|
ST |
CPID |
PAYOR |
INTERMEDIARY |
PAYOR ID |
AG |
REMIT |
C/T |
PAPER CPID |
P/S |
* |
|
AK |
4489 |
ALASKA MEDICAID |
|
AKMEDICAID FHSC |
Y |
Y |
P |
4302 |
|
|
AK |
5524 |
ALASKA MEDICAID |
|
AKMEDICAID FHSC |
Y |
Y |
I |
4352 |
|
|
AK |
1455 |
ALASKA MEDICARE |
NORIDIAN MAC - JF |
02102 |
Y |
Y |
P |
4321 |
|
|
AK |
4489 |
DENALI CARE |
|
AKMEDICAID FHSC |
Y |
Y |
P |
4302 |
|
|
AK |
5524 |
DENALI CARE |
|
AKMEDICAID FHSC |
Y |
Y |
I |
4352 |
|
|
AL |
5558 |
ALABAMA BLUE CROSS |
CAHABA GBA |
00010BC |
N |
Y |
I |
4353 |
|
|
AL |
2423 |
ALABAMA BLUE SHIELD |
CAHABA GBA |
00510 |
N |
Y |
P |
4303 |
|
|
AL |
4479 |
ALABAMA MEDICAID |
|
822287119 |
N |
Y |
P |
4322 |
|
|
AL |
5587 |
ALABAMA MEDICAID |
HP - MEDICAID |
822287119 |
N |
Y |
I |
4352 |
|
|
AL |
5560 |
ALABAMA MEDICAID - INPATIENT |
HP - MEDICAID |
822287119 |
N |
Y |
I |
4352 |
|
|
AL |
2468 |
ALABAMA MEDICARE |
PALMETTO GBA MAC - JJ |
10112 |
Y |
Y |
P |
4321 |
|
|
AL |
5559 |
ALABAMA MEDICARE |
PALMETTO GBA MAC - JJ |
10111 |
Y |
Y |
I |
4351 |
|
|
AR |
2416 |
ACCESS ONLY (REPRICER) |
|
00520 |
Y |
Y |
P |
4323 |
|
|
AR |
5596 |
ACCESS ONLY (REPRICER) |
|
00520 |
Y |
Y |
I |
4353 |
|
|
AR |
5596 |
ARKANSAS BLUE CROSS |
|
00520 |
Y |
Y |
I |
4353 |
|
|
AR |
2416 |
ARKANSAS BLUE SHIELD |
|
00520 |
Y |
Y |
P |
4323 |
|
|
AR |
1489 |
ARKANSAS MEDICAID |
|
716007869 |
N |
Y |
P |
4302 |
|
|
AR |
5597 |
ARKANSAS MEDICAID |
HP - MEDICAID |
716007869 |
N |
Y |
I |
4352 |
|
|
AR |
1526 |
ARKANSAS MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
07101 |
Y |
Y |
I |
4351 |
|
|
AR |
2455 |
ARKANSAS MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
07102 |
Y |
Y |
P |
4321 |
|
|
AR |
2416 |
HEALTH ADVANTAGE |
|
00520 |
Y |
Y |
P |
4323 |
|
|
AR |
5596 |
HEALTH ADVANTAGE |
|
00520 |
Y |
Y |
I |
4353 |
|
|
AR |
5596 |
USABLE LIFE |
|
00520 |
Y |
Y |
I |
4353 |
|
|
AR |
2416 |
USABLE MUTUAL INSURANCE COMPANY |
|
00520 |
Y |
Y |
P |
4323 |
|
|
AR |
5596 |
USABLE MUTUAL INSURANCE COMPANY |
|
00520 |
Y |
Y |
I |
4353 |
|
|
AZ |
5547 |
ARIZONA BLUE CROSS |
ALL PAYOR NETWORK/BCBS AZ |
53589 |
N |
Y |
I |
4353 |
|
|
AZ |
5547 |
ARIZONA BLUE CROSS - OUT OF AREA |
ALL PAYOR NETWORK/BCBS AZ |
53589 |
N |
Y |
I |
4353 |
|
|
AZ |
5547 |
ARIZONA BLUE CROSS FEP |
ALL PAYOR NETWORK/BCBS AZ |
53589 |
N |
Y |
I |
4353 |
|
|
AZ |
5547 |
ARIZONA BLUE CROSS HMO |
ALL PAYOR NETWORK/BCBS AZ |
53589 |
N |
Y |
I |
4353 |
|
|
AZ |
4426 |
ARIZONA BLUE SHIELD |
ALL PAYOR NETWORK/BCBS AZ |
53589 |
N |
Y |
P |
4323 |
|
|
AZ |
4426 |
ARIZONA BLUE SHIELD FEP |
ALL PAYOR NETWORK/BCBS AZ |
53589 |
N |
Y |
P |
4323 |
|
|
AZ |
4405 |
ARIZONA MEDICAID |
AHCCCS |
866004791 |
N |
Y |
P |
4322 |
|
|
AZ |
5548 |
ARIZONA MEDICAID |
|
866004791 |
N |
Y |
I |
4352 |
|
|
AZ |
1456 |
ARIZONA MEDICARE |
NORIDIAN MAC - JF |
03102 |
Y |
Y |
P |
4321 |
|
|
AZ |
5546 |
ARIZONA MEDICARE |
NORIDIAN MAC - JF |
03101 |
Y |
Y |
I |
4351 |
|
|
CA |
6141 |
ADVANTAGE CARE IPA |
|
ACIPA |
N |
N |
P |
4320 |
|
|
CA |
3511 |
ANTHEM BC PARTNERSHIP |
|
47198 |
N |
Y |
I |
4353 |
|
|
CA |
4417 |
ANTHEM BC PARTNERSHIP |
|
47198 |
N |
Y |
P |
4323 |
|
|
CA |
4417 |
ANTHEM BLUE CROSS |
|
47198 |
N |
Y |
P |
4323 |
|
|
CA |
3511 |
ANTHEM BLUE CROSS CALIFORNIA |
|
47198 |
N |
Y |
I |
4353 |
|
|
CA |
4417 |
ANTHEM BLUE CROSS CALIFORNIA |
|
47198 |
N |
Y |
P |
4323 |
|
|
CA |
3511 |
CAL MEDICONNECT |
|
47198 |
N |
Y |
I |
4353 |
|
|
CA |
4417 |
CAL MEDICONNECT |
|
47198 |
N |
Y |
P |
4323 |
|
|
CA |
5986 |
CAL OPTIMA LTC |
|
COLTC |
N |
Y |
I |
4350 |
|
|
CA |
3511 |
CALIFORNIA ANTHEM BLUE CROSS |
|
47198 |
N |
Y |
I |
4353 |
|
|
CA |
4417 |
CALIFORNIA ANTHEM BLUE CROSS |
|
47198 |
N |
Y |
P |
4323 |
|
|
CA |
1409 |
CALIFORNIA BLUE SHIELD |
|
94036 |
N |
Y |
P |
4323 |
|
|
CA |
6569 |
CALIFORNIA BLUE SHIELD |
|
94036 |
N |
Y |
I |
4353 |
|
|
CA |
3050 |
CALIFORNIA BLUE SHIELD - HMO ENCOUNTERS |
|
94032 |
N |
N |
I |
4353 |
|
|
CA |
4463 |
CALIFORNIA BLUE SHIELD - HMO ENCOUNTERS |
|
94032 |
N |
N |
P |
4323 |
|
|
CA |
1473 |
CALIFORNIA CHILDRENS SERVICES |
|
610442 |
Y |
Y |
P |
4322 |
|
|
CA |
3510 |
CALIFORNIA CHILDRENS SERVICES |
|
610442 |
Y |
Y |
I |
4352 |
|
|
CA |
3511 |
CALIFORNIA FIELD IRONWORKERS TRUST FUNDS |
|
47198 |
N |
Y |
I |
4353 |
|
|
CA |
4417 |
CALIFORNIA FIELD IRONWORKERS TRUST FUNDS |
|
47198 |
N |
Y |
P |
4323 |
|
|
CA |
1473 |
CALIFORNIA MEDI-CAL |
|
610442 |
Y |
Y |
P |
4322 |
|
|
CA |
3510 |
CALIFORNIA MEDI-CAL |
|
610442 |
Y |
Y |
I |
4352 |
|
|
CA |
3508 |
CALIFORNIA MEDICARE |
NORIDIAN MAC - JE |
01111 |
Y |
Y |
I |
4351 |
|
|
CA |
2903 |
CALOPTIMA ICF |
|
CALOP |
N |
Y |
I |
4350 |
|
|
CA |
3447 |
CENCAL HEALTH |
|
953865941 |
N |
Y |
P |
4322 |
|
|
CA |
3568 |
CENCAL HEALTH |
|
953865941 |
N |
Y |
I |
4352 |
|
|
CA |
3511 |
DIRECTORS GUILD OF AMERICA |
|
47198 |
N |
Y |
I |
4353 |
|
|
CA |
4417 |
DIRECTORS GUILD OF AMERICA |
|
47198 |
N |
Y |
P |
4323 |
|
|
CA |
6117 |
INDEPENDENCE MEDICAL GROUP - KERN COUNTY |
|
IMG01 |
N |
N |
P |
4320 |
|
|
CA |
6119 |
INDEPENDENCE MEDICAL GROUP - TULARE COUNTY |
|
IMG02 |
N |
N |
P |
4320 |
|
|
CA |
4576 |
KAISER PERMANENTE |
|
94134 |
N |
Y |
I |
4350 |
|
|
CA |
4576 |
KAISER PERMANENTE of S CA REGION |
|
94134 |
N |
Y |
I |
4350 |
|
|
CA |
3511 |
MOTION PICTURE INDUSTRY PENSIONS AND HEALTH PLAN |
|
47198 |
N |
Y |
I |
4353 |
|
|
CA |
4417 |
MOTION PICTURE INDUSTRY PENSIONS AND HEALTH PLAN |
|
47198 |
N |
Y |
P |
4323 |
|
|
CA |
1436 |
NORTHERN CALIFORNIA MEDICARE |
NORIDIAN MAC - JE |
01112 |
Y |
Y |
P |
4321 |
|
|
CA |
5986 |
ONE CARE CONNECT LTC (OCC) |
|
COLTC |
N |
Y |
I |
4350 |
|
|
CA |
3447 |
SANTA BARBARA REGIONAL HEALTH AUTHORITY |
|
953865941 |
N |
Y |
P |
4322 |
|
|
CA |
3568 |
SANTA BARBARA REGIONAL HEALTH AUTHORITY |
|
953865941 |
N |
Y |
I |
4352 |
|
|
CA |
1444 |
SOUTHERN CALIFORNIA MEDICARE |
NORIDIAN MAC - JE |
01182 |
Y |
Y |
P |
4321 |
|
|
CA |
3511 |
WRITERS GUILD INDUSTRY HEALTH PLAN |
|
47198 |
N |
Y |
I |
4353 |
|
|
CA |
4417 |
WRITERS GUILD INDUSTRY HEALTH PLAN |
|
47198 |
N |
Y |
P |
4323 |
|
|
CO |
1549 |
ANTHEM DUAL ADVANTAGE (HMO SNP |
|
00050 |
N |
Y |
I |
4353 |
|
|
CO |
1415 |
ANTHEM DUAL ADVANTAGE (HMO SNP) |
|
00050 |
N |
Y |
P |
4323 |
|
|
CO |
1415 |
ANTHEM MEDIBLUE PLUS (HMO) |
|
00050 |
N |
Y |
P |
4323 |
|
|
CO |
1549 |
ANTHEM MEDIBLUE PLUS (HMO) |
|
00050 |
N |
Y |
I |
4353 |
|
|
CO |
1549 |
COLORADO ANTHEM BLUE CROS BLUE SHIELD HMO |
|
00050 |
N |
Y |
I |
4353 |
|
|
CO |
1549 |
COLORADO BLUE CROSS |
|
00050 |
N |
Y |
I |
4353 |
|
|
CO |
1415 |
COLORADO BLUE SHIELD |
|
00050 |
N |
Y |
P |
4323 |
|
|
CO |
1449 |
COLORADO MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
04112 |
Y |
Y |
P |
4321 |
|
|
CO |
1547 |
COLORADO MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
04411 |
Y |
Y |
I |
4351 |
|
|
CO |
1496 |
HEALTH FIRST COLORADO FKA COLORADO MEDICAID |
HP ENTERPRISE SERVICES |
77016 |
Y |
Y |
P |
1391 |
|
|
CO |
1496 |
HEALTH FIRST COLORADO fka COLORADO MEDICAID |
HP ENTERPRISE SERVICES |
77016 |
Y |
Y |
P |
1391 |
|
|
CO |
1548 |
HEALTH FIRST COLORADO fka COLORADO MEDICAID |
HP ENTERPRISE SERVICES |
77016 |
Y |
Y |
I |
1386 |
|
|
CO |
1548 |
HEALTH FIRST COLORADO fka COLORADO MEDICAID |
HP ENTERPRISE SERVICES |
77016 |
Y |
Y |
I |
1386 |
|
|
CT |
3535 |
AETNA BETTER HEALTH PLAN |
HP - MEDICAID |
61274678 |
N |
Y |
I |
4352 |
|
|
CT |
4476 |
AETNA BETTER HEALTH PLAN |
HP - MEDICAID |
61274678 |
N |
Y |
P |
4322 |
|
|
CT |
3534 |
CONNECTICUT BLUE CROSS |
|
00060 |
N |
Y |
I |
4353 |
|
|
CT |
1420 |
CONNECTICUT BLUE SHIELD |
|
00060 |
N |
Y |
P |
4323 |
|
|
CT |
1922 |
CONNECTICUT BLUECARE FAMILY PLAN |
|
00060 |
N |
N |
I |
4352 |
|
|
CT |
2427 |
CONNECTICUT BLUECARE FAMILY PLAN |
|
00060 |
N |
N |
P |
4323 |
|
|
CT |
3419 |
CONNECTICUT FEDERAL EMP HLTH BENEFITS |
|
00060 |
N |
Y |
P |
4323 |
|
|
CT |
3535 |
CONNECTICUT MEDICAID |
HP - MEDICAID |
61274678 |
N |
Y |
I |
4352 |
|
|
CT |
4476 |
CONNECTICUT MEDICAID |
HP - MEDICAID |
61274678 |
N |
Y |
P |
4322 |
|
|
CT |
1452 |
CONNECTICUT MEDICARE |
NGS MAC - JK |
13102 |
Y |
Y |
P |
4321 |
|
|
CT |
3533 |
CONNECTICUT MEDICARE |
NGS MAC - JK |
13101 |
Y |
Y |
I |
4351 |
|
|
CT |
3420 |
CONNECTICUT MEDICARE BLUE(MEDICARE RISK) |
|
00060 |
N |
Y |
P |
4323 |
|
|
DC |
1509 |
BLUE CROSS OF NATIONAL CAPITAL AREA - CAREFIRST |
|
00080 |
N |
Y |
I |
1318 |
|
|
DC |
2425 |
BLUE SHIELD OF NATIONAL CAPITOL AREA - CAREFIRST |
|
SB580 |
N |
Y |
P |
4323 |
|
|
DC |
4425 |
DISTRICT OF COLUMBIA MEDICAID |
|
77033 |
Y |
Y |
P |
4302 |
|
|
DC |
5550 |
DISTRICT OF COLUMBIA MEDICAID |
HP ENTERPRISE SERVICES |
77033 |
Y |
Y |
I |
4352 |
|
|
DC |
1522 |
DISTRICT of COLUMBIA MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12201 |
Y |
Y |
I |
4351 |
|
|
DC |
2459 |
DISTRICT of COLUMBIA METROPOLITAN AREA MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12202 |
Y |
Y |
P |
4321 |
|
|
DE |
1546 |
DELAWARE BLUE CROSS - HIGHMARK |
HIGHMARK, INC. |
00070 |
N |
Y |
I |
4353 |
|
|
DE |
7456 |
DELAWARE BLUE SHIELD - HIGHMARK |
HIGHMARK, INC. |
00570 |
N |
Y |
P |
4323 |
|
|
DE |
1545 |
DELAWARE MEDICAID |
HP - MEDICAID |
75-2548221 |
N |
Y |
I |
4352 |
|
|
DE |
2726 |
DELAWARE MEDICAID |
HP - MEDICAID |
345724166 |
N |
Y |
P |
4322 |
|
|
DE |
2456 |
DELAWARE MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12102 |
Y |
Y |
P |
4321 |
|
|
DE |
5912 |
DELAWARE MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12101 |
Y |
Y |
I |
4351 |
|
|
DE |
1545 |
DIAMOND PLAN |
HP - MEDICAID |
75-2548221 |
N |
Y |
I |
4352 |
|
|
DE |
2726 |
DIAMOND PLAN |
HP - MEDICAID |
345724166 |
N |
Y |
P |
4322 |
|
|
FL |
3517 |
FLORIDA BLUE CROSS |
|
00590 |
N |
Y |
I |
4353 |
|
|
FL |
3561 |
FLORIDA BLUE CROSS HEALTH OPTIONS HMO |
|
00590 |
N |
Y |
I |
1318 |
|
|
FL |
1414 |
FLORIDA BLUE SHIELD |
|
00590 |
N |
Y |
P |
4323 |
|
|
FL |
1478 |
FLORIDA MEDICAID |
HP - MEDICAID |
77027 |
Y |
Y |
P |
4322 |
|
|
FL |
3516 |
FLORIDA MEDICAID |
HP - MEDICAID |
77027 |
Y |
Y |
I |
4352 |
|
|
FL |
1448 |
FLORIDA MEDICARE |
FIRST COAST MAC - JN |
09102 |
Y |
Y |
P |
4321 |
|
|
FL |
3518 |
FLORIDA MEDICARE |
FIRST COAST MAC - JN |
09101 |
Y |
Y |
I |
4351 |
|
|
FL |
2316 |
FLORIDA WORKERS' COMPENSATION |
|
|
N |
N |
P |
2316FL |
|
|
GA |
1407 |
GEORGIA BANKERS |
|
00601 |
N |
Y |
P |
4323 |
|
|
GA |
1407 |
GEORGIA BLUE CHOICE |
|
00601 |
N |
Y |
P |
4323 |
|
|
GA |
3537 |
GEORGIA BLUE CROSS |
|
00101 |
N |
Y |
I |
4353 |
|
|
GA |
1407 |
GEORGIA BLUE SHIELD |
|
00601 |
N |
Y |
P |
4323 |
|
|
GA |
1494 |
GEORGIA MEDICAID |
HP ENTERPRISE SERVICES |
77034 |
Y |
Y |
P |
4322 |
|
|
GA |
3538 |
GEORGIA MEDICAID |
HP ENTERPRISE SERVICES |
77034 |
Y |
Y |
I |
4352 |
|
|
GA |
1499 |
GEORGIA MEDICAID ANESTHESIA |
HP ENTERPRISE SERVICES |
77034 |
Y |
Y |
P |
4322 |
|
|
GA |
1466 |
GEORGIA MEDICARE |
PALMETTO GBA MAC - JJ |
10212 |
Y |
Y |
P |
4321 |
|
|
GA |
3536 |
GEORGIA MEDICARE |
PALMETTO GBA MAC - JJ |
10211 |
Y |
Y |
I |
4351 |
|
|
GA |
1407 |
STATE MERIT |
|
00601 |
N |
Y |
P |
4323 |
|
|
HI |
1518 |
AKAMAI ADVANTAGE (MEDICARE ADVANTAGE PLAN) |
HMSA |
990040115 |
Y |
Y |
I |
4353 |
|
|
HI |
2714 |
AKAMAI ADVANTAGE (MEDICARE ADVANTAGE PLAN) |
HMSA |
990040115 |
Y |
Y |
P |
4303 |
|
|
HI |
1518 |
HAWAII BLUE CROSS |
HMSA |
990040115 |
Y |
Y |
I |
4353 |
|
|
HI |
2714 |
HAWAII HMSA |
HMSA |
990040115 |
Y |
Y |
P |
4303 |
|
|
HI |
2579 |
HAWAII MEDICAID |
HP ENTERPRISE SERVICES |
996001089 |
Y |
Y |
I |
4352 |
|
|
HI |
2715 |
HAWAII MEDICAID |
HP ENTERPRISE SERVICES |
996001089 |
Y |
Y |
P |
4302 |
|
|
HI |
2467 |
HAWAII MEDICARE |
NORIDIAN MAC - JE |
01212 |
Y |
Y |
P |
4321 |
|
|
HI |
5567 |
HAWAII MEDICARE |
NORIDIAN MAC - JE |
01211 |
Y |
Y |
I |
4351 |
|
|
HI |
1555 |
HAWAII QUEST |
HMSA |
990040115 |
Y |
Y |
I |
4353 |
|
|
HI |
2714 |
HAWAII QUEST |
HMSA |
990040115 |
Y |
Y |
P |
4303 |
|
|
HI |
5925 |
KAISER ADDED CHOICE |
|
RH0011 |
N |
Y |
I |
4350 |
|
|
HI |
6772 |
KAISER ADDED CHOICE |
|
RH0011 |
N |
Y |
P |
4320 |
|
|
HI |
5925 |
KAISER PERMANENTE of HAWAII |
|
RH0011 |
N |
Y |
I |
4350 |
|
|
HI |
6772 |
KAISER PERMANENTE of HAWAII |
|
RH0011 |
N |
Y |
P |
4320 |
|
|
IA |
1510 |
IOWA BLUE CROSS |
|
88848 |
N |
Y |
I |
4353 |
|
|
IA |
1404 |
IOWA BLUE SHIELD |
|
88848 |
N |
Y |
P |
4323 |
|
|
IA |
1469 |
IOWA MEDICAID |
NORIDIAN MAC - JE |
18049 |
Y |
Y |
P |
4322 |
|
|
IA |
2571 |
IOWA MEDICAID |
NORIDIAN MAC - JE |
18049 |
Y |
Y |
I |
4352 |
|
|
IA |
1438 |
IOWA MEDICARE |
WPS MAC - J8 |
05102 |
Y |
Y |
P |
4321 |
|
|
IA |
2537 |
IOWA MEDICARE |
WPS MAC - J8 |
05101 |
Y |
Y |
I |
4351 |
|
|
IA |
1510 |
SOUTH DAKOTA BLUE CROSS |
|
88848 |
N |
Y |
I |
4353 |
|
|
IA |
1082 |
TRANSAMERICA PREMIER LIFE INSURANCE COMPANY |
|
TRCLF |
N |
Y |
I |
4350 |
|
|
IA |
8109 |
TRANSAMERICA PREMIER LIFE INSURANCE COMPANY |
|
TRCLF |
N |
Y |
P |
4320 |
|
|
ID |
5582 |
BLUE CROSS OF IDAHO |
|
BLUEC |
Y |
Y |
I |
4353 |
|
|
ID |
7430 |
BLUE CROSS OF IDAHO |
|
BLUEC |
Y |
Y |
P |
4303 |
|
|
ID |
5582 |
CAREPOINT |
|
BLUEC |
Y |
Y |
I |
4353 |
|
|
ID |
7430 |
CAREPOINT |
|
BLUEC |
