OptumInsight Electronic Remittance Advice Payer List (ERA ...

OptumInsight Electronic Remittance Advice Payer List (ERA)

(As of 07/17/2023)

PAYER_NAME

STATE

PAYER_IDNROLLMEN

Payer Type

Highlighted payers are new or have been altered in the last 90 days. Please verify that your system is setup correctly for this payer

1199 National Benefit Fund

A.G. Administrators (837I & 837P)

American Income Life Insurance Company (837I & P)

AARP Hospital Indemnity Plans insured by UnitedHealthcare

Insurance Company

AARP Medicare Supplement Plans insured by

UnitedHealthcare Insurance Company

ABS - US Health (837I & 837P)

Absolute Total Care

Actuarial Management Resources

Administrative Concepts (837I & 837P)

Advantek Benefit Administrators (837I & 837P)

Adventist Health System West (837I & P)

Advocate Physicians Partners (PHO) (837P)

Aetna - American Continental Insurance Company (837I &

837P)

Aetna (837I & 837P)

Aetna Better Health - PA Medicaid (837P & 387I)

Aetna Better Health of NY (837P)

Aetna Better Health of Florida (837I & 837P)

Aetna Better Health of IL (837I & 837P)

Aetna Better Health of KY (837I & 837P)

Aetna Better Health of Louisiana (837I & 837P)

Aetna Better Health of Maryland (837I & 837P)

Aetna Better Health of Michigan (837I & 837P)

Aetna Better Health of New Jersey (837I & 837P)

Aetna Better Health of Ohio (837I & 837P)

Aetna Better Health of Virginia

Aetna TX Medicaid & CHIP (837I & 837P)

Aetna Better Health of West Virginia (837I)

Affinity Health Plans (837I & 837P)

AGC International Union of Operating Engineers Local 701

(837I & 837P)

Aither Health (837I & 837P)

AK United Food and Commercial Workers (AK UFCW) (837I

& 837P)

Alaska Carpenters (837I & 837P)

ALL

13162

Y

G

ALL

11370

Y

G

ALL

60577

Y

G

ALL

36273

Y

T

ALL

ALL

SC

ALL

ALL

ALL

ALL

ALL

36273

38259

68069

56693

22384

ADVTK

95340

65093

Y

Y

Y

Y

Y

Y

Y

Y

T

G

G

G

G

G

G

G

ALL

ALL

ALL

NY

FL

IL

KY

LA

MD

MI

NJ

OH

VA

TX

WV

ALL

62118

60054

23228

34734

128FL

26337

128KY

128LA

56196

128MI

46320

50023

128VA

38692

128WV

13334

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

G

G

G

G

G

G

G

G

G

G

G

N

G

G

G

G

ALL

ALL

91136

64884

Y

Y

G

G

ALL

ALL

91136

91136

Y

Y

G

G

For up-to-date payer information, visit

or contact OptumInsight Customer Service and Support at 1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Electronic Remittance Advice Payer List (ERA)

(As of 07/17/2023)

PAYER_NAME

STATE

PAYER_IDNROLLMEN

Payer Type

Highlighted payers are new or have been altered in the last 90 days. Please verify that your system is setup correctly for this payer

Alaska Hotel Employees Restaurant & Camp Employees

(AK HERE) (837I & 837P)

Alaska Laborers Construction Industry Health & Security

Trust (837I & 837P)

Alaska Pipe Trades U A Local 375 (837I & 837P)

Alaska Public Employees Association (APEA/JESS Health &

WelfareTrust) (837I & 837P)

Alignment Health Care

Allcare Health CCO

Allegiance Benefit Plan Management Inc (837I & P)

Alliant Health Plans of Georgia (837I & 837P)

Allied Benefit Systems (837I & 837P)

Allied Metal Crafts Security Plan Trust Fund (837I & 837P)

AllWays Health Plan (prev. Neighborhood Plan, Boston, MA)

(P&I)

Allwell

AlohaCare (837I & 837P)

AMA Insurance Agency (837I & 837P)

Amalgamated (837I & 837P)

Ambetter

Ambetter from Michigan, MI Meridian Complete, Michigan

Complete

Ameraplan (837I & 837P)

Ameriben Solutions (837I & 837P)

American Administrative Group AAG (Gallagher Benefits)

(837I & P)

American Health Advantage Texas (837I & P)

American Insurance Administrators

American National Insurance CO (ANICO) (837I & 837P)

American Postal Workers Union Health Plan (837I & P)

American Republic Insurance (837I & 837P)

American Republic Insurance Company (837I &P)

American Specialty Health (837I & 837P)

Amerigroup (837I & 837P)

