46
Carestream Dental LLC Medical eClaim Payer List 13162 1199 National Benefit Fund 31147 1-888-OHIOCOMP (Ohio BWC) 29076 1st Network - Atlanta GA 59069 21st Century Health and Benefits 31147 3-Hab (Ohio BWC) 20413 3P ADMIN 93044 A & I Benefit Plan Administrators 95241 A.G.I.A. Inc. 75240 AAG Benefit Plan Administrators 75185 AAG-American Administravie Group ( Formerly Icon Benefit Admin) 00999 AARP Dental Insurance Plan 36273 AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Co LIFE1 AARP MedicareComplete insured through UnitedHealthcare/Lifeprint Network-AZ 06111 AARP MedicareComplete through UnitedHealthcare / Oxford Medicare Network 87726 AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete E3510 ABMA (Alta Bates Assocs) Corp (Hnet Sr. and Secure Horizon) 68069 Absolute Total Care 43178 Acceptius (Benefit Management Inc of MO (BMI) TH067 Access Administrators 51909 Access Community Health Network. Chicago IL Family Health Network patients 95424 Access Group 19305 Access Medicare (Cuatro LLC) 64071 Acclaim 37118 ACMG 87815 Acordia National (Charleston, WV) 72467 ACS Benefit Services Inc. 38254 Activa Benefit Services LLC 38265 Administration Systems Research Corporation 22384 Administrative Concepts Inc. 59141 Administrative Services Inc. 31147 Administrators Inc. (Ohio BWC) 58202 ADVANCED DATA SOLUTIONS 51909 Advanced Physician's Association Chicago IL MG#118 68069 Advantage by Bridgeway Health Solutions 68069 Advantage by Buckeye Community Health Plan

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Page 1: Carestream Dental LLC

Carestream Dental LLC

Medical eClaim Payer List

13162 1199 National Benefit Fund

31147 1-888-OHIOCOMP (Ohio BWC)

29076 1st Network - Atlanta GA

59069 21st Century Health and Benefits

31147 3-Hab (Ohio BWC)

20413 3P ADMIN

93044 A & I Benefit Plan Administrators

95241 A.G.I.A. Inc.

75240 AAG Benefit Plan Administrators

75185 AAG-American Administravie Group ( Formerly Icon Benefit Admin)

00999 AARP Dental Insurance Plan

36273 AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Co

LIFE1 AARP MedicareComplete insured through UnitedHealthcare/Lifeprint Network-AZ

06111 AARP MedicareComplete through UnitedHealthcare / Oxford Medicare Network

87726 AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete

E3510 ABMA (Alta Bates Assocs) Corp (Hnet Sr. and Secure Horizon)

68069 Absolute Total Care

43178 Acceptius (Benefit Management Inc of MO (BMI)

TH067 Access Administrators

51909 Access Community Health Network. Chicago IL Family Health Network patients

95424 Access Group

19305 Access Medicare (Cuatro LLC)

64071 Acclaim

37118 ACMG

87815 Acordia National (Charleston, WV)

72467 ACS Benefit Services Inc.

38254 Activa Benefit Services LLC

38265 Administration Systems Research Corporation

22384 Administrative Concepts Inc.

59141 Administrative Services Inc.

31147 Administrators Inc. (Ohio BWC)

58202 ADVANCED DATA SOLUTIONS

51909 Advanced Physician's Association Chicago IL MG#118

68069 Advantage by Bridgeway Health Solutions

68069 Advantage by Buckeye Community Health Plan

Page 2: Carestream Dental LLC

68069 Advantage by Managed Health Services

68069 Advantage by Peach State

68069 Advantage by Sunshine State

68069 Advantage by Superior HealthPlan

35209 Advantage Health Solutions

NMM01 Advantage Med Grp

77070 Advantage Preferred Plus

83077 Advantek Benefit Administrators

59374 ADVANTICA BENEFITS

25133 Advantra Savings

95340 Adventist Health System West - Roseville CA

45423 Advicare

31147 AdvoCare Incorporated (Ohio BWC)

36320 Advocate Group - AMG (Legacy AHC)

65093 Advocate Physician Partners

60054 Aetna

26337 Aetna - IL Medicaid

57604 Aetna Affordable Health Choices (SM) - SRC

23228 Aetna Better Health - PA Medicaid

128CA Aetna Better Health CA

128KS Aetna Better Health Kansas

128LA Aetna Better Health of Louisiana

34734 Aetna Better Health of New York

128WV Aetna Better Health West Virginia

38692 Aetna TX Medicaid & CHIP

ADOCS Affiliated Doctors of Orange County (ADOC)

APG01 Affiliated Physicians Group

23334 Affinity Essentials

46594 AFFINITY GROUP

13334 Affinity Health Plan

13333 Affinity Medicare Advantage

95426 Affordable Benefit Administrators Inc.

20048 Agate Resources Inc. (LIPA)

64158 Agency Services Inc

AWNY6 AgeWell New York

31138 AHPO (Cleveland OH)

SKAL0 Alabama Medicaid

SMAL0 Alabama Medicare

91136 Alaska Carpenters Trust

91136 Alaska Children's Services Inc.

92600 Alaska Electrical Health & Welfare Fund

91136 Alaska Laborers Construction Industry Trust

SKAK0 Alaska Medicaid

Page 3: Carestream Dental LLC

SMAK0 Alaska Medicare

91136 Alaska Pipe Trades Local 375

91136 Alaska United Food & Commercial Workers Health & Welfare Trust

44423 Alexian Brothers Community Services of TN

13550 ALICARE

ALH01 Aliera Health Care

51909 Alivio Family Family Health Network patients only

52193 Allegeant

82420 Allegian Health Plan

81040 Allegiance Benefit Plan

13079 Alliance Healthcare/Florida for Stones River Regional IPA

58234 Alliant Health Plans of Georgia

50749 Allianz Global Assistance

37308 Allied Benefit Systems

SX156 Allied Health Systems Chiropractic

NMM01 Allied Physicians

TH085 Alpha Data

31147 ALPS CompCare (Ohio BWC)

A0701 Alta Bates Group

80705 Alta Health & Life Insurance Co.(AH&L)

E3510 Alta Senior Care (Hnet Sr and Secure Horizons only)

25133 Altius (Utah)

TH071 AMA Insurance Agency

13550 Amalgamated Life

13343 Amalgamated Life - PA Alicare

68069 Ambetter from Buckeye Community Health Plan

68069 Ambetter from CeltiCare Health Plan

68069 Ambetter from Magnolia Health

68069 Ambetter from Managed Health Services

68069 Ambetter from Peach State Health Plan

68069 Ambetter from Sunshine Health

68069 Ambetter from Superior Health

68069 Ambetter of Arkansas

23856 AMC Touchstone Health

62176 AMCO

38219 AmeraPlan

75137 Ameriben Solutions, Inc

27517 Americaid Community Care (Maryland)

27516 Americaid Community Care (New Jersey)

74223 American Administrative Group

75240 American Administrative Group

42137 American Administrators (W. Des Moines, IA)

23212 American and Life Insurance

Page 4: Carestream Dental LLC

63103 American Behavioral

95170 American Benefit Plan Administrators

TH095 American Family Insurance

56071 American Family PPO Policies Administered by Am Rep

62030 American General

L0220 American Health Medicare

01066 American Healthcare Alliance

36369 American Imaging Management Inc.

74048 American National Ins. Co. (ANICO)

44444 American Postal Workers Union Health Plan

48055 American Progressive Life and Health Insurance Company

42011 American Republic Insurance Company

56195 American Trust Administrators Inc.

TH117 American Whole Health Networks

37322 American Worker Health Plan

26078 Americas 1st Choice Health Plans of North Carolina Inc.

20553 Americas 1st Choice Health Plans of South Carolina Inc.

16120 America's PPO

41178 Americas TPA

27514 Amerigroup Community Care

27514 AMERIGROUP Community Care of New Mexico

27514 Amerigroup Corporation (Ft Worth)

27515 Amerigroup Corporation (Houston)

27519 Amerigroup Florida

27514 AMERIGROUP Georgia

27518 Amerigroup Illinois

27518 Amerigroup Ohio

SX074 AmeriHealth - Delaware (Non-HMO Claims)

SX075 AmeriHealth - New Jersey (Non-HMO Claims)

54763 Amerihealth Administrators

77799 AmeriHealth Caritas Delaware

27357 AmeriHealth Caritas Louisiana

22248 AmeriHealth Caritas Pennsylvania

77002 Amerihealth District of Columbia

23037 AmeriHealth HMO New Jersey and Delaware

77001 AmeriHealth NorthEast

77007 Amerihealth VIP Care- DC

77006 Amerihealth VIP Care- LA

22355 AmeriHealth VIP Care PA

24818 Amida Care

PROSP AMVI/Prospect Health Network (Prospect Group)

53085 Anchor Benefit Consulting Inc.

86062 Ancillary Benefit Services (ABS)

Page 5: Carestream Dental LLC

03172 Ancillary Care Management/ACM

75299 Angeles IPA (SynerMed)

34192 Antares Management Solutions

47198 Anthem Blue Cross

SB630 Anthem Blue Cross and Blue Shield - Indiana

SB660 Anthem Blue Cross and Blue Shield - Kentucky

SB923 Anthem Blue Cross and Blue Shield (Virginia)

SB338 Anthem Blue Cross and Blue Shield of Ohio

SB560 Anthem Blue Cross Blue Shield of Connecticut

80705 Anthem Health & Life Ins. Co. of N.J.

PROSP APAC (Pinnacle Health Resources) (Prospect Group)

34196 Apex Benefit Services

01041 APIPA (Arizona Physicians IPA) - CLAIMS ONLY

APP01 AppleCare Management

54160 APS Healthcare Inc.

16120 ARAZ Group

52312 Arbor Health Plan

77045 Arcadian Management Services Inc

39185 ARISE

86062 Arizona Foundation for Care (AFMC)

SKAZ0 Arizona Medicaid

SMAZ0 Arizona Medicare

27154 Arizona Priority Care Plus

75278 Arkansas Best Corporation

SKAR0 Arkansas Medicaid

SMAR0 Arkansas Medicare

81883 Arkansas Municipal Health Benefit Fund

87726 Arnett Health Plan

NMM01 Arroyo Vista Family Health Center

51909 Asian Human Services Family Family Health Network patients only

46156 Aspire Health Plan

50266 Associated Benefits

36326 Associates for Health Care Inc. (AHC)

MAHC1 ASSOCIATES HEALTH PLAN

25133 Association Benefit Plan

L0150 Association de Maestros ((PROSSAM)

41099 Assurant Health

39065 Assurant Health ( IM & GROUP FULLY - INSURED )

ASNTH Assurant Health (Repricing for HealthSpan Network Only)

