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Payer Name - 270/271 Transactions
Payer ID
AARP Absolute Total Care ACCESS MEDICARE ACS Benefit Services Administrative Services, Inc. Advantage by BridgewayHealthSolutions Advantage by Buckeye Community Health Plan Advantage by Managed Health Services Advantage by Superior Health Plan Advantage Health Advantra (TX, NM, AZ Only) Advantra Freedom Advantra Savings Aetna Aetna Retiree Medical Plan - Administrator Aetna Better Health Aetna Better Health (IL) Aetna Better Health (LA) Aetna Better Health (KY) Aetna Better Health (MI) Aetna Better Health (NE) Aetna Better Health (TX) Aetna Better Health (TX) CHIP Aetna Better Health of MO Aetna Long Term Care Aetna Senior Supplemental Aetna Signature Administrators Affinity Essentials Affinity Health Plan Affinity Health Plan Medicare AFLAC AFLAC – Dental AFLAC – Medicare Supplemental AGIA,Inc. Alabama Medicaid Alan Sturm and Associates – Dental Alaska Medicaid All Savers Life Insurance Allegiance Benefit Plan Management Alliant Health Plans Allied Benefit Systems
10431 10560 11030 11009 10619 10561 10562 10563 10564 10583 10447 10307 10419 AETNA 10891 10894 10892 11008 11119 11025 10976 10895 10896 11064 10397 10897 10983 11115 10594 10661 10955 10398 10663 11149 00000000817 10798 11016 11027 10654 11109 10898
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10/6/2016
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Payer Name - 270/271 Transactions
Payer ID
AlohaCare Alternative Insurance Resources, Inc. Altius Health Plans Altus Dental Ambetter Superior Health Plan (TX) AmeriBen American FamilyInsurance Group- Medicare Supplement and PPO American Income Life Insurance Company American Medical Security (AMS) American National Insurance Company American National Life Insurance Company of Texas American Network Ins. Medicare Supplement American Postal Workers Union American Republic Insurance Company (ARIC) American Retirement Life Ins Co Medicare Supp AmeriChoice of New Jersey (Commercial) Americo Financial Life & Annuity Amerigroup Corporation AmeriHealth (DE, NJ, PA) AmeriHealth Administrators AmeriHealth Caritas Iowa AmeriHealth Caritas Louisiana (LaCare) AmeriHealth VIP Care Ameritas Life Insurance Co. Anthem Vivity Arbor Health Plan Arise Health Plan Medicare Select Policy Arizona Medicaid (AHCCCS) Arizona Physicians IPA (APIPA) Arkansas Medicaid Associacion De Maestros Puerto Rico Asuris Northwest Health Aultcare Automated Benefit Services Auxiant Avera Health Plans AvMed Health Plans Bankers Life and Casualty Banner Health Plans BCBS of Alabama BCBS of Arizona
11017 11002 00364 10786 11082 10985 10487 10986 10829 10595 10596 10899 00360 00224 10538 00091 11085 AMGRP 10974 10416 11142 10640 11152 00425 10993 10641 10868 869 00322 00000000695 10957 10529 10472 10890 10900 10869 AVMED 10813 10707 00000000590 00000000567
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10/6/2016
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Payer ID
BCBS of Arkansas BCBS of Central New York BCBS of Colorado BCBS of Connecticut BCBS of Florida BCBS of Georgia BCBS of Hawaii BCBS of Illinois BCBS of Indiana BCBS of Iowa BCBS of Kansas BCBS of Kansas City BCBS of Kentucky BCBS of Louisiana BCBS of Maine BCBS of Massachusetts BCBS of Michigan Institutional BCBS of Michigan Professional BCBS of Minnesota BCBS of Mississippi BCBS of Missouri BCBS of Nebraska BCBS of Nevada BCBS of New Hampshire BCBS of New Jersey (Horizon) BCBS of New Mexico BCBS of New York (Empire) BCBS of North Carolina BCBS of North Dakota BCBS of Ohio BCBS of Oklahoma BCBS of Oregon (Regence) BCBS of Pennsylvania (Highmark Institutional) BCBS of Pennsylvania (Highmark Professional) BCBS of Rhode Island BCBS of South Carolina BCBS of South Dakota (Wellmark) BCBS of Tennessee BCBS of Texas BCBS of the Rochester Area (NY) BCBS of Utah
BCARK 10461 10029 4816 AV294 BCBSG 10530 00000000551 4820 10396 4923 10473 4821 564 4818 00139 10519 00000000558 10039 00000000581 4921 10384 10260 4817 00087 4609 00000002560 BCBSN 10478 4823 10582 772 10524 10046 10304 BCBSS 10395 10430 00000000562 10469 10618
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10/6/2016
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Payer ID
BCBS of Utica Watertown (NY) BCBS of Vermont BCBS of Virginia (Wellpoint) BCBS of West Virginia BCBS of Wisconsin (Wellpoint Anthem) BCBS of Wyoming Benefit Management Inc. Best Choice Health Plan Best Life and Health Better Health Plans (Unison Health Plan) Better Health Plans of Florida Blue Benefit Administrators of Mass Blue Cross Independence (Pennsylvania) Blue Cross Northeastern Pennsylvania Blue Cross of California Blue Cross of Idaho Blue Cross of Washington and Alaska (Premera) Blue Cross Pennsylvania (Capital) Blue Shield of California Blue Shield of Idaho (Regence) Blue Shield of Washington (Regence) BlueChoice Health Plan South Carolina Medicaid Bluegrass Family Health BMC HealthNet Boon Chapman Benefit Admin Boon Group Bravo Health Bridgespan Bridgeway Arizona Brokers National – Dental Buckeye Community Health California Medicaid (Medi-Cal) Cal-Viva Capital District Physicians Health Plan Capitol Administrators CAPROCK Care1st Health Plan Arizona Carefirst Blue Cross Blue Shield (DC) Carefirst Blue Cross Blue Shiled (MD) Caremore CarePlus Health Plan
