Lindsay Technical Consultants, Inc. 42496 Lindsay Drive North Mankato, MN 56003 Tel 507-947-3070 Fax 507-947-3077 E-Mail: info@lindtech.com

Medical Payor List - last official update 5/6/2015 (although continually updated)
sorted by Payor Name.

Note: For Payors issuing a Provider I.D. without requiring enrollment forms, call or email LTC with the assigned Provider I.D. If you are unable to find the correct Payor/Carrier in this list, please contact LTC.

Call or email LTC if you would like to request an Adobe .PDF version of this list.

Downloads for additional enrollment forms are listed in the download area.

If you need the Adobe Acrobat Reader in order to read the (.PDF) file format, download the free version here first...

New Payor	Payor I.D.	Payor Name	Enrollment Required
	13162	1199 Local Benefit Fund
6/26/2003	13162	1199 National Benefit Fund
6/07/2007	20413	3P ADMIN
6/07/2007	74234	8th Distric Electrical
6/07/2007	93044	A & I BENEFIT PLAN ADMINISTRATORS
6/26/2003	30142	A C RETIREES VOL BENEFIT PLAN
	68195	A.O. Smith	Contact HealthSource for Provider I.D.
2/01/2009	75185	AAG-AMERICAN ADMINISTRAVIE GROUP
12/02/2011	36273	AARP (Hospital Indemnity Plans, Medicare Supplement)
5/6/2015	87726	AARP MedicareComplete
6/26/2003	37225	ABAS Inc.
6/28/2004	BEK40	Abatement Workers National Health and Welfare Fund (Only Non-PPO Claims)
	65099	Abbott Labs
	48185	ABC Health Plan of New York	Contact ABC @ (631) 360-3102 for Provider I.D.
8/14/2003	E3510	ABMA (Alta Bates Medical Assoc) Medical Corp. (Hnet Sr. and Secure Horizons)	Contact NAMM @ 800-956-8000 for Provider I.D.
2/01/2009	03443	Abrazo Advantage Health Plan
	39140	AC Retirees' Voluntary Benefit Services
2/01/2009	AHS01	Access Administrators
6/07/2007	COACC	Access Behavioral Care
6/26/2003	TNMD2	ACCESS MED (TENNCARE)	Please contact LTC for more info.
	64071	Acclaim
6/07/2007	21356	Acclaim Repricing
	87815	Accordia
	19001	Accordia Benefits Indiana
	87815	Accordia National
6/07/2007	AHP01	Accountable Health - American Family of IA and WI claims only
6/26/2003	H0003	Accountable Health Plan - Wisconsin Only
	H0003	Accountable Health Plan-Illite
	H0003	Accountable Health Plans of Tennessee
6/26/2003	72467	ACS Benefit Services, Inc.
6/07/2007	36112	ACS Rewards Administration Center
2/01/2009	BCCBE	ACM	Enrollment required. Call 661-430-0205 for information.
6/26/2003	38254	Activa Benefit Services, LLC
	94323	Adesso-Scottsdale PHO
	95285	Admar Corporation
	35175	Adminastar-Champus Only (Ct,De,Il,In, Ma,Me,Mi,Nh, Nj,Ny,Pa,Ri,Vt)
2/01/2009	22384	ADMINISTRATIVE CONCEPTS INC
6/28/2004	call	Administrative Service Consultants	To obtain the payer ID, please call (440) 262-1160.
2/01/2009	59141	Administrative Services, Inc.
4/7/2004	37278	AdminOne
	58202	Advanced Data Solutions
6/07/2007	74234	Advanstaff, Inc.
	61123	Advantage Care
9/28/2004	AHS01	Advantage Care Network	Download form via ENS
2/9/2005	35209	Advantage Health Solutions
	H0353	Advantage Health Care
2/01/2009	77070	ADVANTAGE PREFERRED PLUS
	25126	Advantra/Health Americ, Inc./Health Assurance	Call Advantra for Provider I.D.
2/01/2009	25152	Advantra Freedom
2/01/2009	95340	Adventist Health System
	13373	ADVICA-New York Hospital Community Health
	13376	Advica/Northeast Georgia Health System, Inc.
4/7/2004	01260	AdvoCare - Premier/Tennesee Behavioral Health (TBH)	Contact AdvoCare for Provider I.D.
6/26/2003	31039	ADVOCATE BETHANY HEALTH PARTNERS
6/26/2003	31040	ADVOCATE CHRIST HOSPITAL HEALTH PARTERS
6/26/2003	31041	ADVOCATE GOOD SAMARITAN HEALTH
6/26/2003	31042	ADVOCATE GOOD SHEPHERD HEALTH
6/26/2003	36320	Advocate Health Centers
6/26/2003	30848	ADVOCATE HEALTH HUMANA MEMBERS
	65093	Advocate Health Partners
6/26/2003	30849	ADVOCATE HEALTH NON HUMANA MBRS
2/01/2009	36320	ADVOCATE HEALTH PARTNERS OPERATIONS
2/01/2009	3632B	Advocate HMO Illinois and Unicare HMO
2/01/2009	3632A	Advocate Humana Health Plans (HMO, Medicaid, Gold Plus)
6/26/2003	31054	ADVOCATE ILL MASONIC HEALTH PARTNERS
6/26/2003	31043	ADVOCATE LUTHERAN GENERAL
6/26/2003	31044	ADVOCATE SOUTH SUBURBAN HEALTH
6/26/2003	31045	ADVOCATE TRINITY HEALTH PARTNERS
2/01/2009	57604	Aetna Affordable Health Choices (SM) - SRC
2/01/2009	23225	Aetna Better Health - CT Medicaid
11/17/2014	50023	Aetna Better Health of Ohio
	60054	Aetna Encounters (except California)
	60054	Aetna Health Plans
	60054	Aetna Life and Casualty Co PPO
	60054	Aetna Life & Casualty Co.
	60054	Aetna Rosters
2/01/2009	38692	AETNA TEXAS MEDICAID & CHIP
6/26/2003	AFCI1	AFC Industries
5/23/2006	13334	Affinity Health Plan	Download form via ENS
7/17/2013	13333	Affinity Medicare Advantage
6/26/2003	AFFPP	AFFINITY PPMSI	Please contact LTC for more info.
4/7/2004	95426	Affordable Benefit Administrators
	34444	AFL-CIO Food & Beverage Dealer's Trust Fund (Toledo, OH)
6/26/2003	13346	AFTRA Health Fund
6/07/2007	20048	Agate Resources, Inc. (LIPA)
8/14/2003	95241	AGIA Inc.	Claims are printed and mailed to the payer.
	80705	AH&L
6/26/2003	23251	AHP/Sentinel  (Lancaster, PA)
2/01/2009	31138	AHPO (Cleveland, OH)
6/26/2003	AIATF	AIA TOBACCO FUND
6/26/2003	30357	AK CHILDRENS SVCS GRP NUM P68
6/26/2003	IP080	AKM Medical Group
2/01/2009	SX045	ALABAMA HEALTH PARTNERS
	06311	Alabama Medical Surgical Associates, LLC
	91136	Alaska Children's Services, Inc. - Grp# P68
5/23/2006	92600	Alaska Electrical Health and Welfare
	91136	Alaska Laborers Construction Industry Trust - Grp# F23
	91136	Alaska Pipe Trades Local 375 - Grp# F24
	91136	Alaska United Food & Comm Workers Health & Welfare Trust = Grp# F45
	13550	Alicare
	13550	Alicare (Amalgamated Life)
4/7/2004	58213	Alignis
	37602	All Savers Insurance Co.
6/07/2007	81040	Allegiance Benefit Plan Management, Inc.
	CX016	Allen Medical Claims Administrators (Po Box 978, Fort Valley, GA)
	30324	Alliance Health Network
	23251	Alliance Health Plan (Pennsylvania)
5/23/2006	88461	Alliance of WI
	52149	Alliance PPO
6/26/2003	H0003	Alliance Select - Wisconsin Only
	58234	Alliant Health Plans of Georgia
4/7/2004	94177	Allied Administrators (San Francisco, CA)
	37308	Allied Benefit Systems
6/26/2003	30225	ALLIED HEALTH MAGELLAN
2/01/2009	SX157	ALLIED HEALTH - PODIATRY
	69140	Allmerica
	69140	Allmerica Financial (First Allmerica)
	69140	Allmerica Financial Services
2/01/2009	10050	ALPS CompCare (OH BWC)	Download form via ENS
	Call	Alta Bates Medical Group	Call Alta Bates MG for Payor I.D.
	80705	ALTA Health & Life Insurance Company
	87043	Alta Health Strategies (First Health)
	H0002	Alternative Health	Call Alternative Health for Provider I.D.
8/14/2003	E3510	Alta Senior Care (Hnet Sr and Secure Horizons)	Contact NAMM @ 800-956-8000 for Provider I.D.
6/26/2003	37231	Alternative Technology Resources, Inc.
9/28/2004	25149	Altius	Call Altius for Provider I.D. 801-933-3130
	76061	AM Care Health PLans
2/01/2009	AMAIA	AMA INSURANCE AGENCY, INC
	13550	Amalgamated Life
2/01/2009	13343	Amalgamated Life - PA/Alicare
6/07/2007	COMPU	Amalgamated Transit Union Division 1001 Health & Welfare Fund
2/01/2009	76061	AmCare Health Plans
2/01/2009	37252	AMCARE MEDICARE HEALTH PLAN TARRANT HEALTH SERVICES INC
6/26/2003	H0003	Amer Healthcare Plan Net (WI) - Wisconsin Only
	38219	Ameraplan
6/26/2003	75137	AmeriBen Solutions, Inc.
2/01/2009	20029	America's Choice NMA
2/01/2009	21810	America's Health Choice
	27514	Americaid Community Care - Dallas/Ft. Worth
10/2/2003	28809	Americaid Community Care - Florida	Call Americaid for Provider I.D.
	27515	Americaid Community Care - Houston
10/2/2003	28808	Americaid Community Care - Illinois	Call Americaid for Provider I.D.
	27517	Americaid Community Care - Maryland
	27516	Americaid Community Care - NJ
6/26/2003	75240	American Administrative Group (AAG Benefit Plan Administrators)
2/01/2009	37283	American Administrative Group (formerly Gallagher Benefit)
	87726	American Airlines
6/26/2003	37225	American Benefit Administrative Services, Inc.
6/28/2004	34187	American Benefits Management (North Canton, OH)
2/01/2009	59140	American Benefits Plan Administrators (Las Vegas, NV)
	87726	American Can
2/01/2009	AMC11	AMERICAN CAPITOL INSURANCE CO
6/26/2003	30924	AMERICAN CHIRO NETWORK MN
2/01/2009	41161	American Chiropractic Network (PAN)
2/01/2009	41160	American Chiropractic Network IPA of NY (ACNIPA)
6/26/2003	ACN01	American Chiropractic Network Group
6/26/2003	ACN01	American Chiropractic Network, Inc.
6/26/2003	ACN01	American Chiropractic Network IPA of NY
	37128	American Commercial Barge Lines
	60305	American Community Mutual Insurance
6/26/2003	ACN01	American Complimentary Care Network, Inc.
	13310	American Consulting Engineers
	68195	American Electric Power	Contact HealthSource for Provider I.D.
6/26/2003	IP080	American Family Health Providers
2/01/2009	TH095	AMERICAN FAMILY INSURANCE
2/01/2009	98205	American Founders Life Ins Co (NFL Plans only)
6/07/2007	62030	AMERICAN GENERAL
2/01/2009	AHG99	American Health Group
4/7/2004	01066	American Healthcare Alliance
	H0003	American Healthcare Plan Network
11/17/2014	77083	American Heritage/Allstate Benefits
	60534	American Heritage Life
	36369	American Imaging Management, Inc.	Call 800-252-2021 for Provider I.D.
4/7/2004	81949	American Insurance Company of Texas
	13311	American International Group, Inc.
	72099	American Life Care
	CX001	American Medical Security
6/28/2004	74048	American National Life
2/01/2009	59093	AMERICAN PIONEER BREVARD PHYSICIANS NETWORK
2/01/2009	20165	AMERICAN PIONEER SOUTH FLORIDA
	44444	American Postal Workers Union Health Plan-APWU
6/28/2004	14190	American PPO
6/26/2003	42011	American Republic Insurance
2/01/2009	17965	American Sentinel Insurance Company
9/28/2004	00001	American Specialty Health
11/17/2014	ATA01	American Therapy Administrators (except Florida)	Call LTC for enrollment instructions.
6/07/2007	37322	AMERICAN WORKER HEALTH PLUS
7/16/2013	ASHP1	Americh Specialty Health Plan
5/6/2015	87726	AmeriChoice by UnitedHealthcare (NYU)
5/6/2015	95378	Americhoice MS - CHIP & CAN
5/6/2015	87726	AmeriChoice of CT, FL, LA, MD, NE, RI, TX, WI
5/6/2015	95378	AmeriChoice of Iowa
	86047	AmeriChoice of New Jersey, Inc. (Medicaid NJ)
6/26/2003	86001	AmeriChoice of New Jersey Personal Care Plus(Medicare)
	86048	AmeriChoice of New York, Inc. (Medicaid NY) & Child Health Plus
6/26/2003	86002	AmeriChoice of New York Personal Care Plus(Medicare)
	86049	AmeriChoice of Pennsylvania, Inc. (Medicaid PA) & Children's Health Insurance Program (KidsChoice, CHIP)
6/26/2003	25175	AmeriChoice of Pennsylvania Personal Care Plus (Medicare)
5/6/2015	95378	AmeriChoice TN: TennCare, Secure Plus Complete
6/26/2003	28809	Amerigroup - Florida
4/7/2004	28804	Amerigroup - Ft. Worth - Dallas
2/01/2009	27514	AMERIGROUP - Georgia
4/7/2004	28805	Amerigroup - Houston
6/26/2003	27518	Amerigroup - Illinois
4/7/2004	28807	Amerigroup - Maryland
4/7/2004	28806	Amerigroup - New Jersey
2/01/2009	27519	Amerigroup - Ohio
6/26/2003	54763	AmeriHealth Administrators	Enrollment online via the Highmark web site: Web Enrollment Form
6/28/2004	93688	AmeriHealth Delaware (non-HMO)	Enrollment online via the Highmark web site: Web Enrollment Form
	95044	AmeriHealth HMO New Jersey and Delaware	Enrollment online via the Highmark web site: Web Enrollment Form
	22248	Amerihealth Mercy Health Plan
	60061	Amerihealth New Jersey (non-HMO)	Enrollment online via the Highmark web site: Web Enrollment Form
2/01/2009	26375	Amerikids-Dallas/Ft. Worth
6/26/2003	76052	Amil / ARIA
	87726	AMOCO
6/26/2003	IP080	AMVI
	38255	Amway Corporation
6/28/2004	53085	Anchor Benefit Consulting
6/28/2004	86062	Ancillary Benefit Systems/ Arizona Foundation for Medical Care
	SYMED	Angeles IPA
6/26/2003	ALMSH	Anheuser-busch Inc
5/23/2006	34192	Antares Management Solutions
	BBOH1	Anthem BCBS Ohio
	19002	Anthem Benefit Administrators
	80705	Anthem Health & Life INsurance Co. of New Jersey/AH&L/ALTA Hlth&Life
	19002	Anthem Life Health Plans
2/01/2009	COBLS	Anthem of Colorado
2/01/2009	NVBLS	Anthem of Nevada	Download form via ENS
	H0447	Anthem Senior Advantage
6/26/2003	H0308	Ao Smith
	16140	APA Partners, Inc.
5/23/2006	CDTEC	APC Health
6/26/2003	34196	Apex Benefit Services
6/07/2007	M3432	APIPA
2/01/2009	AHP34	Apogee
6/07/2007	54160	APS HEALTHCARE, INC.
	44444	APWU
	16120	Araz
6/26/2003	77045	Arcadian Management Services, Inc
6/07/2007	36356	ARGUS HEALTH SYSTEMS
9/28/2004	86062	Arizona Foundation for Medical Care
6/26/2003	30885	ARIZONA HEALTH CONCEPTS
6/26/2003	H0370	Arizona Metal Trades	Please contact LTC for more info.
	H0375	Arizona Physicians IPA APIPA
6/26/2003	H0370	Arizona Pipe Trades	Please contact LTC for more info.
6/07/2007	74234	Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Metal Trades Health Plan
6/26/2003	H0370	Arizona Public Services	Please contact LTC for more info.
	75278	Arkansas Best Corporation
	ARFS1	Arkansas First Source	Call Arkansas First Source for Provider I.D.
4/7/2004	87726	Arnett Health Plans	Contact Arnett Health Plan @ 765-448-7483 for Provider I.D
2/01/2009	IP002	Arrowhead Physician Alliance (Labs Only)
6/26/2003	H0370	ASBAIT	Please contact LTC for more info.
6/28/2004	BEM10	Asbestos Workers Local 25 (Only Non-PPO Claims)
	87726	Ashland Oil
2/01/2009	38265	ASR Corporation
6/28/2004	ASRM1	ASRM, CORP.
2/01/2009	FAABC	Associated Benefits Corp.
2/01/2009	IP008	Associated Hispanic Physicians (Labs Only)
5/23/2006	ATPA1	Associated Third Party Administration (ATPA)
	36326	Associates For Healthcare
2/01/2009	39065	Assurant Employee Benefits (Formerly Fortis Insurance)
6/07/2007	37313	Assurant Health Self- Funded
2/01/2009	37323	Assurant MiniMed-Key Family
2/01/2009	88035	ASSURECARE OF MINNESOTA
6/28/2004	74240	Assured Benefits Administrators
2/01/2009	SX179	Asuris Northwest/MedAdvantage	Provider ID in Billing and Rendering required even when NPI is submitted.
	PR002	AT&T
	95691	Athens Area Health Plan Select
11/17/2014	22285	Atlantic Medical
	22304	Atlanicare Administrators, Inc.
	13853	Atlantis Health Plan	Call Frank Bove at Atlantis Health Plan @ (212) 747-8393 for Provider I.D.
6/26/2003	30886	ATLAS ADMINISTRATORS USA MCO
2/01/2009	90956	Atlas Life Ins Co (NFIC Plan only)
2/01/2009	10016	AultComp MCO (OH BWC)	Download form via ENS
	30326	AUSHC Encounters
5/23/2006	38259	Automated Benefit Services
4/7/2004	37280	Automated Group Administration, Inc.
	91136	Automotive Machinists Local 289 Health & Welfare Trust - Grp# F32
6/26/2003	IP080	Avalon IPA
	46045	Averal Health Plans
6/07/2007	87098	AVESIS THIRD PARTY ADMINISTRATORS
6/26/2003	59274	AvMed, Inc.
6/26/2003	H0370	AZ Local Govt Employee Benefit	Please contact LTC for more info.
	65099	B.A.S.F.
6/28/2004	BEK20	BAC Local 32 Tile
	BAAI1	BAII IA (Wellmark)	Call Wellmark for Provider I.D.
6/28/2004	BE700	Bakers & Confectionary Workers  (Only Non-PPO Claims)
5/23/2006	REG03	Bakersfield Family Medical Center
	74227	Bankers United Life
9/28/2004	SX145	Banner Health Co.	Download form
2/01/2009	SX121	BANNER HEALTH CO, - ROCKY MOUNTAIN HMO GREELEY
2/01/2009	SX124	BANNER HEALTH CO. - ANTERO GREELEY
2/01/2009	SX116	BANNER HEALTH CO. - ANTERO HIGH PLAINS
2/01/2009	SX126	BANNER HEALTH CO. - ANTERO MOUNTAIN SHADOWS
2/01/2009	SX115	BANNER HEALTH CO. - CHOICE PLUS
2/01/2009	SX117	BANNER HEALTH CO. - HIGH PLAINS
2/01/2009	SX118	BANNER HEALTH CO. - HMO GREELEY
2/01/2009	SX127	BANNER HEALTH CO. - HMO MOUNTAIN SHADOWS
2/01/2009	SX123	BANNER HEALTH CO. - PACIFICARE GREELEY
2/01/2009	SX119	BANNER HEALTH CO. - PACIFICARE HIGH PLAINS
2/01/2009	SX128	BANNER HEALTH CO. - PACIFICARE MOUNTAIN SHADOWS
2/01/2009	SX120	BANNER HEALTH CO. - ROCKY MOUNTAIN HMO HIGH PLAINS
2/01/2009	SX129	BANNER HEALTH CO. - ROCKY MOUNTAIN HMO SHADOWS
2/01/2009	SX125	BANNER HEALTH CO. - SECURE HORIZONS GREELEY
2/01/2009	SX122	BANNER HEALTH CO. - SECURE HORIZONS HIGH PLAINS
2/01/2009	SX130	BANNER HEALTH CO. - SECURE HORIZONS MOUNTAIN SHADOWS
6/26/2003	H0370	Bar S Foods	Please contact LTC for more info.
	68195	Barnett Banks	Contact HealthSource for Provider I.D.
6/26/2003	H0345	Basf
6/26/2003	H0370	Bashas	Please contact LTC for more info.
6/26/2003	37248	Bass Administrators Inc.
6/26/2003	16112	Batavia City Schools' Tri-County Medical Plan
6/28/2004	49153	BCI Administrators, Inc.
2/01/2009	43324	BEACON HEALTH STATEGIES
6/26/2003	95377	Beech Street Corporation
7/20/2009	BHP01	Behavioral Heathcare Providers	Download form
	PR002	Bell Atlantic
6/26/2003	30887	BENCOMP
	37125	BeneFirst
2/01/2009	36149	Benefit Administrative Systems
2/01/2009	51037	Benefit Concepts
6/26/2003	25145	Benefit Coordinators Corporation (Pittsburgh, PA)
2/01/2009	56139	Benefit Management Services
	37212	Benefit Management Systems, Inc. of Lousiana	Download form via ENS
	13310	Benefit Plan Administrator of St. Louis, MO
6/26/2003	39081	Benefit Plan Administrators Co. (Eau Claire, WI)
9/28/2004	37286	Benefit Plan Administrators, Inc. (Fargo, ND)
	37118	Benefit Plan Administrators, Inc. (Roanoke, VA)
6/26/2003	37222	Benefit Plan Management, Inc.
	74223	Benefit Planners, Inc.
4/7/2004	02053	Benefit Resources
6/26/2003	34178	Benefit Services, Inc. (Akron, OH)
6/28/2004	38257	Benefit Source, Inc.
6/07/2007	37211	BENEFIT SYSTEMS, INC
	36342	Benefit Systems & Services, Inc. (BSSI)
	61425	Benefit Trust Life Insurance Co.
6/07/2007	42148	Benefits, Inc.
	87265	Benesight
6/26/2003	37248	Benesys Inc.
6/26/2003	37248	Benesys-LHP Claims Unit
2/01/2009	69752	BeniCorp
6/28/2004	BNMK1	Benmark
2/01/2009	23243	Berkshire Health Partners
6/26/2003	30704	Best Health Care of Western PA
6/26/2003	95604	Best Life & Health Insurance Co.
	62183	Better Health Plans, Inc.
2/01/2009	32006	Better Health Plans of South Carolina
6/26/2003	30002	BF Goodrich
2/01/2009	CX025	Big Lots Associates Benefit Plans
	H0147	Blair Mill Administrators	Please contact LTC for more info.
6/28/2004	BV001	Block Vision Inc.	Download form via ENS
6/28/2004	BVTX1	Block Vision Texas	Download form via ENS
2/01/2009	ARBLS	Blue Advantage of Arkansas	Download form via ENS
2/01/2009	ECIBB	BLUE BELL BENEFITS TRUST
	H0316	Blue Care Family Plan CT
6/26/2003	BBMIC	BLUE CARE NETWORK HMO (MI BCBS)	Enrollment online at: http://editest.bcbsm.com/tpalogon.html One form per provider number, whether for a group or individual number. Note: Unique receiver I.D. and submitter I.D. is C0HDA (second digit is a zero).
2/01/2009	VABLS	Blue Care PPO	Requires VA Blue Shield EMC approval
6/26/2003	BLCRI	BLUE CHIP Rhode Island	Please contact LTC for more info.
	BBLA1	Blue Cross and Blue Shield of Louisiana	Download form
2/01/2009	C3BLS	Blue Cross Blue Shield BlueCare Family Plan (Connecticut)	To be used on all CT BlueCare claims with dates of service on or after 7/01/06 Download form via ENS
6/26/2003	BBMD1	Blue Cross Blue Shield Carefirst - Maryland
1/17/2008	BBAL1	Blue Cross Blue Shield of Alabama	Download form
1/17/2008	BBAZ1	Blue Cross Blue Shield of Arizona	Download form via ENS
	BBAR1	Blue Cross Blue Shield of Arkansas	Download form
	BBARF	Blue Cross Blue Shield of Arkansas (Federal Employees)	Please contact LTC for more info.
	Call	Blue Cross Blue Shield of California (Encounters)	Call BCBS of CA Encounters for Payor I.D.
	BBCTE	Blue Cross Blue Shield of Connecticut (Anthem)	Download form via ENS
9/28/2004	BBDE1	Blue Cross Blue Shield of Delaware	Download form
	BBFL1	Blue Cross Blue Shield of Florida	Download form
1/17/2008	BBHIE	Blue Cross Blue Shield of Hawaii	Download form via ENS
1/17/2008	BBID1	Blue Cross Blue Shield of  Idaho	Download form via ENS
	BBIN1	Blue Cross Blue Shield of Indiana (Anthem)	Download form via ENS
	BBKS1	Blue Cross Blue Shield of Kansas	Download form
	BBKY1	Blue Cross Blue Shield of Kentucky (Anthem)	Contact BCBS of Kentucky to obtain a Provider I.D.
