The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE
The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE
The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE
The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE
The most innovative team in eligibility is expanding. Now open to Physical Therapy, Intensive Outpatient, and Primary Care partners.
LEARn MORE

Smarter insurance verification through AI

How Nirvana technology works
Take a look under the hood

The Problem

The problem is complicated, 
inconsistent data

Antiquated data standards and an increasing number of complex insurance plans make simple automation impossible. A custom analytical model is necessary to achieve high accuracy across eligibility status and cost estimates.
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The Nirvana AI Model: A Dynamic Solution for a Complex Problem
Validated Plan Information
Nirvana’s internal team of billers helps our model understand the most complex plans
See more
Building Adaptability With Supervised Learning
AI models require consistent feedback and validation to maintain precision. This is especially true in the insurance industry as plan data is dense and ever-changing.  
Nirvana’s model is supported by trainers with deep industry knowledge and relationships with some of the largest healthcare operators in the country, allowing it to interpret plans from hundreds of payers.
Diverse Data Sources
Sourced from multiple clearinghouses, our model has reliable access to up-to-date plan data
See more
A Reliable Foundation for Unparalleled Uptime
The Nirvana proprietary model is built to interpret data standards and structural blind spots ensuring it can understand the industry’s complexity
Nirvana has relationships with multiple data clearinghouses enabling 99% uptime.
The Nirvana AI Model
See more
After thousands of hours of training across millions of verification checks, Nirvana's AI model is now more accurate than human billers.
The AI engine is consistently fine-tuning with customer use and input
The Nirvana AI Model
After thousands of hours of training across millions of verification checks, Nirvana's AI model is now more accurate than human billers.
Nirvana results mirrored directly into your EHR
Benefit Verification & Cost estimation
Actionable insights are delivered to Nirvana’s Eligibility Management Platform
See more
Nirvana’s Eligibility Management Platform: The Path to Better Care
The Nirvana AI model provides the best eligibility data available, but it takes a platform to put that data into practice.
Nirvana’s Eligibility Management Platform empowers workflows and actionable insights, so that non-technical operators can easily oversee patient intake, cost estimation, and rolling benefit verification.
By streamlining these processes through an easy-to-use platform, disruptions to patient care are reduced, claim denials are prevented and the administrative overhead of our customers is redirected toward improving patient care.
The AI engine is consistently fine-tuning with customer use and input
The Nirvana AI Model: A Dynamic Solution for a Complex Problem
Validated Plan Information
Nirvana’s internal team of billers helps our model understand the most complex plans
See more
Building Adaptability With Supervised Learning
AI models require consistent feedback and validation to maintain precision. This is especially true in the insurance industry as plan data is dense and ever-changing.  
Nirvana’s model is supported by trainers with deep industry knowledge and relationships with some of the largest healthcare operators in the country, allowing it to interpret plans from hundreds of payers.
Diverse Data Sources
Sourced from multiple clearinghouses, our model has reliable access to up-to-date plan data
See more
A Reliable Foundation for Unparalleled Uptime
The Nirvana proprietary model is built to interpret data standards and structural blind spots ensuring it can understand the industry’s complexity
Nirvana has relationships with multiple data clearinghouses enabling 99% uptime.
The Nirvana AI Model
See more
After thousands of hours of training across millions of verification checks, Nirvana's AI model is now more accurate than human billers.
Nirvana results mirrored directly into your EHR
Benefit Verification & Cost estimation
Actionable insights are delivered to Nirvana’s Eligibility Management Platform
See more
Nirvana’s Eligibility Management Platform: The Path to Better Care
The Nirvana AI model provides the best eligibility data available, but it takes a platform to put that data into practice.
Nirvana’s Eligibility Management Platform empowers workflows and actionable insights, so that non-technical operators can easily oversee patient intake, cost estimation, and rolling benefit verification.
By streamlining these processes through an easy-to-use platform, disruptions to patient care are reduced, claim denials are prevented and the administrative overhead of our customers is redirected toward improving patient care.
The AI engine is consistently fine-tuning with customer use and input
The Nirvana difference is our integration of deep human expertise
Nirvana’s In-House Experts
Data access alone isn’t enough to improve insurance verification, algorithms need to learn from the best.
Nirvana’s team of a dozen expert billers conducts thousands of policy audits each month, preventing garbage in/garbage out.
Direct User Input from Customers
Customer billers act on Nirvana workflows, training and reinforcing our model through millions of observations.
Nirvana’s model is built to allow customers to adapt and refine their tools as needed. Through the Eligibility Management Platform, administrators can use their knowledge to customize their solution directly, without the need for technical support.

Nirvana delivers the data your team needs

Learn more
What you get with Nirvana
Accurate payer data
Auto-detection for correct payer associated to member plans, resulting in high policy recovery rate
Built-in patient retry logic
Recover policies and increase successful patient billing experiences.
Scalable technology
Scalable and flexible for your practice growth and  payor expansion
ML assistance
Human powered processes augmented by Machine Learning for the most accurate results

Nirvana Insights

Nirvana is on the cutting edge of healthcare technology

Navigating Healthcare’s Complexity: The Need for Adaptable AI Solutions

The X12 5010 standard and its impact on benefit verification.
Learn more

Machine Learning in Health Insurance Verification

Understand the capabilities, the best uses, and how Nirvana leverages this technology.
Learn more

Next level verification technology

We know how frustrating it is to not have patient verification and coverage technology that’s built for the nuances of mental health practices.  That’s why we built Nirvana, to create better systems so you can deliver better care.
Book a Demo

FAQs

What payers does Nirvana support?
Nirvana supports Medicare, Medicaid and hundreds of payers nationwide. See full list here.
What payers does Nirvana support?
How do you integrate?
We have integrated into many homegrown EHRs for our clients, as well as Salesforce, and standard EHR integrations for Veradigm and AdvancedMD.
How do you integrate?
We use an eligibility tool right now, how is Nirvana different?
Many of our customers have switched from their traditional eligibility tool because their billing teams were overwhelmed with pages and pages of non-specific benefit results, forcing them to comb through to find the relevant information. This caused their teams to lack efficiency and feel overworked. With Nirvana, they get specialty-specific results instantaneously so they can focus their attention on the most sensitive cases and while relying on automation for the others.
We use an eligibility tool right now, how is Nirvana different?
Akshay Venkitasubramanian
Chief Executive Officer
His extensive tenure in healthcare spans consulting, product management, technology strategy, and administration. With roots in Mount Sinai’s Specialty Care Team and as a product lead at Remedy Partners, Akshay’s vision for Nirvana has been shaped by his diverse healthcare experiences.
Urvish Parikh
Chief Technical Officer
Urvish spearheaded engineered solutions at tech giants like Enigma and Microsoft. His extensive experience in engineering stable systems coupled with his leadership experience brings unparalleled tech expertise to ensure Nirvana stands out.
Diverse Data Sources
A Reliable Foundation for Unparalleled Uptime
The Nirvana proprietary model is built to interpret data standards and structural blind spots ensuring it can understand the industry’s complexity
Nirvana has relationships with multiple data clearinghouses enabling 99% uptime.
Validated Plan Information
Building Adaptability With Supervised Learning
AI models require consistent feedback and validation to maintain precision. This is especially true in the insurance industry as plan data is dense and ever-changing.  
Nirvana’s model is supported by trainers with deep industry knowledge and relationships with some of the largest healthcare operators in the country, allowing it to interpret plans from hundreds of payers.
The Nirvana AI Model
After thousands of hours of training across millions of verification checks, Nirvana's AI model is now more accurate than human billers.
Benefit Verification & Cost estimation
Nirvana’s Eligibility Management Platform: The Path to Better Care
The Nirvana AI model provides the best eligibility data available, but it takes a platform to put that data into practice.
Nirvana’s Eligibility Management Platform empowers workflows and actionable insights, so that non-technical operators can easily oversee patient intake, cost estimation, and rolling benefit verification.
By streamlining these processes through an easy-to-use platform, disruptions to patient care are reduced, claim denials are prevented and the administrative overhead of our customers is redirected toward improving patient care.
Kelvin Chan
CPO & President
With his strategic roles at Enigma, IQVIA, and brand strategy at J&J, Kelvin has a rich background in product development and machine-learning applications in healthcare, ensuring Nirvana’s products are top-tier and user-centric.

