PAYER LIST
MEDICAL
Payer       ID State Payer Name Enrollment/ Authorization
13162   1199 Local Benefit Fund  
48185 NY ABC Health Plan of New York  
E3510 CA ABMA Medical Corporation  
COACC CO Access Behavior Care  
64071   Acclaim  
AMS01   Accountable Health Plan  
87815   Acordia National  
BS049 IN Acordia-Anthem BS of Indiana (Need to use 00630 as sub payer id/Claim office id) Enrl., Auth.
BS051 OH Acordia-Anthem BS of Ohio (Need to use 00834 as sub payer id/Claim office id) Enrl., Auth.
72467   ACS Benefit Services Inc.  
38254   Activa Benefits  
95285   Admar Corporation - Med Network  
37278   AdminOne  
58202   Advanced Data Solutions  
61123   Advantage Care  
36320 IL Advocate Health Centers {Required data elements needed for submission.  Please contact Advocate Health Partners Operations Debbie Motz at 847.699.4377 or Tony Hani at 847.699.4368 for more info.}  
65093 IL Advocate Health Partners {Required data elements needed for submission.  Please contact Advocate Health Partners Operations Debbie Motz at 847.699.4377 or Tony Hani at 847.699.4368 for more info.}  
60054   Aetna  
34444 OH AFL-CIO Food & Beverage Dealer’s Trust Fund (Billing Submission address of PO Box 457, Toledo, OH  43697 ONLY)  
13346 NY AFTRA Health Fund  
IP080 CA AKM Medical Group  
06311   Alabama Medical Surgical Associates  
91136   Alaska Children's Services Inc. Group # P68 (MUST HAVE GRP # ON CLAIM)  
91136   Alaska Laborers Construction Industry Trust Group # F23 (MUST HAVE GRP # ON CLAIM)  
91136   Alaska Pipe Trades Local Group # F24 (MUST HAVE GRP # ON CLAIM)  
91136   Alaska United Food & Commercial Workers Health & Welfare Trust Group # F45 (MUST HAVE GRP # ON CLAIM)  
13550   ALICARE  
37602   All Savers Insurance Co  
23251 PA Alliance Health Plan - Pennsylvania  
23172 OH Alliance Partners  
52149   Alliance PPO Inc  
AMS01   Alliance Select  
58234 GA Alliant Health Plans of Georgia  
37308   Allied Benefit Systems Inc  
75261   Alpha Data Systems  
87043   Alta Health Strategies  
E3510 CA Alta Senior Care  
37231   Alternative Technology Resources (Medical claims only, no work comp claims)  
13550   Amalgamated  
AMC01   AMCO - Arkansas Managed Care Organization  
AMS01 WI Amer Healthcare Plan Net  
75137   Ameriben Solutions  
37225 IL American Benefit Administrative Services Inc {Providers must contact Julie Blazek with TPA at 630.416.1111 x 156 before sending claims electronically} **PROVIDERS NOTE: only claims destined for 1733 Park St., Suite 300 Naperville, IL 60563, should be sent using this payer id**  
ACN01   American Chiropractic Network Group  
ACN01   American Chiropractic Network Inc.  
ACN01 NY American Chiropractic Network IPA of NY  
37128   American Commercial Lines  
60305   American Community Mutual Ins - Livonia, Michigan  
60305   American Community Mutual Insurance (Payer office ID is required)  
ACN01   American Complimentary Care Network Inc.  
IP080 CA American Family Health Providers  
81949   American Insurance Company of Texas  
13311   American International Group Inc.  
72099   American LIFECARE  
AMS01   American Medical Security  
74048   American National Life  
44444   American Postal Workers Union  
42011   American Republic Insurance Company (ARIC)  
16120   America's PPO  
86047 NJ AmeriChoice of New Jersey Inc. - Medicaid NJ  
86001 NJ AmeriChoice of New Jersey Personal Care Plus (Medicare) {All claims require your AmeriChoice assigned provider id number.  Please call AmeriChoice at 866.362.3368 for your provider id number}  
86048 NY AmeriChoice of New York Inc. - Medicaid NY  
86002 NY AmeriChoice of New York Personal Care Plus (Medicare) {All claims require your AmeriChoice assigned provider id number.  Please call AmeriChoice at 866.362.3368 for your provider id number}  
86003 PA AmeriChoice of Pennsylvania Personal Care Plus (Medicare) {All claims require your AmeriChoice assigned provider id number.  Please call AmeriChoice at 800.345.3627 for your provider id number }  
86049 PA AmeriChoice of Pennsylvania, Inc. - Medicaid PA  {Payer requires every claim contain the AmeriChoice assigned provider id (including suffix)}  
28809 FL Amerigroup - Florida  
28804 TX Amerigroup - Ft. Worth - Dallas  
28805 TX Amerigroup - Houston  
28808 IL Amerigroup - Illinois  
28807 MD Amerigroup - Maryland  
28806 NJ Amerigroup - New Jersey  
23252 PA AmeriHealth Administrators (Please include the AmeriHealth Administrator provider id on the claim)  
23037   Amerihealth HMO  New Jersey and Delaware  
22248   Amerihealth Mercy Health Plan (excluding Texas and North Carolina)  
IP080 CA AMVI  
53085   Anchor Benefit Consulting  
86062   Ancillary Benefit Systems/Arizona Foundation For Medical Care  
BS043 CT Anthem Blue Shield - Connecticut Enrl., Auth.
BS050 KY Anthem Blue Shield - Kentucky Enrl., Auth.
BS034 ME Anthem Blue Shield - Maine Enrl., Auth.
BS067 NH Anthem Blue Shield - New Hampshire Enrl., Auth.
BS051 OH Anthem Blue Shield - Ohio Enrl., Auth.
16140   APA Partners Inc  
34196   Apex Benefit Services (located in Akron, OH) (Claims must contain the rendering provider id or the claim will reject.)  
44444   APWU/Affordable Network  
77045   Arcadian Management Systems  
53172   Arizonz Health Concepts  
75278   Arkansas Best Corporation  
AMC01   Arkansas Managed Care Organization (AMCO)  
IP002 CA Arrowhead Physician Alliance (Labs Only) Authorization
ASRM1 NJ ASRM, CORP.  
IP008 CA Associated Hispanic Physicians (Labs Only) Authorization
36326   Associates for Healthcare  
37294   Association Services of Washington  
95691   Athens Area Health Plan Select  
22304   AtlantiCare Administrators  
13853 NY Atlantix Health Plan {Please include Network ID (PIN) on claims.  Please call Frank Bove at Atlantis Health Plan to obtain a network id 212.747.8393}  
ATLAD   Atlas Administrators (USA MCO Provider Network)  
38259 MI Automated Benefit Services (ABS)  
37280 IN Automated Group Administration Inc  
91136   Automotive Machinists Local 289 Health & Welfare Trust Group # F32 (MUST HAVE GRP # ON CLAIM)  
IP080 CA Avalon IPA  
46045   Avera Health Plans  
59274 FL AvMed Health Plan (Providers must include their 6 digit AvMed assigned provider id on claims)  
74227   Bankers United Life (Student Div)  
37248   Bass Administrators Inc  
BS075 RI BCBS - Rhode Island Enrl., Auth.