Y |
Y |
P |
4303 |
|
|
ID |
5582 |
IDAHO BLUE CROSS BOISE |
|
BLUEC |
Y |
Y |
I |
4353 |
|
|
ID |
7430 |
IDAHO BLUE CROSS BOISE |
|
BLUEC |
Y |
Y |
P |
4303 |
|
|
ID |
3540 |
IDAHO BLUE SHIELD REGENCE |
|
00611 |
N |
Y |
I |
4353 |
|
|
ID |
7426 |
IDAHO BLUE SHIELD REGENCE |
|
00611 |
N |
Y |
P |
4323 |
|
|
ID |
5583 |
IDAHO MEDICAID |
MOLINA - MEDICAID |
ID_MMIS_4_DXCMS |
Y |
Y |
I |
1386 |
|
|
ID |
7427 |
IDAHO MEDICAID |
MOLINA - MEDICAID |
ID_MMIS_4_DXCMS |
Y |
Y |
P |
4322 |
|
|
ID |
2465 |
IDAHO MEDICARE |
NORIDIAN MAC - JF |
02202 |
Y |
Y |
P |
4321 |
|
|
ID |
5581 |
IDAHO MEDICARE |
NORIDIAN MAC - JF |
02001 |
Y |
Y |
I |
4351 |
|
|
IL |
1405 |
BLUE CROSS COMMUNITY FAMILY HEALTH PLAN |
|
00621 |
N |
Y |
P |
4323 |
|
|
IL |
5508 |
BLUE CROSS COMMUNITY FAMILY HEALTH PLAN |
|
00621 |
N |
Y |
I |
4353 |
|
|
IL |
1405 |
HEALTH CARE SERVICE CORPORATION DBA BCBS OF IL |
|
00621 |
N |
Y |
P |
4323 |
|
|
IL |
5508 |
HEALTH CARE SERVICE CORPORATION DBA BCBS OF IL |
|
00621 |
N |
Y |
I |
4353 |
|
|
IL |
5508 |
ILLINOIS BLUE CROSS |
|
00621 |
N |
Y |
I |
4353 |
|
|
IL |
1405 |
ILLINOIS BLUE SHIELD |
|
00621 |
N |
Y |
P |
4323 |
|
|
IL |
1563 |
ILLINOIS MEDICAID |
|
37-1320188 |
N |
Y |
I |
4352 |
|
|
IL |
2488 |
ILLINOIS MEDICAID |
|
37-1320188 |
N |
Y |
P |
1369 |
|
|
IL |
1437 |
ILLINOIS MEDICARE |
NGS MAC - J6 |
06102 |
Y |
Y |
P |
4321 |
|
|
IL |
5506 |
ILLINOIS MEDICARE |
NGS MAC - J6 |
06101 |
Y |
Y |
I |
4351 |
|
|
IN |
1412 |
ANTHEM - CENTRAL, NORTHERN, SOUTHERN |
|
00630 |
N |
Y |
P |
4323 |
|
|
IN |
3502 |
ANTHEM - CENTRAL, NORTHERN, SOUTHERN |
|
00130 |
N |
Y |
I |
4353 |
|
|
IN |
1562 |
HOOSIER CARE CONNECT |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4352 |
|
|
IN |
2703 |
HOOSIER CARE CONNECT |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4322 |
|
|
IN |
3502 |
INDIANA BLUE CROSS |
|
00130 |
N |
Y |
I |
4353 |
|
|
IN |
1412 |
INDIANA BLUE SHIELD |
|
00630 |
N |
Y |
P |
4323 |
|
|
IN |
3502 |
INDIANA COMPREHENSIVE HEALTH |
|
00130 |
N |
Y |
I |
4353 |
|
|
IN |
1474 |
INDIANA MEDICAID |
HP - MEDICAID |
IHCP |
N |
Y |
P |
4322 |
|
|
IN |
3501 |
INDIANA MEDICAID |
HP - MEDICAID |
IHCP |
N |
Y |
I |
4352 |
|
|
IN |
1445 |
INDIANA MEDICARE |
WPS MAC - J8 |
08102 |
Y |
Y |
P |
4321 |
|
|
IN |
3500 |
INDIANA MEDICARE |
WPS MAC - J8 |
08101 |
Y |
Y |
I |
4351 |
|
|
IN |
1562 |
MANAGED HEALTH SERVICES - INDIANA |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4352 |
|
|
IN |
2703 |
MANAGED HEALTH SERVICES - INDIANA |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4322 |
|
|
KS |
5519 |
KANSAS BLUE CROSS - TOPEKA |
|
47163 |
N |
Y |
I |
4353 |
|
|
KS |
2422 |
KANSAS BLUE SHIELD - TOPEKA |
|
47163 |
N |
Y |
P |
4303 |
|
|
KS |
1485 |
KANSAS MEDICAID |
HP - MEDICAID |
481124839 |
N |
Y |
P |
4322 |
|
|
KS |
5520 |
KANSAS MEDICAID |
|
481124839 |
N |
Y |
I |
4352 |
|
|
KS |
2463 |
KANSAS MEDICARE |
WPS MAC - J8 |
05202 |
Y |
Y |
P |
4321 |
|
|
KS |
5518 |
KANSAS MEDICARE |
WPS MAC - J8 |
05201 |
Y |
Y |
I |
4351 |
|
|
KY |
2421 |
ANTHEM BLUE ACCESS PRODUCTS |
|
00660 |
N |
Y |
P |
4323 |
|
|
KY |
2421 |
ANTHEM BLUE PREFERRED |
|
00660 |
N |
Y |
P |
4323 |
|
|
KY |
2421 |
ANTHEM BLUE PREFERRED PLUS |
|
00660 |
N |
Y |
P |
4323 |
|
|
KY |
2421 |
ANTHEM KENTUCKY BCBS |
|
00660 |
N |
Y |
P |
4323 |
|
|
KY |
5534 |
ANTHEM KENTUCKY BCBS |
|
00160 |
N |
Y |
I |
4353 |
|
|
KY |
2421 |
ANTHEM KY MEDICAID |
|
00660 |
N |
Y |
P |
4323 |
|
|
KY |
5534 |
ANTHEM KY MEDICAID |
|
00160 |
N |
Y |
I |
4353 |
|
|
KY |
2421 |
FEP |
|
00660 |
N |
Y |
P |
4323 |
|
|
KY |
5534 |
KENTUCKY BLUE CROSS |
|
00160 |
N |
Y |
I |
4353 |
|
|
KY |
2421 |
KENTUCKY BLUE SHIELD |
|
00660 |
N |
Y |
P |
4323 |
|
|
KY |
1493 |
KENTUCKY MEDICAID |
HP - MEDICAID |
KYMEDICAID |
Y |
Y |
P |
4302 |
|
|
KY |
5535 |
KENTUCKY MEDICAID |
HP - MEDICAID |
KYMEDICAID |
Y |
Y |
I |
4352 |
|
|
KY |
2462 |
KENTUCKY MEDICARE |
CGS ADMIN MAC - J15 |
15102 |
Y |
Y |
P |
4321 |
|
|
KY |
5533 |
KENTUCKY MEDICARE |
CGS ADMIN MAC - J15 |
15101 |
Y |
Y |
I |
4351 |
|
|
KY |
2421 |
KY BCBS MEDICAID MANAGED CARE |
|
00660 |
N |
Y |
P |
4323 |
|
|
KY |
5534 |
KY BCBS MEDICAID MANAGED CARE |
|
00160 |
N |
Y |
I |
4353 |
|
|
LA |
1475 |
COMMUNITY HEALTH SOLUTIONS |
MOLINA - MEDICAID |
LA-DHH-MEDICAID |
Y |
Y |
P |
4322 |
|
|
LA |
3578 |
COMMUNITY HEALTH SOLUTIONS |
MOLINA - MEDICAID |
LA-DHH-MEDICAID |
Y |
Y |
I |
4352 |
|
|
LA |
3580 |
LOUISIANA BLUE CROSS |
|
53120 |
Y |
Y |
I |
4353 |
|
|
LA |
2758 |
LOUISIANA BLUE SHIELD |
|
53120 |
Y |
Y |
P |
4323 |
|
|
LA |
1475 |
LOUISIANA MEDICAID |
MOLINA - MEDICAID |
LA-DHH-MEDICAID |
Y |
Y |
P |
4322 |
|
|
LA |
3578 |
LOUISIANA MEDICAID |
MOLINA - MEDICAID |
LA-DHH-MEDICAID |
Y |
Y |
I |
4352 |
|
|
LA |
2236 |
LOUISIANA MEDICAID - AMBULANCE |
MOLINA - MEDICAID |
LA-DHH-MEDICAID |
Y |
Y |
P |
4302 |
|
|
LA |
5232 |
LOUISIANA MEDICAID - DME |
MOLINA - MEDICAID |
LA-DHH-MEDICAID |
Y |
Y |
P |
4302 |
|
|
LA |
1675 |
LOUISIANA MEDICAID HOME HEALTH |
|
LA-DHH-MEDICAID |
Y |
Y |
I |
4352 |
|
|
LA |
4604 |
LOUISIANA MEDICAID LTC |
|
LA-DHH-MEDICAID |
Y |
Y |
I |
4352 |
|
|
LA |
1460 |
LOUISIANA MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
07202 |
Y |
Y |
P |
4321 |
|
|
LA |
3579 |
LOUISIANA MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
07201 |
Y |
Y |
I |
4351 |
|
|
LA |
2758 |
STATE EMPLOYEES GROUP BENEFITS PROGRAM |
|
53120 |
Y |
Y |
P |
4323 |
|
|
LA |
3580 |
STATE EMPLOYEES GROUP BENEFITS PROGRAM |
|
53120 |
Y |
Y |
I |
4353 |
|
|
MA |
2424 |
BLUE CROSS BLUE SHIELD of MASSACHUSETTS |
|
00200 |
N |
Y |
P |
4323 |
|
|
MA |
5528 |
BLUE CROSS BLUE SHIELD of MASSACHUSETTS |
|
00200 |
N |
Y |
I |
4353 |
|
|
MA |
1604 |
COMMONWEALTH CARE ALLIANCE |
|
14315 |
N |
Y |
I |
4350 |
|
|
MA |
9496 |
DEMO PAYER |
|
|
N |
N |
P |
4320 |
Non-Participating |
|
MA |
5529 |
MASSACHUSETTS MEDICAID |
MOLINA - MEDICAID |
DMA7384 |
Y |
Y |
I |
4352 |
|
|
MA |
4492 |
MASSACHUSETTS MEDICAID (FORMAT 5) |
|
DMA7384 |
Y |
Y |
P |
4322 |
|
|
MA |
4491 |
MASSACHUSETTS MEDICAID (FORMAT 9) |
|
DMA7384 |
Y |
Y |
P |
4302 |
|
|
MA |
2469 |
MASSACHUSETTS MEDICARE |
NGS MAC - JK |
14212 |
Y |
Y |
P |
4321 |
|
|
MA |
5527 |
MASSACHUSETTS MEDICARE |
NGS MAC - JK |
14211 |
Y |
Y |
I |
4351 |
|
|
MD |
2419 |
LOCAL 486 PLUMBERS AND STEAMFITTERS |
|
00690 |
N |
Y |
P |
4323 |
|
|
MD |
7518 |
LOCAL 486 PLUMBERS AND STEAMFITTERS |
|
00190 |
N |
Y |
I |
4353 |
|
|
MD |
7518 |
MARYLAND BLUE CROSS - CAREFIRST |
|
00190 |
N |
Y |
I |
4353 |
|
|
MD |
2419 |
MARYLAND BLUE SHIELD - CAREFIRST |
|
00690 |
N |
Y |
P |
4323 |
|
|
MD |
1488 |
MARYLAND MEDICAID |
|
526002033MCP |
Y |
Y |
P |
4322 |
|
|
MD |
5552 |
MARYLAND MEDICAID |
|
526002033MCP |
Y |
Y |
I |
4352 |
|
|
MD |
5554 |
MARYLAND MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12301 |
Y |
Y |
I |
4351 |
|
|
MD |
7402 |
MARYLAND MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12302 |
Y |
Y |
P |
4321 |
|
|
MD |
2464 |
MARYLAND MEDICARE (MONTG, PRINCE GEORGE) |
NOVITAS SOLUTIONS MAC-JL |
12202 |
Y |
Y |
P |
4321 |
|
|
ME |
3548 |
MAINE BLUE CROSS |
|
00680 |
N |
Y |
I |
4353 |
|
|
ME |
7446 |
MAINE BLUE SHIELD |
|
00680 |
N |
Y |
P |
4323 |
|
|
ME |
5259 |
MAINE MEDICAID |
|
ME_MMIS_4_DXCMS |
N |
Y |
P |
4302 |
|
|
ME |
9582 |
MAINE MEDICAID |
|
ME_MMIS_4_DXCMS |
N |
Y |
I |
4352 |
|
|
ME |
2472 |
MAINE MEDICARE |
NGS MAC - JK |
14112 |
Y |
Y |
P |
4321 |
|
|
ME |
3547 |
MAINE MEDICARE |
NGS MAC - JK |
14011 |
Y |
Y |
I |
4351 |
|
|
MI |
2426 |
BCBS COMPLETE |
|
00710 |
Y |
Y |
P |
4323 |
|
|
MI |
3532 |
BCBS COMPLETE |
|
00210 |
Y |
Y |
I |
4353 |
|
|
MI |
2426 |
BLUE CARE NETWORK HMO |
|
00710 |
Y |
Y |
P |
4323 |
|
|
MI |
3532 |
BLUE CARE NETWORK HMO |
|
00210 |
Y |
Y |
I |
4353 |
|
|
MI |
1421 |
BLUE CROSS COMPLETE OF MI (MIBCN) |
|
00710 |
Y |
Y |
P |
4323 |
|
|
MI |
3514 |
BLUE CROSS COMPLETE OF MI (MIBCN) |
|
00210 |
Y |
Y |
I |
4353 |
|
|
MI |
1624 |
BREAST AND CERVICAL CANCER CONTROL PROGRAM (BCCCP) |
|
D00111 |
N |
Y |
I |
4350 |
|
|
MI |
6109 |
BREAST AND CERVICAL CANCER CONTROL PROGRAM (BCCCP) |
|
D00111 |
N |
Y |
P |
4320 |
|
|
MI |
3591 |
CARE CHOICES HMO/PREFERRED CHOICES OF MICHIGAN PPO |
|
38217 |
N |
Y |
I |
4350 |
|
|
MI |
2426 |
MCARE |
|
00710 |
Y |
Y |
P |
4323 |
|
|
MI |
3532 |
MCARE |
|
00210 |
Y |
Y |
I |
4353 |
|
|
MI |
1913 |
MEDICARE PLUS BLUE - MEDICARE ADVANTAGE PLAN |
|
00210 |
Y |
Y |
I |
4351 |
|
|
MI |
2287 |
MEDICARE PLUS BLUE - MEDICARE ADVANTAGE PLAN |
|
00710 |
Y |
Y |
P |
4321 |
|
|
MI |
3514 |
MICHIGAN BLUE CROSS |
|
00210 |
Y |
Y |
I |
4353 |
|
|
MI |
3531 |
MICHIGAN BLUE CROSS (FEP) |
|
00210 |
Y |
Y |
I |
4353 |
|
|
MI |
1421 |
MICHIGAN BLUE SHIELD |
|
00710 |
Y |
Y |
P |
4323 |
|
|
MI |
1421 |
MICHIGAN BLUE SHIELD FEP |
|
00710 |
Y |
Y |
P |
4323 |
|
|
MI |
2480 |
MICHIGAN CHILD |
|
D00111 |
Y |
Y |
P |
4322 |
|
|
MI |
3512 |
MICHIGAN CHILD |
|
D00111 |
Y |
Y |
I |
4352 |
|
|
MI |
1306 |
MICHIGAN HLTH BENEFITS CLAIM REVIEW FORM |
|
|
N |
N |
P |
1306MI |
|
|
MI |
2480 |
MICHIGAN MEDICAID |
|
D00111 |
Y |
Y |
P |
4322 |
|
|
MI |
3512 |
MICHIGAN MEDICAID |
|
D00111 |
Y |
Y |
I |
4352 |
|
|
MI |
1461 |
MICHIGAN MEDICARE |
WPS MAC - J8 |
08202 |
Y |
Y |
P |
4321 |
|
|
MI |
3515 |
MICHIGAN MEDICARE |
WPS MAC - J8 |
08201 |
Y |
Y |
I |
4351 |
|
|
MI |
2319 |
MICHIGAN WORKERS' COMPENSATION |
|
|
N |
N |
P |
2319MI |
|
|
MI |
3591 |
PRIORITY HEALTH of MICHIGAN |
|
38217 |
N |
Y |
I |
4350 |
|
|
MN |
1402 |
BEHAVIORAL HEALTH SERV. INC. (BHSI) |
|
00720 |
N |
Y |
P |
4323 |
|
|
MN |
1402 |
FIRST PLAN OF MINNESOTA |
|
00720 |
N |
Y |
P |
4323 |
|
|
MN |
1513 |
MINNESOTA BLUE CROSS |
|
00220 |
N |
Y |
I |
4353 |
|
|
MN |
1402 |
MINNESOTA BLUE CROSS AND BLUE SHIELD |
|
00720 |
N |
Y |
P |
4323 |
|
|
MN |
1064 |
MINNESOTA BLUE CROSS BLUE SHIELD HEALTH CARE PROGR |
|
00562 |
N |
Y |
I |
4350 |
|
|
MN |
7892 |
MINNESOTA BLUE CROSS BLUE SHIELD HEALTH CARE PROGR |
|
00562 |
N |
Y |
P |
4350 |
|
|
MN |
8116 |
MINNESOTA BLUE CROSS BLUE SHIELD HEALTH CARE PROGR |
|
A5143 |
N |
Y |
P |
4320 |
|
|
MN |
1429 |
MINNESOTA BLUE CROSS/BLUE SHIELD HMO |
|
00720 |
N |
Y |
P |
4323 |
|
|
MN |
1429 |
MINNESOTA BLUE PLUS |
|
00720 |
N |
Y |
P |
4323 |
|
|
MN |
1513 |
MINNESOTA BLUE PLUS |
|
00220 |
N |
Y |
I |
4353 |
|
|
MN |
1410 |
MINNESOTA CC SYSTEMS |
|
00720 |
N |
Y |
P |
4323 |
|
|
MN |
1468 |
MINNESOTA MEDICAID |
|
411674742 |
Y |
Y |
P |
4302 |
|
|
MN |
1568 |
MINNESOTA MEDICAID |
|
411674742 |
Y |
Y |
I |
4352 |
|
|
MN |
1435 |
MINNESOTA MEDICARE |
NGS MAC - J6 |
06202 |
Y |
Y |
P |
4321 |
|
|
MN |
3521 |
MINNESOTA MEDICARE |
NGS MAC - J6 |
06201 |
Y |
Y |
I |
4351 |
|
|
MN |
1531 |
UCARE IFP DOS BEFORE 1-1-2019 |
|
52629 |
N |
Y |
I |
4350 |
|
|
MN |
4496 |
UCARE IFP DOS BEFORE 1-1-2019 |
|
52629 |
N |
Y |
P |
4320 |
|
|
MN |
1038 |
UCARE IFP DOS ON OR AFTER 1-1-2019 |
|
55413 |
N |
Y |
I |
4350 |
|
|
MN |
7867 |
UCARE IFP DOS ON OR AFTER 1-1-2019 |
|
55413 |
N |
Y |
P |
4320 |
|
|
MN |
1531 |
UCARE MEDICARE PLANS DOS BEFORE 1-1-2020 |
|
52629 |
N |
Y |
I |
4350 |
|
|
MN |
4496 |
UCARE MEDICARE PLANS DOS BEFORE 1-1-2020 |
|
52629 |
N |
Y |
P |
4320 |
|
|
MN |
7867 |
UCARE MEDICARE PLANS DOS ON OR AFTER 1-1-2020 |
|
55413 |
N |
Y |
P |
4320 |
|
|
MN |
1038 |
UCARE MN HC PROGRAMS DOS ON OR AFTER 1-1-2022 |
|
55413 |
N |
Y |
I |
4350 |
|
|
MN |
7867 |
UCARE MN HC PROGRAMS DOS ON OR AFTER 1-1-2022 |
|
55413 |
N |
Y |
P |
4320 |
|
|
MN |
1531 |
UCARE MN HEALTH CARE PROGRAMS DOS BEFORE 1-1-2022 |
|
52629 |
N |
Y |
I |
4350 |
|
|
MN |
4496 |
UCARE MN HEALTH CARE PROGRAMS DOS BEFORE 1-1-2022 |
|
52629 |
N |
Y |
P |
4320 |
|
|
MO |
1603 |
CORRECTIONAL MEDICAL SERVICES |
|
43160 |
N |
N |
I |
4350 |
|
|
MO |
2597 |
MISSOURI BLUE CROSS - ST LOUIS MO |
|
00241 |
N |
Y |
I |
4353 |
|
|
MO |
5569 |
MISSOURI BLUE CROSS of KANSAS CITY |
|
47171 |
N |
Y |
I |
4353 |
|
|
MO |
1408 |
MISSOURI BLUE SHIELD - ST LOUIS MO |
|
00241 |
N |
Y |
P |
4323 |
|
|
MO |
4419 |
MISSOURI BLUE SHIELD of KANSAS CITY |
|
47171 |
N |
Y |
P |
4303 |
|
|
MO |
1471 |
MISSOURI MEDICAID |
INFOCROSSING HLTHCRE SERV |
431754897 |
N |
Y |
P |
4322 |
|
|
MO |
5571 |
MISSOURI MEDICAID |
INFOCROSSING HLTHCRE SERV |
954897 |
N |
Y |
I |
4352 |
|
|
MO |
1441 |
MISSOURI MEDICARE EASTERN |
WPS MAC - J8 |
05302 |
Y |
Y |
P |
4321 |
|
|
MO |
5572 |
MISSOURI MEDICARE EASTERN |
WPS MAC - J8 |
05301 |
Y |
Y |
I |
4300 |
|
|
MO |
4451 |
MISSOURI NORTHWEST MEDICARE - KANSAS CITY, MO |
WPS MAC - J8 |
05302 |
Y |
Y |
P |
4321 |
|
|
MS |
5555 |
MISSISSIPPI BLUE CROSS |
|
00230 |
Y |
Y |
I |
4353 |
|
|
MS |
5561 |
MISSISSIPPI BLUE CROSS-STATE EMPLOYEE |
|
00230 |
Y |
Y |
I |
4353 |
|
|
MS |
2415 |
MISSISSIPPI BLUE SHIELD |
|
00230 |
Y |
Y |
P |
4303 |
|
|
MS |
1490 |
MISSISSIPPI MEDICAID |
HP ENTERPRISE SERVICES |
77032 |
Y |
Y |
P |
4322 |
|
|
MS |
5557 |
MISSISSIPPI MEDICAID |
HP ENTERPRISE SERVICES |
77032 |
Y |
Y |
I |
4352 |
|
|
MS |
2451 |
MISSISSIPPI MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
07302 |
Y |
Y |
P |
4321 |
|
|
MS |
5556 |
