CLAIMS PAYER LIST INSTITUTIONAL PROFESSIONAL 9/22/2015

Transcription

INSTITUTIONALCLAIMS PAYER LIST9/22/20151199 National Benefit Fund1st Medical Network - Atlanta GA1st MN--Atlanta GA21st Century Health and Benefits21st Century Insurance and Financial Services3P ADMINA & I Benefit Plan AdministratorsA.G.I.A. Inc.AAG Benefit Plan Administrators Inc.AAG-American Administravie Group ( Formerly Icon Benefit Admin)AARP - UnitedHealthcare Insurance CompanyAARP MedicareComplete through UnitedHealthcare/AARP MedicareCompleteAARP MedicareComplete thru UnitedHealthcare (formerly Lifeprint Arizona)ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizon)Abrazo Advantage Health PlanAbsolute Total CareAccess Community Health Network. Chicago IL Family Health Network patientsAccess Medical GroupAccess MedicareAcclaimACMGACS Benefit Services Inc.Activa Benefit Services LLCAdministration Systems Research CorporationAdministrative Concepts Inc.Administrative Services Inc.ADVANCED DATA SOLUTIONSAdvanced Physician's Association Chicago IL MG#118Advantage by Bridgeway Health SolutionsAdvantage by Buckeye Community Health PlanAdvantage by Managed Health ServicesAdvantage by Peach StateAdvantage by Sunshine StateAdvantage by Superior HealthPlanAdvantage Health SolutionsAdvantek Benefit AdministratorsADVANTICA BENEFITSAdvanzeon SolutionsAdventist Health System West - Roseville CAAdvicareAdvocate Medical Group - AMG (Legacy AHC)Advocate Physician PartnersAetnaAetna Affordable Health Choices (SM) - SRCAetna Better Health - PA MedicaidPROFESSIONALPayer NYNNNNNYYYNNNNNNNNNNNNNNNNNNNNNNNNNNNPage 1 of 47Payer N

INSTITUTIONALCLAIMS PAYER LIST9/22/2015Aetna Better Health Inc.Aetna Better Health of IllinoisAetna Better Health of LouisianaAetna Better Health of MichiganAetna Better Health of MissouriAetna Better Health of NebraskaAetna Better Health of New JerseyAetna Better Health of OhioAetna Better Health of PennsylvaniaAetna TX Medicaid & CHIPAffiliated Physicians GroupAffinity EssentialsAffinity Health PlanAFFINITY MEDICAL GROUPAffinity Medicare AdvantageAffordable Benefit Administrators Inc.AFTRA Health FundAGAAgate Resources Inc. (LIPA)Agency Services IncAHPO (Cleveland OH)Alabama MedicaidAlaska Carpenters TrustAlaska Children's Services Inc.Alaska Electrical Health & Welfare FundAlaska Laborers Construction Industry TrustAlaska Pipe Trades Local 375Alaska United Food & Commercial Workers Health & Welfare TrustALICAREAlivio Family Medical Family Health Network patients onlyAll Savers/UHCAllcare PEBBAllegian ChoiceAllegiance Benefit Plan Management Inc.Alliance Behavioral HealthAlliance Healthcare/Florida for Stones River Regional IPAAlliance IPAAlliant Health Plans of GeorgiaAllianz Global AssistanceAllied Benefit SystemsAlta Bates Medical GroupAlta Senior Care (Hnet Sr and Secure Horizons only)Altius Health PlansAMA Insurance AgencyAmalgamated LifePROFESSIONALPayer AMAIA13550YNNNNNPage 2 of 47Payer 308A0701E351025133TH07113550NNNNNYNNNNNNYNNN

INSTITUTIONALCLAIMS PAYER LIST9/22/2015Amalgamated Life - PA / AlicareAMCOAmeraPlanAmeriBen Solutions Inc.Americaid Community Care (Maryland)Americaid Community Care (New Jersey)American Administrative GroupAmerican Administrators dba Select Benefit Administrators (W.DesMoines IA)American 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 Imaging Management Inc.American National Ins. Co. (ANICO)American National Property and Casualty Company (ANPAC)American Postal Workers Union Health PlanAmerican Progressive Life and Health Insurance CompanyAmerican 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 TPAAmerigroup Community CareAMERIGROUP Community Care of New MexicoAmerigroup Corporation (Ft Worth)Amerigroup Corporation (Houston)Amerigroup FloridaAMERIGROUP GeorgiaAmerigroup IllinoisAmerigroup OhioAmeriHealth AdministratorsAmeriHealth Caritas PennsylvaniaAmeriHealth Caritus VIP Care Plus (Michigan)Amerihealth District of ColumbiaAmerihealth NJ/DE – HMOAmeriHealth NorthEastPROFESSIONALPayer NNYYYYYYYYYYNNYYNNNNNNNNNNNNNNNNNNNNNPage 3 of 47Payer NNNNNNNN

