Payers Being Submitted Through iEDI

By TherapyNotes, LLC on March 22, 2024

Updated 3/29/24 at 4:00 PM ET

We are no longer submitting claims through iEDI. We will maintain this page for now, in case we determine we need to send claims to iEDI again. Otherwise, this list does not include any relevant information.

Updated 3/28/24 at 6:10 PM ET

Our priority is getting your claims submitted as quickly as possible. Updates will be posted here as additional supported payers are tested and confirmed through iEDI. 

To search for a Payer, use the Find function by using the keyboard shortcut Control+F or Command+F.

Yellow highlights indicate most recently updated.

Payers Being Submitted Through iEDI

If the payer is provided on the list for submission, we are submitting queued claims electronically on your behalf and will update claim status appropriately. We recommend you do not download the claim file from the external submission page for these payers to help eliminate the possibility of duplicate claim submission.

Please continue to check your payer portal(s) for more detailed information on the status of a claim and for available Remittance Advice (ERAs) at this time.

Payer Name

 

TherapyNotes Payer ID

 

Aetna

60054

Anthem Blue Cross and Blue Shield - Indiana

SB630  

Anthem Blue Cross and Blue Shield - Kentucky

SB660

Anthem Blue Cross and Blue Shield (Virginia)

SB923  

Anthem Blue Cross and Blue Shield (Virginia)

SB924  

Anthem Blue Cross and Blue Shield of Ohio

SB338  

Anthem Blue Cross Blue Shield of Connecticut

SB560  

Anthem Blue Cross California

47198

Beacon Health Options

BHOVO

Blue Cross Blue Shield of Alabama

SB510

Blue Cross Blue Shield of Arizona

SB530  

Blue Cross Blue Shield of Arkansas

SB520  

Blue Cross Blue Shield of Colorado

SB550  

Blue Cross Blue Shield of Georgia

SB600  

Blue Cross Blue Shield of Illinois

SB621  

Blue Cross Blue Shield of Kansas

SB650  

Blue Cross Blue Shield of Kansas City

SB740  

Blue Cross Blue Shield of Maine

SB680  

Blue Cross Blue Shield of Michigan

SB710  

Blue Cross Blue Shield of Missouri

SB741  

Blue Cross Blue Shield of Montana

SB751

Blue Cross Blue Shield of Nebraska

SB760  

Blue Cross Blue Shield of New Hampshire

SB770  

Blue Cross Blue Shield of New Mexico

SB790  

Blue Cross Blue Shield of New York (Rochester)

SB804

Blue Cross Blue Shield of North Carolina

SB810  

Blue Cross Blue Shield of North Dakota

SB820  

Blue Cross Blue Shield of Oklahoma

SB840  

Blue Cross Blue Shield of Rhode Island

SB870  

Blue Cross Blue Shield of South Carolina - State Health Plan

SX103  

Blue Cross Blue Shield of South Dakota

SB889  

Blue Cross Blue Shield of Tennessee

SB890  

Blue Cross Blue Shield of Tennessee (Chattanooga HMO Plans)

SB891  

Blue Cross Blue Shield of Tennessee (Memphis)

SB892  

Blue Cross Blue Shield of Vermont

SB915

Blue Cross Blue Shield of Western New York

SB801

Blue Cross Blue Shield of Wisconsin

SB950  

Blue Cross Blue Shield of Wyoming

SB960  

Blue Cross of California

47198  

Blue Cross of Washington (Premera)

SB930  

Blue Shield of California

94036

Blue Shield of Northeastern New York

SB800

BlueCross BlueShield of National Capital Area (CareFirst)

SB580

CareSource Ohio Medicaid

31500

CareSource PASSE of Arkansas

ARCS1

Cenpatico

68068

Centene Corporation

68069

Christian Care Ministries

59355

Connecticut Federal Employee Health Benefits

SB563  

EmblemHealth Insurance Company

55247

Fidelis Care

11315

Florida Blue Cross Blue Shield Health Options HMO

SX030  

Health Plans, Inc.

44273

HealthSCOPE

40026

Hometown Health

88023

Horizon Blue Cross Blue Shield of New Jersey

22099

Humana

61101

Inland Empire Health Plan

IEHP1

Kaiser Foundation Health Plan of Southern California Region

94134

Kaiser Foundation Health Plan of Washington

91051

Magellan Healthcare

01260

Managed Health Network

22771

Municipal Health Benefit Fund

81883

North American Administrators (NAA)

65085

Oscar Health

OSCAR

Passport Health Plan by Molina Healthcare

61325

Physicians Mutual Insurance Company

47027

Priority Health of Michigan

38217

QualChoice of Arkansas

35174

Regence Blue Cross Blue Shield of Oregon

SB850  

Regence Blue Cross Blue Shield of Utah

SB910  

Regence Blue Shield of Idaho

SB611  

Rightchoice Benefits Administrators

37331

SelectHealth

SX107

Summit Community Care

PASSE

Texas Health Aetna

88221

Three Rivers Preferred

MP340

TRICARE West Region

SCWI0

United Medical Resources

39026

UnitedHealthcare (Optum)

87726

Wellmark Blue Cross and Blue Shield of Iowa (IASD)

SB640  

 

Payers in Testing Through iEDI

We are working diligently to make sure the payers with the highest volume of claims go through testing first. In each round of testing we assure that claims make it to the payer and determine a percentage of rejections. As we gain confidence in acceptance from the payer, we will move these payers from the testing section and into the submitted section.

Payer Name

 

TherapyNotes Payer ID

 

6 Degrees Health

20446

1199SEIU Family of Funds

13162

2020 Eyecare

2020E

A & I Benefit Plan Administrators

93044

AARP

36273

Access Medical Group

AMG02

Accountable Health Plan of Ohio

31138

Accountable Healthcare IPA

MPM23

ACS Benefit Services

72467

Administrative Concepts

22384

Advanced Health

DOCSO

Advantage Care IPA

ACIPA

Advantek Benefit Administrators

83077

Advantica Benefits

59374

Advanzeon Solutions

59314

AdventHealth Transplant Institute

RP090

Adventist Health System

95340

Advocate Health Centers

36320

Advocate Health Partners

65093

Aegis Administrative Services

CB637

Aetna Affordable Health Choices (SM) - SRC

57604

Aetna ASA/GEHA

06603

Aetna Better Health - PA Medicaid

23228

Aetna Better Health Medicaid IL

26337

Aetna Better Health of California

128CA

Aetna Better Health of Illinois Inc

68024

Aetna Better Health of Kansas

128KS

Aetna Better Health of Kentucky

128KY

Aetna Better Health of Louisiana

128LA

Aetna Better Health of Maryland

128MD

Aetna Better Health of Michigan

128MI

Aetna Better Health of New Jersey

46320

Aetna Better Health of New York

34734

Aetna Better Health of Ohio

50023

Aetna Better Health of Virginia

128VA

Aetna Better Health of West Virginia

128WV

Affiliated Doctors of Orange County (ADOC)