	BBLA1	Blue Cross Blue Shield of Louisiana	Download form
	BBME1	Blue Cross Blue Shield of Maine	Download form
1/17/2008	BBMD1	Blue Cross Blue Shield of Maryland	Download form via ENS
1/17/2008	BBMAE	Blue Cross Blue Shield of  Massachusettes	Download form via ENS
	BBMI1	Blue Cross Blue Shield of Michigan (Blue Care, Plus Blue, Advantage PFFS)	Download form
	BBMIF	Blue Cross Blue Shield of Michigan (FEP)	Download form
	BBMN1	Blue Cross Blue Shield of Minnesota	Download form
1/17/2008	BBMS1	Blue Cross Blue Shield of Mississippi	Download form
1/17/2008	BBMO1	Blue Cross Blue Shield of Missouri	Download form via ENS
	BBMT1	Blue Cross Blue Shield of Montana	Download form
	BBNE1	Blue Cross Blue Shield of Nebraska	Download form
6/07/2007	BBNV1	Blue Cross Blue Shield of Nevada	Download form
4/15/2012	BBNH1	Blue Cross Blue Shield of New Hampshire	Download form
	BBNJ1	Blue Cross Blue Shield of New Jersey (Horizon)	Download form
	84100	Blue Cross Blue Shield of New Mexico	Please contact LTC for more info.
	BBNYE	Blue Cross Blue Shield of New York (Empire)	Download form
	BBNYC	Blue Cross Blue Shield of New York - Central New York	Download form
3/20/2013	BBNYN	Blue Cross Blue Shield of New York - NorthEast	Download form
	BBNYR	Blue Cross Blue Shield of New York - Rochester, New York	Download form
	BBNC1	Blue Cross Blue Shield of North Carolina	Download form
1/17/2008	BBOK1	Blue Cross Blue Shield of Oklahoma	Download form via ENS
	BBOR1	Blue Cross Blue Shield of Oregon (Regence)	Download form via ENS
1/17/2008	BBRI1	Blue Cross Blue Shield of Rhode Island	Download form via ENS
	BBSCE	Blue Cross Blue Shield of South Carolina	Download form via ENS
	BBSDW	Blue Cross Blue Shield of South Dakota (Wellmark)	Download form
1/17/2008	BBUT1	Blue Cross Blue Shield of Utah	Download form via ENS
2/09/2005	BBVT1	Blue Cross Blue Shield of Vermont	Download form
	BBVAE	Blue Cross Blue Shield of Virginia	Download form via ENS
7/17/2013	BBWV1	Blue Cross Blue Shield of West Virginia	Download form
	BBWI1	Blue Cross Blue Shield of Wisconsin	Download form
	BBWAP	Blue Cross of Alaska (Premera)	Download form
	BCCA1	Blue Cross of California	Download form
7/23/2009	BCCAC	Blue Cross of California Care - HMO
	BBWAP	Blue Cross of Washington (Premera)	Download form
6/07/2007	BBWAR	Blue Cross of Washington (Regence)
	H0348	Blue Cross of Washington (Health Plus)	Please contact LTC for more info.
	H0349	Blue Cross of Washington (Healthy Options)	Please contact LTC for more info.
	H0347	Blue Cross of Washington (NCAS Insurdata)	Please contact LTC for more info.
	BBWI1	Blue Cross of Wisconsin	Download form
10/2/2003	IP061	Blue Lake Rancheria	Call or email LTC.
	BPMN1	Blue Plus Exams (Blue Cross Blue Shield of Minnesota)	Download form
	BPMNS	Blue Plus Supply (Blue Cross Blue Shield of Minnesota)	Download form
6/07/2007	54721	Blue Shield - PA - Healthone
2/01/2009	HM007	Blue Shield HMO - HMO
	BBAZ1	Blue Shield of Arizona	Download form via ENS
	BSCA1	Blue Shield of California
7/23/2009	BSCAF	Blue Shield of California - FEP
2/01/2009	N2BLS	Blue Shield of Central NY HMO/PPO	Download form via ENS
6/07/2007	BBCO1	Blue Shield of Colorado
	BBGA1	Blue Shield of Georgia	Contact BCBS of Georgia to obtain a Provider I.D.
9/28/2004	BBHI1	Blue Shield of Hawaii	Download form
	BBIL1	Blue Shield of Illinois	Download form
	BBIAW	Blue Shield of Iowa (Wellmark)	Download form
	BBKC1	Blue Shield of Kansas City	Download form
	BBMD1	Blue Shield of Maryland	Contact BCBS of Maryland to obtain a Provider I.D.
	H0112	Blue Shield of Massachusetts	Download form via ENS
	BBMS1	Blue Shield of Mississippi	Download form
	BBMO1	Blue Shield of Missouri	Download form via ENS
	BBOH1	Blue Shield of Ohio (Anthem)
	BSOK1	Blue Shield of Oklahoma	Call Blue Shield of Oklahoma for Provider I.D.
	54771	Blue Shield of Pennsylvania (Highmark)	Enrollment online via the Highmark web site: Web Enrollment Form
4/7/2004	54704	Blue Shield of Pennsylvania (Personal Choice, Independence)	Enrollment online via the Highmark web site: Web Enrollment Form
	BBMO1	Blue Shield of St. Louis (fax info only)	Download form via ENS
	BBTN1	Blue Shield of Tennessee	Download form
	BBTX1	Blue Shield of Texas	Call TX BCBS for provider I.D.
	BBUT1	Blue Shield of Utah	Download form via ENS
	BBDCC	Blue Shield of Washington D.C. (CareFirst)	Download form
2/9/2005	BBNYW	Blue Shield of Western New York	Download form
	BBWI1	Blue Shield of Wisconsin	Download form
	BBWI1	Blue Shield of Wisconsin Comp Care	Download form
8/14/2003	BSWYP	Blue Shield of Wyoming	Please contact LTC for more info.
2/01/2009	37121	Bluebonnet Administrators
	H0417	Bluegrass Family Health
6/26/2003	13337	BMC HealthNet Plan
6/07/2007	20018	BMGI - BENEFIT MANAGEMENT GROUP INC.
	75135	BMI-Benefits Management Inc.
	36609	Boilermakers National Health & Welfare Fund
	74238	Boone-Chapman Benefit Administrators, Inc.
	65099	Boral
6/26/2003	H0370	Borderland Construction Co Inc	Please contact LTC for more info.
6/26/2003	13337	Boston Medical Center Health Plan Inc.
	38324	Botsford Health PLan (Farmington Hills, MI)
4/7/2004	37273	BoydCare/Boyd Bros. Transportation Inc.
2/01/2009	37286	BPA /BENEFIT PLAN ADMINISTRATORS (NORTH DAKOTA)
	48964	BPS, Inc.
2/01/2009	52192	BRAVO HEALTH (ELDER HEALTH MARYLAND HMO INC.)
	65005	Breath CO/ICSL Pulmonary
6/26/2003	BPN01	BREVARD PHYSICIANS NETWORK
6/28/2004	BEJ20	Bricklayers Local 22 (Only Non-PPO Claims)
6/07/2007	38365	BRIDGE BENEFITS
5/23/2006	37285	Bridgestone Claims Services
2/01/2009	68054	Bridgeway Arizona
6/26/2003	51037	Brokerage Concepts, Inc.
6/28/2004	call	Brokerage Service Inc. (BSI)	To obtain the payer ID, please call (440) 262-1160.
2/01/2009	HP101	Brooklyn Health
	59069	Brown & Brown Benefits
	94316	Brown & Toland Medical Group
	68195	Browning Ferris Industries	Contact HealthSource for Provider I.D.
2/01/2009	BRISD	BRYAN INDEPENDENT SCHOOL DISTRICT
	36342	BSSI
	32004	Buckeye Community Health Planb
	65099	Budd Company
	50240	Buenaventura Medical Group, Inc.
	68195	Burlington Industires	Contact HealthSource for Provider I.D.
	68195	Burroughs Wellcome	Contact HealthSource for Provider I.D.
5/23/2006	42150	Butler Benefit
6/26/2003	23708	C & O Employees Hospital Association
2/01/2009	73071	C L FRATES AND COMPANY - OSMA HEALTH
6/26/2003	H0370	CA Physicians Insurance Corp	Please contact LTC for more info.
	62413	CAC Claims Administration Corporation
	87726	CAC-United Healthcare Plan of Florida (Now United Healthcare of Florida, Old CAC/Ramsay/Coral Gables Plan Only)
5/23/2006	REG02	Caduceus Medical Group
6/26/2003	BC001	Cal-Optima - Medi-Cal (Blue Cross)	Download form
5/23/2006	CALOP	Cal Optima Direct
6/26/2003	IP059	Calif. Care (Humboldt Del Norte)
2/01/2009	IP020	California Primary Care Medical Group (Labs Only)
6/26/2003	59334	Cambridge ISG
5/23/2006	CAMAA	Cameron and Associates
6/26/2003	H0370	Camp Verde Schools	Please contact LTC for more info.
	68195	Campbell Soup Company	Contact HealthSource for Provider I.D.
6/26/2003	37105	Cannon Cochran Management Services, Inc.
6/26/2003	IP080	Cap Management Systems
	38245	Cape Health Plan
2/01/2009	23045	Capital Advantage Insurance Company (CAIC) PROFESSIONAL	BCBS ProviderID and Performing ProviderID required. Call 800-874-8433
	23045	Capital Blue Cross
	87726	Capital Community Health Plan
6/07/2007	95112	Capital Health Plan
6/07/2007	65067	Capital International Management Services
	87726	Capital Records
	68011	Capitol Administrators
8/14/2003	87726	Capitol Dist Physicians Health
6/26/2003	CRAM1	CARE AMERICA
6/26/2003	CRAM2	CARE AMERICA IMGLA
6/26/2003	HM037	Care Choices HMO	Download form via ENS
2/01/2009	38269	Carechoices Michigan - Mercy Healthplans	Enrollment required; please contact Noreen at (248) 489-5281
2/01/2009	77082	Care Improvement Plus
	11331	Care Management Group of Greater NY, Inc.
5/23/2006	00344	Care Management Resources
	43172	Care Partners
2/01/2009	65031	Care Plus
2/01/2009	41222	CARE TO CARE
6/26/2003	14182	CareCore National
9/28/2004	14184	CareCore National - Healthnet
6/26/2003	14179	CareCore National, LLC (Aetna Radiology Claims)
6/26/2003	14180	CareCore National, LLC (Oxford Radiology Claims)
5/23/2006	14185	CareCore National HN NJ
	52118	CareFirst Administrators-Maryland
6/26/2003	BBDCC	CareFirst Blue Cross Blue Shield of DC / NCA	Download form
6/26/2003	BBMD1	CareFirst Blue Cross Blue Shield of MD
6/26/2003	SB691	CareFirst Delmarva Health Plan	Call CareFirst Delmarva HP for Provider I.D.
5/23/2006	57116	CareFirst Health Plan AZ
	25139	CareLink Advantra
	25133	CareLink Health PLan
	25140	CareLink Medicaid
5/23/2006	CM001	CareMore IPA
6/07/2007	25142	Carenet
	H0027	CareNetwork WI Health Org
5/23/2006	39280	CareOne Health Plan
5/23/2006	93975	CareOregon Inc.
5/23/2006	95092	CarePlus Health
	CKOH2	CareSource, Ohio Medicaid
8/14/2003	CSMIP	CareSource MI
6/07/2007	31114	CareSource OH
2/9/2005	37311	CareSource of Indiana
	35167	CareWise
6/26/2003	CRWRK	CAREWORKS	Please contact LTC for more info.
6/26/2003	62073	Cariten Healthcare
6/26/2003	62072	Cariten Senior Health
6/26/2003	37245	Carolina Benefit Administrators Inc.
	57105	Carolina Care Plan
	56195	Carolina Summit Healthcare, Inc.
6/26/2003	25125	Carpenter's Health and Welfare Trust Fund of St. Louis
6/07/2007	COMPU	Carpenters' and Millwrights' Health Benefit Trust Fund
6/07/2007	COMPU	Carpet, Linoleum and Resilient Tile Layers Health and Welfare Fund
	93040	Cascade East Health Plans
	93102	Cascade Health Partners
	37060	Caterpillar
	52132	CBA
6/26/2003	55438	CBCA Administrators
2/01/2009	56215	CBHA Carolina Behavioral Health Alliance
	31158	CBIZ Benefits & Insurance Services (San Diego, CA)
	41124	CBSA
6/26/2003	30452	CCEA CLARK COUNTY ASSOC
	88019	CCEA Welfare Benefit Trust
2/01/2009	CCMC1	CCMC - Comprehensive Care Management Corp
	33005	CCN Managed Care, Inc.
2/01/2009	BBMN1	CCS (Comprehensive Care Systems - MN BCBS)	Download form
2/01/2009	87065	CDO Technologies
2/01/2009	SX065	CDPHP - Capital District Physicians Health Plan	Download form
	H0355	CDS
2/01/2009	TH046	CEDAR RAPIDS ELECTRICAL WORKERS
	95166	Cedars-Sinai Medical Network Services (claims)
	95167	Cedars-Sinai Medical Network Services (encounters)
5/23/2006	CELTC	Celtic Insurance
6/26/2003	37250	Cemara Administrators Inc.
	91136	Cement Masons & Plasterers Health & Welfare Trust - Grp# F16
11/17/2014	68068	Cenpatico Behavioral Health
6/07/2007	68047	Cenpatico Behavioral Health - Kansas
6/07/2007	68048	Cenpatico Behavioral Health of Arizona
6/07/2007	68050	CENPATICO GEORGIA
2/01/2009	68052	Cenpatico Indiana
6/26/2003	30608	CENTENE
6/07/2007	13357	CENTERCARE
6/26/2003	IP080	Centinela IPA
	75243	Centra
	75243	Centra Benefits of Texas (MS,TX,WA)
6/26/2003	75196	Centra Healthplan (Formerly Health Economics Corp)
	H0155	Centra MS
	31118	Central Benefits Life
	31118	Central Benefits Mutual
	31118	Central Benefits National
2/01/2009	IP037	Central Coast IPA (Labs Only)
	75243	Central Healthplan (Formerly Centra Benefits of Texas (MS, TX, WA)
6/28/2004	BE420	Central Iowa Carpenters (Only Non-PPO Claims)
2/01/2009	IP010	Central Pennsylvania Physicians (Labs Only)
	34097	Central Reserve Life
	75177	Central & Southwest Services
	36215	Central States
	36215	Central States Health & Welfare Funds
6/26/2003	37214	Central States Joint Board Health & Welfare Trust Fund
	36215	Central States SE & SW Area
8/14/2003	E3510	Central Valley Medical Group	Contact NAMM @ 800-956-8000 for Provider I.D.
6/28/2004	48120	Century Health Solutions
	04284	CGT Travelers
	23171	CHA-Commonwealth Health Alliance
	35175	Champus Adminastar Indiana
	35175	Champus (See Adminastar)
8/14/2003	84146	CHAMPVA - HAC
	69140	Chapparal Steel Company
2/01/2009	95748	Chartered Health Plan (DC Chartered Health Plan)
6/26/2003	16600	Chautauqua County Healthcare Plan (Mayville, NY)
2/01/2009	CHAT1	Chatwins Healthcare Administrators
6/26/2003	59223	Chesapeake Life Insurance Company
2/01/2009	34154	CHESTERFIELD RESOURCES INC
6/26/2003	30618	Chicago HMO
6/26/2003	H0345	Chicago Woodfield
6/26/2003	30444	Childhealth Plus CHP
8/14/2003	84146	Children of Women Vietnam Veternas - VA HAC
6/07/2007	94302	Chinese Community Health Plan
6/26/2003	ACN01	ChiroCare
6/26/2003	ACN01	Chiropratic Care of Minnesota, Inc.
6/26/2003	ACN01	Chiropratic Care of Wisconsin, Inc.
1/17/2008	UH131	Chiropractic Health Plan ALTIUS
1/17/2008	UH132	Chiropractic Health Plan BCBS
1/17/2008	UH133	Chiropractic Health Plan DMBA
1/17/2008	UH134	Chiropractic Health Plan EMIA
1/17/2008	UH135	Chiropractic Health Plan MEDICAID
1/17/2008	UH136	Chiropractic Health Plan PEHP
1/17/2008	UH137	Chiropractic Health Plan UUHP
1/17/2008	UH138	Chiropractic Health Plan WISE
5/23/2006	33065	CHOC - Children's Hospital Of Orange County Health Alliance
6/26/2003	76049	Choice One/UTMB CHIP Health Plan
	CHPLS	Choice Plus (Administered by KVI)	Call Choice Plus for Provider I.D.
	PR002	Choice Plus (TRW)
	38232	ChoiceNet
	38232	CHP Preferred Choices
5/23/2006	39112	CHP RPU FABOH
	61101	Christi
	61271	Christian Brothers Employee Benefits
	61271	Christian Brothers Services
6/26/2003	SPOHN	CHRISTUS SPOHN
	62308	Cigna
	CIGBH	Cigna Behavioral Health
	H0377	Cigna Community Choice
	62308	Cigna (Connecticut General)
	62310	Cigna Flex Care (New Mexico Only)
	62308	Cigna Georgia
	62308	Cigna Health Plan-HMO
	62308	Cigna Healthcare
6/28/2004	86033	Cigna Healthcare for Seniors - Arizona Medicare
	62308	Cigna Healthplan of Richm
	62308	Cigna Ins.
	62308	Cigna Ins. HMO
	62308	Cigna Ins. Knoxville
	62308	Cigna Ins. Richmond
2/01/2009	ADAM1	CIGNA PAYERPATH TEST
	62308	Cigna-PPA
	62308	Cigna-PPO
2/01/2009	10207	Citrus Health Care
6/07/2007	74234	City of Austin
6/26/2003	H0370	City of Mesa	Please contact LTC for more info.
6/26/2003	H0370	City of Nogales	Please contact LTC for more info.
6/26/2003	H0370	City of Page	Please contact LTC for more info.
6/26/2003	H0370	City of Scottsdale	Please contact LTC for more info.
2/01/2009	CLFR2	CL Frates
6/26/2003	39141	Claim Management Services
	62413	Claims Administration Services
	57080	Claims Ware, Inc. dba Manage Med
2/01/2009	TH006	CLARENDON KIDS CHIP PROGRAM
6/07/2007	33192	Clarendon's Healthy Kids - BENECORP - CADENT
9/28/2004	77201	Clearchoice Health Plan/COIHS
	68195	Cleveland Clinic	Contact HealthSource for Provider I.D.
	34172	Cleveland Health Network
	61271	Clopay
	71063	CNA Health Partners
	71063	CNA Health Partners, Little Rock (Formerly Coresource, Little Rock)
	48153	CNA Health Partners Repricing - AR
	36094	CNA Insurance Company
	62413	CNA Mailhandlers
	68195	CNF Transportation Inc.	Contact HealthSource for Provider I.D.
	16126	CNY Managed Care
6/07/2007	22382	Coalition for Care/Medtrex Payer HS	Call Coalition for Care for Payor I.D.
6/07/2007	22381	Coalition for Care/Medtrex Payer WL	Call Coalition for Care for Payor I.D.
6/07/2007	22380	Coalition for Care/Medtrex Payer TC	Call Coalition for Care for Payor I.D.
6/07/2007	22377	Coalition for Care/Medtrx GH	Call Coalition for Care for Payor I.D.
6/07/2007	22378	Coalition for Care/Medtrx IX	Call Coalition for Care for Payor I.D.
6/07/2007	22379	Coalition for Care/Medtrx L8	Call Coalition for Care for Payor I.D.
6/07/2007	22375	Coalition for Care/Medtrx Payer EM	Call Coalition for Care for Payor I.D.
6/07/2007	22376	Coalition for Care/Medtrx Payer FI	Call Coalition for Care for Payor I.D.
6/07/2007	22374	Coalition for Care/Medtrx Payer HP	Call Coalition for Care for Payor I.D.
6/07/2007	37310	Coast Hotels & Casino, Inc. / DBA Coast Benefits
6/26/2003	H0370	Cochise Health Ins Consortium	Please contact LTC for more info.
2/01/2009	38335	Cofinity (formerly Sloans Lake)
	87726	Colgate Palmolive
	37123	Colonial Healthcare
5/23/2006	84129	Colorado Access
2/01/2009	COHMO	Colorado Blue Advantage
6/07/2007	COMPU	Colorado Laborers Health and Welfare Fund
2/01/2009	SX114	COLORADO MEDICAID ACCESS
	25351	Columbia Cornell Care
	91162	Columbia United Providers
6/26/2003	37271	Combined Benefits, Inc.
	65099	Combustion Engineering
	H0248	Comm Choice Claims Encounters
	34181	Commerce Benefits Group
6/26/2003	37237	CommonWealth Administrative Group
2/01/2009	TH026	COMMONWEALTH ADMINISTRATORS
2/01/2009	14315	Commonwealth Care Alliance
	65099	Commonwealth Edison Company
	25179	Community Care Behavioral Health Organization
	73143	Community Care Managed Health Care Plans of Oklahoma
	33005	Community Care Network
6/28/2004	39126	Community Care Organization
6/07/2007	71079	COMMUNITY CARE PLUS
2/01/2009	61948	COMMUNITY CHOICE HEALTH PLAN OF WESTCHESTER
2/9/2005	38325	Community Choice of Michigan
6/07/2007	COMMF	Community First Health Plan, Inc.
6/26/2003	CFT01	COMMUNITY FIRST TEXAS
6/28/2004	35193	Community Health Alliance (CHA)
6/26/2003	48145	Community Health Choice
	75261	Community Health Electronic Claims (Chec)
6/26/2003	62149	Community Health Network of CT
	90010	Community Health Plan
	23742	Community Health Plan of Albany	Call 518-783-1864 x4360 for Provider I.D.
	90010	Community Health Plan - Milwaukee, WI	Call (262)787-2705 for Provider I.D.
8/14/2003	CHPWA	Community Health Plan - WA
4/15/2012	CLA11	Community Health Solutions
2/01/2009	CMGWV	Community Medical Group of the West Valley
	39026	Community Preferred Health Plan (CA)
	32481	Community Premier Plus for Neighborhood Health Providers
6/07/2007	34177	COMP - OHIO (AUSTINTOWN, OH)
6/26/2003	CH001	COMPANION HEALTHCARE	Please contact LTC for more info.
5/23/2006	37297	CompBenefits Corporation
2/01/2009	34177	Compensation Programs of Ohio, Inc.
	23296	Compfirst
2/01/2009	93101	Complementary HealthCare Plans
2/01/2009	SX004	COMPLETE HEALTH OF ALABAMA
2/01/2009	10005	CompManagement Health Systems, Inc. (OH BWC)	Download form via ENS
2/01/2009	59314	Comprehensive Behavioral Care
	03036	Comprehensive Benefits Administrators, Inc.
	H0356	Comprehensive Health Admin
	61271	Comprehensive Trust
1/31/2011	37363	ComPsych
6/07/2007	74234	CompuSys Incorporated/Erisa Group (AZ, NM, TX, UT)
6/07/2007	COMPU	Compusys of Colorado
	80705	Confederation Admin. Services (DCA)
	80705	Confederation Life Insurance Co.
	06105	Connecticare, Inc
2/01/2009	78375	Connecticare - Medicare
6/07/2007	37307	CONNECTICUT CARPENTERS HEALTH
	62308	Connecticut General (Cigna)
6/26/2003	30356	Connecticut National Life
6/07/2007	63208	Connecticut PRI
6/26/2003	30356	CONSECO MEDICAL INSURANCE CO
	35196	Conseco Services, LLC
	37135	Consociate Group
6/26/2003	75284	Consolidated Associates Railraod
	68195	Consolidated Freightways Corporation	Contact HealthSource for Provider I.D.
	04284	Consolidated Group
6/26/2003	04274	Consolidated Group/HPS
	04284	Consolidated Group/Travelers
4/15/2012	87843	Consolidated Health Plan
4/7/2004	37295	Consumer Health Solutions
	H0327	Constitution Healthcare
4/7/2004	71404	Continental General Insurance Co
	35196	Continental Life & Accident Co
6/26/2003	30356	Continental National Life
	13397	Continuum ABCMSO
6/07/2007	55544	Conversion Plan-APWU
2/01/2009	CCHP1	Cook Children's Health Plan
2/01/2009	CCHP9	Cook Children's Star Plan
2/01/2009	35149	Cook Group Health Plan
	52132	Cooperative Benefit Administrators-CBA
2/01/2009	35199	COOPERATIVE MANAGED CARE SERVICES
3/20/2013	14829	Coordinated Benefits Plan
	58204	Coordinated Medical Specialists
6/26/2003	58231	Core Administrative Services
6/26/2003	30921	CORE MGMT RESOURCES GRP GA
4/7/2004	41045	CoreSource
2/9/2005	35182	CoreSource (IA, IL, MD, PA)
2/9/2005	35180	CoreSource (IN, NC)	Contact CoreSource for enrollment. Email: payorid35180@coresource.com
	75136	CoreSource (Little Rock)
2/9/2005	35183	CoreSource (OH)
4/7/2004	PH018	CoreStar
2/01/2009	41045	CoreStar (AZ, MN)	Only for address in Arizona and Minnesota. For assistance, call 800-698-0106
6/28/2004	CBA11	CornerStone Benefit Administrators
	41124	Corporate Benefit Services of America (CBSA)
	56116	Corporate Benefits Service, Inc.
6/26/2003	37246	Corporate Systems Administration
	43160	Correctional Medical Services
6/26/2003	48146	CorSolutions
4/7/2004	37288	Cottage Health/Hospital
	62553	Country Life Ins. Co.
2/01/2009	VABLS	COVA (Commonwealth of VA)	Requires VA Blue Shield EMC approval
6/26/2003	58102	Covenant Administrators, Inc. (Atlanta, GA)
	62155	Covenant Health
	25144	Coventry - Kansas City Medicare (Advantra)
	25130	Coventry Health Care of Delaware
	25127	Coventry Health Care of Georgia, Inc.
	25131	Coventry Health Care of Indiana, Inc.
	25132	Coventry Health Care of Iowa, Inc.
	25133	Coventry Health Care
	25134	Coventry Health Care of Kansas, Inc. - Wichita
	25135	Coventry Health Care of Louisiana, Inc.
	25136	Coventry Health Care of Nebraska, Inc.
	25129	Coventry Health Care of the Carolinas
2/01/2009	25150	COVENTRY OMNICARE
2/01/2009	25128	Coventry Southern Health Services	The following claims cannot be submitted electronically: Resubmitted, Anesthesia, and Claims with Attachments
4/15/2012	00019	Cox Health Plan
2/01/2009	10014	CRA managed Care (OH BWC)	Download form via ENS
	64068	Creative Medical Systems
	80705	Crown Life
6/26/2003	37266	Croy-Hall Mgmt. Inc.