MISSISSIPPI MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
07301 |
Y |
Y |
I |
4351 |
|
|
MS |
2415 |
MS BCBS - STATE EMPLOYEES |
|
00230 |
Y |
Y |
P |
4303 |
|
|
MT |
5585 |
BLUE FOCUS POS |
|
BCBS |
N |
Y |
I |
4353 |
|
|
MT |
7450 |
BLUE FOCUS POS |
|
BCBS |
N |
Y |
P |
4303 |
|
|
MT |
5585 |
BLUE PREFERRED PPO |
|
BCBS |
N |
Y |
I |
4353 |
|
|
MT |
7450 |
BLUE PREFERRED PPO |
|
BCBS |
N |
Y |
P |
4303 |
|
|
MT |
5585 |
MONTANA BLUE CROSS |
|
BCBS |
N |
Y |
I |
4353 |
|
|
MT |
7450 |
MONTANA BLUE SHIELD |
|
BCBS |
N |
Y |
P |
4303 |
|
|
MT |
4427 |
MONTANA HELP PLAN |
HP ENTERPRISE SERVICES |
77039 |
N |
Y |
P |
4322 |
|
|
MT |
5586 |
MONTANA HELP PLAN |
HP ENTERPRISE SERVICES |
77039 |
N |
Y |
I |
4352 |
|
|
MT |
4427 |
MONTANA MEDICAID |
HP ENTERPRISE SERVICES |
77039 |
N |
Y |
P |
4322 |
|
|
MT |
5586 |
MONTANA MEDICAID |
HP ENTERPRISE SERVICES |
77039 |
N |
Y |
I |
4352 |
|
|
MT |
5584 |
MONTANA MEDICARE |
NORIDIAN MAC - JF |
03201 |
Y |
Y |
I |
4351 |
|
|
MT |
7400 |
MONTANA MEDICARE |
NORIDIAN MAC - JF |
03202 |
Y |
Y |
P |
4321 |
|
|
NC |
3562 |
NORTH CAROLINA BLUE CROSS |
|
560894904 |
N |
Y |
I |
4353 |
|
|
NC |
1411 |
NORTH CAROLINA BLUE SHIELD |
|
560894904 |
N |
Y |
P |
4323 |
|
|
NC |
1480 |
NORTH CAROLINA MEDICAID |
COMPUTER SCIENCES CORP |
DNC00 |
Y |
Y |
P |
4302 |
|
|
NC |
3564 |
NORTH CAROLINA MEDICAID |
COMPUTER SCIENCES CORP |
DNC00 |
Y |
Y |
I |
4352 |
|
|
NC |
1464 |
NORTH CAROLINA MEDICARE |
PALMETTO GBA MAC - JM |
11502 |
Y |
Y |
P |
4321 |
|
|
NC |
3563 |
NORTH CAROLINA MEDICARE |
PALMETTO GBA MAC - JM |
11501 |
Y |
Y |
I |
4351 |
|
|
ND |
5593 |
NORTH DAKOTA BLUE CROSS |
NORIDIAN MAC - JE |
55891 |
N |
Y |
I |
4353 |
|
|
ND |
2411 |
NORTH DAKOTA BLUE SHIELD |
NORIDIAN MAC - JE |
55891 |
N |
Y |
P |
4323 |
|
|
ND |
1487 |
NORTH DAKOTA MEDICAID |
|
NDDHSMED |
N |
Y |
P |
4322 |
|
|
ND |
5594 |
NORTH DAKOTA MEDICAID |
|
NDDHSMED |
N |
Y |
I |
4352 |
|
|
ND |
1523 |
NORTH DAKOTA MEDICARE |
NORIDIAN MAC - JF |
03301 |
Y |
Y |
I |
4351 |
|
|
ND |
2453 |
NORTH DAKOTA MEDICARE |
NORIDIAN MAC - JF |
03302 |
Y |
Y |
P |
4321 |
|
|
NE |
1521 |
NEBRASKA BLUE CROSS |
|
00260 |
N |
Y |
I |
4353 |
|
|
NE |
1417 |
NEBRASKA BLUE SHIELD |
|
00760 |
N |
Y |
P |
4323 |
|
|
NE |
6578 |
NEBRASKA CHRONIC RENAL DISEASE |
|
NERENAL |
N |
N |
I |
4350 |
|
|
NE |
1476 |
NEBRASKA MEDICAID |
|
NEMEDICAID |
Y |
Y |
P |
4322 |
|
|
NE |
1520 |
NEBRASKA MEDICAID |
|
NEMEDICAID |
Y |
Y |
I |
4352 |
|
|
NE |
1451 |
NEBRASKA MEDICARE |
WPS MAC - J8 |
05402 |
Y |
Y |
P |
4321 |
|
|
NE |
1519 |
NEBRASKA MEDICARE |
WPS MAC - J8 |
05401 |
Y |
Y |
I |
4351 |
|
|
NH |
1512 |
NEW HAMPSHIRE BLUE CROSS |
|
00270 |
N |
Y |
I |
4353 |
|
|
NH |
7422 |
NEW HAMPSHIRE BLUE SHIELD |
|
00770 |
N |
Y |
P |
4323 |
|
|
NH |
2575 |
NEW HAMPSHIRE MEDICAID |
HP ENTERPRISE SERVICES |
26000618 |
Y |
Y |
I |
4352 |
|
|
NH |
7423 |
NEW HAMPSHIRE MEDICAID |
HP - MEDICAID |
26000618 |
Y |
Y |
P |
4302 |
|
|
NH |
2470 |
NEW HAMPSHIRE MEDICARE |
NGS MAC - JK |
14312 |
Y |
Y |
P |
4321 |
|
|
NH |
2528 |
NEW HAMPSHIRE MEDICARE |
NGS MAC - JK |
14013 |
Y |
Y |
I |
4351 |
|
|
NJ |
5526 |
HORIZON BLUE CROSS OF NEW JERSEY |
|
22099 |
Y |
Y |
I |
4353 |
|
|
NJ |
5526 |
HORIZON BLUE CROSS OF NEW JERSEY |
|
22099 |
Y |
Y |
I |
4353 |
|
|
NJ |
2414 |
HORIZON BLUE SHIELD OF NEW JERSEY |
|
22099 |
Y |
Y |
P |
4303 |
|
|
NJ |
2414 |
HORIZON BLUE SHIELD OF NJ FEP |
|
22099 |
Y |
Y |
P |
4303 |
|
|
NJ |
2414 |
HORIZON BLUE SHIELD OF NJ OUT OF AREA |
|
22099 |
Y |
Y |
P |
4303 |
|
|
NJ |
5526 |
HORIZON HEALTHCARE OF NEW YORK |
|
22099 |
Y |
Y |
I |
4353 |
|
|
NJ |
2414 |
NEW JERSEY BLUE CHOICE |
|
22099 |
Y |
Y |
P |
4303 |
|
|
NJ |
2414 |
NEW JERSEY BLUE SELECT |
|
22099 |
Y |
Y |
P |
4303 |
|
|
NJ |
5575 |
NEW JERSEY CHARITY CARE INPATIENT |
MOLINA - MEDICAID |
00012 |
Y |
Y |
I |
1386 |
|
|
NJ |
5576 |
NEW JERSEY CHARITY CARE OUTPATIENT |
MOLINA - MEDICAID |
00012 |
Y |
Y |
I |
1386 |
|
|
NJ |
1483 |
NEW JERSEY MEDICAID |
MOLINA - MEDICAID |
610515 |
Y |
Y |
P |
4322 |
|
|
NJ |
5505 |
NEW JERSEY MEDICAID |
MOLINA - MEDICAID |
00012 |
Y |
Y |
I |
1386 |
|
|
NJ |
1465 |
NEW JERSEY MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12402 |
Y |
Y |
P |
4321 |
|
|
NJ |
5503 |
NEW JERSEY MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12401 |
Y |
Y |
I |
4351 |
|
|
NJ |
2414 |
OMNIA HEALTH PLANS |
|
22099 |
Y |
Y |
P |
4303 |
|
|
NJ |
5526 |
OMNIA HEALTH PLANS |
|
22099 |
Y |
Y |
I |
4353 |
|
|
NM |
5565 |
BLUE CROSS MEDICARE ADVANTAGE |
|
00790 |
N |
Y |
I |
4353 |
|
|
NM |
7403 |
BLUE CROSS MEDICARE ADVANTAGE |
|
00790 |
N |
Y |
P |
4323 |
|
|
NM |
5565 |
BLUE SALUD |
|
00790 |
N |
Y |
I |
4353 |
|
|
NM |
7403 |
BLUE SALUD |
|
00790 |
N |
Y |
P |
4323 |
|
|
NM |
5565 |
LOVELACE MEDICARE ADVANTAGE |
|
00790 |
N |
Y |
I |
4353 |
|
|
NM |
7403 |
LOVELACE MEDICARE ADVANTAGE |
|
00790 |
N |
Y |
P |
4323 |
|
|
NM |
5565 |
LOVELACE SANDIA HEALTH PLAN DOS >5/31/2014 |
|
00790 |
N |
Y |
I |
4353 |
|
|
NM |
7403 |
LOVELACE SANDIA HEALTH PLAN DOS >5/31/2014 |
|
00790 |
N |
Y |
P |
4323 |
|
|
NM |
5565 |
NEW MEXICO BLUE CROSS |
|
00790 |
N |
Y |
I |
4353 |
|
|
NM |
7403 |
NEW MEXICO BLUE SHIELD |
|
00790 |
N |
Y |
P |
4323 |
|
|
NM |
1492 |
NEW MEXICO MEDICAID |
HP ENTERPRISE SERVICES |
NMMAD |
N |
Y |
P |
4322 |
|
|
NM |
5562 |
NEW MEXICO MEDICAID |
HP ENTERPRISE SERVICES |
NMMAD |
N |
Y |
I |
4352 |
|
|
NM |
1457 |
NEW MEXICO MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
04212 |
Y |
Y |
P |
4321 |
|
|
NM |
5566 |
NEW MEXICO MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
04211 |
Y |
Y |
I |
4351 |
|
|
NV |
2906 |
NEVADA BLUE CROSS |
|
00265 |
N |
Y |
I |
4350 |
|
|
NV |
7496 |
NEVADA BLUE SHIELD |
|
00265 |
N |
Y |
P |
4323 |
|
|
NV |
2907 |
NEVADA MEDICAID |
HP ENTERPRISE SERVICES |
NVMED |
Y |
Y |
I |
4352 |
|
|
NV |
7495 |
NEVADA MEDICAID |
HP ENTERPRISE SERVICES |
NVMED |
Y |
Y |
P |
4322 |
|
|
NV |
1446 |
NEVADA MEDICARE |
NORIDIAN MAC - JE |
01312 |
Y |
Y |
P |
4321 |
|
|
NV |
5907 |
NEVADA MEDICARE |
NORIDIAN MAC - JE |
01311 |
Y |
Y |
I |
4351 |
|
|
NY |
3792 |
CENTERCARE |
|
11315 |
N |
Y |
P |
4320 |
|
|
NY |
6536 |
CENTERCARE |
|
11315 |
N |
Y |
I |
4350 |
|
|
NY |
3520 |
EMPIRE BCBS HEALTHPLUS |
|
00303 |
N |
Y |
I |
4353 |
|
|
NY |
4437 |
EMPIRE BCBS HEALTHPLUS |
|
00803 |
N |
Y |
P |
4323 |
|
|
NY |
3520 |
EMPIRE BCBS HEALTHPLUS FIDA ADVANTAGE PLAN |
|
00303 |
N |
Y |
I |
4353 |
|
|
NY |
4437 |
EMPIRE BCBS HEALTHPLUS FIDA ADVANTAGE PLAN |
|
00803 |
N |
Y |
P |
4323 |
|
|
NY |
3520 |
EMPIRE HEALTHCHOICE HMO NY |
|
00303 |
N |
Y |
I |
4353 |
|
|
NY |
4437 |
EMPIRE HEALTHCHOICE HMO NY |
|
00803 |
N |
Y |
P |
4323 |
|
|
NY |
3792 |
FIDELIS CARE |
|
11315 |
N |
Y |
P |
4320 |
|
|
NY |
6536 |
FIDELIS CARE |
|
11315 |
N |
Y |
I |
4350 |
|
|
NY |
3792 |
FIDELIS CARE AT HOME |
|
11315 |
N |
Y |
P |
4320 |
|
|
NY |
6536 |
FIDELIS CARE AT HOME |
|
11315 |
N |
Y |
I |
4350 |
|
|
NY |
3792 |
FIDELIS CARE of NEW YORK |
|
11315 |
N |
Y |
P |
4320 |
|
|
NY |
6536 |
FIDELIS CARE of NEW YORK |
|
11315 |
N |
Y |
I |
4350 |
|
|
NY |
3792 |
FIDELIS DUAL ADVANTAGE NYC |
|
11315 |
N |
Y |
P |
4320 |
|
|
NY |
6536 |
FIDELIS DUAL ADVANTAGE NYC |
|
11315 |
N |
Y |
I |
4350 |
|
|
NY |
3792 |
FIDELIS MEDICAID ADVANTAGE PLUS |
|
11315 |
N |
Y |
P |
4320 |
|
|
NY |
6536 |
FIDELIS MEDICAID ADVANTAGE PLUS |
|
11315 |
N |
Y |
I |
4350 |
|
|
NY |
7485 |
HEALTHNOW NEW YORK BLUE SHIELD |
|
55204 |
N |
Y |
P |
4303 |
|
|
NY |
7432 |
HMO BLUE |
EXCELLUS |
00806 |
N |
Y |
P |
4323 |
|
|
NY |
4442 |
MEDICARE OF NEW YORK DOWNSTATE |
NGS MAC - JK |
13202 |
Y |
Y |
P |
4321 |
|
|
NY |
3618 |
NEW YORK BLUE CROSS CENTRAL REGION |
EXCELLUS |
00305 |
N |
Y |
I |
4353 |
|
|
NY |
3528 |
NEW YORK BLUE CROSS OF ROCHESTER |
EXCELLUS |
00304 |
N |
Y |
I |
4353 |
|
|
NY |
7432 |
NEW YORK BLUE CROSS UTICA/WATERTOWN |
EXCELLUS |
00806 |
N |
Y |
P |
4323 |
|
|
NY |
3527 |
NEW YORK BLUE CROSS WESTERN |
|
00801 |
N |
Y |
I |
4353 |
|
|
NY |
3525 |
NEW YORK BLUE CROSS of NORTHEASTERN NEW YORK |
|
00800 |
N |
Y |
I |
4353 |
|
|
NY |
3449 |
NEW YORK BLUE SHIELD CENTRAL REGION |
EXCELLUS |
00805 |
N |
Y |
P |
4323 |
|
|
NY |
4408 |
NEW YORK BLUE SHIELD OF ROCHESTER |
EXCELLUS |
00804 |
N |
Y |
P |
4323 |
|
|
NY |
4409 |
NEW YORK BLUE SHIELD WESTERN |
|
00801 |
N |
Y |
P |
4303 |
|
|
NY |
7433 |
NEW YORK BLUE SHIELD of NORTHEASTERN NEW YORK |
|
00800 |
N |
Y |
P |
4303 |
|
|
NY |
3527 |
NEW YORK COMMUNITY BLUE HMO |
|
00801 |
N |
Y |
I |
4353 |
|
|
NY |
4409 |
NEW YORK COMMUNITY BLUE HMO |
|
00801 |
N |
Y |
P |
4303 |
|
|
NY |
3520 |
NEW YORK EMPIRE BLUE CROSS |
|
00303 |
N |
Y |
I |
4353 |
|
|
NY |
4437 |
NEW YORK EMPIRE BLUE SHIELD |
|
00803 |
N |
Y |
P |
4323 |
|
|
NY |
4437 |
NEW YORK EMPIRE BLUE SHIELD - HEALTHNET |
|
00803 |
N |
Y |
P |
4323 |
|
|
NY |
3519 |
NEW YORK EMPIRE MEDICARE |
NGS MAC - JK |
13201 |
Y |
Y |
I |
4351 |
|
|
NY |
4442 |
NEW YORK EMPIRE MEDICARE |
NGS MAC - JK |
13202 |
Y |
Y |
P |
4321 |
|
|
NY |
1422 |
NEW YORK MEDICAID - PHASE II |
COMPUTER SCIENCES CORP |
141797357 |
Y |
Y |
P |
3307 |
|
|
NY |
1501 |
NEW YORK MEDICAID INPATIENT - PHASE II |
COMPUTER SCIENCES CORP |
141797357 |
Y |
Y |
I |
4352 |
|
|
NY |
1502 |
NEW YORK MEDICAID OUTPATIENT - PHASE II |
COMPUTER SCIENCES CORP |
141797357 |
Y |
Y |
I |
4352 |
|
|
NY |
1500 |
NEW YORK MEDICAID TITLE XIX - PHASE II |
COMPUTER SCIENCES CORP |
141797357 |
Y |
Y |
I |
4352 |
|
|
NY |
1463 |
NEW YORK MEDICARE (UPSTATE) |
NGS MAC - JK |
13282 |
Y |
Y |
P |
4321 |
|
|
NY |
7401 |
NEW YORK MEDICARE GHI |
NGS MAC - JK |
13292 |
Y |
Y |
P |
4321 |
|
|
NY |
3792 |
NEW YORK STATE CATHOLIC HEALTH PLAN |
|
11315 |
N |
Y |
P |
4320 |
|
|
NY |
6536 |
NEW YORK STATE CATHOLIC HEALTH PLAN |
|
11315 |
N |
Y |
I |
4350 |
|
|
NY |
2779 |
RMSCO UNIVERA |
EXCELLUS |
UNINW |
N |
Y |
P |
4323 |
|
|
NY |
3598 |
RMSCO UNIVERA |
EXCELLUS |
UNINW |
N |
Y |
I |
4353 |
|
|
NY |
2779 |
UNIVERA |
EXCELLUS |
UNINW |
N |
Y |
P |
4323 |
|
|
NY |
3598 |
UNIVERA |
EXCELLUS |
UNINW |
N |
Y |
I |
4353 |
|
|
NY |
2779 |
UNIVERA COMMUNITY HEALTH |
EXCELLUS |
UNINW |
N |
Y |
P |
4323 |
|
|
NY |
3598 |
UNIVERA COMMUNITY HEALTH |
EXCELLUS |
UNINW |
N |
Y |
I |
4353 |
|
|
NY |
2779 |
UNIVERA ENY |
EXCELLUS |
UNINW |
N |
Y |
P |
4323 |
|
|
NY |
3598 |
UNIVERA ENY |
EXCELLUS |
UNINW |
N |
Y |
I |
4353 |
|
|
NY |
2779 |
UNIVERA SNY |
EXCELLUS |
UNINW |
N |
Y |
P |
4323 |
|
|
NY |
3598 |
UNIVERA SNY |
EXCELLUS |
UNINW |
N |
Y |
I |
4353 |
|
|
NY |
2779 |
UNIVERA UNINW |
EXCELLUS |
UNINW |
N |
Y |
P |
4323 |
|
|
NY |
3598 |
UNIVERA UNINW |
EXCELLUS |
UNINW |
N |
Y |
I |
4353 |
|
|
NY |
2779 |
UNIVERA WNY |
EXCELLUS |
UNINW |
N |
Y |
P |
4323 |
|
|
NY |
3598 |
UNIVERA WNY |
EXCELLUS |
UNINW |
N |
Y |
I |
4353 |
|
|
NY |
3792 |
WELLCARE BY FIDELIS CARE |
|
11315 |
N |
Y |
P |
4320 |
|
|
NY |
6536 |
WELLCARE BY FIDELIS CARE |
|
11315 |
N |
Y |
I |
4350 |
|
|
OH |
3505 |
OHIO BLUE CROSS |
|
00332 |
N |
Y |
I |
4353 |
|
|
OH |
2418 |
OHIO BLUE SHIELD |
|
00834 |
N |
Y |
P |
4323 |
|
|
OH |
2481 |
OHIO MEDICAID |
|
MMISODJFS |
N |
Y |
P |
4322 |
|
|
OH |
3509 |
OHIO MEDICAID |
|
MMISODJFS |
N |
Y |
I |
4352 |
|
|
OH |
1447 |
OHIO MEDICARE |
CGS ADMIN MAC - J15 |
15202 |
Y |
Y |
P |
4321 |
|
|
OH |
3507 |
OHIO MEDICARE |
CGS ADMIN MAC - J15 |
15201 |
Y |
Y |
I |
4351 |
|
|
OH |
2418 |
QUALCHOICE of OHIO |
|
00834 |
N |
Y |
P |
4323 |
|
|
OH |
1087 |
SOLIDARITY HEALTHSHARE |
|
SH777 |
N |
Y |
I |
4350 |
|
|
OH |
8114 |
SOLIDARITY HEALTHSHARE |
|
SH777 |
N |
Y |
P |
4320 |
|
|
OH |
2418 |
UFCW - CENTRAL OHIO |
|
00834 |
N |
Y |
P |
4323 |
|
|
OK |
1403 |
LOVELACE MEDICARE ADVANTAGE OK |
|
00840 |
N |
Y |
P |
4323 |
|
|
OK |
1514 |
LOVELACE MEDICARE ADVANTAGE OK |
|
00840 |
N |
Y |
I |
4353 |
|
|
OK |
1514 |
OKLAHOMA BLUE CROSS |
|
00840 |
N |
Y |
I |
4353 |
|
|
OK |
1403 |
OKLAHOMA BLUE SHIELD |
|
00840 |
N |
Y |
P |
4323 |
|
|
OK |
2753 |
OKLAHOMA MEDICAID |
HP - MEDICAID |
731476619 |
N |
Y |
P |
4322 |
|
|
OK |
3594 |
OKLAHOMA MEDICAID |
HP - MEDICAID |
731476619 |
N |
Y |
I |
4352 |
|
|
OK |
1458 |
OKLAHOMA MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
04312 |
Y |
Y |
P |
4321 |
|
|
OK |
1558 |
OKLAHOMA MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
04311 |
Y |
Y |
I |
4351 |
|
|
OR |
5516 |
OREGON BLUE CROSS REGENCE |
|
00851 |
N |
Y |
I |
4353 |
|
|
OR |
2404 |
OREGON BLUE SHIELD REGENCE |
|
00851 |
N |
Y |
P |
4323 |
|
|
OR |
1481 |
OREGON MEDICAID |
|
ORDHS |
Y |
Y |
P |
4322 |
|
|
OR |
5517 |
OREGON MEDICAID |
|
ORDHS |
Y |
Y |
I |
4352 |
|
|
OR |
1459 |
OREGON MEDICARE |
NORIDIAN MAC - JF |
02302 |
Y |
Y |
P |
4321 |
|
|
OR |
5515 |
OREGON MEDICARE |
NORIDIAN MAC - JF |
02001 |
Y |
Y |
I |
4351 |
|
|
PA |
5599 |
CAPITAL BLUE CROSS |
CAPITAL BLUE CROSS |
00361 |
Y |
Y |
I |
4353 |
|
|
PA |
2713 |
CAPITAL BLUE CROSS - FACILITY CONTRACTED PROVIDERS |
CAPITAL BLUE CROSS |
00361 |
Y |
Y |
P |
4323 |
|
|
PA |
2413 |
CONNECT BLUE EPO |
HIGHMARK, INC. |
54771 |
Y |
Y |
P |
4303 |
|
|
PA |
2534 |
CONNECT BLUE EPO |
HIGHMARK, INC. |
54771W |
Y |