75068 Assurant Health Self Funded

37313 Assurant Health Self-Funded (Ft. Mill SC)

58730 Assurant Health/ASA (Assurant Health members with ASA PPO Network)

70408 Assurant Inc.

Page 6: Carestream Dental LLC

74240 Assured Benefits Administrators

93221 Asuris

SX179 Asuris Northwest/MedAdvantage

65064 ATA-FL

95691 Athens Area Health Plan

22285 Atlantic Insurance

13853 Atlantis Health Plan

TH004 Atlas Administrators

31147 AultComp Managed Care Organization (Ohio BWC)

37242 Aultra Administrative Group

38259 Automated Benefit Services

37280 Automated Group Administration, Inc. (AGA)

AVA02 Avalon Administrative Services BCBSNC

31147 AvatarComp (Ohio BWC)

46045 Avera Health Plans

48055 AveraAdvantage

87098 Avesis Third Party Administrators

59274 AvMed Inc.

65101 AXA Assistance_USA

16644 Azeros Health Plans Inc.

BKRFM Bakersfield Family Center

74227 Bankers United Life Assurance - Student Insurance

77078 Banner – Medisun

SX145 Banner Health

NCH06 Bascom Palmer Eye Care Network - New Century Health

SB601 BCBS GA Medical

00562 BCBS MN Healthy Care Program

NJBSM BCBS NJ

44911 BCBS Western New York Medicaid CHP

SX168 BCBSPA - BlueCard Par Point of Service (POS)

49153 BCI Administrators, Inc

43324 BEACON HEALTH STRATEGIES

95377 Beech Street

63100 Behavioral Health Systems

MPMOA Bella Vista Med Grp IPA

75299 Bellflower Hospital (Synermed)

99320 Benefit & Risk Management Services

36149 Benefit Administrative Systems

37298 Benefit Administrators Inc/dba MBA of MD Inc

25145 Benefit Coordinators Corp. (Pittsburgh, PA)

74266 BENEFIT MANAGEMENT ADMINISTRATORS

36459 Benefit Management Group NV

56139 Benefit Management Service, INC. of NC

Page 7: Carestream Dental LLC

00999 Benefit Management Services Inc.

37212 Benefit Management Systems Inc

48611 Benefit Management, Inc. of KS

88052 Benefit Plan Administrators

39081 Benefit Plan Administrators (Eau Claire, WI)

37118 Benefit Plan Administrators (Virginia)

74223 Benefit Planners(Boerne,TX)

36342 Benefit Systems & Services(Westmont,IL)

MBA01 Benefits Administration

74323 Benefits Administrators Inc. (Newark OH)

74323 Benefits Mutual(OHIO addr. Only)

J1477 Berkley Agribusiness Risk Specialists

23243 Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer)

10956 Berkshire Intergroup

95606 Berkshire Lehigh Partners

20488 Better Health Plan of Florida

62183 Better Health Plans Inc.

32006 Better Health Plans of South Carolina

44219 BHP-Unity

03036 Blue Benefit Administrators of MA

SB562 Blue Care Family/Anthem Medicaid

SB711 BLUE CARE NETWORK (BLUE CROSS BLUE SHIELD OF MICHIGAN)

SB871 Blue CHiP of Rhode Island

00403 Blue Choice Medicaid Managed Care

SB900 Blue Choice Network

53589 Blue Cross and Blue Shield of Arizona

SB950 Blue Cross and Blue Shield United of Wisconsin/Comp Care

SB520 Blue Cross Blue Shield Arkansas

SB600 Blue Cross Blue Shield Georgia

SB731 Blue Cross Blue Shield Mississippi State and Teacher Employees

SB510 Blue Cross Blue Shield of Alabama

SB530 Blue Cross Blue Shield of Arizona

SB550 Blue Cross Blue Shield of Colorado

SB563 Blue Cross Blue Shield of Connecticut

SB570 Blue Cross Blue Shield of Delaware

SB590 Blue Cross Blue Shield of Florida

SB621 Blue Cross Blue Shield of Illinois

SB650 Blue Cross Blue Shield of Kansas

SB740 Blue Cross Blue Shield of Kansas City

SB651 Blue Cross Blue Shield of Kansas HMO FEP

SB652 Blue Cross Blue Shield of Kansas HMO Regular

SB653 Blue Cross Blue Shield of Kansas HMO Senior Plan

23738 Blue Cross Blue Shield of Louisiana

Page 8: Carestream Dental LLC

SB680 Blue Cross Blue Shield of Maine

SB700 Blue Cross Blue Shield of Massachusetts

SB710 Blue Cross Blue Shield of Michigan

SB720 Blue Cross Blue Shield of Minnesota

SB730 Blue Cross Blue Shield of Mississippi

SB741 Blue Cross Blue Shield of Missouri

SB742 Blue Cross Blue Shield of Missouri (Blue Choice)

SB751 Blue Cross Blue Shield of Montana

SB760 Blue Cross Blue Shield of Nebraska

SB765 Blue Cross Blue Shield of Nevada

SB770 Blue Cross Blue Shield of New Hampshire

22099 Blue Cross Blue Shield of New Jersey

SB790 Blue Cross Blue Shield of New Mexico

SB810 Blue Cross Blue Shield of North Carolina

SB820 Blue Cross Blue Shield of North Dakota

SB840 Blue Cross Blue Shield of Oklahoma

SB865 Blue Cross Blue Shield of Pennsylvania (Highmark)

SB870 Blue Cross Blue Shield of Rhode Island

SX085 Blue Cross Blue Shield of South Carolina - Companion Healthcare

SB880 Blue Cross Blue Shield of South Carolina - Companion Technologies

SX108 Blue Cross Blue Shield of South Carolina - Consolidated Benefits Inc.

SX084 Blue Cross Blue Shield of South Carolina - Federal Employee Program (FEP)

SX104 Blue Cross Blue Shield of South Carolina - Planned Administrators Inc.

SX103 Blue Cross Blue Shield of South Carolina - State Health Plan

SB889 Blue Cross Blue Shield of South Dakota (Sioux Falls)

SB891 Blue Cross Blue Shield of Tennessee (Chattanooga HMO Plans)

SB890 Blue Cross Blue Shield of Tennessee (Chattanooga)

SB892 Blue Cross Blue Shield of Tennessee (Memphis)

SB900 Blue Cross Blue Shield of Texas

SB915 Blue Cross Blue Shield of Vermont

SB960 Blue Cross Blue Shield of Wyoming

32002 Blue Cross Complete of MI

66006 Blue Cross Medicare Advantage

SB612 Blue Cross of Idaho Health Services Inc

61124 Bluegrass Family Health

36609 Boilermakers National Health & Welfare Fund

74238 Boon-Chapman Benefit Administrators Inc.

13337 Boston Center Health Plan Inc.

52192 Bravo Health

BRIDG Bridgespan

68069 Bridgeway Arizona

22286 BritCay

35182 Brodart

Page 9: Carestream Dental LLC

51037 Brokerage Concepts

37314 Broward Health

59069 Brown & Brown/United Benefits/Fringe

94316 Brown & Toland Group

BTHS1 Brown and Toland Health Services

68069 Buckeye Community Health

42150 Butler Benefit

23708 C&O Employees Hospital Association

73071 C. L. Frates & Co - OSMA Health

94036 CA Blue Shield

NCH05 California Eye Care - New Century Health

68047 California Health & Wellness

SKCA0 California Medicaid (Medi-Cal)

SMCA1 California Medicare North

SMCA2 California Medicare South

CALOP Cal-Optima Direct

71057 Cannon Cochran Management Service (Metairie, LA)

37105 Cannon Cochran Management Service(Rockford, IL)

95399 CAP Management Systems

24705 Capital Blue Cross - Facility

23045 Capital Blue Cross (Pennsylvania)

SX065 Capital District Physician's Health Plan

95112 Capital Health Plan

68011 Capitol Administrators

CAPHP CapRock Health Plan

L0170 Card System ( MCS )

