Professional (Medical) Payer List

Payer Name Order

Administrative Services of Kansas

Updated August 2017

Administrative Services of Kansas (ASK) is Blue Cross and Blue Shield of Kansas DBA ASK.

ASK 1
ASK accepts claims for the payers listed on this page at no charge to the trading partner.
Participation in the EDI Midwest Commercial Claims Clearinghouse is not required for any
transactions submitted for these payers.

Additional Payers Available (Free)

Payer ID PAYER NAME
47163 Blue Cross and Blue Shield of Kansas
47171 Blue Cross and Blue Shield of Kansas City
00301 BlueCross and BlueShield of Western New York
00801 BlueCross and BlueShield of Western New York
00800 BlueShield of Northeastern New York
31478 Freedom Network
31478 Freedom Network Select
31478 Health Partners of Kansas (HPK)
55204 HealthNow New York, Inc
31478 Mo-Kan Sheet Metal Workers Welfare Fund
31478 PHP (Preferred Health Professionals)
31478 Preferred Health Professionals PPO (PHP PPO)

ASK 2
EDI Midwest Professional (Medical) Payer List
EDI Midwest
Payer ID Payer Name Services
13162 1199 National Benefit Fund Claims
20413 3P ADMIN Claims
93044 A & I Benefit Plan Administrators Claims
AAG-American Administravie Group ( Formerly Icon Benefit
75185 Claims
Admin)
AARP Hospital Indemnity Plans insured by UnitedHealthcare
36273 Claims
Insurance Co
AARP Medicare Supplement Plans insured by UnitedHealthcare
36273 Claims
Insurance Co
AARP MedicareComplete through UHC / Oxford Medicare
87726 Claims
Network
AARP MedicareComplete through UHC / Oxford Mosaic
87726 Claims
Network - AARP MedicareCo
AARP MedicareComplete through UnitedHealthcare / Oxford
06111 Claims
Medicare Network
AARP MedicareComplete through UnitedHealthcare / Oxford
06111 Claims
Mosaic Network
AARP MedicareComplete through UnitedHealthcare/AARP
87726 Claims
MedicareComplete
68069 Absolute Total Care Claims
95424 Access Medical Group Claims
64071 Acclaim Claims
38265 Administration Systems Research Corporation Claims
58202 ADVANCED DATA SOLUTIONS Claims
68069 Advantage by Bridgeway Health Solutions Claims
68069 Advantage by Buckeye Community Health Plan Claims
68069 Advantage by Managed Health Services Claims
68069 Advantage by Peach State Claims
68069 Advantage by Sunshine State Claims
68069 Advantage by Superior HealthPlan Claims
83077 Advantek Benefit Administrators Claims
59374 Advantica Benefits Claims
25133 Advantra Savings Claims
59314 Advanzeon Solutions Claims
36320 Advocate Medical Group - AMG (Legacy AHC) Claims
65093 Advocate Physician Partners Claims
CB637 Aegis Administrative Services Claims
60054 Aetna Claims
60054 Aetna Encounters
57604 Aetna Affordable Health Choices (SM) - SRC Claims
128FL Aetna Better Health of Florida Claims
128KY Aetna Better Health of Kentucky Claims
128MI Aetna Better Health of Michigan Claims
128MO Aetna Better Health of Missouri Claims
ASK 3
EDI Midwest
Payer ID Payer Name Services
128NV Aetna Better Health of Nevada Claims
34734 Aetna Better Health of NY Claims
128VA Aetna Better Health of Virginia Claims
128WV Aetna Better Health of West Virginia Claims
60055 Aetna Encounters Encounters
27344 Affiliated Doctors of Orange County Claims
46594 AFFINITY MEDICAL GROUP Claims
20048 Agate Resources Inc (LIPA) Claims
64158 Agency Services Inc Claims
31138 AHPO (Cleveland OH) Claims
22195 AIG Educational Markets Claims
91136 Alaska Carpenters Trust Claims
91136 Alaska Children's Services Inc. Claims
91136 Alaska Laborers Construction Industry Trust Claims
91136 Alaska Pipe Trades Local 375 Claims
Alaska United Food & Commercial Workers Health & Welfare
91136 Claims
Trust
13550 ALICARE Claims
AHCA1 Alignment Healthcare Claims
26158 AllCare PEBB Claims
55649 Allegian Choice Claims
82420 Allegian Health Plan Claims
37308 Allied Benefit Systems Claims
A0701 Alta Bates Medical Group Claims
25133 Altius (Utah) Claims
13550 Amalgamated Life Claims
13343 Amalgamated Life - PA / Alicare Claims
AMBHN Ambay Health Network Claims
68069 Ambetter from Buckeye Community Health Plan Claims
68069 Ambetter from CeltiCare Health Plan Claims
68069 Ambetter from Magnolia Health Claims
68069 Ambetter from Managed Health Services Claims
68069 Ambetter from Peach State Health Plan Claims
68069 Ambetter from Sunshine Health Claims
68069 Ambetter from Superior Health Claims
68069 Ambetter of Arkansas Claims
38219 AmeraPlan Claims
75137 AmeriBen Solutions Inc. Claims
62030 American General Claims
01066 American Healthcare Alliance Claims
74048 American National Ins. Co. (ANICO) Claims
44444 American Postal Workers Union Health Plan Claims
43146 American Specialty Health Claims
56195 American Trust Administrators Inc. Claims
16120 America's PPO Claims
27514 Amerigroup Claims
ASK 4
EDI Midwest
Payer ID Payer Name Services
64090 AmFirst Insurance Company Claims
79966 Amida Care Medicare Claims
53085 Anchor Benefit Consulting Inc. Claims
86062 Ancillary Benefit Services (ABS) Claims
75299 Angeles IPA (SynerMed) Claims
34196 Apex Benefit Services Claims
16120 ARAZ Group Claims
CXARC ARC Administrators Claims
77045 Arcadian Management Services Inc Claims
39185 ARISE Claims
86062 Arizona Foundation for Medical Care (AFMC) Claims
27154 Arizona Priority Care Plus Claims
36335 Arkansas Managed Care Organization Inc. (AMCO) Claims
87726 Arnett Health Plan Claims
06603 ASAGEHA Claims
AAMG1 Asian American Medical Group Claims
16180 Aspen Claims
46156 Aspire Health Plan Claims
38265 ASR Claims
38265 ASR Corporation Claims
38265 ASR Health Benefits Claims
36326 Associates for Health Care Inc. (AHC) Claims
74240 Assured Benefits Administrators Claims
93221 Asuris Claims
AVA02 Avalon Administrative Services - BCBSNC Claims
AVA01 Avalon Administrative Services - BCBSSC Claims
47410 Avectus Healthcare Solutions Claims
46045 Avera Health Plans Claims
59275 AVMED INC Encounters
59274 AvMed Inc. Claims
77005 Bakersfield Family Medical Group Claims
61124 Baptist Health Plan Claims
95377 Beech Street Claims
75299 Bellflower Hospital (Synermed) Claims