27344

Affiliated Partners IPA

POP09

Affinity Medical Group

46594

AgeRight Advantage Health Plan

ARA01

AgeWell New York

AWNY6

Aither Health

64884

Alabama Medicaid

SKAL0

Alabama Medicare

SMAL0

Alameda Alliance for Health

95327

Alaska Medicaid

SKAK0

Alaska Medicare

SMAK0

Albuquerque Public Schools

85600

Alexian Brothers Community Services of Tennessee

44423

Align Senior Care of California

ASCA1

Align Senior Care of Florida

ASFL1

Align Senior Care of Michigan

ASMI1

Align Senior Care of Virginia

ASVA1

Alignment Health Care

AHCA1

Alivi Health

ALIVI

Alivi Therapy Network

ATNET

All American Medical Group

AAMG1

AllCare PACE

ACPCE

Allegiance Benefit Plan Management

81040

Alliance Behavioral Healthcare

23071

Alliance Coal Health Plan

93658

Alliant Health Plans

58234

Allied Benefit System

37308

Allina Health and Aetna Insurance Company

54398

AlohaCare

ALOHA

Alpha Care Medical Group NMM

NMM04

AlphaCare Medical Group

MPM32

Amalgamated Life - Pennsylvania/Alicare

13343

AmeraPlan

38219

AmeriBen Solutions

75137

American Administrative Services

59141

American Family Insurance

TH095

American General

62030

American Health Advantage of Idaho & Utah

31145

American Health Advantage of Texas

31155

American Healthcare Alliance

01066

American National Insurance Company

74048

American Plan Administrators

95606

American Postal Workers Union

44444

Amerigroup

27514

AmeriHealth Administrators

54763

AmeriHealth Caritas Delaware

77799

AmeriHealth Caritas District of Columbia

77002

AmeriHealth Caritas Louisiana

27357

AmeriHealth Caritas New Hampshire

87716

AmeriHealth Caritas Next A Product of AmeriHealth Caritas Florida, Inc.

45408

AmeriHealth Caritas Next North Carolina

83148

AmeriHealth Caritas North Carolina

81671

AmeriHealth Caritas Ohio

35374

AmeriHealth Caritas Ohio

84243

AmeriHealth Caritas VIP Care Plus Michigan

77013

AmeriHealth New Jersey PPO

SX075

AmFirst Insurance

64090

Amida Care

24818

Amida Care Medicare

79966

Anchor - Claimsbridge

IHS10

Anchor Benefit Consulting

53085

Angle Health

39856

Anthem MaineHealth

00958

Anthem Ohio Medicaid

29370

Arizona Medicaid

SKAZ0

Arizona Medicare

SMAZ0

Arizona Priority Care Plus

27154

Arkansas Medicaid

SKAR0

Arkansas Medicare

SMAR0

Ascension Living PACE Michigan

R3458

Aspire Health Plan

46156

ASR Physicians Care

38265

ASRM Corporation

ASRM1

Asserta Health

IHS14

Associates for Healthcare

36326

Assurant Health Self Funded

75068

Assured Benefits Administrators

74240

Asuris Northwest Medadvantage Regence

SX179

Asuris Northwest Regence

93221

Atlantic Coast Life Insurance

87020

Atlantic Medical Insurance

22285

Atrio Health Plans

MPCHA

Automated Benefit Services

38259

Automated Group Administration (AGA)

37280

Avalon Administrative Services - BCBSNC

AVA02

Avalon Administrative Services - BCBSVT

AVA04

Avalon Healthcare Solutions

AVA01

Avera Health Plans

46045

Avesis

87098

AvMed

59274

Axminster Medical Group

AXM01

Bakersfield Family Medical Center

BKRFM

Bakersfield Family Medical Group

77005

Banner - University Family Care

66901

Banner Health and Aetna Health Insurance Company

67895

Banner Health Network

12X42

Banner Medicare Advantage Plus PPO (BMAP)

84324

Banner Medicare Advantage Prime HMO (BMAH)

84323

Baptist Health South Florida

65026

Baptist Hospital South Florida International

67668

BARInet

CB369

BCBS North Dakota Vision

SB821

Beacon of Life

65432

Beaver Medical Group

45967

Behavioral Health Systems

63100

Bella Vista Medical Group

MPM10

Benefit and Risk Management Services

99320

Benefit Coordinators Corporation

25145

Benefit Management LLC/VBA

88092

Benefit Management of Kansas

48611

Benefit Plan Administrators

88052

Benefit Plan Administrators - Hylton Payroll

19753

Benefit Solutions

60338

Benesys Inc

38238

Bienvivir Senior Health Services

BSHS1

Block Vision

BLOCK

Block Vision

BV001

Blue Care Network/Blue Cross Blue Shield of Michigan

SB711

Blue Cross Blue Shield Mississippi State and Teacher Employees

SB731

Blue Cross Blue Shield of Florida

SB590

Blue Cross Blue Shield of Louisiana

23738

Blue Cross Blue Shield of Massachusetts

SB700

Blue Cross Blue Shield of Minnesota

SB720

Blue Cross Blue Shield of Mississippi

SB730  

Blue Cross Blue Shield of Missouri (Blue Choice)

SB742  

Blue Cross Blue Shield of Nevada

SB765

Blue Cross Blue Shield of South Carolina - Companion Healthcare

SX085  

Blue Cross Blue Shield of South Carolina - Federal Employee Program (FEP)

SX084

Blue Cross Blue Shield of South Carolina - Planned Administrators Inc.

SX104  

Blue Cross Blue Shield of Texas

SB900

Blue Cross Blue Shield of Texas Medicaid

66001

Blue Cross Blue Shield of Texas Medicaid

66001

Blue Cross Blue Shield of Western New York Medicaid/CHP

44911

Blue Cross Community Health Plans

66005

Blue Cross Complete of Michigan

32002

Blue Medicare Advantage

00772

Blue Shield - Utica/Watertown

SB806

Blue Shield of Hawaii (HMSA)

SB971  

BlueCross BlueShield of Maryland (Carefirst)

SB690

Boilermakers National Health

36609

Boon Chapman Administrators

74238

Brand New Day

UC001

Braven Health

84367

Breckpoint

BRKPN

Bridgespan Regence

BRIDG

Bright Health Plan

CB186

Bright Healthcare

BRGHT

Britcay Medical

22286

Brokerage Concepts

51037

Brown & Toland Medical Group

94316

Brown & Toland Medical Group

BTSS1

Buckeye Ohio Medicaid

42020

Butler Benefit

42150

C & O Employees' Hospital Association

23708

California Health & Wellness

68047

California Medi-Cal

SKCA0

California Pacific Medical Center

94056

CalOptima Direct

CALOP

Capital Blue Cross (Facility Contracted Providers)

24705

Capital District Physicians Health Plan

SX065

Capital Health Plan

95112

Capitol Administrators

68011

CapRock Health Plans

CAPHP

Cardiovascular Care Providers (CVCP)

GCVCP

Care N Care Insurance Co.

