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Office Ally Payer List Updates: 2025 Year in Review

OA Editorial Team
,
Publisher
December 15, 2025
OA Editorial Team
,
Publisher
December 15, 2025
Office Ally 2025 Payer List Updates

Office Ally continues to grow its network of available Payers. Throughout 2025, we added new Payers to the Office Ally Payer List and updated transaction and status information to better support our providers and partners.

This year-end summary brings together all of the Payer updates made from March 2025 through November 2025, giving you a single view of how our Payer List has expanded and evolved over the past year. Review the table below to see the Payers that were added or updated, along with their effective dates and any key changes.

View our complete Payer List here.

Payer List Updates - January 2025

January 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
01/01/25 Tricare East (PGBA) 99727 New Payer X X X
01/02/25 ProviDRs Care Networks 48100 Status Change X X
01/03/25 CareSource Arkansas ARCS1 New Transaction X
01/03/25 Common Ground Healthcare Cooperative COMMON New Payer X X
01/03/25 HAP CareSource Michigan Marketplace HAP-CARESOURCE-MIMKT New Payer X X
01/03/25 Highmark Health Options West Virginia RP118 New Transaction X
01/06/25 BCBS Michigan (Dental Only) BBMDQ New Transaction X
01/06/25 Municipal Health Benefit Fund 81883 New Transaction X
01/07/25 Alexian Pace R3471 New Transaction X
01/07/25 Apricus J4517 New Payer X
01/07/25 Ascension Living Hope Pace R3470 New Transaction X
01/07/25 Coastal Care Services 47394 New Transaction X
01/07/25 Consociate Group 37135 New Transaction X
01/07/25 Copperpoint Insurance - CORVEL J4123 New Payer X
01/07/25 El Paso Health Advantage Dual SNP EPF07 New Payer X X
01/07/25 Fox Valley Medicine Site 199 FVMCH New Transaction X
01/07/25 Gonzaba Medical Group GMGSA New Transaction X
01/07/25 HAP Caresource Michigan Marketplace MICS1 New Payer X X
01/07/25 Health First Health Plan HFHP New Transaction X
01/07/25 Hinsdale Physicians Healthcare 37105 New Transaction X
01/07/25 Jordan Valley Senior Care 98471 New Payer X X
01/07/25 Preferred Employers Insurance Company (PEI) J1496 New Payer X
01/07/25 Presence ERC 46311 New Transaction X
01/07/25 Select Benefit Admin 37282 New Transaction X
01/07/25 Sonder Health Plans A0339 New Payer X X
01/07/25 StandardHealth with Health Choice (HCS) RP105 New Payer X X
01/07/25 United American Insurance Company 92916 New Transaction X
01/07/25 Washington National Insurance COmpany 70319 New Transaction X
01/08/25 Automated Group Admin 37280 New Transaction X
01/08/25 My Patient Prepaid PREPD New Payer X X X
01/14/25 Colonial Penn 37077 New Payer X X
01/14/25 Gary and Mary West Pace GMWP1 New Payer X X
01/14/25 Innermark TPA 98481 New Payer X X
01/16/25 Christus Health - USFHP 90551 New Payer X X X
01/16/25 Washington National Insurnace Company 9000 New Payer X X
01/17/25 Elite Physicians Group EPG01 New Payer X X
01/23/25 CareCentrix BCBS Michigan 11349 New Payer X X
01/23/25 Spectera UnitedHealthcare Vision SPECTERAV New Payer X
01/27/25 Colonial Penn 37077 New Transaction X
01/27/25 Ultimate Health Plans 77022 New Transaction X
01/28/25 UnitedHealthcare StudentResouces 74227 New Transaction X
01/30/25 Central States Health & Life of Omaha CSOMAHA New Payer X
01/30/25 CHAMPVA/Spina Bifida/Children of Women Vietnam Vets CHAPVA-SBCVV New Payer X
01/31/25 Aetna Better Health Nevada ABH-NV New Payer X
01/31/25 Aflac Dental AFLACD New Payer X
01/31/25 Medicare y Mucho Mas MMM New Payer X
01/31/25 Metlife Family Dental METLIFED New Payer X
01/31/25 Pan America Life Insurance PALI New Payer X
01/31/25 Simply Healthcare - Long Term Care SIMPLY-LTC New Payer X
01/31/25 Tricare East TREST Status Change X X
Payer List Updates - February 2025

February 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
02/04/25 HEALTHLINK HEALTHLINK New Payer X X
02/06/25 Adventist Health System West 95340 New Transaction X
02/06/25 Amida Care 79966 New Transaction X
02/06/25 Assurant Health Self Funded Allied 75068 New Transaction X
02/06/25 Global Health GHOKC New Transaction X
02/06/25 Harvard Community Health Plan 4245 New Transaction X
02/06/25 INDECS Corporation 40585 New Transaction X
02/06/25 Medica2 12422 New Transaction X
02/06/25 Reserve National Insurnace 73066 New Transaction X
02/06/25 Total Plan Concepts 80900 New Transaction X
02/10/25 Antidote Health Plan IHS05 New Payer X X
02/10/25 Aspirus Medicare Advantage 36483 New Payer X X
02/10/25 Corporate Plan Management 64270 New Payer X X
02/10/25 LWP Claims Solutions, Inc J2322 New Payer X
02/10/25 Markel J2321 New Payer X
02/10/25 StarMed Administrators IHS08 Name Change X X
02/11/25 InnovAge INNOV New Payer X X
02/12/25 Neighborhood Health Plan of Rhode Island 5047 New Transaction X
02/14/25 American Health Adovantage of PA PA901 New Payor X X
02/14/25 Wester National Mutual Insurance Group J1495 New Payer X
02/17/25 Aspirus Medicare Advantage 36483 New Transaction X
02/17/25 Corporate Plan Management 64270 New Transaction X
02/19/25 Keystone First VIP Choice 77741 New Transaction X
02/19/25 Principal Life Insurance 61271 New Transaction X
02/19/25 Professional Claims Mngmt 37242 New Transaction X
02/19/25 Quick Trip Corporation 73067 New Transaction X
02/20/25 Delta Dental of Tennessee (Dental) DDPTN New Payer X
02/20/25 Healthy Blue Kansas 47 New Payer X X
02/24/25 Bardavon Health Innovations J2334 New Payer X
02/24/25 Contra Costa Health Plan CONTRA New Payer X
02/24/25 Eastern Alliance J2143 New Payer X
02/24/25 Family Choice Medical Services FCMS2 New Payer X X X
02/24/25 Manhattan Life Insurance & Annuity 28148 New Payer X X
02/25/25 Rios Southwest Medical Group RIOS1 New Transaction X
02/28/25 Hawaii Medical Assurance Assoc 48330 Payer ID X X
Payer List Updates - March 2025