PR002   Bell Atlantic (Prudential)  
37125   Benefirst  
25145 PA Benefit Coordinators Corp.  (Only claims with a mailing address of: 111 Ryan Ct,Suite 300, Pittsburgh, PA 15205 should be sent to this payer id)  
13310 MO Benefit Plan Admin - St. Louis (Seabury & Smith)  
37286   Benefit Plan Administrators Inc - Fargo, North Dakota  
88027   Benefit Plan Administrators Inc (BPA)  
37118 VA Benefit Plan Administrators Inc. {Please call Mary Bender at 940.345.2721 to verify if you should be sending claims to BPA Roanoake, VA}  
37222   Benefit Plan Management Inc  
74223   Benefit Planners  
02053 IN Benefit Resources  
34178 OH Benefit Services Inc (Ackron, OH)  
38257 MI Benefit Source Inc  
36342   Benefit Systems & Services Inc (BSSI)  
74223   Benefits Planners Inc.  
87265   Benesight (formerly The TPA)  
37248   Benesys Inc  
37248   Benesys-LHP Claims Unit  
BNMK1 MS Benmark  
62183   Better Health Plans, Inc.  
BV001   Block Vision Inc.  
BVTX1 TX Block Vision Texas  
95610 MI Blue Care Network (through MI BCBS) Enrl., Auth.
BS062 MO Blue Choice - Missouri Enrl., Auth.
BC001 CA Blue Cross - California  (also has ERA connection) Enrl., Auth.
HM006 CA Blue Cross - California Care - HMO Authorization
BC002 ID Blue Cross - Idaho Enrl., Auth.
BS010 WA Blue Cross - Premera Enrl., Auth.
BS029 VA Blue Cross - Virginia - Trigon Enrl., Auth.
BC001 CA Blue Cross (Cal-Optima - Medi-Cal) Enrl., Auth.
TXBLS TX Blue Cross Blue Shield - Texas Enrl., Auth.
IP061 CA Blue Lake Rancheria  
BS054 AL Blue Shield - Alabama Enrl., Auth.
BS046 AZ Blue Shield - Arizona Enrl., Auth.
BS048 AR Blue Shield - Arkansas Enrl., Auth.
BS001 CA Blue Shield - California / Blue Shield (FEP) Enrl., Auth.
BS020 CO Blue Shield - Colorado Enrl., Auth.
BS043 CT Blue Shield - Connecticut Enrl., Auth.
BS143 CT Blue Shield - Connecticut BlueCare Enrl., Auth.
SB580 DC Blue Shield - DC, National Capital Area (CareFirst) Enrl., Auth.
BS042 DE Blue Shield - Delaware Enrl., Auth.
FLBLS FL Blue Shield - Florida Enrl., Auth.
BS039 GA Blue Shield - Georgia Enrl., Auth.
BS064 HI Blue Shield - Hawaii Enrl., Auth.
BS002 ID Blue Shield - Idaho Enrl., Auth.
BS018 IL Blue Shield - Illinois Enrl., Auth.
BS030 IA Blue Shield - Iowa Enrl., Auth.
IABLS IA Blue Shield - Iowa Enrl., Auth.
BS023 KS Blue Shield - Kansas Enrl., Auth.
BS050 KY Blue Shield - Kentucky Enrl., Auth.
BS006 WA Blue Shield - King County {Washington King County Blue Shield-County ID Numbers Required.  Contact Our Client Services Dept. at 888.894.7888} Enrl., Auth.
BS038 LA Blue Shield - Louisiana Enrl., Auth.
BS034 ME Blue Shield - Maine  Enrl., Auth.
SB690 MD Blue Shield - Maryland (CareFirst)  
BS059 MA Blue Shield - Massachusetts Enrl., Auth.
BS017 MI Blue Shield - Michigan Enrl., Auth.
BS085 MN Blue Shield - Minnesota Enrl., Auth.
BS047 MS Blue Shield - Mississippi Enrl., Auth.
BS025 MO Blue Shield - Missouri Enrl., Auth.
BS024 MO Blue Shield - Missouri - Kansas City Enrl., Auth.
BS058 NE Blue Shield - Nebraska Enrl., Auth.
BS019 NV Blue Shield - Nevada Enrl., Auth.
BS067 NH Blue Shield - New Hampshire Enrl., Auth.
BS031 NJ Blue Shield - New Jersey Enrl., Auth.
BS037 NM Blue Shield - New Mexico Enrl., Auth.
BS063 NY Blue Shield - New York - Central Enrl., Auth.
BS033 NY Blue Shield - New York - Empire Enrl., Auth.
BS086 NY Blue Shield - New York - Northeastern Enrl., Auth.
BS061 NY Blue Shield - New York - Rochester Enrl., Auth.
BS066 NY Blue Shield - New York - Utica/Watertown Enrl., Auth.
BS087 NY Blue Shield - New York - Western Enrl., Auth.
BS003 NC Blue Shield - North Carolina Enrl., Auth.
NCBLS   Blue Shield - North Carolina Enrl., Auth.
BS057 ND Blue Shield - North Dakota Enrl., Auth.
BS051 OH Blue Shield - Ohio - Anthem Enrl., Auth.
BC004 OH Blue Shield - Ohio - Medical Mutual of Ohio  
BS041 OK Blue Shield - Oklahoma Enrl., Auth.
BS026 OR Blue Shield - Oregon (Includes: OHP/FEP/HMO) Enrl., Auth.
93688 PA Blue Shield - PA - Amerihealth Delaware (Non HMO) Enrl., Auth.
60061 PA Blue Shield - PA - Amerihealth New Jersey (Non HMO) Enrl., Auth.
54771 PA Blue Shield - PA - Highmark Claims/ Encounters Enrl., Auth.
BS027 PA Blue Shield - PA - Highmark Claims/ Encounters Enrl., Auth.
54704 PA Blue Shield - PA - Independence BC Personal Choice Enrl., Auth.
54771 PA Blue Shield - PA - KHP Central (Out of service area providers only) Enrl., Auth.
BS010 WA Blue Shield - Premera (formerly MSC) Enrl., Auth.
BS028 SC Blue Shield - South Carolina Enrl., Auth.
BS032 TN Blue Shield - Tennessee Enrl., Auth.
BS088 UT Blue Shield - Utah Enrl., Auth.
BS065 VT Blue Shield - Vermont Enrl., Auth.
BS029 VA Blue Shield - Virginia Enrl., Auth.
BS035 WA Blue Shield - Washington - Whatcom County Enrl., Auth.
BS055 WV Blue Shield - West Virgina Enrl., Auth.
BS053 WI Blue Shield - Wisconsin Enrl., Auth.
BS074 WY Blue Shield - Wyoming Enrl., Auth.
HM007 CA Blue Shield HMO - HMO Enrl., Auth.
BS175 RI BlueChip - Rhode Island Enrl., Auth.
