Login Our Payer List ( tabbed )( pdf ) Automotive Dental Eligibility ERA Hospital Professional Workers Comp Claim Status     Our PGP Key             Sales Client Services ClaimLogic 6525 N Meridian Ave Ste 600 Oklahoma City, OK 73116-1416 Tel: 405-942-9800 Fax: 405-942-9802	Payor Name Payor ID Par Enroll Secondary Service(s) SELECTCARE 00014 Yes No Yes Hospital, Professional, Secondary COX HEALTH SYSTEMS 00019 No No Yes Hospital, Professional, Secondary HILL PHYSICIANS MEDICAL GROUP 00046 No No Yes Hospital, Professional, Secondary COX FREEMAN-UB 00119 No No No Hospital BETTER HEALTH PLANS SIMPLY HEALTHCARE PLANS 00199 No No Yes Hospital, Professional, Secondary AMC HEALTH FUTURE BCBS OF WESTERN NEW YORK ??? MEDICAID 00246 No No Yes Hospital, Professional, Secondary INDIAN HEALTH 00290 No Yes Yes Hospital, Professional, Secondary BCBS - WESTERN NEW YORK 00301 No No Yes Dental, Secondary BLUE CHOICE MEDICAID MANAGED CARE MI MICHILD 00403 No No Yes Hospital, Professional, Secondary ADVANTRA FREEDOM OPTIMA HEALTH 00453 No No Yes Hospital, Secondary BCBS OF MN BLUE PLUS MEDICAID 00562 No No Yes Hospital, Professional, Secondary CAREFIRST - BLUE CROSS BLUE SHIELD OF MARYLAND 00580 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF ILLINOIS 00621 No No Yes Dental, Secondary OPTUMHEALTH VISION SPECTERA UNITEDHEALTHCARE VISION 00773 Yes No Yes Professional, Secondary BLUE SHIELD OF NORTHEASTERN NEW YORK 00800 No Yes Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF WESTERN NEW YORK 00801 No Yes Yes Dental, Secondary BLUE CROSS BLUE SHIELD CENTRAL NY-FEDERAL EMP 00808 No No Yes Hospital, Professional, Secondary AMERICAN HEALTHCARE ALLIANCE 01066 No No Yes Hospital, Professional, Secondary MAGELLAN HEALTH SERVICES 01260 No Yes Yes Hospital, Professional, Remits, Secondary AMFIRST INSURANCE COMPANY 01757 Yes No Yes Professional, Secondary STANDARD LIFE AND ACCIDENT 01758 Yes No Yes Hospital, Professional, Secondary MONITOR LIFE 01759 Yes No Yes Professional, Secondary MINUTEMAN HEALTH, INC 01776 No No Yes Professional, Secondary PALMETTO MEDICARE PART A J1A2-REMIT VIEWING 01901 No Yes Yes Hospital, Secondary LEGACY MEDICARE PART A J1A2-UB 01911 No Yes Yes Hospital, Secondary NORTHEAST DELTA DENTAL 02027 Yes No Yes Dental, Secondary SMITH ADMINISTRATORS 02057 Yes No Yes Hospital, Professional, Secondary BLUE BENEFIT ADMINISTRATORS OF MA COMPREHENSIVE BENEFITS ADMINISTRATOR, INC (VT)/EBPA (NH) COMPREHENSIVE BENEFITS ADMINISTRATOR, INC. EMPLOYEE BENEFITS PLAN ADMINISTRATION, INC. (E.B.P.A.) 03036 No No Yes Hospital, Professional, Secondary ANCILLARY CARE MANAGEMENT/ACM 03172 Yes No Yes Professional, Secondary UNITEDHEALTHCARE ARIZONA PHYSICIANS IPA UNITEDHEALTHCARE COMMUNITY PLAN OF AZ 03432 Yes Yes Yes Dental, Hospital, Professional, Secondary SIEBA 03699 No No Yes Hospital, Professional, Secondary PAN AMERICAN LIFE INSURANCE GROUP 04218 No No Yes Hospital, Professional, Secondary HARVARD PILGRIM HARVARD PILGRIM HEALTH CARE 04271 No Yes Yes Hospital, Professional, Remits, Secondary HEALTH NEW ENGLAND 04286 No Yes Yes Hospital, Professional, Remits, Secondary NEIGHBORHOOD HEALTH PLAN (BOSTON, MA) NHP IN BOSTON 04293 Yes No Yes Hospital, Professional, Secondary TUFTS HEALTH PLAN 04298 No Yes Yes Hospital, Professional, Remits, Secondary ELDER SERVICE PLAN OF THE NORTH SHORE 04326 Yes No No Hospital, Professional TUFTS NETWORK HEALTH 04332 No Yes Yes Hospital, Professional, Secondary MOLINA HEALTHCARE MOLINA HEALTHCARE OF NEW MEXICO SCI 04423 No No Yes Hospital, Professional, Remits, Secondary OUTPATIENT SERVICES 04430 Yes No Yes Hospital, Professional, Secondary DELTA DENTAL OF MASSACHUSETTS 04614 Yes No Yes Dental, Secondary J4 WPS LEGACY - UB 04911 No Yes Yes Hospital, Secondary DELTA DENTAL OF RHODE ISLAND 05029 Yes No Yes Dental, Secondary NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND 05047 No No Yes Hospital, Professional, Secondary MSH REIMBURSEMENT 05587 Yes No Yes Hospital, Professional, Secondary HOME HEALTH AND HOSPICE CA 06014 No Yes Yes Hospital, Secondary DIVERSIFIED ADMINISTRATION 06102 Yes No Yes Professional, Secondary CONNECTICARE, INC 06105 Yes No Yes Hospital, Professional, Secondary HEALTH NET OF THE NORTHEAST PHS/HEALTHNET 06108 No Yes Yes Hospital, Professional, Remits, Secondary OXFORD HEALTH INSURANCE INC OXFORD HEALTH PLANS 06111 Yes No Yes Hospital, Professional, Remits, Secondary COUNTYCARE 06541 Yes No Yes Hospital, Professional, Secondary ASAGEHA 06603 Yes No Yes Hospital, Professional, Secondary CARDINAL INNOVATIONS HEALTHCARE SOLUTIONS 06607 No No Yes Hospital, Professional, Secondary BAY BRIDGE ADMINISTRATORS 06941 No No No Hospital, Professional DELTA DENTAL OF MINNESOTA 07000 No No Yes Dental, Secondary MEDICA OF MINNESOTA 07031 No No Yes Dental, Secondary SWIFT GLASS CORPORATION (UCS) 07040 No No Yes Hospital, Professional, Secondary GILSBAR GILSBAR, INC. 07205 No No No Hospital, Professional, Remits GLOBAL CARE INC 07689 No No Yes Hospital, Professional, Secondary EAST POINTE BEHAVIORAL HEALTH 08044 Yes No Yes Hospital, Professional, Secondary NX HEALTH NETWORK (UCS) 08354 No No Yes Hospital, Professional, Secondary CONTAINER GRAPHICS CORPORATION 08680 No No Yes Hospital, Professional, Secondary JMH SFCCN PHT (PSN CMSN) 09822 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF NEW MEXICO 09824 Yes No Yes Hospital, Professional, Secondary UNIVERSITY FAMILY CARE 09830 No No Yes Hospital, Professional, Secondary UNIVERSITY FAMILY CARE-MARICOPA 09908 No No Yes Hospital, Professional, Secondary CAREWORKS/MEDICAL MUTUAL OF OH 10010 No No Yes Hospital, Professional, Secondary ALABAMA BLUE CROSS MEDICARE ADVANTAGE 1002 No No Yes Hospital, Secondary CARECENTRIX CIGNA 1016 No No No Hospital COMPREHENSIVE MEDICAL AND DENTAL PROGRAM - CMDP 10166 No No Yes Dental, Secondary CARECENTRIX HORIZON 1017 No No No Hospital WPS OPTUM HEALTH 1020 No No Yes Hospital, Secondary HILL PHYSICIANS BLUE SHIELD PPO 1021 No No Yes Professional, Secondary FARMERS CIVIC PROPERTY AND CASUALTY COMPANY 10315 No No Yes Professional, Secondary, Workers Comp FARMERS EXACT PROPERTY AND CASUALTY COMPANY 10318 No No Yes Professional, Secondary, Workers Comp INTEGRITY MUTUAL INSURANCE COMPANY 10322 No No Yes Hospital, Professional, Secondary, Workers Comp PATIENT ADVOCATES, LLC 10525 No No Yes Hospital, Professional, Secondary CHRISTUS HEALTH MEDICARE ADVANTAGE 10629 Yes No Yes Hospital, Professional, Secondary METROPOLITAN HEALTH PLAN 10850 No No Yes Hospital, Professional, Remits, Secondary MIDWEST INSURANCE 10895 No No Yes Hospital, Professional, Secondary, Workers Comp BERKSHIRE INTERGROUP 10956 No No Yes Hospital, Professional, Secondary MEMIC 11030 No No Yes Hospital, Professional, Secondary, Workers Comp FEDERATED RURAL ELECTRIC (TX) 11118 No No Yes Hospital, Professional, Secondary, Workers Comp LIBERTY MUTUAL INS CO. & WAUSAU INS. CO. 11123 No No Yes Professional, Secondary BROWNYARD GROUP INC (ARCH INSURANCE) 11150 No No Yes Hospital, Professional, Secondary, Workers Comp ST JAMES PHO 11158 No No Yes Hospital, Professional, Secondary FOREMOST 11185 No No Yes Hospital, Professional, Secondary, Workers Comp DELTA DENTAL OF NEW YORK 11198 Yes No Yes Dental, Secondary FITZHARRIS & COMPANY FITZHARRIS & COMPANY INC 11244 Yes No Yes Professional, Secondary HEALTHPLEX 11271 Yes No Yes Dental, Secondary COLONIAL PENN - ERA ONLY 11285 No No No Remits MAGNACARE GARDEN CITY NY 11303 No No Yes Hospital, Professional, Secondary CENTERCARE FIDELIS CARE NY 11315 Yes No No Hospital, Professional NHP/SHP (NEIGHBORHOOD HEALTH PROVIDERS AND SUFFOLK HEALTH PLAN) 11325 No No Yes Hospital, Professional, Secondary HEALTHCARE PARTNERS, IPA 11328 No No Yes Hospital, Professional, Secondary INTERNATIONAL BENEFIT ADMINISTRATOR 11329 No No Yes Hospital, Professional, Secondary NEW YORK NETWORK MANAGEMENT, LLC 11334 Yes No Yes Professional, Secondary GENTIVA CARECENTRIX 11345 Yes Yes Yes Hospital, Professional, Secondary SENDERO IDEALCARE 11440 No No Yes Hospital, Professional, Secondary INDEPENDENT CARE HEALTH PLAN ICARE 11695 No No Yes Hospital, Professional, Secondary CLAIMSBRIDGE HPN 11752 No No Yes Hospital, Professional, Secondary SGIC 11789 No No Yes Hospital, Professional, Secondary INSURANCE SYSTEMS, INC 11889 No No Yes Hospital, Professional, Secondary MEDVIEW VISTA 360 HEALTH 1196 No No Yes Professional, Secondary TRIPLE A 11983 No No Yes Hospital, Professional, Secondary, Workers Comp IDAHO WOMEN AND CHILD PROGRAMS 12113 No No Yes Hospital, Professional, Secondary VA FEE BASIS PROGRAMS 12115 No No Yes Hospital, Professional, Remits, Secondary NEW JERSEY MANUFACTURING 12122 No No Yes Hospital, Professional, Secondary, Workers Comp ALBUQUERQUE PUBLIC SCHOOLS 1220 No No Yes Professional, Secondary NAHGA CLAIM SERVICES 1223 No No Yes Professional, Secondary NEW MEXICO PUBLIC SCHOOLS INSURANCE AUTHORITY 1224 No No Yes Professional, Secondary MID-AMERICAN TPA: AAI, INC. 12251 No No Yes Hospital, Professional, Secondary AMICA MUTUAL INSURANCE COMPANY 12287 No No Yes Hospital, Professional, Secondary, Workers Comp IU HEALTH PLANS 1236 No No No Professional MEDICA 2 12422 Yes No Yes Hospital, Professional, Secondary REPUBLIC FRANKLIN INSURANCE 12475 No No Yes Hospital, Professional, Secondary, Workers Comp IDS PROPERTY CASUALTY INSURANCE COMPANY 12504 No No Yes Hospital, Professional, Secondary, Workers Comp SELECTIVE 12572 No No Yes Hospital, Professional, Secondary, Workers Comp FLORIDA HEALTHCARE PLUS 12611 Yes No Yes Professional, Secondary HUMAN ARC 1265 No No Yes Professional, Secondary AETNA BETTER HEALTH CALIFORNIA 128CA No No No Hospital, Professional COVENTRY HEALTH CARE OF FLORIDA 128FL Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF KANSAS 128KS No No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF KENTUCKY 128KY Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF LOUISIANA 128LA Yes No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF MICHIGAN 128MI Yes Yes Yes Hospital, Professional, Remits, Secondary AETNA BETTER HEALTH OF NEVADA 128NV No No Yes Professional, Secondary AETNA BETTER HEALTH OF VIRGINIA 128VA Yes Yes Yes Hospital, Professional, Remits, Secondary AETNA BETTER HEALTH OF WV 128WV No No Yes Hospital, Professional, Secondary HIGHMARK J12 WPS MUTUAL OF OMAHA 12901 No Yes Yes Hospital, Secondary EMPOWER ARKANSAS 12956 No No Yes Hospital, Professional, Secondary BC KENTUCKY ADMINASTAR-UB 12B11 No No Yes Hospital, Secondary NEW HAMPSHIRE BLUE CROSS ANTHEM 12B21 No No No Hospital NEW HAMPSHIRE MEDICAID UB 12K90 No No Yes Hospital, Secondary MOLINA HEALTHCARE - MEDICAID 12X09 No No Yes Hospital, Secondary WPS HEALTH INSURANCE 12X29 No Yes Yes Hospital, Secondary BANNER HEALTH 12X42 No No Yes Hospital, Professional, Secondary EBMS (EMPLOYEE BENEFIT MANAGEMENT SERVICES) - UB 12X44 No No No Hospital SMOKEY MOUNTAIN CENTER 13010 No No Yes Hospital, Professional, Secondary ALLIANCE HEALTHCARE/SRRIPA 13079 Yes No Yes Professional, Secondary MEDIGOLD PPO 13123 No No Yes Hospital, Professional, Secondary 1199 NATIONAL BENEFIT FUND HOME HEALTH AND HOSPICE J15 CIGNA PREFERRED ADMINISTRATORS CHILDREN'S HOSPITAL 13162 Yes No Yes Hospital, Professional, Secondary MONTEFIORE CONTRACT MANAGEMENT ORGANIZATION 13174 Yes No Yes Hospital, Professional, Secondary MERIDIAN HEALTH PLAN 13189 Yes No Yes Hospital, Professional, Secondary GREAT AMERICAN LIFE INS CO-MEDICARE SUPPLEMENT 13193 Yes No Yes Hospital, Professional, Secondary METRO PLUS HEALTH PLAN 13265 Yes No Yes Hospital, Professional, Secondary THE ZENITH 13269 No No Yes Hospital, Professional, Secondary, Workers Comp PHCS SAVILITY PAYERS 13306 Yes No Yes Hospital, Professional, Secondary INSURANCE DESIGN ADMINISTRATORS 13315 Yes No Yes Hospital, Professional, Secondary AFFINITY HEALTH PLAN 13333 No No Yes Hospital, Professional, Secondary AFFINITY HEALTH PLAN 13334 No Yes Yes Hospital, Professional, Remits, Secondary HUDSON HEALTH PLAN 13335 Yes Yes Yes Hospital, Professional, Secondary BMC HEALTHNET PLAN BOSTON MEDICAL CENTER HEALTH PLAN, INC. 13337 No No No Encounters, Hospital, Professional AMALGAMATED LIFE PA ALICARE 13343 Yes No Yes Hospital, Professional, Secondary AFTRA HEALTH FUND 13346 Yes No No Hospital, Professional ODS HEALTH PLAN 13350 Yes No Yes Hospital, Professional, Secondary CENTERLIGHT HEALTHCARE 13360 No No Yes Hospital, Professional, Secondary ORTHONET CORPORATION 13381 No No Yes Hospital, Professional, Secondary ORTHONET (UNIFORMED SRVC FAMILY HLTH PLAN) 13382 Yes No Yes Professional, Secondary ORTHONET AETNA 13383 No No Yes Hospital, Professional, Secondary USFHP ST. VINCENT CATHOLIC MEDICAL CENTERS OF NEW YORK 13407 Yes No Yes Hospital, Professional, Secondary STANDARD INSURANCE CO. OF NEW YORK 13411 Yes No Yes Dental, Secondary ALICARE AMALGAMATED LIFE 13550 No No Yes Hospital, Professional, Secondary GHI - NEW YORK (GROUP HEALTH INC.) GHI - NEW YORK - (GROUP HEALTH INC.) GROUP HEALTH INC OF NY (GHI) 13551 No Yes Yes Dental, Hospital, Professional, Remits, Secondary FEDERATED MUTUAL INSURANCE COMPANY 13935 No No Yes Hospital, Professional, Secondary, Workers Comp HORTICA FLORIST MUTUAL INSURANCE 13978 No No Yes Hospital, Professional, Secondary, Workers Comp GRANGE WC 14060 No No Yes Hospital, Professional, Secondary, Workers Comp FARM FAMILY LIFE 14140 No No Yes Hospital, Professional, Secondary NYS DOH UCP 14142 No No No Hospital, Professional MERIDIAN HEALTH PLAN IOWA 14145 Yes No Yes Hospital, Professional, Secondary WELLCARE HEALTH PLAN 14163 No No Yes Hospital, Professional, Secondary MVP HEALTH PLAN OF NY PREFERRED CARE 14165 No Yes Yes Hospital, Professional, Secondary CARECORE NATIONAL, LLC (AETNA RADIOLOGY CLAIMS) NYMI AETNA RADIOLOGY CLAIMS 14179 Yes No Yes Hospital, Professional, Secondary CARECORE NATIONAL, LLC (OXFORD RADIOLOGY CLAIMS) NYMI OXFORD 14180 Yes No Yes Hospital, Professional, Secondary CARECORE NATIONAL 14182 Yes No Yes Professional, Secondary CARECORE/WCNY RAD 14188 Yes No Yes Professional, Secondary INTEGRITY WC 14303 No No Yes Hospital, Professional, Secondary, Workers Comp COMMONWEALTH CARE ALLIANCE 14315 No No Yes Hospital, Professional, Secondary BERKSHIRE HEALTH PLAN 1433 Yes No Yes Professional, Secondary LARSON GROUP (UCS) 14633 No No Yes Hospital, Professional, Secondary CO-ORDINATED BENEFIT PLANS COORDINATED BENEFITS PLAN 14829 No No Yes Dental, Hospital, Professional, Secondary PARTNERS HEALTH PLAN 14966 No No Yes Hospital, Professional, Secondary YOURCARE (FKA UNIVERA) DOS 8/1/15 AND AFTER 15003 No No Yes Hospital, Professional, Secondary HOME, HEALTH AND HOSPICE - JURISDICTION B 15004 No Yes Yes Hospital, Secondary YOURCARE (FKA UNIVERA) DOS 8/1/15 AND AFTER - UB 1500U No No Yes Hospital, Secondary COMPMANAGMENT HEALTH 15243 Yes No Yes Hospital, Professional, Secondary MEDSOLUTIONS POST ACCUT CARE 15395 No No Yes Hospital, Professional, Secondary WV MEDICARE ADVANTAGE 15459 No No Yes Hospital, Professional, Secondary PA MEDICARE ADVANTAGE 15460 No No Yes Hospital, Professional, Secondary SENIOR NETWORK HEALTH UTICA 15682 No No Yes Professional, Secondary INSURANCE MANAGEMENT SERVICES (AMARILLO, TX) 15688 No No Yes Hospital, Professional, Secondary STONES RIVER REGIONAL IPA- WINDSOR 15752 Yes No Yes Professional, Secondary FALLON TOTAL CARE-UB 1576 Yes No No Hospital VIBRA HEALTH PLAN 15976 No No Yes Hospital, Professional, Secondary PORTER SCOTT 15991 No No No Hospital, Professional UNITRIN DIRECT PROPERTY AND CASUALTY COMPANY 16063 No No Yes Hospital, Professional, Secondary, Workers Comp ALTERNATIVE OPPORTUNITIES 16089 No No Yes Hospital, Professional, Secondary REHN AND ASSOCIATES (INSTITUTIONAL) 1609 No No Yes Hospital, Secondary MONITOR LIFE INSURANCE COMPANY 16098 Yes No Yes Hospital, Professional, Secondary LANCASTER GENERAL HEALTH 16109 No No Yes Hospital, Professional, Secondary RMSCO RMSCO, INC. 16117 Yes No Yes Hospital, Professional, Secondary AMERICAS PPO ARAZ 16120 Yes No Yes Hospital, Professional, Secondary SCHC TOTAL CARE INC. (ACCEPTIUS GATEWAY PAYER) 16146 No No Yes Hospital, Professional, Secondary ASPEN INSURANCE 16180 No No Yes Hospital, Professional, Secondary MULTNOMAH VERITY 16259 No No Yes Professional, Secondary EMPLOYER PLAN SERVICES 1628 Yes No Yes Hospital, Secondary ZURICH INSURANCE N.A. 16535 No No Yes Hospital, Professional, Secondary, Workers Comp EMHS EMPLOYEE HEALTH PLAN 16565 No No Yes Hospital, Professional, Secondary CHAUTAUQUA COUNTY HEALTHCARE PLAN (MAYVILLE, NY) 16600 Yes No Yes Hospital, Professional, Secondary NOVA HEALTHCARE ADMINISTRATORS, INC. NOVA HEALTHCARE ADMINISTRATORS, INC. (GRAND ISLAND, NY) 16644 Yes No Yes Hospital, Professional, Secondary GREAT AMERICAN INSURANCE COMPANY 16691 No No Yes Hospital, Professional, Secondary, Workers Comp AMERIGROUP LOUISIANA 16730 No No Yes Hospital, Professional, Secondary METAL CULVERTS (UCS) 16928 No No Yes Hospital, Professional, Secondary IMS TPA: PARTON LUMBER (UCS) 17882 No No Yes Hospital, Professional, Secondary AMERICAN SENTINEL INSURANCE 17965 Yes No Yes Professional, Secondary FIRST CHOICE HEALTHPLANS OF CONNECTICUT FLORIDA LEAGUE OF CITIES, INC. HARMONY HEALTH PLAN OF ILLINOIS HARMONY HEALTH PLAN OF INDIANA STAYWELL HEALTH PLAN WELLCARE WELLCARE HMO, INC. WELLCARE OF CT WELLCARE OF GEORGIA WELLCARE OF LOUISIANA WELLCARE OF NEW YORK 1844 No No Yes Professional, Remits, Secondary BOULDER ADMINISTRATION 18768 No No Yes Hospital, Professional, Secondary IBM BUSINESS TRANS OUTSRCE INS SERV CORP 19028 Yes No Yes Hospital, Professional, Secondary TRAVELERS 19046 No No Yes Hospital, Professional, Secondary, Workers Comp NATIVE CARE HEALTH 19191 No No Yes Hospital, Professional, Secondary ACCESS MEDICARE (CUATRO LLC) 19305 No No Yes Hospital, Professional, Secondary AIG-CHARTIS 19402 No No Yes Hospital, Professional, Secondary, Workers Comp BENEFIT PLAN ADMINISTRATORS 19753 No No Yes Professional, Secondary ARGONAUT INSURANCE COMPANY (ARGO) 19801 No No Yes Hospital, Professional, Secondary, Workers Comp SISCO (INST) 1982 No No Yes Hospital, Secondary AMERICAS CHOICE HEALTH PLANS (HEALTHSMART) 20029 No No Yes Hospital, Professional, Secondary MEDITURE 20039 No No Yes Hospital, Professional, Secondary REDWOOD FIRE AND CASUALTY INSURANCE COMPANY (MEMBER OF BHHC)) 20044 No No Yes Hospital, Professional, Secondary, Workers Comp TRILLIUM CHP AGATE HEALTHCARE 20048 No Yes Yes Hospital, Professional, Secondary INTEGRATED MEDICAL SOLUTIONS 20050 No No Yes Hospital, Professional, Secondary TODAYS HLTH WI/ABRI HLTH PLAN INC 20081 Yes No Yes Hospital, Professional, Secondary OPTIMUM HEALTHCARE, INC 20133 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF OHIO 20149 No No Yes Hospital, Professional, Secondary PENNSYLVANIA PACE 20172 No No Yes Hospital, Professional, Secondary TETHYS HEALTH VENTURES 20212 No No Yes Hospital, Professional, Secondary HEALTH PAYMENT SYSTEMS, INC. 20270 No No Yes Hospital, Professional, Secondary WORKSITE BENEFIT SRVC ILC 20333 No No Yes Hospital, Professional, Secondary CERNER THE HEALTH EXCHANGE (CERNER CORPORATION) 20356 Yes No Yes Hospital, Professional, Secondary PACIFICSOURCE MEDICARE 20377 Yes No Yes Hospital, Professional, Secondary 3P ADMIN 20413 Yes No Yes Hospital, Professional, Secondary PACIFICSOURCE COMMUNITY SOLUTIONS 20416 Yes No Yes Hospital, Professional, Secondary CNA INSURANCE 20443 No No Yes Hospital, Professional, Secondary, Workers Comp WINSTON HOSPITALITY 20452 No No No Hospital, Professional SCAN LONG TERM CARE 20460 Yes No Yes Hospital, Professional, Secondary BETTER HEALTH OF FLORIDA 20488 No No No Hospital, Professional HHH CHOICES GOLD 20552 No No Yes Hospital, Professional, Secondary AMERICAS 1ST CHOICE HEALTH PLANS OF SOUTH CAROLINA, INC. 20553 Yes No Yes Hospital, Professional, Secondary MOLINA HLTHCARE TX 20554 No No Yes Hospital, Professional, Secondary MSA CARE GUARD 20572 No No Yes Hospital, Professional, Secondary SEIU LOCAL 1 CLEVELAND WELFARE FUND 20618 No No No Hospital, Professional ONE BEACON 20621 No No Yes Hospital, Professional, Secondary, Workers Comp ESSENCE HEALTHCARE 20818 Yes No Yes Hospital, Professional, Secondary PAUL MUELLER (UCS) 20907 No No Yes Hospital, Professional, Secondary MOLINA ILLINOIS 20934 Yes No Yes Hospital, Professional, Secondary CHRISTUS HEALTH NM HIX 21062 No No Yes Hospital, Professional, Secondary VANLINERS INSURANCE COMPANY 21172 No No Yes Hospital, Professional, Secondary, Workers Comp KAISER FOUNDATION HEALTH PLAN OF GA KAISER FOUNDATION HEALTH PLAN OF GEORGIA 21313 No No Yes Hospital, Professional, Remits, Secondary MEDOVA BRIDGEWELL HEALTH 21322 No No Yes Hospital, Professional, Secondary ILLINOIS EMCASCO 21415 No No Yes Hospital, Professional, Secondary, Workers Comp COMMUNITY CARE OF OREGON 21455 No No Yes Hospital, Professional, Secondary PACE GREATE NEW ORLEANS (NORLN) 21614 No No No Hospital, Professional FARMERS FIRE INSURANCE EXCHANGE 21660 No No Yes Professional, Secondary, Workers Comp FARMERS MID CENTURY INSURANCE COMPANY 21687 No No Yes Professional, Secondary, Workers Comp FARMERS TRUCK INSURANCE EXCHANGE 21709 No No Yes Professional, Secondary, Workers Comp FIREMANS FUND INSURANCE COMPANY 21873 No No Yes Hospital, Professional, Secondary, Workers Comp BLUE CROSS OF NEW JERSEY HORIZON (FEDERAL) HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY (HORIZON BCBSNJ) HORIZON HEALTHCARE OF NY 22099 No Yes Yes Dental, Hospital, Professional, Remits, Secondary HEALTH CHOICE INTEGRATED CARE 22100 Yes No Yes Hospital, Professional, Secondary ELMIRA SAVINGS BANK(UCS) 22120 No No Yes Hospital, Professional, Secondary GREAT AMERICAN INSURANCE COMPANY OF NY 22136 No No Yes Hospital, Professional, Secondary, Workers Comp KERN HEALTH CARE NETWORK 22149 No No No Hospital, Professional I E SHAFFER WEST TRENTON NJ I.E. SHAFFER 22175 No No Yes Hospital, Professional, Secondary DELTA DENTAL OF NEW JERSEY 22189 Yes No Yes Dental, Secondary AIG EDUCATIONAL MARKETS 22195 No No Yes Hospital, Professional, Secondary ST. BARNABAS SYSTEM HEALTH PLAN 22240 No No Yes Hospital, Professional, Secondary AMERIHEALTH CARITAS PENNSYLVANIA 22248 No Yes Yes Hospital, Professional, Remits, Secondary HEALTHY YORK NETWORK 22251 No No Yes Hospital, Professional, Secondary FALLON COMMUNITY HEALTH PLAN 22254 Yes No Yes Hospital, Professional, Secondary EMPLOYEE BENEFITS ADMINISTRATION AND MANAGEMENT CORP. 22262 No No Yes Professional, Secondary VYTRA HEALTHCARE 22264 No No Yes Hospital, Professional, Secondary COLONIAL MEDICAL 22284 No No Yes Hospital, Professional, Secondary BRITCAY 22286 No No Yes Hospital, Professional, Secondary ATLANTICARE [ALSO KNOWN AS HORIZON HEALTHCARE ADMIN (HHA)] HORIZON HEALTHCARE ADMIN (HHA) 22304 No No Yes Hospital, Professional, Secondary QUALCARE DBA QANI ADMINSTRATORS 22312 No Yes Yes Hospital, Professional, Secondary ONE CALL MEDICAL 22321 Yes No Yes Hospital, Professional, Secondary HORIZON NEW JERSEY HEALTH HORIZON NJ HEALTH 22326 Yes No Yes Hospital, Professional, Remits, Secondary EXCEEDENT LLC 22344 No No Yes Hospital, Professional, Secondary MARYLAND PHYSICIANS CARE BALTIMORE MA 22348 No No Yes Hospital, Professional, Secondary ADMINISTRATIVE CONCEPTS INC. 22384 No No Yes Hospital, Professional, Secondary ALLIANCE PHYSICIANS HIGH DESERT 22417 No No Yes Professional, Secondary TELEMON (UCS) 22483 No No Yes Hospital, Professional, Secondary NJ CARPENTERS HEALTH FUND 22603 No No Yes Hospital, Professional, Secondary MANAGED HEALTH NETWORK 22771 No No Yes Hospital, Professional, Secondary MID AMERICAN BENEFITS MID-AMERICAN BENEFITS, INC. 22823 No No Yes Hospital, Professional, Secondary TEXAS MUTUAL INSURANCE 22945 No No Yes Hospital, Professional, Secondary, Workers Comp CAPITAL BC AND CAPITAL ADVANTAGE INSURANCE (CAIC) 23045 No No Yes Professional, Secondary ALLIANCE BEHAVIORAL HEALTHCARE 23071 Yes No Yes Professional, Secondary FRESENIUS MEDICAL CARE 23130 Yes No Yes Hospital, Professional, Secondary MEDICO MEDICO INSURANCE COMPANY 23160 Yes No No Dental, Hospital, Professional DELTA DENTAL OF PENNSYLVANIA 23166 Yes No Yes Dental, Secondary CHA HEALTH 23171 Yes No Yes Hospital, Professional, Secondary GETTYSBURN HEALTH 23212 No No Yes Hospital, Professional, Secondary SUPERIOR ADMINISTRATORS, INC (SANTA ANA, CA) 23218 No No Yes Hospital, Professional, Secondary LOOMIS COMPANY THE LOOMIS COMPANY 23223 Yes No Yes Dental, Hospital, Professional, Secondary AETNA BETTER HEALTH 23228 Yes No Yes Hospital, Professional, Secondary INTERGRAL QUALITY CARE 23229 No No Yes Hospital, Professional, Secondary SENTINEL MANAGEMENT SERVICES 23249 No No Yes Hospital, Professional, Secondary ERIN GROUP ADMINISTRATORS SIGNIFICA BENEFITS SERVICES, INC. 23250 Yes No Yes Hospital, Professional, Secondary POPULYTICS POPULYTICS (FORMERLY SPECTRUM ADMINISTRATORS, INC.) SPECTRUM ADMINISTRATORS INC.-TPA/VALLEY PREFERRED-PPO ALLENTOWN PA VALLEY PREFERRED - PPO ALLENTOWN, PA (IHS GATEWAY PAYER) 23253 Yes No Yes Hospital, Professional, Secondary SOUTH CENTRAL PREFERRED SOUTH CENTRAL PREFERRED PPO 23266 Yes No Yes Hospital, Professional, Secondary HEALTHGROUP LIMITED 23274 No No Yes Hospital, Professional, Secondary UPMC DENTAL ADVANTAGE UPMC HEALTH PLAN 23281 No Yes Yes Hospital, Professional, Remits, Secondary COMMUNITY CARE BHO 23282 Yes No Yes Hospital, Professional, Secondary KEYSTONE MERCY HEALTH PLAN 23284 No Yes Yes Hospital, Professional, Remits, Secondary SELECT HEALTH OF SOUTH CAROLINA 23285 Yes No Yes Hospital, Professional, Secondary INTERGROUP SERVICES CORPORATION 23287 Yes No Yes Hospital, Professional, Secondary AFFINITY ESSENTIALS 23334 No No Yes Professional, Secondary QUALCARE, INC. 23342 No No Yes Hospital, Professional, Secondary METHODIST FIRST CHOICE 23550 No No Yes Hospital, Professional, Secondary C&O EMPLOYEES HOSPITAL ASSOC. 23708 Yes No Yes Professional, Secondary TOUCHSTONE HEALTH PSO 23856 No No Yes Hospital, Professional, Secondary EASTERN IOWA COMMUNITY HEALTHCARE (EICH) 23861 No No Yes Hospital, Professional, Secondary OHIO CASUALTY GROUP 24074 No No Yes Hospital, Professional, Secondary, Workers Comp SANTA CLARA FAMILY HEALTH PLAN 24077 Yes No Yes Hospital, Professional, Secondary OLD REPUBLIC INSURANCE COMPANY 24147 No No Yes Hospital, Professional, Secondary, Workers Comp ACTIN CARE GROUPS /CLIFTON HEALTH SYSTEMS 24585 No No Yes Hospital, Professional, Secondary PINNACLE CLAIMS MANAGEMENT, INC. WESTERN GROWERS ASSURANCE TRUST WESTERN GROWERS INSURANCE COMPANY 24735 Yes No Yes Hospital, Professional, Secondary SAFECO INSURANCE 24740 No No Yes Hospital, Professional, Secondary, Workers Comp EASY CHOICE HEALTH PLAN OF NEW YORK 24770 No No Yes Hospital, Professional, Secondary NEW YORK PRESBYTERIAN SYSTEM SELECT HEALTH VIDACARE (NEW YORK, NEW YORK) 24818 No No Yes Hospital, Professional, Secondary HEALTH ALLIANCE MEDICAL PLANS OF ILLINOIS SISCO ENTERPRISES (INTERPLAN) SISCO FIRST HEALTH WC 2491 No No Yes Professional, Secondary FOREST COUNTY POTAWATOMI INSURANCE DEPARTMENT 25059 No No Yes Dental, Hospital, Professional, Secondary COVENTRY HEALTH ASSURANCE OF PA ADVANTRA 25126 Yes No Yes Professional, Secondary CHILDRENS MERCY FAMILY HEALTH PARTNERS/MC+ MISSOURI COVENTRY HEALTH CARE OF KANSAS, KANSAS CITY COVENTRY HEALTH CARE OF KANSAS, WICHITA COVENTRY HEALTH CARE, FORMERLY ADVANTRA FREEDOM/SAVINGS COVENTRY HEALTH CARE, FORMERLY ADVANTRA- TEXAS, NEW MEXICO, ARIZONA COVENTRY HEALTH CARE, FORMERLY CONVENTY HLTH CARE NAT'L NETWORK/FIRST HLTH/ALTA HLTH STRATEGIES COVENTRY HEALTH CARE, FORMERLY COVENTRY HEALTH AND LIFE INSURANCE (TENNESSEE) COVENTRY HEALTH CARE, FORMERLY HEALTH AMERICA/HEALTH ASSURANCE/ADVANTRA COVENTRY HEALTH CARE, FORMERLY KNOWN AS MAIL HANDLERS BENEFIT PLAN COVENTRY HEALTH CARE, FORMERLY OF DELAWARE COVENTRY HEALTH CARE, FORMERLY OF GEORGIA COVENTRY HEALTH CARE, FORMERLY OF IOWA COVENTRY HEALTH CARE, FORMERLY PERSONAL CARE COVENTRY HEALTH CARE, FORMERLY SOUTHERN HEALTH SERVICES COVENTRY HEALTH CARE, FORMERLY UNIVERSITY OF MISSOURI COVENTRY HEALTH CARE, FORMERLY WELLPATH COVENTRY HEALTH CARE, FORMERLY, OF NEBRASKA COVENTRY HEALTH PLAN, FORMERLY ALTIUS COVENTRY HEALTH&LIFE OF OKLAHOMA COVENTRY HEALTH, FORMERLY OF LOUISIANA COVENTRY HEATLH CARE, FORMERLY GROUP HEALTH PLAN (GHP/ADVANTRA) COVENTRY OF THE KS COVENTRY, FORMERLY MUTUAL OF OMAHA INSURANCE COMPANY MAIL HANDLERS BENEFIT PLAN - MHBP VISTA HEALTH PLAN 25133 No No Yes Hospital, Professional, Remits, Secondary BENEFIT COORDINATORS CORP. (PITTSBURGH, PA) BENEFIT COORDINATORS CORPORATION 25145 No No Yes Hospital, Professional, Secondary SOUTHCARE/HEALTHCARE PREFERRED 25147 No No Yes Hospital, Professional, Secondary DIVERSIFIED NKA MCA ADMINSTRATORS MCA ADMINISTRATORS 25160 No No Yes Hospital, Professional, Secondary GATEWAY HEALTH PLAN GATEWAY HEALTH PLAN MEDICAID PA 25169 Yes No Yes Hospital, Professional, Remits, Secondary DH EVANS 25172 Yes No Yes Dental, Secondary THREE RIVERS HEALTH PLANS INC/UNISON UNISON HEALTH PLAN UNITED HEALTHCARE COMMUNITY PLAN (UNISON HEALTH PLAN) 25175 Yes No Yes Hospital, Professional, Remits, Secondary LIFE PITTSBURGH 25181 No No Yes Hospital, Professional, Secondary CHILDRENS COMMUNITY HEALTH PLAN 251CC Yes No Yes Hospital, Professional, Secondary MEDSTAR MEDICARE CHOICE 251MC Yes No Yes Hospital, Professional, Secondary MEDSTAR SELECT 251MS Yes No Yes Hospital, Professional, Secondary PIEDMONT WELLSTAR HEALTH PLAN 251PD No No Yes Hospital, Professional, Secondary PREMIER HEALTH PLAN 251PR Yes No Yes Hospital, Professional, Secondary VIRGINIA PREMIER INDIVIDUAL PLANS 251VA No No Yes Hospital, Professional, Secondary GREAT DIVIDE INSURANCE 25224 No No Yes Hospital, Professional, Secondary, Workers Comp SEVEN CORNERS 25404 Yes No Yes Hospital, Professional, Secondary PBS - OREGON ALASKA INDUSTRIAL HARDWARE 25449 No No No Dental, Hospital, Professional BIND 25463 Yes No Yes Hospital, Professional, Secondary GHI HMO GHI HMO SELECT 25531 No Yes Yes Hospital, Professional, Remits, Secondary ORTHONET-HEALTHNET WHITE PLAINS NY 25681 Yes No Yes Professional, Secondary ESURANCE INSURANCE COMPANY 25712 No No Yes Hospital, Professional, Secondary, Workers Comp ODS HEALTH-UB 2576 Yes No Yes Hospital, Secondary CAMERON MANUFACTURING & DESIGN, INC. (UCS) 25831 No No Yes Hospital, Professional, Secondary UNION INSURANCE COMPANY OF PROVIDENCE 25844 No No Yes Hospital, Professional, Secondary, Workers Comp EAST BOSTON NEIGHBORHOOD PACE 25849 No No Yes Hospital, Professional, Secondary MEDVIEW VISTA 360 HEALTH 2585 No No Yes Hospital, Secondary VIECARE LIFE ARMSTRONG 25922 No No Yes Hospital, Professional, Secondary VIECARE LIFE BEAVER AND LIFE LAWRENCE COUNTIES 25924 No No Yes Hospital, Professional, Secondary UTICA MUTUAL INSURANCE COMPANY 25976 No No Yes Hospital, Professional, Secondary, Workers Comp GRAPHIC ARTS MUTUAL 25984 No No Yes Hospital, Professional, Secondary, Workers Comp CENTRAL CALIFORNIA WOMENS HEALTH 26041 Yes No Yes Hospital, Professional, Secondary ICARE HEALTH SOLUTIONS 26054 No No Yes Professional, Secondary ML HEALTHCARE 26097 No No No Hospital, Professional ALLCARE PEBB 26158 No No Yes Hospital, Professional, Secondary MID ROGUE OREGON HEALTH PLAN 26161 Yes No Yes Hospital, Professional, Secondary PBS - OREGON CONSTRUCTION MACHINERY INDUSTRIAL 26224 No No Yes Dental, Hospital, Professional, Secondary AETNA - IL