL Only (Auto Only) (14117A) | Paper | P | N | ||||||||
|
|
|||||||||||
| Grinnell Select Attachments TX IL MN Only (Auto Only) (J1541A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Grinnell Select Attachments TX IL MN Only (WC Only) (J1541) | Electronic | Y | |||||||||
|
|
|||||||||||
| Grinnell Select No Attachments TX MN IL Only (Auto Only) (16144A) | Paper | N | |||||||||
|
|
|||||||||||
| 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 Link (Indianapolis, Indiana) (CX015) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Group Management Services, Inc. (OBA16) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Group Marketing Services Inc (66701) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Group Resources (28680) | Electronic | N | |||||||||
|
|
|||||||||||
|
Gse Lining Technology Attachments (WC Only) (WX093W)
J1068 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Guarantee Trust Life Insurance Company GTL (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 Attachments (WC Only) (J1453)
Eastguard Insurance Company Attachments (WC Only) National Liability and Fire Insurance Company Attachments (WC Only) Norguard Insurance Company Attachments (WC Only) Westguard Insurance Company Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Guard No Attachments (WC Only) (A0706A) | Electronic | N | |||||||||
|
|
|||||||||||
|
Guardian Life Insurance Company of America (64246)
Guardian Life Insurance Co. of America Dental Guardian Retail Dental Claims |
Paper | N | |||||||||
|
|
|||||||||||
| Guidant Health Plan (GHP01) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Guidehealth (37105)
Amita HCI Network Amita Health Medical Care Group Arcadia Healthcare Solutions Hinsdale Physician Healthcare Progress Health Sage Technologies |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Guidehealth - IPG (11081)
Arcadia Healthcare Solutions - IPG |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Guidehealth NPA (36364)
Arcadia Healthcare Solutions NPA NorthShore Physician Associates DOS 1/1/23 and after |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| GuideOne Elite Insurance Attachments (Auto Only) (J1590A) | Electronic | Y | |||||||||
|
|
|||||||||||
| GuideOne Elite Insurance Attachments (WC Only) (J1590) | Electronic | Y | |||||||||
|
|
|||||||||||
|
GuideOne Elite Insurance No Attachments (WC Only) (42803W)
J1590 |
Electronic | N | |||||||||
|
|
|||||||||||
| GuideOne Mutual Insurance Attachments (Auto Only) (J1574A) | Electronic | Y | |||||||||
|
|
|||||||||||
| GuideOne Mutual Insurance Attachments (WC Only) (J1574) | Electronic | Y | |||||||||
|
|
|||||||||||
|
GuideOne Mutual Insurance No Attachments (WC Only) (15032W)
J1574 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Gulf Guaranty Employee Benefit Services (Remits Only) (Z96421)
Association Program Administrators, LLC Gulf Guarantee Employee Benefits |
Paper | N | |||||||||
|
|
|||||||||||
|
Gulf Guaranty/MedPlus (99943)
Association Program Administrators, LLC Employee Benefit Services Gulf Guarantee Employee Benefits Tokio Marin HCC / TMHCC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Gulf South Risk Services (60652) | Electronic | N | |||||||||
|
|
|||||||||||
| Gulf South Risk Services (A1) (60389) | Electronic | N | |||||||||
|
|
|||||||||||
|
Gulfquest Rennaissance (RENGQ)
Gulf Quest Rennaissance GulfQuest Regency/Rennaissance |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Guy Yocomo Construction Attachments (WC Only) (J3927W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| H & R Block Attachments (Auto Only) (J1672A) | Electronic | Y | |||||||||
|
|
|||||||||||
| H & R Block Attachments (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 | |||||||||
|
|
|||||||||||
| Halfax Regional Medical Center (EOBC) (R5569) | Paper | N | |||||||||
|
|
|||||||||||
| Halos Systems (HALOS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Hamaspik Choice (47738) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Hamaspik Choice (Medicare Advantage) (47738MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Hammerman & Gainer (97258) | Electronic | N | |||||||||
|
|
|||||||||||
| Hana Hou Medical Group (HHMG1) | Paper | N | |||||||||
|
|
|||||||||||
|
Hanover Insurance Company Attachments (Auto Only) (J1693A)
WP927 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Hanover Insurance Company Attachments (WC Only) (J1693W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Hanover Insurance Company No Attachments (WC Only) (WP927W)
J1693 |
Electronic | N | |||||||||
|
|
|||||||||||
| Hanover Lloyds Insurance Company Attachments (Auto Only) (J1588A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hanover Lloyds Insurance Company Attachments (WC Only) (J1588W) | Electronic | Y | |||||||||
|
|
|||||||||||
| HAP Caresource MI Health Link (Medicare-Medicaid Plan) (MIMCRCS1) (MIMR1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Harbor Health Plan (HARBR) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Harborview Claims (EOBC) (R4681) | Paper | N | |||||||||
|
|
|||||||||||
|
Harlandale ISD (EOBC) (A0060)
Harlandale Independent School District (EOBC) |
Paper | N | |||||||||
|
|
|||||||||||
| Harmony (HARM1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Harmony Health Plan (10514) | Paper | E | 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 Accident and Indemnity Comp Attachments (Auto Only) (C1046A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Casualty Insurance Company Attachments (Auto Only) (C1041A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Hartford Fire Insurance Company (All States) (Auto Only) (C1040A)
Hartford Ins Co Of Illinois Attachments (Auto Only) Hartford Ins Co of the Southeast Attachments (Auto Only) Pacific Insurance Company Ltd Attachments (Auto Only) Property & Casualty Co of Hartford Attachments (Auto Only) Sentinel Insurance Company Ltd Attachments (Auto Only) Trumball Insurance Company Attachments (Auto Only) Twin Cities Fire Insurance Co Attachments (Auto Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Hartford Fire Insurance Company No Attachments (Auto Only) (C1040)
Sentinel Insurance Company Ltd No Attachments (Auto Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (ALL) (Advanced Disposal Services ONLY) (J1313W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (ALL) (Alliant Tech Systems ONLY) (J1314W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (ALL) (Americold Logistics ONLY) (WC Only) (J1315W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (ALL) (Knowledge Learning Corporation ONLY) (WC Only) (J1316W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (ALL) (Scottsdale Healthcare Corp ONLY) (J1312W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (Pfizer, Inc. ONLY) (ALL) (WC Only) (J1317W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (Publix ONLY) (ALL) (J1318W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (QCS ONLY) (ALL) (WC Only) (J1319W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (Ruby Tuesday ONLY) (ALL States) (WC Only) (J1320W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (Stericycle ONLY) (ALL States) (WC Only) (J1321W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest (Wells Fargo ONLY) (ALL States) (WC ONLY) (J1322W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance Company of the Midwest Attachments (Auto Only) (C1043A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Insurance of the Midwest Wendys Arbys Only (WC Only) (J1323W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Life and Accident Attachments (Auto Only) (C1044A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Life and Annuity Attachments (Auto Only) (C1047A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Life Insurance Comp Attachments (Auto Only) (C1045A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hartford Underwriters Insurance Comp Attachments (Auto Only) (C1042A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Harvard Community Health Plan (04245)
Harvard Pilgrim Stride HMO |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Harvard Community Health Plan (Medicare Advantage) (04245MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Harvard Maintenance Attachments (WC Only) (J2388) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Harvard Pilgrim Health Care (04271)
HPHC Insurance Company |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Hasting Mutual (Remits Only) (R12345) | Paper | N | |||||||||
|
|
|||||||||||
| Hawaii Electricians Health and Welfare Fund (EOBC) (R14736) | Paper | N | |||||||||
|
|
|||||||||||
| Hawaii Employers Mutual Insurance HEMIC Attachments (WC Only) (J3907) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Hawaii Laborers' Health and Welfare Fund (Remits Only) (Z96567)
Pacific Administrators Inc (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
|
Hawaii Management Alliance Association (Honolulu) (48330)
Hawaii Medical Assurance Association (HMAA) HWMG ProService |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Hawaii Quest (Z96388) | Electronic | N | |||||||||
|
|
|||||||||||
| Hawkeye Attachments (WC Only) (J1426W) | Electronic | Y | |||||||||
|
|
|||||||||||
| HCA-Hospital Corporation of America Attachments (WC Only) (J1450) | Electronic | Y | |||||||||
|
|
|||||||||||
|
HCC Medical Services (HCCMI)
HCC Life Insurance |
Paper | P I | N | ||||||||
|
|
|||||||||||
| HCF Management Inc (EOBC) (R33856) | Paper | N | |||||||||
|
|
|||||||||||
|
HCMedNet/PHC (Z0007)
Preferred Health Care (HCMedNet/PHC) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| HCS - Health Claims Service (Boise, ID) (82018) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Headsup Healthcare Attachments (WC Only) (J4400) | Electronic | Y | |||||||||
|
|
|||||||||||
| Health & Welfare Benefit System (EOBC) (R2477) | Paper | N | |||||||||
|
|
|||||||||||
| Health 2 Business (55213) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Health Alliance Medical Plans of Illinois (77950)
HCH Administration |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Health Alliance Medical Plans of Illinois (Medicaid Managed Care) (77950MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health Alliance Medical Plans of Illinois (Medicare Advantage) (77950MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Health Alliance Plan of Michigan (38224)
Harbor Health Plan Medical Value Plan Ohio Trusted Health Plan Michigan |
Electronic | I E | N | ||||||||
|
|
|||||||||||
| Health Alliance Plan of Michigan (Medicare Advantage) (38224MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Health Benefits Plan (EOBC) (11026) | Paper | N | |||||||||
|
|
|||||||||||
| Health Care Facilities of Missouri Attachments (WC Only) (J3959) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Health Care LA IPA (MPM06) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Health Care Network of Wisconsin HCN (42102) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health Care Partners- AZ (HCP02) | Electronic | N | |||||||||
|
|
|||||||||||
| Health Choice Generations Utah (13054) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Health Choice Pathway (62180)
Healthchoice Generations |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health Choice Utah (45399) | Electronic | N | |||||||||
|
|
|||||||||||
|
Health Cost Solutions (62111)
HCS Correctional Management Wellpath Healthlink PPO MS Polymers William C. Beeler |
Electronic | P I M | N | ||||||||
|
|
|||||||||||
|
Health First Health Plans - National (95019)
15064 RP039 AdventHealth Advantage Plan Health First Health Plans Oscar |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Health First Health Plans - National (Medicare Advantage) (95019MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Health First Insurance (Eligibility Only) (10674) | Paper | E | N | ||||||||
|
|
|||||||||||
| Health Future LLC (30946) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health In Tech (IHS09) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Health Insurance Plan of Greater NY (HIP) (Medicare Advantage) (55247MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Health Insurance Plan of Greater NY HIP (55247)
Beth Israel IPA Emblem Health |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Health Net National (Z1378) | Paper | E | N | ||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| Health Net of California and Oregon (Medicare Advantage) (95567MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Health Net of the Northeast (Eligibility Only) (06108) | Paper | E | N | ||||||||
|
|
|||||||||||
|
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 Florida Therapy Network of Georgia |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health Network One (Medicaid Managed Care) (65062MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Health Network One (Medicare Advantage) (65062MA)
65062 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - Absolute Total Care SC (HAT02) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - BCBS NC (HBC01) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - CIGNA NC (HCI01) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - CIGNA SC (HCI02) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - HealthSpring NC (HHS01) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - HealthSpring SC (HHS02) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - Liberty Advantage (HLA01) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - MedCost NC (HMC01) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - MedCost SC (HMC02) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) - Select Health SC (HSH02) | Paper | P | N | ||||||||
|
|
|||||||||||
| Health Network Solutions (HNS) HealthTeam Advantage NC (HCC01) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Health New England (04286) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| Health New England (Medicare Advantage) (04286MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Health Partners - Minnesota (SX009)
07003 94267 Healthpartners Minnesota |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Health Partners - Minnesota (Medicaid Managed Care) (SX009MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health Partners - Minnesota (Medicare Advantage) (SX009MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Health Partners of Minnesota Dental (CX009) | Paper | N | |||||||||
|
|
|||||||||||
|
Health Partners PA (80142)
Health Partners Plans Jefferson Health Plans |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Health Partners PA (Medicaid Managed Care) (80142MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health Partners PA (Medicare Advantage) (80142MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Health Payer Consortium (82802) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Health Payment Systems, Inc. (20270) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Health Plan of San Joaquin (68035)
HPSJ2 San Joaquin Health Administrators |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Health Plan of San Joaquin (Medicaid Managed Care) (68035MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Health Plan of San Mateo (CA Medicaid MCO) (HPSM1)
Health Plans of San Mateo |
Paper | E | N | ||||||||
|
|
|||||||||||
| Health Plan of San Mateo (CA Medicaid MCO) (Medicare Advantage) (HPSM1MA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Health Plan of Upper Ohio Valley (HPOUV)
34150 95677 BEKAERT CORPORATION HomeTown Health Network Ohio The Health Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Health Plan of Upper Ohio Valley (Medicare Advantage) (HPOUVMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Health Plans Inc (44273)
Centurion LLC Healthplans Inc |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Health Right (52201) | Electronic | N | |||||||||
|
|
|||||||||||
| Health Services for Children with Special Needs (37290) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Health Services Management – HSM (41150) | Electronic | N | |||||||||
|
|
|||||||||||
| Health Share of Oregon (10823) | Paper | E | N | ||||||||
|
|
|||||||||||
| Health Share of Oregon CCO-Mental Health (77120) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Health Source MSO (HSMSO) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Health Special Risk Incorporated (65449) | Electronic | N | |||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| Health Spring, Inc (Medicare Advantage) (63092MA) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Health Texas Medical Group (HTHTX) | Electronic | N | |||||||||
|
|
|||||||||||
| Health Texas Medical Group (Medicare Advantage) (HTHTXMA) | Electronic | N | |||||||||
|
|
|||||||||||
| Health West Administrators (U7876) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthcare Associates of California (HAC01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthcare Highways Health Plan (HCHHP) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthcare in Action (MPM56) | Electronic | N | |||||||||
|
|
|||||||||||
|
Healthcare Management Admin (HMA) (HMA01)
Regence Group Administrators of Idaho |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| HealthCare Options (EPF37) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthcare Partners IPA /Heritage New York Medical Group (11328) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthcare Partners IPA /Heritage New York Medical Group (Medicare Advantage) (11328MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Healthcare Resources NW (56731) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthcare Service Group Inc (EOBC) (R36596) | Paper | N | |||||||||
|
|
|||||||||||
| Healthcare Solutions Group (Muskogee OK) (73147) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthcare Strategic Initiatives (HSICS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| HealthChoice Oklahoma (71064) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| HealthChoice Oklahoma Attachments (J71064) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Healthcomp West (DOS of 1/1/25 and After) (CCH25)
Community Care Health (DOS of 1/1/2025 and After) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| HealthCosmos Medical Group LLC (COSAZ) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| HealthCosmos of Nevada PLLC (COSNV) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| HealthCosmos of New Mexico LLC (COSNM) | Paper | P I | N | ||||||||
|
|
|||||||||||
| HEALTHe Exchange (10597) | Paper | E | N | ||||||||
|
|
|||||||||||
| HealthEdge Administrators (Bakersfield, CA) (95213) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
HealthEOS (HEOS)
Associates for Health Care, Inc. (AHC) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthequity Inc (Remits Only) (43700) | Paper | N | |||||||||
|
|
|||||||||||
|
Healthfirst - Tyler, TX (75234)
HealthFirst TPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthfirst New Jersey (10438) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Healthfirst of Austin (75289)
HEALTH FIRST TPA - AUSTIN |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
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 Neighborhood Health Providers and Suffolk Health Plan Senior Health Partners |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| HealthFirst of New York (Medicaid Managed Care) (80141MC) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| HealthFirst of New York (Medicare Advantage) (80141MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Healthgram Inc fka Primary PhysicianCare (56144)
Healthgram Inc |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Healthlink HMO (EOBC) (96475) | Paper | N | |||||||||
|
|
|||||||||||
|
Healthlink PPO/National Capital Preferred Provider Organization (NCPPO) (90001)
Correct Care J W Terrill Machinist District 9 Welfare/ UMMH |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthly Medical Group (HMG01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthmed IPA (MLHMI) | Electronic | N | |||||||||
|
|
|||||||||||
|
HealthNow New York (Z1093)
55204 |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| HealthPartners Attachments MN TN Only (WC Only) (44547W) | Electronic | Y | |||||||||
|
|
|||||||||||
| HealthPartners No Attachments MN TN Only (WC Only) (44547) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Healthpass (Remits Only) (Z3300)
Journi (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| HealthPlan of Nevada (10804) | Paper | E | N | ||||||||
|
|
|||||||||||
|
HealthPlus Managed Long Term Care (Z3001)
45302 Anthem Blue Cross and Blue Shield HP MLTC Empire Healthplus MLTC Integra MLTC, Inc. |
Electronic | N | |||||||||
|
|
|||||||||||
| Healthscope (40026) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Healthscope (with attachments) (J40026) | Electronic | Y | |||||||||
|
|
|||||||||||
| Healthsmart Accel (75237) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthsmart Attachments AL GA IL IN KY OH PA TN TX UT WA WV (WC Only) (J1481) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
|
HealthSmart Benefit Solutions (formerly MAA-Oklahoma) (37256)
Healthsmart Benefit Solutions HSBS Oklahoma City Mutual Assurance Administrators |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
HealthSmart Benefit Solutions (Klais and Company) (34145)
Klais and Company aka Health Smart |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| Healthsmart Benefit Solutions, Inc. (Medicare Advantage) (37283MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
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. New Life Medical Group, Inc. Noble Mid OC Orange County (Health Smart) Orange County Advantage Medical Group Paramount IPA 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 | ||||||||
|
|
|||||||||||
|
Healthsmart No Attachments AL GA IL IN KY OH PA TN TX UT WA WV (WC Only) (A0503W)
J1481 |
Electronic | N | |||||||||
|
|
|||||||||||
| HealthSmart Preferred Care Inc (75250) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthsource Provident (CIGNA) (68195) | Electronic | N | |||||||||
|
|
|||||||||||
| Healthspan Integrated Care fka Kaiser of Ohio (Elig Only) (HLTSPN) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Healthsun (HESUN)
Healthsun Health Plans |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthsun (Encounters Only) (HESUNE) | Electronic | P | N | ||||||||
|
|
|||||||||||
| HealthTeam Advantage HMO Diabetes and Heartcare Plan (88350) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Healthteam Advantage PPO (88250)
Tarrant Health Services DOS 7/1/2018 and after Teal Premier Medicare Advantage |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Healthways WholeHealth Networks (58213)
American Wholehealth Axia |
Paper | P | N | ||||||||
|
|
|||||||||||
| HealthWorX (98654) | Electronic | N | |||||||||
|
|
|||||||||||
| Healthy Blue Dual Advantage Louisiana (00551) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Healthy Blue Dual Advantage Louisiana (with Attachments) (J00551) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Healthy Blue Kansas (Medicaid and Medicare DSNP) (00047)
Community Care Health Plan of KS Kansas |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Healthy Blue Louisiana (58532)
00661 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Healthy Blue Louisiana (with Attachments) (J58532) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Healthy Blue Missouri (00541) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthy Blue Missouri (with Attachments) (J00541) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Healthy Blue North Carolina (00602) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Healthy Blue North Carolina (Medicare Advantage) (00602MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Healthy Blue North Carolina (with Attachments) (J00602) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Healthy Blue South Carolina Attachments (DOS 12/31/2023 and prior) (JZ1258) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Healthy Indiana Plan (HIP) (Z95667) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Healthy Mississippi (99914) | Electronic | N | |||||||||
|
|
|||||||||||
| Healthy Palm Beaches (95827) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Healthy Valley Provider Network (HVPNI) | Electronic | N | |||||||||
|
|
|||||||||||
| Healthy York Network (22251) | Electronic | N | |||||||||
|
|
|||||||||||
|
Heartland Express Attachments (Auto Only) (A0306)
J1677 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Heartland Express Attachments (Auto Only) (J1677A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Heartland Express Attachments (WC Only) (A0306W)
J1677 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Heartland Express Attachments (WC Only) (J1677W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Heartland Health and Wellness Fund (Remits Only) (31604) | Paper | N | |||||||||
|
|
|||||||||||
| Heartland National Life Insurance Company (Eligibility Only) (Z96312) | Paper | E | N | ||||||||
|
|
|||||||||||
| HEB Grocery Company Attachments (WC Only) (J2223) | Electronic | Y | |||||||||
|
|
|||||||||||
| Help At Home Holdings Attachments (WC Only) (J1985W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 Attachments (Auto Only) (J4085A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Hennepin County Claims Admin Attachments (WC Only) (J4085) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Hennepin Health (60058)
Metropolitan Health Plan 10850 MHP Northstar |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Heraya Health (HRYA1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Hereford ISD Attachments (WC Only) (J2342) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Heritage Consultants (59230) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Heritage Group Attachments (WC Only) (J1069W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Heritage Victor Valley Medical Group (VVMG1)
30862 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Heritage Vision Plans (96462) | Electronic | N | |||||||||
|
|
|||||||||||
| Hertz Rent A Car Attachments (WC Only) (WZ140) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hetrick-Drake Associates Attachments (WC Only) (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)
95393 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| High Desert PACE (HDP01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Highline Medical Service Organization-Molina (HMSO) (91164)
Independent Clinics of Washington |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Highline Medical Service Organization-Molina (HMSO) (Medicaid Managed Care) (91164MC) | 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 Health Options Duals (47183) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Highmark Health Options West Virginia (RP118) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Highmark Senior Health Company (15460)
Freedom Blue |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Highmark Senior Health Company (Medicare Advantage) (15460MA) | Electronic | 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 Marin Health 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 | |||||||||
|
|
|||||||||||
| Hilmar Cheese Company (EOBC) (E1263) | Paper | N | |||||||||
|
|
|||||||||||
| Hilmar Cheese Company Attachments (WC Only) (J1833) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Hinge Health (HINGE) | Electronic | N | |||||||||
|
|
|||||||||||
| Hipp Temporary Skills Attachments (WC Only) (J1327W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hispanic Physicians IPA (HPIPA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Hispanic Physicians IPA Fee For Service Only (HPFFS) | Electronic | P | N | ||||||||
|
|
|||||||||||
| HM Care Advantage Admin by KBA (11053) | Paper | E | N | ||||||||
|
|
|||||||||||
|
HMA Hawaii (86066)
Hawaii Mainland Administrators HMA HMA AZ Verdegard Administrators |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
HMC HealthWorks (75318)
HMC HealthWorks aka Health Management Co |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| HMSHost Attachments (Auto Only) (J1612A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| HMSHost Attachments (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 Attachments (WC Only) (WX104W)
J1070 |
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 |
Paper | N | |||||||||
|
|
|||||||||||
| Homelink (30750) | Electronic | N | |||||||||
|
|
|||||||||||
| Homelink Attachments (Auto Only) (J3932A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Homelink Attachments (WC Only) (J3932) | Electronic | Y | |||||||||
|
|
|||||||||||
| Homelink HealthPartners (55744) | Electronic | N | |||||||||
|
|
|||||||||||
| Hometown Health Plan Nevada (88023) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Hometown Health Plan Nevada (Medicare Advantage) (88023MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Honest Medical Group (Remits Only) (HONMG)
MNO Reach - MI LLC |
Paper | N | |||||||||
|
|
|||||||||||
| Hope Select Care PACE (R3499) | Electronic | N | |||||||||
|
|
|||||||||||
| Hopkins Health Advantage (66003) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Horace Mann Educators Corporation Attachments (Auto Only) (CCC) (J4532) | Electronic | Y | |||||||||
|
|
|||||||||||
| Horace Mann Educators Corporation Attachments (WC Only) (J4157) | Electronic | Y | |||||||||
|
|
|||||||||||
| Horace Mann Life Insurance (HMLIC) | Paper | P | N | ||||||||
|
|
|||||||||||
| Horizon Casualty Services Attachments 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 - SCION Attachments (Remits Only) (HNJ01) | Paper | N | |||||||||
|
|
|||||||||||
| Horizon NJ Health (Medicaid Managed Care) (22326MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Horizon Pace (R4569) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Horizon Pace (EOBC) (R6306) | Paper | N | |||||||||
|
|
|||||||||||
| Horizon Valley Medical Group (HVMG1) | Electronic | N | |||||||||
|
|
|||||||||||
| Hortica Florist Mutual Insurance Attachments (WC Only) (13978W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hospital Housekeeping Systems Attachments (WC Only) (J2274) | Electronic | Y | |||||||||
|
|
|||||||||||
| Household Merch NNI Attachments (WC Only) (J1071) | Electronic | Y | |||||||||
|
|
|||||||||||
| Howard County Government MD Attachments (Auto Only) (J1888A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Howard County Government MD Attachments (WC Only) (J1888W) | Electronic | Y | |||||||||
|
|
|||||||||||
| HPI Vanderbilt (IHS22) | Electronic | N | |||||||||
|
|
|||||||||||
| HPMC - Preferred IPA (HPMC - PMG) (10910) | Electronic | 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 | N | ||||||||
|
|
|||||||||||
| Hughes Resources Attachments (WC Only) (J1328W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Hughes Tool Company Attachments (WC Only) (WX106W)
J1072 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Human Behavior Institute (HBI01) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Humana (61101)
American Eldercare Author By Humana (6/1/2022 and after) Cariten Healthcare Cariten Senior Health Humana Behavioral Health - Lifesynch Humana Choice Care Claims (Cincinnati, OH) Humana MCR Gold Choice Humana of Florida Humana Oklahoma Healthy Horizons Sooner Care Humana Veterans 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 (Encounters Only) (61102) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Humana (Medicaid Managed Care) (61101MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Humana (Medicare Advantage A) (61101MAA) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Humana (Medicare Advantage B) (61101MB) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Humana (Medicare Advantage HMO) (6110116) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Humana (Medicare Advantage) (61101MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Humana (Subrogation Claims Only) (61101S) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Humana Attachments (J61101) | Electronic | Y | |||||||||
|
|
|||||||||||
| Humana Attachments (Medicare Advantage) (J61101MA) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 Inc Attachments (WC Only) (J1918) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Humana Long Term Care (61115)
American Eldercare, Inc |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Humana of Florida (FLHUMA) | Paper | M | N | ||||||||
|
|
|||||||||||
|
Humana Puerto Rico (Z90019)
Humana Medicare Puerto Rico L0200 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Humana Specialty Benefits (Remits Only) (CX021)
CompDent |
Paper | N | |||||||||
|
|
|||||||||||
|
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 Attachments MN TX Only (Auto Only) (J1626A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Hutchinson Technology Attachments MN TX Only (WC Only) (J1626W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Hutchinson Technology No Attachments MN TX Only (WC Only) (E4889W)
J1626 |
Electronic | N | |||||||||
|
|
|||||||||||
|
I E Shaffer and Co (22174)
22175 |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
IAC Life (30360)
Individual Assurance Company Life |
Electronic | N | |||||||||
|
|
|||||||||||
| IAS Admin Remits Only (All Payers) (IASADM) | Paper | N | |||||||||
|
|
|||||||||||
|
IBA Self Funded Group (38234)
IBA Health Plan & PHP |
Electronic | P | N | ||||||||
|
|
|||||||||||
| IBEW Local 309 Health and Welfare Fund (09751) | Paper | N | |||||||||
|
|
|||||||||||
|
IBEW Local One Health and Welfare (Mental Health) (44602)
IBEW Local 1 Health and Welfare |
Electronic | 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) CORVEL Attachments (Auto Only) (J3747A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ichahn Automotive Group (Pep Boys & AutoPlus) CORVEL Attachments (WC Only) (J3747) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| iCircle Care (ICRCL) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| ICW Insurance Co of the West Attachments (WC Only) (27847) | Electronic | Y | |||||||||
|
|
|||||||||||
|
ICW Insurance Co of the West Attachments (WC Only) (WZ291W)
27847 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
ICW Insurance Co of the West No Attachments (WC Only) (WP976)
27847 |
Electronic | N | |||||||||
|
|
|||||||||||
| IdentityMSO (Remits Only) (Z96574) | Paper | N | |||||||||
|
|
|||||||||||
| IEC Group - AmeriBen (97661) | Electronic | N | |||||||||
|
|
|||||||||||
| IHG Direct (75274) | Paper | P | N | ||||||||
|
|
|||||||||||
|
IL Fornaio (America) Corp (ALL States) (WC Only) (WZ250W)
J1329 |
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 Midwest Insurance (EOBC) (WZ251) | Paper | N | |||||||||
|
|
|||||||||||
| Illinois Physicians Alliance IPA (IPA99) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
illumifin Corporation (26119)
American Insurance Administrators (AIA) Bankers Reserve/Wellcare Combined Insurance Company of America Companion Life Insurance Company Forethought Life Insurance Company Liberty Bankers Life Insurance Company Shenandoah Life Insurance Company Standard Life and Casualty Insurance Company Thrivent Western Catholic Union |
Electronic | N | |||||||||
|
|
|||||||||||
|
IMA Inc BIC Line of Business (Z96149)