INSTITUTIONALCLAIMS PAYER LIST9/22/2015AmeriHealth VIP CareAmeriHealth VIP Care - DCAmeriHealth VIP Care - LAAmFirst Insurance Company (Secondary Claims Only)Amida CareAmida Care MedicareAnchor Benefit Consulting Inc.Ancillary Benefit Services (ABS)Ancillary Care Management/ACMAngeles IPA (SynerMed)Antares 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 KentuckyAnthem Blue Cross Blue Shield of MaineAnthem Blue Cross Blue Shield of MissouriAnthem Blue Cross Blue Shield of Missouri (Blue Choice)Anthem 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 ServicesAPS Healthcare Inc.AR Medicare Part A (JH)AR Medicare Part B (JH)Araz GroupArbor Health PlanArcadian Management Services IncArch Health PartnersArgus Dental Plans, Inc.ARISEArizona Foundation for Medical Care (AFMC)Arizona Priority Care PlusArkansas Best Corporation - Choice BenefitsArkansas MedicaidARM GrpASAGEHAAsian Human Services Family Family Health Network patients onlyAspen Medical AssociatesAspire Health PlanASRPROFESSIONALPayer 38265NYNNNNYNNYNNNYYNNNNNNNNNNNNNNNNNPage 4 of 47Payer 265YNYNNNNYNNYNNNYYNYNNNNNNNNNNNNNNNN

INSTITUTIONALCLAIMS PAYER LIST9/22/2015ASR CorporationASR Health BenefitsASRM CorporationAssociates for Health Care Inc. (AHC)Assurant Health (IM & GROUP FULLY-INSURED)Assurant Health (Repricing for HealthSpan Network Only)Assurant Health Self FundedAssurant Health Self-Funded (Ft. Mill SC)Assurant Health/ASA (Assurant Health members with ASA PPO Network)Assured Benefits AdministratorsAsuris NW HealthATA-FLAthens Area Health Plan SelectAtlantic Medical InsuranceAultCareAultra Administrative GroupAutomated Benefit ServicesAutomated Group Administration Inc.Avera Health PlansAveraAdvantageAvesis Third Party AdministratorsAvMed Inc.AXA Assistance USAAzeros Health Plans Inc.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 South FloridaBass Administrators Inc.BCBS of AZ AdvantageBEACON HEALTH STRATEGIESBeech StreetPROFESSIONALPayer 770784332495377NNYYNNNNNNPage 5 of 47Payer NNNNNNNN

INSTITUTIONALCLAIMS PAYER LIST9/22/2015Behavioral Health SystemsBellflower Hospital (Synermed)Benefit & Risk Management ServicesBenefit Administrative SystemsBenefit Coordinators Corporation (Pittsburgh PA)Benefit Management Admin (BMA)Benefit Management Group-NVBenefit Management Inc. of KSBENEFIT MANAGEMENT SERVICESBenefit Management Systems IncBenefit Plan AdministratorsBenefit Plan Administrators Co. (Eau Claire WI)Benefit Plan Administrators IncBenefit Systems & Services Inc.BenesightBenesysBenesys Inc.Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer)Berkshire IntergroupBerkshire Lehigh PartnersBest Life & Health Insurance Co.Better Health Plan of FloridaBetter Health Plans Inc.Better Health Plans of South CarolinaBlue Benefit Administrators of MABlue Choice Medicaid Managed CareBlue Cross Blue Shield of AlabamaBlue Cross Blue Shield of ArkansasBlue Cross Blue Shield of IllinoisBlue Cross Blue Shield of KansasBlue Cross Blue Shield of Kansas CityBlue Cross Blue Shield of MassachusettsBlue Cross Blue Shield of MichiganBlue Cross Blue Shield of MississippiBlue Cross Blue Shield of North CarolinaBlue 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 Community OptionBlue Shield of CaliforniaBlueChoice HealthPlanBluegrass Family HealthBoilermakers National Health & Welfare FundPROFESSIONALPayer ILBSCAI009226112436609YYYYYYYNYNNNNYYYNNNNNNPage 6 of 47Payer YYYNNNNNNNNNNNNNNNNNNNNNNYYNYYNNYNNYYYNNNNNN

INSTITUTIONALCLAIMS PAYER LIST9/22/2015Bollinger, INC. - BOLLINGERBoon-Chapman Benefit Administrators Inc.Boston Health NetBravo HealthBravo Health Star PlusBridgeway ArizonaBritCayBrodartBrokerage ConceptsBroward HealthBrown & Toland Medical GroupBrown and Toland Health ServicesBrown and Toland Medical GroupBuckeye Community HealthButler BenefitC&O Employees Hospital AssociationC. L. Frates & Co - OSMA HealthCA MedicareCalifornia Health and WellnessCalifornia IPACalifornia Medicaid (Medi-Cal)California Pacific Medical CenterCannon Cochran Management Services Inc. Metairie LACAP Management SystemsCapital Blue Cross/CAICCapital Health PlanCapitol AdministratorsCare 1st Health Plan of ArizonaCARE 1ST HEALTH PLAN OF CACare Access Health Plan (CAHP)Care Access PSNCare Improvement PlusCare 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 MedicaidPROFESSIONALPayer N751917519012011120006508825133NNNNNYNNNNNNPage 7 of 47Payer YYNNNNNNNNNNNNNNNNYYNYYNYNNNNNNNNNNNNNYNNNNNNNNNN

