List of Payers supported by Approved Admissions

Modified on Tue, Feb 18 at 10:41 AM

Provider Name	AA Provider ID	Type	Service Region	Enrollment Required
1199 National Benefit Fund	AA201201	HMO	National	0
AARP	AA201202	HMO	National	0
Absolute Total Care	AA201203	HMO	National, SC	0
Acclaim	AA201204	HMO	National	0
Ace Property and Casualty Insurance Company	AA210002	HMO	National	0
ACN	AA201848	HMO	National	0
ACS Benefit Services	AA210003	HMO	National	0
Administrative Concepts	AA201955	HMO	National	0
Administrative Services Inc.	AA201205	HMO	National	0
Advantage by Bridgeway Health Solutions	AA201849	HMO	National	0
Advantage by Managed Health Services	AA210004	HMO	National	0
Advantek Benefit Administrators	AA201206	HMO	National	0
Aetna	AA201850	HMO	National	0
Aetna (Commercial Plans Only)	AA210005	HMO	National	0
Aetna Administrators	AA201207	HMO	National	0
Aetna Better Health (CA)	AA201208	HMO	CA	0
Aetna Better Health (FL)	AA201209	HMO	FL	0
Aetna Better Health (IL)	AA201210	HMO	KY	0
Aetna Better Health (KS)	AA201211	HMO	KS	0
Aetna Better Health (KY)	AA201212	HMO	IL	0
Aetna Better Health (LA)	AA201213	HMO	LA	0
Aetna Better Health (MD)	AA210006	HMO	MD	0
Aetna Better Health (MI Omnicare)	AA201214	HMO	MI	0
Aetna Better Health (MO Healthcare USA)	AA201215	HMO	MO	0
Aetna Better Health (NE)	AA201851	HMO	NE	0
Aetna Better Health (NJ)	AA201216	HMO	NJ	0
Aetna Better Health (NV)	AA210007	HMO	NV	0
Aetna Better Health (NY)	AA201217	HMO	NY	0
Aetna Better Health (OH)	AA201218	HMO	OH	0
Aetna Better Health (PA)	AA201219	HMO	PA	0
Aetna Better Health (TX) & CHIP	AA201220	HMO	TX	0
Aetna Better Health (VA)	AA201221	HMO	VA	0
Aetna Better Health (WV)	AA201222	HMO	WV	0
Aetna Health Plans (National)	AA201223	HMO	National	1
Aetna Long Term Care	AA201224	HMO	National	0
Aetna OhioRise - Ohio Medicaid MCE	AA210008	HMO	OH	0
Aetna Retiree Medical Plan Administrator	AA210009	HMO	National	0
Aetna Senior Supplemental Insurance	AA201225	HMO	National	0
Affinity Health Plan	AA201226	HMO	WI, National	0
Affinity Health Plan - Medicare	AA201852	HMO	National	0
AFLAC	AA201227	HMO	National	0
AFLAC-- Medicare Supplement	AA201228	HMO	National	0
AFTRA Health Fund	AA201853	HMO	National	0
Ageright Advantage	AA210010	HMO	National	0
AgeWell New York (Web Credentials Required)	AA210011	HMO	NY	0
AGIA Inc.	AA210012	HMO	National	0
Alabama Medicaid	AA201021	Medicaid	AL	0
Alameda Alliance for Health (Medi-cal)	AA201229	HMO	CA	0
Alameda Alliance Health Plan (Web Credentials Required)	AA210013	HMO	National	0
Alan Sturm and Associates Dental	AA210014	HMO	National	0
Alaska Medicaid	AA201022	Medicaid	AK	0
Albuquerque Public Schools	AA210015	HMO	National	0
Aliera Health Care	AA210016	HMO	National	0
Align Senior Care California	AA210017	HMO	CA	0
Align Senior Care Florida	AA210018	HMO	FL	0
Align Senior Care Michigan	AA210019	HMO	MI	0
Alignment Healthcare	AA201230	HMO	National	0
All Savers Life Insurance	AA210020	HMO	National	0
Allegiance Benefit Plan Management	AA201231	HMO	National	0
Alliance Coal Health Plan	AA210021	HMO	National	0
Alliance Group Care IHSS	AA201232	HMO	National	0
Alliance PPO of MD (Mamsi)	AA201233	HMO	MD	0
Alliant Health Plans	AA210022	HMO	National	0
Allianz Life Insurance Company of New York	AA210023	HMO	NY	0
Allied Benefit Systems	AA201234	HMO	National	0
Allina Health Aetna	AA210024	HMO	National	0
AllWays Health Partners	AA201235	HMO	National	0
AllWell	AA201965	HMO	National	0
AlohaCare	AA201236	HMO	National	0
Alternative Insurance Resources Inc.	AA210025	HMO	National	0
Altius Health Plans	AA201237	HMO	National	0
Altius Health Plans (UT/WY/ID)	AA201238	HMO	National	0
Altus Dental	AA210026	HMO	National	0
AMA Insurance	AA201239	HMO	National	0
Ambetter New Hampshire Healthy Families	AA210027	HMO	NH	0
Ambetter of Arkansas	AA210028	HMO	AR	0
Ambetter of Illinois	AA210029	HMO	IL	0
Ambetter of Tennessee	AA210030	HMO	TN	0
Ameriben	AA201240	HMO	National	0
American Family Insurance	AA201241	HMO	National	0
American General Life and Accident	AA210031	HMO	National	0
American General Life insurance	AA210032	HMO	National	0
American Health Advantage of Florida	AA210033	HMO	FL	0
American Health Advantage of Mississippi	AA210034	HMO	MS	0
American Health Advantage of Missouri	AA210035	HMO	MO	0
American Health Advantage of Oklahoma	AA210036	HMO	OK	0
American Health Advantage of Tennessee	AA210037	HMO	TN	0
American Health Advantage of TX	AA210038	HMO	TX	0
American Health Advantage of Utah	AA210039	HMO	UT	0
American Health Medicare (Inmediata Health)	AA201242	HMO	National	0
American Healthcare Alliance	AA210040	HMO	National	0
American Insurance Administrators	AA210041	HMO	National	0
American Medical Security (AMS)	AA201243	HMO	National	0
American National Insurance Company	AA201244	HMO	National	0
American National Life Insurance Company of Texas	AA201245	HMO	National	0
American Network Insurance (REHAB)-Medicare Supplemental (CHCS Services)	AA201246	HMO	National	0
American Network Insurance Medicare Supplement	AA210042	HMO	National	0
American Pioneer	AA201247	HMO	National	0
American Postal Workers Union (APWU)	AA201248	HMO	National	0
American Progressive	AA201249	HMO	National	0
American Republic Insurance Company	AA201250	HMO	National	0
American Retirement Life	AA201251	HMO	National	0
American Therapy Administration of Florida	AA201252	HMO	FL	0
AmeriChoice	AA201253	HMO	National	0
Americhoice Community & State	AA210043	HMO	National	0
Americhoice NJ Personal Care Plus	AA201254	HMO	NJ	0
Americhoice NY Medicaid & Child Health Plus	AA201255	HMO	NY	0
Americhoice NY Personal Care Plus	AA201256	HMO	NY	0
AmeriChoice of New Jersey (Commercial)	AA210044	HMO	NJ	0
Americhoice PA KidsChoice	AA201257	HMO	PA	0
Americo	AA201979	HMO	National	0
AmeriGroup	AA201258	HMO	FL,GA,KS,LA,MA, NV,NJ, NM,NY,TN,TX,WA	0
Amerigroup - Wellpoint	AA210045	HMO	National	0
Amerigroup Community Care	AA201259	HMO	National	0
Amerihealth	AA201260	HMO	National	0
Amerihealth (DE NJ PA) - Prof Submitters Only	AA210047	HMO	National	0
Amerihealth (DE NJ PA) Inst Submitters Only	AA210046	HMO	National	0
AmeriHealth (DE, NJ, PA)	AA201261	HMO	DE, NJ, PA	1
Amerihealth (NJ)	AA201262	HMO	NJ	0
AmeriHealth Administrators	AA201263	HMO	National	0
Amerihealth Caritas D.C.	AA201264	HMO	National	0
Amerihealth Caritas Delaware	AA201265	HMO	DE	0
Amerihealth Caritas Florida	AA210048	HMO	FL	0
Amerihealth Caritas Iowa	AA201855	HMO	National	0
Amerihealth Caritas Louisiana (LA Care)	AA201266	HMO	National	0
AmeriHealth Caritas New Hampshire	AA210049	HMO	NH	0
AmeriHealth Caritas Next NC	AA210050	HMO	NC	0
AmeriHealth Caritas North Carolina	AA210051	HMO	NC	0
Amerihealth Caritas Northwestern PA	AA210052	HMO	PA	0
Amerihealth Caritas Ohio Medicaid MCE	AA210053	HMO	OH	0
AmeriHealth Caritas Pennsylvania	AA201267	HMO	National	0
Amerihealth Caritas VIP Care	AA201268	HMO	National	0
AmeriHealth Mercy Health Plan	AA201857	HMO	National	0
AmeriHealth New Jersey	AA210054	HMO	NJ	0
Amerihealth VIP Care (PA)	AA201269	HMO	National	0
Ameritas Group - Ameritas Life Insurance Co.	AA201270	HMO	National	0
Ameritas Group - First Ameritas of New York	AA201271	HMO	National	0
Ameritas Group - First Reliance Standard Life	AA201272	HMO	National	0
Ameritas Group - Reliance Standard Life	AA201273	HMO	National	0
Ameritas Group - Standard Insurance	AA201274	HMO	National	0
Ameritas Group - Standard Insurance of New York	AA201275	HMO	National	0
Anthem BC California Dental	AA210055	HMO	CA	0
Anthem BCBS - OHIO MEDICAID MCE	AA210056	HMO	National	0
Anthem BCBS Colorado Dental	AA210057	HMO	CO	0
Anthem BCBS Connecticut Dental	AA210058	HMO	CT	0
Anthem BCBS Georgia Dental	AA210059	HMO	GA	0
Anthem BCBS Indiana Dental	AA210060	HMO	IN	0
Anthem BCBS Kentucky Dental	AA210061	HMO	KY	0
Anthem BCBS Maine Dental	AA210062	HMO	ME	0
Anthem BCBS Missouri Dental	AA210063	HMO	MO	0
Anthem BCBS Nevada Dental	AA210064	HMO	NV	0
Anthem BCBS New Hampshire Dental	AA210065	HMO	NH	0
Anthem BCBS Ohio Dental	AA210066	HMO	OH	0
Anthem BCBS Virginia Dental	AA210067	HMO	VA	0
Anthem BCBS Wisconsin Dental	AA210068	HMO	WI	0
Anthem Blue Cross (CA)	AA201276	HMO	CA	0
Anthem Health Keepers (Anthem)	AA210069	HMO	National	0
Anthem of Colorado	AA201277	HMO	CO	0
Anthem of Nevada	AA201278	HMO	NV	0
Anthem Vivity	AA210070	HMO	National	0
Arbor Health Plan	AA201279	HMO	National	0
Arise Health Plan	AA201280	HMO	NE	0
Arizona Complete Care	AA210071	HMO	AZ	0
