| Payer ID | Payer Name | ENR | TYP | ST | RTE | RTS | ERA | SEC | Notes |
| 13162 | 1199 National Benefit Fund |
N
| C | |
N
|
N
|
N
|
Y
| |
| 93044 | A & I Benefit Plan Administrators |
N
| C | |
N
|
N
|
N
|
Y
| |
| 75240 | AAG Benefit Plan Administrators, Inc. |
N
| C | |
N
|
N
|
N
|
Y
| |
| 37283 | AAG--American Administrative Group (formerly Gallagher Benefit Administrators) |
N
| C | |
N
|
N
|
N
|
Y
| |
| 75185 | AAG--American Administrative Group (formerly Icon Benefit Admin) |
N
| C | |
N
|
N
|
N
|
Y
| |
| 87726 | AARP Medicare Complete |
N
| C | |
N
|
N
|
N
|
Y
| |
| 48185 | ABC Health Plan |
N
| C | |
N
|
N
|
N
|
Y
| For your ABC Provider Number, please call (631) 360-3102. |
| IP084 | ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizons) |
N
| C | |
N
|
N
|
N
|
Y
| Only claims from providers in Northern California. Please contact the EDI Dept for NAMM at 800-956-8000 prior to initial submission of claims. |
| 03443 | Abrazo Advantage Healthplan |
N
| C | |
N
|
N
|
N
|
Y
| |
| AHS01 | Access Administrators |
N
| C | |
N
|
N
|
N
|
Y
| |
| 64071 | Acclaim |
N
| C | |
N
|
N
|
N
|
Y
| |
| 81400 | Accountable Healthplan--Wisconsin |
N
| C | |
N
|
N
|
N
|
Y
| |
| 72467 | ACS Consultingt Services, Inc. |
N
| C | |
N
|
N
|
N
|
Y
| Group number required on all claims. Do NOT send ACS/Health Net or ACS, Inc. Medicaid claims to this payer ID. This payer ID is for ACS Benefit Services, Inc. ONLY.
|
| 38254 | Activa Benefit Services LLC |
N
| C | |
N
|
N
|
N
|
Y
| |
| 22384 | Administrative Concepts, Inc. |
N
| C | |
N
|
N
|
N
|
Y
| |
| 38265 | Administrative Systems Research Corporation--ASR |
N
| C | |
N
|
N
|
N
|
Y
| |
| 37278 | AdminOne |
N
| C | |
N
|
N
|
N
|
Y
| |
| 58202 | Advanced Data Solutions Inc |
N
| C | |
N
|
N
|
N
|
N
| |
| 35209 | Advantage Health Solutions |
N
| C | |
N
|
N
|
N
|
N
| |
| 77070 | Advantage Preferred Plus |
N
| C | |
N
|
N
|
N
|
Y
| |
| 25133 | Advantra |
N
| C | |
Y
|
Y
|
Y
|
Y
| |
| 25133 | Advantra Freedom |
N
| C | |
Y
|
Y
|
Y
|
Y
| |
| 95340 | Adventist Health System West--Roseville, CA |
N
| C | |
N
|
N
|
N
|
Y
| |
| 36320 | Advocate Health Centers |
N
| C | |
N
|
N
|
N
|
Y
| Required data elements needed for submission. Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or Tony Hani (847) 699-4368 for more info. |
| 65093 | Advocate Health Partners |
N
| C | |
N
|
N
|
N
|
Y
| Required data elements needed for submission. Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or Tony Hani (847) 699-4368 for more info. |
| 60054 | Aetna |
N
| C | |
Y
|
Y
|
Y
|
Y
| |
| 60054 | Aetna Affordable Health Choices--SRC |
N
| C | |
Y
|
Y
|
Y
|
Y
| |
| 23225 | Aetna Better Health Connecticut Medicaid |
N
| C | CT |
N
|
N
|
N
|
Y
| |
| 38692 | Aetna TX Medicaid and CHIP |
N
| C | |
N
|
N
|
N
|
Y
| |
| 13334 | Affinity Health Plan |
N
| C | |
N
|
N
|
N
|
Y
| |
| AMGCA | Affinity Medical Group |
N
| C | |
N
|
N
|
N
|
Y
| |
| 34444 | AFL-CIO Food & Beverage Dealers |
N
| C | |
N
|
N
|
N
|
Y
| |
| 13346 | AFTRA Health Fund |
N
| C | |
Y
|
Y
|
N
|
Y
| |
| 37280 | AGA |
N
| C | |
N
|
N
|
N
|
Y
| |
| LIPA1 | Agate Resources |
N
| C | |
N
|
N
|
N
|
Y
| |
| 64158 | Agency Services, Inc. |
N
| C | |
N
|
N
|
N
|
Y
| Now known as Meritain Health |
| SKAL0 | Alabama Medicaid |
N
| G | AL |
Y
|
Y
|
Y
|
N
| Member ID number must be 13 characters. |
| SMAL0 | Alabama Medicare |
N
| G | AL |
