WORKERS' COMPENSATION / AUTO PAYER LIST 09/10/2021 …

WORKERS' COMPENSATION / AUTO PAYER LIST

05/31/2024

Payer ID

All

TX MN CA IL LA NJ NY OR WI NC NM OK TN VA States

837P

837I

WORK

COMP

AUTO

835

x

Rejects Only

x

x

1st Auto & Casualty

J1585

x

x

x

AAA Minnesota/Iowa

11983

x

x

x

x

ABF Freight System, Inc. (Arkbest)

J3789

x

x

x

x

x

Acadia Insurance Company

J1477

x

x

x

x

Rejects Only

Accd

J3729

x

x

x

x

x

Accident Fund Insurance Co of America

J1790

x

x

x

x

x

Accuride Corporation

J1024

x

x

x

x

x

ACIG Insurance Company

J1578

x

x

x

x

Rejects Only

Active Care, Inc.

J3840

x

x

x

x

x

x

ACTS Retirement - Life Communities

J2163

x

x

x

x

Acuity, A Mutual Insurance Company

J1240

x

x

x

x

x

Rejects Only

AD-COMP

J1667

x

x

x

x

x

Rejects Only

Administaff

J1241

x

x

x

x

Administrative Claim Service, Inc

J1005

x

x

x

x

Rejects Only

Adminsure

J2292

x

x

x

x

Admiral Linen & Uniform Service

J2144

x

x

x

x

Rejects Only

Advance America Cash Advance Centers

J1843

x

x

x

x

x

Advance Services, Inc.

J1608

x

x

x

x

x

Advanced Auto Parts - All states EXCEPT TX MN

J2162

x

x

x

x

x

Advanced Auto Parts - TX MN

J2161

x

x

x

x

Advocare MCO, Inc

J1896

x

x

x

x

x

Allianz

J1452

x

x

x

x

x

AIG-Chartis

19402

x

x

x

x

Rejects Only

Alarm Contractors (WC Only)

J3859

x

x

x

x

Alaska National Insurance

J1577

x

x

x

x

Albertsons, Inc.

J2376

x

x

x

x

Alcoa Fasteners Systems

J1244

x

x

x

Rejects Only

Alex Lee, Inc.

J2166

x

x

x

x

x

Align Networks (One Call Physical Therapy)

J1716

x

x

x

x

Rejects Only

Allen Canning

J1740

x

x

x

x

x

x

x

x

x

Rejects Only

Aluminum Precision (Carl Warren) *

x

x

x

x

x

x

x

x

x

x

x

x

Paper Only

x

x

Rejects Only

x

x

Rejects Only

x

Allergan W.C. Holding, INC.

J2341

Alliant Energy

J1619

x

x

x

x

Allianz Global Corporate & Specialty (AGCS) - dates of injury on or after 1/1/2018

J2332

x

x

x

x

x

Allianz Resolution Management (ARM) - dates of injury on or before 12/31/2012

Allied Claims Administration, Inc.

J2326

x

x

x

x

x

J1733

x

x

x

x

x

Allied Insurance Companies

J1550

x

x

x

x

x

x

x

x

x

Allied Property and Casualty Ins Co

J1550

x

x

x

x

x

x

x

x

x

Allmerica Financial Benefits Insurance Company

J1589

x

x

x

x

Allstate - Except New Jersey

C1037

x

x

x

x

x

Allstate - NJ Only (Auto Only)

C1089

x

x

x

Rejects Only

Alternative Service Concepts (ASC)

J2149

x

x

x

Rejects Only

x

x

x

x

Page 1 of 44

x

x

Rejects Only

WORKERS' COMPENSATION / AUTO PAYER LIST

05/31/2024

Payer ID

All

TX MN CA IL LA NJ NY OR WI NC NM OK TN VA States

837P

837I

WORK

COMP

AUTO

835

Alvey Systems (AON Risk)

J1025

x

x

x

x

x

AMCO Ins Co

J1550

x

x

x

x

x

America First

J1427

x

x

x

x

Rejects Only

American Airlines - DOI after 9/1/2014 ONLY

J2000

x

x

x

x

American Alternative Insurance Corporation

J4030

x

x

x

x

American Apparel, LLC (DOI after 7/14/16)

J2189

x

x

x

x

x

American Claims Management (ACM)

J1236

x

x

x

x

Rejects Only

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

American Coin Merchandising, Inc

J1026

American Country (Auto Only)

