CLAIMS & REMITS PAYER LIST 02/08/2018 2ndary ENR 2ndary

Transcription

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/20181199 National Benefit Fund1st Medical Network - Atlanta GA1st MN--Atlanta GA21st Century Health and Benefits3P ADMINA & I Benefit Plan AdministratorsA.G.I.A. Inc.AAG Benefit Plan Administrators Inc.AAG-American Administravie Group ( Formerly Icon Benefit Admin)AARP Medicare Supplement PlansAARP MedicareComplete through UnitedHealthcare/AARP MedicareCompleteAbrazo Advantage Health PlanAbsolute Total CareAccess Medical GroupAccess MedicareAcclaimAccountable Healthcare IPA (AHCIPA)ACMGACS Benefit Services Inc.Activa Benefit Services LLCAdaptis (remits only)Administration Systems Research CorporationAdministrative Concepts Inc.Administrative Services Inc.ADVANCED DATA SOLUTIONSAdvanced Health SystemsAdvantage by Bridgeway Health SolutionsAdvantage by Buckeye Community Health PlanAdvantage by Managed Health ServicesAdvantage by Peach StateAdvantage by Sunshine StateAdvantage by Superior HealthPlanAdvantage Care IPAAdvantage Health SolutionsAdvantek Benefit AdministratorsADVANTICA BENEFITSAdvanzeon SolutionsAdventist Health System West - Roseville CAAdvicare (for claims with DOS prior to 9/1/16)Advocate Medical Group - AMG (Legacy AHC)Advocate Physician PartnersAetnaPayer 509360054Page 1 of YYnananaYnaYnaYYYNNNNYYYYYYYYNNYNNNNNYPayer YnaYYnanaYnaYnaYnanaYYYYYYYnananaYnaYnaYYY

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018Aetna Affordable Health Choices (SM) - SRCAetna Better Health - PA MedicaidAetna Better Health of IllinoisAetna Better Health of KentuckyAetna Better Health of LouisianaAetna Better Health of MichiganAetna Better Health of MissouriAetna Better Health of Nebraska (for claims with DOS prior to 1/1/17)Aetna Better Health of New JerseyAetna Better Health of NYAetna Better Health of OhioAetna Better Health of PennsylvaniaAetna Better Health of VirginiaAetna Better Health of West VirginiaAetna Better Health Premier Plan (JVHL)Aetna MedicareAetna TX Medicaid & CHIPAetna U.S.Healthcare (JVHL)Aetna-American Continental Insurance Company (remits only)Affiliated Doctor's of Orange CountyAffilliated Physicians GroupAffinity EssentialsAffinity Health PlanAFFINITY MEDICAL GROUPAffinity Medicare AdvantageAffordable Benefit Administrators Inc.AFTRA Health Fund (claims with DOS on or after 1/1/2015)AGAAgate Resources Inc. (LIPA)Agency Services IncAHPO (Cleveland OH)Alabama MedicaidAlamitos IPAAlaska Carpenters TrustAlaska Children's Services Inc.Alaska Electrical Trust FundsAlaska Laborers Construction Industry TrustAlaska MedicaidAlaska MedicareAlaska Pipe Trades Local 375Alaska United Food & Commercial Workers Health & Welfare TrustAlexian Brothers Community Services of TNPROFESSIONALPayer 23NNNNNNnananaPage 2 of 52Payer K0911369113644423YNNNYNNNYnanana

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018ALICAREAlignment HealthcareAll Savers/UHCAllcare PEBBAllegian AdvantageAllegian ChoiceAllegian Health PlanAllegiance Benefit Plan Management Inc.Alliance Behavioral HealthAlliance IPAAlliant Health Plans of GeorgiaAllianz Global AssistanceAllied Benefit SystemsAlpha Care Medical GroupAlta Bates Medical GroupALTA Health StrategiesAltius Health PlansAlvarado IPAAMA Insurance AgencyAmalgamated LifeAmalgamated Life - PA / AlicareAmbay Health NetworkAmbetter of IllinoisAMCOAmeraPlanAmeriBen Solutions Inc.Americaid Community Care (New Jersey)American Administrative GroupAmerican BehavioralAmerican Benefit Plan AdministratorsAmerican Community Mutual InsuranceAmerican Family InsuranceAmerican Family Medicare Sup and PPO Policies Administered by Am RepAmerican Fidelity Assurance CompanyAmerican GeneralAmerican Healthcare AllianceAmerican HeritageAmerican Income Life Insurance Company (remits only)American Insurance Administrators (AIA) (remits only)American National Ins. Co. (ANICO)American Postal Workers Union Health PlanAmerican Progressive Life and Health Insurance CompanyPROFESSIONALPayer 6119740484444448055nanaNNNnanaNNNYYYYYPage 3 of 52Payer YYnaYYnanaYnaYYnanananaYnaYnaYYnaYYYYY

