Payer ID Payer Name Enrollment Required AARP Absolute Total Care Access Medicare ACS Benefit Services, Inc.
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1 Payer ID Payer Name Enrollment Required AARP Absolute Total Care Access Medicare ACS Benefit Services, Inc Administrative Services, Inc Advantage by Bridgeway Health Solutions Advantage by Buckeye Community Health Plan Advantage by Managed Health Services Advantage by Superior HealthPlan Aetna Aetna Administrator Medicare Supplement Aetna Better Health (IL) Aetna Better Health (LA) Aetna Better Health (MI) Aetna Better Health (MO) Aetna Better Health (NJ) Aetna Better Health (PA) Aetna Better Health (TX) Aetna Better Health (TX) CHIP Aetna Better Health of (NE) Aetna Health and Life Insurance Company Aetna Life Insurance Company Aetna Long Term Care Aetna Senior Supplemental Aetna Signature Administrators Affinity Health Plan Affinity Health Plan - Medicare AFLAC AFLAC - Dental Aflac-Medicare Supplemental Aftra Health Fund Alabama Medicaid Alan Sturm and Associates - Dental Alaska Medicaid All Savers Life Insurance Allegiance Benefit Plan Management Inc Allianz Life Insurance Company of New York Allied Benefit Systems, Inc AlohaCare
2 13220 Alternative Insurance Resources, Inc Altus Dental AMC - Alaska Electrical Health & Welfare Fund AMC - American General Life & Accident AMC - Health Future AMC - Poly America AMC - Touchstone AMC - Touchstone PSO Ameriben Solutions, Inc American Community Mutual American Continental Insurance Company American Family Insurance Group-Medicare Sup and PPO American General Life Insurance Company American Health Medicare (Inmediata Health) American Income Life Insurance Company American Medical Security (AMS) American National Insurance American National Life Insurance Co. of Texas American Network Ins. Medicare Supplement American Postal Workers Union (APWU) American Republic Insurance Company (ARIC) American Retirement Life Ins Co - Medicare Supplement Americhoice Of New Jersey Amerigroup Amerihealth (DE, NJ, PA) AmeriHealth Administrators AmeriHealth Caritas Louisiana (formerly LaCare) AmeriHealth Caritas Pennsylvania Amerihealth Mercy Health Plan Ameritas Group - Ameritas Life Insurance Co Ameritas Group - First Ameritas of New York Ameritas Group - First Reliance Standard Life Ameritas Group - Reliance Standard Life Ameritas Group - Standard Insurance Ameritas Group - Standard Insurance of New York Antares Arbor Health Plan Arizona Medicaid (AHCCCS) Arizona Physicians IPA (APIPA) Arkansas Medicaid
3 10062 Assurant Health - John Alden Insurance Company (JALIC) Assurant Health - Time Insurance Company (FIC) Assurant Health - Union Security Insurance Company (FBIC) Asuris Northwest Health AULTCARE AvMed Health Plans Banner Health Plans BCBS of Alabama Yes BCBS of Alabama (Institutional) Yes BCBS of Arizona BCBS of Arkansas Yes BCBS of Colorado (Anthem) BCBS of Connecticut (Anthem) BCBS of Delaware BCBS of Florida BCBS of Georgia (Anthem) BCBS of Hawaii BCBS of Illinois BCBS of Indiana (Anthem) BCBS of Iowa BCBS of Kansas Yes BCBS of Kansas City BCBS of Kentucky (Anthem) BCBS of Louisiana BCBS of Maine (Anthem) BCBS of Massachusetts BCBS of Michigan (Institutional) Yes BCBS of Michigan (Professional) Yes BCBS of Minnesota BCBS of Mississippi BCBS of Missouri (Anthem) BCBS of Nebraska BCBS of Nevada (Anthem) BCBS of New Hampshire (Anthem) BCBS of New Jersey BCBS of New Mexico BCBS of New York (Central) BCBS of New York (Empire) BCBS of New York (Excellus) BCBS of New York (Rochester Area)