99320 Benefit & Risk Management Services Claims
36149 Benefit Administrative Systems Claims
25145 Benefit Coordinators Corporation (Pittsburgh PA) Claims
88092 Benefit Management LLC/VBA Claims
56139 BENEFIT MANAGEMENT SERVICES Claims
88052 Benefit Plan Administrators Claims
39081 Benefit Plan Administrators Co. (Eau Claire WI) Claims
95604 Best Life & Health Insurance Co. Claims
62183 Better Health Plans Inc. Claims
32006 Better Health Plans of South Carolina Claims
13337 BMC HealthNet Plan Claims
36609 Boilermakers National Health & Welfare Fund Claims
ASK 5
EDI Midwest
Payer ID Payer Name Services
47405 BookMD Inc Claims
13337 Boston Medical Center Health Plan Inc. Claims
13337 Boston Medical Center Health Plan Inc. Encounters
52192 Bravo Health Claims
52192 Bravo Health Star Plus Claims
FS802 Bridgeview Claims
68069 Bridgeway Arizona Claims
CB186 Bright Health Plan Claims
51037 Brokerage Concepts Claims
94316 Brown & Toland Medical Group Claims
BTSS1 Brown & Toland Sutter Select Claims
68069 Buckeye Community Health Claims
42150 Butler Benefit Claims
23708 C&O Employees Hospital Association Claims
73071 C. L. Frates & Co - OSMA Health Claims
68047 California Health & Wellness Claims
94056 California Pacific Medical Center Claims
95399 CAP Management Systems Claims
95112 Capital Health Plan Claims
57116 Care 1st Health Plan of Arizona Claims
57115 CARE 1ST HEALTH PLAN OF CA Claims
77082 Care Improvement Plus (CIP) Claims
11345 CareCentrix Claims
46227 CareConnect Insurance Company Inc Claims
14182 CareCore National Claims
14179 CareCore National LLC (Aetna Radiology Claims) Claims
14180 CareCore National LLC (Oxford Radiology Claims) Claims
14188 CareCore/WCNY RAD Claims
65088 CareFlorida Claims
93975 CareOregon Inc. Claims
65031 CarePlus Health Plans Inc. Claims
GACS1 CareSource Georgia Claims
INCS1 Caresource Indiana Inc Claims
KYCS1 CareSource KY Claims
31114 CareSource OH Claims
WVCS1 CareSource West Virginia Claims
33010 Cedars Sinai Medical Center Claims
95166 Cedars-Sinai Medical Network Services Claims
95167 Cedars-Sinai Medical Network Services Encounters
68069 CeltiCare Claims
91136 Cement Masons & Plasterers Health & Welfare Trust Claims
68068 Cenpatico - Arizona Claims
68068 Cenpatico - FL Claims
68068 Cenpatico - Georgia Claims
68068 Cenpatico - Indiana Claims
68068 Cenpatico - OHIO Claims
ASK 6
EDI Midwest
Payer ID Payer Name Services
68068 Cenpatico - WI Claims
68068 Cenpatico Behavioral Health Claims
68068 Cenpatico Behavioral Health Texas Claims
68068 Cenpatico Massachuetts Claims
68068 Cenpatico New Hampshire Claims
68068 Cenpatico South Carolina Claims
42138 Cenpatico TPA Claims
68068 Centene Advantage Plans Claims
42139 Centene TPA Claims
94312 Center for Elders Independence Claims
13360 CenterLight Healthcare Claims
26041 Central California Women's Health Claims
36314 Central DuPage Physician Group Claims
13193 Central Reserve Life Ins Co-Medicare Supplement Claims
36215 Central States Health & Welfare Funds Claims
77035 Central Valley Medical Group Claims
E3510 Central Valley Medical Group Claims
42140 Centurion Claims
36393 Century PHO INC Claims
20356 Cerner HealthPlan Services Claims
84146 CHAMPVA - HAC Claims
88446 Change Healthcare Accident Claims Solution Claims
16600 Chautauqua County Healthcare Plan (Mayville NY) Claims
94321 Children First Medical Group Claims
84146 Children of Women Vietnam Veterans-VA HAC Claims
94302 Chinese Community Health Plan Claims
75544 Christie Student Health Plans Claims
10629 Christus Health Medicare Advantage Claims
21062 Christus Health New Mexico HIX Claims
52106 CHRISTUS Health Plan TX HIX Claims
62308 CIGNA Claims
62308 CIGNA - PPA Claims
62308 CIGNA - PPO Claims
SX071 CIGNA Behavioral Health Claims
62308 CIGNA Health Plan - HMO Claims
86033 CIGNA Medicare Advantage Claims
52192 Cigna-Healthspring Claims
46871 Cincinnati Financial Corporation Claims
57080 ClaimsWare Inc. dba ManageMed Claims
77201 Clearchoice Health Plan / COIHS Claims
77023 Clover Health Claims
EM843 CMS MMA Specialty Plan Claims
37227 CNIC Health Solutions Inc. Claims
47394 Coastal Care Services Inc Claims
51579 Coastal Communities Physician Network Claims
38335 Cofinity Claims
ASK 7
EDI Midwest
Payer ID Payer Name Services
77170 Common Ground Health Cooperative Claims
23282 Community Care BHO Claims
60995 Community Care Inc. - Family Care (Wisconsin) Claims
39126 Community Care Inc. (Wisconsin) Claims
CCI01 Community Care IPA Claims
73143 Community Care Managed Health Care Plans of Oklahoma Claims
48145 Community Health Choice Claims
60495 Community Health Choice-Health Insurance Marketplace Claims
66170 Community Health Group Claims
66121 Community Medical Group of the West Valley Inc. Claims
95192 CommunityConnect HealthPlan Claims
34177 Comp - Ohio (Austintown OH) Claims
95192 Compcare (Wisconsin BadgerCare only) Claims
37363 Compsych Claims
19028 Concentrix Insurance Solutions Claims
52196 Conifer (formerly InforMed) Claims
55649 Conifer Value-Based Care Claims
78375 Connecticare - Medicare Claims
06105 ConnectiCare Inc Claims
62308 Connecticut General (CIGNA) Claims
L0260 Constellation Health Claims
29076 Consumers Life Insurance Company Claims
99433 Contessa Health Claims
35245 Continental Benefits Claims
13193 Continental General Ins Co-Medicare Supplement Claims
46478 Continuum Health Solutions LLC Claims
55544 Conversion Plan-APWU Claims
THCP9 Cook Children Star Plan Claims
35199 Cooperative Managed Care Services Claims
99227 Cooperative Managed Care Services Repricing Claims
SX009 CoOportunity Health Claims
58204 Coordinated Medical Specialists Claims
75136 CoreSource Little Rock Claims
CORIZ Corizon Health Inc. Claims
64270 Corporate Plan Management Inc Claims
EC999 County of Riverside Claims
CMSP1 County Services Medical Program Claims
25133 Coventry Advantra Texas Claims
25133 Coventry Cares of Virginia - Medicaid Product Claims
25133 Coventry Cares of West Virginia - Medicaid Product Claims
25133 Coventry Health & Life (Oklahoma) Claims
