Nevada Alphabetical Other Carrier Code List
Nevada Alphabetical Other Carrier Code List
The Numeric list begins on page 33.
OTHER PAYER ID
OTHER PAYER NAME
03240
215 AMERICAN WESTERN ADMIN
08451
4D PHARMACY MANAGEMENT
03173
7UP EMPLOYEE HEALTH BENEFITS
04666
8TH DIST ELECTRICAL BENEFIT FUND
04661
99TH MED GROUP USAF
07717
A & H INSURANCE
05370
A I S
01010
A REALCARE HEALTH PLAN
06090
A REALCARE HEALTH PLAN
05360
A T A
02750
A.A.A. INSURANCE COMPANY
02702
A.A.A./ CALIFORNIA INSURANCE COMPANY
00007
A.G.I.A., INC
02475
AAA INSURANCE COMPANY
02398
AAA INSURANCE COMPANY -CALIFORNIA AUTO ASSN
05566
AAA-CALIFORNIA AUTO ASSOC.
05970
AAGI ASSOCIATED ADMINISTRATORS GRP INS
04677
AARP
05193
AARP
07891
AARP
00012
AARP CLAIMS UNIT
02436
AARP CLAIMS UNIT
07202
AARP HEALTHCARE OPTIONS
07921
AARP MEDICARE RX PLANS
08585
AARP MEDICARE RX PREFERRED
03200
ABC ADMINISTRATIVE SERVICES
07496
ABD INSURANCE
02898
ABI ADMINISTRATIVE SERVICES
05304
ABPA AMERICAN BENEFIT PLAN ADMINISTRATOR
04442
ABPA INS
04502
ABPA(CULINARY)
07510
ACCESS CARE II (BCBSNEPA)
06235
ACCOUNTABLE HEALTH PLANS OF AMERICA INC
07334
ACEC LIFE/HEALTH TRUST
07396
ACLAIM INC
04686
ACORDIA
02414
ACORDIA BENEFIT SERVICES
05017
ACORDIA NATIONAL
03741
ACTIVA BENEFITS SVCS
03636
ADMAR CORPORATION
06073
ADMINICLE SELF FUNDED ADMIN. SVCS.
00032
ADMINISTRATION & INSURANCE OFFICE
00033
ADMINISTRATION SERVICES, INC
00036
ADMINISTRATIVE CONCEPTS
05772
ADMINISTRATIVE CONCEPTS INC
00037
ADMINISTRATIVE CONCEPTS, INC
00038
ADMINISTRATIVE CONSULTANTS, INC
03641
ADMINISTRATIVE ENTERPRISES INC.
00039
ADMINISTRATIVE ENTERPRISES, INC
00043
ADMINISTRATIVE SERVICES OF INC
06001
ADMINISTRATORS WEST
05349
ADMINSTRATION ENTERPRISES
03305
ADMISTRATIVE AGENT INSURANCE
06188
ADVANCE PCS
07098
ADVANCE PCS
05585
ADVANCE RX PARADIGM
06098
ADVANCED BENEFIT SOLUTIONS
OTHER PAYER ID
OTHER PAYER NAME
04492
ADVANCED INSURANCE SERVICES
07133
ADVANCED PCS
07152
ADVANCED PCS
07181
ADVANCED PCS
07303
ADVANCED PCS
08132
ADVANTAGE
00054
ADVANTAGE PLAN ADMINISTRATORS
00055
ADVENTIST RISK MANAGEMENT HEALTHCARE SER
07194
AETENA RX
05257
AETNA
05258
AETNA
05272
AETNA
05410
AETNA
05718
AETNA
06308
AETNA
06311
AETNA
06350
AETNA
07221
AETNA
07522
AETNA
07744
AETNA
07786
AETNA
07859
AETNA
07871
AETNA
07937
AETNA
08112
AETNA
08158
AETNA
08165
AETNA
08188
AETNA
08199
AETNA
08309
AETNA
08517
AETNA
08595
AETNA
08599
AETNA
08704
AETNA
05823
AETNA (PRUDENTIAL HEALTHCARE)
08364
AETNA 320276
07884
AETNA DENTAL
08013
AETNA DENTAL
07134
AETNA DNT
07060
AETNA ELECT CHOICE
08230
AETNA GLOBAL
05791
AETNA HEALTH ADMINISTRATORS
04752
AETNA HEALTH PLANS
05319
AETNA HEALTH PLANS
08081
AETNA HEALTH PLANS
02340
AETNA HEALTH PLANS UPS UNIT
05372
AETNA HEALTHCARE
05028
AETNA HEALTHCARE PLAN
00057
AETNA LIFE
00058
AETNA LIFE
00061
AETNA LIFE
02306
AETNA LIFE
02310
AETNA LIFE
02320
AETNA LIFE
02332
AETNA LIFE
02350
AETNA LIFE
02374
AETNA LIFE
Page C.1
Nevada Alphabetical Other Carrier Code List
OTHER PAYER ID
OTHER PAYER NAME
02391
AETNA LIFE
02395
AETNA LIFE
02423
AETNA LIFE
02428
AETNA LIFE
02497
AETNA LIFE
02520
AETNA LIFE
02904
AETNA LIFE
02938
AETNA LIFE
02967
AETNA LIFE
02972
AETNA LIFE
03068
AETNA LIFE
03203
AETNA LIFE
03237
AETNA LIFE
03332
AETNA LIFE
03393
AETNA LIFE
