Supported Payers for Claims with CLAIM.MD

By TherapyNotes, LLC on March 29, 2024

We are now sending out electronic claims for the following payers to our new clearinghouse partner, CLAIM.MD. These are payers that do not require enrollment. We are mapping Change Healthcare payer IDs to CLAIM.MD, so that you do not have to update your payers. Payer IDs in the table below are from Change Healthcare. Additional work is being done to map additional payers so we will add to this list over time. 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.

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. 

Updated 4/23/24 at 11:20 AM ET

Payer Name

 

TherapyNotes Payer ID

 

6 Degrees Health Incorporated

20446

1199SEIU Family of Funds

13162

A I Benefit Plan Administrators

93044

AARP

36273

Access Administrators

TH067

Access Integra
     (INTEGRA PARTNERS LLC)

INTEG

Access Medical Group
     (Access Santa Monica)

AMG02

Accountable HC IPA 

MPM23

Accountable Health Plan of Ohio

31138

ACS Benefits / Payer Compass

72467

Active Care, Inc

66310

Administrative Services Inc

59141

Advantage Care IPA

ACIPA

Advantek Benefit Administrators

83077

Advantica Benefits

59374

Advanzeon Solutions
     (Comprehensive Behavioral Care)

59314

Adventist Health Care Network
     (AHCH, Medpoint)

MPM51

Adventist Health Plan 
     (Adventist Health System West Roseville CA)

MPM51

Adventist Health Plan 
     (Medpoint)

95340

Advisory Health Administrators

CB159

Advocate Health Centers

36320

Advocate Physician Partners
     (Silver Cross Health Connection)

65093

Aegis Administrative Services 

CB637

Aetna
     (Aetna Affordable Health Choices)

60054

Aetna Affordable Health Choices (SM) - SRC

57604

Aetna Better Health IL -  Premier Plan MMAI

26337

Aetna Better Health of California

128CA

Aetna Better Health of Florida

128FL

Aetna Better Health of Illinois/ IlliniCare
     (Aetna Better Health of Illinois - Medicaid)

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
     (Aetna Better Health of NY)

34734

Aetna Better Health of Ohio

50023

Aetna Better Health of Oklahoma

128OK

Aetna Better Health of Texas, Aetna TX Medicaid CHIP

38692

Aetna Better Health of Virginia

128VA

Aetna Better Health of West Virginia

128WV

Aetna Better Health Pennsylvania
     (Aetna Better Health PA Medicaid)

23228

Affiliated Doctors of Orange County

27344

Affiliated Doctors of Orange County (ADOC)
     (ADOC Affiliated Doctors of Orange County)

27344

Affiliated Partners IPA

POP09

Affinity Medical Group

46594

AgeRight Advantage 

ARA01

AgeWell New York

AWNY6

AIDS Healthcare Foundation

95422

Aither Health

64884

Alabama Medicaid
     (AL Medicaid)

SKAL0

Albuquerque Public Schools (APS)

85600

Align Senior Care (CA)

ASCA1

Align Senior Care (FL)
     (ALIGN SENIOR CARE OF FL)

ASFL1

Align Senior Care (MI)
     (KEYCARE ADVANTAGE, ALIGN SENIOR CARE MI)

ASMI1

Align Senior Care (VA)

ASVA1

Alignment Healthcare
     (AHICAZCL, AHPNCCL, AHPAZCL, AHPCACL, AHCNCCL, Alignment Healthcare Florida, LLC.)

AHCA1

Alivi Health

ALIVI

All Savers Insurance/UnitedHealthcare

81400

AllCare Advantage

MRCHP

Allcare Health Plan
     (MRIPA AllCare CCO, Mid Rogue Oregon Health Plan and Caresource)

MRIPA

AllCare IPA
     (Allcare Independent Physician Association)

24333

Allegiance Benefit Plan Management, Inc.

81040

Alliance Coal Health Plan

93658

Allied Benefit Systems

37308

Allina Health and Aetna Insurance Company

54398

Alpha Care Medical Group NMM

NMM04

Alpha Data

TH085

Alta Bates Medical Group

A0701

Alterwood Advantage
     (Blue Hen Advantage, DE Health Advantage, MD Health Advantage)

RP016

Amalgamated Life

13550

Amalgamated Life PA Alicare

13343

AmeriBen Solutions Inc

75137

American Family Insurance
     (American Family Life Assurance Company of Columbus)

TH095

American General

62030

American Health Advantage of FL

31150

American Health Advantage of Idaho & Utah

31145

American Health Advantage of MO
     (Missouri Medicare Select)

MMS01

American Health Advantage of MS

31135

American Health Advantage of OK
     (Tribute Health Plan of OK)

31125

American Health Advantage of TN

31130

American Health Advantage of TX

31155

American Healthcare Alliance

01066

American National Ins Co ANICO

74048

American Plan Administrators

95606

American Postal Workers Union He
     (American Postal Workers Union Health Plan)

44444

American Specialty Health

43146

American Whole Health Networks

TH117

Americas PPOAmericas TPA, HealthEZ

41178

AmeriChoice NJ, Medicaid, NJ Family Care, UnitedHealthcare Community Plan NJ

86047

Amerigroup

27514

Amerigroup DC,GA & NM

26375

AmeriHealth Administrators
     (Inter County Health Plan)

54763

AmeriHealth Caritas Delaware

77799

AmeriHealth Caritas District of Columbia
     (AmeriHealth Caritas DC, Inc.)

77002

AmeriHealth Caritas Florida
     (Prestige Health Choice)

77003

Amerihealth Caritas Healthplan New Hampshire
     (AmeriHealth Caritas New Hampshire)

87716

AmeriHealth Caritas Louisiana
     (LACare)

27357

Amerihealth Caritas Next - North Carolina
     (Qualified Health Plan (QHP), ACA market exchange product)

83148

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

47073

AmeriHealth Caritas North Carolina
     (Prepaid Health Plan (PHP))

81671

AMERIHEALTH CARITAS OHIO

84243

AMERIHEALTH CARITAS OHIO 

35374

AmeriHealth Caritas PA Community HealthChoices
     (AmeriHealth Caritas VIP Care Pennsylvania)

77062

AmeriHealth Caritas Pennsylvania
     (AmeriHealth Mercy Health Plan)

22248

AmeriHealth Caritas VIP Care - Delaware DSNP

87406

AmeriHealth Caritas VIP Care - Florida DSNP

88232

AmeriHealth Caritas VIP Care Plus (Michigan)

77013

AmeriHealth New Jersey (Non-HMO)

SX075

AmFirst Insurance Company

64090

Amida Care

24818

Anchor Benefit Consulting Inc

53085

Angel Medical Group
     (Superior Choice Medical Group, Beverly Hospital - Imperial Health Holdings, Easy Care MSO   LLC, Southern California Children's Healthcare Network, United Physicians International (UPI))

39856

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 HP MLTC

45302

Anthem Blue Cross and Blue Shield of Ohio
     (BCBS of Ohio)

SB338

Anthem Blue Cross Blue Shield of Connecticut

SB560

Anthem Blue Cross California
     (Blue Cross California, BCBS CA)

47198

Anthem Maine Health

00958

Anthem Ohio Medicaid
     (Anthem Access2Care)

29370

Anthem Ohio Medicaid

29370

Apex Benefit Services

34196

Arcadian Management Services, Inc.

77045

Arise Health Plan
     (Prevea Health Plan, ARISE ADMINISTRATORS - WPS HEALTH PLAN INC)

39185

Arizona BCBS

53589

Arizona BCBS

SB530

Arizona Medicaid
   (AZ Medicaid, American Indian Health Plan)

SKAZ0

Arizona Priority Care Plus

27154

ASA GEHA
     (GEHA - Aetna Signature Administrators)

06603

Asian American Medical Group

AAMG1

Aspire Health Plan

46156

Aspirus Medicare Advantage

36483

ASRM CORP (NJ)

ASRM1

Associates for Health Care, Inc. (AHC)

36326

Assurant Health Self Funded

75068

Assured Benefits Administrators

74240

Asuris Northwest Health
     (Asuris NorthwestMedAdvantage)

93221

Asuris Northwest Medadvantage Regence

SX179

Atlantic Medical Insurance
     (CG Atlantic Medical and Life, Ltd)

22285

Atrio Health Plans

MPCHA

Aultra Administrative Group

37242

Automated Benefit Services

38259

Automated Group Administration (AGA)

37280

Avalon Administrative Services - BCBSNC
     (Avalon Healthcare Solutions - North Carolina)

AVA02

Avera Health Plans
     (AVERAHEALTH PLANS MEDICARE SUPPLEMENT, AVERA HEALTH PLANS INDIVIDUAL)

46045

AvMed Inc

59274

AXMINSTER
     (PMA AXMINSTER MEDICAL GROUP)

AXM01

Bakersfield Family Medical Center

BKRFM

Banner Health and Aetna Health Insurance Company

67895

Banner Health Network
     (Banner Health HealthNet Senior, Banner Health UHC Medicare Advantage, Banner Plan Administration, Banner Plan Administration Choice Plus and Select 500)