57116 Care 1st Health Plan of Arizona

57115 CARE 1ST HEALTH PLAN OF CA

65062 Care Access Health Plan (CAHP)

65063 Care Access PSN

77082 Care Improvement Plus

41222 Care To Care

27004 Care Wisconsin Health Plan (Trizetto)

11345 CareCentrix

14182 CareCore National

14179 CareCore National LLC (Aetna Radiology Claims)

14180 CareCore National LLC (Oxford Radiology Claims)

14188 CareCore/WCNY RAD

75190 CareFirst Administrators/NCAS

SB690 CareFirst BlueCross BlueShield MD Region

SB580 CareFirst BlueCross BlueShield NCA Region

65088 CareFlorida

25133 Carelink Medicaid

Page 10: Carestream Dental LLC

CM001 Caremore

25133 Carenet

93975 CareOregon Inc.

NCH04 CarePlus Cardiology - New Century Health

NCH01 CarePlus Dermatology - New Century Health

65031 CarePlus Health Plans Inc.

NCH07 CarePlus Oncology - New Century Infusion Solutions

NCH03 CarePlus Urology - New Century Health

77023 Carepoint Health Plans

26160 CareSource

GACS1 CareSource Georgia

INCS1 Caresource Indiana Inc

KYCS1 CareSource KY

31114 CareSource OH

10010 Careworks

77015 Carilion Clinic Medicare Health Plan

29076 Carolina Care Plan

56195 Carolina Summit Healthcare

CX101 Carpenters Health and Welfare Philadelphia

65391 CBHNP - HealthChoices

SX065 CDPHP

88022 CDS Group Health

95166 Cedars-Sinai Network Services

68063 Celtic Insurance

68069 CeltiCare

91136 Cement Masons & Plasterers Health & Welfare Trust

68068 Cenpatico Behavioral Health

94312 Center for Elders Independence

13360 CenterLight Healthcare

56122 CenterPoint Human Services

31118 Central Benefits Mutual

SX169 Central California Alliance for Health

26041 Central California Women's Health

36314 Central DuPage Physician Group

13193 Central Reserve Life Ins Co-Medicare Supplement

62218 Central SeniorCare

36215 Central States Health & Welfare Funds

55731 Central Susquehanna Healthcare Providers (CSHP)

77035 Central Valley Group

E3510 Central Valley Group Northern CA

42140 Centurion

48120 Century Health Solutions

36393 Century PHO INC

Page 11: Carestream Dental LLC

23171 CHA Health

16600 Chautauqua County Healthcare Plan (Mayville NY)

25151 CHCCares - South Carolina

59223 Chesapeake Life Insurance Company - Insurance Center

34154 Chesterfield Resources, Inc (Uniontown, OH)

51909 Chicago Family Health Center Family Health Network patients only

AMM03 Child Health and Disability Prevention Treatment

94321 Children First Group

84146 Children of Women Vietnam Veterans-VA HAC

CPMG1 Childrens Physician Group

37314 Children's Services - Broward NORTH

CSSD2 Childrens Specialist of San Diego

94302 Chinese Community Health Plan

33070 ChiroMetrics Inc

33065 CHOC - Children's Hospital Of Orange County Health Alliance

76049 Choice One/UTMB CHIP Health Plan

90441 CHP DIRECT SUPERMED

38308 Christian Brothers Services

59355 Christian Care Ministry

52106 Christus Health Plan TX HIX

61733 CHS of America - LA Medicaid plan

62308 CIGNA

SX071 CIGNA Behavioral Health

86033 CIGNA Medicare Advantage

59225 CIGNA Voluntary

46871 Cincinnati Financial Corporation

TH130 Citrus Health

CVPG1 Citrus Valley Physicians Group

TH107 City of Amarillo

TKFMC City of Visalia

J1271 Claims Administrative Services -medical

11752 ClaimsBridge HPN

68423 CLAIMSBRIDGE MIDATLANTIC

89461 CLAIMSBRIDGE NORTH

44219 CLAIMSBRIDGE NW

55731 CLAIMSBRIDGE SOUTH

57080 ClaimsWare Inc. dba ManageMed

77201 Clearchoice Health Plan / COIHS

71063 CNA Health Partners

37227 CNIC Health Solutions Inc.

77052 Coastal Administrative Services

38335 Cofinity

37123 Colonial Healthcare

Page 12: Carestream Dental LLC

22284 Colonial Medical

84129 Colorado Access

SKCO0 Colorado Medicaid

SMCO0 Colorado Medicare

91162 Columbia United Providers

34181 Commerce Benefits Group

88091 Commercial Travelers PHX

37237 Commonwealth Adminisrators, LLC

14315 Commonwealth Care Alliance

23282 Community Care BHO

60995 Community Care Inc. - Family Care (Wisconsin)

39126 Community Care Inc. (Wisconsin)

73143 Community Care Managed Health Care Plans of Oklahoma

TH005 Community First

66121 Community Group of the West Valley Inc.

35193 Community Health Alliance

27905 Community Health Alliance of TN

48145 Community Health Choice

75261 Community Health Electronic Claims/CHEC/webTPA

60495 COMMUNITY HEALTH PLAN INC.

SB613 Community Health Plan Washington

95192 CommunityConnect HealthPlan

34177 Comp - Ohio (Austintown OH)

31147 Comp One (Ohio BWC)

37297 CompBenefits Corporation

95192 Compcare (Wisconsin BadgerCare only)

31147 CompManagement Health Systems Inc. (Ohio BWC)

59314 Comprehensive Behavioral Care

03036 Comprehensive Benefits Administrator, Inc

31147 Comprehensive Care (Ohio BWC)

37363 Compsych

52196 Conifer (formerly InforMed)

78375 Connecticare - Medicare

06105 ConnectiCare Inc

37307 Connecticut Carpenters Health Fund

62308 Connecticut General

SKCT0 Connecticut Medicaid

SMCT0 Connecticut Medicare

37135 Consociate Dansig, Inc.

75284 Consolidated Associates Railroad

87843 Consolidated Health Plans

58112 Consumer Mutual of Michigan

45321 Consumers Choice Health Plan of SC

Page 13: Carestream Dental LLC

29076 Consumers Life Insurance Company

13193 Continental General Ins Co-Medicare Supplement

71404 Continental General Insurance Company

35315 Continental Key Family

47046 Contractors Laborers Teamsters & Engineers

55544 Conversion Plan-APWU

THCP9 Cook Children STAR Plan

TH104 Cook Children's Health Group

35149 Cook Group Health Plan

52132 Cooperative Benefit Administrators

35199 COOPERATIVE MANAGED CARE SERVICES

58204 Coordinated Specialists

58231 Core Administrative Services

35182 CoreSource AZ MN

35182 Coresource MD, PA, IL, Clinton IA

35182 CoreSource NC IN

75136 CoreSource Of Little Rock

35183 Coresource of Ohio, Sheldon IA

35187 CoreSource-Internal

CORIZ Corizon Health Inc.

43160 Corizon Inc.

35202 Cornerstone Benefit Adminstrators

56116 Corporate Benefit Services (Charlotte, NC)

41124 Corporate Benefit Services of America

31147 Corvel Corporation (Ohio BWC)

62553 Country Life Insurance Company

60827 County Care

58102 Covenant Administrators, Inc (Atlanta, GA)

TH108 Covenant Management Systems

25133 Coventry Health Care

25126 Coventry HealthAmerica & HealthAssurance

31147 CRA Managed Care (Ohio BWC)

31147 Crawford & Company (Ohio BWC)

37320 Creative Plan Administrators

64068 Creative Systems

56213 Crescent Health Solutions

20572 Crowe Paradis Service Corp.

37266 Croy-Hall Mgmt. Inc.

46430 Crystal Run Health Plans

42141 CTI Administrators

82056 Custom Design Benefits (Cincinnati, OH)

CB987 Dart Member Care

SKDC0 DC Medicaid

Page 14: Carestream Dental LLC

39113 Dean Health Plan

77124 DELANO IPA

SKDE0 Delaware Medicaid

SMDE0 Delaware Medicare

27009 Delaware Physicians Care Inc.

94235 Delta Health Systems

84134 Denver Health - Indigent

84133 Denver Health and Hospital Authority

84135 Denver Health Plan

84131 Denver Health Plan Inc. - Medicare Choice

DESAZ Department of Economic Security

SX105 Deseret Mutual

DESRT Desert Group

56240 Detroit Center

52181 DEVELOPMENT INTERNATIONAL

36439 DiaTri LLC

06102 Diversified Administration Corporation

25160 Diversified Group

SDMED DME Region D - DMERC D

APP01 Downey Select IPA (Applecare Managment)

DREYR Dreyer Health

74284 DRISCOLL CHILDREN'S HEALTH PLAN

35186 Dunn and Associates Benefits Admin

34108 E.S. Beveridge & Associates (Mansfield, OH)

TH084 Early Intervention Central

56089 EAST CAROLINA BEHAVIORAL HEALTH

75299 East LA - APMG

08044 East Pointe Behavioral Health

66122 Eastland Group

24770 Easy Choice Health Plan of NY

SX182 EBMS

SX110 Educators Mutual (EMIA)

22521 EGID (Employees Group Insurance Division)

36364 EHN Group IPA

TH090 El Paso First - Chip

MPMOA El Proyecto Del Barrio IPA

52192 Elder Health (paper)

04326 ELDER SERVICE PLAN OF THE NORTH SHORE

31625 ElderPlan Inc.

37253 Elmco

34167 Emerald Health Network Inc. (All PPO Business)

95600 Emergency Services Fund - Orange County CA

16565 EMHS Employee Health Plan

Page 15: Carestream Dental LLC

59299 EMI-KP Ambulance Claims

SB803 Empire Blue Cross and Blue Shield of New York

EMP01 Empire Physician's Group

PILOT Employee Benefit Administration & Management Corporation

38241 Employee Benefit Concepts (Farmington Hills, MI)

31074 Employee Benefit Management Corp (EBMC)

03036 Employee Benefit Plan Administrators

37216 Employee Benefit Services (Ft. Mill SC)

TH109 Employee Benefit Services of San Antonio

42149 Employee Benefits Systems of IA

75299 Employee Health System Group

35112 Employee Plans,L.L.C.(FT.WAYNE,IN.Only)

75232 Employers Direct Health

75236 Employer's Direct Health - Employee Plan

59298 Employers Mutual Inc (Jacksonville Florida)

59331 Employers Mutual Inc. (Stuart Florida)

L0240 EnableComp LLC

35206 Encircle PPO

35206 Encore Health Network

91136 Enstar Natural Gas

36878 Entrust

62308 EQUICOR

62308 Equitable

73126 Equitable Plan Services (Oklahoma City, OK Only)

TH110 ERISA

20818 ESSENCE HEALTHCARE

34159 E-V Benefits Management, Inc.

35605 Everence

45488 Evolent Health

59313 Evolutions Healthcare Systems (New Port Richey FL)

SB806 Excellus - BCBS Utica Watertown

SB805 Excellus - Blue Cross Blue Shield of Central New York

SB804 Excellus - Blue Cross/Blue Shield Rochester Area

EXC01 Excellus BCBS

71412 Exclusive Care

65062 Eye Management Inc. (EMI)

63740 EyeQuest

95432 Facey Foundation

37300 FACS Group

22254 Fallon Community Health Plan

45559 Fallon Total Care

93121 Family Care CCO

51909 Family Christian Health Center Family Health Network patients only

Page 16: Carestream Dental LLC

31472 Family Health Partners - Healthwave of Kansas

TH045 Family Health Plan

31147 Family Health Plan (Ohio BWC)

14140 Farm Family Life

33033 FCE Benefit Administrators

37300 Federated Benefits

41041 Federated Mutual Health Ins(Owatonna,MN adr.)

11315 Fidelis Care New York

77054 Fidelis Seniorcare

FAMR1 FIRST ADMINISTRATORS INC

56196 First Carolina Care

34200 First Carolina Care Medicare

91131 First Choice Health Network

75138 First Choice of Midwest (PPO)

37510 First Choice VIP Care

73159 First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma)

75232 First Integrated

29076 First Network (FMN) - Atlanta GA

23241 First Priority

59276 First Service Administrator's Inc Lakeland Florida

TH003 FirstCare

74223 Fiserv Health (Texas)

39026 Fiserv Health (Wausau Benefits)

11244 Fitzharris & Company, Inc. (Farmingdale, NY)

12611 FL Healthcare Plus

76031 Florida Combined Life (BCBS FL)

59322 Florida Health Care Plan

59321 Florida Hospital Healthcare Systems

48116 Florida Hospital Waterman

59698 Florida League of Cities Inc.

SKFL0 Florida Medicaid

SMFL0 Florida Medicare

26492 Florida True Health

48117 FMH Benefit Services Inc.

25133 Foreign Service Benefit Plan

70408 Fortis Benefits Insurance Co.

39065 Fortis Insurance Company (Milwaukee, WI Adr.)

BOONG FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN

TKFMC Foundation for Care of Tulare & Kings County

64069 Fox-Everett, Inc.

SB942 Freedom Blue Medicare Advantage Claims

31313 Freedom First

Page 17: Carestream Dental LLC

41212 Freedom Health Plan

23130 Fresenius Care

75299 Fresno - ENH Group

TKFMC Friant Water Users

59069 Fringe Benefit Management

59204 Fringe Benefits Coordinators

34171 FrontPath Health Coalition

30005 Galveston County Indigent Health Care

75299 Gardena Memorial Center

31147 Gates McDonald Health Plus Inc. (Ohio BWC)

SX078 Gateway

60550 Gateway Health Plan - Medicare Assured

25169 Gateway Health Plan Medicaid PA

91741 Gateway Health Plan OH- Medicare Assured

PROSP Gateway IPA (Pinnacle Health Resources) (Prospect Group)

