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Payer List |
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MC PAR |
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***** |
Requires Pre Enrollment |
  
|
|
ALL STATES |
There are no setup or
processing fees for these carriers |
Revised 06/2003 |
|
|
Pre.Enr. |
Payer ID |
Name |
Claims Type |
State |
|
|
***** |
CH002 |
CHAMPUS - Alaska |
Govn't |
AK |
|
|
***** |
CH002 |
CHAMPUS - Alabama |
Govn't |
AL |
|
|
|
87726 |
United HealthCare of Alabama |
Comm |
AL |
|
|
***** |
CH002 |
CHAMPUS - Arkansas - Region 4 |
Govn't |
AR |
|
|
***** |
CH002 |
CHAMPUS- Aizona |
Govn't |
AR |
|
|
|
71063 |
CNA Health Partners (Formerly Coresource, AR) |
Comm |
AR |
|
|
|
62308 |
Healthsource, AR |
Comm |
AR |
|
|
|
62308 |
Healthsource, AR (Medicare HMO) |
Comm |
AR |
|
|
|
87726 |
United HealthCare of Arkansas |
Comm |
AR |
|
|
***** |
|
CHAMPUS - Arizona |
Govn't |
AZ |
|
|
|
61101 |
Lincoln National - Phoenix, AZ (Humana) |
Comm |
AZ |
|
|
|
|
Pacificare of Arizona |
Comm |
AZ |
|
|
|
87726 |
United HealthCare of Arizona, Inc. |
Comm |
AZ |
|
|
***** |
E3510 |
ABMA Medical Corporation |
Comm |
CA |
|
|
|
IP093 |
Affinity (through PPMSI) |
Comm |
CA |
|
|
|
IP080 |
AKM Medical Group |
Comm |
CA |
|
|
***** |
E3510 |
Alta Senior Care |
Comm |
CA |
|
|
***** |
IP080 |
American Family Health Providers |
Comm |
CA |
|
|
|
IP080 |
AMVI |
Comm |
CA |
|
|
|
PROSP |
AMVI/Prospect Health Network (Prospect Medical Group) |
Comm & HMO |
CA |
|
|
|
PROSP |
Angeles IPA (SynerMed) |
Comm & HMO |
CA |
|
|
|
PROSP |
APAC (Pinnacle Health Resources) |
Comm & HMO |
CA |
|
|
***** |
IP080 |
Avalon IPA |
Comm |
CA |
|
|
|
IP080 |
Avalon Medical Group |
Comm |
CA |
|
|
***** |
BC001 |
Blue Cross - California (also has ERA connection) |
Comm |
CA |
|
|
***** |
HM006 |
Blue Cross - California Care - HMO |
Comm |
CA |
|
|
***** |
BC001 |
Blue Cross (Cal-Optima - Medi-Cal) |
Comm |
CA |
|
|
***** |
BS001 |
Blue Shield - California / Blue Shield (FEP) |
Comm |
CA |
|
|
***** |
HM007 |
Blue Shield HMO - HMO |
Comm |
CA |
|
|
***** |
IPO59 |
Calif. Care (Humboldt Del Norte) |
Comm |
CA |
|
|
|
E3510 |
California |
Comm |
CA |
|
|
***** |
BC001 |
Cal-Optima - Medi-Cal (Blue Cross) |
Comm |
CA |
|
|
***** |
IP080 |
Cap Management Systems |
Comm |
CA |
|
|
***** |
IP080 |
Centinela IPA |
Comm |
CA |
|
|
***** |
E3510 |
Central Valley Medical Group |
Comm |
CA |
|
|
***** |
CH002 |
CHAMPUS - California |
Govn't |
CA |
|
|
|
SYNER |
Community Family Care (SynerMed) |
Comm & HMO |
CA |
|
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|
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Community Health Plan |
Comm & HMO |
CA |
|
|
|
DSH01 |
Delta Health Systems |
Comm |
CA |
|
|
***** |
IP079 |
Empire Physicians MG |
Comm |
CA |
|
|
***** |
IP080 |
Exceptional Care Medical |
Comm |
CA |
|
|
***** |
IP017 |
Family / Seniors Medical Group, Inc. (Labs Only) - IPA |
Comm |
CA |
|
|
***** |
IP080 |
Family Choice Medical |
Comm |
CA |
|
|
***** |
IP080 |
Family Health Alliance |
Comm |
CA |
|
|
***** |
FH001 |
Foundation Health |
Comm |
CA |
|
|
***** |
FH002 |
Foundation Health - HMO |
Comm |
CA |
|
|
***** |
FH002 |
Foundation Health Amerimed - HMO |
Comm |
CA |
|
|
***** |
FH002 |
Foundation Health Amerimed Senior - HMO |
Comm |
CA |
|
|
***** |
IP080 |
Freeman IPA |
Comm |
CA |
|
|
|
GTWAY |
Gateway IPA (Pinnacle Health Resources) |
Comm & HMO |
CA |
|
|
***** |
IP062 |
General Hospital (Humboldt Del Norte) |
Comm |
CA |
|
|
***** |
IP087 |
Genesis Healthcare (EMG) |
Comm |
CA |
|
|
***** |
IP086 |
Good Samaritan Medical Practice Association (GSMPA) |
Comm |
CA |
|
|
|
IP080 |
Greater L.A. Health |
Comm |
CA |
|
|
|
IP080 |
Greater San Gabriel |
Comm |
CA |
|
|
|
FH003 |
Health Net (Claims Only) |
Comm |
CA |
|
|
***** |
HM001 |
