[PDF] OptumInsight Medical Payer List (08/29/2022)





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Electronic Attachment Dental Payer List Payer Name NEA Payer ID

NEA. Payer ID. Administrative Services Only Inc. 089002. BCBS of Texas. 034004. AETNA. 037001. BCBS of Wisconsin. 026022. Aetna DMO. 037018. Bell Atlantic.



Sandata Electronic Visit Verification Sandata Electronic Visit Verification

25 июн. 2020 г. CLIENT PAYER ID. Displays the client payer id. PAYER. Displays the ... 6/25/2020. Page 38 of 213. Sandata Electronic Visit Verification Manual ...



LIST OF PAYORS

18 февр. 2020 г. Payor ID 91131. Submit claims to: Submit claim appeals to: PO Box ... 02/04/2020. LIST OF PAYORS. Website: FCH. Page 23 of 23.



Institutional Claim Payers List (01/16/2020)

16 янв. 2020 г. MVP - Ohio (Previous payer ID MHP77; Use payer ID 38224 for claims with a date of service. 07-01-19 and greater). 38224. Y. MVP OHIO. FALSE. G.



Aetna Payer Sheet D.0 COM

4 авг. 2020 г. Your Software. Vendor/Certification ID is 1Ш bytes and should begin with the letter “D”. 08/04/2020. Page 5 of 24. Page 6. Insurance Segment: ...



Claims Payer List for UnitedHealthcare Affiliates and Strategic

effective 3/1/2020. Commercial. UnitedHealthcare West / UnitedHealthcare of CA Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB ...



2020 Payer Sheet

1 янв. 2020 г. PCN List for BIN 610241 ... OTHER PAYER ID QUALIFIER. RW. Required when secondary coverage is ...



Electronic Billing Electronic Billing

15 December 2020 1100 – 1200 EST. 17 December 2020 1600 – 1700 EST Medical Payer – HIC ID list. • Log in to ABACUS. • Go to Master Tables→ Insurance ...



Harvard Pilgrim Harvard Pilgrim

payer ID is appropriate. Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. If you have any ...



CLAIMS & ERA PAYER LIST October 27 2023 CLAIMS & ERA PAYER LIST October 27 2023

27 окт. 2023 г. ... 2020. Claims with DOS. 5/1/20 and after use payer code CAPMN. Experian ... ID 45276 West Virginia Family. Health Plan will remain active only ...



CLAIMS & ERA PAYER LIST September 9 2022

9 de set. 2022 Experian Health Payer List. Page 1 of 139 ... For DOS Prior to 5/1/2020. ... Effective 3/27/19 the new payer ID is ALTAM. AltaMed.



Claims Payer List for UnitedHealthcare Affiliates and Strategic

Claims Payer List for UnitedHealthcare Brand Name / Plan Name or Region. Medical. Payer ID. Dental. Payer ID ... effective 3/1/2020. Commercial.



OptumInsight Medical Payer List (08/29/2022)

29 d’ag. 2022 2020 may continue to use the following until Dec. 31



Blue Cross Blue Shield of Michigan Electronic Interchange Group

18 de nov. 2021 Blue Cross Blue Shield of Michigan Electronic Interchange Group Professional Commercial Payer List. Payer ID. Claim. Office # Type. Name.



Electronic Attachment Dental Payer List Payer Name NEA Payer ID

NEA. Payer ID. Administrative Services Only Inc. 089002. BCBS of Texas. 034004. AETNA. 037001. BCBS of Wisconsin. 026022. Aetna DMO. 037018. Bell Atlantic.



Harvard Pilgrim

Reference Guide for Payer ID Numbers. If you work with a clearinghouse to submit claims it's important to include the correct payer ID on your submitted 



List of Automatic Crossover Trading Partner (Insurers) In Production

Supplemental Payers and Insurers (Trading Partners). Updated: 09/30/2018. Trading Partner. Identification Number(s) Customer Contact. Contact Number.



eClaims Dental Payer List Information

eClaims Dental Payer List. April 2020. State. Payer. ID. Group # Enroll. Real Time Claims. *. Real Time Pre. Estimates*. Additional Info.



Institutional Claim Payers List (08/29/2022)

Institutional Claim Payers List. (08/29/2022). Payer. ID. Reports. Enter As Name 2020E. N. 2020 EYECARE. FALSE. G. 360 Alliance Gilsbar ##.



Payer ID Tech ID OI Code Coverage Type Payer Phone Street City

Payer ID. Tech ID. OI Code. Coverage. Type. Payer Phone Street. City. State Payer Name. 00029005 (800) 685-2020 PO BOX 950.



Claims Payer List for UnitedHealthcare Affiliates and

Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claimsCOB = Coordination of Benefits; indicates secondary/COB claims accepted electronicallySmart Edits = Apply to electronic claims submissions; Not applicable to DSNP lines of business 2023 UnitedHealthcarePage 2 of 23/2/2023



Payer ID grids now available for 2022 - IBX

Institutional Claim Payers List (05/08/2023) Payer ID Reports Enter As Name Additional Info Enrollment Payer Type Highlighted payers are new or have been altered in the last 90 days Please verify that your system is setup correctly for these payers



Search Payer List by Name ID & Transaction Type Office Ally

Feb 27 2018 · Search Payer List by Name ID & Transaction Type Office Ally Quickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process Use this banner to inform your visitors of something important



Commercial Payer List - BCBSM

11/18/2021Blue Cross Blue Shield of Michigan Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type Name Address City St 36273E AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES 38265 E ADMIN SYSTEMS RESEARCH ASR ALL CLAIM OFFICE ADDRESSES 22384 E



Searches related to payer id list 2020 filetype:pdf

Payer Identification Information Claims Processing Eligibility and Benefits Information Remittance Information To submit to Payors not on this list use Payor ID "06126" and be sure to submit all required fields including Payor Name and Complete Address (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v09 10 20) xlsx 1 of 15

What's new in the payer ID grids?