March 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
03/03/25 BCBS South Carolina Medicare Advantage 00C63 New Payer X X
03/03/25 Benetech J4251 New Payer X
03/03/25 Wright Risk Management J4177 New Payer X
03/04/25 Medicaid Illinois ILMCD Payer ID X
03/05/25 Florida Health Administration 86753 New Transaction X
03/07/25 Access Health Plans 91026 New Payer X X
03/07/25 Array Health IHS27 New Payer X X
03/07/25 BCBS Louisiana 53120 Payer ID X
03/07/25 Community Preferred Healthcare (AHN-TPHS) IHS28 New Payer X X
03/07/25 Dupage Medical Group DMG01 New Transaction X
03/07/25 EyeMed 31165 New Payer X
03/07/25 MyPhysicianPlan MPPCL New Payer X X
03/07/25 SPNet Integra Group J4041 New Payer X
03/07/25 TRU Community Care TRUCO New Payer X X X
03/10/25 Medicaid Oklahome OKMCD Payer ID X
03/11/25 Centers Plan of Healthy Living CPHL1 New Transaction X
03/12/25 BCBS New Jersey (Horizon) 10104 New Transaction X
03/12/25 Clover Health LLC CLOVER Reactivated Payer X
03/12/25 Fidelis Care New Jersey FIDELIS-NJ New Payer X X
03/12/25 Horizon NJ Health HORIZON-NJ-HEALTH New Transaction X
03/12/25 Prominence Health Plan of Texas 80095 New Transaction X
03/12/25 Summacare Health Plan HMO 95202 New Transaction X
03/13/25 Denti-Cal/Medi-Cal Dental 94146 New Transaction X
03/14/25 Delta Dental Ins. Co. - Alabama DDAL1 New Payer X
03/14/25 United Concordia Companies, Inc. - DENTAL 89070 New Payer X
03/14/25 United Concordia Federal Employees Program - DENTAL UCFEP New Payer X
03/16/25 Healthy Blue South Carolina 00403 Reactivated Payer X
03/20/25 BCBS Colorado (Athem) 00050 Payer Transaction X
03/20/25 BCBS Virginia (Athem) 10049 Payer Transaction X
03/24/25 Health Advantages MSO HAMSO New Payer X X
03/24/25 Rios Health Plan RHPCA New Payer X X
03/25/25 MAPFRE Puerto Rico 46000 New Payer X X
03/25/25 Medlytix LLC MEDLX New Payer X X
03/25/25 Molina Healthcare of California 00222 Reactivated Payer X
03/28/25 Vermont School Board Insurance Trust J4612 New Payer X
Yearly Review - April

April 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
04/03/25 Align Senior Care (MI) ASMI1 New Transaction X
04/03/25 Employee Benefit Con Inc 37257 New Payer X X X
04/03/25 Triple S Advantage 973MA New Payer X
04/07/25 BCBS Mississippi 230 New Transaction X
04/07/25 EOB TPA TBL38 New Payer X X
04/07/25 Frontier Direct IHS14 Name Change X X
04/07/25 PACE of the Triad TR101 New Payer X X X
04/10/25 Amada Health Alameda AMDA3 New Payer X X X
04/10/25 Choice Physicians Network Amada Health Alameda CPNA3 New Payer X X X
04/15/25 JP Farley Corporation 34136 New Payer X X
04/15/25 Loyal American Life Medicare Supp 13193 New Payer X X
04/15/25 QBE - General Casualty - Sun Prairie J1489 New Payer X
04/15/25 The Boon Group BOONG New Payer X X
04/18/25 NXT IPA - Guidant NXT01 New Payer X X
04/21/25 Brand New Day BRAND-NEW New Payer X
04/28/25 Fallon Community Health Plan FALLN New Transaction X
04/28/25 Health First Health Plans 95019 New Transaction X
04/29/25 Medicaid New Mexico NMMCD New Transaction X
04/30/25 AARP by UnitedHealthcare 36273 New Transaction X
04/30/25 Absolute Total Care (Centene) ABSOLUTE-TOTAL New Transaction X
04/30/25 AMBETTER (Centene) AMBETTER New Transaction X
04/30/25 Arizona Complete Care (Centene) AZCOMPLETE New Transaction X
04/30/25 Arkansas Total Care (Centene) ARTOTAL New Transaction X
04/30/25 Bridgeway Health Solutions (Centene) BRIDGEWAY New Transaction X
04/30/25 Buckeye Community Health (Centene) BUCKEYE-CH New Transaction X
04/30/25 California Health and Wellness (Centene) CAHLTH New Transaction X
04/30/25 Care 1st Health Plan Arizona (Centene) CARE1ST-AZ New Transaction X
04/30/25 Carolina Complete (Centene) CAROLINA-COMPLETE New Transaction X
04/30/25 Celticare Health Plan (Centene) CELTICARE New Transaction X
04/30/25 Centene Medicare CENTENE-MEDICARE New Transaction X
04/30/25 Coordinated Care (Centene) COORDINATED-CARE New Transaction X
04/30/25 Deleware First Health (Centene) DEFIRST New Transaction X
04/30/25 Granite State (Centene) GRANITE New Transaction X
04/30/25 Home State Health Plan (Centene) HOMESTATE New Transaction X
04/30/25 Illinicare Health Plan (Centene) ILLINICARE New Transaction X
04/30/25 Iowa Total Care (Centene) IATOTAL New Transaction X
04/30/25 Louisiana Healthcare Connections (Centene) LAHLTH New Transaction X
04/30/25 Magnolia Health (Centene) MAGNOLIA New Transaction X
04/30/25 Managed Health Services Indiana (Centene) MHSIN New Transaction X
04/30/25 Managed Health Services Wisconsin (Centene) MHSWI New Transaction X
04/30/25 Michigan Complete Health (Centene) MICHIGAN-COMPLETE New Transaction X
04/30/25 Nebraska Total Care (Centene) NETOTAL New Transaction X
04/30/25 New Hampshire Healthy Families (Centene) NH-HLTHFAM New Transaction X
04/30/25 NovaSys Health (Centene) NOVASYS New Transaction X
04/30/25 Oklahoma Complete Health (Centene) OKLAHOMA-CH New Transaction X
04/30/25 Peach State Health Plan (Centene) PEACH New Transaction X
04/30/25 Pennsylvania Health and Wellness (Centene) PAHLTH New Transaction X
04/30/25 SilverSummit Healthplan SILVER New Transaction X
04/30/25 Sunflower State (Centene) SUNFLOWER New Transaction X
04/30/25 Superior Health Plan (Centene) SUPERIOR New Transaction X
04/30/25 TPHN - Verda 98603 New Payer X X
04/30/25 Trillium Community Health Plan (Centene) TRILLIUM New Transaction X
04/30/25 Wellcare by Allwell (Centene) ASCENSION-COMPLETE New Transaction X
04/30/25 Wellcare by Allwell (Centene) WELLCARE-ALL New Transaction X
04/30/25 Wellcare by Health Net (Centene) WELLCARE-HEALTHNET New Transaction X
04/30/25 Wellcare by Trillium Advantage (Centene) WELLCARE-TRILL-ADV New Transaction X
04/30/25 Western Sky Community Care (Centene) WESTERNSCC New Transaction X
Payer List Updates - May 2025

