NTW00630 Payers Transitioned To 5010 As Of 06042012
User Manual: NTW00630
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Payers Transitioned to 5010 ‐ As of 6/4/2012 Below is a list of the payers that Office Ally has transitioned to 5010 as of 06/04/2012. As payers transition to 5010, additional rejections may be experienced due to new 5010 requirements. With 5010, many payers will no longer allow for PO Box Addresses in the Billing Provider Address (Loop 2010AA N3 segment). Office Ally recommends that submitters send an actual street address and not a PO Box address in the Billing Provider Address. If that is not possible, please register your physical address with us. More information on registering your physical address with us can be found under Resource Center: 5010 Information: New Ability for Providers to Register Physical Address Please review all reports for any additional rejections that need correction and resubmission of claims. Payer Name 1199 Local Benefit Fund 1st Auto & Casualty 21st Century Ins and Financial Srvc 3P Admin A & I Benefit Plan Administrators AARP Dental Insurance Plan AARP- Medicare Supplement ABRAZO Advantage Health Plan Access Administrators Access Medical Group Acclaim Acclaim Repricing ACIG Insurance Acordia National ACS Benefit Services Inc ACS REWARD ADMIN CENTER Adaptis Administration Concepts Inc Administration Systems Research Corp Administrative Services Inc ADMINONE ADVANCE PCS AdvancedMedicalManagement AdvancedMedicalManagement2 Advantage Adventist Health System West Advocate Health Centers PayerID 13162 37850 51028 20413 93044 AARP1 36273 03443 AHS01 AMM06 64071 21356 19984 87815 72467 36112 91173 22384 38265 59141 37278 58202 AMM01 AMM02 68056 95340 36320 HCFA X X X X X UB X X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .com X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Advocate Health Partners Aegis Security Insurance Company Aetna Affordable Health Choices Aetna Better Health Aetna Better Health - PA Medicaid Aetna DMO Aetna Healthcare Aetna TX Medicaid and CHIP Affiliated Physicians Affinity Health AFFINITY HEALTH PLAN Affinity Medical Group AFFORDABLE BENEFIT ADMIN AFTRA Health Fund Agency Services Inc Alameda Alliance for Health Alamitos IPA ALASKA ELECTRICAL HLTH Alaska Ntl Insurance (CorVel) AliCare Allegiance Benefit Plan Management Inc. Alliance Alliance Healthcare - SRR IPA Alliant Energy (CorVel) Alliant Health Plans of Georgia ALLIED ADMINISTRATORS Allied Benefit Systems Allied Physicians Allmerica FinancialBenefIns- CorVel Alta Bates Medical Group Altus Dental Amalgamated Life IPA Alicare AMCO Arkansas Managed Care Org AmeraPlan AMERIBEN SOLUTIONS Americaid Community Care (Maryland) Americaid Community Care (New Jersey) American Administrative Group American Admins (West Des Moines) American Behavioral American Behavioral FEP ITS AMERICAN BENEFITS MGMT American Chiropractic Network IPA of NY AMERICAN CHIROPRACTIC NTW American Community Mutual American Family PPO Policies AMERICAN GENERAL American Health Group AMERICAN HEALTHCARE ALL American Imaging Mgmt AMERICAN INSURANCE CO OF TX PayerID 65093 33898 57604 23225 23228 68246 60054 38692 APG01 13334 13333 46594 95426 13346 64158 95327 AIPAZ 92600 19010 13550 81040 52149 13079 E3757 58234 94177 37308 NMM01 41840 A0701 50503 13343 62176 38219 75137 27517 27516 75240 42112 63103 63106 34187 41160 41161 60305 56071 62030 AHG01 01066 36369 81949 HCFA X X X X X UB X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name American Life Care American Medical Security American Medical Security (Dental) AMERICAN NATIONAL GALVEST AMERICAN PIONEER BREVARD PHY NET American Pioneer Brevard Physicians Net AMERICAN PIONEER SOUTH FL HCFA American Pioneer South Florida American PPO American Public Life (APL) American Republic Inc Co American Select American Sentinel Insurance Company American Specialty Health American Therapy Association FL American WholeHealth AWHN American Worker Health Plan Americas 1st Choice Health of NC Americas Health Choice AMERICAS PPO Americas TPA AmeriChoice of New Jersey Personal AMERICHOICE OF NEW YORK AMERICHOICE OF NJ AmeriChoice of NY Medicaid NY AmeriChoice of Penn Inc Medicaid PA AmeriCorp AMERIGROUP Amerigroup - Florida Amerigroup - Houston Amerigroup - New Jersey Amerigroup - Ohio Amerigroup (Maryland) Amerigroup Corp (Houston) Amerigroup Corporation (Ft Worth) AMERIGROUP FL HLTHY KID Amerigroup Illinois Amerihealth HMO New Jersey and Delaware Amerihealth Mercy Health Amerihealth Non-HMO Delaware Amerihealth Non-HMO New Jersey Ameritas Life Insurance Corp. Anchor Benefit Consulting Inc Antares Management Solutions Apex Benefit Services APIPA AppleCare Medical Mangmnt APS HEALTHCARE APS Paper Claim APWU Affordable Network Arcadian Management PayerID 72099 81400 CX001 74048 APBPN 12T32 APSFL 12T37 14190 60801 42011 19992 17965 ASHP1 65064 58213 37322 26078 20029 16120 41178 86001 86002 86047 86048 86049 ASRM1 28804 27519 28805 28806 27518 28807 27515 27514 28809 28808 95044 22248 93688 60061 61301 53085 34192 34196 03432 APP01 54160 54100 44444 AMS11 HCFA X X UB X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Arcadian Management Services Inc Arizona Foundation Arkansas Best Corporation ASONET Associated Third Party Admin Associates for Healthcare Assurant Health Repricing ASSURANT HEALTH SF AssureCare Inc Assured Benefits Administrators Athens Area Health Plan Select Atlantic Dental Atlantic Dental Inc AtlantiCare Administrator Atlantis Eyecare Atlantix Health Plan Austin Mutual Auto Owners Insurance Company Auto Owners Life Insurance Company Automated Benefit Services AUTOMATED GROUP ADMIN Auto-Owners Home-Owners Insurance Auto-Owners Owners Insurance AutoOwners PropOwners(CorVel) AutoOwners SthrnOwners(CorVel) Avante Health Avera Health Plans Avera Healthplans John Morrell Avesis Peach State Health Plan AVMED AvMed Encounters AvMed Inc AXA Assistance USA Axminster Medical Group BANNER PLAN ADMIN BCBS Arizona BCBS Central NY BCBS Delaware BCBS Nevada BCBS NEW JERSEY BCBS NY Rochester Region BCBS NY Utica Watertown Region BCBS of Alabama BCBS of Arkansas BCBS of Colorado BCBS of Connecticut BCBS of Florida BCBS of Georgia BCBS of Hawaii (HMSA) BCBS of Illinois (HCSC) BCBS of Indiana PayerID 77045 86062 75278 CX076 ATPA1 36326 ASNTH 37313 88035 74240 95691 ADN01 CX052 22304 AEC01 13853 I5991 18988 61190 38259 37280 26638 32700 32905 10190 AH001 46045 38310 86098 AV001 59275 59274 65101 AXM01 SX145 53589 00805 00570 00265 22099 00804 00806 00510 00520 00050 00060 00590 00601 HMSA1 00621 00630 HCFA UB X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name BCBS of Iowa BCBS of Kansas BCBS of Kansas City BCBS of Kentucky BCBS of Maine BCBS of Massachusetts BCBS of Michigan BCBS of Minnesota BCBS of Mississippi BCBS of Missouri BCBS of Montana BCBS of Nebraska BCBS of New Hampshire BCBS of New Mexico (HCSC) BCBS of North Carolina BCBS of North East New York BCBS of North West New York BCBS of Ohio BCBS of Oklahoma (HCSC) BCBS of Rhode Island BCBS of South Carolina BCBS of