64556 |
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)
ICPMG |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Imperial Health Holdings Medical Group (IHHMG) | Electronic | N | |||||||||
|
|
|||||||||||
| Imperial Health Plan of California (IHP01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Imperial Health Plan of California Inc (Medicare Advantage) (IHP01MA) | Electronic | 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 | |||||||||
|
|
|||||||||||
| Imperial Insurance Company of Nevada (IEXNV) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Imperial Insurance Company of Utah (IEXUT) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
IMS - Trialcard (56155)
IMS-TC JANSSEN CAREPATH SAVINGS PGRM Xeomin Patient Copay Program Zarxio Medical Copay Program |
Electronic | N | |||||||||
|
|
|||||||||||
| IMT Attachments (WC Only) (J3930W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
|
IMX Easy (86070)
Hawaii Mainland Administrators PHCS HMA Employees PMO Verdegard Administrators |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
IN Physician Associates (INPA1)
Innovative Management Systems MSO (IMS) |
Paper | N | |||||||||
|
|
|||||||||||
|
In Physician Associates - ACTY (INP12)
All Care to You MSO |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| IncentiCare (18151) | Paper | P I | N | ||||||||
|
|
|||||||||||
| INDECS Corporation (40585) | Paper | 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 Blue Cross Personal Choice/Blue Card (Medicare Advantage) (54704MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Independence Medical Group (MHM01) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Independent Care Health Plan (Z1044)
11695 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Independent Care Health Plan (Medicare Advantage) (Z1044MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Independent Health (SX073)
95308 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Independent Health (Medicare Advantage) (SX073MA) | 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)
35600 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Indiana Farmers Mutual CORVEL Attachments (WC Only) (J3960) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Indiana Insurance Attachments (WC Only) (J1425)
CQ821 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Indiana Lumbermen Indianapolis Attachments (WC Only) (J1330W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Indiana Lumbermen Indianapolis Attachments (WC Only) (WX107W) | Electronic | Y | |||||||||
|
|
|||||||||||
| 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 | ||||||||
|
|
|||||||||||
| Ingham Health Plan Corporation (38343) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ingles Markets Attachments (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 Empire Health Plan (IEHP1)(Medicare Advantage) (IEHP2MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Inland Faculty Medical Group (MV Medical) (Encounters Only) (MVMM2) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Inland Health Organization (IHO) (IHORG) | Electronic | N | |||||||||
|
|
|||||||||||
| Innermark TPA (98481) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
InnovAge (31182)
Total Community Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Innovation Health (40025) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Innovative Claim Solutions ICS Rancho Cordova Attachments (Auto Only) (J1599A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Claim Solutions ICS Rancho Cordova Attachments (WC Only) (J1599W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Claim Solutions ICS San Ramon Attachments (Auto Only) (J1601A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Claim Solutions ICS San Ramon Attachments (WC Only) (J1601W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Innovative Integrated Health, Inc. (IIHPO) | Electronic | N | |||||||||
|
|
|||||||||||
| Innovative Partners LP (32324) | Electronic | N | |||||||||
|
|
|||||||||||
| Innovative Physician Associates (80087) | Electronic | N | |||||||||
|
|
|||||||||||
| Inservco Attachments (Auto Only) (J3948A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Inservco Attachments (WC Only) (J3948) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Inservco No Attachments (WC Only) (CB619)
J3948 |
Electronic | N | |||||||||
|
|
|||||||||||
| Inspira Health Network Life (R3482) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Instamed Integrated Remits (All payers) (INSTA) | Paper | N | |||||||||
|
|
|||||||||||
| Insurance Administrative Solutions - ICL (Remits Only) (ZP1071) | Paper | N | |||||||||
|
|
|||||||||||
| Insurance Administrators of America Inc (IAA) (37279) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Insurance Company of North America (Eligibility & Remits Only) (Z98840) | Paper | E | N | ||||||||
|
|
|||||||||||
| Insurance Company State of Pennsylvania Attachments (WC Only) (J1331W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Insurance Design Administrators (13315) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Insurance Design Administrators (IHS16) | Electronic | 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)
ISL11 |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Insurance Systems Inc (Z4402)
11889 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Insurance TPA (39182)
InsuranceTPA.com International Funding Ltd |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Insure Max Attachments (Auto Only) (CCC) (J4585) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Insurers Administrative Corporation (86304)
EBIX Health Administration Exchange IAC01 Independence Holding Company (IHC) |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Intact Insurance Attachments (WC Only) (20621) | Electronic | Y | |||||||||
|
|
|||||||||||
| Intact Insurance Attachments (WC Only) (20621W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Intact Insurance No Attachments (Auto Only) (WC526A)
C1026 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Intact Insurance No Attachments (WC Only) (WC526)
20621 |
Electronic | N | |||||||||
|
|
|||||||||||
| 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. |
Electronic | 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 Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Integrated Health Partners (IHP) (MPM26) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Integrated Home Health Services (IHCS1) | Electronic | 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 Attachments (WC Only) (14303W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Inter Valley Health Plan (Fee-For-Service Only) (95325) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Interactive Medical Systems (87765)
56132 Tillium Health Resources |
Electronic | N | |||||||||
|
|
|||||||||||
| Intercare Insurance Services Attachments (WC Only) (J1542) | Electronic | Y | |||||||||
|
|
|||||||||||
| Intercare Insurance Services No Attachments (WC Only) (WZ299W) | Electronic | N | |||||||||
|
|
|||||||||||
| Intergroup Services Corporation (23287) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Interinsurance Exchange Automobile Club Attachments (Auto Only) (J1810A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Interinsurance Exchange Automobile Club Attachments (WC Only) (J1810W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Interlock Metal Sales Attachments (WC Only) (J1332W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Intermountain Health from Healthcare Partners (20501)
HealthCare Partners of Nevada |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Intermountain Healthcare Attachments (Auto Only) (J2243A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Intermountain Healthcare Attachments (WC Only) (J2243W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
International Benefit Administration (12277)
11329 IBA AFSLIC International Benefit Administrator |
Electronic | N | |||||||||
|
|
|||||||||||
| International Brotherhood of Boilermakers (Formerly Boilermakers National Health & Welfare Fund) (36609) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| International Casing Group Attachments (WC Only) (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 No Attachments (WC Only) (WZ317)
J2795 |
Electronic | N | |||||||||
|
|
|||||||||||
| InterWest Health (84137) | Electronic | N | |||||||||
|
|
|||||||||||
|
INTotal Health (RP114)
INTotal Health Medicaid MCO |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Iowa Health Advantage (RP075) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Iowa Health Solutions (86068) | Electronic | N | |||||||||
|
|
|||||||||||
| Iowa Holdings Attachments (WC Only) (J1334W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Iowa Screening Program (HSMBS) | Electronic | N | |||||||||
|
|
|||||||||||
| IPMG Claims Management Services Attachments (WC Only) (JJ1887) | Electronic | Y | |||||||||
|
|
|||||||||||
| IPMG Claims Management Services No Attachments (WC Only) (J1887) | Electronic | N | |||||||||
|
|
|||||||||||
| IPS Sage 1 (SAGE1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| IQVIA (15060) | Electronic | N | |||||||||
|
|
|||||||||||
|
Irex Corporation Attachments (WC Only) (WX108W)
J1074 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Iron Road Healthcare fka UPREHS (87042)
Union Pacific Railroad Employees |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Iron Workers District Council of New England (Remits Only) (ZP4791) | Paper | N | |||||||||
|
|
|||||||||||
| Ironworking Contract IP Attachments (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 Attachments (WC Only) (J1911)
Carolina Mutual Insurance Inc |
Electronic | Y | |||||||||
|
|
|||||||||||
| IU Health Transplant Evaluation Program (47262) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
IWIF Attachments (WC Only) (J1908)
LS250 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
J B Hunt Transport Inc Attachments (WC Only) (WC327W)
A0138 |
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 | |||||||||
|
|
|||||||||||
| Jefferson Health Plans New Jersey Medicare Advantage PPO (NJ099) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Jefferson Health Plans Pennsylvania Medicare Advantage PPO (RP099)
Partners Insurance Company Medicare PPO |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Jencare Medical (JCARE) | Electronic | N | |||||||||
|
|
|||||||||||
| Jericho Share (IHS02) | Electronic | N | |||||||||
|
|
|||||||||||
| JFP Benefit Management Inc (Remits Only) (03519) | Paper | N | |||||||||
|
|
|||||||||||
| JI Specialty Services Attachments (WC Only) (J1006W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| JI Specialty Services No Attachments (WC Only) (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 M | N | ||||||||
|
|
|||||||||||
| Johns Hopkins Home Care Group (JHHCG) | Electronic | N | |||||||||
|
|
|||||||||||
|
Johnston & Associates NO Attachments (WC Only) (J4455W)
Johnston & Associates, OccuSure Claims Services (All States) (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Johnston & Associates OccuSure Claims Services Attachments (WC Only) (J4455) | Electronic | Y | |||||||||
|
|
|||||||||||
| Johnstone Supply Inc (EOBC) (R41644) | Paper | N | |||||||||
|
|
|||||||||||
|
Jones Truck Lines Inc Attachments (WC Only) (WX110W)
J1076 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Jordan Valley Senior Care (98471) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| JP Farley Corporation (34136) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JPS Health Network (Z2600)
75604 |
Electronic | N | |||||||||
|
|
|||||||||||
| JUDI Health (JUDIH) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Juvenile Jail Facility Management Attachments (WC Only) (WX111W)
J1077 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
JVHL - Aetna Better Health of MI Coventry/Omni (Lab Claims Only (Z1280)
JVHL - Omnicare Health Plan (Lab Claims Only) J8 |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
JVHL - Aetna Better Health Premier Plan (000M5)
M5 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - Aetna U.S. Healthcare (Lab claims Only) (Z1281)
J1 |
Electronic | N | |||||||||
|
|
|||||||||||
|
JVHL - Amerihealth Caritas VIP Care Plus (JVHL Network) (Lab Claims Only) (Z96239)
MD |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - BCBS MI Medicare Plus Blue (Lab Claims Only) (000KC)
KC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - BCN Critical Access Small Volume (000MJ)
MJ |
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)
J9 |
Electronic | N | |||||||||
|
|
|||||||||||
|
JVHL - Blue Care Network (Reimbursable Labs) (Lab Claims Only) (Z1298)
JQ |
Paper | N | |||||||||
|
|
|||||||||||
|
JVHL - Blue Cross Complete (JVHL Network) (Lab Claims Only) (Z96231)
KP |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - CIGNA (Health Partners) (Lab Claims Only) (Z96238)
JVHL - HEALTH PARTNERS (JVHL Network) (LAB CLAIMS ONLY) KQ |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - Cigna (Non-HAP and CIGNA-HAP) (Lab Claims Only) (Z96234)
JVHL - Cigna (Non-HAP Members) (Lab Claims Only) KD |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - Community Care Associates (HealthChoice) (Lab Claims Only) (Z1297)
JVHL - Healthchoice (Lab Claims Only) JW |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
JVHL - Genesee County Health Plan (Lab Claims Only) (Z1295)
MB |
Electronic | N | |||||||||
|
|
|||||||||||
| JVHL - HAP ASR (Lab Claims Only) (000MR) | Electronic | N | |||||||||
|
|
|||||||||||
|
JVHL - HAP Empowered Midwest (Lab Claims Only) (Z1285)
JB JVHL - Midwest Health Plan (LAB CLAIMS ONLY) |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
JVHL - Health Alliance Plan (Capitated Contracts) (Lab Claims Only) (Z1290)
JG |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
JVHL - Health Alliance Plan FFS (Lab Claims Only) (Z1356)
JH |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
JVHL - Humana (JVHL Network) (Lab Claims Only) (Z96232)
KV |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - McLaren Health Plan) (Lab Claims Only) (Z96233)
K7 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
JVHL - Meridian Health Plan of MI/Health Plan MI (Lab Claims Only) (Z1292)
J2 JVHL - Health Plan of Michigan (LAB CLAIMS ONLY) |
Electronic | I | 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 - UM Health Plan (Lab Claims Only) (000MN)
JVHL - Physicians Health Plan (Lab Claims Only) |
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 (Labs Only) (JVHL0) | Electronic | N | |||||||||
|
|
|||||||||||
| JWF Specialty Attachments (Auto Only) (J3800A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
JWF Specialty Attachments (WC Only) (J3800W)
LV481 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Kaiser - Self Funded (94320)
SelfFunded KPICHarrington |
Electronic | N | |||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan No Attachments (WC Only) (A0066W)
J2811 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of Colorado (00277)
91617 RH003 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Colorado (Medicare Advantage) (00277MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of Georgia (21313)
RH008 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Georgia (Medicare Advantage) (21313MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of Hawaii (94123)
Kaiser Foundation Health Plan of Hawaii (DHMO Choice) |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of Northern CA Region (94135)
RH009 |
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 Northern CA Region (Medicare Advantage) (94135MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Southern California (94134) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Kaiser Foundation Health Plan of Southern California (Medicare Advantage) (94134MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Kaiser Foundation Health Plan of the Mid-Atlantic States (52095)
KS008 RH010 |
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 E | 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 Health Plan of Washington (Medicare Advantage) (91051MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Kaiser Foundation of the Northwest OR & WA Only (93079)
NW002 RH002 |
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 | |||||||||
|
|
|||||||||||
|
KAMG Hospital (GSH02)
Good Samaritan Hospital - KAMG |
Electronic | N | |||||||||
|
|
|||||||||||
| Kane County IPA (KCIPA) | Electronic | N | |||||||||
|
|
|||||||||||
| Kansas City Life Insurance (Remits Only) (44030) | Paper | N | |||||||||
|
|
|||||||||||
| Kansas Construction Trades Fringe Benefit Fund (Remits Only) (R0066) | Paper | N | |||||||||
|
|
|||||||||||
|
Kansas Health Advantage (71066)
Kansas Superior Select |
Electronic | N | |||||||||
|
|
|||||||||||
| Karen Ann Quinlan Memorial Foundation (EOBC) (R14579) | Paper | N | |||||||||
|
|
|||||||||||
| Katy Medical Claims (81812) | Electronic | N | |||||||||
|
|
|||||||||||
| Kaweah Delta Medicare Advantage (IP084) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| KB Medical Practice PC - Empire Medical Practice PC (35463) | Electronic | P | N | ||||||||
|
|
|||||||||||
| KCI Holdings USA Attachments (WC Only) (J1078W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Keenan & Associates (KEE01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Keenan & Associates No Attachments (Auto Only) (WZ437A)
J1498 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Keenan & Associates No Attachments (WC Only) (WZ437)
J1498 Keenan & Associates |
Electronic | N | |||||||||
|
|
|||||||||||
| Keenan and Associates Attachments (WC Only) (J1498) | Electronic | Y | |||||||||
|
|
|||||||||||
| Keenan Associates (CA) (95279) | Electronic | N | |||||||||
|
|
|||||||||||
| Kellermeyer Building Services Inc (EOBC) (R40286) | Paper | N | |||||||||
|
|
|||||||||||
| Kellogg Companies Attachments (Auto Only) (J1803A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Kellogg Companies Attachments (WC Only) (J1803W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Kelly Services (ESIS) Attachments (WC Only) (J1451W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Kelsey-Seybold (KELSE)
Kelsey Seybold Medical Group KS Plan Administrators LLC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kemper Preferred (Auto Only) (MN Only) (C1030A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Kempton Company (73100)
Kempton Group Administrators |
Paper | P I E | N | ||||||||
|
|
|||||||||||
|
Ken Davis Industries Inc. (TX, MN) (WC Only) (WX113W)
J1079 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Kenosha County (WMMIC) (ALL States) (J1336W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Kentucky AGC Self Insurers Fund (Remits Only) (Z98843) | Paper | N | |||||||||
|
|
|||||||||||
| Kentucky Employers Mutual Insurance KEMI Attachments (Auto Only) (J3680A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Kentucky Employers Mutual Insurance KEMI Attachments (WC Only) (J3680W)
CQ834 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Kentucky Employers Mutual Insurance KEMI No Attachments (WC Only) (J3680) | Electronic | N | |||||||||
|
|
|||||||||||
|
Kentucky Health Administrators (KHA) (82357)
Quilt Benefits |
Electronic | N | |||||||||
|
|
|||||||||||
|
Kentucky League of Cities Attachments (WC Only) (J4701)
LV291 |
Electronic | Y | |||||||||
|
|
|||||||||||
| 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)
Kern Family Health Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kern Legacy Health Plan (89890) | Electronic | N | |||||||||
|
|
|||||||||||
| Kerry Holding Co No Attachments (Auto Only) (J2275A) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Kerry Holding Co No Attachments (WC Only) (J2275) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Keurig Dr Pepper Inc CORVEL Attachments (Auto Only) (J4364A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Keurig Dr Pepper Inc CORVEL Attachments (WC Only) (J4364) | Electronic | Y | |||||||||
|
|
|||||||||||
| Key Benefit Administrators (Indianapolis, IN) (37217) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Key Gap (Remits Only) (35317) | Paper | N | |||||||||
|
|
|||||||||||
|
Key Health Medical Solutions Inc (95460)
KHMSI |
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 Attachments (WC Only) (J1521) | Electronic | Y | |||||||||
|
|
|||||||||||
| Key Risk Management Services LLC No Attachments (WC Only) (J1521W) | Electronic | N | |||||||||
|
|
|||||||||||
| Key Select (37321) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Key Solution (37323)
Key Benefit Administrators |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| KeyCare (MD) (KCMD1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Keystone First - CHIP (30070) | Electronic | P | 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 (fka Keystone Mercy) (With Attachments) (J23284) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Keystone First Community HealthChoices (42344)
Keystone First CHC |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Keystone First VIP Choice (77741) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Keystone First VIP Choice (Medicare Advantage) (77741MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Keystone First VIP Choice (With Attachments) (J77741) | Electronic | Y | |||||||||
|
|
|||||||||||
| Keystone Health Plan Central (7415) | Electronic | N | |||||||||
|
|
|||||||||||
|
Keystone Health Plan East (7417)
Keystone Health Plan East 95056 Keystone Health Plan East Small Group HMO Bronze Basic Off Exchange - QCH Prefix Keystone Health Plan East Small Group HMO On Exchange - YXZ Prefix Keystone Health Plan East Small Group 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 E | N | ||||||||
|
|
|||||||||||
| KG Administrative Services (KGA15) | Electronic | N | |||||||||
|
|
|||||||||||
| Kidzpartners (EOBC) (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 | |||||||||
|
|
|||||||||||
| Kingdom Legacy Benefits (KLB) (59184) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kirkland's Inc Attachments (WC Only) (J1614) | Electronic | P | Y | ||||||||
|
|
|||||||||||
|
Kirkland's Inc No Attachments (WC Only) (E1061)
J1614 |
Electronic | N | |||||||||
|
|
|||||||||||
| KISX Card LLC (83313) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Kitsap Physician Services (Eligibility Only) (10341) | Paper | E | N | ||||||||
|
|
|||||||||||
| Klyre Payments Network (RP132) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Koan Risk Solutions (65871) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Koch Foods Inc Attachments (Auto Only) (J1986A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Koch Foods Inc Attachments (WC Only) (J1986W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Kohl's Department Stores (EOBC) (A0602) | Paper | N | |||||||||
|
|
|||||||||||
| Kopp Billing Agency (RP091) | Electronic | N | |||||||||
|
|
|||||||||||
| Korean American Medical Group (AMM24) | Electronic | N | |||||||||
|
|
|||||||||||
| Kova Healthcare Inc (KOVA1) | Electronic | N | |||||||||
|
|
|||||||||||
| KSKJ Life (Remits & 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 (Remits Only) (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 I | 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 Attachments VA Only (WC Only) (J3808) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Landmark Healthcare (Z1067)
LNDMK |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Landry's CORVEL Attachments (Auto only) (J1889A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Landry's CORVEL Attachments (WC only) (J1889W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Landstar Bco Wc Program Attachments (WC Only) (WX125)
J1080 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Lane County Attachments OR Only (Auto only) (J1987A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Las Vegas FireFighters Health & Welfare Trust (77684) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| LaSalle Medical Associates (LSMA2) | Electronic | P I | 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 Attachments (WC Only) (J1998) | Electronic | Y | |||||||||
|
|
|||||||||||
| League of Minnesota Cities Insurance Trust Attachments (WC Only) (J1527W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| 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 | ||||||||
|
|
|||||||||||
| LFP Corporation Attachments (Auto only) (J1650A) | Electronic | Y | |||||||||
|
|
|||||||||||
| LFP Corporation Attachments (WC only) (J1650W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
LHS Government Operations (17380)
Lucent Government Operations |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Liberty Advantage (LIB01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Liberty Dental Plan (CX083)
Liberty Dental Plan, Inc. |
Paper | E M | N | ||||||||
|
|
|||||||||||
| Liberty Mutual (WC Only) (All States) (5974) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Liberty Mutual Attachments (Auto Only) (C1058)
LS521 LS746 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Liberty Mutual Attachments (WC Only) (33600W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Liberty Mutual Attachments (WC Only) (J33600W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Liberty Mutual Medicare Advantage Attachments (Auto Only) (C1058MA)
C1058 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Liberty Mutual No Attachments (Auto Only) (C1058A)
LS746 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Liberty Mutual No Attachments (WC Only) (WZ119)
33600 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Liberty Mutual No Attachments (WC Only) (WZ626W)
33600 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Liberty Mutual No Attachments (WC Only) (WZ635W)
33600 |
Electronic | N | |||||||||
|
|
|||||||||||
| Liberty National Life Insurance Company (Remits Only) (65331) | Paper | N | |||||||||
|
|
|||||||||||
| Life & Health Ins Co of America (NFL Plan Only) (Z0069) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Life Armstrong DOS 11/1/24 and after (R3476)
D E Huddleston Inc. VieCare Life Armstrong |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Life Beaver PACE DOS 11/1/24 and after (R3475)
VieCare Life Beaver and Life Lawrence Counties |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Life Butler DOS 11/1/24 and after (R3477)
VieCare Life Butler |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| LIFE Pittsburgh (25181) | Electronic | N | |||||||||
|
|
|||||||||||
| Life St. Francis (R3473) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Life Time Inc CORVEL Attachments (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 | |||||||||
|
|
|||||||||||
| LifePrint (Medicare Advantage) (LIFE1MA) | Paper | N | |||||||||
|
|
|||||||||||
| Lifeshield National Insurance (47865) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Lifestyle/Medova Health Plans (Remits Only) (27005)
Medova Healthcare |
Paper | N | |||||||||
|
|
|||||||||||
|
Lifetime Benefit Solutions (Remits Only) (EBSRM)
EBSRMSCO (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Lifewell Health Plans (Remits only) (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 E | N | ||||||||
|
|
|||||||||||
|
Limited Benefit Group Supplemental (89486)
Bay Bridge Administrators Supplemental Health Plan |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Lincoln Financial (Eligibility & Remits Only) (Z96304) | Paper | E | N | ||||||||
|
|
|||||||||||
| Lincoln Heritage Life Insurance (Eligibility & Remits Only) (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 CORVEL Attachments (Auto Only) (J2172A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Lineage Logistics Holdings LLC CORVEL Attachments (WC Only) (J2172) | Electronic | Y | |||||||||
|
|
|||||||||||
| Link Snacks (Jacks Links) CORVEL Attachments (WC only) (J2133W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Linkia - Aetna (Z1428) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Linkia - Cigna (Z1416) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Linkia - HealthNet of CA (Z1500) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Linkia - UHC (Z96075) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Linkia - UHC - Community (Z96161) | 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 (EOBC) (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 | ||||||||
|
|
|||||||||||
|
Loma Linda University Adventist Health Sciences Center (37267)
Loma Linda University Behavioral Medicine Center Employee Health Plan Loma Linda University 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 (33036) | Electronic | P I | 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 LoneStar TPA |
Electronic | N | |||||||||
|
|
|||||||||||
| Long Beach Unified School District Attachments (WC Only) (J1515) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Long Island RR New York MTA CORVEL Attachments (WC Only) (J4185)
E7100 |
Electronic | P I | 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 | E | 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 | |||||||||
|
|
|||||||||||
| Los Angeles County Development Authority CORVEL Attachments (Auto only) (J1655A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Los Angeles County Development Authority CORVEL Attachments (WC only) (J1655W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Louis Padnos Iron and Metal (EOBC) (R41961) | Paper | N | |||||||||
|
|
|||||||||||
| Louisiana Department of Corrections (LADOC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Louisiana Health Exchange (Eligibility Only) (10830) | Paper | E | N | ||||||||
|
|
|||||||||||
| Louisiana State University CORVEL Attachments (Auto only) (J1953A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Louisiana State University CORVEL Attachments (WC Only) (J1953W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Louisiana Workers' Compensation Corp (LWCC) Attachments (WC Only) (J1547) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Louisiana Workers' Compensation Corp (LWCC) No Attachments (WC Only) (J1547W) | Electronic | N | |||||||||
|
|
|||||||||||
| Lower Kusokwim School District (56756) | Electronic | N | |||||||||
|
|
|||||||||||
| Lowes Attachments CA IL LA MN NC OR TX (WC Only) (J1465W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Lowes No Attachments CA IL LA MN NC OR TX (WC Only) (WB189)
J1465 |
Electronic | N | |||||||||
|
|
|||||||||||
| Loyal American Life Ins Co- Medicare Supplement (Eligibility Only) (Z90025) | Paper | E | N | ||||||||
|
|
|||||||||||
| Loyola Physician Partners (37175) | Paper | P I | N | ||||||||
|
|
|||||||||||
| LSG Sky Chefs International Attachments (WC Only) (WX127W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Luba Casualty Insurance Comp Attachments LA TX Only (WC Only) (J1341) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Luba Casualty Insurance Comp No Attachments LA TX Only (WC Only) (WB237W)
J1341 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Lucent Health - California (68011)
Capitol Administrators |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Lucent Health - North America Administrators NAA (65085)
Lucent Health Narus Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Lumbermen's Underwriting (Auto Only) (23108) | Electronic | N | |||||||||
|
|
|||||||||||
| Lumbermen's Underwriting Alliance (All States) (Auto Only) (J1899A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
|
Lumbermen's Underwriting Alliance (WC Only) (TX,MN,CA,IL,LA Only) (J1540)
Lumbermen's Underwriting Alliance |
Electronic | Y | |||||||||
|
|
|||||||||||
| Lumbermen's Underwriting Alliance Attachments CA Only (WC Only) (J1899) | 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) PHP TPA Services 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) Wellstar Health Plan |
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 | ||||||||
|
|
|||||||||||
| Lummi Indian Business Council (PRC) (LUMMI) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Lutheran Preferred (MP330) | Electronic | N | |||||||||
|
|
|||||||||||
| Lutheran Services Carolinas (LSC01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| LutheranAdvanced PPO (89643) | Electronic | N | |||||||||
|
|
|||||||||||
| LWP Claims Solution Inc Attachments (WC Only) (J2322) | Electronic | Y | |||||||||
|
|
|||||||||||
| LYNX (All States) (Auto only) (J1949A) | Electronic | Y | |||||||||
|
|
|||||||||||
| LYNX (All States) (WC only) (J1949W) | Electronic | Y | |||||||||
|
|
|||||||||||
| M&M Transport Attachments (WC Only) (J1342W) | Electronic | Y | |||||||||
|
|
|||||||||||
| M3TPA LLC (M3TPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MAC J3 Regional Remits - Part A Only (AZ, MT, ND, SD, UT, WY) (Z1348) | Paper | N | |||||||||
|
|
|||||||||||
| Mackinaw Administrators Attachments (WC Only) (J1343W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mackinaw Oakland County Attachments (WC Only) (J1344W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
MacNeal Health Providers CHS (36334)
Loyola Physician Partners |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Macys Daly City Attachments (WC Only) (J1345W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Macys Department Stores Attachments (WC Only) (J1347)
Bloomingdales Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
| Macys Department Stores Attachments (WC Only) (J1347W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Macys Newport Beach Attachments (WC Only) (J1346W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Madison Gas & Electric Attachments (WC Only) (J1348W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Madison Oneida Herkimer Work Comp Consortium Attachments (WC Only) (J4432) | 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 I E M | N | ||||||||
|
|
|||||||||||
| Magellan Rx Management (Remits Only) (Z96553) | Paper | N | |||||||||
|
|
|||||||||||
| Magna Carta Attachments (Auto Only) (J2173A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Magna Carta Attachments (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 | ||||||||
|
|
|||||||||||
| Maine Community Health Options (45341) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Majco LLC dba Big Brand Tire Attachments (WC Only) (J4423) | Electronic | Y | |||||||||
|
|
|||||||||||
| Major League Baseball 8 Attachments (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) |
Electronic | 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 | ||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| ManhattanLife Insurance & Annuity Company (28148) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| ManhattanLife Supplemental Medical Expense (98586) | Electronic | N | |||||||||
|
|
|||||||||||
| Manpower Inc (EOBC) (R36148) | Paper | N | |||||||||
|
|
|||||||||||
| Manufacturing Technology Mutual Inc Co (EOBC) (21471) | Paper | N | |||||||||
|
|
|||||||||||
| MAPFRE Insurance Attachments NJ Only (Auto Only) (C1086A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| MAPFRE Life Puerto Rico (5251) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
March Vision Care (Z1407)
52461 |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
Maricopa Health Plan, managed by UPH (09908)