75273 Geisinger Health Plan

MCS01 GEMCare (Golden Empire Managed Care System)

20376 Gemcare Health Plan

27133 Gemcare IPA

63665 General American

46050 Generations Healthcare

46051 Generations-Hillcrest

PROSP Genesis Healthcare

31147 GENEX Care of Ohio (Ohio BWC)

SKGA0 Georgia Medicaid

SMGA0 Georgia Medicare

13551 GHI (Group Health Inc.)

25531 GHI HMO

80314 GIC Indemnity Plan

07205 Gilsbar Inc.

AMM02 Glendale Physician's Alliance

07689 Global Care Inc.

MPMOA Global Care Med Grp IPA

GEM01 Global Excel Management

GHOKC Global Health

47083 GMS Inc.

MBA01 Golden State Group

72189 Golden Triangle Physician Alliance/SelectCare of Texas (GTPA)

IP086 Good Samaritan Practice Association

76923 GOOD SHEPHERD HOSPICE INC

45275 Government Employees Health Association

44054 Government Employees Hospital Association (GEHA)

95453 Grand Valley Health Plan

Page 18: Carestream Dental LLC

68069 Granite State Health Plan

13193 Great American Life Ins. Co-Medicare Supplement

33010 Greater Newport Physicians Group

NMM01 Greater Orange County Group

NMM01 Greater San Gabriel Med Grp

63665 Great-West Healthcare (American General)

80705 Great-West Healthcare

36338 Group Administrators(Schaumburg,IL)

48143 Group and Pension Administrators

CB951 Group Benefit Services Inc.

91051 Group Health Cooperative - WA State

95192 Group Health Cooperative of Eau Claire

39167 Group Health Cooperative of South Central Wisconsin

37276 Group Insurance Service Center Inc.

77010 Guardian Healthcare INC. (SC)

64246 Guardian Life Insurance Company of America

CB624 Gulf Stream-General Dynamics

37114 H.E.R.E.I.U Welfare Pension Funds

65101 HAA Preferred Partners

70259 Harbor Health Plan

43313 Harken Health Insurance

14163 Harmony Health Plan (WellCare of Florida)

75126 Harpeth IPA - Amerivantage

95266 Harrington Benefit Services, Inc.

59143 Harrington Health Non-EPO

62061 Harrington Health-Kansas (formerly known as Fiserv Health-Kansas)

04245 Harvard Community Health Plan

04271 Harvard Pilgrim Health Care

99208 Hawaii Assurance Association (HMAA/HWMG)

SKHI0 Hawaii Medicaid

SMHI0 Hawaii Medicare

SB971 Hawaii Service Association (HMSA)

86066 Hawaii-Mainland Administrators

82018 HCS - Health Claims Service (Boise ID)

90023 HDPC - Premier Healthcare

20257 HDPC/Alliance Physicians

25133 Health America Inc./Health Assurance/Advantra

25160 Health Aspe

42102 Health Care Network of Wisconsin (HCN)

62179 Health Choice Arizona

62180 Health Choice Generations

46221 Health Choice Insurance of AZ

71064 Health Choice Oklahoma

Page 19: Carestream Dental LLC

45399 Health Choice Utah

82018 Health Claims Service

62111 Health Cost Solutions

34158 Health Design Plus (Hudson OH)

TH049 Health Management Administrators (HMA)

31147 Health Management Solutions (Ohio BWC)

38309 Health Net of Arizona

95567 Health Net of California and Oregon - Claims

06108 Health Net of the Northeast Inc.

65062 Health Network One

04286 Health New England

SX030 Health Options of Florida

36368 Health Options of Illinois

80142 Health Partners of Philadelphia

62157 Health Partners of Tennessee

20270 Health Payment Systems Inc.

63719 Health Plan Management Services (HPMS)

83253 Health Plan of Michigan

76342 Health Plan of Nevada

68035 Health Plan of San Joaquin

59140 Health Plan Services (Tampa, FL)

44273 Health Plans Inc.

20896 Health Services Consulting Group Inc.

37290 Health Services for Children with Special Needs

41150 Health Services Management

34167 Health Services Preferred (HSP) by Emerald Health

HCH01 Healthcare Highways

MPMOA Healthcare La IPA

HCP01 Healthcare Partners

11328 HealthCare Partners IPA

56731 Healthcare Resources NW

73147 Healthcare Solutions Group

31147 Healthcare Transaction Processing Inc (HTP)

25133 Healthcare USA

85729 HealthComp, Inc.

20356 HealthE Exchange Inc

95213 HealthEdge Administrators (Bakersfield CA)

41178 HealthEZ

80141 Healthfirst Health Plan of New Jersey

80141 Healthfirst Inc. (New York)

56144 Healthgram Inc.

23274 HealthGroup Limited

96475 Healthlink HMO

Page 20: Carestream Dental LLC

90001 Healthlink PPO

SB800 HealthNow - BCBS Northeastern NY

SB801 HealthNow - Blue Cross Blue Shield of Western NY

51037 HealthNow Administrative Services (MN)

55204 Healthnow Division

SX009 HealthPartners MN

27514 HealthPlus Amerigroup

38216 HealthPlus of Michigan

52429 Healthscope Benefits - EHC Repricing

71063 HealthSCOPE Benefits, Inc.

75237 Healthsmart Accel

37283 Healthsmart Benefit Solutions

87815 HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc.

HSM01 HealthSmart -Noble Mid Orange

75250 HealthSmart Preferred Care Inc.

71075 Healthsource AR (Med) (CIGNA)

02041 Healthsource CMHC

58210 Healthsource GA (CIGNA)

61127 Healthsource KY

01041 Healthsource ME

75255 Healthsource N. TX (CIGNA)

56147 Healthsource NC (CIGNA)

02038 Healthsource NH

31141 Healthsource OH

68195 Healthsource Provident(CIGNA)

06119 Healthsource SC

62129 Healthsource TN (CIGNA)

31434 HealthSpan Inc

EM216 Healthspring

63092 HealthSpring HMO/HealthSpring Medicare+Choice

HESUN Healthsun Health Plans

31172 HealthTrans

58213 Healthways WholeHealth Networks

68064 Healthy Texas

22251 Healthy York Network

59230 Heritage Consultants

TH011 Heritage Physician Network

DESRT Heritage Provider Network

36335 HFN Inc.

20552 HHH Choices Gold

33069 High Desert Primary Care

91164 Highline Service Organization

47181 Highmark BCBSD Health Options

Page 21: Carestream Dental LLC

SB865 Highmark Blue Cross & Blue Shield of Pennsylvania

35145 Highmark- Key Family

95462 Highmark Senior Health

00046 Hill Physicians Group

55247 HIP - Health Insurance Plan of Greater New York

HPIPA Hispanic Physicians IPA

65062 HN1 Therapy Network (HN1TN)

75299 Hollywood Presbyterian (Synermed)

88023 Hometown Health Plans Nevada

22099 Horizon Healthcare Dental Services

22326 Horizon NJ Health

91136 Hotel Employees & Restaurant Employees Health Trust

22521 HP Administrative Services LLC

59141 HPS Administrative Services

58227 HPS Paradigm Inc.

65062 HS1 Management

37224 HSBS Memphis

37256 HSBS Oklahoma City

37137 HSHS Group IPA

13335 Hudson Health Plan

NCH02 Humana Dermatology - New Century Health

61101 Humana Inc.

61125 Humana Military - Tricare South

61120 Humana Veterans Healthcare Services

94154 Humboldt-Del Norte Foundation for Care

22175 I.E. Shaffer

SX083 IBC Personal Choice

81810 IBG Administrators LLC

19028 IBM Business Transformation Outsourcing Insurance Services Corporate

26054 iCare Health Solutions

SKID0 Idaho Medicaid

SMID0 Idaho Medicare

75274 IHG Direct

68069 IlliniCare

86069 Illinois Health Solutions

SKIL0 Illinois Medicaid

SMIL0 Illinois Medicare

41600 I'Mcare

TH099 IMS Management Services

86070 IMX Easy

40585 INDECS Corporation

TA720 Independence Administrators

13396 Independence Care System Inc

Page 22: Carestream Dental LLC

MHM01 Independence Group

SX073 Independent Health

45048 INDEPENDENT LIVING SYSTEMS

51909 Independent Physicians @ Mercy Chicago IL MG#155

SX171 Indian Health Services

35600 Indiana Department of Health - Children's Health - Claims

SKIN0 Indiana Medicaid

SMIN0 Indiana Medicare

35161 Indiana ProHealth Network

35107 Indiana Teamsters Health Benefits Fund (Indianapolis IN)

26212 Indiana University Health Plan (Commercial)

95444 Indiana University Health Plan (Medicare)

31053 Individual Health Insurance Companies

43471 Inetico

96490 InforMed LLC

50946 Informed UHC

52196 Informed, LLC

36348 Ingalls Provider Group

52212 Injured Workers Insurance Fund

IEHP1 Inland Empire Health Plan

75299 Inland Valleys IPA

31172 Innovante Benefit Administrators

40025 Innovation Health

80087 Innovative Physician Associates LLC

37279 Insurance Administrators of America Inc.

13315 Insurance Design Adminstrators

72091 Insurance Management Administrators

15688 Insurance Management Services (Amarillo TX)

36342 Insurance Program Managers Group (IPMG)

TH012 Insurance Services of Lubbock

39182 InsuranceTPA.com

86304 Insurers Administrative Corporation

51020 Integra Administrative Group (Seaford, DE)

31127 Integra Group

31129 Integra Group-CHA

23229 Integral Quality Care

34167 Integrated Care Network (ICN) by Emerald Health

20050 Integrated Solutions LLC

SX079 Inter-County Health Plan

60280 Interface EAP (IEAP)

23287 Intergroup Services Corporation

11329 International Benefit Administrator

48603 International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC)

Page 23: Carestream Dental LLC

16158 International Educational Exchange Services Inc. (IEES)

TH105 International Group

84137 InterWest Health (Acceptius Gateway payer)

35115 INTotal Health

41124 Iowa Benefits, Inc. (IBI)

86068 Iowa Health Solutions

SKIA0 Iowa Medicaid

SMIA0 Iowa Medicare

41600 Itasca Care

61271 J.F. Molloy and Associates, Inc.

TH033 JI Specialties

09822 JMH - SFCCN PHT (PSN CMSN)

41099 John Alden Life Insurance Co.

38310 John Morrell Company - AHBPA

68036 John Muir Physician Network

52189 Johns Hopkins Healthcare (EHP/PP)

52123 Johns Hopkins Healthcare (USFHP)

43178 Joplin Claims / Benefit Management Inc

34136 JP Farley Corporation

91617 Kaiser Foundation Health Plan of Colorado

94135 Kaiser Foundation Health Plan of Northern CA Region

34092 Kaiser Foundation Health Plan of Ohio

94134 Kaiser Foundation Health Plan of Southern CA Region

52095 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.

