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
|
|
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
|
|
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.
|
65093
|
Advocate Health Partners
|
N
|
NP
|
IL
|
M/H
|
N
|
N
|
N
|
Y
|
|