Maricopa Care Advantage |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Marion Polk Community Health Plan Advantage (MPCHA) | Electronic | N | |||||||||
|
|
|||||||||||
| Markel Attachments (Auto Only) (J2321A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Markel Attachments (WC Only) (J2321W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Marpai Health (35245)
Continental Benefits WellSystems LLC |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Marrick Medical Finance (20805) | Electronic | N | |||||||||
|
|
|||||||||||
| Marriott Attachments (WC Only) (J1431) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Marriott No Attachments (WC Only) (WZ787)
J1431 |
Electronic | N | |||||||||
|
|
|||||||||||
| Marten Transport Attachments (WC Only) (J1349W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Martin Marietta Materials Attachments (WC Only) (J2866) | 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 E | 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 | ||||||||
|
|
|||||||||||
| Mary Washington Health Plan (Medicare Advantage) (83269MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Maryland Physicians Care MPC (76498) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Maryland Physicians Care MPC (Medicaid Managed Care) (76498MC) | Electronic | N | |||||||||
|
|
|||||||||||
| Maryland Physicians Care MPC (With Attachments) (J76498) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Maryland Public Behavioral Health System (BHOMD)
Maryland Public Behavioral Health System (Effective 12/22/2024) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Maryland Uninsured Employers Fund Attachments (Auto Only) (J3744A) | Electronic | P I R | Y | ||||||||
|
|
|||||||||||
| Maryland Uninsured Employers Fund Attachments (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 Advantage (86220)
Central Massachusetts Health LLC |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Mass General Brigham Health Plan (04293)
AllWays Health Partners Neighborhood Health Plan (Boston, MA) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Mass General Brigham Health Plan Medicare Advantage (04293MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Massachusetts Bay Insurance Attachments (Auto Only) (J1689A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Massachusetts Bay Insurance Attachments (WC Only) (J1689W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Massachusetts Laborers Benefit Funds (Remits Only) (ZP3729) | Paper | N | |||||||||
|
|
|||||||||||
| Massamont Insurance Attachments (WC Only) (J1350W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mathis ISD Attachments (WC Only) (J3871W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Matrix Absence Management Attachments (WC Only) (TP075W)
J4168 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Matrix Absence Management No Attachments (WC Only) (TP075)
J4168 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Matrix Absence Management No Attachments (WC Only) (WX817)
J4168 |
Electronic | N | |||||||||
|
|
|||||||||||
| Maxim Crane Works Attachments (WC Only) (J1083W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
MaxorPlus Ltd (Remits Only) (Z95671)
PBM MaxorPlus, LTD (Remits Only) Pharmacy Benefit Manager MaxorPlus Ltd (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Mayesh Wholesale Florist (EOBC) (WZ831) | Paper | N | |||||||||
|
|
|||||||||||
| Mayo Clinic FL/GA (88090) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Mayo Clinic Recovery and Claims Services Attachments (WC Only) (41193) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mayo Clinic Recovery and Claims Services Attachments (WC Only) (41193W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
MBA Benefit Administrators (83028)
Cassia County |
Electronic | P I | 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 | |||||||||
|
|
|||||||||||
|
McDonalds Mcopco Attachments (WC Only) (WX155W)
J1084 |
Electronic | Y | |||||||||
|
|
|||||||||||
| McKesson Specialty Arizona Inc (EOBC) (R02672) | Paper | N | |||||||||
|
|
|||||||||||
| McLaren Advantage (HMO SNP) (3833R) | Electronic | N | |||||||||
|
|
|||||||||||
| McLaren Health Advantage (3833A) | Electronic | N | |||||||||
|
|
|||||||||||
|
McLaren Health Plan (38338)
Community Choice of Michigan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| McLaren Health Plan (Medicaid Managed Care) (38338MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| McLaren Health Plan (Medicare Advantage) (38338MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| McLaren Health Plan Medicaid (3833C) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| McLaren MdWise Healthy Indiana Plan (3135M) | Electronic | N | |||||||||
|
|
|||||||||||
| McLaren MdWise Hoosier Healthwise (3519M) | Electronic | N | |||||||||
|
|
|||||||||||
| McLaren Medicare Supplement (3833S) | Electronic | 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 | |||||||||
|
|
|||||||||||
| MDsave (MDSV) | Electronic | N | |||||||||
|
|
|||||||||||
| MDwise Medicare Advantage (MDADV) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Meadowbrook Insurance Group Attachments (Auto Only) (WR778A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Meadowbrook Insurance Group Attachments (WC Only) (J1478) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Meadowbrook Insurance Group No Attachments (WC Only) (WR778)
J1478 |
Electronic | N | |||||||||
|
|
|||||||||||
|
MEDCO for NCPDP (Remits Only) (Z1460)
Express Scripts (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| MedCom (59231) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedCore HP (31057) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedCost / Liberty Health Share (90753) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
MedCost / Liberty Health Share (Medicare Advantage) (90753MA)
90753 |
Electronic | E | 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 | |||||||||
|
|
|||||||||||
| Medex Health Network Inc. (MEDEX) | Electronic | N | |||||||||
|
|
|||||||||||
| Medfocus (95321) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medica – Medicare Supplement Eligibility (14297) | Paper | N | |||||||||
|
|
|||||||||||
|
Medica Government Programs (MEDM1)
Medica Choice Care PMAP Medica Medicare Advantage (Effective 1/1/2021) Medica MinnesotaCare |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Medica Health Plan - Fee for Service (94265)
Medica Medica Health Plan-PHP/Share-Capitated |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medica Health Plan - Fee for Service (Medicare Advantage) (94265MA) | Electronic | I E | N | ||||||||
|
|
|||||||||||
|
Medica Health Plan Solutions (71890)
Mayo Medical Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Medica of Minnesota (835 Enrollment Only) (CX026) | Paper | N | |||||||||
|
|
|||||||||||
|
Medica2 IFB (Z95382)
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)
77200 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Arizona (AHCCCS) (SKAZ0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Arkansas (SKAR0) | Electronic | P I E | 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 (SKDC0)
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 | N | |||||||||
|
|
|||||||||||
|
Medicaid Idaho (ZKID0)
Idaho Department of Health and Welfare |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
Medicaid Illinois (SKIL0)
Illinois Department of Public Aid |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Illinois (Dentaquest) (835 Enrollment Only) (CKIL1) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid Indiana (SKIN0) | Electronic | I E | N | ||||||||
|
|
|||||||||||
| Medicaid Iowa (SKIA0) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Medicaid Iowa Safety Net Management Information Systems (SNMIS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Medicaid Kansas (SKKS0) | Electronic | I E | N | ||||||||
|
|
|||||||||||
| Medicaid Kentucky (SKKY0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Kentucky Region #3 (835 Enrollment Only) (CKKY3) | Paper | 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 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 Louisiana Adult (835 Dental Enrollment Only) (CKLA2) | Paper | N | |||||||||
|
|
|||||||||||
|
Medicaid Maine (SKME1)
Mainecare |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Maryland (SKMD0) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Medicaid Massachusetts (SKMA0)
Mass Health Revere Health Choice |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Massachusetts DentaQuest (835 Enrollment Only) (MAMDN) | Paper | N | |||||||||
|
|
|||||||||||
| Medicaid Michigan (SKMI0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid Michigan (Encounters Only) (SKMI1) | Electronic | P I | 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 E | N | ||||||||
|
|
|||||||||||
|
Medicaid Mississippi (Medicare Advantage) (SKMS0MB)
ADVANTAGE/MEDICAREPART-C |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicaid Mississippi Dental (835 Enrollment Only) (CKMS1) | Paper | 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 I E | N | ||||||||
|
|
|||||||||||
| Medicaid New York (Dentaquest) (835 Enrollment Only) (CKNY2) | Paper | 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 California -Denti-Cal (835 Enrollment Only) (94146)
Denti-Cal |
Paper | N | |||||||||
|
|
|||||||||||
| Medicaid of Montana Dental (Remits Only) (CKMT1) | Paper | N | |||||||||
|
|
|||||||||||
|
Medicaid Ohio (SKOH0)
Ohio Department of Job & Family Services |
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 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 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)
Humana Healthy Horizons Ohio |
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 - 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 | 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 E | N | ||||||||
|
|
|||||||||||
| Medicaid South Carolina (SKSC0) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Medicaid South Dakota (SKSD0) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Medicaid Tennessee (SKTN1) | Paper | 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 | P I E | 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 (SKVI0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicaid Virgin Islands (Hospital/Institutional Only) (12K39) | Electronic | N | |||||||||
|
|
|||||||||||
|
Medicaid Virginia (SKVA0)
DEPARTMENT OF MEDICAL ASSISTANCE SERVICES VA |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Washington - Washington Apple Health (SKWA0)
Medicaid Washington WA State DSHS |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medicaid West Virginia (SKWV0) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Medicaid Wisconsin (SKWI0)
Childrens Long Term Support (CLTS) 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 (Z1269)
Live360 MAHC1 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Medical Associates Health Plans/Health Choices [MAHC1] (Medicare Advantage) (Z1269MA) | Electronic | E | 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 Dental Network (MDN) - MMM Multi Health (835 Enrollment Only) (C66066) | Paper | 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 Mutual of Ohio (MMO) (Medicare Advantage) (SX057MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medical Outcome Indicators Inc (MOI) (EOBC) (R35617) | Paper | N | |||||||||
|
|
|||||||||||
| Medical Reimbursements of America (62177) | Electronic | I | N | ||||||||
|
|
|||||||||||
| MEDICAL SAFETY NET (AMM13) | Electronic | 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) (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 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 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 (HHH JK CT, MA, ME, NH, RI, and VT) (IMME0)
Medicare A Maine - Anthem BCBS ME Medicare HHH Home Health Hospice JK CT, ME, NH, RI VT |
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) Medicare HHH Home Health Hospice J6 AK AZ CA ID MI MN NJ NY NV OR WA WI Remits |
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 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 Attachments (JIMNY0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare A North Carolina (IMNC0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A North Dakota (IMND0) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A NY & CT remits only (13001) | Paper | 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 RHHI Home Health Hospice (Region D MI, NM, NY, NJ, PR, VI, WI) (Z1052)
Medicare A - RHHI - Home Health Hospice (WI, MI, NY, NJ, MN, Puerto Rico, Virgin Islands) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare A Rhode Island (IMRI0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare A Rhode Island 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 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 | ||||||||
|
|
|||||||||||
| Medicare B Alabama (SMAL0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Alaska (SMAK0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Arizona (SMAZ0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Arkansas (SMAR0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B California Northern (SMCA1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B California Southern (SMCA2) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Colorado (SMCO0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Connecticut (SMCT0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Connecticut (with Attachments) (JSMCT0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Delaware (SMDE0) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| Medicare B Florida (SMFL0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Georgia (SMGA0) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Medicare B Hawaii (SMHI0)
Medicare B Guam & Northern Mariana Islands |
Electronic | N | |||||||||
|
|
|||||||||||
|
Medicare B Idaho (SMID0)
Medicare B Idaho - CIGNA |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Illinois (SMIL0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Illinois (with Attachments) (JSMIL0) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Medicare B Indiana (SMIN0)
Medicare B Indiana- P5(PI) |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Indiana (with Attachments) (JSMIN0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare B Iowa (SMIA0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Iowa (with attachments) (JSMIA0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Kansas (SMKS0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Kansas (with attachments) (JSMKS0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Kentucky (SMKY0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Louisiana (SMLA0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Maine (SMME0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Maine (with Attachments) (JSMME0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Maryland (SMMD0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Massachusetts (SMMA0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Massachusetts (with Attachments) (JSMMA0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Michigan (SMMI0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Michigan (with Attachments) (JSMMI0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Minnesota (SMMN0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Minnesota (with Attachments) (JSMMN0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare B Mississippi (SMMS0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Missouri (SMMO0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Missouri (Johnson & Wyandotte County only) (SMMO2) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Missouri (with attachments) (JSMMO0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Montana (SMMT0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Nebraska (SMNE0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Nebraska (with attachments) (JSMNE0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Nevada (SMNV0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare B New Hampshire (SMNH0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B New Hampshire (with Attachments) (JSMNH0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B New Jersey (SMNJ0) | Electronic | N | |||||||||
|
|
|||||||||||
| Medicare B New Mexico (SMNM0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B New York - Empire (with Attachments) (JSMNY0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
|
Medicare B New York - Group Health Inc (SMNY2)
Medicare B New York GHI Medicare B New York Queens |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B New York - Group Health Inc (with Attachments) (JSMNY2) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B New York Empire (SMNY0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B New York Upstate (SB807) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B New York Upstate (with Attachments) (JSB807) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B North Carolina (SMNC0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B North Dakota (SMND0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Ohio (SMOH0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Oklahoma (SMOK0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Oregon (SMOR0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Pennsylvania (SMPA0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Puerto Rico (SMPR0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Rhode Island (SMRI0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Rhode Island (with Attachments) (JSMRI0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B South Carolina (SMSC0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B South Dakota (SMSD0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Tennessee (SMTN0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Texas (SMTX0) | Electronic | P R | N | ||||||||
|
|
|||||||||||
| Medicare B Utah (SMUT0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Vermont (SMVT0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Vermont (with Attachments) (JSMVT0) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Medicare B Virgin Islands (SMVI0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Virginia (SMVA0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Washington (SMWA0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B West Virginia (SMWV0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Wisconsin (SMWI0) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Medicare B Wisconsin (with attachments) (JSMWI0) | Electronic | Y | |||||||||
|
|
|||||||||||
| Medicare B Wyoming (SMWY0) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Medicare HHH Home Health Hospice J15 and South Carolina Medicare A (Z1048)
HH&H Jurisdiction M (IL, IN, OH, KY, TN, NM, TX, OK, LA, AR, AL, MS, GA, NC, SC, FL) Medicare RHHI Jurisdiction M and South Carolina Part A SE/SW Regional Home Health (SC, NC, TN, KY, LA, AR, OK, TX, NM) |
Electronic | I | N | ||||||||
|
|
|||||||||||
|
Medicare HHH Home Health Hospice J6 AK AZ CA ID MI MN NJ NY NV OR WA WI (Z1053)
RHHI/Home Health/Hospice/Free Standing ESRD ( REGION D - AK,CA,HI,NV,OR,WA,ID,AZ) RHHI/Home Health/Hospice/Free Standing ESRD (AK,CA,HI,NV,OR,WA,ID,AZ) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare Home Health & Hospice (J14 - NHIC) (with Attachments) (J12HHA) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Medicare Home Health & Hospice (J14) (12HHA) | Electronic | I | N | ||||||||
|
|
|||||||||||
| Medicare Northwest Part A Remits (AK, ID, OR, WA) (Z1321) | Paper | N | |||||||||
|
|
|||||||||||
| Medicare Part A & B MBI Lookup Eligibility (00MBI) | Paper | N | |||||||||
|
|
|||||||||||
|
Medicare Plus Blue of Michigan Institutional (Z0083)
Medicare Advantage Plan of Michigan Institutional |
Electronic | N | |||||||||
|
|
|||||||||||
|
Medicare via Aledade (Remits Only) (10000)
Aledade |
Paper | N | |||||||||
|
|
|||||||||||
| Medicare y Mucho Mas (MMM) (L0210) | Paper | P I E | N | ||||||||
|
|
|||||||||||
| MediChoice IPA (AMM11) | Electronic | N | |||||||||
|
|
|||||||||||
|
Medico Life and Health Insurance Company (HDM04)
23160 American Enterprise Group Medico Corp Life Insurance Medico Insurance Company Wellabe |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
| MedicusSTAT LLC (E2712) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Medigold Health Plans (95655)
Medigold MercyOne Medicare Plan Mount Carmel Health Mt. Carmel Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Medigold PPO (13123) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedImpact (EOBC) (Z95672) | Paper | N | |||||||||
|
|
|||||||||||
| Mediview Curative (CURTV) | Paper | N | |||||||||
|
|
|||||||||||
| Medline Industries Attachments (WC Only) (J4707) | Electronic | Y | |||||||||
|
|
|||||||||||
| MedLogix MSO - Allied Health Solutions (MLAHS) | Electronic | N | |||||||||
|
|
|||||||||||
| MedLogix MSO - Americo IPA (MLAMR) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Medlytix LLC (MEDLX) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedMgr MSO, Inc. (MMM88) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
MedMutual Protect (Remits Only) (Z96554)
Kemper Health/United Insurance Company of America (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Medpartners Admin Services (412MP) | Electronic | N | |||||||||
|
|
|||||||||||
| MedPartners Admin Services (IN) (441MP) | Electronic | N | |||||||||
|
|
|||||||||||
| Med-Pay (7480) | Paper | M | N | ||||||||
|
|
|||||||||||
| Med-Pay (88058) | Electronic | N | |||||||||
|
|
|||||||||||
| MedPOINT Management (EOBC) (Z96404) | Paper | N | |||||||||
|
|
|||||||||||
|
Medrisk Attachments (WC Only) (J1956)
SPNET |
Electronic | Y | |||||||||
|
|
|||||||||||
| Medrisk No Attachments (WC Only) (J1956W) | Electronic | N | |||||||||
|
|
|||||||||||
| Medsolutions Post Accute Care (15395) | Electronic | N | |||||||||
|
|
|||||||||||
|
Medstar DC (RP062)
Medstar Family Choice DC |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| MedStar Family Choice (RP063) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Medstar Physician Partners (00243)
Helix Family Choice |
Electronic | P | N | ||||||||
|
|
|||||||||||
| MedView (41203) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Mega Life & Health Oklahoma City (59227)
Mega Life & Health Insurance Company The Mega Life & Health Insurance Company -OKC |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Meijer Stores Attachments (WC Only) (J1930W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Member Insurance Agency Attachments (WC Only) (J1353W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MEMIC Casualty Company Attachments (Auto Only) (14164A) | Electronic | Y | |||||||||
|
|
|||||||||||
| MEMIC Casualty Company Attachments (WC only) (14164W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MEMIC Indemnity Company Attachments (Auto Only) (11030A) | Electronic | Y | |||||||||
|
|
|||||||||||
| MEMIC Indemnity Company Attachments (WC Only) (11030W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MEMIC Indemnity Company No Attachments (WC Only) (M11030) | Electronic | N | |||||||||
|
|
|||||||||||
|
Memorial Hermann Health Network Providers (MHHNP)
Memorial Hermann Health Insurance Company |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Memorial Hermann Health Solutions (Medicare Advantage) (MHHNPMA) | Paper | N | |||||||||
|
|
|||||||||||
|
Memorial Medical Center (87166)
MMC Allcare SC054 S2900 |
Electronic | N | |||||||||
|
|
|||||||||||
|
MemorialCare Independent Physicians (33010)
Cedars Sinai Medical Center Greater Newport Physicians MemorialCare Memorial Care Health System |
Electronic | N | |||||||||
|
|
|||||||||||
|
Memorialcare Medical Foundation (MMFMC)
Bristol Park Medical Group |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| MemorialCare Medical Foundation Capitation Services (MMFCS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MemorialCare Medical Foundation UCI (MMFUC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
MemorialCare Select Health Plan (46187)
Seaside Health Plan |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| MemorialCare Select Health Plan (Encounters Only) (E4618) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Mendota Insurance Company Attachments MN Only (Auto Only) (33650A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mental Health Consultants Inc (37050) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Merchants Benefit Admin (MBAM1) | Electronic | N | |||||||||
|
|
|||||||||||
| Merchants Benefit Administration (86087) | Electronic | N | |||||||||
|
|
|||||||||||
|
Merchants Benefit Administrator (IHS24)
MBA CLM |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Merchants Insurance Group Attachments NJ Only (Auto Only) (C1095A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Mercury Attachments NJ NY Only (Auto Only) (C1087A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Mercy Benefit Administrators (37264)
St John's Claims Administration |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Mercy Care (AHCCCS)(Medicare Advantage) (86052MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Mercy Care Arizona (AHCCCS) (86052)
Mercy Care DCS CHP Mercy Care Department of Child Safety Comprehensive Health Plan Mercy Care Health Plan Schaller Anderson Mercy Care |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Mercy Maricopa Integrated Care (33628)
Mercy Care Regional Behavioral Health RBHA |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Mercy Medical Group (HOSH1)
Dignity Health Sacramento Hosp SHO Hill Physicians Medical Group Woodland Clinic |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Mercy Provider Network (43185) | Electronic | N | |||||||||
|
|
|||||||||||
| MercyCare Wisconsin (39114) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Meridian Complete of Illinois (Effective 1/1/2021) (Medicaid Managed Care) (MHPILMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Meridian Complete of Michigan (MHPMI)
Ambetter from Michigan Michigan Complete |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Meridian Complete of Michigan (with attachments) (JMHPMI) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Meridian Health Plan of Illinois (MHPIL)
Illinois Complete Meridian Complete of Illinois MeridianTotal YouthCare and Ambetter YouthCare HealthChoice Illinois |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Meridian Health Plan of Illinois (Medicare Advantage) (MHPILMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Meridian Health Plan of Illinois (with attachments) (JMHPIL) | Electronic | Y | |||||||||
|
|
|||||||||||
| Meridian Management Services Attachments (WC Only) (J2379) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Meridian PACE Solutions (MPSAB) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Meritage First Choice (FC002) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Meritage Medical Network (IP097)
Marin IPA |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
Meritain Health Minneapolis (41124)
Corporate Benefit Services of America CBSA Iowa Benefits Inc IBI MyQHealth National General (Aetna/Meritain) Performax Inc Sheet Metal Workers WellNet |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Meritain Health Minneapolis Attachments (J41124) | Electronic | Y | |||||||||
|
|
|||||||||||
| Meritain Health/Agency Services Inc (64158) | Electronic | P | N | ||||||||
|
|
|||||||||||
| MERP Administration Services (MERP1) | Electronic | N | |||||||||
|
|
|||||||||||
| Metis Services Attachments (WC Only) (J3857) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Metis Services No Attachments (WC Only) (J3857W) | Electronic | I | N | ||||||||
|
|
|||||||||||
| MetLife Dental (Remits Only) (65978) | Paper | N | |||||||||
|
|
|||||||||||
| MetLife Dental Family (10134) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Metro North New York MTA Attachments (WC Only) (J4186)
E7103 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| MetroPlus Health Plan (13265) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| MetroPlus Health Plan (Medicaid Managed Care) (13265MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MetroPlus Health Plan (Medicare Advantage) (13265MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Metropolitan Council Attachments (Auto Only) (J1355A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Metropolitan Council Attachments (WC Only) (J1355W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Metropolitan Council No Attachments (WC Only) (J1355) | Electronic | N | |||||||||
|
|
|||||||||||
| Metropolitan Transit Authority Attachments TX Only (WC Only) (J1238W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Metrowest Health Plan Preferred (MWP01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Mettler Toledo No Attachments Except ND WA WY (WC Only) (E1673W)
J3315 |
Electronic | N | |||||||||
|
|
|||||||||||
| MHN-Managed Health Network (DOS 09/01/24 and prior) (22771) | Paper | N | |||||||||
|
|
|||||||||||
| Miami Behavioral Health (92579) | Paper | P | N | ||||||||
|
|
|||||||||||
| Miami Children's Health Plan (Remits Only) (82832) | Paper | N | |||||||||
|
|
|||||||||||
| Miccosukee Tribe (61409) | Paper | N | |||||||||
|
|
|||||||||||
| Michigan Blue Cross FEP (3531) | Electronic | N | |||||||||
|
|
|||||||||||
|
Michigan Commercial Insurance Mutual MCIM Attachments (WC Only) (J4487)
LU812 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Michigan Conference of Teamsters Welfare Fund (Remits Only) (ZP1401) | Paper | N | |||||||||
|
|
|||||||||||
| Michigan Medicaid Pending (SKMI2) | Paper | E | N | ||||||||
|
|
|||||||||||
| Michigan MIChild (10138) | Paper | E | N | ||||||||
|
|
|||||||||||
| Michigan Millers Mutual Attachments (WC Only) (J1988) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Mid-America Associates Inc (37281)
Liberty Union Life Assurance Company |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Mid-American Benefits (22823)
MAM01 Point C |
Electronic | N | |||||||||
|
|
|||||||||||
| Mid-American TPA: AAI, Inc. (UCS) (12251) | Electronic | N | |||||||||
|
|
|||||||||||
| Middlesex County Municipal Joint Insurance Fund Attachments (WC Only) (J4533) | Electronic | Y | |||||||||
|
|
|||||||||||
| 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 | ||||||||
|
|
|||||||||||
| Midwest Family Mutual Insurance Attachments (Auto Only) (J1685A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Midwest Family Mutual Insurance Attachments (WC Only) (J1685W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Midwest Family Mutual Insurance No Attachments (WC Only) (23574)
J1685 |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Midwest Group Benefits (MGB01)
61146 |
Electronic | N | |||||||||
|
|
|||||||||||
| Midwest Group Benefits (Remits Only) (Z95655) | Paper | N | |||||||||
|
|
|||||||||||
| Midwest Insurance Co Attachments (Auto Only) (10895A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Midwest Insurance Co Attachments (WC Only) (10895W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Midwest Operating Engineers Welfare Fund (45979)
Midwest Operating Engineers Fringe Benefit Funds |
Electronic | N | |||||||||
|
|
|||||||||||
| Midwestern Insurance Alliance (Remits Only) (02946) | Paper | N | |||||||||
|
|
|||||||||||
| Midwestern Insurance Alliance Attachments (Auto Only) (J4243A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Midwestern Insurance Alliance Attachments (WC Only) (J4243)
CB691 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Midwestern Insurance Alliance No Attachments (WC Only) (J4243W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Military Deli & Bakery Attachments (WC Only) (WR003W)
J1356 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Millard Refrigerated Attachments (WC Only) (J1482) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Millette Administrators, Inc (Michigan) (MAI60)
VitalCore Physicians Group (Michigan Department of Corrections) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Minneapolis Public Schools Attachments (Auto Only) (J2890A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minneapolis Public Schools Attachments (WC Only) (J2890) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Minneapolis Public Schools No Attachments (WC Only) (E1859)
J2890 |
Electronic | N | |||||||||
|
|
|||||||||||
| Minnesota Counties Ins Trust MCIT Attachments (Auto Only) (J1351A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minnesota Counties Ins Trust MCIT Attachments (WC Only) (J1351) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minnesota Counties Ins Trust MCIT No Attachments (Auto Only) (A0322) | Electronic | N | |||||||||
|
|
|||||||||||
| Minnesota Counties Ins Trust MCIT No Attachments (WC Only) (J1351W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Minnesota Department of Labor & Industry Attachments (WC Only) (I1193W)
J1436 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Minnesota Department of Labor & Industry Attachments (WC Only) (J1436W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minnesota Insurance Guaranty Association MIGA Attachments (Auto Only) (J2094A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Minnesota Insurance Guaranty Association MIGA Attachments (WC Only) (J2094W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Minnesota Insurance Guaranty Association MIGA No Attachments (WC Only) (I9736)
J2094 |
Electronic | N | |||||||||
|
|
|||||||||||
| Mission Community IPA (PHM10) | Paper | P | N | ||||||||
|
|
|||||||||||
| Mississippi (EOBC)I (R06799) | Paper | N | |||||||||
|
|
|||||||||||
| Mississippi Children's Health Insurance Program (10140) | Paper | E | N | ||||||||
|
|
|||||||||||
| Mississippi Physicians Care Network (64084) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Mississippi Public Entity Employee Benefit Trust MPEEBT (37233) | Electronic | P I | 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 Employers Mutual Attachments (WC Only) (J3815) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Mitchell Energy & Devel Attachments (WC Only) (J1085) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Mitsui Sumitomo Insurance Co (All States) (WC Only) (J1692)
WR028 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance Group Attachments (Auto Only) (J1692A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Mitsui Sumitomo Insurance Group No Attachments (Auto Only) (20362A)
J1692 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Mitsui Sumitomo Insurance Group No Attachments (WC Only) (20362W)
J1692 |
Electronic | N | |||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance USA Attachments (Auto Only) (J1694A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance USA Attachments (WC Only) (J1694W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Mitsui Sumitomo Insurance USA No Attachments (WC Only) (22551W) | Electronic | N | |||||||||
|
|
|||||||||||
| MMIC Attachments (Auto Only) (J1622A) | Electronic | Y | |||||||||
|
|
|||||||||||
| MMIC Attachments (WC Only) (J1622W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MMM Medicare y Mucho Mas (Z60055) | Paper | N | |||||||||