Health Net (Encounters Only) |
Comm |
CA |
|
|
|
94254 |
Health Plan of the Redwoods (Mediprime) |
Comm |
CA |
|
|
***** |
HIL01 |
Hill Physicians Medical Group |
Comm |
CA |
|
|
***** |
IP080 |
Hollywood Presbyterian |
Comm |
CA |
|
|
|
61101 |
Humana Health Plan - HMO |
Comm |
CA |
|
|
|
61101 |
Humana Medical Plan - CA |
Comm |
CA |
|
|
***** |
IP080 |
Huntington Park Medical Group |
Comm |
CA |
|
|
***** |
IP080 |
Huntington Park Mission |
Comm |
CA |
|
|
***** |
IP089 |
Imperial Valley Medical Group (IMPV) |
Comm |
CA |
|
|
***** |
JMH01 |
John Muir Health Network |
Comm |
CA |
|
|
***** |
HM036 |
Kaiser Permanente (Encounter data only) |
Comm |
CA |
|
|
***** |
KS003 |
Kaiser Permanente (Northern California Only) |
Comm |
CA |
|
|
***** |
KS001 |
Kaiser Permanente (Southern California Only) |
Comm |
CA |
|
|
***** |
IP082 |
Key Medical Group |
Comm |
CA |
|
|
***** |
HM039 |
LA Care - Encounter data only |
Comm |
CA |
|
|
|
95416 |
Lakeside IPA |
Comm |
CA |
|
|
***** |
IP060 |
Mad River Community (Humboldt Del Norte) |
Comm |
CA |
|
|
***** |
IP097 |
Marin IPA |
Comm |
CA |
|
|
|
MR002 |
Medicare |
Govn't |
CA |
|
|
***** |
IP080 |
Medicina Familiar Medical Group |
Comm |
CA |
|
|
***** |
MPMG1 |
Mills Peninsula Medical Group |
Comm |
CA |
|
|
|
STJOE |
Mission (St. Joseph Heritage Healthcare) |
Comm & HMO |
CA |
|
|
***** |
IP095 |
Monarch Healthcare IPA |
Comm |
CA |
|
|
***** |
IP083 |
Mosaic IPA Medical Group |
Comm |
CA |
|
|
|
MPI01 |
Motion Picture Industry Health Plan |
Comm |
CA |
|
|
***** |
IP080 |
Noble Community |
Comm |
CA |
|
|
|
IP079 |
North American Medical Management - Northern California |
Comm |
CA |
|
|
***** |
IP079 |
North American Medical Management - So. California |
Comm |
CA |
|
|
|
PROSP |
Nuestra Familia Medical (Group Prospect Medical Group) |
Comm & HMO |
CA |
|
|
***** |
IP061 |
OMNI Healthcare (Humboldt Del Norte) |
Comm |
CA |
|
|
***** |
IP088 |
Omnicare Medical Group (OMNI) |
Comm |
CA |
|
|
|
95379 |
One Health Plan of California, Inc. |
Comm |
CA |
|
|
|
95959 |
Pacificare - Secure Horizon CA |
Comm |
CA |
|
|
***** |
HM012 |
PacifiCare (encounters) |
Comm |
CA |
|
|
|
95959 |
Pacificare of California |
Comm |
CA |
|
|
***** |
IP080 |
Pasadena Primary Care Physicians |
Comm |
CA |
|
|
***** |
PA513 |
Physician Associates of Greater San Gabriel Valley |
Comm |
CA |
|
|
|
GATEW |
Pinnacle Health Resources |
Comm & HMO |
CA |
|
|
***** |
IP080 |
Prairie Medical Group |
Comm |
CA |
|
|
***** |
IP079 |
PrimeCare Medical Network - Chino |
Comm |
CA |
|
|
***** |
IP070 |
PrimeCare Medical Network - Corona |
Comm |
CA |
|
|
***** |
IP079 |
PrimeCare Medical Network - Hemet |
Comm |
CA |
|
|
***** |
IP079 |
PrimeCare Medical Network - Inland Valley |
Comm |
CA |
|
|
***** |
IP079 |
PrimeCare Medical Network - Moreno |
Comm |
CA |
|
|
***** |
IP079 |
PrimeCare Medical Network - Redlands |
Comm |
CA |
|
|
***** |
IP079 |
PrimeCare Medical Network - Riverside |
Comm |
CA |
|
|
***** |
IP079 |
PrimeCare Medical Network - Sun City |
Comm |
CA |
|
|
***** |
IP079 |
PrimeCare Medical Network - Temecula |
Comm |
CA |
|
|
|
IP058 |
ProMed Healthcare San Antonio |
Comm |
CA |
|
|
|
IP057 |
ProMed Pomona Valley |
Comm |
CA |
|
|
|
PROSP |
Prospect Medical Group |
Comm & HMO |
CA |
|
|
|
PROSP |
Prospect Sherman Oaks Medical Group (Prospect Medical Group) |
Comm & HMO |
CA |
|
|
|
IP080 |
Provider Relations Dept. @888-445-0062x5056 |
Comm |
CA |
|
|
***** |
IP080 |
Provider Relations Dept. @888-445-0062x5056 |
Comm |
CA |
|
|
|
PR002 |
Prucare - ASO |
Comm |
CA |
|
|
***** |
HM015 |
Prucare - HMO |
Comm |
CA |
|
|
***** |
HMO15 |
Prucare Senior - HMO |
Comm |
CA |
|
|
|
PR002 |
PruChoice |
Comm |
CA |
|
|
|
IP034 |
Santa Clara County IPA (SCCIPA) |
Comm |
CA |
|
|
|
|
Scan Health Plan |
Comm |
CA |
|
|
|
95959 |
Secure Horizon CA - Pacificare |
Comm |
CA |
