ENS Eligibility Payer List_SDK_ by sofiaie

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									ENS Eligibility Payer List ANSI 270/271 (SDK)
(As of 04/17/2006)
                                                    Payer ID (Loop
                    Payer Name                      2100A NM109)                         Additional Information                Type
                                                                      Connectivity to the Payer is only accessable via ENS
Administar Federal Medicare Part A                                    Portal at this time                                      NP
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Aetna Health Plans                                       60054        Identification Number                                     P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Aetna Health Plans PPO                                   60054        Identification Number                                     P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
AHP of New Jersey, Parsippany                            60054        Identification Number                                     P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
AHP of New Jersey, Purchase, NY                          60054        Identification Number                                     P
                                                                      Connectivity to the Payer is only accessable via ENS
AL BCBS (Cahaba) Medicare Part A & B                                  Portal at this time                                      NP
American Medical Security                               Testing                                                                P
                                                                      Connectivity to the Payer is only accessable via ENS
AZ BCBS Medicare Part A                                               Portal at this time                                      NP
                                                                      Connectivity to the Payer is only accessable via ENS
Blue Cross Blue Shield of Arizona                                     Portal at this time                                      NP
                                                                      Connectivity to the Payer is only accessable via ENS
Blue Cross Blue Shield of Georgia                                     Portal at this time                                      NP
Blue Cross Blue Shield of Indiana (Anthem-non-                        Provider ID (Loop 2100B REF02) should contain Tax
Blue Card)                                               00130        Identification Number                                     T
Blue Cross Blue Shield of Kentucky (Anthem-non-                       Provider ID (Loop 2100B REF02) should contain Kentucky
Blue Card)                                              00160         Blue shield Number                                        T
Blue Cross Blue Shield of Louisiana                     LABLS                                                                  NP
                                                                      Connectivity to the Payer is only accessable via ENS
Blue Cross Blue Shield of Massachusetts                               Portal at this time                                      NP
                                                                      Connectivity to the Payer is only accessable via ENS
Blue Cross Blue Shield of Mississippi                                 Portal at this time                                      NP
Blue Cross Blue Shield of Nevada (Anthem-non-                         Provider ID (Loop 2100B REF02) should contain Nevada
Blue Card)                                               00265        Blue Shield Number                                        T
                                                                      Connectivity to the Payer is only accessable via ENS
Blue Cross Blue Shield of New Jersey (Horizon)                        Portal at this time                                      NP
Blue Cross Blue Shield of New York (Empire
Health Choice)                                          NYBLS                                                                  NP
Blue Cross Blue Shield Ohio (Anthem-non-Blue                          Provider ID (Loop 2100B REF02) should contain Tax
Card)                                                    00332        Identification Number                                     T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Blue Cross California (Wellpoint Health Network)         00540        Identification Number                                     T
                                                                      Provider ID (Loop 2100B REF02) should contain Colorado
Blue Shield of Colorado (Anthem-non-Blue Card)           00050        Blue Shield Number                                        T
Blue Shield of Connecticut (Anthem non-Blue                           Provider ID (Loop 2100B REF02) should contain
Card)                                                    00060        Connecticut Blue Shield Number                            T
                                                                      Connectivity to the Payer is only accessable via ENS
Blue Shield of Vermont                                                Portal at this time                                      NP
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Cigna                                                    62308        Identification Number                                     T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Connecticare, Inc                                        06105        Identification Number                                     T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Connecticut General Life                                              Identification Number                                     T
Coventry Carelink Medicaid                               00182                                                                 NP
Coventry Health American/Health Assurance of
Pennsylvania                                             00148                                                                 NP
Coventry Health Carelink                                 00160                                                                 NP
Coventry Health Carenet                                  00190                                                                 NP
Coventry Health Group Health Plan                        00184                                                                 NP
Coventry Health Health Care USA                          00186                                                                 NP




NP: Non Participating Payers. ENS Charges $0.35 per transaction conducted with non-par payers