N
|
N
|
Y
|
N
| |
| 95327 | Alameda Alliance for Health |
N
| C | |
N
|
N
|
N
|
Y
| |
| 91136 | Alaska Children |
N
| C | |
N
|
N
|
N
|
Y
| Please enter Group Number when submitting claims. |
| 91136 | Alaska Laborers Construction Industry Trust |
N
| C | |
N
|
N
|
N
|
Y
| Please enter Group Number when submitting claims. |
| SKAK0 | Alaska Medicaid |
N
| G | AK |
N
|
N
|
Y
|
N
| |
| 00831 | Alaska Medicare |
N
| G | AK |
N
|
N
|
Y
|
Y
| |
| 91136 | Alaska Pipe Trades Local 375 |
N
| C | |
N
|
N
|
N
|
Y
| Please enter Group Number when submitting claims. |
| 91136 | Alaska United Food & Commercial Workers Health & Welfare Trust |
N
| C | |
N
|
N
|
N
|
Y
| Please enter Group Number when submitting claims. |
| 13550 | ALICARE |
N
| C | |
N
|
N
|
N
|
Y
| |
| 37602 | All Savers Insurance Co. |
N
| C | |
N
|
N
|
N
|
Y
| |
| 81040 | Allegiance Benefit Plan Management, Inc. |
N
| C | |
N
|
N
|
N
|
Y
| |
| 88461 | Alliance Healthplans of Wisconsin |
N
| C | |
N
|
N
|
N
|
Y
| |
| ADSL1 | Alliance--Alpha Care Gold |
N
| C | |
N
|
N
|
N
|
N
| |
| 58234 | Alliant Health Plans of Georgia |
N
| C | |
N
|
N
|
N
|
N
| |
| 94177 | Allied Administrators (San Francisco, CA) |
N
| C | |
N
|
N
|
N
|
N
| |
| 37308 | Allied Benefit Systems |
N
| C | |
N
|
N
|
N
|
Y
| |
| SX156 | Allied Health Systems Chiropractic |
N
| C | |
N
|
N
|
N
|
Y
| |
| SX157 | Allied Health--Podiatry (UHIN) |
N
| C | |
N
|
N
|
N
|
Y
| Non-Participating Payer. |
| 75261 | Alpha Data |
N
| C | |
N
|
N
|
N
|
Y
| |
| IP084 | Alta Bates Medical Group |
N
| C | |
N
|
N
|
N
|
Y
| Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission. |
| E3510 | Alta Senior Care |
N
| C | |
N
|
N
|
N
|
Y
| Only claims from providers in Northern California. Please contact the EDI Dept for NAMM at 1-800-956-8000 prior to initial submission of claims. |
| SX113 | Altius |
N
| C | |
Y
|
Y
|
Y
|
Y
| Non-Participating Payer. Providers who do not have an Altius provider number assigned should contact Provider Relations at 801-933-3130--Madalyn Jewkes or e-mail: madalyn.jewkes@ahplans.com. |
| AMAIA | AMA Insurance Agency |
N
| C | |
N
|
N
|
N
|
Y
| |
| 13550 | Amalgamated Life |
N
| C | |
N
|
N
|
N
|
Y
| |
| 38219 | AmeraPlan |
N
| C | |
N
|
N
|
N
|
Y
| Non-Participating Payer. |
| 75137 | AmeriBen Solutions, Inc. |
N
| C | |
N
|
N
|
N
|
Y
| |
| 75240 | American Administrative Group |
N
| C | |
N
|
N
|
N
|
Y
| |
| 37225 | American Benefit Administrative Services, Inc. |
N
| C | |
N
|
N
|
N
|
Y
| Please call Julie Blazek at (630) 416-1111, ext. 156 to verify if you should be sending claims to American Benefit Administrative Services, Inc. Their address is 1733 Park Street, Naperville, IL 60563. |
| 95170 | American Benefit Plan Administrators |
N
| C | |
N
|
N
|
N
|
Y
| |
| 34187 | American Benefits Management |
N
| C | |
N
|
N
|
N
|
N
| Payer ID valid only for claims with a billing submission address of P.O. Box 35008, N. Canton, OH 44735. |
| 41161 | American Chiropractic Network (ACN) |
N
| C | |
N
|
N
|
N
|
Y
| |
| 41160 | American Chiropractic Network IPA of NY (ACNIPA) |
N
| C | |
N
|
N
|
N
|
Y
| |
| 60305 | American Community Mutual Insurance |
N
| C | |
Y
|
N
|
Y
|
Y
| |
| AMF11 | American Family Insurance |
N
| C | |
N
|
N
|
N
|
Y
| |
| 62030 | American General |
N
| C | |
Y
|
Y
|
Y
|
Y
| |
| 01066 | American Healthcare Alliance |
N
| C | |
N
|
N
|
N
|
Y
| |
