CLAIMS PAYER LIST INSTITUTIONAL …...Allied Benefit Systems 37308 N N 37308 N N Alta Bates Medical Group A0701 N N A0701 N N Alta Senior Care (Hnet Sr and Secure Horizons only) E3510

Page 1 of 47

Payer CodeAccepts

SecondaryClaims

Enrollment Payer CodeAccepts

SecondaryClaims

Enrollment1199 National Benefit Fund 13162 N N 13162 N N1st Medical Network - Atlanta GA 29076 Y N 29076 Y N1st MN--Atlanta GA 29076 Y N 29076 Y N21st Century Health and Benefits 59069 N N 59069 N N21st Century Insurance and Financial Services 51028 N N 51028 N N3P ADMIN 20413 Y N 20413 Y NA & I Benefit Plan Administrators 93044 N N 93044 N NA.G.I.A. Inc. 95241 N N 95241 N NAAG Benefit Plan Administrators Inc. 75240 Y N 75240 Y NAAG-American Administravie Group ( Formerly Icon Benefit Admin) 75185 Y N 75185 Y NAARP - UnitedHealthcare Insurance Company 36273 Y N 36273 Y NAARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete 87726 Y N 87726 Y NAARP MedicareComplete thru UnitedHealthcare (formerly Lifeprint Arizona) LIFE1 Y N LIFE1 Y NABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizon) E3510 N YAbrazo Advantage Health Plan 03443 Y N 03443 Y NAbsolute Total Care 68069 Y N 68069 Y NAccess Community Health Network. Chicago IL Family Health Network patients 51909 N N 51909 N NAccess Medical Group 95424 Y NAccess Medicare 19305 N N 19305 N NAcclaim 64071 Y N 64071 Y NACMG 37118 N N 37118 N NACS Benefit Services Inc. 72467 N N 72467 N NActiva Benefit Services LLC 38254 N N 38254 N NAdministration Systems Research Corporation 38265 N N 38265 N NAdministrative Concepts Inc. 22384 N N 22384 N NAdministrative Services Inc. 59141 N N 59141 N NADVANCED DATA SOLUTIONS 58202 N N 58202 N NAdvanced Physician's Association Chicago IL MG#118 51909 N N 51909 N NAdvantage by Bridgeway Health Solutions 68069 Y N 68069 Y NAdvantage by Buckeye Community Health Plan 68069 Y N 68069 Y NAdvantage by Managed Health Services 68069 Y N 68069 Y NAdvantage by Peach State 68069 Y N 68069 Y NAdvantage by Sunshine State 68069 Y N 68069 Y NAdvantage by Superior HealthPlan 68069 Y N 68069 Y NAdvantage Health Solutions 35209 N N 35209 N NAdvantek Benefit Administrators 83077 N N 83077 N NADVANTICA BENEFITS 59374 Y N 59374 Y NAdvanzeon Solutions 59314 N N 59314 N NAdventist Health System West - Roseville CA 95340 N N 95340 N NAdvicare 45423 N N 45423 N NAdvocate Medical Group - AMG (Legacy AHC) 36320 N N 36320 N NAdvocate Physician Partners 65093 N N 65093 N NAetna 60054 Y N 60054 Y NAetna Affordable Health Choices (SM) - SRC 57604 Y N 57604 Y NAetna Better Health - PA Medicaid 23228 Y N 23228 Y N

CLAIMS PAYER LIST9/22/2015

INSTITUTIONAL PROFESSIONAL

Page 2 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Aetna Better Health Inc. 34734 N N 34734 N NAetna Better Health of Illinois 26337 N N 26337 Y NAetna Better Health of Louisiana 128LA Y N 128LA Y NAetna Better Health of Michigan 128MI Y N 128MI Y NAetna Better Health of Missouri 128MO Y N 128MO Y NAetna Better Health of Nebraska 42130 Y N 42130 Y NAetna Better Health of New Jersey 46320 Y N 46320 Y NAetna Better Health of Ohio 50023 Y N 50023 Y NAetna Better Health of Pennsylvania 23228 Y N 23228 Y NAetna TX Medicaid & CHIP 38692 N N 38692 N NAffiliated Physicians Group APG01 N NAffinity Essentials 23334 Y N 23334 Y NAffinity Health Plan 13334 N Y 13334 N YAFFINITY MEDICAL GROUP 46594 N N 46594 Y NAffinity Medicare Advantage 13333 N N 13333 N NAffordable Benefit Administrators Inc. 95426 N N 95426 N NAFTRA Health Fund 13346 N N 13346 N NAGA 37280 N N 37280 N NAgate Resources Inc. (LIPA) 20048 N NAgency Services Inc 64158 N N 64158 N NAHPO (Cleveland OH) 31138 N N 31138 N NAlabama Medicaid 12K01 Y N SKAL0 Y NAlaska Carpenters Trust 91136 N NAlaska Children's Services Inc. 91136 N N 91136 N NAlaska Electrical Health & Welfare Fund 92600 N N 92600 N NAlaska Laborers Construction Industry Trust 91136 N N 91136 N NAlaska Pipe Trades Local 375 91136 N N 91136 N NAlaska United Food & Commercial Workers Health & Welfare Trust 91136 N N 91136 N NALICARE 13550 N N 13550 N NAlivio Family Medical Family Health Network patients only 51909 N N 51909 N NAll Savers/UHC 81400 N N 81400 N NAllcare PEBB 26158 N N 26158 N NAllegian Choice 55649 N N 55649 N NAllegiance Benefit Plan Management Inc. 81040 N N 81040 N NAlliance Behavioral Health 23071 Y Y 23071 Y YAlliance Healthcare/Florida for Stones River Regional IPA 13079 N NAlliance IPA HCP01 N NAlliant Health Plans of Georgia 58234 N N 58234 N NAllianz Global Assistance 50749 N N 50749 N NAllied Benefit Systems 37308 N N 37308 N NAlta Bates Medical Group A0701 N N A0701 N NAlta Senior Care (Hnet Sr and Secure Horizons only) E3510 N YAltius Health Plans 25133 Y N 25133 Y NAMA Insurance Agency AMAIA N N TH071 N NAmalgamated Life 13550 N N 13550 N N

Page 3 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Amalgamated Life - PA / Alicare 13343 N N 13343 N NAMCO 62176 N N 62176 N NAmeraPlan 38219 N N 38219 N NAmeriBen Solutions Inc. 75137 N N 75137 N NAmericaid Community Care (Maryland) 27517 Y N 27517 Y NAmericaid Community Care (New Jersey) 27516 Y N 27516 Y NAmerican Administrative Group 75240 Y N 75240 Y NAmerican Administrators dba Select Benefit Administrators (W.DesMoines IA) 42137 N N 42137 N NAmerican Behavioral 63103 N N 63103 N NAmerican Benefit Plan Administrators 95170 N N 95170 N NAmerican Community Mutual Insurance 60305 N N 60305 N NAmerican Family Insurance 12T31 N N TH095 N NAmerican Family Medicare Sup and PPO Policies Administered by Am Rep 56071 N N 56071 N NAmerican Fidelity Assurance Company 60801 N N 60801 N NAmerican General 62030 N N 62030 N NAmerican Healthcare Alliance 01066 N N 01066 N NAmerican Heritage 77083 N NAmerican Imaging Management Inc. 36369 N N 36369 N NAmerican National Ins. Co. (ANICO) 74048 N N 74048 N NAmerican National Property and Casualty Company (ANPAC) 43101 N N 43101 N NAmerican Postal Workers Union Health Plan 44444 N N 44444 N NAmerican Progressive Life and Health Insurance Company 48055 N N 48055 N NAmerican Republic Insurance 42011 N N 42011 N NAmerican Sentinel Co. 17965 Y NAmerican Specialty Health Plans 43146 N NAmerican Trust Administrators Inc. 56195 N N 56195 N NAmerican Worker Health Plan 37322 Y N 37322 Y NAmericas 1st Choice Health Plans of South Carolina Inc. 20553 N N 20553 N NAmericas 1st Choice of South Carolina, Inc 55349 N N 55349 N NAmerica's Choice Health Plans 20029 N N 20029 N NAmerica's PPO 16120 N N 16120 N NAmerica's TPA 41178 N N 41178 N NAmerigroup Community Care 27514 Y N 27514 Y NAMERIGROUP Community Care of New Mexico 27514 Y N 27514 Y NAmerigroup Corporation (Ft Worth) 27514 Y N 27514 Y NAmerigroup Corporation (Houston) 27515 Y N 27515 Y NAmerigroup Florida 27519 Y N 27519 Y NAMERIGROUP Georgia 27514 Y N 27514 Y NAmerigroup Illinois 27518 Y N 27518 Y NAmerigroup Ohio 27518 Y N 27518 Y NAmeriHealth Administrators 54763 Y N 54763 Y NAmeriHealth Caritas Pennsylvania 22248 Y N 22248 Y NAmeriHealth Caritus VIP Care Plus (Michigan) 77013 N N 77013 N NAmerihealth District of Columbia 77002 N N 77002 N NAmerihealth NJ/DE – HMO 23037 Y N 23037 Y NAmeriHealth NorthEast 77001 Y N 77001 Y N

Page 4 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



AmeriHealth VIP Care 22355 Y N 22355 Y NAmeriHealth VIP Care - DC 77007 Y N 77007 Y NAmeriHealth VIP Care - LA 77006 Y N 77006 Y NAmFirst Insurance Company (Secondary Claims Only) 64090 Y Y 64090 Y YAmida Care 24818 N N 24818 N NAmida Care Medicare 79966 N N 79966 N NAnchor Benefit Consulting Inc. 53085 Y N 53085 Y NAncillary Benefit Services (ABS) 86062 Y N 86062 Y NAncillary Care Management/ACM 03172 N NAngeles IPA (SynerMed) 75299 N N 75299 N NAntares Management Solutions 34192 Y N 34192 Y NAnthem Blue Cross Blue Shield of Connecticut 12B04 Y N SB560 Y NAnthem Blue Cross Blue Shield of Georgia 12015 Y N SB600 Y NAnthem Blue Cross Blue Shield of Indiana 12B09 Y N SB630 Y NAnthem Blue Cross Blue Shield of Kentucky 12B11 Y N SB660 Y NAnthem Blue Cross Blue Shield of Maine 12B13 Y N SB680 Y NAnthem Blue Cross Blue Shield of Missouri SB741 Y N SB741 Y NAnthem Blue Cross Blue Shield of Missouri (Blue Choice) 12B65 Y NAnthem Blue Cross Blue Shield of Nevada 12B20 Y N SB765 Y NAnthem Blue Cross Blue Shield of New Hampshire 12B21 Y N SB770 Y NAnthem Blue Cross Blue Shield of Ohio 12B24 Y N SB338 Y NAnthem Blue Cross Blue Shield of Virginia 12002 Y N SB923 Y NAnthem Blue Cross Blue Shield of Wisconsin 12B29 Y N SB950 Y NAnthem Blue Cross of California 47198 Y N 47198 Y NAnthem Blue Cross of Colorado 12B03 Y N SB550 Y NApex Benefit Services 34196 Y N 34196 Y NAPS Healthcare Inc. 54160 N N 54160 N NAR Medicare Part A (JH) 12022 Y YAR Medicare Part B (JH) SMAR0 Y YAraz Group 16120 N N 16120 N NArbor Health Plan 52312 Y N 52312 Y NArcadian Management Services Inc 77045 N N 77045 N NArch Health Partners ARCH1 N N ARCH1 N NArgus Dental Plans, Inc. ARGUS N N ARGUS N NARISE 39185 N N 39185 N NArizona Foundation for Medical Care (AFMC) 86062 Y N 86062 Y NArizona Priority Care Plus 27154 N N 27154 N NArkansas Best Corporation - Choice Benefits 75278 N N 75278 N NArkansas Medicaid 12023 Y N SKAR0 Y NARM Grp 88035 N N 88035 N NASAGEHA 06603 N N 06603 N NAsian Human Services Family Family Health Network patients only 51909 N N 51909 N NAspen Medical Associates 16180 Y N 16180 Y NAspire Health Plan 46156 Y N 46156 Y NASR 38265 N N 38265 N N

Page 5 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



ASR Corporation 38265 N N 38265 N NASR Health Benefits 38265 N N 38265 N NASRM Corporation ASRM1 N NAssociates for Health Care Inc. (AHC) 36326 N N 36326 N NAssurant Health (IM & GROUP FULLY-INSURED) 39065 N N 39065 N NAssurant Health (Repricing for HealthSpan Network Only) ASNTH N N ASNTH N NAssurant Health Self Funded 75068 Y N 75068 Y NAssurant Health Self-Funded (Ft. Mill SC) 37313 Y N 37313 Y NAssurant Health/ASA (Assurant Health members with ASA PPO Network) 58730 N N 58730 N NAssured Benefits Administrators 74240 Y N 74240 Y NAsuris NW Health 93221 N N 93221 Y NATA-FL 65064 Y N 65064 Y NAthens Area Health Plan Select 95691 N N 95691 N NAtlantic Medical Insurance 22285 N N 22285 N NAultCare MNAUL N YAultra Administrative Group 37242 N N 37242 N NAutomated Benefit Services 38259 Y N 38259 Y NAutomated Group Administration Inc. 37280 N N 37280 N NAvera Health Plans 46045 N N 46045 N NAveraAdvantage 48055 N N 48055 N NAvesis Third Party Administrators 87098 Y NAvMed Inc. 59274 Y N 59274 Y NAXA Assistance_USA 65101 N N 65101 N NAzeros Health Plans Inc. 16644 N N 16644 N NBanner Health 12X42 Y N 12X42 Y NBanner Health AZ SX145 Y NBanner Health Co - ROCKY MOUNTAIN HMO GREELEY SX145 Y NBanner Health Co. - ANTERO GREELEY SX145 Y NBanner Health Co. - ANTERO HIGH PLAINS SX145 Y NBanner Health Co. - ANTERO MOUNTAIN SHADOWS SX145 Y NBanner Health Co. - CHOICE PLUS SX145 Y NBanner Health Co. - HMO GREELEY SX145 Y NBanner Health Co. - HMO HIGH PLAINS SX145 Y NBanner Health Co. - HMO MOUNTAIN SHADOWS SX145 Y NBanner Health Co. - PACIFICARE GREELEY SX145 Y NBanner Health Co. - PACIFICARE HIGH PLAINS SX145 Y NBanner Health Co. - PACIFICARE MOUNTAIN SHADOWS SX145 Y NBanner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS SX145 Y NBanner Health Co. - SECURE HORIZONS GREELEY SX145 Y NBanner Health Co. - SECURE HORIZONS HIGH PLAINS SX145 Y NBanner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS SX145 Y NBaptist Health South Florida 65026 N N 65026 N NBass Administrators Inc. 37248 N N 37248 N NBCBS of AZ Advantage 77078 Y N 77078 Y NBEACON HEALTH STRATEGIES 43324 Y N 43324 Y NBeech Street 95377 N N 95377 N N