May 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
05/01/25 BCBS Alabama (Institutional) BCBSAL-CSIN New Transaction X
05/01/25 BCBS Alabama (Professional) BCBSAL-CSPROF New Transaction X
05/01/25 BCBS Arkansas BCBSAR New Transaction X
05/01/25 BCBS Connecticut (Anthem) 10030 New Transaction X
05/01/25 BCBS Empire New York BCBS-EMPIRE-NY New Transaction X
05/01/25 BCBS Florida (Florida Blue) BCBSF New Transaction X
05/01/25 BCBS Florida Medicare Advantage (Florida Blue) BCBSFL-MEDADV New Transaction X
05/01/25 BCBS Georgia (Anthem) 10032 New Transaction X
05/01/25 BCBS Illinois (HCSC) 10088 New Transaction X
05/01/25 BCBS Illinois Medicare Advantage (HCSC) BCBSIL-MEDADV New Transaction X
05/01/25 BCBS Indiana (Anthem) 10258 New Transaction X
05/01/25 BCBS Iowa BCBSIA New Transaction X
05/01/25 BCBS Kansas City 13111 New Transaction X
05/01/25 BCBS Kentucky (Anthem) 10259 New Transaction X
05/01/25 BCBS Maine (Anthem) 10036 New Transaction X
05/01/25 BCBS Maryland Medicare Advantage (CareFirst) BCBSMD-MEDADV New Transaction X
05/01/25 BCBS Medicaid Ohio (Anthem) ANTHEM-OHMCD New Transaction X
05/01/25 BCBS Mississippi 10099 New Transaction X
05/01/25 BCBS Missouri (Anthem) 10322 New Transaction X
05/01/25 BCBS Montana (HCSC) 11144 New Transaction X
05/01/25 BCBS Montana Medicare Advantage (HCSC) BCBSMT-MEDADV New Transaction X
05/01/25 BCBS Nebraska 10101 New Transaction X
05/01/25 BCBS Nevada (Anthem) 10260 New Transaction X
05/01/25 BCBS New Hampshire (Anthem) 10261 New Transaction X
05/01/25 BCBS New Mexico (HCSC) 10105 New Transaction X
05/01/25 BCBS New Mexico Medicare Advantage (HCSC) BCBSNM-MEDADV New Transaction X
05/01/25 BCBS Ohio (Anthem) 10044 New Transaction X
05/01/25 BCBS Oklahoma (HCSC) 11150 New Transaction X
05/01/25 BCBS Oklahoma Medicare Advantage (HCSC) BCBSOK-MEDADV New Transaction X
05/01/25 BCBS South Dakota 11153 New Transaction X
05/01/25 BCBS Texas Medicaid STAR CHIP BCBSTX-STRCHP New Transaction X
05/01/25 BCBS Texas Medicaid STAR Kids BCBSTX-STRKID New Transaction X
05/01/25 BCBS Texas Medicre Advantage (HCSC) BCSCTX-MEDADV New Transaction X
05/01/25 BCBS Wisconsin (Athem) 10117 New Transaction X
05/01/25 BCBSMN Blue Plus Medicaid BCBSMN-BPM New Transaction X
05/01/25 Blue Cross Community Centennial (BCBS NM) BCBS-COMMCENT New Transaction X
05/01/25 Denver Health and Authority 84133 Enrollment Update X
05/01/25 Golden Physicians Medical Group GPMG2 New Transaction X X X X
05/01/25 Loma Linda Medical Center 95352 New Payer X X
05/01/25 MBA TPA 52682 New Payer X X
05/01/25 Mercy Physicians Medical Group (MPMG) PROSP Pay ID X X
05/01/25 New York Network Management 11334 New Transaction X
05/01/25 Sedgwick Managed Care Ohio J4426 New Payer X
05/02/25 BCBS New York - Excellus (Central Region) 12963 New Transaction X
05/02/25 BCBS New York - Excellus (Rochester Region) 12967 New Transaction X
05/02/25 BCBS New York - Excellus (Uthica Watertown Region) 12968 New Transaction X
05/03/25 Partners Behavioral Health of NC 13141 New Transaction X
05/05/25 Advantage by Bridgeway Health Solutions ADVBHS New Transaction X
05/05/25 BCBS Pennsylvania Northeast BCBSPA-NE New Transaction X
05/05/25 BCBS Rhode Island 10111 New Transaction X
05/05/25 BCBS Tennessee 10113 New Transaction X
05/05/25 BCBS Vivity (Anthem) BCBS-VIVITY New Transaction X
05/05/25 BCBS Western New York (Highmark) 00246 New Transaction X
05/05/25 BCBS Western New York Medicaid/CHP BCBSWNY-MCD New Transaction X
05/05/25 Blue Medicare Advantage (Anthem) BLUE-MA New Transaction X
05/06/25 Aflac Medicare Supplement AFLAC-MEDSUPP New Transaction X
05/06/25 Allegiance Benefit Plan Management Inc. ABPM New Transaction X
05/06/25 Allina Health Aetna ALLINA New Transaction X
05/06/25 American Family Insurance AMFAMI New Transaction X
05/06/25 American General Life & Accident AMGEN New Transaction X
05/07/25 Point C IHS29 New Payer X X
05/07/25 Western Health Advantage WESTERN-HA New Payer X
05/08/25 All United Medical Group - Guidant AUMG3 New Payer X X
05/08/25 Central Alliance Physicians - Guidant CAP01 New Payer X X
05/08/25 Community Alliance Medical Group - Guidant CAMG1 New Payer X X
05/12/25 Maryland Public Behavioral Health System BHOMD New Transaction X
05/12/25 Medico Insurance 23160 New Transaction X
05/13/25 InPhysician Associates - Guidant INPA2 New Payer X X
05/14/25 Admin One LLC 87871 New Payer X X
05/14/25 BoldAge Pace CA Fresno 65436 New Payer X X
05/14/25 Boldage Pace IN Evansville 65433 New Payer X X
05/14/25 Boldage Pace KY Owensboro 65435 New Payer X X
05/14/25 Highmark Health Options Dual 47183 New Payer X X
05/14/25 New York City Transit (New York MTA) - CORVEL J4191 New Payer X
05/14/25 New York Department of Sanitation DSNY J4219 New Payer X
05/14/25 Southland Benefit Solutions, LLC (Canopy Vision) V4793 New Payer X
05/16/25 Innova IPA INVO1 New Payer X X
05/20/25 InnovAge 31182 Payer ID Change X
05/20/25 Medicaid California (MEDI-CAL) CAMCD New Payer X
05/20/25 Mercy Care Health Plans WI IL 39114 New Transaction X
05/21/25 Pacific Senior Medical Group PSMG1 New Payer X X
05/22/25 For Your Benefit FYB01 New Payer X X
05/22/25 Medicaid Massachuestts MCDMA New Transaction X
05/23/25 Physicians Mutual Insurance Company 47027 New Transaction X
05/27/25 LA Care Health Plan LACARE New Transaction X
05/30/25 Ace Property Casualty Ins Medi Sup 96821 Enrollment Update X
05/30/25 American National Medi Sup S4048 Enrollment Update X
05/30/25 Americo Fin Life Annu Ins Medi Sup 26509 Enrollment Update X
05/30/25 Boldage Pace SC Charleston 65434 New Payer X X
05/30/25 Central States Hlth Omaha Medi Sup 96478 Enrollment Update X
05/30/25 Central States Indemnity Medi Sup 95701 Enrollment Update X
05/30/25 Country Financial Medicare Sup 95705 Enrollment Update X
05/30/25 Crum Forster Medicare Supplement 96618 Enrollment Update X
05/30/25 CSI Life Ins Company Medi Sup 95707 Enrollment Update X
05/30/25 East Boston Neighborhood Pace 25849 New Payer X X
05/30/25 Elips Life Ins Company Medi Sup 96801 Enrollment Update X
05/30/25 Erie Insurance Medicare Supplement 96486 Enrollment Update X
05/30/25 Everest Medicare Supplement 96529 Enrollment Update X
05/30/25 Great Southern Life Ins Medi Sup 96477 Enrollment Update X
05/30/25 KSKJ Life Medicare Supplement 95791 Enrollment Update X
05/30/25 Lumico Life Ins Medicare Supplement 96364 Enrollment Update X
05/30/25 Medica Medicare Supplement 96559 Enrollment Update X
05/30/25 MedMutual Protect Medi Supplement 96554 Enrollment Update X
05/30/25 Monitor Life Medicare Supplement 98244 Enrollment Update X
05/30/25 Prescient National Insurance Services J4095 New Payer X
05/30/25 Principal Fin Grp Medi Sup Vision S1271 Enrollment Update X
05/30/25 Prosperity Life Group Medi Sup 95721 Enrollment Update X
05/30/25 Royal Neighbors America Medi Sup 95720 Enrollment Update X
05/30/25 Signal Insurance J3792 New Payer X
Payer List Updates - June 2025