Arizona Medicaid	AA201023	Medicaid	AZ	0
Arizona Physicians IPA	AA201281	HMO	AZ	0
Arkansas Medicaid	AA201024	Medicaid	AR	0
Arkansas Total Care	AA210072	HMO	AR	0
ArmadaCare	AA210073	HMO	National	0
Arnett Health Plans	AA201859	HMO	National	0
Asociación de Maestros de Puerto Rico	AA201282	HMO	National	0
Aspire Health Plan	AA201283	HMO	National	0
Aspirus Medicare Advantage	AA210074	HMO	National	0
Asuris Northwest Health	AA201284	HMO	WA, National	0
Atrio Health Plan (Formerly known as Marion Polk Health Plan Advantage)	AA201285	HMO	National	0
AultCare	AA201286	HMO	OH, National	0
Automated Benefit Services	AA201287	HMO	National	0
Auxiant	AA201288	HMO	National	0
Avera Health Plans	AA201289	HMO	National	0
AVMed Health Plans	AA201290	HMO	FL, National	0
BadgerCare Plus	AA210075	HMO	National	0
Bankers Fidelity	AA201982	HMO	National	0
Bankers Life and Casualty	AA201291	HMO	National	0
Banner Health	AA201869	HMO	National	0
Banner University Family Care	AA201292	HMO	National	0
BC Illinois Medicare Advantage	AA210076	HMO	IL	0
BC Montana Medicare Advantage	AA210077	HMO	MT	0
BC New Mexico Medicare Advantage	AA210078	HMO	NM	0
BC Oklahoma Medicare Advantage	AA210079	HMO	OK	0
BC Texas Medicare Advantage	AA210080	HMO	TX	0
BCBS LA Medicare Advantage	AA210081	HMO	LA	0
BCBS of Arizona Advantage	AA210082	HMO	AZ	0
BCBS Texas Medicaid Star CHIP (TX)	AA210083	HMO	TX	0
BCBS TEXAS MEDICAID STAR Kids	AA210084	HMO	National	0
BCBS Western New York Medicaid (NY)	AA210085	HMO	NY	0
BCBSMN Blue Plus Medicaid	AA201293	HMO	MN	0
Behavioral Health Systems Inc	AA210086	HMO	National	0
BeneBay	AA210087	HMO	National	0
Benefit Management	AA201294	HMO	National	0
Best Choice Health Plan	AA201862	HMO	National	0
Best Life and Health	AA201864	HMO	National	0
Better Health Plan of Florida	AA201295	HMO	FL	0
Better Health Plans (Unison Health Plan)	AA201296	HMO	National	0
BIND	AA210088	HMO	National	0
Blue Advantage - BCBSLA	AA210089	HMO	National	0
Blue Advantage of Arkansas	AA201297	HMO	AR	1
Blue Benefit Administrators of Mass	AA210090	HMO	National	0
Blue Card	AA201298	HMO	National	0
Blue Care of Virginia	AA201299	HMO	VA	0
Blue Chip of Rhode Island	AA201300	HMO	RI	0
Blue Choice Health Plan of South Carolina Medicaid	AA201863	HMO	SC	0
Blue Choice Medicaid Managed Care	AA201301	HMO	National	0
Blue Cross Blue Shield Arizona (BCBS AZ)	AA210091	HMO	AZ	0
Blue Cross Blue Shield Arkansas (BCBS AR)	AA210092	HMO	AR	0
Blue Cross Blue Shield DE (Highmark) - Prof & Inst Claim Submitters only	AA210093	HMO	DE	0
Blue Cross Blue Shield DE (Highmark) Prof Claim Submitters only	AA210094	HMO	DE	0
Blue Cross Blue Shield Dist. of Columbia - CareFirst (BCBS DC)	AA210095	HMO	National	0
Blue Cross Blue Shield Florida (BCBS FL)	AA210096	HMO	FL	0
Blue Cross Blue Shield Georgia - Anthem (BCBS GA)	AA210097	HMO	GA	0
Blue Cross Blue Shield Illinois - HCSC (BCBS IL)	AA210098	HMO	IL	0
Blue Cross Blue Shield Indiana - Anthem (BCBS IN)	AA210099	HMO	IN	0
Blue Cross Blue Shield Iowa (BCBS IA)	AA210100	HMO	IA	0
Blue Cross Blue Shield Kansas (BCBS KS)	AA210101	HMO	KS	0
Blue Cross Blue Shield Kentucky	AA201302	HMO	KY	0
Blue Cross Blue Shield Kentucky - Anthem (BCBS KY)	AA210102	HMO	KY	0
Blue Cross Blue Shield Louisiana (BCBS LA)	AA210103	HMO	LA	0
Blue Cross Blue Shield Massachusetts (BCBS MA)	AA210104	HMO	MA	0
Blue Cross Blue Shield Michigan - Institutional (BCBS MI) - Legacy	AA210105	HMO	MI	0
Blue Cross Blue Shield Michigan - Professional (BCBS MI) - Legacy	AA210106	HMO	MI	0
Blue Cross Blue Shield Minnesota (BCBS MN)	AA210107	HMO	MN	0
Blue Cross Blue Shield Mississippi (BCBS MS)	AA210108	HMO	MS	0
Blue Cross Blue Shield Missouri - Anthem (BCBS MO)	AA210109	HMO	MO	0
Blue Cross Blue Shield Montana - HCSC (BCBS MT)	AA210110	HMO	MT	0
Blue Cross Blue Shield Nebraska (BCBS NE)	AA210111	HMO	NE	0
Blue Cross Blue Shield Nevada - Anthem (BCBS NV)	AA210112	HMO	NV	0
Blue Cross Blue Shield New Hampshire - Anthem (BCBS NH)	AA210113	HMO	NH	0
Blue Cross Blue Shield New York - Central (BCBS NY)	AA210114	HMO	NY	0
Blue Cross Blue Shield New York - Rochester (BCBS NY)	AA210115	HMO	NY	0
Blue Cross Blue Shield New York - Utica (BCBS NY)	AA210116	HMO	NY	0
Blue Cross Blue Shield North Carolina (BCBS NC)	AA210117	HMO	NC	0
Blue Cross Blue Shield North Dakota (BCBS ND)	AA210118	HMO	ND	0
Blue Cross Blue Shield Of Alabama	AA201303	HMO	AL, National	0
Blue Cross Blue Shield Of Alaska (Premera)	AA201304	HMO	AK, National	0
Blue Cross Blue Shield Of Arizona	AA201305	HMO	AZ, National	0
Blue Cross Blue Shield of Arizona Medicare Advantage	AA201306	HMO	National	0
Blue Cross Blue Shield of Arkansas	AA201307	HMO	AR, National	1
Blue Cross Blue Shield Of Colorado (Anthem)	AA201308	HMO	CO, National	0
Blue Cross Blue Shield Of Connecticut (Anthem)	AA201309	HMO	CT, National	0
Blue Cross Blue Shield Of Delaware (Highmark)	AA201310	HMO	DE, National	1
Blue Cross Blue Shield Of District Of Columbia (CareFirst)	AA201311	HMO	DC, National	0
Blue Cross Blue Shield Of Florida	AA201312	HMO	FL, National	0
Blue Cross Blue Shield Of Georgia	AA201313	HMO	GA, National	0
Blue Cross Blue Shield of Hawaii (HMSA)	AA201314	HMO	HI	0
Blue Cross Blue Shield of Idaho	AA201315	HMO	ID, National	0
Blue Cross Blue Shield Of Illinois	AA201316	HMO	IL	0
Blue Cross Blue Shield Of Indiana (Anthem)	AA201317	HMO	IN, National	0
Blue Cross Blue Shield Of Iowa (Wellmark)	AA201318	HMO	IA, National	0
Blue Cross Blue Shield Of Kansas	AA201319	HMO	KS, National	0
Blue Cross Blue Shield of Kansas City	AA201320	HMO	KS, National	0
Blue Cross Blue Shield Of Kentucky (Anthem)	AA201321	HMO	KY, National	0
Blue Cross Blue Shield Of Louisiana	AA201322	HMO	LA, National	0
Blue Cross Blue Shield Of Maine (Anthem)	AA201323	HMO	ME, National	0
Blue Cross Blue Shield Of Maryland (CareFirst)	AA201324	HMO	MD, National	0
Blue Cross Blue Shield Of Massachusetts	AA201325	HMO	MA, National	0
Blue Cross Blue Shield Of Michigan	AA201326	HMO	MI, National	1
Blue Cross Blue Shield of Michigan (Dental)	AA201867	HMO	National	0
Blue Cross Blue Shield Of Michigan (Institutional)	AA201327	HMO	MI, National	1
Blue Cross Blue Shield of Michigan (Professional)	AA201868	HMO	MI	0
Blue Cross Blue Shield Of Minnesota	AA201328	HMO	MN, National	0
Blue Cross Blue Shield Of Mississippi	AA201329	HMO	MS, National	0
Blue Cross Blue Shield Of Missouri (Anthem)	AA201330	HMO	MO, National	0
Blue Cross Blue Shield of Montana	AA201331	HMO	MT, National	0
Blue Cross Blue Shield Of Nebraska	AA201332	HMO	NE, National	0
Blue Cross Blue Shield Of Nevada (Anthem)	AA201333	HMO	NV, National	0
Blue Cross Blue Shield of New Hampshire (Anthem)	AA201334	HMO	NH, National	0
Blue Cross Blue Shield Of New Jersey (Horizon)	AA201335	HMO	NJ, National	0
Blue Cross Blue Shield Of New Mexico	AA201336	HMO	NM, National	0
Blue Cross Blue Shield Of New York (Empire)	AA201337	HMO	National	0
Blue Cross Blue Shield of New York (Excellus)	AA201338	HMO	NY, National	0
Blue Cross Blue Shield Of North Carolina	AA201339	HMO	NC, National	0
Blue Cross Blue Shield Of North Dakota	AA201340	HMO	ND, National	1
Blue Cross Blue Shield Of Ohio (Anthem)	AA201341	HMO	OH, National	0
Blue Cross Blue Shield Of Oklahoma	AA201342	HMO	National	0
Blue Cross Blue Shield of Oregon (Regence)	AA201343	HMO	OR, National	0
Blue Cross Blue Shield Of Pennsylvania (Highmark)	AA201344	HMO	PA, National	1
Blue Cross Blue Shield Of Pennsylvania (Highmark) (Institutional)	AA201345	HMO	National	1
Blue Cross Blue Shield Of Rhode Island	AA201346	HMO	RI, National	0
Blue Cross Blue Shield Of South Carolina	AA201347	HMO	SC, National	0
Blue Cross Blue Shield of South Dakota (Wellmark)	AA201348	HMO	SD, National	0
Blue Cross Blue Shield Of Tennessee	AA201349	HMO	TN, National	0
Blue Cross Blue Shield Of Texas	AA201350	HMO	TX, National	0
Blue Cross Blue Shield of Utah (Regence)	AA201351	HMO	UT, National	0
Blue Cross Blue Shield Of Vermont	AA201352	HMO	VT	0
Blue Cross Blue Shield Of Virginia (Anthem)	AA201353	HMO	VA, National	0
Blue Cross Blue Shield of West Virginia (Highmark)	AA201354	HMO	WV, National	1
Blue Cross Blue Shield of Western New York (HealthNow)	AA201355	HMO	NY	0
Blue Cross Blue Shield Of Wisconsin (Anthem)	AA201356	HMO	WI, National	0
Blue Cross Blue Shield Of Wyoming	AA201357	HMO	WY, National	0
Blue Cross Blue Shield Ohio - Anthem (BCBS OH)	AA210119	HMO	OH	0
Blue Cross Blue Shield Oklahoma - HCSC (BCBS OK)	AA210120	HMO	OK	0