Nirvana Coverage Supported Payers

Payer Name
Payer ID
Requires Enrollment?
J. F. Molloy and Associates Inc.
00143
Principal Financial Group
00143
Principal Life Insurance Company
00143
Coventry Health Care of the Carolinas (Wellpath)
00164
Medstar Family Choice (Helix)
00243
Medstar Physician Partners
00243
UnitedHealthcare Plan of the River Valley
00335
Coventry Missouri
00507
BCBSMN Blue Plus Medicaid
00562
Medicare Part B of Maryland
00901
Medicare of Maryland Jurisdiction A
00901
Medicare Part B of Delaware
00902
Medicare of Delaware Jurisdiction A
00902
Medicare Part B of DC
00903
Healthsource Maine - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID
01041
Healthsource Maine
01041
Qual Choice of Ohio
01250
Magellan Health Services
01260
Magellan Behavioral Health
01260
Healthsource New Hampshire (Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID)
02038
Arizona Physicians IPA (APIPA) (UnitedHealthcare Arizona Physicians IPA)
03432
Arizona Physicians IPA - Community and State
03432
UnitedHealthcare Arizona Physicians IPA (Arizona Physicians IPA) formerly know as APIPA
03432
UnitedHealthcare Community Plan / AZ (formerly Arizona Physicians IPA and APIPA)
03432
Harvard Pilgrim Healthcare
04271
Harvard Pilgrim Healthcare (837I & 837P)
04271
UHIS-UnitedHealthcare Integrated Services
04271
Neighborhood Health Plan of MA
04293
AllWays Health Partners
04293
Tufts Associated Health
04298
Tufts Health Plan
04298
Network Health Massachusetts
04332
Network Health MA (submit claims through payer ID: 04298)
04332
Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number.)
05047
Neighborhood Health Plan of Rhode Island
05047
Connecticare Inc.
06105
Connecticut General Life
06105
Physicians Health Services (now Health Net of NE) (Health Net six digit ID REQUIRED in B0X33a; call 866-334-4638)
06108
Health Net of the Northeast
06108
Oxford (UnitedHealthcare/Oxford)
06111
Oxford Health Plans
06111
Oxford (UnitedHealthcare)
06111
HealthSmart Benefit Solutions, Inc.
10003
Coventry HealthCare of Florida
10066
Molina Healthcare of Washington
10253
Blue Cross of Pennsylvania (Independence)
10262
Yes
Blue Cross Blue Shield of New Jersy (Horizon)
10337
AmeriHealth Mercy Health Plan
10340
ALLEGIANCE BENEFIT PLAN MANAGEMENT INCORPORATED
10654
Globe Life and Accident Insurance
10988
MAGNACARE
11303
Fidelis Care of New York
11315
Fidelis (CenterCare)
11315
Medica portal |  Medica Health Plans Portal
12422
Aetna Better Health of Missouri
128MO
Central California Alliance
12K82
Molina Healthcare of Utah
12X09
Metro Plus Health (837P & 837I)
13265
Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call 718-794-7592.)
13334
Affinity Health Plans
13334
Hudson Health Plan (Provider must be located in Duchess  Orange Rockland  Sullivan or Westchester County  NY)
13335
Hudson Health Plan (MVP Healthcare)
13335
Boston Medical Center Healthnet (BMC)
13337
BMC HealthNet Plan (837P & 837I)
13337
Orthonet - AETNA
13383
Wellcare HMO  Inc.
14163
Wellcare Health Plan
14163
Staywell (Sunshine State Health Plan)
14163
Wellcare Kentucky
14163
MVP Health Care
14165
MVP HEALTHCARE (837P & 837I)
14165
CareCore National  LLC (Aetna Radiology Claims)
14179
New York Medical Imaging-MVP
14179
CareCore Aetna Radiology
14179
POMCO (UMR)
16111
RMSCO  Inc.
16117
Lifetime Benefit Solutions (EBS RMSCO)
16117
LIFETIME BENEFIT SOLUTIONS
16117
Ucare of Minnesota  (For DOS prior to 01/01/2019)
19991
UCare of Minnesota
19991
Molina Healthcare of Ohio
20149
Better Health Plan of Florida (For claims rejections  contact payer at 800-514-4561 and select provider services option.)
20488
Aetna Better Health Plan of Florida
20488
Molina Healthcare of Texas I Par Plus
20554
Horizon Blue Cross Blue Shield of New Jersey
22099
Blue Cross Blue Shield of New Jersey
22099
Horizon Healthcare of New York
22099
Amerihealth
22248
Carecentrix - Fallon Community Health
22254
Maryland Physicians Care (MPC)
22348
Capital Blue Cross (Pennsylvania)
23045
Blue Cross Capital of Pennsylvania
23045
Capital Advantage Insurance Company
23045
The Loomis Company (Call Provider Relations at 610-374-4040 ext. 2438 for procedures prior to submitting electronically.)
23223
The Loomis Company
23223
UPMC Health Plan
23281
Keystone First (Mercy)
23284
QualCare Inc.
23342
Santa Clara Family Health Plans
24077
Western Grower's Insurance Company
24735
Pinnacle Claims Management  Inc.
24735
Coventry Health Care (Coventry old Legacy Payer ID's are still accepted.)
25133
Healthcare USA
25133
Carecentrix - Coventry Healthcare
25133
Diamond Health Plan (previously PID 25131)
25133
OmniCare (For claims with Dates of Service after 10/01/04)
25150
Omnicare  A Coventry Health Plan
25150
Gateway Health Plan Medicaid PA
25169
Americhoice Personal Care Plus PA (UnitedHealthcare Community Plan)
25175
Unison Health Plan (Formerly Three Rivers Provider Network.)
25175
UnitedHealthcare Community Plan - DC  DE (formerly Unison)
25175
AmeriChoice Personal Care Plus PA
25175
Three Rivers Provider Network (Now known as Unison Health Plan.)
25175
Unison DC  DE  PA  SC
25175
UnitedHealthcare Facets Pittsburgh - Community and State
25175
Better Health Plans (Unison Health Plan)
25175
Aetna Better Health IL Medicaid
26337
Carolina Care Plan (Part of the Medical Mutual Family of companies. Former payerID was 57105.)
29076
Medical Mutual of Ohio (Payer requires a 12 digit rendering provider ID#  which needs to be obtained from payer by calling 800-321-7223)
29076
Medical Mutual of Ohio (Carolina Care Plan)
29076
Medical Mutual of Ohio
29076
State Farm Group Medical & Ind Health Ins Co (Note that payer requires Insured's ID of 11 or 12 digits and exact structure. Otherwise claims will reject.)
31053
State Farm Medical
31053
State Farm Group Medical (837P & 837I)
31053
CareSource of Ohio