61124   Bluegrass Family Health  
36609   Boilermakers National Health & Welfare Fund  
74238   Boon – Chapman Administrator Inc.  
13337 MA Boston Medical Center Healthnet  
38324 MI Botsford Health Plan (Farmington Hills, MI)  
37273   Boyd Bros. Transportation Inc.  
37273   BoydCare  
38365 OH Bridge Benefits  
51037   Brokerage Concepts  
94316 CA Brown & Toland  
BRISD TX Bryan Independent School District  
50240   Buenaventura Medical Group  
42150 IA Butler Benefits  
23708   C & O Employees' Hospital Association  
62413   CAC (Mailhandlers Benefit Plan)  
IP059 CA Calif. Care (Humboldt Del Norte)  
IP020 CA California Primary Care Medical Group (Labs Only) Authorization
CWS99 CA California Water Services  
BC001 CA Cal-Optima - Medi-Cal (Blue Cross) Enrl., Auth.
59334   Cambridge ISG  
37105   Cannon Cochran Management Services Inc  
IP080 CA Cap Management Systems  
38245   Cape Health Plan  
23045 PA Capital Blue Cross Enrl., Auth.
68011   Capitol Administrators  
HM037   Care Choices HMO Enrl., Auth.
00344   Care Management Resources  
43172   Care Partners  
52118   CareFirst Administrators  
SB580 DC CareFirst BCBS - DC, National Capital Area  
SB690 MD CareFirst BCBS - Maryland  
SB691 MD CareFirst Delmarva Health Plan  
25139   Carelink Advantra (WV and OH members only)  
22248 MO CarePartners  
31114 OH CareSource Enrl., Auth.
35167   Carewise  
62073   Cariten Health Plan  
62072   Cariten Senior Health  
37245   Carolina Benefit Administrators  
57105   Carolina Care Plan Inc  
56195   Carolina Summit Healthcare Inc  
93102   Casade Health Partners  
CAS01 OR Cascade East Health Plan Authorization
37060   Caterpillar Inc  
88019   CCEA Welfare Benefit Trust  
33005   CCN (Required data: Group number, Group name, Insured's Employer Name)  
95166 CA Cedars-Sinai Medical Network -- CLAIMS  
95167 CA Cedars-Sinai Medical Network -- Encounters  
37250   Cemara Administrators  
91136   Cement Masons & Plasterers Hlth & Welfare Trust Grp# F16 (MUST HAVE GRP# ON CLAIM)  
IP080 CA Centinela IPA  
75243   Centra  
75196 TX Centra Benefits (Houston)  
31118   Central Benefits Life  
31118   Central Benefits Mutual  
31118   Central Benefits National  
IP037 CA Central Coast IPA (Labs Only) Authorization
02041   Central Mass Health Care (CMHC)  
IP010 PA Central Pennsylvania Physicians (Labs Only) Authorization
34097   Central Reserve Life  
36215   Central States Health & Welfare Funds  
37214 IL Central States Joint Board Health & Welfare Trust Fund  
E3510 CA Central Valley Medical Group  
WESTR   Champus Tricare Enrl., Auth.
75261   CHEC - A subsidiary of Sprint  
59223   Chesapeake Life Insurance Company  
86048   Child Health Plus  
DCHCH   CHIP - Driscoll Children's Health Plan  
ACN01   ChiroCare  
CASD1 SD Chiropractic Association of South Dakota  
ACN01 MN Chiropratic Care of Minnesota Inc.  
ACN01 WI Chiropratic Care of Wisconsin Inc.  
76049 TX Choice One/ UTMB CHIP Health Plan (Must call provider relations 281.652.8700 prior to submitting claims)  
PR002   Choice Plus (TRW)  
SPOHN   Christus Spohn Health Plan  
62308   CIGNA  
62308   CIGNA - PPO  
MCCBV   CIGNA Behavioral Health (Please contact Enrl., Auth. dept. for payer id and authorization) Authorization
62308   CIGNA Health Plan  
62308   CIGNA Premier Plus  
62413   Claims Administration Corp. (Payer office ID is required)  
39141   Claims Management Services Inc  
57080   Claimsware Inc, DBA ManageMed  
EPOTX   Clarendon Kids CHIP Program (CKCP) EPO (Only for Dates of Service 8/31/04 and prior.  For Dates Of Service 9/1/04 and after, use Payer ID SHP11)  
SHP11   Clarendon Kids CHIP Program (CKCP) EPO [For Dates of Service 9/1/04 and after.  For Date of Service 8/31/04 and prior, use payer ID EPOTX.  Enrollment with Superior Health Plan (EDI Dept. 800.225.2273) or email edi@centene.com.  Fax Enrollment forms to 314.558.2427.  Requires 6 digit Superior Health Plan PIN.]  
71063 AR CNA Health Partners (Formerly Coresource, AR)  
COACC CO Colorado Access HMO  
COHMO CO Colorado Blue Advantage   
25351   Columbia Cornell Care LLC  
91162   Columbia United Providers  
62308   CoMed - CIGNA  
34181   Commerce Benefits Group  
37237   Commonwealth Administrators LLC  
23171   Commonwealth Health Alliance --CHA  
25179   Community Care Behavioral Health Organization  
73143 OK Community Care Managed Health Care Plans of OK  
COMMF   Community First  
COMMF   Community First - Star Health Plan  
35193   Community Health Alliance (CHA)  
48145   Community Health Choice  
75261   Community Health Elec. Clearinghouse (CHEC)  
62149 CT Community Health Network of Connecticut  (please note that this payer cannot accept anesthesia claims electronically. For information on sending these claims, please contact LeAnn Olson, Director of Claims at 203.237.4000 x 3136)  
90010   Community Health Plan (located in St. Joseph, MO.  Service Area includes NW Missiouri, NE Kansas, SW Iowa, SE Nebraska)  
CMGWV CA Community Medical Group of the West Valley  
32481   Community Premier Plus (for Neighborhood Health Providers)  
BS060 SC Companion Healhcare Enrl., Auth.
03036 VT Comprehensive Benefits Administrator, Inc  
06105   Connecticare, Inc  
62308 CT Connecticut BlueCare Enrl., Auth.
BS143   Connecticut General  
63208   Connecticut PRI  
37135   Consociate Group  
04274   Consolidated Group/HPS  
71404   Continental General Insurance Company  
52132   Cooperative Benefit Administrators (CBA)  
58204   Coordinated Medical Specialists  
58231   Core Management Resources Group Inc (located in Macon, GA)  
35182 NC Coresource  
41045   CoreSource  
35180 NC Coresource of North Carolina  
41124   Corp. Benefit Services of America/CBSA  
43160   Correctional Medical Services Inc  
62553   Country Life Insurance Company  
25130 DE Coventry Healthcare of Delaware  
25127 GA Coventry Healthcare of Georgia  
25131 IN Coventry Healthcare of Indiana  
25132 IA Coventry Healthcare of Iowa  
25133 KS Coventry Healthcare of Kansas Inc - Kansas City  
25134 KS Coventry Healthcare of Kansas Inc - Wichita  
25135 LA Coventry Healthcare of Louisiana  
25136 NE Coventry Healthcare of Nebraska  
25129   Coventry Healthcare of the Carolinas  
64068   Creative Medical Systems  
PR002   Customcare (Southwestern Bell-Exec.)  