Y |
I |
4353 |
|
|
PA |
2718 |
CONNECT BLUE EPO |
HIGHMARK, INC. |
54771V |
Y |
N |
P |
4303 |
|
|
PA |
3587 |
CONNECT BLUE EPO |
HIGHMARK, INC. |
54771C |
Y |
Y |
I |
4353 |
|
|
PA |
2413 |
HEALTH KEEPERS, INC. |
HIGHMARK, INC. |
54771 |
Y |
Y |
P |
4303 |
|
|
PA |
2413 |
PENINSULA HEALTH CARE |
HIGHMARK, INC. |
54771 |
Y |
Y |
P |
4303 |
|
|
PA |
2413 |
PENNSYLVANIA BLUE CHOICE |
HIGHMARK, INC. |
54771 |
Y |
Y |
P |
4303 |
|
|
PA |
3587 |
PENNSYLVANIA BLUE CROSS CENTRAL |
HIGHMARK, INC. |
54771C |
Y |
Y |
I |
4353 |
|
|
PA |
2534 |
PENNSYLVANIA BLUE CROSS WESTERN |
HIGHMARK, INC. |
54771W |
Y |
Y |
I |
4353 |
|
|
PA |
2413 |
PENNSYLVANIA BLUE SHIELD |
HIGHMARK, INC. |
54771 |
Y |
Y |
P |
4303 |
|
|
PA |
2718 |
PENNSYLVANIA BLUE SHIELD CLARITY VISION |
HIGHMARK, INC. |
54771V |
Y |
N |
P |
4303 |
|
|
PA |
2781 |
PENNSYLVANIA INDEPENDENCE BLUE CROSS |
|
54704 |
Y |
Y |
P |
4323 |
|
|
PA |
3560 |
PENNSYLVANIA INDEPENDENCE BLUE CROSS |
|
54704 |
Y |
Y |
I |
4353 |
|
|
PA |
1491 |
PENNSYLVANIA MEDICAID |
HP - MEDICAID |
236003113 |
N |
Y |
P |
4322 |
|
|
PA |
5509 |
PENNSYLVANIA MEDICAID |
HP - MEDICAID |
236003113 |
N |
Y |
I |
4352 |
|
|
PA |
2457 |
PENNSYLVANIA MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12502 |
Y |
Y |
P |
4321 |
|
|
PA |
5598 |
PENNSYLVANIA MEDICARE |
NOVITAS SOLUTIONS MAC-JL |
12501 |
Y |
Y |
I |
4351 |
|
|
PA |
2413 |
PENNSYLVANIA PERSONAL CHOICE |
HIGHMARK, INC. |
54771 |
Y |
Y |
P |
4303 |
|
|
PA |
2413 |
PRIORITY HEALTH CARE |
HIGHMARK, INC. |
54771 |
Y |
Y |
P |
4303 |
|
|
PA |
5599 |
SENIOR BLUE of PENNSYLVANIA (MEDICARE HMO) |
CAPITAL BLUE CROSS |
00361 |
Y |
Y |
I |
4353 |
|
|
PR |
1543 |
MEDICAL CARD SYSTEMS (MCS) REFORMA |
|
660396197P |
N |
Y |
I |
4350 |
|
|
PR |
1591 |
MMM HEALTHCARE |
|
660588600 |
N |
Y |
I |
4350 |
|
|
PR |
5819 |
MMM HEALTHCARE |
|
660588600 |
N |
Y |
P |
4300 |
|
|
PR |
2785 |
PUERTO RICO MEDICARE |
FIRST COAST MAC - JN |
09202 |
Y |
Y |
P |
4321 |
|
|
PR |
3544 |
PUERTO RICO MEDICARE |
FIRST COAST MAC - JN |
09201 |
Y |
Y |
I |
4350 |
|
|
PR |
3543 |
TRIPLE-S SALUD |
|
00973 |
Y |
Y |
I |
4350 |
|
|
RI |
7420 |
BLUE CHIP |
|
00870 |
N |
Y |
P |
4303 |
|
|
RI |
5579 |
RHODE ISLAND BLUE CROSS |
|
00370 |
N |
Y |
I |
4353 |
|
|
RI |
7420 |
RHODE ISLAND BLUE SHIELD |
|
00870 |
N |
Y |
P |
4303 |
|
|
RI |
3647 |
RHODE ISLAND MEDICAID |
|
56000522 |
Y |
Y |
I |
4352 |
|
|
RI |
7421 |
RHODE ISLAND MEDICAID |
|
56000522 |
Y |
Y |
P |
4322 |
|
|
RI |
5578 |
RHODE ISLAND MEDICARE |
NGS MAC - JK |
14411 |
Y |
Y |
I |
4351 |
|
|
RI |
7419 |
RHODE ISLAND MEDICARE |
NGS MAC - JK |
14412 |
Y |
Y |
P |
4321 |
|
|
RI |
7420 |
RHODE ISLAND WORKERS COMPENSATION |
|
00870 |
N |
Y |
P |
4303 |
|
|
SC |
1559 |
FEDERAL EMPLOYEE HEALTH BENEFITS PROGRAM (FEP) |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
BLUE CHOICE HEALTH PLAN |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
BLUECHOICE HEALTHPLAN |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
1559 |
CAROLINA BENEFIT ADMINISTRATORS |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
CAROLINA BENEFIT ADMINISTRATORS |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
CONSOLIDATED BENEFITS INC. |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
CONSOLIDATED BENEFITS INC. |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
EMPLOYEE BENEFIT SERVICES DBA KEY BENEFIT ADMIN |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
EMPLOYEE BENEFIT SERVICES DBA KEY BENEFIT ADMIN |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
EMPLOYERS LIFE INSURANCE |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
EMPLOYERS LIFE INSURANCE |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
2410 |
FEDERAL EMPLOYEE HEALTH BENEFITS PROGRAM (FEP) |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
MEDICAL CLAIMS MANAGEMENT CORPORATION |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
MEDICAL CLAIMS MANAGEMENT CORPORATION |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
MEDICARE BLUE |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
MEDICARE BLUE |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
PLANNED ADMINISTRATORS |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
PLANNED ADMINISTRATORS |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
PREFERRED BLUE |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
PREFERRED BLUE |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
2410 |
SC BCBS PREFERRED HEALTH SYSTEMS - HMO BLUE |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
SC BCBS PREFERRED HEALTH SYSTEMS HMO BLUE |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
SC BCBS STATE EMPLOYEE HEALTH PLAN |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1559 |
SC BCBS STATE HEALTH PLAN |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
1559 |
SOUTH CAROLINA BLUE CROSS |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
SOUTH CAROLINA BLUE CROSS BLUE SHIELD STATE EMPLO |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
2410 |
SOUTH CAROLINA BLUE SHIELD |
|
00401 |
N |
Y |
P |
4323 |
|
|
SC |
1484 |
SOUTH CAROLINA MEDICAID |
|
SCXIX |
Y |
Y |
P |
4322 |
|
|
SC |
5540 |
SOUTH CAROLINA MEDICAID |
|
SCXIX |
Y |
Y |
I |
4352 |
|
|
SC |
1560 |
SOUTH CAROLINA MEDICARE |
PALMETTO GBA MAC - JM |
11001 |
Y |
Y |
I |
4351 |
|
|
SC |
2452 |
SOUTH CAROLINA MEDICARE |
PALMETTO GBA MAC - JM |
11202 |
Y |
Y |
P |
4321 |
|
|
SC |
1559 |
THOMAS COOPER AGENCY |
|
00401 |
N |
Y |
I |
4353 |
|
|
SC |
2410 |
THOMAS COOPER AGENCY |
|
00401 |
N |
Y |
P |
4323 |
|
|
SD |
2490 |
SOUTH DAKOTA BLUE SHIELD |
|
88848 |
N |
Y |
P |
4323 |
|
|
SD |
4478 |
SOUTH DAKOTA MEDICAID |
|
SD48MED |
Y |
Y |
P |
4322 |
|
|
SD |
5591 |
SOUTH DAKOTA MEDICAID |
|
SD48MED |
Y |
Y |
I |
4302 |
|
|
SD |
2454 |
SOUTH DAKOTA MEDICARE |
NORIDIAN MAC - JF |
03402 |
Y |
Y |
P |
4321 |
|
|
SD |
5589 |
SOUTH DAKOTA MEDICARE |
NORIDIAN MAC - JF |
03401 |
Y |
Y |
I |
4351 |
|
|
TN |
2495 |
BLUECARE - BCBSTN |
TENNESSEE BC BS |
00890 |
Y |
Y |
P |
4322 |
|
|
TN |
5514 |
BLUECARE - BCBSTN |
TENNESSEE BC BS |
00390 |
Y |
Y |
I |
4352 |
|
|
TN |
1506 |
RURAL HEALTH MEDICARE |
PALMETTO GBA MAC - JJ |
10311 |
Y |
Y |
I |
4351 |
|
|
TN |
2495 |
TENNCARE SELECT |
TENNESSEE BC BS |
00890 |
Y |
Y |
P |
4322 |
|
|
TN |
5514 |
TENNCARE SELECT |
TENNESSEE BC BS |
00390 |
Y |
Y |
I |
4352 |
|
|
TN |
5513 |
TENNESSEE BLUE CROSS |
TENNESSEE BC BS |
00390 |
Y |
Y |
I |
4353 |
|
|
TN |
2401 |
TENNESSEE BLUE SHIELD |
|
00890 |
Y |
Y |
P |
4323 |
|
|
TN |
2495 |
TENNESSEE BLUECARE |
TENNESSEE BC BS |
00890 |
Y |
Y |
P |
4322 |
|
|
TN |
5514 |
TENNESSEE BLUECARE |
TENNESSEE BC BS |
00390 |
Y |
Y |
I |
4352 |
|
|
TN |
1453 |
TENNESSEE MEDICARE |
PALMETTO GBA MAC - JJ |
10312 |
Y |
Y |
P |
4321 |
|
|
TN |
5525 |
TENNESSEE MEDICARE |
PALMETTO GBA MAC - JJ |
10311 |
Y |
Y |
I |
4351 |
|
|
TN |
2401 |
VOLUNTEER STATE HEALTH PLAN |
|
00890 |
Y |
Y |
P |
4323 |
|
|
TN |
5513 |
VOLUNTEER STATE HELATH PLAN |
TENNESSEE BC BS |
00390 |
Y |
Y |
I |
4353 |
|
|
TX |
1406 |
BRYAN INDEPENDENT SCHOOL |
|
84980 |
N |
Y |
P |
4323 |
|
|
TX |
1470 |
CSHCN (CHILDREN WITH SPECIAL HEALTH CARE NEEDS) |
HP ENTERPRISE SERVICES |
617591011C21P |
N |
Y |
P |
4322 |
|
|
TX |
5500 |
CSHCN (CHILDREN WITH SPECIAL HEALTH CARE NEEDS)) |
HP ENTERPRISE SERVICES |
617591011C21P |
N |
Y |
I |
4352 |
|
|
TX |
1470 |
RIGHT CARE FROM SCOTT & WHITE HEALTH PLAN |
HP ENTERPRISE SERVICES |
617591011C21P |
N |
Y |
P |
4322 |
|
|
TX |
5500 |
RIGHT CARE FROM SCOTT & WHITE HEALTH PLAN |
HP ENTERPRISE SERVICES |
617591011C21P |
N |
Y |
I |
4352 |
|
|
TX |
5501 |
TEXAS BLUE CROSS |
|
84980 |
N |
Y |
I |
4353 |
|
|
TX |
1406 |
TEXAS BLUE SHIELD |
|
84980 |
N |
Y |
P |
4323 |
|
|
TX |
1470 |
TEXAS MEDICAID |
HP ENTERPRISE SERVICES |
617591011C21P |
N |
Y |
P |
4322 |
|
|
TX |
5500 |
TEXAS MEDICAID |
HP ENTERPRISE SERVICES |
617591011C21P |
N |
Y |
I |
4352 |
|
|
TX |
2904 |
TEXAS MEDICAID LTC |
|
617591011CMSP |
Y |
Y |
I |
4352 |
|
|
TX |
8202 |
TEXAS MEDICAID LTC |
|
617591011CMSP |
Y |
Y |
P |
4322 |
|
|
TX |
1440 |
TEXAS MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
04412 |
Y |
Y |
P |
4321 |
|
|
TX |
5502 |
TEXAS MEDICARE |
NOVITAS SOLUTIONS MAC-JH |
04411 |
Y |
Y |
I |
4351 |
|
|
TX |
1360 |
TEXAS WORKERS' COMPENSATION |
|
|
N |
N |
P |
1360TX |
|
|
TX |
1083 |
TRANSAMERICA LIFE INSURANCE COMPANY - PLANO AND HU |
|
TRTLC |
N |
Y |
I |
4350 |
|
|
TX |
8110 |
TRANSAMERICA LIFE INSURANCE COMPANY - PLANO AND HU |
|
TRTLC |
N |
Y |
P |
4320 |
|
|
UT |
1530 |
UTAH BLUE CROSS - FEP |
|
00910 |
N |
Y |
I |
4353 |
|
|
UT |
2788 |
UTAH BLUE SHIELD - FEP |
|
00910 |
N |
Y |
P |
4323 |
|
|
UT |
1486 |
UTAH MEDICAID |
UHIN |
SKUT0 |
Y |
Y |
P |
4302 |
|
|
UT |
1528 |
UTAH MEDICAID |
UHIN |
HT000004-001 |
Y |
Y |
I |
4352 |
|
|
UT |
6640 |
UTAH MEDICAID CROSSOVER |
UHIN |
HT000004-005 |
Y |
Y |
I |
4352 |
|
|
UT |
6801 |
UTAH MEDICAID CROSSOVER |
|
HT000004-005 |
Y |
Y |
P |
4302 |
|
|
UT |
1527 |
UTAH MEDICARE |
NORIDIAN MAC - JF |
03501 |
Y |
Y |
I |
4351 |
|
|
UT |
2458 |
UTAH MEDICARE |
NORIDIAN MAC - JF |
03502 |
Y |
Y |
P |
4321 |
|
|
UT |
1529 |
UTAH REGENCE BLUE CROSS BLUE SHIELD |
|
00910 |
N |
Y |
I |
4353 |
|
|
UT |
2412 |
UTAH REGENCE BLUE CROSS BLUE SHIELD |
|
00910 |
N |
Y |
P |
4323 |
|
|
VA |
1413 |
ANTHEM HEALTHKEEPERS |
|
00423 |
N |
Y |
P |
4323 |
|
|
VA |
5537 |
ANTHEM HEALTHKEEPERS |
|
00423 |
N |
Y |
I |
4353 |
|
|
VA |
1413 |
ANTHEM HEALTHKEEPERS PLUS |
|
00423 |
N |
Y |
P |
4323 |
|
|
VA |
5537 |
ANTHEM HEALTHKEEPERS PLUS |
|
00423 |
N |
Y |
I |
4353 |
|
|
VA |
1413 |
HEALTHKEEPERS INC. |
|
00423 |
N |
Y |
P |
4323 |
|
|
VA |
5537 |
HEALTHKEEPERS INC. |
|
00423 |
N |
Y |
I |
4353 |
|
|
VA |
5537 |
VIRGINIA BLUE CROSS |
|
00423 |
N |
Y |
I |
4353 |
|
|
VA |
1413 |
VIRGINIA BLUE SHIELD |
|
00423 |
N |
Y |
P |
4323 |
|
|
VA |
1472 |
VIRGINIA MEDICAID |
HP ENTERPRISE SERVICES |
VMAP FHSC FA |
N |
Y |
P |
4322 |
|
|
VA |
5538 |
VIRGINIA MEDICAID |
HP ENTERPRISE SERVICES |
VMAP FHSC FA |
N |
Y |
I |
4352 |
|
|
VA |
7447 |
VIRGINIA MEDICAID LAB |
HP ENTERPRISE SERVICES |
VMAP FHSC FA |
N |
Y |
P |
4322 |
|
|
VA |
1442 |
VIRGINIA MEDICARE |
PALMETTO GBA MAC - JM |
11302 |
Y |
Y |
P |
4321 |
|
|
VA |
5536 |
VIRGINIA MEDICARE |
PALMETTO GBA MAC - JM |
11003 |
Y |
Y |
I |
4351 |
|
|
VA |
2461 |
VIRGINIA MEDICARE (ALEX, ARLGTN, FAIRFAX |
NOVITAS SOLUTIONS MAC-JL |
12202 |
Y |
Y |
P |
4321 |
|
|
VI |
6229 |
US VIRGIN ISLANDS BLUE SHIELD |
|
965 |
N |
N |
P |
4303 |
|
|
VI |
4487 |
VIRGIN ISLANDS MEDICARE |
FIRST COAST MAC - JN |
09302 |
Y |
Y |
P |
4321 |
|
|
VT |
4967 |
VERMONT BLUE CROSS |
|
BCBSVT |
N |
Y |
I |
4353 |
|
|
VT |
7493 |
VERMONT BLUE SHIELD |
|
BCBSVT |
N |
Y |
P |
4323 |
|
|
VT |
7492 |
VERMONT MEDICAID |
HP - MEDICAID |
VERMONTGMC |
Y |
Y |
P |
4322 |
|
|
VT |
3569 |
VERMONT MEDICAID INPATIENT |
HP - MEDICAID |
VERMONTGMC |
Y |
Y |
I |
4352 |
|
|
VT |
3570 |
VERMONT MEDICAID OUTPATIENT |
HP - MEDICAID |
VERMONTGMC |
Y |
Y |
I |
4352 |
|
|
VT |
2471 |
VERMONT MEDICARE |
NGS MAC - JK |
14512 |
Y |
Y |
P |
4321 |
|
|
VT |
5954 |
VERMONT MEDICARE |
NGS MAC - JK |
14013 |
Y |
Y |
I |
4351 |
|
|
WA |
1482 |
APPLE HEALTH AKA WASHINGTON MEDICAID |
HP ENTERPRISE SERVICES |
77045 |
Y |
Y |
P |
4302 |
|
|
WA |
5523 |
APPLE HEALTH AKA WASHINGTON MEDICAID |
HP ENTERPRISE SERVICES |
77045 |
Y |
Y |
I |
4352 |
|
|
WA |
7445 |
BLUE CROSS WA/AK PREMERA BLUE CROSS |
PREMERA |
00430 |
N |
Y |
P |
4323 |
|
|
WA |
5522 |
LIFEWISE of WASHINGTON |
PREMERA |
00430 |
N |
Y |
I |
4353 |
|
|
WA |
7445 |
LIFEWISE of WASHINGTON |
PREMERA |
00430 |
N |
Y |
P |
4323 |
|
|
WA |
1997 |
UMP PLUS |
|
00932 |
N |
Y |
I |
4353 |
|
|
WA |
7451 |
UMP PLUS |
|
00932 |
N |
Y |
P |
4323 |
|
|
WA |
3572 |
WA & AK HLTHY OPTIONS/BASIC HLTH PL |
PREMERA |
00430 |
N |
Y |
I |
4352 |
|
|
WA |
5522 |
WASHINGTON AND ALASKA BLUE CROSS |
PREMERA |
00430 |
N |
Y |
I |
4353 |
|
|
WA |
5521 |
WASHINGTON AND ALASKA MEDICARE |
NORIDIAN MAC - JF |
02001 |
Y |
Y |
I |
4351 |
|
|
WA |
1997 |
WASHINGTON BLUE CROSS REGENCE |
|
00932 |
N |
Y |
I |
4353 |
|
|
WA |
7451 |
WASHINGTON BLUE SHIELD REGENCE |
|
00932 |
N |
Y |
P |
4323 |
|
|
WA |
1482 |
WASHINGTON MEDICAID |
HP ENTERPRISE SERVICES |
77045 |
Y |
Y |
P |
4302 |
|
|
WA |
5523 |
WASHINGTON MEDICAID |
HP ENTERPRISE SERVICES |
77045 |
Y |
Y |
I |
4352 |
|
|
WA |
1462 |
WASHINGTON MEDICARE |
NORIDIAN MAC - JF |
02402 |
Y |
Y |
P |
4321 |
|
|
WA |
1482 |
WASHINGTON STATE DEPARTMENT OF CORRECTIONS |
HP ENTERPRISE SERVICES |
77045 |
Y |
Y |
P |
4302 |
|
|
WA |
5523 |
WASHINGTON STATE DEPARTMENT OF CORRECTIONS |
HP ENTERPRISE SERVICES |
77045 |
Y |
Y |
I |
4352 |
|
|
WA |
4404 |
WASHINGTON WORKERS COMPENSATION |
|
916001069 |
Y |
Y |
P |
4300 |
|
|
WA |
5563 |
WASHINGTON WORKERS COMPENSATION |
|
916001069 |
Y |
Y |
I |
1386 |
|
|
WI |
7453 |
ATRIUM HEALTH PLAN INC - MEDICAID HMO |
|
95192 |
N |
Y |
P |
4322 |
|
|
WI |
1401 |
CLAIMS MANAGEMENT SERVICES, INC. |
|
00950 |
N |
Y |
P |
4323 |
|
|
WI |
5511 |
CLAIMS MANAGEMENT SERVICES, INC. |