03409
AETNA LIFE
03446
AETNA LIFE
03478
AETNA LIFE
03481
AETNA LIFE
03577
AETNA LIFE
03657
AETNA LIFE
03666
AETNA LIFE
03708
AETNA LIFE
04019
AETNA LIFE
04037
AETNA LIFE
04073
AETNA LIFE
04076
AETNA LIFE
04098
AETNA LIFE
04199
AETNA LIFE
04200
AETNA LIFE
04278
AETNA LIFE
04324
AETNA LIFE
04494
AETNA LIFE
05268
AETNA LIFE
05910
AETNA LIFE INS CO
08305
AETNA LIFE INSURANCE CO
04496
AETNA LIFE INSURANCE COMPANY
05575
AETNA LIFE INSURANCE COMPANY
05578
AETNA LIFE INSURANCE COMPANY
03056
AETNA LIFE TRAVELERS
07135
AETNA RX
08126
AETNA SRC
08283
AETNA STUDENT PLAN
05187
AETNA US HEALTH CARE
07946
AETNA US HEALTH CARE
00065
AETNA US HEALTHCARE
01584
AETNA US HEALTHCARE
02295
AETNA US HEALTHCARE
02420
AETNA US HEALTHCARE
02588
AETNA US HEALTHCARE
02637
AETNA US HEALTHCARE
02654
AETNA US HEALTHCARE
02676
AETNA US HEALTHCARE
02823
AETNA US HEALTHCARE
02976
AETNA US HEALTHCARE
03800
AETNA US HEALTHCARE
03801
AETNA US HEALTHCARE
OTHER PAYER ID
OTHER PAYER NAME
03908
AETNA US HEALTHCARE
04056
AETNA US HEALTHCARE
04159
AETNA US HEALTHCARE
04353
AETNA US HEALTHCARE
04357
AETNA US HEALTHCARE
04495
AETNA US HEALTHCARE
04662
AETNA US HEALTHCARE
04779
AETNA US HEALTHCARE
04781
AETNA US HEALTHCARE
04819
AETNA US HEALTHCARE
04820
AETNA US HEALTHCARE
04838
AETNA US HEALTHCARE
04910
AETNA US HEALTHCARE
04971
AETNA US HEALTHCARE
05001
AETNA US HEALTHCARE
05056
AETNA US HEALTHCARE
05100
AETNA US HEALTHCARE
05117
AETNA US HEALTHCARE
05131
AETNA US HEALTHCARE
05132
AETNA US HEALTHCARE
05140
AETNA US HEALTHCARE
05189
AETNA US HEALTHCARE
05191
AETNA US HEALTHCARE
05202
AETNA US HEALTHCARE
05204
AETNA US HEALTHCARE
05232
AETNA US HEALTHCARE
05320
AETNA US HEALTHCARE
05417
AETNA US HEALTHCARE
05466
AETNA US HEALTHCARE
05469
AETNA US HEALTHCARE
05524
AETNA US HEALTHCARE
05550
AETNA US HEALTHCARE
05572
AETNA US HEALTHCARE
05573
AETNA US HEALTHCARE
05574
AETNA US HEALTHCARE
05576
AETNA US HEALTHCARE
05577
AETNA US HEALTHCARE
05580
AETNA US HEALTHCARE
05724
AETNA US HEALTHCARE
05743
AETNA US HEALTHCARE
05753
AETNA US HEALTHCARE
05798
AETNA US HEALTHCARE
05799
AETNA US HEALTHCARE
05801
AETNA US HEALTHCARE
05830
AETNA US HEALTHCARE
05881
AETNA US HEALTHCARE
05905
AETNA US HEALTHCARE
06036
AETNA US HEALTHCARE
06078
AETNA US HEALTHCARE
06109
AETNA US HEALTHCARE
06118
AETNA US HEALTHCARE
06119
AETNA US HEALTHCARE
06143
AETNA US HEALTHCARE
06166
AETNA US HEALTHCARE
07421
AETNA US HEALTHCARE
07534
AETNA US HEALTHCARE
07605
AETNA US HEALTHCARE
Page C.2
Nevada Alphabetical Other Carrier Code List
OTHER PAYER ID
OTHER PAYER NAME
07770
AETNA US HEALTHCARE
08345
AETNA US HEALTHCARE
05967
AETNA US HEALTHCARE EPO
06044
AETNA US HEALTHCARE, INC.
04493
AETNA USHC
06106
AETNA USHC
06125
AETNA USHC
05390
AFFORDABLE MED NETWORK
05058
AFLAC
03138
AFLAC INSURANCE
00071
AFLAC OF NEW YORK INSURANCE
05582
AH&L
07073
AHA CARE AMCO
03110
AHCCCS INSURANCE
08249
AIG
07116
AIG CLAIM SERVICES, INC.
02645
ALADDIN HOTEL BENEFITS
07250
ALLEGIANCE BENEFIT PLAN MANAGEMENT
05345
ALLIANCE BLUE CROSS BLUE SHIELD
03030
ALLIANCE HEALTH CARE
04116
ALLIANZ LIFE
00101
ALLIED ADMINISTRATORS, INC
05586
ALLIED BENEFIT SYSTEMS
00102
ALLIED BENEFIT SYSTEMS, INC
05859
ALLIED GROUP INSURANCE
06248
ALLIED INSURANCE CLAIMS DEPT.