2/01/2009	59140	Culinary Health & Welfare Fund (Las Vegas, NV)
2/9/2005	39170	Custom Benefit Administrators
2/01/2009	82056	Custome Design Benefits, Inc.
	PR002	Customcare
	PR002	Customcare (Southwestern Bell-Exec)
6/28/2004	BE120	D & V Bricklayers (Only Non-PPO Claims)
6/28/2004	BE110	D & V Cement Masons (Only Non-PPO Claims)
6/28/2004	DAK01	DakotaCare
	65099	Dana Corporation
2/01/2009	06172	DART CONTAINER CORPORATION
6/07/2007	95748	DC Chartered Health Plan, Inc. (Medicaid & Alliance)
9/28/2004	39113	Dean Health Plan
2/01/2009	87726	Definity Health Plan
	25137	Delaware Care
	63081	Delaware Health Plan Consortium
9/28/2004	27009	Delaware Physicians Care, Inc.
6/26/2003	SB691	Delmarva Health Plan - Carefirst	Call CareFirst Delmarva HP for Provider I.D.
6/26/2003	DHS01	Delta Health Systems
	65099	Deluxe Corporation
	H0003	Dentemax
6/26/2003	H0003	Dentemax (MI) - Wisconsin Only
	H0003	Dentemax/DPI
6/26/2003	H0003	Dentemax/DPI (MI) - Wisconsin Only
6/28/2004	84134	Denver Health - Indigent
6/07/2007	84133	Denver Health Medicaid Choice
4/7/2004	84135	Denver Health Medical Plan
6/07/2007	84131	Denver Health Medical Plan, Inc. - Medicare Choice
	58204	Dermatology Network Solutions
5/23/2006	DNS22	Dermatology Network Solutions, LLC BCBS	Payer requires 11 digit member ID Number.
5/23/2006	DNS77	Dermatology Network Solutions, LLC Humana	Payer requires 11 digit member ID Number.
5/23/2006	DNS44	Dermatology Network Solutions, LLC Vista	Payer requires 11 digit member ID Number.
2/01/2009	SX105	DESERET MUTUAL
	H0119	Deseret Mutual Dmba UT
6/26/2003	H0370	Desert De Oro	Please contact LTC for more info.
2/01/2009	PPM01	Desert Family Practice Association
5/23/2006	DESRT	Desert Medical Group
6/07/2007	36436	DESTINY HEALTH
6/07/2007	56240	Detroit Medical Center
6/28/2004	BE170	Detroit Millmen (Only Non-PPO Claims)
6/07/2007	43471	DEVON HEALTH
2/01/2009	25160	DGA - Diversified Group Administrators
4/7/2004	25131	Diamond Plan
6/26/2003	H0370	Dine Schools Employee Benefit	Please contact LTC for more info.
6/26/2003	23706	Directors Guild of America - Producer Health Plan
	06102	Diversified Administration
	06102	Diversified Group
	06102	Diversified Group Brokerage (Marlborough, CT)
	68195	Dixie Yarns	Contact HealthSource for Provider I.D.
	16003	DMERC REGION A	Download form
	17003	DMERC REGION B	Download form
	18003	DMERC REGION C	Download form
	19003	DMERC REGION D	Download form
	85042	Dona Ana Medical IPA
2/01/2009	DNLY1	Donley & Company
	65099	Dow Chemical
6/26/2003	DCHC1	DRISCOLL CHILDRENS HEALTH CHIP
2/01/2009	37600	DSCC - Division of Specialized Care for Children
	68195	Duke Power Company	Contact HealthSource for Provider I.D.
6/07/2007	35186	Dunn and Associates Benefits Administrators, Inc.
6/28/2004	34159	E-V Benefits Management, Inc
	75232	E3 Health, Inc.
	61101	Eagle Creek Medical Plaza
	65009	eAppeal Solutions
2/01/2009	36434	Early Intervention Central Billing
	94318	East Bay Medical Network
2/01/2009	CMSI1	EASTLAND MEDICAL GROUP
	62308	Eaton Benefits - Ohio
	39026	Eau Claire Health Protection Plan
	39026	Eau Claire Providers Choice
2/01/2009	67466	EBA - Employee Benefits America
2/01/2009	CX025	EBMC
	81039	EBMS (Employee Benefit Management Services, Inc.)	Download form
2/01/2009	34166	EBS of Ohio (Valid for PO BOX 2568, Mansfield, OH 44906.)
6/26/2003	MIDW1	ECOH or Employers Coalition
2/01/2009	75277	eComPPO
6/26/2003	EDUMU	EDUCATORS MUTUAL UT
	68195	Edward D. Jones and Company	Contact HealthSource for Provider I.D.
	H0357	EGS Employee Group Services
6/26/2003	30508	Egyptian Area School Benefits
6/26/2003	MIDW1	EHC or Employers Health Cooperative
	73288	EHI (Employers Health Insurance)
	73288	EHS Group Health Plan (Milwaukee, WI)
2/01/2009	EPF03	EL PASO FIRST - CHIP
	52192	Elder Health Maryland/Pennsylvania HMO Inc.
6/28/2004	31625	ElderPlan, Inc.
	75260	Electronic Transmission Corporation
2/01/2009	ECISF	ELLIS CONSULTANTS, INC.
2/01/2009	NAELM	Elmcare
6/26/2003	37253	Elmco
6/26/2003	H0370	Embry Riddle Aeronautical	Please contact LTC for more info.
	34167	Emerald Health Network
	34167	Emerald Health Network, Inc. (All PPO Business)
	34555	Emerald HMO
6/07/2007	59299	EMI-KP Ambulance Claims
	PR002	Emorycare
	73288	Emphesys
	BBNYE	Empire Blue Cross Blue Shield (NY)	Download form
	MRNYE	Empire Medicare (NY)	Download form
6/26/2003	IP079	Empire Physicians MG	Call or email LTC.
5/6/2015	87726	Empire Plan
6/26/2003	H0370	Empire Southwest	Please contact LTC for more info.
	34854	Employee Benefit Administrators
6/28/2004	call	Employee Benefit Claims (EBC)- Mid-America, WI	To obtain the payer ID, please call (440) 262-1160.
	38241	Employee Benefit Concepts (Farmington Hills, MI)
2/01/2009	37257	EMPLOYEE BENEFIT CONSULTANTS (MILWAUKEE, WI)
4/7/2004	37215	Employee Benefit Corporation
4/7/2004	CX025	Employee Benefit Management Corporation
6/26/2003	37216	Employee Benefit Services
2/01/2009	41198	EMPLOYEE BENEFIT SERVICES OF LOUISIANA, INC (EBS)
6/07/2007	22262	Employee Benefits Administration and Management Corp
	03036	Employee Benefits Plan Administration, Inc. (EBPA)
5/23/2006	41198	Employee Benefit Resources of LA, Inc.
6/07/2007	75184	Employee Claim ADJ Dallas, Texas
	34853	Employee Group Services
	35112	Employee Plans, LLC
	54098	Employee Security Inc.
5/23/2006	74212	Employer Plan Services
6/07/2007	MIDSC	Employers Coalition On Health (ECOH)
4/7/2004	75232	Employers Direct Health
6/28/2004	75236	Employers Direct Health - Employee Plan
6/28/2004	75235	Employers Direct Health - FI
6/28/2004	75233	Employers Direct Health - SF
2/01/2009	27008	Employers Health Cooperative (EHC)
	73288	Employers Health Insurance
	39026	Employers Insurance of Wausau - Aka Wausau
6/26/2003	37249	Employers Life Insurance Corp.
	59298	Employers Mutual, Inc (FL)
6/26/2003	35206	Encircle PPO
	87726	Encompass
	35206	Encore Health Network
	36364	ENH Medical Group IPA
	91136	Enstar Natural Gas
	91136	Enstar Natural Gas - Grp# P61
2/01/2009	EPNSH	EPN - Seton Health Plan Exclusive	Provider ID required. Call EPN.
	62308	Equicor
	62308	Equicor (Equitable HCA Corp)
	62308	Equicor-PPO
	75196	Equifax Healthcare Admin. Svc.(EHAS)(formerly Health Economics Corp)
	62308	Equitable (Cigna)
6/07/2007	73126	Equitable Plan Services (Oklahoma City, OK)
	23250	Erin Group Administrators
	74234	Erisa Administrative Services
	65099	Ernst & Young
6/07/2007	34108	ES Beveridge and Associates
2/01/2009	SX008	ETHIX MID WEST
	H0334	Evercare
2/01/2009	07501	Evercare Star Plus
	58233	Evergreen Health Plan
2/01/2009	59313	Evolutions Healthcare
	68195	Excel Industries Inc.	Contact HealthSource for Provider I.D.
6/26/2003	IP080	Exceptional Care Medical
	71412	Exclusicare
	H0358	Eye Associates Network
6/28/2004	BVES1	EYE SPECIALISTS	Download form via ENS
4/7/2004	37289	F.A. Richard & Associates, Inc. (FARA)
6/07/2007	95432	FACEY MEDICAL FOUNDATION
9/28/2004	37300	FACS Group (Federated Benefits/HR Services)
9/28/2004	SX072	Fallon Community Health Plan	Download form via ENS
2/01/2009	FCD01	Family Care Medicaid
2/01/2009	FCM01	Family Care Medicaid Mental Health
2/01/2009	FCR01	Family Care Medicare
7/17/2013	93121	Family Care (PH Tech)
6/26/2003	IP080	Family Choice Medical
6/26/2003	IP080	Family Health Alliance
	30281	Family Health Cooperative
	H0003	Family Health Network
6/26/2003	H0003	Family Health Network - Wisconsin Only
2/01/2009	31472	FAMILY HEALTH PARTNERS - HEALTHWAVE OF KANSAS
6/26/2003	43173	Family Health Partners/MC+ Missouri
6/07/2007	96865	Family Health Plan
	30281	Family Health Plan Cooperative-Milwaukee, WI
	FHP01	Family Health Plan of Ohio
6/26/2003	30444	Family Health Plus FHP
	90010	Family Health Systems - WI - Community Health Plan	Call (262)787-2705 for Provider I.D.
	30281	Family Health Systems - WI - Family Health Plan Coop.
6/07/2007	36396	FAMILY MEDICAL NETWORK
6/26/2003	30888	FAMILY PRACTICE ASSOCIATES
6/26/2003	IP017	Family / Seniors Medical Group, Inc. (Labs Only) - IPA	Call SMG for Provider I.D.
	87726	Famous Barr
2/01/2009	37289	FARA Benefit Services, Inc.
	68195	Farm Credit Council Services	Contact HealthSource for Provider I.D.
6/07/2007	14140	Farm Family Albany, New York
6/07/2007	33033	FCE Benefit Administrators, Inc.
2/01/2009	C2BLS	Federal Employee Program (Connecticut)
	41041	Federated Mutual Insurance
	H0003	FHC - Super Select
6/26/2003	H0003	FHC Super Select (FL) - Wisconsin Only
6/07/2007	COFHP	FHP of Colorado - HMO claims only.  Trading Partner Number required
	H0003	FI Health Choice
	H0003	FI Health Choice Select
6/26/2003	11315	Fidelis Care NY
2/01/2009	77054	Fidelis Secure Care
10/2/2003	FAMR1	First Administrators	Call First Administrators for Provider I.D.
	69140	First Allmerica Financial Life Insurance Co.
	56196	First Carolina Care
	14162	First Choice (CT)
	91131	First Choice - Health Network
6/07/2007	75138	FIRST CHOICE OF MIDWEST
	80705	First Great-West Life & Annuity
	90060	First Guard Health Plan
	80705	First GWL & A
	87043	First Health
	87043	First Health (Alta Health Strategies)
2/01/2009	73159	FIRST HEALTH NETWORK
	87043	First Health Strategies
6/26/2003	30537	FIRST INTEGRATED HEALTH
	06108	First Option Health Plan	Payer requires unique provider ID; please call (866) 334-4638.
	23241	First Priority
2/01/2009	87726	First Seniority Freedom
2/01/2009	59276	First Service Administrators
6/26/2003	ARFS1	FIRST SOURCE UF CW TRUST	Please contact LTC for more info.
	63080	First State Health Plan
2/01/2009	TH003	FIRSTCARE AND FIRSTCARE STAR MEDICAID
	H0025	FirstCare HMO	Call Firstcare HMO for Provider I.D.
2/01/2009	94999	FirstCare Star Medicaid
11/17/2014	49096	FirstCare Health Plan
	90060	Firstguard Health Plan
2/9/2005	90061	FirstGuard Missouri
2/01/2009	62061	Fiserv Health - Kansas
6/07/2007	11244	Fitzharris & Company, Inc.(Farmingdale, NY)
	60054	Flexcare
6/28/2004	BEJ70	Flint Sheet Metal Workers Local 7, Zone 4 (Only Non-PPO Claims)
	59276	Florida 1st
6/26/2003	H0003	Florida Health Choice (FL) - Wisconsin Only
6/26/2003	H0003	Florida Health Choice/Select (FL) - Wisconsin Only
6/07/2007	59321	FLORIDA HOSPITAL HEALTHCARE SYSTEMS
6/26/2003	30936	FLORIDA HOSPITAL HLTH SYSTEMS
	48116	Florida Hospital Waterman
2/01/2009	65083	Florida Netpass
	60054	Florida Power & Light
2/01/2009	APBPN	FloridianCare
2/01/2009	20165	FloridianCare (SFL) American Pioneer Health Plan
	48117	FMH Benefit Services, Inc.
	65099	Ford Motor Company
6/28/2004	87066	Formax, Inc.
	81017	Fortis Benefits - Self Funded Insurance
	39065	Fortis Insurance Company
	41124	Fortis Self Funded Administrative Services
2/01/2009	39065	FORTIS Western
2/01/2009	BOONG	FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN
	H0379	Foundation For Medical Care
	94156	Foundation For Medical Care of Sonoma County
6/26/2003	FH001	Foundation Health	Call or email LTC.
2/01/2009	FH002	Foundation Health - HMO of CA
6/26/2003	59257	Foundation Health Plan (Sunrise, FL)
	64067	Fox Everett-Ingallis Ship Building
	64069	Fox-Everett, Inc.
2/01/2009	FVMCH	Fox Valley Medicine Site 199
2/01/2009	FVMC1	Fox Valley Medicine Site 451
6/26/2003	30358	FPA MEDICAL MANAGEMENT
5/5/2010	71768	Freedom Blue (Highmark)	Download form
4/7/2004	62324	Freedom Life Insurance Co.
6/26/2003	IP080	Freeman IPA
2/01/2009	TH118	Fresenius Medical Care
4/7/2004	FBC22	Fringe Benefits Coordinators
6/07/2007	34171	FrontPath Health Coalition
6/07/2007	PRGON	Ft Collins IPA (Paragon)
	75238	G.E. Group Administrators
	67815	G.E. Group Life Assurance Company
2/01/2009	37283	GALLAGHER BENEFIT ADMINISTRATORS, INC/GBA
6/26/2003	30005	Galveston County Indigent Health Care
	H0133	Garden State Health Plan GSHP
2/01/2009	10009	Gates McDonald Health Plus, Inc. (OH BWC)	Download form via ENS
	25169	Gateway Health Plan
6/07/2007	60550	Gateway Health Plan - Medicare Assured
2/01/2009	91741	Gateway Health Plan of Ohio, Inc.
5/23/2006	GATEW	Gateway IPA
5/23/2006	37283	GBA AAG
5/23/2006	67815	GEGLAC
	44054	GEHA Government Employees Hospital Association
	30594	Geisinger Health Plan	Download form
	H0123	Gem UT
5/23/2006	MCS01	GemCare
2/01/2009	63665	Gencare Health (St. Louis)
	68195	Gencorp Inc.	Contact HealthSource for Provider I.D.
	63665	Genelco (St. Louis)
	63665	General American Life Insurance Co.
6/26/2003	IP062	General Hospital (Humboldt Del Norte)
	PR002	General Mills
	87726	General Motor
6/26/2003	30002	General Tire
6/26/2003	16112	Genesee County Medical Plan
6/26/2003	IP087	Genesis Healthcare (EMG)	Call or email LTC.
2/01/2009	67815	Genworth Life and Health Insurance Company (GLHIC) (Now Sun Life and Health Insurance Company.)
	H0182	George Washington Univiversity Health Plan	Call G.W.U.H.P. for Provider I.D.
	58207	Georgia Health Plus
	01124	Georgia Power Co
	61271	Georgia Power Medical Benefits Plan
	61271	Georgia Power Medical Benifits Plan
2/01/2009	GABLS	Georgia State Health Benefit Plan (Processed by GA BC/BS)	Download form via ENS
2/01/2009	23212	Gettysburg Health
6/07/2007	59041	GEVB - PIC (GE Voluntary Benefits Professional Insurance Company)
6/26/2003	91051	GH Basic Health Plan	Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003	91051	GH Individual and Family Plan	Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003	91051	GHC - Commercial	Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003	91051	GHC Medicare + Choice	Call Grp. Hlth. Coop. for Provider I.D.
	25531	GHI HMO Select
	13551	GHI - New York	Call GHI @ 212-615-4362 for Provider I.D.
	58204	GI Innovative Management
	65099	GIC Indemnity Plan
6/26/2003	H0370	Gilbert Public Schools Emp Grp	Please contact LTC for more info.
	07205	Gilsbar, Inc.
6/07/2007	COMPU	Glassworkers and Glaziers Health and Welfare Fund Trust
	91136	Glassworkers Health & Welfare Fund - Grp# F29
2/01/2009	AMM01	GLENDALE PHYSICIANS ALLIANCE
2/01/2009	07689	Global Care Inc
2/01/2009	75246	GM Southwest
6/07/2007	47083	GMS, Inc.
	37602	Golden Rule Insurance Co.
	37602	Golden Rule Insurance Ims
6/26/2003	30889	GOLDEN TRIANGLE PHYS ASSOC
6/26/2003	IP086	Good Samaritan Medical Practice Association (GSMPA)	Call or email LTC.
	34025	Goodyear Tire & Rubber Company
	44054	Government Employees Hospital Assn. (GEHA)
	58204	Grady Healthcare Inc.
6/26/2003	GCS01	Granite City Steel
6/26/2003	37234	Grant Physicians Practice Association
	95467	Great Lakes Health Plan
6/26/2003	80705	Great West Care
	80705	Great West Life
2/01/2009	63665	Great West Life & Annuity (Claims for Kennett, Missouri ONLY)
2/01/2009	80705	Great-West Bellevue
2/01/2009	EC001	GREATER COVINA MEDICAL GROUP
6/26/2003	IP080	Greater L.A. Health
	39026	Greater Lacrosse 65+
	H0026	Greater Marshfield Health Plan
6/26/2003	IP080	Greater San Gabriel
	39026	Greater WI Rapids Health Protection Plan
	39026	Greater WI Rapids Providers Choice
	39026	Green Bay Health Protection Plan
2/01/2009	78521	Greentree
	68195	Ground Round	Contact HealthSource for Provider I.D.
6/28/2004	GASA1	Group Admin Self-Funded Alternative
	36338	Group Administrators LTD.
6/26/2003	31047	GROUP AND PENSION ADMIN TEXAS
6/26/2003	48143	Group and Pension Administrators
6/07/2007	72153	GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE, TN)
	38223	Group Benefit Services, Inc.
6/26/2003	30565	GROUP HEALTH COOP ENCOUNTER
	91121	Group Health Cooperative East
2/01/2009	95192	Group Health Cooperative of Eau Claire
	91051	Group Health Cooperative of Puget Sound	Call Grp. Hlth. Coop. for Provider I.D.
3/20/2013	39167	Group Health Cooperative of South Central Wisconsin
	91051	Group Health Cooperative (Wa)	Call Grp. Hlth. Coop. for Provider I.D.
	91051	Group Health Cooperative - West	Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003	30563	GROUP HEALTH COOPERATIVE WI
2/01/2009	13551	Group Health Incorporated (GHI) (New York)
	61101	Group Health Insurance--DE
6/28/2004	38194	Group Health Managers
6/26/2003	30301	GROUP HEALTH NORTHWEST
6/26/2003	91051	Group Health Options, Incorporated Alliant Plus	Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003	91051	Group Health Options, Incorporated Alliant Select	Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003	91051	Group Health Options, Incorporated Options	Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003	91051	Group Health Options, Incorporated Options Prime	Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003	91051	Group Health Options, Incorporated Options Select	Call Grp. Hlth. Coop. for Provider I.D.
	00340	Group Health Plan, Inc.	Call Grp. Hlth. Plan Inc. for Provider I.D.
6/07/2007	37276	Group Insurance Service Center, Inc.
6/07/2007	68046	Group Practice Affiliates
	16126	Guardian Choice, the
	64246	Guardian Life Insurance Company
8/14/2003	GSHPP	Gulf South Health Plans
6/26/2003	30890	GULFQUEST
6/07/2007	39180	Gundersen Lutheran Health Plan, Inc.
6/26/2003	H0370	Gutierrez Palmenberg Inc	Please contact LTC for more info.
	80705	GWL
	80705	GWL & A
	61101	H.A.C. Inc.
	37114	H.E.R.E.I. Welfare Pension Funds
1/14/2010	36405	Harmony Health Plan
3/20/2013	36406	Harmony Health Plan Of Illinois
	36405	Harmony Health Plan Of Indiana
5/23/2006	HJMG1	Harriman Jones
	75196	Harrington Benefit Service, Inc./Centra
	95266	Harrington Benefit Services
	95266	Harrington Benefit Services, Inc. (Formerly R.E. Harrington)
	06131	Harrington Benefit Services, Inc. (Formerly Third Part Claims Mgmnt)
	59142	Harrington Benefit Services, Inc. (Oklahoma)
	95959	Harris Methodist Health Plan	Call Harris Methodist H.P. @ 800-845-6592 for Provider I.D.
	75202	Harris Methodist Health Plan (For HMO Medicaid Product)
6/26/2003	HMP01	Harris Methodist Pacificare
4/15/2012	22357	Hartford Accident and Indemnity Co.
4/15/2012	29424	Hartford Casualty Insurance Co.
4/15/2012	19682	Hartford Fire Insurance Co.
4/15/2012	37478	Hartford Insurance Co. of the Midwest
4/15/2012	70815	Hartford Life and Accident Insurance Co.
4/15/2012	71153	Hartford Life and Annuity Insurance Co.
4/15/2012	88072	Hartford Life Insurance Co.
4/15/2012	30104	Hartford Underwriters Insurance Co.
	65099	Hartmarx
	H0077	Harvard Community Health	Call HCH for Provider I.D.
	04271	Harvard Pilgrim Health Care	Providers must contact the payer at 617-745-1000 to complete an EDI agreement and become enrolled before submitting claims.
5/6/2015	87726	Harvard Pilgrim Passport Connect
6/26/2003	30034	Harvey Industries
6/26/2003	30879	HAUTAUQUA COUNTY HEALTHCARE
2/01/2009	48330	Hawaii Management Alliance Association (HIMAA)
2/01/2009	99208	Hawaii Management Alliance Association (HMAA)
	86065	Hawki	Call Hawki for Provider I.D.
5/6/2015	HCCMI	HCC Life Medical Insurance
	37111	HCH Administration (Illinois)
6/28/2004	37215	HCH Administration, Inc. (John P Pearl & Associates)
6/26/2003	37329	HCHA Albq-Self Funded
4/7/2004	82018	HCS - Health Claims Service (Boise, ID)
2/01/2009	HDMCO	HDM BENEFIT SOLUTIONS
6/07/2007	90023	HDPC - Premier Healthcare
6/07/2007	20257	HDPC/Alliance Physicians
6/28/2004	23173	Health 1,2,3, Inc.
	34185	Health Administration Service, Inc.
	HLAD1	Health Advantage	Call Health Advantage for Provider I.D.
2/01/2009	ARBLS	Health Advantage of Arkansas	Download form via ENS
	23172	Health Alliance Exclusive & Plus
2/01/2009	88461	HEALTH ALLIANCE
	77950	Health Alliance Medical Plans
	H0028	Health Alliance of Urbana IL	Call Health Alliance for Provider I.D.