C1075

American Country (WC Only)

J1249

x

x

x

x

x

American Cyanamid

J1027

x

x

x

x

x

American Family Home Insurance Company

J4031

x

x

x

x

American Family Mutual Insurance Company

J2134

x

x

x

x

American Home Craft

J1250

x

x

x

x

American Millennium

J4021

x

x

x

x

American Mining Insurance Group, LLC

J1524

x

x

x

x

x

American Modern Home Insurance Company

J4032

x

x

x

x

x

x

American Select

J3317

x

x

x

x

x

x

American Specialty Companies

J1028

x

x

x

x

x

American Specialty Ins. / MIB

J1029

x

x

x

x

x

American Standard Insurance Company of Ohio (AUTO ONLY)

C1055

x

x

x

x

x

American Standard Insurance Company of Wisconsin (AUTO ONLY)

C1055

x

x

x

x

x

Amerisafe Risk Services

J1447

x

x

x

x

Amerisure Insurance

J1206

x

x

x

x

x

Rejects Only

Amerisure Mutual Insurance

J1205

x

x

x

x

x

Rejects Only

AmFed Companies LLC (Amfed National Insurance)

J3735

x

x

x

x

x

AmGuard Insurance Company - Guard DBA

J1453

x

x

x

x

x

Amica Insurance Company (Auto Only)

C1098

x

x

Amtrust North America

J1868

x

x

x

x

x

Anchor Glass Container Corporation

J2136

x

x

x

x

x

Anheuser Busch

J1620

x

x

x

x

x

Antelope Valley Community Hospital

J2197

x

x

x

x

x

APM Terminals

J3788

x

x

x

x

x

Applied Materials

J2160

x

x

x

x

x

Applied Underwriters (Except AZ)

J1775

x

x

x

x

Ardagh Group

J2344

x

x

x

x

Areas USA, Inc.

J1944

x

x

x

x

x

Argent (Subsidiary of West Bend but this route is Argent only)

J1420

x

x

x

x

x

Argonaut Insurance Company(ARGO)

19801

x

x

x

x

x

Arkansas Best

J2142

x

x

x

x

Rejects Only

Arrowpoint

J1564

x

x

x

x

x

Association Casualty Insurance Company

J1254

x

x

x

x

x

x

x

x

Page 2 of 44

x

x

x

x

x

Rejects Only

x

Rejects Only

x

x

Rejects Only

Rejects Only

x

Rejects Only

WORKERS' COMPENSATION / AUTO PAYER LIST

05/31/2024

Payer ID

All

TX MN CA IL LA NJ NY OR WI NC NM OK TN VA States

837P

837I

WORK

COMP

AUTO

835

x

Rejects Only

Association County Commissioners of Georgia (ACCG).

J1869

x

x

x

x

Athens

J1914

x

x

x

x

Rejects Only

Athens - ABF Freight Systems, Inc

J2096

x

x

x

x

Rejects Only

Athens - American Apparel, Inc (DOI prior to 7/14/16)

J2098

x

x

x

x

Rejects Only

Athens - American Brass & Iron Foundry

J2099

x

x

x

x

Rejects Only

Athens - Angelus Block

J2100

x

x

x

x

Rejects Only

Athens - Bay Area Housing Authority Risk Management

J2101

x

x

x

x

Rejects Only

Athens - Central County Fire Department

J2102

x

x

x

x

Rejects Only

Athens - Children's Hospital Los Angeles

J2103

x

x

x

x

Rejects Only

Athens - City of Beverly Hills

J2104

x

x

x

x

Rejects Only

Athens - City of Mountain View

J2105

x

x

x

x

Rejects Only

Athens - City of San Jose

J2106

x

x

x

x

Rejects Only

Athens - City of Vernon

J2107

x

x

x

x

Rejects Only

Athens - County of Solano

J2108

x

x

x

x

Rejects Only

Athens - Crum

J3728

x

x

x

x

x

Athens - East Bay Municipal Utility District

J2109

x

x

x

x

Rejects Only

Athens - East Bay Regional Parks District

J2110

x

x

x

x

Rejects Only

Athens - Fairmont Hotel

J2111

x

x

x

x

Rejects Only

Athens - FASIS

J2112

x

x

x

x

Rejects Only

Athens - Golden Gate Bridge Highway & Transportation

J2113

x

x

x

x

Rejects Only

Athens - Goodwill Industries (San Francisco, San Mateo, Marin Counties)

