Payer ID Payer Name Comments - ABILITY Network

Transcription

Payer IDPayer Name108961199 National Benefit Fund10001AARP10911Acclaim Inc.10916ACS Benefit Services, Inc.10923Administrative Services, Inc.10927Advantage by Bridgeway Health Solutions10928Advantage by Buckeye Community Health Plan10929Advantage by Managed Health Services10930Advantage by Superior HealthPlan10011Aetna13130Aetna Better Health (FL)13186Aetna Better Health (IL)13497Aetna Better Health (KY)13188Aetna Better Health (LA)13585Aetna Better Health (MD)13189Aetna Better Health (MI)13221Aetna Better Health (NE)13191Aetna Better Health (NJ)13192Aetna Better Health (PA)13193Aetna Better Health (TX)13222Aetna Better Health (TX) CHIP10182Aetna Better Health (VA)13533Aetna Better Health (WV)Comments

Payer IDPayer Name13093Aetna Long Term Care13185Aetna Retiree Medical Plan Administrator13194Aetna Senior Supplemental13395Affinity Essentials10944Affinity Health Plan13196Affinity Health Plan – Medicare13201AFLAC10014AFLAC – Dental13199AFLAC – Medicare Supplemental13589AgeWell New York (Web Credentials Required)13529AGIA, Inc.10956Alameda Alliance for Health Plan (Web Credentials Required)13197Alan Sturm and Associates - Dental13591Aliera Health Care13198All Savers Life Insurance10965Allegiance Benefit Plan Management Inc.10971Alliant Health Plans of Georgia13443Allianz Life Insurance Company of New York10973Allied Benefit Systems, Inc.12281Allways Health Partners13653Allwell13180AlohaCare13220Alternative Insurance Resources, IncCommentsEnrollment RequiredEnrollment Required

Payer IDPayer Name13219Altus Dental13237Ambetter of Arkansas13385Ambetter Superior Health Plan (TX)10982AmeriBen13444American General Life Insurance Company13218American Health Medicare (Inmediata Health)13217American Income Life Insurance Company10953American Insurance Administrators13101American Medical Security (AMS)11008American National Insurance13102American National Life Insurance Company of Texas13216American Network Insurance Medicare Supplement10043American Postal Workers Union (APWU)10045American Republic Insurance Company (ARIC)12962American Retirement Life Insurance Company – MedicareSupplement10048Americhoice - Community & State13403Americo Financial Life & Annuity10049Amerigroup13214Amerihealth (DE, NJ, PA)11039AmeriHealth Administrators13577Amerihealth Caritas DC13633AmeriHealth Caritas Delaware11939AmeriHealth Caritas Louisiana (formerly LaCare)CommentsEnrollment Required

Payer IDPayer Name13663AmeriHealth Caritas New Hampshire13215AmeriHealth Caritas Pennsylvania13580AmeriHealth Caritas VIP Care Plus13569AmeriHealth Northeast Pennsylvania13531AmeriHealth VIP Care13103Ameritas Group – Ameritas Life Insurance Company13104Ameritas Group – First Ameritas of New York13105Ameritas Group – First Reliance Standard Life13106Ameritas Group – Reliance Standard Life13107Ameritas Group – Standard Insurance13108Ameritas Group – Standard Insurance of New York13560Anthem Health Keepers13223Anthem Vivity13557Arise Health Care13405Arise Health Plan Medicare Select Policy11064Arizona Physicians IPA – Community and State13650Arkansas Total Care13666Arnett Health Plan13404Associacion De Maestros Puerto Rico10064Asuris Northwest Health10065Aultcare11085Automated Benefit Services13224AuxiantComments