31114
Central Benefits National
31118
Central Benefits Life aka HealthScope Benefits
31118
Healthsource Ohio
31141
ElderPlan  Inc. (Elderplan Provider ID necessary on all claims. Contact (718)921-7979 for Provider ID.)
31625
ElderPlan, Inc.
31625
Buckeye Community Health (837P & 837I) (Remits returned under 68069)
32004
Universal Care - California (ProviderID required.)
33001
PacifiCare Behavioral Health
33053
The Health Plan  (Upper Ohio Valley)
34150
Highmark Pennsylvania
35145
Yes
Healthsource Indiana (Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID)
35167
Qual Choice of Arkansas
35174
CoreSource of Illinois (Trustmark)
35182
CoreSource of Pennsylvania
35182
CoreSource of PA  MD  IL
35182
CoreStar  (PayerID Termed to 35182. Older payerID of 41045 will start rejecting.)
35182
AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company
36273
AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company
36273
OVATIONS
36273
AARP - UnitedHealthcare Insurance Company
36273
Harmony Health Plan of Indiana (Only claims for Indiana Hoosier Healthwise members can be sent to this payer electronically.)
36405
Harmony Health Plan of Indiana
36405
Harmony Health Plan of Indiana (837I) (Remits returned under 14163)
36405
Harmony Health Plan of Illinois (Wellcare Provider ID required  call (800) 960-2530 opt. 2 then 5)
36406
Harmony Health Plan of Illinios
36406
Harmony Health Plan of Illinois (837I) (Remits returned under 14163)
36406
Key Benefit Administrators (KBA)
37217
Planned Administrators  Inc. (PAI)
37287
Essential StaffCare
37287
Golden Rule (UnitedHealthOne)
37602
Rooney Life Inc.
37602
UnitedHealthOne / Golden Rule (837P & 837I)
37602
Golden Rule
37602
Golden Rule Insurance
37602
Priority Health (Please contact Priority Health EDI Dept at 616-464-8686 or email EDISETUP@Priority-Health.com)
38217
Priority Health
38217
Christian Brothers Services
38308
Health Net of Arizona
38309
Molina Healthcare of California (Rendering provider must use Medi-Cal ID number or State License Number. Billing provider should use Federal TaxID only.)
38333
Molina Healthcare of California
38333
Molina Healthcare of Michigan
38334
Aetna TX Medicaid & CHIP (837P & 837I)
38692
Aetna TX Medicaid & CHIP
38692
UMR
39026
Employers Insurance of Wausau - aka Wausau (Now known as UMR Wausau)
39026
UMR Wausau
39026
Wausau Insurance Companies - aka Employers Insurance of Wausau (Now knows as UMR Wausau)
39026
UMR  (formerly UMR Wausau, FiServ Health)
39026
UMR (formerly UMR Onalaska ERA)
39026
United Medical Resources
39026
TML Intergovernmental Employee Benefits
39026
United HealthCare Shared Services
39026
WEA Insurance Group
39151
WEA Trust
39151
SUPERIOR HEALTH PLAN OF TEXAS
39188
Superior Health/Centene Corp I Par Plus
39188
Superior Health Plan Texas (Remits returned under 68069)
39188
Preferred One
41147
Optum Health - Physical Health (Includes Oxford) (formerly ACN  former payerIDs 41159  41160  ACN01)
41161
OptumHealth Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) (Former payerID 52190)
41194
Optum Health Care Solutions (Formerly U.R.N)
41194
URN
41194
American Republic Insurance Company
42011
Government Employees Health Association Inc. (GEHA)
44054
American Postal Workers Union Health Plan
44444
APWU Health
44444
Conversion Plan - APWU
44444
Riverside Health  Inc
45281
Aspire Health Plan
46156
Seaside Health
46187
Physicians Mutual Insurance Company
47027
Physicians Mutual
47027
Todays Option (American Progressive and Pyramid Life)
48055
Pyramid Life Insurance Company
48055
Today's Option I Par Plus (Wellcare)
48055
Todays Option (837P & 837I)
48055
Molina Healthcare of Florida
51062
Johns Hopkins (USFHP) (New submitter should send in their Billing NPI & Rendering servicing NPI)
52123
Johns Hopkins Medecine US Family Health Plan (USFHP)
52123
Alliance PPO Inc.(Now known as OneNet PPO  LLC.)
52149
OneNet PPO (formerly Alliance PPO and MAPSI)
52149
MAHP (MAMSI)
52149
OneNet PPO (UnitedHealthcare)
52149
Alliance PPO of MD (Mamsi)
52149
Optimum Choice of the Carolina's (MAMSI)
52152
MAHP (Bravo Health (Formerly known as Elder Health Inc. Serving members in PA  MD  DE  TX and Washington DC.)
52192
Elder Health Maryland HMO Inc. (Now known as Bravo Health.)
52192
Bravo Health
52192
Elder Health HMO of Pennsylvania
52192
CIGNA HealthSprings
52192
National Association of Letter Carriers/NALC
53011
NALC (National Association of Letter Carriers Health Benefit Plan)
53011
Blue Cross Blue Shield of Arizona
53589
SW Service Administrators
53589
Sentara Family Plan
54154
Sentara Health Management (837P)
54154
Optima Health Plan
54154
Ohio Healthy
54154
Independent BLC of PA (Also known as Personal Choice PPO of Pennsylvania.)
54704
Yes
Personal Choice PPO of Pennsylvania (Also know as Independent BLC)
54704
Yes
Personal Choice PPO / Independent BLC
54704
Yes
Blue Cross of Pennsylvania (Independence)
54704
Yes
HealthPartners of Minnesota
55764
Yes
MedCost
56162
Aetna Affordable Health Choices (SM) - SRC
57604
Healthsource Georgia (CIGNA)
58210
Promina
58226
Aetna ASA PPO/Assurant Health (Signature Admin)
58730
MedCAVMED
59274
Avmed  Inc.
59274
AvMed (837P & 837I) Provider must enroll for EFT in order to receive electronic remittance, http://www.avmed.org/Providers/Tools/EOP
59274
Florida Health Care Plans (Blue Cross Blue Shield)
59322
MedCAFlorida Health Care Plans (FHCP)(837P & 837I)
59322
Wellcare Health Plan  Inc. (Encounters only)
59354
Healthease
59608
Wellcare of FL
59608
HealthHealthease (837I) (Remits returned under 14163)
59608
Aetna Health Plans (AHP)
60054
Aetna Life & Casualty Company
60054
Primary Choice (Aetna Health Plan of NY/NJ)
60054
Select Choice
60054
Select Choice (Aetna Health Plan of NY/NJ)
60054
Aetna
60054
Aetna 60054  (Commercial only)
60054
AHP of New Jersey  Purchase  NY
