ID

Payer Name

10431

AARP

10321

Acordia National – Mohawk / Hickory Springs

10004

Aetna

10397

Aetna Long Term Care

10398

AFLAC – Dental

10006

Aftra Health Fund

10007

Alabama Medicaid

10008

AMC – Alaska Electrical Health & Welfare Fund

10009

AMC – American General Life and Accident

10010

AMC – Health Future

10012

AMC – Poly America

10013

AMC – Touchstone

10014

AMC – Touchstone PSO

10015

American Community Mutual

10016

American Postal Workers Union (APWU)

10017

American Republic Insurance Company (ARIC)

10018

AmericChoice of New Jersey (Commercial)

10019

Amerigroup Corporation

10416

AmeriHealth Administrators

10340

AmeriHealth Mercy Health Plan

10020

Ameritas Group – Ameritas Life Insurance Co.

10232

Ameritas Group – First Ameritas of New York

10233

Ameritas Group – First Reliance Standard Life

10234

Ameritas Group – Reliance Standard Life

10236

Ameritas Group – Standard Insurance

10237

Ameritas Group – Standard Insurance of New York

10021

Arizona Medicaid (AHCCCS)

10022

Arizona Physicians IPA (APIPA)

10023

Arkansas Medicaid

10230

Assurant Health – John Alden Insurance Company (JALIC)

10087

Assurant Health – Time Insurance Company (FIC)

10227

Assurant Health – Union Security Insurance Company (FBIC)

10024

AvMed Health Plans

10025

BCBS of Alabama

10027

BCBS of Arizona

10028

BCBS of Arkansas

10029

BCBS of Colorado (Wellpoint)

10030

BCBS of Connecticut (Wellpoint)

10031

BCBS of Florida

10032

BCBS of Georgia

10033

BCBS of Illinois

10258

BCBS of Indiana (Wellpoint)

10034

BCBS of Kansas

10259

BCBS of Kentucky (Wellpoint)

10035

BCBS of Louisiana

10036

BCBS of Maine (Wellpoint)

10037

BCBS of Massachusetts

10038

BCBS of Michigan

10039

BCBS of Minnesota

10040

BCBS of Mississippi

10322

BCBS of Missouri (Wellpoint)

10384

BCBS of Nebraska

10260

BCBS of Nevada (Wellpoint)

10261

BCBS of New Hampshire (Wellpoint)

10041

BCBS of New Jersey (Horizon)

10042

BCBS of New Mexico

10043

BCBS of New York (Empire)

10323

BCBS of New York (Excellus)

10302

BCBS of North Carolina

10044

BCBS of Ohio (Wellpoint)

10045

BCBS of Oregon (Regence)

10046

BCBS of Pennsylvania (Highmark)

10304

BCBS of Rhode Island

10047

BCBS of South Carolina

10395

BCBS of South Dakota (Wellpoint)

10430

BCBS of Tennessee

10048

BCBS of Texas

10049

BCBS of Virginia (Wellpoint)

10299

BCBS of Wisconsin (Wellpoint)

10256

Best Choice Health Plan

10050

Best Life and Health

10187

Better Health Plans (Unison Health Plans)

10262

Blue Cross Independence (Pennsylvania)

10264

Blue Cross Northeastern Pennsylvania

10051

Blue Cross of California (Wellpoint)

10052

Blue Cross of Idaho

10325

Blue Cross Pennsylvania (Capital)

10284

Blue Exchange 1

10053

Blue Shield of California

10052

Blue Cross of Idaho

10326

Blue Cross of Washington and Alaska (Premera)

10053

Blue Shield of California

10054

Blue Shield of Washington (Regence)

10429

Bluegrass Family Health

10055

California Medicaid (Medi-Cal)

10327

Carefirst – Federal Employee Program

10270

Carefirst Blue Cross Blue Shield

10056

CarePlus Heatlh Plan

10057

CareSource Health

10058

Cariten Healthcare

10059

Cariten Senior Health

10450

Central Reserve Insurance Company

10061

CHAMPVA/Spina Bifida/Children of Women Vietnam Vets

10447

CHC – Advantra (TX, NM, AZ Only)

10216

CHC – Altius Health Plans

10307

CHC – Avantra Freedom

10448

CHC – Coventry Health and Life (Nevada)

10212

CHC – Coventry Health and Life (Oklahoma)

10214

CHC – Coventry Health Care Carelink (Advantra)

10215

CHC – Coventry Health Care Carelink Medicaid

10217

CHC – Coventry Health Care Carenet

10449

CHC – Coventry Missouri

10440

CHC – CoventryOne

10076

CHC – Delaware

10218

CHC – Diamond Plan (Maryland Medicaid)