00105
ALLMERICA FINANCIAL
03979
ALLMERICA FINANCIAL
04104
ALLMERICA FINANCIAL
04107
ALLMERICA FINANCIAL
04999
ALLMERICA FINANCIAL
02336
ALLSTATE AUTO INS
02545
ALLSTATE INSURANCE
03161
ALLSTATE INSURANCE
03372
ALLSTATE INSURANCE
04032
ALLSTATE INSURANCE
04828
ALLSTATE INSURANCE
07247
ALLSTATE INSURANCE
04375
ALLSTATE INSURANCE COMPANY
04295
ALLSTATE INSURANCE COMPAMY
05528
ALLSTATE INSURANCE COMPANY
05527
ALLSTATE INSURANCE COMPANY/MARKET CLAIMS
02381
ALLSTATE INSURNACE COMPANY MVA
07926
ALLSTATE WORKPLACE DIVISION
05060
ALTA
02440
ALTA HEALTH
02916
ALTA HEALTH
03103
ALTA HEALTH
00109
ALTERNATIVE HEALTH DELIVERY SYSTEMS, INC
05584
ALTERNATIVE INSURANCE RESOURCES
04500
ALTERNET
04501
ALTERNET
03118
ALTERNET INSURANCE
02876
ALTERNET INSURANCE COMPANY
05633
ALTIUS HEALTH PLANS
07451
ALTIUS HEALTH PLANS
02463
AMALGAMATED LIFE & HEALTH
OTHER PAYER ID
OTHER PAYER NAME
02656
AMALGAMATED LIFE & HEALTH
00111
AMALGAMATED LIFE & HEALTH INSURANCE CO
07536
AMALGAMATED LIFE INSURANCE
06058
AMALGAMATED LIFE INSURANCE COMPANY
00114
AMERAPLAN, INC
04423
AMERIBEN SOLUTIONS (ABS)
07936
AMERIBEN SOLUTIONS INC
02522
AMERICAN AIRLINES BENEFITS
02530
AMERICAN BENEFIT ADMIN
03020
AMERICAN BENEFIT PLAN
03511
AMERICAN BENEFIT PLAN
04821
AMERICAN BENEFIT PLAN ADMIN
05016
AMERICAN BENEFIT PLAN ADMIN
05472
AMERICAN BENEFIT PLAN ADMIN
05741
AMERICAN BENEFIT PLAN ADMINISTRATION
04881
AMERICAN BENEFITS
00125
AMERICAN COMMUNITY MUTUAL INSURANCE CO
00128
AMERICAN DENTAL EXAMINERS, INC
07171
AMERICAN DIVERSIFIED PHARMACY
05846
AMERICAN FAMILY INSURANCE
00136
AMERICAN FIDELITY ASSURANCE CO
00137
AMERICAN FIDELITY ASSURANCE CO
07416
AMERICAN FIDELITY ASSURANCE COMPANY
08643
AMERICAN FIDELITY ASSURANCE COMPANY
03217
AMERICAN GENERAL LIFE
00142
AMERICAN GENERAL LIFE & ACCIDENT INSURANCE
00143
AMERICAN GROUP ADMINISTRATORS
03785
AMERICAN GROUP ADMINISTRATORS
03468
AMERICAN HEALTH ALLIANCE(AHA)
07588
AMERICAN HEALTHCARE
00147
AMERICAN HEALTHCARE PROVIDERS
06120
AMERICAN HEARTLAND HEALTH ADMINISTRATORS
00148
AMERICAN HERITAGE LIFE INSURANCE CO
08287
AMERICAN HERITAGE LIFE INSURANCE CO
00151
AMERICAN INCOME LIFE INSURANCE CO
00172
AMERICAN LIFE & HEALTH INSURANCE CO
03055
AMERICAN MEDICAL
00177
AMERICAN MEDICAL & LIFE INSURANCE CO
00178
AMERICAN MEDICAL SECURITY
05589
AMERICAN MEDICAL SECURITY
05750
AMERICAN MEDICAL SECURITY
07972
AMERICAN MEDICAL SECURITY
04444
AMERICAN NATIONAL HEALTHCARE
04044
AMERICAN NATIONAL INS.
05339
AMERICAN NATIONAL LIFE IN
00190
AMERICAN PIONEER LIFE INSURANCE CO
05424
AMERICAN POSTAL WORKERS UNION
00192
AMERICAN POSTAL WORKERS UNION HEALT
00193
AMERICAN PROGRESSIVE BENEFITS
03972
AMERICAN PROTECTION
04972
AMERICAN REPUBLIC INS CO
04503
AMERICAN REPUBLIC INSURANCE
00197
AMERICAN REPUBLIC INSURANCE CO
04223
AMERICAN SECURITY
00203
AMERICAN SERVICE LIFE INSURANCE COMPANY
00206
AMERICAN STATES INSURANCE CO
00209
AMERICAN TRUST ADMINISTRATORS, INC
Page C.3
Nevada Alphabetical Other Carrier Code List
OTHER PAYER ID
OTHER PAYER NAME
04504
AMERICAN WEST A/L
05348
AMERICARE
05870
AMERICA'S CHOICE HEALTHPLANS
05733
AMERICORP CLAIMS
02783
AMERICORP INSURANCE
06365
AMERIGROUP FLORIDA INC
07321
AMERIHEALTH
05175
AMERIPLAN
03054
AMERITAS
04191
AMERITAS DENTAL
00221
AMERITAS GROUP
05588
AMIL INTERNATINAL
04065
AMIL INTERNATIONAL
05205
AMIL INTERNATIONAL OF NEV
07658
ANETHEM BLUE CROSS BLUE SHIELD