25133 Coventry Health and Life Insureance (Tennessee) Claims
25133 Coventry Health Care Claims
25133 Coventry Health Care Encounters
25133 Coventry Health Care Carelink - West Virginia only Claims
25133 Coventry Health Care Carelink Medicaid - West Virginia only Claims
ASK 8
EDI Midwest
Payer ID Payer Name Services
25133 Coventry Health Care National Network Claims
25133 Coventry Health Care of Florida Claims
25133 Coventry Health Care of Florida Inc. Claims
25133 Coventry Health Care of Georgia Inc. Claims
25133 Coventry Health Care of Illinois Claims
25133 Coventry Health Care of Iowa Inc. Claims
25133 Coventry Health Care of Kansas Inc. Claims
25133 Coventry Health Care of Louisiana Inc. Claims
25133 Coventry Health Care of Missouri Claims
25133 Coventry Health Care of Nebraska Inc. Claims
25133 Coventry Health Care of Nevada Claims
25133 Coventry Health Care of the Carolinas Claims
25133 Coventry Health Care of Virginia Claims
25133 Coventry Missouri Claims
25133 Coventry of Health Care Delaware Inc. Claims
25133 Coventry Summitt Health Plan Inc. Claims
CREA8 Create Claims
46120 Crystal Run Health Plans Claims
57080 CWIBENEFITS INC. Claims
39113 Dean Health Plan Claims
77124 DELANO IPA Claims
74272 Dell Children's Health Plan Claims
94235 Delta Health Systems Claims
63740 DentaQuest Vision Claims
84133 Denver Health and Hospital Authority Claims
84134 Denver Health and Hospital Authority - Indigent Care Claims
84135 Denver Health Medical Plan Claims
84131 Denver Health Medical Plan Inc. - Medicare Choice Claims
44006 Desert Oasis HealthCare Claims
56240 Detroit Medical Center Claims
06102 Diversified Administration Corporation - CT Claims
DOLMG Dolton Medical Group Claims
DREYR Dreyer Health Claims
35186 Dunn and Associates Benefits Administrators Inc. Claims
75299 East LA - APMG Claims
66122 Eastland Medical Group Claims
31074 EBMC Claims
22521 EGID (Employees Group Insurance Division) Claims
03964 Elderwood Health Claims
13551 Emblem Health (GHI - New York Group Health Inc.) Claims
34167 Emerald Health Network Inc. (All PPO Business) Claims
95600 Emergency Medical Services Fund - Orange County CA Claims
27514 Empire Blue Cross Blue Shield HealthPlus Claims
38241 Employee Benefit Concepts (Farmington Hills MI) Claims
31074 Employee Benefit Management Corp (EBMC) Claims
75299 Employee Health System Medical Group Claims
ASK 9
EDI Midwest
Payer ID Payer Name Services
35112 Employee Plans LLC Claims
75232 Employers Direct Health Claims
75236 Employer's Direct Health - Employee Plan Claims
75235 Employer's Direct Health - FI Claims
75233 Employer's Direct Health - SF Claims
35206 Encircle PPO Claims
35206 Encore Health Network Claims
91136 Enstar Natural Gas Claims
56190 Envolve Benefit Options (formerly OptiCare Managed Vision) Claims
62308 EQUICOR Claims
62308 EQUICOR - PPO Claims
73126 Equitable Plan Services (Oklahoma City OK) Claims
20818 Essence Healthcare Claims
34159 E-V Benefits Management Inc (Columbus OH) Claims
71412 ExclusiCare Claims
63740 EyeQuest Claims
95432 Facey Medical Foundation Claims
22254 Fallon Health Claims
45559 Fallon Total Care Claims
14140 Farm Family Life Claims
41041 Federated Mutual Insurance Claims
11315 Fidelis Care New York Claims
88055 First Agency Claims
56196 First Carolina Care Claims
91131 First Choice Health Administrators Claims
91131 First Choice Health Network Claims
First Health Network (f.k.a. CCN Managed Care Inc. & PPO
73159 Claims
Oklahoma)
11244 Fitzharris & Company Inc. Claims
95411 FL MCO PHC/PHP Claims
25133 Foreign Service Benefit Plan Claims
FVMCH Fox Valley Medicine Claims
75299 Fresno - ENH Medical Group Claims
59204 Fringe Benefits Coordinators Claims
34171 FrontPath Health Coalition Claims
30005 Galveston County Indigent Health Care Claims
75299 Gardena Memorial Medical Center Claims
60550 Gateway Health Plan - Medicare Assured Claims
25169 Gateway Health Plan Medicaid PA Claims
91741 Gateway Health Plan OH- Medicare Assured Claims
05506 Gateway Healthy PA Claims
75273 Geisinger Health Plan Claims
20376 Gemcare Health Plan Claims
27133 Gemcare IPA Claims
80314 GIC Indemnity Plan Claims
07689 Global Care Inc. Claims
ASK 10
EDI Midwest
Payer ID Payer Name Services
GEM01 Global Excel Management Claims
GHOKC Global Health Claims
47083 GMS Inc. Claims
IP086 Good Samaritan Medical Practice Association Claims
76923 Good Sheperd Hospice Inc Claims
45235 Government Employees Health Association (GEHA PHCS) Claims
44054 Government Employees Health Association (GEHA) Claims
Government Employees Health Association (GEHA-PHCS-
45275 Claims
45275)
57254 Government Employees Health AssociationInc. (GEHA) Claims
68069 Granite State Health Plan Claims
13193 Great American Life Ins. Co-Medicare Supplement Claims
99284 Greater Covina Medical Group Claims
80705 Great-West Healthcare Claims
63665 Great-West Healthcare (formerly American General) Claims
48143 Group and Pension Administrators Claims
95192 Group Health Cooperative of Eau Claire Claims
38224 HAP/AHL/Curanet Claims
58305 Harbor Advantage (Abrazo Health Care) Claims
55649 Harbor Choice Claims
43313 Harken Health Insurance Claims
99208 Hawaii Medical Assurance Association (HMAA/HWMG) Claims
82018 HCS - Health Claims Service (Boise ID) Claims
25133 Health America Inc./Health Assurance/Advantra Claims
42102 Health Care Network of Wisconsin (HCN) Claims
22100 Health Choice Integrated Care Claims
34158 Health Design Plus (Hudson OH) Claims
95570 Health Net - California (Professional Encounters ONLY) Encounters
68021 Health Net - VA Patient Centered Community Care Program Claims
38309 Health Net of Arizona Claims
95567 Health Net of California and Oregon - Claims Claims
62157 Health Partners - Jackson TN Claims
76342 Health Plan of Nevada Claims
76343 Health Plan of Nevada (Encounters) Encounters
68035 Health Plan of San Joaquin Claims
SX174 Health Plan of San Mateo Claims
44273 Health Plans Inc. Claims
41150 Health Services Management Claims