93079 Kaiser Foundation of the Northwest

21313 Kaiser Permanente of Georgia

94320 Kaiser Self Funded

57038 Kanawha Insurance Co.(Lancaster,SC. Only)

SKKS0 Kansas Medicaid

SMKS0 Kansas Medicare

71066 Kansas Superior Select

81812 Katy Claims

TKFMC Kaweah Delta

KELSE KelseyCare

TH050 Kelsey-Seybold

61453 Kemper Benefits

73100 Kempton Group Administrators

27215 Kentucky Health Administrators Inc.

77894 Kentucky Health Cooperative

SKKY0 Kentucky Medicaid

SMKY0 Kentucky Medicare

61325 Kentucky Passport

68069 Kentucky Spirit Health Plan

Page 24: Carestream Dental LLC

28021 Kern County CDCR

77039 Kern Health Systems

37217 Key Benefit Administrators (Indianapolis IN)

35317 KEY GAP

IP082 Key Group

37321 Key Select

37323 Key Solution

23284 Keystone First

42344 Keystone Health Community Healthchoices

SX055 Keystone Health Plan East

SX056 Keystone Health Plan West

84223 Keystone VIP Choice

34145 Klais & Company

3414A Klais & Company (Repricing for HealthSpan Network Only)

31147 Klais & Company (Ohio BWC)

KPS01 KPS-Kitsap Physician Services

68069 KS - Sunflower State Health

LACAR LA Care Health Plan

37116 Lake County Physicians Association

66127 Lakeside Comprehensive Healthcare

66125 LakeSide Group

LMG11 Lakeside Health Services

16109 Lancaster General Health Group

90096 Land of Lincoln

62741 Land of Lincoln Health Ins. Co.

LNDMK Landmark Healthcare Inc

NMM02 LaSalle Group

36333 Lawndale Christian Health Center

52193 LBA HealthPlans, Inc.

37316 Leon Center Health Plan

87071 Liberty Health Advantage

C1058 Liberty Mutual - Automobile Medical

37281 Liberty Union

37281 Life Assurance Company

33LGC Life Gift Cards

TH120 Life Investors Insurance

TH093 Life Investors of America - Long Term Care

25181 LIFE Pittsburgh

41136 Life Trac

76870 LifePath Hospice Inc

27005 Lifestyle Health Plans

EBSRM Lifetime Benefit Solutions

93093 LifeWise Healthplan of Oregon

Page 25: Carestream Dental LLC

42011 Lincoln Republic Insurance

TH106 LIPA/Agate Resources

35107 Local 135 Health Benefits Fund (IN Teamsters)

CB752 Lockard & Williams

37267 Loma Linda University Employee Health Plan

33036 Loma Linda University Health Care

67202 Louisiana Health Cooperative

68069 Louisiana Healthcare Connections

SKLA0 Louisiana Medicaid

SKLA2 Louisiana Medicaid - Ambulance claims

SKLA1 Louisiana Medicaid - DME Claims

SKLA3 Louisiana Medicaid - KidMed Claims

SMLA0 Louisianna Medicare

SX159 Lovelace Salud

90328 Lovelace Sandia Health Plan

13193 Loyal American Life Ins Co-Medicare Supplement

36334 MacNeal Health Providers- CHS

01260 Magellan Health Services

11303 Magnacare

68069 Magnolia

68062 Magnolia Insurance

25133 Mail Handlers Benefit Plan

45341 Maine Community Health Options

SKME0 Maine Medicaid

SMME0 Maine Medicare

26372 MajestaCare Virginia

22195 Maksin Management Corporation

35162 Managed Care Services LLC

MCS02 Managed Care Systems (Delano Regional Group)

MCS01 Managed Care Systems (Gemcare)

36312 MANAGED HEALTH CARE ASSOCIATES

22771 Managed Health Network

68069 Managed Health Services Indiana (Medicaid HMO)

68069 Managed Health Services Wisconsin

98010 Manulife W. J. Sutton Company

L0100 Mapfre Medicare Excel

52461 March Vision Care Inc.

33711 Marion Polk Community Health Plan

48055 Marquette Life Insurance Company

20805 Marrick Finance LLC.

53275 MARTINS POINT HEALTH CARE

SKMD0 Maryland Medicaid

SMMD0 Maryland Medicare

Page 26: Carestream Dental LLC

22348 Maryland Physicians Care

SX069 Maryland Public Mental Health

37121 Mashantucket Pequot Tribal Nation

SKMA0 Massachusetts Medicaid

SKMA2 Massachusetts Medicaid - Health Service Net

SMMA0 Massachusetts Medicare

TH111 Master Mates & Pilots Program

27320 Max Specialty Benefits

41154 Mayo Clinic Health Solutions

83028 MBA Benefit Administrators (Salt Lake City, UT)

87065 MBA of Wyoming

25160 MCA ADMINISTRATORS

MHM02 McKinley Group

80026 MDI Holdings (Formerly Partners of America)

31354 MDWise Healthy Indiana Plan

20475 MDWise Hoosier Alliance

35191 MDWise Hoosier Healthwise

SX172 Mdwise Inc. (formerly IU Group)

88058 MED PAY

EM350 MED3000 CMS EARLY STEPS

EM284 MED3000 CMS SAFETY NET

EM843 MED3000 CMS TITLE 19 REFORM

EM205 MED3000 CMS TITLE 21

EM521 MED3000 COVENTRY HEALTHY KIDS

EM039 MED3000 PEDICARE TITLE 19

EM522 MED3000 PEDICARE TITLE 21

58202 MedAdmin Solutions

74323 MedBen (Newark OH)

59231 MedCom

56205 MedCost Benefit Services

56162 MedCost Inc.

56205 Medcost of N.Carolina(POBox 25987 Only)

38353 MedDirect

95321 Medfocus

94265 Medica

78857 MEDICA HEALTH CARE PLAN INC.

71890 Medica Health Plan Solutions

12422 Medica2

77059 Medicaid Hawaii Waivers

SKNYT Medicaid New York (eMedNY Test System)

SKLA4 Medicaid of Louisiana Rehab

SKCA1 Medi-Cal (Vision)

SX263 Medicare Blue

Page 27: Carestream Dental LLC

SX262 Medicare Blue Private

SDMEA Medicare DME - JA - CEDI NHIC

SDMEB Medicare DME - JB CEDI-NGS

SDMEC Medicare DME - JC CEDI-CGS

SX170 Medicare Plus Blue - MI

L0210 Medicare y Mucho Mas ( MMM )

23160 Medico Insurance Company

95655 MediGold

20039 Mediture

STAR1 Mediview Inc.

35205 MedPartners Administrative Services

MPMOA MedPOINT Management

62160 MedSolutions Inc

15395 Medsolutions Post accute Care

39190 MedStar Family Choice

251MS Medstar Select/Medstar Medicare Choice

74227 Mega Life and Health - Student Ins. (Dallas,TX)

59221 Mega Life and Health Insurance

59224 Mega Life: Mid-West National Life

59223 MegaLife - Chesapeake National Life

62181 Memorial Clinical Associates/ SelectCare of Texas (MCA)

TH092 Memorial Herman Health Network Providers

37264 Mercy Benefit Administration

86052 Mercy Care Plan

43166 Mercy Health Plans

33628 Mercy Maricopa Integrated Care

39114 MercyCare

13189 Meridian Health Plan

64157 Meritain Health

64158 Meritain Health / Agency Services

41124 Meritain Health Minneapolis

45150 Meritus Health Partners

23550 Methodist First Choice

13265 MetroPlus Health Plan

10850 Metropolitan Health Plan

TH068 Metrowest HealthPlan

TH069 Metrowest Star Medicaid

23550 MFC & HealthPlus Peoria

74289 MHNET

SKMI1 MI Medicaid - BCCCP

37127 Michael Reese Physicians Group

SKMI0 Michigan Medicaid

SMMI0 Michigan Medicare

Page 28: Carestream Dental LLC

38238 Michigan Regional Council of Carpenters Employee Benefit Plan

26161 Mid Rogue Oregon Health Plan

37281 Mid-America Associates, Inc.

77012 MidCoast IPA

75299 Mid-County Physicians Group (San Diego) (Synermed)

47080 Midlands Choice Inc.

76079 Midwest Health Partners

TH074 Midwest Health Plans Inc.

74227 Mid-West National Life - Student Insurance

59224 Mid-West National Life Insurance Co. of Tennessee - Insurance Center

MPMG1 Mills Peninsula Group

94115 Mills Peninsula Group(SPS)

MPHS1 Mills Peninsula Health Services

MNDH1 MINNESOTA DEPARTMENT OF HEALTH

SKMN0 Minnesota Medicaid

SMMN0 Minnesota Medicare

STJOE Mission (St. Joseph Heritage Healthcare)

MPMOA Mission Community IPA Med Grp

64068 Mississippi Health Partners

SKMS0 Mississippi Medicaid

SMMS0 Mississippi Medicare

64084 Mississippi Physicians Care Network

64088 Mississippi Select Healthcare

37275 Missoula County Benefits Plan

SKMO0 Missouri Medicaid

SMMO0 Missouri Medicare

SMKC0 Missouri Medicare WEST

35316 MMA

31147 MMAC (Managed Assurance Co. Ltd.) (Ohio BWC)

68069 MO - Missouri Home State Health Care

38333 MOLINA HEALTHCARE OF CALIFORNIA

51062 Molina Healthcare of Florida

38334 MOLINA HEALTHCARE OF MICHIGAN

09824 Molina Healthcare of New Mexico - Salud

04423 Molina Healthcare of New Mexico -SCI

20149 MOLINA HEALTHCARE OF OHIO

20554 MOLINA HEALTHCARE OF TEXAS

SX009 MOLINA HEALTHCARE OF UTAH

38336 MOLINA HEALTHCARE OF WASHINGTON

ABRI1 MOLINA HEALTHCARE Of WI

46299 Molina Healthcare South Carolina

SX109 Molina Healthcare Utah (aka American Family Care)