12X42

Banner Medicare Advantage Plus PPO

84324

Banner Medicare Advantage Prime HMO 

84323

Banner- University Family Care

66901

Baptist Health South Florida

65026

Bass Administrators Inc
     (Benesys, Benesys Inc, LHP Claims Unit, BeneSys Inc., LHP Claims Unit, Michigan Regional Council of Carpenters Employee Benefit Plan)

38238

BayCare Plus Medicare Advantage

81079

BCBS Medicare Advantage (TX,IL,NM,OK,MT)

66006

Beacon Health Options

BHOVO

Beacon of Life (AcuteCare)

65432

Beaver Medical Group

45967

Behavioral Health Systems

63100

Bella Vista Medical Group, Inc

MPM10

Benefit  Risk Management Services

99320

Benefit Coordinators Corporation
     (Benefit Coordinators Corporation Pittsburgh PA)

25145

Benefit Management Inc
     (BMI Kansas, New Mexico Medical Assistance Pool)

48611

Benefit Plan Administrators - Hylton Payroll

19753

Benefit Plan Administrators Co. Eau Claire, WI
     (Affordable Benefit Administrators)

39081

Bienvivir Senior Health

BSHS1

Black Hawk

CB987

Block Vision

BV001

Blue Cross Blue Shield Missouri, Anthem MO BCBS

SB742

Blue Cross Blue Shield of Alabama
     (AL BCBS)

SB510

Blue Cross Blue Shield of Arizona Advantage
     (Banner Medisun, AZ BCBS Advantage)

77078

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 Kansas HMO FEP

SB651

Blue Cross Blue Shield of Maine

SB680

Blue Cross Blue Shield of Massachusetts

SB700

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 - Federal Employee Program (FEP)

SX084

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

SX104

Blue Cross Blue Shield of South Carolina - State Health Plan

SX103

Blue Cross Blue Shield of South Dakota

SB889

Blue Cross Blue Shield of Texas Medicaid

66001

Blue Cross Blue Shield of Wisconsin

SB950

Blue Cross Blue Shield of Wyoming

SB960

Blue Cross Community Health Plans

66005

Blue Cross Complete of Michigan

32002

Blue Cross of Washington (Premera)

SB930

Blue Medicare Advantage
     (MN Blue Medicare Advantage)

00772

Blue Shield of California
     (CA Blue Shield)

94036

Blue Shield of California Promise Health Plan
     (Care1st Health Plan of California)

57115

BlueCross BlueShield of Arkansas
     (AR BCBS, Arkansas BCBS, AR Blue Cross)

SB520

BlueCross BlueShield of Michigan

SB710

BlueCross BlueShield of National Capital Area (CareFirst)

SB580

BlueCross BlueShield of Vermont

SB915

BlueCross BlueShield of Western New York

SB801

BlueShield of Northeastern New York

SB800

Boilermakers National Health

36609

Boncura Health Solutions

TH088

BoonChapman Benefit Administration

74238

Brand New Day (FFS)
     (Universal Care (FFS))

UC001

Braven Health

84367

Breckpoint

BRKPN

BridgeSpan

BRIDG

Bright Health Plan
     (BRIGHT HEALTHCARE)

CB186

Bright Healthcare

BRGHT

BritCay

22286

Brokerage Concepts

51037

Brown and Toland Health Services

BTHS1

Brown and Toland Medical Group
     (Brown Toland Sutter Select)

BTSS1

Brown Toland Medical Group

94316

Buckeye Ohio Medicaid
     (Buckeye Access2Care)

42020

Butler Insurance
     (Butler Benefit)

42150

California Pacific Medical Center

94056

CalOptima Direct

CALOP

Cannon Cochran Management Service

71057

Capital Blue Cross (Pennsylvania)

23045

Capital District Physicians Health Plan

SX065

Capital Health Plan

95112

Capitol Administrators
     (Lucent Health - California)

68011

CapRock Health Plans

CAPHP

CARDIOVASCULAR CARE PROVIDERS

GCVCP

Care Access PSN
       (Health Network One, HN1 Therapy Network HN1TN)

65062

Care N Care

66010

Care To Care

41222

Care Wisconsin Health Plan
     (Care Wisconsin First Inc)

27004

CareCentrix

11345

Carecentrix Cigna

11346

Carecentrix Horizon

11348

CareCore National

14182

CareCore National LLC Aetna Radiology Claims

14179

CareCore National Wellcare Radiology (NY counties only)

14188

CareCore National, LLC (Oxford Radiology Claims)

14180

CareFirst Administrators (Charlotte), NCAS Charlotte

75191

CareFirst Administrators/NCAS

75190

CareFirst BlueCross BlueShield MD

SB690

CareFirst BlueCross BlueShield Medicare Advantage

45282

CareFirst Community Health Plan Maryland

45281

Carelon Health

CARMO

CareOregon Inc

93975

CarePlus Health Plans Inc

65031

CARESOURCE ARKANSAS

ARCS1

Caresource Indiana Inc

INCS1

CareSource North Carolina

NCCS1

CareSource of Georgia

GACS1

CareSource of West Virginia

WVCS1

CareSource OH
     (CareSource Ohio)

31114

CareSource Ohio Medicaid

31500

Careworks (Ohio Work Comp MCO)

10010

Carolina Summit Healthcare Inc
     (American Trust Administrators Inc)

56195

Cascade Comprehensive Care

CHA01

CBA Blue

03036

CBHA Carolina Behavioral Health Alliance

56215

Celtic Insurance

68063

CenCal Health

99111

Cenpatico

68068

Centene

68069

Center for Elders Independence

94312

CenterLight Healthcare

13360

Centinela Valley IPA

MPM03

Centivo

45564

Central States Health & Welfare Funds
     (Rosemont of Des Plaines IL, Teamcare)

36215

Centurion
     (CENTURION OF FL, CENTURION INDIANA HEALTH PLAN, CENTURION ARIZONA HEALTH PLAN)

42140

CENTURION LLC

IHS11

Chaffey Medical Group

49533

CHAMPVA HAC
    (Children of Women Vietnam Veterans VA HAC, Spina Bifida VA 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 Inc

33070

CHOC - Childrens Hospital of Orange County Health - Rady

33065

Choice Medical Group

CMG01

Christian Brothers Services

38308

Christian Care Ministries

59355

Christus Health - USFHP
     (US Family Health Plan)

90551

Christus Health Medicare Advantage

10629

Christus Health Plan Health Insurance Exchange

52106

CIGNA

62308

CIGNA Behavioral Health

SX071

Cigna Healthcare for Seniors

86033

CignaHealthspring, Bravo Health Star Plus

52192

Claims Development Corporation

43056

ClaimsBridge High Performance Network

11752

Clear Health Alliance

CLEAR

Clear Spring Health

85468

Clearchoice Health Plan COIHS

77201

Clover Health

13285

CO Employees Hospital Association
     (C and O Employees Hospital Association)

23708

CO Medicaid
     (Colorado Medicaid)

SKCO0

Coastal Care Services Inc.

47394

Coastal Communities Physician Network (CCPN)

51579

Coastal TPA

79420

Cofinity - Group Resources

42049

Colonial Medical
     (CG Insurance)

22284

Colorado Access
     (BHI Behavioral Health Inc)

84129

Colorado Community Health Alliance

COCHA

Colorado Health OP

49718

Common Ground Healthcare Cooperative

77170

Commonwealth Care Alliance

14315

Commonwealth Care Alliance

A2793

Commonwealth Care Alliance - Medicare Advantage

14316

CommuniCare Advantage

34525

Community Care BHO

23282

Community Care Managed Health Care Plans of Oklahoma

73143

Community Care Organization
     (Community Care Inc Wisconsin, CCI-FAMILY CARE, CCHP-MEDICAID, CCHP-MEDICARE)

39126

Community Care Plan

FHKC1

Community Care Plan (Broward Health PPUC)
     (BROWARD HEALTHCARE, COMMUNITY CARE PLAN FLORIDA)

BHPP1

Community Care Plan (Medicaid)
     (South Florida Community Care Network)

CCP65

Community Care Plan (Palm Beach Health District)

PBHD1

Community Family Care

NMM05

Community First Health Plan

42723

Community First Health Plan

TH005

Community Health Alliance

35193

Community Health Alliance TN
     (SimplePay)

27905

Community Health Center Network

CHCN1

Community Health Choice

48145

Community Health Choice - HIM

60495

Community Health Direct

35161

Community Health Plan Washington

SB613

Community Medical Group of the West Valley Inc

66121

Companion Life

37322

Concordia Care Inc
     (Carisk Behavioral Health)

33632

Conifer Health Solutions

95399

ConnectiCare Inc

06105

Connecticare Medicare

78375

Connecticut Blue Cross Blue Shield, BLUE CROSS ANTHEM CT

SB562

Connecticut Federal Employee Health Benefits

SB563

Consolidated Associates Railroad

75284

Contigo Health

34158

Cook Childrens Health Plan

CCHP1

Cook Childrens Health Plan

TH104

Cook Childrens Star Plan

THCP9

Core Administrative Services

58231

Cornerstone Hospice and Palliative Care, Inc.