34167 Health Services Preferred (HSP) by Emerald Health Claims
73147 Healthcare Solutions Group Claims
85729 Healthcomp Inc. Claims
80141 Healthfirst Health Plan of New Jersey Claims
80141 Healthfirst Inc. (New York) Claims
56144 Healthgram Inc Claims
96475 Healthlink HMO Claims
90001 Healthlink PPO Claims
ASK 11
EDI Midwest
Payer ID Payer Name Services
SX009 HealthPartners MN Claims
52429 Healthscope Benefits - EHC Repricing Claims
75237 Healthsmart Accel Claims
37272 HealthSmart Benefit Solutions Claims
37283 HealthSmart Benefit Solutions Claims
87815 HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. Claims
75250 HealthSmart Preferred Care Inc. Claims
71075 Healthsource AR (Med) (CIGNA) Claims
02041 Healthsource CMHC Claims
58210 Healthsource GA (CIGNA) Claims
61127 Healthsource KY Claims
02041 Healthsource Massachusetts Inc. Claims
01041 Healthsource ME Claims
75255 Healthsource N. TX (CIGNA) Claims
56147 Healthsource NC (CIGNA) Claims
02038 Healthsource NH Claims
31141 Healthsource OH Claims
68195 Healthsource Provident Claims
06119 Healthsource SC Claims
62129 Healthsource TN (CIGNA) Claims
63092 HealthSpring HMO/HealthSpring Medicare+Choice Claims
HESUN Healthsun Health Plans Claims
58213 Healthways WholeHealth Networks Claims
45336 HealthyCT Inc Claims
59230 Heritage Consultants Claims
30862 Heritage Victor Valley Medical Group Claims
36335 HFN Inc. Claims
95393 High Desert Medical Group Claims
47181 Highmark BCBSD Health Options Inc. Claims
00046 Hill Physicians Medical Group Claims
86066 HMA Hawaii Claims
84555 HMO Louisiana Inc Claims
75299 Hollywood Presbyterian (Synermed) Claims
91136 Hotel Employees & Restaurant Employees Health Trust Claims
22521 HP Administrative Services LLC Claims
37137 HSHS Medical Group IPA Claims
61101 Humana Emphesys Claims
61101 Humana Employers Health Insurance Claims
61101 Humana Inc. Claims
61102 Humana Inc. Encounters Encounters
61101 Humana Insurance Company Choice Care Network Claims
61115 Humana Long Term Care Claims
61120 Humana Veterans Healthcare Services Claims
94154 Humboldt-Del Norte Foundation for Medical Care Claims
54750 Huron PACE Claims
37279 IAA Claims
ASK 12
EDI Midwest
Payer ID Payer Name Services
97661 IEC Group - AmeriBen Claims
75274 IHG Direct Claims
68068 ILCBH Claims
68069 IlliniCare Claims
IPA99 Illinois Physicians Alliance IPA Claims
43123 Imagine Health Claims
41600 IMCare Claims
40585 INDECS Corporation Claims
CB231 Independence American Ins. Co Claims
45048 Independent Living Systems Claims
INDPM Independent Physicians at Mercy Claims
35161 Indiana ProHealth Network Claims
35107 Indiana Teamsters Health Benefits Fund (Indianapolis IN) Claims
31053 Individual Health Insurance Companies Claims
96490 InforMed LLC Claims
50946 Informed UHC Claims
75299 Inland Valleys IPA Claims
31182 Innovage Claims
40025 Innovation Health Claims
38254 Insight Benefit Administrators Claims
37279 Insurance Administrators of America Inc. Claims
13315 Insurance Design Administrators Claims
86304 Insurers Administrative Corp. Claims
31127 Integra Group Claims
31129 Integra Group-CHA Claims
45302 Integra Managed Long Term Care Claims
34167 Integrated Care Network (ICN) by Emerald Health Claims
60280 Interface EAP (IEAP) Claims
23287 Intergroup Services Corporation Claims
36609 International Brotherhood of Boilermakers Claims
35115 INTotal Health LLC Claims
47262 IU Health Transplant Evaluation Program Claims
61271 J. F. Molloy and Associates Inc. Claims
JCARE Jencare Medical Claims
JLSFE JLS Family Enterprises Claims
38310 JOHN MORRELL COMPANY CO. - AHPBA Claims
68036 John Muir Mt. Diablo Health System Claims
68036 John Muir Physician Network Claims
52189 Johns Hopkins Healthcare (EHP/PP) Claims
52123 Johns Hopkins Healthcare (USFHP) Claims
43178 Joplin Claims / Benefit Management Inc Claims
34136 JP Farley Corporation Claims
91617 Kaiser Foundation Health Plan of Colorado Claims
94135 Kaiser Foundation Health Plan of Northern CA Region Claims
94134 Kaiser Foundation Health Plan of Southern CA Region Claims
52095 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. Claims
ASK 13
EDI Midwest
Payer ID Payer Name Services
91051 Kaiser Foundation Health Plan of Washington Claims
91051 Kaiser Foundation Health Plan of Washington Options Inc Claims
93079 Kaiser Foundation of the Northwest Claims
94123 Kaiser Permanente Health Plan of Hawaii Claims
21313 Kaiser Permanente of Georgia Claims
94320 Kaiser Self Funded Claims
40137 Kalos Health Claims
KCIPA Kane County BCBS Claims
95279 Keenan Associates (CA) Claims
KELSE Kelseycare Claims
68069 Kentucky Spirit Health Plan Claims
28021 Kern County CDCR Claims
77039 Kern Health Systems Claims
95460 Key Health Medical Solutions Inc Claims
34145 Klais & Company Claims
3414A Klais & Company (Repricing for HealthSpan Network Only) Claims
68068 KS - Cenpatico Kansas Claims
68069 KS - Sunflower State Health Claims
68068 KY - Cenpatico Kentucky Claims
LACAR LA Care Health Plan Claims
37116 Lake County Physicians Association Claims
66127 Lakeside Comprehensive Healthcare Claims
66125 LakeSide Medical Group Claims
LNDMK Landmark Healthcare Inc Claims
NMM02 LaSalle Medical Group Claims
LAWND Lawndale Christian Health Center Claims
33LGC Life Gift Cards Claims
41136 Life Trac Claims
76870 LifePath Hospice Inc Claims
27005 Lifestyle Health Plans Claims
16117 Lifetime Benefit Solutions Claims
EBSRM Lifetime Benefit Solutions Claims
93093 LifeWise Healthplan of Oregon Claims
LCM10 Little Company of Mary Claims
35107 Local 135 Health Benefits Fund (Indianapolis IN) Claims
33036 Loma Linda University Health Care Managed Care Dept Claims
68069 Louisiana Healthcare Connections Claims
13193 Loyal American Life Ins Co-Medicare Supplement Claims
01260 Magellan Health Services Claims
68069 Magnolia Claims
25133 Mail Handlers Benefit Plan Claims
35162 Managed Care Services LLC Claims
36312 MANAGED HEALTH CARE ASSOCIATES Claims
22771 Managed Health Network Claims
68069 Managed Health Services Indiana (Medicaid HMO) Claims