66010

Care To Care

41222

Care Wisconsin Health Plan

27004

CareCentrix

11345

CareCentrix BCBS Michigan

11349

Carecentrix Cigna

11346

Carecentrix Horizon

11348

CareCore National

14182

CareCore National Oxford Radiology

14180

CareCore National Wellcare Radiology (NY counties only)

14188

Carelon Aetna Home Health

34010

Carelon Anthem Home Health

34009

CareOregon

93975

CarePartners of Connecticut

16307

CarePlus Health Plans

65031

CareSource North Carolina

NCCS1

CareSource of Georgia

GACS1

CareSource of Indiana

INCS1

CareSource of Ohio

31114

CareSource of West Virginia

WVCS1

CareSource Ohio Medicaid

31500

Careworks (Ohio Work Comp MCO)

10010

Carolina Behavioral Health Alliance

56215

Carolina Summit Healthcare

56195

CBA Blue

03036

Cedars Sinai Medical Center

95164

Cedars Sinai Medical Encounter

95167

Cedars Sinai Medical Network

95166

Celtic Insurance

68063

Centene TPA

42139

Center for Elders Independence

94312

CenterLight Healthcare

13360

Centers Plan for Healthy Living

CPHL1

Centivo

45564

Centivo Direct Network Access

IHS04

CentraCare

66698

Central California Alliance for Health

SX169

Centurion, LLC

IHS11

Chaffey Medical Group

49533

CHAMPVA - HAC

84146

Chautauqua Healthcare Plan

16600

Chesterfield Resources Inc.

34154

Children First Medical Group

94321

Children's Community Health Plan

251CC

Chinese Community Health Plan

94302

ChiroMetrics

33070

CHOC - Childrens Hospital of Orange County Health - Rady

33065

Choice Physicians Network

CPN01

Choice Physicians Network Nivano Physicians

CPNNP

Christian Brothers Services

38308

Christus Health - USFHP

90551

Christus Health Medicare Advantage

10629

Christus Health Plan Health Insurance Exchange

52106

Cigna Health Plans

62308

Cigna Healthcare for Seniors

86033

Cigna HealthSpring Tennessee/Alabama

63092

Cigna Select Great-West Healthcare

80705

Citrus Valley Physicians Group

CVPG1

ClaimChoice

83063

Claims Development Corporation

43056

ClaimsBridge High Performance Network

11752

Clear Health Alliance

CLEAR

Clever Care Health Plan, Inc.

84227

Clover Health

13285

Coastal Care Services Inc.

47394

Colonial Medical Bermuda

22284

Colonial Penn Life Insurance Company

37077

Colorado Community Health Alliance

COCHA

Colorado Medicaid

SKCO0

Colorado Medicare

SMCO0

Common Ground Healthcare Cooperative

77170

Commonwealth Care Alliance

14315

Commonwealth Care Alliance - Medicare Advantage

14316

Commonwealth Care Alliance DOS after 3/31/2023

A2793

CommuniCare Advantage

34525

Community Care BHO

23282

Community Care Organization

39126

Community Care Plan

FHKC1

Community Care Plan (Broward Health PPUC)

BHPP1

Community Family Care

NMM05

Community First Health Plan

TH005

Community Health Alliance

35193

Community Health Alliance Tennessee

27905

Community Health Center Network

CHCN1

Community Health Choice

48145

Community Health Choice - HIM

60495

Community Health Group

66170

Community Health Plan of Washington (CHPWA)

SB613

CommunityCare MHP of Oklahoma

73143

Companion Life

37322

ComPsych

37363

Concordia Plan Services

33632

ConnectiCare

06105

ConnectiCare VIP Medicare Advantage

78375

Connecticut Medicaid

SKCT0

Connecticut Medicare

SMCT0

Consolidated Associates Railroad

75284

Consumers Choice of South Carolina/HealthSCOPE Benefits

45321

Contra Costa Health Plan

CNTRA

Cook Childrens Health Plan

CCHP1

Cook Childrens Health Plan

TH104

Cook Childrens Star Plan

THCP9

Cook Medical Group

60065

Core Administrative Services

58231

Cornerstone Preferred Resources

CB268

Corporate Benefit Services

56116

Corporate Plan Management

64270

Correctional Health Partners

PHPMC

Correctional Medical Services

43160

Correctional Medical Services

CORIZ

CountyCare Health Plan

06541

Covenant Administrators

58102

COVID19 HRSA Uninsured Testing and Treatment Fund

95964

Cox Health Plan

00019

CPR Share Plans

CB695

Crescent Health Solutions

56213

CSI Network Services

34186

DakotaCare

DAK01

Decent Health

DCENT

Delaware Medicaid

SKDE0

Delaware Medicare

SMDE0

Delta Health Systems

DHS01

Denver Health - Indigent

84134

Denver Health and Hospital Authority

84133

Denver Health Medical Plan

84135

Denver Health Medical Plan, Inc

65456

Denver Health Medical Plan, Inc. - Medicare Choice

84131

Desert Medical Group

DESRT

Devoted Health

DEVOT

Dignity HCLA

MPM28

Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group

PROH1

Dignity Health Sacramento Hospital

HOSH1

Direct Care Administrators

DCA62

DirectCARE

55731

District of Columbia Metropolitan Area (DCMA) Medicare

SMDC0

Diversified Group Brokerage

06102

Doctors HealthCare Plans

DRHCP

Dolton Medical Group

DOLMG

Downey Select IPA (Applecare Medical Management)

APP01

Dreyer Medical

DREYR

Driscoll Childrens Health Plan

74284

Dunn & Associates

35186

East Boston Neighborhood PACE

25849

Eastpointe Human Services

08044

El Paso Health Advantage Dual SNP

EPF07

El Paso Health-CHIP

TH090

El Paso Health-STAR

TH089

El Proyecto Del Barrio

MPM04

ElderPlan

31625

EMI Health

SX110

Empire Blue Cross and Blue Shield of New York

SB803  

Empire Medical Group

EMP01

Employee Benefit Concepts

38241

Employee Benefit Logistics

92135

Employee Benefit Management

31074

Employee Benefit Systems

42149

Employee Benefits Administration & Management (EBA&M)

22262

Employee Plans

35112

Employer Direct Health - Employee Plan

75236

Employer Direct Health - FI

75235

Employer Direct Health - SF

75233

Employer Health Network

IHS07

Encore Health Network

35206

EON Health

73780

eRx Dmerc Others

SERXA

eRx Dmerc Walgreens

SERXW

ES Beveridge and Associates

34108

Essence

20818

Essential Health Partners

EHPSC

Essential Health Partners IPA

EIPA9

Everence

35605

Evernorth Behavioral Health, Inc

SX071

Evolutions Healthcare Systems

59313

Evry Health

EH001

Exceedent

22344

Exclusive Care

EC999

EyeQuest

63740

Facey Medical Foundation

95432

FACS Group

37300

Falling Colors (BHSD STAR)

FCC20

Fallon Community Health Plan

22254

Family Care Milwaukee, Wisconsin

60995

Family Care Specialists IPA

FCS01

Family Medical Network

36396

Family Practice Medical Group

10145

Fire Department City of New York

40043

Firefly Health

FRFLY

First Agency

88055

First Choice by Select Health of South Carolina

23285

First Choice Health Network

91131

First Choice VIP Care

32456

First Choice VIP Care Plus by Select Health of SC

77009

FirstCarolinaCare - New

FCC01

Florida Blue Medicare

FBM01

Florida Community Care

FLCCR

Florida Complete Care

FLCPC

Florida Health Care Plans

59322

Florida Hospital VBR

VB001

Florida Medicaid

SKFL0

Florida Medicare

SMFL0

Florida PACE Centers

FLPAC

Flume Health, Inc.