10470 10624 BCBSV 10462 BCBSW 10480 10665 00000000820 00257 00199 10999 10803 00000002426 00000000981 BCCAL 10638 2650 582 1044 10052 5504 10504 10429 10556 10414 10821 10399 10827 10565 10783 10566 AIDCA 11070 10458 10903 10660 10981 11102 10270 11080 00324
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10/6/2016
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Payer ID
CarePoint Medicare Advantage CareSource Health (OH) CareSource of Ohio Carolina Care Plan, Inc. (CCP) CDS Group Health Celtic Insurance Celticare Cencal Cenpatico - Arizona Cenpatico - Florida Cenpatico - Georgia Cenpatico - Illinois Cenpatico - Indiana Cenpatico - Kansas Cenpatico - Kentucky Cenpatico - Massachusetts Cenpatico - Mississippi Cenpatico - Missouri Cenpatico - New Hampshire Cenpatico - Ohio Cenpatico - South Carolina Cenpatico - Texas Cenpatico - Wisconsin Cenpatico Behavioral Health Cenpatico Behavioral Health Texas Centene - Advantage by Peach State Centene - Advantage by Sunshine State Centene - Ambetter Sunshine Health Centene - California Health & Wellness Centene - Coordinated Care Centene - Granite State Health Plan Centene - Home State Health Plan Centene - IlliniCare Health Plan Centene - Kentucky Spirit Health Plan Centene - Louisiana Healthcare Connections Centene - Magnolia Health Plan Centene - Michigan Fidelis Secure Care Centene - Peach State Health Plan Centene - Sunflower State Health (Kansas) Centene - Sunshine State Health Plan Centene - Total Care Carolina
10822 994 994 10762 10667 10668 10589 11106 10567 10568 10569 10631 10570 10571 10632 10588 10769 10768 10770 10572 10573 10633 10634 10766 10767 10763 10764 11126 10759 10761 10765 10760 10757 10620 10756 10704 11034 10590 10758 10451 10866
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10/6/2016
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Payer Name - 270/271 Transactions
Payer ID
Centene Advantage Plans CenterLight Healthcare Central California Alliance for Health Central Reserve Life Ins Co Medicare Supp Central Reserve Life Insurance Company Central Senior Care Central States Fund Central States Indemnity Cerner Health Plan CHAMPVA/Spina Bifida/Children of Women Vietnam Vets Chesapeake National Life Children’s Mercy PCN CHP Direct Christian Brothers Services Christie Student Health Plans CHRISTUS Health Plan Medicaid CHRISTUS Health Plan New Mexico CHRISTUS Health Plan NM Medicare Advantage Cigna-GWH Claims Management Service Inc. CMFG Life Insurance Colonial Penn Life Colorado Access Colorado Medicaid Community Care of Oklahoma Community Health First Medicare Advantage Community Health Group Community Health Plan of Washington (CHPW) ConnectiCare Connecticut Medicaid Consolidated Associates Railroad Constellation Health (INMEDIATA HEALTH GROUP) Consumers Life Consumers Mutual Insurance of Michigan Continental General Ins Co Medicare Supp Continental General Insurance Company Cook Children’s Health Plan Cooperative Benefits Administrators CoreSource MD/PA/IL/NC/IN/AZ/MN CoreSource OH Corporate Benefit Service
10771 10666 10884 10539 10450 10904 10486 10744 11018 00232 00207 10906 10907 10908 11113 11105 11006 11007 00001 11001 10909 10852
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0000002356 00000000968 10066 10421 11087 2641 10303 10067 10669 11042 10911 11051 10540 10454 10610 00223 00236 00239 10411
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Payer ID
Country Cupboard Country Life Insurance Company CountyCare Covenant Administrators (TPA) Coventry Health &Life – Nevada Coventry Health and Life (Oklahoma) Coventry Health and Life (Tenn) Coventry Health Care Carelink Medicaid Aetna Better Health (VA) Coventry Health Care Federal Coventry Healthcare - Delaware Coventry Healthcare - Georgia Coventry Healthcare - Kansas Coventry Healthcare - Louisiana Coventry Healthcare - Missouri Coventry Healthcare - Nebraska Coventry HealthCare Carelink (Advantra) Coventry Healthcare National Network Coventry Iowa CoventryCares of Kentucky CoventryOne Cox Health Plan CSA Fraternal Live Medicare Supplement Culinary Health Fund UNITE HERE Health DakotaCare DeCare Dental Health Insurance Definity Health Delaware Medicaid Delta Dental Ins. Co. - Alabama Delta Dental Ins. Co. - Florida Delta Dental Ins. Co. - Georgia Delta Dental Ins. Co. - Louisiana Delta Dental Ins. Co. - Mississippi Delta Dental Ins. Co. - Montana Delta Dental Ins. Co. - Nevada Delta Dental Ins. Co. - Texas Delta Dental Ins. Co. - Utah Delta Dental of California Delta Dental of Colorado Delta Dental of Colorado Delta Dental of Delaware
10912 10670 11143 10880 10448 00441 10405 00182 00190 10481 00166 00154 10208 00158 10449 00176 00160 10084 00170 10642 10440 10838 10541 10775 10577 10780 10828 3018 10709 10710 10711 10712 10713 10714 10715 10716 10717 10705 10718 10718 10720
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10/6/2016
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Payer Name - 270/271 Transactions
Payer ID