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018American Republic InsuranceAmerican Sentinel Co.American Specialty Health PlansAmerican Trust Administrators Inc.American Worker Health PlanAmericas 1st Choice Health Plans of South Carolina Inc.Americas 1st Choice of South Carolina, IncAmerica's Choice Health PlansAmerica's PPOAmerica's TPAAmeriChoice by UnitedHealthcare-New York (remits only)Americhoice Maryland and Washington (remits only)Amerigroup Community CareAmerigroup CorporationAmerigroup FloridaAmerigroup IllinoisAmerigroup OhioAmeriHealth AdministratorsAmeriHealth Administrators (BCBS) (remits only)AmeriHealth Caritas IowaAmeriHealth Caritas PennsylvaniaAmerihealth Caritas VIP CareAmeriHealth Caritus VIP Care Plus (Michigan)AmeriHealth Delaware (Non-HMO)Amerihealth District of ColumbiaAmerihealth HMO NJ/DEAmeriHealth HMO of NJ and Delaware (remits only)AmeriHealth New Jersey (Non-HMO)AmeriHealth NorthEastAmeri-West Health AssociatesAmFirst Insurance Company (payer only accepts Secondary claims)Amida CareAmida Care MedicareAnchor Benefit Consulting Inc.Ancillary Benefit Services (ABS)Ancillary Care Services (remits only)Angeles IPAAntares Management SolutionsAnthem Blue Cross Blue Shield of ConnecticutAnthem Blue Cross Blue Shield of GeorgiaAnthem Blue Cross Blue Shield of IndianaAnthem Blue Cross Blue Shield of KentuckyPayer 2B11Page 4 of YYYYYYYYYYYYNYNYYYYYNNYYNYYYYYPayer YYnanaYYYYYnaYYYYYYnaYnanananaYnaYYYYY

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018Anthem Blue Cross Blue Shield of MaineAnthem Blue Cross Blue Shield of MissouriAnthem Blue Cross Blue Shield of NevadaAnthem Blue Cross Blue Shield of New HampshireAnthem Blue Cross Blue Shield of OhioAnthem Blue Cross Blue Shield of VirginiaAnthem Blue Cross Blue Shield of WisconsinAnthem Blue Cross of CaliforniaAnthem Blue Cross of ColoradoApex Benefit ServicesAraz GroupARC AdministratorsArcadian Management Services IncArch Health PartnersArgus Dental Plans, Inc.ARISEArizona Foundation for Medical Care (AFMC)Arizona MedicareArizona Priority Care PlusArkansas Best Corporation - Choice BenefitsArkansas MedicaidArkansas MedicareARM, Ltd.Arta Health NetworkASAGEHAAspen Medical AssociatesAspire Health PlanASRASR CorporationASR Health BenefitsASRM CorporationAssociates for Health Care Inc. (AHC)Assurant Health Self FundedAssured Benefits AdministratorsAsuris NW HealthAtlantic Medical InsuranceAtrio Health PlansAultCareAultCareAultra Administrative GroupAultra Administrative GroupAutomated Benefit ServicesPROFESSIONALPayer NnanaYnananaYnanaYYnaYnaYnaYYPage 5 of 52Payer nanaYnaYnaYNYYYYnananaYnananaYnanaYYnaYnaYnaYY

