claims

# Change PayerId Payer Names States Models Lob Cards Re-Enroll

1 66125 Lakeside Medical Group COMMERCIAL H X N

2 66125 Lakeside Medical Group COMMERCIAL M B N

3 IP079 COMMERCIAL M

Primary Care Associates Medical Group B N

4 76046 COMMERCIAL

Texas First Health Plans (TIOPA) H B N

5 76046 COMMERCIAL

Texas First Health Plans (TIOPA) M B N

6 66055 Health Insurance

(NLH) Netcare Life and COMMERCIAL D

7 31147 COMMERCIAL

1-888-OHIOCOMP (Ohio BWC) M B N

8 31147 COMMERCIAL

1-888-OHIOCOMP (Ohio BWC) H B N

9 13162 COMMERCIAL

1199 National Benefit Fund M B N

10 13162 COMMERCIAL

1199 National Benefit Fund H B N

11 58203 1st MN - Atlanta GA COMMERCIAL H B N

12 58203 1st MN - Atlanta GA COMMERCIAL M B N

13 58203 COMMERCIAL

1st Medical Network - Atlanta GA H B N

14 58203 COMMERCIAL

1st Medical Network - Atlanta GA M B N

15 Call COMMERCIAL

21st Century Health & Benefits H X N

16 Call COMMERCIAL

21st Century Health & Benefits M X N

17 59069 COMMERCIAL

21st Century Health and Benefits H B N

18 59069 COMMERCIAL

21st Century Health and Benefits D

19 59069 COMMERCIAL

21st Century Health and Benefits M B N

20 31147 3-Hab (Ohio BWC) COMMERCIAL M B N

21 31147 3-Hab (Ohio BWC) COMMERCIAL H B N

22 88053 360 Alliance - Gilsbar COMMERCIAL M B N

23 88053 360 Alliance - Gilsbar COMMERCIAL H B N

24 20413 3P ADMIN COMMERCIAL M B N

25 20413 3P ADMIN COMMERCIAL H X N

26 20413 3P ADMIN COMMERCIAL H B N

27 20413 3P ADMIN COMMERCIAL M X N

28 20413 3P ADMIN COMMERCIAL D

29 93044 COMMERCIAL

A & I Benefit Plan Administrators D

30 93044 COMMERCIAL

A & I Benefit Plan Administrators H B N

31 93044 COMMERCIAL

A & I Benefit Plan Administrators M B N

32 CX044 COMMERCIAL

A & I Benefit Plan Administrators D

33 95241 A.G.I.A. Inc. COMMERCIAL M B N

34 95241 A.G.I.A. Inc. COMMERCIAL H B N

35 75240 COMMERCIAL H

AAG Benefit Plan Administrators Inc. B N

36 75240 COMMERCIAL M

AAG Benefit Plan Administrators Inc. B N

37 75240 COMMERCIAL D

AAG Benefit Plan Administrators Inc.

38 37283 COMMERCIAL H B

AAG-American Administrative Group (Formerly Gallagher N Benefit Admin)

39 37283 COMMERCIAL M B

AAG-American Administrative Group (Formerly Gallagher N Benefit Admin)

40 37283 COMMERCIAL D

AAG-American Administrative Group (Formerly Gallagher Benefit Admin)

41 75185 COMMERCIAL H B N

AAG-American Administravie Group ( Formerly Icon Benefit Admin)

42 75185 COMMERCIAL M B N

AAG-American Administravie Group ( Formerly Icon Benefit Admin)

43 AARP1 AARP COMMERCIAL D

44 E3510 COMMERCIAL

ABMA (Alta Bates Medical Assocs) M B and

Medical Corp (Hnet Sr. T Secure Horizon)

45 72468 COMMERCIAL

ACS Benefit Services Inc. D

46 72468 COMMERCIAL

ACS Benefit Services Inc. H X N

47 72468 COMMERCIAL

ACS Benefit Services Inc. M X N

48 61474 COMMERCIAL D

ACS Benefit Services a.k.a NC BCBSNC - DBS

49 72467 COMMERCIAL

ACS Benefit Services Inc. H B N

50 72467 COMMERCIAL

ACS Benefit Services Inc. M X N

51 72467 COMMERCIAL

ACS Benefit Services Inc. H X N

52 72467 COMMERCIAL

ACS Benefit Services Inc. M N N

53 36112 COMMERCIAL

ACS Rewards Administration Center H B N

54 36112 COMMERCIAL

ACS Rewards Administration Center M B N

55 ADOCS COMMERCIAL M

ADOC (Affiliated Doctor's of Orange County) B N

56 58202 ADVANCED DATA SOLUTIONSCOMMERCIAL M B N

57 58202 ADVANCED DATA SOLUTIONSCOMMERCIAL H B N

58 Call COMMERCIAL

AEQUITAS CAPITAL MANAGEMENTH B N

59 Pilot COMMERCIAL

AEQUITAS CAPITAL MANAGEMENTM B N

60 58066 AFLAC COMMERCIAL D

61 52080 AFLAC - NY PLAN COMMERCIAL D

62 13346 AFTRA Health Fund COMMERCIAL H B N

63 13346 AFTRA Health Fund COMMERCIAL M B N

64 37280 AGA COMMERCIAL M B N

65 37280 AGA COMMERCIAL H B N

66 31138 AHPO (Cleveland OH) COMMERCIAL M B N

67 31138 AHPO (Cleveland OH) COMMERCIAL H B N

68 CAPMN AKM Medical Group COMMERCIAL M B N

69 13550 ALICARE COMMERCIAL H B N

70 13550 ALICARE COMMERCIAL M B N

71 31147 COMMERCIAL

ALPS CompCare (Ohio BWC) H B N

72 31147 COMMERCIAL

ALPS CompCare (Ohio BWC) M B N

73 TH071 AMA Insurance AgencyCOMMERCIAL M X N

74 62176 AMCO COMMERCIAL M B N

75 62176 AMCO COMMERCIAL H B N

76 27514 COMMERCIAL New

AMERIGROUP Community Care of H Mexico B N

77 27514 COMMERCIAL New

AMERIGROUP Community Care of M Mexico B N

78 27514 AMERIGROUP Georgia COMMERCIAL H B N

79 27514 AMERIGROUP Georgia COMMERCIAL M B N

80 CAPMN AMVI COMMERCIAL M B N

81 PROSP Network (Prospect Medical Group)N

AMVI/Prospect Health COMMERCIAL M B

82 16140 APA Partners Inc. COMMERCIAL D

83 16140 APA Partners Inc. COMMERCIAL M B N

84 16140 APA Partners Inc. COMMERCIAL H B N

85 PROSP COMMERCIAL M B N

APAC (Pinnacle Health Resources) (Prospect Medical Group)

86 54160 APS Healthcare Inc. COMMERCIAL M B N

87 54160 APS Healthcare Inc. COMMERCIAL H B N

88 54100 APS Paper Claim COMMERCIAL M B N

89 54100 APS Paper Claim COMMERCIAL H B N

90 16120 ARAZ COMMERCIAL H B N

91 16120 ARAZ Group COMMERCIAL M B N

92 Call ASC of Oho COMMERCIAL H B N

93 Call ASC of Oho COMMERCIAL M B N

94 38265 ASR COMMERCIAL H X N

95 38265 ASR COMMERCIAL M B N

96 38265 ASR Corporation COMMERCIAL H X N

97 38265 ASR Corporation COMMERCIAL M B N

98 38265 ASR Health Benefits COMMERCIAL H X N

99 38265 ASR Health Benefits COMMERCIAL M B N

100 37294 ASW \ Lifewise COMMERCIAL D

101 37294 ASW \ Lifewise COMMERCIAL H B N

102 37294 ASW \ Lifewise COMMERCIAL M B N

103 3443 COMMERCIAL

Abrazo Advantage Health Plan M B N

104 68055 Absolute Total Care COMMERCIAL M B N

105 68055 Absolute Total Care COMMERCIAL H X N

106 43178 COMMERCIAL D

Acceptius (Benefit Management Inc of MO (BMI)

107 12T33 Access Administrators COMMERCIAL H B N

108 TH067 Access Administrators COMMERCIAL M B N

109 CM001 Access IPA COMMERCIAL M B N

110 REGAL Access IPA COMMERCIAL M B N

111 64071 Acclaim COMMERCIAL D

112 64071 Acclaim COMMERCIAL M B N

113 64071 Acclaim COMMERCIAL H B N

114 21356 Acclaim Repricing COMMERCIAL M B N

115 21356 Acclaim Repricing COMMERCIAL H B N

116 38255 LLC/Dental D

Activa Benefit Services COMMERCIAL

117 91173 Adaptis COMMERCIAL H X N

118 91173 Adaptis COMMERCIAL M X N

119 38265 COMMERCIAL H

Administration Systems Research CorporationX N

120 38265 COMMERCIAL M

Administration Systems Research CorporationB N

121 22384 COMMERCIAL

Administrative Concepts Inc. H B N

122 22384 COMMERCIAL

Administrative Concepts Inc. H X N

123 22384 COMMERCIAL

Administrative Concepts Inc. M B N

124 22384 COMMERCIAL

Administrative Concepts Inc. M X N

125 59141 Inc.

Administrative ServicesCOMMERCIAL M B N

126 59141 Inc.

Administrative ServicesCOMMERCIAL H B N

127 CX076 Only

Adminstrative Services COMMERCIAL D

128 AMM01 COMMERCIAL

Advanced Medical Management H B N

129 AMM01 COMMERCIAL

Advanced Medical Management M B N

130 93524 Inc.

Advantage Dental Plan COMMERCIAL D

131 35209 COMMERCIAL

Advantage Health Solutions H B N

132 35209 COMMERCIAL

Advantage Health Solutions M B N

133 NMM01 Advantage Med Grp COMMERCIAL M B N

134 77070 Advantage Preferred PlusCOMMERCIAL H X N

135 77070 Advantage Preferred PlusCOMMERCIAL M X N

136 68056 COMMERCIAL H

Advantage by Bridgeway Health Solutions B N

137 68056 COMMERCIAL M

Advantage by Bridgeway Health Solutions B N

138 68056 CommunityM

Advantage by Buckeye COMMERCIAL B

Health Plan N

139 68056 CommunityH

Advantage by Buckeye COMMERCIAL B

Health Plan N

140 68056 COMMERCIAL M

Advantage by Managed Health Services B N

141 68056 COMMERCIAL H

Advantage by Managed Health Services B N

142 68056 HealthPlan M

Advantage by Superior COMMERCIAL B N

143 68056 HealthPlan H

Advantage by Superior COMMERCIAL B N

144 25152 Advantra Freedom COMMERCIAL M X E

145 25152 Advantra Freedom COMMERCIAL H X E

146 25152 Advantra Freedom COMMERCIAL H B N

147 25152 Advantra Freedom COMMERCIAL M X N

148 25152 Advantra Savings COMMERCIAL H X E

149 25152 Advantra Savings COMMERCIAL H B N

150 25152 Advantra Savings COMMERCIAL M X E

151 25152 Advantra Savings COMMERCIAL M X N

152 95340 COMMERCIAL H

Adventist Health System West - Roseville CA B N

153 95340 COMMERCIAL D

Adventist Health System West - Roseville CA

154 95340 COMMERCIAL M

Adventist Health System West - Roseville CA B N

155 31147 (Ohio BWC)

AdvoCare IncorporatedCOMMERCIAL H B N

156 31147 (Ohio BWC)

AdvoCare IncorporatedCOMMERCIAL M B N

157 36320 Advocate Health Centers COMMERCIAL M C N

158 36320 Advocate Health Centers COMMERCIAL H C N

159 65093 COMMERCIAL

Advocate Physician Partners H C N

160 65093 COMMERCIAL

Advocate Physician Partners M C N

161 60054 Aetna COMMERCIAL D

162 60054 Aetna COMMERCIAL D

163 60054 Aetna COMMERCIAL M B T

164 60054 Aetna COMMERCIAL M B N

165 60054 Aetna COMMERCIAL M B N

166 60054 Aetna COMMERCIAL M B N

167 60054 Aetna COMMERCIAL H B

168 60054 Aetna COMMERCIAL H B N

169 60054 Aetna COMMERCIAL H B N

170 68246 Aetna COMMERCIAL D

171 57604 COMMERCIAL H

Aetna Affordable Health Choices (SM) - SRC X N

172 57604 COMMERCIAL D

Aetna Affordable Health Choices (SM) - SRC

173 57604 COMMERCIAL M

Aetna Affordable Health Choices (SM) - SRC X N

174 60055 Aetna Encounters COMMERCIAL H X N

175 60055 Aetna Encounters COMMERCIAL M X N

176 ADOCS COMMERCIAL H

Affiliated Doctors of Orange County (ADOC) B N

177 ADOCS COMMERCIAL M

Affiliated Doctors of Orange County (ADOC) B N

178 APG01 COMMERCIAL

Affiliated Physicians Group M X N

179 13334 Affinity Health Plan COMMERCIAL H B N

180 13334 Affinity Health Plan COMMERCIAL H X N

181 13334 Affinity Health Plan COMMERCIAL M B N

182 13334 Affinity Health Plan COMMERCIAL M X N

183 95426 COMMERCIAL D

Affordable Benefit Administrators Inc.

184 20048 COMMERCIAL

Agate Resources Inc. (LIPA) M B N

185 64158 Agency Services Inc COMMERCIAL M B N

186 64158 Agency Services Inc COMMERCIAL H B N

187 91136 COMMERCIAL

Alaska Children's Services Inc. D

188 91136 COMMERCIAL

Alaska Children's Services Inc. H B N

189 91136 COMMERCIAL

Alaska Children's Services Inc. M B N

190 92600 & Welfare D

Alaska Electrical HealthCOMMERCIAL Fund

191 92600 & Welfare H

Alaska Electrical HealthCOMMERCIAL Fund B N

192 92600 & Welfare M

Alaska Electrical HealthCOMMERCIAL Fund B N

193 91136 COMMERCIAL M

Alaska Laborers Construction Industry Trust B N

194 91136 COMMERCIAL H

Alaska Laborers Construction Industry Trust B N

195 91136 COMMERCIAL D

Alaska Laborers Construction Industry Trust

196 91136 COMMERCIAL

Alaska Pipe Trades Local 375 D

197 91136 COMMERCIAL

Alaska Pipe Trades Local 375 H B N

198 91136 COMMERCIAL

Alaska Pipe Trades Local 375 M B N

199 91136 COMMERCIAL

Alaska United Food & Commercial D Workers Health & Welfare Trust

200 91136 COMMERCIAL

Alaska United Food & Commercial H B N

Workers Health & Welfare Trust

201 91136 COMMERCIAL

Alaska United Food & Commercial M B N

Workers Health & Welfare Trust

202 37602 C

All Savers Insurance Co. OMMERCIAL H B N

203 81040 ManagementM

Allegiance Benefit Plan COMMERCIAL Inc. B N

204 81040 ManagementH

Allegiance Benefit Plan COMMERCIAL Inc. B N

205 CX016 COMMERCIAL

Allen Medical Claims Administrator D

206 13079 COMMERCIAL M

Alliance Healthcare/Stones River Regional IPA B N

207 HCP01 Alliance IPA COMMERCIAL H B N

208 52148 Alliance PPO LLC COMMERCIAL H B N

209 Call COMMERCIAL

Alliance The (A Wisconsin providerH network) B N

210 Call COMMERCIAL

Alliance The (A Wisconsin providerM network) B N

211 58234 COMMERCIAL

Alliant Health Plans of Georgia H B N

212 58234 COMMERCIAL

Alliant Health Plans of Georgia M B N

213 94177 COMMERCIAL M

Allied Administrators (San Francisco CA) B N

214 94177 COMMERCIAL H

Allied Administrators (San Francisco CA) B N

215 94177 COMMERCIAL D

Allied Administrators (San Francisco CA)

216 37308 Allied Benefit Systems COMMERCIAL M B N

217 37308 Allied Benefit Systems COMMERCIAL D

218 37308 Allied Benefit Systems COMMERCIAL H B N

219 SX157 (UHIN)

Allied Health - PodiatryCOMMERCIAL M X N

220 SX156 COMMERCIAL

Allied Health Systems Chiropractic M X N

221 NMM01 Allied Physicians COMMERCIAL M B N

222 TH085 Alpha Data COMMERCIAL M X N

223 Call Alta Bates Medical GroupCOMMERCIAL M B T

224 E3510 COMMERCIAL M only)

Alta Senior Care (Hnet Sr and Secure Horizons B T

225 SX113 Altius (Utah) COMMERCIAL M X N

226 13550 Amalgamated Life COMMERCIAL H B N

227 13550 Amalgamated Life COMMERCIAL M B N

228 13343 / Alicare M

Amalgamated Life - PA COMMERCIAL B N

229 13343 / Alicare D

Amalgamated Life - PA COMMERCIAL

230 13343 / Alicare H

Amalgamated Life - PA COMMERCIAL B N

231 38219 AmeraPlan COMMERCIAL M B N

232 38219 AmeraPlan COMMERCIAL H B N

233 12X28 Ameri Health PPO NJ COMMERCIAL H N N

234 75137 C

AmeriBen Solutions Inc. OMMERCIAL H B N

235 75137 C

AmeriBen Solutions Inc. OMMERCIAL M B N

236 NYU01 COMMERCIAL M

AmeriChoice by UnitedHealthcare-New York X N

237 NYU01 COMMERCIAL H

AmeriChoice by UnitedHealthcare-New York X N

238 86001 COMMERCIAL M

AmeriChoice of New Jersey Personal Care PlusB (Medicare)N

239 86001 COMMERCIAL H

AmeriChoice of New Jersey Personal Care PlusB (Medicare)N

240 86047 COMMERCIAL M

AmeriChoice of New Jersey Inc. (Medicaid NJ) X N

241 86047 COMMERCIAL H

AmeriChoice of New Jersey Inc. (Medicaid NJ) B N

242 86047 COMMERCIAL M

AmeriChoice of New Jersey Inc. (Medicaid NJ) B N

243 86047 COMMERCIAL H

AmeriChoice of New Jersey Inc. (Medicaid NJ) X N

244 86002 COMMERCIAL Plus (Medicare) N

AmeriChoice of New York PersonalH Care B

245 86002 COMMERCIAL Plus (Medicare) N

AmeriChoice of New York PersonalM Care B

246 86048 COMMERCIAL M

AmeriChoice of New York Inc. (Medicaid NY) B N

247 86048 COMMERCIAL H

AmeriChoice of New York Inc. (Medicaid NY) B N

248 86003 COMMERCIAL H B N

AmeriChoice of Pennsylvania Personal Care Plus (Medicare)

249 86003 COMMERCIAL M B N

AmeriChoice of Pennsylvania Personal Care Plus (Medicare)

250 86049 COMMERCIAL M B

AmeriChoice of Pennsylvania Inc. (Medicaid PA) N

251 86049 COMMERCIAL M X

AmeriChoice of Pennsylvania Inc. (Medicaid PA) N

252 54763 COMMERCIAL

AmeriHealth Administrators D

253 54763 COMMERCIAL

AmeriHealth Administrators M B N

254 23037 COMMERCIAL

AmeriHealth HMO New Jersey andM Delaware B N

255 23037 COMMERCIAL

AmeriHealth HMO New Jersey andH Delaware N N

256 22248 COMMERCIAL

AmeriHealth Mercy Health Plan M X N

257 22248 COMMERCIAL

AmeriHealth Mercy Health Plan M B A

258 22248 COMMERCIAL

AmeriHealth Mercy Health Plan H X N

259 22248 COMMERCIAL

AmeriHealth Mercy Health Plan H X N

260 22248 COMMERCIAL

AmeriHealth Mercy Health Plan H X N

261 22248 COMMERCIAL

AmeriHealth Mercy Health Plan M X E

262 22248 COMMERCIAL

AmeriHealth Mercy Health Plan M X N

263 22248 COMMERCIAL

AmeriHealth Mercy Health Plan H B A

264 16120 America's PPO COMMERCIAL M B N

265 41178 COMMERCIAL

America's PPO/America's TPA H B N

266 41178 COMMERCIAL

America's PPO/America's TPA M B N

267 41178 America's TPA COMMERCIAL H B N

268 41178 America's TPA COMMERCIAL M B N

269 27517 COMMERCIAL H

Americaid Community Care (Maryland) B N

270 27517 COMMERCIAL M

Americaid Community Care (Maryland) B N

271 27516 COMMERCIAL H

Americaid Community Care (New Jersey) B N

272 27516 COMMERCIAL M

Americaid Community Care (New Jersey) B N

273 75240 COMMERCIAL

American Administrative Group H B N

274 75240 COMMERCIAL

American Administrative Group M B N

275 42112 COMMERCIAL D

American Administrators (West Des Moines Iowa)

276 42112 COMMERCIAL M X

American Administrators (West Des Moines Iowa) N

277 42112 COMMERCIAL H B

American Administrators (West Des Moines Iowa) N

278 Call COMMERCIAL H X

American Administrators (West Des Moines Iowa) N

279 Call COMMERCIAL M X

American Administrators (West Des Moines Iowa) N

280 42137 COMMERCIAL D

American Administrators dba Select Benefit Administrators (W.DesMoines IA)

281 42137 COMMERCIAL M B N

American Administrators dba Select Benefit Administrators (W.DesMoines IA)

282 42137 COMMERCIAL M X N

American Administrators dba Select Benefit Administrators (W.DesMoines IA)

283 42137 COMMERCIAL H B N

American Administrators dba Select Benefit Administrators (W.DesMoines IA)

284 42137 COMMERCIAL H X N

American Administrators dba Select Benefit Administrators (W.DesMoines IA)

285 * 63103 American Behavioral COMMERCIAL M B N

286 63103 American Behavioral COMMERCIAL H B N

287 CX084 COMMERCIAL

American Benefit Corporation D

288 95170 COMMERCIAL H

American Benefit Plan Administrators B N

289 95170 COMMERCIAL M

American Benefit Plan Administrators B N

290 34187 COMMERCIAL D

American Benefits Management (North Canton OH)

291 34187 COMMERCIAL H B

American Benefits Management (North Canton OH) N

292 34187 COMMERCIAL M B

American Benefits Management (North Canton OH) N

293 41161 COMMERCIAL

American Chiropractic Network (ACN)M B N

294 41160 COMMERCIAL M B

American Chiropractic Network IPA of NY (ACNIPA) N

295 60305 COMMERCIAL

American Community Mutual InsuranceD

296 60305 COMMERCIAL

American Community Mutual InsuranceH B N

297 60305 COMMERCIAL

American Community Mutual InsuranceM X N

298 60305 COMMERCIAL

American Community Mutual InsuranceM B N

299 60305 COMMERCIAL

American Community Mutual InsuranceH X N

300 CAPMN COMMERCIAL

American Family Health Providers M B N

301 12T31 COMMERCIAL

American Family Insurance H B N

302 TH095 COMMERCIAL

American Family Insurance M X N

303 62030 American General COMMERCIAL H X E

304 62030 American General COMMERCIAL H B N

305 62030 American General COMMERCIAL M B N

306 62030 American General COMMERCIAL M X E

307 1066 COMMERCIAL

American Healthcare Alliance H N N

308 1066 COMMERCIAL

American Healthcare Alliance M N N

309 36369 COMMERCIAL

American Imaging Management Inc. H B N

310 36369 COMMERCIAL

American Imaging Management Inc. M N N

311 87726 Group Inc. H

American InternationalCOMMERCIAL (AIG) B N

312 87726 Group Inc. H

American InternationalCOMMERCIAL (AIG) B E

313 87726 Group Inc. M

American InternationalCOMMERCIAL (AIG) B E

314 87726 Group Inc. M

American InternationalCOMMERCIAL (AIG) B N

315 72099 American LIFECARE COMMERCIAL H B N

316 72099 American LIFECARE COMMERCIAL M B N

317 CX001 COMMERCIAL

American Medical Security D

318 81400 COMMERCIAL

American Medical Security Inc. H B N

319 81400 COMMERCIAL

American Medical Security Inc. M B N

320 74048 Co. (ANICO)

American National Ins. COMMERCIAL H B N

321 74048 Co. (ANICO)

American National Ins. COMMERCIAL M B N

322 44444 COMMERCIAL D

American Postal Workers Union Health Plan

323 44444 COMMERCIAL M

American Postal Workers Union Health Plan B N

324 44444 COMMERCIAL H

American Postal Workers Union Health Plan B N

325 48055 COMMERCIAL H B

American Progressive Life and Health Insurance CompanyN

326 48055 COMMERCIAL M B

American Progressive Life and Health Insurance CompanyN

327 42011 COMMERCIAL

American Republic Insurance H B E

328 42011 COMMERCIAL

American Republic Insurance H B N

329 42011 COMMERCIAL

American Republic Insurance M B N

330 42011 COMMERCIAL

American Republic Insurance M X E

331 TH117 COMMERCIAL

American Whole Health Networks M B N

332 37322 COMMERCIAL

American Worker Health Plan H B N

333 37322 COMMERCIAL

American Worker Health Plan M B N

334 27514 COMMERCIAL

Amerigroup Community Care H B N

335 27514 COMMERCIAL

Amerigroup Community Care M B N

336 27514 COMMERCIAL

Amerigroup Corporation (Ft Worth) H B N

337 27514 COMMERCIAL

Amerigroup Corporation (Ft Worth) M B N

338 27515 COMMERCIAL

Amerigroup Corporation (Houston) H B N

339 27515 COMMERCIAL

Amerigroup Corporation (Houston) M B N

340 27519 Amerigroup Florida COMMERCIAL H B N

341 27519 Amerigroup Florida COMMERCIAL M B N

342 27518 Amerigroup Illinois COMMERCIAL H B N

343 27518 Amerigroup Illinois COMMERCIAL M B N

344 27518 Amerigroup Ohio COMMERCIAL H B N

345 27518 Amerigroup Ohio COMMERCIAL M B N

346 12X24 NJ/IBC

Amerihealth Non-HMOCOMMERCIAL H N N

347 47009 Corp.

Ameritas Life InsuranceCOMMERCIAL D

348 38255 Amway Corporation COMMERCIAL D

349 53085 COMMERCIAL

Anchor Benefit Consulting Inc. D

350 53085 COMMERCIAL

Anchor Benefit Consulting Inc. H B N

351 53085 COMMERCIAL

Anchor Benefit Consulting Inc. M B N

352 86062 COMMERCIAL

Ancillary Benefit Services (ABS) H N N

353 86062 COMMERCIAL

Ancillary Benefit Services (ABS) M N N

354 3172 COMMERCIAL

Ancillary Care Management/ACM M B N

355 SYMED Angeles IPA (SynerMed) COMMERCIAL M B N

356 34192 COMMERCIAL

Antares Management Solutions D

357 34192 COMMERCIAL

Antares Management Solutions H X N

358 34192 COMMERCIAL

Antares Management Solutions H X N

359 34192 COMMERCIAL

Antares Management Solutions M B N

360 34192 COMMERCIAL

Antares Management Solutions M X N

361 34196 Apex Benefit Services COMMERCIAL H B N

362 34196 Apex Benefit Services COMMERCIAL M B N

363 APP01 COMMERCIAL

AppleCare Medical Management M B N

364 77045 Services Inc

Arcadian Management COMMERCIAL M B N

365 77045 Services Inc

Arcadian Management COMMERCIAL H B N

366 36356 Argus Health Systems COMMERCIAL M B N

367 86062 Medical Care

H

Arizona Foundation forCOMMERCIAL (AFMC) N N

368 86062 Medical Care

M

Arizona Foundation forCOMMERCIAL (AFMC) N N

369 3432 Arizona Physicians IPA COMMERCIAL M B N

370 3432 Arizona Physicians IPA COMMERCIAL H X N

371 3432 Arizona Physicians IPA COMMERCIAL H B N

372 3432 Arizona Physicians IPA COMMERCIAL M X N

373 * 75278 COMMERCIAL H

Arkansas Best Corporation - Choice Benefits B N

374 * 75278 COMMERCIAL M

Arkansas Best Corporation - Choice Benefits B N

375 75278 COMMERCIAL D

Arkansas Best Corporation - Choice Benefits

376 71603 COMMERCIAL

Arkansas Municipal League H B N

377 71603 COMMERCIAL

Arkansas Municipal League M B N

378 95440 Arnett Health Plans COMMERCIAL H X N

379 95440 Arnett Health Plans COMMERCIAL H B N

380 95440 Arnett Health Plans COMMERCIAL M X N

381 95440 Arnett Health Plans COMMERCIAL M B N

382 CX072 Ascent Benefits COMMERCIAL D

383 36326 COMMERCIAL M

Associates for Health Care Inc. (AHC) B N

384 36326 COMMERCIAL H

Associates for Health Care Inc. (AHC) B N

385 70408 COMMERCIAL

Assurant Employee Benefits D

386 39065 Assurant Health COMMERCIAL M B N

387 39065 Assurant Health COMMERCIAL H X E

388 39065 Assurant Health COMMERCIAL H B N

389 39065 Assurant Health COMMERCIAL D

390 39065 Assurant Health COMMERCIAL D

391 39065 Assurant Health COMMERCIAL M X E

392 37313 COMMERCIAL H

Assurant Health Self-Funded (Ft. Mill SC) B N

393 37313 COMMERCIAL M

Assurant Health Self-Funded (Ft. Mill SC) B N

394 37323 Family

Assurant MiniMed-Key COMMERCIAL M B N

395 37323 Family

Assurant MiniMed-Key COMMERCIAL H B N

396 70408 Assurant Inc COMMERCIAL D

397 88035 AssureCare Inc. COMMERCIAL H N N

398 88035 AssureCare Inc. COMMERCIAL M N N

399 74240 COMMERCIAL

Assured Benefits Administrators H B N

400 74240 COMMERCIAL

Assured Benefits Administrators M B N

401 SX179 COMMERCIAL

Asuris Northwest/MedAdvantage M B N

402 95691 COMMERCIAL

Athens Area Health Plan Select H B N

403 95691 COMMERCIAL

Athens Area Health Plan Select M B N

404 95691 COMMERCIAL

Athens Area Health Plan Select D

405 CX085 COMMERCIAL D

Atlantic Dental Inc. (ADI) - Commercial

406 22304 COMMERCIAL

Atlanticare [also known as HorizonH N

HealthCareBAdmin (HHA)]

407 22304 COMMERCIAL

Atlanticare [also known as HorizonM N

HealthCareBAdmin (HHA)]

408 13853 Atlantis Health Plan COMMERCIAL M B N

409 Pilot Atlantis Health Plan COMMERCIAL H B N

410 TH004 Atlas Administrators COMMERCIAL M B N

411 31147 COMMERCIAL H

AultComp Managed Care Organization (Ohio BWC)B N

412 31147 COMMERCIAL M

AultComp Managed Care Organization (Ohio BWC)B N

413 37242 COMMERCIAL

Aultra Administrative Group M B N

414 37242 COMMERCIAL

Aultra Administrative Group H B N

415 38259 COMMERCIAL

Automated Benefit Services H B N

416 38259 COMMERCIAL

Automated Benefit Services M B N

417 37280 COMMERCIAL

Automated Group Administration Inc.M B N

418 37280 COMMERCIAL

Automated Group Administration Inc.H B N

419 37280 COMMERCIAL D

Automated Group Administration Inc. (AGA)

420 59274 AvMed Inc. COMMERCIAL H B N

421 59274 AvMed Inc. COMMERCIAL M B N

422 CAPMN Avalon IPA COMMERCIAL M B N

423 CAPMN Avalon Medical Group COMMERCIAL M B N

424 31147 AvatarComp (Ohio BWC) COMMERCIAL H B N

425 31147 AvatarComp (Ohio BWC) COMMERCIAL M B N

426 46045 Avera Health Plans COMMERCIAL H B N

427 46045 Avera Health Plans COMMERCIAL M B N

428 48055 AveraAdvantage COMMERCIAL H B N

429 48055 AveraAdvantage COMMERCIAL M B N

430 86098 Avesis COMMERCIAL D

431 87098 COMMERCIAL

Avesis Third Party Administrators M B N

432 74230 BC Indigent COMMERCIAL M B N

433 74230 BC Indigent COMMERCIAL H B N

434 49153 BCI Administrators Inc.COMMERCIAL M N N

435 49153 BCI Administrators Inc.COMMERCIAL H N N

436 49153 BCI Administrators Inc.COMMERCIAL D

437 43324 COMMERCIAL

BEACON HEALTH STRATEGIES M B N

438 43324 COMMERCIAL

BEACON HEALTH STRATEGIES H B N

439 56139 COMMERCIAL

BENEFIT MANAGEMENT SERVICES M X N

440 56139 COMMERCIAL

BENEFIT MANAGEMENT SERVICES H X N

441 Call COMMERCIAL

BENEFIT MANAGEMENT SERVICES M B N

442 Call COMMERCIAL

BENEFIT MANAGEMENT SERVICES H B N

443 SX002 BHSG of Tennessee COMMERCIAL M X N

444 13337 BMC HealthNet Plan COMMERCIAL H B N

445 13337 BMC HealthNet Plan COMMERCIAL M B N

446 20018 COMMERCIAL H

BMGI - Benefit Management Group Inc. B N

447 20018 COMMERCIAL M

BMGI - Benefit Management Group Inc. B N

448 37286 COMMERCIAL H B

BPA/Benefit Plan Administrators (North Dakota) N

449 37286 COMMERCIAL M B

BPA/Benefit Plan Administrators (North Dakota) N

450 13310 BPS Inc. COMMERCIAL M B N

451 13310 BPS Inc. COMMERCIAL H B N

452 Call BSI COMMERCIAL M B N

453 Call BSI COMMERCIAL H B N

454 BKRFM COMMERCIAL

Bakersfield Family Medical Center M B N

455 12X42 Banner Health COMMERCIAL H N N

456 SX145 Banner Health AZ COMMERCIAL M X N

457 SX145 COMMERCIAL M X

Banner Health Co - ROCKY MOUNTAIN HMO GREELEY N

458 SX145 COMMERCIAL

Banner Health Co. - ANTERO GREELEYM X N

459 SX145 COMMERCIAL

Banner Health Co. - ANTERO HIGH M PLAINS X N

460 SX145 COMMERCIAL M

Banner Health Co. - ANTERO MOUNTAIN SHADOWS X N

461 SX145 COMMERCIAL

Banner Health Co. - CHOICE PLUS M X N

462 SX145 COMMERCIAL

Banner Health Co. - HMO GREELEYM X N

463 SX145 COMMERCIAL M

Banner Health Co. - HMO HIGH PLAINS X N

464 SX145 COMMERCIAL M

Banner Health Co. - HMO MOUNTAIN SHADOWS X N

465 SX145 COMMERCIAL M

Banner Health Co. - PACIFICARE GREELEY X N

466 SX145 COMMERCIAL M

Banner Health Co. - PACIFICARE HIGH PLAINS X N

467 SX145 COMMERCIAL M X

Banner Health Co. - PACIFICARE MOUNTAIN SHADOWS N

468 SX145 COMMERCIAL M X N

Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS

469 SX145 COMMERCIAL M

Banner Health Co. - SECURE HORIZONS GREELEY X N

470 SX145 COMMERCIAL M X

Banner Health Co. - SECURE HORIZONS HIGH PLAINS N

471 SX145 COMMERCIAL M X

Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWSN

472 NCH06 COMMERCIAL M B

Bascom Palmer Eye Care Network - New Century Health N

473 37248 COMMERCIAL

Bass Administrators Inc. H B N

474 37248 COMMERCIAL

Bass Administrators Inc. M B N

475 95377 Beech Street COMMERCIAL H B N

476 95377 Beech Street COMMERCIAL M N N

477 63100 COMMERCIAL

Behavioral Health Systems M B N

478 63100 COMMERCIAL

Behavioral Health Systems H B N

479 68241 Bell Atlantic COMMERCIAL D

480 MPMOA C

Bella Vista Med Grp IPA OMMERCIAL M X N

481 SYMED COMMERCIAL

Bellflower Hospital (Synermed) M B N

482 33192 COMMERCIAL

Bencomp National Corporation D

483 33192 COMMERCIAL

Bencomp National Corporation H B N

484 33192 COMMERCIAL

Bencomp National Corporation M B N

485 23210 BeneCare Dental Plans COMMERCIAL D

486 36149 COMMERCIAL

Benefit Administrative Systems M X N

487 36149 COMMERCIAL

Benefit Administrative Systems M B N

488 36149 COMMERCIAL

Benefit Administrative Systems H X N

489 36149 COMMERCIAL

Benefit Administrative Systems H B N

490 36149 COMMERCIAL

Benefit Administrative Systems D

491 25145 COMMERCIAL H B

Benefit Coordinators Corporation (Pittsburgh PA) N

492 25145 COMMERCIAL D

Benefit Coordinators Corporation (Pittsburgh PA)

493 25145 COMMERCIAL M B

Benefit Coordinators Corporation (Pittsburgh PA) N

494 56139 COMMERCIAL

Benefit Management Services Inc D

495 999 COMMERCIAL

Benefit Management Services Inc. M (BCBS LA) X N

496 37212 COMMERCIAL

Benefit Management Systems Inc D

497 37212 COMMERCIAL

Benefit Management Systems Inc H B N

498 37212 COMMERCIAL

Benefit Management Systems Inc M B N

499 48611 COMMERCIAL

Benefit Management Inc. of KS D

500 48611 COMMERCIAL

Benefit Management Inc. of KS M B N

501 48611 COMMERCIAL

Benefit Management Inc. of KS H B N

502 39081 COMMERCIAL M X

Benefit Plan Administrators Co. (Eau Claire WI) N

503 39081 COMMERCIAL D

Benefit Plan Administrators Co. (Eau Claire WI)

504 39081 COMMERCIAL H B

Benefit Plan Administrators Co. (Eau Claire WI) N

505 39081 COMMERCIAL H X

Benefit Plan Administrators Co. (Eau Claire WI) N

506 39081 COMMERCIAL M B

Benefit Plan Administrators Co. (Eau Claire WI) N

507 37118 COMMERCIAL H

Benefit Plan Administrators Inc. (Roanoke VA) B N

508 37118 COMMERCIAL M

Benefit Plan Administrators Inc. (Roanoke VA) B N

509 74223 Benefit Planners Inc. COMMERCIAL H B N

510 74223 Benefit Planners Inc. COMMERCIAL M B N

511 Call Benefit Services COMMERCIAL H X N

512 Call Benefit Services COMMERCIAL M X N

513 36342 COMMERCIAL M

Benefit Systems & Services Inc. (BSSI) B N

514 36342 COMMERCIAL D

Benefit Systems & Services Inc. (BSSI)

515 36342 COMMERCIAL H

Benefit Systems & Services Inc. (BSSI) B N

516 87265 Benesight COMMERCIAL M B N

517 87265 Benesight COMMERCIAL H B N

518 37248 Benesys COMMERCIAL M B N

519 37248 Benesys COMMERCIAL H B N

520 37248 Benesys Inc. COMMERCIAL H X N

521 37248 Benesys Inc. COMMERCIAL H B N

522 37248 Benesys Inc. COMMERCIAL M B N

523 37248 Benesys Inc. COMMERCIAL M X N

524 58102 Benesys Inc. COMMERCIAL D

525 Call COMMERCIAL H B N

Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer)

526 Call COMMERCIAL M B N

Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer)

527 Call COMMERCIAL

Berkshire Lehigh Partners M B N

528 Call COMMERCIAL

Berkshire Lehigh Partners H B N

529 COMMERCIAL

95604 Best Life & Health Insurance Co. H B N

530 COMMERCIAL

95604 Best Life & Health Insurance Co. D

531 COMMERCIAL

95604 Best Life & Health Insurance Co. M B N

532 COMMERCIAL D

32006 Better Health Plans of South Carolina

533 COMMERCIAL M

32006 Better Health Plans of South Carolina B N

534 COMMERCIAL D

32006 Better Health Plans of South Carolina

535 COMMERCIAL H

32006 Better Health Plans of South Carolina B N

536 62183 Better Health Plans Inc.COMMERCIAL M B N

537 62183 Better Health Plans Inc.COMMERCIAL H B N

538 62183 Better Health Plans Inc.COMMERCIAL H X E

539 62183 Better Health Plans Inc.COMMERCIAL M X E

540 12X40 Bienvivir COMMERCIAL H B N

541 Bienvivir Senior Health COMMERCIAL

See Comments Services M X N

542 GWD01 Blue Care Family Plan COMMERCIAL D

543 COMMERCIAL

15754 Blue Grass Family Health/SRRIPA M B N

544 61124 Bluegrass Family Health COMMERCIAL M B N

545 61124 Bluegrass Family Health COMMERCIAL M X N

546 61124 Bluegrass Family Health COMMERCIAL M X N

547 61124 Bluegrass Family Health COMMERCIAL H X N

548 61124 Bluegrass Family Health COMMERCIAL H B N

549 61124 Bluegrass Family Health COMMERCIAL H X N

550 COMMERCIAL D

36609 Boilermakers National Health & Welfare Fund

551 COMMERCIAL H

36609 Boilermakers National Health & Welfare Fund B N

552 COMMERCIAL M

36609 Boilermakers National Health & Welfare Fund B N

553 Administrators

74237 Boon-Chapman BenefitCOMMERCIAL Inc.D

554 Administrators

H

74238 Boon-Chapman BenefitCOMMERCIAL Inc. B N

555 Administrators

M

74238 Boon-Chapman BenefitCOMMERCIAL Inc. B N

556 Health PlanH

13337 Boston Medical Center COMMERCIAL Inc. B N

557 Health PlanH

13337 Boston Medical Center COMMERCIAL Inc. B N

558 Health PlanM

13337 Boston Medical Center COMMERCIAL Inc. B N

559 Health PlanM

13337 Boston Medical Center COMMERCIAL Inc. B N

560 52192 Bravo Health COMMERCIAL H B N

561 52192 Bravo Health COMMERCIAL H B N

562 52192 Bravo Health COMMERCIAL M B N

563 52192 Bravo Health COMMERCIAL M B N

564 12X53 COMMERCIAL

BrickStreet Insurance Company H X E

565 CX028 Bridgeport LLC D

COMMERCIAL

566 37285 COMMERCIAL

Bridgestone Claims Services H B N

567 37285 COMMERCIAL

Bridgestone Claims Services M B N

568 68054 Bridgeway Arizona H

COMMERCIAL B N

569 68054 Bridgeway Arizona H

COMMERCIAL X A

570 68054 Bridgeway Arizona M

COMMERCIAL B N

571 68054 Bridgeway Arizona M

COMMERCIAL X N

572 * 22286 BritCay H

COMMERCIAL B N

573 * 22286 BritCay M

COMMERCIAL B N

574 51037 COMMERCIAL

Brockerage Concepts Inc. H B N

575 51037 COMMERCIAL

Brockerage Concepts Inc. M B N

576 35182 Brodart H

COMMERCIAL B N

577 35182 Brodart M

COMMERCIAL B N

578 Call Brokerage Service Inc COMMERCIALH B N

579 Call Brokerage Service Inc COMMERCIALM B N

580 CX032 Brokers National D

COMMERCIAL

581 37314 Broward Health D

COMMERCIAL

582 37314 Broward Health H

COMMERCIAL B N

583 37314 Broward Health M

COMMERCIAL B N

584 94316 COMMERCIAL

Brown & Toland Medical Group H B N

585 94316 COMMERCIAL

Brown & Toland Medical Group H B N

586 94316 COMMERCIAL

Brown & Toland Medical Group M B N

587 94316 COMMERCIAL

Brown & Toland Medical Group M B N

588 32004 COMMERCIAL

Buckeye Community Health H B N

589 32004 COMMERCIAL

Buckeye Community Health H X N

590 32004 COMMERCIAL

Buckeye Community Health M B N

591 32004 COMMERCIAL

Buckeye Community Health M X N

592 47009 COMMERCIAL

Businessmen's Assurance (BMA) D

593 42150 Butler Benefit D

COMMERCIAL

594 42150 Butler Benefit H

COMMERCIAL B N

595 42150 Butler Benefit M

COMMERCIAL B N

596 23708 COMMERCIAL

M

C&O Employees Hospital Association B N

597 73071 COMMERCIAL

C. L. Frates & Co - OSMA Health H X N

598 73071 COMMERCIAL

C. L. Frates & Co - OSMA Health M X N

599 CX075 COMMERCIAL

D

C. L. Frates and Company - OSMA Health

600 Call COMMERCIAL

CAM Administrative Services H X N

601 Call COMMERCIAL

CAM Administrative Services M X N

602 CAPMN CAP Management M

COMMERCIAL B N

603 95399 CAP Management Systems H

COMMERCIAL B N

604 95399 CAP Management Systems M

COMMERCIAL B N

605 55438 CBCA Administrators COMMERCIAL D

606 55438 CBCA Administrators COMMERCIAL H B N

607 55438 CBCA Administrators COMMERCIAL M B N

608 41170 COMMERCIAL

CBCA Administrators (HRM) D

609 41170 COMMERCIAL

CBCA Administrators (HRM) H B N

610 41170 COMMERCIAL

CBCA Administrators (HRM) M B N

611 41124 CBSA COMMERCIAL D

612 41124 CBSA COMMERCIAL H B N

613 41124 CBSA COMMERCIAL M B N

614 10050 COMMERCIAL

CDH (Cigna Dental Health) D

615 87065 CDO Technologies COMMERCIAL M B N

616 87065 CDO Technologies COMMERCIAL D

617 87065 CDO Technologies COMMERCIAL H B N

618 12X03 CDPHP COMMERCIAL H X N

619 SX065 CDPHP COMMERCIAL M X N

620 88022 CDS Group Health COMMERCIAL M B N

621 88022 CDS Group Health COMMERCIAL H X N

622 88022 CDS Group Health COMMERCIAL D

623 23171 CHA Health COMMERCIAL H B N

624 23171 CHA Health COMMERCIAL H X N

625 23171 CHA Health COMMERCIAL M B N

626 23171 CHA Health COMMERCIAL M X E

627 84146 CHAMPVA - HAC COMMERCIAL M X E

628 84146 CHAMPVA - HAC COMMERCIAL M X E

629 84146 CHAMPVA - HAC COMMERCIAL M X E

630 84146 CHAMPVA - HAC COMMERCIAL H X E

631 84146 CHAMPVA - HAC COMMERCIAL H B N

632 84146 CHAMPVA - HAC COMMERCIAL H X E

633 84146 CHAMPVA - HAC COMMERCIAL H X E

634 84146 CHAMPVA - HAC COMMERCIAL H B N

635 84146 CHAMPVA - HAC COMMERCIAL H B N

636 84147 CHAMPVA - HAC COMMERCIAL D

637 84147 CHAMPVA - HAC COMMERCIAL D

638 84146 CHAMPVA-HAC COMMERCIAL M B N

639 25151 COMMERCIAL

CHCcares of South Carolina H B N

640 25151 COMMERCIAL

CHCcares of South Carolina M X N

641 25151 COMMERCIAL

CHCcares of South Carolina M X N

642 25151 COMMERCIAL

CHCcares of South Carolina H X N

643 33065 COMMERCIAL M B N

CHOC - Children's Hospital Of Orange County Health Alliance

644 33065 COMMERCIAL H B N

CHOC - Children's Hospital Of Orange County Health Alliance

645 90441 CHP DIRECT SUPERMED COMMERCIAL H B N

646 90441 CHP DIRECT SUPERMED COMMERCIAL M N N

647 Call CHP/RPU (FABOH) COMMERCIAL M B N

648 Call CHP/RPU (FABOH) COMMERCIAL H B N

649 62308 CIGNA COMMERCIAL M B N

650 62308 CIGNA COMMERCIAL M X N

651 62308 CIGNA COMMERCIAL D

652 62308 CIGNA COMMERCIAL D

653 62308 CIGNA COMMERCIAL H X N

654 62308 CIGNA COMMERCIAL H B N

655 62308 CIGNA - PPA COMMERCIAL M B N

656 62308 CIGNA - PPA COMMERCIAL H B N

657 62308 CIGNA - PPO COMMERCIAL H B N

658 62308 CIGNA - PPO COMMERCIAL M B N

659 SX071 CIGNA Behavioral Health COMMERCIAL M B T

660 62308 CIGNA Health Plan - HMO COMMERCIAL H B N

661 62308 CIGNA Health Plan - HMO COMMERCIAL M B N

662 86033 CIGNA Medicare Advantage COMMERCIAL H B N

663 86033 CIGNA Medicare Advantage COMMERCIAL M B N

664 59225 CIGNA Voluntary COMMERCIAL D

665 56211 CM Administrators Inc COMMERCIAL H B N

666 56211 CM Administrators Inc COMMERCIAL M B N

667 2041 CMHC COMMERCIAL H B N

668 35199 COMMERCIAL

COOPERATIVE MANAGED CARE SERVICES M B N

669 35199 COMMERCIAL

COOPERATIVE MANAGED CARE SERVICES H B N

670 31147 COMMERCIAL

CRA Managed Care (Ohio BWC) M B N

671 31147 COMMERCIAL

CRA Managed Care (Ohio BWC) H B N

672 57080 CWIBENEFITS INC. COMMERCIAL H B N

673 57080 CWIBENEFITS INC. COMMERCIAL M X N

674 57080 CWIBENEFITS INC. COMMERCIAL M B N

675 57080 CWIBENEFITS INC. COMMERCIAL H X N

676 33192 Cadent Administrators COMMERCIAL H B N

677 33192 Cadent Administrators COMMERCIAL D

678 33192 Cadent Administrators COMMERCIAL M B N

679 33192 Cadent Underwriters COMMERCIAL H B N

680 33192 Cadent Underwriters COMMERCIAL D

681 33192 Cadent Underwriters COMMERCIAL M B N

682 CALOP Cal-Optima Direct COMMERCIAL H B N

683 CALOP Cal-Optima Direct COMMERCIAL M B N

684 NCH05 COMMERCIAL M

California Eye Care - New Century Health X N

685 99105 COMMERCIAL

California Physician Services H B N

686 99105 COMMERCIAL

California Physician Services M B N

687 71057 COMMERCIAL D

Cannon Cochran Management Services Inc. Metairie LA

688 71057 COMMERCIAL H B

Cannon Cochran Management Services Inc. Metairie LA N

689 71057 COMMERCIAL H X

Cannon Cochran Management Services Inc. Metairie LA N

690 71057 COMMERCIAL M B

Cannon Cochran Management Services Inc. Metairie LA N

691 71057 COMMERCIAL M X

Cannon Cochran Management Services Inc. Metairie LA N

692 38245 Cape Health Plan COMMERCIAL H B N

693 38245 Cape Health Plan COMMERCIAL M B N

694 87726 COMMERCIAL

Capital Community Health Plan H B N

695 87726 COMMERCIAL

Capital Community Health Plan M B N

696 CX037 Capital Dental COMMERCIAL D

697 CX037 Capital Dental COMMERCIAL H X N

698 CX037 Capital Dental COMMERCIAL M X N

699 12X03 COMMERCIAL H

Capital District Physician's Health Plan X N

700 SX065 COMMERCIAL H

Capital District Physician's Health Plan X E

701 SX065 COMMERCIAL M

Capital District Physician's Health Plan X N

702 SX065 COMMERCIAL M

Capital District Physician's Health Plan X E

703 95112 Capital Health Plan COMMERCIAL H B N

704 95112 Capital Health Plan COMMERCIAL M B N

705 68011 Capitol Administrators COMMERCIAL D

706 68011 Capitol Administrators COMMERCIAL H B N

707 68011 Capitol Administrators COMMERCIAL M B N

708 68011 Capitol Administrators COMMERCIAL H X N

709 68011 Capitol Administrators COMMERCIAL M X N

710 57116 Arizona H

Care 1st Health Plan of COMMERCIAL B N

711 57116 Arizona M

Care 1st Health Plan of COMMERCIAL B N

712 38269 Choices H

Care Choices/PreferredCOMMERCIAL B N

713 77082 Care Improvement Plus COMMERCIAL M B N

714 77082 Care Improvement Plus COMMERCIAL H B N

715 AMM01 Care Network COMMERCIAL H B N

716 AMM01 Care Network COMMERCIAL M B N

717 41222 Care To Care COMMERCIAL H B N

718 41222 Care To Care COMMERCIAL M B N

719 11345 CareCentrix COMMERCIAL M B N

720 14182 CareCore National COMMERCIAL M B N

721 14184 COMMERCIAL

CareCore National - Healthnet M B N

722 14184 COMMERCIAL

CareCore National - Healthnet H B N

723 14179 COMMERCIAL M B

CareCore National LLC (Aetna Radiology Claims) N

724 14180 COMMERCIAL M B

CareCore National LLC (Oxford Radiology Claims) N

725 14185 COMMERCIAL Jersey

CareCore National LLC - Health NetH New B N

726 14185 COMMERCIAL Jersey

CareCore National LLC - Health NetM New B N

727 16147 CareGuide COMMERCIAL M B N

728 93975 CareOregon Inc. COMMERCIAL M B N

729 93975 CareOregon Inc. COMMERCIAL H B N

730 NCH04 COMMERCIAL

CarePlus Cardiology - New CenturyM Health B N

731 NCH01 COMMERCIAL M

CarePlus Dermatology - New Century Health B N

732 65031 COMMERCIAL

CarePlus Health Plans Inc. M B N

733 NCH07 COMMERCIAL M B

CarePlus Oncology - New Century Infusion Solutions N

734 NCH03 COMMERCIAL M

CarePlus Urology - New Century Health X N

735 31114 CareSource OH COMMERCIAL M X N

736 31114 CareSource OH COMMERCIAL H B N

737 * 41742 Health Plan

CareSource-Mid RogueCOMMERCIAL H B N

738 * 41742 Health Plan

CareSource-Mid RogueCOMMERCIAL M B N

739 31147 CareWorks (Ohio BWC)COMMERCIAL M B N

740 31147 CareWorks (Ohio BWC)COMMERCIAL H B N

741 38269 Mercy Healthplans B

Carechoices Michigan -COMMERCIAL M T

742 25139 Carelink Health Plan COMMERCIAL M B N

743 25139 Carelink Health Plan COMMERCIAL M X E

744 25139 Carelink Health Plan COMMERCIAL H X E

745 25139 Carelink Health Plan COMMERCIAL H X E

746 25139 Carelink Health Plan COMMERCIAL H B N

747 25139 Carelink Health Plan COMMERCIAL H B N

748 25139 Carelink Health Plan COMMERCIAL M X E

749 25139 Carelink Health Plan COMMERCIAL M B N

750 25140 Carelink Medicaid COMMERCIAL H X E

751 25140 Carelink Medicaid COMMERCIAL H B N

752 25140 Carelink Medicaid COMMERCIAL H B N

753 25140 Carelink Medicaid COMMERCIAL M X E

754 25140 Carelink Medicaid COMMERCIAL M X E

755 25140 Carelink Medicaid COMMERCIAL H X E

756 25140 Carelink Medicaid COMMERCIAL M B N

757 25140 Carelink Medicaid COMMERCIAL M B N

758 CM001 Caremore COMMERCIAL M B N

759 25142 Carenet COMMERCIAL H B N

760 25142 Carenet COMMERCIAL M B N

761 25142 Carenet COMMERCIAL M B N

762 25142 Carenet COMMERCIAL H X E

763 25142 Carenet COMMERCIAL H X E

764 25142 Carenet COMMERCIAL H B N

765 25142 Carenet COMMERCIAL M X E

766 25142 Carenet COMMERCIAL M X E

767 10010 Careworks COMMERCIAL M B N

768 10010 Careworks COMMERCIAL H B N

769 62073 Cariten Healthcare COMMERCIAL H N N

770 62073 Cariten Healthcare COMMERCIAL H X E

771 62073 Cariten Healthcare COMMERCIAL M N N

772 62073 Cariten Healthcare COMMERCIAL M X E

773 62072 Cariten Senior Health COMMERCIAL H X E

774 62072 Cariten Senior Health COMMERCIAL M N N

775 62072 Cariten Senior Health COMMERCIAL M X E

776 62072 Cariten Senior Health COMMERCIAL H N N

777 57105 Carolina Care Plan COMMERCIAL H B N

778 57105 Carolina Care Plan COMMERCIAL M B N

779 SX191 COMMERCIAL

Carolina Crescent Health Plan Inc. M B E

780 56195 COMMERCIAL

Carolina Summit Healthcare Inc. H B N

781 56195 COMMERCIAL

Carolina Summit Healthcare Inc. M B N

782 25125 Welfare Trust

D

Carpenter's Health andCOMMERCIAL Fund of St. Louis

783 25125 Welfare Trust

H B

Carpenter's Health andCOMMERCIAL Fund of St. Louis N

784 25125 Welfare Trust

M B

Carpenter's Health andCOMMERCIAL Fund of St. Louis N

785 37060 Caterpillar Inc. COMMERCIAL D

786 12X45 COMMERCIAL

Catholic Healthcare West H B N

787 SX183 COMMERCIAL

Catholic Healthcare West M B N

788 HPIPA Medical Group

Cedars Towers SurgicalCOMMERCIAL M X N

789 95166 COMMERCIAL M

Cedars-Sinai Medical Network Services B N

790 95166 COMMERCIAL H

Cedars-Sinai Medical Network Services X N

791 95167 COMMERCIAL H

Cedars-Sinai Medical Network Services X N

792 95167 COMMERCIAL M

Cedars-Sinai Medical Network Services B N

793 91136 COMMERCIAL D

Cement Masons & Plasterers Health & Welfare Trust

794 91136 COMMERCIAL M B

Cement Masons & Plasterers Health & Welfare Trust N

795 91136 COMMERCIAL H B

Cement Masons & Plasterers Health & Welfare Trust N

796 68048 Cenpatico - Arizona COMMERCIAL H B N

797 68048 Cenpatico - Arizona COMMERCIAL M B N

798 68058 Cenpatico - FL COMMERCIAL H B N

799 68058 Cenpatico - FL COMMERCIAL M B N

800 68050 Cenpatico - Georgia COMMERCIAL H X N

801 68050 Cenpatico - Georgia COMMERCIAL M B N

802 68052 Cenpatico - Indiana COMMERCIAL H B N

803 68052 Cenpatico - Indiana COMMERCIAL M B N

804 68047 Cenpatico - Kansas COMMERCIAL H B N

805 68047 Cenpatico - Kansas COMMERCIAL M B N

806 68051 Cenpatico - OHIO COMMERCIAL H B N

807 68051 Cenpatico - OHIO COMMERCIAL M B N

808 68059 COMMERCIAL

Cenpatico South Carolina H B N

809 68059 COMMERCIAL

Cenpatico South Carolina M B N

810 68056 Centene Advantage PlansCOMMERCIAL H B N

811 68056 Centene Advantage PlansCOMMERCIAL M B N

812 13357 CenterCare COMMERCIAL H B N

813 13357 CenterCare COMMERCIAL M B N

814 31118 Central Benefits Life COMMERCIAL M B N

815 31118 Central Benefits Life COMMERCIAL H B N

816 31118 C

Central Benefits Mutual OMMERCIAL H B N

817 31118 C

Central Benefits Mutual OMMERCIAL M B N

818 31118 COMMERCIAL

Central Benefits National H B N

819 31118 COMMERCIAL

Central Benefits National M B N

820 31118 COMMERCIAL

Central Benefits National M X N

821 2041 Central Mass Heath CareCOMMERCIAL H B N

822 34097 Central Reserve Life COMMERCIAL H X N

823 34097 Central Reserve Life COMMERCIAL H B N

824 34097 Central Reserve Life COMMERCIAL D

825 34097 Central Reserve Life COMMERCIAL M B N

826 34097 Central Reserve Life COMMERCIAL M X N

827 62218 Central SeniorCare COMMERCIAL H X N

828 62218 Central SeniorCare COMMERCIAL M B N

829 36215 Welfare Funds

Central States Health &COMMERCIAL D

830 36215 Welfare Funds

Central States Health &COMMERCIAL H B N

831 36215 Welfare Funds

Central States Health &COMMERCIAL M B N

832 77035 COMMERCIAL

Central Valley Medical Group M B N

833 E3510 COMMERCIAL

Central Valley Medical Group M B T

834 Call Centre for Health Care COMMERCIAL M X N

835 Call Centre for Health Care COMMERCIAL M X N

836 48120 COMMERCIAL

Century Health Solutions H B N

837 48120 COMMERCIAL

Century Health Solutions M N N

838 16600 COMMERCIAL H NY)

Chautauqua County Healthcare Plan (Mayville B N

839 16600 COMMERCIAL M NY)

Chautauqua County Healthcare Plan (Mayville B N

840 59223 COMMERCIAL H B

Chesapeake Life Insurance Company - Insurance Center N

841 59223 COMMERCIAL H X

Chesapeake Life Insurance Company - Insurance Center E

842 59223 COMMERCIAL M B

Chesapeake Life Insurance Company - Insurance Center N

843 59223 COMMERCIAL M X

Chesapeake Life Insurance Company - Insurance Center E

844 34154 Inc.

Chesterfield Resources COMMERCIAL H B N

845 34154 Inc.

Chesterfield Resources COMMERCIAL M B N

846 34154 Inc. (Uniontown

Chesterfield Resources COMMERCIAL OH)D

847 80141 COMMERCIAL

Childhealth Plus by Healthfirst (CHP)H B N

848 94321 COMMERCIAL

Children First Medical Group M B N

849 84146 COMMERCIAL H

Children of Women Vietnam Veterans-VA HACB N

850 84146 COMMERCIAL H

Children of Women Vietnam Veterans-VA HACX E

851 84146 COMMERCIAL M

Children of Women Vietnam Veterans-VA HACB N

852 84146 COMMERCIAL M

Children of Women Vietnam Veterans-VA HACX E

853 Call COMMERCIAL

Children's Clinics for RehabilitativeHServices B N

854 Call COMMERCIAL

Children's Clinics for RehabilitativeMServices B N

855 37314 COMMERCIAL H

Children's Medical Services - Broward NORTH B N

856 37314 COMMERCIAL M

Children's Medical Services - Broward NORTH B N

857 AMM01 COMMERCIAL

Children's Treatment Unit (CTU) H B N

858 AMM01 COMMERCIAL

Children's Treatment Unit (CTU) M B N

859 CPMG1 COMMERCIAL

Childrens Physician Medical GroupM B N

860 CSSD2 COMMERCIAL

Childrens Specialist of San Diego M N N

861 94302 COMMERCIAL

Chinese Community Health Plan M B N

862 76049 COMMERCIAL

Choice One/UTMB CHIP Health Plan H B N

863 76049 COMMERCIAL

Choice One/UTMB CHIP Health Plan M B T

864 68241 Choice Plus (TRW) COMMERCIAL D

865 61271 COMMERCIAL

Christian Brothers Services D

866 61271 COMMERCIAL

Christian Brothers Services D

867 61271 COMMERCIAL

Christian Brothers Services H B N

868 61271 COMMERCIAL

Christian Brothers Services M B N

869 46871 COMMERCIAL

Cincinnati Financial Corporation H B N

870 46871 COMMERCIAL

Cincinnati Financial Corporation M B N

871 CX071 COMMERCIAL

Citizens Security Life Insurance D

872 TH130 Citrus Health COMMERCIAL M B N

873 CVPG1 Medical Group

Citrus Valley PhysiciansCOMMERCIAL M X N

874 TH107 City of Amarillo COMMERCIAL M X N

875 TKFMC City of Visalia COMMERCIAL M B N

876 CX054 Association (CSEA)

Civil Service EmployeesCOMMERCIAL D

877 39141 COMMERCIAL

Claims Management Services H N N

878 39141 COMMERCIAL

Claims Management Services M N N

879 57080 COMMERCIAL

ClaimsWare Inc. dba ManageMed H B N

880 57080 COMMERCIAL

ClaimsWare Inc. dba ManageMed M B N

881 33192 Clarendon's Healthy Kids COMMERCIAL D

882 33192 Clarendon's Healthy Kids COMMERCIAL H B N

883 33192 Clarendon's Healthy Kids COMMERCIAL M B N

884 77201 COMMERCIAL

Clearchoice Health Plan / COIHS M B N

885 77052 Services D

Coastal Administrative COMMERCIAL

886 77052 Services H

Coastal Administrative COMMERCIAL B N

887 77052 Services M

Coastal Administrative COMMERCIAL B N

888 38335 Cofinity COMMERCIAL H B N

889 38335 Cofinity COMMERCIAL M B N

890 22284 Colonial Medical COMMERCIAL H B N

891 22284 Colonial Medical COMMERCIAL M B N

892 84129 Colorado Access COMMERCIAL M B N

893 91162 COMMERCIAL

Columbia United Providers H B N

894 91162 COMMERCIAL

Columbia United Providers M B N

895 34181 COMMERCIAL

Commerce Benefits Group H B N

896 34181 COMMERCIAL

Commerce Benefits Group H X N

897 34181 COMMERCIAL

Commerce Benefits Group M B N

898 34181 COMMERCIAL

Commerce Benefits Group M X N

899 14315 COMMERCIAL

Commonwealth Care Alliance H B N

900 14315 COMMERCIAL

Commonwealth Care Alliance M B N

901 23282 Community Care BHO COMMERCIAL H B N

902 23282 Community Care BHO COMMERCIAL M B N

903 73143 COMMERCIAL H B N

Community Care Managed Health Care Plans of Oklahoma

904 73143 COMMERCIAL M B N

Community Care Managed Health Care Plans of Oklahoma

905 39126 COMMERCIAL

Community Care Organization H B N

906 39126 COMMERCIAL

Community Care Organization M B N

907 71079 Community Care Plus COMMERCIAL H C N

908 71079 Community Care Plus COMMERCIAL M B N

909 38325 COMMERCIAL

Community Choice of Michigan H B N

910 38325 COMMERCIAL

Community Choice of Michigan M B N

911 26231 COMMERCIAL

Community Claims Administration D

912 26231 COMMERCIAL

Community Claims Administration H B N

913 26231 COMMERCIAL

Community Claims Administration M B N

914 SYMED COMMERCIAL

Community Family Care (SynerMed) M B N

915 12T02 Community First COMMERCIAL H X N

916 TH005 Community First COMMERCIAL M X N

917 35193 COMMERCIAL

Community Health Alliance H B N

918 35193 COMMERCIAL

Community Health Alliance M B N

919 48145 COMMERCIAL

Community Health Choice H B N

920 48145 COMMERCIAL

Community Health Choice M B N

921 75261 COMMERCIAL D

Community Health Electronic Claims/CHEC/webTPA

922 75261 COMMERCIAL H B

Community Health Electronic Claims/CHEC/webTPA N

923 75261 COMMERCIAL M B

Community Health Electronic Claims/CHEC/webTPA N

924 62149 COMMERCIAL

Community Health Network of CT H B N

925 62149 COMMERCIAL

Community Health Network of CT M B N

926 90010 Community Health PlanCOMMERCIAL H N N

927 90010 Community Health PlanCOMMERCIAL M X N

928 90010 Community Health PlanCOMMERCIAL M B N

929 90010 Community Health PlanCOMMERCIAL H X N

930 SB613 COMMERCIAL

Community Health Plan Washington M X N

931 12T30 COMMERCIAL H

Community Health Plan of Washington B N

932 CMGVW COMMERCIAL M

Community Medical Group of West Valley B N

933 66121 COMMERCIAL M Inc.

Community Medical Group of the West Valley B N

934 66121 COMMERCIAL H Inc.

Community Medical Group of the West Valley X N

935 34177 COMMERCIAL

Comp - Ohio (Austintown OH) M B N

936 34177 COMMERCIAL

Comp - Ohio (Austintown OH) H B N

937 34177 COMMERCIAL

Comp - Ohio (Austintown OH) D

938 31147 Comp One (Ohio BWC)COMMERCIAL M B N

939 31147 Comp One (Ohio BWC)COMMERCIAL H B N

940 37297 COMMERCIAL

CompBenefit Corporation H B N

941 CX021 CompBenefits COMMERCIAL D

942 37297 COMMERCIAL

CompBenefits Corporation M B N

943 95192 CompCare COMMERCIAL H B N

944 95192 CompCare COMMERCIAL M B N

945 31147 COMMERCIAL M

CompManagement Health Systems Inc. (Ohio BBWC) N

946 31147 COMMERCIAL H

CompManagement Health Systems Inc. (Ohio BBWC) N

947 31147 COMMERCIAL H

CompManagement/Integrated Comp (Ohio BWC) B N

948 31147 COMMERCIAL M

CompManagement/Integrated Comp (Ohio BWC) B N

949 77828 Companion Life COMMERCIAL D

950 Call Plan

Complimentary Health COMMERCIAL M B N

951 59314 COMMERCIAL

Comprehensive Behavioral Care H B N

952 59314 COMMERCIAL

Comprehensive Behavioral Care M B N

953 3036 COMMERCIAL D

Comprehensive Benefits Administrator Inc.