|
|
***** |
IP080 |
Seoul Medical Group |
Comm |
CA |
|
|
***** |
HM024 |
Shield 65+ (formerly Care America) |
Comm |
CA |
|
|
|
PROSP |
Sierra Family Network (Prospect Medical Group) |
Comm & HMO |
CA |
|
|
***** |
E3510 |
Sonoma County Primary Care |
Comm |
CA |
|
|
|
STJOE |
St. Joseph Heritage Healthcare |
Comm & HMO |
CA |
|
|
|
STJOE |
St. Joseph IPA (St. Joseph Heritage Healthcare) |
Comm & HMO |
CA |
|
|
|
STJOE |
St. Jude (St. Joseph Heritage Healthcare) |
Comm & HMO |
CA |
|
|
***** |
IP084 |
Sutter Connect - ABMG |
Comm |
CA |
|
|
***** |
IP090 |
Sutter Connect - Sutter Medical Group of the Redlands (SMGR) |
Comm |
CA |
|
|
***** |
HM056 |
Sutter Connect- ABMG |
Comm |
CA |
|
|
***** |
HM059 |
Sutter Connect- SIP, SMG, SWMG |
Comm |
CA |
|
|
***** |
IP092 |
Sutter Connect- SIP, SMG, SWMG |
Comm |
CA |
|
|
***** |
IP091 |
Sutter Connect- Sutter Gould Medical Foundation |
Comm |
CA |
|
|
***** |
HM057 |
Sutter Connect- Sutter Medical Group of the Redwoods (SMGR) |
Comm |
CA |
|
|
|
SYMED |
SynerMed |
Comm & HMO |
CA |
|
|
|
87726 |
Travelers Health Network - HMO (Metrahealth) |
Comm |
CA |
|
|
|
68241 |
UC Care (University of California) |
Comm |
CA |
|
|
|
87726 |
United HealthCare of California - Northern Calif. |
Comm |
CA |
|
|
|
87726 |
United HealthCare of California - Southern Calif. |
Comm |
CA |
|
|
***** |
IP044 |
Valley of the Moon |
Comm |
CA |
|
|
|
SYNER |
Vanguard Health Systems (SynerMed) |
Comm & HMO |
CA |
|
|
***** |
CH002 |
CHAMPUS - Colorado |
Govn't |
CO |
|
|
|
95412 |
One Health Plan of Colorado, Inc. |
Comm |
CO |
|
|
|
87726 |
United HealthCare of Colorado, Inc. |
Comm |
CO |
|
|
|
HM044 |
Kaiser Permanente (Encounters-Colorado only) |
Comm |
CO |
|
|
***** |
CH002 |
CHAMPUS - Washington DC |
Govn't |
DC |
|
|
***** |
BS042 |
Blue Shield - Delaware |
Comm |
DE |
|
|
|
61101 |
Group Health Insurance |
Comm |
DE |
|
|
|
61101 |
Health Value Management - DE (Humana) |
Comm |
DE |
|
|
***** |
CH002 |
CHAMPUS - Florida |
Govn't |
FL |
|
|
|
AMS01 |
FHC Super Select (FL) - Wisconsin Only |
Comm |
FL |
|
|
|
AMS01 |
Florida Health Choice (FL) - Wisconsin Only |
Comm |
FL |
|
|
|
AMS01 |
Florida Health Choice/Select (FL) - Wisconsin Only |
Comm |
FL |
|
|
|
60054 |
Florida Power & Light (Prudential) |
Comm |
FL |
|
|
|
AMS01 |
Plaines Advisor (FL) - Wisconsin Only |
Comm |
FL |
|
|
|
87726 |
United HealthCare of Florida |
Comm |
FL |
|
|
***** |
CH002 |
CHAMPUS - Georgia |
Govn't |
GA |
|
|
|
61271 |
Georgia Power Med. Benefits Pln (Hlth Care Srvcs) |
Comm |
GA |
|
|
|
61271 |
Health Care Services, Georgia Power |
Comm |
GA |
|
|
|
|
Healthsource - Georgia |
Comm |
GA |
|
|
|
95569 |
One Health Plan of Georgia, Inc. |
Comm |
GA |
|
|
|
87726 |
United HealthCare of Georgia |
Comm |
GA |
|
|
***** |
CH002 |
CHAMPUS - Hawaii |
Govn't |
HI |
|
|
***** |
MR057 |
Medicare- HI |
Govn't |
HI |
|
|
|
AMS01 |
Healthcare Preferred (IA) - Wisconsin Only |
Comm |
IA |
|
|
|
AMS01 |
Plaines (IA) - Wisconsin Only |
Comm |
IA |
|
|
***** |
CH002 |
CHAMPUS - Idaho - Region 8 |
Govn't |
ID |
|
|
|
28808 |
Americaid-Illinois |
Comm |
IL |
|
|
|
37214 |
Central States Joint Board Health & Welfare Trust Fund |
Comm |
IL |
|
|
|
61101 |
Michael Reese HMO Plan - IL |
Comm |
IL |
|
|
|
95388 |
One Health Plan of Illinois, Inc. |
Comm |
IL |
|
|
***** |
87726 |
Share Health Plan - ILL/PPO |
Comm |
IL |
|
|
***** |
87726 |
Share Health Plan - ILX/HMO |
Comm |
IL |
|
|
|
87726 |
United HealthCare of Illinois |
Comm |
IL |
|
|
|
62308 |
Healthsource- IN |
Comm |
IN |
|
|
|
|
Managed Health Services of Indiana/ Maxicare |
Comm |
IN |
|
|
|
61101 |
Michael Reese HMO Plan - IN |
Comm |
IN |
|
|
|
62308 |
Healthsource- KY |
Comm |
KY |
|
|
|
61101 |
Humana Medical Plan - KY |
Comm |
KY |
|
|
|
87726 |
United HealthCare of Kentucky, Ltd. |
Comm |
KY |
|
|
***** |
BS038 |