J2114

x

x

x

x

Rejects Only

Athens - H&S Venture

J2335

x

x

x

x

x

Athens - Household Industries Self Insured Group

J2115

x

x

x

x

Rejects Only

Athens - Kings Seafood Company

J2116

x

x

x

x

Rejects Only

Athens - KPC Healthcare

J2117

x

x

x

x

Rejects Only

Athens - Long Beach Public Transportation Company

J2118

x

x

x

x

Rejects Only

Athens - McKesson Corporation

J2119

x

x

x

x

Rejects Only

Athens - Orora North American

J2120

x

x

x

x

Rejects Only

Athens - Placentia-Yorba Linda Unified School District

J2121

x

x

x

x

Rejects Only

Athens - Presbyterian Intercommunity Hospital PIH

J2122

x

x

x

x

Rejects Only

Athens - San Francisco Unified School District

J2124

x

x

x

x

Rejects Only

Athens - Sony Corporation of America

J2126

x

x

x

x

Rejects Only

Athens - Sunsweet Growers, Inc.

J2127

x

x

x

x

Rejects Only

Athens - Temecula Valley Unified School District

J2128

x

x

x

x

Rejects Only

Atlantic PPO to U.S. Department of Labor-PA

J2081

x

x

x

x

Rejects Only

Athens - The Conco Companies - ARCH WC

J2129

x

x

x

x

Rejects Only

Athens - The Permanente Medical Group, Inc.

J2131

x

x

x

x

Rejects Only

Athens - Vintage Senior Living

J2132

x

x

x

x

Rejects Only

x

Austin Mutual Ins

J1682

x

x

x

x

Rejects Only

Auto Club Group

11983

x

x

x

x

x

x

Auto Club Group Insurance Company

11983

x

x

x

x

x

x

Auto Club Insurance (ACIA)

11983

x

x

x

x

x

x

Page 3 of 44

WORKERS' COMPENSATION / AUTO PAYER LIST

05/31/2024

Payer ID

All

TX MN CA IL LA NJ NY OR WI NC NM OK TN VA States

837P

837I

WORK

COMP

AUTO

835

Auto Club Insurance Association

11983

x

x

x

x

Auto Club Property-Casualty Insurance Company

11983

x

x

x

x

Automobile Dealers Insurance Company Inc

J1861

x

x

x

x

Auto-Owners \ Home-Owners Insurance Company

J1580

x

x

x

x

x

x

Auto-Owners \ Owners Insurance Company

J1583

x

x

x

x

x

x

Auto-Owners \ Property-Owners Insurance Co

J1699

x

x

x

x

x

x

Auto-Owners \ Southern-Owners Company

J1688

x

x

x

x

x

x

Auto-Owners Insurance Company

J1556

x

x

x

x

x

x

Auto-Owners Life Insurance Company

J1596

x

x

x

x

x

x

Avizent

J1415

x

x

x

x

Rejects Only

Ayers Trucking

J1018

x

x

x

x

x

Azz Inc.

J3773

x

x

x

x

x

x

Balance Staffing Workforce

J3844

x

x

x

x

x

Rejects Only

Baldwin County

J4022

x

x

x

x

Banner Health

J3811

x

x

x

x

Baptist Healthcare Systems, Inc (KY ONLY)

J2164

x

x

x

Bardavon Health Innovations

J2334

x

x

x

x

x

Rejects Only

Barker Claim Services

J3818

x

x

x

x

x

Rejects Only

Barnes

J1503

x

x

x

x

x

Barrett Business Services Inc (BBSI)

J1686

x

x

x

x

x

BART - San Francisco Bay Area Rapid Transit

J1770

x

x

x

x

x

Bashas Corporate Offices

J3732

x

x

x

x

x

Bass Pro Group, LLC

J1958

x

x

x

x

x

Bauman Workers' Compensation Loss Fund Account

J3305

x

x

x

x

x

Bb&T Corporation (Branch Banking & Trust)

J1995

x

x

x

x

x

Beacon Insurance Company Of America

J3318

x

x

x

x

Beacon Mutual

J1234

x

x

x

x

x

Beall's Inc / Midwest Employers

J1030

x

x

x

x

x

Bed Bath & Beyond

J2167

x

x

x

x

x

Belfor USA LTD INC

J4023

x

x

x

x

Rejects Only

Belk, Inc.