June 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
06/09/25 Bridgespan BRIDGESPAN New Transaction X
06/09/25 Capital Health Plan CAP-HEALTH New Transaction X
06/09/25 Care N' Care CARE-N-CARE New Transaction X
06/09/25 CareCentrix BCBS Michigan 11349 New Transaction X
06/09/25 CareSource Arkansas CARESOURCE-AR New Transaction X
06/09/25 CareSource North Carolina CARESOURCE-NC New Transaction X
06/09/25 CareSource of Indiana CARESOURCE-IN New Transaction X
06/09/25 CareSource West Virginia CARESOURCE-WV New Transaction X
06/09/25 Clear Health Alliance CLEAR New Transaction X
06/09/25 Colorado Community Health Alliance COCHA New Transaction X
06/09/25 Country Care Health Plan COUNTYCARE New Transaction X
06/09/25 Devoted Health DEVOTED New Transaction X
06/09/25 Empower Arkansas EMPOWER-AR New Transaction X
06/09/25 Harmony Health Plan HARMONY New Transaction X
06/09/25 Healthcare Management Administrators (HMA) HEALTHCARE-MGMT-ADMIN New Transaction X
06/09/25 Healthease HEALTHEASE New Transaction X
06/09/25 Healthease Kids HEALTHEASE-KIDS New Transaction X
06/10/25 Healthy Blue Dual Advantage Louisiana HEALTHY-BLUE-DA-LA New Transaction X
06/10/25 Health Blue LA HEALTHY-BLUE-LA New Transaction X
06/10/25 Healthy Blue Missouri HEALTHY-BLUE-MO New Transaction X
06/10/25 Healthy Blue North Carolina HEALTHY-BLUE-NC New Transaction X
06/10/25 Johns Hopkins Health Advantage JH-HEALTHADV New Transaction X
06/10/25 Johns Hopkins Healthcare JOHNS-HOPKINS-HC New Transaction X
06/10/25 LifeWise Assurance Company LIFEWISE-ASSURANCE-CO New Transaction X
06/10/25 Maine Community Health Options ME-COMMUNITY-HEALTH New Transaction X
06/10/25 Maryland Physicians Care MD-PHYSIIANS-CARE New Transaction X
06/10/25 Medica Government Programs MEDICA-GOV New Transaction X
06/10/25 Medica Health Plan Solutions 71890 New Transaction X
06/10/25 Medica Individual and Family (IFB) MEDICA-IFB New Transaction X
06/16/25 Highview National Insurance Company J4589 New Payer X
06/16/25 MedMgr MSO, Inc. MMM88 New Payer X X X
06/17/25 CHRISTUS Health Plan Texas HIX 52106 New Transaction X
06/17/25 East Boston Neighborhood Pace 25849 New Transaction X
06/18/25 Health Choice Utah HLTHCHOICE-UT New Payer X X
06/18/25 Martin's Point Health Care MPHC Payer ID X
06/20/25 Elderhaus Inc 64192 New Payer X X
06/20/25 XO Health XO125 New Payer X X
06/24/25 Cinqcare Connect LLC CINQ1 New Payer X
06/24/25 XO Health XO125 New Transaction X
06/25/25 Braven Health BRAVEN New Transaction X
06/25/25 Capital Administrators CAP-ADMIN New Transaction X
06/25/25 Care Improvement Plus (CIP) / XL Health CIP New Transaction X
06/25/25 CareSource Humana KYCS1 New Transaction X
06/25/25 CareSource of Georgia CARESOURCE-GA New Transaction X
06/27/25 CHAMPVA 84146 New Transaction X
06/27/25 Community Health Choice 48145 New Transaction X
06/27/25 Employee Benefits Management Services (EBMS) 81039 New Transaction X
06/27/25 Essence Healthcare ESSNC New Transaction X
06/30/25 HealthFirst of New York HF1NY New Transaction X
06/30/25 Medica HealthCare Plan of Florida 78857 New Transaction X
06/30/25 Pacific Source Health Plan 10375 New Transaction X
06/30/25 Preferred Care Partners - Florida 65088 New Transaction X
Payer List Updates - July 2025