	38224	Health Alliance Plan of Michigan
6/26/2003	HAP01	Health Allliance Plan (hap)
	25126	Health America, Inc./Health Assurance/Advantra	Call Health America for Provider I.D.
2/01/2009	25126	Health Assurance
4/7/2004	60054	Health Care Alliance (Sears)
2/01/2009	HCDPB	Health Care District Palm Beach
6/28/2004	42102	Health Care Network of Wisconsin (HCN)
	34193	Health Care Payer's Coalition (claims mailed to PO Box 741, Toledo)
	34193	Health Care Payer's Coalition (Toledo, OH)
	16107	Health Care Plan / Choicecare (Buffalo)	Download form via ENS
	56142	Health Care Savings
	59142	Health Choice
6/07/2007	62179	HEALTH CHOICE AZ
4/7/2004	01260	Health Choices (Pennsylvania)	Contact Health Choices for Provider I.D.
4/7/2004	82018	Health Claims Service (HCS)
1/17/2008	85729	Health Comp
10/2/2003	37263	Health Connecticut
6/28/2004	62111	Health Cost Solutions
	46112	Health Data Solutions
	34158	Health Designs Plus (Hudson, OH)
	75196	Health Economics Corp (See Equifax)
6/26/2003	16112	Health Economics Group, Inc.
	75196	Health Economics Peia Rockwell
	16120	Health EZ
4/7/2004	95019	Health First Health Plan
6/26/2003	HFRST	HEALTH FIRST NETWORK
2/01/2009	75234	Health First-Tyler, TX
6/07/2007	30946	Health Future, LLC.
2/01/2009	59087	Health Help Networks, Inc.
	H0029	Health Link
2/01/2009	TH049	HEALTH MANAGEMENT ADMINISTRATORS (HMA)
2/01/2009	86066	Health Management Associates (HMA, servicing Southeastern and Southwestern Regions)	Provider ID Required. Call HMA.
2/01/2009	10006	Health Management Solutions (OH BWC)	Download form via ENS
2/01/2009	62295	Health Market Care Assured
	95567	Health Net - California
	95570	Health Net - California (Encounters)
	95567	Health Net - California (Rosters)
6/26/2003	30224	Health Net CT
6/26/2003	HM001	Health Net (Encounters Only)	Call or email LTC.
6/26/2003	30400	HEALTH NET INCORPORATED
	H0003	Health Net - Nashville
6/26/2003	30224	Health Net NJ
6/26/2003	30224	Health Net NY
6/26/2003	38309	Health Net of Arizona
	95567	Health Net of California and Oregon
	06108	Health Net of the Northeast, Inc.	Payer requires unique provider ID; please call (866) 334-4638.
	22340	Health Net - Oregon
6/26/2003	30224	Health Net PA
2/01/2009	SX185	HEALTH NET PEARL
	H0003	Health Net Plus
6/26/2003	H0003	Health Net Plus (TN)
6/26/2003	H0003	Health Net Plus (TN) - Wisconsin Only
4/7/2004	20199	Health Network America
	H0030	Health Network Oakbrook
	H0030	Health Network PPO Oakbrook
	04286	Health New England
	58216	Health One Alliance
6/26/2003	HOCO1	HEALTH ONE
	H0238	Health Options HMO
2/01/2009	FLHLT	Health Options of Florida (Blue Shield HMO)
2/01/2009	FLENC	Health Options of Florida (Blue Shield HMO) ENCOUNTERS ONLY
6/26/2003	HOIH1	HEALTH OPTIONS INC HFN
	06137	Health Partners - Connecticut
	62157	Health Partners - Jackson, TN
	HLTHC	Health Partners - Minnesota	Download form
6/26/2003	H0378	Health Partners North	Please contact LTC for more info.
	80142	Health Partners - PA
	H0382	Health Partners South
6/26/2003	30372	HEALTH PLAN ADMINISTRATORS
	37221	Health Plan Management
5/23/2006	52563	Health Plan of MI
5/6/2015	76342	Health Plan of Nevada
5/6/2015	76343	Health Plan of Nevada (Encounters)
2/01/2009	68035	Health Plan of San Joaquin
2/01/2009	HPSM1	Health Plan of San Mateo
	94254	Health Plan of the Redwoods
	59140	Health Plan Services
6/26/2003	HPSOK	Health Plan Services Ok
6/26/2003	59256	Health Plan Southeast (Tallahassee, FL)
	44273	Health Plans Inc.
	95435	Health Pledge HMO
5/23/2006	HCP01	Health Plus PHSP
4/6/2011	11324	Health Plus PHSP New York
	87043	Health Right Inc. If Connecticut (Dental)
	41170	Health Risk Management
6/07/2007	37290	HEALTH SERVICES FOR CHILDREN WITH NEEDS
6/28/2004	HSM01	HEALTH SERVICES MANAGEMENT	Download form via ENS
	34167	Health Services Preferred (Hsp) By Emerald Health
6/26/2003	30500	HEALTH SOLUTIONS
	57102	Health Strategies
2/01/2009	27008	HEALTH SYSTEMS INTERNATIONAL - (ECOH)
	61101	Health Value Mgmt.--DE (Humana)
	34654	Health & Welfare Fund of the Plumbers & Pipefitters Local Union # 396, OH
2/01/2009	TH049	Healthcare Management Admin
2/01/2009	HMA01	Healthcare Management Administrators, Inc. (also known as HMA, servicing Western Region)
5/23/2006	HCP01	Healthcare Partners Medical Group
	H0003	HealthCare Preferred
6/26/2003	H0003	Healthcare Preferred (IA) - Wisconsin Only
6/28/2004	82468	Healthcare Resource Group (HRG)
6/07/2007	73147	Healthcare Solutions Group
6/07/2007	31147	HEALTHCARE TRANSACTION PROCESSORS
3/20/2013	25143	HEALTHCARE USA
6/26/2003	36335	Healthcare's Finest Network
	62168	Healthchoice of Memphis
5/23/2006	85729	HealthComp Inc.
	59608	HealthEase
6/26/2003	30444	Healthfirst 65 Plus
	80141	HealthFirst, Inc. (NY)	Contact HealthFirst for Provider I.D.
	CB833	Healthfirst (Now Medical Mutual of Ohio)	Call MM of Ohio for Provider I.D.
6/26/2003	30444	Healthfirst PHSP
	75234	Healthfirst - Tyler, TX
	23226	Healthguard of Lancaster
	59087	Healthhelp Networks, Inc.(HHNI)
6/26/2003	H0015	Healthkeepers
	H0399	Healthlink CA
	96475	Healthlink HMO
6/26/2003	30508	HealthLink NCPPO
	90001	Healthlink PPO	Call Healthlink @ 314-989-6000 for Provider I.D.
2/01/2009	SX010	HEALTHMARK PLUS/HEALTHPOINT
2/01/2009	38309	Healthnet of AZ
6/07/2007	55204	Healthnow Division
	H0249	Healthone Claims Encounters
	95266	Healthplan Service Harrington (Columbus, OH)
	59142	Healthplan Services
	59142	Healthplan Services (Oklahoma)
	59140	Healthplan Services (Tampa Only)
1/17/2008	11271	HealthPlex
2/01/2009	95009	HealthPlus of Lousiana
6/07/2007	38216	HealthPlus of Michigan
2/01/2009	68195	Healthpoint Corporation
	31106	HealthPower HMO
	06142	HealthRight Inc. (Medical)
	71063	HealthSCOPE Benefits, Inc. (Formerly CNA Health Partners)
	Call	HealthSCOPE Benefits, Inc. (PCP only)	Call Jonda Brown @ 800-972-3025 for Payor I.D.
	48153	HealthSCOPE BENEFITS, Inc. (Repricing AR)
3/20/2013	37283	Healthsmart Benefit Solutions
6/26/2003	HSPC1	HealthSmart Preferred Care, Inc.
	37602	HealthSmart/Beech Street PPO
2/9/2005	62308	HealthSource, AR	Contact HealthSource for Provider I.D.
	71075	HealthSource, AR Medicare
	H0217	Healthsource Arkansas Medicare
	02041	HealthSource CMHC
2/9/2005	62308	HealthSource, GA	Contact HealthSource for Provider I.D.
	35167	Healthsource, IN
	61127	HealthSource, KY
2/01/2009	01041	Healthsource Maine	Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID
	02041	HealthSource Massachusetts, Inc.
2/9/2005	62308	HealthSource, NC	Contact HealthSource for Provider I.D.
2/9/2005	02038	HealthSource, NH	Contact HealthSource for Provider I.D.
	H0218	Healthsource NH Medicare
2/9/2005	62308	Healthsource, North Texas	Contact HealthSource for Provider I.D.
	16126	Healthsource, NY
	31141	Healthsource, OH
2/9/2005	62308	Healthsource Provident Administrators, Inc.	Contact HealthSource for Provider I.D.
2/9/2005	62308	Healthsource Provident (CIGNA)	Contact HealthSource for Provider I.D.
2/9/2005	62308	Healthsource Provident Insurance	Contact HealthSource for Provider I.D.
	06119	HealthSource, SC (HealthSource Network Providers Only)
2/9/2005	62308	HealthSource, TN	Contact HealthSource for Provider I.D.
	Call	HealthSource/Hudson Health Plan	Call Sam Gutwilligat @ 914-372-2291 for Payor I.D.
	63086	HealthSouth Medical Plan Administrators
6/26/2003	HT001	HealthSpring
	36332	HealthStar, Inc
2/01/2009	31472	Healthwave of Kansas
2/01/2009	58213	Healthways WholeHealth Networks
	69140	Healthy Choice
	69140	Healthy Choice Plus
6/26/2003	91051	Healthy Options (DSHS)	Call Grp. Hlth. Coop. for Provider I.D.
2/01/2009	95827	Healthy Palm Beaches, Inc.
6/07/2007	22148	HEAVY AND GENERAL LABORS FUND OF NEW JERSEY
2/01/2009	00243	Helix Family Choice
	H0189	Hemato Oncology Care Hip S FL
	Call	HEP Administrators (PPO)	Call HEP for Payor I.D.
	Call	HEP Adminsitrators, Inc. (Non-PPO)	Call HEP for Payor I.D.
	68195	Hercules Inc.
8/14/2003	30550	Hereiu Welfare Fund
	59230	Heritage Consultants
	95378	Heritage HMO	Call Heritage HMO @ 309-765-0558 for Provider I.D.
2/01/2009	HER01	HERITAGE IPA
	11328	Heritage New York Medical Group
6/26/2003	HPN01	HERITAGE PHYSICIANS NETWORK
	36335	HFN, Inc.
	59087	HHNI Aetna
	59087	HHNI Beech Street
	59087	HHNI Capp Care
	59087	HHNI Foundation
	59087	HHNI Humana
	59087	HHNI Intracorp
	59087	HHNI Managed Care of America
	59087	HHNI Multiplan
	59087	HHNI One Health Plan of FL
	59087	HHNI St. Augustine Healthcare
	59087	HHNI Tricare
	59087	HHNI USA
2/01/2009	HERZ0	Hi Desert Medical
	87726	Hi-Tech Industires
5/23/2006	HDMDG	High Desert Medical Group
6/07/2007	33069	High Desert Primary Care
2/01/2009	91164	Highline Medical Services MOLINA
2/01/2009	91161	Highline Medical Services PSHP
2/01/2009	35145	Highmark - Key Family
6/07/2007	37323	HIGHMARK COMMERCIAL
6/26/2003	HIL01	Hill Physicians Medical Group	Download enrollment form and call HPMG @ 800-445-5747 for Provider I.D.
6/28/2004	59347	Hillcrest Benefit Administrators
8/14/2003	30545	Hinsdale Physicians Health
	H0407	Hip Health Plan of NJ
	55247	HIP-Health Insurance Plan of Greater New York
6/26/2003	HPB01	HIPAA PROFESSIONAL BLUE
6/26/2003	HPC01	HIPAA PROFESSIONAL COMMERCIAL
6/26/2003	HPM02	HIPAA PROFESSIONAL MEDICAID
6/26/2003	HPM01	HIPAA PROFESSIONAL MEDICARE
	86065	HMA, Inc. (Arizona)
6/07/2007	86066	HMA HAWAII
6/26/2003	30499	HMA IOWA
2/01/2009	HM033	HMO Blue - MediCaid
	H0268	HMO Central NY
6/26/2003	CB833	HMO Health Ohio
2/01/2009	COHMO	HMO of Colorado (also known as HMOC)	Prior appproval by HMOC required prior to sending claims electronically
	61101	HMPK, Inc.
6/26/2003	HMSAH	HMSA HAWAII COMMERCIAL
6/26/2003	IP080	Hollywood Presbyterian
	34150	Home Town Health Network
2/01/2009	VAICE	Homeland Security (ATTN: Deportation)
	H0003	Homestead CHP/S Miami Health
6/26/2003	H0003	Homestead CHP/S - Wisconsin Only
2/01/2009	88023	Hometown Health Plan Nevada
2/01/2009	30757	Hometown Health Plan of Ohio
	H0131	Hoosier Healthwise Medicaid of Indiana	Please contact LTC for more info.
2/01/2009	HMLIC	Horace Mann Life Insurance
	22099	Horizon Blue Cross Blue Shield of New Jersey	Please contact LTC for more info.
6/26/2003	22304	Horizon HealthCare Admin (HHA)
	22326	Horizon Mercy/NJ Health
6/07/2007	37274	Hospital Benefits, Inc.
	91136	Hotel Employees & Restaurant Employees Health Trust - Grp# F19
	61101	HPlan, Inc.
	94254	HPR
	94254	HPR (Health Plan of the Redwoods)
	58227	HPS Paradigm, Inc.
	41170	HRM
	41170	HRM Claim Management
	55905	HSI Health Plan (CO)
6/26/2003	H0370	Hualapai Nation	Please contact LTC for more info.
6/07/2007	13335	Hudson Health Plan
	61101	Humana
	61101	Humana Care Plan
6/26/2003	61101	Humana Emphesys
	73288	Humana - Employers Health Insurance
	61102	Humana Encounters
	61101	Humana Group Health Plan (Formerly GHA of Washington DC)
	61101	Humana Health Chicago Ins. Co.
	61101	Humana Health Plan
	61101	Humana Insurance Agency
	61101	Humana Insurance Company
	61101	Humana Medical Plan - CA
	61101	Humana Medical Plan - KY
	CH002	Humana Military-Tricare Regions 3 and 4	Call Humana Military for Provider I.D.
6/26/2003	65018	Humana Puerto Rico
2/01/2009	61160	HUMANA VETERANS HEALTHCARE SERVICES
	61101	Humana Wisconsin Health Org. (Formerly Carenetwork/Wisconsin Hlth Org)
	61103	Humana Workers Compensation of Ohio
6/07/2007	94154	Humboldt-Del Norte Foundation for Medical Care
	61101	Humco, Inc.
	61101	Humrealty, Inc.
6/26/2003	37260	Hunt Insurance Group
6/26/2003	IP080	Huntington Park Medical Group
6/26/2003	IP080	Huntington Park Mission
6/26/2003	30002	Hussman Refrigeration
	41600	I'Mcare
4/7/2004	22175	I. E. Shaffer (West Trenton, NJ)
6/26/2003	38234	IBA Self Funded Group
	54704	IBC Personal Choice (Independence BCBS of PA)	Enrollment online via the Highmark web site: Web Enrollment Form
6/28/2004	BE250	IBEW Local 17 (Only Non-PPO Claims)
6/07/2007	74234	IBEW Local 640 & Arizona Chapter NECA Health & Welfare Trust
6/07/2007	74234	IBEW Western Utilities or Local 57
	41124	IBI
4/7/2004	60054	IBM Medical Plans
2/01/2009	11695	iCARE (Independent Care Health Plan)
2/01/2009	37296	ICM
6/28/2004	75185	ICON Benefits Administrators
2/01/2009	TRUEB	Idaho True Blue	Download form via ENS
11/17/2014	12422	IFB (Medica)
	68195	IGA Group Employee Benefit
3/20/2013	UH107	IHC - Intermountain Health Care	Contact payer at 801-442-5442 before sending claims to verify provider numbers.
2/01/2009	35204	IHN
6/07/2007	23253	IHS GATEWAY PAYER - VALLEY PREFERRED/SPECTRUM ADMIN
4/7/2004	36600	Illinois Central Hospital Association (Tinley Park, IL)
6/07/2007	86069	Illinois Health Solutions
2/01/2009	41600	IMCARE
6/26/2003	IP089	Imperial Valley Medical Group (IMPV)	Call or email LTC.
6/07/2007	37319	IMSCO HEALTH SYSTEMS
6/07/2007	86070	IMX Easy
	H0034	In Comp Health Ins Assoc Ichia
6/28/2004	40585	INDECS Corporation
2/01/2009	MHM01	Independence Medical Group
6/28/2004	SX073	INDEPENDENT HEALTH
	35204	Indiana Health Network
	35161	Indiana Pro Health Network
	30328	Indiana Prohealth
6/28/2004	35107	Indiana Teamsters Health Benefits Fund (Indianapolis, IN)
	31053	Individual Health Insurance Companies
6/07/2007	COMPU	Industrial Machine Specialties
	52196	Informed, LLC
2/01/2009	31112	InHealth, Inc.
6/07/2007	52212	Injured Workers Insurance Fund
2/01/2009	IEHP1	Inland Empire Health Plan
6/26/2003	30781	Inland Steel
	04320	Innovative Healthware Solutions
6/26/2003	30396	INPRONET
2/01/2009	VAICE	INS Health Services
4/7/2004	60054	Institutes of Quality
6/28/2004	BEM40	Insulators Local 45 (Only Non-PPO Claims)
4/7/2004	37279	Insurance Administrator of America, Inc. (IAA)
	63082	Insurance Claims Services, Inc, (Birmingham, AL)
	13315	Insurance Design Administrators
4/7/2004	88006	Insurance Management Services (Elko, NV)
6/26/2003	30891	INSURANCE SERVICE OF LUBBOCK
	87056	Insurdata
6/07/2007	IAC01	Insurer's Administration Corporation
2/01/2009	51020	INTEGRA ADMINISTRATIVE GROUP (SEAFORD, DELAWARE)
	31127	Integra Group
	31129	Integra Group-CHA
2/01/2009	74314	INTEGRANET
	37124	Integrated Benefit Services, IL (Now Kepple & Co.)
	34167	Integrated Care Network (Icn) By Emerald Health
2/01/2009	10001	Integrated Comp (OH BWC)	Download form via ENS
2/01/2009	68053	Integrated Mental Health Services
	37227	Inter Care Health Plans Inc.
2/01/2009	37241	INTER UNION OF OPER ENG LOCAL 4 HEALTH & WELFARE FUND
	54763	Inter-County Health Plan	Enrollment online via the Highmark web site: Web Enrollment Form
6/26/2003	30397	INTERACTIVE DIAGNOSTIC SERVICE
6/26/2003	30656	INTERGROUP PA
6/28/2004	60280	Interface EAP (IEAP)
	23287	Intergroup Services Corporation
6/07/2007	74234	Intermountain Ironworkers Trust Fund
6/26/2003	36609	International Brotherhood of Boilermakers
6/26/2003	H0370	International Brotherhood of Elec Work	Please contact LTC for more info.
2/01/2009	IMGIN	INTERNATIONAL MEDICAL GROUP, INC
6/26/2003	37241	International Union of Operating Engineers, Local 4 Health & Welfare Fund
6/26/2003	37269	International Union of Operation Engineers ~ Local 15, 15A, 15C & 15D
6/07/2007	84137	InterWest Health (Acceptius Gateway payer)
6/07/2007	20435	INTGRITAS BENEFIT GROUP
	41124	Iowa Benefits Inc.
2/01/2009	TH043	IOWA LABORERS
2/01/2009	TH042	IOWA OPERATING ENGINEERS
4/7/2004	01260	Iowa Plan	Contact Iowa Plan for Provider I.D.
6/26/2003	H0003	Iowa, Envoy Platinum - Wisconsin Only
	86065	Iowa Health Solutions	Call Iowa HS for Provider I.D.
2/01/2009	SX172	IU Medical Group Primary Care
	61271	J.F. Molloy and Associates, Inc.
10/2/2003	37272	J Smith Lanier & Co. Administrators (JSL Admin.)
2/01/2009	05014	Jackson Memorial Health Plan
	60054	JC Penny
	JEFF1	Jefferson Pilot
	60054	Jefferson Smurfit
6/26/2003	PHCFL	Jesuithealthtrust
2/01/2009	JISSP	JI Specialty Services, Inc.
6/26/2003	JMHFL	JMH HEALTH PLAN FLORIDA
2/01/2009	09822	JMHP Medicaid
	41099	John Alden Insurance Company
	95378	John Deere	Call John Deere @ 309-765-0558 for Provider I.D.
	65099	John Hancock Health Security Plan
	65099	John Hancock Mutual Life Insurance Co.
	65099	John Hancock Preferred Health Plan
	65099	John Hancock Unicare
5/23/2006	52189	John Hopkins Healthcare
2/01/2009	38310	John Morrell Company - AHPBA
6/26/2003	JMH01	John Muir Health Network	Call JMHN for Provider I.D.
2/01/2009	68036	John Muir Mt. Diablo Health System
2/01/2009	37215	JOHN P PEARL & ASSOCIATES
	43178	Joplin Claims
	34136	JP Farley Corporation
2/01/2009	MWP01	JPS PREFERRED CARE
2/01/2009	37272	JSL Administrators
5/23/2006	91617	Kaiser Foundation Health Plan of CO
	21313	Kaiser Foundation Health Plan of Georgia
	52095	Kaiser Foundation Health Plan of MD
6/07/2007	94135	Kaiser Foundation Health Plan of Northern CA Region	Call Cheryl G. Robinson @ 866-285-0362 or e-mail her at cheryl.g.robinson@kp.org for Provider I.D.
	94134	Kaiser Foundation Health Plan of Southern CA Region	Call Tina C. Cheung at (626) 405-6404 or e-mail Tina.C.Cheung@kp.org for Provider I.D.
	Call	Kaiser Foundation Health Plan of the Mid Atlantic States, Inc.	Call Kenya Neal @ 800-368-5784 ext 7292 for Payor I.D.
6/26/2003	52095	Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
5/23/2006	34092	Kaiser Health Plan of OH
5/23/2006	93079	Kaiser NW
6/07/2007	COKSR	Kaiser Permanente (Colorado plans only)
6/26/2003	HM036	Kaiser Permanente (Encounter data only)	Call or email LTC.
6/26/2003	HM044	Kaiser Permanente (Encounters-Colorado only)	Call Betsy Baxa @ 303-743-5828 for Provider I.D.
6/26/2003	KS003	Kaiser Permanente (Northen California Only)	Call or email LTC.
	65907	Kaiser Permanente of Georgia
6/26/2003	KS001	Kaiser Permanente (Southern California Only)
	23742	Kaiser Permanente-Northeast Division	Call 518-783-1864 x4360 for Provider I.D.
2/01/2009	94320	Kaiser PPO
	57038	Kanawha Health Care Solutions, Inc.
	57038	Kanawha Insurance Co.
	44030	Kansas City Life Insurance Co.
2/01/2009	KAP01	Kapiolani Health Commercial
2/01/2009	95279	Keenan Associates (CA)
	65099	Kelloggs
8/14/2003	KSC1P	Kelsey Seybold Clinic
	73100	Kempton Company
	73100	Kempton Group Administrators
	63077	Kentucky Health Select
	61101	Kentucky Kare
6/28/2004	BER30	Kentucky Laborers (Only Non-PPO Claims)
	37124	Kepple & Co. (Formerly Integrated Benefit Services, IL)
6/07/2007	77039	Kern Health Systems
	37217	Key Benefit Administrators
	H0036	Key Health Ins
	39026	Key Health Plan (CA)
6/26/2003	IP082	Key Medical Group	Call Brandi Guinn @ 559-735-3892 x233 for Provider I.D.
6/07/2007	37321	KEY SELECT
2/01/2009	VABLS	Keycare PPO	(Requires VA Blue Shield EMC approval)
	95199	Keystone Hlth Plan Cent Clms	Enrollment online via the Highmark web site: Web Enrollment Form
	H0254	Keystone Hlth Plan Cent Encoun
	H0252	Keystone Hlth Plan Cent Mcaid
	H0251	Keystone Hlth Plan Cent Medb
	95056	Keystone Hlth Plan East Clms	Enrollment online via the Highmark web site: Web Enrollment Form
	H0257	Keystone Hlth Plan East Encoun
	H0253	Keystone Hlth Plan HMO Clms
6/26/2003	H0253	Keystone Hlth Plan West Clms
	23284	Keystone Mercy Health Plan
	H0256	KHP Central Mcaid Encounters
	H0255	KHP Central Mcare Encounters
6/26/2003	73288	Kindred Health Care
6/26/2003	34145	KLAIS & Company
2/01/2009	KAMG1	Korean American Medical Group
2/01/2009	IP021	Korean American Medical Group (Labs Only)
6/26/2003	KPS01	KPS
6/26/2003	HM039	LA Care - Encounter data only	Call LA Care for Provider I.D.
4/15/2012	27357	LACare
6/26/2003	LACMH	LA COUNTY MENTAL HEALTH
2/01/2009	WC001	Labor and Industry
6/26/2003	ALMSH	Laclede Steel
	39026	Lacrosse Care Plus
2/01/2009	71037	Lafayette Consolidated Government
6/26/2003	30495	LAKE FOREST MANAGED CARE ASSOC
6/26/2003	H0370	Lake Havasu City	Please contact LTC for more info.
6/26/2003	H0370	Lake Havasu School Employee	Please contact LTC for more info.