68069 Managed Health Services Wisconsin Claims
ASK 14
EDI Midwest
Payer ID Payer Name Services
98010 Manulife W. J. Sutton Company Claims
52461 March Vision Care Inc. Claims
53275 Martin's Point Health Care Claims
22348 Maryland Physicians Care Claims
95019 Matrix - Health First Health Plan Claims
41154 Mayo Clinic Health Solutions Claims
83028 MBA Benefit Administrators Inc (Salt Lake UT) Claims
25160 MCA Administrators Inc. Claims
38338 McLaren Health Plan Claims
SX172 MDwise Eskenazi- Healthy Indiana Plan Claims
SX172 MDwise Eskenazi- Hoosier Healthwise Claims
SX172 MDwise Excel- Healthy Indiana Plan Claims
SX172 MDwise Excel- Hoosier Healthwise Claims
SX172 MDwise Family Planning Claims
SX172 MDwise Franciscan St. Anthony- Healthy Indiana Plan Claims
35199 MDwise Franciscan St. Anthony-HHW Claims
SX172 MDwise Franciscan St. Margaret- Healthy Indiana Plan Claims
35199 MDwise Franciscan St. Margaret-HHW Claims
SX172 MDwise Hoosier Care Connect Claims
SX172 MDwise Inc Claims
SX172 MDwise Inc. Claims
SX172 MDwise IU Health- Healthy Indiana Plan Claims
SX172 MDwise IU Health-Hoosier Healthwise Claims
SX172 MDwise Select Health- Healthy Indiana Plan Claims
35199 MDwise Select Health-HHW Claims
SX172 MDwise St. Catherine- Healthy Indiana Plan Claims
35199 MDwise St. Catherine-HHW Claims
SX172 MDwise St. Vincent-Healthy Indiana Plan Claims
35199 MDwise St. Vincent-HHW Claims
SX172 MDwise Total Health- Healthy Indiana Plan Claims
SX172 MDwise Total Health- Hoosier Healthwise Claims
MDXHI MDX Hawaii Claims
88058 MED PAY Claims
EM216 MED3000 Claims
EM350 MED3000 CMS Early Steps Claims
EM284 MED3000 CMS SAFETY NET Claims
EM205 MED3000 CMS Title 21 Claims
58202 MedAdmin Solutions Claims
58204 MedAdmin Solutions Claims
74323 MedBen (Newark OH) Claims
59231 MedCom Claims
56162 MedCost Inc. Claims
95321 Medfocus Claims
94265 Medica (UHC) Claims
12422 Medica2 Claims
MAHC1 Medical Associates Health Plan/Health Choices Claims
ASK 15
EDI Midwest
Payer ID Payer Name Services
74323 Medical Benefits Administrators Inc. (Newark OH) Claims
74323 Medical Benefits Companies (Newark OH) Claims
74323 Medical Benefits Mutual (Newark OH) Claims
74323 Medical Benefits Mutual Life Insrance Co. Claims
29076 Medical Mutual of Ohio Claims
12057 Medical Services Initiative Claims
38224 Medical Value Plan - Ohio (MVP) Claims
95655 MediGold Claims
33LGC Mediphe Claims
STAR1 Mediview Inc. Claims
21547 MedSettlements LLC Claims
251MS Medstar Select/Medstar Medicare Choice Claims
86052 Mercy Care Plan (AHCCCS) Claims
43166 Mercy Health Plans Claims
33628 Mercy Maricopa Integrated Care Claims
39114 MercyCare Claims
13189 Meridian Health Plan of Illinois Inc Claims
83253 Meridian Health Plan of Michigan Inc. Claims
38232 Meritain Claims
64157 Meritain Health Claims
64158 Meritain Health / Agency Services Claims
41124 Meritain Health Minneapolis Claims
45150 Meritus Health Partners Claims
13265 MetroPlus Health Plan Claims
10850 Metropolitan Health Plan Claims
23550 MFC & HealthPlus Peoria Claims
74289 MHNET Claims
68069 Michigan Fidelis Secure Care Claims
77012 MidCoast IPA Claims
47080 Midlands Choice Inc. Claims
76079 Midwest Health Partners Claims
64084 Mississippi Physicians Care Network Claims
64088 Mississippi Select Health Care Claims
68068 MO - Cenpatico Missouri Claims
68069 MO - Missouri Home State Health Care Claims
38333 Molina Healthcare of California (Claims only) Claims
33373 Molina Healthcare of California (Encounters Only) Encounters
38334 Molina Healthcare of Michigan (Claims Only) Claims
81794 Molina Healthcare of Puerto Rico (Claims Only) Claims
43174 Molina Healthcare of Washington (Encounters Only) Claims
43174 Molina Healthcare of Washington (Encounters Only) Encounters
SX109 Molina Healthcare Utah (Claims Only) Claims
16098 Monitor Life Insurance Company Claims
13174 Montefiore Contract Management Organization Claims
46161 Montefiore HMO Claims
TLINS Monumental Life Insurance Company Claims
ASK 16
EDI Midwest
Payer ID Payer Name Services
TRCLF Monumental Life Insurance Company Claims
TRLTC Monumental Life Insurance Company Claims
TRP1E Monumental Life Insurance Company Claims
TRP1P Monumental Life Insurance Company Claims
35092 Morris Associates Claims
99282 Motion Pictures Industry Claims
68068 MS - Cenpatico Mississippi Claims
80019 MSC (Medical Service Company) Group Inc Claims
26227 MSH REIMBURS Claims
95655 Mt. Carmel Health Claims
Multicultural Primary Care Medical Group (San Diego)
75299 Claims
(Synermed)
34080 Multiplan Wisconsin Preferred Provider Network Claims
34192 Mutual Health Services Claims
71412 Mutual of Omaha Insurance Company Claims
71412 Mutually Preferred Claims
14165 MVP Health Plan of NY Claims
33020 My Family Medical Group Claims
18840 MyDecision HealthSmart Claims
91136 N.W. Ironworkers Health & Security Trust Fund Claims
91136 N.W. Roofers & Employers Health & Security Trust Fund Claims
91136 N.W. Textile Processors Claims
65085 NAA (North America Administrators L.P.) (Nashville TN) Claims
34159 NABN (Cleveland OH) Claims
53011 NALC/Affordable Claims
L0110 NAMCI/Global Care Claims
53011 National Association of Letter Carriers Claims
53011 National Association of Letter Carriers/NALC Claims
90001 National Capital Preferred Provider Organization (NCPPO) Claims
ASHC1 National General Claims
SX190 National Imaging Associates Claims
52120 National Telecommunications Cooperative Association Claims
68069 Nebraska Total Care Claims
96107 Neighborhood Health Partnership (NHP) Claims
04293 Neighborhood Health Plan (Boston MA) Claims
Neighborhood Health Plan of RI - Commercial Products and
96240 Claims
INTEGRITY
05047 Neighborhood Health Plan of RI - Medicaid and UNITY Claims
NSIPA Network Solutions IPA Claims
58204 Network TPA LLC Claims
11334 New York Network Management Claims
88050 NHBCAUX Claims
22603 NJ Carpenters Health Fund Claims
34159 North American Benefits Network (Cleveland OH) Claims
North American Medical Management (NAMM) - Northern
E3510 Claims
California
ASK 17