South Dakota BCBS of Tennessee BCBS of Texas BCBS of Vermont BCBS of Virginia BCBS of Wisconsin BCBS of Wyoming BCBS West Virginia BCI ADMINISTRATIVE SERVIC Beacon Beacon Health Strategies Beech St Behavioral Health Systems Bella Vista Med Grp BeneCare Dental Plan Benecorp National Corporation Benefirst Benefit & Risk Management Services Benefit Administration Services Benefit Administrative Systems Benefit Coordinators BENEFIT MANAGEMENT ADMIN (BMA) BENEFIT MANAGEMENT INC Benefit Management Services Benefit Management Services (BCBS LA) Benefit Plan Admin BENEFIT PLAN ADMIN (VA) BENEFIT PLAN ADMINIS Benefit Planners Benefit Program Admin PayerID BCSIA 47163 47171 00660 00680 BS059 00710 00720 00230 00241 BCSMT 00760 00770 00790 SB810 00800 00801 00834 00840 00870 BCSSC 88848 00890 84980 BCSVT 00923 00950 00960 54828 49153 20001 43324 95377 63100 MPM10 23210 33192 37125 99320 41205 36149 25145 BMATP 37212 56139 00999 88027 37118 39081 74223 BPA01 HCFA X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Benefit Services Benefit Solutions Inc BENEFIT SYSTEMS-SERVICES BENEFITS INC Benemax Dental Benesight BENESYS PPO PLUS BenMark (Mississippi) Berkshire Health Partners Best Life n Health Ins Better Health of Florida Better Health Plans Inc Bituminous Casualty Corp Bituminous Fire & Marine Insurance Block Vision Inc Blue Card Program Blue Choice of South Carolina Blue Choice SC (Medicaid) Blue Cross Blue Shield of Arkansas Blue Cross Blue Shield of Colorado Blue Cross Blue Shield of CT Blue Cross Blue Shield of Indiana Blue Cross Blue Shield of Texas Blue Cross CA Blue Cross CA HMO (HM006) Blue Cross of Illinois (IL) Blue Shield Blue Shield Ca Dental Blue Shield North Dakota Blue Shield of California (Box 2725 Blue Shield of Pennsylvania (Camp H Bluegrass Family Health BMC HealthNet Plan Boilermakers Health Boon Chapman Admin BPABenefit Plan Administrators ND BRIDGE BENEFITS Bridgeway Arizona Bright Health Brokerage Concepts Brookshire IPA Brown & Toland Med Grp Brown & Toland Med Grp Brown & Toland Sutter Select BSCA Encounters BUCKEYE COMM HEALTH PLAN Butler Benefit C&O Employees Hospital Association Cal Water CAL-OPTIMA Cameron and Associates PayerID 34178 BSI01 36342 42148 BMX01 87265 37248 BNMK1 23243 95604 20488 25175 20095 20109 BV001 BS002 00922 00403 CBAR1 84099 65358 84105 CB900 BC001 HM006 CB621 BS001 BSCA3 00820 BSCA1 99996 61124 13337 36609 74238 37286 38365 68054 BHP01 51037 BIPAZ 94316 94316 BTSS1 BS003 32004 42150 23708 CWS99 CALOP CAMAA HCFA X X X X UB X X X X X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Cannon Cochran Management Cannon Cochran Management Services CAPITAL BLUE CROSS Capital District Physicans Health Plan HCFA Capital District Physicians Health Plan Capital Health Plan Capitol Administrators CapRock HealthPlans Cardiovascular Care Providers CARE 1ST HEALTH PLAN AZ Care 1st Health Plan of California Care Improvement Plus Care Management Resources CARE OREGON Carecentrix CareCore National CareCore National - Healthnet CareCore National LLC - Health Net NJ CareCore National LLC (Aetna Radiology) CareCore National LLC (Oxford Radiology) CareCore WCNY RAD CareFirst BCBS (MD) CareFirst BCBS NCA Region CareGuide Carelink University Health System CareMore Health Plan CareOne Health Plan Careplus Careplus (Encounters) CareSource Health Plan of Oregon CareSource OH CareWorks CARITEN HEALTHCARE Carolina Behavioral Health Alliance Carolina Care Plan Inc. CAROLINA SUMMIT HEALTHCAR Carpenters Health & Welfa CASD Dakotacare CASD Sandford CBCA Administrators CCEA Welfare Benefit Trus CCMSI-HutchinsonTech (CorVel) CCMSI-Xcel Energy (CorVel) CDO Technologies CDS Group Health Cedars Sinai Medical Ntwk Cedars Sinai Medical Ntwk Enc Celtic Insurance Celtic Insurance CeltiCare Health Plan CenCal Health PayerID 37105 71057 23045 SX065 12X03 95112 68011 CAPHP GCVCP 57116 C1SCA 77082 00344 93975 11345 14182 14184 14185 14179 14180 14188 SB690 SB580 16147 CLUHS CARM0 39280 95092 95093 MRCHP 31114 10010 62073 56215 57105 56195 25125 CASD1 CASD2 55438 88019 E4889 E6789 83028 88022 95166 95167 68063 68063 68060 95386 HCFA X X X X UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Cenpatico Behavioral Health - Arizona Cenpatico Behavioral Health - FL Cenpatico Behavioral Health - Kansas Cenpatico Georgia Cenpatico Indiana Cenpatico Massachusetts Cenpatico Ohio Center Care (For Unicare Claims) Central Benefits Central California Womens Health Central Coast Alliance Central Coast Alliance Health Central Health Plan Cal CENTRAL RESERVE LIFE Central SeniorCare Central State Health Central Valley Medical Group Century Health Solutions Centurypho CHAMPUS (CH002) CHAMPVA-HAC Chautauqua County HC Plan Mayville-NY CHCcares of South Carolina CHEC - A SUBSIDIARY OF SPRINT CHESAPEAKE LIFE INS Chesterfield Companies Chesterfield Technologies Childrens First Medical Group Childrens Physicians Medical Group Childrens Specialists of SD II Chinese Community Health Plan ChiroMetrics CHIROPRACTIC CARE CHOC Childrens Hosp of Orange County Choice Medical Group Choice OneUTMB CHIP Health Plan CHP Direct Supermed Chubb Indemnity Co Church (WC ONLY) CIGNA Behavioral Health Cigna Behavioral Healthcare Cigna for Seniors CIGNA Healthcare Citizens Ins Co of America- CorVel Citrus Health Plan CITY OF AMARILLO GROUP HEALTHPLAN City of Snyder (CorVel) City of St. Paul Claimsware Inc DBA ManageMed Claimxpress Clayton County Health Benefit Plan PayerID 68048 68058 68047 68050 68052 68061 68051 UNC01 31118 WH001 CCA01 CPP01 CHCPI 34097 CIPA1 36215 SC027 48120 36393 CH002 84146 16600 25151 CHECS 59223 CRI01 34154 94321 CPMG1 CSSD2 94302 CM001 ACN01 33065 CMG01 UHSCH 90441 12777 18767 SX071 CIGBH 86033 62308 31534 10207 COA01 A0067 E0257 57080 CXP27 CCS99 HCFA X X X X X X X X X X X UB X X X X X X X X X X X X X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Clayton County Self Funded Dental P Client First Clinical Resource Group Clinical Specialties Inc COLONIAL HEALTH CARE INC Colorado Access Colorado Behavioral Healthcare Inc Columbia Cornell Care Columbia United Providers Commerce Benefits Grp PPO Commonwealth Admin LLC Commonwealth Care Alliance Commonwealth Health Allia Community Care BHO COMMUNITY CARE HMO Community Care Organization Community Choice of Michigan Community First - Medical Claims Community Health Alliance Community Health Center Network Community Health Choice Community Health Plan COMMUNITY HLTH PLAN OF WASH Comp - Ohio (Austintown-OH) Compass Rose HP - Informed UHC COMPBENEFITS CO CompDent CompBenefits Complementry Healthcare Plans Compreh Ben Admin Comprehensive Behavorial Care Comprehensive Care Management Connecticare Connecticare (Medicare) Connecticut Carpenters Health Fund Consociate Group Consolidated Associates Railroad Consolidated Group Dental Consolidated Health Plans Consumer Health Solutions CONTINENTAL GENERAL INS Conversion Plan-APWU Cook Childrens Health Plan Cook Childrens Star Plan Cook Group Heath Plan Cooperative Benefit Admin Cooperative Managed Care Services Co-ordinated Benefit Plans LLC Core Management