02322
ANNUITY BOARD OF SO BAPTIST CHURCH
05173
ANTHEM
07857
ANTHEM
07893
ANTHEM
08019
ANTHEM
08110
ANTHEM
08320
ANTHEM
03498
ANTHEM AMERICAN HEALTH
08159
ANTHEM BC AND BS PARTNERSHIP
07229
ANTHEM BC BS COLORADO
07226
ANTHEM BC/BS COLORADO
07388
ANTHEM BCBS
07269
ANTHEM BCBS OF CT
00234
ANTHEM BENEFIT SERVICES OF FLORIDA
08187
ANTHEM BLUE ACCESS
07474
ANTHEM BLUE CORSS BLUE SHIELD
06298
ANTHEM BLUE CROSS
07906
ANTHEM BLUE CROSS
08411
ANTHEM BLUE CROSS
08554
ANTHEM BLUE CROSS
04512
ANTHEM BLUE CROSS & BLUE SHIELD FEP PROGRAM
04515
ANTHEM BLUE CROSS AND BLUE SHIELD DENTAL
08419
ANTHEM BLUE CROSS BLUE SHEILD
02275
ANTHEM BLUE CROSS BLUE SHIELD
02598
ANTHEM BLUE CROSS BLUE SHIELD
02605
ANTHEM BLUE CROSS BLUE SHIELD
04232
ANTHEM BLUE CROSS BLUE SHIELD
04775
ANTHEM BLUE CROSS BLUE SHIELD
04987
ANTHEM BLUE CROSS BLUE SHIELD
05116
ANTHEM BLUE CROSS BLUE SHIELD
05280
ANTHEM BLUE CROSS BLUE SHIELD
05456
ANTHEM BLUE CROSS BLUE SHIELD
05486
ANTHEM BLUE CROSS BLUE SHIELD
05623
ANTHEM BLUE CROSS BLUE SHIELD
06061
ANTHEM BLUE CROSS BLUE SHIELD
07052
ANTHEM BLUE CROSS BLUE SHIELD
07306
ANTHEM BLUE CROSS BLUE SHIELD
07423
ANTHEM BLUE CROSS BLUE SHIELD
07428
ANTHEM BLUE CROSS BLUE SHIELD
07439
ANTHEM BLUE CROSS BLUE SHIELD
07523
ANTHEM BLUE CROSS BLUE SHIELD
07604
ANTHEM BLUE CROSS BLUE SHIELD
OTHER PAYER ID
OTHER PAYER NAME
07897
ANTHEM BLUE CROSS BLUE SHIELD
07948
ANTHEM BLUE CROSS BLUE SHIELD
07959
ANTHEM BLUE CROSS BLUE SHIELD
07969
ANTHEM BLUE CROSS BLUE SHIELD
08033
ANTHEM BLUE CROSS BLUE SHIELD
08057
ANTHEM BLUE CROSS BLUE SHIELD
08337
ANTHEM BLUE CROSS BLUE SHIELD
07683
ANTHEM BLUE CROSS BLUE SHIELD - NV
08242
ANTHEM BLUE CROSS BLUE SHIELD CA
08377
ANTHEM BLUE CROSS BLUE SHIELD CA
08241
ANTHEM BLUE CROSS BLUE SHIELD CO
08527
ANTHEM BLUE CROSS BLUE SHIELD CO
05423
ANTHEM BLUE CROSS BLUE SHIELD CT
08102
ANTHEM BLUE CROSS BLUE SHIELD IN
05307
ANTHEM BLUE CROSS BLUE SHIELD KY
04020
ANTHEM BLUE CROSS BLUE SHIELD OH
04246
ANTHEM HEALTH
04678
ANTHEM HEALTH
05375
ANTHEM HEALTH
04157
ANTHEM HEALTH & LIFE
05211
ANTHEM HEALTH EMPLOYEE BENEFIT SVCS CTR
00235
ANTHEM HEALTH PLAN OF INDIANA, INC
07916
ANTHEM KEYCARE
08022
ANTHEM PHARMACY MANAGEMENT
07230
ANTHEM PHARMACY MANAGEMENT, LLC
04817
AON SELECT
06008
APA PARTNERS INC
05883
APA PARTNERS INC UNITED ROAD SVCS INC
HEALTH
03582
APL HEALTH CARE
02624
A-PLUS INSURANCE COMPANY
05884
APOLLO GOLD PLAN #95
05172
APWU
07938
APWU
04467
APWU HEALTH PLAN
07280
ARGUS HEALTH SYSTEMS
05581
ARIZONA FOUNDATION FOR MEDICAL CARE
05911
ASARCO INC RAY COMPLEX
02625
ASC CAD SERVICE CONSULTANTS
03169
ASI INSURANCE
00260
ASSOCIATED ADMINISTRATORS, INC
08125
ASSOCIATED EMPLOYERS OF MONTANA
04329
ASSOCIATED GROUP ADMIN
07581
ASSURANT
07861
ASSURANT
08141
ASSURANT EMPLOYEE BENEFITS
07358
ASSURANT HEALTH
08006
ASSURANT HEALTH
08178
ASSURANT HEALTH
04740
ATC/VAN COM RISK MANAGEMENT
06200
ATLANTIC ADMINISTRATORS INC
04506
ATPA EMPLOYEE BENEFIT ADMINISTRATORS
00290
AULTCARE
07203
AVDANCED PCS
00298
AVEMCO INSURANCE CO
07466
AVIA PARTNERS
00296
AV-MED HEALTH PLAN, INC
00299
BABB, INC
Page C.4
Nevada Alphabetical Other Carrier Code List
OTHER PAYER ID
OTHER PAYER NAME
00302
BALBOA INSURANCE CO
00303
BALL CORP
02574
BANKERS LIFE & CASUALTY
04519
BANKERS LIFE & CASULATY
05593
BANKERS UNITED LIFE ASSURANCE CO
05951
BANNER CHOICE PLUS
07455
BANNER HEALTH
05534