	95415	Lakeside Health Services
6/26/2003	95416	Lakeside IPA
	80705	Lakeside Medical Group Inc
6/26/2003	LNDMK	LANDMARK INSURANCE
6/26/2003	H0308	Lanier Worldwide
6/26/2003	H0370	LaPaz Regional Hospital	Please contact LTC for more info.
6/28/2004	BE240	Laundry Workers
5/23/2006	IP103	Lavida Medical Group
2/01/2009	36333	Lawndale Christian Health Center
2/01/2009	52196	LBA HealthPlans
	75279	Leggett and Platt
6/07/2007	37316	Leon Medical Center Health Plan
6/26/2003	37248	LHP Claims Unit
	11123	Liberty Mutual Insurance Co.
4/7/2004	37281	Liberty Union Life Assurance Co.
2/01/2009	98205	Life & Health Ins Co of America (NFL Plan only)
	94245	Life Guard
6/26/2003	LICBN	LIFE INS CO BOSTON AND NY
2/01/2009	LIICA	Life Investors Ins Co of America	(Specialized claims only. Call 866-745-3545 with claim routing questions.)
6/07/2007	41136	LIFE TRAC
6/26/2003	LFGRD	Lifeguard
6/26/2003	30838	Lifewise OREGON	Download form
6/07/2007	37294	LIFEWISE/WASHINGTON EMPLOYERS TRUST
	93093	LifeWise-A Premeral Health PLan
2/01/2009	91155	Lifewise Health Plan of Arizona A Premier Health Plan	Download form via ENS
	73288	Lincoln National (Emphesys, Green Bay and Madison, WI Only)
	73288	Lincoln National of Wisconsin (In Madison or Green Bay)
	61101	Lincoln National - Phoenix, AZ (Humana)
6/26/2003	75283	Linn County
5/23/2006	LIPA1	LIPA AGATE Resources
	35107	Local 135 Health Benefits FUnd (Indianapolis, IN)
2/01/2009	VABLS	Local Choice	(Requires VA Blue Shield EMC approval)
4/7/2004	37267	Loma Linda University Health
6/07/2007	33036	Loma Linda University Healthcare - ManagedCare Claims
	37226	London Health Administrators
	65099	Lone Star, MO
	PR002	Los Alamos Total Care (LATC)
	68195	Los Angeles County Employees Retire
4/15/2012	68069	Louisiana Healthcare Connections
	62310	Lovelace Health Plan
2/9/2005	SX159	Lovelace Salud Medicaid
6/28/2004	90328	Lovelace Sandia Health Plan
	62310	Lovelace Senior Options (LSO)
	62310	Lovelace Senior Plan (LSP)
	68195	Lowe's Companies, Inc.
	65099	LTV Corporation
5/23/2006	54195	Lumenos Inc.
6/26/2003	MM001	M-CARE	Call M-Care for Provider I.D.
6/07/2007	37292	Machinist District 9 Welfare - UMMH
2/01/2009	36334	MacNeal Health Providers - CHS	(Contact 708-783-7100 prior to first submission.)
2/01/2009	IP060	Mad River Community (Humboldt Del Norte)
	22445	MAG Mutual Healthcare Solutions
4/7/2004	01260	Magellan Behavioral Health	Contact Magellan BH for Provider I.D.
2/9/2005	MBHCR	Magellan Behavioral Health - Case Rate
2/01/2009	AXN01	Magellan Specialty Health - Cigna NY general surgery
5/23/2006	11303	MagnaCare
	34103	Mahoning and Trumbull County Building Trades Insurance Fund, Ohio
5/6/2015	87726	MAHP (MD IPA, Optimum Choice and MLH)
	62413	Mail Handlers Benefit Plan
	62413	Mailhandlers/CAC
6/07/2007	22195	Maksin Management Corporation
	52148	MAMSI Life and Health Insurance Co, (MLH)	Call MAMSI for Provider I.D.
6/26/2003	MA001	MAMSI Life & Health Ins. Co. (MLH) (HCFA 1500 only. No DME, Home Health, SNF/SUB Acute, Ambulance, ASC or Hospital Providers)
	61101	Managed Care Indemnity, Inc.
	35162	Managed Care Services, LLC
2/01/2009	MCS02	Managed Care Systems (Delango Regional Medical)
5/23/2006	22771	Managed Health Network
	39186	Managed Health Services Indiana/Maxicare
	39187	Managed Health Services Wisconsin
	H0239	Managed Imaging
6/26/2003	93900	Managed Physical Network
	61101	Managed Prescription Services
	41555	Manatee Service Center (Bradenton, FL)
	35196	Manhattan National Life Insurance
	75258	Mapco, Inc.
6/26/2003	IP097	Marin IPA	Call Marin IPA for Provider I.D.
	PR002	Marriott
	39045	Marshfield Health Plan
6/07/2007	22347	Maryland Health Insurance Plan Baltimore, Maryland
6/26/2003	01260	Maryland Health Partners	Contact Maryland HP for Provider I.D.
6/26/2003	00247	Maryland Physicians Care	Call MPC for Provider I.D.
2/01/2009	22348	Maryland Physicians Care Baltimore, Maryland
2/01/2009	77062	Maryland PMHS	Download form via ENS
	37121	Mashantucket Pequot Tribal Nation
	65935	Mass Mutual (Now Unicare Life & Health)
	65935	Massachusetts Mutual
4/7/2004	MMPHB	Masters Mates and Pilots
	02030	Matthew Thornton Health Plan
6/07/2007	41154	Mayo Management Services, Inc.
2/01/2009	37298	MBA of MD, Inc.
2/01/2009	87065	MBA of Wyoming
2/01/2009	EC004	MBHS - MARYMOUNT BEHAVIORAL HEALTH SERVICES
6/26/2003	56205	MBS (MedCost Benefit Services)
	38264	MCare
6/07/2007	CSMED	Mcare of Colorado Springs
2/01/2009	MCCBV	MCC Behavioral Care
	59331	McCreary Corporation	For plan and claim requirements, please contact the Employers Mutual, Inc. (Stuart, FL) Customer Service Department at (772) 287-7650, ext. 4052.
6/26/2003	ALMSH	McDonnel Douglas
6/26/2003	36328	McHenry Medical Associates (IL)
2/01/2009	MHM02	MCKINLEY MEDICAL GROUP
6/26/2003	38338	McLaren Health Plan
	H0265	MCS Medicaid of Michigan	Please contact LTC for more info.
	H0246	Mcs Medicaid of New Mexico
	52148	MD-Individual Practice Association, Inc. (M.D. IPA)	Call MAMSI for Provider I.D.
	11338	MDNY Healthcare
2/01/2009	20475	MDWise Hoosier Alliance
	68195	Mead Corporation
6/26/2003	H0370	Meatcutters & Employers Joint	Please contact LTC for more info.
	58204	Med Admin Solutions
6/26/2003	30103	MED AMERICA HEALTH
	58216	Med Plan
6/26/2003	30002	Med Select Management
	74323	MedBen (Newark, OH)
	61101	Medbenefixx, Inc.
6/28/2004	59231	MedCom  (e-MedCom)
	60054	Medconnection (Marriott)
	56205	MedCost Benefit Services
	56162	MedCost, Inc.
	95321	Medfocus
	94146	Medi-Cal Medicaid of California	Please contact LTC for more info.
6/26/2003	HLAD1	Medi-Pak HMO	Call Medi-Pak HMO for Provider I.D.
6/26/2003	MEDIC	Medica Choice (Allina)	Call Medica for Provider I.D.
	MEDIC	Medica Commercial	Call Medica for Provider I.D.
6/26/2003	MEDIS	Medica Commercial - Supply	Call Medica for Provider I.D.
	87726	Medica ERA	Call Medica for Provider I.D.
5/23/2006	MDAL1	Medicaid of Alabama	Download form
8/14/2003	MDAK1	Medicaid of Alaska	Download form via ENS
5/23/2006	MDAR1	Medicaid of Arkansas	Download form
8/14/2003	MDAZ1	Medicaid of Arizona	Download form via ENS
1/17/2008	MDCA1	Medicaid of  California	Download form via ENS
	MDCO1	Medicaid of Colorado	Download form via ENS
	MDCT1	Medicaid of Connecticut	Download form via ENS
1/17/2008	MDDC1	Medicaid of DC	Download form via ENS
1/17/2008	MDDE1	Medicaid of Delaware	Download form via ENS
	MDFL1	Medicaid of Florida	Download form via ENS
	MDGA1	Medicaid of Georgia	Download form via ENS
1/17/2008	MDHIE	Medicaid of Hawaii	Download form via ENS
1/17/2008	MDID1	Medicaid of Idaho	Download form via ENS
	MDIL1	Medicaid of Illinois	Download form via ENS
	MDIN1	Medicaid of Indiana
	MDIA1	Medicaid of Iowa	Download form
	MDKS1	Medicaid of Kansas	Download form via ENS
	MDKY1	Medicaid of Kentucky	Download form via ENS
	MDLAE	Medicaid of Louisiana	Download form
	H0373	Medicaid of Louisiana Ambulance	Please contact LTC for more info.
2/01/2009	LAREH	Medicaid of Lousiana Rehab (for Rehabilitation claims)	Download form via ENS
	MDME1	Medicaid of Maine	Download form
	MDMD1	Medicaid of Maryland	Download form via ENS
	MDMA1	Medicaid of Massachusetts	Download form via ENS
5/23/2006	MDMI1	Medicaid of Michigan	Download form
	MNMD1	Medicaid of Minnesota (Minnesota Medical Assistance-Medical)	Download form
	MDMS1	Medicaid of Mississippi	Download form via ENS
	MDMO1	Medicaid of Missouri	Download form via ENS
	MTMD1	Medicaid of Montana	Download form
	MDNEE	Medicaid of Nebraska	Download form via ENS
5/23/2006	MDNV1	Medicaid of Nevada	Download form
5/23/2006	MDNH1	Medicaid of New Hampshire	Download form
	MDNJ1	Medicaid of New Jersey	Download form via ENS
	MNNM1	Medicaid of New Mexico	Download form via ENS
	MDNY2	Medicaid of New York	Download form
	MDNC1	Medicaid of North Carolina	Download form via ENS
1/17/2008	MDND1	Medicaid of North Dakota	Download form via ENS
	OHMD1	Medicaid of Ohio
	MDOK1	Medicaid of Oklahoma
12/30/2003	MDOR1	Medicaid of Oregon	Download form
	MDPA1	Medicaid of Pennsylvania	Download form via ENS
8/14/2003	MDRI1	Medicaid of Rhode Island	Download form via ENS
	MDSC1	Medicaid of South Carolina	Download form via ENS
8/14/2003	MDSD1	Medicaid of South Dakota	Download form
	MDTN1	Medicaid of Tennessee (Processed by BCBS of TN, use TN forms)	Download form via ENS
8/14/2003	32006	Medicaid of TN EDS Federal	Please contact LTC for more info.
	MDTX1	Medicaid of Texas
	MDUT2	Medicaid of Utah	Download form
8/14/2003	MDVT1	Medicaid of Vermont	Download form
	MDVA1	Medicaid of Virginia	Download form via ENS
	MDWA1	Medicaid of Washington	Download form via ENS
	MDDC1	Medicaid of Washington DC	Download form via ENS
1/17/2008	MDWV1	Medicaid of West Virginia	Download form via ENS
	MDWI1	Medicaid of Wisconsin	Download form
1/17/2008	MDWY1	Medicaid of Wyoming	Download form via ENS
	H0454	Medical Benefits Administrators
6/26/2003	74323	Medical Benefits Administrators, Inc. (Newark, OH)
	74323	Medical Benefits Companies (Newark, OH)
	74323	Medical Benefits Mutual
	04258	Medical Claims Service, Inc
6/07/2007	75229	Medical Control, Inc.
2/9/2005	52181	Medical Development International
	CB833	Medical Mutual of Ohio	Call MM of Ohio for Provider I.D.
6/07/2007	CSMED	Medical Network of Colorado Springs
	33029	Medical Pathways	Contact North American Medical Management (NAMM) - Southern California at 800-956-8000 for Provider I.D.
	13377	Medical Pathways (Dallas)
	13375	Medical Pathways (MSM)
	13378	Medical Pathways (Texas)
	61101	Medical Plan of Kansas City-Missouri
6/07/2007	62177	Medical Reimbursements of America, LLC (Franklin, TN)
	58203	Medical Resource Network (MRN, Inc)
	13375	Medical Select Management
2/01/2009	AMM02	Medical Services for Indigents
6/26/2003	30510	MEDICAL SURGICAL ASSOC OF AL
	38224	Medical Value Plan - Ohio (MVP)
2/01/2009	SCBLS	Medicare Blue Advantage of South Carolina	Download form via ENS
	95436	Medicare Extra
	MRAL1	Medicare of Alabama	Download form via ENS
6/07/2007	MRAK1	Medicare of Alaska	Download form via ENS
6/07/2007	MRAZ1	Medicare of Arizona	Download form
	MRAR1	Medicare of Arkansas	Download form
	MRCAN	Medicare of California (Northern)	Download form
	MRCAS	Medicare of California (Southern)	Download form
6/07/2007	MRCO1	Medicare of Colorado	Download form
	MRCT1	Medicare of Connecticut	Download form
	MRDE1	Medicare of Delware	Download form
	MRFLE	Medicare of Florida	Download form via ENS
	MRGA1	Medicare of Georgia	Download form
6/07/2007	MRHIE	Medicare of Hawaii	Download form
9/28/2004	MRID1	Medicare of Idaho	Download form
	ILMR1	Medicare of Illinois	Download form
	MRIN1	Medicare of Indiana	Download form
	MRIA1	Medicare of Iowa	Download form
	MRKS1	Medicare of Kansas	Download form
	MRKC1	Medicare of Kansas City (NW Missouri)	Download form
	MRKY1	Medicare of Kentucky	Download form
	MRLA1	Medicare of Louisiana	Download form
	MRME1	Medicare of Maine	Download form
	MRMD1	Medicare of Maryland	Download form
	MRMA1	Medicare of Massachucetts	Download form
	MIMR1	Medicare of Michigan	Download form
	MRMN1	Medicare of Minnesota	Download form
	MRMS1	Medicare of Mississippi	Call LTC.
	MRMO1	Medicare of Missouri	Download form
	MRMT1	Medicare of Montana	Download form
	MRNE1	Medicare of Nebraska	Download form
5/23/2006	MRNVN	Medicare of Nevada	Download form
	MRNH1	Medicare of New Hampshire	Download form
	MRNJ1	Medicare of New Jersey	Download form
	H0209	Medicare of New Jersey Era	Please contact LTC for more info.
	MRNM1	Medicare of New Mexico	Download form
	MRNYE	Medicare of New York (Empire)	Download form
	MRNYQ	Medicare of New York (GHI Queens)	Download form via ENS
	MRNYU	Medicare of New York - Upstate (Western)	Download form
	MRNC1	Medicare of North Carolina	Download form
	MRND1	Medicare of North Dakota	Download form
	OHMR1	Medicare of Ohio	Download form
	MROK1	Medicare of Oklahoma	Download form
6/07/2007	MROR1	Medicare of Oregon	Download form
	MRPA1	Medicare of Pennsylvania	Download form
	H0208	Medicare of Pennsylvania (ERA)	Please contact LTC for more info.
	MRRI1	Medicare of Rhode Island	Download form
	MRSC1	Medicare of South Carolina	Download form
8/14/2003	MRSDN	Medicare of South Dakota	Download form
	MRTN1	Medicare of Tennessee	Download form
	MRTX1	Medicare of Texas	Download form
	MRUTN	Medicare of Utah	Download form
	MRVT1	Medicare of Vermont	Download form
	MRVA1	Medicare of Virginia	Download form
	MRWAN	Medicare of Washington	Download form
	MRDC1	Medicare of Washington DC Area	Download form
	MRWV1	Medicare of West Virginia	Download form
	WIMR1	Medicare of Wisconsin	Download form
8/14/2003	MRWY1	Medicare of Wyoming	Download form
2/01/2009	VABLS	Medicare Supplemental	(Requires VA Blue Shield EMC approval)
6/26/2003	IP080	Medicina Familiar Medical Group
2/01/2009	95655	MEDIGOLD
	94254	Mediprime
6/28/2004	37304	Mediversal
3/20/2013	00130	MedPay
6/26/2003	30472	MEDSOLUTIONS GEORGIA
	62160	MedSolutions, Inc.
	82160	Medspan, Inc.
6/26/2003	MEDST	MEDSTAR	Please contact LTC for more info.
6/26/2003	00243	MedStar Physician Partners
	59221	Mega Life & Health Insurance Company
2/01/2009	62181	MEMORIAL CLINICAL ASSOCIATES
5/23/2006	MHHNP	Memorial Hermann
	36193	Memphis Managed Care
2/01/2009	IP080	Mendicina Familiar Medical Group
2/01/2009	MHNET	Mental Health Network (Only claims for PO Box 209010 Austin TX 78720)
6/26/2003	30002	Merc
6/26/2003	ALMSH	Mercantile Claims
2/01/2009	M3433	MERCY CARE of AZ
	H0376	Mercy Care Plan
2/01/2009	86052	Mercy Care Plan Phoenix, Arizona
2/01/2009	SX100	MERCY HEALTH CARE
2/01/2009	71079	Mercy Care Plus
	00360	Mercy Health Plan, Inc. (Missouri)	Call Mercy HP for Provider I.D.
2/01/2009	22326	Mercy Health Plan of New Jersey	(Provider ID Required in Box33a - Contact (800) 682-9091 to obtain ID)
	43166	Mercy Health Plans
6/26/2003	30422	MERCY HEALTH PLANS CARECHOICE MI	Please contact LTC for more info.
8/14/2003	33029	Mercy Physicians Medical Group	Contact North American Medical Management (NAMM) - Southern California at 800-956-8000 for Provider I.D.
2/9/2005	39114	MercyCare
	H0145	Mercycare Medicaid of WI
	77042	Meridian Health Care Management
2/01/2009	SX046	MERIT OF ALABAMA
5/6/2015	65157	Meritain (Luminx, North American Health Plan)
5/6/2015	64158	Meritain Health / Agency Services
5/6/2015	41124	Meritain Health Minneapolis
6/26/2003	85035	Mesa Mental Health
	87726	Met Elect
6/07/2007	65113	Metcare Health Plans, Inc.
	95420	Methodist Care
6/07/2007	23550	Methodist First Choice
	H0003	Methodist SW Provider Organization
6/26/2003	H0003	Methodist SW Prv Org - Wisconsin Only
	95420	MethodistCare, Inc.
	87726	Metlife Group Administrator
	87726	Metlife Healthcare Network-PPO/Hmo
	87726	Metrahealth (Add 00000 to ID)
	87726	Metrahealth Admin For Met Life
	87726	Metrahealth Admin For Traveler
	87726	Metrahealth Elect
	87726	Metrahealth Healthcare Network-PPO/Hmo
	87726	Metrahealth Or Metropolitan Life Ins. Co.
	87726	Metrahealth Or Travelers
6/28/2004	82135	METRO ALLIANCE
6/26/2003	13265	Metro Plus Health Plan
6/28/2004	10850	Metropolitan Health Plan
	87726	Metropolitan Life Insurance Co.
6/26/2003	30108	MHBP
	61101	Michael Reese HMO
	37127	Michael Reese Physicians Group
	68195	Michelin Tire Corporation
	BBMIC	Michigan Blue Care HMO (BCN of Michigan)	Please contact LTC for more info.
6/28/2004	BEK10	Michigan Glass and Glazing (Only Non-PPO Claims)
2/01/2009	MIMPB	Michigan Medicare PlusBlue	Download form via ENS
4/7/2004	37281	Mid-America Associates
2/01/2009	43132	MID-AMERICA HEALTH
6/28/2004	63079	Mid-Atlantic Health Plan
	51035	Mid-Atlantic Health System
	52149	Mid-Atlantic Psychiatric Services, Inc. (MAPSI)
	31140	Mid-Valley Carenet, Inc.
	74227	Mid-West United Life
2/01/2009	IP004	Midcoast Care (Marian IPA) (Labs Only)
2/01/2009	23550	Midland Management/MFC
2/01/2009	90956	Midland National Life Ins Co (NFIC Plan only)
6/26/2003	47081	Midlands Benefits Administrators
	47080	Midlands Choice, Inc.
	47080	Midlands Health Partners
2/01/2009	62168	MidSouth Administrative Group
6/07/2007	76079	Midwest Health Partners
5/23/2006	MHP77	Midwest Health Plan
6/26/2003	59224	Midwest National Life Insurance Co. of Tennessee
6/26/2003	MIDW1	Midwest Preferred
	MIDW1	Midwest Security Administration (MSA)
	74227	Midwest United Life
6/26/2003	MPMG1	Mills Peninsula Medical Group	Call MPMG for Provider I.D.
6/28/2004	BE180	Millwrights Local 1102 (Only Non-PPO Claims)
	PR002	Minneapolis Prudential Business
1/6/2011	MNMD1	Minnesota Health Care Program (MHCP)
2/01/2009	5018	MIPS
5/23/2006	PPM01	Mission Medical Group
	H0360	Mission Medical Group Encounte
2/01/2009	IP014	Mission Valley IPA Medical Group/Lompoc (Labs Only)
6/26/2003	37233	Mississippi Public Employee Benefit Trust
6/26/2003	64088	Mississippi Select Health Care
	75203	Mississippi Select Healthcare
10/2/2003	37275	Missoula County Medical Benefits Plan
9/28/2004	14163	Missouri Care/MC
8/14/2003	MPC1P	Missouri Physicians Care	Please contact LTC for more info.
6/28/2004	BEL10	MLBMA Employee Benefit Trust (Only Non-PPO Claims)
6/26/2003	37265	MLink
	62178	MMS, LLC
	68195	Mobile Chemical
	87726	Mobile Oil
	67784	Modern American Life Ins. Co.
6/07/2007	38334	MOLINA HEALTH CARE MICHIGAN
9/28/2004	38333	Molina Healthcare of CA
5/23/2006	00076	Molina Healthcare of Indiana
2/01/2009	09824	Molina Healthcare of New Mexico
6/07/2007	20149	Molina Healthcare of Ohio
2/01/2009	20554	Molina Healthcare of Texas
2/01/2009	SX109	Molina Healthcare Utah
	38336	Molina Healthcare of WA
	72135	Momentum Health Services
6/26/2003	IP095	Monarch Healthcare IPA	Call Monarch Healthcare for Provider I.D.
6/28/2004	MONEX	Monex Health Care
	87726	Monsanto
	13174	Montefiore Contract Management Organization
6/26/2003	30618	Montgomery Wards
2/01/2009	MMLIC	Monumental Life Ins Co.	(Specialized claims only. Call 501-277-1284 for information.)
4/7/2004	67466	Mony Financial Services (Pacific Mutual)
2/01/2009	EC002	MORGAN AND FRANZ
2/01/2009	35092	MORRIS ASSOCIATES
6/26/2003	IP083	Mosaic IPA Medical Group	Call Brandi Guinn @ 559-735-3892 x233 for Provider I.D.
6/26/2003	Call	Motion Picture Industry Health Plan	Call Judy Taylor at Motion Picture 818-769-0007 x304 for Payor I.D.
	68195	Motor Appliance Corporation
6/28/2004	BE280	Motor City Machinists (Only Non-PPO Claims)
6/26/2003	36111	Motorola
5/23/2006	COMMA	Mountain Medical (MMA)
6/26/2003	MTNST	Mountain States Administrative Services (Tucson, AZ)
6/26/2003	37233	MPE Employee Benefit Services
6/26/2003	37233	MPEEBT
6/26/2003	95444	MPLAN, Inc./HealthCare Group, LLC
6/07/2007	35177	MPlan (Medicaid)
6/28/2004	BE140	MRCC Employee Benefits Fund (Only Non-PPO Claims)
6/26/2003	H0155	MS Chip
6/26/2003	H0155	MS State Employees/Teachers
6/07/2007	39634	MULTIPLAN FOR AMERICAN FAMILY
6/26/2003	MPW01	Multiplan Wisconsin Preferred Provider Network
	69140	Mutual Alliance Plan (Map)
8/14/2003	37256	Mutual Assurance Administrators
6/26/2003	PH020	Mutual Benefit Life (Western Life-Fortis)
6/26/2003	PH020	Mutual Benefit (Western Life-Fortis)
	70491	Mutual Group (The) (US)
5/23/2006	MUA01	Mutual of America
	71412	Mutual of Omaha Insurance Co.
	71412	Mutually Preferred
	71412	Mutually Preferred PPO
	14165	MVP Health Plan of NY	Providers should contact MVP at 800-684-9286 before submitting claims.
	91136	N.W. Ironworkers Health & Security Grust Fund - Grp# F15
	91136	N.W. Roofers & Employers Health & Security Trust Fund - Grp# F26
	91136	N.W. Textile Processors - Grp# F14
6/28/2004	65085	NAA (North America Administrators, L.P. - Nashville, TN)
6/26/2003	NNTUZ	Nabisco
6/26/2003	34159	NABN
	53011	NALC Non Participating PPO
	53011	NALC Participating PPO
	53011	NALC/Affordable
6/26/2003	30779	NAMM NORTHERN CALIFORNIA
6/26/2003	30663	NAMM OF ILLINOIS
2/01/2009	NHCA1	Naperville Health Care Associates
6/26/2003	H0003	National Assoc Preferred Prv TX - Wisconsin Only
	53011	National Association of Letter Carriers (NALC)
	H0003	National Association of Prefer
6/26/2003	56175	National Benefit Administrators - New Jersey
6/26/2003	56176	National Benefit Administrators - North Carolina
2/01/2009	NCABS	National Capital Area	Download form via ENS
6/26/2003	90001	National Capital Preferred Provider Organization (NCPPO)	Call Healthlink @ 314-989-6000 for Provider I.D.