    The payer ID grids have been updated with routine maintenance and to reflect product changes for 2022. The professional and facility payer ID grids contain valuable information to assist you in claims submission, including prefixes, payer information, and claims mailing addresses by product.

How has payer ID changed in 2021?

    The first half of 2021 has seen a lot of Payer ID and/or claims address changes. Making sure claims are submitted to the correct Payer ID will prevent delays in payments and an increased amount of denials. Below are some payer ID updates to make note of and update. Effective June 9, 2021, MPS-MVH is no longer accepting new claims.

What is a payer ID?

    Payer ID is for Workers Compensation claims for all states. 2293 J1205 Amerisure Mutual Insurance WORKERS COMPENSATION The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php 2294 12287 Amica Mutual Insurance Company

What payer ID should I use to submit claims for 2022?

    Effective 1/1/2022 please use Payer ID BRGHT for all submissions for 2022 services (excluding CA Medicare Advantage and TrueHealth NM). To avoid rejected claims, please have your IT department update EDI, clearinghouse, and other software processes.

OptumInsight Medical Payer List

(07/17/2023)

1 of 41

Payer NamePayer IDClaim

Office

NumberStateReportsEntered As Secondary**EnrollmentPayer Type (UCS) Masonry Industry Trust60230NOCDALLYUCS MASONRY IND TNFALSEG

1199 SEIU National Benefit Fund13162NOCDALLY1199 NATIONAL BENYFALSEG

21st Century Insurance and Financial Services51028NOCDMNY21ST CENTURY INSYFALSEG

2020 Eyecare2020ENOCDALLN2020 EYECARENFALSEG

360 Alliance PPO Gilsbar07205NOCDALLY360 ALLIANCE PPOGNFALSEG

3P ADMIN20413NOCDALLY3P ADMINYFALSEG

8th Distric Electrical74234NOCDUTN8TH DIST ELECTRICNFALSEG

A.G. Administrators11370NOCD

ALLNAG ADMINYFALSEG

A & I Benefit Plan Administrators93044NOCDALLNA AND I BENEFIT PYFALSEG AARP Hospital Indemnity Plans insured by UnitedHealthcare

Insurance Company

36273NOCDALLYAARP MEDICARE SUPYFALSEC

AARP Medicare Supplement Plans insured by

UnitedHealthcare Insurance Company

36273NOCDALLYAARP MEDICARE SUPYFALSEC

AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network / Oxford Medicare Network87726NOCDALLYOXFORD MEDICARE NYFALSEC AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons)87726NOCDALLYAARP MEDICARECOMPYFALSEC

ABMGA0701NOCDCAYABMGNFALSEG

Abrazo Advantage Health Plan03443NOCDALLYABRAZO ADV HEALTHYFALSEG Abri HealthplanABRI1NOCDALLNABRI HEALTHPLANYFALSEG

Access AdministratorsAHS01NOCDALLN

ACCESS ADMINISTRANFALSEG

Access Behavioral CareCOACCNOCDCOS

ACCESS BEHAVIORALYFALSEG

Access Medical GroupAMG02NOCDAllYALLIED MED GROUPNFALSEG

ACCLAIM64071NOCDAllNACCLAIMYFALSEG

Acclaim IPAMHIPANOCDCANMEMORIAL HC IPAYFALSEG

Acclaim IPA (MHCAC)MHIPANOCDCANMEMORIAL HC IPAYFALSEG Accountable HC IPA (Customer Service (562) 435-3333 for claims with DOS prior to 5/1/15)

AHIPANOCDALLYACCOUNTABLE HC IPNFALSEG

Healthsmart Benefit Solutions (Wells Fargo TPA, formerly

Acordia National)

87815MCSIALLYACORDIA NATIONALYFALSEG

ACS Benefit Services, inc.72467NOCDALLYACS BENEFIT SERVIYFALSEG

ACS Benefits Payer CompassPA331

NOCDALLYACS BENE PAYER CONFALSEG

Activa Benefits Services, LLC (Formerly Amway Corporation)38254NOCDALLYACTIVA BENE SVCSNFALSEG