For up-to-date payer information, please access the payer list from the ENS website at: http://www.enshealth.com
ENS Eligibility Payer List ANSI 270/271 (SDK)
(As of 04/17/2006)
                                                    Payer ID (Loop
                  Payer Name                        2100A NM109)                       Additional Information                    Type
Coventry Health of Carolinas/Wellpoint                  25129                                                                     NP
Coventry Health of Delaware                             25130                                                                     NP
Coventry Health of Georgia                              25127                                                                     NP
Coventry Health of Iowa                                 25132                                                                     NP
Covnetry Health of Kansas (Kansas City)                 25133                                                                     NP
Coventry Health of Kansas (Wichita)                     25134                                                                     NP
Coventry Health of Louisiana                            25135                                                                     NP
Coventry Helath of Nebraska                             25136                                                                     NP
Coventry Health Southeren Health Services               25128                                                                     NP
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Equicor Insurance                                        62308        Identification Number                                       T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Equicor-PPO                                              62308        Identification Number                                       T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Equitable Insurance                                      62308        Identification Number                                       T
First Ameritas of NY                                     00426                                                                   NP
                                                                      Connectivity to the Payer is only accessable via ENS
Family Health Systems                                                 Portal at this time                                         T
First Health                                             87043                                                                   NP
First Health - Mail Handlers                             00251                                                                   NP
                                                                      Connectivity to the Payer is only accessable via ENS
FL BCBS (First Coast) Medicare Part A                                 Portal at this time                                        NP
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Great West Life                                          80705        Identification Number                                       T
                                                                      Connectivity to the Payer is only accessable via ENS
Harvard Pilgram                                                       Portal at this time                                         T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Health Net of California (Claims)                        95567        Identification Number                                       T
Health Net of Northeast and Arizona                      00213                                                                   NP
Humana                                                    0041                                                                   NP
Kaiser Foundation Health Plan of Ohio                    00280                                                                   NP
MAMSI                                                    52148                                                                   P
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Alabama                                                      Portal at this time                                        NP
Medicaid Arizona (AHCCCS)                                AID37                                                                   NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Arkansas                                                     Portal at this time                                        NP
Medicaid California                                     CAMCD                                                                    NP
Medicaid Colorado                                        173          Enrollment Required                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Connecticut                                                  Portal at this time                                        NP
                                                                      Enrollment required. Call Cecilia Jefferson at (719)277-
Medicaid Florida                                        FLMCD         7545 ext. 1349.                                            NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Georgia                                                      Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Idaho                                                        Portal at this time                                        NP
Medicaid Illinois                                       ILMCD                                                                    NP
Medicaid Indiana                                        INMCD                                                                    NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Iowa                                                         Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Kansas                                                       Portal at this time                                        NP
Medicaid Kentucky                                        197          Enrollment Required                                        NP
Medicaid Louisiana                                     LAMCD                                                                     NP
Medicaid Massachusetts                                 MAMCD                                                                     NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Michigan                                                     Portal at this time                                        NP


NP: Non Participating Payers. ENS Charges $0.35 per transaction conducted with non-par payers

