OptumInsight Medical Payer List (01/27/2020)
OptumInsight Medical Payer List
1 of 41
(07/17/2023)
Payer Name
Payer ID
Claim Office Number
State
Reports
Entered As
Secondary**
Enrollment
Payer Type
(UCS) Masonry Industry Trust 1199 SEIU National Benefit Fund 21st Century Insurance and Financial Services 2020 Eyecare 360 Alliance PPO Gilsbar 3P ADMIN 8th Distric Electrical A.G. Administrators A & I Benefit Plan Administrators AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company
60230 13162 51028 2020E 07205 20413 74234 11370 93044
36273
36273
NOCD ALL NOCD ALL NOCD MN NOCD ALL NOCD ALL NOCD ALL NOCD UT NOCD ALL NOCD ALL
NOCD ALL
NOCD ALL
AARP MedicareComplete insured through UnitedHealthcare /
Oxford Mosaic Network / Oxford Medicare Network
87726
NOCD ALL
AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons) ABMG Abrazo Advantage Health Plan Abri Healthplan Access Administrators Access Behavioral Care Access Medical Group ACCLAIM Acclaim IPA Acclaim IPA (MHCAC) Accountable HC IPA (Customer Service (562) 435-3333 for claims with DOS prior to 5/1/15) Healthsmart Benefit Solutions (Wells Fargo TPA, formerly Acordia National) ACS Benefit Services, inc. ACS Benefits Payer Compass
87726 NOCD ALL A0701 NOCD CA 03443 NOCD ALL ABRI1 NOCD ALL AHS01 NOCD ALL COACC NOCD CO AMG02 NOCD All 64071 NOCD All MHIPA NOCD CA MHIPA NOCD CA
AHIPA NOCD ALL
87815 72467 PA331
MCSI ALL NOCD ALL NOCD ALL
Activa Benefits Services, LLC (Formerly Amway Corporation) ActivHealthcare Administrative Services, Inc. Adminstrative Concepts, Inc. Advance Benefit Mgmt Systems USA Incorp Advanced Data Solutions Advanstaff, Inc. Advantage Care IPA Advantage Health Network IPA Advantage Health Solutions, Inc. Advantek Benefit Administrators Advantica Benefits Advanzeon Solutions AdventHealth Advantage Plans Adventist Health System Advocate Health Centers (AHC) Advocate Health Partners (PHO) Aegis Administrative Services Aetna Affordable Health Choices (SM) SRC Aetna Better Health - PA Medicaid Aetna Better Health Medicaid IL Aetna Better Health Nevada Aetna Better Health NY Aetna Better Health Kansas Aetna Better Health of California
Aetna Better Health of Illinois Inc
Aetna Better Health of Kentucky Aetna Better Health of Louisiana Aetna Better Health of Maryland Aetna Better Health of Michigan Aetna Better Health of New Jersey Aetna Better Health of Ohio Aetna Better Health of Virginia Aetna Better Health of West Virginia Aetna Health Plan - PPO Aetna Life & Casualty Company Aetna Life & Casualty Company
38254 AHC01 59141 22384 66457 58202 74234 ACIPA NMM01 35209 83077 59374 59314 RP039 95340 36320 65093 CB637 57604 23228 26337 128NV 34734 128KS
128CA
68024 128KY 128LA 128MD 128MI 46320 50023 128VA 128WV 60054 60054 60054
NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD CA NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD PA NOCD IL NOCD NV NOCD ALL NOCD KS
NOCD CA
NOCD IL NOCD KY NOCD LA NOCD MD NOCD MI NOCD NJ NOCD ALL NOCD VA NOCD WV NOCD ALL NOCD ALL NOCD ALL
Y UCS MASONRY IND T Y 1199 NATIONAL BEN Y 21ST CENTURY INS N 2020 EYECARE Y 360 ALLIANCE PPOG Y 3P ADMIN N 8TH DIST ELECTRIC N AG ADMIN N A AND I BENEFIT P
Y AARP MEDICARE SUP
Y AARP MEDICARE SUP
Y OXFORD MEDICARE N
Y AARP MEDICARECOMP Y ABMG Y ABRAZO ADV HEALTH N ABRI HEALTHPLAN N ACCESS ADMINISTRA S ACCESS BEHAVIORAL Y ALLIED MED GROUP N ACCLAIM N MEMORIAL HC IPA N MEMORIAL HC IPA
Y ACCOUNTABLE HC IP
Y ACORDIA NATIONAL Y ACS BENEFIT SERVI Y ACS BENE PAYER CO
Y ACTIVA BENE SVCS Y ACTIVHEALTHCARE Y ADMIN SVCS INC N ADMIN CONCEPTS IN N ADV BENE MGMT USA Y ADVANCED DATA SOL N ADVANSTAFF INC N ADVANTAGE CARE IP Y ADVANTAGE HLTH IP N ADVANTAGE HEALTH N ADVANTEK BENEFIT A ADVANTICA BENEFIT Y ADVANZEON SOLUTIO Y ADVENT HLTH N ADVENTIST HLTH SY Y ADVOCATE HEALTH Y ADVOCATE HLTH PAR Y AEGIS ADMIN SVCS Y AETNA AFFORDABLE Y AETNA BH PA MEDIC N AETNA BH MCAID IL N AETNA NV N AETNA BET HLTH NY N AETNA BET HLTH KS
N AETNA CA AETNA BETTER HEALTH OF
Y ILLINOIS INC Y AETNA BET HLTH KY Y AETNA BH LOUISIAN Y AETNA MD Y AETNA BH MICHIGAN Y AETNA BH NEW JERS Y AETNA BTTR HLTH O Y AETNA BH VA Y AETNA BTR HLTH WV Y AETNA HEALTH PLAN Y AETNA Y AETNA LIFE
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE C
Y
FALSE C
Y
FALSE C
Y
FALSE C
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
For up-to-date payer information, please access the payer list from the OptumInsight website at: or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)
OptumInsight Medical Payer List
2 of 41
(07/17/2023)
Payer Name
Payer ID
Claim Office Number
State
Reports
Entered As
Aetna Life & Casualty Company
60054 NOCD ALL
Aetna Life & Casualty Company
60054 NOCD ALL
Aetna OHIORISE
45221 NOCD ALL
Affiliated Doctors of Orange County
ADOCS NOCD CA
Affiliated Physicians IPA
POP06 NOCD ALL
Affinity Essentials
23334 NOCD ALL
Affinity Health Plans (Contact Affinity EDI Coordinator before
submitting claims electronically at EDI@ or call
718-794-7592.)