RP111

Cornerstone Preferred Resources

CB268

Corporate Benefits Service Inc N

56116

CORRECTCARE INTEGRATED HEALTH (NON-LOUISIANA JAILS)

CCIHJ

Correctional Health Partners

PHPMC

Correctional Medical Services
     (Corizon Inc)

43160

County Services Medical Program

CMSP1

CountyCare
      (CountyCare Health Plan)

06541

COVID19 HRSA Uninsured Testing and Treatment Fund

95964

CPR Share Plans

CB695

Crescent Health Solutions

56213

CT Medicaid
      (Connecticut Medicaid)

SKCT0

Curaechoice

CC304

Curative

CURTV

Custody Medical Services Program

AMM03

DCHP - Texas Medicaid

38261

Dean Health Plan
     (Prevea360, WellFirst Health, Chorus Community Health Plans, Care4Kids)

39113

Delano IPA

77124

Deleware Medicaid
     (DE Medicaid)

SKDE0

Delta Health Systems

DHS01

Denver Health and Hospital Authority

84133

Denver Health Indigent
     (Denver Health and Hospital Authority Indigent Care)

84134

Denver Health Medical Plan

84135

Denver Health Medical Plan, Inc

65456

Desert Medical Group
     (Heritage Provider Network, Oasis IPA)

DESRT

Desert Oasis Healthcare

44006

Devoted Health

DEVOT

Direct Care Administrators
     (Health West Administrators)

DCA62

Diversified Group Brokerage

06102

Doctors HealthCare Plans

DRHCP

Dolton Medical Group

DOLMG

Downey Select IPA (Applecare Medical Management)

APP01

Driscoll Childrens Health Plan

74284

Dunn & Associates

35186

EL PASO HEALTH ADVANTAGE DUAL SNP (HMO D-SNP)

EPF07

El Paso Health-CHIP

TH090

El Proyecto De Barrio

MPM04

ElderPlan Inc

31625

Elderwood Health

03964

Emergency Medical Services Fund Orange County CA

95600

EMI Health
     (Educators Mutual EMIA)

SX110

EMIKP Ambulance Claims

59299

Employee Benefit Logistics

92135

Employee Benefit Management

31074

Employee Benefit Management Services

SX182

Employee Benefit Systems

42149

Employee Benefits Administration & Management (EBA&M)

22262

Employee Plans LLC

35112

Employer's Direct Health - (Employee Plan)

75236

Employers Direct Health (Self Funded)

75233

EMPLOYERS HEALTH NETWORK

IHS07

Empower Healthcare Solutions

12956

Encore Health Network

35206

Envolve Vision
     (Prime Vision Health, OptiCare Managed Vision)

56190

ES Beveridge and Associates

34108

Essence Healthcare

20818

Essential Health Partners
     (EHP - Silver Cross Health)

EHPSC

Essential Health Partners IPA

EIPA9

eternalHealth

RP037

Everence
     (Mennonite Mutual Aid Association and Affiliates MMA)

35605

Evolutions Healthcare Systems

59313

Evry Health

EH001

Exceedent

22344

Excellus BCBS - Central New York
     (Excellus Blue Cross Blue Shield of Central New York)

SB805

Excellus BCBS - Utica Watertown
     (Excellus Blue Cross Blue Shield Utica Watertown)

SB806

EXEMPLAR HEALTH

83383

Facey Medical Foundation

95432

FACS Group
     (Federated Benefits, Federated HR Services)

37300

Falling Colors
     (BHSD STAR)

FCC20

Fallon Community Health Plan
     (FCHP)

22254

Family Medical Network

36396

Family Practice Medical Group

10145

Farm Bureau Health Plans MAPD

RP061

Farm Family Life

14140

Fidelis Care New York

11315

First Choice by Select Health of South Carolina

23285

First Choice Health Administration
     (First Choice Health Administrators, First Choice Health Network, Sound Health now known as First Choice Health Network)

91131

First Choice Next A Product of Select Health of South Carolina, Inc.

57103

First Choice VIP Care

32456

First Choice VIP Care Plus by Select Health of SC

77009

First Health Network(Coventry Health Care National Network)

73159

FirstCare

TH003

FirstCarolinaCare - New
     (FirstMedicare Direct)

FCC01

Florida BCBS
     (FL BCBS, Florida Blue Cross Blue Shield)

SB590

Florida Blue Cross Blue Shield Health Options HMO

SX030

Florida Blue Medicare

FBM01

Florida Community Care

FLCCR

Florida Complete Care

FLCPC

Florida Health Care Plan

59322

Florida Pace Center

FLPAC

Flume Health

FH205

Forest County Potawatomi Insurance Department

25059

Foundation for Medical Care of Tulare & Kings County

TKFMC

FOX VALLEY MEDICINE SITE 199
     (FOX VALLEY MEDICINE LTD.)

FVMCH

FoxEverett Inc

64069

Freedom Health Plan

41212

Freedom Life Insurance Company of America

62324

Friday Health Plans
     (Friday Health Plans of Colorado, Colorado Choice Health Plans)

H0657

Fringe Benefit Group

93158

FrontPath Health Coalition

34171

GA Medicaid
      (Georgia Medicaid, ACS Inc GA)

SKGA0

Gateway Health Plan - Medicare Assured

60550

Gateway Health Plan Medicaid PA
     (Gateway Health, Highmark Wholecare)

25169

Geisinger Health Plan

75273

Gemcare IPA

27133

Generations Healthcare

46050

Generations-Hillcrest

46051

Georgia Health Advantage
     (American Health Plans)

31140

Gettysburg Health Administrators

23274

Global Care Inc
     (Allied National, Inc.)

07689

Global Care Medical Group IPA

MPM05

Global Excel Management

GEM01

GLOBAL MEDICAL MANAGEMENT

GMICC

GMR Healthcare

85664

GMS Inc

47083

Gold Coast

77160

Gold Kidney Health Plan

A6865

Gonzaba Medical Group

GMGSA

GOOD SHEPHERD HOSPICE INC

76923

Government Employees Health Association

44054

Government Employees Health Association,Inc. (GEHA)

57254

Gravie Inc.

GRV01

Great Lakes Health Plan, UnitedHealthcare Community Plan MI

95467

Greater Newport Physicians MemorialCare

33010

Greater Orange County Medical Group IPA

NMM01

GreatWest Healthcare

80705

Group Administrators LTD

36338

Group Benefit Services Inc

CB951

Group Health Cooperative of Eau Claire
     (CommunityConnect HealthPlan, Compcare Wisconsin BadgerCare only)

95192

Group Health Cooperative of South Central Wisconsin

39167

Group Insurance Service Center, Inc.

37276

Group Marketing Services, Inc.

66701

Guidehealth

37105

Guidehealth - NPA

36364

Gulf StreamGeneral DynamicsCoreSource

CB624

Halcyon Behavioral Health

RP034

Hamaspik Choice
     (Hamaspik MLTC)

47738

HAP CareSource

RP117

HAP CareSource Michigan Dual Medicare/Medicaid

RP122

Harrington Health BPO
     (Harrington Health NonEPO)

59143

Harvard Community Health Plan (Stride Medicare Advantage)

04245

Harvard Pilgrim Health Care
(UHC Harvard Pilgrim HPHC Insurance Company)

04271

Hawaii Medicaid
     (HI Medicaid)

SKHI0

HCS Health Claims Service Boise

82018

Health Alliance Medical Plans

77950

Health Alliance Plan of Michigan
(MVP Ohio, HAP Empowered Claims, Medical Value Plan Ohio MVP, HAP/AHL/Curanet)

38224

Luminare Health Detroit
(NGS American Inc, CoreSource Detroit, Trustmark Health Benefits)

38225

Health Care LA IPA

MPM06

Health Care Network of Wisconsin

42102

Health Choice Generations Utah

13054

Health Choice Pathway
     (Health Choice Generations)

62180

Health Choice Utah

45399

Health Cost Solutions (HCS)
     (Correct Care Solutions, HCS Correctional Management Wellpath, Health Cost Solutions)

62111

Health First Health Plans
     (Matrix Health First Health Plan)

95019

Health Net of California and Oregon
     (HEALTH NET OF CALIFORNIA INC)

95567

Health New England

04286

Health Partners Plans of Pennsylvania

80142

Health Payment Systems Inc

20270

Health Plan of Nevada, Sierra Health Services

76342

Health Plan of San Joaquin
     (San Joaquin Health Administrators)

68035

Health Plan of San Mateo

SX174

Health Plans Inc

44273

Health Services for Children with Special Needs

37290

Health Services Management

41150

Health Services Preferred (HSP) Emerald Health

34167

Health Share of Oregon CCO-Mental Health
     (Health Share CCO Clackamas County aka Care Oregon (Mental Health/SUD)

77120

Healthcare Highways

HCH01

Healthcare Management Administrators Inc (HMA)