Delta Dental of Hawaii Delta Dental of Indiana Delta Dental of Maryland Delta Dental of Michigan Delta Dental of Minnesota Delta Dental of Nebraska Delta Dental of New Jersey Delta Dental of New Mexico Delta Dental of New York Delta Dental of North Carolina Delta Dental of North Dakota Delta Dental of Ohio Delta Dental of Pennsylvania Delta Dental of Rhode Island Delta Dental of Tennessee Delta Dental of Virginia Delta Dental of Washington DC Delta Dental of Washington State Delta Dental of West Virginia DeltaCare USA - Claims DeltaCare USA - Encounters Dental Benefit Providers Denver Health Medical Plan Deseret Mutual (DMBA) Diamond Plan (Maryland Medicaid) Director’s Guild District No. 9, I. A. of M. & A W. Welfare Trust District of Columbia Medicaid DMC Care Driscoll Health Plan EBMS Educators Mutual Insurance (EMI) Elderplan Emblem Health Employee Benefit Services – Dental EPIC Life Insurance EPSI, Inc. Essence Healthcare Evangelical Community Hospital Evercare Everence Financial
10721 10722 10723 10724 10725 10726 10727 10728 10729 10730 10731 10732 10733 10734 10735 10736 10737 10738 10739 10740 10741 10787 0000001321 10578 00177 10077 11098 77033 11081 11090
Xerox EDI Direct Payer List 270/271 Transactions
10862 11135 11010 10616 10784 10914 11011 10601 10915 10807 10772
10/6/2016
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Payer ID
Evergreen Health Evergreen Health Co-Op Expert Benefit Solutions Fallon Community Health Plan Family Care FCE Benefit Administrators Federated Insurance Company Fidelis Care New York First Ameritas of New York First Medical Network First Reliance Standard Life First United American Insurance Company FirstCare FISERV WAUSAU Flex Compensation – Dental Florida Combined Life – Dental Florida Health Care Plans Florida Medicaid Florida True Health Florida/Vista/Summit Food Employers & Bakery Confectionary Workers Benefit Freedom Blue Frensenius Health Fringe Benefits FSL Admin by KBA Gateway Health Plan Geisinger Health Plan Geisinger Health Plan Gold GEMCare Georgia Medicaid GHI – Group Health Incorporated Gilsbar Globe Life & Accident Insurance Company Government Employees Hospital Association (GEHA) G.M.P. Employers Retiree Trust Great American Life Insurance Co Medicare Supplement Group and Pension Administrators Group Health Cooperative Group Health Cooperative of South Central Wisconsin – Dental Group Health Northwest Group Health Plan (GHP)
11136 10860 11019 00272 10427 11003 00262 10459 00426 10916 00428 10987 10870 11068 10799 10811 10615 77027 10839 10551 10776 10502 11130 11069 11052
Xerox EDI Direct Payer List 270/271 Transactions
10/6/2016
10629 10611 10612 11065 00000000760 10808 10509 10988 10394 11144 10543 10174 10608 10781 11041 00184
9
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Payer Name - 270/271 Transactions
Payer ID
Guardian Life Insurance Co. of America – Dental Harken Health Harmony Health Plan Hawaii Medicaid Hawaii Medical Assurance Association Hawaii Medical Assurance Association – Dental Health Alliance Medical Plan (IL) Health Alliance Medical Plans (HAP) Health Choice Arizona Health Cost Solutions Health First Insurance Health First Health Plan Health First New Jersey Health First New York Health Choice Oklahoma Health Net National Health New England Health Partners (Minnesota) Health Partners Philadelphia Health Plan of San Mateo Health Services for Children with Special Needs Health Share of Oregon HealthAmerica&HealthAssurance HealthCare Inc. (Promina) Healthcare Management Administrators Healthcare Solutions Group Healthcare USA(HCUSA) HealthComp Administrators HEALTHe Exchange HealthEase HealthEase Kids HealthEdge Administrators Healthgram (formerly Primary PhysicianCare) HealthPlan of Nevada HealthPlans Inc. HealthPlus of Michigan HealthScope (Morris Assoc, Central Benefits, Employer’s Health, Plan Handlers) HealthSmart Benefit Solutions Healthsource Provident – Dental HealthSpring Healthy Texas
10788 11110 10514 6093 11125 10785 10871 00000002077 00329 11012 10674 10673 10438 00240 11148 10385 10627 10484 00288 10362 10584 10823 00148 00193 11084 10463 00186 11020 10597 10510 10511 11036 10692 10804 10802 1311 10621 11079 10789 10464 10824
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10/6/2016
10
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Payer Name - 270/271 Transactions
Payer ID
Heritage Physician Network (Houston) Hershey Healthsmile – Dental HIPNY HM Care Advantage Admin by KBA Hometown Health Horizon NJ Health Hudson Health Plan Humana Humana CareSource (KY) IBEW Local 508 Health Plan Concentrix Insurance Solutions Idaho Medicaid Ideal Life Insurance Illinois Medicaid Independence Administrators Indiana Medicaid Inland Empire Health Insurers Administrative Corporation (IAC) INTEGRA Administrative Group Inc Integrated Mental Health Services Inter Valley Health Plan International Medical Card Inc. Iowa Medicaid Island Home Insurance Jai Medical System John Alden Insurance Company (JALIC) John Hopkins Health Plan John Hopkins HealthCare LLC Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Hawaii Kaiser Foundation Health Plan of Hawaii (DHMO Choice) Kaiser Foundation Health Plan of the Mid Atlantic Kaiser Foundation Health Plan of the Northwest Kaiser Permanente of Georgia Kaiser Permanente of Northern CA Kaiser Permanente of Southern CA Kansas Medicaid Katy Medical Group Kentucky Health Exchange Kentucky Medicaid Key Benefit Administrators – 37216