MEDICAID 26337 Yes No Yes Hospital, Professional, Secondary GREAT AMERICAN ASSURANCE COMPANY 26344 No No Yes Hospital, Professional, Secondary, Workers Comp FLORIDA TRUE HEALTH 26492 No No Yes Hospital, Professional, Secondary VILLAGECAREMAX 26545 No No Yes Hospital, Professional, Secondary GREAT AMERICAN ALLIANCE IINSURANCE COMPANY 26832 No No Yes Hospital, Professional, Secondary, Workers Comp IMS TPA: WALKER WHITE, INC. (UCS) 26879 No No Yes Hospital, Professional, Secondary CARE WISCONSIN HEALTH PLAN 27004 No No Yes Hospital, Professional, Secondary LIFESTYLE HEALTH PLANS 27005 No No Yes Hospital, Professional, Secondary DELAWARE PHYSICIANS CARE NEWARK DE 27009 No No Yes Hospital, Professional, Secondary PEAK PACE SOLUTIONS 27034 No No No Hospital, Professional PAYER FUSION 27048 Yes No Yes Hospital, Professional, Secondary ROCKFORD MUTUAL INSURANCE COMPANY 27065 No No Yes Hospital, Professional, Secondary, Workers Comp SIMPLY HEALTHCARE 27094 No No Yes Hospital, Professional, Secondary CSI OF MICHIGAN 27136 Yes No Yes Hospital, Professional, Secondary ARIZONA PRIORITY CARE PLUS 27154 No No No Hospital, Professional DELL CHILDRENS HEALTH PLAN 27182 No No Yes Hospital, Professional, Secondary KENTUCKY HEALTH ADMINISTRATORS, INC. 27215 No No Yes Hospital, Professional, Secondary PBS - OREGON ALASKA RUBBER & SUPPLY 27267 No No No Dental, Hospital, Professional PBS - OREGON CASCADE RUBBER PRODUCTS 27277 No No No Dental, Hospital, Professional WINHEALTH PARTNERS 27327 No No Yes Hospital, Professional, Secondary AMERIGROUP COMM CARE/AMERIGROUP CORP (FT WORTH)/AMERIGROUP GEORGIA 27514 Yes No Yes Hospital, Professional, Secondary AMERIGROUP CORPORATION (HOUSTON) 27515 No No Yes Hospital, Professional, Secondary AMERICAID COMMUNITY CARE (NEW JERSEY) 27516 No No Yes Hospital, Professional, Secondary AMERICAID COMMUNITY CARE (MARYLAND) 27517 Yes No Yes Hospital, Professional, Secondary AMERIGROUP IL AMERIGROUP OHIO 27518 Yes No Yes Hospital, Professional, Secondary AMERIGROUP FL 27519 Yes No Yes Hospital, Professional, Secondary INSURANCE COMPANY OF THE WEST (ICW) 27847 No No Yes Hospital, Professional, Secondary, Workers Comp COMMUNITY HEALTH ALLIANCE TN 27905 No No Yes Hospital, Professional, Secondary FEDERATED SERVICES INSURANCE COMPANY 28304 No No Yes Hospital, Professional, Secondary, Workers Comp SECURE HEALTH PLANS OF GEORGIA, LLC 28530 Yes No Yes Hospital, Professional, Secondary SOUTH TAHOE REFUSE 28580 No No No Hospital, Professional GROUP RESOURCES 28680 No No Yes Hospital, Professional, Secondary AMERIGROUP 28804 Yes No Yes Hospital, Professional, Secondary PHYSICIANS ACCOUNTABLE CARE ORG 28943 Yes No Yes Hospital, Professional, Secondary THE HEALTH PLAN OF WESTERN ILLINOIS (HOWI) 29018 No No Yes Hospital, Professional, Secondary MEDICAL MUTUAL OF OH MEDICAL MUTUAL OF OHIO 29076 No No Yes Hospital, Professional, Remits, Secondary BERKSHIRE HEALTH PLAN-UB 2942 Yes No Yes Hospital, Secondary GALVESTON COUNTY INDIGENT HEALTH CARE 30005 Yes No Yes Hospital, Professional, Secondary PRO-CLAIM PLUS INC 30031 No No Yes Hospital, Professional, Secondary Z-NAT INSURANCE (ZENITH NATIONAL) 30120 No No Yes Hospital, Professional, Secondary, Workers Comp THRIVENT FINANCIAL LUTHERAN BROTHERHOOD MEDICARE 30166 No No No Hospital, Professional THRIVENT FINANCIAL AID ASSOC FOR LUTHERAN MEDICARE 30167 No No No Hospital, Professional HERITAGE VICTOR VALLEY MEDICAL GROUP 30862 Yes No Yes Hospital, Professional, Secondary WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI, OH) 31048 No No No Hospital, Professional INDIVIDUAL HEALTH INSURANCE COMPANIES STATE FARM GROUP MEDICAL & INDIVIDUAL HEALTH INSURANCE COMPANIES STATE FARM INSURANCE COMPANIES 31053 No Yes Yes Hospital, Professional, Remits, Secondary STATE FARM C&P 31059 No No Yes Hospital, Professional, Secondary EBMC 31074 Yes No Yes Hospital, Professional, Secondary DELTA DENTAL OF WEST VIRGINIA 31096 Yes No Yes Dental, Secondary UNITED MEDICAL RESOURCES UNITED MEDICAL RESOURCES OF CINCINNATI 31107 No Yes Yes Hospital, Professional, Remits, Secondary CARESOURCE OH 31114 Yes No Yes Hospital, Professional, Secondary CENTRAL BENEFITS LIFE CENTRAL BENEFITS MUTUAL CENTRAL BENEFITS NATIONAL 31118 Yes No Yes Hospital, Professional, Secondary INTEGRA GROUP 31127 No No Yes Hospital, Professional, Secondary AMERICAN HEALTH ADVANTAGE OF TN 31130 Yes No Yes Hospital, Professional, Secondary AHPO (CLEVELAND, OH) 31138 No No Yes Hospital, Professional, Secondary TRIHEALTH PHYSICIAN SOLUTIONS TRISTATE BENEFIT SOLUTIONS (OH) 31144 No No Yes Hospital, Professional, Secondary 1-888-OHIOCOMP (OHIO BWC)/ 3-HAB/ ADVOCARE INCORPORATED/ ALPS COMPCARE/ AULTCOMP MANAGED CARE ORGANIZATION 31147 No Yes Yes Professional, Secondary EYEMED 31165 No No Yes Professional, Secondary HEALTHTRANS INNOVANTE BENEFIT ADMINISTRATORS 31172 No No Yes Hospital, Professional, Secondary TOTAL COMMUNITY CARE 31182 Yes No Yes Hospital, Professional, Secondary FREEDOM FIRST 31313 Yes No Yes Hospital, Secondary UNITED STATES FIRE INSURANCE COMPANY 31348 No No Yes Hospital, Professional, Secondary, Workers Comp MDWISE HEALTHY INDIANA 31354 No No Yes Hospital, Professional, Secondary MDWISE HEALTHY INDIANA PLAN 3135M No No Yes Hospital, Professional, Secondary MOMENTUM INSURANCE PLANS, INC. 31415 Yes No Yes Dental, Secondary S&S HEALTHCARE STRATEGIES 31441 Yes No Yes Hospital, Professional, Secondary ELDERPLAN INC 31625 No Yes Yes Hospital, Professional, Secondary VNA HOMECARE OPTIONS 31626 No No Yes Hospital, Professional, Secondary WAGNER MEINERT 31650 No No No Hospital, Professional LIGHTHOUSE HEALTH 31828 No No Yes Hospital, Professional, Secondary BETTER HEALTH PLANS OF SOUTH CAROLINA 32006 No No Yes Hospital, Professional, Secondary MYNEXUS INC 32043 Yes No Yes Hospital, Professional, Secondary PATRIOT DENTAL 32069 No No Yes Dental, Secondary NATIONAL INTERSTATE 32620 No No Yes Hospital, Professional, Secondary, Workers Comp EMPLOYER PLAN SERVICES 3268 Yes No Yes Professional, Secondary UNIVERSAL CARE - CALIFORNIA 33001 No No Yes Hospital, Professional, Secondary FCE BENEFIT ADM BURLINGAME CA FIRST HEALTH NETWORK 33033 No No Yes Hospital, Professional, Secondary LOMA LINDA UNIVERSITY HEALTHCARE - MANAGEDCARE CLAIMS 33036 No No Yes Hospital, Professional, Secondary CAPITAL BLUE CROSS FACILITIES CLAIMS 33045 No No Yes Professional, Secondary PACIFICARE BEHAVIORAL HEALTH, INC. 33053 Yes No Yes Hospital, Professional, Secondary CHOC-CHILDRENS HOSPITAL OF ORANGE CO HEALTH ALLIANCE 33065 Yes No Yes Hospital, Professional, Secondary CHIROMETRICS INC. 33070 Yes No Yes Professional, Secondary MOLINA HEALTHCARE OF CALIFORNIA 33373 No No Yes Hospital, Professional, Secondary LIBERTY WAUSAU 33600 No No Yes Hospital, Professional, Secondary, Workers Comp MERCY MARICOPA MERCY MARICOPA INTEGRATED CARE 33628 Yes No Yes Hospital, Professional, Secondary CONCORDIA CARE 33632 Yes No Yes Hospital, Professional, Secondary MENDOTA INSURANCE COMPANY 33650 No No Yes Hospital, Professional, Secondary, Workers Comp ICIRCLE OF NEW YORK 33884 No No Yes Hospital, Professional, Secondary PREFERRED HEALTH CARE 33898 Yes No Yes Hospital, Professional, Secondary MULTIPLAN WI PREFERRED PROVIDER NETWORK 34080 Yes No Yes Hospital, Professional, Secondary CENTRAL RESERVE LIFE 34097 No No No Dental ES BEVERIDGE AND ASSOCIATES 34108 No No Yes Hospital, Professional, Secondary SELF FUNDED PLANS INC. OF CLEVELAND OHIO SELF-FUNDED PLANS 34131 No No Yes Hospital, Professional, Secondary PROFESSINAL RISK MANAGEMENT 34134 Yes No Yes Hospital, Professional, Secondary JP FARLEY CORPORATION 34136 Yes No Yes Hospital, Professional, Secondary KLAIS & COMPANY 34145 Yes No Yes Hospital, Professional, Secondary KLAIS & COMPANY REPRICING VIA HEALTHSPAN NETWORK 3414A No No No Hospital, Professional CHESTERFIELD RESOURCES CHESTERFIELD RESOURCES, INC. 34154 No No No Hospital, Professional HEALTH DESIGN PLUS (HUDSON, OH) 34158 Yes No Yes Hospital, Professional, Secondary E-V BENEFITS MANAGEMENT, INC (COLUMBUS OH) NABN (CLEVELAND OH) NORTH AMERICAN BENEFITS NETWORK (CLEVELAND OH) 34159 No No Yes Hospital, Professional, Secondary EMERALD HEALTH NETWORK, INC. (ALL PPO BUSINESS) HEALTH SERVICES PREFERRED (HSP) BY EMERALD HEALTH INTEGRATED CARE NETWORK (ICN) BY EMERALD HEALTH 34167 Yes No Yes Hospital, Professional, Secondary FRONTPATH HEALTH COALITION 34171 Yes No Yes Hospital, Professional, Secondary COMP OHIO AUSTINTOWN 34177 No No Yes Hospital, Professional, Secondary COMMERCE BENEFITS GROUP 34181 No No Yes Hospital, Professional, Secondary CSI NETWORK SERVICES 34186 Yes No Yes Hospital, Professional, Secondary OHIO HEALTH CHOICE, PPO 34189 Yes No No Hospital, Professional MUTUAL HEALTH SERVICES 34192 Yes No Yes Hospital, Professional, Secondary DENTIST DIRECT 34196 No No Yes Hospital, Professional, Secondary UNIFIED PHYSICIANS NETWORK 34638 No No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH NY 34734 No No No Hospital, Professional STATE COMPENSATION INSURANCE FUND (SCIF) 35076 No No Yes Hospital, Professional, Secondary, Workers Comp MORRIS ASSOCIATES 35092 No No Yes Hospital, Professional, Secondary INDIANA TEAMSTERS HEALTH BENEFITS FUND (INDIANAPOLIS, IN) LOCAL 135 HEALTH BENEFITS LOCAL 135 HEALTH BENEFITS FUND (INDIANAPOLIS, IN) 35107 Yes No Yes Hospital, Professional, Secondary EMPLOYEE PLANS, LLC EMPLOYEE PLANS, LLC 35112 No No Yes Hospital, Professional, Secondary INTOTAL HEALTH 35115 No No No Hospital, Professional HIGHMARK KEY FAMILY 35145 No No Yes Hospital, Professional, Secondary COOK GROUP HEALTH PLAN 35149 No No Yes Hospital, Professional, Secondary COMMUNITY HEALTH DIRECT 35161 Yes No Yes Hospital, Professional, Secondary MANAGED CARE SERVICES, LLC PARKVIEW SIGNATURE CARE 35162 No No No Hospital, Professional SAGAMORE HEALTH NETWORK 35164 Yes No Yes Hospital, Professional, Secondary QUAL CHOICE OF ARKANSAS 35174 No No Yes Hospital, Professional, Secondary BRODART CORESOURCE CORESOURCE (CLINTON, IA) CORESOURCE MD PA IL 35182 No No Yes Hospital, Professional, Remits, Secondary CORESOURCE CORESOURCE OH 35183 No No Yes Hospital, Professional, Remits, Secondary DUNN & ASSOCIATES BENEFIT ADMIN DUNN AND ASSOCIATES (UCS) 35186 No No Yes Hospital, Professional, Secondary CORESOURCE-INTERNAL 35187 No No Yes Hospital, Professional, Secondary MDWISE HOOSIER 35191 No No Yes Hospital, Professional, Secondary COMMUNITY HEALTH ALLIANCE 35193 No No Yes Hospital, Professional, Secondary UNIFIED GROUP SERVICES 35198 No No Yes Hospital, Professional, Secondary COOPERATIVE MANAGED CARE SERVICES/INDIANAPOLIS IN ST. ANTHONY MEMORIAL HEALTHCARE CENTERS - MDWISE ST. CATHERINE HOSPITAL PHO - MDWISE ST. FRANCIS HEALTH NETWORK ST. MARGARET MERCY HEALTHCARE CENTERS - MDWISE 35199 Yes No Yes Hospital, Professional, Secondary MDWISE HOOSIER HEALTHWISE 3519M No No Yes Hospital, Professional, Secondary CORNERSTONE BENEFIT ADMIN SECURITY ADMINISTRATIVE SERVICES 35202 No No Yes Dental, Hospital, Professional, Secondary MEDPARTNERS 35205 No No Yes Hospital, Professional, Secondary ENCIRCLE PPO ENCORE HEALTH NETWORK THE HEALTHCARE GROUP 35206 Yes No Yes Hospital, Professional, Secondary ADVANTAGE HEALTH SOLUTIONS 35209 Yes No Yes Hospital, Professional, Secondary NORTH TEXAS HEALTHCARE NETWORK 35212 No No Yes Professional, Secondary CMCS ADVANTAGE SOLUTIONS MEDICARE ADVANTAGE 35219 Yes No Yes Hospital, Professional, Secondary SOUTH POINT HOTEL&CASINO 35227 No No Yes Hospital, Professional, Secondary WELLSYSTEMS LLC 35245 No No Yes Hospital, Professional, Secondary MMA 35316 No No Yes Hospital, Professional, Secondary KEY GAP 35317 No No Yes Hospital, Professional, Secondary PACE NEBRASKA 35416 No No No Hospital, Professional EVERENCE 35605 No No Yes Hospital, Professional, Secondary PHYSICIANS HEALTH PLAN OF NORTHERN IN (INST) 3596 No No Yes Hospital, Secondary RELIANCE STANDARD LIFE 36088 Yes No Yes Dental, Secondary BAS BENEFIT ADMINISTRATIVE SYSTEMS 36149 Yes No Yes Dental, Hospital, Professional, Secondary CENTRAL STATES HEALTH & WELFARE FUNDS TEAMCARE 36215 Yes No Yes Hospital, Professional, Secondary AARP UNITED HEALTHCARE OVATIONS INSURANCE SOLUTIONS (AARP) 36273 Yes No Yes Hospital, Professional, Remits, Secondary CENTRAL DUPAGE PHYSICIAN GROUP 36314 No No Yes Hospital, Secondary ADVOCATE HEALTH CENTERS 36320 Yes No Yes Hospital, Professional, Secondary ASSOCIATES FOR HEALTH CARE, INC. (AHC) 36326 Yes No Yes Hospital, Professional, Secondary PROFESSIONAL BENEFIT ADMINISTRATORS, INC PROFESSIONAL BENEFIT ADMINISTRATORS, INC. (OAK BROOK, IL) 36331 No No Yes Hospital, Professional, Secondary LAWNDALE CHRISTIAN HEALTH PLAN 36333 No No Yes Hospital, Professional, Secondary MACNEAL HEALTH PROVIDERS - CHS 36334 No No Yes Hospital, Professional, Secondary HFN, INC. 36335 Yes No Yes Hospital, Professional, Secondary GROUP ADMINISTRATORS LTD. GROUP ADMINISTRATORS LTD. (IL) 36338 No No Yes Hospital, Professional, Secondary INSURANCE PROGRAM MANAGERS GROUP IPMG EMPLOYEE BENEFIT SERVICES 36342 No No Yes Hospital, Professional, Secondary PHYSICIANS CARE NETWORK (ROCKFORD, IL ONLY) 36345 Yes No Yes Hospital, Professional, Secondary NORTHWEST SUBURBAN IPA (ILLINOIS) NW SUBURBAN IPA 36346 No Yes Yes Hospital, Professional, Remits, Secondary NORTHERN ILLINOIS HEALTH PLAN (NIHP) NORTHERN ILLINOIS HEALTH PLAN, FREEPORT IL 36347 No No Yes Hospital, Professional, Secondary ARGUS HEALTH SYSTEMS 36356 Yes No Yes Hospital, Secondary ENH MEDICAL GROUP IPA 36364 Yes No Yes Hospital, Professional, Secondary AMERICAN IMAGING MANAGEMENT, INC. 36369 Yes No Yes Hospital, Professional, Secondary PRAIRIE STATES ENTERPRISES, INC. 36373 No No Yes Hospital, Professional, Secondary RUSH PRUDENTIAL HEALTH PLANS (HMO ONLY) 36389 Yes No Yes Hospital, Professional, Secondary NORTH SUBURBAN ASSOCIATED PHYSICIANS 36392 No No Yes Hospital, Professional, Secondary CENTURY PHO 36393 Yes No Yes Hospital, Professional, Secondary RESURRECTION HEALTH CARE PREFERRED/FKA FAMILY MEDICAL NETWORK 36396 No No Yes Hospital, Professional, Secondary TRELLIS HEALTH PARTNERS 36397 Yes No Yes Hospital, Professional, Secondary NORTH AMERICAN MEDICAL MANAGEMENT IL 36398 Yes No Yes Hospital, Professional, Secondary PREFERRED NETWORK ACCESS/DARIEN IL 36401 Yes No Yes Hospital, Professional, Secondary SELF INSURED PLANS SELF INSURED PLANS LLC 36404 No No Yes Hospital, Professional, Secondary SENDERO HEALTH 36426 No No Yes Hospital, Professional, Secondary BOILERMAKERS NATIONAL HEALTH & WELFARE FUND INTERNATIONAL BROTHERHOOD BOILERMAKERS INTERNATIONAL BROTHERHOOD OF BOILERMAKERS 36609 Yes No Yes Hospital, Professional, Remits, Secondary TEAMSTERS LOCAL UNION #301 36612 Yes No Yes Hospital, Professional, Secondary UNITED FOOD & COMMERCIAL WORKERS LOCAL 881 (UFCW LOCAL 881) UNITED FOOD WORKERS UNIONS 36659 No No Yes Professional, Secondary ENTRUST 36878 No No No Hospital, Professional MENTAL HEALTH CONSULTANTS 37050 Yes No Yes Hospital, Professional, Secondary CATERPILLAR INC. CATERPILLAR, INC. 37060 No No Yes Hospital, Professional, Secondary PEKIN INSURANCE 37086 Yes No Yes Professional, Secondary CANNON COCHRAN MANAGEMENT SERVICES (DENTAL) SAGE TECHNOLOGIES 37105 No No Yes Hospital, Professional, Secondary H.E.R.E.I.U. WELFARE PENSION FUNDS 37114 No No Yes Hospital, Professional, Secondary LAKE COUNTY PHYSICIANS ASSOCIATION 37116 No No Yes Professional, Secondary BENEFIT PLAN ADMINISTRATORS, INC. (ROANOKE, VA) 37118 No No Yes Hospital, Professional, Secondary MASHANTUCKET PEQUOT TRIBAL NATION PEQUOT PLUS HEALTH BENEFIT ADMINISTRATORS 37121 No No Yes Hospital, Professional, Secondary MICHAEL REESE PHYSICIANS GROUP 37127 No No Yes Hospital, Professional, Secondary QUINCY HEALTH CARE MANAGEMENT INC. 37129 Yes No Yes Hospital, Professional, Secondary PHYSICIANS HEALTH ASSOCN OF IL 37136 No No Yes Professional, Secondary HSHS MEDICAL GROUP IPA 37137 Yes No Yes Hospital, Professional, Secondary BENEFIT MANAGEMENT SYSTEMS, INC. 37212 No No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT SERVICES 37216 No No Yes Hospital, Professional, Secondary KEY BENEFIT ADMINISTRATORS 37217 No No Yes Hospital, Professional, Secondary PITTMAN & ASSOCIATES 37224 No No Yes Hospital, Professional, Secondary CNIC HEALTH SOLUTIONS CNIC HEALTH SOLUTIONS INC. 37227 Yes No Yes Hospital, Professional, Secondary TARRANT HEALTH SERVICES 37228 No No Yes Hospital, Professional, Secondary TR PAUL INC. 37230 No No Yes Hospital, Professional, Secondary MISSISSIPPI PUBLIC ENTITY EMPLOYEE BENEFIT TRUST MPE SERVICES INC. MPEEBT 37233 No No Yes Hospital, Professional, Secondary GRANT PHYSICIANS PRACTICE ASSOC. 37234 No No Yes Hospital, Professional, Secondary COMMONWEALTH ADMINISTRATIVE GROUP UMR - LEXINGTON 37237 No No Yes Professional, Secondary AULTRA ADMINISTRATIVE GROUP 37242 No No Yes Hospital, Professional, Secondary WESTERN MUTUAL INS 37247 Yes No Yes Hospital, Professional, Secondary ELMCO 37253 No No Yes Hospital, Professional, Secondary MUTUAL ASSURANCE ADMINISTRATORS MUTUAL ASSURANCE ADMINISTRATORS 37256 No No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT CONSULTANTS - EBC, INC (OH, WI, KY, NM) EMPLOYEE BENEFIT CONSULTANTS MILWAUKEE WI 37257 No No Yes Hospital, Professional, Secondary ST. JOHNS CLAIMS ADMINISTRATION 37264 No No Yes Hospital, Professional, Secondary CROY-HALL/ SOUTHWEST SERVICE LIFE 37266 No No Yes Hospital, Professional, Secondary LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER EMPLOYEE HEALTH PLAN LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTERS LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER EMPLOYEE HEALTH PLAN LOMA LINDA UNIVERSITY EMPLOYEE HEALTH PLAN LOMA LINDA UNIVERSITY HEALTH CARE EMPLOYEE HEALTH PLAN 37267 No No Yes Hospital, Professional, Secondary PRIMS NETWORK INC 37268 No No Yes Professional, Secondary INTERNATIONAL UNION OF OPERATION ENGINEERS 37269 No No Yes Hospital, Professional, Secondary HEALTHSMART (FORMERLY JSL ADMINISTRATORS) J. SMITH LANIER & CO. ADMINISTRATORS JSL ADMINISTRATORS WELLS FARGO THIRD PARTY ADMINISTRATORS, INC. (FORMERLY JSL ADMINISTRATORS) 37272 Yes No Yes Hospital, Professional, Secondary MISSOULA COUNTY MEDICAL BENEFITS PLAN 37275 No No Yes Hospital, Professional, Secondary GROUP INSURANCE SERVICE CENTER, INC. 37276 No No Yes Hospital, Professional, Secondary RESOURCEONE ADMINISTRATORS 37278 No No Yes Hospital, Professional, Secondary INSURANCE ADMINISTRATORS OF AMERICA, INC/ IAA 37279 No No No Hospital, Professional AUTOMATED GROUP ADMINISTRATION AUTOMATED GROUP ADMINISTRATORS, INC (AGA) 37280 No No Yes Hospital, Professional, Secondary LIBERTY UNION LIFE ASSURANCE COMPANY MID AMERICA ASSOC 37281 No No Yes Hospital, Professional, Secondary SELECT BENEFITS ADMIN OF AMERICA ASHLAND WI 37282 Yes No Yes Hospital, Professional, Secondary AAG-AMERICAN ADMIN GRP GALLAGHER BENEFIT ADMIN HEALTHSMART (AMERICAN ADMINISTRATIVE GROUP) HEALTHSMART BENEFIT SOLUTIONS 37283 Yes No Yes Hospital, Professional, Secondary TRANSCHOICE-KEY BENEFIT ADMINISTRATORS 37284 No No Yes Hospital, Professional, Secondary PAI/PLANNED ADMINISTRATORS INC 37287 No No Yes Hospital, Professional, Secondary HEALTH SVCS FOR CHILDREN WITH SPECIAL NEEDS 37290 No No Yes Hospital, Professional, Secondary MACHINIST DISTRICT 9 WELFARE/ UMMH 37292 Yes No Yes Hospital, Professional, Secondary PRISM NETWORK, INC. 37296 No No Yes Hospital, Professional, Secondary MEDICAL BENEFIT ADMINISTRATORS, INC/DBA MBA OF MD, INC 37298 No No Yes Professional, Secondary MERITAIN SUPERIAN HEALTH NETWORK NYHART 37299 No No Yes Hospital, Professional, Secondary FACS GRP/FEDERATED HR SRVC/ FEDERATED BENEFITS 37300 No No Yes Hospital, Professional, Secondary SUMMIT AMERICA INS SERVICES INC 37301 No No Yes Hospital, Professional, Secondary PRISM-FIRST HEALTH 37303 No No Yes Hospital, Professional, Secondary MEDIVERSAL 37304 Yes No Yes Hospital, Secondary WESTERN HEALTH INC 37306 No No Yes Hospital, Professional, Secondary CONNECTICUT CARPENTERS HEALTH FUND 37307 No No Yes Hospital, Professional, Secondary ALLIED BENEFIT SYSTEMS ALLIED BENEFIT SYSTEMS, INC. 37308 No No Yes Hospital, Professional, Secondary PROTECTIVE LIFE INSURANCE COMPANY 37309 No No Yes Hospital, Professional, Secondary CARESOURCE INDIANA 37311 No No Yes Hospital, Professional, Secondary ASSURANT HEALTH SELF FUNDED 37313 No No Yes Hospital, Professional, Secondary BROWARD HEALTH NORTH BROWARD HOSPITAL DISTRICT SOUTH FL COMMUNITY CARE NETWORK TOTAL CLAIMS ADMINISTRATION 37314 No No Yes Hospital, Professional, Secondary PRISM-UNIVERA WEST SENECA NY 37315 No No Yes Hospital, Professional, Secondary LEON MEDICAL CENTER HEALTH PLAN 37316 Yes No Yes Hospital, Professional, Secondary CREATIVE PLAN ADMINISTRATORS 37320 No No Yes Hospital, Professional, Secondary KEY SELECT 37321 No No Yes Hospital, Professional, Secondary AMERICAN WORKER HEALTH PLAN 37322 No No Yes Hospital, Professional, Secondary KEY SOLUTION 37323 No No Yes Hospital, Professional, Secondary PHPMM PHYSICIANS HP 37330 Yes No Yes Hospital, Professional, Secondary RIGHTCHOICE BENEFIT ADMINISTRATORS 37331 No No Yes Hospital, Professional, Secondary COMPSYCH 37363 No No Yes Hospital, Professional, Secondary FIRST CHOICE VIP CARE 37510 No No Yes Hospital, Professional, Secondary UNIVERSITY OF ILLINOIS AT CHICAGO, DIV OF SPECIALIZED CARE FOR CHILDREN 37601 No No Yes Hospital, Professional, Secondary GOLDEN RULE INSURANCE COMPANY ROONEY LIFE INC. 37602 Yes No Yes Hospital, Professional, Secondary FALLON TOTAL CARE 3801 Yes No No Professional PHYSICIANS HEALTH PLAN OF NORTHERN IN 3815 No No Yes Professional, Secondary GROUP HEALTH MANAGERS REDFORD MI 38194 Yes No Yes Hospital, Professional, Secondary TOTAL HEALTH CARE, INC DETROIT MI 38201 Yes No Yes Hospital, Professional, Secondary PRIORITY HEALTH 38217 No Yes Yes Hospital, Professional, Remits, Secondary REGENCY EMPLOYEE BENEFITS PORT HURON MI 38221 No No Yes Hospital, Professional, Secondary HAP/AHL/CURANET MEDICAL VALUE PLAN - OHIO (MVP) 38224 Yes No Yes Hospital, Professional, Secondary NGS AMERICAN, INC 38225 No Yes Yes Hospital, Professional, Remits, Secondary MERITAIN HEALTH WEYCO INC. 38232 No No Yes Hospital, Professional, Secondary BENESYS (MI) MICHIGAN REGIONAL COUNCIL OF CARPENTERS EMPLOYEE BENEFIT PLAN NORTHERN CA SHEET METAL WORKERS SHEET METAL WORKERS LOCAL 104 HEALTH CARE PLAN 38238 Yes No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT CONCEPTS EMPLOYEE BENEFIT CONCEPTS (FARMINGTON HILLS, MI) 38241 Yes No Yes Hospital, Professional, Secondary ACTIVA BENEFIT SERVICES LLC 38254 No No Yes Hospital, Professional, Secondary AUTOMATED BENEFIT SERVICES 38259 Yes No Yes Hospital, Professional, Secondary ADMINISTRATION SYSTEMS RESEARCH CORP/ASR/ASR CORP/ASR HLTH BENEFITS PHYSICIANS CARE/PHYSICIANS CARE HLTH PLANS 38265 Yes No Yes Hospital, Professional, Secondary CHRISTIAN BROTHERS SERVICES 38308 No No Yes Hospital, Professional, Secondary HEALTH NET OF ARIZONA 38309 Yes No Yes Hospital, Professional, Secondary JOHN MORRELL COMPANY CO. - AHPBA 38310 Yes No Yes Professional, Secondary MOLINA HEALTH CARE LONG BEACH CA 38333 No No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF MICHIGAN 38334 No No Yes Hospital, Professional, Secondary PPOM, LLC/COFINITY 38335 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF WA MOLINA HEALTHCARE OF WASHINGTON 38336 No No Yes Hospital, Professional, Remits, Secondary UPPER PENINSULA HEALTH PLAN (MEDICAID) 38337 No No Yes Hospital, Professional, Secondary MCLAREN HEALTH PLAN FLINT MI 38338 Yes No Yes Hospital, Professional, Secondary MCLAREN HEALTH ADVANTAGE 3833A Yes No Yes Hospital, Professional, Secondary MCLAREN MEDICAID 3833C Yes No Yes Hospital, Professional, Secondary INGHAM HEALTH PLAN CORP 38343 No No No Hospital, Professional SPENCER STUART (ARM LTD) 38416 No No Yes Hospital, Professional, Secondary RAMPART INSURANCE COMPANY 38512 No No Yes Hospital, Professional, Secondary, Workers Comp AETNA TX MEDICAID & CHIP 38692 Yes No Yes Hospital, Professional, Secondary BENESIGHT EMPLOYERS INSURANCE OF WAUSAU - AKA WAUSAU FISERV HEALTH - WAUSAU BENEFITS/BENESIGHT UMR UMR-WAUSAU WAUSAU BENEFITS (AKA UMR) WAUSAU UNDERWRITERS INSURANCE 39026 No Yes Yes Dental, Hospital, Professional, Remits, Secondary SECURITY HEALTH PLAN 39045 Yes No Yes Hospital, Professional, Secondary ASSURANT HEALTH DELTA DENTAL OF WISCONSIN 39069 Yes No Yes Dental, Remits, Secondary BENEFIT PLAN ADMINISTRATORS CO. (EAU CLAIRE, WI) BENEFIT PLAN ADMINISTRATORS, INC 39081 No No Yes Hospital, Professional, Secondary FABOH 39112 No No Yes Professional, Secondary DEAN HEALTH PLAN 39113 No Yes Yes Hospital, Professional, Remits, Secondary MERCYCARE 39114 No No Yes Hospital, Professional, Secondary COMMUNITY CARE ORGANIZATION 39126 Yes No Yes Hospital, Professional, Secondary WISCONSIN BCBS DENTAL 39141 Yes No Yes Dental, Secondary NETWORK HEALTH PLAN OF WISCONSIN, INC. 39144 No Yes Yes Hospital, Professional, Secondary WEA INSURANCE CORP WEA INSURANCE GROUP 39151 No No Yes Hospital, Professional, Remits, Secondary PHYSICIANS PLUS INSURANCE CORPORATION 39156 Yes No Yes Hospital, Professional, Secondary TBG ADMINISTRATIVE SERVICES 39157 Yes No Yes Hospital, Professional, Secondary GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN 39167 No No Yes Hospital, Professional, Secondary GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN 39168 No No No Encounters GUNDERSEN LUTHERAN HEALTH PLAN, INC. 39180 Yes No Yes Hospital, Professional, Secondary TRIAD HEALTHCARE INC. 39181 Yes No Yes Professional, Secondary INTERNATIONAL FUNDING LTD 39182 No No Yes Hospital, Professional, Secondary PREVEA HEALTH INSURANCE PLAN 39185 No No Yes Hospital, Professional, Secondary MEDSTAR FAMILY CHOICE 39190 No No Yes Hospital, Professional, Secondary QUADMED (WEST ALLIS, WI) 39197 Yes No Yes Hospital, Professional, Secondary LUTHERAN PREFERRED 39198 No No Yes Professional, Secondary WISCONSIN AUTO AND TRUCK DEALERS 39200 Yes No Yes Professional, Secondary FIRE DEPARTMENT CITY OF NEW YORK 40043 No No No Hospital, Professional TOWER INSURANCE COMPANY (FORMERLY SUA INSURANCE) 40134 No No No Workers Comp KALOS HEALTH 40137 No No No Hospital, Professional QUAD CITY COMMUNITY HEALTHCARE (QCCH) 40437 No No Yes Hospital, Professional, Secondary INDECS CORP. INDECS CORPORATION 40585 No No Yes Hospital, Professional, Secondary CORESOURCE AZ MN CORESTAR RELIASTAR 41045 No No Yes Hospital, Professional, Secondary WILSON MCSHANE 41095 No No Yes Hospital, Professional, Secondary JOHN ALDEN INSURANCE (ASSURANT HEALTH) JOHN ALDEN LIFE INSURANCE CO. JOHN ALDEN LIFE INSURANCE COMPANY 41099 No Yes Yes Hospital, Professional, Remits, Secondary CBSA CORPORATE BENEFIT SERVICES OF AMERICA CORPORATE BENEFIT SERVICES OF AMERICA (CBSA) IBI IOWA BENEFITS INC. PERFORMAX, INC. 41124 Yes No Yes Hospital, Professional, Secondary LIFE TRAC / ALLIANZ LIFE INS 41136 Yes No Yes Hospital, Professional, Secondary PREFERRED ONE PREFERRED ONE (MN) 41147 Yes No Yes Hospital, Professional, Secondary HEALTH SERVICES MANAGEMENT (HMS) 41150 Yes No Yes Professional, Secondary MAYO MANAGEMENT SERVICES INC MAYO MANAGEMENT SERVICES, INC./SOUTH COUNTRY HEALTH ALLIANCE MMSI HEALTH SERVICES 41154 No No Yes Hospital, Professional, Remits, Secondary AMERICAN CHIROPRACTIC NETWORK IPA OF NY (ACNIPA) 41160 Yes No Yes Hospital, Professional, Secondary AMERICAN CHIROPRACTIC NETWORK (ACN) 41161 Yes No Yes Professional, Secondary AMERICAS PPO/AMERICAS TPA/HEALTHEZ 41178 No No Yes Hospital, Professional, Secondary MAYO CLINIC (RECOVERY AND CLAIMS SERVICES) 41193 No No Yes Hospital, Professional, Secondary, Workers Comp OPTUM HEALTH 41194 Yes No Yes Hospital, Professional, Secondary CLIENT FIRST 41201 No No No Hospital, Professional TOTAL PLAN SERVICES 41202 Yes No No Hospital, Professional BASIC PLUS (TCC) 41204 No No No Hospital, Professional ULTRA BENEFITS INC. 41206 Yes No Yes Hospital, Professional, Secondary FREEDOM HEALTH PLAN 41212 No No Yes Hospital, Professional, Secondary CARE TO CARE 41222 No No Yes Professional, Secondary MEDPARTNERS ADMINISTRATIVE SERVICES 412MP Yes No Yes Hospital, Professional, Secondary MANATEE SERVICE CENTER (BRADENTON, FL) 41555 Yes No Yes Hospital, Professional, Secondary YMCA 41556 No No Yes Hospital, Professional, Secondary, Workers Comp IMCARE ITASCA MEDICAL CARE 41600 No No Yes Hospital, Professional, Secondary AMERICAN REPUBLIC INSURANCE AMERICAN REPUBLIC INSURANCE COMPANY 42011 No Yes No Hospital, Professional, Remits HEALTH CARE NETWORK OF WI (HCN) 42102 Yes No Yes Hospital, Professional, Secondary AMERICAN ADMINISTRATORS 42112 Yes No Yes Hospital, Professional, Secondary SELECT BENEFIT ADMINISTRATORS (DES MOINES, IOWA) 42137 No No Yes Hospital, Professional, Secondary COOK COUNTY HOSPITAL HEALTH SYSTEMS BEHAVIORAL 42138 No No Yes Hospital, Professional, Secondary CENTENE TPA 42139 Yes No Yes Hospital, Professional, Secondary CENTRURION 42140 No No Yes Hospital, Professional, Secondary CTI ADMINISTRATORS 42141 No No Yes Hospital, Professional, Secondary BUTLER BENEFIT 42150 Yes No Yes Hospital, Professional, Secondary STATE TRUST GROUP 42162 No No Yes Hospital, Professional, Secondary SOUNDPATH HEALTH 42172 No No Yes Hospital, Professional, Secondary KEYSTONE FIRST COMMUNITY HEALTHCHOICES 42344 No No Yes Hospital, Professional, Secondary SOUTH CAROLINA SOLUTIONS 42406 No Yes Yes Hospital, Professional, Secondary CLAIMS DEVELOPMENT CORPORATION 43056 Yes No Yes Professional, Secondary TRILLIUM HEALTH RESOURCES 43071 No No Yes Hospital, Professional, Secondary DELTA DENTAL OF MISSOURI 43090 Yes No Yes Dental, Secondary DELTA DENTAL OF SOUTH CAROLINA IN MISSOURI 43091 Yes No Yes Dental, Secondary ANPAC 43101 No No Yes Hospital, Professional, Secondary, Workers Comp IMAGINE HEALTH 43123 No No No Hospital, Professional AMERICAN SPECIALTY HEALTH 43146 No No Yes Professional, Secondary CORIZON 43160 No No Yes Professional, Secondary MERCY HEALTH PLANS 43166 No No No Hospital, Professional ADVANTICA 43168 Yes No Yes Dental, Secondary ACCEPTIUS BENEFIT MANAGEMENT INC. JOPLIN CLAIMS 43178 Yes No Yes Hospital, Professional, Secondary GATEWAY TO BETTER HEALTH PLAN - FFS 4317M No No Yes Hospital, Professional, Secondary FRESENIUS HEALTH PARTNERS 43197 No No Yes Hospital, Professional, Secondary HARKEN HEALTH INSURANCE 43313 Yes No Yes Professional, Secondary BEACON HEALTH STRATEGIES 43324 No No Yes Hospital, Professional, Secondary NEW ENGLAND DENTAL ADMINISTRATORS 43351 Yes No Yes Dental, Secondary BENEFIT MANAGEMENT ADMINISTRATORS INETICO, INC. 43471 No No Yes Hospital, Professional, Secondary UTICA NATIONAL INSURANCE CO OF TEXAS 43478 No No Yes Hospital, Professional, Secondary, Workers Comp TEAMSTERS MEDICARE TRUST-RETIRED EMPLOYEES(TTMT) 43619 No No Yes Hospital, Professional, Secondary ARNOT OGDEN MEDICAL CENTER (UCS) 43905 No No Yes Hospital, Professional, Secondary DESERT OASIS HEALTHCARE 44006 Yes No Yes Professional, Secondary GEHA GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATION (GEHA) 44054 No Yes Yes Dental, Hospital, Professional, Remits, Secondary READING HOSPITAL EMPLOYER GROUP 44219 No No Yes Hospital, Professional, Secondary HEALTH PLANS INC. 44273 Yes No Yes Hospital, Professional, Secondary NX HEALTH NETWORK 44412 No No Yes Professional, Secondary ALEXIAN BROTHERS COMMUNITY SERVICES OF TN 44423 