60054
Ohio Valley HMO  Cincinnati (Aetna)
60054
PHP of Georgia  Atlanta (Aetna)
60054
PHP of North Ohio  Cleveland (Aetna)
60054
Southwest Health Plan (Aetna HMO)
60054
Aetna/Us Healthcare
60054
Carecentrix - Aetna
60054
Healthsource Kentucky - Claims must contain Healthsource specific Vendor ID & specific Rendering Provider ID
61127
Healthsource Kentucky
61127
Passport Health Plan
61129
Benefit Trust Life Insurance Company
61425
Trustmark
61425
Tooling & Manufacturing Association
61425
Trustmark (Includes Starmark & TMA)
61425
Healthsource Tennessee (CIGNA)
62129
Blue Cross Blue Shield Arizona (Health Choice of Arizona)
62179
CIGNA Health Plan
62308
CIGNA Premier Plus
62308
EQUICOR
62308
EQUICOR - PPO
62308
CIGNA
62308
CIGNA - PPA
62308
Connecticut General (CIGNA)
62308
Equitable (CIGNA)
62308
HEALTHSOURCE PROVI
62308
PROVIDENT
62308
TYSON FOODS
62308
Cigna Healthcare (Medical)
62308
Carecentrix - Cigna
62308
SmartHealth
62308
Meritain Health (North American Health Plan.)
64157
North American Administrators  Inc.
64157
Meritain Health (Formerly know as North American Administrators)
64157
Meritain Health
64157
CBSA (Corporation Benefit Services of America)
64157
American Therapy Administration of Florida aka ATA-FL (Only PT  OT and Speech Therapy claims for FL plans to AETNA  CarePlus  JMH HP  Sunshine St  WellCare.)
65064
Capitol Administrators
68011
Health Plan of San Joaquin (HPSJ)
68035
Cenpatico Behavioral Health Georgia
68050
Cenpatico Behavioral Health Indiana
68052
Cenpatico Indiana
68052
Medicare Advantage
68056
Sunshine State Health Plan (Remits returned under 68069)
68057
Sunshine State Health Plan (Remits returned under 68069)
68060
MAGNOLIA HEALTH PLAN
68062
Magnolia
68062
Magnolia Mississippi
68062
Cenpatico Behavioral Health Illinois
68065
Kentucky Spirit
68067
Cenpatico - Kansas (Prior to submitting claims please call Provider Relations Dept at 866-896-7293 to verify your provider info is on file in the claim system.)
68068
Cenpatico (For multiple states)
68068
Cenpatico Behavioral Health - Wisconsin (Call 800-225-2573 ext 25525 prior to submitting claims.)
68068
Cenpatico Behavioral Health AZ (Prior to submission  contact 866-495-6748 to verify provider ID.)
68068
Cenpatico Behavioral Health Massachusetts
68068
Cenpatico Wisconsin
68068
Integrated Mental Health Services
68068
Cenpatico Kansas
68068
Cenpatico South Carolin
68068
Cenpatico Behavioral Health South Carolina
68068
Cenpatico Missouri
68068
Cenpatico Massachusetts
68068
CENPATICO GEORGIA
68068
GROUP PRACTICE AFFILIATES
68068
Cenpatico Mississippi
68068
Superior Health Plan - Behavioral
68068
California Health and Wellness
68069
Carolina Crescent
68069
CeltiCare
68069
Centene Advantage Plans
68069
Sunflower State Healthcare Plan
68069
Illinicare Group Health
68069
Kentucky Spirit Health Plan
68069
Louisiana Healthcare Connections
68069
Peach State Health Plan (Behavioral Health)
68069
Peach State Health Plan (Medicaid) (Call 800-225-2573 ext 25525 prior to submitting claims.)
68069
Sunflower State Health Plan
68069
Total Carolina Care
68069
BRIDGEWAY NETWORK
68069
Coordinated Care
68069
Absolutre Total Care
68069
Bridgeway
68069
Bridgeway Health Solutions
68069
Peach State Health Plan
68069
NOVASYS HEALTH
68069
Western Sky Community Care
68069
Ambetter of Arkansas
68069
Nebraska total care
68069
ABSOLUTE TOTAL CARE
68069
Ambetter North Carolina
68069
Trillium Community Health Plan
68069
Ambetter from Sunshine Health
68069
Ambetter
68069
Superior Health Plan - Medical
68069
Superior Health Plan Medicaid (STAR, STAR Health, STAR Kids and STAR PLUS)
68069
BRIDGEWAY ARIZONA
68069
Healthsource Arkansas (Med) (CIGNA)
71075
Student Resources (UnitedHealthcare)
74227
Boon-Chapman Benefit Administrators  Inc.
74238
BOON-CHAPMAN/AETNA
74238
Mental Health Network (Only claims for PO Box 209010 Austin TX 78720)
74289
Mental Health Network
74289
MHNET
74289
Medical Benefits Mutual (Newark  OH)
74323
MedBen (Newark  OH)
74323
Medical Benefits Administrators  Inc. (Newark  OH)
74323
Community Health Electronic Claims/CHEC/webTPA
75261
Geisinger Health Plan
75273
Health Plan of Nevada (FFS claims)
76342
Sierra Health and Life (Encounters)
76342
Sierra Health and Life (Encounter Claims) (SecureHorizons by UnitedHealthcare)
76342
Sierra Health and Life
76342
Sierra Health and Life (FFS claims)
76342
Sierra Health Systems
76342
SIERRA
76342
UnitedHealthcare Nevada Market
76342
Fidelis Secure Care
77054
VNS CHOICE Medicare (Formerly Visiting Nurses Service)
77073
VNS Choice Medicare
77073
Care Improvement Plus
77082
Gold Coast
77160
Prominence Health Plan of Texas
80085
Healthfirst  Inc. (NY)
80141
Healthfirst Health Plan of New Jersey
80141
Health Partners  PA
80142
HeaMassachusetts Mutual also known as Mass Mutual
80314
Unicare Life & Health Insurance Company
80314
UNICARE Major Accounts
80314
UniCare (WellPoint Health Network)
80314
AH & L
80705
Anthem Health and Life Insurance Company of New Jersey
80705
Confederation Admin Services
80705
Crown Life
80705
Great-West Life & Annuity Ins. Co.
80705
Great West Denver
80705
Great-West Bellevue
80705
Great West Life Assurance Company of America
80705
Great West Life Assurance Company (GWL)
80705
GWL & A
80705
One Health Plan of Minnesota  Inc.
80705
One Health Plan of Massachusetts  Inc.
80705
One Health Plan of Kansas and Missouri
80705
One Health Plan of North Carolina
80705
Great West Healthcare (Remits returned under 62308)
80705
Nippon Life Insurance Company
81264
Nippon Life Benefits
81264
All Savers Insurance (UnitedHealthOne)
81400
American Medical Security (UnitedHealthOne)
81400
PacifiCare Individual Business Plan (UnitedHealthOne)
81400
UnitedHealthOne (All Savers Insurance)
81400
UnitedHealthOne (American Medical Security)
81400