10918 10795 10406 11053
Xerox EDI Direct Payer List 270/271 Transactions
10/6/2016
3597 2840 11046 00041 10920 10885 10861 2896 10747 4812 10417 10103 1081 11021 11054 10585 1052 11028 00000001264 10675 11147 00254 00000002613 11132 00277 00278 10676 00276 00279 00281 00282 00283 1243 10921 10857 00000000945 11067
11
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Payer ID
Key Benefits Administrators (IN) KeySolution Keystone Mercy Health Kitsap Physician Services KSKJ Life Land of Lincoln Leggett & Platt Leon Medical Centers Health Plan Liberty National Life Insurance Company Lifetime Benefit Solutions (RMSCO) Lifewise Arizona Lincoln Financial Lincoln Heritage Local 1199 LoneStar TPA Loomis Company Louisiana Health Exchange Louisiana Medicaid Loyal American Life Insurance Co Medicare Supp Magellan Behavioral Health Magnacare Mail Handlers Benefit Plan Mainte Community Health Options Maine Medicaid Managed Care of America Managed Health Network (MHN) Managed Health Services Indiana Managed Health Services Wisconsin MAPFRE Life Puerto Rico MAPFRE Medicare Excel Maricopa Health Plan Arizona Maryland Medicaid Massachusetts Medicaid MDWise Hoosier Alliance MedBen – Newark OH MedCost Benefit Services Medica Medica Health Plans Medical Associates Health Plan/Health Choices Medical Card System Medical Mutual of Ohio
10754 11055
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10/6/2016
2232 2644 10748 11118 10975 10677 10989 10978 10843 10678 10749 10979 11013 10755 10830 1164 10544 10649 10867 00251 11122 388 10885 10863 10586 10587 10679 10680 10434 00000002257 334 10598 10681 10272 00404 11029 10683 10952 00211
12
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Payer ID
Medicare Medicare Advantage - Pennsylvania Medicare y Mucho Mas (INMEDIATA HEALTH GROUP) Medico Insurance Company Medigold Health Plans Med-Pay, Inc. MedStar Family Choice MedStar Health Plan Mercy Care Plan (Arizona) MercyCare Health Plan (Wisconsin) Mercy Health Care Plan Meridian Health Plan of Illinois Meritain Health Meritus Health Partners MetLife Dental Family
CMS 11000 10960 10923 10800 10682 10844 10845 00340 11141 10465 10644 10635 10980 10134 10846 2548 10659 947 10392 10138 MAMSI 00206 00000001257 00000000786 10142 10702 00000000684 10144 11005 00222 10445 10685 00226 10146 00445 11031 10815 10391 00227 10253
MetroPlus Health Plan Metropolitan Health Plan (MHP) MHNet Behavioral Health Michigan Medicaid Michigan Medicaid Pending Eligibility Michigan MI Child Mid Atlantic Medical Services, LLC (MAMSI) Mid-West National Life Minnesota Medicaid Mississippi Medicaid Mississippi State Employees and Teachers Missouri Care Missouri Medicaid MMSI (Mayo Health) Moda Health Molina Healthcare of California Molina Healthcare of Florida Molina Healthcare of Illinois Molina Healthcare of Michigan Molina Healthcare of New Mexico Molina Healthcare of Ohio Molina Healthcare of Puerto Rico Molina Healthcare of South Carolina Molina Healthcare of Texas Molina Healthcare of Utah Molina HealthCare of Washington
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Payer ID
Molina Healthcare of Wisconsin Montana Medicaid Montifiore CMO Municipal Health Benefit Fund Mutual Assurance Administrators Mutual Health Services Mutual of Omaha MVP Healthcare National Association of Letter Carriers (NALC) National Telecommunications Cooperative Association (NTCA) Nationwide Specialty Health Nebraska Medicaid NEHEN – Harvard Pilgrim Health Care NEHEN - Tufts Associated Health Plan NEHEN Harvard Pilgrim Health Care NEHEN- Neighborhood Health Plans Neighborhood Health Plan (RI) Network Health Network Health Plan of WI Nevada Medicaid New Era Life Insurance Company New Hampshire Medicaid New Jersey Medicaid New Mexico Health Connections New Mexico Medicaid New York Medicaid NGS American North Carolina Medicaid North Dakota Medicaid Northwest Administrators Nova Healthcare Administrators NovaSys Health Ohana Ohio Medicaid Oklahoma Employees Group Insurance Division Oklahoma Medicaid OmniCare (Michigan) Operating Engineers Local 428 Health and Welfare Optima/Sentara Orange County Fire Authority Oregon Medicaid Oregon's Health CO-OP
10628 10147 11035 10687 10872 10686 10382 00432 00214 10812 00086 101182 10376 00000002394 00000002393 00000002395 10630 10626 10706 2573 10991 00000000022 00000000829 11123 00000001234 2935 10873 AID21 10157 11038 10537 10466 10515 00000000594 10995 3411 00284 10777 10477 10951 2434 11124
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10/6/2016
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Payer Name - 270/271 Transactions
Payer ID
