Claim Type H = Hospital claims accepted M = Medical claims accepted Claim Enroll Y = Additional enrollment is required. Contact AHIN Customer Support at 855-822-AHIN (2446) 835s Available Blank = 835s not available for this payer Y = 835s available but additional enrollment is required. Contact Contact AHIN Customer Support at 855-822-AHIN (2446) Claim Filing Ind (Loop 2000B segment SBR09) must equal 'CI' unless otherwise noted. Claim Claim 835s Claim Payer Id Payer Name Type Enroll Available Filing Ind 00014 SelectCare H 00014 SelectCare M 00046 Hill Physicians Medical Group H 00046 Hill Physicians Medical Group M 00773 UnitedHealthcare / Spectera Eyecare Networks M Y 00882 Railroad Medicare (PGBA) M Y Y MB 01041 Healthsource ME H 01041 Healthsource ME M Y 01066 American Healthcare Alliance H 01066 American Healthcare Alliance M 01260 Magellan Health Services M Y 01776 Minuteman Health Inc H 01776 Minuteman Health Inc M 02038 Healthsource NH M 02041 Central Mass Heath Care H 02041 CMHC H 02041 Healthsource CMHC H 02041 Healthsource CMHC M 02041 Healthsource Massachusetts Inc. H 02041 Healthsource Massachusetts Inc. M 02057 Smith Administrators H 02057 Smith Administrators M 03036 Blue Benefit Administrators of MA H 03036 Blue Benefit Administrators of MA M 03036 CBA Blue H 03036 CBA Blue M 03036 Employee Benefits Plan Administration Inc. (E.B.P.A.) H 03036 Employee Benefits Plan Administration Inc. (E.B.P.A.) M 03432 UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA) H Y 03432 UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA) M Y 03440 Phoenix Health Plan (Medicaid) H 03440 Phoenix Health Plan (Medicaid) M 03443 Phoenix Health Plans (Medicare - Abrazo) H 03443 Phoenix Health Plans (Medicare - Abrazo) M 03964 Elderwood Health H 03964 Elderwood Health M 04111 CO Medicare Part A (J4 - Trailblazer) H Y Y MA 04112 CO Medicare Part B M Y Y MB 04211 NM Medicare Part A J4 H Y Y MA 04212 NM Medicare Part B J4 M Y Y MB 04218 Pan American Life Insurance Group H 04218 Pan American Life Insurance Group M 04271 Harvard Pilgrim Health Care H 04271 Harvard Pilgrim Health Care M 04293 Neighborhood Health Plan (Boston MA) H Y 04293 Neighborhood Health Plan (Boston MA) M Y 04311 OK Medicare Part A H Y Y MA 04312 OK Medicare Part B M Y Y MB 04326 Elder Service Plan of the North Shore H 04326 Elder Service Plan of the North Shore M 04332 Tufts Health Plan Public Plans H Y Y 04332 Tufts Health Plan Public Plans M Y Y 04411 TX Medicare Part A and Indian Health Services J4 H Y Y MA 04412 TX Medicare Part B and Indian Health Services J4 M Y Y MB 04430 Outpatient Services H 04430 Outpatient Services M 05003 Presbyterian (NM) H 05003 Presbyterian (NM) M 05047 Neighborhood Health Plan of RI - Medicaid and UNITY H 05047 Neighborhood Health Plan of RI - Medicaid and UNITY M 05506 Gateway Healthy PA H Y 05506 Gateway Healthy PA M Y 06102 Diversified Administration Corporation - CT H 06102 Diversified Administration Corporation - CT M 06105 ConnectiCare Inc H Y 06105 ConnectiCare Inc M Y 06111 AARP MedicareComplete through UnitedHealthcare / Oxford Medicare Network H 06111 AARP MedicareComplete through UnitedHealthcare / Oxford Medicare Network M 06111 AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic Network H 06111 AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic Network M 06111 UnitedHealthcare / Oxford H 06111 UnitedHealthcare / Oxford M 06119 Healthsource SC H 06119 Healthsource SC M 06294 South Florida Musculoskeletal Care H 06294 South Florida Musculoskeletal Care M 06541 CountyCare H Y 06541 CountyCare M Y 06603 ASAGEHA H 06603 ASAGEHA M 06607 Cardinal Innovations Healthcare Solutions H Y 06607 Cardinal Innovations Healthcare Solutions M Y 07101 AR Medicare Part A (J7) H Y Y MA 07102 AR Medicare Part B (J7) M Y Y MB 07201 LA Medicare Part A (JH) H Y Y MA 07202 LA Medicare Part B (J7) M Y Y MB 07205 Gilsbar Inc. H 07205 Gilsbar Inc. M 07301 MS Medicare Part A (J7) H Y Y MA 07302 MS Medicare Part B (J7) M Y Y MB 07689 Global Care Inc. H 07689 Global Care Inc. M 09824 Molina Healthcare of New Mexico (Claims Only) H 09824 Molina Healthcare of New Mexico (Claims Only) M 09830 University Family Care H Y 09830 University Family Care M Y 09908 University Family Care - Maricopa Health Plan H Y 09908 University Family Care - Maricopa Health Plan M Y 10010 Careworks H 10010 Careworks M 10525 Patient Advocates LLC H 10525 Patient Advocates LLC M 10629 Christus Health Medicare Advantage H Y 10629 Christus Health Medicare Advantage M Y 10850 Metropolitan Health Plan H Y 10850 Metropolitan Health Plan M Y 10956 Berkshire Intergroup H 10956 Berkshire Intergroup M 11158 St. James PHO H 11158 St. James PHO M 11244 Fitzharris & Company Inc. M 11303 Magnacare H 11303 Magnacare M 11315 Fidelis Care New York H 11315 Fidelis Care New York M 11328 HealthCare Partners IPA H Y 11328 HealthCare Partners IPA M Y 11329 International Benefit Administrator H 11329 International Benefit Administrator M 11334 New York Network Management M 11345 CareCentrix H Y 11345 CareCentrix M Y Y 11752 ClaimsBridge HPN H 11752 ClaimsBridge HPN M 12000 CareFirst BlueCross BlueShield NCA Region H BL 12002 Anthem Blue Cross and Blue Shield (Virginia) H Y BL 12011 CareFirst BlueCross BlueShield MD Region H BL 12015 Blue Cross of Georgia H BL 12021 Blue Cross Blue Shield of Arkansas H Y Y BL 12047 First Source/Arkansas Blue Cross H Y BL 12048 Workers Comp/Arkansas Blue Cross H Y BL 12049 Health Adv/US Able/First Pyramid Life/Arkansas Blue Cross H Y BL 12057 Medical Services Initiative H 12057 Medical Services Initiative M 12115 VA Fee Basis Programs H Y 12115 VA Fee Basis Programs M Y 12422 Medica2 H Y 12422 Medica2 M Y 128FL Coventry Healthcare of Florida H Y 128FL Coventry Healthcare of Florida M Y 128KY Aetna Better Health of Kentucky H Y 128KY Aetna Better Health of Kentucky M Y 128MI Aetna Better Health of Michigan H Y 128MI Aetna Better Health of Michigan M Y 128MO Aetna Better Health of Missouri H Y 128MO Aetna Better Health of Missouri M Y 128VA Aetna Better Health of Virginia H Y 128VA Aetna Better Health of Virginia M Y 128WV Aetna Better Health of West Virginia H Y 128WV Aetna Better Health of West Virginia M Y 12B02 Blue Cross of Arizona H BL 12B03 Anthem BCBS of Colorado H BL 12B04 Connecticut Blue Cross (Anthem) H Y BL 12B05 Anthem BCBS Colorado HMO H BL 12B07 Blue Cross of Idaho H Y BL 12B08 Blue Cross of Illinois H BL 12B09 Anthem - Blue Cross Blue Shield H BL 12B09 Blue Cross of Indiana (Anthem) H Y BL 12B10 Blue Cross of Iowa H Y BL 12B11 Adminastar Blue Cross of Kentucky H BL 12B12 Blue Cross Blue Shield of Louisiana H Y Y BL 12B13 Blue Cross Blue Shield of Maine H BL 12B14 Blue Cross Blue Shield of Massachusetts H Y BL 12B15 Blue Cross Blue Shield of Missouri (Blue Cross) H BL 12B16 BCBS of Minnesota H BL 12B17 Mississippi Blue Cross - Trispan H Y BL 12B18 Blue Cross Blue Shield of Michigan H Y Y BL 12B19 Blue Cross of Nebraska H Y Y BL 12B1E BCBS Utah FEP H BL 12B20 Nevada Blue Cross H BL 12B21 New Hampshire Blue Cross (Anthem) H BL 12B22 New Mexico Blue Cross H Y BL 12B23 Blue Cross Blue Shield NC BlueMedicare HMO/PPO H Y BL 12B23 North Carolina Blue Cross H Y BL 12B24 Anthem - Blue Cross Blue Shield H BL 12B24 Blue Cross of Ohio (Anthem) H BL 12B24 Ohio Blue Cross (Anthem) H BL 12B26 Health Options Inc (FL - BCBS HMO) H BL 12B27 Premera Blue Cross H Y BL 12B28 Mountain State Blue Cross of West Virginia H Y Y BL 12B29 Blue Cross Blue Shield of Wisconsin H BL 12B30 Wyoming Blue Cross H Y Y BL 12B31 Blue Cross Blue Shield of Texas H BL 12B32 Blue Cross Blue Shield of Vermont H BL 12B33 Blue Cross of South Dakota H Y BL 12B34 FL - BCBS H BL 12B35 Empire Omnipro (BC NY State) H BL 12B36 Empire Omnipro (BC NY City) H Y BL 12B37 Excellus - Blue Cross Blue Shield Central NY H BL 12B38 Excellus - BCBS Utica Watertown H BL 12B39 HealthNow - Blue Cross Blue Shield of Western NY H Y BL 12B40 Excellus - Blue Cross Blue Shield Rochester Area H BL 12B41 Regence Blue Cross of Oregon H BL 12B42 Utah Blue Cross (Regence Blue Cross of Oregon) H BL 12B44 Freedom Blue Medicare Advantage H Y BL 12B45 Blue Cross Blue Shield of Tennessee H Y BL 12B45 Blue Cross Blue Shield of Tennessee Network H H Y BL 12B47 Premera Blue Cross H BL 12B48 Triple-S Inc. H Y BL 12B53 Blue Cross Blue Shield of Tennessee H Y BL 12B53 Blue Cross of Tennessee H Y BL 12B54 Blue Cross of Alabama H Y Y BL 12B55 Blue Cross Blue Shield of South Carolina H BL 12B58 Blue Care Network/Blue Cross Blue Shield of Michigan H Y BL 12B59 Blue Cross of Oklahoma H Y BL 12B60 BC PA Western/Highmark H Y BL 12B61 Capital Blue Cross H BL 12B62 Hawaii Blue Cross H Y BL 12B65 Blue Cross Blue Shield of Missouri (Blue Choice) H BL 12B66 Blue Cross Blue Shield of Kansas City H Y Y BL 12B67 Excellus - Blue Cross Blue Shield Rochester Area H BL 12B68 HealthNow - BCBS Northeastern NY H Y BL 12B71 Excellus - BCBS Central NY-RMSCO H BL 12B72 Blue Cross Utica - Watertown H BL 12B73 Excellus - Blue Cross Blue Shield Rochester Area H BL 12B74 Blue Cross of Rhode Island H Y BL 12B75 Blue CHiP of Rhode Island H BL 12B75 Rhode Island - Blue Cross H BL 12B76 Blue Cross Blue Shield of Delaware H Y BL 12B77 Blue Cross Blue Shield of Montana H Y Y BL 12B78 North Dakota Blue Cross (Noridian) H Y BL 12B81 Pennsylvania Highmark Blue Shield - Central H Y Y BL 12B82 AHS State Network (Mississippi Blue Cross) H Y BL 12B84 True Blue / Blue Cross of Idaho H Y BL 12B88 Regence Blue Shield Idaho H BL 12B90 Blue Shield Washington H BL 12B92 Wellmark BCBS - Medicare COB H BL 12C01 Tricare West H Y CH 12K12 Louisiana Medicaid H Y Y MC 12K15 Missouri Medicaid H MC 12K17 Mississippi Medicaid H Y MC 12K22 New Mexico Medicaid H MC 12K25 Oklahoma Medicaid H MC 12K46 Tennessee Medicaid H Y Y MC 12K48 Health Safety Network - MASS. Health Medicaid H Y 12K62 MEDICAID HAWAII H 12K64 Texas Medicaid H MC 12K81 MDwise Inc. H Y 12M15 MO Medicare Part A (J5 - WPS) H Y Y MA 12M53 TN MEDICARE A (MAC JJ) Cahaba H Y Y MA 12T02 Community First H 12T03 FirstCare H 12T05 Scott & White Health Plan H 12T06 Valley Baptist Health Plan H 12T11 HMA - Health Management Admin H 12T27 El Paso First - CHIP H 12T29 TX Premier Plan - Medicaid H 12T30 Community Health Plan of Washington H 12T31 American Family Insurance H 12T33 Access Administrators H 12T39 Life Investors Insurance of America - Long Term Care H 12T40 Memorial Hermann Health Network Providers H 12T47 JP Specialties H 12T52 Masters Mates and Pilots Program H 12T54 Midwest Health Plans Inc. H Y 12T55 Seton Health Plan - Exclusive H 12T57 Seton MAP Program H 12T58 Cook Children's Health Plan H 12T60 Covenant Management Systems H 12T61 International Medical Group (IMG) H 12T63 Spohn Health H 12T64 IMS Management Svcs - Texas H 12T67 Life Investors Insurance H 12T69 New York Life H 12X01 Independent Health H Y 12X03 Capital District Physician's Health Plan H 12X03 CDPHP H 12X04 MVP Health Rochester H 12X16 Group Health Co-op H 12X17 Univera Healthcare CNY H 12X18 Univera Healthcare WNY H 12X19 Univera Healthcare SSA WNY PPO Traditional H 12X20 Univera Healthcare SSA ENY H 12X25 Keystone Health Plan East/IBC H Y BL 12X26 IBC Personal Choice H Y BL 12X27 Magellan Health Services H 12X27 National Imaging Assoc Inc / Magellan Health Services H 12X28 Ameri Health PPO NJ H Y 12X29 WPS Health Insurance H Y Y 12X31 US Department of Labor H 12X35 Deseret Mutual H Y 12X36 PEHP (Utah Public Employee Health Plan) H Y 12X37 SELECT HEALTH H 12X40 Bienvivir H 12X42 Banner Health - HealthNet Senior H Y 12X42 Banner Health - UHC Medicare Advantage H Y 12X42 Banner Plan Administration H Y 12X42 Banner Plan Administration M Y 12X42 Banner Plan Administration - Choice Plus and Select 500 H Y 12X43 Tricare For Life H Y Y 12X44 EBMS (Employee Benefit Management Services Inc.) H 12X46 Tricare for Overseas H Y Y 12X50 Ucare Minnesota H Y 12X51 CoOportunity Health H Y Y 12X51 HealthPartners MN H Y Y 12X56 Value Options - Commercial H Y 12X59 Global Healthcare Alliance H 12X75 Indian Health Services H 13162 1199 National Benefit Fund H Y 13162 1199 National Benefit Fund M Y 13174 Montefiore Contract Management Organization H Y 13174 Montefiore Contract Management Organization M Y 13185 TexasFirst Health Plan (NTX) H Y 13185 TexasFirst Health Plan (NTX) M Y 13189 Meridian Health Plan H Y 13189 Meridian Health Plan M Y 13193 Central Reserve Life Ins Co- Medicare Supplement H 13193 Central Reserve Life Ins Co-Medicare Supplement M 13193 Continental General Ins Co- Medicare Supplement H 13193 Continental General Ins Co-Medicare Supplement M 13193 Great American Life Ins Co- Medicare Supplement H 13193 Great American Life Ins. Co-Medicare Supplement M 13193 Loyal American Life Ins Co- Medicare Supplement H 13193 Loyal American Life Ins Co-Medicare Supplement M 13193 Provident American Life & Health Ins Co- Medicare Supplement H 13193 Provident American Life & Health Ins Co-Medicare Supplement M 13193 United Teacher Assoc Ins Co- Medicare Supplement H 13193 United Teacher Assoc Ins Co-Medicare Supplement M 13265 MetroPlus Health Plan H Y 13265 MetroPlus Health Plan M Y 13306 PHCS Savility Payers H 13306 PHCS Savility Payers M 13315 Insurance Design Administrators H 13315 Insurance Design Administrators M 13333 Affinity Medicare Advantage H 13333 Affinity Medicare Advantage M Y 13334 Affinity Health Plan H Y 13334 Affinity Health Plan M Y 13335 Hudson Health Plan H Y 13335 Hudson Health Plan M Y 13337 BMC HealthNet Plan H 13337 BMC HealthNet Plan M 13337 Boston Medical Center Health Plan Inc. H 13337 Boston Medical Center Health Plan Inc. M 13337 Well Sense Health Plan H 13337 Well Sense Health Plan M 13343 Amalgamated Life - PA / Alicare H 13343 Amalgamated Life - PA / Alicare M 13350 ODS Health Plan H 13350 ODS Health Plan M 13360 CenterLight Healthcare H 13360 CenterLight Healthcare M 13381 Orthonet Corporation - CIGNA H Y 13381 Orthonet Corporation - CIGNA M Y 13382 Orthonet - Uniformed Services Family Health Plan M 13383 Orthonet Corporation - AETNA H Y 13383 Orthonet Corporation - AETNA M Y 13407 USFHP - St. Vincent Catholic Medical Centers of New York H Y 13407 USFHP - St. Vincent Catholic Medical Centers of New York M Y 13413 Women's Integrated Network Inc. (WIN Fertility) M 13550 ALICARE H 13550 ALICARE M 13550 Amalgamated Life H 13550 Amalgamated Life M 13551 Emblem Health (GHI - New York Group Health Inc.) H Y 13551 Emblem Health (GHI - New York Group Health Inc.) M Y 14043 NHI BILLING SERVICES INC H 14140 Farm Family Life H 14140 Farm Family Life M 14165 MVP Health Plan of NY H 14165 MVP Health Plan of NY M 14179 CareCore National LLC (Aetna Radiology Claims) H 14179 CareCore National LLC (Aetna Radiology Claims) M 14180 CareCore National LLC (Oxford Radiology Claims) M 14182 CareCore National M 14188 CareCore/WCNY RAD M 14232 First Priority aka BCBS NEPA H Y BL 14315 Commonwealth Care Alliance H 14315 Commonwealth Care Alliance M 14966 Partners Health Plan H 14966 Partners Health Plan M 15688 Insurance Management Services (Amarillo TX) H 15688 Insurance Management Services (Amarillo TX) M 15750 Stones River Regional IPA/BCBST M 15752 Stones River Regional IPA/Windsor M 15754 Stones River Regional IPA/BHFG M 16098 Monitor Life Insurance Company H Y 16098 Monitor Life Insurance Company M Y 16111 POMCO H Y 16111 POMCO M Y 16117 RMSCO INC. H 16117 RMSCO INC. M 16120 America's PPO H 16120 America's PPO M 16120 Araz Group H 16120 ARAZ Group M 16146 SCHC Total Care - ClaimsNet H 16146 SCHC Total Care - ClaimsNet M 16180 Aspen H 16180 Aspen M 16600 Chautauqua County Healthcare Plan (Mayville NY) H 16600 Chautauqua County Healthcare Plan (Mayville NY) M 17516 North Shore - LIJ (Healthfirst) H Y 17516 North Shore - LIJ (Healthfirst) M Y 18840 MyDecision HealthSmart H 18840 MyDecision HealthSmart M 19028 Concentrix Insurance Solutions H Y 19028 Concentrix Insurance Solutions M Y 19191 Downstream Casino H 19191 Downstream Casino M 19191 Quapaw Casino H 19191 Quapaw Casino M 19191 Quapaw Tribal Member Plan H 19191 Quapaw Tribal Member Plan M 19191 Quapaw Tribe Employee Plan H 19191 Quapaw Tribe Employee Plan M 19191 Wichita and Affiliated Tribes H 19191 Wichita and Affiliated Tribes M 19305 Access Medicare (Cuatro LLC) H Y 19305 Access Medicare (Cuatro LLC) M Y 20048 Agate Resources Inc (LIPA) M Y 20048 Trillium Community Health Plan M Y 20050 Integrated Medical Solutions LLC H 20050 Integrated Medical Solutions LLC M 20133 Optimum Healthcare Inc. H 20133 Optimum Healthcare Inc. M 20149 Molina Healthcare of Ohio (Claims Only) H 20149 Molina Healthcare of Ohio (Claims Only) M 20172 Pennsylvania Pace H 20172 Pennsylvania Pace M 20212 Tethys Health Ventures H 20212 Tethys Health Ventures M 20270 Health Payment Systems Inc. H 20270 Health Payment Systems Inc. M 20333 Worksite Benefit Services LLC H 20333 Worksite Benefit Services LLC M 20356 Cerner HealthPlan