J2168

x

x

x

x

x

Benchmark Insurance Company

J3992

x

x

x

x

x

Bergen Risk

J3997

x

x

x

Rejects Only

Berkley Agribusiness Risk Specialists

J2190

x

x

x

x

x

Berkley Entertainment and Environmental (formerly Berkley Specialty Underwriters)

TP019

x

x

x

x

x

Berkley Mid-Atlantic Group

J3863

x

x

x

x

Rejects Only

Berkley National Insurance Company

J2192

x

x

x

x

x

Berkley Net Underwriters, LLC

J1523

x

x

x

x

x

Berkley Regional Insurance Company

J2194

x

x

x

x

x

Berkley Risk Administrators Company, LLC

J1526

x

x

x

x

x

Berkley Southeast Insurance Group (BSIG)

J2145

x

x

x

x

Rejects Only

Berkshire Hathaway Direct Insurance Company

J1975

x

x

x

x

x

x

Page 4 of 44

x

x

x

Rejects Only

x

x

x

x

x

x

WORKERS' COMPENSATION / AUTO PAYER LIST

05/31/2024

Payer ID

All

TX MN CA IL LA NJ NY OR WI NC NM OK TN VA States

837P

837I

WORK

COMP

AUTO

835

Berkshire Hathaway Homestate Companies (BHHC)

20044

x

x

x

x

x

Berwind Corporation

J1031

x

x

x

x

x

Big 5 Corp

J1738

x

x

x

x

x

Rejects Only

BI-Mart

J2349

x

x

x

x

x

Rejects Only

Bituminous Fire and Marine

J1691

x

x

x

x

x

Rejects Only

Bituminous Insurance Company

J1579

x

x

x

x

x

Rejects Only

Bloomin' Brands Inc

J3725

x

x

x

x

x

Bloomingdale's

J1347

x

x

x

x

x

BMICO

C1073

x

x

x

BMW North America

J1259

x

x

Boeing Company

J1964

x

x

x

x

x

x

x

x

Boeing Company - WC ONLY

J1964

x

x

x

x

x

x

x

x

Boise Cascade Company

J1801

Boler Company

J1870

x

x

Brentwood Services Administrators, Inc.

J2297

Briad Restaurant Group, LLC

Brickstreet (EXCEPT PA)

x

Rejects Only

x

Rejects Only

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

Rejects Only

J2169

x

x

x

x

x

J1761

x

x

x

x

x

Bridgefield Indemnity Insurance Company

J1437

x

x

x

x

x

Bridgefield Employers

J1437

x

x

x

x

x

Bristol West

J1764

x

x

x

x

Broadspire, a Crawford Company

TP021

x

x

x

x

Brotherhood Mutual Insurance

J1445

x

x

x

x

x

x

Broward County Board of Commissioners (Fl)

J3843

x

x

x

x

x

x

Brownyard Group Inc. (Arch Insurance)

11150

x

x

x

x

x

Brunswick

Buffets Inc Corporation

(Old Country Buffett, Ryan's, HomeTown Buffet, Fire Mountain, Country

Buffett, Granny's Buffett)

J1032

x

x

x

x

x

J1501

x

x

x

x

x

Builders Group of MN

J1391

x

x

x

x

Builders Insurance Group (Georgia Only) (Work Comp and Auto)

J3975

x

x

x

x

Builders Mutual Insurance

J1968

x

x

x

x

x

Burke Williams

J4037

x

x

x

x

x

Burlington Coat Factory Wareho

J1033

x

x

x

x

x

Business First

J1437

x

x

x

x

x

Butler America Holdings, INC.- Corvel - CORVEL (WC Only)

J3860

x

x

x

x

x

C+A2:R1155ity Of New Orleans (LA)

J2309

x

x

x

x

x

Caliber Holdings Corporation

J1979

x

x

x

x

x

California Fair Services Authority

J1535

x

x

x

x

California Restaurant Mutual Benefit Corporation - Sig

J4033

x

x

x

x

California Schools Risk Management

J3326

x

x

x

x

Rejects Only

CalPortland Company

J3758

x

x

x

x

x

Cambridge Healthcare Services, LLC

J2182

x

x

x

x

x

Cambridge Integrated Services

J1819

x

x

x

x

Rejects Only

x

x

Page 5 of 44

x

x

x

x

Rejects Only

x

Rejects Only

x

x

x

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download