DEW99   D. Edward Wright  
64159   Definity Services  
27009   Delaware Physicians Care Inc.  (For claims with date of service 7/1/04 and greater.)  
SB691 MD Delmarva Health Plan - Carefirst  
DHS01 CA Delta Health Systems Enrl., Auth.
HM022 CA Delta Health Systems - Gallo (Encounters Only) Authorization
HM023 CA Delta Health Systems - Gallo Union (Encounters Only) Authorization
HM021 CA Delta Health Systems - Memorial (Encounters Only) Authorization
AMS01 MI Dentemax  
AMS01 MI Dentemax/DPI (MI)  
MDL99 MI Detroit Laborers (Metropolitan)  
23706   Director's Guild of America - Producer Health Plans  
25160   Diversified Group Administrators Inc  
06102 CT Diversified Group Brokerage (Marlb, CT)  
06102   Diversified Group Brokerage/Healthplan Services  
MR032 AL DMERC - Alabama (Region C) Enrl., Auth.
MR024 AK DMERC - Alaska (Region D) Enrl., Auth.
MR024 AZ DMERC - Arizona (Region D) Enrl., Auth.
MR032 AR DMERC - Arkansas (Region C) Enrl., Auth.
MR024 CA DMERC - California (Region D) Enrl., Auth.
MR032 CO DMERC - Colorado (Region C) Enrl., Auth.
MR030 CT DMERC - Connecticut (Region A) Enrl., Auth.
MR030 DE DMERC - Delaware (Region A) Enrl., Auth.
MR032 FL DMERC - Florida (Region C) Enrl., Auth.
MR032 GA DMERC - Georgia (Region C) Enrl., Auth.
MR024 GU DMERC - Guam (Region D) Enrl., Auth.
MR024 HI DMERC - Hawaii (Region D) Enrl., Auth.
MR024 ID DMERC - Idaho (Region D) Enrl., Auth.
MR031 IL DMERC - Illinois (Region B) Enrl., Auth.
MR031 IN DMERC - Indiana (Region B) Enrl., Auth.
MR024 IA DMERC - Iowa (Region D) Enrl., Auth.
MR024 KS DMERC - Kansas (Region D) Enrl., Auth.
MR032 KY DMERC - Kentucky (Region C) Enrl., Auth.
MR032 LA DMERC - Louisiana (Region C) Enrl., Auth.
MR030 ME DMERC - Maine (Region A) Enrl., Auth.
MR031 MD DMERC - Maryland (Region B) Enrl., Auth.
MR030 MA DMERC - Massachusetts (Region A) Enrl., Auth.
MR031 MI DMERC - Michigan (Region B) Enrl., Auth.
MR031 MN DMERC - Minnesota (Region B) Enrl., Auth.
MR032 MS DMERC - Mississippi (Region C) Enrl., Auth.
MR024 MO DMERC - Missouri (Region D) Enrl., Auth.
MR024 MT DMERC - Montana (Region D) Enrl., Auth.
MR024 NE DMERC - Nebraska (Region D) Enrl., Auth.
MR024 NV DMERC - Nevada (Region D) Enrl., Auth.
MR030 NH DMERC - New Hampshire (Region A) Enrl., Auth.
MR030 NJ DMERC - New Jersey (Region A) Enrl., Auth.
MR032 NM DMERC - New Mexico (Region C) Enrl., Auth.
MR030 NY DMERC - New York (Region A) Enrl., Auth.
MR032 NC DMERC - North Carolina (Region C) Enrl., Auth.
MR024 ND DMERC - North Dakota (Region D) Enrl., Auth.
MR031 OH DMERC - Ohio (Region B) Enrl., Auth.
MR032 OK DMERC - Oklahoma (Region C) Enrl., Auth.
MR024 OR DMERC - Oregon (Region D) Enrl., Auth.
MR030 PA DMERC - Pennsylvania (Region A) Enrl., Auth.
MR032 PR DMERC - Puerto Rico (Region C) Enrl., Auth.
MR030 RI DMERC - Rhode Island (Region A) Enrl., Auth.
MR032 SC DMERC - South Carolina (Region C) Enrl., Auth.
MR024 SD DMERC - South Dakota (Region D) Enrl., Auth.
MR032 TN DMERC - Tennessee (Region C) Enrl., Auth.
MR032 TX DMERC - Texas (Region C) Enrl., Auth.
MR024 UT DMERC - Utah (Region D) Enrl., Auth.
MR030 VT DMERC - Vermont (Region A) Enrl., Auth.
MR032 VI DMERC - Virgin Islands (Region C) Enrl., Auth.
MR031 VA DMERC - Virginia (Region B) Enrl., Auth.
MR024 WA DMERC - Washington (Region D) Enrl., Auth.
MR031 DC DMERC - Washington DC (Region B) Enrl., Auth.
MR031 WV DMERC - West Virginia (Region B) Enrl., Auth.
MR031 WI DMERC - Wisconsin (Region B) Enrl., Auth.
MR024 WY DMERC - Wyoming (Region D) Enrl., Auth.
37231   Doctor and Patient (Medical claims only, no work comp claims)  
DCHCH   Driscoll Children's Health Plan - CHIP  
75232   E3 Health Inc.  
65009   eAppeal Solutions  
62308 OH Eaton Benefits, OH  
CX025   EBMC  
52192 MD Elder Health Maryland HMO Inc  
75260   Electronic Transmission Corp.  
34167   Emerald Health Network  
PR002   Emorycare  
73288   Emphesys  
IP079 CA Empire Physicians Medical Group - EPMG  
87726   Empire Plan- United Healthcare  
38241   Employee Benefit Concepts  
CX025   Employee Benefit Management Corp.  
81039   Employee Benefit Management Servics Inc. (EBMS)  
03036 VT Employee Benefit Plan Administration (E.B.P.A.)  
37216   Employee Benefit Services  
75184 TX Employee Claim Adjudication Services  
MSI01   Employers Coalition on Health (ECOH)  
MSI01   Employers Health Cooperative (EHC)  