BAS BENEFIT ADMIN SYST LTD
05592
BASIC CARE
08009
BCBS NC SMART CHOICE
05188
BEECH ST MEDICAL
01633
BEECH STREET
04520
BEECH STREET
05313
BEECH STREET
08421
BEECH STREET
05537
BENCHMARK INSURANCE CO
03036
BENECORP INSURANCE COMPANY
00330
BENEFIT ADMINISTRATION CORP
04168
BENEFIT ADMINISTRATIVE SYSTEMS
00332
BENEFIT ADMINISTRATIVE SYSTEMS, LTD
04136
BENEFIT ADMINISTRATORS
00333
BENEFIT ADMINISTRATORS OF AMERICA
07660
BENEFIT AND RISK MANAGEMENT SERVICE
00338
BENEFIT CLAIMS PAYORS, INC
03944
BENEFIT CONCEPTS
04097
BENEFIT CONCEPTS
05151
BENEFIT CONCEPTS
00340
BENEFIT COORDINATORS CORP
05634
BENEFIT FUND OF SOUTHERN CALIFORNIA
00345
BENEFIT MANAGEMENT, INC
02430
BENEFIT PLAN ADMINISTRATORS
03811
BENEFIT PLAN ADMINISTRATORS
04091
BENEFIT PLAN ADMINISTRATORS
01309
BENEFIT PLANNERS
02270
BENEFIT PLANNERS
02480
BENEFIT PLANNERS
02562
BENEFIT PLANNERS
02960
BENEFIT PLANNERS
03505
BENEFIT PLANNERS
03651
BENEFIT PLANNERS
03843
BENEFIT PLANNERS
04404
BENEFIT PLANNERS
04485
BENEFIT PLANNERS
04866
BENEFIT PLANNERS
00352
BENEFIT PLANNERS, INC
04883
BENEFIT PROGRAM ADMIN
00355
BENEFIT RESOURCES
05689
BENEFIT RESOURCES INC
02539
BENEFIT SERVICES ADMIN
03245
BENEFIT SERVICES ADMINISTRATORS
05449
BENEFITS ADMIN SYSTEMS
04146
BENEFITS ADMINISTRATIVE SYSTEMS
04975
BENEFITS RESOURCES
00364
BENEPLAN STRATEGIES, INC
05292
BENESIGHT
06015
BENESIGHT
06048
BENESIGHT
OTHER PAYER ID
OTHER PAYER NAME
06154
BENESIGHT
06156
BENESIGHT
06158
BENESIGHT
06254
BENESIGHT
08293
BENICORP
07541
BENICORP - BEECH STREET CLAIMS
00366
BENICORP INSURANCE OF INDIANA
07908
BEST
00372
BEST LIFE ASSURANCE COMPANY OF CALIFORNIA
02888
BEST LIFE COMPANY OF CALIFORNIA
05594
BEST PLAN
00373
BESTEEL INDUSTRIES
04190
BINIONS HORSESHOE INSURANCE
ADMINISTRATION
06183
BLACK MTN SPRING WATER HEALTH PLAN
07037
BLUE ADVANTAGE ADMINISTRATORS
05571
BLUE BEACON INTERNATIONAL INC
08075
BLUE CARE
00382
BLUE CHOICE
07596
BLUE CROSS
07207
BLUE CROSS BLUE SHEILD
07228
BLUE CROSS BLUE SHEILD IL
07242
BLUE CROSS BLUE SHEILD MD
07215
BLUE CROSS BLUE SHEILD NV
07169
BLUE CROSS BLUE SHEILD SC
07204
BLUE CROSS BLUE SHEILD W. VIRGINA
07065
BLUE CROSS BLUE SHIELD
07079
BLUE CROSS BLUE SHIELD
07121
BLUE CROSS BLUE SHIELD
07383
BLUE CROSS BLUE SHIELD
07441
BLUE CROSS BLUE SHIELD
07479
BLUE CROSS BLUE SHIELD
07909
BLUE CROSS BLUE SHIELD
07949
BLUE CROSS BLUE SHIELD
08065
BLUE CROSS BLUE SHIELD
08090
BLUE CROSS BLUE SHIELD
02427
BLUE CROSS BLUE SHIELD AL
04140
BLUE CROSS BLUE SHIELD AL
04507
BLUE CROSS BLUE SHIELD AL
04880
BLUE CROSS BLUE SHIELD AL
04912
BLUE CROSS BLUE SHIELD AL
05359
BLUE CROSS BLUE SHIELD AL
06127
BLUE CROSS BLUE SHIELD AL
06175
BLUE CROSS BLUE SHIELD AL
07824
BLUE CROSS BLUE SHIELD AL
02597
BLUE CROSS BLUE SHIELD AR
07834
BLUE CROSS BLUE SHIELD AR
02595
BLUE CROSS BLUE SHIELD AZ
03809
BLUE CROSS BLUE SHIELD AZ
05396
BLUE CROSS BLUE SHIELD AZ
06167
BLUE CROSS BLUE SHIELD AZ
07036
BLUE CROSS BLUE SHIELD AZ
02308
BLUE CROSS BLUE SHIELD CA
02405
BLUE CROSS BLUE SHIELD CA
02541
BLUE CROSS BLUE SHIELD CA
02581
BLUE CROSS BLUE SHIELD CA
02594
BLUE CROSS BLUE SHIELD CA
02669
BLUE CROSS BLUE SHIELD CA
Page C.5
Nevada Alphabetical Other Carrier Code List
OTHER PAYER ID
OTHER PAYER NAME
02693
BLUE CROSS BLUE SHIELD CA
02700
BLUE CROSS BLUE SHIELD CA
03168
BLUE CROSS BLUE SHIELD CA
03290
BLUE CROSS BLUE SHIELD CA
04454
BLUE CROSS BLUE SHIELD CA