Oscar (NY) Oxford Health Plans Pacific Source Health Plan PacificSource Community Solutions (Medicaid) Panamerican Life Puerto Rico Pan-American Life Insurance Company Paramount Health Parkland Community Health Plan Partners National Health Plans of NC Partnership Health Plan of California Passport Health Plan Patriot Dental Penn Treaty Network America Ins Medicare Supp Pennsylvania Medicaid People First Peoples Health Personal Insurance Administrators (PIA) PersonalCare/Coventry Health of Illinois Physicians Health Plan Northern IN (PHPNI) Physicians Health Plan of Mid-Michigan Physicians Mutual Insurance Company Physicians Plus Insurance Corp Piedmont (GA) Piedmont Wellstar HealthPlans Pinnacle Physician Management Org Pittman and Associates Plan de Salud Hospital Menonita Planned Administrators Inc. Plumbers and Pipefitters Local Union 525 Health & Welfare Trust Preferred Care Partners Preferred Health System of Kansas Preferred Medicare Choice (PMC) (INMEDIATA HEALTH GROUP) Preferred One Premier Health Prestige Health Choice Principal Financial Group (Nippon Life) Priority Health Pro-Claim Plus Professional Benefits Administrators Providence Health Plan Provident American Life & Health Ins Co Medicare Supp
10881 00016 2597 11091
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10/6/2016
10689 11114 10854 10643 10383 1035 2841 10782 10924 AIDPA 11022 10636 10492 00179 10658 11015 00287 11004 10882 10825 10926 10408 10958 10886 10778 10691 10847 10959 00371 10848 10965 10170 10490 11014 10242 2598 10545
15
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Payer ID
Provident Preferred Network – Dental Public Employee Benefit Authority Public Employees Health Plan (PEHP) Puerto Rico Medicaid Puritan Life Insurance Qualcare Qualchoice QuikTrip Corporation Reliance Standard Life Reserve National Insurance Company RightCare from Scott and White Health Plan Rocky Mountain Health Plan Royal Neighbors of America S and S Healthcare Strategies San Joaquin Health Plan Sanford Health Plan Santa Clara Family Health Plan Schaller Anderson Aetna Better Health of New York Schaller Anderson Aetna Better Health of OH Schaller Anderson Delaware Physicians, Inc. Schaller Anderson MajestaCare VA Schaller Anderson Maryland Physicians Care Schaller Anderson Mercy Care Schaller Anderson Missouri Care Schaller Anderson Parkland Community Health Plan Schaller Anderson Texas CHRISTUS Scott & White Health Plan Secure Health Plans of Georgia Secure Health Plans of Wisconsin Securian – Dental Securian/Patriot – Dental Select Health SC Select Health Utah Select Senior Clinic SelectCare of Texas (Beaumont) SelectCare of Texas (Golden Triangle) SelectCare of Texas (Houston) SelectCare of Texas (Integranet) SelectCare of Texas (Kelsey-Seybold) SelectCare of Texas (Memorial Clinical Assoc) SelectCare of Texas (Northwest Diagnostic)
10790 11043 10574 10173 10743 10637 10553 10508 00427 11127 11116 00347 10751 10875 1046 10533 10876 10816 10887 10817 10818 10693 10694 10695 10643 10696 00000002076 10883 11056 10792 10793 10520 10575 10927 10928 10929 10930 10931 10932 10933 10934
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10/6/2016
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Payer ID
Selman & Company Senior Care Action Network (SCAN) HMO Senior Dimensions Senior Health Services Center – Universal American Family of Companies Senior Whole Health Sendero Health Plans Sharp Health Plan Shenandoah Life Insurance Sierra Health Services Significa SisCo Benefits Soundpath Health South Carolina Medicaid South Dakota Medicaid Southern Health Services (SHS) Special Agents Mutual Benefit Association Spectrum Health SPJST Medicare Supplement Standard Insurance Standard Insurance of New York Standard Life and Accident Insurance Company Star HRG State Mutual (Lincoln Novation) State Mutual Med Supp. Staywell Staywell Kids Stewart C Miller and Co Stonebridge Life Insurance Company Student Insurance StudentResources SummaCare Summit America Insurance Service Sun Orthopaedic Group, Inc Sunshine State Health Plan Superior Health Plan Texas Susquehanna Transit Company Sutter Select TennDent Tennessee Medicaid Texas First Health Plan (TOPA) TexanPlus (Integranet)
11150 00350 11023 10697 10962 11117 10967 10752 10282 00191 11129 10935 1263 10180 00156 10591 10936 10546 00429 00430 10593 10833 10982 10750 10512 10513 10937 11032
Xerox EDI Direct Payer List 270/271 Transactions
10/6/2016
00290 10938 00000002514 11073 10938 10451 10592 10940 10941 107934 00000001139 10944 10942
17
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Payer Name - 270/271 Transactions
Payer ID
TexanPlus (Kelsey-Seybold) TexanPlus North Texas Area TexanPlusSoutheast Texas Area Texas Medicaid Texas Medicaid LTC The Kempton Company The ULLICO Family of Companies Three Rivers Health Plans Time Insurance Company (FIC) TMG Network Health Insurance Today’s Option TransactRX Part D TransAmerica Admin by KBA Tribute/Select Care of Oklahoma Tricare TRICARE for Life TRICARE Overseas Trillium Community Health Plan Triple-S Salud (BCBS Puerto Rico) Trustmark Ucare of Minnesota Ultimate Health Plans UMR (Wausau) UMWA Health and Retirement Funds Underwriters Safety and Claims Unicare UNICARE – Dental Unified Life Insurance Company Union Pacific Railroad Employees Health Systems Union Security Insurance Company (FBIC) United American Insurance Company United Concordia Companies, Inc. United Concordia Federal Employees Program United Healthcare United Healthcare - Optum Behavioral Solutions United Healthcare – West United Healthcare Plan River Valley United Healthcare SecureHorizons United Teacher Assoc Insurance Co Medicare Supp UnitedHealthcare Community Plan – Kansas UnitedHealthcare Community Plan – TN