4 12968 BCBS of New York (Utica-Watertown) BCBS of North Carolina BCBS of North Dakota Yes BCBS of Ohio (Anthem) BCBS of Oklahoma BCBS of Oregon (Regence) BCBS of Pennsylvania (Highmark) - Institutional Yes BCBS of Pennsylvania (Highmark) - Professional Yes BCBS of Rhode Island BCBS of South Carolina BCBS of South Dakota BCBS of Tennessee BCBS of Texas BCBS of Utah (Regence) BCBS of Vermont BCBS of Virginia (Anthem) BCBS of West Virginia Yes BCBS of Wisconsin (Anthem) BCBS of Wyoming Yes Best Choice Health Plan Best Life and Health Better Health Plans (Unison Health Plan) Blue Cross Blue Shield of Montana Blue Cross Blue Shield of Virginia (Anthem) Blue Cross Independence (Pennsylvania) Yes Blue Cross Northeastern Pennsylvania Blue Cross of California (Anthem) Blue Cross Of Idaho Blue Cross of Washington and Alaska (Premera) Blue Cross Pennsylvania (Capital) Yes Blue Shield of California Blue Shield of Idaho (Regence) Blue Shield of Washington (Regence) BlueChoice HealthPlan South Carolina Medicaid Bluegrass Family Health BMC HealthNet Plan Bravo Health Bridgeway Arizona Buckeye Community Health California Health & Wellness
5 10127 California Medicaid (Medi-Cal) Capital District Physicians Health Plan (CDPHP) Care Improvement Plus CareFirst BCBS (MD, DC, N.Virginia) Careplus Health Plan Caresource Health Cariten Healthcare Celticare Cenpatico - Arizona Cenpatico - Florida Cenpatico - Illinois Cenpatico - Indiana Cenpatico - Kansas Cenpatico - Kentucky Cenpatico - Massachusetts Cenpatico - Ohio Cenpatico - South Carolina Cenpatico - Texas Cenpatico - Wisconsin Central CA Alliance for Health Central Reserve Insurance Company Central Reserve Life Ins Co. - Medicare Supplement Central States Fund CHAMPVA/Spina Bifida/Children of Women Vietnam Vets CIGNA-GreatWest Colorado Access Colorado Medicaid Combined Insurance Company of America Community Care Of Oklahoma Community Health Plan of Washington (CHPW) Community Healthfirst Medicare Advantage CONNECTICARE Connecticut Medicaid Consolidated Associates Railroad Constellation Health Continental General Ins Co - Medicare Supplement Continental General Insurance Company Continental Life Insurance Company of Brentwood, Tennessee Cook Childrens Health Plan
6 10170 Cooperative Benefit Administrators (CBA) Coordinated Care Coresource (Fmh) Coresource (Little Rock) CoreSource (MD,PA,IL,NC,IN,AZ,MN) CoreSource (Ohio) Coventry Healthcare - Advantra (TX, NM, AZ Only) Coventry Healthcare - Advantra Freedom Coventry Healthcare - Advantra Savings Coventry Healthcare - Altius Health Plans Coventry Healthcare - Carelink (Advantra) Coventry Healthcare - Carelink Medicaid Coventry Healthcare - CareNet Coventry Healthcare - Coventry Health and Life (Nevada) Coventry Healthcare - Coventry Health and Life (Oklahoma) Coventry Healthcare - Coventry Health and Life (Tennessee) Coventry Healthcare - CoventryCares Coventry Healthcare - CoventryCares of Kentucky Coventry Healthcare - CoventryOne Coventry Healthcare - Delaware Coventry Healthcare - Diamond Plan (Maryland Medicaid) Coventry Healthcare - Federal Coventry Healthcare - Florida/Vista/Summit Coventry Healthcare - Georgia Coventry Healthcare - Group Health Plan (GHP) Coventry Healthcare - HealthAmerica and HealthAssurance Coventry Healthcare - HealthCare Inc. (Promina) Coventry Healthcare - Healthcare USA(HCUSA) Coventry Healthcare - Iowa Coventry Healthcare - Kansas Coventry Healthcare - Louisiana Coventry Healthcare - Mail Handlers Benefit Plan Coventry Healthcare - Missouri Coventry Healthcare - National Network Coventry Healthcare - Nebraska Coventry Healthcare - Nebraska Medicaid Coventry Healthcare - OmniCare (Michigan) Coventry Healthcare - PersonalCare/Coventry Health of Illinois Coventry Healthcare - Southern Health Services (SHS)
