Payer List -- Professional (CMS1500)

Payer ID: Payer Name: State:
Type / Model: Transactions:
  
Legend
  • ENR = Enrollment Required
  • TYP = Type / Model
  • C = Commercial Payer
  • G = Government Payer
  • ST = State
  • RTE = Real Time Eligibility
  • RTS = Real Time Claim Status
  • ERA = Electronic Remittance Advice (835)
  • SEC = Secondary Electronic Claims

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Payer IDPayer NameENRTYPSTRTERTSERASECNotes
   N C  N N N N  
BSHS1• Bienvivir Senior Health Plan N C  N N N Y  
131621199 National Benefit Fund N C  N N Y Y  
5102821st Century Insurance and Financial Services N C  N N Y Y For Minnesota Only. Enrollment with the clearinghouse required prior to submission of claims.
204133p Admin N C  N N N Y  
204466 Degrees Health Incorporated N C  N N N N  
93044A & I Benefit Plan Administrators N C  N N N Y  
75240AAG Benefit Plan Administrators, Inc. N C  N N N Y  
37283AAG--American Administrative Group (formerly Gallagher Benefit Administrators) N C  N N N Y  
75185AAG--American Administrative Group (formerly Icon Benefit Admin) N C  N N N Y  
87726AARP Medicare Complete N C  N N N Y  
48185ABC Health Plan N C  N N N Y For your ABC Provider Number, please call (631) 360-3102.
A0701ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizons) N C  N N Y Y  
03443Abrazo Advantage Healthplan N C  N N N Y  
68069Absolute Total Care N C  N N Y Y  
AHS01Access Administrators N C  N N N Y  
19305Access Medicare (Cuatro LLC) N C  N N Y N  
64071Acclaim N C  N N N Y  
87815Accordia National N C  N N N N  
81400Accountable Healthplan--Wisconsin N C  N N Y Y  
37118ACMG N C  N N N N  
58379ACS Benefit Services N C  N N Y N Payer ID is for ERA only. Payer ID for claims is 72467 but you must enroll under Payer ID 58379 to receive ERAs.
72467ACS Consulting Services, Inc. N C  N N Y Y  
38254Activa Benefit Services LLC N C  N N N Y  
75678Active Care UCS N C  N N Y Y  
91173Adaptis N C  N N Y N Enrollment with payer required.
22384Administrative Concepts, Inc. N C  N N Y Y Must enroll with Office Ally clearinghouse to receive ERAs
59141Administrative Services N C  N N N Y  
38265Administrative Systems Research Corporation--ASR N C  N N N Y  
37278AdminOne N C  N N N Y  
58202Advanced Data Solutions Inc N C  N N N N  
51909Advanced Physician N C  N N N Y  
35209Advantage Health Solutions N C  N N N N  
77070Advantage Preferred Plus N C  N N N Y  
59374Advantica N C  N N N Y  
25133Advantra N C  Y Y Y Y  
25133Advantra Freedom N C  Y Y Y Y  
95340Adventist Health System West--Roseville, CA N C  N N N Y  
36320Advocate Health Centers N C  N N Y Y  
65093Advocate Health Partners N C  N N Y Y  
36220Advocate Medical Group N C  N N Y Y  
CB637AEGIS Administrative Services N C  N N N Y  
60054Aetna N C  Y Y Y Y  
60054Aetna Affordable Health Choices--SRC N C  Y Y Y Y  
23225Aetna Better Health Connecticut Medicaid N CCT N N N Y  
128FLAetna Better Health Florida N C  N N N N  
42130Aetna Better Health Nebraska N C  N N N N  
46320Aetna Better Health New Jersey N C  N N N N  
34734Aetna Better Health New York N C  N N N N  
128KYAetna Better Health of KY N CKY N N Y N Rendering provider taxonomy code required
128LAAetna Better Health of LA N CLA N N N Y  
128MIAetna Better Health of Michigan N CMI N N N Y  
128MOAetna Better Health of Missouri N CMO N N N Y  
50023Aetna Better Health of Ohio N COH N N N Y  
128WVAetna Better Health of West Virginia N C  N N N N  
23228Aetna Better Health Pennsylvania N C  N N N N  
128VAAetna Better Health Virginia N C  N N N N  
62118Aetna Life Insurance Company N C  N N Y N Payer ID is for ERA only, not for secondary claim submission.
26337Aetna Medicaid Illinois N C  N N N N  
38692Aetna TX Medicaid and CHIP N C  N N N Y  
APG01Affiliated Physicians Group N C  N N N N  
13334Affinity Health Plan N C  N N Y Y  
23334Affinity Health Plan Essential N C  N N Y Y  
46594Affinity Medical Group N C  N N N Y  
13333Affinity Medicare Advantage N C  N N Y Y  
58066AFLAC GA N C  N N N Y  
52080AFLAC NY N C  N N N Y  
34444AFL-CIO Food & Beverage Dealers N C  N N N Y  
13346AFTRA Health Fund N C  Y Y N Y  
37280AGA N C  N N N Y  
LIPA1Agate Resources N C  N N N Y  
64158Agency Services, Inc. N C  N N N Y Now known as Meritain Health
36320MAAHC Misdirected Claims N C  N N N N  
SKAL0Alabama Medicaid N GAL Y Y Y N Member ID number must be 13 characters.
SMAL0Alabama Medicare N GAL N N Y N  
95327Alameda Alliance for Health N C  N N N Y  
91136Alaska Children N C  N N N Y Please enter Group Number when submitting claims.
92600Alaska Electrical Health and Welfare Fund N C  N N N Y  
91136Alaska Laborers Construction Industry Trust N C  N N N Y Please enter Group Number when submitting claims.
SKAK0Alaska Medicaid N GAK N N Y N  
00831Alaska Medicare N GAK N N Y Y  
91136Alaska Pipe Trades Local 375 N C  N N N Y Please enter Group Number when submitting claims.
91136Alaska United Food & Commercial Workers Health & Welfare Trust N C  N N N Y Please enter Group Number when submitting claims.
13550ALICARE N C  N N N Y  
CCHPCAlighnment Healthcare N C  N N N Y  
PRINTAll Health Plan Print N C  N N N N  
37602All Savers Insurance Co. N C  N N Y Y Must also enroll for ERAs with Payer ID 81400
MRCHPAllcare Advantage N C  N N N N  
MRIPAAllcare Health Plan N C  N N N Y  
MRPEBBAllcare PEBB N C  N N N Y  
52193Allegant N C  N N N N  
82238Allegian Advantage N C  N N N N  
82420Allegian Health Plan N C  N N N N  
81040Allegiance Benefit Plan Management, Inc. N C  N N N Y  
88461Alliance Healthplans of Wisconsin N C  N N N Y  
ADSL1Alliance--Alpha Care Gold N C  N N N N  
58234Alliant Health Plans of Georgia N C  N N Y Y  
94177Allied Administrators (San Francisco, CA) N C  N N N N  
37308Allied Benefit Systems N C  N N Y Y  
SX156Allied Health Systems Chiropractic N C  N N N Y  

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