INSTITUTIONALCLAIMS PAYER LIST9/22/2015CareOregon Inc.CarePlus Health Plans Inc.Carepoint Health PlansCareSourceCareSource IndianaCareSource KYCareSource OHCareworksCarilion Clinic Medicare Health PlanCariten Senior HealthCarolina Benefit AdministratorsCarolina Care PlanCarpenters Health and Welfare Fund of PhiladelphiaCBA BlueCBHNP - HealthChoicesCCAICDS 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 - WisconsinCountyCare (Cenpatico TPA)Centegra Health SystemCentene Advantage PlansCountyCare (Centene TPA)Center for Elders IndependenceCenterLight HealthcareCenterPoint Human ServicesCentraCarePROFESSIONALPayer YYYNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNPage 8 of 47Payer YYYYYYNNYNYYYNNNNNNNNNNNNNNNNNNNNNNN

INSTITUTIONALCLAIMS PAYER LIST9/22/2015Central & Southwest ServicesCentral DuPage Physician GroupCentral Mass Heath CareCentral Reserve LifeCentral Reserve Life Ins Co-Medicare SupplementCentral SeniorCareCentral States Health & Welfare FundsCentral Susquehanna Healthcare Providers (CSHP)Central Valley Medical GroupCenturionCentury Health SolutionsCentury PHO INCCerner HealthPlan ServicesCHA HealthCHAMPVA - HACChautauqua County Healthcare Plan (Mayville NY)Chesterfield Resources Inc.Chicago Family Health Center Family Health Network patients onlyChildhealth Plus by Healthfirst (CHP)Children First Medical GroupChildren of Women Vietnam Veterans-VA HACChildren's Medical Security Plan of MassachusettsChildren's Medical Services - Broward NORTHChinese Community Health PlanCHOC - Children's Hospital Of Orange County Health AllianceCHP DIRECT SUPERMEDChristian Brothers ServicesChristian Care MinistriesChristie Student Health PlansChristus Health Medicare AdvantageChristus Health New Mexico HIXChristus Texas MedicaidCIGNACIGNA - PPACIGNA - PPOCIGNA Behavioral HealthCIGNA Health Plan - HMOCIGNA Medicare AdvantageCincinnati Financial CorporationClaims Development CorporationClaimsBridge HPNClaimshop- Employers Coalition on Health - MULTIPLAN PHCS/ECOHClaimsWare Inc. dba ManageMedClearchoice Health Plan / COIHSCM Administrators IncPROFESSIONALPayer 2700857080YNNNNN56211NNPage 9 of 47Payer YYYNYNYNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN

INSTITUTIONALCLAIMS PAYER LIST9/22/2015CMCS Advantage Health Solutions MedicareCMHCCNIC Health Solutions Inc.CO Medicare Part A (JH)CO Medicare Part B (JH)Coachella Valley PhysiciansCoastal Administrative ServicesCoastal CareCoastal Care Services IncCofinityColonial MedicalColorado AccessColorado Health OPColumbia United ProvidersCommerce Benefits GroupCommercial Travelers/PHXCommon Ground Healthcare CooperativeCommonwealth Care AllianceCommunity Care AllianceCommunity Care BHOCommunity Care Inc. - Family Care (Wisconsin)Community Care Inc. (Wisconsin)Community Care IPACommunity Care Managed Health Care Plans of OklahomaCommunity Care of OregonCommunity Choice of MichiganCommunity First Health Plan, Inc.Community Health AllianceCommunity Health Alliance TNCommunity Health ChoiceCommunity Health Electronic Claims/CHEC/webTPACommunity Health GroupCommunity Health Plan of WashingtonCommunity Health Plan, Inc.Community Medical Group of the West Valley Inc.CommunityConnect HealthPlanComp - Ohio (Austintown OH)Compcare (Wisconsin BadgerCare only)CompManagement HealthCompsychConifer Value-Based CareConnecticare - MedicareConnectiCare IncConnecticut Carpenters Health FundConnecticut General (CIGNA)PROFESSIONALPayer YNNNNNNNNNNNNNNNNNNNNNNNNNNNNPage 10 of 47Payer 145538325COMMF3519327

American National Property and Casualty Company (ANPAC) 43101 N: N 43101: N N: American Postal Workers Union Health Plan 44444 N: N 44444: N N: American Progressive Life and Health Insurance Company 48055 N: N 48055: N N: American Republic Insurance 42011 N: N 42011: N N: American Sentinel