7 13129 Coventry Healthcare - University of Missouri Coventry Healthcare - Vista (MCD, FHK, LTC) Coventry Healthcare - WellPath Select (Carolinas) CSA Fraternal Live - Medicare Supplement DAKOTACARE Delaware Medicaid Yes Denver Health Medical Plan Deseret Mutual (DMBA) District of Columbia Medicaid Emblem Health Essence Healthcare Fallon Community Health Plan FamilyCare Federated Insurance Fidelis Care New York Florida Health Care Plans Florida Hospital Healthcare System Florida Medicaid Freedom Blue Yes Fresenius Medical Care Gateway Health Plan GEHA - Government Employees Hospital Association Geisinger Health Plan Geisinger Health Plan Gold Generations Healthcare Genworth Life and Annuity Insurance Genworth Life Insurance Company Georgia Medicaid Gilsbar Great American Insurance Company - Medicare Supplement Great American Life Assurance Company - Medicare Supplement Group Health Cooperative Group Practice Affiliates Harmony Health Plan Hawaii Medicaid Health Alliance Medical Plan Health Alliance Medical Plans (HAP) Health Choice Arizona Health Net National
8 13135 Health New England Health Partners of MN Health Partners Of Philadelphia Health Plan of San Mateo HealthCare Solutions Group HEALTHe Exchange HealthEase HealthEase Kids Healthfirst New York Healthfirst Of New Jersey HealthMarkets (Chesapeake National Life) HealthMarkets (Mega Life and Health Insurance) HealthMarkets (Mid-West National Life) HealthMarkets (TransAmerica Life) Healthplus Of Michigan HealthScope (Morris Assoc, Central Benefits, Employers Health, Plan Handlers) HealthSpring HIP Healthplan of NY Hometown Health Horizon New Jersey Health HUMANA Idaho Medicaid IlliniCare Health Plan Illinois Medicaid Independence Administrators Independent Health Indiana Medicaid Inland Empire Health Integrated Mental Health Services Inter Valley Health Plan Iowa Medicaid Jackson Memorial Hospital Health Plan John Hopkins Health Plan Kaiser Foundation Health Plan Of Colorado Yes Kaiser Foundation Health Plan Of Hawaii Yes Kaiser Foundation Health Plan Of Ohio Yes Kaiser Foundation Health Plan Of The Mid-Atlantic Yes Kaiser Foundation Health Plan Of The Northwest Yes Kaiser Permanente of Georgia Yes
9 10399 Kaiser Permanente of Northern CA Yes Kaiser Permanente of Southern CA Yes Kansas Medicaid Kentucky Medicaid Key Benefit Administrators Keystone Mercy Health Plan Kitsap Physician Services Louisiana Healthcare connections Louisiana Medicaid Lovelace Health Plan Loyal American Life Insurance Company - Medicare Supplement Magellan Behavioral Health Services Magnolia Health Plan Maine Medicaid MAMSI Health Plan Managed Health Services Indiana Managed Health Services Wisconsin Maricopa Care Advantage (Arizona) Maricopa Health Plan (Arizona) Maryland Medicaid Yes Massachusetts Medicaid Mdwise Hoosier Alliance MedCost Benefit Services Medica Medical Mutual Of Ohio Medicare (HETS) Medicare (HETS) - DSH Only Medicare y Mucho Mas (INMEDIATA HEALTH GROUP) Mega Life (Oklahoma City) Mercy Care Plan (Arizona) Meritain Health Metlife Dental Family Metropolitan Health Plan (MHP) MHNET Behavioral Health Michigan Medicaid - Pending Eligibility Yes Michigan Medicaid Yes Michigan MIChild Yes Minnesota Medicaid Mississippi Medicaid
10 12985 Mississippi State Employees and Teachers Health Plan Missouri Medicaid MMSI (Mayo Health) Molina Healthcare Of California Molina Healthcare Of Florida Molina Healthcare of Illinois Molina Healthcare Of Michigan Molina Healthcare Of Missouri Molina Healthcare Of New Mexico Molina Healthcare Of Ohio Molina Healthcare Of Texas Molina Healthcare Of Utah Molina Healthcare Of Washington Molina Healthcare of Wisconsin Molina of Puerto Rico Montana Medicaid Montefiore CMO Mutual Of Omaha MVP Health Care (New York) National Association Of Letter Carriers (NALC) Nationwide Specialty Health Nebraska Medicaid NEHEN - Harvard Pilgrim Health Care NEHEN - Neighborhood Health Plans NEHEN - Tufts Associated Health Plan Neighborhood Health Plan (RI) Network Health Network Health Insurance Corporation - Medicare Nevada Medicaid New Hampshire Healthy Families New Hampshire Medicaid New Jersey Medicaid New Mexico Medicaid New York Medicaid North Carolina Medicaid North Dakota Medicaid Nova Healthcare Administrators Novasys Health Ohana Health Plan Ohio Medicaid
