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Institutional Claim Payers List

(07/17/2023) Payer ID ReportsEnter As NameAdditional InfoEnrollment Payer Type

1199 National Benefit Fund ##13162Y1199 NATIONAL BENFALSEG

2020 Eyecare ##2020EN2020 EYECAREFALSEG

360 Alliance Gilsbar ##07205Y360 ALLIANCE

PPOG

FALSEG

3P ADMIN **20413Y3P ADMINFALSEG

A & I Benefit Plan Administrators ##93044NA AND I BENEFIT PFALSEG

A.G. Administrators **11370NAG ADMINFALSEG

AAG - American Administrative Group

37283Y

AMERICAN

ADMINISTFormerly Gallagher Benefit

Admin

FALSEG

AARP Hospital Indemnity Plans

insured by UnitedHealthcare Insurance

Company **36273YAARP FALSEC

AARP Medicare Supplement Plans

insured by UnitedHealthcare Insurance

Company **36273YAARP FALSEC

AARP MedicareComplete insured

through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons) **87726Y AARP

MEDICARECOMPFALSEC

AARP MedicareComplete insured

through UnitedHealthcare / Oxford

Medicare Network / Oxford Mosaic

Network, former payer id 06111 **87726Y

AARP

MEDICARECOMPFALSEC

Abrazo Advantage Health Plan **03443Y

ABRAZO ADV

HEALTH

FALSEG

Abri Healthplan (Now known as Molina

Health Care of WI) **ABRI1N

ABRI HEALTHPLANFALSE

G

Access AdministratorsAHS01Y

ACCESS

ADMINISTRA

FALSEG

Access Medical GroupAMG02Y

ALLIED MED

GROUP

FALSEG

Acclaim **64071YACCLAIMFALSEG

Healthsmart Benefit Solutions (Wells Fargo TPA, formerly Acordia

National)** 87815YACORDIA NATIONALFALSEG

ACS Benefits Payer Compass ##

PA331Y

ACS BENEFITS

FALSEG

ADMINISTRATIVE CONCEP ##22384Y

ADMIN CONCEPTS

IN

FALSEG

Administrative Services ##59141NADMIN SVCS INCFALSEG

Advantage Health Network IPA **NMM01Y

ADVANTAGE HLTH

IP

FALSEG

ADVANTAGE HEALTH SOLU ##35209Y

ADVANTAGE

HEALTH

FALSEG

Advantek Benefit Administrators ##83077N

ADVANTEK

BENEFIT

FALSEG

Advantica Benefits **59374A

ADVANTICA

BENEFIT

FALSEG

Highlighted payers are new or have been altered in the last 90 days. Please verify that your system is setup correctly for these payers.

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)

Institutional Claim Payers List

(07/17/2023) Payer ID ReportsEnter As NameAdditional InfoEnrollment 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.