July 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
07/01/25 Aetna Better Health Michigan 128MI New Transaction X
07/01/25 Aetna Better Health New Jersy 46320 New Transaction X
07/01/25 Aetna Better Health Ohio 50023 New Transaction X
07/01/25 Aetna Better Health Virginia 128VA New Transaction X
07/01/25 Aetna Illinois Medicaid 26337 New Transaction X
07/01/25 Humana Dental HUMANA-DENTAL New Payer X X
07/01/25 Mercy Care Advantage 86052 New Transaction X
07/01/25 Paramount IPA HSMO1 Payer ID X X
07/01/25 Student Resources (UnitedHealthcare) 74227 New Transaction X
07/01/25 Truli for Health TRULI New Transaction X
07/01/25 UnitedHealthcare Community Plan - Kansas (KanCare) 96385 New Transaction X
07/01/25 UnitedHealthcare Community Plan - Tennessee 95378 New Transaction X
07/01/25 WPS Health Insurance 10878 New Transaction X
07/02/25 Adventist Health System ADVENTIST New Payer X
07/02/25 Cenpatico Behavioral Health CENPATICO-BH New Transaction X
07/02/25 Centivo CENTIVO New Transaction X
07/02/25 Christian Care Ministries (Medishare) CHRISTIAN-CARE New Transaction X
07/02/25 Commonwealth Care Alliance (CCA) CCA New Transaction X
07/02/25 Community Health Choice - Health Insurance Marketplace CHC-HIM New Transaction X
07/02/25 Connecticare 10164 New Transaction X
07/02/25 Definity DEFINITY New Transaction X
07/02/25 Diversified Administration Corporation DIVERS-ADMIN New Transaction X
07/02/25 Everence EVER New Transaction X
07/02/25 Farm Bureau Health Plans FARM-BUREAU New Transaction X
07/02/25 Farm Breau Health Plans MAPD FARM-MAPD New Transaction X
07/02/25 First Ameritas of NY FIRST-AMER-NY New Transaction X
07/02/25 Insurance Company of North America 95722 New Payer X
07/02/25 Lumico Life Insurance LUMICO New Payer X
07/03/25 Health Services for Chidren with Special Needs HSCSN New Transaction X
07/03/25 HealthChoice Dept of Corrections & Rehab HEALTHCHOICE-DCR New Transaction X
07/03/25 Highmark Health Options HHO New Transaction X
07/03/25 HMA Hawaii HMA-HI New Transaction X
07/03/25 Imagine 360 Administrators (GPA) IMAGINE-360 New Transaction X
07/03/25 Independent Health 10368 New Transaction X
07/03/25 Innovation Health (Aetna) INNOVATION-HEALTH New Transaction X
07/03/25 Integra Administrative Group INTEGRA New Transaction X
07/03/25 LifeWise Healthplan of Washington (Premera) LIFEWISE-WA New Transaction X
07/03/25 Magellan Behavioral Health Services 11991 New Transaction X
07/03/25 Metro Plus Health Plan METRO-PLUS New Transaction X
07/03/25 Metropolitan Property and Casualty Insurance Company METRO-PC New Transaction X
07/03/25 Michael Reese (HMO) MREESE New Transaction X
07/03/25 Missouri Health Plan (Community & State) MOHPCS New Transaction X
07/07/25 BoldAge PACE BOLD1 New Payer X X
07/07/25 Franciscan Senior Health & Wellness FSHW1 New Payer X X
07/07/25 Mutual Health Services MUTUAL-HEALTH New Transaction X
07/07/25 Mutual of Omaha 10498 New Transaction X
07/07/25 Mutually Preferred MUTUALLY-PREF New Transaction X
07/07/25 myPlace Health MPH01 New Payer X X
07/07/25 Neighborhood Health Partnership NEIGHBORHOOD-HP New Transaction X
07/07/25 NextBlue NEXTBLUE New Transaction X
07/07/25 Ochsner Health Plan OCHSNER New Transaction X
07/07/25 Optum United Health Behavioral Solutions OPTUM-UNITED-BH New Transaction X
07/07/25 Oxford Life Insurance Company OXFORD-LIFE New Transaction X
07/07/25 Peak Health PEAKHLTH New Transaction X
07/07/25 Prime Health Golden Pear J4171 New Payer X
07/07/25 Prominence Healthfirst Florida PHFFL New Transaction X
07/07/25 Providence Health Plan PROHP New Transaction X
07/07/25 Regence Group Administrators RGA New Transaction X
07/07/25 Simply Health Care Plan SIMPLY New Transaction X
07/07/25 Staywell Health Plan STAYWELL New Transaction X
07/07/25 Staywell Health Plan Kids STAYWELL-KIDS New Transaction X
07/07/25 Summit Community Care SUMMIT-COMM New Transaction X
07/07/25 Surest Health Plan SUREST-HP New Transaction X
07/07/25 The Boon Group BOON New Transaction X
07/07/25 Todays Health TODAYS-HEALTH New Transaction X
07/07/25 Todays Options TODAYS-OPTIONS New Transaction X
07/07/25 Tricare for Life 12807 New Transaction X
07/07/25 Tricare Overseas 12810 New Transaction X
07/07/25 Tricare West 10747 New Transaction X
07/07/25 Umwa Health & Retirement Funds UMWA New Transaction X
07/07/25 Unicare UNICARE New Transaction X
07/07/25 United Healthcare Nevada Market UNC-NV-MKT New Transaction X
07/07/25 United HealthOne/Golden Rule 37602 New Transaction X
07/07/25 United of Omaha UNITED-OMAHA New Transaction X
07/07/25 UnitedHealthcare / All Savers Insurance ALLSAVERS New Transaction X
07/07/25 UnitedHealthcare / Definity Health Plan UHC-DEFINITY New Transaction X
07/07/25 UnitedHealthcare / UnitedHealthcare Plan of the River Valley UHC-RIVER New Transaction X
07/08/25 UnitedHealthcare Community Care - Arizona 03432 New Transaction X
07/08/25 UnitedHealthcare Community Plan (AmeriChoice PA PCP) UHC-CP-PAPCP New Transaction X
07/08/25 UnitedHealthcare Community Plan - New Jersey 86047 New Transaction X
07/08/25 UnitedHealthcare Community Plan of Missouri 86050 New Transaction X
07/08/25 UnitedHealthcare Medicare Solutions / Chronic Complete UHC-MS-CC New Transaction X
07/08/25 UnitedHealthcare Medicare Solutions / MedicareComplete UHN-MS-MC New Transaction X
07/08/25 USFHP - St. Vincent Catholic Medical Centers of New York STVIN New Transaction X
07/08/25 VNS Choice (NY) VNC-CHOICE New Transaction X
07/08/25 Web TPA / Community Health Eletronic Claims / CHEC WEBTPA New Transaction X
07/08/25 Wellcare Health Plans 10868 New Transaction X
07/09/25 Food Lion Delhaize J1879 New Payer X
07/09/25 Futurecomp J3353 New Payer X
07/09//25 Paramount Health Care SX158 New Transaction X
07/09/25 Peoples Health Network PEOPLESHN New Transaction X
07/11/25 Dean Health Plan DEANH News Transaction X
07/11/25 Direct Pay Provider Network J4156 New Payer X
07/11/25 ElderPlan Inc. ELDER New Transaction X
07/11/25 Evergreen Health Cooperative 93240 New Transaction X
07/11/25 GHI Emblem Health EMBLM New Transaction X
07/11/25 Health Alliance Medical Plan of Illinois HAMP-IL New Transaction X
07/11/25 Health Net National 00213 New Transaction X
07/11/25 Health Partners Pennsylvania HPART New Transaction X
07/11/25 Magnacare 10867 New Transaction X
07/11/25 Quartz QUARTZ New Transaction X
07/11/25 Standard Life & Accident Insurance Company SLAIC New Transaction X
07/11/25 Union Pacific Railroad 87042 New Payer X X
07/11/25 UnitedHealthcare / UnitedHealthcare West (PacifiCare) UHC-WEST News Transaction X
07/11/25 UnitedHealthOne / UnitedHealthcare Life Insurance Company UHC-LIFE New Transaction X
07/11/25 Univera UNIVERA New Transaction X
07/11/25 Vantage Health Plan, Inc. VHPLA New Transaction X
07/11/25 Zing Health ZING New Transaction X
07/13/25 Superior Vision Services 13305 New Payer X
07/14/25 Healthy Mississippi 99914 New Payer X X
07/14/25 Innovative Partners LP 32324 New Payer X X
07/14/25 Molina Ohio Medicaid MOLINA-OHMCD New Transaction X
07/14/25 MVP Health Plan MVP-HP New Transaction X
07/14/25 Partnership HealthPlan of California PHPCA New Transaction X
07/14/25 Physicians Mutual Insurance Company PMICO New Transaction X
07/15/25 Lummi Indian Business Council (PRC) LUMMI New Payer X X X
07/16/25 HealthTeam Advantage HTADV New Payer X
07/16/25 Wellmed WELM2 New Payer X
07/17/25 AmeriHealth Caritas Delaware AMH-CARITAS-DE New Transaction X
07/17/25 AmeriHealth Caritas VIP Care - Delaware DNSP AMH-CARITAS-VIPDE New Transaction X
07/17/25 Mountain Health Co-op MHCOOP New Transaction X
07/17/25 MyPatient Funds FUNDS New Payer X X X
07/17/25 Pruitt Health Previer PRUITT New Payer X
07/18/25 Molina Healthcare of Iowa MLNA-IA New Payer X
07/18/25 NorthBay Health NB123 New Payer X X X
07/22/25 Eylea4u Commercial Copay Card Program 61461 New Payer X X
07/22/25 Jefferson Health Plus RP099 New Payer X X
07/22/25 Keystone First Chip 30070 New Payer X X
07/22/25 Mississippi TrueCare MSTRC New Payer X X X
07/23/25 Continental General Insurance Company - Medicare Supplement CGIMS Reactivated Payer X
07/24/25 ArchCare Senior Life R3495 New Payer X X X
07/24/25 Arizona Priority Care Plus AZPCP New Transaction X
07/24/25 Peak Benefit Administrators IHS41 New Payer X X
07/30/25 EyeQuest 63740 Reactivated Payer X
07/31/25 UCSD Managed Care UCSDH New Payer X X X
Payer List Updates - August 2025