TH049

HealthCare Partners IPA NY
     (Formerly Heritage New York Medical Group)

11328

HealthCare Partners of Nevada

20501

Healthcare Resources NW

56731

Healthcare Solutions Group
     (90 Degree Benefits of OK)

73147

Healthchoice of AZ
     (Health Choice Arizona)

62179

HealthChoice Oklahoma
     (State of Oklahoma Department of Rehabilitative Services, State of Oklahoma Department of Corrections, HealthChoice, OK State Employees Educators ED)

71064

HealthComp

36149

HealthComp

07205

Healthcomp Inc

85729

Healthcosmos Medical Group LLC

COSAZ

Healthfirst Health Plan of New York/New Jersey

80141

Healthfirst TPA Tyler TX

75234

Healthgram

56144

HealthLink PPO
     (National Capital Preferred Provider Organization NCPPO)

90001

HealthPartners of Minnesota

94267

HealthPlan Services
     (Mutual Group The US, Culinary Health Fund)

59140

Healthscope 

40026

HealthSCOPE Benefits
     (Formerly CNA Health Partners of Arkansas)

71063

HealthScope Benefits

71084

Healthsmart Accel

75237

HealthSmart Benefit Solutions
     (Elan Benefits Services, HealthSmartRx Solutions, SmartCare, ELAN Insurance Group, AAGAmerican Administrative Group)

37283

HealthSmart MSO
     (New Life Medical Group, Inc., Angeles IPA, Korean American Medical Group, Asian Community Medical Group)

HSM01

HEALTHSMART MYDECISION

18840

Healthsource AR Med CIGNA

71075

Healthsource GA CIGNA

58210

Healthsource KY

61127

Healthsource Massachusetts, Inc.

02041

Healthsource N TX CIGNA

75255

Healthsource NC CIGNA

56147

Healthsource NH

02038

Healthsource OH

31141

Healthsource SC

06119

Healthsource TN CIGNA

62129

HealthSpring HMO Medicare Choice

63092

HealthSun Health  Plans

HESUN

HealthTeam Advantage
     (Healthteam Advantage HMO Diabetes and Heart Plan)

88250

Healthy Blue Dual Advantage 

00551

Healthy Blue LA

58532

Healthy Blue Missouri

00541

Healthy Blue Nebraska
     (Wellcare of Nebraska)

00544

Healthy Blue North Carolina

00602

Healthy Blue South Carolina
     (Blue Choice Medicaid Managed Care)

00403

Healthy York Network

22251

Hennepin Health
     (Northstar Advantage)

60058

HEREIU Welfare Pension Funds

37114

Heritage Consultants

59230

Heritage Victor Valley Medical Group

30862

HFN Inc

36335

High Desert Medical Group

95393

Highmark BCBSD Health Options Inc

47181

Hill Physicians Aetna PPO

HLPAE

Hill Physicians Medical Group

00046

Hill Physicians United Healthcare PPO

HLPUH

Hill UHC PPO

HPU22

HMA Hawaii

86066

HMAA - Hawaii Medical Assurance Association

48330

HMC Healthworks

75318

HMSO Highline Medical Service Organization

91164

HN1 Therapy Network
     (Health Network One, Care Access PSN, Florida NetPass)

65063

HOMELINK

30750

Hometown Health Plan Nevada

88023

Hopkins Health Advantage, Inc.

66003

Horizon Blue Cross Blue Shield of New Jersey
     (NJ BCBS, Horizon Healthcare of NY)

22099

Horizon NJ Health

22326

Horizon Valley Medical Group

HVMG1

HSHS Medical Group IPA

37137

Humana

61101

Humana - CareSource of Kentucky

KYCS1

Humana Long Term Care

61115

Humana Ohio Medicaid
     (Humana Access2Care)

61103

Huron PACE

54750

I E Shaffer

22175

ICARE Health Options TPA
     (iCare Health Solutions, MEDEGY HEALTH SYSTEMS)

26054

iCARE, Independent Care Health

11695

iCircle Care of New York

33884

iCircle of New York

ICRCL

ID Medicaid
     (Idaho Medicaid)

SKID0

Idaho Medicare Part B

SMID0

IdealCare

SCS17

IEC Group AmeriBen

97661

IHG Direct

75274

Illinois Medicaid
     (IL Medicaid)

SKIL0

Illinois Physicians Alliance IPA

IPA99

IMAGINE360 ADMINISTRATORS (GPA)
     (Group and Pension Administrators)

48143

IMCare

41600

Impact Health Share Inc.

IH400

Imperial Health Holdings Medical Group

IHHMG

Imperial Health Plan of California, Inc.

IHP01

Imperial Insurance Company of Texas

IICTX

IMS-TrialCard

56155

INDECS Corporation

40585

Independence Administrators

TA720

Independence American Insurance Company

CB231

Independence Blue Cross Blue Shield

SX083

Indiana Medicaid
     (IN Medicaid)

SKIN0

Indiana University health Plan Commercial

26212

INETICO INC
(SEMINOLE TRIBE OF FLORIDA)

43471

Ingham Health Plan Corporation

38343

Inland Empire Health Plan

IEHP1

Inland Faculty Medical Group

MVMM1

InnovAge

31182

Innovante Benefit Administrators
     (HealthTrans, HSBS WORLD TRADE CENTER HEALTH PROGRAM)

31172

Innovation Health

40025

Insight Benefit Administrators

38254

Insurance TPA.com Administrators

39182

Insurance Administrator of America

37279

Insurance Design Administrators

13315

Insurance Management Administrators

72091

Insurance Management Services (Amarillo, TX)

15688

Insurance Management Services TX

TH099

Integra Administrative Group Sea
     (Integra Administrative Group Seaford DE)

51020

Integra Group
     (RPN of NC, Inc., RPN of SC, Inc., Integra Group, Inc., RPN of VA, Inc., Rehab Provider Network Ohio Inc.)

31127

Integra GroupCHA

31129

INTEGRANET

INET1

Integrated Behavioral Health, Inc. dba Uprise Health

63103

Integrated Homecare Services

IHCS1

Integrated Medical Solutions LLC

20050

Interface EAP IEAP

60280

Intergroup Services Corporation

23287

INTERLINK Health Services

93116

International Benefit Administrator

11329

IU Health Plan Medicare Advantage

95444

Jade Health Care Medical Group

NMM07

Jai Medical Systems MCO

JAI01

Jericho Share

IHS02

JI Specialties

TH033

Johns Hopkins Healthcare USFHP

52123

Johns Hopkins Home Care Group

JHHCG

Joplin Claims
     (Acceptius Benefit Management Inc of MO BMI, Benefit Management Inc of Missouri)

43178

JP Farley Corporation

34136

Kaiser Foundation Health Plan of Colorado

91617

Kaiser Foundation Health Plan of Northern CA Region

94135

Kaiser Foundation Health Plan of Southern California Region

94134

Kaiser Foundation Health Plan of the MidAtlantic States Inc

52095

Kaiser Foundation Health Plan Washington
     (Group Health Cooperative Washington State, Group Health Options WA State)

91051

Kaiser Foundation of the Northwest

93079

Kaiser Hawaii
     (Kaiser Permanente Health Plan of Hawaii)

94123

Kaiser Health Plan Inc Georgia
     (Kaiser Permanente of Georgia)

21313

Kaiser PPO, Kaiser Self Funded

94320

Kalos Health

40137

Kane County IPA

KCIPA

Kansas Medicaid
      (KS Medicaid)

SKKS0

Keenan Associates CA

95279

Kelsey Seybold
     (KS Plan Administrators, LLC, Kelseycare Advantage, Kelsey Seybold Medical Group, PLLC)

KELSE

Kempton Group Administrators

73100

Kentucky Health Administrators (KHA)
     (Quilt Benefits c/o KHA)

82357

Kentucky Health Administrators, Inc.