UnitedHealthOne (PacifiCare Individual Business)
81400
All Savers Insurance (UnitedHealthcare)
81400
UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security)
81400
CHAMPVA-HAC (CHAMPVA-HAC is not associated with and does not process claims for TRICARE )
84146
CHAMPVA - HAC
84146
CHAMPVA-HAC
84146
AmeriChoice of New Jersey Personal Care Plus
86001
UnitedHealthcare Community Plan - NJ (formerly AmeriChoice Personal Care Plus-NJ)
86001
AmeriChoice of New York Personal Care Plus
86002
UnitedHealthcare Community Plan - NY (formerly AmeriChoice Personal Care Plus-NY)
86002
CIGNA Healthcare for Seniors - Arizona Medicare
86033
CIGNA Medicare Advantage
86033
CIGNA Senior
86033
AmeriChoice NJ  Medicaid  NJ Family Care (UnitedHealthcare Community Plan)
86047
Americhoice NJ  Medicaid  NJ Family Care
86047
AmeriChoice - Community and State
86047
AmeriChoice NY Medicaid & Child Health Plus (UnitedHealthcare Community Plan)
86048
AmeriChoice of PA Children's Health Insurance Program (KidsChoice)
86049
Americhoice PA KidsChoice
86049
Mercy Care (AHCCCS)
86052
Mercy Care Plan of Arizona
86052
Union Pacific Railroad Employees Health Systems
87042
Union Pacific
87042
First Health Coventry Health Care National Network
87043
AARP MedicareComplete insured through UnitedHealthcare (AARP MedicareComplete Mosaic)
87726
UnitedHealthcare MedicareComplete (UnitedHealthcare Medicare Solutions) formerly SecureHorizons
87726
AmeriChoice by UnitedHealthcare (NYU) (UnitedHealthcare Community Plan)
87726
AmeriChoice FL  HI  LA  MD  MS  CAN  OH  RI  TX  WA  WI (UnitedHealthcare Community Plan )
87726
Arnett Health Plans
87726
UnitedHealthcare
87726
First Seniority Freedom
87726
Harvard Pilgrim Passport Connect
87726
MD - Individual Practice Association  Inc. (M.D. IPA)  (Previously Payer ID 52148)
87726
Oxford Medicare Network (AARP MedicareComplete insured through UnitedHealthcare )
87726
Oxford Mosaic Network - AARP Medicare Complete Mosaic
87726
UnitedHealthcare Community Plan (PA SC)
87726
UnitedHealthcare Community Plan - FL  HI  LA  MD  MS CAN  OH  RI  TX  WA  WI
87726
UnitedHealthcare Community Plan - NYU (formerly AmeriChoice by UnitedHealthcare)
87726
UnitedHealthcare Dual Complete - Oxford Medicare Network (UnitedHealthcare Community)
87726
UnitedHealthcare Medicare Solutions (UnitedHealthcare MedicareComplete) formerly SecureHorizons
87726
AmeriChoice of Nebraska (UnitedHealthcare Community Plan)
87726
AmeriChoice of NE
87726
Capital Community Health Plan
87726
United Healthcare Empire Plan
87726
SecureHorizons MedicareComplete
87726
Unison OH (UnitedHealthcare Community Plan)
87726
United Healthcare Dual Complete
87726
Providence Behavioral Health
87726
OptumHealth
87726
Saint Marys Health Plan
88029
Prominence Health Plan
88029
Scott & White Health Care
88030
Baylor Scott & White I Par Plus
88030
Premier HealthCare Exchange (Cypress)
88056
Cypress Benefit Administrators
88056
United Concordia
89070
United Concordia (UCCI)
89070
Lifewise Health Plan of Washington A Premier Health Plan (835s returned under AC032)
91049
Group Health Cooperative (Northwest)
91051
Kaiser Permanente of Washington
91051
Kaiser Foundation Health Plan of Washington Options, Inc
91051
Sanford Health Plan
91184
PacificSource Health Plans
93029
Prominence Health Plan of Nevada
93082
Asuris NW Health
93221
ASURIS
93221
MEDICA
94265
Medica Health Plans
94265
Chinese Community Health Plan (CCHP) *Unique Provider ID must be on claim.
94302
Kaiser Foundation Health Plan PPO
94320
Harrington Health (Kaiser Permanente)
94320
Kaiser Self Funded Plan - Harrington/Fiserv
94320
SummaCare Health Plan
95202
Independent Health
95308
Independent Health
95308
Medfocus | 1199
95321
Alameda Alliance for Health (Provider must contact payer to be approved)
95327
Alameda Alliance for Health (Medi-cal)
95327
AmeriChoice TN: TennCare  Secure Plus Complete (UnitedHealthcare Community Plan)
95378
UnitedHealthcare hawk-i (UnitedHealthcare Community Plan)
95378
UnitedHealthcare Community Plan - TN (formerly AmeriChoice TN: TennCare  Secure Plus Complete)
95378
UnitedHealthcare Community Plan (UnitedHealthcare hawk-i)
95378
AmeriChoice of Iowa
95378
UnitedHealthcare Community Plan - MS CHIP (formerly AmeriChoice MS-CHIP)
95378
One Health Plan of California
95379
One Health Plan of Illinois
95388
One Health Plan of Colorado
95412
Great Lakes Health Plan (UnitedHealthcare Community Plan)
95467
UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan, GLHP)
95467
Great Lakes Health Plan
95467
UnitedHealthcare Facets Detroit - Community and State
95467
Health Net (of California)
95567
One Health Plan of Georgia
95569
UnitedHealthcare West Encounters (formerly known as PacifiCare)
95958
UnitedHealthcare West
95958
Harris Methodist Health Plan
95959
Harrington Benefit Services  Inc.
95959
UnitedHealthcare West / formerly PacifiCare CA, OK, OR, TX, WA
95959
PacifiCare of Oregon
95959
Neighborhood Health Partnership (NHP)
96107
UnitedHealthcare Community Plan Kansas (KanCare)
96385
Benefit & Risk Management Services
99320
BRMS
99320
TRICARE West (UnitedHealthcare Military & Veterans) to use for claims w/DOS on/after 4/1/13)
99726
TRICARE West (UnitedHealthcare Military & Veterans)
99726
Tricare West
99726
AARP
AARP
AARP-UnitedHealthcare Ins Co
AARP
Aetna Better Health of Ohio
ABHOH
Advantek Benefit Administrators
ADVTK
Aetna Senior Supplemental Insurance
AESSI
Medicare Part B of Alaska
AKMCR
Yes
Blue Cross Blue Shield of Alabama
ALBLS
Alignment Health Plan
ALIHP
Medicaid of Alabama
ALMCD
Alabama Medicaid
ALMCD
Medicare Part B of Alabama
ALMCR
Yes
AMA Insurance Agency  Inc.
AMAIA
AMA Insurance
AMAIA
Amerigroup Corporation
AMGRP
AmeriGroup
AMGRP
Amerigroup Community Care
AMGRP
Blue Cross Blue Shield of Arkansas
ARBLS
Health Advantage of Arkansas
ARBLS