Resources Core Source CoreFive (Mega Life & Health) CORESOURCE PayerID CCS01 41201 CRGMN CSI01 37123 COACC COBHI 25351 91162 34181 37237 14315 23171 23282 73143 39126 38325 COMMF 35193 CHCN1 48145 90010 CHPWA 34177 50946 37297 CX021 CHP01 03036 59314 CCMC1 06105 78375 37307 37135 75284 61305 87843 37295 71404 55544 CCHP1 CCHP9 35149 52132 35199 14829 58231 35182 60601 35183 HCFA UB X X X X X X X X X X X X X X X X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name CORESOURCE PHCS C B S Cornerstone Benefit Adminstrators Corporate Benefit Service Corporate BenefitsService CorrectCare Integrated Health CORRECTIONAL MEDICAL SERV Costal Administrative Services Cottingham & Butler(Corvel) Country Casualty Insurance Company COUNTRY LIFE INSURANCE Country Mutual Insurance Company Country Preferred Insurance Company CountryIns-Modern Svc (CorVel) CountryIns-MSI Preferd(CorVel) CountryIns-Mtn States (CorVel) CountryIns-Mutual Svc (CorVel) Covenant Admin (GA) Covenant Management Systems COVENANT MGNT SYS EMPLOY BEN CoverColorado Creative Medical Systems Creative Plan Administrators CSI Network Services CSI of Michigan Custody Medical Services Program Custom Design Benefits Inc D. Edward Wright Dakotacare DART CONTAINER CORPORATION DC Chartered Health Plan Inc (Alliance) DC Chartered HealthPlan-Medicaid&Allianc DDIC Dean Health Plan DELAWARE PHYSICIANS CARE Delmarva Health Plan- Carefirst Delta Dental (Northeast - ME NH VT) 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. - Texas Delta Dental Ins. Co. - Utah Delta Dental Of Alaska Delta Dental of Arizona Delta Dental of Arkansas Delta Dental of California Delta Dental of Colorado Delta Dental of CT NJ Delta Dental of Delaware Delta Dental of Idaho PayerID 75136 35202 41124 56116 CCIH1 43160 77052 T2124 20982 62553 20990 21008 23655 42951 14648 23647 58102 12T60 CMSEB CHCNT 64068 37320 34186 27136 AMM03 82056 DEW99 DAK01 06172 95740 95748 94276 39113 27009 SB691 02027 DDAL1 DDFL1 DDGA1 DDLA1 DDMS1 DDTX1 DDUT1 DDAK1 86027 DDPAR 77777 DDPCO 22189 51022 82029 HCFA X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X UB Dental X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Delta Dental of Illinois Delta Dental of Iowa Delta Dental of Kentucky Delta Dental of Maryland Delta Dental of Mass Delta Dental of Missouri Delta Dental of Montana Delta Dental of Nevada Delta Dental of New Jersey Delta Dental of New York Delta Dental of Rhode Island Delta Dental of South Carolina in M Delta Dental of South Dakota Delta Dental of Washington Delta Dental of Washington DC Delta Dental of West Virginia Delta Dental of Wisconsin Delta Health Systems Delta Health Systems - Hospital DeltaCare USA - Claims DeltaCare USA - Encounters Dental Benefit Providers Dental Care Plus (OH) Dental Network of America Dental Network of America (IL) DentaQuest Denti_Cal Denver Health - Indigent Denver Health and Hospital Authority Denver Health Medical Plan Denver HlthMedical Inc-MedicareChoice Dermatology Net Solutions LLC BCBS Dermatology Net Solutions LLC Humana Dermatology Net Solutions LLC Vista Detroit Laborers (Metropolitan) DETROIT MEDICAL CENTER DH Evans DiaTri LLC Direct Dental Administrators Directors Guild of Americ District Council 37 - State Diversified Group Administrators Diversified Grp Brokerage Diversified Grp Brokerage Diversified Grp Brokerage Diversified Grp Brokerage DMERC Region A DMERC Region B DMERC Region C DMERC Region D Dominion Dental 115 S. Union St Ste PayerID 47598 CDIA1 CDKY1 23166 04614 43090 DDMT1 DDNV1 ZZZZZ 11198 05029 43091 54097 91062 52147 31096 39069 DHS01 94235 DDCA2 DDCA3 52133 DCP01 DNOA1 CX034 04356 94146 84134 84133 84135 84131 DNS22 DNS77 DNS44 MDL99 56240 25172 36439 DDA10 23706 HSP01 25160 06102 06102 06102 06102 16003 17003 00885 05655 DOM01 HCFA UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Doral Dental of Wisconsin Driscoll Childrens Health Plan DSCC DIV OF SPECIAL CARE CHILDREN Dunn&Associates Benefits Admin Inc E3 Health INC EARLY INTERVENTION CENTRAL BILLING Early Intervention Central-THIN EBA&M EBC (Buffalo Rock) Birmingham eComm PPO EL PASO FIRST - CHIP Elder Health Maryland HMO Inc elder plan ElmCare LLC Elmco EMERALD HEALTH NETWORK EMI 853920 GRP ONLY Empire BCBS (NY) Empire Medicare New York Employee Bene Srvcs LouisanaInc-EBS Employee Bene Srvs (EBS) San Antonio Employee Bene Srvs (EBS) San Antonio HCFA EMPLOYEE BENEFIT CON INC Employee Benefit Concepts Employee Benefit Management Employee Benefit Management Services Employee Benefit Services Employee Claim ADJ Employee Health Coalition Employee Plans LLC EMPLOYER PLAN SERVICES Employers Direct Health - FI Employers Direct Hlth EP EMPLOYERS DIRECTHEALTH SF Employers General Insurance Group Employers Health Ins. Employers Life Insurance Corporation Employers Mutual Inc Employers Mutual Inc Stuart Florida Encore Health Network ENH Medical Group IPA EQUITABLE PLAN SERVICE OK Erin Group Administrators Erin Group Administrators Dental ERISA HCFA ES Beveridge & Associates Essence Healthcare Essex Dental Benefits Evercare Star Plus Evergreen Health Plan Evolutions Healthcare Systems PayerID CX014 74284 37600 35186 75232 36434 12T24 22262 EBC01 75277 EPF03 52192 31625 NAELM 37253 34167 59299 00803 13202 41198 12T42 EBSSA 37257 38241 CX025 81039 37216 75184 52429 35112 74212 75235 75236 75233 24147 73288 37249 59298 59331 35206 36364 73126 23250 CX046 74234 34108 20818 43168 07501 58233 59313 HCFA UB X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Exxon-Mobil (CorVel) Eye Specialists of AZ FABOH (CHP RPU) Facey Medical Group Fairmont Premier Insurance Company Fairmont Specialty Insurance Compan Fairview Health Services Fallon Community Health Family Care Family Care Medicaid Family Care Medicaid Mental Health Family Care Medicare Family Care Specialists Family Health Partners Healthcare of Kansas Family Health Partners-MC Missouri Family Medical Network Farm Family Life Farmers - Civic P&C (CorVel) Farmers - Exact P&C (CorVel) Farmers- FireInsExch (CorVel) Farmers Ins Exch (CorVel) Farmers- MidCentury (CorVel) Farmers- NBRHD Spirit (CorVel) Farmers- Truck Ins (CorVel) FCE Benefit Admin Federal Employee Plan of SC Federal Insurance Co Federated HR Services Federated Mutual Hlth Ins FIDELIS CARE NEW YORK Fidelis Secure Care First Administrators First Ameritas Life Insurance Corp. First Carolina Care First Choice (CT) First Choice Health Ntwk First Choice of Midwest (PPO) First Priority First Services Medicaid Firstcare (Medicaid) FirstCare Advantage FirstGuard Missouri FirstSolutions Fitzharris & Company Inc Florida First FLORIDA HOSP HEALTH SYS Florida Hospital Waterman Florida League of Cities Florida NetPass Floridian Care - Jacksonville FMH Benefit Services Inc PayerID E1008 BVES1 39112 95432 25518 24384 E3110 22254 60995 FCD01 FCM01 FCR01 FCS01 31472 43173 36396 14140 10315 10318 21660 21652 21687 10317 21709 33033 00402 20281 37300 41041 11315 77054 FAMR1 72630 56196 14162 91131 75138 23241 MC104 94998 94999 90061 FS802 11244 59276 59321 48116 59698 65063 APJAX 48117 HCFA