27215

Kern County CDCR

28021

Kern Health Systems

77039

Key Benefit Administrators (Ft. Mill, SC)

37216

Key Benefit Administrators India
     (Key Benefit Administrators Indianapolis IN)

37217

Key Gap
     (KeySolution)

35317

Key Health Medical Solutions Inc

95460

Key Medical Group

IP082

Key Medical Group - Medicare Advantage
     (Mosaic IPA Medical Group)

IP083

Key Select

37321

KeyCare (MD)
     (KeyCare Advantage)

KCMD1

Keystone First

23284

Keystone First Community HealthChoices

42344

Keystone First VIP Choice

77741

Klais Company

34145

Koan Risk Solutions

65871

LA Blue Advantage

72107

LA Care Health Plan

LACAR

Lakeside Comprehensive Healthcare

66127

Lakeside Medical Group

66125

Lancaster General Health Group

16109

Landmark Healthcare Inc

LNDMK

Lasso Healthcare MSA

10550

Lawndale Christian Health Center

LAWND

Leon Health Plans

A3565

Leon Medical Center Health Plan

37316

Liberty Health Advantage

87071

Liberty Health Share

90753

Life Gift Cards

33LGC

Life Investors Insurance

TH120

Life Investors of America Long 
     (Life Investors of America Long Term Care)

TH093

Life Pittsburgh

25181

Life Trac

41136

LifePath Hospice Inc

76870

Lifewise Health Plan of Oregon

93093

LifeWorks Advantage

LWA01

Lockard Williams

CB752

Loma Linda University Adventist 

37267

Loma Linda University Healthcare
     (Loma Linda University Healthcare ManagedCare Claims, Loma Linda University Health Care Managed Care Dept)

33036

Lone Star Medical Group PLLC

LNSTR

Lone Star TPA
      (The Fringe Benefit Group Inc)

45289

Lovelace Sandia Health Plan

90328

Loyola Physician Partners

37175

Lucent Health
     (Activa Benefit Services, Premier Healthcare Exchange, Inc. (PHX))

88056

Lucent Health

88051

Lucet

NDX99

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

35182

Luminare Health Internal

35187

Luminare Health KC

48117

Luminare Health Little Rock

75136

Luminare Health OH

35183

MacNeal Health Providers CHS

36334

MAESTRO HEALTH PLAN
     (Benefit Management Services Inc)

56139

Magellan Health Services

01260

MagnaCare

11303

Maine Community Health Options

45341

Managed Care Services LLC

35162

Managed Health Network

22771

March Vision Care Inc

52461

Marpai Health

35245

Marrick Medical Finance LLC

20805

MARTINS POINT HEALTH CARE

53275

Mary Washington Health Plan

83269

Maryland Physicians Care

76498

Maryland Physicians Care

22348

Mashantucket Pequot Tribal Nation
     (Pequot Plus Health Benefit Administrators)

37121

Mass Advantage

86220

Mass General Brigham Health Plan
      (AllWays Health Partners, Neighborhood Health Plan Boston MA)

04293

Max Specialty Benefits

27320

MBA Benefit Administrators Inc
     (MBA Benefit Adminstrators Inc Salt Lake UT, CDO Technologies)

83028

MBHP MA Behavioral Health Partnership, ValueOptions

BHOMA

MBS
     (MedCost Benefit Services)

56205

MCA Administrators (aka Diversified Group Administrators)

25160

MCLAREN HEALTH PLAN

38338

MDwise Healthy Indiana Plan - 2019
     (MDWISE HEALTHY INDIANA PLAN)

3135M

MDwise Hoosier Healthwise - 2019

3519M

MedCom

59231

MedCost Inc

56162

Medfocus

95321

Medica

94265

Medica Government Programs

MEDM1

MEDICA HEALTH CARE PLAN INC
      (Medica Health Care Plan Florida)

78857

Medica Health Plan Solutions

71890

Medica Individual and Family (IFB)

12422

Medical Associates Health Plan

MAHC1

Medical Benefits Administrators Inc Newark OH

74323

Medical Mutual

29076

Medical Reimbursements of America

62177

Medicare Blue

SX263

Medico Life and Health Insurance Company

23160

MediGold
      (Mt Carmel Health)

95655

MedSolutions Inc
     (Evicore)

62160

MedStar Family Choice, Inc (DC)

RP062

MedStar Family Choice, Inc (MD)

RP063

Memorial Hermann Health Solutions

TH092

Memorial Medical Center - AllCare

85461

MemorialCare Select Health Plan
      (Seaside Health Plan)

46187

Mental Health Consultants Inc

37050

Merchants Benefit Administration
      (Advanced Health Limited Medical)

86087

Mercy Care Plan AHCCCS

86052

Mercy Care RBHA, Mercy Maricopa Integrated Care

33628

MercyCare

     (MercyCare Health Plans)

39114

MERIDIAN HEALTH PLAN ILLINOIS MEDICAID

MCCIL

Meridian Health Plan Michigan

MHPMI

Meridian Health Plan of Illinois DOS before 07/01/2021

13189

Meritage Medical Network
      (Marin Sonoma IPA)

IP097

Meritain Health

64157

Meritain Health / Agency Services

64158

Meritain Health Minneapolis
      (Sheet Metal Workers)

41124

Metro Plus Health Plan

13265

Metrowest HealthPlan

TH068

Metrowest Star Medicaid

TH069

MI Blue Care Network, Michigan BCBS Complete

SB711

MI Medicare Plus Blue
     (Blue Michigan Medicare Plus)

SX170

Michigan Medicaid - BCCCP

SKMI1

Mid-America Associates

37281

Mid-American Benefits (Elite Choice)

22823

MidCoast IPA

77012

Midlands Choice Inc

47080

Midwest Health Partners

76079

Minnesota BCBS

SB720

Minnesota Blue Cross Blue Shield Health Care Programs

00562

Minnesota Blue Medicare Advantage

SB722

Mint Health Plans/Samera Health

U8053

Mission St Joseph Heritage Healthcare

STJOE

Mississippi Medicaid

SKMS0

Mississippi Medicaid

SKMS1

Mississippi Physicians Care Network

64084

Missouri Medicaid

SKMO0

Moda Health
     (ODS HEALTH PLAN INC)

13350

Molina Complete Care of  Arizona
     (Molina Healthcare of Arizona, Inc., Molina Complete Care)

MCC01

Molina Complete Care of Virginia
     (Molina Healthcare of Virginia, Inc.)

MCC02

Molina Healthcare of California

38333

Molina Healthcare of Florida

51062

Molina Healthcare of Idaho

61799

Molina Healthcare of Illinois

20934

Molina Healthcare of Iowa

MLNIA

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 New York
     (Total Care NY, Affinity Health Plan, SCHC Total Care ClaimsNet)

16146

Molina Healthcare of Ohio

20149

Molina Healthcare of Texas

20554

Molina Healthcare of Washington

38336

MOLINA HEALTHCARE Of WI
      (Molina Healthcare of Wisconsin)

ABRI1

Molina Healthcare South Carolina

46299

Molina Healthcare Utah

SX109

Molina Ohio Medicaid

73160

Mondial Assistance
      (Allianz Global Assistance)

50749

Monitor Life Insurance Company

16098

Montana Medicaid

SKMT0

Montifiore HMO

46161

Monumental Life Insurance Company (Little Rock, AR)
     (Transamerica Financial Life Insurance Company, Monumental Life Insurance Company, Transamerica Premier Life Insurance Company)

TLINS

Morris Associates

35092

MotivHealth

07632

MPE Employee Benefit Services

37233

MSA Careguard

20572

Multicare Connected Care

RP036

Municipal Health Benefit Fund

81883

Mutual Health Services
     (Antares Management Solutions)

34192

MVP Health Plan of NY
      (MVP Health Care)

14165

MyTru Advantage

MTAMA

NAA North America Administrators
      (Lucent Health Solutions)

65085

NAHGA Inc.
     (National Accident & Health General Agency Inc)

67788

NAMCIGlobal Care

L0110

NAPHCARE INC

58182

Nascentia Health Options
     (VNA Homecare Options)

31626

Nascentia Health Plus

45529

National Allied Workers Union Local 831

CB148

National General

ASHC1

National Guardian Life Insurance Company

87020

National Telecommunications Coop
     (National Telecommunications Cooperative Association NTCA Staff)

52103

National Telecommunications Cooperative Association

52120

Neighborhood Health Partnership of Florida

96107

Neighborhood Health Plan of Rhode Island

05047

Neighborhood Health Plan RI Exchange Unity Integrity

96240

Netcare Life and Health Insurance
     (NLH Netcare Life and Health Insurance)

66055

Network Health Insurance CorpMed
     (Network Health Insurance CorpMedicare)

77076

Network Health Plan of Wisconsin
      (Network Health Plans)

39144

Network Solutions IPA

NSIPA

NEUEHEALTH

NEUEH

Nevada BCBS

SB765

NEW AVENUES INC

95998

New Era Life Insurance Company

98798

New Mexico Medicaid

SKNM0

New York BCBS - Empire

SB803

New York Blue Cross Blue Shield Healthnow

55204

New York Network Management

11334

New York State Dept of Health Uncompensated Care Program

14142

Next Level Health

81085

NextBlue of North Dakota
     (MT BCBS Medicare Advantage)

55892

NHC Advantage 

NHC01

Nippon Life Insurance Company of America
     (Nippon Life Benefits)

81264

North American Medical Management (NAMM) - Northern California

E3510

North Dakota Medicaid

SKND0

North Shore LIJ Healthfirst

17516

Northeast Medical Services (NEMS)

NEMS1

Northern Illinois Health Plan

36347

Northern Nevada Trust Fund
     (Electrical Wrks Hlth & Welfare, Plumbers & Pipefitters UA Local 350, No Nev Operating Eng Hlth & Welfare, No Nev Laborers Hlth & Welfare)

88027

NorthStar Advantage

NSA01

Northwest Community Health Partners

NWCHP

Northwestern Medicine Physicians Network
     (Unity Point Health Plus, MFC HealthPlus Peoria)

23550

Northwestern Medicine Physicians Network

NWEST

Northwood Healthcare

NWOOD

Nova Healthcare Administrators I
     (Azeros Health Plans Inc)