FH205

Forest County Potawatomi Insurance

25059

Fox Everett

64069

Fox Valley Medicine

FVMCH

Freedom Health

41212

Freedom Life Insurance Company

62324

Fringe Benefit Coordinators (Medical and Accident)

59204

FrontPath Health Coalition

34171

Gateway Health Plan - Medicaid PA

25169

Geisinger Health Plan

75273

GEMCare - Kern County

MCS03

Gemcare IPA

27133

Generations Health

46050

Georgia Medicaid

SKGA0

Georgia Medicare

SMGA0

Gettysburg Health Administrators

23274

Global Care Medical Group IPA

MPM05

Global Excel Management

GEM01

Global Medical Management (GMMI)

GMICC

Global One Ventures, LLC

GLOBA

GlobalCare

07689

GlobalHealth OKC

GHOKC

GlobalHealth Texas

GHTX0

GMR Health

85664

GMS Insurance

47083

Gold Coast Health Plan

77160

Gold Kidney Health Plan

A6865

Golden Rule

37602

Golden Shore Medical Group

NMM03

Gonzaba Medical Group

GMGSA

Good Shepherd Hospice

76923

Government Employees Health Association

44054

Government Employees Health Association

57254

Gravie Inc.

GRV01

Greater Newport Physicians MemorialCare

33010

Greater Orange County Medical Group IPA

NMM01

Group Administrators LTD

36338

Group Benefit Service

CB951

Group Health Cooperative of Eau Claire

95192

Group Health Cooperative of South Central Wisconsin

39167

Group Insurance Service Center, Inc.

37276

Group Marketing Services

66701

Guardian Life

64246

Gulf South Risk Services

60389

Gulf Stream General Dynamics

CB624

H.E.R.E.I.U. Welfare Pension Plan

37114

HAA Preferred Partners

65101

Hamaspik Choice

47738

HAP CareSource

MIMCDS1

Harrington Health

59143

Harvard Community Health Plan (Stride Medicare Advantage)

04245

Harvard Pilgrim Health Care

04271

Hawaii / Guam Medicare

SMHI0

HCH Administration (Illinois)

37111

Health Alliance Medical Plans of Illinois

77950

Health Care LA IPA

MPM06

Health Care Network of WI (HCN)

42102

Health Choice Arizona

62179

Health Choice Utah

45399

Health Claims Service

82018

Health Cost Solutions

62111

Health First Health Plan

95019

Health Help Networks

59087

Health In Tech

IHS09

Health New England

04286

Health Partners Plans of Pennsylvania

80142

Health Payment Systems

20270

Health Plan of San Joaquin

68035

Health Services for Children with Special Needs

37290

Health Services Management

41150

Health Services Preferred (HSP) Emerald Health

34167

Health Source MSO

HSMSO

Healthcare Highways

HCH01

Healthcare Highways Health Plan

HCHHP

HealthCare Partners IPA

11328

HealthCare Partners of Nevada

20501

Healthcare Resources NW

56731

Healthcare Solutions Group

73147

HealthComp

85729

Healthfirst of New York/New Jersey

80141

HealthFirst TPA (Tyler, TX)

75234

HealthLink PPO

90001

HealthSCOPE Benefits

52429

HealthSCOPE Benefits

71063

HealthSmart ACCEL Network

75237

HealthSmart Preferred Care

75250

Healthsource Massachusetts, Inc.

02041

Healthsource, AR (Med) (CIGNA)

71075

Healthsource, GA (CIGNA)

58210

Healthsource, KY

61127

Healthsource, ME

01041

Healthsource, N. TX (CIGNA)

75255

Healthsource, NC (CIGNA)

56147

Healthsource, NH

02038

Healthsource, OH

31141

Healthsource, TN (CIGNA)

62129

HealthSun

HESUN

HealthTeam Advantage

88250

HealthTeam Management Diabetes and Heart Care Plan

88350

Healthways WholeHealth Networks

58213

Healthy Blue Dual Advantage Louisiana

00551

Healthy Blue Missouri

00541

Healthy Blue Nebraska

00544

Healthy Blue North Carolina

00602

Healthy Valley Provider Network

HVPNI

Healthy York Network

22251

HealthyCT Inc

77180

Hennepin Health

60058

Heritage Consultants

59230

HFN, LLC

36335

High Desert Medical Group

95393

Highmark BCBS DE Health Options

47181

Hill Physicians Aetna PPO

HLPAE

Hill Physicians Blue Cross PPO

HLPBC

Hill Physicians Blue Shield PPO

HLPBS

Hill Physicians Cigna PPO

HLPCG

Hill Physicians Health Net PPO

HLPHN

Hill Physicians Medical Group

00046

Hill Physicians United Healthcare PPO

HLPUH

HMAA - Hawaii Medical Assurance Association

48330

HMC Healthworks

75318

HOMELINK

30750

Hopkins Health Advantage

66003

HSHS Medical Group IPA

37137

HSICS

HSICS

Humana - CareSource of Kentucky

KYCS1

Humana Long Term Care

61115

Humana Ohio Medicaid

61103

Humana Puerto Rico

L0200

Humboldt Del Norte Independent Practice Association

94154

I E Shaffer

22175

ICARE Health Options TPA

26054

iCARE, Independent Care Health

11695

iCircle Care of New York

33884

iCircle Care of New York

ICRCL

Idaho Medicaid

SKID0

Idaho Medicare

SMID0

IEC Group AmeriBen

97661

Illinois Medicaid

SKIL0

Illinois Medicare

SMIL0

Illinois Physicians Alliance IPA

IPA99

IMCare

41600

Imperial Health Holdings Medical Group

IHHMG

Imperial Health Plan of California

IHP01

INDECS

40585

Independence Administrators

TA720

Independence American Insurance Company

CB231

Independence Medical Group

MHM01

Independence Medical Group - Tulare County

IMG02

Indiana Department of Health - Children's Health

35600

Indiana Medicaid

SKIN0

Indiana Medicare

SMIN0

Industry Buying Group (IBG)

81810

Inetico

43471

Ingham Health Plan

38343

Inland Faculty Medical Group

MVMM1

InnovAge

31182

Innovante Benefit Administrators

31172

Innovation Health

40025

Insurance Administrators of America (IAA)

37279

Insurance Design Administrators

13315

Insurance Management Administrators

72091

Insurance Services of Lubbock

TH012

Insurers Administrative Corporation

86304

Integra Administrative Group

51020

Integra Group

31127

Integra Group - CHA

31129

Integranet Health

INET1

Integrated Homecare Services

IHCS1

Integrated Medical Solutions

20050

Interface EAP

60280

Intergroup Services Corporation

23287

International Benefits Administrators

11329

International Medical Group

TH105

Iowa Medicaid

SKIA0

Iowa Medicare

SMIA0

JAI Medical Systems

JAI01

Jericho Share

IHS02

John Morrell

38310

John Muir Mt. Diablo Health System

68036

Johns Hopkins Healthcare / Priority Partners

52189

Joplin Claims

43178

JP Farley

34136

JVHL - Aetna Better Health of MI (Coventry/Omni)