04491
BLUE CROSS BLUE SHIELD CA
04505
BLUE CROSS BLUE SHIELD CA
04508
BLUE CROSS BLUE SHIELD CA
04510
BLUE CROSS BLUE SHIELD CA
04784
BLUE CROSS BLUE SHIELD CA
05080
BLUE CROSS BLUE SHIELD CA
05090
BLUE CROSS BLUE SHIELD CA
05208
BLUE CROSS BLUE SHIELD CA
07076
BLUE CROSS BLUE SHIELD CA
07256
BLUE CROSS BLUE SHIELD CA
07402
BLUE CROSS BLUE SHIELD CA
08253
BLUE CROSS BLUE SHIELD CA
07475
BLUE CROSS BLUE SHIELD CO
08473
BLUE CROSS BLUE SHIELD CO
02599
BLUE CROSS BLUE SHIELD CT
05353
BLUE CROSS BLUE SHIELD CT
05478
BLUE CROSS BLUE SHIELD CT
02600
BLUE CROSS BLUE SHIELD DE
07114
BLUE CROSS BLUE SHIELD FEDERAL
07249
BLUE CROSS BLUE SHIELD FEP
02601
BLUE CROSS BLUE SHIELD FL
03994
BLUE CROSS BLUE SHIELD FL
00383
BLUE CROSS BLUE SHIELD GA
02602
BLUE CROSS BLUE SHIELD GA
04913
BLUE CROSS BLUE SHIELD GA
07105
BLUE CROSS BLUE SHIELD GA
07758
BLUE CROSS BLUE SHIELD GA
07963
BLUE CROSS BLUE SHIELD GA
02593
BLUE CROSS BLUE SHIELD HI
05849
BLUE CROSS BLUE SHIELD HI
07349
BLUE CROSS BLUE SHIELD HI
02603
BLUE CROSS BLUE SHIELD IA
02472
BLUE CROSS BLUE SHIELD IL
03681
BLUE CROSS BLUE SHIELD IL
03806
BLUE CROSS BLUE SHIELD IL
03807
BLUE CROSS BLUE SHIELD IL
04477
BLUE CROSS BLUE SHIELD IL
04479
BLUE CROSS BLUE SHIELD IL
04513
BLUE CROSS BLUE SHIELD IL
04601
BLUE CROSS BLUE SHIELD IL
05051
BLUE CROSS BLUE SHIELD IL
07367
BLUE CROSS BLUE SHIELD IL
07374
BLUE CROSS BLUE SHIELD IL
07513
BLUE CROSS BLUE SHIELD IL
07747
BLUE CROSS BLUE SHIELD IL
07983
BLUE CROSS BLUE SHIELD IL
08365
BLUE CROSS BLUE SHIELD IL
01019
BLUE CROSS BLUE SHIELD KANSAS CITY
02439
BLUE CROSS BLUE SHIELD KS
08138
BLUE CROSS BLUE SHIELD KS
08173
BLUE CROSS BLUE SHIELD KS
02606
BLUE CROSS BLUE SHIELD LA
OTHER PAYER ID
OTHER PAYER NAME
02609
BLUE CROSS BLUE SHIELD MA
05818
BLUE CROSS BLUE SHIELD MA
06364
BLUE CROSS BLUE SHIELD MA
07061
BLUE CROSS BLUE SHIELD MA
07373
BLUE CROSS BLUE SHIELD MA
08011
BLUE CROSS BLUE SHIELD MA
08534
BLUE CROSS BLUE SHIELD MA
02608
BLUE CROSS BLUE SHIELD MD
07351
BLUE CROSS BLUE SHIELD MD
02607
BLUE CROSS BLUE SHIELD ME
00388
BLUE CROSS BLUE SHIELD MI
02437
BLUE CROSS BLUE SHIELD MI
02524
BLUE CROSS BLUE SHIELD MI
02635
BLUE CROSS BLUE SHIELD MI
02696
BLUE CROSS BLUE SHIELD MI
03108
BLUE CROSS BLUE SHIELD MI
03679
BLUE CROSS BLUE SHIELD MI
04337
BLUE CROSS BLUE SHIELD MI
04887
BLUE CROSS BLUE SHIELD MI
04958
BLUE CROSS BLUE SHIELD MI
04991
BLUE CROSS BLUE SHIELD MI
05266
BLUE CROSS BLUE SHIELD MI
05735
BLUE CROSS BLUE SHIELD MI
07790
BLUE CROSS BLUE SHIELD MI
08071
BLUE CROSS BLUE SHIELD MI
02610
BLUE CROSS BLUE SHIELD MN
03804
BLUE CROSS BLUE SHIELD MN
08363
BLUE CROSS BLUE SHIELD MN
02612
BLUE CROSS BLUE SHIELD MO
02613
BLUE CROSS BLUE SHIELD MO
04150
BLUE CROSS BLUE SHIELD MO
04514
BLUE CROSS BLUE SHIELD MO
04876
BLUE CROSS BLUE SHIELD MO
07677
BLUE CROSS BLUE SHIELD MO
02611
BLUE CROSS BLUE SHIELD MS
02614
BLUE CROSS BLUE SHIELD MT
02615
BLUE CROSS BLUE SHIELD MT
02772
BLUE CROSS BLUE SHIELD NC
07967
BLUE CROSS BLUE SHIELD NC
08243
BLUE CROSS BLUE SHIELD NC
02399
BLUE CROSS BLUE SHIELD ND
04517
BLUE CROSS BLUE SHIELD ND
02569
BLUE CROSS BLUE SHIELD NE
07748
BLUE CROSS BLUE SHIELD NE
07838
BLUE CROSS BLUE SHIELD NE
02616
BLUE CROSS BLUE SHIELD NH
04767
BLUE CROSS BLUE SHIELD NH
02617
BLUE CROSS BLUE SHIELD NJ
06107
BLUE CROSS BLUE SHIELD NJ
07295
BLUE CROSS BLUE SHIELD NJ
08308