Blue Shield - Louisiana |
Comm |
LA |
|
|
***** |
CH002 |
CHAMPUS - Louisiana - Region 4 |
Govn't |
LA |
|
|
***** |
OCH01 |
OCHSNER Health Plans |
Comm |
LA |
|
|
|
62308 |
Healthsource- MA |
Comm |
MA |
|
|
|
28807 |
Americaid - Maryland |
Comm |
MD |
|
|
***** |
SB690 |
Blue Cross Blue Shield Carefirst - Maryland |
Comm |
MD |
|
|
***** |
SB690 |
CareFirst BCBS - Maryland Region |
Comm |
MD |
|
|
***** |
SB691 |
CareFirst Delmarva Health Plan |
Govn't |
MD |
|
|
***** |
CH002 |
CHAMPUS - Maryland |
Govn't |
MD |
|
|
***** |
SB691 |
Delmarva Health Plan - Carefirst |
Govn't |
MD |
|
|
|
247 |
Maryland Physicians Care |
Govn't |
MD |
|
|
|
243 |
MedStar Physician Partners |
Comm |
MD |
|
|
|
35173 |
Preferred Health Network, providers in MD and DC only |
Comm |
MD |
|
|
|
62308 |
Healthsource- ME |
Comm |
ME |
|
|
|
AMS01 |
Dentemax (MI) - Wisconsin Only |
Comm |
MI |
|
|
|
AMS01 |
Dentemax/DPI (MI) - Wisconsin Only |
Comm |
MI |
|
|
|
38224 |
Health Alliance Plan of Michigan |
Comm |
MI |
|
|
***** |
MM001 |
M-CARE |
Comm |
MI |
|
|
|
PPOM1 |
PPOM |
Comm |
MI |
|
|
|
ACN01 |
Chiropratic Care of Minnesota, Inc. |
Comm |
MN |
|
|
|
94265 |
Medica Choice (Allina) |
Comm |
MN |
|
|
***** |
CH002 |
CHAMPUS - Missouri |
Govn't |
MO |
|
|
|
63665 |
Gencare Health (St. Louis) |
Comm |
MO |
|
|
|
63665 |
Genelco (St. Louis Only) |
Comm |
MO |
|
|
|
63665 |
General American (Sanus- East) |
Comm |
MO |
|
|
|
63665 |
General American Life Ins. Co. (Sanus, St. Louis) |
Comm |
MO |
|
|
|
61101 |
Medical Plan of Kansas City - MO (Humana) |
Comm |
MO |
|
|
|
87726 |
Physicians Health Plan (PHP) - Missouri(Greater St. Louis) |
Comm |
MO |
|
|
|
61101 |
Prime Benefits Systems Inc. - MO (Humana) |
Comm |
MO |
|
|
***** |
61101 |
Prime Health Kansas City Inc. - MO (Humana) |
Comm |
MO |
|
|
***** |
61101 |
Prime Health Mgmt. Services - MO (Humana) |
Comm |
MO |
|
|
***** |
61101 |
Prime Health of Kansas City - MO (Humana) |
Comm |
MO |
|
|
|
63665 |
Sanus HMO - St. Louis (General American) |
Comm |
MO |
|
|
***** |
CH002 |
CHAMPUS - Mississippi |
Govn't |
MS |
|
|
|
37233 |
Mississippi Public Employee Benefit Trust |
Comm |
MS |
|
|
|
37233 |
MPE Eployee Benefit Services |
Comm |
MS |
|
|
|
37233 |
MPEEBT |
Comm |
MS |
|
|
|
87726 |
United HealthCare of Mississippi |
Comm |
MS |
|
|
***** |
CH002 |
CHAMPUS - Montana |
Govn't |
MT |
|
|
***** |
CH002 |
CHAMPUS - North Carolina |
Govn't |
NC |
|
|
|
62308 |
Healthsource, NC |
Comm |
NC |
|
|
|
87726 |
Physicians Health Plan (PHP) - North Carolina |
Comm |
NC |
|
|
***** |
IP096 |
Prima Health IPA |
Comm |
NC |
|
|
|
87726 |
United HealthCare of North Carolina, Inc. |
Comm |
NC |
|
|
***** |
CH002 |
CHAMPUS - North Dakota |
Govn't |
ND |
|
|
***** |
CH002 |
CHAMPUS - Nebraska |
Govn't |
NE |
|
|
|
62308 |
Healthsource, NH |
Comm |
NH |
|
|
|
28806 |
Americaid - New Jersey |
Comm |
NJ |
|
|
***** |
CH002 |
CHAMPUS - New Mexico |
Govn't |
NM |
|
|
***** |
CH002 |
CHAMPUS - Nevada |
Govn't |
NV |
|
|
|
48185 |
ABC Health Plan of New York |
Comm |
NY |
|
|
|
ACN01 |
American Chiropractic Network IPA of NY |
Comm |
NY |
|
|
|
87726 |
United HealthCare of New York (includes New York and New Jersey) |
Comm |
NY |
|
|
|
87726 |
United HealthCare of Upstate New York |
Comm |
NY |
|
|
|
62308 |
Eaton Benefits, OH |
Comm |
OH |
|
|
|
62308 |
Healthsouce- OH |
Comm |
OH |
|
|
|
38224 |
Medical Value Plan-MVP-OH |
Comm |
OH |
|
|
|
AMS01 |
Ohio Health Choice Plan (OH) - Wisconsin Only |
Comm |
OH |
|
|
|
87726 |
United HealthCare of Ohio |
Comm |
OH |
|
|
***** |
CAS01 |
Cascade East Health Plan |
Comm |
OR |
|
|
|
95959 |
Pacificare of Oregon |
Comm |
OR |
|
|
***** |
CH002 |
CHAMPUS - South Carolina |
Govn't |
SC |
|
|
|
62308 |
Healthsource- SC |
Comm |
SC |
|
|
|
87726 |
Physicians Health Plan (PHP) - South Carolina |
Comm |
SC |
|
|
***** |
CH002 |