13334 NOCD ALL
AFFINITY MEDICAL GROUP
46594 NOCD ALL
Affordable Benefit Administrators, Inc. (Claims with the
following address should only be sent to this payerID: ABA, PO
BOX 10787, Burbank, CA 91510-0787)
95426 NOCD ALL
Ageright Advantage
ARA01 NOCD ALL
Agewell New York
AWNY6 NOCD ALL
Agua Caliente
AGUA1 NOCD ALL
AHPO (Cleveland, OH)
31138 NOCD OH
AIG Chartis
19402 NOCD ALL
AIG Educational Markets (Formerly Maksin Management
Corporation)
22195 NOCD ALL
Aither Health
64884 NOCD ALL
AKM Medical Group
IP080 NOCD CA
Alameda Alliance for Health (Provider must contact payer to be
approved. Contact at Alameda is Anet Quiambao at 510-747-
6153 or aquiambao@)
95327 NOCD ALL
Alamitos IPA (Customer Service 562-602-1563)
AIPAZ NOCD CA
Alaska Childrens Services, Inc
91136 NOCD AK
Alaska Laborers Construction Industry Trust
91136 NOCD AK
Alaska Pipe Trades Local 375
91136 NOCD AK
Alaska United Food & Commercial Workers Health & Welfare
Trust
91136 NOCD AK
Albuquerque Public Schools
85600 NOCD ALL
Alexian Brothers Community Services of Tennessee
44423 NOCD ALL
AliCare
13550 NOCD ALL
Alignment Healthcare
CCHPC NOCD ALL
All Savers Insurance / UnitedHealthcare
81400 NOCD ALL
AllCare (Must contact AllCare, 800-564-6901 for setup and
payerID.)
CALL CALL ALL
AllCare PEBB
26158 NOCD ALL
Alivi Health
ALIVI NOCD ALL
Allegiance Benefit Plan Management, Inc.
81040 NOCD ALL
Alliance Coal Health Plan
93658 NOCD ALL
Alliance Physicians High Desert
22417 NOCD ALL
Alliant Health Plans of Georgia
58234 NOCD GA
Allied Benefit Systems
37308 NOCD ALL
Allied Physicians of California IPA
NMM01 NOCD ALL
AlohaCare
ALOHA NOCD HI
AlphaCare
ALPHA NOCD ALL
Alphacare Medical Group
MPM32 NOCD ALL
Alta Bates Medical Group
A0701 NOCD CA
AltaMed
ALTAM NOCD ALL
Alternative Opportunities
16089 NOCD ALL
Amalgamated Life - PA/Alicare
13343 NOCD ALL
Amalgamated Transit Union Division 1001 Health & Welfare
Fund
COMPU NOCD CO
Ambetter of Arkansas
68069 NOCD ALL
AmeraPlan
38219 NOCD ALL
Ameriben - IEC Group
97661 NOCD ALL
Ameriben Solutions
75137 NOCD ALL
Americaid Community Care (Houston)
27515 NOCD TX
American Administrative Group - AAG (Formerly known as
UICI Administrators
75240 NOCD ALL
American Administrative Group (formerly Gallagher Benefit) American Behavioral American Benefits Plan Administrators (Las Vegas, NV) American Family (administered by American Republic) American Family Health Providers American Family Insurance American Fidelity Assurance Company American General American Health Advantage of Utah American Health Advantage of Texas American Healthcare Alliance
37283 63103 59140 56071 IP080 TH095 60801 62030 31145 31155 01066
NOCD ALL NOCD ALL NOCD NV NOCD ALL NOCD CA NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL
Y AETNA LIFE INSUR Y AETNA LIFE INSURA Y AETNA OHIORISE Y AFFIL DOCS OF OC Y AFF PHYSICIANS IP Y AFFINITY ESSENTIA
Y AFFINITY HEALTH O N AFFINITY MED GROU
N AFFORDABLE BENE A N AGERIGHT Y AGEWELL NEW YORK Y AGUA CALIENTE Y AHPO CLEVELAND OH Y AIG CHARTIS
Y AIG EDUC MARKETS N AITHER N AKM MEDICAL GROUP
Y ALAMEDA ALLIANCE N ALAMITOS IPA Y ALASKA CHILD SVCS Y AK LABORERS TRUST Y AK PIPE LOCAL 375
Y AK UNITED FOOD TR A ALBUQUERQUE PS Y ALEXIAN BROTHERS Y ALICARE Y ALIGNMENT HCARE N UNITEDHEALTHONE
N CONTACT SUPPORT Y ALLCARE PEBB N ALIVI HEALTH Y ALLEGIANCE BENEFI N ALLIANCE COAL Y ALL PHYS HIGH DES Y ALLIANT GEORGIA Y ALLIED BENEFIT Y ALLIED PHYS OF CA N ALOHACARE N ALPHACARE N ALPHACARE MEDICAL Y ABMG N ALTAMED Y ALTERNATIVE OPPOR Y AMALGAMATED LIFE
N AMALG TRANSIT UNI Y AMBETTER Y AMERAPLAN Y AMERIBEN IEC GROU Y AMERIBEN SOLUTION Y AMERICAID HOUSTON
Y AAG
A AMERICAN ADMINIST N AMERICAN BEHAVIOR A AM BENEFITS PLAN N AM FAMILY INSURAN N AM FAMILY HLTH PR Y AMERICAN FAMILY I Y AMERICAN FIDELITY N AMERICAN GENERAL N AHA OF UTAH N AHA OF TX N AM HEALTHCARE ALL
For up-to-date payer information, please access the payer list from the OptumInsight website at: or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)
Secondary**
Enrollment
Payer Type
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
TRUE
T
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE C
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
TRUE
N
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE T
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
TRUE
N
Y
FALSE G
Y
FALSE G
OptumInsight Medical Payer List
3 of 41
(07/17/2023)
Payer Name
Payer ID
Claim Office Number
State
Reports
Entered As
American Insurance Company of TX American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600, New Orleans, LA 70163) American National Insurance Co American Plan Administrators American Postal Workers Union Health Plan American Postal Workers Union Health Plan American Republic Insurance Company American Specialty Health American Therapy Administrators ATA Wisconsin American Worker Health Plan Americas 1st Choice Health Plans of South Carolina Americas 1st Choice of South Carolina, Inc. America's Choice NMA America's Health Choice America's PPO (Formerly known as ARAZ.) America's PPO / America's TPA AmeriChoice NJ, Medicaid, NJ Family Care (UnitedHealthcare Community Plan) Amerigroup - Illlinois Amerigroup - Maryland and District of Columbia Amerigroup - New Jersey Amerigroup of Iowa Amerigroup / Americaid - Houston Amerigroup Houston (Claims and Encounters) Amerigroup Illinois (Claims and Encounters Amerigroup Multiple States (Claims and Encounters) Amerigroup of Florida Amerigroup Ohio (Claims and Encounters AmeriHealth - New Jersey (Non-HMO Claims) AmeriHealth Administrators
81949
72099 74048 95606 44444 44444 42011 ASH01 ATHAL 37322 20553 55349 20029 21810 16120 41178
86047 28804 28807 28806 26375 28805 26374 27518 26378 28809 27518 SX075 54763
NOCD ALL
NOCD ALL NOCD ALL NOCD ALL NOCD All NOCD All NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL
NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD
NJ ALL MD,DC NJ ALL TX TX IL ALL FL OH ALL ALL
AmeriHealth Caritas Louisiana (Formerly known as LA Care) Amerihealth Caritas Next FL Amerihealth Caritas Next NC Amerihealth Caritas North Carolina AmeriHealth Caritas Ohio Inc AmeriHealth Caritas Healthplan New Hampshire AmeriHealth Caritas VIP Care AmeriHealth Caritus VIP Care Plus (Michigan) Amerihealth Delaware Amerihealth District of Columbia (For EDI Support, please email edi.dc@ or call 1-888-656-2383) AmeriHealth HMO New Jersey and Delaware (Must complete enrollment form under payer ID 95044) Amerihealth HMO NJ and Delaware
AmeriHealth Mercy Health Plan (Name has changed to AmeriHealth Caritas Pennsylvania. Claims containing Dates of Service on or after Jan. 1, 2021 will need to be sent under this payer ID).