954 3036 COMMERCIAL H

Comprehensive Benefits Administrator Inc. B N

955 3036 COMMERCIAL M

Comprehensive Benefits Administrator Inc. B N

956 31147 COMMERCIAL H

Comprehensive Medical Care (Ohio BWC) B N

957 31147 COMMERCIAL M

Comprehensive Medical Care (Ohio BWC) B N

958 6105 ConnectiCare Inc COMMERCIAL M B N

959 6105 ConnectiCare Inc COMMERCIAL M X E

960 6105 ConnectiCare Inc COMMERCIAL H B N

961 6105 ConnectiCare Inc COMMERCIAL H X E

962 78375 COMMERCIAL

Connecticare - Medicare M B N

963 78375 COMMERCIAL

Connecticare - Medicare H B N

964 37307 COMMERCIAL M

Connecticut Carpenters Health Fund B N

965 37307 COMMERCIAL D

Connecticut Carpenters Health Fund

966 37307 COMMERCIAL H

Connecticut Carpenters Health Fund B N

967 62308 COMMERCIAL

Connecticut General (CIGNA) H B N

968 62308 COMMERCIAL

Connecticut General (CIGNA) M B N

969 62308 COMMERCIAL

Connecticut General (CIGNA) D

970 62308 COMMERCIAL

Connecticut General (CIGNA) D

971 35315 Connential Key Family COMMERCIAL H B N

972 35315 Connential Key Family COMMERCIAL M X N

973 37135 Consociate Dansig Inc COMMERCIAL D

974 37135 Consociate Group COMMERCIAL M X N

975 37135 Consociate Group COMMERCIAL M B N

976 37135 Consociate Group COMMERCIAL H X N

977 37135 Consociate Group COMMERCIAL H B N

978 75284 COMMERCIAL

Consolidated Associates Railroad H B N

979 75284 COMMERCIAL

Consolidated Associates Railroad M B N

980 61305 COMMERCIAL

Consolidated Group Dental D

981 71404 COMMERCIAL M

Continental General Insurance Company N N

982 71404 COMMERCIAL M

Continental General Insurance Company X N

983 71404 COMMERCIAL H

Continental General Insurance Company N N

984 71404 COMMERCIAL H

Continental General Insurance Company X N

985 55544 Conversion Plan-APWUCOMMERCIAL H B N

986 55544 Conversion Plan-APWUCOMMERCIAL M B N

987 TH104 Group

Cook Children's Health COMMERCIALM X N

988 12T58 Plan

Cook Children's Health COMMERCIALH B N

989 35149 Cook Group Health Plan COMMERCIALH B N

990 35149 Cook Group Health Plan COMMERCIALM B N

991 35149 Cook Group Health Plan COMMERCIALD

992 52132 COMMERCIALD

Cooperative Benefit Administrators (CBA)

993 52132 COMMERCIALD

Cooperative Benefit Administrators (CBA)

994 52132 COMMERCIALH

Cooperative Benefit Administrators (CBA) B N

995 52132 COMMERCIALH

Cooperative Benefit Administrators (CBA) X E

996 52132 COMMERCIALM

Cooperative Benefit Administrators (CBA) B N

997 52132 COMMERCIALM

Cooperative Benefit Administrators (CBA) X E

998 58204 COMMERCIAL

Coordinated Medical Specialists M B N

999 58204 COMMERCIAL

Coordinated Medical Specialists H B N

1000 58231 COMMERCIAL

Core Administrative Services H B N

1001 58231 COMMERCIAL

Core Administrative Services D

1002 58231 COMMERCIAL

Core Administrative Services M B N

1003 41045 CoreSource AZ MN COMMERCIALH X N

1004 41045 CoreSource AZ MN COMMERCIALH B N

1005 41045 CoreSource AZ MN COMMERCIALD

1006 41045 CoreSource AZ MN COMMERCIALM X E

1007 41045 CoreSource AZ MN COMMERCIALM B N

1008 75136 CoreSource Little Rock COMMERCIALM X N

1009 75136 CoreSource Little Rock COMMERCIALM X N

1010 75136 CoreSource Little Rock COMMERCIALD

1011 75136 CoreSource Little Rock COMMERCIALH X E

1012 75136 CoreSource Little Rock COMMERCIALD

1013 75136 CoreSource Little Rock COMMERCIALH X N

1014 75136 CoreSource Little Rock COMMERCIALM X E

1015 35182 CoreSource MD PA IL COMMERCIAL M X E

1016 35182 CoreSource MD PA IL COMMERCIAL M B N

1017 35182 CoreSource MD PA IL COMMERCIAL H X N

1018 35182 CoreSource MD PA IL COMMERCIAL H B N

1019 35182 CoreSource MD PA IL COMMERCIAL D

1020 35182 CoreSource MD PA IL COMMERCIAL D

1021 35180 CoreSource NC IN COMMERCIALM X N

1022 35180 CoreSource NC IN COMMERCIALM B N

1023 35180 CoreSource NC IN COMMERCIALH X N

1024 35180 CoreSource NC IN COMMERCIALH B N

1025 35180 CoreSource NC IN COMMERCIALD

1026 35180 CoreSource NC IN COMMERCIALD

1027 35183 CoreSource OH COMMERCIALM X E

1028 35183 CoreSource OH COMMERCIALM B N

1029 35183 CoreSource OH COMMERCIALD

1030 35183 CoreSource OH COMMERCIALH B N

1031 35183 CoreSource OH COMMERCIALH X N

1032 35183 CoreSource OH COMMERCIALD

1033 35187 CoreSource-Internal COMMERCIAL M B N

1034 35187 CoreSource-Internal COMMERCIAL H B N

1035 41045 CoreStar COMMERCIAL D

1036 35202 COMMERCIAL

Cornerstone Benefit Adminstrators M B N

1037 35202 COMMERCIAL

Cornerstone Benefit Adminstrators H B N

1038 41124 COMMERCIAL H

Corporate Benefit Services of America B N

1039 41124 COMMERCIAL M

Corporate Benefit Services of America B N

1040 41124 COMMERCIAL D

Corporate Benefit Services of America

1041 56116 COMMERCIAL M

Corporate Benefits Service Inc. (NC) B N

1042 56116 COMMERCIAL H

Corporate Benefits Service Inc. (NC) B N

1043 56116 COMMERCIAL D

Corporate Benefits Service Inc. (NC)

1044 37246 COMMERCIAL

Corporate Systems Administration M B N

1045 37246 COMMERCIAL

Corporate Systems Administration H B N

1046 43160 COMMERCIAL

Correctional Medical Services M X N

1047 31147 COMMERCIAL

Corvel Corporation (Ohio BWC) H B N

1048 31147 COMMERCIAL

Corvel Corporation (Ohio BWC) M B N

1049 62553 COMMERCIAL

Country Life Insurance Company M B N

1050 62553 COMMERCIAL

Country Life Insurance Company H B N

1051 58102 COMMERCIAL H

Covenant Administrators Inc. (Atlanta GA) B N

1052 58102 COMMERCIAL M

Covenant Administrators Inc. (Atlanta GA) X N

1053 58102 COMMERCIAL M

Covenant Administrators Inc. (Atlanta GA) B N

1054 58102 COMMERCIAL H

Covenant Administrators Inc. (Atlanta GA) X N

1055 58102 COMMERCIAL D

Covenant Administrators Inc. (Atlanta GA)

1056 12T60 COMMERCIAL

Covenant Management Systems H B N

1057 TH108 COMMERCIAL

Covenant Management Systems M X N

1058 25152 COMMERCIAL M

Coventry Advantra (Texas New Mexico Arizona) X E

1059 25152 COMMERCIAL M

Coventry Advantra (Texas New Mexico Arizona) X N

1060 25152 COMMERCIAL H

Coventry Advantra (Texas New Mexico Arizona) B N

1061 25152 COMMERCIAL H

Coventry Advantra (Texas New Mexico Arizona) X E

1062 25133 (Oklahoma)M

Coventry Health & Life COMMERCIAL B N

1063 25133 (Oklahoma)M

Coventry Health & Life COMMERCIAL X E

1064 25133 (Oklahoma)H

Coventry Health & Life COMMERCIAL X E

1065 25133 (Oklahoma)H

Coventry Health & Life COMMERCIAL B N

1066 25149 Nevada

Coventry Health Care - COMMERCIAL M X E

1067 25149 Nevada

Coventry Health Care - COMMERCIAL M B N

1068 25149 Nevada

Coventry Health Care - COMMERCIAL H X E

1069 25149 Nevada

Coventry Health Care - COMMERCIAL H B N

1070 87043 COMMERCIAL M First HealthEDirect)

Coventry Health Care National Network (f.k.a. X

1071 87043 COMMERCIAL M First HealthN

Coventry Health Care National Network (f.k.a. B Direct)

1072 87043 COMMERCIAL H First HealthN

Coventry Health Care National Network (f.k.a. B Direct)

1073 87043 COMMERCIAL D

Coventry Health Care National Network (f.k.a. First Health Direct)

1074 87043 COMMERCIAL H First HealthEDirect)

Coventry Health Care National Network (f.k.a. X

1075 87043 COMMERCIAL D

Coventry Health Care National Network (f.k.a. First Health)

1076 25130 COMMERCIAL

Coventry Health Care of Delaware H Inc. B N

1077 25130 COMMERCIAL

Coventry Health Care of Delaware H Inc. X E

1078 25130 COMMERCIAL

Coventry Health Care of Delaware H Inc. X E

1079 25130 COMMERCIAL

Coventry Health Care of Delaware M Inc. B N

1080 25130 COMMERCIAL

Coventry Health Care of Delaware H Inc. B N

1081 25130 COMMERCIAL

Coventry Health Care of Delaware MInc. B N

1082 25130 COMMERCIAL

Coventry Health Care of Delaware MInc. X E

1083 25130 COMMERCIAL

Coventry Health Care of Delaware MInc. X E

1084 25148 COMMERCIAL

Coventry Health Care of Georgia D

1085 25127 COMMERCIAL H

Coventry Health Care of Georgia Inc. B N

1086 25127 COMMERCIAL M

Coventry Health Care of Georgia Inc. B N

1087 25127 COMMERCIAL H

Coventry Health Care of Georgia Inc. X E

1088 25127 COMMERCIAL M

Coventry Health Care of Georgia Inc. X E

1089 25132 COMMERCIAL

Coventry Health Care of Iowa Inc. M B N

1090 25132 COMMERCIAL

Coventry Health Care of Iowa Inc. M B N

1091 25132 COMMERCIAL

Coventry Health Care of Iowa Inc. M X E

1092 25132 COMMERCIAL

Coventry Health Care of Iowa Inc. M X E

1093 25132 COMMERCIAL

Coventry Health Care of Iowa Inc. H B N

1094 25132 COMMERCIAL

Coventry Health Care of Iowa Inc. H B N

1095 25132 COMMERCIAL

Coventry Health Care of Iowa Inc. H X E

1096 25132 COMMERCIAL

Coventry Health Care of Iowa Inc. H X E

1097 25133 COMMERCIAL M

Coventry Health Care of Kansas Inc. B N

1098 25133 COMMERCIAL H

Coventry Health Care of Kansas Inc. X E

1099 25133 COMMERCIAL H

Coventry Health Care of Kansas Inc. B N

1100 25133 COMMERCIAL M

Coventry Health Care of Kansas Inc. X E

1101 25135 COMMERCIAL M

Coventry Health Care of Louisiana Inc. B N

1102 25135 COMMERCIAL M

Coventry Health Care of Louisiana Inc. B N

1103 25135 COMMERCIAL M

Coventry Health Care of Louisiana Inc. X E

1104 25135 COMMERCIAL H

Coventry Health Care of Louisiana Inc. X E

1105 25135 COMMERCIAL H

Coventry Health Care of Louisiana Inc. X E

1106 25135 COMMERCIAL M

Coventry Health Care of Louisiana Inc. X E

1107 25135 COMMERCIAL H

Coventry Health Care of Louisiana Inc. B N

1108 25135 COMMERCIAL H

Coventry Health Care of Louisiana Inc. B N

1109 25136 COMMERCIAL H

Coventry Health Care of Nebraska Inc. B N

1110 25136 COMMERCIAL H

Coventry Health Care of Nebraska Inc. B N

1111 25136 COMMERCIAL M

Coventry Health Care of Nebraska Inc. X E

1112 25136 COMMERCIAL M

Coventry Health Care of Nebraska Inc. X E

1113 25136 COMMERCIAL M

Coventry Health Care of Nebraska Inc. B N

1114 25136 COMMERCIAL M

Coventry Health Care of Nebraska Inc. B N

1115 25136 COMMERCIAL H

Coventry Health Care of Nebraska Inc. X E

1116 25136 COMMERCIAL H

Coventry Health Care of Nebraska Inc. X E

1117 25141 COMMERCIAL

Coventry Health and Life InsuranceM B

(Tennessee) N

1118 25141 COMMERCIAL

Coventry Health and Life InsuranceH X

(Tennessee) E

1119 25141 COMMERCIAL

Coventry Health and Life InsuranceH B

(Tennessee) N

1120 25141 COMMERCIAL

Coventry Health and Life InsuranceM X

(Tennessee) N

1121 87043 Coventry Missouri COMMERCIAL H B N

1122 87043 Coventry Missouri COMMERCIAL M X E

1123 87043 Coventry Missouri COMMERCIAL M B N

1124 87043 Coventry Missouri COMMERCIAL H X E

1125 31147 COMMERCIAL

Crawford & Company (Ohio BWC) H B N

1126 31147 COMMERCIAL

Crawford & Company (Ohio BWC) M B N

1127 64068 COMMERCIAL

Creative Medical Systems H B N

1128 64068 COMMERCIAL

Creative Medical Systems M B N

1129 37320 COMMERCIAL

Creative Plan Administrators D

1130 37320 COMMERCIAL

Creative Plan Administrators M B N

1131 37320 COMMERCIAL

Creative Plan Administrators H B N

1132 CX074 COMMERCIAL

Crescent Dental - Meritain Health D

1133 37266 Croy-Hall Mgmt. Inc. COMMERCIAL H B N

1134 37266 Croy-Hall Mgmt. Inc. COMMERCIAL M B N

1135 AMM03 COMMERCIAL

Custody Medical Services M B N

1136 AMM01 COMMERCIAL

Custody Medical Services (CMS) H B N

1137 39170 COMMERCIAL

Custom Benefit Administrators H X N

1138 39170 COMMERCIAL

Custom Benefit Administrators H X N

1139 39170 COMMERCIAL

Custom Benefit Administrators D

1140 39170 COMMERCIAL

Custom Benefit Administrators M B N

1141 39170 COMMERCIAL

Custom Benefit Administrators M X N

1142 82056 COMMERCIAL

Custom Design Benefits Inc. H B N

1143 82056 COMMERCIAL

Custom Design Benefits Inc. M B N

1144 82056 COMMERCIAL

Custom Design Benefits Inc. of OH D

1145 68241 CustomCare COMMERCIAL D

1146 Call D.H. EVANS & ASSOC. COMMERCIAL M B N

1147 Call D.H. EVANS & ASSOC. COMMERCIAL H B N

1148 95740 COMMERCIAL H

DC Chartered Health Plan Inc. (Alliance) B N

1149 95748 COMMERCIAL M B

DC Chartered Health Plan Inc. (Medicaid & Alliance) N

1150 95748 COMMERCIAL H B

DC Chartered Health Plan Inc. (Medicaid & Alliance) N

1151 CX065 DH Evans COMMERCIAL D

1152 74284 COMMERCIAL

DRISCOLL CHILDREN'S HEALTH PLAN M B N

1153 74284 COMMERCIAL

DRISCOLL CHILDREN'S HEALTH PLAN H B N

1154 6172 COMMERCIAL

Dart Management Corporation D

1155 6172 COMMERCIAL

Dart Management Corporation H X N

1156 6172 COMMERCIAL

Dart Management Corporation M B N

1157 TH073 COMMERCIAL

Dart Management Corporation M X N

1158 33066 Davita Health COMMERCIAL H B N

1159 33066 Davita Health COMMERCIAL M B N

1160 39113 Dean Health Plan COMMERCIAL M B N

1161 39113 Dean Health Plan COMMERCIAL H B N

1162 64159 Definity Health COMMERCIAL H B N

1163 64159 Definity Health COMMERCIAL M B N

1164 27009 COMMERCIAL

Delaware Physicians Care Inc. M B N

1165 27009 COMMERCIAL

Delaware Physicians Care Inc. H X N

1166 27009 COMMERCIAL

Delaware Physicians Care Inc. H B N

1167 27009 COMMERCIAL

Delaware Physicians Care Inc. M X N

1168 94235 Delta Health Systems COMMERCIAL D

1169 94235 Delta Health Systems COMMERCIAL H B N

1170 94235 Delta Health Systems COMMERCIAL M B N

1171 CDCAP DeltaCare USA COMMERCIAL D

1172 52133 COMMERCIAL

Dental Benefit Providers D

1173 CX035 Dental Care Plus COMMERCIAL D

1174 CX034 Dental Network COMMERCIAL D

1175 CX017 DentalComp COMMERCIAL D

1176 84134 COMMERCIAL

Denver Health - Indigent H B N

1177 84134 COMMERCIAL

Denver Health - Indigent M B N

1178 84135 Plan

Denver Health MedicalCOMMERCIAL H B N

1179 84135 Plan

Denver Health MedicalCOMMERCIAL M B N

1180 84131 Plan Inc. - Medicare Choice

Denver Health MedicalCOMMERCIAL H B N

1181 84131 Plan Inc. - Medicare Choice

Denver Health MedicalCOMMERCIAL M B N

1182 84133 COMMERCIAL

Denver Health and Hospital AuthorityH B N

1183 84133 COMMERCIAL

Denver Health and Hospital AuthorityM B N

1184 12X35 Deseret Mutual COMMERCIAL H B N

1185 SX105 Deseret Mutual COMMERCIAL M X L

1186 SX105 Deseret Mutual COMMERCIAL H X L

1187 SX105 Deseret Mutual COMMERCIAL M X L

1188 EMP01 COMMERCIAL

Desert Family Practice Association M B N

1189 EMP01 Desert Hosptial COMMERCIAL M B N

1190 DESRT Desert Medical Group COMMERCIAL M B N

1191 36436 Destiny Health COMMERCIAL H B N

1192 36436 Destiny Health COMMERCIAL M B N

1193 56240 Detroit Medical CenterCOMMERCIAL H B N

1194 56240 Detroit Medical CenterCOMMERCIAL M B N

1195 Call Devon Health COMMERCIAL M B N

1196 Call Devon Health COMMERCIAL H B N

1197 25131 Diamond Plan COMMERCIAL H B N

1198 25131 Diamond Plan COMMERCIAL H B N

1199 25131 Diamond Plan COMMERCIAL H X E

1200 25131 Diamond Plan COMMERCIAL H X E

1201 25131 Diamond Plan COMMERCIAL M B N

1202 25131 Diamond Plan COMMERCIAL M B N

1203 25131 Diamond Plan COMMERCIAL M X E

1204 25131 Diamond Plan COMMERCIAL M X E

1205 23706 COMMERCIAL H B

Directors Guild of America - Producer Health Plan N

1206 23706 COMMERCIAL M B

Directors Guild of America - Producer Health Plan N

1207 6102 COMMERCIAL H

Diversified Administration Corporation B N

1208 6102 COMMERCIAL M

Diversified Administration Corporation B N

1209 CX040 COMMERCIAL D

Diversified Administration Corporation

1210 SYMED COMMERCIAL

Doctors Hospital of Montclair (San M (Synermed)

Bernadino)B N

1211 APP01 COMMERCIAL M

Downey Select IPA (Applecare Medical Managment)B N

1212 Call Dr. Rivera COMMERCIAL M X N

1213 Call Dr. Rivera COMMERCIAL M X N

1214 35186 COMMERCIAL D

Dunn and Associates Benefits Administrators Inc.

1215 35186 COMMERCIAL M N

Dunn and Associates Benefits Administrators Inc. N

1216 35186 COMMERCIAL H N

Dunn and Associates Benefits Administrators Inc. N

1217 34159 COMMERCIAL D

E-V Benefits Management Inc (Columbus OH)

1218 34159 COMMERCIAL M

E-V Benefits Management Inc (Columbus OH) B N

1219 34159 COMMERCIAL H

E-V Benefits Management Inc (Columbus OH) B N

1220 Call EBC Mid-America COMMERCIAL H B N

1221 Call EBC Mid-America COMMERCIAL M B N

1222 37257 EBC Inc. COMMERCIALD

1223 Call EBC Inc. COMMERCIALH B N

1224 Call EBC Inc. COMMERCIALM B N

1225 31074 EBMC COMMERCIALH B N

1226 31074 EBMC COMMERCIALM B N

1227 CX025 EBMC COMMERCIALD

1228 SX182 EBMS COMMERCIALM B N

1229 12X44 COMMERCIALH B

EBMS (Employee Benefit Management Services Inc.) N

1230 COMMERCIALD

81039 EBMS (Employee Benefit Management Services Inc.)

1231 CX043 EBS Benefit Solutions COMMERCIAL D

1232 34166 EBS OF OHIO COMMERCIALH X N

1233 34166 EBS OF OHIO COMMERCIALM B N

1234 73288 EHI COMMERCIALD

1235 COMMERCIAL

73288 EHI (Employers Health Insurance) H B N

1236 59299 EMI-KP Ambulance ClaimsCOMMERCIALM B N

1237 CX079 COMMERCIAL

EMIA (Educators Mutual InsuranceD Assoc)

1238 73288 EMPHESYS COMMERCIALH B N

1239 73288 EMPHESYS COMMERCIALD

1240 36364 ENH Medical Group IPA COMMERCIALD

1241 62308 EQUICOR COMMERCIALD

1242 62308 EQUICOR COMMERCIALM B N

1243 62308 EQUICOR COMMERCIALH B N

1244 62308 EQUICOR COMMERCIALD

1245 62308 EQUICOR - PPO COMMERCIALH B N

1246 62308 EQUICOR - PPO COMMERCIALM B N

1247 TH110 ERISA COMMERCIALM X N

1248 COMMERCIAL

34108 ES Beveridge and Associates D

1249 COMMERCIAL

34108 ES Beveridge and Associates H B N

1250 COMMERCIAL

34108 ES Beveridge and Associates M B N

1251 20818 ESSENCE HEALTHCARE COMMERCIAL H B N

1252 20818 ESSENCE HEALTHCARE COMMERCIAL M B N

1253 TH084 COMMERCIAL

Early Intervention Central M X N

1254 Call COMMERCIAL

East Bay Medical Network M B T

1255 Call Eastern Life and HealthCOMMERCIALH X N

1256 Call Eastern Life and HealthCOMMERCIALM X N

1257 66122 Eastland Medical Group COMMERCIALH X N

1258 66122 Eastland Medical Group COMMERCIALM B N

1259 EMG11 Eastland Medical Group COMMERCIALH X N

1260 EMG11 Eastland Medical Group COMMERCIALM B N

1261 SX110 Educators Mutual (EMIA)COMMERCIALM X N

1262 12T27 El Paso First - CHIP COMMERCIALH X N

1263 TH090 El Paso First - Chip COMMERCIALM X N

1264 MPMOA El Proyecto Del Barrio IPA COMMERCIALM X N

1265 31625 ElderPlan Inc. COMMERCIALM B N

1266 31625 ElderPlan Inc. COMMERCIALM X N

1267 31625 ElderPlan Inc. COMMERCIALH B N

1268 31625 ElderPlan Inc. COMMERCIALH X N

1269 36399 Elmcare LLC COMMERCIAL M B N

1270 37253 Elmco COMMERCIAL M X N

1271 37253 Elmco COMMERCIAL M B N

1272 37253 Elmco COMMERCIAL H X N

1273 37253 Elmco COMMERCIAL H B N

1274 34167 COMMERCIAL H

Emerald Health Network Inc. (All PPO Business)B N

1275 34167 COMMERCIAL M

Emerald Health Network Inc. (All PPO Business)B N

1276 AMM01 COMMERCIAL H

Emergency Medical Service Fund (EMSF) B N

1277 AMM01 COMMERCIAL M

Emergency Medical Service Fund (EMSF) B N

1278 EMP01 COMMERCIAL

Empire Physician's Medical Group M B N

1279 Pilot COMMERCIAL H B N

Employee Benefit Administration & Management Corporation

1280 Pilot COMMERCIAL M B N

Employee Benefit Administration & Management Corporation

1281 CX012 COMMERCIAL

Employee Benefit Administrators D

1282 Call COMMERCIAL H

Employee Benefit Claims - Mid-America B N

1283 Call COMMERCIAL M

Employee Benefit Claims - Mid-America B N

1284 Call COMMERCIAL

Employee Benefit Claims of WI H B N

1285 Call COMMERCIAL

Employee Benefit Claims of WI M B N

1286 Call COMMERCIAL M

Employee Benefit Claims of Wisconsin B N

1287 Call COMMERCIAL H

Employee Benefit Claims of Wisconsin B N

1288 38241 COMMERCIAL H B

Employee Benefit Concepts (Farmington Hills MI) N

1289 38241 COMMERCIAL D

Employee Benefit Concepts (Farmington Hills MI)

1290 38241 COMMERCIAL M B

Employee Benefit Concepts (Farmington Hills MI) N

1291 37257 COMMERCIAL

Employee Benefit Consultants D

1292 Call COMMERCIAL

Employee Benefit Consultants Inc. H B N

1293 Call COMMERCIAL

Employee Benefit Consultants Inc. M B N

1294 37215 COMMERCIAL

Employee Benefit Corporation H B N

1295 37215 COMMERCIAL

Employee Benefit Corporation M B N

1296 31074 COMMERCIAL M

Employee Benefit Management Corp (EBMC) B N

1297 31074 COMMERCIAL H

Employee Benefit Management Corp (EBMC) B N

1298 CX025 COMMERCIAL D

Employee Benefit Management Corp (EBMC)

1299 37216 COMMERCIAL SC)

Employee Benefit Services (Ft. MillH X N

1300 37216 COMMERCIAL SC)

Employee Benefit Services (Ft. MillM B N

1301 41198 COMMERCIAL D

Employee Benefit Services of Louisiana Inc (EBS)

1302 41198 COMMERCIAL M B

Employee Benefit Services of Louisiana Inc (EBS) N

1303 41198 COMMERCIAL H B

Employee Benefit Services of Louisiana Inc (EBS) N

1304 TH109 COMMERCIAL M

Employee Benefit Services of San Antonio X N

1305 Call COMMERCIAL

Employee Benefit Systems H X N

1306 Call COMMERCIAL

Employee Benefit Systems M X N

1307 22262 COMMERCIAL and B

Employee Benefits Administration M Management Corp. N

1308 3036 COMMERCIAL M B

Employee Benefits Plan Administration Inc. (E.B.P.A.) N

1309 3036 COMMERCIAL D

Employee Benefits Plan Administration Inc. (E.B.P.A.)

1310 3036 COMMERCIAL H B

Employee Benefits Plan Administration Inc. (E.B.P.A.) N

1311 75184 Employee Claim ADJ COMMERCIAL H B N

1312 75184 Employee Claim ADJ COMMERCIAL M B N

1313 CX022 COMMERCIAL

Employee Group Services D

1314 SYMED Employee Health SystemCOMMERCIAL M B N

1315 35112 Employee Plans LLC COMMERCIAL D

1316 35112 Employee Plans LLC COMMERCIAL H N N

1317 35112 Employee Plans LLC COMMERCIAL M N N

1318 74212 Employer Plan ServicesCOMMERCIAL M B N

1319 74212 Employer Plan ServicesCOMMERCIAL H X N

1320 74212 Employer Plan ServicesCOMMERCIAL H B N

1321 74212 Employer Plan ServicesCOMMERCIAL M X N

1322 CX031 Inc.

Employer Plan ServicesCOMMERCIAL D

1323 CX031 Inc.

Employer Plan ServicesCOMMERCIAL H X N

1324 CX031 Inc.

Employer Plan ServicesCOMMERCIAL M X N

1325 75236 COMMERCIAL M

Employer's Direct Health - Employee Plan B N

1326 75236 COMMERCIAL H

Employer's Direct Health - Employee Plan B N

1327 75235 COMMERCIAL

Employer's Direct Health - FI M B N

1328 75235 COMMERCIAL

Employer's Direct Health - FI H B N

1329 75233 COMMERCIAL

Employer's Direct Health - SF M B N

1330 75233 COMMERCIAL

Employer's Direct Health - SF H B N

1331 75232 C

Employers Direct HealthOMMERCIAL D

1332 75232 C

Employers Direct HealthOMMERCIAL H B N

1333 75232 C

Employers Direct HealthOMMERCIAL M B N

1334 73288 Employers Health COMMERCIAL D

1335 73288 Employers Health COMMERCIAL H B N

1336 73288 COMMERCIAL

Employers Health Insurance D

1337 73288 COMMERCIAL

Employers Health Insurance H B N

1338 20508 COMMERCIAL

Employers Health Network LLC H B N

1339 20508 COMMERCIAL

Employers Health Network LLC M B N

1340 59298 COMMERCIAL

Employers Mutual Inc (JacksonvilleHFlorida) B N

1341 59298 COMMERCIAL

Employers Mutual Inc (JacksonvilleMFlorida) B N

1342 59297 Employers Mutual Inc. COMMERCIAL D

1343 59331 COMMERCIAL H

Employers Mutual Inc. (Stuart Florida) B N

1344 59331 COMMERCIAL M

Employers Mutual Inc. (Stuart Florida) B N

1345 35206 Encircle PPO COMMERCIAL H N N

1346 35206 Encircle PPO COMMERCIAL M N N

1347 37110 Encompass COMMERCIAL H B N

1348 37110 Encompass COMMERCIAL H X N

1349 37110 Encompass COMMERCIAL M B N

1350 35206 Encore Health NetworkCOMMERCIAL H N N

1351 35206 Encore Health NetworkCOMMERCIAL M N N

1352 91136 Enstar Natural Gas COMMERCIAL D

1353 91136 Enstar Natural Gas COMMERCIAL H B N

1354 91136 Enstar Natural Gas COMMERCIAL M B N

1355 36878 Entrust COMMERCIAL H B N

1356 36878 Entrust COMMERCIAL M B N

1357 73126 (OklahomaD City

Equitable Plan ServicesCOMMERCIAL OK)

1358 73126 (OklahomaM City

Equitable Plan ServicesCOMMERCIAL OK) B N

1359 73126 (OklahomaH City

Equitable Plan ServicesCOMMERCIAL OK) B N

1360 23250 COMMERCIAL

Erin Group Administrators D

1361 23250 COMMERCIAL

Erin Group Administrators H X N

1362 23250 COMMERCIAL

Erin Group Administrators H N N

1363 23250 COMMERCIAL

Erin Group Administrators M X N

1364 23250 COMMERCIAL

Erin Group Administrators M N N

1365 CX046 COMMERCIAL

Erin Group Administrators D

1366 43168 Essex Dental Benefits COMMERCIAL D

1367 87726 Evercare COMMERCIALH B N

1368 87726 Evercare COMMERCIALM B N

1369 58233 Evergreen Health Plan COMMERCIAL H B N

1370 58233 Evergreen Health Plan COMMERCIAL M B N

1371 59313 COMMERCIALH N

Evolutions Healthcare Systems (New Port Richey FL) N

1372 59313 COMMERCIALM N

Evolutions Healthcare Systems (New Port Richey FL) N

1373 EXC01 Excel MSO COMMERCIALM B N

1374 CAPMN COMMERCIAL

Exceptional Care Medical M B N

1375 71412 ExclusiCare COMMERCIALH B N

1376 71412 ExclusiCare COMMERCIALM B N

1377 71412 ExclusiCare COMMERCIALD

1378 91136 COMMERCIAL

F40 Alaska Carpenters Trust M B N

1379 91136 COMMERCIAL

F40 Alaska Carpenters Trust H B N

1380 Call FABOH (CHP/RPU) COMMERCIALH B N

1381 Call FABOH (CHP/RPU) COMMERCIALM B N

1382 37300 FACS Group COMMERCIALH B N

1383 37300 FACS Group COMMERCIALM X N

1384 60995 FAMILY CARE COMMERCIALH B N

1385 60995 FAMILY CARE COMMERCIALM B N

1386 37289 COMMERCIAL

FARA Benefit Services Inc. H B N

1387 37289 COMMERCIAL

FARA Benefit Services Inc. H X N

1388 37289 COMMERCIAL

FARA Benefit Services Inc. M B N

1389 37289 COMMERCIAL

FARA Benefit Services Inc. M X N

1390 33033 COMMERCIAL

FCE Benefit Administrators M B N

1391 33033 COMMERCIAL

FCE Benefit Administrators H B N

1392 48117 COMMERCIAL

FMH Benefit Services Inc. D

1393 48117 COMMERCIAL

FMH Benefit Services Inc. H B N

1394 48117 COMMERCIAL

FMH Benefit Services Inc. H X E

1395 48117 COMMERCIAL

FMH Benefit Services Inc. M X N

1396 48117 COMMERCIAL

FMH Benefit Services Inc. M B N

1397 48117 COMMERCIAL

FMH Benefit Services Inc. M X E

1398 48117 COMMERCIAL

FMH Benefit Services Inc. H X N

1399 BOONG ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN

FOUNDATION BENEFIT COMMERCIAL M B N

1400 BOONG ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN

FOUNDATION BENEFIT COMMERCIAL H B N

1401 95432 COMMERCIAL

Facey Medical Foundation M B N

1402 22254 COMMERCIAL

Fallon Community Health Plan H B N

1403 22254 COMMERCIAL

Fallon Community Health Plan M B N

1404 CAPMN Family Health Alliance COMMERCIALM B N

1405 31472 - Healthwave

H

Family Health Partners COMMERCIALof Kansas B N

1406 31472 - Healthwave

H

Family Health Partners COMMERCIALof Kansas X N

1407 31472 - Healthwave

M

Family Health Partners COMMERCIALof Kansas B N

1408 31472 - Healthwave

M

Family Health Partners COMMERCIALof Kansas X N

1409 43173 COMMERCIALH

Family Health Partners/MC+ Missouri B N

1410 43173 COMMERCIAL

Family Health Partners/MC+ Missouri H B N

1411 43173 COMMERCIAL

Family Health Partners/MC+ Missouri M B N

1412 43173 COMMERCIAL

Family Health Partners/MC+ Missouri M B N

1413 TH045 Family Health Plan COMMERCIAL M B N

1414 31147 COMMERCIAL

Family Health Plan (Ohio BWC) H B N

1415 31147 COMMERCIAL

Family Health Plan (Ohio BWC) M B N

1416 AMM01 Group

Family Seniors MedicalCOMMERCIAL H B N

1417 AMM01 Group

Family Seniors MedicalCOMMERCIAL M B N

1418 14140 Farm Family Life COMMERCIAL H B N

1419 14140 Farm Family Life COMMERCIAL M B N

1420 37300 Federated Benefits COMMERCIAL M X N

1421 37300 Federated Benefits COMMERCIAL H B N

1422 37300 Federated HR Services COMMERCIAL M X N

1423 37300 Federated HR Services COMMERCIAL H B N

1424 41041 COMMERCIAL

Federated Mutual Insurance M B N

1425 41041 COMMERCIAL

Federated Mutual Insurance H X E

1426 41041 COMMERCIAL

Federated Mutual Insurance H B N

1427 41041 COMMERCIAL

Federated Mutual Insurance M X E

1428 41041 COMMERCIAL

Federated Mutual Insurance D

1429 11315 Fidelis Care New York COMMERCIAL H B N

1430 11315 Fidelis Care New York COMMERCIAL M B N

1431 77054 Fidelis Secure Care COMMERCIAL H B N

1432 77054 Fidelis Secure Care COMMERCIAL M B N

1433 72630 COMMERCIAL D

First Ameritas Life Insurance Corporation of New York

1434 CX050 COMMERCIAL

First Care/Southwest Life & HealthD

1435 56196 First Carolina Care COMMERCIAL H B N

1436 56196 First Carolina Care COMMERCIAL M B N

1437 91131 COMMERCIAL

First Choice Health Administrators H N N

1438 91131 COMMERCIAL

First Choice Health Administrators M N N

1439 Call COMMERCIAL

First Choice Health Administrators H B N

1440 Call COMMERCIAL

First Choice Health Administrators M B N

1441 91131 COMMERCIAL

First Choice Health Network H N N

1442 91131 COMMERCIAL

First Choice Health Network M N N

1443 14162 COMMERCIAL H

First Choice HealthPlans of Connecticut B N

1444 14162 COMMERCIAL M

First Choice HealthPlans of Connecticut B N

1445 75138 COMMERCIAL

First Choice of Midwest (PPO) H B N

1446 75138 COMMERCIAL

First Choice of Midwest (PPO) M B N

1447 * CX090 Accident Insurance

First Continental Life &COMMERCIAL D

1448 87043 First Health COMMERCIAL D

1449 87043 COMMERCIAL D

First Health (See..Coventry Health Care National Network-Effective 1/1/07)

1450 73159 COMMERCIAL H N N

First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma)

1451 73159 COMMERCIAL M N N

First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma)

1452 73159 COMMERCIAL M N N

First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma)

1453 73159 COMMERCIAL H N N

First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma)

1454 58203 COMMERCIAL H

First Medical Network (FMN) - Atlanta GA B N

1455 58203 COMMERCIAL M

First Medical Network (FMN) - Atlanta GA B N

1456 13317 (NY Business)

First Reliance Standard COMMERCIAL D

1457 59276 COMMERCIAL

First Service Administrators Inc H B N

1458 59276 COMMERCIAL

First Service Administrators Inc M B N

1459 12T03 FirstCare COMMERCIAL H X N

1460 TH003 FirstCare COMMERCIAL M B N

1461 11244 COMMERCIAL

Fitzharris & Company Inc. M B N

1462 11244 COMMERCIAL

Fitzharris & Company Inc. D

1463 68241 FlexCare COMMERCIAL D

1464 59322 C

Florida Health Care Plan OMMERCIAL M B N

1465 59321 COMMERCIAL

Florida Hospital Healthcare Systems H B N

1466 59321 COMMERCIAL

Florida Hospital Healthcare Systems M B N

1467 48116 COMMERCIAL

Florida Hospital Waterman M B N

1468 48116 COMMERCIAL

Florida Hospital Waterman H B N

1469 59698 Inc.

Florida League of CitiesCOMMERCIAL H B N

1470 59698 Inc.

Florida League of CitiesCOMMERCIAL M B N

1471 68241 Florida Power & Light COMMERCIAL D

1472 87066 Formax Inc. COMMERCIAL M B N

1473 87066 Formax Inc. COMMERCIAL H B N

1474 BOONG COMMERCIAL D

Foundation Benefit Admin (FBA) - Boon Group

1475 TKFMC Care of Tulare

M

Foundation for MedicalCOMMERCIAL & KingsB County N

1476 64069 Fox-Everett Inc. COMMERCIAL M B N

1477 64069 Fox-Everett Inc. COMMERCIAL D

1478 64069 Fox-Everett Inc. COMMERCIAL H B N

1479 CX041 COMMERCIAL D

Fraternal Order of Police - Dental Division (Philadelphia PA)

1480 41212 Freedom Health Plan COMMERCIAL H N N

1481 41212 Freedom Health Plan COMMERCIAL M N N

1482 23130 Fresenius Medical CareCOMMERCIAL M B N

1483 23130 Fresenius Medical CareCOMMERCIAL H B N

1484 TKFMC Friant Water Users COMMERCIAL M B N

1485 59069 COMMERCIAL

Fringe Benefit Management H X N

1486 59069 COMMERCIAL

Fringe Benefit Management M B N

1487 59069 COMMERCIAL

Fringe Benefit Management M X N

1488 59069 COMMERCIAL

Fringe Benefit Management D

1489 59069 COMMERCIAL

Fringe Benefit Management H B N

1490 59204 COMMERCIAL

Fringe Benefits Coordinators M B N

1491 59204 COMMERCIAL

Fringe Benefits Coordinators H B N

1492 34171 COMMERCIAL

FrontPath Health Coalition H X N

1493 34171 COMMERCIAL

FrontPath Health Coalition M X N

1494 31147 COMMERCIAL

GATES MCDONALD HEALTH PLUS INC M B N

1495 31147 COMMERCIAL

GATES MCDONALD HEALTH PLUS INC H B N

1496 37283 GBA COMMERCIAL M B N

1497 37283 GBA COMMERCIAL H B N

1498 MCS01 COMMERCIAL M

GEMCare (Golden Empire Managed Care System) B N

1499 31147 COMMERCIAL

GENEX Care of Ohio (Ohio BWC) M B N

1500 31147 COMMERCIAL

GENEX Care of Ohio (Ohio BWC) H B N

1501 22937 Fee for Service

GHI - Medicare Private COMMERCIAL M B N

1502 22937 Fee for Service

GHI - Medicare Private COMMERCIAL H B N

1503 13551 Health Inc.)H

GHI - New York (Group COMMERCIAL X E

1504 13551 Health Inc.)M

GHI - New York (Group COMMERCIAL X E

1505 13551 Health Inc.)M

GHI - New York (Group COMMERCIAL B N

1506 13551 Health Inc.)H

GHI - New York (Group COMMERCIAL B N

1507 13551 Health Inc.)D

GHI - New York (Group COMMERCIAL

1508 25531 GHI HMO COMMERCIAL H B N

1509 25531 GHI HMO COMMERCIAL M B N

1510 25141 COMMERCIAL

GHP (Group Health Plan) H X E

1511 25141 COMMERCIAL

GHP (Group Health Plan) M X N

1512 25141 COMMERCIAL

GHP (Group Health Plan) H B N

1513 25141 COMMERCIAL

GHP (Group Health Plan) M B N

1514 80314 GIC Indemnity Plan COMMERCIAL D

1515 80314 GIC Indemnity Plan COMMERCIAL M B N

1516 80314 GIC Indemnity Plan COMMERCIAL H B N

1517 47083 GMS Inc. COMMERCIAL M B N

1518 47083 GMS Inc. COMMERCIAL H B N

1519 30005 COMMERCIAL H

Galveston County Indigent Health Care B N

1520 30005 COMMERCIAL M

Galveston County Indigent Health Care B N

1521 SYMED COMMERCIAL

Garfield Medical Center (Synermed)M B N

1522 31147 COMMERCIAL H

Gates McDonald Health Plus Inc. (Ohio BWC) B N

1523 31147 COMMERCIAL M

Gates McDonald Health Plus Inc. (Ohio BWC) B N

1524 60550 COMMERCIAL H

Gateway Health Plan - Medicare Assured B N

1525 60550 COMMERCIAL M

Gateway Health Plan - Medicare Assured X E

1526 60550 COMMERCIAL M

Gateway Health Plan - Medicare Assured B N

1527 60550 COMMERCIAL H

Gateway Health Plan - Medicare Assured X N

1528 25169 COMMERCIAL

Gateway Health Plan Medicaid PA M B N

1529 25169 COMMERCIAL

Gateway Health Plan Medicaid PA M X E

1530 25169 COMMERCIAL

Gateway Health Plan Medicaid PA H X N

1531 25169 COMMERCIAL

Gateway Health Plan Medicaid PA H B N

1532 91741 COMMERCIAL H

Gateway Health Plan OH- Medicare Assured B N

1533 91741 COMMERCIAL M

Gateway Health Plan OH- Medicare Assured B N

1534 76028 COMMERCIAL

Gateway Health Plan of Ohio Inc. M B N

1535 76028 COMMERCIAL

Gateway Health Plan of Ohio Inc. H B N

1536 76028 COMMERCIAL

Gateway Health Plan of Ohio Inc. M X N

1537 76028 COMMERCIAL

Gateway Health Plan of Ohio Inc. H X N

1538 PROSP Health Resources) (Prospect Medical Group)

Gateway IPA (Pinnacle COMMERCIAL M B N

1539 75273 Geisinger Health Plan COMMERCIAL H B T

1540 75273 Geisinger Health Plan COMMERCIAL H X N

1541 75273 Geisinger Health Plan COMMERCIAL M B N

1542 75273 Geisinger Health Plan COMMERCIAL M X N

1543 MCS03 Gemcare Health Plan COMMERCIAL H B N

1544 MCS03 Gemcare Health Plan COMMERCIAL M B N

1545 46050 Generations HealthcareCOMMERCIAL H B N

1546 46050 Generations HealthcareCOMMERCIAL M B N

1547 46051 Generations-Hillcrest COMMERCIAL H B N

1548 46051 Generations-Hillcrest COMMERCIAL M B N

1549 AMM01 Genesis Healthcare COMMERCIAL H B N

1550 AMM01 Genesis Healthcare COMMERCIAL M B N

1551 PROSP Genesis Healthcare COMMERCIAL H B N

1552 74227 COMMERCIAL D

Gerber Life Insurance Company - Student Insurance

1553 CX064 Gettysburg COMMERCIAL D

1554 23212 Gettysburg Health COMMERCIAL H X N

1555 23212 Gettysburg Health COMMERCIAL M X N

1556 7205 Gilsbar Inc. COMMERCIAL M B N

1557 7205 Gilsbar Inc. COMMERCIAL M X E

1558 7205 Gilsbar Inc. COMMERCIAL H X E

1559 7205 Gilsbar Inc. COMMERCIAL D

1560 7205 Gilsbar Inc. COMMERCIAL H B N

1561 7205 Gilsbar Inc. COMMERCIAL D

1562 AMM01 COMMERCIAL

Glendale Physician's Alliance M B N

1563 7689 Global Care Inc. COMMERCIAL H B N

1564 7689 Global Care Inc. COMMERCIAL M B N

1565 MPMOA Global Care Med Grp IPACOMMERCIAL M X N

1566 12X59 COMMERCIAL

Global Healthcare Alliance H B N

1567 37602 Company H

Golden Rule Insurance COMMERCIAL B N

1568 37602 Company M

Golden Rule Insurance COMMERCIAL B N

1569 MBA01 COMMERCIAL

Golden State Medical Group H B N

1570 MBA01 COMMERCIAL

Golden State Medical Group M B N

1571 72189 COMMERCIAL H of N

Golden Triangle Physician Alliance/SelectCare B Texas (GTPA)

1572 72189 COMMERCIAL M of N

Golden Triangle Physician Alliance/SelectCare B Texas (GTPA)

1573 GWD01 Golden West Dental COMMERCIAL D

1574 AMM01 COMMERCIAL H

Good Samaritan Medical Practice Association B N

1575 AMM01 COMMERCIAL M

Good Samaritan Medical Practice Association B N

1576 44054 COMMERCIAL D

Government Employees Hospital Association (GEHA)

1577 44054 COMMERCIAL D

Government Employees Hospital Association (GEHA)

1578 44054 COMMERCIAL M X

Government Employees Hospital Association (GEHA) E

1579 44054 COMMERCIAL H X

Government Employees Hospital Association (GEHA) E

1580 44054 COMMERCIAL M B

Government Employees Hospital Association (GEHA) N

1581 44054 COMMERCIAL H B

Government Employees Hospital Association (GEHA) N

1582 37234 COMMERCIAL M

Grant Physicians Practice Association B N

1583 37234 COMMERCIAL H

Grant Physicians Practice Association B N

1584 95467 Great Lakes Health PlanCOMMERCIAL M B N

1585 95467 Great Lakes Health PlanCOMMERCIAL H B N

1586 63665 Great-West HealthcareCOMMERCIAL D

1587 80705 Great-West HealthcareCOMMERCIAL D

1588 80705 Great-West HealthcareCOMMERCIAL H B N

1589 80705 Great-West HealthcareCOMMERCIAL H X E

1590 80705 Great-West HealthcareCOMMERCIAL M B N

1591 80705 Great-West HealthcareCOMMERCIAL M X E

1592 80705 Great-West HealthcareCOMMERCIAL D

1593 63665 (formerly American General)

Great-West HealthcareCOMMERCIAL M B N

1594 63665 (formerly American General)

Great-West HealthcareCOMMERCIAL H B N

1595 CAPMN Greater L.A. Health COMMERCIAL M B N

1596 NMM01 Medical Group

Greater Orange CountyCOMMERCIAL M B N

1597 NMM01 COMMERCIAL

Greater San Gabriel Med Grp M B N

1598 CAPMN COMMERCIAL M

Greater San Gabriel Valley Physicians B N

1599 HCP01 Greater Valley COMMERCIAL H B N

1600 36338 COMMERCIAL

Group Administrators Ltd. H X N

1601 36338 COMMERCIAL

Group Administrators Ltd. M B N

1602 36338 COMMERCIAL

Group Administrators Ltd. M X N

1603 36338 COMMERCIAL

Group Administrators Ltd. D

1604 36338 COMMERCIAL

Group Administrators Ltd. H B N

1605 CX011 Group Benefit Services COMMERCIAL D

1606 CX036 Group Dental Services COMMERCIAL D

1607 Call Group Health Alliance COMMERCIAL M X N

1608 Call Group Health Alliance COMMERCIAL H X N

1609 12X16 Group Health Co-op COMMERCIAL H X A

1610 91051 COMMERCIAL

Group Health Cooperative - WA StateH B T

1611 91051 COMMERCIAL

Group Health Cooperative - WA StateM B T

1612 95192 COMMERCIAL H

Group Health Cooperative of Eau Claire B N

1613 95192 COMMERCIAL M

Group Health Cooperative of Eau Claire B N

1614 39167 COMMERCIAL M B

Group Health Cooperative of South Central Wisconsin N

1615 39167 COMMERCIAL H B

Group Health Cooperative of South Central Wisconsin N

1616 39168 COMMERCIAL M B

Group Health Cooperative of South Central Wisconsin N

1617 39168 COMMERCIAL M B

Group Health Cooperative of South Central Wisconsin N

1618 39168 COMMERCIAL H B

Group Health Cooperative of South Central Wisconsin N

1619 39168 COMMERCIAL H B

Group Health Cooperative of South Central Wisconsin N

1620 22937 Group Health Inc. COMMERCIAL H B N

1621 22937 Group Health Inc. COMMERCIAL M B N

1622 38194 C

Group Health Managers OMMERCIAL D

1623 38194 C

Group Health Managers OMMERCIAL H N N

1624 38194 C

Group Health Managers OMMERCIAL M N N

1625 91051 WA State M

Group Health Options -COMMERCIAL B T

1626 91051 WA State H

Group Health Options -COMMERCIAL B T

1627 37276 COMMERCIAL

Group Insurance Service Center Inc.H N N

1628 37276 COMMERCIAL

Group Insurance Service Center Inc.M N N

1629 37276 COMMERCIAL

Group Insurance Service Center Inc.D

1630 CX015 Group Link of Indiana COMMERCIAL D

1631 68046 COMMERCIAL

Group Practice Affiliates H B N

1632 68046 COMMERCIAL

Group Practice Affiliates M B N

1633 48143 COMMERCIAL

Group and Pension AdministratorsH B N

1634 48143 COMMERCIAL

Group and Pension AdministratorsD

1635 48143 COMMERCIAL

Group and Pension AdministratorsM B N

1636 77010 COMMERCIAL

Guardian Healthcare INC. (SC) M B N

1637 77010 COMMERCIAL

Guardian Healthcare INC. (SC) H B N

1638 64246 COMMERCIAL H

Guardian Life Insurance Company of America B N

1639 64246 COMMERCIAL M

Guardian Life Insurance Company of America B N

1640 64246 COMMERCIAL D

Guardian Life Insurance Company of America

1641 37114 COMMERCIAL

H.E.R.E.I.U Welfare Pension Funds M B N

1642 37114 COMMERCIAL

H.E.R.E.I.U Welfare Pension Funds H B N

1643 38224 HAP/AHL/Curanet COMMERCIAL M B N

1644 38224 HAP/AHL/Curanet COMMERCIAL H B N

1645 37110 HCH Administration COMMERCIAL M X N

1646 37111 COMMERCIAL

HCH Administration (Illinois) M X N

1647 37111 COMMERCIAL

HCH Administration (Illinois) M B N

1648 37111 COMMERCIAL

HCH Administration (Illinois) H X N

1649 37111 COMMERCIAL

HCH Administration (Illinois) H B N

1650 37215 HCH Administration Inc.COMMERCIAL M B N

1651 37215 HCH Administration Inc.COMMERCIAL M X N

1652 37215 HCH Administration Inc.COMMERCIAL H X N

1653 37215 HCH Administration Inc.COMMERCIAL H B N

1654 37329 HCHA Albq-Self FundedCOMMERCIAL M B N

1655 37329 HCHA Albq-Self FundedCOMMERCIAL H B N

1656 82018 COMMERCIAL ID)

HCS - Health Claims Service (Boise D

1657 82018 COMMERCIAL ID)

HCS - Health Claims Service (Boise M B N

1658 82018 COMMERCIAL ID)

HCS - Health Claims Service (Boise H B N

1659 12T77 HDM Benefit Solutions COMMERCIAL H X N

1660 Call HDM Benefit Solutions COMMERCIAL H X N

1661 Call HDM Benefit Solutions COMMERCIAL M X N

1662 TH070 HDM Benefit Solutions COMMERCIAL M X N

1663 90023 COMMERCIAL

HDPC - Premier Healthcare H B N

1664 90023 COMMERCIAL

HDPC - Premier Healthcare M B N

1665 20257 COMMERCIAL

HDPC/Alliance Physicians H B N

1666 20257 COMMERCIAL

HDPC/Alliance Physicians M B N

1667 36335 HFN Inc. COMMERCIAL M B N

1668 36335 HFN Inc. COMMERCIAL H B N

1669 55247 COMMERCIAL H B

HIP - Health Insurance Plan of Greater New York T

1670 55247 COMMERCIAL M X

HIP - Health Insurance Plan of Greater New York E

1671 55247 COMMERCIAL M B

HIP - Health Insurance Plan of Greater New York T

1672 55247 COMMERCIAL H X

HIP - Health Insurance Plan of Greater New York N

1673 12T11 COMMERCIAL

HMA - Health Management AdminH X N

1674 86066 HMA Hawaii COMMERCIAL H B N

1675 86066 HMA Hawaii COMMERCIAL M B N

1676 58227 HPS Paradigm Inc. COMMERCIAL M B N

1677 58227 HPS Paradigm Inc. COMMERCIAL H B N

1678 41170 HRM Claim Management COMMERCIAL D

1679 36406 COMMERCIAL

Harmony Health Plan of Illinois H B N

1680 36406 COMMERCIAL

Harmony Health Plan of Illinois M B N

1681 36405 COMMERCIAL

Harmony Health Plan of Indiana M B N

1682 36405 COMMERCIAL

Harmony Health Plan of Indiana H B N

1683 HCP01 Harrimon Jones COMMERCIAL H B N

1684 62061 COMMERCIAL H

Harrington Health-Kansas (formerly known as B N

Fiserv Health-Kansas)

1685 62061 COMMERCIAL M

Harrington Health-Kansas (formerly known as B N

Fiserv Health-Kansas)

1686 4271 Care

Harvard Pilgrim Health COMMERCIAL H B N

1687 4271 Care

Harvard Pilgrim Health COMMERCIAL M B N

1688 74227 Care (HPHC) -

D

Harvard Pilgrim Health COMMERCIAL Student Insurance

1689 99208 COMMERCIAL H

Hawaii Management Alliance Association (HMAA)N N

1690 99208 COMMERCIAL M

Hawaii Management Alliance Association (HMAA)N N

1691 77950 COMMERCIAL

Health Alliance Medical Plans H B N

1692 77950 COMMERCIAL

Health Alliance Medical Plans H X N

1693 77950 COMMERCIAL

Health Alliance Medical Plans H X N

1694 77950 COMMERCIAL

Health Alliance Medical Plans H X N

1695 77950 COMMERCIAL

Health Alliance Medical Plans M B N

1696 77950 COMMERCIAL

Health Alliance Medical Plans M X N

1697 77950 COMMERCIAL

Health Alliance Medical Plans M X N

1698 77950 COMMERCIAL

Health Alliance Medical Plans M X N

1699 25126 COMMERCIAL H

Health America Inc./Health Assurance/Advantra B N

1700 25126 COMMERCIAL M

Health America Inc./Health Assurance/Advantra X E

1701 25126 COMMERCIAL H

Health America Inc./Health Assurance/Advantra B N

1702 25126 COMMERCIAL H

Health America Inc./Health Assurance/Advantra X E

1703 25126 COMMERCIAL H

Health America Inc./Health Assurance/Advantra X E

1704 25126 COMMERCIAL M

Health America Inc./Health Assurance/Advantra B N

1705 25126 COMMERCIAL M

Health America Inc./Health Assurance/Advantra B N

1706 25126 COMMERCIAL M

Health America Inc./Health Assurance/Advantra X E

1707 25126 COMMERCIAL H

Health Assurance/Health America Inc./Advantra B N

1708 25126 COMMERCIAL M

Health Assurance/Health America Inc./Advantra B N

1709 42102 COMMERCIAL

Health Care Network of Wisconsin H (HCN) B N

1710 42102 COMMERCIAL

Health Care Network of Wisconsin M (HCN) N N

1711 62179 Health Choice Arizona COMMERCIAL D

1712 * 62179 Health Choice Arizona COMMERCIAL M B N

1713 62179 Health Choice Arizona COMMERCIAL H B N

1714 62179 Health Choice Arizona COMMERCIAL M B N

1715 * 62179 Health Choice Arizona COMMERCIAL H B N

1716 62180 COMMERCIAL

Health Choice Generations M B N

1717 62180 COMMERCIAL

Health Choice Generations H B N

1718 * 62180 COMMERCIAL

Health Choice Generations H B N

1719 * 62180 COMMERCIAL

Health Choice Generations M B N

1720 62111 Health Cost Solutions COMMERCIAL H B N

1721 62111 Health Cost Solutions COMMERCIAL M B N

1722 34158 COMMERCIAL

Health Design Plus (Hudson OH) M B N

1723 34158 COMMERCIAL

Health Design Plus (Hudson OH) H B N

1724 CX039 COMMERCIAL

Health Economics Group Inc. D

1725 30946 Health Future LLC. COMMERCIAL D

1726 30946 Health Future LLC. COMMERCIAL M B N

1727 30946 Health Future LLC. COMMERCIAL H B N

1728 TH049 COMMERCIAL M

Health Management Administrators (HMA) B N

1729 31147 COMMERCIAL H

Health Management Solutions (Ohio BWC) B N

1730 31147 COMMERCIAL M

Health Management Solutions (Ohio BWC) B N

1731 62295 COMMERCIAL

Health Market Care Assured H X N

1732 62295 COMMERCIAL

Health Market Care Assured M X N

1733 95568 COMMERCIAL H B

Health Net - California (Institutional Encounters ONLY) N

1734 95570 COMMERCIAL M B

Health Net - California (Professional Encounters ONLY) T

1735 12X48 Health Net Pearl COMMERCIAL H N N

1736 SX185 Health Net Pearl COMMERCIAL M X N

1737 38309 Health Net of Arizona COMMERCIAL H B N

1738 38309 Health Net of Arizona COMMERCIAL M B N

1739 95567 COMMERCIALM

Health Net of California and Oregon - Claims X E

1740 95567 COMMERCIALM

Health Net of California and Oregon - Claims B N

1741 95567 COMMERCIALH

Health Net of California and Oregon - Claims X E

1742 95567 COMMERCIALH

Health Net of California and Oregon - Claims B N

1743 6108 COMMERCIAL

Health Net of the Northeast Inc. M X E

1744 6108 COMMERCIAL

Health Net of the Northeast Inc. M B N

1745 6108 COMMERCIAL

Health Net of the Northeast Inc. H B N

1746 6108 COMMERCIAL

Health Net of the Northeast Inc. H X E

1747 20199 Health Network America COMMERCIALD

1748 20199 Health Network America COMMERCIALH B N

1749 20199 Health Network America COMMERCIALM B N

1750 65062 Health Network One COMMERCIAL M B N

1751 Call Health New England COMMERCIAL H B N

1752 Call Health New England COMMERCIAL M B N

1753 SX030 COMMERCIAL

Health Options of Florida M X N

1754 36368 COMMERCIAL

Health Options of Illinois M B N

1755 62157 COMMERCIAL

Health Partners - Jackson TN H B N

1756 62157 COMMERCIAL

Health Partners - Jackson TN D

1757 62157 COMMERCIAL

Health Partners - Jackson TN M B N

1758 CX009 COMMERCIALD

Health Partners of Minnesota - Commercial

1759 80142 Health Partners PA COMMERCIALH B N

1760 80142 Health Partners PA COMMERCIALM X N

1761 80142 Health Partners PA COMMERCIALH X N

1762 80142 Health Partners PA COMMERCIALM B N

1763 20270 COMMERCIAL

Health Payment Systems Inc. H B N

1764 20270 COMMERCIAL

Health Payment Systems Inc. M B N

1765 83253 Health Plan of Michigan COMMERCIALH X N

1766 83253 Health Plan of Michigan COMMERCIALH B N

1767 83253 Health Plan of Michigan COMMERCIALM B N

1768 83253 Health Plan of Michigan COMMERCIALM X N

1769 68035 COMMERCIAL

Health Plan of San Joaquin M B N

1770 68035 COMMERCIAL

Health Plan of San Joaquin H B N

1771 Call Health Plan of San MateoCOMMERCIALM B N

1772 44273 Health Plans Inc. COMMERCIALH X N

1773 44273 Health Plans Inc. COMMERCIALH N N

1774 44273 Health Plans Inc. COMMERCIALM N N

1775 44273 Health Plans Inc. COMMERCIALM X N

1776 CX055 Health Plans Inc. COMMERCIALD

1777 11324 COMMERCIAL

Health Plus PHSP (Brooklyn NY) H X N

1778 11324 COMMERCIAL

Health Plus PHSP (Brooklyn NY) H B N

1779 11324 COMMERCIAL

Health Plus PHSP (Brooklyn NY) M X N

1780 11324 COMMERCIAL

Health Plus PHSP (Brooklyn NY) M B N

1781 CX019 COMMERCIALD

Health Resources Incorporated (HRI)

1782 41170 Health Risk Management COMMERCIALD

1783 55438 Health Risk Management COMMERCIALM B N

1784 55438 Health Risk Management COMMERCIALH B N

1785 20896 COMMERCIALM

Health Services Consulting Group Inc. N N

1786 20896 COMMERCIAL H

Health Services Consulting Group Inc. N N

1787 41150 COMMERCIAL

Health Services Management M B E

1788 34167 COMMERCIAL

Health Services Preferred (HSP) by H B

Emerald Health N

1789 34167 COMMERCIAL

Health Services Preferred (HSP) by M B

Emerald Health N

1790 11072 Health Services ReviewCOMMERCIAL M X N

1791 11072 Health Services ReviewCOMMERCIAL H X N

1792 37290 COMMERCIAL H B

Health Services for Children with Special Needs N

1793 37290 COMMERCIAL M B

Health Services for Children with Special Needs N

1794 SX044 Health Strategies COMMERCIAL M X N

1795 27008 COMMERCIAL

Health Systems International - ECOH M X N

1796 27008 COMMERCIAL

Health Systems International - ECOH H B N

1797 11328 HealthCare Partners IPA COMMERCIAL M B N

1798 11328 HealthCare Partners IPA COMMERCIAL H B N

1799 41178 HealthEZ COMMERCIAL M B N

1800 41178 HealthEZ COMMERCIAL H B N

1801 SYMED COMMERCIAL

HealthNet Cal Care (Synermed only) M B N

1802 12X51 HealthPartners COMMERCIAL H N N

1803 SX009 HealthPartners MN COMMERCIAL M X T

1804 59140 HealthPlan Services COMMERCIAL H B N

1805 59140 HealthPlan Services COMMERCIAL M B N

1806 59140 HealthPlan Services COMMERCIAL D

1807 38216 HealthPlus of MichiganCOMMERCIAL H B N

1808 38216 HealthPlus of MichiganCOMMERCIAL M B N

1809 71063 COMMERCIAL

HealthSCOPE Benefits Inc. M X N

1810 71063 COMMERCIAL

HealthSCOPE Benefits Inc. M B N

1811 71063 COMMERCIAL

HealthSCOPE Benefits Inc. H B N

1812 71063 COMMERCIAL

HealthSCOPE Benefits Inc. H X N

1813 71063 COMMERCIAL D

HealthSCOPE Benefits Inc. (Formerly CNA Health Partners of Arkansas)

1814 HSM01 COMMERCIAL

HealthSmart -Noble Mid Orange M B N

1815 75250 Care Inc. M

HealthSmart Preferred COMMERCIAL B N

1816 75250 Care Inc. H

HealthSmart Preferred COMMERCIAL B N

1817 63092 COMMERCIAL H

HealthSpring HMO/HealthSpring Medicare+Choice B N

1818 63092 COMMERCIAL M

HealthSpring HMO/HealthSpring Medicare+Choice B N

1819 36332 HealthStar Inc. COMMERCIAL H B N

1820 36332 HealthStar Inc. COMMERCIAL M B N

1821 MPMOA Healthcare La IPA COMMERCIAL M X N

1822 HMA01 COMMERCIAL D

Healthcare Management Administrators Inc.

1823 HCP01 Healthcare Partners COMMERCIAL M B N

1824 HCP01 Healthcare Partners COMMERCIAL H B N

1825 56731 Healthcare Resources NW COMMERCIAL M B N

1826 56731 Healthcare Resources NW COMMERCIAL H B N

1827 73147 COMMERCIAL

Healthcare Solutions Group H X N

1828 73147 COMMERCIAL

Healthcare Solutions Group H B N

1829 73147 COMMERCIAL

Healthcare Solutions Group M B N

1830 73147 COMMERCIAL

Healthcare Solutions Group M X N

1831 31147 Processing M

Inc

Healthcare TransactionCOMMERCIAL (HTP) B N

1832 31147 Processing H

Inc

Healthcare TransactionCOMMERCIAL (HTP) B N

1833 25143 Healthcare USA COMMERCIAL M X E

1834 25143 Healthcare USA COMMERCIAL M X E

1835 25143 Healthcare USA COMMERCIAL M B N

1836 25143 Healthcare USA COMMERCIAL M B N

1837 25143 Healthcare USA COMMERCIAL H X E

1838 25143 Healthcare USA COMMERCIAL H X E

1839 25143 Healthcare USA COMMERCIAL H B N

1840 25143 Healthcare USA COMMERCIAL H B N

1841 85729 Healthcomp Inc. COMMERCIAL H B N

1842 85729 Healthcomp Inc. COMMERCIAL D

1843 85729 Healthcomp Inc. COMMERCIAL M B N

1844 80141 Healthfirst 65 Plus COMMERCIAL H B N

1845 80141 COMMERCIAL H

Healthfirst Family Health Plus (FHP) B N

1846 80141 of New Jersey

Healthfirst Health Plan COMMERCIAL M B N

1847 80141 of New Jersey

Healthfirst Health Plan COMMERCIAL H B N

1848 80141 of New Jersey

Healthfirst Health Plan COMMERCIAL M X E

1849 80141 of New Jersey

Healthfirst Health Plan COMMERCIAL H X N

1850 80141 COMMERCIAL

Healthfirst New York (COMMERCIAL) H B N

1851 80141 Healthfirst PHSP COMMERCIAL H B N

1852 75234 COMMERCIAL

Healthfirst TPA (Tyler TX) H B N

1853 75234 COMMERCIAL

Healthfirst TPA (Tyler TX) M B N

1854 80141 COMMERCIAL

Healthfirst Inc. (New York) M B N

1855 80141 COMMERCIAL

Healthfirst Inc. (New York) H X N

1856 80141 COMMERCIAL

Healthfirst Inc. (New York) H B N

1857 80141 COMMERCIAL

Healthfirst Inc. (New York) M X E

1858 96475 Healthlink HMO COMMERCIAL H B N

1859 96475 Healthlink HMO COMMERCIAL M B N

1860 90001 Healthlink PPO COMMERCIAL H B N

1861 90001 Healthlink PPO COMMERCIAL M B N

1862 6108 Healthnet of Arizona COMMERCIAL H X E

1863 6108 Healthnet of Arizona COMMERCIAL M X E

1864 55204 Healthnow Division COMMERCIAL M X N

1865 11271 Healthplex Inc. COMMERCIAL D

1866 * 75237 Healthsmart Accel COMMERCIAL H B N

1867 * 75237 Healthsmart Accel COMMERCIAL M B N

1868 2041 Healthsource CMHC COMMERCIAL M B N

1869 2041 Healthsource CMHC COMMERCIAL H B N

1870 2041 COMMERCIAL

Healthsource Massachusetts Inc. M B N

1871 2041 COMMERCIAL

Healthsource Massachusetts Inc. H B N

1872 62308 C

Healthsource Provident OMMERCIAL D

1873 62308 C

Healthsource Provident OMMERCIAL D

1874 68195 C

Healthsource Provident OMMERCIAL M B N

1875 68195 C

Healthsource Provident OMMERCIAL H B N

1876 71075 (CIGNA) M

Healthsource AR (Med)COMMERCIAL B N

1877 71075 (CIGNA) H

Healthsource AR (Med)COMMERCIAL B N

1878 58210 Healthsource GA (CIGNA) COMMERCIAL H B N

1879 58210 Healthsource GA (CIGNA) COMMERCIAL M B N

1880 61127 Healthsource KY COMMERCIAL H B N

1881 61127 Healthsource KY COMMERCIAL M B N

1882 1041 Healthsource ME COMMERCIAL H B N

1883 1041 Healthsource ME COMMERCIAL M B T

1884 75255 COMMERCIAL

Healthsource N. TX (CIGNA) H B N

1885 75255 COMMERCIAL

Healthsource N. TX (CIGNA) M B N

1886 56147 Healthsource NC (CIGNA) COMMERCIAL H B N

1887 56147 Healthsource NC (CIGNA) COMMERCIAL M B N

1888 2038 Healthsource NH COMMERCIAL M B N

1889 2038 Healthsource NH COMMERCIAL H B N

1890 31141 Healthsource OH COMMERCIAL H B N

1891 31141 Healthsource OH COMMERCIAL M B N

1892 6119 Healthsource SC COMMERCIAL H B N

1893 6119 Healthsource SC COMMERCIAL H B N

1894 6119 Healthsource SC COMMERCIAL M B N

1895 Pilot Healthsource SC COMMERCIAL M B N

1896 62129 Healthsource TN (CIGNA) COMMERCIAL H B N

1897 62129 Healthsource TN (CIGNA) COMMERCIAL M B N

1898 58213 COMMERCIAL

Healthways WholeHealth Networks M B N

1899 59230 Heritage Consultants COMMERCIAL M B N

1900 TH011 COMMERCIAL

Heritage Physician Network M B N

1901 DESRT COMMERCIAL

Heritage Provider Network M B N

1902 REGAL COMMERCIAL

Heritage Provider Network M B N

1903 57029 Hewitt Coleman COMMERCIAL H X N

1904 57029 Hewitt Coleman COMMERCIAL M X N

1905 69521 High Desert - EncountersCOMMERCIAL M B N

1906 HDMDG COMMERCIAL

High Desert Medical Group M X N

1907 33069 High Desert Primary CareCOMMERCIAL M B N

1908 33069 High Desert Primary CareCOMMERCIAL H B N

1909 35145 Highmark- Key Family COMMERCIAL H B N

1910 35145 Highmark- Key Family COMMERCIAL M B N

1911 46 Group

Hill Physicians Medical COMMERCIAL M B T

1912 59347 COMMERCIAL

Hillcrest Benefit Administrators M B N

1913 59347 COMMERCIAL

Hillcrest Benefit Administrators H B N

1914 36385 COMMERCIAL

Hinsdale Physician Healthcare M B N

1915 SYMED COMMERCIAL

Hollywood Presbyterian (Synermed) M B N

1916 36412 COMMERCIAL

Holy Cross Health Partners M B N

1917 88023 Nevada D

Hometown Health PlanCOMMERCIAL

1918 88023 Nevada H

Hometown Health PlanCOMMERCIAL B N

1919 88023 Nevada M

Hometown Health PlanCOMMERCIAL B N

1920 CX015 COMMERCIAL D

Hoosier Dental (in Indianapolis Indiana)

1921 22304 COMMERCIAL

Horizon HealthCare Admin (HHA) H B N

1922 22304 COMMERCIAL

Horizon HealthCare Admin (HHA) M B N

1923 22326 Horizon NJ Health COMMERCIAL H B N

1924 22326 Horizon NJ Health COMMERCIAL M X E

1925 22326 Horizon NJ Health COMMERCIAL M X N

1926 22326 Horizon NJ Health COMMERCIAL H X C

1927 22326 Horizon NJ Health COMMERCIALH X N

1928 22326 Horizon NJ Health COMMERCIALM B N

1929 91136 COMMERCIALD

Hotel Employees & Restaurant Employees Health Trust

1930 91136 COMMERCIALH B

Hotel Employees & Restaurant Employees Health Trust N

1931 91136 COMMERCIALM B

Hotel Employees & Restaurant Employees Health Trust N

1932 13335 Hudson Health Plan COMMERCIAL H B T

1933 13335 Hudson Health Plan COMMERCIAL H X N

1934 13335 Hudson Health Plan COMMERCIAL H X N

1935 13335 Hudson Health Plan COMMERCIAL M B T

1936 13335 Hudson Health Plan COMMERCIAL M X N

1937 13335 Hudson Health Plan COMMERCIAL M X N

1938 73288 Humana COMMERCIALD

1939 NCH02 New Century

M

Humana Dermatology -COMMERCIAL Health X N

1940 61101 Humana Emphesys COMMERCIALH B N

1941 61101 Humana Emphesys COMMERCIALM B N

1942 61101 COMMERCIAL

Humana Employers Health Insurance H B N

1943 61101 COMMERCIAL

Humana Employers Health Insurance M B N

1944 61101 Humana Inc. COMMERCIALH B N

1945 61101 Humana Inc. COMMERCIALH X E

1946 61101 Humana Inc. COMMERCIALM B N

1947 61101 Humana Inc. COMMERCIALM X E

1948 61102 Humana Inc. Encounters COMMERCIALM B N

1949 61101 COMMERCIALH B

Humana Insurance Company Choice Care Network N

1950 61101 COMMERCIALM B

Humana Insurance Company Choice Care Network N

1951 61160 COMMERCIALH

Humana Veterans Healthcare Services B N

1952 61160 COMMERCIALM

Humana Veterans Healthcare Services B N

1953 94154 COMMERCIALM B

Humboldt-Del Norte Foundation for Medical Care N

1954 CAPMN COMMERCIALM

Huntington Park Mission Medical Group B N

1955 41600 I'Mcare COMMERCIALH B N

1956 41600 I'Mcare COMMERCIALM B N

1957 22175 COMMERCIAL

I. E. Shaffer (West Trenton NJ) H B N

1958 22175 COMMERCIAL

I. E. Shaffer (West Trenton NJ) D

1959 22175 COMMERCIAL

I. E. Shaffer (West Trenton NJ) M B N

1960 37279 IAA COMMERCIALM B N

1961 37279 IAA COMMERCIALH B N

1962 41124 IBI COMMERCIALD

1963 41124 IBI COMMERCIALM B N

1964 41124 IBI COMMERCIALH B N

1965 75274 IHG Direct COMMERCIALH B N

1966 75274 IHG Direct COMMERCIALM B N

1967 Call IHS Networks - 1 COMMERCIALM X N

1968 TH099 IMS Management Services COMMERCIALM X N

1969 12T64 - Texas

IMS Management Svcs COMMERCIAL H B N

1970 86070 IMX Easy COMMERCIALH B N

1971 86070 IMX Easy COMMERCIALM B N

1972 40585 INDECS Corporation COMMERCIAL H B N

1973 40585 INDECS Corporation COMMERCIAL M B N

1974 31128 C

INTEGRA GROUP/HOMEOMMERCIAL H N N

1975 39182 COMMERCIAL

INTERNATIONAL FUNDING LTD H B N

1976 39182 COMMERCIAL

INTERNATIONAL FUNDING LTD M B N

1977 20435 INTGRITAS BENEFIT GROUP COMMERCIAL H B N

1978 20435 INTGRITAS BENEFIT GROUP COMMERCIAL M B N

1979 Pilot COMMERCIAL

IU Medical Group Primary Care H B N

1980 Pilot COMMERCIAL

IU Medical Group Primary Care M B N

1981 SX172 COMMERCIAL

IU Medical Group Primary Care M X N

1982 86069 Illinois Health SolutionsCOMMERCIAL M B N

1983 86069 Illinois Health SolutionsCOMMERCIAL H B N

1984 Call COMMERCIAL M

Imperial County Physicians Medical Group B N

1985 Call COMMERCIAL M

Imperial County Physicians Medical Group B N

1986 MHM01 Group

Independence Medical COMMERCIAL M B N

1987 12X01 Independent Health COMMERCIAL H B N

1988 SX073 Independent Health COMMERCIAL M X T

1989 SX073 Independent Health COMMERCIAL H X E

1990 SX073 Independent Health COMMERCIAL M X N

1991 SX073 Independent Health COMMERCIAL M X C

1992 SX171 Indian Health Services COMMERCIAL M B N

1993 35204 Indiana Health Network COMMERCIAL H B N

1994 35204 Indiana Health Network COMMERCIAL M B N

1995 35161 Indiana ProHealth NetworkCOMMERCIAL H B N

1996 35161 Indiana ProHealth NetworkCOMMERCIAL M B N

1997 35107 COMMERCIAL (Indianapolis IN)

Indiana Teamsters Health Benefits D Fund

1998 35107 COMMERCIAL (Indianapolis IN)

Indiana Teamsters Health Benefits M Fund B N

1999 35107 COMMERCIAL (Indianapolis IN)

Indiana Teamsters Health Benefits H Fund B N

2000 31053 COMMERCIAL

Individual Health Insurance CompaniesM B N

2001 31053 COMMERCIAL

Individual Health Insurance CompaniesH B N

2002 52196 Informed LLC COMMERCIAL H B N

2003 52196 Informed LLC COMMERCIAL M B N

2004 36348 Ingalls Provider Group COMMERCIAL M B N

2005 52212 COMMERCIAL

Injured Workers Insurance Fund M B N

2006 IEHP1 Inland Empire Health PlanCOMMERCIAL M B N

2007 Call Services Networks - Plan B

Innovative Healthware COMMERCIAL H X N

2008 Call Services Networks - Plan B

Innovative Healthware COMMERCIAL M X N

2009 Call Services Inc.

Innovative Healthware COMMERCIAL H N N

2010 Call Services Inc.

Innovative Healthware COMMERCIAL M N N

2011 37279 COMMERCIAL H

Insurance Administrators of America Inc. X N

2012 37279 COMMERCIAL H

Insurance Administrators of America Inc. B N

2013 37279 COMMERCIAL M

Insurance Administrators of America Inc. X N

2014 37279 COMMERCIAL M

Insurance Administrators of America Inc. B N

2015 13315 COMMERCIAL

Insurance Design Administrators D

2016 13315 COMMERCIAL

Insurance Design Administrators M B N

2017 13315 COMMERCIAL

Insurance Design Administrators H B N

2018 15688 COMMERCIAL H

Insurance Management Services (Amarillo TX)B N

2019 15688 COMMERCIAL M

Insurance Management Services (Amarillo TX)B N

2020 88006 COMMERCIAL M

Insurance Management Services (Elko NV) B N

2021 88006 COMMERCIAL D

Insurance Management Services (Elko NV)

2022 88006 COMMERCIAL H

Insurance Management Services (Elko NV) B N

2023 TH012 COMMERCIAL

Insurance Services of Lubbock M B N

2024 SX011 C

Insurdata/Insurnational OMMERCIAL M X N

2025 86304 Corp.