10206

CHC – Georgia

10219

CHC – Group Health Plan (GHP)

10220

CHC – HealthAmerica & HealthAssurance

10221

CHC – HealthCare Inc. (Promina)

10428

CHC – University of Missouri

10222

CHC – HealthCare USA (HCUSA)

10207

CHC – Iowa

10208

CHC – Kansas

10210

CHC – Louisiana

10211

CHC – Nebraska

10223

CHC – OmniCare (Michigan)

10224

CHC – PersonalCare

10225

CHC – Southern Health Services (SHS)

10226

CHC – WellPath Select (Carolinas)

10405

CHC – Coventry Health and Life (Tenn)

10420

CHC – Care of South Carolina

10419

CHC Advantra Savings

10062

CIGNA

10064

Colorado Access

10065

Colorado Medicaid

10328

Columbia United Providers

10066

Community Care of Oklahoma

10421

Community HealthFirst Medicare Advantage

10329

Community Health Plan of Washington (CHPW)

10303

Connecticare

10067

Connecticut Medicaid

10079

Consolidated Associations of Railroad Employees

10068

Cooperative Benefit Administrators (CBA)

10311

CoreSource (FMH)

10071

CoreSource (Little Rock)

10072

CoreSource (MD, PA, IL)

10073

CoreSource (NC & IN)

10074

CoreSource (OH)

10084

Coventry Healthcare National Network

10293

Delaware Medicaid

10331

Denver Health Medical Plan

10077

Director’s Guild

10078

District of Columbia Medicaid

10399

Bravo Health

10081

Erin Group Administrators

10082

Fallon Community Health Plan

10427

FamilyCare

10083

Federated Insurance Company

10333

Florida Hospital Healthcare System

10086

Florida Medicaid

10088

Georgia Medicaid

10089

Great-West Healthcare

10394

Government Employees Hospital Association GEHA

10089

Great-West Healthcare

10091

Hawaii Medicaid

10308

Health Alliance Medical Plans (HAP)

10092

Health Choice Arizona

10094

Health Net Medi-Cal

10385

Health Net National

10276

Health Net of Arizona

10095

Health Net of California & Oregon

10097

Health Net of the Northeast

10098

Health Partners of Philadelphia

10362

Health Plan of San Mateo

10438

Healthfirst New Jersey

10099

Healthfirst New York

10309

HealthPlus of Michigan

10406

HIPNY

10335

Hometown Health

10337

Horizon New Jersey Health

10100

Humana

10338

Humana of Florida

10101

Idaho Medicaid

10102

Illinois Medicaid

10417

Independence Administrators

10103

Indiana Medicaid

10104

Inland Empire Health

10105

Inter Valley Health Plan

10107

Iowa Medicaid

10339

IU Health

10108

Jackson Memorial Hospital Health Plan

10109

Jefferson Pilot

10267

John Hopkins Health Plan

10110

Kaiser Foundation Health Plan of Colorado

10111

Kaiser Foundation Health Plan of Hawaii

10112

Kaiser Foundation Health Plan of Ohio

10113

Kaiser Foundation Health Plan of the Mid-Atlantic

10114

Kaiser Foundation Health Plan of the Northwest

10238

Kaiser Permanente of Georgia

10115

Kaiser Permanente of Northern CA

10239

Kaiser Permanente of Southern CA

10116

Kansas Medicaid

10117

Kentucky Medicaid

10300

Keystone Mercy Health

10341

Kitsap Physician Services

10118

Louisiana Medicaid

10119

Lovelace Health Plan

10120

Lumenos

10085

Mail Handlers Benefit Plan

10121

Maine Medicaid

10122

MAMSI Health Plan

10435

Maricopa Care Advantage (Arizona)

10434

Maricopa Health Plan (Arizona)

10289

Maryland Medicaid

10124

Massachusetts Medicaid

10272

MedCost Benefit Services

10125

Medica

10126

Medical Mutual of Ohio

10001

Medicare (Part A & B)

10248

Mega Life (Chesapeake National Life)

10129

Mega Life (Mid-West National Life)

10130

Mega Life (Oklahoma City)

10131

Mega Life (TransAmerica Life)

10127

Mega Life and Health Insurance

10283

Memorial Care TPA

10133

Mercy Care Plan (Arizona)

10134

MetLife Dental Family

10135

Metropolitan Health Plan (MHP)