|
00450 |
N |
Y |
I |
4353 |
|
|
WI |
1401 |
COMMUNITYCONNECT HEALTH PLAN |
|
00950 |
N |
Y |
P |
4323 |
|
|
WI |
5511 |
COMMUNITYCONNECT HEALTH PLAN |
|
00450 |
N |
Y |
I |
4353 |
|
|
WI |
7453 |
COMPCARE (WISCONSIN BADGERCARE ONLY) |
|
95192 |
N |
Y |
P |
4322 |
|
|
WI |
7453 |
COMPCARE HEALTH SERVICES |
|
95192 |
N |
Y |
P |
4322 |
|
|
WI |
7453 |
GROUP HEALTH COOPERATIVE - MEDICAID HMO |
|
95192 |
N |
Y |
P |
4322 |
|
|
WI |
7453 |
GROUP HEALTH COOPERATIVE OF EAU CLAIRE |
|
95192 |
N |
Y |
P |
4322 |
|
|
WI |
7453 |
GROUP HEALTH COOPERATIVE of EAU CLAIRE |
|
95192 |
N |
Y |
P |
4322 |
|
|
WI |
5511 |
WISCONSIN BLUE CROSS |
|
00450 |
N |
Y |
I |
4353 |
|
|
WI |
1401 |
WISCONSIN BLUE SHIELD |
|
00950 |
N |
Y |
P |
4323 |
|
|
WI |
1467 |
WISCONSIN MEDICAID |
HP - MEDICAID |
WISC_TXIX |
N |
Y |
P |
4322 |
|
|
WI |
5510 |
WISCONSIN MEDICAID |
|
WISC_TXIX |
N |
Y |
I |
4352 |
|
|
WI |
1434 |
WISCONSIN MEDICARE |
NGS MAC - J6 |
06302 |
Y |
Y |
P |
4321 |
|
|
WI |
5512 |
WISCONSIN MEDICARE |
NGS MAC - J6 |
06001 |
Y |
Y |
I |
4351 |
|
|
WV |
1308 |
WEST VIRGINIA BC BS OF PARKERSBURG |
|
|
N |
N |
P |
1308WV |
|
|
WV |
3589 |
WEST VIRGINIA HIGHMARK BLUE CROSS BLUE SHIELD |
|
54828 |
Y |
Y |
I |
4353 |
|
|
WV |
7474 |
WEST VIRGINIA HIGHMARK BLUE CROSS BLUE SHIELD |
|
54828 |
Y |
Y |
P |
4303 |
|
|
WV |
2477 |
WEST VIRGINIA MEDICAID |
MOLINA - MEDICAID |
WV_MMIS_4MOLINA |
N |
Y |
P |
4322 |
|
|
WV |
5532 |
WEST VIRGINIA MEDICAID |
MOLINA - MEDICAID |
WV_MMIS_4MOLINA |
N |
Y |
I |
4352 |
|
|
WV |
1450 |
WEST VIRGINIA MEDICARE |
PALMETTO GBA MAC - JM |
11402 |
Y |
Y |
P |
4321 |
|
|
WV |
5530 |
WEST VIRGINIA MEDICARE |
PALMETTO GBA MAC - JM |
11003 |
Y |
Y |
I |
4351 |
|
|
WY |
3584 |
WYOMING BLUE CROSS |
NORIDIAN MAC - JE |
53767 |
N |
Y |
I |
4353 |
|
|
WY |
7489 |
WYOMING BLUE SHIELD |
NORIDIAN MAC - JE |
53767 |
N |
Y |
P |
4303 |
|
|
WY |
2577 |
WYOMING MEDICAID |
|
77046 |
Y |
Y |
I |
4352 |
|
|
WY |
7458 |
WYOMING MEDICAID |
|
77046 |
Y |
Y |
P |
4322 |
|
|
WY |
2466 |
WYOMING MEDICARE |
NORIDIAN MAC - JF |
03602 |
Y |
Y |
P |
4321 |
|
|
WY |
3583 |
WYOMING MEDICARE |
NORIDIAN MAC - JF |
03601 |
Y |
Y |
I |
4351 |
|
|
|
4913 |
(IHC) INTERNATIONAL HOLDING GRP |
|
86304 |
N |
N |
I |
4350 |
|
|
|
6845 |
1-888-OHIOCOMP |
|
236003113 |
Y |
N |
P |
4320 |
|
|
|
7627 |
1-888-OHIOCOMP |
|
236003113 |
Y |
N |
I |
4350 |
|
|
|
4551 |
1199SEIU FAMILY OF FUNDS |
|
13162 |
N |
Y |
I |
4350 |
|
|
|
5405 |
1199SEIU FAMILY OF FUNDS |
|
13162 |
N |
Y |
P |
4320 |
|
|
|
8215 |
2020 EYECARE |
|
2020E |
N |
N |
P |
4320 |
|
|
|
2170 |
21ST CENTURY INSURANCE and FINANCIAL SERVICES |
|
51028 |
N |
N |
P |
4320 |
|
|
|
4014 |
6 DEGREES HEALTH |
|
20446 |
N |
N |
I |
4350 |
|
|
|
8721 |
6 DEGREES HEALTH |
|
20446 |
N |
N |
P |
4320 |
|
|
|
5879 |
8TH DISTRICT ELECTRICAL |
|
74234 |
N |
N |
P |
4320 |
|
|
|
4023 |
A G ADMINISTRATORS LLC |
|
11370 |
N |
Y |
I |
4350 |
|
|
|
8752 |
A G ADMINISTRATORS LLC |
|
11370 |
N |
Y |
P |
4320 |
|
|
|
3296 |
A and I BENEFIT PLAN ADMINISTRATORS |
|
93044 |
N |
N |
P |
4320 |
|
|
|
8934 |
A and I BENEFIT PLAN ADMINISTRATORS |
|
93044 |
N |
N |
I |
4350 |
|
|
|
2722 |
AAG AMERICAN ADMINISTRATIVE GROUP |
|
37283 |
N |
Y |
P |
4320 |
|
|
|
3926 |
AAG AMERICAN ADMINISTRATIVE GROUP |
|
37283 |
N |
Y |
I |
4350 |
|
|
|
2722 |
AAG GALLAGHER BENEFITS |
|
37283 |
N |
Y |
P |
4320 |
|
|
|
3926 |
AAG GALLAGHER BENEFITS |
|
37283 |
N |
Y |
I |
4350 |
|
|
|
5271 |
AARP |
|
36273 |
N |
Y |
P |
4320 |
|
|
|
8940 |
AARP |
|
36273 |
N |
Y |
I |
4350 |
|
|
|
5271 |
AARP HOSPITAL INDEMNITY PLANS |
|
36273 |
N |
Y |
P |
4320 |
|
|
|
8940 |
AARP HOSPITAL INDEMNITY PLANS |
|
36273 |
N |
Y |
I |
4350 |
|
|
|
3429 |
AARP MEDICARE COMPLETE |
|
87726 |
N |
Y |
P |
4320 |
|
|
|
3550 |
AARP MEDICARE COMPLETE |
|
87726 |
N |
Y |
I |
4350 |
|
|
|
5271 |
AARP MEDICARE SUPPLEMENT PLANS |
|
36273 |
N |
Y |
P |
4320 |
|
|
|
8940 |
AARP MEDICARE SUPPLEMENT PLANS |
|
36273 |
N |
Y |
I |
4350 |
|
|
|
1073 |
ABLEPAY HEALTH |
|
ABLPY |
N |
Y |
I |
4350 |
|
|
|
7896 |
ABLEPAY HEALTH |
|
ABLPY |
N |
Y |
P |
4320 |
|
|
|
1782 |
ABMA (ALTA BATEES MEDICAL ASSOCIATES) MEDICAL CORP |
|
E3510 |
N |
Y |
P |
4320 |
|
|
|
2931 |
ABMA (ALTA BATEES MEDICAL ASSOCIATES) MEDICAL CORP |
|
E3510 |
N |
Y |
I |
4350 |
|
|
|
2119 |
ABRI HEALTH PLAN |
|
ABRI1 |
N |
Y |
P |
4320 |
|
|
|
5951 |
ABRI HEALTH PLAN |
|
ABRI1 |
N |
Y |
I |
4350 |
|
|
|
4272 |
ABSOLUTE TOTAL CARE |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
8549 |
ABSOLUTE TOTAL CARE |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
3794 |
ABW - BERRIEN COUNTY |
|
38338 |
N |
Y |
P |
4320 |
|
|
|
8738 |
ACCELERATED CLAIMS, INC. |
|
99999-0748 |
N |
N |
P |
4320 |
|
|
|
9644 |
ACCELERATED CLAIMS, INC. |
|
99999-0748 |
N |
N |
I |
4350 |
|
|
|
5436 |
ACCENTURE |
|
86033 |
N |
Y |
P |
4320 |
|
|
|
1993 |
ACCESS ADMINISTRATORS |
|
AHS01 |
N |
N |
I |
4350 |
|
|
|
3421 |
ACCESS ADMINISTRATORS |
|
AHS01 |
N |
N |
P |
4320 |
|
|
|
1643 |
ACCESS BEHAVIORAL CARE |
|
COA |
N |
Y |
I |
4350 |
|
|
|
2431 |
ACCESS BEHAVIORAL CARE |
|
84129 |
N |
Y |
P |
4320 |
|
|
|
7566 |
ACCESS COMMUNITY HEALTH NETWORK |
|
ACCOM |
N |
N |
I |
4350 |
|
|
|
7765 |
ACCESS COMMUNITY HEALTH NETWORK |
|
ACCOM |
N |
N |
P |
4320 |
|
|
|
1694 |
ACCESS HEALTHNET |
|
53747 |
N |
N |
I |
4350 |
|
|
|
1736 |
ACCESS HEALTHNET |
|
53747 |
N |
N |
P |
4320 |
|
|
|
8119 |
ACCESS INTEGRA |
|
INTEG |
N |
Y |
P |
4320 |
|
|
|
7084 |
ACCESS IPA |
|
ACC01 |
N |
N |
I |
4350 |
|
|
|
9489 |
ACCESS IPA |
|
ACC01 |
N |
N |
P |
4320 |
|
|
|
3095 |
ACCESS MEDICAL GROUP |
|
AMG02 |
N |
N |
I |
4350 |
|
|
|
8719 |
ACCESS MEDICAL GROUP |
|
AMG02 |
N |
N |
P |
4320 |
|
|
|
1959 |
ACCLAIM REPRICING |
|
01066 |
N |
N |
I |
4350 |
|
|
|
3895 |
ACCLAIM REPRICING |
|
01066 |
N |
N |
P |
4320 |
|
|
|
1643 |
ACCOUNTABLE CARE COLLABORATIVE |
|
COA |
N |
Y |
I |
4350 |
|
|
|
2431 |
ACCOUNTABLE CARE COLLABORATIVE |
|
84129 |
N |
Y |
P |
4320 |
|
|
|
2596 |
ACCOUNTABLE HEALTHCARE IPA |
|
AHIPA |
N |
N |
I |
4350 |
|
|
|
7273 |
ACCOUNTABLE HEALTHCARE IPA |
|
AHIPA |
N |
N |
P |
4320 |
|
|
|
8006 |
ACMG BENEFIT ADMINISTRATORS |
|
45328 |
N |
N |
I |
4350 |
|
|
|
9719 |
ACMG BENEFIT ADMINISTRATORS |
|
45328 |
N |
N |
P |
4320 |
|
|
|
1843 |
ACS BENEFIT SERVICES, INC. |
|
72467 |
N |
Y |
P |
4320 |
|
|
|
3908 |
ACS BENEFIT SERVICES, INC. |
|
72467 |
N |
Y |
I |
4350 |
|
|
|
7461 |
ACTIN CARE GROUPS |
|
24585 |
N |
N |
P |
4320 |
|
|
|
9632 |
ACTIN CARE GROUPS |
|
24585 |
N |
N |
I |
4350 |
|
|
|
9135 |
ACTUARIAL MANAGEMENT RESOURCES |
|
30377 |
N |
Y |
P |
4320 |
|
|
|
6073 |
ADMIN de COMPENSACIONES por ACCIDENTES AUTO - ACAA |
|
ACAA |
N |
N |
I |
4350 |
|
|
|
9234 |
ADMIN de COMPENSACIONES por ACCIDENTES AUTO - ACAA |
|
ACAA |
N |
N |
P |
4320 |
|
|
|
3228 |
ADMINISTRATIVE CONCEPTS |
|
22384 |
N |
Y |
P |
4320 |
|
|
|
3952 |
ADMINISTRATIVE CONCEPTS |
|
E2384 |
N |
Y |
I |
4350 |
|
|
|
4295 |
ADMINISTRATIVE SERVICES INC. |
|
59141 |
N |
N |
P |
4320 |
|
|
|
9565 |
ADMINISTRATIVE SERVICES INC. |
|
59141 |
N |
N |
I |
4350 |
|
|
|
6804 |
ADVANCED HEALTH |
|
DOCSO |
N |
Y |
P |
4320 |
|
|
|
7667 |
ADVANCED HEALTH |
|
UOCSO |
N |
Y |
I |
4350 |
|
|
|
1739 |
ADVANCED MEDICAL DOCTORS OF CALIFORNIA |
|
AMDC1 |
N |
N |
P |
4320 |
|
|
|
1905 |
ADVANCED MEDICAL DOCTORS OF CALIFORNIA |
|
AMDC1 |
N |
N |
I |
4350 |
|
|
|
5879 |
ADVANSTAFF, INC. |
|
74234 |
N |
N |
P |
4320 |
|
|
|
9564 |
ADVANTAGE BY BUCKEYE |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
4154 |
ADVANTAGE MEDICAL GROUP |
|
NMM01 |
N |
Y |
P |
4320 |
|
|
|
6626 |
ADVANTAGE MEDICAL GROUP |
|
NMM01 |
N |
Y |
I |
4350 |
|
|
|
4779 |
ADVANTAGE U MEDICARE |
|
SX155 |
N |
Y |
P |
4320 |
|
|
|
5920 |
ADVANTAGE U MEDICARE |
|
SX155 |
N |
Y |
I |
4350 |
|
|
|
4793 |
ADVANTAGE by BUCKEYE |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
1636 |
ADVANTEK BENEFIT ADMINISTRATORS |
|
83077 |
N |
Y |
I |
4350 |
|
|
|
6122 |
ADVANTEK BENEFIT ADMINISTRATORS |
|
83077 |
N |
Y |
P |
4320 |
|
|
|
4621 |
ADVANTICA BENEFITS |
|
59374 |
N |
N |
I |
4350 |
|
|
|
6138 |
ADVANTICA BENEFITS |
|
59374 |
N |
N |
P |
4320 |
|
|
|
4027 |
ADVANZEON SOLUTIONS |
|
59314 |
N |
N |
I |
4350 |
|
|
|
8756 |
ADVANZEON SOLUTIONS |
|
59314 |
N |
N |
P |
4320 |
|
|
|
8026 |
ADVENTHEALTH TRANSPLANT INSTITUTE |
|
AHTP01 |
N |
Y |
I |
4350 |
|
|
|
9743 |
ADVENTHEALTH TRANSPLANT INSTITUTE |
|
AHTP01 |
N |
Y |
P |
4320 |
|
|
|
2099 |
ADVENTIST HEALTH HANFORD AHP |
|
MPM36 |
N |
N |
I |
4350 |
|
|
|
7055 |
ADVENTIST HEALTH PHYSICIANS NETWORK |
|
MPM51 |
N |
N |
I |
4350 |
|
|
|
9437 |
ADVENTIST HEALTH PHYSICIANS NETWORK |
|
MPM51 |
N |
N |
P |
4320 |
|
|
|
2094 |
ADVENTIST HEALTH PLAN |
|
MPM37 |
N |
N |
I |
4350 |
|
|
|
8242 |
ADVENTIST HEALTH PLAN |
|
MPM37 |
N |
N |
P |
4320 |
|
|
|
2114 |
ADVENTIST HEALTH SYSTEM |
|
95340 |
N |
Y |
P |
4320 |
|
|
|
2932 |
ADVENTIST HEALTH SYSTEM |
|
95340 |
N |
Y |
I |
4350 |
|
|
|
1061 |
ADVENTIST WHITE MEMORIAL-CROWN CITY MEDICAL GROUP |
|
MPM33 |
N |
N |
I |
4350 |
|
|
|
7888 |
ADVENTIST WHITE MEMORIAL-CROWN CITY MEDICAL GROUP |
|
MPM33 |
N |
N |
P |
4320 |
|
|
|
1844 |
ADVICARE |
|
14163 |
N |
Y |
P |
4320 |
|
|
|
8551 |
ADVICARE |
|
14163 |
N |
Y |
I |
4350 |
|
|
|
WELL |
ADVICARE |
|
45423 |
N |
N |
N/A |
4350 |
|
|
|
3055 |
ADVISORY HEALTH ADMINISTRATORS |
|
CB159 |
N |
N |
I |
4350 |
|
|
|
8426 |
ADVISORY HEALTH ADMINISTRATORS |
|
CB159 |
N |
N |
P |
4320 |
|
|
|
2801 |
ADVOCATE BETHANY HLTH PARTNERS |
|
65093 |
N |
Y |
P |
4320 |
|
|
|
2801 |
ADVOCATE CHRIST HOSPITAL PARTNERS |
|
65093 |
N |
Y |
P |
4320 |
|
|
|
2801 |
ADVOCATE GOOD SAMARITAN PARTNERS |
|
65093 |
N |
Y |
P |
4320 |
|
|
|
2801 |
ADVOCATE GOOD SHEPHERD PARTNERS |
|
65093 |
N |
Y |
P |
4320 |
|
|
|
2517 |
ADVOCATE HEALTH CENTERS |
|
36320 |
N |
Y |
I |
4350 |
|
|
|
3704 |
ADVOCATE HEALTH CENTERS |
|
36320 |
N |
Y |
P |
4320 |
|
|
|
2510 |
ADVOCATE HEALTH PARTNERS |
|
65093 |
N |
Y |
I |
4350 |
|
|
|
2801 |
ADVOCATE HEALTH PARTNERS |
|
65093 |
N |
Y |
P |
4320 |
|
|
|
2801 |
ADVOCATE LUTHERAN GENERAL PARTNERS |
|
65093 |
N |
Y |
P |
4320 |
|
|
|
2801 |
ADVOCATE SOUTH SUBURBAN PARTNERS |
|
65093 |
N |
Y |
P |
4320 |
|
|
|
2801 |
ADVOCATE TRINITY HLTH PARTNERS |
|
65093 |
N |
Y |
P |
4320 |
|
|
|
1226 |
AEGIS ADMINISTRATIVE SERVICES |
|
CB637 |
N |
N |
P |
4320 |
|
|
|
4526 |
AEGIS ADMINISTRATIVE SERVICES |
|
CB637 |
N |
N |
I |
4350 |
|
|
|
4500 |
AETNA |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
6400 |
AETNA - AEXEL |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - AEXEL |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
4500 |
AETNA - CHOICE POS II |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - CHOICE POS II |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - ELECT CHOICE (EC) |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - ELECT CHOICE (EC) |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - EPO |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - EPO |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - GOLDEN CHOICE (MEDICARE ADVANTAGE PLAN) |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - GOLDEN CHOICE (MEDICARE ADVANTAGE PLAN) |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
6400 |
AETNA - GOLDEN MEDICARE (MEDICARE ADVANTAGE PLAN) |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - GOLDEN MEDICARE - MEDICARE ADVANTAGE PLAN |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
4500 |
AETNA - HMO |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - HMO |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - INDEMNITY |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - INDEMNITY |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - MANAGED CHOICE (MC) |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - MANAGED CHOICE (MC) |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - OPEN ACCESS HMO |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - OPEN ACCESS HMO |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - OPEN CHOICE (OC) |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - OPEN CHOICE (OC) |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - PPO |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - PPO |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - QPOS |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - QPOS |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA - TRADITIONAL CHOICE (TC) |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - TRADITIONAL CHOICE (TC) |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
2760 |
AETNA - US HEALTHCARE - J1 - JVHL |
|
J1 |
Y |
Y |
P |
4300 |
|
|
|
4500 |
AETNA - USACCESS |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA - USACCESS |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4978 |
AETNA -US HEALTHCARE - J1 - JVHL |
|
J1 |
Y |
Y |
I |
4350 |
|
|
|
4011 |
AETNA AFFORDABLE CHOICES (SM) - SRC |
|
57604 |
N |
Y |
I |
4350 |
|
|
|
8737 |
AETNA AFFORDABLE CHOICES (SM) - SRC |
|