|
|
|||||||||||
|
MMM Multihealth (Reform) (Z96648)
66065 Medicare y Mucho Mas (MMM) Reform |
Paper | P I | N | ||||||||
|
|
|||||||||||
| MN Department of Administration (Remits Only) (E1217) | Paper | N | |||||||||
|
|
|||||||||||
| MN Department of Labor (Remits Only) (Z96184) | Paper | N | |||||||||
|
|
|||||||||||
|
MN Dept of Health (MNDH1)
Sage Screening Program |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Mobis North America LLC (EOBC) (R22624) | Paper | N | |||||||||
|
|
|||||||||||
|
Moda Health (13350)
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 | ||||||||
|
|
|||||||||||
| Moda Health (Medicare Advantage) (13350MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Modivcare Solutions, LLC (MODIV) | Electronic | N | |||||||||
|
|
|||||||||||
|
Molina Complete Care of Arizona (MCC01)
Molina Complete Care |
Electronic | P I 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 California (Medicare Advantage) (38333MA) | Electronic | E | 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 Idaho (Medicare Advantage) (61799MA)
61799 |
Electronic | N | |||||||||
|
|
|||||||||||
| Molina Healthcare of Illinois (20934) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Iowa (MLNIA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Iowa (Medicare Advantage) (MLNIAMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of Michigan (Z1007)
38334 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Michigan (Medicare Advantage) (Z1007MA) | Electronic | 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 Nebraska (Medicaid Managed Care) (MLNNEMC) | Electronic | N | |||||||||
|
|
|||||||||||
| Molina Healthcare of Nevada (MLNNV) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of New Mexico (TH059)
09824 Cimmaron Salud |
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 Ohio (Medicare Advantage) (20149MA) | Electronic | E | 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 E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Texas (Medicare Advantage) (Z1161MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of Utah (Z1014)
SX109 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina Healthcare of Utah (Medicare Advantage) (Z1014MA) | Electronic | 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 Washington (Medicare Advantage) (38336MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Molina Healthcare of Wisconsin (ABRI1)
Abri Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Molina SCI (04423) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Momentum TPA (MOMTM) | Electronic | N | |||||||||
|
|
|||||||||||
| Monarch (Remits Only) (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 | |||||||||
|
|
|||||||||||
| Monroe 2 Orleans BOCES Rochester Attachments (WC Only) (J4173) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montana State Fund Attachments (WC Only) (J2893) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montana State Fund No Attachments (WC Only) (J2893W) | Electronic | N | |||||||||
|
|
|||||||||||
| Montefiore Contract Management Organization (13174) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Montgomery Attachments (WC Only) (J1424W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montgomery County Self-Insurance Program MD Attachments (Auto Only) (J1890A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montgomery County Self-Insurance Program MD Attachments (WC Only) (J1890W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Montgomery County Texas Attachments (WC Only) (A0179W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MoreCare (65465) | Paper | P I M | N | ||||||||
|
|
|||||||||||
| Morongo Basin Transit Authority Attachments (Auto Only) (J1651A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Morongo Basin Transit Authority Attachments (WC Only) (J1651W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Morris Associates (35092) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Morris Material Handling Attachments (WC Only) (WX166W)
J1086 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Morrison Health Care Inc Attachments (WC Only) (WX216W)
J1087 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Morselife Home Care (EOBC) (R31362) | Paper | N | |||||||||
|
|
|||||||||||
| Mount Sinai Eldercare (R3492) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Mountain Health CO-OP (MHC01) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Mountain State FreedomBlue Medicare Advantage (15459) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Mountain West Farm Bureau Attachments (Auto Only) (CCC) (J4679) | Electronic | Y | |||||||||
|
|
|||||||||||
| MPM Prospect (MPM16) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MPower FFS (MPWR01) | Electronic | N | |||||||||
|
|
|||||||||||
| Mr Bults Inc Attachments (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 (Remits Only) (Z96474)
MSO So Cal |
Paper | N | |||||||||
|
|
|||||||||||
|
MTA Bridges & Tunnels New York MTA Attachments (WC Only) (J4188)
E7105 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
MTA Bus New York MTA Attachments (WC Only) (J4189)
E7101 |
Electronic | P | Y | ||||||||
|
|
|||||||||||
|
MTA Headquarters New York MTA Attachments (WC Only) (J4187)
E7104 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| MTM Ambulance Services (Medicaid) (MTM01) | Electronic | N | |||||||||
|
|
|||||||||||
| MTM Ambulance Services (Medicare) (MTM02) | Electronic | N | |||||||||
|
|
|||||||||||
| MTS Attachments (Auto Only) (J1641A) | Electronic | Y | |||||||||
|
|
|||||||||||
| MTS Attachments (WC Only) (J1641W) | Electronic | Y | |||||||||
|
|
|||||||||||
| MTS Staffing Attachments (WC Only) (J1358W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Multicare Connected Care (RP036) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Multicare PACE (R3457)
Pacific Northwest PACE |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Multiplan Wisconsin Preferred Provider Network (Z1192)
34080 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Multiplan/Basic Plus (41204) | Electronic | N | |||||||||
|
|
|||||||||||
| Multnomah County Other (MLTOT) | Electronic | N | |||||||||
|
|
|||||||||||
|
Munford Inc Attachments (WC Only) (WX248W)
J1088 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Municipal Health Benefit Fund (81883)
MunicipalHealthBenefitFund |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Municipal Pooling Authority Attachments (WC Only) (J2141W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Municipal Risk Mgmt Pooled Trust (EOBC) (A0721A) | Paper | N | |||||||||
|
|
|||||||||||
| Muskegon Care (A1681) | Electronic | N | |||||||||
|
|
|||||||||||
| Mutual Health Services Dental (Remits & Eligibility Only) (34192) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Mutual Medical Plans (Eligibility Only) (14458)
Mutual Medical of IL |
Paper | 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 Attachments (J52280) | Electronic | I | Y | ||||||||
|
|
|||||||||||
|
MVP Health Care (14165)
Hudson Health Plan Mohawk Valley |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| MVP Health Care (Medicaid Managed Care) (14165MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MVP Health Care (Medicare Advantage) (14165MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| My Choice IPA (MPM21) | Electronic | N | |||||||||
|
|
|||||||||||
| My Family Medical Group (33020) | Electronic | N | |||||||||
|
|
|||||||||||
| My Patient Prepaid (PREPD) | Paper | P I | N | ||||||||
|
|
|||||||||||
| MyDecision HealthSmart (18840) | Electronic | N | |||||||||
|
|
|||||||||||
| MyPatient Funds (FUNDS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| MyPhysician Plan (MPPCL) | Paper | P I | N | ||||||||
|
|
|||||||||||
| myPlace Health (MPH01) | Electronic | N | |||||||||
|
|
|||||||||||
| MyTruAdvantage (MTAMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
NAHGA Inc (67788)
NAHGA Claims Services |
Electronic | N | |||||||||
|
|
|||||||||||
| NAMCI/Global Care (L0110) | Electronic | N | |||||||||
|
|
|||||||||||
| Name Florida Pace Broward (FLBPP) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
NAP Tools Attachments Except CA NM NV (WC Only) (WX608W)
J1120 |
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 Insurance NAICO Attachments CA IL NC MN OR TN TX Only (Auto Only) (J1695A) | Electronic | Y | |||||||||
|
|
|||||||||||
| National American Insurance NAICO Attachments CA IL NC MN OR TN TX Only (WC Only) (J1695W) | Electronic | Y | |||||||||
|
|
|||||||||||
| National American Insurance NAICO No Attachments CA IL NC MN OR TN TX Only (Auto Only) (23663A) | Electronic | N | |||||||||
|
|
|||||||||||
| National American Insurance NAICO No Attachments CA IL NC MN OR TN TX Only (WC Only) (23663W) | Electronic | 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 General Insurance Attachments (Auto Only) (C1028) | Electronic | Y | |||||||||
|
|
|||||||||||
|
National General Insurance No Attachments (Auto Only) (29742A)
C1028 |
Electronic | N | |||||||||
|
|
|||||||||||
| National General Insurance No Attachments (WC Only) (23728W) | Paper | N | |||||||||
|
|
|||||||||||
| National Guardian Life Insurance (65415) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
National Health Benefits Corporation-NHBC-Auxiant-MPC (88050)
Auxiant National Health Benefits Corporation NHBCAUX |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| National Interstate Attachments (Auto Only) (32620A) | Electronic | Y | |||||||||
|
|
|||||||||||
| National Interstate Attachments (WC Only) (32620) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| National Interstate Attachments (WC Only) (32620W) | Electronic | Y | |||||||||
|
|
|||||||||||
| National Interstate No Attachments (Auto Only) (WR096A) | Electronic | N | |||||||||
|
|
|||||||||||
| National Interstate No Attachments (WC Only) (WC169) | Electronic | N | |||||||||
|
|
|||||||||||
| National Veterinary Associates Attachments (WC Only) (J4220) | Electronic | Y | |||||||||
|
|
|||||||||||
| National Vision (NVADM) | Electronic | N | |||||||||
|
|
|||||||||||
| Nationwide Attachments (Auto Only) (C1062) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Nationwide Mutual Insurance Company Attachments (WC Only) (J1552)
Nationwide Affinity Ins Co Of America NAICOA Attachments (WC Only) Nationwide Ins Co Of America NICOA Attachments (WC Only) Nationwide Insurance Companies Attachments (WC Only) Nationwide Mutual Fire Co Attachments (WC Only) Nationwide Property And Casualty Attachments (WC Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Nationwide Mutual Insurance Company No Attachments (Auto Only) (A0505A) | Electronic | N | |||||||||
|
|
|||||||||||
| Nationwide Mutual Insurance Company No Attachments (WC Only) (J1552W) | Electronic | N | |||||||||
|
|
|||||||||||
| Nationwide previously Harleysville Ins Attachments (Auto Only) (J1595A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nationwide previously Harleysville Ins Attachments (WC Only) (J1595W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nationwide previously Harleysville Ins No Attachments (WC Only) (53804W) | Electronic | N | |||||||||
|
|
|||||||||||
| Native Care Health (Remits Only) (19191) | Paper | N | |||||||||
|
|
|||||||||||
| Native Insurance Alliance (NIA02) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Navia Benefit Solutions (Remits Only) (NAVIA) | Paper | N | |||||||||
|
|
|||||||||||
| NBC Universal Attachments (WC Only) (J1359W) | Electronic | Y | |||||||||
|
|
|||||||||||
| NC Department of Public Instruction (J1660A) | Electronic | Y | |||||||||
|
|
|||||||||||
| NC Department of Public Instruction (J1660W) | Electronic | Y | |||||||||
|
|
|||||||||||
| NCA Comp Attachments (Auto Only) (J4250A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
NCA Comp Attachments (WC Only) (J4250)
WB451 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| NCRNC (EOBC) (R4680) | Paper | N | |||||||||
|
|
|||||||||||
| ND Workforce Safety and Insurance WSI Attachments (WC Only) (J1500) | Electronic | Y | |||||||||
|
|
|||||||||||
|
NEBA National Employee Benefits Administrators (Remits Only) (R22140)
NEBA |
Paper | N | |||||||||
|
|
|||||||||||
| Nebraska Association of School Boards (EOBC) (R28611) | Paper | N | |||||||||
|
|
|||||||||||
| Nebraska Chronic Renal Disease (NERNL) | Electronic | I | 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 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Neighborhood Health Plan RI - Integrity (96240)
Neighborhood Health Plan RI - Exchange, Unity, Integrity |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Neighborhood Health Plan RI - Integrity Medicare Advantage (96240MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Neighborhood Healthcare PACE (R3456) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Netcare Life & Health Insurance (66055) | Electronic | P | N | ||||||||
|
|
|||||||||||
| NetWell (27726) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Network Administrators (IHS26) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Network Health Insurance Corporation Medicare (77076) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Network Health Plan of Wisconsin Inc (39144) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
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 Emanate Health IPA (NMM) 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 | ||||||||
|
|
|||||||||||
|
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 - CarePlus Cardiology (Z1362)
NCH04 |
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 (Remits Only) (09390) | Paper | N | |||||||||
|
|
|||||||||||
| New Era Life - Employee Benefit Plans (96396) | Paper | P I | N | ||||||||
|
|
|||||||||||
| New Era Life Insurance (Medicare Crossover Remits Only) (Z98842) | Paper | 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 (WC Only) (All States) (12122) | Electronic | N | |||||||||
|
|
|||||||||||
| New Jersey Manufacturing Attachments (Auto Only) (C1048A) | Electronic | Y | |||||||||
|
|
|||||||||||
| New Jersey Manufacturing Attachments (WC Only) (12122W) | Electronic | Y | |||||||||
|
|
|||||||||||
| New Mexico Mutual Attachments (WC Only) (J2147) | Electronic | Y | |||||||||
|
|
|||||||||||
| New Mexico Mutual No Attachments (WC Only) (J2147W) | Electronic | N | |||||||||
|
|
|||||||||||
| New York Black Car Fund NYBCF Attachments (Auto Only) (J3309A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| New York Black Car Fund NYBCF Attachments (WC Only) (J3309) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| New York Central Mutual (Remits Only) (05072) | Paper | N | |||||||||
|
|
|||||||||||
| New York City Fire Department Attachments NY Only (WC Only) (J4151) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| New York City Law Department Attachments (WC Only) (J4253) | Electronic | Y | |||||||||
|
|
|||||||||||
|
New York Hotel Fund (Z4410)
NEW YORK HOTEL FUNDS - 131595091 New York Hotel Trades Council & Hotel Association of NY City PCSHF 7707C |
Electronic | N | |||||||||
|
|
|||||||||||
| New York Hotel Funds MHAP (HTLFD) | Paper | P | N | ||||||||
|
|
|||||||||||
| New York Housing Authority Attachments (WC Only) (J4722) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| New York Housing Authority No Attachments (WC only) (J4722W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| New York Life Long Term Care (NYL11) | Electronic | N | |||||||||
|
|
|||||||||||
| New York Medical Indemnity Fund (NYDFS) | Electronic | N | |||||||||
|
|
|||||||||||
|
New York Network Management (11334)
New York Network IPA |
Electronic | P | N | ||||||||
|
|
|||||||||||
| New York Police Department Attachments (WC Only) (J4383) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| New York Police Department No Attachments (WC Only) (J4383W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
New York State Insurance NYSIF Attachments (WC Only) (J45052W)
45052 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Newburgh Enlarged City School (EOBC) (R37312) | Paper | N | |||||||||
|
|
|||||||||||
|
Newport News Shipbuilding Attachments (WC Only) (J3308)
LT688 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Nexillo Health (NEXLO) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Next Level Administration Attachments (WC Only) (J2331)
34762 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Next Level Administration No Attachments (WC Only) (J2331W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| 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 | P I | N | ||||||||
|
|
|||||||||||
| Nike Inc Attachments (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)
County of Sacramento Healthy Partners Golden State Physicians Medical Group Medical Benefit Administration, Inc (Grass Valley CA) Sierra Nevada Medical Assoc. |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| NJ Property Liability Ins Guaranty NJPLIGA Attachments (Auto Only) (J3926A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
NJ Property Liability Ins Guaranty NJPLIGA Attachments (WC Only) (J3926W)
CB870 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Noblr a USAA Company Attachments (Auto Only) (CCC) (J4528) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Nomi Health (1NOMI)
66066 |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Nonprofit Insurance Trust Attachments (Auto Only) (J1845A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nonprofit Insurance Trust Attachments (WC Only) (J1845W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Nonprofit Insurance Trust No Attachments (Auto Only) (I1206)
J1845 |
Electronic | N | |||||||||
|
|
|||||||||||
| Nordstrom Inc Attachments (WC Only) (J1360W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nordstrom Risk Management Attachments (WC Only) (J4211) | Electronic | Y | |||||||||
|
|
|||||||||||
| Norfolk & Dedham Group Attachments NJ Only (Auto Only) (C1096A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
North American Insurance Company dba Oxford Life (Eligibility & Remits Only) (76112)
North American National States Oxford Life |
Paper | E | N | ||||||||
|
|
|||||||||||
|
North American Medical Management (IP079)
Coachella Valley Physicians PrimeCare E3510 Empire Physicians Medical Group (EPMG) Health Net Prime Care Senior Institute Mercy Physicians Medical Group MPMG DOS 12/31/2024 and prior 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 I | N | ||||||||
|
|
|||||||||||
| North American Risk Services (NARS) (Remits Only) (Z96560) | Paper | N | |||||||||
|
|
|||||||||||
|
North American Risk Services (WC Only) (J4241)
CB172 |
Electronic | Y | |||||||||
|
|
|||||||||||
| North Bay Schools Insurance Authority NBSIA Attachments (WC Only) (J1549) | Electronic | Y | |||||||||
|
|
|||||||||||
| North Carolina Department of Public Safety (NCDPS) | Electronic | N | |||||||||
|
|
|||||||||||
| North Carolina Farm Bureau Attachments (WC Only) (J1825) | Electronic | Y | |||||||||
|
|
|||||||||||
| North Carolina Farm Bureau Insurance Group (EOBC) (R0424) | Paper | N | |||||||||
|
|
|||||||||||
| North Carolina League of Municipalities NCLM Attachments (WC Only) (J1772W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
North Dakota Workforce Safety Attachments (WC Only) (Z1246)
J1500 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
North East Medical Services (NEMS)
CCHCA |
Electronic | N | |||||||||
|
|
|||||||||||
| North Shore - LIJ (17516) | Electronic | N | |||||||||
|
|
|||||||||||
| North Shore - LIJ CareConnect Insurance Company (46227) | Electronic | N | |||||||||
|
|
|||||||||||
|
North Star Mutual Insurance No Attachments (Auto Only) (14850)
J2356 |
Electronic | N | |||||||||
|
|
|||||||||||
| NorthBay Health (NB123) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| NorthCoast Health Care Management (RP089) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| NorthCoast Healthcare (A2790) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| NorthCoast Healthcare (Medicare Advantage) (A2790MA) | Electronic | 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 |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Northern California Advantage Medical Group (NCA01) | Electronic | N | |||||||||
|
|
|||||||||||
| Northern Illinois Health Plan (36347) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Northern Kentucky University Attachments (Auto Only) (J1943A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Northern Kentucky University Attachments (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 Attachments MN NJ Only (Auto Only) (C1031) | Electronic | Y | |||||||||
|
|
|||||||||||
| Northridge Medical Group (NMG01) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Northwell Direct (88987) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Northwest Administrators Inc (NWADM)
91068 Central CA Electrical Workers Health and Wellness Central California Electrical Workers Health and Wellness Las Vegas Fire Fighters Local NO. 1285 Security Fund Southern CA Bakery Drivers Security Fund Southern California 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 Insurance (WC Only) (WZ646W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Northwest Life (PH018) | Electronic | N | |||||||||
|
|
|||||||||||
|
Northwest Physician's Network (DOS 12/31/2020 and prior) (Remits Only) (NPN11)
DaVita Medical IPA WA, PLLC |
Paper | N | |||||||||
|
|
|||||||||||
| Northwest Suburban IPA Illinois (36346) | Paper | 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 Attachments (WC Only) (WX283W)
J1089 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Nova Healthcare Administrators Inc (Grand Island NY) (16644)
Azeros Health Care |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Nova Pro Risk Solutions (WC Only) (WR153W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nova Pro Risk Solutions Attachments (WC Only) (J1056) | Electronic | Y | |||||||||
|
|
|||||||||||
| Nova Pro Risk Solutions No Attachments (WC Only) (WR152W) | Electronic | N | |||||||||
|
|
|||||||||||
| Nova Saiph Re Attachments (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 | ||||||||
|
|
|||||||||||
| Nueces County Inmate Population (NCHD1) | Electronic | N | |||||||||
|
|
|||||||||||
| NueHealth (RP138) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
NX Health Network (44412)
Robert F Kennedy Medical Plan |
Electronic | N | |||||||||
|
|
|||||||||||
| NXT IPA - Guidant (NXT01) | Electronic | N | |||||||||
|
|
|||||||||||
|
NY Lumbermens Insurance Trust Fund Attachments (WC Only) (J4240)
WJ Cox Associates Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
NYC Transit New York MTA Attachments (WC Only) (J4191)
E7102 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Nyhart (37299) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Oak Hill Associates Attachments (WC Only) (J1363W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Oak Street Health (OAKST) | Electronic | N | |||||||||
|
|
|||||||||||
| Oak West Physician Association (36400) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Occupational Eyewear Network (50653) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Occusystems Attachments (WC Only) (J2294) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ocean County Joint Insurance Fund Attachments NJ Only (WC Only) (J4004) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ochsner Health Plan (A5236) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Office of State Treasurer (EOBC) (R10200) | Paper | N | |||||||||
|
|
|||||||||||
| Ogden Benefits Administration (OBA18) | Electronic | N | |||||||||
|
|
|||||||||||
|
Ohio BCMH (Bureau for Children with Medical Handicaps) (Z90014)
BCMHODH |
Electronic | N | |||||||||
|
|
|||||||||||
| Ohio Casualty Group Attachments (WC Only) (J24074W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ohio Casualty Group No Attachments (WC Only) (24074) | Electronic | N | |||||||||
|
|
|||||||||||
| 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 No Attachments (Auto Only) (A0080)
J3319 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Ohio Farmers No Attachments (WC Only) (WZ885)
J3319 |
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 E | N | ||||||||
|
|
|||||||||||
|
Oklahoma DRS Doc (71065)
State of Oklahoma Department of Corrections State of Oklahoma Department of Rehabilitative Services |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Oklahoma DRS Doc Attachments (J71065) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Old Republic Insurance Attachments (WC Only) (WX285W)
24147 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Old Republic Insurance Attachments (WC Only) (Z96430)
24147 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Old Surety Life Insurance Company (Remits & Eligibility Only) (29237) | Paper | N | |||||||||
|
|
|||||||||||
| Olympus Managed Health Care (65074) | Electronic | N | |||||||||
|
|
|||||||||||
| Omaha Home for Boys (EOBC) (R36370) | Paper | N | |||||||||
|
|
|||||||||||
| Omaha National Attachments (WC Only) (J3805) | Electronic | Y | |||||||||
|
|
|||||||||||
|
OMNI Administrators (OMNIA)
Leading Edge Administration |
Electronic | P | N | ||||||||
|
|
|||||||||||
| OMNI Healthcare Financial dba Trio Solution Attachments (Auto Only) (J4548) | Electronic | Y | |||||||||
|
|
|||||||||||
| Omni IPA (36090) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Omnicare Medical Group (OMN02) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| On Lok Senior Health Services (99485) | Electronic | N | |||||||||
|
|
|||||||||||
| Oncology Network of Orange County (ONOCI) | Paper | P | N | ||||||||
|
|
|||||||||||
|
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 Attachments (WC Only) (J3941) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| One Call Medical DME Attachments (WC Only) (J4122) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| One Homecare Solutions (ONEHC) | Electronic | N | |||||||||
|
|
|||||||||||
|
OPEIU Locals 30& 537 (BPA01)
Laundry Workers Southern CA Lumber Southern California Dairy TCU-LA MTA |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Opendoor Labs Inc Attachments (WC Only) (J4422) | Electronic | Y | |||||||||
|
|
|||||||||||
| Operating Engineers Local 139 Health Benefit Fund (66771) | Electronic | N | |||||||||
|
|
|||||||||||
|
Operating Engineers Local 478 (Remits Only) (R36051)
IUOE Local No 478 Health Benefits Fund (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| Operating Engineers Trust Funds (Remits Only) (R1729) | Paper | N | |||||||||
|
|
|||||||||||
| Opticare of Utah (OPCAU) | Electronic | N | |||||||||
|
|
|||||||||||
|
Optimed Health (96277)
United Group Programs |
Paper | N | |||||||||
|
|
|||||||||||
| Optimum Choice of the Carolinas Inc (OCCI) (52152) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Optimum Healthcare (20133) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Optimum Healthcare (Encounters Only) (20133E) | Electronic | N | |||||||||
|
|
|||||||||||
| Optimum Healthcare (Medicare Advantage) (20133MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Optimum Medical Associates IPA (OMA01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
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 Optum Medical Group Talbert Medical Group Unified IPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Optum Care Network – Inland Faculty Medical Group (MPM70) | Electronic | N | |||||||||
|
|
|||||||||||
| Optum Care Network of Connecticut (Medicare Advantage) (DOS 12/31/22 and prior) (E3287MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Optum CatamaranRX (Remits Only) (Z96016) | Paper | N | |||||||||
|
|
|||||||||||
| Optum Maryland Behavioral Health (OMDBH) | Paper | N | |||||||||
|
|
|||||||||||
| Optum MedicalRx (ORXM1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Optum San Diego Public Sector (OSDPS) | Electronic | N | |||||||||
|
|
|||||||||||
| Optum San Diego Public Sector County (CNTY1) | Paper | P | N | ||||||||
|
|
|||||||||||
| Optum Skygen UHCD Government (Remits & Eligibility Only) (GP133) | Paper | N | |||||||||
|
|
|||||||||||
|
OptumCare (LIFE1)
AARP Medicare Complete Northern Utah LifePrint Northwest Physician's Network (DOS 1/1/2021 and forward) Optum Care Network of Kansas City 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 | ||||||||
|
|
|||||||||||
| OptumCare (Medicaid Managed Care) (LIFE1MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
OptumHealth (41194)
United Resources Networks |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| OptumHealth (Medicaid Managed Care) (41194MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| OptumHealth (Medicare Advantage) (41194MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
OptumHealth Care Solutions Inc (41161)
American Chiropractic Network (ACN) Managed Physical Network (MPN) OptumHealth Care Solutions |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Optumhealth Salt Lake County (U6885) | Electronic | N | |||||||||
|
|
|||||||||||
| OptumRX (EOBC) (SXCA7) | Paper | N | |||||||||
|
|
|||||||||||
| OptumRX Ancillary Vendor Billing Attachments (WC Only) (J4711) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| OptumRX Ancillary Vendor Billing No Attachments (WC Only) (J4711W) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Opus Health (EOBC) (Z96180)
OpusHealth |
Paper | N | |||||||||
|
|
|||||||||||
|
Opyn Market Transparent Health Marketplace Attachments (WC Only) (J4261)
LV483 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Orange County Health Care Agency (65021) | Electronic | N | |||||||||
|
|
|||||||||||
| Orange County Health Corrections (EOBC) (R1470) | Paper | N | |||||||||
|
|
|||||||||||
|
Orange County Health Services - Ryan White Program (69879)
OCRW |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Orange County Health Services Dept Corrections Health (77125)
Orange County Corrections OCCH |
Electronic | N | |||||||||
|
|
|||||||||||
| Orange County Medical Clinic (DB497) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Orchid Medical dba Careworks Attachments (WC Only) (J4094) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Oregon State Accident Insurance Fund SAIF Attachments (WC Only) (J1720WC) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Oregon State Accident Insurance Fund SAIF No Attachments (WC Only) (J1720) | Electronic | N | |||||||||
|
|
|||||||||||
| OReilly Auto Parts Attachments (Auto Only) (J1670A) | Electronic | Y | |||||||||
|
|
|||||||||||
| OReilly Auto Parts Attachments (WC Only) (J1670W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
OReilly Auto Parts No Attachments (WC Only) (E9697)
J1670 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Orica Inc Attachments (WC Only) (WX287W)
J1090 |
Electronic | Y | |||||||||
|
|
|||||||||||
| OrthoNet Uniformed Services Family Health Plan (13382) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Oscar Health (OSCAR)
Oscar Insurance Company of Florida |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Oscar Health (Medicare Advantage) (OSCARMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| OSF Care Advantage (OSFMC) | Electronic | N | |||||||||
|
|
|||||||||||
| OSF Healthcare Central (OSFC9) | Electronic | N | |||||||||
|
|
|||||||||||
| OSF Healthcare East (OSFE9) | Paper | P I | N | ||||||||
|
|
|||||||||||
| OSI Group LLC Attachments (Auto Only) (J1904A) | Electronic | Y | |||||||||
|
|
|||||||||||
| OSU Aetna Better Health (OSU Providers Only) (OSUAE) | Electronic | N | |||||||||
|
|
|||||||||||
| OSU Centene Oklahoma Complete Health (OSU Providers Only) (OSUCE) | Electronic | N | |||||||||
|
|
|||||||||||
| 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 | N | ||||||||
|
|
|||||||||||
| Ovations Brand Attachments (WC Only) (J1501W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Owens Corning (EOBC) (WR244) | Paper | N | |||||||||
|
|
|||||||||||
| Oxbridge Health (RP133) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Oxford Health Plans (06111)
Oxford Health UHC Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Oxford Health Plans (Medicare Advantage) (06111MA) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Oxford Health Plans 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 | |||||||||
|
|
|||||||||||
| P2P: Cottingham & Butler (Equian) - WC (000030272) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Encompass Insurance Brand - WC (000011260) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Midwestern Insurance Alliance (000030966) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Next Level Administration - WC (000030270) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Non-Profit Insurance Trust - WC (000011262) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: North Star Mutual Ins Co - WC (000030268) | Electronic | N | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
|
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 | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| P2P: AMERISURE PARTNERS INS CO - WC (000010173) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: AMICA MUTUAL INS CO (WORK COMP) (000010547) | Paper | N | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| P2P: CLAIMS ADMIN SERVICES (CAS) - WC (000010550) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CNA INSURANCE (WORKERS COMP) (000010024) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: COMMERCE & INDUSTRY INSURANCE (WC) (000010113) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: CONTRACOSTA CNTY SCHOOLS INS GROUP (000011221) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: CONTRACOSTA RSK MGMT (WORKERS COMP) (000011220) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: CONTRACOSTA WATER DISTRICT WC (000011222) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: COTTINGHAM AND BUTLER (WORK COMP) (000011135) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Country Financial Mod Svc Corvel-WC (000011159) | Electronic | N | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| P2P: GENERAL CASUALTY EDEN PRAIRIE - WC (000010361) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GENEX CARE OF OHIO (WORKERS COMP) (000030205) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GRANGE INSURANCE (WORKERS COMP) (000010790) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GRANGE MUTUAL CASUALTY (WC) (000010563) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Great American Assurance Co - WC (000010793) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Great American Ins Co of NY - WC (000010795) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Great American Insurance Comp - WC (000010794) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: GREAT WEST CASUALTY CO WORKERS COMP (000010799) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GRINNELL REINSURANCE (WORK COMP) (000011165) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: GUARD INSURANCE - (WORKERS COMP) (000030021) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GUIDEONE ELITE (CORVEL) (WORK COMP) (000011199) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: GUIDEONE MUTUAL INS (WORKERS COMP) (000011200) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: HANOVER INSURANCE (CORVEL) - WC (000011166) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: HANOVER LLOYDS INS (CORVEL) - WC (000011167) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: HARLEYSVILLE INS (CORVEL) WORK COMP (000011202) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: HARTFORD (WORKERS COMP) (WCCA12101) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Hartford Accident & Indemnity - WC (000010492) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: HAWKEYE (LMAC) - (WORKERS COMP) (000030004) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: HEB Grocery Company (Workers Comp) (000011255) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: ICW GROUP (WORKERS COMP) (000010565) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Illinois Casualty (Workers Comp) (000030243) | Paper | N | |||||||||