Page 6 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Behavioral Health Systems 63100 N N 63100 N NBellflower Hospital (Synermed) 75299 N N 75299 N NBenefit & Risk Management Services 99320 N N 99320 N NBenefit Administrative Systems 36149 N N 36149 N NBenefit Coordinators Corporation (Pittsburgh PA) 25145 N N 25145 N NBenefit Management Admin (BMA) BMATP N NBenefit Management Group-NV 36459 Y N 36459 Y NBenefit Management Inc. of KS 48611 N N 48611 N NBENEFIT MANAGEMENT SERVICES 56139 N N 56139 N NBenefit Management Systems Inc 37212 N N 37212 N NBenefit Plan Administrators 88052 N N 88052 N NBenefit Plan Administrators Co. (Eau Claire WI) 39081 N N 39081 N NBenefit Plan Administrators Inc 37118 N N 37118 N NBenefit Systems & Services Inc. 36342 N N 36342 N NBenesight 87265 Y N 87265 Y NBenesys 37248 N N 37248 N NBenesys Inc. 37248 N N 37248 N NBerkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer) 23243 Y N 23243 Y NBerkshire Intergroup 10956 Y N 10956 Y NBerkshire Lehigh Partners 95606 Y N 95606 Y NBest Life & Health Insurance Co. 95604 N N 95604 N NBetter Health Plan of Florida 20488 N N 20488 N NBetter Health Plans Inc. 62183 Y N 62183 Y NBetter Health Plans of South Carolina 32006 N N 32006 N NBlue Benefit Administrators of MA 03036 N N 03036 N NBlue Choice Medicaid Managed Care 00403 Y N 00403 Y NBlue Cross Blue Shield of Alabama 12B54 Y Y SB510 Y YBlue Cross Blue Shield of Arkansas 12021 Y Y SB520 Y YBlue Cross Blue Shield of Illinois 12B08 Y N SB621 Y NBlue Cross Blue Shield of Kansas 47163 Y Y 47163 Y YBlue Cross Blue Shield of Kansas City 47171 Y Y 47171 Y YBlue Cross Blue Shield of Massachusetts 12B14 Y N SB700 Y NBlue Cross Blue Shield of Michigan 00210 Y N 00710 Y NBlue Cross Blue Shield of Mississippi SB730 Y YBlue Cross Blue Shield of North Carolina 12B23 Y N SB810 Y NBlue Cross Blue Shield of Oklahoma 00840 Y N 00840 Y NBlue Cross Blue Shield of Rhode Island 12B74 Y Y SB870 Y YBlue Cross Blue Shield of South Carolina 12B55 Y Y SB880 Y YBlue Cross Blue Shield of Tennessee 00390 Y Y 00390 Y YBlue Cross Blue Shield of Texas 84980 Y N 84980 Y NBlue Cross Community Option MCDIL Y N MCDIL Y NBlue Shield of California BSCAI N N BS001 Y NBlueChoice HealthPlan 00922 Y N 00922 Y NBluegrass Family Health 61124 N N 61124 N NBoilermakers National Health & Welfare Fund 36609 N N 36609 N N

Page 7 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Bollinger, INC. - BOLLINGER BOLL1 Y NBoon-Chapman Benefit Administrators Inc. 74238 N N 74238 N NBoston Health Net 13337-NOCD Y N 13337-NOCD Y NBravo Health 52192 N N 52192 N NBravo Health Star Plus 52192 N N 52192 N NBridgeway Arizona 68069 Y N 68069 Y NBritCay 22286 N N 22286 N NBrodart 35182 Y N 35182 Y NBrokerage Concepts 51037 Y N 51037 Y NBroward Health 37314 N N 37314 N NBrown & Toland Medical Group 94316 N N 94316 N NBrown and Toland Health Services BTHS1 N N BTHS1 N NBrown and Toland Medical Group BTSS1 N NBuckeye Community Health 68069 Y N 68069 Y NButler Benefit 42150 Y N 42150 Y NC&O Employees Hospital Association 23708 N NC. L. Frates & Co - OSMA Health 73071 N N 73071 N NCA Medicare 12M64 Y YCalifornia Health and Wellness 68047 Y Y 68047 Y YCalifornia IPA CAIPA N N CAIPA N NCalifornia Medicaid (Medi-Cal) CAMC1 N Y SKCA0 Y YCalifornia Pacific Medical Center 94056 Y N 94056 Y NCannon Cochran Management Services Inc. Metairie LA 71057 N N 71057 N NCAP Management Systems 95399 Y N 95399 Y NCapital Blue Cross/CAIC 23045 Y NCapital Health Plan 95112 N N 95112 N NCapitol Administrators 68011 N N 68011 N NCare 1st Health Plan of Arizona 57116 N N 57116 N NCARE 1ST HEALTH PLAN OF CA 57115 N N 57115 N NCare Access Health Plan (CAHP) 65062 N NCare Access PSN 65063 N NCare Improvement Plus 77082 N N 77082 N NCare To Care 41222 N N 41222 N NCare Wisconsin Health Plan (Trizetto) 27004 N N 27004 N NCareCentrix 11345 N Y 11345 N YCareCore National 14182 N NCareCore National LLC (Aetna Radiology Claims) 14179 N N 14179 N NCareCore National LLC (Oxford Radiology Claims) 14180 N NCareCore/WCNY RAD 14188 N NCareFirst Administrators/NCAS (Charlotte, NC) 75191 N N 75191 N NCareFirst Administrators/NCAS (Fairfax, VA) 75190 N N 75190 N NCareFirst BlueCross BlueShield MD Region 12011 N N SB690 Y NCareFirst BlueCross BlueShield NCA Region 12000 N N SB580 Y NCareFlorida 65088 N N 65088 N NCarelink Medicaid 25133 Y N 25133 Y N

Page 8 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



CareOregon Inc. 93975 N N 93975 N NCarePlus Health Plans Inc. 65031 Y NCarepoint Health Plans 77023 N N 77023 N NCareSource 26160 N N 26160 N NCareSource Indiana INCS1 N N INCS1 N NCareSource KY KYCS1 N N KYCS1 N NCareSource OH 31114 Y N 31114 Y NCareworks 10010 N N 10010 N NCarilion Clinic Medicare Health Plan 77015 N N 77015 N NCariten Senior Health 62072 Y N 62072 Y NCarolina Benefit Administrators 00498 N N 00498 N NCarolina Care Plan 29076 Y N 29076 Y NCarpenters Health and Welfare Fund of Philadelphia CX101 N NCBA Blue 03036 N N 03036 N NCBHNP - HealthChoices 65391 N N 65391 N NCCAI CCAI N N CCAI N NCDS Group Health 88022 N N 88022 N NCedars Sinai Medical Center 33010 Y NCedars-Sinai Medical Network Services 95166 N N 95166 N NCeltic Insurance 68063 Y N 68063 Y NCeltiCare 68069 Y N 68069 Y NCement Masons & Plasterers Health & Welfare Trust 91136 N N 91136 N NCencal Health 99111 Y NCenpatico - Arizona 68068 Y N 68068 Y NCenpatico - Florida 68068 Y N 68068 Y NCenpatico - Georgia 68068 Y N 68068 Y NCenpatico - Illinois 68068 Y N 68068 Y NCenpatico - Indiana 68068 Y N 68068 Y NCenpatico - Kansas 68068 Y N 68068 Y NCenpatico - Kentucky 68068 Y N 68068 Y NCenpatico - Massachuetts 68068 Y N 68068 Y NCenpatico - Mississippi 68068 Y N 68068 Y NCenpatico - Missouri 68068 Y N 68068 Y NCenpatico - Ohio 68068 Y N 68068 Y NCenpatico - South Carolina 68068 Y N 68068 Y NCenpatico - Texas 68068 Y N 68068 Y NCenpatico - Wisconsin 68068 Y N 68068 Y NCountyCare (Cenpatico TPA) 42138 N N 42138 N NCentegra Health System 36474 N N 36474 N NCentene Advantage Plans 68068 Y N 68068 Y NCountyCare (Centene TPA) 42139 N N 42139 N NCenter for Elders Independence 94312 Y N 94312 Y NCenterLight Healthcare 13360 Y N 13360 Y NCenterPoint Human Services 56122 Y N 56122 Y NCentraCare 66698 N N 66698 N N

Page 9 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Central & Southwest Services 75177 Y NCentral DuPage Physician Group 36314 N N 36314 N NCentral Mass Heath Care 02041 Y NCentral Reserve Life 34097 N N 34097 N NCentral Reserve Life Ins Co-Medicare Supplement 13193 Y N 13193 Y NCentral SeniorCare 62218 N N 62218 N NCentral States Health & Welfare Funds 36215 N N 36215 N NCentral Susquehanna Healthcare Providers (CSHP) 55731 Y N 55731 Y NCentral Valley Medical Group 77035 Y N 77035 N NCenturion 42140 N N 42140 N NCentury Health Solutions 48120 Y N 48120 Y NCentury PHO INC 36393 Y N 36393 Y NCerner HealthPlan Services 20356 N N 20356 N NCHA Health 23171 N N 23171 N NCHAMPVA - HAC 84146 Y N 84146 Y NChautauqua County Healthcare Plan (Mayville NY) 16600 N N 16600 N NChesterfield Resources Inc. 34154 N N 34154 N NChicago Family Health Center Family Health Network patients only 51909 N N 51909 N NChildhealth Plus by Healthfirst (CHP) 80141 Y NChildren First Medical Group 94321 N NChildren of Women Vietnam Veterans-VA HAC 84146 Y N 84146 Y NChildren's Medical Security Plan of Massachusetts 80314 Y N 80314 Y NChildren's Medical Services - Broward NORTH 37314 N N 37314 N NChinese Community Health Plan 94302 N N 94302 N NCHOC - Children's Hospital Of Orange County Health Alliance 33065 N N 33065 N NCHP DIRECT SUPERMED 90441 N N 90441 N NChristian Brothers Services 38308 N N 38308 N NChristian Care Ministries 59355 N N 59355 N NChristie Student Health Plans 75544 N N 75544 N NChristus Health Medicare Advantage 10629 N N 10629 N NChristus Health New Mexico HIX 21062 N N 21062 N NChristus Texas Medicaid 45210 Y N 45210 Y NCIGNA 62308 Y N 62308 Y NCIGNA - PPA 62308 Y N 62308 Y NCIGNA - PPO 62308 Y N 62308 Y NCIGNA Behavioral Health MCCBV N N SX071 Y NCIGNA Health Plan - HMO 62308 Y N 62308 Y NCIGNA Medicare Advantage 86033 N N 86033 N NCincinnati Financial Corporation 46871 Y N 46871 Y NClaims Development Corporation 43056 N NClaimsBridge HPN 11752 Y N 11752 Y NClaimshop- Employers Coalition on Health - MULTIPLAN PHCS/ECOH 27008 N N 27008 N NClaimsWare Inc. dba ManageMed 57080 N N 57080 N NClearchoice Health Plan / COIHS 77201 N NCM Administrators Inc 56211 N N 56211 N N

Page 10 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



CMCS Advantage Health Solutions Medicare 35219 N N 35219 N NCMHC 02041 Y NCNIC Health Solutions Inc. 37227 N N 37227 N NCO Medicare Part A (JH) 12M03 Y YCO Medicare Part B (JH) SMCO0 Y YCoachella Valley Physicians IP079 N N IP079 N NCoastal Administrative Services 77052 N N 77052 N NCoastal Care 43141 N Y 43141 N YCoastal Care Services Inc 47394 N NCofinity 38335 N N 38335 N NColonial Medical 22284 N N 22284 N NColorado Access 84129 N NColorado Health OP 49718 N N 49718 N NColumbia United Providers 91162 Y N 91162 Y NCommerce Benefits Group 34181 N N 34181 N NCommercial Travelers/PHX 88091 N N 88091 N NCommon Ground Healthcare Cooperative 77170 N Y 77170 N YCommonwealth Care Alliance 14315 N N 14315 N NCommunity Care Alliance CCAI N N CCAI N NCommunity Care BHO 23282 N N 23282 N NCommunity Care Inc. - Family Care (Wisconsin) 60995 N N 60995 N NCommunity Care Inc. (Wisconsin) 39126 N N 39126 N NCommunity Care IPA CCI01 N N CCI01 N NCommunity Care Managed Health Care Plans of Oklahoma 73143 Y N 73143 Y NCommunity Care of Oregon 21455 Y N 21455 Y NCommunity Choice of Michigan 38325 Y N 38325 Y NCommunity First Health Plan, Inc. COMMF N N COMMF N NCommunity Health Alliance 35193 Y N 35193 Y NCommunity Health Alliance TN 27905 N N 27905 N NCommunity Health Choice 48145 N N 48145 N NCommunity Health Electronic Claims/CHEC/webTPA 75261 N N 75261 N NCommunity Health Group CHGRI N NCommunity Health Plan of Washington 12T30 Y NCommunity Health Plan, Inc. 60495 Y N 60495 Y NCommunity Medical Group of the West Valley Inc. 66121 N N 66121 N NCommunityConnect HealthPlan 95192 Y N 95192 Y NComp - Ohio (Austintown OH) 34177 N N 34177 N NCompcare (Wisconsin BadgerCare only) 95192 Y N 95192 Y NCompManagement Health 15243 Y N 15243 Y NCompsych 37363 Y N 37363 Y NConifer Value-Based Care 55649 N N 55649 N NConnecticare - Medicare 78375 N N 78375 N NConnectiCare Inc 06105 Y N 06105 Y NConnecticut Carpenters Health Fund 37307 N N 37307 N NConnecticut General (CIGNA) 62308 Y N 62308 Y N

Page 11 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Connecticut Medicaid 12K04 Y Y SKCT0 Y YConsociate Group 37135 Y N 37135 Y NConsolidated Associates Railroad 75284 N N 75284 N NConsolidated Health Plans 87843 N N 87843 N NConstellation Health L0260 N NConsumer Mutual of Michigan 58112 Y N 58112 Y NConsumers Choice Health SC 45321 Y N 45321 Y NConsumers Life Insurance Company 29076 Y N 29076 Y NContinental General Ins Co-Medicare Supplement 13193 Y N 13193 Y NContinental General Insurance Company 71404 N N 71404 N NContinuum (formerly Marrick WRx) 46478 N N 46478 N NContractors Laborers Teamsters & Engineers 12B19 Y N SB760 Y NConversion Plan-APWU 55544 N N 55544 N NCook Children STAR Plan THCP9 N N THCP9 N NCook Children's Health 12T58 N N TH104 N NCook Group Health Plan 35149 N N 35149 N NCooperative Benefit Administrators (CBA) 52132 Y N 52132 Y NCOOPERATIVE MANAGED CARE SERVICES 35199 N N 35199 N NCoordinated Benefit Plan 14829 Y N 14829 Y NCoordinated Medical Specialists 58204 N N 58204 N NCore Administrative Services 58231 N N 58231 N NCoreSource AZ MN 35182 Y N 35182 Y NCoreSource Little Rock 75136 N N 75136 N NCoreSource MD PA IL 35182 Y N 35182 Y NCoreSource NC IN 35182 Y N 35182 Y NCoreSource OH 35183 Y N 35183 Y NCoreSource-Internal 35187 N N 35187 N NCorizon Health Inc. CORIZ N N CORIZ N NCorizon Inc. 43160 N N 43160 N NCornerstone Benefit Adminstrators 35202 Y N 35202 Y NCornerstone Preferred Resources CB268 N N CB268 N NCorporate Benefits Service Inc. (NC) 56116 N N 56116 N NCorrectCare CCIH N N CCIH N NCountry Life Insurance Company 62553 N N 62553 N NCounty Services Medical Program CMSP1 N N CMSP1 N NCovenant Administrators Inc. (Atlanta GA) 58102 N N 58102 N NCoventry Advantra Texas 25133 Y N 25133 Y NCoventry Health & Life (Oklahoma) 25133 Y N 25133 Y NCoventry Health Care 25133 Y N 25133 Y NCoventry Health Care National Network 25133 Y N 25133 Y NCoventry Health Care of Florida 25133 Y N 25133 Y NCoventry Health Care of Georgia Inc. 25133 Y N 25133 Y NCoventry Health Care of Illinois 25133 Y N 25133 Y NCoventry Health Care of Iowa Inc 25133 Y N 25133 Y NCoventry Health Care of Kansas Inc 25133 Y N 25133 Y NCoventry Health Care of Louisiana Inc 25133 Y N 25133 Y N