57604 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA AFFORDABLE HEALTH CHOICES |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA AFFORDABLE HEALTH CHOICES |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA AFFORDABLE HEALTH CHOICES - SRC |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA AFFORDABLE HEALTH CHOICES - SRC |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
7187 |
AETNA ASA/GEHA |
|
06603 |
N |
N |
P |
4320 |
|
|
|
8628 |
AETNA ASA/GEHA |
|
06603 |
N |
N |
I |
4350 |
|
|
|
4623 |
AETNA BETTER HEALTH - IL MEDICAID |
|
26337 |
N |
Y |
I |
4350 |
|
|
|
6140 |
AETNA BETTER HEALTH - IL MEDICAID |
|
26337 |
N |
Y |
P |
4320 |
|
|
|
3617 |
AETNA BETTER HEALTH - PENNSYLVANIA MEDICAID |
|
23228 |
N |
Y |
I |
4350 |
|
|
|
5823 |
AETNA BETTER HEALTH - PENNSYLVANIA MEDICAID |
|
23228 |
N |
Y |
P |
4320 |
|
|
|
3617 |
AETNA BETTER HEALTH KIDS |
|
23228 |
N |
Y |
I |
4350 |
|
|
|
5823 |
AETNA BETTER HEALTH KIDS |
|
23228 |
N |
Y |
P |
4320 |
|
|
|
4623 |
AETNA BETTER HEALTH OF ILLINOIS |
|
26337 |
N |
Y |
I |
4350 |
|
|
|
6140 |
AETNA BETTER HEALTH OF ILLINOIS |
|
26337 |
N |
Y |
P |
4320 |
|
|
|
1084 |
AETNA BETTER HEALTH OF KANSAS |
|
128KS |
N |
Y |
I |
4350 |
|
|
|
8111 |
AETNA BETTER HEALTH OF KANSAS |
|
128KS |
N |
Y |
P |
4320 |
|
|
|
7052 |
AETNA BETTER HEALTH OF OHIORISE |
|
45221 |
N |
Y |
I |
4350 |
|
|
|
9435 |
AETNA BETTER HEALTH OF OHIORISE |
|
45221 |
N |
Y |
P |
4320 |
|
|
|
3617 |
AETNA BETTER HEALTH OF PENNSYLVANIA |
|
23228 |
N |
Y |
I |
4350 |
|
|
|
5823 |
AETNA BETTER HEALTH OF PENNSYLVANIA |
|
23228 |
N |
Y |
P |
4320 |
|
|
|
2142 |
AETNA BETTER HEALTH OF TEXAS |
|
38692 |
N |
Y |
P |
4320 |
|
|
|
2933 |
AETNA BETTER HEALTH OF TEXAS |
|
38692 |
N |
Y |
I |
4350 |
|
|
|
2142 |
AETNA BETTER HEALTH OF TEXAS CHIP |
|
38692 |
N |
Y |
P |
4320 |
|
|
|
2933 |
AETNA BETTER HEALTH OF TEXAS CHIP |
|
38692 |
N |
Y |
I |
4350 |
|
|
|
7270 |
AETNA BETTER HEALTH PREMIER PLAN - JVHL |
|
M5 |
Y |
Y |
P |
4320 |
|
|
|
8683 |
AETNA BETTER HEALTH PREMIER PLAN - JVHL |
|
M5 |
Y |
Y |
I |
4350 |
|
|
|
2142 |
AETNA BETTER HEALTH TX MEDICAID CHIP |
|
38692 |
N |
Y |
P |
4320 |
|
|
|
2933 |
AETNA BETTER HEALTH TX MEDICAID CHIP |
|
38692 |
N |
Y |
I |
4350 |
|
|
|
1015 |
AETNA BETTER HEALTH of CALIFORNIA |
|
128CA |
N |
Y |
I |
4350 |
|
|
|
7838 |
AETNA BETTER HEALTH of CALIFORNIA |
|
128CA |
N |
Y |
P |
4320 |
|
|
|
7265 |
AETNA BETTER HEALTH of FLORIDA |
|
128FL |
N |
Y |
P |
4320 |
|
|
|
8678 |
AETNA BETTER HEALTH of FLORIDA |
|
128FL |
N |
Y |
I |
4350 |
|
|
|
5013 |
AETNA BETTER HEALTH of ILLINOIS - MEDICAID |
|
68024 |
N |
Y |
I |
4350 |
|
|
|
8861 |
AETNA BETTER HEALTH of ILLINOIS - MEDICAID |
|
68024 |
N |
Y |
P |
4320 |
|
|
|
4623 |
AETNA BETTER HEALTH of ILLINOIS - MMAI |
|
26337 |
N |
Y |
I |
4350 |
|
|
|
6140 |
AETNA BETTER HEALTH of ILLINOIS - MMAI |
|
26337 |
N |
Y |
P |
4320 |
|
|
|
7410 |
AETNA BETTER HEALTH of KENTUCKY |
|
128KY |
N |
Y |
P |
4320 |
|
|
|
9626 |
AETNA BETTER HEALTH of KENTUCKY |
|
128KY |
N |
Y |
I |
4350 |
|
|
|
7183 |
AETNA BETTER HEALTH of LOUISIANA |
|
128LA |
N |
Y |
P |
4320 |
|
|
|
8621 |
AETNA BETTER HEALTH of LOUISIANA |
|
128LA |
N |
Y |
I |
4350 |
|
|
|
7554 |
AETNA BETTER HEALTH of MARYLAND |
|
128MD |
N |
Y |
I |
4350 |
|
|
|
7758 |
AETNA BETTER HEALTH of MARYLAND |
|
128MD |
N |
Y |
P |
4320 |
|
|
|
7220 |
AETNA BETTER HEALTH of MICHIGAN |
|
128MI |
N |
Y |
P |
4320 |
|
|
|
8637 |
AETNA BETTER HEALTH of MICHIGAN |
|
128MI |
N |
Y |
I |
4350 |
|
|
|
7190 |
AETNA BETTER HEALTH of NEW JERSEY |
|
46320 |
N |
Y |
P |
4320 |
|
|
|
8629 |
AETNA BETTER HEALTH of NEW JERSEY |
|
46320 |
N |
Y |
I |
4350 |
|
|
|
6832 |
AETNA BETTER HEALTH of NEW YORK |
|
34734 |
N |
Y |
P |
4320 |
|
|
|
3617 |
AETNA BETTER HEALTH of PENNSYLVANIA |
|
23228 |
N |
Y |
I |
4350 |
|
|
|
2142 |
AETNA BETTER HEALTH of TEXAS |
|
38692 |
N |
Y |
P |
4320 |
|
|
|
2933 |
AETNA BETTER HEALTH of TEXAS |
|
38692 |
N |
Y |
I |
4350 |
|
|
|
7737 |
AETNA BETTER HEALTH of VIRGINIA |
|
128VA |
N |
Y |
P |
4320 |
|
|
|
9686 |
AETNA BETTER HEALTH of VIRGINIA |
|
128VA |
N |
Y |
I |
4350 |
|
|
|
1147 |
AETNA BETTER HEALTH of WEST VIRGINIA |
|
128WV |
N |
Y |
P |
4320 |
|
|
|
1577 |
AETNA BETTER HEALTH of WEST VIRGINIA |
|
128WV |
N |
Y |
I |
4350 |
|
|
|
2759 |
AETNA BETTER HEATLH of MI - JVHL |
|
J8 |
Y |
Y |
P |
4300 |
|
|
|
4995 |
AETNA BETTER HEATLH of MI - JVHL |
|
J8 |
Y |
Y |
I |
4350 |
|
|
|
5075 |
AETNA ENCOUNTERS CALIFORNIA IPA |
|
99138 |
N |
N |
I |
4350 |
|
|
|
4500 |
AETNA GOLDEN MEDICARE PLAN |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA GOLDEN MEDICARE PLAN |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA HEALTH FUND (AHF) |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA HEALTH FUND (AHF) |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA LEAP |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA LEAP |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
4500 |
AETNA LIFE AND CASUALTY |
|
60054 |
N |
Y |
I |
4350 |
|
|
|
6400 |
AETNA LIFE AND CASUALTY |
|
60054 |
N |
Y |
P |
4320 |
|
|
|
AETL |
AETNA LONG TERM CARE |
|
|
N |
N |
N/A |
1111 |
|
|
|
8227 |
AETNA RX CAREMARK |
|
Z1420 |
N |
Y |
N/A |
4320 |
|
|
|
6870 |
AETNA SSI |
|
62118 |
Y |
Y |
P |
4320 |
|
|
|
7649 |
AETNA SSI |
|
62118 |
Y |
Y |
I |
4350 |
|
|
|
3076 |
AETNA SSI MEOB |
|
MSUPP |
Y |
N |
I |
4350 |
|
|
|
8704 |
AETNA SSI MEOB |
|
MSUPP |
Y |
N |
P |
4320 |
|
|
|
3078 |
AETNA SSI VA EXCLUSIONS |
|
VAEXC |
Y |
N |
I |
4350 |
|
|
|
8706 |
AETNA SSI VA EXCLUSIONS |
|
VAEXC |
Y |
N |
P |
4320 |
|
|
|
1667 |
AFFILIATED DOCTORS OF ORANGE COUNTY (ADOC) |
|
27344 |
N |
N |
I |
4350 |
|
|
|
5810 |
AFFILIATED DOCTORS OF ORANGE COUNTY (ADOC) |
|
27344 |
N |
N |
P |
4320 |
|
|
|
9737 |
AFFILIATED PARTNERS IPA |
|
POP09 |
N |
N |
P |
4320 |
|
|
|
5217 |
AFFINITY MEDICAL GROUP |
|
46594 |
N |
N |
P |
4320 |
|
|
|
9683 |
AFFINITY MEDICAL GROUP |
|
46594 |
N |
N |
I |
4350 |
|
|
|
3878 |
AGA |
|
37280 |
N |
N |
P |
4320 |
|
|
|
1744 |
AGC INTERNATIONAL UNION OF OPERATING ENGINEERS LOC |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
1214 |
AGERIGHT ADVANTAGE HEALTH PLAN |
|
ARA01 |
N |
Y |
P |
4320 |
|
|
|
3937 |
AGERIGHT ADVANTAGE HEALTH PLAN |
|
ARA01 |
N |
Y |
I |
4350 |
|
|
|
7702 |
AGEWELL NEW YORK |
|
AWNY6 |
N |
Y |
P |
4320 |
|
|
|
9645 |
AGEWELL NEW YORK |
|
AWNY6 |
N |
Y |
I |
4350 |
|
|
|
8267 |
AHP PROVIDER NETWORK |
|
MPM38 |
N |
N |
P |
4320 |
|
|
|
3981 |
AHPO |
|
31138 |
N |
N |
I |
4350 |
|
|
|
4296 |
AHPO |
|
31138 |
N |
N |
P |
4320 |
|
|
|
7059 |
AIDS HEALTHCARE FOUNDATION - RW |
|
95433 |
N |
Y |
I |
4350 |
|
|
|
9443 |
AIDS HEALTHCARE FOUNDATION - RW |
|
95433 |
N |
Y |
P |
4320 |
|
|
|
6021 |
AIDS Healthcare Foundation - PHC |
|
95422 |
N |
Y |
I |
4350 |
|
|
|
9178 |
AIDS Healthcare Foundation - PHC |
|
95422 |
N |
Y |
P |
4320 |
|
|
|
2109 |
AIG |
|
WCAS24101 |
N |
N |
P |
4300 |
|
|
|
6019 |
AITHER HEALTH PLAN |
|
64884 |
N |
N |
I |
4350 |
|
|
|
9136 |
AITHER HEALTH PLAN |
|
64884 |
N |
Y |
P |
4320 |
|
|
|
1744 |
AK UNITED FOOD AND COMMERCIAL WORKERS (AK UFCW) |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
6642 |
AKAMAI ADVANTAGE |
HMSA |
- |
Y |
Y |
I |
4353 |
|
|
|
6743 |
AKAMAI ADVANTAGE |
HMSA |
- |
Y |
Y |
P |
4303 |
|
|
|
6704 |
AKM MEDICAL GROUP |
|
CAPMN |
N |
Y |
P |
4320 |
|
|
|
9576 |
AKM MEDICAL GROUP |
|
CAPMN |
N |
Y |
I |
4350 |
|
|
|
1002 |
ALABAMA BLUE CROSS MEDICARE ADVANTAGE |
CAHABA GBA |
00010BC |
N |
N |
I |
4350 |
|
|
|
9476 |
ALACURA MEDICAL TRANSPORTATION MANAGEMENT, LLC |
|
RP065 |
N |
N |
P |
4320 |
|
|
|
1631 |
ALAMEDA ALLIANCE |
|
95327 |
Y |
Y |
I |
4300 |
|
|
|
2173 |
ALAMEDA ALLIANCE |
|
95327 |
Y |
Y |
P |
4300 |
|
|
|
1631 |
ALAMEDA ALLIANCE COMPLETE CARE |
|
95327 |
Y |
Y |
I |
4300 |
|
|
|
2173 |
ALAMEDA ALLIANCE COMPLETE CARE |
|
95327 |
Y |
Y |
P |
4300 |
|
|
|
7133 |
ALAMITOS IPA COASTAL HEALTHCARE MANAGEMENT |
|
AIPAZ |
Y |
N |
P |
4320 |
|
|
|
8699 |
ALAMITOS IPA COASTAL HEALTHCARE MANAGEMENT |
|
AIPAZ |
N |
N |
I |
4350 |
|
|
|
6418 |
ALASKA BREAST and CERVICAL HEALTH CHECK |
|
AKDOH |
Y |
N |
P |
4300 |
|
|
|
1744 |
ALASKA CARPENTERS TRUST |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
1744 |
ALASKA CHILDRENS SERVICES, INC. |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
6591 |
ALASKA CHILDRENS SERVICES, INC. |
|
91136 |
N |
Y |
I |
4350 |
|
|
|
1744 |
ALASKA HOTEL EMPLOYEES RESTAURANT & CAMP EMPLOYEES |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
1744 |
ALASKA LABORERS CONST. INDUSTRY GROUP |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
6591 |
ALASKA LABORERS CONST.R INDUSTRY TRUST(GROUP #F23) |
|
91136 |
N |
Y |
I |
4350 |
|
|
|
1744 |
ALASKA MACHINISTS HEALTH AND WELFARE TRUST |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
1744 |
ALASKA PIPE TRADES LOCAL 375 |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
6591 |
ALASKA PIPE TRADES LOCAL 375 (GROUP #F24) |
|
91136 |
N |
Y |
I |
4350 |
|
|
|
1744 |
ALASKA PUBLIC EMPLOYEES ASSOCIATION |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
1744 |
ALASKA UNITED FOOD & COMM WRKRS HLTH/WEL |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
6591 |
ALASKA UNITED FOOD & COMM WRKRS HLTH/WEL |
|
91136 |
N |
Y |
I |
4350 |
|
|
|
4509 |
ALBUQUERQUE JPPO - NEW MEXICO |
|
62308 |
N |
Y |
I |
4350 |
|
|
|
6405 |
ALBUQUERQUE PPO - NEW MEXICO |
|
62308 |
N |
Y |
P |
4320 |
|
|
|
1220 |
ALBUQUERQUE PUBLIC SCHOOLS |
|
85600 |
N |
Y |
P |
4320 |
|
|
|
4518 |
ALBUQUERQUE PUBLIC SCHOOLS |
|
85600 |
N |
Y |
I |
4350 |
|
|
|
1069 |
ALEXIAN BROTHERS COMMUNITY SERVICES of TENNESSEE |
|
44423 |
N |
Y |
I |
4350 |
|
|
|
7897 |
ALEXIAN BROTHERS COMMUNITY SERVICES of TENNESSEE |
|
44423 |
N |
Y |
P |
4320 |
|
|
|
4591 |
ALICARE |
|
13550 |
N |
Y |
I |
4350 |
|
|
|
5403 |
ALICARE |
|
13550 |
N |
Y |
P |
4320 |
|
|
|
7024 |
ALIGN SENIOR CARE OF CALIFORNIA |
|
ASCA1 |
N |
N |
I |
4350 |
|
|
|
9409 |
ALIGN SENIOR CARE OF CALIFORNIA |
|
ASCA1 |
N |
N |
P |
4320 |
|
|
|
3061 |
ALIGN SENIOR CARE OF MICHIGAN |
|
ASMI1 |
N |
Y |
I |
4350 |
|
|
|
8454 |
ALIGN SENIOR CARE OF MICHIGAN |
|
ASMI1 |
N |
Y |
P |
4320 |
|
|
|
3063 |
ALIGN SENIOR CARE OF VIRGINIA |
|
ASVA1 |
N |
Y |
I |
4350 |
|
|
|
8465 |
ALIGN SENIOR CARE OF VIRGINIA |
|
ASVA1 |
N |
Y |
P |
4320 |
|
|
|
6089 |
ALIGN SENIOR CARE of FLORIDA |
|
ASFL1 |
N |
N |
I |
4350 |
|
|
|
9267 |
ALIGN SENIOR CARE of FLORIDA |
|
ASFL1 |
N |
N |
P |
4320 |
|
|
|
8016 |
ALIGNED COMMUNITY PHYSICIANS |
|
ACP17 |
N |
N |
I |
4350 |
|
|
|
9736 |
ALIGNED COMMUNITY PHYSICIANS |
|
ACP17 |
N |
N |
P |
4320 |
|
|
|
7235 |
ALIGNMENT HEALTH CARE |
|
CCHPC |
N |
Y |
P |
4320 |
|
|
|
8653 |
ALIGNMENT HEALTH CARE |
|
CCHPC |
N |
Y |
I |
4350 |
|
|
|
8744 |
ALIVI HEALTH |
|
ALIVI |
N |
N |
P |
4320 |
|
|
|
8743 |
ALIVI THERAPY NETWORK |
|
ATNET |
N |
N |
P |
4320 |
|
|
|
1124 |
ALL AMERICAN MEDICAL GROUP |
|
AAMG1 |
N |
Y |
P |
4320 |
|
|
|
1572 |
ALL AMERICAN MEDICAL GROUP |
|
AAMG1 |
N |
Y |
I |
4350 |
|
|
|
1941 |
ALL SAVERS ALTERNATE FUNDING |
|
81400 |
N |
Y |
I |
4350 |
|
|
|
7481 |
ALL SAVERS ALTERNATE FUNDING |
|
81400 |
N |
Y |
P |
4320 |
|
|
|
ALLA |
ALL SAVERS HEALTH PLAN |
|
|
N |
N |
N/A |
4320 |
|
|
|
1941 |
ALL SAVERS INSURANCE |
|
81400 |
N |
Y |
I |
4350 |
|
|
|
7481 |
ALL SAVERS INSURANCE |
|
81400 |
N |
Y |
P |
4320 |
|
|
|
7040 |
ALL UNTIED MEDICAL GROUP IPA |
|
AUMG1 |
N |
N |
I |
4350 |
|
|
|
9423 |
ALL UNTIED MEDICAL GROUP IPA |
|
AUMG1 |
N |
N |
P |
4320 |
|
|
|
4101 |
ALLCARE ADVANTAGE |
|
MRCHP |
N |
Y |
P |
4320 |
|
|
|
7986 |
ALLCARE ADVANTAGE |
|
MRCHP |
N |
Y |
I |
4350 |
|
|
|
2113 |
ALLCARE HEALTH PLAN |
|
MRIPA |
N |
Y |
P |
4320 |
|
|
|
8900 |
ALLCARE HEALTH PLAN |
|
MRIPA |
N |
Y |
I |
4350 |
|
|
|
7247 |
ALLCARE IPA |
|
AC101 |
N |
Y |
P |
4320 |
|
|
|
7009 |
ALLCARE PACE |
|
ACPCE |
N |
N |
I |
4350 |
|
|
|
9291 |
ALLCARE PACE |
|
ACPCE |
N |
N |
P |
4320 |
|
|
|
7163 |
ALLCARE PEBB |
|
26158 |
N |
N |
P |
4320 |
|
|
|
7696 |
ALLCARE PEBB |
|
26158 |
N |
N |
I |
4350 |
|
|
|
3691 |
ALLEGEANT |
|
52193 |
N |
Y |
I |
4350 |
|
|
|
5121 |
ALLEGEANT |
|
52193 |
N |
Y |
P |
4320 |
|
|
|
1651 |
ALLEGIANCE BENEFIT PLAN MANAGEMENT INC. |
|
81040 |
N |
Y |
I |
4350 |
|
|
|
2295 |
ALLEGIANCE BENEFIT PLAN MANAGEMENT INC. |
|
81040 |
N |
Y |
P |
4320 |
|
|
|
1935 |
ALLIANCE (THE) - WI AND SURROUNDING STATES |
|
88461 |
N |
N |
I |
4350 |
|
|
|
2712 |
ALLIANCE (THE) - WI AND SURROUNDING STATES |
|
ALLIANCE |
N |
N |
P |
4320 |
|
|
|
7795 |
ALLIANCE ALPHA GOLD CARE |
|
ADSL1 |
N |
N |
P |
7320 |
|
|
|
7952 |
ALLIANCE ALPHA GOLD CARE |
|
ADSL1 |
N |
N |
I |
4350 |
|
|
|
5676 |
ALLIANCE BEHAVIORAL HEALTHCARE |
|
23071 |
Y |
Y |
I |
4350 |
|
|
|
6463 |
ALLIANCE BEHAVIORAL HEALTHCARE |
|
23071 |
Y |
Y |
P |
4300 |
|
|
|
1042 |
ALLIANCE COAL HEALTH PLAN |
|
93658 |
N |
Y |
I |
4350 |
|
|
|
7870 |
ALLIANCE COAL HEALTH PLAN |
|
93658 |
N |
Y |
P |
4320 |
|
|
|
1986 |
ALLIANCE DESERT PHYSICIANS |
|
22417 |
N |
N |
I |
4350 |
|
|
|
7861 |
ALLIANCE DESERT PHYSICIANS |
|
22417 |
N |
N |
P |
4320 |