20934 Molina Illinois

Page 29: Carestream Dental LLC

IP095 Monarch IPA

SKMT0 Montana Medicaid

SMMT0 Montana Medicare

13174 Montefiore Contract Management Organization

46161 Montifiore HMO

TH094 Monumental Life Insurance Company

35092 Morris Associates

IP083 Mosaic IPA Group

99282 Motion Pictures Industry

SB941 Mountain State Blue Cross and Blue Shield

86040 Mountain States Administrative Services (Tucson AZ)

37233 MPEEBT / MPE Services, Inc.

20572 MSA CareGuard

95655 Mt. Carmel Health

75299 Multicultural Primary Care Group (San Diego) (Synermed)

34080 Multiplan Wisconsin Preferred Provider Network

81883 Municipal Health Benefit Fund

37256 Mutual Assurance Administrators

59140 Mutual Group (The) (US)

29076 Mutual of Ohio

71412 Mutual of Omaha Insurance Co.

71412 Mutually Preferred

14165 MVP Health Plan of NY

SX089 MVP Health Rochester

91136 N.W. Ironworkers Health & Security Trust Fund

91136 N.W. Roofers & Employers Health & Security Trust Fund

91136 N.W. Textile Processors

L0110 NAMCI/Global Care

TH088 Naperville Healthcare

58182 NAPHCARE INC.

53011 National Association of Letter Carriers/NALC

56175 National Benefit Administrators - New Jersey

56176 National Benefit Administrators - North Carolina

90001 National Capital Preferred Provider Organization (NCPPO)

SX190 National Imaging Associates

52132 National Rural Electric Coop (NRECA)

71412 National Rural Letter Carriers

52120 National Telecomm Co-op Assoc (NTCA)

52120 National Telecommunications Cooperative Association

52104 National Telecommunications Cooperative Association (NTCA - Staff)

52103 National Telecommunications Cooperative Association (NTCA)

31417 Nationwide Health Plans

19191 Native Care Health, LLC

Page 30: Carestream Dental LLC

75191 NCAS(CHARLOTTE,NC Addr. Only)

SKNE0 Nebraska Medicaid

SMNE0 Nebraska Medicare

51909 Neighborhood Doctors Organization

96107 Neighborhood Health Partnership (NHP)

04293 Neighborhood Health Plan (Boston MA)

05047 Neighborhood Health Plan of Rhode Island (NHPRI)

37255 Nesika Health Group

66055 Netcare Life and Health Insurance (Hagatna Guam)

04332 Network Health

77076 Network Health Insurance Corp-Medicare

39144 Network Health Plan

NMM01 Network Management

58204 Network TPA LLC

SKNV0 Nevada Medicaid First Health Services

SMNV0 Nevada Medicare

86067 NevadaCare

95998 NEW AVENUES INC.

NCH11 New Century Health - IEHP Oncology

NCH09 New Century Health - Vista Cardiology

76031 New Era Employee Welfare Benefit Plan Trust

75281 New Era Life Insurance Company

SKNH0 New Hampshire Medicaid

SMNH0 New Hampshire Medicare

SKNJ0 New Jersey Medicaid

SMNJ0 New Jersey Medicare

65056 New Market Dimensions

45129 New Mexico Health Connections

SKNM0 New Mexico Medicaid

SMNM0 New Mexico Medicare

SX164 New West Health Services

TH122 New York Life

SKNY0 New York Medicaid

SMNY0 New York Medicare Downstate

SMNY2 New York Medicare Queens

SMNY1 New York Medicare Upstate

11334 New York Network Management

24819 New York Presbyterian System Select Health

38225 NGS American Inc

88050 NHBCAUX

11325 NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan)

81264 Nippon Life Insurance Co.

22603 NJ Carpenters Health Fund

Page 31: Carestream Dental LLC

38238 NNEBT (Northern New England Benefit Trust)

PDT01 Noble AMA Select IPA

65085 North American Admin.,L.P. (Nashville, TN Only)

34159 North American Benefits Network

E3510 North American Management (NAMM) - Northern California

E3510 North American Management (NAMM) - Southern California

SKNC0 North Carolina Medicaid

SMNC0 North Carolina Medicare

SKND0 North Dakota Medicaid

SMND0 North Dakota Medicare

17516 North Shore - LIJ (Healthfirst)

46227 North Shore - LIJ CareConnect Insurance Company Inc.

36392 North Suburban Associated Physicians

35212 North Texas Healthcare Network

PROSP North West Orange County Group

58169 Northeast Georgia Health Services

38238 Northern California Sheet Metal Workers Health Care Plan

36347 Northern Illinois Health Plan

88027 Northern Nevada Trust Fund

NMG01 Northridge Group

48026 NorthShore Physician Associates

36364 NorthShore University Health System Group

60058 Northstar Advantage

36234 NORTHWEST COMMUNITY HEALTH PARTNERS

62119 Northwest Diagnostic Clinic/SelectCare of Texas (NWDC)

36346 NorthWest Suburban IPA (Illinois)

80314 Northwestern National Life (Oxnard CA Only)

16114 Nova Casualty Company

16644 Nova Dental Care Network, Inc.

71080 Novasys Health Network

22262 NPS

PROSP Nuestra Familia Group (Prospect Group)

37299 Nyhart (Indianapolis, IN)

14142 NYS DOH UCP

36402 OAK WEST PRIMARY PHYSICIAN ASSOCIATION

DESRT Oasis IPA

L0140 Occular Benefits

31147 Occupational Health Mgmt Inc. (HealthManage) (Ohio BWC)

13350 ODS Health Plan

31147 Ohio Comp Choice Inc. (HMS) (Ohio BWC)

31147 Ohio Employee Health Partnership (Ohio BWC)

34189 Ohio Health Choice PPO

SKOH0 Ohio Medicaid

Page 32: Carestream Dental LLC

SMOH0 Ohio Medicare

74431 Ohio PPO Connect

22521 OK State Employees & Educators (EDS)

SKOK0 Oklahoma Medicaid

SMOK0 Oklahoma Medicare

22521 Oklahoma State Employees & Educators (EDS)

65074 Olympus Managed Health Care

68037 OMNI/Medicore HP

IP088 Omnicare Group (OMNI)

52149 OneNet PPO (formerly Alliance PPO / MAPSI)

91136 Operating Engineers Locals 302 & 612 Health & Security Fund

56190 OptiCare Managed Vision

54154 Optima Health Plan

52152 Optimum Choice of the Carolinas Inc. (OCCI)

20133 Optimum Healthcare Inc.

87726 OptumHealth

33053 OptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health)

41194 OptumHealth Care Solutions (formerly United Resource Networks)

52190 OptumHealth Care Solutions (formerly United Resources Networks

41161 OptumHealth Physical Health - includes Oxford (formerly ACN & ACNIPA)

SKOR0 Oregon Medicaid

SMOR0 Oregon Medicare

21455 Oregon's Health CO-OP

13382 Orthonet - Uniformed Services Family Health Plan

13383 Orthonet- Aetna

13381 Orthonet Corporation - CIGNA

25681 Orthonet-HealthNet

62171 OSF Health Plans

73071 OSMA Health - C. L. Frates

75299 Pacific Alliance Center

PCFCI Pacific IPA

93029 Pacific Source Health Plans(Eugene, OR)

95959 PacifiCare Health Systems PACIFICARE OF CALIFORNIA

93031 PacificSource Administrators

20377 PacificSource Medicare

L0180 Palic ( Panamerican Life Insurance Company of Puerto Rico )

04218 Pan American Life Insurance Group

SPRNT Paper Claim

58174 Paragon Benefits, Inc.

SX158 Paramount

31147 Paramount Preferred Network (Ohio BWC)

66917 Parkland Community Health Plan

52613 PARTNERS BEHAVIORAL HEALTH MANAGEMENT

Page 33: Carestream Dental LLC

51909 Partners In Health Chicago IL MG#468

SX140 Partnership Health of California-CAPHP

61129 Passport Health Plan

10525 Patient Advocate, LLC

CB733 Patient Services Inc

26335 PATIENTPAY

51909 PCC Community Wellness Center Family Health Network patients only

68069 Peach State Health Plan

PROSP Pegasus Group

SX106 PEHP - Utah Public Employee Health Plan

SKPA0 Pennsylvania Medicaid

SMPA0 Pennsylvania Medicare

20172 Pennsylvania Pace

72126 Peoples Health Network

37121 Pequot Plus Health Benefit Administrators

25176 PerformCare-Select Health MH/SA

95397 Personal Insurance Administrators Inc. (Agoura Hills CA)

72099 PHCS Claims (formerly American LIFECARE)

13306 PHCS Savility Payers

03440 Phoenix Health Plan

03443 Phoenix Health Plans

91171 Physicans of Southwest Washington

58204 Physician Associates of Louisiana

PA513 Physician Associates of the Greater San Gabriel Valley

58204 Physician Care Network LLC

PHPMD Physician Health Partners

28943 PHYSICIAN'S ACCOUNTABLE CARE ORG

38265 Physicians Care (ASR Corporation)

36345 Physicians Care Network (Rockford, IL ONLY)

PCN12 PHYSICIANS CARE NETWORK LLC/Polyclinic Seattle

80065 Physicians Care Partners

PDT01 Physician's Data Trust

EXC01 Physicians Group of San Jose

37136 Physicians Health Association of Illinois

TH114 Physicians Health Choice - Encounters

TH113 Physicians Health Claims - Claims

20398 Physicians Health Collaborative

MHM03 Physicians Health Network

09173 Physicians Health Plan (PHP) - SC

47027 Physicians Mutual Insurance Company

39156 Physicians Plus Insurance Corporation

TH131 Physicians United Plan

06607 Piedmont Behavioral Health

Page 34: Carestream Dental LLC

251PD Piedmont WellStar Health Plan

24735 Pinnacle Claims Management

24735 Pinnacle Claims Management Inc.

95271 Pinnacle Group

PROSP Pinnacle Health Resources (Prospect Group)

45985 Pinnacle Physician Management ORG

84109 Pinnacol Assurance

PIONR Pioneer Group

37224 Pittman and Associates (Memphis, TN)

23283 Pittsburgh Care Partnership Inc.

64160 Pivotal Plan

L0190 Plan de Salud Hospital Menonita

37287 Planned Administrators, Inc.

58204 Podi Care Managed Care

59324 PODIATRY NETWORK FL

16111 POMCO (Syracuse, NY)

IP057 Pomona Valley Group

38335 PPOM LLC

72148 PPOPlus LLC

04334 Practicare Inc

36373 Prairie States Enterprises Inc.

65088 Preferred Care Partners Florida

73145 Preferred Community Choice/PCCSelect/CompMed

61106 Preferred Health Plan (Louisville KY)

31478 Preferred Health Professionals (Freedom Dental)

61665 Preferred Health Systems A Coventry Health Care Plan

60110 Preferred Health Systems Insurance Company

PFIPA Preferred IPA

L0250 Preferred Medicare

36401 Preferred Network Access Inc.

41147 PreferredOne (MN)

SB930 Premera Blue Cross (WA, AK)

