|
13162
|
1199 National Benefit Fund
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
IVR: (888) 819-1199. Customer Service: (646) 473-7160. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
59069
|
21st Century Health and Benefits
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
20413
|
3P Administrators
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment required for Electronic Remittance Advice.
|
|
4YC01
|
4 YourChoice EPO/PPO Network
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
Payer returns ERA's automatically once electronic claim submission begins.
|
|
74234
|
8th District Elec
|
N
|
C/P
|
UT
|
M
|
N
|
N
|
N
|
Y
|
Customer Service: (800) 628-6562
|
|
93044
|
A & I Benefit Plan Administrators
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (800) 547-4457
|
|
75240
|
AAG - American Administrative Group
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
Formerly Icon Benefit Admin
|
|
75240
|
AAG Benefit Plan Administrators, Inc.
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
36273
|
AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
Customer Service: (800) 227-7789. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
36273
|
AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
Customer Service: (800) 227-7789. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
87726
|
AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons)
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
Customer Service: (866) 633-2446. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
87726
|
AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network - AARP MedicareComplete
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (866) 633-2446
|
|
87726
|
AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network - AARP MedicareComplete Mosaic
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (866) 633-2446
|
|
03443
|
ABRAZO Advantage Health Plan
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
68068
|
Absolute Total Care - Cenpatico
|
N
|
C/P
|
SC
|
M/H
|
N
|
N
|
Y
|
Y
|
Customer Service: (866) 912-6285. ERA enrollment forms will be listed under Centene Corporation.
|
|
68069
|
Absolute Total Care - Medical
|
N
|
C/P
|
SC
|
M/H
|
N
|
N
|
Y
|
Y
|
Customer Service: (866) 595-8133.
ERA enrollment forms will be listed under Centene Corporation.
|
|
AHS01
|
Access Administrators
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
COACC
|
Access Behavioral Care
|
N
|
C/P
|
CO
|
M
|
N
|
N
|
N
|
Y
|
Customer Service: (800) 511-5010
|
|
AMM06
|
Access Medical Group
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
N
|
|
|
19305
|
Access Medicare (Cuatro LLC)
|
N
|
G/NP
|
|
M/H
|
N
|
N
|
Y
|
N
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
AMM06
|
Access Santa Monica
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
N
|
|
|
64071
|
Acclaim
|
N
|
C/P
|
|
M
|
N
|
N
|
N
|
Y
|
|
|
IP095
|
Acclaim IPA
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
IP095
|
Acclaim IPA (MHCAC)
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
MPM24
|
Accountable Anthem Beverly POD
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (818) 702-0100
|
|
MPM23
|
Accountable HealthCare IPA (MPM)
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (818) 702-0100.
|
|
AHIPA
|
Accountable IPA
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
N
|
Customer Service: (562) 435-3333.
|
|
72467
|
ACS Benefit Services, Inc.
|
N
|
C/P
|
|
M
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
24585
|
ACTIN Care Groups / Clifton Health Systems
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
75678
|
Active Care (UCS)
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
AHC01
|
ActivHealthCare
|
N
|
C/P
|
|
M
|
N
|
N
|
N
|
N
|
Customer Service: (888) 635-0459
|
|
38254
|
Activia Benefit Services
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment required for Electronic Remittance Advice.
|
|
38265
|
Administration Systems Research Corp
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
38265
|
Administration Systems Research Health Benefits
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
22384
|
Administrative Concepts Inc.
|
N
|
C/P
|
|
M
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment required for Electronic Remittance Advice.
|
|
59141
|
Administrative Services Inc
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
37278
|
AdminOne
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
N
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
NMM01
|
Advanced Physicians IPA
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (626) 282-0288
|
|
74234
|
Advanstaff, Inc.
|
N
|
C/P
|
|
M
|
N
|
N
|
N
|
N
|
|
|
ACIPA
|
Advantage Care IPA
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (626) 388-2300
|
|
35209
|
Advantage Health Solutions
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
N
|
|
|
NMM01
|
Advantage Medical Group
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (626) 282-0288
|
|
ADVTK
|
Advantek Benefit Administrators (SANTE)
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
59374
|
Advantica Benefits
|
N
|
C/P
|
|
M
|
N
|
N
|
N
|
Y
|
|
|
95340
|
Adventist Health System West
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
Y
|
Y
|
Roseville, California. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
45423
|
Advicare
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
For claims with DOS prior to 9/1/2016.
|
|
36320
|
Advocate Health Centers
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
65093
|
Advocate Health Partners
|
N
|
G/NP
|
IL
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
60054
|
Aetna Advantage
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Affordable Health Choices - SRC/Boone
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
58730
|
Aetna ASA PPO/Assurant Health (Signature Admin)
|
N
|
C/P
|
|
M
|
N
|
N
|
N
|
N
|
Customer Service: (888) 632-3862
|
|
66917
|
Aetna Better Health - Parkland (TX)
|
N
|
C/P
|
TX
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
128FL
|
Aetna Better Health of Florida
|
N
|
C/P
|
FL
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
26337
|
Aetna Better Health of Illinois (Medicaid)
|
N
|
C/P
|
IL
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
128KY
|
Aetna Better Health of Kentucky
|
N
|
C/P
|
KY
|
M/H
|
N
|
N
|
Y
|
Y
|
Formerly CoventryCares of Kentucky (25133). Pre-Enrollment is required for Electronic Remittance Advice.