ActivHealthcareAHC01

NOCDALLYACTIVHEALTHCARENFALSEG

Administrative Services, Inc.59141

NOCDALLYADMIN SVCS INCYFALSEG

Adminstrative Concepts, Inc.22384

NOCDALLNADMIN CONCEPTS INYFALSEG

Advance Benefit Mgmt Systems USA Incorp66457

NOCDALLNADV BENE MGMT USAYFALSEG

Advanced Data Solutions58202

NOCDALLYADVANCED DATA SOLYFALSEG

Advanstaff, Inc.74234

NOCDALLNADVANSTAFF INCN

FALSEG

Advantage Care IPAACIPANOCDCAN

ADVANTAGE CARE IPYFALSEG

Advantage Health Network IPANMM01

NOCDALL

YADVANTAGE HLTH IPYFALSE

G

Advantage Health Solutions, Inc.35209NOCDALL

NADVANTAGE HEALTHNFALSEG

Advantek Benefit Administrators83077NOCDALL

NADVANTEK BENEFITNFALSEG

Advantica Benefits59374NOCDALL

AADVANTICA BENEFITYFALSEG

Advanzeon Solutions59314NOCDALL

YADVANZEON SOLUTIONFALSEG

AdventHealth Advantage PlansRP039NOCDALL

YADVENT HLTHNFALSEG

Adventist Health System 95340NOCDALL

NADVENTIST HLTH SYYFALSEG

Advocate Health Centers (AHC)36320NOCD

ALLYADVOCATE HEALTHNFALSEG

Advocate Health Partners (PHO)65093NOCDALLYADVOCATE HLTH PARNFALSEG

Aegis Administrative ServicesCB637

NOCDALLYAEGIS ADMIN SVCSNFALSEG

Aetna Affordable Health Choices (SM) SRC57604NOCDALLYAETNA AFFORDABLEYFALSEG Aetna Better Health - PA Medicaid23228NOCDPAYAETNA BH PA MEDICYFALSEG Aetna Better Health Medicaid IL26337NOCDILNAETNA BH MCAID ILYFALSEG Aetna Better Health Nevada128NVNOCDNVNAETNA NVNFALSEG Aetna Better Health NY34734NOCDALLNAETNA BET HLTH NYNFALSEG Aetna Better Health Kansas128KSNOCDKSNAETNA BET HLTH KSNFALSEG

Aetna Better Health of California

128CANOCDCANAETNA CAYFALSEG

Aetna Better Health of Illinois Inc

68024NOCDILY

AETNA BETTER HEALTH OF

ILLINOIS INC

YFALSEG

Aetna Better Health of Kentucky128KYNOCDKY

YAETNA BET HLTH KYYFALSE

G Aetna Better Health of Louisiana128LANOCDLAYAETNA BH LOUISIANYFALSEG Aetna Better Health of Maryland128MDNOCDMDYAETNA MDNFALSEG Aetna Better Health of Michigan128MINOCDMIYAETNA BH MICHIGANYFALSEG

Aetna Better Health of New Jersey46320

NOCDNJYAETNA BH NEW JERSYFALSEG

Aetna Better Health of Ohio50023NOCDALLYAETNA BTTR HLTH OYFALSEG Aetna Better Health of Virginia128VANOCDVAYAETNA BH VAYFALSEG Aetna Better Health of West Virginia128WVNOCDWVYAETNA BTR HLTH WVYFALSEG Aetna Health Plan - PPO60054NOCDALLYAETNA HEALTH PLANYFALSEG Aetna Life & Casualty Company60054NOCDALLYAETNAYFALSEG Aetna Life & Casualty Company60054NOCDALLYAETNA LIFEYFALSEG

For up-to-date payer information, please access the payer list from the OptumInsight website at: http://www.ingenix/connectivity

or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Medical Payer List

(07/17/2023)

2 of 41

Payer NamePayer IDClaim

Office

NumberStateReportsEntered As Secondary**EnrollmentPayer Type Aetna Life & Casualty Company60054NOCDALLYAETNA LIFE INSURYFALSEG Aetna Life & Casualty Company60054NOCDALLYAETNA LIFE INSURAYFALSEG

Aetna OHIORISE45221NOCDALLYAETNA OHIORISEYFALSEG

Affiliated Doctors of Orange CountyADOCSNOCDCAYAFFIL DOCS OF OCYFALSEG Affiliated Physicians IPAPOP06NOCDALLYAFF PHYSICIANS IPNFALSEG Affinity Essentials23334NOCDALLYAFFINITY ESSENTIAYFALSEG Affinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at EDI@Affinityplan.org or call

718-794-7592.)13334NOCDALLYAFFINITY HEALTH OYFALSEG

AFFINITY MEDICAL GROUP46594NOCDALLNAFFINITY MED GROUNFALSEG Affordable Benefit Administrators, Inc. (Claims with the following address should only be sent to this payerID: ABA, PO BOX 10787, Burbank, CA 91510-0787)95426NOCDALLNAFFORDABLE BENE ANFALSEG

Ageright AdvantageARA01NOCDALLNAGERIGHTYFALSEG

Agewell New YorkAWNY6NOCDALLYAGEWELL NEW YORKNFALSEG

Agua CalienteAGUA1NOCDALLYAGUA CALIENTENFALSEG

AHPO (Cleveland, OH)31138NOCDOHYAHPO CLEVELAND OHYFALSEG

AIG Chartis19402NOCDALLYAIG CHARTISNFALSEG

AIG Educational Markets (Formerly Maksin Management

Corporation)

22195NOCDALLYAIG EDUC MARKETSYFALSEG

Aither Health64884NOCDALLNAITHERYFALSEG

AKM Medical GroupIP080NOCDCANAKM MEDICAL GROUPYFALSEG Alameda Alliance for Health (Provider must contact payer to be approved. Contact at Alameda is Anet Quiambao at 510-747-