16644

Novasys Health Network

71080

Nyhart

37299

Oak Street Health

OAKST

Oak West Physician Association

36400

Occular Benefits

L0140

OH Medicaid
     (Ohio Medicaid)

SKOH0

Ohio Health Choice PPO

34189

Ohio PPO Connect

74431

OhioHealthy

48116

OhioRISE - Aetna Better Health of Ohio

45221

Oklahoma Medicaid

SKOK0

Olympus Managed Health Care

65074

OptiMed Health

96277

Optimum Healthcare Inc
      (Global TPA LLC)

20133

Optum Care Network

HCP01

Optum Care Network  - CA
     (Arta Health, Healthcare Partners CA, Talbert Medical Group CA, Physician Associates of the Greater San Gabriel Valley)

OCN01

Optum Care Network of Connecticut 

E3287

Optum Maryland Behavior Health

OMDBH

Optum Medical Network

LIFE1

OptumHealth CMC

41194

OptumHealth Physical Health

41161

Orange County Health Care Agency

65021

OrthoNet Aetna

13383

Oscar Insurance

OSCAR

OSF CENTRAL Healthcare

OSFC9

Oxford Health Plans
     (UnitedHealthcare Oxford Health Plans)

06111

P3 Health Partners Arizona

58375

PACE CNY

70454

PACE of Southwest Michigan, Inc

45114

PACE Southeast Michigan

86711

Pacific Administrators

PCFAD

PacificSource Administrators
     (Select Benefit Administrators)

93031

PacificSource Community Health Solutions

20416

PacificSource Health Plans

93029

PacificSource Medicare

20377

Painters Union Insurance Fund

53483

Palo Alto Medical Foundation
     (Mills Peninsula Medical GroupSPS)

94115

Pan American Life Insurance Group

04218

Paramount Health
     (Paramount Advantage)

SX158

Partners Health Plan NY

14966

Partners In Health

PARTH

Partners Insurance Company Medicare PPO

RP099

Passport Advantage

66008

Passport Health Plan by Molina Healthcare
     (Passport Health Plan)

61325

Patient Advocates LLC

55489

Patient Physician Cooperatives

20510

Payer Fusion

27048

Peak Health

RP095

PEF Clinic Ltd. 

PEF01

Pennsylvania Medicaid

SKPA0

Pennsylvania Pace

20172

PENNSYLVANIA PREFERRED HEALTH NETWORK (PPHN)

06161

People 1st Health Strategies

IHS03

Peoples Health Network

72126

Perennial Advantage of Ohio 

PAOH1

PerformCare

65391

PHP TPA Services
     (Pro-Claim Plus, Inc.)

30031

Physicans of Southwest Washington

91171

Physician Health Associates/Midland Mgmt

37136

Physicians Care ASR Corporation

38265

PHYSICIANS CARE NETWORK LLC

PCN12

Physicians Care Network Rockford

36345

Physicians Health Network

MHM03

Physicians Health Plan of Michigan Medicare

83276

Physicians Health Plan of Northern Indiana Inc

12399

Physicians Mutual Insurance Comp

47027

Physicians Plus Insurance Corpor

39156

Piedmont Community Health Plan

55768

PIH Health

PIH01

Pinnacle Medical Group

95271

Pinnacol Assurance

84109

Pittsburgh Care Partnership Inc

23283

Planned Administrators (Non Preferred Blue Providers)

37287

Planstin

65241

Point Comfort Underwriters

PCU03

Point Comfort Underwriters

PCU01

Point Comfort Underwriters (Refugee Medical Assistance Program)

PCU02

POOL ADMINISTRATORS PRIMARY

PAI01

Populytics

23253

ppoONE

UHNDC

Prairie States Enterprises Inc

36373

Preferred Care Partners Florida
     (CareFlorida)

65088

Preferred Community ChoicePCCSel
     (Preferred Community ChoicePCCSelectCompMed)

73145

Preferred Health Care of Pennsylvania

33898

Preferred Health Plan of the Carolinas

CB404

Preferred IPA

PFIPA

PreferredOne MN
     (Aspirus 1st Health Network WI)

41147

Premier Eye Care

65054

Premier Physician Network (PPN)

MPM22

PRESBYTERIAN HEALTH PLAN

05003

Primary Health Network

82048

Prime Health Choice

81502

Prime Time Health/Aultcare

AULOH

PrimeWest Health Plan

61604

Priority Health

38217

PrismUnivera

37315

ProCare (TX) 
     (PROCARE ADVANTAGE)

PTX01

Professional Benefit Services, Inc.

56724

Professional Health Care Network

26748

Progyny

PROGY

Prominence Administrative Services
     (CDS Group Health)

88022

Prominence Health Plan of Nevada

93082

Prominence Health Plan of Texas

80095

Prominence Health Plan, SAINT MARYS HEALTH PLAN

88029

Prominence HealthFirst of Florida Inc

83352

Protective Life Insurance Company

37309

Providence Health Assurance Medicaid DOS After 12312020

77350

Providence Preferred PPO

SX187

Provider Partners Health Plan Illinois

31401

Provider Partners Health Plan of Maryland
     (Tribute Health Plan, Central Benefits National)

31118

PROVIDER PARTNERS HEALTH PLAN OF MISSOURI
     (Provider Partners Missouri Community Plan (HMO I-SNP))

31404

PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA
     (Provider Partners Pennsylvania Community Plan (HMO I-SNP))

31400

Provider Partners Health Plan of Texas

31405

ProviDRS CARE NETWORK

48100

Pruitt Health Premier of Carolinas 
     (Pruitt Health Premier of North Carolina, Pruitt Health Premier of South Carolina)

PHPC1

Qual Choice of Arkansas

35174

Qualexa Healthcare

86772

Quality Care Partners

89461

QUARTZ
     (Unity Health Insurance, QuartzASO)

39180

Quest Behavioral Health
     (Penn Behavioral Health)

44219

Quest EAP

10956

QuikTrip

73067

QVI Risk Solutions Inc

57117

Redirect Health Administration

86145

Redlands-Yucaipa Medical Group

18247

Regal Medical Group

95449

Regence Blue Cross Blue Shield of Oregon

SB850

Regence Blue Cross Blue Shield of Utah

SB910

Regence Blue Shield of Idaho

SB611

Regence Group Administrators

RGA01

Regency Employee Benefits

38221

Regional Care Inc

47076

Renaissance Physicians Organization

76066

Reserve National Insurance

73066

Resurrection Physician Provider group

RPPG1

Right Care Scott & White

74205

RightChoice Benefit Administrators

37331

Rios Southwest Medical Group

RIOS1

RISRx

RISRX

River City Medical Group

RCMG1

Riverside Medical Clinic

RMC01

RiverSpring Health Plans

05178

ROYAL HEALTH ON BEHALF OF EXTENDED CARE MLTC

46166

Rush Prudential Health Plans HMO

36389

S S Healthcare Strategies
     (Piedmont Community Health Plan)

31441

Sagamore Health Network

35164

Samaritan Health Plans
     (Samaritan Employer Group Plans)

CP001

San Diego County Medical Services CMS

MSO11

San Diego County Ryan White Care Act

MSO33

San Diego PACE
     (Mediture)

96400

San Francisco Health Plan

SFHP1

San Louis Obispo Select

33072

Sana Benefits
     (Ancillary Care Services, Inc.)

50114

Sanford Health Plan

91184

Sanford Health Plan - Medicare Advantage

RP035

SANFORD HEALTH PLANS Repriced Claims

TP984

Santa Clara Family Health Plan

24077

Sante Health System and Affiliate
     (Sante Health System and Affiliates)

77038

Satellite Health Plan Inc

45552

Saudi Health Mission

SHM01

SC BCBS Companion Healthcare

SX085

SCAN Health Plan - California
     (SCAN Desert Health Plan)

72261

SCAN Health Plan Arizona

73172

Scott White Health Plan

TH002

Seaview IPA

SVIPA

Secure Health DOS after 12/31/20

42561

Security Administrative Services

35202

Security Health Plan
     (ADVOCARE)

39045

Select Benefit Administrators of America

37282

Select Health

SX107

SelectHealth

SX107

Self Insured Plans Naples FL
     (SelfInsured Plans LLC)

36404

SelfFunded Plans Inc

34131

Selman and Company

52214

Selman Tricare Supplement

TRSEL

Senior Whole Health of Massachusetts 

SWHMA

Senior Whole Health of New York
     (Senior Whole Health New York Medicare)

SWHNY

Sentara Health/Optima Health

54154

Sentinel Management Services

23249

Seoul Medical Group

SMG01

Seton MAP Program

TH081

Seven Corners

25404

SGIC

11789

Shared Health Mississippi

SHMS1

Sharp Health Plan

SHPPN

Sharp Rees-Stealy Medical Group

SRSMG

Shasta Administrative Services

75280

Signature Advantage KY

SA001

Significa Benefits Services, Inc.
     (Significa Benefit Services Agent for Pan American)