AdventHealth Advantage Plans ##RP039NADVENT HLTHFALSEG

ADVENTIST HEALTH SYSTEM ##95340Y

ADVENTIST HLTH

SY

FALSEG

Advocate Health Centers 36320YADVOCATE HEALTHFALSEG

Advocate Health Partners65093Y

ADVOCATE HLTH

PAR

FALSET

Aetna 60054 (Commercial only)60054YAETNAFALSEG

Aetna Affordable Health Choices **57604Y

AETNA

AFFORDABLE

FALSEG

Aetna Better Health CA **128CANAETNA CAFALSEG

Aetna Better Health IL Medicaid **26337NAETNA IL MCDFALSEG

Aetna Better Health Nevada ##128NVNAETNA NVFALSEG

Aetna Better Health NY ##34734N

AETNA BET HLTH

NY

FALSEG

Aetna Better Health of Illinois INC **68024Y

AETNA BETTER

HEALTH OF

ILLINOIS INCFALSEG

Aetna Better Health of Kansas **128KSN

AETNA BET HLTH

KS

FALSEG

Aetna Better Health of Kentucky **128KYY

AETNA BET HLTH

KY

FALSEG

Aetna Better Health of Louisiana **128LAY

AETNA BH

LOUISIAN

FALSEG

Aetna Better Health of Maryland ##128MDYAETNA MDFALSEG

Aetna Better Health of Michigan **128MIY

AETNA BH

MICHIGAN

FALSEG

Aetna Better Health of New Jersey **46320Y

AETNA BH NEW

JERS

FALSEG

Aetna Better Health of Ohio **50023Y

AETNA BTTR HLTH

O

FALSEG

Aetna Better Health of Pennsylvania

Medicaid **

23228Y

AETNA BH PA

MEDIC

FALSEG

Aetna Better Health of Virginia **128VAYAETNA BH VAFALSEG

Aetna Better Health of West Virginia **128WVY

AETNA BTR HLTH

WV

FALSEG

Aetna OHIORISE ##45221YAETNA OHIORISEFALSEG

AETNA TEXAS MEDICAID ##38692Y

AETNA TX

MEDICAID

FALSEG

Affiliated Doctors of Orange County **ADOCSYAFFILIATED DRSFALSEG Affiliated Physicians GroupM3CA1YAFFILIATED PHYSFALSET

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)

Institutional Claim Payers List

(07/17/2023) Payer ID ReportsEnter As NameAdditional InfoEnrollment 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.

Affinity Health Plan ##13334YAFFINITY HEALTH O

Contact

EDI@Affinityplan.org

or (718)794-7592 prior to sending claims. (For

Medicaid, Child Health Plus

and Essential Plan

Members )FALSEG

AffinityAccess**23334YAFFINITYACCESS

(For Qualified Health Plan

Members )

FALSEG

Agency Services Inc ##64158YAGENCY SERVICESFALSEG

Ageright Advantage**ARA01NAGERIGHTFALSEG

AHPO (Cleveland, OH) ##31138Y

AHPO CLEVELAND

OH

FALSEG

AIG Chartis ##19402YAIG CHARTISFALSEG

Aither Health **64884NAITHERFALSEG

ALAMEDA ALLIANCE ##95327Y

ALAMEDA

ALLIANCE

Provider must contact

payer to be approved.

Contact at Alameda is Anet

Quiambao at 510-747-6153

or aquiambao alamedaalliance.comTRUET

Alaska Children's Services, Inc. -

Group # P68 ##91136Y

ALASKA CHILD

SVCS

Please include Group

Number when submitting

claims.FALSEG

Alaska Laborers Construction Industry

Trust - Group # F23 ##91136Y

AK LABORERS

TRUST

Please include Group

Number when submitting

claims.FALSEG

Alaska Pipe Trades Local 375 - Group

# F24 ##91136YAK PIPE LOCAL 375

Please include Group

Number when submitting

claims.FALSEG

Alaska United Food & Commercial

Workers Health & Welfare Trust -

Group # F45 ##91136Y

AK UNITED FOOD

TR

Please include Group

Number when submitting

claims.FALSEG Albuquerque Public Schools ##85600AALBUQUERQUE PSFALSEG

Alexian Brothers Community Services

of Tennessee ##

44423y

ALEXIAN

BROTHERS

FALSEG

ALICARE 13550YALICARE FALSEG

Alignment Healthcare ##CCHPCYALIGNMENT HCAREFALSEG

AllCare PEBB ##26158YALLCARE PEBBFALSEG

Allegiance Benefit Plan Management,

Inc. ##

81040YALLEGIANCE BENEFALSEG

Alliance Coal Health Plan ##93658NALLIANCE COAL FALSEG

Alliance Physicians of the High Desert

22417NALLI PHYFALSEG

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)

Institutional Claim Payers List

(07/17/2023) Payer ID ReportsEnter As NameAdditional InfoEnrollment 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.

Alliance, The (Only for ID Cards

showing PO Box 44365 Madison WI

53744 as mailing address. Call 608-

210-6656 for Payer ID. **CallYALLIANCEFALSET

Alliant Health Plans of Georgia ##58234YALLIANT GEORGIAFALSEG Allied Benefit Systems ##37308YALLIED BENEFITFALSEG Allied Physicians of California IPA **NMM01YALLIED PHYS OF CAFALSEG

Alphacare Medical Group**MPM32N

ALPHACARE

MEDICAL

Effective 12/1/17, all

AlphaCare Medical Group

claims should be submitted to Payer ID MPM32.

SynerMed no longer

manages AlphaCare.)