EDI Midwest
Payer ID Payer Name Services
North American Medical Management (NAMM) - Southern
E3510 Claims
California
17516 North Shore - LIJ (Healthfirst) Claims
35212 North Texas Healthcare Network Claims
38238 Northern California Sheet Metal Workers Health Care Plan Claims
36347 Northern Illinois Health Plan Claims
88027 Northern Nevada Trust Fund Claims
36364 NorthShore University Health System Medical Group Claims
60058 Northstar Advantage Claims
NPN11 Northwest Physicians Network Claims
36346 Northwest Suburban IPA (Illinois) Claims
OAKST Oak Street Health Claims
L0140 Ocular Benefits Claims
13350 ODS Health Plan Claims
34189 Ohio Health Choice PPO Claims
68037 OMNI/Medicore HP Claims
57116 OneCare Claims
91136 Operating Engineers Locals 302 & 612 Health & Security Fund Claims
52152 Optimum Choice of the Carolinas Inc. (OCCI) Claims
41194 Optum ? Complex Medical Conditions (CMC) (formerly Claims
LIFE1 Optum Medical Network / AZ UT (formerly Lifeprint Network) Claims
87726 OptumHealth Claims
87726 OptumHealth / OptumHealth Behavioral Solutions of NM Claims
OptumHealth Behavioral Solutions (formerly Pacificare
33053 Claims
Behavioral Health)
87726 OptumHealth Behavioral Solutions (formerly United Behavioral Claims
OptumHealth Care Solutions (formerly United Resource
41194 Claims
Networks)
OptumHealth Care Solutions (formerly United Resource
41194 Encounters
Networks)
52190 OptumHealth Care Solutions (formerly United Resources Claims
41160 OptumHealth Physical Health - includes Oxford (formerly ACN & Claims
41161 OptumHealth Physical Health - includes Oxford (formerly ACN & Claims
65021 Orange County Health Care Agency Claims
13382 Orthonet - Uniformed Services Family Health Plan Claims
13383 Orthonet Corporation - AETNA Claims
OSCAR Oscar Health Claims
OSEEGIB (Oklahoma State and Education Employees Group
22521 Claims
Ins. Board)
OSFC9 OSF Healthcare Central Claims
OSFE9 OSF Healthcare East Claims
73071 OSMA Health - C. L. Frates Claims
75299 Pacific Alliance Medical Center Claims
75299 Pacific Alliance Medical Group and Hospital (Synermed) Claims
93029 PacificSource Health Plans Claims
ASK 18
EDI Midwest
Payer ID Payer Name Services
37287 PAI Claims
94115 Palo Alto Medical Foundation Claims
04218 Pan American Life Insurance Group Claims
66917 Parkland Community Health Plan Claims
14966 Partners Health Plan Claims
PARTH Partners in Health Claims
27048 Payer Fusion Claims
68069 Peach State Health Plan Claims
PEF01 PEF Clinic Claims
72126 Peoples Health Network Claims
72099 PHCS Claims (formerly American LIFECARE) Claims
13306 PHCS Savility Payers Claims
55649 Phoenix Choice Claims
03440 Phoenix Health Plan (Medicaid) Claims
03443 Phoenix Health Plans (Medicare - Abrazo) Claims
58204 Physician Associates of Louisiana Claims
58204 Physician Care Network LLC Claims
38265 Physicians Care (ASR Corporation) Claims
38265 Physicians Care Health Plans (ASR Corporation) Claims
38265 Physicians Care Network (ASR Corporation) Claims
36345 Physicians Care Network (Rockford IL only) Claims
37136 Physicians Health Association of Illinois Claims
20398 Physicians Health Collaborative Claims
PMGSC Physicians Medical Group of Santa Cruz County Claims
39156 Physicians Plus Insurance Corporation Claims
TH131 Physicians United Plan Claims
48008 PhysMetrics Claims
251PD Piedmont WellStar Health Plan Claims
24735 Pinnacle Claims Management Inc. Claims
84109 Pinnacol Assurance Claims
23283 Pittsburgh Care Partnership Inc. Claims
37287 Planned Administrators Inc. Claims
58204 Podi Care Managed Care Claims
59324 PODIATRY NETWORK FL Claims
38335 PPOM LLC Claims
UHNDC PPOONE Claims
72148 PPOPlus LLC Claims
65088 Preferred Care Partners Encounters
65088 Preferred Care Partners Florida Claims
73145 Preferred Community Choice/PCCSelect/CompMed Claims
61106 Preferred Health Plan (Louisville KY) Claims
61665 Preferred Health Systems A Coventry Health Care Plan Claims
60110 Preferred Health Systems Insurance Company Claims
36401 Preferred Network Access Inc. Claims
60110 Preferred Plus of Kansas Claims
41147 PreferredOne (MN) Claims
ASK 19
EDI Midwest
Payer ID Payer Name Services
43166 Premier Benefits Inc. Claims
251PR Premier Health Plan Claims
43166 Premier Health Plans Claims
29076 Premier Health Systems Inc. Claims
88056 Premier HealthCare Exchange Claims
88051 Premier Healthcare Exchange Inc. (PHX) Claims
05003 Presbyterian Health Plan (NM) Claims
PCJOL Primary Care of Joliet Claims
82048 Primary Health Network Claims
61604 PrimeWest Health Claims
61271 Principal Financial Group Claims
38217 Priority Health Claims
70259 Pro Care Health Plan Inc Claims
SX133 Providence of Oregon Health Plan Claims
SX187 Providence PPO Claims
13193 Provident American Life & Health Ins Co-Medicare Supplement Claims
48100 ProviDRs Care Network Claims
PSKW0 PSKW Claims
91136 Puget Sound Benefits Trust Claims
91136 Puget Sound Electrical Workers Trust Claims
35174 Qual Choice of Arkansas Claims
46571 Quartz ASO Claims
73067 QuikTrip Claims
57117 QVI Risk Solutions Inc. Claims
33065 Rady Children's Hospital Claims
91176 RBMS LLC Claims
75299 Redlands IPA (Synermed) Claims
95449 Regal Medical Group Claims
76066 Renaissance Physicians Organization Claims
CB695 Resolve/Solarte Health Inc. Claims
RPPG1 Resurrection Physician Provider Group Claims
26316 Retiree Health Trust Claims
37331 RightChoice Benefit Administrators Claims
RCMG1 RIVER CITY MEDICAL GROUP Claims
SX141 Rocky Mountain Health Plan - Grand Junction Claims
25133 Rural Carrier Benefit Plan Claims
36389 Rush Prudential Health Plans (HMO Only) Claims
31441 S & S Healthcare Strategies Claims
75299 Sacramento - Primary Care Practices of Sacramento - EHS Claims
35164 Sagamore Health Network Claims
37105 Sage Technologies Claims
CP001 Samaritan Employer Group Plans Claims
CP001 Samaritan Health Plans Claims
MSO77 San Diego County Coverage Initiative (CI) Claims
MSO11 San Diego County Medical Services (CMS) Claims
ASK 20
EDI Midwest
Payer ID Payer Name Services