Page 12 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Coventry Health Care of Missouri 25133 Y N 25133 Y NCoventry Health Care of Nebraska Inc 25133 Y N 25133 Y NCoventry Health Care of Nevada 25133 Y N 25133 Y NCoventry Health Care of the Carolinas 25133 Y N 25133 Y NCoventry Health Care of Virginia 25133 Y N 25133 Y NCoventry Summitt Health Plan Inc. 25133 Y N 25133 Y NCoventryCares of Kentucky 25133 Y N 25133 Y NCoventryCares of Michigan 25133 Y N 25133 Y NCoventryCares of Nebraska 42130 Y N 42130 Y NCoventryCares of Pennsylvania 23228 Y N 23228 Y NCox Health Plan 00119 N N 00019 N NCreative Medical Systems 64068 N N 64068 N NCreative Plan Administrators 37320 N N 37320 N NCrescent Health Solutions 56213 N N 56213 Y NCroy-Hall Mgmt. Inc. 37266 N N 37266 N NCrystal Run Health Plans 46120 Y N 46120 Y NCT Medicare Part A (J13 - NGS) 12M04 Y YCT Medicare Part B (J13 - NGS) SMCT0 Y YCTI ADMINISTRATORS INC. 42141 Y N 42141 Y NCWIBENEFITS INC. 57080 N N 57080 N NDart Member Care CB987 N N CB987 N NDC Chartered Health Plan Inc. (Alliance) 95740 N NDC Chartered Health Plan Inc. (Medicaid & Alliance) 95748 N N 95748 N NDC Medicare Part A (J12 - Highmark) 12M63 Y YDC Medicare Part B (J12 - Highmark) SMDC0 Y YDE Medicare Part A 12M76 Y YDE Medicare Part B SMDE0 Y YDean Health Plan 39113 N N 39113 N NDELANO IPA 77124 N N 77124 N NDelaware Medicaid 12K87 Y Y SKDE0 Y YDelaware Physicians Care Inc. 27009 N N 27009 N NDelta Health Systems 94235 Y N 94235 Y NDentaQuest Vision 63740 Y NDenver Health - Indigent 84134 N NDenver Health and Hospital Authority 84133 N N 84133 N NDenver Health Medical Plan 84135 N N 84135 N NDenver Health Medical Plan Inc. - Medicare Choice 84131 N N 84131 N NDeseret Mutual 12X35 N Y UH105 N YDesert Medical Group DESRT N NDetroit Medical Center 56240 N N 56240 N NDiamond Plan (Maryland Medicaid) 25133 Y N 25133 Y NDistrict of Columbia Medicaid 12001 Y Y SKDC0 Y NDiversified Administration Corporation 06102 N N 06102 N NDowney Select IPA (Applecare Medical Managment) APP01 N NDreyer Health DREYR Y N

Page 13 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



DRISCOLL CHILDREN'S HEALTH PLAN 74284 N N 74284 N NDunn and Associates Benefits Administrators Inc. 35186 Y N 35186 Y NE.S. BEVERIDGE & ASSOCIATES 34108 N N 34108 N NEarly Intervention Central TH084 N NEAST CAROLINA BEHAVIORAL HEALTH 56089 N N 56089 N NEast LA - APMG 75299 N N 75299 N NEast Pointe Behavioral Health 08044 Y N 08044 Y NEastland Medical Group 66122 N N CMSI1 Y NEasy Choice Health Plan of New York 24770 N N 24770 N NEBMC 31074 Y N 31074 Y NEBMS (Employee Benefit Management Services Inc.) 12X44 N N 81039 Y NEducators Mutual (EMIA) SX110 N NEducators Mututal Medicare Advantage SX111 Y NEGID (Employees Group Insurance Division) 22521 N N 22521 N NEHI (Employers Health Insurance) 73288 N NEl Paso First - CHIP 12T27 N N TH090 N NElderPlan Inc. 31625 N N 31625 N NElderwood Health 03964 N N 03964 N NElmco 37253 N N 37253 N NEmerald Health Network Inc. (All PPO Business) 34167 N N 34167 N NEmergency Medical Services Fund - Orange County CA 95600 N NEMI-KP Ambulance Claims 59299 N NEMPHESYS 73288 N NEmpire Blue Cross and Blue Shield of New York SB803 Y NEmpire Medicare Services 12M76 Y YEmpire Omnipro (BC NY City) 12B36 Y NEmpire Omnipro (BC NY State) 12B35 Y NEmpire Physician's Medical Group EMP01 N NEmployee Benefit Administration & Management Corporation Pilot N N Pilot N NEmployee Benefit Concepts (Farmington Hills MI) 38241 N N 38241 N NEmployee Benefit Consultants Inc. 37257 N N 37257 Y NEmployee Benefit Management Corp (EBMC) 31074 Y N 31074 Y NEmployee Benefit Services 37216 Y N 37216 Y NEmployee Benefit Services of San Antonio TH109 N NEmployee Benefit Systems 42149 N N 42149 N NEmployee Benefits Plan Administration Inc. (E.B.P.A.) 03036 N N 03036 N NEmployee Health System Medical Group 75299 N N 75299 N NEmployee Plans LLC 35112 N N 35112 N NEmployee Security, Inc. 54098 Y NEmployers Direct Health 75232 N N 75232 N NEmployer's Direct Health - Employee Plan 75236 N N 75236 N NEmployer's Direct Health - FI 75235 N N 75235 N NEmployer's Direct Health - SF 75233 N N 75233 N NEmployers Health 73288 N NEmployers Health Insurance 73288 N NEmployers Mutual Inc (Jacksonville Florida) 59298 N N 59298 N N

Page 14 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Employers Mutual Inc. (Stuart Florida) 59331 N N 59331 N NEncircle PPO 35206 N N 35206 N NEncore Health Network 35206 N N 35206 N NEnstar Natural Gas 91136 N N 91136 N NEntrust 36878 N N 36878 N NEQUICOR 62308 Y N 62308 Y NEQUICOR - PPO 62308 Y N 62308 Y NEquitable Plan Services (Oklahoma City OK) 73126 N N 73126 N NERISA TH110 Y NESSENCE HEALTHCARE 20818 N N 20818 N NE-V Benefits Management Inc (Columbus OH) 34159 N N 34159 N NEverence 35605 Y N 35605 Y NEvergreen Health Cooperative 45319 N N 45319 N NEvolutions Healthcare Systems (New Port Richey FL) 59313 N N 59313 N NExcel MSO EXC01 N NExcellus - BCBS Central NY-RMSCO 12B71 Y YExcellus - BCBS Utica Watertown 12B38 Y Y SB806 Y YExcellus - Blue Cross Blue Shield Central NY 12B37 Y YExcellus - Blue Cross Blue Shield of Central New York SB805 Y YExcellus - Blue Cross Blue Shield Rochester Area 12B40 Y YExcellus - Blue Cross/Blue Shield Rochester Area SB804 Y YExclusiCare 71412 N N 71412 N NExtended Care MLTC 46166 Y N 46166 Y NEye Management, Inc. (EMI) 65062 N NF40 Alaska Carpenters Trust 91136 N NFABOH (CHP/RPU) 39112 Y N 39112 Y NFacey Medical Foundation 95432 N NFACS Group 37300 N N 37300 N NFallon Community Health Plan 22254 N N 22254 N NFamily Care CCO 93121 N N 93121 N NFamily Christian Health Center Family Health Network patients only 51909 N N 51909 N NFamily Health Plan TH045 N NFamilyCare Inc 93087 Y N 93087 Y NFarm Family Life 14140 Y N 14140 Y NFCE Benefit Administrators 33033 N N 33033 N NFederal Employee Plan of South Carolina (BCBS SC) 00402 N N 00402 N NFederated Benefits 37300 N N 37300 N NFederated HR Services 37300 N N 37300 N NFederated Mutual Insurance 41041 N N 41041 N NFidelis Care New York 11315 N N 11315 N NFidelis Secure Care 77054 N N 77054 N NFirst Agency 88055 N N 88055 N NFirst Carolina Care 56196 N N 56196 N NFirst Choice Health Administrators 91131 Y N 91131 Y NFirst Choice Health Network 91131 Y N 91131 Y N

Page 15 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



First Choice of Midwest (PPO) 75138 N N 75138 N NFirst Choice VIP Care 37510 Y N 37510 Y NFirst Choice VIP Care Plus 77009 N N 77009 N NFirst Health Network 73159 Y N 73159 Y NFirst Medical Network (FMN) - Atlanta GA 29076 Y N 29076 Y NFirst Priority 23241 Y YFirst Priority aka BCBS NEPA 14232 Y YFIRST PRIORITY HEALTH 42331 Y NFirst Service Administrator's Inc Lakeland Florida 59276 N N 59276 N NFirst Source/Arkansas Blue Cross 12047 Y YFirstCare 94999 N N 94999 N NFirstCarolinaCareMedicare 34200 N N 34200 N NFitzharris & Company Inc. 11244 N NFL MCO PHC/PHP 95411 Y N 95411 Y NFL Medicare Part A (J9 First Coast) 09101 N YFL Medicare Part B (J9 First Coast) 09102 Y YFlorida Blue 00590 Y N 00590 Y NFlorida Health Care Plan 59322 N N 59322 N NFlorida Hospital Healthcare Systems 59321 Y N 59321 Y NFlorida Hospital Waterman 48116 N N 48116 N NFlorida Medicaid 77027 Y Y 77027 Y YFlorida True Health 26492 Y N 26492 Y NFMH Benefit Services Inc. 48117 N N 48117 N NForeign Service Benefit Plan 25133 Y N 25133 Y NFOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN BOONG N N BOONG N NFoundation for Medical Care of Tulare & Kings County TKFMC N NFox Valley Medicine Site 199 FVMCH N NFox-Everett Inc. 64069 N N 64069 N NFreedom Blue Medicare Advantage 12B44 Y YFreedom Blue Medicare Advantage Claims SB942 Y YFreedom Health Plan 41212 N N 41212 N NFreedom Life Insurance 62324 N N 62324 N NFresenius Medical Care 23130 N N 23130 N NFresno - ENH Medical Group 75299 N N 75299 N NFresno PACE 99660 N N 99660 N NFriant Water Users TKFMC N NFringe Benefit Management 59069 N N 59069 N NFringe Benefits Coordinators 59204 Y N 59204 Y NFrontPath Health Coalition 34171 N N 34171 N NGA Medicare Part A (J10 - Cahaba) 12M05 Y YGA Medicare Part B (J10 - Cahaba) SMGA0 Y YGalveston County Indigent Health Care 30005 N N 30005 N NGardena Memorial Medical Center 75299 N N 75299 N NGateway SX078 Y NGateway Health PA 05506 N N 05506 N N

Page 16 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Gateway Health Plan - Medicare Assured 60550 N N 60550 N NGateway Health Plan Medicaid PA 25169 N N 25169 N NGateway Health Plan OH - Medicare Assured 91741 N N 91741 N NGateway Healthy PA 05506 N N 05506 N NGateway IPA (Pinnacle Health Resources) (Prospect Medical Group) PROSP N NGeisinger Health Plan 75273 Y Y 75273 Y YGEMCare (Golden Empire Managed Care System) MCS01 N NGemcare Health Plan 20376 N N 20376 N NGemcare IPA 27133 Y N 27133 Y NGenerations Healthcare 46050 N N 46050 N NGenerations-Hillcrest 46051 N N 46051 N NGenesis Healthcare PROSP N N PROSP N NGeorgia Medicaid 12K05 Y Y SKGA0 Y YGHI - New York (Group Health Inc.) 13551 N N 13551 N NGHI HMO 25531 Y N 25531 Y NGHP (Group Health Plan) - MULTIPLAN PHCS/GROUP HEALTH 25141 N NGilsbar Inc. 07205 N N 07205 N NGlendale Physician's Alliance AMM02 N NGlobal Care Inc. 07689 Y N 07689 Y NGlobal Excel Management GEM01 Y N GEM01 Y NGlobal Health GHOKC Y N GHOKC Y NGlobal Healthcare Alliance 12X59 N NGMS Inc. 47083 Y N 47083 Y NGolden State Medical Group MBA01 N N MBA01 N NGolden Triangle Physician Alliance/SelectCare of Texas (GTPA) 72189 N N 72189 N NGood Samaritan Medical Practice Association IP086 N N IP086 N NGOOD SHEPHERD HOSPICE INC 76923 Y N 76923 Y NGovernment Employees Health Association (45235) 45235 N NGovernment Employees Health Association (Multiplan) 45235 N NGovernment Employees Health Association (PHCS) 45275 N N 45275 N NGovernment Employees Hospital Association (GEHA) 44054 N N 44054 N NGrand Valley Health Plan 95453 N N 95453 N NGrange Insurance 14060 N N 14060 N NGreat American Life Ins. Co-Medicare Supplement 13193 Y N 13193 Y NGreat Lakes PACE 39640 N N 39640 N NGreater Covina Medical Group 99284 N NGreater Orange County Medical Group NMM01 N NGreater San Gabriel Med Grp NMM01 N NGreater Valley HCP01 N NGreat-West Healthcare 80705 N N 80705 N NGreat-West Healthcare (formerly American General) 63665 N N 63665 N NGroup Administrators Ltd. 36338 N N 36338 N NGroup and Pension Administrators 48143 N N 48143 N NGroup Benefit Services Inc. CB951 N N CB951 N NGroup Benefits - Louisiana 72087 N NGroup Health Co-op 12X16 Y Y

Page 17 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Group Health Cooperative - WA State 91051 N N 91051 N NGroup Health Cooperative of Eau Claire 95192 Y N 95192 Y NGroup Health Cooperative of South Central Wisconsin 39167 N N 39167 N NGroup Health Options - WA State 91051 N N 91051 N NGroup Insurance Service Center Inc. 37276 N N 37276 N NGuardian Life Insurance Company of America 64246 N N 64246 N NGulf Stream-General Dynamics CB624 Y N CB624 Y NGundersen Lutheran Health Plan 39180 N N 39180 N NH.E.R.E.I.U Welfare Pension Funds 37114 N N 37114 N NHAA Preferred Partners 65101 N N 65101 N NHAP/AHL/Curanet 38224 N N 38224 N NHarbor Advantage (Abrazo Health Care) 58305 N N 58305 N NHarbor Choice 55649 N N 55649 N NHarmony Health Plan of Illinois 36406 N N 36406 Y NHarmony Health Plan of Indiana 36405 N N 36405 Y NHarpeth IPA - Amerivantage 75126 Y NHarrimon Jones HCP01 N NHarrington Health Non-EPO 59143 N N 59143 N NHarrington Health-Kansas (formerly known as Fiserv Health-Kansas) 62061 N N 62061 N NHarris Methodist Health Plan 75201 N NHarvard Community Health Plan 04245 Y N 04245 Y NHarvard Pilgrim Health Care 04271 N N 04271 N NHawaii Blue Cross 12B62 Y YHawaii Medicaid 12K62 Y N SKHI0 Y YHawaii Medical Assurance Association (HMAA/HWMG) 99208 N N 99208 N NHawaii Medical Service Association (HMSA) SB971 Y YHCC Life Insurance HCCMI N N HCCMI N NHCH Administration 37111 N N 37111 N NHCH Administration (formerly John P Pearl and Associates) 37215 N N 37215 N NHCS - Health Claims Service (Boise ID) 82018 N N 82018 N NHealth Adv/US Able/First Pyramid Life/Arkansas Blue Cross 12049 Y YHealth Alliance Medical Plans of Illinois 77950 N N 77950 Y NHealth America Inc./Health Assurance/Advantra 25133 Y N 25133 Y NHealth Care Network of Wisconsin (HCN) 42102 N N 42102 N NHealth Care Savings 56142 N NHealth Choice Arizona 62179 N N 62179 N NHealth Choice Generations 62180 N N 62180 N NHealth Choice Insurance Co 46221 Y N 46221 Y NHealth Choice Utah 45399 N N 45399 N NHealth Cost Solutions 62111 N N 62111 N NHealth Design Plus (Hudson OH) 34158 N N 34158 N NHealth Economics Corp 75196 N N 75196 N NHealth First TPA 95019 N N 95019 N NHealth Management Administrators (HMA) TH049 N NHealth Net - VA Patient Centered Community Care Program 68021 N N 68021 N N