CHAMPUS - South Dakota |
Govn't |
SD |
|
|
***** |
CH002 |
CHAMPUS - Tennessee |
Govn't |
TN |
|
|
|
AMS01 |
Health Net Plus (TN) |
Comm |
TN |
|
|
|
AMS01 |
Health Net Plus (TN) - Wisconsin Only |
Comm |
TN |
|
|
|
62308 |
Healthsource - Tennessee |
Comm |
TN |
|
|
***** |
HT001 |
HealthSpring |
Comm |
TN |
|
|
|
28805 |
Americaid - Dallas |
Comm |
TX |
|
|
|
28804 |
Americaid - Ft. Worth - Dallas |
Comm |
TX |
|
|
|
28809 |
Americaid-Florida |
Comm |
TX |
|
|
|
75196 |
Centra Benefits (Houston) |
Comm |
TX |
|
|
***** |
CH002 |
CHAMPUS - Texas - Region 7 |
Govn't |
TX |
|
|
|
|
Harris Methodist Health Plan |
Comm |
TX |
|
|
|
62308 |
Healthsource, N. TX |
Comm |
TX |
|
|
|
AMS01 |
National Assoc Preferred Prv TX - Wisconsin Only |
Comm |
TX |
|
|
|
NTX11 |
North Texas Healthcare |
Comm |
TX |
|
|
|
95415 |
One Health Plan of Texas, Inc. |
Comm |
TX |
|
|
|
95959 |
Pacificare of TX (OK & TX) |
Comm |
TX |
|
|
|
AMS01 |
Partners in Practice (TX) - Wisconsin Only |
Comm |
TX |
|
|
|
95885 |
PCA Health Plans of Texas (Humana) |
Comm |
TX |
|
|
|
37266 |
Southwest Service Life |
Comm |
TX |
|
|
***** |
|
Superior Health Plan TX |
Govn't |
TX |
|
|
|
37228 |
Tarrant Health Services |
Comm |
TX |
|
|
|
74214 |
Texas Municipal League TML |
Comm |
TX |
|
|
|
74214 |
TML Intergovernmental Employee Benefits Pool |
Comm |
TX |
|
|
|
75206 |
TXEN Altpros |
Comm |
TX |
|
|
|
87726 |
United HealthCare of Texas -Dallas |
Comm |
TX |
|
|
|
87726 |
United HealthCare of Texas- Houston |
Comm |
TX |
|
|
***** |
CH002 |
CHAMPUS - Utah |
Govn't |
UT |
|
|
|
87726 |
United HealthCare of Utah |
Comm |
UT |
|
|
***** |
CH002 |
CHAMPUS - Virginia |
Govn't |
VA |
|
|
|
87726 |
United HealthCare of Virginia |
Comm |
VA |
|
|
|
95959 |
Pacificare of Washington |
Comm |
WA |
|
|
|
AMS01 |
Amer Healthcare Plan Net (WI) - Wisconsin Only |
Comm |
WI |
|
|
|
ACN01 |
Chiropratic Care of Wisconsin, Inc. |
Comm |
WI |
|
|
|
AMS01 |
Family Health Network - Wisconsin Only |
Comm |
WI |
|
|
|
AMS01 |
Homestead CHP/S - Wisconsin Only |
Comm |
WI |
|
|
|
61101 |
Humana Wisconsin Health Organization (Formerly Carenetwork/Wisconsin
Health Organization) |
Comm |
WI |
|
|
|
|
Managed Health Services Of Wisconsin |
Comm |
WI |
|
|
|
AMS01 |
Network Health PPO - Wisconsin Only |
Comm |
WI |
|
|
|
AMS01 |
Plaines Advisor (WI) - Wisconsin Only |
Comm |
WI |
|
|
***** |
UH015 |
Prime Care Health Plan |
Comm |
WI |
|
|
|
75196 |
West Virginia State Employees (PEIA) |
Comm |
WV |
|
|
***** |
CH002 |
CHAMPUS - Wyoming |
Govn't |
WY |
|
|
|
AMS01 |
Accountable Health Plan - Wisconsin Only |
Comm |
|
|
|
|
87815 |
Acordia National |
Comm |
|
|
|
|
60054 |
Aetna |
Comm |
|
|
|
|
52149 |
Alliance PPO, Inc. |
Comm |
|
|
|
|
AMS01 |
Alliance Select - Wisconsin Only |
Comm |
|
|
|
|
87043 |
Alta Health Strategies |
Comm |
|
|
|
***** |
E3510 |
Alta Senior Care |
Comm |
|
|
|
|
|
American Benefit (HealthPlan Services Inc.) |
Comm & HMO |
|
|
|
|
ACN01 |
American Chiropractic Network Group |
Comm |
|
|
|
|
ACN01 |
American Chiropractic Network, Inc. |
Comm |
|
|
|
|
ACN01 |
American Complimentary Care Network, Inc. |
Comm |
|
|
|
|
AMS01 |
American Medical Security - Wisconsin Only |
Comm |
|
|
|
|
44444 |
American Postal Workers Union |
Comm |
|
|
|
|
44444 |
APWU/Affordable Network |
Comm |
|
|
|
|
37248 |
Bass Administrators Inc. |
Comm |
|
|
|
|
PR002 |
Bell Atlantic (Prudential) |
Comm |
|
|
|
|
37222 |
Benefit Plan Management, Inc. |
Comm |
|
|
|
|
87265 |
Benesight (formerly The TPA) |
Comm |
|
|
|
|
37248 |
Benesys Inc. |
Comm |
|
|
|
|
37248 |
Benesys-LHP Claims Unit |
Comm |
|
|
|
|
51037 |
Brokerage Concepts |
Comm |
|
|
|
***** |
62413 |
CAC (Mailhandlers Benefit Plan) |
Comm |
|
|
|
***** |
HM037 |
Care Choices HMO |
Comm |
|
|
|
|
37060 |
Caterpillar, Inc. |
Comm |
|
|
|
|
36215 |
Central States Health & Welfare Funds |