|
|
|
4730 |
ALLIANCE IPA |
|
OCN01 |
N |
Y |
P |
4320 |
|
|
|
2940 |
ALLIANCE IPA |
|
OCN01 |
N |
Y |
I |
4350 |
|
|
|
2589 |
ALLIANT HEALTH PLANS of GEORGIA |
|
58234 |
N |
Y |
I |
4350 |
|
|
|
3793 |
ALLIANT HEALTH PLANS of GEORGIA |
|
58234 |
N |
Y |
P |
4320 |
|
|
|
1669 |
ALLIANZ GLOBAL ASSISTANCE |
|
50749 |
N |
N |
I |
4350 |
|
|
|
5180 |
ALLIANZ GLOBAL ASSISTANCE |
|
50749 |
N |
N |
P |
4320 |
|
|
|
1759 |
ALLIED BENEFIT SYSTEM |
|
37308 |
N |
Y |
P |
4320 |
|
|
|
8573 |
ALLIED BENEFIT SYSTEM |
|
37308 |
N |
Y |
I |
4350 |
|
|
|
1759 |
ALLIED BENEFIT SYSTEM, INC. |
|
37308 |
N |
Y |
P |
4320 |
|
|
|
8573 |
ALLIED BENEFIT SYSTEM, INC. |
|
37308 |
N |
Y |
I |
4350 |
|
|
|
1744 |
ALLIED METAL CRAFTS SECURITY PLAN TRUST FUND |
|
91136 |
N |
Y |
P |
4320 |
|
|
|
4154 |
ALLIED PHYSICIANS MEDICAL GROUP |
|
NMM01 |
N |
Y |
P |
4320 |
|
|
|
6626 |
ALLIED PHYSICIANS MEDICAL GROUP |
|
NMM01 |
N |
Y |
I |
4350 |
|
|
|
7599 |
ALLINA HEALTH and AETNA INSURANCE COMPANY |
|
54398 |
N |
N |
I |
4350 |
|
|
|
7780 |
ALLINA HEALTH and AETNA INSURANCE COMPANY |
|
54398 |
N |
N |
P |
4320 |
|
|
|
3089 |
ALLSTATE - EXCEPT NEW JERSEY |
|
C1037 |
N |
Y |
I |
4350 |
|
|
|
8714 |
ALLSTATE - EXCEPT NEW JERSEY |
|
C1037 |
N |
Y |
P |
4320 |
|
|
|
7570 |
ALLWELL FROM ARIZONA COMPLETE CARE |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7766 |
ALLWELL FROM ARIZONA COMPLETE CARE |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7786 |
ALLWELL FROM MANAGED HEALTH SERVICES HEALTH WI |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
6025 |
ALLWELL FROM SILVER SUMMIT HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
9172 |
ALLWELL FROM SILVER SUMMIT HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
1075 |
ALLWELL FROM WESTERN SKY COMMUNITY CARE |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
8102 |
ALLWELL FROM WESTERN SKY COMMUNITY CARE |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7784 |
ALLWELL from ABSOLUTE TOTAL CARE |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
8526 |
ALLWELL from ABSOLUTE TOTAL CARE |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7572 |
ALLWELL from ARKANSAS HEALTH and WELLNESS |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7767 |
ALLWELL from ARKANSAS HEALTH and WELLNESS |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7592 |
ALLWELL from BUCKEYE HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7776 |
ALLWELL from BUCKEYE HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7570 |
ALLWELL from HEALTH NET |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7766 |
ALLWELL from HEALTH NET |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7591 |
ALLWELL from HOME STATE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7775 |
ALLWELL from HOME STATE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7588 |
ALLWELL from LOUISIANA HEALTHCARE CONNECTIONS |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7773 |
ALLWELL from LOUISIANA HEALTHCARE CONNECTIONS |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7589 |
ALLWELL from MAGNOLIA HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7774 |
ALLWELL from MAGNOLIA HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7582 |
ALLWELL from MANAGED HEALTH SERVICES |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7770 |
ALLWELL from MANAGED HEALTH SERVICES |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
8528 |
ALLWELL from MANAGED HEALTH SERVICES HEALTH WI |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7783 |
ALLWELL from PA HEALTH and WELLNESS |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
8524 |
ALLWELL from PA HEALTH and WELLNESS |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7581 |
ALLWELL from PEACH STATE HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4320 |
|
|
|
7769 |
ALLWELL from PEACH STATE HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7586 |
ALLWELL from SUNFLOWER HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7772 |
ALLWELL from SUNFLOWER HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7578 |
ALLWELL from SUNSHINE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7768 |
ALLWELL from SUNSHINE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7785 |
ALLWELL from SUPERIOR HEALTHPLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
8527 |
ALLWELL from SUPERIOR HEALTHPLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
2909 |
ALOHACARE |
|
990309519 |
Y |
Y |
I |
4350 |
|
|
|
5231 |
ALOHACARE |
|
990309519 |
Y |
Y |
P |
4320 |
|
|
|
2909 |
ALOHACARE QUEST |
|
990309519 |
Y |
Y |
I |
4350 |
|
|
|
5231 |
ALOHACARE QUEST |
|
990309519 |
Y |
Y |
P |
4320 |
|
|
|
3000 |
ALPHA CARE MEDICAL GROUP NMM |
|
NMM04 |
N |
Y |
I |
4350 |
|
|
|
8247 |
ALPHA CARE MEDICAL GROUP NMM |
|
NMM04 |
N |
Y |
P |
4320 |
|
|
|
1706 |
ALPHA DATA SYSTEMS |
|
75261 |
N |
Y |
P |
4320 |
|
|
|
4559 |
ALPHA DATA SYSTEMS |
|
75261 |
N |
Y |
I |
4350 |
|
|
|
1210 |
ALPHACARE |
|
ALPHA |
N |
N |
P |
4320 |
|
|
|
6598 |
ALPHACARE MEDICAL GROUP |
|
MPM32 |
N |
N |
I |
4350 |
|
|
|
7745 |
ALPHACARE MEDICAL GROUP |
|
MPM32 |
N |
N |
P |
4320 |
|
|
|
4028 |
ALTA BATES MEDICAL GROUP |
|
A0701 |
N |
N |
I |
4350 |
|
|
|
5846 |
ALTA BATES MEDICAL GROUP (ABMG) (DOS >=7/1/10) |
|
A0701 |
N |
Y |
P |
4320 |
|
|
|
6408 |
ALTA HEALTH & LIFE INSURANCE COMPANY |
|
62308 |
N |
Y |
P |
4320 |
|
|
|
4516 |
ALTA HEALTH and LIFE INSURANCE COMPANY |
|
62308 |
N |
Y |
I |
4350 |
|
|
|
6704 |
ALTA MED HEALTH SERVICES |
|
CAPMN |
N |
Y |
P |
4320 |
|
|
|
9576 |
ALTA MED HEALTH SERVICES |
|
CAPMN |
N |
Y |
I |
4350 |
|
|
|
1782 |
ALTA SENIOR CARE (HLTHNET SR. AND SECURE HORIZONS) |
|
E3510 |
N |
Y |
P |
4320 |
|
|
|
2931 |
ALTA SENIOR CARE (HLTHNET SR. AND SECURE HORIZONS) |
|
E3510 |
N |
Y |
I |
4350 |
|
|
|
6704 |
ALTAMED SENIOR BUENACARE/PACE |
|
CAPMN |
N |
Y |
P |
4320 |
|
|
|
9576 |
ALTAMED SENIOR BUENACARE/PACE |
|
CAPMN |
N |
Y |
I |
4350 |
|
|
|
1128 |
ALTERNATIVE RISK MANAGEMENT (ARM, LTD) |
|
63240 |
N |
N |
P |
4320 |
|
|
|
3593 |
ALTERNATIVE RISK MANAGEMENT (ARM, LTD) |
|
63240 |
N |
N |
I |
4350 |
|
|
|
1431 |
ALTRU & YOU |
|
94265 |
N |
Y |
P |
4320 |
|
|
|
8598 |
ALTRU & YOU |
|
94265 |
N |
Y |
I |
4350 |
|
|
|
6694 |
ALTRU PRIME BY MEDICA |
|
12422 |
N |
Y |
I |
4350 |
|
|
|
6799 |
ALTRU PRIME BY MEDICA |
|
12422 |
N |
Y |
P |
4320 |
|
|
|
2017 |
ALTURA MSO |
|
95712 |
N |
Y |
I |
4350 |
|
|
|
8152 |
ALTURA MSO |
|
95712 |
N |
Y |
P |
4320 |
|
|
|
1005 |
ALVARADO IPA |
|
MPM39 |
N |
N |
I |
4350 |
|
|
|
7830 |
ALVARADO IPA |
|
MPM39 |
N |
N |
P |
4320 |
|
|
|
9129 |
ALWAYSCARE |
|
STR01 |
N |
N |
P |
4320 |
|
|
|
5245 |
AMA INSURANCE |
|
AMAIA |
N |
Y |
P |
4320 |
|
|
|
8933 |
AMA INSURANCE |
|
AMAIA |
N |
Y |
I |
4350 |
|
|
|
4591 |
AMALGAMATED LIFE |
|
13550 |
N |
Y |
I |
4350 |
|
|
|
4673 |
AMALGAMATED LIFE - PA/ALICARE |
|
13343 |
N |
N |
I |
4350 |
|
|
|
5403 |
AMALGAMATED LIFE INS CO |
|
13550 |
N |
Y |
P |
4320 |
|
|
|
4297 |
AMALGAMATED LIFE aka ALICARE KOP PA LOC |
|
13343 |
N |
N |
P |
4320 |
|
|
|
1764 |
AMBETTER FROM ABSOLUTE TOTAL CARE |
|
68069 |
N |
N |
P |
4320 |
|
|
|
1970 |
AMBETTER FROM ABSOLUTE TOTAL CARE |
|
68069 |
N |
N |
I |
4350 |
|
|
|
1765 |
AMBETTER FROM LOUISIANA HEALTHCARE CONNECTIONS |
|
68069 |
N |
N |
P |
4320 |
|
|
|
1971 |
AMBETTER FROM LOUISIANA HEALTHCARE CONNECTIONS |
|
68069 |
N |
N |
I |
4350 |
|
|
|
6030 |
AMBETTER FROM MERIDIAN |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
9181 |
AMBETTER FROM MERIDIAN |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
6574 |
AMBETTER FROM NEBRASKA TOTAL CARE |
|
68069 |
N |
Y |
I |
4350 |
|
|
|
9278 |
AMBETTER FROM NEBRASKA TOTAL CARE |
|
68069 |
N |
Y |
P |
4320 |
|
|
|
4052 |
AMBETTER FROM PENNSYLVANIA HEALTH AND WELLNESS |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
8793 |
AMBETTER FROM PENNSYLVANIA HEALTH AND WELLNESS |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
1079 |
AMBETTER FROM SUNFLOWER HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
8106 |
AMBETTER FROM SUNFLOWER HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7049 |
AMBETTER FROM WELLCARE OF KENTUCKY |
|
68069 |
N |
N |
I |
4350 |
|
|
|
9431 |
AMBETTER FROM WELLCARE OF KENTUCKY |
|
68069 |
N |
N |
P |
4320 |
|
|
|
7050 |
AMBETTER FROM WELLCARE OF NEW JERSEY |
|
68069 |
N |
Y |
I |
4350 |
|
|
|
9432 |
AMBETTER FROM WELLCARE OF NEW JERSEY |
|
68069 |
N |
Y |
P |
4320 |
|
|
|
7286 |
AMBETTER ILLINICARE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
9587 |
AMBETTER ILLINICARE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7287 |
AMBETTER NEW HAMPSHIRE HEALTHY FAMILIES |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
9588 |
AMBETTER NEW HAMPSHIRE HEALTHY FAMILIES |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
8057 |
AMBETTER OF ALABAMA |
|
68069 |
N |
N |
I |
4350 |
|
|
|
9775 |
AMBETTER OF ALABAMA |
|
68069 |
N |
N |
P |
4320 |
|
|
|
1299 |
AMBETTER OF NORTH CAROLINA |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
2071 |
AMBETTER OF NORTH CAROLINA |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7051 |
AMBETTER OF OKLAHOMA |
|
68069 |
N |
N |
I |
4350 |
|
|
|
9433 |
AMBETTER OF OKLAHOMA |
|
68069 |
N |
N |
P |
4320 |
|
|
|
4013 |
AMBETTER OF TENNESSEE |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
8741 |
AMBETTER OF TENNESSEE |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
6660 |
AMBETTER from BUCKEYE COMMUNITY HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
6761 |
AMBETTER from BUCKEYE COMMUNITY HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
7808 |
AMBETTER from HEALTH NET |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
8583 |
AMBETTER from HEALTH NET |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7809 |
AMBETTER from HOMESTATE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
8584 |
AMBETTER from HOMESTATE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
6658 |
AMBETTER from MAGNOLIA HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
6759 |
AMBETTER from MAGNOLIA HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
6656 |
AMBETTER from MANAGED HEALTH SERVICES |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
6757 |
AMBETTER from MANAGED HEALTH SERVICES |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
6655 |
AMBETTER from PEACH STATE HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
6756 |
AMBETTER from PEACH STATE HEALTH PLAN |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
6654 |
AMBETTER from SUNSHINE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
6755 |
AMBETTER from SUNSHINE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
6661 |
AMBETTER from SUPERIOR HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
6762 |
AMBETTER from SUPERIOR HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
6652 |
AMBETTER of ARKANSAS |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
6753 |
AMBETTER of ARKANSAS |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
4298 |
AMERAPLAN |
|
38219 |
N |
Y |
P |
4320 |
|
|
|
4554 |
AMERAPLAN |
|
38219 |
N |
Y |
I |
4350 |
|
|
|
2999 |
AMERIBEN SOLUTIONS, INC. |
|
75137 |
N |
Y |
I |
4350 |
|
|
|
3755 |
AMERIBEN SOLUTIONS, INC. |
|
75137 |
N |
Y |
P |
4320 |
|
|
|
8935 |
AMERICAN BEHAVIORAL |
|
63103 |
N |
Y |
I |
4350 |
|
|
|
2953 |
AMERICAN BENEFITS PLAN ADMINISTRATORS (LAS VEGAS, |
|
59140 |
N |
Y |
I |
4350 |
|
|
|
8431 |
AMERICAN BENEFITS PLAN ADMINISTRATORS (LAS VEGAS, |
|
59140 |
N |
Y |
P |
4320 |
|
|
|
3784 |
AMERICAN CHIROPRACTIC NETWORK IPA of NY (ACNIPA) |
|
41161 |
N |
Y |
P |
4320 |
|
|
|
6704 |
AMERICAN FAMILY HEALTH PROVIDERS |
|
CAPMN |
N |
Y |
P |
4320 |
|
|
|
9576 |
AMERICAN FAMILY HEALTH PROVIDERS |
|
CAPMN |
N |
Y |
I |
4350 |
|
|
|
2138 |
AMERICAN FAMILY INSURANCE |
|
AMF11 |
N |
N |
P |
4320 |
|
|
|
4907 |
AMERICAN FAMILY INSURANCE |
|
AMF11 |
N |
N |
I |
4350 |
|
|
|
3680 |
AMERICAN FAMILY administered by AMERICAN REPUBLIC |
|
56071 |
N |
Y |
I |
4350 |
|
|
|
5883 |
AMERICAN FAMILY administered by AMERICAN REPUBLIC |
|
56071 |
N |
Y |
P |
4320 |
|
|
|
3862 |
AMERICAN GENERAL LIFE and ACCIDENT |
|
62030 |
N |
Y |
P |
4320 |
|
|
|
3949 |
AMERICAN GENERAL LIFE and ACCIDENT |
|
62030 |
N |
Y |
I |
4350 |
|
|
|
7099 |
AMERICAN HEALTH ADVANTAGE OF FLORIDA |
|
31150 |
N |
Y |
I |
4350 |
|
|
|
9712 |
AMERICAN HEALTH ADVANTAGE OF FLORIDA |
|
31150 |
N |
Y |
P |
4320 |
|
|
|
7047 |
AMERICAN HEALTH ADVANTAGE OF IDAHO & UTAH |
|
31145 |
N |
Y |
I |
4350 |
|
|
|
9429 |
AMERICAN HEALTH ADVANTAGE OF IDAHO & UTAH |
|
31145 |
N |
Y |
P |
4320 |
|
|
|
5093 |
AMERICAN HEALTH ADVANTAGE OF MISSISSIPPI |
|
31135 |
N |
Y |
I |
4350 |
|
|
|
9142 |
AMERICAN HEALTH ADVANTAGE OF MISSISSIPPI |
|
31135 |
N |
Y |
P |
4320 |
|
|
|
7280 |
AMERICAN HEALTH ADVANTAGE OF MISSOURI |
|
MMS01 |
N |
Y |
P |
4320 |
|
|
|
8987 |
AMERICAN HEALTH ADVANTAGE OF MISSOURI |
|
MMS01 |
N |
Y |
I |
4350 |
|
|
|
6064 |
AMERICAN HEALTH ADVANTAGE OF TENNESSEE |
|
31130 |
N |
Y |
I |
4350 |
|
|
|
9218 |