Yes No Yes Hospital, Professional, Secondary AMERICAN POSTAL WORKERS UNION HEALTH PLAN 44444 Yes No Yes Hospital, Professional, Secondary HEALTHPARTNERS 44547 No No Yes Hospital, Professional, Secondary, Workers Comp IBEW: LOCAL 1 HEALTH & WELFARE FUND (MENTAL HEALTH) 44602 No No Yes Hospital, Professional, Secondary LAKE AREA COMMUNITY HEALTH PLAN - SISCO 44827 Yes No Yes Professional, Secondary INDEPENDENT LIVING SYSTEMS 45048 Yes No Yes Hospital, Professional, Secondary NYSIF 45052 No No Yes Professional, Secondary, Workers Comp NEW MEXICO HEALTH CONNECTIONS 45129 No No Yes Hospital, Professional, Secondary MERITUS HEALTH 45150 No No No Hospital, Professional ALBUQUERQUE PUBLIC SCHOOLS 4518 No No Yes Hospital, Secondary NAHGA CLAIM SERVICES 4520 No No Yes Hospital, Secondary NEW MEXICO PUBLIC SCHOOLS INSURANCE AUTHORITY 4521 No No Yes Hospital, Secondary GOVERNMENT EMPLOYEES HEALTH ASSOCIATION 45235 Yes No Yes Hospital, Professional, Secondary GOVERNMENT EMPLOYEES HEALTH ASSOCIATION 45275 Yes No Yes Hospital, Professional, Secondary WEST VIRGINA FAMILY HEALTH PLAN 45276 Yes No Yes Hospital, Professional, Secondary RIVERSIDE HEALTH INC 45281 Yes No Yes Hospital, Professional, Secondary UNIVERSITY OF MARYLAND HEALTH ADVANTAGE 45282 Yes No Yes Hospital, Professional, Secondary FRINGE BENEFITS GROUP LONE STAR TPA 45289 No No No Hospital, Professional CONSUMER CHOICE HEALTH - SC 45321 No No Yes Hospital, Professional, Secondary MAINE COMMUNITY HEALTH OPTIONS 45341 No No Yes Hospital, Professional, Secondary HEALTH CHOICE UTAH 45399 No No Yes Hospital, Professional, Secondary UNIVERSITY HEALTHCARE MARKETPLACE 45437 Yes No Yes Hospital, Professional, Secondary VIVIDA 45488 No No Yes Hospital, Professional, Secondary IU HEALTH PLANS-UB 4553 No No No Hospital SATELLITE HEALTH PLAN INC. 45552 Yes No Yes Professional, Secondary CENTIVO 45564 No No Yes Professional, Secondary MDWISE EXCHANGE 45627 No No Yes Hospital, Professional, Secondary ST FRANCIS HEALTH NETWORK MEDICAID-UB 4600 Yes No Yes Hospital, Secondary AVERA HEALTH PLANS 46045 Yes No Yes Hospital, Professional, Secondary CRYSTAL RUN HEALTH PLANS 46120 Yes No Yes Hospital, Professional, Secondary MONTIFIORE HMO 46161 Yes No Yes Hospital, Professional, Secondary EXTENDED CARE MTC 46166 No No Yes Hospital, Professional, Secondary SEASIDE HEALTH PLAN 46187 No No Yes Hospital, Professional, Secondary HEALTH CHOICE INSURANCE CO 46221 Yes No Yes Hospital, Professional, Secondary NORTH SHORE LIJ CARECONNECT INSURANCE COMPANY 46227 Yes No Yes Hospital, Professional, Secondary ENVOLVE FKA DENTAL HEALTH & WELLNESS 46278 Yes No Yes Dental, Secondary MOLINA HEALTHCARE SOUTH CAROLINA 46299 No No Yes Hospital, Professional, Secondary AETNA BETTER HEALTH OF NEW JERSEY 46320 Yes No Yes Hospital, Professional, Secondary UNIVERSITY HEALTH CARE ADVANTAGE 46407 No No No Hospital, Professional CRYSTAL RUN HEALTH PLANS DOS >12/31/17 46430 No No Yes Hospital, Professional, Secondary MARRICK WRX 46478 Yes No Yes Hospital, Professional, Secondary QUARTZ ASO 46571 Yes No Yes Hospital, Professional, Secondary AFFINITY MEDICAL GROUP 46594 Yes No Yes Professional, Secondary CINCINNATI FINANCIAL CORPORATION 46871 No No Yes Hospital, Professional, Secondary MED3000 CMS EARLY STEPS 4688 Yes No Yes Hospital, Secondary AMERITAS LIFE INSURANCE CORP. 47009 Yes No Yes Dental, Secondary PHYSICIANS HEALTH PLAN PHYSICIANS MUTUAL INS CO NE 47027 No No Yes Hospital, Professional, Remits, Secondary CONTRACTORS LABORERS TEAMSTERS AND ENGINEERS 47046 No No Yes Hospital, Professional, Secondary REGIONAL CARE INC REGIONAL CARE INC. 47076 No No Yes Hospital, Professional, Secondary MIDLANDS CHOICE, INC. 47080 Yes No Yes Hospital, Professional, Secondary GMS, INC 47083 No No Yes Hospital, Professional, Secondary CORE BENEFITS / MULTIMATIC TENNESSE, LLC 47165 No No Yes Hospital, Professional, Secondary HIGHMARK BCBSD HEALTH OPTIONS INC 47181 Yes No Yes Hospital, Professional, Secondary DELTA DENTAL OF ILLINOIS 47598 No No Yes Dental, Secondary HAMASPIK CHOICE 47738 Yes No Yes Hospital, Professional, Secondary AULTCARE 4791 No Yes No Professional OHIO BUREAU FOR CHILDREN WITH MEDICAL HANDICAP (BCMI) 4792 No No Yes Professional, Secondary PACIFICSOURCE COMMUNITY SOLUTIONS (PROFESSIONAL) 4794 No No Yes Professional, Secondary PHYSICIANS CHOICE ADVANTAGE 4799 No No Yes Professional, Secondary VALENCE HEALTH 48026 No No Yes Hospital, Professional, Secondary PROVIDRS CARE NETWORK 48100 No No Yes Hospital, Professional, Secondary FLORIDA HOSPITAL WATERMAN 48116 No No Yes Hospital, Professional, Secondary FMH BENEFIT SERVICES INC FMH BENEFIT SERVICES, INC FMH BENEFIT SERVICES, INC. 48117 No No Yes Hospital, Professional, Remits, Secondary VALIR PACE 48123 No No Yes Hospital, Professional, Secondary GROUP AND PENSION ADMINISTRATORS 48143 Yes No Yes Hospital, Professional, Secondary COMMUNITY HEALTH CHOICE 48145 Yes No Yes Hospital, Professional, Secondary NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN 48186 No No Yes Hospital, Professional, Secondary HMAA/HWMG 48330 No No Yes Dental, Hospital, Professional, Secondary INTERNATIONAL BROTHERHOOD OF BOILERMAKERS EMPLOYEE HEALTH CARE PLAN(IBBEHC) 48603 No No Yes Hospital, Professional, Secondary EMPLOYER DIRECT HEALTHCARE 48888 No No Yes Hospital, Professional, Secondary BCI ADMINISTRATORS, INC. FARMINGTON HILLS MI 49153 No No Yes Hospital, Professional, Secondary COLORADO HEALTH OP 49718 No No Yes Hospital, Professional, Secondary PACIFICSOURCE COMMUNITY SOLUTIONS (INSTITUTIONAL) 4972 No No Yes Hospital, Secondary HUMANA DE PUERTO RICO 49944 No No Yes Dental, Secondary AETNA BETTER HEALTH OF OHIO 50023 No No Yes Hospital, Professional, Secondary SANA BENEFITS 50114 Yes No Yes Hospital, Professional, Secondary ALTUS DENTAL 50503 Yes No Yes Dental, Secondary VGM HOMELINK 50701 Yes No Yes Professional, Secondary MONDIAL ASSISTANCE 50749 No No Yes Hospital, Professional, Secondary INFORMED UHC 50946 Yes No Yes Professional, Secondary INTEGRA ADMIN GROUP SEAFORD DE INTEGRA ADMINISTRATIVE GROUP 51020 No No Yes Hospital, Professional, Secondary DELTA DENTAL OF DELAWARE 51022 Yes No Yes Dental, Secondary BROKERAGE CONCEPTS, INC. HEALTH NOW ADMINISTRATIVE SERVICE (PREVIOUSLY KNOWN AS BROKERAGE CONCEPTS) PERFORMAX/BENEFIT CONCEPTS 51037 Yes No Yes Dental, Hospital, Professional, Secondary MOLINA HEALTHCARE OF FLORIDA 51062 No No Yes Hospital, Professional, Secondary YERINGTON PAIUTE TRIBE 51350 No No No Hospital, Professional UNIFIED IPA MICHIGAN 51368 Yes No Yes Hospital, Professional, Secondary ADVANCED PHYSICIANS ASSOCIATION ALIVIO FAMILY MEDICAL APEX HEALTHCARE ASIAN HUMAN SERVICES FAMILY CHICAGO FAMILY HEALTH CENTER FAMILY CHRISTIAN HEALTH CENTER INDEPENDENT PHYSICIANS AT MERCY NEIGHBORHOOD DOCTORS ORGANIZATION 51909 No No No Hospital, Professional KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. KAISER OF MD 52095 No Yes Yes Hospital, Professional, Remits, Secondary NTCA 52103 No No Yes Hospital, Professional, Secondary NTCA-STAFF 52104 No No Yes Hospital, Professional, Secondary CHRISTUS HEALTH PLAN TX HIX 52106 Yes No Yes Hospital, Professional, Secondary NTCA 52120 No No Yes Hospital, Professional, Secondary JOHNS HOPKINS HEALTHCARE (USFHP) 52123 Yes No Yes Hospital, Professional, Secondary COOPERATIVE BENEFIT ADMINISTRATORS COOPERATIVE BENEFIT ADMINISTRATORS (CBA) COOPERATIVE BENEFIT ADMINISTRATORS- CBA NATIONAL RURAL ELECTRIC COOP (NRECA) 52132 No No Yes Hospital, Professional, Remits, Secondary DENTAL BENEFIT PROVIDERS 52133 Yes No Yes Dental, Secondary DELTA DENTAL OF WASHINGTON DC 52147 Yes No Yes Dental, Secondary MAMSI LIFE AND HEALTH INSURANCE CO. (MLH) MD-INDIVIDUAL PRACTICE ASSOCIATION, INC. (M.D. IPA) OPTIMUM CHOICE OF THE CAROLINAS, INC. (OCCI) OPTIMUM CHOICE, INC. (OCI) 52148 Yes No Yes Hospital, Professional, Secondary MID ATLANTIC PSYCHIATRIC SERVICES, INC. (MAPSI) ONENET PPO, LLC. 52149 Yes No Yes Hospital, Professional, Secondary OPTIMUM CHOICE OF THE CAROLINAS 52152 Yes No Yes Hospital, Professional, Secondary UMWA HEALTH & RETIREMENT FUNDS 52180 Yes No Yes Hospital, Professional, Secondary MEDICAL DEVELOPMENT INTL 52181 Yes No Yes Hospital, Professional, Secondary JOHN HOPKINS HEALTHCARE 52189 Yes No Yes Hospital, Professional, Secondary SPECIAL RISK INTERNATIONAL 52190 Yes No Yes Hospital, Professional, Secondary CIGNA-HEALTHSPRING ELDER HEALTH MA AND PA 52192 Yes No Yes Hospital, Professional, Remits, Secondary LBA HEALTH PLANS 52193 No No Yes Hospital, Professional, Secondary INFORMED LLC INFORMED, LLC 52196 No No Yes Hospital, Professional, Secondary INJURED WORKERS INS FUND 52212 Yes No Yes Hospital, Professional, Secondary ARBOR HEALTH PLAN 52312 Yes No Yes Hospital, Professional, Secondary NEBRASKA PLASTICS GROUP(UCS) 52323 No No Yes Hospital, Professional, Secondary MARCH VISION 52461 No No Yes Professional, Secondary LAKES AREA COMMUNITY HEALTHPLAN (LACH) 52511 No No Yes Hospital, Professional, Secondary MERIDIAN HEALTH PLAN OF MICHIGAN 52563 Yes No Yes Hospital, Professional, Secondary UCARE OF MINNESOTA 52629 No Yes Yes Hospital, Professional, Remits, Secondary REHN AND ASSOCIATES (PROFESSIONAL) 5288 No No Yes Professional, Secondary NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) 53011 No No Yes Hospital, Professional, Secondary ANCHOR BENEFITS ANCHOR BENEFITS CONSULTING, INC. IN MAITLAND FL 53085 Yes No Yes Hospital, Professional, Secondary LASSEN MUNICIPAL UTILITY DISTRICT 53122 No No No Hospital, Professional PENN BEHAVIORAL HEALTH 53226 No No Yes Hospital, Professional, Secondary MARTINS POINT HEALTHCARE 53275 Yes Yes Yes Hospital, Professional, Secondary PACE SOUTHWEST IOWA 53534 No No No Hospital, Professional BLUE CROSS BLUE SHIELD OF ARIZONA 53589 No No Yes Dental, Secondary DELTA DENTAL OF VIRGINIA 54084 Yes No Yes Dental, Secondary DELTA DENTAL OF SOUTH DAKOTA 54097 Yes No Yes Dental, Secondary VIRGINIA HEALTH NETWORK 54138 Yes No Yes Professional, Secondary OPTIMA HEALTH MANAGEMENT OPTIMA HEALTH PLAN OPTIMA INSURANCE COMPANY SENTARA FAMILY CARE SENTARA HEALTH MANAGEMENT 54154 Yes No Yes Hospital, Professional, Remits, Secondary OPTIMA HEALTH BH CMHRS 5415M No No Yes Professional, Secondary ALLINA HEALTH AND AETNA INSURANCE COMPANY 54398 No No Yes Hospital, Professional, Secondary PERSONAL CHOICE 54704 No Yes Yes Hospital, Professional, Remits, Secondary HURON VALLEY PACE 54750 Yes No No Hospital, Professional AMERIHEALTH ADMINISTRATORS 54763 No Yes Yes Hospital, Professional, Secondary UNITED CONCORDIA - FEDERAL EMPLOYEES PROGRAM 54771 Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF NEW YORK - EMPIRE 55093 No No Yes Dental, Secondary HEALTH NOW HEALTHNOW DIVISION 55204 No No Yes Hospital, Professional, Secondary HIP HEALTH INSURANCE PLAN OF GREATER NEW YORK HIP OF GREATER NY 55247 No Yes Yes Hospital, Professional, Remits, Secondary AMERICAS 1ST CHOICE OF SOUTH CAROLINA, INC 55349 No No No Hospital, Professional UCARE OF MINNESOTA 55413 Yes No Yes Hospital, Professional, Secondary HUMAN ARC 5573 No No Yes Hospital, Secondary CSHP / EVAN 55731 No No Yes Hospital, Professional, Secondary THE CITY OF EAST CHICAGO (UCS)-UB 5600U No No Yes Hospital, Secondary AMERICAN FAMILY PPO POLICIES ADMINISTERED BY AM REP 56071 No Yes Yes Hospital, Professional, Remits, Secondary EAST CAROLINA BEHAVIORAL HEALTH 56089 No No Yes Hospital, Professional, Secondary CORPORATE BENEFIT SERVICES CORPORATE BENEFITS SERVICES, INC (NC) 56116 No No Yes Hospital, Professional, Secondary CENTERPOINT HUMAN SERVICES 56122 No No Yes Hospital, Professional, Secondary BENEFIT MANAGEMENT SERVICES 56139 Yes No Yes Hospital, Professional, Secondary PRIMARY PHYSICIAN CARE, INC. PRIMARY PHYSICIANCARE, INC. 56144 No No Yes Hospital, Professional, Secondary BLUE MEDICARE HMO/PPO 56152 No No Yes Hospital, Professional, Secondary IMS TRIALCARD 56155 No No Yes Hospital, Professional, Secondary MANAGED CARE OF AMERICA MEDCOST INC 56162 Yes No Yes Dental, Hospital, Professional, Secondary PRIME VISION HEALTH 56190 Yes No Yes Professional, Secondary CAROLINA SUMMIT HEALTHCARE, INC. 56195 Yes No Yes Hospital, Professional, Secondary FIRST CAROLINA CARE 56196 Yes No Yes Hospital, Professional, Secondary MBS (MEDCOST BENEFIT SERVICES) MEDCOST BENEFIT SERVICES (MBS) 56205 Yes No Yes Hospital, Professional, Secondary CRESCENT HEALTH SOLUTIONS 56213 No No Yes Hospital, Professional, Secondary SUTTER SENIOR CARE 56621 Yes No Yes Hospital, Professional, Secondary HEALTHCARE RESOURCES NW 56731 No No Yes Hospital, Professional, Secondary MSH REIMBURSEMENT 5675 Yes No Yes Hospital, Secondary LOWER KUSKOKWIM SCHOOL DISTRICT 56756 No No No Hospital, Professional KANAWHA HEALTHCARE SOLUTIONS, INC. KANAWHA INSURANCE CO. KANAWHA INSURANCE COMPANY 57038 No Yes Yes Hospital, Professional, Remits, Secondary CLAIMSWARE, INC. DBA MANAGEMED CWIBENEFITS, INC. 57080 No No Yes Hospital, Professional, Secondary CARE 1ST HEALTH PLAN OF CA 57115 No No Yes Hospital, Professional, Secondary CARE 1ST HEALTH PLAN OF AZ 57116 Yes No Yes Professional, Secondary QVI RISK SOLUTIONS INC 57117 Yes No Yes Hospital, Professional, Secondary GEHA CONNECTION DENTAL FEDERAL STATE OF TEXAS DENTAL PLAN STATE OF TEXAS DENTAL PLAN-837I 57254 No No Yes Hospital, Professional, Secondary STONES RIVER REGIONAL IPA/HUMANA 57549 Yes No Yes Professional, Secondary STRATEGIC RECOURCE CO (SRC)/AETNA AFFORDABLE HLTH CHOICES 57604 Yes No Yes Hospital, Professional, Secondary KUSPUK SCHOOL DISTRICT 57610 No No No Hospital, Professional CAREATC 57721 No No Yes Hospital, Professional, Secondary WATKINS ASSOC. INSURANCE, INC. 58082 No No Yes Hospital, Professional, Secondary COVENANT ADMINISTRATORS, INC. COVENANT ADMINISTRATORS, INC. (ATLANTA, GA) COVENANT HEALTH 58102 No No Yes Hospital, Professional, Secondary CONSUMER MUTUAL OF MICHIGAN 58112 Yes No Yes Hospital, Professional, Secondary NORTHEAST GEORGIA HEALTH SERVICES 58169 No No Yes Hospital, Professional, Secondary PARAGON BENEFITS INC (PITTSBURGH PA) 58174 No No Yes Professional, Secondary NAPHCARE 58182 No No Yes Hospital, Professional, Secondary THE INTEGRITY BENEFIT NETWORK, INC. (MARIETTA, GA ) 58200 No No Yes Hospital, Professional, Secondary MEDADMIN SOLUTIONS 58202 No No Yes Professional, Secondary MEDICAL RESOURCE NETWORK (MRN) 58203 Yes No Yes Hospital, Professional, Secondary COORDINATED MEDICAL SPECIALISTS GI INNOVATIVE MANAGEMENT MEDADMIN SOLUTIONS NATIONAL CHIROPRACTIC NETWORK ORTHOPEDIX NETWORK, INC. PARITY HEALTHCARE LLC PHYSICIAN ASSOCIATES OF LOUISIANA PODI CARE MANAGED CARE PODIATRY NETWORK SOLUTIONS 58204 Yes No Yes Hospital, Professional, Secondary HEALTHWAYS WHOLEHEALTH NETWORKS 58213 No No Yes Professional, Secondary CORE ADMINISTRATIVE SERVICES 58231 No No Yes Hospital, Professional, Secondary ALLIANT HEALTH PLANS OF GEORGIA 58234 No No Yes Hospital, Professional, Secondary HARBOR HEALTH ADVANTAGE 58305 No No Yes Hospital, Professional, Secondary BCBS OF AZ ADVANTAGE HMO 58375 No No Yes Hospital, Professional, Secondary TIFT REGIONAL (UCS) 58600 No No Yes Hospital, Professional, Secondary ASSURANT HEALTH (ASA) 58730 No No Yes Hospital, Professional, Secondary ST FRANCIS HEALTH NETWORK MEDICAID 5897 Yes No Yes Professional, Secondary WISCONSIN CHRONIC DISEASE PROGRAM 5901 No No Yes Hospital, Secondary COMMUNITY CARE PLAN 59064 No No Yes Hospital, Professional, Secondary MEMORIAL INTEGRATED HEALTHCARE SFCCN MEDICAID 59065 Yes No Yes Hospital, Professional, Secondary 21ST CENTURY HEALTH AND BENEFITS FIRST SERVICE ADMINISTRATORS INC FRINGE BENEFIT MANAGEMENT 59069 No No Yes Hospital, Professional, Secondary THE NATIONAL RADIOLOGY NETWORK 59087 Yes No Yes Hospital, Professional, Secondary HEALTHPLAN SERVICES (TAMPA ONLY) MUTUAL GROUP (THE) (US) 59140 No No Yes Hospital, Professional, Secondary ADMINISTRATIVE SVCS INC 59141 No No Yes Hospital, Professional, Secondary HARRINGTON HEALTH 59143 No No Yes Hospital, Professional, Secondary UNIVERSITY OF UT HEALTH PLAN 5920 No Yes Yes Hospital, Secondary FRINGE BENEFITS COORDINATORS 59204 No No Yes Hospital, Professional, Secondary MEGA LIFE AND HEALTH MID-WEST NATIONAL LIFE INSURANCE COMPANY OF TN 59224 No Yes No Remits THE MEGA LIFE & HEALTH INS. CO. OKC 59227 No No Yes Professional, Secondary HERITAGE CONSULTANTS 59230 Yes No Yes Professional, Secondary MEDCOM 59231 No No Yes Hospital, Professional, Secondary KAISER PERMANENTE HAWAII-UB 5925 No No Yes Hospital, Remits, Secondary VOLUSIA HEALTH NETWORK VOLUSIA HLTH NETWORK 59266 No No Yes Hospital, Professional, Secondary AULTCARE (INST) 5927 No Yes No Hospital AVMED 59274 Yes No Yes Hospital, Professional, Secondary AVMED ENCOUNTERS 59275 Yes No Yes Hospital, Professional, Secondary FIRST SERVICE ADMINISTRATORS, INC 59276 Yes No Yes Professional, Secondary BAYCARE LIFE MANAGEMENT 59279 Yes No Yes Professional, Secondary OHIO BCMH (INST) 5928 No No Yes Hospital, Secondary PROFESSIONAL BENEFIT ADMINISTRATORS (WINTER PARK, FL) 59296 Yes No Yes Hospital, Professional, Secondary EMPLOYERS MUTUAL, INC (JACKSONVILLE, FLORIDA) 59298 No No Yes Hospital, Professional, Secondary EMI KP AMBULANCE CLAIMS 59299 No No Yes Hospital, Professional, Secondary EVOLUTIONS HEALTHCARE SYSTEMS NEW PORT RICHIE FL 59313 No No Yes Hospital, Professional, Secondary FLORIDA HOSPITAL HEALTHCARE SYSTEMS 59321 No No Yes Hospital, Professional, Secondary FLORIDA HEALTH CARE PLAN 59322 No No Yes Hospital, Professional, Secondary EMPLOYERS MUTUAL, INC. (STUART, FLORIDA) 59331 No No Yes Hospital, Professional, Secondary MARION POLK COMMUNITY PLAN (INSTITUTIONAL) 5934 No No Yes Hospital, Secondary PREFERRED MEDICAL PLAN 59345 Yes No Yes Hospital, Professional, Secondary WELLCARE HEALTH PLAN, INC (ENCOUNTERS ONLY) 59354 No No Yes Encounters, Hospital, Professional, Secondary CHRISTIAN CARE MINISTRIES 59355 Yes No Yes Hospital, Professional, Secondary ADVANTICA BENEFITS 59374 Yes No Yes Hospital, Professional, Secondary HOCKENBERGS EQUIPMENT (UCS) 59573 No No No Hospital, Professional FLORIDA LEAGUE OF CITIES INC 59698 No No Yes Hospital, Professional, Secondary PARAMOUNT 5977 No No Yes Hospital, Secondary LIFE ST JOSEPH OF THE PINES 59847 No No Yes Hospital, Professional, Secondary AETNA AETNA DENTAL PLANS 60054 Yes No Yes Dental, Encounters, Hospital, Professional, Remits, Secondary AETNA BULK ENCOUNTERS 60055 Yes No No Encounters AMERIHEALTH NJ PPO 60061 No Yes Yes Hospital, Professional, Secondary PREFERRED HEALTH SYSTEMS INSURANCE COMPANY PREFERRED HEALTH SYSTEMS INSURANCE COMPANY (PHSIC) PREFERRED PLUS OF KANSAS 60110 Yes No Yes Hospital, Professional, Remits, Secondary EMPLOYEE BENEFIT SERVICES INCORPORATED 60221 No No Yes Hospital, Professional, Secondary MASONRY INDUSTRY TRUST 60230 No No No Hospital, Professional INTERFACE EAP IEAP HOUSTON TX 60280 No No Yes Hospital, Professional, Secondary MAPFRE COMMERCIAL 60402 No No Yes Dental, Secondary COMMUNITY HEALTH PLAN INC 60495 Yes No Yes Hospital, Professional, Secondary ELMCO LLC 60509 No No Yes Hospital, Professional, Secondary INTERNATIONAL MEDICAL CARD 60537 No No Yes Dental, Secondary GATEWAY HEALTH PLAN MEDICARE ASSURED 60550 No Yes Yes Hospital, Professional, Remits, Secondary CORE FIVE (MEGA LIFE & HEALTH) 60601 Yes No Yes Dental, Secondary UNITED CLAIMS SOLUTIONS 60652 No No Yes Hospital, Professional, Secondary AMERICAN PUBLIC LIFE INSURANCE COMPANY 60801 No No No Hospital, Professional COUNTY CARE 60827 Yes No Yes Hospital, Professional, Secondary FAMILY CARE 60995 Yes No Yes Hospital, Professional, Secondary HARMONY HEALTH PLAN LTSS 61067 No No Yes Hospital, Professional, Secondary CARITEN HEALTHCARE CARITEN SENIOR HEALTH GROUP HEALTH INSURANCE DE HEALTH VALUE MANAGEMENT - DE (HUMANA) HMPK, INC. HUMANA HUMANA CARE PLAN HUMANA EMPHESYS HUMANA EMPLOYERS HEALTH INSURANCE HUMANA GROUP HEALTH PLAN HUMANA HEALTH CHICAGO INSURANCE COMPANY HUMANA HEALTH PLAN HUMANA INSURANCE COMPANY HUMANA INSURANCE COMPANY CHOICE CARE NETWORK HUMANA MEDICAL PLAN - CA HUMANA MEDICAL PLAN - KY HUMANA WISCONSIN HEALTH ORGANIZATION KENTUCKY KARE KINDRED HEALTH CARE LINCOLN NATIONAL - PHOENIX, AZ (HUMANA) MEDICAL PLAN OF KANSAS CITY, MO METCARE HEALTH PLANS, INC. MICHAEL REESE HMO PLAN IL MICHAEL REESE HMO PLAN IN PRIMARY DELIVERY SERVICES PRIME BENEFITS SYSTEMS, INC. - MO PRIME HEALTH KANSAS CITY, INC. - MO PRIME HEALTH MANAGEMENT SERVICES - MO PRIME HEALTH OF KANSAS, INC., - MO 61101 Yes No Yes Hospital, Professional, Remits, Secondary HUMANA INC. ENCOUNTERS 61102 Yes No Yes Encounters, Professional, Secondary HUMANA VETERANS HEALTHCARE SERVICES 61120 No No Yes Hospital, Professional, Secondary BLUEGRASS FAMILY HEALTH 61124 No Yes Yes Hospital, Professional, Remits, Secondary PASSPORT HEALTH PLAN 61129 No Yes Yes Hospital, Professional, Remits, Secondary MIDWEST GROUP BENEFITS MIDWEST GROUP BENEFITS, INC. 61146 No No Yes Dental, Professional, Secondary ARKANSAS SUPERIOR SELECT 61184 No No Yes Hospital, Professional, Secondary GEORGIA POWER MEDICAL BENEFITS PLAN J. F. MOLLOY AND ASSOCIATES J. F. MOLLOY AND ASSOCIATES, INC. PRINCIPAL FINANCIAL GROUP PRINCIPAL LIFE INSURANCE CO. PRINCIPAL LIFE INSURANCE COMPANY 61271 No Yes Yes Dental, Professional, Remits, Secondary PASSPORT HEALTH PLAN 61325 No No Yes Hospital, Professional, Secondary ACEC HEALTHPLAN (TRUSTMARK PLAN) BENEFIT TRUST LIFE INSURANCE COMPANY STARMARK TOOLING & MANUFACTURING ASSOCIATION TRUSTMARK INSURANCE COMPANY TRUSTMARK/STARMARK INSURANCE 61425 No Yes Yes Hospital, Professional, Remits, Secondary KEMPER BENEFITS 61453 No No Yes Hospital, Professional, Secondary CARE PLUS HEALTH PLANS PRIME WEST HEALTH PLAN 61604 No Yes Yes Hospital, Professional, Remits, Secondary PREFERRED BENEFITS ADMINISTRATOR 61665 Yes No Yes Hospital, Professional, Secondary MED3000 CMS EARLY STEPS 6173 Yes No Yes Professional, Secondary MOLINA HEALTHCARE OF IDAHO 61799 No No Yes Hospital, Professional, Secondary AMERICAN GENERAL 62030 Yes No Yes Hospital, Professional, Secondary FISERV HEALTH-KANSAS 62061 No No Yes Hospital, Professional, Secondary HEALTH COST SOLUTIONS 62111 No No Yes Hospital, Professional, Secondary AETNA SENIOR SUPPLEMENTAL 62118 No Yes No Remits WINDSOR MEDICARE EXTRA XANTUS HEALTHPLAN OF TENNESSEE 62153 Yes No Yes Hospital, Professional, Secondary XANTUS HEALTH PLAN (TN) 62154 Yes No Yes Dental, Secondary HEALTH PARTNERS JACKSON, TN HEALTH PARTNERS OF TENNESSEE 62157 No No Yes Hospital, Professional, Secondary MEDSOLUTIONS, INC. 62160 No No Yes Hospital, Professional, Secondary MIDSOUTH ADMINISTRATIVE GROUP 62168 Yes No Yes Hospital, Professional, Secondary UNIFIED HEALTH SERVICES 62170 Yes No Yes Hospital, Professional, Secondary OSF HEALTH PLANS 62171 Yes No Yes Hospital, Professional, Secondary MEDICAL REIMBURSEMENTS OF AMERICA 62177 No No Yes Hospital, Professional, Secondary MMS, LLC 62178 Yes No Yes Hospital, Secondary HEALTH CHOICE (AZ - AZAHCCCS) HEALTH CHOICE AZ 62179 No Yes Yes Hospital, Professional, Remits, Secondary HEALTH CHOICE GENERATIONS 62180 No No Yes Hospital, Professional, Secondary UNISON HEALTH PLAN/BETTER HEALTH PLANS 62183 No No Yes Hospital, Professional, Secondary CIGNA CIGNA HEALTH PLAN - HMO CIGNA HEALTHCARE FOR SENIORS-AZ MEDICARE CIGNA PPA CIGNA-PPO CONNECTICUT GENERAL (CIGNA) EQUICOR EQUICOR PPO EQUITABLE (CIGNA) GREAT-WEST LIFE & ANNUITY INS. CO. HEALTHSOURCE CMHC HEALTHSOURCE KENTUCKY INC HEALTHSOURCE MASSACHUSETTS HEALTHSOURCE NEW HAMPSHIRE INC HEALTHSOURCE OHIO HEALTHSOURCE PROVIDENT (CIGNA) HEALTHSOURCE, AR (MED) (CIGNA) HEALTHSOURCE, GA (CIGNA) HEALTHSOURCE, ME HEALTHSOURCE, N. TX (CIGNA) HEALTHSOURCE, NC (CIGNA) HEALTHSOURCE, SC HEALTHSOURCE, TN (CIGNA) NATIONAL ASSOCIATION OF LETTER CARRIERS/NALC 62308 Yes No Yes Dental, Encounters, Hospital, Professional, Remits, Secondary FREEDOM LIFE INSURANCE 62324 No No Yes Hospital, Professional, Secondary COUNTRY LIFE INSURANCE COMPANY 62553 No No Yes Hospital, Secondary MERCY LIFE OF ALABAMA 63002 Yes No Yes Hospital, Professional, Secondary HEALTHSPRING HMO/HEALTHSPRING MEDICARE+CHOICE THE OATH A HEALTH PLAN FOR ALABAMA 63092 No No Yes Hospital, Professional, Secondary BEHAVIORAL HEALTH SYSTEMS 63100 No No Yes Hospital, Professional, Secondary AMERICAN BEHAVIORAL 63103 No No Yes Hospital, Professional, Secondary VIVA HEALTH PLAN 63114 No No Yes Hospital, Professional, Secondary ARM LTD 63240 No No No Hospital, Professional GENELCO (ST. LOUIS) GENERAL AMERICAN LIFE INSURANCE CO. GREAT-WEST HEALTHCARE 63665 Yes No Yes Dental, Hospital, Professional, Secondary DENTAQUEST VISION 63740 Yes No Yes Professional, Secondary CREATIVE MEDICAL SYSTEMS 64068 No No Yes Hospital, Professional, Secondary FOX-EVERETT, INC. 64069 No No Yes Hospital, Professional, Secondary ACCLAIM ACCLAIM, INC. 64071 No No Yes Hospital, Professional, Secondary MISSISSIPPI SELECT HEALTHCARE SELECT ADMINISTRATORS SERVICES 64088 No No Yes Hospital, Professional, Secondary AMFIRST INSURANCE COMPANY 64090 No No Yes Hospital, Professional, Secondary MERITAIN HEALTH/NORTH AMERICAN ADMINISTRATORS NORTH AMERICAN HEALTH PLAN/NORTH AMERICAN PREFERRED 64157 Yes No Yes Hospital, Professional, Secondary AGENCY SERVICES INC MERITAIN HEALTH/AGENCY SERVICES 64158 No No Yes Hospital, Professional, Secondary DEFINITY HEALTH 64159 Yes No Yes Hospital, Professional, Secondary GUARDIAN LIFE INSURANCE CO. OF AMERICA GUARDIAN LIFE INSURANCE COMPANY OF AMERICA THE GUARDIAN LIFE 64246 No Yes Yes Dental, Hospital, Professional, Remits, Secondary INDEPENDENCE CARE SYSTEM 64284 Yes No Yes Hospital, Professional, Secondary MSH REIMBURSEMENT 6461 Yes No Yes Professional, Secondary ORANGE COUNTY HEALTH CARE AGENCY 65021 No No Yes Hospital, Professional, Secondary MANAGED CARE OF NORTH AMERICA, INC. (MCNA) 65030 Yes No Yes Dental, Secondary CAREPLUS HEALTH PLANS PHYSICIANS HEALTHCARE PLANS INC. 65031 Yes No Yes Professional, Secondary PREMIER EYE CARE 65054 No No Yes Hospital, Professional, Secondary NEW MARKET DIMENSIONS 65056 Yes No Yes Hospital, Professional, Secondary HEALTH NETWORK ONE 65062 No No Yes Professional, Secondary FLORIDA NETPASS 65063 No No Yes Hospital, Professional, Secondary OLYMPUS MANAGED HEALTH CARE 65074 Yes No Yes Hospital, Professional, Secondary NAA (NORTH AMERICAN ADMINISTRATORS L.P.) NORTH AMERICA ADMINISTRATORS, L.P. 65085 No No Yes Hospital, Professional, Secondary PREFERRED CARE PARTNERS 65088 Yes No Yes Hospital, Professional, Secondary PREFERRED CARE PARTNERS ENCOUNTERS 65090 Yes No Yes Encounters, Hospital, Secondary ADVOCATE HEALTH PARTNERS 65093 Yes No Yes Hospital, Professional, Secondary HAA PREFERRED PARTNERS 65101 No No Yes Hospital, Professional, Secondary METCARE HEALTH PLAN INC 65113 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD OF CONNECTICUT - ANTHEM 65358 Yes No Yes Dental, Secondary CHHNP - HEALTHCHOICES 65391 Yes No Yes Hospital, Professional, Secondary HEALTH SPECIAL RISK, INC. 65449 No No No Hospital, Professional CENCAL 65941 No No Yes Hospital, Professional, Secondary METLIFE 65978 Yes No Yes Dental, Secondary BCBSTX STAR AND CHIP MEDICAID 66001 Yes No Yes Professional, Secondary TMG HEALTH 66003 No No Yes Hospital, Professional, Secondary MONTANA HELP PLAN 66004 No No Yes Hospital, Professional, Secondary BLUE CROSS MEDICARE ADVANTAGE 66006 No No Yes Hospital, Professional, Secondary PASSPORT ADVANTAGE 66008 No No Yes Hospital, Professional, Secondary COSVI - COOPERATEIVE DE SEGUROS DE VIDA DE PR 66023 No No Yes Dental, Secondary MEDICAL CARD SYSTEM (MCS) 66039 No No Yes Dental, Secondary MAPFRE MEDICARE EXCEL 66040 No No Yes Dental, Secondary NETCARE LIFE AND HEALTH INSURANCE (HAGATNA, GUAM) 66055 No No Yes Hospital, Professional, Secondary MEDICARE Y MUCHO MAS AND MEDICAL DENTAL NETWORK (MMM) 66066 No No Yes Dental, Secondary COMMUNITY MEDICAL GROUP OF THE WEST VALLEY INC. 66121 Yes No Yes Professional, Secondary EASTLAND MEDICAL GROUP 66122 Yes No Yes Hospital, Professional, Secondary COMMUNITY HEALTH GROUP 66170 Yes No Yes Hospital, Professional, Secondary UNITY HEALTH UNITY HEALTH INSURANCE 66705 No No Yes Hospital, Professional, Remits, Secondary BONCURA HEALTH SOLUTIONS FKA MPAS 66727 Yes No Yes Hospital, Professional, Secondary BANNER UNIVERSITY FAMILY CARE (UNIVERSITY OF AZ HEALTH) 66901 No No No Hospital, Professional PARKLAND COMMUNITY HEALTH PLAN 66917 Yes No Yes Hospital, Professional, Secondary VISION SERVICE PLAN 6714 No Yes Yes Professional, Secondary PACIFIC LIFE & ANNUITY PACIFIC LIFE & ANNUITY COMPANY PM GROUP 67466 Yes No Yes Hospital, Secondary WISCONSIN CHRONIC DISEASE PROGRAM 6764 No No Yes Professional, Secondary BHSF INTERNATIONAL 67668 No No No Hospital, Professional KAISER PERMANENTE HAWAII 6772 No No Yes Professional, Remits, Secondary CAPITOL ADMINISTRATORS 68011 No No Yes Hospital, Professional, Secondary HEALTH NET VA PATIENT CENTERED COMMUNITY CARE PROGRAM 68021 Yes No No Hospital, Professional HEALTH PLAN OF SAN JOAQUIN/SAN JOAQUIN HEALTH ADMINISTRATORS 68035 Yes No Yes Hospital, Professional, Secondary JOHN MUIR/MT DIABLO HEALTH NETWORK 68036 Yes No Yes Hospital, Professional, Secondary WESTERN HEALTH ADVANTAGE 68039 No No Yes Hospital, Professional, Secondary MEDICAL BENEFIT ADMINISTRATION INC. 68041 Yes No Yes Hospital, Professional, Secondary CALIFORNIA HEALTH & WELLNESS 68047 No Yes Yes Hospital, Professional, Secondary CELTIC INSURANCE 68063 Yes No Yes Hospital, Professional, Secondary CEMPATICO SOUTH CAROLINA CENPATICO CENPATICO BEHAVIORAL HEALTH CENPATICO BEHAVIORAL HEALTH OF AZ CENPATICO FL CENPATICO GEORGIA CENPATICO INDIANA INTEGRATED MENTAL HEALTH SERVICES 68068 Yes No Yes Hospital, Professional, Secondary ADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS ADVANTAGE BY BUCKEYE COMMUNITY HEALTH PLAN ADVANTAGE BY MANAGED HEALTH SERVICES ADVANTAGE BY SUPERIOR HEALTHPLAN BRIDGEWAY ARIZONA - TEMPLE BUCKEYE COMMUNITY HEALTH PLAN CELTICARE CENPATICO BEHAVIORAL HLTH KS ILLINICARE KENTUCKY SPIRIT HEALTH PLAN LOUISIANNA HEALTHCARE CONNECTIONS MAGNOLIA MANAGED HEALTH SERVICES INDIANA (MEDICAID HMO) MANAGED HEALTH SERVICES WISCONSIN MISSOURI HOME STATE HEALTH CARE PEACH STATE PEACH STATE HEALTH PLAN SUNSHINE HEALTH PLAN SUPERIOR HEALTH PLAN TEXAS TOTAL CAROLINA CARE WASHINGTON COORDINATED CARE 68069 No No Yes Hospital, Professional, Remits, Secondary HEALTHSOURCE PROVIDENT 68195 Yes No Yes Dental, Secondary AETNA DMO 68246 Yes No Yes Dental, Secondary GUILDNET 6826 No No No Professional CARE NETWORK/THE SAVANNAH BUSINESS GROUP 68423 Yes No No Hospital, Professional COLORADO CHOICE HEALTH PLANS 6851 No No Yes Professional, Secondary SENTRY INSURANCE COMPANY EMPLOYEES 68810 Yes No Yes Dental, Secondary NEXT LEVEL HEALTH PARTNERS 69821 Yes No Yes Hospital, Professional, Secondary HARBOR HEALTH PLAN (PROCARE) 70259 Yes No Yes Hospital, Professional, Secondary ASSURANT EMPLOYEE BENEFITS ASSURANT EMPLOYEE BENEFITS (FORMERLY FORTIS BENEFITS) FORTIS INSURANCE COMPANY PHCS FORTIS BENEFITS KANSAS CITY UNION SECURITY INSURANCE COMPANY 70408 No No Yes Hospital, Professional, Remits, Secondary PACE CNY 70454 No No Yes Professional, Secondary CANNON COCHRAN MANAGEMENT SERVICES, INC. METAIRIE, LA 71057 No No Yes Hospital, Professional, Secondary CNA HEALTH PARTNERS REPRICING - AR HEALTH SCOPE BENEFITS (FORMERLY CNA OF AR) HEALTHSCOPE BENEFITS INC HEALTHSCOPE BENEFITS, INC. 71063 Yes No No