Blue Cross Blue Shield PA - Highmark Inst Claim Submitter Only	AA210121	HMO	PA	0
Blue Cross Blue Shield PA - Highmark INSTITUTIONALONLY	AA210122	HMO	PA	0
Blue Cross Blue Shield PA - Highmark PROFESSIONAL	AA210123	HMO	PA	0
Blue Cross Blue Shield Puerto Rico (Triple-S)	AA201358	HMO	National	0
Blue Cross Blue Shield Rhode Island (BCBS RI)	AA210124	HMO	RI	0
Blue Cross Blue Shield South Carolina (BCBS SC	AA210125	HMO	SC	0
Blue Cross Blue Shield South Dakota (BCBS SD)	AA210126	HMO	SD	0
Blue Cross Blue Shield Tennessee (BCBS TN)	AA210127	HMO	TN	0
Blue Cross Blue Shield Texas - HCSC (BCBS TX)	AA210128	HMO	TX	0
Blue Cross Blue Shield Utah - Regence (BCBS UT)	AA210129	HMO	UT	0
Blue Cross Blue Shield Vermont (BCBS VT)	AA210130	HMO	VT	0
Blue Cross Blue Shield Wisconsin - Anthem (BCBS WI)	AA210131	HMO	WI	0
Blue Cross Blue Shield WV - Highmark PROFESSIONAL	AA210132	HMO	WV	0
Blue Cross Blue Shield Wyoming (BCBS WY)	AA210133	HMO	WY	0
Blue Cross Community Centennial	AA210134	HMO	National	0
Blue Cross Community Options (IL)	AA201359	HMO	National	0
Blue Cross Medicare Advantage Illinois	AA201360	HMO	National	0
Blue Cross Of California (Anthem)	AA201361	HMO	National	0
Blue Cross Of Idaho	AA201870	HMO	ID	0
Blue Cross of Northeastern Pennsylvania	AA201362	HMO	National	0
Blue Cross Of Washington (Premera)	AA201363	HMO	WA, National	0
Blue Cross Pennsylvania (Capital)	AA201364	HMO	National	1
Blue Shield New York - Northeastern (BS NY)	AA210135	HMO	NY	0
Blue Shield of California	AA201365	HMO	CA, National	0
Blue Shield of Georgia (State Health of GA)	AA201366	HMO	GA	0
Blue Shield of Idaho (Regence)	AA201367	HMO	ID, National	0
Blue Shield Of Montana	AA201871	HMO	MT	0
Blue Shield of New York (Empire)	AA201368	HMO	NY	0
Blue Shield of New York, Northeast	AA201369	HMO	NY	0
Blue Shield of New York, Western	AA201370	HMO	NY	0
Blue Shield of Northeastern New York (HealthNow)	AA201371	HMO	NY	0
Blue Shield of Pennsylvania (Highmark)	AA201372	HMO	National	0
Blue Shield of Tennessee (837P)	AA201373	HMO	TN	0
Blue Shield of Washington (Regence)	AA201374	HMO	WA, National	0
Bluegrass Family Health	AA201866	HMO	National	0
BMC HealthNet Plan (837P & 837I)	AA201375	HMO	National	0
Boon Group	AA210136	HMO	National	0
Boon-Chapman Benefit Admin	AA201376	HMO	National	0
Boston Medical Center HealthNet Plan	AA201377	HMO	National	0
Braven Health	AA201971	HMO	National	0
Bravo Health	AA201873	HMO	National	0
Bridgespan	AA201378	HMO	National	0
Bridgeway Health Solutions (Arizona)	AA201379	HMO	AZ, National	0
Bright Health Plan Medicare	AA201380	HMO	National	0
Bright Healthcare - DOS 1/1/2022 and After	AA210137	HMO	National	0
Bright Healthcare - DOS 12/31/2021 and Before	AA210138	HMO	National	0
BRMS	AA201381	HMO	National	0
Brokers National Dental	AA210139	HMO	National	0
Buckeye Community Health	AA201382	HMO	OH, National	0
Cal Optima Healthy Families	AA201874	HMO	National	0
Cal Optima Healthy Kids	AA201875	HMO	National	0
Cal Optima MediCal	AA201876	HMO	National	0
Cal Optima Medicare	AA201877	HMO	National	0
Cal Optima Onecare	AA201878	HMO	National	0
California Children Services (Web Credentials Required)	AA210140	HMO	CA	0
California Health & Wellness	AA201383	HMO	CA, National	0
California Medicaid	AA201025	Medicaid	CA	1
CalOptima	AA201384	HMO	CA, National	0
CalOptima Portal	AA201385	HMO	CA	0
Capital Advantage Insurance Company	AA201386	HMO	National	0
Capital Blue Cross (Pennsylvania)	AA201880	HMO	National	0
Capital District Physicians' Health Plan (CDPHP)	AA201387	HMO	NY, National	0
Capitol Administrators	AA201388	HMO	National	0
Caprock	AA210141	HMO	National	0
Care Improvement Plus	AA201389	HMO	National	0
Care Management Company (CMO)	AA201390	HMO	National	0
Care N' Care	AA210142	HMO	National	0
Care1st (Arizona)	AA201391	HMO	AZ, National	0
Care1st of California (Web Credentials Required)	AA210143	HMO	CA	0
Carecentrix	AA201392	HMO	National	0
CareFirst Administrators	AA210144	HMO	National	0
CareFirst Federal Employee Program (BCBS)	AA201393	HMO	National	0
Carefirst Medicare Advantage	AA210145	HMO	National	0
Carelon Behavioral Health	AA210146	HMO	National	0
Caremore	AA201394	HMO	National	0
CarePartners of Connecticut	AA210147	HMO	CT	0
Careplus Health Plan	AA201395	HMO	National	0
CarePoint Medicare Advantage	AA201396	HMO	National	0
Caresource Arkansas	AA210148	HMO	AR	0
Caresource Georgia	AA210149	HMO	GA	0
Caresource Health (OH)	AA201398	HMO	OH, National	0
Caresource Indiana	AA210150	HMO	IN	0
Caresource Michigan Medicaid	AA210151	HMO	MI	0
Caresource West Virginia	AA210152	HMO	WV	0
Cariten Healthcare	AA201956	HMO	National	0
Carolina Care Plan Inc. (CCP)	AA210153	HMO	National	0
Carolina Complete Health	AA210154	HMO	National	0
Carpenters Health Fund of St Louis	AA201958	HMO	National	0
CDS Group Health	AA201399	HMO	National	0
Celtic Insurance	AA201400	HMO	National	0
Celticare	AA201401	HMO	MA, National	0
Cencal	AA201402	HMO	National	0
Cenpatico Arizona	AA210155	HMO	AZ	0
Cenpatico Behavioral Health (All Regions)	AA201403	HMO	National	0
Cenpatico Behavioral Health (Indiana)	AA201882	HMO	National	0
Cenpatico Florida	AA210156	HMO	FL	0
Cenpatico Georgia	AA210157	HMO	GA	0
Cenpatico Illinois	AA210158	HMO	IL	0
Cenpatico Indiana	AA210159	HMO	IN	0
Cenpatico Kansas	AA210160	HMO	KS	0
Cenpatico Kentucky	AA210161	HMO	KY	0
Cenpatico Massachusetts	AA210162	HMO	MA	0
Cenpatico Mississippi	AA210163	HMO	MS	0
Cenpatico Missouri	AA210164	HMO	MO	0
Cenpatico New Hampshire	AA210165	HMO	NH	0
Cenpatico Ohio	AA210166	HMO	OH	0
Cenpatico South Carolina	AA210167	HMO	SC	0
Cenpatico Texas	AA210168	HMO	TX	0
Cenpatico Wisconsin	AA210169	HMO	WI	0
Centene - Ascension Complete	AA210170	HMO	National	0
Centene - OHIO MEDICAID MCE	AA210171	HMO	National	0
Centene Advantage by Peach State	AA210172	HMO	National	0
Centene Advantage by Sunshine State	AA210173	HMO	National	0
Centene Ambetter Sunshine Health	AA210174	HMO	National	0
Centene Bridgeway Arizona	AA210175	HMO	AZ	0
Centene California Health & Wellness	AA210176	HMO	CA	0
Centene Health Plans (Ambetter Health/Advantage)	AA201404	HMO	National	0
Centene Home State Health Plan	AA210177	HMO	National	0
Centene Kentucky Spirit Health Plan	AA210178	HMO	KY	0
Centene Managed Health Services Indiana	AA210179	HMO	IN	0
Centene Managed Health Services Wisconsin	AA210180	HMO	WI	0
Centene New Hampshire Healthy Families	AA210181	HMO	NH	0
Centene Total Care Carolina	AA210182	HMO	National	0
Centivo	AA210183	HMO	National	0
Central Benefits Life	AA201405	HMO	National	0
Central CA Alliance for Health	AA210184	HMO	CA	0
Central California Alliance for Health (CCAH)	AA201406	HMO	CA	0
Central Health Medicare Plan (Web Credentials Required)	AA210185	HMO	National	0
Central Health Plan	AA201407	HMO	National	0
Central Reserve Insurance Company	AA201884	HMO	National	0
Central Reserve Insurance Company Medicare Supplement	AA201408	HMO	National	0
Central Reserve Life Ins Co. Medicare Supplement	AA210186	HMO	CO	0
Central SeniorCare	AA201409	HMO	National	0
Central States Fund	AA210187	HMO	National	0
Central States Health & Life Co. of Omaha	AA210188	HMO	CO	0
Central States Health and Life (TeamCare)	AA201410	HMO	National	0
Central States Indemnity	AA210189	HMO	National	0
Cerner Health Plan	AA210190	HMO	National	0
CHAMPVA/Spina Bifida/Children of Women Vietnam Vets	AA210191	HMO	National	0
CHC Georgia	AA201411	HMO	GA	0
Childrenâ€™s Mercy PCN	AA210192	HMO	National	0
Chinese Community Health Plan (Unique Provider ID must be on claim.)	AA201412	HMO	National	0
Christian Brothers Services	AA201413	HMO	National	0
Christie Student Health Plans	AA210193	HMO	National	0
CHRISTUS Health Plan Medicaid	AA201414	HMO	National	0
CHRISTUS Health Plan NM Medicare Advantage	AA210194	HMO	NM	0
Christus Health Plan TX HIX	AA210195	HMO	TX	0
Cigna	AA201415	HMO	National	0
Cigna Behavioral Health	AA201416	HMO	National	0
Cigna HealthSpring (Bravo Health)	AA201417	HMO	National	0
Civilian Health and Medical Program Dept. Vet Affairs (CHAMP VA)	AA201418	HMO	National	0
Clear Health Alliance	AA210196	HMO	National	0
Clear Spring Health	AA210197	HMO	National	0
Clover Health	AA210469	HMO	National	0
CMFG Life Insurance (CHCS Services)	AA201419	HMO	National	0
Coastal Management Services-Aspire (Web Credentials Required)	AA210198	HMO	National	0
Colonial Penn Life Insurance Company	AA201420	HMO	National	0
Colorado Access	AA201421	HMO	National	0
Colorado Medicaid	AA201026	Medicaid	CO	0
Common Ground	AA210199	HMO	National	0
