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Payer List - Professional (CMS1500) & Institutional (UB04)

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  • ENR = Pre Enrollment Required
  • TYP = Type/Model
  • P - Par
  • NP - Non-Par
  • ST = State
  • LOB = Line Of Business
  • M = Medical / Professional
  • H = Hospital / Institutional
  • RTE = Real Time Eligibility (270/271)
  • RTS = Real Time Claim Status (276/277)
  • ERA = Electronic Remittance Advice (835)
  • SEC = Secondary (COB)
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Payer IDPayer NameENRTYPSTLOBRTERTSERASECNote
FLPAC Florida Pace Centers Inc N NP M/H N N N N
94352 UCS Couer: My Management Consulting inc (MY Wireless) N P M/H N N N Y
46891 UCS: Benefit Plan Administrators of Eau Claire, Inc. N P M/H N N N Y
OMNIA ​​OMNI Administrators N NP M N N N N
82357 ​Kentucky Health Administrators, Inc. N NP M/H N N N Y Formerly Payer ID 27215.
LNY01 ​Longevity NY N NP NY M/H N N Y N Payer returns ERA's automatically once electronic claim submission begins.
82275 ​Mutual of Omaha Medicare Advantage N NP M/H N N Y Y Pre-enrollment required for Electronic Remittance Advice.
OSFC9 ​OSF Healthcare Central N NP M/H N N N N
OSFE9 ​OSF Healthcare East N NP M/H N N N N
31401 ​Provider Partners Health Plan of Illinois N NP M/H N N Y Y Payer returns ERA's automatically once electronic claim submission begins.
45282 ​University of Maryland Health Advantage N NP M/H N N N N
25923 ​VieCare LIFE Butler N NP M/H N N Y N
13162 1199 National Benefit Fund N 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 NP M/H N N N Y
39081 3P Admin N NP M/H N N N N
20446 6 Degrees Health, Inc. N P M/H N N N N
74234 8th District Elec N NP UT M N N N Y Customer Service: (800) 628-6562
93044 A & I Benefit Plan Administrators N NP M/H N N N Y Customer Service: (800) 547-4457
75240 AAG - American Administrative Group N NP M/H N N N Y Formerly Icon Benefit Admin
75240 AAG Benefit Plan Administrators, Inc. N NP M/H N N N Y
36273 AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company N NP M/H Y Y 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 NP M/H Y Y 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 NP M/H N N N Y Customer Service: (866) 633-2446.
87726 AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network - AARP MedicareComplete N NP M/H N N N Y Customer Service: (866) 633-2446
87726 AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network - AARP MedicareComplete Mosaic N NP M/H N N N Y Customer Service: (866) 633-2446
ABLPY AblePay Health N NP M/H N N N N
03443 ABRAZO Advantage Health Plan N NP M/H N N N Y
68069 Absolute Total Care - Medical N NP 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 NP M/H N N N Y
COACC Access Behavioral Care N P CO M N N N Y Customer Service: (800) 511-5010
ACCOM Access Community Health Network N NP M N N N N
INTEG Access Integra N NP M N N N N
ACC01 Access IPA N P CA M/H N N Y Y Payer returns ERA's automatically once electronic claim submission begins.
AMG02 Access Medical Group N P CA M/H N N Y N Customer Service: (949) 387-1314. Pre-enrollment required for Electronic Remittance Advice.
NMM01 Access Primary Care Medical Group (APCMG) N P CA M/H N N Y Y Effective January 1, 2018. Customer Service: (626) 282-0288. Please contact ProviderNetworkOperations.Dept@nmm.cc for ERA enrollment requests.
AMG02 Access Santa Monica N P CA M/H N N Y N Customer Service: (949) 387-1314. Pre-enrollment required for Electronic Remittance Advice.
64071 Acclaim N P M N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
IP095 Acclaim IPA N P CA M/H N N N Y
IP095 Acclaim IPA (MHCAC) N P CA M/H N N N Y
AHIPA Accountable Healthcare IPA (AHCIPA) N P CA M/H N N N Y Effective 12/1/17, all Accountable Healthcare claims should be submitted to Payer ID AHIPA. Payer ID MPM23 and MPM24 have been discontinued.
72467 ACS Benefit Services, Inc. N NP M N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
24585 ACTIN Care Groups / Clifton Health Systems N P M/H N N N Y
75678 Active Care (UCS) N P M/H N N N Y
AHC01 ActivHealthCare N P M N N Y N Customer Service: (888) 635-0459. Payer returns ERAs automatically.