10943 10604 10605 AIDTX AIDTXLTC 10698 10945 00198 00252 10688 10505 11037 10946
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10/6/2016
10607 TRICR 10879 10947 11120 10953 00233 2596 10888 10501 11121 10246 UCARE 10791 11086 10599 00253 10990 10810 10809 00112 11076 11077 00335 10655 10547 10835 11025
18
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Payer ID
UnitedHealthcare Facets Detroit Community and State UnitedHealthcare Facets Pittsburgh Community and State UnitedHealthcare Nevada Market United Health Group - Community Plan Unity Health Plan Universal Benefit Corp Universal Care of California University Care Advantage Arizona University Family Care University of Arizona Health Plan-UHM University of Missouri University of Utah Health Plans University Physicians Care Advantage (AZ) University Physicians Healthcare Group (Arizona) UPMC Health Plan (Tristate) USAA Life Insurance Company Utah Medicaid VA Fee Basis Program VA Health Administration Center VA Healthcare Valley Care Program Valley Health Plan Vantage Health Plan, Inc. Vermont Medicaid Village Family Practice Virginia Medicaid Vista (MCD, FHK, LTC) VIVA Health VNS Choice VYTRA Washington Medicaid Washington National WEA Trust WEB- TPA Well Sense Wellcare Health Plans WellPath Select (Carolinas) Health Smart Benefit Solutions (Wells Fargo TPA) WV West Virginia Medicaid Western Health Advantage Western & Southern Financial Group
10836 10834 10837 11107 00000000780 11033 1054 10699 00353 10889 10428 10977 10433 10439 00000001054 10195 10648 00231 10956 10850 10948 10949 10858 10197 10950 00000001213 10483 10468 10600 10407 00000000693 10853 10554 10532 10814 10488 00164 10003 00000000828 1043 11111
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10/6/2016
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Payer Name - 270/271 Transactions
Payer ID
Wilson McShane Wisconsin Medicaid WPS Health Insurance Wyoming Medicaid
10797 00000000867 10878 77046
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10/6/2016
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Payer Name - 276/277 Transactions
Payer ID
AARP Access Medicare Added to Claim Status CHRISTUS Health Plan NM Medicare Advantage Advantra- (Texas, New Mexico, Arizona only) Advantra Freedom Aetna Aetna Better Health (KY) Aetna Better Health (MI) Aetna Better Health (NJ) Aetna Better Health of MO Aetna Better Health of NE Aetna Long Term Care Aetna Signature Administrators Affinity Health Plan Medicare AFLAC AFLAC - Medicare Supplemental Alabama Medicaid Allegiance Benefit Plan Management Alternative Insurance Resources, Inc. Altius Health Plans AMC – American General Life and Accident AMC Health Future AMC- Poly America AmeriBen American Family Insurance Group- Medicare Supplement and PPO Policies American National Insurance Company American National Life Insurance Company of Texas American Network Ins. Medicare American Postal Workers Union Health (APWU) American Republic Insurance Company (ARIC) American Retirement Life Ins Co Medicare Supp AMERIGROUP AmeriHealth AmeriHealth Caritas Iowa AmeriHealth Caritas Louisiana (LaCare) Amerihealth Caritas Pennsylvania Ameritas Life Anthem Vivity Apex Benefits Services Arbor Health Plan ARISE Health Plan-Medicare
10431 11030 11007 10447 10307 10004 11119 11025 10994 11064 10976 10397 10983 10661 10955 10663 10007 10654 11002 00364 00237 00246 00244 10985 10487 10595 10596 10899 00360 00224 10538 10019 10974 11142 10640 10340 00425 10993 10708 10641 10868
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Payer ID
Arkansas Medicaid Assurant Health- John Alden Insurance Company (JALIC) Assurant Health- Time Insurance Company (FIC) Assurant Health- Union Security Insurance Company (FBIC) Asuris Northwest Health AultCare Avalon Administrative Services Bankers Life & Casualty Banner Health Plans BCBS AR BCBS Mississippi BCBS of Alabama BCBS of Alabama [Institutional] BCBS of Colorado (Wellpoint) BCBS of Connecticut (Wellpoint) BCBS of Florida BCBS of Georgia (Wellpoint) BCBS of Illinois BCBS of Indiana (Wellpoint) BCBS of Iowa BCBS of Kansas BCBS of Kansas City BCBS of Kansas City BCBS of Kentucky (Wellpoint) BCBS of Maine (Wellpoint) BCBS of Massachusetts BCBS of Minnesota BCBS of Missouri (Wellpoint) BCBS of Nebraska BCBS of Nevada (Wellpoint) BCBS of New Hampshire (Wellpoint) BCBS of New Jersey (Horizon) BCBS of New Mexico BCBS of New York (Empire) BCBS of New York (Excellus) BCBS of North Carolina BCBS of Ohio (Wellpoint) BCBS of Oklahoma BCBS of Oregon (Regence) BCBS of South Carolina BCBS of South Dakota
10023 00254 00252 00253 10529 10472 11145 10813 10707 BCARK 10040 10025 10609 10029 4816 AV294 10032 00000000551 4820 10396 4923 10473 10473 4821 4818 00139 10039 4921 10384 10260 4817 00087 10042 10043 10323 10383 4823 10582 10045 10047 10395
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Payer ID