Services H 20356 Cerner HealthPlan Services M 20356 The Health Exchange (Cerner Corporation) H 20356 The Health Exchange (Cerner Corporation) M 20376 Gemcare Health Plan H 20376 Gemcare Health Plan M 20398 Physicians Health Collaborative H 20398 Physicians Health Collaborative M 20413 3P ADMIN H 20413 3P ADMIN M 20415 Select Senior Clinic H 20415 Select Senior Clinic M 20475 MDwise Excel Network H Y 20475 MDwise Excel Network M Y 20553 Americas 1st Choice Health Plans of South Carolina Inc. H 20553 Americas 1st Choice Health Plans of South Carolina Inc. M 20554 Molina Healthcare of Texas (Claims Only) H 20554 Molina Healthcare of Texas (Claims Only) M 20572 MSA Care Guard H 20572 MSA Care Guard M 20805 Marrick Medical Finance H Y 20805 Marrick Medical Finance M Y 20818 Essence Healthcare H Y 20818 Essence Healthcare M Y 20934 Molina Healthcare of Illinois (Claims Only) H 20934 Molina Healthcare of Illinois (Claims Only) M 21062 Christus Health New Mexico HIX H Y 21062 Christus Health New Mexico HIX M Y 21313 Kaiser Permanente of Georgia H Y 21313 Kaiser Permanente of Georgia M Y 21547 MedSettlements LLC H 21547 MedSettlements LLC M 22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) H Y Y BL 22099 Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) M Y Y BL 22099 Horizon Healthcare of NY H Y BL 22099 Horizon Healthcare of NY M Y BL 22100 Health Choice Integrated Care H Y 22100 Health Choice Integrated Care M Y 22175 I. E. Shaffer (West Trenton NJ) H 22175 I. E. Shaffer (West Trenton NJ) M 22195 AIG Educational Markets H 22195 AIG Educational Markets M 22240 St. Barnabas System Health Plan H 22240 St. Barnabas System Health Plan M 22248 AmeriHealth Caritas Pennsylvania H Y 22248 AmeriHealth Caritas Pennsylvania M Y 22251 Healthy York Network H 22251 Healthy York Network M 22254 Fallon Health H 22254 Fallon Health M 22262 NPS M 22264 Vytra Healthcare H 22264 Vytra Healthcare M 22284 Colonial Medical H 22284 Colonial Medical M 22285 Atlantic Medical Insurance H 22285 Atlantic Medical Insurance M 22286 BritCay H 22286 BritCay M 22326 Horizon NJ Health H Y 22326 Horizon NJ Health M Y 22344 Exceedent LLC H 22344 Exceedent LLC M 22348 Maryland Physicians Care H Y 22348 Maryland Physicians Care M Y 22355 AmeriHealth VIP Care PA H Y 22355 AmeriHealth VIP Care PA M Y 22384 Administrative Concepts Inc. H 22384 Administrative Concepts Inc. M 22521 EGID (Employees Group Insurance Division) H Y 22521 EGID (Employees Group Insurance Division) M Y 22521 HP Administrative Services LLC H Y 22521 HP Administrative Services LLC M Y 22521 OSEEGIB (Oklahoma State and Education Employees Group Ins. Board) H Y 22521 OSEEGIB (Oklahoma State and Education Employees Group Ins. Board) M Y 22603 NJ Carpenters Health Fund H 22603 NJ Carpenters Health Fund M 22771 Managed Health Network H Y 22771 Managed Health Network M Y 23037 AmeriHealth HMO New Jersey and Delaware H Y 23037 AmeriHealth HMO New Jersey and Delaware M Y 23045 Capital Blue Cross/CAIC M Y Y BL 23051 Waterstone Benefit Administrators (Outside Oklahoma) H 23051 Waterstone Benefit Administrators (Outside Oklahoma) M 23160 Medico Life and Health Insurance Company H Y 23160 Medico Life and Health Insurance Company M Y 23218 Superior Administrators Inc (Santa Ana CA) H 23218 Superior Administrators Inc (Santa Ana CA) M 23223 The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer) H 23223 The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer) M 23241 First Priority Health M Y Y 23243 Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer) H 23243 Berkshire Health Partners - PPO Wyomissing PA (IHS Gateway Payer) M 23249 Sentinel Management Services H 23249 Sentinel Management Services M 23250 Significa Benefits Services Inc. H Y 23250 Significa Benefits Services Inc. M Y 23253 Populytics H 23253 Spectrum Administrators Inc. - TPA Allentown PA (IHS Gateway Payer) M 23253 Valley Preferred - PPO Allentown PA (IHS Gateway Payer) M 23274 HealthGroup Limited H 23274 HealthGroup Limited M 23281 UPMC Health Plan H Y 23281 UPMC Health Plan M Y 23282 Community Care BHO H Y 23282 Community Care BHO M Y 23283 Pittsburgh Care Partnership Inc. H Y 23283 Pittsburgh Care Partnership Inc. M Y 23284 Keystone First H Y 23284 Keystone First M Y 23285 Select Health of South Carolina H Y 23285 Select Health of South Carolina M Y 23287 Intergroup Services Corporation H 23287 Intergroup Services Corporation M 23334 AffinityAccess H Y 23334 AffinityAccess M Y 23342 QualCare Inc. H Y 23342 QualCare Inc. M Y 23550 MFC & HealthPlus Peoria H 23550 MFC & HealthPlus Peoria M 23708 C&O Employees Hospital Association H 23708 C&O Employees Hospital Association M 23738 Blue Cross Blue Shield of Louisiana M Y Y BL 23856 Touchstone Health PSO H 23856 Touchstone Health PSO M Y 24077 SANTA CLARA FAMILY HEALTH PLAN H 24077 SANTA CLARA FAMILY HEALTH PLAN M 24705 Capital Blue Cross - Facility M BL 24735 Pinnacle Claims Management Inc. H 24735 Pinnacle Claims Management Inc. M 24735 Western Grower's Assurance Trust H 24735 Western Grower's Assurance Trust M 24735 Western Grower's Insurance Company H 24735 Western Grower's Insurance Company M 24818 Amida Care H 24818 Amida Care M 25133 Advantra Savings H 25133 Advantra Savings M 25133 Altius (Utah) H 25133 Altius (Utah) M 25133 CHC of IL H Y 25133 Coventry Advantra Texas H 25133 Coventry Advantra Texas M 25133 Coventry Cares of Virginia - Medicaid Product H Y 25133 Coventry Cares of Virginia - Medicaid Product M Y 25133 Coventry Cares of West Virginia - Medicaid Product H 25133 Coventry Cares of West Virginia - Medicaid Product M Y 25133 Coventry Health & Life (Oklahoma) H Y 25133 Coventry Health & Life (Oklahoma) M Y 25133 Coventry Health and Life Insureance (Tennessee) H 25133 Coventry Health and Life Insureance (Tennessee) M 25133 Coventry Health Care H 25133 Coventry Health Care M 25133 Coventry Health Care Carelink - West Virginia only H 25133 Coventry Health Care Carelink - West Virginia only M 25133 Coventry Health Care Carelink Medicaid - West Virginia only H 25133 Coventry Health Care Carelink Medicaid - West Virginia only M 25133 Coventry Health Care National Network H Y 25133 Coventry Health Care National Network M Y 25133 Coventry Health Care of Florida H Y 25133 Coventry Health Care of Florida M Y 25133 Coventry Health Care of Florida Inc. M 25133 Coventry Health Care of Georgia Inc. H 25133 Coventry Health Care of Georgia Inc. M 25133 Coventry Health Care of Illinois H Y 25133 Coventry Health Care of Illinois M Y 25133 Coventry Health Care of Iowa Inc. H 25133 Coventry Health Care of Iowa Inc. M 25133 Coventry Health Care of Kansas Inc. H Y 25133 Coventry Health Care of Kansas Inc. M Y 25133 Coventry Health Care of Louisiana Inc. H 25133 Coventry Health Care of Louisiana Inc. M 25133 Coventry Health Care of Missouri H Y 25133 Coventry Health Care of Missouri M Y 25133 Coventry Health Care of Nebraska Inc. H 25133 Coventry Health Care of Nebraska Inc. M 25133 Coventry Health Care of Nevada H Y 25133 Coventry Health Care of Nevada M Y 25133 Coventry Health Care of the Carolinas H Y 25133 Coventry Health Care of the Carolinas M Y 25133 Coventry Health Care of Virginia H Y 25133 Coventry Health Care of Virginia M Y 25133 Coventry Health Plan of Florida H 25133 Coventry Missouri H 25133 Coventry Missouri M 25133 Coventry of Health Care Delaware Inc. H 25133 Coventry of Health Care Delaware Inc. M 25133 Coventry Summitt Health Plan Inc. H 25133 Coventry Summitt Health Plan Inc. M 25133 Foreign Service Benefit Plan H 25133 Foreign Service Benefit Plan M 25133 Health America Inc./Health Assurance/Advantra H Y 25133 Health America Inc./Health Assurance/Advantra M Y 25133 Mail Handlers Benefit Plan H 25133 Mail Handlers Benefit Plan M 25133 Rural Carrier Benefit Plan H 25133 Rural Carrier Benefit Plan M 25133 University of Missouri H 25133 University of Missouri M 25133 UT- Altius (UHIN) H 25133 UT- Altius (UHIN) M 25145 Benefit Coordinators Corporation (Pittsburgh PA) H 25145 Benefit Coordinators Corporation (Pittsburgh PA) M 25147 SouthCare/Healthcare Preferred H 25147 SouthCare/Healthcare Preferred M 25160 MCA Administrators Inc. H 25160 MCA Administrators Inc. M 25169 Gateway Health Plan Medicaid PA H Y 25169 Gateway Health Plan Medicaid PA M Y 25175 UnitedHealthcare Community Plan / SC (formerly Unison) H 25175 UnitedHealthcare Community Plan / SC (formerly Unison) M 25175 UnitedHealthcare Community Plan/DEFLHILAMDMS CANNMOHPARI TX WA H 25175 UnitedHealthcare Community Plan/DEFLHILAMDMS CANNMOHPARI TX WA M 25181 LIFE Pittsburgh H 25181 LIFE Pittsburgh M 25184 UPMC Vision Advantage H Y 25184 UPMC Vision Advantage M Y 251CC Children's Community Health Plan (CCHP) H 251CC Children's Community Health Plan (CCHP) M 251MS Medstar Select/Medstar Medicare Choice H Y 251MS Medstar Select/Medstar Medicare Choice M Y 251PD Piedmont WellStar Health Plan H Y 251PD Piedmont WellStar Health Plan M Y 251PR Premier Health Plan H Y 251PR Premier Health Plan M Y 25404 Seven Corners H 25404 Seven Corners M 25531 GHI HMO H Y 25531 GHI HMO M Y 25922 VieCare Life Armstrong H 25922 VieCare Life Armstrong M 25923 VieCare LIFE Butler H 25923 VieCare LIFE Butler M 25924 VieCare Life Beaver and Life Lawrence Counties H 25924 VieCare Life Beaver and Life Lawrence Counties M 26041 Central California Women's Health H 26041 Central California Women's Health M 26054 iCare Health Solutions M 26097 ML Healthcare H 26097 ML Healthcare M 26158 AllCare PEBB H 26158 AllCare PEBB M 26227 MSH REIMBURS H Y 26227 MSH REIMBURS M Y 26316 Retiree Health Trust M 26545 VillageCareMAX H 26545 VillageCareMAX M 27004 Care Wisconsin FIrst Inc H Y 27004 Care Wisconsin FIrst Inc M Y 27005 Lifestyle Health Plans M 2700U Medova H 27048 Payer Fusion H 27048 Payer Fusion M 27133 Gemcare IPA H 27133 Gemcare IPA M 27154 Arizona Priority Care Plus H 27154 Arizona Priority Care Plus M 27215 Kentucky Health Administrators Inc. H 27215 Kentucky Health Administrators Inc. M 27320 Max Specialty Benefits M 27327 WinHealth Partners/Wyoming Health Solutions H 27327 WinHealth Partners/Wyoming Health Solutions M 27344 Affiliated Doctors of Orange County H 27344 Affiliated Doctors of Orange County M 27357 AmeriHealth Caritas Louisiana H Y 27357 AmeriHealth Caritas Louisiana M Y 27514 Amerigroup H Y 27514 Amerigroup M Y 27514 Empire Blue Cross Blue Shield HealthPlus H Y 27514 Empire Blue Cross Blue Shield HealthPlus M Y 27905 Community Health Alliance TN H 27905 Community Health Alliance TN M 28021 Kern County CDCR H 28021 Kern County CDCR M 28530 Secure Health Plans of Georgia LLC H Y 28530 Secure Health Plans of Georgia LLC M Y 28943 PHYSICIAN'S ACCOUNTABLE CARE ORG H 28943 PHYSICIAN'S ACCOUNTABLE CARE ORG M 29076 Consumers Life Insurance Company H 29076 Consumers Life Insurance Company M 29076 Medical Mutual of Ohio H Y 29076 Medical Mutual of Ohio M Y 29076 Premier Health Systems Inc. H 29076 Premier Health Systems Inc. M 30005 Galveston County Indigent Health Care H 30005 Galveston County Indigent Health Care M 30862 Heritage Victor Valley Medical Group H 30862 Heritage Victor Valley Medical Group M 30891 Sierra Medical Group H 30891 Sierra Medical Group M 31048 Western Southern Financial Group (Cincinnati OH) H 31048 Western Southern Financial Group (Cincinnati OH) M 31053 Individual Health Insurance Companies H 31053 Individual Health Insurance Companies M 31053 State Farm Insurance Companies H Y 31053 State Farm Insurance Companies M Y 31059 State Farm (Casualty & Property Claims) H Y 31059 State Farm (Casualty & Property Claims) M Y 31074 EBMC H 31074 EBMC M 31074 Employee Benefit Management Corp (EBMC) H 31074 Employee Benefit Management Corp (EBMC) M 31074 The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM H 31074 The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM M 31074 TPAC/Employee Benefit Management Corp H 31074 TPAC/Employee Benefit Management Corp M 31114 CareSource OH H 31114 CareSource OH M 31118 Tribute Health Plan H 31118 Tribute Health Plan M Y 31121 Stoner and Associates (Cincinnati OH) H 31121 Stoner and Associates (Cincinnati OH) M 31127 Integra Group H Y 31127 Integra Group M 31128 INTEGRA GROUP/HOME H 31129 Integra Group-CHA M 31138 AHPO (Cleveland OH) H 31138 AHPO (Cleveland OH) M 31141 Healthsource OH H 31141 Healthsource OH M 31143 Trihealth Physician Solutions - Concern H 31143 Trihealth Physician Solutions - Concern M 31144 Tristate Benefit Solutions (TPA) H Y 31144 Tristate Benefit Solutions (TPA) M Y 31149 McGregor PACE H 31149 McGregor PACE M 31172 HSBS World Trade Center Health Program H 31172 HSBS World Trade Center Health Program M 31182 Innovage H 31182 Innovage M 31182 Total Community Care H 31182 Total Community Care M 31182 Total Long Term Care H 31182 Total Long Term Care M 31417 Nationwide Health Plans H 31417 Nationwide Health Plans M 31441 S & S Healthcare Strategies H 31441 S & S Healthcare Strategies M 31478 Preferred Health Professionals H 31478 Preferred Health Professionals M 31625 ElderPlan Inc. H Y 31625 ElderPlan Inc. M Y 31626 VNA Homecare Options H 31626 VNA Homecare Options M 32002 Blue Cross Complete of Michigan H Y 32002 Blue Cross Complete of Michigan M Y 32006 Better Health Plans of South Carolina H 32006 Better Health Plans of South Carolina M 33001 Universal Care - California H 33001 Universal Care - California M 33010 Cedars Sinai Medical Center H 33020 My Family Medical Group H 33020 My Family Medical Group M 33036 Loma Linda University Health Care Managed Care Dept H 33036 Loma Linda University Health Care Managed Care Dept M 33053 OptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health) H 33053 OptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health) M 33065 Rady Children's Hospital H 33065 Rady Children's Hospital M 33072 San Louis Obispo Select H 33072 San Louis Obispo Select M 33099 Scripps Health Plan Services H 33099 Scripps Health Plan Services M 33104 Texas HealthSpring H 33104 Texas HealthSpring M 33628 Mercy Maricopa Integrated Care H Y 33628 Mercy Maricopa Integrated Care M Y 33884 iCircle Care of New York H 33884 iCircle Care of New York M 33LGC Life Gift Cards H 33LGC Life Gift Cards M 33LGC Mediphe H 33LGC Mediphe M 34080 Multiplan Wisconsin Preferred Provider Network H 34080 Multiplan Wisconsin Preferred Provider Network M 34080 WPPN H 34092 Healthspan H Y 34092 Healthspan M Y 34097 Central Reserve Life H Y 34097 Central Reserve Life M Y 34108 E.S. BEVERIDGE & ASSOCIATES H 34108 E.S. BEVERIDGE & ASSOCIATES M 34131 Self-Funded Plans Inc. H 34131 Self-Funded Plans Inc. M 34136 JP Farley Corporation H 34136 JP Farley Corporation M 34145 Klais & Company H 34145 Klais & Company M 3414A Klais & Company (Repricing for HealthSpan Network Only) H 3414A Klais & Company (Repricing for HealthSpan Network Only) M 34150 The Health Plan (Massillon Ohio and St. Clairsville Ohio only) H 34150 The Health Plan (Massillon Ohio and St. Clairsville Ohio only) M 34154 Chesterfield Resources Inc. H 34154 Chesterfield Resources Inc. M 34158 Health Design Plus (Hudson OH) H 34158 Health Design Plus (Hudson OH) M 34159 E-V Benefits Management Inc (Columbus OH) H 34159 E-V Benefits Management Inc (Columbus OH) M 34159 NABN (Cleveland OH) H 34159 NABN (Cleveland OH) M 34159 North American Benefits Network ((Cleveland OH) H 34159 North American Benefits Network (Cleveland OH) M 34167 Emerald Health Network Inc. (All PPO Business) H 34167 Emerald Health Network Inc. (All PPO Business) M 34167 Health Services Preferred (HSP) by Emerald Health H 34167 Health Services Preferred (HSP) by Emerald Health M 34167 Integrated Care Network (ICN) by Emerald Health H 34167 Integrated Care Network (ICN) by Emerald Health M 34171 FrontPath Health Coalition H 34171 FrontPath Health Coalition M 34177 Comp - Ohio (Austintown OH) H 34177 Comp - Ohio (Austintown OH) M 34178 Benefit Services Inc. (Akron OH) H 34181 Commerce Benefits Group H 34181 Commerce Benefits Group M 34189 Ohio Health Choice PPO H 34189 Ohio Health Choice PPO M 34192 Mutual Health Services H Y 34192 Mutual Health Services M Y 34196 Apex Benefit Services H 34196 Apex Benefit Services M 34638 Unified Physicians Network H Y 34638 Unified Physicians Network M Y 34734 Aetna Better Health of NY H Y 34734 Aetna Better Health of NY M Y 35092 Morris Associates H 35092 Morris Associates M Y 35107 Indiana Teamsters Health Benefits Fund (Indianapolis IN) H 35107 Indiana Teamsters Health Benefits Fund (Indianapolis IN) M 35107 Local 135 Health Benefits Fund (Indianapolis IN) H 35107 Local 135 Health Benefits Fund (Indianapolis IN) M 35112 Employee Plans LLC H 35112 Employee Plans LLC M 35115 INTotal Health LLC H Y 35115 INTotal Health LLC M Y 35145 Highmark- Key Family H 35145 Highmark- Key Family M 35149 Cook Group Health Plan H 35149 Cook Group Health Plan M 35161 Indiana ProHealth Network H 35161 Indiana ProHealth Network M 