38254 Activia Benefit Services N P M/H N N Y Y Pre-Enrollment required for Electronic Remittance Advice.
38265 Administration Systems Research Corp N NP M/H N N N Y
38265 Administration Systems Research Health Benefits N NP M/H N N N Y
22384 Administrative Concepts Inc. N NP M/H N N Y Y Pre-Enrollment required for Electronic Remittance Advice.
59141 Administrative Services Inc N NP M/H N N N Y
37278 AdminOne N NP M/H N N Y N Pre-Enrollment is required for Electronic Remittance Advice.
AMDC1 Advanced Medical Doctors of CA N P CA M/H N N N Y Customer Service: (626) 943-7465
NMM01 Advanced Physicians IPA N P CA M/H N N Y Y Customer Service: (626) 282-0288. Please contact ProviderNetworkOperations.Dept@nmm.cc for ERA enrollment requests.
74234 Advanstaff, Inc. N NP M N N N N
ACIPA Advantage Care IPA N P CA M/H N N N Y Customer Service: (626) 388-2300
NMM01 Advantage Medical Group N P CA M/H N N Y Y Customer Service: (626) 282-0288. Please contact ProviderNetworkOperations.Dept@nmm.cc for ERA enrollment requests.
77070 Advantage Preferred Plus N P M/H N N N N
ADVTK Advantek Benefit Administrators (SANTE) N P M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
59374 Advantica Benefits N NP M N N N Y
MPM51 Adventist Health Care Network N P CA M/H N N N Y Customer Service (818) 702-0100
MPM36 Adventist Health Hanford AHP N P CA M/H N N N Y Effective February 1, 2018.
MPM37 Adventist Health Plan N P CA M/H N N N Y Effective February 1, 2018.
95340 Adventist Health System West N NP CA M/H N N N Y Roseville, California.
MPM33 Adventist White Memorial - Crown City Medical Group N P CA M/H N N N Y Effective January 1, 2018.
MPM34 Adventist White Memorial - Southland San Gabriel Valley N P CA M/H N N N Y Effective January 1, 2018.
73824 Advisory Health & Wellness N P M/H N N N Y
CB159 Advisory Health Administrators N P M/H N N N Y
36320 Advocate Health Centers N P M/H N N Y Y Pre-enrollment required for Electronic Remittance Advice.
65093 Advocate Health Partners N NP IL M/H N N N Y
CB637 Aegis Administrative Services N P M/H N N N N
60054 Aetna Advantage N 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 P M/H Y Y Y Y Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
66917 Aetna Better Health - Parkland (TX) N NP TX M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
26337 Aetna Better Health Illinois MMAI N P IL M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
128CA Aetna Better Health of California N NP CA M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
128FL Aetna Better Health of Florida N P FL M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
68024 Aetna Better Health of Illinois N NP IL M/H N N N Y
68024 Aetna Better Health of Illinois - Foster Care N NP IL M/H N N N Y
26337 Aetna Better Health of Illinois (Medicaid) N P IL M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
128KS Aetna Better Health of Kansas N P KS M/H N N Y Y Effective January 1, 2019. Pre-enrollment required for Electronic Remittance Advice.
128KY Aetna Better Health of Kentucky N 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 P LA M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
128MD Aetna Better Health of Maryland N P MD M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
128MI Aetna Better Health of Michigan N P MI M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
46320 Aetna Better Health of New Jersey N P NJ M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
34734 Aetna Better Health of New York N P NY M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
50023 Aetna Better Health of Ohio N P OH M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
23228 Aetna Better Health of Pennsylvania (Medicaid) N P PA M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
38692 Aetna Better Health of Texas N P TX M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
128VA Aetna Better Health of Virginia N P VA M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
128VA Aetna Better Health of Virginia - CCC Plus N P VA M/H N N Y Y Pre-Enrollment is required for Electronic Remittance Advice.
128WV Aetna Better Health of West Virginia N 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 P M/H Y Y Y Y Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
60055 Aetna Encounters N P M N N N N Customer Service: (888) 632-3862.
60054 Aetna Health, Inc. N P M/H Y Y Y Y Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
60054 Aetna Healthcare N P M/H Y Y Y Y Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
60054 Aetna HealthFund N P M/H Y Y Y Y Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
60054 Aetna Life & Casualty Company N 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 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 P M/H Y Y Y Y Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
60054 Aetna Medicare N P M/H Y Y Y Y Customer Service: (888) 632-3862. Pre-Enrollment is required for Electronic Remittance Advice.
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