Blue Advantage of Arkansas (remits returned under ARMCR)
ARBLS
Arise Health Plan
ARISE
Medicaid of Arkansas
ARMCD
Medicare Part B of Arkansas
ARMCR
Yes
Arizona Medicaid (AHCCCS)
AZMCD
Medicaid of Arizona (AHCCCS)
AZMCD
Arizona Medicare
AZMCR
Yes
BANKERS LIFE AND CASUALTY
BANKLC
Blue Cross Blue Shield of California
BC001
Blue Cross of California (Anthem)
BC001
California Anthem Blue Cross (WellPoint Health Network)
BC001
Blue Cross Blue Shield Central New York (Excellus CNY)
BCBSCNY
Blue Cross Blue Shield Rochester area (Excellus)
BCBSRA
Blue Cross Blue Shield Utica/Watertown (Excellus)
BCBSUW
Blue Cross Blue Shield Excellus (Upstate New York)
BCBSX
BRIDGESPAN
BRIDG
Bright Health Plan Medicare
BRT01
Blue Shield of California Promise Health Plan
BS001
UFCW Local 400-5205 (Submitters to UFCW must register with CA Blue Shield at www.blueshieldca.com/provider.)
BS001
Blue Shield of California (Professional and Institutional)
BS001
UFCW Local 400-5205
BS001
Blue Shield of California (Blue California)
BS001
CalOptima Portal
CALOP
CalOptima
CAPOR
Community Health Center Network (CHCN)
CHCN1
Central Health Plan
CNHLT1
Medicare of Northern California Jurisdiction D
CNMCR
Yes
Blue Cross Blue Shield of Colorado (Anthem)
COBLS
Colorado Anthem Blue Cross and Blue Shield (WellPoint Health Network)
COBLS
Anthem of Colorado
COBLS
Kaiser Foundation Health Plan of Colorado
COKSR
Medicaid of Colorado
COMCD
Medicare Part B of Colorado
COMCR
Yes
Medicare of Colorado Jurisdiction C
COMCR
Yes
MHBP (Mail Handlers Benefit Plan)
COVTY00251
CHC Altius Health Plan/CHC Nevada
COVTY00505
Altius Health Plans
COVTY00505
Colonial Penn Life Insurance Company
CPLIC
Caremore
CRMRE1
Medicare of Southern California Jurisdiction D
CSMCR
Yes
Blue Cross Blue Shield of Connecticut
CTBLS
Connecticut Anthem Blue Cross and Blue Shield (WellPoint Health Network)
CTBLS
Medicaid of Connecticut
CTMCD
Medicaid of Connecticut (for 837P & 837I claims)
CTMCD
Medicare Part B of Connecticut
CTMCR
Yes
DakotaCare
DAK01
Medicaid of Washington DC
DCMCD
Dean Health Plan
DEAN1
Delta Health Systems
DHS01
Employee Benefit Management Services (EBMS)
EBMS1
Emblem Health
EMBLM
HIP New York
EMBLM
Evergreen Health Plan
EVRGR
Exclusive Care
EXCAR
Directors Guild of America-Producer Pension and Health Plan (DGA)
F2370600
Coventry Health Care Carelink
F2512100
Coventry Health Care Group Health Plan (GHP)
F2512300
Coventry Health Care of Kansas (Kansas City & Wichita)
F2512400
Coventry Health Care Texas (includes Coventry Advantra Freedom)
F2512500
COVENTRY HEALTHAMERICA & HEALTHASSURANCE
F2512600
Coventry Health Care Health America/ Health Assurance of Pennsylvania (HAPA)
F2512600
COVENTRY HEALTH CARE OF GEORGIA
F2512700
CHC Georgia
F2512700
Coventry Health Care Southern Health Services
F2512800
COVENTRY HEALTH CARE OF DELAWARE
F2513000
COVENTRY DIAMOND PLAN (MD MEDICAID)
F2513100
COVENTRY HEALTH CARE OF IOWA
F2513200
COVENTRY HEALTH CARE OF LOUISIANA
F2513500
COVENTRY HEALTH CARE OF NEBRASKA
F2513600
Coventry Health of Illinois/ Personal Care
F2513700
OmniCare Health Plan
F2515000
Blue Cross Blue Shield of Florida
FLBLS
Florida Blue Shield
FLBLS
Blue Cross Blue Shield Florida Blue
FLBLS
Carecentrix - BCBS Florida
FLBLS
CareCentrix - Florida Blue Cross Blue Shield
FLBLS
Medicaid of Florida
FLMCD
Medicaid of Florida  (for 837P & 837I claims)
FLMCD
Florida Medicaid
FLMCD
Medicare Part B of Florida
FLMCR
Yes
Medicare of Florida Jurisdiction C
FLMCR
Yes
Tricare Overseas (837I and 837P)
FOREN
Tricare Overseas
FOREN
Freedom Insurance
FRFL
Blue Cross Blue Shield of Georgia  (State Health of GA)
GABLS
Georgia State Health Benefit Plan (Processed by GA BC/BS)
GABLS
Blue Cross Georgia (State Merit GA)
GABLS
Blue Cross Blue Shield of Georgia
GABLS
Georgia Anthem Blue Cross Blue Shield (WellPoint Health Network)
GABLS
Medicaid of GA
GAMCD
Medicaid of Georgia (for 837P & 837I claims).
GAMCD
Medicare Part B of Georgia
GAMCR
Yes
Gold Coast Health Plan
GDCHP1
Golden State
GLDST1
Alliance Group Care IHSS
GRPCR
Health Alliance Plan (HAP)
HAPMC
HealthCare Partners Medical Group
HCP01
HealthComp Pro
HCPRO
Blue Cross Blue Shield of Hawaii (HMSA)
HIBLS
HMSA - Hawaii Medical Service Association
HIBLS
Medicaid of Hawaii
HIMCD
Medicare Part B of American Samoa
HIMCR
Yes
Healthcare Management Administrators  Inc. (also known as HMA  servicing Western Region)
HMA01
Healthcare Management Administrator (HMA/ 837P)
HMA01
Health Plan of San Mateo (HPSM)
HPSM1
Humana
HUMANA
Blue Cross Blue Shield of Iowa
IABLS
Blue Cross Blue Shield Wellmark of Iowa
IABLS
Medicaid of Iowa
IAMCD
Yes
Medicare Part B of Iowa
IAMCR
Yes
Blue Shield of Idaho (Regence)
IDBL
Blue Cross Blue Shield of Idaho
IDBLC
Blue Cross of Idaho
IDBLC
Medicaid of Idaho
IDMCD
Idaho Medicaid
IDMCD
Medicare Part B of Idaho
IDMCR
Yes
Inland Empire Health Plan (IEHP)
IEHP1
Blue Cross Blue Shield Illinois
ILBLS
BCBS Illinois
ILBLS
Medicaid of Illinois
ILMCD
Illinois Medicaid
ILMCD
Medicare Part B of Illinois
ILMCR
Yes
Medicare of Illinois Jurisdiction B
ILMCR
Yes
Blue Cross Blue Shield of Indiana
INBLS
Indiana Anthem Blue Cross and Blue Shield (WellPoint Health Network)
INBLS
Blue Cross Blue Shield Anthem of Indiana
INBLS
Medicaid of Indiana
INMCD
Indiana Medicaid
INMCD
Medicare Part B of Indiana
INMCR
Yes
Medicare of Indiana Jurisdiction B
INMCR
Yes
Inter Valley Health Plan
INVHP
Maryland Medical Programs
JAIMD1
Priority Partners
JHHP
Johns Hopkins Health Plan
JHHP
Blue Cross Blue Shield of Kansas City (BCBSKC)
KCBLS
Medicare part B of Kansas City Missouri
KCMCR
Yes
Kern Family Health
KERN1
KPIC - Kaiser Permanente (Valid in the states of CA CO  DC  GA  HI  MD  OH and OR)
KPIC1
Kaiser Foundation Health Plan of Hawaii
KPIC1
Kaiser  Foundation Health Plan of Southern California
KS001
Kaiser Foundation Health Plan of Northern California
KS003