27357 45408 83148 81671 35374 87716 77062 77013 77799
77002
23037 95044
22248
NOCD LA NOCD FL NOCD NC NOCD NC NOCD OH NOCD NH NOCD ALL NOCD MI NOCD ALL
NOCD ALL
NOCD NJ,DE NOCD NJ DE
NOCD All
AmeriHealth NorthEast (Dates of Service on or before Dec. 31,
2020, may continue to use the following until Dec. 31, 2021.
For dates of service 01/01/21 or after use payer ID 22248}
77001 NOCD ALL
Amerikids-Dallas/Ft. Worth
26374 NOCD TX
Amerivantage
26375 NOCD ALL
Amfirst Insurance Company
64090 NOCD ALL
AM-First Insurance Morgan White
01757 NOCD ALL
Amida Care (Formerly Vida Care.)
24818 NOCD ALL
Amida Care Medicare
79966 NOCD ALL
Amtrust North America
J1868 NOCD ALL
AMVI
IP080 NOCD CA
Amway Corporation
38254 NOCD All
Anaheim Memorial IPA (MHCAN)
MHIPA NOCD CA
Anchor Benefit Consulting
53085 NOCD ALL
Anerican Founders Life Ins Co (NFL Plans only)
98205 NOCD ALL
Angeles IPA (SynerMed)
75299 NOCD ALL
Angle Insurance Company of Utah
39856 NOCD ALL
Antares Management Solutions
34192 NOCD ALL
Anthem BCBS Indiana
00630 NOCD IN
Anthem BCBS Virginia
00423 NOCD VA
Anthem Blue Cross of California
BC001 NOCD CA
Anthem Blue Cross Blue Shield
0002937 NOCD OH
N AMER INS OF TEXAS
Y AMERICAN LIFECARE Y AMER NAT INSURANC N AMERICAN PLAN Y AMERICAN POSTAL W Y APWU N ARIC Y AM SPECIALTY HLTH Y ATA WISCONSIN N AMERICAN WORKER H R AMERICAS FIRST CH Y AM FIRST CHOICE S Y AMERICAS CHOICE N Y AMERICAS HEALTH C Y AMERICAS PPO ARAZ Y AMERICAS PPO
Y UHC COMMUNITY NJ Y AMERIGROUP N AMERIGROUP MD N AMERIGROUP NJ Y AMERIGROUP IOWA Y AMERIGROUP HOUSTO Y AMERIGROUP HOUST Y AMERIGROUP ILLINO Y AMERIGROUP MULTI Y AMERIGROUP OF FL Y AMERIGROUP OHIO Y AMERIHEALTH NJ Y AMERIHEALTH ADMIN
Y LA CARE N FL NEXT N NC NEXT N NC CARITAS N OH CARITAS Y NH CARITAS N AMERIHLTH CARITAS Y AH CARITUS VIP CA N AMERIHEALTH DE
Y AMERIHEALTH DC
Y AMERIHEALTH HMO Y AHLTH HMO NJ & DE
Y AMERIHEALTH MERCY
Y AMERIHEALTH NE Y AMERIKIDS DALLAS Y AMERIGROUP IOWA Y AMFIRST INS CO Y AM FIRST INS MORG N AMIDA CARE Y AMIDA CARE MEDICA N AMTRUST N AMVI Y AMWAY N MEMORIAL HC IPA A ANCHOR BENEFIT CO N AMERICAN FOUNDERS Y ANGELES IPA SYNER N ANGLE Y ANTARES MGMT SOLN Y ANTHEM BCBS IN Y ANTHEM BCBS VA Y CA BLUE CROSS N ANTHEM BCBS
For up-to-date payer information, please access the payer list from the OptumInsight website at: or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)
Secondary**
Enrollment
Payer Type
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE C
N
FALSE G
N
FALSE T
N
FALSE G
N
FALSE G
N
FALSE T
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE T
N
FALSE G
Y
TRUE
N
N
TRUE
N
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
TRUE
G
Y
TRUE
N
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
OptumInsight Medical Payer List
4 of 41
(07/17/2023)
Payer Name
Payer ID
Claim Office Number
State
Reports
Entered As
Anthem Medicaid (WI) (Formerly BadgerCare)
WIBLS NOCD WI
Anthem of Colorado
COBLS BCBS CO
Anthem of Nevada
NVBLS NOCD NV
Apex Benefit Services (Claims must contain the rendering
provider ID or the claim will reject.)
34196 NOCD ALL
Apex Health
83112 NOCD ALL
APEX Healthcare (Now knows as Access Community Health
Network)
ACCOM NOCD ALL
Apostrophe
81312 NOCD ALL
ARAZ (Now known as America's PPO.)