Page 18 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Health Net of Arizona 38309 N N 38309 N NHealth Net of California and Oregon - Claims 95567 N N 95567 N NHealth Network One 65062 N NHealth New England 04286 N N 04286 N NHealth Options Inc (FL - BCBS HMO) 12B26 Y NHealth Options of Florida SX030 Y NHealth Partners - Jackson TN 62157 N N 62157 N NHealth Partners PA 80142 N N 80142 N NHealth Payment Systems Inc. 20270 N N 20270 N NHealth Plan of Michigan 83253 N N 83253 N NHealth Plan of Nevada 76342 Y N 76342 Y NHealth Plan of San Joaquin 68035 Y N 68035 Y NHealth Plans Inc. 44273 N N 44273 N NHealth Risk Management 41170 N N 41170 N NHealth Services for Children with Special Needs 37290 N N 37290 N NHealth Services Management 41150 N YHealth Services Preferred (HSP) by Emerald Health 34167 N N 34167 N NHealthcare Partners HCP01 N N HCP01 N NHealthCare Partners IPA 11328 Y N 11328 Y NHealthcare Resources NW 56731 N N 56731 N NHealthcare Solutions Group 73147 Y N 73147 Y NHealthcomp Inc. 85729 N N 85729 N NHealthease/Wellcare of FL 59608 N N 59608 N NHealthEdge Administrators (Bakersfield CA) 95213 N N 95213 N NHealthEZ 41178 N N 41178 N NHealthfirst 65 Plus 80141 Y NHealthfirst Family Health Plus (FHP) 80141 Y NHealthfirst Health Plan of New Jersey 80141 Y N 80141 Y NHealthfirst Inc. (New York) 80141 Y N 80141 Y NHealthfirst New York (COMMERCIAL) 80141 Y NHealthfirst PHSP 80141 Y NHealthgram Inc. 56144 N N 56144 N NHealthGroup Limited 23274 Y N 23274 Y NHealthGuard of Lancaster 23226 Y N 23226 Y NHealthlink HMO 96475 N N 96475 N NHealthlink PPO 90001 Y N 90001 Y NHealthNow - BCBS Northeastern NY 12B68 Y Y SB800 Y YHealthNow - Blue Cross Blue Shield of Western NY 12B39 Y Y SB801 Y YHealthnow Division 55204 Y YHealthPartners MN 12X51 Y Y SX009 Y YHealthPlan Services 59140 N N 59140 Y NHealthPlus Amerigroup 27514 Y N 27514 Y NHealthPlus of Michigan 38216 N N 38216 N NHealthscope Benefits - EHC Repricing 52429 N N 52429 N NHealthSCOPE Benefits Inc. 71063 Y N 71063 N N

Page 19 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



HealthSelect IPA (IL) SB621 Y NHealthsmart Accel 75237 Y N 75237 Y NHealthSmart Benefit Solutions 37272 N N 37272 N NHealthSmart Benefit Solutions 37283 Y N 37283 Y NHealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. 87815 Y N 87815 Y NHealthSmart -Noble Mid Orange HSM01 N NHealthSmart Preferred Care Inc. 75250 Y N 75250 Y NHealthsource AR (Med) (CIGNA) 71075 Y N 71075 Y NHealthsource CMHC 02041 Y N 02041 Y NHealthsource GA (CIGNA) 58210 Y N 58210 Y NHealthsource KY 61127 Y N 61127 Y NHealthsource Massachusetts Inc. 02041 Y N 02041 Y NHealthsource ME 01041 N N 01041 N YHealthsource N. TX (CIGNA) 75255 Y N 75255 Y NHealthsource NC (CIGNA) 56147 Y N 56147 Y NHealthsource NH 02038 Y NHealthsource OH 31141 Y N 31141 Y NHealthsource Provident 68195 Y N 68195 Y NHealthsource SC 06119 Y N 06119 Y NHealthsource TN (CIGNA) 62129 Y N 62129 Y NHealthSpan Network Repricing HSPAN N N HSPAN N NHealthSpan, Inc. 31434 Y N 31434 Y NHealthSpring HMO/HealthSpring Medicare+Choice 63092 N N 63092 N NHealthsun Health Plans HESUN N NHealthways WholeHealth Networks 58213 N NHealthy CT 77180 N Y 77180 N YHealthy Texas 68064 Y N 68064 Y NHealthy York Network 22251 Y N 22251 Y NHeritage Consultants 59230 N NHeritage Physician Network TH011 N NHeritage Provider Network DESRT N NHeritage Victor Valley Medical Group 30862 N N 30862 N NHFN Inc. 36335 N N 36335 N NHHH Choices Gold 20552 N N 20552 N NHI Medicare Part B (J1 - PGBA) SMHI0 Y YHigh Desert Medical Group 95393 N N 95393 N NHighmark Blue Cross & Blue Shield of Pennsylvania SB865 Y YHighmark- Key Family 35145 Y N 35145 Y NHill Physicians Medical Group 00046 N NHIP - Health Insurance Plan of Greater New York 55247 N N 55247 N NHispanic Physicians IPA HPIPA N NHMA - Health Management Admin 12T11 Y NHMA Hawaii 86066 N N 86066 N NHMC HealthWorks aka Health Management Co 75318 N N 75318 N NHMSO-Highline Medical Service Organization 91164 N N 91164 N NHN1 Therapy Network (HN1TN) 65062 N N

Page 20 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Hollywood Presbyterian (Synermed) 75299 N N 75299 N NHome Health & Hospice J10 Cahaba 12M53 Y YHome Health & Hospice J15 Cigna 12M97 Y YHome Health & Hospice J6 NGS RHHWI N YHometown Health Plan Nevada 88023 Y N 88023 Y NHorizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) 22099 Y Y 22099 Y YHorizon Healthcare of NY 22099 Y Y 22099 Y YHorizon NJ Health 22326 Y N 22326 Y NHotel Employees & Restaurant Employees Health Trust 91136 N N 91136 N NHP Administrative Services, LLC 22521 N N 22521 N NHS1 Medical Management 65062 N NHSBS Memphis 37224 N N 37224 N NHSBS Oklahoma City 37256 N N 37256 N NHSBS World Trade Center Health Program 31172 Y N 31172 Y NHSHS Medical Group IPA 37137 N N 37137 N NHudson Health Plan 13335 N N 13335 N NHumana Choice Care Network (Batch) 611X1 Y N 611X1 Y NHumana Choice Care Network (Real-Time) 61101 Y N 61101 Y NHumana Dermatology - New Century Health NCH02 N NHumana Emphesys (Batch) 611X1 Y N 611X1 Y NHumana Emphesys (Real-Time) 61101 Y N 61101 Y NHumana Employers Health Insurance (Batch) 611X1 Y N 611X1 Y NHumana Employers Health Insurance (Real-Time) 61101 Y N 61101 Y NHumana Inc. (Batch) 611X1 Y N 611X1 Y NHumana Inc. (Real-Time) 61101 Y N 61101 Y NHumana Military - Tricare South 61125 Y N 61125 Y NHumana Veterans Healthcare Services 61120 N N 61120 N NHumboldt-Del Norte Foundation for Medical Care 94154 N NI. E. Shaffer (West Trenton NJ) 22175 N N 22175 N NIA Medicare Part A(J5 - WPS) SMIA0 Y YIA Medicare Part B (J5 - WPS) SMIA0 Y YIAA 37279 N N 37279 N NIBC Personal Choice 12X26 Y N SX083 Y NIBEW Local 640 & Arizona Chapter NECA Health & Welfare Trust 74234 N NIBG Administrators, LLC 81810 N N 81810 N NIBM Business Transformation Outsourcing Insurance Services Corporate 19028 N N 19028 N NiCare Health Solutions 26054 Y NiCircle of New York 33884 Y NICW (Insurance Co of the West) 27847 N N 27847 N NID Medicare Part A (J2) 12M07 Y YID Medicare Part B (J2) SMID0 Y YIdaho Medicaid 12K07 N N SKID0 Y NIEC Group - AmeriBen 97661 N N 97661 N NIHG Direct 75274 N N 75274 N NIL Medicare Part A (J6) 12M08 Y YIL Medicare Part B (J6) SMIL0 Y Y

Page 21 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



IlliniCare 68069 Y N 68069 Y NIllinois Health Plan DMG01 N N DMG01 N NIllinois Medicaid SKIL0 Y N SKIL0 Y NI'Mcare 41600 N N 41600 N NImperial County Physicians Med Group (SCPMCS) SCP01 N N SCP01 N NIMS Management Services TH099 N NIMS Management Svcs - Texas 12T64 N NIMX Easy 86070 N N 86070 N NIN Medicare Part A (J8) 12M09 Y NIN Medicare Part B (J8) SMIN0 Y NINDECS Corporation 40585 N N 40585 N NIndependence Administrators TA720 N NIndependence Care System 64284 N N 64284 N NIndependence Care Systems FIDA-MMP 64284 N N 64284 N NIndependence Medical Group MHM01 N NIndependent Health 12X01 Y Y SX073 N YIndependent Health Care Plan 11695 Y Y 11695 Y YINDEPENDENT LIVING SYSTEMS 45048 Y N 45048 Y NIndependent Physicians @ Mercy Chicago IL MG#155 51909 N N 51909 N NIndian Health Services 12X75 Y N SX171 Y NIndiana Department of Health - Children's Health - Claims 35600 Y Y 35600 Y YIndiana Medicaid 12K09 Y N SKIN0 Y NIndiana ProHealth Network 35161 N N 35161 N NIndiana Teamsters Health Benefits Fund (Indianapolis IN) 35107 N N 35107 N NIndiana University Health Plan 95444 N N 95444 N NIndividual Health Insurance Companies 31053 N N 31053 N NINETICO INC. 43471 Y N 43471 Y NInformed LLC 52196 N N 52196 N NInformed UHC 50946 N N 50946 N NIngalls Provider Group (DOS beginning 5/1/15) 85578 N N 85578 N NIngalls Provider Group (DOS prior to 5/1/15) 36348 N N 36348 N NIngham Health Plan Corporation 38343 N N 38343 N NInland Empire Health Plan IEHP1 N N IEHP1 N NInland Valleys IPA 75299 N N 75299 N NInnovative Physician Associates LLC 80087 N N 80087 N NInsurance Administrators of America Inc. 37279 N N 37279 N NInsurance Design Administrators 13315 N N 13315 N NInsurance Management Administrators 72091 N NInsurance Management Services (Amarillo TX) 15688 N N 15688 N NInsurance Services of Lubbock TH012 Y NInsuranceTPA.com 39182 N N 39182 N NInsurers Administrative Corp. 86304 N N 86304 N NIntegra Administrative Group (Seaford DE) 51020 N N 51020 N NIntegra Group 31127 N Y 31127 N NINTEGRA GROUP/HOME 31128 N N

Page 22 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Integra Group-CHA 31129 N NIntegral Quality Care 23229 N N 23229 Y NIntegrated Care Network (ICN) by Emerald Health 34167 N N 34167 N NIntegrated Medical Solutions LLC 20050 N N 20050 N NInter County Health Plan 54763 Y NInteractive Medical Systems 56132 N N 56132 N NInter-County Health Plan SX079 Y YInterface EAP (IEAP) 60280 Y N 60280 Y NIntergroup Services Corporation 23287 N N 23287 N NInternational Brotherhood of Boilermakers 36609 N N 36609 N NInternational Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC) 48603 N N 48603 Y NInternational Medical Group IMGIN N N IMGIN N NInterWest Health (Acceptius Gateway payer) 84137 N N 84137 N NINTotal Health 10262 N Y 10262 N YIowa Medicaid 12K10 Y Y SKIA0 Y YJ. F. Molloy and Associates Inc. 61271 N N 61271 N NJ11 Medicare - HHH Jurisdiction C 12M80 Y YJ12 MEDICARE PART A LEGACY WPS (DC DE MD NJ PA) 12M99 Y YJI Specialties TH033 N NJohn Alden Life Insurance Co. 41099 N N 41099 N NJOHN MORRELL COMPANY CO. - AHPBA 38310 N N 38310 N NJohn Muir Mt. Diablo Health System 68036 N N 68036 N NJohn Muir Physician Network 68036 N NJohns Hopkins Healthcare (EHP/PP) 52189 N Y 52189 N YJohns Hopkins Healthcare (USFHP) 52123 N N 52123 N NJoplin Claims / Benefit Management Inc 43178 Y N 43178 Y NJP Farley Corporation 34136 N N 34136 N NJP Specialties 12T47 Y NJPS Preferred Care MWP01 N NKaiser Foundation Health Plan of Colorado 91617 N N 91617 N NKaiser Foundation Health Plan of Hawaii 94123 N N 94123 N NKaiser Foundation Health Plan of Northern CA Region 94135 N N 94135 N NKaiser Foundation Health Plan of Ohio 34092 N N 34092 N NKaiser Foundation Health Plan of Southern CA Region 94134 N N 94134 N NKaiser Foundation Health Plan of the Mid-Atlantic States Inc. 52095 N N 52095 N NKaiser Foundation of the Northwest NW002 N N NW002 N NKaiser Permanente of Georgia 21313 N N 21313 N NKaiser Self Funded 94320 N N 94320 N NKanawha HealthCare Solutions Inc. 57038 N N 57038 N NKanawha Insurance Co. 57038 N N 57038 N NKane County BCBS KCIPA N N KCIPA N NKane County Harmony Medicaid IPAK1 N N IPAK1 N NKansas City Life Insurance Company 44030 Y NKansas Medicaid MDKSI Y N MDKSP Y NKaty Medical Claims 81812 N N 81812 N N

Page 23 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Kaweah Delta TKFMC N NKeenan Associates (CA) 95279 N N 95279 N NKelseycare KELSE N NKempton Company 73100 N N 73100 N NKempton Group Administrators 73100 N N 73100 N NKentucky Health Administrators Inc. 27215 Y N 27215 Y NKentucky Health Cooperative 77894 Y N 77894 Y NKentucky Medicaid 12K11 Y Y SKKY0 Y YKentucky Spirit Health Plan 68069 Y N 68069 Y NKern County CDCR 28021 N N 28021 N NKern Health Systems 77039 N N 77039 N NKey Benefit Administrators (Indianapolis IN) 37217 Y N 37217 Y NKey Health Medical Solutions Inc. 95460 N NKey Medical Group IP082 N NKey Select 37321 Y N 37321 Y NKey Solution 37323 Y N 37323 Y NKey Gap 35317 Y N 35317 Y NKeystone Connect (Amerihealth) 77050 Y N 77050 Y NKeystone First 23284 Y N 23284 Y NKeystone Health Plan East SX055 Y NKeystone Health Plan East/IBC 12X25 Y NKeystone Health Plan West SX056 Y YKeystone VIP Choice 84223 Y N 84223 Y NKlais & Company 34145 Y N 34145 Y NKlais & Company (Repricing for HealthSpan Network Only) 3414A N N 3414A N NKorean American Medical Group KAMG1 Y NKPS-Kitsap Physician Services KPS01 N N KPS01 N NKS - Sunflower State Health 68069 Y N 68069 Y NKS Medicare Part A (J5 - WPS) 57324 Y YKS Medicare Part B (J5 - WPS) SMKS0 Y YKY Medicare Part A (J15) 12M11 Y YKY Medicare Part B (J15) SMKY0 Y YLA Care Health Plan LACAR N N LACAR N NLA Medicare Part A (JH) 12M12 Y YLA Medicare Part B (JH) SMLA0 Y YLACare 27357 Y N 27357 Y NLake County Physicians Association 37116 N N 37116 N NLakeside Comprehensive Healthcare 66127 N N 66127 N NLakeside Health Services LMG11 N NLakeside Medical Group 66125 N N 66125 N NLand of Lincoln Health 90096 N N 90096 N NLand of Lincoln Health Ins. Co. 62741 Y N 62741 Y NLandmark Healthcare Inc LNDMK Y NLawndale Christian Health Center 36333 N N 36333 N NLBA Health Plans 52193 N N 52193 N NLeon Medical Center Health Plan 37316 N N 37316 N N