X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Formax Inc Fortis Insurance Company FOX VALLEY MEDICINE SITE 199 FOX VALLEY MEDICINE SITE 451 Fox-Everett Inc Freedom Blue Claims West Virginia Freedom First Plan (Medicaid) Freedom Health Plan FREEDOM LIFE INSURANCE OF AMERICA FRINGE BENEFIT COORD FrontPath Health Coalition Future Care Medical Associates IPA Gallagher Benefit Admin Galveston County Indigent Health Care Gateway Health Plan Gateway Health Plan - Medicare Assrd Gateway Health Plan of Ohio - Medicare Assured Gateway Health Plan of Ohio Inc GE Group Administators GEHA Geisinger Health Plans Generations Globalhealth Generations Healthcare Generations- Hillcrest Gettysburg Health Preferred GHI - Medicare Private FFS GHI Group Health Inc GHI HMO Gilsbar Gilsbar 360 GLENDALE MEMORIAL Global Care Inc. Global Excel Management GM Southwest GMS INC Golden Rule Insurance GOLDEN TRIANGLE PHYSICIAN ALL Golden West Dental (888 W. Vantura Grant Physicians Practice Association Great West Care Greater Newport IPA GREATLAKES HEALTH GREENTREE ADMINISTRATORS Grinnell Reinsurance Company Grinnell Select Group & Pension Administr Group Administrators LTD Group Benefit Admins-Hendersonville TN Group Benefits Louisiana Group Health PayerID 87066 39065 FVMCH FVMC1 64069 71768 31313 41212 62324 59204 34171 AMM04 37283 30005 25169 60550 HCFA 91741 76028 06143 44054 75273 GHEDI 46050 46051 23212 22937 13551 25531 07205 88053 95415 07689 GEM01 75246 47083 37602 GTPA1 GWD01 37234 80705 GNPMG 95467 78521 14117 16144 48143 36338 72153 72087 GE001 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X UB X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Group Health Cooperative Group Health Cooperative Eau Claire Group Health Coop-So Central Wisc Group Hlth Coop-So Central Wisconsi GROUP INSURANCE SVC Group Practice Affiliates Guardian Healthcare(SC) Guardian Life GuideOne Elite Ins (CorVel) Guideone Mutual Insurance Co Gulf Coast Physicians Network GULF QUEST IPA HMO BLUE GULF QUEST RENASSAINCE Gundersen Lutheran Health Plan Inc H & A Administrators Dental H & R Block H.E.R.E.I.U. Hammerman & Gainer ( H&G) Hanover Insurance Hanover Insurance Co Hanover Lloyds Ins Company- CorVel Harleysville Insurance Company Harrington Benefit Svc Harrington Health Non-EPO Hartford AccIndem(CorVel)TX&MN Hartford CAS (CorVel) TX & MN Hartford Fire Insurance Company Hartford Ins Co MW (CorVel) Hartford Life & Accident Ins Corvel Hartford Life and Annuity Insurance Hartford Life Insurance Company (De Hartford Underwriters Insurance Com HarvardPilgrimHealthPlan HCH Administration HCH ADMINISTRATION INC HCHA Albq-Self Funded HCS-Health Claims Service-Boise ID HDPC - Premier Healthcare HDPCAlliance Physicians Health 1-2-3 Inc Health Administration Ser HEALTH ALLIANCE HEALTH ALLIANCE EXCLUSIVE HEALTH ALLIANCE PLAN (MI) Health Care District Palm Beach Health Care Net of Wisconsin (HCN) Health Choice Generations Health Comp Dental Health Design Plus Health Exchange (Cerner Corp) HEALTH FIRST HEALTH PLANS PayerID 91051 95192 39167 39168 37276 68046 77010 64246 42803 15032 41203 RENBL RENGQ 39180 LX059 E9740 37114 97258 WP927 22292 41602 53804 75196 59143 22357 29424 19682 37478 70815 71153 88072 30104 04271 37111 37215 37329 82018 90023 20257 23173 34185 77950 23172 38224 HCDPB 42102 62180 DX029 34158 20356 95019 HCFA X X X X X X X X X X X X X X UB X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Health Help Network Inc (HHNI) HEALTH LINK HMO Health Management Health Net California Health Net of Arizona Health Network One HEALTH NEW ENGLAND Health Now New York Health Partners Minnesota Health Partners Minnesota-CX009 Health Partners PA Health Partners Tennesse Health Payment Systems Inc Health Plan Management Health Plan of Michigan Health Plan San Mateo Care Adv Health Plans Inc Health Plus PHSP Brooklyn Health Select IPA Health Services Consulting Group Health Services Management Health Servs for Children w-Special Needs HEALTH STAR Health Systems International - ECOH Healthcare Options HealthCare Partners Medical Group HealthCare Partners of Nevada Healthcare Resources NW HEALTHCARE SOLUTIONS HealthCarePartners NY IPA Healthcares Finest Ntwrk HealthChoice of Arizona Healthe Options of Illinois Healthfirst Inc Healthfirst Tyler TX HealthGroup Limited HealthGuard of Lancaster HealthLink Open Access HealthNet Commercial HealthNet Gov’t Program Healthnet Claims HealthNetOfTheNortheast HealthPlan Services Healthplex HEALTHPLUS OF LOUISIANA HealthPlus of Michigan HealthSCOPE Benefits Inc HealthSelect BCBS of Florida Healthshare HealthSmart HealthSmart MSO PayerID 59087 96475 nouse 95568 38309 65062 04286 55204 HPAMN CX009 80142 62157 20270 37221 52563 CPP07 44273 11324 HSIPA 20896 41150 37290 36332 27008 EPF37 HCP01 20501 56731 73147 11328 36335 62179 NAHOI 80141 75234 23274 23226 90001 HND1 HND2 95567 06108 59140 11271 95009 38216 71063 M3IL1 HSHAR 75250 HSM01 HCFA X X X X X X X X UB X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name HealthSpan HealthSpring of Alabama Healthy Equation Healthy Families Program Healthy Palm Beaches Inc Heavy & General Laborers Heavy & General Labors Fund of NJ Heritage Consultants Inc HIGH DESERT PRIMARY CARE Highline MSO Highline MSO - PSHP HighMark Highmark - Key Family Highmark Pennsylvania Hill Physicians Med Grp Hillcrest Benefit Administrators Hinsdale Physicians Healthcare HIP of Greater NY HMA - Health Management Admin HMAA-HAWAII MGMT ALL ASSOC Holy Cross Health Partners Hometown Health Network Hometown Health Providers Hoosier Dental HORIZON HEALTH CARE OF NJ HOSPITAL BENEFITS HPS PARADIGM HPSM Encounters HRM Claim Management Hudson Health Plan Human Behavior Institute Humana Claims Humana Delegated Encounters Humana Encounters ONLY Humana Health Plans of Ohio Humana Ohio 2 Humana Veterans Healthcare Services Humboldt Del Norte Hunt Insurance Group Hutchinson Technology I E Shaffer (west Trenton NJ) I U Medical Group Primary Care IATSE Atlanta Health & Welfare ICare Health Options ICON Benefit Admins IHG Direct Illinicare Behavioral Health Illinicare Group Health Illinois Casualty (CorVel) Illinois Health Plans (IHP) Illinois Health Solutions PayerID HSPAN 63092 HLTHQ CPPCA 95827 HGL01 HGL99 59230 33069 91164 91161 37323 35145 54771 HIL01 59347 36385 55247 39044 48330 NAHLX 88023 88537 CX015 22326 37274 58227 HPSME 41170 13335 HBI01 61101 61105 61102 95348 Z0005 61160 HDNFC 37260 WZ919 22175 SX172 IAT99 26054 75185 75274 68065 68066 15571 DMG01 86069 HCFA X X X UB X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name IMcare IMS Management Svcs - Texas IMSCO Health Systems IMX Easy INDECS Corporation Independence BluCross&BluChoice-IBC Independence Blue Cross Independent Care Health Plan Independent Health Indiana ProHealth Network Indiana Tmstrs HlthBenesFund-Indianapo Informed Ingalls Provider Group Injured Workers Insurance Fund Inland Health Organization Innovante Benefit Administrator Innovative Healthware Sol INS HEALTH SERVICES Insurance Admn of America Insurance Design Admind INSURANCE MANAGEMENT SERVICES