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018Automated Group Administration Inc.Auxiant (remits only)Avalon Administrative ServicesAvalon IPAAvera Health PlansAveraAdvantageAvesis Third Party AdministratorsAvMed Inc.AXA Assistance USAAzeros Health Plans Inc.Bakersfield Family Medical GroupBanker's LifeBanker's Life & Casualty (remits only)Banner HealthBanner Health AZBanner Health Co - ROCKY MOUNTAIN HMO GREELEYBanner Health Co. - ANTERO GREELEYBanner Health Co. - ANTERO HIGH PLAINSBanner Health Co. - ANTERO MOUNTAIN SHADOWSBanner Health Co. - CHOICE PLUSBanner Health Co. - HMO GREELEYBanner Health Co. - HMO HIGH PLAINSBanner Health Co. - HMO MOUNTAIN SHADOWSBanner Health Co. - PACIFICARE GREELEYBanner Health Co. - PACIFICARE HIGH PLAINSBanner Health Co. - PACIFICARE MOUNTAIN SHADOWSBanner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINSBanner Health Co. - SECURE HORIZONS GREELEYBanner Health Co. - SECURE HORIZONS HIGH PLAINSBanner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWSBaptist Health Plan AdvantageBasic PlusBaycare Life ManagementBCBS of AZ AdvantageBCBSM Medicare Plus Blue PPO (JVHL)BEACON HEALTH STRATEGIESBeaumont Employee Health Plan (JVHL)Behavioral Health SystemsBenefit & Risk Management ServicesBenefit Administrative SystemsBenefit Coordinators Corporation (Pittsburgh PA)Benefit Management Admin NNNNNYNYNNNNNnananaYYYYnanaYnaYPayer Code3728026202Page 6 of 52Payer YYYYYYYYYYYNYYYYNNNN

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018Benefit Management Group-NVBenefit Management Inc. of KSBenefit Management LLC/VBABENEFIT MANAGEMENT SERVICESBenefit Management Systems IncBenefit Plan AdministratorsBenefit Plan Administrators Co. (Eau Claire WI)Benefit Plan Administrators IncBenefit Systems & Services Inc.Ben-e-lect (remits only)BenesightBenesysBenesys Inc.Berkshire IntergroupBerkshire Lehigh PartnersBetter Health Plan of FloridaBetter Health Plans Inc.Better Health Plans of South CarolinaBlue Benefit Administrators of MABlue Care Network (BCN Commercial Labs) (JVHL)Blue Care Network (BCN Reimbursable Labs) (JVHL)Blue Care Network (JVHL Network) (JVHL)Blue Care Network Advantage of MichiganBlue Care Network of MichiganBlue Cross Blue Shield of AlabamaBlue Cross Blue Shield of ArizonaBlue Cross Blue Shield of ArkansasBlue Cross Blue Shield of DelawareBlue Cross Blue Shield of District of Columbia (Carefirst)Blue Cross Blue Shield of IllinoisBlue Cross Blue Shield of KansasBlue Cross Blue Shield of Kansas CityBlue Cross Blue Shield of LouisianaBlue Cross Blue Shield of Maryland (Carefirst)Blue Cross Blue Shield of MassachusettsBlue Cross Blue Shield of MichiganBlue Cross Blue Shield of MinnesotaBlue Cross Blue Shield of MississippiBlue Cross Blue Shield of Montana (remits only)Blue Cross Blue Shield of NebraskaBlue Cross Blue Shield of New MexicoBlue Cross Blue Shield of North CarolinaPayer 07600079012B23Page 7 of nananananananaYYYYYYYYYYYYYYYYYYYYYYYYPayer nananananananaYYYYYYYYYYYYYYYYYYYYYYYY