August 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
08/01/25 Administrative Concepts Inc. ADMIN-CONCEPTS New Transaction X
08/01/25 Beta Healthcare J4357 New Payer X
08/01/25 Central California Alliance for Health 10884 New Transaction X
08/01/25 Delta Dental of Minnesota DDMN New Payer X
08/01/25 First Choice Next 57103 New Payer X X
08/01/25 Firstcare and Firstcare Medicaid FIRST-CARE Reactivated Payer X
08/01/25 Heraya Health HRYA1 New Payer X X X X
08/01/25 Student Insurance STUINS New Payer X
08/04/25 Blue Cross Community Health Plans 66102 Payer ID X X X
08/08/25 Medicaid Louisiana Medicare Advantage MCALA New Payer X X X
08/11/25 Easterseals Southern California Inc ESSCA New Payer X
08/12/25 PHCS Savility PHCS New Payer X
08/12/28 Tricare East 13590 New Transaction X
08/12/25 TrueCare Mississippi Medicaid TCMM New Payer X X
08/13/25 Applied Risk Services J2450 New Payer X
08/13/25 Edenbridge PACE of West Baltimore R3491 New Payer X X
08/13/25 HealthChoice Oklahoma HCOK New Transaction X
08/13/25 Lancaster General Health 16109 Reactivated Payer X X
08/13/25 Omaha National J3805 New Payer X
08/13/25 Preferred Health Care PHC 33898 Reactived Payer X X
08/15/25 High Desert Medical Group HDMDG New Transaction X
08/15/25 Martin's Point Health Care MPHC New Transaction X
08/18/25 Care to Care 41222 New Payer X X
08/18/25 Insurance Design Administrators - 13315 13315 New Payer X X
08/18/25 Pegasus Medical Group (Regeal) SMG01 New Transaction X
08/18/25 Tres Health 32396 New Payer X X
08/22/25 Molina Healthcare of Virginia MLNA-VA New Payer X
08/25/25 Complete Care Medical Associates CCMA1 New Payer X X
08/25/25 New York City Police Department J4383 New Payer X
08/25/25 Ochsner Health Plan A5236 New Payer X X
08/25/25 Safe TPA J3770 New Payer X
08/26/25 American Health Advantage of Indiana RP115 New Payer X X
08/26/25 American Health Advantage of LA 83247 Payer ID X X
08/26/25 First Choice VIP Care SC 32456 New Payer X X X
08/26/25 Imperial Health Holdings Medical Group IHHMG New Transaction X
08/27/25 Advanced Rehab Network J4440 New Payer X
08/27/25 New York Housing Authority J4722 New Payer X
08/27/25 PAYCHEX Inc J4726 New Payer X
08/27/25 PFIZER Inc J4727 New Payer X
08/27/25 STARR Copanies J4724 New Payer X
08/27/25 STARR Risk Management General Casualty J4725 New Payer X
08/27/25 Wellpath Recovery Solutions LLC J4728 New Payer X
Payer List Updates - September 2025