16120 NOCD ALL
Arbor Health
52312 NOCD ALL
Arcadia Healthcare Solutions IPG
11081 NOCD ALL
Arcadia Healthcare Solutions NPA
36364 NOCD ALL
Arcadia Insurance Company
37105 NOCD ALL
Arcadian Management Services, Inc (Group number should be
entered if available. )
61101 NOCD ALL
Argus Dental and Vision
ARGUS NOCD ALL
Arise Health Plan (Formerly Prevea Health)
39185 NOCD ALL
Arizona Medicaid (AHCCCS)
AZMCD NOCD AZ
Arizona Pipe Trades Health and Welfare Trust Fund Local
Union Nos. 469 & 741 Metal Trades Health Plan
74234 NOCD AZ
Arizona Pipe Trades Health and Welfare Trust Fund Local
Union Nos. 469 & 741 Pipe Trades Health Plan
74234 NOCD AZ
Arizona Priority Care Plus
27154 NOCD ALL
Arkansas Best Corporation (previous payer ID 75278, new
payer ID is effective for claims submitted December 15, 2017
and after).
62308 NOCD ALL
Arkansas Managed Care Organization (AMCO)
62176 NOCD AR
Arkansas Total Care
68069 NOCD AR
Arnett Health Plan - former payer id 95440
87726 NOCD ALL
Arroyo Viata Family Health Center
NMM01 NOCD ALL
Arta Health Network
OCN01 NOCD CA
ASAGEHA
06603 NOCD ALL
Asian American Medical Group
AAMG1 NOCD CA
Aspire Health Plan
46156 NOCD ALL
ASR Corporation
38265 NOCD ALL
ASRM
ASRM1 NOCD ALL
Associated Hispanic Physicians Southern California
MPM44 NOCD ALL
Associates for Healthcare
36326 NOCD ALL
Assurant Health Self Funded (MUST VERIFY ALL CLAIMS SHOULD GO TO ALLIED BENEFIT for Assurant Health Self Funded groups with Plan effective dates after 5/1/2013) Assured Benefits Administrators
75068 74240
NOCD ALL NOCD ALL
Asuris Northwest/MedAdvantage (REF*1B*Provider ID in Billing
and Rendering required even when NPI is submitted.)
SX179 NOCD ALL
Asuris NW Health
93221 NOCD ALL
Atlantic Coast Life Insurance
87020 NOCD ALL
Atlantic Medical
22285 NOCD ALL
Atlantis Eye Care
AEC01 NOCD ALL
Atlas Life Ins Co (NFIC Plan only)
90956 NOCD ALL
Atrio Health Plan (Formerly known as Marion Polk Health Plan
Advantage)
MPCHA NOCD ALL
Aultcare
MNAUL NOCD OH
Author by Humana
61108 NOCD SC
Automated Benefit Services (ABS)
38259 NOCD ALL
Automated Group Administration, Inc.
37280 NOCD ALL
Automotive Machinists Local 289 Health & Welfare Trust -
Grp#F32
91136 NOCD ALL
Avalon Healthcare Solutions (Must contact the payer directly at
Provider Services @ 855-895-1676 prior to sending claims.) AVA01 NOCD ALL
Avalon Healthcare Solutions North Carolina
AVA02 NOCD NC
Avalon IPA
IP080 NOCD CA
Avante Health (Customer Service 559-261-9060)
AH001 NOCD ALL
Avectus Healthcare Solutions (Call 855-AVECTUS)
MP001 NOCD ALL
Avera Health Plans
46045 NOCD ALL
Avesis Third Part Administrators
87098 NOCD ALL
AVMED
59274 NOCD FL
Axminister Medical Group
AXM01 NOCD ALL
AZ Integrated Physicians
NCHON NOCD ALL
Bakersfield Family Medical Center
BKRFM NOCD ALL
N ANTHEM WI MEDICAI Y CO ANTHEM N NV ANTHEM
N APEX BENE SERVICE N APEX
Y APEX HEALTHCARE N APOSTROPHE Y ARAZ N ARBOR HEALTH N ARCADIA N ARCADIA NPA Y ARCADIA IPG
Y ARCADIAN MGMT SVS N ARGUS Y ARISE HEALTH PLAN Y AZ MEDICAID
N AZ METAL TRADES
N AZ PIPE TRADES N AZ PRIORITY CARE
Y ARKANSAS BEST COR Y AR MCO Y AK TOTAL CARE Y ARNETT HEALTH PLA Y ARROYO VISTA FAM N ARTA HLTH NETWORK Y ASAGEHA N ASIAN AMERICAN MG N ASPIRE HEALTH PLA Y ASR CORPORATION Y ASRM CORP N ASSOC HISP PHYS Y ASSOC HEALTHCARE
N ASSURANT HLTH SLF Y ASSURED BENEFITS
Y ASURIS NW MEDADVA Y ASURIS NW HEALTH N ATLANTIC COAST N ATLANTIC MEDICAL Y ATLANTIS EYE CARE N ATLAS LIFE INS CO
Y MARION POLK HP AD N AULTCARE Y AAUTHOR HUMANA Y AUTOMATED BEN SVC N AUTOMATED GROUP A
Y AUTO GRP F32
Y AVALON HC SOLUTIO N AVALON HEALTHCARE N AVALON IPA N AVANTE HEALTH N MEDPAY FIRST ONE Y AVERA HEALTH PLAN Y AVESIS TPA Y AVMED N AXMINISTER MED GR N AZ INTEGRATED PHY N BAKERSFIELD FAMIL
Secondary**
Enrollment
Payer Type
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE T
Y
FALSE N
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE C
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
TRUE
N
Y
FALSE G
Y
FALSE G
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE N
Y
FALSE G
N
FALSE G
Y
FALSE G
For up-to-date payer information, please access the payer list from the OptumInsight website at: or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)
OptumInsight Medical Payer List (07/17/2023)
Payer Name
5 of 41
Payer ID
Claim Office Number
State
Reports
Entered As
Bakery & Confectionery Union and Industry International Health BCTF1 NOCD ALL
Banner Health
12X42 NOCD ALL
Banner Health & Aetna Health Insurance Company
67895 NOCD ALL
Banner Medicare Advantage Plus (PPO)
16663 NOCD ALL
Banner Medicare Advantage Plus (HMO)
16664 NOCD ALL
Banner University Family Care (University of Arizona Health
Plans)
66901 NOCD ALL
Baptist Health South Florida
65026 NOCD ALL
Baycare Select Health Plans Incorp
81079 NOCD ALL
BCBS Of Vermont
SB915 NOCD VA
BCBS Of Michigan (Dental Claims Only)
BBMDQ NOCD MI
N BAKERY UNION Y BANNER HEALTH Y AETNA BANNER HLTH N BANNER PPO N HMO BANNER
A BANNER UNIV OF AZ N BAPTIST HLTH S FL Y BAYCARE SELECT N BCBS VA N BCBS MI DENTAL
BCBS of Texas Medicaid (Plan effective December 1, 2015) 66001 NOCD TX
BCBS Western NY Medicaid
WNYMD NOCD NY
Beacon Health Options
BHOVO NOCD ALL
Beacon of Life
65432 NOCD ALL
Beaver Medical Group
45967 NOCD ALL
Behavioral Health Systems
63100 NOCD ALL
Bella Vista Med Grp IPA
MPM10 NOCD CA
Benefit & Risk Management Services (Commercial Medicare
under Med3000)
99320 NOCD ALL
Benefit Administrative Systems
36149 NOCD ALL
Benefit Concepts
51037 NOCD ALL
Benefit Coordinators Corporation
25145 NOCD ALL
Benefit Management LLC/VBA
88092 NOCD ALL
Benefit Management Services
56139 NOCD ALL
Benefit Management Systems, Inc of Mississippi
37212 NOCD MS
Benefit Management, Inc. of KS (Only accepts claims for these
groups
BMI187,BMI219,BMI234,BMI236,BMI214,BMI241,BMI617
BMI246,BMI246.)