ALL

91136

Y

G

ALL

ALL

91136

91136

Y

Y

G

G

ALL

ALL

ALL

ALL

GA

ALL

91136

CCHPC

MRIPA

81040

58234

37308

Y

Y

Y

Y

Y

Y

G

G

G

G

G

G

ALL

91136

Y

G

Y

N

Y

Y

Y

Y

Y

G

G

G

G

G

ALL

04293

OH, AZ, TX,

NM, IN, GA,

LA, IL, MO &

WI

68069

ALL

ALOHA

ALL

TH071

ALL

13550

ALL

68069

MI

ALL

ALL

MHPMI

38219

75137

Y

Y

Y

G

G

G

ALL

ALL

ALL

37283

31155

26119

Y

Y

Y

G

G

G

ALL

ALL

ALL

ALL

ALL

IA, DC, MD,

FL, GA, WA,

TN, TX, NM

74048

44444

42011

56071

ASH01

Y

Y

Y

Y

Y

G

G

G

G

G

26375

Y

G

For up-to-date payer information, visit

or contact OptumInsight Customer Service and Support at 1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Electronic Remittance Advice Payer List (ERA)

(As of 07/17/2023)

PAYER_NAME

STATE

PAYER_IDNROLLMEN

Payer Type

Highlighted payers are new or have been altered in the last 90 days. Please verify that your system is setup correctly for this payer

AmeriHealth Administrators (837I & 837P) (835s returned

under PAKEY)

Amerihealth Caritas Delaware (837I & 837P)

ALL

DE

54763

77799

Y

Y

N

G

Amerihealth Caritas Healthplan New Hampshire (837I & P)

Amerihealth Caritas Louisiana (837I & 837P)

Amerihealth Caritas Next Florida (837I & 837P)

AmeriHealth Caritas Ohio, Inc (837I & P)

Amerihealth Caritas VIP Care (837I & P)

AmeriHealth Caritas VIP Care Plus of MI (837I & 837P)

Amerihealth District of Columbia (837I & 837P)

Amerihealth HMO (837I & 837P)

NH

LA

FL

OH

ALL

MI

ALL

ALL

87716

27357

45408

35374

77062

77013

77002

23037

Y

Y

Y

Y

Y

Y

Y

Y

G

G

G

G

G

G

G

G

Amerihealth HMO of Delaware and New Jersey (837I & P)

AmeriHealth Mercy Health Plan

DE, NJ

ALL

95044

22248

Y

Y

G

G

ALL

NJ

AL

KY

IN

VA

OH

OH

NV

ALL

AR

ALL

AZ

ALL

ALL

ALL

ALL

ALL

OH

ALL

ALL

22248

SX075

64090

00160

00130

00423

00332

0002937

NVBLS

34196

68069

39185

68069

AAMG1

TLU02

ASRM1

13788

93221

MNAUL

AUX01

46045

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

G

N

G

G

G

G

G

G

T

G

G

G

G

G

G

G

G

G

N

G

G

ALL

ALL

ALL

59274

36066

12X42

Y

Y

Y

G

G

N

AmeriHealth NorthEast (now known as AmeriHealth Caritas

Pennsylvania 837I & 837P)

Amerihealth-NJ (Non-HMO Claims) (837P)

AmFirst Insurance Company (837I & 837P)

Anthem BCBS Kentucky (837I)

Anthem BCBS of Indiana (837I)

Anthem BCBS of Virginia (837I &P)

Anthem BCBS Ohio (837I)

Anthem Blue Cross Blue Shield

Anthem of Nevada

APEX Health Solutions (837I & 837P)

Arkansas Total Care

Arise (837I & 837P)

Arizona Complete Health (837I & 837P)

Asian American Medical Group (837P)

ASR Health Benefits

ASRM LLC (837I & 837P)

Associated Administrators LLC (837I & 837P)

Asuris NW Health (837I & P)

Aultcare

Auxiant (837I & 837P)

AVERA (837I & 837P)

AvMed (837I & 837P) Provider must enroll for EFT in order

to receive electronic remittance,



Bankers Life and Casualty

Banner Health (837I & 837P)

For up-to-date payer information, visit

or contact OptumInsight Customer Service and Support at 1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Electronic Remittance Advice Payer List (ERA)

(As of 07/17/2023)

PAYER_NAME

STATE

PAYER_IDNROLLMEN

Payer Type

Highlighted payers are new or have been altered in the last 90 days. Please verify that your system is setup correctly for this payer

Baycare Select Health Plans Incorp (837I & P)

BC Illinois Medicare Advantage (837I & P)

BC Montana Medicare Advantage (837I & P)

BC New Mexico Medicare Advantage (837I & P)

BC Oklahoma Medicare Advantage (837I & P)

BC Texas Medicare Advantage (837I & P)

BCBS Louisiana Blue Advantage

BCBS Minnesota Blue Plus Medicaid

BCBSTX Medicaid STAR/CHIP

BCBS VT

Beacon Health Options (837I & 837P)

Benefit Administrative Systems (837P & 837I)

Benefit And Risk Management Services (837I &P)

Benefit Management, Inc. (837I & 837P)

Benefit Plan Administrators Company (Eau Claire

Wisconsin) (837P & I)

Benefit Systems and Services, Inc. (837I & 837P)

BeneSys, Inc. (837I & 837P)

Better Health Plan of Kansas (837I & 837P)