23250

Silver Stare PACE

97691

Simply Healthcare

SMPLY

Sinclair Health Plan

84076

SISCO Benefits

SISCO

Smith Administrators

02057

Solidarity Healthshare

SH777

Solis Health Plans

73581

Solstice Benefits
     (Solstice)

76578

SOMOS (ANTHEM NEW YORK)

81508

SOMOS IPA (EMBLEM HEALTH)

81336

South Carolina BCBS

SB880

South Country Health Alliance

81600

South Florida Musculoskeletal Care

06294

South Point Hotel Casino

35227

SouthCareHealthcare Preferred

25147

Southeastern Indiana Health SIHO

77153

Southern California Physicians Managed Care Services (SCPMCS)

SCP01

Southwest Service Life

37266

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

RP085

Spectera United Healthcare Vision

00773

St Johns Health Clinic
     (PROVIDENCE ST JOHNS)

SJHC1

St Therese Physician Association
     (Lake County Physicians Association)

37116

Standard Life and Accident Insurance Company

73099

State Farm Insurance (Health)

31053

State Farm Insurance (Prop and Casualty/Auto)

31059

Stirling Benefits

06089

Student Resources (UnitedHealthcare)

74227

SummaCare Health Plan

95202

Summit Administration Services Inc

86083

Summit America Insurance Service

37301

Summit Community Care

PASSE

Surest
     (Bind)

25463

Sutter Delta Medical Group

77318

Sutter East Bay Medical Foundation

94269

Sutter East Bay Regional Hospital

96176

Sutter SeniorCare PACE

56621

Tall Trees Administrators
     (Sovereign Nations Insurance)

88067

TDS/ATRIO

RP005

TDS/SRRIPA/Amerivantage

RP010

TDS/SRRIPA/Clover

RP012

TDS/SRRIPA/Wellcare

RP011

Tethys Health Ventures
     (Accarent Health)

20212

Texas - Christus Health Plan

45210

Texas BCBS

SB900

Texas Childrens Health Plan - CHIP

76048

Texas Childrens Health Plan - Star

75228

Texas Health Aetna

88221

Texas Independence Health Plan

31403

Texas Medicaid

SKTX0

TexasFirst Health Plan (NTX)

13185

The Alliance

88461

The Benefit Group, Inc.

TBGNE

The Care Network/The Savannah Business Group

68423

The City of Odessa

75600

The Health Exchange Cerner Corpo
     (Cerner HealthPlan Services)

20356

The Health Plan of WV

95677

The Loomis Company TPA Wyomissi

23223

The Preferred Healthcare System - PPO Altoona, PA

04320

The Zero Card

75296

Thomas H Cooper

SX160

Thrivent Financial

THRIV

Thrivent Financial Aid Association for Lutheran Medicare

30167

Thrivent Financial Lutheran Brotherhood Medicare

30166

Total Plan Concepts

80900

Total Senior Care

12268

TR Paul Inc

37230

TransChoice-Key Benefit Administrators

37284

Transwestern Insurance Administrators, Inc.

TRAN1

Trellis Health Partners

36397

Tribute SelectCare of Oklahoma

73117

TriHealth Physicians Solutions

31144

Trillium Health Resources

56089

Trilogy Health Network (TRLHN/EB)

62777

True Health New Mexico

82288

Trusted Health Plan
     (CareFirst CHPDC)

L0230

Trusteed Plans Service Corporation
     (TPSC Benefits)

91078

Trustmark Small Business Benefits
     (StarMark, Tooling Manufacturing Association, Trustmark Insurance Company, Trustmark Health Benefits, Evolution Healthcare, TRUSTMARK LIFE INSURANCE CO)

61425

Tufts Health Plan
     (TUFTS MEDICARE PREFERRED, TUFTS MEDICARE SUPPLEMENTAL, Total Health Plan, Inc., US Family Health Plan-Brighton Marine Health Center, Tufts Associated Health Maintenance Org, Inc., Tufts Benefit Administrators, Inc.)

04298

Tufts Health Public Plans
     (Network Health MA, Tufts Health Plan Public Plans)

04332

TX HealthSpring
     (Texas HealthSpring)

33104

UC Health Plan Administrators

89789

UC-Davis Health
     (UCDHS-MANAGED CARE OPERATIONS)

94603

UCare Plans
     (UCare Individual & Family Plans, UCare Minnesota Health Care Programs, Ucare Medicare Plans)

55413

UCLA Medical Group

USMBP

UCS - Insight Benefit Administrators

96436

UCS Secureone Preferred United Plans

86242

UCS Seminole Tribe of Florida

78702

Udelhoven Health Plan

92006

UFCW Local 1000 and Kroger Dallas Health & Welfare Plan

11856

Ultimate Health Plans

77022

Ultra Benefits Inc

41206

UMass Medical School Health & Criminal Justice Program

UMHCJ

UMC Health Plan

75130

Umpqua Health Alliance

77502

UMR (formerly Harrington Benefit Services - Westerville)

75196

UMR (formerly Harrington Benefit Services)

75243

UMWA Health Retirement Funds

52180

UNICARE

80314

Unified Group Services

35198

Unified Life Insurance Company

RP064

United Agriculture Benefit Trust

UAGBT

United Care Medical Group

ADCUC

United Claim Solutions

20090

United Health Care (Optum)

87726

UNITED HEALTH CARE OH MEDICAID

88337

United Medical Alliance

84132

United Medical Resources

39026

United of Omaha
     (Mutual of Omaha Insurance Company, ExclusiCare)

71412

UnitedHealthcare Community Plan formerly Arizona Physicians IPA

03432

UnitedHealthcare Community Plan KanCare

96385

UnitedHealthcare Community Plan Missouri

86050

UnitedHealthcare Community Plan NY

NYU01

UnitedHealthcare Community Plan Tenncare

95378

UnitedHealthcare West

95959

UnitedHealthOne Golden Rule

37602

Unity Health Partners

A1152

Univera

SX090

Univera - Health Care Plan/ChoiceCare Buffalo

SX087

Univera Health Care PlanChoiceCare Buffalo

SX091

Universal Care of California

33001

University Family Care/University Physician Care Advantage

09830

University Health Care Advantage
     (Stanford Health Care Advantage)

46407

University of Illinois
     (UIC Physician Group)

UIC67

University of Illinois at Chicago Div of Specialized Care for Children

37601

University of Utah Health Plans
     (Montana Health CO-OP)

SX155

UPMC Health Plan

23281

UPMC Vision Advantage

25184

Upper Peninsula Health Group TPA

37324

Upper Peninsula Health Plan Medi
     (Upper Peninsula Health Plan Medicaid)

38337

US Benefits

93092

US Imaging Network

50383

US Network and Administrative Services
     (UHC GLOBAL)

USN01

USVI Medicaid
     (United States Virgin Islands Medicaid)

SKVI0

Valley Care IPA
     (Identity MSO, Dignity Health Medical Network Ventura)

VCIPA

Valley Health Plan (Commercial)

VHP01

Valor Health Plan

43259

Vantage Health Plan

77701

Varipro

72187

Verdugo Hills Medical Group

66126

Vestacare
     (True Choice USA)

VESTA

Veterans Administration Fee Basis Programs

12115

Veterans Affairs Community Care Network

VACCN

VieCare Life Beaver and Life Lawrence Counties

25924

Village Practice Management Company
     (VillageMD)

36477

VillageCareMAX
     (VILLAGE SENIOR SERVICES)

26545

Virginia Medicaid

SKVA0

Virginia Medicaid

CVAK1

Virginia Premier Health Plan

54176

Viva Health Care and Viva Medicare

63114

VNS CHOICE Medicare

77073

Volusia Health Network

59266

Washington Blue Shield - Regence

SB931

Waterstone Benefit Administrators Outside Oklahoma

23051

Watts Health Care

MPM09

WebTPA
     (Community Health Electronic Claims)

75261

Weiss Health Providers

36337

WelbeHealth

WBHCA

Wellcare

14163

Wellfleet Group, LLC, Consolidated Health Plans

87843

Wellmark Blue Cross and Blue Shield of Iowa (IASD)

SB640

WellMed
     (Physicians Health Choice, WELLMED MEDICAL MANAGEMENT, INC. [TH023], WMMI, Wellcare, WellMed Medical Management, Inc., WELLMED NETWORKS, INC., UHC Medicare Advantage)

WELM2

Wellpoint
     (Amerigroup AZ, IA, NJ, TN, TX, WA)

WLPNT

WellSense Health Plan

13337

Wellspan Employee Assistance Program

CB457

West Covina Medical Group

66124

West Suburban Health Providers

80942

Western Growers/Pinnacle Claims Management

24735

Western Health Advantage

68039

Western Mutual Insurance

37247

Western Oregon Advanced Health

DOCSO

Western Pennsylvania Electrical Employees Insurance Trust Fund

RP083

Western Southern Financial Group

31048

WI Preferred Provider Network (WPPN)

34080

William C Earhart

93050

WIN Healthcare (Woman's Integrated Network)

13413

Wisconsin Medicaid

SKWI0

Wisconsin Physicians Service - Third Party Pricing

SX162

WPPElderCare Wisconsin

77080

WV Medicaid
     (West Virginia Medicaid)

SKWV0

Yamhill County CCO (Mental Health)

77130

ZELIS

88057

Zing Health
     (ZING HEALTH OF MICHIGAN, INC)

83248

 
 

The following payers can be submitted but because the payer depends on Change Healthcare, CLAIM.MD is holding these claims for now.