BLUE CROSS BLUE SHIELD NJ
02618
BLUE CROSS BLUE SHIELD NM
07709
BLUE CROSS BLUE SHIELD NM
08665
BLUE CROSS BLUE SHIELD NM
04882
BLUE CROSS BLUE SHIELD NV DENTAL
00387
BLUE CROSS BLUE SHIELD NY
02304
BLUE CROSS BLUE SHIELD NY
Page C.6
Nevada Alphabetical Other Carrier Code List
OTHER PAYER ID
OTHER PAYER NAME
02353
BLUE CROSS BLUE SHIELD NY
02627
BLUE CROSS BLUE SHIELD NY
02640
BLUE CROSS BLUE SHIELD NY
02861
BLUE CROSS BLUE SHIELD NY
03079
BLUE CROSS BLUE SHIELD NY
04516
BLUE CROSS BLUE SHIELD NY
05251
BLUE CROSS BLUE SHIELD NY
05337
BLUE CROSS BLUE SHIELD NY
05601
BLUE CROSS BLUE SHIELD NY
05605
BLUE CROSS BLUE SHIELD NY
07066
BLUE CROSS BLUE SHIELD NY
07304
BLUE CROSS BLUE SHIELD NY
07766
BLUE CROSS BLUE SHIELD NY
05103
BLUE CROSS BLUE SHIELD NY EXCELLUS
08431
BLUE CROSS BLUE SHIELD OF AZ
08486
BLUE CROSS BLUE SHIELD OF AZ
08251
BLUE CROSS BLUE SHIELD OF DE
08388
BLUE CROSS BLUE SHIELD OF IL
08236
BLUE CROSS BLUE SHIELD OF MN
08406
BLUE CROSS BLUE SHIELD OF WA
02742
BLUE CROSS BLUE SHIELD OH
04245
BLUE CROSS BLUE SHIELD OH
07574
BLUE CROSS BLUE SHIELD OH/KY
02415
BLUE CROSS BLUE SHIELD OK
07025
BLUE CROSS BLUE SHIELD OK
07297
BLUE CROSS BLUE SHIELD OK
00386
BLUE CROSS BLUE SHIELD OR
04106
BLUE CROSS BLUE SHIELD OR
04518
BLUE CROSS BLUE SHIELD OR
05123
BLUE CROSS BLUE SHIELD OR
07272
BLUE CROSS BLUE SHIELD OR
00385
BLUE CROSS BLUE SHIELD PA
02282
BLUE CROSS BLUE SHIELD PA
08135
BLUE CROSS BLUE SHIELD PA
02642
BLUE CROSS BLUE SHIELD RI
06138
BLUE CROSS BLUE SHIELD ROCHESTER
06122
BLUE CROSS BLUE SHIELD SC
07310
BLUE CROSS BLUE SHIELD SC
08034
BLUE CROSS BLUE SHIELD SC
02631
BLUE CROSS BLUE SHIELD TN
03148
BLUE CROSS BLUE SHIELD TN
05342
BLUE CROSS BLUE SHIELD TN
08196
BLUE CROSS BLUE SHIELD TN
02363
BLUE CROSS BLUE SHIELD TRIGON
03434
BLUE CROSS BLUE SHIELD TX
04237
BLUE CROSS BLUE SHIELD TX
04238
BLUE CROSS BLUE SHIELD TX
04276
BLUE CROSS BLUE SHIELD TX
04680
BLUE CROSS BLUE SHIELD TX
07749
BLUE CROSS BLUE SHIELD TX
08355
BLUE CROSS BLUE SHIELD TX
08648
BLUE CROSS BLUE SHIELD TX
07761
BLUE CROSS BLUE SHIELD TX DENTAL
03067
BLUE CROSS BLUE SHIELD UT
03803
BLUE CROSS BLUE SHIELD UT
05603
BLUE CROSS BLUE SHIELD UT
05606
BLUE CROSS BLUE SHIELD UT
OTHER PAYER ID
OTHER PAYER NAME
07284
BLUE CROSS BLUE SHIELD UT
02747
BLUE CROSS BLUE SHIELD VA
03835
BLUE CROSS BLUE SHIELD VA
03948
BLUE CROSS BLUE SHIELD VA
02683
BLUE CROSS BLUE SHIELD WA & ALASKA
02357
BLUE CROSS BLUE SHIELD WA,DC
03351
BLUE CROSS BLUE SHIELD WI
04258
BLUE CROSS BLUE SHIELD WI
05066
BLUE CROSS BLUE SHIELD WI
05200
BLUE CROSS BLUE SHIELD WI
05520
BLUE CROSS BLUE SHIELD WI
04087
BLUE CROSS BLUE SHIELD WVA
02557
BLUE CROSS BLUE SHIELD WY
02361
BLUE CROSS CA
02706
BLUE CROSS CA
03565
BLUE CROSS CA
03647
BLUE CROSS CA
03786
BLUE CROSS CA
03802
BLUE CROSS CA
03810
BLUE CROSS CA
03933
BLUE CROSS CA
03938
BLUE CROSS CA
03970
BLUE CROSS CA
04082
BLUE CROSS CA
04120
BLUE CROSS CA
04233
BLUE CROSS CA
04321
BLUE CROSS CA
04341
BLUE CROSS CA
04681
BLUE CROSS CA
04715
BLUE CROSS CA
04889
BLUE CROSS CA
05229
BLUE CROSS CA
05364
BLUE CROSS CA
05394
BLUE CROSS CA
05489
BLUE CROSS CA
05595
BLUE CROSS CA
05597
BLUE CROSS CA
05599
BLUE CROSS CA
05815
BLUE CROSS CA
05980
BLUE CROSS CA
06291
BLUE CROSS CA
07174
BLUE CROSS CA
07217
BLUE CROSS CA
07313
BLUE CROSS CA
07326
BLUE CROSS CA
07370
BLUE CROSS CA
08338
BLUE CROSS CA
07827