	58204	National Chiropractic Network
6/26/2003	37126	National Claim Administration, Inc.
6/26/2003	H0370	National Electrical Contractors	Please contact LTC for more info.
4/7/2004	90956	National Financial Insurance Co.
4/7/2004	98205	National Foundation Life Insurance Co.
	35196	National Group Life Insurance Co.
6/28/2004	75275	National Health Insurance Company
4/7/2004	37232	National Healthcare Exchange Services
2/01/2009	NIA11	National Imaging Associates
	68195	National Medical Enterprises
	52132	National Rural Electric Coop (NRECA)
	71412	National Rural Letter Carrier Assoc.(Policy # GMG1846)
	71412	National Rural Letter Carrier Association
6/28/2004	NTA11	National Teachers Association (NTA)
6/07/2007	52103	NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION (NTCA)
6/07/2007	52104	National Telecommunications Cooperative Association (NTCA - Staff)
	37120	National Travelers Life Company
	31417	Nationwide Group
	31417	Nationwide Health Plans
	31417	Nationwide Individual Life and HEalth
	31417	Nationwide Insurance
	31417	Nationwide Life and Health
	31417	Nationwide Mutual Insurance Co
6/26/2003	H0370	Navajo County Government	Please contact LTC for more info.
6/26/2003	H0370	Navajo County Schools Employee	Please contact LTC for more info.
6/26/2003	H0370	Navapache Regional Medical Cen	Please contact LTC for more info.
	60054	Navistar
	75191	NCAS-Charlotte
	75190	NCAS-Fairfax, VA
4/7/2004	52118	NCAS - Owings Mills, MD (Formerly known as Willse'.)
	39026	NCHPP 65+
2/01/2009	90001	NCPPO
2/01/2009	PV150	NCTA - PlanVista Corporation
2/01/2009	19988	NEA Group Insurance Program
	74227	NEIC
5/23/2006	96107	Neighborhood Health Partner of FL
6/28/2004	95123	Neighborhood Health Partnership	Please contact NHP for Provider I.D.
	04293	Neighborhood Health Plan (Boston, MA)
2/01/2009	05047	Neighborhood Health Plan of Rhode Island	(Contact NHPRI 401-459-6030 to verify provider and vendor number.)
	11325	Neighborhood Health Providers
6/26/2003	37255	Nesika Health Group
4/7/2004	66055	Netcare Life and Health Insurance (Hagatna, Guam)
	Call	Network Health	Call 617-806-8129 for Payor I.D.
6/26/2003	30751	NETWORK HEALTH OF MASS
	39144	Network Health Plan of Wisconsin, Inc.
6/26/2003	H0003	Network Health PPO - Wisconsin Only
	86065	Nevada Care	Call Nevada Care for Provider I.D.
	86065	Nevada Care Kids	Call Nevada Care for Provider I.D.
	86065	Nevada Health Solutions	Call Nevada Health Solutions for Provider I.D.
	96218	New Alliance Health Plan
	66893	New England Financial
6/26/2003	30685	NEW ENGLAND HEALTH
	66893	New England,The
6/26/2003	75281	New Era Life
6/26/2003	NNTUZ	New Jersey State Health
2/9/2005	65056	New Market Dimensions
6/07/2007	74234	New Mexico District Council of Carpenters
6/07/2007	74234	New Mexico Painters and Allied Trades Local No 823
6/07/2007	74234	New Mexico-West Texas Multi-Craft (lso known as New Mexico Laborers)
6/07/2007	84141	NEW WEST HEALTH PLAN
8/14/2003	38332	New World Claims Services
	H0058	New York Hospitals Care Networ
	66915	New York Life (Now NYLCare)
2/01/2009	NYL11	New York Life - Long Term Care
	14179	New York Medical Imaging - MVP
	14178	New York Medical Imaging - Wellcare
6/26/2003	11334	New York Network Management
6/26/2003	48186	New York Presbyterian Community Health Plan
6/28/2004	24819	New York Presbyterian System Select Health
	87726	New York State Employees (Empire)
	38225	NGS American
4/7/2004	62124	NHC Health Benefit Plan	Contact NHC Health Benefit Plan at 615-278-1230 for Provider I.D.
	11325	NHP/SHP (Neighborhood Health Providers and Suffolk Health PLan)
	81264	Nippon Life Insurance Co.
6/28/2004	22603	NJ CARPENTERS HEALTH FUND
8/14/2003	33029	Noble AMA	Contact North American Medical Management (NAMM) - Southern California at 800-956-8000 for Provider I.D.
6/26/2003	IP080	Noble Community
2/01/2009	HMS01	NOBLE MID ORANGE - HEALTHSMART
	64157	North American Administrators, Inc.
	H0212	North American Benefits
	34159	North American Benefits Network
6/07/2007	36398	NORTH AMERICAN MEDICAL MANAGEMENT - IL
4/7/2004	E3510	North American Medical Management (NAMM) - Northern California	Contact NAMM @ 800-956-8000 for Provider I.D.
4/7/2004	IP079	North American Medical Management - So. California
4/7/2004	64157	North American Preferred
5/23/2006	37314	North Broward Hospital District
6/26/2003	NTX11	North Texas Healthcare
	35212	North Texas Healthcare Network
6/26/2003	30430	NORTHEAST GEORGIA HEALTH
	94156	Northern California Foundation PPO
2/9/2005	38238	Northern California Sheet Metal Workers Health Care Plan (including Local 104)
5/23/2006	36347	Northern Illinois Health Plan
6/26/2003	88027	Northern Nevada Trust Fund
2/01/2009	NMG01	NORTHRIDGE MEDICAL GROUP
2/01/2009	NSA01	NorthStar Advantage
6/26/2003	91068	Northwest Administrators Inc.
2/01/2009	62119	NORTHWEST DIAGNOSTIC CLINIC/SELECTCARE OF TX (NWDC)
4/7/2004	PH018	Northwest Life
	36346	Northwest Suburban PA (Illinois)
	NWMB1	Northwest Washington Medical Bureau	Call NWMB for Provider I.D.
4/7/2004	PH018	Northwestern National Life (Reliastar Emp Ben)
	16644	Nova Health Administrators, Inc. (Grand Island, NY)
6/26/2003	71080	Novasys Health Network
	35197	NPPN/Conseco
2/9/2005	PV150	NTCA - PlanVista Corporation
2/01/2009	37120	NTL
6/26/2003	30357	Nw Ironworkers Health
4/7/2004	PH018	NW Natl-#3413 Medical Dept
6/28/2004	BE130	NW Ohio Toledo Plumbers (Only Non-PPO Claims)
6/26/2003	30357	Nw Textile Processors
4/7/2004	PH018	NWNL Group
2/01/2009	24819	NY PRESBYTERIAN SYSTEM SELECT HEALTH
9/28/2004	37299	Nyhart
	91135	NYLCare Ethix Northwest
	66915	NYLCare (Formerly New York Life)
	66915	NYLCare Health Plan (Formerly New York Life)
	66916	NYLCare Health Plan (HMO Only)
	91166	NYLCare Health Plans Northwest
	66916	NYLCare HMO Encounters
6/26/2003	30319	NYMI AETNA
	14179	NYMI MVP
	14180	NYMI Oxford
2/01/2009	NAOAK	Oak West Primary Physician Association
	95356	Oaktree Health Plan
2/01/2009	IP016	Oakview Medical Group, Inc. (Labs Only) IPA
2/01/2009	10070	Occupational Health Management, Inc. (OH BWC)	Download form via ENS
	H0060	Ocean State PHP Commercial
	H0061	Ocean State PHP Fall River MA
	H0062	Ocean State PHP Mcare Mcaid
	72127	Ochsner Health Plan
6/26/2003	OCH01	OCHSNER Health Plans	Call or email LTC.
6/07/2007	13350	MODA Health
6/26/2003	72087	Office of Group Benefits- Louisiana
	13310	Office of the Administrator, Washington, DC
2/01/2009	31147	OH Worker's COMP
2/01/2009	34189	Ohio Health Plan	(Group # required. PayerID valid only for claims with billing submission address of PO BOX 93538 or 6068, Cleveland OH)
5/23/2006	OHCCC	Ohio ChoiceCare	Download form via ENS
	34189	Ohio Health Choice
	H0003	Ohio Health Choice Plan
6/26/2003	H0003	Ohio Health Choice Plan (OH) - Wisconsin Only
	65099	Ohio University
3/20/2013	74431	Ohio PPO Connect
	91150	Olympic Health Management
6/26/2003	IP061	OMNI Healthcare (Humboldt Del Norte)	Call or email LTC.
9/28/2004	25150	Omnicare, A Coventry Health Plan
6/26/2003	38252	Omnicare Health Plan of Michigan
6/26/2003	IP088	Omnicare Medical Group (OMNI)	Call or email LTC.
2/01/2009	22321	One Call Medical
	80705	One Health Plan, Inc. (Vermont)
	80705	One Health Plan of Alaska, Inc.
	80705	One Health Plan of Arizona, Inc.
	95379	One Health Plan of California
	95412	One Health Plan of Colorado
	80705	One Health Plan of District of Columbia, Inc.
	80705	One Health Plan of Florida, Inc.
	96559	One Health Plan of Georgia
	95388	One Health Plan of Illinois, Inc.
	80705	One Health Plan of Indiana, Inc.
	80705	One Health Plan of Kansas/Missouri, Inc.
2/9/2005	80705	One Health Plan of Kentucky
	80705	One Health Plan of Maine, Inc.
	80705	One Health Plan of Massachusetts, Inc.
	80705	One Health Plan of Michigan, Inc.
	80705	One Health Plan of Minnesota, Inc.
	80705	One Health Plan of Nevada, Inc.
	80705	One Health Plan of New Hampshire, Inc.
	80705	One Health Plan of New Jersey, Inc.
	80705	One Health Plan of New York, Inc.
	80705	One Health Plan of North Carolina, Inc.
	80705	One Health Plan of Ohio, Inc.
	80705	One Health Plan of Oregon, Inc.
	80705	One Health Plan of Pennsylvania, Inc.
	80705	One Health Plan of South Carolina, Inc.
	80705	One Health Plan of Tennessee, Inc.
	51459	One Health Plan of Texas
	80705	One Health Plan of Virginia, Inc.
	80705	One Health Plan of Washington, Inc.
	80705	One Health Plan of Wisconsin, Inc.
	80705	One Health Plan of Wyoming, Inc.
2/01/2009	52149	OneNet PPO, LLC. (Formerly known as Alliance PPO, Inc.)
6/28/2004	BE760	Operating Engineers Local 181 (Only Non-PPO Claims)
6/28/2004	BE100	Operating Engineers Local 324 (Only Non-PPO Claims)
6/26/2003	30844	OPERATING ENGINEERS LOCAL 4
6/28/2004	BE830	Operating Engineers Local 513 (Only Non-PPO Claims)
	91136	Operating Engineers Locals 302 & 612 Health & Security Fund Grp# F12
6/07/2007	74234	Operating Engineers Local No 53
	06163	Opticare Eye Health Network
6/26/2003	54154	Optima Health Plan
6/26/2003	54154	Optima Insurance Company
	52148	Optimum Choice, Inc. (OCI)	Call MAMSI for Provider I.D.
	52151	Optimum Choice of Pennsylvania
	52152	Optimum Choice of the Carolina's
	37125	Option Services Group
11/17/2014	41161	OptumHealth - Physical Health
11/17/2014	87726	OptumHealth Behavioral Solutions of NM (formerly United/PacifiCare Behaviroral Health)
11/17/2014	41194	OptumHealth Care Solutions
5/23/2006	OCFMC	Orange County Foundation
6/26/2003	87043	ORNDA Health D296Corp (First Health)+D312
5/23/2006	13383	Orthonet Aetna
6/07/2007	25681	ORTHONET - HEALTH NET
6/07/2007	13382	ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN
	13381	Orthonet Corporation
5/23/2006	58204	Orthpedix Network, Inc.
5/23/2006	ORT33	Orthopedix Network, Inc. Humana	Payer requires 11 digit member ID Number.
5/23/2006	ORT88	Orthopedix Network of South Florida, LLC	Payer requires 11 digit member ID Number.
6/26/2003	30783	OSCHNER HEALTHPLANS
6/07/2007	OSFMC	OSF Care Advantage
6/26/2003	OSFHP	OSF HEALTH PLANS
2/01/2009	12259	Optimum Healthcare
	39026	Oshkosh Area Health Protection Plan
	68195	Oshkosh B'Gosh, Inc.
	36365	Our Lady of the Resurrection Phuysician Assocation (Rockford, IL)
6/26/2003	30002	Owens Corning
6/26/2003	HM032	Oxford (Encounter Data Only)
	06111	Oxford AARP MedicareComplete and Evercare(prior to 1/1/12)
	06111	Oxford Health Plan	Call Oxford HP for Provider I.D.
	06111	Oxford Life Connecticut	Call Oxford Life for Provider I.D.
5/6/2015	87726	Oxford Medicare Network – UnitedHealthcare Dual Complete / AARP MedicareComplete
5/6/2015	87726	Oxford Mosaic Network – AARP MedicareComplete Mosaic
5/23/2006	87068	P5 Health Plan Solution of Utah
2/01/2009	37127	OSG-Michael Reese
2/01/2009	95962	PACIFIC CARE
	67466	Pacific Life & Annuity Company
2/9/2005	IP101	Pacific Lumber Company - PALCO (Humboldt Del Norte)
	67466	Pacific Mutual Life Insurance Co.
	65099	Pacific Telecom
2/01/2009	PCFCI	PACIFICA IPA
6/26/2003	33053	Pacificare Behavioral Health
6/26/2003	HM012	PacifiCare (encounters)	Call PacifiCare for Provider I.D.
5/6/2015	81400	PacifiCare Individual Business
	Call	PacifiCare of Arizona	Call Tishia Mendoza @ 602-244-8200 x4313 for Payor I.D.
	H0380	Pacificare of AZ Formerly FHP
	95959	PacifiCare of California
	95958	PacifiCare of California (Encounters)	Please call Gina Gasilan at (714) 226-8609 for provider I.D.
6/26/2003	Call	PacifiCare of Colorado	Call PacifiCare for Payor I.D.
	95959	PacifiCare of Oklahoma
	95958	PacifiCare of Oklahoma (Encounters)	Please call Barbara Pisano at (714)226-6573 for provider I.D.
	Call	PacifiCare of Oregon	Call PacifiCare for Payor I.D.
	95958	PacifiCare of Oregon (Encounters)	Please call Gina Gasilan at (714) 226-8609 for provider I.D.
6/26/2003	77042	PacifiCare of Oregon/Meridian Health Care Management
	95959	PacifiCare of Texas
	95958	PacifiCare of Texas (Encounters)	Please call Barbara Pisano at (714) 226-6573 for provider I.D.
6/26/2003	95959	PacifiCare of Washington
	95958	PacifiCare of Washington (Encounters)	Please call Gina Gasilan at (714) 226-8609 for provider I.D.
6/26/2003	77042	PacifiCare of Washington/Meridian Health Care Management
6/26/2003	95999	PacifiCare PPO
	93029	PacificSource Health Plans
6/26/2003	PAIUT	PAI UTAH
6/07/2007	58174	Paragon Benefits, Inc.
	PARA1	Paramount
	58204	Parity Healthcare LLC
6/26/2003	H0370	Parker Unified School District	Please contact LTC for more info.
	66917	Parkland Community Health Plan
6/26/2003	30336	PARKLAND HEALTHFIRST
2/01/2009	56152	PARTNERS
	H0003	Partners in Practice
6/26/2003	H0003	Partners in Practice (TX) - Wisconsin Only
	Call	Partners National Health Plans of North Carilina, Inc.	Call Robert Dunning @ 336-760-4822 for Payor I.D.
5/23/2006	PHP02	Partnership Health of CA
2/01/2009	M3FL7	Partner Care
6/26/2003	IP080	Pasadena Primary Care Physicians
5/23/2006	SX154	Passport Advantage
	61129	Passport Health Plan
5/23/2006	10525	Patient Advocates
2/01/2009	TH017	PATIENT PHYSICIAN NETWORK
	37210	Pay Net, Inc.
	65018	PCA Health Plan of Florida
6/26/2003	95885	PCA Health Plans of Texas (Humana)
	65000	PCMC/ICSL Allergy
	65007	PCMC/ICSL Chiropractic
	65001	PCMC/ICSL Dermatology
	65003	PCMC/ICSL Gastroenterology
	65004	PCMC/ICSL Physical Therapy
	65002	PCMC/ICSL Podiatry
2/01/2009	PHP02	Partnership Health Plan
6/26/2003	PEHPU	PEHP UT
6/07/2007	68049	PEACH STATE HEALTH PLAN
	75196	Peia Iowa
2/01/2009	20472	Pediatric Associates of Broward
2/01/2009	VABLS	Peninsula Healthcare (Requires VA Blue Shield EMC approval)
2/01/2009	PKCCL	Pennsylvania Keystone Health Plan Central (Claims only)	Download form via ENS
2/01/2009	PKCEN	Pennsylvania Keystone Health Plan Central (Encounters only)	Download form via ENS
2/01/2009	PCBLS	Pennsylvania Keystone Health Plan East (claims only)	Download form via ENS
2/01/2009	PEBLS	Pennsylvania Keystone Health Plan East (encounters only)	Download form via ENS
	PENS1	Pension & Group Svcs
5/23/2006	72126	People's Health Network
6/26/2003	30002	Pepsi
	34173	Personal Physician Care
6/28/2004	25146	PERSONALCARE
4/7/2004	60054	PG&E (Pacific Gas & Electric)
	63088	PHA Admin Serv
4/7/2004	95183	PHA Insurance Services (Orlando, FL)
	80705	PHCS Greatwest
3/20/2013	13306	PHCS Savility Payers
6/26/2003	30348	PHEONIX GROUP SERVICES MASS
	67784	Philadelphia American Life Ins. Co.
	67814	Phoenix American Life (PAL)
	06143	Phoenix Group Services, Inc.
	75238	Phoenix Group Services (Texas)
	H0381	Phoenix Health Plan AZ
	62153	Phoenix Healthcare
	62153	Phoenix Healthcare of TN
	67814	Phoenix Home Life
	67814	Phoenix Mutual
5/23/2006	00036	PHP of Kansas City
	H0064	PHP of Mid Mich Lansing	Please contact LTC for more info.
	37330	PHP of Mid-Michigan
	H0067	PHP of Ohio Benefit Systems	Please contact LTC for more info.
	H0068	PHP of Ohio Clinicare	Please contact LTC for more info.
	87726	PHP of South Carolina
	87726	PHP of South Michigan
	H0038	PHP of South Michigan Jackson	Please contact LTC for more info.
	87726	PHP of Southwest Michigan
	UH003	PHP of St Louis	Please contact LTC for more info.
	H0069	PHP of St Louis Carus	Please contact LTC for more info.
	H0070	PHP of Swest Mich Capitated	Please contact LTC for more info.
	H0071	PHP of Swest Mich Fee For Srvc	Please contact LTC for more info.
	H0072	PHP of Swest Mich Senior Care	Please contact LTC for more info.
	H0073	PHP of West Mich Muskegon	Please contact LTC for more info.
	87726	PHP of West Michigan
	62155	PHP TennCare
5/23/2006	PHYCR	Phycor (Ft Collins office only)
6/26/2003	IP094	Physician Associates of Greater San Gabriel Valley	Call or email LTC.
	58204	Physician Associates of Louisiana
2/01/2009	23130	Pennsylvania Life Insurance
2/01/2009	PHCS1	Physicians Health Choice - Claims (Administered by Wellmed)
5/23/2006	PHPMC	Physician Health Partners
2/01/2009	38265	PHYSICIANS CARE
	57098	Physicians Care Network
	36345	Physicians Care Network (Rockford only)
	65018	Physicians Corp of Florida PCA
	65018	Physicians Corporation of America (Florida Plan Only)
6/28/2004	75297	Physicians Direct
	37136	Physicians Health Association of Illinois
6/07/2007	20398	Physicians Health Collaborative
	87726	Physicians Health Plan, Inc. (South Carolina)
4/7/2004	12399	Physicians Health Plan of Northern Indiana
	06108	Physicians Health Services	Payer requires unique provider ID; please call (866) 334-4638.
	65031	Physicians Healthcare Plans Inc
2/01/2009	PMGSJ	Physicians Medical Group of San Jose
5/23/2006	47027	Physicians Mutual Insurance Co.
	39156	Physicians Plus Insurance Corporation
	77008	Physicians Services, Inc.
9/23/2009	TH131	Physicians United Health Plan
	56151	Piedmont Administrators
	H0077	Pilgrim Insurance	Call Pilgrim Ins. for Provider I.D.
2/01/2009	PHCEN	Physicians Health Choice - Encounters (Administered by Wellmed)
2/01/2009	09861	PIMA Health
6/26/2003	H0370	Pinal County Employee Benefit	Please contact LTC for more info.
2/01/2009	PMA86	Pima Health System	Download form via ENS
	24735	Pinnacle Claims Management, Inc.
6/26/2003	H0370	Pinnacle West	Please contact LTC for more info.
6/07/2007	CCIA1	Pinnacol Assurance
	35196	Pioneer Life Insurance Co.
8/14/2003	33029	Pioneer Medical Group/Pioneer Physicians Network	Contact North American Medical Management (NAMM) - Southern California at 800-956-8000 for Provider I.D.
6/07/2007	COMPU	Pipe Industry Health & Welfare Fund of Colorado
2/01/2009	PGLTC	Pinal Gila Long Term Care
2/01/2009	59700	Pipefitters Local 597
	73074	Pipeline Industry Benefit FUnd (Tulsa, OK)
	37224	Pittman & Associates
2/9/2005	64160	Pivotal Plan
	H0003	Plaines
	H0003	Plaines Advisor
6/26/2003	H0003	Plaines Advisor (FL) - Wisconsin Only
6/26/2003	H0003	Plaines Advisor (WI) - Wisconsin Only
6/26/2003	H0003	Plaines (IA) - Wisconsin Only
6/26/2003	H0003	Plaines Networks - Envoy - Wisconsin Only
	H0003	Planes Networks
4/7/2004	37287	Planned Administrators, Inc. (PAI)
	65099	Playboy Enterprises
6/28/2004	BEK60	Plumbers & Pipefitters Local 333 (Only Non-PPO Claims)
	67466	PM Group (PMG)
6/07/2007	PMGSJ	PMG of San Jose
2/01/2009	PDFST	Podiatry First
5/23/2006	POD11	Podiatry Network Solutions, LLC	Payer requires 11 digit member ID Number.
5/23/2006	POD12	Podiatry Network Solutions of South Florida, LLC	Payer requires 11 digit member ID Number.
	58204	PodiCare Managed Care
9/28/2004	32680	Poly America Medical and Dental Benefits
	16111	POMOCO
2/01/2009	36332	PPONext
	73159	PPO Oklahoma
	72148	PPO Plus LLC
	46113	PPOI
6/26/2003	PPOM1	PPOM
	38335	PPOM, LLC
6/26/2003	72148	PPOPlus LLC
	04334	Practicare, Inc.
6/26/2003	IP080	Prairie Medical Group
6/28/2004	36373	Prairie States Enterprises, Inc.
2/01/2009	EPF10	Preferred Administrator	(Contact Provider Relations @ (915)532-2778, x1068)
6/28/2004	53476	Preferred Benefit Administrators
6/07/2007	PCARE	Preferred Care	Download form
2/01/2009	59291	Preferred Care FL
2/01/2009	56178	PREFERRED CARE NC
2/01/2009	SX089	Preferred Care NY	Download form via ENS
4/7/2004	65088	Preferred Care Partners
6/26/2003	H0003	Preferred Community Choice (OK) - Wisconsin Only
	73145	Preferred Community Choice PPO
6/26/2003	30440	PREFERRED COMMUNITY HEALTH
	PR002	Preferred Dental Organization
	35173	Preferred Health Network (PHN)
6/07/2007	61106	PREFERRED HEALTH PLAN (LOUISVILLE, KY)
6/07/2007	31478	PREFERRED HEALTH PROFESSIONALS
	60110	Preferred Health Systems Insurance Company
5/23/2006	PFIPA	Preferred IPA of CA
4/7/2004	36401	Preferred Network Access, Inc.
	41147	Preferred One
	14162	Preferred One (CT), a division of First Choice
	60110	Preferred Plus of Kansas
	43169	Premier Benefits, Inc.
5/23/2006	PREYE	Premier Eye Care
	37119	Premier Health Network
	43166	Premier Health Plans
6/07/2007	90440	PREMIER HEALTH SYSTEMS, INC
	75196	Premier Medical Alliance
	93114	PremierCare Health Systems
	93114	PremierCare of North West Arkansas
6/26/2003	H0385	PRESBYTERIAN	Please contact LTC for more info.
6/26/2003	30805	PRESBYTERIAN COMMUNITY HEALTH
2/01/2009	PREHP	Presbyterian Health Plan (Commercial)	(Provider ID is required. Contact (888) 923-5757, #6 then #2 to obtain ID. New Mexico Providers only.)
2/01/2009	PRESA	Presbyterian Salud	(Please add provider number in 2010AA REF02 or 2310B REF02 Number is 11 digits or less. Contact 888-923-5757, #6,#2 to obtain ID.)
6/26/2003	H0370	Prescott Unified School Distri	Please contact LTC for more info.