27590

JVHL - Aetna Better Health Premier Plan

72700

JVHL - Aetna U.S. Healthcare

27600

JVHL - BCBSM Medicare Plus Blue PPO

52730

JVHL - Blue Care Network (BCN Commercial Labs)

22770

JVHL - Blue Care Network (JVHL Network)

JVHLB

JVHL - Blue Cross Complete

12550

JVHL - CIGNA (Health Partners)

JVHKQ

JVHL - Cigna (Non-HAP and CIGNA-HAP)

58580

JVHL - Community Care Associates (Healthchoice)

JVHJW

JVHL - Genesee County Health Plan

JVHMB

JVHL - Health Alliance Plan (Capitated Contracts)

JVHJG

JVHL - Humana

67300

JVHL - McLaren Health Plan

JVHK7

JVHL - Priority Health

JVHJZ

JVHL - Provider Network of America

RP108

JVHL - United Healthcare (Golden Rule)

JVHKR

JVHL - United Healthcare (Non-Golden Rule)

JVHJ5

JVHL - United Healthcare Community Plan (GLHP)

JVHJR

JVHL - Wellcare

JVHLW

Kaiser Foundation Health Plan of Georgia

21313

Kaiser Foundation Health Plan of Northern California Region

94135

Kaiser Foundation Health Plan of the Northwest

93079

Kalos Health

40137

Kane County IPA

KCIPA

Kansas Medicaid

SKKS0

Kansas Medicare

SMKS0

Kelsey-Seybold

KELSE

Kempton Group Administrators

73100

Kentucky Health Administrators

82357

Kentucky Health Administrators, Inc.

27215

Kentucky Medicaid

SKKY0

Kentucky Medicare

SMKY0

Kern County CDCR

28021

Kern Health Systems

77039

Key Benefit Administrators (Ft. Mill, SC)

37216

Key Health Medical Solutions

95460

Key Medical Group

IP082

Key Select

37321

Key Solutions

37323

Keycare

KCMD1

Keystone First Community HealthChoices

42344

Keystone First VIP Choice

77741

Klais & Company

34145

LA Blue Advantage

72107

LA Care Health Plan

LACAR

Lakeside Medical Group

66125

Lakeside Medical Group

LMG11

Lancaster General Health Group

16109

Lasso Healthcare

10550

Lawndale Christian Health Center

LAWND

Leon Health Plans

A3565

Leon Medical Center Health Plan

37316

Liberty Healthshare

90753

Life Trac

41136

LifeCircles PACE

71498

Lifepath Hospice

76870

Lifewise Health Plan of Oregon

93093

Lifeworks Advantage (ISNP Plan)

LWA01

Little Company of Mary Health Providers

LCM10

Lockard and Williams

CB752

Loma Linda University Adventist

37267

Loma Linda University Health Care

33036

Loma Linda University Medical Center (LLUMC)

95352

Lone Star TPA

45289

Longevity Health Plan of Illinois

LIL01

Longevity Health Plan of Michigan

LMI01

Longevity Health Plan of New Jersey

LNJ01

Longevity Health Plan of New York

LNY01

Louisiana Medicaid

SKLA0

Louisiana Medicare

SMLA0

Luminare Health AZ, IL, IN, MD, MN, NC, PA

35182

Luminare Health Detroit

38225

Luminare Health Internal

35187

Luminare Health KC

48117

Luminare Health Little Rock

75136

Luminare Health OH

35183

MacNeal Health Providers

36334

MagnaCare

11303

Maine Community Health Options

45341

Maine Medicare

SMME0

Managed Care Services

35162

Managed Care Systems (Delano Regional Medical Group)

MCS02

March Vision Care

52461

Marrick Medical Finance

20805

Martin's Point Health Care - USFHP

53275

Mary Washington Health Plan

83269

Maryland Medicaid

SKMD0

Maryland Medicare

SMMD0

Maryland Physicians Care

22348

Maryland Physicians Care

76498

Massachusetts Medicaid Format 5

SKMA0

Massachusetts Medicare

SMMA0

Masters, Mates and Pilots

TH111

Max Specialty Benefits

27320

Mayo Clinic Florida/Georgia

88090

MBA Benefit Administrators

83028

MCA Administrators (aka Diversified Group Administrators)

25160

McLaren Health Plans

38338

MDwise Healthy Indiana Plan

3135M

MDwise Hoosier Healthwise

3519M

MDX Hawaii Queens Healthcare

MDXHI

Med Pay

88058

MedCom

59231

Medcost PPO

56162

Medfocus

95321

Medica Government Programs

MEDM1

Medica Health Plan

94265

Medica Health Plan Solutions

71890

Medica HealthCare Plan of Florida

78857

Medical Card System (MCS)

L0170

Medical Mutual of Ohio

29076

Medical Reimbursements of America

62177

Medicare DME MAC Jurisdiction A

SDMEA

Medicare DME MAC Jurisdiction B

SDMEB

Medicare DME MAC Jurisdiction D

SDMED

Medicare Plus Blue of MI(MAP)

SX170

Medico Life and Health Insurance Company

23160

Medigold HMO

95655

MedPartners Administrative Services 412MP

412MP

MedPay First One

47410

Medsolutions

62160

MedStar Family Choice, Inc (DC)

RP062

Mental Health Consultants Inc

37050

Mercy Care Plan

86052

MercyCare of Wisconsin

39114

MeridianComplete Michigan

MHPMI

Meritain Health / Agency Services

64158

MetroPlusHealth

13265

MHCC/Luminare Health

35189

Michigan Medicaid

SKMI0

Michigan Medicare

SMMI0

Mid-America Associates

37281

Mid-American Benefits (Elite Choice)

22823

Midlands Choice

47080

Midwest Health Partners

76079

Mills Peninsula Medical Group

MPMG1

Minnesota Blue Cross Blue Shield Health Care Programs

00562

Minnesota Medicaid

SKMN0

Minnesota Medicare

SMMN0

Mint Health Plans/Samera Health

U8053

Mississippi Medicaid

SKMS0

Mississippi Medicare

SMMS0

Mississippi Physicians Care Network

64084

Missouri Medicaid

SKMO0

Missouri Medicare Eastern

SMMO0

ML Healthcare

26097

Molina Complete Care of Arizona

MCC01

Molina Complete Care of Virginia

MCC02

Molina Healthcare Iowa

MLNIA

Molina Healthcare of California

38333

Molina Healthcare of Florida

51062

Molina Healthcare of Idaho

61799

Molina Healthcare of Illinois

20934

Molina Healthcare of Michigan

38334

Molina Healthcare of Mississippi

77010

Molina Healthcare of Nebraska

MLNNE

Molina Healthcare Of Nevada

MLNNV

Molina Healthcare of New Mexico

09824

Molina Healthcare of Ohio

20149

Molina Healthcare of South Carolina

46299

Molina Healthcare of Texas

20554

Molina Healthcare of Utah

SX109

Molina Healthcare of Washington

38336

Molina Ohio Medicaid

73160

Montana Medicaid

SKMT0

Montana Medicare

SMMT0

Montefiore HMO

46161

Morris Associates

35092

MPE Employee Benefit Services

37233

MSA Careguard

20572

Multicare Connected Care

RP036

Mutual of Omaha

71412

MVP Health Care

14165

NAHGA Claim Services

67788

NAMCI/Global Care

L0110

Naphcare

58182

Nascentia Health Plus

45529

National Allied Workers Union Local 831

CB148

National Association of Letter Carriers

53011

National General

ASHC1

National Health Benefits

88050

National Telecommunications Coop Assoc (NTCA)