35162 Managed Care Services LLC H 35162 Managed Care Services LLC M 35164 Sagamore Health Network H 35164 Sagamore Health Network M 35174 Qual Choice of Arkansas H Y 35174 Qual Choice of Arkansas M Y 35182 Brodart H 35182 Brodart M 35182 CoreSource AZ MN H Y 35182 CoreSource AZ MN M Y 35182 CoreSource MD PA IL H 35182 CoreSource MD PA IL M 35182 CoreSource NC IN H Y 35182 CoreSource NC IN M Y 35183 CoreSource OH H 35183 CoreSource OH M 35186 Dunn and Associates Benefits Administrators Inc. H 35186 Dunn and Associates Benefits Administrators Inc. M 35187 CoreSource-Internal H 35187 CoreSource-Internal M 35198 Unified Group Services H 35198 Unified Group Services M 35199 Cooperative Managed Care Services H Y 35199 Cooperative Managed Care Services M Y 35199 MDwise Franciscan St. Anthony-HHW H Y 35199 MDwise Franciscan St. Anthony-HHW M Y 35199 MDwise Franciscan St. Margaret-HHW H Y 35199 MDwise Franciscan St. Margaret-HHW M Y 35199 MDwise Select Health-HHW H Y 35199 MDwise Select Health-HHW M Y 35199 MDwise St. Catherine-HHW H Y 35199 MDwise St. Catherine-HHW M Y 35199 MDwise St. Vincent-HHW H Y 35199 MDwise St. Vincent-HHW M Y 35199 St. Anthony Memorial Healthcare Centers - MDWISE H 35199 St. Anthony Memorial Healthcare Centers - MDWISE M 35199 St. Catherine Hospital PHO - MDWISE H 35199 St. Catherine Hospital PHO - MDWISE M 35199 St. Francis Health Network H 35199 St. Francis Health Network M 35199 St. Margaret Mercy Healthcare Centers - MDWISE H 35199 St. Margaret Mercy Healthcare Centers - MDWISE M 35202 Security Administrative Services H 35202 Security Administrative Services M 35205 MedPartners Administrative Services H 35205 MedPartners Administrative Services M 35206 Encircle PPO H 35206 Encircle PPO M 35206 Encore Health Network H 35206 Encore Health Network M 35206 The Healthcare Group H 35206 The Healthcare Group M 35209 Advantage Health Solutions H 35209 Advantage Health Solutions M 35212 North Texas Healthcare Network H 35212 North Texas Healthcare Network M 35227 South Point Hotel & Casino H 35227 South Point Hotel & Casino M 35245 Continental Benefits H 35245 Continental Benefits M 35245 WellSystems LLC H 35245 WellSystems LLC M 35316 MMA H Y 35316 MMA M Y 35317 Key Gap H 35317 Key Gap M 35416 PACE Nebraska H 35416 PACE Nebraska M 35600 Indiana Department of Health - Children's Health - Claims H Y 35600 Indiana Department of Health - Children's Health - Claims M Y Y 35605 Everence H 35605 Everence M 36149 Benefit Administrative Systems H Y 36149 Benefit Administrative Systems M Y 36215 Central States Health & Welfare Funds H 36215 Central States Health & Welfare Funds M 36215 Rosemont of Des Plaines IL H 36215 Teamcare H 36215 Teamcare M 36273 AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Co H 36273 AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Co M 36273 AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Co H 36273 AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Co M 36312 MANAGED HEALTH CARE ASSOCIATES H 36312 MANAGED HEALTH CARE ASSOCIATES M 36314 Central DuPage Physician Group H 36314 Central DuPage Physician Group M 36320 Advocate Medical Group - AMG (Legacy AHC) H 36320 Advocate Medical Group - AMG (Legacy AHC) M Y 36326 Associates for Health Care Inc. (AHC) H 36326 Associates for Health Care Inc. (AHC) M 36331 Professional Benefit Administrators Inc. (Oak Brook IL) H 36331 Professional Benefit Administrators Inc. (Oak Brook IL) M 36333 Lawndale Christian Health Center H 36333 Lawndale Christian Health Center M 36334 MacNeal Health Providers- CHS H 36334 MacNeal Health Providers- CHS M Y 36335 Arkansas Managed Care Organization Inc. (AMCO) H 36335 Arkansas Managed Care Organization Inc. (AMCO) M 36335 HFN Inc. H 36335 HFN Inc. M 36337 Weiss Health Providers H 36337 Weiss Health Providers M 36338 Group Administrators Ltd. H 36338 Group Administrators Ltd. M 36342 Benefit Systems & Services Inc. H 36342 Benefit Systems & Services Inc. M 36342 Total Broker Benefits H 36342 Total Broker Benefits M 36345 Physicians Care Network (Rockford IL only) H 36345 Physicians Care Network (Rockford IL only) M 36346 Northwest Suburban IPA (Illinois) H 36346 Northwest Suburban IPA (Illinois) M 36347 Northern Illinois Health Plan H 36347 Northern Illinois Health Plan M 36348 Ingalls Provider Group H 36348 Ingalls Provider Group M 36364 NorthShore University Health System Medical Group H 36364 NorthShore University Health System Medical Group M 36373 Prairie States Enterprises Inc. H 36373 Prairie States Enterprises Inc. M 36389 Rush Prudential Health Plans (HMO Only) H 36389 Rush Prudential Health Plans (HMO Only) M 36392 North Suburban Associated Physicians H 36392 North Suburban Associated Physicians M 36393 Century PHO INC H 36393 Century PHO INC M 36396 Resurrection Health Care Preferred/FKA Family Medical Network H 36396 Resurrection Health Care Preferred/FKA Family Medical Network M 36397 Trellis Health Partners H 36397 Trellis Health Partners M 36400 Oak West Physician Association H Y 36400 Oak West Physician Association M Y 36401 Preferred Network Access Inc. H 36401 Preferred Network Access Inc. M 36404 Self Insured Plans (Naples FL) H 36404 Self Insured Plans (Naples FL) M 36411 Swedish Covenant Hospital H 36411 Swedish Covenant Hospital M 36426 Sendero Health H Y 36426 Sendero Health M Y 36474 Centegra Health System H Y 36474 Centegra Health System M Y 36609 Boilermakers National Health & Welfare Fund H 36609 Boilermakers National Health & Welfare Fund M 36609 International Brotherhood of Boilermakers H 36609 International Brotherhood of Boilermakers M 36659 United Food & Comm. Workers Midwest Unions M 37105 Sage Technologies H 37105 Sage Technologies M 37114 H.E.R.E.I.U Welfare Pension Funds H 37114 H.E.R.E.I.U Welfare Pension Funds M 37116 Lake County Physicians Association H 37116 Lake County Physicians Association M 37118 ACMG H 37118 ACMG M 37118 Benefit Plan Administrators Inc H 37118 Benefit Plan Administrators Inc M 37121 Mashantucket Pequot Tribal Nation H 37121 Mashantucket Pequot Tribal Nation M 37136 Physicians Health Association of Illinois H 37136 Physicians Health Association of Illinois M 37137 HSHS Medical Group IPA H 37137 HSHS Medical Group IPA M 37212 Benefit Management Systems Inc H 37212 Benefit Management Systems Inc M 37216 Employee Benefit Services (Ft. Mill SC) H Y 37216 Employee Benefit Services (Ft. Mill SC) M Y 37217 Key Benefit Administrators (Indianapolis IN) H Y 37217 Key Benefit Administrators (Indianapolis IN) M Y 37224 HSBS Memphis H Y 37224 HSBS Memphis M Y 37226 London Health Administrators H 37227 CNIC Health Solutions Inc. H Y 37227 CNIC Health Solutions Inc. M Y 37228 Silverback TPA H 37228 Silverback TPA M 37230 TR Paul Inc. H 37230 TR Paul Inc. M 37233 Mississippi Public Entity Employee Benefit Trust H 37233 Mississippi Public Entity Employee Benefit Trust M 37233 MPE Services Inc. H 37233 MPE Services Inc. M 37233 MPEEBT H 37233 MPEEBT M 37237 UMR - Lexington H 37237 UMR (formerly Lexington / CommonWealth Administrative Group) M 37242 Aultra Administrative Group H 37242 Aultra Administrative Group M 37247 Western Mutual Insurance H 37247 Western Mutual Insurance M 37253 Elmco H 37253 Elmco M 37256 HSBS Oklahoma City H 37256 HSBS Oklahoma City M 37264 Mercy Benefit Administration H Y 37264 Mercy Benefit Administration M Y 37266 Croy-Hall Mgmt. Inc. H 37266 Croy-Hall Mgmt. Inc. M 37266 Southwest Service Life H 37266 Southwest Service Life M 37267 Loma Linda University Adventist Health Sciences Center Employee Health Plan H 37267 Loma Linda University Adventist Health Sciences Center Employee Health Plan M 37267 Loma Linda University Adventist Health Sciences Centers H 37267 Loma Linda University Adventist Health Sciences Centers M 37267 Loma Linda University Behavioral Medicine Center Employee Health Plan H 37267 Loma Linda University Behavioral Medicine Center Employee Health Plan M 37267 Loma Linda University Employee Health Plan H 37267 Loma Linda University Employee Health Plan M 37267 Loma Linda University Health Care Employee Health Plan H 37267 Loma Linda University Health Care Employee Health Plan M 37267 Loma Linda University Medical Center Employee Health Plan H 37267 Loma Linda University Medical Center Employee Health Plan M 37267 Loma Linda University Medical Center Residents Health Plan H 37267 Loma Linda University Medical Center Residents Health Plan M 37267 Loma Linda University Student Health Plan H 37267 Loma Linda University Student Health Plan M 37268 Prism Network Inc. M 37272 HealthSmart Benefit Solutions H Y 37272 HealthSmart Benefit Solutions M Y 37275 Missoula County Medical Benefits Plan H 37275 Missoula County Medical Benefits Plan M 37276 Group Insurance Service Center Inc. H 37276 Group Insurance Service Center Inc. M 37278 ResourceOne Administrators H 37278 ResourceOne Administrators M 37279 IAA H 37279 IAA M 37279 Insurance Administrators of America Inc. H 37279 Insurance Administrators of America Inc. M 37280 AGA H 37280 AGA M 37280 Automated Group Administration Inc. H 37280 Automated Group Administration Inc. M 37281 Liberty Union H 37281 Liberty Union M 37281 Life Assurance Company H 37281 Life Assurance Company M 37281 Mid-America Associates Inc. H 37281 Mid-America Associates Inc. M 37282 Select Benefit Administrators of America H 37282 Select Benefit Administrators of America M 37283 HealthSmart Benefit Solutions H 37283 HealthSmart Benefit Solutions M 37284 TransChoice-Key Benefit Administrators H Y 37284 TransChoice-Key Benefit Administrators M Y 37287 PAI H 37287 PAI M 37287 Planned Administrators Inc. H 37287 Planned Administrators Inc. M 37290 Health Services for Children with Special Needs H Y 37290 Health Services for Children with Special Needs M Y 37299 Nyhart H 37299 Nyhart M 37300 FACS Group H 37300 FACS Group M 37300 Federated Benefits H 37300 Federated Benefits M 37300 Federated HR Services H 37300 Federated HR Services M 37301 Summit America Insurance Services Inc. H 37301 Summit America Insurance Services Inc. M 37307 Connecticut Carpenters Health Fund H 37307 Connecticut Carpenters Health Fund M 37308 Allied Benefit Systems H Y 37308 Allied Benefit Systems M Y 37309 Protective Life Insurance Company M 37313 Assurant Health Self-Funded (Ft. Mill SC) H 37313 Assurant Health Self-Funded (Ft. Mill SC) M 37314 Broward Health H 37314 Broward Health M 37314 Children's Medical Services - Broward NORTH H 37314 Children's Medical Services - Broward NORTH M 37314 North Broward Hospital District H 37314 North Broward Hospital District M 37314 South FL Community Care Network - NBHD H 37314 South FL Community Care Network - NBHD M 37314 Total Claims Administration H 37314 Total Claims Administration M 37315 Prism-Univera M 37316 Leon Medical Center Health Plan H 37316 Leon Medical Center Health Plan M 37318 Southern Benefit Services H 37318 Southern Benefit Services M 37320 Creative Plan Administrators H 37320 Creative Plan Administrators M 37321 Key Select H 37321 Key Select M 37322 American Worker Health Plan H 37322 American Worker Health Plan M 37323 Key Solution H Y 37323 Key Solution M Y 37324 Upper Peninsula Health Group (TPA) H 37324 Upper Peninsula Health Group (TPA) M 37331 RightChoice Benefit Administrators H 37331 RightChoice Benefit Administrators M 37363 Compsych H Y 37363 Compsych M Y 37601 University of Illinois at Chicago Div of Specialized Care for Children H 37601 University of Illinois at Chicago Div of Specialized Care for Children M 37602 UnitedHealthOne / Golden Rule H Y 37602 UnitedHealthOne / Golden Rule M Y 38201 Total Healthcare Inc. H 38201 Total Healthcare Inc. M 38216 HealthPlus of Michigan H 38216 HealthPlus of Michigan M 38217 Priority Health H 38217 Priority Health M Y 38219 AmeraPlan H Y 38219 AmeraPlan M Y 38221 Regency Employee Benefits H 38221 Regency Employee Benefits M 38224 HAP/AHL/Curanet H 38224 HAP/AHL/Curanet M 38224 Medical Value Plan - Ohio (MVP) H 38224 Medical Value Plan - Ohio (MVP) M 38224 MVP - Ohio H 38225 NGS American Inc H Y 38225 NGS American Inc M Y 38232 Meritain H 38232 Meritain M 38238 Northern California Sheet Metal Workers Health Care (San Ramon CA) H 38238 Northern California Sheet Metal Workers Health Care Plan M 38238 Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA) H 38238 Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA) M 38241 Employee Benefit Concepts (Farmington Hills MI) H 38241 Employee Benefit Concepts (Farmington Hills MI) M 38254 Activa Benefit Services LLC H 38254 Activa Benefit Services LLC M 38259 Automated Benefit Services H 38259 Automated Benefit Services M 38265 Administration Systems Research Corporation H 38265 Administration Systems Research Corporation M 38265 ASR H 38265 ASR M 38265 ASR Corporation H 38265 ASR Corporation M 38265 ASR Health Benefits H 38265 ASR Health Benefits M 38265 Physicians Care (ASR Corporation) H 38265 Physicians Care (ASR Corporation) M 38265 Physicians Care Health Plans (ASR Corporation) H 38265 Physicians Care Health Plans (ASR Corporation) M 38265 Physicians Care Network (ASR Corporation) H 38265 Physicians Care Network (ASR Corporation) M 38308 Christian Brothers Services H 38308 Christian Brothers Services M 38309 Health Net of Arizona H Y 38309 Health Net of Arizona M Y 38310 JOHN MORRELL COMPANY CO. - AHPBA H 38310 JOHN MORRELL COMPANY CO. - AHPBA M 38329 Pro Care Health Plan Inc. (Detroit MI) H 38329 Pro Care Health Plan Inc. (Detroit MI) M 38333 Molina Healthcare of California (Claims only) H 38333 Molina Healthcare of California (Claims only) M 38334 Molina Healthcare of Michigan (Claims Only) H 38334 Molina Healthcare of Michigan (Claims Only) M 38335 Cofinity H 38335 Cofinity M 38335 PPOM LLC H 38335 PPOM LLC M 38336 Molina Healthcare of Washington (Claims Only) H 38336 Molina Healthcare of Washington (Claims Only) M 38337 Upper Peninsula Health Plan (Medicaid) H Y 38337 Upper Peninsula Health Plan (Medicaid) M Y 38343 Ingham Health Plan Corporation H 38343 Ingham Health Plan Corporation M 39026 UMR H 39026 UMR M 39026 UnitedHealthcare / UHIS-UnitedHealth Integrated Services H 39026 UnitedHealthcare / UHIS-UnitedHealth Integrated Services M 39033 Sentry Insurance a Mutual Company H 39033 Sentry Insurance a Mutual Company M 39033 Sentry Life Insurance Company H 39033 Sentry Life Insurance Company M 39033 Sentry Life of New York H 39033 Sentry Life of New York M 39045 Security Health Plan H Y Y 39045 Security Health Plan M Y Y 39065 Assurant Health (IM & GROUP FULLY-INSURED) H Y 39065 Assurant Health (IM & GROUP FULLY-INSURED) M Y 39081 Benefit Plan Administrators Co. (Eau Claire WI) H 39081 Benefit Plan Administrators Co. (Eau Claire WI) M 39111 Network Health Plan H 39113 Dean Health Plan H Y 39113 Dean Health Plan M Y 39114 MercyCare H 39114 MercyCare M 39126 Community Care Inc. (Wisconsin) H Y 39126 Community Care Inc. (Wisconsin) M Y 39144 Network Health Plan H Y 39144 Network Health Plan M Y 39151 WEA Insurance Group H 39151 WEA Insurance Group M 39156 Physicians Plus Insurance Corporation H 39156 Physicians Plus Insurance Corporation M 39167 Group Health Cooperative of South Central Wisconsin H Y 39167 Group Health Cooperative of South Central Wisconsin M Y 39182 InsuranceTPA.com H 39182 InsuranceTPA.com M 39185 ARISE H Y 39185 ARISE M Y 39640 Great Lakes PACE H 39640 Great Lakes PACE M 40025 Innovation Health H 40025 Innovation Health M 40137 Kalos Health H 40137 Kalos Health M 40585 INDECS Corporation H 40585 INDECS Corporation M 41041 Federated Mutual Insurance H Y 41041 Federated Mutual Insurance M Y 41095 Wilson-McShane H 41095 Wilson-McShane M 41099 John Alden Life Insurance Co. H Y 41099 John Alden Life Insurance Co. M Y 41124 Meritain Health Minneapolis H 41124 Meritain Health Minneapolis M 41136 Life Trac H 41136 Life Trac M 41147 PreferredOne (MN) H Y 41147 PreferredOne (MN) M Y 41150 Health Services Management M Y 41154 Mayo Clinic Health Solutions H Y 41154 Mayo Clinic Health Solutions M Y 41160 OptumHealth Physical Health - includes Oxford (formerly ACN & ACNIPA) M 41161 OptumHealth Physical Health - includes Oxford (formerly ACN & ACNIPA) M 41178 America's TPA H 41178 America's TPA M 41178 HealthEZ H 41178 HealthEZ M 41194 Optum ? Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutio H 41194 Optum ? Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutio M 41194 OptumHealth Care Solutions (formerly United Resource Networks) H 41194 OptumHealth Care Solutions (formerly United Resource Networks) M 41206 Ultra Benefits Inc. H 41206 Ultra Benefits Inc. M 41212 Freedom Health Plan H 41212 Freedom Health Plan M 41222 Care To Care H 41222 Care To Care M 41600 IMCare H Y 41600 IMCare M Y 42011 American Republic Insurance H Y 42011 American Republic Insurance M Y 42102 Health Care Network of Wisconsin (HCN) H 42102 Health Care Network of Wisconsin (HCN) M 42137 TRISTAR Benefit Administrators (W. DesMoines IA) H 42137 TRISTAR Benefit Administrators (W. DesMoines IA) M 42138 Cenpatico TPA H 42138 Cenpatico TPA M 42139 Centene TPA H 42139 Centene TPA M 42140 Centurion H 42140 Centurion M 42141 CTI Administrators Inc. H Y 42141 CTI Administrators Inc. M Y 42149 Employee Benefit Systems H 42149 Employee Benefit Systems M 42150 Butler Benefit H 42150 Butler Benefit M 42162 State Trust Group H 42162 State Trust Group M 42172 Soundpath Health H 42172 Soundpath Health M 42331 FIRST PRIORITY HEALTH H 43056 Claims Development Corporation M 43146 American Specialty Health M 43160 Corizon Inc. H 43160 Corizon Inc. M 43166 Mercy Health Plans H 43166 Mercy Health Plans M 43166 Permier Health Plans H 43166 Premier Benefits Inc. H 43166 Premier Benefits Inc. M 43166 Premier Health Plans M 43174 Molina Healthcare of Washington (Encounters Only) M 43178 Joplin Claims / Benefit Management Inc H 43178 Joplin Claims / Benefit Management Inc M 43185 Mercy Provider Network H 43185 Mercy Provider Network M 43313 Harken Health Insurance H 43313 Harken Health Insurance M 43324 Beacon Health Strategies H 43324 Beacon Health Strategies M 43471 Inetico Inc. H 43471 Inetico Inc. M 44006 Desert Oasis HealthCare M 44054 Government Employees Health Association (GEHA) H Y 44054 Government Employees Health Association (GEHA) M Y 44219 Reading Hospital Employer Group H 44219 Reading Hospital Employer Group M 44273 Health Plans Inc. H 44273 Health Plans Inc. M 44423 Alexian Brothers Community Services of TN H 44423 Alexian Brothers Community Services of TN M 44444 American Postal Workers Union Health Plan H Y 44444 American Postal Workers Union Health Plan M Y 45048 Independent Living Systems H Y 45048 Independent Living Systems M Y 45114 PACE of Southwest Michigan Inc H 45114 PACE of Southwest Michigan Inc M 45129 New Mexico Health Connections H Y 45129 New Mexico Health Connections M Y 45150 Meritus Health Partners H 45150 Meritus Health Partners M 45235 Government Employees Health Association (GEHA PHCS) H 45235 Government Employees Health Association (GEHA PHCS) M 45275 Government Employees Health Association (GEHA-PHCS-45275) H 45275 Government Employees Health Association (GEHA-PHCS-45275) M 45276 West Virginia Family Health Plan H Y 45276 West Virginia Family Health Plan M Y 45302 Integra Managed Long Term Care H 45302 Integra Managed Long Term Care M 45319 Evergreen Health Cooperative H 45319 Evergreen Health Cooperative M 45321 Consumers Choice Health SC H 45321 Consumers Choice Health SC M 45332 Oregon's Health CO-OP H Y 45332 Oregon's Health CO-OP M Y 45336 HealthyCT Inc H 45336 HealthyCT Inc M 45341 Maine Community Health Options H Y 45341 Maine Community Health Options M Y 45437 University Healthcare Marketplace H 45437 University Healthcare Marketplace M 45559 Fallon Total Care H 45559 Fallon Total Care M 45985 Pinnacle Physician Management ORG H 45985 Pinnacle Physician Management ORG M 46045 Avera Health Plans H 46045 Avera Health Plans M 46050 Generations Healthcare H 46050 Generations Healthcare M 46051 Generations-Hillcrest H Y 46051 Generations-Hillcrest M Y 46120 Crystal Run Health Plans H 46120 Crystal Run Health Plans M 46156 Aspire Health Plan H 46156 Aspire Health Plan M 46161 Montefiore HMO H Y 46161 Montefiore HMO M Y 46166 Royal Healthcare on Behalf of Extended Care MTC H 46166 Royal Healthcare on Behalf of Extended Care MTC M 46221 Health Choice Insurance Co H Y 46221 Health Choice Insurance Co M Y 46227 CareConnect Insurance Company Inc H 46227 CareConnect Insurance Company Inc M 46299 Molina Healthcare South Carolina (Claims Only) H 46299 Molina Healthcare South Carolina (Claims Only) M 46407 University Health Care Advantage H 46407 University Health Care Advantage M 46478 Continuum Health Solutions LLC H 46478 Continuum Health Solutions LLC M 46571 Quartz ASO H 46571 Quartz ASO M 46594 AFFINITY MEDICAL GROUP H 46594 AFFINITY MEDICAL GROUP M 46871 Cincinnati Financial Corporation H 46871 Cincinnati Financial Corporation M 47027 Physicians Mutual Insurance Company H Y 47027 Physicians Mutual Insurance Company M Y 47080 Midlands Choice Inc. H 47080 Midlands Choice Inc. M 47083 GMS Inc. H 47083 GMS Inc. M 47181 Highmark BCBSD Health Options Inc. H Y 47181 Highmark BCBSD Health Options Inc. M Y 47198 Anthem Blue Cross H Y BL 47198 Anthem Blue Cross M Y BL 47312 Saint Joseph PACE of IN (MEDITURE LLC) H 47312 Saint Joseph PACE of IN (MEDITURE LLC) M 47394 Coastal Care Services Inc M 47405 BookMD Inc H 47405 BookMD Inc M 47410 Avectus Healthcare Solutions H 47410 Avectus Healthcare Solutions M 47738 Hamaspik Choice H 47738 Hamaspik Choice M 48008 PhysMetrics M 48026 NorthShore Physician Associates H Y 48026 NorthShore Physician Associates M Y 48055 American Progressive Life and Health Insurance Company H 48055 American Progressive Life and Health Insurance Company M 48055 AveraAdvantage H 48055 AveraAdvantage M 48055 Marquette Life Insurance Company H 48055 Marquette Life Insurance Company M 48055 Pyramid Life Insurance Company H 48055 Pyramid Life Insurance Company M 48055 Today's Options (American Progressive and Pyramid Life) H Y 48055 Today's Options (American Progressive and Pyramid Life) M Y 48055 Today's Options powered by CCRX H 48055 Today's Options powered by CCRX M 48100 ProviDRs Care Network H 48100 ProviDRs Care Network M 48116 Florida Hospital Waterman H 48116 Florida Hospital Waterman M 48117 CoreSource KC H Y 48117 CoreSource KC M Y 48123 Via Christi HOPE H 48123 Via Christi HOPE M 48143 Group and Pension Administrators H 48143 Group and Pension Administrators M 48145 Community Health Choice H Y 48145 Community Health Choice M Y 48603 International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC) H 48603 International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC) M 48611 Benefit Management Inc. of KS H 48611 Benefit Management Inc. of KS M 49153 BCI Administrators Inc. H 49153 BCI Administrators Inc. M 49718 Colorado Health OP H 49718 Colorado Health OP M 50701 VGM Homelink M Y 50749 Allianz Global Assistance H 50749 Allianz Global Assistance M 50946 Informed UHC H 50946 Informed UHC M 51020 Integra Administrative Group (Seaford DE) H 51020 Integra Administrative Group (Seaford DE) M 51037 Brokerage Concepts H 51037 Brokerage Concepts M 51062 Molina Healthcare of Florida (Claims Only) H 51062 Molina Healthcare of Florida (Claims Only) M 51579 Coastal Communities Physician Network H 51579 Coastal Communities Physician Network M 51909 Advanced Physician's Association Chicago IL MG#118 H 51909 Advanced Physician's Association Chicago IL MG#118 M 51909 APEX Healthcare H 51909 APEX Healthcare M 51909 BlueAdvantage HMO H 51909 BlueAdvantage HMO M 51909 CampusCare H 51909 CampusCare M 51909 HMO Illinois/BCBS H 51909 HMO Illinois/BCBS M 51909 Independent Physicians @ Mercy Chicago IL MG#155 H 51909 Independent Physicians @ Mercy Chicago IL MG#155 M 51909 OSF Central H 51909 OSF Central M 51909 OSF East H 51909 OSF East M 51909 OSF Healthcare North H 51909 OSF Healthcare North M 51909 Partners In Health Chicago IL MG#468 H 51909 Partners In Health Chicago IL MG#468 M 51909 Presence Behavioral Health H 51909 Presence Behavioral Health M 51909 St. Francis Health Care H 51909 St. Francis Health Care M 51909 St. Francis Health Care Chicago IL MG#112 H 51909 St. Francis Health Care Chicago IL MG#112 M 51909 UI Campus Care H 51909 UI Campus Care M 51909 UICPG Chicago IL MG#141 H 51909 UICPG Chicago IL MG#141 M 52095 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. H Y 52095 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. M Y 52103 National Telecommunications Cooperative Association (NTCA) H 52103 National Telecommunications Cooperative Association (NTCA) M 52104 National Telecommunications Cooperative Association (NTCA - Staff) H 52104 National Telecommunications Cooperative Association (NTCA - Staff) M 52106 CHRISTUS Health Plan TX HIX H 52106 CHRISTUS Health Plan TX HIX M 52120 National Telecommunications Cooperative Association H Y 52120 National Telecommunications Cooperative Association M Y 52123 Johns Hopkins Healthcare (USFHP) H Y 52123 Johns Hopkins Healthcare (USFHP) M Y 52132 Cooperative Benefit Administrators (CBA) H Y 52132 Cooperative Benefit Administrators (CBA) M Y 52132 National Rural Electric Coop (NRECA) M 52152 Optimum Choice of the Carolinas Inc. (OCCI) M 52180 UMWA Health & Retirement Funds H 52180 UMWA Health & Retirement Funds M 52189 Johns Hopkins Healthcare (EHP/PP) H Y Y 52189 Johns Hopkins Healthcare (EHP/PP) M Y Y 52190 OptumHealth Care Solutions (formerly United Resources Networks H 52190 OptumHealth Care Solutions (formerly United Resources Networks M 52192 Bravo Health H Y 52192 Bravo Health M Y 52192 Bravo Health Star Plus H Y 52192 Bravo Health Star Plus M Y 52192 Cigna-Healthspring H Y 52192 Cigna-Healthspring M Y 52193 Allegeant H 52193 Allegeant M 52196 Conifer (formerly InforMed) H 52196 Conifer (formerly InforMed) M 52280 Legacy Medicare Part A - WPS (MAC J5) H Y Y MA 52312 Arbor Health Plan H Y 52312 Arbor Health Plan M Y 52429 Healthscope Benefits - EHC Repricing H 52429 Healthscope Benefits - EHC Repricing M 52461 March Vision Care Inc. M 52613 Partners Behavioral Health Management H Y 52613 Partners Behavioral Health Management M Y 53011 National Association of Letter Carriers H 53011 National Association of Letter Carriers M 53011 National Association of Letter Carriers/NALC H 53011 National Association of Letter Carriers/NALC M 53011 NALC/Affordable H 53011 NALC/Affordable M 53085 Anchor Benefit Consulting Inc. H 53085 Anchor Benefit Consulting Inc. M 53226 Penn Behavioral Health H Y 53226 Penn Behavioral Health M Y 53275 Martin's Point Health Care H Y 53275 Martin's Point Health Care M Y 53534 PACE SouthWest Iowa H 53534 PACE SouthWest Iowa M 53589 Blue Cross and Blue Shield of Arizona M BL 54154 Optima Health Plan H 54154 Optima Health Plan M 54154 Optima Insurance Company H 54154 Optima Insurance Company M 54154 Sentara Family Care H 54154 Sentara Family Care M 54154 Sentara Health Management H 54154 Sentara Health Management M Y 54176 Virginia Premier Health Plan M Y Y 54750 Huron PACE H 54750 Huron PACE M 54763 AmeriHealth Administrators H Y 54763 AmeriHealth Administrators M Y 54763 Inter County Health Plan H Y 55204 Healthnow Division M Y 55247 HIP - Health Insurance Plan of Greater New York H Y 55247 HIP - Health Insurance Plan of Greater New York M Y 55349 Americas 1st Choice of South Carolina Inc H 55349 Americas 1st Choice of South Carolina Inc M 55544 Conversion Plan-APWU H 55544 Conversion Plan-APWU M 55649 Allegian Choice H 55649 Allegian Choice M 55649 Conifer Value-Based Care H 55649 Conifer Value-Based Care M 55649 Harbor Choice H 55649 Harbor Choice M 55649 Phoenix Choice H 55649 Phoenix Choice M 55731 Central Susquehanna Healthcare Providers (CSHP) H 55731 Central Susquehanna Healthcare Providers (CSHP) M 55912 TriWest VA-Patient-Centered Community Care Program (VAPCCC) Region 3 H Y Y 55912 TriWest VA-Patient-Centered Community Care Program (VAPCCC) Region 3 M Y Y 55915 TriWest VA-Patient-Centered Community Care Program (VAPCCC) Region 5A H Y Y 55915 TriWest VA-Patient-Centered Community Care Program (VAPCCC) Region 5A M Y Y 55916 TriWest VA-Patient-Centered Community Care Program (VAPCCC) Region 5B H Y Y 55916 TriWest VA-Patient-Centered Community Care Program (VAPCCC) Region 5B M Y Y 55917 TriWest VA-Patient-Centered Community Care Program (VAPCCC) Region 6 H Y Y 55917 TriWest VA-Patient-Centered Community Care Program (VAPCCC) Region 6 M Y Y 56071 American Family Medicare Supplement and PPO Policies Administered by Am Rep H Y 56071 American Family Medicare Supplement and PPO Policies Administered by Am Rep M Y 56089 East Carolina Behavioral Health H Y 56089 East Carolina Behavioral Health M Y 56122 CenterPoint Human Services H Y 56122 CenterPoint Human Services M Y 56132 Interactive Medical Systems H 56132 Interactive Medical Systems M 56139 BENEFIT MANAGEMENT SERVICES H 56139 BENEFIT MANAGEMENT SERVICES M 56144 Healthgram Inc H 56144 Healthgram Inc M 56147 Healthsource NC (CIGNA) H 56147 Healthsource NC (CIGNA) M 56162 MedCost Inc. H 56162 MedCost Inc. M 56190 Envolve Benefit Options (formerly OptiCare Managed Vision) M 56195 American Trust Administrators Inc. H 56195 American Trust Administrators Inc. M 56196 First Carolina Care H 56196 First Carolina Care M 56213 Crescent Health Solutions H 56213 Crescent Health Solutions M 56240 Detroit Medical Center H 56240 Detroit Medical Center M 56731 Healthcare Resources NW H 56731 Healthcare Resources NW M 57080 ClaimsWare Inc. dba ManageMed H 57080 ClaimsWare Inc. dba ManageMed M 57080 CWIBENEFITS INC. H 57080 CWIBENEFITS INC. M 57106 Tricare North Region H Y Y CH 57106 Tricare North Region M Y Y CH 57115 CARE 1ST HEALTH PLAN OF CA H 57115 CARE 1ST HEALTH PLAN OF CA M 57116 Care 1st Health Plan of Arizona H 57116 Care 1st Health Plan of Arizona M 57116 OneCare H 57116 OneCare M 57117 QVI Risk Solutions Inc. M 57254 Government Employees Health AssociationInc. (GEHA) H 57254 Government Employees Health AssociationInc. (GEHA) M 57324 KS Medicare Part A (J5 - WPS) H Y MA 57324 WPS Medicare KS Part A H Y MA 57325 Blue Cross Blue Shield of Kansas H Y Y BL 57492 Stones River IPA - Amerivantage M 57549 Physician Health Cooperative/SRRIPA M 57604 Aetna Affordable Health Choices (SM) - SRC H 57604 Aetna Affordable Health Choices (SM) - SRC M 58102 Covenant Administrators Inc. (Atlanta GA) H 58102 Covenant Administrators Inc. (Atlanta GA) M 58112 Consumer Mutual of Michigan H Y 58112 Consumer Mutual of Michigan M Y 58169 Northeast Georgia Health Services H Y 58169 Northeast Georgia Health Services M Y 58182 NAPHCARE INC. H Y 58182 NAPHCARE INC. M Y 58200 The Integrity Benefit Group Inc. H 58200 The Integrity Benefit Group Inc. M 58202 ADVANCED DATA SOLUTIONS H 58202 ADVANCED DATA SOLUTIONS M 58202 MedAdmin Solutions H 58202 MedAdmin Solutions M 58204 Coordinated Medical Specialists H 58204 Coordinated Medical Specialists M 58204 MedAdmin Solutions H 58204 MedAdmin Solutions M 58204 Network TPA LLC H 58204 Network TPA LLC M 58204 Physician Associates of Louisiana H 58204 Physician Associates of Louisiana M 58204 Physician Care Network LLC H 58204 Physician Care Network LLC M 58204 Podi Care Managed Care H 58204 Podi Care Managed Care M 58210 Healthsource GA (CIGNA) H 58210 Healthsource GA (CIGNA) M 58213 Healthways WholeHealth Networks M 58231 Core Administrative Services H 58231 Core Administrative Services M 58234 Alliant Health Plans of Georgia H Y 58234 Alliant Health Plans of Georgia M Y 58305 Harbor Advantage (Abrazo Health Care) H 58305 Harbor Advantage (Abrazo Health Care) M 58730 Assurant Health/ASA (Assurant Health members with ASA PPO Network) H 58730 Assurant Health/ASA (Assurant Health members with ASA PPO Network) M 59069 MedsaveUSA H 59069 MedsaveUSA M 59087 The National Radiology Network H 59087 The National Radiology Network M 59140 HealthPlan Services H 59140 HealthPlan Services M 59140 Mutual Group (The) (US) M 59141 Administrative Services Inc. H 59141 Administrative Services Inc. M 59143 Harrington Health Non-EPO H 59143 Harrington Health Non-EPO M 59204 Fringe Benefits Coordinators H 59204 Fringe Benefits Coordinators M 59227 The MEGA Life & Health Insurance Company-OKC M 59230 Heritage Consultants M 59231 MedCom H 59231 MedCom M 59266 Volusia Health Network H 59266 Volusia Health Network M 59274 AvMed Inc. H Y 59274 AvMed Inc. M Y 59279 Baycare Life Management H 59279 Baycare Life Management M 59298 Employers Mutual Inc (Jacksonville Florida) H 59298 Employers Mutual Inc (Jacksonville Florida) M 59299 EMI-KP Ambulance Claims M 59313 Evolutions Healthcare Systems (New Port Richey FL) H 59313 Evolutions Healthcare Systems (New Port Richey FL) M 59314 Advanzeon Solutions H 59314 Advanzeon Solutions M 59322 Florida Health Care Plan H 59322 Florida Health Care Plan M 59324 PODIATRY NETWORK FL H 59324 PODIATRY NETWORK FL M 59331 Employers Mutual Inc. (Stuart Florida) H 59331 Employers Mutual Inc. (Stuart Florida) M 59355 Christian Care Ministry H 59355 Christian Care Ministry M 59355 Medi-Share H 59355 Medi-Share M 59374 Advantica Benefits H 59374 Advantica Benefits M 59847 LIFE St. Joseph of The Pines H 59847 LIFE St. Joseph of The Pines M 60054 Aetna H Y 60054 Aetna M Y 60058 Northstar Advantage H 60058 Northstar Advantage M 60110 Preferred Health Systems A Coventry Health Care Plan H Y 60110 Preferred Health Systems Insurance Company M 60110 Preferred Plus of Kansas M 60280 Interface EAP (IEAP) H 60280 Interface EAP (IEAP) M 60495 Community Health Choice-Health Insurance Marketplace H 60495 Community Health Choice-Health Insurance Marketplace M 60550 Gateway Health Plan - Medicare Assured H Y 60550 Gateway Health Plan - Medicare Assured M Y 60646 Yale University