6153 or aquiambao@alamedaalliance.com)95327NOCDALLYALAMEDA ALLIANCENTRUET

Alamitos IPA (Customer Service 562-602-1563)AIPAZNOCDCANALAMITOS IPAYFALSEG Alaska Childrens Services, Inc91136NOCDAKYALASKA CHILD SVCSYFALSEG Alaska Laborers Construction Industry Trust91136NOCDAKYAK LABORERS TRUSTNFALSEG Alaska Pipe Trades Local 37591136NOCDAKYAK PIPE LOCAL 375NFALSEG Alaska United Food & Commercial Workers Health & Welfare Trust

91136NOCDAKYAK UNITED FOOD TRNFALSEG

Albuquerque Public Schools85600NOCDALLAALBUQUERQUE PSNFALSEG Alexian Brothers Community Services of Tennessee44423NOCDALLYALEXIAN BROTHERSNFALSEG

AliCare13550NOCDALLYALICAREYFALSEG

Alignment HealthcareCCHPCNOCDALLYALIGNMENT HCARENFALSEG All Savers Insurance / UnitedHealthcare81400NOCDALLNUNITEDHEALTHONEYFALSEC AllCare (Must contact AllCare, 800-564-6901 for setup and payerID.)

CALLCALLALLNCONTACT SUPPORTNFALSEG

AllCare PEBB26158NOCDALLYALLCARE PEBBNFALSEG

Alivi HealthALIVINOCDALLNALIVI HEALTHNFALSEG

Allegiance Benefit Plan Management, Inc.81040NOCDALLYALLEGIANCE BENEFIYFALSEG Alliance Coal Health Plan93658NOCDALLNALLIANCE COAL NFALSEG Alliance Physicians High Desert22417NOCDALLYALL PHYS HIGH DESYFALSEG Alliant Health Plans of Georgia58234NOCDGAYALLIANT GEORGIANFALSEG Allied Benefit Systems37308NOCDALLYALLIED BENEFITYFALSEG Allied Physicians of California IPANMM01NOCDALLYALLIED PHYS OF CAYFALSEG

AlohaCareALOHANOCDHINALOHACARENTRUEN

AlphaCareALPHANOCDALLNALPHACARENFALSEG

Alphacare Medical GroupMPM32NOCDALLNALPHACARE MEDICALYFALSEG

Alta Bates Medical GroupA0701NOCDCAYABMGNFALSEG

AltaMedALTAMNOCDALLNALTAMEDYFALSEG

Alternative Opportunities16089NOCDALLYALTERNATIVE OPPORNFALSEG Amalgamated Life - PA/Alicare13343NOCDALLYAMALGAMATED LIFEYFALSEG Amalgamated Transit Union Division 1001 Health & Welfare Fund

COMPUNOCDCONAMALG TRANSIT UNINFALSEG

Ambetter of Arkansas68069NOCDALLYAMBETTERYFALSEG

AmeraPlan38219NOCDALLYAMERAPLANYFALSEG

Ameriben - IEC Group97661NOCDALLYAMERIBEN IEC GROUNFALSEG Ameriben Solutions75137NOCDALLYAMERIBEN SOLUTIONNFALSEG Americaid Community Care (Houston)27515NOCDTXYAMERICAID HOUSTONYFALSET American Administrative Group - AAG (Formerly known as

UICI Administrators

75240NOCDALLYAAGNFALSEG

American Administrative Group (formerly Gallagher Benefit)37283NOCDALLAAMERICAN ADMINISTNFALSEG American Behavioral63103NOCDALLNAMERICAN BEHAVIORYFALSEG American Benefits Plan Administrators (Las Vegas, NV)59140NOCDNVAAM BENEFITS PLANYFALSEG American Family (administered by American Republic)56071NOCDALLNAM FAMILY INSURANNFALSEG American Family Health ProvidersIP080NOCDCANAM FAMILY HLTH PRYFALSEG American Family InsuranceTH095NOCDALLYAMERICAN FAMILY INFALSEG American Fidelity Assurance Company60801NOCDALLYAMERICAN FIDELITYNFALSEG American General62030NOCDALLNAMERICAN GENERALYFALSEG American Health Advantage of Utah31145NOCDALLNAHA OF UTAHYTRUEN American Health Advantage of Texas31155NOCDALLNAHA OF TXYFALSE G American Healthcare Alliance01066NOCDALLNAM HEALTHCARE ALLYFALSEG

For up-to-date payer information, please access the payer list from the OptumInsight website at: http://www.ingenix/connectivity

or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Medical Payer List

(07/17/2023)

3 of 41

Payer NamePayer IDClaim

Office

NumberStateReportsEntered As Secondary**EnrollmentPayer Type American Insurance Company of TX81949NOCDALLNAMER INS OF TEXASNFALSEG American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600, New Orleans, LA 70163)72099NOCDALLYAMERICAN LIFECAREYFALSEG American National Insurance Co74048NOCDALLYAMER NAT INSURANCNFALSEG American Plan Administrators95606NOCDALLNAMERICAN PLANNFALSEG American Postal Workers Union Health Plan44444NOCDAllYAMERICAN POSTAL WYFALSEG American Postal Workers Union Health Plan44444NOCDAllYAPWUYFALSEG American Republic Insurance Company42011NOCDALLNARICNFALSEG American Specialty HealthASH01NOCDALLYAM SPECIALTY HLTHNFALSEG American Therapy Administrators ATA WisconsinATHALNOCDALLYATA WISCONSINNFALSEG American Worker Health Plan37322NOCDALLNAMERICAN WORKER HYFALSEG Americas 1st Choice Health Plans of South Carolina20553NOCDALLRAMERICAS FIRST CHYFALSEG Americas 1st Choice of South Carolina, Inc.55349NOCDALLYAM FIRST CHOICE SNFALSEG America's Choice NMA20029NOCDALLYAMERICAS CHOICE NYFALSEG America's Health Choice21810NOCDALLYAMERICAS HEALTH CNFALSEG America's PPO (Formerly known as ARAZ.)16120NOCDALLYAMERICAS PPO ARAZYFALSEG America's PPO / America's TPA41178NOCDALLYAMERICAS PPOYFALSEG AmeriChoice NJ, Medicaid, NJ Family Care (UnitedHealthcare