73288   Employers Health Insurance  
37249   Employers Life Insurance Corp - ELIC  
59298 FL Employer's Mutual Inc  
37110   Encompass  
GTPA1   Encore Encore  
36364   ENH Medical Group IPA  
91136   Enstar Natural Gas, Grp P61 (MUST HAVE GRP# ON CLAIM)  
EPOTX   EPO CHIP/ Managed Care  
28777   EPOCH Group  
62308   Equicor  
62308   Equicor PPO  
62308   Equicor/Equitable  
75196   Equifax Healthcare Admin Svc. (EHAS)  
23250   Erin Group Administrators  
53172   Evercare  
58233   Evergreen Health Plan  
IP080 CA Exceptional Care Medical  
71412   Exclusicare  
BVES1   Eye Specialists  
37300   FACS Group  
22254   Fallon Community Health  
IP017 CA Family / Seniors Medical Group Inc. (Labs Only) - IPA Authorization
IP080 CA Family Choice Medical  
IP080 CA Family Health Alliance  
AMS01 WI Family Health Network  
43173 MO Family Health Partners/MC + Missouri  
96865 OH Family Health Plan [Contact Pam Campbell, Provider Relations at 419.251.0474 to obtain provider ID.]  
FPA11   Family Practice Associates (Contact 713.843.6780 to obtain Provider ID)  
37289   FARA Benefit Services  
37289   FARA/ F.A. Richard & Associates Inc  
14140 NY Farm Family  
37300   Federated Benefits  
37300   Federated HR Services/ FACS Group  
41041 MN Federated Mutual Health Insurance Company  
AMS01 FL FHC Super Select (FL)  
COFHP CO FHP of Colorado - HMO Claims Only  
11315   Fidelis Care  
FBI99   Fidelity Benefit Administrators  
FAMR1 SD First Administrators (Provider id and group id required on all claims.  Non participating providers should put in "0000" as their provider id)  
56196 NC First Carolina Care  
91131   First Choice Health Network  
87043   First Health  
23241   First Priority Health  
63080   First State Health Plan  
94999 TX Firstcare "Star" Medicaid {Contact 800.365.1051 x 6456 to obtain Provider ID.}  
90060   FirstGuard Health Plan  
60054   Flexcare  
59276 FL Florida 1st - Winterhaven, FL  
59276   Florida First  
AMS01 FL Florida Health Choice (FL)  
AMS01 FL Florida Health Choice/Select (FL)  
59321 FL Florida Hospital Healthcare Services  
48116 FL Florida Hospital Waterman Employee Benefit Plan  
60054 FL Florida Power & Light (Prudential)  
48117   FMH Benefit Services Inc  
37305   Ford Meter Box Company  
39065   Fortis (Formerly Time Insurance)  
39065   Fortis (Western Life Ins. Benefit Plan)  
39065   Fortis Benefits Inc (Woodbury) PHCS Network Claims  
39065   Fortis Western  
FH001 CA Foundation Health Enrl., Auth.
FH002 CA Foundation Health - HMO Enrl., Auth.
FH002   Foundation Health Amerimed - HMO Enrl., Auth.
FH002   Foundation Health Amerimed Senior - HMO Enrl., Auth.
59257 FL Foundation Health Plan (Sunrise, FL)  
64067   Fox Everett - Ingalls Ship Building  
64069   Fox-Everett Inc.  
62324   Freedom Life Insurance Co.  
IP080 CA Freeman IPA  
59204 FL Fringe Benefit Coordinators  
25169   Gateway Health Plan  
44054   GEHA  
44054   GEHA Ins. No. 372  
75273   Geisinger Health Plans {Payer requires Enrl., Auth..  Please contact the payer at 570.271.8077} Enrl., Auth.
63665 MO Gencare Health (St. Louis)  
63665 MO Genelco (St. Louis Only)  
63665   General American (Sanus - East)  
63665   General American Life  
63665 MO General American Life Ins. Co. (Sanus, St. Louis)  
IP087 CA Genesis Healthcare (EMG) Enrl., Auth.
61271 GA Georgia Power Med. Benefits Plan (Health Care Service)  
25531   GHI HMO  
58204   GI Innovative Management  
07205   Gilsbar Inc  
91136   Glassworkers Hlth & Welfare Fund, Grp F29 (MUST HAVE GRP # ON CLAIM)  
37602   Golden Rule Insurance Company  
GTPA1   Golden Triangle Physician Alliance (Contact 713.843.6780 to obtain Provider ID)  
IP086 CA Good Samaritan Medical Practice Association (GSMPA) Enrl., Auth.
44054   Government Employees Hospital Association  
37234   Grant Physicians Practice Association  
95467   Great Lakes Health Plan  
IP109   Greater Covina Medical Group  
IP080 CA Greater L.A. Health  
IP080 CA Greater San Gabriel  
80705   Great-West Healthcare (First Great West Life & Annuity Ins. Co.)  
66893   Great-West Healthcare (formerly New England Financial)  
80705   Great-West Healthcare (formerly One Health Plan ---- Except CA, CO, GA, IL, or TX)  
95379 CA Great-West Healthcare (formerly One Health Plan of California, Inc.)  
95569 GA Great-West Healthcare (formerly One Health Plan of Georgia, Inc.)  
GASA1   Group Admin Self-Funded Alternative  
36338   Group Administrators Ltd  
48143   Group and Pension Administrators {Group # required on all claims}  
72087 LA Group Benefits - Louisiana  
GE001 MO Group Health Authorization
39167 WI Group Health Cooperative – Madison, WI  
91051   Group Health Cooperative (WA)  
91051 WA Group Health Cooperative Puget Sound (Seattle, WA) (Authorization Required From GHC Provider Services.  Call 800.919.4325 or 206.287.2400)  
61101 DE Group Health Insurance  
61101   Group Health Insurance (Humana)  
91121   Group Health Northwest  {Eastern Washington state and Northern Idaho. Signed provider agreement required.  Please call 509.241.7317 prior to submitting claims.} Enrl., Auth.
13551   Group Health, Inc. (GHI)  
37276   Group Insurance Service Center Inc (GISC)  
64246   Guardian Life (The Guardian)  
39180   Gundersen Lutheran Health Plan Inc. {Providers must first call 608.775.8026 prior to first electronic submission of claims}  
37114   H.E.R.E.I.U. Welfare Pension Plan Funds  
36406   Harmony Health Plan Of Illinois  
36405   Harmony Health Plan of Indiana  
36405 IN Harmony Health Plan of Indiana (ONLY Claims for Indiana Hoosier Healthwise Members can be sent to this payer electronically)  
95266   Harrington Benefit Services  
04271   Harvard Pilgrim Health Plan (Providers must contact the payer at 617.745.1000 to complete an EDI agreement and become enrolled before submitting claims.  Claims submitted without an agreement will reject.)  
86068 IA Hawki  
37111   HCH Administration  
34654 OH Health & Welfare fund of the Plumbers & Pipefitters Local Union No 396  
34185   Health Administration Service  
77950   Health Alliance Medical Plan  
38224 MI Health Alliance Plan of Michigan  
25126   Health America, Inc./ Health Assurance/ Advantra  
25126   Health Assurance/ Health America Inc/ Advantra  
60054   Health Care Alliance (Sears)  
34193 OH Health Care Payer's Coalition (HCPC) (Only send claims with address this address HCPC, PO Box 741, Toledo, OH 43697)  
56142   Health Care Savings  
61271 GA Health Care Services, Georgia Power  
34158 OH Health Design Plus (Hudson, Ohio)  
75196   Health Economics Corporation  
95019 FL Health First Health Plan  
59087   Health Help Network Inc (HHNI)  
55247 NY Health Insurance Plan of Greater NY {Providers must contact Albert Algarain at HIP 212.216.8840 to have your tax id and provider id set up in the payer's system prior to sending claims.  If this is not done, claims will reject and no rejection message will be produced.}  
95567 CA Health Net (Claims Only)  
HM001 CA Health Net (Encounters Only) Enrl., Auth.