Payer IDPayer NameComments11090Avera Health Plans10067AvMed Health Plans13225Bankers Life and Casualty13656Banner University Family Care13634BCBS Texas Medicaid Star CHIP13621BCBS West Virginia - Highmark (BCBSWV) PROFESSIONALEnrollment Required11101BCBS West Virginia - Highmark (BCBS WV) INSTITUTIONALEnrollment Required13622BCBSMN BLUE PLUS MEDICAID13667BCBSMN BLUE PLUS MEDICAID NON-EMERG13626BCBSMN BLUE PLUS MEDICAID WAIVER11103Beacon Health Strategies (Web Credentials Required)13406Benefit Management Inc.11128Better Health Plans (Unison Health Plan)13407Better Health Plans of Florida13408Blue Benefit Administrators of Mass13636Blue Cross Blue Shield - Michigan Institutional (E1 Users )Enrollment Required13637Blue Cross Blue Shield - Michigan Professional (E1 Users )Enrollment Required13170Blue Cross Blue Shield Alabama - Institutional (BCBS AL)10077Blue Cross Blue Shield Alabama - Professional (BCBS AL)10079Blue Cross Blue Shield Arizona (BCBS AZ)10080Blue Cross Blue Shield Arkansas (BCBS AR)10082Blue Cross Blue Shield Colorado - Anthem (BCBS CO)10083Blue Cross Blue Shield Connecticut - Anthem (BCBS CT)Enrollment Required

Payer IDPayer NameComments10084Blue Cross Blue Shield Delaware - Highmark (BCBS DE)Enrollment Required10085Blue Cross Blue Shield Dist. of Columbia - CareFirst(BCBS DC)10086Blue Cross Blue Shield Florida (BCBS FL)10087Blue Cross Blue Shield Georgia - Anthem (BCBS GA)11141Blue Cross Blue Shield Hawaii - Hawaii Medical ServiceAssociation HMSA (BCBS HI)10088Blue Cross Blue Shield Illinois - HCSC (BCBS IL)10089Blue Cross Blue Shield Indiana - Anthem (BCBS IN)10090Blue Cross Blue Shield Iowa (BCBS IA)10091Blue Cross Blue Shield Kansas (BCBS KS)13111Blue Cross Blue Shield Kansas City (BCBS KS)10092Blue Cross Blue Shield Kentucky - Anthem (BCBS KY)10093Blue Cross Blue Shield Louisiana (BCBS LA)10094Blue Cross Blue Shield Maine - Anthem (BCBS ME)10095Blue Cross Blue Shield Maryland - CareFirst (BCBS MD)10096Blue Cross Blue Shield Massachusetts (BCBS MA)12964Blue Cross Blue Shield Michigan - Institutional (BCBS MI)COMPLETE UserEnrollment Required12965Blue Cross Blue Shield Michigan - Professional (BCBS MI)COMPLETE UserEnrollment Required10098Blue Cross Blue Shield Minnesota (BCBS MN)10099Blue Cross Blue Shield Mississippi (BCBS MS)10100Blue Cross Blue Shield Missouri - Anthem (BCBS MO)11144Blue Cross Blue Shield Montana - HCSC (BCBS MT)10101Blue Cross Blue Shield Nebraska (BCBS NE)

Payer IDPayer NameComments10102Blue Cross Blue Shield Nevada - Anthem (BCBS NV)10103Blue Cross Blue Shield New Hampshire - Anthem (BCBSNH)10104Blue Cross Blue Shield New Jersey - Horizon (BCBS NJ)10105Blue Cross Blue Shield New Mexico - HCSC (BCBS NM)12963Blue Cross Blue Shield New York - Central (BCBS NY)10223Blue Cross Blue Shield New York - Empire Anthem (BCBS NY)10106Blue Cross Blue Shield New York - Excellus (BCBS NY)12967Blue Cross Blue Shield New York - Rochester (BCBS NY)12968Blue Cross Blue Shield New York - Utica (BCBS NY)10107Blue Cross Blue Shield North Carolina (BCBS NC)10108Blue Cross Blue Shield North Dakota (BCBS ND)10109Blue Cross Blue Shield Ohio - Anthem (BCBS OH)11150Blue Cross Blue Shield Oklahoma - HCSC (BCBS OK)11151Blue Cross Blue Shield Oregon - Regence (BCBS OR)11152Blue Cross Blue Shield Pennsylvania - Highmark INSTITUTIONALEnrollment Required10110Blue Cross Blue Shield Pennsylvania - Highmark PROFESSIONALEnrollment Required12996Blue Cross Blue Shield Pennsylvania - Northeastern(BCBS PA)13176Blue Cross Blue Shield Puerto Rico - Triple-S Salud (BCBSPR)10111Blue Cross Blue Shield Rhode Island (BCBS RI)10112Blue Cross Blue Shield South Carolina (BCBS SC)11153Blue Cross Blue Shield South Dakota (BCBS SD)10113Blue Cross Blue Shield Tennessee (BCBS TN)

