Payer ID Payer Name Enrollment Required

Payer ID

10001

10906

13187

10916

10923

10927

10928

10929

10930

10011

13185

13186

13188

13189

13190

13191

13192

13193

13222

13221

13213

13212

13093

13194

13195

10944

13196

13201

10014

13199

10015

10018

13197

13094

13198

10965

13211

10973

13180

Payer Name

AARP

Absolute Total Care

Access Medicare

ACS Benefit Services, Inc.

Administrative Services, Inc.

Advantage by Bridgeway Health Solutions

Advantage by Buckeye Community Health Plan

Advantage by Managed Health Services

Advantage by Superior HealthPlan

Aetna

Aetna Administrator Medicare Supplement

Aetna Better Health (IL)

Aetna Better Health (LA)

Aetna Better Health (MI)

Aetna Better Health (MO)

Aetna Better Health (NJ)

Aetna Better Health (PA)

Aetna Better Health (TX)

Aetna Better Health (TX) CHIP

Aetna Better Health of (NE)

Aetna Health and Life Insurance Company

Aetna Life Insurance Company

Aetna Long Term Care

Aetna Senior Supplemental

Aetna Signature Administrators

Affinity Health Plan

Affinity Health Plan - Medicare

AFLAC

AFLAC - Dental

Aflac-Medicare Supplemental

Aftra Health Fund

Alabama Medicaid

Alan Sturm and Associates - Dental

Alaska Medicaid

All Savers Life Insurance

Allegiance Benefit Plan Management Inc.

Allianz Life Insurance Company of New York

Allied Benefit Systems, Inc.

AlohaCare

Enrollment Required

12.2015

13220

13219

13095

13096

13097

13098

13099

13100

10982

10030

13210

12961

13209

13218

13217

13101

11008

13102

13216

10043

10045

12962

10048

10049

13214

11039

11939

13215

10051

13103

13104

13105

13106

13107

13108

11048

13109

10057

11064

10059

Alternative Insurance Resources, Inc

Altus Dental

AMC - Alaska Electrical Health & Welfare Fund

AMC - American General Life & Accident

AMC - Health Future

AMC - Poly America

AMC - Touchstone

AMC - Touchstone PSO

Ameriben Solutions, Inc.

American Community Mutual

American Continental Insurance Company

American Family Insurance Group-Medicare Sup and PPO

American General Life Insurance Company

American Health Medicare (Inmediata Health)

American Income Life Insurance Company

American Medical Security (AMS)

American National Insurance

American National Life Insurance Co. of Texas

American Network Ins. Medicare Supplement

American Postal Workers Union (APWU)

American Republic Insurance Company (ARIC)

American Retirement Life Ins Co - Medicare Supplement

Americhoice Of New Jersey

Amerigroup

Amerihealth (DE, NJ, PA)

AmeriHealth Administrators

AmeriHealth Caritas Louisiana (formerly LaCare)

AmeriHealth Caritas Pennsylvania

Amerihealth Mercy Health Plan

Ameritas Group - Ameritas Life Insurance Co.

Ameritas Group - First Ameritas of New York

Ameritas Group - First Reliance Standard Life

Ameritas Group - Reliance Standard Life

Ameritas Group - Standard Insurance

Ameritas Group - Standard Insurance of New York

Antares

Arbor Health Plan

Arizona Medicaid (AHCCCS)

Arizona Physicians IPA (APIPA)

Arkansas Medicaid

12.2015

10062

13110

11075

10064

10065

10067

11097

10077

13170

10079

10080

10082

10083

10084

10086

10087

11141

10088

10089

10090

10091

13111

10092

10093

10094

10096

12964

12965

10098

10099

10100

10101

10102

10103

10104

10105

12963

10223

10106

12967

Assurant Health - John Alden Insurance Company (JALIC)

Assurant Health - Time Insurance Company (FIC)

Assurant Health - Union Security Insurance Company (FBIC)

Asuris Northwest Health

AULTCARE

AvMed Health Plans

Banner Health Plans

BCBS of Alabama

BCBS of Alabama (Institutional)

BCBS of Arizona

BCBS of Arkansas

BCBS of Colorado (Anthem)

BCBS of Connecticut (Anthem)

BCBS of Delaware

BCBS of Florida

BCBS of Georgia (Anthem)