September 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
09/01/25 High Desert PACE HDP01 New Payer X X
09/02/25 M3TPA LLC M3TPA New Payer X X
09/02/25 Pool Administrators Oregon Primary PAOR1 New Payer X
09/02/25 Pool Administrators Oregon Secondary PAOR2 New Payer X
09/02/25 Providence Health Plan Powered by Collective Health 36481 New Payer X
09/03/25 BITCO General Insurance Corp J1579 New Payer X
09/03/25 Brentwood Services Administrators Inc J2297 New Payer X
09/03/25 United Wisconsin Insurance Company J1235 New Payer X
09/04/25 Access to Care Health Plan by Sendero ACHP1 New Payer X X
09/04/25 Ambetter of Delaware (Centene) 68069 New Payer X X X
09/05/25 American Health Advantage of Indiana RP115 New Transaction X
09/05/25 Evernorth Network Services 62350 New Payer X X X X
09/05/25 Healthgram 56144 New Transaction X
09/05/25 Solis Health Plans SOLIS New Transaction X
09/09/25 Delta Dental of California DDCA New Payer X
09/09/25 Delta Dental of Iowa DDIA New Payer X
09/09/25 Delta Dental of Missouri DDMO New Payer X
09/09/25 Delta Dental of Oklahoma DDOK New Payer X
09/09/25 Delta Dental of Virginia DDVA New Payer X
09/09/25 Optimum Medical Associates OMA01 New Payer X X X
09/11/25 First Chicago J3682 New Payer X
09/11/25 Public Employers Risk Management Authority (PERMA) J1623 New Payer X
09/12/25 Care to Care 41222 New Transaction X
09/12/25 Edenbridge PACE of West Baltimore R3491 New Transaction X
09/12/25 Ochsner Health Plan A5236 New Transaction X
09/12/25 Pool Administrators Oregon Professional Primary PAOR1 New Transaction X
09/12/25 Pool Administrators Oregon Professional Secondary PAOR2 New Transaction X
09/12/25 Providence Health Plan Powered by Collective Health 36481 New Transaction X
09/18/25 CareFactor 31074 Reactivated Payer X X
09/18/25 QVI Risk Solutions Inc 57117 Reactivated Payer X X
09/22/25 Buffalo Independent School District J4733 New Payer X
09/22/25 Calhoun County J4736 New Payer X
09/22/25 Chais J4735 New Payer X
09/22/25 City of Simi Valley J4737 New Payer X
09/22/25 Harbor Health Plan HARBR New Payer X X
09/22/25 Llano Independent School District J4732 New Payer X
09/22/25 OMNI Healthcare Financial LLC DBA The Trio Solution J4548 New Payer X
09/22/25 Port Authority of New York & New Jersey J4734 New Payer X
09/22/25 Union Hill Independent School District J4731 New Payer X
09/23/25 AmeriHealth Caritas VIP Care - Delaware DSNP 87406 New Payer X X X
09/23/25 AmeriHealth Caritas VIP Care - Florida DSNP 88232 New Payer X X X
09/23/25 Medical Card System MCS L0170 Reactivated Payer X X
09/26/25 Bay Area Care Partners NMM11 New Transaction X
09/26/25 Provider Partners Health Plan of Indiana 31407 New Payer X X
09/26/25 Reliance Community Care Partners 79846 New Transaction X
09/29/25 Axminster Medical Group STJOE Payer ID X X X
09/29/25 Facey Medical Group STJOE Payer ID X X
09/29/25 Providence Facility Claims STJOE Payer ID X X X
09/29/25 Saint Johns Health Clinic STJOE Payer ID X X X
09/30/25 Erisa Administrative Services 74234 New Transaction X
Payer List Updates - October 2025