Heath Plan M 60995 Community Care Inc. - Family Care (Wisconsin) H Y 60995 Community Care Inc. - Family Care (Wisconsin) M Y 61101 Humana Emphesys H 61101 Humana Emphesys M 61101 Humana Employers Health Insurance H 61101 Humana Employers Health Insurance M 61101 Humana Inc. H Y 61101 Humana Inc. M Y 61101 Humana Insurance Company Choice Care Network H 61101 Humana Insurance Company Choice Care Network M 61106 Preferred Health Plan (Louisville KY) H 61106 Preferred Health Plan (Louisville KY) M 61115 Humana Long Term Care H 61115 Humana Long Term Care M 61120 Humana Veterans Healthcare Services H 61120 Humana Veterans Healthcare Services M 61124 Baptist Health Plan H Y 61124 Baptist Health Plan M Y 61125 Humana Military - Tricare South H Y Y CH 61125 Humana Military - Tricare South M Y CH 61127 Healthsource KY H 61127 Healthsource KY M 61129 Passport Health Plan H Y 61129 Passport Health Plan M Y 61225 SelectCare of Texas (Kelsey-Seybold) H 61225 SelectCare of Texas (Kelsey-Seybold) M 61271 J. F. Molloy and Associates Inc. M 61271 Principal Financial Group M Y 61425 Starmark H 61425 Starmark M 61425 Tooling & Manufacturing Association H 61425 Tooling & Manufacturing Association M 61425 Trustmark Insurance Company H Y 61425 Trustmark Insurance Company M Y 61453 Kemper Benefits H 61453 Kemper Benefits M 61604 PrimeWest Health H Y 61604 PrimeWest Health M Y 61665 Preferred Health Systems A Coventry Health Care Plan H 61665 Preferred Health Systems A Coventry Health Care Plan M 62030 American General H Y 62030 American General M Y 62061 Harrington Health-Kansas (formerly known as Fiserv Health-Kansas) H 62061 Harrington Health-Kansas (formerly known as Fiserv Health-Kansas) M 62111 Health Cost Solutions H 62111 Health Cost Solutions M 62119 Northwest Diagnostic Clinic/SelectCare of Texas (NWDC) H 62119 Northwest Diagnostic Clinic/SelectCare of Texas (NWDC) M 62129 Healthsource TN (CIGNA) H 62129 Healthsource TN (CIGNA) M 62153 Windsor Medicare Extra H Y 62153 Windsor Medicare Extra M Y 62157 Health Partners - Jackson TN H 62157 Health Partners - Jackson TN M 62160 eviCore H Y 62160 eviCore M Y 62170 Unified Health Services H 62170 Unified Health Services M 62177 Medical Reimbursements of America H 62177 Medical Reimbursements of America M 62179 Health Choice Arizona H Y 62179 Health Choice Arizona M Y 62180 Health Choice Generations H Y 62180 Health Choice Generations M Y 62181 Memorial Clinical Associates/ SelectCare of Texas (MCA) H 62181 Memorial Clinical Associates/ SelectCare of Texas (MCA) M 62183 Better Health Plans Inc. H 62183 Better Health Plans Inc. M 62183 Unison Health Plan/Better Health Plans H 62183 Unison Health Plan/Better Health Plans M 62218 Central SeniorCare H 62218 Central SeniorCare M 62308 CIGNA H Y 62308 CIGNA M Y 62308 CIGNA - PPA H 62308 CIGNA - PPA M 62308 CIGNA - PPO H 62308 CIGNA - PPO M 62308 CIGNA Health Plan - HMO H 62308 CIGNA Health Plan - HMO M 62308 Connecticut General (CIGNA) H 62308 Connecticut General (CIGNA) M 62308 EQUICOR H 62308 EQUICOR M 62308 EQUICOR - PPO H 62308 EQUICOR - PPO M 62308 Seton Employee Plan H 62308 Seton Employee Plan M 62741 Land of Lincoln Health Ins. Co. H 62741 Land of Lincoln Health Ins. Co. M 62777 TRILOGY NETWORK H 62777 TRILOGY NETWORK M 63002 Mercy LIFE of Alabama H 63002 Mercy LIFE of Alabama M 63092 HealthSpring HMO/HealthSpring Medicare+Choice H 63092 HealthSpring HMO/HealthSpring Medicare+Choice M Y 63100 Behavioral Health Systems H 63100 Behavioral Health Systems M 63103 American Behavioral H 63103 American Behavioral M 63114 Viva Health Plan H Y 63114 Viva Health Plan M Y 63363 Health Plus Physicians Organization H 63363 Health Plus Physicians Organization M 63665 Great-West Healthcare (formerly American General) H 63665 Great-West Healthcare (formerly American General) M 63740 DentaQuest Vision H 63740 DentaQuest Vision M 63740 EyeQuest H 63740 EyeQuest M 64009 Valir Pace H 64009 Valir Pace M 64068 Creative Medical Systems H 64068 Creative Medical Systems M 64068 MHP Systems H 64068 MHP Systems M 64068 Mississippi Health Partners H 64068 Mississippi Health Partners M 64069 Fox-Everett Inc. H 64069 Fox-Everett Inc. M 64071 Acclaim H 64071 Acclaim M 64084 Mississippi Physicians Care Network H 64084 Mississippi Physicians Care Network M 64088 Mississippi Select Health Care H 64088 Mississippi Select Health Care M 64088 Select Administrative Services (SAS) H 64088 Select Administrative Services (SAS) M 64090 AmFirst Insurance Company H Y 64090 AmFirst Insurance Company M Y 64157 Meritain Health H 64157 Meritain Health M 64158 Agency Services Inc H 64158 Agency Services Inc M 64158 Meritain Health / Agency Services H 64158 Meritain Health / Agency Services M 64246 Guardian Life Insurance Company of America H Y 64246 Guardian Life Insurance Company of America M Y 64270 Corporate Plan Management Inc H 64270 Corporate Plan Management Inc M 64300 TRIPLEFIN LLC H 64300 TRIPLEFIN LLC M 65021 Orange County Health Care Agency H 65021 Orange County Health Care Agency M 65026 Baptist Health South Florida M 65031 CarePlus Health Plans Inc. M Y 65054 Premier Eye Care M Y 65062 Care Access Health Plan (CAHP) M Y 65062 Eye Management Inc. (EMI) M Y 65062 Health Network One M Y 65062 HN1 Therapy Network (HN1TN) M Y 65062 HS1 Medical Management M Y 65074 Olympus Managed Health Care H 65074 Olympus Managed Health Care M 65085 NAA (North America Administrators L.P.) (Nashville TN) H 65085 NAA (North America Administrators L.P.) (Nashville TN) M 65088 CareFlorida H 65088 CareFlorida M 65088 Preferred Care Partners Florida H 65088 Preferred Care Partners Florida M 65093 Advocate Physician Partners H 65093 Advocate Physician Partners M Y 65093 Silver Cross Health Connection H 65093 Silver Cross Health Connection M Y 65101 AXA Assistance_USA H 65101 AXA Assistance_USA M 65101 HAA Preferred Partners H 65101 HAA Preferred Partners M 66004 Health Economic Livelihood Partnership (HELP) H Y 66004 Health Economic Livelihood Partnership (HELP) M Y 66055 Netcare Life and Health Insurance (Hagatna Guam) H 66055 Netcare Life and Health Insurance (Hagatna Guam) M 66121 Community Medical Group of the West Valley Inc. H 66121 Community Medical Group of the West Valley Inc. M 66122 Eastland Medical Group H 66122 Eastland Medical Group M 66124 West Covina Medical Group H 66124 West Covina Medical Group M 66125 LakeSide Medical Group H 66125 LakeSide Medical Group M 66126 Verdugo Hills Medical Group H 66126 Verdugo Hills Medical Group M 66127 Lakeside Comprehensive Healthcare H 66127 Lakeside Comprehensive Healthcare M 66170 Community Health Group H 66170 Community Health Group M 66698 CentraCare H 66698 CentraCare M 66705 Unity Health Insurance H 66705 Unity Health Insurance M 66917 Parkland Community Health Plan H Y 66917 Parkland Community Health Plan M Y 67668 BHSF International M 67829 Sterling Medicare Advantage H Y 67829 Sterling Medicare Advantage M Y 68011 Capitol Administrators H 68011 Capitol Administrators M 68021 Health Net - VA Patient Centered Community Care Program H Y 68021 Health Net - VA Patient Centered Community Care Program M Y 68035 Health Plan of San Joaquin H Y 68035 Health Plan of San Joaquin M Y 68035 San Joaquin Health Administrators M 68036 John Muir Mt. Diablo Health System H Y 68036 John Muir Mt. Diablo Health System M Y 68036 John Muir Physician Network M 68037 OMNI/Medicore HP H 68037 OMNI/Medicore HP M 68039 Western Health Advantage H 68039 Western Health Advantage M 68047 California Health & Wellness H Y 68047 California Health & Wellness M Y 68063 Celtic Insurance H Y 68063 Celtic Insurance M Y 68064 Healthy Texas H 68064 Healthy Texas M 68068 Cenpatico - Arizona H 68068 Cenpatico - Arizona M 68068 Cenpatico - FL H 68068 Cenpatico - FL M 68068 Cenpatico - Georgia H 68068 Cenpatico - Georgia M 68068 Cenpatico - Indiana H 68068 Cenpatico - Indiana M 68068 Cenpatico - OHIO H 68068 Cenpatico - OHIO M 68068 Cenpatico - WI H 68068 Cenpatico - WI M 68068 Cenpatico Behavioral Health H 68068 Cenpatico Behavioral Health M 68068 Cenpatico Behavioral Health Texas H 68068 Cenpatico Behavioral Health Texas M 68068 Cenpatico Massachuetts H 68068 Cenpatico Massachuetts M 68068 Cenpatico New Hampshire H 68068 Cenpatico New Hampshire M 68068 Cenpatico South Carolina H 68068 Cenpatico South Carolina M 68068 Centene Advantage Plans H 68068 Centene Advantage Plans M 68068 ILCBH H 68068 ILCBH M 68068 KS - Cenpatico Kansas H 68068 KS - Cenpatico Kansas M 68068 KY - Cenpatico Kentucky H 68068 KY - Cenpatico Kentucky M 68068 MO - Cenpatico Missouri H 68068 MO - Cenpatico Missouri M 68068 MS - Cenpatico Mississippi H 68068 MS - Cenpatico Mississippi M 68069 Absolute Total Care H Y 68069 Absolute Total Care M 68069 Advantage by Bridgeway Health Solutions H 68069 Advantage by Bridgeway Health Solutions M 68069 Advantage by Buckeye Community Health Plan H 68069 Advantage by Buckeye Community Health Plan M 68069 Advantage by Managed Health Services H 68069 Advantage by Managed Health Services M 68069 Advantage by Peach State H 68069 Advantage by Peach State M 68069 Advantage by Sunshine State H 68069 Advantage by Sunshine State M 68069 Advantage by Superior HealthPlan H 68069 Advantage by Superior HealthPlan M 68069 Ambetter from Buckeye Community Health Plan H 68069 Ambetter from Buckeye Community Health Plan M 68069 Ambetter from CeltiCare Health Plan H 68069 Ambetter from CeltiCare Health Plan M 68069 Ambetter from Magnolia Health H 68069 Ambetter from Magnolia Health M 68069 Ambetter from Managed Health Services H 68069 Ambetter from Managed Health Services M 68069 Ambetter from Peach State Health Plan H 68069 Ambetter from Peach State Health Plan M 68069 Ambetter from Sunshine Health H 68069 Ambetter from Sunshine Health M 68069 Ambetter from Superior Health H 68069 Ambetter from Superior Health M 68069 Ambetter of Arkansas H 68069 Ambetter of Arkansas M 68069 Bridgeway Arizona H Y 68069 Bridgeway Arizona M Y 68069 Buckeye Community Health H Y 68069 Buckeye Community Health M Y 68069 CeltiCare H Y 68069 CeltiCare M Y 68069 Granite State Health Plan H 68069 Granite State Health Plan M 68069 IlliniCare H 68069 IlliniCare M 68069 Kentucky Spirit Health Plan H 68069 Kentucky Spirit Health Plan M 68069 KS - Sunflower State Health H 68069 KS - Sunflower State Health M 68069 Louisiana Healthcare Connections H 68069 Louisiana Healthcare Connections M 68069 Magnolia H 68069 Magnolia M 68069 Managed Health Services Indiana (Medicaid HMO) H 68069 Managed Health Services Indiana (Medicaid HMO) M Y 68069 Managed Health Services Wisconsin H Y 68069 Managed Health Services Wisconsin M Y 68069 Michigan Fidelis Secure Care H Y 68069 Michigan Fidelis Secure Care M Y 68069 MO - Missouri Home State Health Care H 68069 MO - Missouri Home State Health Care M 68069 Peach State Health Plan H Y 68069 Peach State Health Plan M 68069 Sunshine State Health Plan H 68069 Sunshine State Health Plan M 68069 Superior Health Plan Texas H Y 68069 Superior Health Plan Texas M 68069 Trillium Medicaid H 68069 Trillium Medicaid M 68069 Trillium Medicare 2016 H 68069 Trillium Medicare 2016 M 68069 WA - Washington Coordinated Care H 68069 WA - Washington Coordinated Care M 68195 Healthsource Provident H 68195 Healthsource Provident M 68423 The Care Network/The Savannah Business Group H 68423 The Care Network/The Savannah Business Group M 70259 Pro Care Health Plan Inc H 70259 Pro Care Health Plan Inc M 70408 Union Security Insurance Company H Y 70408 Union Security Insurance Company M Y 70454 PACE CNY H 70454 PACE CNY M 71057 Cannon Cochran Management Services Inc. Metairie LA H 71057 Cannon Cochran Management Services Inc. Metairie LA M 71063 HealthSCOPE Benefits Inc. H Y 71063 HealthSCOPE Benefits Inc. M Y 71075 Healthsource AR (Med) (CIGNA) H 71075 Healthsource AR (Med) (CIGNA) M 71080 Novasys Health Network H 71080 Novasys Health Network M 71084 HealthScope Benefits H 71084 HealthScope Benefits M 71404 Continental General Insurance Company H Y 71404 Continental General Insurance Company M Y 71412 ExclusiCare H 71412 ExclusiCare M 71412 Mutual of Omaha Insurance Company H Y 71412 Mutual of Omaha Insurance Company M Y 71412 Mutually Preferred H 71412 Mutually Preferred M 71412 United of Omaha H 71412 United of Omaha M 71498 LifeCircles PACE H 71498 LifeCircles PACE M 72099 PHCS Claims (formerly American LIFECARE) H 72099 PHCS Claims (formerly American LIFECARE) M 72126 Peoples Health Network H Y 72126 Peoples Health Network M Y 72128 Vantage Health Plan Inc. H Y 72128 Vantage Health Plan Inc. M Y 72148 PPOPlus LLC H 72148 PPOPlus LLC M 72189 Golden Triangle Physician Alliance/SelectCare of Texas (GTPA) H 72189 Golden Triangle Physician Alliance/SelectCare of Texas (GTPA) M 72261 SCAN Health Plan H 72261 SCAN Health Plan M 72436 PACE Central Iowa H 72436 PACE Central Iowa M 72467 ACS Benefit Services Inc. H 72467 ACS Benefit Services Inc. M 73066 Reserve National Insurance Company H Y 73066 Reserve National Insurance Company M Y 73067 QuikTrip H 73067 QuikTrip M Y 73071 C. L. Frates & Co - OSMA Health H 73071 C. L. Frates & Co - OSMA Health M 73071 OSMA Health - C. L. Frates H 73071 OSMA Health - C. L. Frates M 73099 Standard Life and Accident Insurance Company H Y 73099 Standard Life and Accident Insurance Company M Y 73100 Kempton Company H 73100 Kempton Company M 73100 Kempton Group Administrators H 73100 Kempton Group Administrators M 73117 Tribute /SelectCare of Oklahoma H Y 73117 Tribute /SelectCare of Oklahoma M Y 73126 Equitable Plan Services (Oklahoma City OK) H 73126 Equitable Plan Services (Oklahoma City OK) M 73143 Community Care Managed Health Care Plans of Oklahoma H Y 73143 Community Care Managed Health Care Plans of Oklahoma M Y 73145 Preferred Community Choice/PCCSelect/CompMed H 73145 Preferred Community Choice/PCCSelect/CompMed M 73147 Healthcare Solutions Group H 73147 Healthcare Solutions Group M 73155 Waterstone Benefit Administrators (Oklahoma Providers) H 73155 Waterstone Benefit Administrators (Oklahoma Providers) M 73159 First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma) H 73159 First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma) M 73172 Scan Health Plan Arizona H 73172 Scan Health Plan Arizona M 73743 Village Family Practice H 73743 Village Family Practice M 74048 American National Ins. Co. (ANICO) H 74048 American National Ins. Co. (ANICO) M 74095 USAA (United Services Automobile Association) H 74095 USAA (United Services Automobile Association) M 74101 Wisconsin Department of Corrections H 74101 Wisconsin Department of Corrections M 74205 Right Care from Scott & White H Y 74205 Right Care from Scott & White M Y 74223 UMR (formerly UMR San Antonio Benefit Planners) H 74223 UMR (formerly UMR San Antonio Benefit Planners) M 74227 UnitedHealthcare StudentResources H Y 74227 UnitedHealthcare StudentResources M Y 74238 Boon-Chapman Benefit Administrators Inc. H 74238 Boon-Chapman Benefit Administrators Inc. M 74240 Assured Benefits Administrators H 74240 Assured Benefits Administrators M 74272 Dell Children's Health Plan H 74272 Dell Children's Health Plan M 74284 Driscoll Children's Health Plan H Y 74284 Driscoll Children's Health Plan M Y 74289 MHNET H Y 74289 MHNET M Y 74323 MedBen (Newark OH) H 74323 MedBen (Newark OH) M 74323 Medical Benefits Administrators Inc. (Newark OH) H 74323 Medical Benefits Administrators Inc. (Newark OH) M 74323 Medical Benefits Companies (Newark OH) H 74323 Medical Benefits Companies (Newark OH) M 74323 Medical Benefits Mutual (Newark OH) H 74323 Medical Benefits Mutual (Newark OH) M 74323 Medical Benefits Mutual Life Insrance Co. H 74323 Medical Benefits Mutual Life Insrance Co. M 74431 Ohio PPO Connect H 74431 Ohio PPO Connect M 75068 Assurant Health Self Funded H 75068 Assurant Health Self Funded M 75087 States General Life Insurance H 75087 States General Life Insurance M 75126 Harpeth IPA - Amerivantage M 75130 UMC Health Plan H 75130 UMC Health Plan M 75133 Team Choice PNS H 75133 Team Choice PNS M 75136 CoreSource Little Rock H Y 75136 CoreSource Little Rock M Y 75137 AmeriBen Solutions Inc. H 75137 AmeriBen Solutions Inc. M 75185 AAG-American Administravie Group ( Formerly Icon Benefit Admin) H 75185 AAG-American Administravie Group ( Formerly Icon Benefit Admin) M 75190 CareFirst Administrators/NCAS H Y 75190 CareFirst Administrators/NCAS M Y 75191 CareFirst Administrators/NCAS H 75191 CareFirst Administrators/NCAS M 75196 UMR (formerly Harrington Benefit Services - Westerville) H 75196 UMR (formerly Harrington Benefit Services - Westerville) M 75228 Texas Childrens Health Plan (Medicaid) H Y 75228 Texas Childrens Health Plan (Medicaid) M Y 75232 Employers Direct Health H 75232 Employers Direct Health M 75233 Employer's Direct Health - SF H 75233 Employer's Direct Health - SF M 75235 Employer's Direct Health - FI H 75235 Employer's Direct Health - FI M 75236 Employer's Direct Health - Employee Plan H 75236 Employer's Direct Health - Employee Plan M 75237 Healthsmart Accel H 75237 Healthsmart Accel M 75243 UMR (formerly Harrington Benefit Services) H 75243 UMR (formerly Harrington Benefit Services) M 75250 HealthSmart Preferred Care Inc. H 75250 HealthSmart Preferred Care Inc. M 75255 Healthsource N. TX (CIGNA) H 75255 Healthsource N. TX (CIGNA) M 75256 Verity National Group H 75256 Verity National Group M 75261 Community Health Electronic Claims/CHEC/webTPA H Y 75261 Community Health Electronic Claims/CHEC/webTPA M Y 75261 webTPA/Community Health Electronic Claims/CHEC H 75261 webTPA/Community Health Electronic Claims/CHEC M 75273 Geisinger Health Plan H 75273 Geisinger Health Plan M 75274 IHG Direct H 75274 IHG Direct M 75278 Arkansas Best Corporation - Choice Benefits H Y 75278 Arkansas Best Corporation - Choice Benefits M Y 75281 New Era Life Insurance Company H 75281 New Era Life Insurance Company M 75284 Consolidated Associates Railroad H 75284 Consolidated Associates Railroad M 75299 Angeles IPA (SynerMed) H 75299 Angeles IPA (SynerMed) M 75299 Bellflower Hospital (Synermed) H 75299 Bellflower Hospital (Synermed) M 75299 East LA - APMG H 75299 East LA - APMG M 75299 Employee Health System Medical Group H 75299 Employee Health System Medical Group M 75299 Fresno - ENH Medical Group H 75299 Fresno - ENH Medical Group M 75299 Gardena Memorial Medical Center H 75299 Gardena Memorial Medical Center M 75299 Hollywood Presbyterian (Synermed) H 75299 Hollywood Presbyterian (Synermed) M 75299 Inland Valleys IPA H 75299 Inland Valleys IPA M 75299 Multicultural Primary Care Medical Group (San Diego) (Synermed) H 75299 Multicultural Primary Care Medical Group (San Diego) (Synermed) M 75299 Pacific Alliance Medical Center H 75299 Pacific Alliance Medical Center M 75299 Pacific Alliance Medical Group and Hospital (Synermed) H 75299 Pacific Alliance Medical Group and Hospital (Synermed) M 75299 Redlands IPA (Synermed) H 75299 Redlands IPA (Synermed) M 75299 Sacramento - Primary Care Practices of Sacramento - EHS H 75299 Sacramento - Primary Care Practices of Sacramento - EHS M 75299 Southern CA Children's Network (SynerMed) H 75299 Southern CA Children's Network (SynerMed) M 75299 Temple Community Hospital H 75299 Temple Community Hospital M 75318 HMC HealthWorks aka Health Management Co H 75318 HMC HealthWorks aka Health Management Co M 75544 Christie Student Health Plans H 75544 Christie Student Health Plans M 75600 The City of Odessa H 75600 The City of Odessa M 76031 New Era Employee Welfare Benefit Plan Trust H 76031 New Era Employee Welfare Benefit Plan Trust M 76045 SelectCare of Texas (HPN) Heritage Physicians Network H Y 76045 SelectCare of Texas (HPN) Heritage Physicians Network M Y 76046 Texas First Health Plans (TOPA) H 76046 Texas First Health Plans (TOPA) M 76048 Texas Children's Health Plan H Y 76048 Texas Children's Health Plan M Y 76056 Seton CHIP H 76056 Seton CHIP M 76066 Renaissance Physicians Organization H 76066 Renaissance Physicians Organization M 76079 Midwest Health Partners H 76079 Midwest Health Partners M 76184 LIFE St.Mary H 76184 LIFE St.Mary M 76342 Health Plan of Nevada H Y 76342 Health Plan of Nevada M Y 76342 Sierra Health and Life H 76342 Sierra Health and Life M 76870 LifePath Hospice Inc H 76870 LifePath Hospice Inc M 76923 Good Sheperd Hospice Inc H 76923 Good Sheperd Hospice Inc M 77001 AmeriHealth Caritas NorthEast H Y 77001 AmeriHealth Caritas NorthEast M Y 77002 Amerihealth Caritas District of Columbia H Y 77002 Amerihealth Caritas District of Columbia M Y 77003 Prestige Health Choice H Y 77003 Prestige Health Choice M Y 77005 Bakersfield Family Medical Group H 77005 Bakersfield Family Medical Group M 77009 First Choice VIP Care Plus - SC H Y 77009 First Choice VIP Care Plus - SC M Y 77012 MidCoast IPA H 77012 MidCoast IPA M 77013 AmeriHealth Caritas VIP Care Plus (Michigan) H Y 77013 AmeriHealth Caritas VIP Care Plus (Michigan) M Y 77015 Carilion Clinic Medicare Health Plan H 77015 Carilion Clinic Medicare Health Plan M 77017 North County Select H 77017 North County Select M 77022 Ultimate Health Plan H Y 77022 Ultimate Health Plan M Y 77023 Clover Health H Y 77023 Clover Health M Y 77035 Central Valley Medical Group H 77035 Central Valley Medical Group M 77038 Sante Health System and Affiliates H 77038 Sante Health System and Affiliates M Y 77039 Kern Health Systems H 77039 Kern Health Systems M 77045 Arcadian Management Services Inc H 77045 Arcadian Management Services Inc M 77050 Keystone Connect (Amerihealth) H Y 77050 Keystone Connect (Amerihealth) M Y 77051 AmeriHealth Connect (Amerihealth Caritas) H Y 77051 AmeriHealth Connect (Amerihealth Caritas) M Y 77059 Medicaid Hawaii Waivers M Y 77073 VNS CHOICE Medicare H Y 77073 VNS CHOICE Medicare M Y 77075 AmeriHealth Caritas Iowa H Y 77075 AmeriHealth Caritas Iowa M Y 77076 Network Health Insurance Corp-Medicare H Y 77076 Network Health Insurance Corp-Medicare M Y 77078 Blue Cross Blue Shield of Arizona Advantage H Y 77078 Blue Cross Blue Shield of Arizona Advantage M Y 77080 WPP-ElderCare Wisconsin H 77080 WPP-ElderCare Wisconsin M 77082 Care Improvement Plus (CIP) H Y 77082 Care Improvement Plus (CIP) M Y 77124 DELANO IPA H 77124 DELANO IPA M 77153 Southeastern Indiana Health (SIHO) H Y 77153 Southeastern Indiana Health (SIHO) M Y 77170 Common Ground Health Cooperative M 77201 Clearchoice Health Plan / COIHS M 77302 Sutter Valley Medical Foundation dba Sutter Gould Medical Foundation H Y 77302 Sutter Valley Medical Foundation dba Sutter Gould Medical Foundation M Y 77304 Sutter Medical Group of the Redwoods H 77304 Sutter Medical Group of the Redwoods M Y 77318 Sutter Delta Medical Group M 77894 Kentucky Health Cooperative H Y 77894 Kentucky Health Cooperative M Y 78375 Connecticare - Medicare H Y 78375 Connecticare - Medicare M Y 78857 Medica Health Care Plan (Florida) H 78857 Medica Health Care Plan (Florida) M 79480 UMR (formerly UMR Onalaska) H 79480 UMR (formerly UMR Onalaska) M 79966 Amida Care Medicare H 79966 Amida Care Medicare M 80019 MSC (Medical Service Company) Group Inc H Y 80019 MSC (Medical Service Company) Group Inc M 80087 Innovative Physician Associates LLC H 80087 Innovative Physician Associates LLC M 80141 Childhealth Plus by Healthfirst (CHP) H 80141 Healthfirst 65 Plus H 80141 Healthfirst Family Health Plus (FHP) H 80141 Healthfirst Health Plan of New Jersey H Y 80141 Healthfirst Health Plan of New Jersey M Y 80141 Healthfirst Inc. (New York) H Y 80141 Healthfirst Inc. (New York) M Y 80141 Healthfirst New York (COMMERCIAL) H 80141 Healthfirst PHSP H 80141 Senior Health Partners (SHP) H 80141 Senior Health Partners (SHP) M 80142 Health Partners PA H 80142 Health Partners PA M 80314 GIC Indemnity Plan H 80314 GIC Indemnity Plan M 80314 UNICARE H Y 80314 UNICARE M Y 80705 Great-West Healthcare H Y 80705 Great-West Healthcare M Y 80942 West Suburban Health Providers H 80942 West Suburban Health Providers M 81040 Allegiance Benefit Plan Management Inc. H 81040 Allegiance Benefit Plan Management Inc. M 81264 Nippon Life Insurance Company of America H Y 81264 Nippon Life Insurance Company of America M Y 81400 UnitedHealthCare / All Savers Alternate Funding H 81400 UnitedHealthCare / All Savers Alternate Funding M 81400 UnitedHealthOne / PacifiCare Life and Health Insurance Company H Y 81400 UnitedHealthOne / PacifiCare Life and Health Insurance Company M 81794 Molina Healthcare of Puerto Rico (Claims Only) H 81794 Molina Healthcare of Puerto Rico (Claims Only) M 81810 IBG Administrators LLC H 81810 IBG Administrators LLC M 81812 Katy Medical Claims H 81812 Katy Medical Claims M 81883 Municipal Health Benefit Fund H Y 81883 Municipal Health Benefit Fund M Y 82018 HCS - Health Claims Service (Boise ID) H 82018 HCS - Health Claims Service (Boise ID) M 82048 Primary Health Network H 82048 Primary Health Network M 82420 Allegian Health Plan H 82420 Allegian Health Plan M 83028 MBA Benefit Administrators Inc (Salt Lake UT) H 83028 MBA Benefit Administrators Inc (Salt Lake UT) M 83035 Senior Whole Health H 83035 Senior Whole Health M Y 83077 Advantek Benefit Administrators H 83077 Advantek Benefit Administrators M 83253 Health Plan of Michigan H Y 83253 Health Plan of Michigan M Y 84065 Rocky Mountain Health Plan- Grand Junction H Y 84076 Sinclair Health Plan H 84076 Sinclair Health Plan M 84096 Sloans Lake Preferred Health Networks H 84096 Sloans Lake Preferred Health Networks M 84109 Pinnacol Assurance H 84109 Pinnacol Assurance M 84129 Colorado Access H Y 84129 Colorado Access M Y 84131 Denver Health Medical Plan Inc. - Medicare Choice H 84131 Denver Health Medical Plan Inc. - Medicare Choice M 84132 United Medical Alliance H 84132 United Medical Alliance M 84133 Denver Health and Hospital Authority H 84133 Denver Health and Hospital Authority M 84134 Denver Health and Hospital Authority - Indigent Care M 84135 Denver Health Medical Plan H 84135 Denver Health Medical Plan M 84141 New West Health Plan H 84146 Children of Women Vietnam Veterans-VA HAC H Y 84146 Children of Women Vietnam Veterans-VA HAC M Y 84146 CHAMPVA - HAC H Y 84146 CHAMPVA - HAC M Y 84146 Spina Bifida - VA HAC H Y 84146 Spina Bifida - VA HAC M Y 84223 Keystone VIP Choice H Y 84223 Keystone VIP Choice M Y 84555 HMO Louisiana Inc H Y 84555 HMO Louisiana Inc M Y 84806 Virginia Coordinated Care-VCC M 85256 Wabash Memorial Hospital Association H 85256 Wabash Memorial Hospital Association M 85468 Community Care Alliance of IL H 85468 Community Care Alliance of IL M 85468 Family Health Network H 85468 Family Health Network M 85578 Ingalls Provider Group H Y 85578 Ingalls Provider Group M Y 85729 Healthcomp Inc. H 85729 Healthcomp Inc. M 86001 UnitedHealthcare Community Plan / NJ H 86001 UnitedHealthcare Community Plan / NJ M 86001 UnitedHealthcare Community Plan/NJ (formerly AmeriChoice Personal Care Pl H 86001 UnitedHealthcare Community Plan/NJ (formerly AmeriChoice Personal Care Pl M 86002 UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care) H 86002 UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care) M 86003 UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ) H 86003 UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ) M 86033 CIGNA Medicare Advantage H 86033 CIGNA Medicare Advantage M 86040 Mountain States Administrative Services (Tucson AZ) H 86040 Mountain States Administrative Services (Tucson AZ) M 86047 UnitedHealthcare Community Plan / NJ H 86047 UnitedHealthcare Community Plan / NJ M 86048 UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid) H 86048 UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid) M 86049 UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP H 86049 UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP M 86052 Mercy Care Plan (AHCCCS) H Y 86052 Mercy Care Plan (AHCCCS) M Y 86062 Ancillary Benefit Services (ABS) H 86062 Ancillary Benefit Services (ABS) M 86062 Arizona Foundation for Medical Care (AFMC) H 86062 Arizona Foundation for Medical Care (AFMC) M 86062 VentureNet Healthcare H 86062 VentureNet Healthcare M 86066 HMA Hawaii H Y 86066 HMA Hawaii M Y 86070 IMX Easy H 86070 IMX Easy M 86304 Insurers Administrative Corp. H 86304 Insurers Administrative Corp. M 86711 PACE Southeast Michigan H 86711 PACE Southeast Michigan M 87042 UNION PACIFIC RAILROAD EMPLOYES Health Systems H 87042 UNION PACIFIC RAILROAD EMPLOYES Health Systems M 87065 MBA OF WYOMING INC H 87065 MBA OF WYOMING INC M 87071 Liberty Health Advantage H 87071 Liberty Health Advantage M 87098 Avesis Third Party Administrators M 87726 AARP MedicareComplete through UHC / Oxford Medicare Network M 87726 AARP MedicareComplete through UHC / Oxford Mosaic Network - AARP MedicareCo M 87726 AARP MedicareComplete through UnitedHealthcare / Oxford Medicare Network H 87726 AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic Network H 87726 AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete H 87726 AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete M 87726 Arnett Health Plan H 87726 Arnett Health Plan M 87726 OptumHealth M 87726 OptumHealth / OptumHealth Behavioral Solutions of NM H 87726 OptumHealth / OptumHealth Behavioral Solutions of NM M 87726 OptumHealth Behavioral Solutions (formerly United Behavioral Health) H 87726 OptumHealth Behavioral Solutions (formerly United Behavioral Health) M 87726 UnitedHealthcare M 87726 UnitedHealthcare / Definity Health Plan M 87726 UnitedHealthcare / Empire Plan M 87726 UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly MAMSI) H 87726 UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly MAMSI) M 87726 UnitedHealthcare / UnitedHealthcare Plan of River Valley H 87726 UnitedHealthcare / UnitedHealthcare Plan of River Valley M 87726 UnitedHealthcare / UnitedHealthcare West (UnitedHealthcare of CA OK OR H 87726 UnitedHealthcare / UnitedHealthcare West (UnitedHealthcare of CA OK OR M 87726 UnitedHealthcare Community Plan / DEFLHILAMDMSNMOH PARITXWAWI H 87726 UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa) H 87726 UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa) M 87726 UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS - CHIP) H 87726 UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS - CHIP) M 87726 UnitedHealthcare Community Plan / NE H 87726 UnitedHealthcare Community Plan / NE M 87726 UnitedHealthcare Community Plan / NE (formerly Americhoice NEShareAdvantag H 87726 UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care) H 87726 UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete H 87726 UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete M 87726 UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care H 87726 UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care M 87726 UnitedHealthcare Community Plan of Louisiana H 87726 UnitedHealthcare Community Plan of Louisiana M 87726 UnitedHealthcare Community Plan/DEFLHILAMDMS CANNMOHPARITXWAWI H 87726 UnitedHealthcare Community Plan/DEFLHILAMDMS CANNMOHPARITXWAWI M 87726 UnitedHealthcare Community Plan/FLHILAMDMS CANNMOHRITXWI H 87726 UnitedHealthcare Community Plan/FLHILAMDMS CANNMOHRITXWI M 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete H 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete M 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan H 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan M 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete H 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete M 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect H 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect M 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan H 87726 UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan M 87815 HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. H Y 87815 HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. M Y 87843 Consolidated Health Plans H 87843 Consolidated Health Plans M 88019 Teachers Health Trust M 88022 CDS Group Health H 88022 CDS Group Health M 88023 Hometown Health Plan Nevada H 88023 Hometown Health Plan Nevada M 88027 Northern Nevada Trust Fund H 88027 Northern Nevada Trust Fund M 88029 Prominence Health Plan H 88029 Prominence Health Plan M 88050 NHBCAUX H 88050 NHBCAUX M 88051 Premier Healthcare Exchange Inc. (PHX) H 88051 Premier Healthcare Exchange Inc. (PHX) M 88052 Benefit Plan Administrators H 88052 Benefit Plan Administrators M 88055 First Agency H 88055 First Agency M 88056 Premier HealthCare Exchange H 88056 Premier HealthCare Exchange M 88058 MED PAY H 88058 MED PAY M 88067 Tall Tree Administrators H 88067 Tall Tree Administrators M 88090 Mayo Clinic FL/GA H 88090 Mayo Clinic FL/GA M 88091 Commercial Travelers/PHX H 88091 Commercial Travelers/PHX M 88446 Change Healthcare Accident Claims Solution H 88446 Change Healthcare Accident Claims Solution M 88461 The Alliance H 88461 The Alliance M 89461 Quality Care Partners H 89461 Quality Care Partners M 90001 Healthlink PPO H 90001 Healthlink PPO M 90001 National Capital Preferred Provider Organization (NCPPO) H 90001 National Capital Preferred Provider Organization (NCPPO) M 90096 Land of Lincoln Health H Y 90096 Land of Lincoln Health M Y 90328 Lovelace Sandia Health Plan H 90328 Lovelace Sandia Health Plan M 90551 US Family Health Plan H 90551 US Family Health Plan M 90560 WestLake Financial Group Inc. H 90560 WestLake Financial Group Inc. M 91051 Group Health Cooperative - WA State H 91051 Group Health Cooperative - WA State M 91051 Group Health Options - WA State H 91051 Group Health Options - WA State M 91064 Wenatchee Valley Medical Center H 91064 Wenatchee Valley Medical Center M 91078 Trusteed Plans Service Corporation H 91078 Trusteed Plans Service Corporation M 91131 First Choice Health Administrators H 91131 First Choice Health Administrators M 91131 First