Hospital, Professional, Remits HEALTHCHOICE OF OKLAHOMA 71064 No No Yes Hospital, Professional, Secondary HEALTHCHOICE OF OKLAHOMA - CORRECTIONS AND REHAB 71065 No No Yes Hospital, Professional, Secondary KANSAS SUPERIOR SELECT 71066 Yes No Yes Hospital, Professional, Secondary COMMUNITY CARE PLUS/MERCY CARE PLUS 71079 Yes No Yes Hospital, Professional, Secondary NOVASYS HEALTH NETWORK NOVASYS HEALTH NETWORK LITTLE ROCK AR 71080 No No Yes Hospital, Professional, Secondary HEALTHSCOPE BENEFITS 71084 No No Yes Hospital, Professional, Secondary EXCLUSICARE MUTUAL OF OMAHA INSURANCE COMPANY MUTUAL OF OMAHA INSURANCE COMPANY-837I MUTUALLY PREFERRED NATIONAL RURAL LETTER CARRIER ASSOCIATION (POLICY #GMG1846) UNITED OF OMAHA 71412 Yes No No Hospital, Professional, Remits LIFECIRCLES PACE 71498 No No Yes Hospital, Professional, Secondary SIEBA LTD 7173 No No Yes Professional, Secondary MEDICA HEALTH PLAN SOLUTIONS 71890 No No Yes Hospital, Professional, Secondary INSURANCE MANAGEMENT ADMINISTRATORS (IMA) 72091 No No Yes Hospital, Professional, Secondary AMERICAN LIFECARE 72099 Yes No Yes Hospital, Professional, Secondary PEOPLE HEALTH NETWORK 72126 Yes No Yes Hospital, Professional, Secondary OCHSNER HEALTH PLAN 72127 Yes No Yes Hospital, Professional, Secondary VANTAGE HEALTH PLAN, INC. 72128 No No Yes Hospital, Professional, Secondary PPOPLUS LLC 72148 Yes No Yes Hospital, Professional, Secondary GROUP BENEFIT ADMINISTRATORS HENDERSONVILLE TN 72153 Yes No Yes Hospital, Professional, Secondary SCAN HEALTH PLAN 72261 No No Yes Hospital, Professional, Secondary PACE CENTRAL IOWA 72436 No No Yes Hospital, Professional, Secondary ACS BENEFIT SERVICES, INC. 72467 No No Yes Hospital, Professional, Secondary NORTHEAST IOWA AREA AGENCY 72690 No No No Hospital, Professional RESERVE NATIONAL INSURANCE 73066 No No No Hospital, Professional QUICKTRIP 73067 Yes No Yes Hospital, Professional, Secondary C. L. FRATES & CO - OSMA HEALTH 73071 No No Yes Hospital, Professional, Secondary STANDARD LIFE AND ACCIDENT INSURANCE COMPANY 73099 No No Yes Hospital, Professional, Secondary KEMPTON COMPANY KEMPTON GROUP ADMINISTRATORS 73100 No No Yes Dental, Hospital, Professional, Secondary TRIBUTE /SELECTCARE OF OKLAHOMA 73117 Yes No Yes Hospital, Professional, Secondary EQUITABLE PLAN SERVICES 73126 No No Yes Hospital, Professional, Secondary COMMUNITY CARE MANAGED HEALTH CARE PLANS OF OKLAHOMA 73143 Yes No Yes Hospital, Professional, Secondary PREFERRED COMMUNITY CHOICE/PCCSELECT/COMPMED 73145 Yes No Yes Hospital, Professional, Secondary HEALTH CARE SOLUTIONS GROUP, INC. HEALTHCARE SOLUTIONS GROUP 73147 Yes No Yes Hospital, Professional, Secondary WATERSTONE BENEFIT ADMINISTRATORS 73155 No No Yes Hospital, Professional, Secondary FIRST HEALTH NETWORK (F.K.A. CCN MANAGED CARE INC. & PPO OKLAHOMA) 73159 No No Yes Hospital, Professional, Secondary SCAN HEALTH PLAN ARIZONA 73172 Yes No Yes Hospital, Professional, Secondary LOREN COOK (UCS) 73236 No No Yes Hospital, Professional, Secondary EHI, EHIC 73288 Yes No Yes Dental, Secondary PBS - OREGON PENINSULA AIRWAYS 73624 No No Yes Dental, Hospital, Professional, Secondary EON HEALTH PLAN 73780 No No No Hospital, Professional AMERICAN NATIONAL INS. CO. (ANICO) 74048 No No Yes Hospital, Professional, Secondary USAA (UNITED SERVICES AUTOMOBILE ASSOCIATION) 74095 Yes No Yes Hospital, Professional, Secondary WISCONSIN DEPARTMENT OF CORRECTIONS 74101 Yes No Yes Hospital, Professional, Secondary RIGHT CARE FROM SCOTT AND WHITE 74205 No No Yes Hospital, Professional, Secondary BANKERS UNITED LIFE MID-WEST NATIONAL LIFE INSURANCE CO. OF TENNESSEE - STUDENT INSURANCE STUDENT INSURANCE - MID-WEST NATIONAL LIFE INSURANCE CO. OF TENESSEE STUDENT INSURANCE - THE MEGA LIFE & HEALTH INSURANCE COMPANY STUDENT RESOURCES (UNITED HEALTHCARE) THE CHESAPEAKE LIFE INSURANCE COMPANY - STUDENT INSURANCE 74227 Yes No Yes Hospital, Professional, Secondary ERISA ADMINISTRATION PPO 74234 No No Yes Professional, Secondary BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC. 74238 Yes No Yes Hospital, Professional, Secondary ASSURED BENEFIT ADMINISTRATORS 74240 Yes No Yes Hospital, Professional, Secondary NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY 74256 No No No Hospital, Professional DRISCOLL CHILDRENS HEALTH PLAN 74284 No No Yes Hospital, Professional, Secondary MHNET 74289 No No Yes Hospital, Professional, Secondary INTEGRANET /SELECTCARE OF TEXAS 74314 Yes No Yes Hospital, Professional, Secondary MEDBEN (NEWARK, OH) MEDICAL BENEFITS ADMINISTRATORS, INC. (NEWARK, OH) MEDICAL BENEFITS COMPANIES (NEWARK, OH) MEDICAL BENEFITS MUTUAL MEDICAL BENEFITS MUTUAL (NEWARK, OH) MEDICAL BENEFITS MUTUAL LIFE INSRANCE CO. 74323 Yes No Yes Hospital, Professional, Remits, Secondary OHIO PPO CONNECT 74431 No No Yes Hospital, Professional, Secondary ODS HEALTH 7498 Yes No Yes Professional, Secondary ASSURANT HEALTH SELF FUNDED 75068 No No Yes Hospital, Professional, Secondary STATES GENERAL LIFE INSURACE 75087 No No Yes Hospital, Professional, Secondary UMC LUBBOCK 75130 No No Yes Hospital, Professional, Secondary TEAM CHOICE PNS 75133 No No Yes Hospital, Professional, Secondary TEAM CHOICE UMC 75134 No No Yes Hospital, Professional, Secondary CORESOURCE AR CORESOURCE LITTLE ROCK 75136 No No Yes Hospital, Professional, Secondary AMERIBEN SOLUTIONS INC AMERIBEN SOLUTIONS, INC. 75137 Yes No Yes Hospital, Professional, Secondary FIRST CHOICE OF MIDWEST PPO 75138 No No No Hospital, Professional TEAM CHOICE GOLD 75139 No No Yes Hospital, Professional, Secondary AAG AMERICAN ADMIN GROUP 75185 Yes No Yes Hospital, Professional, Secondary NCAS - FAIRFAX, VA 75190 No No Yes Hospital, Professional, Secondary NCAS-CHARLOTTE 75191 No No Yes Hospital, Professional, Secondary BANNER HEALTH AND AETNA HEALTH INSURANCE COMPANY 7521 No No Yes Hospital, Secondary TEXAS CHILDRENS HEALTH PLAN (MEDICAID) 75228 No No Yes Hospital, Professional, Secondary MEDICAL CONTROL INC 75229 Yes No Yes Hospital, Professional, Secondary EMPLOYERS DIRECT HEALTH FIRST INTEGRATED HEALTH 75232 No No Yes Hospital, Professional, Secondary EMPLOYERS DIRECT HEALTH - SF 75233 No No Yes Hospital, Professional, Secondary HEALTHFIRST TPA TYLER, TX HEALTHFIRST TPA 75234 No No Yes Hospital, Professional, Secondary EMPLOYERS DIRECT HEALTH-FI 75235 No No Yes Hospital, Professional, Secondary EMPLOYERS DIRECT HEALTH EMPLOYEE PLAN 75236 Yes No Yes Hospital, Professional, Secondary HEALTHSMART ACCEL 75237 Yes No Yes Hospital, Professional, Secondary APOSTROPHE 7524 No No No Hospital HEALTHSMART PREFERRED CARE, INC. 75250 Yes No Yes Hospital, Professional, Secondary VERITY NATIONAL GROUP 75256 Yes No Yes Hospital, Professional, Secondary COMMUNITY HEALTH ELECTRONIC CLAIMS /CHEC/WEBTPA COMMUNITY HEALTH ELECTRONIC CLAIMS/CHEC/WEBTPA WEB TPA/CHEC WEBTPA./COMMUNITY HEALTH ELECTRONIC CLAIMS/CHEC 75261 No No Yes Hospital, Professional, Remits, Secondary GEISINGER HEALTH PLAN 75273 No Yes Yes Hospital, Professional, Remits, Secondary IHG DIRECT 75274 Yes No Yes Hospital, Professional, Secondary WORLD INSURANCE COMPANY 75276 No Yes No Remits ARKANSAS BEST CORPORATION - CHOICE BENEFITS 75278 No No Yes Hospital, Professional, Secondary SHASTA ADMINISTRATIVE SERVICES 75280 No No Yes Hospital, Professional, Secondary CONSOLIDATED ASSOCIATES RAILROAD DALLAS TX 75284 No No Yes Professional, Secondary HMC HEALTHWORKS AKA HEALTH MANAGEMENT CO. 75318 No No No Hospital, Professional CHRISTIE STUDENT HEALTH PLANS 75544 Yes No Yes Hospital, Professional, Secondary THE CITY OF ODESSA LOCATED IN ODESSA, TX 75600 No No Yes Hospital, Professional, Secondary ACTIVE CARE (UCS) 75678 No No No Hospital, Professional GATEWAY HEALTH PLAN OF OHIO INC. 76028 Yes No Yes Hospital, Professional, Secondary TEXAS CHILDRENS HEALTH PLAN 76048 No No Yes Hospital, Professional, Secondary SETON CHIP 76056 Yes No Yes Hospital, Professional, Secondary RENAISSANCE PHYSICIANS ORGANIZATION 76066 No No Yes Hospital, Professional, Secondary GUILDNET-UB 7607 No No No Hospital MIDWEST HEALTH PARTNERS 76079 No No Yes Hospital, Professional, Secondary LIFE ST. MARY 76184 No No Yes Hospital, Professional, Secondary COLORADO CHOICE HEALTH PLANS 7634 No No Yes Hospital, Secondary HEALTH PLAN OF NEVADA SIERRA HEALTH SERVICES 76342 No Yes Yes Hospital, Professional, Remits, Secondary SIERRA HEALTH SERVICES ENCOUNTERS 76343 Yes No Yes Encounters, Hospital, Professional, Secondary PASSPORT ADVANTAGE 76569 No Yes Yes Hospital, Professional, Secondary SOLSTICE 76578 Yes No Yes Dental, Secondary OSU SOONER CARE 76619 No No No Professional LIFEPATH HOSPICE INC 76870 No No Yes Hospital, Professional, Secondary GOOD SHEPHERD HOSPICE INC 76923 No No Yes Hospital, Professional, Secondary AMERIHEALTH NORTHEAST 77001 Yes No Yes Hospital, Professional, Secondary AMERIHEALTH DISTRICT OF COLUMBIA 77002 Yes No Yes Hospital, Professional, Secondary PRESTIGE HEALTH CHOICE 77003 Yes No Yes Hospital, Professional, Secondary BAKERSFIELD FAMILY MEDICAL GROUP 77005 Yes No Yes Hospital, Professional, Secondary FIRST CHOICE VIP CARE PLUS SC 77009 Yes No Yes Hospital, Professional, Secondary GUARDIAN HEALTHCARE INC 77010 No No Yes Hospital, Professional, Secondary AMERIHEALTH CARITUS VIP CARE PLUS (MICHIGAN) 77013 No No Yes Hospital, Professional, Secondary AGEWELL NEW YORK 7702 No No Yes Professional, Secondary ULTIMATE HEALTH PLAN 77022 Yes No Yes Hospital, Professional, Secondary CLOVER HEALTH 77023 Yes No Yes Hospital, Professional, Secondary PEACHCARE MEDICAID OF GEORGIA 77034 No No Yes Hospital, Professional, Secondary SANTE HEALTH SYSTEM AND AFFILIATES 77038 Yes No Yes Hospital, Professional, Secondary KERN HEALTH SYSTEMS 77039 Yes No Yes Hospital, Professional, Secondary KEYSTONE CONNECT AMERIHEALTH 77050 Yes No Yes Professional, Secondary COASTAL TPA INCORPORATED 77052 No No Yes Hospital, Professional, Secondary VISITING NURSES SERVICE 77073 Yes No Yes Hospital, Professional, Secondary AMERIHEALTH CARITAS IOWA 77075 Yes No Yes Hospital, Professional, Secondary NETWORK PLATINUM PLUS 77076 No No Yes Hospital, Professional, Secondary BANNER MEDISUN BLUE CROSS BLUE SHIELD OF ARIZONA ADVANTAGE (BCBS OF AZ ADVANTAGE) 77078 No No Yes Hospital, Professional, Secondary WPP-ELDERCARE WISCONSIN 77080 No No Yes Hospital, Professional, Secondary CARE IMPROVEMENT PLUS 77082 Yes No Yes Hospital, Professional, Secondary MASON INDUSTRY TRUST ADMINISTRATION INC 7711 No No Yes Professional, Secondary WASHINGTON COUNTY GENERAL FUND 77111 No No Yes Hospital, Professional, Secondary HEALTH SHARE OF OREGON (MENTAL HEALTH) 77122 No No Yes Hospital, Professional, Secondary SOUTHEASTERN INDIANA HEALTH (SIHO) 77153 Yes No No Hospital, Professional GOLD COAST HEALTH PLAN 77160 Yes No No Professional COMMON GROUND HEALTHCARE COOPERATIVE 77170 Yes No Yes Hospital, Professional, Secondary HEALTHY CT 77180 Yes No Yes Professional, Secondary CLEARCHOICE HEALTH PLAN / COIHS 77201 Yes No Yes Hospital, Professional, Secondary SUTTER GOULD MEDICAL FOUNDATION 77302 Yes No Yes Hospital, Professional, Secondary UMPQUA HEALTH ALLIANCE 77504 No No No Hospital, Professional BANNER HEALTH AND AETNA HEALTH INSURANCE COMPANY 7752 No No Yes Professional, Secondary APOSTROPHE 7753 No No No Professional DELTA DENTAL OF CALIFORNIA 77777 Yes No Yes Dental, Secondary AMERIHEALTH CARITAS DELAWARE 77799 No No Yes Hospital, Professional, Secondary SIHRTE 77871 No No No Hospital, Professional YAMHILL CCO (PHYSICAL HEALTH) DOS 1-1-19 AND AFTER 77940 No No Yes Hospital, Professional, Secondary YAMHILL COUNTY CCO 77946 No No Yes Hospital, Professional, Secondary HEALTH ALLIANCE 77950 No No Yes Hospital, Professional, Secondary GUILDNET 7813 No No No Professional HEALTH PLUS PHYSICIANS ORG 7817 No No No Professional NORTH IOWA COMMUNITY HEALTHCARE (NICH) 78353 No No Yes Hospital, Professional, Secondary CONNECTICARE - MEDICARE 78375 Yes No Yes Hospital, Professional, Secondary CARECENTRIX CIGNA 7839 No No No Professional CARECENTRIX HORIZON 7840 No No No Professional COASTAL CARE SERVICES INC 7841 No No No Professional CARPENTERS HEALTH AND WELFARE FUND OF PHILADELPHIA 7843 No No No Professional WPS OPTUM HEALTH 7845 No No Yes Professional, Secondary HILL PHYSICIANS BLUE SHIELD PPO 7846 No No Yes Professional, Secondary NORTHEAST MEDICAL SERVICES 7847 No No No Professional MEDICA HEALTHCARE PLAN 78857 Yes No Yes Hospital, Professional, Secondary AVMA GHLIT HARRINGTON BENEFIT SERVICES, INC. HARRINGTON DEPT OF CORRECTIONS MIDWEST SECURITY 79480 No Yes Yes Hospital, Professional, Remits, Secondary STAR ADMINISTRATORS FOR AMIDA MEDICARE 79966 Yes No Yes Hospital, Professional, Secondary MSC (MEDICAL SERVICE COMPANY) 80019 No Yes Yes Hospital, Professional, Secondary INNOVATIVE PHYSICIAN ASSOCIATES LLC 80087 Yes No Yes Hospital, Professional, Secondary PROMINENCE HEALTH PLAN OF TEXAS 80095 No No Yes Hospital, Professional, Secondary HEALTHFIRST INC HEALTHFIRST HEALTH PLAN OF NEW JERSEY 80141 No No Yes Hospital, Professional, Remits, Secondary HEALTH PARTNERS OF PA HEALTH PARTNERS, PA 80142 No No Yes Hospital, Professional, Remits, Secondary CHAMP VA CROSSOVER 80214 No Yes No Remits GROUP BENEFIT SERVICES INC 80241 No No Yes Hospital, Professional, Secondary GIC MEDALLION II METHODISTCARE, INC. UNICARE UNICARE INDIVIDUAL SMALL GROUP UNICARE MAJOR ACCOUNTS 80314 Yes No Yes Dental, Hospital, Professional, Remits, Secondary EASTPOINTE 80440 Yes No Yes Professional, Secondary HILLIARD CORPORATION 80520 No No Yes Hospital, Professional, Secondary CANADA LIFE ASSURANCE COMPANY GREAT-WEST HEALTHCARE 80705 Yes No No Dental, Hospital, Professional TOTAL PLAN CONCEPTS 80901 Yes No Yes Hospital, Professional, Secondary WEST SUBURBAN HEALTH PROVIDERS 80942 No No Yes Hospital, Professional, Secondary ALLEGIANCE BENEFIT PLAN MANAGEMENT, INC. 81040 Yes No Yes Hospital, Professional, Secondary FL HEALTH SOLUTION HMO CO(COMMERCIAL ACA METAL PLAN) 81044 No No Yes Hospital, Professional, Secondary BAYCARE HEALTH SYSTEM 81079 Yes No Yes Hospital, Professional, Secondary NIPPON LIFE BENEFITS (PREVIOUSLY KNOWN AS PRINCIPAL) NIPPON LIFE INSURANCE COMPANY NIPPON LIFE INSURANCE COMPANY OF AMERICA 81264 No No Yes Hospital, Professional, Remits, Secondary AMERICAN MEDICAL SECURITY, INC. 81400 Yes No Yes Hospital, Professional, Secondary SHELTER POINT LIFE 81434 Yes No Yes Dental, Secondary PRIME HEALTH CHOICE 81502 No No No Hospital, Professional MAYO MANAGEMENT SERVICES, INC./SOUTH COUNTRY HEALTH ALLIANCE 81600 Yes No Yes Hospital, Professional, Secondary MOLINA HEALTHCARE OF PUERTO RICO 81794 No No Yes Hospital, Professional, Secondary IBG ADMINISTRATORS LLC 81810 No No Yes Hospital, Professional, Secondary MUNICIPAL HEALTH BENEFIT FUND 81883 No No Yes Hospital, Professional, Secondary AMERICAN INSURANCE COMPANY OF TEXAS 81949 Yes No Yes Hospital, Professional, Secondary HCS HEALTH CLAIMS SERVICE BOISE ID 82018 No No Yes Hospital, Professional, Secondary DELTA DENTAL OF IDAHO 82029 Yes No Yes Dental, Secondary PRIMARY HEALTH NETWORK 82048 No No Yes Hospital, Professional, Secondary CUSTOM DESIGN BENEFITS CUSTOM DESIGN BENEFITS, INC. 82056 No No Yes Hospital, Professional, Secondary HOMEWOOD RESORTS 82234 No No No Hospital, Professional TRUE HEALTH NEW MEXICO 82288 No No Yes Hospital, Professional, Secondary ALLEGIAN HEALTH PLAN 82420 No No Yes Professional, Secondary THE MACALUSO GROUP 82694 No No Yes Hospital, Professional, Secondary MIAMI CHILDRENS HEALTH PLAN 82832 No No Yes Hospital, Professional, Secondary CDO TECHNOLOGIES MBA SALT LAKE CITY 83028 No No Yes Hospital, Professional, Secondary SENIOR WHOLE HEALTH 83035 No No Yes Hospital, Professional, Secondary ADVANTEK BENEFIT ADMINISTRATORS 83077 No No Yes Hospital, Professional, Secondary HEALTH PLAN OF MICHIGAN 83253 No No Yes Hospital, Professional, Secondary PBS - OREGON TDX CORPORATION 83926 No No Yes Dental, Hospital, Professional, Secondary LOCAL 137 OPERATING ENGINEERS WELFARE FUND 84041 No No Yes Hospital, Professional, Secondary SINCLAIR HEALTH PLAN 84076 No No Yes Hospital, Professional, Secondary SLOANS LAKE PREFERRED HEALTH NETWORKS 84096 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD OF NEW MEXICO 84100 No No Yes Dental, Secondary ANTHEM BLUECROSS BLUESHIELD 84105 Yes No Yes Dental, Secondary PINNACOL ASSURANCE 84109 No No Yes Hospital, Professional, Secondary COLORADO ACCESS 84129 Yes No Yes Hospital, Professional, Secondary DENVER HEALTH MEDICAL PLAN, INC. 84131 Yes No Yes Hospital, Professional, Secondary UNITED MEDICAL ALLIANCE 84132 Yes No No Hospital, Professional DENVER HEALTH AND HOSPITAL AUTHORITY 84133 No No Yes Hospital, Professional, Secondary DENVER HEALTH - INDIGENT 84134 Yes No Yes Hospital, Professional, Secondary DENVER HEALTH MEDICAL PLAN 84135 Yes No Yes Hospital, Professional, Secondary INTERWEST HEALTH (ACCEPTIUS GATEWAY PAYOR) 84137 Yes No Yes Hospital, Professional, Secondary CHAMPVA - HAC CHAMPVA/CHAMP VA CHILDREN OF WOMEN VIETNAM VETERANS-VA HAC SPINA BIFIDA - VA HAC 84146 Yes No Yes Hospital, Professional, Remits, Secondary KEYSTONE VIP CHOICE 84223 Yes No Yes Hospital, Professional, Secondary HMO LOUISIANA INC 84555 Yes No Yes Hospital, Professional, Secondary QUESTCARE MEDICAL SERVICES 84562 No No No Hospital, Professional BCBS DENTAL OF TX 84980 No No Yes Dental, Secondary MESA MENTAL HEALTH 85035 Yes No Yes Hospital, Professional, Secondary NEW MEXICO RETIREE HEALTH CARE AUTHORITY 85038 No No No Hospital, Professional PHX - A-G ADMIN (SOMA GROUP) 85053 No No Yes Hospital, Professional, Secondary WABASH MEMORIAL HOSPITAL ASSOCIATION 85256 Yes No Yes Hospital, Professional, Secondary COMMUNITY CARE ALLIANCE OF IL 85468 No No Yes Hospital, Professional, Secondary ALBUQUERQUE PUBLIC SCHOOLS 85600 No No Yes Hospital, Professional, Secondary HEALTHCOMP INC 85729 Yes No Yes Hospital, Professional, Secondary GUILDNET-UB 8596 No No No Hospital AMERICHOICE OF NEW YORK PERSONAL CARE PLUS (MEDICARE) 86002 No No Yes Hospital, Professional, Secondary AMERICHOICE OF PENNSYLVANIA PERSONAL CARE PLUS (MEDICARE) 86003 Yes Yes Yes Hospital, Professional, Secondary DELTA DENTAL OF ARIZONA 86027 Yes No Yes Dental, Secondary CIGNA MEDICARE ADVANTAGE 86033 Yes No Yes Hospital, Professional, Secondary MOUNTAIN STATE ADMIN. SERVICES (TUCSON, AZ) MOUNTAIN STATES ADMINISTRATIVE SERVICES 86040 No No Yes Hospital, Professional, Secondary CAPSTONE HEALTH PLAN 86044 Yes No Yes Hospital, Professional, Secondary AMERICHOICE OF NEW JERSEY INC AMERICHOICE OF NEW JERSEY, INC. (MEDICAID NJ) AMERICHOICE OF NJ PERSONAL CARE PLUS 86047 Yes No Yes Hospital, Professional, Remits, Secondary AMERICHOICE OF NEW YORK, INC. (MEDICAID NY) 86048 No No Yes Hospital, Professional, Secondary AMERICHOICE OF PA INC AMERICHOICE OF PENNSYLVANIA, INC. (MEDICAID PA) 86049 No No Yes Hospital, Professional, Remits, Secondary UNITED HEALTHCARE COMMUNITY PLAN - MS 86050 Yes No Yes Hospital, Professional, Secondary MERCY CARE PLAN (AHCCCS) 86052 Yes No Yes Hospital, Professional, Secondary SECURECARE DENTAL 86057 Yes No Yes Dental, Secondary ANCILLARY BENEFIT SYSTEMS AZ FOUNDATION MEDICAL CARE PHOENIX AZ VENTURENET HEALTHCARE 86062 No No Yes Hospital, Professional, Secondary HMA - HAWAII MAINLAND ADMINISTRATORS HMA HAWAII 86066 No No Yes Hospital, Professional, Secondary IMX EASY 86070 No No Yes Hospital, Professional, Secondary SRT ADMINISTRATORS INC. SUMMIT ADMINISTRATORS 86083 No No Yes Dental, Hospital, Professional, Secondary MERCHANTS BENEFIT ADMINISTRATION 86087 No No No Hospital, Professional AVESIS 86098 Yes No Yes Dental, Secondary SIEBA LTD 8614 No No Yes Hospital, Secondary IHC HEALTH SOLUTIONS INSURERS ADMINISTRATIVE CORP. 86304 Yes No Yes Hospital, Professional, Secondary PACE SOUTHEAST MICHIGAN 86711 No No Yes Hospital, Professional, Secondary UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS 87042 No No Yes Hospital, Professional, Secondary COVENTRY HEALTHCARE NATIONAL NETWORK/FIRST HEALTH 87043 No No Yes Hospital, Professional, Secondary CDO TECHNOLOGIES MBA OF WYOMING MBA OF WYOMING (WORLAND, WY) 87065 No No Yes Hospital, Professional, Secondary P5 HEALTH P5 HEALTH PLAN SOLUTIONS OF UTAH 87068 Yes No Yes Professional, Secondary LIBERTY HEALTH ADVANTAGE 87071 No No Yes Hospital, Professional, Secondary AVESIS THIRD PARTY ADMINISTRATORS 87098 No No Yes Professional, Secondary BENESIGHT 87265 No No Yes Hospital, Professional, Secondary UNITED HEALTHCARE UNITED HEALTHCARE INTERNATIONAL 87726 No No Yes Hospital, Professional, Secondary HEALTHSMART (WV) WELLS FARGO THIRD PARTY ADMINISTRATORS INC WELLS FARGO THIRD PARTY ADMINISTRATORS, INC. 87815 Yes No Yes Hospital, Professional, Remits, Secondary CONSOLIDATED HEALTH PLANS 87843 No No Yes Hospital, Professional, Secondary INSURANCE MANAGEMENT SERVICES (ELKO, NV) INSURANCE MANAGEMENT SERVICES (IMS) 88006 No No Yes Hospital, Professional, Secondary TEACHERS HEALTH TRUST 88019 Yes No Yes Professional, Secondary CDS GROUP HEALTH 88022 No No Yes Hospital, Professional, Secondary HOMETOWN HEALTH PLAN NEVADA 88023 No No Yes Hospital, Professional, Secondary BENEFIT PLAN ADMINISTRATORS (BPA) NORTHER NEVADA TRUST FUND NORTHERN NEVADA TRUST FUND 88027 No No Yes Hospital, Professional, Secondary SAINT MARYS HEALTH PLAN 88029 No No Yes Hospital, Professional, Secondary SCOTT WHITE HEALTHCARE 88030 Yes No Yes Hospital, Professional, Secondary PHX-AUXIANT 88050 No No Yes Hospital, Professional, Secondary PHX-BPA-BENEFIT PLAN ADMINISTRATORS 88052 No No Yes Professional, Secondary FIRST AGENCY 88055 Yes No No Hospital, Professional PREMIER HEALTHCARE EXCHANGE 88056 Yes No Yes Hospital, Professional, Secondary PHX - PREFERRED ADMIN 88057 No No Yes Hospital, Professional, Secondary PHX - MED-PAY 88058 No No Yes Hospital, Professional, Secondary TALL TREE ADMINISTRATION TALL TREES ADMINISTRATORS 88067 No No Yes Hospital, Professional, Secondary SAINT MARYS HEALTH PLAN ENCOUNTERS 88082 No No Yes Encounters, Hospital, Professional, Secondary PHX - MAYO CLINIC FL/GA 88090 No No Yes Hospital, Professional, Secondary COMMERCIAL TRAVELERS/PHX 88091 No No Yes Professional, Secondary HEALTHTEAMJ ADVANTAGE DOS AFTER 063018 88250 Yes No Yes Hospital, Professional, Secondary TEAL PREMIER 88300 Yes No Yes Hospital, Professional, Secondary NEIGHBORHOOD HEALTH PROVIDERS SUFFOLK HEALTH PLAN OF NEW YORK 88331 No No Yes Hospital, Professional, Secondary CHANGE HEALTHCARE ACCIDENT CLAIMS SOLUTION 88446 Yes No Yes Hospital, Professional, Secondary ALLIANCE CHP/RPU 88461 No No Yes Hospital, Professional, Secondary QUALITY HEALTH PLANS OF NEW YORK 88622 No No Yes Hospital, Professional, Secondary DENTEGRA 88888 Yes No Yes Dental, Secondary UNITED CONCORDIA COMPANIES, INC. 89070 Yes No Yes Dental, Secondary QUALITY CARE PARTNERS 89461 No No Yes Hospital, Professional, Secondary KERN LEGACY HEALTH PLAN 89890 No No Yes Hospital, Professional, Secondary HEALTHLINK HEALTHLINK PPO NATIONAL CAPITAL PREFERRED PROVIDER ORGANIZATION (NCPPO) 90001 Yes No Yes Hospital, Professional, Secondary NEVADA HEALTH CORP 90091 No No Yes Hospital, Professional, Secondary LAND OF LINCOLN HEALTH 90096 No No Yes Hospital, Professional, Secondary KEMPTON GROUP TPA: KEMPTON GROUP ADMIN 90210 No No Yes Hospital, Professional, Secondary WESTLAKE FINANCIAL GROUP INC (BUFFALO GROVE IL) 90560 No No Yes Hospital, Professional, Secondary MEDCOST SOLUTIONS/LHS 90753 No No Yes Hospital, Professional, Secondary DENTAL HEALTH SERVICES 90807 Yes No Yes Dental, Secondary NATIONAL FINANCIAL INSURANCE COMPANY 90956 No No Yes Hospital, Professional, Secondary GH BASIC HEALTH PLAN GH INDIVIDUAL AND FAMILY PLAN GHC - COMMERCIAL GHC - MEDICARE + CHOICE GROUP HEALTH COOPERATIVE EAST GROUP HEALTH COOPERATIVE - WEST HEALTHY OPTIONS (DSHS) 91051 Yes No Yes Hospital, Professional, Secondary WASHINGTON DENTAL SERVICE (DELTA DENTAL OF WASHINGTON) 91062 Yes No Yes Dental, Secondary WENATCHEE VALLEY MEDICAL CENTER 91064 Yes No Yes Hospital, Professional, Secondary TRUSTEED PLANS SERVICE CORPORATION 91078 Yes No Yes Hospital, Professional, Secondary FIRST CHOICE ADMINISTRATORS FIRST CHOICE HEALTH ADMINISTRATORS FIRST CHOICE HEALTH NETWORK SOUND HEALTH (NOW KNOWN AS FIRST CHOICE HEALTH NETWORK) 91131 Yes No Yes Hospital, Professional, Remits, Secondary ALASKA CHILDRENS SERVICES, INC. - GRP# P68 ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST - GRP# F23 ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST, GRP. #F23 ALASKA UNITED FOOD & COMMERCIAL WORKERS HEALTH & WELFARE TRUST - GRP# F45 AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH & WELFARE TRUST - GRP# F32 CEMENT MASONS & PLASTERERS HEALTH & WELFARE TRUST - GRP# F16 ENSTAR NATURAL GAS - GRP# P61 GLASSWORKERS HEALTH & WELFARE FUND - GRP# F29 HOTEL EMPLOYEES & RESTAURANT EMPLOYEES HEALTH TRUST - GRP# F19 N.W. IRONWORKERS HEALTH & SECURITY TRUST FUND - GRP# F15 N.W. ROOFERS & EMPLOYERS HEALTH & SECURITY TRUST FUND - GRP# F26 N.W. TEXTILE PROCESSORS - GRP# F14 PUGET SOUND BENEFITS TRUST - GRP# F25 PUGET SOUND ELECTRICAL WORKERS TRUST - GRP# 33 UNIVERSITY OF WASHINGTON STUDENTS & GRADUATE APPTS. - GRP# P67 WEST COAST STATIONARY ENGINEERS HEALTH & SECURITY TRUST FUND - GRP# F13 91136 Yes No Yes Hospital, Professional, Secondary STERLING OPTION 1 STERLING OPTION ONE 91151 No Yes Yes Hospital, Professional, Remits, Secondary LIFEWISE HEALTH PLAN OF ARIZONA 91155 Yes No Yes Hospital, Professional, Secondary COLUMBIA UNITED PROVIDERS 91162 No Yes No Remits HIGHLINE MEDICAL SERVICE ORGANIZATION - MOLINA 91164 No No Yes Hospital, Professional, Secondary PHYSICIANS OF SOUTHWEST WASHINGTON 91171 No No Yes Hospital, Professional, Secondary RBMS, LLC 91176 No No Yes Hospital, Professional, Secondary SANFORD HEALTH PLAN 91184 No No Yes Hospital, Professional, Secondary MDWISE HOOSIER CARE 91313 No No Yes Hospital, Professional, Secondary KAISER FOUNDATION HEALTH PLAN OF COLORADO 91617 No Yes Yes Hospital, Professional, Remits, Secondary GATEWAY HEALTH PLAN OH- MEDICARE ASSURED 91741 Yes No Yes Hospital, Professional, Secondary EMPLOYEE BENEFIT LOGISTICS(EBL) 92135 No No No Hospital, Professional VARIPRO ELECTRICAL WORKERS 92187 Yes No Yes Hospital, Professional, Secondary ALASKA ELECTRIC HEALTH & WELFARE FUND ALASKA ELECTRICAL HEALTH & WELFARE FUND 92600 No No Yes Hospital, Professional, Secondary TONGASS TIMBER TRUST 92620 No No Yes Hospital, Professional, Secondary INTER AMERICAS INSURANCE CORPORATION INC 92649 Yes No Yes Hospital, Professional, Secondary MAXOR ADMINISTRATIVE SERVICES 92805 No No Yes Hospital, Professional, Secondary STANDARD INSURANCE 93024 Yes No Yes Dental, Secondary PACIFICSOURCE HEALTH PLANS 93029 No Yes Yes Hospital, Professional, Remits, Secondary A & I BENEFIT PLAN ADMINISTRATORS 93044 Yes No Yes Hospital, Professional, Secondary WILLIAM C. EARHART 93050 Yes No Yes Hospital, Professional, Secondary KAISER FOUNDATION OF THE NORTHWEST 93079 No No Yes Hospital, Professional, Remits, Secondary PROMINENCE HEALTH PLAN OF NEVADA 93082 Yes No Yes Hospital, Professional, Secondary US BENEFITS 93092 No No Yes Hospital, Professional, Secondary LIFEWISE HEALTHPLAN OF OREGON 93093 No No Yes Hospital, Professional, Secondary FAMILY CARE PH TECH 93121 Yes No Yes Hospital, Secondary UNIVERSAL FIDELITY ADMINISTRATORS COMPANY 93220 No No Yes Hospital, Professional, Secondary ASURIS NORTHWEST HEALTH ASURIS NORTHWEST/MEDADVANTAGE 93221 No No Yes Hospital, Professional, Secondary ELECTRICAL WORKERS INSURANCE FUND LOCAL 5800 93235 No No Yes Hospital, Professional, Secondary EVERGREEN HEALTH COOPERATIVE 93240 No No Yes Hospital, Professional, Secondary ALLIANCE COAL HEALTH PLAN 93658 Yes No Yes Hospital, Professional, Secondary CARE OREGON CAREOREGON 93975 Yes No Yes Hospital, Professional, Remits, Secondary CALIFORNIA PACIFIC MEDICAL CENTER 94056 Yes No Yes Hospital, Professional, Secondary PALO ALTO MEDICAL FOUNDATION 94115 Yes No Yes Hospital, Professional, Secondary KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CA REGION 94134 No No Yes Hospital, Professional, Remits, Secondary KAISER FOUNDATION HLTH PLAN OF NORTHERN CA REGION 94135 No No Yes Hospital, Professional, Remits, Secondary DENTI-CAL 94146 No Yes Yes Dental, Secondary DELTA HEALTH SYSTEMS 94235 Yes No Yes Hospital, Professional, Secondary MEDICA 94265 No Yes Yes Hospital, Professional, Remits, Secondary DDIC 94276 Yes No Yes Dental, Secondary CHINESE COMMUNITY HEALTH PLAN CCHP 94302 Yes No Yes Hospital, Professional, Secondary CENTER FOR ELDERS INDEPENDENCE 94312 Yes No Yes Hospital, Professional, Secondary BROWN & TOLAND MEDICAL GROUP 94316 Yes No Yes Hospital, Professional, Secondary KAISER SELF FUNDED PLAN-HARRINGTON/FISERV 94320 No No Yes Hospital, Professional, Remits, Secondary CHILDRENS FIRST MEDICAL GROUP 94321 Yes No Yes Professional, Secondary FIRSTCARE STAR MEDICAID 94998 Yes No Yes Hospital, Professional, Secondary FIRSTCARE 94999 Yes Yes Yes Hospital, Professional, Secondary HEALTH FIRST HEALTH PLANS 95019 Yes No Yes Professional, Secondary AMERIHEALTH HMO NEW JERSEY AND DELAWARE 95044 No Yes Yes Hospital, Professional, Secondary KEYSTONE HEALTH PLAN EAST 95056 No Yes Yes Hospital, Professional, Secondary CAPITAL HEALTH PLAN 95112 Yes No Yes Hospital, Professional, Secondary HEALTH PLUS PHYSICIANS ORG 9514 No No No Hospital CEDERS SINAI MEDICAL CENTER 95164 No No Yes Hospital, Professional, Secondary CEDARS-SINAI MEDICAL NETWORK SERVICES 95166 Yes No Yes Hospital, Professional, Secondary CEDARS-SINAI MEDICAL NETWORK SERVICES 95167 Yes No Yes Encounters, Hospital, Professional, Secondary AMERICAN BENEFIT PLAN ADMINISTRATORS 95170 Yes No Yes Hospital, Professional, Secondary COMPCARE GROUP HEALTH CO-OP OF EAUCLAIRE GROUP HEALTH COOPERATIVE OF EAU CLAIRE 95192 Yes No Yes Hospital, Professional, Secondary SUMMA MANAGEMENT SERVICES ORGANIZATION (SMSO) / SUMMACARE SUMMACARE HEALTH PLAN 95202 Yes No No Hospital, Professional HEALTHEDGE ADMINISTRATORS 95213 No No Yes Dental, Hospital, Professional, Secondary AGIA INC 95241 No No Yes Hospital, Professional, Secondary HARRINGTON BENEFIT SERVICES (FORMERLY BOX 700) 95266 Yes No Yes Dental, Secondary MEDFOCUS 95321 No No Yes Professional, Secondary ALAMEDA ALLIANCE FOR HEALTH 95327 Yes Yes No Hospital, Professional ADVENTIST HEALTH SYSTEM WEST - ROSEVILLE, CA 95340 No No Yes Hospital, Professional, Secondary HERITAGE NATIONAL HEALTHPLAN UNITED HEALTHCARE OF THE RIVER VALLEY 95378 No Yes Yes Hospital, Professional, Remits, Secondary HIGH DESERT MEDICAL GROUP 95393 Yes No Yes Hospital, Professional, Secondary PERSONAL INSURANCE ADMINISTRATORS, INC.