Payer IDPayer Name10114Blue Cross Blue Shield Texas - HCSC (BCBS TX)11154Blue Cross Blue Shield Utah - Regence (BCBS UT)11155Blue Cross Blue Shield Vermont (BCBS VT)10115Blue Cross Blue Shield Virginia - Anthem (BCBS VA)11176Blue Cross Blue Shield Western New York - (BCBSWNY)10117Blue Cross Blue Shield Wisconsin - Anthem (BCBS WI)10118Blue Cross Blue Shield Wyoming (BCBS WY)10081Blue Cross California - Anthem (BC CA)13668BLUE CROSS COMMUNITY CENTENNIAL13669BLUE CROSS COMMUNITY HEALTH PLANS13565Blue Cross Community Options10119Blue Cross Idaho (BC ID)10366Blue Cross Pennsylvania - Independence (BC IBX)10128Blue Cross Pennsylvania - Capital (BCBS PA)12970Blue Cross Washington and Alaska - Premera (BCWA, BC AK)11173Blue Shield California (BS CA)12577Blue Shield Idaho - Regence (BS ID)13518Blue Shield New York - Northeastern (BS NY)12578Blue Shield Washington - Regence (BS WA)10121BlueChoice HealthPlan South Carolina Medicaid13554BlueCross Medicare Advantage11179BMC HealthNet Plan13151Boon-Chapman Benefit AdminCommentsEnrollment Required

Payer IDPayer Name11188Bravo Health13410Bridgespan13670BRIGHT HEALTH PLAN MEDICARE13411Brokers apital District Physicians Health Plan (CDPHP)11214Capital Health Plan11216Capitol Administrators13414Caprock11221Care Improvement Plus13415Care1st Health Plan Arizona13603Care1st of California (Web Credentials Required)13639CareFirst Administrators13388CareMore13651CarePartners of Connecticut10132Careplus Health Plan13594Caresource Georgia10134Caresource Health13593Caresource Indiana11246Caresource Ohio13595Caresource West Virginia13417Carolina Care Plan, Inc. (CCP)CommentsEnrollment Required

Payer IDPayer Name13549Carpenters Health and Welfare Trust Fund of St Louis11265CDS Group Health13238Celtic Insurance13465CenCal13117Cenpatico – Arizona13118Cenpatico – Florida13419Cenpatico – Georgia13119Cenpatico – Illinois13120Cenpatico – Indiana13121Cenpatico – Kansas13122Cenpatico – Kentucky11277Cenpatico – Massachusetts13265Cenpatico – Mississippi13266Cenpatico – Missouri13270Cenpatico – New Hampshire11278Cenpatico – Ohio13123Cenpatico – South Carolina13124Cenpatico – Texas13125Cenpatico – Wisconsin11274Cenpatico Behavioral Health13273Cenpatico Behavioral Health Texas10906Centene – Absolute Total Care13278Centene – Advantage by Peach StateComments