	61101	Prescription Benefits, Inc.
2/01/2009	45056	Prestige Health Choice
	39185	Prevea Health Insurance Plan
5/23/2006	09861	Prima Health Systems
6/26/2003	IP096	PrimaHealth IPA	Call PrimaHealth for Provider I.D.
	60054	Primary Choice
	73288	Primary Delivery Systems
6/26/2003	30892	PRIMARY MEDICAL CARE
2/01/2009	82048	Primary Health Network
2/01/2009	PRIME	Primary Health Plan
	56144	Primary Physician Care, Inc.
	61101	Prime Benefits Systems, Inc.--MO
1/17/2008	DX106	PRIME Benefits SYstems, Inc. (PO Box 2239, Cedar Rapids, IA)
	63088	Prime Health
	61101	Prime Health Kansas City Inc.--MO
	61101	Prime Health Mgmt. Services--MO
	63088	Prime Health of Alalbama
	61101	Prime Health of Kansas, Inc.--MO
	04320	Prime Source Health Network
	56190	Prime Vision Health Plan
6/07/2007	61604	PRIME WEST HEALTH PLAN
6/26/2003	UH015	PrimeCare Health Plan	Call PrimeCare for Provider I.D.
6/26/2003	IP079	PrimeCare Medical Network - Chino	Call or email LTC.
6/26/2003	IP079	PrimeCare Medical Network - Corona	Call or email LTC.
6/26/2003	IP079	PrimeCare Medical Network - Hemet	Call or email LTC.
6/26/2003	IP079	PrimeCare Medical Network - Inland Valley	Call or email LTC.
6/26/2003	IP079	PrimeCare Medical Network - Moreno	Call or email LTC.
6/26/2003	IP079	PrimeCare Medical Network - Redlands	Call or email LTC.
6/26/2003	IP079	PrimeCare Medical Network - Riverside	Call or email LTC.
6/26/2003	IP079	PrimeCare Medical Network - Sun City	Call or email LTC.
6/26/2003	IP079	PrimeCare Medical Network - Temecula	Call or email LTC.
	PRIM1	Primecare Wisconsin	Call Primecare for Provider I.D.
6/26/2003	30427	PRIMEVISION HEALTH
	61271	Principal Financial Group
	61271	Principal Health Care
	25130	Principal Health Care of Delaware, Inc.(DE HMO&Health Assur PPO only
6/26/2003	PHCFL	Principal Health Care Of Florida
	25127	Principal Health Care of Georgia, Inc. (GA HMO providers only)
	61271	Principal Health Care of Indiana, Inc.
	61271	Principal Health Care of Iowa, Inc.
	61271	Principal Health Care of Kansas, Inc.-Kansas City/Wichita
	61271	Principal Health Care of Louisiana, Inc.
	61271	Principal Health Care of Nebraska, Inc.
6/26/2003	PHCFL	Principal Health Care Of St. Louis
	25129	Principal Health Care of the Carolinas, Inc.
8/14/2003	30363	Principle Health Care Solutions
6/26/2003	PHCFL	Principal Healthcare
	61271	Principal Life Insurance Co.
	61271	Principal Mutual Life Insurance Co.
	87056	Printing Industries Association of Southern California / PIASC
	87056	Printing Industries of Northern California / PINC
6/07/2007	38217	PRIORITY HEALTH
9/28/2004	37303	Prism - First Health
4/7/2004	37268	Prism Health Networks
2/01/2009	37315	Prism Univera
6/07/2007	38329	Pro Care Health Plan, Inc. (Detroit, MI)
	31132	Pro Health Compcare
	H0362	Procare Medical Group Encounte
6/26/2003	30837	PROCLAIM
	68241	Proctor & Gamble
2/01/2009	PEBSI	Producer's Exchange
	36331	Professional Benefit Administrators, Inc. (Oak Brook, IL)
6/28/2004	59296	Professional Benefits Administrators
2/01/2009	34176	PROFESSIONAL BENEFITS ADMINISTRATORS (CUYAHOGA FALLS, OH)
6/26/2003	41163	Professional Claim Administrators
6/26/2003	37242	Professional Claims Management (PCM)
2/01/2009	SX161	Professional Instill Health BCBS	(Non-par payer requires 1B qualifier with providerID.) Download form via ENS
2/01/2009	59041	Professional Insurance Company (PIC) (Formerly GE Voluntary Benefits PIC)
	PMGST	Professional Mgmt Grp Sentara	Call Prof. Mgmt. Grp. Sentara for Provider I.D.
2/01/2009	34134	Professional Risk Management, Inc.
2/01/2009	IPO57	PROMED HEALTHCARE ADMINISTRATORS
2/01/2009	IP058	ProMed Healthcare San Antonio
6/26/2003	PROMD	PROMED POMONA	Please contact LTC for more info.
	58226	Promina
5/23/2006	PROSP	Prospect Medical Group
6/26/2003	30856	PROTECTIVE LIFE
6/26/2003	PHP01	Providence Choice Option	Download form
6/26/2003	PHP01	Providence Good Health Plan	Download form
6/26/2003	PHP01	Providence Health Plan	Download form
6/26/2003	PHP01	Providence Health Plan HMO	Download form
6/26/2003	PHP01	Providence Medicaid	Download form
6/26/2003	PHP01	Providence Medicaid Option	Download form
6/26/2003	PHP01	Providence Medicare Extra	Download form
2/01/2009	SX131	PROVIDENCE OF OREGON CHOICE OPTION
2/01/2009	SX132	PROVIDENCE OF OREGON GOOD HEALTH PLAN
2/01/2009	SX133	PROVIDENCE OF OREGON HEALTH PLAN
2/01/2009	SX134	PROVIDENCE OF OREGON HEALTH PLAN HMO
2/01/2009	SX135	PROVIDENCE OF OREGON MEDICAID
2/01/2009	SX136	PROVIDENCE OF OREGON MEDICAID OPTION
2/01/2009	SX137	PROVIDENCE OF OREGON MEDICARE OPTION
2/01/2009	SX138	PROVIDENCE OF OREGON OPTION
2/01/2009	SX139	PROVIDENCE OF OREGON TRADITIONAL OPTION
6/26/2003	PHP01	Providence Option	Download form
	91131	Providence Preferred of Washington (Sisters of Providence Health Plans)
6/26/2003	PHP01	Providence Traditional Option	Download form
6/26/2003	H0308	Provident Healthcare Plans
	68195	Provident Life & Casualty Insurance Company
	68195	Provident Preferred Network
	51032	Provider Networks of America (Pro-Net)
5/23/2006	PF101	Providers First PPO
	PR002	PruCare
6/26/2003	HM015	PruCare - HMO	Call PruCare for Provider I.D.
	PR002	PruCare (of California, HMO, Plus, Wrap, Prucare1, Prucare 2000)
	PR002	PruCare Plus
6/26/2003	HM015	PruCare Senior - HMO	Call PruCare for Provider I.D.
	PR002	PruChoice
	PR002	Prudential
	PR002	Prudential Dental Organization (PDO)
	68245	Prudential (Encounters)
	PR002	Prudential For Health
	PR002	Prudential Health Care System (PHCS)
	PR002	Prudential (Health Insur., Managed Healthcare, Indemnity, Traditional, Plus, Point of Service, In-Network, Out-Of-Network, Select, Plus Select, Psychiatric Mgmt., Resources Mgmt.)
	PR002	Prudential Healthcare Health Maintenance Organization
	PR002	Prudential Healthcare HMO For Small Business
	PR002	Prudential Healthcare (HMO, Regional NWK, HMO Regional NWK, Associate NWK,Hmo Associate NWK, Metro NWK, HMO Metro NWK, Affiliates NWK, HMO Affiliates NWK, POS, PPO, SeniorCare, Community Plan)
	PR002	Prudential Healthcare & Life Ins. Co of America
	PR002	Prudential Healthcare (Metro NWK, Affiliates NWK, HMO Affiliates NWK, POS)
	PR002	Prudential Healthcare Network
	PR002	Prudential Healthcare of America Inc.
	PR002	Prudential Healthcare POS For Small Business
	PR002	Prudential Healthcare PPO For Small Business
	PR002	Prudential Healthcare System (PHCS)
	PR002	Prudential (Plus, Point of Service, In-Network, Out-Of-Network, Select)
	PR002	Prudential (Psychiatric Mgmt., Resouces Mgmt.)
	PR002	PruNet
	PR002	PruNetwork (PruNetwork PPO)
	PR002	PruPlus
	PR002	PruPsych
2/01/2009	M9822	PSN - Florida Medicaid (JMH)
2/01/2009	51052	Psychcare, LLC
2/01/2009	PRBLS	Puerto Rico Triple S (BCBS)	Download form via ENS
	91136	Puget Sound Benefits Trust - Grp# F25
	91136	Puget Sound Electrical Workers Trust - Grp# 33
	H0186	Pulmonary Network Inc Hip S FL
6/07/2007	91954	Pyramid Benefit
5/23/2006	39197	Quadmed
	PR002	Quaker Oats
	35174	Qual Choice of Arkansas
	35172	Qual Choice of North Carolina
	35171	Qual Choice of Virginia
	H0398	Qual Med of Colorado Ins
	22300	Qual-Med, Albuquerque (AL)
	22320	Qual-Med, Colorado (CO)
	22330	Qual-Med, Colorado EPO
	30196	Qual-Med, Portland (Po)
	22350	Qual-Med, Seattle (Se)
	22310	Qual-Med, Spokane (Sp)
	23342	QualCare, Inc.
6/26/2003	30303	Qualcare New York
6/26/2003	30417	QUALCHOICE
2/01/2009	41737	QualChoice Health Plan
6/26/2003	QCHOH	QUALCHOICE OF OHIO
	61101	Qualicare Florida
	61101	Qualicare Medicaid
	37129	Quincy Health Care Management Inc.
9/28/2004	57117	QVI Risk Solutions, Inc.
	95266	R.E. Harrington, Inc.
3/20/2013	MRRRL	Railroad Medicare (Palmetto Government Benefit Administrators)	Download form
	61101	Randmark, Inc.
2/01/2009	37306	Rapid City Regional Hospital
5/23/2006	91176	RBMS LLC
6/26/2003	RBSNC	REALMED BLUE SHIELD NC
2/01/2009	SYMED	Redlands IPA (Synermed)
	94234	Redwood Health Services
5/23/2006	REG01	Regal Medical Group
	H0372	Regence Blue Shield of Washington State
6/28/2004	38221	Regency Employee Benefits
2/9/2005	47076	Regional Care, Inc.
	57103	Regional Healthplus
5/23/2006	REH55	Rehab Network, LLC Humana	Payer requires 11 digit member ID Number.
	PH018	Reliastar
	PH018	Reliastar NWNL
	61271	Religious Cimprehensive Trust
	95203	Renaissance ACHS Summit Medicaid
3/20/2013	73066	Reserve National Insurance Company
2/01/2009	20481	Resolve Health Plan Administrators	(Authorization number required: begins with the number 5 and is 13 characters in length.)
8/14/2003	37277	Resurrection Health Care Health Preferred
10/2/2003	37270	Reynolds & Reynolds
	68195	Ringier America, Inc.
6/07/2007	16117	RMSCO, INC.
5/23/2006	AMS11	Robert F Kennedy Medical Center
8/14/2003	33029	Robert Kennedy IPA	Contact North American Medical Management (NAMM) - Southern California at 800-956-8000 for Provider I.D.
	75196	Rockwell Internatational Iowa
	75196	Rockwell International
5/23/2006	RMHMO	Rocky Mountain HMO
2/01/2009	SX141	ROCKY MOUNTAIN HEALTH PLAN - GRAND JUNCTION
	37602	Rooney Life Inc.
	65099	Rorer-Pulnec
	71412	Rural Letter Carriers
2/01/2009	36339	RUSH HEALTH ASSOCIATION
	36389	Rush Prudential Health Plans (HMO Only)
	60054	Rush Prudential (PPO and POS only)
	31441	S&S Healthcare Strategies
2/01/2009	SFG99	SafeGuard
	35164	Sagamore Health Network (IN)
2/01/2009	37137	SAGE TECHNOLOGIES - PBS
6/28/2004	BE160	Saginaw Plumbers Local 85 (Only Non-PPO Claims)
8/14/2003	32012	Saint Francis Health Preferred
5/23/2006	PDT01	Saint Francis IPA
	H0367	Saint Francis SPR Pacificcare
	H0368	Saint Francis SPR Self Pay
	H0365	Saint Francis WCI Blue Link
	H0366	Saint Francis WCI Community CA
	H0363	Saint Francis WCI Pacificcare
	H0364	Saint Francis WCI Prudential
2/01/2009	88029	Saint Marys Health Plan
6/26/2003	H0370	Salt River Project	Please contact LTC for more info.
2/01/2009	37259	SAMBA
6/26/2003	37236	San Francisco Electrical Workers Health & Welfare
5/23/2006	PA513	San Gabriel Valley IPA
8/14/2003	33029	San Luis Obispo (SLO) Select IPA	Contact North American Medical Management (NAMM) - Southern California at 800-956-8000 for Provider I.D.
	74283	Sandia Medical IPA
	60054	Sandia Triple Option Plan (Sandia Top)
4/7/2004	37288	Santa Barbara Cottage Hospital
6/26/2003	SCCOI	SANTA CLARA COUNTY IPA	Please contact LTC for more info.
2/01/2009	IP027	Santa Marta Medical Group (Labs Only) IPA
5/23/2006	77038	Sante Health Systems
2/01/2009	SX019	SANUS - TEXAS
6/26/2003	ALMSH	Sanus PPO - St Louis
	65099	Sara Lee Corporation
2/01/2009	SC922	SC BCBS Companion Health	Download form via ENS
2/01/2009	SC886	SC BCBS Planned Administrators	Download form via ENS
2/01/2009	SC400	SC BCBS State Employee Health Plan	Download form via ENS
2/01/2009	SC402	SC FEP Blue Cross	Download form via ENS
2/01/2009	73172	SCAN HEALTH PLAN - ARIZONA
2/01/2009	72261	SCAN HEALTH PLAN - CALIFORNIA
2/01/2009	20460	SCAN HEALTH PLAN- LONG TERM CARE
2/01/2009	SCHZ0	Schaller Anderson Network of Arizona
6/07/2007	16146	SCHC Total Care Inc. (Acceptius Gateway payer)
6/26/2003	ALMSH	Schnucks
6/26/2003	30893	SCOTT AND WHITE
8/14/2003	SDPHO	Scottsdale PHO	Please contact LTC for more info.
4/7/2004	SCHPC	Scripps Clinic Health Plan Services - Capitated encounters	Download form
4/7/2004	SCHPS	Scripps Clinic Health Plan Services - Fee for service claims	Download form
2/01/2009	SHP01	Scripps Employee Health Plan
	13310	Seabury and Smith
	13310	Seabury & Smith (Benefit Plan Admin. of St. Louis, MO & Office of the Admin., Wash., DC)
	87726	Sears
	42142	Secure Care of Iowa
6/26/2003	28530	Secure Health Plans of Georgia, LLC
6/26/2003	95959	Secure Horizon CA - Pacificare
6/26/2003	30576	Secure Horizons MASS
6/07/2007	COFHP	Secure Horizons of CO
6/26/2003	30784	Secure Horizons Senior Care CA
6/26/2003	30626	SECURECARE
	54771	Security Blue Medicare HMO PA (Highmark)	Enrollment online via the Highmark web site: Web Enrollment Form
6/26/2003	H0168	Security Blue Shield - TN	Please contact LTC for more info.
	39045	Security Health Plan
	H0152	Security Hlth Plan Medicaid of WI
8/14/2003	30733	Security Health Plan Ohio
6/26/2003	64088	Select Administrative Services (SAS)
	CX018	Select Benefit Administrators
6/26/2003	42137	Select Benefit Administrators (Des Moines, Iowa)
6/28/2004	37282	Select Benefit Administrators of America
6/26/2003	22223	Select Blue PA	Please contact LTC for more info.
	H0083	Select Care Minnesota
	60054	Select Choice
6/26/2003	ALMSH	Select Grain
2/01/2009	SX107	SELECT HEALTH CARE
	23285	Select Health of South Carolina
	13377	Select/Pacificare
	00014	SelectCare
	PR002	SelectCare - Coca Cola
	38253	SelectCare of Michigan (standard and ERA claims)
2/01/2009	SCOK1	SelectCare of OK - Tribute
2/01/2009	76045	SelectCare of Texas (HPN) Heritage Physicians Network	(Provider ID Required - Contact (713) 843-6780 to obtain ID.)
2/01/2009	GTPA1	SelectCare of TX (Beaumont)
2/01/2009	HPN11	SelectCare of TX (Houston)	(Provider ID Required - Contact (713) 843-6780 to obtain ID.)
2/01/2009	KLSY1	SelectCare of TX (Kelsey-Seybold)	(Provider ID Required - Contact (713) 843-6780 to obtain ID.)
	34131	Self Funded Plans of Cleveland
	34131	Self Funded Plans of Geneva IL
	34131	Self Funded Plans of Pittsburg
4/7/2004	59111	Self Insurance Benefit Administrators
	36404	Self Insured Plans
	H0084	Self Insured Services Co
	34131	Self-Funded Plans (Il, Pa, OH)
2/01/2009	TH018	SEMNET
2/01/2009	60054	Senior Choice (Aetna HP-NY/NJ)
2/01/2009	83035	Senior Whole Health
	60054	SeniorCare
6/26/2003	54154	Sentara Family Care
	54154	Sentara Health Management
6/26/2003	23249	Sentinel Management Services
6/07/2007	39033	SENTRY INSURANCE A MUTUAL COMPANY
6/26/2003	IP080	Seoul Medical Group
6/07/2007	38610	SET SEG
6/26/2003	76056	Seton CHIP
2/01/2009	SHEBP	Seton Employee Plan
2/01/2009	TH036	SETON HEALTH PLAN
2/01/2009	TH037	SETON HEALTH PLAN STAR MEDICAID
2/01/2009	SHMAP	Seton Map Program - Mediview	(Provider ID required)
	H0085	Share Hlthplan of IL Capitated
	H0086	Share Hlthplan of Illinois
6/26/2003	75280	Shasta Administrative Services
6/26/2003	87815	Shaw Industries (Acordia)
2/01/2009	10002	Sheakley UniComp (OH BWC)	Download form via ENS
	69140	Sheet Metal Workers
2/01/2009	TH047	SHEET METAL WORKERS LOCAL 263
	34675	Sheet Metal Workers Local 33 Youngstown
6/28/2004	BEJ40	Sheet Metal Workers Local 7, Zone 1 (Only Non-PPO Claims)
6/28/2004	BEJ60	Sheet Metal Workers Local 7, Zone 3 (Only Non-PPO Claims)
6/28/2004	BEK70	Sheet Metal Workers Local 80 (Only Non-PPO Claims)
6/07/2007	41143	Sheffield, Olson, & McQueen, Inc
	68195	Sherwin Williams
6/26/2003	HM024	Shield 65+ (formerly Care America)	Call Shield 65+ for Provider I.D.
4/7/2004	76342	Sierra Health Services
4/7/2004	76343	Sierra Health Services (Encounters)
6/26/2003	30664	SIGNATURE CARE
8/14/2003	35206	Signature Care Health Network
	62159	Signature Health Alliance
4/7/2004	84076	Sinclair Health Plan
	SISC1	Sisco (Self Insured Services Company)
6/26/2003	31016	Sisters Of Providence Hlth Pln
5/23/2006	SLOAN	Sloan's Lake Managed Care
	72112	SMA
	72112	SMA 65
	72112	SMA Health Plan
	72112	SMA HMO
	72112	SMA PPO
	72112	Smartplan
	72112	Smartplan 65
	94249	SMIPA/SFIPA
2/01/2009	SMITH	Smith Administrators
	E3510	Sonoma County Primary Care IPA	Contact NAMM @ 800-956-8000 for Provider I.D.
	94156	Sonoma Foundation
	H0003	Sonoran Desert Health Care
6/26/2003	H0003	Sonoran Desert Health - Wisconsin Only
	H0003	Sooner Health Network
6/26/2003	H0003	Sooner Health Network - Wisconsin Only
6/26/2003	E0880	SoonerCare
	91131	Sound Health (Sisters of Providence)
2/01/2009	23266	SOUTH CENTRAL PREFERRED - PPO YORK, PA
11/17/2014	41154	South Country Health Alliance
6/26/2003	SFLCC	SOUTH FLORIDA COMMUNITY CARE
5/23/2006	SX142	South Indiana Health Options HMO	Download form via ENS
2/01/2009	SX144	SOUTH INDIANA HEALTH OPTIONS - TPA
2/01/2009	35227	SOUTH POINT HOTEL AND CASINO
4/7/2004	25147	SouthCare/Healthcare Preferred
	86065	Southeast Iowa Health Plan	Call S.E. Iowa HP for Provider I.D.
	72112	Southeast Medical Alliance
6/07/2007	37318	SOUTHERN BENEFIT SERVICES
6/28/2004	56131	Southern Group Administrators
	25128	Southern Health Services, Inc.
	25128	Southern Health Systems
6/26/2003	37220	Southern National Life
6/26/2003	30906	SOUTHERN NATIONAL LIFE BENEFIT
6/26/2003	30912	SOUTHERN NATIONAL LIFE BMS
5/23/2006	SWADM	Southwest Administrators
	68195	Southwest Airlines
	36215	Southwest Areas Health Welfare
6/26/2003	H0370	Southwest Catholic Health Netw	Please contact LTC for more info.
	60054	Southwest Health Plans
2/01/2009	SX021	Southwest Physicians Associates
6/26/2003	37266	Southwest Service Life
6/26/2003	30919	SOUTHWEST SERVICE LIFE TX
	PR002	Southwestern Bell
	PR002	Southwestern Bell Executive-Custom Care
	PR002	Southwestern Bell Executive-Southwestern Bell
	67784	Southwestern Life
6/26/2003	H0370	Southwestern Teamsters	Please contact LTC for more info.
4/7/2004	37259	Special Agents Mutual Benefit Assoc. (SAMBA)
	52190	Special Risk International
6/26/2003	30613	SPECIAL RISK INTL SRI
6/26/2003	30605	SPECTRUM HEALTH
8/14/2003	84146	Spina Bifida - VA HAC
2/01/2009	52190	SRI/URN Managed Transplant Program
	95286	SSM Exclusive Choice
	22240	St. Barnabas System Health Plan
6/26/2003	37264	St. John's Claim Administration
	68033	St. Joseph Health Foundation of Northern California
	43359	St. Joseph Health System
4/7/2004	STJOH	St. Joseph Heritage
	43325	St. Jude Medical Center
	37116	St. Therese Physician Association
	75202	Star Medicaid
	61425	Starmark
6/26/2003	H0370	State Comp Fund	Please contact LTC for more info.
	72087	State Employees Group Benefits
6/26/2003	H0143	State Employees Health Ins Ga	Please contact LTC for more info.
	31053	State Farm Group Medical & Individual Health Insurance Companies
4/20/2010	31059	State Farm Casualty and Property Claims
	31053	State Farm Insurance Co
2/01/2009	GABLS	State Merit GA
	69140	State Mutual Life Assurance Company of America
6/26/2003	75087	States General Life Insurance
	14163	Staywell Health Plan
	91151	Sterling
	91151	Sterling Option 1
5/23/2006	06089	Stirling and Stir
4/7/2004	31121	Stoner and Associates
2/01/2009	15752	Stones River Regional IPA - Windsor
6/28/2004	58128	Stowe Associates
	74227	Student Insurance Division (Student Resources International)
	74227	Students Insurance - Boston Mutual Life Insurance Co.
	74227	Students Insurance - MEGA Life & Health Insurance Co.
	74227	Students Insurance - Mid-West National Life Insurance Co Tennessee
	74227	Students Insurance - Reliance Insurance Co.
4/7/2004	88331	Suffolk Health Plan of New York
	95202	Summa Care Health Plan
	95202	Summacare HMO
5/23/2006	86071	Summerline Life and Health
4/7/2004	37301	Summit America Insurance Services, Inc.
2/01/2009	SX186	Sun Health Corporation
2/01/2009	67815	Sun Life and Health Insurance Company (Formerly known as GLHIC)
6/26/2003	H0370	Sun Mechanical Contracting Ins.	Please contact LTC for more info.
	PR002	Sun Trust Bank, Inc.
2/01/2009	90956	SunAmerica Life Ins Co (NFIC Plan only)
	95228	Sunstar
	46116	Superion
	23218	Superior Benefits/Administrators (Santa Ana, CA)
	39188	Superior Health Plan Texas
6/26/2003	Call	Superior Health Plan TX	Call Debbi Sandberg @ 800-225-2573 x25306 for Payor I.D.
2/01/2009	TH024	SUPERIOR HEALTH PLANS
6/26/2003	CB833	Supermed
6/26/2003	CB833	Supermed Hmo
6/26/2003	CB833	Supermed Plus
6/26/2003	CB833	Supermed Select Options
6/26/2003	CB833	Supermed Select Pos
6/26/2003	CB833	Supermed Works
6/26/2003	HM056	Sutter Connect- ABMG	Call Sutter @ 800-611-5191 for Provider I.D.
6/26/2003	HM059	Sutter Connect- SIP, SMG, SWMG	Call Sutter @ 800-611-5191 for Provider I.D.
6/26/2003	HM058	Sutter Connect- Sutter Gould Medical Foundation	Call Sutter @ 800-611-5191 for Provider I.D.
6/26/2003	IP090	Sutter Connect - Sutter Medical Group of the Redlands (SMGR)	Call Sutter @ 800-611-5191 for Provider I.D.
6/26/2003	HM057	Sutter Connect- Sutter Medical Group of the Redwoods (SMGR)	Call Sutter @ 800-611-5191 for Provider I.D.