MSO33 San Diego County Ryan White Care Act Claims
68035 San Joaquin Health Administrators Claims
33072 San Louis Obispo Select Claims
91184 Sanford Health Plan Claims
24077 SANTA CLARA FAMILY HEALTH PLAN Claims
SNTMC Sante Community Physicians Medical Group Corp Claims
77038 Sante Health System and Affiliates Claims
72261 SCAN Health Plan Claims
73172 Scan Health Plan Arizona Claims
16146 SCHC Total Care - ClaimsNet Claims
SDCOM Scion Dental Commercial Claims
33099 Scripps Health Plan Services Claims
E4618 Seaside Health Plan Encounters
28530 Secure Health Plans of Georgia LLC Claims
35202 Security Administrative Services Claims
39045 Security Health Plan Claims
64088 Select Administrative Services (SAS) Claims
93031 Select Benefit Administrators Inc. Claims
37282 Select Benefit Administrators of America Claims
00014 SelectCare Claims
76045 SelectCare of Texas (HPN) Heritage Physicians Network Claims
34131 Self-Funded Plans Inc. Claims
TRSEL Selman Tricare Supp Claims
80141 Senior Health Partners (SHP) Claims
83035 Senior Whole Health Claims
23249 Sentinel Management Services Claims
39033 Sentry Insurance a Mutual Company Claims
39033 Sentry Life Insurance Company Claims
39033 Sentry Life of New York Claims
SMG01 Seoul Medical Group Claims
76056 Seton CHIP Claims
62308 Seton Employee Plan Claims
73866 Seton Health Plan MAP-Mediview Claims
25404 Seven Corners Claims
Sheet Metal Workers Local 104 Health Care Plan (San Ramon
38238 Claims
CA)
76342 Sierra Health and Life Claims
76343 Sierra Health and Life (Encounters) Encounters
30891 Sierra Medical Group Claims
23250 Significa Benefits Services Inc. Claims
65093 Silver Cross Health Connection Claims
68069 Silver Summit Health Plan Claims
84096 Sloans Lake Preferred Health Networks Claims
02057 Smith Administrators Claims
91131 Sound Health (now known as First Choice Health Network) Claims
25147 SouthCare/Healthcare Preferred Claims
ASK 21
EDI Midwest
Payer ID Payer Name Services
77153 Southeastern Indiana Health (SIHO) Claims
75299 Southern CA Children's Network (SynerMed) Claims
SIPA1 Southland BCBS Claims
84146 Spina Bifida - VA HAC Claims
35199 St. Anthony Memorial Healthcare Centers - MDWISE Claims
22240 St. Barnabas System Health Plan Claims
35199 St. Catherine Hospital PHO - MDWISE Claims
35199 St. Francis Health Network Claims
35199 St. Margaret Mercy Healthcare Centers - MDWISE Claims
73099 Standard Life and Accident Insurance Company Claims
31053 State Farm Insurance Companies Claims
91151 Sterling Option 1 Claims
TRLTC Stonebridge Life Insurance Company Claims
TRP1E Stonebridge Life Insurance Company Claims
TRP1P Stonebridge Life Insurance Company Claims
31121 Stoner and Associates (Cincinnati OH) Claims
95202 SummaCare Health Plan Claims
68069 Sunshine State Health Plan Claims
23218 Superior Administrators Inc (Santa Ana CA) Claims
68069 Superior Health Plan Texas Claims
77318 Sutter Delta Medical Group Claims
94269 Sutter East Bay Medical Foundation Claims
96176 Sutter East Bay Regional Hospital Claims
94119 Sutter East Bay Regional Hospital- Non Sutter Group Claims
77304 Sutter Medical Group of the Redwoods Claims
Sutter Valley Medical Foundation dba Sutter Gould Medical
77302 Claims
Foundation
36411 Swedish Covenant Hospital Claims
98022 TakeCare Insurance Company Claims
88067 Tall Tree Administrators Claims
88019 Teachers Health Trust Claims
36215 Teamcare Claims
75299 Temple Community Hospital Claims
76048 Texas Children's Health Plan Claims
88221 Texas Health Aetna Claims
33104 Texas HealthSpring Claims
88461 The Alliance Claims
75600 The City of Odessa Claims
20356 The Health Exchange (Cerner Corporation) Claims
34150 The Health Plan (Massillon Ohio and St. Clairsville Ohio only) Claims
35206 The Healthcare Group Claims
59087 The National Radiology Network Claims
The Physicians Assurance Corp (TPAC) /Employee Benefit
31074 Claims
Management Corp (EBM
251CC Together with CCHP Claims
92620 Tongass Timber Trust Claims
ASK 22
EDI Midwest
Payer ID Payer Name Services
31182 Total Community Care Claims
38201 Total Healthcare Inc. Claims
31182 Total Long Term Care Claims
31074 TPAC/Employee Benefit Management Corp Claims
37230 TR Paul Inc. Claims
PARTD Transact RX Claims
RX001 TransactRX Infusion and Specialty Claims
TLINS Transamerica Financial Life Insurance Company Claims
TRLTC Transamerica Financial Life Insurance Company Claims
TRP1E Transamerica Financial Life Insurance Company Claims
TRP1P Transamerica Financial Life Insurance Company Claims
TLINS Transamerica Life Insurance Company Claims
TRLTC Transamerica Life Insurance Company Claims
TRP1E Transamerica Life Insurance Company Claims
TRP1P Transamerica Life Insurance Company Claims
TLINS Transamerica Premier Life Insurance Company Claims
TRCLF Transamerica Premier Life Insurance Company Claims
TRLTC Transamerica Premier Life Insurance Company Claims
TRP1E Transamerica Premier Life Insurance Company Claims
TRP1P Transamerica Premier Life Insurance Company Claims
25348 Travis County MAP-Mediview Claims
36397 Trellis Health Partners Claims
31118 Tribute Health Plan Claims
57106 Tricare North Region Claims
SX163 Tricare Overseas Claims
61125 Tricare South - Humana Military Claims
SCWI0 Tricare West Claims
20048 Trillium Community Health Plan Claims
68069 Trillium Medicaid Claims
68069 Trillium Medicare 2016 Claims
62777 TRILOGY NETWORK Claims
TriWest VA-Patient-Centered Community Care Program
55912 Claims
(VAPCCC) Region 3
TriWest VA-Patient-Centered Community Care Program
55915 Claims
(VAPCCC) Region 5A
TriWest VA-Patient-Centered Community Care Program
55916 Claims
(VAPCCC) Region 5B
TriWest VA-Patient-Centered Community Care Program
55917 Claims
(VAPCCC) Region 6
98514 TRLHN/AS Claims
91078 Trusteed Plans Service Corporation Claims
93112 Tuality Health Alliance Claims
94603 UC-Davis Health Claims
77022 Ultimate Health Plan Claims
41206 Ultra Benefits Inc. Claims
52180 UMWA Health & Retirement Funds Claims
ASK 23
EDI Midwest
Payer ID Payer Name Services
80314 UNICARE Claims