|
|
128LA
|
Aetna Better Health of Louisiana
|
N
|
C/P
|
LA
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
128MI
|
Aetna Better Health of Michigan
|
N
|
C/P
|
MI
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
128MO
|
Aetna Better Health of Missouri (Medicaid)
|
N
|
C/P
|
MO
|
M/H
|
N
|
N
|
Y
|
Y
|
Effective 6/29/2015. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
42130
|
Aetna Better Health of Nebraska
|
N
|
C/P
|
NE
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
46320
|
Aetna Better Health of New Jersey
|
N
|
C/P
|
NJ
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
34734
|
Aetna Better Health of New York
|
N
|
C/P
|
NY
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
50023
|
Aetna Better Health of Ohio
|
N
|
C/P
|
OH
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
23228
|
Aetna Better Health of Pennsylvania (Medicaid)
|
N
|
C/P
|
PA
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
38692
|
Aetna Better Health of Texas
|
N
|
C/P
|
TX
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
128VA
|
Aetna Better Health of Virginia
|
N
|
C/P
|
VA
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
128WV
|
Aetna Better Health of West Virginia
|
N
|
C/P
|
WV
|
M/H
|
N
|
N
|
Y
|
Y
|
Formerly known as Coventry Healthcare of West Virginia (25133). Pre-Enrollment required for Electronic Remittance Advice.
|
|
60054
|
Aetna Choice Plans
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Health, Inc.
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Healthcare
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna HealthFund
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
26337
|
Aetna Illinois Medicaid
|
N
|
C/P
|
IL
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Life & Casualty Company
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Life Insurance Company
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Medicaid Plans
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Medicare
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Senior Plans
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Signature Administrators (ASA)
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna Student Health
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
38692
|
Aetna TX Medicaid and CHIP
|
N
|
C/P
|
TX
|
M/H
|
N
|
N
|
Y
|
N
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
60054
|
Aetna US Healthcare - AUSHC
|
N
|
C/P
|
|
M/H
|
Y
|
Y
|
Y
|
Y
|
Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
|
|
ADOCS
|
Affiliated Doctor's of Orange County (ADOC) (Regal)
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
N
|
|
|
APG01
|
Affiliated Physicians Group (APG)
|
N
|
C/P
|
IL
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
POP06
|
Affiliated Physicians IPA
|
N
|
C/P
|
CA
|
M
|
N
|
N
|
N
|
N
|
|
|
13333
|
Affinity Health (Medicare Advantage)
|
N
|
C/P
|
|
M/H
|
N
|
N
|
Y
|
Y
|
Pre-Enrollment is required for Electronic Remittance Advice.
|
|
13334
|
Affinity Health Plan
|
Y
|
C/P
|
|
M/H
|
Y
|
N
|
Y
|
N
|
Providers must contact Affinity's EDI Department before submitting claims electronically at EDI@Affinityplan.org.
|
|
23334
|
Affinity Health Plan Essential
|
N
|
G/NP
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
46594
|
Affinity Medical Group
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (800) 615-0261. Claim Status reports available at https://affinity-portals.ikaenterprise.com/Default.aspx.
|
|
95426
|
Affordable Benefit Administrators, Inc.
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
62308
|
AFTRA Health & Retirement Funds
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
For claims with DOS 1/1/15 and after. For DOS prior to 1/1/15, claims should be directed to Payer ID 13346.
|
|
LIPA1
|
Agate Resources, Inc. (LIPA)
|
Y
|
C/P
|
OR
|
M/H
|
N
|
N
|
Y
|
N
|
ERA enrollment forms will be listed under Centene Corporation.
|
|
64158
|
Agency Services Inc.
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
Now known as Meritain Health
|
|
ARA01
|
AgeRight Advantage
|
N
|
C/P
|
OR
|
M/H
|
N
|
N
|
Y
|
N
|
Effective 1/1/17. Payer returns ERA's automatically once electronic claim submission begins. To request paper EOB’s, email helpdesk@claimsnet.com.
|
|
AWNY6
|
AgeWell New York
|
N
|
C/P
|
NY
|
M/H
|
N
|
N
|
Y
|
N
|
|
|
AGUA1
|
Agua Caliente
|
N
|
C/P
|
|
M
|
N
|
N
|
N
|
N
|
|
|
AGUA1
|
Agua Dulce ISD
|
N
|
C/P
|
|
M
|
N
|
N
|
N
|
N
|
|
|
22195
|
AIG Educational Markets
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
Y
|
|
|
CAPMN
|
AKM Medical Group
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
N
|
Customer Service: (818) 461-5055
|
|
95327
|
Alameda Alliance for Health
|
Y
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (877) 585-7526 for ACC. Customer Service: (877) 371-2222 for HF and AGC.
|
|
AIPAZ
|
Alamitos IPA (AIPA)
|
N
|
C/P
|
CA
|
M/H
|
N
|
N
|
N
|
Y
|
Customer Service: (562) 602-1563
|
|
91136
|
Alaska Children''s Services, Inc. Group #P68
|
N
|
C/P
|
|
M/H
|
N
|
N
|
N
|
N
|
|