Payer IDPayer Name13272Centene – Advantage by Sunshine State13396Centene – Ambetter Sunshine Health11191Centene – Bridgeway Arizona11196Centene – Buckeye Community Health13418Centene – California Health and Wellness11270Centene – Celticare13280Centene – Granite State Health Plan13281Centene – Home State Health Plan11922Centene – Kentucky Spirit Health Plan10002Centene – Louisiana Healthcare Connections13239Centene – Managed Health Services Indiana12003Centene – Managed Health Services Wisconsin13279Centene – Michigan Fidelis Secure Care13175Centene – New Hampshire Healthy Families12410Centene – Peach State Health Plan13466Centene – Sunflower State Health (Kansas)12725Centene – Sunshine State Health Plan12728Centene – Superior HealthPlan Texas13233Centene – Total Care Carolina11279Centene Advantage Plans13181Central CA Alliance for Health12972Central Reserve Life Ins Co. Medicare Supplement13274Central Senior CareComments

Payer IDPayer Name10140Central States Fund13644Central States Health & Life Co. of Omaha13276Central States Indemnity13277Cerner Health Plan11301CHAMPVA/Spina Bifida/Children of Women Vietnam Vets13421Children’s Mercy PCN13420CHP Direct11322Christian Brothers Services13390Christie Student Health Plans13502CHRISTUS Health Plan Medicaid13422CHRISTUS Health Plan New Mexico13423CHRISTUS Health Plan NM Medicare Advantage13615Christus Health Plan TX HIX10158CIGNA - GreatWest13424Claims Management Service Inc.13625Clear Health Alliance13416Clover Health fka: CarePoint Medicare Advantage13425CMFG Life Insurance13426Colonial Penn Life11350Colorado Access13606Colorado Community Health Alliance13208Combined Insurance Company of America13632Common GroundComments

Payer IDPayer Name10163Community Care Of Oklahoma13596Community First Health Plans11371Community Health Choice13341Community Health Group (CHG)11373Community Health Plan of Washington (CHPW)12973Community Healthfirst Medicare Advantage13337Concentrix Insurance Solutions10164ConnectiCare13562Connecticare - Medicare11390Consolidated Associates Railroad13641Consolidated Health Plan (Web Credentials Required)13183Constellation Health13427Consumers Life13428Consumers Mutual Insurance of Michigan12974Continental General Insurance Company – Medicare Supplement13207Continental Life Insurance Company of Brentwood, Tennessee11395Cook Childrens Health Plan10170Cooperative Benefit Administrators (CBA)10003Coordinated Care10171CoreSource (FMH)10172CoreSource (Little Rock)10174CoreSource (MD, PA, IL, NC,IN, AZ, MN)10175CoreSource (Ohio)CommentsEnrollment Required

Payer IDPayer Name13152Corporate Benefits Service11413Country Life Insurance Company13505CountyCare13467Covenant Administrators (TPA)13660Coventry Cares13657Coventry Health Care of Florida10190Coventry Health Care of Georgia10148Coventry Health Care of Iowa13544Coventry Health Care Southern Health Services13547Coventry Health Care USA (HCUSA)10181Coventry Healthcare – Advantra (TX, NM, AZ only)10009Coventry Healthcare – Advantra Freedom13126Coventry Healthcare – Advantra Savings13127Coventry Healthcare – Altius Health Plans13128Coventry Healthcare – Carelink Medicaid10184Coventry Healthcare – Coventry Health and Life (Nevada)10185Coventry Healthcare – Coventry Health and Life (Oklahoma)10186Coventry Healthcare – Coventry Health and Life (Tennessee)13171Coventry Healthcare – CoventryCares of Kentucky10201Coventry Healthcare – CoventryCares of Michigan10207Coventry Healthcare – CoventryOne10200Coventry Healthcare – Delaware10187Coventry Healthcare – FederalComments