|
|
|||||||||||
|
P2P: Indeminity Ins North America (WC) (000010497)
P2P: Indemnity Insuarnce North America - WC |
Paper | N | |||||||||
|
|
|||||||||||
| P2P: INDIANA INSURANCE (LMAC) - WC (000011076) | Paper | N | |||||||||
|
|
|||||||||||
|
P2P: Ingles Markets (Workers Comp) (000030257)
Ingles Markets |
Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Innovative Claim Solutions(San Ramon) - WC (000011529) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Insurance CO of North America - WC (000010373) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Integrity Mutual Ins Co - Work Comp (000030031) | Paper | N | |||||||||
|
|
|||||||||||
|
P2P: iSurity (Workers Comp) (WCAS99460)
iSurity |
Electronic | N | |||||||||
|
|
|||||||||||
| P2P: JI SPECIALTY SERVICES (WORK COMP) (000010170) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: KEENAN & ASSOC EXCLUDE PASADENA WC (000030069) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Kellogg Companies - WC (000010847) | Electronic | P | N | ||||||||
|
|
|||||||||||
| P2P: KEMPER PREFERRED (WORK COMP) (000030102) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: KEY RISK MGMT SVCS LLC WORKERS COMP (000030046) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: LCTA (WORKERS COMP) (000030212) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: LEAGUE OF MN CITIES INS TRUST - WC (000030044) | Paper | N | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| P2P: LOUISIANA WORKERS COMP CORP LWCC (000030059) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: LUBA CASUALTY INS CO (WORKERS COMP) (000010164) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: LUMBERMENS UNDERWRITING (CORVEL)-WC (000011172) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Mackinaw Administrators - WC (000030238) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Macys (EK Health) - WC (000011238) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: MACYS CORPORATE SERVICES INC - WC (000030020) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: MAINE EMPLOYERS MUTUAL INS CO - WC (000030018) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MANPOWER (WORKERS COMP) (000010381) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MARRIOTT CLAIMS SERVICES CORP - WC (000010870) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: MATRIX ABSENCE MGMT (WORK COMP) (000010572) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MAYO CLINIC RECOVERY CLAIMS - WC (000010120) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MCIT (WORKERS COMP) (000010874) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MEADOWBROOK INSURANCE COMPANY - WC (000011145) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MEADOWBROOK PROCENTURY CORVEL - WC (000011175) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: MEDRISK (WORKERS COMP) (WCAS18103) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: Mendota Insurance Company - WC (000010573) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: MERIDIAN RAIL - (WORKERS COMP) (000010882) | Paper | N | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| P2P: MITSUI SUMITOMO INS USA INC - (WC) (000011208) | Paper | N | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| P2P: NATIONWIDE AGRIBUSINESS (WORK COMP) (000010396) | Paper | N | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
| P2P: PALADIN MANAGED CARE SVCS INC - WC (000030061) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: PAPER OVERFLOW (WC & AUTO) (PM1111111) | Electronic | N | |||||||||
|
|
|||||||||||
| P2P: PARADIGM (WORKERS COMP) (000030015) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: Park District Risk Management Association (000010142) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: PORT OF OAKLAND CA (WORKERS COMP) (000030150) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: PROGRESSIVE CASUALTY (WORKERS COMP) (000010037) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: PROGRESSIVE INSURANCE (WORK COMP) (000010272) | Paper | N | |||||||||
|
|
|||||||||||
| P2P: PROGRESSIVE NORTHWESTERN INSURANCE (000010275) | Paper | N | |||||||||
|
|
|||||||||||
| 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 | ||||||||
|
|
|||||||||||
| PA Medicare Payment Report (EOBC) (R26228) | Paper | N | |||||||||
|
|
|||||||||||
| PACE at Hudson Headwaters (R3469) | 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) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| PACE Greater New Orleans DOS 3/28/24 and after (R3461) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| PACE Kansas (R3462) | Electronic | N | |||||||||
|
|
|||||||||||
| PACE Nebraska (35416) | Electronic | N | |||||||||
|
|
|||||||||||
| PACE of Southwest Michigan (R3484) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| PACE of the Triad (TRIA01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| PACE Southeast Michigan (2/1/2024) (R3460) | Electronic | N | |||||||||
|
|
|||||||||||
| PACE SouthWest Iowa (53534) | Electronic | N | |||||||||
|
|
|||||||||||
| PACE Southwest Michigan (45114) | Paper | N | |||||||||
|
|
|||||||||||
| Pace Your Life (98472) | Electronic | N | |||||||||
|
|
|||||||||||
| Pacific Administrators Inc (PCFAD) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Pacific Associates IPA (PAIPA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Pacific Claims Management Attachments CA Only (WC Only) (J4651)
LV811 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Coast Building Products Attachments (Auto Only) (J1808A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Coast Building Products Attachments (WC Only) (J1808W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Compensation Insurance Attachments (WC Only) (J1913) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Pacific Compensation Insurance No Attachments (WC Only) (CB094)
J1913 |
Electronic | N | |||||||||
|
|
|||||||||||
| Pacific Dental Services Attachments (Auto Only) (J1806A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Dental Services Attachments (WC Only) (J1806W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Pacific Gas & Electric 115 Attachments (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 (WC Only) (J1364W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Pacific Southwest Administrators (75309)
Southwest Service Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
| Pacific Sunwear Attachments (Auto Only) (J1805A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacific Sunwear Attachments (WC Only) (J1805W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pacifica of the Valley Hospital (MPM50) | Paper | 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 Select Benefits Administrators (aka PacificSource Administrators) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| PacificSource Medicare (20377) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
PacificSource Medicare (Medicare Advantage) (20377MA)
20377 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| PAI, Inc (84659) | Electronic | N | |||||||||
|
|
|||||||||||
| Painters Union Insurance Fund (53483) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Paladin Managed Care Services Attachments (WC Only) (J1475W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Palo Alto Medical Foundation (87158)
Mills Peninsula Medical Group (SPS - Sutter) SC050 S7100 S7200 S7300 Sutter Connect - Palo Alto Medical Foundation |
Electronic | N | |||||||||
|
|
|||||||||||
| Palo Alto Medical Foundation (Medicare Advantage) (87158MA) | 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 Johns International Attachments (WC Only) (WX289W)
J1091 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Paper (98999) | Electronic | N | |||||||||
|
|
|||||||||||
| Paper (Medicaid) (98999MC) | Electronic | N | |||||||||
|
|
|||||||||||
| Paper (Medicare Advantage) (98999MA) | Paper | N | |||||||||
|
|
|||||||||||
| PAPER CLAIM - VERSION (02/12) (PPNPI) | Electronic | N | |||||||||
|
|
|||||||||||
| Paper Claims Attachments (Auto Only) (J9899A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Paper Claims Attachments (BCBS) (J9899) | Electronic | Y | |||||||||
|
|
|||||||||||
| Paper Claims Attachments (Commercial Only) (C98999) | Electronic | Y | |||||||||
|
|
|||||||||||
| Paper Claims Attachments (WC Only) (J98999) | Electronic | Y | |||||||||
|
|
|||||||||||
| Paper Claims Attachments (WC Only) (J9899W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Paradigm Attachments (WC Only) (J1001) | Electronic | Y | |||||||||
|
|
|||||||||||
| Paradigm Health Plan (Remits Only) (54874) | Paper | N | |||||||||
|
|
|||||||||||
| Paradigm No Attachments (WC Only) (J1001W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Paragon Benefits Inc (58174) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Paramount Health (SX158)
Paramount Advantage |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Paramount Health (Medicare Advantage) (SX158MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Park District Risk Management Association PDRMA Attachments (WC Only) (J1365) | Electronic | Y | |||||||||
|
|
|||||||||||
| Park District Risk Management Association PDRMA Attachments (WC Only) (J1365W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Parkland Community Health Plan (66917) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Parkland Community Health Plan (Medicaid Managed Care) (66917MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Parkland Health and Hospital Attachments (WC Only) (J4418)
LV261 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Parkview Signature Care (35162)
Managed Care Services LLC Parkview Health System |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Partners in Health (PARTH) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Partnership Health Plan of CA Advantage HMO (835 Enrollment Only) (CPP08) | Paper | N | |||||||||
|
|
|||||||||||
| Partnership Health Plan of CA Healthy Kids Dental (835 Enrollment Only) (CPP03) | Paper | N | |||||||||
|
|
|||||||||||
| Partnership Health Plan of California (PHP02) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Passport Advantage (66008) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Passport Health Plan (Medicare Advantage) (61325MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Passport Health Plan by Molina Healthcare (61325)
Molina Healthcare of Kentucky Passport Health Plan |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
PATH Administrators (25172)
DH Evans |
Electronic | N | |||||||||
|
|
|||||||||||
| Patient Advocates (10525) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Patient Advocates LLC (55489) | Electronic | N | |||||||||
|
|
|||||||||||
| Patient Physician Cooperatives (20510) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| PatientPay (EOBC) (26335) | Paper | N | |||||||||
|
|
|||||||||||
| Patricia Walker (EOBC) (R42077) | Paper | N | |||||||||
|
|
|||||||||||
| Patriot Dental (10782) | Paper | E | N | ||||||||
|
|
|||||||||||
| PayerFusion Holdings LLC (27048) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
PaySign (PSN22)
FASENRA Savings Program |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| PCC Cancer Crusade (CRUSA) | Electronic | N | |||||||||
|
|
|||||||||||
| PDRMA LIB (J1366W) | Electronic | Y | |||||||||
|
|
|||||||||||
| PDT - Hollywood Presbyterian-St Vincent (PDT02) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Peach State Health Plan (68049) | Paper | E | N | ||||||||
|
|
|||||||||||
| Peak Benefit Administrators (IHS41) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Peak Health (PEAK0)
Peak Health Network RP095 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Peak Pace Solutions LLC (27034)
ArchCare Community Life (5/30/25 and prior) Central Valley Pace CHS Buffalo Elderone New Horizons Pace Orangeburg Senior Helping Center Pace of Northeast Indiana Pace Your Life Peak TPA Suncoast Pace Troy Medicare DOS 12/31/2023 and prior |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Peak Pace Solutions LLC (Medicare Advantage) (27034MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Peerless Attachments (WC Only) (J1423W) | Electronic | Y | |||||||||
|
|
|||||||||||
| PEF Ltd (PEF01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Peg Discover RE Attachments (WC Only) (WR343W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Peg Discover Re Food Merchant Attachments (WC Only) (J1054) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Pegasus Medical Group (SMG01)
30891 Antelope Valley Medical Associates Sierra Medical Group |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Pegasus Risk Management Attachments CA Only (WC Only) (J1924) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pegi-Family Dining Attachments (WC Only) (J1093W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PEHP (Public Employees Health Program) (Z1012)
SX106 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| Pekin Insurance Attachments (Auto Only) (J1367A) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Pekin Insurance Attachments (WC Only) (J1367W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pekin Life Insurance (37086) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Penn Millers Insurance Attachments MN NC NJ NY TN TX VA (Auto Only) (J1573A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Penn Millers Insurance Attachments MN NC NJ NY TN TX VA (WC Only) (J1573W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Penn Millers Insurance No Attachments MN NC NJ NY TN TX VA (WC Only) (14982W)
J1573 |
Paper | N | |||||||||
|
|
|||||||||||
| Penn National Insurance Attachments NJ NC TN VA Only (WC Only) (J3903) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Penn National Insurance NJ Only (Auto Only) (C1076) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Penn National Insurance No Attachments NJ NC TN VA Only (WC Only) (J3903W) | Electronic | N | |||||||||
|
|
|||||||||||
| Penn Treaty Network America Ins Medicare Supp (Z96295) | Paper | E | N | ||||||||
|
|
|||||||||||
| Pennsylvania Health and Wellness (Z96336) | Paper | 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 | 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 Attachments (Auto Only) (J1940A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Performance Contracting Inc Attachments (WC Only) (J1940) | Electronic | Y | |||||||||
|
|
|||||||||||
| Performance Food Group Attachments (Auto Only) (J2390A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Performance Food Group Attachments (WC Only) (J2390) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Performance Food Group No Attachments (WC Only) (E1685W)
J2390 |
Paper | N | |||||||||
|
|
|||||||||||
|
Performance Health (23249)
Sentinel Management Services |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Performance Temps Attachments (WC Only) (J1368W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PerformCare - HealthChoices (65391)
CBHNP - HealthChoices |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| PerformCare HealthChoices Attachments (J65391) | Electronic | Y | |||||||||
|
|
|||||||||||
| Perlman Medical Group (73275) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Personal Insurance Administrators Inc (Agoura Hills, CA) (95397) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Personify Health formerly HealthComp North (36149)
Benefit Administrative Systems Connected Care HealthComp-BAS Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Personify Health formerly HealthComp South (07205)
Gilsbar Inc |
Paper | P I E | N | ||||||||
|
|
|||||||||||
|
Personify Health formerly HealthComp West (85729)
Community Care Health (DOS prior to 12/31/2024) Healthcomp West DOS prior to 1/1/2025 Signature Consulting |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Pharmacist Mutual Insurance Company (WC Only) (J1570W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pharmacists Mutual Insurance Attachments (WC Only) (J3734) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pharmacists Mutual Insurance Attachments MN TX Only (Auto Only) (J1570) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Pharmacists Mutual Insurance No Attachments MN TX Only (Auto Only) (13714A)
J1570 |
Electronic | N | |||||||||
|
|
|||||||||||
|
PHCS Maxor Administrative Services (20090)
United Claim Solutions |
Electronic | N | |||||||||
|
|
|||||||||||
|
PHH Fleetamerica Attachments (WC Only) (WX298W)
J1094 |
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)
Pro Claims Plus Pro-Claim Plus Inc 30031 Proclaim Plus Inc |
Electronic | P 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 |
Paper | 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 Eyecare Plan Inc. (EOBC) (R5934) | Paper | 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 | 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 University of Michigan Health Plan |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Physicians Health Plan of Michigan Medicare (83276)
University of Michigan Health Medicare |
Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Physicians Health Plan of Michigan Medicare (Medicare Advantage) (83276MA) | Paper | E | 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 San Jose (Medicare Advantage) (ZBID8MA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Physicians Medical Group of Santa Cruz (PMGSC1) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Physicians Mutual Insurance Company (47027) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Physicians of Southwest Washington (91171) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
PhysMetrics (48008)
PM001 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Physmetrics (formerly Chirometrics) (Z96250)
33070 CHIROMETRICS |
Electronic | N | |||||||||
|
|
|||||||||||
| Physnet Attachments (WC Only) (J4305) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Pie Insurance Services Inc Attachments (Auto Only) (J3755A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Pie Insurance Services Inc Attachments (WC Only) (J3755) | Electronic | Y | |||||||||
|
|
|||||||||||
| Piedmont (GA) (10882) | Paper | N | |||||||||
|
|
|||||||||||
| Piedmont Community Health Plan (55768) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Piedmont Community Health Plan (Medicare Advantage) (55768MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Pier 1 Inc USA Attachments (WC Only) (J1369W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PIH Health (BHP01)
Bright Health Physicians Presbyterian Intercommunity Hospital |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| PIH Health Downey (PPNZZ) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Pinnacle Medical Group (95271) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Pinnacol Assurance Attachments (WC Only) (J4050)
84109 CB746 E4050 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Pinnacol Assurance No Attachments (WC Only) (J4050W)
84109 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 | N | |||||||||
|
|
|||||||||||
| Plan Medico Bella Vista (Z6605) | Electronic | N | |||||||||
|
|
|||||||||||
|
Planned Administrators (37287)
PAI |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Planned Administrators Inc PAI Attachments (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 Attachments (Auto Only) (J3938)
Palisades Insurance Company Attachments (Auto Only) |
Electronic | P | Y | ||||||||
|
|
|||||||||||
|
PMA Companies Attachments (WC Only) (J1439W)
CB620 |
Electronic | Y | |||||||||
|
|
|||||||||||
| PMA Companies No Attachments (WC Only) (J1439) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
PMA Companies No Attachments (WC Only) (WB175W)
J1439 |
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 | N | ||||||||
|
|
|||||||||||
| Podiatry Plan Inc (PODIA) | Paper | P | N | ||||||||
|
|
|||||||||||
| Point C (IHS29) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Point Comfort Correctional Care (PCG05) | Electronic | P I | 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 | ||||||||
|
|
|||||||||||
| Pokagon Health Services (78535) | Electronic | N | |||||||||
|
|
|||||||||||
|
Polaris Industries No Attachments (Auto Only) (A0395A)
J2978 |
Electronic | P | N | ||||||||
|
|
|||||||||||
|
Polaris Industries No Attachments (WC Only) (A0395W)
J2978 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Pomona Valley Hospital Medical Ctr (PVHMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Pool Administrators Primary (PAI01) | Electronic | N | |||||||||
|
|
|||||||||||
|
Pool Administrators Secondary (PAI02)
Pool Administrators Inc - CA Dept of Public Health Secondary Claims |
Electronic | N | |||||||||
|
|
|||||||||||
| Pool Oregon Primary (PAIOR01) | Electronic | N | |||||||||
|
|
|||||||||||
| Pool Oregon Secondary (PAIOR02) | Electronic | N | |||||||||
|
|
|||||||||||
| Port Gamble S'Klallam Thrive PRC (PGPGC) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Port of Oakland (CA) (All States) (Auto only) (J1627A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Port of Oakland (CA) (All States) (WC only) (J1627W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Portillos Attachments (WC Only) (J1371W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
PPO One (UHNDC)
United Healthcare NDC Home Infusion Specialty Pharmacy Claims |
Paper | N | |||||||||
|
|
|||||||||||
| PPO One (Medicare Advantage) (UHNDCMA) | Paper | 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. National Health Benefit |
Paper | 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 Care Partners (FL) (Medicare Advantage) (65088MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Preferred Community Choice/PCC Select/CompMed (73145) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Preferred Employers Attachments (WC Only) (J1095W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Preferred Employers Group Attachments (WC Only) (WX300W)
J1096 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Preferred Employers Insurance PEI Attachments CA Only (WC Only) (J1496) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Preferred Employers Insurance PEI No Attachments CA Only (WC Only) (WR461)
J1496 |
Electronic | N | |||||||||
|
|
|||||||||||
|
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 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 Attachments (CCC) (Auto Only) (J4542) | Electronic | Y | |||||||||
|
|
|||||||||||
| Preferred Mutual Attachments (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 HealthCare Exchange (88056)
Cypress Benefits Administrators Lucent Health |
Electronic | P I E | 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 | |||||||||
|
|
|||||||||||
| PremierOne Plus IDS (POP11) | Electronic | N | |||||||||
|
|
|||||||||||
|
Presbyterian Health Plan (Z0003)
05003 PREHP Presbyterian Centennial Care TH061 |
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 Attachments (WC Only) (J4095) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Presence ERC (46311)
Pathways Behavioral Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Preserver Insurance Company Attachments (Auto Only) (J3962A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Preserver Insurance Company Attachments (WC Only) (J3962) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Primary Care Associates of California (PCACZ) | Electronic | N | |||||||||
|
|
|||||||||||
| Primary Care Coalition (PCCMC) | Electronic | N | |||||||||
|
|
|||||||||||
| Primary Health Network (82048) | 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 DOS 6/1/24 and after (MVCV0)
Central California Physician Partners |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Prime Community Care Central Valley DOS prior to 5/31/24 (MVCV1)
Central California Physician Partners |
Paper | N | |||||||||
|
|
|||||||||||
| Prime Health Choice, LLC (81502) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Prime Healthcare Attachments (Auto Only) (J1673A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Prime Healthcare Attachments (WC Only) (J1673W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Prime Property & Casualty Attachments 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 | |||||||||
|
|
|||||||||||
| PrimeWest Dental (835 Enrollment Only) (LX049) | Paper | N | |||||||||
|
|
|||||||||||
| Prince Georges County Gov MD Attachments (Auto Only) (J1891A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Prince Georges County Gov MD Attachments (WC Only) (J1891W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Princeton Premier IPA (PRI01) | Electronic | N | |||||||||
|
|
|||||||||||
| Principal Financial Group (Medicare Advantage) (61271MA) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Principal Financial Group (Vision & Dental Claims Only) (61271)
JF Molloy & Associates Inc Principal Financial Group Principal Life Insurance Company Principal Mutual Life Ins. Co. SBD Group Dental and Vision Claims |
Electronic | P I E | 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 | E | N | ||||||||
|
|
|||||||||||
|
Prism Network Inc (37268)
Palladian Muscular Skeletal Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Prism Univera (37315) | Electronic | P | 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 Service Attachments (WC Only) (J1821W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Professional Claims Service No Attachments (WC Only) (WR498)
J1821 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Professional Health Care Network PHCN (26748)
Tango Care |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Professional Insurance Company (59041) | Electronic | N | |||||||||
|
|
|||||||||||
| Progressive Attachments (Auto Only) (J1748A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Progressive Casualty Insurance Company Attachments (Auto Only) (J3692A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Classic Insurance Attachments (Auto Only) (J1788A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Progressive Commercial Casualty Attachments (Auto Only) (J1779A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Progressive Commercial Casualty No Attachments (Auto Only) (24260)
J1779 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Progressive Direct Insurance Attachments (Auto Only) (J1780A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Progressive Direct Insurance No Attachments (Auto Only) (16322A)
J1780 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Progressive Max Insurance Attachments (Auto Only) (J1783A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Progressive Max Insurance No Attachments (Auto Only) (24279)
J1783 |
Electronic | N | |||||||||
|
|
|||||||||||
| Progressive No Attachments (Auto Only) (J1748) | Electronic | N | |||||||||
|
|
|||||||||||
| Progressive Northern Insurance Attachments (Auto Only) (J1786A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Progressive Northern Insurance No Attachments (Auto Only) (38628)
J1786 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Progressive Northwestern Insurance Attachments (Auto Only) (J1787A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Progressive Northwestern Insurance No Attachments (Auto Only) (42919)
J1787 |
Electronic | N | |||||||||
|
|
|||||||||||
| Progressive Preferred Insurance Attachments (Auto Only) (J1785A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Premier Insurance Attachments (Auto Only) (J1781A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Progressive Specialty Insurance Attachments (Auto Only) (J1784A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Progyny (PROGY) | Electronic | N | |||||||||
|
|
|||||||||||
| Project P Holdings LLC, DBA Northeast Shared SVC Attachments (WC Only) (J4719) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| Promise Health Plan (RP128) | Electronic | P I E | 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 Mercy Physicians Medical Group MPMG DOS 1/1/2025 and after North West Orange County Medical Group NWOC Nuestra Familia Medical Group Pacific Healthcare IPA Pinnacle Health Resources Pomona Valley Hospital Medical Center 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 | ||||||||
|
|
|||||||||||
| Prospect Medical Group (Medicare Advantage) (PROSPMA) | Electronic | N | |||||||||
|
|
|||||||||||
|
PROSSAM (Asociacion de Maestros de PR) (660194027)
Associacion De Maestros Puerto Rico |
Electronic | N | |||||||||
|
|
|||||||||||
|
Protective Insurance Company Attachments (WC Only) (J1568W)
WR511 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Protective Insurance Company No Attachments (Auto Only) (12416A)
J1568 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Protective Insurance Company No Attachments (WC Only) (12416W)
J1568 |
Electronic | N | |||||||||
|
|
|||||||||||
| Protective Life Insurance Company (37309) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Protector 360 (68756) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Providence Facility Claims (PROV1) | Electronic | N | |||||||||
|
|
|||||||||||
| Providence Health Assurance Medicaid (77350) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Providence Health Assurance Medicare (77500) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Providence Health Plan (4498)
ASO PEBB Statewide Health Republic Insurance (OR) PHP00 PHP01 SX133 Providence Preferred |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Providence Health Plan (Medicaid Managed Care) (4498MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Providence Health Plan (Medicare Advantage) (4498MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Providence Health Plan Powered by Collective Health (36481) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Providence Health Services No Attachments (WC Only) (WR132W)
J2985 |
Electronic | N | |||||||||
|
|
|||||||||||
| Providence Insurance and Admin Service (PAS01) | Electronic | N | |||||||||
|
|
|||||||||||
| Providence Pace CA OR WA Elderpace (77240) | 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 Indiana (31407) | Electronic | P I | 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 North Carolina (31406) | Electronic | P I | 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)
WP481 |
Electronic | P I | 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 E | N | ||||||||
|
|
|||||||||||
|
Pruitt Health Premier (Medicare Advantage) (PH001MA)
PH001 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| PruittHealth Premier NC/SC (PHPC1) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
PSKW (PSKW0)
Connective RX - Physician Reimbursement Program |
Electronic | P | N | ||||||||
|
|
|||||||||||
| PsychHealth (A2797) | Electronic | N | |||||||||
|
|
|||||||||||
| Public Alliance Insurance Coverage Fund Attachments 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 Attachments (WC Only) (J1623) | Electronic | Y | |||||||||
|
|
|||||||||||
| Public Employers Risk Management Authority PERMA No Attachments (WC Only) (J1623W) | Electronic | N | |||||||||
|
|
|||||||||||
| Publix Super Markets Inc Attachments (WC Only) (J1897) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Publix Super Markets Inc No Attachments (WC Only) (J1897W) | Electronic | N | |||||||||
|
|
|||||||||||
| Puget Sound Workers Compensation Trust Attachments (WC Only) (J3791W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Puget Sound Workers Compensation Trust No Attachments (WC Only) (J3791) | Electronic | N | |||||||||
|
|
|||||||||||
| Pure Insurance Attachments (Auto Only) (C1088A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Puritan Life Insurance (Z95719) | Paper | E M | N | ||||||||
|
|
|||||||||||
| PV Kent (PVKFL) | Electronic | N | |||||||||
|
|
|||||||||||
|
QBE General Casualty Co of Wisconsin Attachments (WC Only) (J1484)
National Farmers Union Property Casualty Attachments (WC Only) Regent Insurance Company Attachments (WC Only) Unigard Insurance Company Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
QBE General Casualty Co of Wisconsin No Attachments (WC Only) (24414W)
J1484 |
Electronic | N | |||||||||
|
|
|||||||||||
| QBE General Casualty Eden Prairie Attachments (WC Only) (J1485) | Electronic | Y | |||||||||
|
|
|||||||||||
| QBE General Casualty Farmers Union Attachments (WC Only) (J1483) | Electronic | Y | |||||||||
|
|
|||||||||||
|
QBE General Casualty Farmers Union No Attachments (WC Only) (A0632)
J1483 |
Electronic | N | |||||||||
|
|
|||||||||||
| QBE General Casualty Freeport Attachments (WC Only) (J1486) | Electronic | Y | |||||||||
|
|
|||||||||||
| QBE General Casualty Indianapolis Attachments (WC Only) (J1487) | Electronic | Y | |||||||||
|
|
|||||||||||
| QBE General Casualty Simsbury Attachments (WC Only) (J1488) | Electronic | Y | |||||||||
|
|
|||||||||||
| QBE General Casualty Sun Prairie Attachments (WC Only) (J1489) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| QBE General Casualty West Des Moines Attachments (WC Only) (J1490) | 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 | |||||||||
|
|
|||||||||||
| Qual Medical Portland (QMDPO) | Electronic | N | |||||||||
|
|
|||||||||||
| QualCare IPA (QCP01) | Electronic | N | |||||||||
|
|
|||||||||||
| Qualchoice of Ohio (Z1094) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Qualexa Healthcare (86772) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Quality Care Partners (89461)
Antidote Health Plan of Ohio Genesis Health System |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Quality Care Partners (EOBC) (R6618)
Antidote Health Plan of Ohio Genesis Health System |
Paper | N | |||||||||
|
|
|||||||||||
|
Qual-Lynx Attachments NJ Only (WC Only) (J4059)
LV167 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Qual-Lynx No Attachments NJ Only (WC Only) (83867)
J4059 |
Paper | P I | N | ||||||||
|
|
|||||||||||
| QuantumCare (We Care Health Plan) (QCTPA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Quest Behavioral Health (44219)
BHP-Unity |
Electronic | N | |||||||||
|
|
|||||||||||
|
Quest EAP (10956)
Berkshire Intergroup |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| QuikTrip Corporation (73067) | Electronic | E | N | ||||||||
|
|
|||||||||||
| QVI Risk Solutions Inc (Remits Only) (57117) | Paper | N | |||||||||
|
|
|||||||||||
| R&L Carriers Attachments (WC Only) (J4192) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Rady Children’s Health Network (RCHN1)
Children's Physicians Medical Group (CPMG) Physicians Management Group |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Rady’s Children’s Specialists of San Diego (CSSD2) | Electronic | N | |||||||||