AMERICAN HEALTH ADVANTAGE OF TENNESSEE |
|
31130 |
N |
Y |
P |
4320 |
|
|
|
5071 |
AMERICAN HEALTH ADVANTAGE OF TEXAS |
|
31155 |
N |
Y |
I |
4350 |
|
|
|
1027 |
AMERICAN HEALTH ADVANTAGE of OKLAHOMA |
|
31125 |
N |
Y |
I |
4350 |
|
|
|
7854 |
AMERICAN HEALTH ADVANTAGE of OKLAHOMA |
|
31125 |
N |
Y |
P |
4320 |
|
|
|
1959 |
AMERICAN HEALTHCARE ALLIANCE |
|
01066 |
N |
N |
I |
4350 |
|
|
|
3895 |
AMERICAN HEALTHCARE ALLIANCE |
|
01066 |
N |
N |
P |
4320 |
|
|
|
7722 |
AMERICAN INSURANCE ADMINISTRATORS |
|
26119 |
N |
Y |
P |
4320 |
|
|
|
4162 |
AMERICAN INSURANCE COMPANY OF TEXAS |
|
81949 |
N |
N |
P |
4320 |
|
|
|
7969 |
AMERICAN INSURANCE COMPANY OF TEXAS |
|
81949 |
N |
N |
I |
4350 |
|
|
|
3869 |
AMERICAN NATIONAL INSURANCE COMPANY (ANICO) |
|
74048 |
N |
Y |
P |
4320 |
|
|
|
4974 |
AMERICAN NATIONAL INSURANCE COMPANY (ANICO) |
|
74048 |
N |
Y |
I |
4350 |
|
|
|
ANLI |
AMERICAN NATIONAL LIFE INSURANCE COMPANY of TEXAS |
|
|
N |
N |
N/A |
4300 |
|
|
|
3027 |
AMERICAN PLAN ADMINISTRATORS |
|
95606 |
N |
N |
I |
4350 |
|
|
|
8276 |
AMERICAN PLAN ADMINISTRATORS |
|
95606 |
N |
N |
P |
4320 |
|
|
|
4503 |
AMERICAN POSTAL WORKERS UNION |
|
44444 |
N |
Y |
I |
4350 |
|
|
|
6436 |
AMERICAN POSTAL WORKERS UNION |
|
44444 |
N |
Y |
P |
4320 |
|
|
|
2039 |
AMERICAN PUBLIC LIFE (APL) |
|
60801 |
N |
N |
I |
4350 |
|
|
|
8177 |
AMERICAN PUBLIC LIFE (APL) |
|
60801 |
N |
N |
P |
4320 |
|
|
|
1553 |
AMERICAN REPUBLIC INSURANCE (MAP) |
|
42011 |
N |
Y |
I |
4350 |
|
|
|
2895 |
AMERICAN REPUBLIC INSURANCE (MAP) |
|
42011 |
N |
Y |
P |
4320 |
|
|
|
6437 |
AMERICAN RETIREMENT LIFE INS CO (MEDICARE SUPP) |
|
13193 |
N |
Y |
P |
4320 |
|
|
|
7664 |
AMERICAN RETIREMENT LIFE INS CO (MEDICARE SUPP) |
|
13193 |
N |
Y |
I |
4350 |
|
|
|
4875 |
AMERICAN SPECIALTY HEALTH |
|
43146 |
N |
Y |
P |
4320 |
|
|
|
5466 |
AMERICAN TRUST ADMINISTRATORS INC |
|
56195 |
N |
N |
P |
4320 |
|
|
|
3695 |
AMERICAN TRUST ADMINISTRATORS INC |
|
56195 |
N |
N |
I |
4350 |
|
|
|
4468 |
AMERICAS CHOICE HEALTHPLAN |
|
20029 |
N |
Y |
P |
4320 |
|
|
|
8932 |
AMERICAS CHOICE HEALTHPLAN |
|
20029 |
N |
Y |
I |
4350 |
|
|
|
6986 |
AMERICAS PPO ARAZ GROUP |
|
16120 |
N |
N |
I |
4350 |
|
|
|
7424 |
AMERICAS PPO ARAZ GROUP |
|
16120 |
N |
N |
P |
4320 |
|
|
|
2143 |
AMERICAS TPA |
|
41178 |
N |
Y |
P |
4320 |
|
|
|
4905 |
AMERICAS TPA |
|
41178 |
N |
Y |
I |
4350 |
|
|
|
7001 |
AMERICASHEALTH PLAN |
|
AHP01 |
N |
N |
I |
4350 |
|
|
|
9281 |
AMERICASHEALTH PLAN |
|
AHP01 |
N |
N |
P |
4320 |
|
|
|
7510 |
AMERICHOICE OF NEW JERSEY MEDICAID |
|
86047 |
N |
Y |
I |
4350 |
|
|
|
2806 |
AMERICHOICE of NJ (MEDICAID NJ) |
|
86047 |
N |
Y |
P |
4320 |
|
|
|
AMRC |
AMERICO |
|
|
N |
N |
N/A |
4320 |
|
|
|
1569 |
AMERIGROUP |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP ARIZONA |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP ARIZONA |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP DC |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP DC |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP GEORGIA |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP GEORGIA |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP IOWA |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP IOWA |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP NEW JERSEY |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP NEW JERSEY |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP NEW MEXICO |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP NEW MEXICO |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP TENNESSEE |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP TENNESSEE |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP TEXAS |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP TEXAS |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
1569 |
AMERIGROUP WASHINGTON |
|
26375 |
N |
Y |
I |
4350 |
|
|
|
1741 |
AMERIGROUP WASHINGTON |
|
26375 |
N |
Y |
P |
4320 |
|
|
|
2893 |
AMERIHEALTH ADMINISTRATORS, INC. |
|
54763 |
Y |
Y |
P |
4320 |
|
|
|
4555 |
AMERIHEALTH ADMINISTRATORS, INC. |
|
54763 |
Y |
Y |
I |
4350 |
|
|
|
7507 |
AMERIHEALTH CARITAS DELAWARE |
|
77799 |
N |
Y |
I |
4350 |
|
|
|
7746 |
AMERIHEALTH CARITAS DELAWARE |
|
77799 |
N |
Y |
P |
4320 |
|
|
|
5670 |
AMERIHEALTH CARITAS DISTRICT of COLUMBIA |
|
77002 |
N |
Y |
I |
4350 |
|
|
|
6441 |
AMERIHEALTH CARITAS DISTRICT of COLUMBIA |
|
77002 |
N |
Y |
P |
4320 |
|
|
|
2106 |
AMERIHEALTH CARITAS FLORIDA |
|
77003 |
N |
Y |
P |
4320 |
|
|
|
8963 |
AMERIHEALTH CARITAS FLORIDA |
|
77003 |
N |
Y |
I |
4350 |
|
|
|
4638 |
AMERIHEALTH CARITAS LOUISIANA |
|
27357 |
N |
Y |
I |
4350 |
|
|
|
6156 |
AMERIHEALTH CARITAS LOUISIANA |
|
27357 |
N |
Y |
P |
4320 |
|
|
|
2090 |
AMERIHEALTH CARITAS NEW HAMPSHIRE |
|
87716 |
N |
Y |
I |
4350 |
|
|
|
8238 |
AMERIHEALTH CARITAS NEW HAMPSHIRE |
|
87716 |
N |
Y |
P |
4320 |
|
|
|
7044 |
AMERIHEALTH CARITAS NEXT FLORIDA |
|
45408 |
N |
Y |
I |
4350 |
|
|
|
9427 |
AMERIHEALTH CARITAS NEXT FLORIDA |
|
45408 |
N |
Y |
P |
4320 |
|
|
|
6038 |
AMERIHEALTH CARITAS NEXT NORTH CAROLINA |
|
83148 |
N |
Y |
I |
4350 |
|
|
|
9192 |
AMERIHEALTH CARITAS NEXT NORTH CAROLINA |
|
83148 |
N |
Y |
P |
4320 |
|
|
|
7043 |
AMERIHEALTH CARITAS NEXT VIP |
|
47073 |
N |
Y |
I |
4350 |
|
|
|
9426 |
AMERIHEALTH CARITAS NEXT VIP |
|
47073 |
N |
Y |
P |
4320 |
|
|
|
4083 |
AMERIHEALTH CARITAS NORTH CAROLINA |
|
81671 |
N |
Y |
I |
4350 |
|
|
|
8859 |
AMERIHEALTH CARITAS NORTH CAROLINA |
|
81671 |
N |
Y |
P |
4320 |
|
|
|
5660 |
AMERIHEALTH CARITAS NORTHEAST DOS BEFORE 01/01/21 |
|
77001 |
N |
N |
I |
4350 |
|
|
|
6421 |
AMERIHEALTH CARITAS NORTHEAST DOS BEFORE 01/01/21 |
|
77001 |
N |
N |
P |
4320 |
|
|
|
7045 |
AMERIHEALTH CARITAS OHIO |
|
84243 |
N |
Y |
I |
4350 |
|
|
|
9428 |
AMERIHEALTH CARITAS OHIO |
|
84243 |
N |
Y |
P |
4320 |
|
|
|
7046 |
AMERIHEALTH CARITAS OHIO TRANSPORTATION |
|
42435 |
N |
Y |
I |
4350 |
|
|
|
9479 |
AMERIHEALTH CARITAS OHIO TRANSPORTATION |
|
42435 |
N |
Y |
P |
4320 |
|
|
|
1268 |
AMERIHEALTH CARITAS PA CHC |
|
77062 |
N |
Y |
P |
4320 |
|
|
|
6501 |
AMERIHEALTH CARITAS PA CHC |
|
77062 |
N |
Y |
I |
4350 |
|
|
|
1710 |
AMERIHEALTH CARITAS PENNSYLVANIA |
|
22248 |
N |
Y |
P |
4320 |
|
|
|
4547 |
AMERIHEALTH CARITAS PENNSYLVANIA |
|
22248 |
N |
Y |
I |
4350 |
|
|
|
1268 |
AMERIHEALTH CARITAS VIP CARE |
|
77062 |
N |
Y |
P |
4320 |
|
|
|
6501 |
AMERIHEALTH CARITAS VIP CARE |
|
77062 |
N |
Y |
I |
4350 |
|
|
|
7081 |
AMERIHEALTH CARITAS VIP CARE - DELAWARE DSNP |
|
87406 |
N |
Y |
I |
4350 |
|
|
|
9484 |
AMERIHEALTH CARITAS VIP CARE - DELAWARE DSNP |
|
87406 |
N |
Y |
P |
4320 |
|
|
|
7082 |
AMERIHEALTH CARITAS VIP CARE - FLORIDA DSNP |
|
88232 |
N |
Y |
I |
4350 |
|
|
|
9485 |
AMERIHEALTH CARITAS VIP CARE - FLORIDA DSNP |
|
88232 |
N |
Y |
P |
4320 |
|
|
|
1268 |
AMERIHEALTH CARITAS VIP CARE PA COMMHEALTHCHOICES |
|
77062 |
N |
Y |
P |
4320 |
|
|
|
6501 |
AMERIHEALTH CARITAS VIP CARE PA COMMHEALTHCHOICES |
|
77062 |
N |
Y |
I |
4350 |
|
|
|
1268 |
AMERIHEALTH CARITAS VIP CARE PENNSYLVANIA |
|
77062 |
N |
Y |
P |
4320 |
|
|
|
6501 |
AMERIHEALTH CARITAS VIP CARE PENNSYLVANIA |
|
77062 |
N |
Y |
I |
4350 |
|
|
|
1256 |
AMERIHEALTH CARITAS VIP CARE PLUS - JVHL |
|
MD |
Y |
Y |
P |
4320 |
|
|
|
4596 |
AMERIHEALTH CARITAS VIP CARE PLUS - JVHL |
|
MD |
Y |
Y |
I |
4350 |
|
|
|
7212 |
AMERIHEALTH CARITAS VIP CARE PLUS MICHIGAN |
|
77013 |
N |
Y |
P |
4320 |
|
|
|
8656 |
AMERIHEALTH CARITAS VIP CARE PLUS MICHIGAN |
|
77013 |
N |
Y |
I |
4350 |
|
|
|
2684 |
AMERIHEALTH DELAWARE PPO |
|
93688 |
Y |
N |
I |
4350 |
|
|
|
1930 |
AMERIHEALTH NEW JERSEY/DELAWARE - HMO |
HIGHMARK, INC. |
95044 |
Y |
Y |
I |
4350 |
|
|
|
2800 |
AMERIHEALTH NEW JERSEY/DELAWARE - HMO |
HIGHMARK, INC. |
95044 |
Y |
Y |
P |
4300 |
|
|
|
PAMA |
AMERIHEALTH PA MEDICAL ASSISTANCE PLAN |
|
|
N |
N |
N/A |
4320 |
|
|
|
5619 |
AMFIRST INSURANCE |
|
01757 |
Y |
Y |
I |
4350 |
|
|
|
6254 |
AMFIRST INSURANCE |
|
01757 |
Y |
Y |
P |
4300 |
|
|
|
3466 |
AMIDA CARE |
|
24818 |
N |
N |
P |
4320 |
|
|
|
3940 |
AMIDA CARE |
|
24818 |
N |
N |
I |
4350 |
|
|
|
7144 |
AMIDA CARE MEDICARE |
|
79966 |
N |
N |
P |
4320 |
|
|
|
7689 |
AMIDA CARE MEDICARE |
|
79966 |
N |
N |
I |
4350 |
|
|
|
3287 |
AMVI / PROSPECT HEALTH NETWORK |
|
PROSP |
N |
Y |
P |
4320 |
|
|
|
8684 |
AMVI / PROSPECT HEALTH NETWORK |
|
PROSP |
N |
Y |
I |
4350 |
|
|
|
3287 |
AMVI MEDICAL GROUP |
|
PROSP |
N |
Y |
P |
4320 |
|
|
|
8684 |
AMVI MEDICAL GROUP |
|
PROSP |
N |
Y |
I |
4350 |
|
|
|
7293 |
AMWINS CONNECT ADMINISTRATORS |
|
41201 |
N |
N |
P |
4320 |
|
|
|
9616 |
AMWINS CONNECT ADMINISTRATORS |
|
41201 |
N |
N |
I |
4350 |
|
|
|
5066 |
ANCHOR - CLAIMSBRIDGE |
|
IHS10 |
N |
N |
I |
4350 |
|
|
|
9111 |
ANCHOR - CLAIMSBRIDGE |
|
IHS10 |
N |
N |
P |
4320 |
|
|
|
4269 |
ANCHOR BENEFIT CONSULTING |
|
53085 |
N |
N |
P |
4320 |
|
|
|
8948 |
ANCHOR BENEFIT CONSULTING |
|
53085 |
N |
N |
I |
4350 |
|
|
|
1125 |
ANGEL MEDICAL GROUP |
|
ECMSO |
N |
N |
P |
4320 |
|
|
|
1574 |
ANGEL MEDICAL GROUP |
|
ECMSO |
N |
N |
I |
4350 |
|
|
|
7243 |
ANGELES IPA |
|
HSM01 |
N |
N |
P |
4320 |
|
|
|
8679 |
ANGELES IPA |
|
HSM01 |
N |
N |
I |
4350 |
|
|
|
6032 |
ANGLE HEALTH |
|
39856 |
N |
N |
I |
4350 |
|
|
|
9184 |
ANGLE HEALTH |
|
39856 |
N |
N |
P |
4320 |
|
|
|
2290 |
ANTARES MANAGEMENT SOLUTIONS |
|
34192 |
N |
Y |
P |
4320 |
|
|
|
2935 |
ANTARES MANAGEMENT SOLUTIONS |
|
34192 |
N |
Y |
I |
4350 |
|
|
|
4020 |
ANTHEM MAINEHEALTH |
|
00958 |
N |
Y |
I |
4350 |
|
|
|
8749 |
ANTHEM MAINEHEALTH |
|
00958 |
N |
Y |
P |
4320 |
|
|
|
7071 |
ANTHEM OHIO MEDICAID |
Deloitte |
0002937 |
N |
Y |
I |
4350 |
|
|
|
9461 |
ANTHEM OHIO MEDICAID |
Deloitte |
0002937 |
N |
Y |
P |
4320 |
|
|
|
7086 |
ANTHEM OHIO MEDICAID VISION |
Deloitte |
V002937 |
N |
Y |
I |
4350 |
|
|
|
9493 |
ANTHEM OHIO MEDICAID VISION |
Deloitte |
V002937 |
N |
Y |
P |
4320 |
|
|
|
3287 |
APAC (PINNACLE HEALTH RESOURCES) |
|
PROSP |
N |
Y |
P |
4320 |
|
|
|
8684 |
APAC (PINNACLE HEALTH RESOURCES) |
|
PROSP |
N |
Y |
I |
4350 |
|
|
|
2994 |
APEX BENEFIT SERVICES |
|
34196 |
N |
Y |
I |
4350 |
|
|
|
3814 |
APEX BENEFIT SERVICES |
|
34196 |
N |
Y |
P |
4320 |
|
|
|
6066 |
APEXHEALTH |
|
83112 |
N |
Y |
I |
4350 |
|
|
|
9223 |
APEXHEALTH |
|
83112 |
N |
Y |
P |
4320 |
|
|
|
5014 |
APPLECARE MEDICAL GROUP |
|
STFMC |
N |
N |
I |
4350 |
|
|
|
8862 |
APPLECARE MEDICAL GROUP |
|
STFMC |
N |
N |
P |
4320 |
|
|
|
4152 |
APPLECARE MEDICAL MANAGEMENT |
|
APP01 |
N |
Y |
P |
4320 |
|
|
|
6857 |
APS HEALTHCARE OF PUERTO RICO |
INMEDIATA (PR) |
660567825 |
Y |
Y |
P |
4320 |
|
|
|
7638 |
APS HEALTHCARE OF PUERTO RICO |
INMEDIATA (PR) |
660567825 |
Y |
Y |
I |
4350 |
|
|
|
4503 |
APWU HEALTH |
|
44444 |
N |
Y |
I |
4350 |
|
|
|
4509 |
APWU HEALTH PLAN (ALL STATES EXCEPT USVI) |
|
62308 |
N |
Y |
I |
4350 |
|
|
|
6405 |
APWU HEALTH PLAN (ALL STATES EXCEPT USVI) |
|
62308 |
N |
Y |
P |
4320 |
|
|
|
4030 |
ARC ADMINISTRATORS |
|
CXARC |
N |
N |
I |
4350 |
|
|
|
8758 |
ARC ADMINISTRATORS |
|
CXARC |
N |
N |
P |
4320 |
|
|
|
1516 |
ARCADIA HEALTHCARE SOLUTIONS |
|
37105 |
N |
Y |
I |
4350 |
|
|
|
3761 |
ARCADIA HEALTHCARE SOLUTIONS |
|
37105 |
N |
Y |
P |
4320 |
|
|
|
8017 |
ARCADIA HEALTHCARE SOLUTIONS - IPG |
|
11081 |
N |
N |
I |
4350 |
|
|
|
9734 |
ARCADIA HEALTHCARE SOLUTIONS - IPG |
|
11081 |
N |
N |
P |
4320 |
|
|
|
8018 |
ARCADIA HEALTHCARE SOLUTIONS - NPA |
|
36364 |
N |
N |
I |
4350 |
|
|
|
9735 |
ARCADIA HEALTHCARE SOLUTIONS - NPA |
|
36364 |
N |
N |
P |
4320 |
|
|
|
4154 |
ARCADIA METHODIST IPA |
|
NMM01 |
N |
Y |
P |
4320 |
|
|
|
6626 |
ARCADIA METHODIST IPA |
|
NMM01 |
N |
Y |
I |
4350 |
|
|
|
2449 |
ARCADIAN MANAGEMENT SERVICES |
|
61101 |
N |
Y |
P |
4320 |
|
|
|
4544 |
ARCADIAN MANAGEMENT SERVICES |
|
61101 |
N |
Y |
I |
4350 |
|
|
|
8126 |
ARCHBOLD ED UNINSURED |
|
AMC5001 |
N |
Y |
P |
4320 |
|
|
|
1680 |
ARCHBOLD MEDICAL CENTER HEALTH PLAN |
|
99999 |
N |
Y |
I |
4350 |
|
|
|
7150 |
ARCHBOLD MEDICAL CENTER HEALTH PLAN |
|
99999 |
N |
Y |
P |
4320 |
|
|
|
3610 |
ARCHCARE COMMUNITY LIFE |
|
31144 |
N |
Y |
I |
4350 |
|
|
|
5150 |
ARCHCARE COMMUNITY LIFE |
|
31144 |
N |
Y |
P |
4300 |
|
|
|
3610 |
ARCHCARE SENIOR LIFE |
|
31144 |
N |
Y |
I |
4350 |
|
|
|
5150 |
ARCHCARE SENIOR LIFE |
|
31144 |
N |
Y |
P |
4300 |
|
|
|
7178 |
ARGUS DENTAL and VISION INC. |
|
ARGUS |
N |
N |
P |
4320 |
|
|
|
8618 |
ARGUS DENTAL and VISION INC. |
|
ARGUS |
N |
N |
I |
4350 |
|
|
|
2832 |
ARISE HEALTH PLAN |
WPS MAC - J5 |
ARISE |
Y |
Y |
P |
4320 |
|
|
|
7579 |
ARISE HEALTH PLAN |
WPS MAC - J5 |
ARISE |
Y |
Y |
I |
4350 |
|
|
|
AHPM |
ARISE HEALTH PLAN MEDICARE SELECT POLICY |
|
|
N |
N |
N/A |
4320 |
|
|
|
4448 |
ARIZONA CARE NETWORK |
|
90001 |
N |
N |
P |
4320 |
|
|
|
8508 |
ARIZONA CARE NETWORK |
|
90001 |
N |
N |
I |
4350 |
|
|
|
1045 |
ARIZONA COMPLETE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
I |
4350 |
|
|
|
7874 |
ARIZONA COMPLETE HEALTH |
CENTENE CORPORATION |
68069 |
N |
Y |
P |
4320 |
|
|
|
1585 |
ARIZONA PHYSICIANS IPA |
|
03432 |
N |
Y |
I |
4350 |
|
|
|