(AGOURA HILLS, CA) 95397 No No Yes Hospital, Professional, Secondary CAP MANAGEMENT SYSTEMS 95399 Yes No Yes Hospital, Professional, Secondary FL MCO PHC/PHP 95411 No No Yes Hospital, Professional, Secondary LAKESIDE HEALTH SERVICES 95415 Yes No Yes Hospital, Secondary ACCESS MEDICAL GROUP 95424 Yes No Yes Professional, Secondary AFFORDABLE BENEFIT ADMINISTRATORS INC AFFORDABLE BENEFITS 95426 No No Yes Hospital, Professional, Secondary FACEY MEDICAL FOUNDATION 95432 Yes No Yes Professional, Secondary ARNETT HEALTH PLANS 95440 Yes Yes Yes Hospital, Professional, Secondary MPLAN, INC./HEALTHCARE GROUP, LLC 95444 Yes No Yes Professional, Secondary GREAT LAKES HEALTH PLAN 95467 No No Yes Hospital, Professional, Secondary HEALTH NET OF CALIFORNIA AND OREGON HEALTHNET OF CALIFORNIA 95567 No Yes Yes Hospital, Professional, Remits, Secondary HEALTH NET - CALIFORNIA (PROFESSIONAL ENCOUNTERS ONLY) 95570 No No Yes Encounters, Professional, Secondary EMERGENCY MEDICAL SERVICES FUND ORANGE COUNTY CA 95600 Yes No Yes Professional, Secondary BEST LIFE & HEALTH INSURANCE CO. 95604 No No Yes Dental, Hospital, Professional, Secondary BERKSHIRE LEHIGH PARTNERS 95606 Yes No Yes Hospital, Professional, Secondary MEDIGOLD 95655 No No No Hospital, Professional ATHENS AREA HEALTH PLAN SELECT 95691 No No Yes Hospital, Professional, Secondary PALM BEACH COUNTY HEALTH CARE DISTRICT 95827 Yes No Yes Professional, Secondary PCA HEALTHPLANS TEXAS 95885 No No Yes Hospital, Professional, Secondary PACIFICARE OF CALIFORNIA PACIFICARE OF OKLAHOMA PACIFICARE OF OREGON PACIFICARE OF TEXAS PACIFICARE OF WASHINGTON 95958 Yes No Yes Encounters, Hospital, Professional, Secondary PACIFICARE/SECURE HORIZONS 95959 No Yes No Remits BEACON HEALTH STRATEGIES - HUMANA VCC PROGRAM 96079 No No Yes Hospital, Professional, Secondary NEIGHBORHOOD HEALTH PARTNERSHIP OF FLORIDA 96107 Yes No Yes Hospital, Professional, Secondary SUTTER EAST BAY REGIONAL HOSPITAL 96176 Yes No Yes Hospital, Professional, Secondary NEIGHBORHOOD HEALTH PLAN RI-EXCHANGE, UNITY, INTEGRITY 96240 Yes No Yes Hospital, Professional, Secondary UHC COMMUNITY PLAN KS 96385 Yes No Yes Hospital, Professional, Secondary NEW ERA EMPLOYEE WELFARE BENEFIT PLAN TRUST 96396 Yes No Yes Hospital, Professional, Secondary AGEWELL NEW YORK-UB 9645 No No Yes Hospital, Secondary HEALTHLINK HMO 96475 Yes No Yes Hospital, Professional, Secondary LEWERMARK STUDENT INSURANCE 96708 No No No Hospital, Professional HEWITT COLEMAN 97041 No No Yes Hospital, Professional, Secondary HAMMERMAN AND GAINER 97258 No No Yes Dental, Hospital, Professional, Secondary TRIPLE-S 97300 No No Yes Professional, Secondary RTG MEDICAL GROUP (UCS) 97736 No No No Hospital, Professional SUPERIOR INSURANCE SERVICES 97802 No No No Hospital, Professional NATIONAL FOUNDATION LIFE INSURANCE COMPANY 98205 Yes No Yes Professional, Secondary TRILOGY HEALTH 98514 No No Yes Hospital, Professional, Secondary WYOMING PACE 98543 No No No Hospital, Professional NEW ERA LIFE INSURANCE CO. 98798 No No No Hospital, Professional DELTA DENTAL OF HAWAII 99010 No No Yes Dental, Secondary UHA UNIVERSITY HEALTH ALLIANCE 99026 Yes No Yes Professional, Secondary CENCAL HEALTH 99111 Yes No Yes Hospital, Secondary HAWAII MANAGEMENT ALLIANCE ASSOCIATION (HMAA) 99208 Yes No No Hospital, Professional LOMA LINDA (INSTITUTIONAL ONLY) 99255 Yes No Yes Hospital, Secondary GREATER COVINA MEDICAL GROUP 99284 Yes No Yes Hospital, Professional, Secondary BENEFIT AND RISK MANAGEMENT SERVICES 99320 Yes No No Hospital, Professional ON LOK SENIOR HEALTH SERVICES, INC. 99485 No No Yes Hospital, Professional, Secondary PACEPARTNER SOLUTIONS 99486 No No Yes Hospital, Professional, Secondary ALLEGIANCE HEALTH MANAGEMENT (UCS) 99588 No No Yes Hospital, Professional, Secondary CHAMPION CHERVROLET 99795 No No No Hospital, Professional CITY OF ARLINGTON A0033 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF EL PASO A0046 No No Yes Hospital, Professional, Secondary, Workers Comp EL PASO COMMUNITY COLLEGE (TX JURISDICTION) A0106 No No Yes Hospital, Professional, Secondary, Workers Comp HOUSING AUTHORITY (EL PASO TX) A0107 No No Yes Hospital, Professional, Secondary, Workers Comp J B HUNT TRANSPORT INC A0138 No No Yes Hospital, Professional, Secondary, Workers Comp MONTGOMERY COUNTY TEXAS A0179 No No Yes Hospital, Professional, Secondary, Workers Comp RED OAK INDEPENDENT SCHOOL DISTRICT A0205 No No Yes Hospital, Professional, Secondary, Workers Comp TEXAS ASSOCIATION OF SCHOOL BOARDS A0234 No No Yes Hospital, Professional, Secondary, Workers Comp TEXAS A&M A0235 No No Yes Hospital, Professional, Secondary, Workers Comp TEXAS MUTUAL LEAGUE (TML) (EMPLOYEES OF IEBP ONLY) A0245 No No Yes Hospital, Professional, Secondary, Workers Comp CHUBB GROUP OF INSURANCE COMPANIES A1076 No No Yes Professional, Secondary, Workers Comp WALMART ASSOCIATES INC A1268 No No Yes Professional, Secondary, Workers Comp QBE AMERICAS INC A1341 No No Yes Professional, Secondary, Workers Comp COMPANION PROPERTY AND CASUALTY A1366 No No Yes Professional, Secondary, Workers Comp INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS (IBEW), LOCAL 461WELFARE FUND A1461 No No Yes Dental, Secondary C3 HEALTH (FKA ACCESS HEALTH INC.) A1680 No No Yes Hospital, Professional, Secondary MUSKEGON CARE A1681 Yes No Yes Hospital, Professional, Secondary MN BCBS HEALTH CARE NON EMERG A5143 No No Yes Professional, Secondary AMERIGROUP GEORGIA A6378 No No Yes Hospital, Secondary ASIAN AMERICAN MEDICAL GROUP AAMG1 No No Yes Hospital, Professional, Secondary AARP DENTAL INSURANCE PLAN AARP1 Yes No Yes Dental, Secondary ACCESS COMMUNITY HEALTH NETWORK ACCOM Yes No Yes Hospital, Professional, Secondary UNITED CARE MEDICAL GROUP ADCUC No No Yes Hospital, Professional, Secondary AFFILITATED DOCTORS OF ORANGE COUNTY ADOCS Yes No No Hospital, Professional SEQUOIA HEALTH IPA AGL01 No No Yes Hospital, Professional, Secondary COPC SENIOR CARE ADVANTAGE AGL02 No No Yes Hospital, Professional, Secondary CONNECT SENIOR CARE ADVANTAGE AGL03 Yes No Yes Hospital, Professional, Secondary ACCOUNTABLE HEALTHCARE IPA AHIPA No No Yes Hospital, Professional, Secondary AMERICAS HEALTH PLAN AHP01 No No Yes Hospital, Professional, Secondary ALAMITOS IPA AIPAZ No No Yes Professional, Secondary BLUE CROSS BLUE SHIELD ALASKA AKBC0 No No Yes Professional, Secondary MEDICARE OF ALASKA AKMC0 No Yes Yes Professional, Secondary MEDICAID OF ALASKA AKMK0 No Yes Yes Hospital, Professional, Secondary ALOHA CARE ADVANTAGE PLUS ALADP No Yes Yes Professional, Secondary AL BCBS BLUE CROSS BLUE SHIELD ALABAMA ALBC0 No Yes Yes Professional, Remits, Secondary ALIERA HEALTHCARE ALH01 No No Yes Hospital, Professional, Secondary ALLCARE CCO DENTAL ALLCD No No Yes Dental, Secondary ALLSTATE INS CO ALLSTATE INSURANCE COMPANY ALLST No Yes Yes Professional, Remits, Secondary AL MEDICARE MEDICARE OF ALABAMA ALMC0 No Yes Yes Professional, Remits, Secondary AL MEDICAID ALMK0 No Yes Yes Hospital, Professional, Remits, Secondary ALPHACARE ALPHA Yes No Yes Hospital, Professional, Secondary ALOHA CARE QUEST ALQST No Yes No Professional AMERIGROUP CORPORATION AMER0 No Yes No Remits AMERICAN FAMILY INSURANCE CO AMF11 No Yes Yes Hospital, Professional, Secondary ADVANCED MEDICAL MANAGEMENT/MSI EMSF CMS CTU AMM01 No No Yes Professional, Secondary EMERGENCY MEDICAL SERVICE FUND EMSF AMM03 No No Yes Hospital, Professional, Secondary ACCESS SANTA MONICA AMM06 No No No Hospital, Professional MEDICHOICE IPA (ADVANCED MEDICAL MANAGEMENT) AMM11 No No Yes Professional, Secondary COMMUNITY CARE IPA (CCI) - AMM AMM12 No No No Hospital, Professional MEDICAL SAFETY NET AMM13 No No No Hospital, Professional CALIFORNIA IPA AMM14 No No No Hospital, Professional COUNTY MEDICAL SERVICES PROGRAM (CMSP) - AMM AMM15 No No No Hospital, Professional SACRAMENTO HEALTH PARTNERS AMM16 Yes No Yes Hospital, Professional, Secondary SACRAMENTO PHYSICIANS EMERGENCY MEDICAL SERVICES AMM17 No Yes Yes Professional, Secondary COUNTY OF SACRAMENTO - EMSF AMM20 No No No Hospital, Professional PUBLIC HEALTH PLAN (PHP)-AMM AMPHP No No No Hospital, Professional AFFILIATED PHYSICIANS GROUP APG01 No No Yes Hospital, Professional, Secondary AGERIGHT ADVANTAGE ARA01 No No Yes Hospital, Professional, Secondary AR BCBS BLUE CROSS BLUE SHIELD ARKANSAS ARBC0 No Yes Yes Professional, Remits, Secondary ARGUS DENTAL PLANS ARG01 Yes No Yes Dental, Secondary ARGUS DENTAL ENCOUNTERS ARGUS DENTAL PLANS ARGUS No No Yes Dental, Hospital, Professional, Secondary AR MEDICARE MEDICARE OF ARKANSAS ARMC0 No Yes Yes Professional, Remits, Secondary AR MEDICAID MEDICAID OF ARKANSAS ARMK0 No Yes Yes Professional, Remits, Secondary ASSURANT HEALTH 2829 ASSURANT HEALTH SUPPLEMENTAL DENTAL ASHC1 No No Yes Hospital, Professional, Secondary ASSURANT HEALTH (REPRICING FOR HEALTHSPAN NETWORK ONLY) ASNTH No No Yes Hospital, Professional, Secondary ASPIRE HEALTH PLAN ASP01 No No Yes Hospital, Professional, Secondary ASRM, LLC RELIANCE STANDARD LIFE SPECIALTY PRODUCTS ADMIN.(ASRM) ASRM1 No No Yes Hospital, Professional, Secondary AMERICAN THERAPY ADMINISTRATORS ATHAL No No Yes Hospital, Professional, Secondary ASSOCIATED THIRD PARTY ADMINISTRATORS ASSOCIATED THIRD PARTY ADMINISTRATORS (ATPA) ATPA1 No No Yes Professional, Secondary AUXIANT AUX01 Yes No Yes Professional, Secondary AVALON HEALTHCARE SOLUTIONS SOUTH CAROLINA AVA01 Yes No Yes Professional, Secondary AXMINSTER MEDICAL GROUP AXM01 No No No Hospital, Professional AZ BCBS BLUE CROSS BLUE SHIELD ARIZONA AZBC0 No No Yes Professional, Remits, Secondary BRIGHTER ADMINISTRATORS B2129 Yes No Yes Dental, Secondary FEP BLUE DENTAL DECARE FEP BLUEDENTAL (INTERNATIONAL) BCAFD No No Yes Dental, Secondary BCBS DENTAL OF MI BLUE CROSS BLUE SHIELD OF MICHIGAN BCBSM No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF GA - FEDERAL BCGFP Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF INDIANA - ANTHEM BCINA Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF OKLAHOMA BCSOK No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA BCSSC No No Yes Dental, Secondary ANTHEM - BLUE CROSS BLUE SHIELD OF WISCONSIN FEP BCWFP Yes No Yes Dental, Secondary BRIGHT HEALTH PHYSICIANS BHP01 No No Yes Professional, Secondary BAPTIST HEALTH PLAN ADVANTAGE BHPMA Yes No Yes Hospital, Professional, Secondary BROOKSHIRE IPA COASTAL HEALTHCARE MANAGEMENT LLC BIPAZ Yes No Yes Professional, Secondary BLUE CROSS BLUE SHIELD OF MAINE - ANTHEM BME01 Yes No Yes Dental, Secondary BENEMAX BMX01 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF NEW HAMPSHIRE - ANTHEM BNH01 Yes No Yes Dental, Secondary BOLLINGER INC BOLL1 No No Yes Hospital, Professional, Secondary THE BOON GROUP BOONG No No Yes Hospital, Professional, Secondary BOSTON MEDICAL CENTER HEALTHNET PLAN INC BOSMD No Yes No Remits BENEFIT PLAN SERVICES BPS77 No No Yes Dental, Secondary BRIDGESPAN BRIDGESPAN HEALTH BRIDG No No Yes Dental, Hospital, Professional, Secondary BRIGHT HEALTH BRT01 No No Yes Hospital, Professional, Secondary BLUE SHIELD OF CALIFORNIA (BOX 272590) BSCA1 Yes No Yes Dental, Secondary BLUE SHIELD OF CALIFORNIA FEDERAL (BOX 272510) BSCA2 No No Yes Dental, Secondary BLUE SHIELD OF CALIFORNIA (BOX 272540) BSCA3 Yes No Yes Dental, Secondary BLOCK VISION INC BV001 Yes No Yes Professional, Secondary FARMERS INSURANCE (AUTO ONLY) C1025 No No Yes Hospital, Professional, Secondary, Workers Comp ONE BEACON INSURANCE (AUTO) C1026 No No Yes Hospital, Professional, Secondary, Workers Comp UTICA C1027 No No Yes Hospital, Professional, Secondary, Workers Comp NEW SOUTH INSURANCE COMPANY C1028 No No Yes Hospital, Professional, Secondary, Workers Comp UNION INSURANCE COMPANY OF PROVIDENCE C1029 No No Yes Hospital, Professional, Secondary, Workers Comp UNITRIN SAFEGUARD INSURANCE C1030 No No Yes Hospital, Professional, Secondary, Workers Comp NORTHLAND AUTO C1031 No No Yes Hospital, Professional, Secondary, Workers Comp TRAVELERS (AUTO) C1032 No No Yes Professional, Secondary, Workers Comp SENTRY (AUTO) C1033 No No Yes Hospital, Professional, Secondary, Workers Comp TRUCK INSURANCE EXCHANGE (COMMERCIAL ONLY) C1034 No No Yes Hospital, Professional, Secondary, Workers Comp CNA INSURANCE (AUTO ONLY) C1035 No No Yes Hospital, Professional, Secondary, Workers Comp ALLSTATE - EXCEPT NEW JERSEY C1037 No No Yes Hospital, Professional, Secondary, Workers Comp GRAND RIVER INSURANCE (AUTO ONLY) C1038 No No Yes Hospital, Professional, Secondary, Workers Comp TWIN CITIES FIRE INSURANCE COMPANY C1040 No No Yes Hospital, Professional, Secondary, Workers Comp HARTFORD CASUALTY INSURANCE COMPANY C1041 No No Yes Hospital, Professional, Secondary, Workers Comp HARTFORD UNDERWRITERS INSURANCE COMPANY C1042 No No Yes Hospital, Professional, Secondary, Workers Comp HARTFORD INSURANCE COMPANY OF THE MIDWEST C1043 No No Yes Hospital, Professional, Secondary, Workers Comp HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY C1044 No No Yes Hospital, Professional, Secondary, Workers Comp HARTFORD LIFE INSURANCE COMPANY C1045 No No Yes Hospital, Professional, Secondary, Workers Comp HARTFORD ACCIDENT AND INDEMNITY COMPANY C1046 No No Yes Hospital, Professional, Secondary, Workers Comp HARTFORD LIFE AND ANNUITY INSURANCE COMPANY C1047 No No Yes Hospital, Professional, Secondary, Workers Comp NEW JERSEY MANUFACTURING (AUTO ONLY) C1048 No No Yes Hospital, Professional, Secondary, Workers Comp THE GENERAL C1050 No No Yes Hospital, Professional, Secondary, Workers Comp CHUBB AUTO C1052 No No Yes Hospital, Professional, Secondary CARE1ST HEALTH PLAN OF CA C1SCA No No Yes Hospital, Professional, Secondary SOUTH CAROLINA BCBS-MEDICARE (PFFS) C62SC No No Yes Hospital, Secondary BLUE CROSS OF CALIFORNIA CA BLUE CROSS CABC0 No Yes Yes Hospital, Professional, Remits, Secondary BLUE SHIELD OF CALIFORNIA CA BLUE SHIELD CABS0 No Yes Yes Hospital, Professional, Remits, Secondary CALOPTIMA DIRECT CALOP No No No Hospital, Professional MEDICARE CA SOUTH MEDICARE CALIFORNIA SOUTH CAMC0 No Yes Yes Professional, Remits, Secondary MEDICARE CA NORTH MEDICARE CALIFORNIA NORTH CAMC1 No Yes Yes Professional, Remits, Secondary CA MEDICAID MEDI CAL CAMK0 No Yes Yes Hospital, Professional, Remits, Secondary CAPROCK HEALTH PLANS SA (FORMERLY VERITY NATIONAL) CAPH2 No No No Hospital, Professional CAP ROCK HEALTH PLANS CAPROCK HEALTH PLAN CAPHP Yes No Yes Dental, Hospital, Professional, Secondary ALTA MED HEALTH SERVICES CAPMN Yes No Yes Professional, Secondary CAREMORE IPA CARMO No No Yes Hospital, Professional, Secondary HEALTHY MICHIGAN DENTAL CARRS No No Yes Dental, Secondary CRAWFORD CLAIMS SERVICES CB099 No No Yes Professional, Secondary, Workers Comp MEDIBILL INC CB108 No No Yes Professional, Secondary, Workers Comp FLORIDA FRUIT & VEGETABLE ASSOCIATION (FFVA) CB171 No No Yes Professional, Secondary, Workers Comp BRIGHT HEALTH PLAN CB186 No No Yes Hospital, Professional, Secondary LUTHER CARE CB212 No No No Hospital, Professional INDEPENDENCE AMERICAN INSURANCE COMPANY CB231 Yes No Yes Hospital, Professional, Secondary CORNERSTONE PREFERRED RESOURCES CB268 Yes No Yes Hospital, Professional, Secondary PREFERRED HEALTH PLAN OF THE CAROLINAS CB404 Yes No Yes Hospital, Professional, Secondary PMA INSURANCE GROUP CB620 No No Yes Professional, Secondary, Workers Comp BLUE CROSS OF ILLINOIS (IL) CB621 No No Yes Dental, Secondary UTICA NATIONAL INSURANCE GROUP CB622 No No Yes Professional, Secondary, Workers Comp GULF STREAM-GENERAL DYNAMICS CB624 Yes No Yes Hospital, Professional, Secondary PENN NATIONAL INSURANCE CB634 No No Yes Professional, Secondary, Workers Comp BERKLEY MID ATLANTIC GROUP CB651 No No Yes Professional, Secondary, Workers Comp PATIENT SERVICES INC CB733 No No Yes Hospital, Professional, Secondary LOCKARD AND WILLIAMS CB752 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD OF OREGON/ REGENCE CB850 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF RHODE ISLAND CB870 Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF TEXAS CB900 No No Yes Dental, Secondary ANTHEM - BLUECROSS BLUESHIELD OF VIRGINIA CB923 Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF WISCONSIN (UNITED OF WISCONSIN) CB950 Yes No Yes Dental, Secondary GROUP BENEFIT SERVICES INC CB951 Yes No Yes Hospital, Professional, Secondary DART MEMBER CARE CB987 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD OF ALABAMA CBAL1 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF ARKANSAS CBAR1 Yes No Yes Dental, Secondary BLUE CROSS DENTAL CBC01 No No Yes Dental, Secondary BLUE CROSS OF IDAHO CBID1 No Yes Yes Dental, Secondary BLUE SHIELD OF IDAHO / REGENCE CBID2 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF KANSAS CBKS1 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF MASSACHUSETTS CBMA1 No Yes Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF MINNESOTA CBMN1 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF MISSISSIPPI CBMS1 No Yes Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF MONTANA CBMT1 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF NEBRASKA CBNE1 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF TENNESSEE CBTN1 No Yes Yes Dental, Secondary CENTRAL CALIFORNIA ALLIANCE FOR HEALTH CCA01 No No Yes Hospital, Professional, Secondary COOK CHILDRENS HEALTH PLAN - CHIP CCHP1 Yes No Yes Hospital, Professional, Secondary COOK CHILDRENS STAR PLAN CCHP9 No No Yes Hospital, Professional, Secondary CORRECT CARE INTEGRATED HEALTH (CA PRISON HEALTH) CCIHS Yes No Yes Hospital, Professional, Secondary COMPREHENSIVE CARE MANAGEMENT CCMC1 Yes No Yes Professional, Secondary CLACKAMAS COUNTY MENTAL HEALTH CCMMH No No Yes Professional, Secondary COASTAL COMMUNITIES PHYSICIAN NETWORK CCPN1 No No Yes Hospital, Professional, Secondary CCSTPA COMPREHENSIVE CARE SERVICES CCSTPA No No Yes Hospital, Professional, Secondary CLINICAS DEL CAMINO REAL CDCR1 No No Yes Hospital, Professional, Secondary DELTA DENTAL OF IOWA CDIA1 Yes No Yes Dental, Secondary DELTA DENTAL OF IOWA - GOVERNMENT PROGRAMS CDIAM Yes No Yes Dental, Secondary DELTA DENTAL OF KANSAS CDKS1 No No Yes Dental, Secondary DELTA DENTAL OF KENTUCKY CDKY1 No No Yes Dental, Secondary DELTA DENTAL OF MINNESOTA CDMN1 No No Yes Dental, Secondary DELTA DENTAL OF NORTH DAKOTA CDND1 No No Yes Dental, Secondary DELTA DENTAL OF NEBRASKA CDNE1 No No Yes Dental, Secondary DELTA DENTAL OF OREGON CDOR1 No No Yes Dental, Secondary CDPHP CDPHP No No Yes Hospital, Professional, Secondary DELTA DENTAL OF VIRGINIA CDVA1 Yes No Yes Dental, Secondary DELTA DENTAL OF WYOMING CDWY1 Yes No Yes Dental, Secondary CONTESSA HEALTH CH201 Yes No Yes Hospital, Professional, Secondary CASCADE COMPREHENSIVE CARE DOS>12/31/17 CHA01 Yes No Yes Hospital, Professional, Secondary COMMUNITY HEALTH CENTER NETWORK CHCN1 No No Yes Professional, Secondary CENTRAL HEALTH MEDICARE PLAN CHCPI No No Yes Hospital, Professional, Secondary CHOC HEALTH ALLIANCE CHOC1 No No No Hospital, Professional TRICARE FOR LIFE CHPPR No Yes Yes Hospital, Professional, Remits, Secondary COMMUNITY HEALTH PLAN WA COMMUNITY HLTH PLAN WA CHPWA Yes No Yes Hospital, Professional, Remits, Secondary CHAMPUS TRICARE (WEST) TRICARE (WEST) TRICARE EUROPE CHPWR No Yes Yes Hospital, Professional, Remits, Secondary CIGNA DHMO CIGEN Yes No Yes Dental, Secondary CIGNA INTERNATIONAL CIGN1 Yes No Yes Dental, Secondary MEDICAID OF ALABAMA CKAL1 No No Yes Dental, Secondary MEDICAID OF ARKANSAS CKAR1 No No Yes Dental, Secondary MEDICAID OF COLORADO CKCO1 No No Yes Dental, Secondary MEDICAID OF CONNECTICUT CKCT1 No No Yes Dental, Secondary MEDICAID OF DELAWARE CKDE1 No Yes Yes Dental, Secondary MEDICAID OF FLORIDA CKFL1 No Yes Yes Dental, Secondary MEDICAID OF GEORGIA CKGA1 No Yes Yes Dental, Secondary MEDICAID OF IOWA CKIA1 No Yes Yes Dental, Secondary MEDICAID OF IDAHO CKID1 Yes No Yes Dental, Secondary MEDICAID OF ILLINOIS CKIL1 Yes No Yes Dental, Secondary MEDICAID OF INDIANA CKIN1 No No Yes Dental, Secondary MEDICAID OF KANSAS CKKS1 No No Yes Dental, Secondary MEDICAID OF KENTUCKY CKKY1 No Yes Yes Dental, Secondary MEDICAID OF KENTUCKY - DENTAQUEST CKKY3 Yes No Yes Dental, Secondary MEDICAID OF LOUISIANA EPSDT CKLA1 No Yes Yes Dental, Secondary MASSACHUSETTS HEALTH PROGRAM CKMA1 Yes No Yes Dental, Secondary MEDICAID OF MAINE (MAINECARE) CKME1 No Yes Yes Dental, Secondary MEDICAID OF MICHIGAN CKMI1 No Yes Yes Dental, Secondary MEDICAID OF MINNESOTA CKMN1 No Yes Yes Dental, Secondary MEDICAID OF MISSOURI CKMO1 No No Yes Dental, Secondary MEDICAID OF MISSISSIPPI CKMS1 No Yes Yes Dental, Secondary MEDICAID OF MONTANA CKMT1 No No Yes Dental, Secondary MEDICAID OF NORTH CAROLINA CKNC1 No Yes Yes Dental, Secondary MEDICAID OF NEW HAMPSHIRE CKNH1 No No Yes Dental, Secondary MEDICAID OF NEW JERSEY CKNJ1 No Yes Yes Dental, Secondary MEDICAID OF NEW MEXICO CKNM1 No No Yes Dental, Secondary MEDICAID OF NEVADA CKNV1 No Yes Yes Dental, Secondary MEDICAID OF NEW YORK CKNY1 No Yes Yes Dental, Secondary MEDICAID OF OHIO CKOH1 No No Yes Dental, Secondary MEDICAID OF OHIO (CARESOURCE) CKOH2 Yes No Yes Dental, Secondary MEDICAID OF OKLAHOMA CKOK1 No No Yes Dental, Secondary MEDICAID OF PENNSYLVANIA CKPA1 No No Yes Dental, Secondary MEDICAID OF RHODE ISLAND CKRI1 No No Yes Dental, Secondary HEALTHY CONNECTIONS (MEDICAID OF SOUTH CAROLINA) CKSC1 Yes No Yes Dental, Secondary MEDICAID OF TEXAS CKTX1 No No Yes Dental, Secondary MEDICAID OF UTAH CKUT1 No No Yes Dental, Secondary MEDICAID OF VERMONT CKVT1 No Yes Yes Dental, Secondary MEDICAID OF WASHINGTON CKWA1 No Yes Yes Dental, Secondary MEDICAID OF WISCONSIN CKWI1 No No Yes Dental, Secondary MEDICAID OF WEST VIRGINIA CKWV1 No No Yes Dental, Secondary MEDICAID OF WYOMING CKWY1 No Yes Yes Dental, Secondary CLEAR HEALTH ALLIANCE CLEAR No No Yes Hospital, Professional, Secondary CAMP LEJEUNE FAMILY MEMBER PROGRAM (CLFMP) CLFM1 No No Yes Hospital, Professional, Secondary CL FRATES AND CO CLFOK No No Yes Professional, Secondary CHIROMETRICS CM001 No No Yes Professional, Secondary CHILDRENS MEDICAL CENTER HEALTH PLAN CMCHP Yes No Yes Hospital, Professional, Secondary CMS EMPLOYEE BENEFIT PLAN CMSEB Yes No Yes Hospital, Professional, Secondary EASTLAND MEDICAL GROUP CMSI1 Yes No Yes Professional, Secondary CUSTODY MEDICAL SERVICES (CMS) - AMM CMSP3 No No No Hospital, Professional CNS HEALTHCARE/JMS & ASSOC CNSOR No No Yes Hospital, Professional, Secondary CONTRA COSTA HEALTH PLAN CNTRA No Yes Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD COLORADO CO BCBS COBC0 No Yes Yes Hospital, Professional, Remits, Secondary CO BCBS-ENCOUNTER COBCE No Yes Yes Professional, Secondary CO BCBS-ENCOUNTER COBCF No Yes Yes Professional, Secondary COLORADO COMMUNITY HEALTH ALLIANCE COCHA No No Yes Hospital, Professional, Secondary CO MEDICARE COMC0 No Yes Yes Professional, Remits, Secondary CO MEDICAID MEDICAID OF COLORADO COMK0 No Yes Yes Professional, Remits, Secondary COMMUNITY FIRST COMMF No No Yes Hospital, Professional, Secondary CORIZON HEALTH, INC. CORIZ No No Yes Hospital, Professional, Secondary REVOLV CORV1 Yes No Yes Dental, Secondary SAMARITAN HEALTH PLAN OPERATIONS CP001 Yes No Yes Hospital, Professional, Secondary CENTERS PLAN FOR HEALTHY LIVING CPHL Yes Yes Yes Hospital, Professional, Secondary CHILDRENS PHYSICIANS MEDICAL GROUP PHYSICIANS MANAGEMENT GROUP CPMG1 No No Yes Professional, Secondary CHOICE PHYSICIANS NETWORK CPN01 No No Yes Hospital, Professional, Secondary CHOICE PHYSICIANS NETWORK (ANTELOPE VALLEY MEDICAL GROUP) CPNAV No No Yes Hospital, Professional, Secondary CHOICE PHYSICIANS NET FIRST CHOICE CPNFC No No Yes Hospital, Professional, Secondary CHOICE PHYSICIANS NET QUALCARE CPNQC No No Yes Hospital, Professional, Secondary SIERRA SACRAMENTO VALLEY REGIONAL (HEALTHY KIDS HEALTHY FUTURE) CPP02 Yes No Yes Dental, Secondary PARTNERSHIP HEALTH PLAN OF CALIFORNIA HEALTHY KIDS CPP03 Yes No Yes Dental, Secondary SAN MATEO HEALTHY KIDS CPP06 Yes No Yes Dental, Secondary PARTNERSHIP HEALTHPLAN OF CALIFORNIA (PHC) PARTNERSHIP ADVANTAGE (HMO) CPP08 Yes No Yes Dental, Secondary HEALTHY FAMILIES (CA) CPPCA Yes No Yes Dental, Secondary TEXAS CHIP DENTAL SERVICES CPPTX Yes No Yes Dental, Secondary CHEROKEE NATION CQ125 No No Yes Professional, Secondary, Workers Comp UNITED SERVICES AUTOMOBILE (USAA) CQ537 No No Yes Professional, Secondary, Workers Comp CREATE CREA8 No No Yes Hospital, Professional, Secondary CALIFORNIA RURAL INDIAN HEALTH BOARD (CRIHB) CRIHB No No Yes Hospital, Professional, Secondary CLINICAL SPECIALTIES INCORPORATED CSI01 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD CONNECTICUT CTBC0 No No Yes Hospital, Professional, Secondary MEDICARE OF CONNECTICUT CTMC0 No Yes Yes Professional, Secondary CT MEDICAID CTMK0 No Yes Yes Hospital, Professional, Remits, Secondary CHINO VALLEY MEDICAL CENTER CVMC1 No No No Hospital MEDICAID OF MINNESOTA (ADMINISTERED BY HEALTHPARTNERS OF MINNESOTA) CX010 No Yes Yes Dental, Secondary EMPLOYEE BENEFIT ADMINISTRATORS (IN PEMBROKE, MASSACHUSETTS) CX012 No No Yes Dental, Secondary HERSHEY HEALTHSMILE CX013 Yes No Yes Dental, Secondary DENTAQUEST - GOVERNMENT CX014 Yes No Yes Dental, Secondary GROUPLINK CX015 No No Yes Dental, Hospital, Professional, Secondary HEALTH RESOURCES, INC CX019 Yes No Yes Dental, Secondary COMPBENEFITS CX021 Yes No Yes Dental, Secondary BRIDGEPORT DENTAL SERVICE CX028 Yes No Yes Dental, Secondary PREMIER DENTAL GROUP CX029 No No Yes Dental, Secondary SAFEGUARD HEALTH ENTERPRISES, INC CX030 Yes No Yes Dental, Secondary EMPLOYER PLAN SERVICES, INC. CX031 No No Yes Dental, Secondary CAPITAL DENTAL OF HOUSTON, TX CX037 No No Yes Dental, Secondary A & I BENEFIT PLAN CX044 No No Yes Dental, Secondary ERIN GROUP ADMINISTRATORS CX046 Yes No Yes Dental, Secondary ATLANTIC DENTAL INC CX052 Yes No Yes Dental, Secondary PACIFICARE DENTAL AND VISION PPO-IND CX053 Yes No Yes Dental, Secondary CSEA EMPLOYEE BENEFIT FUND CX054 Yes No Yes Dental, Secondary PACIFICARE DENTAL AND VISION HMO CLAIMS CX060 Yes No Yes Dental, Secondary PHYSICIANS MUTUAL (DENTAL) CX068 Yes No Yes Dental, Secondary KAISER PERMANENTE DENTAL CHOICE CX073 No No Yes Dental, Secondary SIDS (SELF INSURED DENTAL SERVICES) CX076 Yes No Yes Dental, Secondary PREMIER ACCESS INSURANCE (CA) CX078 Yes No Yes Dental, Secondary PUBLIC EMPLOYEE HEALTH PROGRAM (PEHP) CX080 No Yes Yes Dental, Secondary LIBERTY DENTAL PLAN CX083 Yes No Yes Dental, Secondary EXCLUSICARE CX087 No No Yes Dental, Secondary FCL DENTAL CX090 Yes No Yes Dental, Secondary SECURITY LIFE INSURANCE CX092 No No Yes Dental, Secondary SOUTHWEST SERVICE ADMINISTRATORS CX100 No No Yes Hospital, Professional, Secondary CARPENTERS HEALTH & WELFARE FUND OF PHILADELPHIA & VICINITY CX101 Yes No Yes Dental, Secondary SELECTHEALTH CX107 No No Yes Dental, Secondary TOTAL DENTAL ADMINISTRATORS, INC. CX112 No No Yes Dental, Secondary HORIZON BCBSNJ D1609 No No Yes Dental, Secondary DAKOTACARE DAK01 No No Yes Professional, Secondary DIRECT CARE ADMINISTRATORS DCA62 No No Yes Professional, Secondary BLUE CROSS BLUE SHIELD DISTRICT OF COLUMBIA DC BCBS DCBC0 No Yes Yes Hospital, Professional, Remits, Secondary DELL CHILDRENS HEALTH PLAN DCHPMCAID No No Yes Hospital, Professional, Secondary DC MEDICARE WASHINGTON DC MEDICARE DCMC0 No No Yes Professional, Remits, Secondary MEDICAID OF DISTRICT OF COLUMBIA DCMK0 No Yes Yes Dental, Hospital, Professional, Secondary DENTAL CARE PLUS (OH) DCP01 No No Yes Dental, Secondary DELTA DENTAL OF ALASKA DDAK1 No No Yes Dental, Secondary DELTA DENTAL INS. CO. - ALABAMA DDAL1 Yes No Yes Dental, Secondary DELTACARE USA - CLAIMS DDCA2 Yes No Yes Dental, Secondary DELTACARE USA - ENCOUNTERS DDCA3 Yes No Yes Dental, Secondary DELTA DENTAL INS. CO. - FLORIDA DDFL1 Yes No Yes Dental, Secondary DELTA DENTAL INS. CO. - GEORGIA DDGA1 Yes No Yes Dental, Secondary DELTA DENTAL INS. CO. - LOUISIANA DDLA1 Yes No Yes Dental, Secondary DELTA DENTAL OF MARYLAND DDMD1 Yes No Yes Dental, Secondary DELTA DENTAL INS. CO. - MISSISSIPPI DDMS1 Yes No Yes Dental, Secondary DELTA DENTAL INS. CO. - MONTANA DDMT1 Yes No Yes Dental, Secondary DELTACARE FLAGSHIP DDNJF No No Yes Dental, Secondary DELTA DENTAL INS. CO. - NEVADA DDNV1 Yes No Yes Dental, Secondary DELTA DENTAL OF COLORADO DDPCO Yes No Yes Dental, Secondary TRICARE RETIREE DENTAL PROGRAM DDPFS No No Yes Dental, Secondary DELTA DENTAL OF INDIANA DDPI No No Yes Dental, Secondary DELTA DENTAL OF NEW MEXICO DDPNM No No Yes Dental, Secondary DELTA DENTAL OF OHIO DDPO No No Yes Dental, Secondary DELTA DENTAL OF OKLAHOMA DDPOK Yes No Yes Dental, Secondary DELTA DENTAL OF TENNESSEE DDPTN No No Yes Dental, Secondary DELTA DENTAL INS. CO. - TEXAS DDTX1 Yes No Yes Dental, Secondary DELTA DENTAL INS. CO. - UTAH DDUT1 Yes No Yes Dental, Secondary DE BCBS DEBC0 No Yes Yes Professional, Remits, Secondary DELTA DENTAL OF ARKANSAS DELAR No No Yes Dental, Secondary DELTA DENTAL OF MICHIGAN DELTA No No Yes Dental, Secondary DELTA DENTAL OF TENNESSEE DELTN No No Yes Dental, Secondary DE MEDICARE DEMC0 No No Yes Hospital, Professional, Secondary DE MEDICAID MEDICAID OF DELAWARE DEMK0 No Yes Yes Professional, Remits, Secondary DESERT MEDICAL GROUP DESRT No No Yes Hospital, Professional, Secondary DEVOTED HEALTH DEVOT Yes No Yes Hospital, Professional, Secondary DIGNITY HEALTH MEDICAL GROUP-INLAND EMPIRE DHFIE No No Yes Hospital, Professional, Secondary DELTA HEALTH SYSTEMS DELTA HEALTH SYSTEMS/EAST BAY DRAINAGE DRIVERS SECURITY FUND/FRESNO UNIFIED DHS01 No No Yes Dental, Hospital, Professional, Secondary DENTAL HEALTH & WELLNESS, INC. - ARIZONA - BRIDGEWAY DHWAB Yes No Yes Dental, Secondary DENTAL HEALTH & WELLNESS, INC. - ARIZONA - CENPATICO DHWAC Yes No Yes Dental, Secondary DETROIT MEDICAL CENTER DMCEC Yes No Yes Professional, Secondary MEDICARE DME REGION B CEDI DMEIN No Yes Yes Professional, Remits, Secondary MEDICARE DME REGION A CEDI DMEPA No Yes Yes Professional, Remits, Secondary MEDICARE DME REGION C CEDI DMESC No Yes Yes Professional, Remits, Secondary MEDICARE DME REGION D CEDI DMETN No Yes Yes Professional, Remits, Secondary DENTAL NETWORK OF AMERICA DNOA1 No No Yes Dental, Secondary SOUTHWEST OREGON IPA (DOC) DOCSO No No No Professional DOMINION DENTAL DOM01 No No Yes Dental, Secondary DREYER MCA DREYR Yes Yes Yes Professional, Secondary DOCTORS HEALTHCARE PLAN DRHCP Yes No Yes Hospital, Professional, Secondary DENTAL SELECT DSL01 Yes No Yes Dental, Secondary COASTAL ADMINISTRATIVE SERVICES DX007 Yes No Yes Dental, Secondary UNITED ADMINISTATIVE SERVICES (SAN JOSE, CA) DX009 No No Yes Dental, Secondary COMPANION LIFE (SC) DX014 No No Yes Dental, Secondary NATIONAL PACIFIC DENTAL (TX) DX017 Yes No Yes Dental, Secondary HEALTH CHOICE (OK) DX026 No No Yes Dental, Secondary REGENCE BS OF WA FEDERAL (BOX 31207 UT) DX028 No No Yes Dental, Secondary HEALTH COMP DX029 Yes No Yes Dental, Secondary SRC - STRATEGIC RESOURCE COMPANY (SC) DX033 Yes No Yes Dental, Secondary BENESIGHT (AKA UMR) DX046 Yes No Yes Dental, Secondary FISERV HEALTH (AKA UMR) DX048 Yes No Yes Dental, Secondary AULTCARE HEALTH PLAN DX052 No No Yes Dental, Secondary DIVERSIFIED ADMINISTRATION CORP (CT) DX056 Yes No Yes Dental, Secondary PACIFIC UNION DENTAL (CA) DX066 Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF KANSAS CITY (MO) DX067 No Yes Yes Dental, Secondary NATIONAL PACIFIC DENTAL (CA) DX072 Yes No Yes Dental, Secondary MIDWEST SECURITY ADMINISTRATORS (AKA UMR) DX076 Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF UTAH - REGENCE DX088 No No Yes Dental, Secondary NEVADA PACIFIC DENTAL DX101 Yes No Yes Dental, Secondary PREMERA BLUECROSS (AK) DX102 No No Yes Dental, Secondary P.R.I.M.E BENEFIT SYSTEMS, INC. DX106 Yes No Yes Dental, Secondary PATIENT ADVOCATE LLC DX112 No No Yes Dental, Secondary EMPIRE BLUE CROSS BLUE SHIELD - ANTHEM DX122 Yes No Yes Dental, Secondary NEW YORK CITY DISTRICT - COUNCIL OF CARPENTERS DX127 No No Yes Dental, Secondary WINDSOR STERLING HEALTH PLAN DX140 Yes No Yes Dental, Secondary AMERIHEALTH ADMINISTRATORS DX143 No No Yes Dental, Secondary MEDICAID OF ARIZONA (AHCCCS) DX156 No No Yes Dental, Secondary MCA ADMINISTRATORS