Commonwealth Care Alliance (CCA)	AA210200	HMO	National	0
Community Care Of Oklahoma	AA201422	HMO	National	0
Community Health Alliance	AA201886	HMO	National	0
Community Health Center Network	AA201423	HMO	National	0
Community Health Choice	AA201424	HMO	National	0
Community Health Electronic Claims/CHEC/webTPA	AA201425	HMO	National	0
Community Health Group	AA201426	HMO	National	0
Community Health Group (CHG)	AA210201	HMO	National	0
Community Health Plan of Washington (CHPW)	AA201427	HMO	National	0
Community HealthFirst Medicare Advantage	AA201428	HMO	National	0
Concentrix Insurance Solutions	AA210202	HMO	National	0
ConnectiCare	AA201429	HMO	CT, National	0
ConnectiCare - Medicare	AA201430	HMO	National	0
Connecticut Medicaid	AA201027	Medicaid	CT	0
Consolidated Associates Railroad	AA201431	HMO	National	0
Consolidated Health Plan (Web Credentials Required)	AA210203	HMO	National	0
Constellation Health (INMEDIATA HEALTH GROUP)	AA210204	HMO	National	0
Consumers Life	AA210205	HMO	National	0
Consumers Mutual Insurance of Michigan (MI)	AA210206	HMO	MI	0
Continental General Ins Co. Medicare Supp	AA201432	HMO	National	0
Continental General Insurance Company	AA201887	HMO	National	0
Continental Life Insurance Company of Brentwood Tennessee	AA210207	HMO	TN	0
Conversion Plan	AA201433	HMO	National	0
Cook Children's Health Plan	AA201434	HMO	National	0
Cook Medical Group	AA210208	HMO	National	0
Cooperative Benefit Administrators (CBA)	AA201435	HMO	National	0
Coordinated Care Washington	AA201436	HMO	National	0
Coresource (FMH)	AA201437	HMO	National	0
Coresource (Little Rock)	AA201438	HMO	National	0
CoreSource (MD PA IL NC IN AZ MN)	AA210209	HMO	National	0
Coresource (MD, PA, IL)	AA201439	HMO	National	0
Coresource (NGS)	AA201440	HMO	National	0
CoreStar	AA201441	HMO	National	0
Corporate Benefit Service (CBS)	AA201442	HMO	National	0
Country Life Insurance Company	AA201972	HMO	National	0
CountyCare	AA201443	HMO	National	0
COVENANT ADMINISTRATORS (TPA)	AA210210	HMO	National	0
Coventry Carenet Medicaid	AA201888	HMO	ND	0
Coventry Diamond Plan	AA201444	HMO	ND	0
Coventry Health and Life in Mississippi and Arkansas (Coventry Health and Life Insurance Company)	AA201445	HMO	National	0
Coventry Health Care Advantra Plans	AA201446	HMO	National	0
Coventry Health Care Carelink	AA201447	HMO	National	0
Coventry Health Care Group Health Plan (GHP)	AA201448	HMO	National	0
Coventry Health Care Health America/ Health Assurance of Pennsylvania (HAPA)	AA201449	HMO	PA	0
Coventry Health Care of Delaware (DE/MD)	AA201450	HMO	National	0
Coventry Health Care of Florida	AA201451	HMO	FL	0
Coventry Health Care of Georgia	AA201452	HMO	National	0
Coventry Health Care of Illinois (Personal Care)	AA201453	HMO	IL, National	0
Coventry Health Care of Iowa (IA/SD)	AA201454	HMO	National	0
Coventry Health Care of Kansas (KS/MO)	AA201455	HMO	National	0
Coventry Health Care of Louisiana	AA201456	HMO	LA, National	0
Coventry Health Care of Missouri (MO/IL) (Group Health Plan)	AA201457	HMO	National	0
Coventry Health Care of Nebraska	AA201458	HMO	NE, National	0
Coventry Health Care of Nevada	AA201459	HMO	National	0
Coventry Health Care of Oklahoma	AA201460	HMO	National	0
Coventry Health Care of the Carolinas (WellPath)	AA201461	HMO	National	0
Coventry Health Care of Virginia (Southern Health Services)	AA201462	HMO	National	0
Coventry Health Care of West Virginia	AA201463	HMO	National	0
Coventry Health Care Southern Health Services	AA201464	HMO	National	0
Coventry Health Care Texas (includes Advantra Freedom)	AA201465	HMO	National	0
Coventry HealthAmerica (HealthAssurance)(PA/OH)	AA201466	HMO	National	0
Coventry Healthcare USA (HCUSA)	AA201890	HMO	National	0
Coventry National First Health Network	AA201467	HMO	National	0
Coventry Wellpath Select	AA201891	HMO	National	0
CoventryCares of West Virginia (Carelink Medicaid)	AA201468	HMO	National	0
Cox Health Plan	AA201469	HMO	National	0
Crum & Forster	AA210211	HMO	National	0
CSA Fraternal Life Medicare Supplement	AA201470	HMO	National	0
CSI Life Insurance Company	AA210212	HMO	National	0
Culinary Health Fund UNITE HERE HEALTH	AA210213	HMO	National	0
Cypress Benefit Administrators	AA201471	HMO	National	0
Dakota Care	AA201472	HMO	SD, National	0
DC Medicaid	AA201028	Medicaid	DC	0
Dean Health Plan	AA201473	HMO	WI, National	0
DeCare Dental Health Insurance	AA210214	HMO	National	0
Definity Health (United Healthcare)	AA201474	HMO	National	0
Delaware Medicaid	AA201029	Medicaid	DE	0
Delta Dental	AA201475	HMO	National	0
Delta Dental Insurance Company Alabama (AL)	AA210215	HMO	AL	0
Delta Dental Insurance Company Louisiana (LA)	AA210216	HMO	LA	0
Delta Dental Insurance Company Mississippi (MS)	AA210217	HMO	MS	0
Delta Dental Insurance Company Montana (MT)	AA210218	HMO	MT	0
Delta Dental Insurance Company Nevada (NV)	AA210219	HMO	NV	0
Delta Dental Insurance Company Utah (UT)	AA210220	HMO	UT	0
Delta Dental of Arizona	AA201476	HMO	National	0
Delta Dental of California	AA201477	HMO	National	0
Delta Dental of Colorado (CO)	AA210221	HMO	CO	0
Delta Dental of Connecticut (CT)	AA210222	HMO	CT	0
Delta Dental of Georgia	AA210223	HMO	GA	0
Delta Dental of Hawaii	AA210224	HMO	HI	0
Delta Dental of Illinois	AA210225	HMO	IL	0
Delta Dental of Iowa	AA210226	HMO	IA	0
Delta Dental of Maryland	AA210227	HMO	MD	0
Delta Dental of Minnesota	AA210228	HMO	MN	0
Delta Dental of Missouri	AA210229	HMO	MO	0
Delta Dental of Nebraska	AA210230	HMO	NE	0
Delta Dental of North Carolina	AA210231	HMO	NC	0
Delta Dental of North Dakota	AA210232	HMO	ND	0
Delta Dental of Oklahoma	AA210233	HMO	OK	0
Delta Dental of Rhode Island	AA210234	HMO	RI	0
Delta Dental of Virginia	AA210235	HMO	VA	0
DELTA Health Systems	AA201478	HMO	National	0
DeltaCare USA Claims	AA210236	HMO	National	0
DeltaCare USA Encounters	AA210237	HMO	National	0
Dental Benefits Providers	AA210238	HMO	National	0
DentaQuest	AA210239	HMO	National	0
Denver Health Medical Plan	AA201479	HMO	National	0
Deseret Mutual (DMBA)	AA201480	HMO	UT, National	1
Devoted Health	AA201978	HMO	National	0
Diamond Plan (Maryland Medicaid)	AA201481	HMO	MD	0
Director's Guild	AA201482	HMO	CA, National	0
District No. 9 I. A. of M. & A. W. Welfare Trust	AA210240	HMO	National	0
Diversified Administration Corporation	AA210241	HMO	National	0
Doctors Healthcare Plans	AA210242	HMO	National	0
Driscoll Children's Health Plan	AA201483	HMO	National	0
Easy Choice Health Plan California	AA210243	HMO	CA	0
EBS RMSCO	AA201892	HMO	National	0
Educators Mutual Insurance (EMI)	AA210244	HMO	National	0
Elderplan	AA201484	HMO	NY, National	0
Eligible Sandbox	AA201893	HMO	National	0
Elips Life Insurance Company	AA210245	HMO	National	0
Emblem Health (HIP Healthplan of New York/Group Health Insurance)	AA201485	HMO	National	0
Empire BC New York Dental	AA210246	HMO	NY	0
Empire Blue Cross and Blue Shield (NY)	AA201894	HMO	National	0
Employee Benefit Management Services (EBMS)	AA201486	HMO	National	0
Employee Benefit Services - Dental	AA210247	HMO	National	0
Empower Arkansas	AA210248	HMO	AR	0
Entrust	AA210249	HMO	National	0
EPIC Health Insurance	AA201895	HMO	National	0
EPSI Inc.	AA210250	HMO	National	0
Equitable Life & Casualty Insurance Company	AA201487	HMO	National	0
Erie Family Life Insurance Company	AA210251	HMO	National	0
Essence Healthcare	AA201488	HMO	National	0
Essential Staff Caremark	AA201489	HMO	National	0
Everence Financial	AA201490	HMO	National	0
Everest Reinsurance Company	AA210252	HMO	National	0
Evergreen Health Plan	AA201491	HMO	National	0
Everpointe	AA210253	HMO	National	0
Evry health	AA210254	HMO	National	0
Exclusicare	AA210255	HMO	National	0
Exclusive Care	AA201492	HMO	National	0
Fallon Community Health Plan	AA201493	HMO	National	0
FamilyCare	AA201896	HMO	National	0
Farm Bureau Health Plans	AA201494	HMO	National	0
FCE Benefit Administrators Inc	AA201495	HMO	National	0
Federated Mutual Insurance Company	AA201496	HMO	National	0
Fidelis (CenterCare)	AA201897	HMO	National	0
Fidelis Care	AA201497	HMO	National	0
Fidelis Secure Care (Michigan Complete Health)	AA201498	HMO	MI, National	0
First Ameritas of New York	AA201898	HMO	National	0
First Carolina Care	AA210256	HMO	National	0
First Choice Health Network	AA210257	HMO	National	0
First Choice VIP Care Plus	AA210258	HMO	National	0
First Health Coventry Health Care National Network	AA201499	HMO	National	0
First Health Mail Handlers Benefit Plan	AA201500	HMO	National	0