Insurance Management Services (TX) Insurers Administrative Corp Integra Administrative Grp-Seaford-DE Integra Group Integra Group-CHA Integral Quality Care INTEGRANET Integrant-SelectCare of Texas Integrated Medical Solutions Integrated Mental Health Service Inter-Americas Insurance InterCare Health Plans Interface EAP (IEAP) Intergroup Services Corporation Internation Medical Group (IMG) International Funding Limited INTERNATIONAL MEDICA GROUP INC Interwest Health Intl Union -OperatingEngineers-Local Iowa Health Solutions J.F. Molloy & Associates Jackson Memorial Health Plan (FL) Jai Medical Systems Jefferson Pilot Financial Jenkins & Associates JMH Health Plan Medicaid HMO JMH Medicare Advantage John Alden Life John Deere Health Care John Muir Health Network PayerID 41600 12T64 37319 86070 40585 12X26 54704 11695 95308 35161 35107 52196 NAING 52212 IHORG 31172 04320 VAICE 37279 13315 88006 IMSMS IAC01 51020 31127 31129 23229 INET1 74314 20050 68053 92649 37227 60280 23287 12T61 39182 IMGIN 84137 37269 86068 JFMOL 05014 JAI01 JPF01 JEN99 16001 59171 41099 95378 JMH01 HCFA X X X X X X X X X X X X X X X X UB X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name John Muir Trauma Physicians Johns Hopkins Healthcare Johns Hopkins Healthcare (USFHP) Joplin Claims JP FARLEY JP Specialities JSL Administrators Kaiser CSI KAISER FNDTN HLTH PL MID Kaiser Foundation GA Kaiser Foundation Health Plan of Ohio Kaiser foundation NW Kaiser of CO Kaiser of Colorado Springs Kaiser Permanente - North Kaiser Permanente CA Kanawha Healthcare Kane County IPA Katy Medical Keenan & Associates KELSEY SEYBOLD Kemper UniTrin Auto and Home Kemper UniTrin Safeguard Ins Compan KEMPTON COMPANY Kentucky Spirit Behavioral Health Kentucky Spirit Health Plan Kern County Healthy Kids Kern Family Health Care Kern Medical Center Health Plan Key Benefit Administrator Key Insurance Plan Key Select Keystone Mercy KHP East Kings County Healthy Kids Klais & Company Repricing Klais n Company Korean American Medical Group KPS Healthplans Lafayette Consolidated Government Lakewood IPA LANDMARK HEALTH CARE Lawndale Christian Health Center LBA Health Plans Leisure World Managed Care Leon Medical Center Health Plan Liberty Health Advantage Liberty Union Life Invst Ins-America-Long Term Care Life Strategies Life Trac PayerID 68013 52189 52123 43178 34136 12T47 37272 94320 52095 NG010 KS005 NW002 COKSR KSRCS 94135 94134 57038 KCIPA KMG11 KEE01 KELSE 16063 40703 73100 68068 68067 CPP09 77039 KMCHP 37217 KEYIP 37321 23284 95056 CPP10 3414A 34145 KAMG1 KPS01 71037 LIPAZ LNDMK 36333 52193 LWMC1 65055 87071 37281 12T39 33053 41136 HCFA X X X X X X X X X X X X X X X X X X X X X X X X X UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Lifeprint Linden Oaks Behavioral Health Linn County LIPA-Agate Resources LIPA-AGATE RESOURCES HCFA Little Company of Mary LOMA LINDA UNIV MANAGED CARE LOMA LINDA UNIV MED CENTR Louisiana Carpenters Health Fund Louisiana Carpenters Welfare Fund Louisiana Laborers Health & Welfare Lovelace Salud Medicaid Lovelace Sandia MACNEAL HEALTH PROVIDERS - CHS Magellan Behavioral Hlth Magellan Behavioral Hlth -Case Rate MAGNACARE Magnolia Health Plan MAKSIN MANAGEMENT CORP MAMSI MAMSI LIFE AND HEALTH INS Managed Care of North America FL Managed Care of North America KY MANAGED CARE SERVICES Managed Health Services Wisconsin Management Applied Programming Manatee Service Center-Bradenton FL March Vision Care Marin IPA Martins Point Marvin Maryland Health Insurance Plan Maryland Physicians Care Mashantucket Pequot Tribal Nation Mass. Bay Ins Company- CorVel MASTERS MATES AND PILOTS PLAN Masters Mates and Pilots Program MAYO MEDICAL PLAN MBA of Wyoming MBS-Formerly MedCost Benefit Services McLaren ABW - NHP McLaren ABW - THPC McLaren Health Advantage McLaren Health Plan McLaren Medicaid MD Anderson Physician Network Mdwis- HIP Mdwise Hoosier Alliance Med Bene Admins Inc-dba MBA of MD MED SOLUTIONS MedCom PayerID LIFE1 LOBH1 75283 12T59 LIPA1 LCM01 33036 37267 72068 72602 72603 SX159 90328 36334 01260 MBHCR 11303 68062 22195 CX033 52148 65030 CX091 35162 39187 MAP01 41555 52461 IP097 MPHC1 47703 22347 00247 37121 10714 MMPHB 12T52 41154 87065 56205 3833N 3833T 3833A 38338 3833C MDAPN MDWIS 20475 37298 62160 59231 HCFA X X X X X X X X X X X X X X X X X X UB X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name MED-COST INC MedDirect Medfocus Medica Health Care Plan MEDICA HEALTH PLAN Medicaid Alabama Medicaid Alaska Medicaid Arizona Medicaid Arkansas Medicaid Colorado Medicaid Colorado Behavioral Health Medicaid Connecticut Medicaid Delaware Medicaid District of Columbia Medicaid Florida Medicaid Georgia Medicaid Hawaii Medicaid Idaho Medicaid Illinois Medicaid Indiana Medicaid Iowa Medicaid Kansas Medicaid Kentucky Medicaid Maine Medicaid Maryland Medicaid Maryland PMHS Medicaid Massachusetts Medicaid Massachusetts MBHP Medicaid Michigan Medicaid Minnesota Medicaid Mississippi Medicaid Missouri Medicaid Montana Medicaid Nebraska Medicaid New Hampshire Medicaid New Mexico Medicaid New York Medicaid North Carolina Medicaid North Dakota Medicaid NV Medicaid of Kentucky (Doral Dental Medicaid Ohio Medicaid Oklahoma Medicaid Pennsylvania Medicaid Rhode Island Medicaid South Carolina Medicaid South Dakota MEDICAID TX PREMIER PLAN Medicaid Vermont Medicaid Virginia Medicaid Washington PayerID 56162 38353 95321 78857 94265 MCDAL MCDAK MCDAZ MCDAR 77016 MCCOB MCDCT MCDDE 77033 77027 77034 MCDHI MCDID MCDIL MCDIN 18049 MCDKS MCDKY MCDME MCDMD 77062 MCDMA MCMAB 00111 MCDMN 77032 MCDMO MCDMT MCDNE MCDNH NMMAD MCDNY NCXIX MCDND MC008 CKKY3 MCDOH MCDOK MCDPA MCDRI SCXIX MCDSD EPF02 MCDVT MCDVA MC006 HCFA X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X UB X Dental X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Medicaid West Virginia Medicaid Wisconsin Medicaid Wyoming Medical Benefits Admin Medical Benefits Mutual Medical Control Inc MEDICAL DEVELOPMENT INTL Medical Mutual Medical Mutual of Ohio Medical Network of Colorado Springs Medical Reimbursements of America Medical Resource Network (MRN) Medical Services Initiative Medicare Alabama Medicare Alaska Medicare Arizona Medicare Arkansas Medicare CA North Medicare CA South Medicare California Medicare Colorado Medicare Connecticut Medicare Delaware Medicare District of Columbia Medicare Florida Medicare Georgia Medicare Hawaii Medicare Idaho Medicare Illinois Medicare Indiana Medicare Iowa Medicare Kansas Medicare Kentucky Medicare Louisiana Medicare Maine Medicare Maryland Medicare Massachusetts Medicare Michigan Medicare Minnesota Medicare Mississippi Medicare Missouri Medicare Montana Medicare Nebraska Medicare Nevada Medicare New Hampshire Medicare New Jersey (Highmark) Medicare New Mexico Medicare North Carolina Medicare North Dakota Medicare Northern Virginia Medicare Ohio PayerID MCDWV MCDWI 77046 MBA01 74323 75229 52181 BC004 29076 CSMED 62177 58203 IP186 10102 MR010 MR008 MR086 MR001 MR002 MR005 MR004 13102 00902 00903 MR025 10202 MR057 MR003 00952 MR089 05102 05202 15102 00528 14102 00901 