|
|
|||||||||||
| Railroad Medicare (SRRGA) | Electronic | P E M | N | ||||||||
|
|
|||||||||||
| Raleys Family of Fine Stores Attachments (Auto Only) (J1522A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Raleys Family of Fine Stores Attachments (WC Only) (J1522) | Electronic | Y | |||||||||
|
|
|||||||||||
| Raleys Family of Fine Stores Attachments (WC Only) (J1522W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Ralph Lauren Attachments (Auto Only) (J1938A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ralph Lauren Attachments (WC Only) (J1938) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Ram Mutual Insurance Company (No Attachments) (Auto Only) (WZ890A)
J1894 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Ram Mutual Insurance Company (No Attachments) (WC Only) (I6758W)
J1894 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Ram Mutual Insurance Company No Attachments (Auto Only) (I6758A)
J1894 |
Electronic | N | |||||||||
|
|
|||||||||||
| Ram Mutual Insurance Company No Attachments (WC Only) (WZ890W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Rampart Insurance Company Attachments (WC Only) (WX301W)
38512 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Ramsey County MN Attachments (Auto Only) (J1663A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ramsey County MN Attachments (WC Only) (J1663W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ramsey County MN No Attachments (WC Only) (E9361) | Electronic | N | |||||||||
|
|
|||||||||||
| Rancho Santiago Community College Attachments (Auto Only) (J1635A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rancho Santiago Community College Attachments (WC Only) (J1635W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Randstad SFN Attachments (WC Only) (J1456W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rapha IPA Inc. (RAIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ravenswood Physician Associates (RPAWC) | Electronic | N | |||||||||
|
|
|||||||||||
| Recology Attachments (Auto Only) (J1675A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Recology Attachments (WC Only) (J1675W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Recreational Equipment Inc REI Attachments (Auto Only) (J3763A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Recreational Equipment Inc REI Attachments (WC Only) (J3763) | Electronic | Y | |||||||||
|
|
|||||||||||
| Red Oak Independent School District Attachments (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 Empire Schools Insurance Group RESIG Attachments (WC Only) (J2208)
CB890 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Redwood Fire and Casualty Insurance Attachments CA, IL, LA, MN, NJ, NY, NC, OR, TN, TX, VA (WC Only) (J4644) | Electronic | Y | |||||||||
|
|
|||||||||||
| Redwood Health Services (54259) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
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 Attachments (WC Only) (J1467W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Rehn and Associates (REHN)
REHNO |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Reimbursement Specialists Inc (Remits Only) (R29044) | Paper | N | |||||||||
|
|
|||||||||||
|
Relation Insurance Attachments (WC Only) (J4084)
LU589 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Reliance Community Care Partners (RCCP) (79846)
Great Lakes PACE Siouxland Pace Unity Point |
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 Attachments (WC Only) (J4366) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Religious Order of Jehovah's Witnesses (ROJW1)
Watchtowers |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Renaissance Life & Health (835 Enrollment Only) (Z96117) | Paper | N | |||||||||
|
|
|||||||||||
|
Renovo Prime Health Golden Pear Attachments (WC Only) (J4171)
LV122 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Renovo Prime Health Golden Pear No Attachments (WC Only) (J4171W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Reny Company No Attachments (WC Only) (WX616)
J2328 |
Electronic | N | |||||||||
|
|
|||||||||||
| Republic Franklin Insurance Attachments (WC Only) (12475) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Republic Indemnity Company of America Attachments (WC Only) (J1008W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Republic Indemnity Company of America No Attachments (WC Only) (J1008) | Electronic | N | |||||||||
|
|
|||||||||||
| Republic Western Ins Co Attachments MN TX Only (Auto Only) (J1597A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Republic Western Ins Co Attachments 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 Attachments (WC Only) (J1097W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Resourceone Administrators (00518) | Paper | N | |||||||||
|
|
|||||||||||
|
Restaurant Reinsurance Limited Attachments (WC Only) (WX303W)
J1098 |
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 Attachments (WC Only) (J3733) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Retro Insulation Inc Attachments (Auto Only) (J3870A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Retro Insulation Inc Attachments (WC Only) (J3870W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Return to Work RTW Attachments (WC Only) (J1202W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Return to Work RTW No Attachments (WC Only) (J1202) | Electronic | N | |||||||||
|
|
|||||||||||
| 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) (with Attachments) (JZ1053) | Electronic | I | Y | ||||||||
|
|
|||||||||||
|
Rhone-Poulenc Inc Attachments (WC Only) (WX311W)
J1099 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Richardson ISD (Tristar Risk Management) (All States) (WC Only) (J3974) | Paper | N | |||||||||
|
|
|||||||||||
| Richmond Township (Auto Only) (J1377A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Richmond Township (WC Only) (J1377W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Rieth-Riley Construction Attachments (WC Only) (WX314W)
J1100 |
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 Health Plan (RHPCA) | Electronic | 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 Attachments (Auto Only) (J1828A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Risk Administration Services Attachments (WC Only) (J1828W) | Electronic | 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 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. 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 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 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 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 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.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. Serendipity Land Yachts SHEPPARD, MULLIN, RICHTER & HAMPTON Site Studios Inc. 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. WCP, INC. Wessex Industries, Inc.; Heald Western Golf Properties, Inc. Widdicombe Enterprises Inc. Wilson & Hampton Painting Cont |
Electronic | Y | |||||||||
|
|
|||||||||||
| Risk Enterprise Management Attachments MN TX Only (WC Only) (J4077) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Risk Management Services RMSC Attachments (WC Only) (J4420) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Risk Management Solutions RMS (All States) (WC Only) (J3873W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Risk Transfer Technologies Attachments (WC Only) (J1101W) | Electronic | Y | |||||||||
|
|
|||||||||||
| River City Medical Group Senior (AMM23) | Paper | N | |||||||||
|
|
|||||||||||
| Riverport Insurance MN School Board Assoc Attachments (WC Only) (J1546) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Riverside Family Health Medical Grp (MPM08) | Electronic | N | |||||||||
|
|
|||||||||||
| Riverside Medical Clinic (RMC01) | Electronic | N | |||||||||
|
|
|||||||||||
| Rochester-Genesee Regional Transportation Authority Attachments NY (WC Only) (J4739) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Rochester-Genesee Regional Transportation Authority No Attachments NY (WC Only) (J4739W) | Electronic | P I R | N | ||||||||
|
|
|||||||||||
| Rockwood Casualty Attachments (WC Only) (J4412) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rocky Mountain PACE (93142) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Root Insurance Attachments (Auto Only) (J4304) | Electronic | Y | |||||||||
|
|
|||||||||||
| Root Insurance Company Attachments (Auto Only) (CCC) (J4484) | Electronic | Y | |||||||||
|
|
|||||||||||
| Roth Staffing Companies (MN & TX) (WC Only) (J1023W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Royal Neighbors Of America (Eligibility & Remits Only) (Z95720) | Paper | E | N | ||||||||
|
|
|||||||||||
| RSC Insurance Services Ltd (EOBC) (WX326) | Paper | N | |||||||||
|
|
|||||||||||
| RSC Insurance Services Ltd Attachments (WC Only) (J1102W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rubicon Health Group (IHS18) | Electronic | 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 | |||||||||
|
|
|||||||||||
| Rutgers Casualty Insurance Attachments NJ Only (Auto Only) (C1101A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Rx Advance (Z95799) | Paper | N | |||||||||
|
|
|||||||||||
| Ryder Health Plan (RYDER) | Electronic | N | |||||||||
|
|
|||||||||||
| Ryder Services Attachments (Auto Only) (J1009A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Ryder Services Attachments (WC Only) (J1009W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
S & S Healthcare Strategies TPA (31441)
Benovation CDS Group Health INDECS Corporation S and S Healthcare Strategies S&S Healthcare Strategies TPA |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| S USA Life Insurance Company (Eligibility Only) (Z96288) | Paper | E | N | ||||||||
|
|
|||||||||||
| SA Recycling LLC Attachments (Auto Only) (J1728A) | Electronic | Y | |||||||||
|
|
|||||||||||
| SA Recycling LLC Attachments (WC Only) (J1728W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sacred Circle Healthcare PRC (CTGR1) | Electronic | N | |||||||||
|
|
|||||||||||
|
Safe TPA Attachments NY Only (WC Only) (J3770)
SAFE01 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Safeco Insurance Attachments (Auto Only) (C1053) | Electronic | Y | |||||||||
|
|
|||||||||||
| SafeCo Insurance Attachments (WC Only) (J24740) | Electronic | Y | |||||||||
|
|
|||||||||||
| Safeco Insurance No Attachments (Auto Only) (24740A) | Electronic | N | |||||||||
|
|
|||||||||||
| Safety-Kleen Corporation Attachments (WC Only) (J1103W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Safeway Inc Attachments (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 | ||||||||
|
|
|||||||||||
| Saint Lukes Health Plan Inc (92170) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Salt Lake County Behavioral Health Services (Z98246) | Electronic | N | |||||||||
|
|
|||||||||||
| Salucro (SALUC) | Paper | N | |||||||||
|
|
|||||||||||
|
Samaritan Health Plans (SAMCP)
Employer Group Plans Intercommunity Health Net Samaritan Advantage Samaritan Choice Plans CP001 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Samaritan Health Plans (Medicare Advantage) (SAMCPMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| SAMBA/Special Agents Mutual Benefit Association (37259) | Electronic | N | |||||||||
|
|
|||||||||||
| Same or Similar Jurisdiction A (Enrollment Only) (Z1421) | Paper | N | |||||||||
|
|
|||||||||||
| Same or Similar Jurisdiction B (Enrollment Only) (Z1422) | Paper | N | |||||||||
|
|
|||||||||||
| Same or Similar Jurisdiction C (Enrollment Only) (Z1423) | Paper | N | |||||||||
|
|
|||||||||||
| Same or Similar Jurisdiction D (Enrollment Only) (Z1424) | Paper | N | |||||||||
|
|
|||||||||||
|
Samera Health (U8053)
BAS Benefits Benefits Administrative Solutions Mint Health Plans |
Electronic | N | |||||||||
|
|
|||||||||||
| San Bernardino Medical Group (SBMED) | Paper | P | N | ||||||||
|
|
|||||||||||
| San Carlos Apache Healthcare PRC (SCPRC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| San Diego Community College District Attachments (Auto Only) (J1638A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| San Diego Community College District Attachments (WC Only) (J1638W) | Electronic | Y | |||||||||
|
|
|||||||||||
| San Diego County Medical Services (MSO11) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| San Diego County Ryan White Care Act (MSO33) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| San Diego County Sheriffs Department (MSO55) | Electronic | I | N | ||||||||
|
|
|||||||||||
| San Diego PACE (SDPCS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| San Diego PACE (EOBC) (96400) | Paper | 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 Attachments CA Only (WC Only) (J1886W) | Paper | I | Y | ||||||||
|
|
|||||||||||
| San Louis Obispo Select (33072) | Paper | P I | N | ||||||||
|
|
|||||||||||
| San Mateo Healthy Kids Dental (835 Enrollment Only) (CPP06) | Paper | N | |||||||||
|
|
|||||||||||
| Sana Benefits (50114) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Sanford Health Plan (91184) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Sanford Health Plan Medicare Advantage (RP035)
Great Plains Medicare Advantage |
Paper | P I E | 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)
SCFHP |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Santa Clara Family Health (Medicare Advantage) (24077MA) | 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 | ||||||||
|
|
|||||||||||
| Saudi Health Mission (SHM01) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Scan Encounters (99157) | Electronic | N | |||||||||
|
|
|||||||||||
|
SCAN Health Plan (72261)
Scan Health Plan - Arizona Scan Health Plan - California SCAN1 |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Scan Health Plan - Arizona (Medicare Advantage) (73172MA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Scan Health Plan - California (Medicare Advantage) (72261MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
SCCIPA Santa Clara County IPA (10378)
SCCIPA, A Pacific Partners Medical Group |
Electronic | P | N | ||||||||
|
|
|||||||||||
| SCCIPA Santa Clara County IPA (Medicare Advantage) (10378MA) | Paper | P | N | ||||||||
|
|
|||||||||||
|
SCCIPA VHP Covered California (VHPCA)
Valley Health Plan (VHP) |
Electronic | N | |||||||||
|
|
|||||||||||
| Schlumberger Technology Attachments (WC Only) (J1104W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Schnuck Market Inc Attachments 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 and Remits 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 Attachments (WC Only) (WP150W)
J1049 |
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 (Z1325)
Ojai Valley Community Medical Group SVIPA |
Paper | P I | N | ||||||||
|
|
|||||||||||
|
SEBRH BTMG (Z95676)
SEBRH (ABSMC) - BTMG Sutter Easy Bay Regional Hosp S8100 SC051 96176 |
Electronic | N | |||||||||
|
|
|||||||||||
|
SEBRH Non Sutter Groups (Z95678)
S8200 SC052 |
Electronic | N | |||||||||
|
|
|||||||||||
| SECUR Health Plan DOS 1/1/25 and after (SECUR) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Secura Auto (All States) (Auto Only) (C1129A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Secura Insurance Attachments (WC Only) (J1379) | Electronic | Y | |||||||||
|
|
|||||||||||
| Secure Health (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 Attachments (WC Only) (J2418W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Sedgwick CMS Attachments (WC Only) (TP097W)
WB464 WX867 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Sedgwick CMS No Attachments (WC Only) (TP097) | Electronic | N | |||||||||
|
|
|||||||||||
| Sedgwick Fabcon Inc Attachments (WC Only) (J2685W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sedgwick Grange Mutual Casualty Attachments (WC Only) (J2739W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Sedgwick MCO Managed Care Ohio Attachments (WC Only) (J4426)
LV386 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Sedgwick MCO Managed Care Ohio No Attachments (WC Only) (J4426W)
LV386 |
Electronic | N | |||||||||
|
|
|||||||||||
| Sedgwick Safelite Group No Attachments (WC Only) (WR752) | Electronic | N | |||||||||
|
|
|||||||||||
| 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 of America (Ashland, WI) (37282) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Select Energy Services Attachments (Auto Only) (J1937A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Select Energy Services Attachments (WC Only) (J1937) | Electronic | 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 Health of South Carolina Attachments (J23285) | Electronic | Y | |||||||||
|
|
|||||||||||
| Select Senior Clinic (20415) | Electronic | N | |||||||||
|
|
|||||||||||
| Select Staffing (WC Only) (J1446W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Selectcare (00014) | 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 E | N | ||||||||
|
|
|||||||||||
| Selective Insurance Attachments (WC Only) (12572W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Selective Insurance Attachments (WC Only) (WZ099W)
12572 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Selective Insurance Attachments NJ (Auto Only) (C1077A) | Paper | P I | Y | ||||||||
|
|
|||||||||||
| Self Funded Plans Inc of Cleveland OH (34131) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Self Insured Benefit Administrators (Clearwater, FL) (59111) | Electronic | N | |||||||||
|
|
|||||||||||
| Self Insured Plans LLC dba 90 Degree Benefits (36404) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Self Insured Schools Of California SISC No Attachments (WC Only) (WR945)
J1520 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Self Insured Services Company (SISCO) (44827)
00540 |
Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Selman & Co DOS 1/1/2019 and after (52214)
Associates & Society Ins & Selman & Company |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Seminole Tribe of Florida Attachments (WC Only) (J2384) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Sempra Energy Employee Care Services Attachments (WC Only) (J1915) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Sendero Health with DOS 1/1/19 and After (MV440)
Idealcare |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Senior Blue of PA (Medicare HMO) (3576) | Electronic | N | |||||||||
|
|
|||||||||||
| Senior Care Partners (36390) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Senior Care Partners PACE (R3496)
Compensation Claims Solutions |
Electronic | N | |||||||||
|
|
|||||||||||
| Senior Dimensions (Z96281) | Paper | E | N | ||||||||
|
|
|||||||||||
|
Senior Health Network (Z96172)
15682 Mediture (Senior Network Health Plan ONLY) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Senior Whole Health New York (SWHNY) | Electronic | N | |||||||||
|
|
|||||||||||
| Senior Whole Health of Massachusetts (SWHMA) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| Senior Whole Health of Massachusetts Medicare Advantage (SWHMAMA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Sentara (PACE) (SENT1) | Electronic | N | |||||||||
|
|
|||||||||||
|
Sentara Health Management (54154)
OhioHealthy Optima FED Program Optima Health Plan Optima Insurance Company VCU Health System Virginia Premier Health Plans |
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 E | N | ||||||||
|
|
|||||||||||
| Sentara Mental Health (5415M) | 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 Renaissance Life and Health Insurance Company of America |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Sentry Auto Attachments MN NJ Only (Auto Only) (C1033)
Dairyland Insurance Company Attachments MN NJ Only (Auto Only) Florists Insurance Company Attachments MN NJ Only (Auto Only) Florists Mutual Insurance Comp Attachments MN NJ Only (Auto Only) Patriot General Insurance Comp Attachments MN NJ Only (Auto Only) Peak Property and Casualty Insurance Attachments MN NJ Only (Auto Only) Sentry Casualty Company Attachments MN NJ Only (Auto Only) Sentry Insurance A Mutual Comp Attachments MN NJ Only (Auto Only) Sentry Select Insurance Comp Attachments MN NJ Only (Auto Only) Viking Insurance Company of Wisconsin Attachments MN NJ Only (Auto Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Sentry Auto No Attachments MN NJ Only (Auto Only) (WB140A)
C1033 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sentry Insurance Attachments (WC Only) (J1417W)
28460 Florists Insurance Company Attachments (WC Only) Florists Mutual Insurance Comp Attachments (WC Only) Middlesex Insurance Company Attachments (WC Only) Minnesota WC Plan Attachments (WC Only) Parker Services Attachments (WC Only) Patriot General Insurance Company Attachments (WC Only) Self Insured Fund FL Florists Nurseries Attachments (WC Only) Self-Insured Fund MA Attachments (WC Only) Sentry Select Insurance Company Attachments (WC Only) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Sentry Insurance No Attachments (WC Only) (WB141)
J1417 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Seoul Medical Group (CA) (Z90058)
AMM07 Hawaii Senior Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
|
Seoul Medical Group (CA) (Medicare Advantage) (Z90058MA)
Z90058 |
Electronic | N | |||||||||
|
|
|||||||||||
| Serendib Healthways (4YC01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Service First Medical (Z96444) | Paper | N | |||||||||
|
|
|||||||||||
|
Service Lloyds Insurance Co Attachments (Auto Only) (J1593A)
WZ638 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Service Lloyds Insurance Co Attachments (WC Only) (J1593W)
Service Lloyds Service American Attachments (WC Only) WZ638 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Service Lloyds Insurance Co No Attachments (WC Only) (43389W)
J1593 WZ638 |
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 | |||||||||
|
|
|||||||||||
|
SGIC (11789)
Southern Guaranty Insurance Co |
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 through 10/31/23 (SHP102) | Electronic | E | N | ||||||||
|
|
|||||||||||
|
Sharp Health Plan DOS 11/1/2023 and after (SHP03)
SHC Clinical Trials SHC Transplant |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sharp Rees-Stealy Medical Group (SRS01)
SRS83 |
Electronic | N | |||||||||
|
|
|||||||||||
| Shaws/StarMarket (All States) (WC Only) (J1468W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sheakley UNICOMP (Z95673) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sheboygan Senior Community (EOBC) (R6384) | Paper | 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 | ||||||||
|
|
|||||||||||
| Shuman Consulting Services LLC (R6335) | Paper | 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 (Medicare Advantage) (SMG01MA)
Pegasus Medical Group (Medicare Advantage) SMG01 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Sierra Pacific Industries Attachments (Auto Only) (J4382A)
LS900 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Sierra Pacific Industries Attachments (WC Only) (J4382)
LS900 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Sierra Pacific Industries No Attachments (WC Only) (J4382W) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Sierra Sacramento Valley Regional (835 Enrollment Only) (CPP02)
Health Kids Health Future |
Paper | N | |||||||||
|
|
|||||||||||
| Signal Insurance Attachments (Auto Only) (J3792A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Signal Insurance Attachments (WC Only) (J3792) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Signature Advantage (SA001) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Silver Star Pace (97691) | Electronic | N | |||||||||
|
|
|||||||||||
| Silver Star PACE (R3480) | Electronic | N | |||||||||
|
|
|||||||||||
| SilverSummit Health Plan (Eligibility Only) (11229) | Paper | N | |||||||||
|
|
|||||||||||
|
SimplePay (27905)
Community Health Alliance TN |
Electronic | N | |||||||||
|
|
|||||||||||
|
Simplified Benefit Administrators (84132)
United Medical Alliance United Physicians of Northern Colorado |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Simplified Benefits Administrators (89789)
Poudre School District UC Health Plan Administrators |
Electronic | N | |||||||||
|
|
|||||||||||
|
Simply Healthcare (SMPLY)
Lighthouse Health Simply Plan |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Simply Healthcare (Medicaid Managed Care) (SMPLYMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Simply Healthcare (Medicare Advantage) (SMPLYMA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Simply Healthcare Attachments (JSMPLY) | Electronic | Y | |||||||||
|
|
|||||||||||
| Simpra Advantage Inc DOS 1/1/2023 and after (SIM02) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sinclair Health Plan (84076) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
SISCO Attachments (WC Only) (J1898)
LS659 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
SISCO No Attachments (WC Only) (WP005W)
J1898 |
Electronic | N | |||||||||
|
|
|||||||||||
| Skygen USA (835 Enrollment and Eligibility) (SKYGN) | Paper | E | N | ||||||||
|
|
|||||||||||
| Smith Administrators (Ft Worth TX) (02057) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Snap-On Incorporated Attachments (WC Only) (WX329W)
J1105 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Snedeker Risk Management (A7637) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Society Insurance Attachments (Auto Only) (J2139A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Society Insurance Attachments (WC Only) (J2139W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Society Insurance No Attachments (Auto Only) (J2139WA) | Electronic | N | |||||||||
|
|
|||||||||||
| Society Insurance No Attachments (WC Only) (J2139WC) | Electronic | N | |||||||||
|
|
|||||||||||
| Solarte Health (SLRT1) | Paper | P | N | ||||||||
|
|
|||||||||||
|
Solidarity Healthshare (SH777)
77721 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Solis Health Plans (SOLIS)
73581 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Solstice Benefits (76578) | Paper | N | |||||||||
|
|
|||||||||||
|
Solvay America Inc Attachments (WC Only) (WX330W)
J1106 |
Electronic | Y | |||||||||
|
|
|||||||||||
| SOLXSYS (SLX01) | Paper | N | |||||||||
|
|
|||||||||||
|
SOMOS Emblem (81336)
SOMOS IPA Emblem |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Sompo Japan Insurance Comp of America (Remits Only) (11126) | Paper | N | |||||||||
|
|
|||||||||||
| Sonder Health Plans (A0339) | Electronic | N | |||||||||
|
|
|||||||||||
|
Sonder Health Plans (Medicare Advantage) (A0339MA)
A0339 |
Electronic | N | |||||||||
|
|
|||||||||||
| Sonic Automotive Inc Attachments (WC Only) (J1381W) | Electronic | Y | |||||||||
|
|
|||||||||||
| South Atlantic Medical Group (SAMG1) | Electronic | N | |||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| South Coast Area Transit Attachments (Auto Only) (J1731A) | Electronic | Y | |||||||||
|
|
|||||||||||
| South Coast Area Transit Attachments (WC Only) (J1731W) | Electronic | Y | |||||||||
|
|
|||||||||||
| South Country Health Alliance (81600) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| South Country Health Alliance (Medicaid Managed Care) (81600MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| South Dakota DSS - STARS / State Funding (STARS) | Electronic | P | 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 | ||||||||
|
|
|||||||||||
| Southcentral Foundation (SCFND) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Southeast Alaska Regional Health Consortium PRC (SARHC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Southeast Leasing Attachments (WC Only) (J1865) | Electronic | Y | |||||||||
|
|
|||||||||||
| 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 Deaconess OneCare IU Health Plans One Care SIHO Insurance Services |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Southern California Edison Attachments (WC Only) (J1817WC) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Southern California Edison No Attachments (WC Only) (WP064W)
J1817 |
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 Illinois Health Care Association (SIHCA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Southern Scripts (Z96795)
Liviniti |
Paper | N | |||||||||
|
|
|||||||||||
| Southern Textile Recycling Inc Attachments (Auto Only) (J1648A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Southern Textile Recycling Inc Attachments (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 (WC Only) (WP076W)
J1233 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Southwest Airlines SWA Attachments (WC Only) (J1233W) | 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 | ||||||||
|
|
|||||||||||
|
Southwestern Health Resources (DOS prior to 1/1/23) (EOBC) (83245)
UST Healthproof (EOBC) |
Paper | N | |||||||||
|
|
|||||||||||
| Space Exploration Technologies Corp Attachments (Auto Only) (J1990A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Space Exploration Technologies Corp Attachments (WC Only) (J1990W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Spartan Stores (Non-MAD) (Auto Only) (J1383A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Spartan Stores (Non-MAD) (WC Only) (J1383W) | Electronic | Y | |||||||||
|
|
|||||||||||
| SPB Hospitality LLC Attachments (WC only) (J3862W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Specialist Management Solutions (GOSMS) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Specialty Care Program (IHS17) | Electronic | N | |||||||||
|
|
|||||||||||
|
Spectrum Administrators Inc TPA (Allentown PA) (23253)
Populytics |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| Spencer Stuart (ARM, LTD) (38416) | Electronic | N | |||||||||
|
|
|||||||||||
| SPNet Integra Group Attachments (WC Only) (J4041) | Electronic | Y | |||||||||
|
|
|||||||||||
| Spohn Health Network (SPOHN) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Springfield Insurance Co. (J1922) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sprouts Farmers Market Attachments (Auto Only) (J1850A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sprouts Farmers Market Attachments (WC Only) (J1850W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| SRS Cargill Inc Attachments (Auto Only) (J1661) | Electronic | Y | |||||||||
|
|
|||||||||||
| SRS Cargill Inc Attachments (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 STJOE |
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 Attachments (WC Only) (J1926) | Electronic | Y | |||||||||
|
|
|||||||||||
|
St Vincent Catholic Medical Centers NY (13407)
SVCMC USFHP |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| 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. Paul’s PACE (SPPCA) | Electronic | N | |||||||||
|
|
|||||||||||
| Standard Insurance Company (EOBC) (69019) | Paper | N | |||||||||
|
|
|||||||||||
| Standard Insurance Of Oregon (835 Enrollment Only) (93024) | Paper | N | |||||||||
|
|
|||||||||||
|
Standard Life and Accident Insurance Company (01758)
73099 |
Electronic | N | |||||||||
|
|
|||||||||||
| Stanford Health Care Advantage (46407) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Stanley Steemer International Attachments (Auto Only) (J1939A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Stanley Steemer International Attachments (WC Only) (J1939) | Electronic | Y | |||||||||
|
|
|||||||||||
| Stanley Works Inc Attachments (WC Only) (J1385W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Stant Corporation Attachments (WC Only) (J1107W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Staples Inc DOS 1/31/25 and prior Attachments (WC Only) (J4206) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Star Medical Associates IPA (SMA01) | Electronic | N | |||||||||
|
|
|||||||||||
| Starlife Holdings (STARH) | Paper | P I | N | ||||||||
|
|
|||||||||||
| StarMed Administrators (IHS08) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| StarMed Claims (24140) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
State Auto Insurance Companies (No Attachments) (Auto Only) (Z95743)
J1966 |
Electronic | N | |||||||||
|
|
|||||||||||
| State Auto Insurance Companies No Attachments (Auto Only) (46450) | Electronic | N | |||||||||
|
|
|||||||||||
| State Auto Mutual Insurance Company Attachments (Auto Only) (J1966A) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Compensation Insurance Fund SCIF Attachments (WC Only) (35076W) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Compensation Insurance Fund SCIF No Attachments (WC Only) (35076) | Electronic | N | |||||||||
|
|
|||||||||||
| State Farm (Casualty & Property Claims) (31059) | Electronic | N | |||||||||
|
|
|||||||||||
| State Farm Attachments (Auto Only) (J1548) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Farm Attachments (Auto Only) (J1548A) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Farm Attachments (WC Only) (J3349) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
State Farm Group Medical & Individual Health Ins Companies (31053)
Branch Individual Health Insurance Companies - State Farm-Health Line of Business SF MUTUAL State Farm Insurance Companies |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
State Fund Mutual Insurance Attachments (WC Only) (J1553)
Forest Products Commercial Self Insurance Attachments (WC Only) Minnesota Workers Comp Assigned Risk Attachments (WC Only) SFM Risk Solutions Attachments (WC Only) Superior Point Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
State Fund Mutual Insurance No Attachments (WC Only) (WJ1553)
Forest Products Commercial Self Insurance No Attachments (WC Only) |
Electronic | 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 Attachments (Auto Only) (J1555A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| State of Minnesota DOER Attachments (WC Only) (J1555) | Electronic | Y | |||||||||
|
|
|||||||||||
|
State of Minnesota DOER No Attachments (WC Only) (E1217W)
J1555 |
Electronic | N | |||||||||
|
|
|||||||||||
| State of North Carolina Attachments (WC Only) (J1659WC) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
State of Tennessee No Attachments (WC Only) (E1272)
J2267 |
Electronic | N | |||||||||
|
|
|||||||||||
| State of Wyoming Attachments (Auto Only) (J2179A) | Electronic | Y | |||||||||
|
|
|||||||||||
| State of Wyoming Attachments (WC Only) (J2179W) | Electronic | Y | |||||||||
|
|
|||||||||||
| State Office of Risk Management Attachments (WC Only) (J1418) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| State Office of Risk Management No Attachments (WC Only) (J1418W) | Electronic | N | |||||||||
|
|
|||||||||||
| Statewide Insurance Fund Attachments NJ Only (WC Only) (J3937W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| SteadPoint Group SteadPoint Insurance Attachments (WC Only) (J3993) | Electronic | Y | |||||||||
|
|
|||||||||||
| SteadPoint Group SteadPoint Insurance No Attachments (WC Only) (J3993W) | Electronic | N | |||||||||
|
|
|||||||||||
| Stericycle Inc (EOBC) (R0100) | Paper | N | |||||||||
|
|
|||||||||||
| Stirling and Stirling (06089) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Stirling Benefits (25498) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Stirling Benefits (Remits Only) (STL01) | Paper | N | |||||||||