Page 24 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



LHP Claims Unit 37248 N N 37248 N NLiberty Health Advantage 87071 N N 87071 N NLiberty Union 37281 N N 37281 N NLife Assurance Company 37281 N N 37281 N NLife Gift Cards 33LGC Y N 33LGC Y NLife Investors Insurance 12T67 N N TH120 Y NLife Investors Insurance of America - Long Term Care 12T39 N NLife Investors of America - Long Term Care TH093 N NLIFE Pittsburgh 25181 N N 25181 N NLife Trac 41136 N N 41136 N NLifeCircles PACE 71498 N N 71498 N NLifePath Hospice Inc 76870 Y N 76870 Y NLifestyle Health Plans 2700U Y N 27005 Y NLifetime Benefit Solutions EBSRM N N EBSRM N NLifeWise Healthplan of Oregon 93093 Y NLincoln National (EMPHESYS Green Bay and Madison WI only) 73288 N NLIPA/Agate Resources TH106 N NLocal 135 Health Benefits Fund (Indianapolis IN) 35107 N N 35107 N NLockard & Williams CB752 N N CB752 N NLoma Linda 99255 Y NLoma Linda University Adventist Health Sciences Center Employee Health Plan 37267 N N 37267 N NLoma Linda University Adventist Health Sciences Centers 37267 N N 37267 N NLoma Linda University Behavioral Medicine Center Employee Health Plan 37267 N N 37267 N NLoma Linda University Employee Health Plan 37267 N N 37267 N NLoma Linda University Health Care Employee Health Plan 37267 N N 37267 N NLoma Linda University Healthcare 33036 N N 33036 N NLoma Linda University Medical Center Employee Health Plan 37267 N N 37267 N NLoma Linda University Medical Center Residents Health Plan 37267 N N 37267 N NLoma Linda University Student Health Plan 37267 N N 37267 N NLouisiana Health Cooperative 88075 N N 88075 N NLouisiana Healthcare Connections 68069 Y N 68069 Y NLouisiana Medicaid 12K12 Y Y SKLA0 Y YLouisiana Medicaid - Ambulance claims SKLA2 Y YLouisiana Medicaid - DME Claims SKLA1 Y YLouisiana Medicaid - KidMed Claims SKLA3 Y YLouisiana Medicaid - Rehab SKLA4 N NLouisiana Medicaid-Home Health 12K94 N NLovelace Sandia Health Plan (as of 9/27/14) 12B22 Y N SB790 Y NLoyal American Life Ins Co-Medicare Supplement 13193 Y N 13193 Y NMA Medicare Part A (J14 - NHIC) 12M14 Y YMA Medicare Part B (J14 - NHIC) SMMA0 Y YMacNeal Health Providers- CHS 36334 N N 36334 N NMagan Medical Clinic HCP01 N NMagellan Health Services 12X27 Y N 01260 Y NMagnacare 11303 N N 11303 N N

Page 25 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Magnolia 68069 Y N 68069 Y NMail Handlers Benefit Plan 25133 Y N 25133 Y NMaine Community Health Options 45341 Y N 45341 Y NMaine Medicaid 12K13 Y Y SKME0 Y NMajestaCare Virginia 26372 N N 26372 N NMaksin Management Corporation 22195 Y N 22195 Y NManaged Care Services LLC 35162 N N 35162 N NManaged Care Systems (Delano Regional Medical Group) MCS02 N NManaged Care Systems (Gemcare) MCS01 N N MCS01 N NMANAGED HEALTH CARE ASSOCIATES 36312 N N 36312 N NManaged Health Network 22771 N N 22771 N NManaged Health Services Indiana (Medicaid HMO) 68069 Y N 68069 Y NManaged Health Services Wisconsin 68069 Y N 68069 Y NManulife W. J. Sutton Company 98010 N N 98010 N NMapfre (Canada Life) L0160 N N L0160 N NMarch Vision Care Inc. 52461 N NMarion Polk Community Health Plan 33711 Y NMarquette Life Insurance Company 48055 N N 48055 N NMarrick Medical Finance LLC. 20805 Y N 20805 Y NMARTINS POINT HEALTH CARE 53275 N N 53275 N NMaryland Medicaid 12007 Y Y SKMD0 Y YMaryland Physicians Care 22348 N N 22348 N NMaryland Public Mental Health SX069 N YMashantucket Pequot Tribal Nation 37121 N N 37121 N NMassachusetts Medicaid 12K14 Y Y SKMA0 Y YMassachusetts Medicaid - Health Safety Net 12K48 N Y SKMA2 N NMassachusetts Mutual 80314 Y N 80314 Y NMaster Mates & Pilots Program TH111 Y NMasters Mates and Pilots Program 12T52 N NMax Specialty Benefits 27320 N NMayo Clinic FL/GA 88090 N N 88090 N NMBA Benefit Administrators Inc (Salt Lake UT) 83028 N N 83028 N NMBA OF WYOMING INC 87065 N N 87065 N NMCA ADMINISTRATORS 25160 N N 25160 N NMcare Advantage Plan 12M85 Y NMcKinley Medical Group MHM02 N NMD Medicare Part A J12 12010 Y YMD Medicare Part B J12 SMMD0 Y YMDI Holdings (Formerly Medical Partners of America) 80026 N N 80026 N NMDWise Hoosier Alliance 20475 Y N 20475 Y NMdwise Inc. (formerly IU Health) 12K81 N NMdwise Inc. (formerly IU Medical Group) SX172 N NMDWise Select Health Network MWSHN N N MWSHN N NMDX Hawaii MDXHI Y N MDXHI Y NME Medicare Part A (J14 - NHIC) 12M13 Y Y

Page 26 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



ME Medicare Part B (J14 - NHIC) SMME0 Y YMED PAY 88058 Y N 88058 Y NMED3000 CMS EARLY STEPS EM350 N N EM350 N NMED3000 CMS SAFETY NET EM284 N N EM284 N NMED3000 CMS TITLE 19 REFORM EM843 N N EM843 N NMED3000 CMS TITLE 21 EM205 N N EM205 N NMED3000 PEDICARE TITLE 19 EM039 N N EM039 N NMED3000 PEDICARE TITLE 21 EM522 N N EM522 N NMedAdmin Solutions 58202 N N 58202 N NMedBen (Newark OH) 74323 N N 74323 N NMedCom 59231 Y N 59231 Y NMedCost Inc. 56162 Y N 56162 Y NMedDirect 38353 N NMedfocus 95321 N NMedica 94265 Y N 94265 Y NMEDICA HEALTH CARE PLAN INC. 78857 N N 78857 N NMedica2 12422 Y N 12422 Y NMedicaid Hawaii Waivers 77059 Y YMedi-Cal (Vision) SKCA1 N YMEDICAL ASSOCIATES HEALTH PLAN MAHC1 N N MAHC1 N NMedical Benefits Administration MBA01 N NMedical Benefits Administrators Inc. (Newark OH) 74323 N N 74323 N NMedical Benefits Companies (Newark OH) 74323 N N 74323 N NMedical Benefits Mutual (Newark OH) 74323 N N 74323 N NMedical Benefits Mutual Life Insrance Co. 74323 N N 74323 N NMedical Card System ( MCS ) L0170 N N L0170 N NMedical Control Inc. Pilot N NMEDICAL DEVELOPMENT INTERNATIONAL 52181 N N 52181 N NMedical Mutual of Ohio 29076 Y N 29076 Y NMedical Network of Colorado Springs 84600 N NMedical Reimbursements of America 62177 N N 62177 Y NMedical Services for Indigents AMM02 N NMedical Services Initiative 12057 Y N 12057 Y NMedical Value Plan - Ohio (MVP) 38224 N N 38224 N NMedicare Blue SX263 N NMedicare Blue Private SX262 N NMedicare DME (All Jurisdictions) SDMEB Y YMedicare Home Helath & Hospice (J14 - NHIC) 12HHA Y YMEDICARE PART A (CAHINV) 12M65 Y YMedicare Plus Blue SX170 Y YMedicare PPO (BCBS SC) 00C63 N N 00C63 N NMedicare y Mucho Mas ( MMM ) L0210 N N L0210 N NMedico Insurance Company 23160 N N 23160 N NMediture 20039 N N 20039 N NMediview Inc. STAR1 N N STAR1 N N

Page 27 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



MedPartners Administrative Services 35205 Y N 35205 N NMedSolutions Inc 62160 N N 62160 N NMedSolutions Post Accute Care 15395 N N 15395 N NMedStar Family Choice 39190 N N 39190 N NMedstar Select/Medstar Medicare Choice 251MS Y N 251MS Y NMEGA Life & Health (United Ins. Div.) 97055 N NMemorial Clinical Associates/ SelectCare of Texas (MCA) 62181 N N 62181 N NMemorial Herman Health Network Providers TH092 N NMemorial Herman Health Network Providers 12T40 N NMemorial Medical Group HCP01 N NMercy Benefit Administration 37264 N N 37264 N NMercy Care Plan (AHCCCS) 86052 N N 86052 N NMercy Health Plans 43166 N N 43166 N NMercy Maricopa Integrated Care 33628 Y N 33628 Y NMercy Physicians Medical Group (MPMG) (NAMM Southern CA) IP079 N N IP079 N NMercy Provider Network 43185 N N 43185 N NMercyCare 39114 N N 39114 N NMeridian Health Plan 13189 N N 13189 N NMeritain Health 64157 N N 64157 N NMeritain Health / Agency Services 64158 N N 64158 N NMeritain Health Minneapolis 41124 Y N 41124 Y NMeritus Health Partners 45150 N N 45150 N NMethodist Associate Health Plan Pilot N NMetroPlus Health Plan 13265 N N 13265 N NMetropolitan Health Plan 10850 Y N 10850 Y NMetrowest HealthPlan TH068 N NMetrowest Star Medicaid TH069 N NMFC & HealthPlus Peoria 23550 N N 23550 N NMHNET 74289 Y N 74289 Y NMHP Systems 64068 N N 64068 N NMI Medicare Part A (J8) SMMI0 Y YMI Medicare Part B (J8) SMMI0 Y YMichael Reese Physicians Group 37127 N N 37127 N NMichigan Medicaid 12K37 Y Y SKMI0 Y YMid Rogue Oregon Health Plan 26161 N N 26161 N NMid-America Associates Inc. 37281 N N 37281 N NMidCoast IPA 77012 N N 77012 N NMid-County Physicians Medical Group SCP01 N N SCP01 N NMid-County Physicians Medical Group (San Diego) (Synermed) 75299 N N 75299 N NMidlands Choice Inc. 47080 Y N 47080 Y NMidwest Health Partners 76079 N N 76079 N NMidwest Health Plans Inc. 12T54 N Y TH074 Y YMills Peninsula Health Services MPHS1 Y NMills Peninsula Medical Group MPMG1 N NMINNESOTA DEPARTMENT OF HEALTH MNDH1 N N MNDH1 N N

Page 28 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Minnesota Medicaid 12K16 Y Y SKMN0 Y YMinuteMan Health 01776-NOCD Y N 01776-NOCD Y NMission (St. Joseph Heritage Healthcare) STJOE N NMississippi Blue Cross - Trispan 12B17 Y YMississippi Health Partners 64068 N N 64068 N NMississippi Medicaid 12K17 Y Y SKMS0 Y YMississippi Physicians Care Network 64084 N N 64084 N NMississippi Public Entity Employee Benefit Trust 37233 N N 37233 N NMississippi Select Health Care 64088 N N 64088 N NMissoula County Medical Benefits Plan 37275 N N 37275 N NMissouri Medicaid 12K15 Y N SKMO0 Y NMMA 35316 Y N 35316 Y NMMSI 41154 Y N 41154 Y NMN Medicare Part A (J6) 12M16 Y YMN Medicare Part B (J6) SMMN0 Y YMO - Missouri Home State Health Care 68069 Y N 68069 Y NMO Medicare Part A (J5 - WPS) 12M15 Y NMO Medicare Part B East (J5 - WPS) SMMO0 Y NModa Health 13350 Y N 13350 Y NMolina Healthcare 12X09 N NMolina Healthcare of CALIFORNIA 38333 Y N 38333 Y NMolina Healthcare of Florida 51062 Y N 51062 Y NMolina Healthcare of MICHIGAN 38334 Y N 38334 Y NMolina Healthcare of New Mexico - Salud 09824 N N 09824 Y NMolina Healthcare of New Mexico -SCI 04423 Y N 04423 Y NMolina Healthcare of Ohio 20149 Y N 20149 Y NMolina Healthcare of Puerto Rico 81794 Y N 81794 Y NMolina Healthcare of South Carolina 46299 Y N 46299 Y NMolina Healthcare of Texas 20554 Y N 20554 Y NMolina Healthcare of WASHINGTON 38336 Y N 38336 Y NMOLINA HEALTHCARE Of WI ABRI1 N N ABRI1 N NMolina Healthcare Utah (aka American Family Care) SX109 Y NMolina Illinois 20934 Y N 20934 Y NMonarch IPA IP095 Y NMonitor Life Insurance Company (Secondary claims only) 16098 Y Y 16098 Y YMontana Medicaid 12K77 Y N SKMT0 Y NMontefiore Contract Management Organization 13174 Y N 13174 Y NMontifiore HMO 46161 Y N 46161 Y NMonumental Life Insurance Company MMLIC N NMonumental Life Insurance Company (AR) TLINS Y N TLINS Y NMonumental Life Insurance Company (IA) TRCLF Y N TRCLF Y NMonumental Life Insurance Company (IA, MD, PA) TRP1E Y N TRP1E Y NMonumental Life Insurance Company (TX) TRLTC Y N TRLTC Y NMORRIS ASSOCIATES 35092 N N 35092 N NMosaic IPA Medical Group IP083 N N

Page 29 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Motion Pictures Industry 99282 N N 99282 N NMountain State Blue Cross and Blue Shield SB941 Y YMountain State Blue Cross of West Virginia 12B28 Y YMountain States Administrative Services (Tucson AZ) 86040 N N 86040 N NMPE Services Inc. 37233 N N 37233 N NMPEEBT 37233 N N 37233 N NMS Medicare Part A (JH) 12M17 Y YMS Medicare Part B (JH) SMMS0 Y YMSA Care Guard 20572 Y N 20572 Y NMSC (Medical Service Company) Group, Inc. 80019 N Y 80019 N YMSH Reimbursement 05887-NOCD Y N 05887-NOCD Y NMT Medicare Part A (J3 - Noridian) 12M77 Y YMT Medicare Part B (J3 - Noridian) SMMT0 Y YMt. Carmel Health Plan 95655 Y N 95655 Y NMulticultural Primary Care Medical Group (San Diego) (Synermed) 75299 N N 75299 N NMultiplan Wisconsin Preferred Provider Network 34080 N N 34080 N NMunicipal Health Benefit Fund 81883 N N 81883 N NMutual of Omaha Insurance Company 71412 N N 71412 N NMutually Preferred 71412 N N 71412 N NMVP - Ohio 38224 N NMVP Health Plan (Mohawk Valley) 14165 N N 14165 N NMVP Health Rochester 12X04 Y N SX089 Y NMy Family Medical Group 33020 N N 33020 N NMyNexus, Inc. 32043 N N 32043 N NN.W. Ironworkers Health & Security Trust Fund 91136 N N 91136 N NN.W. Roofers & Employers Health & Security Trust Fund 91136 N N 91136 N NN.W. Textile Processors 91136 N N 91136 N NNAA (North America Administrators L.P.) (Nashville TN) 65085 N N 65085 N NNABN (Cleveland OH) 34159 N N 34159 N NNALC/Affordable 53011 Y N 53011 Y NNAMCI/Global Care L0110 Y N L0110 Y NNaperville HealthCare 12T26 N N TH088 N NNAPHCARE INC. 58182 Y N 58182 Y NNational Association of Letter Carriers 53011 Y N 53011 Y NNational Association of Letter Carriers/NALC 53011 Y N 53011 Y NNational Capital Preferred Provider Organization (NCPPO) 90001 Y N 90001 Y NNational Imaging Assoc Inc / Magellan Health Services 12X27 Y NNational Imaging Associates SX190 N NNational Rural Electric Coop (NRECA) 52132 Y NNational Telecommunications Cooperative Association 52120 N N 52120 N NNational Telecommunications Cooperative Association (NTCA - Staff) 52104 N N 52104 N NNational Telecommunications Cooperative Association (NTCA) 52103 N N 52103 N NNationwide Health Plans 31417 Y N 31417 Y NNative Care Health 19191 Y N 19191 Y NND Medicare Part A (J3 - Noridian) 12M82 Y Y