First United American Ins.Co	AA201501	HMO	National	0
FirstCare	AA201502	HMO	National	0
Fiserv Wausau	AA210259	HMO	National	0
Flex Compensation Dental	AA210260	HMO	National	0
Florida Blue Medicare	AA210261	HMO	FL	0
Florida Combined Life DENTAL	AA210262	HMO	FL	0
Florida Health Care Plans	AA201503	HMO	FL, National	0
Florida Health Care Plans (FHCP)(837P & 837I)	AA201504	HMO	FL	0
Florida Medicaid	AA201030	Medicaid	FL	0
Food Employers & Bakery	AA210263	HMO	National	0
Food, Bakery, Confection Workers Fund of So Cal	AA201959	HMO	National	0
Freedom Blue	AA201505	HMO	National	1
Freedom Health	AA201980	HMO	National	0
Freedom Insurance	AA201506	HMO	National	0
Friday Health Plans	AA210264	HMO	National	0
FSL Admin by KBA	AA210265	HMO	National	0
Gateway Health Plan Medicaid PA	AA201507	HMO	PA, National	0
Geisinger Health Plan	AA201508	HMO	PA, National	0
GEMCare	AA210266	HMO	National	0
Genworth Life and Annuity Insurance Company	AA210267	HMO	National	0
Genworth Life Insurance Company	AA210268	HMO	National	0
Georgia Medicaid	AA201031	Medicaid	GA	0
Gilsbar	AA201509	HMO	National	0
Global Health Inc	AA210269	HMO	National	0
Globe Life & Accident Insurance.Co.	AA201510	HMO	National	0
GMP Employers Retiree Trust	AA201974	HMO	National	0
Gold Coast Health Plan	AA201511	HMO	National	0
Gold Kidney Health Plan	AA210270	HMO	National	0
Golden Rule	AA201512	HMO	National	0
Golden State	AA201513	HMO	National	0
Golden West Dental	AA210271	HMO	National	0
Government Employees Health Association (GEHA)	AA201514	HMO	National	0
GPM Health Insurance	AA201985	HMO	National	0
Granite State Health Plan	AA201515	HMO	National	0
Great American Life Insurance Co. Medicare Supp	AA201516	HMO	National	0
Great American Life Insurance Company Medicare Supplement	AA210272	HMO	National	0
Great southern life insurance	AA201977	HMO	National	0
Great-West Healthcare	AA201517	HMO	National	0
Group & Pension Administrators	AA201518	HMO	National	0
Group Dental Service	AA210273	HMO	National	0
Group Health Cooperative of Washington	AA201519	HMO	National	0
Group Health Northwest	AA210274	HMO	National	0
Group Practice Affiliates	AA210275	HMO	National	0
Guardian Life Insurance Co. of America - Dental	AA201520	HMO	National	0
HAP Caresource MI Health Link (Medicare-Medicaid Plan)	AA210276	HMO	MI	0
Harken Health	AA201900	HMO	National	0
Harmony Health Plan	AA201521	HMO	IL, National	0
Harvard Pilgrim Health Care (NEHEN)	AA201522	HMO	National	0
Hawaii Mainland Admin (HMA)	AA210277	HMO	HI	0
Hawaii Medicaid	AA201032	Medicaid	HI	0
Hawaii Medical Assurance Association	AA210278	HMO	HI	0
Health Alliance (IL)	AA201523	HMO	National	0
Health Alliance Plan - HAP (MI)	AA201524	HMO	IL, National	0
Health Choice of Arizona	AA201525	HMO	AZ, National	0
Health Choice Oklahoma	AA201526	HMO	National	0
Health First Health Plans	AA201527	HMO	National	0
Health First Insurance	AA201528	HMO	National	0
Health Net	AA201901	HMO	National	0
Health Net National	AA201529	HMO	National	0
Health Net of Arizona	AA201902	HMO	National	0
Health Net of California	AA201530	HMO	CA	0
Health Net of the Northeast	AA201531	HMO	National	0
Health New England	AA201532	HMO	National	0
Health Options Program	AA210465	HMO	National	0
Health Partners Pennsylvania	AA201533	HMO	PA, National	0
Health Partners Philadelphia	AA201903	HMO	National	0
Health Plan of San Francisco	AA201534	HMO	National	0
Health Plan of San Joaquin	AA201535	HMO	National	0
Health Plan of San Mateo	AA201536	HMO	National	0
Health Services for Children with Special Needs	AA201537	HMO	National	0
Health Share/Care Oregon	AA201963	HMO	National	0
Health Tradition	AA210279	HMO	National	0
Healthcare Highways	AA210280	HMO	National	0
Healthcare Management Administrator	AA201538	HMO	National	0
HealthCare Partners Medical Group	AA201539	HMO	National	0
Healthcare Solutions Group	AA201904	HMO	National	0
HealthComp Administrators	AA210281	HMO	National	0
HealthComp Pro	AA201540	HMO	National	0
HEALTHe Exchange	AA201541	HMO	National	0
HealthEase	AA201542	HMO	FL, National	0
HealthEase Kids	AA201543	HMO	National	0
Healthfirst of New Jersey	AA201544	HMO	NJ	0
Healthfirst Of New York	AA201545	HMO	NY, National	0
Healthgram (Primary PhysicianCare)	AA201546	HMO	National	0
Healthnet of Arizona Inc.	AA201547	HMO	AZ	0
HealthNow New York	AA201548	HMO	National	0
Healthpartners MN	AA210282	HMO	MN	0
Healthpartners of Minnesota	AA201549	HMO	MN, National	0
HealthPlans Inc.	AA210283	HMO	National	0
HealthPlus Of Michigan	AA201905	HMO	National	0
HealthScope	AA201550	HMO	National	0
Healthsmart Benefit Solutions	AA201551	HMO	National	0
HealthSmart Benefit Solutions (Wells Fargo TPA)	AA201552	HMO	National	0
Healthsource Provident Dental	AA210284	HMO	National	0
HealthSpan (Kaiser Foundation Health Plan of Ohio)	AA201906	HMO	National	0
Healthteam Advantage	AA210285	HMO	National	0
Healthy Texas	AA201907	HMO	National	0
HealthyBlue	AA201553	HMO	National	0
Helix Family Choice	AA201554	HMO	National	0
Hershey Healthsmile Dental	AA210286	HMO	National	0
Highmark Health Insurance Company	AA201555	HMO	National	0
Highmark Senior Health Company	AA201984	HMO	National	0
Highmark Senior Solutions	AA210287	HMO	National	0
HIP NY	AA201556	HMO	NY	0
HM Care Advantage Admin by KBA	AA210288	HMO	National	0
HMSA	AA201557	HMO	National	0
Home State Health Plan	AA201558	HMO	National	0
Hometown Health	AA201559	HMO	National	0
Hooray Health	AA210289	HMO	National	0
Horizon Blue Cross Blue Shield of New Jersey	AA201908	HMO	National	0
Horizon Healthcare of New Jersey	AA201560	HMO	NJ	0
Horizon Healthcare of New York	AA201561	HMO	NY	0
HSBS Oklahoma City	AA210290	HMO	OK	0
Hudson Health Plan	AA201562	HMO	National	0
Humana	AA201563	HMO	National	0
Humana Caresource	AA201564	HMO	National	0
Humana CareSource (KY)	AA210291	HMO	KY	0
IBEW Local 508 Plan	AA201909	HMO	National	0
IBM Insurance Outsourcing Services	AA201565	HMO	National	0
Idaho Medicaid	AA201033	Medicaid	ID	0
IlliniCare Health Plan	AA201566	HMO	IL, National	0
Illinois Medicaid	AA201034	Medicaid	IL	0
Independence Administrators	AA201567	HMO	National	0
Independence Blue Cross	AA201910	HMO	National	0
Independence Blue Cross (Pennsylvania)	AA201568	HMO	PA, National	1
Independent Health	AA201569	HMO	NY, National	0
Indiana Medicaid	AA201035	Medicaid	IN	0
Indiana University Health Plan (Medicare)	AA210292	HMO	IN	0
Indiana University Health Plans (Commercial)	AA210293	HMO	IN	0
Inland Empire Health	AA201570	HMO	CA, National	0
Innovation Health	AA210294	HMO	National	0
Insurers Administrative Corporation (IAC)	AA210295	HMO	National	0
INTEGRA Administrative Group	AA210296	HMO	National	0
Integrated Mental Health Services	AA201571	HMO	National	0
Inter Valley Health Plan	AA201572	HMO	CA, National	0
International Medical Card	AA201962	HMO	National	0
Iowa Medicaid	AA201036	Medicaid	IA	1
Iowa Total Care	AA201573	HMO	National	0
Island Home Insurance Company	AA201964	HMO	National	0
JMC Health	AA201911	HMO	National	0
Johns Hopkins Advantage MD	AA210297	HMO	MD	0
Johns Hopkins Health Plan	AA201574	HMO	MD	0
Johns Hopkins Healthcare	AA201576	HMO	MD, National	0
Johns Hopkins Healthcare (Priority Partners & EHP)	AA201575	HMO	National	0
Johns Hopkins US Family Health Plan	AA201577	HMO	MD, National	0
Kaiser Foundation Health Plan of Ohio	AA201913	HMO	National	0
Kaiser Foundation Health Plan of The Northwest	AA210298	HMO	National	0
Kaiser Foundation Health Plan of Washington Options, Inc	AA201578	HMO	National	0
Kaiser Permanente KPIC	AA210299	HMO	National	0
Kaiser Permanente Of Colorado	AA201579	HMO	CO, National	1
Kaiser Permanente Of Georgia	AA201580	HMO	GA, National	0
Kaiser Permanente Of Hawaii	AA201581	HMO	HI, National	0
Kaiser Permanente Of Northern California	AA201582	HMO	CA, National	1
Kaiser Permanente Of Northwest	AA201583	HMO	National	1
Kaiser Permanente Of Southern California	AA201584	HMO	CA, National	1
Kaiser Permanente Of The Mid-Atlantic	AA201585	HMO	National	1
Kaiser Self Funded Plan	AA201586	HMO	National	0
Kansas Medicaid	AA201037	Medicaid	KS	0
Katy Medical Group	AA201587	HMO	National	0
Kelsey-Seybold	AA210300	HMO	National	0
Kemper Benefits	AA210301	HMO	National	0
Kempton Company	AA201588	HMO	National	0
Kentucky Medicaid	AA201038	Medicaid	KY	0
Kern Health	AA201589	HMO	National	0
Key Benefit Administrators - Indianapolis	AA201590	HMO	IN, National	0
Key Benefits Administrators (IN)	AA210302	HMO	IN	0
Key Healthy Partners	AA210303	HMO	National	0