Community Plan)

86047NOCDNJYUHC COMMUNITY NJYFALSEC

Amerigroup - Illlinois28804NOCDALLYAMERIGROUPNFALSEG Amerigroup - Maryland and District of Columbia28807NOCDMD,DCNAMERIGROUP MDNFALSET Amerigroup - New Jersey28806NOCDNJNAMERIGROUP NJNFALSEG Amerigroup of Iowa26375NOCDALLYAMERIGROUP IOWANFALSEG Amerigroup / Americaid - Houston28805NOCDTXYAMERIGROUP HOUSTONFALSET Amerigroup Houston (Claims and Encounters)26374NOCDTXYAMERIGROUP HOUSTNFALSEG Amerigroup Illinois (Claims and Encounters27518NOCDILYAMERIGROUP ILLINONFALSEG Amerigroup Multiple States (Claims and Encounters)26378NOCDALLYAMERIGROUP MULTINFALSEG Amerigroup of Florida28809NOCDFLYAMERIGROUP OF FLNFALSET Amerigroup Ohio (Claims and Encounters27518NOCDOHYAMERIGROUP OHIONFALSEG AmeriHealth - New Jersey (Non-HMO Claims)SX075NOCDALLYAMERIHEALTH NJYTRUEN AmeriHealth Administrators54763NOCDALLYAMERIHEALTH ADMINNTRUEN AmeriHealth Caritas Louisiana (Formerly known as LA Care)27357NOCDLAYLA CARENFALSEG Amerihealth Caritas Next FL45408NOCDFLNFL NEXTNFALSEG Amerihealth Caritas Next NC83148NOCDNCNNC NEXTNFALSEG Amerihealth Caritas North Carolina81671NOCDNCNNC CARITASNFALSEG AmeriHealth Caritas Ohio Inc35374NOCDOHNOH CARITASNFALSEG AmeriHealth Caritas Healthplan New Hampshire87716NOCDNHYNH CARITASNFALSEG AmeriHealth Caritas VIP Care77062NOCDALLNAMERIHLTH CARITASYFALSEG AmeriHealth Caritus VIP Care Plus (Michigan)77013NOCDMIYAH CARITUS VIP CANFALSEG Amerihealth Delaware77799NOCDALLNAMERIHEALTH DENFALSEG Amerihealth District of Columbia (For EDI Support, please email edi.dc@amerihealthdc.com or call 1-888-656-2383)

77002NOCDALLYAMERIHEALTH DCNFALSEG

AmeriHealth HMO New Jersey and Delaware (Must complete enrollment form under payer ID 95044)

23037NOCDNJ,DEYAMERIHEALTH HMOYTRUEG

Amerihealth HMO NJ and Delaware95044NOCDNJ DEYAHLTH HMO NJ & DEYTRUEN AmeriHealth Mercy Health Plan (Name has changed to AmeriHealth Caritas Pennsylvania. Claims containing Dates of Service on or after Jan. 1, 2021 will need to be sent under this payer ID).22248NOCDAllYAMERIHEALTH MERCYYFALSEG AmeriHealth NorthEast (Dates of Service on or before Dec. 31,

2020, may continue to use the following until Dec. 31, 2021.

For dates of service 01/01/21 or after use payer ID 22248}77001NOCDALLYAMERIHEALTH NEYFALSEG Amerikids-Dallas/Ft. Worth26374NOCDTXYAMERIKIDS DALLASNFALSEG

Amerivantage26375NOCDALLYAMERIGROUP IOWANFALSEG

Amfirst Insurance Company64090NOCDALLYAMFIRST INS CONFALSEG AM-First Insurance Morgan White01757NOCDALLYAM FIRST INS MORGNFALSEG Amida Care (Formerly Vida Care.)24818NOCDALLNAMIDA CAREYFALSEG Amida Care Medicare79966NOCDALLYAMIDA CARE MEDICANFALSEG

Amtrust North AmericaJ1868NOCDALLNAMTRUSTNFALSEG

AMVIIP080NOCDCANAMVIYFALSEG

Amway Corporation38254NOCDAllYAMWAYNFALSEG

Anaheim Memorial IPA (MHCAN)MHIPANOCDCANMEMORIAL HC IPAYFALSEG Anchor Benefit Consulting53085NOCDALLAANCHOR BENEFIT CONFALSEG Anerican Founders Life Ins Co (NFL Plans only)98205NOCDALLNAMERICAN FOUNDERSNFALSEG Angeles IPA (SynerMed)75299NOCDALLYANGELES IPA SYNERNFALSEG Angle Insurance Company of Utah39856NOCDALLNANGLENFALSEG Antares Management Solutions34192NOCDALLYANTARES MGMT SOLNYFALSEG Anthem BCBS Indiana00630NOCDINYANTHEM BCBS INYFALSEG Anthem BCBS Virginia00423NOCDVAYANTHEM BCBS VAYFALSEG Anthem Blue Cross of CaliforniaBC001NOCDCAYCA BLUE CROSSYFALSEG Anthem Blue Cross Blue Shield0002937NOCDOHNANTHEM BCBSNFALSEG