For up-to-date payer information, please access the payer list from the ENS website at: http://www.enshealth.com
ENS Eligibility Payer List ANSI 270/271 (SDK)
(As of 04/17/2006)
                                                    Payer ID (Loop
                    Payer Name                      2100A NM109)                         Additional Information                  Type
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Minnesota                                                    Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Mississippi                                                  Portal at this time                                        NP
Medicaid Missouri                                      MOMCD                                                                     NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid New Hampshire                                                Portal at this time                                        NP
Medicaid New Jersey                                     NJMCD                                                                    NP
                                                                      Enrollment required. Call Cecilia Jefferson at (719)277-
Medicaid New Mexico                                    NMMCD          7545 ext. 1349.                                            NP
                                                                      Enrollment required. Call Cecilia Jefferson at (719)277-
Medicaid New York                                      NYMCD          7545 ext. 1349.                                            NP
Medicaid North Carolina                                NCMCD                                                                     NP
Medicaid Ohio                                          OHMCD                                                                     NP
Medicaid Oklahoma                                       00023         Enrollment Required                                         T
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Oregon                                                       Portal at this time                                        NP
Medicaid Pennsylvania                                   PAMCD                                                                    NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid South Dakota                                                 Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Tennessee                                                    Portal at this time                                        NP
Medicaid Texas                                          TXMCD                                                                    NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Vermont                                                      Portal at this time                                        NP
Medicaid Virginia                                       VAMCD                                                                    NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Washington                                                   Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid West Virginia                                                Portal at this time                                        NP
Medicaid Wisconsin                                      WIMCD                                                                    NP
                                                                      Connectivity to the Payer is only accessable via ENS
Medicaid Wyoming                                                      Portal at this time                                        NP
Medical Mutual of Ohio                                   29076                                                                   NP
                                                                      Connectivity to the Payer is only accessable via ENS
Mississippi Children HIP                                              Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
MS BCBS (Trispan) Medicare Part A                                     Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
MS Children's Health Insurance Co                                     Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
MS State Employees and Teachers                                       Portal at this time                                        NP
                                                                      Connectivity to the Payer is only accessable via ENS
Mutual of Omaha Medicare Part A                                       Portal at this time                                        NP
Mutual of Omaha Commercial                               71412                                                                   P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Ohio Valley HMO, Cincinnati                              60054        Identification Number                                       P
                                                                      Provider ID (Loop 2100B REF02) should contain Oxford
Oxford Health Plans                                      06111        Provider Id                                                 T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Pacificare Health Systems CA (Claims)                    95959        Identification Number                                       T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
PacifiCare of Arizona (HMO)                              95964        Identification Number                                       T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
PacifiCare of Colorado (HMO)                             95962        Identification Number                                       T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
PacifiCare of Colorado (HMO)                            COPHS         Identification Number                                       T




NP: Non Participating Payers. ENS Charges $0.35 per transaction conducted with non-par payers

For up-to-date payer information, please access the payer list from the ENS website at: http://www.enshealth.com
ENS Eligibility Payer List ANSI 270/271 (SDK)
(As of 04/17/2006)
                                                    Payer ID (Loop
                  Payer Name                        2100A NM109)                         Additional Information              Type
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
PacifiCare of Nevada (HMO)                               95970        Identification Number                                   T
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
PacifiCare PPO (All States)                              95999        Identification Number                                   T
                                                                      Connectivity to the Payer is only accessable via ENS
Palmetto/Trailblazer Medicare                                         Portal at this time                                    NP
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
PHP of Georgia, Atlanta, Aetna                           60054        Identification Number                                   P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
PHP of North Ohio, Cleveland, Aetna                      60054        Identification Number                                   P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Primary Choice (Aetna Health Plan of NY/NJ)              60054        Identification Number                                   P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Select Choice (Aetna Health Plan of NY/NJ)               60054        Identification Number                                   P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Senior Choice (Aetna Health Plan of NY/NJ)               60054        Identification Number                                   P
                                                                      Provider ID (Loop 2100B REF02) should contain Tax
Southwest Health Plan (Aetna HMO)                        60054        Identification Number                                  P
Three Rivers Health Plan                                 00198                                                               NP
Three Rivers Better Health Plan                          00199                                                               NP
                                                                      Connectivity to the Payer is only accessable via ENS
TennCare                                                              Portal at this time                                     T
                                                                      Connectivity to the Payer is only accessable via ENS
TN BCBS (Riverbend) Medicare Part A                                   Portal at this time                                    NP
Tricare (Champus)                                        00080                                                               NP
United Healthcare                                        87726                                                                T
United Healthcare                                         UHC                                                                 T
                                                                      Connectivity to the Payer is only accessable via ENS
Wisconsin Chronic Disease Program                                     Portal at this time                                    NP
                                                                      Connectivity to the Payer is only accessable via ENS
Wisconsin Health Ins Risk Sharing Prog                                Portal at this time                                    NP




NP: Non Participating Payers. ENS Charges $0.35 per transaction conducted with non-par payers

For up-to-date payer information, please access the payer list from the ENS website at: http://www.enshealth.com

								
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