KeySolution	AA210304	HMO	National	0
Keystone First (Keystone Mercy Health Plan)	AA201591	HMO	National	0
Keystone First Community HealthChoices	AA201592	HMO	National	0
Keystone VIP Choice	AA201593	HMO	National	0
Kitsap Physician Services	AA210305	HMO	National	0
KSKJ Life	AA210306	HMO	National	0
L.A. Care	AA201594	HMO	National	0
Lasso Healthcare MSA	AA210307	HMO	National	0
Leon Medical Centers Health Plans	AA201595	HMO	National	0
Liberty National Life Insurance Company	AA210308	HMO	National	0
LifeCare Assurance Company	AA210309	HMO	National	0
LifePrint	AA201596	HMO	National	0
Lifetime Benefit Solutions (RMSCO)	AA201597	HMO	National	0
Lifewise Arizona	AA210310	HMO	AZ	0
Lifewise Assurance Company	AA210311	HMO	National	0
Lifewise Health Plan of Washington A Premier Health Plan	AA201598	HMO	National	0
Lifewise Plan of Oregon	AA210312	HMO	OR	0
Lifeworks Advantage	AA210313	HMO	National	0
Lighthouse Health Plan	AA210314	HMO	National	0
Lincoln Financial	AA210315	HMO	National	0
Lincoln Heritage Life Insurance	AA201599	HMO	National	0
Local 1199	AA210316	HMO	National	0
LoneStar TPA	AA210317	HMO	National	0
Loomis Company	AA201600	HMO	National	0
Louisiana Healthcare Connections	AA201601	HMO	LA, National	0
Louisiana Medicaid	AA201039	Medicaid	LA	0
Loyal American Insurance Company	AA201602	HMO	National	0
Lucent Health	AA210318	HMO	National	0
Lumico Life Insurance	AA210319	HMO	National	0
Magellan Behavioral Health	AA201603	HMO	National	0
Magellan Complete Care of Virginia	AA210320	HMO	VA	0
Magellan Health Services	AA210321	HMO	National	0
MagnaCare	AA201604	HMO	National	0
Magnolia Health Plan	AA201605	HMO	National	0
MAHP (Optimum Choice, MD IPA, MLH) / MAMSI	AA201606	HMO	National	0
Mail Handlers Benefit Plan (Coventry)	AA201607	HMO	National	0
Maine Community Health Options	AA201967	HMO	ME	0
Maine Medicaid	AA201040	Medicaid	ME	0
MAMSI	AA201915	HMO	National	0
Managed Care Systems - (Web Credentials Required)	AA210322	HMO	National	0
Managed Health Network (MHN)	AA210323	HMO	National	0
Managed Health Services Indiana	AA201608	HMO	IN, National	0
Managed Health Services Wisconsin	AA201609	HMO	WI, National	0
Manhattan Life	AA210324	HMO	National	0
MAPFRE Life Puerto Rico	AA201610	HMO	National	0
MAPFRE Medicare Excel	AA201611	HMO	National	0
March Vision Care	AA210325	HMO	National	0
Maricopa Care Advantage (Arizona)	AA210326	HMO	AZ	0
Maricopa Health Plans	AA201612	HMO	National	0
Martins Point Health Care	AA210327	HMO	National	0
Mary Washington Medicare Advantage	AA210328	HMO	WA	0
Maryland Medicaid	AA201041	Medicaid	MD	1
Maryland Medical Programs	AA201613	HMO	National	0
Maryland Physicians Care	AA201614	HMO	MD	0
MASS Advantage	AA210329	HMO	National	0
Massachusetts Medicaid	AA201042	Medicaid	MA	0
McLaren Health Care	AA210330	HMO	National	0
MDWise Medicaid Health Plans	AA201916	HMO	National	0
Med Benefits Mutual Life	AA201615	HMO	National	0
Med Pay Inc	AA201616	HMO	National	0
MedBen	AA201617	HMO	National	0
Medcost	AA201618	HMO	National	0
Medfocus \| 1199	AA201619	HMO	National	0
Medica	AA201620	HMO	National	0
Medica Government Programs	AA210331	HMO	National	0
Medica HealthCare Plans	AA201621	HMO	National	0
Medica portal \| Medica Health Plans Portal	AA201622	HMO	National	0
Medica2 - Group/Policy is: IFB Individual Family Benefits	AA210332	HMO	National	0
Medicaid Mississippi - CHIP (MS)	AA210333	HMO	MS	0
Medical Card System	AA210334	HMO	National	0
Medical Mutual of Ohio	AA201623	HMO	OH	0
Medicare	AA201001	Medicare	National	1
Medicare Advantage Pennsylvania	AA210335	HMO	PA	0
Medicare of Wyoming Jurisdiction D	AA201624	HMO	National	1
Medicare Part A & B - All States	AA201917	HMO	National	0
Medicare Railroad * (MetraHealth Medicare)	AA201625	HMO	National	0
Medicare y Mucho Mas	AA201626	HMO	National	0
Medico Insurance Company	AA201918	HMO	National	0
Mediexcel Health	AA201627	HMO	National	0
Medigold Health Plans	AA201969	HMO	National	0
MedStar Family Choice	AA201628	HMO	National	0
MedStar Health Plan	AA201629	HMO	National	0
Mercy Care Plan (Arizona)	AA201630	HMO	AZ	0
Mercy Care Plan (WI)	AA201920	HMO	National	0
Mercy Maricopa Integrated Care	AA201631	HMO	National	0
Meridian Health Plan IL Medicaid	AA210336	HMO	IL	0
Meridian Health Plan Michigan Complete	AA210337	HMO	MI	0
Meridian Health Plan of IL	AA210338	HMO	IL	0
Meridian Health Plan of Illinois	AA201632	HMO	National	0
Meritain Health	AA201633	HMO	National	0
MetLife	AA201634	HMO	National	0
MetLife Dental	AA201635	HMO	National	0
MetroPlus Health Plan	AA201636	HMO	National	0
Metropolitan Health Plan (MHP)	AA201637	HMO	National	0
Metropolitan Property and Casualty Insurance Company	AA210339	HMO	National	0
MHNET Behavioral Health	AA201638	HMO	National	0
Michael Reese	AA210340	HMO	National	0
Michigan Medicaid	AA201043	Medicaid	MI	1
Michigan MIChild	AA201639	HMO	National	0
Minnesota Medicaid	AA201044	Medicaid	MN	1
Mississippi Admin Services	AA201640	HMO	National	0
Mississippi CHIP	AA201641	HMO	National	0
Mississippi Medicaid	AA201045	Medicaid	MS	0
Mississippi State Employees and Teachers Health Plan	AA210341	HMO	MS	0
Missouri (MO) Health Plan (Community & State)	AA210342	HMO	MO	0
Missouri Care	AA201642	HMO	National	0
Missouri Medicaid	AA201046	Medicaid	MO	0
MMSI (Mayo Health)	AA201923	HMO	National	0
Moda Health Plan	AA201643	HMO	National	0
Molina - OHIO MEDICAID MCE	AA210343	HMO	National	0
Molina Complete Care of Arizona	AA210344	HMO	AZ	0
Molina Complete Care of Virginia	AA210345	HMO	VA	0
Molina Healthcare of California	AA201644	HMO	CA	0
Molina Healthcare of Florida	AA201645	HMO	FL	0
Molina Healthcare of Idaho	AA201646	HMO	National	0
Molina Healthcare Of Illinois	AA201647	HMO	National	0
Molina Healthcare of Iowa	AA210346	HMO	IA	0
Molina Healthcare of Michigan	AA201648	HMO	MI	0
Molina Healthcare of Mississippi	AA210347	HMO	MS	0
Molina Healthcare of Mississippi Marketplace	AA210348	HMO	MS	0
Molina Healthcare of Missouri	AA210349	HMO	MO	0
Molina Healthcare Of New Mexico	AA201649	HMO	NM	0
Molina Healthcare of Ohio	AA201650	HMO	OH	0
Molina Healthcare of Puerto Rico	AA201651	HMO	National	0
Molina Healthcare of South Carolina	AA201652	HMO	National	0
Molina Healthcare Of Texas	AA201653	HMO	TX	0
Molina Healthcare of Utah	AA201654	HMO	UT	0
Molina Healthcare Of Washington	AA201655	HMO	WA	0
Molina Healthcare of Wisconsin	AA201656	HMO	National	0
Monitor Life Insurance Company of NY	AA210350	HMO	NY	0
Montana Health Co-Op	AA201657	HMO	UT	0
Montana Medicaid	AA201047	Medicaid	MT	0
Montefiore CMO	AA210351	HMO	National	0
Municipal Health Benefit Fund	AA210352	HMO	National	0
Mutual Health Services	AA201658	HMO	National	0
Mutual of Omaha	AA201659	HMO	National	0
MVP Health Care (New York)	AA210353	HMO	NY	0
MVP Health Care (NY, VT, NH)	AA201660	HMO	National	0
National Association Of Letter Carriers (NALC)	AA201661	HMO	National	0
National Telecommunications Cooperative Association (NTCA)	AA210354	HMO	National	0
Nationwide Specialty Health fka Nationwide Health Plan	AA201924	HMO	National	0
Nebraska Medicaid	AA201048	Medicaid	NE	1
Nebraska Total Care	AA210355	HMO	NE	0
Neighborhood Health Plan (NEHEN)	AA201662	HMO	RI, National	0
Neighborhood Health Plan (RI)	AA210356	HMO	RI	0
Neighborhood Health Plan of Rhode Island	AA201663	HMO	RI, National	0
Network Health (Tufts Health Plan)	AA201664	HMO	National	0
Network Health Insurance Corp	AA210357	HMO	National	0
Network Health MA	AA201665	HMO	MA	0
Network Health Plan of WI	AA201666	HMO	National	0
Nevada Medicaid	AA201049	Medicaid	NV	1
New Era Life Insurance Co	AA201667	HMO	National	0
New Hampshire Medicaid	AA201050	Medicaid	NH	0
New Jersey Medicaid	AA201051	Medicaid	NJ	0
New Mexico Medicaid	AA201052	Medicaid	NM	0
New York Medicaid	AA201053	Medicaid	NY	0
NextBlue	AA210358	HMO	National	0
NHC Advantage	AA210359	HMO	National	0
Nippon Life Benefits	AA201668	HMO	National	0
Nippon Life Insurance (formerly Principal Finacial Group)	AA201669	HMO	National	0
North Carolina Medicaid	AA201054	Medicaid	NC	0
North Dakota Medicaid	AA201055	Medicaid	ND	0
Northwest Administrators	AA201670	HMO	National	0
Northwest Diagnostic Clinic/SelectCare of Texas (NWDC)	AA201671	HMO	National	0
Nova Healthcare Administrators	AA201672	HMO	National	0
NovaSys Health	AA201673	HMO	National	0
Ochsner Health Plan	AA210360	HMO	National	0
Ohana Health Plan	AA201674	HMO	National	0
Ohio Healthy	AA201675	HMO	National	0
Ohio Medicaid	AA201056	Medicaid	OH	0