For up-to-date payer information, please access the payer list from the OptumInsight website at: http://www.ingenix/connectivity

or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Medical Payer List

(07/17/2023)

4 of 41

Payer NamePayer IDClaim

Office

NumberStateReportsEntered As Secondary**EnrollmentPayer Type Anthem Medicaid (WI) (Formerly BadgerCare)WIBLSNOCDWINANTHEM WI MEDICAIYFALSEN

Anthem of ColoradoCOBLSBCBSCOYCO ANTHEMYFALSEN

Anthem of NevadaNVBLSNOCDNVNNV ANTHEMYFALSEN

Apex Benefit Services (Claims must contain the rendering provider ID or the claim will reject.)

34196NOCDALLNAPEX BENE SERVICEYFALSEG

Apex Health83112NOCDALLNAPEX NFALSEG

APEX Healthcare (Now knows as Access Community Health

Network)

ACCOMNOCDALLYAPEX HEALTHCARENFALSEG

Apostrophe81312NOCDALLNAPOSTROPHENFALSEG

ARAZ (Now known as America's PPO.)16120NOCDALLYARAZYFALSEG

Arbor Health52312NOCDALLNARBOR HEALTHYFALSEG

Arcadia Healthcare Solutions IPG11081NOCDALLNARCADIAYFALSEG Arcadia Healthcare Solutions NPA36364NOCDALLNARCADIA NPANFALSEG Arcadia Insurance Company37105NOCDALLYARCADIA IPGYFALSEG Arcadian Management Services, Inc (Group number should be entered if available. )

61101NOCDALLYARCADIAN MGMT SVSYFALSEG

Argus Dental and VisionARGUSNOCDALLNARGUSNFALSEG

Arise Health Plan (Formerly Prevea Health)39185NOCDALLYARISE HEALTH PLANNFALSET Arizona Medicaid (AHCCCS)AZMCDNOCDAZYAZ MEDICAIDYFALSEN Arizona Pipe Trades Health and Welfare Trust Fund Local

Union Nos. 469 & 741 Metal Trades Health Plan

74234NOCDAZNAZ METAL TRADESNFALSEG

Arizona Pipe Trades Health and Welfare Trust Fund Local

Union Nos. 469 & 741 Pipe Trades Health Plan

74234NOCDAZNAZ PIPE TRADESNFALSEG

Arizona Priority Care Plus27154NOCDALLNAZ PRIORITY CARENFALSEG Arkansas Best Corporation (previous payer ID 75278, new payer ID is effective for claims submitted December 15, 2017 and after). 62308NOCDALLYARKANSAS BEST CORYFALSEG Arkansas Managed Care Organization (AMCO)62176NOCDARYAR MCOYFALSEG Arkansas Total Care 68069NOCDARYAK TOTAL CAREYFALSEG Arnett Health Plan - former payer id 9544087726NOCDALLYARNETT HEALTH PLAYFALSEC Arroyo Viata Family Health CenterNMM01NOCDALLYARROYO VISTA FAMYFALSEG Arta Health NetworkOCN01NOCDCANARTA HLTH NETWORKYFALSEG

ASAGEHA06603NOCDALLYASAGEHANFALSEG

Asian American Medical GroupAAMG1NOCDCANASIAN AMERICAN MGNFALSEG Aspire Health Plan46156NOCDALLNASPIRE HEALTH PLAYFALSEG ASR Corporation38265NOCDALLYASR CORPORATIONYFALSEG

ASRMASRM1NOCDALLYASRM CORPNFALSEG

Associated Hispanic Physicians Southern CaliforniaMPM44NOCDALLNASSOC HISP PHYSYFALSEG Associates for Healthcare36326NOCDALLYASSOC HEALTHCAREYFALSEG Assurant Health Self Funded (MUST VERIFY ALL CLAIMS SHOULD GO TO ALLIED BENEFIT for Assurant Health Self Funded groups with Plan effective dates after 5/1/2013)75068NOCDALLNASSURANT HLTH SLFYFALSEG Assured Benefits Administrators74240NOCDALLYASSURED BENEFITSYFALSEG Asuris Northwest/MedAdvantage (REF*1B*Provider ID in Billing and Rendering required even when NPI is submitted.)

SX179NOCDALLYASURIS NW MEDADVAYFALSEG

Asuris NW Health93221NOCDALLYASURIS NW HEALTHYFALSEG Atlantic Coast Life Insurance87020NOCDALLNATLANTIC COASTNFALSEG Atlantic Medical22285NOCDALLNATLANTIC MEDICALNFALSEG Atlantis Eye CareAEC01NOCDALLYATLANTIS EYE CAREYFALSEG Atlas Life Ins Co (NFIC Plan only)90956NOCDALLNATLAS LIFE INS CONFALSEG Atrio Health Plan (Formerly known as Marion Polk Health Plan

Advantage)