10136

Michigan Medicaid

10137

Michigan Medicaid Pending Eligibility

10138

Michigan MIChild

10139

Minnesota Medicaid

10140

Mississippi Childrens Health Insurance Program

10141

Mississippi Medicaid

10142

Mississippi State Employees and Teachers

10143

Missouri Medicaid

10144

MMSI (Mayo Health)

10145

Molina Healthcare of California

10445

Molina Healthcare of Florida

10249

Molina Healthcare of Indiana

10250

Molina Healthcare of Michigan

10146

Molina Healthcare of New Mexico

10251

Molina Healthcare of Ohio

10391

Molina Healthcare of Texas

10252

Molina Healthcare of Utah

10253

Molina Healthcare of Washington

10382

Mutual of Omaha

10148

MVP Health Care (New York)

10149

National Association of Letter Carriers (NALC)

10150

Nationwide Health Plans

10376

NEHEN – Harvard Pilgrim Health Care

10377

NEHEN – Neighborhood Health Plans

10379

NEHEN – Tufts Associated Health Plan

10151

Neighborhood Health Partnership

10152

Nevada Medicaid

10153

New Hampshire Medicaid

10154

New Jersey Medicaid

10247

New Mexico Medicaid

10155

New York Medicaid

10156

North Carolina Medicaid

10157

North Dakota Medicaid

10158

Ohio Medicaid

10159

Oklahoma Medicaid

10161

Oxford Health Plans

10375

Pacific Source Health Plan

10426

PacifiCare (PPO)

10268

PacifiCare of California (HMO)

10373

Pacificare of Oklahoma (HMO)

10374

Pacificare of Oregon (HMO)

10371

Pacificare of Texas (HMO)

10370

Pacificare of Washington (HMO)

10388

Pacificare of Arizona (HMO)

10390

Pacificare of Colorado (HMO)

10400

Pacificare of Nevada (HMO)

10369

Partners National Health Plans of NC

10164

Partnership Health Plan of California

10367

Passport Advantage

10368

Passport Health Plan

10366

Peach State Health Plan

10165

Pennsylvania Medicaid

10166

Phoenix Health Plan

10075

PHP TennCare (Covenant)

10167

Physicians Mutual Insurnace Company

10408

Pittman and Associates

10168

Preferred Health Systems

10169

PreferredOne

10170

Principal Financial Group (Nippon Life)

10171

Principal Financial Group (Principal Life)

10353

Priority Health Care Choices

10172

Providence Health Plan

10173

Puerto Rico Medicaid

10414

Recall Systems – Boon-Chapman Benefit Admin

10411

Recall Systems – Corporate Benefit Service

10174

Recall Systems – Group & Pension Administrators

10240

Recall Systems – JP Farley Corporation

10241

Recall Systems – Mississippi Admin Services

10242

Recall Systems – Professional Benefits Administrators

10243

Recall Systems – SRT Administrators

10246

Recall Systems – Underwriters Safety & Claims

10175

Rocky Mountain Health Plan

10176

San Francisco Health Plan

10177

San Joaquin Health Plan

10361

Santa Clara Valley Health and Hospital

10360

Scott & White Health Plan

10178

Senior Care Action Network (SCAN) HMO

10179

South Carolina Medicaid

10180

South Dakota Medicaid

10181

Stanislaus County MIA Program

10182

Star HRG

10183

Student Insurance

10294

SummaCare Health Plan

10184

Tennessee Medicaid

10185

Texas CHIP

10186

Texas Medicaid

10318

Three Rivers Health Plans (Unison Health Plan)

10189

TRICARE

10190

Trustmark Insurance

10352

UCare of Minnesota

10285

Unicare(Wellpoint)

10002

United Healthcare

10192

United Healthcare Plan of River Valley

10349

Unity Health Plans

10193

Universal Care of California

10194

University Family Care

10433

Univeristy Physicians Care Advantage (AZ)

10439

Univeristy Physicians Healthcare Group (AZ)

10288

UPMC Health Plan (Tristate)

10195

USAA Life Insurnace Company

10196

VA Fee Basis Program

10197

Vermont Medicaid

10198

Virginia Medicaid

10346

Virginia Premier

10407

VYTRA

10199

Washington Medicaid

10003

Wells Fargo Third Party Administrators, Inc. (CHIP and PEIA)

10200

West Virginia Medicaid

10201

Western Health Advantage

10202

Wisconsin Medicaid

10452

Wisconsin Medicaid Chronic Disease Program

10453

Wisconsin Medicaid Well Woman Program

10386

World Insurance (ARIC)

10203

Writer's Guild

10204

Wyoming Medicaid