14202 00953 00954 00512 05302 MR087 00655 MR007 14302 12402 04202 11502 MR083 12202 15202 HCFA X X X X X X X X UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Medicare Oklahoma Medicare Oregon Medicare Pennsylvania Medicare Queens NY Medicare Rhode Island Medicare South Carolina Medicare South Dakota Medicare Tennessee Medicare Texas Direct Trail Blazer Medicare Upstate NY Part B Medicare Utah Medicare Vermont Medicare Virgin Islands Medicare Virginia Medicare Washington Medicare West Virginia Medicare Wisconsin Medicare Wyoming Medigold PPO MedPartners Administrative Services MedPay Assurance MedStar Physician Partners MEGA LIFE & HEALTH 2 MEMIC MEMORIAL CLINICAL ASSOCIATES Memorial HealthCare IPA Memorial Hermann Health Net-Providers MEMORIAL HERMANN HLTH NET Memorial Integrated Healthcare Mental Health Network MHNet Merced County Healthy Kids Mercy Health Plan Meridian Health Plan METCARE HEALTH PLANS Methodist First Choice Metlife (Dental) Metro Plus Health Plan Metropolitan Health Plan Metropolitan Health Plan (UB) MHN Managed Health Networ Michael Reese Physicians Group Mid Rogue Oregon Health Plan MIDLAND CHOICE Midwest FamilyMutual (CorVel) MIDWEST GROUP BENEFITS Midwest Health Partners Midwest National Life Midwest Security Midwest Security (Dental) Mills Peninsula Health Services Mills Peninsula Med Grp PayerID 00522 MR011 12502 13292 14402 11202 MR084 MR034 MR085 13282 MR046 14502 09302 11302 MR006 11402 00951 MR074 13123 35205 MP001 00243 59227 01047 MCA11 MHIPA 12T40 MHHNP 59065 74289 CPP11 MER11 13189 65113 23550 65978 13265 MHP01 10850 22771 37127 MRIPA 47080 23574 61146 MHP77 59224 79480 79048 MPHS1 MPMG1 HCFA X X X X X X X X X X X X X X X X X X X X X X X X X X X X UB X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name MIPS Mississippi Select Health Care Missoula County Medical Bene Plan Missouri Care-MC Mitsui Sumitomo Insurance Group Mitsui Sumitomo Insurance USA Inc. MLink Mngd Hlth Srvcs Ind-Medicaid HMO MOLINA HEALTH CARE MICH Molina Healthcare (WA) Molina Healthcare of CA Molina Healthcare of Florida Molina Healthcare of Missouri Molina Healthcare of Nevada Molina Healthcare of New Mexico Molina Healthcare of Ohio Molina Healthcare of Texas Molina New Mexico Molina of Indiana MONARCH CA Mondial Assistance Montefiore Contract Mmgt Org Morris Associates Motion Picture Industry Mountain States Mountain States Admin (CO only) MPA-Custom Provider Network MPEEBT MPLAN (Medicaid) MPLAN Inc-HealthCare Group LLC MT. CARMEL HEALTH PLAN Multiplan Inc for American Family Multiplan Wisconsin PPN Mutual Assurance Mutual Of Omaha Mutual of Omaha Dental MVP SELECT CARE INC NAA North America Admin LP (TN) NALC Health Benefits NAMM Partners Inc N-A-M-M So Cal NAPERVILLE HEALTH CARE NHCA1 Naperville HealthCare-THIN National American Insurance Co National Benefit Admin NC National Benefit Administ NATIONAL FINANCIAL INS CO NATIONAL FOUNDATION LIFE INS National Health Administrators National Healthcare Exchange National Imaging Associates PayerID 05018 64088 37275 43179 20362 22551 37265 39186 38334 38336 38333 51062 71079 20676 NM505 20149 20554 04423 00076 IP095 50749 13174 35092 MPI01 86040 MTNST 80900 37233 35177 95444 95655 39634 34080 37256 71412 CX087 14165 65085 53011 NANPR IP079 NHCA1 12T26 23663 56176 56175 90956 98205 NHAIN 37231 NIA11 HCFA X X X X X X X X X X X X X X X X X UB X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name National Pacific Dental (CA) National Pacific Dental (TX) National Telecom Coop Assoc (NTCA) National Telecs Coop Assoc Nationwide Insurance NC Department of Public Instruction NCAS NCAS Fairfax VA Neighborborhood Health Partnership Neighborhood Health Plan Neighborhood Health Plan of Rhode Island Neighborhood Health Prov Neighborhood HP FL Nesika Health Group Netcare Life and Hlth Ins Network Health Network Health Insurance - Medicare Network Health Plan of Wisconsin Network Health Plan Wisconsin Nevada Dental Benifits Nevada Pacific Dental New England Dental Administrators New England Financial New Era Employee Welfare Benefit NEW ERA LIFE INS CO New Source Benefits LLC New West Health Plan New York Network Management New York Presbyterian Sys Slct Hlth NEWMARKET DIMENSIONS NGS American NHC Health Benefit Plan Nippon Life NJ Carpernters HealthFund North American Admin North American Benefits North Broward Hosp Distri North Texas Healthcare Network Northern Illinois Health Plan Northern Minnesota Dental Northshore Physician Associates Northwest Community Health Partners Northwest Diagnostic Clinic Northwest Physicians Network Northwest Suburban IPA (Illinois) Nova Novanet NOVASYS HEALTH NETWRK NYHART Oak West Primary Physician Assoc Ohio AFSCME Care Plan PayerID DX072 DX017 52103 52104 31417 E9109 75191 75190 96107 04293 05047 11325 95123 37255 66055 04332 77076 39144 39111 NDB01 DX101 43351 66893 76031 75281 37312 84141 11334 24819 65056 38225 62124 81264 22603 64157 34159 37314 35212 36347 LX062 48026 NANWC NWDC1 NPN11 36346 16644 06226 71080 37299 NAOAK OAC01 HCFA UB X X X X X X X X X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Ohio Farmers Ohio Health Choice PPO Ohio Health Group OK State Employees & Educators EDS Old Guard Olympus Managed Health Care (OMHC) Omnicare A Coventry Health Plan One Call Medical One Health Plan CO One Healthplan OneCare Behavioral Health - Encounters Operating Engineers Trust Opti Choice Carolinas Optimum Healthcare OREGON DHS OMAP Orthonet- Aetna Orthonet Corporation - CIGNA ORTHONET-HEALTHNET Orthonet-Uniformed Services Family Health OSF Health Plans OSMA Health - C. L. Frates OXFORD HEALTH PLANS P.R.I.M.E. Benefit Systems Inc. P5E HEALTH SERVICES INC Pacific Source Pacific Source Medicare Pacific Union Dental (CA) Pacificare CA Pacificare Encounters Pacificare of Arizona - Claims Pacificare of Colorado Pacificare of Colorado - Claims Pacificare PPO PAI Paragon Benefits Inc Paramount Health Care PARITY HEALTHCARE PARKLAND HEATHFIRST TXSTR Partners National Health Plans NC Partnership HP of CA (PHC) Partnership HP of CA Healthy Kids Passport Advantage Passport Health Plan Patient Advocates LLC Paul Revere Provident Pavers & Road Builders Welfare Fund PCA HEALTH PLAN Peach State Health Plan Pediatric Associates Pekin Insurance Penn Millers Insurance PayerID 24104 34189 95435 22521 17558 65074 25150 22321 95412 95379 ONECR 91136 52152 20133 ORDHS 13383 13381 25681 13382 OSFIL 73071 06111 DX106 87068 93029 20377 DX066 95959 95958 95964 95962 COFHP 95999 37287 58174 PARHC 58204 66917 56152 CPP08 CPP03 76569 61129 10525 47009 PRW99 65018 68049 20472 37086 14982 HCFA X X X X X X X X X X X X X X X X X X X X X UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Peoples Health Network Pharmacist Mutual Insurance Co. PHCS Savility Payers PHOENIX HEALTH PLAN Phoenix Home Life PHP MID Michigan PHYSICAINS CARE (CA) Physician Health Partners PHYSICIAN HEALTHCARE PLAN Physicians Alliance - SRR IPA Physicians Alliance Network Physicians Care Net The Polyclinic Physicians Care Network-Rockford-IL only Physicians Data Trust Physicians Health