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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/D N N N N
J3300 Healthcare Risk Management Solutions - CORVEL N NP All States WC N N N N Workers Comp only.
J1886 San Francisco Municipal Transportation Agency (SFMTA) N NP All States WC N N N N Workers Comp only. Covers all states except CA, NM, NV.
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
C1079 ​​Scottsdale Insurance Co E&S N NP WC N N N N Covers MN and NJ only. Auto only.
C1089 ​Allstate - NJ Only N NP NJ WC N N N N Auto only.
C1098 ​Amica Insurance Company N NP NJ WC N N N N Auto only.
C1052 ​Chubb (legacy Chubb & Son) - Auto N NP All States WC N N N N ​Auto Only. At this time, only Professional (HCFA) claims are accepted.
J1554 ​Chubb (legacy Chubb & Son) - WC N NP All States WC N N N N ​Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
C1092 ​Cure Auto Insurance For NJ Auto N NP NJ WC N N N N Auto only.
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.
C1100 ​MetLife New Jersey N NP NJ WC N N N N Auto only.
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.
J1966 ​State Auto Mutual Insurance Company N NP All States WC N N N N ​Auto Only. At this time, only Professional (HCFA) claims are accepted.
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.
J1585 1st Auto & Casualty N NP MN WC N N N N Workers Comp and Auto. Pharmacy bills should be sent direct to payer. At this time, only Professional (HCFA) claims are accepted.
59069 21st Century Health and Benefits N NP M/H N N N Y
41556 21st Century Insurance N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
39081 3P Admin N NP M/H/D 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
J1976 A.W. Holdings LLC Dba Benchmark - CORVEL N NP All States WC N N N N Auto only. Covers CT, FL, GA, IN, MD, MI, MO, NJ, NM, TN, VA.
11983 AAA Automobile N NP MN WC N N N N Auto Only. At this time, only Professional (HCFA) claims are accepted.
41556 AAA Northern California, Nevada & Utah Insurance Exchange N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
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
AARP1 AARP Dental Insurance Plan N P D N N N
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/D N N N Y Customer Service: (866) 633-2446.
87726 AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network - AARP MedicareComplete N NP M/H/D 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/D N N N Y Customer Service: (866) 633-2446
41556 ABC Const. Company N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
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.
J1477 Acadia Insurance N NP LA, MN, TX WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
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 ProviderRelationsDept@networkmedicalmanagement.com 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.
J1024 Accuride Corporation N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
41556 Ace Property & Casualty Ins Co N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
J1578 ACIG Insurance Company N NP MN, TX WC N N N N Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
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
J3840 Active Care, Inc N NP All States WC N N N N Workers Comp and Auto.
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.
J1240 Acuity, A Mutual Insurance Company N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
J1667 AD-COMP - CORVEL N NP All States WC N N N N Workers comp and Auto.
J1798 Adelanto Correctional Facility (CA) - CORVEL N NP All States WC N N N N Workers Comp and Auto.
J1241 Administaff N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
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
J1005 Administrative Claim Service, Inc. N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
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.
J1843 Advance America Cash Advance Centers - CORVEL N NP All States WC N N N N Workers Comp and Auto.
J1608 Advance Services, Inc. N NP All States WC N N N N Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
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 ProviderRelationsDept@networkmedicalmanagement.com 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
60601 Advantage Health Solutions (Careington) N P D N N N
NMM01 Advantage Medical Group N P CA M/H N N Y Y Customer Service: (626) 282-0288. Please contact ProviderRelationsDept@networkmedicalmanagement.com 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.
43168 Advantica N P D N N N
59374 Advantica Benefits N NP M N N N Y
AHMC1 Advent Health Medical Corporation N P M/H N N N N Customer Service: (844) 615-6686
MPM51 ADVENTIST HEALTH CARE NETWORK, INC 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
J1896 Advocare MCO, Inc N NP All States WC N N N N Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
36320 Advocate Health Centers N P M/H N N Y Y Pre-enrollment required for Electronic Remittance Advice.
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