38309 AZ Health Net of Arizona  
06108   Health Net of the Northeast (formerly Physicians Health Services) {Please call the EDI Team at 866.334.4638 to verify provider id}  
AMS01 TN Health Net Plus (TN)  
04286   Health New England  
62157 TN Health Partners (Tennessee)  
37221   Health Plan Management Inc  
94254 CA Health Plan of the Redwoods (Mediprime)  
59140   Health Plan Services  
59142 OK Health Plan Services - Oklahoma  
44273   Health Plans Inc  
95435   Health Pledge HMO  
41170   Health Risk Management  
HSM01   Health Service Management  
36332   Health Star  
61101 DE Health Value Management - (Humana)  
IP102   Healthcare Partners  
96475   Healthcare Plan HMO {Contact payer at 800.435.7441}  
90001   Healthcare Plan PPO {Contact payer at 800.435.7441}  
AMS01 IA Healthcare Preferred (IA)  
82468   Healthcare Resource Group (HRG)  
36335   Healthcare's Finest Network  
95376 CT HealthChoice of Connecticut  
62168 TN HealthChoice of Memphis  
HCOMP CA HealthComp  
59608 FL Healthease  
HCPMC TX HealthFirst (Medicare)  
75234 TX Healthfirst Tyler, TX  
80141 NY Healthfirst, Inc. {Please contact the payer prior to submitting claims to verify provider id 212.801.6078}  
23226   HealthGuard of Lancaster  
61101   Healthhelp Networks Inc (HNNI)  
90001   Healthlink PPO {Please call provider relations dept at 800.624.2356 for unique provider id}  
43132 MO HealthNet - Kansas City, MO  
55204 NY HealthNow New York Enrl., Auth.
94267 MN Healthpartners Enrl., Auth.
80142 PA HealthPartners, PA (all claims submitted require a valid HealthPartners PA provider id in the rendering provider id field)  
59256 FL Healthplan Southeast HPSE (A Healthplan Southeast assigned provider number must be present on each claim.)  
95009 LA HealthPlus of Louisiana Enrl., Auth.
68195   Healthpoint Corp.  
HSPC1   HealthSmart Preferred Care  
62308 AR Healthsource - Arizona  
62308 AR Healthsource - Arizona (Medicare HMO)  
62308 IN Healthsource - Indiana  
62308 KY Healthsource - Kentucky  
62308 ME Healthsource - Maine  
62308 MA Healthsource - Massachusetts  
62308 NH Healthsource - New Hampshire  
62308 NC Healthsource - North Carolina  
62308 TX Healthsource - North Texas  
62308 OH Healthsource - Ohio  
62308 SC Healthsource - South Carolina  
62308 TN Healthsource - Tennessee  
62308   Healthsource Provident Administrators  
62308   Healthsource Provident Ins. Co.  
HT001 TN HealthSpring: NO PPO claims accepted via this payer id, HMO only. Enrl., Auth.
36332   Healthstar Inc (Preferred Care Network/PCN)  
HGL99   Heavy & General Laborers Welfare Fund  
95378   Heritage (John Deere Health Care) (Payer requires a JDHC electronic ID from Nancy Knauss at John Deere.  Please contact her at 309.748.0426, electronic id #'s 309.765.0548)  
59230   Heritage Consultants  
11328 NY Heritage NY Medical Group  
HPN11   Heritage Physican Network (HPN) {Providers must email provider relations (pr@hhsi.com) to get their unique 5 digit provider id.  This provider id is required on all claims}  
36335   HFN Inc  
HERZ0 CA High Desert Medical Group Authorization
59347   Hillcrest Benefit Administrators  
HMA01   HMA - Health Management Administrators  
86066 AZ HMA Inc.  
86066 NV HMA Inc.  
86066 HI HMA Inc.  
HM033 TX HMO Blue - MediCaid Authorization
53172   HMO Blue Star Plus - Houston Only (Contact Mark Messer 602.3315100 x 5563 to obtain Lifemark Physician ID)  
COHMO CO HMO of Colorado (HMOC)  
61101   HMPK Inc (Humana)  
IP080 CA Hollywood Presbyterian  
AMS01 WI Homestead CHP/S  
34150   Hometown Health Network  
22326 NJ Horizon Mercy  
91136   Hotel Employees & Restaurant Employees Hlth Trust, Grp # F19 (MUST HAVE GRP# ON CLAIM)  
61101   HPLAN Inc (Humana)  
94254   HPR  
58227   HPS Paradigm Inc  
41170   HRM Claim Management  
61102   Humana - Encounters only  
61101   Humana Care Plan  
95348 CA Humana Choice Care  
61101   Humana Gold Plus  
61101   Humana Health  
61101   Humana Health Chicago Inc  
61101   Humana Health Chicago Ins Company  
61101   Humana Health Plan  
61101 CA Humana Health Plan - HMO  
61101   Humana Insurance Agency  
61101   Humana Insurance Comapy  
61101 CA Humana Medical Plan - CA  
61101 KY Humana Medical Plan - KY  
61101 WI Humana Wisconsin Health Organization (Formerly Carenetwork/Wisconsin Health Organization)  
37260   Hunt Insurance Group  
IP080 CA Huntington Park Medical Group  
IP080 CA Huntington Park Mission  
38234   IBA Self Funded Group  
IBE98   IBEW Local 38  
IBE97   IBEW Local 481  
60054   IBM Medical Plans  
75185   ICON Benefits Administrators  
86069 IL Illinois Health Solutions  
41600   IMCARE  
IP089 CA Imperial Valley Medical Group (IMPV) Enrl., Auth.
86070 NV IMX EZ  
30931   Independent Health  
35204 IN Indiana Health Network  
35161 IN Indiana ProHealth  
52196   Informed  
04320   Innovative Healthware Solutions  
93112 OR Inpronet, Portland, OR  
60054   Institutes of Quality  
37279   Insurance Administrator of America Inc (IAA)  
63082 AL Insurance Claims Service, Inc.  
13315   Insurance Design Administrators  
31127   Integra Group  
37124 IL Integrated Benefit Services, IL  
53252   Inter County Health Plan  
37227   InterCare Health Plans  
60280   Interface EAP (IEAP)  
23287   InterGroup Services PPO  
37241   International Union of Operating Engineers, Local 4 Health & Welfare Fund (located in Lexington, MA)  
86068 IA Iowa Health Solutions  
AMS01   Iowa, Envoy Platinum  
37272   J Smith Lanier & Co. Administrators  
61271   J.F. Molloy & Associates Inc  
41099   John Alden Life  
95378   John Deere Health Care (Heritage) (Payer requires a JDHC electronic ID from Nancy Knauss at John Deere.  Please contact her at 309.748.0426, electronic id #'s 309.765.0548)  
JMH01 CA John Muir Health Network Enrl., Auth.
37215   John P. Pearl & Associates Ltd  
34136   JP Farley Corporation  
MWP01   JPS Preferred Care  
37272   JSL Administrators  
21313   Kaiser Foundation Health Plan of Georgia  
52095   Kaiser Foundation Health Plan of the Mid-Atlantic States (MD, VA and DC)  
HM036 CA Kaiser Permanente (Encounter data only) Enrl., Auth.