62170 Unified Health Services Claims
34638 Unified Physicians Network Claims
TRP1E Union Labor Life Insurance Company - Admin By UBC Claims
87042 UNION PACIFIC RAILROAD EMPLOYES Health Systems Claims
62183 Unison Health Plan/Better Health Plans Claims
36659 United Food & Comm. Workers Midwest Unions Claims
84132 United Medical Alliance Claims
71412 United of Omaha Claims
13193 United Teacher Assoc Ins Co-Medicare Supplement Claims
87726 UnitedHealthcare Claims
81400 UnitedHealthCare / All Savers Alternate Funding Claims
87726 UnitedHealthcare / Definity Health Plan Claims
87726 UnitedHealthcare / Empire Plan Claims
UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH
87726 Claims
(formerly MAMSI)
06111 UnitedHealthcare / Oxford Claims
00773 UnitedHealthcare / Spectera Eyecare Networks Claims
87726 UnitedHealthcare / UnitedHealthcare Plan of River Valley Claims
95378 UnitedHealthcare / UnitedHealthcare Plan of River Valley Claims
UnitedHealthcare / UnitedHealthcare West (UnitedHealthcare of
87726 Claims
CA OK OR
UnitedHealthcare / UnitedHealthcare West Encounters (formerly
95958 Encounters
PacifiCare)
UnitedHealthcare Community Plan / AZ (formerly AZ Physicians
03432 Claims
IPA APIPA)
UnitedHealthcare Community Plan / IA hawk-i (formerly
87726 Claims
AmeriChoice of Iowa)
UnitedHealthcare Community Plan / IA hawk-i (formerly
95378 Claims
AmeriChoice of Iowa)
96385 UnitedHealthcare Community Plan / KS (KanCare) Claims
UnitedHealthcare Community Plan / MI (formerly Great Lakes
95467 Claims
Health Plan)
UnitedHealthcare Community Plan / MS CHIP (formerly
87726 Claims
AmeriChoice MS - CHIP)
UnitedHealthcare Community Plan / MS CHIP (formerly
95378 Claims
AmeriChoice MS - CHIP)
87726 UnitedHealthcare Community Plan / NE Claims
86001 UnitedHealthcare Community Plan / NJ Claims
86047 UnitedHealthcare Community Plan / NJ Claims
UnitedHealthcare Community Plan / NY (formerly AmeriChoice
86048 Claims
NY Medicaid)
UnitedHealthcare Community Plan / NY (formerly AmeriChoice
86002 Claims
Personal Care)
UnitedHealthcare Community Plan / PA (formerly AmeriChoice
86049 Claims
PA Medicaid&CHIP
ASK 24
EDI Midwest
Payer ID Payer Name Services
UnitedHealthcare Community Plan / PA (formerly AmeriChoice
86003 Claims
Personal Care )
25175 UnitedHealthcare Community Plan / SC (formerly Unison) Claims
UnitedHealthcare Community Plan / UnitedHealthcare Dual
87726 Claims
Complete
UnitedHealthcare Community Plan / UnitedHealthcare Long
87726 Claims
Term Care
87726 UnitedHealthcare Community Plan of Louisiana Claims
UnitedHealthcare Community Plan/DEFLHILAMDMS
25175 Claims
CANNMOHPARI TX WA
UnitedHealthcare Community Plan/DEFLHILAMDMS
87726 Claims
CANNMOHPARITXWAWI
UnitedHealthcare Community Plan/FLHILAMDMS
87726 Claims
CANNMOHRITXWI
UnitedHealthcare Community Plan/NJ (formerly AmeriChoice
86001 Claims
Personal Care Pl
UnitedHealthcare Medicare Solutions / UnitedHealthcare
87726 Claims
Chronic Complete
UnitedHealthcare Medicare Solutions / UnitedHealthcare Group
87726 Claims
Medicare Advan
UnitedHealthcare Medicare Solutions / UnitedHealthcare
87726 Claims
MedicareComplete
UnitedHealthcare Medicare Solutions / UnitedHealthcare
87726 Claims
MedicareDirect
UnitedHealthcare Medicare Solutions / UnitedHealthcare
87726 Claims
Nursing Home Plan
74227 UnitedHealthcare StudentResources Claims
95964 UnitedHealthcare West (formerly PacifiCare of Arizona) Claims
95962 UnitedHealthcare West (formerly PacifiCare of Colorado) Claims
95999 UnitedHealthcare West (formerly PacifiCare PPO - All States) Claims
UnitedHealthcare West / UnitedHealthcare of CA OK OR TX
95959 Claims
WA
37602 UnitedHealthOne / Golden Rule Claims
UnitedHealthOne / PacifiCare Life and Health Insurance
81400 Claims
Company
66705 Unity Health Insurance Claims
Universal Benefits - Admin For Chubb Life Insurance Company
TRP1E Claims
Of America
TRP1E Universal Benefits - Admin For City Of Bridgeport CT Claims
TRP1E Universal Benefits - Admin For Hartford Life And Accident Claims
TRP1E Universal Benefits - Admin For Hartford Life Insurance Company Claims
33001 Universal Care - California Claims
09830 University Family Care Claims
09908 University Family Care - Maricopa Health Plan Claims
ASK 25
EDI Midwest
Payer ID Payer Name Services
99026 University Health Alliance Claims
46407 University Health Care Advantage Claims
45437 University Healthcare Marketplace Claims
UIC67 University of Illinois Claims
25133 University of Missouri Claims
23281 UPMC Health Plan Claims
25184 UPMC Vision Advantage Claims
93092 US Benefits Claims
90551 US Family Health Plan Claims
74095 USAA (United Services Automobile Association) Claims
13407 USFHP - St. Vincent Catholic Medical Centers of New York Claims
25133 UT- Altius (UHIN) Claims
91136 UW Graduate Appointee Plan Claims
12115 VA Fee Basis Programs Claims
86062 VentureNet Healthcare Claims
66126 Verdugo Hills Medical Group Claims
75256 Verity National Group Claims
50701 VGM Homelink Claims
VLGMD Village MD Claims
84806 Virginia Coordinated Care-VCC Claims
54176 Virginia Premier Health Plan Claims
31626 VNA Homecare Options Claims
77073 VNS CHOICE Medicare Claims
68069 WA - Washington Coordinated Care Claims
85256 Wabash Memorial Hospital Association Claims
73155 Waterstone Benefit Administrators (Oklahoma Providers) Claims
23051 Waterstone Benefit Administrators (Outside Oklahoma) Claims
13337 Well Sense Health Plan Claims
WELM2 WellMed Claims
CB457 WellSpan Employee Assistance Program Claims
35245 WellSystems LLC Claims
91064 Wenatchee Valley Medical Center Claims
66124 West Covina Medical Group Claims
45276 West Virginia Family Health Plan Claims
24735 Western Grower's Assurance Trust Claims
24735 Western Grower's Insurance Company Claims
37247 Western Mutual Insurance Claims
TRLTC Western Reserve Life Insurance Company Claims
93050 William C. Earhart Claims
74101 Wisconsin Department of Corrections Claims
77080 WPP-ElderCare Wisconsin Claims
SX022 WPS Health Insurance Claims
04430 ZeroOutofPocket Claims

ASK 26