Page 30 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



ND Medicare Part B (J3 - Noridian) SMND0 Y YNE Medicare Part A (J5 - WPS) 12M19 Y YNE Medicare Part B (J5 - WPS) SMNE0 Y YNebraska Medicaid 12K19 Y Y SKNE0 Y YNeighborhood Doctors Organization 51909 N N 51909 N NNeighborhood Health Partnership (NHP) 96107 N N 96107 N NNeighborhood Health Plan (Boston MA) 04293 N N 04293 N NNeighborhood Health Plan (Boston, MA) 04293 N N 04293 N NNeighborhood Health Plan Rhode Island 99999-0485 Y N 05047-NOCD Y NNeighborhood Health Plan Rhode Island - Exchange, Unity, Integrity 96240 N N 96240 N NNesika Health Group 37255 N N 37255 N NNetcare Life and Health Insurance (Hagatna Guam) 66055 N N 66055 N NNetwork Health 04332 N Y 04332 N YNetwork Health Insurance Corp-Medicare 77076 N N 77076 N NNetwork Health Plan of Wisconsin 39111 N NNetwork Health Plan of Wisconsin Inc. 39144 N N 39144 N NNetwork Medical Management NMM01 N N NMM01 N NNetwork TPA LLC 58204 N N 58204 N NNevada Health Coop 90091 Y N 90091 Y NNevada Medicaid 12K20 Y YNevada Medicaid First Health Services SKNV0 Y YNEW AVENUES INC. 95998 Y N 95998 Y NNew Century Health - IEHP Oncology NCH11 N NNew Century Health - Vista Cardiology NCH09 N NNew Era Employee Welfare Benefit Plan Trust 76031 N N 76031 N NNew Era Life Insurance Company 75281 N N 75281 N NNew Hampshire Medicaid 12K90 Y Y SKNH0 Y YNew Jersey Medicaid 12006 Y YNew Jersey Medicaid Part B SKNJ0 Y YNew Jersey Medicaid-Charity Care CKNJ2 Y YNew Mexico Blue Cross 12B22 Y YNew Mexico Health Connections 45129 Y N 45129 Y NNew Mexico Medicaid 12K22 Y N SKNM0 N NNew West Health Plan 84141 N NNew West Health Services SX164 N NNew York Life 12T69 N N TH122 Y NNew York Medicaid 12K35 Y Y SKNY0 Y YNew York Network Management 11334 N NNGS American Inc 38225 N N 38225 N NNGS JK Home Health & Hospice JKHHH Y YNH Medicare Part A (J14 - NHIC) 12M21 Y YNH Medicare Part B (J14 - NHIC) SMNH0 Y YNHBCAUX 88050 N N 88050 N NNHI BILLING SERVICES INC 14043 Y NNHP/SHP (Neighborhood Health Providers and Suffolk Health Plan) 11325 Y Y 11325 Y Y

Page 31 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Nippon Life Insurance Company of America 81264 N N 81264 N NNJ Carpenters Health Fund 22603 Y N 22603 Y NNJ Medicare Part A J12 12005 Y YNJ Medicare Part B J12 SMNJ0 Y YNM Medicare Part A (JH) 12M22 Y YNM Medicare Part B (JH) SMNM0 Y YNMCI Pilot N NNoble AMA Select IPA PDT01 N NNorth American Benefits Network (Cleveland OH) 34159 N N 34159 N NNorth American Medical Management - Southern California IP079 N N IP079 N NNorth American Medical Management (NAMM) - Northern California E3510 N NNorth American Medical Management (NAMM) - Southern California E3510 N YNorth Broward Hospital District 37314 N N 37314 N NNorth Carolina Medicaid 12K23 Y Y SKNC0 Y YNorth Carolina Medicare Part A 12M23 Y YNorth Carolina Medicare Part B SMNC0 Y YNorth County Health Services SCP01 N N SCP01 N NNorth County Select 77017 N N 77017 N NNorth Dakota Blue Cross (Noridian) 12B78 Y YNorth Dakota Medicaid (Hospital) 12K78 Y NNorth Dakota Medicaid (Medical) SKND0 Y NNorth Suburban Associated Physicians 36392 N N 36392 N NNorth Texas Healthcare Network 35212 Y N 35212 Y NNorth West Orange County Medical Group PROSP N NNorthern Illinois Health Plan 36347 N N 36347 N NNorthern Nevada Trust Fund 88027 N N 88027 N NNorthridge Medical Group NMG01 N NNorthshore LIJ Insurance Company 46227 Y N 46227 Y NNorthShore Physician Associates 48026 Y N 48026 Y NNorthShore University Health System Medical Group 36364 N N 36364 N NNorthstar Advantage 60058 N N 60058 N NNorthwest Diagnostic Clinic/SelectCare of Texas (NWDC) 62119 N N 62119 N NNorthwest Suburban IPA (Illinois) 36346 N N 36346 N NNovanet 06226 N N 06226 N NNovasys Health Network 71080 N N 71080 N NNPS 22262 N NNuestra Familia Medical Group (Prospect Medical Group) PROSP N NNV Medicare Part B (J1 - PGBA) SMNV0 Y YNY Medicare Part A (J13 - NGS) 12M35 Y YNY Medicare Part B Downstate (J13 - NGS) SMNY0 Y YNY Medicare Part B Queens (J13 - NGS) SMNY2 Y YNY Medicare Part B Upstate (J13 - NGS) SMNY1 Y YNyhart 37299 N N 37299 N NNYLCare Ethix Northwest 91135 N NNYS DOH UCP 14142 Y N 14142 Y N

Page 32 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Oak West Physician Association 36400 N N 36400 N NOAK WEST PRIMARY PHYSICIAN ASSOCIATION 36402 N N 36402 N NOasis IPA DESRT N NOccular Benefits L0140 N N L0140 N NOH Medicare Part A (J15) 12M24 Y YOH Medicare Part B (J15) SMOH0 Y YOhio Health Choice PPO 34189 N N 34189 N NOhio Medicaid SKOH0 Y N SKOH0 Y NOhio PPO Connect 74431 Y N 74431 Y NOK Medicare Part A (JH) 12M37 Y YOK Medicare Part B (JH) SMOK0 Y YOK State Employees & Educators (EDS) 22521 N N 22521 N NOklahoma Medicaid 12K25 Y N SKOK0 Y NOlympus Managed Health Care 65074 Y N 65074 Y NOMNI Care Health Care 25150 Y N 25150 Y NOMNI/Medicore HP 68037 N N 68037 N NOne Call Medical 22321 N N 22321 N NOneNet PPO (formerly Alliance PPO / MAPSI) 52149 N N 52149 Y NOperating Engineers Locals 302 & 612 Health & Security Fund 91136 N N 91136 N NOptiCare Managed Vision 56190 N NOptima Health Plan 54154 Y N 54154 Y NOptima Insurance Company 54154 Y N 54154 Y NOptimum Choice of the Carolinas Inc. (OCCI) 52152 Y NOptimum Healthcare Inc. 20133 N N 20133 N NOptumHealth 87726 Y NOptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health) 33053 N N 33053 N NOptumHealth Behavioral Solutions (formerly United Behavioral Health) 87726 Y N 87726 Y NOptumHealth Care Solutions (formerly United Resource Networks) 41194 Y N 41194 Y NOptumHealth Physical Health - includes Oxford (formerly ACN & ACNIPA) 41160 N NOptumHealth Vision 00773 Y NOR Medicare Part A (J2 - Noridian) 12M41 Y YOR Medicare Part B (J2 - Noridian) SMOR0 Y YOrange County Health Care Agency 65021 Y N 65021 Y NOregon Medicaid 12K41 Y Y SKOR0 Y YOregon's Health Co-op 45332 N N 45332 N NOrthonet - Uniformed Services Family Health Plan 13382 N NOrthonet- Aetna 13383 Y N 13383 Y NOrthonet Corporation - CIGNA 13381 N N 13381 N NOrthonet-HealthNet 25681 N NOSF Health Plans 62171 N N 62171 N NOSMA Health - C. L. Frates 73071 N N 73071 N NPA Medicare Part A J12 12M60 Y YPA Medicare Part B J12 SMPA0 Y YPACE CNY 70454 N N 70454 N NPACE Southeast Michigan 86711 N N 86711 N N

Page 33 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Pace Suburban Bus Service (via IDPA) PACE1 N XPacific Alliance Medical Center 75299 N N 75299 N NPacific Alliance Medical Group and Hospital (Synermed) 75299 N N 75299 N NPacific IPA PCFCI N NPacificSource Community Solutions 20416 N N 20416 N NPacificSource Health Plans 93029 Y N 93029 Y NPacificSource Medicare 20377 Y N 20377 Y NPalo Alto Medical Foundation 94115 Y N 94115 Y NPan American Life Insurance Group 04218 N N 04218 N NParamount SX158 N N SX158 N NParkland Community Health Plan 66917 N N 66917 N NPart A National - Legacy Claims 52280 Y YPARTNERS BEHAVIORAL HEALTH MANAGEMENT 52613 Y Y 52613 Y YPartners In Health Chicago IL MG#468 51909 N N 51909 N NPartnership Health of California-CAPHP SX140 N YPartnership Health Plan Of CA 12M81 Y YPassport Health Plan 61129 Y N 61129 Y NPatient Advocates LLC 10525 N N 10525 N NPatient Services Inc CB733 N N CB733 N NPATIENTPAY 26335 Y NPayer Fusion 27048 N N 27048 N NPCC Community Wellness Center Family Health Network patients only 51909 N N 51909 N NPeach State Health Plan 68069 Y N 68069 Y NPegasus Medical Group PROSP N NPekin Insurance 37086 N N 37086 N NPenn Behavioral Health 53226 Y N 53226 Y NPennsylvania Highmark Blue Shield - Central 12B81 Y YPennsylvania Medicaid 12008 Y N SKPA0 Y NPennsylvania Pace 20172 N N 20172 N NPeoples Health Network 72126 N N 72126 N NPerformCare-Select Health MH/SA 25176 N N 25176 N NPermier Health Plans 43166 N NPersonal Insurance Administrators Inc. (Agoura Hills CA) 95397 N N 95397 N NPHCS Claims (formerly American LIFECARE) 72099 Y N 72099 Y NPHCS Savility Payers 13306 N N 13306 N NPhoenix Choice 55649 N N 55649 N NPhoenix Health Plan 03440 Y N 03440 Y NPhoenix Mutual Life 67814 N N 67814 N NPhysician Associates of Louisiana 58204 N N 58204 N NPhysician Associates of the Greater San Gabriel Valley PA513 N N PA513 N NPhysician Care Network LLC 58204 N N 58204 N NPhysician Health Partners PHPMD N N PHPMD N NPhysician Partners IPA PPRT1 N N PPRT1 N NPHYSICIAN'S ACCOUNTABLE CARE ORG 28943 N N 28943 N NPhysicians Care (ASR Corporation) 38265 N N 38265 N N

Page 34 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Physicians Care Health Plans (ASR Corporation) 38265 N N 38265 N NPhysicians Care Network (ASR Corporation) 38265 N N 38265 N NPhysicians Care Network (Rockford IL only) 36345 N N 36345 N NPHYSICIANS CARE NETWORK LLC/Polyclinic Seattle PCN12 N N PCN12 N NPhysician's Data Trust PDT01 N NPhysicians Health Association of Illinois 37136 N N 37136 N NPhysicians Health Choice - Claims 12T51 N NPhysicians Health Choice - Encounters 12T44 N N TH114 N NPhysicians Health Claims - Claims TH113 Y NPhysicians Health Collaborative 20398 N N 20398 N NPhysicians Health Network MHM03 N NPhysicians Health Plan 37330 Y N 37330 N NPhysicians Health Plan (PHP) - SC 09173 N NPhysicians Health Plan of Northern Indiana, Inc 12399 N N 12399 Y NPhysicians Medical Group of San Jose EXC01 N NPhysicians Medical Group of Santa Cruz County PMGSC N NPhysicians Mutual Insurance Company 47027 N N 47027 N NPhysicians of Southwest Washington 91171 N N 91171 N NPhysicians Plus Insurance Corporation 39156 N N 39156 N NPhysicians United Plan 10775-NOCD N Y 10775-NOCD N YPiedmont Behavioral Health 06607 Y N 06607 Y NPiedmont Wellstar Health Plan 251PD Y N 251PD Y NPinnacle Claims Management Inc. 24735 N N 24735 N NPinnacle Health Resources (Prospect Medical Group) PROSP N NPinnacle Physician Management ORG 45985 N N 45985 N NPinnacol Assurance 84109 N N 84109 N NPioneer Medical Group PIONR N NPittsburgh Care Partnership Inc. 23283 N N 23283 N NPlan de Salud Hospital Menonita L0190 N N L0190 N NPlanned Administrators, Inc. (PAI) 37287 Y N 37287 Y NPodi Care Managed Care 58204 N N 58204 N NPODIATRY NETWORK FL 59324 N N 59324 N NPOMCO 16111 Y N 16111 Y NPomona Valley Medical Group IP057 N NPPOM LLC 38335 N N 38335 N NPPOONE UHNDC Y NPPOPlus LLC 72148 Y N 72148 Y NPR Medicare Part B (J9 - First Coast) SMPR0 Y YPrairie States Enterprises Inc. 36373 N N 36373 N NPreferred Blue (SC) 00481 N N 00481 N NPreferred Care Partners Florida 65088 N N 65088 N NPreferred Community Choice/PCCSelect/CompMed 73145 Y N 73145 Y NPreferred Health Plan (Louisville KY) 61106 N N 61106 N NPreferred Health Plan of the Carolinas CB404 N N CB404 N NPreferred Health Professionals 31478 N N 31478 N N

Page 35 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Preferred Health Systems A Coventry Health Care Plan 60110 N N 61665 N NPreferred Health Systems Insurance Company 60110 N NPreferred IPA PFIPA N NPreferred Network Access Inc. 36401 N N 36401 N NPreferred Plus of Kansas 60110 N NPreferredOne (MN) 41147 Y N 41147 Y NPremera Blue Cross 12B27 Y NPremier Benefits Inc. 43166 N N 43166 N NPremier Care IPA PCI01 N NPremier Eye Care 65054 Y NPremier Health Plan 251PR Y N 251PR Y NPremier Health Plans 43166 N NPremier Health Systems Inc 90440 Y N 90440 Y NPremier Health Systems Inc. 29076 Y N 29076 Y NPremier HealthCare Exchange 88056 N N 88056 N NPremier HealthCare Exchange, Inc. (PHX) 88051 N N 88051 N NPresbyterian (NM) 05003 Y N 05003 Y NPresbyterian Health Plan PREHP N N PREHP N NPrestige Health Choice 77003 Y N 77003 Y NPrevea 360 Health Plan 39113 N N 39113 N NPrima Health IPA IP096 N NPrimary Care Associates Medical Group (PCAMG) IP079 N N IP079 N NPrimary Health Network 82048 N N 82048 N NPrimary PhysicianCare Inc. 56144 N N 56144 N NPrime West Health Plan 61604 Y N 61604 Y NPrimeCare Medical Network IP079 N N IP079 N NPrincipal Financial Group 61271 N N 61271 N NPriority Health 38217 Y N 38217 Y NPrism Network Inc. 37268 N NPrism-Univera 37315 N NPro Care Health Plan Inc. (Detroit MI) 38329 N N 38329 N NProCare (Prospect) PROSP N NProCare Health Plan Medicaid 70259 N N 70259 N NProfessional Benefit Administrators Inc. (Oak Brook IL) 36331 N N 36331 N NProfessional Risk Management 34134 N N 34134 N NProMed HealthCare Administrators IP057 N NProminence Health Plan of Nevada 93082 N N 93082 N NProminence Health Plan of Texas 80095 N N 80095 N NProspect Health Network PROSP N NProspect Medical Group PROSP N NProspect Sherman Oaks Medical Group (Prospect Medical Group) PROSP N NProtective Life Insurance Company 37309 N N 37309 N NProvidence of Oregon Health Plan SX133 N N SX133 N NProvidence PPO SX187 Y N SX187 N NProvident American Life & Health Ins Co-Medicare Supplement 13193 Y N 13193 Y N