Comm |
|
|
|
|
ACN01 |
ChiroCare |
Comm |
|
|
|
|
PR002 |
Choice Plus (TRW) |
Comm |
|
|
|
|
62308 |
CIGNA |
Comm |
|
|
|
|
62308 |
CIGNA - PPO |
Comm |
|
|
|
|
62308 |
CIGNA Health Plan |
Comm |
|
|
|
|
62308 |
CIGNA Premier Plus |
Comm |
|
|
|
|
62413 |
Claims Administration Corp. |
Comm |
|
|
|
|
62413 |
CNA (Mailhandlers Benefit Plan) |
Comm |
|
|
|
|
71063 |
CNA Health Partners |
Comm |
|
|
|
|
62308 |
CoMed - CIGNA |
Comm |
|
|
|
|
62308 |
Connecticut General |
Comm |
|
|
|
|
4274 |
Consolidated Group/HPS |
Comm |
|
|
|
|
80705 |
Crown Life (Great West) |
Comm |
|
|
|
|
PR002 |
Customcare (Southwestern Bell-Exec.) |
Comm |
|
|
|
|
34167 |
Emerald Health Network |
Comm |
|
|
|
|
PR002 |
Emorycare |
Comm |
|
|
|
|
87726 |
Empire Plan- United Healthcare |
Comm |
|
|
|
|
62308 |
Equicor |
Comm |
|
|
|
|
62308 |
Equicor - PPO |
Comm |
|
|
|
|
62308 |
Equicor PPO |
Comm |
|
|
|
|
62308 |
Equicor/Equitable |
Comm |
|
|
|
|
75196 |
Equifax Healthcare Admin Svc. (EHAS) |
Comm |
|
|
|
|
80705 |
First Great West Life & Annuity Ins. Co. |
Comm |
|
|
|
|
87043 |
First Health |
Comm |
|
|
|
|
60054 |
Flexcare |
Comm |
|
|
|
|
39065 |
Fortis (Formerly Time Insurance) |
Comm |
|
|
|
|
39065 |
Fortis (Western Life Ins. Benefit Plan) |
Comm |
|
|
|
|
39065 |
Fortis Benefits, Inc. (Woodbury) PHCS Network Claims |
Comm |
|
|
|
|
39065 |
Fortis Western |
Comm |
|
|
|
|
44054 |
GEHA |
Comm |
|
|
|
|
44054 |
GEHA Ins. No. 372 |
Comm |
|
|
|
|
63665 |
General American (Sanus - East) |
Comm |
|
|
|
|
63665 |
General American Life |
Comm |
|
|
|
|
44054 |
Government Employees Hospital Association |
Comm |
|
|
|
|
37234 |
Grant Physicians Practice Association |
Comm |
|
|
|
|
80705 |
Great West Care |
Comm |
|
|
|
|
80705 |
Great-West Life & Annuity Insurance Company |
Comm |
|
|
|
|
61101 |
Group Health Insurance (Humana) |
Comm |
|
|
|
|
64246 |
Guardian Life (The Guardian) |
Comm |
|
|
|
|
95266 |
Harrington Benefit Services |
Comm |
|
|
|
|
59140 |
Harrington Benefit Services, Inc. (HBS, Inc) - formerly Health
Plan Services |
Comm |
|
|
|
|
60054 |
Health Care Alliance (Sears) |
Comm |
|
|
|
|
75196 |
Health Economics Corporation |
Comm |
|
|
|
|
59142 |
Health Plan Services - Oklahoma |
Comm |
|
|
|
|
59140 |
Health Plan Services (now known as Harrington Benefit Services) |
Comm |
|
|
|
|
36335 |
Healthcare's Finest Network |
Comm |
|
|
|
|
61101 |
Healthhelp Networks, Inc. (HNNI) |
Comm |
|
|
|
|
|
HealthPlan Services, Inc. (American Benefit) |
Comm & HMO |
|
|
|
|
68195 |
Healthpoint Corp. |
Comm |
|
|
|
|
68195 |
Healthsource Provident Administrators |
Comm |
|
|
|
|
68195 |
Healthsource Provident Ins. Co. |
Comm |
|
|
|
|
95378 |
Heritage (John Deere Health Care) |
Comm |
|
|
|
|
36335 |
HFN, Inc. |
Comm |
|
|
|
|
61101 |
HMPK, INC. (Humana) |
Comm |
|
|
|
|
61101 |
HPLAN, INC. (Humana) |
Comm |
|
|
|
|
94254 |
HPR |
Comm |
|
|
|
|
61102 |
Humana - Encounters only |
Comm |
|
|
|
|
61101 |
Humana Care Plan |
Comm |
|
|
|
|
61101 |
Humana Gold Plus |
Comm |
|
|
|
|
61101 |
Humana Health |
Comm |
|
|
|
|
61101 |
Humana Health Chicago Inc. |
Comm |
|
|
|
|
61101 |
Humana Health Chicago Ins. Co. |
Comm |
|
|
|
|
61101 |
Humana Health Plan |
Comm |
|
|
|
|
61101 |
Humana Health Plan- HMO |
Comm |
|
|
|
|
61101 |
Humana Insurance Agency |
Comm |
|
|
|
|
61101 |
Humana Insurance Co. |
Comm |
|
|
|
|
37260 |
Hunt Insurance Group |
Comm |
|
|
|
|
60054 |
IBM Medical Plans |
Comm |
|
|
|
|
60054 |
Institutes of Quality |
Comm |
|
|
|
|
AMS01 |
Iowa, Envoy Platinum - Wisconsin Only |
Comm |
|
|
|
|
61271 |
J.F. Molloy & Associates, Inc. |
Comm |
|
|
|
|
41099 |
John Alden Life |
Comm |
|
|
|
|
95378 |
John Deere Health Care (Heritage) |
Comm |
|
|
|
|
61101 |
Kentucky Kare (Humana) |
Comm |
|
|
|
|
LFGRD |
Lifeguard |
Comm |
|
|
|
|
73288 |
Lincoln National (EMPHESYS) |
Comm |