Choice Health Network H 91131 First Choice Health Network M 91131 Sound Health (now known as First Choice Health Network) H 91131 Sound Health (now known as First Choice Health Network) M 91136 Alaska Carpenters Trust H Y 91136 Alaska Carpenters Trust M Y 91136 Alaska Children's Services Inc. H 91136 Alaska Children's Services Inc. M 91136 Alaska Laborers Construction Industry Trust H 91136 Alaska Laborers Construction Industry Trust M 91136 Alaska Pipe Trades Local 375 H 91136 Alaska Pipe Trades Local 375 M 91136 Alaska United Food & Commercial Workers Health & Welfare Trust H 91136 Alaska United Food & Commercial Workers Health & Welfare Trust M 91136 Cement Masons & Plasterers Health & Welfare Trust H 91136 Cement Masons & Plasterers Health & Welfare Trust M 91136 Enstar Natural Gas H 91136 Enstar Natural Gas M 91136 Hotel Employees & Restaurant Employees Health Trust H 91136 Hotel Employees & Restaurant Employees Health Trust M 91136 N.W. Ironworkers Health & Security Trust Fund H 91136 N.W. Ironworkers Health & Security Trust Fund M 91136 N.W. Roofers & Employers Health & Security Trust Fund H 91136 N.W. Roofers & Employers Health & Security Trust Fund M 91136 N.W. Textile Processors H 91136 N.W. Textile Processors M 91136 Operating Engineers Locals 302 & 612 Health & Security Fund H 91136 Operating Engineers Locals 302 & 612 Health & Security Fund M 91136 Puget Sound Benefits Trust H Y 91136 Puget Sound Benefits Trust M Y 91136 Puget Sound Electrical Workers Trust H 91136 Puget Sound Electrical Workers Trust M 91136 UW Graduate Appointee Plan H 91136 UW Graduate Appointee Plan M 91151 Sterling Option 1 H 91151 Sterling Option 1 M 91171 Physicans of Southwest Washington H Y 91171 Physicans of Southwest Washington M Y 91176 RBMS LLC H 91176 RBMS LLC M 91184 Sanford Health Plan H Y 91184 Sanford Health Plan M Y 91617 Kaiser Foundation Health Plan of Colorado H Y 91617 Kaiser Foundation Health Plan of Colorado M Y 91741 Gateway Health Plan OH- Medicare Assured H Y 91741 Gateway Health Plan OH- Medicare Assured M Y 92600 Alaska Electrical Health & Welfare Fund H 92600 Alaska Electrical Health & Welfare Fund M 92620 Tongass Timber Trust H 92620 Tongass Timber Trust M 93029 PacificSource Health Plans H Y 93029 PacificSource Health Plans M Y 93031 Select Benefit Administrators Inc. H Y 93031 Select Benefit Administrators Inc. M Y 93044 A & I Benefit Plan Administrators H 93044 A & I Benefit Plan Administrators M 93050 William C. Earhart H 93050 William C. Earhart M 93079 Kaiser Foundation of the Northwest H 93079 Kaiser Foundation of the Northwest M 93092 US Benefits H 93092 US Benefits M 93093 LifeWise Healthplan of Oregon M 93112 Tuality Health Alliance H 93112 Tuality Health Alliance M 93221 Asuris H 93221 Asuris M 93240 Evergreen Health Cooperative H Y 93240 Evergreen Health Cooperative M Y 93975 CareOregon Inc. H 93975 CareOregon Inc. M 94036 Blue Shield of California H Y BL 94036 Blue Shield of California M Y BL 94056 California Pacific Medical Center H 94056 California Pacific Medical Center M 94115 Palo Alto Medical Foundation H 94115 Palo Alto Medical Foundation M 94119 Sutter East Bay Regional Hospital- Non Sutter Group H 94119 Sutter East Bay Regional Hospital- Non Sutter Group M 94123 Kaiser Permanente Health Plan of Hawaii H Y 94123 Kaiser Permanente Health Plan of Hawaii M Y 94134 Kaiser Foundation Health Plan of Southern CA Region H Y 94134 Kaiser Foundation Health Plan of Southern CA Region M Y 94135 Kaiser Foundation Health Plan of Northern CA Region H Y 94135 Kaiser Foundation Health Plan of Northern CA Region M Y 94154 Humboldt-Del Norte Foundation for Medical Care M 94235 Delta Health Systems H 94235 Delta Health Systems M 94265 Medica (UHC) H Y 94265 Medica (UHC) M Y 94269 Sutter East Bay Medical Foundation H 94269 Sutter East Bay Medical Foundation M 94293 Valley Mental Health M 94302 Chinese Community Health Plan H 94302 Chinese Community Health Plan M 94312 Center for Elders Independence H 94312 Center for Elders Independence M 94316 Brown & Toland Medical Group H 94316 Brown & Toland Medical Group M 94320 Kaiser Self Funded H 94320 Kaiser Self Funded M 94321 Children First Medical Group M 94603 UC-Davis Health H 94603 UC-Davis Health M 95019 Matrix - Health First Health Plan M 95112 Capital Health Plan H 95112 Capital Health Plan M 95164 Cedars Sinai Medical Center H 95166 Cedars-Sinai Medical Network Services H 95166 Cedars-Sinai Medical Network Services M 95192 CommunityConnect HealthPlan H 95192 CommunityConnect HealthPlan M 95192 Compcare (Wisconsin BadgerCare only) H 95192 Compcare (Wisconsin BadgerCare only) M 95192 Group Health Cooperative of Eau Claire H 95192 Group Health Cooperative of Eau Claire M 95202 SummaCare Health Plan H 95202 SummaCare Health Plan M 95241 A.G.I.A. Inc. H Y 95241 A.G.I.A. Inc. M Y 95266 UMR Westerville (formerly Harrington Health) H 95266 UMR Westerville (formerly Harrington Health) M 95279 Keenan Associates (CA) H 95279 Keenan Associates (CA) M 95321 Medfocus M 95340 Adventist Health System West - Roseville CA H Y 95340 Adventist Health System West - Roseville CA M Y 95377 Beech Street H 95377 Beech Street M 95378 UnitedHealthcare / UnitedHealthcare Plan of River Valley H Y 95378 UnitedHealthcare / UnitedHealthcare Plan of River Valley M Y 95378 UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa) H Y 95378 UnitedHealthcare Community Plan / IA hawk-i (formerly AmeriChoice of Iowa) M Y 95378 UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS - CHIP) H Y 95378 UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS - CHIP) M Y 95378 UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare M Y 95378 UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare) H Y 95393 High Desert Medical Group H 95393 High Desert Medical Group M 95397 Personal Insurance Administrators Inc. (Agoura Hills CA) H 95397 Personal Insurance Administrators Inc. (Agoura Hills CA) M 95399 CAP Management Systems H 95399 CAP Management Systems M 95411 FL MCO PHC/PHP H 95411 FL MCO PHC/PHP M 95424 Access Medical Group M 95426 Affordable Benefit Administrators Inc. H 95426 Affordable Benefit Administrators Inc. M 95432 Facey Medical Foundation M 95444 Indiana University Health Plan H Y 95444 Indiana University Health Plan M Y 95449 Regal Medical Group H 95449 Regal Medical Group M 95453 Grand Valley Health Plan H 95453 Grand Valley Health Plan M 95460 Key Health Medical Solutions Inc M 95461 Highmark Senior Solutions H Y Y BL 95461 Highmark Senior Solutions M Y Y BL 95462 Highmark Senior Health H Y Y BL 95462 Highmark Senior Health M Y Y BL 95467 UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan) H Y 95467 UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan) M Y 95567 Health Net of California and Oregon - Claims H Y 95567 Health Net of California and Oregon - Claims M Y 95600 Emergency Medical Services Fund - Orange County CA M 95606 Berkshire Lehigh Partners H 95606 Berkshire Lehigh Partners M 95655 MediGold H Y 95655 MediGold M Y 95655 Mt. Carmel Health H Y 95655 Mt. Carmel Health M Y 95959 UnitedHealthcare West / UnitedHealthcare of CA OK OR TX WA H 95959 UnitedHealthcare West / UnitedHealthcare of CA OK OR TX WA M 95962 UnitedHealthcare West (formerly PacifiCare of Colorado) H 95962 UnitedHealthcare West (formerly PacifiCare of Colorado) M Y 95964 UnitedHealthcare West (formerly PacifiCare of Arizona) H 95964 UnitedHealthcare West (formerly PacifiCare of Arizona) M Y 95998 New Avenues Inc. H 95998 New Avenues Inc. M 95999 UnitedHealthcare West (formerly PacifiCare PPO - All States) H 95999 UnitedHealthcare West (formerly PacifiCare PPO - All States) M 96107 Neighborhood Health Partnership (NHP) H 96107 Neighborhood Health Partnership (NHP) M 96176 Sutter East Bay Regional Hospital H 96176 Sutter East Bay Regional Hospital M 96240 Neighborhood Health Plan of RI - Commercial Products and INTEGRITY H 96240 Neighborhood Health Plan of RI - Commercial Products and INTEGRITY M 96385 UnitedHealthcare Community Plan / KS (KanCare) H Y 96385 UnitedHealthcare Community Plan / KS (KanCare) M Y 96400 San Diego PACE H 96400 San Diego PACE M 96475 Healthlink HMO H Y 96475 Healthlink HMO M Y 96490 InforMed LLC H 96490 InforMed LLC M 97661 IEC Group - AmeriBen H 97661 IEC Group - AmeriBen M 97691 Silver Star PACE H 97691 Silver Star PACE M 98010 Manulife W. J. Sutton Company H 98010 Manulife W. J. Sutton Company M 98022 TakeCare Insurance Company H Y 98022 TakeCare Insurance Company M Y 98514 TRLHN/AS H 98514 TRLHN/AS M 99026 University Health Alliance M Y Y 99111 Cencal Health H 99138 AETNA ENCOUNTERS H 99139 CIGNA ENCOUNTERS H 99157 Scan Encounters H 99157 Scan Encounters M 99208 Hawaii Medical Assurance Association (HMAA/HWMG) H Y 99208 Hawaii Medical Assurance Association (HMAA/HWMG) M Y 99227 Cooperative Managed Care Services Repricing H 99227 Cooperative Managed Care Services Repricing M 99255 Loma Linda H 99282 Motion Pictures Industry H 99282 Motion Pictures Industry M 99284 Greater Covina Medical Group H 99284 Greater Covina Medical Group M 99308 Sutter Connect Medical Foundation H 99320 Benefit & Risk Management Services H 99320 Benefit & Risk Management Services M 99660 Fresno PACE H Y 99660 Fresno PACE M Y A0701 Alta Bates Medical Group H A0701 Alta Bates Medical Group M AAMG1 Asian American Medical Group H Y AAMG1 Asian American Medical Group M Y ABRI1 Molina Healthcare of Wisconsin (Claims Only) H ABRI1 Molina Healthcare of Wisconsin (Claims Only) M ADOCS ADOC (Affiliated Doctor's of Orange County) M ADOCS Affiliated Doctors of Orange County (ADOC) H ADOCS Affiliated Doctors of Orange County (ADOC) M AHCA1 Alignment Healthcare H AHCA1 Alignment Healthcare M AMM02 Glendale Physician's Alliance M AMM02 Medical Services for Indigents H AMM03 Child Health and Disability Prevention Treatment M AMM03 Custody Medical Services H AMM03 Ryan White Network M APG01 Affiliated Physicians Group M APP01 AppleCare Medical Management M APP01 Downey Select IPA (Applecare Medical Managment) M APP01 St Francis IPA M ARGUS Argus Dental Plans H ARGUS Argus Dental Plans M AVA01 Avalon Administrative Services M Y Y BKRFM Bakersfield Family Medical Center M BOONG Foundation Benefit Administrators /Contractor Employee Benefits Admin H Y BOONG Foundation Benefit Administrators /Contractor Employee Benefits Admin M Y BRIDG BridgeSpan H BRIDG BridgeSpan M BTSS1 Brown & Toland Sutter Select M CAIPA California IPA H CAIPA California IPA M CALOP Cal-Optima Direct H CALOP Cal-Optima Direct M CARMO Access IPA M CARMO Caremore M CB148 National Allied Workers Union Local 831 H CB148 National Allied Workers Union Local 831 M CB231 Independence American Ins. Co H CB231 Independence American Ins. Co M CB268 Cornerstone Preferred Resources H CB268 Cornerstone Preferred Resources M CB404 Preferred Health Plan of the Carolinas H CB404 Preferred Health Plan of the Carolinas M CB457 WellSpan Employee Assistance Program M CB624 Gulf Stream-General Dynamics H CB624 Gulf Stream-General Dynamics M CB637 Aegis Administrative Services H CB637 Aegis Administrative Services M CB752 Lockard & Williams H CB752 Lockard & Williams M CB951 Group Benefits H CB951 Group Benefits M CB951 TRISTAR Benefit Administrators H CB951 TRISTAR Benefit Administrators M CB987 Dart Member Care H CB987 Dart Member Care M CCI01 Community Care IPA H CCI01 Community Care IPA M CCIH0 Correctcare Integrated Health (CA Prison Health Care Services) H CMSP1 County Services Medical Program H CMSP1 County Services Medical Program M CORIZ Corizon Health Inc. H CORIZ Corizon Health Inc. M CP001 Samaritan Employer Group Plans H CP001 Samaritan Employer Group Plans M CP001 Samaritan Health Plans H CP001 Samaritan Health Plans M CPMG1 Childrens Physician Medical Group M CVAK1 Virginia Medicaid M CVPG1 Citrus Valley Physicians Medical Group M CX077 Quality Plan Administrator Inc M CX101 Carpenters Health and Welfare Fund of Philadelphia M CXARC ARC Administrators H CXARC ARC Administrators M D2308 Seton Employee Plan M DAK01 DakotaCare H Y DAK01 DakotaCare M Y DESRT Desert Medical Group M DESRT Heritage Provider Network M DESRT Oasis IPA M DREYR Dreyer Health M E3510 ABMA (Alta Bates Medical Assocs) Medical Corp (Hnet Sr. and Secure Horizon) M Y E3510 Alta Senior Care (Hnet Sr and Secure Horizons only) M Y E3510 Central Valley Medical Group M Y E3510 North American Medical Management (NAMM) - Northern California H Y E3510 North American Medical Management (NAMM) - Northern California M Y Y E3510 North American Medical Management (NAMM) - Southern California M Y EBSRM Lifetime Benefit Solutions H EBSRM Lifetime Benefit Solutions M EC999 County of Riverside H EC999 County of Riverside M EM205 MED3000 CMS Title 21 H Y EM205 MED3000 CMS Title 21 M Y EM216 MED3000 H EM216 MED3000 M EM284 MED3000 CMS SAFETY NET H EM284 MED3000 CMS SAFETY NET M EM350 MED3000 CMS Early Steps H Y EM350 MED3000 CMS Early Steps M Y EM843 CMS MMA Specialty Plan H Y EM843 CMS MMA Specialty Plan M Y EMP01 Empire Physician's Medical Group M EXC01 Excel MSO M EXC01 Physicians Medical Group of San Jose M FS802 Bridgeview M Y FVMCH Fox Valley Medicine H FVMCH Fox Valley Medicine M GEM01 Global Excel Management H GEM01 Global Excel Management M GHOKC Global Health H GHOKC Global Health M HCP01 Alliance IPA H HCP01 Greater Valley H HCP01 Harrimon Jones H HCP01 Healthcare Partners H HCP01 Healthcare Partners M HCP01 Magan Medical Clinic H HCP01 Memorial Medical Group H HCP01 Unified IPA H HESUN Healthsun Health Plans M HPIPA Hispanic Physicians IPA M HSM01 HealthSmart -Noble Mid Orange M HSM01 San Judas Medical Group IPA M HSPAN HealthSpan Network Repricing H HSPAN HealthSpan Network Repricing M IEHP1 Inland Empire Health Plan M INCS1 Caresource Indiana Inc H INCS1 Caresource Indiana Inc M INDPM Independent Physicians at Mercy H INDPM Independent Physicians at Mercy M IP056 Upland Medical Group M IP057 Pomona Valley Medical Group M IP057 ProMed HealthCare Administrators M IP079 Primary Care Associates Medical Group M IP082 Key Medical Group M IP083 Mosaic IPA Medical Group M IP086 Good Samaritan Medical Practice Association M IP095 Monarch IPA M JLSFE JLS Family Enterprises H JLSFE JLS Family Enterprises M KCIPA Kane County BCBS H KCIPA Kane County BCBS M KELSE Kelseycare M KELSI Kelseycare H KPS01 KPS-Kitsap Physician Services H KPS01 KPS-Kitsap Physician Services M KYCS1 CareSource KY H KYCS1 CareSource KY M L0110 NAMCI/Global Care H L0110 NAMCI/Global Care M L0140 Ocular Benefits H L0140 Ocular Benefits M L0150 Association de Maestros ((PROSSAM) H Y L0150 Association de Maestros ((PROSSAM) M Y L0160 Mapfre (Canada Life) H Y L0160 Mapfre (Canada Life) M Y L0170 Medical Card System ( MCS ) H Y L0170 Medical Card System ( MCS ) M Y L0180 Palic ( Panamerican Life Insurance Company of Puerto Rico ) H L0180 Palic ( Panamerican Life Insurance Company of Puerto Rico ) M L0190 Plan de Salud Hospital Menonita H L0190 Plan de Salud Hospital Menonita M L0210 Medicare y Mucho Mas ( MMM ) H Y L0210 Medicare y Mucho Mas ( MMM ) M Y L0220 American Health Medicare H Y L0220 American Health Medicare M Y L0250 Preferred Medicare H Y L0250 Preferred Medicare M Y L0260 Constellation Health M LACAR LA Care Health Plan H LACAR LA Care Health Plan M LIFE1 Optum Medical Network / AZ UT (formerly Lifeprint Network) H Y LIFE1 Optum Medical Network / AZ UT (formerly Lifeprint Network) M Y LMG11 Lakeside Health Services M LNDMK Landmark Healthcare Inc M Y MAHC1 Medical Associates Health Plan/Health Choices H Y MAHC1 Medical Associates Health Plan/Health Choices M Y MBA01 Golden State Medical Group H MBA01 Golden State Medical Group M MBA01 Medical Benefits Administration M MBA01 Sierra Nevada Medical Association M MCDIL Blue Cross Community Options H BL MCDIL Blue Cross Community Options M BL MCS01 GEMCare (Golden Empire Managed Care System) M MCS01 Managed Care Systems (Gemcare) H MCS01 Managed Care Systems (Gemcare) M MCS02 Managed Care Systems (Delano Regional Medical Group) M MCS03 Gemcare Health Plan H MCS03 Gemcare Health Plan M MDXHI MDX Hawaii H MDXHI MDX Hawaii M MHM01 Independence Medical Group M MHM02 McKinley Medical Group M MHM03 Physicians Health Network M MNDH1 MINNESOTA DEPARTMENT OF HEALTH H Y MNDH1 MINNESOTA DEPARTMENT OF HEALTH M Y MPMG1 Mills Peninsula Medical Group M MPMOA Bella Vista Med Grp IPA M MPMOA El Proyecto Del Barrio IPA M MPMOA Global Care Med Grp IPA M MPMOA Healthcare La IPA M MPMOA MedPOINT Management M MPMOA Mission Community IPA Med Grp M MPMOA Riverside Family Health Med Grp IPA M MPMOA Watts Healthcare Corp IPA M MSO11 San Diego County Medical Services (CMS) M MSO33 San Diego County Ryan White Care Act M MSO77 San Diego County Coverage Initiative (CI) M NCH01 CarePlus Dermatology - New Century Health M NCH02 Humana Dermatology - New Century Health M NCH03 CarePlus Urology - New Century Health M NCH04 