Association of Illinois Physicians Health Choice - claims Physicians Health Collaborative Physicians Health Plan (PHP) - SC Physicians Health Plan (PHP) - TennCare Physicians Health Plan of Northern Indiana PHYSICIANS MUTUAL Physicians Mutual (Dental) PHYSICIANS PLUS HEALTH Physicians United Plan Piedmont Behavioral Health Pinnacle Physician Management Pinnacol Assurance Pioneer Provider Network Pittman and Associates Pivotal Plan Plasterers & Cement Masons Fund Plumbers Health & Welfare Podiatry First Podiatry Network Florida POMCO NY PPO Oklahoma PPO Plus LLC PPOM Practicare Inc PRAIRIE STATES PREFERRED ADMINISTRATOR PREFERRED BENEFIT ADMIN Preferred Benefit Admins Preferred Benefits Administrator Preferred Blue of South Carolina PREFERRED CARE PARTNERS Preferred Community Choic PREFERRED HEALTH PLAN Preferred Health Professionals Preferred IPA Preferred Network Access Inc PayerID 72126 13714 13306 03440 67814 37330 57098 PHPMC 65031 15749 IP054 PCN12 36345 PDT01 37136 PHCS1 20398 09173 62155 12399 47027 CX068 39156 10775 06607 PPMO1 84109 PPNZZ 37224 64160 PCM99 72045 POD1S 59324 16111 73159 72148 38335 04334 36373 EPF10 60110 53476 61665 00481 65088 73145 61106 31478 PFIPA 36401 HCFA X X X X UB X X X X X X X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Preferred One PREMERA BLUE CROSS Premera LWHP OR Premier Access Insurance Company Premier Dental Plan of Minnesota Premier Health Systems PremierCare IPA PRESBYTERIAN HEALTH PLAN Presbyterian Salud (NM) Prestige Health Choice Prevea Health Plan Primary Care Associates of CA Primary Health Network Primary Health Plan Primary Physician Care Primary Provider Mngmnt Loopback Prime Vision Health PrimeWest Dental PrimeWest Health Systems PRINCETON PREMIER IPA Principal Life Insurance Priority Health Prism Health Networks PROCARE HP (detroit MI) Professional Bene Admins-Winter Park Professional Benefit Admn Professional Claims Mngmt Professional Risk Management Promed Citrus Valley Cal Net ProMed HealthCare Prospect Medical Group Protective Insurance PROTECTIVE LIFE INSURANCE Providence Health Plan PROVIDENCE PREFERRED PPO PSN - Florida Medicaid Puget Sound Health Partners Inc Pyschcare LLC QUAD-MED CLAIMS QUALCARE INC Quality Choice of Arkansa Quality Health Plans of Florida Quality Health Plans of New York Quick Trip Corporation Quincy Health Care Management Inc QVI Risk Solutions Inc R E Harrington Inc Railroad Medicare Ramsey County (CorVel) Regence BSID Regence BSID Dental PayerID 41147 00430 93093 CX078 CX029 90440 AMM09 PREHP PRESA 45056 39185 PCACZ 82048 PRIME 56144 PPMXX 56190 LX049 61604 PRI01 61271 38217 37268 38329 59296 36331 37242 34134 IP055 IP057 PROSP 12416 37309 PHP01 PHP00 09822 42172 51052 39197 23342 35174 59375 QHPNY 73067 37129 57117 95266 MR018 E9361 00611 61100 HCFA X X X UB X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Regence BSOR Regence BSOR Dental Regence BSUT Regence BSWA Regence BSWA Dental Regency Employee Benefits Regional Care Inc Rehn and Associates Reliance Standard Life RENASSAINCE RIVEROAKS BLUE RENASSAINCE-RIVER OAKS Republic Western Ins. Co Reserve National Insurance Resolve Health Plan Administrators Resurrection Physicians Group Right Choice Benefit Administrators RISK BENEFIT MNG SVC Risk Enterprise Mgmt (CorVel) Riverbend Medicare Riverside Medical Clinic RMSCO Inc Rocky Mountain Health Plan ROCKY MOUNTAIN HEALTH PLN Rush Prudential Health Plans-HMO Only RWDSU Benefit Fund S&S Healthcare Strategies SafeGuard Sagamore Health Network SAINT BARNABAS SYSTEM HL Saint Louis County (CorVel) Saint Marys Health Plan SAMBA San Diego Cnty Phys Emergency Svcs San Diego County Coverage Initiativ San Diego County Medical Services San Diego County Primary Care Srv San Diego County Ryan White Care Ac San Diego Neighborhood House Assoc San Francisco Healthy Kids San Joaquin Health Administrators San Mateo Healthy Kids Sanford Health Plan Santa Barbara Select Sante Advantek SANTE COMMUNITY PHYS SCAN Encounters SCAN Health Plan SCAN Health Plan - Arizona Schaller Anderson CHOC HA SCHC Total Care Inc Scion Dental PayerID 00851 85100 00910 00932 93200 38221 47076 REHNA 68381 RENRB RENRO 74508 73066 20481 RPPG1 37331 91176 T0578 10301 RMC01 16117 84065 RMHMO 36389 63070 31441 CX030 35164 22240 E9080 88029 37259 MSO22 MSO77 MSO11 MSO44 MSO33 CPP04 CPP05 68035 CPP06 SVH01 SBIPA ADVTK SNT01 SCANE SCAN1 SCAN2 SCH01 16146 SCION HCFA X UB X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Scott & White Health Care Plan Seaview IPA SECURE HEALTH PLANS OF GA SecureCare of Iowa SECURITY HEALTH PLAN SeeChange Health Plan Select Benefit Admin SELECT BENEFIT ADMIN (DM) Select Benefit Administrators OR Select Care Dental SELECT CARE OF OKLAHOMA-TRIBUTE Select Health of South Carolina Select Senior Clinic SELECTCARE Self Insured Benefit Admins-Clearwater-F Self Insured Plans LLC Self-Funded Plans Inc Senior Whole Health Sentinel Management Services SENTRY INSURANCE CO Seoul Medical Group Service Lloyds InsCo (CorVel) Seton Employee Plan Seton Health Plan - CHIP Seton Health Plan - Exclusive HCFA Seton Health Plan Care Program Seton MAP Program Sharp Community Medical Group Sharp Encounters Sharp Healthcare Sharp Rees-Stealy Medical Group SHASTA ADMINSTRATIVE SVC Sheet Metal Workers Local 91 Sheet Metal Workers Local 91 Dental Sheffield Olson & McQueen Inc Shenandoah Life Insurance ShermanChoice Sierra Health Services Sierra Health Services (Encounters) Sierra Sacramento Valley Regional Signature Health Alliance Silver Cross Managed Care Org Simply Health Care Plan SINCLAIR HEALTH SERVICES Skyland Benefits Sloans Lake Managed Care SMITH ADMINISTRATORS Solstice Benefits South Carolina Healthy Connections South Central Preferred SouthCare Preferred PayerID 88030 SVIPA 28530 42142 39045 SCHP1 37282 42137 93031 DX215 SCOK1 23285 SSC11 00014 59111 36404 34131 83035 23249 39033 AMM07 43389 SHEBP SHPCH EPNSH SHCAR SHMAP SCMG1 SHP99 SHP01 SRS83 75280 12T50 SMW01 41143 SLI01 SC359 76342 76343 CPP02 62159 NASCR 27094 84076 20310 84096 02057 76578 CKSC1 32266 25147 HCFA X X X X X X X X UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name SoutheastTexas GovEmp Bene Pool Southern Benefit Services Southern CA Medical Coalition Southern Health Service Southland IPA SouthPoint Hotel and Casino Southwest BCBS of Florida Southwest Service Life Special Risk International SRI Spectrum Admin Inc TPA Spohn Health SRC - Strategic Resource Company (S SRS - Cargill Inc. (CorVel) SRS - Hilton Worldwide St Francis Medical Center St Johns Claim Admin St Lawrance Co Healthcare Plan St Marys IPA St Therese Physician Associates St. Joseph Heritage Healthcare ST. THOMAS MED NTWK GULFQUEST Standard Insurance STAR HRG INS State Farm Insurance State Fund Mutual Insurance State Health Plan of South Carolina State of Minnesota - DOER State of North Carolina WorkComp State of Texas Dental Plan States General Life Insurance Sterling Medicare Advantage Sterling Option One STIRLING - STIRLING INC Stoner and Associates (Cincinnati-OH) STOWE AND ASSOCIATES Summacare Health Plan HMO Summerlin