|
|
|
|
37226 |
London Health Administrators |
Comm |
|
|
|
|
PR002 |
Los Alamos Total Care (LATC) |
Comm |
|
|
|
|
PR002 |
Lovelace Health Plan |
Comm |
|
|
|
|
PR002 |
Lovelace Senior Options (LSO) |
Comm |
|
|
|
|
PR002 |
Lovelace Senior Plan (LSP) |
Comm |
|
|
|
|
52148 |
M.D. - Individual Practice Assoc. (M.D.-IPA) |
Comm |
|
|
|
|
62413 |
Mailhandlers Benefit Plan (CNA) |
Comm |
|
|
|
|
MA001 |
MAMSI Life & Health Ins. Co. (MLH) |
Comm |
|
|
|
|
93900 |
Managed Physical Network |
Comm |
|
|
|
|
PR002 |
Marriott (Prudential) (Medical) |
Comm |
|
|
|
|
37121 |
Mashantucket Pequot Tribal Nation |
Comm |
|
|
|
|
60054 |
Medconnection (Marriot) |
Comm |
|
|
|
|
94254 |
MediPrime |
Comm |
|
|
|
|
AMS01 |
Methodist SW Prv Org - Wisconsin Only |
Comm |
|
|
|
|
87726 |
Metrahealth Network (HMO & Care Option:A United HealthCare Co.) |
Comm |
|
|
|
|
87726 |
Metrahealth Plan Administrators (A United HealthCare Co.) |
Comm |
|
|
|
|
87726 |
Metrahealth/Metrahealth Railroad (A United HealthCare Co.) |
Comm |
|
|
|
|
PR002 |
Minneapolis Prudential Business (Medical) |
Comm |
|
|
|
|
67466 |
Mony Financial Services (Pacific Mutual) |
Comm |
|
|
|
|
PH020 |
Mutual Benefit (Western Life-Fortis) |
Comm |
|
|
|
|
PH020 |
Mutual Benefit Life (Western Life-Fortis) |
Comm |
|
|
|
|
37126 |
National Claim Administration, Inc. |
Comm |
|
|
|
|
66893 |
New England Financial |
Comm |
|
|
|
|
34159 |
North American Benefits Network |
Comm |
|
|
|
|
PH018 |
North West Life |
Comm |
|
|
|
|
PH018 |
Northwestern National Life (Reliastar Emp Ben) |
Comm |
|
|
|
|
41045 |
NW National Life (Reliastar) |
Comm |
|
|
|
|
80705 |
One Health Plan (Except CA, CO, GA, IL, or TX) |
Comm |
|
|
|
|
87043 |
ORNDA Health D296Corp (First Health)+D312 |
Comm |
|
|
|
|
HM032 |
Oxford (Encounter Data Only) |
Comm |
|
|
|
|
6111 |
Oxford Health |
Comm |
|
|
|
|
67466 |
Pacific Financial Companies |
Comm |
|
|
|
|
67466 |
Pacific Mutual Life Ins. Co. |
Comm |
|
|
|
|
33053 |
Pacificare Behavioral Health |
Comm |
|
|
|
|
61101 |
PCA Star (Humana) |
Comm |
|
|
|
|
60054 |
PG&E (Pacific Gas & Electric) |
Comm |
|
|
|
|
56151 |
Piedmont Administrators |
Comm |
|
|
|
|
24735 |
Pinnacle Claims Management, Inc. |
Comm |
|
|
|
|
AMS01 |
Plaines Networks - Envoy - Wisconsin Only |
Comm |
|
|
|
|
67466 |
PM Group (Pacific Mutual Life) |
Comm |
|
|
|
|
67466 |
PMG (Pacific Mutual Life) |
Comm |
|
|
|
|
AMS01 |
Preferred Community Choice (OK) - Wisconsin Only |
Comm |
|
|
|
|
61101 |
Premier Benefits, Inc. |
Comm |
|
|
|
|
61271 |
Principal Life Insurance Company (Principal Financial Group) |
Comm |
|
|
|
|
61271 |
Principal Mutual Life Insurance Company (Principal Mutual Life
Assurance) |
Comm |
|
|
|
|
61101 |
Promina |
Comm |
|
|
|
***** |
PHP01 |
Providence Choice Option |
Comm |
|
|
|
***** |
PHP01 |
Providence Good Health Plan |
Comm |
|
|
|
***** |
HPH01 |
Providence Health Plan |
Comm |
|
|
|
***** |
PHP01 |
Providence Health Plan HMO |
Comm |
|
|
|
***** |
PHP01 |
Providence Medicaid |
Comm |
|
|
|
***** |
PHP01 |
Providence Medicaid Option |
Comm |
|
|
|
***** |
PHP01 |
Providence Medicare Extra |
Comm |
|
|
|
***** |
PHP01 |
Providence Option |
Comm |
|
|
|
***** |
PHP01 |
Providence Traditional Option |
Comm |
|
|
|
|
62308 |
Provident Healthsource (Cigna) |
Comm |
|
|
|
|
62308 |
Provident Life & Accident |
Comm |
|
|
|
|
62308 |
Provident Life & Casualty |
Comm |
|
|
|
|
62308 |
Provident Preferred Network |
Comm |
|
|
|
|
PR002 |
Prudential (Medical) |
Comm |
|
|
|
|
PR002 |
Prudential Health Care Systems: Amarillo, Corpus Cristi,
Denver, El Paso, Kansas City, Little Rock, Lubbock, Midland,
Odessa, Topeka, Wichita (Medical) |
Comm |
|
|
|
|
PR002 |
Prudential Health Insurance |
Comm |
|
|
|
|
PR002 |
Prudential Indemnity |
Comm |
|
|
|
|
PR002 |
Prudential In-Network |
Comm |
|
|
|
|
PR002 |