Blue Advantage of Arkansas (837I & 837P)

Blue Care Complete of Michigan (837I & 837P)

Blue Care of Virginia PPO

Blue Chip of Rhode Island

Blue Choice Medicaid (837I & 837P)

Blue Cross Blue Shield of Alabama (837I)

Blue Cross Blue Shield of Arizona Advantage (Formerly

Banner Health Medisum) (837I & 837P)

Blue Cross Community Options (837I & 837P)

Blue Cross of Arizona

Blue Cross of California

Blue Cross of Georgia (837I)

Blue Cross of Idaho

Blue Cross of Illinois

Blue Cross of Kansas (835s returned under KSBLS)

Blue Cross of Michigan

Blue Cross of Nebraska (835s returned under NEBLS)

Blue Cross of New York, Western (835s returned under

N1BLS)

Blue Cross of Nevada (835s returned under ANTHM)

Blue Cross of North Carolina (835s returned under NCBLS)

Blue Cross of Utah (835s returned under UTBLS)

Blue Cross of West Virginia (837I)

ALL

IL

MT

NM

OK

TX

LA

MN

TX

VT

ALL

ALL

ALL

ALL

81079

66006

66006

66006

66006

66006

72107

00562

66001

SB915

BHOVO

36149

99320

48611

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

G

G

G

G

G

G

G

N

G

N

G

G

G

G

WI

ALL

ALL

KS

AR

MI

VA

RI

SC

AL

39081

36342

37248

128KS

ARBLS

32002

VABLS

RICHP

00403

12B54

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

G

G

G

G

T

G

T

T

N

N

AZ

ALL

AZ

CA

GA

ID

IL

KS

MI

NE

77078

MCDIL

53589

BC001

3537I

IDBLC

00621

57325

12B18

00260

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

G

G

N

T

T

T

N

N

N

T

NY

NV

12B39

00265

Y

Y

T

G

NC

ALL

WV

12B23

12B42

SB941

Y

Y

Y

T

N

N

For up-to-date payer information, visit

or contact OptumInsight Customer Service and Support at 1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Electronic Remittance Advice Payer List (ERA)

(As of 07/17/2023)

PAYER_NAME

STATE

PAYER_IDNROLLMEN

Payer Type

Highlighted payers are new or have been altered in the last 90 days. Please verify that your system is setup correctly for this payer

Blue Medicare of NC (837I & 837P)

This is Blue Cross Blue Shield NC Medicare Advantage Plan

(835s returned under NCBLS)

Blue Shield of Alabama (837I & 837P)

Blue Shield of Alaska

Blue Shield of Arizona

Blue Shield of California (for 837P & 837I claims)

Blue Shield of Colorado

Blue Shield of Connecticut

Blue Shield of Delaware

Blue Shield of Florida

Blue Shield of Georgia

Blue Shield of Hawaii

Blue Shield of Idaho

Blue Shield of Illinois

Blue Shield of Indiana

Blue Shield of Iowa

Blue Shield of Kansas

Blue Shield of Kansas City

Blue Shield of Kentucky

Blue Shield of Lousiana (837I & 837P)

Blue Shield of Maine

Blue Shield of Maryland

Blue Shield of Massachusetts (837I & 837P)

Blue Shield of Michigan

Blue Shield of Minnesota

Blue Shield of Mississippi

Blue Shield of Missouri

Blue Shield of Montana

Blue Shield of Nebraska

Blue Shield of Nevada

Blue Shield of New Hampshire

Blue Shield of New Jersey

Blue Shield of New Mexico

Blue Shield of New York (Empire) (837I & 837P)

Blue Shield of New York, Western

Blue Shield of North Carolina

Blue Shield of North Dakota

Blue Shield of Ohio

Blue Shield of Oklahoma (Remits will be returned with

payerID OKBLS)

Blue Shield of Oregon

ALL

AL

AK

AZ

CA

CO

CT

DE

FL

GA

HI

ID

IL

IN

IA

KS

KS

KY

LA

ME

MD

MA

MI

MN

MS

MO

MT

NE

NV

NH

NJ

NM

NY

NY

NC

ND

OH

56152

ALBLS

AC032

AZBLS

BS001

COBLS

CTBLS

DEBLS

FLBLS

GABLS

HIBLS

IDBLS

ILBLS

INBLS

IABLS

KSBLS

KCBLS

KYBLS

LABLS

MEBLS

SB690

MABLS

MIBLS

MNBLS

MSBLS

MOBLS

MTBLS

NEBLS

NVBLS

NHBLS

22099

NMBLS

NYBLS

N1BLS

NCBLS

NDBLS

OHBLS

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

N

T

T

T

T

T

T

T

T

T

T

T

T

T

T

T

T

T

T

T

N

T

T

T

T

T

T

T

N

T

N

T

T

T

T

T

T

OK

OR

00840

ORBLS

Y

Y

N

T

For up-to-date payer information, visit

or contact OptumInsight Customer Service and Support at 1-866-678-8646 (1-866-OPTUMGO)

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