52103

NCAS - Charlotte, North Carolina

75191

Nebraska Medicaid

SKNE0

Nebraska Medicare

SMNE0

Neighborhood Health Partnership of Florida

96107

Neighborhood Health Plan of Rhode Island

05047

Neighborhood Health Plan Rhode Island - Exchange, Unity, Integrity

96240

Netcare Life and Health Insurance

66055

Network Health Insurance Corp Medicare

77076

Network Health Plan Wisconsin

39144

Network Solutions IPA

NSIPA

NEUEHEALTH

NEUEH

Nevada Medicaid

SKNV0

Nevada Medicare

SMNV0

New Avenues

95998

New Century Health - Vista Cardiology

NCH09

New Era Life Insurance Company

98798

New Hampshire Medicaid

SKNH0

New Hampshire Medicare

SMNH0

New Jersey Medicaid

SKNJ0

New Jersey Medicare

SMNJ0

New Mexico Medicaid

SKNM0

New Mexico Medicare

SMNM0

New York Hotel Funds

7707C

New York Independent Health Assoc (IHA) - Western

SX073

New York Medicaid

SKNY0

New York Medical Indemnity Fund

NYDFS

New York Medicare Empire

SMNY0

New York Medicare GHI

SMNY2

New York Medicare Upstate

SMNY1

New York Network Management (NYNM)

11334

New York State Dept of Health Uncompensated Care Program

14142

Next Level Health

81085

NextBlue of North Dakota

55892

NHI Billing Serivces

14043

Nippon Life Insurance Company of America

81264

Noble AMA Select IPA

PDT01

North Carolina Medicaid

SKNC0

North Carolina Medicare

SMNC0

North Dakota Medicaid

SKND0

North Dakota Medicare

SMND0

North Shore LIJ (Employee Plan)

17516

NorthCoast Health Care Management

RP089

Northern California Medicare

SMCA1

Northern Illinois Health Plan

36347

Northern Nevada Trust Fund

88027

Northridge Medical Group

NMG01

Northwest Community Health Partners

NWCHP

Northwestern Medicine Physicians Network

NWEST

Northwood

NWOOD

NOVA Healthcare Administrators NY

16644

NovaNet

06226

Nyhart

37299

Oak Street Health

OAKST

Oak West Physician Association

36400

Ochsner Health Plan

A5236

Ocular Benefits

L0140

Ohio Health Choice, PPO

34189

Ohio Medicaid

SKOH0

Ohio Medicare

SMOH0

Ohio PPO Connect (OPPOC)

74431

OhioHealthy

48116

OhioRISE - Aetna Better Health of Ohio

45221

Oklahoma Medicaid

SKOK0

Oklahoma Medicare

SMOK0

Olympus Managed Health Care

65074

OPEIU Locals 30 and 537

BPA01

OptiMed Health

96277

Optimum HealthCare Services

20133

Optum Care Network

OCN01

Optum Medical Network

LIFE1

Optum Salt Lake County Public Sector

U6885

Optum San Diego Public Sector Behavioral Health

OSDPS

Oregon Medicaid

SKOR0

Oregon Medicare

SMOR0

OrthoNet Aetna

13383

OSF Healthcare Central

OSFC9

OSF Healthcare East

OSFE9

Oxford Health Plans

06111

P3 Health Partners Arizona

58375

P3 Health Partners Nevada

P3HNV

Pace Central Iowa

72436

PACE CNY

70454

Pace Nebraska

35416

Pace of Southwest Michigan

45114

PACE Southeast Michigan

86711

Pace Southwest Iowa

53534

Pacific Administrators, Inc.

PCFAD

PacificSource Administrators (PSA)

93031

PacificSource Community Health Solutions

20416

PacificSource Health

93029

PacificSource Medicare

20377

Pan-American Life Insurance Company

04218

Parallon-RCPS

PARLN

Paramount

SX158

Parkland Community Health Plan

66917

Partners Health Plan

14966

Partners In Health

PARTH

Passport Advantage

66008

Patient Advocates, LLC

55489

Patient Physician Cooperatives

20510

Payer Fusion

27048

Peak Pace Solutions LLC

27034

PEF Clinic

PEF01

Penn Behavioral Health

53226

Pennsylvania Freedom Blue Medicare Advantage

95462

Pennsylvania Medicaid

SKPA0

Pennsylvania Pace

20172

People 1st Health Strategies

IHS03

People One Health

IHS01

Peoples Health Network

72126

Perennial Advantage

PAOH1

Perennial Advantage of Colorado

PACO1

Personal Insurance Administrators

95397

Physician Associates of the Greater San Gabriel Valley

PA513

Physician Health Network

MHM03

Physicians Care Network/The Polyclinic

PCN12

Physicians Health Plan of Michigan Medicare

83276

Physicians Health Plan of Northern Indiana

12399

Physicians Medical Group of San Jose

EXC01

Physicians of Southwest Washington

91171

Physicians Plus Insurance Corporation

39156

PhysMetrics

48008

Pinnacle Medical Group

95271

Pinnacol Assurance

84109

Pittsburgh Care Partnership, Inc.

23283

Podiatry Network of Florida

59324

Point Comfort Underwriters

PCU01

Pool Administrators, Inc.

PAI01

Populytics

23253

ppoONE

UHNDC

Prairie States Enterprises

36373

Preferred Benefit Administrators (Longwood, Florida)

53476

Preferred Care Partners

65088

Preferred Community Choice PPO

73145

Preferred Health Care (PHC)

33898

Preferred Health Plan of the Carolinas

CB404

Preferred Health Professionals of Kansas City

31478

Preferred IPA

PFIPA

Preferred Medicare Choice (PMC)

L0250

Preferred One of Minnesota

41147

Premier Eye Care

65054

Presence ERC

46311

Primary Health Network

82048

Prime West

61604

Prism Univera

37315

Procare Advantage of TX

PTX01

Progyny

PROGY

Prominence Health Plan of Nevada

93082

Prominence Health Plan of Texas

80095

Prominence HealthFirst of Florida Inc

83352

Prospect Medical Systems

PROSP

Protective Life Insurance Company

37309

Providence Preferred PPO

SX187

Provider Partners Health Plan of Illinois

31401

PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA

31400

Provider Partners Health Plans

31405

ProviDRS CARE NETWORK

48100

PruittHealth Premier Medicare Advantage

PH001

PruittHealth Premier NC/SC

PHPC1

PSKW LLC

PSKW0

Public Employee Health Plan (PEHP)