DX204 No No Yes Dental, Secondary COMPUSYS/ ERISA GROUP, INC. DX206 Yes No Yes Dental, Secondary DESERET MUTUAL BENEFIT ADMINISTRATORS (DMBA) DX214 No Yes Yes Dental, Secondary SELECTCARE DX215 Yes No Yes Dental, Secondary AULTRA ADMINSTRATIVE SERVICES DX231 No No Yes Dental, Secondary HEALTHSCOPE DENTAL BENEFITS INC DX490 No No Yes Dental, Secondary ANTHEM (P.O. BOX 1115 MN) DX554 Yes No Yes Dental, Secondary HEALTH SAFETY NET DX995 No No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF MICHIGAN FEDERAL (FEP) DXBMI No No Yes Dental, Secondary CALIFORNIA DENTAL DXCDN Yes No Yes Dental, Secondary DECARE - HORIZON BLUE CROSS BLUE SHIELD (COMMERCIAL) DXDC1 No No Yes Dental, Secondary KEYSTONE MERCY HEALTH PLAN (PREAUTHORIZATION) DXKEY Yes No Yes Dental, Secondary MANAGED DENTAL CARE NETWORK DXMD1 No No Yes Dental, Secondary MEDICAID OF PENNSYLVANIA (UHC COMMUNITY PLAN) DXMPA Yes No Yes Dental, Secondary MEDICAID OF RHODE ISLAND (UHC COMMUNITY PLAN) DXMRI Yes No Yes Dental, Secondary TRICARE ACTIVE RESERVISTS DXTAS Yes No Yes Dental, Secondary UNITED HEALTHCARE COMMUNITY PLAN (WASH. DC MEDICARE) DXUHW Yes No Yes Dental, Secondary NORTH AMERICAN MED MNGMT(NAMM) NORTH CA NORTH AMERICAN MEDICAL MANAGEMENT (NAMM) - NORTHERN CALIFORNIA E3510 No No Yes Professional, Secondary SEASIDE HEALTH PLAN E4618 No No Yes Hospital, Professional, Secondary LIFETIME BENEFIT SOLUTIONS EBSRM Yes No Yes Hospital, Professional, Secondary EASY CARE MSO LLC ECMSO No No No Hospital, Professional ENABLECOMP ECOMP Yes No Yes Hospital, Professional, Secondary ESPERANZA IPA EIPA8 No No Yes Hospital, Professional, Secondary MED3000 PEDICARE TITLE 19 EM039 Yes No Yes Hospital, Professional, Secondary CMS CHILDRENS MEDICAL SERVICES MED3000 CMS TITLE 21 EM205 Yes No Yes Hospital, Professional, Secondary MED3000 CMS SAFETY NET EM284 Yes No Yes Hospital, Professional, Secondary MED3000 COVENTRY HEALTHY KIDS EM521 Yes No Yes Hospital, Professional, Secondary MED3000 PEDICARE TITLE 21 EM522 Yes No Yes Hospital, Professional, Secondary MED3000 CMS TITLE 19 REFORM EM843 No No Yes Hospital, Professional, Secondary EL PASO FIRST HEALTH PLANS - PREMIER PLAN EPF02 Yes Yes Yes Hospital, Professional, Secondary EL PASO FIRST HEALTH PLANS CHIP EPF03 Yes Yes Yes Hospital, Professional, Secondary PREFERRED ADMINISTRATORS EPF10 Yes Yes Yes Hospital, Professional, Secondary EL PASO FIRST HEALTH PLAN HCO HEALTHCARE OPTIONS PREFERRED ADMINISTRATORS CHILDRENS HOSPITAL EPF11 Yes Yes Yes Hospital, Professional, Secondary ELECTRONIC PRACTICE SOLUTIONS, INC. EPSDR No No No Hospital, Professional MEMORIAL INTEGRATED HEALTHCARE - SFCCN COMMERCIAL EV001 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD OF NEW YORK (SYRACUSE) EXC01 No No Yes Dental, Hospital, Professional, Secondary EXCELLUS, INC. FEDERAL CLAIMS ONLY EXC03 No No Yes Dental, Secondary FALLING COLORS FCC20 No No No Hospital, Professional FAMILY CARE MEDICAID MENTAL HEALTH FCM01 Yes No Yes Professional, Secondary FAMILY CARE MEDICARE FCMCR No No Yes Hospital, Professional, Secondary FIRST CHOICE MEDICAL GROUP FCMG1 No No Yes Hospital, Professional, Secondary FIDELIO (PA) FDC01 No No Yes Dental, Secondary FIRST DENTAL HEALTH (CA) FDH01 Yes No Yes Dental, Secondary FREEDOM CARE BENEFITS FDMCR No No Yes Hospital, Professional, Secondary FDNY WORLD TRADE HEALTH PLAN FDNYP No No Yes Hospital, Professional, Secondary FDNY WORLD TRADE HEALTH PLAN FDNYU No No Yes Hospital, Secondary BLUE CROSS BLUE SHIELD FLORIDA FL BCBS FLBC0 No Yes Yes Hospital, Professional, Remits, Secondary HEALTH OPTIONS FLORIDA FLBC1 No No Yes Hospital, Professional, Secondary FLORDIA COMMUNITY CARE FLCCR No No Yes Professional, Secondary FL MEDICARE MEDICARE OF FLORIDA FLMC0 No Yes Yes Hospital, Professional, Remits, Secondary FL MEDICAID MEDICAID OF FLORIDA FLMK0 No Yes Yes Hospital, Professional, Remits, Secondary FLORIDA PAVE CENTERS FLPAC No No No Hospital, Professional CHAMPUS TRICARE OVERSEAS FOREN No Yes Yes Professional, Secondary FOUNTAIN VALLEY IPA(FVIPA) FVIPA No No Yes Hospital, Professional, Secondary FOX VALLEY MEDICINE SITE 199 FVMCH No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD GEORGIA GA BCBS STATE HEALTH BENEFIT PLAN GABC0 No No Yes Hospital, Professional, Remits, Secondary CARESOURCE OF GEORGIA GACS1 Yes No Yes Hospital, Professional, Secondary GA MEDICARE MEDICARE OF GEORGIA GAMC0 No Yes Yes Professional, Remits, Secondary GA MEDICAID GEORGIA MEDICAID MEDICAID OF GEORGIA GAMK0 No Yes Yes Hospital, Professional, Remits, Secondary CORRECTCARE (GEORGIA CORRECTIONAL HEALTHCARE ADULT HEALTH) GCHCAH Yes No Yes Hospital, Professional, Secondary CARDIOVASCULAR CAR PROVIDERS INCORPORATED INC (CVCP) GCVCP Yes No Yes Hospital, Professional, Secondary GLOBAL EXCEL MANAGEMENT GEM01 No No Yes Hospital, Professional, Secondary GLOBAL HEALTHCARE ALLIANCE GHCA1 Yes No Yes Hospital, Professional, Secondary GLOBAL HEALTH INC OKC GHOKC Yes Yes Yes Professional, Secondary MANAGED DENTALGUARD GI813 Yes No Yes Dental, Secondary GREATER NEWPORT PHYSICIANS GNPMG No No Yes Hospital, Professional, Secondary UHC DENTAL GOVERNMENT PROGRAMS UNITED HEALTHCARE COMMUNITY PLAN - MS GP133 Yes No Yes Dental, Secondary GREAT PLAINS MEDICARE SELECT ND GPND1 Yes No Yes Hospital, Professional, Secondary GREAT PLAINS MEDICARE SELECT NE GPNE1 Yes No Yes Hospital, Professional, Secondary GREAT PLAINS MEDICARE SELECT SD GPSD1 Yes No Yes Hospital, Professional, Secondary GRAVIE HEALTH PLAN GRAVI No No Yes Hospital, Professional, Secondary GOOD SAMARITAN IPA (COASTAL HEALTHCARE MANAGEMENT) GSMPA No No Yes Professional, Secondary SELECTCARE OF TX (BEAUMONT) GTPA1 No No No Hospital, Professional GOLDEN WEST DENTAL GWD01 Yes No Yes Dental, Secondary HALCYON BEHAVIORAL HEALTH HALCY No No Yes Hospital, Professional, Secondary HCC LIFE INSURANCE COMPANY HCCMI No No Yes Hospital, Professional, Secondary HEALTHCARE HIGHWAYS HCH01 No No Yes Hospital, Professional, Secondary HEALTH NETWORK SOLUTIONS (HNS) - CIGNA SC HCI02 No No No Professional HEMET COMMUNITY MEDICAL GROUP (HCMG) HCMG1 No No Yes Hospital, Professional, Secondary HEALTHCARE PARTNERS HEALTHCARE PAYERS COALITION HCP01 Yes No No Dental, Hospital, Professional HEALTHCARE PARTNERS MEDICAL GROUP - ARIZONA HCP02 No No Yes Hospital, Professional, Secondary HIGH DESERT MEDICAL GROUP (REGAL) HDMDG No No Yes Professional, Secondary HDS MEDICAID HDSMH No No Yes Dental, Secondary HEALTHSUN HEALTH PLANS HESUN Yes No Yes Professional, Secondary HI MEDICAID HIMK0 No Yes Yes Professional, Remits, Secondary HNS LIBERTY ADVANTAGE HLA01 No No No Hospital, Professional HILL PHYSICIANS HEALTH NET PPO HLPHN No No Yes Hospital, Professional, Secondary HEALTH TRADITION HLTHT No No Yes Hospital, Professional, Secondary HEALTHCARE MANAGEMENT ADMINISTRATORS, INC HMA INC HMA01 No No Yes Hospital, Professional, Secondary HORACE MANN HMLIC No No Yes Hospital, Professional, Secondary HMSA (BCBS OF HAWAII) HMSA1 Yes No Yes Dental, Secondary HEALTH NET - COMMERCIAL HND1 Yes No Yes Dental, Secondary HEALTH NET - GOVT PROGRAM HND2 Yes No Yes Dental, Secondary HORIZON NJ HEALTH (SCION) HNJ01 Yes No Yes Dental, Secondary DIGNITY HEALTH - SACRAMENTO HOSPITAL CLAIM SHOP MERCY MEDICAL GROUP, WOODLAND, HILL PHYS DIGNITY HEALTH HOSH1 HOSH1 Yes No Yes Hospital, Professional, Secondary HEALTHPARTNERS OF MINNESOTA HP001 No Yes Yes Dental, Secondary HEALTH PARTNERS MN HPART No Yes Yes Hospital, Professional, Secondary HEALTHPLUS OF MI HPMI0 No Yes Yes Professional, Remits, Secondary HEALTH PLAN OF SAN MATEO HPSM1 No No Yes Hospital, Professional, Secondary HEALTH PLAN OF UPPER OHIO VALLEY UPPER OHIO VALLEY HPUOH No No Yes Hospital, Professional, Remits, Secondary HEALTHSHARE CCO DENTAL HSCD1 No No Yes Dental, Secondary HEALTHY SAN FRANCISCO HSF01 No No No Hospital, Professional HEALTHCARE STRATEGIC INITIATIVES HSICS No No Yes Hospital, Professional, Secondary HEALTHSMART (FORMALLY ANGELES IPA) HSM01 No No Yes Hospital, Professional, Secondary HS MEDICAL BILLING DBA IOWA SCREENING PROGRAM HSMBS No No Yes Hospital, Professional, Secondary HSN MASSACHUSETTS MEDICAID HSNP3 No Yes Yes Hospital, Professional, Secondary DISTRICT COUNCIL 37 - STATE, COUNTY & MUNICIPAL EMP - AFL-CIO HSP01 No No Yes Dental, Secondary HEALTHSPAN NETWORK REPRICING HSPAN No No Yes Hospital, Professional, Secondary HEALTH WEST TPA HWT62 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD IOWA IA BCBS IABC0 No Yes Yes Hospital, Professional, Remits, Secondary IAC INSURANCE ADMIN CORP INSURANCE ADMINISTRATIVE CORPORATION IAC01 No No Yes Hospital, Professional, Secondary IA MEDICARE MEDICARE OF IOWA IAMC0 No Yes Yes Hospital, Professional, Remits, Secondary IA MEDICAID MEDICAID OF IOWA IAMK0 No Yes Yes Hospital, Professional, Remits, Secondary ID BCBS IDBC0 No Yes Yes Hospital, Professional, Remits, Secondary DELTA DENTAL OF ILLINOIS - INDIVIDUAL IDIND Yes No Yes Dental, Secondary ID MEDICAID IDMK0 No Yes Yes Professional, Remits, Secondary INLAND EMPIRE HEALTH PLAN IEHP1 No No Yes Hospital, Professional, Secondary IMPERIAL HEALTH HOLDINGS IHHMG No No Yes Hospital, Professional, Secondary INTERCOMMUNITY HEALTH CCO DENTAL IHND1 No No Yes Dental, Secondary INLAND HEALTHCARE GROUP IHORG No No Yes Professional, Secondary IMPERIAL HEALTH PLAN OF CALIFORNIA INC IHP01 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD ILLINOIS IL BCBS ILBC0 No Yes Yes Hospital, Professional, Remits, Secondary BLUE CROSS BLUE SHIELD ILLINOIS ILBC1 No Yes Yes Professional, Secondary TRUASSURE ILDTA Yes No Yes Dental, Secondary IL MEDICARE MEDICARE OF ILLINOIS ILMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF ILLINOIS ILMK0 No No Yes Hospital, Professional, Secondary INTERNATIONAL MEDICAL GROUP IMGIN No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD INDIANA IN BCBS INBC0 No Yes Yes Hospital, Professional, Remits, Secondary INTERCOMMUNITY HEALTH NETWORK INCHN Yes Yes Yes Professional, Secondary CARESOURCE INDIANA INC INCS1 Yes No Yes Hospital, Professional, Secondary INNOVISTA HEALTH INDPM No No Yes Hospital, Professional, Secondary IN MEDICARE INMC0 No Yes Yes Professional, Remits, Secondary IN MEDICAID INMK0 No Yes Yes Professional, Remits, Secondary CHILDRENS HEALTH INDIANA INMK1 No Yes Yes Professional, Remits, Secondary PRIMECARE MEDICAL NETWORK IP079 No No Yes Professional, Secondary KAWEAH DELTA MEDICARE ADVANTAGE IP084 No No No Hospital, Professional SEQUOIA HEALTH PLAN TULARE KINGS COUNTY IP085 No No No Hospital, Professional OMNICARE MEDICAL GROUP IP088 Yes No Yes Professional, Secondary MONARCH IPA IP095 No No Yes Hospital, Professional, Secondary MERITAGE MEDICAL NETWORK IP097 No No Yes Hospital, Professional, Secondary ILLINOIS PHYSICIANS ALLIANCE IPA IPA99 No No No Hospital, Professional PARADIGM J1001 No No Yes Hospital, Professional, Secondary, Workers Comp WAL MART J1004 No No Yes Hospital, Professional, Secondary, Workers Comp ADMINISTRATIVE CLAIM SERVICE INC J1005 No No Yes Hospital, Professional, Secondary, Workers Comp JI SPECIALTY SERVICES J1006 No No Yes Hospital, Professional, Secondary, Workers Comp REPUBLIC INDEMNITY COMPANY OF AMERICA J1008 No No Yes Hospital, Professional, Secondary, Workers Comp RYDER SERVICES INC J1009 No No Yes Hospital, Professional, Secondary, Workers Comp CCMSI J1010 No No Yes Hospital, Professional, Secondary, Workers Comp FIRSTCOMP J1011 No No Yes Hospital, Professional, Secondary, Workers Comp ZURICH FARMERS J1015 No No Yes Hospital, Professional, Secondary, Workers Comp EL PASO WATER UTILITY (TX JURISDICTION) J1017 No No Yes Hospital, Professional, Secondary, Workers Comp AYERS TRUCKING J1018 No No Yes Hospital, Professional, Secondary, Workers Comp FACTORY 2 U J1019 No No Yes Hospital, Professional, Secondary, Workers Comp HOUSTON HUNTERS PATROL INC J1020 No No Yes Hospital, Professional, Secondary, Workers Comp NATIONAL LOSS PREVENTION INC J1021 No No Yes Hospital, Professional, Secondary, Workers Comp ERMC J1022 No No Yes Hospital, Professional, Secondary, Workers Comp ACCURIDE CORPORATION J1024 No No Yes Hospital, Professional, Secondary, Workers Comp ALVEY SYSTEMS (AON RISK) J1025 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICAN COIN MERCHANDISING INC J1026 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICAN CYANAMID J1027 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICAN SPECIALTY COMPANIES J1028 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICAN SPECIALTY INSURANCE (MIB) J1029 No No Yes Hospital, Professional, Secondary, Workers Comp BEALLS INC (MIDWEST EMPLOYERS) J1030 No No Yes Hospital, Professional, Secondary, Workers Comp BERWIND CORPORATION J1031 No No Yes Hospital, Professional, Secondary, Workers Comp BRUNSWICK CORPORATION J1032 No No Yes Hospital, Professional, Secondary, Workers Comp BURLINGTON COAT FACTORY WAREHOUSE J1033 No No Yes Hospital, Professional, Secondary, Workers Comp CENDANT CORPORATION J1034 No No Yes Hospital, Professional, Secondary, Workers Comp CENTRAL HOCKEY LEAGUE J1035 No No Yes Hospital, Professional, Secondary, Workers Comp CHARMING SHOPPES INC. J1036 No No Yes Hospital, Professional, Secondary, Workers Comp CLASSIC RESIDENCE BY HYATT J1037 No No Yes Hospital, Professional, Secondary, Workers Comp COCA-COLA ENTERPRISES INC J1038 No No Yes Hospital, Professional, Secondary, Workers Comp COLUMBIA SUSSEX CORPORATION J1039 No No Yes Hospital, Professional, Secondary, Workers Comp COMPASS GROUP USA INC J1040 No No Yes Hospital, Professional, Secondary, Workers Comp CONTECH CONSTRUCTION PRODUCTS J1041 No No Yes Hospital, Professional, Secondary, Workers Comp CONTINENTAL AIRLINES J1042 No No Yes Hospital, Professional, Secondary, Workers Comp CONVERGYS CORPORATION J1043 No No Yes Hospital, Professional, Secondary, Workers Comp CORRECTIONAL MANAGEMENT SERVICE J1044 No No Yes Hospital, Professional, Secondary, Workers Comp CORRECTIONS CORPORATION OF AMERICA J1045 No No Yes Hospital, Professional, Secondary, Workers Comp COWORX STAFFING LLC J1046 No No Yes Hospital, Professional, Secondary, Workers Comp FKI INDUSTRIES INC J1047 No No Yes Hospital, Professional, Secondary, Workers Comp UNITED DOMINION REALTY TRUST J1048 No No Yes Hospital, Professional, Secondary, Workers Comp SCOTTS MIRACLE-GRO COMPANY J1049 No No Yes Hospital, Professional, Secondary, Workers Comp DANAHER CORPORATION J1051 No No Yes Hospital, Professional, Secondary, Workers Comp PEG DISCOVER RE (FOOOD MERCHANT) J1054 No No Yes Hospital, Professional, Secondary, Workers Comp XL ENVIRONMENTAL, INC. J1055 No No Yes Hospital, Professional, Secondary, Workers Comp NOVA PRO RISK SOLUTIONS J1056 No No Yes Hospital, Professional, Secondary, Workers Comp DE BARTOLOS INC J1058 No No Yes Hospital, Professional, Secondary, Workers Comp DIRECTORY DISTRIBUTING ASSOCIATES J1059 No No Yes Hospital, Professional, Secondary, Workers Comp DISCOVER RE (BURGER KING) J1060 No No Yes Hospital, Professional, Secondary, Workers Comp DUNN-EDWARDS CORPORATION J1061 No No Yes Hospital, Professional, Secondary, Workers Comp DYNAMEX INC J1062 No No Yes Hospital, Professional, Secondary, Workers Comp ENVIROSOURCE J1063 No No Yes Hospital, Professional, Secondary, Workers Comp ESIS (FIRST AMERICAN INSURANCE COMPANY) J1064 No No Yes Hospital, Professional, Secondary, Workers Comp EVOLUTION INSURANCE COMPANY J1065 No No Yes Hospital, Professional, Secondary, Workers Comp GATES CORPORATION (DBA GATES RUBBER COMPANY) J1066 No No Yes Hospital, Professional, Secondary, Workers Comp GOLDEN CORRAL CORPORATION J1067 No No Yes Hospital, Professional, Secondary, Workers Comp GSE LINING TECHNOLOGY INC J1068 No No Yes Hospital, Professional, Secondary, Workers Comp HERITAGE GROUP J1069 No No Yes Hospital, Professional, Secondary, Workers Comp HOLLY FARMS CORPORATION J1070 No No Yes Hospital, Professional, Secondary, Workers Comp HOUSEHOLD MERCH (NNI) J1071 No No Yes Hospital, Professional, Secondary, Workers Comp HUGHES TOOL COMPANY J1072 No No Yes Hospital, Professional, Secondary, Workers Comp INSILCO CORPORATION J1073 No No Yes Hospital, Professional, Secondary, Workers Comp IREX CORPORATION J1074 No No Yes Hospital, Professional, Secondary, Workers Comp IRONWORKING CONTRACT IP J1075 No No Yes Hospital, Professional, Secondary, Workers Comp JONES TRUCK LINES INC J1076 No No Yes Hospital, Professional, Secondary, Workers Comp JUVENILE JAIL FACILITY MANAGEM J1077 No No Yes Hospital, Professional, Secondary, Workers Comp KCI HOLDINGS USA J1078 No No Yes Hospital, Professional, Secondary, Workers Comp KEN DAVIS INDUSTRIES INC J1079 No No Yes Hospital, Professional, Secondary, Workers Comp LANDSTAR BCO (WC PROGRAM) J1080 No No Yes Hospital, Professional, Secondary, Workers Comp LSG SKY CHEFS INTERNATIONAL J1081 No No Yes Hospital, Professional, Secondary, Workers Comp MAJOR LEAGUE BASEBALL 8 J1082 No No Yes Hospital, Professional, Secondary, Workers Comp MAXIM CRANE WORKS J1083 No No Yes Hospital, Professional, Secondary, Workers Comp MCDONALDS (MCOPCO) J1084 No No Yes Hospital, Professional, Secondary, Workers Comp MITCHELL ENERGY AND DEVELOPMENT J1085 No No Yes Hospital, Professional, Secondary, Workers Comp MORRIS MATERIAL HANDLING J1086 No No Yes Hospital, Professional, Secondary, Workers Comp MORRISON HEALTH CARE INC J1087 No No Yes Hospital, Professional, Secondary, Workers Comp MUNFORD INC J1088 No No Yes Hospital, Professional, Secondary, Workers Comp NORWOOD J1089 No No Yes Hospital, Professional, Secondary, Workers Comp ORICA INC J1090 No No Yes Hospital, Professional, Secondary, Workers Comp PAPA JOHNS INTERNATIONAL INC J1091 No No Yes Hospital, Professional, Secondary, Workers Comp PEG DISCOVER RE J1092 No No Yes Hospital, Professional, Secondary, Workers Comp PEGI FAMILY DINING J1093 No No Yes Hospital, Professional, Secondary, Workers Comp PHH FLEETAMERICA J1094 No No Yes Hospital, Professional, Secondary, Workers Comp PREFERRED EMPLOYERS J1095 No No Yes Hospital, Professional, Secondary, Workers Comp PREFERRED EMPLOYERS GROUP J1096 No No Yes Hospital, Professional, Secondary, Workers Comp RESIDENTIAL SERVICES GROUP J1097 No No Yes Hospital, Professional, Secondary, Workers Comp RESTAURANT REINSURANCE LIMITED J1098 No No Yes Hospital, Professional, Secondary, Workers Comp RHONE-POULENC INC J1099 No No Yes Hospital, Professional, Secondary, Workers Comp RIETH-RILEY CONSTRUCTION COMPANY J1100 No No Yes Hospital, Professional, Secondary, Workers Comp RISK TRANSFER TECHNOLOGIES INC J1101 No No Yes Hospital, Professional, Secondary, Workers Comp RSC INSURANCE SERVICES LTD J1102 No No Yes Hospital, Professional, Secondary, Workers Comp SAFETY-KLEEN CORPORATION J1103 No No Yes Hospital, Professional, Secondary, Workers Comp SCHLUMBERGER TECHNOLOGY J1104 No No Yes Hospital, Professional, Secondary, Workers Comp SNAP-ON INCORPORATED J1105 No No Yes Hospital, Professional, Secondary, Workers Comp SOLVAY AMERICA INC J1106 No No Yes Hospital, Professional, Secondary, Workers Comp STANT CORPORATION J1107 No No Yes Hospital, Professional, Secondary, Workers Comp SUMMIT HEALTH LTD J1108 No No Yes Hospital, Professional, Secondary, Workers Comp SWIFT TRANSPORTATION J1109 No No Yes Hospital, Professional, Secondary, Workers Comp TEXAS SMALL BUSINESS POOL J1110 No No Yes Hospital, Professional, Secondary, Workers Comp THE SCOTTS COMPANY J1111 No No Yes Hospital, Professional, Secondary, Workers Comp TOTAL PETROLEUM INC J1112 No No Yes Hospital, Professional, Secondary, Workers Comp UNITED STATES COLD STORAGE J1113 No No Yes Hospital, Professional, Secondary, Workers Comp US FOODSERVICE INC J1114 No No Yes Hospital, Professional, Secondary, Workers Comp US NATIONAL RESOURCES (AIGRM) J1115 No No Yes Hospital, Professional, Secondary, Workers Comp VICORP RESTAURANTS INC J1116 No No Yes Hospital, Professional, Secondary, Workers Comp WYMAN-GORDON COMPANIES J1117 No No Yes Hospital, Professional, Secondary, Workers Comp VICTOR PLASTICS J1118 No No Yes Hospital, Professional, Secondary, Workers Comp MIDWEST DRYWALL J1119 No No Yes Hospital, Professional, Secondary, Workers Comp NAP TOOLS J1120 No No Yes Hospital, Professional, Secondary, Workers Comp RETURN TO WORK J1202 No No Yes Hospital, Professional, Secondary, Workers Comp MOTORIST MUTUAL INSURANCE J1203 No No Yes Hospital, Professional, Secondary, Workers Comp EDWARDS CLAIM ADMINISTRATION J1204 No No Yes Hospital, Professional, Secondary, Workers Comp AMERISURE MUTUAL INSURANCE J1205 No No Yes Hospital, Professional, Secondary, Workers Comp AMERISURE INSURANCE J1206 No No Yes Hospital, Professional, Secondary, Workers Comp EMPLOYERS PREFERRED INSURANCE COMPANY J1232 No No Yes Hospital, Professional, Secondary, Workers Comp SOUTHWEST AIRLINES (SWA) J1233 No No Yes Hospital, Professional, Secondary, Workers Comp BEACON MUTUAL J1234 No No Yes Hospital, Professional, Secondary, Workers Comp UNITED WISCONSIN INSURANCE COMPANY J1235 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICAN CLAIMS MANAGEMENT (ACM) J1236 No No Yes Hospital, Professional, Secondary, Workers Comp METROPOLITAN TRANSIT AUTHORITY J1238 No No Yes Hospital, Professional, Secondary, Workers Comp ACUITY A MUTUAL INSURANCE COMPANY J1240 No No Yes Professional, Secondary, Workers Comp ADMINISTAFF J1241 No No Yes Professional, Secondary, Workers Comp ADP TOTAL SOURCE INC J1242 No No Yes Professional, Secondary, Workers Comp ALA CARTE J1243 No No No Workers Comp ALCOA FASTENERS SYSTEMS J1244 No No Yes Professional, Secondary, Workers Comp ALLEGHENY TECHNOLOGIES J1245 No No No Workers Comp ALTEC J1246 No No No Workers Comp ALTEC INDUSTRIES J1247 No No No Workers Comp ALVEY SYSTEMS (AON RISK) (AUTO ONLY) J1248 No No No Workers Comp AMERICAN HOME CRAFT J1250 No No Yes Hospital, Professional, Secondary, Workers Comp ARCADIA INSURANCE COMPANY J1251 No No No Workers Comp ARGENBRIGHT HOLDINGS LIMITED J1252 No No No Workers Comp BENCHMARK INSURANCE J1257 No No No Workers Comp BMW MANUFACTURING CORPORATION J1258 No No No Workers Comp BMW NORTH AMERICA J1259 No No Yes Professional, Secondary, Workers Comp BRUNSWICK CORPORATION (AUTO ONLY) J1261 No No No Workers Comp CAPITOL INDEMNITY J1262 No No Yes Hospital, Professional, Secondary, Workers Comp CHURCH MUTUAL INSURANCE COMPANY (AUTO ONLY) J1264 No No No Workers Comp CHURCH MUTUAL INSURANCE COMPANY (WC ONLY) J1265 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF AMARILLO (AUSTIN) J1267 No No No Workers Comp CITY OF LEWISVILLE J1268 No No No Workers Comp CITY OF MINNEAPOLIS J1269 No No Yes Hospital, Professional, Secondary, Workers Comp CLAIMS ADMINISTRATIVE SERVICES (CAS) J1271 No No Yes Hospital, Professional, Secondary, Workers Comp COACH USA J1272 No No Yes Professional, Secondary, Workers Comp UNION INSURANCE COMPANY J1274 No No Yes Hospital, Professional, Secondary, Workers Comp CUMIS INSURANCE SOCIETY J1282 No No No Workers Comp EDIC J1289 No No No Workers Comp ENTERPRISE RENT-A-CAR J1294 No No No Workers Comp FEDERATED DEPARTMENT STORES INC J1297 No No No Workers Comp GATEGOURMET #836 J1302 No No No Workers Comp GOLDEN STATE SUPPLY J1306 No No No Workers Comp GREAT CENTRAL J1308 No No No Workers Comp LUBA CASUALTY INSURANCE COMPANY J1341 No No Yes Hospital, Professional, Secondary, Workers Comp MACYS (DALY CITY) J1345 No No Yes Hospital, Professional, Secondary, Workers Comp MACYS (NEWPORT BEACH) J1346 No No Yes Hospital, Professional, Secondary, Workers Comp MAY DEPARTMENT STORES J1347 No No Yes Hospital, Professional, Secondary, Workers Comp MINNESOTA COUNTIES INSURANCE TRUST (MCIT) J1351 No No Yes Hospital, Professional, Secondary, Workers Comp METROPOLITAN COUNCIL J1355 No No Yes Hospital, Professional, Secondary, Workers Comp NBC UNIVERSAL J1359 No No Yes Professional, Secondary, Workers Comp NORDSTROM INC J1360 No No Yes Professional, Secondary, Workers Comp NORTHWEST INSURANCE J1361 No No No Workers Comp PACIFIC MOTOR COMPANY J1364 No No No Workers Comp PARK DISTRICT RISK MANAGEMENT ASSOCIATION (PDRMA) J1365 No No Yes Hospital, Professional, Secondary, Workers Comp PIER 1 INC (USA) J1369 No No Yes Professional, Secondary, Workers Comp POLY AMERICA LP J1370 No No No Workers Comp RESCARE INC J1376 No No No Workers Comp SECURA INSURANCE (A MUTUAL COMPANY) J1379 No No Yes Professional, Secondary, Workers Comp SONIC AUTOMOTIVE INC J1381 No No Yes Professional, Secondary, Workers Comp STANLEY WORKS INC J1385 No No No Workers Comp THE BUILDERS GROUP OF MN J1391 No No Yes Hospital, Professional, Secondary TIDEWATER MARINE WESTERN J1392 No No No Workers Comp US STEEL J1396 No No No Workers Comp UNITED FIRE J1401 No No Yes Hospital, Professional, Secondary, Workers Comp VIAD CORP J1403 No No No Workers Comp VIRGINIA SURETY COMPANY, INC. J1404 No No Yes Hospital, Professional, Secondary, Workers Comp VOUGHT AIRCRAFT INDUSTRIES J1405 No No Yes Professional, Secondary, Workers Comp WOODLAND FARMS J1408 No No No Workers Comp ZACHRY CONSTRUCTION J1409 No No Yes Professional, Secondary, Workers Comp CAREWORKS ODRC J1410 No Yes No Remits XCHANGING INC J1412 No No No Workers Comp AVIZENT J1415 No No Yes Hospital, Professional, Secondary, Workers Comp SENTRY INSURANCE J1417 No No Yes Hospital, Professional, Secondary, Workers Comp STATE OFFICE OF RISK MANAGEMENT J1418 No No Yes Hospital, Professional, Secondary, Workers Comp WEST BEND MUTUAL INSURANCE CO. J1420 No No Yes Hospital, Professional, Secondary, Workers Comp YORK CLAIM SERVICES J1421 No No Yes Hospital, Professional, Secondary, Workers Comp THE HARTFORD J1422 No No Yes Hospital, Professional, Secondary, Workers Comp PEERLESS J1423 No No Yes Hospital, Professional, Secondary, Workers Comp MONTGOMERY J1424 No No Yes Hospital, Professional, Secondary, Workers Comp INDIANA INSURANCE J1425 No No Yes Hospital, Professional, Secondary, Workers Comp HAWKEYE J1426 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICA FIRST J1427 No No Yes Hospital, Professional, Secondary, Workers Comp COLORADO CASUALTY J1428 No No Yes Hospital, Professional, Secondary, Workers Comp GOLDEN EAGLE J1430 No No Yes Hospital, Professional, Secondary, Workers Comp BUNCH AND ASSOCIATES J1435 No No Yes Hospital, Professional, Secondary, Workers Comp MINNESOTA DEPARTMENT OF LABOR AND INDUSTRY (CLAIMS SERVICES AND INVOICING) J1436 No No Yes Hospital, Professional, Secondary, Workers Comp SUMMIT HOLDINGS J1437 No No Yes Hospital, Professional, Secondary, Workers Comp DEPARTMENT OF LABOR J1438 No No Yes Hospital, Professional, Secondary, Workers Comp PENNSYLVANIA MANUFACTURING ASSOCIATES J1439 No No Yes Hospital, Professional, Secondary, Workers Comp FRANKENMUTH MUTUAL J1440 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF DALLAS J1441 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF HOUSTON J1444 No No No Workers Comp BROTHERHOOD MUTUAL INSURANCE J1445 No No Yes Hospital, Professional, Secondary, Workers Comp SELECT STAFFING (KOOSHAREM, REAL TIME STAFFING, REMEDY, SELECT) J1446 No No Yes Hospital, Professional, Secondary, Workers Comp AMERISAFE DEPARTMENT OF LABOR (BLACK LUNG) J1448 No No Yes Hospital, Professional, Secondary, Workers Comp, WorkersComp DEPARTMENT OF ENERGY J1449 No No Yes Hospital, Professional, Secondary, Workers Comp HOSPTIAL CORPORATION OF AMERICA (HCA) J1450 No No Yes Hospital, Professional, Secondary, Workers Comp ESIS (KELLY SERVICES) J1451 No No Yes Hospital, Professional, Secondary, Workers Comp ALLIANZ J1452 No No Yes Hospital, Professional, Secondary, Workers Comp WESTGUARD INSURANCE COMPANY - GUARD DBA J1453 No No Yes Hospital, Professional, Secondary, Workers Comp ESIS (LOCKHEED MARTIN CORPORATION) J1454 No No Yes Hospital, Professional, Secondary, Workers Comp CREATIVE RISK SOLUTIONS J1455 No No Yes Hospital, Professional, Secondary, Workers Comp SFM GROUP (SPHERION, TECHNISOURCE, TATUM, THE MERGIS GROUP) J1456 No No Yes Hospital, Professional, Secondary, Workers Comp CAREMARK CVS MINUTE CLINIC J1457 No No No Workers Comp, WorkersComp GEO J1461 No No Yes Hospital, Professional, Secondary, Workers Comp GOODRICH J1462 No No Yes Hospital, Professional, Secondary, Workers Comp HANNAFORD J1463 No No Yes Hospital, Professional, Secondary, Workers Comp LONGS DRUGS J1464 No No Yes Hospital, Professional, Secondary, Workers Comp LOWES J1465 No No Yes Hospital, Professional, Secondary, Workers Comp PEOPLE 2.0 J1466 No No Yes Hospital, Professional, Secondary, Workers Comp REGIS BRANDS J1467 No No Yes Hospital, Professional, Secondary, Workers Comp SHAWS (STARMARKET) J1468 No No Yes Hospital, Professional, Secondary, Workers Comp THE SALVATION ARMY J1472 No No Yes Hospital, Professional, Secondary, Workers Comp WILLIAMS & SONOMA J1473 No No Yes Hospital, Professional, Secondary, Workers Comp PALADIN MANAGED CARE SERVICES INC J1475 No No Yes Hospital, Professional, Secondary, Workers Comp TRI-STATE INSURANCE COMPANY J1477 No No Yes Hospital, Professional, Secondary, Workers Comp MEADOWBROOK INSURANCE GROUP J1478 No No Yes Hospital, Professional, Secondary, Workers Comp CHESTERFIELD SERVICES INC J1479 No No Yes Hospital, Professional, Secondary, Workers Comp HEALTHSMART J1481 No No Yes Hospital, Professional, Secondary, Workers Comp MILLARD REFRIGERATED J1482 No No Yes Hospital, Professional, Secondary, Workers Comp QBE GENERAL CASUALTY (FARMERS UNION) J1483 No No Yes Hospital, Professional, Secondary, Workers Comp UNIGARD INSURANCE COMPANY (QBE DBA) J1484 No No Yes Hospital, Professional, Secondary, Workers Comp QBE GENERAL CASUALTY (EDEN PRAIRIE) J1485 No No Yes Hospital, Professional, Secondary, Workers Comp QBE GENERAL CASUALTY (FREEPORT) J1486 No No Yes Hospital, Professional, Secondary, Workers Comp QBE GENERAL CASUALTY (INDIANAPOLIS) J1487 No No Yes Hospital, Professional, Secondary, Workers Comp QBE GENERAL CASUALTY (SIMSBURY) J1488 No No Yes Hospital, Professional, Secondary, Workers Comp QBE GENERAL CASUALTY (SUN PRAIRIE) J1489 No No Yes Hospital, Professional, Secondary, Workers Comp QBE GENERAL CASUALTY (WEST DES MOINES) J1490 No No Yes Hospital, Professional, Secondary, Workers Comp RISK ENTERPRISE MANAGEMENT J1491 No No Yes Hospital, Professional, Secondary DALLAS INDEPENDENT SCHOOL DISTRICT J1494 No No Yes Hospital, Professional, Secondary, Workers Comp WESTERN NATIONAL INSURANCE GROUP J1495 No No Yes Hospital, Professional, Secondary, Workers Comp PREFERRED EMPLOYERS INSURANCE COMPANY (PEI) J1496 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF SAN DIEGO J1497 No No Yes Hospital, Professional, Secondary, Workers Comp KEENAN AND ASSOCIATES (EXCLUDING CITY OF PASADENA) J1498 No No Yes Hospital, Professional, Secondary, Workers Comp SEABRIGHT (SBIC) J1499 No No Yes Hospital, Professional, Secondary, Workers Comp WORKFORCE SAFETY AND INSURANCE (WSI) J1500 No No No Workers Comp BUFFETS INC (OLD COUNTRY BUFFETT/RYANS/HOMETOWN BUFFET/FIRE MOUNTAIN) J1501 No No Yes Hospital, Professional, Secondary, Workers Comp ARAMARK J1502 No No Yes Hospital, Professional, Secondary, Workers Comp BARNES J1503 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF JACKSONVILLE J1504 No No Yes Hospital, Professional, Secondary, Workers Comp TRACTOR SUPPLY COMPANY J1505 No No Yes Hospital, Professional, Secondary, Workers Comp SUTTER HEALTH J1512 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF SAN DIEGO J1513 No No Yes Hospital, Professional, Secondary, Workers