Oklahoma Employees Group Insurance Division (Health Choice Oklahoma)	AA201676	HMO	National	0
Oklahoma Medicaid	AA201057	Medicaid	OK	0
Old Surety Life Insurance	AA201677	HMO	National	0
Omnicare / Coventry Health	AA201678	HMO	National	0
OmniCare Health Plan	AA201679	HMO	National	0
Omnicare Health Plan of Michigan	AA201927	HMO	National	0
One Health Plan of Georgia	AA201680	HMO	National	0
Operating Engineers Local No.428	AA201681	HMO	National	0
Optima	AA201682	HMO	National	0
Optima/Sentara	AA210361	HMO	National	0
OptumCare - AZ UT	AA210362	HMO	National	0
OptumHealth Behavioral Solutions	AA210363	HMO	National	0
OptumHealth Physical Health	AA201684	HMO	National	0
Oregon Medicaid	AA201058	Medicaid	OR	1
OSCAR	AA201685	HMO	National	0
Oxford Health Plans (United Healthcare Oxford)	AA201686	HMO	National	0
PA Health & Wellness	AA201966	HMO	PA	0
Pacific Source Health Plan	AA201687	HMO	National	0
PacifiCare (United Healthcare West)	AA201688	HMO	National	0
PacifiCare Behavioral Health	AA201689	HMO	National	0
PacifiCare of AZ Arizona	AA201690	HMO	National	0
PacifiCare of Colorado	AA201928	HMO	National	0
PacifiCare of Texas	AA201691	HMO	National	0
Pacificare Oklahoma	AA210364	HMO	OK	0
Pacificare Washington	AA210365	HMO	WA	0
PacificSource Community Solutions (Medicaid)	AA210366	HMO	National	0
Pan-American Life Insurance	AA201692	HMO	National	0
Panamerican Life Insurance Company of Puerto Rico	AA201693	HMO	National	0
Paramount (ProMedica)	AA201694	HMO	National	0
Paramount Health	AA201695	HMO	National	0
Partners National Health Plans of NC	AA201696	HMO	National	0
Partnership Health Plan	AA201697	HMO	CA, National	0
Passport Advantage	AA210367	HMO	National	0
Passport Health Plan	AA201698	HMO	National	0
Patriot Dental	AA210368	HMO	National	0
PCA HEALTHPLANS TEXAS	AA201699	HMO	National	0
Peach State Health Plan	AA201700	HMO	National	0
Peak Health	AA210369	HMO	National	0
Peak Medicare Advantage	AA210370	HMO	National	0
PEHP	AA201701	HMO	National	0
PEHP Utah	AA201929	HMO	National	0
Pekin Life Insurance	AA201973	HMO	National	0
Penn Treaty Life Insurance (CHCS Services)	AA201702	HMO	National	0
Pennsylvania Health and Wellness	AA210371	HMO	PA	0
Pennsylvania Medicaid	AA201059	Medicaid	PA	0
Peoples Health	AA201703	HMO	National	0
Perennial Advantage of Colorado	AA210372	HMO	CO	0
Perennial Advantage of Ohio	AA210373	HMO	OH	0
PerformCare	AA210374	HMO	National	0
Personal Insurance Administrators (PIA)	AA201704	HMO	National	0
PHCS Savility Payers	AA201930	HMO	National	0
Physicians Health Plan Northern IN (PHPNI)	AA210375	HMO	IN	0
Physicians Health Plan of Michigan	AA210376	HMO	MI	0
Physicians Mutual	AA201705	HMO	National	0
Piedmont WellStar HealthPlans	AA201932	HMO	National	0
Pinnacle Claims Management Inc.	AA201706	HMO	National	0
Pinnacle Physician Management Org	AA201707	HMO	National	0
Pittman and Associates	AA210377	HMO	National	0
Plan De Salud Hospital Menonita	AA201708	HMO	National	0
Planned Administrators Inc	AA201709	HMO	National	0
POMCO	AA201710	HMO	National	0
Prairie States	AA210378	HMO	National	0
Preferred Care Partners	AA201711	HMO	National	0
Preferred Medicare Choice (Inmediata Health Group Corp)	AA210379	HMO	National	0
Preferred One	AA201712	HMO	National	0
Preferred Plus Of Kansas	AA201713	HMO	National	0
Premier Health	AA201714	HMO	National	0
Presbyterian Health Plan (Web Credentials Required)	AA210380	HMO	National	0
Prestige Health Choice	AA201715	HMO	National	0
Primewest Health Systems	AA201716	HMO	National	0
Principal Life Insurance (Optometry/Dental Only)	AA201717	HMO	National	0
Priority Health	AA201718	HMO	National	0
Procare Texas	AA210381	HMO	TX	0
Professional Benefits Administrators	AA201719	HMO	National	0
Promina	AA201720	HMO	National	0
Promina ASO (formerly HealthCare Inc.)	AA201933	HMO	National	0
Prominence Health Insurance Medicare Advantage Nevada	AA201721	HMO	National	0
Prominence Health Plan (PPO & HMO)	AA210382	HMO	National	0
Prominence Preferred Health Insurance Company	AA201722	HMO	National	0
Providence Health Plan	AA201723	HMO	National	0
Providence Health Plan (Choice/Good)	AA201724	HMO	National	0
Provident American Life & Health Insurance Company	AA201725	HMO	National	0
Provident Preferred Network Dental	AA210383	HMO	National	0
Public Employee Benefit Authority	AA210384	HMO	National	0
Public Employees Health Plan (PEHP)	AA201726	HMO	National	0
Public Employees Health Program	AA210385	HMO	National	0
Public Employees Health Program - CHIP	AA210386	HMO	National	0
Public Employees Health Program - Medicare	AA210387	HMO	National	0
Puritan Life Insurance	AA210388	HMO	National	0
Qual Choice	AA201934	HMO	National	0
Qual Choice of Arkansas	AA201727	HMO	AR	0
Qual Choice of Ohio	AA201728	HMO	National	0
Qualcare	AA201729	HMO	National	0
Quartz ASO	AA210389	HMO	National	0
Quartz Health Insurance	AA201730	HMO	National	0
Quick Trip Corporation	AA201731	HMO	National	0
QuikTrip Corporation	AA210390	HMO	National	0
Regence Blue Shield of Idaho	AA201935	HMO	National	0
Regence Group Administrators	AA201732	HMO	National	0
Rhode Island Medicaid	AA201060	Medicaid	RI	0
RiverLink Health (Web Credentials Required)	AA210391	HMO	National	0
Riverside Health Inc	AA201733	HMO	National	0
Rocky Mountain Health Plan	AA201734	HMO	National	0
Royal Neighbors of America	AA201957	HMO	National	0
S and S Healthcare Strategies	AA210392	HMO	National	0
S. USA Life Insurance Company Inc.	AA210393	HMO	National	0
Samaritan Health Plans	AA210394	HMO	National	0
Samba Health	AA201936	HMO	National	0
SAMBA Health Benefit Plan	AA201735	HMO	National	0
San Francisco Health Plan	AA201736	HMO	National	0
Sana Benefits	AA210395	HMO	National	0
Sanford Health Plan	AA201737	HMO	National	0
Santa Clara Family Health Plans	AA201738	HMO	National	0
Santa Clara Valley Health and Hospital	AA201739	HMO	National	0
SBLI USA Life Insurance Company Inc.	AA210396	HMO	National	0
Schaller Anderson Aetna Better Health of New York	AA210397	HMO	NY	0
Schaller Anderson Aetna Illinois Medicaid	AA210398	HMO	IL	0
Schaller Anderson Integral Quality Care Florida	AA210399	HMO	FL	0
Schaller Anderson MajestaCare VA	AA201740	HMO	National	0
Schaller Anderson Maryland Physicians Care	AA210400	HMO	MD	0
Schaller Anderson Mercy Care	AA210401	HMO	National	0
Schaller Anderson Mercy Maricopa	AA210402	HMO	National	0
Schaller Anderson Missouri Care	AA210403	HMO	MO	0
Schaller Anderson Parkland Community Health Plan	AA201741	HMO	National	0
Schaller Anderson Texas Christus	AA210404	HMO	TX	0
Scion Dental	AA210405	HMO	National	0
Scott & White Health Plan	AA201742	HMO	National	0
Seaside Health	AA201743	HMO	National	0
Securian Dental	AA210406	HMO	National	0
Securian/Patriot Dental	AA210407	HMO	National	0
Security Health Plan	AA201744	HMO	National	0
Select Care of Texas Southeast (Golden Triangle, Integranet, Memorial Clinical)	AA201745	HMO	National	0
Select Health	AA201746	HMO	National	0
Select Health Of South Carolina	AA201747	HMO	National	0
Select Health Utah	AA201748	HMO	National	0
Select Senior Clinic	AA201749	HMO	National	0
Selman & Company	AA210408	HMO	National	0
Selman Tricare	AA210409	HMO	National	0
Sendero Health Plan	AA201938	HMO	National	0
Senior Care Action Network (SCAN) Health Plan	AA201750	HMO	National	0
Senior Dimensions	AA210410	HMO	National	0
Senior Health Services Center Univ American Family Company	AA210411	HMO	National	0
Senior Markets Medicare Advantage for PA	AA201751	HMO	National	1
Senior Markets Medicare Advantage for WV	AA201752	HMO	National	1
Senior Whole Health	AA201753	HMO	National	0
SeniorCare - WI	AA210412	HMO	WI	0
Sentinel security	AA201981	HMO	National	0
Shared Health Mississippi	AA210413	HMO	MS	0
Sharp Health Plan	AA210414	HMO	National	0
Shenandoah Life Insurance	AA210415	HMO	National	0
Sierra Health Services	AA201754	HMO	National	0
Significa Benefit Services	AA201755	HMO	National	0
SilverSummit	AA210416	HMO	National	0
Simply Healthcare	AA201756	HMO	National	0
Simpra Advantage	AA210417	HMO	National	0
SISCO Benefits	AA201757	HMO	National	0
Soundpath Health	AA210418	HMO	National	0
South Carolina Medicaid	AA201061	Medicaid	SC	0
South Country Health Alliance Medicaid	AA210419	HMO	National	0
South Country Health Alliance Medicare	AA210420	HMO	National	0
South Dakota Medicaid	AA201062	Medicaid	SD	0
Special Agents Mutual Benefit Association (SAMBA)	AA201758	HMO	National	0
Spectera United Healthcare Vision	AA210421	HMO	National	0