MPCHANOCDALLYMARION POLK HP ADNFALSEG

AultcareMNAULNOCDOHNAULTCAREYFALSEG

Author by Humana61108NOCDSCYAAUTHOR HUMANAYFALSEG

Automated Benefit Services (ABS)38259NOCDALLYAUTOMATED BEN SVCNFALSEG Automated Group Administration, Inc.37280NOCDALLNAUTOMATED GROUP AYFALSEG Automotive Machinists Local 289 Health & Welfare Trust -

Grp#F32

91136NOCDALLYAUTO GRP F32NFALSEG

Avalon Healthcare Solutions (Must contact the payer directly at Provider Services @ 855-895-1676 prior to sending claims.)AVA01NOCDALLYAVALON HC SOLUTIONFALSEG Avalon Healthcare Solutions North CarolinaAVA02NOCDNCNAVALON HEALTHCARENTRUEN

Avalon IPAIP080NOCDCANAVALON IPAYFALSEG

Avante Health (Customer Service 559-261-9060)AH001NOCDALLNAVANTE HEALTHYFALSEG Avectus Healthcare Solutions (Call 855-AVECTUS)MP001NOCDALLNMEDPAY FIRST ONEFALSEG Avera Health Plans46045NOCDALLYAVERA HEALTH PLANYFALSEG Avesis Third Part Administrators87098NOCDALLYAVESIS TPANFALSEG

AVMED59274NOCDFLYAVMEDYFALSEN

Axminister Medical GroupAXM01NOCDALLNAXMINISTER MED GRYFALSEG AZ Integrated PhysiciansNCHONNOCDALLNAZ INTEGRATED PHYNFALSEG Bakersfield Family Medical CenterBKRFMNOCDALLNBAKERSFIELD FAMILYFALSEG

For up-to-date payer information, please access the payer list from the OptumInsight website at: http://www.ingenix/connectivity

or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Medical Payer List

(07/17/2023)

5 of 41

Payer NamePayer IDClaim

Office

NumberStateReportsEntered As Secondary**EnrollmentPayer Type Bakery & Confectionery Union and Industry International HealthBCTF1NOCDALLNBAKERY UNIONNFALSEG

Banner Health12X42NOCDALLYBANNER HEALTHYFALSEG

Banner Health & Aetna Health Insurance Company67895NOCDALLYAETNA BANNER HLTHYFALSEG Banner Medicare Advantage Plus (PPO)16663NOCDALLNBANNER PPOYFALSEG Banner Medicare Advantage Plus (HMO)16664NOCDALLNHMO BANNERYFALSEG Banner University Family Care (University of Arizona Health

Plans)

66901NOCDALLABANNER UNIV OF AZYFALSEG

Baptist Health South Florida65026NOCDALLNBAPTIST HLTH S FLNFALSEG Baycare Select Health Plans Incorp81079NOCDALLYBAYCARE SELECTYFALSEG

BCBS Of VermontSB915NOCDVANBCBS VANFALSEN

BCBS Of Michigan (Dental Claims Only)BBMDQNOCDMINBCBS MI DENTALNFALSEG BCBS of Texas Medicaid (Plan effective December 1, 2015)66001NOCDTXYBCBS TEXAS MEDICANFALSEG BCBS Western NY MedicaidWNYMDNOCDNYYBCBS W NY MEDICAIYFALSEN Beacon Health OptionsBHOVONOCDALLNBEACON HLTH OPTIONFALSEG

Beacon of Life65432NOCDALLYBEACON LIFENFALSEG

Beaver Medical Group45967NOCDALLNBEAVERNFALSEG

Behavioral Health Systems63100NOCDALLNBEHAVIORAL HSNFALSEG Bella Vista Med Grp IPAMPM10NOCDCANBELLA VISTA MED GNFALSEN Benefit & Risk Management Services (Commercial Medicare under Med3000)

99320NOCDALLNBENE RISK MGMT SVNFALSEG

Benefit Administrative Systems36149NOCDALLYBENE ADMIN SYSTEMYFALSEG Benefit Concepts51037NOCDALLYBENEFIT CONCEPTSNFALSEG Benefit Coordinators Corporation25145NOCDALLNBENEFIT COOR CORPNFALSEG Benefit Management LLC/VBA88092NOCDALLYBENE MGMT LLC VBAYFALSEG Benefit Management Services56139NOCDALLNBENE MGMT SVCSYFALSEG Benefit Management Systems, Inc of Mississippi37212NOCDMSYBMS OF MSYFALSEG Benefit Management, Inc. of KS (Only accepts claims for these groups BMI246,BMI246.)48611NOCDALLNBENEFIT MGMT KSNFALSEG Benefit Plan Administrators Co. (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire,

WI 54702-1128)39081NOCDWIYBENEFIT PLAN WINFALSEG

Benefit Systems and Services, Inc.36342NOCDAllYBENEFIT SYSTEMSYFALSEG Benefit Trust Life Insurance Company61425NOCDAllYBENEFIT TRUST LIFNFALSEG BeneSys, Inc. (Now known as Sheet Metal Workers Local 104)38238NOCDALLNBENESYS INC MINFALSEG

BenmarkBNMK1NOCDALLNBENMARKNFALSEG

Berkshire Health Partners23243NOCDALLNBERKSHIRE HLTH PAYFALSEG Berkshire Intergroup10956NOCDALLYBERKSHIRE INTERGRNFALSEG Best Life & Health Insurance Co.95604NOCDALLNBEST LIFE AND HEAYFALSEG Better Health Plan of Florida (For claims rejections, contact payer at 800-514-4561 and select provider services option.)20488NOCDALLNBETER HP OF FLYFALSEG