43166 Premier Benefits Inc.

31147 Premier Comp of Hometown Health Network (Ohio BWC)

65054 Premier Eye Care

251PR Premier Health Plan

90440 Premier Health Systems Inc

29076 Premier Health Systems Inc.

88056 Premier HealthCare Exchange

31147 Premier Managed Care Inc. (Ohio BWC)

05003 Presbyterian (NM)

46311 Presence ERC

77003 Prestige Health

Page 35: Carestream Dental LLC

45056 Prestige Health Choice

IP096 Prima Health IPA

IP079 Primary Care Associates Group

82048 Primary Health Network

56144 Primary Physician Care, INC.

61604 Prime West Health Plan

61271 Principal Financial Group

38217 Priority Health

37268 Prism Network Inc.

37315 Prism-Univera

38329 Pro Care Health Plan Inc. (Detroit MI)

PROSP ProCare (Prospect)

59296 Professional Benefit Administrators (Winter Park FL)

36331 Professional Benefit Administrators Inc. (Oak Brook IL)

34134 Professional Risk Management

IP057 ProMed HealthCare Administrators

AMM01 Prospect Group

PROSP Prospect Health Network

PROSP Prospect Sherman Oaks Group (Prospect Group)

37309 Protective Life Insurance Company

70408 Protective Life of Alabama

31147 Protegrity Services (Ohio BWC)

SX133 Providence of Oregon Health Plan

SX187 Providence PPO

13193 Provident American Life & Health Ins Co-Medicare Supplement

48100 ProviDRs Care Network

PSKW0 PSKW

51052 PSYCHCARE LLC

SMPR0 Puerto Rico Medicare

91136 Puget Sound Benefits Trust

91136 Puget Sound Electrical Workers Trust

48055 Pyramid Life Insurance Company

35174 Qual Choice of Arkansas

23342 QualCare Inc.

89461 Quality Care Partners

88622 Quality Health Plans of NY

CX077 Quality Plan Administrators Inc

73067 QuikTrip

57117 QVI Risk Solutions Inc.

TKFMC R&N Market

SRRGA Railroad Medicare

91176 RBMS, LLC (Anchorage, AK)

44219 Reading Hospital Employer Group

Page 36: Carestream Dental LLC

75299 Redlands IPA (Synermed)

18247 Redlands Yucaipa Group

REGAL Regal Group

SB850 Regence Blue Cross Blue Shield of Oregon

SB910 Regence Blue Cross Blue Shield of Utah

SB611 Regence Blue Shield of Idaho

SB931 Regence Blue Shield of Washington

38221 Regency Employee Benefits

62177 Reimbursements of America

80314 ReliaStar (Oxnard CA addr. Only)

76066 Renaissance Physicians Organization

73066 Reserve National Insurance

RHA01 Resolve Health Plan Administrators LLC

CB695 Resolve Solarte Health Inc

37278 ResourceOne Administrators

36396 Resurrection Health Care Preferred/FKA Family Network

26316 Retiree Health Trust

SKRI0 Rhode Island Medicaid

SMRI0 Rhode Island Medicare

74205 Right Care from Scott & White

37331 RightChoice Benefit Administrators (paper)

RCMG1 RIVER CITY GROUP

MPMOA Riverside Family Health Med Grp IPA

45281 Riverside Health Inc.

17818 RiverSpring FIDA Plan

16117 RMSCO, INC.

SX141 Rocky Mountain Health Plan - Grand Junction

46166 Royal Healthcare on Behalf of Extended Care MTC

25133 Rural Carrier Benefit Plan

36389 Rush Prudential Health Plans (HMO Only)

AMM03 Ryan White Network

31441 S & S Health Strategies

75299 Sacramento - Primary Care Practices of Sacramento - EHS

35164 Sagamore Health Network

37137 Sage Technologies - PBS (Rockford, IL)

37105 Sage Technologies(Formerly Cannon Cochran MgmtSv)

45307 Saint Anthony PHO

88029 SAINT MARY'S HEALTH PLAN

34154 Salvation Army

CP001 Samaritan Health Plans

MSO77 San Diego County Coverage Initiative (CI)

MSO33 San Diego County Ryan White Care Act

MSO11 San Diego County Services (CMS)

Page 37: Carestream Dental LLC

68035 San Joaquin Health Administrators

HSM01 San Judas Group IPA

33072 San Louis Obispo Select

91184 Sanford Health Plan

24077 SANTA CLARA FAMILY HEALTH PLAN

77038 Sante Health System and Affiliates

45552 Satellite Health Plan Medicare

99157 SCAN ENCOUNTERS

72261 SCAN Health Plan

73172 Scan Health Plan Arizona

20460 SCAN Long Term Care

16146 SCHC Total Care - ClaimsNet

SDCOM SCION Dental Commercial claims

TH002 Scott & White

12T05 Scott & White Health Plan

46187 Seaside Health Plan Medicare

SVIPA Seaview IPA

28530 Secure Health Plan of GA

28530 Secure Health Plans of Georgia LLC

39045 Security Health Plan

64088 Select Administrative Services

SA704 Select Advantage

93031 Select Benefit Administrators Inc.

37282 Select Benefit Administrators of America

23285 Select Health of South Carolina

20415 Select Senior Clinic

00014 SelectCare

76045 SelectCare of Texas (HPN) Heritage Physicians Network

61225 SelectCare of Texas (Kelsey-Seybold)

SX107 SelectHealth

34131 Self Funded Plans of Cleveland,Ohio

36404 Self Insured Plans (Naples FL)

36426 Sendero Health

36390 Senior Care Partners

80141 Senior Health Partners (SHP)

83035 SENIOR WHOLE HEALTH

54154 Sentara Health Management

23249 Sentinel Management Services

39033 Sentry Life Insurance Company

TKFMC Sequoia Beverage

12057 Services Initiative

76056 Seton CHIP

TH080 Seton Employee Plan

Page 38: Carestream Dental LLC

TH079 Seton Health Plan - Exclusive

TH081 Seton MAP Program

25404 Seven Corners

31147 Sheakley UNICOMP (Ohio BWC)

38238 Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA)

SC359 SHERMAN HOSPITAL

PROSP Sierra Family Network (Prospect Group)

76342 Sierra Health and Life

MBA01 Sierra Nevada Association

23250 Significa Benefits Services Inc.

36387 Silver Cross Managed Care Organization

37228 Silverback TPA

27094 Simply Healthcare

51909 Sinai Group Chicago IL Family Health Network patients only

84076 Sinclair Health Plan (South Temple, UT)

SKYGN SKYGEN USA

84096 Sloans Lake Preferred Health Networks

02057 Smith Administrators

13010 Smokey Mountain Center

31147 Solidarity Managed Care Organization (Ohio BWC)

91131 Sound Health (now known as First Choice Health Network)

42172 Soundpath Health

SKSC0 South Carolina Medicaid

SMSC0 South Carolina Medicare

23266 South Central Preferred

81600 South Country Health Alliance

SKSD0 South Dakota Medicaid

SMSD0 South Dakota Medicare

SX142 South Indiana Health Operations - HMO

35227 South Point Hotel & Casino

25147 SouthCare/Healthcare Preferred

TH116 Southeast Texas Govt Employees Benefit Pool

77153 Southeastern Indiana Health (SIHO)

37318 Southern Benefit Services

75299 Southern CA Children's Network (SynerMed)

SCP01 Southern Cal Physicians Managed Care Services

SWSTA Southwest Administrators

37266 Southwest Service Life

23253 Spectrum Admin

84146 Spina Bifida - VA HAC

TH100 Spohn Health

APP01 St Francis IPA

STJOE St Joseph IPA

Page 39: Carestream Dental LLC

STJOE St Jude Yorba Linda

35199 St. Anthony Memorial Healthcare Centers - MDWISE

22240 St. Barnabas System Health Plan

35199 St. Catherine Hospital PHO - MDWISE

51909 St. Francis Health Care Chicago IL MG#112

35199 St. Francis Health Network

STJOE St. Joseph Heritage Healthcare

STJOE St. Jude (St. Joseph Heritage Healthcare)

35199 St. Margaret Mercy Healthcare Centers - MDWISE

37116 St. Therese Physician Association

PDT01 St. Vincent IPA

59225 STAR HRG

61425 Starmark

46450 State Auto Insurance Companies

31059 State Farm (Casualty & Property Claims)

31053 State Farm Insurance Companies

J1555 State of Minnesota - Doer

57254 State of Texas Dental Plan

75087 States General Life Insurance

67829 Sterling Medicare Advantage

91151 Sterling Option 1

31121 Stoner & Associates (Cincinnati, OH)

57492 Stones River IPA - Amerivantage

15750 Stones River Regional IPA/BCBST

15754 Stones River Regional IPA/BHFG

15752 Stones River Regional IPA/Windsor

95202 SummaCare Health Plan

86071 Summerlin Life & Health Insurance

86083 Summit Administration Services, Inc

37301 Summit America Insurance Services Inc.

31147 SummitCorp (Ohio BWC)

68069 Sunshine State Health Plan

23218 Superior Administrators Inc (Santa Ana CA)

68069 Superior Health Plan Texas

77318 Sutter Delta Group

94269 Sutter East Bay Foundation

96176 Sutter East Bay Regional Hospital

94119 Sutter East Bay Regional Hospital- Affinity

36411 Swedish Covenant Hospital

TALMG Talbert Group

88067 Tall Tree Administrators

TKFMC TASEBA

88019 Teachers Health Trust

Page 40: Carestream Dental LLC

75139 Team Choice Gold

75133 Team Choice PNS

36215 Teamcare

88054 TEAMSTERS (UT/ ID / MT) - Group Benefit Admin

75299 Temple Community Hospital

SMTN0 Tennesee Medicare

SKTN2 Tennessee Medicaid

20212 Tethys Health Ventures

TXCSM TEXAS CHILDRENS HEALTH

76048 Texas Children's Health Plan

75228 Texas Childrens Health Plan (Medicaid)

45210 Texas Christus

76046 Texas First Health Plans (TIOPA)

SB900 Texas Health Insurance Risk Pool

33104 Texas HealthSpring

SKTX0 Texas Medicaid

SMTX0 Texas Medicare

22945 Texas Mutual Insurance

TH089 Texas Premier Plan

TH055 Texas True Choice

13185 TexasFirst Health Plan (NTX)

88461 The Alliance

68423 The Care Network/The Savannah Business Group

75600 The City of Odessa

37305 The Ford Meter Box Company Inc.

34150 The Health Plan (Massillon Ohio and St. Clairsville Ohio only)

31147 The Health Plan (Ohio BWC)

35206 The Healthcare Group

58200 The Integrity Benefit Group Inc.

23223 The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer)

59225 The MEGA Life & Health Insurance Company - Starbridge StarHRG

59227 The MEGA Life & Health Insurance Company-OKC

59087 The National Radiology Network

31074 The Physicians Assurance Corp -TPAC /Employee Benefit Management Corp-EBMC

SX160 Thomas H. Cooper

25175 Three Rivers Health - PA Medicaid

20081 Today's Health Wisconsin

48055 Today's Options (American Progressive and Pyramid Life)

92620 Tongass Timber Trust

61425 Tooling & Manufacturing Association

THIPA Torrance Hospital IPA

37314 Total Admin. Inc/N. Broward Hospital District

36342 Total Broker Benefits

Page 41: Carestream Dental LLC

37314 Total Claims Administration

31182 Total Community Care

31147 Total Health Management - PBM (Ohio BWC)

38201 Total Healthcare Inc.

97910 Touchpoint Health Plan HMO

23856 Touchstone Health PSO

13402 TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE

TKFMC Town & Country

31074 TPAC/Employee Benefit Management Corp

37230 TR Paul Inc.

37230 TR Paul, Inc. (Newtown, CT)

TH127 TransAmerica Assurance Company (TLIN3)