BCBS of Tennessee BCBS of Texas BCBS of Vermont BCBS of Virginia BCBS of Wisconsin (Wellpoint) Benefit Management Inc. Best Life and Health Better Health Plans (Unison Health Plan) Blue Cross of California (Wellpoint) Blue Cross of Utah (Regence) Blue Cross of Washington and Alaska (Premera) Blue Cross Pennsylvania (Capital) Blue Shield of California Blue Shield of Idaho (Regence) Blue Shield of Washington (Regence) Boon Group Bravo Health Bridgespan C and O Employees’ Hospital Association Plan Care1st Health Plan Arizona Carefirst Blue Cross Blue Shield (DC) CarePlus Health Plan CarePoint Medicare Advantage Carolina Care Plan, Inc. (CCP) Carpenter’s Health and Welfare Trust Fund of St. Louis CDS Group Health Cenpatico - Georgia Cenpatico - Mississippi Cenpatico - Missouri Cenpatico - New Hampshire Cenpatico Behavioral Health Cenpatico Behavioral Health Texas Centene - Advantage by Peach State Centene - Advantage by Sunshine State Centene - California Health & Wellness Centene - Coordinated Care Centene - Granite State Health Plan Centene - Home State Health Plan Centene - IlliniCare Health Plan Centene - Kentucky Spirit Health Plan Centene - Louisiana Healthcare Connections
10430 10048 10624 BCBSV BCBSW 10665 00257 00199 BCCAL 10618 10326 582 10053 10052 10054 10821 10399 10827 10997 10981 11102 00324 10822 10762 10555 10667 10569 10769 10768 10770 10766 10767 10763 10764 10759 10761 10765 10760 10757 10620 10756
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Centene - Magnolia Health Plan Centene - Michigan Fidelis Secure Care Centene - Peach State Health Plan Centene - Sunflower State Health (Kansas) Centene - Sunshine State Health Plan Centene - Total Care Carolina Centene Advantage Plans Central California Alliance for Health Central Reserve Insurance Company Central Reserve Life Ins Co Medicare Supp Central States Fund CHAMPVA/Spina Bifida/Children of Women Vietnam Vets CHC - CoventryOne CHC - Florida/Vista/Summit CHC - PersonalCare/Coventry Health of Illinois CHC Carelink (Advantra) CHC Carelink Medicaid CHC- Mail Handler’s Benefit Plan CHC of Delaware CHC of Georgia CHC of Iowa CHC of Kansas CHC of Louisiana CHC of Nebraska CHCCares- South Carolina Christie Student Health Plans CHRISTUS Health Plan Medicaid CHRISTUS Health Plan New Mexico CIGNA CMFG Life Insurance Colonial Penn Life Colorado Medicaid Community Care of Oklahoma Community Health Group Continental General Ins Co Medicare Supp Continental General Insurance Company Cooperative Benefit Administrators CoreSource FMH CoreSource Little Rock CoreSource Ohio CoreSource-MD/PA/IL/NC/AZ/IN/MN
10704 11034 10590 10758 10451 10866 10771 10884 10450 10539 10486 00232 10440 10551 00179 00160 00182 00251 00166 00154 00170 10208 00158 00176 10420 11113 11105 11006 00001 10909 10852 10065 10066 11087 10540 10454 00223 00204 00205 00239 00236
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Payer ID
Coventry Advantra Savings Coventry Health and Life (Nevada) Coventry Health and Life (OK only) Coventry Health Care Federal Coventry Health Life- TN only Aetna Better Health (VA) Coventry Healthcare National Network Coventry Missouri Coventry Nebraska Medicaid CoventryCares CSA Fraternal Live Medicare Supp Culinary Health Fund Dean Health Plan Definity Health Denver Health Medical Plan Diamond Plan (Maryland Medicaid) Director's Guild District No. 9, I. A. of M. & A W. Welfare Trust Driscoll Health Plan Easy Choice EBMS (Employee Benefit Management Services) Emblem Health Essence Healthcare Everence Financial Evergreen Health Co-Op Fallon Community Health Plan Federated Insurance Company Fidelis SecureCare of Michigan First Ameritas of New York First Reliance Standard Life FLORIDA HEALTH CARE PLANS Florida Health Care Plans Florida Medicaid Florida True Health Food Employers & Bakery Workers Benefit Frensenius Health Georgia Medicaid Gilsbar Globe Life & Accident Ins.Co. Golden Rule Insurance Government Hospital Employees Association (GEHA)
10419 10448 00441 10481 10405 00190 10084 10449 10548 10614 10541 10775 10653 10828 0000001321 00177 10077 11098 11090 10703 10862 10616 10601 10772 10860 10082 00262 10859 00426 00428 10615 10615 77027 10839 10776 11130 10088 10509 10988 10652 10394
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Payer ID
Great American Life Assurance Co Medicare Supp Group Health Plan (GHP) Harmony Health Plans Health First Health Plans Health First Insurance Health Partners of Philadelphia Health Services for Children with Spec. HealthAmerica and Health Assurance Healthcare Inc (Promina) Healthcare USa (HCUSA) HealthChoice AZ HealthEase HealthEase Kids Healthfirst NJ Healthfirst NY Healthgram (formerly Primary PhysicianCare) HealthMarkets HealthPlan Services - Celtic Insurance Company HealthSmart Benefit Solutions Health Smart Benefit Solutions (Wells Fargo TPA) WV HealthSpring Heritage Physician Network (Houston) HMA (Hawaii Mainland Adminstrators) Horizon New Jersey Health Humana IBEW Local 508 Health Plan Concentrix Insurance Solution IHC Health Solutions Illinois Medicaid Independent Health Indiana Medicaid Kaiser Foundation Health Plan of Colorado Kentucky Health Exchange Kentucky Medicaid Key Benefits Administrators (IN) Leon Medical Centers Health Plan Liberty National Life Ins.Co. Lifewise Health Plan of Oregon Lifewise Health Plan of Washington Lincoln Financial Loyal American Life Ins Co Medicare Supp