11 10557 Oklahoma Medicaid Optima/Sentara Oregon Medicaid Oxford Health Plans Pacific Source Health Plan Partners National Health Plans of NC Partnership Health Plan of California Passport Health Plan Peach State Health Plan Pennsylvania Medicaid Phoenix Health Plan Physicians Mutual Insurance Company Pittman and Associates Preferred Care Partners (Miami, FL) PreferredOne Presbyterian Health Plan Prestige Health Choice Principal Financial Group (Nippon Life) Priority Health Providence Health Plan Provident American Life and Health Ins Co - Medicare Supplement Public Employees Health Program QualCare QualChoice QuikTrip Corporation Recall Systems - Boon-Chapman Benefit Admin Recall Systems - Corporate Benefit Service Recall Systems - Group and Pension Administrators Recall Systems - Mississippi Admin Services Recall Systems - Professional Benefits Administrators Recall Systems - Underwriters Safety and Claims Rocky Mountain Health Plan Yes San Joaquin Health Plan Sanford Health Plan Santa Clara Family Health Plan Santa Clara Valley Health and Hospital System SCAN - Senior Care Action Network (HMO) Schaller Anderson Parkland Community Health Plan Scott & White Health Plan
12 10682 Select Health Of South Carolina Select Health Utah Significa Benefit Services Simply Health Care Plan South Carolina Medicaid South Dakota Medicaid Special Agents Mutual Benefit Association SPJST - Medicare Supplement Standard Life and Accident Insurance StayWell StayWell Kids Student Insurance SummaCare Sunshine State Health Plan Superior HealthPlan Texas Tennessee Medicaid TexanPlus North Texas Area TexanPlus Southeast Texas Area Texas Medicaid Texas Medicaid & Healthcare Partnership (TMHP) Three Rivers Health Plans (Unison Health Plan) Todays Health Todays Option Total Health Care Yes Tribute/Select Care of Oklahoma Tricare TriCare for Life Triple-S Salud (BCBS Puerto Rico) Trustmark Insurance UCare of Minnesota UMR (Wausau) Unicare (Wellpoint) Union Fidelity Life Insurance Company Union Pacific Railroad Employees Health Systems United Healthcare United Healthcare Plan of River Valley United Teacher Assoc Insurance Co. - Medicare Supplement Unity Health Plans Univera Healthcare University Family Care
13 12864 University Physicians Care Advantage (Arizona) University Physicians Healthcare Group (Arizona) UPMC Health Plan (Tristate) USAA Life Utah Medicaid Yes VA Fee Basis Vantage Health Plan, Inc Vermont Medicaid Virginia Medicaid Virginia Surety Company, Inc VIVA Health VNS Choice Washington Medicaid Washington National Insurance Company WEA Trust WebTPA WellCare Health Plans Wells Fargo Third Party Administrators, Inc. (CHIP and PEIA) Wellsense West Virginia Medicaid Western Health Advantage Windsor Medicare Extra Wisconsin Medicaid Wisconsin Medicaid Chronic Disease Program Wisconsin Medicaid Well Woman Program World Insurance (ARIC) Writers Guild Wyoming Medicaid
Name AARP 1199 National Benefit Fund AARP Absolute Total Care Administrative Services, Inc. Advantage by Bridgeway Advantage by Buckeye Advantage by
Name AARP 1199 National Benefit Fund AARP Absolute Total Care Administrative Services, Inc. Advantage by Bridgeway Advantage by Buckeye Advantage by Managed Health Services Advantage by Superior Health
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Column1 Column2 Column3 Column4
Column1 Column2 Column3 Column4 Payer Code Payer Name 10319 Subscriber Dependent *****Blue Exchange 1 (Pass-Through)(Wellpoint)(ONLY USED IF NO STATE BLUE PLAN PAYER ID LISTED!!)***** Y Y 10431 AARP (A
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AK Premera Blue Cross $709,464 Time Insurance Company $227,600 Trustmark Life Insurance Company $645,743 UnitedHealthcare Insurance Company $62,894 AL The MEGA Life and Health Insurance Company $62,541
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AARP 10431 AARP-United Healthcare Insurance Co 36273 Acordia National - Mohawk / Hickory Springs 10321 AETNA 60054 Aetna Health Plans PPO 60054 Aetna
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