48611 NOCD ALL
Benefit Plan Administrators Co. (Payer ID valid only for claims
with a billing submission address of PO Box 1128, Eau Claire,
WI 54702-1128)
39081 NOCD WI
Benefit Systems and Services, Inc.
36342 NOCD All
Benefit Trust Life Insurance Company
61425 NOCD All
Y BCBS TEXAS MEDICA Y BCBS W NY MEDICAI N BEACON HLTH OPTIO Y BEACON LIFE N BEAVER N BEHAVIORAL HS N BELLA VISTA MED G
N BENE RISK MGMT SV Y BENE ADMIN SYSTEM Y BENEFIT CONCEPTS N BENEFIT COOR CORP Y BENE MGMT LLC VBA N BENE MGMT SVCS Y BMS OF MS
N BENEFIT MGMT KS
Y BENEFIT PLAN WI Y BENEFIT SYSTEMS Y BENEFIT TRUST LIF
BeneSys, Inc. (Now known as Sheet Metal Workers Local 104) 38238
Benmark
BNMK1
Berkshire Health Partners
23243
Berkshire Intergroup
10956
Best Life & Health Insurance Co.
95604
NOCD ALL NOCD ALL NOCD ALL NOCD ALL NOCD ALL
N BENESYS INC MI N BENMARK N BERKSHIRE HLTH PA Y BERKSHIRE INTERGR N BEST LIFE AND HEA
Better Health Plan of Florida (For claims rejections, contact payer at 800-514-4561 and select provider services option.) Beverly Hospital BHSF International Big Lots Associates Benefit Plans BIND (UHC Choice Plus Multiplan) Block Vision of Texas Block Vision, Inc. Blue Advantage of Arkansas Blue Care PPO Blue Chip of Rhode Island Blue Choice Medicaid Blue Choice of Rochester NY Blue Choice of South Carolina Blue Cross Blue Shield Michigan Medicare Blue Cross Blue Shield of Florida Blue Cross Blue Shield Of Western New York Blue Cross Community Solutions (Effective 12-14-14. Payer was previously known as IL BCBS ICP with a payerID of 00621) Blue Cross Complete Blue Cross IA COB Blue Cross Medicare Advantage (For DOS after 01-01-2017 and for MemberID starting with YDL, YDJ, XOD, XOJ, ZGD,ZGI, ID,YIJ, YUX and UYB only) Blue Cross MI Blue Care Complete Blue Cross of California Blue Cross of Idaho Blue Grass Family Health (SRRIPA) Blue Lake Rancheria
20488 NOCD ALL
N
MPM42 NOCD ALL
N
67668 NOCD ALL
Y
CX025 NOCD ALL
N
25463 NOCD ALL
N
BVTX1 NOCD TX
Y
BV001 NOCD ALL
Y
ARBLS NOCD AR
Y
VABLS BCBS VA
Y
RICHP NOCD RI
Y
00403 NOCD SC
Y
N6BLS NOCD NY
Y
00922 NOCD SC
N
MIMCR NOCD MI
Y
FLBLS BCBS FL
Y
N1BLS NOCD ALL
N
MCDIL NOCD ALL
Y
32002 NOCD ALL
Y
SB645 NOCD MT,IL,TX,O N
66006 NOCD MT,IL,TX,O N
MIBCN NOCD MI
N
BC001 NOCD CA
Y
IDBLC BCBS ID
Y
15754 NOCD ALL
N
IP061 NOCD CA
N
BETER HP OF FL BEV HOSP BHSF INTERNATIONA BIG LOTS ASSOC BE BIND BLOCK VISION TX BLOCK VISION INC AR BLUE ADVANTAGE BLUECARE PPO RI BLUE CHIP BLUE CHOICE MCAID ROCHESTER BLUE CH BLUE CHOICE OF SC BCBS MI MEDICARE FL BLUE SHIELD BCBS OF WEST NY
ILLINOIS BCBS ICP BLUE CROSS COMPLE BLUE CROSS IA
BC MCARE ADV MIT MI BLUE CARE CA BLUE CROSS ID BLUE CROSS BLUE GRASS FAMILY BLUE LAKE RANCHER
For up-to-date payer information, please access the payer list from the OptumInsight website at: or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)
Secondary**
Enrollment
Payer Type
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE N
N
FALSE G
N
FALSE G
Y
FALSE N
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE N
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
TRUE
N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE N
N
FALSE G
Y
TRUE
N
Y
FALSE N
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE N
Y
TRUE
N
Y
FALSE G
Y
TRUE
N
Y
FALSE G
Y
FALSE G
OptumInsight Medical Payer List
6 of 41
(07/17/2023)
Payer Name
Payer ID
Claim Office Number
State
Reports
Entered As
Blue Medicare of North Carolina (Contracted providers only.