10542 00184 10514 10673 10674 10098 10584 00148 00193 00186 00329 10510 10511 10438 00240 10692 00404 10856 11079 10003 10464 10918 11112 2840 00041 10855 10861 10998 10102 10536 10103 10110 10857 00000000945 10754 10677 10989 10651 10650 10678 10544
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Managed Health Network Maricopa Health Plan Arizona Massachusetts Medicaid MDWise Hoosier Alliance MedBen (Newark OH) Medica Medica Health Plans Medical Mutual of Ohio Med-Pay, Inc. Mega Life Insurance Oklahoma City Meritain Health Meritus Health Partners MetroPlus Mid Atlantic Medical Services, LLC (MAMSI) Mississippi Medicaid Missouri Care Missouri Medicaid MMSI (Mayo Health) Molina Healthcare of California Molina Healthcare of Florida Molina Healthcare of Illinois Molina Healthcare of Michigan Molina Healthcare of New Mexico Molina Healthcare of Ohio Molina Healthcare of Puerto Rico Molina Healthcare of SC Molina Healthcare of Texas Molina Healthcare of Utah Molina Healthcare of Washington Mutual Health Services MVP Health Care (New York) NaphCare, Inc. National Association of Letter Carriers (NALC) Nationwide Specialty Health Network Health Plan of WI New Era Life Insurance Company New Mexico Medicaid Nippon Life Insurance Co of America Northwest Administrators Ohana Health Plans Ohio Medicaid
10863 10434 10124 10598 10681 00404 11029 00211 10682 00365 10635 10980 861 MAMSI 00000000786 10702 00000000684 10144 00222 10445 10685 00226 10146 00445 11031 10815 10391 00227 00228 10686 00432 10992 00214 00086 10706 10991 10247 00144 11038 10515 10158
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Payer ID
Oklahoma Employees Group Insurance Division Omnicare (Michigan) Operating Engineers Local No. 428 Orange County Fire Authority Pacificare of California (HMO) Pacificare of Oklahoma (HMO) Pacificare of Oregon (HMO) Pacificare of Texas (HMO) Pacificare of Washington (HMO) Pan-American Life Insurance Company Passport Health Plan PENN Treaty Network Medicare Supp. Personal Insurance Administrators (PIA) Physicians Mutual Insurance Company Pinnacle Physician Management Org Pittman and Associates Planned Administrators Inc. Plumbers and Pipefitters Local Union 525 Preferred Care Partners Prestige Health Choice Principal Life Insurance Company Provident American Life & Health Ins Co Medicare Supp QuikTrip Corporation Reliance Standard Life Reserve National Insruance Company Sanford Health Plan Santa Clara Family Health Plan Schaller Anderson Aetna Better Health of OH Schaller Anderson Aetna Better Schaller Anderson Delaware Phys Schaller Anderson MajestaCare VA Schaller Anderson Maryland Physicians Care Schaller Anderson Mercy Care Schaller Anderson Mercy Maricopa Schaller Anderson Missouri Care Schaller Anderson Parkland Community Schaller Anderson Texas CHRISTUS Select Health of SC SelectCare of Texas (Beaumont) SelectCare of Texas (Houston) SelectCare of Texas (Integranet)
10995 00284 10777 10951 10268 10373 10374 10371 10370 11114 10368 10924 10492 00287 10926 10408 10886 10778 10691 10965 00143 10545 10508 00427 11127 10533 10876 10887 10816 10817 10818 10693 10694 10996 10695 10643 10696 10520 10928 10930 10931
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Senior Health Services Center-Universal American Family of Companies Senior Whole Health Sharp Health Plan Significa Benefit Services Simply Healthcare Plans Southern Health Services (SHS) SPJST Medicare Supplement Standard Insurance Standard Insurance of New York Staywell StayWell Kids Stonebridge Life Insurance Company SummaCare Health Plan Summit America Insurance Service TexanPlus (Integranet) TexanPlus (Kelsey-Seybold) TexanPlus North Texas Area TexanPlus South Texas Area The Kempton Company The ULLICO Family of Companies Three Rivers Health Plans (Unison Health Plan) TMG Network Health Insurance Today’s Options Triad Healthcare, Inc. Tribute/SelectCare of Oklahoma Tricare Trillium Community Health Plan Trustmark Ultimate Health Plans UMR (Wausau) Unicare Union Pacific Railroad Employee Health Systems United American Insurance Company United Healthcare United Healthcare Community Plan – Kansas United Healthcare Facets Detroit Community and State United Healthcare Facets Pittsburgh Community and State United Healthcare Nevada Market United Healthcare Plan of River Valley United Teacher Assoc Insurance Co Medicare Supp Univera
10697 10962 10967 00191 10826 00156 10546 00429 00430 10512 10513 11032 10294 11073 10942 10943 10604 10605 10698 10945 00198 10688 10505 10963 10607 10189 11120 00233 10888 10501 UCARE 10599 10990 00112 10835 10836 10834 10837 10192 10547 10535
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Universal Benefit Corp University Care Advantage Arizona University Care Advantage Arizona University Family Care Arizona University of Arizona Health Plan- UHM University of Missouri University Physicians Healthcare Group Arizona USAA Life Insurance Company UMWA Health and Retirement Funds VA Fee Basis Program
11033 10433 10699 10194 10889 10428 10439 10195 11121 00231
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