TH126 TransAmerica Assurance Company (TLINS)

TH124 TransAmerica Assurance Company (TSAA2)

TH125 TransAmerica Assurance Company (TSAAC)

59222 TransAmerica Life Insurance Company

20807 Transchoice or TransSmile - First Service Administrator's Inc

37284 TransChoice-Key Benefit Administrators

87726 Travelers Plan Administrators

36397 Trellis Health Partners

73117 Tribute /SelectCare of Oklahoma

68299 TriCare East

57106 TriCare North Region

SX163 Tricare Overseas

SCWI0 TriCare West Region

PDT01 TriCities IPA

SB924 Trigon Blue Cross and Blue Shield (Virginia)

31144 TRIHEALTH PHYSICIAN SOLUTIONS

31143 TRIHEALTH PHYSICIAN SOLUTIONS - CONCERN

62777 TRILOGY NETWORK

973MA Triple S - Advantage

SB980 Triple S Inc.

64300 TRIPLEFIN LLC

98514 TRLHN/AS

L0230 TRUSTED HEALTH PLAN

91078 Trusteed Plans Service Corp. (Tacoma, WA)

61425 Trustmark Insurance

04298 Tufts Health Plan

55413 Ucare Family and Individual Plans

SX178 Ucare Minnesota

51909 UICPG Chicago IL MG#141

77022 Ultimate Health Plan

41206 Ultra Benefits Inc.

Page 42: Carestream Dental LLC

75130 UMC Health Plan

75196 UMR - Harrington (Westerville)

37237 UMR - Lexington

79480 UMR - Onalaska (Midwest Security of WI)

74223 UMR - San Antonio

39026 UMR - Wausau/UHIS

75243 UMR (formerly Harrington Benefit Services)

74223 UMR (formerly UMR San Antonio Benefit Planners)

95266 UMR Westerville (formerly Harrington Health)

UMRC1 UMR/Cincinnati (Repricing for HealthSpan Network Only)

52180 UMWA Health & Retirement Funds

80314 UniCARE Life & Health Ins. Co.

35198 Unified Group Services

62170 Unified Health Services

34638 Unified Physicians Network

75243 Uniform Plan

87042 UNION PACIFIC RAILROAD EMPLOYES Health Systems

70408 Union Security Insurance Company

62183 Unison Health Plan/Better Health Plans

UAGBT United Agriculture Benefit Trust

84132 United Alliance

36659 United Food & Comm. Workers Union & Employers Midwest Health Benefit Funds

74227 United Group Insurance - Student Insurance

95378 United Healthcare of the River Valley

71412 United of Omaha

36362 United Security Life & Health Ins. Co.

13193 United Teacher Assoc Ins Co-Medicare Supplement

64159 UnitedHealthcare (formerly Definity Health Plan)

52148 UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI)

81400 UnitedHealthCare / All Savers Alternate Funding

87726 UnitedHealthcare / Definity Health Plan

87726 UnitedHealthcare / Empire Plan

87726 UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly MAMSI)

06111 UnitedHealthcare / Oxford

00773 UnitedHealthcare / Spectera Eyecare Networks

39026 UnitedHealthcare / UHIS-UnitedHealth Integrated Services

87726 UnitedHealthcare / UnitedHealthcare Plan of River Valley

95378 UnitedHealthcare / UnitedHealthcare Plan of the River Valley

87726 UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare)

03432 UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA)

95378 UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa)

96385 UnitedHealthcare Community Plan / KS (KanCare)

95467 UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)

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95378 UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS - CHIP)

86047 UnitedHealthcare Community Plan / NJ

86048 UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid)

86002 UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care)

86049 UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP

86003 UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care )

25175 UnitedHealthcare Community Plan / SC (formerly Unison)

95378 UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare

87726 UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete

87726 UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care

86050 UnitedHealthcare Community Plan MO

86001 UnitedHealthcare Community Plan/NJ (formerly AmeriChoice Personal Care Pl

87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete

87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan

87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete

87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect

87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan

74227 UnitedHealthcare StudentResources

95964 UnitedHealthcare West (formerly PacifiCare of Arizona)

95959 UnitedHealthcare West (formerly PacifiCare of CA - Claims)

95962 UnitedHealthcare West (formerly PacifiCare of Colorado)

95999 UnitedHealthcare West (formerly PacifiCare PPO - All States)

37602 UnitedHealthOne / Golden Rule

81400 UnitedHealthOne / PacifiCare Life and Health Insurance Company

66705 Unity Health Insurance

SX087 Univera - Health Care Plan/ChoiceCare Buffalo

SX086 Univera - Pre Paid Health Plan of NY

SX088 Univera - Univera Health Southern Tier

SX090 Univera SSA ENY

SX091 Univera SSA WNY

95380 Universal American Financial Services

33001 Universal Care - California

31147 University Comp Care (Ohio BWC)

09830 University Family Care

07503 University Family Care - Healthcare Group

09908 University Family Care - Maricopa Health Plan

99026 University Health Alliance

37601 University of Illinois at Chicago Div of Specialized Care for Children

45282 University of MD Health Advantage

92579 UNIVERSITY OF MIAMI BEHAVIORAL HEALTH

25133 University of Missouri

SX155 University of Utah Health Plans

IP056 Upland Group

Page 44: Carestream Dental LLC

23281 UPMC Health Plan

25184 UPMC Vision Advantage

37324 Upper Peninsula Health Group (TPA)

38337 Upper Peninsula Health Plan (Medicaid)

93092 US Benefits

90551 US Family Health Plan - Medical

TH103 US Family Health Plan (USFHP)

74095 USAA Life Insurance Company

13407 USFHP - St. Vincent Catholic Centers of New York

25133 UT- Altius (UHIN)

SKUT0 Utah Medicaid

SMUT0 Utah Medicare

91136 UW Graduate Appointee Plan

12115 VA Fee Basis Program

TH022 Valley Baptist Health Plan

VCIPA Valley Care IPA

94293 Valley Mental Health

23253 Valley Preferred - PPO Allentown PA (IHS Gateway Payer)

SX173 Value Options - Commercial

38224 Value Plan - Ohio (MVP)

43307 ValueOptions/MBHP (MA Behavioral Health Partnership)

PPM01 Vantage Group

72128 Vantage Health Plan Inc.

31147 Vantage Health Plan Inc. (Ohio BWC)

55912 VA-Patient-Centered Community Care Program (VAPCCC) Region 3

55915 VA-Patient-Centered Community Care Program (VAPCCC) Region 5A

55917 VA-Patient-Centered Community Care Program (VAPCCC) Region 6

86062 VentureNet Healthcare

66126 Verdugo Hills Group

75256 Verity National Group

SKVT0 Vermont Medicaid

SMVT0 Vermont Medicare

VVIPA Victor Valley IPA

73743 Village Family Practice

26545 VillageCareMAX

SMVI0 Virgin Islands Medicare

84806 Virginia Coordinated Care-VCC

SKVA0 Virginia Medicaid

SMVA0 Virginia Medicare

54176 Virginia Premier Health Plan

251VA Virginia Premier Individual Plans

37297 Vison Care Incorporated

NCH08 Vista Oncology - New Century Infusion Solutions

Page 45: Carestream Dental LLC

63114 Viva Health Plan

31626 VNA Homecare Options

77073 VNS CHOICE Medicare

59266 Volusia Health Network

22264 Vytra Healthcare

68069 WA - Washington Coordinated Care

85256 Wabash Memorial Hospital Association

SMDC0 Washington DC Medicare

SKWA0 Washington Medicaid (Provider One)

SX063 WASHINGTON State Dept of LABOR & INDUSTRY

SMWA0 Washington State Medicare

73155 Waterstone Benefit Administrators (Oklahoma Providers)

23051 Waterstone Benefit Administrators (Outside Oklahoma)

MPMOA Watts Healthcare Corp IPA

39026 Wausau Benefits

39151 WEA Trust

36337 Weiss Health Providers

91136 Welfare & Pension Admin. Services

13337 Well Sense Health Plan

26141 Wellcare

SB803 WellChoice of NJ

SB645 Wellmark BCBS - Medicare COB

SB640 Wellmark Blue Cross and Blue Shield of Iowa (IASD)

TH023 WellMed

47198 Wellpoint Dental

87815 Wells Fargo TPA (Charleston, WV)

35245 WellSystems LLC

91064 Wenatchee Valley Center

66124 West Covina Group

80942 West Suburban Health Providers

SKWV0 West Virginia Medicaid

SMWV0 West Virginia Medicare

24735 Western Growers Insurance Company

68039 Western Health Advantage

37306 Western Health Inc

37247 Western Mutual Insurance

31048 Western Southern Financial Group (Cincinnati OH)

90560 WestLake Financial Group, Inc.(Buffalo Grove, IL)

38232 Weyco Inc.

93050 William C. Earhart

01066 Wilson McShane

41095 Wilson-McShane

62153 Windsor Medicare Extra

Page 46: Carestream Dental LLC

74101 Wisconsin Department of Corrections

SKWI0 Wisconsin Medicaid

SMWI0 Wisconsin Medicare

13413 Women's Integrated Network Inc. (WIN Fertility)

SX067 Workers Comp of West Virginia

20333 Worksite Benefit Services LLC

77080 WPP-ElderCare Wisconsin

SX176 WPS - Tricare for Life

SX022 WPS Health Insurance

55916 WPS-VAPC3 Region 5B

SKWY0 Wyoming Medicaid

SMWY0 Wyoming Medicare

98543 Wyoming PACE

60646 Yale University Heath Plan

77946 Yamhill CCO Physical Health