Call 888-296-9790)
CALL NOCD NC
Y CALL SUPPORT
Blue Shield of Alabama
ALBLS NOCD AL
Y AL BLUE SHIELD
Blue Shield of Alaska
AKBLS NOCD AK
N AK BLUE SHIELD
Blue Shield of Arizona
AZBLS NOCD AZ
Y AZ BLUESHIELD
Blue Shield of Arkansas
ARBLS NOCD AR
Y AR BLUE SHIELD
Blue Shield of California
BS001 NOCD CA
Y CA BLUE SHIELD
Blue Shield of Central NY HMO/PPO
N2BLS NOCD NY
Y CE NY BLUE SHIELD
Blue Shield of Colorado
COBLS BCBS CO
Y CO BLUE SHIELD
Blue Shield of Connecticut
CTBLS NOCD CT
Y CT BLUE SHIELD
Blue Shield of Delaware
DEBLS BCBS DE
Y DE BLUE SHIELD
Blue Shield of Georgia (State Health of GA)
GABLS BCBS GA
Y GA BLUE SHIELD
Blue Shield of Hawaii
HIBLS NOCD HI
N HI BLUE SHIELD
Blue Shield of Idaho (Per Provider Testing)
IDBLS BCBS ID
Y ID BLUE SHIELD
Blue Shield of Illinois
ILBLS BCBS IL
Y IL BLUESHIELD
Blue Shield of Indiana
INBLS NOCD IN
Y IN BLUE SHIELD
Blue Shield of Iowa
IABLS BCBS IA
N IA BLUE SHIELD
Blue Shield of Iowa (For Secondary claims only where
Medicare is primary) (Provider must be enrolled with IABLS
prior to sending to this payer. )
IABLM NOCD IA
N IA BLUE SHIELD CO
Blue Shield of Kansas
KSBLS BCBS KS
Y KS BLUE SHIELD
Blue Shield of Kansas City
KCBLS NOCD KS,MS
Y KC BLUE SHIELD
Blue Shield of Kentucky
KYBLS NOCD KY
Y KY BLUE SHIELD
Blue Shield of Louisiana
LABLS NOCD LA
N LA BLUE SHIELD
Blue Shield of Maine
MEBLS NOCD ME
Y ME BLUE SHIELD
Blue Shield of Maryland
MDBLS BCBS MD
Y MD BLUE SHIELD
Blue Shield of Massachusetts
MABLS NOCD MA
Y MA BLUE SHIELD
Blue Shield of Michigan
MIBLS NOCD MI
Y MI BLUE SHIELD
Blue Shield of Minnesota
MNBLS NOCD MN
N MN BLUE SHIELD
Blue Shield of Mississippi
MSBLS NOCD MS
Y MS BLUE SHIELD
Blue Shield of Missouri
MOBLS NOCD MO
Y MO BLUE SHIELD
Blue Shield of Montana
MTBLS BCBS MT
Y MT BLUE SHIELD
Blue Shield of National Capital Area
NCABS NOCD DC VA MD Y NCA
Blue Shield of Nebraska
NEBLS BCBS NE
Y NE BLUE SHIELD
Blue Shield of Nevada
NVBLS NOCD NV
Y NV BLUE SHIELD
Blue Shield of New Hampshire
NHBLS NOCD NH
Y NH BLUE SHIELD
Blue Shield of New Jersey
22099 NOCD NJ
Y NJ BLUESHIELD
Blue Shield of New Mexico
NMBLS NOCD NM
Y NM BLUE SHIELD
Blue Shield of New York (Empire)
NYBLS NOCD NY
N NY BLUE SHIELD
Blue Shield of North Carolina
NCBLS NOCD NC
Y NC BLUE SHIELD
Blue Shield of North Dakota
NDBLS BCBS ND
N ND BLUE SHIELD
Blue Shield of Northeast NY
N5BLS NOCD NY
Y NE NY BLUE SHIELD
Blue Shield of Ohio
OHBLS NOCD OH
Y OH BLUE SHIELD
Blue Shield of Oklahoma
OKBLS BCBS OK
Y OK BLUE SHIELD
Blue Shield of Oregon
ORBLS NOCD OR
Y OR BLUE SHIELD
Blue Shield of Pennsylvania
PABLS NOCD PA
Y PA BLUE SHIELD
Blue Shield of Rhode Island
RIBLS NOCD RI
Y RI BLUE SHIELD
Blue Shield of Rochester NY
N7BLS NOCD NY
Y ROCHESTER BLUE SH
Blue Shield of South Carolina
SCBLS NOCD SC
Y SC BLUE SHIELD
Blue Shield of South Dakota
SDBLS BCBS SD
N SD BLUE SHIELD
Blue Shield of Tennessee
TNBLS BCBS TN
Y TN BLUE SHIELD
Blue Shield of Texas
TXBLS NOCD TX
Y TX BLUE SHIELD
Blue Shield of Utah
UTBLS NOCD UT
Y UT BLUE SHIELD
Blue Shield of Utica NY
N4BLS NOCD NY
Y UTICA BLUE SHIELD
Blue Shield of Vermont
VTBLS NOCD VT
N VT BLUE SHIELD
Blue Shield of Virginia
VABLS BCBS VA
Y VA BLUE SHIELD
Blue Shield of West Virginia
WVBLS NOCD WV
Y WV BLUE SHIELD
Blue Shield of Wisconsin
WIBLS NOCD WI
N WI BLUE SHIELD
Blue Shield of Wyoming
WYBLS BCBS WY
Y WY BLUE SHIELD
Bluebonnet Administrators
37121 NOCD LA
N BLUEBONNET ADMINI
Boilermakers national Health & Welfare Fund
36609 NOCD ALL
Y BOILERMAKERS NATL
Bollinger, INC.
BOLL1 NOCD ALL
N BOLLINGER INC
Boncura Health (Dupage Medical Group)
DMG01 NOCD ALL
N BONCURA HEALTH
Boon-Chapman Benefit Administrators, Inc.
74238 NOCD ALL
Y BOON CHAPMAN BENE
Boston Medical Center Healthnet
13337 NOCD MA
N BOSTON MED CENTER
BPS Inc
48964 NOCD ALL
Y BPS INC
Brand New Day (Encounters)
UC002 NOCD ALL
N BRAND NEW ENC
Brand New Day (FFS)
UC001 NOCD ALL
N BRAND NEW FFS
Braven Health
84367 NOCD ALL
N BRAVEN
Bravo Health (Now CIGNA HealthSprings.)