| 36369 | American Imaging Management, Inc. |
N
| C | |
N
|
N
|
N
|
Y
| Assigned Group Policy Plan ID is required. To obtain, please call American Imaging Management, Inc. at (800) 252-2021. |
| 81949 | American Insurance Company of Texas |
N
| C | |
N
|
N
|
N
|
Y
| |
| 87726 | American International Group, Inc. (AIG) |
N
| C | |
N
|
N
|
Y
|
Y
| Plan of United Healthcare. |
| 72099 | American LIFECARE |
N
| C | |
N
|
N
|
N
|
Y
| Please enter the Group Number from ID card when submitting claims. Payer ID valid ONLY for claims with a billing submission address of 1100 Poydras Street, Suite 2600, New Orleans, LA 70163-2602. |
| 74048 | American National Insurance Co. (ANICO) |
N
| C | |
N
|
N
|
N
|
Y
| |
| TH097 | American Pioneed Brevard Physicians Network |
N
| C | |
N
|
N
|
N
|
Y
| Enrollment with the clearinghouse required prior to submission of claims. Claims for this payer should be placed ON HOLD in your Medisoft system until you receive notification of approval by the clearinghouse. |
| APBPN | American Pioneer Brevard Physicians Network |
N
| C | |
N
|
N
|
N
|
N
| |
| APSFL | American Pioneer South Florida |
N
| C | |
N
|
N
|
N
|
N
| |
| 44444 | American Postal Workers Union Health Plan (APWU Health Plan) |
N
| C | |
Y
|
N
|
N
|
Y
| Claims for the state of Maine ONLY must be sent on paper to MedNet, P.O. Box 15440, Portland, ME 04112. |
| 42011 | American Republic Insurance |
N
| C | |
Y
|
Y
|
Y
|
Y
| |
| 00001 | American Specialty Health Networks (ASHN) |
N
| C | |
N
|
N
|
N
|
Y
| Enrollment required with the payer. Notify MBP prior to setting up this payer in your system so the proper EDI Receiver can be configured. |
| 37322 | American Worker Health Plan Family |
N
| C | |
N
|
N
|
N
|
Y
| |
| 20029 | Americas Choice Healthplans/NMA |
N
| C | |
N
|
N
|
N
|
Y
| |
| 86001 | AmeriChoice of New Jersey Personal Care Plus (Medicare) |
N
| C | |
Y
|
N
|
N
|
Y
| All claims submitted require your AmeriChoice assigned Provider ID number. Please contact AmeriChoice at (888) 362-3368 for your Provider ID number. |
| 86047 | AmeriChoice of New Jersey, Inc. (Medicaid NJ) |
N
| C | |
Y
|
N
|
Y
|
Y
| |
| 86002 | AmeriChoice of New York Personal Care Plus (Medicare) |
N
| C | |
N
|
N
|
Y
|
Y
| All claims submitted require your AmeriChoice assigned Provider ID number. Please contact AmeriChoice at (888) 362-3368 for your Provider ID number. |
| 87726 | AmeriChoice of New York, Inc. (Medicaid NY) |
N
| C | |
N
|
N
|
Y
|
Y
| |
| 86003 | AmeriChoice of Pennsylvania Personal Care Plus (Medicare) |
N
| C | |
N
|
N
|
N
|
Y
| All claims submitted require your AmeriChoice assigned Provider ID number. Please contact AmeriChoice at (800) 345-3627 for your Provider ID number. |
| 86049 | AmeriChoice of Pennsylvania, Inc. (Medicaid PA) |
N
| C | |
N
|
N
|
Y
|
Y
| |
| 26375 | Amerigroup (Dallas) |
N
| C | |
N
|
N
|
N
|
Y
| For providers located in Dallas, Fort Worth and Austin |
| 26374 | Amerigroup (Houston) |
N
| C | |
N
|
N
|
N
|
Y
| For providers located in Houston |
| 26378 | Amerigroup District of Columbia |
N
| C | |
N
|
N
|
N
|
Y
| |
| 26378 | Amerigroup Florida |
N
| C | |
N
|
N
|
N
|
Y
| |
| 26378 | Amerigroup Georgia |
N
| C | |
N
|
N
|
N
|
Y
| |
| 26378 | Amerigroup Illinois |
N
| C | |
N
|
N
|
N
|
Y
| |
| 26378 | Amerigroup Maryland |
N
| C | |
N
|
N
|
N
|
Y
| |
| 26378 | Amerigroup New Jersey |
N
| C | |
N
|
N
|
N
|
Y
| |