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