52192 NOCD ALL
Y BRAVO HEALTH
Breckpoint
BRKPN NOCD ALL
N BRECKPT
BridgeSpan
BRIDG NOCD ALL
N BRIDGESPAN
Bridgeway Arizona
68069 NOCD AZ
Y BRIDGEWAY ARIZONA
Bright Health (for DOS after 01/01/2022)
BRGHT NOCD ALL
Y BRGHT HEALTH
For up-to-date payer information, please access the payer list from the OptumInsight website at: or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)
Secondary**
Enrollment
Payer Type
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
TRUE
N
Y
FALSE G
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
TRUE
N
Y
FALSE N
Y
TRUE
N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE G
Y
TRUE
N
N
FALSE N
N
FALSE N
Y
FALSE N
Y
TRUE
N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
TRUE
N
Y
FALSE N
Y
TRUE
N
Y
FALSE N
Y
FALSE N
N
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
TRUE
N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
FALSE N
Y
TRUE
N
Y
FALSE N
Y
FALSE N
Y
FALSE N
N
FALSE G
Y
TRUE
N
Y
FALSE G
Y
FALSE N
Y
FALSE N
N
FALSE N
Y
FALSE N
Y
TRUE
N
Y
FALSE N
Y
FALSE N
Y
FALSE G
Y
FALSE G
Y
FALSE N
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
TRUE
N
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
OptumInsight Medical Payer List
7 of 41
(07/17/2023)
Payer Name
Payer ID
Claim Office Number
State
Reports
Entered As
Bright Health Physicians Bright Health Plan (for DOS prior to 01/01/2022)
BHP01 NOCD CA CB186 NOCD ALL
Brighton Health Plan Solutions (for DOS prior to 01/01/2022) BritCay Brockerage Concepts, Inc (Benefit Concepts) Brown & Toland Medical Group Brown & Toland Sutter Brown & Toland SutterSelect Buckeye Community Health Buckeye Ohio Medicaid Butler Benefits C & O Employees Hospital Association C3 Health (fka Access Health Inc.) California Anthem Blue Cross California Blue Cross California Health and Wellness California IPA California Pacific Medical Center California Water Services Cal-Optima Direct Cannon Cochran Management Services, Inc. LA (Claims for Payer address of Metairie, LA only.) CAP Management Cap Management Systems Capital Advantage Insurance Company (CAIC) PROFESSIONAL (BCBS ProviderID and Performing ProviderID required. Call 800-874-8433) Capital Blue Cross PROFESSIONAL (BCBS ProviderID and Performing ProviderID required. Call 800-874-8433) Capital District PHP Capital Health Plan Capital International Management Services Capitol Administrators (Lucent Health) CapRock HealthPlans Cardiovascular Care Providers Care4Kids (WI Medicaid) Care 1st Health Plan of Arizona Care 1st Health Plan of CA Care Access PSN Care Around the Clock Care Choices HMO Care Core National Care N' Care Care Plus Care to Care Care Wisconsin Health Plan (Trizetto) CareCentrix Carecore National Wellcare CareCore National, LLC (Aetna Radiology Claims) CareCore National, LLC (Radiology charges for Oxford) CareFirst BCBS - DC, National Capital Area Carelink Medicaid Caremore Caremore IPA CareMore Value Plus (CVP) Carenet of Virginia (Prepare to use consolidated Coventry payerID of 25133.) CareOregon, Inc. CarePlus Cardiology - New Century Health CarePlus Health Plan (Call payer for PayerID) Caresource Health Plan of Oregon Caresource AR Caresource IN CareSource KY CareSource of Georgia CareSource OH CareSource Ohio Medicaid Caresource West Virginia Careworks of Ohio Carolina Behavioral Health Alliance Carolina Care Plan (Part of the Medical Mutual Family of companies. Former payerID was 57105.) Carolina Crescent
11303 NOCD ALL 22286 NOCD ALL 51037 NOCD ALL 94316 NOCD ALL BTSS1 NOCD ALL BTSS1 NOCD ALL 68069 NOCD IA 0004202 NOCD OH 42150 NOCD ALL 23708 NOCD ALL A1680 NOCD MI BC001 NOCD CA BC001 NOCD CA 68069 NOCD CA AMM14 NOCD CA 94056 NOCD ALL CWS99 NOCD CA CALOP NOCD ALL
71057 95399 IP080
NOCD LA NOCD ALL NOCD CA
23045 NOCD PA
23045 SX065 95112 65067 68011 CAPHP GCVCP 39113 57116 57115 65063 57721 HM037 14182 66010 65031 41222 27004 11345 14188 14179 14180 SB580 25140 CM001 CARMO CARMO
NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD NOCD
PA ALL All ALL ALL ALL ALL ALL AZ CA ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL NY, NJ MD,DC ALL ALL ALL ALL
25142 NOCD VA 93975 NOCD OR NCH04 NOCD ALL CALL CALL ALL MRCHP NOCD ALL ARCS1 NOCD AR INCS1 NOCD IN KYCS1 NOCD KY GACS1 NOCD ALL 31114 NOCD OH 0003150 NOCD OH WVCS1 NOCD ALL 10010 NOCD OH 56215 NOCD NC
29076 68069
NOCD SC NOCD ALL
Y BRIGHT HEALTH PHY Y BRIGHT HEALTH PLA
N MAGNACARE Y BRITCAY Y BROCKERAGE CONCEP Y BROWN TOLAND N BROWN TOLAND SUTT Y BROWN TOLAND SUT Y BUCKEYE COMM HLTH N BUCKEYE MCD Y BUTLER BENEFITS Y C AND 0 EMP HOSP N ACCESS HEALTH PLA Y CA BLUE CROSS Y CA BLUE CROSS Y CA HEALTH WELLNES N CALIFORNIA IPA Y CA PACIFIC MED CE Y CA WATER SERVICES Y CALOPTIMA DIRECT
N CANNON COCHRAN LA N CAP MANAGEMENT N CAP MGMT SYSTEMS
Y CAPITAL ADV INS
Y CAPITAL BLUE CROS A CAPITAL DIST PHP Y CAPITAL HEALTH PL Y CAP INTL MGMT SVC Y CAPITOL ADMINISTR N CAPROCK HEALTH PL N CARDIOVASCULAR CA N CARE4KIDS Y AZ CARE FIRST HP N CARE 1ST HP OF CA N CARE ACCESS PSN Y CARE AROUND CLOCK N CARE CHOICES HMO Y CARE CORE NATIONA N CARE N CARE A CARE PLUS N CARE TO CARE N CARE WI HEALTH PL Y CARECENTRIX N CARECORE NAT WELL N CARECORE NATIONAL Y CARECORE OXFORD Y CAREFIRST NCA Y CARELINK MEDICAID Y CAREMORE N CAREMORE IPA N CAREMORE IPA
Y CARENET VIRGINIA Y CAREOREGON INC N CAREPLUS CARDIO N CALL PAYER N CARESOURCEHPOR Y CARESOURCE AR Y CARESOURCE IN N CARESOURCE KY N CARESOURCE OF GA R CARESOURCE OH N CS OH MCD Y CARESOURCE WV N CAREWORKS OF OHIO N CAROLINA BEHAV HL
Y CAROLINA CARE PLA Y CAROLINA CRESCENT
For up-to-date payer information, please access the payer list from the OptumInsight website at: or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)
Secondary**
Enrollment
Payer Type
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE N
Y
FALSE N
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE N
Y
FALSE G
N
FALSE G
N
FALSE N
Y
FALSE G
Y
FALSE T
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE N
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE N
N
FALSE N
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
OptumInsight Medical Payer List
8 of 41
(07/17/2023)
Payer Name
Payer ID
Claim Office Number
State
Reports
Entered As
Carolina Summit Healthcare, Inc
56195 NOCD
Carpenters' and Millwrights' Health Benefit Trust Fund
COMPU NOCD
Carpenters Health and Welfare Fund of Philadelphia
CX101 NOCD
Carpet, Linoleum and Resilient Tile Layers Health and Welfare
Fund
COMPU NOCD
CBA Blue
03036 NOCD
CBHA Carolina Behavioral Health Alliance
56215 NOCD
CBNHP Health Choices
65391 NOCD
CBSA (Corporation Benefit Services of America)
41124 MCSI
CCMC - Comprehensive Care Management Corp
CCMC1 NOCD
CCS (aka Comprehensive Care Systems)
MNBLS NOCD
CDO Technologies
63028 NOCD
Cedar Valley Community Health Plan
SISCO NOCD
Cedars-Sinai Medical Network Services Claims
95166 NOCD
Cedars-Sinai Medical Network Services Encounters
95167 NOCD
Celtic Insurance
CELTC NOCD
CeltiCare
68069 NOCD
Cement Masons & Plasterers Health & Welfare Trust -
Grp#F16
91136 NOCD
CenCal Health
95386 NOCD
Cenpatico - Georgia
68069 NOCD
Cenpatico - Kansas (Prior to submitting claims please call
Provider Relations Dept at 866-896-7293 to verify your provider
info is on file in the claim system.)