4/7/2004	TALMG	Talbert Medical Group	Download form via ENS
6/07/2007	88067	TALL TREE ADMINISTRATORS
	37228	Tarrant Health Services
6/07/2007	COMPU	Tattered Cover, Inc.
6/07/2007	39157	TBG Administrative Services Wausau, Wisconsin
8/14/2003	88019	Teachers Health Trust
6/07/2007	75139	TEAM CHOICE GOLD
	75133	Team Choice PPO
	75134	Team Choice UMC
2/01/2009	10038	Team Health Care Partnership, Inc. (OH BWC)	Download form via ENS
2/01/2009	75139	Team Health Gold
	36215	Teamcare
6/26/2003	91068	Teamster Construction Industry Welfare Trust
6/26/2003	36612	Teamsters Local Union #301
6/07/2007	74234	Tech-Steel, Inc.
	65099	Teleflex
6/26/2003	TNMD1	TENNCARE	Please contact LTC for more info.
4/7/2004	37293	Tennessee Benefit Administrators, LLC
	62178	Tennessee Health Care
6/28/2004	74249	Texas Association of School Boards
	76048	Texas Children's Health Plan
2/01/2009	75228	Texas Children's Health Plan (Medicaid)
2/01/2009	TXCSM	Texas Childrens Star Medicaid	Enrollment verification calls should be directed to 800-990-TCHP (8247) Download form via ENS
2/01/2009	TX1ST	Texas First Health Plans
	69140	Texas Health Enterprises, Inc.
5/23/2006	RENGQ	Texas Health Spring
6/26/2003	30894	TEXAS MEDICAL ASSN INSURANCE
	74214	Texas Municipal League Group
4/7/2004	TUTCH	Texas True Choice
11/17/2014	88461	The Alliance
	16120	The Araz Group
2/01/2009	BOONG	The Boon Group
6/07/2007	37262	The Brodart Company,Williamsport, Pennsylvania
	46115	The Calends Group
6/26/2003	59223	The Chesapeake Life Insurance Co.
6/07/2007	CRI01	The Chesterfield Companies
2/01/2009	COA01	The City of Amarillo
5/23/2006	75600	The City of Odessa
2/01/2009	87726	The Empire Plan
	28777	The EPOCH Group
6/07/2007	37305	The Ford Meter Box Company, Wabush, Indiana
	16126	The Guardian Choice
5/23/2006	20356	The Health Exchange
2/01/2009	34150	The Health Plan
	35206	The Healthcare Group
6/26/2003	58200	The Integrity Benefit Network, Inc. (Marietta, GA)
	Call	The Lewer Agency	Call 800-598-2343 ext 105 for Payor I.D.
2/01/2009	23223	The Loomis Company	(Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.)
6/26/2003	59221	The Mega Life & Health Ins. Co.
2/01/2009	62295	THE MEGA LIFE (HEALTH MARKETS CARE ASSURED)
	87726	The Metrahealth Insurance Company
	70491	The Mutual Group (US)
6/26/2003	30003	The New England (TNE)
	72112	The OATH
4/7/2004	63092	The OATH - Health Partners of Alabama	Contact HPA for Provider I.D.
	72112	The OATH of Louisiana
6/26/2003	NNTUZ	The Pantry Inc
2/01/2009	13522	THE PERFECT HEALTH INSURANCE COMPANY
	67814	The Phoenix
	91828	The Preferred Healthcare System, Inc.
2/01/2009	15749	The Physicians Alliance Corp/SRRIPA
	PR002	The Prudential
	68195	The Sherwin Williams Company
	68195	The Terminix International Company
	87726	The TPA
	39026	The Trane Health Protection Plan
	87726	The Travelers
6/26/2003	13142	The Union Labor Life Insurance Company
	38200	The Wellness Plan
6/26/2003	37225	Third Party Administrators, Inc.
	06131	Third Party Claims Management
2/01/2009	SC315	Thomas Cooper	Download form via ENS
	25175	Three Rivers Health Plans, Inc.
6/07/2007	COTHE	Theraphysics (Colorado Only)
5/23/2006	THERA	Theraphysics (except Colorado)
2/01/2009	TH038	TIME
6/26/2003	PH017	Time Ins. Co.
	39065	Time Insurance (A Fortis Company)
6/26/2003	30736	TLC Family Care Healthplan
	70491	TMG Life Insurance Company
6/26/2003	74214	TML Intergovernmental Employee Benefits Pool
2/01/2009	WITH1	Today's Health
6/07/2007	48055	TODAYS OPTION (AMERICAN PROGRESSIVE AND PYRAMID LIFE)
	65099	Todd Shipyards
6/28/2004	TTT11	Tongass Timber Trust
	61425	Tooling & Manufacturing Assoc.
5/23/2006	THIPA	Torrance Hospital IPA
2/01/2009	TCARE	Total Care of NY
2/01/2009	68055	TOTAL CAROLINA CARE
2/01/2009	10019	Total Health Management, Ltd. (OH BWC)	Download form via ENS
	16126	Total Care Choice
	H0342	Total Care Management
6/07/2007	31182	Total Community Care
	34153	Total Health Care
5/23/2006	38201	Total Healthcare Inc.
6/26/2003	TOUCH	TOUCHPOINT	Please contact LTC for more info.
9/28/2004	13402	Touchstone Health Partnership, Inc. (Health Net Smart Choice)
6/07/2007	97910	Touchpoint Healthplan HMO - Appleton, WI
2/01/2009	23856	Touchstone Health PSO
	69493	Tower Life Insurance Co.
6/26/2003	37320	TR Paul Inc.
6/26/2003	CB833	Traditional
	65099	Trailer Trains
	39026	Trane Health Protection Plan
6/26/2003	59222	Transamerica
4/7/2004	37284	TransChoice-Key Benefit Administrators
6/07/2007	74234	Transwestern General Agency
2/01/2009	TRAN1	Transwestern Insurance Administrators, Inc.
	87726	Travelers
	87726	Travelers Health Network (HMO & Care Option)
	87726	Travelers Plan Administrators
	04284	Travelers/CGT
	87726	Travelers/CGT - PPO
6/07/2007	36397	Trellis Health Partners
2/01/2009	34075	Tri County Building Trades Health Fund, OH
6/26/2003	30559	TRI COUNTY HEALTH FUND OH
6/26/2003	59222	TRIAD Healthcare, Inc. (Plainville, CT)
11/19/2010	TRICL	Tricare For Life (WPS)	Download form
2/9/2005	TRICN	Tricare North and South Regions
2/9/2005	TRICW	Tricare West Region	Download form
12/02/2011	98514	Trilogy Care
3/20/2013	62777	Trilogy Health Networks (TRLHN/EB)
10/2/2003	IP060	Trinidad Rancheria
	H0003	Tristate Healthcare Partners
6/26/2003	H0003	Tristate - Wisconsin Only
2/01/2009	54210	True Choice USA
	65099	Trump Castle
6/26/2003	30535	Trust Care Preferred Health
4/7/2004	91078	Trusteed Plans Service Corporation
	61425	Trustmark (Benefit Trust Life Ins. Co.)
	61425	Trustmark Insurance Company
6/26/2003	30859	TTPA CHIP
6/26/2003	30857	TTPA COMMERCIAL
6/26/2003	H0370	Tucson Electric Power Company	Please contact LTC for more info.
4/7/2004	04298	Tufts Associated Health	Call Susan Hoffman @ 617-972-9400 for Payor I.D.
6/26/2003	75206	TXEN Altpros
	68195	Tyson Foods
6/26/2003	H0370	U-Haul	Please contact LTC for more info.
2/01/2009	SX192	UAHC Health Plan of Tennessee	Download form via ENS
	16412	UBH RIOS
6/26/2003	87726	UBH - United Behavioral Health (Health Plan - HMO)
4/7/2004	60054	UC Care (University of CA)
1/17/2008	19991	UCare of Minnesota
5/23/2006	33056	UCMN - United Care Medical Network
	65006	UCSF/ICSL Urology
2/01/2009	UFC97	UFCW Local 400-5205
2/01/2009	95378	UHC River Valley (formerly known as John Deere Healthcare	(Please call 866-509-1593 for enrollment and provider ID)
6/26/2003	30618	UHC SPID
5/6/2015	39026	UHIS-UnitedHealth Integrated Services
6/26/2003	22329	UHP of New Jersey (Centene)
6/26/2003	22329	UICI - Administrators
	75245	UICI-Administrators (State of Nevada)
2/01/2009	04352	Ultra Benefits, Inc. Worcester, Massachusetts
11/17/2014	31107	UMR Cincinnati
2/01/2009	79480	UMR Midwest Securities
11/17/2014	79480	UMR Onalaska (formerly Midwest Security)
11/17/2014	74223	UMR San Antonio
11/17/2014	39026	UMR Wausau/UHIS
11/17/2014	75196	UMR Westerville (Harrington Health)
	52180	UMWA Health & Retirement Funds
	80314	Unicare
	47195	Unicare Individual - Small Group
	65935	Unicare Life & Health (Formerly Mass Mutual)
	80314	Unicare Major Accounts
	47195	Unicare of Texas
	65099	Unicare Special Accounts (Old John Hancock)
2/01/2009	35198	Unified Group Services
	62170	Unified Health Services
	75243	Uniform Medical Plan
6/26/2003	30798	UNIFORMED SVCS FAMILY HEALTH
2/01/2009	62183	UNISON HEALTH PLAN/BETTER HEALTH PLANS
6/26/2003	87042	Union Pacific Railroad Employees
2/01/2009	25175	Unison Health Plan / Three Rivers Provider Network (DC, DE, NJ, OH, PA, SC, TN)
	60054	Unisys
5/23/2006	UABT1	United AG Benefit Trust
	87726	United Behavioral Health (former MetraHealth - UNET)
	87726	United Behavioral Health (Health Plan - HMO)
6/26/2003	59069	United Benefits
	H0335	United Health and Life
5/6/2015	03432	United Healthcare Arizona Physicians IPA
5/6/2015	87726	United Healthcare Chronic Complete / Dual Complete /Nursing Home Plan (formerly Evercare)
5/6/2015	95467	United Healthcare Great Lakes Health Plan
5/6/2015	87726	United Healthcare Group Medicare Advantage / MedicareComplete (formerly SecureHorizons) / MedicareDirect (formerly SecureHorizons)
5/6/2015	95378	United Healthcare hawk-i
	87726	United Healthcare Insurance Company
5/6/2015	87726	UnitedHealthcare Long Term Care (formerly Evercare)
	87726	United Healthcare - Metrahealth/Metropolitan
	87726	United Healthcare of Arizona
6/26/2003	87726	United Healthcare of Arkansas
	87726	United Healthcare of Colorado
	87726	United Healthcare of Florida
	87726	United Healthcare of Florida (Old Cac/Ramsay/Coral Gables Plan Only)
	87726	United Healthcare of Georgia
6/26/2003	87726	United Healthcare of Illinois
	87726	United Healthcare of Kentucky
6/26/2003	87726	United Healthcare of Louisiana
	87726	United Healthcare of Mid Atlan
6/26/2003	87726	United Healthcare of Mississippi
6/26/2003	87726	United Healthcare of New England
	87726	United Healthcare of New York
	87726	United Healthcare of North CA
6/26/2003	87726	United Healthcare of North Carolina, Inc.
6/26/2003	87726	United Healthcare of Ohio
	87726	United Healthcare of South CA
6/26/2003	87726	United Healthcare of Tennessee
	87726	United Healthcare of Texas
6/26/2003	87726	United Healthcare of the Midlands - HMO (Choice, Select)
6/26/2003	87726	United Healthcare of the Midlands - PPO(Choice Plus,Select Plus,Self Funded)
6/26/2003	87726	United Healthcare of the Midwest - Choice, Choice Plus, Select, Select Plus
6/26/2003	87726	United Healthcare of the Midwest - Medicare Complete
	87726	United Healthcare of the South
	87726	United Healthcare of Utah
	87726	United Healthcare of Virginia
	00003	United Healthcare of Wisconsin, Inc.
5/6/2015	95378	UnitedHealthcare Plan of the River Valley
6/26/2003	87726	United Healthcare Plans of Puerto Rico
	87726	United Healthcare - Travelers
	87726	United Healthcare Upstate NY
5/6/2015	87726	UnitedHealthcare West (formerly known as PacifiCare)
5/6/2015	95958	UnitedHealthcare West Encounters (formerly known as PacifiCare)
6/07/2007	84132	United Medical Alliance (UMA)
	71412	United of Omaha
	60054	United Parcel Service
	84132	United Physicians of Norther Colorado
5/23/2006	41194	United Resources Network
	74095	United States Automobile Assoc.
6/26/2003	30746	UNITED STATES LIFE INS CO
	H0003	Unity/Precision Health Plans
6/26/2003	H0003	Unity/Precision Health Plans - Wisconsin Only
2/01/2009	66705	Unity Health Insurance	(Before submitting claims, please call Joe Boerboom at 608-643-1531 for EDI Signup.)
	16108	Univera Health - Southern Tier
2/01/2009	SX084	Univera Health Plan
	16107	Univera Healthcare	Download form via ENS
6/07/2007	16105	UNIVERA HEALTHCARE - CNY
6/26/2003	UNPHP	UNIVERA PHP	Please contact LTC for more info.
6/26/2003	UNSSE	UNIVERA SSA EASTERN NY
6/26/2003	UNSSW	UNIVERA SSA WESTERN NY PPO
4/7/2004	33001	Universal Care  - California	Download form via ENS
	33002	Universal Care - Tennessee
6/07/2007	50528	UNIVERSAL HEALTH CARE, INC.
	38298	Universal Standard Healthcare, Inc.
2/01/2009	09830	University Family Care
2/01/2009	07503	University Family Care - Healthcare Group	Download form via ENS
2/01/2009	09908	University Family Care - Maricopa Health Plan
	58248	University Health PLan
	58247	University Health Plan (Medicaid)
6/26/2003	59000	University Health Plan of NJ
	58246	University Health Plans of Georgia
2/01/2009	13393	University MSO
	65099	University of Chicago
	65099	University of Cincinatti
2/01/2009	SX155	University of Utah Health Plans
2/01/2009	77044	US Department of Labor	Download form via ENS
	91136	University of Washington Students & Graduate Appts. - Grp# P67
6/26/2003	NNTUZ	Unocal
	23281	UPMC Health Plan
6/26/2003	30478	UPNC UNITED PHYSICIAN COLORADO
	38337	Upper Peninsula Health Plan
	60054	UPS-United Parcel Service
	USAA1	US Able Administrator	Call US Able Administrator for Provider I.D.
6/26/2003	USAA1	US ABLE FIRST PYRAMID LIFE	Please contact LTC for more info.
6/07/2007	93092	US Benefits - Portland, Oregon
2/01/2009	TH103	US Family Health Plan (USFHP)
2/01/2009	VABLS	VA State Employer Funds (Requires VA Blue Shield EMC approval)
4/7/2004	60054	US Healthcare
	68195	US Steel
6/28/2004	30886	USA MCO
	74095	USAA (United States Automobile Association)
6/26/2003	13407	USFHP - St. Vincent Catholic Medical Centers of New York
6/07/2007	74234	Utah Carpenters
6/07/2007	74234	Utah Laborers
6/07/2007	74234	Utah Pipe Trades
	36369	Utilimed	Call 800-252-2021 for Provider I.D.
	76049	UTMB Healthcare Systems
6/26/2003	H0370	V.A.W. of America	Please contact LTC for more info.
8/14/2003	12115	VA Fee Basis Programs	Claims are printed and mailed to the payer.
5/23/2006	VPN01	VA Premier
2/01/2009	VHA11	Valley Health Administrators
6/26/2003	30895	VALLEY BAPTIST HEALTH PLAN
2/01/2009	00814	Value Options Arizona Medicaid	Download form via ENS
2/01/2009	VCIPA	Valley Care IPA
	VALL1	Valley HMO
6/26/2003	IP044	Valley of the Moon	Call or email LTC.
	77004	Valley Physicians, Inc.
5/23/2006	EC005	Value Options	Download form
2/01/2009	00816	Value Options Massachusetts Behavioral Health Partnership	Download form via ENS
2/01/2009	00819	Value Options New Mexico Medicaid	Download form via ENS
2/01/2009	00817	Value Options Pennsylvania Medicaid	Download form via ENS
2/01/2009	00818	Value Options Texas Northstar	Download form via ENS
2/01/2009	75256	Verity National Group
6/26/2003	HMP01	Valuecare
6/26/2003	H0122	ValueCare UT	Please contact LTC for more info.
	23173	Vanderbilt Health Plan (VHP) Community Care
	72128	Vantage Health Plan, Inc.
	60054	Varian Health Care Plan
	73288	Vencor
2/01/2009	24818	Vida Care
6/26/2003	54182	VICARE Administrative Services
6/26/2003	30792	VICARE NATIONAL BENEFIT PLANS
2/01/2009	59257	Vista Healthplan of South Florida (Formerly known as Foundation Health of Florida)
6/28/2004	BVVP1	VIPA
6/07/2007	54176	VIRGINIA PREMIER HEALTH PLAN
9/28/2004	37297	Vision Care Incorporated
	86079	Vista Del Sol Health Care
6/26/2003	55248	Vista Health Plan
6/26/2003	30445	VITA CARE MAG
2/01/2009	HCDPB	Vita Health
	VNAET	Vivra - Aetna
6/26/2003	30435	VIVRA ANTERO
	VNPRI	Vivra Asthma Allerg Princ S FL
	VNHIP	Vivra Asthma Allergy Hip S FL
	VNBGA	Vivra - Blue Choice Georgia (Blue Choice)
6/26/2003	30534	VIVRA BLUE CHOICE OF CO
	VNCAC	Vivra - Cac Ramsey Plans (Cuban American Clinics)
	VNPRI	Vivra Cardiolog Principal S FL
	VNUNI	Vivra Cardiolog UHC STH FL
	VNCIG	Vivra - Cigna Plans
	VNHIP	Vivra Ent Hip South FL
	VNPRI	Vivra Ent Principal South FL
	VNFHP	Vivra - Family Health Plan
	VNFPL	Vivra - Family Plus Plans
	VNFHC	Vivra - Florida Health Choice Plans
	VNCFL	Vivra Foundation Care FL
	VNCFL	Vivra - Foundation Health Plans (Care Florida)
	VNHOP	Vivra - Health Options - Blue Cross Florida Plans
	VNHEL	Vivra - Helixcare Plans
	VNHIP	Vivra - Hip Plans (Sunrise Health Plan)
	VNHUM	Vivra Humana
	VNHUM	Vivra - Humana Plus
	VNMCA	Vivra - Managaed Care of America Plans (PPO)
	VNMER	Vivra - Meridian Plans
	VNMET	Vivra - Metrahealth Plans
	VNNHP	Vivra - Neighborhood Health Partnership Plans
	VNCIG	Vivra Neurology digna South FL
	VNHIP	Vivra Neurology Hip South FL
	VNHOP	Vivra Neurology Hlth Opt S FL
	VNMET	Vivra Neurology Metrahlt S FL
	VNPRI	Vivra Neurology Principal S FL
	VNUNI	Vivra Neurology UHC South FL
	VNNYL	Vivra - NYLCare Plans (Health Plus)
	VNPRI	Vivra Ob Gyn Principal STH FL
	VNUNI	Vivra Ob Gyn UHC STH FL
	VNONE	Vivra - One Source Plans
	VNPRI	Vivra Orthoped Principal S FL
	VNPRU	Vivra Orthopedics Prucare S FL
6/26/2003	30438	VIVRA PACIFIC CARE
6/26/2003	30437	VIVRA PHP
	VNPRI	Vivra Phys Ther Principal S FL
	VNHIP	Vivra Phys Therapy Hip STH FL
	VNUNI	Vivra Phys Therapy UHC STH FL
	VNPCA	Vivra - Physicians Corporation of America Plans
	VNPRI	Vivra - Principal Plans
	VNPRU	Vivra - Prudential Plans
6/26/2003	30436	VIVRA ROCKY MOUNTAINS
	VNTHC	Vivra - Total Health Choice Plans
	VNTRI	Vivra - Trigon - Healthkeepers Plans
	VNUNI	Vivra - United Plans
	VNPRI	Vivra Urology Principal STH FL
	VNPRU	Vivra Urology Prucare STH FL
	VNANT	VIVRA-Antero
	VNBCO	VIVRA-Blue Choice of Colorado
	VNPAC	VIVRA-Pacificare
	VNPHP	VIVRA-PHP
	VNRMN	VIVRA-Rocky Mountain
3/20/2013	77073	VNS CHOICE Medicare
2/01/2009	59266	Volusia Health Network
	65099	Volvo
2/01/2009	23173	VPH Community Care
	22264	Vytra Healthcare	Call Vytra for Provider I.D.
6/26/2003	62111	W.C. Beeler & Company
	SX063	WA State Labor and Industry	Download form
2/01/2009	85256	Wabash Memorial Hospital Association
	75257	Wal-Mart
6/26/2003	H0370	Washington Elementary School	Please contact LTC for more info.
2/01/2009	37294	WASHINGTON EMPLOYERS TRUST
	35196	Washington National Insurance Co.
	SX063	Washington State L & I	Download form
6/26/2003	91068	Washington Teamster Welfare Trust
6/07/2007	38356	Washtenaw Community Health Organization
6/07/2007	73155	Waterstone Benefit Administrators
6/26/2003	58082	Watkins Associated Industries, Inc.
	39026	Wausau ICM
	39026	Wausau Insurance Companies - Employers Insurance of Wausau
	39026	Wausau Preferred Health Plans
6/26/2003	30914	WC BEELER AND COMPANY
	39151	WEA Insurance Group
6/26/2003	16112	Webster Plastics Inc. Doctors' Health Plan
	75261	webTPA/Community Heatlh Electronic
	14164	Wellcare
2/01/2009	59354	Wellcare Health Plan, Inc. (Encounters only)
	14163	Wellcare HMO, Inc.
	14164	Wellcare Management Group (HMO)
6/26/2003	WMCH1	WELLCARE MEDICARE CHOICE HFN
	14164	Wellcare of CT
	14164	Wellcare of New York (Hospital Outpatient Only)
	14164	Wellcare of NY
1/17/2008	77072	Wellcare Private Fee for Services
	65099	Wellesley Corporation
6/26/2003	30896	WELLMED CLAIMS
6/26/2003	30897	WELLMED ENCOUNTERS
	25129	Wellpath of Carolina Inc.
	47198	Wellpoint Dental
7/17/2013	87815	Wells Fargo TPA, Inc. (Charleston, WV)
7/17/2013	37272	Wells Fargo TPA, Inc. (Newnan, GA and Fayetteville, NC)
6/07/2007	22925	WELS Benefit Plan Office
	91136	West Coast Stationary Engrs Health & Security Trust Fund - Grp# F13
	75196	West Virginia State Employees
2/01/2009	77025	West Virginia Worker's Compensation Program	Download form via ENS
6/26/2003	PH020	Western
2/01/2009	IP026	Western Arizona Regional Physicians (Labs Only)
2/01/2009	93128	Western Benefits, Inc. (Also known as Western Grocers)
6/26/2003	PH020	Western Care
	24735	Western Grower's Assurance Trust
	H0450	Western Grower's Insurance Comp
6/26/2003	H0370	Western Growers Association	Please contact LTC for more info.
6/07/2007	37306	Western Health Inc
6/26/2003	PH020	Western Life Ins Benefit Plan (Fortis)
6/26/2003	37247	Western Mutual Insurance
	H0095	Western Ohio Healthcare Corp
6/07/2007	31048	WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI, OH)
6/26/2003	91068	Western Teamster Welfare Trust
2/01/2009	IP023	Westgrove Medical Group (Labs Only) - IPA
2/01/2009	90560	WestLake Financial Group, Inc.
	38232	Weyco Inc.
	65099	Whirlpool
2/01/2009	93050	WILLIAM C EARHART
4/7/2004	98010	William J. Sutton & Company, LTD. (Toronto, Canada)
	62061	Willis Administrative Services Corporation
	62061	Willis Corroon
3/20/2013	67829	Windsor Health
6/07/2007	11696	Windsor Home Network
2/01/2009	62153	Windsor Medicare Extra
5/23/2006	WNHLT	WinHealth
4/7/2004	39200	Wisconsin Auto and Truck Dealers
	39151	Wisconsin Education Association
	73288	Wisconsin Employers Group
	61101	Witherspoon Parking Garage
2/01/2009	81949	Woodman Accident and Life Co (AICT Plans only)
2/01/2009	SX067	WORKERS COMP OF WEST VIRGINIA
6/07/2007	20333	Worksite Benefit Services, LLC
	75276	World Insurance Company
6/07/2007	WPSC1	WPS Commercial	Download form
6/26/2003	30002	Wr Grace Corp
	BBOH1	Wright Health Associates
	23710	Writers Guild-Industry Health Plan
	H0305	WV Consultec Workmens Comp
	62153	Xantus Healthplan of Tennessee
	62153	Xantus Healthplan of TN
	06121	Yale New Haven Health - Mso Inc.
	95376	Yale Preferred Health/Healthchoice of Connecticut
6/26/2003	H0370	Yavapai Combined Trust Health	Please contact LTC for more info.
	30007	Yellow Freight
	65099	York International
5/23/2006	75285	Young Life
	34083	Youngstown Area Electrical Welfare Fund, Ohio
6/26/2003	H0370	Yuma Regional Medical Center	Please contact LTC for more info.
	65099	Zapata Corporation
6/26/2003	ZEROX	Zerox