Blue Cross Blue Shield of Kansas (Blue KC)
KSBLS
Medicaid of Kansas
KSMCD
Kansas Medicaid
KSMCD
Medicare Part B of Kansas
KSMCR
Yes
Blue Cross Blue Shield of Kentucky (Anthem)
KYBLS
Kentucky Anthem Blue Cross Blue Shield (WellPoint Health Network)
KYBLS
Medicaid of Kentucky
KYMCD
Medicare Part B of Kentucky
KYMCR
Yes
Medicare of Kentucky Jurisdiction B
KYMCR
Yes
Blue Cross Blue Shield of Louisiana
LABLS
Blue Shield of Lousiana (837P & 837I)
LABLS
Blue Cross Blue Shield of Louisiana
LABLS
LA Care Health Plan
LACAR
L. A. Care
LACAR
Medicaid of Lousiana  (Includes KidMed claims.)
LAMCD
Medicaid of Louisiana
LAMCD
Medicare Part B of Louisiana
LAMCR
Yes
AARP MedicareComplete insured through UnitedHealthcare - Lifeprint Network (Arizona)
LIFE1
Optum (LifePrint)
LIFE1
Blue Cross Blue Shield of Massachusetts
MABLS
MA Blue Cross
MABLS
Massachusetts Blue Cross Blue Shield
MABLS
Mass Health (MA Medicaid)
MAMCD
Medicaid of Massachusetts (Mass Health)
MAMCD
Medicare Part B of Massachusetts
MAMCR
Yes
Medicare of Massachusetts Jurisdiction A
MAMCR
Yes
CIGNA Behavioral Health (We will also accept PID SX071 for these claims: use of either ID accomplishes the same routing.)
MCCBV
CIGNA Behavioral Health
MCCBV
Cigna Behavioral Health (remits returned under 62308)
MCCBV
Moda
MDAHLT
Moda Health Plan
MDAHLT
Blue Cross Blue Shield of Maryland
MDBLS
Blue Cross Blue Shield Carefirst Maryland
MDBLS
Medicaid of California (MediCal)
MDCAL
Medicaid of Maryland
MDMCD
Yes
Blue Cross Blue Shield of Maine (Anthem)
MEBLS
Maine Anthem Blue Cross and Blue Shield (WellPoint Health Network)
MEBLS
Medicaid of Maine
MEMCD
Maine Medicaid
MEMCD
Medicare Part B of Maine
MEMCR
Yes
Medicare of Maine Jurisdiction A
MEMCR
Yes
Mediexcel Health
MHP
Blue Cross Blue Shield of Michigan
MIBLS
Medicaid of Michigan
MIMCD
Yes
Medicare Part B of Michigan
MIMCR
Yes
Medicare of Michigan Jurisdiction B
MIMCR
Yes
Aultcare
MNAUL
Blue Cross Blue Shield of Minnesota
MNBLS
CCS (aka Comprehensive Care Systems)
MNBLS
Blue Cross MN (Minnesota)
MNBLS
Medicaid of Minnesota
MNMCD
Medicare Part B of Minnesota
MNMCR
Yes
Medicare of Minnesota Jurisdiction B
MNMCR
Yes
Blue Cross Blue Shield of Missouri (Anthem)
MOBLS
Missouri Anthem Blue Cross and Blue Shield (WellPoint Health Network)
MOBLS
Medicaid of Missouri
MOMCD
Missouri Medicaid
MOMCD
Medicare Part B of Eastern Missouri
MOMCR
Yes
Atrio Health Plan (Formerly known as Marion Polk Health Plan Advantage)
MPCHA
Blue Cross Blue Shield of Mississippi
MSBLS
Mississippi Blue Cross Blue Shield
MSBLS
Medicaid of Mississippi
MSMCD
Medicaid of Mississippi (for 837P & 837I claims)
MSMCD
Medicare Part B of Mississippi
MSMCR
Yes
Blue Cross Blue Shield of Montana (BCBSMT)
MTBLS
Medicaid of Montana
MTMCD
Medicare Part B of Montana
MTMCR
Yes
Mutual of Omaha
MUTOM
Medicare Part B of Western Missouri
MWMCR
Yes
Blue Cross Blue Shield of Western New York
N1BLS
Blue Cross Blue Shield of Western New York (Highmark)
N1BLS
Medicare Part B of Upstate NY
N1MCR
Yes
Blue Cross Blue Shield of Northeast NY
N5BLS
Highmark Blue Shield Northeastern New York
N5BLS
Blue Cross Blue Shield of North Carolina
NCBLS
Blue Shield of North Carolina (Blue Cross NC)
NCBLS
Medicaid of North Carolina
NCMCD
Medicaid of North Carolina (for 837P and 837I claims)
NCMCD
North Carolina Medicaid
NCMCD
Medicare Part B of North Carolina
NCMCR
Yes
Medicare of North Carolina Jurisdiction C
NCMCR
Yes
Blue Cross Blue Shield of North Dakota (BCBSND)
NDBLS
Medicaid of North Dakota
NDMCD
Medicare Part B of North Dakota
NDMCR
Yes
Blue Cross Blue Shield of Nebraska
NEBLS
Medicaid of Nebraska
NEMCD
Yes
Medicare Part B of Nebraska
NEMCR
Yes
Kaiser Foundation Health Plan of the Mid-Atlantic States (Remits returned under KAISR)
NG008
Kaiser Foundation Health Plan of the NW (Remits returned under KAISR)
NG009
Kaiser Foundation Health Plan of Georgia (Remits returned under KAISR)
NG010
Blue Cross Blue Shield of New Hampshire (Anthem)
NHBLS
New Hampshire Anthem Blue Cross and Blue Shield (WellPoint Health Network)
NHBLS
CAREPLUS
NHC04
Medicaid of New Hampshire
NHMCD
Medicare Part B of New Hampshire
NHMCR
Yes
Medicaid of New Jersey
NJMCD
New Jersey Medicaid
NJMCD
Medicare Part B of NJ (Specialty testing required)
NHMCR
Yes
Medicare of New Jersey Jurisdiction A
NHMCR
Yes
Molina Healthcare of New Mexico (837P & 837I)
NM505
Blue Cross Blue Shield of New Mexico
NMBLS
Blue Cross New Mexico
NMBLS
Medicaid of New Mexico
NMMCD
Medicare Part B of New Mexico
NMMCR
Yes
Blue Cross Blue Shield of Nevada (Anthem)
NVBLS
Nevada Anthem Blue Cross and Blue Shield (WellPoint Health Network)
NVBLS
Anthem of Nevada
NVBLS
Medicaid of Nevada
NVMCD
Yes
Medicare Part B of Nevada
NVMCR
Yes
Blue Cross Blue Shield of New York (Empire Blue)
NYBLS
Empire Blue
NYBLS
Medicaid of New York
NYMCD
New York Medicaid
NYMCD
Medicare Part B of New York (Empire)
NYMCR
Yes
Medicare of New York Jurisdiction A
NYMCR
Yes
Operating Engineers Health & Welfare Fund
OEHWF
Blue Cross Blue Shield of Ohio (Anthem)
OHBLS
Ohio Anthem Blue Cross and Blue Shield (WellPoint Health Network)
OHBLS
Medicaid of Ohio
OHMCD
Ohio Medicaid
OHMCD
Medicare Part B of Ohio
OHMCR
Yes
Medicare of Ohio Jurisdiction B
OHMCR
Yes
Blue Cross Blue Shield of Oklahoma
OKBLS
Blue Cross Blue Shield of Oklahoma (BCBSOK)
OKBLS
Blue Card - OK
OKBLS
Medicaid of Oklahoma
OKMCD
Medicare Part B of Oklahoma
OKMCR
Yes
Medicare of Oklahoma Jurisdiction C
OKMCR
Yes
WPS Health Insurance (Commercial)
OOWPS
Wisconsin Physicians Service Commercial
OOWPS
Blue Cross Blue Shield of Oregon (Regence)
ORBLS
Regence Blue Cross Blue Shield of Oregon
ORBLS
Medicaid of Oregon
ORMCD
Medicare Part B of Oregon
ORMCR
Yes
Medicare of Oregon Jurisdiction D
ORMCR
Yes
OSCAR
OSCAR
Medicaid of Pennsylvania
PAMCD
Medicaid of Pennsylvania (837P, 835s returned under SKPA0)
PAMCD