Page 36 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



ProviDRs Care Network 48100 Y N 48100 Y NPrudential 68241 N NPSKW Physician Reimbursement Program PSKW0 Y NPSYCHCARE LLC 51052 N N 51052 N NPuget Sound Benefits Trust 91136 N N 91136 N NPuget Sound Electrical Workers Trust 91136 N N 91136 N NPyramid Life Insurance Company 48055 N N 48055 N NQuad Med LLC (Pewaukee WI) 39197 N N 39197 N NQual Choice of Arkansas 35174 Y N 35174 Y NQualCare Inc. 23342 N N 23342 N YQuality Care Partners 89461 Y N 89461 Y NQuikTrip 73067 N N 73067 N NQVI Risk Solutions Inc. 57117 N NR&N Market TKFMC N NRailroad Medicare (PGBA) SRRGA Y YRBMS LLC 91176 N N 91176 N NReading Hospital Employer Group 44219 Y N 44219 Y NRedlands IPA (Synermed) 75299 N N 75299 N NRegal Medical Group 95449 N N REGAL N NRegence Blue Cross Blue Shield of Oregon SB850 Y NRegence Blue Cross Blue Shield of Utah SB910 Y NRegence Blue Cross of Oregon 12B41 Y NRegence Blue Shield Idaho 12B88 Y NRegence Blue Shield of Idaho SB611 Y NRegence Blue Shield of Washington SB931 Y NRegency Employee Benefits 38221 N N 38221 N NRegional Care Inc. 47076 N N 47076 N NRenaissance Physicians Organization 76066 N N 76066 N NReserve National Insurance 73066 Y N 73066 Y NResolve Health Plan Administrators LLC RHA01 N N RHA01 N NResourceOne Administrators 37278 N N 37278 N NResurrection Healthcare Preferred 36396 N NResurrection Healthcare Preferred/Family Medical Network 36396 Y NResurrection Physician Provider Group RPPG1 N N RPPG1 N NRetiree Health Trust 26316 N NRhode Island Medicaid 12K74 Y Y SKRI0 Y YRI Medicare Part A (J14 - NHIC) 12M74 Y YRI Medicare Part B (J14 - NHIC) SMRI0 Y YRight Care from Scott & White 74205 Y N 74205 Y NRightChoice Benefit Administrators 37331 N N 37331 N NRIVER CITY MEDICAL GROUP RCMG1 N N RCMG1 N NRiverside Health Inc. 45281 N N 45281 N NRMSCO INC. 16117 Y N 16117 Y NRocky Mountain Health Plan - Grand Junction SX141 N YRocky Mountain Health Plan- Grand Junction 84065 N YRosemont of Des Plaines IL 36215 N N

Page 37 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Rural Carrier Benefit Plan 25133 Y N 25133 Y NRural Health Clinic - Cahaba GBA 12M53 Y YRush Prudential Health Plans (HMO Only) 36389 N N 36389 N NRyan White Network AMM03 N NS & S Healthcare Strategies 31441 N N 31441 N NSacramento - Primary Care Practices of Sacramento - EHS 75299 N N 75299 N NSagamore Health Network 35164 N N 35164 N NSage Technologies 37105 N N 37105 N NSAINT MARY'S HEALTH PLAN 88029 N N 88029 N NSamaritan Health Plans CP001 N N CP001 N NSan Diego County Coverage Initiative (CI) MSO77 N N MSO77 Y NSan Diego County Medical Services (CMS) MSO11 N N MSO11 Y NSan Diego County Ryan White Care Act MSO33 N N MSO33 Y NSan Diego PACE 96400 N N 96400 N NSan Diego Physicians Med Group (SCPMCS) SCP01 N N SCP01 N NSan Joaquin Health Administrators 68035 Y NSan Judas Medical Group IPA HSM01 N NSan Louis Obispo Select 33072 N N 33072 N NSanford Health Plan 91184 Y N 91184 Y NSANTA CLARA FAMILY HEALTH PLAN 24077 N N 24077 N NSante Health System and Affiliates 77038 N N 77038 N NSatellite Health Plan, Inc. 45552 N N 45552 N NSCAN ENCOUNTERS 99157 Y N 99157 Y NSCAN Health Plan 72261 N N 72261 N NScan Health Plan Arizona 73172 N N 73172 N NSCAN Long Term Care 20460 N N 20460 N NSCHC Total Care - ClaimsNet 16146 N N 16146 N NScott & White TH002 N NScott & White Health Plan 12T05 Y NScreen Actors Guild 99289 Y N 99289 Y NScripps Health Plan Services SHPS1 N N SHPS1 N NSD Medicare Part A (J3 - Noridian) 12M83 Y YSD Medicare Part B (J3 - Noridian) SMSD0 Y YSeaside Health Plan 46187 Y N 46187 Y NSeaview IPA SVIPA N NSecure Health Plans of Georgia LLC 28530 N N 28530 N NSecure Health Plans of Georgia, LLC 28530 N N 28530 N NSecurity Health Plan 39045 Y Y 39045 Y YSelect Administrative Services (SAS) 64088 N N 64088 N NSelect Advantage SA704 N N SA704 N NSelect Benefit Administrators Inc. 93031 Y N 93031 Y NSelect Benefit Administrators of America 37282 N N 37282 N NSELECT HEALTH 12X37 N NSelect Health of South Carolina 23285 Y N 23285 Y NSelect Senior Clinic 20415 N N 20415 N N

Page 38 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



SelectCare 00014 Y N 00014 Y NSelectCare of Texas (HPN) Heritage Physicians Network 76045 N N 76045 N NSelectCare of Texas (Kelsey-Seybold) 61225 N N 61225 N NSelectHealth SX107 N NSelf Insured Plans (Naples FL) 36404 N N 36404 N NSelf Insured Services Company SISCO N N SISCO N NSelf-Funded Plans Inc. 34131 N N 34131 N NSendero Health 36426 Y N 36426 Y NSenior Care Partners 36390 N N 36390 N NSenior Health Partners (SHP) 80141 Y N 80141 Y NSENIOR WHOLE HEALTH 83035 N N 83035 N NSentara Family Care 54154 Y N 54154 Y NSentara Health Management 54154 Y N 54154 Y NSentinel Management Services 23249 N N 23249 N NSentry Insurance a Mutual Company 39033 N N 39033 N NSentry Life Insurance Company 39033 N N 39033 N NSentry Life of New York 39033 N N 39033 N NSeoul Medical Group SMG01 Y N SMG01 Y NSequoia Beverage TKFMC N NSeton CHIP 76056 N N 76056 N NSeton Health Plan - Exclusive 12T55 Y N TH079 N NSeton MAP Program 12T57 Y N TH081 N NSeven Corners 25404 N N 25404 N NSharp Community Medical Group SCMG1 N NSharp Rees-Sealy Medical Group SRS83 N N SRS83 N NShasta Administrative Services 75280 N N 75280 N NSheet Metal Workers Local 104 Health Care Plan (San Ramon CA) 38238 N N 38238 N NSherman Choice - BLUE CROSS SHERMAN CHOICE SC359 N N SC359 N NSierra Family Network (Prospect Medical Group) PROSP N NSierra Health and Life 76342 Y N 76342 Y NSierra Medical Group 30891 N N 30891 N NSierra Nevada Medical Association MBA01 N NSignifica Benefits Services Inc. 23250 N N 23250 N NSilver Cross Health Connection 65093 N N 65093 N NSilverback TPA 37228 N N 37228 N NSimply Healthcare 27094 N N 27094 N NSinai Medical Group Chicago IL Family Health Network patients only 51909 N N 51909 N NSinclair Health Plan 84076 N N 84076 N NSloans Lake Preferred Health Networks 84096 N N 84096 N NSmith Administrators 02057 Y N 02057 Y NSmokey Mountain Center 13010 N Y 13010 N YSolstice Benefits 76578 N NSound Health (now known as First Choice Health Network) 91131 Y N 91131 Y NSoundpath Health 42172 N N 42172 N NSouth Carolina Medicaid 12K55 Y Y SKSC0 Y N

Page 39 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



South Carolina Medicare Part A (J11) 12M55 Y YSouth Carolina Medicare Part B (J11) SMSC0 Y YSouth Dakota Medicaid 12K36 Y Y SKSD0 Y YSouth FL Community Care Network - NBHD 37314 N N 37314 N NSouth Indiana Health Operations - HMO SX142 Y N SX142 Y NSouth Point Hotel & Casino 35227 N N 35227 N NSouthCare/Healthcare Preferred 25147 Y N 25147 Y NSoutheast Community Care (Arcadian) 77045 N N 77045 N NSoutheast Texas Govt Employees Benefit Pool TH116 Y NSouthern Benefit Services 37318 N N 37318 N NSouthern CA Children's Network (SynerMed) 75299 N N 75299 N NSouthern Cal Physicians Managed Care Services SCP01 N NSouthern California Physicians Managed Care Services SCP01 N NSouthland BCBS SIPA1 N N SIPA1 N NSouthwest Service Life 37266 N N 37266 N NSpectera 00773 Y NSpectrum Administrators Inc. - TPA Allentown PA (IHS Gateway Payer) 23253 Y N 23253 Y NSpina Bifida - VA HAC 84146 Y N 84146 Y NSpohn Health 12T63 N N TH100 N NSt Francis IPA APP01 N NSt Joseph IPA STJOE N NSt Jude Yorba Linda STJOE N NSt. Anthony Memorial Healthcare Centers - MDWISE 35199 N N 35199 N NSt. Barnabas System Health Plan 22240 N N 22240 N NSt. Catherine Hospital PHO - MDWISE 35199 N N 35199 N NSt. Francis Health Care Chicago IL MG#112 51909 N N 51909 N NSt. Francis Health Network 35199 N N 35199 N NSt. James PHO 11158 Y N 11158 Y NSt. Joseph Heritage Healthcare STJOE N N STJOE N NSt. Jude (St. Joseph Heritage Healthcare) STJOE N NSt. Margaret Mercy Healthcare Centers - MDWISE 35199 N N 35199 N NSt. Vincent IPA PDT01 N NStandard Life and Accident (Secondary claims only) 73099 Y Y 73099 Y YStarmark 61425 N N 61425 N NState Auto Insurance Companies 46450 N N 46450 N NState Employee Plan (SC) 00400 N N 00400 N NState Farm (Casualty & Property Claims) 31059 Y N 31059 Y NState Farm Insurance Companies 31053 N N 31053 N NState of Texas Dental Plan 57254 N N 57254 N NStates General Life Insurance 75087 N N 75087 N NStirling & Stirling 06089 N NStonebridge Life Insurance Company (IA, PA) TRP1E Y N TRP1E Y NStonebridge Life Insurance Company (TX) TRP1P Y N TRP1P Y NStoner and Associates (Cincinnati OH) 31121 N N 31121 N NStones River IPA - Amerivantage 57492 Y NStones River Regional IPA/BCBST 15750 N N

Page 40 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Stones River Regional IPA/BHFG 15754 N NStones River Regional IPA/Humana 57549 Y NStones River Regional IPA/Windsor 15752 N NSuburban Health Organization 35199 N N 35199 N NSummaCare Health Plan 95202 Y N 95202 Y NSummit Administration Services Inc. 86083 N N 86083 N NSummit America Insurance Services Inc. 37301 N N 37301 N NSunshine State Health Plan 68069 Y N 68069 Y NSuperior Administrators Inc (Santa Ana CA) 23218 N N 23218 N NSuperior Health Plan Texas 68069 Y N 68069 Y NSutter Connect Medical Foundation 99308 Y NSutter Delta Medical Group 77318 N NSutter East Bay Medical Foundation 94269 Y N 94269 N NSutter East Bay Regional Hospital 96176 Y N 96176 Y NSutter East Bay Regional Hospital- Affinity 94119 Y N 94119 Y NSutter Gould Medical Foundation 77302 Y N 77302 N NSutter Medical Group of the Redwoods 77304 Y N 77304 Y NSwedish Covenant Hospital 36411 N N 36411 N NTalbert Medical Group TALMG N NTall Tree Administrators 88067 N N 88067 N NTASEBA TKFMC N NTBT 94304 N N 94304 N NTeachers Health Trust 88019 N NTeam Choice PNS 75133 N N 75133 N NTeamcare 36215 N N 36215 N NTEAMSTERS (UT/ ID / MT) - Group Benefit Admin 88054 Y N 88054 Y NTeamsters Benefit Trust 94304 N N 94304 N NTeamsters Local Union #301 36612 N NTemple Community Hospital 75299 N N 75299 N NTennessee Medicaid 12K46 N Y SKTN2 N YTethys Health Ventures 20212 N N 20212 N NTEXAS CHILDRENS HEALTH TXCSM N NTexas Children's Health Plan 76048 N N 76048 N NTexas Childrens Health Plan (Medicaid) 75228 N N 75228 N NTexas Christus 45210 N N 45210 N NTexas First Health Plans (TIOPA) 76046 N N 76046 N NTexas Health Insurance Risk Pool SB900 Y NTexas HealthSpring 33104 N N 33104 N NTexas Medicaid 12K64 Y N SKTX0 Y NTexas Mutual Insurance Company WK002 N N WK002 N NTexas Premier Plan TH089 N NTexasFirst Health Plan (NTX) 13185 N N 13185 N NThe Alliance 88461 N N 88461 N NThe Care Network/The Savannah Business Group 68423 Y N 68423 Y NThe City of Odessa 75600 N N 75600 N NThe Health Exchange (Cerner Corporation) 20356 N N 20356 N N

Page 41 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



The Health Plan/Hometown Health 34150 N N 34150 N NThe Healthcare Group 35206 N N 35206 N NThe Integrity Benefit Group Inc. 58200 N N 58200 N NThe Loomis Company - TPA Wyomissing PA (IHS Gateway Payer) 23223 Y N 23223 Y NThe MEGA Life & Health Insurance Company-OKC 59227 N NThe National Radiology Network 59087 N N 59087 N NThe New England 66893 N NThe Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM 31074 Y N 31074 Y NThird Party Administrators 37225 N NThomas H. Cooper & Company SX160 Y NThree Rivers Preferred MP340 Y NThrivent Financial THRIV N N THRIV N NTN Medicare Part A (J10 - Cahaba) 12M53 Y YTN Medicare Part B (J10 - Cahaba) SMTN0 Y YToday's Options (American Progressive and Pyramid Life) 48055 N N 48055 N NToday's Options powered by CCRX 48055 N N 48055 N NTongass Timber Trust 92620 Y N 92620 Y NTooling & Manufacturing Association 61425 N N 61425 N NTorrance Hospital IPA THIPA N N THIPA N NTotal Broker Benefits 36342 N N 36342 N NTotal Claims Administration 37314 N N 37314 N NTotal Community Care 31182 N N 31182 N NTotal Healthcare Inc. 38201 N N 38201 N NTotal Plan Services 41202 N N 41202 N NTouchstone Health PSO 23856 N N 23856 N NTOUCHSTONE HEALTH/HEALTH NET SMART CHOICE 13402 N N 13402 N NTown & Country TKFMC N NTPAC/Employee Benefit Management Corp 31074 Y N 31074 Y NTR Paul Inc. 37230 N N 37230 N NTransact RX PARTD N NTransAmerica Financial Life Insurance Company (AR) TLINS Y N TLINS Y NTransAmerica Financial Life Insurance Company (TX) TRP1P Y N TRP1P Y NTransAmerica Life Insurance Company (AR) TLINS Y N TLINS Y NTransAmerica Life Insurance Company (IA, MD, PA) TRP1E Y N TRP1E Y NTransAmerica Life Insurance Company (TX) TRP1P Y N TRP1P Y NTransAmerica Premier Life Insurance Company (AR) TLINS Y N TLINS Y NTransAmerica Premier Life Insurance Company (IA) TRCLF Y N TRCLF Y NTransAmerica Premier Life Insurance Company (IA, MD, PA) TRP1E Y N TRP1E Y NTransAmerica Premier Life Insurance Company (TX) TRP1P Y N TRP1P Y NTranschoice or TransSmile - First Service Administrator's Inc 20807 Y N 20807 Y NTransChoice-Key Benefit Administrators 37284 Y N 37284 Y NTrellis Health Partners 36397 N N 36397 N NTribute /SelectCare of Oklahoma 73117 N N 73117 N NTribute Health Plan 31118 Y N 31118 Y NTricare for Overseas 12X46 N YTricare North Region 57106 Y N 57106 Y N