October 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
10/01/25 Korean American Medical Group AMM24 New Payer X X
10/02/25 Dean Health Plan (Medica) 41822 New Transaction X
10/02/25 Healthcare Associates of California HAC01 New Payer X X
10/02/25 JUDI Health JUDIH New Transaction X
10/02/25 Leon Health Plans A3565 New Transaction X
10/10/25 Anatomy ANAMY New Transaction X
10/10/25 Merchants Insurance J4008 New Payer X
10/10/25 MMM Multi Health (Reform) 66065 Reactivated Payer X X
10/10/25 Plan de Salud Menonita Vital 66063 Reactivated Payer X X
10/20/25 Accountable Care Management Group, LLC ACMG1 New Payer X X
10/21/25 Idaho State Insurance Fund (ISIF) J4738 New Payer X X
10/21/25 MTA Bridges & Tunnels J4188 New Payer X X
10/22/25 MMM Multi Health (Reform) 66065 Enrollment Update X
10/22/25 Plan de Salud Menonita Vital 66063 Enrollment Update X
10/23/25 MS Administrators IHS42 New Payer X X
Payer List Updates - November 2025

November 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
11/03/25 Kern Health Systems 77039 New Transaction X
11/03/25 Unified Health Plan TPA IHS12 New Transaction X
11/04/25 Globe Life 91472 Enrollment Update X
11/04/25 Globe Life & Accident Insurance 55004 Enrollment Update X
11/04/25 Island Home Insurance Company 85502 New Payer X X
11/04/25 Municipal Health Benefit Fund 81883 Payer ID & New Transaction X X
11/04/25 NextBlue 55892 New Transaction X
11/04/25 Provider Partners Health Plan of Indiana 31407 New Transaction X
11/06/25 Advantage Plus Medical Group APM01 New Payer X X
11/06/25 Empire Healthcare Associates IPA EHA01 New Payer X X
11/06/25 Molina Healthcare of Ohio MLNA-OH Payer ID X
11/12/25 Applied Underwriters J1775 New Payer X
11/12/25 Davis Vision 00157 New Payer X
11/12/25 Enterprise Life Insurance Company 62325 New Payer X X
11/12/25 HALOS Systems HALOS New Payer X X
11/12/15 Lutheran Services Carolinas LSC01 New Payer X X
11/12/25 Mount Sinai Eldercare R3492 New Payer X X
11/12/25 National Vision Administrators NVADM New Payer X X
11/14/25 Florida PACE Broward Country Health Plan FLBPP New Payer X X
11/17/25 Constitution State J4180 New Payer X X
11/17/25 EPIC BB Everest Premier Insurance Co #206 J4014 New Payer X X
11/17/25 Krasdale Foods J4060 New Payer X X
11/17/25 Monroe J4173 New Payer X
11/17/25 Rochester-Genessee Regional Transporation Authority J4739 New Payer X X
11/18/25 Florida School Boards Insurance Trust (FSBIT) J4703 New Payer X X
11/18/25 HomeCare Connect / Paradigm Care at Home J4657 New Payer X
11/18/25 North American Risk Services J4241 New Payer X
11/18/25 PEMCO J4502 New Payer X X
11/18/25 Pinnacol Assurance J4050 New Payer X X
11/18/25 Risico Claims Management J4057 New Payer X
11/20/25 City of Sacramento J4359 New Payer X X
11/20/25 County of Santa Clara J4488 New Payer X X
11/20/25 County of Solano J2108 New Payer X X
11/20/25 Pacific Gas & Electric - 115 J1916 New Payer X
11/20/25 Schools Insurance Authority J2325 New Payer X
11/20/25 Strategic Comp Claims J3972 New Payer X
11/20/25 Trindel Insurnace Fund J1971 New Payer X
11/20/25 Vision Service Plan (VSP) 94163 New Payer X
11/21/25 SECUR Health Plan SECUR New Payer X X
11/26/25 Tethys Health Ventures 20212 New Payer X X
Payer List Updates - December 2025

December 2025

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
12/03/25 Berkley Entertainment J4475 New Payer X X
12/03/25 Western Integrated Care (Benchmark) J4466 New Payer X
12/03/25 Western Integrated Care (WIC) J4005 New Payer X X
12/05/25 Medicaid Iowa SNMIS SNMIS New Payer X X
12/10/25 Savior Physicians Network IPA GCMSO New Payer X X
12/11/25 BCBS Mississippi BCBSMS New Transaction X

OA Editorial Team

Publisher

We are Healthcare's Ally. We are here to support healthcare providers and payers with high-value software solutions that are reliable, affordable, and easy-to-use.

OA Editorial Team

Publisher

We are Healthcare's Ally. We are here to support healthcare providers and payers with high-value software solutions that are reliable, affordable, and easy-to-use.