|
|
|||||||||||
| Stoner & Associates (31121) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Stones River IPA - Blue Grass Family Health (15754)
Blue Grass Family Health/SRRIPA |
Electronic | 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 Attachments (WC Only) (J2213) | Electronic | Y | |||||||||
|
|
|||||||||||
| Stonetrust No Attachments (WC Only) (J2213W) | Electronic | N | |||||||||
|
|
|||||||||||
| Stork Club Fertility (STORK) | Paper | P | N | ||||||||
|
|
|||||||||||
| Strategic Comp Claims Attachments (Auto Only) (J3972A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Strategic Comp Claims Attachments (WC Only) (J3972)
LS452 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Streamline Imaging Streamline PT Attachments (WC Only) (J4481) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Streamline Imaging Streamline PT Attachments (WC Only) (J4606) | Electronic | Y | |||||||||
|
|
|||||||||||
| Streamline Imaging Streamline PT No Attachments (WC Only) (J4481W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Strictly Trailer Repair (Auto Only) (A0343A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Strictly Trailer Repair (WC Only) (A0343W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Student Assurance Services (Remits Only) (SAS01) | Paper | N | |||||||||
|
|
|||||||||||
| Style Crest Enterprise Attachments (Auto Only) (J3880A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Style Crest Enterprise Attachments (WC Only) (J3880W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Suffolk County Risk Management Attachments NY Only (WC Only) (J4176) | Electronic | Y | |||||||||
|
|
|||||||||||
| SummaCare Health Plan (95202) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| SummaCare Health Plan (Medicare Advantage) (95202MA) | Electronic | P E | 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 Attachments (JPASSE) | Electronic | Y | |||||||||
|
|
|||||||||||
| Summit Health Ltd Attachments (WC Only) (J1108W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Summit Health Ltd No Attachments (WC Only) (WX332W)
J1108 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Summit Holdings Attachments (WC Only) (J1437W)
Bridgefield Casualty Attachments (WC Only) Bridgefield Employers Attachments (WC Only) Business First Attachments (WC Only) Retailer's First Attachments (WC Only) Retailers's Casualty Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Summit Holdings No Attachments (WC Only) (WB148W)
Bridgefield Employers No Attachments (WC Only) J1437 |
Electronic | N | |||||||||
|
|
|||||||||||
| Sun Mar Healthcare Attachments (Auto Only) (J1610A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sun Mar Healthcare Attachments (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 PACE (Z98839)
R3498 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sunrise Senior Living Attachments MN TX Only (Auto Only) (A0588)
J3097 |
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 (EOBC) (31117)
Superior Dental Care |
Paper | N | |||||||||
|
|
|||||||||||
|
Superior Health Plan Texas (39188)
Wellcare by Allwell |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Superior Health Plan Texas (Medicare Advantage) (39188MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Superior Insurance Services (97802) | Electronic | N | |||||||||
|
|
|||||||||||
| Superior Staffing (Auto Only) (A0344A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Superior Staffing (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 | ||||||||
|
|
|||||||||||
|
Surest (25463)
Bind |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Surgery Department of Mt Sinai (EOBC) (R41979) | Paper | N | |||||||||
|
|
|||||||||||
| Sutter Connect - Central Valley Med Group (Encounters) (HM066) | Electronic | P | N | ||||||||
|
|
|||||||||||
| 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 | |||||||||
|
|
|||||||||||
|
Sutter East Bay Medical Foundation (87160)
94269 S2090 SC020 Sutter Diablo Division |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sutter Gould Medical Foundation (87161)
77302 S1190 SC003 |
Electronic | N | |||||||||
|
|
|||||||||||
| Sutter Health Aetna Attachments (J60624) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sutter Health Attachments (WC Only) (J1512) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Sutter Medical Foundation (87163)
SC004 S1000 IP092 SMG Solano SMG Yolo Sutter Health Plus S4700 Sutter Independent Physicians SIP S4100 Sutter Medical Ctr Sacramento S4200 Sutter Medical Group Sacramento SMG Sac S4200 Sutter Santa Rosa Regional HSP S3000 |
Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Sutter Pacific Medical Foundation (87165)
SC008 S8000 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Sutter Senior Care (Z95675)
S2800 SC028 |
Electronic | N | |||||||||
|
|
|||||||||||
| Swift Glass Corporation (07040) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Swift Transportation DOS 2/28/25 and prior Attachments (WC Only) (WX333W)
J1109 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Symetra Life Insurance Company (Remits Only) (08389)
Metro One Loss Prevention Services Group Symetra Select Benefits WW Healthcare Consultants, LLC |
Paper | N | |||||||||
|
|
|||||||||||
| Synergy Comp Attachments (Auto Only) (J4468A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Synergy Comp Attachments (WC Only) (J4468)
LV608 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Synergy Comp No Attachments (WC Only) (J4468W) | Electronic | P I | 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 Attachments (Auto Only) (J1972A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Syngenta Corporation Attachments (WC Only) (J1972W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Sysco Corporation Attachments (WC Only) (J3316) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Sysco Corporation No Attachments (WC Only) (WP320W)
J3316 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| T.H.E. Insurance Attachments (Auto Only) (J1791A) | Electronic | Y | |||||||||
|
|
|||||||||||
| T.H.E. Insurance Attachments (WC Only) (J1791W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TakeCare Insurance Company (98022) | Electronic | N | |||||||||
|
|
|||||||||||
| Takeda America Holdings Attachments (Auto Only) (J1991A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Takeda America Holdings Attachments (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 | P I | N | ||||||||
|
|
|||||||||||
| TCI Transportation (EOBC) (WP344) | Paper | N | |||||||||
|
|
|||||||||||
|
TDS/1 (57549)
TDS/Physician Health Cooperative TDS/Stones River IPA - Humana |
Electronic | N | |||||||||
|
|
|||||||||||
| TDS/Anthem (RP009) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TDS/Atrio TN and LA only (RP005) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TDS/Fidelis (RP008) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TDS/SRRIPA/Amerivantage (RP010) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TDS/SRRIPA/Clover (RP012) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TDS/SRRIPA/Wellcare (RP011) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TDS/TP-ACO (RP004) | Electronic | P | 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 (Remits Only) (R35085) | Paper | N | |||||||||
|
|
|||||||||||
|
Teamsters Medicare Trust for Retired Employees (43619)
Medicare Trust for Retired Employees-TMT |
Electronic | N | |||||||||
|
|
|||||||||||
|
Technology Insurance Company Attachments (WC Only) (J1855)
E1342 WZ632 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Technology Insurance Company No Attachments (WC Only) (42376)
J1855 |
Electronic | N | |||||||||
|
|
|||||||||||
| Telamon (22483) | Electronic | N | |||||||||
|
|
|||||||||||
| TennDent - Dental (10794) | Paper | E | N | ||||||||
|
|
|||||||||||
| Tennessee Bluecare & TennCare Select Remits (Z1339) | Paper | N | |||||||||
|
|
|||||||||||
| Tennessee Risk Management Trust Attachments (Auto Only) (J2358A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Tennessee Risk Management Trust Attachments (WC Only) (J2358W)
CB843 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Tennessee Risk Management Trust No Attachments (Auto Only) (J2358AW) | Electronic | N | |||||||||
|
|
|||||||||||
| Tennessee Risk Management Trust No Attachments (WC Only) (J2358) | Electronic | N | |||||||||
|
|
|||||||||||
| Termed Clients (Z96613) | Paper | N | |||||||||
|
|
|||||||||||
|
Tethys Health Ventures (20212)
Accarent Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Texas A&M Attachments 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 Attachments (WC Only) (A0234)
WR902 |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Texas Association of School Boards No Attachments (WC Only) (A0234W) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Texas Builders Insurance Attachments (Auto Only) (J1581A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Builders Insurance Attachments (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 Attachments (J88221) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Texas Healthspring (THS01)
33104 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Texas Hospital Insurance Attachments (WC Only) (J3869W) | Paper | P I | Y | ||||||||
|
|
|||||||||||
|
Texas Hospital Insurance No Attachments (WC Only) (32514W)
J3869 |
Electronic | N | |||||||||
|
|
|||||||||||
| Texas Independence Health Plan (31403) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Texas Municipal League (TML) (All States) (WC Only) (A0245) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Texas Municipal League TML No Attachments (WC Only) (WX292)
A0245 |
Electronic | N | |||||||||
|
|
|||||||||||
| Texas Mutual Insurance Attachments (WC Only) (22945) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Texas Mutual Insurance No Attachments (Auto Only) (WX606A)
22945 |
Electronic | N | |||||||||
|
|
|||||||||||
| Texas Mutual Insurance No Attachments (WC Only) (22945W) | Electronic | N | |||||||||
|
|
|||||||||||
|
Texas Political Subdivisions JSIF Attachments (WC Only) (J1921)
WE041 (attachments) |
Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Texas Political Subdivisions JSIF No Attachments (WC Only) (WE041) | Electronic | N | |||||||||
|
|
|||||||||||
| Texas Roadhouse Inc Attachments (Auto Only) (J1676A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Texas Roadhouse Inc Attachments (WC Only) (J1676W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Texas Small Business Pool No Attachments (WC Only) (WX334W)
J1110 |
Electronic | Y | |||||||||
|
|
|||||||||||
| TexasFirst Health Plan (Dallas) (Remits Only) (13185) | Paper | N | |||||||||
|
|
|||||||||||
| The Alliance (88461) | Paper | P I | N | ||||||||
|
|
|||||||||||
| The American Equity Underwriters AEU Attachments (Auto Only) (J4019A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| The American Equity Underwriters AEU Attachments (WC Only) (J4019) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| The ASU Group (Remits Only) (Z96811) | Paper | N | |||||||||
|
|
|||||||||||
|
The Basics at Jan Werner PACE (R3493)
Salinas Valley Community Church |
Electronic | N | |||||||||
|
|
|||||||||||
| The Benefit Group Inc (TBGNE) | Electronic | 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 TX (75600) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| The Colorado Purchase Alliance (TCPA1) | Paper | P I | N | ||||||||
|
|
|||||||||||
| The Difference Card (Remits Only) (R37352) | Paper | N | |||||||||
|
|
|||||||||||
| The Gap Inc Attachments (Auto Only) (J1671A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Gap Inc Attachments (WC Only) (J1671W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| The General Insurance Attachments (Auto Only) (C1050) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Hartford Attachments (WC Only) (J1422W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
The Hartford No Attachments (WC Only) (WB109W)
J1422 |
Electronic | N | |||||||||
|
|
|||||||||||
|
The Hartford No Attachments (WC Only) (WP384W)
J1422 |
Electronic | N | |||||||||
|
|
|||||||||||
|
The Health Exchange (Cerner Corporation) (20356)
Cerner Health Plan Services Cerner Healthplan Services |
Electronic | P I 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 Attachments (Auto Only) (J1846A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Jones Financial Companies LLP Attachments (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 Attachments (Auto Only) (J1834A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group Austin Mutual Attachments (WC Only) (J1834W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group Grain Dealers Mutual Attachments (Auto Only) (J1835A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group Grain Dealers Mutual Attachments (WC Only) (J1835W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group MSA Assurance Attachments (Auto Only) (J1837A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group MSA Assurance Attachments (WC Only) (J1837W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
The Main Street America Group MSA Assurance No Attachments (WC Only) (29939)
J1837 |
Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group MSA Insurance Protection Attachments (Auto Only) (J1838A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group MSA Insurance Protection Attachments (WC Only) (J1838W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
The Main Street America Group MSA Insurance Protection No Attachments (WC Only) (13026)
J1838 |
Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group MSAIC Surplus Attachments (Auto Only) (J1839A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group MSAIC Surplus Attachments (WC Only) (J1839W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
The Main Street America Group MSAIC Surplus No Attachments (WC Only) (11066)
J1839 |
Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group NGM Attachments (Auto Only) (J1840A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group NGM Attachments (WC Only) (J1840W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
The Main Street America Group NGM No Attachments (WC Only) (14788)
J1840 |
Electronic | N | |||||||||
|
|
|||||||||||
| The Main Street America Group Old Dominion Ins Attachments (Auto Only) (J1841A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group Old Dominion Ins Attachments (WC Only) (J1841W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group Spring Valley Mutual Attachments (Auto Only) (J1842A) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Main Street America Group Spring Valley Mutual Attachments (WC Only) (J1842W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
The Main Street America Group Spring Valley Mutual No Attachments (WC Only) (11028)
J1842 |
Electronic | N | |||||||||
|
|
|||||||||||
| The Marvin Companies Attachments (WC Only) (J4523) | Electronic | Y | |||||||||
|
|
|||||||||||
| 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 | P I | N | ||||||||
|
|
|||||||||||
| The Plumbers Union Local No. 12 Welfare Fund (45398) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
The Preferred Healthcare Systems TPHS (04320)
PrimeSource Health Network |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| The Salvation Army Attachments (WC Only) (J1472W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
The Salvation Army No Attachments (WC Only) (WR766)
J1472 |
Electronic | N | |||||||||
|
|
|||||||||||
| The Scotts Company Attachments (WC Only) (WX357W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Zenith Attachments (WC Only) (J13269W) | Electronic | Y | |||||||||
|
|
|||||||||||
| The Zenith No Attachments (WC Only) (13269W) | Electronic | N | |||||||||
|
|
|||||||||||
| The Zero Card LLC (75296) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Theraphysics (THERA) | Electronic | N | |||||||||
|
|
|||||||||||
| Theraphysics-Colorado Only (Z0063) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Therapy Direct Network Attachments (WC Only) (J1831W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Thin Blue Line (TBL38) | Electronic | N | |||||||||
|
|
|||||||||||
| Third Coast Underwriters 3CU Attachments (WC Only) (J2148) | Electronic | Y | |||||||||
|
|
|||||||||||
| Third Coast Underwriters 3CU No Attachments (WC Only) (J2148W) | Electronic | N | |||||||||
|
|
|||||||||||
| Thomas McGee Group Attachments (WC Only) (J1746W) | Electronic | Y | |||||||||
|
|
|||||||||||
| 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 E | 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 | |||||||||
|
|
|||||||||||
|
Titan Insurance Ltd No Attachments MN TX (Auto Only) (13242)
J3115 |
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 Attachments (WC Only) (J2289) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Tompkins Seneca Tioga Workers Comp Plan Attachments (WC Only) (J4427) | Electronic | Y | |||||||||
|
|
|||||||||||
| TOPA Insurance Company Attachments (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 Attachments (WC Only) (WX365W)
J1112 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Total Plan Concepts (80900) | Electronic | N | |||||||||
|
|
|||||||||||
| Total Plan Services (41202) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Total Senior Care (R3474) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Touchpoint Solutions CRM (TPS01) | Electronic | N | |||||||||
|
|
|||||||||||
| Touchstone Health PSO (23856) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Tower Energy Group Attachments (Auto Only) (J1604A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tower Energy Group Attachments (WC Only) (J1604W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tower Insurance Company Of New York Attachments (Auto Only) (J3961A) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| Tower Insurance Company Of New York Attachments (WC Only) (J3961) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Tower National Insurance Attachments (Auto Only) (J1394A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Tower National Insurance Attachments (WC Only) (J1394) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Town of Colma CA Attachments (Auto Only) (J1668A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Town of Colma CA Attachments (WC Only) (J1668W) | Electronic | Y | |||||||||
|
|
|||||||||||
| TPAC/The Physicians Assurance Corporation (CX030) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TPAC/USPCPS/Amerivantage (RP023) | Electronic | P | N | ||||||||
|
|
|||||||||||
| TPHN Verda ILS PNS TX (98603) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| TPS Joint Self Insurance Fund (MN & TX) (WC Only) (J1395W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tractor Supply Company Attachments (WC Only) (J1505W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
TransactRX Infusion and Specialty (11168)
RX001 |
Electronic | P E | N | ||||||||
|
|
|||||||||||
|
TransactRX Part D (11037)
RXPTD PARTD |
Paper | P 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) |
Paper | N | |||||||||
|
|
|||||||||||
| Transamerica Life Insurance (KBA) (10946) | Paper | E | N | ||||||||
|
|
|||||||||||
| Transportation - Fixed Route - IndyGo (Z96657) | Paper | N | |||||||||
|
|
|||||||||||
| Transwestern (TRAN1) | Electronic | N | |||||||||
|
|
|||||||||||
| TRASH - ALL TRANSACTIONS WILL BE DISCARDED (00000) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Travelers Attachments (WC Only) (19046W)
WP467 |
Electronic | Y | |||||||||
|
|
|||||||||||
| Travelers Auto (Attachments) (Auto Only) (C1032) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Travelers Auto No Attachments (Auto Only) (C1032W) | Electronic | P | N | ||||||||
|
|
|||||||||||
|
Travelers No Attachments (WC Only) (19038W)
19046 |
Electronic | N | |||||||||
|
|
|||||||||||
| Travelers No Attachments (WC Only) (J19046) | Electronic | N | |||||||||
|
|
|||||||||||
| Travis County MAP-Mediview (TCMAP) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Tres Health Inc (32396) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Triad Group LLC Attachments NY Only (WC Only) (J4229)
E0145 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Triad Healthcare Inc (Plainville CT) (39181)
Aetna Chiro Claims |
Electronic | N | |||||||||
|
|
|||||||||||
| Triada Assurance (CB733) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Triangle Insurance Attachments (WC Only) (J1996) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Tribado (32691)
Apostrophe HP2 High-Performance Health Plan Vitori Health |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Tribute /SelectCare of Oklahoma (73117) | Electronic | N | |||||||||
|
|
|||||||||||
| Tricare East (99727) | Electronic | P I | 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 E | N | ||||||||
|
|
|||||||||||
|
Tricare Foreign Regions (TRICF)
Tricare (Foreign Regions)- P2(PI Tricare) Tricare Overseas FOREN |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Tricare Overseas (Non-USA Providers) (Z2024) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Tricare Retiree Dental Program (835 Enrollment Only) (CDCA1) | Paper | N | |||||||||
|
|
|||||||||||
|
Tricare West Region (TRICW)
99726 Tricare (CHAMPUS) Tricare West - United Healthcare (99726) VA Healthcare |
Electronic | P I E R M | N | ||||||||
|
|
|||||||||||
| Tricare West Region (Medicare Advantage) (TRICWMA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Tri-County Schools Insurance Group JPA Attachments (WC Only) (J3879) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Trigon (84103) | Paper | N | |||||||||
|
|
|||||||||||
|
Trillium Health Resources NC (56089)
43071 East Carolina Behavioral Health Eastpointe Behavioral Health DOS 2/1/24 and after Sandhills Center Behavioral Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Trillium Staffing Solutions Attachments (Auto Only) (J1674A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Trillium Staffing Solutions Attachments (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 | |||||||||
|
|
|||||||||||
|
Tristar Benefit Administrators (Des Moines, IA) (42137)
Select Benefit Administrators (Des Moines, Iowa) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
TriStar Benefit Administrators (PHCS Eagan, MN) (41201)
Client First |
Electronic | N | |||||||||
|
|
|||||||||||
| Tristar Risk Management Attachments (WC Only) (10932W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Tristar Risk Management Attachments (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 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 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 | |||||||||
|
|
|||||||||||
| Tristar Risk Management Attachments (WC Only) (J41556W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Tristar Risk Management Attachments (WC Only) (Medicaid Managed Care) (41556WMC) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Tristate Benefit Solutions (TPA) (31144)
Tri Health |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Tri-State Insurance Company No Attachments (WC Only) (31003)
J2195 |
Electronic | N | |||||||||
|
|
|||||||||||
| Triton Healthcare Partners (Remits Only) (R36498) | Paper | N | |||||||||
|
|
|||||||||||
|
Tri-Valley Medical Group (EOBC) (20538)
Tri-Valley Medical Group Tri-Valley Medical Group DOS 12/31/23 and prior |
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 | ||||||||
|
|
|||||||||||
| TRU Community Care (TRUCO) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
True Health New Mexico (82288)
New Mexico Health Connections |
Paper | M | N | ||||||||
|
|
|||||||||||
| TrueCare Mississippi Medicaid (MSMCD) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| TrueCare Mississippi Medicaid (MSMCDCS1) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| TrueClaim (87801) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Truli Health (TRULI) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Trusteed Plans Service Corporation (91078)
TPSC Benefits Trusteed Plans Management |
Electronic | P I | 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)
Network Health of Massachusetts Secure Horizons - TUFTS Health Plan for Seniors Total Health Plan TUFTS TUFTS Associated Health Plan Tufts Health Public Plans |
Electronic | P I E R | N | ||||||||
|
|
|||||||||||
| Tufts Health Plans (Medicaid Managed Care) (04298MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Tufts Health Plans (Medicare Advantage) (04298MA) | Electronic | E | 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 Attachments (Auto Only) (J1959A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tyson Foods Attachments (WC Only) (J1959W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Tyson Foods Inc Attachments (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 | ||||||||
|
|
|||||||||||
|
UCare Individual & Family Plans (55413)
EssentiaCare 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 UCare Medicare with M Health Fairview & North Memorial Health UCare Minnesota Senior Care Plus MSC DOS 1/1/2022 and after UCARE Minnesota Senior Health Options DOS 01/01/2022 after after UCARE of Minnesota DOS 1/1/2022 and after |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| UCare Individual & Family Plans (DOS of 01/01/2019 and After) (Medicare Advantage) (55413MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| UCCI (10480) | Paper | N | |||||||||
|
|
|||||||||||
| UCI Health (UCI01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UCLA Health Medicare Advantage Plan (28189) | Electronic | E | 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: 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: Hotstart (19450) | Electronic | N | |||||||||
|
|
|||||||||||
| UCS - BASI: Idaho Asphalt Supply (Z96217) | 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: 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 - 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 - ELM-CO LLC (60509) | 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 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 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: Meter Group USA (16025) | Electronic | N | |||||||||
|
|
|||||||||||
|
UCSD Managed Care (UCSDH)
University of California San Diego Health |
Electronic | N | |||||||||
|
|
|||||||||||
| Udelhoven Health Plan (92006) | Paper | P | N | ||||||||
|
|
|||||||||||
| UFCW (EOBC) (R1257) | Paper | 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 WeShare Legacy Only (UHSM1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Ultimate Health Plan (77022) | Electronic | M | N | ||||||||
|
|
|||||||||||
| Ultimate Health Plan (Medicare Advantage) (77022MA) | Electronic | N | |||||||||
|
|
|||||||||||
|
Ultra Benefits Inc (41206)
Ultrabenefits Inc |
Electronic | N | |||||||||
|
|
|||||||||||
| UMass Medical School Health & Criminal Justice Program (UMHCJ) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UMB Bank NA (Remits Only) (R5285) | Paper | N | |||||||||
|
|
|||||||||||
| UMC Health Plan (75130) | Electronic | N | |||||||||
|
|
|||||||||||
| Umpqua Health Alliance (77502) | Electronic | N | |||||||||
|
|
|||||||||||
|
UMR (39026)
American Postal Worker's Union (Primary Claims) Benefit Administrators Benesight CBA National Rural Electric Cooperative 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 Government Employees Health Association (GEHA) 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) IBEW Local 347 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 UHC Shared Services UHIS UMR01 Uniform Medical Plan/Centra United Health Integrated Services United Medical Resources 31107 Wausau Benefits Wausau Preferred Health Plans Wheaton Franciscan Healthcare WV TREASURY PEIA |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| UMR (with attachments) (J39026) | Electronic | Y | |||||||||
|
|
|||||||||||
|
UMWA Health & Retirement Funds (52180)
United Mine Workers Retirement |
Electronic | P E M | N | ||||||||
|
|
|||||||||||
| UMWA Health & Retirement Funds (Medicare Advantage) (52180MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Underwriters Safety and Claims Attachments (WC Only) (TP108W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Underwriters Safety and Claims No Attachments (WC Only) (TP108WC) | Electronic | N | |||||||||
|
|
|||||||||||
|
Unicare (80314)
Unicare WV (Prior to 1/1/2025) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Unicare - Dental (10791) | Paper | E | N | ||||||||
|
|
|||||||||||
| Unicare (Medicaid Managed Care) (80314MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UNICARE (Medicare Advantage) (80314MA) | Electronic | N | |||||||||
|
|
|||||||||||
| UNICARE (with Attachments) (J80314) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Unified Group Services (35198) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Unified Health Plan TPA (IHS12) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Unified Health Services (WC Claims Only) (62170) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Unified Health Services Attachments (WC Only) (J3837) | Electronic | Y | |||||||||
|
|
|||||||||||
| Unified Life Insurance Company (RP064) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Unified Physicians Network (UPN99) | Electronic | N | |||||||||
|
|
|||||||||||
| Unified Physicians Network Inc (1691) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Uniformed Services Family Health Plan Texas & Louisiana (USFHP)
USFHP Texas and Louisiana |
Paper | N | |||||||||
|
|
|||||||||||
| Unify Health Services (Remits Only) (J4587) | Paper | N | |||||||||
|
|
|||||||||||
| Union Bank and Trust (Remits Only) (Z98836) | Paper | N | |||||||||
|
|
|||||||||||
| Union Insurance Co (MN & TX) (WC Only) (J1397W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Union Insurance Company Attachments (WC Only) (J1397) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Union Insurance Company No Attachments (WC Only) (WC244)
J1397 |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Union Insurance Company of Providence Attachments Except CA NM NV (WC Only) (25844W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Union Standard Insurance Company Attachments (WC Only) (J1398W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Unite Here Health Hospitality, UHH Hospitality (97615) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Unite Here Health Las Vegas (59144)
Culinary Health and Welfare Fund (Las Vegas, NV) Culinary Health Fund |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| United Agriculture Benefit Trust (UAGBT) | Paper | P | N | ||||||||
|
|
|||||||||||
| United American Insurance Company (Remits Only) (92916) | Paper | M | N | ||||||||
|
|
|||||||||||
| United Benefit Advisors (38260) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| United Care Medical Group (ADCUC) | Electronic | N | |||||||||
|
|
|||||||||||
| United Concordia Companies, Inc - Dental (Z96273) | Paper | E | N | ||||||||
|
|
|||||||||||
| United Concordia Federal Employees Program - Dental (10809) | Paper | E | N | ||||||||
|
|
|||||||||||
|
United Concordia Plus (Remits Only) (CX013)
78077 89070 Equitable (UCCI) Hershey Healthsmile |
Paper | N | |||||||||
|
|
|||||||||||
|
United Dominion Realty Trust Attachments (WC Only) (WZ962W)
J1048 |
Electronic | Y | |||||||||
|
|
|||||||||||
| United Financial Casualty Co (MN Only) (Auto Only) (J1789A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| United Financial Casualty Company (WC Only) (11770W) | Electronic | Y | |||||||||
|
|
|||||||||||
| United Fire (All States) (Auto Only) (C1060A) | Electronic | Y | |||||||||
|
|
|||||||||||
| United Fire (All States) (Auto Only) (J1401A) | Electronic | Y | |||||||||
|
|
|||||||||||
| United Fire and Casualty (WZ997) | Paper | N | |||||||||
|
|
|||||||||||
|
United Fire Attachments (WC Only) (A0347W)
J1401 |
Electronic | Y | |||||||||
|
|
|||||||||||
| United Fire Attachments (WC Only) (J1401W) | Electronic | Y | |||||||||
|
|
|||||||||||
| United Fire Group aka Mercer Insurance Attachments NJ Only (Auto Only) (C1102A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| United Fire No Attachments (Auto Only) (A0347) | Electronic | N | |||||||||
|
|
|||||||||||
|
United Fire No Attachments (WC Only) (13021W)
J1401 |
Electronic | N | |||||||||
|
|
|||||||||||
|
United Food & Commercial Workers Union and Food Employers (So. California, Cypress) (Z1401)
SCUFW Southern California UFCW Unions & Food Employers |
Electronic | P | N | ||||||||
|
|
|||||||||||
| United Group Programs (EOBC) (UGP19) | Paper | N | |||||||||
|
|
|||||||||||
| United Health Care (Medicare Advantage) (87726MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| United Health Care (Subrogation Claims Only) (87726S) | Paper | P I | N | ||||||||
|
|
|||||||||||
| United Health Care Community Plan (M87726) | Electronic | I | N | ||||||||
|
|
|||||||||||
| United Health Integrated Services (Medicare Advantage) (39026MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| United Health Integrated Services (Subrogation Claims Only) (39026S) | Electronic | N | |||||||||
|
|
|||||||||||
| United Health Service dba Pruitt Health Attachments (WC Only) (J3753) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
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 Choice One/UTMB CHIP Health Plan Community Health Plan of DE Community Health Plan of PA 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) 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 California Pacificare of Colorado People's Health Network Physician Health Partners Medicare Physicians Health Plan PHP (North Carolina) Rocky Mountain Health Plan 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) Turquoise Care 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 Facets Pittsburgh Community & State United Healthcare Great Lakes 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 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 Community Plan of New Mexico UnitedHealthcare Medicare Solutions / Care Improvement Plus (CIP) UnitedHealthcare Plan of the River Valley UnitedHealthcare West |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| United Healthcare (Medicaid Managed Care) (87726MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| United Healthcare (Medicare Advantage) (with Attachments) (J87726MA) | Electronic | E | Y | ||||||||
|
|
|||||||||||
| United Healthcare (with Attachments) (J87726) | Electronic | Y | |||||||||
|
|
|||||||||||
|
United Healthcare Community Plan Arizona (03432)
Arizona Physicians IPA Community Plan APIPA |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
United Healthcare Community Plan Arizona (Medicare Advantage) (03432MA)
Arizona Physicians IPA (UHC) Community Plan (Medicare Advantage) |
Electronic | E | N | ||||||||
|
|
|||||||||||
|
United Healthcare Community Plan of Texas (Remits Only) (TEX01)
Americhoice Texas (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
|
United Healthcare Community Plan Wisconsin (Remits Only) (WID01)
Americhoice of WI |
Paper | N | |||||||||
|
|
|||||||||||
| United Healthcare Facets Detroit Community & State (10836) | Paper | N | |||||||||
|
|
|||||||||||
| United Healthcare NDC Repricer [UHNDC] (Z1274) | Paper | N | |||||||||
|
|
|||||||||||
|