Beverly Hospital MPM42NOCDALLNBEV HOSPNFALSEG

BHSF International67668NOCDALLYBHSF INTERNATIONANFALSEG Big Lots Associates Benefit PlansCX025NOCDALLNBIG LOTS ASSOC BENFALSEG BIND (UHC Choice Plus Multiplan)25463NOCDALLNBINDNFALSEG Block Vision of TexasBVTX1NOCDTXYBLOCK VISION TXYFALSEG Block Vision, Inc.BV001NOCDALLYBLOCK VISION INCYFALSEG Blue Advantage of ArkansasARBLSNOCDARYAR BLUE ADVANTAGEYTRUEN

Blue Care PPOVABLSBCBSVAYBLUECARE PPOYFALSEN

Blue Chip of Rhode IslandRICHPNOCDRIYRI BLUE CHIPYFALSEN Blue Choice Medicaid00403NOCDSCYBLUE CHOICE MCAIDYFALSEN Blue Choice of Rochester NYN6BLSNOCDNYYROCHESTER BLUE CHYFALSEN Blue Choice of South Carolina00922NOCDSCNBLUE CHOICE OF SCNFALSEG Blue Cross Blue Shield Michigan MedicareMIMCRNOCDMIYBCBS MI MEDICAREYTRUEN Blue Cross Blue Shield of FloridaFLBLSBCBSFLYFL BLUE SHIELDYFALSEN Blue Cross Blue Shield Of Western New YorkN1BLSNOCDALLNBCBS OF WEST NYYFALSEG Blue Cross Community Solutions (Effective 12-14-14. Payer was previously known as IL BCBS ICP with a payerID of

00621)MCDILNOCDALLYILLINOIS BCBS ICPNFALSEG

Blue Cross Complete32002NOCDALLYBLUE CROSS COMPLEYFALSEG Blue Cross IA COBSB645NOCDMT,IL,TX,ONBLUE CROSS IANFALSEG Blue Cross Medicare Advantage (For DOS after 01-01-2017 and for MemberID starting with YDL, YDJ, XOD, XOJ, ZGD,ZGI, ID,YIJ, YUX and UYB only)66006NOCDMT,IL,TX,ONBC MCARE ADV MITNFALSEN Blue Cross MI Blue Care CompleteMIBCNNOCDMINMI BLUE CAREYTRUEN Blue Cross of CaliforniaBC001NOCDCAYCA BLUE CROSSYFALSEG Blue Cross of IdahoIDBLCBCBSIDYID BLUE CROSSYTRUEN Blue Grass Family Health (SRRIPA)15754NOCDALLNBLUE GRASS FAMILYYFALSEG Blue Lake RancheriaIP061NOCDCANBLUE LAKE RANCHERYFALSEG

For up-to-date payer information, please access the payer list from the OptumInsight website at: http://www.ingenix/connectivity

or contact OptumInsight Customer Service and Support at1-866-678-8646 (1-866-OPTUMGO)

OptumInsight Medical Payer List

(07/17/2023)

6 of 41

Payer NamePayer IDClaim

Office

NumberStateReportsEntered As Secondary**EnrollmentPayer Type Blue Medicare of North Carolina (Contracted providers only.

Call 888-296-9790)

CALLNOCDNCYCALL SUPPORTYFALSEN

Blue Shield of AlabamaALBLSNOCDALYAL BLUE SHIELDYFALSEN Blue Shield of AlaskaAKBLSNOCDAKNAK BLUE SHIELDYFALSEN Blue Shield of ArizonaAZBLSNOCDAZYAZ BLUESHIELDYFALSEN Blue Shield of ArkansasARBLSNOCDARYAR BLUE SHIELDYTRUEN Blue Shield of CaliforniaBS001NOCDCAYCA BLUE SHIELDYFALSEG Blue Shield of Central NY HMO/PPON2BLSNOCDNYYCE NY BLUE SHIELDYFALSEN Blue Shield of ColoradoCOBLSBCBSCOYCO BLUE SHIELDYFALSEN Blue Shield of ConnecticutCTBLSNOCDCTYCT BLUE SHIELDYFALSEN Blue Shield of DelawareDEBLSBCBSDEYDE BLUE SHIELDYTRUEN Blue Shield of Georgia (State Health of GA)GABLSBCBSGAYGA BLUE SHIELDYFALSEN Blue Shield of HawaiiHIBLSNOCDHINHI BLUE SHIELDYTRUEN Blue Shield of Idaho (Per Provider Testing)IDBLSBCBSIDYID BLUE SHIELDYFALSEN Blue Shield of IllinoisILBLSBCBSILYIL BLUESHIELDYFALSEN Blue Shield of IndianaINBLSNOCDINYIN BLUE SHIELDYFALSEN Blue Shield of IowaIABLSBCBSIANIA BLUE SHIELDYFALSEG Blue Shield of Iowa (For Secondary claims only where Medicare is primary) (Provider must be enrolled with IABLS prior to sending to this payer. )IABLMNOCDIANIA BLUE SHIELD COYTRUEN Blue Shield of KansasKSBLSBCBSKSYKS BLUE SHIELDNFALSEN Blue Shield of Kansas CityKCBLSNOCDKS,MSYKC BLUE SHIELDNFALSENquotesdbs_dbs21.pdfusesText_27
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