HM044 CO Kaiser Permanente (Encounters-Colorado only)  {Must contact Betsy Baxa at 303.743.5828 prior to submission.}  
KS003 CA Kaiser Permanente (Northen California Only) Enrl., Auth.
KS001 CA Kaiser Permanente (Southern California Only)  
57038   Kanawha Healthcare Solutions Inc  
57038   Kanawha Insurance Company  
25144   Kansas City Advantra  
73100   Kempton Company  
73100   Kempton Group Administrators  
63077 KY Kentucky Health Select  
61101   Kentucky Kare (Humana)  
37124 IL Kepple & Co. (Formerly Integrated Benefit Svcs.)  
37217   Key Benefit Administrators  
IP082 CA Key Medical Group {Providers please contact Brandi Guinn at 559.735.3892 x 233 for authorization} Authorization
95199 PA Keystone Health Plan Central (In service area providers only) Enrl., Auth.
54771 PA Keystone Health Plan Central (Out of service area providers only) Enrl., Auth.
23284 PA Keystone Mercy  
86049 PA KidsChoice CHIP - Medicaid PA (Payer requires every claim contain the AmeriChoice assigned provider id-including suffix)  
86049 PA KidsChoice via Information Network Corp  
34145   KLAIS & Company  
IP021 CA Korean American Medical Group (Labs Only) Authorization
HM039 CA LA Care - Encounter data only Enrl., Auth.
IP103   La Vida Medical Group   
WC001 WA Labor and Industry Enrl., Auth.
95416 CA Lakeside IPA  
LNDMK   Landmark Healthcare Enrl., Auth.
75279   Leggett and Platt  
11123   Liberty Mutual Insurance Company (Workers' Compensation Claims ONLY)  
37281   Liberty Union Life Assurance Co  
37281   Life Assurance Company  
LFGRD   Lifeguard  
53172   Lifemark (Contact Mark Messer 602.331.5100 x 5563 to obtain Lifemark Physician ID)  
93093 OR LifeWise (of OR), A Premera Healthplan  
73288   Lincoln National (EMPHESYS)  
35107 IN Local 135 Health Benefits (Indianapolis, IN)  
IBT99   Local 295/851  I.B.T. Employer Group Welfare Fund   
PR002   Los Alamos Total Care (LATC)  
LAF99 CA Los Angeles Fireman's Relief Fund (LAFRA)  
90328 NM Lovelace HealthPlan Medicaid  
SX159   Lovelace Salud Medicaid  
54195   Lumenos Inc  
01260   Magellan Behavioral Health  
MBHCR   Magellan Behavioral Health - Case Rate  
AXN01 NY Magellan Specialty Health - Cigna NY general surgery  
62413   Mailhandlers Benefit Plan (CAC)  
52148   MAMSI  
35162   Managed Care Services  
39186 IN Managed Health Services Of Indiana/ Maxicare {Please contact the payer at 800.225.2573 x 25525, to get set up to submit electronic claims.} Enrl., Auth.
39187 WI Managed Health Services of Wisconsin {Please contact the payer at 800.225.2573 x 25525, to get set up to submit electronic claims.} Enrl., Auth.
93900   Managed Physical Network  
41555 FL Manatee Service Center (FL)  
75258   Mapco, Inc.  
IP097 CA Marin IPA Enrl., Auth.
PR002   Marriott (Prudential) (Medical)  
00247 MD Maryland Physicians Care  
SX069 MD Maryland Public Mental Health System  (PMHs) Enrl., Auth.
37121   Mashantucket Pequot Tribal Nation  
41154 AZ Mayo Management Services  
56205   MBS (Formerly MedCost Benefit Services)  
MM001 MI M-CARE Authorization
59331   McCreary Corporation {For plan and claim requirements please contact the payer at 561.287.7650 x 4052}  
38232 MI McLaren (claims destined for the following address only: PO Box 30275, Lansing MI)  
11338 NY MDNY Healthcare  
58204   MedAdmin Solutions (ADS)  
59231   MedCom (e-MedCom)  
60054   Medconnection (Marriot)  
56162   Medcost Inc {Contact payer at 800.433.9178}  
94265 MN Medica Choice (Allina)  
MC018 AL Medicaid - Alabama Authorization
MC093 AK Medicaid - Alaska Enrl., Auth.
MC029 AR Medicaid - Arkansas Enrl., Auth.
MC004 CO Medicaid - Colorado Enrl., Auth.
MC039 CT Medicaid - Connecticut Enrl., Auth.
MC010 FL Medicaid - Florida Enrl., Auth.
MC020 GA Medicaid - Georgia Enrl., Auth.
MC009 IL Medicaid - Illinois (Additional payer fees) Enrl., Auth.
MC022 IN Medicaid - Indiana Enrl., Auth.
IAMCD IA Medicaid - Iowa Enrl., Auth.
MC012 KS Medicaid - Kansas  
MC032 KY Medicaid - Kentucky Enrl., Auth.
MC089 LA Medicaid - Louisiana Enrl., Auth.
MC031 ME Medicaid - Maine Enrl., Auth.
MC091 MD Medicaid - Maryland Enrl., Auth.
MC054 MA Medicaid - Massachusetts Enrl., Auth.
MC035 MI Medicaid - Michigan Enrl., Auth.
MC053 MN Medicaid - Minnesota Enrl., Auth.
MC019 MS Medicaid - Mississippi Enrl., Auth.
MC011 MO Medicaid - Missouri Enrl., Auth.
MC033 MT Medicaid - Montana Enrl., Auth.
NEMCD NE Medicaid - Nebraska Enrl., Auth.
MC059 NH Medicaid - New Hampshire Enrl., Auth.
MC087 NJ Medicaid - New Jersey Enrl., Auth.
MC034 NM Medicaid - New Mexico Enrl., Auth.
MC021 NC Medicaid - North Carolina Enrl., Auth.
MC121 NC Medicaid - North Carolina - Mental Health ONLY Enrl., Auth.
MC046 OH Medicaid - Ohio Enrl., Auth.
MC030 OK Medicaid - Oklahoma Enrl., Auth.
MC015 OR Medicaid - Oregon Authorization
MC016 PA Medicaid - Pennsylvania Enrl., Auth.
MC024 SC Medicaid - South Carolina (Additional fees are charged to the provider by the company that manages electronic claims for SC Medicaid) Enrl., Auth.
TXMCR  TX Medicaid - Texas Enrl., Auth.
MC081 VT Medicaid - Vermont Enrl., Auth.
MC017 VA Medicaid - Virginia Enrl., Auth.
MC006 WA Medicaid - Washington (DSHS) Enrl., Auth.
MC088 DC Medicaid - Washington DC Enrl., Auth.
MC048 WV Medicaid - West Virginia Enrl., Auth.
MC049 WI Medicaid - Wisconsin Enrl., Auth.
MC055 WI Medicaid - Wisconsin HIRSP  Only Enrl., Auth.
MC051 CA Medi-Cal - California Enrl., Auth.