BLUE CROSS CA (WALMART)
06054
BLUE CROSS CA/PRUDNET BUYER PLAN
04242
BLUE CROSS GREATER PENNSYLVANIA
02567
BLUE CROSS ID
04281
BLUE CROSS ID
04884
BLUE CROSS ID
05277
BLUE CROSS ID
05367
BLUE CROSS ID
02538
BLUE CROSS MO
07175
BLUE CROSS NEW YORK
Page C.7
Nevada Alphabetical Other Carrier Code List
OTHER PAYER ID
OTHER PAYER NAME
05297
BLUE CROSS OF CA
07631
BLUE CROSS OF CA
07655
BLUE CROSS OF CA
07017
BLUE CROSS OF CALIFORNIA
07558
BLUE CROSS OF CALIFORNIA MEDICAL
08505
BLUE CROSS OF ID
04256
BLUE CROSS OF IDAHO
07433
BLUE CROSS OF NEVADA
00450
BLUE CROSS PA
07556
BLUE CROSS PPO
02604
BLUE CROSS WESTERN IOWA & SOUTH DAKOTA
08684
BLUE CROSS/BLUE SHIELD OF NJ
04885
BLUE CROSS/WELLPOINT
07237
BLUE SHEILD ID
07406
BLUE SHEILD OF CA
07251
BLUE SHIELD
02532
BLUE SHIELD CA
03702
BLUE SHIELD CA
03721
BLUE SHIELD CA
03932
BLUE SHIELD CA
04066
BLUE SHIELD CA
04128
BLUE SHIELD CA
04389
BLUE SHIELD CA
04955
BLUE SHIELD CA
05128
BLUE SHIELD CA
05516
BLUE SHIELD CA
05981
BLUE SHIELD CA
07763
BLUE SHIELD CA
02959
BLUE SHIELD CA PERS CARE
02445
BLUE SHIELD ID
04663
BLUE SHIELD ID
05401
BLUE SHIELD ID
02352
BLUE SHIELD NY
08190
BLUE SHIELD OF CA
08192
BLUE SHIELD OF CA
07034
BLUE SHIELD OF CALIFORNIA
07682
BLUE SHIELD OF CALIFORNIA
04679
BLUE SHIELD PUERTO RICO
05281
BLUE SHIELD WA
06097
BLUESCONNECT
03432
BMC WEST BENEFITS
07024
BMI HEALTH PLAN
07565
BMI HEALTH PLAN
05222
BMS
05991
BMS ADMINISTRATIVE SVCS INC
05869
BOA EMPLOYEE BENEFITS
02881
BOEING MEDICAL PLAN
02885
BOILERMAKERS HEALTH & WELFARE
03780
BOOMTOWN EMPLOYEES BENEFIT TRUST
00395
BOON-CHAPMAN
03767
BRIDGESTONE/FIRESTONE INSURANCE
02300
BROOKFIELD WEST INSURANCE COMPANY
03861
BRUNO MENICUCCI INSURANCE SERVICES
06110
BSI
06037
BUREAU OF WORKERS COMP.
02932
BURNS INTERNATIONAL SECURITY SERVICES
00430
C.F.S. HEALTH GROUP
OTHER PAYER ID
OTHER PAYER NAME
07444
CA FIELD IRONWORKERS
05648
CAC RAMSO
03942
CAL OPTIMA HEALTH CARE
00435
CALFARM INSURANCE CO
00437
CALIFORNIA BENEFITS DENTAL PLAN
04119
CALIFORNIA CARE
02386
CALIFORNIA CASUALTY GROUP MVA
05523
CALIFORNIA CASULTY INSURANCE
F0009
CALIFORNIA FIELD IRONWORKERS
02345
CALIFORNIA IRON WORKERS 433
03208
CALIFORNIA IRONWORKERS
03593
CALIFORNIA STATE AUTO ASSOCIATION
04000
CAL-NEVA BENEFITS
03178
CANTEX EMPLOYEE BENEFITS MANAGEMENT CORP
05947
CAN-TEX IND
05885
CAPITOL ADMINISTRATION
00457
CAPITOL ADMINISTRATORS
00458
CAPITOL AMERICAN LIFE INSURANCE CO
02915
CAPITOL MUTUAL
03947
CAPP CARE
06260
CAPP CARE
05374
CAPP CARE PROVIDER
05649
CAPP CARE/AHC
05647
CARE ENTREE PRIVATE HEALTHCARE SYSTEMS
08053
CARE FIRST ADMINISTRATORS
00466
CAREFIRST BLUE CROSS BLUE SHIELD MARYLAND
08277
CAREFIRST BLUE CROSS BLUE SHIELD MD
04075
CAREMARK
04804
CAREMARK
04891
CAREMARK
07254
CAREMARK
07560
CAREMARK
07780
CAREMARK
07783
CAREMARK
07803
CAREMARK
07804
CAREMARK
07854
CAREMARK
07900
CAREMARK
07974
CAREMARK
08156
CAREMARK
08322
CAREMARK
08492
CAREMARK
08537
CAREMARK
08553
CAREMARK
08563
CAREMARK
08604
CAREMARK
08522
CAREMARK / ADVANCE PCS
08059
CAREMARK INC
07296
CAREMARK-AKA ADVANCED PCA
00469
CARENETWORK, INC
00472
CARLSON COMPANY EMPLOYEE BENEFIT TRUST
00475
CAROLINA CONTINENTAL INSURANCE CO
05548
CARPENTERS & MILLWRIGHTS BENEFIT TRUST FUND
07091
CARPENTERS CMR
07731
CARPENTERS FEE FOR SERVICE
05109
CARPENTERS HEALTH AND WELFARE
Page C.8
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