SX106

Quality Care Partners

89461

Quest Behavioral Health

44219

QuikTrip

73067

QVI Risk Solutions

57117

Railroad Medicare

SRRGA

Redirect Health Administration

86145

Redlands Yucaipa Medical Group

18247

Regence Group Administrators

RGA01

Regional Care Inc

47076

Reliance Medicare Advantage

RHP01

Renaissance Physicians Organization

76066

Resurrection Physicians Provider Group

RPPG1

RevClaims

RVC01

RHA VestaCare

VESTA

Rhode Island Medicaid

SKRI0

Rhode Island Medicare

SMRI0

RightCare Scott & White Health Plan

74205

Rios Southwest Medical Group

RIOS1

River City Medical Group

RCMG1

Rocky Mountain PACE

93142

Royal Health Extended Care MLTC

46166

Rubicon Health Group

IHS18

Rush Prudential Health Plans (HMO Only)

36389

S&S Healthcare Strategies

31441

Sagamore Health Network

35164

Sage Breast and Cervical Cancer Screening

MNDH1

San Diego County Medical Services (CMS)

MSO11

San Diego County Ryan White Care Act

MSO33

San Diego PACE

96400

San Louis Obispo Select

33072

Sana Benefits

50114

Sandhills Center

SHC30

SANTA CLARA COUNTY IPA ANTHEM BLUE CROSS PPO

SCACO

Santa Clara Family Health Plan

24077

Sante Community Physicians Medical Group Corp

SNTMC

Sante Health System

77038

Satellite Health Plan, Inc.

45552

Saudi Health Mission

SHM01

SCAN Health Plan

72261

SCAN Health Plan Arizona

73172

Seaview IPA

SVIPA

Security Administrative Services

35202

Security Health Plan

39045

Select Benefit Administrators of America

37282

SelectCare of Texas (HPN) Heritage Physicians Network

76045

Self Funded Plans

34131

Self Insured Plans

36404

Selman Tricare Supplement

TRSEL

Senior Whole Health

83035

Senior Whole Health New York

SWHNY

Senior Whole Health of Massachusetts

SWHMA

Sentara Health/Optima Health

54154

Sentinel Management Services

23249

Seven Corners

25404

SGIC

11789

Shared Health Mississippi

SHMS1

Sharp Rees-Stealy Medical Group

SRSMG

Sierra Health Services

76342

SIHO Insurance Services

77153

Silver Star Pace

97691

Simply Healthcare Plans, Inc.

SMPLY

Sinclair Health Plan

84076

SISCO

SISCO

Smith Administrators

02057

SOMOS Anthem

81508

SOMOS Emblem

81336

South Carolina Medicaid

SKSC0

South Carolina Medicare

SMSC0

South Country Health Alliance

81600

South Dakota Medicaid

SKSD0

South Dakota Medicare

SMSD0

South Florida Musculoskeletal Care

06294

Southcare /  Healthcare Preferred

25147

Southern California Healthcare Systems (SCHS) Alta Pod by MedPOINT

MPM20

Southern California Medicare

SMCA2

Southern California Physicians Managed Care Services

SCP01

Southwest Michigan Behavioral Health

A3268

Southwest Service Life

37266

Southwestern Health Resources Clinically Integrated Network DOS after 12/31/2022

RP085

Specialty Care Program

IHS17

Standard Life and Accident Insurance Company

73099

State Farm Insurance (Health)

31053

State Farm Insurance (Prop and Casualty/Auto)

31059

SummaCare Health Plan

95202

Summit America Insurance Services

37301

Surgery One IPA, Inc.

SOIPA

Sutter and Aetna Insurance Company

60624

Sutter Connect - East Bay Medical Foundation

94269

Sutter Gould Medical Foundation

77302

Swedish Covenant Hospital

36411

TakeCare Insurance Company

98022

Talbert Medical Group

TALMG

Tall Tree Administrators

88067

Tennessee BlueCare/TennCare

SKTN2

Tennessee Medicare

SMTN0

Tervist

IHS08

Tethys Health Ventures

20212

Texas Childrens Health Plan (CHIP)

76048

Texas Independence Health Plan, Inc

31403

Texas Medicaid

SKTX0

Texas Medicare

SMTX0

TexasFirst Health Plan (NTX)

13185

The Benefit Group

TBGNE

The Boon Group

BOONG

The Care Network/The Savannah Business Group

68423

The City of Odessa

75600

The Colorado Purchasing Alliance

TCPA1

The Health Exchange (Cerner)

20356

The Loomis Company

23223

The Macaluso Group

82694

The MEGA Life and Health Insurance Company-OKC

59227

Today's Options (American Progressive and Pyramid Life)

48055

Torrance Hospital IPA

THIPA

Total Plan Concepts

80900

Touchstone Health PSO

23856

TR Paul Inc.

37230

Transchoice Key Benefit Administrators

37284

Transwestern Insurance Administrators, Inc.

TRAN1

Travis County MAP

TCMAP

TRICARE East Region

68299

TRICARE For Life

SX176

TRICARE Overseas Program

SX163

TriHealth Physicians Solutions

31144

Trinity Health PACE

TRNPC

Triple-S Salud

SB980

Triplefin

64300

TriWest Region 4 CCN

TWVA4

True Health New Mexico

82288

Trusted Health Plan

L0230

Trusteed Plans Service

91078

Tufts Health Plan

04298

U.S. Networks and Administrative Services

USN01

UC-Davis Health

94603

UCare of Minnesota DOS before 1/1/2022

52629

UCare Plans

55413

UCLA Medical Group

USMBP

UHA University Health Alliance - HI

99026

Ultimate Health Plans

77022

UltraBenefits

41206

UMass Medical School Health and Criminal Justice Program

UMHCJ

UMC Health Plan

75130

UMWA H & R Funds

52180

Unified Group Services

35198

Unified Health Services

62170

Unified Life Insurance Company

RP064

Unite Here Health Las Vegas

59144

United Care Medical Group

ADCUC

United Claim Solutions

20090

UnitedHealthcare Community Plan of Kansas

96385

UnitedHealthcare Community Plan of Michigan

95467

UnitedHealthcare Community Plan of Missouri

86050

UnitedHealthcare Community Plan Tenncare

95378

UnitedHealthcare Ohio Medicaid

88337

UnitedHealthcare Vision

00773

Unity Health Partners

A1152

Univera - Health Care Plan/ChoiceCare Buffalo

SX087

Univera SSA WNY

SX091

Universal Care of California

33001

University Family Care/University Physician Care Advantage

09830

University Medical Center

11149

University of Illinois

UIC67

University of Utah Health Plan

SX155

Upland Medical Group

IP056

UPMC Health Plan

23281

Upper Peninsula Health Group (TPA)

37324

Upper Peninsula Health Plan

38337

US Benefits

93092

USAA (U.S. Automobile Association)