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018Blue Cross Blue Shield of OklahomaBlue Cross Blue Shield of Rhode IslandBlue Cross Blue Shield of South CarolinaBlue Cross Blue Shield of TennesseeBlue Cross Blue Shield of TexasBlue Cross Blue Shield of Texas - Medicaid STAR KidsBlue Cross Blue Shield of Texas - Medicaid STAR/CHIPBlue Cross Blue Shield of VermontBlue Cross Blue Shield of WyomingBlue Cross Community Health PlansBlue Cross Complete (JVHL)Blue Cross Medicare Advantage (IL, MT, NM, OK, TX)Blue Shield of CaliforniaBlueChoice HealthPlanBlueChoice HealthPlan Medicaid of South CarolinaBluegrass Family HealthBoilermakers National Health & Welfare FundBollinger, INC. - BOLLINGERBookMD IncBoon-Chapman Benefit Administrators Inc.Boston Health NetBrand New Day (FFS)Bravo HealthBravo Health Star PlusBridgeSpanBridgeway ArizonaBritCayBrodartBrokerage ConceptsBrookshire IPABroward HealthBrown & Toland Medical GroupBrown and Toland Health ServicesBrown and Toland Sutter SelectBuckeye Community HealthButler BenefitC&O Employees Hospital AssociationC. L. Frates & Co - OSMA HealthCal Care IPACal Care IPACalifornia Health and WellnessCalifornia IPAPROFESSIONALPayer ANYYYNNNNYNnananananaPage 8 of 52Payer aYYnaYYYYnananananaYnanaYnanananananana

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018California Medicaid (Medi-Cal)California MedicareCalifornia Medicare - Northern RegionCalifornia Medicare - Southern RegionCalifornia Pacific Medical CenterCalOptima DirectCannon Cochran Management Services Inc. Metairie LACAP Management SystemsCapital Blue Cross/CAICCapital District Health PlanCapital Health PlanCapitol AdministratorsCaprock Health PlansCardinal Innovations (Formerly Piedmont Behavioral Health)Cardon OutreachCare 1st Health Plan of ArizonaCARE 1ST HEALTH PLAN OF CACare Access Health Plan (CAHP)Care Access PSNCare Improvement Plus (For DOS on or after 1/1/16.)Care Improvement Plus (For DOS prior to 1/1/16.)Care To CareCare Wisconsin Health Plan (Trizetto)CareCentrixCareCore NationalCareCore National LLC (Aetna Radiology Claims)CareCore National LLC (Oxford Radiology Claims)CareCore/WCNY RADCareFirst Administrators/NCAS (Charlotte, NC)CareFirst Administrators/NCAS (Fairfax, VA)CareFirst BlueCross BlueShield MD RegionCareFirst BlueCross BlueShield NCA RegionCareFloridaCarelink MedicaidCaremore (remits only)Caremore Health PlanCarenet (remits only)CareOregon Inc.CarePlus Health Plans Inc.Carepoint Health PlansCareSourceCareSource IndianaPayer NNNNNNnaNnaNNNNNYYYYnaYNnaYnaYYnanaPage 9 of 52YNYNNNPayer naYYnanananaYYYYnaYNnaYnaYYnanaYNYNNN

INSTITUTIONALCLAIMS & REMITS PAYER LIST02/08/2018CareSource KYCareSource OHCareworksCariten Senior HealthCarolina Benefit AdministratorsCarolina Care PlanCarpenters Health and Welfare Fund of PhiladelphiaCarpenters Health and Welfare Trust Fund of St. Louis (remits only)CBA BlueCBHNP - HealthChoicesCDS Group HealthCedars Sinai Medical CenterCedars-Sinai Medical Network ServicesCeltic InsuranceCeltiCareCement Masons & Plasterers Health & Welfare TrustCencal HealthCenpatico - ArizonaCenpatico - FloridaCenpatico - GeorgiaCenpatico - IllinoisCenpatico - IndianaCenpatico - KansasCenpatico - KentuckyCenpatico - MassachuettsCenpatico - MississippiCenpatico - MissouriCenpatico - OhioCenpatico - South CarolinaCenpatico - TexasCenpatico - WisconsinCentene Advantage PlansCenter for Elders IndependenceCenterLight HealthcareCentraCareCentral & Southwest ServicesCentral California Alliance for Health (CCAH)Central DuPage Physician GroupCentral Health Medicare PlanCentral Health MSOCentral Mass Heath CareCentral Reserve Life Ins Co-Medicare SupplementPROFESSIONALPayer YYYYYNNNNNYnanananaYPage 10 of Y

Allegian Health Plan 82420 N N na 82420 N N na Allegiance Benefit Plan Management Inc. 81040 N N na 81040 N N na Alliance Behavioral Health 23071 Y Y Y 23071 Y Y Y Alliance IPA HCP01 N N na Alliant Health Plans of Georgia 5823