United Healthcare Vision (00773)
Spectera |
Paper | P E M | N | ||||||||
|
|
|||||||||||
| United Heartland Attachments (WC Only) (J1859) | Electronic | Y | |||||||||
|
|
|||||||||||
| United Heartland No Attachments (WC Only) (J1859W) | Electronic | N | |||||||||
|
|
|||||||||||
| United Physicians International (UPI) (SANDS) | Electronic | N | |||||||||
|
|
|||||||||||
| United Self Insured Services - USIS (All States) (WC Only) (J1851) | Electronic | Y | |||||||||
|
|
|||||||||||
| United States Automobile Association USAA (74095) | Paper | E | N | ||||||||
|
|
|||||||||||
| United States Cold Storage Attachments (WC Only) (J1113W) | Electronic | Y | |||||||||
|
|
|||||||||||
| United States Fire Insurance Co (MN & TX) (WC Only) (J1402W) | Electronic | Y | |||||||||
|
|
|||||||||||
| United Teacher Assoc Ins Co- Medicare Supplement (Eligibility Only) (Z90027) | Paper | N | |||||||||
|
|
|||||||||||
| United Teacher Associates Insurance (07243) | Paper | N | |||||||||
|
|
|||||||||||
| United Wisconsin Insurance Comp Attachments (Auto Only) (J1235A) | Electronic | Y | |||||||||
|
|
|||||||||||
| United Wisconsin Insurance Comp Attachments (WC Only) (J1235W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
United Wisconsin Insurance Comp No Attachments (WC Only) (WX956W)
J1235 |
Electronic | N | |||||||||
|
|
|||||||||||
|
UnitedHealth Group No Attachments MN TX Only (Auto Only) (A0567A)
J3138 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
UnitedHealthcare Community Plan / NJ (86047)
Americhoice of New Jersey AmeriChoice of New Jersey Personal Care Plus (NJ Medicare) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan / NJ (Medicare Advantage) (86047MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan / NJ (with Attachments) (J86047) | Electronic | Y | |||||||||
|
|
|||||||||||
|
UnitedHealthcare Community Plan / NYU (NYU01)
Americhoice New York United Healthcare of New York Inc |
Paper | N | |||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan Kansas (KanCare) (96385) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan Kansas (KanCare) (Medicaid Managed Care) (96385MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan Kansas (KanCare) (with Attachments) (J96385) | Electronic | Y | |||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan Missouri (86050) | Paper | P I E M | N | ||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan Missouri (with Attachments) (J86050) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan TN (Medicaid Managed Care) (95378MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UnitedHealthcare Community Plan TN (with Attachments) (J95378) | Electronic | I | Y | ||||||||
|
|
|||||||||||
| UnitedHealthcare Dental (52133) | Paper | E M | N | ||||||||
|
|
|||||||||||
|
UnitedHealthcare Great Lakes Health Plan (95467)
United Healthcare Facets Detroit Community & State |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| UnitedHealthcare Great Lakes Health Plan (Medicaid Managed Care) (95467MC) | Electronic | P | N | ||||||||
|
|
|||||||||||
| UnitedHealthcare Great Lakes Health Plan (with Attachments) (J95467) | Electronic | Y | |||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
|
UnitedHealthcare West (95959)
Pacificare of California Pacificare of Oklahoma Pacificare of Oregon Pacificare of Texas Pacificare of Washington UHC of CA/TX/OK/OR/WA and PacifiCare of AZ/CO/NV |
Paper | E | N | ||||||||
|
|
|||||||||||
|
UnitedHealthOne (81400)
All Savers Alternate Funding All Savers Insurance Co. American Medical Security UnitedHealthOne / PacifiCare Life and Health Insurance |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Unitrin Direct Property & Casualty Company Attachments MN Only (Auto Only) (J16063A) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Unity Health Insurance (39180)
Gundersen Lutheran Health Plan Physicians Plus Insurance Corporation Quartz ASO Quartz Health Solutions Inc |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Unity Health Insurance (Medicare Advantage) (39180MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Unity Health Partners (A1152) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Univera Healthcare - Managed Care (16107) | Electronic | N | |||||||||
|
|
|||||||||||
| Univera PPO (UNINW) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Univera PPO (Medicaid Managed Care) (UNINWMC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Univeral American Financial Services (95380)
Universal American Financial Services |
Electronic | N | |||||||||
|
|
|||||||||||
| Universal American (Eligibility Only) (11216) | Paper | E | N | ||||||||
|
|
|||||||||||
| Universal Benefit Corp (11033) | Paper | N | |||||||||
|
|
|||||||||||
| Universal Fidelity Administrators Company (93220) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Universal Fidelity Administrators Company (Aggregate claims Only) (93222) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Universal Health Services No Attachments MN TX Only (WC Only) (A0433W)
J3139 |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Universal HealthCare IPA (UHIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Universal Healthcare IPA (Remits Only) (R0131) | Paper | N | |||||||||
|
|
|||||||||||
|
Universal Healthshare (53684)
UHF Universal Health Fellowship |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| University Care Advantage Arizona (Eligibility Only) (10699) | Paper | N | |||||||||
|
|
|||||||||||
|
University Family Care (09830)
Banner Medicare Advantage Dual Banner University Care Advantage University Physicians Care Advantage |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| University Family Care (Medicare Advantage) (09830MA) | Electronic | N | |||||||||
|
|
|||||||||||
|
University Health Alliance (UHA)
99026 |
Electronic | E | N | ||||||||
|
|
|||||||||||
| University Healthcare Marketplace (45437) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| University of Arizona Health Plan - UHM (Eligibility Only) (10889) | Paper | N | |||||||||
|
|
|||||||||||
|
University of Illinois (UIC67)
Innovista Health Univ of Ill Campus Care |
Paper | P I | N | ||||||||
|
|
|||||||||||
| University of Illinois Chicago Div of Spec Care for Children (37601) | Paper | P | N | ||||||||
|
|
|||||||||||
| University of Kentucky Health Services Attachments (Auto Only) (J1941A) | Electronic | Y | |||||||||
|
|
|||||||||||
| University of Kentucky Health Services Attachments (WC Only) (J1941) | Electronic | Y | |||||||||
|
|
|||||||||||
| University of Kentucky Health Services Attachments (WC Only) (J1941W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
University of Texas at Austin IMO Attachments (WC Only) (J2387)
CB156 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
University of Utah Health Plans (Healthy U) (Z1030)
Four Corners Community Behavioral SX155 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| UPMC Dental (835 Enrollment Only) (UPMCD) | Paper | N | |||||||||
|
|
|||||||||||
| UPMC Health Plan (23281) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| UPMC Health Plan (Medicaid Managed Care) (23281MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| UPMC Health Plan (Medicare Advantage) (23281MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| UPMC Health Plan (Medicare Advantage) (23281MAP) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| UPMC Vision Advantage (25184) | Electronic | N | |||||||||
|
|
|||||||||||
|
Upper Peninsula Health Group TPA (37324)
UPHG Wisconsin Department of Corrections WDOC DOS 09/01/2023 and after |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Upper Peninsula Health Plan (38337) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Upper Peninsula Health Plan (Medicare Advantage) (38337MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Urogen Support (50291) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Urology Department of Mt Sinai (EOBC) (R42082) | Paper | N | |||||||||
|
|
|||||||||||
| US Benefits - Portland, Oregon (93092) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| US Engagement, LLC (50443) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
US Family Health Plan (90551)
USFHP at Pacmed |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| US Foods Attachments MN TX Only (WC Only) (J3146) | Electronic | Y | |||||||||
|
|
|||||||||||
| US Foodservice Inc Attachments (WC Only) (J1114W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
US Health (Remits Only) (USHA1)
Enterprise Life Insurance Company Freedom Life Insurance Company of America National Foundation Life Insurance Company |
Paper | N | |||||||||
|
|
|||||||||||
| US Imaging (50383) | Electronic | N | |||||||||
|
|
|||||||||||
| US National Resources AIGRM Attachments (WC Only) (J1115) | Electronic | Y | |||||||||
|
|
|||||||||||
|
US Network and Administrative Services (USN01)
Best Doctors Insurance |
Paper | P I | N | ||||||||
|
|
|||||||||||
| US Sugar Corporation Attachments (Auto Only) (J1950A) | Electronic | Y | |||||||||
|
|
|||||||||||
| US Sugar Corporation Attachments (WC Only) (J1950W) | Electronic | Y | |||||||||
|
|
|||||||||||
| US Venture Inc Attachments (WC Only) (J4472) | Electronic | Y | |||||||||
|
|
|||||||||||
| USAA Attachments (Auto Only) (J1822A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| USAA CCC Attachments (Auto Only) (J4529) | Electronic | Y | |||||||||
|
|
|||||||||||
| USAA Life Insurance Company (Eligibility Only) (Z1316) | Paper | E | N | ||||||||
|
|
|||||||||||
|
USAA Life Insurance Company (Remits Only) (75895)
Pacificare Life and Health Ins Co (Remits Only) |
Paper | N | |||||||||
|
|
|||||||||||
| USC - Questcare Medical (84562) | Electronic | N | |||||||||
|
|
|||||||||||
| USC HEALTH SERVICES (TH021) | Electronic | P | N | ||||||||
|
|
|||||||||||
| USC Health Services (USC11) | Electronic | P | N | ||||||||
|
|
|||||||||||
| USC Kempton Group Administrators (90210) | Electronic | N | |||||||||
|
|
|||||||||||
| USS-POSCO Industries (J1534) | Electronic | Y | |||||||||
|
|
|||||||||||
| Utah Business Insurance Company (Remits Only) (16306) | Paper | N | |||||||||
|
|
|||||||||||
| Utica Attachments (Auto Only) (C1027A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Utica Mutual Insurance Company Attachments (WC Only) (25976) | Electronic | Y | |||||||||
|
|
|||||||||||
| Utica Mutual Insurance Company Attachments (WC Only) (25976W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Utica National Insurance Co of Texas Attachments (WC Only) (43478) | Electronic | Y | |||||||||
|
|
|||||||||||
| Utica National Insurance Co of Texas No Attachments (WC Only) (43478W) | Electronic | N | |||||||||
|
|
|||||||||||
| UTMB 3 Share Program (UT3F) | Electronic | N | |||||||||
|
|
|||||||||||
|
UTMB Correctional Managed Care (UTMBC)
University Texas Medical Board |
Electronic | N | |||||||||
|
|
|||||||||||
| UTMB Correctional Managed Care (UTMBU) | Electronic | N | |||||||||
|
|
|||||||||||
|
VA Community Care Network (VACCN)
Optum VA CCN Region |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
VA Dialysis Only VA FSC (VAFSC)
VA DIALYSIS - INST only to VAFSC (835s effective for DOS 10-1-22 and after) |
Electronic | N | |||||||||
|
|
|||||||||||
|
VA Fee Basis Program (12115)
VHA Office of Integrated Veteran Care (IVC) |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
VA Fee Basis Program (Medicare Advantage) (12115MA)
12115 |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| VA Fee Basis Program Attachments (J12115) | Electronic | Y | |||||||||
|
|
|||||||||||
| VA Health Administration Center (Eligibility Only) (Z96272) | Paper | E | N | ||||||||
|
|
|||||||||||
| VACorp Attachments (WC Only) (J3807W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Valenz (94749) | Electronic | N | |||||||||
|
|
|||||||||||
| Valenz: Core Benefits Teladoc (65287) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Valenz: Tucker Administrators (65231)
Valenz: Tucker Administrators - A-1 Pavement Markings #1275 |
Electronic | N | |||||||||
|
|
|||||||||||
| Valir Pace (64009) | Electronic | N | |||||||||
|
|
|||||||||||
| Valir Pace (Formerly Via Christi Hope) (48123) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Valir PACE Organization (R3463) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Valley Care IPA (VCIPA)
Dignity Health Medical Network Ventura |
Electronic | N | |||||||||
|
|
|||||||||||
| Valley Care Program (Eligibility Only) (10948) | Paper | N | |||||||||
|
|
|||||||||||
|
Valley Health Plan (Commercial) (VHP01)
Valley Health Plan |
Electronic | E M | N | ||||||||
|
|
|||||||||||
| Valley Health Plan (Medi-Cal) (VHP02) | Electronic | N | |||||||||
|
|
|||||||||||
| Valley Mental Health (94293) | Electronic | N | |||||||||
|
|
|||||||||||
| Valley Presbyterian Hospital (MPM53) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Valley Presbyterian Hospital Community Family Care VPRESCFC (MPM61) | Paper | N | |||||||||
|
|
|||||||||||
| Valley Presbyterian Hospital Preferred IPA VPRESPREF (MPM60) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Valor Health Plan (43259)
Access Health Services MIRRA |
Paper | P I E | N | ||||||||
|
|
|||||||||||
| Valor Health Plan (Medicare Advantage) (43259MA) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Value Options PA Behavioral Health (Z96315) | Electronic | N | |||||||||
|
|
|||||||||||
| Value Options PA Medicaid (Z1247) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Van Lang IPA c/o TECQ Partners (77036) | Electronic | N | |||||||||
|
|
|||||||||||
|
Vanderbilt Health (BPSLLC)
Vanderbilt University Medical Center |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Vanliner Insurance Company Attachments (Auto Only) (21172A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Vanliner Insurance Company Attachments (WC Only) (21172) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Vantage Health Plan Inc (72128)
77701 Primewell Health Services |
Electronic | P E | N | ||||||||
|
|
|||||||||||
| Vantage Health Plan Inc (Medicare Advantage) (72128MA) | Electronic | N | |||||||||
|
|
|||||||||||
| Variable Protection Administrators (VPA) (VPA18) | Electronic | N | |||||||||
|
|
|||||||||||
|
Varipro (72187)
BCI Administrators |
Paper | P I | N | ||||||||
|
|
|||||||||||
| Vault/AMPS Admin Services Or GAR (Georgia Relators Association) (VS402) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Vaya Health (13010)
Smoky Mountain Center |
Electronic | N | |||||||||
|
|
|||||||||||
| Ventura County Health Care Plan (VCHCP) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Verda Healthcare Texas (VERTX) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Verity National Group (75256)
GASA1 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Verity Plus (VMMH2)
Multnomah County Verity Multnomah Treatment Fund |
Electronic | N | |||||||||
|
|
|||||||||||
| Vestacare (VESTA) | Electronic | N | |||||||||
|
|
|||||||||||
| VGM Homelink (50701) | Electronic | N | |||||||||
|
|
|||||||||||
| Viad Corp Attachments MN Only (WC Only) (J1403W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Vibra Health Plan (15976) | Electronic | M | N | ||||||||
|
|
|||||||||||
| ViCare Health (VCH01) | Electronic | N | |||||||||
|
|
|||||||||||
| Vicorp Restaurants Attachments (MN & TX only) (WC Only) (WX495W) | Electronic | Y | |||||||||
|
|
|||||||||||
| VieCare Life Armstrong DOS 10/31/2024 and prior (25922) | Paper | P I | N | ||||||||
|
|
|||||||||||
| VieCare Life Beaver and Life Lawrence Counties DOS 10/31/2024 and prior (25924) | Paper | P I | N | ||||||||
|
|
|||||||||||
| VieCare LIFE Butler (25923) | Electronic | N | |||||||||
|
|
|||||||||||
|
Village Practice Management Company (36477)
VillageMD |
Electronic | P I | N | ||||||||
|
|
|||||||||||
|
VillageCareMAX (26545)
Village Senior Services |
Electronic | N | |||||||||
|
|
|||||||||||
| VillageCareMAX (Medicare Advantage) (26545MA) | Electronic | N | |||||||||
|
|
|||||||||||
| VillageMD (VLGMD) | Paper | P I | N | ||||||||
|
|
|||||||||||
| VillageMD of Chicago (75838) | Electronic | P | N | ||||||||
|
|
|||||||||||
| VillageMD of Houston (93170) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Virginia Health Network (54138) | Paper | P | N | ||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| Virginia Premier Health Plans (Medicare Advantage) (VAPRMMA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Virginia Risk Sharing VRSA Attachments (Auto Only) (J3928W)
LT791 |
Paper | P I | Y | ||||||||
|
|
|||||||||||
| Virginia Surety Company Attachments Except ND OH WA WY (Auto Only) (J1404A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Virginia Surety Company Attachments Except ND OH WA WY (WC Only) (J1404W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
VitalCore Millette (MAI58)
Millette Administrators, Inc |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Vitas Healthcare Corporation (Remits Only) (03846) | Paper | N | |||||||||
|
|
|||||||||||
| Vitori Health (IHS25) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Vitruvian Care Inc (VUIPA) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Viva Health Plan (63114) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Viva Health Plan (Medicare Advantage) (63114MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
Vivant Health (RCMG1)
River City Medical Group |
Electronic | N | |||||||||
|
|
|||||||||||
|
Viveka Health (Remits Only) (R0957)
ZP4831 |
Paper | N | |||||||||
|
|
|||||||||||
|
VNSNY CHOICE Medicare (77073)
Visiting Nurse Services of New York Visiting Nurses Service VNSNY Choice Total Medicare |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| VNSNY CHOICE Medicare (Medicare Advantage) (77073MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| Volunteers of America National Services (VNSPC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Volusia Health Network (59266)
Florida Healthcare Network |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Vought Aircraft Industries Attachments (WC Only) (J1405W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Vulcan Materials Attachments (Auto Only) (J1993A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Vulcan Materials Attachments (WC Only) (J1993) | Electronic | Y | |||||||||
|
|
|||||||||||
|
VVG Holdings LLC Attachments (Auto Only) (J1992A)
Velocity Vehicle Group Attachments (Auto Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
VVG Holdings LLC Attachments (WC Only) (J1992W)
Velocity Vehicle Group Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
VVG Holdings LLC No Attachments (WC Only) (J1992)
Velocity Vehicle Group No Attachments (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Vxtra Health Plan Inc (99915) | Electronic | N | |||||||||
|
|
|||||||||||
| Vyne Delta Dental Remits (All Payers) (VYNDD) | Paper | N | |||||||||
|
|
|||||||||||
| Vytalize Health (Remits Only) (RP042) | Paper | N | |||||||||
|
|
|||||||||||
| Vytra Healthcare (22264) | Electronic | P E | N | ||||||||
|
|
|||||||||||
| Wabash Memorial Hospital Association (85256) | Electronic | N | |||||||||
|
|
|||||||||||
| Wadena Attachments (WC Only) (J3931W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Waffle House (EOBC) (R40870) | Paper | N | |||||||||
|
|
|||||||||||
|
Walmart Attachments (WC Only) (J1004W)
WA050 Walmart Claims Management Inc Attachments (WC Only) |
Electronic | Y | |||||||||
|
|
|||||||||||
|
Walmart No Attachments (WC Only) (J1004)
WA050 Walmart Claims Management Inc No Attachments (WC Only) |
Electronic | N | |||||||||
|
|
|||||||||||
| Walmart No Attachments (WC Only) (WK001) | Electronic | N | |||||||||
|
|
|||||||||||
| Washington County General Fund (77111) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Washington Dental (47341) | Paper | N | |||||||||
|
|
|||||||||||
| Washington National Insurance Company (70319) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
|
Washington Workers Comp (4404)
Washington State Department of Labor and Industries |
Electronic | N | |||||||||
|
|
|||||||||||
| Washington Workers Comp Crime Prevention (4404B) | Electronic | N | |||||||||
|
|
|||||||||||
| Washoe Tribal Health PRC (WASHO) | Electronic | N | |||||||||
|
|
|||||||||||
| Waterstone Benefit Administrators (73155) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Watts Healthcare (MPM09) | Electronic | N | |||||||||
|
|
|||||||||||
| Waypoint Mutual Attachments (WC Only) (J3939) | Electronic | Y | |||||||||
|
|
|||||||||||
| WCF Insurance Attachments (WC Only) (J4248) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
WCF Mutual Insurance Company (Remits Only) (R26301)
WCF Insurance |
Paper | N | |||||||||
|
|
|||||||||||
|
WE Energies Attachments (WC Only) (A0348W)
J1406 |
Electronic | Y | |||||||||
|
|
|||||||||||
| WE Energies Attachments (WC Only) (J1406) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Wealthcare Saver Prime (Remits Only) (R0666) | Paper | N | |||||||||
|
|
|||||||||||
|
WebTPA Employer Services LLC (75261)
Simplan Administrators |
Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Wegmans Attachments (WC Only) (J3845) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| WelbeHealth (WBHCA) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Welcome Health Medical Group (MPM57) | Electronic | N | |||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| WellCare Health Plan (Encounters Only) (59354) | Electronic | N | |||||||||
|
|
|||||||||||
| WellCare Health Plan (Encounters Only) (with Attachments) (J59354) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Wellcare Health Plans (14163)
American Progressive Life & Health Care 1st Health Plan of AZ Easy Choice Health Plan Generations Healthcare Golden Triangle Physician Associates Harmony Healthplan Healthease wellcare MED3000 CMS Title 19 Reform Memorial Clinical Associates/Select Care of Texas MCA (Houston) MeridianCare, a WellCare Company Ohana Health Plan OneCare Onecare by Care1st Health Plan of AZ Scales SelectCare of Texas (HPN) Heritage Physicians Network Staywell Health Plan Todays Options Universal American Wellcare Health Plans of Vermont, Inc Wellcare HMO, Inc. Wellcare of Georgia Wellcare of Iowa 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 Wellcare of Texas Inc WellCare PFFS Windsor Health Plan Windsor Medicare Extra |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Wellcare Health Plans (Medicaid Managed Care) (14163MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Wellcare Health Plans (Medicare Advantage) (14163MA) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| Wellcare Health Plans (with Attachments) (J14163MA) | Electronic | Y | |||||||||
|
|
|||||||||||
| WellCare of CT (Encounters Only) (Z1194) | Electronic | N | |||||||||
|
|
|||||||||||
| Wellcare of CT and NY (14164) | Electronic | N | |||||||||
|
|
|||||||||||
| WellCare of FL (Encounters Only) (Z1199) | Electronic | N | |||||||||
|
|
|||||||||||
| WellCare of GA (Encounters Only) (Z1197) | Electronic | N | |||||||||
|
|
|||||||||||
| WellCare of HI (Encounters Only) (Z1313) | Electronic | N | |||||||||
|
|
|||||||||||
|
WellCare of IL (Encounters Only) (Z1196)
Wellcare Illinois |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| WellCare of IN (Encounters Only) (Z1340) | Electronic | N | |||||||||
|
|
|||||||||||
| WellCare of LA (Encounters Only) (Z1200) | Electronic | N | |||||||||
|
|
|||||||||||
| WellCare of MO (Encounters Only) (Z1201) | Electronic | N | |||||||||
|
|
|||||||||||
| WellCare of NY (Encounters Only) (Z1195) | Electronic | N | |||||||||
|
|
|||||||||||
| WellCare of OH (Encounters Only) (Z1198) | Electronic | N | |||||||||
|
|
|||||||||||
|
Wellfleet Group LLC (87843)
Consolidated Health Plans |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Wellfleet Supplemental Medical Expense Plan (98585) | Electronic | N | |||||||||
|
|
|||||||||||
|
Wellmed (TH023)
AARP Medicare Advantage Choice PPO AARP Medicare Advantage from UHC TX 001P HMO POS 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 | ||||||||
|
|
|||||||||||
| WellMed (Encounters) (WELMD) | Electronic | N | |||||||||
|
|
|||||||||||
| Wellmed (Medicare Advantage) (TH023MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| WellNet Healthcare Administrators, Inc (93669) | Electronic | N | |||||||||
|
|
|||||||||||
| WellSpace Nexus (NEXUS) | Electronic | N | |||||||||
|
|
|||||||||||
| Wellspan Employee Assistance Program (CB457) | Electronic | N | |||||||||
|
|
|||||||||||
| Wellstar Health Plan (RP129) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Wenatchee Valley Medical Center (91064) | Paper | P I | N | ||||||||
|
|
|||||||||||
| Wesco Insurance Attachments (WC Only) (J1857) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
|
Wesco Insurance No Attachments (WC Only) (25011)
J1857 |
Electronic | N | |||||||||
|
|
|||||||||||
| West Alabama IPA LLC (EOBC) (R25927) | Paper | N | |||||||||
|
|
|||||||||||
| West Bend Mutual Insurance Attachments (WC Only) (J2088W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
West Bend Mutual Insurance No Attachments (WC Only) (WZ081W)
J2088 |
Electronic | N | |||||||||
|
|
|||||||||||
| West Covina Medical Group (66124) | Paper | P I | N | ||||||||
|
|
|||||||||||
| West PACE (aka Gary & Mary West PACE) (GMWP1) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| West Regional Physicians Network Inc (WRPNI) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| West Suburban Health Providers (80942) | Electronic | P I R | N | ||||||||
|
|
|||||||||||
| West Virginia Senior Advantage (WVS01) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Western Agricultural Insurance Attachments MN Only (Auto Only) (J3738A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Western Agricultural Insurance Attachments MN Only (WC Only) (J3738W) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Western Allied (WP835) | Paper | N | |||||||||
|
|
|||||||||||
|
Western Growers Insurance Company (24735)
Pinnacle Claims Management Western Growers Assurance Trust Western Growers Insurance Company |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Western Health Advantage (68039) | Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Western Health Advantage (Medicaid Managed Care) (68039MC) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Western Health Advantage by Ayin (77225) | Electronic | P I E | N | ||||||||
|
|
|||||||||||
| Western Integrated Care Attachments (WC Only) (J4005) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Western Integrated Care Benchmark Attachments WC Only) (J4466) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Western Mutual Insurance / WMI-TPA (37247)
WMI MUTUAL INSURANCE COMPANY |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Western National Assurance Attachments (Auto Only) (J1569A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Western National Assurance Attachments (WC Only) (J1569W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Western National Assurance No Attachments (WC Only) (13005W)
J1569 |
Electronic | N | |||||||||
|
|
|||||||||||
| Western National Insurance Pioneer Specialties Attachments (Auto Only) (J1586A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Western National Insurance Pioneer Specialties Attachments (WC Only) (J1586W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Western National Insurance Pioneer Specialties No Attachments (Auto Only) (39137A)
J1586 |
Electronic | N | |||||||||
|
|
|||||||||||
| Western National Mutual Attachments (Auto Only) (J1495) | Electronic | Y | |||||||||
|
|
|||||||||||
| Western National Mutual Attachments (WC Only) (J1495W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Western National Mutual No Attachments (Auto Only) (15865A)
J1495 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Western National Mutual No Attachments (WC Only) (WP852W)
J1495 |
Electronic | N | |||||||||
|
|
|||||||||||
|
Western Oregon Advanced Health (DOCSO)
Advanced Health Southwest Oregon IPA (DOCS) |
Electronic | P I | N | ||||||||
|
|
|||||||||||
| Western Pennsylvania Electrical Employees Insurance Trust Fund (RP083) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
Western Southern Financial Group (Cincinnati, OH) (31048)
WSFG Benefits |
Electronic | P I E M | N | ||||||||
|
|
|||||||||||
| Westfield Insurance (Attachments) (WC Only) (J1858W) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Westfield Insurance (No Attachments) (WC Only) (J1858) | Electronic | N | |||||||||
|
|
|||||||||||
| Westfield Insurance Attachments (Auto Only) (J1858A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Westlake Financial Group (90560) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Wex Health Inc (Remits Only) (Z96593) | Paper | N | |||||||||
|
|
|||||||||||
|
Weyerhaeuser Co Attachments (WC Only) (A0276)
J3182 |
Electronic | N | |||||||||
|
|
|||||||||||
| Wheeling Housing Authority (EOBC) (R3284) | Paper | N | |||||||||
|
|
|||||||||||
| White Memorial Altamed Medical Group (MPM55) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Wilco Life Insurance Company (Remits Only) (R29640) | Paper | N | |||||||||
|
|
|||||||||||
| William C. Earhart (93050) | Electronic | N | |||||||||
|
|
|||||||||||
| Williams & Sonoma Attachments (WC Only) (J1473W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Wilson Mutual Insurance Attachments MN & WI Only (WC Only) (J1407W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Wilson-McShane (41095) | Paper | P I | N | ||||||||
|
|
|||||||||||
|
Wilson-McShane - International Brotherhood of Boilermakers (48603)
International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC) |
Electronic | N | |||||||||
|
|
|||||||||||
| Wilson-McShane Dental (Eligibility Only) (10797) | Paper | E | N | ||||||||
|
|
|||||||||||
|
WinHealth (Z1310)
WNHLT |
Electronic | P | N | ||||||||
|
|
|||||||||||
| Winn-Dixie (Auto Only) (A0119) | Electronic | N | |||||||||
|
|
|||||||||||
| Wisconsin Chronic Disease Program (WCDP) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Wisconsin Physician Services-Midlands (95930) | Electronic | P I | N | ||||||||
|
|
|||||||||||
|
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 | ||||||||
|
|
|||||||||||
| Wisconsin Well Woman Program (WWWP) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Womens Integrated Network WIN Fertility (13413) | Electronic | P | N | ||||||||
|
|
|||||||||||
| WOODLAND FARMS (Auto Only) (WP893A) | Electronic | Y | |||||||||
|
|
|||||||||||
| Woodland Farms (WC Only) (WP893W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Woodman Accident and Life Co (AICT Plans Only) (81949-002) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Woodman Accident and Life Co (AICT Plans Only) (Z0071) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Workers Compensation And Employer Liability (TX, MN, CA, IL, LA, NJ, OR and NC Only) (Auto Only) (J3722A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Workers Compensation And Employer Liability (TX, MN, CA, IL, LA, NJ, OR and NC Only) (WC Only) (J3722) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Worksite Benefit Services (20333) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| World Corp (Eligibility Only) (Z96261) | Paper | N | |||||||||
|
|
|||||||||||
|
World Trade Center MCA Sedgwick Attachments (WC Only) (J4361)
LV371 |
Electronic | Y | |||||||||
|
|
|||||||||||
|
World Trade Center MCA Sedgwick No Attachments (WC Only) (J4361W)
LV371 |
Electronic | N | |||||||||
|
|
|||||||||||
| World Trade Center WTC Health Program (Remits Only) (WTC44) | Paper | N | |||||||||
|
|
|||||||||||
| Worldwide Medical Assurance Ltd Corp (98473) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| WPP-ElderCare Wisconsin (77080) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| WPS Dept of Veterans Affairs VA Program (EOBC) (VAPCCC3) | Paper | N | |||||||||
|
|
|||||||||||
|
WPS EPIC Specialty Benefits (EPIC)
Wisconsin Physicians Service Group Health / WPS - EPIC |
Electronic | N | |||||||||
|
|
|||||||||||
| Wright Risk Management Attachments NY Only (WC Only) (J4177) | Electronic | Y | |||||||||
|
|
|||||||||||
| Wyman-Gordon Companies Attachments (WC Only) (J1117W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Xanitos Inc CORVEL Attachments (WC Only) (J4421) | Electronic | Y | |||||||||
|
|
|||||||||||
| Xcel Energy Attachments (Auto Only) (J1628A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| Xcel Energy Attachments (WC Only) (J1628W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Xchanging, Inc (TX Only) (WC Only) (J1412W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Xl Environmental Inc Attachments (WC Only) (J1055W) | Electronic | Y | |||||||||
|
|
|||||||||||
| XL Insurance America Aaris Captive Attachments (Auto Only) (J2284A) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| XL Insurance America Aaris Captive Attachments (WC Only) (J2284) | Electronic | P I | Y | ||||||||
|
|
|||||||||||
| XO Health (XO125) | Electronic | N | |||||||||
|
|
|||||||||||
| XPO Logistics formerly Con-Way Inc CORVEL Attachments (Auto only) (J1844A) | Electronic | Y | |||||||||
|
|
|||||||||||
| XPO Logistics formerly Con-Way Inc CORVEL Attachments (WC only) (J1844W) | Electronic | Y | |||||||||
|
|
|||||||||||
| Yale University Health Plan (60646) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Yamhill CCO Physical Health (77946) | Electronic | E M | N | ||||||||
|
|
|||||||||||
|
Yamhill Community Care Organization CCO (Z95383)
YAMHL |
Electronic | N | |||||||||
|
|
|||||||||||
| Yamhill County CCO Mental Health (77130) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Yuzu Health (IHS15) | Electronic | N | |||||||||
|
|
|||||||||||
| Zachry Construction Attachments CA IL LA NC MN OR TX (WC Only) (J1409W) | Electronic | P | Y | ||||||||
|
|
|||||||||||
| Zebra Health HC (88858) | Electronic | N | |||||||||
|
|
|||||||||||
| Zelis Remits (All Payers) (ZELIS) | Paper | N | |||||||||
|
|
|||||||||||
|
Zenith Administrators (53589)
AZ BCBS Corporate Health Services (CHS) |
Electronic | I | N | ||||||||
|
|
|||||||||||
| Zenith Administrators Dental (835 Enrollment Only) (TLY21) | Paper | N | |||||||||
|
|
|||||||||||
| Zenith American Solutions: ILWU-PMA (89677) | Electronic | P I | N | ||||||||
|
|
|||||||||||
| Zenith Beacon Spyglass (Remits Only) (Z96344) | Paper | N | |||||||||
|
|
|||||||||||
| Zenith Luminx (Remits Only) (20547) | Paper | N | |||||||||
|
|
|||||||||||
| Zing Health (83248) | Electronic | E M | N | ||||||||
|
|
|||||||||||
| Zing Health (Medicare Advantage) (83248MA) | Electronic | E | N | ||||||||
|
|
|||||||||||
| ZirMed Test Payer_ (22222) | Electronic | N | |||||||||
|
|
|||||||||||
| Znat Insurance Zenith National Attachments (WC Only) (30120) | Electronic | Y | |||||||||
|
|
|||||||||||
| Znat Insurance Zenith National Attachments (WC Only) (J30120) | Electronic | Y | |||||||||
|
|
|||||||||||
| Zurich Farmers Attachments (WC Only) (J1015W) | Electronic | Y | |||||||||
|
|
|||||||||||
|
Zurich Farmers No Attachments (WC Only) (A0755W)
J1015 |
Electronic | N | |||||||||
|
|
|||||||||||
| Zurich Insurance N.A. Attachments (WC Only) (J16535) | Electronic | Y | |||||||||
|
|
|||||||||||
| Zurich Insurance N.A. No Attachments (WC Only) (16535W) | Electronic | P | N | ||||||||
|
|
|||||||||||
| Does Not Require Enrollment | Requires Enrollment |