Spectrum Health	AA201759	HMO	National	0
SPJST Medicare Supplement	AA201760	HMO	National	0
Standard Life and Accident Insurance Company	AA210422	HMO	National	0
Star HRG	AA201761	HMO	National	0
State Farm	AA201762	HMO	National	0
State Mutual (Lincoln Novation)	AA210423	HMO	National	0
State Mutual Med Supplement	AA210424	HMO	National	0
Stay Well	AA201763	HMO	National	0
Staywell Kids	AA201764	HMO	National	0
Steward C Miller and Company	AA210425	HMO	National	0
Student Insurance	AA201939	HMO	National	0
Student Resources	AA201765	HMO	National	0
SummaCare Health Plan	AA201766	HMO	National	0
Summit Community Care	AA210426	HMO	National	0
SunFlower State Health Plan	AA201767	HMO	National	0
Sunshine State Health Plan	AA201768	HMO	National	0
Superior Health Plan	AA201769	HMO	National	0
Surest Health Plan	AA210427	HMO	National	0
Sutter Health Aetna	AA210428	HMO	National	0
Sutter Health Plus	AA210429	HMO	National	0
Sutter Select	AA201961	HMO	National	0
TennDent	AA210430	HMO	National	0
Tennessee Medicaid	AA201063	Medicaid	TN	0
TexanPlus North Texas Area	AA201770	HMO	TX	0
TexanPlus Southeast Texas Area	AA201771	HMO	TX	0
Texas First Health Plan (TOPA)	AA201772	HMO	National	0
Texas Medicaid	AA201064	Medicaid	TX	0
Texas Medicaid - Long Term Care	AA201065	Medicaid	TX	1
The Health Plan (Upper Ohio Valley)	AA201773	HMO	OH	0
The Health Plan of West Virginia	AA210431	HMO	WV	0
The Kempton Company	AA201960	HMO	National	0
The Loomis Company	AA201774	HMO	National	0
The Ullico Family of Companies (CHCS Services)	AA201775	HMO	National	0
Thrivent Financial	AA201983	HMO	National	0
TMG Health Network Health Insurance	AA201776	HMO	National	0
Today's Health	AA201940	HMO	National	0
Today's Option	AA201777	HMO	National	0
TransactRx Infusion and Specialty	AA210432	HMO	National	0
TransactRX Part D	AA210433	HMO	National	0
TransAmerica Admin by KBA	AA210434	HMO	National	0
TransAmerica Life (HealthMarkets)	AA201778	HMO	National	0
Transamerica Premier Life Insurance Company	AA201779	HMO	National	0
Tribute Health Plan	AA210435	HMO	National	0
Tricare (CHAMPUS)	AA201941	HMO	National	0
Tricare (Formerly CHAMPUS)	AA201780	HMO	National	0
Tricare East	AA201781	HMO	National	0
Tricare For Life	AA201782	HMO	National	0
TRICARE North Region - Health Care Services Review	AA201942	HMO	National	0
TRICARE Overseas Program	AA201783	HMO	National	0
Tricare West	AA201784	HMO	National	0
Trillium Community Health Plan	AA210436	HMO	National	0
Triple S Advantage	AA210437	HMO	National	0
Truli Health	AA210438	HMO	National	0
Trustmark	AA201785	HMO	National	0
Tufts Associated Health Plan (NEHEN)	AA201786	HMO	National	0
UCARE of Minnesota	AA201787	HMO	MN	0
UCCI	AA201788	HMO	National	0
Ultimate Health Plans	AA210439	HMO	National	0
UMR (United Health Integrated Services)	AA201789	HMO	National	0
UMR Wausau	AA201943	HMO	National	0
UMWA (United Mine Workers Association)	AA201790	HMO	National	0
UMWA Health and Retirement Funds	AA210440	HMO	National	0
Underwriters Safety & Claims	AA201791	HMO	National	0
Unicare (Wellpoint)	AA201792	HMO	National	0
Unicare Dental	AA210441	HMO	National	0
Unified Group Services (Web Credentials Required)	AA210442	HMO	National	0
Union Pacific Railroad	AA201793	HMO	National	0
Union Pacific Railroad Employees Health Systems	AA210443	HMO	National	0
Unison Health Plan / Better Health Plans	AA201945	HMO	National	0
United American Insurance Company	AA201794	HMO	National	0
United Concordia Companies Inc. - DENTAL	AA210444	HMO	National	0
United Concordia Federal Employees Program - DENTAL	AA210445	HMO	National	0
United Health Integrated Services (United Healthcare)	AA201795	HMO	National	0
United Healthcare	AA201796	HMO	National	0
United Healthcare Community Plan	AA201797	HMO	KS, National	0
United Healthcare Community Plan / MS CAN & CHIP	AA201798	HMO	National	0
United Healthcare Community Plan AZ (Physicians IPA)	AA201799	HMO	National	0
United Healthcare Community Plan KS (KanCare)	AA201800	HMO	National	0
United Healthcare Community Plan MI (Great Lakes Health Plan)	AA201801	HMO	National	0
United Healthcare Community Plan NJ (AmeriChoice)	AA201802	HMO	National	0
United Healthcare Community Plan SC (Formerly Unison)	AA201803	HMO	National	0
United Healthcare Community Plan TN (Americhoice TN/Secure Plus Complete)	AA201804	HMO	National	0
United Healthcare Dental	AA201805	HMO	National	0
United Healthcare Facets Detroit	AA201806	HMO	National	0
United Healthcare Life Insurance Company (American Medical Security - AMS)	AA201807	HMO	National	0
United Healthcare Medicare (Secure Horizons)	AA201808	HMO	National	0
United Healthcare Medicare Solutions (Secure Horizons/Evercare)	AA201809	HMO	National	0
United Healthcare Nevada Market	AA201810	HMO	National	0
United Healthcare Plan Of River Valley	AA201811	HMO	National	0
United HealthCare Shared Services	AA201812	HMO	National	0
United Healthcare Student Resources	AA201813	HMO	National	0
United Healthcare West	AA201814	HMO	National	0
United Medical Resources	AA201946	HMO	National	0
United States Fire Insurance Company	AA210446	HMO	National	0
United Teacher Association Insurance Company Medicare Supplement	AA201815	HMO	National	0
United Teachers Associates	AA201816	HMO	National	0
UnitedHealthcare - UHCWest (Pacificare)	AA210447	HMO	National	0
UnitedHealthcare - WEA	AA210448	HMO	National	0
UnitedHealthcare Community Plan - Kansas	AA210449	HMO	KS	0
UnitedHealthcare Community Plan - Tennessee	AA210450	HMO	TN	0
UnitedHealthcare Community Plan (OH PA SC) (Three Rivers Health Plans)	AA210451	HMO	National	0
UnitedHealthcare of Oklahoma	AA210452	HMO	OK	0
Unity	AA201817	HMO	National	0
Univera	AA201818	HMO	National	0
Universal American	AA201819	HMO	National	0
Universal Care	AA201820	HMO	CA	0
Universal Care of California	AA201947	HMO	CA	0
University Family Care	AA201821	HMO	National	0
University Health Alliance (Web Credentials Required)	AA210453	HMO	National	0
University of Arizona Health Plans - UHM	AA210454	HMO	AZ	0
University of Utah Health Plans	AA210455	HMO	UT	0
University Physicians Care Advantage (Arizona)	AA201822	HMO	National	0
UPMC Health Plan (Tristate)	AA210456	HMO	National	0
UPMC Health Plans	AA201824	HMO	National	0
URN	AA201825	HMO	National	0
US Family Health Plan	AA201948	HMO	National	0
USAA Life Insurance Company	AA201826	HMO	National	0
USAA Medicare Supplemental	AA210457	HMO	National	0
Utah Medicaid	AA201066	Medicaid	UT	0
VA Health Administration Center	AA210458	HMO	VA	0
Valley Care Program	AA210459	HMO	National	0
Valley Health Plan	AA201827	HMO	National	0
Vantage Health Plan Inc.	AA201828	HMO	National	0
Vermont Medicaid	AA201067	Medicaid	VT	0
Veterans Affairs Fee Basis Programs	AA201829	HMO	National	0
Veterans Affairs Health Administration Center	AA201830	HMO	National	0
Vibra Health Plan	AA201968	HMO	MN	0
Village Family Practice	AA201831	HMO	National	0
Virginia Medicaid	AA201068	Medicaid	VA	0
Virginia Surety Company Inc.	AA210460	HMO	VA	0
Vista (Florida Medicaid)	AA201832	HMO	National	0
Viva	AA201833	HMO	National	0
VNS Choice	AA201834	HMO	NY, National	0
Washington Medicaid	AA201069	Medicaid	WA	0
Washington national insurance company	AA201976	HMO	National	0
WEA Trust	AA201835	HMO	National	0
WEB-TPA Inc	AA201836	HMO	National	0
Wellcare Health Plans	AA201837	HMO	NJ, National	0
Wellcare Kentucky	AA201838	HMO	National	0
Wellsense	AA201839	HMO	National	0
West Virginia Family Health Plan	AA201840	HMO	National	0
West Virginia Medicaid	AA201070	Medicaid	WV	0
Western & Southern Financial Group	AA210461	HMO	National	0
Western Health Advantage	AA201841	HMO	National	0
Western Sky Community Care	AA210462	HMO	National	0
Wilson McShane - Dental	AA210463	HMO	National	0
Windsor Medicare Extra	AA201842	HMO	National	0
Wisconsin Anthem Blue Cross and Blue Shield (WellPoint Health Network)	AA201843	HMO	National	0
Wisconsin Medicaid	AA201071	Medicaid	WI	0
Wisconsin Medicaid Chronic Disease Program	AA201844	HMO	WI	0
Wisconsin Medicaid Well Woman Program	AA201845	HMO	WI	0
Wisconsin Physicians Service	AA201846	HMO	WI, National	0
WPS Health Insurance	AA201952	HMO	National	0
Wyoming Medicaid	AA201072	Medicaid	WY	0
YourCare Health Plan	AA201847	HMO	National	0
Youthcare Healthcare Illinois	AA210464	HMO	IL	0
Zing Choice IL	AA201975	HMO	IL	0

Version Q3.2024

Feel free to download the attached file with the payer list in an Excel format. The list is updated quarterly.

Attachments (1)

xlsx

Payers AA.xlsx
297 KB