Payer IDPayer Name13152Corporate Benefits Service11413Country Life Insurance Company13505CountyCare13467Covenant Administrators (TPA)13660Coventry Cares13657Coventry Health Care of Florida10190Coventry Health Care of Georgia10148Coventry Health Care of Iowa13544Coventry Health Care Southern Health Services13547Coventry Health Care USA (HCUSA)10181Coventry Healthcare – Advantra (TX, NM, AZ only)10009Coventry Healthcare – Advantra Freedom13126Coventry Healthcare – Advantra Savings13127Coventry Healthcare – Altius Health Plans13128Coventry Healthcare – Carelink Medicaid10184Coventry Healthcare – Coventry Health and Life (Nevada)10185Coventry Healthcare – Coventry Health and Life (Oklahoma)10186Coventry Healthcare – Coventry Health and Life (Tennessee)13171Coventry Healthcare – CoventryCares of Kentucky10201Coventry Healthcare – CoventryCares of Michigan10207Coventry Healthcare – CoventryOne10200Coventry Healthcare – Delaware10187Coventry Healthcare – FederalComments

Payer IDPayer Name10144Coventry Healthcare - Florida Vista Summit10146Coventry Healthcare – Group Health Plan (GHP)10195Coventry Healthcare – HealthAmerica and HealthAssurance10188Coventry Healthcare – HealthCare Inc. (Promina)10150Coventry Healthcare – Louisiana10196Coventry Healthcare – National Network10194Coventry Healthcare – Nebraska10203Coventry Healthcare – PersonalCare/Coventry Health of Illinois13129Coventry Healthcare – University of Missouri10153Coventry Healthcare – WellPath Select (Carolinas)10145Coventry Healthcare Carelink (Advantra)10192Coventry Healthcare Kansas10198Coventry Healthcare Mail Handlers Benefit Plan10205Coventry Missouri13244Cox Health Plan13558Crystal Run Health Plans (Web Credentials Required)13534CSI Life Insurance Company13430Culinary Health Fund UNITE HERE HEALTH10208DakotaCare11445Dean Health Plan13490DeCare Dental Health Insurance10211Definity Health13604Dell Children's Health PlanCommentsEnrollment Required

Payer IDPayer Name13453Delta Dental Insurance Company – Alabama13454Delta Dental Insurance Company – Florida13455Delta Dental Insurance Company – Georgia13456Delta Dental Insurance Company – Louisiana13457Delta Dental Insurance Company – Mississippi13458Delta Dental Insurance Company – Montana13459Delta Dental Insurance Company – Nevada13546Delta Dental Insurance Company - Oklahoma13460Delta Dental Insurance Company – Texas13461Delta Dental Insurance Company – Utah13462Delta Dental of California13463Delta Dental of Colorado13509Delta Dental of Connecticut13464Delta Dental of Delaware13468Delta Dental of Hawaii13586Delta Dental of Illinois13470Delta Dental of Maryland13471Delta Dental of Michigan13472Delta Dental of Minnesota13620Delta Dental of Missouri13473Delta Dental of Nebraska13474Delta Dental of New Jersey13476Delta Dental of New YorkComments

Payer IDPayer Name13478Delta Dental of North Dakota13480Delta Dental of Pennsylvania13481Delta Dental of Rhode Island13482Delta Dental of Tennessee13483Delta Dental of Virginia13484Delta Dental of Washington DC13485Delta Dental of Washington State13486Delta Dental of West Virginia13431DeltaCare USA – Claims13432DeltaCare USA – Encounters11452Denver Health Medical Plan13131Deseret Mutual (DMBA)13630Devoted Health13433Director’s Guild13243District No. 9, I. A. of M. & A. W. Welfare Trust13548Diversified Administration Corp13436Driscoll Health Plan13435EBMS (Employee Benefit Management Services, Inc.)13507Educators Mutual Insurance (EMI)13437Elderplan10854Emblem Health (GHI HMO, GHI PPO, HIP, Vytra)13659Empower Arkansas13488EPSI, Inc.Comments