Insurers AdministrativeCOMMERCIAL D

2026 86304 Corp.

Insurers AdministrativeCOMMERCIAL H B N

2027 86304 Corp.

Insurers AdministrativeCOMMERCIAL M B N

2028 51020 COMMERCIAL H

Integra Administrative Group (Seaford DE) B N

2029 51020 COMMERCIAL D

Integra Administrative Group (Seaford DE)

2030 51020 COMMERCIAL M

Integra Administrative Group (Seaford DE) B N

2031 31127 Integra Group COMMERCIAL H B T

2032 31127 Integra Group COMMERCIAL M B N

2033 31129 Integra Group-CHA COMMERCIAL M B N

2034 74314 COMMERCIAL

Integrant /SelectCare of Texas H B N

2035 74314 COMMERCIAL

Integrant /SelectCare of Texas M B N

2036 34167 COMMERCIAL M B

Integrated Care Network (ICN) by Emerald Health N

2037 34167 COMMERCIAL H B

Integrated Care Network (ICN) by Emerald Health N

2038 68053 COMMERCIAL

Integrated Mental Health Services H B N

2039 68053 COMMERCIAL

Integrated Mental Health Services M B N

2040 37227 COMMERCIAL

InterCare Health Plans Inc. H B N

2041 37227 COMMERCIAL

InterCare Health Plans Inc. M B N

2042 84137 COMMERCIAL M

InterWest Health (Acceptius Gateway payer) B N

2043 60280 Interface EAP (IEAP) COMMERCIAL H B N

2044 60280 Interface EAP (IEAP) COMMERCIAL M B N

2045 23287 COMMERCIAL

Intergroup Services Corporation H B N

2046 23287 COMMERCIAL

Intergroup Services Corporation M B N

2047 36609 COMMERCIAL M

International Brotherhood of Boilermakers X N

2048 36609 COMMERCIAL D

International Brotherhood of Boilermakers

2049 36609 COMMERCIAL H

International Brotherhood of Boilermakers B N

2050 36609 COMMERCIAL H

International Brotherhood of Boilermakers X N

2051 36609 COMMERCIAL M

International Brotherhood of Boilermakers B N

2052 48603 COMMERCIAL H B N

International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC)

2053 48603 COMMERCIAL M B N

International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC)

2054 16158 COMMERCIAL H B

International Educational Exchange Services Inc. (IEES) N

2055 16158 COMMERCIAL M B

International Educational Exchange Services Inc. (IEES) N

2056 TH105 COMMERCIAL

International Medical Group M X N

2057 12T61 COMMERCIAL

International Medical Group (IMG)H B N

2058 64157 Operating Engineers ~ Local 15 15A 15C & 15D

International Union of COMMERCIAL H B N

2059 64157 Operating Engineers ~ Local 15 15A 15C & 15D

International Union of COMMERCIAL M B N

2060 41124 Iowa Benefits Inc. COMMERCIAL D

2061 41124 Iowa Benefits Inc. COMMERCIAL H B N

2062 41124 Iowa Benefits Inc. COMMERCIAL M B N

2063 86068 Iowa Health Solutions COMMERCIAL H B N

2064 86068 Iowa Health Solutions COMMERCIAL M B N

2065 61271 COMMERCIAL

J. F. Molloy and Associates Inc. H B N

2066 61271 COMMERCIAL

J. F. Molloy and Associates Inc. M B N

2067 37272 COMMERCIAL H

J. Smith Lanier & Co. Administrators N N

2068 37272 COMMERCIAL

J. Smith Lanier & Co. Administrators M N N

2069 EMP01 JFK Hospital COMMERCIAL M B N

2070 TH033 JI Specialties COMMERCIAL M B N

2071 38310 COMMERCIAL

JOHN MORRELL COMPANY CO. - AHPBA M B N

2072 38310 COMMERCIAL

JOHN MORRELL COMPANY CO. - AHPBA H B N

2073 38310 COMMERCIAL

JOHN MORRELL COMPANY CO. - AHPBA D

2074 Call COMMERCIAL

JOHN MUIR TRAUMA PHYSICIANS M B N

2075 Call JP Farley COMMERCIAL M X N

2076 Call JP Farley COMMERCIAL H X N

2077 34136 JP Farley Corporation COMMERCIAL H B N

2078 34136 JP Farley Corporation COMMERCIAL D

2079 34136 JP Farley Corporation COMMERCIAL M B N

2080 12T47 JP Specialties COMMERCIAL H B N

2081 37272 JSL Administrators COMMERCIAL M N N

2082 37272 JSL Administrators COMMERCIAL H N N

2083 37272 JSL Administrators COMMERCIAL H X N

2084 37272 JSL Administrators COMMERCIAL M X N

2085 5014 COMMERCIAL

Jackson Memorial Health Plan (FL) M B N

2086 41099 COMMERCIAL

John Alden Life Insurance Co. M X N

2087 41099 COMMERCIAL

John Alden Life Insurance Co. M X N

2088 41099 COMMERCIAL

John Alden Life Insurance Co. M X E

2089 41099 COMMERCIAL

John Alden Life Insurance Co. M B N

2090 41099 COMMERCIAL

John Alden Life Insurance Co. H X N

2091 41099 COMMERCIAL

John Alden Life Insurance Co. H X N

2092 41099 COMMERCIAL

John Alden Life Insurance Co. H X E

2093 41099 COMMERCIAL

John Alden Life Insurance Co. H B N

2094 41099 COMMERCIAL

John Alden Life Insurance Co. D

2095 41099 COMMERCIAL

John Alden Life Insurance Co. D

2096 68036 COMMERCIAL

John Muir Mt. Diablo Health System M B N

2097 68036 COMMERCIAL

John Muir Physician Network M B N

2098 52189 Johns Hopkins HealthcareCOMMERCIAL M X N

2099 52189 Johns Hopkins HealthcareCOMMERCIAL H X N

2100 52189 COMMERCIAL

Johns Hopkins Healthcare (EHP/PP) H B N

2101 52189 COMMERCIAL

Johns Hopkins Healthcare (EHP/PP) M B N

2102 52123 COMMERCIAL

Johns Hopkins Healthcare (USFHP) H X N

2103 52123 COMMERCIAL

Johns Hopkins Healthcare (USFHP) M B N

2104 52123 COMMERCIAL

Johns Hopkins Healthcare (USFHP) M X N

2105 52123 COMMERCIAL

Johns Hopkins Healthcare (USFHP) H B N

2106 43178 Joplin Claims COMMERCIAL H B N

2107 43178 Joplin Claims COMMERCIAL M B N

2108 AMM01 Joy Medical Group COMMERCIAL M B N

2109 AMM01 Joy Medical Group COMMERCIAL H B N

2110 35317 KEY GAP COMMERCIAL M B N

2111 35317 KEY GAP COMMERCIAL H B N

2112 KPS01 COMMERCIAL

KPS-Kitsap Physician Services H B N

2113 KPS01 COMMERCIAL

KPS-Kitsap Physician Services M B N

2114 94320 COMMERCIAL H B N

Kaiser CSI-California Select for Individuals (formerly known as Kaiser PPO)

2115 94320 COMMERCIAL M B N

Kaiser CSI-California Select for Individuals (formerly known as Kaiser PPO)

2116 91617 COMMERCIAL M

Kaiser Foundation Health Plan of Colorado X E

2117 91617 COMMERCIAL M

Kaiser Foundation Health Plan of Colorado B N

2118 91617 COMMERCIAL H

Kaiser Foundation Health Plan of Colorado B N

2119 91617 COMMERCIAL H

Kaiser Foundation Health Plan of Colorado X E

2120 94135 COMMERCIAL M

Kaiser Foundation Health Plan of Northern CA B Region N

2121 94135 COMMERCIAL H

Kaiser Foundation Health Plan of Northern CA X Region N

2122 94135 COMMERCIAL M

Kaiser Foundation Health Plan of Northern CA X Region N

2123 94135 COMMERCIAL H

Kaiser Foundation Health Plan of Northern CA B Region N

2124 34092 COMMERCIAL

Kaiser Foundation Health Plan of OhioM B N

2125 34092 COMMERCIAL

Kaiser Foundation Health Plan of OhioH B N

2126 34092 COMMERCIAL

Kaiser Foundation Health Plan of OhioM X E

2127 34092 COMMERCIAL

Kaiser Foundation Health Plan of OhioH X E

2128 94134 COMMERCIAL M

Kaiser Foundation Health Plan of Southern CA B Region T

2129 94134 COMMERCIAL H

Kaiser Foundation Health Plan of Southern CA B Region T

2130 52095 COMMERCIAL M X E

Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.

2131 52095 COMMERCIAL M B N

Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.

2132 52095 COMMERCIAL H B N

Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.

2133 52095 COMMERCIAL H X E

Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.

2134 93079 COMMERCIAL

Kaiser Foundation of the Northwest H B N

2135 93079 COMMERCIAL

Kaiser Foundation of the Northwest M B N

2136 21313 Georgia Region

Kaiser Health Plan Inc - COMMERCIAL M X E

2137 21313 Georgia Region

Kaiser Health Plan Inc - COMMERCIAL H X E

2138 CX073 COMMERCIAL

Kaiser Permanente Dental Choice D

2139 21313 COMMERCIAL

Kaiser Permanente of Georgia M X E

2140 21313 COMMERCIAL

Kaiser Permanente of Georgia M B N

2141 21313 COMMERCIAL

Kaiser Permanente of Georgia H B N

2142 21313 COMMERCIAL

Kaiser Permanente of Georgia H X E

2143 57038 COMMERCIAL

Kanawha HealthCare Solutions Inc.M B N

2144 57038 COMMERCIAL

Kanawha HealthCare Solutions Inc.H B N

2145 57038 Kanawha Insurance Co.COMMERCIAL D

2146 57038 Kanawha Insurance Co.COMMERCIAL H X N

2147 57038 Kanawha Insurance Co.COMMERCIAL M B N

2148 57038 Kanawha Insurance Co.COMMERCIAL M X N

2149 57038 Kanawha Insurance Co.COMMERCIAL H B N

2150 Call Health & Welfare TrustXFund

Kansas Building Trades COMMERCIAL M N

2151 Call Health & Welfare TrustXFund

Kansas Building Trades COMMERCIAL H N

2152 CX058 Kansas City Life COMMERCIAL H X N

2153 CX058 Kansas City Life COMMERCIAL M X N

2154 CX058 Kansas City Life COMMERCIAL D

2155 81812 Katy Medical Claims COMMERCIAL H B N

2156 81812 Katy Medical Claims COMMERCIAL M B N

2157 TKFMC Kaweah Delta COMMERCIAL M B N

2158 95279 Keenan Associates (CA)COMMERCIAL M X N

2159 95279 Keenan Associates (CA)COMMERCIAL H X N

2160 73100 Kempton Company COMMERCIAL M B N

2161 73100 Kempton Company COMMERCIAL D

2162 73100 Kempton Company COMMERCIAL H B N

2163 73100 COMMERCIAL

Kempton Group Administrators M B N

2164 73100 COMMERCIAL

Kempton Group Administrators D

2165 73100 COMMERCIAL

Kempton Group Administrators H B N

2166 77039 Kern Health Systems COMMERCIAL M B N

2167 77039 Kern Health Systems COMMERCIAL H B N

2168 37217 COMMERCIAL H

Key Benefit Administrators (Indianapolis IN) B N

2169 37217 COMMERCIAL M

Key Benefit Administrators (Indianapolis IN) B N

2170 Pilot Key Health COMMERCIAL M B N

2171 IP082 Key Medical Group COMMERCIAL M B N

2172 37321 Key Select COMMERCIAL H X N

2173 37321 Key Select COMMERCIAL M X N

2174 23284 Plan

Keystone Mercy HealthCOMMERCIAL H X N

2175 23284 Plan

Keystone Mercy HealthCOMMERCIAL H X N

2176 23284 Plan

Keystone Mercy HealthCOMMERCIAL M B N

2177 23284 Plan

Keystone Mercy HealthCOMMERCIAL M X E

2178 23284 Plan

Keystone Mercy HealthCOMMERCIAL M X N

2179 23284 Plan

Keystone Mercy HealthCOMMERCIAL H B N

2180 23284 Plan

Keystone Mercy HealthCOMMERCIAL H X E

2181 93063 Kipp & Company COMMERCIAL H X N

2182 93063 Kipp & Company COMMERCIAL M X N

2183 34145 Klais & Company COMMERCIAL H B N

2184 34145 Klais & Company COMMERCIAL M B N

2185 31147 BWC)

Klais & Company (Ohio COMMERCIAL H B N

2186 31147 BWC)

Klais & Company (Ohio COMMERCIAL M B N

2187 66123 COMMERCIAL

Korean American Medical Group H X N

2188 66123 COMMERCIAL

Korean American Medical Group M B N

2189 KAMG1 COMMERCIAL

Korean American Medical Group H B N

2190 KAMG1 COMMERCIAL

Korean American Medical Group M B N

2191 LACAR LA Care Health Plan COMMERCIAL H B N

2192 LACAR LA Care Health Plan COMMERCIAL M B N

2193 52193 LBA Health Plans COMMERCIAL M B N

2194 52193 LBA Health Plans COMMERCIAL H B N

2195 52193 LBA Health Plans COMMERCIAL D

2196 37248 LHP Claims Unit COMMERCIAL H B N

2197 37248 LHP Claims Unit COMMERCIAL M B N

2198 TH106 LIPA/Agate Resources COMMERCIAL M X N

2199 LVIPA La Vida IPA COMMERCIAL M B N

2200 66127 COMMERCIAL

Lakeside Comprehensive Healthcare M B N

2201 66127 COMMERCIAL

Lakeside Comprehensive Healthcare H X N

2202 95415 COMMERCIAL

Lakeside Health Services M B N

2203 95415 COMMERCIAL

Lakeside Health Services H B N

2204 LMG11 COMMERCIAL

Lakeside Health Services M X N

2205 36333 COMMERCIAL

Lawndale Christian Health Center M B N

2206 36333 COMMERCIAL

Lawndale Christian Health Center H B N

2207 37316 COMMERCIAL

Leon Medical Center Health Plan H B N

2208 37316 COMMERCIAL

Leon Medical Center Health Plan M B N

2209 CX083 Liberty Dental Plan COMMERCIAL D

2210 87071 Liberty Health AdvantageCOMMERCIAL H B N

2211 87071 Liberty Health AdvantageCOMMERCIAL M B N

2212 11123 Liberty Mutual Group COMMERCIAL H B N

2213 11123 COMMERCIAL

Liberty Mutual Insurance Company H B N

2214 11123 COMMERCIAL

Liberty Mutual Insurance Company M B N

2215 11123 Liberty Mutual NorthWestCOMMERCIAL H B N

2216 37281 Liberty Union COMMERCIAL H N N

2217 37281 Liberty Union COMMERCIAL M N N

2218 37281 Life Assurance Company COMMERCIAL M N N

2219 37281 Life Assurance Company COMMERCIAL H N N

2220 78140 COMMERCIAL &

Life Insurance Company of Boston D New York

2221 12T67 Life Investors InsuranceCOMMERCIAL H B N

2222 TH120 Life Investors InsuranceCOMMERCIAL M B N

2223 12T39 COMMERCIAL H B

Life Investors Insurance of America - Long Term Care N

2224 TH093 COMMERCIAL M

Life Investors of America - Long Term Care X N

2225 41136 Life Trac COMMERCIAL M N N

2226 41136 Life Trac COMMERCIAL H N N

2227 93093 Oregon

LifeWise Healthplan of COMMERCIAL D

2228 93093 Oregon

LifeWise Healthplan of COMMERCIAL M X A

2229 91155 Arizona M

Lifewise Health Plan of COMMERCIAL B A

2230 CX061 Lincoln Financial GroupCOMMERCIAL D

2231 73288 COMMERCIAL Bay B

Lincoln National (EMPHESYS GreenH and Madison WI only) N

2232 73288 Lincoln National (WI) COMMERCIAL D

2233 LCB01 COMMERCIAL

Line Construction Benefit Fund D

2234 LCB01 COMMERCIAL

Line Construction Benefit Fund H X N

2235 LCB01 COMMERCIAL

Line Construction Benefit Fund M X N

2236 35107 COMMERCIAL H B

Local 135 Health Benefits Fund (Indianapolis IN) N

2237 35107 COMMERCIAL D

Local 135 Health Benefits Fund (Indianapolis IN)

2238 35107 COMMERCIAL M B

Local 135 Health Benefits Fund (Indianapolis IN) N

2239 37267 COMMERCIAL H B N

Loma Linda University Adventist Health Sciences Center Employee Health Plan

2240 37267 COMMERCIAL M B N

Loma Linda University Adventist Health Sciences Center Employee Health Plan

2241 37267 COMMERCIAL H B

Loma Linda University Adventist Health Sciences Centers N

2242 37267 COMMERCIAL M B

Loma Linda University Adventist Health Sciences Centers N

2243 37267 COMMERCIAL H B N

Loma Linda University Behavioral Medicine Center Employee Health Plan

2244 37267 COMMERCIAL M B N

Loma Linda University Behavioral Medicine Center Employee Health Plan

2245 37267 COMMERCIAL H

Loma Linda University Employee Health Plan B N

2246 37267 COMMERCIAL M

Loma Linda University Employee Health Plan B N

2247 37267 COMMERCIAL

Loma Linda University Health Care H B

Employee Health Plan N

2248 37267 COMMERCIAL

Loma Linda University Health Care M B

Employee Health Plan N

2249 33036 COMMERCIAL

Loma Linda University Healthcare -M B

ManagedCare Claims N

2250 37267 COMMERCIAL H B

Loma Linda University Medical Center Employee Health PlanN

2251 37267 COMMERCIAL M B

Loma Linda University Medical Center Employee Health PlanN

2252 37267 COMMERCIAL H B N

Loma Linda University Medical Center Residents Health Plan

2253 37267 COMMERCIAL M B N

Loma Linda University Medical Center Residents Health Plan

2254 37267 COMMERCIAL M

Loma Linda University Student Health Plan B N

2255 37267 COMMERCIAL H

Loma Linda University Student Health Plan B N

2256 37226 COMMERCIAL

London Health Administrators H X N

2257 37226 COMMERCIAL

London Health Administrators M X N

2258 SX159 Lovelace Salud COMMERCIAL M X N

2259 90328 Plan

Lovelace Sandia HealthCOMMERCIAL D

2260 90328 Plan

Lovelace Sandia HealthCOMMERCIAL H B N

2261 90328 Plan

Lovelace Sandia HealthCOMMERCIAL M B N

2262 CX033 MAMSI COMMERCIAL D

2263 52148 Insurance Co.

M

MAMSI Life and HealthCOMMERCIAL (MLH) B N

2264 52148 Insurance Co.

H

MAMSI Life and HealthCOMMERCIAL (MLH) B N

2265 87065 COMMERCIAL M B

MBA Benefit Administrators Inc. (Salt Lake City UT) N

2266 87065 COMMERCIAL D

MBA Benefit Administrators Inc. (Salt Lake City UT)

2267 87065 COMMERCIAL H B

MBA Benefit Administrators Inc. (Salt Lake City UT) N

2268 87065 COMMERCIAL

MBA of Wyoming (Worland WY) H B N

2269 87065 COMMERCIAL

MBA of Wyoming (Worland WY) M X N

2270 87065 COMMERCIAL

MBA of Wyoming (Worland WY) M B N

2271 87065 COMMERCIAL

MBA of Wyoming (Worland WY) D

2272 87065 COMMERCIAL

MBA of Wyoming (Worland WY) H X N

2273 56205 MBS COMMERCIAL H B N

2274 56205 MBS COMMERCIAL D

2275 56205 MBS COMMERCIAL M B N

2276 Call MCA Administrators Inc COMMERCIAL H B N

2277 65030 MCNA DENTAL COMMERCIAL D

2278 52148 COMMERCIAL H

MD - Individual Practice Association Inc. (M.D.BIPA) N

2279 52148 COMMERCIAL M

MD - Individual Practice Association Inc. (M.D.BIPA) N

2280 20475 MDWise Hoosier AllianceCOMMERCIAL M X N

2281 20475 MDWise Hoosier AllianceCOMMERCIAL H X N

2282 20475 MDWise Hoosier AllianceCOMMERCIAL M B N

2283 20475 MDWise Hoosier AllianceCOMMERCIAL M X N

2284 20475 MDWise Hoosier AllianceCOMMERCIAL M X N

2285 20475 MDWise Hoosier AllianceCOMMERCIAL H X N

2286 20475 MDWise Hoosier AllianceCOMMERCIAL H B N

2287 20475 MDWise Hoosier AllianceCOMMERCIAL H X N

2288 78857 PLAN INC. M

MEDICA HEALTH CARE COMMERCIAL B N

2289 Pilot PLAN INC. H

MEDICA HEALTH CARE COMMERCIAL B N

2290 CX026 MEDICA of Minnesota COMMERCIAL D

2291 52181 COMMERCIAL

MEDICAL DEVELOPMENT INTERNATIONAL H B N

2292 52181 COMMERCIAL

MEDICAL DEVELOPMENT INTERNATIONAL M B N

2293 68056 C

MEDICARE ADVANTAGE OMMERCIAL H B N

2294 68056 C

MEDICARE ADVANTAGE OMMERCIAL M B N

2295 1047 MEMIC COMMERCIAL M B N

2296 1047 MEMIC COMMERCIAL H B N

2297 Call COMMERCIAL

MEMORIAL INTEGRATED HEALTHCARE M B N

2298 23550 MFC & HealthPlus PeoriaCOMMERCIAL D

2299 23550 MFC & HealthPlus PeoriaCOMMERCIAL M C N

2300 23550 MFC & HealthPlus PeoriaCOMMERCIAL H B N

2301 74289 MHNET COMMERCIAL M B N

2302 74289 MHNET COMMERCIAL H B N

2303 5018 MIPS COMMERCIAL M B N

2304 35316 MMA COMMERCIAL M B N

2305 35316 MMA COMMERCIAL H B N

2306 31147 COMMERCIAL M

MMAC (Managed Medical Assurance Co. Ltd.) B (Ohio BWC) N

2307 31147 COMMERCIAL H

MMAC (Managed Medical Assurance Co. Ltd.) B (Ohio BWC) N

2308 62178 MMS LLC. COMMERCIAL M N N

2309 Pilot MMS LLC. COMMERCIAL H N N

2310 41154 MMSI COMMERCIAL M B N

2311 41154 MMSI COMMERCIAL H B N

2312 35092 MORRIS ASSOCIATES COMMERCIAL D

2313 35092 MORRIS ASSOCIATES COMMERCIAL M X N

2314 35092 MORRIS ASSOCIATES COMMERCIAL M B N

2315 35092 MORRIS ASSOCIATES COMMERCIAL H B N

2316 37233 MPE Services Inc. COMMERCIAL H B N

2317 37233 MPE Services Inc. COMMERCIAL M B N

2318 37233 MPEEBT COMMERCIAL M B N

2319 37233 MPEEBT COMMERCIAL H B N

2320 37233 Inc.

MPEEBT/ MPE ServicesCOMMERCIAL D

2321 95444 COMMERCIAL

MPLAN Inc./HealthCare Group LLCM B N

2322 95444 COMMERCIAL

MPLAN Inc./HealthCare Group LLCH B N

2323 38224 MVP - Ohio COMMERCIAL H B N

2324 14165 MVP Health Plan of NYCOMMERCIAL H B N

2325 14165 MVP Health Plan of NYCOMMERCIAL M B N

2326 CAPMN Mabuhay Medical Group COMMERCIAL M B N

2327 36334 COMMERCIAL

MacNeal Health Providers- CHS H B N

2328 36334 COMMERCIAL

MacNeal Health Providers- CHS M B N

2329 10317 COMMERCIAL

Machigonne Benefit Administrators D

2330 HCP01 Magan Medical Clinic COMMERCIAL H B N

2331 1260 COMMERCIAL

Magellan Health Services H X E

2332 1260 COMMERCIAL

Magellan Health Services M X E

2333 1260 COMMERCIAL

Magellan Health Services M X N

2334 12X27 COMMERCIAL

Magellan Health Services H X N

2335 11303 Magnacare COMMERCIAL H B N

2336 11303 Magnacare COMMERCIAL M B N

2337 62413 COMMERCIAL

Mail Handlers Benefit Plan D

2338 62413 COMMERCIAL

Mail Handlers Benefit Plan M X E

2339 62413 COMMERCIAL

Mail Handlers Benefit Plan M B N

2340 62413 COMMERCIAL

Mail Handlers Benefit Plan H X E

2341 62413 COMMERCIAL

Mail Handlers Benefit Plan H B N

2342 62413 COMMERCIAL

Mail Handlers Benefit Plan D

2343 22195 COMMERCIAL

Maksin Management Corporation H N N

2344 22195 COMMERCIAL

Maksin Management Corporation M N N

2345 35162 LLC

Managed Care ServicesCOMMERCIAL M B N

2346 35162 LLC

Managed Care ServicesCOMMERCIAL H B N

2347 MCS02 (Delano Regional Medical Group) N

Managed Care SystemsCOMMERCIAL M B

2348 MCS01 (Gemcare) H

Managed Care SystemsCOMMERCIAL B N

2349 MCS01 (Gemcare) M

Managed Care SystemsCOMMERCIAL B N

2350 22771 Managed Health Network COMMERCIALH B N

2351 22771 Managed Health Network COMMERCIALM B N

2352 39186 COMMERCIALM B

Managed Health Services Indiana (Medicaid HMO) T

2353 39186 COMMERCIALH B

Managed Health Services Indiana (Medicaid HMO) N

2354 39186 COMMERCIALM X

Managed Health Services Indiana (Medicaid HMO) N

2355 39187 COMMERCIAL

Managed Health Services WisconsinH X N

2356 39187 COMMERCIAL

Managed Health Services WisconsinH B N

2357 39187 COMMERCIAL

Managed Health Services WisconsinM B N

2358 39187 COMMERCIAL

Managed Health Services WisconsinM X N

2359 41159 COMMERCIAL

Managed Physical Network H B N

2360 41159 COMMERCIAL

Managed Physical Network M B N

2361 41555 COMMERCIALH

Manatee Service Center (Bradenton FL) B N

2362 41555 COMMERCIALM

Manatee Service Center (Bradenton FL) B N

2363 98010 COMMERCIAL

Manulife W. J. Sutton Company D

2364 98010 COMMERCIAL

Manulife W. J. Sutton Company H B N

2365 98010 COMMERCIAL

Manulife W. J. Sutton Company M B N

2366 48055 COMMERCIAL

Marquette Life Insurance Company H B N

2367 48055 COMMERCIAL

Marquette Life Insurance Company M B N

2368 13310 Marsh Advantage COMMERCIALH B N

2369 13310 Marsh Advantage COMMERCIALM B N

2370 CX023 Marsh Advantage COMMERCIALD

2371 22348 COMMERCIAL

Maryland Physicians Care H B N

2372 22348 COMMERCIAL

Maryland Physicians Care M B N

2373 37121 COMMERCIAL

Mashantucket Pequot Tribal NationH B N

2374 37121 COMMERCIAL

Mashantucket Pequot Tribal NationM B N

2375 TH111 COMMERCIAL

Master Mates & Pilots Program M X N

2376 12T52 COMMERCIAL

Masters Mates and Pilots ProgramH B N

2377 MHM02 McKinley Medical Group COMMERCIALM B N

2378 52203 Med3000 COMMERCIALM B N

2379 58202 MedAdmin Solutions COMMERCIAL M B N

2380 58202 MedAdmin Solutions COMMERCIAL H B N

2381 58204 MedAdmin Solutions COMMERCIAL H B N

2382 58204 MedAdmin Solutions COMMERCIAL M B N

2383 74323 MedBen (Newark OH) COMMERCIAL D

2384 74323 MedBen (Newark OH) COMMERCIAL H B N

2385 74323 MedBen (Newark OH) COMMERCIAL M B N

2386 59231 MedCom COMMERCIALH B N

2387 59231 MedCom COMMERCIALM B N

2388 56162 MedCost Inc. COMMERCIALH B N

2389 56162 MedCost Inc. COMMERCIALM X N

2390 56162 MedCost Inc. COMMERCIALM B N

2391 56162 MedCost Inc. COMMERCIALH X N

2392 38353 MedDirect COMMERCIALM B N

2393 MPMOA MedPOINT Management COMMERCIALM X N

2394 35205 MedPartners COMMERCIALM B N

2395 62160 MedSolutions Inc COMMERCIALH B N

2396 62160 MedSolutions Inc COMMERCIALM B N

2397 95321 Medfocus COMMERCIAL M B N

2398 87726 Medica COMMERCIAL H B E

2399 87726 Medica COMMERCIAL M B E

2400 94265 Medica COMMERCIAL H B N

2401 94265 Medica COMMERCIAL H X N

2402 94265 Medica COMMERCIAL M N N

2403 94265 Medica COMMERCIAL M B N

2404 31147 Inc. (Ohio BWC)

Medical AdministratorsCOMMERCIAL H B N

2405 31147 Inc. (Ohio BWC)

Medical AdministratorsCOMMERCIAL M B N

2406 Call COMMERCIAL

Medical Associates Health Plan H X N

2407 Call COMMERCIAL

Medical Associates Health Plan M X N

2408 CX024 COMMERCIAL

Medical Benefit Administrators D

2409 37298 COMMERCIAL H B

Medical Benefit Administrators Inc/dba MBA of MD Inc N

2410 37298 COMMERCIAL M B

Medical Benefit Administrators Inc/dba MBA of MD Inc N

2411 MBA01 COMMERCIAL

Medical Benefits Administration M B N

2412 74323 COMMERCIAL H B

Medical Benefits Administrators Inc. (Newark OH) N

2413 74323 COMMERCIAL M B

Medical Benefits Administrators Inc. (Newark OH) N

2414 74323 COMMERCIAL H

Medical Benefits Companies (Newark OH) B N

2415 74323 COMMERCIAL M

Medical Benefits Companies (Newark OH) B N

2416 74323 COMMERCIAL

Medical Benefits Mutual (Newark OH) H B N

2417 74323 COMMERCIAL

Medical Benefits Mutual (Newark OH) M B N

2418 74323 COMMERCIAL

Medical Benefits Mutual (Newark OH) D

2419 74323 COMMERCIAL M

Medical Benefits Mutual Life Insrance Co. B N

2420 74323 COMMERCIAL H

Medical Benefits Mutual Life Insrance Co. B N

2421 74323 COMMERCIAL M

Medical Benefits Mutual Life Insurance Co. X N

2422 74323 COMMERCIAL M

Medical Benefits Mutual Life Insurance Co. X N

2423 74323 COMMERCIAL H

Medical Benefits Mutual Life Insurance Co. X N

2424 4258 Inc.

Medical Claims Service COMMERCIAL M B N

2425 4258 Inc.

Medical Claims Service COMMERCIAL H B N

2426 75229 Medical Control Inc. COMMERCIAL M X N

2427 75229 Medical Control Inc. COMMERCIAL H X N

2428 Pilot Medical Control Inc. COMMERCIAL H N N

2429 29076 Medical Mutual of Ohio COMMERCIAL M B N

2430 29076 Medical Mutual of Ohio COMMERCIAL H X E

2431 29076 Medical Mutual of Ohio COMMERCIAL H B N

2432 29076 Medical Mutual of Ohio COMMERCIAL D

2433 29076 Medical Mutual of Ohio COMMERCIAL M X E

2434 29076 Medical Mutual of Ohio COMMERCIAL D

2435 CB833 COMMERCIAL

Medical Mutual of Ohio (MMO) D

2436 CB833 COMMERCIAL

Medical Mutual of Ohio (MMO) D

2437 Pilot COMMERCIAL

Medical Network Inc. (Maine) H B N

2438 Pilot COMMERCIAL

Medical Network Inc. (Maine) M B N

2439 84600 COMMERCIAL

Medical Network of Colorado Springs D

2440 84600 COMMERCIAL

Medical Network of Colorado Springs M B N

2441 62177 COMMERCIAL

Medical Reimbursements of America H B N

2442 AMM02 COMMERCIAL

Medical Services for Indigents H B N

2443 AMM02 COMMERCIAL

Medical Services for Indigents M B N

2444 38224 COMMERCIAL

Medical Value Plan - Ohio (MVP) H B N

2445 38224 COMMERCIAL

Medical Value Plan - Ohio (MVP) M B N

2446 CAPMN COMMERCIAL

Medicina Familiar Medical Group M B N

2447 37304 Mediversal COMMERCIAL H B N

2448 37304 Mediversal COMMERCIAL M B N

2449 59221 COMMERCIAL M B

Mega Life & Health Insurance Company - Insurance Center N

2450 59221 COMMERCIAL H B

Mega Life & Health Insurance Company - Insurance Center N

2451 62181 COMMERCIAL H B

Memorial Clinical Associates/ SelectCare of Texas (MCA) N

2452 62181 COMMERCIAL M B

Memorial Clinical Associates/ SelectCare of Texas (MCA) N

2453 TH092 COMMERCIAL

Memorial Herman Health NetworkM Providers X N

2454 12T40 COMMERCIAL H

Memorial Hermann Health Network ProvidersB N

2455 HCP01 Memorial Medical GroupCOMMERCIAL H B N

2456 Call Memorial PSN/CMS COMMERCIAL M X N

2457 13310 Mercer Administrators COMMERCIAL H B N

2458 13310 Mercer Administrators COMMERCIAL M B N

2459 CX023 Mercer Administrators COMMERCIAL D

2460 86052 COMMERCIAL

Mercy Care Plan (AHCCCS) M X N

2461 86052 COMMERCIAL

Mercy Care Plan (AHCCCS) M B N

2462 86052 COMMERCIAL

Mercy Care Plan (AHCCCS) H B N

2463 86052 COMMERCIAL

Mercy Care Plan (AHCCCS) H X N

2464 71079 Mercy Care Plus COMMERCIAL M B N

2465 71079 Mercy Care Plus COMMERCIAL H C N

2466 43166 Mercy Health Plans COMMERCIAL M B N

2467 43166 Mercy Health Plans COMMERCIAL H B N

2468 Call Mercy Health Plans COMMERCIAL M X N

2469 Call Mercy Health Plans COMMERCIAL H X N

2470 Call MercyCare COMMERCIAL H B N

2471 Call MercyCare COMMERCIAL M B N

2472 13189 Meridian Health Plan COMMERCIAL H B N

2473 13189 Meridian Health Plan COMMERCIAL M B N

2474 64158 COMMERCIAL

Meritain Health / Agency Services H B N

2475 64158 COMMERCIAL

Meritain Health / Agency Services M B N

2476 64157 American Administrators

Meritain Health/North COMMERCIAL H B N

2477 64157 American Administrators

Meritain Health/North COMMERCIAL M B N

2478 85035 Mesa Mental Health COMMERCIAL M B N

2479 85035 Mesa Mental Health COMMERCIAL H B N

2480 65978 MetLife COMMERCIAL D

2481 65113 COMMERCIAL

Metcare Health Plans Inc. H B N

2482 65113 COMMERCIAL

Metcare Health Plans Inc. M B N

2483 Pilot COMMERCIAL

Methodist Associate Health Plan M B N

2484 13265 Metro Plus Health PlanCOMMERCIAL H B N

2485 13265 Metro Plus Health PlanCOMMERCIAL M B N

2486 10850 COMMERCIAL

Metropolitan Health Plan H B N

2487 10850 COMMERCIAL

Metropolitan Health Plan H X N

2488 10850 COMMERCIAL

Metropolitan Health Plan M B N

2489 10850 COMMERCIAL

Metropolitan Health Plan M X N

2490 TH068 Metrowest HealthPlan COMMERCIAL M B N

2491 TH069 Metrowest Star Medicaid COMMERCIAL M B N

2492 37127 COMMERCIAL

Michael Reese Physicians Group H B N

2493 37127 COMMERCIAL

Michael Reese Physicians Group M B N

2494 15529 COMMERCIAL

Michigan Employee Benefit H X N

2495 15529 COMMERCIAL

Michigan Employee Benefit M X N

2496 38238 COMMERCIAL D

Michigan Regional Council of Carpenters Employee Benefit Plan (Troy MI)

2497 52148 COMMERCIAL H

Mid Atlantic Psychiatric Services Inc. (MAPSI) B N

2498 52149 COMMERCIAL M

Mid Atlantic Psychiatric Services Inc. (MAPSI) B N

2499 * 26158 COMMERCIAL

Mid Rogue Oregon Health Plan H B N

2500 * 26158 COMMERCIAL

Mid Rogue Oregon Health Plan M B N

2501 37281 COMMERCIAL

Mid-America Associates Inc. H N N

2502 37281 COMMERCIAL

Mid-America Associates Inc. D

2503 37281 COMMERCIAL

Mid-America Associates Inc. M N N

2504 SYMED Medical Group

M B N

Mid-County Physicians COMMERCIAL (San Diego) (Synermed)

2505 59224 Insurance Co.

H B N

Mid-West National LifeCOMMERCIAL of Tennessee - Insurance Center

2506 59224 Insurance Co.

H X E

Mid-West National LifeCOMMERCIAL of Tennessee - Insurance Center

2507 59224 Insurance Co.

M X E

Mid-West National LifeCOMMERCIAL of Tennessee - Insurance Center

2508 59224 Insurance Co.

M B N

Mid-West National LifeCOMMERCIAL of Tennessee - Insurance Center

2509 74227 Insurance Co.

D

Mid-West National LifeCOMMERCIAL of Tennessee - Student Insurance

2510 74227 Insurance Co.

M B N

Mid-West National LifeCOMMERCIAL of Tennessee - Student Insurance

2511 74227 Insurance Co.

H B N

Mid-West National LifeCOMMERCIAL of Tennessee - Student Insurance

2512 CAPMN MidCities IPA COMMERCIAL M B N

2513 47080 Midlands Choice Inc. COMMERCIAL M B N

2514 47080 Midlands Choice Inc. COMMERCIAL H B N

2515 41101 Midwest Dental Benefits COMMERCIAL D

2516 Call COMMERCIAL

Midwest Group Administrators M X N

2517 Call COMMERCIAL

Midwest Group Administrators H X N

2518 76079 Midwest Health Partners COMMERCIAL H B N

2519 76079 Midwest Health Partners COMMERCIAL M B N

2520 12T54 COMMERCIAL

Midwest Health Plans Inc. H X N

2521 TH074 COMMERCIAL

Midwest Health Plans Inc. M X N

2522 MPHS1 COMMERCIAL

Mills Peninsula Health Services M B N

2523 MPMG1 Group

Mills Peninsula MedicalCOMMERCIAL M B N

2524 STJOE COMMERCIAL M

Mission (St. Joseph Heritage Healthcare) B N

2525 MPMOA COMMERCIAL

Mission Community IPA Med Grp M X N

2526 EMP01 Mission Medical GroupCOMMERCIAL M B N

2527 37233 COMMERCIAL

Mississippi Public Entity Employee H B

Benefit Trust N

2528 37233 COMMERCIAL

Mississippi Public Entity Employee M B

Benefit Trust N

2529 64088 COMMERCIAL

Mississippi Select Health Care D

2530 64088 COMMERCIAL

Mississippi Select Health Care M B N

2531 64088 COMMERCIAL

Mississippi Select Health Care H B N

2532 37275 COMMERCIAL D

Missoula County Medical Benefits Plan

2533 37275 COMMERCIAL H

Missoula County Medical Benefits Plan B N

2534 37275 COMMERCIAL M

Missoula County Medical Benefits Plan B N

2535 43179 Missouri Care/MC COMMERCIAL H B N

2536 43179 Missouri Care/MC COMMERCIAL M B N

2537 SX109 COMMERCIAL M X

Molina Healthcare Utah (aka: American Family Care) N

2538 38333 COMMERCIAL

Molina Healthcare of CALIFORNIA H B N

2539 38333 COMMERCIAL

Molina Healthcare of CALIFORNIA M B N

2540 51062 COMMERCIAL

Molina Healthcare of Florida H B N

2541 51062 COMMERCIAL

Molina Healthcare of Florida M B N

2542 38334 COMMERCIAL

Molina Healthcare of MICHIGAN M B N

2543 38334 COMMERCIAL

Molina Healthcare of MICHIGAN H B N

2544 20676 COMMERCIAL

Molina Healthcare of Nevada M B N

2545 20676 COMMERCIAL

Molina Healthcare of Nevada H B N

2546 * 9824 COMMERCIAL

Molina Healthcare of New Mexico M - Salud B N

2547 * 4423 COMMERCIAL

Molina Healthcare of New Mexico M -SCI B N

2548 * 4423 COMMERCIAL

Molina Healthcare of New Mexico H -SCI B N

2549 20149 COMMERCIAL

Molina Healthcare of Ohio H B N

2550 20149 COMMERCIAL

Molina Healthcare of Ohio M B N

2551 20554 COMMERCIAL

Molina Healthcare of Texas M B N

2552 38336 COMMERCIAL

Molina Healthcare of WASHINGTON H B N

2553 38336 COMMERCIAL

Molina Healthcare of WASHINGTON M B N

2554 91128 COMMERCIAL

Molina Healthcare of Washington ASOM B N

2555 82119 COMMERCIAL M X N

Molina Healthcare of Washington ASO - Encounters Claims Only

2556 IP095 Monarch IPA COMMERCIAL M B N

2557 13174 COMMERCIAL

Montefiore Contract ManagementH B

Organization N

2558 13174 COMMERCIAL

Montefiore Contract ManagementM B

Organization T

2559 12T38 COMMERCIAL

Monumental Life Ins. Co. H B N

2560 12T68 COMMERCIAL

Monumental Life Insurance Company H B N

2561 TH094 COMMERCIAL

Monumental Life Insurance Company M X N

2562 TH121 COMMERCIAL

Monumental Life Insurance Company M X N

2563 IP083 COMMERCIAL

Mosaic IPA Medical Group M B N

2564 36111 Motorola COMMERCIAL D

2565 36111 Motorola COMMERCIAL H B N

2566 36111 Motorola COMMERCIAL M B N

2567 86040 COMMERCIAL D

Mountain States Administrative Services (Tucson AZ)

2568 86040 COMMERCIAL H B

Mountain States Administrative Services (Tucson AZ) N

2569 86040 COMMERCIAL M B

Mountain States Administrative Services (Tucson AZ) N

2570 SYMED COMMERCIAL M B N

Multicultural Primary Care Medical Group (San Diego) (Synermed)

2571 39634 COMMERCIAL

Multiplan Inc. for American Family H B N

2572 39634 COMMERCIAL

Multiplan Inc. for American Family M B N

2573 34080 COMMERCIAL H

Multiplan Wisconsin Preferred Provider NetworkB N

2574 34080 COMMERCIAL M

Multiplan Wisconsin Preferred Provider NetworkN N

2575 81883 COMMERCIAL

Municipal Health Benefit Fund M B N

2576 81883 COMMERCIAL

Municipal Health Benefit Fund H B N

2577 37256 COMMERCIAL

Mutual Assurance Administrators H B N

2578 37256 COMMERCIAL

Mutual Assurance Administrators M B N

2579 59140 Mutual Group (The) (US)COMMERCIAL M B N

2580 71412 COMMERCIAL

Mutual of Omaha Insurance Company M X E

2581 71412 COMMERCIAL

Mutual of Omaha Insurance Company H B N

2582 71412 COMMERCIAL

Mutual of Omaha Insurance Company H X E

2583 71412 COMMERCIAL

Mutual of Omaha Insurance Company M B N

2584 71412 COMMERCIAL

Mutual of Omaha Insurance Company D

2585 71412 Mutually Preferred COMMERCIAL M B N

2586 71412 Mutually Preferred COMMERCIAL H B N

2587 71412 Mutually Preferred COMMERCIAL D

2588 91136 COMMERCIAL D

N.W. Int Assoc of Machinists & Aerospace Eng Benefits Trust Dental Progam

2589 91136 COMMERCIAL D

N.W. Ironworkers Health & Security Trust Fund

2590 91136 COMMERCIAL H

N.W. Ironworkers Health & Security Trust FundB N

2591 91136 COMMERCIAL M

N.W. Ironworkers Health & Security Trust FundB N

2592 91136 COMMERCIAL D

N.W. Roofers & Employers Health & Security Trust Fund

2593 91136 COMMERCIAL M B

N.W. Roofers & Employers Health & Security Trust Fund N

2594 91136 COMMERCIAL H B

N.W. Roofers & Employers Health & Security Trust Fund N

2595 91136 N.W. Textile ProcessorsCOMMERCIAL H B N

2596 91136 N.W. Textile ProcessorsCOMMERCIAL D

2597 91136 N.W. Textile ProcessorsCOMMERCIAL M B N

2598 65085 COMMERCIAL D

NAA (North America Administrators L.P.) (Nashville TN)

2599 65085 COMMERCIAL H B

NAA (North America Administrators L.P.) (Nashville TN) N

2600 65085 COMMERCIAL M B

NAA (North America Administrators L.P.) (Nashville TN) N

2601 34159 NABN (Cleveland OH) COMMERCIAL D

2602 34159 NABN (Cleveland OH) COMMERCIAL M B N

2603 34159 NABN (Cleveland OH) COMMERCIAL H B N

2604 53011 NALC/Affordable COMMERCIAL H B N

2605 53011 NALC/Affordable COMMERCIAL M B N

2606 61474 ACS Benefit Services

NC BCBSNC - DBS a.k.a COMMERCIAL D

2607 75191 NCAS - Charlotte COMMERCIAL H B N

2608 75191 NCAS - Charlotte COMMERCIAL D

2609 75191 NCAS - Charlotte COMMERCIAL M B N

2610 75190 NCAS - Fairfax VA COMMERCIAL M B N

2611 75190 NCAS - Fairfax VA COMMERCIAL H B N

2612 75190 NCAS - Fairfax VA COMMERCIAL D

2613 38225 NGS American Inc COMMERCIAL D

2614 38225 NGS American Inc COMMERCIAL H B N

2615 38225 NGS American Inc COMMERCIAL H X N

2616 38225 NGS American Inc COMMERCIAL M X N

2617 38225 NGS American Inc COMMERCIAL M B N

2618 38225 NGS American Inc COMMERCIAL M X N

2619 38225 NGS American Inc COMMERCIAL H X N

2620 11325 COMMERCIAL M B T

NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan)

2621 11325 COMMERCIAL H B N

NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan)

2622 22603 COMMERCIAL

NJ Carpenters Health Fund M B N

2623 22603 COMMERCIAL

NJ Carpenters Health Fund H B N

2624 Pilot NMCI COMMERCIAL M B N

2625 36234 COMMERCIAL M

NORTHWEST COMMUNITY HEALTH PARTNERSB N

2626 12T26 Naperville HealthCare COMMERCIAL H X N

2627 TH088 Naperville Healthcare COMMERCIAL M X N

2628 53011 Letter Carriers

National Association ofCOMMERCIAL H B N

2629 53011 Letter Carriers

National Association ofCOMMERCIAL M B N

2630 53011 Letter Carriers/NALC B

National Association ofCOMMERCIAL H N

2631 53011 Letter Carriers/NALC B

National Association ofCOMMERCIAL M N

2632 56175 COMMERCIAL H

National Benefit Administrators - New Jersey N N

2633 56175 COMMERCIAL D

National Benefit Administrators - New Jersey

2634 56175 COMMERCIAL M

National Benefit Administrators - New Jersey N N

2635 56176 COMMERCIAL H B

National Benefit Administrators - North Carolina N

2636 56176 COMMERCIAL M B

National Benefit Administrators - North Carolina N

2637 56176 COMMERCIAL D

National Benefit Administrators - North Carolina

2638 90001 COMMERCIAL H B

National Capital Preferred Provider Organization (NCPPO)N

2639 90001 COMMERCIAL M B

National Capital Preferred Provider Organization (NCPPO)N

2640 CX045 COMMERCIAL D

National Elevator Industry Benefit Plan (NEIB)

2641 * 75275 COMMERCIAL

National Health Insurance Company H B N

2642 * 75275 COMMERCIAL

National Health Insurance Company M B N

2643 12X27 Inc / Magellan

H X

National Imaging AssocCOMMERCIAL Health Services N

2644 SX190 COMMERCIAL

National Imaging Associates M X E

2645 SX190 COMMERCIAL

National Imaging Associates H X E

2646 SX190 COMMERCIAL

National Imaging Associates M X N

2647 CX057 COMMERCIAL

National Pacific of TX (NCFLEX) D

2648 52132 COMMERCIAL M

National Rural Electric Coop (NRECA) B N

2649 71412 COMMERCIAL M

National Rural Letter Carrier Association B N

2650 71412 COMMERCIAL H

National Rural Letter Carrier Association B N

2651 71412 COMMERCIAL D

National Rural Letter Carrier Association

2652 52120 COMMERCIAL D

National Telecommunications Cooperative Association

2653 52104 COMMERCIAL H B N

National Telecommunications Cooperative Association (NTCA - Staff)

2654 52104 COMMERCIAL M B N

National Telecommunications Cooperative Association (NTCA - Staff)

2655 52103 COMMERCIAL H B N

National Telecommunications Cooperative Association (NTCA)

2656 52103 COMMERCIAL M B N

National Telecommunications Cooperative Association (NTCA)

2657 31417 Nationwide Health Plans COMMERCIAL D

2658 31417 Nationwide Health Plans COMMERCIAL H B N

2659 31417 Nationwide Health Plans COMMERCIAL H B N

2660 31417 Nationwide Health Plans COMMERCIAL M B N

2661 31417 Nationwide Health Plans COMMERCIAL M B N

2662 96107 COMMERCIAL H

Neighborhood Health Partnership of Florida B N

2663 96107 COMMERCIAL M

Neighborhood Health Partnership of Florida B N

2664 4293 COMMERCIAL

Neighborhood Health Plan (BostonH MA) B N

2665 4293 COMMERCIAL

Neighborhood Health Plan (BostonM MA) B N

2666 5047 COMMERCIAL M B

Neighborhood Health Plan of Rhode Island (NHPRI) N

2667 37255 Nesika Health Group COMMERCIAL H B N

2668 37255 Nesika Health Group COMMERCIAL M B N

2669 66055 COMMERCIAL H B

Netcare Life and Health Insurance (Hagatna Guam) N

2670 66055 COMMERCIAL M B

Netcare Life and Health Insurance (Hagatna Guam) N

2671 4332 Network Health COMMERCIAL H B T

2672 4332 Network Health COMMERCIAL M B T

2673 77076 COMMERCIAL H

Network Health Insurance Corp-Medicare B N

2674 77076 COMMERCIAL M

Network Health Insurance Corp-Medicare B N

2675 39111 Wisconsin H

Network Health Plan ofCOMMERCIAL B N

2676 39144 Wisconsin M

Network Health Plan ofCOMMERCIAL Inc. B N

2677 NMM01 COMMERCIAL

Network Medical Management M B N

2678 58204 Network TPA LLC COMMERCIAL H B N

2679 58204 Network TPA LLC COMMERCIAL M B N

2680 86067 NevadaCare COMMERCIAL H B N

2681 86067 NevadaCare COMMERCIAL M B N

2682 NCH09 COMMERCIAL M

New Century Health - Vista Cardiology B N

2683 43351 COMMERCIAL

New England Dental Administrators D

2684 * 76031 COMMERCIAL H

New Era Employee Welfare Benefit Plan Trust B N

2685 * 76031 COMMERCIAL M

New Era Employee Welfare Benefit Plan Trust B N

2686 75281 Company H

New Era Life Insurance COMMERCIAL B N

2687 75281 Company M

New Era Life Insurance COMMERCIAL B N

2688 65056 New Market Dimensions COMMERCIAL H B N

2689 65056 New Market Dimensions COMMERCIAL M B N

2690 SX164 COMMERCIAL

New West Health Services M B N

2691 12T69 New York Life COMMERCIAL H B N

2692 TH122 New York Life COMMERCIAL M B N

2693 11334 COMMERCIAL

New York Network Management M B N

2694 48186 Community Health Plan

New York Presbyterian COMMERCIAL H B N

2695 48186 Community Health Plan

New York Presbyterian COMMERCIAL M B N

2696 24819 System Select

H

New York Presbyterian COMMERCIAL Health B N

2697 24819 System Select

M

New York Presbyterian COMMERCIAL Health B N

2698 81264 COMMERCIAL

Nippon Life Insurance Company of H America X E

2699 81264 COMMERCIAL

Nippon Life Insurance Company of M America B N

2700 81264 COMMERCIAL

Nippon Life Insurance Company of H America B N

2701 81264 COMMERCIAL

Nippon Life Insurance Company of D America

2702 81264 COMMERCIAL

Nippon Life Insurance Company of D America

2703 81264 COMMERCIAL

Nippon Life Insurance Company of M America X E

2704 PDT01 Noble AMA Select IPA COMMERCIAL M B N

2705 CAPMN COMMERCIAL M

Noble Community Medical Associates LA B N

2706 64157 COMMERCIAL

North American Administrators Inc.H B N

2707 64157 COMMERCIAL

North American Administrators Inc.M B N

2708 Pilot COMMERCIAL

North American Administrators Inc.H B N

2709 34159 COMMERCIAL

North American Benefits Network D ((Cleveland OH)

2710 34159 COMMERCIAL

North American Benefits Network H OH)

((Cleveland B N

2711 34159 COMMERCIAL

North American Benefits Network M B

(Cleveland OH) N

2712 64157 Plan

North American HealthCOMMERCIAL M B N

2713 E3510 COMMERCIAL H B N

North American Medical Management (NAMM) - Northern California

2714 E3510 COMMERCIAL M B T

North American Medical Management (NAMM) - Northern California

2715 E3510 COMMERCIAL M B T

North American Medical Management (NAMM) - Southern California

2716 64157 COMMERCIAL

North American Preferred H B N

2717 64157 COMMERCIAL

North American Preferred M B N

2718 37314 COMMERCIAL

North Broward Hospital District D

2719 37314 COMMERCIAL

North Broward Hospital District H B N

2720 37314 COMMERCIAL

North Broward Hospital District M B N

2721 Call COMMERCIAL

North County Health Services M B N

2722 Call COMMERCIAL

North County Health Services M B N

2723 36392 COMMERCIAL H

North Suburban Associated Physicians B N

2724 36392 COMMERCIAL M

North Suburban Associated Physicians B N

2725 35212 COMMERCIAL

North Texas Healthcare Network M B N

2726 35212 COMMERCIAL

North Texas Healthcare Network H B N

2727 PROSP COMMERCIALM

North West Orange County Medical Group B N

2728 36364 COMMERCIALH

NorthShore University Health System Medical B Group N

2729 36364 COMMERCIALM

NorthShore University Health System Medical B Group N

2730 NSA01 NorthStar Advantage COMMERCIAL M X N

2731 38238 COMMERCIALM B N

Northern California Sheet Metal Workers Health Care Plan

2732 36347 Plan

Northern Illinois HealthCOMMERCIALM B N

2733 36347 Plan

Northern Illinois HealthCOMMERCIALD

2734 36347 Plan

Northern Illinois HealthCOMMERCIALH B N

2735 88027 Fund

Northern Nevada TrustCOMMERCIAL M B N

2736 88027 Fund

Northern Nevada TrustCOMMERCIAL H B N

2737 88027 Fund

Northern Nevada TrustCOMMERCIAL D

2738 NMG01 Northridge Medical GroupCOMMERCIALM B N

2739 60058 Northstar Advantage COMMERCIAL H B N

2740 60058 Northstar Advantage COMMERCIAL M B N

2741 93525 COMMERCIAL

Northwest Dental Services D

2742 62119 COMMERCIALM B

Northwest Diagnostic Clinic/SelectCare of Texas (NWDC) N

2743 62119 COMMERCIALH B

Northwest Diagnostic Clinic/SelectCare of Texas (NWDC) N

2744 36346 COMMERCIAL

Northwest Suburban IPA (Illinois) M B N

2745 36346 COMMERCIAL

Northwest Suburban IPA (Illinois) D

2746 36346 COMMERCIAL

Northwest Suburban IPA (Illinois) H B N

2747 16644 COMMERCIALD

Nova Healthcare Administrators Inc. (Grand Island NY)

2748 16644 COMMERCIALH B

Nova Healthcare Administrators Inc. (Grand Island NY) N

2749 16644 COMMERCIALH X

Nova Healthcare Administrators Inc. (Grand Island NY) N

2750 16644 COMMERCIALM B

Nova Healthcare Administrators Inc. (Grand Island NY) N

2751 16644 COMMERCIALM X

Nova Healthcare Administrators Inc. (Grand Island NY) N

2752 6226 Novanet COMMERCIALM B N

2753 Call Novanet COMMERCIALH B N

2754 71080 Novasys Health Network COMMERCIALH C N

2755 71080 Novasys Health Network COMMERCIALM C N

2756 PROSP COMMERCIALM B

Nuestra Familia Medical Group (Prospect Medical Group) N

2757 37299 Nyhart COMMERCIALD

2758 37299 Nyhart COMMERCIALH B N

2759 37299 Nyhart COMMERCIALM B N

2760 36402 COMMERCIALM

OAK WEST PRIMARY PHYSICIAN ASSOCIATIONB N

2761 13350 ODS Health Plan COMMERCIALM B N

2762 13350 ODS Health Plan COMMERCIALH B N

2763 22521 COMMERCIALM

OK State Employees & Educators (EDS) B N

2764 22521 COMMERCIALH

OK State Employees & Educators (EDS) B N

2765 22521 COMMERCIALD

OK State Employees & Educators (EDS)

2766 62171 OSF Health Plans COMMERCIALM B N

2767 62171 OSF Health Plans COMMERCIALH B N

2768 73071 COMMERCIAL

OSMA Health - C. L. Frates M X N

2769 73071 COMMERCIAL

OSMA Health - C. L. Frates H X N

2770 CX075 COMMERCIALD

OSMA Health - C. L. Frates and Company

2771 SX193 OSNA Cigna Commercial COMMERCIALM N N

2772 SX194 OSNA Cigna Medicare COMMERCIAL M N N

2773 SX195 OSNA United Health CareCOMMERCIAL M N N

2774 DESRT Oasis IPA COMMERCIAL M B N

2775 31147 COMMERCIAL H B

Occupational Health Mgmt Inc. (HealthManage) (Ohio BWC) N

2776 31147 COMMERCIAL M B

Occupational Health Mgmt Inc. (HealthManage) (Ohio BWC) N

2777 72127 Ochsner Health Plan COMMERCIAL H B T

2778 72127 Ochsner Health Plan COMMERCIAL M B T

2779 72087 COMMERCIAL

Office of Group Benefits- LouisianaM B N

2780 72087 COMMERCIAL

Office of Group Benefits- LouisianaH B N

2781 14163 Ohana Health Plan COMMERCIAL H B N

2782 14163 Ohana Health Plan COMMERCIAL M B N

2783 31147 Ohio BWC COMMERCIAL H B N

2784 31147 Ohio BWC COMMERCIAL M B N

2785 31147 (HMS) (Ohio BWC)

Ohio Comp Choice Inc. COMMERCIAL H B N

2786 31147 (HMS) (Ohio BWC)

Ohio Comp Choice Inc. COMMERCIAL M B N

2787 31147 COMMERCIAL

Ohio Employee Health PartnershipH B

(Ohio BWC) N

2788 31147 COMMERCIAL

Ohio Employee Health PartnershipM B

(Ohio BWC) N

2789 34189 Ohio Health Choice PPO COMMERCIAL H N N

2790 34189 Ohio Health Choice PPO COMMERCIAL M N N

2791 95435 Ohio Health Group COMMERCIAL M B N

2792 OMN02 COMMERCIAL

Omnicare Medical Group (OMNI) M B N

2793 25150 COMMERCIAL

Omnicare A Coventry Health Plan H B N

2794 25150 COMMERCIAL

Omnicare A Coventry Health Plan M X E

2795 25150 COMMERCIAL

Omnicare A Coventry Health Plan M X E

2796 25150 COMMERCIAL

Omnicare A Coventry Health Plan M B N

2797 25150 COMMERCIAL

Omnicare A Coventry Health Plan M B N

2798 25150 COMMERCIAL

Omnicare A Coventry Health Plan H X E

2799 25150 COMMERCIAL

Omnicare A Coventry Health Plan H X E

2800 25150 COMMERCIAL

Omnicare A Coventry Health Plan H B N

2801 22321 One Call Medical COMMERCIAL H B N

2802 22321 One Call Medical COMMERCIAL M B N

2803 52149 OneNet PPO LLC. COMMERCIAL M B N

2804 91136 COMMERCIAL D

Operating Engineers Locals 302 & 612 Health & Security Fund

2805 91136 COMMERCIAL H B N

Operating Engineers Locals 302 & 612 Health & Security Fund

2806 91136 COMMERCIAL M B N

Operating Engineers Locals 302 & 612 Health & Security Fund

2807 54154 Optima Health Plan COMMERCIAL M B N

2808 54154 COMMERCIAL

Optima Insurance Company M B N

2809 52148 Carolinas Inc.

H

Optimum Choice of theCOMMERCIAL (OCCI) B N

2810 52152 Carolinas Inc.