Page 42 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Tricare Overseas SX163 N YTricare West 99726 Y N 99726 Y NTriCities IPA PDT01 N NTrigon Blue Cross and Blue Shield (Virginia) SB924 Y NTRIHEALTH PHYSICIAN SOLUTIONS 31144 N Y 31144 N YTRIHEALTH PHYSICIAN SOLUTIONS - CONCERN 31143 N N 31143 N NTrilogy Network 62777 Y N 62777 Y NTRIPLEFIN LLC 64300 N N 64300 N NTriple-S Inc. 12B48 N Y SB980 N YTriWest VAPC3 Region 3 55912 N Y 55912 N YTriWest VAPC3 Region 5A 55915 N Y 55915 N YTriWest VAPC3 Region 5B 55916 N Y 55916 N YTriWest VAPC3 Region 6 55917 N Y 55917 N YTRLHN/AS 98514 Y N 98514 Y NTrue Blue / Blue Cross of Idaho 12B84 Y YTRUSTED HEALTH PLAN L0230 Y N L0230 Y NTrusteed Plans Service Corporation 91078 N N 91078 N NTrustmark Insurance Company 61425 N N 61425 N NTufts Associated Health 04298 N Y 04298 Y YTX Medicare Part A and Indian Health Services JH 12M31 Y YTX Medicare Part B and Indian Health Services JH SMTX0 Y YTX Premier Plan - Medicaid 12T29 N NUcare Minnesota 12X50 N Y SX178 N NUC-Davis Health 94603 Y N 94603 Y NUICPG Chicago IL MG#141 51909 N N 51909 N NUllico Inc. ULLIC N N ULLIC N NUltimate Health Plan 77022 N N 77022 N NUltra Benefits Inc. 41206 Y N 41206 Y NUMC HEALTH PLAN 75130 Y N 75130 Y NUMR (formerly Lexington / CommonWealth Administrative Group) 37237 Y N 37237 Y NUMR (formerly UMR Onalaska) 79480 N N 79480 N NUMR (formerly UMR San Antonio Benefit Planners) 74223 Y N 74223 Y NUMR (formerly UMR Wausau Fiserv Benesight) 39026 Y N 39026 Y NUMR Westerville (formerly Harrington Benefit Services - Columbus) 95266 Y N 95266 Y NUMWA Health & Retirement Funds 52180 Y N 52180 Y NUnicare Life & Health 80314 Y N 80314 Y NUnified Group Services 35198 N N 35198 N NUnified Health Services 62170 N N 62170 N NUnified IPA HCP01 N NUnified Physicians Network 34638 Y N 34638 Y NUniform Medical Plan 75243 N N 75243 N NUnion Labor Life Insurance Company (IA) TRP1E Y N TRP1E Y NUnion Pacific IPA (SCPMCS) SCP01 N N SCP01 N NUNION PACIFIC RAILROAD EMPLOYES Health Systems 87042 Y N 87042 Y NUnion Security Insurance Company 70408 N N 70408 N N

Page 43 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Unison Health Plan/Better Health Plans 62183 Y N 62183 Y NUnited Agriculture Benefit Trust UABT1 Y NUNITED FOOD & COMM. WORKERS MIDWEST UNIONS 36659 N NUnited Medical Alliance 84132 N N 84132 N NUnited of Omaha 71412 N N 71412 N NUnited Teacher Assoc Ins Co-Medicare Supplement 13193 Y N 13193 Y NUnitedHealthcare 87726 Y N 87726 Y NUnitedHealthcare (Definity Health Plan) 87726 Y NUnitedHealthcare (Empire Plan) 87726 Y NUnitedHealthcare (formerly Definity Health Plan) 64159 N N 64159 N NUnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI) 52148 Y N 52148 Y NUnitedHealthcare (Oxford Health Plans) 06111 N N 06111 N NUnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly MAMSI) 87726 Y N 87726 Y NUnitedHealthcare / UHIS - UnitedHealth Integrated Services 39026 Y N 39026 Y NUnitedHealthcare / UnitedHealthcare Plan of the River Valley 87726 N N 87726 N NUnitedHealthcare / UnitedHealthcare StudentResources 74227 Y N 74227 Y NUnitedHealthcare / UnitedHealthcare West (formerly PacifiCare) 87726 Y N 87726 Y NUnitedHealthcare Community Plan 87726 Y N 87726 Y NUnitedHealthCare Community Plan (KS / KanCare) 96385 Y N 96385 Y NUnitedHealthcare Community Plan / DC DE OH PA SC (formerly Unison) 87726 Y N 87726 Y NUnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA) 03432 N N 03432 N NUnitedHealthcare Community Plan / FLHI LA MD MS CAN OH RI TX WAWI 87726 Y N 87726 Y NUnitedHealthcare Community Plan / hawk-i 87726 N N 87726 N NUnitedHealthcare Community Plan / IA (formerly AmeriChoice of Iowa) 87726 N N 87726 N NUnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan) 95467 Y N 95467 Y NUnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS-CHIP) 87726 N N 87726 N NUnitedHealthcare Community Plan / NE 87726 Y N 87726 Y NUnitedHealthcare Community Plan / NJ 86001 N N 86001 N NUnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid) 87726 Y N 86048 N NUnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care) 87726 Y N 86002 N NUnitedHealthcare Community Plan / NYU 87726 Y N 87726 Y NUnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP 86049 N N 86049 N NUnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ) 86003 N N 86003 N NUnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare) 95378 N N 95378 N NUnitedHealthcare Community Plan / UnitedHealthcare Dual Complete 87726 Y NUnitedHealthcare Community Plan / UnitedHealthcare Long Term Care 87726 Y N 87726 Y NUnitedHealthcare Medicare Solutions 87726 Y NUnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete 87726 Y N 87726 Y NUnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan 87726 Y N 87726 Y NUnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete 87726 Y N 87726 Y NUnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect 87726 Y N 87726 Y NUnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan 87726 Y N 87726 Y NUnitedHealthcare Vision 00773 Y NUnitedHealthcare West (formerly PacifiCare of Arizona) 95964 N N 95964 N NUnitedHealthcare West (formerly PacifiCare of CA - Claims) 95959 N N 95959 N N

Page 44 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



UnitedHealthcare West (formerly PacifiCare of Colorado) 95962 N N 95962 N NUnitedHealthcare West (formerly PacifiCare PPO - All States) 95999 N N 95999 N NUnitedHealthOne (formerly American Medical Security) 81400 N N 81400 N NUnitedHealthOne (formerly Golden Rule) 37602 Y N 37602 Y NUnitedHeathcare Community Plan (formerly Unison Health Plan) 87726 Y N 87726 Y NUnitrin Direct Property & Casualty Company 16063 N N 16063 N NUnity Health Insurance 66705 N N 66705 N NUnivera - Health Care Plan/ChoiceCare Buffalo SX087 N YUnivera - Pre Paid Health Plan of NY SX086 N YUnivera - Univera Health Southern Tier SX088 N YUnivera Healthcare CNY 12X17 N YUnivera Healthcare SSA ENY 12X20 N YUnivera Healthcare SSA WNY PPO Traditional 12X19 N YUnivera Healthcare WNY 12X18 N YUnivera SSA ENY SX090 N YUnivera SSA WNY SX091 N YUniversal American Financial Services 95380 N N 95380 N NUniversal Benefits (IA, MD) TRP1E Y N TRP1E Y NUniversal Care - California 33001 N N 33001 N NUniversity Family Care 09830 Y N 09830 Y NUniversity Family Care - Maricopa Health Plan 09908 Y N 09908 Y NUniversity Health Alliance 99026 Y YUniversity Health Care Advantage 46407 N N 46407 N NUniversity Healthcare Marketplace 45437 Y N 45437 Y NUniversity of Illinois at Chicago Div of Specialized Care for Children 37601 N N 37601 N NUniversity of Missouri 25133 Y N 25133 Y NUniversity of Utah Health Plans SX155 N NUpland Medical Group IP056 N NUPMC Health Plan 23281 Y N 23281 Y NUPMC Vision Advantage 25184 N N 25184 N NUpper Peninsula Health Group (TPA) 37324 N N 37324 N NUpper Peninsula Health Plan (Medicaid) 38337 N N 38337 N NUS Benefits 93092 Y N 93092 Y NUS Department of Labor 12X31 Y NUS Family Health Plan 90551 N N 90551 N NUS Family Health Plan (USFHP) 12T48 N N TH103 N NUSAA (United Services Automobile Association) 74095 N N 74095 N NUSFHP - St. Vincent Catholic Medical Centers of New York 13407 N N 13407 N NUT- Altius (UHIN) 25133 Y N 25133 Y NUT Medicare Part A (J3 - Noridian) 12M84 Y YUT Medicare Part B (J3 - Noridian) SMUT0 Y YUtah Blue Cross (Regence Blue Cross of Oregon) 12B42 Y NUtah Medicaid 12K42 Y Y SKUT0 Y YUW Graduate Appointee Plan 91136 N N 91136 N NVA Fee Basis Programs 12115 Y N 12115 Y N

Page 45 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



VA Medicare Part A (J11) 12004 Y YVA Medicare Part B (J11) SMVA0 Y YValir Pace 64009 N N 64009 N NValley Baptist Health Plan 12T06 Y N TH022 N NValley Care IPA VCIPA N NValley Mental Health 94293 N NValley Preferred - PPO Allentown PA (IHS Gateway Payer) 23253 Y NValue Options - Commercial 12X56 Y N 00813 N YVALUE OPTIONS (TX NORTHSTAR) 99297 N NValue Options PA 12K1A N NValueOptions Maryland Mental Hygiene Ad 22322 Y YValueOptions/MBHP (MA Behavioral Health Partnership) VALOP Y Y VALOP Y YVantage Health Plan Inc. 72128 N N 72128 N NVantage Medical Group PPM01 N NVentureNet Healthcare 86062 Y N 86062 Y NVerdugo Hills Medical Group 66126 N N 66126 N NVerity National Group 75256 Y N 75256 Y NVermont Medicaid 12K26 Y Y SKVT0 Y YVGM Homelink 50701 N NVI Medicare Part A (J9 - First Coast) 12M52 N YVI Medicare Part B (J9 - First Coast) SMVI0 Y YVia Christi HOPE 48123 N N 48123 N NVictor Valley IPA VVIPA N NVillage Family Practice 73743 N N 73743 N NVillageCareMAX 26545 N N 26545 N NVirginia Coordinated Care-VCC 84806 N NVirginia Medicaid 12003 Y N CVAK1 N NVirginia Premier Health Plan 12K83 Y Y 54176 Y YVista Health Plan 55248 N N 55248 N NVista Oncology - New Century Infusion Solutions NCH08 N NViva Health Plan 63114 N N 63114 N NVNA Homecare Options 31626 Y N 31626 Y NVNS CHOICE Medicare 77073 N N 77073 N NVOLUSIA HEALTH NETWORK 59266 N N 59266 N NVT Medicare Part A (J14 - NHIC) 12M26 Y YVT Medicare Part B (J14 - NHIC) SMVT0 Y YVytra Healthcare 22264 Y N 22264 Y NWA - Premera Blue Cross SB930 Y NWA - Washington Coordinated Care 68069 Y N 68069 Y NWA Medicare Part A (J2 - Noridian) 12M45 Y YWA Medicare Part B (J2 - Noridian) SMWA0 Y YWabash Memorial Hospital Association 85256 N N 85256 N NWashington Medicaid 12K27 Y YWashington Medicaid (Provider One) SKWA0 Y YWASHINGTON State Dept of LABOR & INDUSTRY SX063 N N SX063 N Y

Page 46 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



Waterstone Benefit Administrators (Oklahoma Providers) 73155 N N 73155 N NWaterstone Benefit Administrators (Outside Oklahoma) 23051 N N 23051 N NWEA Insurance Group 39151 N N 39151 N NwebTPA/Community Health Electronic Claims/CHEC 75261 N N 75261 N NWeiss Health Providers 36337 N N 36337 N NWellcare Health Plan, Inc. (Fee for Service) 14163 Y N 14163 Y NWellcare Health Plan, Inc. (Encounters Only) 59354 Y N 59354 Y NWellcare of CT 14164 Y N 14164 Y NWellChoice of NJ SB803 Y NWellmark BCBS - Medicare COB 12B92 Y N SB645 Y NWellmark Blue Cross and Blue Shield of Iowa (IASD) SB640 Y YWellmed WELM2 Y N WELM2 Y NWellSystems LLC 35245 N N 35245 N NWenatchee Valley Medical Center 91064 N N 91064 N NWest Covina Medical Group 66124 N N CMSI1 Y NWest Suburban Health Providers 80942 Y N 80942 Y NWest Virginia Family Health Plan 45276 N N 45276 N NWest Virginia Medicaid 12K28 Y N SKWV0 Y NWestern Grower's Assurance Trust 24375 Y N 24375 Y NWestern Grower's Insurance Company 24735 N N 24735 N NWestern Health Advantage 68039 N N 68039 N NWestern Health Inc 37306 N N 37306 N NWestern Mutual Insurance 37247 N N 37247 N NWestern Reserve Life Insurance Company (TX) TRLTC Y N TRLTC Y NWestern Southern Financial Group (Cincinnati OH) 31048 N N 31048 N NWestlake Financial Group 12T62 N NWestLake Financial Group Inc. 90560 N N 90560 N NWeyco Inc. 38232 N N 38232 N NWI Medicare Part A & FQHC (J6) 12M29 Y YWI Medicare Part B (J6) SMWI0 Y YWilliam C. Earhart 93050 Y N 93050 Y NWilson-McShane 41095 N N 41095 N NWindsor Medicare Extra 62153 N N 62153 N NWindsor Medicare Extra (as of 5/1/14) 14163 Y N 14163 Y NWINhealth Partners/Wyoming Health Solutions 27327 Y N 27327 Y NWisconsin Chronic Disease Program (WCDP) SKWID Y N SKWID Y NWisconsin Department of Corrections 74101 N N 74101 N NWisconsin Medicaid SKWI0 Y N SKWI0 Y NWisconsin Physician Services-Midlands 95930 Y NWisconsin Well Woman Program (WWWP) SKWIW Y N SKWIW Y NWomen's Integrated Network Inc. (WIN Fertility) 13413 N NWorkers Comp of West Virginia SX067 N YWorkers Comp/Arkansas Blue Cross 12048 Y YWorksite Benefit Services LLC 20333 N N 20333 N NWorld Insurance Company 75276 Y N 75276 Y N

Page 47 of 47

Payer CodeAccepts

SecondaryClaims


SecondaryClaims

Enrollment



WPP-ElderCare Wisconsin 77080 N N 77080 N NWPPN 34080 N NWPS - Tricare for Life 12X43 Y N SX176 Y NWPS Commercial 12X29 Y Y SX022 Y YWV Medicare Part A (J11) 12M28 Y YWV Medicare Part B (J11) SMWV0 Y YWY Medicare Part A (J3 - Noridian) 12M30 Y YWY Medicare Part B (J3 - Noridian) SMWY0 Y YWyoming Blue Cross 12B30 Y YWyoming Medicaid 12K30 Y Y SKWY0 Y YYale University Heath Plan 60646 Y N

Documents

CLAIMS PAYER LIST INSTITUTIONAL …...Allied Benefit Systems 37308 N N 37308 N N Alta Bates Medical Group A0701 N N A0701 N N Alta Senior Care (Hnet Sr and Secure Horizons only) E3510