Comp DEPARTMENT OF WATER AND POWER OF THE CITY OF LOS ANGELES (LADWP) J1514 No No Yes Hospital, Professional, Secondary, Workers Comp LONG BEACH UNIFIED SCHOOL DISTRICT J1515 No No Yes Hospital, Professional, Secondary, Workers Comp ROTH STAFFING COMPANIES J1516 No No Yes Hospital, Professional, Secondary, Workers Comp SANTA CLARA VALLEY TANSPORTATION AUTHORITY J1518 No No Yes Hospital, Professional, Secondary, Workers Comp GARDEN GROVE UNIFIED SCHOOL DISTRICT J1519 No No Yes Hospital, Professional, Secondary, Workers Comp SELF-INSURED SCHOOLS OF CALIFORNIA (SISC) J1520 No No Yes Hospital, Professional, Secondary, Workers Comp KEY RISK MANAGEMENT SERVICES LLC J1521 No No Yes Hospital, Professional, Secondary, Workers Comp RALEYS FAMILY OF FINE STORES J1522 No No Yes Hospital, Professional, Secondary, Workers Comp BERKLEY NET UNDERWRITERS LLC J1523 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICAN MINING INSURANCE GROUP LLC J1524 No No Yes Hospital, Professional, Secondary, Workers Comp BERKLEY RISK ADMINISTRATORS COMPANY LLC J1526 No No Yes Hospital, Professional, Secondary, Workers Comp LEAGUE OF MINNESOTA CITIES INSURANCE TRUST J1527 No No Yes Hospital, Professional, Secondary, Workers Comp FORGE INDUSTRIAL STAFFING J1529 No No Yes Hospital, Professional, Secondary, Workers Comp MONUMENT ADMINISTRATORS (ELITE COUNTRY CLUB) J1530 No No Yes Hospital, Professional, Secondary, Workers Comp CIGA J1532 No No Yes Hospital, Professional, Secondary, Workers Comp VIACOM (MURPHY AND BEANE) J1533 No No Yes Hospital, Professional, Secondary, Workers Comp USS-POSCO INDUSTRIES J1534 No No No Workers Comp CALIFORNIA FAIR SERVICES AUTHORITY J1535 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF LOS ANGELES J1536 No No Yes Hospital, Professional, Secondary, Workers Comp TOPA INSURANCE COMPANY J1537 No No Yes Hospital, Professional, Secondary, Workers Comp SCIF (AZ) J1538 No No No Workers Comp LUMBERMENS UNDERWRITING ALLIANCE J1540 No No No Workers Comp GRINNELL SELECT J1541 No No Yes Hospital, Professional, Secondary, Workers Comp INTERCARE J1542 No No Yes Hospital, Professional, Secondary, Workers Comp RIVERPORT INSURANCE (MN SCHOOL BOARD ASSOCIATION) J1546 No No Yes Hospital, Professional, Secondary, Workers Comp LOUISIANA WORKERS COMPENSATION CORPORATION (LWCC) J1547 No No Yes Hospital, Professional, Secondary, Workers Comp STATE FARM J1548 No No Yes Hospital, Professional, Secondary, Workers Comp NORTH BAY SCHOOLS INSURANCE AUTHORITY (NBSIA) J1549 No No Yes Hospital, Professional, Secondary, Workers Comp DEPOSITORS INSURANCE COMPANY J1550 No No Yes Hospital, Professional, Secondary, Workers Comp NATIONWIDE AGRIBUSINESS INSURANCE COMPANY J1551 No No Yes Hospital, Professional, Secondary, Workers Comp NATIONWIDE PROPERTY AND CASUALTY INSRURANCE COMPANY J1552 No No Yes Hospital, Professional, Secondary, Workers Comp STATE FUND MUTUAL J1553 No No Yes Hospital, Professional, Secondary, Workers Comp CHUBB AND SON J1554 No No Yes Hospital, Professional, Secondary, Workers Comp STATE OF MINNESOTA (DOER) J1555 No No Yes Hospital, Professional, Secondary, Workers Comp AUTO-OWNERS INSURANCE COMPANY J1556 No No Yes Hospital, Professional, Secondary, Workers Comp GE AUTO J1557 No No Yes Hospital, Professional, Secondary, Workers Comp NAVISTAR INC J1558 No No Yes Hospital, Professional, Secondary, Workers Comp EMPLOYERS CLAIM SERVICE INC (CITY OF NAPERVILLE) J1559 No No No Workers Comp SCHNUCK MARKET INC J1560 No No Yes Hospital, Professional, Secondary, Workers Comp CHUBB SERVICES J1561 No No Yes Hospital, Professional, Secondary, Workers Comp CINCINNATI INSURANCE J1562 No No Yes Hospital, Professional, Secondary, Workers Comp FARMERS INSURANCE EXCHANGE (WC ONLY) J1563 No No Yes Hospital, Professional, Secondary, Workers Comp GRAND RIVER INSURANCE (WC ONLY) J1566 No No Yes Hospital, Professional, Secondary, Workers Comp PROTECTIVE INSURANCE COMPANY J1568 No No Yes Hospital, Professional, Secondary, Workers Comp WESTERN NATIONAL ASSURANCE J1569 No No Yes Hospital, Professional, Secondary, Workers Comp PHARMACIST MUTUAL INSURANCE COMPANY J1570 No No Yes Hospital, Professional, Secondary, Workers Comp GRINNELL REINSURANCE COMPANY J1571 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTRY INSURANCE (MOUNTAIN STATES INSURANCE) J1572 No No Yes Hospital, Professional, Secondary, Workers Comp PENN MILLERS INSURANCE COMPANY J1573 No No Yes Hospital, Professional, Secondary, Workers Comp GUIDEONE MUTUAL INSURANCE J1574 No No Yes Hospital, Professional, Secondary, Workers Comp ILLINOIS CASUALTY J1575 No No Yes Hospital, Professional, Secondary, Workers Comp KEMPER (UNITRIN AUTO AND HOME) J1576 No No Yes Hospital, Professional, Secondary, Workers Comp ALASKA NATIONAL INSURANCE J1577 No No Yes Hospital, Professional, Secondary, Workers Comp ACIG INSURANCE COMPANY J1578 No No Yes Hospital, Professional, Secondary, Workers Comp BITUMINOUS INSURANCE COMPANY J1579 No No Yes Hospital, Professional, Secondary, Workers Comp AUTO OWNERS (HOME-OWNERS INSURANCE COMPANY) J1580 No No Yes Hospital, Professional, Secondary, Workers Comp TEXAS BUILDERS INSURANCE COMPANY J1581 No No Yes Hospital, Professional, Secondary, Workers Comp CITIZENS INSURANCE COMPANY OF AMERICA J1582 No No Yes Hospital, Professional, Secondary, Workers Comp AUTO-OWNERS (OWNERS INSURANCE COMPANY) J1583 No No Yes Hospital, Professional, Secondary, Workers Comp SUNZ INSURANCE COMPANY J1584 No No Yes Hospital, Professional, Secondary, Workers Comp 1ST AUTO AND CASUALTY J1585 No No Yes Hospital, Professional, Secondary, Workers Comp WESTERN NATIONAL INSURANCE \ PIONEER SPECIALTIES J1586 No No Yes Hospital, Professional, Secondary, Workers Comp KEMPER (UNITRIN SAFEGUARD INSURANCE COMPANY J1587 No No Yes Hospital, Professional, Secondary, Workers Comp HANOVER LLOYDS INSURANCE COMPANY J1588 No No Yes Hospital, Professional, Secondary, Workers Comp ALLMERICA FINANCIAL BENEFITS INSURANCE COMPANY J1589 No No Yes Hospital, Professional, Secondary, Workers Comp GUIDEONE ELITE INSURANCE J1590 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTRY INSURANCE (MSI PREFERRED INSURANCE COMPANY) J1591 No No Yes Hospital, Professional, Secondary, Workers Comp SERVICE LLOYDS INSURANCE COMPANY J1593 No No Yes Hospital, Professional, Secondary, Workers Comp HARLEYSVILLE INSURANCE COMPANY J1595 No No Yes Hospital, Professional, Secondary, Workers Comp AUTO-OWNERS LIFE INSURANCE COMPANY J1596 No No Yes Hospital, Professional, Secondary, Workers Comp REPUBLIC WESTERN INSURANCE COMPANY J1597 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF SNYDER (TX) J1598 No No Yes Hospital, Professional, Secondary, Workers Comp INNOVATIVE CLAIM SOLUTIONS (ICS) (RANCHO CORDOVA) J1599 No No Yes Hospital, Professional, Secondary, Workers Comp INNOVATIVE CLAIM SOLUTIONS (ICS) (SAN RAMON) J1601 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF ST PAUL (MN) J1602 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF HUMBOLDT (CA) J1603 No No Yes Hospital, Professional, Secondary, Workers Comp TOWER ENERGY GROUP J1604 No No Yes Hospital, Professional, Secondary, Workers Comp CENTRAL CONTRA COSTA TRANSIT AUTHORITY J1605 No No Yes Hospital, Professional, Secondary, Workers Comp EXXON-MOBIL CORPORATION J1606 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF TOPEKA (KS) J1607 No No Yes Hospital, Professional, Secondary, Workers Comp ADVANCE SERVICES INC J1608 No No Yes Hospital, Professional, Secondary, Workers Comp QPS EMPLOYMENT GROUP J1609 No No Yes Hospital, Professional, Secondary, Workers Comp SUN MAR HEALTHCARE J1610 No No Yes Hospital, Professional, Secondary, Workers Comp DISCOUNT TIRE J1611 No No Yes Hospital, Professional, Secondary, Workers Comp HMS HOST J1612 No No Yes Hospital, Professional, Secondary, Workers Comp CITRUS VALLEY HEALTH PARTNERS J1613 No No Yes Hospital, Professional, Secondary, Workers Comp KIRKLANDS INC J1614 No No Yes Hospital, Professional, Secondary, Workers Comp THE MENS WEARHOUSE INC J1615 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF SHASTA (CA) J1616 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF REDDING (CA) J1617 No No Yes Hospital, Professional, Secondary, Workers Comp FAIRVIEW HEALTH SERVICES J1618 No No Yes Hospital, Professional, Secondary, Workers Comp ALLIANT ENERGY J1619 No No Yes Hospital, Professional, Secondary, Workers Comp ANHEUSER BUSCH J1620 No No Yes Hospital, Professional, Secondary, Workers Comp GOODWILL INDUSTRIES J1621 No No Yes Hospital, Professional, Secondary, Workers Comp MMIC J1622 No No Yes Hospital, Professional, Secondary, Workers Comp PERMA J1623 No No Yes Hospital, Professional, Secondary, Workers Comp FAIRCHILD FASTENERS J1624 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF LOS ANGELES J1625 No No Yes Hospital, Professional, Secondary, Workers Comp HUTCHINSON TECHNOLOGY J1626 No No Yes Hospital, Professional, Secondary, Workers Comp PORT OF OAKLAND (CA) J1627 No No Yes Hospital, Professional, Secondary, Workers Comp XCEL ENERGY J1628 No No Yes Hospital, Professional, Secondary, Workers Comp UNION CONSTRUCTION WORKERS COMP PROGRAM J1629 No No Yes Hospital, Professional, Secondary, Workers Comp CASITAS MUNICIPAL WATER DISTRICT (CA) J1630 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF SANTA BARBARA NON-CSAC (CA) J1631 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF FOUNTAIN VALLEY (CA) J1632 No No Yes Hospital, Professional, Secondary, Workers Comp FULLERTON UNION HIGH SCHOOL DISTRICT (CA) J1633 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF GARDENA (CA) J1634 No No Yes Hospital, Professional, Secondary, Workers Comp RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT (CA) J1635 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF STANTON (CA) J1636 No No Yes Hospital, Professional, Secondary, Workers Comp CAPISTRANO UNIFIED SCHOOL DISTRICT (CA) J1637 No No Yes Hospital, Professional, Secondary, Workers Comp SAN DIEGO COMMUNITY COLLEGE DISTRICT (CA) J1638 No No Yes Hospital, Professional, Secondary, Workers Comp EASTERN MUNICIPAL WATER DISTRICT (CA) J1639 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF MONTEBELLO (CA) J1640 No No Yes Hospital, Professional, Secondary, Workers Comp MTS J1641 No No Yes Hospital, Professional, Secondary, Workers Comp GREEN DIAMOND WA J1642 No No Yes Hospital, Professional, Secondary, Workers Comp PASADENA UNIFIED SCHOOL DISTRICT (CA) J1643 No No Yes Hospital, Professional, Secondary, Workers Comp MORENO VALLEY UNIFIED SCHOOL DISTRICT (CA) J1644 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF UPLAND (CA) J1645 No No Yes Hospital, Professional, Secondary, Workers Comp CHAFFEY JOINT UNION HIGH SCHOOL DISTRICT (CA) J1646 No No Yes Hospital, Professional, Secondary, Workers Comp GOOD SAMARITAN HOSPITAL J1647 No No Yes Hospital, Professional, Secondary, Workers Comp SOUTHERN TEXTILE RECYCLING INC (CA) J1648 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF WEST COVINA (CA) J1649 No No Yes Hospital, Professional, Secondary, Workers Comp LFP CORPORATION J1650 No No Yes Hospital, Professional, Secondary, Workers Comp MORONGO BASIN TRANSIT AUTHORITY (CA) J1651 No No Yes Hospital, Professional, Secondary, Workers Comp COMPTON UNIFIED SCHOOL DISTRICT (CA) J1652 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF LAGUNA HILLS (CA) J1653 No No Yes Hospital, Professional, Secondary, Workers Comp HEMET UNIFIED SCHOOL DISTRICT (CA) J1654 No No Yes Hospital, Professional, Secondary, Workers Comp COMMUNITY DEVELOPMENT COMMISSION (CA) J1655 No No Yes Hospital, Professional, Secondary, Workers Comp SAN DIEGO (IMPERIAL SCHOOLS JPA) (CA) J1656 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF PASADENA (CA) J1657 No No No Workers Comp SAINT LOUIS COUNTY (MN) J1658 No No Yes Hospital, Professional, Secondary, Workers Comp STATE OF NORTH CAROLINA J1659 No No Yes Hospital, Professional, Secondary, Workers Comp NC DEPARTMENT OF PUBLIC INSTRUCTION J1660 No No Yes Hospital, Professional, Secondary, Workers Comp SEDGWICK (CARGILL INC) J1661 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF SONOMA (CA) J1662 No No Yes Hospital, Professional, Secondary, Workers Comp RAMSEY COUNTY (MN) J1663 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF STOCKTON (CA) J1664 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF TULARE (CA) J1666 No No Yes Hospital, Professional, Secondary, Workers Comp AD-COMP J1667 No No Yes Hospital, Professional, Secondary, Workers Comp TOWN OF COLMA (CA) J1668 No No Yes Hospital, Professional, Secondary, Workers Comp LYNWOOD UNIFIED SCHOOL DISTRICT (CA) J1669 No No Yes Hospital, Professional, Secondary, Workers Comp OREILLY AUTO PARTS J1670 No No Yes Hospital, Professional, Secondary, Workers Comp THE GAP INC J1671 No No Yes Hospital, Professional, Secondary, Workers Comp H & R BLOCK J1672 No No Yes Hospital, Professional, Secondary, Workers Comp PRIME HEALTHCARE J1673 No No Yes Hospital, Professional, Secondary, Workers Comp TRILLIUM STAFFING SOLUTIONS J1674 No No Yes Hospital, Professional, Secondary, Workers Comp RECOLOGY J1675 No No Yes Hospital, Professional, Secondary, Workers Comp TEXAS ROADHOUSE INC J1676 No No Yes Hospital, Professional, Secondary, Workers Comp HEARTLAND EXPRESS J1677 No No Yes Hospital, Professional, Secondary, Workers Comp GENERAL PARTS INTERNATIONAL J1678 No No Yes Hospital, Professional, Secondary, Workers Comp EMERITUS CORPORATION J1679 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF FORT WORTH (TX) J1680 No No Yes Hospital, Professional, Secondary, Workers Comp DEL TACO LLC J1681 No No Yes Hospital, Professional, Secondary, Workers Comp AUSTIN MUTUAL INSURANCE J1682 No No Yes Hospital, Professional, Secondary, Workers Comp COTTINGHAM AND BUTLER CLAIM SERVICES INC J1683 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTRY CASUALTY INSURANCE COMPANY J1684 No No Yes Hospital, Professional, Secondary, Workers Comp MIDWEST FAMILY MUTUAL INSURANCE COMPANY J1685 No No Yes Hospital, Professional, Secondary, Workers Comp BARRETT BUSINESS SERVICES INC (BBSI) J1686 No No Yes Hospital, Professional, Secondary, Workers Comp FARMERS (CIVIC PROPERTY AND CASUALTY COMPANY) J1687 No No Yes Hospital, Professional, Secondary, Workers Comp AUTO-OWNERS (SOUTHERN-OWNERS COMPANY) J1688 No No Yes Hospital, Professional, Secondary, Workers Comp MASSACHUSETTS BAY INSURANCE COMPANY J1689 No No Yes Hospital, Professional, Secondary, Workers Comp SOUTHERN CALIFORNIA RISK MANAGEMENT J1690 No No Yes Hospital, Professional, Secondary, Workers Comp BITUMINOUS FIRE AND MARINE J1691 No No Yes Hospital, Professional, Secondary, Workers Comp MITSUI SUMITOMO INSURANCE GROUP J1692 No No Yes Hospital, Professional, Secondary, Workers Comp HANOVER INSURANCE COMPANY J1693 No No Yes Hospital, Professional, Secondary, Workers Comp MITSUI SUMITOMO INSURANCE USA INC J1694 No No Yes Hospital, Professional, Secondary, Workers Comp NATIONAL AMERICAN INSURANCE COMPANY (NAICO) J1695 No No Yes Hospital, Professional, Secondary, Workers Comp EMPLOYERS GENERAL INSURANCE GROUP J1696 No No Yes Hospital, Professional, Secondary, Workers Comp FAIRMONT SPECIALTY IISURANCE COMPANY (TX) J1697 No No Yes Hospital, Professional, Secondary, Workers Comp AUTO-OWNERS (PROPERTY-OWNERS INSURANCE COMPANY) J1699 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF WESTMINSTER (CA) J1700 No No Yes Hospital, Professional, Secondary, Workers Comp FARMERS (NEIGHBORHOOD SPIRIT PROPERTY AND CASUALTY COMPANY) J1701 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTRY MUTUAL INSURANCE COMPANY J1702 No No Yes Hospital, Professional, Secondary, Workers Comp FARMERS (EXACT PROPERTY AND CASUALTY COMPANY) J1703 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTRY PREFERRED INSURANCE COMPANY J1705 No No Yes Hospital, Professional, Secondary, Workers Comp FARMERS (FIRE INSURANCE EXCHANGE) J1706 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF YORBA LINDA (CA) J1708 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTRY INSURANCE (MUTUAL SERVICE CASUALTY INSURANCE COMPANY) J1709 No No No Workers Comp FARMERS (MID-CENTURY INSURANCE COMPANY) J1710 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF LA MESA 11 (CA) J1711 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTRY INSURANCE (MODERN SERVICE CASUALTY INSURANCE COMPANY) J1712 No No Yes Hospital, Professional, Secondary, Workers Comp FARMERS (TRUCK INSURANCE EXCHANGE) J1713 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF MONROVIA (CA) J1714 No No Yes Hospital, Professional, Secondary, Workers Comp CONTRA COASTAL COUNTY SCHOOLS INSURANCE GROUP (CCCSIG) J1715 No No Yes Hospital, Professional, Secondary, Workers Comp OREGON STATE ACCIDENT INSURANCE FUND (SAIF) CORPORATION J1720 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF OMAHA (NE) J1721 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF LOS ANGELES (TRISTAR SANTA ANA) J1722 No No Yes Hospital, Professional, Secondary, Workers Comp COUNTY OF LOS ANGELES (AIMS SANTA CLARITA) J1723 No No Yes Hospital, Professional, Secondary, Workers Comp CHURCH MUTUAL INSURANCE COMPANY (WC ONLY) J1725 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF SAN MATEO (CA) J1727 No No Yes Hospital, Professional, Secondary, Workers Comp SA RECYCLING LLC J1728 No No Yes Hospital, Professional, Secondary, Workers Comp BANK OF AMERICA J1729 No No Yes Hospital, Professional, Secondary, Workers Comp SALT LAKE CITY CORPORATION J1730 No No Yes Hospital, Professional, Secondary, Workers Comp SOUTH COAST AREA TRANSIT (CA) J1731 No No Yes Hospital, Professional, Secondary, Workers Comp TYSON FOODS INC J1732 No No Yes Hospital, Professional, Secondary, Workers Comp ALLIED CLAIMS ADMINISTRATION INC J1733 No No Yes Hospital, Professional, Secondary, Workers Comp ERIE INSURANCE J1734 No No No Workers Comp ARCHER DANIELS MIDLAND COMPANY J1735 No No Yes Hospital, Professional, Secondary, Workers Comp MATHESON TRUCKING J1736 No No Yes Hospital, Professional, Secondary, Workers Comp EL POLLO LOCO J1737 No No Yes Hospital, Professional, Secondary, Workers Comp BIG 5 CORPORATION J1738 No No Yes Hospital, Professional, Secondary, Workers Comp CLOUGHERTY PACKING LLC J1739 No No Yes Hospital, Professional, Secondary, Workers Comp SAN BERNARDINO CITY UNIFIED SCHOOL DISTRICT J1741 No No No Workers Comp THOMAS MCGEE J1746 No No No Workers Comp GEICO J1747 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE J1748 No No Yes Hospital, Professional, Secondary, Workers Comp VONS / SAFEWAY J1750 No No Yes Hospital, Professional, Secondary, Workers Comp BRISTOL WEST J1764 No No Yes Hospital, Professional, Secondary, Workers Comp BART (SAN FRANCISCO BAY AREA RAPID TRANSIT) J1770 No No Yes Hospital, Professional, Secondary, Workers Comp NORTH CAROLINA LEAGUE OF MUNICIPALITIES (NCLM) J1772 No No Yes Hospital, Professional, Secondary, Workers Comp APPLIED UNDERWRITERS J1775 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE COMMERCIAL CASUALTY COMPANY J1779 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE DIRECT INSURANCE COMPANY J1780 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE PREMIER INSURANCE COMPANY J1781 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE MAX INSURANCE COMPANY J1783 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE SPECIALTY INSURANCE COMPANY J1784 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE PREFERRED INSURANCE COMPANY J1785 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE NORTHERN INSURANCE COMPANY J1786 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE NORTHWESTERN INSURANCE COMPANY J1787 No No Yes Hospital, Professional, Secondary, Workers Comp PROGRESSIVE CLASSIC INSURANCE COMPANY J1788 No No Yes Hospital, Professional, Secondary, Workers Comp UNITED FINANCIAL CASUALTY COMPANY J1789 No No Yes Hospital, Professional, Secondary, Workers Comp ACCIDENT FUND INSURANCE CO OF AMERICA J1790 No No Yes Hospital, Professional, Secondary, Workers Comp THE INSURANCE J1791 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF BANNING (CA) J1792 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF BARSTOW (CA) J1793 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF BLYTHE (CA) J1794 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF PERRIS (CA) J1795 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF SAN JACINTO (CA) J1796 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF MURIETA (CA) J1797 No No Yes Hospital, Professional, Secondary, Workers Comp ADELANTO CORRECTIONAL FACILITY (CA) J1798 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF DESERT HOT SPRINGS (CA) J1799 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF GLENDALE (AZ) J1800 No No Yes Hospital, Professional, Secondary, Workers Comp BOISE CASCADE COMPANY J1801 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICAN CASINO & ENTERTAINMENT PROPERTIES LLC J1802 No No No Workers Comp KELLOGG COMPANIES J1803 No No Yes Hospital, Professional, Secondary, Workers Comp SUPREME COURT OF CALIFORNIA J1804 No No Yes Hospital, Professional, Secondary, Workers Comp PACIFIC SUNWEAR J1805 No No Yes Hospital, Professional, Secondary, Workers Comp PACIFIC DENTAL SERVICES J1806 No No Yes Hospital, Professional, Secondary, Workers Comp FAMSA INC J1807 No No Yes Hospital, Professional, Secondary, Workers Comp PACIFIC COAST BUILDING PRODUCTS J1808 No No Yes Hospital, Professional, Secondary, Workers Comp CAPITOL INSURANCE COMPANIES J1809 No No Yes Hospital, Professional, Secondary, Workers Comp INTERINSURANCE EXCHANGE OF THE AUTOMOBILE CLUB J1810 No No Yes Hospital, Professional, Secondary, Workers Comp SOUTHERN CALIFORNIA EDISON J1817 No No Yes Hospital, Professional, Secondary, Workers Comp CAMBRIDGE INTEGRATED SERVICES J1819 No No Yes Hospital, Professional, Secondary, Workers Comp GREAT WEST CASUALTY J1820 No No Yes Hospital, Professional, Secondary, Workers Comp PROFESSIONAL CLAIMS MANAGEMENT J1821 No No Yes Professional, Secondary, Workers Comp USAA J1822 No No No Workers Comp XL SPECIALTY INSURANCE J1823 No No Yes Hospital, Professional, Secondary, Workers Comp SMART AND FINAL J1824 No No Yes Hospital, Professional, Secondary, Workers Comp NORTH CAROLINA FARM BUREAU J1825 No No Yes Hospital, Professional, Secondary, Workers Comp RISK ADMINISTRATION SERVICES J1828 No No Yes Hospital, Professional, Secondary, Workers Comp THERAPY DIRECT NETWORK J1831 No No Yes Hospital, Professional, Secondary, Workers Comp HILMAR CHEESE COMPANY J1833 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (AUSTIN MUTUAL) J1834 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (GRAIN DEALERS MUTUAL) J1835 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (GREAT LAKES CASUALTY) J1836 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (MAIN STREET AMERICA ASSURANCE) J1837 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (MSA INSURANCE PROTECTION) J1838 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (MSAIC SURPOLUS NON-ADMITTED) J1839 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (NGM) J1840 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (OLD DOMINION INSURANCE COMPANY) J1841 No No Yes Hospital, Professional, Secondary, Workers Comp THE MAIN STREET AMERICA GROUP (SPRING VALLEY MUTUAL) J1842 No No Yes Hospital, Professional, Secondary, Workers Comp ADVANCE AMERICA CASH ADVANCE CENTERS J1843 No No Yes Hospital, Professional, Secondary, Workers Comp CON-WAY INC J1844 No No Yes Hospital, Professional, Secondary, Workers Comp NONPROFIT INSURANCE TRUST J1845 No No Yes Hospital, Professional, Secondary, Workers Comp THE JONES FINANCIAL COMPANIES LLP J1846 No No Yes Hospital, Professional, Secondary, Workers Comp REVMED J1848 No No Yes Hospital, Professional, Secondary, Workers Comp CITY OF SALINAS J1849 No No Yes Hospital, Professional, Secondary, Workers Comp SPROUTS FARMERS MARKET INC J1850 No No Yes Hospital, Professional, Secondary, Workers Comp UNITED SELF INSURED SERVICES (USIS) J1851 No No Yes Hospital, Professional, Secondary, Workers Comp AMERICAN INTERSTATE (TX ONLY) J1852 No No No Workers Comp FARM BUREAU MUTUAL INSURANCE COMPANY (MN ONLY) J1853 No No Yes Hospital, Professional, Secondary, Workers Comp HENNEPIN COUNTY COURT DIVISION J1854 No No Yes Hospital, Professional, Secondary, Workers Comp TECHNOLOGY INSURANCE COMPANY J1855 No No Yes Hospital, Professional, Secondary, Workers Comp WERNER ENTERPRISES J1856 No No Yes Hospital, Professional, Secondary, Workers Comp WESCO INSURANCE COMPANY J1857 No No Yes Hospital, Professional, Secondary, Workers Comp WESTFIELD INSURANCE J1858 No No Yes Hospital, Professional, Secondary, Workers Comp UNITED HEARTLAND J1859 No No Yes Hospital, Professional, Secondary, Workers Comp AUTOMOBILE DEALERS INSURANCE COMPANY INC J1861 No No Yes Hospital, Professional, Secondary, Workers Comp CAREWORKS CONSULTANTS J1866 No No Yes Hospital, Professional, Secondary, Workers Comp AMTRUST J1868 No No Yes Hospital, Professional, Secondary, Workers Comp IPMG CLAIMS MANAGEMENT SERVICES J1887 No No Yes Hospital, Professional, Secondary, Workers Comp RAM MUTUAL INSURANCE COMPANY J1894 No No Yes Hospital, Professional, Secondary GENEX CARE FOR OHIO J1895 No No Yes Hospital, Professional, Secondary ATHENS J1914 No No Yes Hospital, Professional, Secondary GILLETTE CHILDRENS SPECIALTY HEALTHCARE J1927 No No Yes Hospital, Professional, Secondary DISNEYLAND RESORTS (BUNCH) J1933 No No Yes Hospital, Professional, Secondary DELOS J1955 No No Yes Hospital, Professional, Secondary MEDRISK J1956 Yes No Yes Hospital, Professional, Secondary MINNESOTA INSURANCE GUARANTY ASSOCIATION J2094 No No Yes Hospital, Professional, Secondary, Workers Comp ANCHOR GLASS CONTAINER CORPORATION J2136 No No Yes Hospital, Professional, Secondary FOOT LOCKER J2158 No No Yes Hospital, Professional, Secondary, Workers Comp HARBOR FREIGHT TOOLS J2159 No No Yes Hospital, Professional, Secondary, Workers Comp APPLIED MATERIALS J2160 No No Yes Hospital, Professional, Secondary, Workers Comp BED BATH AND BEYOND (WORLD MARKET) J2167 No No Yes Hospital, Professional, Secondary, Workers Comp STATE OF WYOMING J2179 Yes No Yes Professional, Secondary, Workers Comp EBERLE VIVIAN J2199 No No Yes Hospital, Professional, Secondary NORTH STAR MUTUAL J2356 No No Yes Hospital, Professional, Secondary, Workers Comp SEDGWICK - CHUBB GROUP OF INSURANCE COMPANIES J2561 No No Yes Hospital, Professional, Secondary JAI MEDICAL SYSTEMS JAI01 No No Yes Hospital, Professional, Secondary JLS FAMILY ENTERPRISES JLSFE Yes No Yes Hospital, Professional, Secondary BCBS OF KANSAS CITY KCBC0 No No Yes Hospital, Professional, Secondary KANE COUNTY IPA KCIPA Yes No Yes Hospital, Professional, Secondary KEENAN AND ASSOCIATES KEE01 No No Yes Hospital, Professional, Secondary KENT COUNTY HEALTH PLAN KENT1 Yes No Yes Hospital, Professional, Secondary KEYSTONE MERCY HEALTH PLAN KEY01 Yes No Yes Dental, Secondary KG ADMINISTRATIVE SERVICES KGA15 No No Yes Hospital, Professional, Secondary KOVA HEALTHCARE INC KOVA1 No No Yes Hospital, Professional, Secondary KPS-KITSAP PHYSICIAN SERVICES KPS01 No No Yes Hospital, Professional, Secondary KANSAS BCBS KS BCBS KSBC0 No Yes Yes Hospital, Professional, Remits, Secondary KS MEDICARE MEDICARE OF KANSAS KSMC0 No Yes Yes Hospital, Professional, Remits, Secondary KS MEDICAID MEDICAID OF KANSAS KSMK0 No Yes Yes Hospital, Professional, Remits, Secondary KAISER FOUNDATION HEALTH PLAN HAWAII KSRHI Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD KENTUCKY KY BCBS KYBC0 No Yes Yes Hospital, Professional, Remits, Secondary CARESOURCE KY KYCS1 Yes No Yes Hospital, Professional, Secondary KY MEDICARE MEDICARE OF KENTUCKY KYMC0 No Yes Yes Professional, Remits, Secondary KY MEDICAID MEDICAID OF KENTUCKY KYMK0 No Yes Yes Professional, Remits, Secondary GLOBAL CARE NAMCI L0110 Yes No Yes Hospital, Professional, Secondary TURSTED HEALTH PLAN L0230 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD LOUISIANA LA BCBS LABC0 No Yes Yes Professional, Remits, Secondary LA CARE HEALTH PLAN LACAR No No No Hospital, Professional CORRECTCARE(LOUISIANA PRISONS AND PARISH JAILS) LADOC Yes No Yes Hospital, Professional, Secondary LAWNDALE CHRISTIAN HEALTH CENTER LAWND No No Yes Hospital, Professional, Secondary LAB CORP OF AMERICA HOLDING LBCRP No No Yes Professional, Secondary LUCAS COUNTY DENTAL PLAN LCD1B Yes No Yes Dental, Secondary HEALTH NET 21 - LA & SACRAMENTO (ADMIN BY LIBERTY DENTAL PLAN) LDP11 Yes No Yes Dental, Secondary IEHP (ADMIN BY LIBERTY DENTAL PLAN) LDP12 Yes No Yes Dental, Secondary PALMS CASINO RESORT (ADMIN BY LIBERTY DENTAL PLAN) LDP19 Yes No Yes Dental, Secondary WELLCARE (ADMIN BY LIBERTY DENTAL PLAN) LDP24 Yes No Yes Dental, Secondary LIBERTY ADVANTAGE LIB01 Yes No Yes Hospital, Professional, Secondary SECURE HORIZONS LIFEPRINT ARIZONA LIFE1 Yes No Yes Hospital, Professional, Secondary LONGEVITY ILLINOIS LIL01 Yes No Yes Hospital, Professional, Secondary LAKEWOOD IPA COASTAL HEALTHCARE MANAGEMENT LLC LIPAZ Yes No Yes Professional, Secondary LANDMARK HEALTHCARE INC LNDMK Yes No Yes Professional, Secondary WASHINGTON STATE LABOR AND INDUSTRIES LNIWA No Yes Yes Hospital, Professional, Remits, Secondary LONGEVITY NEW YORK LNY01 Yes No Yes Hospital, Professional, Secondary BRIDGEPOINT EDUCATIONAL (ATHENS) LS496 No No Yes Professional, Secondary, Workers Comp PINNACOL ASSURANCE WC LS551 No No Yes Professional, Secondary, Workers Comp LIFEWORKS ADVANTAGE LWA01 No Yes Yes Hospital, Professional, Secondary LIFEWISE HEALTH PLAN OF OREGON LWHOR No No Yes Dental, Secondary LEISURE WORLD MANAGED CARE LWMC1 No No Yes Professional, Secondary PRIMEWEST LX049 No No Yes Dental, Secondary FORMULA BENEFITS (3265 NORTHWOOD) LX050 No No Yes Dental, Secondary NORTHERN MINNESOTA DENTAL LX062 No No Yes Dental, Secondary ZENITH ADMINISTRATORS (WA) LX063 No No Yes Dental, Secondary MASSACHUSETTS BLUE CROSS BLUE SHIELD MABC0 No No Yes Hospital, Professional, Secondary MEDICAL ASSOCIATES HEALTH PLAN MAHC1 Yes No Yes Hospital, Professional, Secondary MA MEDICARE MEDICARE OF MASSACHUSETTS MAMC0 No Yes Yes Professional, Remits, Secondary MA MEDICAID MAMK0 No Yes Yes Hospital, Professional, Remits, Secondary BLUE CROSS COMMUNITY CENTENNIAL MC721 No No Yes Hospital, Professional, Secondary WELLMARK MEDICARE CROSSOVER MC848 No Yes Yes Professional, Secondary MAGELLAN COMPLETE CARE ARIZONA MCC01 No No Yes Hospital, Professional, Secondary MAGELLAN COMPLETE CARE OF VA MCCVA No No Yes Professional, Secondary BLUE CROSS COMMUNITY OPTION MCDIL No No Yes Hospital, Professional, Secondary PHYSICIANS CHOICE MEDICAL GROUP OF SANTA MARIA (FORMERLY MIDCOAST CARE INC.) MCI01 No No No Hospital, Professional MEDICAID OF TEXAS - MCNA MCNA1 Yes No Yes Dental, Secondary GEMCARE MEDICAL GROUP (MANAGED CARE SYSTEMS) MCS03 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD MARYLAND MD BCBS MDBC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDCORE HEALTHPLAN MDCOR No No No Hospital, Professional MEDICARE OF MARYLAND MDMC0 No Yes Yes Professional, Secondary MD MEDICAID MEDICAID OF MARYLAND MDMK0 No Yes No Professional, Remits MID-WEST UNITED LIFE MDUL1 Yes No Yes Dental, Secondary MDX HAWAII MDXHI No No Yes Hospital, Professional, Secondary ME MEDICAID MEMK0 No No Yes Hospital, Professional, Remits, Secondary