M

Optimum Choice of theCOMMERCIAL (OCCI) B N

2811 52148 COMMERCIAL

Optimum Choice Inc. (OCI) M B N

2812 52148 COMMERCIAL

Optimum Choice Inc. (OCI) H B N

2813 41194 OptumHealth - CMC COMMERCIAL M B N

2814 13382 COMMERCIAL M B

Orthonet - Uniformed Services Family Health Plan N

2815 13381 CIGNA

Orthonet Corporation -COMMERCIAL M B N

2816 13381 CIGNA

Orthonet Corporation -COMMERCIAL H B N

2817 13383 Orthonet- Aetna COMMERCIAL H B N

2818 13383 Orthonet- Aetna COMMERCIAL M B N

2819 25681 Orthonet-HealthNet COMMERCIAL M B N

2820 6111 Oxford Health Plans COMMERCIAL M X N

2821 6111 Oxford Health Plans COMMERCIAL H B N

2822 6111 Oxford Health Plans COMMERCIAL M B N

2823 6111 Oxford Health Plans COMMERCIAL H X E

2824 87068 COMMERCIAL

P5 Health Plan Solutions of Utah M B N

2825 87068 COMMERCIAL

P5 Health Plan Solutions of Utah H B N

2826 CX066 COMMERCIAL

PA Faculty Health & Welfare D

2827 37287 PAI COMMERCIAL M B N

2828 37287 PAI COMMERCIAL H B N

2829 68241 PDO COMMERCIAL D

2830 CX080 COMMERCIAL D

PEHP (Public Employees Health Program)

2831 Call COMMERCIAL H

PEHP (Utah Public Employee Health Plan) B N

2832 Call COMMERCIAL M

PEHP - Utah Public Employee Health Plan X N

2833 Call COMMERCIAL M

PEHP - Utah Public Employee Health Plan X E

2834 Call COMMERCIAL H

PEHP - Utah Public Employee Health Plan X E

2835 13306 PHCS Savility Payers COMMERCIAL H B N

2836 13306 PHCS Savility Payers COMMERCIAL M B N

2837 12399 Plan of Northern Indiana (Fort Wayne IN)

PHP - Physicians HealthCOMMERCIAL M X L

2838 12399 Plan of Northern Indiana (Fort Wayne IN)

PHP - Physicians HealthCOMMERCIAL M X N

2839 12399 Plan of Northern Indiana (Fort Wayne IN)

PHP - Physicians HealthCOMMERCIAL H X L

2840 12399 Plan of Northern Indiana (Fort Wayne IN)

PHP - Physicians HealthCOMMERCIAL H B N

2841 62155 PHP TennCare COMMERCIAL M B N

2842 62155 PHP TennCare COMMERCIAL M X E

2843 62155 PHP TennCare COMMERCIAL H X E

2844 62155 PHP TennCare COMMERCIAL H B N

2845 87726 PHP of South MichiganCOMMERCIAL M B E

2846 87726 PHP of South MichiganCOMMERCIAL H B E

2847 87726 PHP of South MichiganCOMMERCIAL H B N

2848 87726 PHP of South MichiganCOMMERCIAL M B N

2849 87726 COMMERCIAL

PHP of Southwest Michigan M B N

2850 87726 COMMERCIAL

PHP of Southwest Michigan H B E

2851 87726 COMMERCIAL

PHP of Southwest Michigan M B E

2852 87726 COMMERCIAL

PHP of Southwest Michigan H B N

2853 87726 PHP of West Michigan COMMERCIAL M B N

2854 87726 PHP of West Michigan COMMERCIAL M B E

2855 87726 PHP of West Michigan COMMERCIAL H B N

2856 87726 PHP of West Michigan COMMERCIAL H B E

2857 9861 PIMA Health COMMERCIAL M B E

2858 59324 C

PODIATRY NETWORK FL OMMERCIAL H N N

2859 59324 C

PODIATRY NETWORK FL OMMERCIAL M B N

2860 16111 POMCO COMMERCIAL H B N

2861 16111 POMCO COMMERCIAL H X N

2862 16111 POMCO COMMERCIAL M B N

2863 16111 POMCO COMMERCIAL M X N

2864 16111 POMCO COMMERCIAL D

2865 16111 POMCO COMMERCIAL D

2866 38335 PPOM LLC COMMERCIAL H B N

2867 38335 PPOM LLC COMMERCIAL M B N

2868 72148 PPOPlus LLC COMMERCIAL H B N

2869 72148 PPOPlus LLC COMMERCIAL M B N

2870 9822 (JMH

PSN - Florida Medicaid COMMERCIAL M B N

2871 51052 PSYCHCARE LLC COMMERCIAL M B N

2872 51052 PSYCHCARE LLC COMMERCIAL H X N

2873 42172 PARTNERS M

PUGET SOUND HEALTHCOMMERCIAL INC. B N

2874 42172 PARTNERS H

PUGET SOUND HEALTHCOMMERCIAL INC. B N

2875 33053 COMMERCIAL

PacifiCare Behavioral Health M B N

2876 33053 COMMERCIAL

PacifiCare Behavioral Health H B N

2877 41194 PacifiCare Encounters COMMERCIAL H B N

2878 41194 PacifiCare Encounters COMMERCIAL M B N

2879 91712414 COMMERCIAL H

PacifiCare Health Systems & Subsidiaries X E

2880 91712414 COMMERCIAL M

PacifiCare Health Systems & Subsidiaries X E

2881 95999 COMMERCIAL

PacifiCare PPO - All States H B N

2882 95999 COMMERCIAL

PacifiCare PPO - All States M B N

2883 95964 COMMERCIAL

PacifiCare of Arizona - Claims M B N

2884 95964 COMMERCIAL

PacifiCare of Arizona - Claims H B N

2885 95959 - Claims H

PacifiCare of California COMMERCIAL B E

2886 95959 - Claims M

PacifiCare of California COMMERCIAL B N

2887 95959 - Claims M

PacifiCare of California COMMERCIAL B E

2888 95959 - Claims H

PacifiCare of California COMMERCIAL B N

2889 95958 - Encounters

PacifiCare of California COMMERCIAL H B T

2890 95958 - Encounters

PacifiCare of California COMMERCIAL M B T

2891 95962 COMMERCIAL

PacifiCare of Colorado - Claims H B N

2892 95962 COMMERCIAL

PacifiCare of Colorado - Claims M B N

2893 95959 - Claims M

PacifiCare of OklahomaCOMMERCIAL B N

2894 95959 - Claims H

PacifiCare of OklahomaCOMMERCIAL B N

2895 95959 - Claims H

PacifiCare of OklahomaCOMMERCIAL B E

2896 95958 - Encounters

PacifiCare of OklahomaCOMMERCIAL M B T

2897 95959 COMMERCIAL

PacifiCare of Oregon - Claims M B E

2898 95959 COMMERCIAL

PacifiCare of Oregon - Claims M B N

2899 95959 COMMERCIAL

PacifiCare of Oregon - Claims H B E

2900 95959 COMMERCIAL

PacifiCare of Oregon - Claims H B N

2901 95958 COMMERCIAL

PacifiCare of Oregon - Encounters M B T

2902 95959 COMMERCIAL

PacifiCare of Texas - Claims H B N

2903 95959 COMMERCIAL

PacifiCare of Texas - Claims M B N

2904 95959 COMMERCIAL

PacifiCare of Texas - Claims H B E

2905 95958 COMMERCIAL

PacifiCare of Texas - Encounters M B T

2906 95959 COMMERCIAL

PacifiCare of Washington - Claims H B N

2907 95959 COMMERCIAL

PacifiCare of Washington - Claims M B E

2908 95959 COMMERCIAL

PacifiCare of Washington - Claims M B N

2909 95959 COMMERCIAL

PacifiCare of Washington - Claims H B E

2910 95958 COMMERCIAL M

PacifiCare of Washington - Encounters B T

2911 SYMED Group andM

Pacific Alliance MedicalCOMMERCIAL B

Hospital (Synermed) N

2912 PCFCI Pacific IPA COMMERCIAL M B N

2913 CX056 Pacific Union COMMERCIAL D

2914 93029 COMMERCIAL

PacificSource Health Plans H B N

2915 93029 COMMERCIAL

PacificSource Health Plans M B N

2916 * 93029 COMMERCIAL

PacificSource Health Plans D

2917 93029 COMMERCIAL

PacificSource Health Plans H B N

2918 93029 COMMERCIAL

PacificSource Health Plans D

2919 93029 COMMERCIAL

PacificSource Health Plans M B N

2920 CX060 COMMERCIAL

Pacificare Dental and Vision HMO D

2921 CX053 COMMERCIAL

Pacificare Dental and Vision PPO D

2922 95959 - Claims M

Pacificare of OklahomaCOMMERCIAL B E

2923 95959 COMMERCIAL

Pacificare of Texas - Claims M B E

2924 SX158 Paramount Health COMMERCIAL M X N

2925 SX158 Paramount Health COMMERCIAL M X N

2926 31147 COMMERCIAL M

Paramount Preferred Network (Ohio BWC) B N

2927 31147 COMMERCIAL H

Paramount Preferred Network (Ohio BWC) B N

2928 Call COMMERCIAL

Park Terrace/Encompass Medical Group M X N

2929 Call COMMERCIAL

Park Terrace/Encompass Medical Group M B N

2930 66917 COMMERCIAL

Parkland Community Health Plan H B N

2931 66917 COMMERCIAL

Parkland Community Health Plan M B N

2932 Call COMMERCIAL M B

Partners National Health Plans of North Carolina Inc T

2933 Call COMMERCIAL H B

Partners National Health Plans of North Carolina Inc T

2934 12M81 COMMERCIAL

Partnership Health Plan Of CA H N N

2935 CAPMN Physicians M

Pasadena Primary CareCOMMERCIAL B N

2936 12X24 Passport Advantage COMMERCIAL H N N

2937 SX154 Passport Advantage COMMERCIAL M X N

2938 61129 Passport Health Plan COMMERCIAL M X E

2939 61129 Passport Health Plan COMMERCIAL M X N

2940 61129 Passport Health Plan COMMERCIAL M X N

2941 61129 Passport Health Plan COMMERCIAL H X N

2942 61129 Passport Health Plan COMMERCIAL H B N

2943 61129 Passport Health Plan COMMERCIAL H X N

2944 61129 Passport Health Plan COMMERCIAL H X N

2945 61129 Passport Health Plan COMMERCIAL M B N

2946 10525 Patient Advocates LLC COMMERCIAL D

2947 10525 Patient Advocates LLC COMMERCIAL M N N

2948 10525 Patient Advocates LLC COMMERCIAL H N N

2949 68049 Peach State Health Plan COMMERCIAL H X N

2950 68049 Peach State Health Plan COMMERCIAL M X N

2951 68049 Peach State Health Plan COMMERCIAL M X N

2952 68049 Peach State Health Plan COMMERCIAL H X N

2953 20472 Pediatric Associates COMMERCIAL H X N

2954 20472 Pediatric Associates COMMERCIAL M X N

2955 PROSP Pegasus Medical GroupCOMMERCIAL M B N

2956 Call COMMERCIAL M

Pennsylvania's Preferred Health Network B N

2957 Call COMMERCIAL H

Pennsylvania's Preferred Health Network B N

2958 72126 C

Peoples Health NetworkOMMERCIAL H X N

2959 72126 C

Peoples Health NetworkOMMERCIAL M B N

2960 72126 C

Peoples Health NetworkOMMERCIAL M X N

2961 72126 C

Peoples Health NetworkOMMERCIAL H B N

2962 37121 Pequot PharmaceuticalCOMMERCIAL D

2963 37121 COMMERCIAL D

Pequot Plus Health Benefit Administrators

2964 41124 Performax Inc. COMMERCIAL M B N

2965 41124 Performax Inc. COMMERCIAL H B N

2966 43166 Permier Health Plans COMMERCIAL H B N

2967 25146 PersonalCare COMMERCIAL M B N

2968 25146 PersonalCare COMMERCIAL M X E

2969 25146 PersonalCare COMMERCIAL M X E

2970 25146 PersonalCare COMMERCIAL M B N

2971 25146 PersonalCare COMMERCIAL H X E

2972 25146 PersonalCare COMMERCIAL H B N

2973 25146 PersonalCare COMMERCIAL H B N

2974 25146 PersonalCare COMMERCIAL H X E

2975 3440 Phoenix Health Plan COMMERCIAL M B N

2976 3440 Phoenix Health Plan COMMERCIAL H B N

2977 37330 COMMERCIAL H

Phyicians Health Plan (PHP) Mid-Michigan X N

2978 37330 COMMERCIAL H

Phyicians Health Plan (PHP) Mid-Michigan B N

2979 37330 COMMERCIAL M

Phyicians Health Plan (PHP) Mid-Michigan B N

2980 37330 COMMERCIAL M

Phyicians Health Plan (PHP) Mid-Michigan X N

2981 58204 Louisiana H

Physician Associates of COMMERCIAL B N

2982 58204 Louisiana M

Physician Associates of COMMERCIAL B N

2983 Call the Greater San

H B

Physician Associates of COMMERCIAL Gabriel Valley N

2984 Call the Greater San

M B

Physician Associates of COMMERCIAL Gabriel Valley N

2985 PA513 the Greater San

H N

Physician Associates of COMMERCIAL Gabriel Valley N

2986 PA513 the Greater San

M B

Physician Associates of COMMERCIAL Gabriel Valley N

2987 58204 COMMERCIAL

Physician Care Network LLC H B N

2988 58204 COMMERCIAL

Physician Care Network LLC M B N

2989 PDT01 Physician's Data Trust COMMERCIAL M B N

2990 12T79 Physician's United PlanCOMMERCIAL H B N

2991 15749 COMMERCIAL M

Physicians Alliance/Stones River Regional IPA B N

2992 15749 COMMERCIAL H

Physicians Alliance/Stones River Regional IPA B N

2993 38265 COMMERCIAL

Physicians Care (ASR Corporation) H X N

2994 38265 COMMERCIAL

Physicians Care (ASR Corporation) M B N

2995 38265 Plans (ASR Corporation)

Physicians Care Health COMMERCIAL H X N

2996 38265 Plans (ASR Corporation)

Physicians Care Health COMMERCIAL M B N

2997 38265 COMMERCIAL M

Physicians Care Network (ASR Corporation) B N

2998 38265 COMMERCIAL H

Physicians Care Network (ASR Corporation) X N

2999 38265 COMMERCIAL D

Physicians Care Network (ASR Corporation)

3000 36345 COMMERCIAL IL

Physicians Care Network (RockfordH only) B N

3001 36345 COMMERCIAL IL

Physicians Care Network (RockfordD only)

3002 36345 COMMERCIAL IL

Physicians Care Network (RockfordM only) B N

3003 Call Physicians Care of CA COMMERCIAL H X N

3004 Call Physicians Care of CA COMMERCIAL M X N

3005 37136 COMMERCIAL D

Physicians Health Association of Illinois

3006 37136 COMMERCIAL H

Physicians Health Association of Illinois B N

3007 37136 COMMERCIAL M

Physicians Health Association of Illinois B N

3008 12T51 COMMERCIAL

Physicians Health Choice - Claims H B N

3009 12T44 COMMERCIAL H

Physicians Health Choice - Encounters B N

3010 TH114 COMMERCIAL M

Physicians Health Choice - Encounters X N

3011 TH113 COMMERCIAL

Physicians Health Claims - Claims M X N

3012 20398 COMMERCIAL

Physicians Health Collaborative H B N

3013 20398 COMMERCIAL

Physicians Health Collaborative M B N

3014 MHM03 COMMERCIAL

Physicians Health Network M B N

3015 9173 COMMERCIAL

Physicians Health Plan (PHP) - SC M B N

3016 37330 COMMERCIAL H

Physicians Health Plan PHP South Michigan B N

3017 37330 COMMERCIAL M

Physicians Health Plan PHP South Michigan B N

3018 12399 COMMERCIAL

Physicians Health Plan of NorthernDIndiana Inc

3019 EXC01 COMMERCIAL M

Physicians Medical Group of San Jose B N

3020 CX068 Physicians Mutual COMMERCIAL D

3021 47027 COMMERCIAL H

Physicians Mutual Insurance Company X N

3022 47027 COMMERCIAL M

Physicians Mutual Insurance Company B N

3023 47027 COMMERCIAL M

Physicians Mutual Insurance Company X N

3024 47027 COMMERCIAL H

Physicians Mutual Insurance Company B N

3025 39156 COMMERCIAL H

Physicians Plus Insurance Corporation B N

3026 39156 COMMERCIAL M

Physicians Plus Insurance Corporation B N

3027 TH131 Physicians United Plan COMMERCIAL M X N

3028 6607 COMMERCIAL

Piedmont Behavioral Health H B N

3029 6607 COMMERCIAL

Piedmont Behavioral Health M X N

3030 24735 COMMERCIAL

Pinnacle Claims Management Inc. D

3031 24735 COMMERCIAL

Pinnacle Claims Management Inc. H B N

3032 24735 COMMERCIAL

Pinnacle Claims Management Inc. M B N

3033 PROSP COMMERCIAL M B

Pinnacle Health Resources (Prospect Medical Group) N

3034 45985 COMMERCIAL

Pinnacle Physician Management ORG H B N

3035 45985 COMMERCIAL

Pinnacle Physician Management ORG M B N

3036 84109 Pinnacol Assurance COMMERCIAL H B N

3037 84109 Pinnacol Assurance COMMERCIAL M X N

3038 PIONR Pioneer Medical GroupCOMMERCIAL M B N

3039 37224 Pittman & Associates COMMERCIAL H B N

3040 37224 Pittman & Associates COMMERCIAL H X N

3041 37224 Pittman & Associates COMMERCIAL D

3042 37224 Pittman & Associates COMMERCIAL H X N

3043 37224 Pittman & Associates COMMERCIAL M X N

3044 37224 Pittman & Associates COMMERCIAL M B N

3045 37224 Pittman & Associates COMMERCIAL M X N

3046 64160 Pivotal Plan COMMERCIAL H B N

3047 64160 Pivotal Plan COMMERCIAL M B N

3048 37287 COMMERCIAL

Planned Administrators Inc. M B N

3049 37287 COMMERCIAL

Planned Administrators Inc. H B N

3050 58204 Podi Care Managed Care COMMERCIAL H B N

3051 58204 Podi Care Managed Care COMMERCIAL M B N

3052 32680 COMMERCIAL D

Poly America Medical & Dental Benefits Plan

3053 32680 COMMERCIAL H

Poly America Medical & Dental Benefits Plan B N

3054 32680 COMMERCIAL M

Poly America Medical & Dental Benefits Plan B N

3055 IP057 Group

Pomona Valley MedicalCOMMERCIAL M B N

3056 4334 Practicare Inc COMMERCIAL M B N

3057 LVIPA Prairie Medical Group COMMERCIAL M B N

3058 36373 COMMERCIAL

Prairie States Enterprises Inc. H B N

3059 36373 COMMERCIAL

Prairie States Enterprises Inc. M B N

3060 36373 COMMERCIAL

Prairie States Enterprises Inc. D

3061 61665 COMMERCIAL

Preferred Benefits Administrator H B N

3062 61665 COMMERCIAL

Preferred Benefits Administrator M B N

3063 SX089 Preferred Care COMMERCIAL M X E

3064 SX089 Preferred Care COMMERCIAL H X E

3065 SX089 Preferred Care COMMERCIAL M X A

3066 12X04 Preferred Care - NY COMMERCIAL H X N

3067 59291 Preferred Care FL COMMERCIAL M B N

3068 59291 Preferred Care FL COMMERCIAL H B N

3069 59291 Preferred Care FL COMMERCIAL D

3070 56178 Preferred Care NC COMMERCIAL H B N

3071 56178 Preferred Care NC COMMERCIAL M B N

3072 56178 Preferred Care NC COMMERCIAL D

3073 65088 COMMERCIAL

Preferred Care Partners Florida M B N

3074 65088 COMMERCIAL

Preferred Care Partners Florida M X N

3075 65088 COMMERCIAL

Preferred Care Partners Florida H B N

3076 65088 COMMERCIAL

Preferred Care Partners Florida H B N

3077 73145 COMMERCIAL H B

Preferred Community Choice/PCCSelect/CompMed N

3078 73145 COMMERCIAL M B

Preferred Community Choice/PCCSelect/CompMed N

3079 68241 COMMERCIAL

Preferred Dental Organization D

3080 Call PPO Lancaster

M

Preferred Health Care -COMMERCIAL PA (IHSB N

Gateway Payer)

3081 Call COMMERCIAL

Preferred Health Choices LLC H X N

3082 Call COMMERCIAL

Preferred Health Choices LLC M X N

3083 61106 COMMERCIAL H

Preferred Health Plan (Louisville KY) N N

3084 61106 COMMERCIAL M

Preferred Health Plan (Louisville KY) N N

3085 31478 COMMERCIAL

Preferred Health Professionals H B N

3086 31478 COMMERCIAL

Preferred Health Professionals D

3087 31478 COMMERCIAL

Preferred Health Professionals M B N

3088 60110 COMMERCIAL M

Preferred Health Systems Insurance Company B N

3089 60110 COMMERCIAL H

Preferred Health Systems Insurance Company B N

3090 60110 COMMERCIAL H

Preferred Health Systems Insurance Company B N

3091 60110 COMMERCIAL M

Preferred Health Systems Insurance Company B N

3092 PFIPA Preferred IPA COMMERCIAL M B N

3093 36401 COMMERCIAL

Preferred Network Access Inc. M B N

3094 36401 COMMERCIAL

Preferred Network Access Inc. H X N

3095 60110 Preferred Plus of KansasCOMMERCIAL M B N

3096 41147 PreferredOne (MN) COMMERCIAL M N N

3097 41147 PreferredOne (MN) COMMERCIAL H N N

3098 CX078 COMMERCIAL

Premier Access Insurance Company D

3099 43166 Premier Benefits Inc. COMMERCIAL M B N

3100 43166 Premier Benefits Inc. COMMERCIAL H B N

3101 31147 COMMERCIAL M B

Premier Comp of Hometown Health Network (Ohio BWC)N

3102 31147 COMMERCIAL H B

Premier Comp of Hometown Health Network (Ohio BWC)N

3103 CX029 MN

Premier Dental Plan of COMMERCIAL D

3104 43166 Premier Health Plans COMMERCIAL M B N

3105 90440 COMMERCIAL

Premier Health Systems Inc H N N

3106 90440 COMMERCIAL

Premier Health Systems Inc M N N

3107 31147 Inc. (Ohio BWC)

Premier Managed CareCOMMERCIAL H B N

3108 31147 Inc. (Ohio BWC)

Premier Managed CareCOMMERCIAL M B N

3109 CAPMN COMMERCIAL M B

Premier Physicians Network & Valley Division (PPN) N

3110 5003 Presbyterian (NM) COMMERCIAL M B N

3111 45056 Prestige Health Choice COMMERCIAL H B N

3112 45056 Prestige Health Choice COMMERCIAL M B N

3113 39185 Prevea Health Plan COMMERCIAL H B N

3114 39185 Prevea Health Plan COMMERCIAL M B N

3115 IP096 Prima Health IPA COMMERCIAL M B N

3116 CAPMN COMMERCIAL M

Primary Care & Pediatrics IPA (PCPIPA) B N

3117 82048 C

Primary Health NetworkOMMERCIAL H B N

3118 82048 C

Primary Health NetworkOMMERCIAL H X N

3119 82048 C

Primary Health NetworkOMMERCIAL M B N

3120 82048 C

Primary Health NetworkOMMERCIAL M X N

3121 56144 COMMERCIAL

Primary PhysicianCare Inc. D

3122 56144 COMMERCIAL

Primary PhysicianCare Inc. H B N

3123 56144 COMMERCIAL

Primary PhysicianCare Inc. M B N

3124 56190 Prime Vision Health COMMERCIAL M B N

3125 61604 Prime West Health Plan COMMERCIAL M B N

3126 61604 Prime West Health Plan COMMERCIAL H B N

3127 61604 Prime West Health Plan COMMERCIAL H X N

3128 61604 Prime West Health Plan COMMERCIAL M X N

3129 Call COMMERCIAL M N (IHS

PrimeSource Health Network (PSHN) - PPO Harrisburg PA N Gateway Payer)

3130 Call COMMERCIAL H N (IHS

PrimeSource Health Network (PSHN) - PPO Harrisburg PA N Gateway Payer)

3131 61271 COMMERCIAL

Principal Financial Group M B N

3132 61271 COMMERCIAL

Principal Financial Group M B N

3133 61271 COMMERCIAL

Principal Financial Group H B N

3134 61271 COMMERCIAL

Principal Financial Group H B E

3135 61271 COMMERCIAL

Principal Financial Group D

3136 61271 COMMERCIAL

Principal Financial Group D

3137 61271 Co.

Principal Life InsuranceCOMMERCIAL D

3138 61271 Co.

Principal Life InsuranceCOMMERCIAL D

3139 61271 Co.

Principal Life InsuranceCOMMERCIAL H B N

3140 61271 Co.

Principal Life InsuranceCOMMERCIAL M B N

3141 38217 Priority Health COMMERCIAL M X T

3142 38217 Priority Health COMMERCIAL D

3143 38217 Priority Health COMMERCIAL H B N

3144 38217 Priority Health COMMERCIAL M B N

3145 37268 Prism Network Inc. COMMERCIAL M N N

3146 37268 Prism Network Inc. COMMERCIAL H X N

3147 37296 Prism Network Inc. COMMERCIAL H B N

3148 37296 Prism Network Inc. COMMERCIAL M B N

3149 37303 Prism-First Health COMMERCIAL M B N

3150 37303 Prism-First Health COMMERCIAL H B N

3151 37315 Prism-Univera COMMERCIAL H B N

3152 37315 Prism-Univera COMMERCIAL M B N

3153 38329 COMMERCIAL M

Pro Care Health Plan Inc. (Detroit MI) B N

3154 38329 COMMERCIAL H

Pro Care Health Plan Inc. (Detroit MI) B N

3155 PROSP ProCare (Prospect) COMMERCIAL M B N

3156 70259 COMMERCIAL

ProCare Health Plan Medicaid H B N

3157 70259 COMMERCIAL

ProCare Health Plan Medicaid M B N

3158 IP057 COMMERCIAL

ProMed HealthCare Administrators M B N

3159 59296 COMMERCIAL M B

Professional Benefit Administrators (Winter Park FL) N

3160 59296 COMMERCIAL H B

Professional Benefit Administrators (Winter Park FL) N

3161 36331 COMMERCIAL M B

Professional Benefit Administrators Inc. (Oak Brook IL) N

3162 36331 COMMERCIAL H B

Professional Benefit Administrators Inc. (Oak Brook IL) N

3163 36331 COMMERCIAL D

Professional Benefit Administrators Inc. (Oak Brook IL)

3164 Call COMMERCIAL

Professional Benefit Services M X N

3165 Call COMMERCIAL

Professional Benefit Services H X N

3166 59041 Company (PIC)

H B N

Professional Insurance COMMERCIAL (Formerly GE Voluntary Benefits PIC)

3167 59041 Company (PIC)

M X E

Professional Insurance COMMERCIAL (Formerly GE Voluntary Benefits PIC)

3168 59041 Company (PIC)

M B N

Professional Insurance COMMERCIAL (Formerly GE Voluntary Benefits PIC)

3169 34134 COMMERCIAL

Professional Risk Management M B N

3170 34134 COMMERCIAL

Professional Risk Management H B N

3171 PROSP Prospect Health Network COMMERCIAL M B N

3172 PROSP C

Prospect Medical Group OMMERCIAL M B N

3173 PROSP COMMERCIAL M B

Prospect Sherman Oaks Medical Group (Prospect MedicalN Group)

3174 37309 COMMERCIAL

Protective Life Insurance CompanyH B N

3175 37309 COMMERCIAL

Protective Life Insurance CompanyM B N

3176 31147 COMMERCIAL

Protegrity Services (Ohio BWC) M B N

3177 31147 COMMERCIAL

Protegrity Services (Ohio BWC) H B N

3178 SX187 Providence PPO COMMERCIAL M X N

3179 SX131 COMMERCIAL

Providence of Oregon Choice Option M X E

3180 SX132 COMMERCIAL M

Providence of Oregon Good Health Plan X E

3181 SX133 COMMERCIAL

Providence of Oregon Health Plan M X E

3182 SX134 COMMERCIAL M

Providence of Oregon Health Plan HMO X E

3183 SX135 COMMERCIAL

Providence of Oregon Medicaid M X E

3184 SX136 COMMERCIAL M

Providence of Oregon Medicaid Option X E

3185 SX137 COMMERCIAL

Providence of Oregon Medicare ExtraM X E

3186 SX138 COMMERCIAL

Providence of Oregon Option M X E

3187 SX139 COMMERCIAL M

Providence of Oregon Traditional Option X E

3188 62308 Provident Life COMMERCIAL D

3189 62308 Provident Life COMMERCIAL D

3190 68241 COMMERCIAL D

Prudential HealthCare & Life Ins. Co of America

3191 68241 COMMERCIAL D

Prudential HealthCare HMO for Small Business

3192 68241 COMMERCIAL D

Prudential HealthCare Health Maintenance Organization

3193 68241 COMMERCIAL D

Prudential HealthCare POS for Small Business

3194 68241 COMMERCIAL D

Prudential HealthCare PPO for Small Business

3195 68241 COMMERCIAL D

Prudential Healthcare of America Inc.

3196 68241 Prudential for Health COMMERCIAL D

3197 91136 COMMERCIAL

Puget Sound Benefits Trust D

3198 91136 COMMERCIAL

Puget Sound Benefits Trust H B N

3199 91136 COMMERCIAL

Puget Sound Benefits Trust M B N

3200 91136 COMMERCIAL

D

Puget Sound Electrical Workers Trust

3201 91136 COMMERCIAL

H

Puget Sound Electrical Workers Trust B N

3202 91136 COMMERCIAL

M

Puget Sound Electrical Workers Trust B N

3203 48055 Company M

Pyramid Life Insurance COMMERCIAL B N

3204 48055 Company H

Pyramid Life Insurance COMMERCIAL B N

3205 57117 M

QVI Risk Solutions Inc. COMMERCIAL B N

3206 39197 COMMERCIAL

Quad Med LLC (Pewaukee WI) D

3207 39197 COMMERCIAL

Quad Med LLC (Pewaukee WI) H B N

3208 39197 COMMERCIAL

Quad Med LLC (Pewaukee WI) M B N

3209 35174 C

Qual Choice of Arkansas OMMERCIALH B N

3210 35174 C

Qual Choice of Arkansas OMMERCIALM B N

3211 23342 QualCare Inc. H

COMMERCIAL B N

3212 23342 QualCare Inc. M

COMMERCIAL B T

3213 CX077 COMMERCIAL

Quality Plan Administrators Inc D

3214 37129 COMMERCIAL

H

Quincy Health Care Management Inc. B N

3215 37129 COMMERCIAL

M

Quincy Health Care Management Inc. B N

3216 TKFMC R&N Market M

COMMERCIAL B N

3217 Call RADCON INC. M

COMMERCIAL B N

3218 91176 RBMS LLC M

COMMERCIAL B N

3219 91176 RBMS LLC H

COMMERCIAL B N

3220 91176 RBMS LLC D

COMMERCIAL

3221 50664 COMMERCIAL

D

RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC.

3222 Call COMMERCIAL

H

RIVERSIDE SAN BERNARDINO COUNTY INDIANB HEALTH INC.N

3223 Call COMMERCIAL

M

RIVERSIDE SAN BERNARDINO COUNTY INDIANB HEALTH INC.N

3224 16117 RMSCO INC. D

COMMERCIAL

3225 16117 RMSCO INC. H

COMMERCIAL B N

3226 16117 RMSCO INC. H

COMMERCIAL X N

3227 16117 RMSCO INC. M

COMMERCIAL X N

3228 16117 RMSCO INC. M

COMMERCIAL B N

3229 63070 RWDSU BENEFIT FUNDCOMMERCIAL H B N

3230 63070 RWDSU BENEFIT FUNDCOMMERCIAL M B N

3231 SYMED Redlands IPA (Synermed) M

COMMERCIAL B N

3232 REGAL Regal Medical Group COMMERCIAL M B N

3233 38221 COMMERCIAL

Regency Employee Benefits D

3234 38221 COMMERCIAL

Regency Employee Benefits H N N

3235 38221 COMMERCIAL

Regency Employee Benefits M N N

3236 47076 Regional Care Inc. D

COMMERCIAL

3237 47076 Regional Care Inc. H

COMMERCIAL B N

3238 47076 Regional Care Inc. M

COMMERCIAL B N

3239 41045 COMMERCIAL

D

ReliaStar (now known as CoreStar formerly NW National Life)

3240 36088 Reliance Standard Life COMMERCIALD

3241 80314 Reliastar D

COMMERCIAL

3242 RLHA1 COMMERCIAL

Renaissance Life and Health D

3243 76066 Organization

Renaissance PhysiciansCOMMERCIAL H B N

3244 76066 Organization

Renaissance PhysiciansCOMMERCIAL M B N

3245 73066 COMMERCIAL

Reserve National Insurance H B N

3246 73066 COMMERCIAL

Reserve National Insurance M B N

3247 37278 COMMERCIAL

ResourceOne Administrators M B N

3248 37278 COMMERCIAL

ResourceOne Administrators H B N

3249 36396 COMMERCIAL M B N

Resurrection Health Care Preferred/FKA Family Medical Network

3250 36396 COMMERCIAL H B N

Resurrection Health Care Preferred/FKA Family Medical Network

3251 26316 Retiree Health Trust COMMERCIAL M B N

3252 37331 COMMERCIAL

RightChoice Benefit Administrators M B N

3253 37331 COMMERCIAL

RightChoice Benefit Administrators H B N

3254 MPMOA Med Grp IPA

Riverside Family HealthCOMMERCIAL M X N

3255 41625 COMMERCIAL

Rochester Public Schools D

3256 84065 COMMERCIAL

Rocky Mountain Health Plan H B N

3257 SX141 COMMERCIAL M

Rocky Mountain Health Plan - Grand Junction X A

3258 84102 COMMERCIAL

Rocky Mountain Life Dental D

3259 37602 Rooney Life Inc. COMMERCIAL H B N

3260 37602 Rooney Life Inc. COMMERCIAL M B N

3261 36215 COMMERCIAL

Rosemont of Des Plaines IL H B N

3262 36339 Rush Health AssociationCOMMERCIAL H B N

3263 36339 Rush Health AssociationCOMMERCIAL M B N

3264 36389 Plans (HMO Only)

Rush Prudential HealthCOMMERCIAL H B N

3265 36389 Plans (HMO Only)

Rush Prudential HealthCOMMERCIAL M B N

3266 31441 COMMERCIAL

S & S Healthcare Strategies M N N

3267 31441 COMMERCIAL

S & S Healthcare Strategies H N N

3268 88029 PLAN

SAINT MARY'S HEALTH COMMERCIAL H B N

3269 88029 PLAN

SAINT MARY'S HEALTH COMMERCIAL M B N

3270 88082 PLAN (ENCOUNTERS) B

SAINT MARY'S HEALTH COMMERCIAL M N

3271 37259 SAMBA COMMERCIAL D

3272 72261 SCAN Health Plan COMMERCIAL H B N

3273 72261 SCAN Health Plan COMMERCIAL M B N

3274 20460 SCAN Long Term Care COMMERCIAL D

3275 20460 SCAN Long Term Care COMMERCIAL H B N

3276 20460 SCAN Long Term Care COMMERCIAL M B N

3277 16146 COMMERCIAL M B

SCHC Total Care Inc. (Acceptius Gateway payer) N

3278 12X37 SELECT HEALTH COMMERCIAL H B N

3279 83035 SENIOR WHOLE HEALTH COMMERCIAL H B N

3280 83035 SENIOR WHOLE HEALTH COMMERCIAL M B N

3281 38610 SET SEG COMMERCIAL D

3282 CX030 SafeGuard PPO COMMERCIAL D

3283 CX048 Safeguard HMO COMMERCIAL D

3284 35164 Sagamore Health NetworkCOMMERCIAL H N N

3285 35164 Sagamore Health NetworkCOMMERCIAL M N N

3286 37105 Sage Technologies COMMERCIAL M B N

3287 37105 Sage Technologies COMMERCIAL D

3288 37105 Sage Technologies COMMERCIAL H B N

3289 37137 C

Sage Technologies - PBS OMMERCIAL M B N

3290 C

37137 Sage Technologies - PBS OMMERCIAL H B N

3291 C

37137 Sage Technologies - PBS OMMERCIAL D

3292 34154 Salvation Army COMMERCIAL D

3293 Call San Diego Physicians COMMERCIAL M B N

3294 Call San Diego Physicians COMMERCIAL M B N

3295 Call COMMERCIAL M B

San Diego Physicians Medical Group Central Region N

3296 Call COMMERCIAL M B

San Diego Physicians Medical Group Central Region N

3297 COMMERCIAL

68035 San Joaquin Health Administrators M B N

3298 HSM01 COMMERCIAL

San Judas Medical Group IPA M B N

3299 * 91184 Sanford Health Plan COMMERCIAL H B N

3300 91184 Sanford Health Plan COMMERCIAL M B N

3301 91184 Sanford Health Plan COMMERCIAL D

3302 COMMERCIAL

77038 Sante Health System and Affiliates M B N

3303 Pilot COMMERCIAL

Sante Health System and Affiliates H B N

3304 COMMERCIAL

73172 Scan Health Plan Arizona D

3305 COMMERCIAL

73172 Scan Health Plan Arizona H B N

3306 COMMERCIAL

73172 Scan Health Plan Arizona M B N

3307 TH002 Scott & White COMMERCIAL M B N

3308 12T05 COMMERCIAL

Scott & White Health Plan H X N

3309 13310 Seabury & Smith COMMERCIAL M B N

3310 13310 Seabury & Smith COMMERCIAL H B N

3311 CX023 Seabury & Smith COMMERCIAL D

3312 SVIPA Seaview IPA COMMERCIAL M B N

3313 COMMERCIAL

28530 Secure Health Plans of Georgia LLCM B N

3314 COMMERCIAL

28530 Secure Health Plans of Georgia LLCH B N

3315 COMMERCIAL

95964 Secure Horizons Arizona - Claims M B N

3316 COMMERCIAL

95964 Secure Horizons Arizona - Claims H B N

3317 COMMERCIAL

95959 Secure Horizons California - ClaimsM B N

3318 COMMERCIAL

95959 Secure Horizons California - ClaimsH B E

3319 COMMERCIAL

95959 Secure Horizons California - ClaimsH B N

3320 COMMERCIAL

95962 Secure Horizons Colorado - Claims M B N

3321 COMMERCIAL

95962 Secure Horizons Colorado - Claims H B N

3322 COMMERCIAL

95959 Secure Horizons Oklahoma - Claims H B E

3323 COMMERCIAL

95959 Secure Horizons Oklahoma - Claims H B N

3324 COMMERCIAL

95959 Secure Horizons Oregon - Claims H B E

3325 COMMERCIAL

95959 Secure Horizons Oregon - Claims H B N

3326 COMMERCIAL

95959 Secure Horizons Texas - Claims H B N

3327 COMMERCIAL

95959 Secure Horizons Texas - Claims H B E

3328 COMMERCIAL

95959 Secure Horizons Washington - Claims M B N

3329 COMMERCIAL

95959 Secure Horizons Washington - Claims H B E

3330 COMMERCIAL

95959 Secure Horizons Washington - Claims H B N

3331 COMMERCIAL M

95959 Secure Horizons of California - Claims B E

3332 COMMERCIAL

95959 Secure Horizons of Oklahoma - ClaimsM B E

3333 COMMERCIAL

95959 Secure Horizons of Oklahoma - ClaimsM B N

3334 COMMERCIAL

95959 Secure Horizons of Oregon - Claims M B E

3335 COMMERCIAL

95959 Secure Horizons of Oregon - Claims M B N

3336 COMMERCIAL

95959 Secure Horizons of Texas - Claims M B N

3337 95959 COMMERCIAL

Secure Horizons of Texas - Claims M B E

3338 95959 COMMERCIAL M

Secure Horizons of Washington - Claims B E

3339 86057 SecureCare Dental COMMERCIAL D

3340 39045 Security Health Plan COMMERCIAL H B N

3341 39045 Security Health Plan COMMERCIAL M B N

3342 64088 COMMERCIAL

Select Administrative Services (SAS)M B N

3343 64088 COMMERCIAL

Select Administrative Services (SAS)D

3344 64088 COMMERCIAL

Select Administrative Services (SAS)H B N

3345 37282 COMMERCIAL H

Select Benefit Administrators of America B N

3346 37282 COMMERCIAL M

Select Benefit Administrators of America B N

3347 93031 COMMERCIAL

Select Benefit Administrators Inc. H B N

3348 93031 COMMERCIAL

Select Benefit Administrators Inc. M B N

3349 CX107 Select Health COMMERCIAL D

3350 23285 COMMERCIAL

Select Health of South Carolina M X N

3351 23285 COMMERCIAL

Select Health of South Carolina M X N

3352 23285 COMMERCIAL

Select Health of South Carolina M X A

3353 23285 COMMERCIAL

Select Health of South Carolina M B N

3354 23285 COMMERCIAL

Select Health of South Carolina H X N

3355 23285 COMMERCIAL

Select Health of South Carolina H X N

3356 23285 COMMERCIAL

Select Health of South Carolina H X A

3357 23285 COMMERCIAL

Select Health of South Carolina H B N

3358 20415 Select Senior Clinic COMMERCIAL H B N

3359 20415 Select Senior Clinic COMMERCIAL M B N

3360 14 SelectCare COMMERCIAL M B N

3361 14 SelectCare COMMERCIAL H B N

3362 68241 SelectCare (Coca Cola) COMMERCIAL D

3363 76045 COMMERCIAL H

SelectCare of Texas (HPN) Heritage PhysiciansXNetwork N

3364 76045 COMMERCIAL M

SelectCare of Texas (HPN) Heritage PhysiciansBNetwork N

3365 61225 COMMERCIAL

SelectCare of Texas (Kelsey-Seybold)H X N

3366 61225 COMMERCIAL

SelectCare of Texas (Kelsey-Seybold)M B N

3367 SX107 SelectHealth COMMERCIAL M X N

3368 Call COMMERCIAL

Self Funded Amdinistrators H X N

3369 Call COMMERCIAL

Self Funded Amdinistrators M X N

3370 59111 COMMERCIAL

Self Insured Benefit AdministratorsH B

(Clearwater FL) N

3371 59111 COMMERCIAL

Self Insured Benefit AdministratorsD (Clearwater FL)

3372 59111 COMMERCIAL

Self Insured Benefit AdministratorsM B

(Clearwater FL) N

3373 36404 COMMERCIAL

Self Insured Plans (Naples FL) H B N

3374 36404 COMMERCIAL

Self Insured Plans (Naples FL) M B N

3375 36404 COMMERCIAL

Self Insured Plans (Naples FL) H X N

3376 36404 COMMERCIAL

Self Insured Plans (Naples FL) M X N

3377 CX020 COMMERCIAL D

Self Insured Services Company (SISCO)

3378 34131 Self-Funded Plans Inc. COMMERCIAL H B N

3379 34131 Self-Funded Plans Inc. COMMERCIAL D

3380 34131 Self-Funded Plans Inc. COMMERCIAL M B N

3381 CX076 COMMERCIAL

Self-Insured Dental Services (SIDS) D

3382 36404 Self-Insured Plans LLC COMMERCIAL D

3383 * 36390 Senior Care Partners COMMERCIAL M B N

3384 54154 Sentara Family Care COMMERCIAL M B N

3385 54154 COMMERCIAL

Sentara Health Management M X E

3386 54154 COMMERCIAL

Sentara Health Management M B N

3387 23249 COMMERCIAL

Sentinel Management Services H N N

3388 23249 COMMERCIAL

Sentinel Management Services M N N

3389 39033 COMMERCIAL

Sentry Insurance a Mutual Company H N N

3390 39033 COMMERCIAL

Sentry Insurance a Mutual Company M N N

3391 39033 COMMERCIAL

Sentry Life Insurance Company M X N

3392 39033 COMMERCIAL

Sentry Life Insurance Company M N N

3393 39033 COMMERCIAL

Sentry Life Insurance Company H N N

3394 39033 COMMERCIAL

Sentry Life Insurance Company H X N

3395 39033 COMMERCIAL

Sentry Life Insurance Company D

3396 39033 Sentry Life of New YorkCOMMERCIAL H N N

3397 39033 Sentry Life of New YorkCOMMERCIAL M N N

3398 CAPMN Seoul Medical Group COMMERCIAL M B N

3399 TKFMC Sequoia Beverage COMMERCIAL M B N

3400 CX038 COMMERCIAL

Serentas Dental Care Solutions D

3401 76056 Seton CHIP COMMERCIAL M B N

3402 76056 Seton CHIP COMMERCIAL H B N

3403 12T46 Seton Employee Plan COMMERCIAL H B N

3404 TH080 Seton Employee Plan COMMERCIAL M X N

3405 12T55 COMMERCIAL

Seton Health Plan - Exclusive H B N

3406 TH079 COMMERCIAL

Seton Health Plan - Exclusive M X N

3407 12T57 Seton MAP Program COMMERCIAL H B N

3408 TH081 Seton MAP Program COMMERCIAL M X N

3409 * 25404 Seven Corners COMMERCIAL H B N

3410 * 25404 Seven Corners COMMERCIAL M B N

3411 75280 COMMERCIAL

Shasta Administrative Services H B N

3412 75280 COMMERCIAL

Shasta Administrative Services M B N

3413 31147 COMMERCIAL

Sheakley UNICOMP (Ohio BWC) H B N

3414 31147 COMMERCIAL

Sheakley UNICOMP (Ohio BWC) M B N

3415 38238 COMMERCIAL M B N

Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA)

3416 Call COMMERCIAL

Sheffield Olson & McQueen Inc H B N

3417 Call COMMERCIAL

Sheffield Olson & McQueen Inc M B N

3418 CX067 COMMERCIAL

Shenandoah Life Insurance D

3419 PROSP COMMERCIAL M B

Sierra Family Network (Prospect Medical Group) N

3420 76342 Sierra Health Services COMMERCIAL D

3421 76342 Sierra Health Services COMMERCIAL M X N

3422 76342 Sierra Health Services COMMERCIAL M X E

3423 76342 Sierra Health Services COMMERCIAL M B N

3424 76342 Sierra Health Services COMMERCIAL H X E

3425 76342 Sierra Health Services COMMERCIAL H X N

3426 76342 Sierra Health Services COMMERCIAL H B N

3427 76343 COMMERCIAL

Sierra Health Services Inc. M B N

3428 MBA01 AssociationM

Sierra Nevada Medical COMMERCIAL B N

3429 62159 COMMERCIAL

Signature Health Alliance M N N

3430 62159 COMMERCIAL

Signature Health Alliance H N N

3431 36387 COMMERCIAL M

Silver Cross Managed Care Organization B N

3432 84076 Sinclair Health Plan COMMERCIAL H B N

3433 84076 Sinclair Health Plan COMMERCIAL D

3434 84076 Sinclair Health Plan COMMERCIAL M B N

3435 84096 COMMERCIAL M

Sloans Lake Preferred Health Networks N N

3436 84096 COMMERCIAL H

Sloans Lake Preferred Health Networks N N

3437 2057 Smith Administrators COMMERCIAL H B N

3438 2057 Smith Administrators COMMERCIAL M X N

3439 2057 Smith Administrators COMMERCIAL M B N

3440 2057 Smith Administrators COMMERCIAL H X N

3441 Call COMMERCIAL

Solano Regional Medical Group M B A

3442 31147 COMMERCIAL H B

Solidarity Managed Care Organization (Ohio BWC) N

3443 31147 COMMERCIAL M B

Solidarity Managed Care Organization (Ohio BWC) N

3444 91131 COMMERCIAL

Sound Health (now known as First H N N

Choice Health Network)

3445 91131 COMMERCIAL

Sound Health (now known as First M N N

Choice Health Network)

3446 23266 COMMERCIAL PA

South Central Preferred - PPO YorkD (IHS Gateway Payer)

3447 Call COMMERCIAL PA B

South Central Preferred - PPO YorkH (IHS Gateway Payer)N

3448 Call COMMERCIAL PA B

South Central Preferred - PPO YorkM (IHS Gateway Payer)N

3449 37314 COMMERCIAL M

South FL Community Care Network - NBHD B N

3450 37314 COMMERCIAL H

South FL Community Care Network - NBHD B N

3451 37314 COMMERCIAL D

South FL Community Care Network - NBHD

3452 Call COMMERCIAL

South Haven Community Hospital H B N

3453 Call COMMERCIAL

South Haven Community Hospital M B N

3454 SX142 COMMERCIAL M

South Indiana Health Operations - HMO X N

3455 SX142 COMMERCIAL M

South Indiana Health Operations - HMO X N

3456 SX143 COMMERCIAL M X

South Indiana Health Options - Prime Care Choice N

3457 SX144 COMMERCIAL

South Indiana Health Options - TPAM X N

3458 35227 COMMERCIAL

South Point Hotel & Casino D

3459 35227 COMMERCIAL

South Point Hotel & Casino M B N

3460 35227 COMMERCIAL

South Point Hotel & Casino H X N

3461 25147 COMMERCIAL

SouthCare/Healthcare Preferred H N N

3462 25147 COMMERCIAL

SouthCare/Healthcare Preferred M N N

3463 25147 COMMERCIAL

SouthCare/Healthcare Preferred M N N

3464 25147 COMMERCIAL

SouthCare/Healthcare Preferred H N N

3465 CX051 SouthWest Benefits COMMERCIAL D

3466 TH116 COMMERCIAL M

Southeast Texas Govt Employees Benefit Pool X N

3467 37318 COMMERCIAL

Southern Benefit Services H B N

3468 37318 COMMERCIAL

Southern Benefit Services D

3469 37318 COMMERCIAL

Southern Benefit Services M X N

3470 37318 COMMERCIAL

Southern Benefit Services H X N

3471 37318 COMMERCIAL

Southern Benefit Services M B N

3472 SYMED Network (SynerMed) B

Southern CA Children's COMMERCIAL M N

3473 SCP01 COMMERCIAL M X

Southern Cal Physicians Managed Care Services N

3474 25128 COMMERCIAL

Southern Health Services Inc. M X E

3475 25128 COMMERCIAL

Southern Health Services Inc. M X E

3476 25128 COMMERCIAL

Southern Health Services Inc. M B N

3477 25128 COMMERCIAL

Southern Health Services Inc. H X E

3478 25128 COMMERCIAL

Southern Health Services Inc. H X E

3479 25128 COMMERCIAL

Southern Health Services Inc. H B N

3480 25128 COMMERCIAL

Southern Health Services Inc. H B N

3481 25128 COMMERCIAL

Southern Health Services Inc. M B N

3482 SWSTA COMMERCIAL

Southwest Administrators CaliforniaM B N

3483 SWSTA COMMERCIAL

Southwest Administrators Nevada M B N

3484 37266 Southwest Service Life COMMERCIAL M B N

3485 37266 Southwest Service Life COMMERCIAL H B N

3486 68241 Southwestern Bell COMMERCIAL D

3487 68241 Southwestern Bell ExecCOMMERCIAL D

3488 68241 COMMERCIAL D

Southwestern Bell Exec. - Custom Care

3489 68241 COMMERCIAL D

Southwestern Bell Exec. - Southwestern Bell

3490 52190 COMMERCIAL

Special Risk International H B N

3491 52190 COMMERCIAL

Special Risk International M B N

3492 23253 COMMERCIAL

Spectrum Administrators Inc. - TPAH PA N

Allentown X (IHS Gateway Payer)

3493 23253 COMMERCIAL

Spectrum Administrators Inc. - TPAM PA N

Allentown X (IHS Gateway Payer)

3494 84146 Spina Bifida - VA HAC COMMERCIAL H B N

3495 84146 Spina Bifida - VA HAC COMMERCIAL M B N

3496 84146 Spina Bifida - VA HAC COMMERCIAL H X E

3497 84146 Spina Bifida - VA HAC COMMERCIAL M X E

3498 84147 Spina Bifida - VA HAC COMMERCIAL D

3499 84147 Spina Bifida - VA HAC COMMERCIAL D

3500 12T63 Spohn Health COMMERCIAL H B N

3501 TH100 Spohn Health COMMERCIAL M X N

3502 APP01 St Francis IPA COMMERCIAL M B N

3503 STJOE St Joseph IPA COMMERCIAL M B N

3504 STJOE St Jude Yorba Linda COMMERCIAL M B N

3505 35199 COMMERCIAL H B

St. Anthony Memorial Healthcare Centers - MDWISE N

3506 35199 COMMERCIAL M B

St. Anthony Memorial Healthcare Centers - MDWISE N

3507 22240 COMMERCIAL

St. Barnabas System Health Plan M B N

3508 22240 COMMERCIAL

St. Barnabas System Health Plan H B N

3509 35199 COMMERCIAL

St. Catherine Hospital PHO - MDWISEH B N

3510 35199 COMMERCIAL

St. Catherine Hospital PHO - MDWISEM B N

3511 35199 COMMERCIAL

St. Francis Health Network H B N

3512 35199 COMMERCIAL

St. Francis Health Network M B N

3513 37264 COMMERCIAL

St. John's Claims Administration M B N

3514 37264 COMMERCIAL

St. John's Claims Administration H B N

3515 STJOE COMMERCIAL

St. Joseph Heritage Healthcare M B N

3516 STJOE COMMERCIAL

St. Joseph Heritage Healthcare H B N

3517 STJOE COMMERCIAL M

St. Jude (St. Joseph Heritage Healthcare) B N

3518 35199 COMMERCIAL H

St. Margaret Mercy Healthcare Centers - MDWISEB N

3519 35199 COMMERCIAL M

St. Margaret Mercy Healthcare Centers - MDWISEB N

3520 37116 COMMERCIAL

St. Therese Physician Association H B N

3521 37116 COMMERCIAL

St. Therese Physician Association M B N

3522 37116 COMMERCIAL

St. Therese Physician Association D

3523 PDT01 St. Vincent IPA COMMERCIAL M B N

3524 13411 COMMERCIAL

Standard Insurance Company (NY) D

3525 93024 COMMERCIAL

Standard Insurance Company (OR) D

3526 59225 Star HRG COMMERCIALM B N

3527 59225 Star HRG COMMERCIALH B N

3528 61425 Starmark COMMERCIALH N N

3529 61425 Starmark COMMERCIALH N N

3530 61425 Starmark COMMERCIALM N N

3531 61425 Starmark COMMERCIALM N N

3532 31053 COMMERCIAL

State Farm Insurance Companies M B N

3533 31053 COMMERCIAL

State Farm Insurance Companies M X E

3534 31053 COMMERCIAL

State Farm Insurance Companies H X E

3535 31053 COMMERCIAL

State Farm Insurance Companies H B N

3536 57254 COMMERCIAL

State of Texas Dental Plan D

3537 57254 COMMERCIAL

State of Texas Dental Plan H X N

3538 57254 COMMERCIAL

State of Texas Dental Plan M X N

3539 75087 COMMERCIAL

States General Life Insurance H B N

3540 75087 COMMERCIAL

States General Life Insurance M B N

3541 14163 Staywell Health Plan COMMERCIAL H B N

3542 14163 Staywell Health Plan COMMERCIAL M B N

3543 91151 Sterling Option 1 COMMERCIALH B N

3544 91151 Sterling Option 1 COMMERCIALM B N

3545 35122 COMMERCIAL

Stewart C Miller and Company H X N

3546 Call COMMERCIAL

Stewart C Miller and Company M X N

3547 31121 COMMERCIALH

Stoner and Associates (Cincinnati OH) B N

3548 31121 COMMERCIALM

Stoner and Associates (Cincinnati OH) B N

3549 31121 COMMERCIALD

Stoner and Associates (Cincinnati OH)

3550 15752 COMMERCIAL

Stones River Regional IPA- WindsorM B N

3551 58128 Stowe Associates COMMERCIALM X N

3552 58128 Stowe Associates COMMERCIALH X N

3553 74227 Student Insurance COMMERCIALH B N

3554 74227 COMMERCIALH B of

Student Insurance - Mid-West National Life Insurance Co. N Tenessee

3555 74227 COMMERCIALM B of

Student Insurance - Mid-West National Life Insurance Co. N Tenessee

3556 74227 COMMERCIAL & B N

Student Insurance - The MEGA LifeM Health Insurance Company

3557 74227 COMMERCIAL & B N

Student Insurance - The MEGA LifeH Health Insurance Company

3558 35199 COMMERCIAL

Suburban Health Organization H B N

3559 35199 COMMERCIAL

Suburban Health Organization M B N

3560 88331 COMMERCIAL

Suffolk Health Plan of New York H X N

3561 88331 COMMERCIAL

Suffolk Health Plan of New York M B N

3562 95202 C

SummaCare Health Plan OMMERCIAL H B N

3563 95202 C

SummaCare Health Plan OMMERCIAL M B N

3564 86071 COMMERCIAL

Summerlin Life & Health InsuranceH B N

3565 86071 COMMERCIAL

Summerlin Life & Health InsuranceM B N

3566 37301 COMMERCIALH

Summit America Insurance Services Inc. B N

3567 37301 COMMERCIALH

Summit America Insurance Services Inc. X N

3568 37301 COMMERCIALM

Summit America Insurance Services Inc. X N

3569 37301 COMMERCIALM

Summit America Insurance Services Inc. B N

3570 31147 SummitCorp (Ohio BWC) COMMERCIALH B N

3571 31147 SummitCorp (Ohio BWC) COMMERCIALM B N

3572 12X52 Sun Health COMMERCIAL H B N

3573 SX186 Sun Health Corporation COMMERCIAL M B N

3574 67814 COMMERCIAL D

Sun Life and Health Insurance Company (U.S.) (formerly GLHIC)

3575 67815 COMMERCIAL M

Sun Life and Health Insurance Company (U.S.) N N

(formerly GLHIC)

3576 67815 COMMERCIAL H

Sun Life and Health Insurance Company (U.S.) N N

(formerly GLHIC)

3577 67815 COMMERCIAL M

Sun Life and Health Insurance Company (U.S.) X E

(formerly GLHIC)

3578 68057 COMMERCIAL

Sunshine State Health Plan M B N

3579 68057 COMMERCIAL

Sunshine State Health Plan H B N

3580 23218 COMMERCIAL Ana

Superior Administrators Inc (Santa M CA) B N

3581 23218 COMMERCIAL Ana

Superior Administrators Inc (Santa H CA) X N

3582 23218 COMMERCIAL Ana

Superior Administrators Inc (Santa H CA) B N

3583 23218 COMMERCIAL Ana

Superior Administrators Inc (Santa M CA) X N

3584 31117 COMMERCIAL D

Superior Dental Care - Preferred Plan

3585 39188 COMMERCIAL

Superior Health Plan Texas M B T

3586 39188 COMMERCIAL

Superior Health Plan Texas H X N

3587 39188 COMMERCIAL

Superior Health Plan Texas H B N

3588 39188 COMMERCIAL

Superior Health Plan Texas M X N

3589 Call COMMERCIAL

Sutter Delta Medical Group M B A

3590 Call COMMERCIAL

Sutter East Bay Medical Foundation M B N

3591 Call COMMERCIAL

Sutter Gould Medical Foundation M B N

3592 Call COMMERCIAL

Sutter Independent Physicians M B N

3593 Call COMMERCIAL

Sutter Medical Foundation M B N

3594 Call COMMERCIAL M

Sutter Medical Group of the Redwoods B N

3595 36411 COMMERCIAL

Swedish Covenant Hospital M B N

3596 SYMED Synermed COMMERCIAL H B N

3597 SYMED Synermed COMMERCIAL M B N

3598 TKFMC TASEBA COMMERCIAL M B N

3599 94304 TBT COMMERCIAL M X N

3600 94304 TBT COMMERCIAL H X N

3601 73288 TDC COMMERCIAL D

3602 TXCSM TEXAS CHILDRENS HEALTH COMMERCIAL M B N

3603 Call TIC Time Ins Co COMMERCIAL M X N

3604 Call TIC Time Ins Co COMMERCIAL H X N

3605 74214 COMMERCIAL

TML Intergovernmental Employee M B

Benefit Pool N

3606 74214 COMMERCIAL

TML Intergovernmental Employee H B

Benefit Pool N

3607 15750 TN IPA COMMERCIAL M B N

3608 13402 COMMERCIAL M

TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE B N

3609 13402 COMMERCIAL H

TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE B N

3610 31074 COMMERCIAL H

TPAC/Employee Benefit Management Corp B N

3611 31074 COMMERCIAL M

TPAC/Employee Benefit Management Corp B N

3612 CX025 COMMERCIAL D

TPAC/Employee Benefit Management Corp

3613 37230 TR Paul Inc. COMMERCIAL H B N

3614 37230 TR Paul Inc. COMMERCIAL D

3615 37230 TR Paul Inc. COMMERCIAL M B N

3616 31144 COMMERCIAL

TRIHEALTH PHYSICIAN SOLUTIONS M B N

3617 31144 COMMERCIAL

TRIHEALTH PHYSICIAN SOLUTIONS H B N

3618 98514 TRLHN/AS COMMERCIAL M B N

3619 98514 TRLHN/AS COMMERCIALH B N

3620 50884 TRLHN/AU COMMERCIALH B N

3621 50884 TRLHN/AU COMMERCIALM B N

3622 62777 TRLHN/EB COMMERCIALH B N

3623 62777 TRLHN/EB COMMERCIALM B N

3624 12T29 COMMERCIAL

TX Premier Plan - Medicaid H X N

3625 TALMG Talbert Medical Group COMMERCIAL M B N

3626 88067 C

Tall Tree Administrators OMMERCIALD

3627 88067 C

Tall Tree Administrators OMMERCIALH B N

3628 88067 C

Tall Tree Administrators OMMERCIALM B N

3629 37228 Tarrant Health ServicesCOMMERCIAL M B N

3630 Pilot Tarrant Health ServicesCOMMERCIAL H B N

3631 88019 Teachers Health Trust COMMERCIAL H X N

3632 88019 Teachers Health Trust COMMERCIAL M X N

3633 88019 Teachers Health Trust COMMERCIAL M B N

3634 23139 COMMERCIAL

Teachers Protective Mutual H X N

3635 23139 COMMERCIAL

Teachers Protective Mutual M X N

3636 75139 Team Choice Gold COMMERCIALH B N

3637 75139 Team Choice Gold COMMERCIALM B N

3638 75133 Team Choice PNS COMMERCIALM B N

3639 75133 Team Choice PNS COMMERCIALH B N

3640 75134 Team Choice UMC COMMERCIALM B N

3641 75134 Team Choice UMC COMMERCIALH B N

3642 36215 Teamcare COMMERCIALH B N

3643 36215 Teamcare COMMERCIALM B N

3644 94304 C

Teamsters Benefit Trust OMMERCIAL H X N

3645 94304 C

Teamsters Benefit Trust OMMERCIAL M X N

3646 36612 #301

Teamsters Local Union COMMERCIAL H B N

3647 36612 #301

Teamsters Local Union COMMERCIAL M B N

3648 CPPTX COMMERCIAL

Texas CHIP Dental Services D

3649 76048 Plan

Texas Children's HealthCOMMERCIAL H B N

3650 76048 Plan

Texas Children's HealthCOMMERCIAL M B N

3651 Call Texas Children's Star COMMERCIAL M X N

3652 75228 Plan (Medicaid)

Texas Childrens Health COMMERCIAL H B N

3653 75228 Plan (Medicaid)

Texas Childrens Health COMMERCIAL M B N

3654 33104 Texas HealthSpring COMMERCIALH B N

3655 33104 Texas HealthSpring COMMERCIALM B N

3656 TH089 Texas Premier Plan COMMERCIALM X N

3657 12T20 Texas True Choice COMMERCIALH X N

3658 TH055 Texas True Choice COMMERCIALM B N

3659 13185 COMMERCIAL

TexasFirst Health Plan (NTX) M B N

3660 13185 COMMERCIAL

TexasFirst Health Plan (NTX) H B N

3661 74227 COMMERCIALD

The Chesapeake Life Insurance Company - Student Insurance

3662 74227 COMMERCIALH B N

The Chesapeake Life Insurance Company - Student Insurance

3663 74227 COMMERCIALM B N

The Chesapeake Life Insurance Company - Student Insurance

3664 75600 The City of Odessa COMMERCIALH N N

3665 75600 The City of Odessa COMMERCIALM N N

3666 73288 The Dental Companies COMMERCIAL D

3667 73288 The Dental Concern COMMERCIAL D

3668 28777 The EPOCH Group COMMERCIAL H B N

3669 28777 The EPOCH Group COMMERCIAL M B N

3670 37305 COMMERCIAL

The Ford Meter Box Company Inc. H B N

3671 37305 COMMERCIAL

The Ford Meter Box Company Inc. M B N

3672 20356 COMMERCIAL H

The Health Exchange (Cerner Corporation) B N

3673 20356 COMMERCIAL M

The Health Exchange (Cerner Corporation) B N

3674 34150 COMMERCIAL H B N

The Health Plan (Massillon Ohio and St. Clairsville Ohio only)

3675 34150 COMMERCIAL M B N

The Health Plan (Massillon Ohio and St. Clairsville Ohio only)

3676 31147 COMMERCIAL

The Health Plan (Ohio BWC) H B N

3677 31147 COMMERCIAL

The Health Plan (Ohio BWC) M B N

3678 35206 The Healthcare Group COMMERCIAL M N N

3679 35206 The Healthcare Group COMMERCIAL H N N

3680 58200 COMMERCIAL

The Integrity Benefit Group Inc. H B N

3681 58200 COMMERCIAL

The Integrity Benefit Group Inc. M B N

3682 23223 TPA Wyomissing

D

The Loomis Company - COMMERCIAL PA (IHS Gateway Payer)

3683 23223 TPA Wyomissing

H B

The Loomis Company - COMMERCIAL PA (IHS Gateway N Payer)

3684 23223 TPA Wyomissing

M B

The Loomis Company - COMMERCIAL PA (IHS Gateway N Payer)

3685 59221 COMMERCIAL

The MEGA Life & Health Insurance HCompany - B N

Insurance Center

3686 59221 COMMERCIAL

The MEGA Life & Health Insurance HCompany - X E

Insurance Center

3687 59221 COMMERCIAL

The MEGA Life & Health Insurance MCompany - X N

Insurance Center

3688 59221 COMMERCIAL

The MEGA Life & Health Insurance MCompany - B N

Insurance Center

3689 59226 COMMERCIAL

The MEGA Life & Health Insurance DCompany - Insurance Center

3690 59225 COMMERCIAL

The MEGA Life & Health Insurance MCompany - B N

Starbridge StarHRG

3691 59225 COMMERCIAL

The MEGA Life & Health Insurance HCompany - B N

Starbridge StarHRG

3692 74227 COMMERCIAL

The MEGA Life & Health Insurance MCompany - B N

Student Insurance

3693 74227 COMMERCIAL

The MEGA Life & Health Insurance HCompany - B N

Student Insurance

3694 74227 COMMERCIAL

The MEGA Life & Health Insurance DCompany - Student Insurance

3695 59227 COMMERCIAL

The MEGA Life & Health Insurance HCompany-OKC B N

3696 59227 COMMERCIAL

The MEGA Life & Health Insurance MCompany-OKC B N

3697 59087 Network H

The National RadiologyCOMMERCIAL B N

3698 59087 Network M

The National RadiologyCOMMERCIAL B N

3699 13522 COMMERCIAL

The Perfect Health Insurance Co. H B N

3700 13522 COMMERCIAL

The Perfect Health Insurance Co. M B N

3701 31074 COMMERCIAL H B

The Physicians Assurance Corp (TPAC) /Employee Benefit N Management Corp (EBM

3702 31074 COMMERCIAL M B

The Physicians Assurance Corp (TPAC) /Employee Benefit N Management Corp (EBM

3703 CX025 COMMERCIAL D

The Physicians Assurance Corp (TPAC)/Employee Benefit Management Corp (EBMC

3704 Call COMMERCIAL H

The Preferred Healthcare System (TPHS) - PPON N

Altoona PA (IHS GatewayPayer)

3705 Call COMMERCIAL M

The Preferred Healthcare System (TPHS) - PPON N

Altoona PA (IHS GatewayPayer)

3706 13142 COMMERCIAL M

The Union Labor Life Insurance Company B N

3707 13142 COMMERCIAL H

The Union Labor Life Insurance Company B N

3708 13142 COMMERCIAL D

The Union Labor Life Insurance Company

3709 75305 Therapy Review Systems COMMERCIAL M B N

3710 75305 Therapy Review Systems COMMERCIAL H B N

3711 SX160 Thomas H. Cooper COMMERCIAL M B N

3712 25175 COMMERCIAL

Three Rivers Health Plans Inc H X E

3713 25175 COMMERCIAL

Three Rivers Health Plans Inc H B N

3714 25175 COMMERCIAL

Three Rivers Health Plans Inc D

3715 25175 COMMERCIAL

Three Rivers Health Plans Inc M B N

3716 25175 COMMERCIAL

Three Rivers Health Plans Inc M X E

3717 25175 COMMERCIAL

Three Rivers Health Plans Inc D

3718 39065 Time Insurance Company COMMERCIALM X E

3719 39065 Time Insurance Company COMMERCIALM X N

3720 39065 Time Insurance Company COMMERCIALD

3721 39065 Time Insurance Company COMMERCIALM B N

3722 39065 Time Insurance Company COMMERCIALH B N

3723 39065 Time Insurance Company COMMERCIALH X E

3724 39065 Time Insurance Company COMMERCIALH X N

3725 39065 Time Insurance Company COMMERCIALD

3726 20081 COMMERCIAL

Today's Health Wisconsin H B N

3727 20081 COMMERCIAL

Today's Health Wisconsin M B N

3728 48055 COMMERCIALH B

Today's Options (American Progressive and Pyramid Life) N

3729 48055 COMMERCIALM B

Today's Options (American Progressive and Pyramid Life) N

3730 48055 COMMERCIAL

Today's Options powered by CCRX H B N

3731 48055 COMMERCIAL

Today's Options powered by CCRX M B N

3732 92620 Tongass Timber Trust COMMERCIAL H B N

3733 92620 Tongass Timber Trust COMMERCIAL M B N

3734 61425 COMMERCIALH

Tooling & Manufacturing Association N N

3735 61425 COMMERCIALM

Tooling & Manufacturing Association N N

3736 THIPA Torrance Hospital IPA COMMERCIAL M B N

3737 THIPA Torrance Hospital IPA COMMERCIAL H B N

3738 37314 COMMERCIAL

Total Claims Administration M B N

3739 37314 COMMERCIAL

Total Claims Administration H B N

3740 31182 Total Community Care COMMERCIAL H B N

3741 31182 Total Community Care COMMERCIAL M B N

3742 31147 COMMERCIALM

Total Health Management - PBM (Ohio BWC) B N

3743 31147 COMMERCIALH

Total Health Management - PBM (Ohio BWC) B N

3744 38201 Total Healthcare Inc. COMMERCIAL M N N

3745 38201 Total Healthcare Inc. COMMERCIAL H B N

3746 97910 HMO

Touchpoint Health PlanCOMMERCIAL M B N

3747 23856 Touchstone Health PSO COMMERCIALM B N

3748 23856 Touchstone Health PSO COMMERCIALH B N

3749 69493 COMMERCIAL

Tower Life Insurance Co. H B N

3750 69493 COMMERCIAL

Tower Life Insurance Co. M B N

3751 69493 COMMERCIAL

Tower Life Insurance Co. D

3752 TKFMC Town & Country COMMERCIALM B N

3753 12T74 COMMERCIAL

TransAmerica Assurance CompanyH (TLIN3) B N

3754 TH127 COMMERCIAL

TransAmerica Assurance CompanyM (TLIN3) B N

3755 12T73 COMMERCIAL

TransAmerica Assurance CompanyH (TLINS) B N

3756 TH126 COMMERCIAL

TransAmerica Assurance CompanyM (TLINS) B N

3757 12T71 COMMERCIAL

TransAmerica Assurance CompanyH (TSAA2) B N

3758 TH124 COMMERCIAL

TransAmerica Assurance CompanyM (TSAA2) X N

3759 12T72 COMMERCIAL

TransAmerica Assurance CompanyH (TSAAC) B N

3760 TH125 COMMERCIAL

TransAmerica Assurance CompanyM (TSAAC) B N

3761 59222 COMMERCIAL

TransAmerica Life Insurance Company M X E

3762 59222 COMMERCIAL

TransAmerica Life Insurance Company H B N

3763 59222 COMMERCIAL

TransAmerica Life Insurance Company H X E

3764 59222 COMMERCIAL

TransAmerica Life Insurance Company M B N

3765 TH128 COMMERCIAL M

TransAmerica Occidental Life Insurance (TOLIC)B N

3766 12T76 COMMERCIAL H

TransAmerica Occidental Life Insurance CompanyB N

3767 37284 COMMERCIAL M

TransChoice-Key Benefit Administrators B N

3768 37284 COMMERCIAL H

TransChoice-Key Benefit Administrators B N

3769 CX069 TransSmile COMMERCIAL D

3770 65978 C

Travelers (now MetLife) OMMERCIAL D

3771 36397Trellis Health Partners COMMERCIAL H B N

3772 36397Trellis Health Partners COMMERCIAL M B N

3773 PDT01 TriCities IPA COMMERCIAL M B N

3774 34185 COMMERCIAL M B

TriSurant (formerly Health Administration Services-HAS) N

3775 34185 COMMERCIAL H B

TriSurant (formerly Health Administration Services-HAS) N

3776 73117 COMMERCIAL

Tribute /SelectCare of Oklahoma M B N

3777 73117 COMMERCIAL

Tribute /SelectCare of Oklahoma H B N

3778 38269Trinity Health COMMERCIAL H B N

3779 38269Trinity Health Plans COMMERCIAL M B T

3780 54210True Choice USA COMMERCIAL M B N

3781 54210True Choice USA COMMERCIAL H B N

3782 91078 COMMERCIAL

Trusteed Plans Service Corporation H B N

3783 91078 COMMERCIAL

Trusteed Plans Service Corporation M B N

3784 91078 COMMERCIAL

Trusteed Plans Service Corporation D

3785 61425 COMMERCIAL

Trustmark Insurance Company D

3786 61425 COMMERCIAL

Trustmark Insurance Company H N N

3787 61425 COMMERCIAL

Trustmark Insurance Company H X E

3788 61425 COMMERCIAL

Trustmark Insurance Company M N N

3789 61425 COMMERCIAL

Trustmark Insurance Company M X E

3790 Call Tufts Health Plan COMMERCIAL M B T

3791 Call Tufts Health Plan COMMERCIAL H B T

3792 SX192 COMMERCIAL

UAHC Health Plan of Tennessee M X E

3793 87726 COMMERCIAL H HMO)

UBH - United Behavioral Health (Health Plan - B N

3794 87726 COMMERCIAL M HMO)

UBH - United Behavioral Health (Health Plan - B N

3795 87726 COMMERCIAL M B N

UBH - United Behavioral Health (former MetraHealth - UNET)

3796 SX178 UCARE of Minnesota COMMERCIAL M B N

3797 TH065 UFCW COMMERCIAL M B N

3798 22329UHP of New Jersey COMMERCIAL M B N

3799 22329UHP of New Jersey COMMERCIAL H X N

3800 22329UHP of New Jersey COMMERCIAL H B N

3801 22329UHP of New Jersey COMMERCIAL M X N

3802 74223 COMMERCIAL H

UICI - Administrators - State of Nevada B N

3803 74223 COMMERCIAL M

UICI - Administrators - State of Nevada B N

3804 COMMERCIAL H

UICI - Administrators - State of Nevada B N

3805 COMMERCIAL M

UICI - Administrators - State of Nevada B N

3806 33108 UMR - Cincinnati COMMERCIAL D

3807 31107 COMMERCIAL as X N

UMR - Cincinnati (formerly known H United Medical Resources)

3808 31107 COMMERCIAL as B N

UMR - Cincinnati (formerly known M United Medical Resources)

3809 31107 COMMERCIAL as B N

UMR - Cincinnati (formerly known H United Medical Resources)

3810 31107 COMMERCIAL as X N

UMR - Cincinnati (formerly known M United Medical Resources)

3811 75196 UMR - Harrington COMMERCIAL D

3812 95266 UMR - Harrington COMMERCIAL D

3813 95266 COMMERCIAL H B N

UMR - Harrington (formerly known as Harrington Benefit Services-Columbus)

3814 95266 COMMERCIAL M B N

UMR - Harrington (formerly known as Harrington Benefit Services-Columbus)

3815 37237 UMR - Lexington COMMERCIAL D

3816 37237 COMMERCIAL H X N

UMR - Lexington (formerly known as CommonWealth Administrative Group)

3817 37237 COMMERCIAL M X N

UMR - Lexington (formerly known as CommonWealth Administrative Group)

3818 37237 COMMERCIAL M B N

UMR - Lexington (formerly known as CommonWealth Administrative Group)

3819 37237 COMMERCIAL H B N

UMR - Lexington (formerly known as CommonWealth Administrative Group)

3820 79480 UMR - Onalaska COMMERCIAL D

3821 79480 COMMERCIAL H B N

UMR - Onalaska (formerly known as Midwest Security of WI)

3822 79480 COMMERCIAL M B N

UMR - Onalaska (formerly known as Midwest Security of WI)

3823 79480 COMMERCIAL M B N

UMR - Onalaska (formerly known as Midwest Security of WI)

3824 79480 COMMERCIAL H B N

UMR - Onalaska (formerly known as Midwest Security of WI)

3825 74223 UMR - San Antonio COMMERCIAL D

3826 39026 UMR - Wausau/UHIS COMMERCIAL D

3827 39026 UMR - Wausau/UHIS COMMERCIAL D

3828 39026 COMMERCIAL M Wausau Benefits/Benesight)

UMR - Wausau/UHIS (formerly Fiserv Health - B N

3829 39026 COMMERCIAL H Wausau Benefits/Benesight)

UMR - Wausau/UHIS (formerly Fiserv Health - B N

3830 39026 COMMERCIAL M Wausau Benefits/Benesight)

UMR - Wausau/UHIS (formerly Fiserv Health - B N

3831 39026 COMMERCIAL H Wausau Benefits/Benesight)

UMR - Wausau/UHIS (formerly Fiserv Health - X N

3832 75196 COMMERCIAL as B N

UMR -Harrington (formerly knownM Harrington Benefit Services-Westerville)

3833 75196 COMMERCIAL as X N

UMR -Harrington (formerly knownH Harrington Benefit Services-Westerville)

3834 75196 COMMERCIAL as B N

UMR -Harrington (formerly knownH Harrington Benefit Services-Westerville)

3835 75196 COMMERCIAL as X N

UMR -Harrington (formerly knownM Harrington Benefit Services-Westerville)