74323   Medical Benefits Mutual  
04258   Medical Claims Service, Inc  
BC004 OH Medical Mutual of Ohio  
33029   Medical Pathways  
61101 MO Medical Plan of Kansas City - MO (Humana)  
58203   Medical Resource Network (MRN)  
38224 OH Medical Value Plan-MVP-OH  
MR054 AL Medicare - Alabama Enrl., Auth.
MR010 AK Medicare - Alaska Enrl., Auth.
MR008 AZ Medicare - Arizona Enrl., Auth.
MR055 AR Medicare - Arkansas Enrl., Auth.
MR002 CA Medicare - California - Northern Region (also has ERA connection) Enrl., Auth.
MR001 CA Medicare - California - Southern Region (also has ERA connection) Enrl., Auth.
MR004 CO Medicare - Colorado Enrl., Auth.
MR039 DE Medicare - Connecticut Enrl., Auth.
MR049 CT Medicare - Connecticut Enrl., Auth.
FLMCR FL Medicare - Florida (also has ERA connection) Enrl., Auth.
MR015 GA Medicare - Georgia Enrl., Auth.
MR057 HI Medicare - Hawaii Enrl., Auth.
MR003 ID Medicare - Idaho Enrl., Auth.
MR023 IL Medicare - Illinois Enrl., Auth.
MR041 IN Medicare - Indiana Enrl., Auth.
IAMCR IA Medicare - Iowa Enrl., Auth.
MR036 IA Medicare - Iowa Enrl., Auth.
MR060 KS Medicare - Kansas Enrl., Auth.
MR052 KY Medicare - Kentucky Enrl., Auth.
MR048 LA Medicare - Louisiana Enrl., Auth.
MR043 ME Medicare - Maine Enrl., Auth.
MR038 MD Medicare - Maryland Enrl., Auth.
MR061 MA Medicare - Massachusetts Enrl., Auth.
MR017 MI Medicare - Michigan Enrl., Auth.
MR019 MN Medicare - Minnesota Enrl., Auth.
MR050 MS Medicare - Mississippi Enrl., Auth.
MR094 MO Medicare - Missouri --- BC/BS of Arkansas Enrl., Auth.
MR044 MO Medicare - Missouri --- Kansas, City (ASK) Enrl., Auth.
MR092 NE Medicare - Nebraska Enrl., Auth.
MR007 NV Medicare - Nevada Enrl., Auth.
MR051 NH Medicare - New Hampshire Enrl., Auth.
MR035 NJ Medicare - New Jersey Enrl., Auth.
MR076 NM Medicare - New Mexico Enrl., Auth.
MR042 NY Medicare - New York --- Empire Enrl., Auth.
MR045 NY Medicare - New York --- GHI Queens County Only Enrl., Auth.
MR059 NY Medicare - New York --- Upstate/Albany Enrl., Auth.
MR020 NC Medicare - North Carolina Enrl., Auth.
NCMCR NC Medicare - North Carolina Enrl., Auth.
MR083 ND Medicare - North Dakota Enrl., Auth.
MR033 OH Medicare - Ohio Enrl., Auth.
MR013 OK Medicare - Oklahoma Enrl., Auth.
MR011 OR Medicare - Oregon Enrl., Auth.
MR027 PA Medicare - Pennsylvania Enrl., Auth.
MR075 RI Medicare - Rhode Island Enrl., Auth.
MR028 SC Medicare - South Carolina Enrl., Auth.
MR084 SD Medicare - South Dakota Enrl., Auth.
MR034 TN Medicare - Tennessee Enrl., Auth.
TXMCR  TX Medicare - Texas Enrl., Auth.
MR046 UT Medicare - Utah Enrl., Auth.
MR062 VT Medicare - Vermont Enrl., Auth.
MR022 VA Medicare - Virgina --- All Other Areas Enrl., Auth.
MR006 WA Medicare - Washington Enrl., Auth.
MR040 DC Medicare - Washington DC (Includes Counties of Arlington and Fairfax / Cities of Alexandria, Falls Church, and Fairfax) Enrl., Auth.
MR056 WV Medicare - West Virginia Enrl., Auth.
MR053 WI Medicare - Wisconsin Enrl., Auth.
MR074 WY Medicare - Wyoming Enrl., Auth.
95436   Medicare-Extra  
IP080 CA Medicina Familiar Medical Group  
95655   MediGold  
94254   MediPrime  
37304   Mediversal Claims Administration  
62160 GA MedSolutions, Inc. of Georgia  
82160   Medspan Inc.  
00243 MD MedStar Physician Partners  
36193   Memphis Managed Care/ TLC  
MNM99   Mennonite Mutual Aid  
MRC01 AZ Mercy Care (Arizona)  
00360   Mercy Health Plan  
22326 NJ Mercy Health Plan of NJ (Horizon Mercy)  
IP079 CA Mercy Physicians Medical Group - San Diego - MPMG  
77042   Meridian Healthcare Management  
85035 NM Mesa Mental Health  
AMS01   Methodist SW Prv Org  
95420   MethodistCare  
87726   Metrahealth Network (HMO & Care Option:A United HealthCare Co.)  
87726   Metrahealth Plan Administrators (A United HealthCare Co.)  
87726   Metrahealth/Metrahealth Railroad (A United HealthCare Co.)  
82135   Metro Alliance  
13265   Metro Plus Health Plan  
MDL99 MI Metropolitan Detroit Laborers  
MWS01   Metrowest Star Medicaid  
61101 IL Michael Reese HMO Plan - IL  
61101 IN Michael Reese HMO Plan - IN  
63079   Mid Atlantic Health Plan  
37281   Mid-America Associates Inc  
IP004 CA Midcoast Care (Marian IPA) (Labs Only) Authorization
47081   Midlands Benefits Admin  
47080   Midlands Choice Inc  
59224   Mid-West National Life Insurance Company of Tennessee  
79480   Midwest Security  
MSI01   Midwest Security Administration (MSA)  
MSI01   Midwest Security Insurance Company (MSIC)  
74227   Mid-West United Life  
MSI01   Midwester Preferred  
MPMG1 CA Mills Peninsula Medical Group Enrl., Auth.
PR002   Minneapolis Prudential Business (Medical)  
IP014 CA Mission Valley IPA Medical Group/Lompoc (Labs Only) Authorization
37233 MS Mississippi Public Employee Benefit Trust  
64088 MS Mississippi Select Health Care (Gulfport, MS)  
37275   Missoula County Medical Benefits Plan  
38336 WA Molina Healthcare of WA (formerly Qualmed WA)  
IP095 CA Monarch Healthcare IPA (Monarch assigned rendering provider id required on all claims, or they will reject) Enrl., Auth.
MONEX IL Monex Health Care  
13174   Montefiore CMO  {Please call payer at 914.377.4400 for a unique provider id number before submitting claims}  
67466   Mony Financial Services (Pacific Mutual)  
IP083 CA Mosaic IPA Medical Group {Providers please contact Brandi Guinn at 559.735.3892 x 233 for authorization} Authorization
36111   Motorola Inc  
95655   Mount Carmel Services Services