Penn Medicaid
PAMCD
Medicare Part B of PA (Specialty testing required)
PAMCR
Yes
Medicare of Pennsylvania Jurisdiction A
PAMCR
Yes
Providence Choice Option
PHP01
Providence Good Health Plan
PHP01
Partnership Health Plan
PHP02
Providence Health Plan (PEBB)
PHP03
Regence Group Administrators (RGA)
RGA01
Blue Cross Blue Shield of Washington (Regence)
RGBLS
Blue Cross Blue Shield of Rhode Island
RIBLS
Medicare Part B of Rhode Island
RIMCR
Yes
Rocky Mountain HMO (837P)
RMHMO
Medicare Railroad * (MetraHealth Medicare)
RRWMC
SAMBA Health Benefit Plan
SAMBA
CareFirst BCBS - DB, National Capital Area
SB580
Blue Cross & Blue Shield of The National Capital Area (Washington DC)
SB580
PEBA State Health Plan
SC400
Blue Cross Blue Shield of South Carolina FEP
SC402
Planned Administrators South Carolina (PAI)
SC886
Companion Health South Carolina
SC922
Scan Health
SCAN
Scan CA
SCAN1
Blue Cross Blue Shield of South Carolina: Medicare Advantage
SCBLS
Blue Cross Blue Shield of South Carolina
SCBLS
Medicaid of South Carolina
SCMCD
South Carolina Medicaid
SCMCD
Medicare Part B of South Carolina
SCMCR
Yes
Medicare of South Carolina Jurisdiction C
SCMCR
Yes
Blue Cross Blue Shield of South Dakota (Wellmark)
SDBLS
Medicare Part B of South Dakota
SDMCR
Yes
Medicare of South Dakota Jurisdiction D
SDMCR
Yes
San Francisco Health Plan
SFHP
SISCO
SISCO
SISCO Benefits
SISCO
Capital District PHP *
SX065
Capital District Physicians Health Plan
SX065
CDPHP
SX065
Deseret Mutual (DMBA)
SX105
Deseret Mutual (837P & 837I)
SX105
PEHP - Utah Public Employee Health Plan (Enrollment required  please contact Provider Relations 800-765-7347)
SX106
PEHP - Utah Public Employee Health Plan (837P & 837I)
SX106
University of Utah Health Plans (837P)
SX155
University of Utah Health Plans
SX155
Montana Health Co-Op
SX155
Paramount Health
SX158
Tricare for Life (All Regions 1-12)
TDDIR
Tricare for Life (837P)
TDDIR
Blue Cross Blue Shield of South Dakota (Wellmark)
TNBLS
Medicaid of Tennessee (TennCare)
TNMCD
TennCare (Medicaid of Tennessee)
TNMCD
Medicare Part B of Tennessee
TNMCR
Yes
Medicare of Tennessee Jurisdiction C
TNMCR
Yes
Tricare East
TREST
Blue Cross Blue Shield of Tennessee (BlueCare)
TXBLS
Blue Shield of Texas (includes Blue Cross of Texas)
TXBLS
Blue Cross Blue Shield of Texas (BCBSTX)
TXBLS
Medicaid of Texas (837P & 837I)
TXMCD
Texas Medicaid
TXMCD
Medicare Part B of Texas
TXMCR
Yes
Medicare of Texas Jurisdiction C
TXMCR
Yes
TexanPlus North Texas Area (Wellcare)
TXPLN
SELECT HEALTH IHC INTERMOUNTAIN HEALTH
UH107
Select Health (837P) (835s returned under SX107)
UH107
SelectHealth
UH107
Univera Traditional PPO
UNINW
Univera Healthcare SSA WNY
UNINW
Univera (Prism)
UNINW
Univera Health Care Plan/ChoiceCare Buffalo
UNINW
United American Insurance Company
UNTDA1
United Teacher Association Insurance Company Medicare Supplement
UTAIMS
BLUECROSS BLUESHIELD (BCBS) UT REGENCE
UTBLS
Blue Cross Blue Shield of Utah
UTBLS
Blue Cross of Utah - FEP
UTBLS
Medicaid of Utah
UTMCD
Medicare Part B of Utah
UTMCR
Yes
Medicare of Utah Jurisdiction D
UTMCR
Yes
Blue Cross Blue Shield of Virginia
VABLS
Cova- Commonwealth of Virginia
VABLS
Healthkeeper HMO
VABLS
Blue Care PPO
VABLS
Blue Shield Virginia (Local Choice)
VABLS
Medicare Supplemental
VABLS
Peninsula Healthcare
VABLS
Priority Healthcare
VABLS
Virginia State Employer Funds
VABLS
Blue Care of Virginia PPO
VABLS
Local Choice of Virginia
VABLS
Virginia Anthem Blue Cross and Blue Shield (WellPoint Health Network)
VABLS
BCBS ANTHEM OF VIRGINIA
VABLS
Veterans Affairs Health Administration Center
VAHAC
Valley Health Plan (VHP)
VALHP1
Medicaid of Virginia (837P & 837I)
VAMCD
Virginia Medicaid
VAMCD
Medicare Part B of Virginia
VAMCR
Yes
Medicare of Virginia Jurisdiction C
VAMCR
Yes
Blue Cross Blue Shield of Vermont
VTBLS
Medicaid of Vermont
VTMCD
Medicare Part B of Vermont
VTMCR
Yes
Blue Cross Blue Shield of Alaska (Premera) (270)
WABLC
Washington State Premera Blue Cross (835s returned under AC032)
WABLC
Blue Cross of Washington (Premera)
WABLC
PREMERAFIRST INC
WABLC
Medicaid of Washington State
WAMCD
Medicare Part B of Washington
WAMCR
Yes
Medicare of Washington Jurisdiction D
WAMCR
Yes
Ohana Health Plan (WellCare of Hawaii)
WCOHP
OHANA Health Plan
WCOHP
StayWell Kids
WCSWK
Western Health Advantage
WHAP
Blue Cross Blue Shield of Wisconsin (Anthem)
WIBLS
Wisconsin Anthem Blue Cross and Blue Shield (WellPoint Health Network)
WIBLS
Medicaid of Wisconsin
WIMCD
Wisconsin Medicaid
WIMCD
Medicare Part B of Wisconsin
WIMCR
Yes
Medicare of Wisconsin Jurisdiction B
WIMCR
Yes
Medicaid of West Virginia
WVMCD
Medicare Part B of West Virginia
WVMCR
Yes
Blue Cross Blue Shield of Wyoming (BCBSWY)
WYBLS
Medicare Part B of Wyoming
WYMCR
Yes
UMR (formerly UMR Wausau) former payer ids 31107  33108  74223  75196  75243
39026
Empire Plan (UnitedHealthcare)
87726
Security Health
39045
Independence Administrators
TA720
Bind Health
25463
Ibi
41124
Bright Healthcare
BRGHT
Montefiore Contract Management Organization
13174
Clover Health
13285
Vibra Health Plan
15976
Children's Community Health Plan
39113
WellFirst Health
39113
Dean Health Plan
39113
Dean Health Plan Medicare Advantage
39113
Prevea360 Health Plan
39113
Prevea360 Health Plan Medicare Advantage
39113
Chorus Community Health Plan
39113
Centivo
45564
Benefit Concepts
51037
Brockerage Concepts  Inc (Benefit Concepts)
51037
Benefit Concepts
51037
Brockerage Concepts  Inc.
51037
HealthNow
51037
Brokerage Concepts
51037
HealthNow Administrative Services
51037
Blue Cross Medicare Advantage
66006
USAA (United States Automobile Association)
74095
Senior Whole Health Care
83035
FirstCare
94999
Evry Health
EH001
CARESOURCE OF GEORGIA
GACS1
Caresource IN
INCS1
CareSource KY
KYCS1
CARESOURCE WEST VIRGINIA
WVCS1
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