3836 52180 COMMERCIAL

UMWA Health & Retirement Funds M B N

3837 52180 COMMERCIAL

UMWA Health & Retirement Funds H B N

3838 80314 UNICARE COMMERCIAL D

3839 80314 UNICARE COMMERCIAL D

3840 80314 UNICARE COMMERCIAL H X E

3841 80314 UNICARE COMMERCIAL H B N

3842 80314 UNICARE COMMERCIAL M X E

3843 80314 UNICARE COMMERCIAL M B N

3844 87042 COMMERCIAL H X

UNION PACIFIC RAILROAD EMPLOYES Health Systems N

3845 87042 COMMERCIAL M B

UNION PACIFIC RAILROAD EMPLOYES Health Systems N

3846 87042 COMMERCIAL M X

UNION PACIFIC RAILROAD EMPLOYES Health Systems N

3847 87042 COMMERCIAL H B

UNION PACIFIC RAILROAD EMPLOYES Health Systems N

3848 36659 COMMERCIAL M

UNITED FOOD & COMM. WORKERS MIDWESTB N

UNIONS & EMPLOYERS HEALTH BENEFITS FU

3849 Call BEHAVIORAL M

UNIVERSITY OF MIAMI COMMERCIALHEALTH B N

3850 23281 UPMC Health Plan COMMERCIAL H B N

3851 23281 UPMC Health Plan COMMERCIAL M X N

3852 23281 UPMC Health Plan COMMERCIAL M B N

3853 23281 UPMC Health Plan COMMERCIAL H X N

3854 93092 US Benefits COMMERCIAL H B N

3855 93092 US Benefits COMMERCIAL M B N

3856 12X31 US Department of Labor COMMERCIAL H B N

3857 12T48 COMMERCIAL

US Family Health Plan (USFHP) H B N

3858 TH103 COMMERCIAL

US Family Health Plan (USFHP) M X N

3859 74095 COMMERCIAL

USAA (United Services AutomobileH Association)B N

3860 74095 COMMERCIAL

USAA (United Services AutomobileM Association)B N

3861 TH021 USC Health Services COMMERCIAL M B N

3862 13407 COMMERCIAL H B

USFHP - St. Vincent Catholic Medical Centers of New YorkN

3863 13407 COMMERCIAL M B

USFHP - St. Vincent Catholic Medical Centers of New YorkN

3864 12X38 UT - ALTIUS (UHIN) COMMERCIAL H B N

3865 12X50 Ucare Minnesota COMMERCIAL H X E

3866 61048 COMMERCIAL

Underwriters Safety & Claims H X N

3867 61048 COMMERCIAL

Underwriters Safety & Claims M X N

3868 35198 Unified Group ServicesCOMMERCIAL D

3869 35198 Unified Group ServicesCOMMERCIAL H B N

3870 35198 Unified Group ServicesCOMMERCIAL M B N

3871 62170 Unified Health ServicesCOMMERCIAL H B N

3872 62170 Unified Health ServicesCOMMERCIAL M B N

3873 HCP01 Unified IPA COMMERCIAL H B N

3874 75243 Uniform Medical Plan COMMERCIAL D

3875 75243 COMMERCIAL H B

Uniform Medical Plan/Harrington Benefit Services N

3876 75243 COMMERCIAL M B

Uniform Medical Plan/Harrington Benefit Services N

3877 Call Union Pacific IPA COMMERCIAL M B N

3878 Call Union Pacific IPA COMMERCIAL M X N

3879 70408 COMMERCIAL

Union Security Insurance CompanyD

3880 70408 COMMERCIAL

Union Security Insurance CompanyH B N

3881 70408 COMMERCIAL

Union Security Insurance CompanyH X E

3882 70408 COMMERCIAL

Union Security Insurance CompanyH X N

3883 70408 COMMERCIAL

Union Security Insurance CompanyH X N

3884 70408 COMMERCIAL

Union Security Insurance CompanyM B N

3885 70408 COMMERCIAL

Union Security Insurance CompanyM X E

3886 70408 COMMERCIAL

Union Security Insurance CompanyM X N

3887 70408 COMMERCIAL

Union Security Insurance CompanyM X N

3888 62183 COMMERCIAL H

Unison Health Plan/Better Health Plans X E

3889 62183 COMMERCIAL M

Unison Health Plan/Better Health Plans B N

3890 62183 COMMERCIAL M

Unison Health Plan/Better Health Plans X E

3891 62183 COMMERCIAL H

Unison Health Plan/Better Health Plans B N

3892 25175 COMMERCIAL

Unison Health Plan/Three Rivers M X E

3893 25175 COMMERCIAL

Unison Health Plan/Three Rivers H B N

3894 25175 COMMERCIAL

Unison Health Plan/Three Rivers H X E

3895 25175 COMMERCIAL

Unison Health Plan/Three Rivers D

3896 25175 COMMERCIAL

Unison Health Plan/Three Rivers M B N

3897 25175 COMMERCIAL

Unison Health Plan/Three Rivers D

3898 UAGBT COMMERCIAL

United Agriculture Benefit Trust M B N

3899 WID01 Wisconsin H

United AmeriChoice of COMMERCIAL X N

3900 WID01 Wisconsin M

United AmeriChoice of COMMERCIAL X N

3901 UFNEP Nebraska M

United Americhoice of COMMERCIAL X N

3902 UFNEP Nebraska H

United Americhoice of COMMERCIAL X N

3903 86049 PA

United Americhoice of COMMERCIAL H B N

3904 86049 PA

United Americhoice of COMMERCIAL H X N

3905 CAPMN COMMERCIAL

United Care Medical Network M B N

3906 Call COMMERCIAL

United Commercial Travelers M X N

3907 Call COMMERCIAL

United Commercial Travelers H X N

3908 CX002 COMMERCIAL D

United Concordia (Tricare Dental Plan)

3909 CX002 COMMERCIAL D

United Concordia (Tricare Dental Plan)

3910 CX007 for Service D

United Concordia - Fee COMMERCIAL

3911 CX007 for Service D

United Concordia - Fee COMMERCIAL

3912 CX013 COMMERCIAL

United Concordia Dental Plus D

3913 CX013 COMMERCIAL

United Concordia Dental Plus D

3914 74227 COMMERCIAL D

United HealthCare Insurance Company - Student Insurance

3915 74227 COMMERCIAL D

United HealthCare Insurance Company of New York - Student Insurance

3916 36273 COMMERCIAL M B

United Healthcare Ovations Insurance Solutions (AARP) N

3917 36273 COMMERCIAL H B

United Healthcare Ovations Insurance Solutions (AARP) N

3918 95378 COMMERCIAL

United Healthcare of River Valley H B T

3919 95378 COMMERCIAL

United Healthcare of River Valley M B T

3920 95378 COMMERCIAL

United Healthcare of River Valley M X T

3921 95378 COMMERCIAL

United Healthcare of River Valley H X T

3922 95378 COMMERCIAL

United Healthcare of River Valley D

3923 4567 COMMERCIAL M

United Healthcare of the Mid-Atlantic Inc. X N

3924 4567 COMMERCIAL H

United Healthcare of the Mid-Atlantic Inc. X N

3925 84132 United Medical Alliance COMMERCIAL H X N

3926 84132 United Medical Alliance COMMERCIAL D

3927 84132 United Medical Alliance COMMERCIAL M X N

3928 84132 United Medical Alliance COMMERCIAL M B N

3929 84132 United Medical Alliance COMMERCIAL H B N

3930 * 36362 COMMERCIAL

United Security Life & Health Ins CoM B N

3931 * 36362 COMMERCIAL

United Security Life & Health Ins CoH B N

3932 13545 COMMERCIAL

United States Life Insurance CompanyD

3933 71412 United of Omaha COMMERCIAL H B N

3934 71412 United of Omaha COMMERCIAL D

3935 71412 United of Omaha COMMERCIAL M B N

3936 87726 UnitedHealthcare COMMERCIAL H B N

3937 87726 UnitedHealthcare COMMERCIAL H B N

3938 87726 UnitedHealthcare COMMERCIAL H B N

3939 87726 UnitedHealthcare COMMERCIAL M B E

3940 87726 UnitedHealthcare COMMERCIAL M B N

3941 87726 UnitedHealthcare COMMERCIAL M B N

3942 87726 UnitedHealthcare COMMERCIAL M B N

3943 87726 UnitedHealthcare COMMERCIAL H B E

3944 87726 COMMERCIAL H

UnitedHealthcare Plans of Puerto Rico B N

3945 87726 COMMERCIAL M

UnitedHealthcare Plans of Puerto Rico B N

3946 87726 COMMERCIAL

UnitedHealthcare of Alabama H B N

3947 87726 COMMERCIAL

UnitedHealthcare of Alabama M B N

3948 87726 COMMERCIAL

UnitedHealthcare of Arizona Inc. H B N

3949 87726 COMMERCIAL

UnitedHealthcare of Arizona Inc. M B N

3950 87726 COMMERCIAL

UnitedHealthcare of Arkansas H B N

3951 87726 COMMERCIAL

UnitedHealthcare of Arkansas M B N

3952 87726 COMMERCIAL H B

UnitedHealthcare of California - Northern California N

3953 87726 COMMERCIAL M B

UnitedHealthcare of California - Northern California N

3954 87726 COMMERCIAL H B

UnitedHealthcare of California - Southern California N

3955 87726 COMMERCIAL M B

UnitedHealthcare of California - Southern California N

3956 87726 COMMERCIAL

UnitedHealthcare of Colorado Inc. H B N

3957 87726 COMMERCIAL

UnitedHealthcare of Colorado Inc. M B N

3958 87726 COMMERCIAL

UnitedHealthcare of Florida H B N

3959 87726 COMMERCIAL

UnitedHealthcare of Florida M B N

3960 87726 COMMERCIAL

UnitedHealthcare of Georgia H B N

3961 87726 COMMERCIAL

UnitedHealthcare of Georgia M B N

3962 87726 COMMERCIAL

UnitedHealthcare of Illinois H B N

3963 87726 COMMERCIAL

UnitedHealthcare of Illinois M B N

3964 87726 COMMERCIAL

UnitedHealthcare of Kentucky Ltd. H B N

3965 87726 COMMERCIAL

UnitedHealthcare of Kentucky Ltd. M B N

3966 87726 COMMERCIAL

UnitedHealthcare of Louisiana H B N

3967 87726 COMMERCIAL

UnitedHealthcare of Louisiana M B N

3968 87726 COMMERCIAL

UnitedHealthcare of Mississippi H B N

3969 87726 COMMERCIAL

UnitedHealthcare of Mississippi M B N

3970 87726 COMMERCIAL

UnitedHealthcare of New England H B N

3971 87726 COMMERCIAL

UnitedHealthcare of New England M B N

3972 87726 COMMERCIAL H B N

UnitedHealthcare of New York (includes New York and New Jersey)

3973 87726 COMMERCIAL M B N

UnitedHealthcare of New York (includes New York and New Jersey)

3974 87726 COMMERCIAL H

UnitedHealthcare of North Carolina Inc. B N

3975 87726 COMMERCIAL M

UnitedHealthcare of North Carolina Inc. B N

3976 87726 UnitedHealthcare of OhioCOMMERCIAL H B N

3977 87726 UnitedHealthcare of OhioCOMMERCIAL M B N

3978 87726 COMMERCIAL

UnitedHealthcare of Tennessee H B N

3979 87726 COMMERCIAL

UnitedHealthcare of Tennessee M B N

3980 87726 COMMERCIAL

UnitedHealthcare of Texas - Dallas H B N

3981 87726 COMMERCIAL

UnitedHealthcare of Texas - Dallas M B N

3982 87726 COMMERCIAL

UnitedHealthcare of Texas - HoustonH B N

3983 87726 COMMERCIAL

UnitedHealthcare of Texas - HoustonM B N

3984 87726 COMMERCIAL M

UnitedHealthcare of Upstate New York B N

3985 87726 COMMERCIAL H

UnitedHealthcare of Upstate New York B N

3986 87726 UnitedHealthcare of UtahCOMMERCIAL H B N

3987 87726 UnitedHealthcare of UtahCOMMERCIAL M B N

3988 87726 COMMERCIAL

UnitedHealthcare of Virginia H B N

3989 87726 COMMERCIAL

UnitedHealthcare of Virginia M B N

3990 87726 COMMERCIAL

UnitedHealthcare of Wisconsin Inc. H B N

3991 87726 COMMERCIAL

UnitedHealthcare of Wisconsin Inc. M B N

3992 87726 COMMERCIAL M

UnitedHealthcare of the Mid-Atlantic B N

3993 87726 COMMERCIAL H

UnitedHealthcare of the Mid-Atlantic B N

3994 87726 COMMERCIAL - B

UnitedHealthcare of the Midlands HHMO (Choice Select) N

3995 87726 COMMERCIAL

UnitedHealthcare of the Midlands M B

- HMO (Choice Select) N

3996 87726 COMMERCIAL - B N

UnitedHealthcare of the Midlands HPPO(Choice PlusSelect PlusSelf Funded)

3997 87726 COMMERCIAL

UnitedHealthcare of the Midlands M B N

- PPO(Choice PlusSelect PlusSelf Funded)

3998 87726 COMMERCIAL

UnitedHealthcare of the Midwest -H B N

Choice Choice Plus Select Select Plus

3999 87726 COMMERCIAL

UnitedHealthcare of the Midwest -M B N

Choice Choice Plus Select Select Plus

4000 87726 COMMERCIAL

UnitedHealthcare of the Midwest -M B

Medicare Complete N

4001 87726 COMMERCIAL

UnitedHealthcare of the Midwest -H B

Medicare Complete N

4002 66705 Unity Health InsuranceCOMMERCIAL D

4003 66705 Unity Health InsuranceCOMMERCIAL M B N

4004 SX087 COMMERCIAL M

Univera - Health Care Plan/ChoiceCare BuffaloX N

4005 SX086 COMMERCIAL

Univera - Pre Paid Health Plan of NY M X N

4006 SX088 COMMERCIAL

Univera - Univera Health Southern M Tier X N

4007 12X17 Univera Healthcare CNY COMMERCIAL H X N

4008 12X20 Univera Healthcare SSA ENYCOMMERCIAL H X N

4009 12X19 COMMERCIAL H

Univera Healthcare SSA WNY PPO Traditional X N

4010 12X18 Univera Healthcare WNY COMMERCIAL H X N

4011 SX090 Univera SSA ENY COMMERCIAL M X N

4012 SX091 Univera SSA WNY COMMERCIAL M X N

4013 33001 COMMERCIAL

Universal Care - California M B N

4014 33001 COMMERCIAL

Universal Care - California H B N

4015 50528 Universal Health Care Inc COMMERCIAL H X N

4016 50528 Universal Health Care Inc COMMERCIAL M B N

4017 50528 Universal Health Care Inc COMMERCIAL M X N

4018 50528 Universal Health Care Inc COMMERCIAL H B N

4019 31147 COMMERCIAL

University Comp Care (Ohio BWC) M B N

4020 31147 COMMERCIAL

University Comp Care (Ohio BWC) H B N

4021 9830 University Family Care COMMERCIAL M B N

4022 7503 COMMERCIAL M

University Family Care - Healthcare Group B N

4023 9908 COMMERCIAL M

University Family Care - Maricopa Health Plan B N

4024 * 37601 COMMERCIAL of B

University of Illinois at Chicago Div M Specialized Care for NChildren

4025 * 37601 COMMERCIAL of B

University of Illinois at Chicago Div H Specialized Care for NChildren

4026 87043 University of Missouri COMMERCIAL H B N

4027 87043 University of Missouri COMMERCIAL H X E

4028 87043 University of Missouri COMMERCIAL M B N

4029 87043 University of Missouri COMMERCIAL M X E

4030 SX155 COMMERCIAL

University of Utah Health Plans M X N

4031 IP056 Upland Medical Group COMMERCIAL M B N

4032 37324 COMMERCIAL

Upper Peninsula Health Group (TPA) D

4033 37324 COMMERCIAL

Upper Peninsula Health Group (TPA) H B N

4034 37324 COMMERCIAL

Upper Peninsula Health Group (TPA) M B N

4035 38337 COMMERCIAL

Upper Peninsula Health Plan (Medicaid)H B N

4036 38337 COMMERCIAL

Upper Peninsula Health Plan (Medicaid)M B N

4037 12115 VA Fee Basis Programs COMMERCIAL H B N

4038 12115 VA Fee Basis Programs COMMERCIAL M B N

4039 12115 VA Fee Basis Programs COMMERCIAL M X E

4040 12115 VA Fee Basis Programs COMMERCIAL H X E

4041 12116 VA Fee Basis Programs COMMERCIAL D

4042 12116 VA Fee Basis Programs COMMERCIAL D

4043 Call BENEFITS M

VHAMA-WATERSTONE COMMERCIAL B N

4044 Call BENEFITS H

VHAMA-WATERSTONE COMMERCIAL X N

4045 77073 VNS CHOICE Medicare COMMERCIAL H B N

4046 77073 VNS CHOICE Medicare COMMERCIAL M B N

4047 59266 VOLUSIA HEALTH NETWORK COMMERCIALH B N

4048 59266 VOLUSIA HEALTH NETWORK COMMERCIALM B N

4049 12T06 COMMERCIAL

Valley Baptist Health Plan H X N

4050 TH022 COMMERCIAL

Valley Baptist Health Plan M B N

4051 VCIPA Valley Care IPA COMMERCIALM B N

4052 COMMERCIALM X

23253 Valley Preferred - PPO Allentown PA (IHS Gateway Payer) N

4053 12X56 COMMERCIAL

Value Options - Commercial H X N

4054 SX173 COMMERCIAL

Value Options - Commercial M N N

4055 SYMED COMMERCIAL

Vanguard Health Systems (SynerMed)M B N

4056 72128 Vantage Health Plan Inc.COMMERCIALM B N

4057 72128 Vantage Health Plan Inc.COMMERCIALH B N

4058 COMMERCIALH

31147 Vantage Health Plan Inc. (Ohio BWC) B N

4059 COMMERCIALM

31147 Vantage Health Plan Inc. (Ohio BWC) B N

4060 EMP01 Vantage Medical Group COMMERCIALM B N

4061 68241 Varian Health Care Plan COMMERCIALD

4062 86062 VentureNet HealthcareCOMMERCIAL M N N

4063 86062 VentureNet HealthcareCOMMERCIAL H N N

4064 COMMERCIAL

66126 Verdugo Hills Medical Group H X N

4065 COMMERCIAL

66126 Verdugo Hills Medical Group M B N

4066 VHMG1 Verdugo Hills Medical Group COMMERCIALH X N

4067 VHMG1 Verdugo Hills Medical Group COMMERCIALM B N

4068 75256 Verity National Group COMMERCIAL M B N

4069 75256 Verity National Group COMMERCIAL H B N

4070 75256 Verity National Group COMMERCIAL D

4071 VVIPA Victor Valley IPA COMMERCIALM B N

4072 24818 Vida Care COMMERCIALM B N

4073 24818 Vida Care COMMERCIALH B N

4074 73743 Village Family Practice COMMERCIALH B N

4075 73743 Village Family Practice COMMERCIALM B N

4076 CVAK1 Virginia Medicaid COMMERCIALM B N

4077 12M86 Virginia Premier Gold COMMERCIAL H N N

4078 Plan

54176 Virginia Premier HealthCOMMERCIAL M N E

4079 Plan

54176 Virginia Premier HealthCOMMERCIAL H X N

4080 Plan

54176 Virginia Premier HealthCOMMERCIAL M X N

4081 C

37297 Vison Care IncorporatedOMMERCIAL M B N

4082 55248 Vista Health Plan COMMERCIALH B N

4083 55248 Vista Health Plan COMMERCIALM B N

4084 NCH08 COMMERCIALM B

Vista Oncology - New Century Infusion Solutions N

4085 63114 Viva Health Plan COMMERCIALM B N

4086 Viva

See Comments Health Plan COMMERCIALH B N

4087 22264 Vytra Healthcare COMMERCIALM B N

4088 22264 Vytra Healthcare COMMERCIALH B N

4089 77080 WPP-ElderCare WisconsinCOMMERCIAL H B N

4090 77080 WPP-ElderCare WisconsinCOMMERCIAL M B N

4091 34080 WPPN COMMERCIAL H B N

4092 12X29 WPS Commercial COMMERCIAL H X N

4093 SX022 WPS Commercial COMMERCIAL H X E

4094 SX022 WPS Commercial COMMERCIAL M X A

4095 SX022 WPS Commercial COMMERCIAL M X E

4096 12X43 WPS- Tricare For Life COMMERCIAL H B N

4097 85256 COMMERCIAL H

Wabash Memorial Hospital Association B N

4098 85256 COMMERCIAL M

Wabash Memorial Hospital Association B N

4099 91062 COMMERCIAL

Washington Dental Service D

4100 SX063 COMMERCIAL

Washington Labor & Industry H X N

4101 SX063 COMMERCIAL

Washington Labor & Industry M X A

4102 SX063 COMMERCIAL

Washington Labor & Industry M X N

4103 91136 COMMERCIAL D

Washington State Council of County & City Employees Dental Trust

4104 Pilot COMMERCIAL

Washtenaw Community Health Org H B N

4105 Pilot COMMERCIAL

Washtenaw Community Health Org M B N

4106 73155 COMMERCIAL

Waterstone Benefit Administrators D

4107 73155 COMMERCIAL

Waterstone Benefit Administrators H B N

4108 73155 COMMERCIAL

Waterstone Benefit Administrators M B N

4109 MPMOA IPA

Watts Healthcare Corp COMMERCIAL M X N

4110 11123 COMMERCIAL

Wausau Insurance Company H B N

4111 11123 COMMERCIAL

Wausau Insurance Company M B N

4112 * 59332 Web TPA Inc.of TX COMMERCIAL D

4113 36337 Weiss Health ProvidersCOMMERCIAL H X N

4114 36337 Weiss Health ProvidersCOMMERCIAL M B N

4115 14163 WellCare of Ohio Inc COMMERCIAL M B N

4116 14163 WellCare of Ohio Inc COMMERCIAL H B N

4117 TH023 WellMed COMMERCIAL M B N

4118 TH040 WellMed (Encounters) COMMERCIAL M B N

4119 25129 WellPath COMMERCIAL H B N

4120 25129 WellPath COMMERCIAL M X E

4121 25129 WellPath COMMERCIAL H X E

4122 25129 WellPath COMMERCIAL M B N

4123 25129 WellPath COMMERCIAL M B N

4124 25129 WellPath COMMERCIAL H X E

4125 25129 WellPath COMMERCIAL H B N

4126 25129 WellPath COMMERCIAL M X E

4127 14163 Wellcare HMO Inc. COMMERCIAL M B N

4128 14163 Wellcare HMO Inc. COMMERCIAL H B N

4129 59354 COMMERCIAL M

Wellcare Health Plan Inc. (Encounters) B N

4130 59354 COMMERCIAL H

Wellcare Health Plan Inc. (Encounters) X N

4131 77072 COMMERCIAL H

Wellcare Private Fee for Service Plans B N

4132 77072 COMMERCIAL M

Wellcare Private Fee for Service Plans B N

4133 14164 Wellcare of CT COMMERCIAL M B N

4134 14164 Wellcare of CT COMMERCIAL H B N

4135 59608 Wellcare of Florida COMMERCIAL M B N

4136 59608 Wellcare of Florida COMMERCIAL H B N

4137 14163 Wellcare of Georgia COMMERCIAL M B N

4138 14163 Wellcare of Georgia COMMERCIAL H B N

4139 14163 Wellcare of Louisiana COMMERCIAL M B N

4140 14163 Wellcare of Louisiana COMMERCIAL H B N

4141 14163 Wellcare of New York COMMERCIAL H B N

4142 14163 Wellcare of New York COMMERCIAL M B N

4143 87815 COMMERCIAL

Wells Fargo TPA Inc. (Charleston WV)D

4144 87815 COMMERCIAL

Wells Fargo TPA Inc. (Charleston WV)D

4145 37272 COMMERCIAL D

Wells Fargo TPA Inc. (f.k.a. JSL Administrators)

4146 37272 Administrators

Wells Fargo Third PartyCOMMERCIAL H X N

4147 37272 Administrators

Wells Fargo Third PartyCOMMERCIAL M X N

4148 87815 Administrators

M

Wells Fargo Third PartyCOMMERCIAL Inc. X E

4149 87815 Administrators

M

Wells Fargo Third PartyCOMMERCIAL Inc. B N

4150 87815 Administrators

H

Wells Fargo Third PartyCOMMERCIAL Inc. X E

4151 87815 Administrators

H

Wells Fargo Third PartyCOMMERCIAL Inc. B N

4152 37272 Administrators

H N N

Wells Fargo Third PartyCOMMERCIAL Inc. (Formerly JSL Administrators)

4153 37272 Administrators

M N N

Wells Fargo Third PartyCOMMERCIAL Inc. (Formerly JSL Administrators)

4154 Call COMMERCIAL

West Coast Administrators M X N

4155 Call COMMERCIAL

West Coast Administrators H X N

4156 WCMG1 COMMERCIAL

West Corvina Medical Group H B N

4157 WCMG1 COMMERCIAL

West Corvina Medical Group M B N

4158 66124 COMMERCIAL

West Covina Medical Group H X N

4159 66124 COMMERCIAL

West Covina Medical Group M B N

4160 90560 COMMERCIAL

WestLake Financial Group Inc. H B N

4161 90560 COMMERCIAL

WestLake Financial Group Inc. M B N

4162 90560 COMMERCIAL D

WestLake Financial Group Inc. (Buffalo Grove IL)

4163 24735 COMMERCIAL

Western Grower's Assurance TrustD

4164 24735 COMMERCIAL

Western Grower's Assurance TrustH B N

4165 24735 COMMERCIAL

Western Grower's Assurance TrustM B N

4166 24735 COMMERCIAL

Western Grower's Insurance Company M B N

4167 24735 COMMERCIAL

Western Grower's Insurance Company D

4168 24735 COMMERCIAL

Western Grower's Insurance Company H B N

4169 37306 Western Health Inc COMMERCIAL H B N

4170 37306 Western Health Inc COMMERCIAL M B N

4171 37247 Western Mutual InsuranceCOMMERCIAL H B N

4172 37247 Western Mutual InsuranceCOMMERCIAL M B N

4173 31048 COMMERCIAL

Western Southern Financial GroupM (Cincinnati BOH) N

4174 31048 COMMERCIAL

Western Southern Financial GroupH (Cincinnati BOH) N

4175 12T62 Westlake Financial GroupCOMMERCIAL H B N

4176 TH101 Westlake Financial GroupCOMMERCIAL M X N

4177 38232 Weyco Inc. COMMERCIAL M X N

4178 38232 Weyco Inc. COMMERCIAL H X N

4179 38232 Weyco Inc. COMMERCIAL H X N

4180 38232 Weyco Inc. COMMERCIAL M B N

4181 93050 William C. Earhart COMMERCIAL D

4182 93050 William C. Earhart COMMERCIAL M B N

4183 93050 William C. Earhart COMMERCIAL H B N

4184 11696 C

Windsor Home NetworkOMMERCIAL H B N

4185 11696 C

Windsor Home NetworkOMMERCIAL M B N

4186 62153 C

Windsor Medicare Extra OMMERCIAL H B N

4187 62153 C

Windsor Medicare Extra OMMERCIAL M B N

4188 39200 COMMERCIAL

Wisconsin Auto and Truck Dealers H B N

4189 39200 COMMERCIAL

Wisconsin Auto and Truck Dealers M X N

4190 39200 COMMERCIAL

Wisconsin Auto and Truck Dealers H X N

4191 39200 COMMERCIAL

Wisconsin Auto and Truck Dealers M B N

4192 95930 COMMERCIAL H

Wisconsin Physician Services-Midlands B N

4193 SX162 COMMERCIAL M B

Wisconsin Physicians Service - Third Party Pricing N

4194 SX067 Virginia M

Workers Comp of WestCOMMERCIAL B A

4195 20333 COMMERCIAL

Worksite Benefit Services LLC D

4196 20333 COMMERCIAL

Worksite Benefit Services LLC H B N

4197 20333 COMMERCIAL

Worksite Benefit Services LLC H X N

4198 20333 COMMERCIAL

Worksite Benefit Services LLC M B N

4199 20333 COMMERCIAL

Worksite Benefit Services LLC M X N

4200 75276 World Insurance Company COMMERCIAL H B N

4201 75276 World Insurance Company COMMERCIAL M X N

4202 75276 World Insurance Company COMMERCIAL H X N

4203 75276 World Insurance Company COMMERCIAL M B N

4204 23710 COMMERCIAL H

Writers' Guild - Industry Health Plan B N

4205 23710 COMMERCIAL M

Writers' Guild - Industry Health Plan B N

4206 9829 Yavapai County COMMERCIAL M B E

4207 STJOE Yorba Park COMMERCIAL M B N

4208 STJOE COMMERCIAL M

Yorba Park (St. Joseph Heritage HealthCare) B N

4209 75285 Young Life COMMERCIAL H X N

4210 75285 Young Life COMMERCIAL M B N

4211 CX049 deneX/SG COMMERCIAL D

4212 75261 COMMERCIAL D

webTPA/Community Health Electronic Claims/CHEC

4213 75261 COMMERCIAL M

webTPA/Community Health Electronic Claims/CHEC B N

4214 75261 COMMERCIAL H

webTPA/Community Health Electronic Claims/CHEC B N

4215 61473 ACS BenefitNC BLUE CROSS/BLUE SHIELD

Services Inc. H X N

4216 61473 ACS BenefitNC BLUE CROSS/BLUE SHIELD

Services Inc. M X N

4217 61473 ACS BenefitNC D

Solutions BLUE CROSS/BLUE SHIELD

4218 12B82 MS BLUE CROSS/BLUE SHIELD

H

AHS State Network (Mississippi Blue Cross) X A

4219 SB740 MO of Kansas -MASK

Administrative ServicesBLUE CROSS/BLUE SHIELD X A

4220 SB740 MO of Kansas -MASK

Administrative ServicesBLUE CROSS/BLUE SHIELD X A

4221 12B66 KS of Kansas Inc.

H

Administrative ServicesBLUE CROSS/BLUE SHIELD X

4222 12B66 MO of Kansas Inc.

H

Administrative ServicesBLUE CROSS/BLUE SHIELD X

4223 SX074 DE BLUE CROSS/BLUE SHIELD

M

AmeriHealth - Delaware (Non-HMO Claims) X N

4224 SX075 NJ BLUE CROSS/BLUE SHIELD

M

AmeriHealth - New Jersey (Non-HMO Claims) X A

4225 SX055 PA BLUE M

AmeriHealth Administrators CROSS/BLUE SHIELD X N

4226 SX055 PA BLUE H

AmeriHealth Administrators CROSS/BLUE SHIELD X N

4227 SX055 PA BLUE Delaware

H

AmeriHealth HMO of NJ and CROSS/BLUE SHIELD X N

4228 SX055 PA BLUE Delaware

M

AmeriHealth HMO of NJ and CROSS/BLUE SHIELD X N

4229 SX055 PA (PPO) NJ M

AmeriHealth Non-HMOBLUE CROSS/BLUE SHIELD X N

4230 SX055 PA (PPO) NJ H

AmeriHealth Non-HMOBLUE CROSS/BLUE SHIELD X N

4231 SX055 PA (PPO) of Delaware X

M

AmeriHealth Non-HMOBLUE CROSS/BLUE SHIELD N

4232 SX055 PA (PPO) of Delaware X

H

AmeriHealth Non-HMOBLUE CROSS/BLUE SHIELD N

4233 12B09 IN BLUE CROSS/BLUE SHIELD

Anthem - Blue Cross Blue Shield H X N

4234 12B24 OH BLUE CROSS/BLUE SHIELD

Anthem - Blue Cross Blue Shield H X N

4235 47198 CA

Anthem Blue Cross H

BLUE CROSS/BLUE SHIELD B N

4236 47198 CA

Anthem Blue Cross H

BLUE CROSS/BLUE SHIELD B C

4237 47198 CA

Anthem Blue Cross M

BLUE CROSS/BLUE SHIELD X A

4238 47198 CA

Anthem Blue Cross M

BLUE CROSS/BLUE SHIELD B N

4239 84105 ME BLUE CROSS/BLUE SHIELD

D

Anthem Blue Cross Blue Shield Connecticut

4240 84105 KY BLUE CROSS/BLUE SHIELD

D

Anthem Blue Cross Blue Shield Connecticut

4241 84105 NH BLUE CROSS/BLUE SHIELD

D

Anthem Blue Cross Blue Shield Connecticut

4242 84105 OH BLUE CROSS/BLUE SHIELD

D

Anthem Blue Cross Blue Shield Connecticut

4243 84105 CT BLUE CROSS/BLUE SHIELD

D

Anthem Blue Cross Blue Shield Connecticut

4244 84105 IN BLUE CROSS/BLUE SHIELD

D

Anthem Blue Cross Blue Shield Connecticut

4245 12B04 CT BLUE CROSS/BLUE SHIELD

H

Anthem Blue Cross Blue Shield of Connecticut X N

4246 SB560 CT BLUE CROSS/BLUE SHIELD

M

Anthem Blue Cross Blue Shield of Connecticut X C

4247 SB560 CT BLUE CROSS/BLUE SHIELD

M

Anthem Blue Cross Blue Shield of Connecticut X N

4248 47198 CA D

Anthem Blue Cross CA BLUE CROSS/BLUE SHIELD

4249 12002 VA Blue ShieldH(Virginia) X

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD N

4250 12002 VA Blue ShieldH(Virginia) X

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD C

4251 SB923 VA Blue ShieldM(Virginia) X

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD N

4252 SB923 VA Blue ShieldM(Virginia) X

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD E

4253 SB630 IN Blue ShieldM Indiana X

-

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD N

4254 SB630 IN Blue ShieldM Indiana X

-

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD N

4255 12B11 KY Blue ShieldH Kentucky X

-

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD N

4256 SB660 KY Blue ShieldM Kentucky X

-

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD N

4257 SB660 KY Blue ShieldH Kentucky X

-

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD C

4258 SB660 KY Blue ShieldM Kentucky X

-

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD E

4259 SB338 OH Blue ShieldM Ohio X

of

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD N

4260 SB338 OH Blue ShieldM Ohio X

of

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD E

4261 SB338 OH Blue ShieldH Ohio X

of

Anthem Blue Cross andBLUE CROSS/BLUE SHIELD A

4262 12B13 Anthem East ME H

BLUE CROSS/BLUE SHIELD X N

4263 12B21 Anthem East NH H

BLUE CROSS/BLUE SHIELD X N

4264 12B03 Anthem West CO H

BLUE CROSS/BLUE SHIELD X N

4265 12B05 Anthem West CO H

BLUE CROSS/BLUE SHIELD X N

4266 12B20 Anthem West NV H

BLUE CROSS/BLUE SHIELD X N

4267 12021 AR BLUE CROSS/BLUE SHIELD

Arkansas Blue Cross Blue Shield H X A

4268 12047 AR BLUE CROSS/BLUE SHIELD

Arkansas Blue Cross Blue Shield H X A

4269 12048 AR BLUE CROSS/BLUE SHIELD

Arkansas Blue Cross Blue Shield H X N

4270 12049 AR BLUE CROSS/BLUE SHIELD

Arkansas Blue Cross Blue Shield H X N

4271 SB520 AR BLUE CROSS/BLUE SHIELD

Arkansas Blue Cross Blue Shield M X L

4272 SB520 AR BLUE CROSS/BLUE SHIELD

Arkansas Blue Cross Blue Shield M X N

4273 12B60 PA BLUE H

BC PA Western/Highmark CROSS/BLUE SHIELD X C

4274 Call H

BCBS Iowa - Wellmark BLUE CROSS/BLUE SHIELD X E

4275 SX161 SC BLUE M

BCBS SC - Instil Health PFFS CROSS/BLUE SHIELD X N

4276 Call BLUE CROSS/BLUE SHIELD

BCBS South Dakota - Wellmark H X N

4277 12B1E BCBS Utah FEP H

BLUE CROSS/BLUE SHIELD X N

4278 12B16 MN

BCBS of Minnesota H

BLUE CROSS/BLUE SHIELD X A

4279 SB720 MN

BCBS of Minnesota M

BLUE CROSS/BLUE SHIELD X A

4280 SB720 MN

BCBS of Minnesota M

BLUE CROSS/BLUE SHIELD X C

4281 CBNYR NY York D

BCBS of Rochester NewBLUE CROSS/BLUE SHIELD

4282 SX168 Point of Service (POS) X

M

BCBSPA - BlueCard Par BLUE CROSS/BLUE SHIELD N

4283 SB711 NETWORK (BLUE CROSS/BLUE SHIELD OF MICHIGAN)

BLUE CARE MI M

BLUE CROSS BLUE X E

4284 12B75 RI BLUE H

Blue CHiP of Rhode Island CROSS/BLUE SHIELD X N

4285 CT BLUE CROSS/BLUE SHIELD

700 Blue Care Family Plan (BCBS of CT) D

4286 SB562 CT BLUE CROSS/BLUE SHIELD

Blue Care Family/Anthem Medicaid M X A

4287 SB562 CT BLUE CROSS/BLUE SHIELD

Blue Care Family/Anthem Medicaid M X N

4288 SB562 CT BLUE CROSS/BLUE SHIELD

Blue Care Family/Anthem Medicaid H X A

4289 12B58 MI BLUE CROSS/BLUE of Michigan N

H

Blue Care Network/Blue Cross Blue Shield SHIELDX

4290 SB900 Network BLUE CROSS/BLUE SHIELD

Blue ChoiceTX M B N

4291 CX004 ND BLUE CROSS/BLUE SHIELD

D

Blue Cross of North Dakota (ND Dental Services)

4292 CX004 ND BLUE CROSS/BLUE SHIELD

D

Blue Cross of North Dakota (ND Dental Services)

4293 SB751 MT Montana M

Blue Cross Blue Shield -BLUE CROSS/BLUE SHIELD X N

4294 SB751 MT Montana M

Blue Cross Blue Shield -BLUE CROSS/BLUE SHIELD X E

4295 SB731 MS BLUE CROSS/BLUE SHIELD

M X E

Blue Cross Blue Shield Mississippi State and Teacher Employees

4296 12B54 AL BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Alabama H X E

4297 12B54 AL BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Alabama H X A

4298 SB510 AL BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Alabama M X E

4299 SB510 AL BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Alabama M X A

4300 SB530 AZ BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Arizona M X N

4301 SB530 AZ BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Arizona M X N

4302 SB530 AZ BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Arizona H X N

4303 SB550 CO BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Colorado M X A

4304 SB550 CO BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Colorado M X N

4305 SB550 CO BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Colorado H X C

4306 SB563 CT BLUE CROSS/BLUE SHIELD

M

Blue Cross Blue Shield of Connecticut X N

4307 12B76 BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of DelawareH B E

4308 SB570 DE BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of DelawareH X E

4309 SB570 DE BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of DelawareM X C

4310 SB570 DE BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of DelawareM X E

4311 SB590 FL BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Florida M X N

4312 SB590 FL BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Florida M X C

4313 SB600 GA BLUE CROSS/BLUE

M X

Blue Cross Blue Shield of Georgia (Atlanta)SHIELD A

4314 SB600 GA BLUE CROSS/BLUE

M X

Blue Cross Blue Shield of Georgia (Atlanta)SHIELD N

4315 KS BLUE CROSS/BLUE SHIELD

57325 Blue Cross Blue Shield of Kansas H X E

4316 KS BLUE CROSS/BLUE SHIELD

57325 Blue Cross Blue Shield of Kansas H X C

4317 SB650 KS BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Kansas M X A

4318 SB650 KS BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Kansas M X A

4319 12B66 KS BLUE CROSS/BLUE SHIELD

H

Blue Cross Blue Shield of Kansas City X

4320 12B66 MO BLUE CROSS/BLUE SHIELD

H

Blue Cross Blue Shield of Kansas City X

4321 SB651 KS BLUE CROSS/BLUE

M

Blue Cross Blue Shield of Kansas HMO FEPSHIELD X N

4322 SB652 KS BLUE CROSS/BLUE SHIELD

M

Blue Cross Blue Shield of Kansas HMO RegularX C

4323 SB653 KS BLUE CROSS/BLUE SHIELD

M X

Blue Cross Blue Shield of Kansas HMO Senior Plan C

4324 12B12 LA BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of LouisianaH X N

4325 23738 LA BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of LouisianaM B N

4326 23738 LA BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of LouisianaM X E

4327 23738 LA BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of LouisianaH X E

4328 SB680 ME BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Maine M X E

4329 SB680 ME BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Maine M X N

4330 SB680 ME BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Maine H X E

4331 12B14 MA BLUE CROSS/BLUE

H

Blue Cross Blue Shield of Massachusetts SHIELD X N

4332 12B14 MA BLUE CROSS/BLUE

H

Blue Cross Blue Shield of Massachusetts SHIELD X N

4333 SB700 MA BLUE CROSS/BLUE

M

Blue Cross Blue Shield of Massachusetts SHIELD X N

4334 SB700 MA BLUE CROSS/BLUE

M

Blue Cross Blue Shield of Massachusetts SHIELD X N

4335 12B18 MI BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Michigan H X C

4336 CBMI1 MI BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Michigan D

4337 SB710 MI BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Michigan M X C

4338 SB710 MI BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Michigan M X A

4339 SB730 MS BLUE CROSS/BLUE SHIELD

H

Blue Cross Blue Shield of Mississippi X E

4340 SB730 MS BLUE CROSS/BLUE SHIELD

M

Blue Cross Blue Shield of Mississippi X A

4341 SB730 MS BLUE CROSS/BLUE SHIELD

M

Blue Cross Blue Shield of Mississippi X A

4342 SB741 MO BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Missouri M X E

4343 SB741 MO BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Missouri M X N

4344 SB741 MO BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Missouri H X A

4345 SB742 MO BLUE CROSS/BLUE SHIELD

M X

Blue Cross Blue Shield of Missouri (Blue Choice) N

4346 SB742 MO BLUE CROSS/BLUE SHIELD

M X

Blue Cross Blue Shield of Missouri (Blue Choice) A

4347 12B77 MT BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Montana H X N

4348 12B77 MT BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Montana H X E

4349 CBMT1 BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Montana D

4350 SB760 NE BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of NebraskaM X A

4351 SB760 NE BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of NebraskaM X C

4352 SB765 NV BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Nevada M X N

4353 SB765 NV BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Nevada M X E

4354 SB765 NV BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Nevada H X C

4355 SB770 NH BLUE CROSS/BLUE

M

Blue Cross Blue Shield of New Hampshire SHIELD X E

4356 SB770 NH BLUE CROSS/BLUE

M

Blue Cross Blue Shield of New Hampshire SHIELD X N

4357 SB770 NH BLUE CROSS/BLUE

H

Blue Cross Blue Shield of New Hampshire SHIELD X E

4358 61473 NC BLUE CROSS/BLUE

D

Blue Cross Blue Shield of North Carolina SHIELD

4359 SB810 NC BLUE CROSS/BLUE

M

Blue Cross Blue Shield of North Carolina SHIELDX C

4360 SB810 NC BLUE CROSS/BLUE

M

Blue Cross Blue Shield of North Carolina SHIELDX C

4361 SB840 OK BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Oklahoma M B N

4362 SB840 OK BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Oklahoma M X E

4363 SB840 OK BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Oklahoma H X A

4364 SB871 RI BLUE CROSS/BLUE SHIELD

M

Blue Cross Blue Shield of Rhode Island X L

4365 SX085 SC BLUE CROSS/BLUE SHIELD

M X N

Blue Cross Blue Shield of South Carolina - Companion Healthcare

4366 SB880 SC BLUE CROSS/BLUE SHIELD

M X E

Blue Cross Blue Shield of South Carolina - Companion Technologies

4367 SB880 SC BLUE CROSS/BLUE SHIELD

M X N

Blue Cross Blue Shield of South Carolina - Companion Technologies

4368 SX108 SC BLUE CROSS/BLUE SHIELD

M X N

Blue Cross Blue Shield of South Carolina - Consolidated Benefits Inc.

4369 SX084 SC BLUE CROSS/BLUE SHIELD

M X N

Blue Cross Blue Shield of South Carolina - Federal Employee Program (FEP)

4370 SX104 SC BLUE CROSS/BLUE SHIELD

M X N

Blue Cross Blue Shield of South Carolina - Planned Administrators Inc.

4371 SX103 SC BLUE CROSS/BLUE SHIELD

M X N

Blue Cross Blue Shield of South Carolina - State Health Plan

4372 SB640 IA BLUE CROSS/BLUE SHIELD

M X

Blue Cross Blue Shield of South Dakota (Sioux Falls) C

4373 12B45 TN BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of TennesseeH X A

4374 12B53 TN BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of TennesseeH X A

4375 12B45 TN BLUE CROSS/BLUE SHIELD

H

Blue Cross Blue Shield of Tennessee Network H X A

4376 12B31 TX BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Texas H X E

4377 SB900 TX BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Texas M B N

4378 SB900 TX BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Texas M X C

4379 SB900 TX BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Texas H X N

4380 12B32 VT BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Vermont H N E

4381 SB915 VT BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of Vermont M X A

4382 12B29 WI BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of WisconsinH X A

4383 SB950 WI BLUE CROSS/BLUE SHIELD

Blue Cross Blue Shield of WisconsinM X N

4384 23739 LA BLUE D

Blue Cross Blue of Louisiana CROSS/BLUE SHIELD

4385 23739 LA BLUE D

Blue Cross Blue of Louisiana CROSS/BLUE SHIELD

4386 12B72 NY BLUE CROSS/BLUE SHIELD

Blue Cross Utica - Watertown H X A

4387 SB950 WI BLUE CROSS/BLUE SHIELD

M X

Blue Cross and Blue Shield United of Wisconsin/Comp Care N

4388 12B02 AZ BLUE Arizona

H

Blue Cross and Blue Shield ofCROSS/BLUE SHIELD X N

4389 CBAL1 AL D

Blue Cross of Alabama BLUE CROSS/BLUE SHIELD

4390 CBAL1 AL D

Blue Cross of Alabama BLUE CROSS/BLUE SHIELD

4391 47570 WA BLUE CROSS/BLUE SHIELD

Blue Cross of Alaska and WashingtonD

4392 47570 AK BLUE CROSS/BLUE SHIELD

Blue Cross of Alaska and WashingtonD

4393 47570 AK BLUE CROSS/BLUE SHIELD

Blue Cross of Alaska and WashingtonD

4394 47570 WA BLUE CROSS/BLUE SHIELD

Blue Cross of Alaska and WashingtonD

4395 CBAR1 AR D

Blue Cross of Arkansas BLUE CROSS/BLUE SHIELD

4396 84099 CO D

Blue Cross of Colorado BLUE CROSS/BLUE SHIELD

4397 53287 DE D

Blue Cross of DelawareBLUE CROSS/BLUE SHIELD

4398 CBGA1 GA D

Blue Cross of Georgia BLUE CROSS/BLUE SHIELD

4399 12B07 ID

Blue Cross of Idaho H

BLUE CROSS/BLUE SHIELD X A

4400 CBID1 ID

Blue Cross of Idaho D

BLUE CROSS/BLUE SHIELD

4401 SB612 ID BLUE CROSS/BLUE

M

Blue Cross of Idaho Health Services Inc SHIELD X A

4402 SB612 ID BLUE CROSS/BLUE

M

Blue Cross of Idaho Health Services Inc SHIELD X E

4403 SB612 ID BLUE CROSS/BLUE

H

Blue Cross of Idaho Health Services Inc SHIELD X A

4404 CB621 IL D

Blue Cross of Illinois BLUE CROSS/BLUE SHIELD

4405 12B09 IN BLUE CROSS/BLUE SHIELD

Blue Cross of Indiana (Anthem) H X N

4406 84105 ME BLUE CROSS/BLUE SHIELD

Blue Cross of Indiana Anthem D

4407 84105 IN BLUE CROSS/BLUE SHIELD

Blue Cross of Indiana Anthem D

4408 84105 CT BLUE CROSS/BLUE SHIELD

Blue Cross of Indiana Anthem D

4409 84105 OH BLUE CROSS/BLUE SHIELD

Blue Cross of Indiana Anthem D

4410 84105 KY BLUE CROSS/BLUE SHIELD

Blue Cross of Indiana Anthem D

4411 84105 NH BLUE CROSS/BLUE SHIELD

Blue Cross of Indiana Anthem D

4412 CBIA2 IA

Blue Cross of Iowa D

BLUE CROSS/BLUE SHIELD

4413 CBIA1 IA Claims Only)

D

Blue Cross of Iowa (FEPBLUE CROSS/BLUE SHIELD

4414 CBIA1 IA Claims Only)

D

Blue Cross of Iowa (FEPBLUE CROSS/BLUE SHIELD

4415 CBKS1 KS D

Blue Cross of Kansas BLUE CROSS/BLUE SHIELD

4416 CBKS1 KS D

Blue Cross of Kansas BLUE CROSS/BLUE SHIELD

4417 84105 NH Anthem D

Blue Cross of Kentucky BLUE CROSS/BLUE SHIELD

4418 84105 ME Anthem D

Blue Cross of Kentucky BLUE CROSS/BLUE SHIELD

4419 84105 IN Anthem D

Blue Cross of Kentucky BLUE CROSS/BLUE SHIELD

4420 84105 KY Anthem D

Blue Cross of Kentucky BLUE CROSS/BLUE SHIELD

4421 84105 CT Anthem D

Blue Cross of Kentucky BLUE CROSS/BLUE SHIELD

4422 84105 OH Anthem D

Blue Cross of Kentucky BLUE CROSS/BLUE SHIELD

4423 CBMA1 MA BLUE D

Blue Cross of Massachusetts CROSS/BLUE SHIELD

4424 CBMA1 MA BLUE D

Blue Cross of Massachusetts CROSS/BLUE SHIELD

4425 CBNE1 NE D

Blue Cross of NebraskaBLUE CROSS/BLUE SHIELD

4426 CBNE1 NE D

Blue Cross of NebraskaBLUE CROSS/BLUE SHIELD

4427 84101 NV D

Blue Cross of Nevada BLUE CROSS/BLUE SHIELD

4428 CBNM1 NM BLUE D

Blue Cross of New Mexico CROSS/BLUE SHIELD

4429 61472 NC BLUE Federal Employee Claims

D

Blue Cross of North Carolina CROSS/BLUE SHIELD

4430 12B24 OH BLUE H X

Blue Cross of Ohio (Anthem) CROSS/BLUE SHIELD N

4431 84105 KY BLUE D

Blue Cross of Ohio Anthem CROSS/BLUE SHIELD

4432 84105 IN BLUE D

Blue Cross of Ohio Anthem CROSS/BLUE SHIELD

4433 84105 OH BLUE D

Blue Cross of Ohio Anthem CROSS/BLUE SHIELD

4434 84105 NH BLUE D

Blue Cross of Ohio Anthem CROSS/BLUE SHIELD

4435 84105 ME BLUE D

Blue Cross of Ohio Anthem CROSS/BLUE SHIELD

4436 84105 CT BLUE D

Blue Cross of Ohio Anthem CROSS/BLUE SHIELD

4437 12B59 OK

Blue Cross of Oklahoma M X

BLUE CROSS/BLUE SHIELD E

4438 12B59 OK

Blue Cross of Oklahoma H X

BLUE CROSS/BLUE SHIELD E

4439 12B59 OK

Blue Cross of Oklahoma H B

BLUE CROSS/BLUE SHIELD N

4440 CB850 OR D

Blue Cross of Oregon BLUE CROSS/BLUE SHIELD

4441 CB850 OR D

Blue Cross of Oregon BLUE CROSS/BLUE SHIELD

4442 12B74 RI BLUE H

Blue Cross of Rhode Island CROSS/BLUE SHIELDN N

4443 12B74 RI BLUE H

Blue Cross of Rhode Island CROSS/BLUE SHIELDB E

4444 CB870 RI BLUE D

Blue Cross of Rhode Island CROSS/BLUE SHIELD

4445 SB870 RI BLUE M

Blue Cross of Rhode Island CROSS/BLUE SHIELDX A

4446 SB870 RI BLUE M

Blue Cross of Rhode Island CROSS/BLUE SHIELDX L

4447 12B53 TN

Blue Cross of Tennessee H X

BLUE CROSS/BLUE SHIELD A

4448 CBTN1 TN

Blue Cross of Tennessee D

BLUE CROSS/BLUE SHIELD

4449 CBTN1 TN

Blue Cross of Tennessee D

BLUE CROSS/BLUE SHIELD

4450 SB890 TN

Blue Cross of Tennessee M X

BLUE CROSS/BLUE SHIELD A

4451 SB890 TN

Blue Cross of Tennessee M X

BLUE CROSS/BLUE SHIELD E

4452 SB891 TN

Blue Cross of Tennessee M X

BLUE CROSS/BLUE SHIELD A

4453 SB892 TN

Blue Cross of Tennessee M X

BLUE CROSS/BLUE SHIELD A

4454 CB900 TX

Blue Cross of Texas D

BLUE CROSS/BLUE SHIELD

4455 CB950 WI

Blue Cross of Wisconsin D

BLUE CROSS/BLUE SHIELD

4456 12B90 Washington

Blue Shield WA H B

BLUE CROSS/BLUE SHIELD N

4457 94036 of BLUE CROSS/BLUE SHIELD

Blue Shield CACalifornia H X N

4458 94036 of BLUE CROSS/BLUE SHIELD

Blue Shield CACalifornia M B N

4459 94036 of BLUE CROSS/BLUE SHIELD

Blue Shield CACalifornia H B N

4460 Call of BLUE CROSS/BLUE SHIELD

Blue Shield CACalifornia M B N

4461 CBID2 of D

Blue Shield ID Idaho BLUE CROSS/BLUE SHIELD

4462 CBID2 of D

Blue Shield ID Idaho BLUE CROSS/BLUE SHIELD

4463 CBPA2 of BLUE CROSS/BLUE SHIELD

Plus

Blue Shield PAPennsylvania Dental D

4464 CBPA2 of BLUE CROSS/BLUE SHIELD

Plus

Blue Shield PAPennsylvania Dental D

4465 23045Capital BluePA M

Cross/CAICBLUE CROSS/BLUE SHIELDX E

4466 23045Capital BluePA M

Cross/CAICBLUE CROSS/BLUE SHIELDB N

4467 12011 MD BLUE CROSS/BLUE SHIELD

CareFirst BlueCross BlueShield MDH Region X N

4468 SB690 MD BLUE CROSS/BLUE SHIELD

CareFirst BlueCross BlueShield MDH Region X

4469 SB690 MD BLUE CROSS/BLUE SHIELD

CareFirst BlueCross BlueShield MDM Region X N

4470 SB690 MD BLUE CROSS/BLUE SHIELD

CareFirst BlueCross BlueShield MDM Region X N

4471 12000 DC BLUE CROSS/BLUE SHIELD

H

CareFirst BlueCross BlueShield NCA Region X N

4472 SB580 DC BLUE CROSS/BLUE SHIELD

H

CareFirst BlueCross BlueShield NCA Region X E

4473 SB580 DC BLUE CROSS/BLUE SHIELD

M

CareFirst BlueCross BlueShield NCA Region X E

4474 SB580 DC BLUE CROSS/BLUE SHIELD

M

CareFirst BlueCross BlueShield NCA Region X N

4475 CBNY1 NY Shield D

Empire Blue Cross BlueBLUE CROSS/BLUE SHIELD

4476 SB803 NY BLUE CROSS/BLUE York

M

Empire Blue Cross and Blue Shield of New SHIELDX E

4477 12B36 NY BLUE H

Empire Omnipro (BC NY City)CROSS/BLUE SHIELD X A

4478 12B71 NY NY-RMSCO H

Excellus - BCBS Central BLUE CROSS/BLUE SHIELD X A

4479 12B38 NY BLUE CROSS/BLUE SHIELD

Excellus - BCBS Utica Watertown H X A

4480 SB806 NY BLUE CROSS/BLUE SHIELD

Excellus - BCBS Utica Watertown M X N

4481 12B37 NY BLUE CROSS/BLUE SHIELD

H

Excellus - Blue Cross Blue Shield Central NY X A

4482 12B71 NY BLUE CROSS/BLUE SHIELD

H

Excellus - Blue Cross Blue Shield Central NY X A

4483 12B40 NY BLUE CROSS/BLUE Area

H X

Excellus - Blue Cross Blue Shield RochesterSHIELD A

4484 12B67 NY BLUE CROSS/BLUE Area

H X

Excellus - Blue Cross Blue Shield RochesterSHIELD A

4485 12B73 NY BLUE CROSS/BLUE Area

H X

Excellus - Blue Cross Blue Shield RochesterSHIELD A

4486 SB805 NY BLUE CROSS/BLUE SHIELD

Central New York

Excellus - Blue Cross Blue Shield of M X N

4487 SB804 NY BLUE CROSS/BLUE SHIELD

M X

Excellus - Blue Cross/Blue Shield Rochester Area A

4488 SB804 NY BLUE CROSS/BLUE SHIELD

M X

Excellus - Blue Cross/Blue Shield Rochester Area N

4489 12B34 FL - BCBS FL H

BLUE CROSS/BLUE SHIELDX N

4490 23241 PA

First Priority M

BLUE CROSS/BLUE SHIELDX E

4491 23241 PA

First Priority M

BLUE CROSS/BLUE SHIELDB N

4492 SB942 BLUE CROSS/BLUE

M

Freedom Blue Medicare Advantage ClaimsSHIELD B N

4493 SB942 BLUE CROSS/BLUE

M

Freedom Blue Medicare Advantage ClaimsSHIELD X N

4494 SX078 Gateway PA M

BLUE CROSS/BLUE SHIELDX N

4495 12B62 HI Association (HMSA) B

H

Hawaii Medical ServiceBLUE CROSS/BLUE SHIELD E

4496 SB971 HI Association (HMSA) X

M

Hawaii Medical ServiceBLUE CROSS/BLUE SHIELD E

4497 SB971 HI Association (HMSA) X

M

Hawaii Medical ServiceBLUE CROSS/BLUE SHIELD A

4498 12B08 Health CareIL BLUE CROSS/BLUE SHIELD

H

Service Corporation/BCBS of IL X N

4499 SB621 Health CareIL BLUE CROSS/BLUE SHIELD

M

Service Corporation/BCBS of IL X A

4500 SB621 Health CareIL BLUE CROSS/BLUE SHIELD

M

Service Corporation/BCBS of IL X N

4501 12B26 FL BCBS HMO) H

Health Options Inc (FL -BLUE CROSS/BLUE SHIELD X N

4502 12B68 HealthNow NY BLUE CROSS/BLUE SHIELD

- BCBS Northeastern NY H X A

4503 SB800 HealthNow NY BLUE CROSS/BLUE SHIELD

- BCBS Northeastern NY M X A

4504 12B39 HealthNow NY BLUE Shield of Western NY

H X

- Blue Cross Blue CROSS/BLUE SHIELD A

4505 SB801 HealthNow NY BLUE Shield of Western NY

M X

- Blue Cross Blue CROSS/BLUE SHIELD A

4506 SB801 HealthNow NY BLUE Shield of Western NY

M X

- Blue Cross Blue CROSS/BLUE SHIELD E

4507 12B55 SC

Healthnet Pearl H

BLUE CROSS/BLUE SHIELDX N

4508 SB865 PA Blue CROSS/BLUE SHIELD

of X

Highmark Blue Cross & BLUE Shield M Pennsylvania L

4509 SB865 PA Blue CROSS/BLUE SHIELD

of X

Highmark Blue Cross & BLUE Shield M Pennsylvania C

4510 PA BLUE CROSS/BLUE SHIELD

Highmark Blue Cross Blue Shield H X

4511 NJ BLUE CROSS/BLUE SHIELD

H X E

22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

4512 NY BLUE CROSS/BLUE SHIELD

M B A

22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

4513 NY BLUE CROSS/BLUE SHIELD

M X E

22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

4514 NY BLUE CROSS/BLUE SHIELD

H B A

22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

4515 NJ BLUE CROSS/BLUE SHIELD

M B A

22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

4516 NJ BLUE CROSS/BLUE SHIELD

M X E

22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

4517 NJ BLUE CROSS/BLUE SHIELD

H B A

22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

4518 NY BLUE CROSS/BLUE SHIELD

H X E

22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)

4519 NJ BLUE CROSS/BLUE SHIELD

22099 Horizon Healthcare Dental Services D

4520 NY BLUE CROSS/BLUE SHIELD

22099 Horizon Healthcare Dental Services D

4521 NY BLUE H

22099 Horizon Healthcare of NY CROSS/BLUE SHIELD B A

4522 NJ BLUE M

22099 Horizon Healthcare of NY CROSS/BLUE SHIELD B A

4523 NJ BLUE H

22099 Horizon Healthcare of NY CROSS/BLUE SHIELD B A

4524 NY BLUE M

22099 Horizon Healthcare of NY CROSS/BLUE SHIELD B A

4525 12X26 H

IBC Personal Choice BLUE CROSS/BLUE SHIELD N N

4526 SX055 PA H

IBC Personal Choice BLUE CROSS/BLUE SHIELD X N

4527 SX055 PA M

IBC Personal Choice BLUE CROSS/BLUE SHIELD X N

4528 SX083 PA M

IBC Personal Choice BLUE CROSS/BLUE SHIELD X N

4529 TA720 BLUE CROSS/BLUE SHIELD

Independence Administrators M X N

4530 12B89 Instil Health H

BLUE CROSS/BLUE SHIELDN N

4531 SX079 PA

Inter-County Health Plan M

BLUE CROSS/BLUE SHIELDX N

4532 SX055 PA BLUE M

Keystone Health Plan East CROSS/BLUE SHIELD X N

4533 SX055 PA BLUE M

Keystone Health Plan East CROSS/BLUE SHIELD X N

4534 SX055 PA BLUE H

Keystone Health Plan East CROSS/BLUE SHIELD X N

4535 12X25 BLUE CROSS/BLUE SHIELD

Keystone Health Plan East/IBC H N N

4536 SX056 PA BLUE M

Keystone Health Plan West CROSS/BLUE SHIELD X E

4537 SX056 PA BLUE M

Keystone Health Plan West CROSS/BLUE SHIELD X N

4538 CBMS1 MS

Mississippi BCBS D

BLUE CROSS/BLUE SHIELD

4539 CBMS1 MS

Mississippi BCBS D

BLUE CROSS/BLUE SHIELD

4540 12B17 MS Trispan H

Mississippi Blue Cross -BLUE CROSS/BLUE SHIELDX A

4541 12B28 WV BLUE CROSS/BLUE SHIELD

H

Mountain State Blue Cross and Blue Shield X L

4542 12B28 WV BLUE CROSS/BLUE SHIELD

H

Mountain State Blue Cross and Blue Shield X T

4543 SB941 WV BLUE CROSS/BLUE SHIELD

M

Mountain State Blue Cross and Blue Shield X E

4544 SB941 WV BLUE CROSS/BLUE SHIELD

M

Mountain State Blue Cross and Blue Shield X L

4545 CBNYW NY BCBS -Western D

BLUE CROSS/BLUE SHIELD

4546 CBNYW NY BCBS -Western D

BLUE CROSS/BLUE SHIELD

4547 12B19 NE BLUE CROSS/BLUE SHIELD

Nebraska Blue Cross and Blue ShieldH X C

4548 12B22 NM H

New Mexico Blue CrossBLUE CROSS/BLUE SHIELD X N

4549 12B30 WY

Noridian Medicare H

BLUE CROSS/BLUE SHIELDX N

4550 SB820 ND

Noridian Medicare M

BLUE CROSS/BLUE SHIELDX C

4551 SB960 WY

Noridian Medicare M

BLUE CROSS/BLUE SHIELDX N

4552 Noridian Medicare

See Comments ND H

BLUE CROSS/BLUE SHIELDX B

4553 12B23 NC BLUE H

North Carolina Blue Cross CROSS/BLUE SHIELD X C

4554 NC BLUE for Children

D

61472 North Carolina Health ChoiceCROSS/BLUE SHIELD

4555 CX004 ND BLUE D

North Dakota Dental Service CROSS/BLUE SHIELD

4556 CBNYE NorthEast NY Blue Shield D

BLUE CROSS/BLUE SHIELD

4557 AK BLUE D

47570 NorthStar Administrators CROSS/BLUE SHIELD

4558 WA BLUE D

47570 NorthStar Administrators CROSS/BLUE SHIELD

4559 WA BLUE D

47570 NorthStar Administrators CROSS/BLUE SHIELD

4560 AK BLUE D

47570 NorthStar Administrators CROSS/BLUE SHIELD

4561 12B24 OH BLUE H

Ohio Blue Cross (Anthem) CROSS/BLUE SHIELD X N

4562 SX055 PA M

Passport Advantage BLUE CROSS/BLUE SHIELD X N

4563 SX055 PA H

Passport Advantage BLUE CROSS/BLUE SHIELD X N

4564 CB865 PA BLUE CROSS/BLUE SHIELD

D

Pennsylvania Blue Shield (Camp Hill)

4565 CB865 PA BLUE CROSS/BLUE SHIELD

D

Pennsylvania Blue Shield (Camp Hill)

4566 Pennsylvania Capital Blue Cross H

See Comments PA BLUE CROSS/BLUE SHIELDX N

4567 Pennsylvania Capital BlueCross Facility SHIELD

See Comments PA M

BLUE CROSS/BLUE B N

4568 12B81 PA Blue ShieldH Central X

-

Pennsylvania HighmarkBLUE CROSS/BLUE SHIELD A

4569 12B81 PA Blue ShieldH Central X

-

Pennsylvania HighmarkBLUE CROSS/BLUE SHIELD E

4570 12B27 WA H

Premera Blue Cross BLUE CROSS/BLUE SHIELD X C

4571 12B47 AK H

Premera Blue Cross BLUE CROSS/BLUE SHIELD X A

4572 AK D

47570 Premera Blue Cross BLUE CROSS/BLUE SHIELD

4573 WA D

47570 Premera Blue Cross BLUE CROSS/BLUE SHIELD

4574 WA D

47570 Premera Blue Cross BLUE CROSS/BLUE SHIELD

4575 AK D

47570 Premera Blue Cross BLUE CROSS/BLUE SHIELD

4576 12B41 OR BLUE CROSS/BLUE

H X

Regence Blue Cross Blue Shield of Oregon SHIELD N

4577 SB850 OR BLUE CROSS/BLUE

M X

Regence Blue Cross Blue Shield of Oregon SHIELD A

4578 SB850 OR BLUE CROSS/BLUE

M X

Regence Blue Cross Blue Shield of Oregon SHIELD N

4579 WA D

93200 Regence Blue Shield BLUE CROSS/BLUE SHIELD

4580 WA D

93200 Regence Blue Shield BLUE CROSS/BLUE SHIELD

4581 WA

93200 Regence Blue Shield FEP D

BLUE CROSS/BLUE SHIELD

4582 WA

93200 Regence Blue Shield FEP D

BLUE CROSS/BLUE SHIELD

4583 12B88 ID BLUE H

Regence Blue Shield Idaho CROSS/BLUE SHIELD X N

4584 SB611 ID Idaho M

Regence Blue Shield of BLUE CROSS/BLUE SHIELDX N

4585 SB931 WA Washington M

Regence Blue Shield of BLUE CROSS/BLUE SHIELDX C

4586 SB931 WA Washington M

Regence Blue Shield of BLUE CROSS/BLUE SHIELDX N

4587 WA BLUE D

93200 Regence Northwest Health CROSS/BLUE SHIELD

4588 WA BLUE D

93200 Regence Northwest Health CROSS/BLUE SHIELD

4589 CBUTF D

Regence UT BCBS FEP BLUE CROSS/BLUE SHIELD

4590 12B75 RI BLUE H

Rhode Island - Blue Cross CROSS/BLUE SHIELD X N

4591 SB790 NM BLUE Corp.M

Rocky Mountain Health Care CROSS/BLUE SHIELD X N

4592 SB790 NM BLUE Corp.M

Rocky Mountain Health Care CROSS/BLUE SHIELD X A

4593 SA704 Select Advantage M

BLUE CROSS/BLUE SHIELDX N

4594 SA704 Select Advantage H

BLUE CROSS/BLUE SHIELDX N

4595 SX055 PA

Select Advantage H

BLUE CROSS/BLUE SHIELDX N

4596 SX055 PA

Select Advantage M

BLUE CROSS/BLUE SHIELDX N

4597 SC D

38520 South Carolina BCBS BLUE CROSS/BLUE SHIELD

4598 SC D

38520 South Carolina BCBS BLUE CROSS/BLUE SHIELD

4599 12K46 TN H

Tennessee Medicaid BLUE CROSS/BLUE SHIELD X E

4600 12K46 TN H

Tennessee Medicaid BLUE CROSS/BLUE SHIELD X A

4601 SB900 TX Risk CROSS/BLUE SHIELD

Texas Health InsuranceBLUEPool M B N

4602 Cross BLUE - Colorado Dental Office

D

84103 Trigon Blue CO Blue ShieldCROSS/BLUE SHIELD

4603 SB924 Cross BLUE CROSS/BLUE SHIELD

M

Trigon Blue VA and Blue Shield (Virginia) X N

4604 CB923 Cross BLUE CROSS/BLUE SHIELD Anth-VA formerly Trigon)

Trigon Blue VA of Virginia (Anth D BCBS-VA/ BCBS

4605 12B84 Blue BLUE CROSS/BLUE SHIELD

True Blue / ID Cross of Idaho H X N

4606 CBUT1 UHIN D

BLUE CROSS/BLUE SHIELD

4607 SB910 UHIN UT M X

BLUE CROSS/BLUE SHIELD C

4608 SB910 UHIN UT M X

BLUE CROSS/BLUE SHIELD E

4609 12B42 UT BLUE CROSS/BLUE SHIELD

H B

Utah Blue Cross (Regence Blue Cross of Oregon) L

4610 SB930 AK

WA - Premera Blue Cross M X

BLUE CROSS/BLUE SHIELD A

4611 SB930 WA

WA - Premera Blue Cross M X

BLUE CROSS/BLUE SHIELD A

4612 SB930 AK

WA - Premera Blue Cross M X

BLUE CROSS/BLUE SHIELD A

4613 SB930 WA

WA - Premera Blue Cross M X

BLUE CROSS/BLUE SHIELD A

4614 SB803 of

WellChoice NY NJ M X

BLUE CROSS/BLUE SHIELD E

4615 12015 WellPoint GA H X

BLUE CROSS/BLUE SHIELD E

4616 12B15 WellPoint MO H X

BLUE CROSS/BLUE SHIELD N

4617 12B35 WellPoint NY H X

BLUE CROSS/BLUE SHIELD A

4618 12B65 WellPoint MO H X

BLUE CROSS/BLUE SHIELD N

4619 SB803 WellPoint NY M X

BLUE CROSS/BLUE SHIELD E

4620 12B10 Wellmark IA H X

BLUE CROSS/BLUE SHIELD A

4621 12B33 Wellmark SD H X

BLUE CROSS/BLUE SHIELD A

4622 SB640 Wellmark IA H X

BLUE CROSS/BLUE SHIELD E

4623 SB640 Wellmark IA M X

BLUE CROSS/BLUE SHIELD A

4624 SB889 Wellmark SD M X

BLUE CROSS/BLUE SHIELD A

4625 SB889 Wellmark SD M X

BLUE CROSS/BLUE SHIELD E

4626 50503 Altus RI DELTA DENTALD

4627 94276 TX Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4628 94276 LA Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4629 94276 MT Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4630 94276 AK Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4631 94276 NV Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4632 94276 AL Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4633 94276 GA Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4634 94276 MS Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4635 94276 FL Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4636 94276 UT Co. (DDIC) D

Delta Dental Insurance DELTA DENTAL

4637 94276 UT DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4638 94276 MT DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4639 94276 FL DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4640 94276 GA DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4641 94276 TX DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4642 94276 AK DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4643 94276 MS DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4644 94276 NV DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4645 94276 LA DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4646 94276 AL DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4647 DDAL1 DELTA DENTAL