CarePlus Cardiology - New Century Health M NCH05 California Eye Care - New Century Health M NCH06 Bascom Palmer Eye Care Network - New Century Health M NCH07 CarePlus Oncology - New Century Infusion Solutions M NCH08 Vista Oncology - New Century Infusion Solutions M NCH09 New Century Health - Vista Cardiology M NCH11 New Century Health - IEHP Oncology M NMG01 Northridge Medical Group M NMM01 Advantage Med Grp M NMM01 Allied Physicians M NMM01 Arroyo Vista Family Health Center M NMM01 Greater Orange County Medical Group M NMM01 Greater San Gabriel Med Grp M NMM01 Network Medical Management M NMM02 LaSalle Medical Group H NMM02 LaSalle Medical Group M NPN11 Northwest Physicians Network H NPN11 Northwest Physicians Network M NSA01 NorthStar Advantage M NSIPA Network Solutions IPA M OSCAR Oscar Health H OSCAR Oscar Health M PA513 Physician Associates of the Greater San Gabriel Valley H PA513 Physician Associates of the Greater San Gabriel Valley M PARTD Transact RX M Y PARTH Partners in Health H PARTH Partners in Health M PCFCI Pacific IPA M PCI01 Premier Care IPA H PCI01 Premier Care IPA M PCJOL Primary Care of Joliet H PCJOL Primary Care of Joliet M PCN12 PHYSICIANS CARE NETWORK LLC/Polyclinic Seattle H PCN12 PHYSICIANS CARE NETWORK LLC/Polyclinic Seattle M PDT01 Noble AMA Select IPA M PDT01 Physician's Data Trust M PDT01 St. Vincent IPA M PDT01 TriCities IPA M PEF01 PEF Clinic H PEF01 PEF Clinic M PFIPA Preferred IPA M PIONR Pioneer Medical Group M PMGSC Physicians Medical Group of Santa Cruz County M PPM01 Vantage Medical Group M PPRT1 Physician Partners FHN Medicaid H PPRT1 Physician Partners FHN Medicaid M PROSP AMVI/Prospect Health Network (Prospect Medical Group) M PROSP APAC (Pinnacle Health Resources) (Prospect Medical Group) M PROSP Gateway IPA (Pinnacle Health Resources) (Prospect Medical Group) M PROSP Genesis Healthcare H PROSP Genesis Healthcare M PROSP North West Orange County Medical Group M PROSP Nuestra Familia Medical Group (Prospect Medical Group) M PROSP Pegasus Medical Group M PROSP Pinnacle Health Resources (Prospect Medical Group) M PROSP ProCare (Prospect) M PROSP Prospect Health Network M PROSP Prospect Medical Group M PROSP Prospect Sherman Oaks Medical Group (Prospect Medical Group) M PROSP Sierra Family Network (Prospect Medical Group) M PSKW0 PSKW M Y RCMG1 RIVER CITY MEDICAL GROUP H RCMG1 RIVER CITY MEDICAL GROUP M REGAL Access IPA M REGAL Heritage Provider Network M REGAL Regal Medical Group M RHA01 Resolve Health Plan Administrators LLC H RHA01 Resolve Health Plan Administrators LLC M RPPG1 Resurrection Physician Provider Group H RPPG1 Resurrection Physician Provider Group M RX001 TransactRX Infusion and Specialty M Y SA704 Select Advantage H BL SA704 Select Advantage M BL SB338 Anthem Blue Cross and Blue Shield of Ohio M Y BL SB510 Blue Cross Blue Shield of Alabama M Y Y BL SB520 Arkansas Blue Cross and Blue Shield M Y Y BL SB530 Blue Cross Blue Shield of Arizona M Y BL SB550 Blue Cross Blue Shield of Colorado M Y BL SB560 Anthem Blue Cross Blue Shield of Connecticut M Y BL SB562 Blue Care Family/Anthem Medicaid M Y BL SB563 Blue Cross Blue Shield of Connecticut M BL SB570 Blue Cross Blue Shield of Delaware M Y Y BL SB580 CareFirst BlueCross BlueShield NCA Region M Y BL SB590 Blue Cross Blue Shield of Florida M Y BL SB600 Blue Cross Blue Shield of Georgia (Atlanta) M Y BL SB611 Regence Blue Shield of Idaho M Y BL SB612 Blue Cross of Idaho Health Services Inc M Y Y BL SB613 Community Health Plan Washington M SB621 Blue Cross Blue Shield of Illinois M Y BL SB630 Anthem Blue Cross and Blue Shield - Indiana M Y BL SB640 Wellmark Blue Cross and Blue Shield of Iowa (IASD) M Y BL SB645 Wellmark BCBS - Medicare COB M BL SB650 Blue Cross Blue Shield of Kansas M Y Y BL SB651 Blue Cross Blue Shield of Kansas HMO FEP M Y BL SB652 Blue Cross Blue Shield of Kansas HMO Regular M Y BL SB653 Blue Cross Blue Shield of Kansas HMO Senior Plan M Y BL SB660 Anthem Blue Cross and Blue Shield - Kentucky M Y BL SB680 Blue Cross Blue Shield of Maine M Y BL SB690 CareFirst BlueCross BlueShield MD Region M Y BL SB700 Blue Cross Blue Shield of Massachusetts M Y BL SB710 Blue Cross Blue Shield of Michigan M Y BL SB711 BLUE CARE NETWORK (BLUE CROSS BLUE SHIELD OF MICHIGAN) M Y BL SB720 Blue Cross Blue Shield of Minnesota M Y BL SB730 Blue Cross Blue Shield of Mississippi M Y Y BL SB731 Blue Cross Blue Shield Mississippi State and Teacher Employees M Y BL SB740 Blue Cross Blue Shield of Kansas City M Y Y BL SB741 Blue Cross Blue Shield of Missouri M Y BL SB742 Blue Cross Blue Shield of Missouri (Blue Choice) M BL SB751 Blue Cross Blue Shield - Montana M Y Y BL SB760 Blue Cross Blue Shield of Nebraska M Y BL SB765 Blue Cross Blue Shield of Nevada M Y BL SB770 Blue Cross Blue Shield of New Hampshire M Y BL SB790 Blue Cross Blue Shield of New Mexico M Y BL SB800 HealthNow - BCBS Northeastern NY M Y BL SB801 HealthNow - Blue Cross Blue Shield of Western NY M Y Y BL SB803 Empire Blue Cross and Blue Shield of New York M Y BL SB803 WellChoice of NJ M BL SB804 Excellus - Blue Cross/Blue Shield Rochester Area M Y BL SB805 Excellus - Blue Cross Blue Shield of Central New York M BL SB806 Excellus - BCBS Utica Watertown M BL SB810 Blue Cross Blue Shield NC BlueMedicare HMO/PPO M Y BL SB810 Blue Cross Blue Shield of North Carolina M Y BL SB820 Blue Cross Blue Shield of North Dakota M Y Y BL SB821 BCBS North Dakota Vision M BL SB840 Blue Cross Blue Shield of Oklahoma M Y BL SB850 Regence Blue Cross Blue Shield of Oregon M Y BL SB865 Highmark Blue Cross & Blue Shield of Pennsylvania M Y Y BL SB870 Blue Cross Blue Shield of Rhode Island M Y BL SB871 Blue CHiP of Rhode Island M BL SB880 Blue Cross Blue Shield of South Carolina - Companion Technologies M Y BL SB889 Blue Cross Blue Shield of South Dakota (Sioux Falls) M Y Y BL SB890 Blue Cross Blue Shield of Tennessee (Chattanooga) M Y Y BL SB891 Blue Cross Blue Shield of Tennessee (Chattanooga HMO Plans) M Y BL SB892 Blue Cross Blue Shield of Tennessee (Memphis) M Y BL SB900 Blue Choice Network M BL SB900 Blue Cross Blue Shield of Texas M Y BL SB900 Texas Health Insurance Risk Pool M BL SB910 Regence Blue Cross Blue Shield of Utah M Y BL SB915 Blue Cross Blue Shield of Vermont M BL SB923 Anthem Blue Cross and Blue Shield (Virginia) M Y BL SB924 Trigon Blue Cross and Blue Shield (Virginia) M BL SB930 WA - Premera Blue Cross M BL SB931 Regence Blue Shield of Washington M Y BL SB941 Mountain State Blue Cross and Blue Shield M Y Y BL SB942 Freedom Blue Medicare Advantage Claims M Y Y BL SB950 Blue Cross and Blue Shield United of Wisconsin/Comp Care M BL SB960 Blue Cross Blue Shield Wyoming M Y Y BL SB971 Hawaii Medical Service Association (HMSA) M Y Y BL SB980 Triple-S Inc. M Y Y BL SCP01 Southern Cal Physicians Managed Care Services M SCWI0 Tricare West M Y Y CH SDCOM Scion Dental Commercial M SDMEC Medicare DME (JC - CEDI/CGS) M Y Y MB SIPA1 Southland BCBS H SIPA1 Southland BCBS M SKLA0 Louisiana Medicaid M Y Y MC SKLA2 Louisiana Medicaid - Ambulance claims M Y MC SKLA3 Louisiana Medicaid - KidMed Claims M Y MC SKLA4 Louisiana Medicaid - Rehab M MC SKMO0 Missouri Medicaid H Y MC SKMO0 Missouri Medicaid M Y MC SKMS0 Mississippi Medicaid H Y MC SKMS0 Mississippi Medicaid M Y Y MC SKNM0 New Mexico Medicaid H Y MC SKNM0 New Mexico Medicaid M Y MC SKOK0 Oklahoma Medicaid H Y MC SKOK0 Oklahoma Medicaid M Y MC SKTN2 Tennessee Medicaid M Y Y MC SKTX0 Texas Medicaid H Y MC SKTX0 Texas Medicaid M Y MC SMG01 Seoul Medical Group H SMG01 Seoul Medical Group M SMKC0 MO Medicare Part B West (J5 - WPS) M Y Y MB SMKS0 KS Medicare Part B (J5 - WPS) M Y Y MB SMMO0 MO Medicare Part B East (J5 - WPS) M Y Y MB SMTN0 TN MEDICARE B (MAC JJ) Cahaba M Y Y MB SNTMC Sante Community Physicians Medical Group Corp H SNTMC Sante Community Physicians Medical Group Corp M STAR1 Mediview Inc. H STAR1 Mediview Inc. M STJOE Mission (St. Joseph Heritage Healthcare) M STJOE St Joseph IPA M STJOE St Jude Yorba Linda M STJOE St. Joseph Heritage Healthcare H STJOE St. Joseph Heritage Healthcare M STJOE St. Jude (St. Joseph Heritage Healthcare) M STJOE Yorba Park M STJOE Yorba Park (St. Joseph Heritage HealthCare) M SVIPA Seaview IPA M SX009 CoOportunity Health M Y Y SX009 HealthPartners MN M Y Y SX022 WPS Health Insurance M Y Y SX030 Health Options of Florida M SX055 Keystone Health Plan East M Y Y BL SX056 Keystone Health Plan West M Y BL SX065 Capital District Physician's Health Plan M Y SX065 CDPHP M SX067 Workers Comp of West Virginia M Y SX071 CIGNA Behavioral Health M SX073 Independent Health M Y Y SX074 AmeriHealth - Delaware (Non-HMO Claims) M Y BL SX075 AmeriHealth - New Jersey (Non-HMO Claims) M Y BL SX078 Gateway M BL SX079 Inter-County Health Plan M Y BL SX083 IBC Personal Choice M Y BL SX084 Blue Cross Blue Shield of South Carolina - Federal Employee Program (FEP) M BL SX085 Blue Cross Blue Shield of South Carolina - Companion Healthcare M BL SX086 Univera - Pre Paid Health Plan of NY M SX087 Univera - Health Care Plan/ChoiceCare Buffalo M SX088 Univera - Univera Health Southern Tier M SX089 MVP Health Rochester M SX090 Univera SSA ENY M SX091 Univera SSA WNY M SX103 Blue Cross Blue Shield of South Carolina - State Health Plan M BL SX104 Blue Cross Blue Shield of South Carolina - Planned Administrators Inc. H BL SX104 Blue Cross Blue Shield of South Carolina - Planned Administrators Inc. M BL SX105 Deseret Mutual M Y Y SX106 PEHP - Utah Public Employee Health Plan M Y Y SX107 SelectHealth M Y SX108 Blue Cross Blue Shield of South Carolina - Consolidated Benefits Inc. M BL SX109 Molina Healthcare Utah (Claims Only) M SX110 Educators Mutual (EMIA) M SX133 Providence of Oregon Health Plan H Y SX133 Providence of Oregon Health Plan M Y SX141 Rocky Mountain Health Plan - Grand Junction M Y SX145 Banner Health AZ M SX145 Banner Health Co - ROCKY MOUNTAIN HMO GREELEY M SX145 Banner Health Co. - ANTERO GREELEY M SX145 Banner Health Co. - ANTERO HIGH PLAINS M SX145 Banner Health Co. - ANTERO MOUNTAIN SHADOWS M SX145 Banner Health Co. - CHOICE PLUS M SX145 Banner Health Co. - HMO GREELEY M SX145 Banner Health Co. - HMO HIGH PLAINS M SX145 Banner Health Co. - HMO MOUNTAIN SHADOWS M SX145 Banner Health Co. - PACIFICARE GREELEY M SX145 Banner Health Co. - PACIFICARE HIGH PLAINS M SX145 Banner Health Co. - PACIFICARE MOUNTAIN SHADOWS M SX145 Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS M SX145 Banner Health Co. - SECURE HORIZONS GREELEY M SX145 Banner Health Co. - SECURE HORIZONS HIGH PLAINS M SX145 Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS M SX155 University of Utah Health Plans M Y SX156 Allied Health Systems Chiropractic M SX158 Paramount M SX160 Thomas H. Cooper M SX163 Tricare Overseas H SX163 Tricare Overseas M Y Y SX164 New West Health Services M SX168 BCBSPA - BlueCard Par Point of Service (POS) M Y BL SX171 Indian Health Services M SX172 MDwise Eskenazi- Healthy Indiana Plan M Y SX172 MDwise Eskenazi- Hoosier Healthwise M Y SX172 MDwise Excel- Healthy Indiana Plan M SX172 MDwise Excel- Hoosier Healthwise M Y SX172 MDwise Family Planning M Y SX172 MDwise Franciscan St. Anthony- Healthy Indiana Plan M Y SX172 MDwise Franciscan St. Margaret- Healthy Indiana Plan M Y SX172 MDwise Hoosier Care Connect M Y SX172 MDwise Inc. M SX172 MDwise IU Health- Healthy Indiana Plan M Y SX172 MDwise IU Health-Hoosier Healthwise M Y SX172 MDwise Select Health- Healthy Indiana Plan M Y SX172 MDwise St. Catherine- Healthy Indiana Plan M Y SX172 MDwise St. Vincent-Healthy Indiana Plan M Y SX172 MDwise Total Health- Healthy Indiana Plan M Y SX172 MDwise Total Health- Hoosier Healthwise M Y SX173 Value Options - Commercial M Y SX174 Health Plan of San Mateo M SX176 Tricare for Life M Y Y SX178 Ucare Minnesota M Y SX179 Asuris Northwest/MedAdvantage M SX182 EBMS M SX187 Providence PPO H SX187 Providence PPO M SX190 National Imaging Associates M Y SX262 Medicare Blue Private M BL SX263 Medicare Blue M BL TA720 Independence Administrators M Y BL TALMG Talbert Medical Group M TH002 Scott & White M Y TH003 FirstCare M TH004 Atlas Administrators M TH005 Community First M TH012 Insurance Services of Lubbock M TH022 Valley Baptist Health Plan M TH023 WellMed M Y TH033 JI Specialties M TH049 Health Management Administrators (HMA) M TH067 Access Administrators M TH068 Metrowest HealthPlan M TH069 Metrowest Star Medicaid M TH071 AMA Insurance Agency M TH074 Midwest Health Plans Inc. M Y TH079 Seton Health Plan - Exclusive M TH081 Seton MAP Program M TH084 Early Intervention Central M TH085 Alpha Data M TH088 Midwest Physicians Administrative Services M TH089 Texas Premier Plan M TH090 El Paso First - Chip M TH092 Memorial Herman Health Network Providers M TH093 Life Investors of America - Long Term Care M TH095 American Family Insurance M TH099 IMS Management Services M TH100 Spohn Health M TH104 Cook Children's Health Group M TH105 International Medical Group M TH106 LIPA/Agate Resources M TH107 City of Amarillo M TH108 Covenant Management Systems M TH109 Employee Benefit Services of San Antonio M TH110 ERISA M TH111 Master Mates & Pilots Program M TH114 Physicians Health Choice - Encounters M TH116 Southeast Texas Govt Employees Benefit Pool M TH117 American Whole Health Networks M TH120 Life Investors Insurance M TH122 New York Life M TH130 Citrus Health M TH131 Physicians United Plan H TH131 Physicians United Plan M THCP9 Cook Children Star Plan H THCP9 Cook Children Star Plan M THIPA Torrance Hospital IPA H THIPA Torrance Hospital IPA M TKFMC City of Visalia M TKFMC Foundation for Medical Care of Tulare & Kings County M TKFMC Friant Water Users M TKFMC Kaweah Delta M TKFMC R&N Market M TKFMC Sequoia Beverage M TKFMC TASEBA M TKFMC Town & Country M TLINS Monumental Life Insurance Company H TLINS Monumental Life Insurance Company M TLINS Transamerica Financial Life Insurance Company H TLINS Transamerica Financial Life Insurance Company M TLINS Transamerica Life Insurance Company H TLINS Transamerica Life Insurance Company M TLINS Transamerica Premier Life Insurance Company H TLINS Transamerica Premier Life Insurance Company M TRCLF Monumental Life Insurance Company H TRCLF Monumental Life Insurance Company M TRCLF Transamerica Premier Life Insurance Company H TRCLF Transamerica Premier Life Insurance Company M TRLTC Monumental Life Insurance Company H TRLTC Monumental Life Insurance Company M TRLTC Stonebridge Life Insurance Company H TRLTC Stonebridge Life Insurance Company M TRLTC Transamerica Financial Life Insurance Company H TRLTC Transamerica Financial Life Insurance Company M TRLTC Transamerica Life Insurance Company H TRLTC Transamerica Life Insurance Company M TRLTC Transamerica Premier Life Insurance Company H TRLTC Transamerica Premier Life Insurance Company M TRLTC Western Reserve Life Insurance Company H TRLTC Western Reserve Life Insurance Company M TRP1E Monumental Life Insurance Company H TRP1E Monumental Life Insurance Company M TRP1E Stonebridge Life Insurance Company H TRP1E Stonebridge Life Insurance Company M TRP1E Transamerica Financial Life Insurance Company H TRP1E Transamerica Financial Life Insurance Company M TRP1E Transamerica Life Insurance Company H Y TRP1E Transamerica Life Insurance Company M Y TRP1E Transamerica Premier Life Insurance Company H TRP1E Transamerica Premier Life Insurance Company M TRP1E Union Labor Life Insurance Company - Admin By UBC H TRP1E Union Labor Life Insurance Company - Admin By UBC M TRP1E Universal Benefits - Admin For Chubb Life Insurance Company Of America H TRP1E Universal Benefits - Admin For Chubb Life Insurance Company Of America M TRP1E Universal Benefits - Admin For City Of Bridgeport CT H TRP1E Universal Benefits - Admin For City Of Bridgeport CT M TRP1E Universal Benefits - Admin For Hartford Life And Accident Insurance Co H TRP1E Universal Benefits - Admin For Hartford Life And Accident Insurance Co M TRP1E Universal Benefits - Admin For Hartford Life Insurance Company H TRP1E Universal Benefits - Admin For Hartford Life Insurance Company M TRP1P Monumental Life Insurance Company H TRP1P Monumental Life Insurance Company M TRP1P Stonebridge Life Insurance Company H TRP1P Stonebridge Life Insurance Company M TRP1P Transamerica Financial Life Insurance Company H TRP1P Transamerica Financial Life Insurance Company M TRP1P Transamerica Life Insurance Company H TRP1P Transamerica Life Insurance Company M TRP1P Transamerica Premier Life Insurance Company H TRP1P Transamerica Premier Life Insurance Company M TRSEL Selman Tricare Supp H TRSEL Selman Tricare Supp M TXCSM Texas Childrens Health M UAGBT United Agriculture Benefit Trust M UHNDC PPOONE M UIC67 University of Illinois H UIC67 University of Illinois M VCIPA Valley Care IPA M VVIPA Victor Valley IPA M VVMG1 Victor Valley IPA M WELM2 WellMed H WELM2 WellMed M WVCS1 CareSource West Virginia H WVCS1 CareSource West Virginia M