Prudential Managed Health Care |
Comm |
|
|
|
|
PR002 |
Prudential Out-of-Network |
Comm |
|
|
|
|
PR002 |
Prudential Pharmacy Mgt |
Comm |
|
|
|
|
PR002 |
Prudential Plus |
Comm |
|
|
|
|
PR002 |
Prudential Point of Service |
Comm |
|
|
|
|
PR002 |
Prudential Psychiatric Mgt |
Comm |
|
|
|
|
PR002 |
Prudential Resources Mgt |
Comm |
|
|
|
|
PR002 |
Prudential Select |
Comm |
|
|
|
|
PR002 |
Prudential Traditional |
Comm |
|
|
|
|
PR002 |
Prunet |
Comm |
|
|
|
|
PR002 |
Prunet Work (Medical) |
Comm |
|
|
|
|
PR002 |
PruNetwork |
Comm |
|
|
|
|
PR002 |
PruNetwork PPO |
Comm |
|
|
|
|
PR002 |
PruPPO (PIASC) (PINC) |
Comm |
|
|
|
|
PR002 |
PruPsych |
Comm |
|
|
|
|
61101 |
Qualicare |
Comm |
|
|
|
|
95266 |
R.E. Harrington, Inc. |
Comm |
|
|
|
|
41045 |
Reliastar Employee Ben. (Northwestern Nat Life) |
Comm |
|
|
|
|
75196 |
Rockwell International |
Comm |
|
|
|
|
60054 |
Rush Prudential |
Comm |
|
|
|
|
60054 |
Sandia Triple Option Plan (Sandia Top) |
Comm |
|
|
|
|
63665 |
Sanus PPO (General American) - Sanus East |
Comm |
|
|
|
|
PR002 |
Select Care (Coca Cola) |
Comm |
|
|
|
|
60054 |
SeniorCare |
Comm |
|
|
|
|
87815 |
Shaw Industries (Acordia) |
Comm |
|
|
|
|
AMS01 |
SoNoran Desert Health - Wisconsin Only |
Comm |
|
|
|
|
AMS01 |
Sooner Health Network - Wisconsin Only |
Comm |
|
|
|
|
PR002 |
Southwestern Bell (Prudential) (Medical) |
Comm |
|
|
|
|
PR002 |
Southwestern Bell Exec - Custom Care (Medical) |
Comm |
|
|
|
|
PR002 |
Southwestern Bell Exec - Southwestern Bell (Medical) |
Comm |
|
|
|
|
37264 |
St. John's Claim Administration |
Comm |
|
|
|
|
PR002 |
Sun Trust Bank, Inc. (Prudential) (Medical) |
Comm |
|
|
|
***** |
HM058 |
Sutter Connect- Sutter Gould Medical Foundation |
|
|
|
|
|
PR002 |
SW Bell |
Comm |
|
|
|
|
36215 |
Teamcare |
Comm |
|
|
|
|
6131 |
Third Party Claims Management |
Comm |
|
|
|
|
PH017 |
Time Ins. Co. |
Comm |
|
|
|
|
61425 |
Tooling and Manufacturing Assocation |
Comm |
|
|
|
|
37320 |
TR Paul Inc. |
Comm |
|
|
|
|
87726 |
Travelers/CGT-PPO |
Comm |
|
|
|
|
AMS01 |
Tristate - Wisconsin Only |
Comm |
|
|
|
|
61425 |
Trustmark Insurance |
Comm |
|
|
|
|
87726 |
UBH- United Behavioral Health (former MetraHealth - UNET) |
Comm |
|
|
|
|
80314 |
UNICARE |
Comm |
|
|
|
|
87726 |
United HealthCare |
Comm |
|
|
|
|
87726 |
United HealthCare (formerly MetraHealth Care Plans, Met Life,
Metropolitan Life Ins Co, MetraHealth Elect, MetraHealth
Healthcare Network HMO) (no vision claims) |
Comm |
|
|
|
|
87726 |
United HealthCare (formerly MetraHealth Healthcare Network PPO,
New York State Employees (Empire), Travelers Ins Co, Travelers
Plan Administrators) (no vision claims) |
Comm |
|
|
|
|
87726 |
United HealthCare (formerly The Travelers, Travelers Health
Network) |
Comm |
|
|
|
|
87726 |
United HealthCare of New England |
Comm |
|
|
|
|
87726 |
United HealthCare of the Mid-Atlantic |
Comm |
|
|
|
|
87726 |
United HealthCare of the Midlands - HMO (Choice Select) |
Comm |
|
|
|
|
87726 |
United HealthCare of the Midlands - PPO (Choice Plus, Select
Plus, Self Funded) |
Comm |
|
|
|
|
87726 |
United HealthCare of the Midwest - Choice, Choice Plus, Select,
Select Plus |
Comm |
|
|
|
|
87726 |
United HealthCare of the Midwest - Medicare Complete |
Comm |
|
|
|
|
87726 |
United HealthCare Plans of Puerto Rico |
Comm |
|
|
|
|
AMS01 |
Unity/Precision Health Plans - Wisconsin Only |
Comm |
|
|
|
***** |
|
Univera Southern Tier |
Comm |
|
|
|
|
58246 |
Universal Health Plan |
Comm |
|
|
|
|
60054 |
US Healthcare |
Comm |
|
|
|
|
60054 |
Varian Health Care Plan |
Comm |
|
|
|
|
39026 |
Wausau Benefits Inc. |
Comm |
|
|
|
|
PH020 |
Western |
Comm |
|
|
|
|
PH020 |
Western Care |
Comm |
|
|
|
|
24735 |
Western Growers Assurance Trust |
Comm |
|
|
|
|
24735 |
Western Growers Insurance Company |
Comm |
|
|
|
|
PH020 |
Western Life Ins Benefit Plan (Fortis) |
Comm |
|