FALSEG

AltaMed **ALTAMYALTAMEDFALSEG

Alternative Opportunities ##16089YALTERNATIVE OPPFALSEG AMA Insurance Agency, Inc.AMAIAYAMA INSURANCEFALSEG

Amalgamated Life ##13550YALICAREFALSEG

Amalgamated

Life - PA / Alicare ##13343N

AMALGAMATED

LIFE

FALSEG

Ambetter of Arkansas **68069YAMBETTERFALSEG

ClaimChoice Administrators38219YAMERAPLANFALSEG

Ameriben - IEC Group ##97661YAMERIBEN IEC FALSEG

AMERIBEN SOLUTIONS75137Y

AMERIBEN

SOLUTION

FALSEG

American Plan Administrators ##95606NAMERICAN PLANFALSEG

Americaid CC Tampa **06161YAMERICAID CCFALSET

Americaid Community Care (Dallas/Ft.

Worth) **

27514YAMERIGROUP GAFALSEG

Americaid Community Care (Houston)

27515Y

AMERICAID

HOUSTON

FALSEG

Americaid Community Care (Maryland)

27517YAMERICAID MDFALSEG

Americaid Community Care (New

Jersey) **

27516YAMERICAID NJFALSEG

American Behavior ##63103N

AMERICAN

BEHAVIOR

FALSEG

American Family Insurance ##12T31YAMERICAN FAMILYFALSEG

American Family Insurance

(Administered by American Republic)56071N

AM FAMILY

INSURANFALSEG

American Fidelity Assurance Company

60801Y

AMERICAN

FIDELITY

FALSEG

AMERICAN GENERAL LIFE AND

ACCIDENT ##

62030Y

AMERICAN

GENERAL

FALSEG

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)

Institutional Claim Payers List

(07/17/2023) Payer ID ReportsEnter As NameAdditional InfoEnrollment 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.

American Health Advantage of Texas

31155NAHA OF TXFALSEG

American Health Advantage of Utah**31145NAHA OF UTAHTRUEN

American Healthcare Alliance ##01066Y

AM HEALTHCARE

ALL

FALSEG

American Lifecare72099Y

AMERICAN

LIFECARE

Valid for billing address of

1100 Poydras Street, Suite

2600, New Orleans, LA

70163-2602FALSEG

American NatIonal Insurance (ANICO)

74048Y

AMER NAT

INSURANC

FALSEG

American Postal Workers Union Health

Plan ##

44444Y

AMERICAN POSTAL

W

FALSEG

American Republic Insurance

Company ##

42011YARICFALSEG

AMERICAN WORKER HEALTH PLUS

37322Y

AMERICAN

WORKER H

FALSEG

Americas 1st Choice Health Plans of

South Carolina ##

20553N

AMERICAS FIRST

CH

FALSEG

Americas 1st Choice of South Carolina,

Inc ##

55349YAM FIRST CHOICE SFALSEG

America's Choice Health ##20029N

AMERICAS CHOICE

N

FALSEG

America's Health Choice21810Y

AMERICAS HEALTH

C

FALSET

America's PPO (Formerly ARAZ) ##16120N

AMERICAS PPO

ARAZ

FALSEG

America's PPO / America's TPA ##41178YAMERICAS PPOFALSEG

Amerigroup ##28804YAMERIGROUPFALSEG

Amerigroup Houston ##26374Y

AMERIGROUP

HOUST

Claims and EncountersFALSEG

Amerigroup Illinois ##27518 YAMERIGROUP ILClaims and EncountersFALSEG

Amerigroup Iowa ##26375Y

AMERIGROUP

IOWA

FALSEG

Amerigroup Multiple States ##26378Y

AMERIGROUP

MULTI

Claims and EncountersFALSEG

Amerigroup Ohio ##27518YAMERIGROUP OHIOClaims and EncountersFALSEG

Amerigroup Vantage ##26375Y

AMERIGROUP

IOWA

FALSEG

Amerihealth Administrators, Inc. **54763Y

AMERIHEALTH

ADMIN TRUEN

AmeriHealth Caritas

Louisiana(Formerly known as LA

Care)##27357YLA CAREFALSEG

AmeriHealth Caritas Healthplan New

Hampshire ##

quotesdbs_dbs21.pdfusesText_27