68068 NOCD
Cenpatico (For multiple states)
68068 NOCD
Cenpatico Behavioral Health - Wisconsin (Call 800-225-2573
ext 25525 prior to submitting claims.)
68068 NOCD
Cenpatico Behavioral Health AZ (Prior to submission, contact
866-495-6748 to verify provider ID.)
68068 NOCD
Cenpatico Florida Behavioral Health
68068 NOCD
Cenpatico Indiana
68068 NOCD
Cenpatico Massachusetts
68068 NOCD
Cenpatico Ohio
68068 NOCD
Centene Advantage Plans (claims for former payer ID 95567
with DOS on or after 1/1/18)
68069 NOCD
Center for Elders Independence
94312 NOCD
Center for Healthy Living
CPHL1 NOCD
Center IPA
POP01 NOCD
CenterCare
13357 NOCD
CenterLight Healthcare
13360 NOCD
Centinela IPA
IP080 NOCD
Centivo
45564 NOCD
CentraCare
66698 NOCD
ALL CO ALL
CO ALL ALL ALL ALL NY MN WY,UT ALL ALL ALL ALL ALL
ALL CA GA
ALL ALL
ALL
AZ FL ALL MA OH
ALL ALL ALL ALL ALL ALL ALL CA ALL
Central Benefit National (Now known as Tribute Health Plan.) 61184
Central California Alliance for Health (Alliance EDI Support Unit
831-430-5510)
SX169
Central California Women's Health
WH001
Central Health Medicare
CHCPI
Central Ohio Primary Care Senior Care Advantage
AGL02
Central Reserve Life
13193
Central Reserve Life Ins.Co. (Formertly Loyal American Life
(Medicare Supplement) )
13193
Central States Southeast and Southwest Areas Health and
Welfare and Pensions Funds
36215
Centurion of Tennessee
42140
Century PHO
36393
CHA - Commonwealth Health Alliance
23171
Chaffey Medical Group
49533
NOCD ALL
NOCD CA NOCD CA NOCD ALL NOCD ALL NOCD ALL
NOCD ALL
NOCD All NOCD ALL NOCD ALL NOCD ALL NOCD ALL
CHAMPVA-HAC (CHAMPVA-HAC is not associated with and
does not process claims for TRICARE (formerly CHAMPUS.) 84146 NOCD ALL
Chautauqua County Health Plan (Mayville,NY)
16600 NOCD NY
Children First Medical Group (For questions regarding claim
status, providers will need to contact payer: CFMG Provider
Customer Service 510-428-3154)
94321 NOCD ALL
Children's Community Health Plan Wisconsin
251CC NOCD ALL
Children's Specialists of San Diego
CSSD2 NOCD CA
Chinese Community Health Plan (Unique Provider ID must be
on claim.)
94302 NOCD ALL
Chirometrics Inc.
33070 NOCD ALL
Chiropractic Association of South Dakota
CASD1 NOCD SD
Chiropractic Care of Minnesota, Inc. (For Dates of service
before 1-01-08, continue to use payerID of ACN01.)
LNDMK NOCD MN
Y CAROLINA SUMMIT N CARPENTERS HBTF N CARPENTERS HW FUN
N CARPET TILE HWF Y CBA BLUE Y CBHA Y CBHNP HEALTH CHOI Y CBSA Y CCMC Y CCS COMPREHENSIVE Y MBA OF WYOMING N SISCO Y CEDARS SINAI CLAI Y CEDARS SINAI ENCO N CELTIC INS Y CELTICARE
Y CEMENT GRP F16 N CENCAL HEALTH Y CENPATICO GA
Y CENPATICO KANSAS Y CENPATICO
Y CENPATICO BHAV WI
Y CENPATICO BH AZ Y CENPATICO FL BHV Y CENPATICO INDIANA Y CENPATICO MASSACH Y CENPATICO OHIO
Y CENTENE ADVANTAGE N CENTER ELDERS IND N CTR HLTH LIVING Y CENTER IPA Y CENTERCARE N CENTERLIGHT HC N CENTINELA IPA N CENTIVO Y CENTRACARE
Y CENTRAL BENEFITS
N CEN CAL ALLIANCE Y CENT CA WOMENS HE N CENTRAL HLTH MEDI Y CENTRAL OHIO Y CENTRAL RESERVE L
Y LOYAL AMERICAN L
Y CENTRAL STATES SO N CENTURION TENNESS N CENTURY PHO Y CHA N CHAFFEY
N CHAMPVA HAC Y CHAUTAUQUA HEALTH
N CHILDREN FIRST MG Y CHILD COMM HP WI Y CHILD SPEC OF SD
Y CHINESE COMM HP Y CHIROMETRICS INC R CHIRO ASSOC SD
Y CHIRO CARE MN
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Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE G
N
FALSE G
N
FALSE G
N
FALSE G
Y
FALSE N
N
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
N
FALSE G
Y
FALSE G
Y
FALSE G
Y
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FALSE G
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FALSE G
Y
FALSE G
Y
TRUE
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N
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
Y
FALSE G
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Y
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FALSE G
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