Payer Name

 

TherapyNotes Payer ID

 

ADVANTICA BENEFITS

59374

Alacura Medical Transportation Management LLC

RP065

Allegeant

52193

Alliant Health Plans of Georgia

58234

Amalgamated Life PA Alicare

13343

American Health Advantage of Florida

58379

American Healthcare Alliance

01066

American National Ins Co ANICO

74048

American Postal Workers Union He

44444

AmFirst Insurance Company

64090

ASA GEHA

06603

Associates for Health Care, Inc. (AHC)

36326

Atlantic Medical Insurance

22285

Bass Administrators, Inc.

38238

Benefit Management Inc

48611

Benefit Plan Administrators Co. Eau Claire, WI

39081

Benefit Risk Management Services

99320

BritCay

22286

CarePartners of Connecticut 

16307

Careworks

10010

Consolidated Health Plans

87843

Cook Childrens Health Group

TH104

Crescent Health Solutions

56213

Employee Benefits Plan Administration, Inc.

03036

Encircle PPO

35206

FrontPath Health Coalition

34171

Global Excel Management

GEM01

Harvard Pilgrim Stride Health Plan MA

04245

Health Payment Systems Inc

20270

Health Services for Children wit

37290

HealthPlan Services

59140

Healthsource ME

01041

HealthSource N TX Cigna

75255

Healthsource SC

06119

Heritage Consultants

59230

High Desert Medical Group

95393

HMA Hawaii

86066

Individual Health Insurance Comp

31053

JP Farley Corporation

34136

Keenan Associates CA

95279

Loma Linda University Adventist

37267

Lucent Health

88056

Managed Care Services LLC

35162

MBA Benefit Administrators Inc

83028

Midwest Health Partners

76079

Novasys Health Network

71080

OptiMed Health

96277

Patient Physician Cooperatives

20510

PHP TPA Services

30031

Planned Administrators (Non Preferred Blue Providers)

37287

Prairie States Enterprises Inc

36373

Primary Health Network

82048

Rocky Mountain HMO

SX141

S S Healthcare Strategies

31441

Sanford Health Plans

91184/TP984

SANFORD HEALTH PLANS Repriced Claims

TP984

SelfFunded Plans Inc

34131

Southeastern Indiana Health SIHO

77153

St Therese Physician Association

37116

St. Vincent Catholic Medical Center - USFHP

13407

Superior Select Health Plan

61184

Trillium Health Resources

56089

TRUSTED HEALTH PLAN

L0230

Trusteed Plans Service Corporation

91078

UCare of Minnesota

SX178

Udelhoven Health Plan

92006

Unified Life Insurance Company

RP064

VOLUSIA HEALTH NETWORK

59266

Western Health Advantage

68039

Western Mutual Insurance

37247

Western Southern Financial Group

31048

Payer Requires Enrollment to Send Claims


The payers in the following list will require enrollment through Claim.MD to submit claims. 

Administrative Concepts Inc

Advanced Medical Management  - Seoul Medical Group

Advanced Medical Management - County Medical Services Program

Advanced Medical Management - Custody Medical Services

Advanced Medical Management - Emergency Medical Services Fund

Advanced Medical Management - Medical Safety Net

Advanced Medical Management - Sacramento Physicians Emergency Medical Services

Alaska Medicaid

Alaska Medicare Part B

Alabama Medicare Part B

Alameda Alliance for Health

Alliance Behavioral Health

AlohaCare

American Health Resources

Anthem - Tellus EVV

Arkansas Medicaid

Arkansas Medicare Part B

Austin Regional Clinic Employee Benefit Plan

Avesis Third Party Administrator

Arizona Medicare Part B

BCBS PA BlueCard - Point of Service POS - Highmark

BCBS US Virgin Islands 

BlueCross BlueShield of Tennessee

Blue Cross Blue Shield of Tennessee (Chattanooga HMO Plans)

Blue Cross Blue Shield of Tennessee (Memphis)

Benefit Admin Services

BMC HealthNet Plan

California Medicaid

California Medicare North

California Medicare South

Central California Alliance for Health CA

CNS Healthcare

Colorado Medicare Part B

Commercial Travelers/PHX

Community Care IPA LLC

Compsych

Cox Health Plan

Connecticut Medicare Part B

DC Medicaid

DC Medicare Part B

Delaware BCBS Highmark

Delaware Medicare Part B

Department of Labor

Department of Labor Black Lung

Department of Labor Energy Division

Deseret Mutual

DME Region A

DME Region B

DME Region C

DME Region D

East Pointe Behavioral Health

Elmco

Emblem Health GHI New York Group Health Inc

Enterprise Group Planning

Exclusive Care - County of Riverside

Florida Medicaid

Florida Medicare Part B

Freedom Blue Medicare Advantage Highmark

Georgia Medicare Part B

Gateway PA

GHI HMO

Global Health

HCC Life Insurance Company

Healthcare Highways Health Plan

Hewittt Coleman

Hawaii Blue Cross

Hawaii Medicare Part B

Highmark Senior Health PA

HIP Health Insurance Plan of Greater New York

Iowa Medicaid

Iowa Medicare Part B

Idaho Blue Cross

Idaho Medicare Part B

Illinois Medicare Part B

Indiana Medicare Part B

Independent Health

InterCounty Health Plan PA

John Muir Physician Network

Keystone Health Plan West PA

Kansas Medicare Part B

Kentucky Medicaid

Kentucky Medicare Part B

Louisiana BCBS

Louisiana Medicaid

Louisiana Medicare Part B

Massachusetts Medicare Part B

Mayo Clinic FLGA

Maryland Medicaid

Maryland Medicare Part B

Maine Medicare Part B

Mediview Curative

Mediview Sendero IdealCare

Michigan MEDICAID

Michigan Medicaid - BCCCP

Michigan Medicare Part B

Missoula County Medical Benefits

Minnesota Medicaid

Minnesota Medicare Part B

Missouri Medicare Part B

Monarch IPA

Mississippi BCBS

Mississippi Medicare Part B

Montana Medicare Part B

North Carolina Medicaid

North Carolina Medicare Part B

North Dakota Medicare Part B

Nebraska Medicaid

Nebraska Medicare Part B

New York Medical Indemnity Fund

New Hampshire Medicaid

New Hampshire Medicare Part B

NHBCAUX

New Jersey Medicaid

New Jersey Medicare Part B

New Mexico Medicare Part B

North Dakota Workforce Safety and Insurance (CARISK)

Nevada Medicaid

Nevada Medicare Part B

New York Medicaid

New York Medicare Part B Downstate

New York Medicare Part B Queens

New York Medicare Part B Upstate

Ohio Medicare Part B

Oklahoma Medicare Part B

OMNI Administrators

Oregon Medicaid

Oregon Medicare Part B

Pennsylvania BCBS - Highmark

Pennsylvania Medicare Part B

Parkland Community Health Plan

PARTNERS BEHAVIORAL HEALTH MANAGEMENT

Partnership Health of California

Peak Pace Solutions

PEHP - Utah Public Employee Health Plan

Penn Behavioral Health

PGBA VACCN Region 4

PGBA VACCN Region 5 

PHX - BPA  Benefit Plan Administrators

PHX - Med-Pay

Physicians Health Plan

Puerto Rico Medicare Part B

Preferred Health Professionals

Providence Health Plan

Railroad Medicare

Redwood Community Health Coalition (RHC) MedPoint

Religious Order of Jehovah's Witnesses

Revived Medical IPA

Rhode Island Medicaid

Rhode Island Medicare Part B

Rocky Mountain Health Plan

Rocky Mountain Pace

Sandhills Center

SBMA

South Carolina Medicaid

South Carolina Medicare Part B

South Dakota Medicaid

South Dakota Medicare Part B

Superior Vision Services

Swedish Covenant Hospital

TakeCare Insurance Company

Taylor Benefits

TMHP Long Term Care

Tennessee BCBS

Tennessee Medicare Part B

Travis County MAP - Mediview

Tricare East Region

Tricare Overseas

Tricare West Region

Triple S

Triple S Advantage

Texas Medicare Part B

University Health Alliance

USVI Medicare Part B

Utah Medicaid

Utah Medicare Part B

Virginia Medicare Part B

Vaya Health

Virginia Premier

Vermont Medicaid

Vermont Medicare Part B

Vytra Healthcare

Washington Medicaid

Washington Medicare Part B

Washington Labor Industry

Western Oregon Advanced Health

Wisconsin Medicare Part B

WPS Commercial

WPS Tricare for Life

West Virginia BCBS - Highmark

West Virginia Medicare Part B

West Virginia Senior Solutions Highmark

Wyoming Medicaid

Wyoming Medicare Part B

Yale University Health Plan

* 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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