MEMORIAL HERMANN HEALTH NETWORK MHHNP Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD MICHIGAN MI BCBS MIBC0 No Yes Yes Hospital, Professional, Remits, Secondary BLUE CROSS BLUE SHIELD MICHIGAN MIBC1 No Yes Yes Hospital, Professional, Secondary BCBS MEDICARE ADVANTAGE MIBC2 No Yes Yes Hospital, Professional, Remits, Secondary MEDICARE OF MICHIGAN MI MEDICARE MIMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF MICHIGAN MI MEDICAID MIMK0 No Yes Yes Hospital, Professional, Remits, Secondary MEDLOGIX MSO AMERICO IPA MLAMR No No No Hospital, Professional MOLINA OF NEW YORK MLLNY No No Yes Hospital, Professional, Secondary MEDLOGIX MSO PACIFIC ASSOCIATES IPA MLPAS No No No Hospital, Professional MEMORIALCARE MEDICAL FOUNDATION CAP SERVICES MMFCS No No Yes Hospital, Professional, Secondary MEMORIALCARE MEDICAL FOUNDATION MMFMC No No No Professional MEMORIALCARE MEDICAL FOUNDATION UCI MMFUC No No Yes Hospital, Professional, Secondary MONUMENTAL LIFE INS CO MMLI3 No No Yes Professional, Secondary MONUMENTAL LIFE INS CO MMLIC No No Yes Professional, Secondary MMM FLORIDA INCORPORATED MMMFL No No Yes Hospital, Professional, Secondary MASTER MATES AND PILOTS PLAN MMPHB Yes No Yes Hospital, Professional, Secondary MISSOURI MEDICARE SELECT MMS01 Yes No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD MINNESOTA MN BCBS MNBC0 No Yes Yes Hospital, Professional, Remits, Secondary MN SAGE AND SAGE PLUS MNDH1 No No Yes Professional, Secondary MEDICARE OF MINNESOTA MN MEDICARE MNMC0 No Yes Yes Professional, Remits, Secondary MEDICAID OF MINNESOTA MN MEDICAID MNMK0 No Yes Yes Hospital, Professional, Remits, Secondary BLUE CROSS OF MISSOURI BLUE SHIELD OF MISSOURI MO BCBS MOBC0 No Yes Yes Hospital, Professional, Remits, Secondary MOLINA HEALTHCARE MISSISSIPPI MOLMS No No Yes Hospital, Professional, Secondary MO MEDICARE MOMC0 No Yes Yes Hospital, Professional, Secondary MEDICAID OF MISSOURI MO MEDICAID MOMK0 No Yes Yes Hospital, Professional, Remits, Secondary MEDPAY ASSURANCE MP001 Yes No Yes Hospital, Professional, Secondary THREE RIVERS PREFERRED MP340 No No Yes Professional, Secondary MOTION PICTURE INDUSTRY HEALTH PLAN MPI01 Yes No Yes Professional, Secondary CENTINELA VALLEY IPA MPM03 No No Yes Professional, Secondary EL PROYECTO DEL BARRIO MPM04 No No Yes Professional, Secondary GLOBAL CARE MEDICAL GROUP IPA MPM05 No No Yes Professional, Secondary HEALTHCARE LA IPA MPM06 No No Yes Professional, Secondary WATTS HEALTHCARE CORP MPM09 No No Yes Hospital, Professional, Secondary BELLA VISTA MEDICAL GROUP MPM10 No No Yes Professional, Secondary PIONEER PROVIDER NETWORK HEALTHY FAMILIES BY MEDPO MPM18 No No Yes Professional, Secondary ACCOUNTABLE HEALTHCARE IPA MPM23 No No Yes Hospital, Professional, Secondary ACCOUNTABLE ANTHEM BEVERLY POD MPM24 No No Yes Hospital, Professional, Secondary ST. FRANCIS HCLA MPM30 No No No Hospital, Professional ST. FRANCIS ALLCARE MPM31 No No No Hospital, Professional ALPHA CARE MEDICAL GROUP MPM32 No No Yes Hospital, Professional, Secondary ADVENTIST WHITE MEMORIAL CROWN CITY MEDICAL GROUP MPM33 No No Yes Hospital, Professional, Secondary ADVENTIST WHITE MEMORIAL SOUTHLAND SAN GABRIEL VALLEY MPM34 No No Yes Hospital, Professional, Secondary CROWN CITY MEDICAL GROUP MPM35 Yes No Yes Hospital, Professional, Secondary ADVENTIST HEALTH PLAN MPM37 No No Yes Hospital, Professional, Secondary ADVENTIST HEALTH PLAN PROVIDER NETWORK MPM38 No No Yes Professional, Secondary ASSOCIATED HISPANIC PHYSICIANS OF SOUTHERN CALIFORNIA MPM44 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD MISSISSIPPI MS BCBS MSBC0 No Yes Yes Professional, Remits, Secondary BCBS STATE OF MISSIISSIPPI MSBC1 No Yes Yes Professional, Secondary MS CHIP MSBC2 No Yes Yes Professional, Secondary MEDICARE OF MISSISSIPPI MS MEDICARE MSMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF MISSISSIPPI MS MEDICAID MSMK0 No Yes Yes Professional, Remits, Secondary MONTANA BCBS MTBC0 No Yes Yes Professional, Secondary ROCKY MOUNTAIN HEALTH PLANS MTNHP No Yes Yes Professional, Remits, Secondary SENDERO IDEALCARE - DOS 1/1/19 AND AFTER ONLY MV440 No No Yes Hospital, Professional, Secondary PRIME COMMUNITY CARE CENTRAL VALLEY MVCV1 No No No Hospital, Professional PRIME COMMUNITY CARE CENTRAL VALLEY-ENCOUNTERS MVCV2 No No No Hospital, Professional NEHEN - MASSACHUSETTS BCBS N4222 Yes Yes Yes Hospital, Professional, Secondary NEHEN - NEIGHBORHOOD HEALTH PLAN MA N4293 Yes Yes Yes Hospital, Professional, Secondary NEHEN - TUFTS HEALTH PLAN N4298 Yes Yes Yes Hospital, Professional, Secondary NEHEN - TUFTS NETWORK HEALTH N4332 Yes Yes Yes Hospital, Professional, Secondary NC DEPARTMENT OF PUBLIC SAFETY N8520 No No Yes Hospital, Professional, Secondary SILVER CROSS MANAGER CARE OGANIZATION NASCR No No Yes Hospital, Professional, Secondary NORTHERN CALIFORNIA ADVANTAGE MEDICAL GROUP (NCAMG) NCA01 No No Yes Professional, Secondary BLUE CROSS BLUE SHIELD NORTH CAROLINA NC BCBS NCBC0 No Yes Yes Hospital, Professional, Remits, Secondary CAREPLUS DERMATOLOGY - NEW CENTURY HEALTH NCH01 No No Yes Professional, Secondary CAREPLUS CARDIOLOGY - NEW CENTURY HEALTH NCH04 No No Yes Professional, Secondary NEW CENTURY HEALTH - VISTA CARDIOLOGY NCH09 No No Yes Professional, Secondary MEDICARE OF NORTH CAROLINA NC MEDICARE NCMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF NORTH CAROLINA NC MEDICAID NCMK0 No Yes Yes Hospital, Professional, Remits, Secondary NEVADA DENTAL BENEFITS NDB01 Yes No Yes Dental, Secondary HHS NATIONAL DISASTER MEDICAL SYSTEM-APPRIO NDMSA Yes No Yes Hospital, Professional, Secondary NEW DIRECTIONS BEHAVIORAL HEALTH NDX99 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD NEBRASKA NE BCBS NEBC0 No Yes Yes Hospital, Professional, Remits, Secondary NECA IBEW NECA1 No No Yes Dental, Secondary MEDICARE OF NEBRASKA NE MEDICARE NEMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF NEBRASKA, HHS (LINCOLN, NE) NEMCD No Yes Yes Dental, Secondary MEDICAID OF NE DEPT OF SOCIAL SRVS MEDICAID OF NEBRASKA NE MEDICAID NEBRASKA MEDICAID PRIMARY CARE PLUS NEMK0 No Yes No Hospital, Professional, Remits NJ MEDICARE NJMC0 No Yes Yes Professional, Remits, Secondary MEDICAID OF NEW JERSEY NJ MEDICAID NJMK0 No Yes Yes Hospital, Professional, Remits, Secondary BLUE CROSS BLUE SHIELD NEW MEXICO NM BCBS NMBC0 No Yes Yes Professional, Remits, Secondary NETWORK MEDICAL MANAGEMENT NMM01 No No Yes Hospital, Professional, Secondary LASALLE MEDICAL ASSOCIATES NMM02 No No Yes Professional, Secondary GOLDEN SHORE MEDICAL GROUP NMM03 No No Yes Hospital, Professional, Secondary MEDICARE OF NEW MEXICO NM MEDICARE NMMC0 No Yes Yes Professional, Remits, Secondary MEDICAID OF NEW MEXICO NMMK0 No No Yes Professional, Secondary PRESBYTERIAN SALUD NMMK1 No Yes Yes Hospital, Professional, Remits, Secondary NORTHWEST PHYSICIANS NETWORK NPN11 Yes No Yes Hospital, Professional, Secondary NETWORK SYNERGY GROUP (NSG) NSG99 No No Yes Professional, Secondary, Workers Comp NETWORK SOLUTIONS IPA NSIPA No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD NEVADA NVBC0 No No Yes Hospital, Professional, Secondary NEVADA MEDICARE NVMC0 No Yes Yes Hospital, Professional, Secondary NEVADA MEDICAID NVMK0 No No Yes Hospital, Professional, Secondary TEAMSTERS MISCELLANEOUS SECURITY TRUST FUND NWADM No No Yes Hospital, Professional, Secondary BCBS OF NY/WELLCHOICE OF NJ BLUE CROSS BLUE SHIELD NEW YORK EMPIRE NYBC0 No No Yes Hospital, Professional, Remits, Secondary BCBS WESTERN NEW YORK NYBC1 No Yes Yes Professional, Secondary EXCELLUS BCBS ROCHESTER AREA EXCELLUS, INC. NYBC3 No No Yes Dental, Hospital, Professional, Secondary EXCELLUS BCBS CENTRAL NEW YORK EXCELLUS BCBS OF CENTRAL NY NYBC4 No No Yes Dental, Professional, Secondary BCBS UTICA WATERTOWN NYBC5 No No Yes Hospital, Professional, Secondary NEW YORK LIFE - LTC NYL11 No No Yes Hospital, Professional, Secondary NY MEDICARE NYMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF NEW YORK NYMK0 No Yes Yes Hospital, Professional, Secondary GROUP MANAGEMENT SERVICES, INC OBA16 No No No Hospital, Professional OGDEN BENEFITS ADMINISTRATION OBA18 No No Yes Dental, Professional, Secondary OPERATING ENGINEERS HEALTH & WELFARE FUND OEL12 Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OHIO OH BCBS OHBC0 No Yes Yes Hospital, Professional, Remits, Secondary OH MEDICARE OHMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF OHIO OH MEDICAID OHIO MEDICAID OHMK0 No Yes Yes Hospital, Professional, Remits, Secondary BLUE CROSS BLUE SHIELD OKLAHOMA BLUELINCS OK BCBS OKBC0 No Yes Yes Professional, Remits, Secondary MEDICARE OF OKLAHOMA OK MEDICARE OKMC0 No Yes Yes Professional, Remits, Secondary MEDICAID OF OKLAHOMA OK MEDICAID OKMK0 No Yes Yes Professional, Remits, Secondary OR BCBS ORBC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF OREGON OR MEDICAID ORMK0 No Yes Yes Hospital, Professional, Remits, Secondary OSCAR HEALTH OSCAR Yes No Yes Hospital, Professional, Secondary OSF HEALTHCARE EAST OSFE9 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD PENNSYLVANIA PA BCBS (HIGHMARK) PABC0 No Yes Yes Hospital, Professional, Remits, Secondary CAPITOL BLUE CROSS PA PA BCBS (CAPITAL) PABC1 No Yes Yes Professional, Remits, Secondary MEDICARE OF PENNSYLVANIA PA MEDICARE PAMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF PENNSYLVANIA PA MEDICAID PAMK0 No Yes Yes Professional, Remits, Secondary PARTNERS IN HEALTH PARTH No No Yes Hospital, Professional, Secondary PROVIDENCE ADMINISTRATIVE SERVICES PAS01 No No Yes Hospital, Professional, Secondary SUMMIT COMMUNITY CARE PASSE No No Yes Hospital, Professional, Secondary PALM BEACH HEALTH DISTRICT PBHD1 Yes No Yes Hospital, Professional, Secondary PRIMECARE ADMINISTRATORS, INC. PCA01 Yes No Yes Dental, Secondary PRIMARY CARE ASSOCIATES OF CALIFORNIA PCACZ No No Yes Hospital, Professional, Secondary PATIENT CHOICE DENTAL PLAN PCD1C Yes No Yes Dental, Secondary PREMIER CARE IPA PCI01 Yes No Yes Hospital, Professional, Secondary PRIMARY CARE OF JOLIET PCJOL No No Yes Hospital, Professional, Secondary PHYSICIANS CARE NETWORK THE POLYCLINIC PCN12 No No Yes Hospital, Professional, Secondary POINT COMFORT UNDERWRITERS PCU01 No No Yes Dental, Hospital, Professional, Secondary PHYSICIANS DATA TRUST PDT01 No No No Hospital, Professional PEF CLINIC PEF01 No No Yes Professional, Secondary PREFERRED IPA PFIPA No No Yes Hospital, Professional, Secondary PRUITT HEALTH PREMIER PH001 Yes No Yes Hospital, Professional, Secondary FAMILY CARE CCO (COORDINATED CARE ORG) FAMILYCARE MEDICAID PHD01 Yes No Yes Dental, Secondary PHYSICIANS HEALTHWAYS IPA PHIPA No No Yes Professional, Secondary PACIFIC HEALTH MSO PHM10 No No Yes Professional, Secondary PROVIDENCE PREFERRED PHP00 No No Yes Hospital, Professional, Secondary PROVIDENCE HEALTH PLAN PHP01 No No Yes Hospital, Professional, Secondary PRUITT HEALTH PREMIER NORTH CAROLINA & SOUTH CAROLINA PHPC1 Yes No Yes Hospital, Professional, Secondary PARTNERSHIP HEALTH PLAN OF CALIFORNIA PHPCA No Yes No Hospital, Professional CORRECTIONAL HEALTH PARTNERS PHPMC No No Yes Hospital, Professional, Secondary PHYSICIAN HEALTH PARTNERS PHPMD Yes No Yes Professional, Secondary PHP TPA SERVICES PHPMS No No Yes Hospital, Professional, Secondary PIPE TRADES INDUSTRY HEALTH & WELFARE FUND PIP01 No No Yes Dental, Secondary VANTAGE MEDICAL GROUP PPM01 No No Yes Hospital, Professional, Secondary CAL CARE IPA ENCOUNTERS PPM02 No No Yes Hospital, Professional, Secondary PIONEER PROVIDER NETWORK PPNZZ No No Yes Professional, Secondary PROGYNY PROGY Yes No Yes Hospital, Professional, Secondary DIGNITY HEALTH MED FOR MERCY MEDICAL OR WOODLAND PROH1 Yes No Yes Hospital, Professional, Secondary DIGNITY HEALTH MEDICAL FOUNDATION FOR SEQUOIA PHYSICIANS NETWOR PROH2 Yes No No Hospital, Professional PINNACLE HEALTH RESOURCES (GATEWAY IPA) PROSP No No Yes Hospital, Professional, Secondary PSKW PHYSICIAN REIMBURSEMENT PROGRAM PSKW0 Yes No Yes Professional, Secondary OPTIMA HEALTH PYPTH No Yes No Remits OREGON HEALTH MANAGEMENT SERVICES (OHMS) R1642 Yes No Yes Hospital, Secondary CASCADE COMPREHENSIVE CARE R5281 Yes No No Hospital, Professional OREGON HEALTH MANAGEMENT SERVICES (OHMS) R6123 Yes No Yes Hospital, Professional, Secondary MD WISE SELECT HEALTH NETWORK R6139 Yes No Yes Hospital, Professional, Secondary ZENITH ADMINISTRATORS (MN) R7001 No No Yes Dental, Secondary WILSON MCSHANE R7002 No No Yes Dental, Secondary ALAN STURM & ASSOCIATES R7003 No No Yes Dental, Secondary FLEX COMPENSATION R7004 No No Yes Dental, Secondary ARCHBOLD MEDICAL CENTER HEALTH PLAN R7150 No No No Hospital, Professional RADY CHILDREN'S HEALTH NETWORK (RCHN) RCHN1 No No No Hospital, Professional RIVER CITY MEDICAL GROUP RCMG1 No No Yes Hospital, Professional, Secondary REGAL MEDICAL GROUP REGAL No No Yes Hospital, Professional, Secondary REGENCE GROUP ADMINISTRATORS RGA01 No No Yes Hospital, Professional, Secondary KAISER PERMANENTE OF COLORADO RH003 No No Yes Hospital, Professional, Remits, Secondary RESOLVE HEALTH PLAN ADMINISTRATORS LLC RHA01 No No Yes Hospital, Professional, Secondary LIFEMAP RLH01 No No Yes Dental, Hospital, Professional, Secondary RENAISSANCE LIFE AND HEALTH RLHA1 No No Yes Dental, Secondary RIVERSIDE MEDICAL CLINIC RMC01 No No Yes Professional, Secondary WINHEALTH PARTNERS MEDICARE THRU ROCKY MOUNTAIN RMWIN Yes No No Professional RAVENSWOOD PHYSICIAN ASSOCIATES INC. RPAWC Yes No Yes Hospital, Professional, Secondary RESURRECTION PHYSICIANS PROVIDER GROUP RPPG1 Yes No Yes Hospital, Professional, Secondary ROYALE RESOURCES RR001 Yes No Yes Dental, Secondary RAILROAD MEDICARE RRMCR No Yes Yes Professional, Remits, Secondary REVCLAIMS RVC01 No No Yes Hospital, Professional, Secondary THE CITY OF EAST CHICAGO (UCS) S6001 No No Yes Professional, Secondary SIGNATURE ADVANTAGE SA001 Yes No Yes Hospital, Professional, Secondary SELECT ADVANTAGE SA704 No No Yes Professional, Secondary SAMARITAN COMMERCIAL PLAN SAM00 No No Yes Professional, Secondary SAMARITAN ADVANTAGE SAMAD Yes Yes Yes Professional, Secondary SAMARITAN CHOICE PLUS SAMCP Yes Yes Yes Professional, Secondary SOUTH ATLANTIC MEDICAL GROUP SAMG1 No No Yes Hospital, Professional, Secondary SAMARITAN HEALTHYKIDS CONNECT SAMHK Yes Yes Yes Professional, Secondary SAMARITAN HEALTH SERVICES SAMHS Yes Yes Yes Professional, Secondary SAMARITAN SELECT SAMSE Yes Yes Yes Professional, Secondary UNITED PHYSICIANS INTERNATIONAL (UPI) SANDS No No Yes Hospital, Professional, Secondary MA BCBS SB700 No Yes No Remits JMS SBM SBMCO Yes No Yes Hospital, Professional, Secondary SHERMAN HOSPITAL SC359 No No Yes Hospital, Professional, Secondary SC BCBS SCBC0 No Yes Yes Professional, Remits, Secondary SETON CHARITY PLAN SCHAR No No No Hospital, Professional SEECHANGE HEALTH INSURANCE SCHP1 No No Yes Hospital, Professional, Secondary SCION - HORIZON NJ HEALTH SCION DENTAL SCION Yes No Yes Dental, Secondary MEDICAID OF SOUTH CAROLINA SC MEDICAID SCMK0 No Yes Yes Professional, Remits, Secondary AMERIHEALTH CARITAS PENNSYLVANIA/AMERIHEALTH NORTHEAST SCNAC Yes No Yes Dental, Secondary AMERIGROUP OF NEVADA (CA, NV, CO PROVIDERS ONLY) SCNAN Yes No Yes Dental, Secondary COMMONWEALTH CARE ALLIANCE SCNCA Yes No Yes Dental, Secondary COVENTRYCARES - WV SCNCC Yes No Yes Dental, Secondary AMERIGROUP OF NEVADA (GA PROVIDERS ONLY) SCNGA Yes No Yes Dental, Secondary THE HEALTH PLAN OF WEST VIRGINIA (AGES 0-20) SCNHP Yes No Yes Dental, Secondary KEYSTONE FIRST - PA SCNKF Yes No Yes Dental, Secondary MARYLAND HEALTHY SMILES - DHMH SCNMH Yes No Yes Dental, Secondary MOLINA OHIO SCNMO Yes No Yes Dental, Secondary MOLINA HEALTH CARE OF NEW MEXICO SCNNM Yes No Yes Dental, Secondary AMERIGROUP OF NEVADA (UNICARE) SCNUN Yes No Yes Dental, Secondary UNICARE OF WV SCNUW Yes No Yes Dental, Secondary AMERIGROUP OF NEVADA (WI PROVIDERS ONLY) SCNWI Yes No Yes Dental, Secondary THE HEALTH PLAN OF WEST VIRGINIA (AGES 21 & OVER) SCNWV Yes No Yes Dental, Secondary MEDIVIEW SENDERO CHIP AND STAR SCS17 No No No Hospital, Professional DIRECT DENTAL ADMINISTRATORS INC DIRECT DENTAL ADMINISTRATORS, INC. SDCOM Yes No Yes Dental, Secondary MEDICARE OF SOUTH DAKOTA SDMC0 No Yes Yes Professional, Secondary SOUTH DAKOTA MEDICAID SDMK0 No Yes Yes Professional, Secondary SELECTHEALTH - FORMERLY INTERMOUNTAIN HEALTH CARE SELUT No Yes Yes Hospital, Professional, Secondary SAFEGUARD (DHMO) SFG01 Yes No Yes Dental, Secondary SAN FRANCISCO HEALTH PLAN SFHP1 No No No Hospital, Professional SANDHILLS CENTER LOCAL MANAGEMENT ENTITY SHC30 Yes Yes Yes Professional, Secondary SANDHILLS CENTER LOCAL MANAGEMENT ENTITY SHC3U Yes Yes Yes Hospital, Secondary SETON EMPLOYEE PLAN SHEBP Yes No Yes Hospital, Professional, Secondary SETON HEALTH PLAN MAP SHMAP No No No Hospital, Professional SETON HEALTH PLAN CHARITY SHPCH No No No Hospital, Professional SCRIPPS COASTAL MEDICAL GROUP SHPS1 No No Yes Hospital, Professional, Secondary SOUTHERN ILLINOIS HEALTHCARE ASSOCIATION SIH99 No No Yes Hospital, Professional, Secondary SOUTHERN ILLINOIS HEALTH CARE ASSOCIATION SIHCA No No Yes Hospital, Professional, Secondary SUNRISE ADVANTAGE PLAN IL SIL01 Yes No Yes Hospital, Professional, Secondary SIMPRA ADVANTAGE SIM01 No No Yes Hospital, Professional, Secondary SOUTHLAND IPA SIPA1 No No Yes Hospital, Professional, Secondary ST JOHNS HEALTHCARE SJHC1 No No Yes Hospital, Professional, Secondary AK MEDICAID SKAK0 No Yes No Remits NV MEDICAID SKNV0 No Yes No Remits SKYGEN USA SKYGN Yes No Yes Dental, Secondary ST LAWRENCE CO HEALTHCARE PLAN SLCH1 No No Yes Hospital, Professional, Secondary PHYSICIANS CHOICE MEDICAL GROUP SLOS1 No No No Hospital, Professional ST. MARY IPA COASTAL HEALTHCARE MANAGEMENT LLC SMIPA Yes No Yes Professional, Secondary SIMPLY HEALTHCARE SMPLY No No Yes Hospital, Professional, Secondary SANTE COMMUNITY PHYSICIANS SNT01 No No No Hospital, Professional SANTE MEDI-CAL SNTMC No No No Hospital, Professional SUNRISE ADVANTAGE PLAN NY SNY01 Yes No Yes Hospital, Professional, Secondary SOLIS HEALTH PLAN SOLIS No No Yes Hospital, Professional, Secondary SUNRISE ADVANTAGE PLAN PA SPA01 Yes No Yes Hospital, Professional, Secondary CHRISTUS/SPOHN HEALTH SYSTEM SPOHN Yes No Yes Hospital, Professional, Secondary SETON STAR PLAN STAR1 No No No Hospital, Professional ST JOSPEHS IPA STJOE No No Yes Hospital, Professional, Secondary ALWAYS CARE BENEFITS STARMOUNT INSURANCE STR01 No No Yes Dental, Secondary SUNRISE ADVANTAGE PLAN VA SVA01 Yes No Yes Hospital, Professional, Secondary SOUTHWEST PHYSICIANS GROUP SWPG1 No No Yes Hospital, Professional, Secondary HEALTHPARTNERS OF MN SX009 No Yes No Remits WISCONSIN PHYSICIANS SERVICE INS. CORP (COMMERCIAL ONLY) SX022 Yes Yes Yes Professional, Secondary CIGNA BEHAVIORAL HEALTH SX071 No No Yes Professional, Secondary UNIVERA-HEALTH CARE PLAN/CHOICECARE BUFFALO SX087 No No Yes Professional, Secondary DESERET MUTUAL SX105 No Yes Yes Professional, Remits, Secondary PEHP/UT PUBLIC EMPL HLTH PLAN SX106 No Yes Yes Hospital, Professional, Secondary INTERMOUNTAIN HEALTH CARE SX107 No Yes Yes Professional, Secondary MOLINA HEALTHCARE UT SX109 No Yes Yes Professional, Secondary EDUCATORS MUTUAL (EMIA) EMI HEALTH (EDUCATORS MUTUAL LIFE) SX110 No No Yes Dental, Hospital, Professional, Secondary PROVIDENCE OF OR CHOICE OPTION PROVIDENCE OF OR GOOD HEALTH PLAN PROVIDENCE OF OR HEALTH PLAN PROVIDENCE OF OR HEALTH PLAN HMO PROVIDENCE OF OR MEDICAID PROVIDENCE OF OR MEDICAID EXTRA PROVIDENCE OF OR MEDICAID OPTION PROVIDENCE OF OR OPTION PROVIDENCE OF OR TRADITIONAL OPTION SX133 No No Yes Hospital, Professional, Remits, Secondary PARTNERSHIP HEALTH OF CA CAPHP SX140 No No Yes Professional, Secondary BANNER HEALTH AZ BANNER HEALTH CO ANTERO GREELEY BANNER HEALTH CO ANTERO HIGH PLAINS BANNER HEALTH CO ANTERO MOUNTAIN SHADOWS BANNER HEALTH CO CHOICE PLUS BANNER HEALTH CO HMO GREELEY BANNER HEALTH CO HMO HIGH PLAINS BANNER HEALTH CO HMO MOUNTAIN SHADOWS BANNER HEALTH CO PACIFICARE GREELEY BANNER HEALTH CO PACIFICARE HIGH PLAINS BANNER HEALTH CO PACIFICARE MOUNTAIN SHADOWS BANNER HEALTH CO ROCKY MOUNTAIN HMO GREELEY BANNER HEALTH CO ROCKY MOUNTAIN HMO HIGH PLANIS BANNER HEALTH CO SECURE HORIZONS GREELEY BANNER HEALTH CO SECURE HORIZONS HIGH PLAINS BANNER HEALTH CO SECURE HORIZONS MOUNTAIN SHADOWS BANNER HEALTH SYSTEMS SX145 No No Yes Professional, Secondary UNIVERSITY OF UT HEALTH PLANS SX155 No Yes Yes Hospital, Professional, Secondary ALLIED HEALTH SYSTEMS CHIROPRATIC SX156 No Yes Yes Professional, Secondary PARAMOUNT HEALTH CARE SX158 No No Yes Professional, Secondary LOVELACE SALUD SX159 No No Yes Hospital, Professional, Secondary THOMAS H COOPER SX160 No Yes Yes Professional, Secondary EBMS SX182 No No Yes Hospital, Professional, Secondary CATHOLIC HEALTHCARE WEST SX183 No No Yes Professional, Secondary SUN HEALTH CORPORATION SX186 No No Yes Professional, Secondary PROVIDENCE PPO SX187 No No Yes Hospital, Professional, Secondary NATIONAL IMAGING ASSOCIATES SX190 No Yes Yes Professional, Remits, Secondary HEALTHNET CAL CARE SYMED No No Yes Hospital, Professional, Secondary RISK ENTERPRISE MANAGEMENT (CORVEL) T0578 No No No Workers Comp TAYLOR BENEFITS TAYLR No No No Hospital, Professional THE BENEFIT GROUP, INC TBGNE No No Yes Hospital, Professional, Secondary TCC BENEFIT ADMINISTRATORS (PRE-MED DEFENDER) ONLY TCC13 No No Yes Hospital, Professional, Secondary TCC (SELF-FUNDED) TCC93 No No Yes Hospital, Professional, Secondary TRAVIS COUNTY MAP-MEDIVIEW TCMAP No No No Hospital, Professional TRANSAMERICA FINANCIAL LIFE INS CO TFLIC No No Yes Professional, Secondary DENTAL CLAIM PAYERS (NY) TFQ14 No No Yes Dental, Secondary WELLMED TH023 No No Yes Hospital, Professional, Secondary PRESBYTERIAN HEALTH PLAN COMMERCIAL TH061 Yes No Yes Hospital, Professional, Secondary MIDWEST PHYSICIANS ADMINISTRATIVE SERVICES TH088 No No Yes Professional, Secondary AMERICAN FAMILY INSURANCE TH095 No No Yes Professional, Secondary PHYSICIANS UNITED PLAN TH131 No No Yes Hospital, Professional, Secondary TUALITY HEALTH ALLIANCE THA01 No No Yes Hospital, Professional, Secondary COOK CHILDREN STAR PLAN THCP9 Yes No Yes Hospital, Professional, Secondary TORRANCE HOSPITAL IPA THIPA No No Yes Professional, Secondary THRIVENT FINANCIAL THRIV No No No Hospital, Professional TEXAS HEALTHSPRING THS01 Yes No Yes Hospital, Professional, Secondary TLC BENEFIT SOLUTIONS TLC79 No No Yes Hospital, Professional, Secondary TRANSAMERICA LIFE INS CO TLIN2 No No Yes Hospital, Professional, Secondary TRANSAMERICA LIFE INS CO TLINS No No Yes Hospital, Professional, Secondary UNITED HEALTHCARE COMMUNITY PLAN/APIPA TLW68 No No Yes Dental, Secondary BLUE ADVANTAGE TLY26 Yes No Yes Dental, Secondary TOTAL DENTAL ADMINISTRATORS AZ TLY35 No No Yes Dental, Secondary CYPRESS ANCILLARY BENEFITS TLZ04 No No Yes Dental, Secondary TORRANCE MEMORIAL MEDICAL CENTER TMMC1 No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD TENNESSEE TNBC0 No Yes Yes Professional, Secondary BCBS TENNCARE BCBS TENNESSEE BLUECARE TNBC2 No Yes Yes Professional, Secondary BCBS TN FEP TNBC3 No Yes Yes Professional, Secondary MEDICARE OF TENNESSEE TN MEDICARE TNMC0 No Yes Yes Hospital, Remits, Secondary BERKLEY SPECIALTY UNDERWRITERS TP019 No No Yes Hospital, Professional, Secondary, Workers Comp BROADSPIRE (A CRAWFORD COMPANY) TP021 No No Yes Hospital, Professional, Secondary, Workers Comp ESIS TP043 No No Yes Hospital, Professional, Secondary, Workers Comp FARA TP044 No No Yes Professional, Secondary, Workers Comp GALLAGHER BASSETT TP057 No No Yes Hospital, Professional, Secondary, Workers Comp MATRIX ABSENCE MANAGEMENT TP075 No No Yes Hospital, Professional, Secondary, Workers Comp SEDGWICK CMS TP097 No No Yes Hospital, Professional, Secondary, Workers Comp UNDERWRITERS SAFETY AND CLAIMS TP108 No No Yes Hospital, Professional, Secondary, Workers Comp GAB ROBINS (FOR VAN TUYL COMPANIES ONLY) TP117 No No Yes Hospital, Professional, Secondary, Workers Comp TRANSMERICA FINANCIAL LIFE INSURANCE TRCLF No No Yes Hospital, Professional, Secondary TRICARE EAST TREST No Yes Yes Hospital, Professional, Remits, Secondary TRINITY HEALTH PACE TRINP No No Yes Hospital, Professional, Secondary TRANSAMERICA LIFE INSURANCE COMPANY TRP1E No No Yes Hospital, Professional, Secondary TEXAS AGRICULTURAL COOPERATIVE TRUST TXABA No No Yes Hospital, Professional, Secondary BLUE CROSS BLUE SHIELD TEXAS TX BCBS TXBC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICARE OF TEXAS TX MEDICARE TXMC0 No Yes Yes Professional, Remits, Secondary MEDICAID OF TEXAS TX MEDICAID TXMK0 No Yes Yes Professional, Remits, Secondary GROUP HEALTH COOPERATIVE (WA) U1051 No No Yes Hospital, Secondary TOTAL PLAN SERVICES U1202 Yes No No Hospital UNIFIED IPA MICHIGAN U1368 Yes No Yes Hospital, Secondary PEKIN INSURANCE UB U7086 Yes No Yes Hospital, Secondary HSA HEALTH INSURANCE COMPANY U7632 No No Yes Hospital, Professional, Secondary FLORIDA HOSPITAL HEALTHCARE SYSTEMS U9321 No No Yes Hospital, Secondary SOUTH CAROLINA BCBS - MEDICARE (PPO) UA028 No No Yes Hospital, Secondary INS HEALTH SERVICES UB UAICE Yes No Yes Hospital, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 5A (INSTITUTIONAL) UAP5A No No Yes Hospital, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 5B (INSTITUTIONAL) UAP5B No No Yes Hospital, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 3 (INSTITUTIONAL) UAPC3 No No Yes Hospital, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 6 (INSTITUTIONAL) UAPC6 No No Yes Hospital, Secondary BRAND NEW DAY/UNIVERSAL CARE CA UC001 No No Yes Professional, Secondary FALLING COLORS UCC20 No No Yes Hospital, Secondary BLUE CROSS BLUE SHIELD OF LOUISIANA ADVANTAGE PLUS NETWORK UCCAP Yes No Yes Dental, Secondary BLUE CROSS BLUE SHIELD OF DELAWARE (UCCI) UCCDE Yes No Yes Dental, Secondary UNITED CONCORDIA (ENCOUNTERS) UCCEN Yes No Yes Dental, Secondary MINNESOTA BLUE CROSS DENTAL (UCCI) UCCMB Yes No Yes Dental, Secondary UNITED CONCORDIA - TRICARE DENTAL PLAN UCCTR Yes No Yes Dental, Secondary FAMILY CARE MEDICAID (INSTITUTIONAL) UCD01 Yes Yes Yes Hospital, Secondary FAMILY CARE MEDICAID MENTAL HEALTH (INSTITUTIONAL) UCM01 Yes No Yes Hospital, Secondary FAMILY CARE MEDICARE (INSTITUTIONAL) UCR01 Yes No Yes Hospital, Professional, Secondary MEDIVIEW SENDERO CHIP AND STAR UB UCS17 No No No Hospital PEF CLINIC - UB UEF01 No No Yes Hospital, Secondary UNITED GROUP PROGRAMS UGP19 No No Yes Hospital, Professional, Secondary UNITED HEALTHCARE COMMUNITY PLAN (SPECIAL HANDLING) UHCCP Yes No Yes Dental, Secondary UHC STUDENT RESOURCES UHCSR Yes No Yes Dental, Secondary PPOONE UHNDC Yes No Yes Professional, Secondary SCRIPPS COASTAL MEDICAL GROUP UHPS1 No No Yes Hospital, Secondary UNIVERSITY OF ILLINOIS UIC67 No No Yes Hospital, Professional, Secondary HORACE MANN-UB UMLIC Yes No Yes Hospital, Secondary SOUTHWEST OREGON IPA (DOC) UOCSO No No Yes Hospital, Secondary RAVENSWOOD PHYSICIAN ASSOCIATES INC. UPAWC No No Yes Hospital, Secondary UTAH PUBLIC EMPLOYERS HEALTH PLAN - PEHP UPEHP No Yes Yes Hospital, Professional, Secondary BCBS OF UTAH UTBC0 No No Yes Professional, Secondary UNIVERSITY OF TEXAS MEDICAL BOARD UTMBC Yes No Yes Hospital, Professional, Secondary IDEALCARE (DOS>12/31/18) UV440 No No Yes Hospital, Professional, Secondary VISTA360HEALTH - MEDIVIEW V360H No No No Hospital, Professional BLUE CROSS BLUE SHIELD VIRGINIA VA BCBS VABC0 No Yes Yes Hospital, Professional, Remits, Secondary INS HEALTH SERVICES VAICE Yes No Yes Hospital, Professional, Secondary MEDICARE OF VIRGINIA VA MEDICARE VAMC0 No Yes Yes Hospital, Professional, Remits, Secondary VA MEDICARE (INSTITUTIONAL) VAMCH No Yes No Remits MEDICAID OF VIRGINIA VA MEDICAID VIRGINIA MEDICAID VAMK0 No Yes Yes Hospital, Professional, Remits, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 5A VAP5A No No Yes Professional, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 5B VAP5B No No Yes Professional, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 3 VAPC3 No No Yes Professional, Secondary VA PATIENT CENTERED COMMUNITY CARE PROG REG 6 VAPC6 No No Yes Professional, Secondary VA PREMIER VAPRE No Yes No Remits VIRGINIA PREMIER VIRGINIA PREMIER COMPLETECARE VIRGINIA PREMIER ELITE VIRGINIA PREMIER ELITE PLUS VIRGINIA PREMIER MEDALLION 4 VAPRM No Yes Yes Hospital, Professional, Secondary VENTURA COUNTY HEALTH CARE PLAN (VCHCP) VCHCP No No Yes Hospital, Professional, Secondary VESTACARE VESTA Yes No Yes Hospital, Professional, Secondary VILLAGE MD VLGMD Yes No Yes Hospital, Professional, Secondary DCHS MEDICAL FOUNDATION VMF01 No No No Hospital, Professional HEALTHSHARE OF OREGON CCO VMMH1 No No Yes Professional, Secondary VALUE OPTIONS NM VONM1 No Yes No Remits VALUE OPTIONS/ BEACON HEALTH OPTIONS VOOK1 No Yes Yes Hospital, Professional, Secondary VARIABLE PROTECTION ADMINISTRATORS VPA18 No No Yes Dental, Hospital, Professional, Secondary MEDICAID OF VERMONT VTMK0 No Yes Yes Hospital, Professional, Secondary ZURICH AMERICAN INSURANCE COMPANY WA039 No No Yes Professional, Secondary, Workers Comp REGENCE BLUE CROSS OF WASHINGTON WABC0 No Yes Yes Hospital, Professional, Remits, Secondary PREMERA BLUE CROSS OF WASHINGTON WA PREMERA BLUE CROSS WABC1 No No Yes Hospital, Professional, Remits, Secondary WA MEDICARE WAMC0 No Yes Yes Hospital, Professional, Remits, Secondary MEDICAID OF WASHINGTON WA MEDICAID WAMK0 No Yes Yes Hospital, Professional, Remits, Secondary TRISTAR RISK MANAGEMENT WALNUT CREEK WB435 No No Yes Professional, Secondary, Workers Comp DELTA DENTAL CLEAR WDENC Yes No Yes Dental, Secondary PACIFICARE SECURE HORIZIONS WELM2 No No Yes Hospital, Professional, Secondary WELLMED (ENCOUNTERS) WELMD Yes No Yes Hospital, Professional, Secondary WENATCHEE VALLEY MEDICAL CENTER WENWA No Yes No Remits WESTERN HIGHLANDS NETWORK WHLME Yes Yes Yes Professional, Secondary WILLOW HEALTH WHLTH No No Yes Dental, Hospital, Professional, Secondary WI BCBS WIBC0 No Yes Yes Hospital, Professional, Remits, Secondary WI MEDICARE (INSTITUTIONAL) WIMCH No Yes No Remits WI MEDICAID WIMK0 No Yes Yes Hospital, Professional, Remits, Secondary WISCONSIN MEDICAID ABRI WIMK1 No Yes Yes Professional, Secondary ARTA HEALTH NETWORK ARTA WESTERN WMM01 No No Yes Professional, Secondary WESTERN OREGON ADVANCED HEALTH CCO WOAHM No No Yes Professional, Secondary WELFARE AND PENSION ADMINISTRATORS (BOX 34684) WP124 No No Yes Professional, Secondary WPPA-PROVIDRS CARE NETWORK WP481 No No Yes Professional, Secondary BLUE CROSS BLUE SHIELD WEST VIRGINIA WV BCBS WVBC0 No Yes Yes Professional, Remits, Secondary FREEDOM BLUE MA PPO WVBC1 No Yes Yes Hospital, Professional, Remits, Secondary WILLAMETTE VALLEY COMMUNITY HEALTH WVCHD No No Yes Dental, Secondary CARESOURCE WEST VIRGINIA WVCS1 Yes No Yes Hospital, Professional, Secondary MEDICARE OF WEST VIRGINIA WV MEDICARE WVMC0 No Yes Yes Professional, Remits, Secondary MEDICAID OF WEST VIRGINIA WV MEDICAID WVMK0 No Yes Yes Hospital, Professional, Remits, Secondary WEST VIRGINIA SENIOR CHOICE WVS01 No No Yes Hospital, Professional, Secondary WYOMING MEDICAID WYMK0 No No Yes Hospital, Professional, Secondary WAUSAU INSURANCE WZ637 No No Yes Professional, Secondary, Workers Comp PLUMBER AND SHIP FITTER UNION 290 ZAS32 Yes No Yes Dental, Secondary UFCW LOCAL UNION 555 ZAS33 Yes No Yes Dental, Secondary ZOOMCARE ZOOM1 No No Yes Professional, Secondary