Delta Dental of Alabama (DDIC) D

4648 94276 AK DELTA D

Delta Dental of Alaska (DDIC) DENTAL

4649 94276 NV DELTA D

Delta Dental of Alaska (DDIC) DENTAL

4650 94276 MT DELTA D

Delta Dental of Alaska (DDIC) DENTAL

4651 94276 MS DELTA D

Delta Dental of Alaska (DDIC) DENTAL

4652 94276 UT DELTA D

Delta Dental of Alaska (DDIC) DENTAL

4653 94276 TX DELTA

Delta Dental of Alaska (DDIC) DENTALD

4654 94276 LA DELTA

Delta Dental of Alaska (DDIC) DENTALD

4655 94276 GA DELTA

Delta Dental of Alaska (DDIC) DENTALD

4656 94276 FL DELTA

Delta Dental of Alaska (DDIC) DENTALD

4657 94276 AL DELTA

Delta Dental of Alaska (DDIC) DENTALD

4658 DDAK1 DELTA

Delta Dental of Alaska (DDIC) DENTALD

4659 86027 AZ

Delta Dental of ArizonaDELTA DENTAL D

4660 CDAR1 AR

Delta Dental of Arkansas D

DELTA DENTAL

4661 77777 CA DELTA DENTAL

D

Delta Dental of California - CA00 Claim Office

4662 CDCA1 CA DELTA DENTAL

D

Delta Dental of California/Tricare Retiree Dental

4663 84056 CO

Delta Dental of Colorado D

DELTA DENTAL

4664 51022 DE

Delta Dental of Delaware D

DELTA DENTAL

4665 94276 FL (DDIC)

Delta Dental of Florida DELTA DENTALD

4666 94276 AK (DDIC)

Delta Dental of Florida DELTA DENTALD

4667 94276 MS (DDIC)

Delta Dental of Florida DELTA DENTALD

4668 94276 MT (DDIC)

Delta Dental of Florida DELTA DENTALD

4669 94276 TX (DDIC)

Delta Dental of Florida DELTA DENTALD

4670 94276 LA (DDIC)

Delta Dental of Florida DELTA DENTALD

4671 94276 GA (DDIC)

Delta Dental of Florida DELTA DENTALD

4672 94276 AL (DDIC)

Delta Dental of Florida DELTA DENTALD

4673 94276 UT (DDIC)

Delta Dental of Florida DELTA DENTALD

4674 94276 NV (DDIC)

Delta Dental of Florida DELTA DENTALD

4675 DDFL1 (DDIC)

Delta Dental of Florida DELTA DENTALD

4676 94276 TX DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4677 94276 UT DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4678 94276 MS DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4679 94276 MT DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4680 94276 NV DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4681 94276 AK DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4682 94276 AL DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4683 94276 FL DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4684 94276 GA DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4685 94276 LA DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4686 DDGA1 DELTA DENTAL

Delta Dental of Georgia (DDIC) D

4687 82029 ID

Delta Dental of Idaho DELTA DENTAL D

4688 5030 IL D

Delta Dental of Illinois DELTA DENTAL

4689 CDIN1 IN

Delta Dental of IndianaDELTA DENTAL D

4690 CDIA1 IA

Delta Dental of Iowa DELTA DENTAL D

4691 CDKS1 KS

Delta Dental of Kansas DELTA DENTAL D

4692 CDKS1 KS

Delta Dental of Kansas DELTA DENTAL D

4693 CDKY1 KY

Delta Dental of Kentucky D

DELTA DENTAL

4694 94276 AK DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4695 94276 AL DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4696 94276 FL DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4697 94276 GA DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4698 94276 TX DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4699 94276 NV DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4700 94276 UT DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4701 94276 LA DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4702 94276 MS DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4703 94276 MT DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4704 DDLA1 DELTA DENTAL

Delta Dental of Louisiana (DDIC) D

4705 23166 PA DELTA DENTALD

Delta Dental of Maryland (Pennsylvania)

4706 4614 MA DELTA DENTAL

Delta Dental of Massachusetts D

4707 CDMI0 MI DELTA DENTAL

Delta Dental of Michigan D

4708 CDMN1 MN DELTA

Delta Dental of Minnesota DENTAL D

4709 94276 MS DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4710 94276 GA DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4711 94276 AL DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4712 94276 MT DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4713 94276 LA DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4714 94276 TX DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4715 94276 AK DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4716 94276 UT DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4717 94276 FL DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4718 94276 NV DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4719 DDMS1 DELTA DENTAL

Delta Dental of Mississippi (DDIC) D

4720 43090 MO DELTA DENTAL

Delta Dental of Missouri D

4721 94276 MT DELTA DENTAL

Delta Dental of Montana (DDIC) D

4722 94276 MS DELTA DENTAL

Delta Dental of Montana (DDIC) D

4723 94276 LA DELTA DENTAL

Delta Dental of Montana (DDIC) D

4724 94276 UT DELTA DENTAL

Delta Dental of Montana (DDIC) D

4725 94276 TX DELTA DENTAL

Delta Dental of Montana (DDIC) D

4726 94276 GA DELTA DENTAL

Delta Dental of Montana (DDIC) D

4727 94276 FL DELTA DENTAL

Delta Dental of Montana (DDIC) D

4728 94276 AL DELTA DENTAL

Delta Dental of Montana (DDIC) D

4729 94276 AK DELTA DENTAL

Delta Dental of Montana (DDIC) D

4730 94276 NV DELTA DENTAL

Delta Dental of Montana (DDIC) D

4731 DDMT1 DELTA DENTAL

Delta Dental of Montana (DDIC) D

4732 CDNE1 NE DELTA DENTAL

Delta Dental of Nebraska D

4733 94276 FL (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4734 94276 GA (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4735 94276 TX (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4736 94276 UT (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4737 94276 AK (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4738 94276 AL (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4739 94276 NV (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4740 94276 MT (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4741 94276 MS (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4742 94276 LA (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4743 DDNV1 (DDIC)

Delta Dental of NevadaDELTA DENTAL D

4744 22189 NJ DELTA

Delta Dental of New Jersey DENTAL D

4745 85022 NM DELTA

Delta Dental of New Mexico DENTAL D

4746 11198 NY DELTA DENTAL

Delta Dental of New York D

4747 56101 NC DELTA D

Delta Dental of North CarolinaDENTAL

4748 CDND1 ND DELTA D

Delta Dental of North Dakota DENTAL

4749 CDOH1 OH

Delta Dental of Ohio DELTA DENTALD

4750 CDOK1 OK

Delta Dental of Oklahoma D

DELTA DENTAL

4751 CDOR1 OR (Oregon Dental

D

Delta Dental of OregonDELTA DENTAL Service)

4752 23166 PA DELTA D

Delta Dental of Pennsylvania DENTAL

4753 5029 RI DELTA D

Delta Dental of Rhode Island DENTAL

4754 43091 SC DELTA D

Delta Dental of South CarolinaDENTAL

4755 54097 SD DELTA D

Delta Dental of South Dakota DENTAL

4756 CDTN1 TN DELTA

Delta Dental of Tennessee DENTAL D

4757 94276 AK DELTA D

Delta Dental of Texas (DDIC) DENTAL

4758 94276 NV DELTA D

Delta Dental of Texas (DDIC) DENTAL

4759 94276 MT DELTA D

Delta Dental of Texas (DDIC) DENTAL

4760 94276 MS DELTA D

Delta Dental of Texas (DDIC) DENTAL

4761 94276 LA DELTA D

Delta Dental of Texas (DDIC) DENTAL

4762 94276 UT DELTA D

Delta Dental of Texas (DDIC) DENTAL

4763 94276 TX DELTA D

Delta Dental of Texas (DDIC) DENTAL

4764 94276 GA DELTA D

Delta Dental of Texas (DDIC) DENTAL

4765 94276 FL DELTA D

Delta Dental of Texas (DDIC) DENTAL

4766 94276 AL DELTA D

Delta Dental of Texas (DDIC) DENTAL

4767 DDTX1 DELTA D

Delta Dental of Texas (DDIC) DENTAL

4768 94276 AK DELTA D

Delta Dental of Utah (DDIC) DENTAL

4769 94276 MS DELTA D

Delta Dental of Utah (DDIC) DENTAL

4770 94276 UT DELTA D

Delta Dental of Utah (DDIC) DENTAL

4771 94276 MT DELTA D

Delta Dental of Utah (DDIC) DENTAL

4772 94276 TX DELTA D

Delta Dental of Utah (DDIC) DENTAL

4773 94276 NV DELTA D

Delta Dental of Utah (DDIC) DENTAL

4774 94276 AL DELTA D

Delta Dental of Utah (DDIC) DENTAL

4775 94276 LA DELTA D

Delta Dental of Utah (DDIC) DENTAL

4776 94276 FL DELTA D

Delta Dental of Utah (DDIC) DENTAL

4777 94276 GA DELTA D

Delta Dental of Utah (DDIC) DENTAL

4778 CDVA1 VA D

Delta Dental of VirginiaDELTA DENTAL

4779 * 52147 DC DELTA DENTAL

Delta Dental of Washington DC D

4780 31096 WV DELTA D

Delta Dental of West Virginia DENTAL

4781 39069 WI DELTA DENTAL

Delta Dental of Wisconsin D

4782 CDWY1 WY

Delta Dental of Wyoming D

DELTA DENTAL

4783 DDUT1 DELTA D

Delta Dentoal of Utah (DDIC) DENTAL

4784 DDCA2 DeltaCare USA Claims DELTA DENTALD

4785 DDCA3 DELTA

DeltaCare USA Encounters DENTAL D

4786 4356 DentaQuest MA D

DELTA DENTAL

4787 4356 DentaQuest DC D

DELTA DENTAL

4788 2027 VT (ME NH VT)

D

Northeast Delta DentalDELTA DENTAL

4789 2027 NH (ME NH VT)

D

Northeast Delta DentalDELTA DENTAL

4790 2027 ME (ME NH VT)

D

Northeast Delta DentalDELTA DENTAL

4791 12001 ACS Inc. DC MEDICAID H X A

4792 12K03 ACS Inc. CO MEDICAID H X C

4793 12K05 ACS Inc. GA MEDICAID H X C

4794 12K22 ACS Inc. NM MEDICAID H B N

4795 12K27 ACS Inc. WA MEDICAID H X A

4796 12K30 ACS Inc. WY MEDICAID H X N

4797 12K34 ACS Inc. FL MEDICAID H X A

4798 12K64 ACS Inc. TX MEDICAID H X N

4799 12K77 ACS Inc. MT MEDICAID H B E

4800 SKCO0 ACS Inc. CO MEDICAID M X C

4801 SKDC0 ACS Inc. DC MEDICAID M X C

4802 SKFL0 ACS Inc. FL MEDICAID H X N

4803 SKFL0 ACS Inc. FL MEDICAID M X A

4804 SKFL0 ACS Inc. FL MEDICAID M X N

4805 SKGA0 ACS Inc. GA MEDICAID M X A

4806 SKGA0 ACS Inc. GA MEDICAID M X C

4807 SKHI0 ACS Inc. HI MEDICAID M X A

4808 SKMS0 ACS Inc. MS MEDICAID M X A

4809 SKMS0 ACS Inc. MS MEDICAID M X C

4810 SKMT0 ACS Inc. MT MEDICAID M X E

4811 SKMT0 ACS Inc. MT MEDICAID H X E

4812 SKMT0 ACS Inc. MT MEDICAID M X E

4813 SKNM0 ACS Inc. NM MEDICAID M X N

4814 SKTX0 ACS Inc. TX MEDICAID H X E

4815 SKTX0 ACS Inc. TX MEDICAID M X N

4816 SKTX0 ACS Inc. TX MEDICAID M X C

4817 SKWA0 ACS Inc. WA MEDICAID M X E

4818 SKWA0 ACS Inc. WA MEDICAID M X A

4819 SKWA0 ACS Inc. WA MEDICAID H X N

4820 SKWY0 ACS Inc. WY MEDICAID M X C

4821 12K02 AZ MEDICAID H B

AZ Health Care Cost Containment System (AHCCCS) N

4822 SKAZ0 AZ MEDICAID M X

AZ Health Care Cost Containment System (AHCCCS) N

4823 23225 MEDICAID H

Aetna Better Health Connecticut Medicaid B N

4824 23225 MEDICAID M

Aetna Better Health Connecticut Medicaid N N

4825 38692 Aetna TX Medicaid & CHIPMEDICAID M B N

4826 38692 Aetna TX Medicaid & CHIPMEDICAID H B N

4827 CKAK1 AK

Alaska Medicaid MEDICAID D

4828 CKAK1 AK

Alaska Medicaid MEDICAID D

4829 CX052 MEDICAID D

Atlantic Dental Inc. (ADI) - Medicaid

4830 403 MEDICAID H

Blue Choice Medicaid Managed Care B N

4831 403 MEDICAID M

Blue Choice Medicaid Managed Care B N

4832 SKTN2 TN MEDICAID M B

Blue Cross & Blue Shield of Tennessee (Chattanooga) A

4833 CKOH2 CareSourceOH MEDICAID D

4834 12K85 MEDICAID H

Carolina Crescent Health Plan N N

4835 Call CA

Central Coast Alliance MEDICAID H B N

4836 Call CA

Central Coast Alliance MEDICAID M X N

4837 12K35 NY

Computer Science Corp. MEDICAID H X A

4838 SKNY0 NY

Computer Science Corp. MEDICAID M X N

4839 SKNY0 NY

Computer Science Corp. MEDICAID H X N

4840 SKNY0 NY

Computer Science Corp. MEDICAID M X A

4841 12K79 CT MEDICAID Anthem E. Region

Connecticut Blue Care (Medicaid)/ H B N

4842 CKDE1 DE

Delaware Medicaid MEDICAID D

4843 CKDE1 DE

Delaware Medicaid MEDICAID D

4844 * 94146 Denti-Cal CA MEDICAID D

4845 94146 Denti-Cal CA MEDICAID D

4846 12007 MD MEDICAID Hygiene X

Department of Health and Mental H N

4847 SKMD0 MD MEDICAID Hygiene X

Department of Health and Mental M A

4848 SKMD0 MD MEDICAID Hygiene X

Department of Health and Mental M N

4849 12K16 MN MEDICAID H

Dept. of Human Services X A

4850 12K24 OH MEDICAID H

Dept. of Human Services X N

4851 12K36 SD MEDICAID H

Dept. of Human Services B A

4852 SKMN0 MN MEDICAID M

Dept. of Human Services X E

4853 SKMN0 MN MEDICAID M

Dept. of Human Services X A

4854 SKOH0 OH MEDICAID M

Dept. of Human Services X N

4855 SKOH0 OH MEDICAID H

Dept. of Human Services X E

4856 SKOH0 OH MEDICAID M

Dept. of Human Services X A

4857 SKSD0 SD MEDICAID M

Dept. of Human Services X E

4858 SKSD0 SD MEDICAID M

Dept. of Human Services X A

4859 SKSD0 SD MEDICAID H

Dept. of Human Services X E

4860 CKDC1 MEDICAID D

District of Columbia Medicaid

4861 CKDC1 MEDICAID D

District of Columbia Medicaid

4862 CX014 WI MEDICAID D

Doral Dental Plan of Wisconsin

4863 12008 EDS PA MEDICAID H X N

4864 12023 EDS AR MEDICAID H X N

4865 12K01 EDS AL MEDICAID H X N

4866 12K04 EDS CT MEDICAID H X A

4867 12K09 EDS IN MEDICAID H X N

4868 12K11 EDS KY MEDICAID H X A

4869 12K25 EDS OK MEDICAID H X N

4870 12K74 EDS RI MEDICAID H B A

4871 47163 EDS KS MEDICAID H X N

4872 SKAL0 EDS AL MEDICAID M X E

4873 SKAL0 EDS AL MEDICAID M X N

4874 SKAR0 EDS AR MEDICAID M X E

4875 SKAR0 EDS AR MEDICAID M X N

4876 SKCT0 EDS CT MEDICAID M X A

4877 SKCT0 EDS CT MEDICAID M X C

4878 SKDE0 EDS DE MEDICAID M X N

4879 SKDE0 EDS DE MEDICAID M X A

4880 SKID0 EDS ID MEDICAID M X A

4881 SKID0 EDS ID MEDICAID M X N

4882 SKIN0 EDS IN MEDICAID M X B

4883 SKIN0 EDS IN MEDICAID M X N

4884 SKKS0 EDS KS MEDICAID M X C

4885 SKKS0 EDS KS MEDICAID M X A

4886 SKKY0 EDS KY MEDICAID M X N

4887 SKKY0 EDS KY MEDICAID M X L

4888 * SKMA0 EDS MA MEDICAID M B C

4889 SKMA0 EDS MA MEDICAID H X L

4890 SKMA0 EDS MA MEDICAID M X L

4891 SKNC0 EDS NC MEDICAID M X C

4892 SKNC0 EDS NC MEDICAID M X E

4893 SKNH0 EDS NH MEDICAID M X A

4894 SKOK0 EDS OK MEDICAID M X E

4895 SKOK0 EDS OK MEDICAID M X N

4896 SKPA0 EDS PA MEDICAID H X N

4897 SKPA0 EDS PA MEDICAID M X L

4898 SKPA0 EDS PA MEDICAID M X N

4899 SKRI0 EDS RI MEDICAID M X E

4900 SKRI0 EDS RI MEDICAID M X A

4901 SKVT0 EDS VT MEDICAID M X A

4902 SKWI0 EDS WI MEDICAID M X A

4903 57016 CA

EDS - Medi-Cal MEDICAID H X A

4904 SKCA0 CA

EDS - Medi-Cal MEDICAID M X A

4905 SKCA0 CA

EDS - Medi-Cal MEDICAID M X A

4906 * 12K14 EDS FederalMACorp. MEDICAID H B L

4907 12K26 EDS FederalVTCorp. MEDICAID H X A

4908 12K20 Services Corp

First HealthNV MEDICAID H X A

4909 12003 Services Corp.

First HealthVA MEDICAID H X N

4910 12003 Services Corp.

First HealthVA MEDICAID H X N

4911 SKAK0 Services Corp.

First HealthAK MEDICAID M X A

4912 SKAK0 Services Corp.

First HealthAK MEDICAID M X N

4913 SKNV0 Services Corp.

First HealthNV MEDICAID M X A

4914 SKNV0 Services Corp.

First HealthNV MEDICAID H X C

4915 SKNV0 Services Corp.

First HealthNV MEDICAID M X E

4916 SKVA0 Services Corp.

First HealthVA MEDICAID M X E

4917 SKVA0 Services Corp.

First HealthVA MEDICAID M X E

4918 SKVA0 Services Corp.

First HealthVA MEDICAID M X N

4919 SKVA0 Services Corp.

First HealthVA MEDICAID H X E

4920 SKVA0 Services Corp.

First HealthVA MEDICAID H X E

4921 SKVA0 Services Corp.

First HealthVA MEDICAID M X N

4922 12K89 Florida NetPass MEDICAID H X N

4923 65063 Florida NetPass MEDICAID M X N

4924 SKIL0 IL

Health & Family ServicesMEDICAID M X N

4925 CX010 MN MEDICAID D

Health Partners of Minnesota - Medicaid

4926 12K19 NE MEDICAID H X

Health and Human Services of Lincoln Nebraska C

4927 SKNE0 NE MEDICAID M X

Health and Human Services of Lincoln Nebraska C

4928 SKNE0 NE MEDICAID M X

Health and Human Services of Lincoln Nebraska C

4929 12K81 IU Health Inc MEDICAID H B N

4930 12K07 ID

Idaho Medicaid MEDICAID H X A

4931 CKIL1 IL

Illinois Medicaid MEDICAID D

4932 CX070 MEDICAID D

Indiana Children's Special Healthcare

4933 CX070 MEDICAID D

Indiana Children's Special Healthcare

4934 12K15 MO

InfoCrossings MEDICAID H X N

4935 SKMO0 MO

InfoCrossings MEDICAID M X A

4936 SKMO0 MO

InfoCrossings MEDICAID M X N

4937 CKKS1 KS

Kansas Medicaid MEDICAID D

4938 CKKS1 KS

Kansas Medicaid MEDICAID D

4939 CKKY1 KY

Kentucky Medicaid MEDICAID D

4940 CKKY1 KY

Kentucky Medicaid MEDICAID D

4941 CKLA2 LA MEDICAID

Louisiana Medicaid (Adult Dental) D

4942 CKLA1 LA MEDICAID D

Louisiana Medicaid (EPSDT)

4943 SKLA2 LA MEDICAID M

Louisiana Medicaid - Ambulance claims X E

4944 SKLA1 MEDICAID

Louisiana Medicaid - DME Claims M X E

4945 SKLA3 LA MEDICAID M

Louisiana Medicaid - KidMed Claims X E

4946 D9900900 MEDICAID CT (EDS) MEDICAID H X N

4947 12K62 MEDICAID HAWAII MEDICAID H N N

4948 35177 IN

MPlan (Medicaid) MEDICAID M B N

4949 35177 IN

MPlan (Medicaid) MEDICAID H B N

4950 CX014 WI MEDICAID D

Managed Health Services - WI State Employees

4951 22322 MD MEDICAID

Maryland Public Mental Health H B N

4952 SX069 MD MEDICAID

Maryland Public Mental Health M B N

4953 SKCA1 CA

Medi-Cal (Vision) MEDICAID M N N

4954 12K86 Medicaid Alaska MEDICAID H B N

4955 12KI86 Medicaid Alaska MEDICAID M B N

4956 CKAL1 Alabama MEDICAID D

Medicaid ofAL

4957 CKAL1 Alabama MEDICAID D

Medicaid ofAL

4958 CKAR1 Arkansas MEDICAID D

Medicaid ofAR

4959 CKAR1 Arkansas MEDICAID D

Medicaid ofAR

4960 * 94146 California MEDICAID D

Medicaid ofCA

4961 94146 California MEDICAID D

Medicaid ofCA

4962 CKCO1 Colorado MEDICAID D

Medicaid ofCO

4963 CKCO1 Colorado MEDICAID D

Medicaid ofCO

4964 CKCT1 Connecticut

Medicaid ofCT MEDICAID D

4965 CKCT1 Connecticut

Medicaid ofCT MEDICAID D

4966 12K87 Delaware MEDICAID H

Medicaid ofDE N N

4967 CKFL1 Florida (FL)

Medicaid ofFL MEDICAID D

4968 CKFL1 Florida (FL)

Medicaid ofFL MEDICAID D

4969 CKGA1 Georgia (GA)

Medicaid ofGA MEDICAID D

4970 CKGA1 Georgia (GA)

Medicaid ofGA MEDICAID D

4971 CKID1 Idaho

Medicaid ofID MEDICAID D

4972 CKID1 Idaho

Medicaid ofID MEDICAID D

4973 CKIN1 Indiana MEDICAID D

Medicaid ofIN

4974 CKIN1 Indiana MEDICAID D

Medicaid ofIN

4975 CKIA1 Iowa

Medicaid ofIA MEDICAID D

4976 CKIA1 Iowa

Medicaid ofIA MEDICAID D

4977 CKKY3 Kentucky Region #3 (Doral Dental Services)

Medicaid ofKY MEDICAID D

4978 12K94 MEDICAID H

Medicaid of Louisiana-Home Health B N

4979 CKME1 Maine

Medicaid ofME MEDICAID D

4980 CKMD1 Maryland DepartmentD Health and Mental Hygiene

Medicaid ofMD MEDICAID of

4981 CKMD1 Maryland DepartmentD Health and Mental Hygiene

Medicaid ofMD MEDICAID of

4982 CKMA1 Medicaid ofMA MEDICAID D

Massachusetts

4983 CKMN1 Medicaid ofMNMinnesotaMEDICAID D

4984 CKMN1 Medicaid ofMNMinnesotaMEDICAID D

4985 CKMO1 Medicaid ofMOMissouri MEDICAID D

4986 CKMO1 Medicaid ofMOMissouri MEDICAID D

4987 CKNV1 Medicaid ofNVNevada MEDICAID D

4988 CKNV1 Medicaid ofNVNevada MEDICAID D

4989 CKNH1 New

Medicaid ofNH HampshireMEDICAID D

4990 CKNH1 New

Medicaid ofNH HampshireMEDICAID D

4991 CKNJ1 Medicaid ofNJNew JerseyMEDICAID D

4992 CKNJ1 Medicaid ofNJNew JerseyMEDICAID D

4993 CKNY2 New MEDICAID D

Medicaid ofNY York (Dental Clinics Only)

4994 CKNY2 New MEDICAID D

Medicaid ofNY York (Dental Clinics Only)

4995 CKNC1 Medicaid ofNC MEDICAID D

North Carolina

4996 CKNC1 Medicaid ofNC MEDICAID D

North Carolina

4997 CKOH1 Medicaid ofOHOhio MEDICAID D

4998 CKOH1 Medicaid ofOHOhio MEDICAID D

4999 CKOK1 Medicaid ofOKOklahoma MEDICAID D

5000 CKOK1 Medicaid ofOKOklahoma MEDICAID D

5001 CKOR1 Medicaid ofOROregon MEDICAID D

5002 CKOR1 Medicaid ofOROregon MEDICAID D

5003 CKPA1 Medicaid ofPA MEDICAID D

Pennsylvania

5004 CKPA1 Medicaid ofPA MEDICAID D

Pennsylvania

5005 CKRI1 Medicaid ofRI MEDICAID D

Rhode Island

5006 CKRI1 Medicaid ofRI MEDICAID D

Rhode Island

5007 CKTX1 Medicaid ofTXTexas MEDICAID D

5008 CKTX1 Medicaid ofTXTexas MEDICAID D

5009 CKUT1 Medicaid ofUTUtah MEDICAID D

5010 CKUT1 Medicaid ofUTUtah MEDICAID D

5011 CKUT1 Medicaid ofUTUtah MEDICAID D

5012 CKVT1 Medicaid ofVTVermont MEDICAID D

5013 CKVT1 Medicaid ofVTVermont MEDICAID D

5014 CKWA1 Medicaid ofWAWashingtonMEDICAID D

5015 CKWA1 Medicaid ofWAWashingtonMEDICAID D

5016 CKWV1 West

Medicaid ofWV Virginia MEDICAID D

5017 CKWV1 West

Medicaid ofWV Virginia MEDICAID D

5018 CKWI1 Medicaid ofWIWisconsin MEDICAID D

5019 CKWI1 Medicaid ofWIWisconsin MEDICAID D

5020 CKWY1 Medicaid ofWYWyoming MEDICAID D

5021 CKWY1 Medicaid ofWYWyoming MEDICAID D

5022 12K37 MI

Michigan Medicaid MEDICAID H B N

5023 CKMI1 MI

Michigan Medicaid MEDICAID D

5024 CKMI1 MI

Michigan Medicaid MEDICAID D

5025 SKMI0 MI

Michigan Medicaid MEDICAID M X A

5026 SKMI0 MI

Michigan Medicaid MEDICAID M X A

5027 CKMS1 MS

Mississippi Medicaid MEDICAID D

5028 CKMS1 MS

Mississippi Medicaid MEDICAID D

5029 CKMT1 MT

Montana Medicaid MEDICAID D

5030 CKMT1 MT

Montana Medicaid MEDICAID D

5031 CKNE1 Nebraska Medicaid MEDICAID D

5032 CKNE1 Nebraska Medicaid MEDICAID D

5033 12K90 New Hampshire Medicaid MEDICAID H X E

5034 CKNM1 NM

New Mexico Medicaid MEDICAID D

5035 CKNY1 NY

New York Medicaid MEDICAID D

5036 CKNY1 NY

New York Medicaid MEDICAID D

5037 12K10 IA

Noridian Medicare MEDICAID H X N

5038 12K10 IA

Noridian Medicare MEDICAID H B A

5039 SKIA0 IA

Noridian Medicare MEDICAID M X N

5040 SKIA0 IA

Noridian Medicare MEDICAID M X C

5041 CKND1 ND

North Dakota MedicaidMEDICAID D

5042 SKND0 ND (Medical)

North Dakota MedicaidMEDICAID M X N

5043 12K41 OR MEDICAID H

Oregon Medical Assistance Program B E

5044 SKOR0 OR MEDICAID M

Oregon Medical Assistance Program X N

5045 SKOR0 OR MEDICAID M

Oregon Medical Assistance Program X A

5046 SX140 PartnershipCA MEDICAID H

Health of California-CAPHP X N

5047 SX140 PartnershipCA MEDICAID M

Health of California-CAPHP B N

5048 SX140 PartnershipCA MEDICAID M

Health of California-CAPHP X N

5049 CX014 WI MEDICAID D

Physicians Plus Insurance Co. Wisconsin State Employees

5050 CX014 Wisconsin State and Federal Employees and Medicaid

Prime Care WI MEDICAID D

5051 Call CA MEDICAID M

Santa Cruz Monterey Managed Medical Care X N

5052 Call CA MEDICAID H B

Santa Cruz Monterey Managed Medical Care CommissionN

5053 SKSC0 SC MEDICAID M X

South Carolina Department of Health & Human Services

5054 SKSC0 SC MEDICAID M X

South Carolina Department of Health & Human Services A

5055 CKSC1 SC

South Carolina Medicaid MEDICAID D

5056 CKSC1 SC

South Carolina Medicaid MEDICAID D

5057 12K13 ME of Medical H

State of Maine Bureau MEDICAID Services X A

5058 SKME0 ME of Medical M

State of Maine Bureau MEDICAID Services X C

5059 12K91 MEDICAID

UAHC Health Plan of Tennessee H X E

5060 SKUT0 UHIN UT MEDICAID M X E

5061 SKUT0 UHIN UT MEDICAID M X E

5062 SKUT0 UHIN UT MEDICAID H X E

5063 12006 UNISYS Corp.NJ MEDICAID H X A

5064 12K12 UNISYS Corp.LA MEDICAID H X A

5065 12K28 UNISYS Corp.WV MEDICAID H X N

5066 SKLA0 UNISYS Corp.LA MEDICAID M X C

5067 SKLA0 UNISYS Corp.LA MEDICAID M X C

5068 SKNJ0 UNISYS Corp.NJ MEDICAID M X A

5069 SKNJ0 UNISYS Corp.NJ MEDICAID M X A

5070 SKWV0 UNISYS Corp.WV MEDICAID M X E

5071 SKWV0 UNISYS Corp.WV MEDICAID H X E

5072 SKWV0 UNISYS Corp.WV MEDICAID M X N

5073 12K1A Value Options PA MEDICAID H X N

5074 CKVA1 VA

Virginia Medicaid MEDICAID D

5075 12K83 Plan

Virginia Premier HealthMEDICAID H B N

5076 12K29 WI

Wisconsin Medicaid MEDICAID H B A

5077 12M08 AdminaStarIL MEDICARE

Federal Inc. (CMIC) H X C

5078 12M08 AdminaStarIL MEDICARE

Federal Inc. (CMIC) H X E

5079 12M08 AdminaStarIL MEDICARE

Federal Inc. (CMIC) H X E

5080 12M09 AdminaStarIN MEDICARE

Federal Inc. (CMIC) H X A

5081 12M11 AdminaStarKY MEDICARE

Federal Inc. (CMIC) H X C

5082 12M24 AdminaStarOH MEDICARE

Federal Inc. (CMIC) H X C

5083 SDMEB AdminaStarUS MEDICARE

Federal Inc. (CMIC) M X A

5084 SDMEB AdminaStarUS MEDICARE

Federal Inc. (CMIC) M X A

5085 SMIN0 AdminaStarIN MEDICARE

Federal Inc. (CMIC) M X N

5086 SMIN0 AdminaStarIN MEDICARE

Federal Inc. (CMIC) M X A

5087 SMKY0 AdminaStarKY MEDICARE

Federal Inc. (CMIC) M X C

5088 SMKY0 AdminaStarKY MEDICARE

Federal Inc. (CMIC) M X C

5089 SMAR0 AR MEDICARE M

Arkansas Blue Cross and Blue Shield X C

5090 SMAR0 AR MEDICARE M

Arkansas Blue Cross and Blue Shield X L

5091 SMLA0 LA MEDICARE M

Arkansas Blue Cross and Blue Shield X A

5092 SMLA0 LA MEDICARE M

Arkansas Blue Cross and Blue Shield X C

5093 Arkansas Blue Cross and Blue Shield

See Comments RI MEDICARE H X N

5094 12M53 TN MEDICARE H X

Blue Cross & Blue Shield of Tennessee (Chattanooga) A

5095 12M53 TN MEDICARE H X

Blue Cross & Blue Shield of Tennessee (Chattanooga) E

5096 SMKC0 MO MEDICARE

Blue Cross Blue Shield of Kansas M X C

5097 SMKC0 MO MEDICARE

Blue Cross Blue Shield of Kansas M X A

5098 SMKC0 KS MEDICARE

Blue Cross Blue Shield of Kansas M X A

5099 SMKC0 KS MEDICARE

Blue Cross Blue Shield of Kansas M X C

5100 SMKS0 KS MEDICARE

Blue Cross Blue Shield of Kansas M X A

5101 SMKS0 KS MEDICARE

Blue Cross Blue Shield of Kansas M X C

5102 SMNE0 NE MEDICARE

Blue Cross Blue Shield of Kansas M X A

5103 SMNE0 NE MEDICARE

Blue Cross Blue Shield of Kansas M X C

5104 12M19 NE MEDICARE

Blue Cross Blue Shield of NebraskaH X A

5105 AR MEDICARE H

12022 Blue Cross and Blue Shield of Arkansas X A

5106 SMID0 CIGNA ID MEDICARE M X C

5107 SMID0 CIGNA ID MEDICARE M X A

5108 SMNC0 CIGNA NC MEDICARE M X C

5109 SMNC0 CIGNA NC MEDICARE M X A

5110 SMTN0 CIGNA TN MEDICARE M X C

5111 SMTN0 CIGNA TN MEDICARE M X A

5112 12M97 NE MEDICARE H

Cahaba GBA Home Health & Hospice X N

5113 12M97 NE MEDICARE H

Cahaba GBA Home Health & Hospice X A

5114 12M97 DE MEDICARE H

Cahaba GBA Home Health & Hospice X N

5115 12M97 DE MEDICARE H

Cahaba GBA Home Health & Hospice X A

5116 12M97 ND MEDICARE H

Cahaba GBA Home Health & Hospice X A

5117 12M97 ND MEDICARE H

Cahaba GBA Home Health & Hospice X N

5118 12M97 MT MEDICARE H

Cahaba GBA Home Health & Hospice X A

5119 12M97 MT MEDICARE H

Cahaba GBA Home Health & Hospice X N

5120 12M97 VA MEDICARE H

Cahaba GBA Home Health & Hospice X A

5121 12M97 MO MEDICARE H

Cahaba GBA Home Health & Hospice X N

5122 12M97 MO MEDICARE H

Cahaba GBA Home Health & Hospice X A

5123 12M97 VA MEDICARE H

Cahaba GBA Home Health & Hospice X N

5124 12M97 UT MEDICARE H

Cahaba GBA Home Health & Hospice X A

5125 12M97 UT MEDICARE H

Cahaba GBA Home Health & Hospice X N

5126 12M97 SD MEDICARE H

Cahaba GBA Home Health & Hospice X A

5127 12M97 SD MEDICARE H

Cahaba GBA Home Health & Hospice X N

5128 12M97 PA MEDICARE H

Cahaba GBA Home Health & Hospice X A

5129 12M97 PA MEDICARE H

Cahaba GBA Home Health & Hospice X N

5130 12M97 DC MEDICARE H

Cahaba GBA Home Health & Hospice X A

5131 12M97 DC MEDICARE H

Cahaba GBA Home Health & Hospice X N

5132 12M97 CO MEDICARE H

Cahaba GBA Home Health & Hospice X A

5133 12M97 CO MEDICARE H

Cahaba GBA Home Health & Hospice X N

5134 12M97 IA MEDICARE H

Cahaba GBA Home Health & Hospice X N

5135 12M97 IA MEDICARE H

Cahaba GBA Home Health & Hospice X A

5136 12M97 KS MEDICARE H

Cahaba GBA Home Health & Hospice X N

5137 12M97 KS MEDICARE H

Cahaba GBA Home Health & Hospice X A

5138 12M97 MD MEDICARE H

Cahaba GBA Home Health & Hospice X N

5139 12M97 MD MEDICARE H

Cahaba GBA Home Health & Hospice X A

5140 12M97 WV MEDICARE H

Cahaba GBA Home Health & Hospice X N

5141 12M97 WV MEDICARE H

Cahaba GBA Home Health & Hospice X A

5142 12M97 WY MEDICARE H

Cahaba GBA Home Health & Hospice X N

5143 12M97 WY MEDICARE H

Cahaba GBA Home Health & Hospice X A

5144 12M01 AL BCBS of Alabama

Cahaba GBA Division ofMEDICARE H X C

5145 12M01 SD BCBS of Alabama

Cahaba GBA Division ofMEDICARE H X C

5146 12M05 GA BCBS of Alabama

Cahaba GBA Division ofMEDICARE H B C

5147 12M05 GA BCBS of Alabama

Cahaba GBA Division ofMEDICARE H X A

5148 SMAL0 AL BCBS of Alabama

Cahaba GBA Division ofMEDICARE M X A

5149 SMAL0 AL BCBS of Alabama

Cahaba GBA Division ofMEDICARE M X E

5150 SMGA0 GA BCBS of Alabama

Cahaba GBA Division ofMEDICARE M X C

5151 SMGA0 GA BCBS of Alabama

Cahaba GBA Division ofMEDICARE M X C

5152 SMMS0 MS BCBS of Alabama

Cahaba GBA Division ofMEDICARE M X C

5153 SMMS0 MS BCBS of Alabama

Cahaba GBA Division ofMEDICARE M X C

5154 SMCT0 CT MEDICARE M

Connecticut Medicare (NGS) X C

5155 SMCT0 CT MEDICARE M

Connecticut Medicare (NGS) X C

5156 SDMEA US A) - NHIC

DME Region A (DMERCMEDICARE M X C

5157 SDMEA US A) - NHIC

DME Region A (DMERCMEDICARE M X E

5158 SDMEB US B)

DME Region B (DMERCMEDICARE M X A

5159 SDMEB US B)

DME Region B (DMERCMEDICARE M X A

5160 SDMEC US C)

DME Region C (DMERCMEDICARE M X C

5161 SDMEC US C)

DME Region C (DMERCMEDICARE M X L

5162 SDMED US D)

DME Region D (DMERCMEDICARE M X C

5163 SDMED US D)

DME Region D (DMERCMEDICARE M X E

5164 12M04 CT

Empire Medicare ServicesMEDICARE H X B

5165 12M35 NY

Empire Medicare ServicesMEDICARE H X N

5166 12M35 NY

Empire Medicare ServicesMEDICARE H X A

5167 Empire Medicare Services

See Comments DE MEDICARE H X L

5168 12M34 FL MEDICARE H

First Coast Service Options X A

5169 12M34 FL MEDICARE H

First Coast Service Options X E

5170 SMFL0 FL MEDICARE M

First Coast Service Options X C

5171 SMFL0 FL MEDICARE M

First Coast Service Options X L

5172 SMPR0 MEDICARE M

First Coast Service Options B E

5173 SMVI0 MEDICARE M

First Coast Service Options B E

5174 91164 MEDICARE M B

Highline Medical Service Organization - Molina N

5175 91164 MEDICARE H B

Highline Medical Service Organization - Molina N

5176 91161 MEDICARE M

Highline Medical Service Organization - PSHP N N

5177 12005 NJ MEDICARE H

Highmark Medicare Services N C

5178 12010 MD MEDICARE H

Highmark Medicare Services X A

5179 12010 VA MEDICARE H

Highmark Medicare Services X A

5180 12M60 PA MEDICARE H

Highmark Medicare Services X N

5181 12M60 PA MEDICARE H

Highmark Medicare Services X C

5182 12M63 DC MEDICARE H

Highmark Medicare Services X E

5183 SMDC0 DC MEDICARE M

Highmark Medicare Services X A

5184 SMDC0 DC MEDICARE M

Highmark Medicare Services X A

5185 SMDE0 DE MEDICARE M

Highmark Medicare Services X N

5186 SMDE0 DE MEDICARE M

Highmark Medicare Services X C

5187 SMMD0 MD MEDICARE M

Highmark Medicare Services X E

5188 SMMD0 MD MEDICARE M

Highmark Medicare Services X L

5189 SMNJ0 NJ MEDICARE M

Highmark Medicare Services X A

5190 SMNJ0 NJ MEDICARE M

Highmark Medicare Services X A

5191 SMPA0 PA MEDICARE M

Highmark Medicare Services X A

5192 SMPA0 PA MEDICARE M

Highmark Medicare Services X A

5193 12M10 A

Iowa McareIA WPS MEDICARE H X C

5194 12M10 A

Iowa McareIA WPS MEDICARE H X E

5195 SMIA0 IA MEDICARE M

Iowa Medicare Part B (WPS) X C

5196 SMIA0 IA MEDICARE M

Iowa Medicare Part B (WPS) X C

5197 SMKC0 Medicare MEDICARE M

Kansas City MO X A

5198 SMKC0 Medicare MEDICARE M

Kansas City MO X C

5199 SMKC0 Medicare MEDICARE M

Kansas City KS X C

5200 SMKC0 Medicare MEDICARE M

Kansas City KS X A

5201 SMKC0 Medicare Part B (WPS)M

Kansas City KS MEDICARE X A

5202 SMKC0 Medicare Part B (WPS)M

Kansas City KS MEDICARE X C

5203 SMKC0 Medicare Part B (WPS)M

Kansas City MO MEDICARE X C

5204 SMKC0 Medicare Part B (WPS)M

Kansas City MO MEDICARE X A

5205 SMKS0 KS

Kansas Medicare MEDICARE M X A

5206 SMKS0 KS

Kansas Medicare MEDICARE M X C

5207 SMKS0 KS MEDICARE M

Kansas Medicare Part B (WPS) X A

5208 SMKS0 KS MEDICARE M

Kansas Medicare Part B (WPS) X C

5209 12M85 Mcare Advantage Plan MEDICARE H X N

5210 SMCA1 CA (Palmetto)

Medicare CA Northern MEDICARE M X A

5211 SMCA1 CA (Palmetto)

Medicare CA Northern MEDICARE M X L

5212 SMCA2 CA (Palmetto)

Medicare CA Southern MEDICARE M X C

5213 SMCA2 CA (Palmetto)

Medicare CA Southern MEDICARE M X L

5214 SMHI0 HI MEDICARE M

Medicare Hawaii (Palmetto) X C

5215 SMNV0 NV MEDICARE M

Medicare Nevada (Palmetto) X C

5216 SMNV0 NV MEDICARE M

Medicare Nevada (Palmetto) X L

5217 SX170 MI

Medicare Plus Blue MEDICARE M X E

5218 12M80 SC MEDICARE Hospice - Gulf Coast and Mid West

Medicare Regional Home Health &H X N

5219 12M15 MO MEDICARE H

Missouri Mcare Part A WPS X A

5220 12M15 MO MEDICARE H

Missouri Mcare Part A WPS X N

5221 SMMO0 MO B (WPS)

Missouri Medicare PartMEDICARE M X A

5222 SMMO0 MO B (WPS)

Missouri Medicare PartMEDICARE M X C

5223 52280 US MEDICARE H

Mutual of Omaha Insurance Company B C

5224 SMNY0 NY MEDICARE M

National Government Services X A

5225 SMNY0 NY MEDICARE M

National Government Services X A

5226 SMNY1 NY MEDICARE M

National Government Services X A

5227 SMNY1 NY MEDICARE M

National Government Services X N

5228 SMNY2 NY MEDICARE M

National Government Services X E

5229 SMNY2 NY MEDICARE M

National Government Services X E

5230 12M13 ME MEDICARE H

National Heritage Insurance Company (NHIC) X A

5231 12M14 MA MEDICARE H

National Heritage Insurance Company (NHIC) B N

5232 12M21 NH MEDICARE H

National Heritage Insurance Company (NHIC) B A

5233 SMMA0 MA MEDICARE M

National Heritage Insurance Company (NHIC) X B

5234 SMMA0 MA MEDICARE M

National Heritage Insurance Company (NHIC) X C

5235 SMME0 ME MEDICARE M

National Heritage Insurance Company (NHIC) X N

5236 SMME0 ME MEDICARE M

National Heritage Insurance Company (NHIC) X A

5237 SMNH0 NH MEDICARE M

National Heritage Insurance Company (NHIC) X A

5238 SMNH0 NH MEDICARE M

National Heritage Insurance Company (NHIC) X C

5239 SMRI0 RI MEDICARE M

National Heritage Insurance Company (NHIC) X A

5240 SMRI0 RI MEDICARE M

National Heritage Insurance Company (NHIC) X A

5241 SMVT0 VT MEDICARE M

National Heritage Insurance Company (NHIC) X A

5242 SMVT0 VT MEDICARE M

National Heritage Insurance Company (NHIC) X A

5243 SMNE0 NE MEDICARE

Nebraska Medicare Part B (WPS) M X C

5244 SMNE0 NE MEDICARE

Nebraska Medicare Part B (WPS) M X A

5245 12M02 AZ

Noridian Medicare MEDICARE H B A

5246 12M07 ID

Noridian Medicare MEDICARE H X A

5247 12M07 ID

Noridian Medicare MEDICARE H X N

5248 12M16 MN

Noridian Medicare MEDICARE H X A

5249 12M16 MN

Noridian Medicare MEDICARE H X E

5250 12M30 WY

Noridian Medicare MEDICARE H B E

5251 12M30 WY

Noridian Medicare MEDICARE H X E

5252 12M41 OR

Noridian Medicare MEDICARE H B L

5253 12M45 WA

Noridian Medicare MEDICARE H B E

5254 12M45 WA

Noridian Medicare MEDICARE H X E

5255 12M77 MT

Noridian Medicare MEDICARE H B A

5256 12M77 MT

Noridian Medicare MEDICARE H X N

5257 12M82 ND

Noridian Medicare MEDICARE H B E

5258 12M83 SD

Noridian Medicare MEDICARE H B E

5259 12M84 UT

Noridian Medicare MEDICARE H X E

5260 12M84 UT

Noridian Medicare MEDICARE H X E

5261 SMAK0 AK

Noridian Medicare MEDICARE M X C

5262 SMAK0 AK

Noridian Medicare MEDICARE M X C

5263 SMAZ0 AZ

Noridian Medicare MEDICARE M X C

5264 SMAZ0 AZ

Noridian Medicare MEDICARE M X C

5265 SMMT0 MT

Noridian Medicare MEDICARE M X B

5266 SMMT0 MT

Noridian Medicare MEDICARE M X E

5267 SMND0 ND

Noridian Medicare MEDICARE M X C

5268 SMND0 ND

Noridian Medicare MEDICARE M X C

5269 SMOR0 OR

Noridian Medicare MEDICARE M X C

5270 SMOR0 OR

Noridian Medicare MEDICARE M X A

5271 SMSD0 SD

Noridian Medicare MEDICARE M X C

5272 SMSD0 SD

Noridian Medicare MEDICARE M X C

5273 SMUT0 UT

Noridian Medicare MEDICARE M X A

5274 SMUT0 UT

Noridian Medicare MEDICARE M X A

5275 SMWA0 WA

Noridian Medicare MEDICARE M X C

5276 SMWA0 WA

Noridian Medicare MEDICARE M X C

5277 SMWY0 WY

Noridian Medicare MEDICARE M X C

5278 SMWY0 WY

Noridian Medicare MEDICARE M X C

5279 SDMEC Palmetto US MEDICARE M X L

5280 SDMEC Palmetto US MEDICARE M X C

5281 SMOH0 Palmetto WV MEDICARE M X C

5282 SMOH0 Palmetto WV MEDICARE M X C

5283 SMOH0 Palmetto OH MEDICARE M X C

5284 SMOH0 Palmetto OH MEDICARE M X C

5285 12M23 OH MEDICARE H

Palmetto Government Benefit Administrators X A

5286 12M23 NC MEDICARE H

Palmetto Government Benefit Administrators X A

5287 12M64 CA MEDICARE H

Palmetto Government Benefit Administrators B E

5288 SMSC0 SC MEDICARE M

Palmetto Government Benefit Administrators X C

5289 SMSC0 SC MEDICARE M

Palmetto Government Benefit Administrators X A

5290 SRRGA US MEDICARE M

Palmetto Government Benefit Administrators X A

5291 SRRGA US MEDICARE M

Palmetto Government Benefit Administrators X C

5292 SDMEC US Administrators

Palmetto Govt. BenefitMEDICARE M X C

5293 SDMEC US Administrators

Palmetto Govt. BenefitMEDICARE M X L

5294 12M55 SC MEDICARE

SC Medicare Part A & SW/SE RHHI H X E

5295 12M55 SC MEDICARE

SC Medicare Part A & SW/SE RHHI H B A

5296 12M03 CO MEDICARE H

TrailBlazer Health Enterprises (THE) X A

5297 12M22 NM MEDICARE H

TrailBlazer Health Enterprises (THE) X C

5298 12M31 TX MEDICARE H

TrailBlazer Health Enterprises (THE) X N

5299 12M31 TX MEDICARE H

TrailBlazer Health Enterprises (THE) X A

5300 12M31 NM MEDICARE H

TrailBlazer Health Enterprises (THE) X N

5301 12M31 NM MEDICARE H

TrailBlazer Health Enterprises (THE) X A

5302 12M37 OK MEDICARE H

TrailBlazer Health Enterprises (THE) X A

5303 SMCO0 CO MEDICARE M

TrailBlazer Health Enterprises (THE) X C

5304 SMCO0 CO MEDICARE M

TrailBlazer Health Enterprises (THE) X C

5305 SMNM0 NM MEDICARE M

TrailBlazer Health Enterprises (THE) X A

5306 SMNM0 NM MEDICARE M

TrailBlazer Health Enterprises (THE) X C

5307 SMOK0 OK MEDICARE M

TrailBlazer Health Enterprises (THE) X C

5308 SMOK0 OK MEDICARE M

TrailBlazer Health Enterprises (THE) X C

5309 SMTX0 TX MEDICARE M

TrailBlazer Health Enterprises (THE) X E

5310 SMTX0 TX MEDICARE M

TrailBlazer Health Enterprises (THE) X E

5311 SMVA0 VA MEDICARE M

TrailBlazer Health Enterprises (THE) X A

5312 SMVA0 VA MEDICARE M

TrailBlazer Health Enterprises (THE) X L

5313 12M12 LA

Trispan Health ServicesMEDICARE H X C

5314 12M17 MS

Trispan Health ServicesMEDICARE H X E

5315 12M17 MS

Trispan Health ServicesMEDICARE H X C

5316 12004 VA MEDICARE H

United Government Services LLC (UGS) X A

5317 12004 VA MEDICARE H

United Government Services LLC (UGS) X N

5318 12M18 MI MEDICARE H

United Government Services LLC (UGS) X A

5319 12M28 WV MEDICARE H

United Government Services LLC (UGS) X E

5320 12M29 WI MEDICARE H

United Government Services LLC (UGS) X L

5321 12M29 WI MEDICARE H

United Government Services LLC (UGS) X E

5322 57011 CA MEDICARE H

United Government Services LLC (UGS) X A

5323 57011 US MEDICARE H

United Government Services LLC (UGS) X A

5324 SX198 Virginia Premier Gold MEDICARE M B N

5325 SMMN0 WPS MN MEDICARE M X L

5326 SMMN0 WPS MN MEDICARE M X N

5327 57324 KS

WPS Medicare KS Part A MEDICARE H X A

5328 SMWV0 West VA Medicare B MEDICARE M X E

5329 SMWV0 West VA Medicare B MEDICARE M X E

5330 SMIL0 IL MEDICARE M X

Wisconsin Physicians Service Insurance Corporation A

5331 SMIL0 IL MEDICARE M X

Wisconsin Physicians Service Insurance Corporation L

5332 SMMI0 MI MEDICARE M X

Wisconsin Physicians Service Insurance Corporation C

5333 SMMI0 MI MEDICARE M X

Wisconsin Physicians Service Insurance Corporation L

5334 SMWI0 WI MEDICARE M X

Wisconsin Physicians Service Insurance Corporation A

5335 SMWI0 WI MEDICARE M X

Wisconsin Physicians Service Insurance Corporation L

5336 61125 US CHAMPUS

Humana Military - Tricare South M B N

5337 61125 US CHAMPUS

Humana Military - Tricare South H B N

5338 57106 US

Tricare North Region CHAMPUS H X E

5339 57106 US

Tricare North Region CHAMPUS H X E

5340 57106 US

Tricare North Region CHAMPUS H B N

5341 57106 US

Tricare North Region CHAMPUS H B N

5342 57106 US

Tricare North Region CHAMPUS M B N

5343 57106 US

Tricare North Region CHAMPUS M X E

5344 57106 US

Tricare North Region CHAMPUS M X E

5345 57106 US

Tricare North Region CHAMPUS M B N

5346 12C01 US CHAMPUS H X

Wisconsin Physicians Service Insurance Corporation E

5347 12C01 US CHAMPUS H X

Wisconsin Physicians Service Insurance Corporation E

5348 SCWI0 US CHAMPUS M X

Wisconsin Physicians Service Insurance Corporation A

Enroll TPO Cob

Services Reporting Level Npi Ecv Link Additional Information

N 0 Claims Y

N 0 Claims Y

N 0 Claims Y Y

N 0 Claims 1 Y Y

N 0 Claims 1

N Claims 2 Y Y

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims O

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims

N 0 Claims 4 Y Y Provider should submit claims wi

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Y Provider should submit claims wi

http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Remittance Image

N 0 Remittance Image

N 1 Claims 1 Y

N Claims 1 Y

N 1 Claims 1 Y

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims O

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims

N 1 Claims Y

N 1 Claims Y

N 0 Claims 4 Y

N 0 Remittance Image

N 0 Claims 4 Y

N 0 Remittance Image

N Claims 4 Y

N Claims 2 Y

N 0 Claims 2 Y Y

N 0 Claims 2 Y Y

N Claims 2 Y

N 0 Claims 2 Claims are printed and mailed to

N 0 Claims 2 Claims are printed and mailed to

N 0 Claims 2 Y

N 0 Claims 2 Y

N Claims 2 Y

N 1 Claims 4 Y

N 0 Claims 4 Y

N Claims 4 Y

N 1 Claims 4 Y

N 1 Claims 4 Y

N Claims Y AARP claims with a mailing addre

N 0 Claims 4 Only claims from providers in No

N Claims 1 Y f.k.a. ACS Consulting Services Inc.

http://transact.emdeon.com/factsheets/edi

N 0 Remittance Image http://transact.emdeon.com/factsheets/edi

N 0 Remittance Image http://transact.emdeon.com/factsheets/edi

N Claims Y

N 1 Claims 1 Y http://transact.emdeon.com/factsheets/edi

N 0 Remittance Image http://transact.emdeon.com/factsheets/edi

N 0 Remittance Image http://transact.emdeon.com/factsheets/edi

N 1 Claims 1 Y Y DO NOT send ACS/Health Net or

http://transact.emdeon.com/factsheets/edi

N 0 Claims

N 0 Claims

N 0 Claims 4 Y Y

N 0 Claims 2

N 0 Claims 2

N 0 Claims Y Y

N 0 Claims Y Y

N Claims 4 Y

N Claims This plan also shares the same m

N 0 Claims 2 Y

N 0 Claims 2 Y

N 1 Claims 1 Y

N 1 Claims 1 Y

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims Y

N 0 Claims 1 Y Y

N 1 Claims 1 Y Y

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims O

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims

N 0 Claims 4 Y

N 0 Claims 2 Y Y

N 0 Claims 2 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims Y

N 0 Claims 4 Y Y

N Claims 1 Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 4 Y Y

N 0 Claims 1 Y

N 0 Claims 1 Y

N 0 Claims Claims will be printed and mailed

N 0 Claims Claims will be printed and mailed

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 2 Y Y To obtain the payer ID please cal

N 0 Claims 2 Y To obtain the payer ID please cal

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N Claims 1 Y

N 0 Claims 1 Y Payer moved to live with vision c

N 1 Claims 1 Y Payer moved to live with vision a

N 0 Claims 1 Y

N 0 Claims Y Y Prior to submitting claims please

N 0 Claims Y Y Prior to submitting claims please

N Claims 1 Y

N 0 Claims 4A Y

N 0 Claims 4 Y

N 0 Claims 2 Y Y

N 0 Claims 4 Y Y

N Claims 1 Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 1 Claims 2 Y Y

N 1 Claims 2 Y Y

N Claims Y (Formerly Amway Corporation/D

N 0 ERA R NPI is required for ERA Enrollmen

N 0 ERA R NPI is required for ERA Enrollmen

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Remittance Image

N 0 Claims 1 Y Y

N 0 Remittance Image

N 0 Claims 1 Y Y

N 1 Claims Y Y

N Claims Y Addt'l enrollment is not required

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N Claims 4 Y

N 0 Claims 2 Y Y

N 0 Claims 2 Y Y

N 0 Claims Y Y

N 0 Claims

N 0 Claims Y

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims Y Y

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 4A Y Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 4A Y Y http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 4A Y Y http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 4A Y Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y Y

N Claims 1 Y Y

N 0 Claims 1 Y Y

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims O

N 0 Claims 4 Y Y Required data elements needed

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Y Required data elements needed

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Y Required data elements needed

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Y Required data elements needed

http://transact.emdeon.com/factsheets/edi

N Claims 4 Y http://transact.emdeon.com/factsheets/edi

E ERA ERAs returned for both claims an

http://transact.emdeon.com/factsheets/edi

W 0 ERA Y http://transact.emdeon.com/factsheets/edi

N 1 Claims 4A Y Y http://transact.emdeon.com/factsheets/edi

N 0 Rosters http://transact.emdeon.com/factsheets/edi

N 0 Encounters Y http://transact.emdeon.com/factsheets/edi

W 0 ERA Y http://transact.emdeon.com/factsheets/edi

N 0 Rosters http://transact.emdeon.com/factsheets/edi

N 1 Claims 4A Y Y http://transact.emdeon.com/factsheets/edi

N Encounters Use this Payer ID for submitting D

N 0 Claims 4 Y

N Claims 4 Y

N 0 Claims 4 Y

N 0 Encounters Y Y This is a BATCH ENCOUNTER paye

N 0 Encounters Y Y This is a BATCH ENCOUNTER paye

N 0 Claims Y Y

N 0 Claims 4 Y Y

N 0 Claims Y

N 0 Claims 4 Please contact Affinity's EDI Coor

http://transact.emdeon.com/factsheets/edi

N 0 Remittance Image http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Please contact Affinity's EDI Coor

http://transact.emdeon.com/factsheets/edi

N 0 Remittance Image http://transact.emdeon.com/factsheets/edi

N Claims 1 Y

N 1 Claims 4 Y Please contact Risa Rhodes at (51

N 0 Claims 4 Y Now known as Meritain Health

N 0 Claims 4 Y Now known as Meritain Health

N Claims 4 Y Please enter Group Number whe

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Please enter Group Number (P68

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Please enter Group Number (P68

http://transact.emdeon.com/factsheets/edi

N Claims 2 Y

N 0 Claims 2 Y

N 0 Claims 2 Y

N 0 Claims 4 Y Please enter Group Number (F23

N 0 Claims 4 Y Please enter Group Number (F23

N Claims 4 Y Please enter Group Number whe

N Claims 4 Y Please enter Group Number whe

N 0 Claims 4 Y Please enter Group Number (F24

N 0 Claims 4 Y Please enter Group Number (F24

N Claims 4 Y Please enter Group Number whe

N 0 Claims 4 Y Please enter Group Number (F45

N 0 Claims 4 Y Please enter Group Number (F45

N 1 Claims 4 Y Y

N 0 Claims 2 Y

N 0 Claims 2 Y

N Claims 2 Y

N 0 Claims 1 Y Y

N 0 Claims 4 Y

N 0 Claims 4A Y http://transact.emdeon.com/factsheets/edi

N 1 Claims 4 Y ID cards should show mailing add

N 1 Claims 4 Y ID cards should show mailing add

N 0 Claims 2 Y Y

N 0 Claims 2 Y Y

N 0 Claims 2 Y

N 0 Claims 2 Y

N Claims 2 Y

N 1 Claims 1 Y Y

N Claims 1 Y

N 1 Claims 1 Y Y

N 0 Claims Y

N 0 Claims 4

N 0 Claims Y Y

N 0 Claims 3 Y Provider ID required for all THIN

N 0 Claims 4 Y Y Network ID required on all claims

N 0 Claims 4 Only claims from providers in No

N 0 Claims 4 Y Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y Y

N 1 Claims 1 Y Y

N 0 Claims 2 Y Y

N Claims 2 Y Y

N 0 Claims 2 Y Y

N 0 Claims 1 Claims are printed and mailed to

N 0 Claims 1 Y Claims are printed and mailed to

N 0 Claims R

N 3 Claims 1 Y Y

N 3 Claims 1 Y Y

N 0 ERA If you are currently receiving ERA

N 0 ERA If you are currently receiving ERA

N 1 Claims 1 Y Y All claims submitted require your

N 1 Claims 1 Y Y All claims submitted require your

N 0 ERA If you are currently receiving ERA

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 ERA If you are currently receiving ERA

N 1 Claims 1 Y Y All claims submitted require your

N 1 Claims 1 Y Y All claims submitted require your

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 1 Claims 1 Y Y All claims submitted require your

N 1 Claims 1 Y Y All claims submitted require your

N 0 Claims 4 Y Y

N 0 ERA If you are currently receiving ERA

N Claims 1 R

N 0 Claims 2 R

N 0 Claims 4 R http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 R http://transact.emdeon.com/factsheets/edi

N 0 Remittance Image

N 0 Claims 4 Y Y Medicaid managed care. For EDI

N 0 ERA

N 0 Remittance Image

N 0 EFT

E 0 ERA

N 0 EFT

N 0 Claims 4 Y Y Medicaid managed care. For EDI

N 0 Claims 1 Y Y

N 1 Claims 1 Y Y

N 1 Claims 1 Y Y

N 1 Claims 1 Y Y

N 1 Claims 1 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 2 Y

N 0 Claims 2 Y

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N 0 Claims Y Y Please check the Insured ID card

N 0 Claims Y Y Please check the Insured ID card

N 0 Remittance Image

N 0 Remittance Image

N Claims Y Please check the Insured ID card

N 1 Claims 4 Y Please check the Insured ID card

N 0 Remittance Image

N 1 Claims 4 Y Please check the Insured ID card

N 0 Remittance Image

N 0 Claims 1 Y

N 0 Claims 1

N Claims Y Only limited plans may be sent el

N 0 Claims 2 Y Y

N 0 Claims 2 Y Y

N Claims 4 Y

N 0 Claims 4 Y Y Payer ID valid only for claims with

N 0 Claims 4 Y Y Payer ID valid only for claims with

N 0 Claims 1 Y

N 0 Claims 1 Y

E ERA

N 1 Claims 1 Y Y

N 0 ERA

N 1 Claims 1 Y Y

N 0 ERA

N 0 Claims Y

N 0 Claims 4 Y

N 0 Claims 4 Y

E 0 ERA

N 0 Claims 1 Y

N 0 Claims 1 Y

E 0 ERA

N 1 Claims 4 Y

N 1 Claims 4 Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y Assigned Group Policy Plan ID is r

N 1 Claims 4A Y Y Plan of UnitedHealthcare

http://transact.emdeon.com/factsheets/edi

E 0 ERA Plan of UnitedHealthcare

http://transact.emdeon.com/factsheets/edi

E 0 ERA Plan of UnitedHealthcare

http://transact.emdeon.com/factsheets/edi

N 1 Claims 4A Y Y Plan of UnitedHealthcare

http://transact.emdeon.com/factsheets/edi

N 2 Claims 4 Y Y Please enter the Group Number

http://transact.emdeon.com/factsheets/edif

N 2 Claims 4 Y Y Please enter the Group Number

http://transact.emdeon.com/factsheets/edif

N Claims 4 Y A United Healthcare payer

N 0 Claims 1 Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y http://transact.emdeon.com/factsheets/edi

N 1 Claims 4 Y Y

N 1 Claims 4 Y Y

N Claims 1 Y

N 0 Claims 1 Y Y Claims for the state of Maine ON

N 0 Claims 1 Y Y Claims for the state of Maine ON

N 0 Claims 1 Y Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y Y http://transact.emdeon.com/factsheets/edi

E 0 ERA 1 http://transact.emdeon.com/factsheets/edi

N 1 Claims 2 Y http://transact.emdeon.com/factsheets/edi

N 1 Claims 2 Y http://transact.emdeon.com/factsheets/edi

E 0 ERA http://transact.emdeon.com/factsheets/edi

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N 2 Claims 1 Y

N 2 Claims 1 Y

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N 0 Claims 4 Y Y

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N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N 0 Claims 4 R

N Claims 4 R

N Claims Y (Formerly Amway Corporation/D

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N 1 Claims 2 Y

N 1 Claims 2 Y

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N 3 Claims 4 R Y

N 0 Claims 1 Y Y

N 0 Claims 4 Y

N Claims 3 Y

N 0 Claims 3 Y Y

N 0 ERA

N 0 Claims 3 Y Y

N 0 ERA

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N 0 Claims 4A Y Y Apex is also a Medicaid payer and

N 0 Claims 4 Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims

N 3 Claims 4 R Y

N 3 Claims 4 R Y

N 0 Claims 2 Y

N 0 ERA If you are currently receiving ERA

N 0 Claims 2 Y

N 0 ERA If you are currently receiving ERA

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N Claims 1 Y Y

N 0 Claims 1 Y

N 0 Claims 1 Y

N 0 ERA If you are currently receiving ERA

N 0 Claims 1 Y Y Payer requires unique Provider ID

P 0 ERA If you are currently receiving ERA

N 0 Claims 1 Y Y Payer requires unique Provider ID

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N 0 Claims 4 Y Y

N 0 Claims 4 Y Y

N Claims 4 Y

N 1 Claims 4 Y http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

N 1 Claims 4 Y http://transact.emdeon.com/factsheets/edi

N Claims 4 Y f.k.a Protective Health

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E ERA http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y MUST VERIFY ALL CLAIMS SHOUL

N 0 Claims 1 Y MUST VERIFY ALL CLAIMS SHOUL

N 1 Claims 1 Y

N 1 Claims 1 Y

N Claims 4 Y f.k.a. First Fortis Life Insurance

N 1 Claims Y

N 1 Claims Y

N 0 Claims 4 Y

N 0 Claims 4 Y

N 0 Claims A Y Payer must receive REF*1B*Prov

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N Claims 1 Y

N Claims Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 0 Claims 1 Y

N 0 Claims 1 Y Please include Network ID (PIN) w

N 0 Claims 2 Y Currently only accepts UCO Provi

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims O

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims

N 1 Claims 1 Y Payer ID valid only for claims with

N 1 Claims 1 Y Payer ID valid only for claims with

N 0 Claims 4 Y

N 0 Claims 4 Y

N 1 Claims 1 Y Please send these EDI claims to t

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N 1 Claims 1 Y

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N 0 Remittance Image

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N 0 Claims 1 Y Please contact Chris Burak at (70

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N 0 Claims 1 Y

N 0 Claims 1 Y Y

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N 0 Claims 2 Y

N 0 Claims 2 Y

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N 0 Claims 2 Y Y To obtain the payer ID please cal

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N 0 Claims Y

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N 0 Claims 1

N 0 Claims 1

N 0 Claims 1

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N 0 Claims 1 Y Before submitting please contact

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N 1 Claims 1 Y

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W 0 ERA

N 0 Claims 4 Y Prior to submitting claims please

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N 0 Claims Y

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N 0 Claims 2 Y To obtain the payer ID please cal

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N Claims 1 Y

N 0 Claims 1 Y

N 0 Claims 1 Y

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N 0 Claims 4 Y http://transact.emdeon.com/factsheets/edi

N 0 ERA http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Y Prior to submitting claims please

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N 0 ERA http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Y Prior to submitting claims please

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N 0 Claims 4 Y

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N 0 Claims 1 Y Y

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N 1 Claims 4 Y Y

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N Claims Y

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N 0 Claims Y Y

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N 0 Claims 4A Y Y CHAMPVA - HAC is not associated

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E ERA

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E ERA http://transact.emdeon.com/factsheets/edi

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F 0 ERA Providers/Vendors must register

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N 1 Claims 4 A Y Y

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N 0 Claims

N 0 Claims

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N 3 Claims 4 Y Y For Ohio Worker's Comp Claims

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N 0 Claims 1 Y

N 0 Remittance Image

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N Claims 1 Y

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N Claims 1 Y

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N 0 Claims 4 Y

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N 0 Claims Y Y

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N 0 Claims 4 Y Y

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N 0 Claims 3 Y

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N 0 Claims 1 Y

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N 0 Claims 4 Y Y

N 0 Claims

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N 1 Claims 1 The Payer requires the following

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N 0 Claims 1 Y

N 0 Claims 1 Y

N 0 Claims 1

N 0 Claims 1 Y Y

N 0 Claims 2 Y

N 0 Claims 2 Y

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims Y (Formerly Physicians Healthcare

N 0 Claims Y Y

N 0 Claims Y Y

N 0 Claims 3 Y Y

N 0 Claims 3 Y Y

N 0 Claims

N 0 Claims Y Y

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N 3 Claims 4 Y Y For Ohio Worker's Comp Claims

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E 0 ERA Y http://transact.emdeon.com/factsheets/edi

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N 0 Claims 4A Y Y Carelink Commercial and Advant

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E 0 ERA Y http://transact.emdeon.com/factsheets/edi

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N 0 Claims 4 A Y Y http://transact.emdeon.com/factsheets/edi

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E 0 ERA Y http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y Y Payer is receiving NSF 3.0. eMCD

N 0 Claims 4 Y Y Payer is receiving UB 4.0. MCDS f

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E 0 ERA Forms available on Website

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N 0 Claims 4 Y Y http://transact.emdeon.com/factsheets/edi

W 0 ERA Forms are available on our websi

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E 0 ERA Forms are available on our websi

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N 0 Claims 4 Y Y http://transact.emdeon.com/factsheets/edi

W 0 ERA Forms are available on our websi

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N 0 Claims 1A Y Y

N 0 Claims 1A Y Y

W 0 Claims Enrollment forms are available o

N 1 Claims 1 Y

N 1 Claims 1 Y

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N 0 Claims 4 Y

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N 0 Claims 4 Y Please enter Group Number (F16

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N 0 Claims 4 Y Y Prior to submitting claims please

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N 0 Claims 2 Y Y

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N 0 Claims 4 Y Y Prior to submitting claims please

N 0 Claims 4 Y Y Prior to submitting claims please

N 0 Claims 4 Y Y Prior to submitting claims please

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N 1 Claims 4 Y Y

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N 0 Claims

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N 1 Claims 1 Y

E ERA Y

N 1 Claims 1 Y

N 0 ERA Y

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N 1 Claims Y

N Claims 1 Y

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N 0 Claims 1 Y

N 0 Claims Y

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N 0 Encounters Y Y To obtain Payer ID and enroll wit

N 0 Claims 1 Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y Y

N 0 Claims 1 Y Y

N 1 Claims 1A Y Y Payer ID valid only if the address

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N 1 Claims 1A Y Y Payer ID valid only if the address

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N Claims 4 Y

E ERA

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N 1 Claims 4 Y

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N Claims Y

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E ERA http://transact.emdeon.com/factsheets/edi

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E ERA

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W 0 ERA Email address is payorid35180@c

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E ERA http://transact.emdeon.com/factsheets/edi

N Claims 1 Y Only for claims where the "subm

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E 0 ERA Email address is payorid35183@c

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E ERA http://transact.emdeon.com/factsheets/edi

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W 0 ERA Email address is payorid35183@c

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N 1 Claims Y Y

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N 1 Claims 2 Y

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E ERA

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N 0 Claims 1 R Please submit claims with your u

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N 2 Claims 4 Y Y To obtain your provider ID numb

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W 0 ERA

W 0 ERA

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N 0 Claims 4 Y Y Payer ID is valid for claims submi

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N 0 Claims Y Y

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E ERA

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N 0 Claims Y

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N 0 Claims 4 Y Now known as Meritain Health

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N 0 Claims 4 Y Now known as Meritain Health

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N 0 Claims 2 Y Payer ID valid for claims with a su

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N 1 Claims 1

N 0 Claims 1 Please call (775) 826-7200 to ver

N 0 Claims 1 Please call (775) 826-7200 to ver

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N 0 Claims 4 Y Payor requires unique provider ID

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N 0 Claims 1A Y Y Office of Group Benefits is locate

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N 0 Claims 1 Y Y

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N 3 Claims 4 Y Y For Ohio Worker's Comp Claims O

N 3 Claims 4 Y Y For Ohio Worker's Comp Claims O

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E 0 ERA Y Paper remits will continue.