74095

Utah Medicaid

SKUT0

Utah Medicare

SMUT0

Valir Pace

64009

Valley Care IPA

VCIPA

Valley Health Plan

VHP01

Valley Mental Health

94293

Valley Presbyterian Hospital

MPM53

Valley Presbyterian Hospital Community Family Care VPRESCFC

MPM61

Valley Presbyterian Hospital Preferred IPA VPRESPREF

MPM60

Valor Health Plan

43259

Vanderbilt Health

BPSLL

Vantage Health Plan

77701

Varipro

72187

Vermont Medicaid

SKVT0

Vermont Medicare

SMVT0

Veterans Administration Fee Basis Programs

12115

Veterans Affairs Community Care Network Region 1, 2, 3

VACCN

VGM Homelink

50701

Vibra Health Plan

15976

VieCare Life Beaver and Life Lawrence Counties

25924

VillageCareMAX

26545

Virgin Islands Medicaid

SKVI0

Virginia Medicaid

SKVA0

Virginia Medicare

SMVA0

Virginia Premier Health Plans

VAPRM

Vista Oncology - New Century Infusion Solutions

NCH08

Viva Health Care and Viva Medicare

63114

Vivida Health Plan DOS less than 11/1/22

A0102

VNS Health

77073

Volusia Health Network

59266

Vytra Healthcare

22264

Washington Medicaid

SKWA0

Washington Medicare

SMWA0

Watts Healthcare

MPM09

Weiss Health Providers

36337

WelbeHealth

WBHCA

WellMed

WELM2

WellNet Health Plans

25711

Wellpoint

WLPNT

Wellspan Employee Assistance Program

CB457

West Suburban Health Providers

80942

West Virginia Freedom Blue Medicare Advantage

95461

West Virginia Medicaid

SKWV0

West Virginia Medicare

SMWV0

Western Health Advantage by Ayin

77225

Western Mutual Insurance

37247

Western Pennsylvania Electrical Employees Insurance Trust Fund

RP083

Western Southern Life Group

31048

William C Earhart

93050

WIN Healthcare (Woman's Integrated Network)

13413

Wisconsin Medicaid

SKWI0

Wisconsin Medicare

SMWI0

World Trade Center Health Program

58605

WPP Eldercare

77080

WPS Commercial/Regular Business

SX022

Wyoming Medicaid

SKWY0

Wyoming Medicare

SMWY0

Yale University Heath Plan

60646

Yuzu Health

IHS15

Zing Health

83248

 

Enrollment Required (Unable to Send)

The following payer list indicates which payers currently require enrollment in order to send claims with the Optum iEDI clearinghouse. We are only going to send out claims for payers that do not require enrollment. At this time, for payers in this list, we recommend continuing to download claim files and manually submit them externally. The payer list is subject to change as testing continues and may have some inaccuracies.

Payer Name

 

 

TherapyNotes Payer ID

Abrazo Advantage Health Plan

03443

Aetna Better Health Nevada

128NV

Alternative Opportunities

16089

Amerigroup  of Iowa

26375

Amerigroup Wellpoint

WLPNT

Amerivantage

26375

Anthem BCBS Missouri

00241

Arcadia Healthcare Solutions - NPA

36364

Aspire Health Plan

46156

Better Health Plan of Florida

20488

Blue Cross Blue Shield of Delaware

SB570  

Blue Cross Blue Shield of Pennsylvania - Highmark

SB865

Blue Shield of Kentucky

KYBLS

Blue Shield of Tennessee

TNBLS

Blue Shield of Virginia

VABLS

California Medi-Cal

SKCA0

California Medi-Cal (Vision)

SKCA1

Capital District PHP

SX065

ChinoValley Medical Center

CVMC1

Cigna Behavioral Health

02331

Citrus Valley Physicians Group

CVPG1

Delta Dental of Michigan

46094

Educators Mutual (EMIA) 

SX110

Employee Benefit Administration & Management (EBA&M)

95288

Employee Benefit Management Corp.

31074

Health Plus of Michigan

U8216

Healthkeeper HMO

VABLS

Healthsource  Mass

02041

Healthy York Network

22251

Highmark Blue Cross & Blue Shield of West Virginia

SB941  

HP Administrative Services LLC

22521

HSA Health Plan

U7632

Immigration Services

VAICE

Independent Health

95308

INS Health Services

VAICE

Intermountain Health Care

SX107

JI Sepcialty Services

JISSP

JVHL  Priority Health

JZJVL

JVHL Blue Care Network* (BCN Commercial Labs)

JJJVL

JVHL Humana

KVJVL

Local Choice

VABLS

Managed Care Services  LLC

35162

Medfocus

95321

Medicaid of Kentucky

KYMCD

Medicaid of Mississippi

MSMCD

Medicaid of Texas

TXMCD

Medicaid of Washington State

WAMCD

Medicare Colorado Part B

04112

Medicare Part B of Kansas

KSMCR

Medicare Part B of Nebraska

NEMCR

Medicare Part B of South Carolina

SCMCR

Medicare Part B of Virginia

VAMCR

Moda Health (ODS Health Plan)

13350

Molina Health Care of South Carolina

46299

Molina Healthcare Utah

SX109

New York Independent Health Assoc (IHA) - Western

SX073

Optum VACCN Enclave Post

VAPD1

Optum VACCN Post Region 2

VAPD2

Optum VACCN Post Region 2

VAPM2

Optum VACCN Post Region 3

VAPD3

Optum VACCN Post Region 3

VAPM3

Optum VACCN Pre Region 2

VACM2

Optum VACCN Pre Region 2

VACD3

Optum VACCN Pre Region 2

VACM3

Patient Physician Cooperative

20510

PEHP - Utah Public Employee Health Plan

SX106

Peninsula Healthcare

VABLS

ppoONE

UHNDC

Prairie States Enterprises  Inc.

36373

Priority Healthcare

VABLS

Pruitt Health Premier (NC, SC)

PHPC1

SeeChange HealthPlan

SCHP1

Smith Administrators

02057

State Farm (Property & Casualty )

31059

Texas Childrens Star Medicaid

TXCSM

Torrance Hospital IPA

THIPA

Travis County MAP

UCMAP

UHA Health Insurance

UHA01

UMASS Medical School Health and Criminal Justice Program

UMHCJ

United Food & Commercial Workers UFCW Local 1529

21850

UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security)

81400

Univera Traditional PPO

UNINW

University of Illinois

UIC67

VA Affairs Financial Services

VAFSC

VA Patient Centered Community Care Program (VAPCCC) Region 3

VAP33

VA Patient Centered Community Care Region 6

VAPC6

VA State Employer Funds

VABLS

VACCN Community network

VACM1

VACCN Community network

VAPM1

Valley Care IPA (Customer Service 805-604-3332)

VCIPA

VestaCare / RH Admin

VESTA

Virginia Premier Health Plans (Effective 02-01-2019, former payer IDs  VPEP1, 54176, VPELT, VPCCP, VPHP1,VPCCI, MAPDI, 12K83, MAPDP)

VAPRM

Wisconsin Dept of Corrections

VEST1

WPPA-ProviDRs Care Network

WP481

 

Payer Requires Change Healthcare (Unable to Send)

The payers in the following list rely on Change Healthcare to process claim submissions. Given the continued outage affecting Change Healthcare services, we are unable to send claims to these payers at this time. The payers included on this list are subject to change as testing continues.

Payer Name

 

TherapyNotes Payer ID

 

Keenan Associates

95279

Wellcare Health Plans

14163

 

 

* The content of this post is intended to serve as general advice and information. It is not to be taken as legal advice and may not account for all rules and regulations in every jurisdiction. For legal advice, please contact an attorney.

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