Payer IDPayer Name13543Equitable Life Casualty Insurance Company11534Essence Healthcare10228Evercare13359Everence Financial13646Everest Reinsurance Company13527Evergreen Health13366Evergreen Health Co-Op10230Fallon Community Health Plan13553Farm Bureau Health Plans11557FCE Benefit Administrators10251Federated Insurance10253Fidelis Care New York11568First Carolina Care13575First Health Network (Coventry National)13362First Medical Network13364First United American Insurance Company13367FirstCare13368Fiserv Wausau13382Flex Compensation – Dental13383Florida Combined Life – DENTAL13132Florida Health Care Plans13369Food Employers & Bakery13387Fox/Everett (Web Credentials Required)CommentsEnrollment Required

Payer IDPayer Name13652Freedom Health Medicare Advantage13506Fresenius Health13371Fringe Benefits13372FSL Admin by KBA13508G.M.P. Employers Retiree Trust11611Gateway Health Plan10275GEHA – Government Employees Hospital Association10282Geisinger Health Plan11618Geisinger Health Plan Gold13373GEMCare13206Genworth Life and Annuity Insurance13203Genworth Life Insurance Company10285Gilsbar13374Globe Life & Accident Insurance Company13375Gold Coast Health Plan (Web Credentials Required)10290Golden Rule13495Great American Life Insurance Company Medicare Supplement13647Great Southern Life Insurance Company13536Greek Catholic Union of the USA13153Group and Pension Administrators11672Group Health Northwest13377Group Hospitalization and Medical Services11677Group Practice AffiliatesCommentsEnrollment Required

Payer IDPayer Name13378Guardian Life Insurance Company of America – Dental13344Harken Health11685Harmony Health Plan10316Harvard Pilgrim Health Care13581Hawaii Mainland Admin (HMA)13397Hawaii Medical Assurance Association11697Health Alliance Medical Plan (IL)10319Health Alliance Medical Plans (HAP)11705Health Choice Arizona13530Health Choice Oklahoma13346Health Cost Solutions13564Health First Health Plan13347Health First Insurance11767Health Net National13135Health New England13561Health Partners Pennsylvania11730Health Plan of San Mateo13348Health Plan of Upper Ohio Valley11739Health Services for Children with Special Needs13349Health Share of Oregon (Care Oregon)13610Healthcare Highways13350Healthcare Management Administrators13351HealthComp AdministratorsComments

Payer IDPayer Name13136HEALTHe Exchange11757HealthEase13137HealthEase Kids11758HealthEZ10338Healthfirst New York10337Healthfirst Of New Jersey13360Healthgram (Primary PhysiciansCare)13141HealthNow11724HealthPartners of MN13357HealthPlan of Nevada13356HealthPlans Inc.10339HealthPlus of Michigan11773HealthScope (Morris Assoc, Central Benefits, EmployersHealth, Plan Handlers)13605HealthScope Benefits13438HealthSmart Benefit Solutions10870HealthSmart Benefit Solutions (Wells Fargo TPA)13330Healthsource Provident – Dental11783HealthSpring13671Healthy Blue Louisiana13542Heartland National Life Insurance Company13332Heritage Physician Network (Houston)13333Hershey Healthsmile – Dental10345HIPNYCommentsEnrollment Required

Payer IDPayer Name13334HM Care Advantage Admin by KBA11811Hometown Health10351Horizon New Jersey Health13550HSBS Oklahoma City11819Hudson Health Plan10353Humana13335Humana CareSource (KY)13583Humana Dental13612iCare (Independent Care Health Plan)11845IlliniCare Health Plan11849Independence Administrators10368Independent Health13623Indiana University Health Plan (Medicare)13645Indiana University Health Plans (Commercial)11861Inland Empire Health13339Insurers Administrative

Nov 11, 2019 · 11270 Centene – Celticare 13280 Centene – Granite State Health Plan 13281 Centene – Home State Health Plan 11922 Centene – Kentucky Spirit Health Plan 10002 Centene – Louisiana Healthcare Connections 13239 Centene – Managed Health Services