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E 0 ERA Y Paper remits will continue

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E 0 ERA Y Paper remits will continue

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N 0 Claims 1 Y

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N 0 Claims Call the payer's EDI dept. at 801-3

N 0 Claims 4 Y Call EDI at 801-366-7544 or emai

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E 0 ERA Call EDI at 801-366-7544 or emai

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N 0 Claims 4 Y Y Please do not submit claims to th

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E 0 ERA

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N 1 Claims 4A Y Y

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E ERA

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N 0 Claims 4 Y Y For Payable Pacificare/Secure Ho

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E ERA http://transact.emdeon.com/factsheets/edi

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E 0 ERA

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N 0 EFT Enroll with payer

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N 3 Claims 4 Y Y For Ohio Worker's Comp Claims O

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N 0 Claims Y Y To obtain Payer ID and enroll wit

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N 0 Claims 2 Y Y

N 0 Claims 4 Y Contracted providers only. Pleas

N 0 Claims 4 Y Contracted providers only. Pleas

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N 0 Claims Y

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W 0 ERA Providers must include provider i

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N 0 Claims 1 Y

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N 0 Claims 4 Y Prior to submitting claims please

P 0 ERA

N 0 Claims 4 Y Prior to submitting claims please

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N 1 Claims 1 Y Call Jessica Picarde Manager of P

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N 0 Claims 2 Y Y http://transact.emdeon.com/factsheets/edi

N Claims 1 Y

N Claims 1 Y

N 1 Claims 4 Y Y Payer ID valid only for claims with

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N 0 Claims 4A Y Y http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

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N 0 Claims 4A Y Y http://transact.emdeon.com/factsheets/edi

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N 0 Claims 1 Y

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N 0 Claims 1 Y

N 0 Claims 1

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N 0 Claims 1 Y

N 0 Claims 1 Y

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N 0 Claims 1 Y Please call David McGee 626-817

N 0 Claims 2 Y

N 0 Claims 2 Y Y

N 0 Claims 1 Y

N 0 Claims 1 Y

N 0 Claims 4 Y

N 1 Claims 2A Y Y

N 0 Claims 2 Y Y

N 0 Claims 2 Y Y

N 0 Claims 1 Y Y Note: This is Physicians Care Netw

N 0 Claims 1 Y Y Note: This is Physicians Care Netw

N 0 Claims 1 Y Y Note: This is Physicians Care Netw

N 0 Claims 1 Y Y Note: This is Physicians Care Netw

N 0 Claims 1 Y Y Note: This is Physicians Care Netw

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E 0 ERA Y

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N 0 ERA 1 Y Providers who are interested in r

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N 0 ERA 1 Y Providers who are interested in r

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N 0 Claims 1 Y Y Before submitting contact Jessica

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E ERA

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E ERA

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P 0 ERA Payer requests providers to conta

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N 0 Claims 2 Y Payer ID valid for claims with the

N 0 Claims 2 Y Payer ID valid for claims with the

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N 1 Claims 2 Y

N 1 Claims 4 Y Y Payer ID is valid only for claims w

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N 0 Claims 4 Y Y Payer ID is valid only for claims w

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E ERA

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N 0 Claims 1 Y Y New Providers must enroll with Q

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N 0 Claims 2 Y Y For assistance send email to HIPA

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N Claims Y f.k.a. Progressive Benefit Services

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N 0 Claims 1 Y Please Call Customer Service (559

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N 0 Claims Y Y

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N 1 Claims 4 Y

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N 0 Claims 1 Y Y

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N 1 Claims 4A Y Y

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N 0 Claims 4 Y Y Prior to submitting claims please

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E ERA

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Y Claims 1 Y

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N 0 ERA ERA provider enrollment form is

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W 0 ERA R http://transact.emdeon.com/factsheets/edi

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Y Claims 4 R

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Y Claims 4 Y

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N 0 Claims 4 R

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N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

Y Claims 4 R

Y Claims 4 R

E ERA

Y Claims 4 R

E ERA R

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N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

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E ERA

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N Claims R

N Claims 1 Y

N 0 Claims 4A R

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N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

N Claims 4 R No FEP Claims. Please send FEP o

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Y Claims 4 R

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Y Claims 4 R

E ERA

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W 0 Claims 4 Y Multiple plans. Please call (423)

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N Claims 4 R

N 0 Claims Y When NPI is submitted Payer req

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N 0 Claims 4 Y Y Group number is required.; Pleas

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Y Claims 4 R

Y Claims 4 R

E ERA

E 0 ERA Providers must contact Capital Bl

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W 0 ERA If you are currently receiving ERA

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N 0 Claims 4 R http://transact.emdeon.com/factsheets/edi

W 0 ERA If you are currently receiving ERA

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N 0 Claims 4A Includes coverage for DC and Nor

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E 0 ERA If you are currently receiving ERA

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E 0 ERA If you are currently receiving ERA

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N Claims 4 Y

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W 0 Claims 4 Y

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W 0 Claims 4 Y

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E ERA

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N Claims 4 Y

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E ERA

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E ERA

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N Claims 4 R

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Y Claims R

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N Claims Y

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N Claims 4 Y

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N Claims 4 R

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N Claims 2 Y

N Claims 4 Y

N Claims 4 Y

N Claims 4 Y

N Claims 4 Y

N Claims 4 Y

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N Claims 4 Y

N Claims 4 Y

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N Claims 4 Y

N Claims 4 Y

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N Claims 4 Y

N Claims 4 Y

N Claims 4 Y

N Claims 4 Y

N Claims 4 Y

N Claims 4 Y

N Claims 4 Y Effective 1-16-07: electronic pay

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N Claims 4 Y

N Claims 4 Y

N Claims 4 Y

N Claims Y

N Claims 4 Y

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N 0 Claims 1 Y

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Y Claims 4 R

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Y Claims 4 R

E ERA

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N 0 Claims 2 A Y

W 0 Claims 2 A Y KY Medicaid 12K11 Hospital no lo

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P 0 ERA Y

P 0 ERA Y

W 0 Claims 1A R

W 0 ERA R

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E 0 ERA Payer enrollment for 835s bypass

http://transact.emdeon.com/factsheets/edi

N 0 Claims 1A Y http://transact.emdeon.com/factsheets/edi

N 0 ERA Y

W 0 ERA Y Forms are available on our websi

N 0 Claims 4A Y

E 0 ERA Y

W 0 Claims 4 R

W 0 Claims 4A Y

E 0 Claims 1 Y Any questions about provider en

W 0 Claims 2A Y

W 0 ERA Y

W 0 Claims 1 Y Additional Enrollment Requireme

W 0 Claims 2A Y Providers must email (hipaasupp

W 0 Claims A Y

W 0 Claims 4A Y

N 0 Claims 2A Y http://transact.emdeon.com/factsheets/edi

N 0 Claims 2A Y http://transact.emdeon.com/factsheets/edi

W 0 Claims 1 Y

W 0 ERA Payer switched all providers curr

W 0 Claims 1A Y

W 0 ERA

W 0 ERA

W 0 ERA http://transact.emdeon.com/factsheets/edi

W 0 ERA http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y http://transact.emdeon.com/factsheets/edi

W 0 ERA http://transact.emdeon.com/factsheets/edi

W 0 ERA http://transact.emdeon.com/factsheets/edi

N 0 Claims 1 Y http://transact.emdeon.com/factsheets/edi

N 0 Claims Y

N 0 Claims Y

N 0 Claims 1A

N Claims 2 Y

W 0 Claims 4A Y

W 0 Claims 1 Y

W 0 ERA

N 0 Claims 4 Y

W 0 Claims 2A Y

N Claims R ADMINISTERED BY DORAL DENTA

Y Claims R

E ERA

N 0 Claims 2A Y

W 0 ERA Y

N 0 Claims 1A Y

N Claims R

E ERA

Y Claims 4 R

E ERA

Y Claims R

Y Claims 4 R

W 0 Claims 1 Y Payer Enrollment required utilize

W 0 Claims Y Payer Enrollment required utilize

W 0 Claims 1 Y Payer Enrollment required utilize

N 0 Claims

N 0 Claims A Y

N 0 Claims 1 Y Edits to mirror current edits subm

N 0 Claims 1 Y Edits to mirror current edits subm

N Claims 4 R ADMINISTERED BY DORAL DENTA

W 0 Claims 2A Y

W 0 Claims 1 Y

N 0 Claims 1 Y

N 0 Claims Y

N 0 Claims Y

Y Claims 4 R

E ERA

Y Claims R

E ERA

E ERA

Y Claims 4 R Denti-Cal requires provider enrol

E ERA

Y Claims 4 R

Y Claims 4 R

E ERA

W 0 Claims 2A R

E ERA

Y Claims 4 R

E ERA

Y Claims 4 R

E ERA

Y Claims 4 R

N Claims 4 R

E ERA

E ERA

Y Claims 4 R

N Claims 2 R ADMINISTERED BY DORAL DENTA

N 0 Claims 1A Y

Y Claims 4 Y

Y Claims R

E ERA

N Claims 4 R ADMINISTERED BY DORAL DENTA

Y Claims 4 R

E ERA

Y Claims 4 R

E ERA

Y Claims 4 R

E ERA

Y Claims 4 R

E ERA

Y Claims 4 R

E ERA

E ERA

Y Claims 4 Y

E ERA

Y Claims 4 R

E ERA

Y Claims 4 R

N Claims 3 R

E ERA

E ERA

Y Claims 3 R

Y Claims 4 R

E ERA

E ERA

Y Claims 4 R

E ERA

Y Claims 4 R

Y Claims 2 R

E ERA

Y Claims 2 Y

E ERA

Y Claims 4 R

E ERA

Y Claims 4 Y

Y Claims 4 R

E ERA

N Claims 4 Y

E ERA

Y Claims R

E ERA

P 0 Claims A R

E ERA

Y Claims 4 R

W 0 ERA R http://transact.emdeon.com/factsheets/edi

W 0 Claims 3A R http://transact.emdeon.com/factsheets/edi

E ERA

Y Claims 4 R

N Claims 4 R

E ERA

Y Claims Y

E ERA

W 0 Claims Y

Y Claims 4 R

Y Claims 4 Y

E ERA

N 0 ERA Y

W 0 Claims 4A Y

N 0 ERA R

W 0 Claims 1A R

N Claims 2 R Additional enrollment is not requ

N 0 Claims 1A Y http://transact.emdeon.com/factsheets/edi

W 0 Claims 2A Y Provider Level Testing is NOT req

W 0 Claims 1 Y

W 0 ERA Y

N 0 ERA

N 0 Claims 1 Y Provider Medi-Cal number requir

N 0 ERA

N Claims 4 R ADMINISTERED BY DORAL DENTA

N Claims 4 R ADMINISTERED BY DORAL DENTA

N 0 Claims 1 Y Call the EDI Support Unit at 831-4

N 0 Claims 2A Call the EDI Support Unit at 831-4

W 0 ERA Y

W 0 Claims 1A Y

Y Claims 4 R

E ERA

W 0 Claims 2A Y

W 0 Claims 1 Y

W 0 Claims Y

E 0 Claims 1A Y

E 0 ERA

E 0 ERA

W 0 Claims 2A Y

W 0 Claims 2A Y

N 0 Claims 4A Y

W 0 Claims 1 Y

W 0 ERA Y

W 0 Claims 3A Y

W 0 ERA Y

W 0 ERA Y

E 0 ERA Y

N 0 Claims 1A Y

N 0 Claims

N Claims 2 R ADMINISTERED BY DORAL DENTA

W 0 Claims 2 Y Y

N 0 Claims 1A Y Any questions about provider en

W 0 Claims 4A R

W 0 ERA R

W 0 ERA Y

W 0 Claims 4A R

W 0 Claims 4A R

W 0 Claims 4A R

P 0 ERA R

W 0 Claims 4A R

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A R

W 0 ERA R

W 0 ERA R

W 0 Claims 4A R

W 0 Claims 4A R

W 0 ERA R

P 0 Claims Testing location required to bring

W 0 Claims 4A Y http://transact.emdeon.com/factsheets/edi

E 0 ERA Y http://transact.emdeon.com/factsheets/edi

W 0 Claims 4A Y

W 0 ERA

W 0 ERA

W 0 Claims 4A Y

W 0 ERA

W 0 Claims 4A Y

W 0 Claims 4A Y

W 0 ERA

W 0 Claims 4A Y

W 0 Claims 4A R

P 0 ERA Y

W 0 Claims 4A R

W 0 Claims 4 R

W 0 ERA Y

P 0 Claims 4A R

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 Claims 4A Y

W 0 Claims 4A R

W 0 ERA

W 0 Claims 4A Y http://transact.emdeon.com/factsheets/edi

W 0 ERA Y http://transact.emdeon.com/factsheets/edi

W 0 Claims 4A Y http://transact.emdeon.com/factsheets/edi

W 0 ERA Y http://transact.emdeon.com/factsheets/edi

W 0 ERA Y

W 0 Claims 4A Y

W 0 Claims 4A R

W 0 ERA Y

W 0 Claims 4A R

W 0 ERA Y

P 0 ERA R

W 0 Claims 4A R

W 0 Claims 4A R

W 0 ERA R

W 0 ERA Y

W 0 Claims 4A R

W 0 Claims 4A R

P 0 ERA R

W 0 Claims 4A R

W 0 Claims R Testing location required to bring

W 0 Claims 4A R http://transact.emdeon.com/factsheets/edi

W 0 ERA Y http://transact.emdeon.com/factsheets/edi

W 0 ERA Y http://transact.emdeon.com/factsheets/edi

W 0 Claims 4A R http://transact.emdeon.com/factsheets/edi

W 0 Claims 1 Y Payer approval required prior to

W 0 Claims 1 Y Payer approval required prior to

N 0 Claims 1A Y

N 0 Claims 1A Y Y

N 0 Claims A Y

W 0 Claims 4A Y

W 0 Claims 4A R

W 0 Claims 4A R

N 0 ERA R Payer indicates paper remittance

W 0 Claims 4A R

W 0 Claims 2 Y

W 0 ERA R Includes coverage for DC and Nor

W 0 Claims 4 R Includes coverage for DC and Nor

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A R

W 0 ERA R

W 0 ERA R

W 0 Claims 4A R

W 0 Claims 1A R

W 0 ERA R

W 0 Claims 4A Y

P 0 ERA Y

W 0 Claims 4A Y

W 0 ERA

W 0 ERA

W 0 Claims 4A Y

W 0 Claims 4A Y

W 0 ERA

W 0 ERA

W 0 Claims 4A Y

W 0 Claims 4A Y

W 0 ERA

W 0 ERA

W 0 Claims 4A Y

W 0 ERA

W 0 Claims 4A Y

N 0 Claims R New providers will have to regist

W 0 ERA Y

W 0 Claims 4A R

W 0 ERA Y Includes coverage for Southern C

W 0 Claims 4A R Includes coverage for Southern C

W 0 Claims 3A R

W 0 ERA Y

W 0 Claims 4A R

P 0 Claims 3 R Provider enrolls at https://edites

W 0 Claims R Gulf Coast & Mid West Regions (A

W 0 Claims 4A Y

N 0 ERA Y

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A Y

W 0 ERA R

W 0 Claims 4A R

W 0 Claims 4A R

P 0 ERA Y

W 0 Claims 4A R

W 0 ERA Y

W 0 Claims 4 A Y

W 0 Claims 2 A Y Provider Level Testing is NOT req

W 0 Claims 4 A R Y

W 0 Claims 4 A R

W 0 ERA Y

W 0 ERA Y

W 0 Claims 4A R

W 0 Claims 4A R

W 0 ERA Y

W 0 ERA R

W 0 Claims 4A R

W 0 ERA Y

W 0 Claims 4A R

W 0 ERA

W 0 Claims 4A Y

W 0 Claims 3 R

W 0 Claims 4A R

N 0 ERA Y

W 0 Claims 4A R

W 0 ERA Y

W 0 Claims 4 R

P 0 ERA 1 Y

W 0 Claims 4A R Testing Required: 20 Inpatient an

W 0 Claims 4 R Provider level testing required.

W 0 ERA Y

W 0 Claims 4 R Enrollment forms can be located

N 0 ERA Y

W 0 Claims 4A R

W 0 Claims 4A R

W 0 ERA Y

W 0 Claims 4A R

W 0 Claims 3A R

W 0 ERA Y

W 0 Claims 4A R

W 0 ERA Y

W 0 Claims 3A R

E 0 ERA Y

W 0 ERA Y

W 0 Claims 3A R

W 0 Claims 4A R

W 0 ERA Y

W 0 ERA Y

W 0 Claims 3A R

W 0 Claims 3A R

P 0 ERA Y

W 0 ERA Y

W 0 Claims 4A R

W 0 Claims 4A R

W 0 ERA R

W 0 ERA R

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A R

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 2 R

W 0 Claims 2 R

P 0 Claims 4A Y Y

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A R RailRoad Medicare

W 0 ERA R Railroad Medicare

W 0 Claims 4A R

W 0 ERA R

P 0 ERA

W 0 Claims 2A R SW Region RHHI (FLGAKYNCSC &

W 0 Claims 4A R

W 0 Claims 4A Y

W 0 ERA R Enrollment details available at ww

W 0 Claims 4A R

W 0 ERA R Enrollment details available at ww

W 0 Claims 4A R

W 0 Claims R

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A R

W 0 ERA R

W 0 Claims 4A R Includes coverage for All Regions

W 0 ERA R Includes coverage for All Regions

W 0 Claims A Y

W 0 ERA Y

W 0 Claims 4A Y

W 0 Claims 4A R

W 0 ERA R Payer registration form and prov

W 0 Claims 4A R http://transact.emdeon.com/factsheets/edi

W 0 Claims A Y

W 0 Claims 4A R WI Medicare Part A and ALL State

W 0 ERA R WI Medicare Part A and ALL State

W 0 Claims 4A R Home Health Care claims only fo

W 0 Claims 4A R Home Health Care claims only fo

N 0 Claims 1 Y

W 0 Claims 4A Y

W 0 ERA

W 0 Claims 4A Y

W 0 ERA Enrollment is required and forms

W 0 Claims Enrollment is required and forms

W 0 ERA

W 0 Claims 4 Y

W 0 ERA http://transact.emdeon.com/factsheets/edi

W 0 Claims 4 Y http://transact.emdeon.com/factsheets/edi

W 0 ERA

W 0 Claims 4A Y

N 0 Claims 4A R Participating Payer for Tricare So

N 0 Claims 4A R Participating Payer for Tricare So

W 0 ERA Y TRICARE North Region includes -

http://transact.emdeon.com/factsheets/edi

W 0 ERA Y TRICARE North Region includes -

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y TRICARE North Region includes -

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 Y TRICARE North Region includes -

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4A Y TRICARE North Region includes -

http://transact.emdeon.com/factsheets/edi

W 0 ERA Y TRICARE North Region includes -

http://transact.emdeon.com/factsheets/edi

W 0 ERA Y TRICARE North Region includes -

http://transact.emdeon.com/factsheets/edi

N 0 Claims 4 A Y TRICARE North Region includes -

http://transact.emdeon.com/factsheets/edi

W 0 Claims 4 A Y West Region

http://transact.emdeon.com/factsheets/edi

W 0 Claims 4 A Y West Region

http://transact.emdeon.com/factsheets/edi

W 0 Claims 1 A Y West Region

http://transact.emdeon.com/factsheets/edi

Additional Information









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Provider should submit claims with assigned Plan Provider ID as 2 digit suffix is no longer required. Call Renaud Dufresne at (646) 473-69

Provider should submit claims with assigned Plan Provider ID as 2 digit suffix is no longer required. Call Renaud Dufresne at (646) 473-69









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









Claims are printed and mailed to the payer.

Claims are printed and mailed to the payer.









AARP claims with a mailing address of PO Box 2059 Mechanicsburg PA

Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Nort

f.k.a. ACS Consulting Services Inc.

sact.emdeon.com/factsheets/edi_fact_sheet_72467.php

sact.emdeon.com/factsheets/edi_fact_sheet_72467.php



sact.emdeon.com/factsheets/edi_fact_sheet_72467.php

sact.emdeon.com/factsheets/edi_fact_sheet_72467.php

sact.emdeon.com/factsheets/edi_fact_sheet_72467.php

DO NOT send ACS/Health Net or ACS Inc. Medicaid claims to this payer ID. This payer ID is for ACS Benefit Services. Inc. ONLY.









This plan also shares the same mailing address as payer ID 58066 and the only difference between the plans is that the insured ID for the









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









Claims will be printed and mailed to APS Paper Claim 54100.

Claims will be printed and mailed to APS Paper Claim 54100.





To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.

Payer moved to live with vision claims only intially. Now they are allowing all other medical claims to be submitted.

Payer moved to live with vision and dental claims on 6/22. Now they are allowing all other medical claim submitter to send.



Prior to submitting claims please call Provider Relations Dept at 1-866-433-6041 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-866-433-6041 to verify your provider info is on file in the claim system









(Formerly Amway Corporation/Dental)

NPI is required for ERA Enrollment

NPI is required for ERA Enrollment









Addt'l enrollment is not required by the payer. Providers wishing to submit claims electronically must be credentialed with the payer. Ple

sact.emdeon.com/factsheets/edi_fact_sheet_25152.php

sact.emdeon.com/factsheets/edi_fact_sheet_25152.php

sact.emdeon.com/factsheets/edi_fact_sheet_25152.php

sact.emdeon.com/factsheets/edi_fact_sheet_25152.php

sact.emdeon.com/factsheets/edi_fact_sheet_25152AS.php

sact.emdeon.com/factsheets/edi_fact_sheet_25152AS.php

sact.emdeon.com/factsheets/edi_fact_sheet_25152AS.php

sact.emdeon.com/factsheets/edi_fact_sheet_25152AS.php









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Required data elements needed for submission. Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or T

Required data elements needed for submission. Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or T

Required data elements needed for submission. Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or J

Required data elements needed for submission. Please contact Advocate Health Partners Operations Debbie Motz at (847) 699-4377 or o

sact.emdeon.com/factsheets/edi_fact_sheet_60054.php

ERAs returned for both claims and pre-treatment estimates.

sact.emdeon.com/factsheets/edi_fact_sheet_60054.php

sact.emdeon.com/factsheets/edi_fact_sheet_60054.php

sact.emdeon.com/factsheets/edi_fact_sheet_60054.php

sact.emdeon.com/factsheets/edi_fact_sheet_60054.php

sact.emdeon.com/factsheets/edi_fact_sheet_60054.php

sact.emdeon.com/factsheets/edi_fact_sheet_60054.php

sact.emdeon.com/factsheets/edi_fact_sheet_60054.php

Use this Payer ID for submitting DMO services only.









This is a BATCH ENCOUNTER payer. Please contact your Aetna Network Manager for submission requirements.

This is a BATCH ENCOUNTER payer. Please contact your Aetna Network Manager for submission requirements.









Please contact Affinity's EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call (718)794-7592.

sact.emdeon.com/factsheets/edi_fact_sheet_13334.php

Please contact Affinity's EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call (718)794-7592.

sact.emdeon.com/factsheets/edi_fact_sheet_13334.php



Please contact Risa Rhodes at (514) 762-2165 for the Agate Resources Inc. (LIPA) Payer ID

Now known as Meritain Health

Now known as Meritain Health

Please enter Group Number when submitting claims.

Please enter Group Number (P68) when submitting claims.

Please enter Group Number (P68) when submitting claims.









Please enter Group Number (F23) when submitting claims.

Please enter Group Number (F23) when submitting claims.

Please enter Group Number when submitting claims.

Please enter Group Number when submitting claims.

Please enter Group Number (F24) when submitting claims.

Please enter Group Number (F24) when submitting claims.

Please enter Group Number when submitting claims.

Please enter Group Number (F45) when submitting claims.

Please enter Group Number (F45) when submitting claims.









sact.emdeon.com/factsheets/edi_fact_sheet_52148.php

ID cards should show mailing address of PO Box 44365 Madison WI 53744. Call Dave Sell at 608-210-6656 to obtain Payer ID.

ID cards should show mailing address of PO Box 44365 Madison WI 53744. Call Dave Sell at 608-210-6656 to obtain Payer ID.









Provider ID required for all THIN payers.

Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.

Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Nort

sact.emdeon.com/factsheets/edi_fact_sheet_SX113.php









Claims are printed and mailed to the payer.

Claims are printed and mailed to the payer.

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (888) 362-3368 for your Pro

All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (888) 362-3368 for your Pro

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em





If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (866) 362-3368 for your Pro

All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (866) 362-3368 for your Pro





All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (800) 345-3627 for your Pro

All claims submitted require your AmeriChoice assigned Provider ID Number. Please contact AmeriChoice at (800) 345-3627 for your Pro



If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em





sact.emdeon.com/factsheets/edi_fact_sheet_23037.php

sact.emdeon.com/factsheets/edi_fact_sheet_23037.php



Medicaid managed care. For EDI support please e-mail edi.amhp@kmhp.com.









Medicaid managed care. For EDI support please e-mail edi.amhp@kmhp.com.









Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions please contact Provider Relations

Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions please contact Provider Relations

Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions please contact Provider Relations





Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions please contact Provider Relations

Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions please contact Provider Relations

Please check the Insured ID card to verify the Payer ID before submitting claims. If you have questions please contact Provider Relations









Only limited plans may be sent electronically. Group name is required with one of the following names: Sheet Metal Berkeley Boone Ca









Payer ID valid only for claims with a billing submission address of P.O. Box 35008 N. Canton OH 44735

Payer ID valid only for claims with a billing submission address of P.O. Box 35008 N. Canton OH 44735









Assigned Group Policy Plan ID is required. To obtain please call American Imaging Management Inc. at (800) 252-2021.

Plan of UnitedHealthcare

Plan of UnitedHealthcare

Plan of UnitedHealthcare

Plan of UnitedHealthcare

Please enter the Group Number from ID card when submitting claims. Payer ID valid only for claims with a billing submission address of 1

Please enter the Group Number from ID card when submitting claims. Payer ID valid only for claims with a billing submission address of 1

A United Healthcare payer

sact.emdeon.com/factsheets/edi_fact_sheet_81400.php

sact.emdeon.com/factsheets/edi_fact_sheet_81400.php









Claims for the state of Maine ONLY must be sent on paper to MedNet P. O. Box 15440 Portland ME 04112.

Claims for the state of Maine ONLY must be sent on paper to MedNet P. O. Box 15440 Portland ME 04112.

sact.emdeon.com/factsheets/edi_fact_sheet_48055.php

sact.emdeon.com/factsheets/edi_fact_sheet_48055.php

sact.emdeon.com/factsheets/edi_fact_sheet_42011.php

sact.emdeon.com/factsheets/edi_fact_sheet_42011.php

sact.emdeon.com/factsheets/edi_fact_sheet_42011.php

sact.emdeon.com/factsheets/edi_fact_sheet_42011.php









Formally Americaid Community Care (Dallas/Ft. Worth).

Formally Americaid Community Care (Dallas/Ft. Worth).

Formerly Americaid Community Care (Houston).

Formerly Americaid Community Care (Houston).









(Formerly Amway Corporation/Dental)









Apex is also a Medicaid payer and will accept claims with either a Medicaid or Commercial classification

Apex is also a Medicaid payer and will accept claims with either a Medicaid or Commercial classification









If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em



If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

Payer requires unique Provider ID for billing rendering or referring provider fields. Contact Arnett Health Plan's EDI Coordinator at 765-4

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

Payer requires unique Provider ID for billing rendering or referring provider fields. Contact Arnett Health Plan's EDI Coordinator at 765-4









sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

f.k.a Protective Health

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN FT. MILL SC

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN FT. MILL SC





f.k.a. First Fortis Life Insurance









Payer must receive REF*1B*Provider ID in Billing and Rendering even when NPI is submitted.









Please include Network ID (PIN) when submitting claim. Please call Frank Bove' at Atlantis Health Plan at (212) 747-8393 to obtain Netwo

Currently only accepts UCO Providers. The group number must be 8 characters in length. Only one of the characters can be a dash. If the

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Payer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton OH 44735-5276

Payer ID valid only for claims with a billing submission address of P.O. Box 35276 Canton OH 44735-5276





Please send these EDI claims to the Payer ID of the PPO shown on the Member's ID Card. If you have any questions please call 260-489-6

Please send these EDI claims to the Payer ID of the PPO shown on the Member's ID Card. If you have any questions please call 260-489-6



sact.emdeon.com/factsheets/edi_fact_sheet_59274.php

The Insured ID and Patient ID fro this payer must be the 11-digit Member ID.

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









These payer is live for VISION CLAIMS ONLY.









Please use the following Plan IDs for block 11 on the 1500 form. Neighborhood Health Plan of MA=001; Hudson Health Plan=004;Fallon C

Please use the following Plan IDs for block 62 of the UB-04. Neighborhood Health Plan of MA=001; Hudson Health Plan=004; Fallon Comm





Please contact Chris Burak at (704) 321-3156 for payer id information.

Please contact Chris Burak at (704) 321-3156 for payer id information.



Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.

Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.









To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.

Payer ID valid only for claims with a billing submission address of 111 Ryan Court Suite 300 Pittsburgh PA 15205.

Payer ID valid only for claims with a submission address of 111 Ryan Court Suite 300 Pittsburgh PA 15205.

Payer ID valid only for claims with a billing submission address of 111 Ryan Court Suite 300 Pittsburgh PA 15205.



D0-20-Billing Provider Blue Cross Blue Shield ID is required. Must be either 5 or 10 alphanumeric characters in length.









For Dental providers any group is accepted as long as the group number on the participant's card starts with BMI###.

This payer will only accept medical and hospital claims for these groups listed: BMI187 - Ozarks Medical BMI219 - Ozarks AnesthesiaBMI2

This payer will only accept medical and hospital claims for these groups listed: BMI187 - Ozarks Medical BMI219 - Ozarks AnesthesiaBMI2



Payer ID valid only for claims with a billing submission address of P.O. Box 1128 Eau Claire WI 54702-1128.

Payer ID valid only for claims with a billing submission address of P.O. Box 1128 Eau Claire WI 54702-1128.



Payer ID valid only for claims with a billing submission address of P.O. Box 1128 Eau Claire WI 54702-1128.

Please call Mary Bender at (540) 345-2721 to verify if you should be sending to the Benefit Plan Administrators Inc. in Roanoke VA.

Please call Mary Bender at (540) 345-2721 to verify if you should be sending to the Benefit Plan Administrators Inc. in Roanoke VA.









(Formerly known as The TPA)

(Formerly known as The TPA)









Before submitting please contact Lori Calpino at (610) 372-8044 ext. 3019

Before submitting please contact Lori Calpino at (610) 372-8044 ext. 3019









Now known as Unison Health Plan

Now known as Unison Health Plan

Now known as Unison Health Plan

Now known as Unison Health Plan



Testing location required to bring payer live. To become a testing location please email betatesting@emdeon.com with the payer name

Administered by Golden West (Well point)



sact.emdeon.com/factsheets/edi_fact_sheet_61124.php

sact.emdeon.com/factsheets/edi_fact_sheet_61124.php

sact.emdeon.com/factsheets/edi_fact_sheet_61124.php

sact.emdeon.com/factsheets/edi_fact_sheet_61124.php

sact.emdeon.com/factsheets/edi_fact_sheet_61124.php

sact.emdeon.com/factsheets/edi_fact_sheet_61124.php









Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.



Submissions to BMCHP must include the correct 12 digit BMCHP Provider ID # including all leading zeros.



Formerly known as Elder Health Inc. serving members in Pennsylvania Maryland Delaware Texas and Washington DC. Not to be confuse

Formerly known as Elder Health Inc. serving members in Pennsylvania Maryland Delaware Texas and Washington DC. Not to be confuse

Formerly known as Elder Health Inc. serving members in Pennsylvania Maryland Delaware Texas and Washington DC. Not to be confuse

Formerly known as Elder Health Inc. serving members in Pennsylvania Maryland Delaware Texas and Washington DC. Not to be confuse

Provider ID numbers must be 9 digits and is generally the Providers SSN or TIN. The recipient's ID number is 8 digits in length. Maximum





Prior to submitting claims please call Provider Relations Dept at 1-866-475-3129 to verify your provider info is on file in the claim system



Prior to submitting claims please call Provider Relations Dept. at 1-866-475-3129 to verify your provider info is on file in the Health Plans









sact.emdeon.com/factsheets/edi_fact_sheet_35182.php

sact.emdeon.com/factsheets/edi_fact_sheet_35182.php

To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.









sact.emdeon.com/factsheets/edi_fact_sheet_94316.php

sact.emdeon.com/factsheets/edi_fact_sheet_94316.php

sact.emdeon.com/factsheets/edi_fact_sheet_94316.php

sact.emdeon.com/factsheets/edi_fact_sheet_94316.php

Prior to submitting claims please call Provider Relations Dept at 1-866-296-8731 to verify your provider info is on file in the claim system

sact.emdeon.com/factsheets/edi_fact_sheet_32004.php

Prior to submitting claims please call Provider Relations Dept at 1-866-296-8731 to verify your provider info is on file in the claim system

sact.emdeon.com/factsheets/edi_fact_sheet_32004.php









sact.emdeon.com/factsheets/edi_fact_sheet_23708.php









E-print address: CAP Management Systems Attn: Steve Marshall 16030 Ventura Blvd Suite 200 Encino CA 91436

E-print address: CAP Management Systems Attn: Steve Marshall 16030 Ventura Blvd Suite 200 Encino CA 91436









[Formerly Health Risk Management (HRM)

[Formerly Health Risk Management (HRM)]

[Formerly Health Risk Management (HRM)]

Non-Participating Payer - see last page for definition.

Transitional Payer - see last page for definition.









sact.emdeon.com/factsheets/edi_fact_sheet_84146B.php

sact.emdeon.com/factsheets/edi_fact_sheet_84146.php

sact.emdeon.com/factsheets/edi_fact_sheet_84146C.php

sact.emdeon.com/factsheets/edi_fact_sheet_84146.php

CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS).

sact.emdeon.com/factsheets/edi_fact_sheet_84146C.php

sact.emdeon.com/factsheets/edi_fact_sheet_84146B.php

CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS).

CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS).



CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS)

CHAMPVA - HAC is not associated with and does not process claims for TRICARE (formerly CHAMPUS).









Payer ID rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.

Payer ID rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.

sact.emdeon.com/factsheets/edi_fact_sheet_62308.php

Providers/Vendors must register using payer specific enrollment forms located at http://www.emdeon.com/PayerLists/payer_enrollmen

sact.emdeon.com/factsheets/edi_fact_sheet_62308.php

sact.emdeon.com/factsheets/edi_fact_sheet_62308.php

Providers/Vendors must register using payer specific enrollment forms located at http://www.emdeon.com/PayerLists/payer_enrollmen

sact.emdeon.com/factsheets/edi_fact_sheet_62308.php

sact.emdeon.com/factsheets/edi_fact_sheet_86033.php

sact.emdeon.com/factsheets/edi_fact_sheet_86033.php









To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502



For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









Payer ID for claims with a mailing address of PO Box 6794 Metairie LA 70009









sact.emdeon.com/factsheets/edi_fact_sheet_SX065.php

sact.emdeon.com/factsheets/edi_fact_sheet_SX065.php

sact.emdeon.com/factsheets/edi_fact_sheet_SX065.php

sact.emdeon.com/factsheets/edi_fact_sheet_SX065.php

Payer will accept either rendering provider UPIN or NPI on claims. Before submitting NPI please call Capital Health Plan at 850-523-7361

Payer will accept either rendering provider UPIN or NPI on claims. Before submitting NPI please call Capital Health Plan at 850-523-7361

Enrollment required prior to claim submission. Please contact Tracy Greenlee at (813) 313-4226.



The Payer requires the following - Additional Provider Info E6; RENDERING PROVIDER NETWORK ID - E6-14 REFERRING PROVIDER ID E0-2

The Payer requires the following - Additional Provider Info E6; RENDERING PROVIDER NETWORK ID - E6-14 REFERRING PROVIDER ID E0-2









(Formerly Physicians Healthcare Plans Inc)









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Enrollment required; please contact Noreen at (248) 489-5281.

Carelink Commercial and Advantra claims only. For Carelink Medicaid claims send claims to payer id 25140.

sact.emdeon.com/factsheets/edi_fact_sheet_25139.php

sact.emdeon.com/factsheets/edi_fact_sheet_25139.php

sact.emdeon.com/factsheets/edi_fact_sheet_25139.php

Carelink Commercial and Advantra claims only. For Carelink Medicaid claims send claims to payer id 25140.

Carelink Commercial and Advantra claims only. For Carelink Medicaid claims send claims to payer id 25140.

sact.emdeon.com/factsheets/edi_fact_sheet_25139.php

Carelink Commercial and Advantra claims only. For Carelink Medicaid claims send claims to payer id 25140.

sact.emdeon.com/factsheets/edi_fact_sheet_25140.php

sact.emdeon.com/factsheets/edi_fact_sheet_25140.php

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sact.emdeon.com/factsheets/edi_fact_sheet_25140.php

sact.emdeon.com/factsheets/edi_fact_sheet_25140.php



sact.emdeon.com/factsheets/edi_fact_sheet_25142.php

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sact.emdeon.com/factsheets/edi_fact_sheet_25142.php

sact.emdeon.com/factsheets/edi_fact_sheet_25142.php

sact.emdeon.com/factsheets/edi_fact_sheet_25142.php

Payer is receiving NSF 3.0. eMCDS file is sent to OKC and then translated to NSF3.0. Files are then pushed to Careworks' Production Serve

Payer is receiving UB 4.0. MCDS file is sent to POSI and then translated to UB 4.0. Files are then pushed to Careworks' Production Server.

sact.emdeon.com/factsheets/edi_fact_sheet_62072.php

Forms available on Website

sact.emdeon.com/factsheets/edi_fact_sheet_62072.php

Forms are available on our website.

Forms are available on our website.

sact.emdeon.com/factsheets/edi_fact_sheet_62072.php

Forms are available on our website.

sact.emdeon.com/factsheets/edi_fact_sheet_62072.php





Enrollment forms are available on our website









Utilizes the CMR Network.

Utilizes the CMR Network.

A United Healthcare payer









Please enter Group Number (F16) when submitting claims.

Please enter Group Number (F16) when submitting claims.

Prior to submitting claims please call Provider Relations Dept at 1-866-495-6748 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-866-495-6748 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-800-947-0633 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-800-947-0633 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-877-647-4848 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-877-647-4848 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-866-896-7293 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-866-896-7293 to verify your provider info is on file in the claim system









Only claims from providers in Northern California. Please contact the EDI Dept for North American Medical Management (NAMM) - Nort

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

sact.emdeon.com/factsheets/edi_fact_sheet_48120.php

sact.emdeon.com/factsheets/edi_fact_sheet_48120.php





Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017 North Richland Hills TX 76182.



Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017 North Richland Hills TX 76182.

a.k.a. Salvation Army

sact.emdeon.com/factsheets/edi_fact_sheet_80141.php

For questions regarding claim status providers will need to contact payer: CFMG Provider Customer Service 510-428-3154.









Payer requires unique CCHP Provider ID for billing provider field at Loop 2010AA REF02 with G2 qualifier at REF01. Contact CCHP EDI Dir









Provider ID number required. Max of 50 procedure lines per claim. ID number must be 5 characters in lenght numbers 6 in lenght & endi

sact.emdeon.com/factsheets/edi_fact_sheet_91162.php

sact.emdeon.com/factsheets/edi_fact_sheet_91162.php









sact.emdeon.com/factsheets/edi_fact_sheet_73143.php

sact.emdeon.com/factsheets/edi_fact_sheet_73143.php









sact.emdeon.com/factsheets/edi_fact_sheet_38325.php

sact.emdeon.com/factsheets/edi_fact_sheet_38325.php









Community Health Network of CT cannot accept electronic claims for Anesthesia. If you have questions on how to submit these claims p

Community Health Network of CT cannot accept electronic claims for Anesthesia. If you have questions on how to submit these claims p

Located in St. Joseph MO. Service area includes NW Missouri NE Kansas SW Iowa and SE Nebraska.



Located in St. Joseph MO. Service area includes NW Missouri NE Kansas SW Iowa and SE Nebraska.









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Accepts Medicaid Claims

Accepts Medicaid Claims

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









sact.emdeon.com/factsheets/edi_fact_sheet_03036.php

sact.emdeon.com/factsheets/edi_fact_sheet_03036.php

sact.emdeon.com/factsheets/edi_fact_sheet_03036.php

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

sact.emdeon.com/factsheets/edi_fact_sheet_06105.php

sact.emdeon.com/factsheets/edi_fact_sheet_06105.php

sact.emdeon.com/factsheets/edi_fact_sheet_06105.php

sact.emdeon.com/factsheets/edi_fact_sheet_06105.php









Claims are printed and mailed to the payer.; For conversion plan members only. If filing a claim for a federal plan member please use pay

Claims are printed and mailed to the payer.; For conversion plan members only. If filing a claim for a federal plan member please use pay

sact.emdeon.com/factsheets/edi_fact_sheet_58231.php

sact.emdeon.com/factsheets/edi_fact_sheet_58231.php

sact.emdeon.com/factsheets/edi_fact_sheet_58231.php

Email address is payorid41045@coresource.com; Full process for notification of a provider request for an 835 from WebMd/CoreSource

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesot

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesot

Email address is payorid41045@coresource.com; Full process for notification of a provider request for an 835 from WebMd/CoreSource

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesot

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in Little Rock Arkansas. For assistan

sact.emdeon.com/factsheets/edi_fact_sheet_75136.php

sact.emdeon.com/factsheets/edi_fact_sheet_75136.php

Must Notify Payer

sact.emdeon.com/factsheets/edi_fact_sheet_75136.php

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in Little Rock Arkansas. For assistan

Must Notify Payer

Email address is payorid35182@coresource.com



Email address is payorid35182@coresource.com





Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Maryland Pennsylva

Email address is payorid35180@coresource.com

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of North Carolina or In

Email address is payorid35180@coresource.com

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of North Carolina or In

sact.emdeon.com/factsheets/edi_fact_sheet_35180.php

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of North Carolina or In

Email address is payorid35183@coresource.com

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the state of Ohio. For assistance c

sact.emdeon.com/factsheets/edi_fact_sheet_35183.php

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the state of Ohio. For assistance c

Email address is payorid35183@coresource.com

sact.emdeon.com/factsheets/edi_fact_sheet_35183.php

Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesot





Payer ID valid only for claims with a billing submission address of P.O. Box 27267 Minneapolis MN 55427-0267.

Payer ID valid only for claims with a billing submission address of P.O. Box 27267 Minneapolis MN 55427-0267.



Payer ID valid only for claims with a claims submission address of P.O. Box 12953 Charlotte NC 28220.









sact.emdeon.com/factsheets/edi_fact_sheet_43160.php

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









sact.emdeon.com/factsheets/edi_fact_sheet_25133ok.php

sact.emdeon.com/factsheets/edi_fact_sheet_25133ok.php

sact.emdeon.com/factsheets/edi_fact_sheet_25133ok.php

sact.emdeon.com/factsheets/edi_fact_sheet_25133ok.php









sact.emdeon.com/factsheets/edi_fact_sheet_87043.php

sact.emdeon.com/factsheets/edi_fact_sheet_87043.php

sact.emdeon.com/factsheets/edi_fact_sheet_87043.php

sact.emdeon.com/factsheets/edi_fact_sheet_87043.php

sact.emdeon.com/factsheets/edi_fact_sheet_87043.php



sact.emdeon.com/factsheets/edi_fact_sheet_25130.php

sact.emdeon.com/factsheets/edi_fact_sheet_25130.php

sact.emdeon.com/factsheets/edi_fact_sheet_25130.php

sact.emdeon.com/factsheets/edi_fact_sheet_25130.php

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sact.emdeon.com/factsheets/edi_fact_sheet_25130.php



sact.emdeon.com/factsheets/edi_fact_sheet_25127.php

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sact.emdeon.com/factsheets/edi_fact_sheet_25132.php

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sact.emdeon.com/factsheets/edi_fact_sheet_25141TN.php

sact.emdeon.com/factsheets/edi_fact_sheet_25141TN.php

sact.emdeon.com/factsheets/edi_fact_sheet_25141TN.php

sact.emdeon.com/factsheets/edi_fact_sheet_25141TN.php









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Please enter the unique policy number or ID card when submitting claims. Payer ID valid only for claims with a billing submission address

Please enter the unique policy number or ID card when submitting claims. Payer ID valid only for claims with a billing submission address









Call Jessica Picarde @ 410-349-3222 for Payer id.

Call Jessica Picarde @ 410-349-3222 for Payer id.

PLEASE CONTACT JASON DOWLING AT 202-408-2013 TO JOIN CHARTERED HEALTH PLANS EDI NETWORK

PLEASE CONTACT Ronald Gray at 202-408-2229 TO JOIN CHARTERED HEALTH PLANS EDI NETWORK

PLEASE CONTACT Ronald Gray at 202-408-2229 TO JOIN CHARTERED HEALTH PLANS EDI NETWORK









Provider ID required for all THIN payers.









sact.emdeon.com/factsheets/edi_fact_sheet_27009.php

Enroll with payer

sact.emdeon.com/factsheets/edi_fact_sheet_27009.php

Enroll with payer









A United Healthcare payer

Please call Debbie Hansen at 800-777-3622 ext 5838 to be setup for electronic claims under Trading Partner Id HT001755-015 prior to cl

Please call Debbie Hansen at 800-777-3622 ext 5838 to be setup for electronic claims prior to claims submission.

To enroll call - Debbie Hansen at 800-777-3622 ext 5838

To enroll call - Debbie Hansen at 800-777-3622 ext 5838









Before submitting please contact Jessica Picarde at (410) 349-3222 to obtain Payer ID

Before submitting please contact Jessica Picarde at (410) 349-3222 to obtain Payer ID

sact.emdeon.com/factsheets/edi_fact_sheet_25131.php

sact.emdeon.com/factsheets/edi_fact_sheet_25131.php

Paper remits will continue

Paper remits will continue

sact.emdeon.com/factsheets/edi_fact_sheet_25131.php

sact.emdeon.com/factsheets/edi_fact_sheet_25131.php

Paper remits will continue

Paper remits will continue





Please verify the Payer ID on the Member ID card in addition to the Payer City and State before submitting claims to Diversified Admin (P

Please verify the Payer ID on the Member ID card in addition to the Payer City and State before submitting claims to Diversified Admin (P









To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org









Now known as Meritain Health.

Now known as Meritain Health.

Now known as Meritain Health.

To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.

Payer Id valid only for claims with a billing submission address of Employee Benefit Consultants located in Broadview Hts OH Appleton W

To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.









Payer ID valid for claims with a submission address of PO Box 2568 Mansfield OH 44906.

Payer ID valid for claims with a submission address of PO Box 2568 Mansfield OH 44906.



As of December 1 2002 please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informa



Prior to accepting claims electronically EMIA requires the provider to call 801-262-7476 or 800-662-5850. Providers should advise EMIA

As of December 1 2002 please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informa









Provider ID required for all THIN payers.

Network ID required on all claims. Call Sutter Connect EDI Department at (800) 611-5191 to obtain Network ID prior to first submission.









Elderplan no longer requires enrollment & individual provider testing; However Elderplan Provider ID is necessary on all claim submission

sact.emdeon.com/factsheets/edi_fact_sheet_31625.php

Elderplan no longer requires enrollment & individual provider testing; However Elderplan Provider ID is necessary on all claim submission

sact.emdeon.com/factsheets/edi_fact_sheet_31625.php

sact.emdeon.com/factsheets/edi_fact_sheet_34167.php

sact.emdeon.com/factsheets/edi_fact_sheet_34167.php









To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.









Payer Id valid only for claims with a billing submission address of Employee Benefit Consultants located in Broadview Hts OH Appleton W

To obtain the payer ID please call (440) 262-1160.

To obtain the payer ID please call (440) 262-1160.









MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN FT. MILL SC

MUST VERIFY ALL CLAIMS SHOULD GO TO PAYER IN FT. MILL SC

As of December 1 2002 please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informa









For plan and claim requirements please contact the Employers Mutual Inc. (Stuart FL) Customer Service Department at (772) 287-7650 e

For plan and claim requirements please contact the Employers Mutual Inc. (Stuart FL) Customer Service Department at (772) 287-7650 e

sact.emdeon.com/factsheets/edi_fact_sheet_35206.php

sact.emdeon.com/factsheets/edi_fact_sheet_35206.php









Please enter Group Number (P61) when submitting claims.

Please enter Group Number (P61) when submitting claims.





Payer ID valid only for claims with a billing submission address of P.O. Box 720460 Oklahoma City OK 73172.

Payer ID valid only for claims with a billing submission address of P.O. Box 720460 Oklahoma City OK 73172.

Payer ID valid only for claims with a billing submission address of P.O. Box 720460 Oklahoma City OK 73172.

sact.emdeon.com/factsheets/edi_fact_sheet_23250.php

sact.emdeon.com/factsheets/edi_fact_sheet_23250.php

sact.emdeon.com/factsheets/edi_fact_sheet_23250.php

sact.emdeon.com/factsheets/edi_fact_sheet_23250.php

sact.emdeon.com/factsheets/edi_fact_sheet_23250.php

Erin Group Admin. requires one paper claim to successfully adjudicate prior to accepting claims electronically.









Payer ID valid for claims with a submission address of PO Box 5001 New Port Richey FL 34656.

Payer ID valid for claims with a submission address of PO Box 5001 New Port Richey FL 34656.





sact.emdeon.com/factsheets/edi_fact_sheet_71412.php

sact.emdeon.com/factsheets/edi_fact_sheet_71412.php

sact.emdeon.com/factsheets/edi_fact_sheet_71412.php





Payer ID rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.

Payer ID rendering provider and location number required to submit claims. Please call Dave Sell at (608) 210-6656 to obtain.









Processes Health Plan Claims Only. NO WORKMENS COMP CLAIMS



Processes Health Plan Claims Only. NO WORKMENS COMP CLAIMS









sact.emdeon.com/factsheets/edi_fact_sheet_48116.php

For assistance send email to HIPAA@f-m-h.com

sact.emdeon.com/factsheets/edi_fact_sheet_48116.php

sact.emdeon.com/factsheets/edi_fact_sheet_48116.php

For assistance send email to HIPAA@f-m-h.com

sact.emdeon.com/factsheets/edi_fact_sheet_48116.php

sact.emdeon.com/factsheets/edi_fact_sheet_48116.php









sact.emdeon.com/factsheets/edi_fact_sheet_SX072.php

sact.emdeon.com/factsheets/edi_fact_sheet_SX072.php

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









sact.emdeon.com/factsheets/edi_fact_sheet_11315.php

sact.emdeon.com/factsheets/edi_fact_sheet_11315.php









Please contact First Choice for the payer id at (206) 268-2348.

Please contact First Choice for the payer id at (206) 268-2348.









sact.emdeon.com/factsheets/edi_fact_sheet_73159.php

sact.emdeon.com/factsheets/edi_fact_sheet_73159B.php

sact.emdeon.com/factsheets/edi_fact_sheet_73159.php

sact.emdeon.com/factsheets/edi_fact_sheet_73159B.php

Also known as Florida 1st

Also known as Florida 1st









If Bill Prov NPI not present Attend Prov NPI required -or- If Attend Prov NPI is not present either Attend Prov Network ID (REF*N5) or Com

If Bill Prov NPI not present Render Prov NPI required -or- If Render Prov NPI is not present either Render Prov Network ID (REF*N5) or Co

For assistance send email to HIPAA@f-m-h.com

For assistance send email to HIPAA@f-m-h.com









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.





Any provider that wishes to receive 835 must be a participating provider with the payer. If they are non-participating they will not receiv

Any provider that wishes to receive 835 must be a participating provider with the payer. If they are non-participating they will not receiv

sact.emdeon.com/factsheets/edi_fact_sheet_13551.php

sact.emdeon.com/factsheets/edi_fact_sheet_13551.php

sact.emdeon.com/factsheets/edi_fact_sheet_13551.php

sact.emdeon.com/factsheets/edi_fact_sheet_13551.php

sact.emdeon.com/factsheets/edi_fact_sheet_13551.php

site.transact.emdeon.com/edi_fact_sheet_25141.php

site.transact.emdeon.com/edi_fact_sheet_25141.php

site.transact.emdeon.com/edi_fact_sheet_25141.php

site.transact.emdeon.com/edi_fact_sheet_25141.php

sact.emdeon.com/factsheets/edi_fact_sheet_80314.php

sact.emdeon.com/factsheets/edi_fact_sheet_80314.php

sact.emdeon.com/factsheets/edi_fact_sheet_80314.php









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Gateway Health Plan - Medicare Assured; 60550 (Yellow Card). Please check the ID card to verify the Payer ID before submitting claims.



Gateway Health Plan - Medicare Assured; 60550 (Yellow Card). Please check the ID card to verify the Payer ID before submitting claims.



Caution: Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. PA M





Caution: Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. PA M

Please check the ID card to verify the Payer ID before submitting claims. If you have questions please contact Gateway Provider Servicing

Please check the ID card to verify the Payer ID before submitting claims. If you have questions please contact Gateway Provider Servicing

Attention: Please verify the Payer ID from the ID card before submitting claims to Gateway Health Plan of Ohio Inc.; 76028 (White Card).

Attention: Please verify the Payer ID from the ID card before submitting claims to Gateway Health Plan of Ohio Inc.; 76028 (White Card).









Prior enrollment required. Please contact Geisinger Health Plan at 1-888-281-5338 option 3 to obtain an enrollment form; or download a



Prior enrollment required. Please contact Geisinger Health Plan at 1-888-281-5338 option 3 to obtain an enrollment form; or download a

A United Healthcare payer. Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 89









sact.emdeon.com/factsheets/edi_fact_sheet_07205.php

sact.emdeon.com/factsheets/edi_fact_sheet_07205.php

sact.emdeon.com/factsheets/edi_fact_sheet_07205.php

sact.emdeon.com/factsheets/edi_fact_sheet_07205.php

sact.emdeon.com/factsheets/edi_fact_sheet_07205.php

sact.emdeon.com/factsheets/edi_fact_sheet_07205.php









sact.emdeon.com/factsheets/edi_fact_sheet_44054.php

sact.emdeon.com/factsheets/edi_fact_sheet_44054.php

sact.emdeon.com/factsheets/edi_fact_sheet_44054.php

sact.emdeon.com/factsheets/edi_fact_sheet_44054.php

sact.emdeon.com/factsheets/edi_fact_sheet_44054.php

sact.emdeon.com/factsheets/edi_fact_sheet_44054.php









f.k.a. General American

sact.emdeon.com/factsheets/edi_fact_sheet_36338.php

sact.emdeon.com/factsheets/edi_fact_sheet_36338.php

sact.emdeon.com/factsheets/edi_fact_sheet_36338.php

sact.emdeon.com/factsheets/edi_fact_sheet_36338.php

sact.emdeon.com/factsheets/edi_fact_sheet_36338.php









All GHC products; GHC Group Individual Medicare + Choice and Healthy Options can be submitted electronically

All GHC products; GHC Group Individual Medicare + Choice and Healthy Options can be submitted electronically





sact.emdeon.com/factsheets/edi_fact_sheet_39167.php

sact.emdeon.com/factsheets/edi_fact_sheet_39167.php

sact.emdeon.com/factsheets/edi_fact_sheet_39167.php

sact.emdeon.com/factsheets/edi_fact_sheet_39167.php

sact.emdeon.com/factsheets/edi_fact_sheet_39167.php

sact.emdeon.com/factsheets/edi_fact_sheet_39167.php









All GHO products; Options and Alliant can be submitted electronically

All GHO products; Options and Alliant can be submitted electronically









Claims are printed and mailed to the payer.









sact.emdeon.com/factsheets/edi_fact_sheet_64246.php

sact.emdeon.com/factsheets/edi_fact_sheet_64246.php

sact.emdeon.com/factsheets/edi_fact_sheet_64246.php





sact.emdeon.com/factsheets/edi_fact_sheet_38224.php

sact.emdeon.com/factsheets/edi_fact_sheet_38224.php

Formerly John P. Pearl Associates





Formerly John P. Pearl Associates









Individual provider enrollment is required by HIP of NY. Please call HIP of NY Provider Relations to obtain the enrollment form at (800) 44

sact.emdeon.com/factsheets/edi_fact_sheet_55247.php

Individual provider enrollment is required by HIP of NY. Please call HIP of NY Provider Relations to obtain the enrollment form at (800) 44

sact.emdeon.com/factsheets/edi_fact_sheet_55247.php



30-24- Provider ID is Required. Must be 1-6 numeric characters in length









[Formerly Health Risk Management (HRM)









(Formerly Willis Administrative Services Corporation)

(Formerly Willis Administrative Services Corporation)





A United Healthcare payer. Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 89

sact.emdeon.com/factsheets/edi_fact_sheet_25126.php

sact.emdeon.com/factsheets/edi_fact_sheet_25126.php

sact.emdeon.com/factsheets/edi_fact_sheet_25126.php

sact.emdeon.com/factsheets/edi_fact_sheet_25126.php

sact.emdeon.com/factsheets/edi_fact_sheet_25126.php

sact.emdeon.com/factsheets/edi_fact_sheet_25126.php

sact.emdeon.com/factsheets/edi_fact_sheet_25126.php

sact.emdeon.com/factsheets/edi_fact_sheet_25126.php





Please include Group Name on all claims.









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









Must submit with Health Net Submitter ID. Please submit your requests to Teresa.W.Bailey@healthnet.com to obtain your Health Net S





Payer requires NPI

Payer requires NPI

Payer will receive auto enrollment e-mail. Also Payer Registration from is located on our website. Providers are to follow instructions on

sact.emdeon.com/factsheets/edi_fact_sheet_95567.php

Payer will receive auto enrollment e-mail. Also Payer Registration from is located on our website. Providers are to follow instructions on

sact.emdeon.com/factsheets/edi_fact_sheet_95567.php

Payer will receive auto enrollment e-mail. Also Payer Registration form is located on our website. Providers are to follow instructions on

Payer requires NPI.

Payer requires NPI

Payer will receive auto enrollment e-mail. Also Payer Registration form is located on our website. Providers are to follow instructions on









To obtain payer id please contact Joanne Shaw 413-233-3444 jshaw@hne.com or Joanne Walton-Bicknell 413-233-3456 jwalton-bicknell

To obtain payer id please contact Joanne Shaw 413-233-3444 jshaw@hne.com or Joanne Walton-Bicknell 413-233-3456 jwalton-bicknell









sact.emdeon.com/factsheets/edi_fact_sheet_80142.php

sact.emdeon.com/factsheets/edi_fact_sheet_80142.php

sact.emdeon.com/factsheets/edi_fact_sheet_80142.php

All claims submitted require a valid Health Partners PA provider ID in the Rendering Provider Network ID field.









CONTACT PAYER FOR REGISTRATION AND PAYER ID. Endry Lo: 650-616-2017 or Ken Cottrell: 650-616-2021









Payer requests providers to contact the EDI department at edi@healthplus-ny.org for 835/EFT enrollment.

Providers must contact Health Plus at 718-491-8355 prior to submitting claims. A valid Health Plus provider ID is required on all claims.

Payer requests providers to contact the EDI department at edi@healthplus-ny.org for 835/EFT enrollment.

Providers must contact Health Plus at 718-491-8355 prior to submitting claims. A valid Health Plus provider ID is required on all claims.



[Formerly Health Risk Management (HRM)

Formerly Heritage New York Medical Group.

Formerly Heritage New York Medical Group.









Payer must be requested via the Provider Setup Form and Payer Reqistration completed prior to electronic claims submission. Provider









HealthPlus requires a Trading Partner Agreement. Providers should contact the EDI department at (810-230-2084) upon billing via Emdeo

HealthPlus requires a Trading Partner Agreement. Providers should contact the EDI department at (810-230-2084) upon billing via Emdeo









It is no longer necessary to notify HealthSpring before submitting claims electronically. HealthSpring encourages electronic submission o

It is no longer necessary to notify HealthSpring before submitting claims electronically. HealthSpring encourages electronic submission o









The insured ID number is required. Maximum of 25 procedure lines per claim. Secondary claims cannot be sent electronically. Claim rem









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

sact.emdeon.com/factsheets/edi_fact_sheet_25143.php

sact.emdeon.com/factsheets/edi_fact_sheet_25143.php

sact.emdeon.com/factsheets/edi_fact_sheet_25143.php

sact.emdeon.com/factsheets/edi_fact_sheet_25143.php

sact.emdeon.com/factsheets/edi_fact_sheet_25143.php

sact.emdeon.com/factsheets/edi_fact_sheet_25143.php

sact.emdeon.com/factsheets/edi_fact_sheet_25143.php

sact.emdeon.com/factsheets/edi_fact_sheet_25143.php









All claims submitted require a valid Healthfirst Inc. (NY) provider ID in the Rendering Provider Network ID field.



Claims are printed and mailed to the payer.



Please call Provider Relations Dept at (800) 624-2356 for unique provider number.

Please call Provider Relations Dept at (800) 624-2356 for unique provider number.

Please call Provider Relations Dept at (800) 624-2356 for unique provider number.

Please call Provider Relations Dept at (800) 624-2356 for unique provider number.

Payer will receive auto enrollment e-mail. Also Payer Registration form is located on our website. Providers are to follow instructions on

Payer will receive auto enrollment e-mail. Also Payer Registration form is located on our website. Providers are to follow instructions on

Provider id = 12 digits with G2 qualifier









Claims are edited under CIGNA's payer specific edits Payer ID 62308





Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.



Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Payer requires unique provider ID; please contact (800) 909-2227 ext. 5760.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Payer requires unique provider ID for new providers; please contact Donna Wilson at (603) 268-7439.

Payer requires unique provider ID for new providers; please contact Donna Wilson at (603) 268-7439. Claims are edited under CIGNA's p

Claims are edited under CIGNA's payer specific edits Payer ID 62308.



Healthsource Network Providers Only. Claims are edited under CIGNA's payer specific edits Payer ID 62308.



Healthsource Network Providers Only



Claims are edited under CIGNA's payer specific edits Payer ID 62308.

Claims are edited under CIGNA's payer specific edits Payer ID 62308.



For faster payment please be sure to use only the 9-digit subscriber ID on all claims.

Payer-assigned provider ID required. Please call (409) 721-5900 to obtain.









Medicaid managed care. For EDI support please e-mail edi.hm@kmhp.com.; Formerly Horizon Mercy Health Plan

Medicaid managed care. For EDI support please e-mail edi.hm@kmhp.com.; Formerly Horizon Mercy Health Plan



Please enter Group Number (F19) when submitting claims.

Please enter Group Number (F19) when submitting claims.









sact.emdeon.com/factsheets/edi_fact_sheet_61101.php

sact.emdeon.com/factsheets/edi_fact_sheet_61101.php









Registration forms located at http://www.emdeon.com/PayerLists/payer_enrollment_forms.php Paper remits will cease upon enrollmen



Registration forms located at http://www.emdeon.com/PayerLists/payer_enrollment_forms.php Paper remits will cease upon enrollmen

Claims sent to payer id 61102 will NOT be paid. Payer ID 61102 is for ENCOUNTERS ONLY.

Does not include Humana ChoiceCare of Cincinnati - (Humana Health Plans of Ohio).

Does not include Humana ChoiceCare of Cincinnati - (Humana Health Plans of Ohio)









Valid for claims with the following mailing address: P.O. Box 2388 Stow OH 44224

Valid for claims with the following mailing address: P.O. Box 2388 Stow OH 44224

Call Jessica Picarde at Provider relations (410) 349-3222 to acquire payer id information.

Claims are printed and mailed to Payer.

Claims are printed and mailed to Payer.









To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org



Please contact Independent Health's E-Commerce team at (716) 635-3911 for enrollment and testing before submitting claims in produc

Please contact Independent Health's E-Commerce team at (716) 635-3911 for enrollment and testing before submitting claims in produc









Enrollment is required. Providers should contact BCBSNM Customer Service Department at 1-800-225-0241









Formerly known as Local 135 Health Benefits Fund (Indianapolis IN)

Formerly known as Local 135 Health Benefits Fund (Indianapolis IN)

Formerly known as Local 135 Health Benefits Fund (Indianapolis IN)

sact.emdeon.com/factsheets/edi_fact_sheet_31053.php

sact.emdeon.com/factsheets/edi_fact_sheet_31053.php









Injured Workers Insurance Fund requires first time submitters to contact Grace Sobrio at (410) 494-2045 prior to submitting claims.



Call Jessica Picarde at Provider relations (410) 349-3222 to acquire payer id information.

Call Jessica Picarde at Provider relations (410) 349-3222 to acquire payer id information.

Before submitting contact Jessica Picarde at (410) 349-3222

Before submitting contact Jessica Picarde at (410) 349-3222









This Payer ID is only valid for claims with submission address of P.O. Box 15688; Amarillo TX 79105

This Payer ID is only valid for claims with submission address of P.O. Box 15688; Amarillo TX 79105

Please visit website prior to submitting claims: edihelp.iacusa.com

Please visit website prior to submitting claims: edihelp.iacusa.com

Please visit website prior to submitting claims: edihelp.iacusa.com

Payer ID valid only for claims with a billing submission address of 110 S. Shipley Street Seaford DE 19973.

Payer ID valid only for claims with a billing submission address of 110 S. Shipley Street Seaford DE 19973.

Payer ID valid only for claims with a billing submission address of 110 S. Shipley Street Seaford DE 19973.









Prior to submitting claims please call Provider Relations Dept at 1-800-716-5650 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-800-716-5650 to verify your provider info is on file in the claim system









30-24-- Provider ID is Required. Must be 1-6 numeric characters in length.

Please contact John Muir Trauma Physicians at 925-947-5288 for Payer id information.









Payer ID valid only for claims with a billing submission address of PO Box 458022 Westlake OH 44145









sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

sact.emdeon.com/factsheets/edi_fact_sheet_41099.php

Providers who have never submitted claims to John Muir are required to register Tax ID prior to initial claims submission. Please fax W-9

Providers who have never submitted claims to John Muir are required to register Tax ID prior to initial claims submission. Please fax W-9

Enroll with payer please e-mail Dave Amann AmannD@jhhc.com

Enroll with payer please e-mail Dave Amann AmannD@jhhc.com

New submitters should send in their Billing NPI and Rending/Servicing NPI.

New submitters should send in their Billing NPI and Rending/Servicing NPI.



New submitters should send in their Billing NPI and Rending/Servicing NPI.



New submitters should send in their Billing NPI and Rending/Servicing NPI.

Emergency Claims: For more information please call (866) 285-0362. Referral claims: Please call (510) 987-3513 for approval prior to su

sact.emdeon.com/factsheets/edi_fact_sheet_94135.php

sact.emdeon.com/factsheets/edi_fact_sheet_94135.php

Emergency Claims: For more information please call (866) 285-0362. Referral claims: Please call (510) 987-3513 for approval prior to su

Kaiser Ohio will be receiving Extend Content. E-tactic Billing Service participating in Pilot.









For more information please call (866) 285-0361

For more information please call (866) 285-0361

sact.emdeon.com/factsheets/edi_fact_sheet_52095.php

For more information please contact Kenya Neal at Kaiser at (301) 625-2264.

For more information please contact Kenya Neal at Kaiser at (301) 625-2264.

sact.emdeon.com/factsheets/edi_fact_sheet_52095.php

This payer id can only be used to submit claims for Oregon and Washington Kaiser Permanente members.

This payer id can only be used to submit claims for Oregon and Washington Kaiser Permanente members.

sact.emdeon.com/factsheets/edi_fact_sheet_21313.php

sact.emdeon.com/factsheets/edi_fact_sheet_21313.php

Payer ID valid only for claims with a billing submission address of PO Box 4360 Rockville MD









sact.emdeon.com/factsheets/edi_fact_sheet_57038.php

sact.emdeon.com/factsheets/edi_fact_sheet_57038.php









sact.emdeon.com/factsheets/edi_fact_sheet_73159.php

sact.emdeon.com/factsheets/edi_fact_sheet_73159.php

sact.emdeon.com/factsheets/edi_fact_sheet_73159.php









MUST VERIFY AL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN

MUST VERIFY AL CLAIMS SHOULD GO TO PAYER IN INDIANAPOLIS IN









sact.emdeon.com/factsheets/edi_fact_sheet_23284.php

sact.emdeon.com/factsheets/edi_fact_sheet_23284.php

Medicaid managed care. For EDI support please e-mail edi.kmhp@kmhp.com.

sact.emdeon.com/factsheets/edi_fact_sheet_23284.php

sact.emdeon.com/factsheets/edi_fact_sheet_23284.php

Medicaid managed care. For EDI support please e-mail edi.kmhp@kmhp.com.

sact.emdeon.com/factsheets/edi_fact_sheet_23284.php









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Worker's Compensation Claims ONLY.

Worker's Compensation Claims ONLY.

Worker's Compensation Claims ONLY.

Worker's Compensation Claims ONLY.









Payer EDI agreement must be processed thru Emdeon's Enrollment Dpt. Do not send EDI Agreement to Payer. Applies to all providers (in

Payer EDI agreement must be processed thru Emdeons Enrollment Dpt. Do not send EDI Agreement to Payer. Applies to all providers (inc



As of December 1 2002 please send all medical and hospital claims to payer ID 61101. Please submit all Humana encounters and informa









Claims are printed and mailed to the payer.

Payer ID valid for claims with a submission address of PO Box 651109 Salt Lake City UT 84115



Payer ID valid for claims with a submission address of PO Box 651109 Salt Lake City UT 84115

Payer ID valid for claims with a submission address of PO Box 98 Worland WY 82401



Payer ID valid for claims with a submission address of PO Box 98 Worland WY 82401





Formerly Payer ID 56151

Formerly MedCost Benefit Services.

Formerly Payer ID 56151

Please Call Keri Kudrav Provider Relations @ (412) 922-0780 ext. 175









PLEASE EMAIL TRACY HARSWICK AT THARSWICK@MHS.NET FOR PAYER ID INFORMATION

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Claims are printed and mailed to the payer

Claims are printed and mailed to the payer

Mayo Management Services Inc.

Mayo Management Services Inc.









For your MVP Provider number call (800) 684-9286.

For your MVP Provider number call (800) 684-9286.









Please include the rendering provider information or the name of the dentist in RTE6. Payer will reject the claims without this informatio



sact.emdeon.com/factsheets/edi_fact_sheet_01260.php

sact.emdeon.com/factsheets/edi_fact_sheet_01260.php

sact.emdeon.com/factsheets/edi_fact_sheet_01260.php









sact.emdeon.com/factsheets/edi_fact_sheet_62413.php

sact.emdeon.com/factsheets/edi_fact_sheet_62413.php

Also known as Mailhandlers/CAC.

sact.emdeon.com/factsheets/edi_fact_sheet_62413.php

Also known as Mailhandlers/CAC.

Also known as Mailhandlers/CAC.

Prior to submitting claims please call Provider Relations Dept at 1-800-944-9661 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-866-296-8731 to verify your provider info is on file in the claim system





Prior to submitting claims please call Provider Relations Dept at 1-800-547-1647 to verify your provider info is on file in the claim system

Prior to submitting claims please call Provider Relations Dept at 1-800-547-1647 to verify your provider info is on file in the claim system









Rendering provider id must contain 1D qualifier. Payer accepts zero dollar service line charges. Payer Registration not required. Autoen









sact.emdeon.com/factsheets/edi_fact_sheet_56162.php

sact.emdeon.com/factsheets/edi_fact_sheet_56162.php

sact.emdeon.com/factsheets/edi_fact_sheet_56162.php

sact.emdeon.com/factsheets/edi_fact_sheet_56162.php

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em



For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









sact.emdeon.com/factsheets/edi_fact_sheet_29076.php

sact.emdeon.com/factsheets/edi_fact_sheet_29076.php

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sact.emdeon.com/factsheets/edi_fact_sheet_29076.php

sact.emdeon.com/factsheets/edi_fact_sheet_29076.php

Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009 North Richland Hills TX 76182.

Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009 North Richland Hills TX 76182.









PLEASE EMAIL TRACY HARSWICK AT THARSWICK@MHS.NET FOR PAYER ID INFORMATION









Enroll with payer





Enroll with payer









Please call 608-758-7739 for payer id.

Please call 608-758-7739 for payer id.





Formerly know as Agency Services Inc.

Formerly know as Agency Services Inc.

Formerly know as North American Administrators Inc.

Formerly know as North American Administrators Inc.





(formerly Travelers)









Providers must first contact provider services at 1-877-620-9090 for credential/contracting. Then complete the ERA PSF Form.



Providers must first contact provider services at 1-877-620-9090 for credential/contracting. Then complete the ERA PSF Form.

sact.emdeon.com/factsheets/edi_fact_sheet_52148.php









Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017 North Richland Hills TX 76182.





Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982017 North Richland Hills TX 76182.

A United Healthcare payer. Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 89

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906









Accepts NPI only. Require the billing NPI to be the group NPI if using a Business Tax id. Service provider NPI required in servicing provide

Accepts NPI only. Require the billing NPI to be the group NPI if using a Business Tax id. Service provider NPI required in servicing provide









Also doing business as Select Administrative Services (SAS).

Also doing business as Select Administrative Services (SAS).

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sact.emdeon.com/factsheets/edi_fact_sheet_38333.php









sact.emdeon.com/factsheets/edi_fact_sheet_38336.php

sact.emdeon.com/factsheets/edi_fact_sheet_38336.php









sact.emdeon.com/factsheets/edi_fact_sheet_55247.php

Please contact Provider Relations or Customer service at (914) 377-4400 for unique provider number









Payer ID 39634 only accepts claims for the states of AZ IL IN and OH. Claims for any other states should not be directed to Payer ID 3963

Payer ID 39634 only accepts claims for the states of AZ IL IN and OH. Claims for any other states should not be directed to Payer ID 3963

Please include Group Name on all claims

Please enter Group Number when submitting claims.

Please enter Group Number when submitting claims.

Please enter Group Number (F15) when submitting claims.

Please enter Group Number (F15) when submitting claims.

Please enter Group Number when submitting claims.

Please enter Group Number (F26) when submitting claims.

Please enter Group Number (F26) when submitting claims.

Please enter Group Number (F14) when submitting claims.

Please enter Group Number when submitting claims.

Please enter Group Number (F14) when submitting claims.









Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-492

Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-492

Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-492









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sact.emdeon.com/factsheets/edi_fact_sheet_38225.php

Please submit claims with your unique NHP/SHP provider number. Please call (631) 360-3102 for your unique NHP/SHP provider number

Please submit claims with your unique NHP/SHP provider number. Please call (631) 360-3102 for your unique NHP/SHP provider number

To obtain your provider ID number please call the NCPPO Customer Service Department at (800) 272-5911.

To obtain your provider ID number please call the NCPPO Customer Service Department at (800) 272-5911.









A United Healthcare payer



Policy Number GMG1846

Policy Number GMG1846









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sact.emdeon.com/factsheets/edi_fact_sheet_31417.php

sact.emdeon.com/factsheets/edi_fact_sheet_31417.php

Payer ID is valid for claims submission address PO Box 025680 Miami FL 33102-5680. Any questions should be directed to (305)715-4334

Payer ID is valid for claims submission address PO Box 025680 Miami FL 33102-5680. Any questions should be directed to (305)715-4334





Please call NHPRI at 1-401-459-6020 to obtain or confirm your provider and vendor number prior to your initial claims submission.









Before initiating submissions please contact Provider Relations at (617) 806-8104 or edi@network-health.org for an EDI setup form.

Before initiating submissions please contact Provider Relations at (617) 806-8104 or edi@network-health.org for an EDI setup form.





Payer Id valid only if the send claims to address on the back of the member's card is PO Box 568 Menasha WI 54952. DO NOT USE this pa

Use for Network Health Plan HMO and POS claims only. Payer Id valid only if the send claims to address on the back of the member's car

30-24-- Provider ID is Required. Must be 1-6 numeric characters in length.









Now known as Meritain Health

Now known as Meritain Health



Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-492

Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-492

Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928 Cleveland OH 44101-492

Now known as Meritain Health



Please contact the EDI Dept for North American Medical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000



Now known as Meritain Health

Now known as Meritain Health









To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

Payer ID valid for claims with a submission address of PO Box 1138 San Ramon CA 94583.









Please call (775) 826-7200 to verfiy if you should be sending claims to Northern Nevada Trust Fund.

Please call (775) 826-7200 to verfiy if you should be sending claims to Northern Nevada Trust Fund.

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Payor requires unique provider ID for each practitioner/provider; please contact Jill Brant OHP Provider Relations at (504) 219-6682 or jil

Payor requires unique provider ID for each practitioner/provider; please contact Jill Brant OHP Provider Relations at (504) 219-6682 or jil

Office of Group Benefits is located in the state of Louisiana. This payer is currently not sending 997's. Syntax errors will be worked on w

Office of Group Benefits is located in the state of Louisiana. This payer is currently not sending 997's. Syntax errors will be worked on w





For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Payer ID valid only for claims with a billing submission address of PO Box 3619 Akron OH 44309-3619 or PO Box 93538

Payer ID valid only for claims with a billing submission address of PO Box 3619 Akron OH 44309-3619 or PO Box 93538





For claims with date of service AFTER 10/1/04.

Paper remits will continue.

Paper remits will continue.

For claims with date of service AFTER 10/1/04.

For claims with date of service AFTER 10/1/04.

Paper remits will continue

Paper remits will continue

For claims with date of service AFTER 10/1/04.





Name effective from 9/1/2006. Previous name Alliance PPO LLC.

Please enter Group Number when submitting claims.

Please enter Group Number (F12) when submitting claims.

Please enter Group Number (F12) when submitting claims.

Note: Rendering Provider Network ID (E6-14) field is reqd. Field must be 5-7 chars positions 1-5 must be numeric only and positions 6&7

Note: Rendering Provider Network ID (E6-14) field is reqd. Field must be 5-7 chars positions 1-5 must be numeric only and positions 6&7









Claims are printed and mailed to the payer. For Payable USFHP (NY & NJ) outpatient therapy claims only. Contact Theresa Malgioglio at (



For payable CIGNA (NYCT & NJ) HMO/POS outpatient therapy claims only (includes Open Access Plus claims in CT). Contact Theresa Malg

Per Peggy Grossman @ 203-459-6570 @ Oxford the provider must contact Oxford to sign up for electronic remits. The provider needs to

sact.emdeon.com/factsheets/edi_fact_sheet_06111.php

sact.emdeon.com/factsheets/edi_fact_sheet_06111.php

Per Peggy Grossman @ 203-459-6570 @ Oxford the provider must contact Oxford to sign up for electronic remits. The provider needs to









Prior to accepting claims electronically PEHP requires the provider to call EDI Support at 801-366-7544 or 800-753-7818. Providers shou

Call the payer's EDI dept. at 801-366-7544 or email edi.helpdesk@pehp.org to obtain the payer id.

Call EDI at 801-366-7544 or email edi.helpdesk@pehp.org to obtain the payer id.

Call EDI at 801-366-7544 or email edi.helpdesk@pehp.org to obtain the payer id.

Call EDI at 801-366-7544 or email edi.helpdesk@pehp.org to obtain the payer id.









Contracted Providers: All claims require NPI. Contact (260) 432-6690 x549 with questions. Corrected/adjustment claims - submit via pape



Contracted Providers: All claims require NPI. Contact (260) 432-6690 x549 with questions. Corrected/adjustment claims - submit via pape

Please do not submit claims to this payer ID 62155 for dates of service on or after 12/31/08. Claims should be sent to the enrollee's new

Forms are available on our website

Forms are available on our website

Please do not submit claims to this payer ID 62155 for dates of service on or after 12/31/08. Claims should be sent to the enrollee's new









Prior to submitting please contact Lynn Wilcox at (315) 432-9171 ext. 255

For payable PPO claims only. NOT for Pacificare/Secure Horizons HMO claims. For further questions you may inquire via email at phsedis

For payable PPO claims only. NOT for Pacificare/Secure Horizons HMO claims. For further questions you may inquire via email at phsedis

For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at

For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre

Must submit with PacifiCare submitter ID. Please contact EncounterCollection@phs.com.

Must submit with PacifiCare submitter. Please contact EncounterCollection@phs.com to obtain.

For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at

For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre



Must submit with PacifiCare submitter ID. Please contact EncounterCollection@phs.com to obtain.



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre

Must submit with PacifiCare submitter ID. Please contact EncounterCollection@phs.com to obtain.

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre



Must submit with PacifiCare submitter ID. Please contact EncounterCollection@phs.com to obtain.

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edioutre



Must submit with PacifiCare submitter ID. Please contact EncounterCollection@phs.com to obtain.





A United Healthcare payer

sact.emdeon.com/factsheets/edi_fact_sheet_93029.php

Payer does not accept COB claims electronically

sact.emdeon.com/factsheets/edi_fact_sheet_93029.php

Payer does not accept COB claims electronically

sact.emdeon.com/factsheets/edi_fact_sheet_93029.php

sact.emdeon.com/factsheets/edi_fact_sheet_93029.php

A United Healthcare payer

A United Healthcare payer









Enroll with payer

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

To obtain Payer ID and enroll with payer please contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer please contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org





Contracted providers only. Please call Partners National Health Plan of NC provider services department at (888) 296-9790; option 2 for

Contracted providers only. Please call Partners National Health Plan of NC provider services department at (888) 296-9790; option 2 for









Providers must include provider id's on ERA Enrollment form; else reject back to provider. Email confirmation send to: edi.kmhp@kmhp









Medicaid managed care. For EDI support please e-mail edi.php@kmhp.com.

Providers must include provider id's on ERA Enrollment form; else reject back to provider. Email confirmation send to: edi.kmhp@kmhp



Medicaid managed care. For EDI support please e-mail edi.php@kmhp.com.









Prior to submitting claims please call Provider Relations Dept at 1-866-874-0633 to verify your provider info is on file in the claim system



Prior to submitting claims please call Provider Relations Dept at 1-866-874-0633 to verify your provider info is on file in the claim system









Call Jessica Picarde Manager of PPHN Claims Operations(410) 349-3222

Call Jessica Picarde Manager of PPHN Claims Operations(410) 349-3222

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sact.emdeon.com/factsheets/edi_fact_sheet_72126.php

sact.emdeon.com/factsheets/edi_fact_sheet_72126.php

sact.emdeon.com/factsheets/edi_fact_sheet_72126.php





Payer ID valid only for claims with a billing submission address of P.O. Box 27267 Minneapolis MN 55427-0267.

Payer ID valid only for claims with a billing submission address of P.O. Box 27267 Minneapolis MN 55427-0267.



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sact.emdeon.com/factsheets/edi_fact_sheet_25146.php









Please call David McGee 626-817-8354 or Art Tarin 626-817-8318 to obtain the Payer Id

Please call David McGee 626-817-8354 or Art Tarin 626-817-8318 to obtain the Payer Id









Note: This is Physicians Care Network located in Michigan

Note: This is Physicians Care Network located in Michigan

Note: This is Physicians Care Network located in Michigan

Note: This is Physicians Care Network located in Michigan

Note: This is Physicians Care Network located in Michigan

Note: This is Physicians Care Network located in Michigan

sact.emdeon.com/factsheets/edi_fact_sheet_47027.php

Please send all PPO and dental claims to the address on the back of the insured's ID Card

sact.emdeon.com/factsheets/edi_fact_sheet_47027.php

Please send all PPO and dental claims to the address on the back of the insured's ID Card.









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Providers submitting claims as a Preferred Blue provider should not submit claims using payer ID 37287

Providers submitting claims as a Preferred Blue provider should not submit claims using payer ID 37287

sact.emdeon.com/factsheets/edi_fact_sheet_61665.php

E6-14 Required on Medical









We process claims for only the Miami Florida area. Please check the address on the members id card before submitting claims.





We process claims for only the Miami Florida area. Please check the address on the members id card before submitting claims.

sact.emdeon.com/factsheets/edi_fact_sheet_73145.php

sact.emdeon.com/factsheets/edi_fact_sheet_73145.php



Contact Sherry Wolgemuth Vice President of Claims Operations for Preferred Health Care at (717) 560-9290 ext. 124 for approval and th









sact.emdeon.com/factsheets/edi_fact_sheet_60110.php

Providers who are interested in receiving ERAs from Preferred Health Systems shall call 316-609-2434

sact.emdeon.com/factsheets/edi_fact_sheet_60110.php

Providers who are interested in receiving ERAs from Preferred Health Systems shall call 316-609-2434









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









Before submitting contact Jessica Picarde at (410) 349-3222

Before submitting contact Jessica Picarde at (410) 349-3222









Payer requests providers to contact them directly for 835 enrollment. Providers may call (800) 942-0954 x 8686 or email edisetup@prio

Payer ID valid for claims with the following submission addresses: PO Box 3160 Detroit MI 48203 AND PO Box 3590 Detroit MI 48203.

Payer ID valid for claims with the following submission addresses: PO Box 3160 Detroit MI 48203 AND PO Box 3590 Detroit MI 48203.









Payer ID is valid only for claims with billing submission name city and state of Professional Benefit Administrators Inc. Oak Brook IL.

Payer ID is valid only for claims with billing submission name city and state of Professional Benefit Administrators Inc. Oak Brook IL.

Payer ID is valid only for claims with billing submission name city and state of Professional Benefit Administrators Inc. Oak Brook IL.









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Please enter Group Number when submitting claims.

Please enter Group Number (F25) when submitting claims.

Please enter Group Number (F25) when submitting claims.

Please enter Group Number when submitting claims.

Please enter Group Number (F33) when submitting claims.

Please enter Group Number (F33) when submitting claims.









New Providers must enroll with QualCare at (800) 992-6613 option 5.



For assistance send email to HIPAA@f-m-h.com

For assistance send email to HIPAA@f-m-h.com



Please contact Kathy King @ (856) 608-1350 for Payer Id information.









Only for claims where the "submit claims to address" on the medical ID card is a CoreSource address in the states of Arizona or Minnesot

For claims rejections please contact Reserve National Customer Service at (405) 848-7931





Please call (773) 572-8311 or( 773) 572-8309 prior to your first submission of claims

Please call (773) 572-8311 or( 773) 572-8309 prior to your first submission of claims









sact.emdeon.com/factsheets/edi_fact_sheet_35164.php

sact.emdeon.com/factsheets/edi_fact_sheet_35164.php

sact.emdeon.com/factsheets/edi_fact_sheet_37105.php

f.k.a. Cannon Cochran Management Services Inc. Claims with a mailing address of PO Box 17009 Rockford IL ONLY may be sent electroni

sact.emdeon.com/factsheets/edi_fact_sheet_37105.php

f.k.a. Progressive Benefit Services Inc. Claims with a mailing address of PO Box 4419 Rockford IL ONLY may be sent electronically with th

a.k.a. Chesterfield Resources Inc. (Uniontown OH)

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org









Please Call Customer Service (559) 228-5410









For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at

For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin

For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at

For payable PacifiCare/Secure Horizons HMO and POS claims only. Not for PPO claims. For further questions you may inquire via email at



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin





For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin



For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin

For Payable Pacificare/Secure Horizon HMO claims only. NOT for PPO claims. For further questions you may inquire via email at edihmoin

Also known as Mississippi Select Health Care.



Also known as Mississippi Select Health Care.

Payer ID valid only for claims with a billing submission address of P.O. Box 440 Ashland WI 54806.

Payer ID valid only for claims with a billing submission address of P.O. Box 440 Ashland WI 54806.









For EDI support please e-mail edi.sh@kmhp.com.









For EDI support please e-mail edi.sh@kmhp.com.









SelectHealth was formerly Intermountain Healthcare (IHC)





Payer ID valid only for claims with a submission address of 18167 US Highway 19 North Suite 300 Clearwater FL 33764.

Payer ID valid only for claims with a submission address of 18167 US Highway 19 North Suite 300 Clearwater FL 33764.

Payer ID valid only for claims with a submission address of 18167 US Highway 19 North Suite 300 Clearwater FL 33764.

Payer ID valid only for claims with a submission address of 1016 Collier Center Way Suite 200 Naples FL 34110. Please call Customer Serv

Payer ID valid only for claims with a submission address of 1016 Collier Center Way Suite 200 Naples FL 34110. Please call Customer Serv









Addt'l enrollment is not required by the payer. Providers wishing to submit claims electronically must be credentialed with the payer. Ple

Note: Rendering Provider Network ID (E6-14) field is reqd. Field must be 5-7 chars positions 1-5 must be numeric only and positions 6&7



Note: Rendering Provider Network ID (E6-14) field is reqd. Field must be 5-7 chars positions 1-5 must be numeric only and positions 6&7





Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may con

Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may con



Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may con

Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may con





Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may con

Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number you may con









Provider ID required for all THIN payers.



Provider ID required for all THIN payers.



Provider ID required for all THIN payers.





Jeld-Wen Claims Only

Jeld-Wen Claims Only

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Payer ID valid for claims with a submission address of PO Box 1618 San Ramon CA 94583.

Please contact Cate Ahlquist at Sheffield Olson & McQueen Inc. prior to submitting claims electronically. Phone number is 651-695-2602

Please contact Cate Ahlquist at Sheffield Olson & McQueen Inc. prior to submitting claims electronically. Phone number is 651-695-2602





A United Healthcare payer



EFT is a requirement to receive ERA transactions from Sierra Health Services



EFT is a requirement to receive ERA transactions from Sierra Health Services









Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance P.O. Box 22419 Nashville TN 37202-2419.

Valid only for UB-92 claims currently mailed to Signature Health Alliance P.O. Box 22419 Nashville TN 37202-2419.

sact.emdeon.com/factsheets/edi_fact_sheet_84096.php

sact.emdeon.com/factsheets/edi_fact_sheet_84096.php









Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Cont

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









Call Jane Grove at Provider Relations for South Central Preferred (717) 851-6715

Call Jane Grove at Provider Relations for South Central Preferred (717) 851-6715









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sact.emdeon.com/factsheets/edi_fact_sheet_25147.php

sact.emdeon.com/factsheets/edi_fact_sheet_25147.php





Southern Benefit Services will no longer process claims from the following Provider Groups: Brockman Enterprises and SPS International









Southern Benefit Services will no longer process claims from the following Provider Groups: Brockman Enterprises and SPS International





sact.emdeon.com/factsheets/edi_fact_sheet_25128.php

sact.emdeon.com/factsheets/edi_fact_sheet_25128.php

sact.emdeon.com/factsheets/edi_fact_sheet_25128.php

sact.emdeon.com/factsheets/edi_fact_sheet_25128.php

sact.emdeon.com/factsheets/edi_fact_sheet_25128.php

sact.emdeon.com/factsheets/edi_fact_sheet_25128.php

sact.emdeon.com/factsheets/edi_fact_sheet_25128.php

sact.emdeon.com/factsheets/edi_fact_sheet_25128.php





Please enter the unique policy number or ID card when submitting claims. Payer ID valid only for claims with a billing submission address

Please enter the unique policy number or ID card when submitting claims. Payer ID valid only for claims with a billing submission address









To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502









To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502



To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502









To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502

Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 55270 30870 30888 54150 300

Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 5527030870308885415030069

sact.emdeon.com/factsheets/edi_fact_sheet_61425.php

sact.emdeon.com/factsheets/edi_fact_sheet_61425s.php

sact.emdeon.com/factsheets/edi_fact_sheet_61425.php

sact.emdeon.com/factsheets/edi_fact_sheet_61425s.php



Provider must access payer website http://b2b.statefarm.com/b2b/roles/hcp_public/eft.asp and fill EFT Questionnaire for Health Care P

EFT Required. Please visit http://b2b.statefarm.com/b2b/roles/hcp_public/hipaao.asp for required payer EFT forms. Paper remits will c









Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906



To obtain the payer ID for this payer please contact CMCS Customer Service at (800) 352-7502









30-24-- Provider ID is Required. Must be 1-6 numeric characters in length.



Student Accident and Sickness College Sports and NASCC claims only





Student Accident and Sickness College Sports and NASCC claims only

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

f.k.a. Genworth Life and Health Insurance Company (GLHIC)

sact.emdeon.com/factsheets/edi_fact_sheet_67815.php

sact.emdeon.com/factsheets/edi_fact_sheet_67815.php

sact.emdeon.com/factsheets/edi_fact_sheet_67815.php





Payer ID valid for claims with a submission address of P.O. Box 27730 Santa Ana CA 92799-7730



Payer ID valid for claims with a submission address of P.O. Box 27730 Santa Ana CA 92799-7730





Prior to submitting claims please call Provider Relations Dept at 1-800-218-7453 to verify your provider info is on file in the claim system



Prior to submitting claims please call Provider Relations Dept at 1-800-218-7453 to verify your provider info is on file in the claim system



Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Cont



Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Cont

Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Cont

Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Cont

Sutter Connect requires the providers to complete an application & get approval from us prior to sending claims to a clearinghouse. Cont

Provider level testing is required.









Providers wishing to submit claims electronically must be credentialed and register for EDI. Providers should call the Texas CHIP Provide





Provider ID required for all THIN payers.









A United Healthcare payer. Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 89

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

Services ordered by outside provider require referring provider on a HCFA and attending physician on a UB. Pease provide physician nam

Services ordered by outside provider require referring provider on a HCFA and attending physician on a UB. Pease provide physician nam

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









** Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.

** Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.

Payer ID valid only if the P.O. Box on the Health ID card matches the following P.O. Box: P.O. Box 982009 North Richland Hills TX 76182





Payer ID valid only if the P.O. Box on the Health ID card matches the following P.O. Box: P.O. Box 982009 North Richland Hills TX 76182



Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 55270 30870 30888 54150 300

Payer ID valid only if the address on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 5527030870308885415030069

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 890025 809067 809079 80906

A United Healthcare payer. Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 89

If the P.O. Box on the health ID card matches the following P.O. Box: P.O. Box 548801 Oklahoma City OK 73154

If the P.O. Box on the health ID card matches the following P.O. Box: P.O. Box 548801 Oklahoma City OK 73154

formerly Health Help Network

formerly Health Help Network









Before submitting contact Jessica Picarde at (410) 349-3222

Before submitting contact Jessica Picarde at (410) 349-3222





Payer ID valid for claims with a submission address of P.O. Box 61593 King of Prussia PA 19406.

This payer id is valid for contracted Therapy Review Systems Georgia providers only.

This payer id is valid for contracted Therapy Review Systems Georgia providers only.



Now known as Unison Health Plan

Now known as Unison Health Plan

sact.emdeon.com/factsheets/edi_fact_sheet_25175.php

Now known as Unison Health Plan

Now known as Unison Health Plan

Now known as Unison Health Plan









f.k.a Fortis Insurance Company









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.

Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009 North Richland Hills TX 76182.



Payer ID valid only if the address on the Health ID Card matches the following: P.O. Box 982009 North Richland Hills TX 76182.









Enrollment required; please contact Noreen at (248) 489-5281.









Email address is hipaa835@trustmarkins.com; Full process for notification of a provider request for an 835 from WebMd/Trustmark Paye



Email address is hipaa835@trustmarkins.com; Full process for notification of a provider request for an 835 from WebMd/Trustmark Paye

Submitter must call the payer before submitting claims.

Submitter must call the payer before submitting claims.

Enrollment forms are located on www.emdeon.com/enrollment









No enrollment with payer required. However Emdeon requires a provider set up form before initial submission. Form: http://www.emde

UFCW only takes claims for TH065 from TN and MS electronically.

Prior to submitting claims please call Provider Relations Dept at 1-800-780-2438 to verify your provider info is on file in the claim system



Prior to submitting claims please call Provider Relations Dept at 1-800-780-2438 to verify your provider info is on file in the claim system



Accepting claims only for the State of Nevada.

Accepting claims only for the State of Nevada.





f.k.a. United Medical Resources

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

This Payer ID is valid for all claims addresses on UMR Member ID cards with a listed Payer ID of 31107.

This Payer ID is valid for all claims addresses on UMR Member ID cards with a listed Payer ID of 31107.

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

f.k.a. Harrington Benefit Services (Westerville)

f.k.a. Harrington Benefit Services (Columbus)

Harrington; RE Harrington

Harrington; RE Harrington

f.k.a. Commonwealth Administrative Group









f.k.a. Midwest Security of WI









f.k.a. Benefit Planners Inc. UICI Administrators - State of Nevada

f.k.a. Fiserv Health - Wausau Benefits Benesight Employers Insurance of Wisconsin

f.k.a. Fiserv Health - Wausau Benefits / Benesight Employers Insurance of Wisconsin





edi_business_analysts@wausaubenefits.com

edi_business_analysts@wausaubenefits.com

Centra; Centra Benefit Services

Enroll with payer

Centra; Centra Benefit Services

Enroll with payer









All submitters call for detailed information and payer id prior to sending claims. Contact UMBH Provider Relations (305) 243-7270

sact.emdeon.com/factsheets/edi_fact_sheet_23281.php

sact.emdeon.com/factsheets/edi_fact_sheet_23281.php

sact.emdeon.com/factsheets/edi_fact_sheet_23281.php

sact.emdeon.com/factsheets/edi_fact_sheet_23281.php

Property and Casualty Division Only

Property and Casualty Division Only









Worker's Compensation Claims Only.



f.k.a. Uniform Medical Plan / Harrington Benefit Services

Harrington; Uniform Medical Plan; Centra

Harrington; Uniform Medical Plan; Centra

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

To obtain Payer ID and enroll with payer California providers should contact Tristin Rausche 858-824-7100 TRausche@scpmcs.org

f.k.a. Fortis Benefits Insurance Company

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php

sact.emdeon.com/factsheets/edi_fact_sheet_70408.php









If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em









A United Healthcare payer. Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 89

A United Healthcare payer. Payer ID only valid if the P.O. Box on the Health ID Card matches one of the following P.O. Boxes: P.O. Box 89





Prior to initial submission provider must first contact John Deere at (309) 765-1593 - toll free (866) 509-1593 - to receive provider id.

Prior to initial submission provider must first contact John Deere at (309) 765-1593 - toll free (866) 509-1593 - to receive provider id.

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

A United Healthcare payer

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em









f.k.a. America General









[former MetraHealth Care Plans Met Life Metropolitan Life Ins. Co. MetraHealth Elect MetraHealth Healthcare Network HMO]

[former The Travelers Travelers Health Network (HMO & Care Option) Travelers/CGT - PPO MetraHealth - UNET]





[former MetraHealth Healthcare Network PPO New York State Employees (Empire) Travelers Ins Co Travelers Plan Administrators]

[former The Travelers Travelers Health Network (HMO & Care Option Travelers/CGT - PPO MetraHealth - UNET]

Only claims for Oral Surgery TMJ or Accidents can be sent electronically to this payer ID.

Before submitting claims please go to http://www.unityhealth.com/Providers/EDI/index.htm and complete EDI Sign Up Form and NPI Ap









The payer ID's of the TH057 and 12t36 will no longer be active please use the new payer ID of the 50528 for all EDI submissions to Emdeo



The payer ID's of the TH057 and 12t36 will no longer be active please use the new payer ID of the 50528 for all EDI submissions to Emdeo

For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









sact.emdeon.com/factsheets/edi_fact_sheet_87043UM.php

sact.emdeon.com/factsheets/edi_fact_sheet_87043UM.php

sact.emdeon.com/factsheets/edi_fact_sheet_87043UM.php

sact.emdeon.com/factsheets/edi_fact_sheet_87043UM.php









sact.emdeon.com/factsheets/edi_fact_sheet_12115.php

sact.emdeon.com/factsheets/edi_fact_sheet_12115.php

sact.emdeon.com/factsheets/edi_fact_sheet_12115.php

sact.emdeon.com/factsheets/edi_fact_sheet_12115.php

Formerly listed as Visiting Nurses Service

Formerly listed as Visiting Nurses Service









Enrollment is required and forms can be located on www.emdeon.com/enrollment









For Ohio Worker's Comp Claims ONLY.

For Ohio Worker's Comp Claims ONLY.









Virginia Premier enrollment forms located on www.emdeon.com/enrollment

ERA provider enrollment form is located at www.emdeon.com

ERA provider enrollment form is located at www.emdeon.com



sact.emdeon.com/factsheets/edi_fact_sheet_55248.php

sact.emdeon.com/factsheets/edi_fact_sheet_55248.php



VIVA Health requires a complete member ID number including suffix on all claim submissions. Pls use the following site to verify member

Please call 205-266-2289 for Payer ID and further information

sact.emdeon.com/factsheets/edi_fact_sheet_22264.php

sact.emdeon.com/factsheets/edi_fact_sheet_22264.php

Subscriber id = 9 digits WPS Provider id qualifier - G2



Subscriber id = 9 digits Provider id qualifier = G2









Please enter Group Number when submitting claims.









Non-Participating Payer - see last page for definition. Worker's Compensation Claims ONLY.

Non-Participating Payer - see last page for definition. Worker's Compensation Claims ONLY.









sact.emdeon.com/factsheets/edi_fact_sheet_25129.php

sact.emdeon.com/factsheets/edi_fact_sheet_25129.php

sact.emdeon.com/factsheets/edi_fact_sheet_25129.php

sact.emdeon.com/factsheets/edi_fact_sheet_25129.php

sact.emdeon.com/factsheets/edi_fact_sheet_25129.php

sact.emdeon.com/factsheets/edi_fact_sheet_25129.php

sact.emdeon.com/factsheets/edi_fact_sheet_25129.php

sact.emdeon.com/factsheets/edi_fact_sheet_25129.php

sact.emdeon.com/factsheets/edi_fact_sheet_87815.php

sact.emdeon.com/factsheets/edi_fact_sheet_87815.php

sact.emdeon.com/factsheets/edi_fact_sheet_87815.php

sact.emdeon.com/factsheets/edi_fact_sheet_87815.php

Newnan GA & Fayetteville NC

Newnan GA & Fayetteville NC

Submitters please contact Windsor Billing department at (615) 371-0433 prior to submitting.

Submitters please contact Windsor Billing department at (615) 371-0433 prior to submitting.









sact.emdeon.com/factsheets/edi_fact_sheet_72467.php

sact.emdeon.com/factsheets/edi_fact_sheet_72467.php









Provider complete forms and fax them to ASK at 785-290-0720.





sact.emdeon.com/factsheets/edi_fact_sheet_23037.php

sact.emdeon.com/factsheets/edi_fact_sheet_23037.php

sact.emdeon.com/factsheets/edi_fact_sheet_SX083.php

sact.emdeon.com/factsheets/edi_fact_sheet_SX083.php

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php

sact.emdeon.com/factsheets/edi_fact_sheet_47198.php

sact.emdeon.com/factsheets/edi_fact_sheet_47198.php

sact.emdeon.com/factsheets/edi_fact_sheet_47198.php

California License number required.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

sact.emdeon.com/factsheets/edi_fact_sheet_SB560.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB560.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB560.php



(Formerly Trigon)

(Formerly Trigon)

(Formerly Trigon) Bill using provider ID not group number.

(Formerly Trigon) Bill using provider ID not group number.

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php

This is for secondary Claim volume

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php

This is for secondary Claim volume

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php

sact.emdeon.com/factsheets/edi_fact_sheet_12B24.php









sact.emdeon.com/factsheets/edi_fact_sheet_SB765.php









Paper remits continue. EFT is available. Providers must contact their Network Provider Representative directly.

sact.emdeon.com/factsheets/edi_fact_sheet_54771.php



Non par payer that requires 1B qualifier with provider id. Requires 2010 AA REF 01 = 1B

No special enrollment required on Synaptek but must have the BCBSPA step in production in provider's enrollment for claims to go elect

sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php

Testing Required: 20 Inpatient and 20 Outpatient Claims. Test claims should contain bill types that are representative of production claim

Administered by Anthem of CT

sact.emdeon.com/factsheets/edi_fact_sheet_SB560.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB560.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB560.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php









PROVIDERS MUST CALL PAYER DIRECT AT 877-565-5457 AND REQUEST ERA



sact.emdeon.com/factsheets/edi_fact_sheet_SB510.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB510.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB510.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB510.php









Secondary claims accepted electronically only when Medicare is primary.



(FEP Product)

For enrollment information call (225) 295-2427.









sact.emdeon.com/factsheets/edi_fact_sheet_SB700.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB700.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB700.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB700.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php



sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php









sact.emdeon.com/factsheets/edi_fact_sheet_SB741.php

A Provider Id is required to submit claims. Please contact Wellpoint Health Networks at (800) 392-8772 ext. 101. WebMD requires a prov

sact.emdeon.com/factsheets/edi_fact_sheet_SB741.php

A Provider ID is required to submit claims. Please contact Wellpoint Health Networks at (800) 392-8772 ext. 101. Emdeon requires a prov

sact.emdeon.com/factsheets/edi_fact_sheet_SB741.php









sact.emdeon.com/factsheets/edi_fact_sheet_SB765.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB765.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB765.php









form may be faxed to the payer. Fax (919) 765-7101

sact.emdeon.com/factsheets/edi_fact_sheet_SB890.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB890.php









Mailing address for claims: Dental Claims Administrator PO Box 1206 Elk Grove Village IL 60009-1206.

No FEP Claims. Please send FEP claims on paper or use Payer ID 06126.









No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.









No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.



ERAs returned for both claims and pre-treatment estimates.





No FEP claims. Please send FEP claims on paper or use Payer ID 06126.









No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.

No FEP Claims. Please send FEP on paper or use Payer ID 06126.









Single Enrollment with BCBSTN enables electronic claim submission for all BCBSTN payer ID's listed (enrollment is not 'plan specific').

sact.emdeon.com/factsheets/edi_fact_sheet_SB890.php

Multiple plans. Please call (423) 755-5717 for plan code information. Single Enrollment with BCBSTN enables electronic claim submission

Single Enrollment with BCBSTN enables electronic claim submission for all BCBSTN payer ID's listed (enrollment is not 'plan specific').





When NPI is submitted Payer requires REF*1A*Regence Provider id be submitted in loops 2110AA

sact.emdeon.com/factsheets/edi_fact_sheet_94036.php

Group number is required.; Please contact Blue Shield of CA EDI Customer Service at (800) 480-1221 to verify correct provider informatio

Medical - all claims. Hospital - Pref. Prov. Only. - Please contact Blue Shield of CA EDI Customer Service at (800) 480-1221 to verify correc

Please call (800) 480-1221.

Providers must contact Capital Blue Cross to enroll at (800) 874-8433 or by email at provider.automation@capbluecross.com.

sact.emdeon.com/factsheets/edi_fact_sheet_23045.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB690.php

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

sact.emdeon.com/factsheets/edi_fact_sheet_SB690.php

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

Includes coverage for DC and Northern Virginia.

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

If you are currently receiving ERA with another clearinghouse you will need to contact the payer to verify change of ERA Enrollment to Em

Includes coverage for DC and Northern Virginia.



sact.emdeon.com/factsheets/edi_fact_sheet_SB803.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB803.php









sact.emdeon.com/factsheets/edi_fact_sheet_23241.php

Beginning 1/8/2007 all new providers must enroll with First Priority Health/Blue Cross of Northeastern PA prior to submitting electronic





sact.emdeon.com/factsheets/edi_fact_sheet_54771.php

REQUIRES PROVIDER LEVEL TESTING: 20 Inpatient and 20 Outpatient Claims. Test claims should contain bill types representative of produ



Payer requires provider level testing.

sact.emdeon.com/factsheets/edi_fact_sheet_SB621.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB621.php

This is for Secondary Claim volume









payer registration form located on Emdeon website



sact.emdeon.com/factsheets/edi_fact_sheet_54771.php

sact.emdeon.com/factsheets/edi_fact_sheet_54771.php

Participating Payer - see last page for definition.

Participating Payer - see last page for definition.

Participating Payer - see last page for definition.

Participating Payer - see last page for definition.









sact.emdeon.com/factsheets/edi_fact_sheet_SX083.php









sact.emdeon.com/factsheets/edi_fact_sheet_54771.php

sact.emdeon.com/factsheets/edi_fact_sheet_54771.php

ERAs returned for both claims and pre-treatment estimates.









Testing Required: 25 Claims. Test claims should be representative of production claims.





Testing Required: 20 Inpatient and 20 Outpatient Claims. Test claims should contain bill types that are representative of production claim









Testing location required to bring payer live. To become a testing location please email betatesting@emdeon.com with the payer name

Payer requires Provider Level Testing. Providers must contact Capital Blue Cross to enroll at 800-874-8433 or by email at 'provider.autom

Requires Provider Level Testing. Must contact Capital BlueCross to enroll @ (800) 874-8433 or by email at 'provider.automation@capblu









sact.emdeon.com/factsheets/edi_fact_sheet_12B41.php

sact.emdeon.com/factsheets/edi_fact_sheet_12B41.php

sact.emdeon.com/factsheets/edi_fact_sheet_12B41.php

Unique provider ID required; please call NDEX at (800) 373-1477.



Unique provider ID required; please call NDEX at (800) 373-1477. Participating Payer - see last page for definition.









sact.emdeon.com/factsheets/edi_fact_sheet_SB931.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB931.php



Unique provider ID required; please call NDEX at (800) 373-1477. Participating Payer - see last page for definition.



Testing Required: 20 Inpatient and 20 Outpatient Claims. Test claims should contain bill types that are representative of production claim









sact.emdeon.com/factsheets/edi_fact_sheet_SB890.php

Testing location required to bring payer live. To become a testing location please email betatesting@emdeon.com with the payer name



Claims Mailing Address: Trigon Dental Admin 555 Middle Creek Parkway MS 400 Colorado Springs CO 80921.

sact.emdeon.com/factsheets/edi_fact_sheet_SB910.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB910.php

Provider level testing is NOT required. For enrollment the provider should send email to edisupport@regence.com along with our Tradin

sact.emdeon.com/factsheets/edi_fact_sheet_SB930.php

Forms are available on our website.

Forms are available on our website.

sact.emdeon.com/factsheets/edi_fact_sheet_SB930.php





sact.emdeon.com/factsheets/edi_fact_sheet_SB741.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB803.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB741.php

Incl. Maryland









Effective 1-16-07: electronic payer ID for claims printed and mailed to Delta Dental Virginia









sact.emdeon.com/factsheets/edi_fact_sheet_SKGA0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKGA0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKGA0.php

Payer agreement must be completed and forwarded for payer approval. Rendering provider id must contain a 1D qualifier. If 2010AA &



Payer does not return ETIN Providers must enroll their NPI/legacy ID with Emdeon

Payer does not return ETIN Providers must enroll their NPI/legacy ID with Emdeon

Payer does not return ETIN Providers must enroll their NPI/legacy ID with Emdeon





sact.emdeon.com/factsheets/edi_fact_sheet_SKTX0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKTX0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKTX0.php









ADMINISTERED BY DORAL DENTAL





sact.emdeon.com/factsheets/edi_fact_sheet_SB890.php





Call the EDI Support Unit at 831-430-5510 to obtain payer ID.

Call the EDI Support Unit at 831-430-5510 to obtain payer ID.

Payer specific edits will be administered at the FFX switch

sact.emdeon.com/factsheets/edi_fact_sheet_SKNY0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKNY0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKNY0.php

Payer Specific Edits will be administered at the FFX Switch









Denti-Cal requires provider enrollment and has special data requirements. Contact Denti-Cal EDI Support at (916) 853-7373.









* 277 & 837 - Payer requires an EMC enrollment form to receive the 837 and 277 response. Forms can be located at: http://www.state.s









835 Designation of Agent form sent to enrollment for addition to http://www.emdeon.com/enrollment_

835 Designation of Agent form sent to enrollment for addition to http://www.emdeon.com/PayerLists/payer_enrollment_forms.php









ADMINISTERED BY DORAL DENTAL.





sact.emdeon.com/factsheets/edi_fact_sheet_SKAL0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKCT0.php



KY Medicaid 12K11 Hospital no longer requires Provider Level Testing.

Payer Specific Edits will be administered at the FFX Switch.





sact.emdeon.com/factsheets/edi_fact_sheet_SKAL0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKAL0.php





sact.emdeon.com/factsheets/edi_fact_sheet_SKCT0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKCT0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKDE0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKDE0.php









Unysis is fiscal agent until 11/30/05. After 12/1/05 fiscl agent will be EDS.

Unysis is fiscal agent until 11/30/05. After 12/1/05 fiscl agent will be EDS.

Payer enrollment for 835s bypasses Emdeon. Please contact EDI at 405-416-6801 Jesse Yardley to request setup for 835's user id WebMD

sact.emdeon.com/factsheets/edi_fact_sheet_SKOK0.php



Forms are available on our website.









Any questions about provider enrollment should be directed to the Medicaid WI's provider helpdesk: 800-947-9627





Additional Enrollment Requirement for Providers in LA County. Please call (916) 636-1000 and ask for LA County Unit.

Providers must email (hipaasupport@mahealth.net) or fax (617-988-8971) a letter stating they would like to submit claims to payer via E





sact.emdeon.com/factsheets/edi_fact_sheet_12003.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKVA0.php



Payer switched all providers currently receiving ERA to 835 upon my written request/no re-enrollment required









sact.emdeon.com/factsheets/edi_fact_sheet_12003.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKVA0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKVA0.php

sact.emdeon.com/factsheets/edi_fact_sheet_12003.php

sact.emdeon.com/factsheets/edi_fact_sheet_SKVA0.php

sact.emdeon.com/factsheets/edi_fact_sheet_12003.php









ADMINISTERED BY DORAL DENTAL.

Payer Enrollment required utilize form for SKLA0 to complete enrollment for SKLA2 and SKLA3

Payer Enrollment required utilize form for SKLA0 to complete enrollment for SKLA1

Payer Enrollment required utilize form for SKLA0 to complete enrollment for SKLA2 and SKLA3





Edits to mirror current edits submitted for 1st payer id 95444.

Edits to mirror current edits submitted for 1st payer id 95444.

ADMINISTERED BY DORAL DENTAL.









Denti-Cal requires provider enrollment and has special data requirements. Contact Denti-Cal EDI Support at (916) 853-7373.









ADMINISTERED BY DORAL DENTAL.

ADMINISTERED BY DORAL DENTAL.









sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php

Additional enrollment is not required by the payer however providers wishing to submit claims electronically must submit their ND Medi

sact.emdeon.com/factsheets/edi_fact_sheet_SKND0.php

Provider Level Testing is NOT required but provider enrollment is. The instructions can be found at the following link: http://www.oregon









Provider Medi-Cal number required in the BA0 pos 38-40. Pay to Provider is in 2010AB or 2010AA. If Pay To Provider is same as billing Pr



ADMINISTERED BY DORAL DENTAL.

ADMINISTERED BY DORAL DENTAL.

Call the EDI Support Unit at 831-430-5510 to obtain payer ID.

Call the EDI Support Unit at 831-430-5510 to obtain payer ID.









ADMINISTERED BY DORAL DENTAL

Any questions about provider enrollment should be directed to the Medicaid WI's provider helpdesk: 800-947-9627









Testing location required to bring payer live. To become a testing location please email betatesting@emdeon.com with the payer name

sact.emdeon.com/factsheets/edi_fact_sheet_SB890.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB890.php

sact.emdeon.com/factsheets/edi_fact_sheet_SMAL0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SMAL0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SMGA0.php

sact.emdeon.com/factsheets/edi_fact_sheet_SMGA0.php









Testing location required to bring payer live. To become a testing location please email betatesting@emdeon.com with the payer name

sact.emdeon.com/factsheets/edi_fact_sheet_12M34.php

sact.emdeon.com/factsheets/edi_fact_sheet_12M34.php

sact.emdeon.com/factsheets/edi_fact_sheet_12M34.php

sact.emdeon.com/factsheets/edi_fact_sheet_12M34.php

Payer approval required prior to submitting claims.

Payer approval required prior to submitting claims.









Payer indicates paper remittance will continue for 30 days only





Includes coverage for DC and Northern Virginia.

Includes coverage for DC and Northern Virginia.









New providers will have to register via 800-542-0945 option 1.





Includes coverage for Southern CA. Please indicate Southern CA on the WebMD Envoy Set Up Form.

Includes coverage for Southern CA. Please indicate Southern CA on the WebMD Envoy Set Up Form.

Provider enrolls at https://editest.bcbsm.com/tpaLogon.html OR by calling 248-486-2292 opt 1. Emdeon PSF required.

Gulf Coast & Mid West Regions (AL GA FL & MS ? IL IN & OH)









Provider Level Testing is NOT required but enrollment is via enrollment form(s). Forms can be downloaded at www.ahsmedicare.com.









Testing Required: 20 Inpatient and 20 Outpatient Claims. Test claims should contain bill types that are representative of production claim

Provider level testing required.



Enrollment forms can be located at: https://www.noridianmedicare.com/macj3/index.html

RailRoad Medicare

Railroad Medicare









SW Region RHHI (FLGAKYNCSC & TN) SE Region RHHI (AR LA NM OK & TX)





Enrollment details available at www.trailblazerhealth.com



Enrollment details available at www.trailblazerhealth.com

Includes coverage for All Regions (except Northern Virginia).

Includes coverage for All Regions (except Northern Virginia).









Payer registration form and provider authorization on provider letterhead required for ERA enrollment

sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php



WI Medicare Part A and ALL States FQHC sites except AZ MT ND SD UT & WY

WI Medicare Part A and ALL States FQHC sites except AZ MT ND SD UT & WY

Home Health Care claims only for AK AZ HI ID NV OR and WA with the exception of CA who accepts all claims including Home Health Care

Home Health Care claims only for AK AZ HI ID NV OR and WA with the exception of CA who accepts all claims including Home Health Care









Enrollment is required and forms can be located on www.emdeon.com/enrollment

Enrollment is required and forms and can be located at www.emdeon.com





sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php

sact.emdeon.com/factsheets/edi_fact_sheet_SB710.php





Participating Payer for Tricare South including AL AR FL GA LA MS OK SC TN and East TX.

Participating Payer for Tricare South including AL AR FL GA LA MS OK SC TN and East TX.

TRICARE North Region includes - CT DE IL IN KY MA MD ME MI NC NH NJ NY OH PA RI VA VT WI WV and some zip codes in IA/MO/TN - co

TRICARE North Region includes - CT DE IL IN KY MA MD ME MI NC NH NJ NY OH PA RI VA VT WI WV and some zip codes in IA/MO/TN - co

TRICARE North Region includes - CT DE IL IN KY MA MD ME MI NC NH NJ NY OH PA RI VA VT WI WV and some zip codes in IA/MO/TN - co

TRICARE North Region includes - CT DE IL IN KY MA MD ME MI NC NH NJ NY OH PA RI VA VT WI WV and some zip codes in IA/MO/TN - co

TRICARE North Region includes - CT DE IL IN KY MA MD ME MI NC NH NJ NY OH PA RI VA VT WI WV and some zip codes in IA/MO/TN - co

TRICARE North Region includes - CT DE IL IN KY MA MD ME MI NC NH NJ NY OH PA RI VA VT WI WV and some zip codes in IA/MO/TN - co

TRICARE North Region includes - CT DE IL IN KY MA MD ME MI NC NH NJ NY OH PA RI VA VT WI WV and some zip codes in IA/MO/TN - co

TRICARE North Region includes - CT DE IL IN KY MA MD ME MI NC NH NJ NY OH PA RI VA VT WI WV and some zip codes in IA/MO/TN - co

West Region

West Region

West Region

Renaud Dufresne at (646) 473-6960 for a list of Network ID's.

Renaud Dufresne at (646) 473-6960 for a list of Network ID's.









dical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.

fit Services. Inc. ONLY.









plans is that the insured ID for the NY based plan begins with "PN" as "PNxxxxxx" (followed by 6+ digits)

e submitted.

m submitter to send.



info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.









e credentialed with the payer. Please ensure you have successfully processed one paper claim prior to submitting your first electronic cla

ebbie Motz at (847) 699-4377 or Tony Hani (847) 699-4368 for more info.

ebbie Motz at (847) 699-4377 or Tony Hani (847) 699-4368 for more info.

ebbie Motz at (847) 699-4377 or John Campagna (847) 699-4368 for more info.

ebbie Motz at (847) 699-4377 or or John Campagna (847) 699-4368 for more info.









g or call (718)794-7592.



g or call (718)794-7592.

656 to obtain Payer ID.

656 to obtain Payer ID.









work ID prior to first submission.

dical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.

fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon

ce at (888) 362-3368 for your Provider ID Number.

ce at (888) 362-3368 for your Provider ID Number.

fy change of ERA Enrollment to Emdeon





fy change of ERA Enrollment to Emdeon

ce at (866) 362-3368 for your Provider ID Number.

ce at (866) 362-3368 for your Provider ID Number.





ce at (800) 345-3627 for your Provider ID Number.

ce at (800) 345-3627 for your Provider ID Number.



fy change of ERA Enrollment to Emdeon









please contact Provider Relations at 800-456-4584.

please contact Provider Relations at 800-456-4584.

please contact Provider Relations at 800-456-4584.





please contact Provider Relations at 800-456-4584.

please contact Provider Relations at 800-456-4584.

please contact Provider Relations at 800-456-4584.









: Sheet Metal Berkeley Boone Carpenter Cabell Clarksburg Doddridge Hancock Harrison Marion Monongalia Mingo Mineral Morgan Nich









800) 252-2021.









h a billing submission address of 1100 Poydras Street Suite 2600 New Orleans LA 70163-2602.

h a billing submission address of 1100 Poydras Street Suite 2600 New Orleans LA 70163-2602.

fy change of ERA Enrollment to Emdeon



fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon

th Plan's EDI Coordinator at 765-448-7483 for additional information prior to first claims submission.

fy change of ERA Enrollment to Emdeon

th Plan's EDI Coordinator at 765-448-7483 for additional information prior to first claims submission.









at (212) 747-8393 to obtain Network ID.

he characters can be a dash. If the group number is entered then the group name must also be entered.









ny questions please call 260-489-6447 (703).

ny questions please call 260-489-6447 (703).

Hudson Health Plan=004;Fallon Community Plan=005; Neighborhood Health Plan of RI=006; Affinity Health Plan=009; DC Chartered Hea

son Health Plan=004; Fallon Community Plan=005; Neighborhood Health Plan of RI=006; Affinity Health Plan=009; DC Chartered Health P

cters in length.









with BMI###.

l BMI219 - Ozarks AnesthesiaBMI234 - Stanion Wholesale Inc - they have one division that utilizes Cox Health NetworkBMI236 - Henry's T

l BMI219 - Ozarks AnesthesiaBMI234 - Stanion Wholesale Inc - they have one division that utilizes Cox Health NetBMI236 - Henry's Towin









strators Inc. in Roanoke VA.

strators Inc. in Roanoke VA.

mdeon.com with the payer name and your contact information.









Washington DC. Not to be confused with ElderPlan in NY.

Washington DC. Not to be confused with ElderPlan in NY.

Washington DC. Not to be confused with ElderPlan in NY.

Washington DC. Not to be confused with ElderPlan in NY.

er is 8 digits in length. Maximum of 13 procedure lines per claim. Pre-determination claims cannot be sent electronically. Claims where Br





info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.



er info is on file in the Health Plans claim system. This will prevent rejections and allow payments to be made in a timely manner.









info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.



info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

8) 210-6656 to obtain.

8) 210-6656 to obtain.



.com/PayerLists/payer_enrollment_forms.php. Payer ID 68195 will no longer be valid as of Dec. 15 2003





.com/PayerLists/payer_enrollment_forms.php. Payer ID 68195 will no longer be valid as of Dec. 15 2003

pital Health Plan at 850-523-7361 to register your NPI numbers with them.

pital Health Plan at 850-523-7361 to register your NPI numbers with them.

-14 REFERRING PROVIDER ID E0-25 FACILITY INFO - J0 FACILITY ID J0-10

-14 REFERRING PROVIDER ID E0-25 FACILITY INFO - J0 FACILITY ID J0-10

ed to Careworks' Production Server.

to Careworks' Production Server.









info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.









dical Management (NAMM) - Northern California Lead/Supervisor at 1-800-956-8000 prior to initial submission of claims.

100 TRausche@scpmcs.org

100 TRausche@scpmcs.org









Richland Hills TX 76182.



Richland Hills TX 76182.

vice 510-428-3154.









er at REF01. Contact CCHP EDI Director 415-955-8800 ext 3247 for additional info prior to first claims submission.









enght numbers 6 in lenght & ending with a '1' are accepted when '1' is removed. Numbers with leading zeros will have leading zeros omit

on how to submit these claims please contact LeAnn Olson Director of Claims at (203) 237-4000 ext. 3136.

on how to submit these claims please contact LeAnn Olson Director of Claims at (203) 237-4000 ext. 3136.

deral plan member please use payer ID 44444.

deral plan member please use payer ID 44444.

an 835 from WebMd/CoreSource Payer Id 41045 attached.

the states of Arizona or Minnesota. For assistance call 800-698-0106.

the states of Arizona or Minnesota. For assistance call 800-698-0106.

an 835 from WebMd/CoreSource Payer Id 41045 attached.

the states of Arizona or Minnesota. For assistance call 800-698-0106.

Little Rock Arkansas. For assistance call 800-689-0106.









Little Rock Arkansas. For assistance call 800-689-0106.









the states of Maryland Pennsylvania or Illinois. For assistance call 800-689-0106.



the states of North Carolina or Indiana. For assistance call 800-689-0106.



the states of North Carolina or Indiana. For assistance call 800-689-0106.



the states of North Carolina or Indiana. For assistance call 800-689-0106.



the state of Ohio. For assistance call 800-689-0106.



the state of Ohio. For assistance call 800-689-0106.

the states of Arizona or Minnesota. For assistance call 800-698-0106.

s with a billing submission address of PO Box 982005 Ft. Worth TX 76182.

s with a billing submission address of PO Box 982005 Ft. Worth TX 76182.

artner Id HT001755-015 prior to claims submission.









ting claims to Diversified Admin (Payer ID 06102)

ting claims to Diversified Admin (Payer ID 06102)









100 TRausche@scpmcs.org

100 TRausche@scpmcs.org

in Broadview Hts OH Appleton WI Albuquergue NM Findlay OH Louisville KY and Milwaukee WI









l Humana encounters and informational claims to payer ID 61102.



50. Providers should advise EMIA that they will be submitting their claims through Emdeon UHIN submitter ID HT000214-001.

l Humana encounters and informational claims to payer ID 61102.









work ID prior to first submission.









necessary on all claim submissions. If you do not know your provider Id contact (718) 921-7979.



necessary on all claim submissions. If you do not know your provider Id contact (718) 921-7979.

in Broadview Hts OH Appleton WI Albuquergue NM Findlay OH Louisville KY and Milwaukee WI

l Humana encounters and informational claims to payer ID 61102.









e Department at (772) 287-7650 ext. 4052.

e Department at (772) 287-7650 ext. 4052.

8) 210-6656 to obtain.

8) 210-6656 to obtain.

Prov Network ID (REF*N5) or Commercial Num (REF*G2) is required. FHHS member ID must be 11 digits.

er Prov Network ID (REF*N5) or Commercial Num (REF*G2) is required. FHHS member ID must be 11 digits.









n-participating they will not receive 835

n-participating they will not receive 835









ayer ID before submitting claims. If you have questions please contact Gateway Provider Servicing Department at 1-800-685-5205.



ayer ID before submitting claims. If you have questions please contact Gateway Provider Servicing Department at 1-800-685-5205.



e ID card before submitting. PA Medicaid 25169(Green Card). If you have questions contact Gateway Provider Servicing Department at 1





e ID card before submitting. PA Medicaid 25169(Green Card). If you have questions contact Gateway Provider Servicing Department at 1

ontact Gateway Provider Servicing @ 1-800-685-5205

ontact Gateway Provider Servicing @ 1-800-685-5205

of Ohio Inc.; 76028 (White Card). For questionscontact Gateway Provider Servicing Department at 1-800-685-5205.

of Ohio Inc.; 76028 (White Card). For questionscontact Gateway Provider Servicing Department at 1-800-685-5205.









n enrollment form; or download a PDF enrollment form at www.thehealthplan.com.



n enrollment form; or download a PDF enrollment form at www.thehealthplan.com.

e following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 809027 Dallas Tx 75380-9025.

in the enrollment form at (800) 447-8386 or e-mail at edisupport@hipusa.com.



in the enrollment form at (800) 447-8386 or e-mail at edisupport@hipusa.com.









e following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 809027 Dallas Tx 75380-9025.

t.com to obtain your Health Net Submitter ID.

ders are to follow instructions on Health Net form and return the completed form to Healthnet and return the completed form to Health



ders are to follow instructions on Health Net form and return the completed form to Healthnet and return the completed form to Health



viders are to follow instructions on Health Net form and return the completed form to Health Net and Emdeon enrollment





viders are to follow instructions on Health Net form and return the completed form to Health Net and Emdeon enrollment









ell 413-233-3456 jwalton-bicknell@hne.com

ell 413-233-3456 jwalton-bicknell@hne.com









vider ID is required on all claims.



vider ID is required on all claims.

onic claims submission. Provider Forms can be found: www.emdeon.com/enrollment









-230-2084) upon billing via Emdeon to request a TPA form.

-230-2084) upon billing via Emdeon to request a TPA form.









ncourages electronic submission of all claims. Be sure to submit only the HealthSpring subscriber/member ID number found on the Health

ncourages electronic submission of all claims. Be sure to submit only the HealthSpring subscriber/member ID number found on the Health









be sent electronically. Claim remarks exceeding 80 bytes in length cannot besent electronically.

viders are to follow instructions on Health Net form and return the completed form to Health Net and Emdeon enrollment

viders are to follow instructions on Health Net form and return the completed form to Health Net and Emdeon enrollment

Claims are edited under CIGNA's payer specific edits Payer ID 62308.

r remits will cease upon enrollment. Payer enrollment TAT 2-3- weeks.



r remits will cease upon enrollment. Payer enrollment TAT 2-3- weeks.

100 TRausche@scpmcs.org

100 TRausche@scpmcs.org



efore submitting claims in production.

efore submitting claims in production.









45 prior to submitting claims.

r info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

r info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

claims submission. Please fax W-9 along with contact name and number to the attention of Patty Kan at (925) 941-2026. Allow 2 days for

claims submission. Please fax W-9 along with contact name and number to the attention of Patty Kan at (925) 941-2026. Allow 2 days for

987-3513 for approval prior to submiting claims.





987-3513 for approval prior to submiting claims.

Payer. Applies to all providers (including those adding site id's) enrolling for Electronic submission thru WebMD. Questions: (800) 845-65

Payer. Applies to all providers (incl. those adding site ids) enrolling for Electronic submission thru WebMD. Questions: (800) 845-6592



l Humana encounters and informational claims to payer ID 61102.

the claims without this information.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.





info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.









Registration not required. Autoenroll payer.

fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon

Richland Hills TX 76182.

Richland Hills TX 76182.









lete the ERA PSF Form.



lete the ERA PSF Form.

Richland Hills TX 76182.





Richland Hills TX 76182.

e following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 809027 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.









r NPI required in servicing provider loop. No longer require 6 digit provider identifier. Provider must complete enrollment form on payers

r NPI required in servicing provider loop. No longer require 6 digit provider identifier. Provider must complete enrollment form on payers

d not be directed to Payer ID 39634 no exceptions please.

d not be directed to Payer ID 39634 no exceptions please.

ox 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.

ox 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.

ox 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.









unique NHP/SHP provider number.

unique NHP/SHP provider number.

ould be directed to (305)715-4334.

ould be directed to (305)715-4334.





ur initial claims submission.









th.org for an EDI setup form.

th.org for an EDI setup form.





ha WI 54952. DO NOT USE this payer id for Network Platinum Plus Network Premier Plus or Managed

s on the back of the member's card is PO Box 568 Menasha WI 54952. DO NOT USE this payer id for Network Platinum Plus Network Prem

ox 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.

ox 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.

ox 94928 Cleveland OH 44101-4928 or P.O. Box 89476 Cleveland OH 44101-5476.





ead/Supervisor at 1-800-956-8000 prior to initial submission of claims.









100 TRausche@scpmcs.org

100 TRausche@scpmcs.org

r Relations at (504) 219-6682 or jill.brant@ochsner-hmo.com.

r Relations at (504) 219-6682 or jill.brant@ochsner-hmo.com.

Syntax errors will be worked on with payer tech.

Syntax errors will be worked on with payer tech.









or PO Box 93538

or PO Box 93538









e numeric only and positions 6&7 (if applicable) must be alpha only. Please contact Ydsia Slagle-Provider Relations at (757) 552-7477.

e numeric only and positions 6&7 (if applicable) must be alpha only. Please contact Ydsia Slagle-Provider Relations at (757) 552-7477.









y. Contact Theresa Malgioglio at (914) 681-8800.



aims in CT). Contact Theresa Malgioglio at (914) 681-8800.

onic remits. The provider needs to call Oxford @ 800-666-1353 to get a registration code





onic remits. The provider needs to call Oxford @ 800-666-1353 to get a registration cod









or 800-753-7818. Providers should advise PEHP that they will be submitting their claims through Emdeon Business Services Inc UHIN sub









djustment claims - submit via paper. Anesthesia claims - submit with ASA/AA modifiers and billed with minutes



djustment claims - submit via paper. Anesthesia claims - submit with ASA/AA modifiers and billed with minutes

ould be sent to the enrollee's new TennCare MCO starting 1/1/2009





ould be sent to the enrollee's new TennCare MCO starting 1/1/2009

u may inquire via email at phsedisupport@phs.com.

u may inquire via email at phsedisupport@phs.com.

tions you may inquire via email at edioutreach@phs.com

tions you may inquire via email at edioutreach@phs.com



may inquire via email at edioutreach@phs.com.



may inquire via email at edioutreach@phs.com.





tions you may inquire via email at edioutreach@phs.com

tions you may inquire via email at edioutreach@phs.com

may inquire via email at edioutreach@phs.com.

may inquire via email at edioutreach@phs.com.









may inquire via email at edioutreach@phs.com.



may inquire via email at edioutreach@phs.com.



may inquire via email at edioutreach@phs.com.

may inquire via email at edioutreach@phs.com.





may inquire via email at edioutreach@phs.com.



may inquire via email at edioutreach@phs.com.

nt at (888) 296-9790; option 2 for electronic claims set-up.

nt at (888) 296-9790; option 2 for electronic claims set-up.









mation send to: edi.kmhp@kmhp.com.









mation send to: edi.kmhp@kmhp.com.









info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.



info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

efore submitting claims.





efore submitting claims.









9290 ext. 124 for approval and the Payer ID.

54 x 8686 or email edisetup@priority-health.com

PO Box 3590 Detroit MI 48203.

PO Box 3590 Detroit MI 48203.









inistrators Inc. Oak Brook IL.

inistrators Inc. Oak Brook IL.

inistrators Inc. Oak Brook IL.

the states of Arizona or Minnesota. For assistance call 800-698-0106.

ord IL ONLY may be sent electronically with this payer ID.

may be sent electronically with this payer ID.



100 TRausche@scpmcs.org

100 TRausche@scpmcs.org

100 TRausche@scpmcs.org

100 TRausche@scpmcs.org









tions you may inquire via email at edioutreach@phs.com

tions you may inquire via email at edioutreach@phs.com

may inquire via email at edihmoinfo@phs.com.



may inquire via email at edihmoinfo@phs.com.

tions you may inquire via email at edioutreach@phs.com

tions you may inquire via email at edioutreach@phs.com



may inquire via email at edihmoinfo@phs.com.



may inquire via email at edihmoinfo@phs.com.

may inquire via email at edihmoinfo@phs.com.



may inquire via email at edihmoinfo@phs.com.



may inquire via email at edihmoinfo@phs.com.





may inquire via email at edihmoinfo@phs.com.



may inquire via email at edihmoinfo@phs.com.

may inquire via email at edihmoinfo@phs.com.

water FL 33764.

water FL 33764.

water FL 33764.

34110. Please call Customer Service at (239) 403-7884 to verify claims submission to Self Insured Plans - Payer ID 36404 (Naples FL).

34110. Please call Customer Service at (239) 403-7884 to verify claims submission to Self Insured Plans - Payer ID 36404 (Naples FL).









e credentialed with the payer. Please ensure you have successfully processed one paper claim prior to submitting your first electronic cla

e numeric only and positions 6&7 (if applicable) must be alpha only. Please contact Ydsia Slagle-Provider Relations at (757) 552-7477.



e numeric only and positions 6&7 (if applicable) must be alpha only. Please contact Ydsia Slagle-Provider Relations at (757) 552-7477.





the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234

the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234



the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234

the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234





the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234

the correct number you may contact Sentry's Customer Service Department at 1-800-426-7234









y. Phone number is 651-695-2602

y. Phone number is 651-695-2602









TN 37202-2419.

37202-2419.

ng claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.









Enterprises and SPS International.









Enterprises and SPS International.

s with a billing submission address of PO Box 982005 Ft. Worth TX 76182.

s with a billing submission address of PO Box 982005 Ft. Worth TX 76182.

ox 55270 30870 30888 54150 30069 55400 Phoenix AZ 85270-5270.

ox 552703087030888541503006955400 Phoenix AZ 85270-5270.









T Questionnaire for Health Care Providers and Authorization Agreement. If enrollment forms are not submitted to STATE FARM ERA remi

yer EFT forms. Paper remits will cease upon enrollment for ERA.









Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.



info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.



ng claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.



ng claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.

ng claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID

ng claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.

ng claims to a clearinghouse. Contact Sutter Connect EDI Dept @ (800)611-5191 for payer ID.

hould call the Texas CHIP Provider Call Center at 866-561-5891.









e following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 809027 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

UB. Pease provide physician name and UPIN if available.

UB. Pease provide physician name and UPIN if available.









09 North Richland Hills TX 76182





09 North Richland Hills TX 76182



ox 55270 30870 30888 54150 30069 55400 Phoenix AZ 85270-5270.

ox 552703087030888541503006955400 Phoenix AZ 85270-5270.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

Box 890025 809067 809079 809066 809036 809081 Dallas Tx 75380-9025.

e following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 809027 Dallas Tx 75380-9025.

Richland Hills TX 76182.



Richland Hills TX 76182.









835 from WebMd/Trustmark Payer Id 61425 attached.



835 from WebMd/Trustmark Payer Id 61425 attached.









mission. Form: http://www.emdeon.com/enrollment Submit to batchenrollment@emdeon.com



info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.



info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner.

fy change of ERA Enrollment to Emdeon





fy change of ERA Enrollment to Emdeon









er Relations (305) 243-7270

100 TRausche@scpmcs.org

100 TRausche@scpmcs.org









fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon









e following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 809027 Dallas Tx 75380-9025.

e following P.O. Boxes: P.O. Box 890025 809067 809079 809066 809036 809081 809027 Dallas Tx 75380-9025.





-1593 - to receive provider id.

-1593 - to receive provider id.

fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon



fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon









althcare Network HMO]









avelers Plan Administrators]

plete EDI Sign Up Form and NPI Appendix A documents. Or call Joe Boerboom at 608-643-1531 to request these forms.









8 for all EDI submissions to Emdeon.



8 for all EDI submissions to Emdeon.

he following site to verify member information: https://estepp.cschcg.com/TRI_provider/doEntry.jsp

s enrollment for claims to go electronically. This payer id is to be used for member id alpha prefixes of:AMS ATS NJP NRG or YHF.



representative of production claims.

ext. 101. WebMD requires a provider set up form to be completed before initial claims submission.



2 ext. 101. Emdeon requires a provider set up form to be completed before initial claims submission.

rollment is not 'plan specific').



ables electronic claim submission for all BCBSTN payer ID's listed (enrollment is not 'plan specific').

rollment is not 'plan specific').









verify correct provider information prior to sending claims.

at (800) 480-1221 to verify correct provider information prior to sending claims.

on@capbluecross.com.





fy change of ERA Enrollment to Emdeon



fy change of ERA Enrollment to Emdeon



fy change of ERA Enrollment to Emdeon

fy change of ERA Enrollment to Emdeon









PA prior to submitting electronic claims. Enrollment form available at: http://www.bcnepa.com/EDI/registrationForm.aspx









n bill types representative of production claims.

epresentative of production claims.









mdeon.com with the payer name and your contact information.

433 or by email at 'provider.automation@capbluecross.com'.

at 'provider.automation@capbluecross.com'









representative of production claims.









mdeon.com with the payer name payer ID and your contact information.

egence.com along with our Trading Partner Number (HT001755-030) and their individual provider id.

ontain a 1D qualifier. If 2010AA & 2010AB exist and neither include a Medicaid Provider id - Reject. If 2310A and 2310B exist and neither

rt at (916) 853-7373.









be located at: http://www.state.sd.us/social/medical/provider/enrollment.htm









/payer_enrollment_forms.php

est setup for 835's user id WebMDHIPAA.









800-947-9627





A County Unit.

ke to submit claims to payer via Emdeon/WebMD. They must include their provider ID and Emdeon's Trading Partner # of 9900756

rt at (916) 853-7373.

nically must submit their ND Medicaid assigned provider ID(s) within the claim. Provider IDs are always 5 digits long and begin with the nu



following link: http://www.oregon.gov/DHS/admin/hipaa/testing_reg.shtml#packets.









ay To Provider is same as billing Provider then payto is identified in loop 2010AA and loop 2010AB is not used. Medi-Cal Id to identify the

800-947-9627









mdeon.com with the payer name and your contact information.

mdeon.com with the payer name and your contact information.

on PSF required.









aded at www.ahsmedicare.com.









representative of production claims.

claims including Home Health Care.

claims including Home Health Care.









d some zip codes in IA/MO/TN - contact Tricare North at (877) 874-2273 for details.

d some zip codes in IA/MO/TN - contact Tricare North at (877) 874-2273 for details.

d some zip codes in IA/MO/TN - contact Tricare North at (877) 874-2273 for details.

d some zip codes in IA/MO/TN - contact Tricare North at (877) 874-2273 for details.

d some zip codes in IA/MO/TN - contact Tricare North at (877) 874-2273 for details.

d some zip codes in IA/MO/TN - contact Tricare North at (877) 874-2273 for details.

d some zip codes in IA/MO/TN - contact Tricare North at (877) 874-2273 for details.

d some zip codes in IA/MO/TN - contact Tricare North at (877) 874-2273 for details.

mission of claims.

ubmitting your first electronic claim.

mission of claims.

galia Mingo Mineral Morgan Nicholas Putna

ealth Plan=009; DC Chartered Health Plan=013

Plan=009; DC Chartered Health Plan=013

ealth NetworkBMI236 - Henry's Towing - utiliz

ealth NetBMI236 - Henry's Towing - utilize Co

ent electronically. Claims where Bridgeport LLC i









made in a timely manner.

mission of claims.

zeros will have leading zeros omitted. ID numbers ca

tter ID HT000214-001.

rtment at 1-800-685-5205.



rtment at 1-800-685-5205.



rovider Servicing Department at 1-800-685-5205.





rovider Servicing Department at 1-800-685-5205.





00-685-5205.

00-685-5205.

urn the completed form to Health Net and Emdeon en



urn the completed form to Health Net and Emdeon en



mdeon enrollment





mdeon enrollment

ber ID number found on the HealthSpring ID card

ber ID number found on the HealthSpring ID card

mdeon enrollment

mdeon enrollment

(925) 941-2026. Allow 2 days for processing bef

(925) 941-2026. Allow 2 days for processing bef

WebMD. Questions: (800) 845-6592

MD. Questions: (800) 845-6592

mplete enrollment form on payers website.

mplete enrollment form on payers website.

work Platinum Plus Network Premier Plus or Managed

r Relations at (757) 552-7477.

r Relations at (757) 552-7477.

on Business Services Inc UHIN submitter ID HT0001

- Payer ID 36404 (Naples FL).

- Payer ID 36404 (Naples FL).









ubmitting your first electronic claim.

r Relations at (757) 552-7477.



r Relations at (757) 552-7477.

bmitted to STATE FARM ERA remits will not process.

st these forms.

AMS ATS NJP NRG or YHF.

egistrationForm.aspx

310A and 2310B exist and neither include a Medicaid

rading Partner # of 9900756

5 digits long and begin with the number 4.









used. Medi-Cal Id to identify the Payee.