Life & Health Insurance SUMMIT AMERICA INSURANCE Sun Health Sun Health Corp Sunshine State Health Plan SUPERIOR ADMINISTRATORS Superior Dental Care Superior Health - Centene Corp Superior Health Plan Superior Health Plan Texas SUTTER CONNECT ABN Sutter Connect East Bay SUTTER CONNECT PAMF SUTTER CONNECT SDMG SUTTER CONNECT SGMF PayerID 12T45 37318 AMM08 25128 SIPA1 35227 M3IL2 37266 52190 23253 SPOHN DX033 E9208 E9442 STFMC 37264 SLCH1 SMIPA 37116 STJOE STM01 93024 59225 31053 11347 00400 E1217 E9105 57254 75087 67829 91151 06089 31121 58128 95202 86071 37301 12X52 SX186 68057 23218 31117 SHP11 12T10 39188 SC006 SC020 SC050 SC018 SC003 HCFA X X X X X X X X X X UB X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name SUTTER CONNECT SIPSMGSWMG SUTTER CONNECT SRMGSRMF SUTTER CONNECT SRN SUTTER SELECT Sutter Senior Care Swedish Covenant Hospital Swedish Covenant Managed Care Tall Tree Administrators Tarrant Health Services TBG Administrative Services Team Choice - Alpha Care Gold Team Choice PNS Team Choice UMC TEXAN PLUSSLCTCARE TX KELSEY Texas Association of School Boards Texas Builders Insurance Co TEXAS CHILDRENS HEALTH PLAN Texas Childrens Health Plan (Medicaid) Texas First Healh Plans Texas First Health Plan Texas Medicaid & Healthcare Partnership Texas True Choice The Alliance THE BOON GROUP The City of Odessa The Ford Meter Box Company Inc The Health Plan - Ohio The Integrity Benefit Group Inc The Loomis Company THE MEGA LIFE HEALTH INS The Perfect Health Insurance Company Theraphysics Theraphysics Colorado Therapy Review Systems THIN - Fresenius Medical Care THIN - Life Investors Insurance THIN - New York Life THIN - Worksite Benefit Services Thomas H. Cooper TIG American Specialty Insurance Co TIG Insurance Co (CorVel) TIG Insurance Co of Texas TLC TML Intergov Emp Benefit Todays Health Todays Health Wisconsin Todays Option Tongass Timber Trust Torrance Memorial Medical TOTAL CARE NY Total Carolina Care PayerID SC004 SC016 SC008 SC025 SC028 36411 NASWD 88067 37228 39157 ADSL1 75133 75134 KLSY1 TTASB 27170 76048 75228 TX1ST TOPA1 TMHP1 TTCEC 88461 BOONG 75600 37305 34150 58200 23223 59221 13522 THERA COTHE 75305 FMCHP 12T67 12T69 12T75 00315 43184 25534 25461 TLC01 74214 WITH1 20081 48055 92620 TMMC1 TCARE 68055 HCFA X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m UB Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name Total Community Care TOTAL HEALTH CARE Total Plan Services Touchpoint Health Plan HMO Touchstone Health pPSO TOUCHSTONE-HEALTH SMRTCHC Tower Life Insurance Comp TR Paul Inc TrailBlazer J4901 TransAmerica Life Ins TransChoice-Key Benefit Administrators TRANSWESTERN INS ADMIN INC Travis County Hospital District MAP Trellis Health Partners TriCare for Life TRICARE NORTH REGION CLAIMS Tricare Overseas Trihealth Phys Solutions Concern TRLHN AS True Benefits Administrators TRUE CHOICE USA TRUE CHOICE USA-CRSTS HLTHPLN TRUSTEED PLANS SVC CORP TrustMark Tufts Health Plan TX Premier Plan - Medicaid-THIN UCare UCare Minnesota UCMN - Untd Behav Hlth-HlthPlan-HMO UFCW (Local Food & Commercial Worke UMR Cincinnati Repricing Umwa Health & Retirement UNICARE UNICARE UNICARE UNICARE Unified Health ServicesWC Unified Physicians Network Uniform Medical Plan Uniformed Services Family Union Construction Workers' Comp Pr Union Pacific Railroad Union Security Insurance UNITED BENEFITS United Care Medical Group United Concordia - Dental Plus - PA United Concordia - Fee-For-Service United Concordia - FMDP (Champus) United Furniture Workers Insurance United Healthcare United Life PayerID 31182 38201 41202 97910 23856 13402 69493 37230 04901 59222 37284 TRAN1 TCHD1 36397 TDDIR 57106 FOREN 31143 98514 37875 TCUSA TCUCH 91078 61425 04298 RPF02 52629 SX178 33056 A5205 UMRC1 52180 80314 80314 80314 80314 62170 34638 75243 13407 E7583 87042 70408 59069 ADCUC 99997 99994 99995 WFWIF 87726 74227 HCFA X X X X X X X X X X X X X X X X X X X X X X X UB X X X X X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name United Medical Alliance United Medical Resources United Medical Resources (Dental) UNITED RESOUCE NETWORK Unity Health Insurance UNIVERA Univera Healthcare Univera Healthcare CNY Univera Healthcare PPO Univera Healthcare SSA ENY Univera Healthcare WNY Univera Hlthcr SSA WNYPPOTrdnl UNIVERSAL CARE CAL OPTIMA Universal Health Care Inc UNIVERSITY FAMILY CARE University Family Care - Maricopa Health Plan University Health Alliance University of IL at Chicago DSCC University Physicians HC Group Upland Medical Group UPMC Health Plan Upper Peninsula Health Group UpperPeninsulaHealthPlan US BENEFITS 13190 US Department of Labor US Department of Labor - Black Lung US Department of Labor - Energy US Family Health Plan US Imaging Network US Imaging Network II USAA VA Fee Basis Programs VA Financial Services Center Valley Baptist Helath Plan Valley Care IPA Valley Care Select IPA Valley Health Plan (Commercial) Valley Health Plan (Medicaid) Value Options VANTAGE PRO Verity National Group Vida Care Village Family Practice Virginia Premier Gold Virginia Premier Gold Hospital Virginia Premier Health Plan Virginia Premier Health Plan - Hosp Vista Health Plan Viva Health Plan VNS Choice Medicare Volusia Health Network PayerID 84132 31107 33108 41194 66705 37315 16107 12x17 UNINW 12x20 12X19 12X18 33001 50528 09830 09908 UHA01 37601 07503 IP056 23281 37324 38337 93092 77044 77104 77103 USFHP 50383 USI01 74095 12115 VAFSC 12T06 VCIPA VSIPA VHP01 VHP02 VALOP 72128 75256 24818 VFP11 SX198 12M86 54176 12K83 55248 63114 77073 59266 HCFA X X UB X X X X X X X Dental X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X X X X X X X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151 Payer Name VYTRA HEALTH PLANS W.C. Beeler & Company Waterstone Benefit Administrators Wausau Insurance WEA INSURANCE WEB TPA Weiss Health Providers Wellcare Choice Wellmed Medical (Claims) Wellmed Medical Management Wellpoint Dental Services WELS Benefit Plan Office Western Benefits (Western Grocers) Western Health Advantage Western Highlands Network Western Mutual Insurance Western National Assurance Western National Mutual Western Ntnl- Pioneer (CorVel) WESTERN SOUTHRN FINANCIAL Westlake Financial Group Weyco Inc William C Earhart William J. Sutton & Company Willis Corroon Admin Svc Wilson-McShane Win Health Windsor Medicare Extra Wisconsin Auto and Truck Dealers Wisconsin Physicians Service Ins Co Worksite Benefit Services LLC World Insurance Company WPS - Tricare WPS COMMERCIAL Writers Guild Yavapai County ZebraHealth PayerID 22264 62111 73155 39026 39151 75261 36337 M3FL4 WELM2 WELMD 47198 22925 93128 68039 WHLME 37247 13005 15865 39137 31048 90560 38232 93050 98010 62061 41095 13413 62153 39200 12X29 20333 75276 WPSTC WPS01 23710 09829 88858 HCFA X X X X X X X X X X UB X X X X X X X X X X X X X X X X X X X X X X X X X Dental X X X X X X X X X O ff ic e A l ly | P .O . B o x 87202 0 | Vancou ver, WA 9868 7 www.officeally .c o m X X X X X X X X X X X X X Phone: 866‐575‐4120 Fax: 360‐896‐2151
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