BCBS of Hawaii

BCBS of Illinois

BCBS of Indiana (Anthem)

BCBS of Iowa

BCBS of Kansas

BCBS of Kansas City

BCBS of Kentucky (Anthem)

BCBS of Louisiana

BCBS of Maine (Anthem)

BCBS of Massachusetts

BCBS of Michigan (Institutional)

BCBS of Michigan (Professional)

BCBS of Minnesota

BCBS of Mississippi

BCBS of Missouri (Anthem)

BCBS of Nebraska

BCBS of Nevada (Anthem)

BCBS of New Hampshire (Anthem)

BCBS of New Jersey

BCBS of New Mexico

BCBS of New York (Central)

BCBS of New York (Empire)

BCBS of New York (Excellus)

BCBS of New York (Rochester Area)

Yes

Yes

Yes

Yes

Yes

Yes

12.2015

12968

10107

10108

10109

11150

11151

11152

10110

10111

10112

11153

10113

10114

11154

11155

10115

11101

10117

10118

13113

11127

11128

11144

11156

10366

12996

10081

10119

12970

10128

11173

12577

12578

10121

11177

11179

11188

11191

11196

13179

BCBS of New York (Utica-Watertown)

BCBS of North Carolina

BCBS of North Dakota

BCBS of Ohio (Anthem)

BCBS of Oklahoma

BCBS of Oregon (Regence)

BCBS of Pennsylvania (Highmark) - Institutional

BCBS of Pennsylvania (Highmark) - Professional

BCBS of Rhode Island

BCBS of South Carolina

BCBS of South Dakota

BCBS of Tennessee

BCBS of Texas

BCBS of Utah (Regence)

BCBS of Vermont

BCBS of Virginia (Anthem)

BCBS of West Virginia

BCBS of Wisconsin (Anthem)

BCBS of Wyoming

Best Choice Health Plan

Best Life and Health

Better Health Plans (Unison Health Plan)

Blue Cross Blue Shield of Montana

Blue Cross Blue Shield of Virginia (Anthem)

Blue Cross Independence (Pennsylvania)

Blue Cross Northeastern Pennsylvania

Blue Cross of California (Anthem)

Blue Cross Of Idaho

Blue Cross of Washington and Alaska (Premera)

Blue Cross Pennsylvania (Capital)

Blue Shield of California

Blue Shield of Idaho (Regence)

Blue Shield of Washington (Regence)

BlueChoice HealthPlan South Carolina Medicaid

Bluegrass Family Health

BMC HealthNet Plan

Bravo Health

Bridgeway Arizona

Buckeye Community Health

California Health & Wellness

Yes

Yes

Yes

Yes

Yes

Yes

Yes

12.2015

10127

11213

11221

10095

10132

10134

10135

11270

13117

13118

13119

13120

13121

13122

11277

11278

13123

13124

13125

13181

12971

12972

10140

11301

10158

11350

10161

13208

10163

11373

12973

10164

10165

11390

13183

12974

10168

13207

11395

California Medicaid (Medi-Cal)

Capital District Physicians Health Plan (CDPHP)

Care Improvement Plus

CareFirst BCBS (MD, DC, N.Virginia)

Careplus Health Plan

Caresource Health

Cariten Healthcare

Celticare

Cenpatico - Arizona

Cenpatico - Florida

Cenpatico - Illinois

Cenpatico - Indiana

Cenpatico - Kansas

Cenpatico - Kentucky

Cenpatico - Massachusetts

Cenpatico - Ohio

Cenpatico - South Carolina

Cenpatico - Texas

Cenpatico - Wisconsin

Central CA Alliance for Health

Central Reserve Insurance Company

Central Reserve Life Ins Co. - Medicare Supplement

Central States Fund

CHAMPVA/Spina Bifida/Children of Women Vietnam Vets

CIGNA-GreatWest

Colorado Access

Colorado Medicaid

Combined Insurance Company of America

Community Care Of Oklahoma

Community Health Plan of Washington (CHPW)

Community Healthfirst Medicare Advantage

CONNECTICARE

Connecticut Medicaid

Consolidated Associates Railroad

Constellation Health

Continental General Ins Co - Medicare Supplement

Continental General Insurance Company

Continental Life Insurance Company

of Brentwood, Tennessee

Cook Childrens Health Plan

12.2015

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